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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Pam Specialty Hospital Of Dayton

Miamisburg, OH · CCN 362028 · Rates published

1,730 distinct procedures filed
24 distinct payers
103,206 rate rows
2025-09-11 last MRF observed · ⚠ 14 mo old
Data quality

102,964 of 103,206 rate rows are consumer-grade (99.8%)

242 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 212
percent-of-charges filed in the dollar field — excluded from medians 30

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old.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://sthpiprd.blob.core.windows.net/machine-readable-files/10976/842771356_pam-specialty-hospital-of-dayton-llc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/SpecialtyHospitalDayton/10976
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint d9757cada562a81e… · 15,274,730 bytes · first seen 2026-05-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 14 $151,208.34 $245,035.40 $163,356.93 nat. median
$190,359
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 14 $115,956.32 $201,539.64 $134,359.76 nat. median
$126,461
1.1× median
164
MS_DRG 		Major Chest Procedures With Cc 14 $35,231.15 $166,329.14 $110,886.09 nat. median
$24,221
outlier · 4.6×
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 14 $35,231.15 $166,329.14 $110,886.09 nat. median
$18,640
outlier · 5.9×
163
MS_DRG 		Major Chest Procedures With Mcc 14 $105,341.79 $166,329.14 $110,886.09 nat. median
$42,636
outlier · 2.6×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 14 $21,673.96 $164,203.46 $109,468.97 nat. median
$38,337
outlier · 2.9×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 14 $98,157.03 $164,203.46 $109,468.97 nat. median
$35,655
outlier · 3.1×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 $26,851.33 $164,203.46 $109,468.97 nat. median
$49,944
outlier · 2.2×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 $94,670.66 $164,182.41 $109,454.94 nat. median
$43,609
outlier · 2.5×
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 $82,508.02 $149,639.40 $99,759.60 nat. median
$31,832
outlier · 3.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $81,217.86 $145,367.00 $96,911.33 nat. median
$62,577
1.5× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 14 $78,382.83 $136,422.30 $90,948.20 nat. median
$59,324
1.5× median
168
MS_DRG 		Other Respiratory System O.r. Procedures Without Cc/mcc 14 $59,568.95 $110,654.58 $73,769.72 nat. median
$13,713
outlier · 5.4×
173
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 14 $70,081.23 $110,654.58 $73,769.72 nat. median
$28,086
outlier · 2.6×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 $26,851.33 $110,654.58 $73,769.72 nat. median
$38,687
1.9× median
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 14 $59,568.95 $110,654.58 $73,769.72 nat. median
$17,834
outlier · 4.1×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $73,510.26 $73,510.26 $73,510.26 nat. median
$47,543
1.5× median
249
MS_DRG 		Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 $73,510.26 $73,510.26 $73,510.26 nat. median
$11,561
outlier · 6.4×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $73,510.26 $73,510.26 $73,510.26 nat. median
$34,024
outlier · 2.2×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $73,510.26 $73,510.26 $73,510.26 nat. median
$70,795
1.0× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $73,510.26 $73,510.26 $73,510.26 nat. median
$32,619
outlier · 2.3×
248
MS_DRG 		Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 $73,510.26 $73,510.26 $73,510.26 nat. median
$18,397
outlier · 4.0×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $73,510.26 $73,510.26 $73,510.26 nat. median
$39,601
1.9× median
246
MS_DRG 		Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 $73,510.26 $73,510.26 $73,510.26 nat. median
$20,454
outlier · 3.6×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 $67,366.50 $106,368.15 $70,912.10 nat. median
$45,362
