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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

P A M Specialty Hospital Of Covington

Covington, LA · CCN 192048 · Rates published

1,451 distinct procedures filed
25 distinct payers
43,776 rate rows
2025-09-11 last MRF observed · ⚠ 14 mo old
Data quality

43,107 of 43,776 rate rows are consumer-grade (98.5%)

669 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old.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://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 Latest re-check couldn't be parsed — showing last good data · 2026-10-21
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
$190,274
0.8× 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
$126,240
1.0× median
164
MS_DRG 		Major Chest Procedures With Cc 11 $89,913.84 $149,856.41 $99,904.27 nat. median
$24,187
outlier · 4.1×
163
MS_DRG 		Major Chest Procedures With Mcc 11 $89,913.84 $149,856.41 $99,904.27 nat. median
$42,632
outlier · 2.3×
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 11 $89,913.84 $149,856.41 $99,904.27 nat. median
$18,640
outlier · 5.4×
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
$49,925
2.0× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 11 $88,764.75 $147,941.25 $98,627.50 nat. median
$35,655
outlier · 2.8×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 11 $88,764.75 $147,941.25 $98,627.50 nat. median
$38,353
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
$43,542
outlier · 2.3×
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
$31,794
outlier · 2.8×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $78,582.18 $130,970.30 $87,313.53 nat. median
$62,605
1.4× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $73,746.87 $122,911.46 $81,940.97 nat. median
$59,289
1.4× 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
$28,077
outlier · 2.4×
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 11 $59,817.41 $99,695.69 $66,463.79 nat. median
$17,831
outlier · 3.7×
168
MS_DRG 		Other Respiratory System O.r. Procedures Without Cc/mcc 11 $59,817.41 $99,695.69 $66,463.79 nat. median
$13,708
outlier · 4.8×
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
$38,700
1.7× median
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
$45,281
1.4× 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
$35,776
1.7× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 11 $52,934.22 $88,223.70 $58,815.80 nat. median
$40,214
1.5× median
799
MS_DRG 		Splenic Procedures With Mcc 11 $52,934.22 $88,223.70 $58,815.80 nat. median
$43,208
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
$58,210
1.0× median
582
MS_DRG 		Mastectomy For Malignancy With Cc/mcc 11 $51,443.81 $85,739.69 $57,159.79 nat. median
$18,243
outlier · 3.1×
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 11 $51,443.81 $85,739.69 $57,159.79 nat. median
$30,192
1.9× 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
$41,637
1.4× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 11 $49,733.44 $82,889.07 $55,259.38 nat. median
$17,293
outlier · 3.2×
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
$33,522
1.6× median
619
MS_DRG 		O.r. Procedures For Obesity With Mcc 11 $49,589.33 $82,648.89 $55,099.26 nat. median
$26,737
outlier · 2.1×
551
MS_DRG 		Medical Back Problems With Mcc 11 $49,524.86 $82,541.43 $55,027.62 nat. median
$16,070
outlier · 3.4×
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 11 $49,331.45 $82,219.08 $54,812.72 nat. median
$19,192
outlier · 2.9×
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
$25,886
outlier · 2.1×
901
MS_DRG 		Wound Debridements For Injuries With Mcc 11 $48,660.19 $81,100.32 $54,066.88 nat. median
$39,526
1.4× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 11 $48,186.14 $80,310.24 $53,540.16 nat. median
$31,077
1.7× median
245
MS_DRG 		Aicd Generator Procedures 11 $48,186.14 $80,310.24 $53,540.16 nat. median
$42,640
1.3× median
263
MS_DRG 		Vein Ligation And Stripping 11 $48,186.14 $80,310.24 $53,540.16 nat. median
$27,055
2.0× 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
$23,126
outlier · 2.3×
742
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$17,777
outlier · 3.0×
272
MS_DRG 		Other Major Cardiovascular Procedures Without Cc/mcc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$24,824
outlier · 2.1×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$71,672
0.7× median
344
MS_DRG 		Minor Small And Large Bowel Procedures With Mcc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$24,491
outlier · 2.2×
744
MS_DRG 		D&C, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$19,058
outlier · 2.8×
33
MS_DRG 		Ventricular Shunt Procedures Without Cc/mcc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$16,259
outlier · 3.3×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$58,315
0.9× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$33,988
1.6× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$51,524
1.0× median
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$27,342
1.9× median
857
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$20,333
outlier · 2.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$76,979
0.7× median
917
MS_DRG 		Poisoning And Toxic Effects Of Drugs With Mcc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$14,548
outlier · 3.7×
843
MS_DRG 		Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$18,618
outlier · 2.9×
35
MS_DRG 		Carotid Artery Stent Procedures With Cc 11 $47,871.38 $79,785.63 $53,190.42 nat. median
$22,703
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 1,451 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
288 MS_DRG Acute And Subacute Endocarditis With Mcc 11 11 — — $38,644.49 $64,407.48 $42,938.32 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
283 MS_DRG Acute Myocardial Infarction, Expired With 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
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
245 MS_DRG Aicd Generator Procedures 11 11 — — $48,186.14 $80,310.24 $53,540.16 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
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
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
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
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
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
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
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
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
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
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
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
202 MS_DRG Bronchitis And Asthma With Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 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
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
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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 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
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
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
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
