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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

Ssm Cardinal Glennon Children's Hospital

Saint Louis, MO · CCN 269807 · Rates published

572 distinct procedures filed
25 distinct payers
10,111 rate rows
2025-12-01 last MRF observed
Data quality

2,923 of 10,111 rate rows are consumer-grade (28.9%)

7,188 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 7,188
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=oExWW6GEphI226iT5wl0wQ*-*&f=p22CpYLrWLxCnt4HoK7iZA*-*
Found on page https://www.ssmhealth.com/resources/pay-my-bill/price-estimate/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint d88bc2803184d251… · 5,231,073 bytes · first seen 2026-05-08

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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $674,913.66 $674,913.66 $674,913.66 nat. median
$265,286
outlier · 2.5×
163
MS_DRG 		Major Chest Procedures With Mcc 4 $634,601.99 $634,601.99 $634,601.99 nat. median
$44,937
outlier · 14.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $623,442.33 $623,442.33 $623,442.33 nat. median
$117,357
outlier · 5.3×
789
MS_DRG 		Neonates, Died Or Transferred To Another Acute Care Facility 5 $560,623.21 $560,623.21 $560,623.21 nat. median
$16,479
outlier · 34.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $431,828.73 $431,828.73 $431,828.73 nat. median
$100,136
outlier · 4.3×
843
MS_DRG 		Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 $360,541.59 $360,541.59 $360,541.59 nat. median
$19,627
outlier · 18.4×
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 3 $311,795.27 $311,795.27 $311,795.27 nat. median
$28,775
outlier · 10.8×
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 1 $279,687.02 $279,687.02 $279,687.02 nat. median
$35,058
outlier · 8.0×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 $261,654.67 $261,654.67 $261,654.67 nat. median
$65,950
outlier · 4.0×
834
MS_DRG 		Acute Leukemia With Mcc 5 $220,050.27 $220,050.27 $220,050.27 nat. median
$53,172
outlier · 4.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $219,548.53 $219,548.53 $219,548.53 nat. median
$133,161
1.6× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 1 $211,573.54 $211,573.54 $211,573.54 nat. median
$56,918
outlier · 3.7×
901
MS_DRG 		Wound Debridements For Injuries With Mcc 1 $195,995.36 $195,995.36 $195,995.36 nat. median
$41,868
outlier · 4.7×
344
MS_DRG 		Minor Small And Large Bowel Procedures With Mcc 1 $189,805.78 $189,805.78 $189,805.78 nat. median
$25,891
outlier · 7.3×
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 2 $173,150.23 $173,150.23 $173,150.23 nat. median
$40,454
outlier · 4.3×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 $154,961.88 $154,961.88 $154,961.88 nat. median
$55,916
outlier · 2.8×
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 1 $154,830.24 $154,830.24 $154,830.24 nat. median
$22,940
outlier · 6.7×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 2 $150,921.61 $150,921.61 $150,921.61 nat. median
$44,810
outlier · 3.4×
58
MS_DRG 		Multiple Sclerosis And Cerebellar Ataxia With Mcc 1 $150,079.36 $150,079.36 $150,079.36 nat. median
$17,928
outlier · 8.4×
835
MS_DRG 		Acute Leukemia With Cc 1 $149,999.09 $149,999.09 $149,999.09 nat. median
$21,480
outlier · 7.0×
286
MS_DRG 		Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 2 $145,299.45 $145,299.45 $145,299.45 nat. median
$22,019
outlier · 6.6×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 $143,640.29 $143,640.29 $143,640.29 nat. median
$46,084
outlier · 3.1×
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 7 $142,017.88 $142,017.88 $142,017.88 nat. median
$45,125
outlier · 3.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $137,473.62 $137,473.62 $137,473.62 nat. median
$83,470
1.6× median
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 4 $128,592.26 $128,592.26 $128,592.26 nat. median
$33,835
outlier · 3.8×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $117,262.94 $117,262.94 $117,262.94 nat. median
$370,174
outlier · 0.3×
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 $112,000.58 $112,000.58 $112,000.58 nat. median
$31,607
outlier · 3.5×
829
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 $105,949.30 $105,949.30 $105,949.30 nat. median
$30,781
outlier · 3.4×
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 1 $104,671.35 $104,671.35 $104,671.35 nat. median
$31,382
outlier · 3.3×
28
MS_DRG 		Spinal Procedures With Mcc 4 $102,341.85 $102,341.85 $102,341.85 nat. median
$57,822
1.8× median
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 1 $101,433.84 $101,433.84 $101,433.84 nat. median