1.6× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 $57,953.11 $103,056.86 $68,704.57 nat. median
$35,821
1.9× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 14 $62,016.99 $97,921.56 $65,281.04 nat. median
$40,205
1.6× median
799
MS_DRG 		Splenic Procedures With Mcc 14 $62,016.99 $97,921.56 $65,281.04 nat. median
$43,234
1.5× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 $61,781.50 $97,549.74 $65,033.16 nat. median
$58,052
1.1× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 $58,007.39 $95,164.49 $63,442.99 nat. median
$30,192
outlier · 2.1×
582
MS_DRG 		Mastectomy For Malignancy With Cc/mcc 14 $60,270.84 $95,164.49 $63,442.99 nat. median
$18,195
outlier · 3.5×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 $59,531.37 $94,540.11 $63,026.74 nat. median
$41,655
1.5× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 14 $37,986.84 $92,000.52 $61,333.68 nat. median
$17,319
outlier · 3.5×
619
MS_DRG 		O.r. Procedures For Obesity With Mcc 14 $35,231.15 $91,733.94 $61,155.96 nat. median
$26,741
outlier · 2.3×
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 14 $57,030.37 $91,733.94 $61,155.96 nat. median
$33,559
1.8× median
551
MS_DRG 		Medical Back Problems With Mcc 14 $48,182.92 $91,614.68 $61,076.45 nat. median
$16,085
outlier · 3.8×
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 14 $38,625.66 $91,256.88 $60,837.92 nat. median
$19,223
outlier · 3.2×
61
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 14 $36,450.33 $91,256.88 $60,837.92 nat. median
$25,952
outlier · 2.3×
901
MS_DRG 		Wound Debridements For Injuries With Mcc 14 $57,009.60 $90,015.15 $60,010.10 nat. median
$39,584
1.5× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 14 $56,441.65 $89,138.22 $59,425.48 nat. median
$31,156
1.9× median
245
MS_DRG 		Aicd Generator Procedures 14 $44,638.09 $89,138.22 $59,425.48 nat. median
$42,812
1.4× median
263
MS_DRG 		Vein Ligation And Stripping 14 $56,441.65 $89,138.22 $59,425.48 nat. median
$26,998
outlier · 2.2×
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 14 $53,982.40 $88,927.76 $59,285.17 nat. median
$23,167
outlier · 2.6×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $56,085.43 $88,555.94 $59,037.29 nat. median
$90,512
0.7× median
241
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 14 $56,085.43 $88,555.94 $59,037.29 nat. median
$14,165
outlier · 4.2×
36
MS_DRG 		Carotid Artery Stent Procedures Without Cc/mcc 14 $56,085.43 $88,555.94 $59,037.29 nat. median
$18,624
outlier · 3.2×
255
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 14 $56,085.43 $88,555.94 $59,037.29 nat. median
$25,023
outlier · 2.4×
73
MS_DRG 		Cranial And Peripheral Nerve Disorders With Mcc 14 $38,558.86 $88,555.94 $59,037.29 nat. median
$15,332
outlier · 3.9×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 $56,085.43 $88,555.94 $59,037.29 nat. median
$45,843
1.3× median
251
MS_DRG 		Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 14 $56,085.43 $88,555.94 $59,037.29 nat. median
$15,448
outlier · 3.8×

Other procedures at this hospital

Browse this hospital's 1,730 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
             
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 14 — — $82,508.02 $149,639.40 $99,759.60 2025-09-11
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 34 14 — — $53,982.40 $88,927.76 $59,285.17 2025-09-11
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 14 — — $94,670.66 $164,182.41 $109,454.94 2025-09-11
974 MS_DRG HIV With Major Related Condition With Mcc 34 14 — — $49,151.58 $79,947.99 $53,298.66 2025-09-11
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
963 MS_DRG Other Multiple Significant Trauma With Mcc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 34 14 — — $44,638.09 $88,212.18 $58,808.12 2025-09-11
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 34 14 — — $44,638.09 $88,212.18 $58,808.12 2025-09-11
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 34 14 — — $44,638.09 $88,212.18 $58,808.12 2025-09-11
