|
9028
|
OTHER
|
Inj Inotuzumab Ozogam 0.1 Mg
|
1
|
1
|
—
|
—
|
$464,212.28
|
$464,212.28
|
$464,212.28
|
2025-07-01
|
|
9287
|
OTHER
|
Brentuximab Vedotin Inj
|
1
|
1
|
—
|
—
|
$374,780.44
|
$374,780.44
|
$374,780.44
|
2025-07-01
|
|
1207
|
OTHER
|
Octreotide Injection, Depot
|
1
|
1
|
—
|
—
|
$186,975.70
|
$186,975.70
|
$186,975.70
|
2025-07-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
2
|
2
|
—
|
—
|
$153,576.77
|
$153,576.77
|
$153,576.77
|
2025-07-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
1
|
1
|
—
|
—
|
$132,048.61
|
$132,048.61
|
$132,048.61
|
2025-07-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
1
|
1
|
—
|
—
|
$125,252.20
|
$125,252.20
|
$125,252.20
|
2025-07-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
3
|
3
|
—
|
—
|
$122,100.30
|
$122,100.30
|
$122,100.30
|
2025-07-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
10
|
5
|
—
|
—
|
$108,385.02
|
$108,385.02
|
$108,385.02
|
2025-07-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
2
|
2
|
—
|
—
|
$95,656.73
|
$95,656.73
|
$95,656.73
|
2025-07-01
|
|
167
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Cc
|
1
|
1
|
—
|
—
|
$86,518.66
|
$86,518.66
|
$86,518.66
|
2025-07-01
|
|
9347
|
OTHER
|
Inj Luspatercept-aamt 0.25mg
|
1
|
1
|
—
|
—
|
$79,099.19
|
$79,099.19
|
$79,099.19
|
2025-07-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
2
|
2
|
—
|
—
|
$77,771.84
|
$77,771.84
|
$77,771.84
|
2025-07-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
2
|
2
|
—
|
—
|
$73,455.56
|
$73,455.56
|
$73,455.56
|
2025-07-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
4
|
3
|
—
|
—
|
$66,003.99
|
$66,003.99
|
$66,003.99
|
2025-07-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
2
|
2
|
—
|
—
|
$65,903.42
|
$65,903.42
|
$65,903.42
|
2025-07-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
2
|
1
|
—
|
—
|
$64,148.86
|
$64,148.86
|
$64,148.86
|
2025-07-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
5
|
3
|
—
|
—
|
$61,411.56
|
$61,411.56
|
$61,411.56
|
2025-07-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
3
|
2
|
—
|
—
|
$59,279.50
|
$59,279.50
|
$59,279.50
|
2025-07-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
10
|
6
|
—
|
—
|
$58,933.83
|
$58,933.83
|
$58,933.83
|
2025-07-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
1
|
1
|
—
|
—
|
$53,001.28
|
$53,001.28
|
$53,001.28
|
2025-07-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
1
|
1
|
—
|
—
|
$50,175.68
|
$50,175.68
|
$50,175.68
|
2025-07-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$49,678.42
|
$49,678.42
|
$49,678.42
|
2025-07-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
2
|
2
|
—
|
—
|
$49,112.71
|
$49,112.71
|
$49,112.71
|
2025-07-01
|
|
5232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
9
|
5
|
—
|
—
|
$49,081.50
|
$49,081.50
|
$49,081.50
|
2025-07-01
|
|
5231
|
OTHER
|
Level 1 Icd And Similar Procedures
|
4
|
3
|
—
|
—
|
$47,038.07
|
$47,038.07
|
$47,038.07
|
2025-07-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
4
|
2
|
—
|
—
|
$46,908.38
|
$46,908.38
|
$46,908.38
|
2025-07-01
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
1
|
1
|
—
|
—
|
$43,660.08
|
$43,660.08
|
$43,660.08
|
2025-07-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
2
|
1
|
—
|
—
|
$42,962.04
|
$42,962.04
|
$42,962.04
|
2025-07-01
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc
|
5
|
4
|
—
|
—
|
$42,018.09
|
$42,018.09
|
$42,018.09
|
2025-07-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
5
|
4
|
—
|
—
|
$41,674.78
|
$41,674.78
|
$41,674.78
|
2025-07-01
|
|
5242
|
OTHER
|
Level 2 Blood Product Exchange And Related Services
|
1
|
1
|
—
|
—
|
$40,575.94
|
$40,575.94
|
$40,575.94
|
2025-07-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
4
|
3
|
—
|
—
|
$39,276.57
|
$39,276.57
|
$39,276.57
|
2025-07-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
1
|
1
|
—
|
—
|
$38,947.19
|
$38,947.19
|
$38,947.19
|
2025-07-01
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
12
|
7
|
—
|
—
|
$38,896.17
|
$38,896.17
|
$38,896.17
|
2025-07-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
1
|
1
|
—
|
—
|
$38,106.93
|
$38,106.93
|
$38,106.93
|
2025-07-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
11
|
6
|
—
|
—
|
$37,146.10
|
$37,146.10
|
$37,146.10
|
2025-07-01
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
4
|
3
|
—
|
—
|
$37,106.01
|
$37,106.01
|
$37,106.01
|
2025-07-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
2
|
2
|
—
|
—
|
$36,816.74
|
$36,816.74
|
$36,816.74
|
