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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
30,276 rate rows
2025-05-01 last MRF observed · ⚠ 13 mo old
Data quality

8,102 of 30,276 rate rows are consumer-grade (26.8%)

22,174 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 22,174

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old.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 not_modified · 2026-05-15
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
215
MS_DRG 		Other Heart Assist System Implant 5 $95,387.20 $95,387.20 $95,387.20 nat. median
$99,019
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $85,473.67 $85,473.67 $85,473.67 nat. median
$64,732
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $75,057.40 $75,057.40 $75,057.40 nat. median
$73,807
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $73,255.15 $73,255.15 $73,255.15 nat. median
$133,176
0.6× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 3 $71,193.96 $71,193.96 $71,193.96 nat. median
$59,899
1.2× median
34
MS_DRG 		Carotid Artery Stent Procedures With Mcc 1 $67,746.56 $67,746.56 $67,746.56 nat. median
$38,285
1.8× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 $67,340.18 $67,340.18 $67,340.18 nat. median
$55,929
1.2× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $67,122.24 $67,122.24 $67,122.24 nat. median
$65,950
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 $65,164.08 $65,164.08 $65,164.08 nat. median
$60,726
1.1× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 $63,545.33 $63,545.33 $63,545.33 nat. median
$47,651
1.3× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 4 $59,458.35 $59,458.35 $59,458.35 nat. median
$57,424
1.0× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $50,729.10 $50,729.10 $50,729.10 nat. median
$52,879
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $48,891.54 $48,891.54 $48,891.54 nat. median
$66,526
0.7× median
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 24 $48,479.81 $48,479.81 $48,479.81 nat. median
$31,444
1.5× median
829
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 $48,104.90 $48,104.90 $48,104.90 nat. median
$30,781
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $47,946.53 $47,946.53 $47,946.53 nat. median
$74,915
0.6× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 10 $47,478.31 $47,478.31 $47,478.31 nat. median
$62,270
0.8× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $45,019.06 $45,019.06 $45,019.06 nat. median
$65,381
0.7× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 $44,555.96 $44,555.96 $44,555.96 nat. median
$52,278
0.9× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 $43,393.36 $43,393.36 $43,393.36 nat. median
$35,264
1.2× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 10 $43,125.60 $43,125.60 $43,125.60 nat. median
$40,457
1.1× median
5166
OTHER 		Cochlear Implant Procedure 7 $42,813.99 $42,813.99 $42,813.99 nat. median
$33,509
1.3× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 7 $42,325.89 $42,325.89 $42,325.89 nat. median
$62,134
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $41,557.04 $41,557.04 $41,557.04 nat. median
$93,672
outlier · 0.4×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 4 $40,181.83 $40,181.83 $40,181.83 nat. median
$42,002
1.0× median
9236
OTHER 		Eculizumab Injection 2 $40,172.42 $40,172.42 $40,172.42 nat. median
$231
outlier · 174.0×
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 5 $40,001.78 $40,001.78 $40,001.78 nat. median
$32,829
1.2× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 $38,142.25 $38,142.25 $38,142.25 nat. median
$53,268
0.7× median
653
MS_DRG 		Major Bladder Procedures With Mcc 1 $37,918.99 $37,918.99 $37,918.99 nat. median
$51,418
0.7× 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
$49,171
0.8× median
296
MS_DRG 		Cardiac Arrest, Unexplained With Mcc 2 $37,175.44 $37,175.44 $37,175.44 nat. median
$16,632
outlier · 2.2×
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
$27,489
1.3× median
83
MS_DRG 		Traumatic Stupor And Coma >1 Hour With Cc 5 $35,607.14 $35,607.14 $35,607.14 nat. median
$14,609
outlier · 2.4×
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 8 $35,463.28 $35,463.28 $35,463.28 nat. median
$41,228
0.9× median
26
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Cc 5 $35,152.54 $35,152.54 $35,152.54 nat. median
$31,109
1.1× 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
$52,857
0.7× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 9 $34,281.99 $34,281.99 $34,281.99 nat. median
