Price Transparencybeta 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

FIRSTHEALTH MONTGOMERY MEMORIAL HOSP

Troy, NC · CCN 341303 · Rates published

804 distinct procedures filed
21 distinct payers
15,951 rate rows
2025-10-31 last MRF observed · ⚠ 12 mo old
Data quality

6,496 of 15,951 rate rows are consumer-grade (40.7%)

9,455 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 9,438
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 16
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old.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://www.firsthealth.org/app/files/public/9aff0b99-d6cf-475a-9718-c1bc3010ed5e/561936354_firsthealth-moore-regional-hospital_standardcharges.csv
Found on page https://www.firsthealth.org/patients-visitors/price-transparency/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint 6485156b5bd1c503… · 5,885,622 bytes · first seen 2026-05-05

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, Mouth… 4 $32,249.51 $191,195.22 $138,804.00 nat. median
$145,435
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $45,474.20 $243,268.23 $99,703.75 nat. median
$47,458
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $96,130.24 $98,350.60 $98,099.85 nat. median
$97,418
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $89,997.69 $89,997.69 $89,997.69 nat. median
$60,505
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $77,217.14 $77,217.14 $77,217.14 nat. median
$74,509
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $57,857.00 $75,277.68 $73,801.65 nat. median
$40,584
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 1 $56,017.66 $74,153.15 $73,789.21 nat. median
$73,023
1.0× median
9312
OTHER 		Inj., Ravulizumab-cwvz 10 Mg 1 $71,648.25 $71,648.25 $71,648.25 nat. median
$227
outlier · 315.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $53,145.18 $67,330.65 $65,955.68 nat. median
$69,822
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $52,730.82 $67,377.70 $60,054.26 nat. median
$52,327
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $19,303.73 $99,140.98 $59,147.78 nat. median
$55,923
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $58,302.46 $58,302.46 $58,302.46 nat. median
$59,651
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $19,808.73 $116,751.96 $57,861.14 nat. median
$2,106
outlier · 27.5×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $46,990.45 $71,134.99 $57,539.52 nat. median
$51,518
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $46,767.68 $100,359.18 $56,867.62 nat. median
$48,611
1.2× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 2 $41,835.95 $66,385.46 $54,110.71 nat. median
$43,803
1.2× median
9110
OTHER 		Inj, Tremelimumab-actl, 1 Mg 1 $53,458.73 $53,458.73 $53,458.73 nat. median
$142
outlier · 375.9×
824
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Cc 2 $22,523.00 $83,102.84 $52,812.92 nat. median
$16,009
outlier · 3.3×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $19,150.26 $86,558.34 $49,950.32 nat. median
$55,935
0.9× median
9287
OTHER 		Brentuximab Vedotin Inj 1 $49,143.42 $49,143.42 $49,143.42 nat. median
$252
outlier · 195.1×
9440
OTHER 		Instill, Bupivac And Meloxic 1 $48,386.50 $48,386.50 $48,386.50 nat. median
$1
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $44,106.39 $73,924.51 $47,392.76 nat. median
$49,569
1.0× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 $37,597.94 $304,745.31 $47,374.12 nat. median
$40,301
1.2× median
0738
OTHER 		Rasburicase 2 $35,940.40 $58,793.30 $47,366.85 nat. median
$974
outlier · 48.6×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 $38,940.50 $83,124.66 $47,239.60 nat. median
$43,533
1.1× median
259
MS_DRG 		Cardiac Pacemaker Device Replacement Without Mcc 1 $47,159.00 $47,159.00 $47,159.00 nat. median
$13,917
outlier · 3.4×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 3 $44,537.81 $61,934.40 $45,438.52 nat. median
$47,121
1.0× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $34,731.38 $74,268.10 $44,747.08 nat. median
$38,832
1.2× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 6 $28,527.84 $96,077.06 $43,992.64 nat. median
$43,023
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 4 $29,581.02 $131,383.26 $43,282.54 nat. median
$2,106
outlier · 20.6×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 10 $22,390.25 $94,629.73 $41,921.65 nat. median
$2,106
outlier · 19.9×
9276
OTHER 		Cabazitaxel Injection 2 $13,543.84 $69,541.14 $41,542.49 nat. median
$227
outlier · 182.8×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $37,886.15 $43,121.71 $41,238.15 nat. median
$44,036
0.9× median
