|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
1
|
1
|
—
|
—
|
$177,234.13
|
$177,234.13
|
$177,234.13
|
2025-01-01
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
1
|
1
|
—
|
—
|
$111,625.96
|
$111,625.96
|
$111,625.96
|
2025-01-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
2
|
2
|
—
|
—
|
$64,783.39
|
$111,758.00
|
$88,270.70
|
2025-01-01
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
1
|
1
|
—
|
—
|
$65,027.00
|
$65,027.00
|
$65,027.00
|
2025-01-01
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc
|
4
|
4
|
—
|
—
|
$49,332.60
|
$101,456.46
|
$64,978.92
|
2025-01-01
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
|
1
|
1
|
—
|
—
|
$64,090.25
|
$64,090.25
|
$64,090.25
|
2025-01-01
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
1
|
1
|
—
|
—
|
$61,222.20
|
$61,222.20
|
$61,222.20
|
2025-01-01
|
|
9284
|
OTHER
|
Ipilimumab Injection
|
1
|
1
|
—
|
—
|
$61,211.91
|
$61,211.91
|
$61,211.91
|
2025-01-01
|
|
951
|
MS_DRG
|
Other Factors Influencing Health Status
|
1
|
1
|
—
|
—
|
$49,172.70
|
$49,172.70
|
$49,172.70
|
2025-01-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
2
|
2
|
—
|
—
|
$34,291.82
|
$58,920.21
|
$46,606.01
|
2025-01-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
6
|
4
|
—
|
—
|
$34,896.44
|
$85,012.57
|
$44,491.71
|
2025-01-01
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
1
|
1
|
—
|
—
|
$43,380.13
|
$43,380.13
|
$43,380.13
|
2025-01-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
1
|
1
|
—
|
—
|
$42,476.73
|
$42,476.73
|
$42,476.73
|
2025-01-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
2
|
2
|
—
|
—
|
$27,842.49
|
$56,349.00
|
$42,095.75
|
2025-01-01
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
1
|
1
|
—
|
—
|
$40,795.99
|
$40,795.99
|
$40,795.99
|
2025-01-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
3
|
3
|
—
|
—
|
$19,962.95
|
$67,309.88
|
$39,137.04
|
2025-01-01
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
1
|
1
|
—
|
—
|
$37,345.57
|
$37,345.57
|
$37,345.57
|
2025-01-01
|
|
446
|
MS_DRG
|
Disorders Of The Biliary Tract Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$37,255.26
|
$37,255.26
|
$37,255.26
|
2025-01-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
1
|
1
|
—
|
—
|
$36,266.35
|
$36,266.35
|
$36,266.35
|
2025-01-01
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$35,504.64
|
$35,504.64
|
$35,504.64
|
2025-01-01
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
2
|
2
|
—
|
—
|
$10,255.82
|
$59,228.55
|
$34,742.18
|
2025-01-01
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
2
|
2
|
—
|
—
|
$21,923.08
|
$45,459.25
|
$33,691.17
|
2025-01-01
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
6
|
6
|
—
|
—
|
$3,964.39
|
$78,971.40
|
$33,502.38
|
2025-01-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
1
|
1
|
—
|
—
|
$33,257.05
|
$33,257.05
|
$33,257.05
|
2025-01-01
|
|
63
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
1
|
1
|
—
|
—
|
$31,207.79
|
$31,207.79
|
$31,207.79
|
2025-01-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
2
|
2
|
—
|
—
|
$13,398.10
|
$47,134.24
|
$30,266.17
|
2025-01-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
1
|
1
|
—
|
—
|
$29,744.68
|
$29,744.68
|
$29,744.68
|
2025-01-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
1
|
1
|
—
|
—
|
$28,196.62
|
$28,196.62
|
$28,196.62
|
2025-01-01
|
|
62
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
4
|
4
|
—
|
—
|
$7,673.58
|
$45,585.26
|
$28,103.69
|
2025-01-01
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
1
|
1
|
—
|
—
|
$27,140.23
|
$27,140.23
|
$27,140.23
|
2025-01-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
1
|
1
|
—
|
—
|
$26,617.04
|
$26,617.04
|
$26,617.04
|
2025-01-01
|
|
158
|
MS_DRG
|
Dental And Oral Diseases With Cc
|
1
|
1
|
—
|
—
|
$24,664.02
|
$24,664.02
|
$24,664.02
|
2025-01-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
1
|
1
|
—
|
—
|
$24,281.85
|
$24,281.85
|
$24,281.85
|
2025-01-01
|
|
645
|
MS_DRG
|
Endocrine Disorders Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$24,116.00
|
$24,116.00
|
$24,116.00
|
2025-01-01
|
|
206
|
MS_DRG
|
Other Respiratory System Diagnoses Without Mcc
|
1
|
1
|
—
|
—
|
$24,068.90
|
$24,068.90
|
$24,068.90
|
2025-01-01
|
|
728
|
MS_DRG
|
Inflammation Of The Male Reproductive System Without Mcc
|
1
|
1
|
—
|
—
|
$23,963.95
|
$23,963.95
|
$23,963.95
|
2025-01-01
|
|
644
|
MS_DRG
|
Endocrine Disorders With Cc
|
3
|
3
|
—
|
—
|
$11,336.84
|
$24,884.23
|
$23,916.00
|
2025-01-01
|
|
70