2025-07-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
1
|
1
|
—
|
—
|
$36,696.98
|
$36,696.98
|
$36,696.98
|
2025-07-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
2
|
2
|
—
|
—
|
$36,401.39
|
$36,401.39
|
$36,401.39
|
2025-07-01
|
|
5465
|
OTHER
|
Level 5 Neurostimulator And Related Procedures
|
2
|
2
|
—
|
—
|
$36,164.46
|
$36,164.46
|
$36,164.46
|
2025-07-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
1
|
1
|
—
|
—
|
$35,768.88
|
$35,768.88
|
$35,768.88
|
2025-07-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
7
|
5
|
—
|
—
|
$33,472.20
|
$33,472.20
|
$33,472.20
|
2025-07-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
2
|
2
|
—
|
—
|
$32,870.06
|
$32,870.06
|
$32,870.06
|
2025-07-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
2
|
2
|
—
|
—
|
$31,439.18
|
$31,439.18
|
$31,439.18
|
2025-07-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
1
|
1
|
—
|
—
|
$31,162.52
|
$31,162.52
|
$31,162.52
|
2025-07-01
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
7
|
5
|
—
|
—
|
$30,076.42
|
$30,076.42
|
$30,076.42
|
2025-07-01
|
|
5194
|
OTHER
|
Level 4 Endovascular Procedures
|
8
|
5
|
—
|
—
|
$29,873.47
|
$29,873.47
|
$29,873.47
|
2025-07-01
|
|
5464
|
OTHER
|
Level 4 Neurostimulator And Related Procedures
|
8
|
5
|
—
|
—
|
$29,266.81
|
$29,266.81
|
$29,266.81
|
2025-07-01
|
|
5192
|
OTHER
|
Level 2 Endovascular Procedures
|
13
|
6
|
—
|
—
|
$28,651.03
|
$28,651.03
|
$28,651.03
|
2025-07-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
3
|
3
|
—
|
—
|
$28,572.25
|
$28,572.25
|
$28,572.25
|
2025-07-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
1
|
1
|
—
|
—
|
$28,321.70
|
$28,321.70
|
$28,321.70
|
2025-07-01
|
|
5623
|
OTHER
|
Level 3 Radiation Therapy
|
16
|
7
|
—
|
—
|
$28,255.08
|
$28,255.08
|
$28,255.08
|
2025-07-01
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
5
|
5
|
—
|
—
|
$28,152.72
|
$28,152.72
|
$28,152.72
|
2025-07-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
1
|
1
|
—
|
—
|
$27,686.95
|
$27,686.95
|
$27,686.95
|
2025-07-01
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
7
|
5
|
—
|
—
|
$27,480.69
|
$27,480.69
|
$27,480.69
|
2025-07-01
|
|
103
|
MS_DRG
|
Headaches Without Mcc
|
3
|
2
|
—
|
—
|
$27,376.58
|
$27,376.58
|
$27,376.58
|
2025-07-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
1
|
1
|
—
|
—
|
$27,356.35
|
$27,356.35
|
$27,356.35
|
2025-07-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
1
|
1
|
—
|
—
|
$26,865.79
|
$26,865.79
|
$26,865.79
|
2025-07-01
|
|
5116
|
OTHER
|
Level 6 Musculoskeletal Procedures
|
9
|
7
|
—
|
—
|
$26,792.28
|
$26,792.28
|
$26,792.28
|
2025-07-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
8
|
4
|
—
|
—
|
$26,762.47
|
$26,762.47
|
$26,762.47
|
2025-07-01
|
|
5061
|
OTHER
|
Hyperbaric Oxygen
|
4
|
3
|
—
|
—
|
$26,471.88
|
$26,471.88
|
$26,471.88
|
2025-07-01
|
|
5115
|
OTHER
|
Level 5 Musculoskeletal Procedures
|
21
|
9
|
—
|
—
|
$26,421.14
|
$26,421.14
|
$26,421.14
|
2025-07-01
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
1
|
1
|
—
|
—
|
$25,247.38
|
$25,247.38
|
$25,247.38
|
2025-07-01
|
|
0810
|
OTHER
|
Goserelin Acetate Implant
|
2
|
2
|
—
|
—
|
$25,231.10
|
$25,231.10
|
$25,231.10
|
2025-07-01
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
11
|
7
|
—
|
—
|
$24,859.20
|
$24,859.20
|
$24,859.20
|
2025-07-01
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
1
|
1
|
—
|
—
|
$24,765.11
|
$24,765.11
|
$24,765.11
|
2025-07-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
3
|
2
|
—
|
—
|
$24,756.45
|
$24,756.45
|
$24,756.45
|
2025-07-01
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
6
|
4
|
—
|
—
|
$24,671.76
|
$24,671.76
|
$24,671.76
|
2025-07-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
2
|
2
|
—
|
—
|
$24,606.42
|
$24,606.42
|
$24,606.42
|
2025-07-01
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
11
|
6
|
—
|
—
|
$24,588.56
|
$24,588.56
|
$24,588.56
|
2025-07-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
1
|
1
|
—
|
—
|
$24,527.95
|
$24,527.95
|
$24,527.95
|
2025-07-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
1
|
1
|
—
|
—
|
$24,489.91
|
$24,489.91
|
$24,489.91
|
2025-07-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
1
|
1
|
—
|
—
|
$24,392.67
|
$24,392.67
|
$24,392.67
|
2025-07-01
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
3
|
3
|
—
|
—
|
$23,997.77
|
$23,997.77
|
$23,997.77
|
2025-07-01
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
2
|
2
|
—
|
—
|
$23,482.03
|
$23,482.03
|
$23,482.03
|
2025-07-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
