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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

SUBURBAN HOSPITAL

Bethesda, MD · CCN 210022 · Rates published

615 distinct procedures filed
33 distinct payers
19,294 rate rows
2025-07-01 last MRF observed · ⚠ 15 mo old
Data quality

7,626 of 19,294 rate rows are consumer-grade (39.5%)

11,668 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 11,668

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old.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://jhm-web-assets.s3.amazonaws.com/hopkinsmedicine/prod/charge-fees/520610545_SuburbanHospital_standardcharges.csv
Found on page https://www.hopkinsmedicine.org/patient_care/patients-visitors/billing-insurance/pay-bill/charges-fees.html
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 15df29a2cd711970… · 4,364,400 bytes · first seen 2026-05-13

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… 9 $271,401.36 $271,401.36 $271,401.36 nat. median
$145,435
1.9× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 $224,402.87 $224,402.87 $224,402.87 nat. median
$31,991
outlier · 7.0×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 $177,084.27 $177,084.27 $177,084.27 nat. median
$37,371
outlier · 4.7×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $163,027.54 $163,027.54 $163,027.54 nat. median
$55,935
outlier · 2.9×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $150,815.01 $150,815.01 $150,815.01 nat. median
$51,518
outlier · 2.9×
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 $136,676.95 $136,676.95 $136,676.95 nat. median
$23,000
outlier · 5.9×
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 $136,676.78 $136,676.78 $136,676.78 nat. median
$22,918
outlier · 6.0×
922
MS_DRG 		Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 1 $135,327.26 $135,327.26 $135,327.26 nat. median
$12,029
outlier · 11.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $126,330.29 $126,330.29 $126,330.29 nat. median
$97,418
1.3× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 13 $118,335.98 $118,335.98 $118,335.98 nat. median
$33,435
outlier · 3.5×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $113,844.61 $113,844.61 $113,844.61 nat. median
$55,923
outlier · 2.0×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $111,338.72 $111,338.72 $111,338.72 nat. median
$30,649
outlier · 3.6×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $104,714.25 $104,714.25 $104,714.25 nat. median
$69,822
1.5× median
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 $104,125.10 $104,125.10 $104,125.10 nat. median
$22,579
outlier · 4.6×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $103,799.05 $103,799.05 $103,799.05 nat. median
$2,958
outlier · 35.1×
500
MS_DRG 		Soft Tissue Procedures With Mcc 1 $101,972.04 $101,972.04 $101,972.04 nat. median
$22,181
outlier · 4.6×
31
MS_DRG 		Ventricular Shunt Procedures With Mcc 1 $101,197.85 $101,197.85 $101,197.85 nat. median
$30,700
outlier · 3.3×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 4 $101,181.07 $101,181.07 $101,181.07 nat. median
$38,795
outlier · 2.6×
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 3 $98,086.79 $98,086.79 $98,086.79 nat. median
$12,760
outlier · 7.7×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $97,945.81 $97,945.81 $97,945.81 nat. median
$47,458
outlier · 2.1×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $97,100.15 $97,100.15 $97,100.15 nat. median
$2,106
outlier · 46.1×
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 1 $97,024.84 $97,024.84 $97,024.84 nat. median
$25,494
outlier · 3.8×
904
MS_DRG 		Skin Grafts For Injuries With Cc/Mcc 1 $96,302.05 $96,302.05 $96,302.05 nat. median
$25,168
outlier · 3.8×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $94,888.60 $94,888.60 $94,888.60 nat. median
$9,905
outlier · 9.6×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 2 $92,396.85 $92,396.85 $92,396.85 nat. median
$35,985
outlier · 2.6×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $92,115.02 $92,115.02 $92,115.02 nat. median
$47,340
1.9× median
215
MS_DRG 		Other Heart Assist System Implant 3 $91,146.72 $91,146.72 $91,146.72 nat. median
$73,023
1.2× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 2 $90,087.72 $90,087.72 $90,087.72 nat. median
$43,803
outlier · 2.1×
668
MS_DRG 		Transurethral Procedures With Mcc 1 $89,427.33 $89,427.33 $89,427.33 nat. median
$20,640
outlier · 4.3×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $88,736.00 $88,736.00 $88,736.00 nat. median
$48,611
1.8× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $85,936.95 $85,936.95 $85,936.95 nat. median
$10,799
outlier · 8.0×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 8 $85,857.26 $85,857.26 $85,857.26 nat. median
