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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

Pam Specialty Hospital Of Las Vegas, Llc

Las Vegas, NV · CCN 292006 · Rates published

3,935 distinct procedures filed
64 distinct payers
119,227 rate rows
2025-09-11 last MRF observed
Data quality

76,405 of 119,227 rate rows are consumer-grade (64.1%)

42,822 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 42,304
per-diem day rate — not a per-procedure price 491
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 16
percent-of-charges filed in the dollar field — excluded from medians 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/10971/842783143_pam-specialty-hospital-of-las-vegas-llc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/SpecialtyHospitalLasVegas/10971
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint 0c2e153318a18071… · 30,801,318 bytes · first seen 2026-05-18

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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 14 $3,524.34 $275,802.02 $183,868.01 nat. median
$202,976
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 14 $3,431.69 $226,844.96 $151,229.97 nat. median
$133,161
1.1× median
163
MS_DRG 		Major Chest Procedures With Mcc 14 $124,808.94 $187,213.41 $124,808.94 nat. median
$44,937
outlier · 2.8×
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 14 $124,808.94 $187,213.41 $124,808.94 nat. median
$19,858
outlier · 6.3×
164
MS_DRG 		Major Chest Procedures With Cc 14 $124,808.94 $187,213.41 $124,808.94 nat. median
$25,705
outlier · 4.9×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 $123,213.89 $184,820.84 $123,213.89 nat. median
$52,857
outlier · 2.3×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 14 $123,213.89 $184,820.84 $123,213.89 nat. median
$40,208
outlier · 3.1×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 14 $3,281.57 $184,820.84 $123,213.89 nat. median
$37,476
outlier · 3.3×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $3,754.92 $163,619.27 $109,079.51 nat. median
$66,526
1.6× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 $3,018.97 $161,193.54 $107,462.36 nat. median
$46,084
outlier · 2.3×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 14 $3,247.71 $153,551.48 $102,367.65 nat. median
$62,134
1.6× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 $3,192.12 $146,915.28 $97,943.52 nat. median
$33,845
outlier · 2.9×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 $83,032.24 $124,548.36 $83,032.24 nat. median
$40,914
outlier · 2.0×
173
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 14 $83,032.24 $124,548.36 $83,032.24 nat. median
$29,766
outlier · 2.8×
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 14 $83,032.24 $124,548.36 $83,032.24 nat. median
$18,895
outlier · 4.4×
168
MS_DRG 		Other Respiratory System O.r. Procedures Without Cc/mcc 14 $83,032.24 $124,548.36 $83,032.24 nat. median
$14,494
outlier · 5.7×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 $2,470.28 $119,723.73 $79,815.82 nat. median
$48,170
1.7× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 $2,150.10 $115,996.67 $77,331.11 nat. median
$37,698
outlier · 2.1×
799
MS_DRG 		Splenic Procedures With Mcc 14 $73,477.72 $110,216.58 $73,477.72 nat. median
$45,376
1.6× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 14 $2,454.25 $110,216.58 $73,477.72 nat. median
$42,444
1.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 $73,198.71 $109,798.07 $73,198.71 nat. median
$59,793
1.2× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 $71,408.89 $107,113.34 $71,408.89 nat. median
$31,571
outlier · 2.3×
582
MS_DRG 		Mastectomy For Malignancy With Cc/mcc 14 $71,408.89 $107,113.34 $71,408.89 nat. median
$18,913
outlier · 3.8×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 $70,940.37 $106,410.56 $70,940.37 nat. median
$43,963
1.6× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 14 $69,034.73 $103,552.10 $69,034.73 nat. median
$18,292
outlier · 3.8×
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 14 $68,834.69 $103,252.04 $68,834.69 nat. median
$35,324
1.9× median
619
MS_DRG 		O.r. Procedures For Obesity With Mcc 14 $68,834.69 $103,252.04 $68,834.69 nat. median
$27,946
outlier · 2.5×
551
MS_DRG 		Medical Back Problems With Mcc 14 $2,749.96 $103,117.80 $68,745.20 nat. median
$16,881
outlier · 4.1×
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 14 $3,364.19 $102,715.10 $68,476.73 nat. median
$20,254
outlier · 3.4×
61
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 14 $68,476.73 $102,715.10 $68,476.73 nat. median
$27,312
outlier · 2.5×
901
MS_DRG 		Wound Debridements For Injuries With Mcc 14 $67,544.96 $101,317.44 $67,544.96 nat. median
$41,868