$43,757
outlier · 2.3×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 7 $97,665.02 $97,665.02 $97,665.02 nat. median
$62,134
1.6× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 $89,682.49 $89,682.49 $89,682.49 nat. median
$33,845
outlier · 2.6×
354
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Cc 1 $85,270.10 $85,270.10 $85,270.10 nat. median
$17,599
outlier · 4.8×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $83,660.26 $83,660.26 $83,660.26 nat. median
$81,118
1.0× median
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 $81,119.84 $81,119.84 $81,119.84 nat. median
$36,123
outlier · 2.2×
883
MS_DRG 		Disorders Of Personality And Impulse Control 2 $80,420.79 $80,420.79 $80,420.79 nat. median
$17,090
outlier · 4.7×
867
MS_DRG 		Other Infectious And Parasitic Diseases Diagnoses With Mcc 3 $80,207.96 $80,207.96 $80,207.96 nat. median
$21,263
outlier · 3.8×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 3 $78,584.96 $78,584.96 $78,584.96 nat. median
$37,476
outlier · 2.1×
614
MS_DRG 		Adrenal And Pituitary Procedures With Cc/Mcc 1 $77,103.20 $77,103.20 $77,103.20 nat. median
$22,640
outlier · 3.4×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $75,680.05 $75,680.05 $75,680.05 nat. median
$42,730
1.8× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 1 $74,452.10 $74,452.10 $74,452.10 nat. median
$38,112
2.0× median
656
MS_DRG 		Kidney And Ureter Procedures For Neoplasm With Mcc 1 $74,212.66 $74,212.66 $74,212.66 nat. median
$31,645
outlier · 2.3×
920
MS_DRG 		Complications Of Treatment With Cc 3 $73,140.13 $73,140.13 $73,140.13 nat. median
$10,962
outlier · 6.7×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 8 $71,175.81 $71,175.81 $71,175.81 nat. median
$33,143
outlier · 2.1×
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 $69,386.74 $69,386.74 $69,386.74 nat. median
$24,493
outlier · 2.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $68,450.59 $68,450.59 $68,450.59 nat. median
$93,672
0.7× median
963
MS_DRG 		Other Multiple Significant Trauma With Mcc 3 $67,693.12 $67,693.12 $67,693.12 nat. median
$26,957
outlier · 2.5×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $66,249.23 $66,249.23 $66,249.23 nat. median
$74,915
0.9× median
380
MS_DRG 		Complicated Peptic Ulcer With Mcc 1 $65,159.61 $65,159.61 $65,159.61 nat. median
$19,314
outlier · 3.4×

Other procedures at this hospital

Browse this hospital's 572 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
             
0800 OTHER Leuprolide Acetate 1 1 — — $9,820.87 $9,820.87 $9,820.87 2025-12-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 5 5 — — $674,913.66 $674,913.66 $674,913.66 2025-12-01
102 MS_DRG Headaches With Mcc 2 2 — — $12,795.07 $12,795.07 $12,795.07 2025-12-01
103 MS_DRG Headaches Without Mcc 11 8 — — $9,938.17 $9,938.17 $9,938.17 2025-12-01
116 MS_DRG Intraocular Procedures With Cc/Mcc 2 2 — — $19,214.18 $19,214.18 $19,214.18 2025-12-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $29,514.37 $29,514.37 $29,514.37 2025-12-01
121 MS_DRG Acute Major Eye Infections With Cc/Mcc 3 3 — — $10,705.42 $10,705.42 $10,705.42 2025-12-01
1311 OTHER Canakinumab Injection 1 1 — — $13,109.76 $13,109.76 $13,109.76 2025-12-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 1 1 — — $15,652.97 $15,652.97 $15,652.97 2025-12-01
137 MS_DRG Mouth Procedures With Cc/Mcc 3 2 — — $12,145.33 $12,145.33 $12,145.33 2025-12-01
14 MS_DRG Allogeneic Bone Marrow Transplant 3 3 — — $623,442.33 $623,442.33 $623,442.33 2025-12-01
141 MS_DRG Major Head And Neck Procedures With Cc 3 3 — — $33,334.51 $33,334.51 $33,334.51 2025-12-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 5 5 — — $32,540.58 $32,540.58 $32,540.58 2025-12-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 3 — — $14,440.83 $14,440.83 $14,440.83 2025-12-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 5 4 — — $23,410.88 $23,410.88 $23,410.88 2025-12-01
1446 OTHER Visualization Adjunct 2 2 — — $11,043.57 $11,043.57 $11,043.57 2025-12-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 1 1 — — $19,411.98 $19,411.98 $19,411.98 2025-12-01
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 5 4 — — $13,262.44 $13,262.44 $13,262.44 2025-12-01
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc 5 3 — — $12,646.93 $12,646.93 $12,646.93 2025-12-01
159 MS_DRG Dental And Oral Diseases Without Cc/Mcc 5 4 — — $9,917.07 $9,917.07 $9,917.07 2025-12-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 1 1 — — $211,573.54 $211,573.54 $211,573.54 2025-12-01
163 MS_DRG Major Chest Procedures With Mcc 4 4 — — $634,601.99 $634,601.99 $634,601.99 2025-12-01