$43,023
2.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 5 $83,679.82 $83,679.82 $83,679.82 nat. median
$47,121
1.8× median
625
MS_DRG 		Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 1 $80,453.53 $80,453.53 $80,453.53 nat. median
$20,504
outlier · 3.9×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $80,335.62 $80,335.62 $80,335.62 nat. median
$60,505
1.3× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $79,954.18 $79,954.18 $79,954.18 nat. median
$44,036
1.8× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 3 $79,710.55 $79,710.55 $79,710.55 nat. median
$34,932
outlier · 2.3×
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 $77,716.94 $77,716.94 $77,716.94 nat. median
$32,245
outlier · 2.4×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $77,283.34 $77,283.34 $77,283.34 nat. median
$2,024
outlier · 38.2×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 4 $76,780.54 $76,780.54 $76,780.54 nat. median
$2,106
outlier · 36.5×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 $74,814.48 $74,814.48 $74,814.48 nat. median
$34,733
outlier · 2.2×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $74,808.49 $74,808.49 $74,808.49 nat. median
$42,674
1.8× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 16 $74,255.43 $74,255.43 $74,255.43 nat. median
$32,531
outlier · 2.3×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 3 $73,174.21 $73,174.21 $73,174.21 nat. median
$36,541
outlier · 2.0×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 $72,097.20 $72,097.20 $72,097.20 nat. median
$40,301
1.8× median
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 $71,533.12 $71,533.12 $71,533.12 nat. median
$28,888
outlier · 2.5×
406
MS_DRG 		Pancreas, Liver And Shunt Procedures With Cc 4 $70,787.55 $70,787.55 $70,787.55 nat. median
$20,699
outlier · 3.4×
715
MS_DRG 		Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 1 $68,795.10 $68,795.10 $68,795.10 nat. median
$15,695
outlier · 4.4×
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 $67,019.24 $67,019.24 $67,019.24 nat. median
$30,768
outlier · 2.2×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 $65,984.16 $65,984.16 $65,984.16 nat. median
$27,920
outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 615 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
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 9 — — $271,401.36 $271,401.36 $271,401.36 2025-07-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 5 — — $224,402.87 $224,402.87 $224,402.87 2025-07-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 1 — — $177,084.27 $177,084.27 $177,084.27 2025-07-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 9 — — $163,027.54 $163,027.54 $163,027.54 2025-07-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 3 — — $150,815.01 $150,815.01 $150,815.01 2025-07-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 8 3 — — $136,676.95 $136,676.95 $136,676.95 2025-07-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 2 1 — — $136,676.78 $136,676.78 $136,676.78 2025-07-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 2 1 — — $135,327.26 $135,327.26 $135,327.26 2025-07-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 7 — — $126,330.29 $126,330.29 $126,330.29 2025-07-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 13 — — $118,335.98 $118,335.98 $118,335.98 2025-07-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 6 — — $113,844.61 $113,844.61 $113,844.61 2025-07-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — — $111,338.72 $111,338.72 $111,338.72 2025-07-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 2 — — $104,714.25 $104,714.25 $104,714.25 2025-07-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 2 — — $104,125.10 $104,125.10 $104,125.10 2025-07-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 1 — — $103,799.05 $103,799.05 $103,799.05 2025-07-01
500 MS_DRG Soft Tissue Procedures With Mcc 2 1 — — $101,972.04 $101,972.04 $101,972.04 2025-07-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 1 — — $101,197.85 $101,197.85 $101,197.85 2025-07-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 4 — — $101,181.07 $101,181.07 $101,181.07 2025-07-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 6 3 — — $98,086.79 $98,086.79 $98,086.79 2025-07-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 2 — — $97,945.81 $97,945.81 $97,945.81 2025-07-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $97,100.15 $97,100.15 $97,100.15 2025-07-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 1 — — $97,024.84 $97,024.84 $97,024.84 2025-07-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 2 1 — — $96,302.05 $96,302.05 $96,302.05 2025-07-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 3 — — $94,888.60 $94,888.60 $94,888.60 2025-07-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 2 — — $92,396.85 $92,396.85 $92,396.85 2025-07-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 2 — — $92,115.02 $92,115.02 $92,115.02 2025-07-01