9284
OTHER 		Ipilimumab Injection 3 $40,627.74 $51,755.00 $40,649.62 nat. median
$186
outlier · 218.9×
42
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 2 $12,034.21 $68,265.72 $40,149.96 nat. median
$12,708
outlier · 3.2×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $38,555.79 $41,418.76 $39,987.28 nat. median
$42,674
0.9× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 $35,363.00 $43,515.77 $39,439.38 nat. median
$38,844
1.0× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 10 $22,523.00 $101,199.99 $38,508.71 nat. median
$2,106
outlier · 18.3×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 3 $35,363.00 $43,823.74 $37,522.54 nat. median
$38,795
1.0× median
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 $29,092.66 $45,092.61 $37,092.64 nat. median
$26,354
1.4× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 5 $35,549.23 $74,895.60 $36,984.71 nat. median
$37,725
1.0× median
577
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 $36,701.50 $36,701.50 $36,701.50 nat. median
$18,522
2.0× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 $17,476.87 $71,776.60 $36,389.71 nat. median
$39,159
0.9× median
974
MS_DRG 		HIV With Major Related Condition With Mcc 4 $21,053.93 $43,725.84 $36,122.14 nat. median
$20,400
1.8× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 5 $27,301.94 $49,960.19 $35,951.68 nat. median
$35,986
1.0× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 2 $34,814.96 $35,985.17 $35,772.25 nat. median
$35,985
1.0× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 6 $20,074.11 $59,999.65 $35,297.53 nat. median
$30,358
1.2× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 2 $33,774.93 $48,747.62 $35,116.13 nat. median
$34,932
1.0× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 $25,911.74 $39,953.67 $35,034.40 nat. median
$34,615
1.0× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 3 $34,538.50 $47,159.00 $34,992.61 nat. median
$35,725
1.0× median

Other procedures at this hospital

Browse this hospital's 804 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, Mouth… 5 4 — — $32,249.51 $191,195.22 $138,804.00 2025-10-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $45,474.20 $243,268.23 $99,703.75 2025-10-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 2 — — $96,130.24 $98,350.60 $98,099.85 2025-10-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $89,997.69 $89,997.69 $89,997.69 2025-10-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $77,217.14 $77,217.14 $77,217.14 2025-10-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 1 — — $57,857.00 $75,277.68 $73,801.65 2025-10-31
215 MS_DRG Other Heart Assist System Implant 3 1 — — $56,017.66 $74,153.15 $73,789.21 2025-10-31
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 1 1 — — $71,648.25 $71,648.25 $71,648.25 2025-10-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 1 — — $53,145.18 $67,330.65 $65,955.68 2025-10-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $52,730.82 $67,377.70 $60,054.26 2025-10-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $19,303.73 $99,140.98 $59,147.78 2025-10-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $58,302.46 $58,302.46 $58,302.46 2025-10-31
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 8 4 — — $19,808.73 $116,751.96 $57,861.14 2025-10-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 3 — — $46,990.45 $71,134.99 $57,539.52 2025-10-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 4 — — $46,767.68 $100,359.18 $56,867.62 2025-10-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 2 — — $41,835.95 $66,385.46 $54,110.71 2025-10-31
9110 OTHER Inj, Tremelimumab-actl, 1 Mg 1 1 — — $53,458.73 $53,458.73 $53,458.73 2025-10-31
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 2 2 — — $22,523.00 $83,102.84 $52,812.92 2025-10-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 5 — — $19,150.26 $86,558.34 $49,950.32 2025-10-31
9287 OTHER Brentuximab Vedotin Inj 1 1 — — $49,143.42 $49,143.42 $49,143.42 2025-10-31
9440 OTHER Instill, Bupivac And Meloxic 1 1 — — $48,386.50 $48,386.50 $48,386.50 2025-10-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 3 — — $44,106.39 $73,924.51 $47,392.76 2025-10-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 3 — — $37,597.94 $304,745.31 $47,374.12 2025-10-31
0738 OTHER Rasburicase 2 2 — — $35,940.40 $58,793.30 $47,366.85 2025-10-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 4 — — $38,940.50 $83,124.66 $47,239.60 2025-10-31
