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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

Louisiana Extended Care Hospital Of Natchitoches

Natchitoches, LA · CCN 192035 · Rates published

713 distinct procedures filed
6 distinct payers
12,851 rate rows
2025-01-28 last MRF observed · ⚠ 17 mo old
Data quality

3,565 of 12,851 rate rows are consumer-grade (27.7%)

9,286 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 7,296
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,986
exceeds 10× this hospital's gross charge — excluded from medians 4

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old.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://lhcgroup.com/wp-content/uploads/20-3171304_LLC-I, LLC dba Louisiana Extended Care Hospital of Natchitoches_standardcharges.xlsx
Found on page https://lhcgroup.com/locations/louisiana-extended-care-hospital-of-natchitoches/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint a40714d093986769… · 9,565,709 bytes · first seen 2026-05-18

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… 4 $132,165.42 $132,165.42 $132,165.42 nat. median
$202,976
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $108,705.00 $108,705.00 $108,705.00 nat. median
$133,161
0.8× median
163
MS_DRG 		Major Chest Procedures With Mcc 4 $89,713.41 $89,713.41 $89,713.41 nat. median
$44,937
2.0× median
164
MS_DRG 		Major Chest Procedures With Cc 4 $89,713.41 $89,713.41 $89,713.41 nat. median
$25,705
outlier · 3.5×
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 4 $89,713.41 $89,713.41 $89,713.41 nat. median
$19,858
outlier · 4.5×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 4 $88,566.88 $88,566.88 $88,566.88 nat. median
$40,208
outlier · 2.2×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 4 $88,566.88 $88,566.88 $88,566.88 nat. median
$37,476
outlier · 2.4×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 $88,566.88 $88,566.88 $88,566.88 nat. median
$52,857
1.7× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 $88,555.52 $88,555.52 $88,555.52 nat. median
$46,084
1.9× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 $80,711.42 $80,711.42 $80,711.42 nat. median
$33,845
outlier · 2.4×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $78,407.00 $78,407.00 $78,407.00 nat. median
$66,526
1.2× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $73,582.48 $73,582.48 $73,582.48 nat. median
$62,134
1.2× median
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 4 $59,684.07 $59,684.07 $59,684.07 nat. median
$18,895
outlier · 3.2×
168
MS_DRG 		Other Respiratory System O.r. Procedures Without Cc/mcc 4 $59,684.07 $59,684.07 $59,684.07 nat. median
$14,494
outlier · 4.1×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 $59,684.07 $59,684.07 $59,684.07 nat. median
$40,914
1.5× median
173
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 $59,684.07 $59,684.07 $59,684.07 nat. median
$29,766
outlier · 2.0×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 $57,372.08 $57,372.08 $57,372.08 nat. median
$48,170
1.2× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 $55,586.06 $55,586.06 $55,586.06 nat. median
$37,698
1.5× median
799
MS_DRG 		Splenectomy With Mcc 4 $52,816.22 $52,816.22 $52,816.22 nat. median
$45,376
1.2× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 4 $52,816.22 $52,816.22 $52,816.22 nat. median
$42,444
1.2× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 $52,615.67 $52,615.67 $52,615.67 nat. median
