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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

FREEMAN HEALTH SYSTEM - FREEMAN WEST

Joplin, MO · CCN 260137 · Rates published

764 distinct procedures filed
207 distinct payers
11,093 rate rows
2025-05-01 last MRF observed · ⚠ 17 mo old
Data quality

7,439 of 11,093 rate rows are consumer-grade (67.1%)

3,654 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 3,584
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 70

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pxi=6jfsMTxTRHjVyzbY3hcASw*-*&f=iFd*_*cEPwhQHJy3lVvHy9uQ*-*
Found on page https://hospitalpricedisclosure.com/Default.aspx?ci=LIPBmUR35JN0Gka3hlnyRA*-*
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-10
Content fingerprint 00cdaddc5d33f3b7… · 9,042,749 bytes · first seen 2026-05-06

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
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 $22,684.24 $658,944.32 $340,814.28 nat. median
$23,000
outlier · 14.8×
215
MS_DRG 		Other Heart Assist System Implant 5 $14,507.80 $176,266.59 $97,778.63 nat. median
$73,023
1.3× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $85,473.67 $85,473.67 $85,473.67 nat. median
$47,340
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $43,249.34 $103,260.95 $69,885.55 nat. median
$97,418
0.7× median
34
MS_DRG 		Carotid Artery Stent Procedures With Mcc 1 $67,746.56 $67,746.56 $67,746.56 nat. median
$27,223
outlier · 2.5×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 $36,233.16 $98,447.21 $67,340.18 nat. median
$40,301
1.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $43,896.45 $90,348.04 $66,904.68 nat. median
$49,569
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $1,782.92 $140,542.80 $63,277.40 nat. median
$145,435
outlier · 0.4×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 4 $37,610.11 $81,306.59 $62,302.07 nat. median
$43,023
1.4× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 5 $7,152.52 $221,355.96 $61,251.10 nat. median
$26,211
outlier · 2.3×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 3 $39,526.88 $102,861.04 $60,743.84 nat. median
$43,803
1.4× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $14,092.38 $136,022.42 $54,357.00 nat. median
$55,935
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $2,790.28 $119,540.72 $53,997.97 nat. median
$52,327
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $9,299.04 $73,815.03 $51,786.30 nat. median
$69,822
0.7× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $22,545.46 $107,782.70 $48,993.41 nat. median
$44,036
1.1× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 10 $4,269.12 $268,766.95 $48,658.70 nat. median
$35,986
1.4× median
829
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 $21,938.35 $74,271.45 $48,104.90 nat. median
$22,178
outlier · 2.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $43,670.79 $52,222.27 $47,946.53 nat. median
$55,923
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $34,878.50 $62,904.57 $46,666.99 nat. median
$48,611
1.0× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $10,957.37 $90,500.82 $46,115.00 nat. median
$38,832
1.2× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 3 $2,186.35 $141,640.98 $45,143.98 nat. median
$34,932
1.3× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 13 $2,160.15 $101,586.15 $45,031.36 nat. median
$2,106
outlier · 21.4×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $44,637.32 $45,400.79 $45,019.06 nat. median
$2,106
outlier · 21.4×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 7 $26,747.26 $68,209.36 $43,808.49 nat. median
$2,106
outlier · 20.8×
9236
OTHER 		Eculizumab Injection 2 $26,746.61 $53,598.22 $40,172.42 nat. median
$229
outlier · 175.3×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 $16,299.37 $110,791.29 $39,619.84 nat. median
$34,616
1.1× median
163
MS_DRG 		Major Chest Procedures With Mcc 9 $1,770.00 $81,337.88 $38,644.78 nat. median
$31,995
1.2× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 5 $21,940.98 $62,710.80 $38,312.49 nat. median
$47,121
0.8× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 $23,612.75 $63,173.97 $38,229.84 nat. median
$24,752
1.5× median
5166
OTHER 		Cochlear Implant Procedure 7 $28,115.45 $57,512.52 $38,046.98 nat. median
$32,776
1.2× median
653
MS_DRG 		Major Bladder Procedures With Mcc 1 $37,918.99 $37,918.99 $37,918.99 nat. median
$36,547
1.0× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 $37,886.97 $37,886.97 $37,886.97 nat. median
$33,583
1.1× median
296