1.6× median
245
MS_DRG 		Aicd Generator Procedures 14 $66,886.94 $100,330.41 $66,886.94 nat. median
$45,271
1.5× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 14 $66,886.94 $100,330.41 $66,886.94 nat. median
$33,061
outlier · 2.0×
263
MS_DRG 		Vein Ligation And Stripping 14 $66,886.94 $100,330.41 $66,886.94 nat. median
$28,155
outlier · 2.4×
253
MS_DRG 		Other Vascular Procedures With Cc 14 $66,450.01 $99,675.02 $66,450.01 nat. median
$26,079
outlier · 2.5×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $66,450.01 $99,675.02 $66,450.01 nat. median
$61,920
1.1× median
254
MS_DRG 		Other Vascular Procedures Without Cc/mcc 14 $66,450.01 $99,675.02 $66,450.01 nat. median
$18,438
outlier · 3.6×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $66,450.01 $99,675.02 $66,450.01 nat. median
$52,879
1.3× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $66,450.01 $99,675.02 $66,450.01 nat. median
$64,508
1.0× median
252
MS_DRG 		Other Vascular Procedures With Mcc 14 $66,450.01 $99,675.02 $66,450.01 nat. median
$34,043
2.0× median
255
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 14 $66,450.01 $99,675.02 $66,450.01 nat. median
$26,349
outlier · 2.5×
250
MS_DRG 		Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 14 $66,450.01 $99,675.02 $66,450.01 nat. median
$23,306
outlier · 2.9×
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 14 $66,450.01 $99,675.02 $66,450.01 nat. median
$45,125
1.5× median
251
MS_DRG 		Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 14 $66,450.01 $99,675.02 $66,450.01 nat. median
$16,543
outlier · 4.0×
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $66,450.01 $99,675.02 $66,450.01 nat. median
$48,732
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $2,114.82 $99,675.02 $66,450.01 nat. median
$93,672
0.7× median
256
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 14 $66,450.01 $99,675.02 $66,450.01 nat. median
$17,334
outlier · 3.8×
257
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 14 $66,450.01 $99,675.02 $66,450.01 nat. median
$11,188
outlier · 5.9×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 $66,450.01 $99,675.02 $66,450.01 nat. median
$38,489
1.7× median
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 14 $66,450.01 $99,675.02 $66,450.01 nat. median
$28,136
outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 3,935 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
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 18 14 — — $3,524.34 $275,802.02 $183,868.01 2025-09-11
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 18 14 — — $3,431.69 $226,844.96 $151,229.97 2025-09-11
163 MS_DRG Major Chest Procedures With Mcc 17 14 — — $124,808.94 $187,213.41 $124,808.94 2025-09-11
164 MS_DRG Major Chest Procedures With Cc 17 14 — — $124,808.94 $187,213.41 $124,808.94 2025-09-11
165 MS_DRG Major Chest Procedures Without Cc/mcc 17 14 — — $124,808.94 $187,213.41 $124,808.94 2025-09-11
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 14 — — $123,213.89 $184,820.84 $123,213.89 2025-09-11
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 14 — — $3,281.57 $184,820.84 $123,213.89 2025-09-11
140 MS_DRG Major Head And Neck Procedures With Mcc 17 14 — — $123,213.89 $184,820.84 $123,213.89 2025-09-11
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 14 — — $3,754.92 $163,619.27 $109,079.51 2025-09-11
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 14 — — $3,018.97 $161,193.54 $107,462.36 2025-09-11
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 14 — — $3,247.71 $153,551.48 $102,367.65 2025-09-11
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 14 — — $3,192.12 $146,915.28 $97,943.52 2025-09-11
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 17 14 — — $83,032.24 $124,548.36 $83,032.24 2025-09-11
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 17 14 — — $83,032.24 $124,548.36 $83,032.24 2025-09-11
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 17 14 — — $83,032.24 $124,548.36 $83,032.24 2025-09-11
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 17 14 — — $83,032.24 $124,548.36 $83,032.24 2025-09-11
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 14 — — $2,470.28 $119,723.73 $79,815.82 2025-09-11
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 14 — — $2,150.10 $115,996.67 $77,331.11 2025-09-11
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 14 — — $2,454.25 $110,216.58 $73,477.72 2025-09-11
799 MS_DRG Splenic Procedures With Mcc 17 14 — — $73,477.72 $110,216.58 $73,477.72 2025-09-11
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 14 — — $73,198.71 $109,798.07 $73,198.71 2025-09-11
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 17 14 — — $71,408.89 $107,113.34 $71,408.89 2025-09-11