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 1 1 — — $47,159.00 $47,159.00 $47,159.00 2025-10-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 7 3 — — $44,537.81 $61,934.40 $45,438.52 2025-10-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 4 — — $34,731.38 $74,268.10 $44,747.08 2025-10-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 9 6 — — $28,527.84 $96,077.06 $43,992.64 2025-10-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 7 4 — — $29,581.02 $131,383.26 $43,282.54 2025-10-31
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 20 10 — — $22,390.25 $94,629.73 $41,921.65 2025-10-31
9276 OTHER Cabazitaxel Injection 2 2 — — $13,543.84 $69,541.14 $41,542.49 2025-10-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 1 — — $37,886.15 $43,121.71 $41,238.15 2025-10-31
9284 OTHER Ipilimumab Injection 3 3 — — $40,627.74 $51,755.00 $40,649.62 2025-10-31
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 2 2 — — $12,034.21 $68,265.72 $40,149.96 2025-10-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — — $38,555.79 $41,418.76 $39,987.28 2025-10-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 2 — — $35,363.00 $43,515.77 $39,439.38 2025-10-31
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 24 10 — — $22,523.00 $101,199.99 $38,508.71 2025-10-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 3 — — $35,363.00 $43,823.74 $37,522.54 2025-10-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 2 — — $29,092.66 $45,092.61 $37,092.64 2025-10-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 8 5 — — $35,549.23 $74,895.60 $36,984.71 2025-10-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 — — $36,701.50 $36,701.50 $36,701.50 2025-10-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 7 — — $17,476.87 $71,776.60 $36,389.71 2025-10-31
974 MS_DRG HIV With Major Related Condition With Mcc 5 4 — — $21,053.93 $43,725.84 $36,122.14 2025-10-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 7 5 — — $27,301.94 $49,960.19 $35,951.68 2025-10-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 2 — — $34,814.96 $35,985.17 $35,772.25 2025-10-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 6 — — $20,074.11 $59,999.65 $35,297.53 2025-10-31
471 MS_DRG Cervical Spinal Fusion With Mcc 4 2 — — $33,774.93 $48,747.62 $35,116.13 2025-10-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 11 4 — — $25,911.74 $39,953.67 $35,034.40 2025-10-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 3 — — $34,538.50 $47,159.00 $34,992.61 2025-10-31
245 MS_DRG Aicd Generator Procedures 1 1 — — $34,785.56 $34,785.56 $34,785.56 2025-10-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 9 — — $6,030.46 $72,244.48 $34,676.67 2025-10-31
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $34,533.98 $34,533.98 $34,533.98 2025-10-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $33,973.75 $33,973.75 $33,973.75 2025-10-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 5 — — $22,523.00 $81,490.57 $33,707.26 2025-10-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 1 — — $30,924.90 $34,296.41 $33,118.65 2025-10-31
28 MS_DRG Spinal Procedures With Mcc 2 2 — — $22,073.35 $44,031.08 $33,052.21 2025-10-31
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $33,007.58 $33,007.58 $33,007.58 2025-10-31
163 MS_DRG Major Chest Procedures With Mcc 9 6 — — $18,721.54 $67,252.84 $32,845.40 2025-10-31
999 MS_DRG Ungroupable 7 4 — — $7,622.84 $39,426.50 $32,579.81 2025-10-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 2 — — $31,301.67 $49,987.02 $32,494.94 2025-10-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 2 — — $30,962.65 $59,014.13 $32,465.43 2025-10-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 2 — — $26,200.24 $37,980.33 $32,090.29 2025-10-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 6 — — $22,223.00 $60,955.84 $32,008.77 2025-10-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 14 9 — — $13,958.20 $59,119.50 $31,917.27 2025-10-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 1 — — $18,455.20 $37,659.10 $31,111.77 2025-10-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 — — $25,179.13 $36,987.00 $31,083.07 2025-10-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 11 7 — — $27,328.44 $64,490.92 $30,656.57 2025-10-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $30,500.99 $30,500.99 $30,500.99 2025-10-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 2 — — $27,093.89 $39,939.60 $30,416.21 2025-10-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $30,370.00 $30,370.00 $30,370.00 2025-10-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 2 — — $28,129.39 $42,620.29 $30,070.34 2025-10-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $30,055.83 $30,055.83 $30,055.83 2025-10-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 2 — — $9,116.98 $37,747.40 $29,743.69 2025-10-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 9 5 — — $22,273.00 $82,262.66 $29,710.17 2025-10-31