6
|
4
|
—
|
—
|
$23,252.12
|
$23,252.12
|
$23,252.12
|
2025-07-01
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
4
|
3
|
—
|
—
|
$23,235.99
|
$23,235.99
|
$23,235.99
|
2025-07-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
3
|
2
|
—
|
—
|
$22,959.15
|
$22,959.15
|
$22,959.15
|
2025-07-01
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
1
|
1
|
—
|
—
|
$22,174.45
|
$22,174.45
|
$22,174.45
|
2025-07-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
1
|
1
|
—
|
—
|
$21,593.74
|
$21,593.74
|
$21,593.74
|
2025-07-01
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
1
|
1
|
—
|
—
|
$21,362.08
|
$21,362.08
|
$21,362.08
|
2025-07-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
2
|
2
|
—
|
—
|
$21,279.54
|
$21,279.54
|
$21,279.54
|
2025-07-01
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
18
|
10
|
—
|
—
|
$21,239.90
|
$21,239.90
|
$21,239.90
|
2025-07-01
|
|
502
|
MS_DRG
|
Soft Tissue Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$20,910.21
|
$20,910.21
|
$20,910.21
|
2025-07-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
1
|
1
|
—
|
—
|
$20,029.35
|
$20,029.35
|
$20,029.35
|
2025-07-01
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
1
|
1
|
—
|
—
|
$19,032.40
|
$19,032.40
|
$19,032.40
|
2025-07-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
2
|
2
|
—
|
—
|
$18,825.57
|
$18,825.57
|
$18,825.57
|
2025-07-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
1
|
1
|
—
|
—
|
$18,787.69
|
$18,787.69
|
$18,787.69
|
2025-07-01
|
|
715
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc
|
1
|
1
|
—
|
—
|
$18,090.76
|
$18,090.76
|
$18,090.76
|
2025-07-01
|
|
465
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
2
|
1
|
—
|
—
|
$18,052.31
|
$18,052.31
|
$18,052.31
|
2025-07-01
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
1
|
1
|
—
|
—
|
$18,012.35
|
$18,012.35
|
$18,012.35
|
2025-07-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
3
|
2
|
—
|
—
|
$17,916.32
|
$17,916.32
|
$17,916.32
|
2025-07-01
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
10
|
6
|
—
|
—
|
$17,795.91
|
$17,795.91
|
$17,795.91
|
2025-07-01
|
|
5223
|
OTHER
|
Level 3 Pacemaker And Similar Procedures
|
7
|
4
|
—
|
—
|
$17,751.61
|
$17,751.61
|
$17,751.61
|
2025-07-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
1
|
1
|
—
|
—
|
$17,696.84
|
$17,696.84
|
$17,696.84
|
2025-07-01
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
1
|
1
|
—
|
—
|
$17,609.44
|
$17,609.44
|
$17,609.44
|
2025-07-01
|
|
708
|
MS_DRG
|
Major Male Pelvic Procedures Without Cc/Mcc
|
3
|
3
|
—
|
—
|
$17,445.30
|
$17,445.30
|
$17,445.30
|
2025-07-01
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
5
|
4
|
—
|
—
|
$17,378.31
|
$17,378.31
|
$17,378.31
|
2025-07-01
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
1
|
1
|
—
|
—
|
$17,242.50
|
$17,242.50
|
$17,242.50
|
2025-07-01
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc
|
5
|
4
|
—
|
—
|
$17,218.25
|
$17,218.25
|
$17,218.25
|
2025-07-01
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
1
|
1
|
—
|
—
|
$17,182.90
|
$17,182.90
|
$17,182.90
|
2025-07-01
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
1
|
1
|
—
|
—
|
$17,046.27
|
$17,046.27
|
$17,046.27
|
2025-07-01
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
6
|
5
|
—
|
—
|
$17,010.90
|
$17,010.90
|
$17,010.90
|
2025-07-01
|
|
254
|
MS_DRG
|
Other Vascular Procedures Without Cc/Mcc
|
4
|
4
|
—
|
—
|
$16,900.35
|
$16,900.35
|
$16,900.35
|
2025-07-01
|
|
868
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Cc
|
2
|
2
|
—
|
—
|
$16,555.54
|
$16,555.54
|
$16,555.54
|
2025-07-01
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
1
|
1
|
—
|
—
|
$16,517.91
|
$16,517.91
|
$16,517.91
|
2025-07-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
2
|
2
|
—
|
—
|
$16,455.46
|
$16,455.46
|
$16,455.46
|
2025-07-01
|
|
399
|
MS_DRG
|
Appendix Procedures Without Cc/Mcc
|
4
|
3
|
—
|
—
|
$15,998.69
|
$15,998.69
|
$15,998.69
|
2025-07-01
|
|
287
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc
|
9
|
5
|
—
|
—
|
$15,914.23
|
$15,914.23
|
$15,914.23
|
2025-07-01
|
|
657
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Cc
|
1
|
1
|
—
|
—
|
$15,868.94
|
$15,868.94
|
$15,868.94
|
2025-07-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
5
|
4
|
—
|
—
|
$15,722.23
|
$15,722.23
|
$15,722.23
|
2025-07-01
|
|
5622
|
OTHER
|
Level 2 Radiation Therapy
|
14
|
7
|
—
|
—
|
$15,561.32
|
$15,561.32
|
$15,561.32
|
2025-07-01
|
|
843
|
MS_DRG
|
Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…
|
1
|
1
|
—
|
—
|
$15,543.98
|
$15,543.98
|
$15,543.98
|
2025-07-01
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
2
|
2
|
—
|
—
|
$15,474.38
|
$15,474.38
|
$15,474.38
|
2025-07-01
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
4
|
3
|
—
|
—
|
$15,417.95
|
$15,417.95
|
$15,417.95
|
2025-07-01
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With Mcc
|
1
|
1
|
—
|
—
|
$15,379.10
|
$15,379.10
|
$15,379.10
|
2025-07-01
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/Mcc
|
7
|
5
|
—
|
—
|
$15,348.50
|
$15,348.50
|
$15,348.50
|
2025-07-01
|
|
542
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
1
|
1
|
—
|
—
|
$15,322.22
|
$15,322.22
|
$15,322.22
|
2025-07-01
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
7
|
6
|
—
|
—
|
$15,269.16
|
$15,269.16
|
$15,269.16
|
2025-07-01
|
|
62
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
2
|
1
|
—
|
—
|
$15,241.69
|
$15,241.69
|
$15,241.69
|
2025-07-01
|
|
200
|
MS_DRG
|
Pneumothorax With Cc
|
4
|
2
|
—
|
—
|
$15,044.53
|
$15,044.53
|
$15,044.53
|
2025-07-01
|
|
165
|
MS_DRG
|
Major Chest Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$14,968.26
|
$14,968.26
|
$14,968.26
|
2025-07-01
|
|
5674
|
OTHER
|
Level 4 Pathology
|
1
|
1
|
—
|
—
|
$14,955.74
|
$14,955.74
|
$14,955.74
|
2025-07-01
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
1
|
1
|
—
|
—
|
$14,787.27
|
$14,787.27
|
$14,787.27
|
2025-07-01
|
|
244
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$14,627.23
|
$14,627.23
|
$14,627.23
|
2025-07-01
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
5
|
5
|
—
|
—
|
$14,579.40
|
$14,579.40
|
$14,579.40
|
2025-07-01
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
2
|
2
|
—
|
—
|
$14,567.33
|
$14,567.33
|
$14,567.33
|
2025-07-01
|
|
42
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$14,513.45
|
$14,513.45
|
$14,513.45
|
2025-07-01
|
|
5093
|
OTHER
|
Level 3 Breast/Lymphatic Surgery And Related Procedures
|
5
|
5
|
—
|
—
|
$14,435.38
|
$14,435.38
|
$14,435.38
|
2025-07-01
|
|
5432
|
OTHER
|
Level 2 Nerve Procedures
|
1
|
1
|
—
|
—
|
$14,425.00
|
$14,425.00
|
$14,425.00
|
2025-07-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
1
|
1
|
—
|
—
|
$14,420.12
|
$14,420.12
|
$14,420.12
|
2025-07-01
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
1
|
1
|
—
|
—
|
$14,417.19
|
$14,417.19
|
$14,417.19
|
2025-07-01
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
4
|
3
|
—
|
—
|
$14,353.27
|
$14,353.27
|
$14,353.27
|
2025-07-01
|
|
296
|
MS_DRG
|
Cardiac Arrest, Unexplained With Mcc
|
1
|
1
|
—
|
—
|
$14,307.37
|
$14,307.37
|
$14,307.37
|
2025-07-01
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
7
|
5
|
—
|
—
|
$14,179.48
|
$14,179.48
|
$14,179.48
|
2025-07-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
3
|
2
|
—
|
—
|
$14,161.39
|
$14,161.39
|
$14,161.39
|
2025-07-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
5
|
3
|
—
|
—
|
$14,064.21
|
$14,064.21
|
$14,064.21
|
2025-07-01
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
|
2
|
2
|
—
|
—
|
$13,980.88
|
$13,980.88
|
$13,980.88
|
2025-07-01
|
|
290
|
MS_DRG
|
Acute And Subacute Endocarditis Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$13,969.37
|
$13,969.37
|
$13,969.37
|
2025-07-01
|
|
9473
|
OTHER
|
Injection, Mepolizumab, 1mg
|
4
|
3
|
—
|
—
|
$13,957.34
|
$13,957.34
|
$13,957.34
|
2025-07-01
|
|
742
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc
|
1
|
1
|
—
|
—
|
$13,944.29
|
$13,944.29
|
$13,944.29
|
2025-07-01
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
8
|
4
|
—
|
—
|
$13,909.48
|
$13,909.48
|
$13,909.48
|
2025-07-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
1
|
1
|
—
|
—
|
$13,892.80
|
$13,892.80
|
$13,892.80
|
2025-07-01
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
2
|
2
|
—
|
—
|
$13,700.97
|
$13,700.97
|
$13,700.97
|
2025-07-01
|
|
865
|
MS_DRG
|
Viral Illness With Mcc
|
1
|
1
|
—
|
—
|
$13,691.03
|
$13,691.03
|
$13,691.03
|
2025-07-01
|
|
5191
|
OTHER
|
Level 1 Endovascular Procedures
|
21
|
9
|
—
|
—
|
$13,682.88
|
$13,682.88
|
$13,682.88
|
2025-07-01
|
|
660
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Cc
|
7
|
5
|
—
|
—
|
$13,659.55
|
$13,659.55
|
$13,659.55
|
2025-07-01
|
|
919
|
MS_DRG
|
Complications Of Treatment With Mcc
|
1
|
1
|
—
|
—
|
$13,611.41
|
$13,611.41
|
$13,611.41
|
2025-07-01
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
13
|
6
|
—
|
—
|
$13,498.99
|
$13,498.99
|
$13,498.99
|
2025-07-01
|
|
915
|
MS_DRG
|
Allergic Reactions With Mcc