955 MS_DRG Craniotomy For Multiple Significant Trauma 34 14 — — $44,638.09 $88,212.18 $58,808.12 2025-09-11
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 34 14 — — $39,606.86 $66,260.87 $44,173.91 2025-09-11
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 34 14 — — $44,529.53 $75,149.43 $50,099.62 2025-09-11
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 34 14 — — $52,668.67 $83,161.07 $55,440.71 2025-09-11
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 34 14 — — $26,851.33 $66,260.87 $44,173.91 2025-09-11
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 34 14 — — $41,965.21 $73,510.26 $44,173.91 2025-09-11
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 34 14 — — $41,965.21 $73,510.26 $44,173.91 2025-09-11
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 34 14 — — $35,231.15 $66,260.87 $44,173.91 2025-09-11
919 MS_DRG Complications Of Treatment With Mcc 34 14 — — $47,647.95 $75,233.61 $50,155.74 2025-09-11
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
908 MS_DRG Other O.r. Procedures For Injuries With Cc 34 14 — — $35,231.15 $88,212.18 $58,808.12 2025-09-11
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 34 14 — — $55,867.71 $88,212.18 $58,808.12 2025-09-11
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 34 14 — — $41,965.21 $73,510.26 $44,173.91 2025-09-11
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 34 14 — — $39,757.17 $66,260.87 $44,173.91 2025-09-11
902 MS_DRG Wound Debridements For Injuries With Cc 34 14 — — $39,757.17 $66,260.87 $44,173.91 2025-09-11
901 MS_DRG Wound Debridements For Injuries With Mcc 34 14 — — $57,009.60 $90,015.15 $60,010.10 2025-09-11
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 14 — — $81,217.86 $145,367.00 $96,911.33 2025-09-11
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 34 14 — — $52,136.92 $88,555.94 $59,037.29 2025-09-11
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 34 14 — — $59,531.37 $94,540.11 $63,026.74 2025-09-11
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 34 14 — — $35,231.15 $66,260.87 $44,173.91 2025-09-11
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 14 — — $67,366.50 $106,368.15 $70,912.10 2025-09-11
850 MS_DRG Acute Leukemia With Other Procedures 32 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 34 14 — — $35,231.15 $88,555.94 $59,037.29 2025-09-11
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 34 14 — — $44,638.09 $88,212.18 $58,808.12 2025-09-11
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 34 14 — — $44,638.09 $88,212.18 $58,808.12 2025-09-11
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 34 14 — — $42,880.29 $75,268.70 $50,179.13 2025-09-11
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 34 14 — — $26,851.33 $66,260.87 $44,173.91 2025-09-11
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 34 14 — — $26,851.33 $88,555.94 $59,037.29 2025-09-11
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
799 MS_DRG Splenic Procedures With Mcc 34 14 — — $62,016.99 $97,921.56 $65,281.04 2025-09-11
787 MS_DRG Cesarean Section Without Sterilization With Cc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
786 MS_DRG Cesarean Section Without Sterilization With Mcc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
784 MS_DRG Cesarean Section With Sterilization With Cc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
783 MS_DRG Cesarean Section With Sterilization With Mcc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
78 MS_DRG DRG 34 14 — — $26,851.33 $66,260.87 $44,173.91 2025-09-11
77 MS_DRG DRG 34 14 — — $26,851.33 $66,260.87 $44,173.91 2025-09-11
755 MS_DRG Malignancy, Female Reproductive System With Cc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
754 MS_DRG Malignancy, Female Reproductive System With Mcc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 34 14 — — $35,231.15 $88,555.94 $59,037.29 2025-09-11
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 34 14 — — $35,231.15 $88,555.94 $59,037.29 2025-09-11
748 MS_DRG Female Reproductive System Reconstructive Procedures 34 14 — — $35,231.15 $88,555.94 $59,037.29 2025-09-11
