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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

PIKEVILLE MEDICAL CENTER

Pikeville, KY · CCN 180044 · Rates published

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You selected 470 (MS_DRG)

Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc

This hospital’s price: $15,693 across 3 payers · range $15,196-$16,490

Source: https://hospitalpricedisclosure.com/download.aspx?pi=CKA*__*zCaPMbmJ5cnsoIHDKg*-* · observed 2025-07-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

625 distinct procedures filed
86 distinct payers
25,700 rate rows
2025-07-01 last MRF observed · ⚠ 13 mo old
Data quality

4,426 of 25,700 rate rows are consumer-grade (17.2%)

21,274 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 16,378
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,753
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 141
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 2

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=CKA*__*zCaPMbmJ5cnsoIHDKg*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?pi=CKA*__*zCaPMbmJ5cnsoIHDKg*-*
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-12
Content fingerprint e69d3d9ed0fe69c6… · 13,863,447 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $115,677.74 $472,228.34 $186,482.15 nat. median
$199,832
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $47,214.42 $154,632.15 $127,391.46 nat. median
$132,706
1.0× median
510
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 2 $21,971.38 $194,575.50 $108,273.44 nat. median
$28,696
outlier · 3.8×
215
MS_DRG 		Other Heart Assist System Implant 3 $90,651.96 $188,082.28 $90,794.26 nat. median
$98,002
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $47,525.97 $99,491.04 $83,125.31 nat. median
$92,900
0.9× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $37,541.79 $126,305.60 $81,923.70 nat. median
$48,280
1.7× median
142
MS_DRG 		Major Head And Neck Procedures Without Cc/Mcc 1 $80,918.10 $80,918.10 $80,918.10 nat. median
$16,445
outlier · 4.9×
473
MS_DRG 		Cervical Spinal Fusion Without Cc/Mcc 1 $79,819.20 $79,819.20 $79,819.20 nat. median
$24,413
outlier · 3.3×
842
MS_DRG 		Lymphoma And Non-acute Leukemia Without Cc/Mcc 1 $74,295.90 $74,295.90 $74,295.90 nat. median
$11,100
outlier · 6.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $68,923.18 $68,923.18 $68,923.18 nat. median
$79,040
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $39,807.79 $267,067.20 $68,426.78 nat. median
$73,475
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $65,319.00 $65,319.00 $65,319.00 nat. median
$64,357
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $56,645.46 $110,531.47 $63,357.00 nat. median
$71,485
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $56,820.65 $177,180.60 $62,878.65 nat. median
$68,581
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $24,733.12 $313,927.19 $60,751.65 nat. median
$65,958
0.9× median
197
MS_DRG 		Interstitial Lung Disease With Cc 1 $60,550.00 $60,550.00 $60,550.00 nat. median
$10,618
outlier · 5.7×
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 1 $60,428.51 $60,428.51 $60,428.51 nat. median
$34,738
1.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 7 $33,891.18 $67,962.45 $59,797.07 nat. median
$62,218
1.0× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 2 $45,829.71 $71,245.76 $58,537.74 nat. median
$52,517
1.1× median
829
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 $55,994.78 $55,994.78 $55,994.78 nat. median
$30,467
1.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $50,443.09 $98,074.65 $55,421.42 nat. median
$60,162
0.9× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 5 $26,296.94 $58,210.50 $52,188.04 nat. median
$57,082
0.9× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 2 $51,251.25 $51,598.44 $51,424.85 nat. median
$59,257
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $51,405.74 $51,405.74 $51,405.74 nat. median
$63,840
0.8× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $51,114.95 $51,114.95 $51,114.95 nat. median
$56,397
0.9× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 $49,602.03 $52,616.74 $51,109.38 nat. median
$58,419
0.9× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 3 $17,295.56 $61,482.79 $50,414.15 nat. median
$51,984
1.0× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 $50,308.64 $50,308.64 $50,308.64 nat. median
$55,685
0.9× median
614
MS_DRG 		Adrenal And Pituitary Procedures With Cc/Mcc 1 $49,471.00 $49,471.00 $49,471.00 nat. median
$22,410
outlier · 2.2×
28
MS_DRG 		Spinal Procedures With Mcc 2 $42,780.79 $52,096.55 $47,438.67 nat. median
