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Hospital

P A M Specialty Hospital Of Covington

Covington, LA · CCN 192048 · Rates published

1,453 distinct procedures filed
25 distinct payers
43,776 rate rows
2025-09-11 last MRF observed
Data quality

43,109 of 43,776 rate rows are consumer-grade (98.5%)

667 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 659
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/10982/271148063_pam-ii-of-covington,-llc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/PAMSpecialtyHospitalCovington/10982
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 2e2d3cd2e392df04… · 25,716,739 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… 11 $132,460.70 $220,767.84 $147,178.56 nat. median
$202,976
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 11 $108,947.86 $181,579.77 $121,053.18 nat. median
$133,161
0.9× median
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 11 $89,913.84 $149,856.41 $99,904.27 nat. median
$19,858
outlier · 5.0×
164
MS_DRG 		Major Chest Procedures With Cc 11 $89,913.84 $149,856.41 $99,904.27 nat. median
$25,705
outlier · 3.9×
163
MS_DRG 		Major Chest Procedures With Mcc 11 $89,913.84 $149,856.41 $99,904.27 nat. median
$44,937
outlier · 2.2×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 11 $88,764.75 $147,941.25 $98,627.50 nat. median
$40,208
outlier · 2.5×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 $88,764.75 $147,941.25 $98,627.50 nat. median
$52,857
1.9× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 11 $88,764.75 $147,941.25 $98,627.50 nat. median
$37,476
outlier · 2.6×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 $88,753.37 $147,922.29 $98,614.86 nat. median
$46,084
outlier · 2.1×
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 $80,891.74 $134,819.57 $89,879.71 nat. median
$33,845
outlier · 2.7×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $78,582.18 $130,970.30 $87,313.53 nat. median
$66,526
1.3× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $73,746.87 $122,911.46 $81,940.97 nat. median
$62,134
1.3× median
168
MS_DRG 		Other Respiratory System O.r. Procedures Without Cc/mcc 11 $59,817.41 $99,695.69 $66,463.79 nat. median
$14,494
outlier · 4.6×
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 11 $59,817.41 $99,695.69 $66,463.79 nat. median
$18,895
outlier · 3.5×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 11 $59,817.41 $99,695.69 $66,463.79 nat. median
$40,914
1.6× median
173
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 11 $59,817.41 $99,695.69 $66,463.79 nat. median
$29,766
outlier · 2.2×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 $57,500.26 $95,833.77 $63,889.18 nat. median
$48,170
1.3× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 11 $55,710.25 $92,850.42 $61,900.28 nat. median
$37,698
1.6× median
799
MS_DRG 		Splenic Procedures With Mcc 11 $52,934.22 $88,223.70 $58,815.80 nat. median
$45,376
1.3× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 11 $52,934.22 $88,223.70 $58,815.80 nat. median
$42,444
1.4× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 $52,733.22 $87,888.71 $58,592.47 nat. median
$59,793
1.0× median
582
MS_DRG 		Mastectomy For Malignancy With Cc/mcc 11 $51,443.81 $85,739.69 $57,159.79 nat. median
$18,913
outlier · 3.0×
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 11 $51,443.81 $85,739.69 $57,159.79 nat. median
$31,571
1.8× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 $51,106.28 $85,177.14 $56,784.76 nat. median
$43,963
1.3× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 11 $49,733.44 $82,889.07 $55,259.38 nat. median
$18,292
outlier · 3.0×
619
MS_DRG 		O.r. Procedures For Obesity With Mcc 11 $49,589.33 $82,648.89 $55,099.26 nat. median
$27,946
2.0× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 11 $49,589.33 $82,648.89 $55,099.26 nat. median
$35,324
1.6× median
551
MS_DRG 		Medical Back Problems With Mcc 11 $49,524.86 $82,541.43 $55,027.62 nat. median
$16,881
outlier · 3.3×
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 11 $49,331.45 $82,219.08 $54,812.72 nat. median
$20,254
outlier · 2.7×
61
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 11 $49,331.45 $82,219.08 $54,812.72 nat. median
$27,312
outlier · 2.0×
901
MS_DRG 		Wound Debridements For Injuries With Mcc 11 $48,660.19 $81,100.32 $54,066.88 nat. median
$41,868
1.3× median
245
MS_DRG 		Aicd Generator Procedures 11 $48,186.14 $80,310.24 $53,540.16 nat. median
$45,271
1.2× median
263
MS_DRG 		Vein Ligation And Stripping 11 $48,186.14 $80,310.24 $53,540.16 nat. median
$28,155
1.9× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 11 $48,186.14 $80,310.24 $53,540.16 nat. median
$33,061
1.6× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 11 $48,072.38 $80,120.63 $53,413.75 nat. median
$24,493
outlier · 2.2×
253
MS_DRG 		Other Vascular Procedures With Cc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$26,079
outlier · 2.0×
254
MS_DRG 		Other Vascular Procedures Without Cc/mcc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$18,438
outlier · 2.9×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$93,672
0.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$64,508
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$61,920
0.9× median
255
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$26,349
outlier · 2.0×
251
MS_DRG 		Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$16,543
outlier · 3.2×
252
MS_DRG 		Other Vascular Procedures With Mcc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$34,043
1.6× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$45,125
1.2× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$52,879
1.0× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$48,732
1.1× median
250
MS_DRG 		Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$23,306
outlier · 2.3×
256
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$17,334
outlier · 3.1×
257
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$11,188
outlier · 4.8×
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$28,136
1.9× median