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/mcc 34 14 — — $35,231.15 $88,555.94 $59,037.29 2025-09-11
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 34 14 — — $35,231.15 $88,555.94 $59,037.29 2025-09-11
745 MS_DRG D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
744 MS_DRG D&C, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 34 14 — — $35,231.15 $88,555.94 $59,037.29 2025-09-11
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 34 14 — — $35,231.15 $88,555.94 $59,037.29 2025-09-11
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 34 14 — — $21,673.96 $88,555.94 $59,037.29 2025-09-11
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 34 14 — — $35,231.15 $88,555.94 $59,037.29 2025-09-11
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 34 14 — — $35,231.15 $88,555.94 $59,037.29 2025-09-11
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 34 14 — — $35,231.15 $88,555.94 $59,037.29 2025-09-11
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 34 14 — — $35,231.15 $88,555.94 $59,037.29 2025-09-11
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 34 14 — — $35,231.15 $88,555.94 $59,037.29 2025-09-11
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 34 14 — — $38,558.86 $88,555.94 $59,037.29 2025-09-11
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 34 14 — — $41,965.21 $73,510.26 $44,173.91 2025-09-11
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 34 14 — — $26,851.33 $66,260.87 $44,173.91 2025-09-11
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 34 14 — — $41,965.21 $73,510.26 $44,173.91 2025-09-11
711 MS_DRG Testes Procedures With Cc/mcc 34 14 — — $41,965.21 $73,510.26 $44,173.91 2025-09-11
709 MS_DRG Penis Procedures With Cc/mcc 34 14 — — $41,965.21 $73,510.26 $44,173.91 2025-09-11
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 34 14 — — $35,231.15 $66,260.87 $44,173.91 2025-09-11
693 MS_DRG Urinary Stones With Mcc 34 14 — — $21,673.96 $88,555.94 $59,037.29 2025-09-11
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 34 14 — — $26,851.33 $73,416.62 $48,944.41 2025-09-11
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 34 14 — — $44,120.35 $73,416.62 $48,944.41 2025-09-11
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 34 14 — — $53,188.51 $83,981.87 $55,987.91 2025-09-11
672 MS_DRG Urethral Procedures Without Cc/mcc 34 14 — — $26,851.33 $66,260.87 $44,173.91 2025-09-11
671 MS_DRG Urethral Procedures With Cc/mcc 34 14 — — $26,851.33 $66,260.87 $44,173.91 2025-09-11
670 MS_DRG Transurethral Procedures Without Cc/mcc 34 14 — — $41,965.21 $66,260.87 $44,173.91 2025-09-11
669 MS_DRG Transurethral Procedures With Cc 34 14 — — $41,965.21 $66,260.87 $44,173.91 2025-09-11
668 MS_DRG Transurethral Procedures With Mcc 34 14 — — $41,965.21 $73,510.26 $44,173.91 2025-09-11
667 MS_DRG Prostatectomy Without Cc/mcc 34 14 — — $26,851.33 $66,260.87 $44,173.91 2025-09-11
666 MS_DRG Prostatectomy With Cc 34 14 — — $26,851.33 $73,416.62 $48,944.41 2025-09-11
665 MS_DRG Prostatectomy With Mcc 34 14 — — $26,851.33 $83,981.87 $55,987.91 2025-09-11
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 34 14 — — $41,965.21 $66,260.87 $44,173.91 2025-09-11
663 MS_DRG Minor Bladder Procedures With Cc 34 14 — — $41,965.21 $66,260.87 $44,173.91 2025-09-11
662 MS_DRG Minor Bladder Procedures With Mcc 34 14 — — $41,965.21 $66,260.87 $44,173.91 2025-09-11
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 34 14 — — $35,231.15 $66,260.87 $44,173.91 2025-09-11
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 34 14 — — $35,231.15 $66,260.87 $44,173.91 2025-09-11
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 34 14 — — $41,965.21 $73,510.26 $44,173.91 2025-09-11
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 34 14 — — $41,965.21 $66,260.87 $44,173.91 2025-09-11
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 34 14 — — $41,965.21 $66,260.87 $44,173.91 2025-09-11
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 34 14 — — $41,965.21 $66,260.87 $44,173.91 2025-09-11