164 MS_DRG Major Chest Procedures With Cc 3 2 — — $20,851.20 $20,851.20 $20,851.20 2025-12-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 6 4 — — $24,225.24 $24,225.24 $24,225.24 2025-12-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 3 — — $78,584.96 $78,584.96 $78,584.96 2025-12-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 1 1 — — $41,024.80 $41,024.80 $41,024.80 2025-12-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/Mcc 2 2 — — $10,981.24 $10,981.24 $10,981.24 2025-12-01
176 MS_DRG Pulmonary Embolism Without Mcc 4 2 — — $27,835.10 $27,835.10 $27,835.10 2025-12-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 16 10 — — $42,552.27 $42,552.27 $42,552.27 2025-12-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 7 6 — — $13,645.19 $13,645.19 $13,645.19 2025-12-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 1 — — $117,262.94 $117,262.94 $117,262.94 2025-12-01
184 MS_DRG Major Chest Trauma With Cc 1 1 — — $20,240.00 $20,240.00 $20,240.00 2025-12-01
1846 OTHER Factor Viii Nuwiq Recomb 1iu 1 1 — — $10,333.20 $10,333.20 $10,333.20 2025-12-01
186 MS_DRG Pleural Effusion With Mcc 5 4 — — $17,712.55 $17,712.55 $17,712.55 2025-12-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 22 10 — — $14,397.08 $14,397.08 $14,397.08 2025-12-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 18 10 — — $13,095.75 $13,095.75 $13,095.75 2025-12-01
199 MS_DRG Pneumothorax With Mcc 2 2 — — $13,327.11 $13,327.11 $13,327.11 2025-12-01
201 MS_DRG Pneumothorax Without Cc/Mcc 2 2 — — $10,202.20 $10,202.20 $10,202.20 2025-12-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 3 3 — — $18,174.90 $18,174.90 $18,174.90 2025-12-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 7 — — $97,665.02 $97,665.02 $97,665.02 2025-12-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 11 7 — — $22,666.90 $22,666.90 $22,666.90 2025-12-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $68,450.59 $68,450.59 $68,450.59 2025-12-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $55,142.53 $55,142.53 $55,142.53 2025-12-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 7 — — $66,249.23 $66,249.23 $66,249.23 2025-12-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 5 — — $51,294.54 $51,294.54 $51,294.54 2025-12-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 14 8 — — $71,175.81 $71,175.81 $71,175.81 2025-12-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $154,961.88 $154,961.88 $154,961.88 2025-12-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 2 2 — — $14,317.50 $14,317.50 $14,317.50 2025-12-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 7 — — $142,017.88 $142,017.88 $142,017.88 2025-12-01
253 MS_DRG Other Vascular Procedures With Cc 7 6 — — $16,050.48 $16,050.48 $16,050.48 2025-12-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 3 2 — — $13,400.36 $13,400.36 $13,400.36 2025-12-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 6 — — $63,765.39 $63,765.39 $63,765.39 2025-12-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 3 — — $23,134.14 $23,134.14 $23,134.14 2025-12-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 4 — — $261,654.67 $261,654.67 $261,654.67 2025-12-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 7 4 — — $19,588.06 $19,588.06 $19,588.06 2025-12-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 9 5 — — $53,762.68 $53,762.68 $53,762.68 2025-12-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 8 6 — — $62,855.41 $62,855.41 $62,855.41 2025-12-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 3 3 — — $42,428.06 $42,428.06 $42,428.06 2025-12-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $27,195.25 $27,195.25 $27,195.25 2025-12-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $29,826.46 $29,826.46 $29,826.46 2025-12-01
28 MS_DRG Spinal Procedures With Mcc 4 4 — — $102,341.85 $102,341.85 $102,341.85 2025-12-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 3 2 — — $145,299.45 $145,299.45 $145,299.45 2025-12-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 4 4 — — $30,345.93 $30,345.93 $30,345.93 2025-12-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 5 4 — — $128,592.26 $128,592.26 $128,592.26 2025-12-01
291 MS_DRG Heart Failure And Shock With Mcc 2 2 — — $17,641.25 $17,641.25 $17,641.25 2025-12-01
292 MS_DRG Heart Failure And Shock With Cc 3 3 — — $20,122.40 $20,122.40 $20,122.40 2025-12-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 3 3 — — $38,236.58 $38,236.58 $38,236.58 2025-12-01
304 MS_DRG Hypertension With Mcc 3 3 — — $21,349.26 $21,349.26 $21,349.26 2025-12-01