$56,970
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $27,773.89 $65,603.72 $46,688.81 nat. median
$74,472
0.6× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 2 $45,396.09 $47,217.25 $46,029.28 nat. median
$48,652
0.9× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $42,355.05 $48,257.09 $45,957.62 nat. median
$52,372
0.9× median
173
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 2 $25,450.59 $65,920.00 $45,685.29 nat. median
$29,160
1.6× median
9355
OTHER 		Inj. Teprotumumab-trbw 10 Mg 1 $45,304.99 $45,304.99 $45,304.99 nat. median
$369
outlier · 122.7×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 7 $13,550.00 $73,510.87 $45,108.29 nat. median
$48,124
0.9× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 $36,588.40 $187,009.60 $44,267.79 nat. median
$53,013
0.8× median
799
MS_DRG 		Splenic Procedures With Mcc 3 $42,272.00 $45,105.22 $44,019.57 nat. median
$44,811
1.0× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 3 $24,821.54 $43,703.29 $43,654.42 nat. median
$46,518
0.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 $6,418.01 $53,248.80 $43,315.25 nat. median
$51,433
0.8× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 2 $37,471.87 $48,417.42 $42,944.65 nat. median
$42,341
1.0× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 7 $25,808.84 $71,985.05 $42,837.28 nat. median
$50,808
0.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 $21,746.86 $77,286.00 $42,614.64 nat. median
$47,707
0.9× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 $39,412.17 $43,539.35 $42,551.38 nat. median
$47,266
0.9× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 2 $19,214.70 $244,929.00 $42,442.14 nat. median
$45,772
0.9× median
163
MS_DRG 		Major Chest Procedures With Mcc 4 $30,976.87 $43,967.70 $41,265.25 nat. median
$44,914
0.9× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 2 $38,047.20 $43,634.01 $40,840.60 nat. median
$44,841
0.9× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 $23,177.86 $224,863.20 $40,836.23 nat. median
$45,808
0.9× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 1 $40,692.22 $40,692.22 $40,692.22 nat. median
$50,071
0.8× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 $34,972.44 $42,658.69 $39,881.00 nat. median
$47,513
0.8× median

Other procedures at this hospital

Browse this hospital's 625 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 10 — — $115,677.74 $472,228.34 $186,482.15 2025-07-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 7 — — $47,214.42 $154,632.15 $127,391.46 2025-07-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 2 2 — — $21,971.38 $194,575.50 $108,273.44 2025-07-01
215 MS_DRG Other Heart Assist System Implant 3 3 — — $90,651.96 $188,082.28 $90,794.26 2025-07-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $47,525.97 $99,491.04 $83,125.31 2025-07-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $37,541.79 $126,305.60 $81,923.70 2025-07-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 1 1 — — $80,918.10 $80,918.10 $80,918.10 2025-07-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 1 1 — — $79,819.20 $79,819.20 $79,819.20 2025-07-01
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/Mcc 1 1 — — $74,295.90 $74,295.90 $74,295.90 2025-07-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $68,923.18 $68,923.18 $68,923.18 2025-07-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 8 — — $39,807.79 $267,067.20 $68,426.78 2025-07-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $65,319.00 $65,319.00 $65,319.00 2025-07-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 4 — — $56,645.46 $110,531.47 $63,357.00 2025-07-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 3 — — $56,820.65 $177,180.60 $62,878.65 2025-07-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 10 — — $24,733.12 $313,927.19 $60,751.65 2025-07-01
197 MS_DRG Interstitial Lung Disease With Cc 1 1 — — $60,550.00 $60,550.00 $60,550.00 2025-07-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $60,428.51 $60,428.51 $60,428.51 2025-07-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 7 — — $33,891.18 $67,962.45 $59,797.07 2025-07-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 2 — — $45,829.71 $71,245.76 $58,537.74 2025-07-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $55,994.78 $55,994.78 $55,994.78 2025-07-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 4 — — $50,443.09 $98,074.65 $55,421.42 2025-07-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 5 — — $26,296.94 $58,210.50 $52,188.04 2025-07-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 2 — — $51,251.25 $51,598.44 $51,424.85 2025-07-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $51,405.74 $51,405.74 $51,405.74 2025-07-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $51,114.95 $51,114.95 $51,114.95 2025-07-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 2 — — $49,602.03 $52,616.74 $51,109.38 2025-07-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 3 — — $17,295.56 $61,482.79 $50,414.15 2025-07-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $50,308.64 $50,308.64 $50,308.64 2025-07-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 1 1 — — $49,471.00 $49,471.00 $49,471.00 2025-07-01