5232 OTHER Level 2 Icd And Similar Procedures 10 3 — — $325.00 $32,823.57 $29,540.45 2025-10-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 5 — — $15,681.07 $48,781.49 $29,058.30 2025-10-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $28,994.87 $28,994.87 $28,994.87 2025-10-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 3 3 — — $21,004.04 $41,043.22 $28,780.07 2025-10-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $28,523.26 $28,523.26 $28,523.26 2025-10-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 7 3 — — $24,306.62 $36,993.31 $28,470.54 2025-10-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 2 — — $27,377.44 $29,199.34 $28,288.39 2025-10-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 2 — — $1,320.00 $53,678.61 $28,218.85 2025-10-31
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 14 6 — — $17,699.38 $52,305.09 $27,814.55 2025-10-31
5465 OTHER Level 5 Neurostimulator And Related Procedures 10 6 — — $6,122.96 $54,390.24 $27,762.66 2025-10-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $27,754.29 $27,754.29 $27,754.29 2025-10-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 5 4 — — $24,530.67 $239,305.25 $27,692.89 2025-10-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 2 — — $10,798.22 $29,147.31 $27,526.28 2025-10-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 22 9 — — $21,633.79 $66,409.56 $27,325.68 2025-10-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $27,311.63 $27,311.63 $27,311.63 2025-10-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 21 10 — — $18,887.40 $57,894.44 $27,253.11 2025-10-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $27,103.96 $27,103.96 $27,103.96 2025-10-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 3 — — $21,082.00 $41,082.29 $26,751.82 2025-10-31
9204 OTHER Inj Tisotu Vedotin-tftv, 1mg 1 1 — — $26,673.06 $26,673.06 $26,673.06 2025-10-31
9109 OTHER Inj, Elahere, 1 Mg 1 1 — — $26,616.43 $26,616.43 $26,616.43 2025-10-31
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $21,017.13 $31,897.65 $26,457.39 2025-10-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 3 — — $21,005.69 $27,170.49 $26,178.01 2025-10-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $25,875.32 $25,875.32 $25,875.32 2025-10-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 11 7 — — $23,413.20 $65,274.82 $25,594.14 2025-10-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $25,542.38 $25,542.38 $25,542.38 2025-10-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 14 9 — — $18,217.05 $59,369.64 $25,493.70 2025-10-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 2 — — $24,563.63 $31,836.60 $25,479.26 2025-10-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 1 — — $23,668.55 $27,852.69 $25,380.56 2025-10-31
264 MS_DRG Other Circulatory System O.r. Procedures 9 4 — — $11,185.66 $48,991.52 $25,060.92 2025-10-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 8 3 — — $19,198.84 $73,245.62 $25,026.61 2025-10-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 4 — — $18,660.96 $71,213.06 $24,962.02 2025-10-31
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 2 2 — — $21,387.22 $28,212.35 $24,799.78 2025-10-31
5624 OTHER Level 4 Radiation Therapy 1 1 — — $24,799.24 $24,799.24 $24,799.24 2025-10-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 3 — — $19,670.94 $56,236.86 $24,791.62 2025-10-31
665 MS_DRG Prostatectomy With Mcc 1 1 — — $24,614.20 $24,614.20 $24,614.20 2025-10-31
252 MS_DRG Other Vascular Procedures With Mcc 10 4 — — $23,258.97 $46,813.04 $24,605.31 2025-10-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 2 — — $12,583.06 $26,189.80 $24,584.54 2025-10-31
9364 OTHER Inj Enfort Vedo-ejfv 0.25mg 2 2 — — $21,735.90 $27,124.75 $24,430.33 2025-10-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 9 5 — — $20,197.90 $76,562.86 $24,311.47 2025-10-31
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 2 — — $14,768.87 $33,633.77 $24,201.32 2025-10-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 10 4 — — $1,335.62 $131,117.50 $24,167.75 2025-10-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 2 2 — — $17,124.32 $31,159.05 $24,141.68 2025-10-31
2033 OTHER Cath, Trans Intra Litho/coro 1 1 — — $24,030.44 $24,030.44 $24,030.44 2025-10-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 5 3 — — $13,501.61 $24,830.76 $23,932.59 2025-10-31