$59,793
0.9× median
582
MS_DRG 		Mastectomy For Malignancy With Cc/mcc 4 $51,329.13 $51,329.13 $51,329.13 nat. median
$18,913
outlier · 2.7×
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 $51,329.13 $51,329.13 $51,329.13 nat. median
$31,571
1.6× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 $50,992.36 $50,992.36 $50,992.36 nat. median
$43,963
1.2× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 4 $49,622.58 $49,622.58 $49,622.58 nat. median
$18,292
outlier · 2.7×
619
MS_DRG 		O.r. Procedures For Obesity With Mcc 4 $49,478.79 $49,478.79 $49,478.79 nat. median
$27,946
1.8× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 $49,478.79 $49,478.79 $49,478.79 nat. median
$35,324
1.4× median
551
MS_DRG 		Medical Back Problems With Mcc 4 $49,414.46 $49,414.46 $49,414.46 nat. median
$16,881
outlier · 2.9×
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 4 $49,221.48 $49,221.48 $49,221.48 nat. median
$20,254
outlier · 2.4×
61
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 $49,221.48 $49,221.48 $49,221.48 nat. median
$27,312
1.8× median
901
MS_DRG 		Wound Debridements For Injuries With Mcc 4 $48,551.72 $48,551.72 $48,551.72 nat. median
$41,868
1.2× median
245
MS_DRG 		Aicd Generator Procedures 4 $48,078.73 $48,078.73 $48,078.73 nat. median
$45,271
1.1× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 4 $48,078.73 $48,078.73 $48,078.73 nat. median
$33,061
1.5× median
263
MS_DRG 		Vein Ligation And Stripping 4 $48,078.73 $48,078.73 $48,078.73 nat. median
$28,155
1.7× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 $47,965.21 $47,965.21 $47,965.21 nat. median
$24,493
2.0× median
254
MS_DRG 		Other Vascular Procedures Without Cc/mcc 4 $47,764.66 $47,764.66 $47,764.66 nat. median
$18,438
outlier · 2.6×
253
MS_DRG 		Other Vascular Procedures With Cc 4 $47,764.66 $47,764.66 $47,764.66 nat. median
$26,079
1.8× median
255
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 $47,764.66 $47,764.66 $47,764.66 nat. median
$26,349
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $47,764.66 $47,764.66 $47,764.66 nat. median
$74,915
0.6× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $47,764.66 $47,764.66 $47,764.66 nat. median
$61,920
0.8× median
252
MS_DRG 		Other Vascular Procedures With Mcc 4 $47,764.66 $47,764.66 $47,764.66 nat. median
$34,043
1.4× median
256
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 4 $47,764.66 $47,764.66 $47,764.66 nat. median
$17,334
outlier · 2.8×
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 4 $47,764.66 $47,764.66 $47,764.66 nat. median
$45,125
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $47,764.66 $47,764.66 $47,764.66 nat. median
$93,672
0.5× median
250
MS_DRG 		Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 4 $47,764.66 $47,764.66 $47,764.66 nat. median
$23,306
outlier · 2.0×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $47,764.66 $47,764.66 $47,764.66 nat. median
$64,508
0.7× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 4 $47,764.66 $47,764.66 $47,764.66 nat. median
$50,672
0.9× median
251
MS_DRG 		Percutaneous Cardiovascular Procedures Without Coronary Artery Stent Without Mcc 4 $47,764.66 $47,764.66 $47,764.66 nat. median
$16,543
outlier · 2.9×
257
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 4 $47,764.66 $47,764.66 $47,764.66 nat. median
$11,188
outlier · 4.3×
258
MS_DRG 		Cardiac Pacemaker Device Replacement With Mcc 4 $47,764.66 $47,764.66 $47,764.66 nat. median
$29,995
1.6× median