655 MS_DRG Major Bladder Procedures Without Cc/mcc 34 14 — — $35,231.15 $66,260.87 $44,173.91 2025-09-11
654 MS_DRG Major Bladder Procedures With Cc 34 14 — — $35,231.15 $73,416.62 $48,944.41 2025-09-11
653 MS_DRG Major Bladder Procedures With Mcc 34 14 — — $35,231.15 $83,981.87 $55,987.91 2025-09-11
643 MS_DRG Endocrine Disorders With Mcc 34 14 — — $35,231.15 $88,555.94 $59,037.29 2025-09-11
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 34 14 — — $38,291.64 $68,639.10 $45,759.40 2025-09-11
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 34 14 — — $38,625.66 $91,256.88 $60,837.92 2025-09-11
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 34 14 — — $41,965.21 $66,260.87 $44,173.91 2025-09-11
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 34 14 — — $41,965.21 $66,260.87 $44,173.91 2025-09-11
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 34 14 — — $42,151.82 $66,555.51 $44,370.34 2025-09-11
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 34 14 — — $57,030.37 $91,733.94 $61,155.96 2025-09-11
620 MS_DRG O.r. Procedures For Obesity With Cc 34 14 — — $35,231.15 $66,555.51 $44,370.34 2025-09-11
619 MS_DRG O.r. Procedures For Obesity With Mcc 34 14 — — $35,231.15 $91,733.94 $61,155.96 2025-09-11
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 14 — — $41,965.21 $66,260.87 $44,173.91 2025-09-11
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 14 — — $41,965.21 $70,015.54 $44,173.91 2025-09-11
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 34 14 — — $35,231.15 $66,260.87 $44,173.91 2025-09-11
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 34 14 — — $35,231.15 $66,260.87 $44,173.91 2025-09-11
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 34 14 — — $36,450.33 $91,256.88 $60,837.92 2025-09-11
606 MS_DRG Minor Skin Disorders With Mcc 34 14 — — $41,965.21 $66,260.87 $44,173.91 2025-09-11
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 34 14 — — $32,542.26 $66,260.87 $44,173.91 2025-09-11
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 34 14 — — $44,224.74 $78,208.16 $52,138.77 2025-09-11
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 34 14 — — $60,270.84 $95,164.49 $63,442.99 2025-09-11
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 34 14 — — $21,673.96 $78,208.16 $52,138.77 2025-09-11
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 34 14 — — $49,456.38 $78,208.16 $52,138.77 2025-09-11
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 34 14 — — $58,007.39 $95,164.49 $63,442.99 2025-09-11
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 34 14 — — $41,965.21 $66,260.87 $44,173.91 2025-09-11
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 34 14 — — $61,781.50 $97,549.74 $65,033.16 2025-09-11
570 MS_DRG Skin Debridement With Mcc 34 14 — — $52,308.78 $82,592.81 $55,061.87 2025-09-11
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
551 MS_DRG Medical Back Problems With Mcc 34 14 — — $48,182.92 $91,614.68 $61,076.45 2025-09-11
545 MS_DRG Connective Tissue Disorders With Mcc 34 14 — — $41,965.21 $66,260.87 $44,173.91 2025-09-11
54 MS_DRG Nervous System Neoplasms With Mcc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
539 MS_DRG Osteomyelitis With Mcc 34 14 — — $43,067.10 $68,000.69 $45,333.79 2025-09-11
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 34 14 — — $41,051.51 $74,581.17 $49,720.78 2025-09-11
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 34 14 — — $41,051.51 $74,581.17 $49,720.78 2025-09-11
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 34 14 — — $36,980.60 $88,555.94 $59,037.29 2025-09-11
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 34 14 — — $53,272.93 $84,115.16 $56,076.77 2025-09-11
501 MS_DRG Soft Tissue Procedures With Cc 34 14 — — $41,965.21 $66,260.87 $44,173.91 2025-09-11
500 MS_DRG Soft Tissue Procedures With Mcc 34 14 — — $53,042.96 $86,409.21 $57,606.14 2025-09-11
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 34 14 — — $35,231.15 $88,555.94 $59,037.29 2025-09-11
