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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

LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL, INC

Tulsa, OK · CCN 374020 · Rates published

894 distinct procedures filed
16 distinct payers
31,149 rate rows
2026-04-01 last MRF observed
Data quality

175 of 31,149 rate rows are consumer-grade (0.6%)

30,974 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 30,974
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://saintfrancis.com/finance/laureate-cms-hpt
Found on page https://www.saintfrancis.com/patients-and-guests/billing-and-insurance/standard-hospital-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-22
Content fingerprint 274d1ca85a62817a… · 10,830,671 bytes · first seen 2026-05-06

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
883
MS_DRG 		Disorders Of Personality And Impulse Control 12 $990.00 $112,460.89 $65,027.59 nat. median
$16,489
outlier · 3.9×
5733
OTHER 		Level 3 Minor Procedures 5 $15,470.00 $79,866.00 $55,211.35 nat. median
$76
outlier · 722.5×
887
MS_DRG 		Other Mental Disorder Diagnoses 8 $9,308.74 $182,595.30 $49,276.55 nat. median
$10,452
outlier · 4.7×
0764
OTHER 		Ketorolac Tromethamine Inj 1 $36,165.00 $36,165.00 $36,165.00 nat. median
$6,626
outlier · 5.5×
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 1 $13,318.00 $13,318.00 $13,318.00 nat. median
$21,142
0.6× median
884
MS_DRG 		Organic Disturbances And Intellectual Disability 8 $1,810.40 $22,331.83 $9,158.00 nat. median
$14,237
0.6× median
918
MS_DRG 		Poisoning And Toxic Effects Of Drugs Without Mcc 1 $8,487.00 $8,487.00 $8,487.00 nat. median
$8,368
1.0× median
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 6 $1,175.00 $10,638.56 $7,080.00 nat. median
$12,544
0.6× median
776
MS_DRG 		Postpartum And Post Abortion Diagnoses Without O.r. Procedures 2 $1,994.73 $12,270.00 $7,002.00 nat. median
$7,212
1.0× median
832
MS_DRG 		Other Antepartum Diagnoses Without O.r. Procedures With Cc 3 $1,994.73 $6,091.17 $5,786.26 nat. median
$7,660
0.8× median
886
MS_DRG 		Behavioral And Developmental Disorders 1 $5,602.50 $5,602.50 $5,602.50 nat. median
$16,721
outlier · 0.3×
885
MS_DRG 		Psychoses 14 $1,540.00 $7,362.00 $5,113.00 nat. median
$12,307
outlier · 0.4×
881
MS_DRG 		Depressive Neuroses 13 $1,175.00 $12,150.86 $4,715.00 nat. median
$8,587
0.5× median
831
MS_DRG 		Other Antepartum Diagnoses Without O.r. Procedures With Mcc 1 $4,654.37 $4,654.37 $4,654.37 nat. median
$11,574
outlier · 0.4×
897
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 12 $1,958.10 $8,703.00 $3,912.00 nat. median
$8,342
outlier · 0.5×
882
MS_DRG 		Neuroses Except Depressive 8 $1,762.52 $7,356.51 $3,769.14 nat. median
$9,333
outlier · 0.4×
880