|
2
|
2
|
—
|
—
|
$13,366.91
|
$13,366.91
|
$13,366.91
|
2025-07-01
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
4
|
3
|
—
|
—
|
$13,337.90
|
$13,337.90
|
$13,337.90
|
2025-07-01
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc
|
4
|
3
|
—
|
—
|
$13,238.61
|
$13,238.61
|
$13,238.61
|
2025-07-01
|
|
183
|
MS_DRG
|
Major Chest Trauma With Mcc
|
1
|
1
|
—
|
—
|
$13,180.99
|
$13,180.99
|
$13,180.99
|
2025-07-01
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
5
|
4
|
—
|
—
|
$13,148.18
|
$13,148.18
|
$13,148.18
|
2025-07-01
|
|
201
|
MS_DRG
|
Pneumothorax Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$13,115.56
|
$13,115.56
|
$13,115.56
|
2025-07-01
|
|
5094
|
OTHER
|
Level 4 Breast/Lymphatic Surgery And Related Procedures
|
3
|
2
|
—
|
—
|
$13,110.33
|
$13,110.33
|
$13,110.33
|
2025-07-01
|
|
88
|
MS_DRG
|
Concussion With Mcc
|
1
|
1
|
—
|
—
|
$13,082.68
|
$13,082.68
|
$13,082.68
|
2025-07-01
|
|
513
|
MS_DRG
|
Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc
|
1
|
1
|
—
|
—
|
$13,072.52
|
$13,072.52
|
$13,072.52
|
2025-07-01
|
|
410
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
1
|
1
|
—
|
—
|
$13,036.92
|
$13,036.92
|
$13,036.92
|
2025-07-01
|
|
5114
|
OTHER
|
Level 4 Musculoskeletal Procedures
|
23
|
12
|
—
|
—
|
$12,948.29
|
$12,948.29
|
$12,948.29
|
2025-07-01
|
|
5303
|
OTHER
|
Level 3 Upper Gi Procedures
|
7
|
4
|
—
|
—
|
$12,910.69
|
$12,910.69
|
$12,910.69
|
2025-07-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
1
|
1
|
—
|
—
|
$12,789.48
|
$12,789.48
|
$12,789.48
|
2025-07-01
|
|
949
|
MS_DRG
|
Aftercare With Cc/Mcc
|
4
|
3
|
—
|
—
|
$12,758.05
|
$12,758.05
|
$12,758.05
|
2025-07-01
|
|
251
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc
|
2
|
2
|
—
|
—
|
$12,730.83
|
$12,730.83
|
$12,730.83
|
2025-07-01
|
|
256
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Cc
|
1
|
1
|
—
|
—
|
$12,727.91
|
$12,727.91
|
$12,727.91
|
2025-07-01
|
|
501
|
MS_DRG
|
Soft Tissue Procedures With Cc
|
2
|
1
|
—
|
—
|
$12,723.44
|
$12,723.44
|
$12,723.44
|
2025-07-01
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
2
|
2
|
—
|
—
|
$12,708.69
|
$12,708.69
|
$12,708.69
|
2025-07-01
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
11
|
5
|
—
|
—
|
$12,642.86
|
$12,642.86
|
$12,642.86
|
2025-07-01
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
3
|
2
|
—
|
—
|
$12,515.25
|
$12,515.25
|
$12,515.25
|
2025-07-01
|
|
5155
|
OTHER
|
Level 5 Airway Endoscopy
|
4
|
3
|
—
|
—
|
$12,495.76
|
$12,495.76
|
$12,495.76
|
2025-07-01
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
1
|
1
|
—
|
—
|
$12,420.00
|
$12,420.00
|
$12,420.00
|
2025-07-01
|
|
63
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
2
|
2
|
—
|
—
|
$12,404.70
|
$12,404.70
|
$12,404.70
|
2025-07-01
|
|
368
|
MS_DRG
|
Major Esophageal Disorders With Mcc
|
1
|
1
|
—
|
—
|
$12,364.22
|
$12,364.22
|
$12,364.22
|
2025-07-01
|
|
663
|
MS_DRG
|
Minor Bladder Procedures With Cc
|
1
|
1
|
—
|
—
|
$12,184.09
|
$12,184.09
|
$12,184.09
|
2025-07-01
|
|
351
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Cc
|
1
|
1
|
—
|
—
|
$12,164.13
|
$12,164.13
|
$12,164.13
|
2025-07-01
|
|
597
|
MS_DRG
|
Malignant Breast Disorders With Mcc
|
2
|
2
|
—
|
—
|
$12,039.17
|
$12,039.17
|
$12,039.17
|
2025-07-01
|
|
5613
|
OTHER
|
Level 3 Therapeutic Radiation Treatment Preparation
|
9
|
6
|
—
|
—
|
$11,843.14
|
$11,843.14
|
$11,843.14
|
2025-07-01
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
2
|
2
|
—
|
—
|
$11,816.38
|
$11,816.38
|
$11,816.38
|
2025-07-01
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
6
|
4
|
—
|
—
|
$11,774.92
|
$11,774.92
|
$11,774.92
|
2025-07-01
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
4
|
3
|
—
|
—
|
$11,766.62
|
$11,766.62
|
$11,766.62
|
2025-07-01
|
|
512
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/…
|
1
|
1
|
—
|
—
|
$11,751.70
|
$11,751.70
|
$11,751.70
|
2025-07-01
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
4
|
4
|
—
|
—
|
$11,640.82
|
$11,640.82
|
$11,640.82
|
2025-07-01
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc
|
12
|
6
|
—
|
—
|
$11,567.96
|
$11,567.96
|
$11,567.96
|
2025-07-01
|
|
535
|
MS_DRG
|
Fractures Of Hip And Pelvis With Mcc
|
2
|
1
|
—
|
—
|
$11,505.70
|
$11,505.70
|
$11,505.70
|
2025-07-01
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
6
|
4
|
—
|
—
|
$11,472.80
|
$11,472.80
|
$11,472.80
|
2025-07-01
|
|
5361
|
OTHER
|
Level 1 Laparoscopy And Related Services
|
24
|
12
|
—
|
—
|
$11,448.11
|
$11,448.11
|
$11,448.11
|
2025-07-01
|
|
369