Other procedures at this hospital

Browse this hospital's 713 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… 5 4 — — $132,165.42 $132,165.42 $132,165.42 2025-01-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 4 — — $108,705.00 $108,705.00 $108,705.00 2025-01-28
164 MS_DRG Major Chest Procedures With Cc 5 4 — — $89,713.41 $89,713.41 $89,713.41 2025-01-28
165 MS_DRG Major Chest Procedures Without Cc/mcc 5 4 — — $89,713.41 $89,713.41 $89,713.41 2025-01-28
163 MS_DRG Major Chest Procedures With Mcc 5 4 — — $89,713.41 $89,713.41 $89,713.41 2025-01-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 5 4 — — $88,566.88 $88,566.88 $88,566.88 2025-01-28
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 5 4 — — $88,566.88 $88,566.88 $88,566.88 2025-01-28
140 MS_DRG Major Head And Neck Procedures With Mcc 5 4 — — $88,566.88 $88,566.88 $88,566.88 2025-01-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 4 — — $88,555.52 $88,555.52 $88,555.52 2025-01-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 4 — — $80,711.42 $80,711.42 $80,711.42 2025-01-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 4 — — $78,407.00 $78,407.00 $78,407.00 2025-01-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 4 — — $73,582.48 $73,582.48 $73,582.48 2025-01-28
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 5 4 — — $59,684.07 $59,684.07 $59,684.07 2025-01-28
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 5 4 — — $59,684.07 $59,684.07 $59,684.07 2025-01-28
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 5 4 — — $59,684.07 $59,684.07 $59,684.07 2025-01-28
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 5 4 — — $59,684.07 $59,684.07 $59,684.07 2025-01-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 4 — — $57,372.08 $57,372.08 $57,372.08 2025-01-28
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 5 4 — — $55,586.06 $55,586.06 $55,586.06 2025-01-28
799 MS_DRG Splenectomy With Mcc 5 4 — — $52,816.22 $52,816.22 $52,816.22 2025-01-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 5 4 — — $52,816.22 $52,816.22 $52,816.22 2025-01-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $52,615.67 $52,615.67 $52,615.67 2025-01-28
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 5 4 — — $51,329.13 $51,329.13 $51,329.13 2025-01-28
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 5 4 — — $51,329.13 $51,329.13 $51,329.13 2025-01-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 4 — — $50,992.36 $50,992.36 $50,992.36 2025-01-28
205 MS_DRG Other Respiratory System Diagnoses With Mcc 5 4 — — $49,622.58 $49,622.58 $49,622.58 2025-01-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 4 — — $49,478.79 $49,478.79 $49,478.79 2025-01-28
619 MS_DRG O.r. Procedures For Obesity With Mcc 5 4 — — $49,478.79 $49,478.79 $49,478.79 2025-01-28
551 MS_DRG Medical Back Problems With Mcc 5 4 — — $49,414.46 $49,414.46 $49,414.46 2025-01-28
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 5 4 — — $49,221.48 $49,221.48 $49,221.48 2025-01-28
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 5 4 — — $49,221.48 $49,221.48 $49,221.48 2025-01-28
901 MS_DRG Wound Debridements For Injuries With Mcc 5 4 — — $48,551.72 $48,551.72 $48,551.72 2025-01-28
245 MS_DRG Aicd Generator Procedures 5 4 — — $48,078.73 $48,078.73 $48,078.73 2025-01-28
264 MS_DRG Other Circulatory System O.r. Procedures 5 4 — — $48,078.73 $48,078.73 $48,078.73 2025-01-28
263 MS_DRG Vein Ligation And Stripping 5 4 — — $48,078.73 $48,078.73 $48,078.73 2025-01-28
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 5 4 — — $47,965.21 $47,965.21 $47,965.21 2025-01-28
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
745 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
35 MS_DRG Carotid Artery Stent Procedures With Cc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
37 MS_DRG Extracranial Procedures With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
32 MS_DRG Ventricular Shunt Procedures With Cc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
254 MS_DRG Other Vascular Procedures Without Cc/mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
784 MS_DRG Cesarean Section With Sterilization With Cc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
251 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent Without Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
748 MS_DRG Female Reproductive System Reconstructive Procedures 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
252 MS_DRG Other Vascular Procedures With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
38 MS_DRG Extracranial Procedures With Cc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
212 MS_DRG Concomitant Aortic And Mitral Valve�procedures 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
39 MS_DRG Extracranial Procedures Without Cc/mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
202 MS_DRG Bronchitis And Asthma With Cc/mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