$39,075
0.9× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 2 $34,218.17 $34,218.17 $34,218.17 nat. median
$52,753
0.6× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 2 $33,718.19 $33,718.19 $33,718.19 nat. median
$50,270
0.7× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 8 $33,601.60 $33,601.60 $33,601.60 nat. median
$29,218
1.2× median
5213
OTHER 		Level 3 Electrophysiologic Procedures 19 $33,183.10 $33,183.10 $33,183.10 nat. median
$26,257
1.3× median
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 8 $32,838.18 $32,838.18 $32,838.18 nat. median
$33,154
1.0× median
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 4 $32,678.19 $32,678.19 $32,678.19 nat. median
$33,835
1.0× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 $32,201.54 $32,201.54 $32,201.54 nat. median
$47,740
0.7× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 4 $32,172.51 $32,172.51 $32,172.51 nat. median
$34,721
0.9× median
963
MS_DRG 		Other Multiple Significant Trauma With Mcc 3 $31,175.10 $31,175.10 $31,175.10 nat. median
$26,957
1.2× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 $31,074.01 $31,074.01 $31,074.01 nat. median
$28,962
1.1× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 3 $30,953.60 $30,953.60 $30,953.60 nat. median
$46,109
0.7× 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
$48,732
0.6× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 $30,875.62 $30,875.62 $30,875.62 nat. median
$46,084
0.7× 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
             
215 MS_DRG Other Heart Assist System Implant 10 5 — — $95,387.20 $95,387.20 $95,387.20 2025-05-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $85,473.67 $85,473.67 $85,473.67 2025-05-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 8 — — $75,057.40 $75,057.40 $75,057.40 2025-05-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 5 — — $73,255.15 $73,255.15 $73,255.15 2025-05-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 3 — — $71,193.96 $71,193.96 $71,193.96 2025-05-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 2 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… 4 2 — — $67,340.18 $67,340.18 $67,340.18 2025-05-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 3 — — $67,122.24 $67,122.24 $67,122.24 2025-05-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 5 — — $65,164.08 $65,164.08 $65,164.08 2025-05-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 8 — — $63,545.33 $63,545.33 $63,545.33 2025-05-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 4 — — $59,458.35 $59,458.35 $59,458.35 2025-05-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $50,729.10 $50,729.10 $50,729.10 2025-05-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 8 4 — — $48,891.54 $48,891.54 $48,891.54 2025-05-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 48 24 — — $48,479.81 $48,479.81 $48,479.81 2025-05-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 2 — — $48,104.90 $48,104.90 $48,104.90 2025-05-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 2 — — $47,946.53 $47,946.53 $47,946.53 2025-05-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 20 10 — — $47,478.31 $47,478.31 $47,478.31 2025-05-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 2 — — $45,019.06 $45,019.06 $45,019.06 2025-05-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 12 — — $44,555.96 $44,555.96 $44,555.96 2025-05-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 3 — — $43,393.36 $43,393.36 $43,393.36 2025-05-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 10 — — $43,125.60 $43,125.60 $43,125.60 2025-05-01
5166 OTHER Cochlear Implant Procedure 14 7 — — $42,813.99 $42,813.99 $42,813.99 2025-05-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 14 7 — — $42,325.89 $42,325.89 $42,325.89 2025-05-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 5 — — $41,557.04 $41,557.04 $41,557.04 2025-05-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 8 4 — — $40,181.83 $40,181.83 $40,181.83 2025-05-01
9236 OTHER Eculizumab Injection 4 2 — — $40,172.42 $40,172.42 $40,172.42 2025-05-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 5 — — $40,001.78 $40,001.78 $40,001.78 2025-05-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 9 — — $38,142.25 $38,142.25 $38,142.25 2025-05-01