215 MS_DRG Other Heart Assist System Implant 6 3 — — $91,146.72 $91,146.72 $91,146.72 2025-07-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 2 — — $90,087.72 $90,087.72 $90,087.72 2025-07-01
668 MS_DRG Transurethral Procedures With Mcc 2 1 — — $89,427.33 $89,427.33 $89,427.33 2025-07-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 11 — — $88,736.00 $88,736.00 $88,736.00 2025-07-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 2 — — $85,936.95 $85,936.95 $85,936.95 2025-07-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 8 — — $85,857.26 $85,857.26 $85,857.26 2025-07-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 14 5 — — $83,679.82 $83,679.82 $83,679.82 2025-07-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 2 1 — — $80,453.53 $80,453.53 $80,453.53 2025-07-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 2 — — $80,335.62 $80,335.62 $80,335.62 2025-07-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 4 — — $79,954.18 $79,954.18 $79,954.18 2025-07-01
471 MS_DRG Cervical Spinal Fusion With Mcc 6 3 — — $79,710.55 $79,710.55 $79,710.55 2025-07-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 1 — — $77,716.94 $77,716.94 $77,716.94 2025-07-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 1 — — $77,283.34 $77,283.34 $77,283.34 2025-07-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 8 4 — — $76,780.54 $76,780.54 $76,780.54 2025-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 58 16 — — $74,814.48 $74,814.48 $74,814.48 2025-07-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 4 — — $74,808.49 $74,808.49 $74,808.49 2025-07-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 46 16 — — $74,255.43 $74,255.43 $74,255.43 2025-07-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 3 — — $73,174.21 $73,174.21 $73,174.21 2025-07-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 10 — — $72,097.20 $72,097.20 $72,097.20 2025-07-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 8 3 — — $71,533.12 $71,533.12 $71,533.12 2025-07-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 8 4 — — $70,787.55 $70,787.55 $70,787.55 2025-07-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 2 1 — — $68,795.10 $68,795.10 $68,795.10 2025-07-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 5 — — $67,019.24 $67,019.24 $67,019.24 2025-07-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 5 — — $65,984.16 $65,984.16 $65,984.16 2025-07-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 7 — — $65,822.89 $65,822.89 $65,822.89 2025-07-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 14 7 — — $65,293.01 $65,293.01 $65,293.01 2025-07-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 1 — — $64,642.57 $64,642.57 $64,642.57 2025-07-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 3 — — $63,941.38 $63,941.38 $63,941.38 2025-07-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 7 — — $63,606.86 $63,606.86 $63,606.86 2025-07-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 9 — — $62,797.06 $62,797.06 $62,797.06 2025-07-01
28 MS_DRG Spinal Procedures With Mcc 2 1 — — $62,345.07 $62,345.07 $62,345.07 2025-07-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 8 — — $61,732.43 $61,732.43 $61,732.43 2025-07-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 2 — — $61,441.79 $61,441.79 $61,441.79 2025-07-01
140 MS_DRG Major Head And Neck Procedures With Mcc 4 2 — — $59,936.03 $59,936.03 $59,936.03 2025-07-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 2 1 — — $59,750.33 $59,750.33 $59,750.33 2025-07-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 8 — — $59,738.44 $59,738.44 $59,738.44 2025-07-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 1 — — $59,461.23 $59,461.23 $59,461.23 2025-07-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 18 9 — — $59,144.08 $59,144.08 $59,144.08 2025-07-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 2 — — $58,872.38 $58,872.38 $58,872.38 2025-07-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 2 1 — — $58,589.84 $58,589.84 $58,589.84 2025-07-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 2 1 — — $58,420.56 $58,420.56 $58,420.56 2025-07-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 16 6 — — $57,637.63 $57,637.63 $57,637.63 2025-07-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 6 3 — — $57,271.94 $57,271.94 $57,271.94 2025-07-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 