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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

ASCENSION ST JOHN NOWATA

Nowata, OK · CCN 371305 · Rates published

23,960 distinct procedures filed
39 distinct payers
704,820 rate rows
2026-01-01 last MRF observed
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/ok-csv/731440267_jane-phillips-nowata-hospital-inc_standardcharges.csv
Found on page https://healthcare.ascension.org/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-14
Content fingerprint 66cb908d5e18843b… · 214,129,855 bytes · first seen 2026-05-15

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
652
MS_DRG 		Kidney Transplant 16 $6,781.00 $70,000.00 $70,000.00 nat. median
$21,500
outlier · 3.3×
0053T
OTHER 		Replace Implantable Hrt Syst 6 $56,085.13 $56,085.13 $56,085.13 nat. median
$5,538
outlier · 10.1×
0051T
OTHER 		Implant Total Heart System 6 $56,085.13 $56,085.13 $56,085.13 nat. median
$5,538
outlier · 10.1×
0052T
OTHER 		Replace Thrc Unit Hrt Syst 6 $56,085.13 $56,085.13 $56,085.13 nat. median
$5,538
outlier · 10.1×
781025040
CDM 		Glucarpidase 1000 Unit Inj 25040 31 $22,987.80 $120,988.40 $53,234.90 —
0283T
OTHER 		Periph Field Stimul Perm 5 $48,150.35 $48,150.35 $48,150.35 nat. median
$5,538
outlier · 8.7×
0268T
OTHER 		Implt/rpl Crtd Sns Dev Gen 5 $39,738.26 $39,738.26 $39,738.26 nat. median
$22,046
1.8× median
0266T
OTHER 		Implt/rpl Crtd Sns Dev Total 5 $39,738.26 $39,738.26 $39,738.26 nat. median
$44,339
0.9× median
0312T
OTHER 		Laps Impltj Nstim Vagus 5 $39,738.26 $39,738.26 $39,738.26 nat. median
$14,049
outlier · 2.8×
0313T
OTHER 		Laps Rmvl Nstim Array Vagus 5 $39,738.26 $39,738.26 $39,738.26 nat. median
$4,430
outlier · 9.0×
781051937
CDM 		Ravulizumab 1100mg/11ml 51937 31 $15,840.06 $83,368.75 $36,682.25 —
34845
CPT 		Visc & Infraren Abd 1 Prosth 5 $34,254.64 $34,254.64 $34,254.64 nat. median
$6,230
outlier · 5.5×
34846
CPT 		Visc & Infraren Abd 2 Prosth 5 $34,254.64 $34,254.64 $34,254.64 nat. median
$6,262
outlier · 5.5×
34844
CPT 		Endovasc Visc Aorta 4 Graft 5 $34,254.64 $34,254.64 $34,254.64 nat. median
$5,790
outlier · 5.9×
34842
CPT 		Endovasc Visc Aorta 2 Graft 5 $34,254.64 $34,254.64 $34,254.64 nat. median
$5,384
outlier · 6.4×
34841
CPT 		Endovasc Visc Aorta 1 Graft 5 $34,254.64 $34,254.64 $34,254.64 nat. median
$5,856
outlier · 5.8×
34843
CPT 		Endovasc Visc Aorta 3 Graft 5 $34,254.64 $34,254.64 $34,254.64 nat. median
$6,000
outlier · 5.7×
34848
CPT 		Visc & Infraren Abd 4+ Prost 5 $34,254.64 $34,254.64 $34,254.64 nat. median
$6,660
outlier · 5.1×
34847
CPT 		Visc & Infraren Abd 3 Prosth 5 $34,254.64 $34,254.64 $34,254.64 nat. median
$7,219
outlier · 4.7×
0304T
OTHER 		Icar Ischm Mntrng Sys Device 5 $34,254.64 $34,254.64 $34,254.64 nat. median
$10,143
outlier · 3.4×
0302T
OTHER 		Icar Ischm Mntrng Sys Compl 5 $34,254.64 $34,254.64 $34,254.64 nat. median
$8,709
outlier · 3.9×
781024837
CDM 		Alemtuzumab 12mg/1.2ml 24837 31 $13,996.96 $73,668.20 $32,414.01 —
781014212
CDM 		Supprelin La Implant 50 Mg 14212 31 $13,275.69 $69,872.05 $30,743.70 —