MS_DRG 		Acute Adjustment Reaction And Psychosocial Dysfunction 9 $1,175.00 $11,623.84 $3,550.61 nat. median
$8,946
outlier · 0.4×
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 3 $2,659.64 $9,108.00 $2,659.64 nat. median
$15,465
outlier · 0.2×
5822
OTHER 		Level 2 Health And Behavior Services 13 $160.00 $3,352.00 $1,480.50 nat. median
$106
outlier · 13.9×
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 1 $664.91 $664.91 $664.91 nat. median
$8,511
outlier · 0.1×
5692
OTHER 		Level 2 Drug Administration 2 $12.97 $110.00 $61.48 nat. median
$154
outlier · 0.4×
N800
OTHER 		Clinical Diagnostic Lab Services 6 $2.18 $76.97 $50.29 nat. median
$70
0.7× median
111
MS_DRG 		Major Cardiovascular Procedures Without Cc 0 — — — nat. median
$7,489
110
MS_DRG 		Major Cardiovascular Procedures W Cc 0 — — — nat. median
$24,281
104
MS_DRG 		Cardiac Valve & Oth Major Cardiothoracic Proc W Cardiac Cath 0 — — — nat. median
$73,288
122
MS_DRG 		Acute Major Eye Infections Without Cc/Mcc 0 — — — nat. median
$7,968
123
MS_DRG 		Neurological Eye Disorders 0 — — — nat. median
$8,506
124
MS_DRG 		Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 0 — — — nat. median
$13,095
125
MS_DRG 		Other Disorders Of The Eye Without Mcc 0 — — — nat. median
$8,277
126
MS_DRG 		Acute & Subacute Endocarditis 0 — — — nat. median
$1,545
121
MS_DRG 		Acute Major Eye Infections With Cc/Mcc 0 — — — nat. median
$11,733
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 0 — — — nat. median
$49,944
120
MS_DRG 		Other Circulatory System O.r. Procedures 0 — — — nat. median
$26,801
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 0 — — — nat. median
$38,687
109
MS_DRG 		No Longer Valid 0 — — — nat. median
$7,534
103
MS_DRG 		Headaches Without Mcc 0 — — — nat. median
$8,798
100
MS_DRG 		Seizures With Mcc 0 — — — nat. median
$18,344
119
MS_DRG 		Vein Ligation & Stripping 0 — — — nat. median
$6,320
118
MS_DRG 		Cardiac Pacemaker Device Replacement 0 — — — nat. median
$5,182
108
MS_DRG 		Other Cardiothoracic Procedures 0 — — — nat. median
$9,307
137
MS_DRG 		Mouth Procedures With Cc/Mcc 0 — — — nat. median
$14,435
136
MS_DRG 		Sinus And Mastoid Procedures Without Cc/Mcc 0 — — — nat. median
$10,548
138
MS_DRG 		Mouth Procedures Without Cc/Mcc 0 — — — nat. median
$9,087
139
MS_DRG 		Salivary Gland Procedures 0 — — — nat. median
$12,777
14
MS_DRG 		Allogeneic Bone Marrow Transplant 0 — — — nat. median
$110,084
140
MS_DRG 		Major Head And Neck Procedures With Mcc 0 — — — nat. median
$38,337
141
MS_DRG 		Major Head And Neck Procedures With Cc 0 — — — nat. median
$20,514
142
MS_DRG 		Major Head And Neck Procedures Without Cc/Mcc 0 — — — nat. median
$15,724
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 0 — — — nat. median
$32,918
144
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 0 — — — nat. median
$16,861