6 3 — — $57,198.88 $57,198.88 $57,198.88 2025-07-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 10 — — $57,058.14 $57,058.14 $57,058.14 2025-07-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 10 — — $56,037.88 $56,037.88 $56,037.88 2025-07-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 3 — — $54,605.39 $54,605.39 $54,605.39 2025-07-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 6 3 — — $54,392.52 $54,392.52 $54,392.52 2025-07-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 6 — — $54,334.42 $54,334.42 $54,334.42 2025-07-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 6 2 — — $54,004.81 $54,004.81 $54,004.81 2025-07-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 8 4 — — $53,967.53 $53,967.53 $53,967.53 2025-07-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 20 8 — — $53,747.76 $53,747.76 $53,747.76 2025-07-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 6 — — $52,999.61 $52,999.61 $52,999.61 2025-07-01
263 MS_DRG Vein Ligation And Stripping 2 1 — — $52,287.10 $52,287.10 $52,287.10 2025-07-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 16 5 — — $51,449.39 $51,449.39 $51,449.39 2025-07-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 4 2 — — $50,957.06 $50,957.06 $50,957.06 2025-07-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 12 4 — — $50,931.99 $50,931.99 $50,931.99 2025-07-01
100 MS_DRG Seizures With Mcc 10 4 — — $50,625.96 $50,625.96 $50,625.96 2025-07-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 4 — — $50,514.37 $50,514.37 $50,514.37 2025-07-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 7 — — $50,373.19 $50,373.19 $50,373.19 2025-07-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 1 — — $50,077.08 $50,077.08 $50,077.08 2025-07-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 1 — — $49,004.28 $49,004.28 $49,004.28 2025-07-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 2 1 — — $48,184.50 $48,184.50 $48,184.50 2025-07-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 5 — — $46,879.99 $46,879.99 $46,879.99 2025-07-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 40 12 — — $46,668.48 $46,668.48 $46,668.48 2025-07-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 16 6 — — $46,295.85 $46,295.85 $46,295.85 2025-07-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 2 — — $45,916.59 $45,916.59 $45,916.59 2025-07-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 28 10 — — $45,533.32 $45,533.32 $45,533.32 2025-07-01
551 MS_DRG Medical Back Problems With Mcc 4 2 — — $44,827.02 $44,827.02 $44,827.02 2025-07-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 58 14 — — $44,743.86 $44,743.86 $44,743.86 2025-07-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 30 11 — — $44,359.53 $44,359.53 $44,359.53 2025-07-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 4 2 — — $43,828.07 $43,828.07 $43,828.07 2025-07-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 3 — — $43,460.67 $43,460.67 $43,460.67 2025-07-01
141 MS_DRG Major Head And Neck Procedures With Cc 10 4 — — $43,081.01 $43,081.01 $43,081.01 2025-07-01
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 16 8 — — $42,786.07 $42,786.07 $42,786.07 2025-07-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 2 1 — — $42,645.35 $42,645.35 $42,645.35 2025-07-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 6 — — $42,405.92 $42,405.92 $42,405.92 2025-07-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 8 3 — — $42,060.07 $42,060.07 $42,060.07 2025-07-01
902 MS_DRG Wound Debridements For Injuries With Cc 4 2 — — $41,963.64 $41,963.64 $41,963.64 2025-07-01
55 MS_DRG Nervous System Neoplasms Without Mcc 4 2 — — $41,337.61 $41,337.61 $41,337.61 2025-07-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 12 6 — — $41,227.80 $41,227.80 $41,227.80 2025-07-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 12 6 — — $40,411.82 $40,411.82 $40,411.82 2025-07-01
374 MS_DRG Digestive Malignancy With Mcc 16 8 — — $39,723.79 $39,723.79 $39,723.79 2025-07-01
570 MS_DRG Skin Debridement With Mcc 4 2 — — $39,448.29 $39,448.29 $39,448.29 2025-07-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 18 7 — — $38,833.41 $38,833.41 $38,833.41 2025-07-01
