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Hospital

Advanced Specialty Hospital Of Toledo

Toledo, OH · CCN 362038 · Rates published

337 distinct procedures filed
19 distinct payers
30,331 rate rows
2026-07-15 last MRF observed
Data quality

12,806 of 30,331 rate rows are consumer-grade (42.2%)

17,525 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 16,850
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 675
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://advancedspecialtyhospitals.com/wp-content/uploads/2026/03/MRF_advanced-specialty-hospitals-of-toledo.csv
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-09-21
Content fingerprint 224f76e158c43d15… · 63,101,689 bytes · first seen 2026-05-09

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
101
MS_DRG 		Seizures Without Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$9,278
outlier · 0.2×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$38,719
outlier · 0.0×
125
MS_DRG 		Other Disorders Of The Eye Without Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$8,280
outlier · 0.2×
146
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$20,517
outlier · 0.1×
147
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Cc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$12,633
outlier · 0.1×
148
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy Without Cc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$8,665
outlier · 0.2×
149
MS_DRG 		Dysequilibrium 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$7,946
outlier · 0.2×
150
MS_DRG 		Epistaxis With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$13,329
outlier · 0.1×
152
MS_DRG 		Otitis Media And Uri With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$11,608
outlier · 0.1×
153
MS_DRG 		Otitis Media And Uri Without Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$7,683
outlier · 0.2×
154
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$15,320
outlier · 0.1×
157
MS_DRG 		Dental And Oral Diseases With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$16,406
outlier · 0.1×
158
MS_DRG 		Dental And Oral Diseases With Cc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$9,567
outlier · 0.2×
163
MS_DRG 		Major Chest Procedures With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$42,735
outlier · 0.0×
166
MS_DRG 		Other Resp System O.r. Procedures W Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$35,721
outlier · 0.0×
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$17,859
outlier · 0.1×
168
MS_DRG 		Other Respiratory System O.r. Procedures Without Cc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$13,727
outlier · 0.1×
175
MS_DRG 		Pulmonary Embolism With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$13,735
outlier · 0.1×
176
MS_DRG 		Pulmonary Embolism Without Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$8,596
outlier · 0.2×
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$15,405
outlier · 0.1×
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$10,207
outlier · 0.2×
179
MS_DRG 		Respiratory Infections And Inflammations Without Cc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$8,200
outlier · 0.2×
180
MS_DRG 		Respiratory Neoplasms With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$17,049
outlier · 0.1×
181
MS_DRG 		Respiratory Neoplasms With Cc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$11,143
outlier · 0.1×
183
MS_DRG 		Major Chest Trauma With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$15,036
outlier · 0.1×
186
MS_DRG 		Pleural Effusion With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$15,136
outlier · 0.1×
187
MS_DRG 		Pleural Effusion With Cc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$10,206
outlier · 0.2×
189
MS_DRG 		Pulmonary Edema & Respiratory Failure 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$12,282
outlier · 0.1×
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$11,073
outlier · 0.1×
191
MS_DRG 		Chronic Obstructive Pulmonary Disease With Cc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$8,851
outlier · 0.2×
192
MS_DRG 		Chronic Obstructive Pulmonary Disease Without Cc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$7,116
outlier · 0.2×
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$12,877
outlier · 0.1×
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$8,522
outlier · 0.2×
195
MS_DRG 		Simple Pneumonia And Pleurisy Without Cc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$6,821
outlier · 0.2×
196
MS_DRG 		Interstitial Lung Disease With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$17,877
outlier · 0.1×
199
MS_DRG 		Pneumothorax With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$16,770
outlier · 0.1×
200
MS_DRG 		Pneumothorax With Cc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$11,058
outlier · 0.1×
202
MS_DRG 		Bronchitis And Asthma With Cc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$9,797
outlier · 0.2×
204
MS_DRG 		Respiratory Signs And Symptoms 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$8,484
outlier · 0.2×
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$17,357
outlier · 0.1×
206
MS_DRG 		Other Respiratory System Diagnoses Without Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$9,496
outlier · 0.2×
207
MS_DRG 		Respiratory System Diagnosis W Ventilator Support >96 Hours 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$59,384
outlier · 0.0×
208
MS_DRG 		Respiratory System Diagnosis W Ventilator Support <=96 Hours 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$25,409
outlier · 0.1×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$47,451
outlier · 0.0×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$53,532
outlier · 0.0×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$45,264
outlier · 0.0×
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$26,758
outlier · 0.1×
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$30,994
outlier · 0.1×
252
MS_DRG 		Other Vascular Procedures With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$32,714
outlier · 0.0×
100
MS_DRG 		Seizures With Mcc 14 $1,600.00 $1,600.00 $1,600.00 nat. median
$18,371
outlier · 0.1×