28 MS_DRG Spinal Procedures With Mcc 2 2 — — $42,780.79 $52,096.55 $47,438.67 2025-07-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $27,773.89 $65,603.72 $46,688.81 2025-07-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 2 — — $45,396.09 $47,217.25 $46,029.28 2025-07-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 5 — — $42,355.05 $48,257.09 $45,957.62 2025-07-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 2 2 — — $25,450.59 $65,920.00 $45,685.29 2025-07-01
9355 OTHER Inj. Teprotumumab-trbw 10 Mg 1 1 — — $45,304.99 $45,304.99 $45,304.99 2025-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 7 — — $13,550.00 $73,510.87 $45,108.29 2025-07-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 7 — — $36,588.40 $187,009.60 $44,267.79 2025-07-01
799 MS_DRG Splenic Procedures With Mcc 3 3 — — $42,272.00 $45,105.22 $44,019.57 2025-07-01
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 — — $24,821.54 $43,703.29 $43,654.42 2025-07-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 6 — — $6,418.01 $53,248.80 $43,315.25 2025-07-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $37,471.87 $48,417.42 $42,944.65 2025-07-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 7 — — $25,808.84 $71,985.05 $42,837.28 2025-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 10 — — $21,746.86 $77,286.00 $42,614.64 2025-07-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 5 4 — — $39,412.17 $43,539.35 $42,551.38 2025-07-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 3 2 — — $19,214.70 $244,929.00 $42,442.14 2025-07-01
163 MS_DRG Major Chest Procedures With Mcc 6 4 — — $30,976.87 $43,967.70 $41,265.25 2025-07-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 2 2 — — $38,047.20 $43,634.01 $40,840.60 2025-07-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 7 — — $23,177.86 $224,863.20 $40,836.23 2025-07-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $40,692.22 $40,692.22 $40,692.22 2025-07-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 4 — — $34,972.44 $42,658.69 $39,881.00 2025-07-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 11 8 — — $3,460.49 $124,494.94 $38,847.13 2025-07-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 3 — — $34,749.13 $37,635.28 $37,635.28 2025-07-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 2 2 — — $23,744.59 $51,235.96 $37,490.28 2025-07-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 — — $29,237.60 $44,464.73 $36,851.17 2025-07-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 3 — — $33,584.58 $37,105.49 $36,786.02 2025-07-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/Mcc 1 1 — — $36,494.89 $36,494.89 $36,494.89 2025-07-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $36,021.90 $36,021.90 $36,021.90 2025-07-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 2 2 — — $35,922.70 $36,094.20 $36,008.45 2025-07-01
540 MS_DRG Osteomyelitis With Cc 2 2 — — $10,484.18 $61,410.08 $35,947.13 2025-07-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 4 — — $28,601.32 $37,183.07 $35,370.46 2025-07-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 4 — — $33,924.34 $45,740.02 $35,179.94 2025-07-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $35,160.67 $35,160.67 $35,160.67 2025-07-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 2 — — $34,569.81 $35,633.10 $35,101.46 2025-07-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 7 — — $29,599.54 $56,981.28 $35,039.22 2025-07-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 3 3 — — $28,350.90 $47,549.07 $34,781.49 2025-07-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 2 2 — — $29,421.24 $39,257.13 $34,339.18 2025-07-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 4 — — $31,320.09 $270,193.50 $33,947.48 2025-07-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 — — $24,342.82 $32,479.92 $32,362.56 2025-07-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $32,306.58 $32,306.58 $32,306.58 2025-07-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $32,045.11 $32,045.11 $32,045.11 2025-07-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $31,830.84 $31,830.84 $31,830.84 2025-07-01