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 17 14 — — $71,408.89 $107,113.34 $71,408.89 2025-09-11
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 17 14 — — $70,940.37 $106,410.56 $70,940.37 2025-09-11
205 MS_DRG Other Respiratory System Diagnoses With Mcc 17 14 — — $69,034.73 $103,552.10 $69,034.73 2025-09-11
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 17 14 — — $68,834.69 $103,252.04 $68,834.69 2025-09-11
619 MS_DRG O.r. Procedures For Obesity With Mcc 17 14 — — $68,834.69 $103,252.04 $68,834.69 2025-09-11
551 MS_DRG Medical Back Problems With Mcc 18 14 — — $2,749.96 $103,117.80 $68,745.20 2025-09-11
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 18 14 — — $3,364.19 $102,715.10 $68,476.73 2025-09-11
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 17 14 — — $68,476.73 $102,715.10 $68,476.73 2025-09-11
901 MS_DRG Wound Debridements For Injuries With Mcc 17 14 — — $67,544.96 $101,317.44 $67,544.96 2025-09-11
245 MS_DRG Aicd Generator Procedures 17 14 — — $66,886.94 $100,330.41 $66,886.94 2025-09-11
264 MS_DRG Other Circulatory System O.r. Procedures 17 14 — — $66,886.94 $100,330.41 $66,886.94 2025-09-11
263 MS_DRG Vein Ligation And Stripping 17 14 — — $66,886.94 $100,330.41 $66,886.94 2025-09-11
784 MS_DRG Cesarean Section With Sterilization With Cc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 14 — — $2,114.82 $99,675.02 $66,450.01 2025-09-11
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
271 MS_DRG Other Major Cardiovascular Procedures With Cc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 18 14 — — $2,114.82 $99,675.02 $66,450.01 2025-09-11
754 MS_DRG Malignancy, Female Reproductive System With Mcc 18 14 — — $2,114.82 $99,675.02 $66,450.01 2025-09-11
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
745 MS_DRG D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
744 MS_DRG D&C, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
228 MS_DRG Other Cardiothoracic Procedures With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
35 MS_DRG Carotid Artery Stent Procedures With Cc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 18 14 — — $2,114.82 $99,675.02 $66,450.01 2025-09-11
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
39 MS_DRG Extracranial Procedures Without Cc/mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
643 MS_DRG Endocrine Disorders With Mcc 18 14 — — $2,114.82 $99,675.02 $66,450.01 2025-09-11
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
254 MS_DRG Other Vascular Procedures Without Cc/mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 18 14 — — $2,114.82 $99,675.02 $66,450.01 2025-09-11
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
32 MS_DRG Ventricular Shunt Procedures With Cc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
253 MS_DRG Other Vascular Procedures With Cc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
202 MS_DRG Bronchitis And Asthma With Cc/mcc 18 14 — — $2,114.82 $99,675.02 $66,450.01 2025-09-11
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
693 MS_DRG Urinary Stones With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 18 14 — — $2,114.82 $99,675.02 $66,450.01 2025-09-11
34 MS_DRG Carotid Artery Stent Procedures With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
748 MS_DRG Female Reproductive System Reconstructive Procedures 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
37 MS_DRG Extracranial Procedures With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
755 MS_DRG Malignancy, Female Reproductive System With Cc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
787 MS_DRG Cesarean Section Without Sterilization With Cc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
38 MS_DRG Extracranial Procedures With Cc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
215 MS_DRG Other Heart Assist System Implant 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
786 MS_DRG Cesarean Section Without Sterilization With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
31 MS_DRG Ventricular Shunt Procedures With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
54 MS_DRG Nervous System Neoplasms With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
783 MS_DRG Cesarean Section With Sterilization With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
385 MS_DRG Inflammatory Bowel Disease With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
252 MS_DRG Other Vascular Procedures With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
850 MS_DRG Acute Leukemia With Other Procedures 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 17 14 — — $66,450.01 $99,675.02 $66,450.01 2025-09-11