|
MS_DRG
|
Major Esophageal Disorders With Cc
|
2
|
2
|
—
|
—
|
$11,446.98
|
$11,446.98
|
$11,446.98
|
2025-07-01
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
2
|
1
|
—
|
—
|
$11,264.34
|
$11,264.34
|
$11,264.34
|
2025-07-01
|
|
5184
|
OTHER
|
Level 4 Vascular Procedures
|
7
|
4
|
—
|
—
|
$11,248.97
|
$11,248.97
|
$11,248.97
|
2025-07-01
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
4
|
2
|
—
|
—
|
$11,007.78
|
$11,007.78
|
$11,007.78
|
2025-07-01
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
1
|
1
|
—
|
—
|
$10,953.12
|
$10,953.12
|
$10,953.12
|
2025-07-01
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
3
|
3
|
—
|
—
|
$10,947.22
|
$10,947.22
|
$10,947.22
|
2025-07-01
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
3
|
3
|
—
|
—
|
$10,942.19
|
$10,942.19
|
$10,942.19
|
2025-07-01
|
|
355
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$10,862.32
|
$10,862.32
|
$10,862.32
|
2025-07-01
|
|
99
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$10,801.72
|
$10,801.72
|
$10,801.72
|
2025-07-01
|
|
77
|
MS_DRG
|
Hypertensive Encephalopathy With Mcc
|
1
|
1
|
—
|
—
|
$10,693.31
|
$10,693.31
|
$10,693.31
|
2025-07-01
|
|
73
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders With Mcc
|
2
|
2
|
—
|
—
|
$10,592.62
|
$10,592.62
|
$10,592.62
|
2025-07-01
|
|
70
|
MS_DRG
|
Nonspecific Cerebrovascular Disorders With Mcc
|
1
|
1
|
—
|
—
|
$10,583.29
|
$10,583.29
|
$10,583.29
|
2025-07-01
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
11
|
6
|
—
|
—
|
$10,565.51
|
$10,565.51
|
$10,565.51
|
2025-07-01
|
|
300
|
MS_DRG
|
Peripheral Vascular Disorders With Cc
|
3
|
3
|
—
|
—
|
$10,460.08
|
$10,460.08
|
$10,460.08
|
2025-07-01
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
10
|
6
|
—
|
—
|
$10,364.24
|
$10,364.24
|
$10,364.24
|
2025-07-01
|
|
398
|
MS_DRG
|
Appendix Procedures With Cc
|
3
|
2
|
—
|
—
|
$10,332.28
|
$10,332.28
|
$10,332.28
|
2025-07-01
|
|
58
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia With Mcc
|
2
|
1
|
—
|
—
|
$10,300.24
|
$10,300.24
|
$10,300.24
|
2025-07-01
|
|
101
|
MS_DRG
|
Seizures Without Mcc
|
7
|
3
|
—
|
—
|
$10,115.23
|
$10,115.23
|
$10,115.23
|
2025-07-01
|
|
380
|
MS_DRG
|
Complicated Peptic Ulcer With Mcc
|
3
|
3
|
—
|
—
|
$10,113.48
|
$10,113.48
|
$10,113.48
|
2025-07-01
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
4
|
3
|
—
|
—
|
$10,092.22
|
$10,092.22
|
$10,092.22
|
2025-07-01
|
|
983
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$10,058.21
|
$10,058.21
|
$10,058.21
|
2025-07-01
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
7
|
5
|
—
|
—
|
$10,019.91
|
$10,019.91
|
$10,019.91
|
2025-07-01
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
6
|
5
|
—
|
—
|
$10,016.78
|
$10,016.78
|
$10,016.78
|
2025-07-01
|
|
644
|
MS_DRG
|
Endocrine Disorders With Cc
|
4
|
3
|
—
|
—
|
$9,931.88
|
$9,931.88
|
$9,931.88
|
2025-07-01
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
3
|
3
|
—
|
—
|
$9,897.86
|
$9,897.86
|
$9,897.86
|
2025-07-01
|
|
348
|
MS_DRG
|
Anal And Stomal Procedures With Cc
|
1
|
1
|
—
|
—
|
$9,814.14
|
$9,814.14
|
$9,814.14
|
2025-07-01
|
|
89
|
MS_DRG
|
Concussion With Cc
|
2
|
1
|
—
|
—
|
$9,773.42
|
$9,773.42
|
$9,773.42
|
2025-07-01
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
4
|
4
|
—
|
—
|
$9,731.66
|
$9,731.66
|
$9,731.66
|
2025-07-01
|
|
345
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Cc
|
1
|
1
|
—
|
—
|
$9,660.00
|
$9,660.00
|
$9,660.00
|
2025-07-01
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
6
|
2
|
—
|
—
|
$9,536.50
|
$9,536.50
|
$9,536.50
|
2025-07-01
|
|
9161
|
OTHER
|
Inj Cefazolin Sodium, Baxter
|
13
|
10
|
—
|
—
|
$9,517.77
|
$9,517.77
|
$9,517.77
|
2025-07-01
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
7
|
4
|
—
|
—
|
$9,513.32
|
$9,513.32
|
$9,513.32
|
2025-07-01
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
4
|
3
|
—
|
—
|
$9,486.56
|
$9,486.56
|
$9,486.56
|
2025-07-01
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
9
|
5
|
—
|
—
|
$9,310.71
|
$9,310.71
|
$9,310.71
|
2025-07-01
|
|
5362
|
OTHER
|
Level 2 Laparoscopy And Related Services
|
16
|
9
|
—
|
—
|
$9,294.78
|
$9,294.78
|
$9,294.78
|
2025-07-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
1
|
1
|
—
|
—
|
$9,285.71
|
$9,285.71
|
$9,285.71
|
2025-07-01
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/Mcc
|
9
|
4
|
—
|
—
|
$9,215.44
|
$9,215.44
|
$9,215.44
|
2025-07-01
|
|
302
|
MS_DRG
|
Atherosclerosis With Mcc
|
2
|
2
|
—
|
—
|
$9,195.76
|
$9,195.76
|
$9,195.76
|
2025-07-01