141 MS_DRG Major Head And Neck Procedures With Cc 2 2 — — $17,738.33 $45,652.61 $31,695.47 2025-07-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 — — $31,333.50 $31,333.50 $31,333.50 2025-07-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $31,209.55 $31,209.55 $31,209.55 2025-07-01
90 MS_DRG Concussion Without Cc/Mcc 1 1 — — $31,086.00 $31,086.00 $31,086.00 2025-07-01
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $30,767.80 $30,767.80 $30,767.80 2025-07-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 4 — — $14,489.82 $50,644.78 $30,750.63 2025-07-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $30,383.35 $30,383.35 $30,383.35 2025-07-01
368 MS_DRG Major Esophageal Disorders With Mcc 2 2 — — $6,637.68 $53,763.38 $30,200.53 2025-07-01
5232 OTHER Level 2 Icd And Similar Procedures 10 5 — — $16,710.40 $215,500.00 $30,168.67 2025-07-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 5 — — $14,079.64 $239,268.60 $30,125.65 2025-07-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 8 5 — — $22,776.65 $46,669.43 $30,125.02 2025-07-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 3 — — $23,925.23 $37,713.88 $30,047.07 2025-07-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 5 4 — — $16,011.34 $64,275.83 $29,841.90 2025-07-01
791 MS_DRG Prematurity With Major Problems 12 9 — — $2,209.20 $36,365.67 $29,791.28 2025-07-01
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $29,769.23 $29,769.23 $29,769.23 2025-07-01
252 MS_DRG Other Vascular Procedures With Mcc 3 3 — — $27,085.06 $36,941.91 $29,363.89 2025-07-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 1 1 — — $29,340.00 $29,340.00 $29,340.00 2025-07-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 2 — — $28,543.32 $32,150.20 $29,256.68 2025-07-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 1 1 — — $28,957.31 $28,957.31 $28,957.31 2025-07-01
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $28,950.25 $28,950.25 $28,950.25 2025-07-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 3 3 — — $19,028.03 $32,732.51 $28,948.25 2025-07-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 2 2 — — $27,951.56 $29,898.71 $28,925.14 2025-07-01
187 MS_DRG Pleural Effusion With Cc 2 2 — — $8,138.73 $49,296.51 $28,717.62 2025-07-01
793 MS_DRG Full Term Neonate With Major Problems 10 8 — — $3,415.00 $54,474.80 $28,531.97 2025-07-01
9236 OTHER Eculizumab Injection 1 1 — — $28,452.29 $28,452.29 $28,452.29 2025-07-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 8 6 — — $26,172.48 $97,026.00 $28,265.53 2025-07-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 7 6 — — $20,349.25 $44,429.00 $28,155.13 2025-07-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $28,018.70 $28,018.70 $28,018.70 2025-07-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 5 — — $13,337.02 $113,823.00 $27,959.70 2025-07-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 1 1 — — $27,828.28 $27,828.28 $27,828.28 2025-07-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 5 4 — — $25,678.24 $49,608.12 $27,097.63 2025-07-01
69 MS_DRG Transient Ischemia Without Thrombolytic 2 2 — — $26,495.20 $27,261.00 $26,878.10 2025-07-01
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $26,485.00 $26,485.00 $26,485.00 2025-07-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 4 — — $24,239.11 $69,494.00 $26,395.61 2025-07-01
264 MS_DRG Other Circulatory System O.r. Procedures 5 5 — — $22,266.02 $28,984.62 $26,376.00 2025-07-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $26,207.74 $26,207.74 $26,207.74 2025-07-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 5 4 — — $24,165.64 $75,269.95 $26,141.16 2025-07-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $25,340.69 $25,340.69 $25,340.69 2025-07-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 2 — — $25,246.20 $25,291.39 $25,268.79 2025-07-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 8 6 — — $10,148.11 $173,537.81 $25,207.36 2025-07-01
297 MS_DRG Cardiac Arrest, Unexplained With Cc 1 1 — — $25,094.95 $25,094.95 $25,094.95 2025-07-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $16,402.39 $33,750.00 $25,076.19 2025-07-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 12 5 — — $17,762.22 $164,596.00 $25,009.85 2025-07-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 — — $24,998.13 $24,998.13 $24,998.13 2025-07-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 3 3 — — $23,974.22 $25,977.49 $24,809.04 2025-07-01