|
MS_DRG
|
Other Cerebrovascular Disorders With Mcc
|
1
|
1
|
—
|
—
|
$23,330.62
|
$23,330.62
|
$23,330.62
|
2025-01-01
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/Mcc
|
4
|
4
|
—
|
—
|
$7,676.49
|
$29,545.02
|
$23,148.36
|
2025-01-01
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
2
|
1
|
—
|
—
|
$10,272.39
|
$35,285.60
|
$22,778.99
|
2025-01-01
|
|
59
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia With Cc
|
2
|
2
|
—
|
—
|
$15,893.07
|
$28,481.06
|
$22,187.07
|
2025-01-01
|
|
153
|
MS_DRG
|
Otitis Media And Uri Without Mcc
|
1
|
1
|
—
|
—
|
$22,145.28
|
$22,145.28
|
$22,145.28
|
2025-01-01
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
1
|
1
|
—
|
—
|
$21,268.97
|
$21,268.97
|
$21,268.97
|
2025-01-01
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
2
|
2
|
—
|
—
|
$15,658.03
|
$26,529.00
|
$21,093.51
|
2025-01-01
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
1
|
1
|
—
|
—
|
$20,636.17
|
$20,636.17
|
$20,636.17
|
2025-01-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
4
|
4
|
—
|
—
|
$13,823.71
|
$23,770.64
|
$20,613.97
|
2025-01-01
|
|
103
|
MS_DRG
|
Headaches Without Mcc
|
3
|
3
|
—
|
—
|
$4,199.97
|
$30,863.01
|
$20,361.00
|
2025-01-01
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
1
|
1
|
—
|
—
|
$20,354.26
|
$20,354.26
|
$20,354.26
|
2025-01-01
|
|
693
|
MS_DRG
|
Urinary Stones With Mcc
|
1
|
1
|
—
|
—
|
$20,186.20
|
$20,186.20
|
$20,186.20
|
2025-01-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
1
|
1
|
—
|
—
|
$20,031.79
|
$20,031.79
|
$20,031.79
|
2025-01-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
1
|
1
|
—
|
—
|
$20,031.79
|
$20,031.79
|
$20,031.79
|
2025-01-01
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
2
|
2
|
—
|
—
|
$17,741.20
|
$21,439.95
|
$19,590.58
|
2025-01-01
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
1
|
1
|
—
|
—
|
$19,358.91
|
$19,358.91
|
$19,358.91
|
2025-01-01
|
|
93
|
MS_DRG
|
Other Disorders Of Nervous System Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$18,813.93
|
$18,813.93
|
$18,813.93
|
2025-01-01
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
1
|
1
|
—
|
—
|
$18,708.93
|
$18,708.93
|
$18,708.93
|
2025-01-01
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
1
|
1
|
—
|
—
|
$18,508.91
|
$18,508.91
|
$18,508.91
|
2025-01-01
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
5
|
5
|
—
|
—
|
$13,780.14
|
$22,103.08
|
$18,201.18
|
2025-01-01
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
2
|
2
|
—
|
—
|
$17,561.78
|
$18,707.21
|
$18,134.49
|
2025-01-01
|
|
60
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$6,920.21
|
$29,001.60
|
$17,960.90
|
2025-01-01
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
1
|
1
|
—
|
—
|
$17,935.26
|
$17,935.26
|
$17,935.26
|
2025-01-01
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
16
|
10
|
—
|
—
|
$8,583.93
|
$87,352.18
|
$17,880.79
|
2025-01-01
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
2
|
2
|
—
|
—
|
$17,205.29
|
$17,995.40
|
$17,600.35
|
2025-01-01
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
3
|
3
|
—
|
—
|
$15,492.98
|
$18,798.12
|
$17,326.56
|
2025-01-01
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
1
|
1
|
—
|
—
|
$16,495.75
|
$16,495.75
|
$16,495.75
|
2025-01-01
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
7
|
5
|
—
|
—
|
$11,989.62
|
$57,028.81
|
$16,274.49
|
2025-01-01
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
4
|
4
|
—
|
—
|
$9,919.09
|
$16,801.92
|
$15,828.17
|
2025-01-01
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
4
|
4
|
—
|
—
|
$14,337.98
|
$18,781.11
|
$15,754.94
|
2025-01-01
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
9
|
7
|
—
|
—
|
$6,468.00
|
$40,329.43
|
$15,743.58
|
2025-01-01
|
|
760
|
MS_DRG
|
Menstrual And Other Female Reproductive System Disorders With Cc/Mcc
|
2
|
2
|
—
|
—
|
$9,179.42
|
$21,760.08
|
$15,469.75
|
2025-01-01
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
2
|
2
|
—
|
—
|
$15,144.90
|
$15,666.20
|
$15,405.55
|
2025-01-01
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
1
|
1
|
—
|
—
|
$15,269.89
|
$15,269.89
|
$15,269.89
|
2025-01-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
3
|
3
|
—
|
—
|
$14,372.41
|
$25,337.33
|
$15,204.60
|
2025-01-01
|
|
642
|
MS_DRG
|
Inborn And Other Disorders Of Metabolism
|
2
|
2
|
—
|
—
|
$5,933.25
|
$24,365.27
|
$15,149.26
|
2025-01-01
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
2
|
2
|
—
|
—
|
$11,098.44
|
$19,199.69
|
$15,149.06
|
2025-01-01