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 34 14 — — $41,965.21 $73,510.26 $44,173.91 2025-09-11
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 34 14 — — $26,851.33 $88,555.94 $59,037.29 2025-09-11
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 14 — — $42,373.98 $66,906.29 $44,604.19 2025-09-11
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 14 — — $56,032.11 $88,471.76 $58,981.17 2025-09-11
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $73,510.26 $73,510.26 $73,510.26 2025-09-11
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 14 — — $47,234.74 $74,581.17 $49,720.78 2025-09-11
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 14 — — $47,234.74 $74,581.17 $49,720.78 2025-09-11
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 34 14 — — $46,550.50 $73,500.80 $49,000.53 2025-09-11
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 34 14 — — $35,231.15 $66,260.87 $44,173.91 2025-09-11
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 14 — — $47,234.74 $74,581.17 $49,720.78 2025-09-11
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 14 — — $47,234.74 $74,581.17 $49,720.78 2025-09-11
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 14 — — $47,234.74 $74,581.17 $49,720.78 2025-09-11
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 34 14 — — $26,851.33 $88,555.94 $59,037.29 2025-09-11
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 34 14 — — $42,551.71 $73,510.26 $44,791.27 2025-09-11
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 34 14 — — $26,851.33 $67,186.91 $44,791.27 2025-09-11
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 34 14 — — $34,442.02 $67,186.91 $44,791.27 2025-09-11
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 34 14 — — $26,851.33 $88,555.94 $59,037.29 2025-09-11
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 34 14 — — $57,953.11 $103,056.86 $68,704.57 2025-09-11
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 34 14 — — $115,956.32 $201,539.64 $134,359.76 2025-09-11
393 MS_DRG Other Digestive System Diagnoses With Mcc 34 14 — — $45,142.03 $71,276.90 $47,517.93 2025-09-11
39 MS_DRG Extracranial Procedures Without Cc/mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
388 MS_DRG Gastrointestinal Obstruction With Mcc 34 14 — — $39,414.79 $69,319.59 $46,213.06 2025-09-11
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 34 14 — — $38,304.17 $66,260.87 $44,173.91 2025-09-11
386 MS_DRG Inflammatory Bowel Disease With Cc 34 14 — — $38,304.17 $66,260.87 $44,173.91 2025-09-11
385 MS_DRG Inflammatory Bowel Disease With Mcc 34 14 — — $38,304.17 $88,555.94 $59,037.29 2025-09-11
380 MS_DRG Complicated Peptic Ulcer With Mcc 34 14 — — $42,254.00 $67,186.91 $44,791.27 2025-09-11
38 MS_DRG Extracranial Procedures With Cc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
374 MS_DRG Digestive Malignancy With Mcc 34 14 — — $41,965.21 $66,260.87 $44,173.91 2025-09-11
37 MS_DRG Extracranial Procedures With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 34 14 — — $62,016.99 $97,921.56 $65,281.04 2025-09-11
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
35 MS_DRG Carotid Artery Stent Procedures With Cc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 34 14 — — $35,231.15 $88,555.94 $59,037.29 2025-09-11
34 MS_DRG Carotid Artery Stent Procedures With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 34 14 — — $35,231.15 $88,555.94 $59,037.29 2025-09-11
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 34 14 — — $41,965.21 $73,510.26 $44,173.91 2025-09-11
32 MS_DRG Ventricular Shunt Procedures With Cc 34 14 — — $35,231.15 $88,555.94 $59,037.29 2025-09-11
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 34 14 — — $41,965.21 $73,510.26 $44,173.91 2025-09-11
312 MS_DRG Syncope And Collapse 34 14 — — $41,965.21 $73,510.26 $44,173.91 2025-09-11
31 MS_DRG Ventricular Shunt Procedures With Mcc 34 14 — — $35,231.15 $88,555.94 $59,037.29 2025-09-11
304 MS_DRG Hypertension With Mcc 34 14 — — $41,965.21 $73,510.26 $44,173.91 2025-09-11
