Price Transparencybeta Hospital negotiated rates

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

Select Specialty Hospital - Central Kentucky

Danville, KY · CCN 182003 · Rates published

829 distinct procedures filed
20 distinct payers
40,621 rate rows
2026-09-20 last MRF observed
Data quality

23,212 of 40,621 rate rows are consumer-grade (57.1%)

17,409 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
per-diem day rate — not a per-procedure price 14,093
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,316
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://resources.selectmedical.com/pricing-transparency/critical-illness-recovery/02-0631042_Select_Specialty_Hospital-Central_Kentucky_standardcharges.csv
Found on page https://www.selectspecialtyhospitals.com/patients-and-caregivers/admissions/price-transparency/
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-23
Content fingerprint bf29c24bd7e11d30… · 47,582,327 bytes · first seen 2026-09-20

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
933
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Sk 13 $1,950.00 $1,950.00 $1,950.00 nat. median
$35,943
outlier · 0.1×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 13 $1,950.00 $1,950.00 $1,950.00 nat. median
$18,625
outlier · 0.1×
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 13 $1,950.00 $1,950.00 $1,950.00 nat. median
$10,397
outlier · 0.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 13 $1,950.00 $1,950.00 $1,950.00 nat. median
$62,577
outlier · 0.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin 13 $1,950.00 $1,950.00 $1,950.00 nat. median
$198,115
outlier · 0.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except 13 $1,950.00 $1,950.00 $1,950.00 nat. median
$190,359
outlier · 0.0×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 13 $1,950.00 $83,111.26 $1,950.00 nat. median
$59,324
outlier · 0.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, M 13 $1,950.00 $1,950.00 $1,950.00 nat. median
$126,461
outlier · 0.0×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 $1,950.00 $50,691.21 $1,950.00 nat. median
$25,366
outlier · 0.1×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$49,944
outlier · 0.0×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$38,687
outlier · 0.1×
117
MS_DRG 		Intraocular Procedures Without Cc/mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$11,171
outlier · 0.2×
121
MS_DRG 		Acute Major Eye Infections With Cc/mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$11,733
outlier · 0.2×
122
MS_DRG 		Acute Major Eye Infections Without Cc/mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$7,968
outlier · 0.2×
103
MS_DRG 		Headaches Without Mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$8,798
outlier · 0.2×
100
MS_DRG 		Seizures With Mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$18,344
outlier · 0.1×
116
MS_DRG 		Intraocular Procedures With Cc/mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$17,244
outlier · 0.1×
130
MS_DRG 		Major Head & Neck Procedures Without Cc/mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$2,614
0.7× median
13
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$26,353
outlier · 0.1×
115
MS_DRG 		Extraocular Procedures Except Orbit 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$14,975
outlier · 0.1×
131
MS_DRG 		Cranial/facial Procedures W Cc/mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$2,364
0.8× median
132
MS_DRG 		Cranial/facial Procedures Without Cc/mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$2,397
0.8× median
133
MS_DRG 		Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$6,311
outlier · 0.3×
134
MS_DRG 		Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$4,854
outlier · 0.4×
135
MS_DRG 		Sinus And Mastoid Procedures With Cc/mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$21,639
outlier · 0.1×
136
MS_DRG 		Sinus And Mastoid Procedures Without Cc/mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$10,548
outlier · 0.2×
137
MS_DRG 		Mouth Procedures With Cc/mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$14,435
outlier · 0.1×
138
MS_DRG 		Mouth Procedures Without Cc/mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$9,087
outlier · 0.2×
139
MS_DRG 		Salivary Gland Procedures 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$12,777
outlier · 0.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$110,084
outlier · 0.0×
102
MS_DRG 		Headaches With Mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$11,480
outlier · 0.2×
129
MS_DRG 		Major Head & Neck Procedures W Cc/mcc Or Major Device 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$2,324
0.8× median
145
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$12,068
outlier · 0.2×
144
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$16,861
outlier · 0.1×
125
MS_DRG 		Other Disorders Of The Eye Without Mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$8,277
outlier · 0.2×
114
MS_DRG 		Orbital Procedures Without Cc/mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$13,081
outlier · 0.1×
146
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$20,502
outlier · 0.1×
147
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Cc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$12,625
outlier · 0.2×
148
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$8,659
outlier · 0.2×
149
MS_DRG 		Dysequilibrium 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$7,940
outlier · 0.2×
15
MS_DRG 		Autologous Bone Marrow Transplant 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$2,024
1.0× median
150
MS_DRG 		Epistaxis With Mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$13,316
outlier · 0.1×
151
MS_DRG 		Epistaxis Without Mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$7,986
outlier · 0.2×
152
MS_DRG 		Otitis Media And Uri With Mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$11,595
outlier · 0.2×
153
MS_DRG 		Otitis Media And Uri Without Mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$7,678
outlier · 0.3×
154
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$15,301
outlier · 0.1×
155
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Cc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$9,505
outlier · 0.2×
156
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$7,403
outlier · 0.3×
157
MS_DRG 		Dental And Oral Diseases With Mcc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$16,360
outlier · 0.1×
158
MS_DRG 		Dental And Oral Diseases With Cc 13 $1,940.00 $1,940.00 $1,940.00 nat. median
$9,553
outlier · 0.2×

