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Hospital

Pam Specialty Hospital Of Tulsa

Tulsa, OK · CCN 372018 · Rates published

2,651 distinct procedures filed
24 distinct payers
42,677 rate rows
2025-09-11 last MRF observed
Data quality

42,618 of 42,677 rate rows are consumer-grade (99.9%)

59 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 51
percent-of-charges filed in the dollar field — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/10984/462632812_post-acute-specialty-hospital-of-tulsa-llc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/SpecialtyHospitalTulsa/10984
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint f8f6650b282d9bbc… · 18,559,663 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
1614
APR_DRG 		Implantable Heart Assist Systems 3 $262,246.36 $262,246.36 $262,246.36 nat. median
$207,730
1.3× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $245,683.54 $245,683.54 $245,683.54 nat. median
$164,834
1.5× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $170,932.64 $170,932.64 $170,932.64 nat. median
$117,173
1.5× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 3 $158,843.49 $158,843.49 $158,843.49 nat. median
$32,541
outlier · 4.9×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 12 $137,867.21 $229,778.69 $153,185.79 nat. median
$202,976
0.8× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $143,869.83 $143,869.83 $143,869.83 nat. median
$105,658
1.4× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $143,251.36 $143,251.36 $143,251.36 nat. median
$160,267
0.9× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 $138,084.50 $138,084.50 $138,084.50 nat. median
$73,845
1.9× median
1613
APR_DRG 		Implantable Heart Assist Systems 3 $136,686.34 $136,686.34 $136,686.34 nat. median
$119,796
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 12 $113,394.67 $188,991.12 $125,994.08 nat. median
$133,161
0.9× median
6814
APR_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 $121,789.08 $121,789.08 $121,789.08 nat. median
$73,288
1.7× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 3 $121,721.11 $121,721.11 $121,721.11 nat. median
$97,957
1.2× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $120,703.80 $120,703.80 $120,703.80 nat. median
$78,990
1.5× median
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency 3 $118,035.55 $118,035.55 $118,035.55 nat. median
$22,749
outlier · 5.2×
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 $106,181.21 $106,181.21 $106,181.21 nat. median
$81,781
1.3× median
164
MS_DRG 		Major Chest Procedures With Cc 12 $93,583.76 $155,972.94 $103,981.96 nat. median
$25,705
outlier · 4.0×
163
MS_DRG 		Major Chest Procedures With Mcc 12 $93,583.76 $155,972.94 $103,981.96 nat. median
$44,937
outlier · 2.3×
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 12 $93,583.76 $155,972.94 $103,981.96 nat. median
$19,858
outlier · 5.2×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 12 $92,387.77 $153,979.62 $102,653.08 nat. median
$37,476
outlier · 2.7×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 $92,387.77 $153,979.62 $102,653.08 nat. median
$52,857
1.9× median
140
MS_DRG 		Major Head And Neck Procedures With Mcc 12 $92,387.77 $153,979.62 $102,653.08 nat. median
$40,208
outlier · 2.6×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 $92,375.93 $153,959.88 $102,639.92 nat. median
$46,084
outlier · 2.2×
1612
APR_DRG 		Implantable Heart Assist Systems 3 $98,256.23 $98,256.23 $98,256.23 nat. median
$85,444
1.1× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $97,132.75 $97,132.75 $97,132.75 nat. median
$60,831
1.6× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 $84,193.42 $140,322.36 $93,548.24 nat. median
$33,845
outlier · 2.8×
1611
APR_DRG 		Implantable Heart Assist Systems 3 $93,187.11 $93,187.11 $93,187.11 nat. median
$76,806
1.2× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 $92,532.13 $92,532.13 $92,532.13 nat. median
$68,217
1.4× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $92,500.67 $92,500.67 $92,500.67 nat. median
$69,926
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $81,789.58 $136,315.97 $90,877.31 nat. median
$66,526
1.4× median
6804
APR_DRG 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 $90,113.85 $90,113.85 $90,113.85 nat. median
$66,068
1.4× median
4414
APR_DRG 		Major Bladder Procedures 3 $87,970.82 $87,970.82 $87,970.82 nat. median
$57,204
1.5× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 12 $76,756.92 $127,928.21 $85,285.47 nat. median
$62,134
1.4× median
1784