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
1
|
1
|
—
|
—
|
$15,000.61
|
$15,000.61
|
$15,000.61
|
2025-01-01
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
1
|
1
|
—
|
—
|
$14,844.97
|
$14,844.97
|
$14,844.97
|
2025-01-01
|
|
783
|
MS_DRG
|
Cesarean Section With Sterilization With Mcc
|
2
|
2
|
—
|
—
|
$7,894.93
|
$21,784.38
|
$14,839.66
|
2025-01-01
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
1
|
1
|
—
|
—
|
$14,719.92
|
$14,719.92
|
$14,719.92
|
2025-01-01
|
|
866
|
MS_DRG
|
Viral Illness Without Mcc
|
1
|
1
|
—
|
—
|
$14,634.04
|
$14,634.04
|
$14,634.04
|
2025-01-01
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
2
|
2
|
—
|
—
|
$11,940.86
|
$17,256.44
|
$14,598.65
|
2025-01-01
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/Mcc
|
4
|
4
|
—
|
—
|
$13,760.51
|
$15,981.98
|
$14,436.35
|
2025-01-01
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
3
|
3
|
—
|
—
|
$10,832.15
|
$44,750.16
|
$14,274.75
|
2025-01-01
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$14,234.47
|
$14,234.47
|
$14,234.47
|
2025-01-01
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
2
|
2
|
—
|
—
|
$9,407.62
|
$19,019.05
|
$14,213.33
|
2025-01-01
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
6
|
4
|
—
|
—
|
$5,931.23
|
$28,462.14
|
$13,768.58
|
2025-01-01
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
7
|
7
|
—
|
—
|
$5,491.74
|
$45,177.00
|
$13,676.48
|
2025-01-01
|
|
539
|
MS_DRG
|
Osteomyelitis With Mcc
|
1
|
1
|
—
|
—
|
$13,493.42
|
$13,493.42
|
$13,493.42
|
2025-01-01
|
|
381
|
MS_DRG
|
Complicated Peptic Ulcer With Cc
|
2
|
2
|
—
|
—
|
$6,017.77
|
$20,919.00
|
$13,468.39
|
2025-01-01
|
|
557
|
MS_DRG
|
Tendonitis, Myositis And Bursitis With Mcc
|
3
|
3
|
—
|
—
|
$9,458.94
|
$14,287.61
|
$13,046.78
|
2025-01-01
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
2
|
2
|
—
|
—
|
$9,121.60
|
$16,860.06
|
$12,990.83
|
2025-01-01
|
|
643
|
MS_DRG
|
Endocrine Disorders With Mcc
|
2
|
2
|
—
|
—
|
$9,419.33
|
$16,524.47
|
$12,971.90
|
2025-01-01
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
1
|
1
|
—
|
—
|
$12,873.89
|
$12,873.89
|
$12,873.89
|
2025-01-01
|
|
880
|
MS_DRG
|
Acute Adjustment Reaction And Psychosocial Dysfunction
|
1
|
1
|
—
|
—
|
$12,868.38
|
$12,868.38
|
$12,868.38
|
2025-01-01
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
3
|
3
|
—
|
—
|
$12,204.06
|
$37,370.43
|
$12,478.02
|
2025-01-01
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
5
|
5
|
—
|
—
|
$4,441.34
|
$47,920.12
|
$12,473.15
|
2025-01-01
|
|
684
|
MS_DRG
|
Renal Failure Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$5,734.73
|
$18,408.19
|
$12,071.46
|
2025-01-01
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
3
|
3
|
—
|
—
|
$7,725.61
|
$13,679.29
|
$11,943.92
|
2025-01-01
|
|
304
|
MS_DRG
|
Hypertension With Mcc
|
4
|
3
|
—
|
—
|
$7,688.30
|
$25,380.03
|
$11,648.44
|
2025-01-01
|
|
833
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$11,574.41
|
$11,574.41
|
$11,574.41
|
2025-01-01
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
4
|
4
|
—
|
—
|
$8,549.60
|
$22,842.39
|
$11,562.26
|
2025-01-01
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$7,664.26
|
$15,260.08
|
$11,462.17
|
2025-01-01
|
|
882
|
MS_DRG
|
Neuroses Except Depressive
|
6
|
5
|
—
|
—
|
$3,456.85
|
$20,202.39
|
$11,372.50
|
2025-01-01
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
9
|
7
|
—
|
—
|
$9,197.29
|
$91,224.00
|
$11,294.13
|
2025-01-01
|
|
885
|
MS_DRG
|
Psychoses
|
22
|
13
|
—
|
—
|
$5,718.99
|
$19,328.38
|
$11,230.08
|
2025-01-01
|
|
787
|
MS_DRG
|
Cesarean Section Without Sterilization With Cc
|
12
|
8
|
—
|
—
|
$6,681.40
|
$30,529.56
|
$11,196.77
|
2025-01-01
|
|
564
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc
|
1
|
1
|
—
|
—
|
$11,157.79
|
$11,157.79
|
$11,157.79
|
2025-01-01
|
|
535
|
MS_DRG
|
Fractures Of Hip And Pelvis With Mcc
|
1
|
1
|
—
|
—
|
$11,147.08
|
$11,147.08
|
$11,147.08
|
2025-01-01
|
|
785
|
MS_DRG
|
Cesarean Section With Sterilization Without Cc/Mcc
|
6
|
6
|
—
|
—
|
$6,169.28
|
$26,343.00
|
$11,116.76
|
2025-01-01
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
5
|
5
|
—
|
—
|
$7,271.39
|
$15,385.20
|
$11,076.22
|
2025-01-01
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
8
|
8
|
—
|
—
|
$7,091.71
|
$44,671.18
|
$11,057.50
|
2025-01-01
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
2
|
2
|
—
|
—
|
$9,472.91
|
$12,467.70
|
$10,970.31
|
2025-01-01
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
3
|
3
|
—
|
—
|