MS_DRG 		Cardiac Arrest, Unexplained With Mcc 2 $10,070.05 $64,280.83 $37,175.44 nat. median
$11,574
outlier · 3.2×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 $12,646.72 $63,637.78 $36,603.74 nat. median
$39,159
0.9× median
959
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 1 $35,722.93 $35,722.93 $35,722.93 nat. median
$19,279
1.9× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 $34,500.66 $34,500.66 $34,500.66 nat. median
$37,371
0.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 $2,458.07 $92,971.19 $34,402.25 nat. median
$34,733
1.0× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 2 $31,691.97 $36,744.37 $34,218.17 nat. median
$38,795
0.9× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 2 $32,550.26 $34,886.12 $33,718.19 nat. median
$35,985
0.9× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 3 $24,433.39 $55,930.28 $33,563.64 nat. median
$30,358
1.1× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 $2,790.28 $55,866.54 $33,141.53 nat. median
$43,533
0.8× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 10 $1,225.00 $77,941.90 $32,144.38 nat. median
$33,435
1.0× median
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 $1,225.00 $62,758.35 $31,991.67 nat. median
$24,748
1.3× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 12 $1,005.00 $87,667.00 $31,513.96 nat. median
$37,725
0.8× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 $11,165.22 $77,946.69 $31,194.61 nat. median
$40,584
0.8× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 3 $30,231.76 $31,675.43 $31,177.62 nat. median
$33,459
0.9× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $30,921.87 $30,921.87 $30,921.87 nat. median
$35,297
0.9× median
799
MS_DRG 		Splenic Procedures With Mcc 1 $30,815.04 $30,815.04 $30,815.04 nat. median
$32,381
1.0× median
545
MS_DRG 		Connective Tissue Disorders With Mcc 2 $17,033.70 $43,604.19 $30,318.94 nat. median
$17,538
1.7× median
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 18 $7,299.93 $89,659.68 $30,006.23 nat. median
$30,586
1.0× median

Other procedures at this hospital

Browse this hospital's 764 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
             
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 — — $22,684.24 $658,944.32 $340,814.28 2025-05-01
215 MS_DRG Other Heart Assist System Implant 5 5 — — $14,507.80 $176,266.59 $97,778.63 2025-05-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $85,473.67 $85,473.67 $85,473.67 2025-05-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 4 — — $43,249.34 $103,260.95 $69,885.55 2025-05-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $67,746.56 $67,746.56 $67,746.56 2025-05-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $36,233.16 $98,447.21 $67,340.18 2025-05-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 3 — — $43,896.45 $90,348.04 $66,904.68 2025-05-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 6 — — $1,782.92 $140,542.80 $63,277.40 2025-05-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 4 — — $37,610.11 $81,306.59 $62,302.07 2025-05-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 5 5 — — $7,152.52 $221,355.96 $61,251.10 2025-05-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 3 — — $39,526.88 $102,861.04 $60,743.84 2025-05-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 6 — — $14,092.38 $136,022.42 $54,357.00 2025-05-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 4 — — $2,790.28 $119,540.72 $53,997.97 2025-05-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $9,299.04 $73,815.03 $51,786.30 2025-05-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 4 — — $22,545.46 $107,782.70 $48,993.41 2025-05-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 10 — — $4,269.12 $268,766.95 $48,658.70 2025-05-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 — — $21,938.35 $74,271.45 $48,104.90 2025-05-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $43,670.79 $52,222.27 $47,946.53 2025-05-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 4 — — $34,878.50 $62,904.57 $46,666.99 2025-05-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $10,957.37 $90,500.82 $46,115.00 2025-05-01
471 MS_DRG Cervical Spinal Fusion With Mcc 6 3 — — $2,186.35 $141,640.98 $45,143.98 2025-05-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 17 13 — — $2,160.15 $101,586.15 $45,031.36 2025-05-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $44,637.32 $45,400.79 $45,019.06 2025-05-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 10 7 — — $26,747.26 $68,209.36 $43,808.49 2025-05-01