305 MS_DRG Hypertension Without Mcc 4 3 — — $12,249.37 $12,249.37 $12,249.37 2025-12-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 2 2 — — $29,695.13 $29,695.13 $29,695.13 2025-12-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 7 6 — — $10,561.82 $10,561.82 $10,561.82 2025-12-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 4 — — $29,052.42 $29,052.42 $29,052.42 2025-12-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 7 3 — — $48,165.76 $48,165.76 $48,165.76 2025-12-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 7 7 — — $9,509.74 $9,509.74 $9,509.74 2025-12-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $101,433.84 $101,433.84 $101,433.84 2025-12-01
32 MS_DRG Ventricular Shunt Procedures With Cc 9 8 — — $22,230.31 $22,230.31 $22,230.31 2025-12-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 5 4 — — $29,759.26 $29,759.26 $29,759.26 2025-12-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 2 — — $150,921.61 $150,921.61 $150,921.61 2025-12-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 10 7 — — $61,934.43 $61,934.43 $61,934.43 2025-12-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 5 4 — — $12,078.83 $12,078.83 $12,078.83 2025-12-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $279,687.02 $279,687.02 $279,687.02 2025-12-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 2 2 — — $11,151.01 $11,151.01 $11,151.01 2025-12-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 1 1 — — $189,805.78 $189,805.78 $189,805.78 2025-12-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 1 1 — — $11,822.22 $11,822.22 $11,822.22 2025-12-01
348 MS_DRG Anal And Stomal Procedures With Cc 3 3 — — $34,731.07 $34,731.07 $34,731.07 2025-12-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 — — $311,795.27 $311,795.27 $311,795.27 2025-12-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 1 1 — — $85,270.10 $85,270.10 $85,270.10 2025-12-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 2 2 — — $10,823.36 $10,823.36 $10,823.36 2025-12-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 1 — — $154,830.24 $154,830.24 $154,830.24 2025-12-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 1 1 — — $13,253.62 $13,253.62 $13,253.62 2025-12-01
368 MS_DRG Major Esophageal Disorders With Mcc 2 2 — — $17,697.81 $17,697.81 $17,697.81 2025-12-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 4 4 — — $21,608.39 $21,608.39 $21,608.39 2025-12-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 9 6 — — $25,075.69 $25,075.69 $25,075.69 2025-12-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc 6 3 — — $13,148.16 $13,148.16 $13,148.16 2025-12-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 5 4 — — $12,629.68 $12,629.68 $12,629.68 2025-12-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 8 6 — — $39,322.57 $39,322.57 $39,322.57 2025-12-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 1 1 — — $65,159.61 $65,159.61 $65,159.61 2025-12-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 6 4 — — $28,884.06 $28,884.06 $28,884.06 2025-12-01
386 MS_DRG Inflammatory Bowel Disease With Cc 9 6 — — $13,059.73 $13,059.73 $13,059.73 2025-12-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/Mcc 4 4 — — $9,412.30 $9,412.30 $9,412.30 2025-12-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 6 5 — — $58,473.11 $58,473.11 $58,473.11 2025-12-01
389 MS_DRG Gastrointestinal Obstruction With Cc 10 6 — — $15,705.25 $15,705.25 $15,705.25 2025-12-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 10 6 — — $13,409.43 $13,409.43 $13,409.43 2025-12-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 18 10 — — $22,468.75 $22,468.75 $22,468.75 2025-12-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 9 7 — — $26,235.97 $26,235.97 $26,235.97 2025-12-01
394 MS_DRG Other Digestive System Diagnoses With Cc 12 6 — — $16,181.04 $16,181.04 $16,181.04 2025-12-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/Mcc 6 4 — — $9,441.85 $9,441.85 $9,441.85 2025-12-01
397 MS_DRG Appendix Procedures With Mcc 2 2 — — $47,707.27 $47,707.27 $47,707.27 2025-12-01
