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Hospital

Pam Specialty Hospital Of Shreveport South

Shreveport, LA · CCN 192011 · Rates published

1,806 distinct procedures filed
23 distinct payers
43,581 rate rows
2025-09-11 last MRF observed
Data quality

43,457 of 43,581 rate rows are consumer-grade (99.7%)

124 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 104
percent-of-charges filed in the dollar field — excluded from medians 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/10963/842770812_pam-specialty-hospital-of-shreveport-llc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/SpecialtyHospitalShreveport/10963
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 3175d1f1ea60dd36… · 15,147,838 bytes · first seen 2026-05-09

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, Mo… 9 $145,657.73 $183,988.72 $153,323.93 nat. median
$202,976
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 9 $119,802.32 $151,329.24 $126,107.70 nat. median
$133,161
0.9× median
163
MS_DRG 		Major Chest Procedures With Mcc 9 $98,871.94 $124,890.88 $104,075.73 nat. median
$44,937
outlier · 2.3×
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 9 $98,871.94 $124,890.88 $104,075.73 nat. median
$19,858
outlier · 5.2×
164
MS_DRG 		Major Chest Procedures With Cc 9 $98,871.94 $124,890.88 $104,075.73 nat. median
$25,705
outlier · 4.0×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 9 $97,608.37 $123,294.78 $102,745.65 nat. median
$37,476
outlier · 2.7×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 9 $97,608.37 $123,294.78 $102,745.65 nat. median
$52,857
1.9× median
140
MS_DRG 		Major Head And Neck Procedures With Mcc 9 $97,608.37 $123,294.78 $102,745.65 nat. median
$40,208
outlier · 2.6×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 $97,595.86 $123,278.98 $102,732.48 nat. median
$46,084
outlier · 2.2×
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 $88,950.97 $112,359.12 $93,632.60 nat. median
$33,845
outlier · 2.8×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 9 $86,411.30 $109,151.11 $90,959.26 nat. median
$66,526
1.4× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 9 $81,094.26 $102,434.86 $85,362.38 nat. median
$62,134
1.4× median
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 9 $65,777.01 $83,086.75 $69,238.96 nat. median
$18,895
outlier · 3.7×
168
MS_DRG 		Other Respiratory System O.r. Procedures Without Cc/mcc 9 $65,777.01 $83,086.75 $69,238.96 nat. median
$14,494
outlier · 4.8×
173
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 9 $65,777.01 $83,086.75 $69,238.96 nat. median
$29,766
outlier · 2.3×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 9 $65,777.01 $83,086.75 $69,238.96 nat. median
$40,914
1.7× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 9 $63,229.00 $79,868.21 $66,556.84 nat. median
$48,170
1.4× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 9 $61,260.66 $77,381.88 $64,484.90 nat. median
$37,698
1.7× median
799
MS_DRG 		Splenic Procedures With Mcc 9 $58,208.05 $73,525.96 $61,271.63 nat. median
$45,376
1.4× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 9 $58,208.05 $73,525.96 $61,271.63 nat. median
$42,444
1.4× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 $57,987.02 $73,246.76 $61,038.97 nat. median
$59,793
1.0× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 9 $56,569.15 $71,455.76 $59,546.47 nat. median
$31,571
1.9× median
582
MS_DRG 		Mastectomy For Malignancy With Cc/mcc 9 $56,569.15 $71,455.76 $59,546.47 nat. median
$18,913
outlier · 3.1×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 9 $56,198.00 $70,986.95 $59,155.79 nat. median
$43,963
1.3× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 9 $54,688.37 $69,080.05 $57,566.71 nat. median
$18,292
outlier · 3.1×
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 9 $54,529.91 $68,879.88 $57,399.90 nat. median
$35,324
1.6× median
619
MS_DRG 		O.r. Procedures For Obesity With Mcc 9 $54,529.91 $68,879.88 $57,399.90 nat. median
$27,946
outlier · 2.1×
551
MS_DRG 		Medical Back Problems With Mcc 9 $54,459.02 $68,790.34 $57,325.28 nat. median
$16,881
outlier · 3.4×
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 9 $54,246.33 $68,521.68 $57,101.40 nat. median
$20,254
outlier · 2.8×
61
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 9 $54,246.33 $68,521.68 $57,101.40 nat. median
$27,312
outlier · 2.1×
901