APR_DRG 		External Heart Assist Systems 3 $82,394.46 $82,394.46 $82,394.46 nat. median
$63,559
1.3× median
1674
APR_DRG 		Other Cardiothoracic And Thoracic Vascular Procedures 3 $80,690.15 $80,690.15 $80,690.15 nat. median
$62,356
1.3× median
6904
APR_DRG 		Acute Leukemia 3 $79,965.51 $79,965.51 $79,965.51 nat. median
$60,471
1.3× median
434
APR_DRG 		Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 3 $79,475.67 $79,475.67 $79,475.67 nat. median
$43,434
1.8× median
92
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $79,386.36 $79,386.36 $79,386.36 nat. median
$48,344
1.6× median
91
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $76,988.86 $76,988.86 $76,988.86 nat. median
$47,618
1.6× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 $74,911.00 $74,911.00 $74,911.00 nat. median
$84,063
0.9× median
2204
APR_DRG 		Major Stomach, Esophageal And Duodenal Procedures 3 $70,205.89 $70,205.89 $70,205.89 nat. median
$53,105
1.3× median
4474
APR_DRG 		Other Kidney, Urinary Tract And Related Procedures 3 $69,659.88 $69,659.88 $69,659.88 nat. median
$48,396
1.4× median
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 12 $62,258.92 $103,764.87 $69,176.58 nat. median
$18,895
outlier · 3.7×
173
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 12 $62,258.92 $103,764.87 $69,176.58 nat. median
$29,766
outlier · 2.3×
168
MS_DRG 		Other Respiratory System O.r. Procedures Without Cc/mcc 12 $62,258.92 $103,764.87 $69,176.58 nat. median
$14,494
outlier · 4.8×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 $62,258.92 $103,764.87 $69,176.58 nat. median
$40,914
1.7× median
234
APR_DRG 		Spinal Procedures 3 $68,627.97 $68,627.97 $68,627.97 nat. median
$47,896
1.4× median
9104
APR_DRG 		Craniotomy For Multiple Significant Trauma 3 $68,379.68 $68,379.68 $68,379.68 nat. median
$57,769
1.2× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $67,501.13 $67,501.13 $67,501.13 nat. median
$58,674
1.2× median
53
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 $66,656.84 $66,656.84 $66,656.84 nat. median
$47,224
1.4× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 $59,847.19 $99,745.32 $66,496.88 nat. median
$48,170
1.4× median

Other procedures at this hospital

Browse this hospital's 2,651 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
             
620 MS_DRG O.r. Procedures For Obesity With Cc 16 12 — — $37,446.93 $62,411.55 $41,607.70 2025-09-11
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 12 — — $37,644.28 $62,740.47 $41,826.98 2025-09-11
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 16 12 — — $37,802.17 $63,003.62 $42,002.41 2025-09-11
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 16 12 — — $37,802.17 $63,003.62 $42,002.41 2025-09-11
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 12 — — $37,802.17 $63,003.62 $42,002.41 2025-09-11
380 MS_DRG Complicated Peptic Ulcer With Mcc 16 12 — — $37,802.17 $63,003.62 $42,002.41 2025-09-11
539 MS_DRG Osteomyelitis With Mcc 16 12 — — $38,260.04 $63,766.74 $42,511.16 2025-09-11
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 16 12 — — $38,619.24 $64,365.41 $42,910.27 2025-09-11
189 MS_DRG Pulmonary Edema And Respiratory Failure 16 12 — — $38,631.08 $64,385.13 $42,923.42 2025-09-11
388 MS_DRG Gastrointestinal Obstruction With Mcc 16 12 — — $39,002.11 $65,003.52 $43,335.68 2025-09-11
393 MS_DRG Other Digestive System Diagnoses With Mcc 16 12 — — $40,103.38 $66,838.97 $44,559.31 2025-09-11
288 MS_DRG Acute And Subacute Endocarditis With Mcc 16 12 — — $40,221.79 $67,036.32 $44,690.88 2025-09-11
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 16 12 — — $41,307.27 $68,845.46 $45,896.97 2025-09-11
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 16 12 — — $41,307.27 $68,845.46 $45,896.97 2025-09-11
666 MS_DRG Prostatectomy With Cc 16 12 — — $41,307.27 $68,845.46 $45,896.97 2025-09-11
654 MS_DRG Major Bladder Procedures With Cc 16 12 — — $41,307.27 $68,845.46 $45,896.97 2025-09-11
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 16 12 — — $41,354.64 $68,924.40 $45,949.60 2025-09-11
6614 APR_DRG Coagulation And Platelet Disorders 3 3 — — $41,914.57 $41,914.57 $41,914.57 2025-09-11
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 12 — — $41,962.50 $69,937.50 $46,625.00 2025-09-11
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 12 — — $41,962.50 $69,937.50 $46,625.00 2025-09-11
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 12 — — $41,962.50 $69,937.50 $46,625.00 2025-09-11
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 12 — — $41,962.50 $69,937.50 $46,625.00 2025-09-11
