|
100
|
MS_DRG
|
Seizures With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
101
|
MS_DRG
|
Seizures Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
147
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
149
|
MS_DRG
|
Dysequilibrium
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
152
|
MS_DRG
|
Otitis Media And Uri With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
153
|
MS_DRG
|
Otitis Media And Uri Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
154
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat Diagnoses With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
157
|
MS_DRG
|
Dental And Oral Diseases With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
158
|
MS_DRG
|
Dental And Oral Diseases With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
166
|
MS_DRG
|
Other Resp System O.r. Procedures W Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$104,638.93
|
$2,189.00
|
2026-09-20
|
|
167
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$108,664.33
|
$2,189.00
|
2026-09-20
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
179
|
MS_DRG
|
Respiratory Infections And Inflammations Without Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
181
|
MS_DRG
|
Respiratory Neoplasms With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
186
|
MS_DRG
|
Pleural Effusion With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
187
|
MS_DRG
|
Pleural Effusion With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
189
|
MS_DRG
|
Pulmonary Edema & Respiratory Failure
|
40
|
24
|
—
|
—
|
$2,189.00
|
$216,073.08
|
$2,189.00
|
2026-09-20
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
200
|
MS_DRG
|
Pneumothorax With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
206
|
MS_DRG
|
Other Respiratory System Diagnoses Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis W Ventilator Support >96 Hours
|
40
|
24
|
—
|
—
|
$2,189.00
|
$255,846.74
|
$2,189.00
|
2026-09-20
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis W Ventilator Support <=96 Hours
|
40
|
24
|
—
|
—
|
$2,189.00
|
$25,287.99
|
$2,189.00
|
2026-09-20
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
41
|
24
|
—
|
—
|
$2,189.00
|
$75,735.05
|
$2,189.00
|
2026-09-20
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
289
|
MS_DRG
|
Acute And Subacute Endocarditis With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
290
|
MS_DRG
|
Acute And Subacute Endocarditis Without Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$63,433.56
|
$2,189.00
|
2026-09-20
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
300
|
MS_DRG
|
Peripheral Vascular Disorders With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$53,499.00
|
$2,189.00
|
2026-09-20
|
|
302
|
MS_DRG
|
Atherosclerosis With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
306
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$67,287.96
|
$2,189.00
|
2026-09-20
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
316
|
MS_DRG
|
Other Circulatory System Diagnoses Without Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
368
|
MS_DRG
|
Major Esophageal Disorders With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
373
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections Without Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
375
|
MS_DRG
|
Digestive Malignancy With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
380
|
MS_DRG
|
Complicated Peptic Ulcer With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
381
|
MS_DRG
|
Complicated Peptic Ulcer With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
385
|
MS_DRG
|
Inflammatory Bowel Disease With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$58,744.41
|
$2,189.00
|
2026-09-20
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$20,036.99
|
$2,189.00
|
2026-09-20
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
395
|
MS_DRG
|
Other Digestive System Diagnoses Without Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$172,208.92
|
$2,189.00
|
2026-09-20
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
433
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
465
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
501
|
MS_DRG
|
Soft Tissue Procedures With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$54,099.36
|
$2,189.00
|
2026-09-20
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
52
|
MS_DRG
|
Spinal Disorders And Injuries With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
539
|
MS_DRG
|
Osteomyelitis With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$56,975.14
|
$2,189.00
|
2026-09-20
|
|
54
|
MS_DRG
|
Nervous System Neoplasms With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$79,472.68
|
$2,189.00
|
2026-09-20
|
|
540
|
MS_DRG
|
Osteomyelitis With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$52,666.05
|
$2,189.00
|
2026-09-20
|
|
541
|
MS_DRG
|
Osteomyelitis Without Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
548
|
MS_DRG
|
Septic Arthritis With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
549
|
MS_DRG
|
Septic Arthritis With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
55
|
MS_DRG
|
Nervous System Neoplasms Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
554
|
MS_DRG
|
Bone Diseases And Arthropathies Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
555
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
556
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
557
|
MS_DRG
|
Tendonitis, Myositis And Bursitis With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$30,616.29
|
$2,189.00
|
2026-09-20
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$87,545.67
|
$2,189.00
|
2026-09-20
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
564
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
565
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
592
|
MS_DRG
|
Skin Ulcers With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$50,367.46
|
$2,189.00
|
2026-09-20
|
|
593
|
MS_DRG
|
Skin Ulcers With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