MS_DRG 		Wound Debridements For Injuries With Mcc 9 $53,508.20 $67,589.30 $56,324.42 nat. median
$41,868
1.3× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 9 $52,986.92 $66,930.85 $55,775.71 nat. median
$33,061
1.7× median
245
MS_DRG 		Aicd Generator Procedures 9 $52,986.92 $66,930.85 $55,775.71 nat. median
$45,271
1.2× median
263
MS_DRG 		Vein Ligation And Stripping 9 $52,986.92 $66,930.85 $55,775.71 nat. median
$28,155
2.0× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 9 $52,861.81 $66,772.81 $55,644.01 nat. median
$24,493
outlier · 2.3×
215
MS_DRG 		Other Heart Assist System Implant 9 $52,640.79 $66,493.63 $55,411.36 nat. median
$99,019
0.6× median
254
MS_DRG 		Other Vascular Procedures Without Cc/mcc 9 $52,640.79 $66,493.63 $55,411.36 nat. median
$18,438
outlier · 3.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $52,640.79 $66,493.63 $55,411.36 nat. median
$93,672
0.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $52,640.79 $66,493.63 $55,411.36 nat. median
$64,508
0.9× median
255
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 9 $52,640.79 $66,493.63 $55,411.36 nat. median
$26,349
outlier · 2.1×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 9 $52,640.79 $66,493.63 $55,411.36 nat. median
$54,045
1.0× median
252
MS_DRG 		Other Vascular Procedures With Mcc 9 $52,640.79 $66,493.63 $55,411.36 nat. median
$34,043
1.6× median
250
MS_DRG 		Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 9 $52,640.79 $66,493.63 $55,411.36 nat. median
$23,306
outlier · 2.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $52,640.79 $66,493.63 $55,411.36 nat. median
$102,358
0.5× median
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 9 $52,640.79 $66,493.63 $55,411.36 nat. median
$34,274
1.6× median
251
MS_DRG 		Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 9 $52,640.79 $66,493.63 $55,411.36 nat. median
$16,543
outlier · 3.3×
253
MS_DRG 		Other Vascular Procedures With Cc 9 $52,640.79 $66,493.63 $55,411.36 nat. median
$26,079
outlier · 2.1×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $52,640.79 $66,493.63 $55,411.36 nat. median
$74,915
0.7× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 9 $52,640.79 $66,493.63 $55,411.36 nat. median
$45,125
1.2× median
256
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 9 $52,640.79 $66,493.63 $55,411.36 nat. median
$17,334
outlier · 3.2×

Other procedures at this hospital

Browse this hospital's 1,806 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, Mo… 9 9 — — $145,657.73 $183,988.72 $153,323.93 2025-09-11
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 9 9 — — $119,802.32 $151,329.24 $126,107.70 2025-09-11
163 MS_DRG Major Chest Procedures With Mcc 9 9 — — $98,871.94 $124,890.88 $104,075.73 2025-09-11
165 MS_DRG Major Chest Procedures Without Cc/mcc 9 9 — — $98,871.94 $124,890.88 $104,075.73 2025-09-11
164 MS_DRG Major Chest Procedures With Cc 9 9 — — $98,871.94 $124,890.88 $104,075.73 2025-09-11
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 9 9 — — $97,608.37 $123,294.78 $102,745.65 2025-09-11
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 9 9 — — $97,608.37 $123,294.78 $102,745.65 2025-09-11
140 MS_DRG Major Head And Neck Procedures With Mcc 9 9 — — $97,608.37 $123,294.78 $102,745.65 2025-09-11
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 9 — — $97,595.86 $123,278.98 $102,732.48 2025-09-11
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 9 — — $88,950.97 $112,359.12 $93,632.60 2025-09-11
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 9 9 — — $86,411.30 $109,151.11 $90,959.26 2025-09-11
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 9 9 — — $81,094.26 $102,434.86 $85,362.38 2025-09-11
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 9 9 — — $65,777.01 $83,086.75 $69,238.96 2025-09-11
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 9 9 — — $65,777.01 $83,086.75 $69,238.96 2025-09-11
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 9 9 — — $65,777.01 $83,086.75 $69,238.96 2025-09-11
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 9 9 — — $65,777.01 $83,086.75 $69,238.96 2025-09-11
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 9 9 — — $63,229.00 $79,868.21 $66,556.84 2025-09-11
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 9 9 — — $61,260.66 $77,381.88 $64,484.90 2025-09-11
799 MS_DRG Splenic Procedures With Mcc 9 9 — — $58,208.05 $73,525.96 $61,271.63 2025-09-11
