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

Select Specialty Hospital-northeast Ohio, Inc

Canton, OH · CCN 362016 · Rates published

829 distinct procedures filed
49 distinct payers
111,915 rate rows
2026-09-20 last MRF observed
Data quality

44,766 of 111,915 rate rows are consumer-grade (40.0%)

67,149 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
per-diem day rate — not a per-procedure price 45,595
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 21,554
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://resources.selectmedical.com/Pricing-Transparency/critical-illness-recovery/43-1742017_Select_Specialty_Hospital-Canton_standardcharges.csv
Found on page https://www.selectspecialtyhospitals.com/patients-and-caregivers/admissions/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-20
Content fingerprint 785a575f01056fda… · 120,722,845 bytes · first seen 2026-09-20

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
933
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Sk 30 $2,358.00 $2,358.00 $2,358.00 nat. median
$36,009
outlier · 0.1×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 30 $2,358.00 $55,532.50 $2,358.00 nat. median
$25,388
outlier · 0.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, M 30 $2,358.00 $2,358.00 $2,358.00 nat. median
$126,695
outlier · 0.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin 30 $2,358.00 $2,358.00 $2,358.00 nat. median
$198,418
outlier · 0.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except 30 $2,358.00 $2,358.00 $2,358.00 nat. median
$190,559
outlier · 0.0×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 30 $2,358.00 $2,358.00 $2,358.00 nat. median
$18,642
outlier · 0.1×
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 30 $2,358.00 $2,358.00 $2,358.00 nat. median
$10,401
outlier · 0.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 30 $2,358.00 $2,358.00 $2,358.00 nat. median
$62,655
outlier · 0.0×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 30 $2,358.00 $195,868.05 $2,358.00 nat. median
$59,371
outlier · 0.0×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$50,018
outlier · 0.0×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$38,715
outlier · 0.1×
117
MS_DRG 		Intraocular Procedures Without Cc/mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$11,182
outlier · 0.2×
121
MS_DRG 		Acute Major Eye Infections With Cc/mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$11,742
outlier · 0.2×
122
MS_DRG 		Acute Major Eye Infections Without Cc/mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$7,967
outlier · 0.3×
103
MS_DRG 		Headaches Without Mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$8,805
outlier · 0.3×
100
MS_DRG 		Seizures With Mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$18,360
outlier · 0.1×
116
MS_DRG 		Intraocular Procedures With Cc/mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$17,255
outlier · 0.1×
130
MS_DRG 		Major Head & Neck Procedures Without Cc/mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$2,596
0.9× median
13
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$26,383
outlier · 0.1×
115
MS_DRG 		Extraocular Procedures Except Orbit 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$14,984
outlier · 0.2×
131
MS_DRG 		Cranial/facial Procedures W Cc/mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$2,364
1.0× median
132
MS_DRG 		Cranial/facial Procedures Without Cc/mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$2,397
1.0× median
133
MS_DRG 		Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$6,311
outlier · 0.4×
134
MS_DRG 		Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$4,925
outlier · 0.5×
135
MS_DRG 		Sinus And Mastoid Procedures With Cc/mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$21,659
outlier · 0.1×
136
MS_DRG 		Sinus And Mastoid Procedures Without Cc/mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$10,553
outlier · 0.2×
137
MS_DRG 		Mouth Procedures With Cc/mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$14,441
outlier · 0.2×
138
MS_DRG 		Mouth Procedures Without Cc/mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$9,085
outlier · 0.3×
139
MS_DRG 		Salivary Gland Procedures 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$12,788
outlier · 0.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$110,307
outlier · 0.0×
102
MS_DRG 		Headaches With Mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$11,492
outlier · 0.2×
129
MS_DRG 		Major Head & Neck Procedures W Cc/mcc Or Major Device 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$2,324
1.0× median
145
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$12,074
outlier · 0.2×
144
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$16,874
outlier · 0.1×
125
MS_DRG 		Other Disorders Of The Eye Without Mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$8,280
outlier · 0.3×
114
MS_DRG 		Orbital Procedures Without Cc/mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$13,083
outlier · 0.2×
146
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$20,516
outlier · 0.1×
147
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Cc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$12,630
outlier · 0.2×
148
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$8,662
outlier · 0.3×
149
MS_DRG 		Dysequilibrium 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$7,943
outlier · 0.3×
15
MS_DRG 		Autologous Bone Marrow Transplant 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$2,024
1.1× median
150
MS_DRG 		Epistaxis With Mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$13,323
outlier · 0.2×
151
MS_DRG 		Epistaxis Without Mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$7,990
outlier · 0.3×
152
MS_DRG 		Otitis Media And Uri With Mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$11,608
outlier · 0.2×
153
MS_DRG 		Otitis Media And Uri Without Mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$7,678
outlier · 0.3×
154
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$15,312
outlier · 0.2×
155
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Cc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$9,517
outlier · 0.2×
156
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$7,404
outlier · 0.3×
157
MS_DRG 		Dental And Oral Diseases With Mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$16,383
outlier · 0.1×
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 30 $2,324.00 $2,324.00 $2,324.00 nat. median
$32,954
outlier · 0.1×

