Price Transparency Hospital negotiated rates

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

PRAIRIE COMMUNITY CAH

Terry, MT · CCN 271309 · Rates published

19,092 distinct procedures filed
22 distinct payers
1,467,917 rate rows
2024-11-21 last MRF observed · ⚠ 19 mo old
Data quality

61,996 of 1,467,917 rate rows are consumer-grade (4.2%)

1,405,921 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 1,385,759
per-diem day rate — not a per-procedure price 20,084
percent-of-charges filed in the dollar field — excluded from medians 78

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file �https://mrfs.hyvehealthcare.com/PrairieCountyHospitalDistrict/810258933_prairie-community-hospital_standardcharges.json
Found on page �https://www.prairiecommunityhospital.com/insurance--pricing.html
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19

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
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $9,999.00 $9,999.00 $9,999.00 nat. median
$117,303
outlier · 0.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $9,999.00 $9,999.00 $9,999.00 nat. median
$100,136
outlier · 0.1×
10
MS_DRG 		Pancreas Transplant 18 $9,999.00 $9,999.00 $9,999.00 nat. median
$68,882
outlier · 0.1×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 18 $9,999.00 $9,999.00 $9,999.00 nat. median
$53,805
outlier · 0.2×
7
MS_DRG 		Lung Transplant 18 $9,999.00 $9,999.00 $9,999.00 nat. median
$122,708
outlier · 0.1×
652
MS_DRG 		Kidney Transplant 18 $9,999.00 $9,999.00 $9,999.00 nat. median
$31,494
outlier · 0.3×
6
MS_DRG 		Liver Transplant Without Mcc 18 $9,999.00 $9,999.00 $9,999.00 nat. median
$46,260
outlier · 0.2×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 18 $9,999.00 $9,999.00 $9,999.00 nat. median
$56,920
outlier · 0.2×
651
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc 18 $9,999.00 $9,999.00 $9,999.00 nat. median
$35,528
outlier · 0.3×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 $9,999.00 $9,999.00 $9,999.00 nat. median
$71,240
outlier · 0.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $9,999.00 $9,999.00 $9,999.00 nat. median
$108,660
outlier · 0.1×
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 18 $9,999.00 $9,999.00 $9,999.00 nat. median
$45,278
outlier · 0.2×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 18 $9,999.00 $9,999.00 $9,999.00 nat. median
$53,171
outlier · 0.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $9,999.00 $9,999.00 $9,999.00 nat. median
$265,286
outlier · 0.0×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 18 $9,999.00 $9,999.00 $9,999.00 nat. median
$370,174
outlier · 0.0×
153
MS_DRG 		Otitis Media And Uri Without Mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$8,181
1.1× median
141
MS_DRG 		Major Head And Neck Procedures With Cc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$21,442
outlier · 0.4×
159
MS_DRG 		Dental And Oral Diseases Without Cc/mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$7,917
1.1× median
136
MS_DRG 		Sinus And Mastoid Procedures Without Cc/mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$11,112
0.8× median
140
MS_DRG 		Major Head And Neck Procedures With Mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$40,208
outlier · 0.2×
155
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Cc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$10,037
0.9× median
164
MS_DRG 		Major Chest Procedures With Cc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$25,707
outlier · 0.3×
123
MS_DRG 		Neurological Eye Disorders 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$9,001
1.0× median
148
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$9,128
1.0× median
101
MS_DRG 		Seizures Without Mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$9,814
0.9× median
121
MS_DRG 		Acute Major Eye Infections With Cc/mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$12,358
0.7× median
135
MS_DRG 		Sinus And Mastoid Procedures With Cc/mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$22,714
outlier · 0.4×
138
MS_DRG 		Mouth Procedures Without Cc/mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$9,553
0.9× median
147
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Cc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$13,305
0.7× median
150
MS_DRG 		Epistaxis With Mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$13,970
0.6× median
144
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$17,652
outlier · 0.5×
125
MS_DRG 		Other Disorders Of The Eye Without Mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$8,777
1.0× median
145
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$12,674
0.7× median
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$40,916
outlier · 0.2×
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$34,133
outlier · 0.3×
149
MS_DRG 		Dysequilibrium 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$8,478
1.0× median
157
MS_DRG 		Dental And Oral Diseases With Mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$17,221
0.5× median
114
MS_DRG 		Orbital Procedures Without Cc/mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$13,594
0.6× median
142
MS_DRG 		Major Head And Neck Procedures Without Cc/mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$16,535
0.5× median
122
MS_DRG 		Acute Major Eye Infections Without Cc/mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$8,314
1.1× median
151
MS_DRG 		Epistaxis Without Mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$8,441
1.0× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$52,857
outlier · 0.2×
102
MS_DRG 		Headaches With Mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$12,128
0.7× median
117
MS_DRG 		Intraocular Procedures Without Cc/mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$11,651
0.8× median
139
MS_DRG 		Salivary Gland Procedures 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$13,450
0.7× median
115
MS_DRG 		Extraocular Procedures Except Orbit 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$15,714
0.6× median
152
MS_DRG 		Otitis Media And Uri With Mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$12,253
0.7× median
116
MS_DRG 		Intraocular Procedures With Cc/mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$17,976
outlier · 0.5×
146
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$21,758
outlier · 0.4×
100
MS_DRG 		Seizures With Mcc 18 $8,800.50 $8,800.50 $8,800.50 nat. median
$19,360
outlier · 0.5×