252 MS_DRG Other Vascular Procedures With Mcc 12 4 — — $38,634.63 $38,634.63 $38,634.63 2025-07-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 4 2 — — $38,560.28 $38,560.28 $38,560.28 2025-07-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 12 6 — — $38,471.99 $38,471.99 $38,471.99 2025-07-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 8 4 — — $38,080.49 $38,080.49 $38,080.49 2025-07-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 10 4 — — $38,072.54 $38,072.54 $38,072.54 2025-07-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 46 16 — — $38,054.01 $38,054.01 $38,054.01 2025-07-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/Mcc 2 1 — — $38,046.44 $38,046.44 $38,046.44 2025-07-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 42 12 — — $37,695.25 $37,695.25 $37,695.25 2025-07-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 8 4 — — $37,630.38 $37,630.38 $37,630.38 2025-07-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 6 — — $37,190.61 $37,190.61 $37,190.61 2025-07-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 8 3 — — $37,169.83 $37,169.83 $37,169.83 2025-07-01
834 MS_DRG Acute Leukemia With Mcc 8 3 — — $37,073.57 $37,073.57 $37,073.57 2025-07-01
37 MS_DRG Extracranial Procedures With Mcc 2 1 — — $36,464.20 $36,464.20 $36,464.20 2025-07-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 4 2 — — $35,749.78 $35,749.78 $35,749.78 2025-07-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 8 — — $35,572.47 $35,572.47 $35,572.47 2025-07-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 6 3 — — $35,308.03 $35,308.03 $35,308.03 2025-07-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 2 — — $35,169.10 $35,169.10 $35,169.10 2025-07-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 4 — — $35,126.04 $35,126.04 $35,126.04 2025-07-01
163 MS_DRG Major Chest Procedures With Mcc 8 2 — — $35,078.57 $35,078.57 $35,078.57 2025-07-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 5 — — $34,945.19 $34,945.19 $34,945.19 2025-07-01
977 MS_DRG HIV With Or Without Other Related Condition 4 2 — — $34,860.09 $34,860.09 $34,860.09 2025-07-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 36 13 — — $34,829.55 $34,829.55 $34,829.55 2025-07-01
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/Mcc 4 2 — — $34,734.07 $34,734.07 $34,734.07 2025-07-01
811 MS_DRG Red Blood Cell Disorders With Mcc 16 7 — — $34,728.97 $34,728.97 $34,728.97 2025-07-01
334 MS_DRG Rectal Resection Without Cc/Mcc 2 1 — — $34,320.69 $34,320.69 $34,320.69 2025-07-01
253 MS_DRG Other Vascular Procedures With Cc 16 8 — — $33,841.25 $33,841.25 $33,841.25 2025-07-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 2 1 — — $33,825.80 $33,825.80 $33,825.80 2025-07-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 4 2 — — $33,480.11 $33,480.11 $33,480.11 2025-07-01
884 MS_DRG Organic Disturbances And Intellectual Disability 4 2 — — $33,408.18 $33,408.18 $33,408.18 2025-07-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 12 5 — — $33,390.94 $33,390.94 $33,390.94 2025-07-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 8 3 — — $33,267.17 $33,267.17 $33,267.17 2025-07-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 12 5 — — $33,254.03 $33,254.03 $33,254.03 2025-07-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 20 8 — — $33,094.07 $33,094.07 $33,094.07 2025-07-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 22 9 — — $32,593.94 $32,593.94 $32,593.94 2025-07-01
813 MS_DRG Coagulation Disorders 16 8 — — $32,562.99 $32,562.99 $32,562.99 2025-07-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 20 9 — — $32,402.15 $32,402.15 $32,402.15 2025-07-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 6 3 — — $32,391.43 $32,391.43 $32,391.43 2025-07-01
472 MS_DRG Cervical Spinal Fusion With Cc 28 11 — — $32,182.20 $32,182.20 $32,182.20 2025-07-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 5 — — $31,950.76 $31,950.76 $31,950.76 2025-07-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 12 6 — — $31,940.51 $31,940.51 $31,940.51 2025-07-01
113 MS_DRG Orbital Procedures With Cc/Mcc 2 1 — — $31,923.87 $31,923.87 $31,923.87 2025-07-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 2 1 — — $31,879.05 $31,879.05 $31,879.05 2025-07-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 2 1 — — $31,823.81 $31,823.81 $31,823.81 2025-07-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 14 7 — — $31,687.17 $31,687.17 $31,687.17 2025-07-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 4 2 — — $31,629.12 $31,629.12 $31,629.12 2025-07-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 4 2 — — $31,544.97 $31,544.97 $31,544.97 2025-07-01