$1,763.00
|
$23,650.25
|
$10,962.75
|
2025-01-01
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
17
|
11
|
—
|
—
|
$2,507.02
|
$41,886.38
|
$10,622.85
|
2025-01-01
|
|
881
|
MS_DRG
|
Depressive Neuroses
|
6
|
6
|
—
|
—
|
$3,449.60
|
$15,600.00
|
$10,588.87
|
2025-01-01
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/Mcc
|
4
|
4
|
—
|
—
|
$5,443.58
|
$24,840.00
|
$10,573.74
|
2025-01-01
|
|
502
|
MS_DRG
|
Soft Tissue Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$10,570.29
|
$10,570.29
|
$10,570.29
|
2025-01-01
|
|
5115
|
OTHER
|
Level 5 Musculoskeletal Procedures
|
2
|
2
|
—
|
—
|
$5,487.28
|
$15,636.72
|
$10,562.00
|
2025-01-01
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
5
|
5
|
—
|
—
|
$8,474.27
|
$34,218.87
|
$10,546.46
|
2025-01-01
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
8
|
7
|
—
|
—
|
$5,137.14
|
$13,018.41
|
$10,505.07
|
2025-01-01
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
6
|
6
|
—
|
—
|
$6,342.11
|
$37,059.82
|
$10,382.49
|
2025-01-01
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/Mcc
|
11
|
10
|
—
|
—
|
$5,743.73
|
$28,419.12
|
$10,316.09
|
2025-01-01
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
4
|
4
|
—
|
—
|
$6,324.95
|
$31,053.11
|
$10,127.19
|
2025-01-01
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
6
|
6
|
—
|
—
|
$1,686.64
|
$27,837.61
|
$10,038.06
|
2025-01-01
|
|
352
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$9,700.99
|
$9,700.99
|
$9,700.99
|
2025-01-01
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
2
|
1
|
—
|
—
|
$5,974.92
|
$13,371.71
|
$9,673.31
|
2025-01-01
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
4
|
4
|
—
|
—
|
$6,504.15
|
$14,079.38
|
$9,561.76
|
2025-01-01
|
|
868
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Cc
|
1
|
1
|
—
|
—
|
$9,493.63
|
$9,493.63
|
$9,493.63
|
2025-01-01
|
|
183
|
MS_DRG
|
Major Chest Trauma With Mcc
|
1
|
1
|
—
|
—
|
$9,436.81
|
$9,436.81
|
$9,436.81
|
2025-01-01
|
|
809
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
2
|
2
|
—
|
—
|
$7,337.04
|
$11,509.25
|
$9,423.15
|
2025-01-01
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses With Cc
|
1
|
1
|
—
|
—
|
$9,403.04
|
$9,403.04
|
$9,403.04
|
2025-01-01
|
|
807
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c Without Cc/Mcc
|
13
|
9
|
—
|
—
|
$3,884.93
|
$19,771.68
|
$9,257.00
|
2025-01-01
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
2
|
2
|
—
|
—
|
$7,659.58
|
$10,758.47
|
$9,209.02
|
2025-01-01
|
|
660
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Cc
|
2
|
2
|
—
|
—
|
$7,439.69
|
$10,909.96
|
$9,174.82
|
2025-01-01
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
14
|
11
|
—
|
—
|
$1,275.91
|
$32,383.50
|
$9,167.44
|
2025-01-01
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
10
|
7
|
—
|
—
|
$2,966.89
|
$21,418.32
|
$9,124.23
|
2025-01-01
|
|
375
|
MS_DRG
|
Digestive Malignancy With Cc
|
1
|
1
|
—
|
—
|
$9,079.34
|
$9,079.34
|
$9,079.34
|
2025-01-01
|
|
399
|
MS_DRG
|
Appendix Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$9,059.20
|
$9,059.20
|
$9,059.20
|
2025-01-01
|
|
565
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
|
4
|
4
|
—
|
—
|
$8,189.22
|
$11,157.79
|
$8,951.58
|
2025-01-01
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
1
|
1
|
—
|
—
|
$8,951.57
|
$8,951.57
|
$8,951.57
|
2025-01-01
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$8,950.38
|
$8,950.38
|
$8,950.38
|
2025-01-01
|
|
87
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$8,942.13
|
$8,942.13
|
$8,942.13
|
2025-01-01
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
4
|
4
|
—
|
—
|
$5,215.32
|
$42,345.00
|
$8,877.09
|
2025-01-01
|
|
386
|
MS_DRG
|
Inflammatory Bowel Disease With Cc
|
1
|
1
|
—
|
—
|
$8,808.03
|
$8,808.03
|
$8,808.03
|
2025-01-01
|
|
487
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$8,625.16
|
$8,625.16
|
$8,625.16
|
2025-01-01
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
3
|
3
|
—
|
—
|
$2,993.76
|
$10,053.91
|
$8,578.92
|
2025-01-01
|
|
71
|
MS_DRG
|
Other Cerebrovascular Disorders With Cc
|
3
|
3
|
—
|
—
|
$8,423.24
|
$9,605.63
|
$8,576.41
|
2025-01-01
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
1
|
1
|
—
|
—
|
$8,541.85
|
$8,541.85
|
$8,541.85
|
2025-01-01
|
|
593
|
MS_DRG
|
Skin Ulcers With Cc
|
1
|
1
|
—
|
—
|
$8,492.44
|
$8,492.44
|
$8,492.44
|
2025-01-01
|
|
340
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$8,466.38
|
$8,466.38
|
$8,466.38
|
2025-01-01
|
|
342
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis With Cc