9236 OTHER Eculizumab Injection 2 2 — — $26,746.61 $53,598.22 $40,172.42 2025-05-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 3 — — $16,299.37 $110,791.29 $39,619.84 2025-05-01
163 MS_DRG Major Chest Procedures With Mcc 11 9 — — $1,770.00 $81,337.88 $38,644.78 2025-05-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 7 5 — — $21,940.98 $62,710.80 $38,312.49 2025-05-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 3 — — $23,612.75 $63,173.97 $38,229.84 2025-05-01
5166 OTHER Cochlear Implant Procedure 7 7 — — $28,115.45 $57,512.52 $38,046.98 2025-05-01
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $37,918.99 $37,918.99 $37,918.99 2025-05-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $37,886.97 $37,886.97 $37,886.97 2025-05-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 2 2 — — $10,070.05 $64,280.83 $37,175.44 2025-05-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 8 — — $12,646.72 $63,637.78 $36,603.74 2025-05-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 1 1 — — $35,722.93 $35,722.93 $35,722.93 2025-05-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $34,500.66 $34,500.66 $34,500.66 2025-05-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 14 — — $2,458.07 $92,971.19 $34,402.25 2025-05-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $31,691.97 $36,744.37 $34,218.17 2025-05-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 — — $32,550.26 $34,886.12 $33,718.19 2025-05-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 3 — — $24,433.39 $55,930.28 $33,563.64 2025-05-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 3 — — $2,790.28 $55,866.54 $33,141.53 2025-05-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 10 — — $1,225.00 $77,941.90 $32,144.38 2025-05-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 2 — — $1,225.00 $62,758.35 $31,991.67 2025-05-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 12 — — $1,005.00 $87,667.00 $31,513.96 2025-05-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 10 — — $11,165.22 $77,946.69 $31,194.61 2025-05-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 3 3 — — $30,231.76 $31,675.43 $31,177.62 2025-05-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $30,921.87 $30,921.87 $30,921.87 2025-05-01
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $30,815.04 $30,815.04 $30,815.04 2025-05-01
545 MS_DRG Connective Tissue Disorders With Mcc 2 2 — — $17,033.70 $43,604.19 $30,318.94 2025-05-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 24 18 — — $7,299.93 $89,659.68 $30,006.23 2025-05-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 8 — — $13,948.56 $72,302.64 $29,997.90 2025-05-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 5 4 — — $21,471.21 $58,532.35 $29,914.69 2025-05-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $29,633.38 $29,633.38 $29,633.38 2025-05-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 4 — — $19,285.68 $45,117.40 $29,295.15 2025-05-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 9 — — $11,275.73 $50,475.50 $28,759.12 2025-05-01
347 MS_DRG Anal And Stomal Procedures With Mcc 2 2 — — $14,719.46 $42,341.73 $28,530.60 2025-05-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 3 3 — — $17,463.50 $44,886.71 $28,224.15 2025-05-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 6 — — $1,761.36 $33,736.13 $28,211.26 2025-05-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 9 6 — — $6,653.40 $61,910.57 $27,985.21 2025-05-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 4 — — $6,199.36 $59,157.02 $27,912.26 2025-05-01
37 MS_DRG Extracranial Procedures With Mcc 2 2 — — $9,618.25 $45,887.24 $27,752.74 2025-05-01
884 MS_DRG Organic Disturbances And Intellectual Disability 12 9 — — $2,304.49 $264,595.50 $27,578.11 2025-05-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 3 — — $6,975.70 $48,413.08 $27,255.95 2025-05-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 3 — — $10,164.26 $51,983.75 $26,994.32 2025-05-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 8 8 — — $9,080.90 $61,845.65 $26,965.67 2025-05-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 22 13 — — $1,472.49 $92,085.78 $26,883.96 2025-05-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/Mcc 3 3 — — $4,185.42 $48,548.65 $26,848.29 2025-05-01
140 MS_DRG Major Head And Neck Procedures With Mcc 2 2 — — $23,941.39 $29,490.87 $26,716.13 2025-05-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $26,590.94 $26,590.94 $26,590.94 2025-05-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 3 — — $22,620.98 $32,160.46 $26,529.23 2025-05-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 5 4 — — $19,346.40 $50,958.69 $25,982.78 2025-05-01