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 12 — — $41,962.50 $69,937.50 $46,625.00 2025-09-11
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 16 12 — — $41,962.50 $69,937.50 $46,625.00 2025-09-11
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 16 12 — — $41,962.50 $69,937.50 $46,625.00 2025-09-11
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 12 — — $42,282.23 $70,470.38 $46,980.25 2025-09-11
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $42,298.80 $42,298.80 $42,298.80 2025-09-11
919 MS_DRG Complications Of Treatment With Mcc 16 12 — — $42,329.59 $70,549.32 $47,032.88 2025-09-11
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 16 12 — — $42,349.33 $70,582.22 $47,054.81 2025-09-11
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $42,382.49 $42,382.49 $42,382.49 2025-09-11
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 3 — — $42,856.04 $42,856.04 $42,856.04 2025-09-11
7234 APR_DRG Viral Illness 3 3 — — $43,321.72 $43,321.72 $43,321.72 2025-09-11
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 3 3 — — $43,380.70 $43,380.70 $43,380.70 2025-09-11
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 3 3 — — $43,824.47 $43,824.47 $43,824.47 2025-09-11
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 16 12 — — $44,003.20 $73,338.66 $48,892.44 2025-09-11
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 16 12 — — $44,003.20 $73,338.66 $48,892.44 2025-09-11
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 16 12 — — $44,003.20 $73,338.66 $48,892.44 2025-09-11
2234 APR_DRG Other Small And Large Bowel Procedures 3 3 — — $44,095.79 $44,095.79 $44,095.79 2025-09-11
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $44,610.34 $44,610.34 $44,610.34 2025-09-11
974 MS_DRG HIV With Major Related Condition With Mcc 16 12 — — $44,982.10 $74,970.17 $49,980.11 2025-09-11
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 3 — — $45,177.70 $45,177.70 $45,177.70 2025-09-11
1782 APR_DRG External Heart Assist Systems 3 3 — — $45,254.66 $45,254.66 $45,254.66 2025-09-11
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 3 3 — — $45,514.74 $45,514.74 $45,514.74 2025-09-11
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $45,979.30 $45,979.30 $45,979.30 2025-09-11
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $46,271.40 $46,271.40 $46,271.40 2025-09-11
1833 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $46,453.40 $46,453.40 $46,453.40 2025-09-11
570 MS_DRG Skin Debridement With Mcc 16 12 — — $46,470.19 $77,450.31 $51,633.54 2025-09-11
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 16 12 — — $46,608.34 $77,680.56 $51,787.04 2025-09-11
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 12 — — $46,789.91 $77,983.19 $51,988.79 2025-09-11
2614 APR_DRG Major Biliary Tract Procedures 3 3 — — $46,867.40 $46,867.40 $46,867.40 2025-09-11
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 12 — — $47,251.73 $78,752.88 $52,501.92 2025-09-11
665 MS_DRG Prostatectomy With Mcc 16 12 — — $47,251.73 $78,752.88 $52,501.92 2025-09-11
653 MS_DRG Major Bladder Procedures With Mcc 16 12 — — $47,251.73 $78,752.88 $52,501.92 2025-09-11
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 12 — — $47,326.73 $78,877.88 $52,585.25 2025-09-11
28 MS_DRG Spinal Procedures With Mcc 16 12 — — $47,326.73 $78,877.88 $52,585.25 2025-09-11
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 12 — — $47,326.73 $78,877.88 $52,585.25 2025-09-11
1834 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $47,622.94 $47,622.94 $47,622.94 2025-09-11
500 MS_DRG Soft Tissue Procedures With Mcc 16 12 — — $48,617.45 $81,029.09 $54,019.39 2025-09-11
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $48,868.87 $48,868.87 $48,868.87 2025-09-11
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 3 3 — — $48,934.03 $48,934.03 $48,934.03 2025-09-11
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 3 3 — — $49,095.25 $49,095.25 $49,095.25 2025-09-11
1814 APR_DRG Lower Extremity Arterial Procedures 3 3 — — $49,245.80 $49,245.80 $49,245.80 2025-09-11
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $49,630.03 $49,630.03 $49,630.03 2025-09-11
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 16 12 — — $49,631.88 $82,719.80 $55,146.53 2025-09-11
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 12 — — $49,631.88 $82,719.80 $55,146.53 2025-09-11
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 12 — — $49,631.88 $82,719.80 $55,146.53 2025-09-11
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 12 — — $49,631.88 $82,719.80 $55,146.53 2025-09-11