Other procedures at this hospital

Browse this hospital's 1,453 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… 11 11 — — $132,460.70 $220,767.84 $147,178.56 2025-09-11
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 11 11 — — $108,947.86 $181,579.77 $121,053.18 2025-09-11
164 MS_DRG Major Chest Procedures With Cc 11 11 — — $89,913.84 $149,856.41 $99,904.27 2025-09-11
163 MS_DRG Major Chest Procedures With Mcc 11 11 — — $89,913.84 $149,856.41 $99,904.27 2025-09-11
165 MS_DRG Major Chest Procedures Without Cc/mcc 11 11 — — $89,913.84 $149,856.41 $99,904.27 2025-09-11
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 11 — — $88,764.75 $147,941.25 $98,627.50 2025-09-11
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 11 11 — — $88,764.75 $147,941.25 $98,627.50 2025-09-11
140 MS_DRG Major Head And Neck Procedures With Mcc 11 11 — — $88,764.75 $147,941.25 $98,627.50 2025-09-11
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 11 — — $88,753.37 $147,922.29 $98,614.86 2025-09-11
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 11 — — $80,891.74 $134,819.57 $89,879.71 2025-09-11
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 11 11 — — $78,582.18 $130,970.30 $87,313.53 2025-09-11
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 11 11 — — $73,746.87 $122,911.46 $81,940.97 2025-09-11
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 11 11 — — $59,817.41 $99,695.69 $66,463.79 2025-09-11
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 11 11 — — $59,817.41 $99,695.69 $66,463.79 2025-09-11
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 11 11 — — $59,817.41 $99,695.69 $66,463.79 2025-09-11
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 11 11 — — $59,817.41 $99,695.69 $66,463.79 2025-09-11
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 11 — — $57,500.26 $95,833.77 $63,889.18 2025-09-11
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 11 11 — — $55,710.25 $92,850.42 $61,900.28 2025-09-11
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 11 11 — — $52,934.22 $88,223.70 $58,815.80 2025-09-11
799 MS_DRG Splenic Procedures With Mcc 11 11 — — $52,934.22 $88,223.70 $58,815.80 2025-09-11
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 11 — — $52,733.22 $87,888.71 $58,592.47 2025-09-11
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 11 11 — — $51,443.81 $85,739.69 $57,159.79 2025-09-11
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 11 11 — — $51,443.81 $85,739.69 $57,159.79 2025-09-11
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 11 — — $51,106.28 $85,177.14 $56,784.76 2025-09-11
205 MS_DRG Other Respiratory System Diagnoses With Mcc 11 11 — — $49,733.44 $82,889.07 $55,259.38 2025-09-11
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 11 11 — — $49,589.33 $82,648.89 $55,099.26 2025-09-11
619 MS_DRG O.r. Procedures For Obesity With Mcc 11 11 — — $49,589.33 $82,648.89 $55,099.26 2025-09-11
551 MS_DRG Medical Back Problems With Mcc 11 11 — — $49,524.86 $82,541.43 $55,027.62 2025-09-11
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 11 11 — — $49,331.45 $82,219.08 $54,812.72 2025-09-11
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 11 11 — — $49,331.45 $82,219.08 $54,812.72 2025-09-11
901 MS_DRG Wound Debridements For Injuries With Mcc 11 11 — — $48,660.19 $81,100.32 $54,066.88 2025-09-11
264 MS_DRG Other Circulatory System O.r. Procedures 11 11 — — $48,186.14 $80,310.24 $53,540.16 2025-09-11
245 MS_DRG Aicd Generator Procedures 11 11 — — $48,186.14 $80,310.24 $53,540.16 2025-09-11
263 MS_DRG Vein Ligation And Stripping 11 11 — — $48,186.14 $80,310.24 $53,540.16 2025-09-11
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 11 11 — — $48,072.38 $80,120.63 $53,413.75 2025-09-11
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
744 MS_DRG D&C, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
271 MS_DRG Other Major Cardiovascular Procedures With Cc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
35 MS_DRG Carotid Artery Stent Procedures With Cc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
745 MS_DRG D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
39 MS_DRG Extracranial Procedures Without Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
385 MS_DRG Inflammatory Bowel Disease With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
252 MS_DRG Other Vascular Procedures With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
748 MS_DRG Female Reproductive System Reconstructive Procedures 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
643 MS_DRG Endocrine Disorders With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
754 MS_DRG Malignancy, Female Reproductive System With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
38 MS_DRG Extracranial Procedures With Cc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
786 MS_DRG Cesarean Section Without Sterilization With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