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 — — $24,797.18 $24,797.18 $24,797.18 2025-07-01
9235 OTHER Panitumumab Injection 2 2 — — $21,727.84 $27,597.46 $24,662.65 2025-07-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 3 2 — — $21,517.84 $41,914.30 $24,070.50 2025-07-01
9284 OTHER Ipilimumab Injection 1 1 — — $23,991.93 $23,991.93 $23,991.93 2025-07-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 3 — — $22,686.92 $23,932.87 $23,802.68 2025-07-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 7 — — $21,595.76 $85,485.61 $23,722.03 2025-07-01
55 MS_DRG Nervous System Neoplasms Without Mcc 2 2 — — $8,726.73 $38,680.73 $23,703.73 2025-07-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 3 3 — — $23,470.16 $26,305.72 $23,548.96 2025-07-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 8 6 — — $21,322.60 $59,123.00 $23,342.17 2025-07-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 5 5 — — $12,485.60 $55,855.00 $23,097.20 2025-07-01
570 MS_DRG Skin Debridement With Mcc 3 3 — — $8,878.81 $54,309.00 $22,886.88 2025-07-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 5 — — $20,892.18 $40,392.02 $22,199.37 2025-07-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 11 7 — — $8,899.35 $37,908.50 $22,141.51 2025-07-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 7 4 — — $13,691.28 $28,073.48 $21,905.60 2025-07-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 1 1 — — $21,764.43 $21,764.43 $21,764.43 2025-07-01
5231 OTHER Level 1 Icd And Similar Procedures 4 3 — — $17,305.45 $71,449.00 $21,353.65 2025-07-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 9 6 — — $19,027.08 $122,585.00 $21,141.21 2025-07-01
5213 OTHER Level 3 Electrophysiologic Procedures 14 9 — — $1,466.90 $135,071.10 $20,863.44 2025-07-01
253 MS_DRG Other Vascular Procedures With Cc 8 5 — — $13,298.08 $103,420.16 $20,842.38 2025-07-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 10 8 — — $18,946.41 $123,755.40 $20,739.12 2025-07-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 7 5 — — $3,382.06 $89,162.40 $20,655.78 2025-07-01
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/Mcc 1 1 — — $20,567.73 $20,567.73 $20,567.73 2025-07-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 1 1 — — $20,451.50 $20,451.50 $20,451.50 2025-07-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 5 4 — — $18,197.21 $84,282.00 $20,219.13 2025-07-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 2 2 — — $19,250.60 $21,154.51 $20,202.56 2025-07-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 8 7 — — $19,182.83 $111,424.50 $20,190.64 2025-07-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $8,627.31 $31,501.36 $20,064.33 2025-07-01
919 MS_DRG Complications Of Treatment With Mcc 4 3 — — $7,591.92 $51,840.63 $19,962.00 2025-07-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 1 1 — — $19,593.88 $19,593.88 $19,593.88 2025-07-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 3 3 — — $17,590.32 $19,495.83 $19,495.65 2025-07-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 1 1 — — $19,402.03 $19,402.03 $19,402.03 2025-07-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 4 4 — — $10,809.08 $100,043.19 $19,336.10 2025-07-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $19,254.64 $19,254.64 $19,254.64 2025-07-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 7 4 — — $9,417.93 $80,173.16 $19,206.14 2025-07-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 1 1 — — $19,122.29 $19,122.29 $19,122.29 2025-07-01
164 MS_DRG Major Chest Procedures With Cc 4 4 — — $14,382.16 $39,791.34 $19,054.90 2025-07-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 12 6 — — $16,624.89 $32,581.05 $18,996.99 2025-07-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 1 1 — — $18,926.48 $18,926.48 $18,926.48 2025-07-01
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 1 1 — — $18,918.99 $18,918.99 $18,918.99 2025-07-01
5212 OTHER Level 2 Electrophysiologic Procedures 4 3 — — $6,412.47 $37,623.00 $18,889.96 2025-07-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 4 3 — — $10,179.00 $19,059.63 $18,818.35 2025-07-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 7 6 — — $8,422.94 $79,504.20 $18,718.41 2025-07-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $18,626.99 $18,626.99 $18,626.99 2025-07-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 6 5 — — $14,322.78 $49,864.10 $18,560.72 2025-07-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 3 — — $11,623.94 $37,351.19 $18,487.09 2025-07-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 3 — — $9,260.52 $19,539.26 $18,421.62 2025-07-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 5 4 — — $17,475.89 $19,546.93 $18,389.50 2025-07-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 12 8 — — $5,688.21 $53,605.64 $18,170.94 2025-07-01