Other procedures at this hospital

Browse this hospital's 829 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Sk 54 30 — — $2,358.00 $2,358.00 $2,358.00 2026-09-20
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin 54 30 — — $2,358.00 $2,358.00 $2,358.00 2026-09-20
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 54 30 — — $2,358.00 $2,358.00 $2,358.00 2026-09-20
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 54 30 — — $2,358.00 $2,358.00 $2,358.00 2026-09-20
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 54 30 — — $2,358.00 $2,358.00 $2,358.00 2026-09-20
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, M 54 30 — — $2,358.00 $2,358.00 $2,358.00 2026-09-20
399 MS_DRG Appendix Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
398 MS_DRG Appendix Procedures With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
397 MS_DRG Appendix Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
394 MS_DRG Other Digestive System Diagnoses With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
393 MS_DRG Other Digestive System Diagnoses With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders W 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders W 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
39 MS_DRG Extracranial Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
389 MS_DRG Gastrointestinal Obstruction With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
388 MS_DRG Gastrointestinal Obstruction With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
386 MS_DRG Inflammatory Bowel Disease With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
385 MS_DRG Inflammatory Bowel Disease With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
381 MS_DRG Complicated Peptic Ulcer With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
380 MS_DRG Complicated Peptic Ulcer With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
38 MS_DRG Extracranial Procedures With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
378 MS_DRG Gastrointestinal Hemorrhage With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
376 MS_DRG Digestive Malignancy Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
375 MS_DRG Digestive Malignancy With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
374 MS_DRG Digestive Malignancy With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without C 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
370 MS_DRG Major Esophageal Disorders Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
37 MS_DRG Extracranial Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
369 MS_DRG Major Esophageal Disorders With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
368 MS_DRG Major Esophageal Disorders With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without M 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
357 MS_DRG Other Digestive System O.r. Procedures With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
35 MS_DRG Carotid Artery Stent Procedures With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
348 MS_DRG Anal And Stomal Procedures With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
347 MS_DRG Anal And Stomal Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
34 MS_DRG Carotid Artery Stent Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
336 MS_DRG Peritoneal Adhesiolysis With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
335 MS_DRG Peritoneal Adhesiolysis With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
334 MS_DRG Rectal Resection Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
333 MS_DRG Rectal Resection With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
332 MS_DRG Rectal Resection With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
330 MS_DRG Major Small And Large Bowel Procedures With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
32 MS_DRG Ventricular Shunt Procedures With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
315 MS_DRG Other Circulatory System Diagnoses With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
314 MS_DRG Other Circulatory System Diagnoses With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
313 MS_DRG Chest Pain 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
312 MS_DRG Syncope And Collapse 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
311 MS_DRG Angina Pectoris 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
31 MS_DRG Ventricular Shunt Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
305 MS_DRG Hypertension Without Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
304 MS_DRG Hypertension With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
303 MS_DRG Atherosclerosis Without Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
302 MS_DRG Atherosclerosis With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
300 MS_DRG Peripheral Vascular Disorders With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
30 MS_DRG Spinal Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except 54 30 — — $2,358.00 $2,358.00 $2,358.00 2026-09-20
299 MS_DRG Peripheral Vascular Disorders With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
297 MS_DRG Cardiac Arrest, Unexplained With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
295 MS_DRG Deep Vein Thrombophlebitis Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
294 MS_DRG Deep Vein Thrombophlebitis With Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
293 MS_DRG Heart Failure And Shock Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
292 MS_DRG Heart Failure And Shock With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
291 MS_DRG Heart Failure And Shock With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
289 MS_DRG Acute And Subacute Endocarditis With Cc 54 30 — — $2,324.00 $21,550.03 $2,324.00 2026-09-20
288 MS_DRG Acute And Subacute Endocarditis With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Witho 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
28 MS_DRG Spinal Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimula 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
271 MS_DRG Other Major Cardiovascular Procedures With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Wit 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Wit 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
265 MS_DRG Aicd Lead Procedures 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
264 MS_DRG Other Circulatory System O.r. Procedures 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
263 MS_DRG Vein Ligation And Stripping 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Witho 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
254 MS_DRG Other Vascular Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
253 MS_DRG Other Vascular Procedures With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