253 MS_DRG Other Vascular Procedures With Cc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
202 MS_DRG Bronchitis And Asthma With Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
787 MS_DRG Cesarean Section Without Sterilization With Cc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
963 MS_DRG Other Multiple Significant Trauma With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
254 MS_DRG Other Vascular Procedures Without Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
32 MS_DRG Ventricular Shunt Procedures With Cc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
850 MS_DRG Acute Leukemia With Other Procedures 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
784 MS_DRG Cesarean Section With Sterilization With Cc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
755 MS_DRG Malignancy, Female Reproductive System With Cc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
693 MS_DRG Urinary Stones With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
215 MS_DRG Other Heart Assist System Implant 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
783 MS_DRG Cesarean Section With Sterilization With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
34 MS_DRG Carotid Artery Stent Procedures With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
54 MS_DRG Nervous System Neoplasms With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
37 MS_DRG Extracranial Procedures With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 11 — — $47,825.87 $79,709.78 $53,139.85 2025-09-11
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 11 — — $47,685.55 $79,475.91 $52,983.94 2025-09-11
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 11 11 — — $47,685.55 $79,475.91 $52,983.94 2025-09-11
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 11 11 — — $47,685.55 $79,475.91 $52,983.94 2025-09-11
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 11 — — $47,685.55 $79,475.91 $52,983.94 2025-09-11
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 11 11 — — $47,685.55 $79,475.91 $52,983.94 2025-09-11
908 MS_DRG Other O.r. Procedures For Injuries With Cc 11 11 — — $47,685.55 $79,475.91 $52,983.94 2025-09-11
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 11 — — $47,685.55 $79,475.91 $52,983.94 2025-09-11
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 11 11 — — $47,685.55 $79,475.91 $52,983.94 2025-09-11
500 MS_DRG Soft Tissue Procedures With Mcc 11 11 — — $46,710.91 $77,851.52 $51,901.01 2025-09-11
28 MS_DRG Spinal Procedures With Mcc 11 11 — — $45,470.79 $75,784.65 $50,523.10 2025-09-11
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 11 11 — — $45,470.79 $75,784.65 $50,523.10 2025-09-11
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 11 11 — — $45,470.79 $75,784.65 $50,523.10 2025-09-11
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 11 11 — — $45,398.74 $75,664.56 $50,443.04 2025-09-11
665 MS_DRG Prostatectomy With Mcc 11 11 — — $45,398.74 $75,664.56 $50,443.04 2025-09-11
653 MS_DRG Major Bladder Procedures With Mcc 11 11 — — $45,398.74 $75,664.56 $50,443.04 2025-09-11
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 11 11 — — $44,955.03 $74,925.05 $49,950.03 2025-09-11
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 11 11 — — $44,780.58 $74,634.30 $49,756.20 2025-09-11
570 MS_DRG Skin Debridement With Mcc 11 11 — — $44,647.84 $74,413.07 $49,608.71 2025-09-11
974 MS_DRG HIV With Major Related Condition With Mcc 11 11 — — $43,218.11 $72,030.18 $48,020.12 2025-09-11
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 11 11 — — $42,277.60 $70,462.67 $46,975.11 2025-09-11
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 11 11 — — $42,277.60 $70,462.67 $46,975.11 2025-09-11
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 11 11 — — $42,277.60 $70,462.67 $46,975.11 2025-09-11
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 11 11 — — $40,688.59 $67,814.31 $45,209.54 2025-09-11
919 MS_DRG Complications Of Treatment With Mcc 11 11 — — $40,669.62 $67,782.71 $45,188.47 2025-09-11
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 11 11 — — $40,624.11 $67,706.85 $45,137.90 2025-09-11
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 11 — — $40,316.93 $67,194.89 $44,796.59 2025-09-11
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 11 — — $40,316.93 $67,194.89 $44,796.59 2025-09-11
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 11 11 — — $40,316.93 $67,194.89 $44,796.59 2025-09-11
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 11 — — $40,316.93 $67,194.89 $44,796.59 2025-09-11
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 11 — — $40,316.93 $67,194.89 $44,796.59 2025-09-11
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 11 11 — — $40,316.93 $67,194.89 $44,796.59 2025-09-11
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 11 11 — — $40,316.93 $67,194.89 $44,796.59 2025-09-11
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 11 11 — — $39,732.90 $66,221.51 $44,147.67 2025-09-11