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/Mcc 4 2 — — $31,534.58 $31,534.58 $31,534.58 2025-07-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 2 1 — — $31,068.87 $31,068.87 $31,068.87 2025-07-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 18 9 — — $30,907.26 $30,907.26 $30,907.26 2025-07-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 2 1 — — $30,874.06 $30,874.06 $30,874.06 2025-07-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 4 2 — — $30,849.01 $30,849.01 $30,849.01 2025-07-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 14 7 — — $30,679.40 $30,679.40 $30,679.40 2025-07-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 6 3 — — $30,391.69 $30,391.69 $30,391.69 2025-07-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 12 5 — — $29,693.24 $29,693.24 $29,693.24 2025-07-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 24 9 — — $29,650.96 $29,650.96 $29,650.96 2025-07-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 8 3 — — $29,554.95 $29,554.95 $29,554.95 2025-07-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 16 7 — — $29,523.94 $29,523.94 $29,523.94 2025-07-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 4 2 — — $29,364.51 $29,364.51 $29,364.51 2025-07-01
682 MS_DRG Renal Failure With Mcc 22 7 — — $29,101.79 $29,101.79 $29,101.79 2025-07-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 24 9 — — $29,097.94 $29,097.94 $29,097.94 2025-07-01
368 MS_DRG Major Esophageal Disorders With Mcc 6 3 — — $28,867.53 $28,867.53 $28,867.53 2025-07-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 12 4 — — $28,786.51 $28,786.51 $28,786.51 2025-07-01
654 MS_DRG Major Bladder Procedures With Cc 6 2 — — $28,713.65 $28,713.65 $28,713.65 2025-07-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 6 3 — — $28,659.90 $28,659.90 $28,659.90 2025-07-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 12 5 — — $28,442.92 $28,442.92 $28,442.92 2025-07-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 8 3 — — $28,421.08 $28,421.08 $28,421.08 2025-07-01
5232 OTHER Level 2 Icd And Similar Procedures 36 11 — — $28,411.35 $28,411.35 $28,411.35 2025-07-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 2 1 — — $28,083.07 $28,083.07 $28,083.07 2025-07-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 3 — — $27,938.89 $27,938.89 $27,938.89 2025-07-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 2 — — $27,625.44 $27,625.44 $27,625.44 2025-07-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 4 2 — — $27,618.61 $27,618.61 $27,618.61 2025-07-01
5378 OTHER Level 8 Urology And Related Services 2 1 — — $27,565.20 $27,565.20 $27,565.20 2025-07-01
181 MS_DRG Respiratory Neoplasms With Cc 8 3 — — $27,454.42 $27,454.42 $27,454.42 2025-07-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 22 7 — — $27,258.38 $27,258.38 $27,258.38 2025-07-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 8 3 — — $27,232.94 $27,232.94 $27,232.94 2025-07-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 108 23 — — $27,185.56 $27,185.56 $27,185.56 2025-07-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 1 — — $27,143.62 $27,143.62 $27,143.62 2025-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 3 — — $27,135.74 $27,135.74 $27,135.74 2025-07-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 20 7 — — $27,052.24 $27,052.24 $27,052.24 2025-07-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 6 3 — — $26,993.66 $26,993.66 $26,993.66 2025-07-01
915 MS_DRG Allergic Reactions With Mcc 2 1 — — $26,667.64 $26,667.64 $26,667.64 2025-07-01
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc 8 4 — — $26,453.63 $26,453.63 $26,453.63 2025-07-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 24 10 — — $26,428.40 $26,428.40 $26,428.40 2025-07-01
180 MS_DRG Respiratory Neoplasms With Mcc 12 4 — — $26,302.61 $26,302.61 $26,302.61 2025-07-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 12 6 — — $26,298.98 $26,298.98 $26,298.98 2025-07-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 20 6 — — $26,285.26 $26,285.26 $26,285.26 2025-07-01
264 MS_DRG Other Circulatory System O.r. Procedures 2 1 — — $26,258.61 $26,258.61 $26,258.61 2025-07-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 3 — — $26,215.65 $26,215.65 $26,215.65 2025-07-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 16 7 — — $25,958.78 $25,958.78 $25,958.78 2025-07-01
800 MS_DRG Splenic Procedures With Cc 2 1 — — $25,790.37 $25,790.37 $25,790.37 2025-07-01
348 MS_DRG Anal And Stomal Procedures With Cc 2 1 — — $25,786.98 $25,786.98 $25,786.98 2025-07-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 2 — — $25,698.53 $25,698.53 $25,698.53 2025-07-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 18 7 — — $25,570.87 $25,570.87 $25,570.87 2025-07-01
670 MS_DRG Transurethral Procedures Without Cc/Mcc 2 1 — — $25,460.65 $25,460.65 $25,460.65 2025-07-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 4 2 — — $25,447.20 $25,447.20 $25,447.20 2025-07-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 5 — — $25,423.97 $25,423.97 $25,423.97 2025-07-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 34 11 — — $25,349.85 $25,349.85 $25,349.85 2025-07-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 2 1 — — $25,310.44 $25,310.44 $25,310.44 2025-07-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 4 2 — — $25,099.74 $25,099.74 $25,099.74 2025-07-01