187 MS_DRG Pleural Effusion With Cc 2 2 — — $7,866.55 $39,940.00 $23,903.28 2025-10-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 2 — — $19,241.06 $28,456.60 $23,848.83 2025-10-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 1 — — $23,485.41 $23,778.63 $23,632.02 2025-10-31
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 1 1 — — $23,536.02 $23,536.02 $23,536.02 2025-10-31
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 2 2 — — $11,545.55 $35,106.76 $23,326.15 2025-10-31
949 MS_DRG Aftercare With Cc/Mcc 17 6 — — $3,976.55 $98,226.06 $23,169.64 2025-10-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 6 3 — — $11,455.23 $45,191.36 $23,058.75 2025-10-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 6 4 — — $3,223.42 $24,481.80 $23,054.50 2025-10-31
9431 OTHER Inj, Dostarlimab-gxly, 10 Mg 3 2 — — $7,583.48 $23,467.11 $22,959.22 2025-10-31
791 MS_DRG Prematurity With Major Problems 5 3 — — $11,007.43 $30,657.75 $22,911.51 2025-10-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 6 3 — — $20,833.76 $147,507.42 $22,908.17 2025-10-31
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/Mcc 4 4 — — $8,967.49 $24,260.40 $22,787.35 2025-10-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 4 2 — — $18,327.12 $132,490.39 $22,724.35 2025-10-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 6 3 — — $20,778.38 $30,304.51 $22,713.69 2025-10-31
500 MS_DRG Soft Tissue Procedures With Mcc 4 2 — — $21,070.90 $23,867.72 $22,586.17 2025-10-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 1 — — $17,582.95 $27,503.68 $22,543.32 2025-10-31
662 MS_DRG Minor Bladder Procedures With Mcc 3 2 — — $20,880.02 $22,676.69 $22,541.82 2025-10-31
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 1 1 — — $22,523.00 $22,523.00 $22,523.00 2025-10-31
334 MS_DRG Rectal Resection Without Cc/Mcc 1 1 — — $22,523.00 $22,523.00 $22,523.00 2025-10-31
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 1 1 — — $22,523.00 $22,523.00 $22,523.00 2025-10-31
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 3 3 — — $11,702.55 $25,670.64 $22,523.00 2025-10-31
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 1 1 — — $22,523.00 $22,523.00 $22,523.00 2025-10-31
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/Mcc 3 3 — — $9,766.72 $27,600.25 $22,451.21 2025-10-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 4 — — $10,744.35 $46,530.70 $22,174.29 2025-10-31
9131 OTHER Inj, Ado-trastuzumab Emt 1mg 5 4 — — $11,070.87 $35,760.23 $22,106.53 2025-10-31
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 10 8 — — $12,509.07 $62,600.82 $22,072.36 2025-10-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 2 1 — — $21,874.76 $22,243.38 $22,059.07 2025-10-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 3 2 — — $17,567.45 $27,221.36 $21,988.54 2025-10-31
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 4 3 — — $10,352.76 $37,243.41 $21,700.27 2025-10-31
5213 OTHER Level 3 Electrophysiologic Procedures 15 7 — — $10,683.83 $92,383.51 $21,648.39 2025-10-31
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 5 4 — — $10,992.16 $39,543.02 $21,521.26 2025-10-31
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 20 10 — — $12,340.43 $48,355.10 $21,381.00 2025-10-31
37 MS_DRG Extracranial Procedures With Mcc 3 1 — — $18,234.52 $24,498.06 $21,348.83 2025-10-31
570 MS_DRG Skin Debridement With Mcc 5 3 — — $20,796.37 $23,832.78 $21,344.51 2025-10-31
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 3 3 — — $11,810.16 $22,551.85 $21,236.06 2025-10-31
472 MS_DRG Cervical Spinal Fusion With Cc 9 4 — — $18,777.40 $39,699.08 $21,002.24 2025-10-31
314 MS_DRG Other Circulatory System Diagnoses With Mcc 11 5 — — $11,847.32 $140,504.70 $20,994.00 2025-10-31
9455 OTHER Injection, Siltuximab 2 1 — — $14,584.38 $27,373.47 $20,978.92 2025-10-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 3 — — $18,551.66 $21,589.35 $20,913.08 2025-10-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 2 1 — — $20,791.49 $21,031.04 $20,911.26 2025-10-31
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 4 4 — — $10,498.67 $22,523.00 $20,908.96 2025-10-31
977 MS_DRG HIV With Or Without Other Related Condition 1 1 — — $20,899.88 $20,899.88 $20,899.88 2025-10-31
5231 OTHER Level 1 Icd And Similar Procedures 3 2 — — $20,694.87 $20,865.76 $20,859.26 2025-10-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 9 4 — — $17,980.82 $40,690.29 $20,838.09 2025-10-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 1 1 — — $20,628.62 $20,628.62 $20,628.62 2025-10-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 9 4 — — $10,539.22 $27,711.49 $20,589.99 2025-10-31