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
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
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
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
35 MS_DRG Carotid Artery Stent Procedures With Cc 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
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 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
783 MS_DRG Cesarean Section With Sterilization 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
786 MS_DRG Cesarean Section Without Sterilization With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 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
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 11 11 — — $36,319.75 $60,532.92 $40,355.28 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
380 MS_DRG Complicated Peptic Ulcer With Mcc 11 11 — — $36,319.75 $60,532.92 $40,355.28 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 11 — — $47,871.38 $79,785.63 $53,190.42 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
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
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
231 MS_DRG Coronary Bypass With Ptca With Mcc 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 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
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures 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
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 11 — — $47,685.55 $79,475.91 $52,983.94 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
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
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
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
157 MS_DRG Dental And Oral Diseases 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
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 11 11 — — $39,732.90 $66,221.51 $44,147.67 2025-09-11
78 MS_DRG DRG 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
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
643 MS_DRG Endocrine Disorders With Mcc 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
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
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
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
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
38 MS_DRG Extracranial Procedures With Cc 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
39 MS_DRG Extracranial Procedures Without Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 2025-09-11
115 MS_DRG Extraocular Procedures Except Orbit 11 11 — — $35,819.15 $59,698.59 $39,799.06 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
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
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
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
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
388 MS_DRG Gastrointestinal Obstruction With Mcc 11 11 — — $37,472.63 $62,454.39 $41,636.26 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
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
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
974 MS_DRG HIV With Major Related Condition With Mcc 11 11 — — $43,218.11 $72,030.18 $48,020.12 2025-09-11
304 MS_DRG Hypertension With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 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
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
386 MS_DRG Inflammatory Bowel Disease With Cc 11 11 — — $35,819.15 $59,698.59 $39,799.06 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
387 MS_DRG Inflammatory Bowel Disease 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
196 MS_DRG Interstitial Lung Disease With Mcc 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
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 11 11 — — $49,331.45 $82,219.08 $54,812.72 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
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
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
116 MS_DRG Intraocular Procedures With Cc/mcc 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
654 MS_DRG Major Bladder Procedures With Cc 11 11 — — $39,687.39 $66,145.65 $44,097.10 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
655 MS_DRG Major Bladder Procedures Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 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
141 MS_DRG Major Head And Neck Procedures With Cc 11 11 — — $35,819.15 $59,698.59 $39,799.06 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
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
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
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
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
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 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
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
755 MS_DRG Malignancy, Female Reproductive System With Cc 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
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 11 11 — — $51,443.81 $85,739.69 $57,159.79 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
551 MS_DRG Medical Back Problems With Mcc 11 11 — — $49,524.86 $82,541.43 $55,027.62 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
662 MS_DRG Minor Bladder Procedures With Mcc 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
606 MS_DRG Minor Skin Disorders With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 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
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
137 MS_DRG Mouth Procedures With 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
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
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
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
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
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
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
54 MS_DRG Nervous System Neoplasms With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 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
620 MS_DRG O.r. Procedures For Obesity With Cc 11 11 — — $35,978.44 $59,964.06 $39,976.04 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
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
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
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
113 MS_DRG Orbital Procedures With Cc/mcc 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
539 MS_DRG Osteomyelitis With Mcc 11 11 — — $36,759.66 $61,266.11 $40,844.07 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
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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 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
264 MS_DRG Other Circulatory System O.r. Procedures 11 11 — — $48,186.14 $80,310.24 $53,540.16 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
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
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