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 9 9 — — $58,208.05 $73,525.96 $61,271.63 2025-09-11
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 9 — — $57,987.02 $73,246.76 $61,038.97 2025-09-11
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 9 9 — — $56,569.15 $71,455.76 $59,546.47 2025-09-11
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 9 9 — — $56,569.15 $71,455.76 $59,546.47 2025-09-11
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 9 9 — — $56,198.00 $70,986.95 $59,155.79 2025-09-11
205 MS_DRG Other Respiratory System Diagnoses With Mcc 9 9 — — $54,688.37 $69,080.05 $57,566.71 2025-09-11
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 9 9 — — $54,529.91 $68,879.88 $57,399.90 2025-09-11
619 MS_DRG O.r. Procedures For Obesity With Mcc 9 9 — — $54,529.91 $68,879.88 $57,399.90 2025-09-11
551 MS_DRG Medical Back Problems With Mcc 9 9 — — $54,459.02 $68,790.34 $57,325.28 2025-09-11
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 9 9 — — $54,246.33 $68,521.68 $57,101.40 2025-09-11
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 9 9 — — $54,246.33 $68,521.68 $57,101.40 2025-09-11
901 MS_DRG Wound Debridements For Injuries With Mcc 9 9 — — $53,508.20 $67,589.30 $56,324.42 2025-09-11
263 MS_DRG Vein Ligation And Stripping 9 9 — — $52,986.92 $66,930.85 $55,775.71 2025-09-11
264 MS_DRG Other Circulatory System O.r. Procedures 9 9 — — $52,986.92 $66,930.85 $55,775.71 2025-09-11
245 MS_DRG Aicd Generator Procedures 9 9 — — $52,986.92 $66,930.85 $55,775.71 2025-09-11
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 9 9 — — $52,861.81 $66,772.81 $55,644.01 2025-09-11
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
232 MS_DRG Coronary Bypass With Ptca Without Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
643 MS_DRG Endocrine Disorders With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
385 MS_DRG Inflammatory Bowel Disease With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
37 MS_DRG Extracranial Procedures With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
202 MS_DRG Bronchitis And Asthma With Cc/mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
271 MS_DRG Other Major Cardiovascular Procedures With Cc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
34 MS_DRG Carotid Artery Stent Procedures With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
754 MS_DRG Malignancy, Female Reproductive System With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
693 MS_DRG Urinary Stones With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
31 MS_DRG Ventricular Shunt Procedures With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
215 MS_DRG Other Heart Assist System Implant 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
39 MS_DRG Extracranial Procedures Without Cc/mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
254 MS_DRG Other Vascular Procedures Without Cc/mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
783 MS_DRG Cesarean Section With Sterilization With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
786 MS_DRG Cesarean Section Without Sterilization With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
744 MS_DRG D&C, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
253 MS_DRG Other Vascular Procedures With Cc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
252 MS_DRG Other Vascular Procedures With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
748 MS_DRG Female Reproductive System Reconstructive Procedures 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
32 MS_DRG Ventricular Shunt Procedures With Cc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
784 MS_DRG Cesarean Section With Sterilization With Cc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
745 MS_DRG D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
787 MS_DRG Cesarean Section Without Sterilization With Cc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
38 MS_DRG Extracranial Procedures With Cc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
228 MS_DRG Other Cardiothoracic Procedures With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
54 MS_DRG Nervous System Neoplasms With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
755 MS_DRG Malignancy, Female Reproductive System With Cc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