472 MS_DRG Cervical Spinal Fusion With Cc 13 8 — — $1,409.09 $92,706.65 $25,935.13 2025-05-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $1,011.44 $42,147.59 $25,813.33 2025-05-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $25,415.86 $25,415.86 $25,415.86 2025-05-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $25,177.33 $25,177.33 $25,177.33 2025-05-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $21,697.76 $28,576.54 $25,137.15 2025-05-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 4 — — $23,962.33 $26,721.94 $25,053.85 2025-05-01
949 MS_DRG Aftercare With Cc/Mcc 7 7 — — $2,843.00 $59,703.00 $24,970.66 2025-05-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 2 — — $22,218.90 $27,495.46 $24,857.18 2025-05-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 3 — — $20,909.52 $29,823.34 $24,843.49 2025-05-01
5232 OTHER Level 2 Icd And Similar Procedures 16 11 — — $41.34 $44,847.83 $24,831.10 2025-05-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 4 — — $22,184.88 $27,332.90 $24,757.87 2025-05-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 5 5 — — $13,951.40 $28,183.08 $24,475.51 2025-05-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 1 1 — — $24,471.32 $24,471.32 $24,471.32 2025-05-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $24,275.36 $24,275.36 $24,275.36 2025-05-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 3 — — $6,975.70 $52,922.43 $24,031.35 2025-05-01
164 MS_DRG Major Chest Procedures With Cc 7 7 — — $9,194.18 $47,683.24 $23,934.75 2025-05-01
999 MS_DRG Ungroupable 2 2 — — $12,097.15 $35,706.11 $23,901.63 2025-05-01
9494 OTHER Injection, Ocrelizumab 3 3 — — $2.94 $36,359.94 $23,747.79 2025-05-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 3 2 — — $15,061.82 $28,620.67 $23,646.90 2025-05-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 3 3 — — $1,409.09 $37,219.80 $23,367.66 2025-05-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 7 6 — — $6,975.70 $45,832.43 $23,347.25 2025-05-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 4 4 — — $14,711.52 $32,145.80 $23,300.36 2025-05-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 8 6 — — $17,952.55 $49,250.64 $23,180.85 2025-05-01
1745 OTHER Radium Ra223 Dichloride Ther 1 1 — — $23,062.36 $23,062.36 $23,062.36 2025-05-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 4 — — $22,373.50 $23,647.17 $23,010.74 2025-05-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 11 9 — — $1,409.09 $88,647.91 $23,001.96 2025-05-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 9 8 — — $1,542.50 $60,703.99 $22,956.86 2025-05-01
791 MS_DRG Prematurity With Major Problems 6 5 — — $9,894.60 $44,568.31 $22,924.98 2025-05-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 8 6 — — $10,809.17 $54,867.18 $22,785.69 2025-05-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 4 — — $4,185.42 $60,159.59 $22,688.06 2025-05-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 3 — — $2,846.08 $36,427.14 $22,629.80 2025-05-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 4 — — $10,535.44 $25,873.89 $22,564.31 2025-05-01
595 MS_DRG Major Skin Disorders With Mcc 2 2 — — $15,093.55 $29,964.44 $22,528.99 2025-05-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 6 — — $6,975.70 $51,792.16 $22,513.92 2025-05-01
264 MS_DRG Other Circulatory System O.r. Procedures 8 8 — — $9,687.21 $41,383.00 $22,282.65 2025-05-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 14 7 — — $19,152.55 $28,484.93 $22,192.04 2025-05-01
500 MS_DRG Soft Tissue Procedures With Mcc 2 2 — — $21,824.87 $22,071.31 $21,948.09 2025-05-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 1 1 — — $21,883.17 $21,883.17 $21,883.17 2025-05-01
5213 OTHER Level 3 Electrophysiologic Procedures 19 11 — — $4,813.60 $61,552.60 $21,522.21 2025-05-01
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 1 1 — — $21,454.63 $21,454.63 $21,454.63 2025-05-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 23 14 — — $2,208.40 $86,436.00 $21,416.29 2025-05-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $21,210.11 $21,210.11 $21,210.11 2025-05-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $18,155.74 $24,239.94 $21,197.84 2025-05-01
180 MS_DRG Respiratory Neoplasms With Mcc 4 4 — — $11,070.79 $30,630.38 $21,043.45 2025-05-01