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 34 14 — — $151,208.34 $245,035.40 $163,356.93 2025-09-11
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 34 14 — — $38,558.86 $84,115.16 $56,076.77 2025-09-11
288 MS_DRG Acute And Subacute Endocarditis With Mcc 34 14 — — $45,275.33 $71,487.36 $47,658.24 2025-09-11
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 34 14 — — $37,393.95 $66,260.87 $44,173.91 2025-09-11
28 MS_DRG Spinal Procedures With Mcc 34 14 — — $53,272.93 $84,115.16 $56,076.77 2025-09-11
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 14 — — $41,965.21 $66,260.87 $44,173.91 2025-09-11
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 14 — — $41,965.21 $66,260.87 $44,173.91 2025-09-11
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 14 — — $41,965.21 $66,260.87 $44,173.91 2025-09-11
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
271 MS_DRG Other Major Cardiovascular Procedures With Cc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 34 14 — — $26,851.33 $88,555.94 $59,037.29 2025-09-11
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 34 14 — — $26,851.33 $88,555.94 $59,037.29 2025-09-11
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 34 14 — — $26,851.33 $88,555.94 $59,037.29 2025-09-11
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
264 MS_DRG Other Circulatory System O.r. Procedures 34 14 — — $56,441.65 $89,138.22 $59,425.48 2025-09-11
263 MS_DRG Vein Ligation And Stripping 34 14 — — $56,441.65 $89,138.22 $59,425.48 2025-09-11
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 34 14 — — $41,965.21 $73,510.26 $44,173.91 2025-09-11
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 34 14 — — $26,851.33 $88,555.94 $59,037.29 2025-09-11
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
254 MS_DRG Other Vascular Procedures Without Cc/mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
253 MS_DRG Other Vascular Procedures With Cc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
252 MS_DRG Other Vascular Procedures With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 2 1 — — $73,510.26 $73,510.26 $73,510.26 2025-09-11
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 2 1 — — $73,510.26 $73,510.26 $73,510.26 2025-09-11
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 2 1 — — $44,638.09 $44,638.09 $44,638.09 2025-09-11
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 2 1 — — $73,510.26 $73,510.26 $73,510.26 2025-09-11
245 MS_DRG Aicd Generator Procedures 34 14 — — $44,638.09 $89,138.22 $59,425.48 2025-09-11
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 14 — — $26,851.33 $88,555.94 $59,037.29 2025-09-11
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
232 MS_DRG Coronary Bypass With Ptca Without Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
231 MS_DRG Coronary Bypass With Ptca With Mcc 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 14 — — $26,851.33 $88,555.94 $59,037.29 2025-09-11
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
228 MS_DRG Other Cardiothoracic Procedures With Mcc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 1 — — $44,638.09 $44,638.09 $44,638.09 2025-09-11
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 1 — — $44,638.09 $44,638.09 $44,638.09 2025-09-11
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $73,510.26 $73,510.26 $73,510.26 2025-09-11
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $73,510.26 $73,510.26 $73,510.26 2025-09-11
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $73,510.26 $73,510.26 $73,510.26 2025-09-11
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $73,510.26 $73,510.26 $73,510.26 2025-09-11
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 34 14 — — $38,625.66 $88,555.94 $59,037.29 2025-09-11
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
215 MS_DRG Other Heart Assist System Implant 34 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 32 14 — — $56,085.43 $88,555.94 $59,037.29 2025-09-11