35 MS_DRG Carotid Artery Stent Procedures With Cc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
850 MS_DRG Acute Leukemia With Other Procedures 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
963 MS_DRG Other Multiple Significant Trauma With Mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/mcc 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 9 9 — — $52,640.79 $66,493.63 $55,411.36 2025-09-11
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 9 — — $52,590.75 $66,430.42 $55,358.68 2025-09-11
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 9 — — $52,436.45 $66,235.51 $55,196.26 2025-09-11
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 9 9 — — $52,436.45 $66,235.51 $55,196.26 2025-09-11
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 9 9 — — $52,436.45 $66,235.51 $55,196.26 2025-09-11
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 9 9 — — $52,436.45 $66,235.51 $55,196.26 2025-09-11
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 9 — — $52,436.45 $66,235.51 $55,196.26 2025-09-11
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 9 9 — — $52,436.45 $66,235.51 $55,196.26 2025-09-11
955 MS_DRG Craniotomy For Multiple Significant Trauma 9 9 — — $52,436.45 $66,235.51 $55,196.26 2025-09-11
908 MS_DRG Other O.r. Procedures For Injuries With Cc 9 9 — — $52,436.45 $66,235.51 $55,196.26 2025-09-11
500 MS_DRG Soft Tissue Procedures With Mcc 9 9 — — $51,364.70 $64,881.73 $54,068.11 2025-09-11
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 9 9 — — $50,001.04 $63,159.20 $52,632.67 2025-09-11
28 MS_DRG Spinal Procedures With Mcc 9 9 — — $50,001.04 $63,159.20 $52,632.67 2025-09-11
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 9 9 — — $50,001.04 $63,159.20 $52,632.67 2025-09-11
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 9 9 — — $49,921.81 $63,059.12 $52,549.27 2025-09-11
665 MS_DRG Prostatectomy With Mcc 9 9 — — $49,921.81 $63,059.12 $52,549.27 2025-09-11
653 MS_DRG Major Bladder Procedures With Mcc 9 9 — — $49,921.81 $63,059.12 $52,549.27 2025-09-11
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 9 9 — — $49,433.89 $62,442.80 $52,035.67 2025-09-11
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 9 9 — — $49,242.05 $62,200.49 $51,833.74 2025-09-11
570 MS_DRG Skin Debridement With Mcc 9 9 — — $49,096.10 $62,016.12 $51,680.10 2025-09-11
974 MS_DRG HIV With Major Related Condition With Mcc 9 9 — — $47,523.92 $60,030.22 $50,025.18 2025-09-11
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 9 9 — — $46,489.70 $58,723.84 $48,936.53 2025-09-11
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 9 9 — — $46,489.70 $58,723.84 $48,936.53 2025-09-11
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 9 9 — — $46,489.70 $58,723.84 $48,936.53 2025-09-11
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 9 9 — — $44,742.38 $56,516.69 $47,097.24 2025-09-11
919 MS_DRG Complications Of Treatment With Mcc 9 9 — — $44,721.53 $56,490.35 $47,075.29 2025-09-11
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 9 9 — — $44,671.49 $56,427.14 $47,022.62 2025-09-11
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 9 — — $44,333.70 $56,000.46 $46,667.05 2025-09-11
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 9 — — $44,333.70 $56,000.46 $46,667.05 2025-09-11
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 9 — — $44,333.70 $56,000.46 $46,667.05 2025-09-11
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 9 — — $44,333.70 $56,000.46 $46,667.05 2025-09-11
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 9 9 — — $44,333.70 $56,000.46 $46,667.05 2025-09-11
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 9 9 — — $44,333.70 $56,000.46 $46,667.05 2025-09-11
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 9 9 — — $44,333.70 $56,000.46 $46,667.05 2025-09-11
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 9 9 — — $43,691.48 $55,189.24 $45,991.03 2025-09-11
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 9 9 — — $43,641.44 $55,126.03 $45,938.36 2025-09-11
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 9 9 — — $43,641.44 $55,126.03 $45,938.36 2025-09-11
666 MS_DRG Prostatectomy With Cc 9 9 — — $43,641.44 $55,126.03 $45,938.36 2025-09-11
654 MS_DRG Major Bladder Procedures With Cc 9 9 — — $43,641.44 $55,126.03 $45,938.36 2025-09-11
288 MS_DRG Acute And Subacute Endocarditis With Mcc 9 9 — — $42,494.63 $53,677.43 $44,731.19 2025-09-11