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
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
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
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
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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 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
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
215 MS_DRG Other Heart Assist System Implant 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
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
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
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
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
271 MS_DRG Other Major Cardiovascular Procedures With Cc 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
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 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
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
963 MS_DRG Other Multiple Significant Trauma With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 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
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
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
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
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
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
205 MS_DRG Other Respiratory System Diagnoses With Mcc 11 11 — — $49,733.44 $82,889.07 $55,259.38 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
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
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
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
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
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
253 MS_DRG Other Vascular Procedures With Cc 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
254 MS_DRG Other Vascular Procedures Without Cc/mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 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
405 MS_DRG Pancreas, Liver And Shunt Procedures 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
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
709 MS_DRG Penis Procedures With Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 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
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without 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
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
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
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
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
242 MS_DRG Permanent Cardiac Pacemaker Implant 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
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
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
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
666 MS_DRG Prostatectomy With Cc 11 11 — — $39,687.39 $66,145.65 $44,097.10 2025-09-11
665 MS_DRG Prostatectomy With Mcc 11 11 — — $45,398.74 $75,664.56 $50,443.04 2025-09-11
667 MS_DRG Prostatectomy Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 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
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
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
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
139 MS_DRG Salivary Gland Procedures 11 11 — — $35,819.15 $59,698.59 $39,799.06 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
135 MS_DRG Sinus And Mastoid Procedures 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
570 MS_DRG Skin Debridement With Mcc 11 11 — — $44,647.84 $74,413.07 $49,608.71 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
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
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
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
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
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
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
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
904 MS_DRG Skin Grafts For Injuries With Cc/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
501 MS_DRG Soft Tissue Procedures With Cc 11 11 — — $35,819.15 $59,698.59 $39,799.06 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
52 MS_DRG Spinal Disorders And Injuries With Cc/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
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 11 11 — — $45,470.79 $75,784.65 $50,523.10 2025-09-11
28 MS_DRG Spinal Procedures With Mcc 11 11 — — $45,470.79 $75,784.65 $50,523.10 2025-09-11
799 MS_DRG Splenic Procedures With Mcc 11 11 — — $52,934.22 $88,223.70 $58,815.80 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
312 MS_DRG Syncope And Collapse 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
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 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
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
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
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
669 MS_DRG Transurethral 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
670 MS_DRG Transurethral Procedures Without Cc/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
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
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
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
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
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
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
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
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
671 MS_DRG Urethral Procedures 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
693 MS_DRG Urinary Stones With Mcc 11 11 — — $47,871.38 $79,785.63 $53,190.42 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
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
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
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
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
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
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
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
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
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
263 MS_DRG Vein Ligation And Stripping 11 11 — — $48,186.14 $80,310.24 $53,540.16 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
31 MS_DRG Ventricular Shunt Procedures With 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
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
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
902 MS_DRG Wound Debridements For Injuries With Cc 11 11 — — $35,819.15 $59,698.59 $39,799.06 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
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 11 11 — — $35,819.15 $59,698.59 $39,799.06 2025-09-11
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