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 12 — — $49,631.88 $82,719.80 $55,146.53 2025-09-11
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 12 — — $49,631.88 $82,719.80 $55,146.53 2025-09-11
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 12 — — $49,631.88 $82,719.80 $55,146.53 2025-09-11
908 MS_DRG Other O.r. Procedures For Injuries With Cc 16 12 — — $49,631.88 $82,719.80 $55,146.53 2025-09-11
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $49,725.52 $49,725.52 $49,725.52 2025-09-11
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 12 — — $49,777.93 $82,963.22 $55,308.81 2025-09-11
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
744 MS_DRG D&C, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
755 MS_DRG Malignancy, Female Reproductive System With Cc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
693 MS_DRG Urinary Stones With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
37 MS_DRG Extracranial Procedures With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
748 MS_DRG Female Reproductive System Reconstructive Procedures 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
745 MS_DRG D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
202 MS_DRG Bronchitis And Asthma With Cc/mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
35 MS_DRG Carotid Artery Stent Procedures With Cc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
32 MS_DRG Ventricular Shunt Procedures With Cc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
54 MS_DRG Nervous System Neoplasms With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
643 MS_DRG Endocrine Disorders With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
254 MS_DRG Other Vascular Procedures Without Cc/mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
39 MS_DRG Extracranial Procedures Without Cc/mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
784 MS_DRG Cesarean Section With Sterilization With Cc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
787 MS_DRG Cesarean Section Without Sterilization With Cc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
783 MS_DRG Cesarean Section With Sterilization With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
786 MS_DRG Cesarean Section Without Sterilization With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
754 MS_DRG Malignancy, Female Reproductive System With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
38 MS_DRG Extracranial Procedures With Cc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
252 MS_DRG Other Vascular Procedures With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
215 MS_DRG Other Heart Assist System Implant 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
963 MS_DRG Other Multiple Significant Trauma With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
385 MS_DRG Inflammatory Bowel Disease With Mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
850 MS_DRG Acute Leukemia With Other Procedures 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
253 MS_DRG Other Vascular Procedures With Cc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 12 — — $49,825.30 $83,042.16 $55,361.44 2025-09-11
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 16 12 — — $50,034.49 $83,390.82 $55,593.88 2025-09-11
204 APR_DRG Open Craniotomy For Trauma 3 3 — — $50,065.93 $50,065.93 $50,065.93 2025-09-11
263 MS_DRG Vein Ligation And Stripping 16 12 — — $50,152.91 $83,588.18 $55,725.45 2025-09-11
245 MS_DRG Aicd Generator Procedures 16 12 — — $50,152.91 $83,588.18 $55,725.45 2025-09-11
264 MS_DRG Other Circulatory System O.r. Procedures 16 12 — — $50,152.91 $83,588.18 $55,725.45 2025-09-11
914 APR_DRG Other Major Head And Neck Procedures 3 3 — — $50,582.17 $50,582.17 $50,582.17 2025-09-11
901 MS_DRG Wound Debridements For Injuries With Mcc 16 12 — — $50,646.30 $84,410.51 $56,273.67 2025-09-11
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $50,855.74 $50,855.74 $50,855.74 2025-09-11
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 16 12 — — $51,344.96 $85,574.93 $57,049.95 2025-09-11
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 16 12 — — $51,344.96 $85,574.93 $57,049.95 2025-09-11
2244 APR_DRG Peritoneal Adhesiolysis 3 3 — — $51,356.24 $51,356.24 $51,356.24 2025-09-11
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $51,438.26 $51,438.26 $51,438.26 2025-09-11
551 MS_DRG Medical Back Problems With Mcc 16 12 — — $51,546.27 $85,910.45 $57,273.63 2025-09-11
619 MS_DRG O.r. Procedures For Obesity With Mcc 16 12 — — $51,613.36 $86,022.27 $57,348.18 2025-09-11