653 MS_DRG Major Bladder Procedures With Mcc 2 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 2 1 — — $37,886.97 $37,886.97 $37,886.97 2025-05-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 4 2 — — $37,175.44 $37,175.44 $37,175.44 2025-05-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 2 1 — — $35,722.93 $35,722.93 $35,722.93 2025-05-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 10 5 — — $35,607.14 $35,607.14 $35,607.14 2025-05-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 8 — — $35,463.28 $35,463.28 $35,463.28 2025-05-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 5 — — $35,152.54 $35,152.54 $35,152.54 2025-05-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 1 — — $34,500.66 $34,500.66 $34,500.66 2025-05-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 18 9 — — $34,281.99 $34,281.99 $34,281.99 2025-05-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 2 — — $34,218.17 $34,218.17 $34,218.17 2025-05-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 2 — — $33,718.19 $33,718.19 $33,718.19 2025-05-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 16 8 — — $33,601.60 $33,601.60 $33,601.60 2025-05-01
5213 OTHER Level 3 Electrophysiologic Procedures 38 19 — — $33,183.10 $33,183.10 $33,183.10 2025-05-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 8 — — $32,838.18 $32,838.18 $32,838.18 2025-05-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 4 — — $32,678.19 $32,678.19 $32,678.19 2025-05-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 8 4 — — $32,201.54 $32,201.54 $32,201.54 2025-05-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 8 4 — — $32,172.51 $32,172.51 $32,172.51 2025-05-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 6 3 — — $31,175.10 $31,175.10 $31,175.10 2025-05-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 3 — — $31,074.01 $31,074.01 $31,074.01 2025-05-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 6 3 — — $30,953.60 $30,953.60 $30,953.60 2025-05-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $30,921.87 $30,921.87 $30,921.87 2025-05-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 12 — — $30,875.62 $30,875.62 $30,875.62 2025-05-01
799 MS_DRG Splenic Procedures With Mcc 2 1 — — $30,815.04 $30,815.04 $30,815.04 2025-05-01
545 MS_DRG Connective Tissue Disorders With Mcc 4 2 — — $30,318.94 $30,318.94 $30,318.94 2025-05-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 3 — — $29,949.06 $29,949.06 $29,949.06 2025-05-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 18 9 — — $29,691.84 $29,691.84 $29,691.84 2025-05-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 1 — — $29,633.38 $29,633.38 $29,633.38 2025-05-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 6 — — $29,383.93 $29,383.93 $29,383.93 2025-05-01
347 MS_DRG Anal And Stomal Procedures With Mcc 4 2 — — $28,530.60 $28,530.60 $28,530.60 2025-05-01
164 MS_DRG Major Chest Procedures With Cc 14 7 — — $28,438.71 $28,438.71 $28,438.71 2025-05-01
37 MS_DRG Extracranial Procedures With Mcc 4 2 — — $27,752.74 $27,752.74 $27,752.74 2025-05-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 4 — — $27,694.39 $27,694.39 $27,694.39 2025-05-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 3 — — $27,390.72 $27,390.72 $27,390.72 2025-05-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 52 26 — — $27,363.71 $27,363.71 $27,363.71 2025-05-01
791 MS_DRG Prematurity With Major Problems 12 6 — — $27,231.46 $27,231.46 $27,231.46 2025-05-01
140 MS_DRG Major Head And Neck Procedures With Mcc 4 2 — — $26,716.13 $26,716.13 $26,716.13 2025-05-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 1 — — $26,590.94 $26,590.94 $26,590.94 2025-05-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 14 7 — — $26,404.06 $26,404.06 $26,404.06 2025-05-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/Mcc 6 3 — — $26,367.03 $26,367.03 $26,367.03 2025-05-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 12 6 — — $26,340.58 $26,340.58 $26,340.58 2025-05-01
264 MS_DRG Other Circulatory System O.r. Procedures 16 8 — — $25,535.10 $25,535.10 $25,535.10 2025-05-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 2 1 — — $25,415.86 $25,415.86 $25,415.86 2025-05-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 6 3 — — $25,366.43 $25,366.43 $25,366.43 2025-05-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 8 4 — — $25,342.13 $25,342.13 $25,342.13 2025-05-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 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 4 2 — — $25,137.15 $25,137.15 $25,137.15 2025-05-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 2 — — $24,857.18 $24,857.18 $24,857.18 2025-05-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 8 4 — — $24,758.89 $24,758.89 $24,758.89 2025-05-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 2 1 — — $24,471.32 $24,471.32 $24,471.32 2025-05-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 24 12 — — $24,451.08 $24,451.08 $24,451.08 2025-05-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 1 — — $24,275.36 $24,275.36 $24,275.36 2025-05-01