|
|
562
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
2
|
2
|
—
|
—
|
$9,158.64
|
$9,158.64
|
$9,158.64
|
2025-07-01
|
|
5462
|
OTHER
|
Level 2 Neurostimulator And Related Procedures
|
4
|
3
|
—
|
—
|
$9,149.11
|
$9,149.11
|
$9,149.11
|
2025-07-01
|
|
39
|
MS_DRG
|
Extracranial Procedures Without Cc/Mcc
|
4
|
3
|
—
|
—
|
$9,133.49
|
$9,133.49
|
$9,133.49
|
2025-07-01
|
|
186
|
MS_DRG
|
Pleural Effusion With Mcc
|
2
|
2
|
—
|
—
|
$9,043.17
|
$9,043.17
|
$9,043.17
|
2025-07-01
|
|
717
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/Mcc
|
2
|
1
|
—
|
—
|
$9,026.42
|
$9,026.42
|
$9,026.42
|
2025-07-01
|
|
669
|
MS_DRG
|
Transurethral Procedures With Cc
|
1
|
1
|
—
|
—
|
$8,994.68
|
$8,994.68
|
$8,994.68
|
2025-07-01
|
|
304
|
MS_DRG
|
Hypertension With Mcc
|
2
|
2
|
—
|
—
|
$8,981.00
|
$8,981.00
|
$8,981.00
|
2025-07-01
|
|
5092
|
OTHER
|
Level 2 Breast/Lymphatic Surgery And Related Procedures
|
10
|
8
|
—
|
—
|
$8,968.75
|
$8,968.75
|
$8,968.75
|
2025-07-01
|
|
187
|
MS_DRG
|
Pleural Effusion With Cc
|
1
|
1
|
—
|
—
|
$8,963.75
|
$8,963.75
|
$8,963.75
|
2025-07-01
|
|
687
|
MS_DRG
|
Kidney And Urinary Tract Neoplasms With Cc
|
1
|
1
|
—
|
—
|
$8,911.70
|
$8,911.70
|
$8,911.70
|
2025-07-01
|
|
476
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc…
|
1
|
1
|
—
|
—
|
$8,826.53
|
$8,826.53
|
$8,826.53
|
2025-07-01
|
|
661
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$8,698.64
|
$8,698.64
|
$8,698.64
|
2025-07-01
|
|
71
|
MS_DRG
|
Nonspecific Cerebrovascular Disorders With Cc
|
3
|
2
|
—
|
—
|
$8,694.13
|
$8,694.13
|
$8,694.13
|
2025-07-01
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/Mcc
|
3
|
2
|
—
|
—
|
$8,661.96
|
$8,661.96
|
$8,661.96
|
2025-07-01
|
|
8011
|
OTHER
|
Comprehensive Observation Services
|
24
|
12
|
—
|
—
|
$8,619.43
|
$8,619.43
|
$8,619.43
|
2025-07-01
|
|
9247
|
OTHER
|
Inj, Amisulpride, 1 Mg
|
2
|
1
|
—
|
—
|
$8,602.82
|
$8,602.82
|
$8,602.82
|
2025-07-01
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
7
|
5
|
—
|
—
|
$8,575.97
|
$8,575.97
|
$8,575.97
|
2025-07-01
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
6
|
4
|
—
|
—
|
$8,524.80
|
$8,524.80
|
$8,524.80
|
2025-07-01
|
|
78
|
MS_DRG
|
Hypertensive Encephalopathy With Cc
|
1
|
1
|
—
|
—
|
$8,449.12
|
$8,449.12
|
$8,449.12
|
2025-07-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
1
|
1
|
—
|
—
|
$8,380.59
|
$8,380.59
|
$8,380.59
|
2025-07-01
|
|
758
|
MS_DRG
|
Infections, Female Reproductive System With Cc
|
1
|
1
|
—
|
—
|
$8,282.19
|
$8,282.19
|
$8,282.19
|
2025-07-01
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
3
|
2
|
—
|
—
|
$8,267.24
|
$8,267.24
|
$8,267.24
|
2025-07-01
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
7
|
5
|
—
|
—
|
$8,262.81
|
$8,262.81
|
$8,262.81
|
2025-07-01
|
|
784
|
MS_DRG
|
Cesarean Section With Sterilization With Cc
|
8
|
6
|
—
|
—
|
$8,261.70
|
$8,261.70
|
$8,261.70
|
2025-07-01
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/Mcc
|
14
|
8
|
—
|
—
|
$8,251.03
|
$8,251.03
|
$8,251.03
|
2025-07-01
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
3
|
2
|
—
|
—
|
$8,236.28
|
$8,236.28
|
$8,236.28
|
2025-07-01
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
2
|
2
|
—
|
—
|
$8,230.66
|
$8,230.66
|
$8,230.66
|
2025-07-01
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
4
|
3
|
—
|
—
|
$8,228.50
|
$8,228.50
|
$8,228.50
|
2025-07-01
|
|
59
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia With Cc
|
2
|
2
|
—
|
—
|
$8,184.61
|
$8,184.61
|
$8,184.61
|
2025-07-01
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
8
|
3
|
—
|
—
|
$8,101.20
|
$8,101.20
|
$8,101.20
|
2025-07-01
|
|
806
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Cc
|
13
|
8
|
—
|
—
|
$8,059.36
|
$8,059.36
|
$8,059.36
|
2025-07-01
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc
|
6
|
5
|
—
|
—
|
$7,971.65
|
$7,971.65
|
$7,971.65
|
2025-07-01
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
1
|
1
|
—
|
—
|
$7,971.61
|
$7,971.61
|
$7,971.61
|
2025-07-01
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
3
|
2
|
—
|
—
|
$7,963.77
|
$7,963.77
|
$7,963.77
|
2025-07-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
1
|
1
|
—
|
—
|
$7,908.70
|
$7,908.70
|
$7,908.70
|
2025-07-01
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
10
|
5
|
—
|
—
|
$7,883.69
|
$7,883.69
|
$7,883.69
|
2025-07-01
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
4
|
4
|
—
|
—
|
$7,838.09
|
$7,838.09
|
$7,838.09
|
2025-07-01
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
3
|
2