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 34 14 — — $38,625.66 $88,555.94 $59,037.29 2025-09-11
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 34 14 — — $47,598.37 $82,838.36 $55,225.57 2025-09-11
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 34 14 — — $78,382.83 $136,422.30 $90,948.20 2025-09-11
205 MS_DRG Other Respiratory System Diagnoses With Mcc 34 14 — — $37,986.84 $92,000.52 $61,333.68 2025-09-11
202 MS_DRG Bronchitis And Asthma With Cc/mcc 34 14 — — $44,638.09 $88,555.94 $59,037.29 2025-09-11
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 34 14 — — $38,625.66 $88,555.94 $59,037.29 2025-09-11
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 34 14 — — $21,673.96 $66,260.87 $44,173.91 2025-09-11
197 MS_DRG Interstitial Lung Disease With Cc 34 14 — — $21,673.96 $66,260.87 $44,173.91 2025-09-11
196 MS_DRG Interstitial Lung Disease With Mcc 34 14 — — $26,851.33 $66,260.87 $44,173.91 2025-09-11
189 MS_DRG Pulmonary Edema And Respiratory Failure 34 14 — — $39,439.85 $68,660.15 $45,773.43 2025-09-11
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 32 14 — — $70,081.23 $110,654.58 $73,769.72 2025-09-11
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 34 14 — — $59,568.95 $110,654.58 $73,769.72 2025-09-11
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 34 14 — — $59,568.95 $110,654.58 $73,769.72 2025-09-11
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 34 14 — — $98,157.03 $164,203.46 $109,468.97 2025-09-11
165 MS_DRG Major Chest Procedures Without Cc/mcc 34 14 — — $35,231.15 $166,329.14 $110,886.09 2025-09-11
164 MS_DRG Major Chest Procedures With Cc 34 14 — — $35,231.15 $166,329.14 $110,886.09 2025-09-11
163 MS_DRG Major Chest Procedures With Mcc 34 14 — — $105,341.79 $166,329.14 $110,886.09 2025-09-11
157 MS_DRG Dental And Oral Diseases With Mcc 34 14 — — $41,965.21 $66,260.87 $44,173.91 2025-09-11
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 34 14 — — $26,851.33 $66,260.87 $44,173.91 2025-09-11
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 34 14 — — $41,965.21 $73,510.26 $44,173.91 2025-09-11
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 34 14 — — $35,231.15 $66,260.87 $44,173.91 2025-09-11
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 34 14 — — $35,231.15 $66,260.87 $44,173.91 2025-09-11
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 34 14 — — $35,231.15 $66,260.87 $44,173.91 2025-09-11
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 34 14 — — $21,673.96 $66,260.87 $44,173.91 2025-09-11
141 MS_DRG Major Head And Neck Procedures With Cc 34 14 — — $21,673.96 $66,260.87 $44,173.91 2025-09-11
140 MS_DRG Major Head And Neck Procedures With Mcc 34 14 — — $21,673.96 $164,203.46 $109,468.97 2025-09-11
139 MS_DRG Salivary Gland Procedures 34 14 — — $21,673.96 $66,260.87 $44,173.91 2025-09-11
137 MS_DRG Mouth Procedures With Cc/mcc 34 14 — — $26,851.33 $66,260.87 $44,173.91 2025-09-11
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 34 14 — — $26,851.33 $66,260.87 $44,173.91 2025-09-11
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 34 14 — — $26,851.33 $66,260.87 $44,173.91 2025-09-11
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 34 14 — — $26,851.33 $66,260.87 $44,173.91 2025-09-11
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 34 14 — — $26,851.33 $110,654.58 $73,769.72 2025-09-11
117 MS_DRG Intraocular Procedures Without Cc/mcc 34 14 — — $26,851.33 $66,260.87 $44,173.91 2025-09-11
116 MS_DRG Intraocular Procedures With Cc/mcc 34 14 — — $26,851.33 $66,260.87 $44,173.91 2025-09-11
115 MS_DRG Extraocular Procedures Except Orbit 34 14 — — $26,851.33 $66,260.87 $44,173.91 2025-09-11
114 MS_DRG Orbital Procedures Without Cc/mcc 34 14 — — $26,851.33 $66,260.87 $44,173.91 2025-09-11
113 MS_DRG Orbital Procedures With Cc/mcc 34 14 — — $26,851.33 $66,260.87 $44,173.91 2025-09-11
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 34 14 — — $26,851.33 $164,203.46 $109,468.97 2025-09-11
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