|
1
|
1
|
—
|
—
|
$8,452.49
|
$8,452.49
|
$8,452.49
|
2025-01-01
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/Mcc
|
4
|
4
|
—
|
—
|
$4,151.44
|
$13,445.89
|
$8,447.33
|
2025-01-01
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
7
|
6
|
—
|
—
|
$4,566.66
|
$35,151.00
|
$8,422.12
|
2025-01-01
|
|
5061
|
OTHER
|
Hyperbaric Oxygen
|
10
|
8
|
—
|
—
|
$2,560.90
|
$29,664.00
|
$8,322.39
|
2025-01-01
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
6
|
5
|
—
|
—
|
$5,394.83
|
$21,877.50
|
$8,267.06
|
2025-01-01
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without Mcc
|
4
|
4
|
—
|
—
|
$5,465.25
|
$22,308.00
|
$8,255.57
|
2025-01-01
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc
|
1
|
1
|
—
|
—
|
$8,104.55
|
$8,104.55
|
$8,104.55
|
2025-01-01
|
|
5054
|
OTHER
|
Level 4 Skin Procedures
|
4
|
4
|
—
|
—
|
$3,423.62
|
$46,321.18
|
$7,876.79
|
2025-01-01
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
3
|
3
|
—
|
—
|
$3,519.20
|
$25,125.00
|
$7,869.08
|
2025-01-01
|
|
5155
|
OTHER
|
Level 5 Airway Endoscopy
|
5
|
4
|
—
|
—
|
$1,671.00
|
$12,378.38
|
$7,734.42
|
2025-01-01
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
4
|
4
|
—
|
—
|
$2,688.15
|
$29,854.53
|
$7,708.30
|
2025-01-01
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
8
|
6
|
—
|
—
|
$1,694.00
|
$18,851.63
|
$7,703.96
|
2025-01-01
|
|
796
|
MS_DRG
|
Vaginal Delivery With Sterilization And/Or D&c With Mcc
|
2
|
2
|
—
|
—
|
$7,221.25
|
$7,654.11
|
$7,437.68
|
2025-01-01
|
|
916
|
MS_DRG
|
Allergic Reactions Without Mcc
|
3
|
3
|
—
|
—
|
$2,395.56
|
$15,792.68
|
$7,434.94
|
2025-01-01
|
|
810
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
1
|
1
|
—
|
—
|
$7,396.85
|
$7,396.85
|
$7,396.85
|
2025-01-01
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
1
|
1
|
—
|
—
|
$7,355.98
|
$7,355.98
|
$7,355.98
|
2025-01-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
1
|
1
|
—
|
—
|
$7,350.88
|
$7,350.88
|
$7,350.88
|
2025-01-01
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
8
|
7
|
—
|
—
|
$1,213.80
|
$26,422.98
|
$7,315.80
|
2025-01-01
|
|
661
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$5,118.87
|
$9,486.09
|
$7,302.48
|
2025-01-01
|
|
743
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc
|
5
|
5
|
—
|
—
|
$4,300.40
|
$29,990.00
|
$7,217.82
|
2025-01-01
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
6
|
4
|
—
|
—
|
$5,246.89
|
$11,062.18
|
$7,190.48
|
2025-01-01
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
12
|
8
|
—
|
—
|
$2,217.94
|
$25,846.82
|
$7,141.61
|
2025-01-01
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
9
|
7
|
—
|
—
|
$4,795.89
|
$23,903.00
|
$7,089.21
|
2025-01-01
|
|
918
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs Without Mcc
|
3
|
3
|
—
|
—
|
$6,291.24
|
$18,025.84
|
$7,088.31
|
2025-01-01
|
|
303
|
MS_DRG
|
Atherosclerosis Without Mcc
|
1
|
1
|
—
|
—
|
$7,087.87
|
$7,087.87
|
$7,087.87
|
2025-01-01
|
|
5362
|
OTHER
|
Level 2 Laparoscopy And Related Services
|
4
|
4
|
—
|
—
|
$4,327.33
|
$10,741.40
|
$6,982.17
|
2025-01-01
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
9
|
7
|
—
|
—
|
$3,960.40
|
$18,726.77
|
$6,934.20
|
2025-01-01
|
|
149
|
MS_DRG
|
Dysequilibrium
|
1
|
1
|
—
|
—
|
$6,902.06
|
$6,902.06
|
$6,902.06
|
2025-01-01
|
|
101
|
MS_DRG
|
Seizures Without Mcc
|
4
|
4
|
—
|
—
|
$3,293.44
|
$15,750.80
|
$6,895.64
|
2025-01-01
|
|
869
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$5,934.72
|
$7,797.04
|
$6,865.88
|
2025-01-01
|
|
69
|
MS_DRG
|
Transient Ischemia Without Thrombolytic
|
4
|
3
|
—
|
—
|
$5,029.36
|
$7,422.69
|
$6,745.16
|
2025-01-01
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
6
|
6
|
—
|
—
|
$5,957.16
|
$182,065.62
|
$6,692.76
|
2025-01-01
|
|
305
|
MS_DRG
|
Hypertension Without Mcc
|
4
|
4
|
—
|
—
|
$2,900.68
|
$15,049.92
|
$6,684.98
|
2025-01-01
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc
|
3
|
3
|
—
|
—
|
$6,665.05
|
$20,131.75
|
$6,677.00
|
2025-01-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
1
|
1
|
—
|
—
|
$6,596.13
|
$6,596.13
|
$6,596.13
|
2025-01-01
|
|
784
|
MS_DRG
|
Cesarean Section With Sterilization With Cc
|
3
|
3
|
—
|
—
|
$6,428.74
|
$27,276.54
|
$6,581.00
|
2025-01-01
|
|
5034
|
OTHER
|
Level 4 Type B Ed Visits
|
1
|
1
|
—
|
—
|
$6,577.00
|
$6,577.00
|
$6,577.00
|
2025-01-01
|
|
203
|
MS_DRG
|
Bronchitis And Asthma Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$5,028.75
|
$8,078.10
|
$6,553.43
|
2025-01-01