J9226
HCPCS 		Supprelin La Implant 50 Mg 14212 5 $26,360.19 $28,243.06 $26,360.19 nat. median
$57,036
outlier · 0.5×
781051946
CDM 		Polatuzumab 140mg Inj 51946 31 $11,164.90 $58,762.65 $25,855.57 —
0333
RC 		1 $23,879.00 $25,230.00 $24,554.50 nat. median
$2,043
outlier · 12.0×
781024982
CDM 		Emicizumab 150mg/ml Soln 24982 31 $10,392.51 $54,697.40 $24,066.86 —
781024852
CDM 		Ocrelizumab 300mg/10ml 24852 31 $10,198.25 $53,675.00 $23,617.00 —
799
MS_DRG 		Splenic Procedures With Mcc 8 $11,000.00 $18,736.00 $18,736.00 nat. median
$32,381
0.6× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 $11,000.00 $18,736.00 $18,736.00 nat. median
$43,299
outlier · 0.4×
653
MS_DRG 		Major Bladder Procedures With Mcc 8 $11,000.00 $18,736.00 $18,736.00 nat. median
$36,547
0.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $13,440.00 $18,736.00 $18,736.00 nat. median
$59,651
outlier · 0.3×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 $13,440.00 $18,736.00 $18,736.00 nat. median
$2,958
outlier · 6.3×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $11,000.00 $18,736.00 $18,736.00 nat. median
$42,674
outlier · 0.4×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 8 $11,000.00 $18,736.00 $18,736.00 nat. median
$34,932
0.5× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 8 $11,000.00 $18,736.00 $18,736.00 nat. median
$35,986
0.5× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $13,440.00 $18,736.00 $18,736.00 nat. median
$51,518
outlier · 0.4×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 $11,000.00 $18,736.00 $18,736.00 nat. median
$43,533
outlier · 0.4×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 8 $11,000.00 $18,736.00 $18,736.00 nat. median
$37,725
outlier · 0.5×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $13,440.00 $18,736.00 $18,736.00 nat. median
$49,569
outlier · 0.4×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 8 $11,000.00 $18,736.00 $18,736.00 nat. median
$38,859
outlier · 0.5×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 $11,000.00 $18,736.00 $18,736.00 nat. median
$39,159
outlier · 0.5×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $16,493.00 $18,736.00 $18,736.00 nat. median
$55,935
outlier · 0.3×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 8 $11,000.00 $18,736.00 $18,736.00 nat. median
$43,023
outlier · 0.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $16,493.00 $18,736.00 $18,736.00 nat. median
$60,505
outlier · 0.3×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 8 $11,000.00 $18,736.00 $18,736.00 nat. median
$43,803
outlier · 0.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $13,440.00 $18,736.00 $18,736.00 nat. median
$55,923
outlier · 0.3×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $13,440.00 $18,736.00 $18,736.00 nat. median
$45,446
outlier · 0.4×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 8 $11,000.00 $18,736.00 $18,736.00 nat. median
$2,736
outlier · 6.8×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $11,000.00 $18,736.00 $18,736.00 nat. median
$38,832
outlier · 0.5×