158 MS_DRG Dental And Oral Diseases With Cc 8 4 — — $24,223.34 $24,223.34 $24,223.34 2025-05-01
999 MS_DRG Ungroupable 4 2 — — $23,901.63 $23,901.63 $23,901.63 2025-05-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 28 14 — — $23,818.74 $23,818.74 $23,818.74 2025-05-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 8 4 — — $23,428.66 $23,428.66 $23,428.66 2025-05-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 20 10 — — $23,101.74 $23,101.74 $23,101.74 2025-05-01
1745 OTHER Radium Ra223 Dichloride Ther 2 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 8 4 — — $23,010.33 $23,010.33 $23,010.33 2025-05-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 3 — — $22,750.10 $22,750.10 $22,750.10 2025-05-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 10 5 — — $22,714.88 $22,714.88 $22,714.88 2025-05-01
595 MS_DRG Major Skin Disorders With Mcc 4 2 — — $22,528.99 $22,528.99 $22,528.99 2025-05-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 8 4 — — $22,427.47 $22,427.47 $22,427.47 2025-05-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 14 7 — — $22,207.94 $22,207.94 $22,207.94 2025-05-01
500 MS_DRG Soft Tissue Procedures With Mcc 4 2 — — $21,948.09 $21,948.09 $21,948.09 2025-05-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 18 9 — — $21,901.82 $21,901.82 $21,901.82 2025-05-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 2 1 — — $21,883.17 $21,883.17 $21,883.17 2025-05-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 6 3 — — $21,841.24 $21,841.24 $21,841.24 2025-05-01
253 MS_DRG Other Vascular Procedures With Cc 26 13 — — $21,736.74 $21,736.74 $21,736.74 2025-05-01
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 2 1 — — $21,454.63 $21,454.63 $21,454.63 2025-05-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 6 3 — — $21,401.24 $21,401.24 $21,401.24 2025-05-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 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… 4 2 — — $21,197.84 $21,197.84 $21,197.84 2025-05-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 5 — — $21,067.24 $21,067.24 $21,067.24 2025-05-01
180 MS_DRG Respiratory Neoplasms With Mcc 8 4 — — $20,850.58 $20,850.58 $20,850.58 2025-05-01
75 MS_DRG Viral Meningitis With Cc/Mcc 2 1 — — $20,847.93 $20,847.93 $20,847.93 2025-05-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 10 5 — — $20,756.17 $20,756.17 $20,756.17 2025-05-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 5 — — $20,715.29 $20,715.29 $20,715.29 2025-05-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 10 5 — — $20,590.26 $20,590.26 $20,590.26 2025-05-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 1 — — $20,485.84 $20,485.84 $20,485.84 2025-05-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 8 4 — — $20,351.81 $20,351.81 $20,351.81 2025-05-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 8 4 — — $20,065.10 $20,065.10 $20,065.10 2025-05-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 1 — — $20,024.34 $20,024.34 $20,024.34 2025-05-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 38 19 — — $19,993.92 $19,993.92 $19,993.92 2025-05-01
948 MS_DRG Signs And Symptoms Without Mcc 24 12 — — $19,817.19 $19,817.19 $19,817.19 2025-05-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 24 12 — — $19,790.92 $19,790.92 $19,790.92 2025-05-01
570 MS_DRG Skin Debridement With Mcc 2 1 — — $19,742.99 $19,742.99 $19,742.99 2025-05-01
5415 OTHER Level 5 Gynecologic Procedures 50 25 — — $19,730.70 $19,730.70 $19,730.70 2025-05-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 6 — — $19,636.61 $19,636.61 $19,636.61 2025-05-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 6 3 — — $19,538.62 $19,538.62 $19,538.62 2025-05-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 1 — — $19,468.89 $19,468.89 $19,468.89 2025-05-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 3 — — $19,461.30 $19,461.30 $19,461.30 2025-05-01