Other procedures at this hospital

Browse this hospital's 829 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
289 MS_DRG Acute And Subacute Endocarditis With Cc 28 13 — — $1,940.00 $142,746.00 $1,940.00 2026-09-20
288 MS_DRG Acute And Subacute Endocarditis With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
121 MS_DRG Acute Major Eye Infections With Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
122 MS_DRG Acute Major Eye Infections Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
245 MS_DRG Aicd Generator Procedures 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
265 MS_DRG Aicd Lead Procedures 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
14 MS_DRG Allogeneic Bone Marrow Transplant 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And To 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And To 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And To 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
348 MS_DRG Anal And Stomal Procedures With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
347 MS_DRG Anal And Stomal Procedures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
311 MS_DRG Angina Pectoris 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
398 MS_DRG Appendix Procedures With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
397 MS_DRG Appendix Procedures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
399 MS_DRG Appendix Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
302 MS_DRG Atherosclerosis With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
303 MS_DRG Atherosclerosis Without Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
15 MS_DRG Autologous Bone Marrow Transplant 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
202 MS_DRG Bronchitis And Asthma With Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
297 MS_DRG Cardiac Arrest, Unexplained With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without A 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without A 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimula 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With M 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Withou 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
35 MS_DRG Carotid Artery Stent Procedures With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
313 MS_DRG Chest Pain 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Witho 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
209 MS_DRG Complex Aortic Arch Procedures 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
381 MS_DRG Complicated Peptic Ulcer With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
380 MS_DRG Complicated Peptic Ulcer With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With M 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Withou 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
131 MS_DRG Cranial/facial Procedures W Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
132 MS_DRG Cranial/facial Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
294 MS_DRG Deep Vein Thrombophlebitis With Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
295 MS_DRG Deep Vein Thrombophlebitis Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
158 MS_DRG Dental And Oral Diseases With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
157 MS_DRG Dental And Oral Diseases With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
375 MS_DRG Digestive Malignancy With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
374 MS_DRG Digestive Malignancy With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
376 MS_DRG Digestive Malignancy Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
149 MS_DRG Dysequilibrium 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except 28 13 — — $1,950.00 $1,950.00 $1,950.00 2026-09-20
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Wit 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Wit 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
150 MS_DRG Epistaxis With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
151 MS_DRG Epistaxis Without Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders W 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders W 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin 28 13 — — $1,950.00 $1,950.00 $1,950.00 2026-09-20
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Sk 28 13 — — $1,950.00 $1,950.00 $1,950.00 2026-09-20
38 MS_DRG Extracranial Procedures With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
37 MS_DRG Extracranial Procedures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
39 MS_DRG Extracranial Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
115 MS_DRG Extraocular Procedures Except Orbit 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
378 MS_DRG Gastrointestinal Hemorrhage With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
389 MS_DRG Gastrointestinal Obstruction With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
388 MS_DRG Gastrointestinal Obstruction With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
102 MS_DRG Headaches With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
103 MS_DRG Headaches Without Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
292 MS_DRG Heart Failure And Shock With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
291 MS_DRG Heart Failure And Shock With Mcc 28 13 — — $1,940.00 $77,082.84 $1,940.00 2026-09-20
293 MS_DRG Heart Failure And Shock Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
304 MS_DRG Hypertension With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
305 MS_DRG Hypertension Without Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
386 MS_DRG Inflammatory Bowel Disease With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
385 MS_DRG Inflammatory Bowel Disease With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
197 MS_DRG Interstitial Lung Disease With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
196 MS_DRG Interstitial Lung Disease With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
116 MS_DRG Intraocular Procedures With Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
117 MS_DRG Intraocular Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
237 MS_DRG Major Cardiovasc Procedures W Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
238 MS_DRG Major Cardiovasc Procedures Without Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
164 MS_DRG Major Chest Procedures With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
163 MS_DRG Major Chest Procedures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