Other procedures at this hospital

Browse this hospital's 23,960 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
             
652 MS_DRG Kidney Transplant 24 16 — — $6,781.00 $70,000.00 $70,000.00 2026-01-01
0051T OTHER Implant Total Heart System 6 6 — — $56,085.13 $56,085.13 $56,085.13 2026-01-01
0053T OTHER Replace Implantable Hrt Syst 6 6 — — $56,085.13 $56,085.13 $56,085.13 2026-01-01
0052T OTHER Replace Thrc Unit Hrt Syst 6 6 — — $56,085.13 $56,085.13 $56,085.13 2026-01-01
781025040 CDM Glucarpidase 1000 Unit Inj 25040 53 31 $120,988.40 $44,765.71 63% off $22,987.80 $120,988.40 $53,234.90 2026-01-01
0283T OTHER Periph Field Stimul Perm 5 5 — — $48,150.35 $48,150.35 $48,150.35 2026-01-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 5 5 — — $39,738.26 $39,738.26 $39,738.26 2026-01-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 5 5 — — $39,738.26 $39,738.26 $39,738.26 2026-01-01
0313T OTHER Laps Rmvl Nstim Array Vagus 5 5 — — $39,738.26 $39,738.26 $39,738.26 2026-01-01
0312T OTHER Laps Impltj Nstim Vagus 5 5 — — $39,738.26 $39,738.26 $39,738.26 2026-01-01
781051937 CDM Ravulizumab 1100mg/11ml 51937 53 31 $83,368.75 $30,846.44 63% off $15,840.06 $83,368.75 $36,682.25 2026-01-01
34842 CPT Endovasc Visc Aorta 2 Graft 5 5 — — $34,254.64 $34,254.64 $34,254.64 2026-01-01
34841 CPT Endovasc Visc Aorta 1 Graft 5 5 — — $34,254.64 $34,254.64 $34,254.64 2026-01-01
34848 CPT Visc & Infraren Abd 4+ Prost 5 5 — — $34,254.64 $34,254.64 $34,254.64 2026-01-01
34844 CPT Endovasc Visc Aorta 4 Graft 5 5 — — $34,254.64 $34,254.64 $34,254.64 2026-01-01
34846 CPT Visc & Infraren Abd 2 Prosth 5 5 — — $34,254.64 $34,254.64 $34,254.64 2026-01-01
34847 CPT Visc & Infraren Abd 3 Prosth 5 5 — — $34,254.64 $34,254.64 $34,254.64 2026-01-01
0304T OTHER Icar Ischm Mntrng Sys Device 5 5 — — $34,254.64 $34,254.64 $34,254.64 2026-01-01
0302T OTHER Icar Ischm Mntrng Sys Compl 5 5 — — $34,254.64 $34,254.64 $34,254.64 2026-01-01
34843 CPT Endovasc Visc Aorta 3 Graft 5 5 — — $34,254.64 $34,254.64 $34,254.64 2026-01-01
34845 CPT Visc & Infraren Abd 1 Prosth 5 5 — — $34,254.64 $34,254.64 $34,254.64 2026-01-01
781024837 CDM Alemtuzumab 12mg/1.2ml 24837 53 31 $73,668.20 $27,257.23 63% off $13,996.96 $73,668.20 $32,414.01 2026-01-01
781014212 CDM Supprelin La Implant 50 Mg 14212 53 31 $69,872.05 $25,852.66 63% off $13,275.69 $69,872.05 $30,743.70 2026-01-01
J9226 HCPCS Supprelin La Implant 50 Mg 14212 5 5 $69,872.05 $25,852.66 63% off $26,360.19 $28,243.06 $26,360.19 2026-01-01
781051946 CDM Polatuzumab 140mg Inj 51946 53 31 $58,762.65 $21,742.18 63% off $11,164.90 $58,762.65 $25,855.57 2026-01-01
0333 RC — 2 1 — — $23,879.00 $25,230.00 $24,554.50 2026-01-01
781024982 CDM Emicizumab 150mg/ml Soln 24982 53 31 $54,697.40 $20,238.04 63% off $10,392.51 $54,697.40 $24,066.86 2026-01-01
781024852 CDM Ocrelizumab 300mg/10ml 24852 53 31 $53,675.00 $19,859.75 63% off $10,198.25 $53,675.00 $23,617.00 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $18,736.00 $18,736.00 $18,736.00 2026-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 9 8 — — $11,000.00 $18,736.00 $18,736.00 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 6 — — $13,440.00 $18,736.00 $18,736.00 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 9 8 — — $11,000.00 $18,736.00 $18,736.00 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 6 — — $13,440.00 $18,736.00 $18,736.00 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 9 8 — — $11,000.00 $18,736.00 $18,736.00 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 9 8 — — $11,000.00 $18,736.00 $18,736.00 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 8 — — $11,000.00 $18,736.00 $18,736.00 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 9 8 — — $11,000.00 $18,736.00 $18,736.00 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 8 — — $11,000.00 $18,736.00 $18,736.00 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 6 — — $16,493.00 $18,736.00 $18,736.00 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 8 — — $11,000.00 $18,736.00 $18,736.00 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 6 — — $13,440.00 $18,736.00 $18,736.00 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 9 8 — — $11,000.00 $18,736.00 $18,736.00 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 9 8 — — $11,000.00 $18,736.00 $18,736.00 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 8 — — $11,000.00 $18,736.00 $18,736.00 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 6 — — $13,440.00 $18,736.00 $18,736.00 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 9 8 — — $11,000.00 $18,736.00 $18,736.00 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 6 — — $13,440.00 $18,736.00 $18,736.00 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $11,000.00 $18,736.00 $18,736.00 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 8 — — $11,000.00 $18,736.00 $18,736.00 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 6 — — $13,440.00 $18,736.00 $18,736.00 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 9 8 — — $11,000.00 $18,736.00 $18,736.00 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 6 — — $13,440.00 $18,736.00 $18,736.00 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 6 — — $16,493.00 $18,736.00 $18,736.00 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 9 8 — — $11,000.00 $18,736.00 $18,736.00 2026-01-01
792061272 CDM Catheter Ion Eup 61272 53 31 $40,809.60 $15,099.55 63% off $7,753.82 $40,809.60 $17,956.22 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 9 — — $8,300.00 $18,736.00 $17,614.50 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 9 — — $8,300.00 $18,736.00 $17,614.50 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 9 — — $8,300.00 $18,736.00 $17,614.50 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 9 — — $8,300.00 $18,736.00 $17,614.50 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 9 — — $8,300.00 $18,736.00 $17,614.50 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 9 — — $8,300.00 $18,736.00 $17,614.50 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 9 — — $8,300.00 $18,736.00 $17,614.50 2026-01-01
795 MS_DRG Normal Newborn 10 10 — — $6,781.00 $18,736.00 $17,614.50 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 9 — — $8,300.00 $18,736.00 $17,614.50 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 10 9 — — $8,300.00 $18,736.00 $17,614.50 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 9 — — $8,300.00 $18,736.00 $17,614.50 2026-01-01
781024981 CDM Emicizumab 105mg/0.7ml Soln 24981 53 31 $38,291.20 $14,167.74 63% off $7,275.33 $38,291.20 $16,848.13 2026-01-01
632050593 CDM Ablat/ren/cryo 1 Or > Bil 50593 51 30 $38,439.50 $14,222.62 63% off $7,303.51 $38,439.50 $16,528.99 2026-01-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