398 MS_DRG Appendix Procedures With Cc 5 4 — — $15,270.62 $15,270.62 $15,270.62 2025-12-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 18 10 — — $11,384.95 $11,384.95 $11,384.95 2025-12-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $219,548.53 $219,548.53 $219,548.53 2025-12-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $36,069.00 $36,069.00 $36,069.00 2025-12-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 1 1 — — $16,871.62 $16,871.62 $16,871.62 2025-12-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 2 — — $34,948.72 $34,948.72 $34,948.72 2025-12-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 2 1 — — $20,393.69 $20,393.69 $20,393.69 2025-12-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 6 3 — — $13,937.50 $13,937.50 $13,937.50 2025-12-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 6 4 — — $23,082.15 $23,082.15 $23,082.15 2025-12-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 4 4 — — $15,184.84 $15,184.84 $15,184.84 2025-12-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 1 1 — — $12,679.78 $12,679.78 $12,679.78 2025-12-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 2 2 — — $10,884.24 $10,884.24 $10,884.24 2025-12-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $52,189.77 $52,189.77 $52,189.77 2025-12-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $83,660.26 $83,660.26 $83,660.26 2025-12-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 7 — — $54,103.44 $54,103.44 $54,103.44 2025-12-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 7 — — $75,680.05 $75,680.05 $75,680.05 2025-12-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $17,283.36 $17,283.36 $17,283.36 2025-12-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 5 — — $51,633.53 $51,633.53 $51,633.53 2025-12-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $29,586.53 $29,586.53 $29,586.53 2025-12-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 1 1 — — $11,327.00 $11,327.00 $11,327.00 2025-12-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc 5 3 — — $10,891.83 $10,891.83 $10,891.83 2025-12-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 5 — — $22,629.61 $22,629.61 $22,629.61 2025-12-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 9 6 — — $24,086.70 $24,086.70 $24,086.70 2025-12-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 11 6 — — $16,682.40 $16,682.40 $16,682.40 2025-12-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 2 2 — — $11,112.88 $11,112.88 $11,112.88 2025-12-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $48,834.75 $48,834.75 $48,834.75 2025-12-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 5 4 — — $33,864.46 $33,864.46 $33,864.46 2025-12-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 10 6 — — $12,141.55 $12,141.55 $12,141.55 2025-12-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $16,889.65 $16,889.65 $16,889.65 2025-12-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 3 — — $431,828.73 $431,828.73 $431,828.73 2025-12-01
501 MS_DRG Soft Tissue Procedures With Cc 1 1 — — $10,535.18 $10,535.18 $10,535.18 2025-12-01
502 MS_DRG Soft Tissue Procedures Without Cc/Mcc 1 1 — — $48,959.88 $48,959.88 $48,959.88 2025-12-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 11 7 — — $10,763.73 $10,763.73 $10,763.73 2025-12-01
5115 OTHER Level 5 Musculoskeletal Procedures 16 8 — — $18,166.96 $18,166.96 $18,166.96 2025-12-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 2 — — $112,000.58 $112,000.58 $112,000.58 2025-12-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 5 3 — — $17,573.34 $17,573.34 $17,573.34 2025-12-01
5166 OTHER Cochlear Implant Procedure 9 6 — — $39,224.29 $39,224.29 $39,224.29 2025-12-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 9 7 — — $19,809.73 $19,809.73 $19,809.73 2025-12-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 2 — — $81,119.84 $81,119.84 $81,119.84 2025-12-01
5184 OTHER Level 4 Vascular Procedures 6 4 — — $17,177.97 $17,177.97 $17,177.97 2025-12-01
5191 OTHER Level 1 Endovascular Procedures 15 9 — — $20,874.46 $20,874.46 $20,874.46 2025-12-01
5192 OTHER Level 2 Endovascular Procedures 5 4 — — $10,917.50 $10,917.50 $10,917.50 2025-12-01
5193 OTHER Level 3 Endovascular Procedures 14 8 — — $36,377.72 $36,377.72 $36,377.72 2025-12-01
5194 OTHER Level 4 Endovascular Procedures 14 8 — — $30,415.08 $30,415.08 $30,415.08 2025-12-01
5212 OTHER Level 2 Electrophysiologic Procedures 1 1 — — $11,696.67 $11,696.67 $11,696.67 2025-12-01
5213 OTHER Level 3 Electrophysiologic Procedures 11 6 — — $33,883.56 $33,883.56 $33,883.56 2025-12-01
5222 OTHER Level 2 Pacemaker And Similar Procedures 2 2 — — $11,367.58 $11,367.58 $11,367.58 2025-12-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 3 2 — — $13,662.25 $13,662.25 $13,662.25 2025-12-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 1 1 — — $18,404.45 $18,404.45 $18,404.45 2025-12-01
5232 OTHER Level 2 Icd And Similar Procedures 2 2 — — $20,454.70 $20,454.70 $20,454.70 2025-12-01
5375 OTHER Level 5 Urology And Related Services 14 8 — — $10,568.05 $10,568.05 $10,568.05 2025-12-01
539 MS_DRG Osteomyelitis With Mcc 1 1 — — $13,027.74 $13,027.74 $13,027.74 2025-12-01