Other procedures at this hospital

Browse this hospital's 19,092 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 54 18 — — $9,999.00 $9,999.00 $9,999.00 2024-11-21
7 MS_DRG Lung Transplant 54 18 — — $9,999.00 $9,999.00 $9,999.00 2024-11-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 54 18 — — $9,999.00 $9,999.00 $9,999.00 2024-11-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 54 18 — — $9,999.00 $9,999.00 $9,999.00 2024-11-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 54 18 — — $9,999.00 $9,999.00 $9,999.00 2024-11-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 54 18 — — $9,999.00 $9,999.00 $9,999.00 2024-11-21
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 54 18 — — $9,999.00 $9,999.00 $9,999.00 2024-11-21
6 MS_DRG Liver Transplant Without Mcc 54 18 — — $9,999.00 $9,999.00 $9,999.00 2024-11-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 54 18 — — $9,999.00 $9,999.00 $9,999.00 2024-11-21
14 MS_DRG Allogeneic Bone Marrow Transplant 54 18 — — $9,999.00 $9,999.00 $9,999.00 2024-11-21
652 MS_DRG Kidney Transplant 54 18 — — $9,999.00 $9,999.00 $9,999.00 2024-11-21
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 54 18 — — $9,999.00 $9,999.00 $9,999.00 2024-11-21
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 54 18 — — $9,999.00 $9,999.00 $9,999.00 2024-11-21
10 MS_DRG Pancreas Transplant 54 18 — — $9,999.00 $9,999.00 $9,999.00 2024-11-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 54 18 — — $9,999.00 $9,999.00 $9,999.00 2024-11-21
422 MS_DRG Hepatobiliary Diagnostic Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
388 MS_DRG Gastrointestinal Obstruction With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
38 MS_DRG Extracranial Procedures With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
375 MS_DRG Digestive Malignancy With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
370 MS_DRG Major Esophageal Disorders Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
398 MS_DRG Appendix Procedures With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
300 MS_DRG Peripheral Vascular Disorders With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
299 MS_DRG Peripheral Vascular Disorders With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
303 MS_DRG Atherosclerosis Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
293 MS_DRG Heart Failure And Shock Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
304 MS_DRG Hypertension With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
333 MS_DRG Rectal Resection With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
34 MS_DRG Carotid Artery Stent Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
314 MS_DRG Other Circulatory System Diagnoses With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
368 MS_DRG Major Esophageal Disorders With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
381 MS_DRG Complicated Peptic Ulcer With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
28 MS_DRG Spinal Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
177 MS_DRG Respiratory Infections And Inflammations With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
305 MS_DRG Hypertension Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
294 MS_DRG Deep Vein Thrombophlebitis With Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
251 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
311 MS_DRG Angina Pectoris 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
253 MS_DRG Other Vascular Procedures With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
289 MS_DRG Acute And Subacute Endocarditis With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
297 MS_DRG Cardiac Arrest, Unexplained With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
288 MS_DRG Acute And Subacute Endocarditis With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
197 MS_DRG Interstitial Lung Disease With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
122 MS_DRG Acute Major Eye Infections Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
30 MS_DRG Spinal Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
291 MS_DRG Heart Failure And Shock With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
32 MS_DRG Ventricular Shunt Procedures With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
312 MS_DRG Syncope And Collapse 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
254 MS_DRG Other Vascular Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
202 MS_DRG Bronchitis And Asthma With Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
265 MS_DRG Aicd Lead Procedures 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
187 MS_DRG Pleural Effusion With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
389 MS_DRG Gastrointestinal Obstruction With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
378 MS_DRG Gastrointestinal Hemorrhage With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
357 MS_DRG Other Digestive System O.r. Procedures With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
369 MS_DRG Major Esophageal Disorders With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
348 MS_DRG Anal And Stomal Procedures With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
332 MS_DRG Rectal Resection With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
276 MS_DRG Cardiac Defibrillator Implant With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
252 MS_DRG Other Vascular Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
117 MS_DRG Intraocular Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
39 MS_DRG Extracranial Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
114 MS_DRG Orbital Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
189 MS_DRG Pulmonary Edema And Respiratory Failure 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
245 MS_DRG Aicd Generator Procedures 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
164 MS_DRG Major Chest Procedures With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
165 MS_DRG Major Chest Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