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 14 — — $66,386.84 $99,580.26 $66,386.84 2025-09-11
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 17 14 — — $66,192.06 $99,288.09 $66,192.06 2025-09-11
908 MS_DRG Other O.r. Procedures For Injuries With Cc 17 14 — — $66,192.06 $99,288.09 $66,192.06 2025-09-11
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 17 14 — — $66,192.06 $99,288.09 $66,192.06 2025-09-11
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 14 — — $66,192.06 $99,288.09 $66,192.06 2025-09-11
500 MS_DRG Soft Tissue Procedures With Mcc 17 14 — — $64,839.16 $97,258.74 $64,839.16 2025-09-11
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 17 14 — — $63,117.77 $94,676.66 $63,117.77 2025-09-11
28 MS_DRG Spinal Procedures With Mcc 17 14 — — $63,117.77 $94,676.66 $63,117.77 2025-09-11
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 17 14 — — $63,117.77 $94,676.66 $63,117.77 2025-09-11
665 MS_DRG Prostatectomy With Mcc 17 14 — — $63,017.75 $94,526.63 $63,017.75 2025-09-11
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 17 14 — — $63,017.75 $94,526.63 $63,017.75 2025-09-11
653 MS_DRG Major Bladder Procedures With Mcc 17 14 — — $63,017.75 $94,526.63 $63,017.75 2025-09-11
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 18 14 — — $2,833.75 $93,239.54 $62,159.69 2025-09-11
570 MS_DRG Skin Debridement With Mcc 17 14 — — $61,975.44 $92,963.16 $61,975.44 2025-09-11
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 17 14 — — $58,685.31 $88,027.97 $58,685.31 2025-09-11
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 17 14 — — $58,685.31 $88,027.97 $58,685.31 2025-09-11
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 17 14 — — $58,685.31 $88,027.97 $58,685.31 2025-09-11
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 17 14 — — $58,205.91 $87,308.87 $58,205.91 2025-09-11
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 17 14 — — $57,962.54 $86,943.81 $57,962.54 2025-09-11
963 MS_DRG Other Multiple Significant Trauma With Mcc 18 14 — — $2,114.82 $86,943.81 $57,962.54 2025-09-11
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 14 — — $57,962.54 $86,943.81 $57,962.54 2025-09-11
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 14 — — $57,737.54 $86,606.31 $57,737.54 2025-09-11
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 17 14 — — $57,737.54 $86,606.31 $57,737.54 2025-09-11
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 14 — — $57,737.54 $86,606.31 $57,737.54 2025-09-11
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 17 14 — — $57,737.54 $86,606.31 $57,737.54 2025-09-11
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 18 14 — — $2,215.53 $84,719.42 $56,479.61 2025-09-11
919 MS_DRG Complications Of Treatment With Mcc 18 14 — — $2,164.17 $84,679.94 $56,453.29 2025-09-11
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 14 — — $2,203.48 $84,585.18 $56,390.12 2025-09-11
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 14 — — $55,963.72 $83,945.58 $55,963.72 2025-09-11
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 17 14 — — $55,963.72 $83,945.58 $55,963.72 2025-09-11
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 14 — — $55,963.72 $83,945.58 $55,963.72 2025-09-11
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 14 — — $55,963.72 $83,945.58 $55,963.72 2025-09-11
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 17 14 — — $55,963.72 $83,945.58 $55,963.72 2025-09-11
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 14 — — $55,963.72 $83,945.58 $55,963.72 2025-09-11
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 18 14 — — $1,604.49 $83,945.58 $55,963.72 2025-09-11
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 18 14 — — $2,448.16 $82,729.55 $55,153.03 2025-09-11
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 17 14 — — $55,089.86 $82,634.79 $55,089.86 2025-09-11
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 17 14 — — $55,089.86 $82,634.79 $55,089.86 2025-09-11
666 MS_DRG Prostatectomy With Cc 17 14 — — $55,089.86 $82,634.79 $55,089.86 2025-09-11
654 MS_DRG Major Bladder Procedures With Cc 17 14 — — $55,089.86 $82,634.79 $55,089.86 2025-09-11
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 17 14 — — $54,431.43 $81,647.15 $54,431.43 2025-09-11
288 MS_DRG Acute And Subacute Endocarditis With Mcc 18 14 — — $2,243.34 $80,463.32 $53,642.21 2025-09-11
393 MS_DRG Other Digestive System Diagnoses With Mcc 18 14 — — $2,081.89 $80,226.42 $53,484.28 2025-09-11
974 MS_DRG HIV With Major Related Condition With Mcc 18 14 — — $2,747.25 $78,492.57 $52,328.38 2025-09-11
388 MS_DRG Gastrointestinal Obstruction With Mcc 18 14 — — $2,360.66 $78,023.36 $52,015.57 2025-09-11