5166 OTHER Cochlear Implant Procedure 32 13 — — $25,098.19 $25,098.19 $25,098.19 2025-07-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 8 3 — — $24,945.31 $24,945.31 $24,945.31 2025-07-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 2 — — $24,892.26 $24,892.26 $24,892.26 2025-07-01
9513 OTHER Plasma, Frz Between 8-24hour 2 1 — — $24,871.17 $24,871.17 $24,871.17 2025-07-01
92 MS_DRG Other Disorders Of Nervous System With Cc 12 5 — — $24,706.79 $24,706.79 $24,706.79 2025-07-01
382 MS_DRG Complicated Peptic Ulcer Without Cc/Mcc 2 1 — — $24,446.21 $24,446.21 $24,446.21 2025-07-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 16 7 — — $24,356.28 $24,356.28 $24,356.28 2025-07-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 2 — — $24,173.08 $24,173.08 $24,173.08 2025-07-01
137 MS_DRG Mouth Procedures With Cc/Mcc 2 1 — — $24,002.77 $24,002.77 $24,002.77 2025-07-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 32 14 — — $23,979.94 $23,979.94 $23,979.94 2025-07-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 8 2 — — $23,933.05 $23,933.05 $23,933.05 2025-07-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 6 2 — — $23,820.60 $23,820.60 $23,820.60 2025-07-01
637 MS_DRG Diabetes With Mcc 20 10 — — $23,809.13 $23,809.13 $23,809.13 2025-07-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 2 1 — — $23,689.14 $23,689.14 $23,689.14 2025-07-01
546 MS_DRG Connective Tissue Disorders With Cc 10 4 — — $23,579.20 $23,579.20 $23,579.20 2025-07-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 1 — — $23,551.53 $23,551.53 $23,551.53 2025-07-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 4 2 — — $23,532.72 $23,532.72 $23,532.72 2025-07-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 8 4 — — $23,495.92 $23,495.92 $23,495.92 2025-07-01
5721 OTHER Level 1 Diagnostic Tests And Related Services 12 6 — — $23,486.84 $23,486.84 $23,486.84 2025-07-01
5213 OTHER Level 3 Electrophysiologic Procedures 74 16 — — $23,435.02 $23,435.02 $23,435.02 2025-07-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 1 — — $23,329.75 $23,329.75 $23,329.75 2025-07-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 6 3 — — $23,230.60 $23,230.60 $23,230.60 2025-07-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 10 4 — — $23,147.13 $23,147.13 $23,147.13 2025-07-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 4 2 — — $23,104.26 $23,104.26 $23,104.26 2025-07-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 34 11 — — $23,063.30 $23,063.30 $23,063.30 2025-07-01
199 MS_DRG Pneumothorax With Mcc 8 4 — — $23,026.96 $23,026.96 $23,026.96 2025-07-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 2 1 — — $22,939.13 $22,939.13 $22,939.13 2025-07-01
974 MS_DRG HIV With Major Related Condition With Mcc 6 3 — — $22,836.54 $22,836.54 $22,836.54 2025-07-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 6 3 — — $22,664.01 $22,664.01 $22,664.01 2025-07-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 6 3 — — $22,592.33 $22,592.33 $22,592.33 2025-07-01
32 MS_DRG Ventricular Shunt Procedures With Cc 2 1 — — $22,537.78 $22,537.78 $22,537.78 2025-07-01
5231 OTHER Level 1 Icd And Similar Procedures 12 5 — — $22,521.81 $22,521.81 $22,521.81 2025-07-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 10 5 — — $22,317.90 $22,317.90 $22,317.90 2025-07-01
501 MS_DRG Soft Tissue Procedures With Cc 6 3 — — $22,273.87 $22,273.87 $22,273.87 2025-07-01
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/Mcc 4 1 — — $22,232.88 $22,232.88 $22,232.88 2025-07-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 16 5 — — $22,210.56 $22,210.56 $22,210.56 2025-07-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 10 5 — — $22,071.88 $22,071.88 $22,071.88 2025-07-01
186 MS_DRG Pleural Effusion With Mcc 6 2 — — $22,014.72 $22,014.72 $22,014.72 2025-07-01
627 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc 2 1 — — $21,999.92 $21,999.92 $21,999.92 2025-07-01
398 MS_DRG Appendix Procedures With Cc 12 6 — — $21,985.49 $21,985.49 $21,985.49 2025-07-01
5114 OTHER Level 4 Musculoskeletal Procedures 92 18 — — $21,764.12 $21,764.12 $21,764.12 2025-07-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 2 1 — — $21,758.07 $21,758.07 $21,758.07 2025-07-01
919 MS_DRG Complications Of Treatment With Mcc 12 6 — — $21,740.90 $21,740.90 $21,740.90 2025-07-01
