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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

LAKE REGIONAL HEALTH SYSTEM

Osage Beach, MO · CCN 260186 · Rates published

490 distinct procedures filed
15 distinct payers
17,374 rate rows
2025-07-01 last MRF observed
Data quality

2,508 of 17,374 rate rows are consumer-grade (14.4%)

14,866 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 14,866
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://res.cloudinary.com/dpmykpsih/raw/upload/lakeregional-site-338/media/r/03498bfa98144cf58d2f8efa49f9d9b4/237339737_lake-regional-health-system_standardcharges.csv
Found on page https://www.lakeregional.com/patients-and-visitors/patients/billing-and-insurance/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 6d3b144327cafec8… · 6,330,017 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
9028
OTHER 		Inj Inotuzumab Ozogam 0.1 Mg 1 $464,212.28 $464,212.28 $464,212.28 nat. median
$2,817
outlier · 164.8×
9287
OTHER 		Brentuximab Vedotin Inj 1 $374,780.44 $374,780.44 $374,780.44 nat. median
$268
outlier · 1396.1×
1207
OTHER 		Octreotide Injection, Depot 1 $186,975.70 $186,975.70 $186,975.70 nat. median
$215
outlier · 870.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $153,576.77 $153,576.77 $153,576.77 nat. median
$202,986
0.8× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 1 $132,048.61 $132,048.61 $132,048.61 nat. median
$50,270
outlier · 2.6×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 1 $125,252.20 $125,252.20 $125,252.20 nat. median
$33,154
outlier · 3.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $122,100.30 $122,100.30 $122,100.30 nat. median
$133,176
0.9× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 $108,385.02 $108,385.02 $108,385.02 nat. median
$53,268
outlier · 2.0×
215
MS_DRG 		Other Heart Assist System Implant 2 $95,656.73 $95,656.73 $95,656.73 nat. median
$99,019
1.0× median
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 1 $86,518.66 $86,518.66 $86,518.66 nat. median
$18,896
outlier · 4.6×
9347
OTHER 		Inj Luspatercept-aamt 0.25mg 1 $79,099.19 $79,099.19 $79,099.19 nat. median
$43
outlier · 1820.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 $77,771.84 $77,771.84 $77,771.84 nat. median
$73,807
1.1× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 2 $73,455.56 $73,455.56 $73,455.56 nat. median
$51,307
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $66,003.99 $66,003.99 $66,003.99 nat. median
$66,526
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $65,903.42 $65,903.42 $65,903.42 nat. median
$79,312
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $64,148.86 $64,148.86 $64,148.86 nat. median
$68,887
0.9× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 3 $61,411.56 $61,411.56 $61,411.56 nat. median
$42,002
1.5× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 $59,279.50 $59,279.50 $59,279.50 nat. median
$47,740
1.2× median
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 6 $58,933.83 $58,933.83 $58,933.83 nat. median
$28,170
outlier · 2.1×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $53,001.28 $53,001.28 $53,001.28 nat. median
$59,099
0.9× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 1 $50,175.68 $50,175.68 $50,175.68 nat. median
$50,673