75 MS_DRG Viral Meningitis With Cc/Mcc 1 1 — — $20,847.93 $20,847.93 $20,847.93 2025-05-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 5 5 — — $18,324.75 $27,105.01 $20,532.57 2025-05-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 5 5 — — $18,678.68 $22,751.90 $20,518.59 2025-05-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $20,485.84 $20,485.84 $20,485.84 2025-05-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 3 — — $7,826.69 $32,876.92 $20,388.98 2025-05-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 5 5 — — $4,185.42 $36,995.11 $20,372.18 2025-05-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 5 3 — — $1,998.24 $46,066.62 $20,171.14 2025-05-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 4 — — $1,212.00 $42,926.63 $20,036.51 2025-05-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $20,024.34 $20,024.34 $20,024.34 2025-05-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $4,516.00 $31,932.33 $20,012.77 2025-05-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 6 5 — — $10,226.90 $42,454.25 $19,957.25 2025-05-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 3 — — $14,723.48 $22,941.55 $19,842.86 2025-05-01
570 MS_DRG Skin Debridement With Mcc 1 1 — — $19,742.99 $19,742.99 $19,742.99 2025-05-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 9 7 — — $4,222.14 $55,161.54 $19,716.68 2025-05-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $19,468.89 $19,468.89 $19,468.89 2025-05-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 10 9 — — $7,749.20 $38,454.29 $19,374.75 2025-05-01
668 MS_DRG Transurethral Procedures With Mcc 1 1 — — $19,312.50 $19,312.50 $19,312.50 2025-05-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 9 6 — — $7,355.52 $36,448.12 $19,291.41 2025-05-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 3 3 — — $15,887.32 $23,189.92 $19,272.83 2025-05-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 11 6 — — $1,429.50 $144,977.24 $19,229.59 2025-05-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 2 2 — — $10,546.36 $27,902.80 $19,224.58 2025-05-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 12 9 — — $9,068.41 $39,833.75 $19,215.77 2025-05-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 13 11 — — $1,423.04 $59,668.84 $19,172.53 2025-05-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 4 — — $4,227.27 $40,627.67 $19,040.10 2025-05-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 1 1 — — $19,029.83 $19,029.83 $19,029.83 2025-05-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 3 3 — — $7,749.20 $35,053.27 $18,977.64 2025-05-01
5231 OTHER Level 1 Icd And Similar Procedures 6 6 — — $13,791.18 $20,155.65 $18,880.43 2025-05-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 2 2 — — $14,415.50 $22,998.24 $18,706.87 2025-05-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 7 5 — — $4,943.18 $39,472.70 $18,627.95 2025-05-01
950 MS_DRG Aftercare Without Cc/Mcc 2 2 — — $14,413.40 $22,744.00 $18,578.70 2025-05-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 5 5 — — $4,247.57 $66,966.72 $18,543.29 2025-05-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 2 2 — — $13,660.97 $23,420.41 $18,540.69 2025-05-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 3 3 — — $15,633.03 $23,289.57 $18,504.18 2025-05-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 4 4 — — $13,207.97 $26,922.22 $18,451.80 2025-05-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 3 3 — — $7,826.69 $37,673.52 $18,442.38 2025-05-01
654 MS_DRG Major Bladder Procedures With Cc 1 1 — — $18,403.37 $18,403.37 $18,403.37 2025-05-01
158 MS_DRG Dental And Oral Diseases With Cc 4 4 — — $3,576.06 $44,870.62 $18,303.53 2025-05-01
137 MS_DRG Mouth Procedures With Cc/Mcc 1 1 — — $17,931.45 $17,931.45 $17,931.45 2025-05-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 14 9 — — $275.00 $95,585.65 $17,794.48 2025-05-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $17,785.48 $17,785.48 $17,785.48 2025-05-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 — — $17,741.29 $17,741.29 $17,741.29 2025-05-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 11 7 — — $1,227.90 $41,083.73 $17,729.67 2025-05-01
253 MS_DRG Other Vascular Procedures With Cc 13 11 — — $2,258.00 $41,215.49 $17,673.25 2025-05-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $17,581.79 $17,581.79 $17,581.79 2025-05-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 18 12 — — $1,546.13 $40,751.87 $17,551.13 2025-05-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 12 — — $5,244.32 $34,743.51 $17,430.68 2025-05-01
1446 OTHER Visualization Adjunct 2 2 — — $583.35 $34,126.46 $17,354.90 2025-05-01