5116 OTHER Level 6 Musculoskeletal Procedures 42 21 — — $19,449.20 $19,449.20 $19,449.20 2025-05-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 6 3 — — $19,439.73 $19,439.73 $19,439.73 2025-05-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 6 3 — — $19,336.55 $19,336.55 $19,336.55 2025-05-01
668 MS_DRG Transurethral Procedures With Mcc 2 1 — — $19,312.50 $19,312.50 $19,312.50 2025-05-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 4 2 — — $19,224.58 $19,224.58 $19,224.58 2025-05-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 24 12 — — $19,166.61 $19,166.61 $19,166.61 2025-05-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 2 1 — — $19,029.83 $19,029.83 $19,029.83 2025-05-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 24 12 — — $18,952.79 $18,952.79 $18,952.79 2025-05-01
637 MS_DRG Diabetes With Mcc 28 14 — — $18,951.51 $18,951.51 $18,951.51 2025-05-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 6 3 — — $18,832.51 $18,832.51 $18,832.51 2025-05-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 4 2 — — $18,706.87 $18,706.87 $18,706.87 2025-05-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 62 31 — — $18,595.62 $18,595.62 $18,595.62 2025-05-01
950 MS_DRG Aftercare Without Cc/Mcc 4 2 — — $18,578.70 $18,578.70 $18,578.70 2025-05-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 4 2 — — $18,540.69 $18,540.69 $18,540.69 2025-05-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 28 14 — — $18,483.69 $18,483.69 $18,483.69 2025-05-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 32 16 — — $18,418.92 $18,418.92 $18,418.92 2025-05-01
654 MS_DRG Major Bladder Procedures With Cc 2 1 — — $18,403.37 $18,403.37 $18,403.37 2025-05-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 36 18 — — $18,358.92 $18,358.92 $18,358.92 2025-05-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 3 — — $18,224.17 $18,224.17 $18,224.17 2025-05-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 5 — — $18,204.67 $18,204.67 $18,204.67 2025-05-01
137 MS_DRG Mouth Procedures With Cc/Mcc 2 1 — — $17,931.45 $17,931.45 $17,931.45 2025-05-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 28 14 — — $17,851.92 $17,851.92 $17,851.92 2025-05-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 2 1 — — $17,785.48 $17,785.48 $17,785.48 2025-05-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 6 — — $17,748.74 $17,748.74 $17,748.74 2025-05-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 2 1 — — $17,741.29 $17,741.29 $17,741.29 2025-05-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 1 — — $17,581.79 $17,581.79 $17,581.79 2025-05-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 12 6 — — $17,442.64 $17,442.64 $17,442.64 2025-05-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 10 5 — — $17,414.16 $17,414.16 $17,414.16 2025-05-01
5378 OTHER Level 8 Urology And Related Services 4 2 — — $17,319.62 $17,319.62 $17,319.62 2025-05-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 2 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 4 2 — — $17,155.97 $17,155.97 $17,155.97 2025-05-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 6 3 — — $17,067.24 $17,067.24 $17,067.24 2025-05-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 8 4 — — $16,976.24 $16,976.24 $16,976.24 2025-05-01
5231 OTHER Level 1 Icd And Similar Procedures 12 6 — — $16,973.42 $16,973.42 $16,973.42 2025-05-01
572 MS_DRG Skin Debridement Without Cc/Mcc 2 1 — — $16,938.31 $16,938.31 $16,938.31 2025-05-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 16 8 — — $16,912.92 $16,912.92 $16,912.92 2025-05-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 22 11 — — $16,868.03 $16,868.03 $16,868.03 2025-05-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 2 1 — — $16,839.50 $16,839.50 $16,839.50 2025-05-01
349 MS_DRG Anal And Stomal Procedures Without Cc/Mcc 2 1 — — $16,838.40 $16,838.40 $16,838.40 2025-05-01
348 MS_DRG Anal And Stomal Procedures With Cc 2 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 2 1 — — $16,680.21 $16,680.21 $16,680.21 2025-05-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 10 5 — — $16,509.62 $16,509.62 $16,509.62 2025-05-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc 8 4 — — $16,503.35 $16,503.35 $16,503.35 2025-05-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 4 2 — — $16,453.80 $16,453.80 $16,453.80 2025-05-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 10 5 — — $16,400.13 $16,400.13 $16,400.13 2025-05-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 10 5 — — $16,327.97 $16,327.97 $16,327.97 2025-05-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 10 5 — — $16,198.55 $16,198.55 $16,198.55 2025-05-01