1.0× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 $49,678.42 $49,678.42 $49,678.42 nat. median
$43,966
1.1× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 2 $49,112.71 $49,112.71 $49,112.71 nat. median
$57,424
0.9× median
5232
OTHER 		Level 2 Icd And Similar Procedures 5 $49,081.50 $49,081.50 $49,081.50 nat. median
$32,531
1.5× median
5231
OTHER 		Level 1 Icd And Similar Procedures 3 $47,038.07 $47,038.07 $47,038.07 nat. median
$23,015
outlier · 2.0×
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 2 $46,908.38 $46,908.38 $46,908.38 nat. median
$32,829
1.4× median
516
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 $43,660.08 $43,660.08 $43,660.08 nat. median
$21,082
outlier · 2.1×
799
MS_DRG 		Splenic Procedures With Mcc 1 $42,962.04 $42,962.04 $42,962.04 nat. median
$45,384
0.9× median
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 4 $42,018.09 $42,018.09 $42,018.09 nat. median
$19,793
outlier · 2.1×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 $41,674.78 $41,674.78 $41,674.78 nat. median
$46,084
0.9× median
5242
OTHER 		Level 2 Blood Product Exchange And Related Services 1 $40,575.94 $40,575.94 $40,575.94 nat. median
$1,611
outlier · 25.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 3 $39,276.57 $39,276.57 $39,276.57 nat. median
$62,134
0.6× median
163
MS_DRG 		Major Chest Procedures With Mcc 1 $38,947.19 $38,947.19 $38,947.19 nat. median
$44,938
0.9× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 7 $38,896.17 $38,896.17 $38,896.17 nat. median
$21,532
1.8× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 1 $38,106.93 $38,106.93 $38,106.93 nat. median
$46,109
0.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 $37,146.10 $37,146.10 $37,146.10 nat. median
$48,170
0.8× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 $37,106.01 $37,106.01 $37,106.01 nat. median
$24,757
1.5× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 2 $36,816.74 $36,816.74 $36,816.74 nat. median
$44,810
0.8× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 1 $36,696.98 $36,696.98 $36,696.98 nat. median
$40,457
0.9× median
901
MS_DRG 		Wound Debridements For Injuries With Mcc 2 $36,401.39 $36,401.39 $36,401.39 nat. median
$41,872
0.9× median
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 2 $36,164.46 $36,164.46 $36,164.46 nat. median
$31,444
1.2× median
245
MS_DRG 		Aicd Generator Procedures 1 $35,768.88 $35,768.88 $35,768.88 nat. median
$45,271
0.8× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 $33,472.20 $33,472.20 $33,472.20 nat. median
$41,311
0.8× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 $32,870.06 $32,870.06 $32,870.06 nat. median
$28,962
1.1× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 $31,439.18 $31,439.18 $31,439.18 nat. median
$37,664
0.8× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 $31,162.52 $31,162.52 $31,162.52 nat. median
$35,856
0.9× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 5 $30,076.42 $30,076.42 $30,076.42 nat. median
$21,762
1.4× median
5194
OTHER 		Level 4 Endovascular Procedures 5 $29,873.47 $29,873.47 $29,873.47 nat. median
$18,909
1.6× median
5464
OTHER 		Level 4 Neurostimulator And Related Procedures 5 $29,266.81 $29,266.81 $29,266.81 nat. median
$20,658
1.4× median
5192
OTHER 		Level 2 Endovascular Procedures 6 $28,651.03 $28,651.03 $28,651.03 nat. median
$6,004
outlier · 4.8×