330 MS_DRG Major Small And Large Bowel Procedures With Cc 19 10 — — $14,313.94 $41,465.42 $20,451.29 2025-10-31
621 MS_DRG O.r. Procedures For Obesity Without Cc/Mcc 11 6 — — $10,861.74 $26,988.56 $20,428.54 2025-10-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 1 — — $18,787.47 $21,314.53 $20,255.17 2025-10-31
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 15 8 — — $11,592.39 $31,288.10 $20,223.00 2025-10-31
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 1 1 — — $20,137.52 $20,137.52 $20,137.52 2025-10-31
333 MS_DRG Rectal Resection With Cc 1 1 — — $20,137.08 $20,137.08 $20,137.08 2025-10-31
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 2 2 — — $13,461.82 $26,660.68 $20,061.25 2025-10-31
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 11 5 — — $16,461.70 $32,299.00 $19,992.35 2025-10-31
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 6 6 — — $10,401.55 $40,759.32 $19,909.62 2025-10-31
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 14 7 — — $14,620.11 $32,294.26 $19,639.25 2025-10-31
935 MS_DRG Non-extensive Burns 1 1 — — $19,548.50 $19,548.50 $19,548.50 2025-10-31
9182 OTHER Inj Mogamulizumab-kpkc, 1 Mg 1 1 — — $19,509.94 $19,509.94 $19,509.94 2025-10-31
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 20 8 — — $1,736.43 $56,555.59 $19,470.23 2025-10-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 11 4 — — $3,767.43 $27,718.49 $19,427.35 2025-10-31
9474 OTHER Inj Irinotecan Liposome 1 Mg 1 1 — — $19,414.68 $19,414.68 $19,414.68 2025-10-31
5464 OTHER Level 4 Neurostimulator And Related Procedures 7 3 — — $5,180.68 $36,888.47 $19,369.96 2025-10-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $19,362.01 $19,362.01 $19,362.01 2025-10-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 5 2 — — $10,193.06 $19,555.63 $19,180.89 2025-10-31
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 2 2 — — $12,136.72 $26,148.05 $19,142.38 2025-10-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 8 6 — — $16,350.26 $45,953.25 $19,060.99 2025-10-31
164 MS_DRG Major Chest Procedures With Cc 15 8 — — $13,554.61 $46,494.91 $18,967.78 2025-10-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 4 3 — — $7,972.35 $19,805.37 $18,918.65 2025-10-31
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 14 6 — — $1,276.96 $33,389.45 $18,796.26 2025-10-31
503 MS_DRG Foot Procedures With Mcc 5 2 — — $12,823.34 $26,243.16 $18,787.61 2025-10-31
620 MS_DRG O.r. Procedures For Obesity With Cc 6 5 — — $10,801.53 $28,074.38 $18,779.49 2025-10-31
253 MS_DRG Other Vascular Procedures With Cc 14 7 — — $15,352.92 $47,065.47 $18,761.47 2025-10-31
545 MS_DRG Connective Tissue Disorders With Mcc 3 2 — — $18,064.79 $25,754.68 $18,659.38 2025-10-31
165 MS_DRG Major Chest Procedures Without Cc/Mcc 8 7 — — $13,499.52 $34,302.74 $18,611.90 2025-10-31
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 3 3 — — $11,905.99 $31,340.45 $18,585.07 2025-10-31
504 MS_DRG Foot Procedures With Cc 6 4 — — $12,781.09 $35,363.00 $18,582.06 2025-10-31
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 2 2 — — $10,820.38 $26,301.74 $18,561.06 2025-10-31
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 2 2 — — $7,366.51 $29,741.89 $18,554.20 2025-10-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 3 — — $10,999.64 $29,837.57 $18,544.04 2025-10-31
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 1 1 — — $18,497.07 $18,497.07 $18,497.07 2025-10-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 13 9 — — $9,855.61 $60,097.63 $18,441.58 2025-10-31
711 MS_DRG Testes Procedures With Cc/Mcc 2 2 — — $14,137.32 $22,689.77 $18,413.54 2025-10-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 5 2 — — $10,182.77 $37,707.52 $18,346.33 2025-10-31
9453 OTHER Injection, Nivolumab 8 5 — — $8,045.47 $108,957.00 $18,318.99 2025-10-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 1 1 — — $18,283.88 $18,283.88 $18,283.88 2025-10-31
816 MS_DRG Reticuloendothelial And Immunity Disorders Without Cc/Mcc 1 1 — — $18,240.15 $18,240.15 $18,240.15 2025-10-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 7 2 — — $17,743.00 $37,180.79 $18,216.47 2025-10-31
5378 OTHER Level 8 Urology And Related Services 4 3 — — $17,923.65 $27,970.45 $18,215.19 2025-10-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 3 — — $9,554.72 $76,288.00 $18,188.72 2025-10-31
9389 OTHER Inj. Lurbinectedin, 0.1 Mg 4 4 — — $16,674.74 $31,108.92 $18,179.58 2025-10-31
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/Mcc 1 1 — — $17,958.60 $17,958.60 $17,958.60 2025-10-31