199 MS_DRG Pneumothorax With Mcc 6 3 — — $16,062.13 $16,062.13 $16,062.13 2025-05-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 26 13 — — $16,006.85 $16,006.85 $16,006.85 2025-05-01
368 MS_DRG Major Esophageal Disorders With Mcc 10 5 — — $15,956.94 $15,956.94 $15,956.94 2025-05-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 4 2 — — $15,911.62 $15,911.62 $15,911.62 2025-05-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 2 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 4 2 — — $15,778.31 $15,778.31 $15,778.31 2025-05-01
54 MS_DRG Nervous System Neoplasms With Mcc 14 7 — — $15,752.42 $15,752.42 $15,752.42 2025-05-01
9378 OTHER Daratumumab, Hyaluronidase 2 1 — — $15,712.02 $15,712.02 $15,712.02 2025-05-01
682 MS_DRG Renal Failure With Mcc 34 17 — — $15,649.83 $15,649.83 $15,649.83 2025-05-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 16 8 — — $15,610.72 $15,610.72 $15,610.72 2025-05-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 34 17 — — $15,512.50 $15,512.50 $15,512.50 2025-05-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 22 11 — — $15,450.66 $15,450.66 $15,450.66 2025-05-01
9453 OTHER Injection, Nivolumab 2 1 — — $15,429.88 $15,429.88 $15,429.88 2025-05-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 4 2 — — $15,427.92 $15,427.92 $15,427.92 2025-05-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 8 4 — — $15,408.69 $15,408.69 $15,408.69 2025-05-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 2 — — $15,394.26 $15,394.26 $15,394.26 2025-05-01
5192 OTHER Level 2 Endovascular Procedures 62 31 — — $15,312.95 $15,312.95 $15,312.95 2025-05-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 2 1 — — $15,280.44 $15,280.44 $15,280.44 2025-05-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 4 2 — — $15,268.22 $15,268.22 $15,268.22 2025-05-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 4 2 — — $15,254.44 $15,254.44 $15,254.44 2025-05-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 2 1 — — $15,149.15 $15,149.15 $15,149.15 2025-05-01
501 MS_DRG Soft Tissue Procedures With Cc 8 4 — — $15,020.45 $15,020.45 $15,020.45 2025-05-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 12 6 — — $14,876.50 $14,876.50 $14,876.50 2025-05-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 2 1 — — $14,869.83 $14,869.83 $14,869.83 2025-05-01
813 MS_DRG Coagulation Disorders 14 7 — — $14,850.35 $14,850.35 $14,850.35 2025-05-01
793 MS_DRG Full Term Neonate With Major Problems 16 8 — — $14,840.57 $14,840.57 $14,840.57 2025-05-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 18 9 — — $14,822.41 $14,822.41 $14,822.41 2025-05-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 10 5 — — $14,728.40 $14,728.40 $14,728.40 2025-05-01
375 MS_DRG Digestive Malignancy With Cc 14 7 — — $14,588.01 $14,588.01 $14,588.01 2025-05-01
592 MS_DRG Skin Ulcers With Mcc 2 1 — — $14,584.57 $14,584.57 $14,584.57 2025-05-01
711 MS_DRG Testes Procedures With Cc/Mcc 2 1 — — $14,488.79 $14,488.79 $14,488.79 2025-05-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 6 3 — — $14,468.92 $14,468.92 $14,468.92 2025-05-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 2 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… 4 2 — — $14,339.42 $14,339.42 $14,339.42 2025-05-01
974 MS_DRG HIV With Major Related Condition With Mcc 4 2 — — $14,333.84 $14,333.84 $14,333.84 2025-05-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 14 7 — — $14,322.03 $14,322.03 $14,322.03 2025-05-01
101 MS_DRG Seizures Without Mcc 34 17 — — $14,304.79 $14,304.79 $14,304.79 2025-05-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 32 16 — — $14,268.39 $14,268.39 $14,268.39 2025-05-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 2 1 — — $14,169.94 $14,169.94 $14,169.94 2025-05-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 4 — — $14,018.38 $14,018.38 $14,018.38 2025-05-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 2 1 — — $13,875.43 $13,875.43 $13,875.43 2025-05-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 30 15 — — $13,632.05 $13,632.05 $13,632.05 2025-05-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 12 6 — — $13,561.10 $13,561.10 $13,561.10 2025-05-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/Mcc 6 3 — — $13,503.46 $13,503.46 $13,503.46 2025-05-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 36 18 — — $13,490.60 $13,490.60 $13,490.60 2025-05-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 1 — — $13,464.73 $13,464.73 $13,464.73 2025-05-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 40 20 — — $13,461.83 $13,461.83 $13,461.83 2025-05-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 4 2 — — $13,460.56 $13,460.56 $13,460.56 2025-05-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 22 11 — — $13,411.38 $13,411.38 $13,411.38 2025-05-01