963 MS_DRG Other Multiple Significant Trauma With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
215 MS_DRG Other Heart Assist System Implant 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
253 MS_DRG Other Vascular Procedures With Cc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
693 MS_DRG Urinary Stones With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
54 MS_DRG Nervous System Neoplasms With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
786 MS_DRG Cesarean Section Without Sterilization With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
755 MS_DRG Malignancy, Female Reproductive System With Cc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
783 MS_DRG Cesarean Section With Sterilization With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
787 MS_DRG Cesarean Section Without Sterilization With Cc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
754 MS_DRG Malignancy, Female Reproductive System With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
643 MS_DRG Endocrine Disorders With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 5 4 — — $47,764.66 $47,764.66 $47,764.66 2025-01-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 4 — — $47,719.25 $47,719.25 $47,719.25 2025-01-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 5 4 — — $47,579.25 $47,579.25 $47,579.25 2025-01-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 5 4 — — $47,579.25 $47,579.25 $47,579.25 2025-01-28
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 5 4 — — $47,579.25 $47,579.25 $47,579.25 2025-01-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 4 — — $47,579.25 $47,579.25 $47,579.25 2025-01-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 5 4 — — $47,579.25 $47,579.25 $47,579.25 2025-01-28
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 4 — — $47,579.25 $47,579.25 $47,579.25 2025-01-28
908 MS_DRG Other O.r. Procedures For Injuries With Cc 5 4 — — $47,579.25 $47,579.25 $47,579.25 2025-01-28
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 4 — — $47,579.25 $47,579.25 $47,579.25 2025-01-28
500 MS_DRG Soft Tissue Procedures With Mcc 5 4 — — $46,606.78 $46,606.78 $46,606.78 2025-01-28
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 5 4 — — $45,369.43 $45,369.43 $45,369.43 2025-01-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 5 4 — — $45,369.43 $45,369.43 $45,369.43 2025-01-28
28 MS_DRG Spinal Procedures With Mcc 5 4 — — $45,369.43 $45,369.43 $45,369.43 2025-01-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 5 4 — — $45,297.53 $45,297.53 $45,297.53 2025-01-28
665 MS_DRG Prostatectomy With Mcc 5 4 — — $45,297.53 $45,297.53 $45,297.53 2025-01-28
653 MS_DRG Major Bladder Procedures With Mcc 5 4 — — $45,297.53 $45,297.53 $45,297.53 2025-01-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 5 4 — — $44,854.81 $44,854.81 $44,854.81 2025-01-28
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 5 4 — — $44,680.75 $44,680.75 $44,680.75 2025-01-28
570 MS_DRG Skin Debridement With Mcc 5 4 — — $44,548.31 $44,548.31 $44,548.31 2025-01-28
974 MS_DRG HIV With Major Related Condition With Mcc 5 4 — — $43,121.77 $43,121.77 $43,121.77 2025-01-28
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 5 4 — — $42,183.35 $42,183.35 $42,183.35 2025-01-28
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 5 4 — — $42,183.35 $42,183.35 $42,183.35 2025-01-28
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 5 4 — — $42,183.35 $42,183.35 $42,183.35 2025-01-28
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 5 4 — — $40,597.88 $40,597.88 $40,597.88 2025-01-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 5 4 — — $40,533.55 $40,533.55 $40,533.55 2025-01-28
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 5 4 — — $40,227.06 $40,227.06 $40,227.06 2025-01-28
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 5 4 — — $40,227.06 $40,227.06 $40,227.06 2025-01-28
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 5 4 — — $39,644.33 $39,644.33 $39,644.33 2025-01-28
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 5 4 — — $39,598.92 $39,598.92 $39,598.92 2025-01-28
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 5 4 — — $39,598.92 $39,598.92 $39,598.92 2025-01-28
654 MS_DRG Major Bladder Procedures With Cc 5 4 — — $39,598.92 $39,598.92 $39,598.92 2025-01-28
288 MS_DRG Acute And Subacute Endocarditis With Mcc 5 4 — — $38,558.34 $38,558.34 $38,558.34 2025-01-28
393 MS_DRG Other Digestive System Diagnoses With Mcc 5 4 — — $38,444.82 $38,444.82 $38,444.82 2025-01-28
388 MS_DRG Gastrointestinal Obstruction With Mcc 5 4 — — $37,389.10 $37,389.10 $37,389.10 2025-01-28
189 MS_DRG Pulmonary Edema And Respiratory Failure 5 4 — — $37,033.41 $37,033.41 $37,033.41 2025-01-28
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 5 4 — — $37,022.06 $37,022.06 $37,022.06 2025-01-28
539 MS_DRG Osteomyelitis With Mcc 5 4 — — $36,677.72 $36,677.72 $36,677.72 2025-01-28