Other procedures at this hospital

Browse this hospital's 490 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
             
5114 OTHER Level 4 Musculoskeletal Procedures 23 12 — — $12,948.29 $12,948.29 $12,948.29 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
8011 OTHER Comprehensive Observation Services 24 12 — — $8,619.43 $8,619.43 $8,619.43 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
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
9161 OTHER Inj Cefazolin Sodium, Baxter 13 10 — — $9,517.77 $9,517.77 $9,517.77 2025-07-01
5041 OTHER Critical Care 22 10 — — $7,021.50 $7,021.50 $7,021.50 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
5115 OTHER Level 5 Musculoskeletal Procedures 21 9 — — $26,421.14 $26,421.14 $26,421.14 2025-07-01
5191 OTHER Level 1 Endovascular Procedures 21 9 — — $13,682.88 $13,682.88 $13,682.88 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
5375 OTHER Level 5 Urology And Related Services 20 9 — — $6,827.99 $6,827.99 $6,827.99 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
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 14 8 — — $8,251.03 $8,251.03 $8,251.03 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
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
5623 OTHER Level 3 Radiation Therapy 16 7 — — $28,255.08 $28,255.08 $28,255.08 2025-07-01
5116 OTHER Level 6 Musculoskeletal Procedures 9 7 — — $26,792.28 $26,792.28 $26,792.28 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
5622 OTHER Level 2 Radiation Therapy 14 7 — — $15,561.32 $15,561.32 $15,561.32 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
5164 OTHER Level 4 ENT Procedures 12 7 — — $7,021.43 $7,021.43 $7,021.43 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
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
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
5192 OTHER Level 2 Endovascular Procedures 13 6 — — $28,651.03 $28,651.03 $28,651.03 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
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
378 MS_DRG Gastrointestinal Hemorrhage With Cc 7 6 — — $15,269.16 $15,269.16 $15,269.16 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
5613 OTHER Level 3 Therapeutic Radiation Treatment Preparation 9 6 — — $11,843.14 $11,843.14 $11,843.14 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
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 11 6 — — $10,565.51 $10,565.51 $10,565.51 2025-07-01
637 MS_DRG Diabetes With Mcc 10 6 — — $10,364.24 $10,364.24 $10,364.24 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
5165 OTHER Level 5 ENT Procedures 10 6 — — $6,790.05 $6,790.05 $6,790.05 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
5232 OTHER Level 2 Icd And Similar Procedures 9 5 — — $49,081.50 $49,081.50 $49,081.50 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
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
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 5 5 — — $28,152.72 $28,152.72 $28,152.72 2025-07-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 7 5 — — $27,480.69 $27,480.69 $27,480.69 2025-07-01
682 MS_DRG Renal Failure With Mcc 6 5 — — $17,010.90 $17,010.90 $17,010.90 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
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
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
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 5 5 — — $14,435.38 $14,435.38 $14,435.38 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
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
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 11 5 — — $12,642.86 $12,642.86 $12,642.86 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
683 MS_DRG Renal Failure With Cc 9 5 — — $9,310.71 $9,310.71 $9,310.71 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
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 7 5 — — $8,262.81 $8,262.81 $8,262.81 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
189 MS_DRG Pulmonary Edema And Respiratory Failure 10 5 — — $7,883.69 $7,883.69 $7,883.69 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
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
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
5053 OTHER Level 3 Skin Procedures 9 5 — — $6,778.77 $6,778.77 $6,778.77 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
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
164 MS_DRG Major Chest Procedures With Cc 6 4 — — $24,671.76 $24,671.76 $24,671.76 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
5223 OTHER Level 3 Pacemaker And Similar Procedures 7 4 — — $17,751.61 $17,751.61 $17,751.61 2025-07-01
100 MS_DRG Seizures With Mcc 5 4 — — $17,378.31 $17,378.31 $17,378.31 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
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 4 4 — — $16,900.35 $16,900.35 $16,900.35 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
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 8 4 — — $13,909.48 $13,909.48 $13,909.48 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
5303 OTHER Level 3 Upper Gi Procedures 7 4 — — $12,910.69 $12,910.69 $12,910.69 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
389 MS_DRG Gastrointestinal Obstruction With Cc 4 4 — — $11,640.82 $11,640.82 $11,640.82 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
5184 OTHER Level 4 Vascular Procedures 7 4 — — $11,248.97 $11,248.97 $11,248.97 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
638 MS_DRG Diabetes With Cc 7 4 — — $9,513.32 $9,513.32 $9,513.32 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
177 MS_DRG Respiratory Infections And Inflammations With Mcc 6 4 — — $8,524.80 $8,524.80 $8,524.80 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
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
5376 OTHER Level 6 Urology And Related Services 4 4 — — $7,489.56 $7,489.56 $7,489.56 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
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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 5 3 — — $61,411.56 $61,411.56 $61,411.56 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
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
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
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
5061 OTHER Hyperbaric Oxygen 4 3 — — $26,471.88 $26,471.88 $26,471.88 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
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
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 3 3 — — $17,445.30 $17,445.30 $17,445.30 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
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
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 3 — — $14,353.27 $14,353.27 $14,353.27 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
9473 OTHER Injection, Mepolizumab, 1mg 4 3 — — $13,957.34 $13,957.34 $13,957.34 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
949 MS_DRG Aftercare With Cc/Mcc 4 3 — — $12,758.05 $12,758.05 $12,758.05 2025-07-01
5155 OTHER Level 5 Airway Endoscopy 4 3 — — $12,495.76 $12,495.76 $12,495.76 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
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
300 MS_DRG Peripheral Vascular Disorders With Cc 3 3 — — $10,460.08 $10,460.08 $10,460.08 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
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
199 MS_DRG Pneumothorax With Mcc 4 3 — — $9,486.56 $9,486.56 $9,486.56 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
571 MS_DRG Skin Debridement With Cc 4 3 — — $8,228.50 $8,228.50 $8,228.50 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
176 MS_DRG Pulmonary Embolism Without Mcc 3 3 — — $7,103.62 $7,103.62 $7,103.62 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
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
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
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