165 MS_DRG Major Chest Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
184 MS_DRG Major Chest Trauma With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
183 MS_DRG Major Chest Trauma With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
185 MS_DRG Major Chest Trauma Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
369 MS_DRG Major Esophageal Disorders With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
368 MS_DRG Major Esophageal Disorders With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
370 MS_DRG Major Esophageal Disorders Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without C 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Device 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
130 MS_DRG Major Head & Neck Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
141 MS_DRG Major Head And Neck Procedures With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
140 MS_DRG Major Head And Neck Procedures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
330 MS_DRG Major Small And Large Bowel Procedures With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
137 MS_DRG Mouth Procedures With Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
138 MS_DRG Mouth Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
114 MS_DRG Orbital Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
315 MS_DRG Other Circulatory System Diagnoses With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
314 MS_DRG Other Circulatory System Diagnoses With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
264 MS_DRG Other Circulatory System O.r. Procedures 28 13 — — $1,940.00 $199,844.40 $1,940.00 2026-09-20
394 MS_DRG Other Digestive System Diagnoses With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
393 MS_DRG Other Digestive System Diagnoses With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
357 MS_DRG Other Digestive System O.r. Procedures With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
125 MS_DRG Other Disorders Of The Eye Without Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
134 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
215 MS_DRG Other Heart Assist System Implant 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
271 MS_DRG Other Major Cardiovascular Procedures With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
205 MS_DRG Other Respiratory System Diagnoses With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 13 — — $1,940.00 $167,858.73 $1,940.00 2026-09-20
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
253 MS_DRG Other Vascular Procedures With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
252 MS_DRG Other Vascular Procedures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
254 MS_DRG Other Vascular Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
152 MS_DRG Otitis Media And Uri With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
153 MS_DRG Otitis Media And Uri Without Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Witho 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent W 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent W 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device W 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device W 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without M 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
300 MS_DRG Peripheral Vascular Disorders With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
299 MS_DRG Peripheral Vascular Disorders With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
336 MS_DRG Peritoneal Adhesiolysis With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
187 MS_DRG Pleural Effusion With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
186 MS_DRG Pleural Effusion With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
188 MS_DRG Pleural Effusion Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
200 MS_DRG Pneumothorax With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
199 MS_DRG Pneumothorax With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
201 MS_DRG Pneumothorax Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
189 MS_DRG Pulmonary Edema And Respiratory Failure 28 13 — — $1,940.00 $59,290.61 $1,940.00 2026-09-20
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
176 MS_DRG Pulmonary Embolism Without Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
333 MS_DRG Rectal Resection With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
332 MS_DRG Rectal Resection With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
334 MS_DRG Rectal Resection Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
178 MS_DRG Respiratory Infections And Inflammations With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
177 MS_DRG Respiratory Infections And Inflammations With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
181 MS_DRG Respiratory Neoplasms With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
180 MS_DRG Respiratory Neoplasms With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
182 MS_DRG Respiratory Neoplasms Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
204 MS_DRG Respiratory Signs And Symptoms 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 28 13 — — $1,950.00 $50,691.21 $1,950.00 2026-09-20
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 13 — — $1,950.00 $83,111.26 $1,950.00 2026-09-20
139 MS_DRG Salivary Gland Procedures 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
100 MS_DRG Seizures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 13 — — $1,950.00 $1,950.00 $1,950.00 2026-09-20
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 28 13 — — $1,950.00 $1,950.00 $1,950.00 2026-09-20
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 28 13 — — $1,950.00 $1,950.00 $1,950.00 2026-09-20
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
28 MS_DRG Spinal Procedures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
30 MS_DRG Spinal Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
312 MS_DRG Syncope And Collapse 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, M 28 13 — — $1,950.00 $1,950.00 $1,950.00 2026-09-20
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnos 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Witho 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
263 MS_DRG Vein Ligation And Stripping 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
32 MS_DRG Ventricular Shunt Procedures With Cc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 28 13 — — $1,940.00 $1,940.00 $1,940.00 2026-09-20
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