5401 OTHER Dialysis 6 5 — — $15,272.07 $15,272.07 $15,272.07 2025-12-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 4 4 — — $12,419.92 $12,419.92 $12,419.92 2025-12-01
5432 OTHER Level 2 Nerve Procedures 7 3 — — $9,971.61 $9,971.61 $9,971.61 2025-12-01
545 MS_DRG Connective Tissue Disorders With Mcc 2 2 — — $12,185.06 $12,185.06 $12,185.06 2025-12-01
546 MS_DRG Connective Tissue Disorders With Cc 5 4 — — $21,765.42 $21,765.42 $21,765.42 2025-12-01
5463 OTHER Level 3 Neurostimulator And Related Procedures 2 2 — — $38,233.10 $38,233.10 $38,233.10 2025-12-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 3 3 — — $47,181.11 $47,181.11 $47,181.11 2025-12-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 1 1 — — $47,966.97 $47,966.97 $47,966.97 2025-12-01
547 MS_DRG Connective Tissue Disorders Without Cc/Mcc 1 1 — — $14,651.66 $14,651.66 $14,651.66 2025-12-01
5471 OTHER Implantation Of Drug Infusion Device 2 1 — — $19,631.12 $19,631.12 $19,631.12 2025-12-01
548 MS_DRG Septic Arthritis With Mcc 1 1 — — $11,452.94 $11,452.94 $11,452.94 2025-12-01
549 MS_DRG Septic Arthritis With Cc 1 1 — — $22,677.22 $22,677.22 $22,677.22 2025-12-01
5493 OTHER Level 3 Intraocular Procedures 1 1 — — $14,270.71 $14,270.71 $14,270.71 2025-12-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 1 1 — — $39,461.16 $39,461.16 $39,461.16 2025-12-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 2 2 — — $13,823.32 $13,823.32 $13,823.32 2025-12-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 1 1 — — $12,266.25 $12,266.25 $12,266.25 2025-12-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 4 3 — — $9,260.33 $9,260.33 $9,260.33 2025-12-01
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc 3 3 — — $43,957.55 $43,957.55 $43,957.55 2025-12-01
571 MS_DRG Skin Debridement With Cc 3 3 — — $27,427.55 $27,427.55 $27,427.55 2025-12-01
572 MS_DRG Skin Debridement Without Cc/Mcc 1 1 — — $13,585.63 $13,585.63 $13,585.63 2025-12-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 1 1 — — $150,079.36 $150,079.36 $150,079.36 2025-12-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 2 2 — — $20,135.44 $20,135.44 $20,135.44 2025-12-01
5801 OTHER Ventilation Initiation And Management 4 3 — — $9,528.29 $9,528.29 $9,528.29 2025-12-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 3 2 — — $16,937.34 $16,937.34 $16,937.34 2025-12-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 1 1 — — $21,453.74 $21,453.74 $21,453.74 2025-12-01
592 MS_DRG Skin Ulcers With Mcc 2 2 — — $21,336.03 $21,336.03 $21,336.03 2025-12-01
593 MS_DRG Skin Ulcers With Cc 1 1 — — $9,422.11 $9,422.11 $9,422.11 2025-12-01
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc 1 1 — — $16,621.61 $16,621.61 $16,621.61 2025-12-01
602 MS_DRG Cellulitis With Mcc 6 5 — — $37,839.50 $37,839.50 $37,839.50 2025-12-01
606 MS_DRG Minor Skin Disorders With Mcc 2 2 — — $11,491.44 $11,491.44 $11,491.44 2025-12-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 1 1 — — $77,103.20 $77,103.20 $77,103.20 2025-12-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/Mcc 5 4 — — $20,845.72 $20,845.72 $20,845.72 2025-12-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 1 — — $56,352.13 $56,352.13 $56,352.13 2025-12-01
637 MS_DRG Diabetes With Mcc 9 6 — — $10,247.42 $10,247.42 $10,247.42 2025-12-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 1 — — $40,754.59 $40,754.59 $40,754.59 2025-12-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 15 8 — — $17,207.27 $17,207.27 $17,207.27 2025-12-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 23 12 — — $13,614.18 $13,614.18 $13,614.18 2025-12-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 5 5 — — $10,864.12 $10,864.12 $10,864.12 2025-12-01
644 MS_DRG Endocrine Disorders With Cc 5 3 — — $26,029.02 $26,029.02 $26,029.02 2025-12-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 1 1 — — $16,871.62 $16,871.62 $16,871.62 2025-12-01
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $23,704.00 $23,704.00 $23,704.00 2025-12-01
654 MS_DRG Major Bladder Procedures With Cc 6 5 — — $27,779.44 $27,779.44 $27,779.44 2025-12-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $74,212.66 $74,212.66 $74,212.66 2025-12-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 1 1 — — $42,832.63 $42,832.63 $42,832.63 2025-12-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 1 1 — — $20,245.30 $20,245.30 $20,245.30 2025-12-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 7 4 — — $25,393.19 $25,393.19 $25,393.19 2025-12-01
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $12,517.77 $12,517.77 $12,517.77 2025-12-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 2 — — $173,150.23 $173,150.23 $173,150.23 2025-12-01