215 MS_DRG Other Heart Assist System Implant 2 2 — — $95,656.73 $95,656.73 $95,656.73 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 2 2 — — $65,903.42 $65,903.42 $65,903.42 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 2 2 — — $49,112.71 $49,112.71 $49,112.71 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
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
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
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
103 MS_DRG Headaches Without Mcc 3 2 — — $27,376.58 $27,376.58 $27,376.58 2025-07-01
0810 OTHER Goserelin Acetate Implant 2 2 — — $25,231.10 $25,231.10 $25,231.10 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
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
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
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
253 MS_DRG Other Vascular Procedures With Cc 2 2 — — $21,279.54 $21,279.54 $21,279.54 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
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
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
271 MS_DRG Other Major Cardiovascular Procedures With Cc 2 2 — — $16,455.46 $16,455.46 $16,455.46 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
200 MS_DRG Pneumothorax With Cc 4 2 — — $15,044.53 $15,044.53 $15,044.53 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
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
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
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
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
915 MS_DRG Allergic Reactions With Mcc 2 2 — — $13,366.91 $13,366.91 $13,366.91 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
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
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
299 MS_DRG Peripheral Vascular Disorders With Mcc 3 2 — — $12,515.25 $12,515.25 $12,515.25 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
597 MS_DRG Malignant Breast Disorders With Mcc 2 2 — — $12,039.17 $12,039.17 $12,039.17 2025-07-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 2 2 — — $11,816.38 $11,816.38 $11,816.38 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
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
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
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 2 2 — — $10,592.62 $10,592.62 $10,592.62 2025-07-01
398 MS_DRG Appendix Procedures With Cc 3 2 — — $10,332.28 $10,332.28 $10,332.28 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
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
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
186 MS_DRG Pleural Effusion With Mcc 2 2 — — $9,043.17 $9,043.17 $9,043.17 2025-07-01
304 MS_DRG Hypertension With Mcc 2 2 — — $8,981.00 $8,981.00 $8,981.00 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
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
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
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 2 2 — — $8,184.61 $8,184.61 $8,184.61 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
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 3 2 — — $7,830.37 $7,830.37 $7,830.37 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
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
643 MS_DRG Endocrine Disorders With Mcc 2 2 — — $7,151.77 $7,151.77 $7,151.77 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
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 2 2 — — $6,812.90 $6,812.90 $6,812.90 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
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
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
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
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
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
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
5242 OTHER Level 2 Blood Product Exchange And Related Services 1 1 — — $40,575.94 $40,575.94 $40,575.94 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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $38,106.93 $38,106.93 $38,106.93 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
245 MS_DRG Aicd Generator Procedures 1 1 — — $35,768.88 $35,768.88 $35,768.88 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
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
265 MS_DRG Aicd Lead Procedures 1 1 — — $27,686.95 $27,686.95 $27,686.95 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
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
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 — — $24,765.11 $24,765.11 $24,765.11 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
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
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
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
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
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
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
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 1 1 — — $16,517.91 $16,517.91 $16,517.91 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
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
196 MS_DRG Interstitial Lung Disease With Mcc 1 1 — — $15,379.10 $15,379.10 $15,379.10 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
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
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
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
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
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 1 1 — — $14,307.37 $14,307.37 $14,307.37 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
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
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $13,892.80 $13,892.80 $13,892.80 2025-07-01
865 MS_DRG Viral Illness With Mcc 1 1 — — $13,691.03 $13,691.03 $13,691.03 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
183 MS_DRG Major Chest Trauma With Mcc 1 1 — — $13,180.99 $13,180.99 $13,180.99 2025-07-01
201 MS_DRG Pneumothorax Without Cc/Mcc 1 1 — — $13,115.56 $13,115.56 $13,115.56 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
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $12,789.48 $12,789.48 $12,789.48 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
504 MS_DRG Foot Procedures With Cc 1 1 — — $12,420.00 $12,420.00 $12,420.00 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
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
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 2 1 — — $11,505.70 $11,505.70 $11,505.70 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
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
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
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 1 1 — — $10,583.29 $10,583.29 $10,583.29 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
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
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
791 MS_DRG Prematurity With Major Problems 1 1 — — $9,285.71 $9,285.71 $9,285.71 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
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
9247 OTHER Inj, Amisulpride, 1 Mg 2 1 — — $8,602.82 $8,602.82 $8,602.82 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
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
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
866 MS_DRG Viral Illness Without Mcc 1 1 — — $7,804.49 $7,804.49 $7,804.49 2025-07-01
9501 OTHER Platelet Pheres Leukoreduced 1 1 — — $7,781.47 $7,781.47 $7,781.47 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
205 MS_DRG Other Respiratory System Diagnoses With Mcc 1 1 — — $7,502.47 $7,502.47 $7,502.47 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
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
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 1 1 — — $6,835.08 $6,835.08 $6,835.08 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
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