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 11 11 — — $39,687.39 $66,145.65 $44,097.10 2025-09-11
666 MS_DRG Prostatectomy With Cc 11 11 — — $39,687.39 $66,145.65 $44,097.10 2025-09-11
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 11 11 — — $39,687.39 $66,145.65 $44,097.10 2025-09-11
654 MS_DRG Major Bladder Procedures With Cc 11 11 — — $39,687.39 $66,145.65 $44,097.10 2025-09-11
288 MS_DRG Acute And Subacute Endocarditis With Mcc 11 11 — — $38,644.49 $64,407.48 $42,938.32 2025-09-11
393 MS_DRG Other Digestive System Diagnoses With Mcc 11 11 — — $38,530.71 $64,217.85 $42,811.90 2025-09-11
388 MS_DRG Gastrointestinal Obstruction With Mcc 11 11 — — $37,472.63 $62,454.39 $41,636.26 2025-09-11
189 MS_DRG Pulmonary Edema And Respiratory Failure 11 11 — — $37,116.15 $61,860.26 $41,240.17 2025-09-11
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 11 11 — — $37,104.78 $61,841.30 $41,227.53 2025-09-11
539 MS_DRG Osteomyelitis With Mcc 11 11 — — $36,759.66 $61,266.11 $40,844.07 2025-09-11
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 11 11 — — $36,319.75 $60,532.92 $40,355.28 2025-09-11
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 11 11 — — $36,319.75 $60,532.92 $40,355.28 2025-09-11
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 11 11 — — $36,319.75 $60,532.92 $40,355.28 2025-09-11
380 MS_DRG Complicated Peptic Ulcer With Mcc 11 11 — — $36,319.75 $60,532.92 $40,355.28 2025-09-11
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 11 — — $36,168.05 $60,280.08 $40,186.72 2025-09-11
620 MS_DRG O.r. Procedures For Obesity With Cc 11 11 — — $35,978.44 $59,964.06 $39,976.04 2025-09-11
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 11 11 — — $35,978.44 $59,964.06 $39,976.04 2025-09-11
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
196 MS_DRG Interstitial Lung Disease With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
113 MS_DRG Orbital Procedures With Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
672 MS_DRG Urethral Procedures Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
138 MS_DRG Mouth Procedures Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
670 MS_DRG Transurethral Procedures Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
669 MS_DRG Transurethral Procedures With Cc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
671 MS_DRG Urethral Procedures With Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
141 MS_DRG Major Head And Neck Procedures With Cc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
606 MS_DRG Minor Skin Disorders With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
668 MS_DRG Transurethral Procedures With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
709 MS_DRG Penis Procedures With Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
667 MS_DRG Prostatectomy Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
902 MS_DRG Wound Debridements For Injuries With Cc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
662 MS_DRG Minor Bladder Procedures With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
663 MS_DRG Minor Bladder Procedures With Cc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
117 MS_DRG Intraocular Procedures Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
655 MS_DRG Major Bladder Procedures Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
157 MS_DRG Dental And Oral Diseases With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
137 MS_DRG Mouth Procedures With Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
711 MS_DRG Testes Procedures With Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
312 MS_DRG Syncope And Collapse 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
152 MS_DRG Otitis Media And Uri With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
304 MS_DRG Hypertension With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
374 MS_DRG Digestive Malignancy With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
78 MS_DRG DRG 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
545 MS_DRG Connective Tissue Disorders With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
386 MS_DRG Inflammatory Bowel Disease With Cc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
139 MS_DRG Salivary Gland Procedures 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
197 MS_DRG Interstitial Lung Disease With Cc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
116 MS_DRG Intraocular Procedures With Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
77 MS_DRG DRG 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
501 MS_DRG Soft Tissue Procedures With Cc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
114 MS_DRG Orbital Procedures Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
115 MS_DRG Extraocular Procedures Except Orbit 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
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