835 MS_DRG Acute Leukemia With Cc 1 1 — — $18,053.75 $18,053.75 $18,053.75 2025-07-01
5378 OTHER Level 8 Urology And Related Services 5 4 — — $6,627.16 $18,305.78 $18,001.74 2025-07-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 7 5 — — $10,468.56 $64,456.56 $17,873.97 2025-07-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 1 1 — — $17,644.60 $17,644.60 $17,644.60 2025-07-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 9 7 — — $7,174.42 $133,975.00 $17,625.70 2025-07-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 23 14 — — $9,835.86 $58,758.30 $17,594.88 2025-07-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 8 7 — — $10,892.34 $18,745.04 $17,516.83 2025-07-01
374 MS_DRG Digestive Malignancy With Mcc 3 3 — — $16,951.39 $25,879.50 $17,492.32 2025-07-01
302 MS_DRG Atherosclerosis With Mcc 1 1 — — $17,491.40 $17,491.40 $17,491.40 2025-07-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 5 5 — — $11,417.83 $18,723.07 $17,320.46 2025-07-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 2 — — $11,954.28 $22,680.18 $17,317.23 2025-07-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 8 5 — — $15,998.34 $27,344.33 $17,132.11 2025-07-01
935 MS_DRG Non-extensive Burns 2 2 — — $16,302.65 $17,852.89 $17,077.77 2025-07-01
75 MS_DRG Viral Meningitis With Cc/Mcc 1 1 — — $16,984.31 $16,984.31 $16,984.31 2025-07-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 13 8 — — $11,354.24 $73,977.00 $16,937.56 2025-07-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 8 7 — — $8,982.66 $21,701.05 $16,928.95 2025-07-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/Mcc 3 3 — — $10,953.39 $37,241.06 $16,916.00 2025-07-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 2 2 — — $12,762.99 $20,998.36 $16,880.67 2025-07-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 7 — — $9,585.16 $30,216.27 $16,771.92 2025-07-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 2 2 — — $15,956.43 $17,314.35 $16,635.39 2025-07-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 5 4 — — $14,349.82 $42,265.00 $16,555.14 2025-07-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 8 6 — — $14,578.62 $37,469.83 $16,490.60 2025-07-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 13 9 — — $6,099.59 $37,937.48 $16,460.37 2025-07-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 5 4 — — $11,744.59 $39,616.86 $16,422.55 2025-07-01
196 MS_DRG Interstitial Lung Disease With Mcc 3 3 — — $10,059.87 $16,578.48 $16,401.22 2025-07-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 10 6 — — $6,024.81 $69,469.00 $16,347.12 2025-07-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 5 4 — — $15,505.54 $16,702.03 $16,329.00 2025-07-01
722 MS_DRG Malignancy, Male Reproductive System With Mcc 1 1 — — $16,291.05 $16,291.05 $16,291.05 2025-07-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 1 1 — — $16,205.77 $16,205.77 $16,205.77 2025-07-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 7 5 — — $2,272.66 $108,271.00 $16,146.54 2025-07-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $16,127.37 $16,127.37 $16,127.37 2025-07-01
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 3 3 — — $7,699.10 $50,104.00 $16,066.20 2025-07-01
9389 OTHER Inj. Lurbinectedin, 0.1 Mg 1 1 — — $15,980.17 $15,980.17 $15,980.17 2025-07-01
5116 OTHER Level 6 Musculoskeletal Procedures 5 4 — — $13,791.13 $18,896.33 $15,956.65 2025-07-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $15,955.97 $15,955.97 $15,955.97 2025-07-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 5 4 — — $14,732.86 $54,249.95 $15,897.17 2025-07-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 2 2 — — $7,096.70 $24,567.65 $15,832.17 2025-07-01
100 MS_DRG Seizures With Mcc 9 6 — — $7,819.56 $18,315.76 $15,796.71 2025-07-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 12 6 — — $14,563.84 $97,696.00 $15,780.37 2025-07-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 5 3 — — $15,196.48 $16,489.61 $15,693.06 2025-07-01
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 7 6 — — $9,279.39 $42,585.26 $15,652.00 2025-07-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 9 7 — — $8,819.33 $25,409.42 $15,646.34 2025-07-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 4 4 — — $14,114.31 $25,948.08 $15,639.88 2025-07-01