215 MS_DRG Other Heart Assist System Implant 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
200 MS_DRG Pneumothorax With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
263 MS_DRG Vein Ligation And Stripping 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
121 MS_DRG Acute Major Eye Infections With Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
141 MS_DRG Major Head And Neck Procedures With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
264 MS_DRG Other Circulatory System O.r. Procedures 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
412 MS_DRG Cholecystectomy With C.d.e. With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
176 MS_DRG Pulmonary Embolism Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
103 MS_DRG Headaches Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
140 MS_DRG Major Head And Neck Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
151 MS_DRG Epistaxis Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
152 MS_DRG Otitis Media And Uri With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
153 MS_DRG Otitis Media And Uri Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
163 MS_DRG Major Chest Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
178 MS_DRG Respiratory Infections And Inflammations With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
125 MS_DRG Other Disorders Of The Eye Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
204 MS_DRG Respiratory Signs And Symptoms 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
185 MS_DRG Major Chest Trauma Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
116 MS_DRG Intraocular Procedures With Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
184 MS_DRG Major Chest Trauma With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
182 MS_DRG Respiratory Neoplasms Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
150 MS_DRG Epistaxis With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
212 MS_DRG Concomitant Aortic And Mitral Valve�procedures 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
205 MS_DRG Other Respiratory System Diagnoses With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
149 MS_DRG Dysequilibrium 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
183 MS_DRG Major Chest Trauma With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
123 MS_DRG Neurological Eye Disorders 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
137 MS_DRG Mouth Procedures With Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
201 MS_DRG Pneumothorax Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
102 MS_DRG Headaches With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
124 MS_DRG Other Disorders Of The Eye With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
101 MS_DRG Seizures Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
115 MS_DRG Extraocular Procedures Except Orbit 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
100 MS_DRG Seizures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
113 MS_DRG Orbital Procedures With Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
196 MS_DRG Interstitial Lung Disease With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
199 MS_DRG Pneumothorax With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
188 MS_DRG Pleural Effusion Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
158 MS_DRG Dental And Oral Diseases With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
181 MS_DRG Respiratory Neoplasms With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
138 MS_DRG Mouth Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
186 MS_DRG Pleural Effusion With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
157 MS_DRG Dental And Oral Diseases With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
139 MS_DRG Salivary Gland Procedures 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
374 MS_DRG Digestive Malignancy With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
335 MS_DRG Peritoneal Adhesiolysis With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
271 MS_DRG Other Major Cardiovascular Procedures With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
180 MS_DRG Respiratory Neoplasms With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
399 MS_DRG Appendix Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
376 MS_DRG Digestive Malignancy Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
302 MS_DRG Atherosclerosis With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
393 MS_DRG Other Digestive System Diagnoses With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
380 MS_DRG Complicated Peptic Ulcer With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
35 MS_DRG Carotid Artery Stent Procedures With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
334 MS_DRG Rectal Resection Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
386 MS_DRG Inflammatory Bowel Disease With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
397 MS_DRG Appendix Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
315 MS_DRG Other Circulatory System Diagnoses With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
347 MS_DRG Anal And Stomal Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
31 MS_DRG Ventricular Shunt Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
336 MS_DRG Peritoneal Adhesiolysis With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
330 MS_DRG Major Small And Large Bowel Procedures With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
295 MS_DRG Deep Vein Thrombophlebitis Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
292 MS_DRG Heart Failure And Shock With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
37 MS_DRG Extracranial Procedures With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
313 MS_DRG Chest Pain 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
385 MS_DRG Inflammatory Bowel Disease With Mcc 54 18 — — $8,800.50 $8,800.50 $8,800.50 2024-11-21
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