380 MS_DRG Complicated Peptic Ulcer With Mcc 5 4 — — $36,238.78 $36,238.78 $36,238.78 2025-01-28
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 5 4 — — $36,238.78 $36,238.78 $36,238.78 2025-01-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 5 4 — — $36,238.78 $36,238.78 $36,238.78 2025-01-28
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 5 4 — — $36,238.78 $36,238.78 $36,238.78 2025-01-28
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 4 — — $36,087.43 $36,087.43 $36,087.43 2025-01-28
620 MS_DRG O.r. Procedures For Obesity With Cc 5 4 — — $35,898.23 $35,898.23 $35,898.23 2025-01-28
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 4 — — $35,898.23 $35,898.23 $35,898.23 2025-01-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
386 MS_DRG Inflammatory Bowel Disease With Cc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
501 MS_DRG Soft Tissue Procedures With Cc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
667 MS_DRG Prostatectomy Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
606 MS_DRG Minor Skin Disorders With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
114 MS_DRG Orbital Procedures Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
374 MS_DRG Digestive Malignancy With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
709 MS_DRG Penis Procedures With Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
711 MS_DRG Testes Procedures With Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
113 MS_DRG Orbital Procedures With Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
141 MS_DRG Major Head And Neck Procedures With Cc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
902 MS_DRG Wound Debridements For Injuries With Cc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
117 MS_DRG Intraocular Procedures Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
304 MS_DRG Hypertension With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
670 MS_DRG Transurethral Procedures Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
671 MS_DRG Urethral Procedures With Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
77 MS_DRG Hypertensive Encephalopathy With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
669 MS_DRG Transurethral Procedures With Cc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
78 MS_DRG Hypertensive Encephalopathy With Cc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
139 MS_DRG Salivary Gland Procedures 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
672 MS_DRG Urethral Procedures Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
157 MS_DRG Dental And Oral Diseases With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
668 MS_DRG Transurethral Procedures With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
138 MS_DRG Mouth Procedures Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
662 MS_DRG Minor Bladder Procedures With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
137 MS_DRG Mouth Procedures With Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
663 MS_DRG Minor Bladder Procedures With Cc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
197 MS_DRG Interstitial Lung Disease With Cc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
196 MS_DRG Interstitial Lung Disease With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
116 MS_DRG Intraocular Procedures With Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
655 MS_DRG Major Bladder Procedures Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
152 MS_DRG Otitis Media And Uri With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
545 MS_DRG Connective Tissue Disorders With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
115 MS_DRG Extraocular Procedures Except Orbit 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 5 4 — — $35,739.30 $35,739.30 $35,739.30 2025-01-28
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 5 4 — — $35,232.26 $35,232.26 $35,232.26 2025-01-28
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 5 4 — — $35,201.98 $35,201.98 $35,201.98 2025-01-28
791 MS_DRG Prematurity With Major Problems 5 4 — — $35,201.98 $35,201.98 $35,201.98 2025-01-28
811 MS_DRG Red Blood Cell Disorders With Mcc 5 4 — — $35,201.98 $35,201.98 $35,201.98 2025-01-28
757 MS_DRG Infections, Female Reproductive System With Mcc 5 4 — — $35,201.98 $35,201.98 $35,201.98 2025-01-28
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 5 4 — — $35,201.98 $35,201.98 $35,201.98 2025-01-28
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 5 4 — — $35,201.98 $35,201.98 $35,201.98 2025-01-28
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 5 4 — — $35,201.98 $35,201.98 $35,201.98 2025-01-28
793 MS_DRG Full Term Neonate With Major Problems 5 4 — — $35,201.98 $35,201.98 $35,201.98 2025-01-28
796 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Mcc 5 4 — — $35,201.98 $35,201.98 $35,201.98 2025-01-28
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