|
—
|
—
|
$7,830.37
|
$7,830.37
|
$7,830.37
|
2025-07-01
|
|
866
|
MS_DRG
|
Viral Illness Without Mcc
|
1
|
1
|
—
|
—
|
$7,804.49
|
$7,804.49
|
$7,804.49
|
2025-07-01
|
|
433
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Cc
|
7
|
5
|
—
|
—
|
$7,796.38
|
$7,796.38
|
$7,796.38
|
2025-07-01
|
|
9501
|
OTHER
|
Platelet Pheres Leukoreduced
|
1
|
1
|
—
|
—
|
$7,781.47
|
$7,781.47
|
$7,781.47
|
2025-07-01
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
8
|
5
|
—
|
—
|
$7,735.86
|
$7,735.86
|
$7,735.86
|
2025-07-01
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/Mcc
|
9
|
5
|
—
|
—
|
$7,679.40
|
$7,679.40
|
$7,679.40
|
2025-07-01
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
4
|
2
|
—
|
—
|
$7,629.95
|
$7,629.95
|
$7,629.95
|
2025-07-01
|
|
556
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc
|
2
|
2
|
—
|
—
|
$7,623.15
|
$7,623.15
|
$7,623.15
|
2025-07-01
|
|
5374
|
OTHER
|
Level 4 Urology And Related Services
|
21
|
11
|
—
|
—
|
$7,619.11
|
$7,619.11
|
$7,619.11
|
2025-07-01
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without Mcc
|
1
|
1
|
—
|
—
|
$7,617.38
|
$7,617.38
|
$7,617.38
|
2025-07-01
|
|
206
|
MS_DRG
|
Other Respiratory System Diagnoses Without Mcc
|
1
|
1
|
—
|
—
|
$7,605.89
|
$7,605.89
|
$7,605.89
|
2025-07-01
|
|
768
|
MS_DRG
|
Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c
|
5
|
4
|
—
|
—
|
$7,589.25
|
$7,589.25
|
$7,589.25
|
2025-07-01
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
3
|
2
|
—
|
—
|
$7,569.61
|
$7,569.61
|
$7,569.61
|
2025-07-01
|
|
436
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Cc
|
2
|
2
|
—
|
—
|
$7,561.50
|
$7,561.50
|
$7,561.50
|
2025-07-01
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
1
|
1
|
—
|
—
|
$7,502.47
|
$7,502.47
|
$7,502.47
|
2025-07-01
|
|
5376
|
OTHER
|
Level 6 Urology And Related Services
|
4
|
4
|
—
|
—
|
$7,489.56
|
$7,489.56
|
$7,489.56
|
2025-07-01
|
|
794
|
MS_DRG
|
Neonate With Other Significant Problems
|
10
|
7
|
—
|
—
|
$7,337.01
|
$7,337.01
|
$7,337.01
|
2025-07-01
|
|
643
|
MS_DRG
|
Endocrine Disorders With Mcc
|
2
|
2
|
—
|
—
|
$7,151.77
|
$7,151.77
|
$7,151.77
|
2025-07-01
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
3
|
3
|
—
|
—
|
$7,103.62
|
$7,103.62
|
$7,103.62
|
2025-07-01
|
|
76
|
MS_DRG
|
Viral Meningitis Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$7,102.64
|
$7,102.64
|
$7,102.64
|
2025-07-01
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
8
|
5
|
—
|
—
|
$7,073.95
|
$7,073.95
|
$7,073.95
|
2025-07-01
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
4
|
3
|
—
|
—
|
$7,069.71
|
$7,069.71
|
$7,069.71
|
2025-07-01
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
1
|
1
|
—
|
—
|
$7,034.91
|
$7,034.91
|
$7,034.91
|
2025-07-01
|
|
5041
|
OTHER
|
Critical Care
|
22
|
10
|
—
|
—
|
$7,021.50
|
$7,021.50
|
$7,021.50
|
2025-07-01
|
|
5164
|
OTHER
|
Level 4 ENT Procedures
|
12
|
7
|
—
|
—
|
$7,021.43
|
$7,021.43
|
$7,021.43
|
2025-07-01
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc
|
2
|
2
|
—
|
—
|
$7,017.15
|
$7,017.15
|
$7,017.15
|
2025-07-01
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
11
|
7
|
—
|
—
|
$6,919.34
|
$6,919.34
|
$6,919.34
|
2025-07-01
|
|
841
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Cc
|
1
|
1
|
—
|
—
|
$6,835.08
|
$6,835.08
|
$6,835.08
|
2025-07-01
|
|
5375
|
OTHER
|
Level 5 Urology And Related Services
|
20
|
9
|
—
|
—
|
$6,827.99
|
$6,827.99
|
$6,827.99
|
2025-07-01
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
2
|
2
|
—
|
—
|
$6,812.90
|
$6,812.90
|
$6,812.90
|
2025-07-01
|
|
5165
|
OTHER
|
Level 5 ENT Procedures
|
10
|
6
|
—
|
—
|
$6,790.05
|
$6,790.05
|
$6,790.05
|
2025-07-01
|
|
385
|
MS_DRG
|
Inflammatory Bowel Disease With Mcc
|
1
|
1
|
—
|
—
|
$6,787.76
|
$6,787.76
|
$6,787.76
|
2025-07-01
|
|
5053
|
OTHER
|
Level 3 Skin Procedures
|
9
|
5
|
—
|
—
|
$6,778.77
|
$6,778.77
|
$6,778.77
|
2025-07-01
|
|
783
|
MS_DRG
|
Cesarean Section With Sterilization With Mcc
|
2
|
2
|
—
|
—
|
$6,635.03
|
$6,635.03
|
$6,635.03
|
2025-07-01
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
3
|
3
|
—
|
—
|
$6,618.83
|
$6,618.83
|
$6,618.83
|
2025-07-01
|
|
807
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c Without Cc/Mcc
|
16
|
10
|
—
|
—
|
$6,604.75
|
$6,604.75
|
$6,604.75
|
2025-07-01
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
3
|
3
|
—
|
—
|
$6,523.12
|
$6,523.12
|
$6,523.12
|
2025-07-01
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc
|
6
|
3
|
—
|
—
|
$6,470.52
|
$6,470.52
|
$6,470.52
|
2025-07-01
|