393 MS_DRG Other Digestive System Diagnoses With Mcc 9 9 — — $42,369.52 $53,519.39 $44,599.49 2025-09-11
388 MS_DRG Gastrointestinal Obstruction With Mcc 9 9 — — $41,206.02 $52,049.71 $43,374.76 2025-09-11
189 MS_DRG Pulmonary Edema And Respiratory Failure 9 9 — — $40,814.02 $51,554.56 $42,962.13 2025-09-11
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 9 9 — — $40,801.51 $51,538.75 $42,948.96 2025-09-11
539 MS_DRG Osteomyelitis With Mcc 9 9 — — $40,422.03 $51,059.40 $42,549.50 2025-09-11
380 MS_DRG Complicated Peptic Ulcer With Mcc 9 9 — — $39,938.28 $50,448.35 $42,040.29 2025-09-11
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 9 9 — — $39,938.28 $50,448.35 $42,040.29 2025-09-11
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 9 9 — — $39,938.28 $50,448.35 $42,040.29 2025-09-11
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 9 9 — — $39,938.28 $50,448.35 $42,040.29 2025-09-11
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 9 — — $39,771.47 $50,237.64 $41,864.70 2025-09-11
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 9 9 — — $39,562.96 $49,974.26 $41,645.22 2025-09-11
620 MS_DRG O.r. Procedures For Obesity With Cc 9 9 — — $39,562.96 $49,974.26 $41,645.22 2025-09-11
902 MS_DRG Wound Debridements For Injuries With Cc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
670 MS_DRG Transurethral Procedures Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
711 MS_DRG Testes Procedures With Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
668 MS_DRG Transurethral Procedures With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
672 MS_DRG Urethral Procedures Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
669 MS_DRG Transurethral Procedures With Cc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
139 MS_DRG Salivary Gland Procedures 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
113 MS_DRG Orbital Procedures With Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
667 MS_DRG Prostatectomy Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
663 MS_DRG Minor Bladder Procedures With Cc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
662 MS_DRG Minor Bladder Procedures With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
671 MS_DRG Urethral Procedures With Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
312 MS_DRG Syncope And Collapse 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
137 MS_DRG Mouth Procedures With Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
138 MS_DRG Mouth Procedures Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
117 MS_DRG Intraocular Procedures Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
115 MS_DRG Extraocular Procedures Except Orbit 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
157 MS_DRG Dental And Oral Diseases With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
116 MS_DRG Intraocular Procedures With Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
655 MS_DRG Major Bladder Procedures Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
152 MS_DRG Otitis Media And Uri With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
709 MS_DRG Penis Procedures With Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
196 MS_DRG Interstitial Lung Disease With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
197 MS_DRG Interstitial Lung Disease With Cc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
545 MS_DRG Connective Tissue Disorders With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
304 MS_DRG Hypertension With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
386 MS_DRG Inflammatory Bowel Disease With Cc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
78 MS_DRG DRG 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
374 MS_DRG Digestive Malignancy With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
606 MS_DRG Minor Skin Disorders With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
501 MS_DRG Soft Tissue Procedures With Cc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
77 MS_DRG DRG 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
141 MS_DRG Major Head And Neck Procedures With Cc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
114 MS_DRG Orbital Procedures Without Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 9 9 — — $39,387.81 $49,753.02 $41,460.85 2025-09-11
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