199 MS_DRG Pneumothorax With Mcc 6 5 — — $3,341.07 $29,870.92 $15,519.84 2025-07-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 1 1 — — $15,503.66 $15,503.66 $15,503.66 2025-07-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 10 8 — — $5,277.65 $54,427.50 $15,494.45 2025-07-01
501 MS_DRG Soft Tissue Procedures With Cc 3 3 — — $12,859.04 $27,080.39 $15,403.74 2025-07-01
539 MS_DRG Osteomyelitis With Mcc 2 2 — — $13,109.69 $17,610.86 $15,360.28 2025-07-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 5 4 — — $10,507.05 $34,688.00 $15,297.94 2025-07-01
551 MS_DRG Medical Back Problems With Mcc 1 1 — — $15,202.85 $15,202.85 $15,202.85 2025-07-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 7 4 — — $2,337.85 $28,054.20 $15,196.02 2025-07-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 3 3 — — $14,987.16 $16,652.40 $15,153.68 2025-07-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 2 2 — — $14,459.21 $15,834.14 $15,146.67 2025-07-01
505 MS_DRG Foot Procedures Without Cc/Mcc 1 1 — — $15,137.49 $15,137.49 $15,137.49 2025-07-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 5 4 — — $11,979.87 $19,428.00 $15,112.72 2025-07-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 1 1 — — $15,060.39 $15,060.39 $15,060.39 2025-07-01
666 MS_DRG Prostatectomy With Cc 1 1 — — $15,026.20 $15,026.20 $15,026.20 2025-07-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 8 5 — — $8,553.98 $16,588.50 $14,999.68 2025-07-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 1 1 — — $14,960.83 $14,960.83 $14,960.83 2025-07-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 16 10 — — $8,054.43 $24,382.00 $14,949.90 2025-07-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 5 4 — — $13,047.47 $15,500.48 $14,942.90 2025-07-01
5194 OTHER Level 4 Endovascular Procedures 12 6 — — $5,534.28 $54,753.83 $14,890.10 2025-07-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 3 3 — — $13,858.57 $15,209.70 $14,828.92 2025-07-01
571 MS_DRG Skin Debridement With Cc 6 4 — — $13,513.52 $26,397.02 $14,823.53 2025-07-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 8 7 — — $6,691.58 $15,888.29 $14,820.97 2025-07-01
180 MS_DRG Respiratory Neoplasms With Mcc 8 5 — — $13,684.96 $46,747.73 $14,759.62 2025-07-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 1 1 — — $14,444.97 $14,444.97 $14,444.97 2025-07-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 6 5 — — $12,201.00 $36,298.85 $14,285.35 2025-07-01
864 MS_DRG Fever And Inflammatory Conditions 2 2 — — $7,129.44 $21,362.00 $14,245.72 2025-07-01
9431 OTHER Inj, Dostarlimab-gxly, 10 Mg 1 1 — — $14,224.82 $14,224.82 $14,224.82 2025-07-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 6 4 — — $13,354.58 $73,136.10 $14,193.02 2025-07-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 4 4 — — $13,771.05 $14,930.31 $14,174.56 2025-07-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 1 1 — — $14,084.59 $14,084.59 $14,084.59 2025-07-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 1 1 — — $13,993.15 $13,993.15 $13,993.15 2025-07-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 1 1 — — $13,973.53 $13,973.53 $13,973.53 2025-07-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 2 2 — — $13,474.65 $14,346.57 $13,910.61 2025-07-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 3 3 — — $13,708.39 $13,914.56 $13,893.13 2025-07-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 4 — — $13,201.72 $38,361.45 $13,890.44 2025-07-01
157 MS_DRG Dental And Oral Diseases With Mcc 1 1 — — $13,785.62 $13,785.62 $13,785.62 2025-07-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 3 3 — — $12,782.94 $25,536.62 $13,785.34 2025-07-01
375 MS_DRG Digestive Malignancy With Cc 6 5 — — $10,484.30 $72,227.00 $13,783.90 2025-07-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 3 3 — — $12,505.05 $13,861.33 $13,772.14 2025-07-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 5 4 — — $9,618.87 $13,896.57 $13,717.67 2025-07-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 1 1 — — $13,707.34 $13,707.34 $13,707.34 2025-07-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 1 1 — — $13,701.57 $13,701.57 $13,701.57 2025-07-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 9 5 — — $5,125.51 $36,594.42 $13,613.54 2025-07-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 15 8 — — $5,682.36 $39,954.73 $13,609.96 2025-07-01
38 MS_DRG Extracranial Procedures With Cc 6 5 — — $9,639.69 $24,961.64 $13,608.15 2025-07-01
186 MS_DRG Pleural Effusion With Mcc 6 5 — — $12,534.66 $13,853.42 $13,593.37 2025-07-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 2 — — $13,542.19 $38,785.36 $13,547.14 2025-07-01