Other procedures at this hospital

Browse this hospital's 337 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
             
100 MS_DRG Seizures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
101 MS_DRG Seizures Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
125 MS_DRG Other Disorders Of The Eye Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
149 MS_DRG Dysequilibrium 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
150 MS_DRG Epistaxis With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
152 MS_DRG Otitis Media And Uri With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
153 MS_DRG Otitis Media And Uri Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
157 MS_DRG Dental And Oral Diseases With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
158 MS_DRG Dental And Oral Diseases With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
166 MS_DRG Other Resp System O.r. Procedures W Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
175 MS_DRG Pulmonary Embolism With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
176 MS_DRG Pulmonary Embolism Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
177 MS_DRG Respiratory Infections And Inflammations With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
178 MS_DRG Respiratory Infections And Inflammations With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
179 MS_DRG Respiratory Infections And Inflammations Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
180 MS_DRG Respiratory Neoplasms With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
181 MS_DRG Respiratory Neoplasms With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
183 MS_DRG Major Chest Trauma With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
186 MS_DRG Pleural Effusion With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
187 MS_DRG Pleural Effusion With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
189 MS_DRG Pulmonary Edema & Respiratory Failure 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
196 MS_DRG Interstitial Lung Disease With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
199 MS_DRG Pneumothorax With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
200 MS_DRG Pneumothorax With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
202 MS_DRG Bronchitis And Asthma With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
204 MS_DRG Respiratory Signs And Symptoms 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
205 MS_DRG Other Respiratory System Diagnoses With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
207 MS_DRG Respiratory System Diagnosis W Ventilator Support >96 Hours 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
208 MS_DRG Respiratory System Diagnosis W Ventilator Support <=96 Hours 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
265 MS_DRG Aicd Lead Procedures 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
289 MS_DRG Acute And Subacute Endocarditis With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
290 MS_DRG Acute And Subacute Endocarditis Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
291 MS_DRG Heart Failure And Shock With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
292 MS_DRG Heart Failure And Shock With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
294 MS_DRG Deep Vein Thrombophlebitis With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
295 MS_DRG Deep Vein Thrombophlebitis Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
299 MS_DRG Peripheral Vascular Disorders With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
300 MS_DRG Peripheral Vascular Disorders With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
302 MS_DRG Atherosclerosis With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
304 MS_DRG Hypertension With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
305 MS_DRG Hypertension Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
312 MS_DRG Syncope And Collapse 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
315 MS_DRG Other Circulatory System Diagnoses With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
316 MS_DRG Other Circulatory System Diagnoses Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
368 MS_DRG Major Esophageal Disorders With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
374 MS_DRG Digestive Malignancy With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
375 MS_DRG Digestive Malignancy With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
378 MS_DRG Gastrointestinal Hemorrhage With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
380 MS_DRG Complicated Peptic Ulcer With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
381 MS_DRG Complicated Peptic Ulcer With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
385 MS_DRG Inflammatory Bowel Disease With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
386 MS_DRG Inflammatory Bowel Disease With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
388 MS_DRG Gastrointestinal Obstruction With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
389 MS_DRG Gastrointestinal Obstruction With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
393 MS_DRG Other Digestive System Diagnoses With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
394 MS_DRG Other Digestive System Diagnoses With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
395 MS_DRG Other Digestive System Diagnoses Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
434 MS_DRG Cirrhosis And Alcoholic Hepatitis Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
444 MS_DRG Disorders Of The Biliary Tract With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
445 MS_DRG Disorders Of The Biliary Tract With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
501 MS_DRG Soft Tissue Procedures With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
503 MS_DRG Foot Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
504 MS_DRG Foot Procedures With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
52 MS_DRG Spinal Disorders And Injuries With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
53 MS_DRG Spinal Disorders And Injuries Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
533 MS_DRG Fractures Of Femur With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
539 MS_DRG Osteomyelitis With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
54 MS_DRG Nervous System Neoplasms With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
540 MS_DRG Osteomyelitis With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
541 MS_DRG Osteomyelitis Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
548 MS_DRG Septic Arthritis With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
549 MS_DRG Septic Arthritis With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
55 MS_DRG Nervous System Neoplasms Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
550 MS_DRG Septic Arthritis Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
551 MS_DRG Medical Back Problems With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
552 MS_DRG Medical Back Problems Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
553 MS_DRG Bone Diseases And Arthropathies With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
570 MS_DRG Skin Debridement With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
571 MS_DRG Skin Debridement With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
572 MS_DRG Skin Debridement Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
592 MS_DRG Skin Ulcers With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
593 MS_DRG Skin Ulcers With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
594 MS_DRG Skin Ulcers Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
595 MS_DRG Major Skin Disorders With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
596 MS_DRG Major Skin Disorders Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
597 MS_DRG Malignant Breast Disorders With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
598 MS_DRG Malignant Breast Disorders With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
600 MS_DRG Non-malignant Breast Disorders With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
602 MS_DRG Cellulitis With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
603 MS_DRG Cellulitis Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
606 MS_DRG Minor Skin Disorders With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
607 MS_DRG Minor Skin Disorders Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
637 MS_DRG Diabetes With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
638 MS_DRG Diabetes With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
642 MS_DRG Inborn And Other Disorders Of Metabolism 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
643 MS_DRG Endocrine Disorders With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
644 MS_DRG Endocrine Disorders With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
645 MS_DRG Endocrine Disorders Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
682 MS_DRG Renal Failure With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
683 MS_DRG Renal Failure With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
684 MS_DRG Renal Failure Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
693 MS_DRG Urinary Stones With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
711 MS_DRG Testes Procedures With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
72 MS_DRG Nonspecific Cerebrovascular Disorders Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
725 MS_DRG Benign Prostatic Hypertrophy With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
729 MS_DRG Other Male Reproductive System Diagnoses With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
75 MS_DRG Viral Meningitis With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
754 MS_DRG Malignancy, Female Reproductive System With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
755 MS_DRG Malignancy, Female Reproductive System With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
757 MS_DRG Infections, Female Reproductive System With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
758 MS_DRG Infections, Female Reproductive System With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
759 MS_DRG Infections, Female Reproductive System Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
811 MS_DRG Red Blood Cell Disorders With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
812 MS_DRG Red Blood Cell Disorders Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
813 MS_DRG Coagulation Disorders 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
865 MS_DRG Viral Illness With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
866 MS_DRG Viral Illness Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
902 MS_DRG Wound Debridements For Injuries With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
903 MS_DRG Wound Debridements For Injuries Without Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
908 MS_DRG Other O.r. Procedures For Injuries With Cc 38 14 — — $1,600.00 $1,600.00 $1,600.00 2026-07-15
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