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 12 — — $51,613.36 $86,022.27 $57,348.18 2025-09-11
205 MS_DRG Other Respiratory System Diagnoses With Mcc 16 12 — — $51,763.36 $86,272.26 $57,514.84 2025-09-11
1214 APR_DRG Other Respiratory And Chest Procedures 3 3 — — $52,697.67 $52,697.67 $52,697.67 2025-09-11
1783 APR_DRG External Heart Assist Systems 3 3 — — $52,728.01 $52,728.01 $52,728.01 2025-09-11
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 12 — — $53,192.24 $88,653.74 $59,102.49 2025-09-11
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 3 — — $53,352.66 $53,352.66 $53,352.66 2025-09-11
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 16 12 — — $53,543.54 $89,239.23 $59,492.82 2025-09-11
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 12 — — $53,543.54 $89,239.23 $59,492.82 2025-09-11
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $54,733.41 $54,733.41 $54,733.41 2025-09-11
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 12 — — $54,885.58 $91,475.97 $60,983.98 2025-09-11
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 12 — — $55,094.78 $91,824.63 $61,216.42 2025-09-11
799 MS_DRG Splenic Procedures With Mcc 16 12 — — $55,094.78 $91,824.63 $61,216.42 2025-09-11
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $55,560.84 $55,560.84 $55,560.84 2025-09-11
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $55,574.89 $55,574.89 $55,574.89 2025-09-11
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 3 — — $55,648.48 $55,648.48 $55,648.48 2025-09-11
4834 APR_DRG Penis, Testes And Scrotal Procedures 3 3 — — $56,251.78 $56,251.78 $56,251.78 2025-09-11
1204 APR_DRG Major Respiratory And Chest Procedures 3 3 — — $56,466.36 $56,466.36 $56,466.36 2025-09-11
1694 APR_DRG Major Abdominal Vascular Procedures 3 3 — — $56,696.68 $56,696.68 $56,696.68 2025-09-11
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 3 3 — — $56,889.91 $56,889.91 $56,889.91 2025-09-11
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $57,931.94 $57,931.94 $57,931.94 2025-09-11
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 12 — — $57,984.12 $96,640.20 $64,426.80 2025-09-11
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $58,466.15 $58,466.15 $58,466.15 2025-09-11
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 3 3 — — $58,827.35 $58,827.35 $58,827.35 2025-09-11
224 APR_DRG Ventricular Shunt Procedures 3 3 — — $59,151.47 $59,151.47 $59,151.47 2025-09-11
2304 APR_DRG Major Small Bowel Procedures 3 3 — — $59,385.71 $59,385.71 $59,385.71 2025-09-11
214 APR_DRG Open Craniotomy Except Trauma 3 3 — — $59,600.86 $59,600.86 $59,600.86 2025-09-11
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $59,742.42 $59,742.42 $59,742.42 2025-09-11
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 12 — — $59,847.19 $99,745.32 $66,496.88 2025-09-11
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $60,479.41 $60,479.41 $60,479.41 2025-09-11
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 3 — — $60,668.72 $60,668.72 $60,668.72 2025-09-11
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $60,872.63 $60,872.63 $60,872.63 2025-09-11
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $61,912.97 $61,912.97 $61,912.97 2025-09-11
6954 APR_DRG Chemotherapy For Acute Leukemia 3 3 — — $61,976.44 $61,976.44 $61,976.44 2025-09-11
2054 APR_DRG Cardiomyopathy 3 3 — — $62,056.21 $62,056.21 $62,056.21 2025-09-11
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $62,232.03 $62,232.03 $62,232.03 2025-09-11
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 3 3 — — $62,247.20 $62,247.20 $62,247.20 2025-09-11
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 16 12 — — $62,258.92 $103,764.87 $69,176.58 2025-09-11
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 16 12 — — $62,258.92 $103,764.87 $69,176.58 2025-09-11
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 16 12 — — $62,258.92 $103,764.87 $69,176.58 2025-09-11
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 12 — — $62,258.92 $103,764.87 $69,176.58 2025-09-11
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $63,283.04 $63,283.04 $63,283.04 2025-09-11
1824 APR_DRG Other Peripheral Vascular Procedures 3 3 — — $63,320.68 $63,320.68 $63,320.68 2025-09-11
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $63,371.80 $63,371.80 $63,371.80 2025-09-11
264 APR_DRG Other Nervous System And Related Procedures 3 3 — — $64,026.22 $64,026.22 $64,026.22 2025-09-11
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $66,349.57 $66,349.57 $66,349.57 2025-09-11