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 2 1 — — $21,657.17 $21,657.17 $21,657.17 2025-07-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 12 4 — — $21,536.33 $21,536.33 $21,536.33 2025-07-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 30 13 — — $21,518.88 $21,518.88 $21,518.88 2025-07-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 20 8 — — $21,487.51 $21,487.51 $21,487.51 2025-07-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 20 9 — — $21,486.09 $21,486.09 $21,486.09 2025-07-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 4 2 — — $21,477.72 $21,477.72 $21,477.72 2025-07-01
5194 OTHER Level 4 Endovascular Procedures 28 10 — — $21,390.74 $21,390.74 $21,390.74 2025-07-01
552 MS_DRG Medical Back Problems Without Mcc 26 8 — — $21,371.83 $21,371.83 $21,371.83 2025-07-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 18 9 — — $21,275.73 $21,275.73 $21,275.73 2025-07-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 1 — — $21,226.46 $21,226.46 $21,226.46 2025-07-01
5613 OTHER Level 3 Therapeutic Radiation Treatment Preparation 4 2 — — $21,220.70 $21,220.70 $21,220.70 2025-07-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 12 5 — — $21,173.45 $21,173.45 $21,173.45 2025-07-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 24 9 — — $20,945.10 $20,945.10 $20,945.10 2025-07-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 4 2 — — $20,888.42 $20,888.42 $20,888.42 2025-07-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 2 1 — — $20,884.56 $20,884.56 $20,884.56 2025-07-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 48 17 — — $20,864.91 $20,864.91 $20,864.91 2025-07-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 4 2 — — $20,741.03 $20,741.03 $20,741.03 2025-07-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 10 4 — — $20,590.47 $20,590.47 $20,590.47 2025-07-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 2 1 — — $20,582.08 $20,582.08 $20,582.08 2025-07-01
290 MS_DRG Acute And Subacute Endocarditis Without Cc/Mcc 2 1 — — $20,496.00 $20,496.00 $20,496.00 2025-07-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 12 6 — — $20,381.71 $20,381.71 $20,381.71 2025-07-01
54 MS_DRG Nervous System Neoplasms With Mcc 20 7 — — $20,335.29 $20,335.29 $20,335.29 2025-07-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 32 9 — — $20,251.78 $20,251.78 $20,251.78 2025-07-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 2 1 — — $20,052.77 $20,052.77 $20,052.77 2025-07-01
5115 OTHER Level 5 Musculoskeletal Procedures 116 21 — — $20,039.63 $20,039.63 $20,039.63 2025-07-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 8 4 — — $20,004.89 $20,004.89 $20,004.89 2025-07-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 22 9 — — $19,994.25 $19,994.25 $19,994.25 2025-07-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 24 10 — — $19,927.51 $19,927.51 $19,927.51 2025-07-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 5 — — $19,899.99 $19,899.99 $19,899.99 2025-07-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 2 1 — — $19,812.97 $19,812.97 $19,812.97 2025-07-01
136 MS_DRG Sinus And Mastoid Procedures Without Cc/Mcc 2 1 — — $19,571.86 $19,571.86 $19,571.86 2025-07-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 10 4 — — $19,557.51 $19,557.51 $19,557.51 2025-07-01
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/Mcc 4 2 — — $19,359.47 $19,359.47 $19,359.47 2025-07-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 6 2 — — $19,354.23 $19,354.23 $19,354.23 2025-07-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 56 15 — — $19,347.37 $19,347.37 $19,347.37 2025-07-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 2 1 — — $19,343.30 $19,343.30 $19,343.30 2025-07-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 26 11 — — $19,262.88 $19,262.88 $19,262.88 2025-07-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc 10 3 — — $19,260.43 $19,260.43 $19,260.43 2025-07-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 18 7 — — $19,111.08 $19,111.08 $19,111.08 2025-07-01
693 MS_DRG Urinary Stones With Mcc 8 3 — — $19,103.06 $19,103.06 $19,103.06 2025-07-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 10 4 — — $18,809.83 $18,809.83 $18,809.83 2025-07-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 28 10 — — $18,798.67 $18,798.67 $18,798.67 2025-07-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 82 22 — — $18,789.23 $18,789.23 $18,789.23 2025-07-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 8 4 — — $18,616.85 $18,616.85 $18,616.85 2025-07-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 2 1 — — $18,589.15 $18,589.15 $18,589.15 2025-07-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 24 9 — — $18,561.80 $18,561.80 $18,561.80 2025-07-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 26 9 — — $18,429.34 $18,429.34 $18,429.34 2025-07-01
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