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 11 5 — — $6,926.68 $32,132.40 $17,922.20 2025-10-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 3 3 — — $14,029.20 $34,242.66 $17,920.65 2025-10-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 11 4 — — $8,290.80 $33,857.07 $17,856.76 2025-10-31
397 MS_DRG Appendix Procedures With Mcc 2 2 — — $17,660.12 $18,033.73 $17,846.92 2025-10-31
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 7 5 — — $16,138.33 $21,207.08 $17,746.52 2025-10-31
5224 OTHER Level 4 Pacemaker And Similar Procedures 10 5 — — $4.00 $85,711.73 $17,730.94 2025-10-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 11 6 — — $12,989.60 $33,324.69 $17,652.94 2025-10-31
9331 OTHER Inj, Polatuzumab Vedotin 1mg 2 2 — — $13,305.65 $21,800.67 $17,553.16 2025-10-31
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 2 — — $10,908.36 $46,186.08 $17,533.39 2025-10-31
950 MS_DRG Aftercare Without Cc/Mcc 4 2 — — $15,638.94 $27,460.32 $17,392.35 2025-10-31
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $17,384.69 $17,384.69 $17,384.69 2025-10-31
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc 2 2 — — $13,344.60 $21,301.46 $17,323.03 2025-10-31
5194 OTHER Level 4 Endovascular Procedures 13 7 — — $54.63 $55,257.78 $17,164.10 2025-10-31
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 6 4 — — $14,890.87 $47,603.74 $17,059.29 2025-10-31
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc 1 1 — — $16,985.80 $16,985.80 $16,985.80 2025-10-31
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 28 10 — — $5,070.78 $122,007.50 $16,973.68 2025-10-31
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 11 6 — — $15,104.56 $46,009.00 $16,935.08 2025-10-31
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 1 1 — — $16,932.07 $16,932.07 $16,932.07 2025-10-31
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 3 3 — — $13,558.48 $21,496.98 $16,905.07 2025-10-31
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 6 3 — — $15,342.06 $58,257.63 $16,752.76 2025-10-31
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 2 — — $16,397.82 $17,419.53 $16,736.63 2025-10-31
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 4 1 — — $16,585.07 $17,492.10 $16,679.75 2025-10-31
5116 OTHER Level 6 Musculoskeletal Procedures 15 5 — — $7,986.72 $23,138.71 $16,666.00 2025-10-31
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 11 8 — — $8,731.31 $22,523.00 $16,622.41 2025-10-31
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 3 2 — — $11,939.62 $16,841.61 $16,603.57 2025-10-31
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 1 1 — — $16,593.75 $16,593.75 $16,593.75 2025-10-31
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 6 2 — — $11,313.85 $32,917.72 $16,584.04 2025-10-31
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 12 6 — — $10,735.73 $25,432.89 $16,570.73 2025-10-31
755 MS_DRG Malignancy, Female Reproductive System With Cc 1 1 — — $16,422.78 $16,422.78 $16,422.78 2025-10-31
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 1 — — $16,346.73 $16,346.73 $16,346.73 2025-10-31
35 MS_DRG Carotid Artery Stent Procedures With Cc 5 1 — — $14,593.86 $17,169.07 $16,341.52 2025-10-31
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 3 1 — — $12,643.24 $16,389.22 $16,297.16 2025-10-31
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 11 7 — — $10,375.17 $26,504.66 $16,266.11 2025-10-31
30 MS_DRG Spinal Procedures Without Cc/Mcc 1 1 — — $16,259.75 $16,259.75 $16,259.75 2025-10-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 1 1 — — $16,210.84 $16,210.84 $16,210.84 2025-10-31
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 7 3 — — $1,800.00 $24,501.09 $16,129.98 2025-10-31
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 7 2 — — $14,236.12 $16,822.14 $16,106.58 2025-10-31
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 3 — — $15,571.48 $30,141.56 $15,923.11 2025-10-31
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 8 5 — — $13,745.94 $65,365.75 $15,865.23 2025-10-31
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 14 7 — — $13,806.41 $27,543.68 $15,733.12 2025-10-31
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 14 7 — — $7,687.83 $37,084.24 $15,707.98 2025-10-31
596 MS_DRG Major Skin Disorders Without Mcc 1 1 — — $15,704.00 $15,704.00 $15,704.00 2025-10-31
386 MS_DRG Inflammatory Bowel Disease With Cc 5 4 — — $7,644.73 $23,460.68 $15,704.00 2025-10-31
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/Mcc 1 1 — — $15,658.89 $15,658.89 $15,658.89 2025-10-31