5378 OTHER Level 8 Urology And Related Services 2 2 — — $16,860.07 $17,779.16 $17,319.62 2025-05-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 4 3 — — $2,053.46 $23,502.80 $17,268.65 2025-05-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 1 1 — — $17,176.53 $17,176.53 $17,176.53 2025-05-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 2 — — $8,688.92 $25,623.02 $17,155.97 2025-05-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 5 4 — — $4,185.42 $25,271.38 $16,996.23 2025-05-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 3 3 — — $10,535.34 $28,344.12 $16,960.72 2025-05-01
572 MS_DRG Skin Debridement Without Cc/Mcc 1 1 — — $16,938.31 $16,938.31 $16,938.31 2025-05-01
252 MS_DRG Other Vascular Procedures With Mcc 11 7 — — $1,069.34 $23,691.28 $16,909.55 2025-05-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 12 8 — — $2,167.36 $37,414.49 $16,870.44 2025-05-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 1 1 — — $16,839.50 $16,839.50 $16,839.50 2025-05-01
349 MS_DRG Anal And Stomal Procedures Without Cc/Mcc 1 1 — — $16,838.40 $16,838.40 $16,838.40 2025-05-01
5116 OTHER Level 6 Musculoskeletal Procedures 21 14 — — $9,611.01 $29,287.39 $16,746.80 2025-05-01
348 MS_DRG Anal And Stomal Procedures With Cc 1 1 — — $16,733.77 $16,733.77 $16,733.77 2025-05-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 1 1 — — $16,680.21 $16,680.21 $16,680.21 2025-05-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 3 3 — — $10,697.28 $27,975.82 $16,678.21 2025-05-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 12 10 — — $1,061.66 $35,347.28 $16,602.89 2025-05-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 2 2 — — $14,814.39 $18,093.21 $16,453.80 2025-05-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 13 11 — — $1,732.54 $115,008.31 $16,152.28 2025-05-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 12 — — $3,506.14 $33,331.69 $16,037.98 2025-05-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 3 3 — — $9,487.55 $24,646.93 $16,011.06 2025-05-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 4 4 — — $12,883.82 $21,068.66 $15,932.66 2025-05-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 2 2 — — $14,022.53 $17,800.72 $15,911.62 2025-05-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 7 6 — — $2,352.72 $59,081.56 $15,896.20 2025-05-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 3 — — $4,696.02 $21,939.36 $15,837.29 2025-05-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 1 1 — — $15,821.28 $15,821.28 $15,821.28 2025-05-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/Mcc 2 2 — — $8,162.66 $23,393.96 $15,778.31 2025-05-01
9378 OTHER Daratumumab, Hyaluronidase 1 1 — — $15,712.02 $15,712.02 $15,712.02 2025-05-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 4 4 — — $5,030.02 $25,787.37 $15,663.47 2025-05-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 26 17 — — $2,818.18 $51,909.24 $15,501.66 2025-05-01
5194 OTHER Level 4 Endovascular Procedures 23 13 — — $2,336.38 $49,196.85 $15,476.92 2025-05-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 14 11 — — $1,857.75 $38,380.50 $15,460.77 2025-05-01
9453 OTHER Injection, Nivolumab 1 1 — — $15,429.88 $15,429.88 $15,429.88 2025-05-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 2 2 — — $11,210.11 $19,645.74 $15,427.92 2025-05-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 6 5 — — $7,826.69 $21,926.31 $15,424.14 2025-05-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 2 — — $14,722.37 $16,066.15 $15,394.26 2025-05-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 18 12 — — $3,566.58 $33,151.25 $15,357.31 2025-05-01
398 MS_DRG Appendix Procedures With Cc 6 5 — — $4,516.00 $21,231.54 $15,355.69 2025-05-01
54 MS_DRG Nervous System Neoplasms With Mcc 7 6 — — $5,636.36 $25,868.47 $15,349.68 2025-05-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 7 7 — — $1,395.14 $73,740.18 $15,344.56 2025-05-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 1 — — $15,280.44 $15,280.44 $15,280.44 2025-05-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/Mcc 3 3 — — $5,580.56 $21,426.36 $15,278.15 2025-05-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 5 — — $9,392.03 $32,120.32 $15,274.09 2025-05-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 2 2 — — $11,021.30 $19,515.14 $15,268.22 2025-05-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 9 7 — — $3,794.30 $25,850.51 $15,257.32 2025-05-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 2 2 — — $15,171.11 $15,337.78 $15,254.44 2025-05-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 14 9 — — $1,948.52 $33,755.32 $15,185.06 2025-05-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 31 19 — — $2,292.36 $34,898.87 $15,158.14 2025-05-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 1 1 — — $15,149.15 $15,149.15 $15,149.15 2025-05-01