682 MS_DRG Renal Failure With Mcc 3 3 — — $40,249.96 $40,249.96 $40,249.96 2025-12-01
683 MS_DRG Renal Failure With Cc 6 4 — — $12,269.33 $12,269.33 $12,269.33 2025-12-01
684 MS_DRG Renal Failure Without Cc/Mcc 1 1 — — $27,392.28 $27,392.28 $27,392.28 2025-12-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 6 5 — — $17,165.10 $17,165.10 $17,165.10 2025-12-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 12 8 — — $13,798.50 $13,798.50 $13,798.50 2025-12-01
694 MS_DRG Urinary Stones Without Mcc 1 1 — — $27,415.82 $27,415.82 $27,415.82 2025-12-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 4 3 — — $31,416.00 $31,416.00 $31,416.00 2025-12-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 8 4 — — $29,814.35 $29,814.35 $29,814.35 2025-12-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 3 3 — — $28,436.15 $28,436.15 $28,436.15 2025-12-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 5 5 — — $9,953.35 $9,953.35 $9,953.35 2025-12-01
757 MS_DRG Infections, Female Reproductive System With Mcc 2 2 — — $12,560.92 $12,560.92 $12,560.92 2025-12-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 6 5 — — $560,623.21 $560,623.21 $560,623.21 2025-12-01
793 MS_DRG Full Term Neonate With Major Problems 22 10 — — $47,811.04 $47,811.04 $47,811.04 2025-12-01
794 MS_DRG Neonate With Other Significant Problems 17 10 — — $9,966.48 $9,966.48 $9,966.48 2025-12-01
800 MS_DRG Splenic Procedures With Cc 1 1 — — $17,059.87 $17,059.87 $17,059.87 2025-12-01
801 MS_DRG Splenic Procedures Without Cc/Mcc 2 1 — — $10,079.72 $10,079.72 $10,079.72 2025-12-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 3 3 — — $20,106.21 $20,106.21 $20,106.21 2025-12-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 4 — — $34,915.40 $34,915.40 $34,915.40 2025-12-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 12 8 — — $15,611.42 $15,611.42 $15,611.42 2025-12-01
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 2 — — $52,029.75 $52,029.75 $52,029.75 2025-12-01
811 MS_DRG Red Blood Cell Disorders With Mcc 8 5 — — $27,490.60 $27,490.60 $27,490.60 2025-12-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 15 9 — — $29,477.76 $29,477.76 $29,477.76 2025-12-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 3 3 — — $51,437.62 $51,437.62 $51,437.62 2025-12-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 11 7 — — $19,466.41 $19,466.41 $19,466.41 2025-12-01
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 1 1 — — $14,413.14 $14,413.14 $14,413.14 2025-12-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 2 2 — — $35,089.72 $35,089.72 $35,089.72 2025-12-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $63,933.48 $63,933.48 $63,933.48 2025-12-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $21,089.53 $21,089.53 $21,089.53 2025-12-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 9 7 — — $105,949.30 $105,949.30 $105,949.30 2025-12-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 2 1 — — $12,637.64 $12,637.64 $12,637.64 2025-12-01
834 MS_DRG Acute Leukemia With Mcc 8 5 — — $220,050.27 $220,050.27 $220,050.27 2025-12-01
835 MS_DRG Acute Leukemia With Cc 1 1 — — $149,999.09 $149,999.09 $149,999.09 2025-12-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 8 6 — — $9,628.34 $9,628.34 $9,628.34 2025-12-01
839 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 5 4 — — $24,548.51 $24,548.51 $24,548.51 2025-12-01
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/Mcc 2 2 — — $24,057.84 $24,057.84 $24,057.84 2025-12-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $104,671.35 $104,671.35 $104,671.35 2025-12-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 1 1 — — $12,283.61 $12,283.61 $12,283.61 2025-12-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 1 — — $360,541.59 $360,541.59 $360,541.59 2025-12-01
848 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 2 2 — — $13,776.78 $13,776.78 $13,776.78 2025-12-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 3 3 — — $17,031.85 $17,031.85 $17,031.85 2025-12-01
850 MS_DRG Acute Leukemia With Other Procedures 1 1 — — $137,473.62 $137,473.62 $137,473.62 2025-12-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 6 5 — — $26,228.38 $26,228.38 $26,228.38 2025-12-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 3 — — $61,487.79 $61,487.79 $61,487.79 2025-12-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 5 4 — — $20,392.92 $20,392.92 $20,392.92 2025-12-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/Mcc 1 1 — — $11,508.95 $11,508.95 $11,508.95 2025-12-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 2 2 — — $21,125.42 $21,125.42 $21,125.42 2025-12-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 8 7 — — $14,026.43 $14,026.43 $14,026.43 2025-12-01