89 MS_DRG Concussion With Cc 1 1 — — $15,643.01 $15,643.01 $15,643.01 2025-10-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $15,525.18 $15,525.18 $15,525.18 2025-10-31
9376 OTHER Sacituzumab Govitecan-hziy 2 2 — — $11,271.16 $19,725.94 $15,498.55 2025-10-31
336 MS_DRG Peritoneal Adhesiolysis With Cc 9 4 — — $8,039.70 $20,369.38 $15,433.29 2025-10-31
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 3 1 — — $1,860.00 $16,576.83 $15,415.54 2025-10-31
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 14 5 — — $13,358.33 $29,001.20 $15,413.70 2025-10-31
819 MS_DRG Other Antepartum Diagnoses With O.r. Procedures Without Cc/Mcc 2 1 — — $15,026.89 $15,704.00 $15,365.44 2025-10-31
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 1 1 — — $15,359.46 $15,359.46 $15,359.46 2025-10-31
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 5 4 — — $8,703.56 $21,121.03 $15,155.61 2025-10-31
592 MS_DRG Skin Ulcers With Mcc 5 3 — — $12,639.80 $16,151.03 $15,131.93 2025-10-31
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 11 8 — — $6,954.68 $29,123.93 $15,105.12 2025-10-31
908 MS_DRG Other O.r. Procedures For Injuries With Cc 7 4 — — $8,107.53 $23,411.18 $15,085.15 2025-10-31
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 10 6 — — $8,001.06 $29,154.28 $15,076.42 2025-10-31
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 8 6 — — $11,374.76 $35,063.00 $14,930.55 2025-10-31
177 MS_DRG Respiratory Infections And Inflammations With Mcc 23 9 — — $5,148.81 $27,215.78 $14,890.99 2025-10-31
304 MS_DRG Hypertension With Mcc 8 6 — — $6,232.09 $23,825.05 $14,890.60 2025-10-31
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 17 8 — — $10,522.80 $47,240.52 $14,887.70 2025-10-31
539 MS_DRG Osteomyelitis With Mcc 6 4 — — $14,355.67 $20,346.86 $14,874.78 2025-10-31
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 8 3 — — $12,488.39 $32,169.18 $14,841.92 2025-10-31
548 MS_DRG Septic Arthritis With Mcc 3 2 — — $14,812.18 $15,248.43 $14,826.96 2025-10-31
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 10 6 — — $12,578.57 $114,490.00 $14,805.34 2025-10-31
919 MS_DRG Complications Of Treatment With Mcc 14 9 — — $12,296.21 $83,176.75 $14,800.01 2025-10-31
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 15 8 — — $1,142.14 $156,267.39 $14,771.92 2025-10-31
437 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc 1 1 — — $14,761.28 $14,761.28 $14,761.28 2025-10-31
100 MS_DRG Seizures With Mcc 11 6 — — $7,344.53 $38,711.03 $14,729.82 2025-10-31
9400 OTHER Inj, Labetalol Hcl, 5mg 1 1 — — $14,715.54 $14,715.54 $14,715.54 2025-10-31
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 6 3 — — $10,983.94 $25,357.88 $14,710.65 2025-10-31
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 4 1 — — $14,502.31 $15,253.47 $14,694.88 2025-10-31
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 2 — — $12,410.05 $14,663.22 $14,659.70 2025-10-31
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc 1 1 — — $14,636.60 $14,636.60 $14,636.60 2025-10-31
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 11 6 — — $6,299.82 $92,840.61 $14,612.27 2025-10-31
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 5 2 — — $14,114.46 $27,376.26 $14,567.84 2025-10-31
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 21 10 — — $1,328.00 $35,363.00 $14,483.88 2025-10-31
618 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $14,464.77 $14,464.77 $14,464.77 2025-10-31
1471 OTHER Injection, Pertuzumab, 1 Mg 6 4 — — $9,941.04 $18,152.22 $14,426.61 2025-10-31
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 13 7 — — $1,227.00 $42,368.88 $14,423.21 2025-10-31
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc 4 4 — — $9,031.39 $28,574.44 $14,401.71 2025-10-31
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 1 1 — — $14,358.47 $14,358.47 $14,358.47 2025-10-31
374 MS_DRG Digestive Malignancy With Mcc 6 3 — — $7,952.52 $21,577.48 $14,339.62 2025-10-31
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/Mcc 2 2 — — $6,586.99 $22,041.84 $14,314.42 2025-10-31
55 MS_DRG Nervous System Neoplasms Without Mcc 4 4 — — $7,206.88 $46,897.00 $14,298.28 2025-10-31
368 MS_DRG Major Esophageal Disorders With Mcc 9 5 — — $3,970.52 $33,218.80 $14,255.03 2025-10-31
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 3 1 — — $10,091.97 $14,625.33 $14,245.70 2025-10-31
540 MS_DRG Osteomyelitis With Cc 6 5 — — $9,658.80 $20,586.43 $14,157.04 2025-10-31
380 MS_DRG Complicated Peptic Ulcer With Mcc 7 4 — — $8,563.41 $14,745.10 $14,107.81 2025-10-31
9369 OTHER Inj, Metronidazole, 10 Mg 1 1 — — $14,101.09 $14,101.09 $14,101.09 2025-10-31
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