189 MS_DRG Pulmonary Edema And Respiratory Failure 18 14 — — $2,506.82 $77,281.11 $51,520.74 2025-09-11
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 18 14 — — $2,208.73 $77,257.41 $51,504.94 2025-09-11
539 MS_DRG Osteomyelitis With Mcc 18 14 — — $1,844.33 $76,538.85 $51,025.90 2025-09-11
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 17 14 — — $50,415.25 $75,622.88 $50,415.25 2025-09-11
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 17 14 — — $50,415.25 $75,622.88 $50,415.25 2025-09-11
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 17 14 — — $50,415.25 $75,622.88 $50,415.25 2025-09-11
380 MS_DRG Complicated Peptic Ulcer With Mcc 18 14 — — $2,319.23 $75,622.88 $50,415.25 2025-09-11
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 14 — — $50,204.68 $75,307.02 $50,204.68 2025-09-11
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 17 14 — — $49,941.47 $74,912.21 $49,941.47 2025-09-11
620 MS_DRG O.r. Procedures For Obesity With Cc 17 14 — — $49,941.47 $74,912.21 $49,941.47 2025-09-11
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
670 MS_DRG Transurethral Procedures Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
671 MS_DRG Urethral Procedures With Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
709 MS_DRG Penis Procedures With Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
902 MS_DRG Wound Debridements For Injuries With Cc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
668 MS_DRG Transurethral Procedures With Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
669 MS_DRG Transurethral Procedures With Cc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
114 MS_DRG Orbital Procedures Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
116 MS_DRG Intraocular Procedures With Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
115 MS_DRG Extraocular Procedures Except Orbit 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 18 14 — — $1,996.82 $74,580.57 $49,720.38 2025-09-11
606 MS_DRG Minor Skin Disorders With Mcc 18 14 — — $1,996.82 $74,580.57 $49,720.38 2025-09-11
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
141 MS_DRG Major Head And Neck Procedures With Cc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
667 MS_DRG Prostatectomy Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
113 MS_DRG Orbital Procedures With Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
117 MS_DRG Intraocular Procedures Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
663 MS_DRG Minor Bladder Procedures With Cc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
139 MS_DRG Salivary Gland Procedures 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
304 MS_DRG Hypertension With Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
672 MS_DRG Urethral Procedures Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 18 14 — — $1,996.82 $74,580.57 $49,720.38 2025-09-11
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
157 MS_DRG Dental And Oral Diseases With Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
152 MS_DRG Otitis Media And Uri With Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
662 MS_DRG Minor Bladder Procedures With Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
655 MS_DRG Major Bladder Procedures Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
137 MS_DRG Mouth Procedures With Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
545 MS_DRG Connective Tissue Disorders With Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
197 MS_DRG Interstitial Lung Disease With Cc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
386 MS_DRG Inflammatory Bowel Disease With Cc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
374 MS_DRG Digestive Malignancy With Mcc 18 14 — — $1,996.82 $74,580.57 $49,720.38 2025-09-11
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
77 MS_DRG DRG 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
196 MS_DRG Interstitial Lung Disease With Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
78 MS_DRG DRG 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
711 MS_DRG Testes Procedures With Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
138 MS_DRG Mouth Procedures Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
501 MS_DRG Soft Tissue Procedures With Cc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
312 MS_DRG Syncope And Collapse 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 17 14 — — $49,720.38 $74,580.57 $49,720.38 2025-09-11
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 18 14 — — $2,041.40 $73,522.47 $49,014.98 2025-09-11
757 MS_DRG Infections, Female Reproductive System With Mcc 17 14 — — $48,972.86 $73,459.29 $48,972.86 2025-09-11
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