902 MS_DRG Wound Debridements For Injuries With Cc 6 3 — — $13,376.21 $13,376.21 $13,376.21 2025-05-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 3 — — $13,368.33 $13,368.33 $13,368.33 2025-05-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 2 1 — — $13,349.74 $13,349.74 $13,349.74 2025-05-01
757 MS_DRG Infections, Female Reproductive System With Mcc 2 1 — — $13,333.26 $13,333.26 $13,333.26 2025-05-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 — — $13,317.69 $13,317.69 $13,317.69 2025-05-01
52 MS_DRG Spinal Disorders And Injuries With Cc/Mcc 4 2 — — $13,281.42 $13,281.42 $13,281.42 2025-05-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 18 9 — — $13,275.52 $13,275.52 $13,275.52 2025-05-01
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 4 2 — — $13,275.41 $13,275.41 $13,275.41 2025-05-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 1 — — $13,123.19 $13,123.19 $13,123.19 2025-05-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc 4 2 — — $13,024.88 $13,024.88 $13,024.88 2025-05-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 12 6 — — $13,024.70 $13,024.70 $13,024.70 2025-05-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 6 3 — — $13,010.48 $13,010.48 $13,010.48 2025-05-01
549 MS_DRG Septic Arthritis With Cc 2 1 — — $12,999.16 $12,999.16 $12,999.16 2025-05-01
886 MS_DRG Behavioral And Developmental Disorders 2 1 — — $12,991.46 $12,991.46 $12,991.46 2025-05-01
671 MS_DRG Urethral Procedures With Cc/Mcc 2 1 — — $12,934.75 $12,934.75 $12,934.75 2025-05-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 2 1 — — $12,898.98 $12,898.98 $12,898.98 2025-05-01
116 MS_DRG Intraocular Procedures With Cc/Mcc 2 1 — — $12,880.99 $12,880.99 $12,880.99 2025-05-01
398 MS_DRG Appendix Procedures With Cc 12 6 — — $12,873.77 $12,873.77 $12,873.77 2025-05-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 2 1 — — $12,870.92 $12,870.92 $12,870.92 2025-05-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 28 14 — — $12,854.40 $12,854.40 $12,854.40 2025-05-01
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 4 2 — — $12,806.82 $12,806.82 $12,806.82 2025-05-01
304 MS_DRG Hypertension With Mcc 30 15 — — $12,794.90 $12,794.90 $12,794.90 2025-05-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 2 1 — — $12,783.44 $12,783.44 $12,783.44 2025-05-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 8 4 — — $12,778.13 $12,778.13 $12,778.13 2025-05-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 2 1 — — $12,711.06 $12,711.06 $12,711.06 2025-05-01
9353 OTHER Inj Fam-trastu Deru-nxki 1mg 2 1 — — $12,569.38 $12,569.38 $12,569.38 2025-05-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 1 — — $12,552.76 $12,552.76 $12,552.76 2025-05-01
374 MS_DRG Digestive Malignancy With Mcc 6 3 — — $12,498.59 $12,498.59 $12,498.59 2025-05-01
0738 OTHER Rasburicase 2 1 — — $12,393.27 $12,393.27 $12,393.27 2025-05-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 12 6 — — $12,392.10 $12,392.10 $12,392.10 2025-05-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 12 6 — — $12,364.69 $12,364.69 $12,364.69 2025-05-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 2 1 — — $12,341.33 $12,341.33 $12,341.33 2025-05-01
9492 OTHER Inj., Durvalumab, 10 Mg 2 1 — — $12,263.11 $12,263.11 $12,263.11 2025-05-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 32 16 — — $12,219.58 $12,219.58 $12,219.58 2025-05-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 36 18 — — $12,152.50 $12,152.50 $12,152.50 2025-05-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 22 11 — — $12,120.71 $12,120.71 $12,120.71 2025-05-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 10 5 — — $12,109.50 $12,109.50 $12,109.50 2025-05-01
571 MS_DRG Skin Debridement With Cc 6 3 — — $11,927.01 $11,927.01 $11,927.01 2025-05-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 6 3 — — $11,864.25 $11,864.25 $11,864.25 2025-05-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 12 6 — — $11,854.56 $11,854.56 $11,854.56 2025-05-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 2 1 — — $11,837.45 $11,837.45 $11,837.45 2025-05-01