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $66,656.84 $66,656.84 $66,656.84 2025-09-11
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $67,501.13 $67,501.13 $67,501.13 2025-09-11
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $68,379.68 $68,379.68 $68,379.68 2025-09-11
234 APR_DRG Spinal Procedures 3 3 — — $68,627.97 $68,627.97 $68,627.97 2025-09-11
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 3 3 — — $69,659.88 $69,659.88 $69,659.88 2025-09-11
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $70,205.89 $70,205.89 $70,205.89 2025-09-11
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $74,911.00 $74,911.00 $74,911.00 2025-09-11
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 12 — — $76,756.92 $127,928.21 $85,285.47 2025-09-11
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $76,988.86 $76,988.86 $76,988.86 2025-09-11
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $79,386.36 $79,386.36 $79,386.36 2025-09-11
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 3 3 — — $79,475.67 $79,475.67 $79,475.67 2025-09-11
6904 APR_DRG Acute Leukemia 3 3 — — $79,965.51 $79,965.51 $79,965.51 2025-09-11
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $80,690.15 $80,690.15 $80,690.15 2025-09-11
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 16 12 — — $81,789.58 $136,315.97 $90,877.31 2025-09-11
1784 APR_DRG External Heart Assist Systems 3 3 — — $82,394.46 $82,394.46 $82,394.46 2025-09-11
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 12 — — $84,193.42 $140,322.36 $93,548.24 2025-09-11
4414 APR_DRG Major Bladder Procedures 3 3 — — $87,970.82 $87,970.82 $87,970.82 2025-09-11
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $90,113.85 $90,113.85 $90,113.85 2025-09-11
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 12 — — $92,375.93 $153,959.88 $102,639.92 2025-09-11
140 MS_DRG Major Head And Neck Procedures With Mcc 16 12 — — $92,387.77 $153,979.62 $102,653.08 2025-09-11
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 12 — — $92,387.77 $153,979.62 $102,653.08 2025-09-11
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 12 — — $92,387.77 $153,979.62 $102,653.08 2025-09-11
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $92,500.67 $92,500.67 $92,500.67 2025-09-11
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $92,532.13 $92,532.13 $92,532.13 2025-09-11
1611 APR_DRG Implantable Heart Assist Systems 3 3 — — $93,187.11 $93,187.11 $93,187.11 2025-09-11
165 MS_DRG Major Chest Procedures Without Cc/mcc 16 12 — — $93,583.76 $155,972.94 $103,981.96 2025-09-11
163 MS_DRG Major Chest Procedures With Mcc 16 12 — — $93,583.76 $155,972.94 $103,981.96 2025-09-11
164 MS_DRG Major Chest Procedures With Cc 16 12 — — $93,583.76 $155,972.94 $103,981.96 2025-09-11
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $97,132.75 $97,132.75 $97,132.75 2025-09-11
1612 APR_DRG Implantable Heart Assist Systems 3 3 — — $98,256.23 $98,256.23 $98,256.23 2025-09-11
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $106,181.21 $106,181.21 $106,181.21 2025-09-11
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 16 12 — — $113,394.67 $188,991.12 $125,994.08 2025-09-11
2464 APR_DRG Gastrointestinal Vascular Insufficiency 3 3 — — $118,035.55 $118,035.55 $118,035.55 2025-09-11
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $120,703.80 $120,703.80 $120,703.80 2025-09-11
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $121,721.11 $121,721.11 $121,721.11 2025-09-11
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $121,789.08 $121,789.08 $121,789.08 2025-09-11
1613 APR_DRG Implantable Heart Assist Systems 3 3 — — $136,686.34 $136,686.34 $136,686.34 2025-09-11
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 16 12 — — $137,867.21 $229,778.69 $153,185.79 2025-09-11
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $138,084.50 $138,084.50 $138,084.50 2025-09-11
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $143,251.36 $143,251.36 $143,251.36 2025-09-11
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $143,869.83 $143,869.83 $143,869.83 2025-09-11
2004 APR_DRG Cardiac Structural And Valvular Disorders 3 3 — — $158,843.49 $158,843.49 $158,843.49 2025-09-11
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $170,932.64 $170,932.64 $170,932.64 2025-09-11
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $245,683.54 $245,683.54 $245,683.54 2025-09-11
1614 APR_DRG Implantable Heart Assist Systems 3 3 — — $262,246.36 $262,246.36 $262,246.36 2025-09-11
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