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
1
|
1
|
—
|
—
|
$6,526.46
|
$6,526.46
|
$6,526.46
|
2025-01-01
|
|
5694
|
OTHER
|
Level 4 Drug Administration
|
11
|
7
|
—
|
—
|
$649.28
|
$15,078.44
|
$6,510.04
|
2025-01-01
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
4
|
4
|
—
|
—
|
$2,579.00
|
$25,790.34
|
$6,509.76
|
2025-01-01
|
|
5114
|
OTHER
|
Level 4 Musculoskeletal Procedures
|
14
|
10
|
—
|
—
|
$573.40
|
$16,900.02
|
$6,508.55
|
2025-01-01
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc
|
5
|
5
|
—
|
—
|
$6,049.05
|
$27,543.00
|
$6,428.04
|
2025-01-01
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
6
|
6
|
—
|
—
|
$2,365.92
|
$18,674.55
|
$6,425.77
|
2025-01-01
|
|
348
|
MS_DRG
|
Anal And Stomal Procedures With Cc
|
1
|
1
|
—
|
—
|
$6,406.90
|
$6,406.90
|
$6,406.90
|
2025-01-01
|
|
200
|
MS_DRG
|
Pneumothorax With Cc
|
1
|
1
|
—
|
—
|
$6,354.49
|
$6,354.49
|
$6,354.49
|
2025-01-01
|
|
776
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses Without O.r. Procedures
|
4
|
3
|
—
|
—
|
$3,672.98
|
$13,266.56
|
$6,299.43
|
2025-01-01
|
|
797
|
MS_DRG
|
Vaginal Delivery With Sterilization And/Or D&c With Cc
|
2
|
2
|
—
|
—
|
$5,526.20
|
$7,062.55
|
$6,294.38
|
2025-01-01
|
|
379
|
MS_DRG
|
Gastrointestinal Hemorrhage Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$6,283.17
|
$6,283.17
|
$6,283.17
|
2025-01-01
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
5
|
4
|
—
|
—
|
$5,082.46
|
$20,624.00
|
$6,264.97
|
2025-01-01
|
|
806
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Cc
|
8
|
7
|
—
|
—
|
$4,224.24
|
$20,853.00
|
$6,207.34
|
2025-01-01
|
|
5035
|
OTHER
|
Level 5 Type B Ed Visits
|
1
|
1
|
—
|
—
|
$6,118.36
|
$6,118.36
|
$6,118.36
|
2025-01-01
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
1
|
1
|
—
|
—
|
$6,066.48
|
$6,066.48
|
$6,066.48
|
2025-01-01
|
|
805
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Mcc
|
3
|
3
|
—
|
—
|
$4,645.56
|
$21,767.04
|
$6,055.12
|
2025-01-01
|
|
387
|
MS_DRG
|
Inflammatory Bowel Disease Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$5,678.71
|
$6,407.47
|
$6,043.09
|
2025-01-01
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
7
|
5
|
—
|
—
|
$2,881.46
|
$36,080.34
|
$5,805.89
|
2025-01-01
|
|
818
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Cc
|
1
|
1
|
—
|
—
|
$5,745.23
|
$5,745.23
|
$5,745.23
|
2025-01-01
|
|
700
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$5,533.53
|
$5,533.53
|
$5,533.53
|
2025-01-01
|
|
566
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$5,465.25
|
$5,465.25
|
$5,465.25
|
2025-01-01
|
|
72
|
MS_DRG
|
Other Cerebrovascular Disorders Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$5,337.71
|
$5,337.71
|
$5,337.71
|
2025-01-01
|
|
768
|
MS_DRG
|
Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c
|
5
|
5
|
—
|
—
|
$5,130.51
|
$31,393.22
|
$5,325.61
|
2025-01-01
|
|
779
|
MS_DRG
|
Abortion Without D&c
|
1
|
1
|
—
|
—
|
$5,318.03
|
$5,318.03
|
$5,318.03
|
2025-01-01
|
|
894
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence, Left Ama
|
4
|
3
|
—
|
—
|
$1,756.72
|
$21,643.96
|
$5,309.23
|
2025-01-01
|
|
769
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses With O.r. Procedures
|
1
|
1
|
—
|
—
|
$5,306.66
|
$5,306.66
|
$5,306.66
|
2025-01-01
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
7
|
7
|
—
|
—
|
$2,083.88
|
$7,277.03
|
$5,178.17
|
2025-01-01
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
2
|
2
|
—
|
—
|
$4,483.37
|
$5,810.69
|
$5,147.03
|
2025-01-01
|
|
5431
|
OTHER
|
Level 1 Nerve Procedures
|
5
|
5
|
—
|
—
|
$3,233.95
|
$9,172.16
|
$5,132.19
|
2025-01-01
|
|
5731
|
OTHER
|
Level 1 Minor Procedures
|
6
|
5
|
—
|
—
|
$3,997.14
|
$22,871.20
|
$5,078.86
|
2025-01-01
|
|
5375
|
OTHER
|
Level 5 Urology And Related Services
|
8
|
6
|
—
|
—
|
$2,038.59
|
$6,374.51
|
$5,005.27
|
2025-01-01
|
|
819
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$4,199.42
|
$5,327.21
|
$4,763.32
|
2025-01-01
|
|
307
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders Without Mcc
|
1
|
1
|
—
|
—
|
$4,729.60
|
$4,729.60
|
$4,729.60
|
2025-01-01
|
|
311
|
MS_DRG
|
Angina Pectoris
|
1
|
1
|
—
|
—
|
$4,673.36
|
$4,673.36
|
$4,673.36
|
2025-01-01
|
|
998
|
MS_DRG
|
Principal Diagnosis Invalid As Discharge Diagnosis
|
1
|
1
|
—
|
—
|
$4,671.97
|
$4,671.97
|
$4,671.97
|
2025-01-01
|
|
5341
|
OTHER
|
Level 1 Abdominal/Peritoneal/Biliary And Related Procedures
|
10
|
8
|
—
|
—
|
$3,840.72
|
$8,594.37
|
$4,641.14
|
2025-01-01
|
|
395
|
MS_DRG
|