199 MS_DRG Pneumothorax With Mcc 3 3 — — $10,757.07 $21,367.19 $14,933.55 2025-05-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 1 1 — — $14,869.83 $14,869.83 $14,869.83 2025-05-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc 4 4 — — $11,497.48 $21,509.22 $14,865.92 2025-05-01
813 MS_DRG Coagulation Disorders 7 6 — — $2,781.35 $26,919.36 $14,634.29 2025-05-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 14 9 — — $2,403.62 $34,563.77 $14,610.81 2025-05-01
592 MS_DRG Skin Ulcers With Mcc 1 1 — — $14,584.57 $14,584.57 $14,584.57 2025-05-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 5 3 — — $5,448.90 $27,570.35 $14,565.37 2025-05-01
711 MS_DRG Testes Procedures With Cc/Mcc 1 1 — — $14,488.79 $14,488.79 $14,488.79 2025-05-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 3 — — $2,186.20 $21,270.81 $14,463.26 2025-05-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $14,387.99 $14,387.99 $14,387.99 2025-05-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 2 — — $13,617.51 $15,061.32 $14,339.42 2025-05-01
974 MS_DRG HIV With Major Related Condition With Mcc 2 2 — — $7,826.69 $20,840.99 $14,333.84 2025-05-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 3 3 — — $8,370.84 $20,567.00 $14,324.26 2025-05-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 13 9 — — $3,161.68 $28,852.03 $14,238.60 2025-05-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 1 1 — — $14,169.94 $14,169.94 $14,169.94 2025-05-01
620 MS_DRG O.r. Procedures For Obesity With Cc 6 5 — — $1,423.04 $50,907.22 $14,089.31 2025-05-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 1 — — $13,875.43 $13,875.43 $13,875.43 2025-05-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 8 7 — — $6,652.32 $27,173.53 $13,788.86 2025-05-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 12 7 — — $7,439.80 $30,893.42 $13,741.19 2025-05-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 12 9 — — $4,185.42 $33,720.16 $13,726.22 2025-05-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 9 7 — — $1,111.00 $41,643.79 $13,681.51 2025-05-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 5 5 — — $2,846.08 $31,982.24 $13,522.55 2025-05-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 8 7 — — $1,565.34 $29,656.10 $13,468.08 2025-05-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 1 1 — — $13,464.73 $13,464.73 $13,464.73 2025-05-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 2 2 — — $11,422.71 $15,498.40 $13,460.56 2025-05-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 5 5 — — $8,893.86 $23,906.40 $13,432.51 2025-05-01
368 MS_DRG Major Esophageal Disorders With Mcc 5 5 — — $5,580.56 $26,333.32 $13,431.03 2025-05-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 11 10 — — $2,292.36 $31,443.69 $13,361.97 2025-05-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 1 1 — — $13,349.74 $13,349.74 $13,349.74 2025-05-01
902 MS_DRG Wound Debridements For Injuries With Cc 3 3 — — $13,093.91 $13,658.51 $13,349.04 2025-05-01
757 MS_DRG Infections, Female Reproductive System With Mcc 1 1 — — $13,333.26 $13,333.26 $13,333.26 2025-05-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 11 9 — — $6,199.36 $24,701.96 $13,312.64 2025-05-01
52 MS_DRG Spinal Disorders And Injuries With Cc/Mcc 2 2 — — $12,113.59 $14,449.25 $13,281.42 2025-05-01
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 2 2 — — $7,909.16 $18,641.66 $13,275.41 2025-05-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $9,514.19 $18,522.56 $13,178.57 2025-05-01
948 MS_DRG Signs And Symptoms Without Mcc 12 11 — — $2,500.86 $37,133.53 $13,175.12 2025-05-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $13,123.19 $13,123.19 $13,123.19 2025-05-01
501 MS_DRG Soft Tissue Procedures With Cc 4 4 — — $9,032.00 $21,008.91 $13,103.12 2025-05-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc 2 2 — — $7,912.94 $18,136.82 $13,024.88 2025-05-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 3 3 — — $7,904.20 $15,636.80 $13,013.13 2025-05-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 3 — — $11,773.52 $14,963.13 $13,012.34 2025-05-01
549 MS_DRG Septic Arthritis With Cc 1 1 — — $12,999.16 $12,999.16 $12,999.16 2025-05-01
886 MS_DRG Behavioral And Developmental Disorders 1 1 — — $12,991.46 $12,991.46 $12,991.46 2025-05-01
671 MS_DRG Urethral Procedures With Cc/Mcc 1 1 — — $12,934.75 $12,934.75 $12,934.75 2025-05-01