864 MS_DRG Fever And Inflammatory Conditions 5 5 — — $12,425.75 $12,425.75 $12,425.75 2025-12-01
866 MS_DRG Viral Illness Without Mcc 8 5 — — $10,969.77 $10,969.77 $10,969.77 2025-12-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 3 3 — — $80,207.96 $80,207.96 $80,207.96 2025-12-01
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 4 4 — — $19,591.67 $19,591.67 $19,591.67 2025-12-01
869 MS_DRG Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc 2 2 — — $15,413.56 $15,413.56 $15,413.56 2025-12-01
88 MS_DRG Concussion With Mcc 1 1 — — $40,286.10 $40,286.10 $40,286.10 2025-12-01
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 9 6 — — $12,793.96 $12,793.96 $12,793.96 2025-12-01
882 MS_DRG Neuroses Except Depressive 1 1 — — $17,112.65 $17,112.65 $17,112.65 2025-12-01
883 MS_DRG Disorders Of Personality And Impulse Control 2 2 — — $80,420.79 $80,420.79 $80,420.79 2025-12-01
885 MS_DRG Psychoses 3 3 — — $16,022.49 $16,022.49 $16,022.49 2025-12-01
886 MS_DRG Behavioral And Developmental Disorders 1 1 — — $36,307.64 $36,307.64 $36,307.64 2025-12-01
887 MS_DRG Other Mental Disorder Diagnoses 2 2 — — $17,817.44 $17,817.44 $17,817.44 2025-12-01
89 MS_DRG Concussion With Cc 2 2 — — $19,339.76 $19,339.76 $19,339.76 2025-12-01
90 MS_DRG Concussion Without Cc/Mcc 4 3 — — $12,989.36 $12,989.36 $12,989.36 2025-12-01
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $195,995.36 $195,995.36 $195,995.36 2025-12-01
902 MS_DRG Wound Debridements For Injuries With Cc 1 1 — — $21,233.47 $21,233.47 $21,233.47 2025-12-01
903 MS_DRG Wound Debridements For Injuries Without Cc/Mcc 1 1 — — $16,507.62 $16,507.62 $16,507.62 2025-12-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 1 — — $74,452.10 $74,452.10 $74,452.10 2025-12-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 4 3 — — $22,826.33 $22,826.33 $22,826.33 2025-12-01
914 MS_DRG Traumatic Injury Without Mcc 2 2 — — $11,645.96 $11,645.96 $11,645.96 2025-12-01
915 MS_DRG Allergic Reactions With Mcc 1 1 — — $48,918.12 $48,918.12 $48,918.12 2025-12-01
916 MS_DRG Allergic Reactions Without Mcc 7 6 — — $13,128.00 $13,128.00 $13,128.00 2025-12-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 14 7 — — $23,815.17 $23,815.17 $23,815.17 2025-12-01
919 MS_DRG Complications Of Treatment With Mcc 7 5 — — $24,922.99 $24,922.99 $24,922.99 2025-12-01
92 MS_DRG Other Disorders Of Nervous System With Cc 7 5 — — $18,312.11 $18,312.11 $18,312.11 2025-12-01
920 MS_DRG Complications Of Treatment With Cc 4 3 — — $73,140.13 $73,140.13 $73,140.13 2025-12-01
9236 OTHER Eculizumab Injection 2 2 — — $11,104.22 $11,104.22 $11,104.22 2025-12-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 4 4 — — $12,090.18 $12,090.18 $12,090.18 2025-12-01
947 MS_DRG Signs And Symptoms With Mcc 2 2 — — $28,469.33 $28,469.33 $28,469.33 2025-12-01
948 MS_DRG Signs And Symptoms Without Mcc 8 6 — — $9,724.38 $9,724.38 $9,724.38 2025-12-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $36,278.33 $36,278.33 $36,278.33 2025-12-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 5 — — $55,682.08 $55,682.08 $55,682.08 2025-12-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 4 — — $39,225.83 $39,225.83 $39,225.83 2025-12-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 7 5 — — $40,284.73 $40,284.73 $40,284.73 2025-12-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 5 4 — — $54,853.64 $54,853.64 $54,853.64 2025-12-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 1 1 — — $13,737.86 $13,737.86 $13,737.86 2025-12-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 4 3 — — $67,693.12 $67,693.12 $67,693.12 2025-12-01
964 MS_DRG Other Multiple Significant Trauma With Cc 4 4 — — $18,192.09 $18,192.09 $18,192.09 2025-12-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 5 4 — — $29,529.30 $29,529.30 $29,529.30 2025-12-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 4 4 — — $41,334.87 $41,334.87 $41,334.87 2025-12-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 4 — — $143,640.29 $143,640.29 $143,640.29 2025-12-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 7 6 — — $69,386.74 $69,386.74 $69,386.74 2025-12-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 6 6 — — $18,141.10 $18,141.10 $18,141.10 2025-12-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $89,682.49 $89,682.49 $89,682.49 2025-12-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $11,941.01 $11,941.01 $11,941.01 2025-12-01
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