Other Digestive System Diagnoses Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$4,477.97
|
$4,477.97
|
$4,477.97
|
2025-01-01
|
|
883
|
MS_DRG
|
Disorders Of Personality And Impulse Control
|
1
|
1
|
—
|
—
|
$4,342.95
|
$4,342.95
|
$4,342.95
|
2025-01-01
|
|
313
|
MS_DRG
|
Chest Pain
|
2
|
2
|
—
|
—
|
$1,887.64
|
$6,714.19
|
$4,300.91
|
2025-01-01
|
|
5361
|
OTHER
|
Level 1 Laparoscopy And Related Services
|
16
|
11
|
—
|
—
|
$1,943.28
|
$7,742.00
|
$4,188.00
|
2025-01-01
|
|
670
|
MS_DRG
|
Transurethral Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$4,041.36
|
$4,041.36
|
$4,041.36
|
2025-01-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
3
|
3
|
—
|
—
|
$2,085.98
|
$6,400.04
|
$4,041.04
|
2025-01-01
|
|
5374
|
OTHER
|
Level 4 Urology And Related Services
|
6
|
5
|
—
|
—
|
$2,136.82
|
$4,427.12
|
$3,756.79
|
2025-01-01
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$3,719.42
|
$3,719.42
|
$3,719.42
|
2025-01-01
|
|
718
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures Except Malignancy Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$3,686.13
|
$3,686.13
|
$3,686.13
|
2025-01-01
|
|
794
|
MS_DRG
|
Neonate With Other Significant Problems
|
10
|
8
|
—
|
—
|
$1,950.14
|
$7,827.63
|
$3,648.68
|
2025-01-01
|
|
5183
|
OTHER
|
Level 3 Vascular Procedures
|
7
|
6
|
—
|
—
|
$1,397.42
|
$3,706.26
|
$3,518.76
|
2025-01-01
|
|
5113
|
OTHER
|
Level 3 Musculoskeletal Procedures
|
13
|
10
|
—
|
—
|
$1,631.89
|
$6,110.00
|
$3,516.02
|
2025-01-01
|
|
639
|
MS_DRG
|
Diabetes Without Cc/Mcc
|
3
|
3
|
—
|
—
|
$1,594.00
|
$5,278.13
|
$3,438.77
|
2025-01-01
|
|
5164
|
OTHER
|
Level 4 ENT Procedures
|
8
|
6
|
—
|
—
|
$2,514.49
|
$5,563.41
|
$3,399.36
|
2025-01-01
|
|
5091
|
OTHER
|
Level 1 Breast/Lymphatic Surgery And Related Procedures
|
1
|
1
|
—
|
—
|
$3,314.87
|
$3,314.87
|
$3,314.87
|
2025-01-01
|
|
832
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures With Cc
|
4
|
4
|
—
|
—
|
$1,820.15
|
$15,371.00
|
$3,307.93
|
2025-01-01
|
|
5414
|
OTHER
|
Level 4 Gynecologic Procedures
|
15
|
10
|
—
|
—
|
$849.74
|
$4,863.90
|
$3,251.16
|
2025-01-01
|
|
5165
|
OTHER
|
Level 5 ENT Procedures
|
2
|
2
|
—
|
—
|
$3,073.00
|
$3,341.00
|
$3,207.00
|
2025-01-01
|
|
556
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc
|
1
|
1
|
—
|
—
|
$3,176.12
|
$3,176.12
|
$3,176.12
|
2025-01-01
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
1
|
1
|
—
|
—
|
$3,129.10
|
$3,129.10
|
$3,129.10
|
2025-01-01
|
|
8011
|
OTHER
|
Comprehensive Observation Services
|
21
|
12
|
—
|
—
|
$300.00
|
$9,902.02
|
$3,078.79
|
2025-01-01
|
|
594
|
MS_DRG
|
Skin Ulcers Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$3,058.92
|
$3,058.92
|
$3,058.92
|
2025-01-01
|
|
5073
|
OTHER
|
Level 3 Excision/ Biopsy/ Incision And Drainage
|
12
|
8
|
—
|
—
|
$212.57
|
$4,509.14
|
$3,046.25
|
2025-01-01
|
|
5415
|
OTHER
|
Level 5 Gynecologic Procedures
|
3
|
3
|
—
|
—
|
$1,415.27
|
$5,207.64
|
$3,020.00
|
2025-01-01
|
|
5313
|
OTHER
|
Level 3 Lower Gi Procedures
|
12
|
9
|
—
|
—
|
$1,455.29
|
$6,145.62
|
$2,977.53
|
2025-01-01
|
|
5154
|
OTHER
|
Level 4 Airway Endoscopy
|
2
|
2
|
—
|
—
|
$1,603.19
|
$4,279.55
|
$2,941.37
|
2025-01-01
|
|
294
|
MS_DRG
|
Deep Vein Thrombophlebitis With Cc/Mcc
|
1
|
1
|
—
|
—
|
$2,939.76
|
$2,939.76
|
$2,939.76
|
2025-01-01
|
|
5721
|
OTHER
|
Level 1 Diagnostic Tests And Related Services
|
4
|
4
|
—
|
—
|
$778.04
|
$3,000.33
|
$2,872.78
|
2025-01-01
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
1
|
1
|
—
|
—
|
$2,849.76
|
$2,849.76
|
$2,849.76
|
2025-01-01
|
|
192
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$2,849.76
|
$2,849.76
|
$2,849.76
|
2025-01-01
|
|
5072
|
OTHER
|
Level 2 Excision/ Biopsy/ Incision And Drainage
|
13
|
9
|
—
|
—
|
$1,052.59
|
$12,740.83
|
$2,506.63
|
2025-01-01
|
|
5163
|
OTHER
|
Level 3 ENT Procedures
|
4
|
4
|
—
|
—
|
$1,311.73
|
$3,448.21
|
$2,474.08
|
2025-01-01
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
6
|
6
|
—
|
—
|
$1,204.42
|
$6,291.35
|
$2,416.28
|
2025-01-01
|
|
5161
|
OTHER
|
Level 1 ENT Procedures
|
1
|
1
|
—
|
—
|
$2,358.29
|
$2,358.29
|
$2,358.29
|
2025-01-01
|
|
5111
|
OTHER
|
Level 1 Musculoskeletal Procedures
|
1
|
1
|
—
|
—
|
$2,304.37
|
$2,304.37
|
$2,304.37
|
2025-01-01
|
|
5373
|
OTHER
|
Level 3 Urology And Related Services
|
7
|
6
|
—
|
—
|
$870.86
|
$3,894.24
|
$2,190.99
|
2025-01-01
|
|
863
|
MS_DRG
|
Postoperative And Post-traumatic Infections Without Mcc
|
1
|
1
|
—
|
—
|
$2,131.75
|
$2,131.75
|
$2,131.75
|
2025-01-01
|
|
5302
|
OTHER
|