381 MS_DRG Complicated Peptic Ulcer With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
291 MS_DRG Heart Failure And Shock With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
374 MS_DRG Digestive Malignancy With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
375 MS_DRG Digestive Malignancy With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
394 MS_DRG Other Digestive System Diagnoses With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
386 MS_DRG Inflammatory Bowel Disease With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
39 MS_DRG Extracranial Procedures Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
293 MS_DRG Heart Failure And Shock Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
311 MS_DRG Angina Pectoris 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
30 MS_DRG Spinal Procedures Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
183 MS_DRG Major Chest Trauma With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
176 MS_DRG Pulmonary Embolism Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
215 MS_DRG Other Heart Assist System Implant 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
370 MS_DRG Major Esophageal Disorders Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
141 MS_DRG Major Head And Neck Procedures With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
333 MS_DRG Rectal Resection With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
245 MS_DRG Aicd Generator Procedures 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
369 MS_DRG Major Esophageal Disorders With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
368 MS_DRG Major Esophageal Disorders With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
300 MS_DRG Peripheral Vascular Disorders With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
32 MS_DRG Ventricular Shunt Procedures With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
332 MS_DRG Rectal Resection With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
292 MS_DRG Heart Failure And Shock With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
263 MS_DRG Vein Ligation And Stripping 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
200 MS_DRG Pneumothorax With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
121 MS_DRG Acute Major Eye Infections With Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
199 MS_DRG Pneumothorax With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
150 MS_DRG Epistaxis With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
116 MS_DRG Intraocular Procedures With Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
152 MS_DRG Otitis Media And Uri With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
158 MS_DRG Dental And Oral Diseases With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
138 MS_DRG Mouth Procedures Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
153 MS_DRG Otitis Media And Uri Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
117 MS_DRG Intraocular Procedures Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
10 MS_DRG Pancreas Transplant 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
305 MS_DRG Hypertension Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
182 MS_DRG Respiratory Neoplasms Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
157 MS_DRG Dental And Oral Diseases With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
122 MS_DRG Acute Major Eye Infections Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
304 MS_DRG Hypertension With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
100 MS_DRG Seizures With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
209 MS_DRG Complex Aortic Arch Procedures 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
180 MS_DRG Respiratory Neoplasms With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
101 MS_DRG Seizures Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
312 MS_DRG Syncope And Collapse 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
164 MS_DRG Major Chest Procedures With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
204 MS_DRG Respiratory Signs And Symptoms 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
149 MS_DRG Dysequilibrium 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
187 MS_DRG Pleural Effusion With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
197 MS_DRG Interstitial Lung Disease With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
397 MS_DRG Appendix Procedures With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
196 MS_DRG Interstitial Lung Disease With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
297 MS_DRG Cardiac Arrest, Unexplained With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
184 MS_DRG Major Chest Trauma With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
313 MS_DRG Chest Pain 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
125 MS_DRG Other Disorders Of The Eye Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
186 MS_DRG Pleural Effusion With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
188 MS_DRG Pleural Effusion Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
123 MS_DRG Neurological Eye Disorders 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
399 MS_DRG Appendix Procedures Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
348 MS_DRG Anal And Stomal Procedures With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
398 MS_DRG Appendix Procedures With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
389 MS_DRG Gastrointestinal Obstruction With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
376 MS_DRG Digestive Malignancy Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
38 MS_DRG Extracranial Procedures With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
302 MS_DRG Atherosclerosis With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
202 MS_DRG Bronchitis And Asthma With Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
115 MS_DRG Extraocular Procedures Except Orbit 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
139 MS_DRG Salivary Gland Procedures 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
303 MS_DRG Atherosclerosis Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
185 MS_DRG Major Chest Trauma Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
201 MS_DRG Pneumothorax Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
114 MS_DRG Orbital Procedures Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
334 MS_DRG Rectal Resection Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
151 MS_DRG Epistaxis Without Mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 11 10 — — $6,781.00 $18,736.00 $16,493.00 2026-01-01
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