504 MS_DRG Foot Procedures With Cc 2 2 — — $13,158.22 $13,876.13 $13,517.17 2025-07-01
620 MS_DRG O.r. Procedures For Obesity With Cc 4 4 — — $12,705.19 $25,309.56 $13,494.17 2025-07-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/Mcc 9 6 — — $6,973.17 $37,169.60 $13,465.52 2025-07-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/Mcc 3 2 — — $7,688.11 $59,007.00 $13,426.90 2025-07-01
711 MS_DRG Testes Procedures With Cc/Mcc 2 2 — — $7,823.18 $18,840.00 $13,331.59 2025-07-01
643 MS_DRG Endocrine Disorders With Mcc 5 4 — — $12,453.68 $53,593.82 $13,285.73 2025-07-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 1 1 — — $13,219.34 $13,219.34 $13,219.34 2025-07-01
948 MS_DRG Signs And Symptoms Without Mcc 5 4 — — $10,376.04 $19,288.12 $13,198.69 2025-07-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 4 4 — — $10,067.43 $15,425.95 $13,179.91 2025-07-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 5 5 — — $8,144.55 $18,289.00 $13,175.85 2025-07-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 8 6 — — $9,897.30 $24,782.22 $13,070.26 2025-07-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 1 1 — — $13,027.33 $13,027.33 $13,027.33 2025-07-01
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c 6 5 — — $5,257.60 $20,848.00 $12,995.87 2025-07-01
947 MS_DRG Signs And Symptoms With Mcc 8 6 — — $3,895.97 $62,978.00 $12,943.13 2025-07-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 3 3 — — $11,071.60 $13,301.10 $12,828.89 2025-07-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 6 4 — — $12,441.58 $24,921.07 $12,828.81 2025-07-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 15 9 — — $7,999.08 $72,222.30 $12,812.47 2025-07-01
183 MS_DRG Major Chest Trauma With Mcc 3 3 — — $7,454.28 $42,032.05 $12,677.28 2025-07-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 10 6 — — $8,352.13 $105,458.00 $12,660.23 2025-07-01
813 MS_DRG Coagulation Disorders 5 4 — — $11,488.04 $13,844.46 $12,598.46 2025-07-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 1 1 — — $12,577.57 $12,577.57 $12,577.57 2025-07-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 2 2 — — $11,814.55 $13,328.99 $12,571.77 2025-07-01
669 MS_DRG Transurethral Procedures With Cc 3 3 — — $11,976.13 $12,753.26 $12,475.72 2025-07-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 1 1 — — $12,471.78 $12,471.78 $12,471.78 2025-07-01
602 MS_DRG Cellulitis With Mcc 2 2 — — $12,012.96 $12,694.51 $12,353.74 2025-07-01
748 MS_DRG Female Reproductive System Reconstructive Procedures 1 1 — — $12,296.52 $12,296.52 $12,296.52 2025-07-01
9282 OTHER Inj, Acetaminophen (hikma) 1 1 — — $12,262.34 $12,262.34 $12,262.34 2025-07-01
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc 1 1 — — $12,234.87 $12,234.87 $12,234.87 2025-07-01
398 MS_DRG Appendix Procedures With Cc 3 3 — — $10,232.63 $19,893.00 $12,221.31 2025-07-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 1 1 — — $12,218.90 $12,218.90 $12,218.90 2025-07-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 2 2 — — $11,952.03 $12,362.32 $12,157.17 2025-07-01
964 MS_DRG Other Multiple Significant Trauma With Cc 3 3 — — $11,561.00 $69,022.20 $12,121.97 2025-07-01
682 MS_DRG Renal Failure With Mcc 9 6 — — $11,626.83 $17,471.58 $12,120.37 2025-07-01
975 MS_DRG HIV With Major Related Condition With Cc 1 1 — — $12,098.82 $12,098.82 $12,098.82 2025-07-01
637 MS_DRG Diabetes With Mcc 11 5 — — $7,462.66 $47,010.00 $12,085.67 2025-07-01
949 MS_DRG Aftercare With Cc/Mcc 8 5 — — $9,412.76 $24,693.84 $12,039.77 2025-07-01
5115 OTHER Level 5 Musculoskeletal Procedures 20 11 — — $1,829.97 $47,056.00 $11,887.61 2025-07-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 1 1 — — $11,826.37 $11,826.37 $11,826.37 2025-07-01
694 MS_DRG Urinary Stones Without Mcc 1 1 — — $11,819.70 $11,819.70 $11,819.70 2025-07-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 6 4 — — $9,384.24 $33,945.00 $11,803.27 2025-07-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 3 3 — — $10,875.86 $20,409.26 $11,782.70 2025-07-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 3 3 — — $7,779.48 $13,964.27 $11,739.22 2025-07-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 4 4 — — $9,920.70 $12,899.31 $11,626.49 2025-07-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 1 1 — — $11,606.72 $11,606.72 $11,606.72 2025-07-01
757 MS_DRG Infections, Female Reproductive System With Mcc 1 1 — — $11,601.07 $11,601.07 $11,601.07 2025-07-01
811 MS_DRG Red Blood Cell Disorders With Mcc 4 4 — — $11,090.26 $12,524.26 $11,524.69 2025-07-01
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