Level 2 Upper Gi Procedures
|
10
|
9
|
—
|
—
|
$1,202.92
|
$6,006.81
|
$2,073.07
|
2025-01-01
|
|
5153
|
OTHER
|
Level 3 Airway Endoscopy
|
1
|
1
|
—
|
—
|
$1,926.75
|
$1,926.75
|
$1,926.75
|
2025-01-01
|
|
301
|
MS_DRG
|
Peripheral Vascular Disorders Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$1,833.71
|
$1,833.71
|
$1,833.71
|
2025-01-01
|
|
5053
|
OTHER
|
Level 3 Skin Procedures
|
13
|
9
|
—
|
—
|
$200.00
|
$5,706.34
|
$1,773.24
|
2025-01-01
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
2
|
2
|
—
|
—
|
$1,473.30
|
$2,033.35
|
$1,753.32
|
2025-01-01
|
|
795
|
MS_DRG
|
Normal Newborn
|
15
|
10
|
—
|
—
|
$1,067.00
|
$5,817.00
|
$1,672.20
|
2025-01-01
|
|
5312
|
OTHER
|
Level 2 Lower Gi Procedures
|
23
|
13
|
—
|
—
|
$834.44
|
$3,990.72
|
$1,613.00
|
2025-01-01
|
|
5041
|
OTHER
|
Critical Care
|
19
|
10
|
—
|
—
|
$1,146.04
|
$4,820.80
|
$1,587.87
|
2025-01-01
|
|
5593
|
OTHER
|
Level 3 Nuclear Medicine And Related Services
|
13
|
10
|
—
|
—
|
$756.50
|
$3,152.06
|
$1,551.78
|
2025-01-01
|
|
9436
|
OTHER
|
Inj Pegfilgrast Ex Bio 0.5mg
|
1
|
1
|
—
|
—
|
$1,545.46
|
$1,545.46
|
$1,545.46
|
2025-01-01
|
|
5112
|
OTHER
|
Level 2 Musculoskeletal Procedures
|
12
|
7
|
—
|
—
|
$344.13
|
$4,314.00
|
$1,438.70
|
2025-01-01
|
|
5052
|
OTHER
|
Level 2 Skin Procedures
|
18
|
11
|
—
|
—
|
$538.61
|
$5,706.00
|
$1,430.14
|
2025-01-01
|
|
5241
|
OTHER
|
Level 1 Blood Product Exchange And Related Services
|
11
|
8
|
—
|
—
|
$142.30
|
$2,748.05
|
$1,421.31
|
2025-01-01
|
|
5025
|
OTHER
|
Level 5 Type A Ed Visits
|
27
|
14
|
—
|
—
|
$4.29
|
$6,171.38
|
$1,376.00
|
2025-01-01
|
|
8006
|
OTHER
|
CT And CTA With Contrast Composite
|
26
|
15
|
—
|
—
|
$440.78
|
$6,061.00
|
$1,331.60
|
2025-01-01
|
|
5693
|
OTHER
|
Level 3 Drug Administration
|
20
|
11
|
—
|
—
|
$318.97
|
$8,840.69
|
$1,319.06
|
2025-01-01
|
|
5182
|
OTHER
|
Level 2 Vascular Procedures
|
5
|
4
|
—
|
—
|
$965.54
|
$1,784.80
|
$1,318.00
|
2025-01-01
|
|
8008
|
OTHER
|
MRI And MRA With Contrast Composite
|
9
|
7
|
—
|
—
|
$606.00
|
$5,561.42
|
$1,315.00
|
2025-01-01
|
|
5781
|
OTHER
|
Resuscitation And Cardioversion
|
1
|
1
|
—
|
—
|
$1,289.39
|
$1,289.39
|
$1,289.39
|
2025-01-01
|
|
5301
|
OTHER
|
Level 1 Upper Gi Procedures
|
20
|
12
|
—
|
—
|
$853.11
|
$5,035.70
|
$1,206.65
|
2025-01-01
|
|
5311
|
OTHER
|
Level 1 Lower Gi Procedures
|
25
|
14
|
—
|
—
|
$512.58
|
$5,257.94
|
$1,196.40
|
2025-01-01
|
|
5024
|
OTHER
|
Level 4 Type A Ed Visits
|
33
|
17
|
—
|
—
|
$283.77
|
$2,213.64
|
$1,020.42
|
2025-01-01
|
|
8010
|
OTHER
|
Mental Health Services Composite
|
2
|
2
|
—
|
—
|
$265.44
|
$1,774.00
|
$1,019.72
|
2025-01-01
|
|
8004
|
OTHER
|
Ultrasound Composite
|
14
|
10
|
—
|
—
|
$228.64
|
$2,196.00
|
$962.28
|
2025-01-01
|
|
5674
|
OTHER
|
Level 4 Pathology
|
1
|
1
|
—
|
—
|
$960.15
|
$960.15
|
$960.15
|
2025-01-01
|
|
5442
|
OTHER
|
Level 2 Nerve Injections
|
6
|
6
|
—
|
—
|
$596.00
|
$1,863.00
|
$891.35
|
2025-01-01
|
|
5573
|
OTHER
|
Level 3 Imaging With Contrast
|
3
|
2
|
—
|
—
|
$432.27
|
$2,754.69
|
$884.45
|
2025-01-01
|
|
9139
|
OTHER
|
Rabies Vaccine, IM
|
4
|
4
|
—
|
—
|
$418.77
|
$3,767.33
|
$880.07
|
2025-01-01
|
|
5071
|
OTHER
|
Level 1 Excision/ Biopsy/ Incision And Drainage
|
9
|
8
|
—
|
—
|
$225.96
|
$3,622.50
|
$828.02
|
2025-01-01
|
|
5441
|
OTHER
|
Level 1 Nerve Injections
|
9
|
7
|
—
|
—
|
$126.31
|
$1,675.89
|
$766.90
|
2025-01-01
|
|
0810
|
RC
|
Goserelin Acetate Implant
|
1
|
1
|
—
|
—
|
$750.77
|
$750.77
|
$750.77
|
2025-01-01
|
|
5372
|
OTHER
|
Level 2 Urology And Related Services
|
1
|
1
|
—
|
—
|
$744.57
|
$744.57
|
$744.57
|
2025-01-01
|
|
5661
|
OTHER
|
Therapeutic Nuclear Medicine
|
1
|
1
|
—
|
—
|
$725.56
|
$725.56
|
$725.56
|
2025-01-01
|
|
5771
|
OTHER
|
Cardiac Rehabilitation
|
11
|
9
|
—
|
—
|
$115.74
|
$1,496.88
|
$709.15
|
2025-01-01
|
|
5051
|
OTHER
|
Level 1 Skin Procedures
|
24
|
14
|
—
|
—
|
$147.95
|
$5,485.30
|
$666.62
|
2025-01-01
|
|
5823
|
OTHER
|
Level 3 Health And Behavior Services
|
13
|
9
|
—
|
—
|
$346.76
|
$7,875.84
|
$634.01
|
2025-01-01
|
|
8005
|
OTHER
|
CT And CTA Without Contrast Composite
|
11
|
8
|
—
|
—
|
$501.62
|
$1,818.83
|
$631.47
|
2025-01-01
|
|
5724
|
OTHER
|
Level 4 Diagnostic Tests And Related Services
|
2
|
2
|
—
|
—
|
$416.42
|
$829.47
|
$622.95
|
2025-01-01
|
|
5592
|
OTHER
|
Level 2 Nuclear Medicine And Related Services
|
13
|
10
|
—
|
—
|
$86.06
|
$2,969.07
|
$618.04
|
2025-01-01
|
|
8007
|
OTHER
|
MRI And MRA Without Contrast Composite
|
12
|
9
|
—
|
—
|
$408.66
|
$3,881.54
|
$611.17
|
2025-01-01
|