551 MS_DRG Medical Back Problems With Mcc 4 2 — — $11,810.70 $11,810.70 $11,810.70 2025-05-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 6 3 — — $11,770.50 $11,770.50 $11,770.50 2025-05-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 6 3 — — $11,728.50 $11,728.50 $11,728.50 2025-05-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 40 20 — — $11,709.55 $11,709.55 $11,709.55 2025-05-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 32 16 — — $11,613.56 $11,613.56 $11,613.56 2025-05-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 24 12 — — $11,599.05 $11,599.05 $11,599.05 2025-05-01
533 MS_DRG Fractures Of Femur With Mcc 2 1 — — $11,573.60 $11,573.60 $11,573.60 2025-05-01
125 MS_DRG Other Disorders Of The Eye Without Mcc 6 3 — — $11,567.77 $11,567.77 $11,567.77 2025-05-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 2 1 — — $11,445.45 $11,445.45 $11,445.45 2025-05-01
606 MS_DRG Minor Skin Disorders With Mcc 2 1 — — $11,288.20 $11,288.20 $11,288.20 2025-05-01
5375 OTHER Level 5 Urology And Related Services 78 39 — — $11,253.76 $11,253.76 $11,253.76 2025-05-01
951 MS_DRG Other Factors Influencing Health Status 10 5 — — $11,248.60 $11,248.60 $11,248.60 2025-05-01
184 MS_DRG Major Chest Trauma With Cc 12 6 — — $11,236.14 $11,236.14 $11,236.14 2025-05-01
291 MS_DRG Heart Failure And Shock With Mcc 52 26 — — $11,218.96 $11,218.96 $11,218.96 2025-05-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 28 14 — — $11,217.02 $11,217.02 $11,217.02 2025-05-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 14 7 — — $11,180.83 $11,180.83 $11,180.83 2025-05-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 4 2 — — $11,162.24 $11,162.24 $11,162.24 2025-05-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 2 1 — — $11,134.27 $11,134.27 $11,134.27 2025-05-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 2 1 — — $11,122.23 $11,122.23 $11,122.23 2025-05-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 4 2 — — $11,118.82 $11,118.82 $11,118.82 2025-05-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 20 10 — — $11,097.18 $11,097.18 $11,097.18 2025-05-01
38 MS_DRG Extracranial Procedures With Cc 6 3 — — $11,074.90 $11,074.90 $11,074.90 2025-05-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 14 7 — — $11,040.18 $11,040.18 $11,040.18 2025-05-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 2 1 — — $11,011.84 $11,011.84 $11,011.84 2025-05-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 8 4 — — $10,969.93 $10,969.93 $10,969.93 2025-05-01
643 MS_DRG Endocrine Disorders With Mcc 4 2 — — $10,963.09 $10,963.09 $10,963.09 2025-05-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 18 9 — — $10,895.48 $10,895.48 $10,895.48 2025-05-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 2 1 — — $10,822.40 $10,822.40 $10,822.40 2025-05-01
865 MS_DRG Viral Illness With Mcc 4 2 — — $10,748.36 $10,748.36 $10,748.36 2025-05-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 20 10 — — $10,695.21 $10,695.21 $10,695.21 2025-05-01
196 MS_DRG Interstitial Lung Disease With Mcc 6 3 — — $10,634.56 $10,634.56 $10,634.56 2025-05-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 2 1 — — $10,618.72 $10,618.72 $10,618.72 2025-05-01
504 MS_DRG Foot Procedures With Cc 2 1 — — $10,607.46 $10,607.46 $10,607.46 2025-05-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 12 6 — — $10,575.25 $10,575.25 $10,575.25 2025-05-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 10 5 — — $10,559.06 $10,559.06 $10,559.06 2025-05-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 6 3 — — $10,550.30 $10,550.30 $10,550.30 2025-05-01
183 MS_DRG Major Chest Trauma With Mcc 4 2 — — $10,537.19 $10,537.19 $10,537.19 2025-05-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 44 22 — — $10,473.33 $10,473.33 $10,473.33 2025-05-01
1490 OTHER Inj Pembrolizumab 4 2 — — $10,467.38 $10,467.38 $10,467.38 2025-05-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 6 3 — — $10,343.17 $10,343.17 $10,343.17 2025-05-01
376 MS_DRG Digestive Malignancy Without Cc/Mcc 4 2 — — $10,331.22 $10,331.22 $10,331.22 2025-05-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 12 6 — — $10,301.40 $10,301.40 $10,301.40 2025-05-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 2 1 — — $10,279.82 $10,279.82 $10,279.82 2025-05-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 4 2 — — $10,243.07 $10,243.07 $10,243.07 2025-05-01
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