252 MS_DRG Other Vascular Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device W 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device W 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent W 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent W 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Witho 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
245 MS_DRG Aicd Generator Procedures 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And To 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And To 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And To 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
238 MS_DRG Major Cardiovasc Procedures Without Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
237 MS_DRG Major Cardiovasc Procedures W Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Withou 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With M 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
232 MS_DRG Coronary Bypass With Ptca Without Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
231 MS_DRG Coronary Bypass With Ptca With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Withou 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With M 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without A 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without A 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
215 MS_DRG Other Heart Assist System Implant 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
209 MS_DRG Complex Aortic Arch Procedures 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 54 30 — — $2,358.00 $55,532.50 $2,358.00 2026-09-20
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 54 30 — — $2,358.00 $195,868.05 $2,358.00 2026-09-20
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 54 30 — — $2,324.00 $60,422.67 $2,324.00 2026-09-20
205 MS_DRG Other Respiratory System Diagnoses With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
204 MS_DRG Respiratory Signs And Symptoms 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
202 MS_DRG Bronchitis And Asthma With Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
201 MS_DRG Pneumothorax Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
200 MS_DRG Pneumothorax With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
199 MS_DRG Pneumothorax With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
197 MS_DRG Interstitial Lung Disease With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
196 MS_DRG Interstitial Lung Disease With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 54 30 — — $2,324.00 $16,594.85 $2,324.00 2026-09-20
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
189 MS_DRG Pulmonary Edema And Respiratory Failure 54 30 — — $2,324.00 $82,145.27 $2,324.00 2026-09-20
188 MS_DRG Pleural Effusion Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
187 MS_DRG Pleural Effusion With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
186 MS_DRG Pleural Effusion With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
185 MS_DRG Major Chest Trauma Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
184 MS_DRG Major Chest Trauma With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
183 MS_DRG Major Chest Trauma With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
182 MS_DRG Respiratory Neoplasms Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
181 MS_DRG Respiratory Neoplasms With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
180 MS_DRG Respiratory Neoplasms With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
178 MS_DRG Respiratory Infections And Inflammations With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
177 MS_DRG Respiratory Infections And Inflammations With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
176 MS_DRG Pulmonary Embolism Without Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnos 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
165 MS_DRG Major Chest Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
164 MS_DRG Major Chest Procedures With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
163 MS_DRG Major Chest Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
158 MS_DRG Dental And Oral Diseases With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
157 MS_DRG Dental And Oral Diseases With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
153 MS_DRG Otitis Media And Uri Without Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
152 MS_DRG Otitis Media And Uri With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
151 MS_DRG Epistaxis Without Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
150 MS_DRG Epistaxis With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
15 MS_DRG Autologous Bone Marrow Transplant 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
149 MS_DRG Dysequilibrium 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
141 MS_DRG Major Head And Neck Procedures With Cc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
140 MS_DRG Major Head And Neck Procedures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
14 MS_DRG Allogeneic Bone Marrow Transplant 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
139 MS_DRG Salivary Gland Procedures 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
138 MS_DRG Mouth Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
137 MS_DRG Mouth Procedures With Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
134 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
132 MS_DRG Cranial/facial Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
131 MS_DRG Cranial/facial Procedures W Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
130 MS_DRG Major Head & Neck Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Device 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
125 MS_DRG Other Disorders Of The Eye Without Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
122 MS_DRG Acute Major Eye Infections Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
121 MS_DRG Acute Major Eye Infections With Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
117 MS_DRG Intraocular Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
116 MS_DRG Intraocular Procedures With Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
115 MS_DRG Extraocular Procedures Except Orbit 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
114 MS_DRG Orbital Procedures Without Cc/mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
103 MS_DRG Headaches Without Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
102 MS_DRG Headaches With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
100 MS_DRG Seizures With Mcc 54 30 — — $2,324.00 $2,324.00 $2,324.00 2026-09-20
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