594
|
MS_DRG
|
Skin Ulcers Without Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
595
|
MS_DRG
|
Major Skin Disorders With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
596
|
MS_DRG
|
Major Skin Disorders Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
600
|
MS_DRG
|
Non-malignant Breast Disorders With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$103,045.48
|
$2,189.00
|
2026-09-20
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
604
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
606
|
MS_DRG
|
Minor Skin Disorders With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$330,367.57
|
$2,189.00
|
2026-09-20
|
|
607
|
MS_DRG
|
Minor Skin Disorders Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$54,674.14
|
$2,189.00
|
2026-09-20
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$33,399.21
|
$2,189.00
|
2026-09-20
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
40
|
24
|
—
|
—
|
$2,189.00
|
$85,076.71
|
$2,189.00
|
2026-09-20
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
40
|
24
|
—
|
—
|
$2,189.00
|
$38,296.80
|
$2,189.00
|
2026-09-20
|
|
643
|
MS_DRG
|
Endocrine Disorders With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$49,919.72
|
$2,189.00
|
2026-09-20
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
40
|
24
|
—
|
—
|
$1,724.34
|
$35,470.41
|
$2,189.00
|
2026-09-20
|
|
684
|
MS_DRG
|
Renal Failure Without Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
686
|
MS_DRG
|
Kidney And Urinary Tract Neoplasms With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
687
|
MS_DRG
|
Kidney And Urinary Tract Neoplasms With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
693
|
MS_DRG
|
Urinary Stones With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
696
|
MS_DRG
|
Kidney And Urinary Tract Signs And Symptoms Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
70
|
MS_DRG
|
Nonspecific Cerebrovascular Disorders With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$30,033.35
|
$2,189.00
|
2026-09-20
|
|
700
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses Without Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
71
|
MS_DRG
|
Nonspecific Cerebrovascular Disorders With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
717
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures Except Malignancy With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
72
|
MS_DRG
|
Nonspecific Cerebrovascular Disorders Without Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
727
|
MS_DRG
|
Inflammation Of The Male Reproductive System With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
728
|
MS_DRG
|
Inflammation Of The Male Reproductive System Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
729
|
MS_DRG
|
Other Male Reproductive System Diagnoses With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
73
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
75
|
MS_DRG
|
Viral Meningitis With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
757
|
MS_DRG
|
Infections, Female Reproductive System With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
758
|
MS_DRG
|
Infections, Female Reproductive System With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
759
|
MS_DRG
|
Infections, Female Reproductive System Without Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
809
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
813
|
MS_DRG
|
Coagulation Disorders
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
814
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
83
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$22,389.93
|
$2,189.00
|
2026-09-20
|
|
841
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$48,221.55
|
$2,189.00
|
2026-09-20
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$50,175.00
|
$2,189.00
|
2026-09-20
|
|
863
|
MS_DRG
|
Postoperative And Post-traumatic Infections Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
865
|
MS_DRG
|
Viral Illness With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
866
|
MS_DRG
|
Viral Illness Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
868
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$77,163.50
|
$2,189.00
|
2026-09-20
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
902
|
MS_DRG
|
Wound Debridements For Injuries With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
903
|
MS_DRG
|
Wound Debridements For Injuries Without Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
914
|
MS_DRG
|
Traumatic Injury Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
919
|
MS_DRG
|
Complications Of Treatment With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$95,989.59
|
$2,189.00
|
2026-09-20
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
920
|
MS_DRG
|
Complications Of Treatment With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
921
|
MS_DRG
|
Complications Of Treatment Without Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
934
|
MS_DRG
|
Full Thickness Burn Without Skin Graft Or Inhalation Injury
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
935
|
MS_DRG
|
Non-extensive Burns
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$15,368.86
|
$2,189.00
|
2026-09-20
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
949
|
MS_DRG
|
Aftercare With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$41,634.74
|
$2,189.00
|
2026-09-20
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
950
|
MS_DRG
|
Aftercare Without Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$30,257.03
|
$2,189.00
|
2026-09-20
|
|
951
|
MS_DRG
|
Other Factors Influencing Health Status
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
975
|
MS_DRG
|
HIV With Major Related Condition With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
977
|
MS_DRG
|
HIV With Or Without Other Related Condition
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$467,946.06
|
$2,189.00
|
2026-09-20
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
40
|
24
|
—
|
—
|
$2,189.00
|
$2,189.00
|
$2,189.00
|
2026-09-20
|