682 MS_DRG Renal Failure With Mcc 17 11 — — $5,381.14 $25,918.51 $12,915.49 2025-05-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 1 1 — — $12,898.98 $12,898.98 $12,898.98 2025-05-01
116 MS_DRG Intraocular Procedures With Cc/Mcc 1 1 — — $12,880.99 $12,880.99 $12,880.99 2025-05-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 1 1 — — $12,870.92 $12,870.92 $12,870.92 2025-05-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 5 5 — — $1,475.00 $22,744.00 $12,870.23 2025-05-01
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 2 2 — — $9,515.40 $16,098.23 $12,806.82 2025-05-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 1 1 — — $12,783.44 $12,783.44 $12,783.44 2025-05-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 1 — — $12,711.06 $12,711.06 $12,711.06 2025-05-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 7 6 — — $1,919.46 $20,442.21 $12,622.76 2025-05-01
9353 OTHER Inj Fam-trastu Deru-nxki 1mg 1 1 — — $12,569.38 $12,569.38 $12,569.38 2025-05-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 5 5 — — $5,580.56 $27,075.37 $12,557.84 2025-05-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 1 — — $12,552.76 $12,552.76 $12,552.76 2025-05-01
0738 OTHER Rasburicase 1 1 — — $12,393.27 $12,393.27 $12,393.27 2025-05-01
571 MS_DRG Skin Debridement With Cc 3 3 — — $9,765.98 $14,088.05 $12,362.18 2025-05-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 1 1 — — $12,341.33 $12,341.33 $12,341.33 2025-05-01
5115 OTHER Level 5 Musculoskeletal Procedures 60 37 — — $4.82 $54,980.75 $12,317.72 2025-05-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 5 4 — — $2,160.00 $30,237.10 $12,307.40 2025-05-01
9492 OTHER Inj., Durvalumab, 10 Mg 1 1 — — $12,263.11 $12,263.11 $12,263.11 2025-05-01
637 MS_DRG Diabetes With Mcc 14 8 — — $5,312.00 $32,591.01 $12,249.50 2025-05-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 17 9 — — $3,130.68 $27,894.32 $12,104.39 2025-05-01
374 MS_DRG Digestive Malignancy With Mcc 3 3 — — $8,985.74 $16,011.44 $12,024.36 2025-05-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 3 3 — — $11,426.74 $12,301.76 $11,997.99 2025-05-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 10 9 — — $1,786.00 $77,581.14 $11,997.23 2025-05-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/Mcc 14 11 — — $1,409.09 $30,231.46 $11,972.79 2025-05-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 6 6 — — $8,633.87 $16,095.51 $11,915.87 2025-05-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 1 1 — — $11,837.45 $11,837.45 $11,837.45 2025-05-01
551 MS_DRG Medical Back Problems With Mcc 2 2 — — $10,443.63 $13,177.77 $11,810.70 2025-05-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 7 5 — — $1,549.84 $20,530.52 $11,761.65 2025-05-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 3 3 — — $5,037.69 $20,983.27 $11,742.65 2025-05-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 7 5 — — $1,565.34 $27,078.72 $11,640.81 2025-05-01
533 MS_DRG Fractures Of Femur With Mcc 1 1 — — $11,573.60 $11,573.60 $11,573.60 2025-05-01
141 MS_DRG Major Head And Neck Procedures With Cc 6 6 — — $1,395.14 $15,344.17 $11,511.21 2025-05-01
669 MS_DRG Transurethral Procedures With Cc 5 3 — — $1,474.08 $18,786.80 $11,469.36 2025-05-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 1 1 — — $11,445.45 $11,445.45 $11,445.45 2025-05-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 6 6 — — $5,580.56 $15,569.95 $11,413.25 2025-05-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 3 3 — — $6,470.82 $14,215.51 $11,355.81 2025-05-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 11 8 — — $4,227.27 $22,595.49 $11,328.70 2025-05-01
606 MS_DRG Minor Skin Disorders With Mcc 1 1 — — $11,288.20 $11,288.20 $11,288.20 2025-05-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 2 — — $1,866.03 $16,075.81 $11,261.78 2025-05-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 6 6 — — $3,099.68 $31,785.60 $11,257.24 2025-05-01
375 MS_DRG Digestive Malignancy With Cc 7 7 — — $1,395.14 $27,780.88 $11,228.85 2025-05-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 4 4 — — $1,580.84 $15,908.17 $11,228.12 2025-05-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 5 5 — — $6,975.70 $14,142.42 $11,163.66 2025-05-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 2 2 — — $10,365.66 $11,958.81 $11,162.24 2025-05-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 6 5 — — $6,797.11 $17,987.10 $11,156.33 2025-05-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 1 1 — — $11,134.27 $11,134.27 $11,134.27 2025-05-01
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