Other procedures at this hospital

Browse this hospital's 894 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
             
0764 OTHER Ketorolac Tromethamine Inj 1 1 — — $36,165.00 $36,165.00 $36,165.00 2026-04-01
100 MS_DRG Seizures With Mcc 0 0 — — — — — 2026-04-01
102 MS_DRG Headaches With Mcc 0 0 — — — — — 2026-04-01
103 MS_DRG Headaches Without Mcc 0 0 — — — — — 2026-04-01
104 MS_DRG Cardiac Valve & Oth Major Cardiothoracic Proc W Cardiac Cath 0 0 — — — — — 2026-04-01
106 MS_DRG Coronary Bypass W Ptca 0 0 — — — — — 2026-04-01
107 MS_DRG No Longer Valid 0 0 — — — — — 2026-04-01
108 MS_DRG Other Cardiothoracic Procedures 0 0 — — — — — 2026-04-01
109 MS_DRG No Longer Valid 0 0 — — — — — 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 0 0 — — — — — 2026-04-01
110 MS_DRG Major Cardiovascular Procedures W Cc 0 0 — — — — — 2026-04-01
111 MS_DRG Major Cardiovascular Procedures Without Cc 0 0 — — — — — 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 0 0 — — — — — 2026-04-01
114 MS_DRG Orbital Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
115 MS_DRG Extraocular Procedures Except Orbit 0 0 — — — — — 2026-04-01
116 MS_DRG Intraocular Procedures With Cc/Mcc 0 0 — — — — — 2026-04-01
117 MS_DRG Intraocular Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
118 MS_DRG Cardiac Pacemaker Device Replacement 0 0 — — — — — 2026-04-01
119 MS_DRG Vein Ligation & Stripping 0 0 — — — — — 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 0 0 — — — — — 2026-04-01
120 MS_DRG Other Circulatory System O.r. Procedures 0 0 — — — — — 2026-04-01
121 MS_DRG Acute Major Eye Infections With Cc/Mcc 0 0 — — — — — 2026-04-01
122 MS_DRG Acute Major Eye Infections Without Cc/Mcc 0 0 — — — — — 2026-04-01
123 MS_DRG Neurological Eye Disorders 0 0 — — — — — 2026-04-01
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 0 0 — — — — — 2026-04-01
125 MS_DRG Other Disorders Of The Eye Without Mcc 0 0 — — — — — 2026-04-01
126 MS_DRG Acute & Subacute Endocarditis 0 0 — — — — — 2026-04-01
129 MS_DRG Major Head & Neck Procedures W Cc/Mcc Or Major Device 0 0 — — — — — 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 0 0 — — — — — 2026-04-01
130 MS_DRG Major Head & Neck Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 0 0 — — — — — 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc 0 0 — — — — — 2026-04-01
134 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 0 0 — — — — — 2026-04-01
136 MS_DRG Sinus And Mastoid Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
137 MS_DRG Mouth Procedures With Cc/Mcc 0 0 — — — — — 2026-04-01
138 MS_DRG Mouth Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
139 MS_DRG Salivary Gland Procedures 0 0 — — — — — 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 0 0 — — — — — 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 0 0 — — — — — 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 0 0 — — — — — 2026-04-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 0 0 — — — — — 2026-04-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 0 0 — — — — — 2026-04-01
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 0 0 — — — — — 2026-04-01
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 0 0 — — — — — 2026-04-01
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc 0 0 — — — — — 2026-04-01
149 MS_DRG Dysequilibrium 0 0 — — — — — 2026-04-01
150 MS_DRG Epistaxis With Mcc 0 0 — — — — — 2026-04-01
151 MS_DRG Epistaxis Without Mcc 0 0 — — — — — 2026-04-01
152 MS_DRG Otitis Media And Uri With Mcc 0 0 — — — — — 2026-04-01
153 MS_DRG Otitis Media And Uri Without Mcc 0 0 — — — — — 2026-04-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 0 0 — — — — — 2026-04-01
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 0 0 — — — — — 2026-04-01
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc 0 0 — — — — — 2026-04-01
159 MS_DRG Dental And Oral Diseases Without Cc/Mcc 0 0 — — — — — 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 0 0 — — — — — 2026-04-01
160 MS_DRG Hernia Procedures Except Inguinal & Femoral Age >17 Without Cc 0 0 — — — — — 2026-04-01
161 MS_DRG Inguinal & Femoral Hernia Procedures Age >17 W Cc 0 0 — — — — — 2026-04-01
162 MS_DRG Inguinal & Femoral Hernia Procedures Age >17 Without Cc 0 0 — — — — — 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 0 0 — — — — — 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 0 0 — — — — — 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 0 0 — — — — — 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 0 0 — — — — — 2026-04-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
169 MS_DRG Mouth Procedures Without Cc 0 0 — — — — — 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 0 0 — — — — — 2026-04-01
171 MS_DRG Other Digestive System O.r. Procedures Without Cc 0 0 — — — — — 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 0 0 — — — — — 2026-04-01
174 MS_DRG G.i. Hemorrhage W Cc 0 0 — — — — — 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 0 0 — — — — — 2026-04-01
176 MS_DRG Pulmonary Embolism Without Mcc 0 0 — — — — — 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 0 0 — — — — — 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 0 0 — — — — — 2026-04-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/Mcc 0 0 — — — — — 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 0 0 — — — — — 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 0 0 — — — — — 2026-04-01
181 MS_DRG Respiratory Neoplasms With Cc 0 0 — — — — — 2026-04-01
182 MS_DRG Respiratory Neoplasms Without Cc/Mcc 0 0 — — — — — 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 0 0 — — — — — 2026-04-01
184 MS_DRG Major Chest Trauma With Cc 0 0 — — — — — 2026-04-01
185 MS_DRG Major Chest Trauma Without Cc/Mcc 0 0 — — — — — 2026-04-01
186 MS_DRG Pleural Effusion With Mcc 0 0 — — — — — 2026-04-01
187 MS_DRG Pleural Effusion With Cc 0 0 — — — — — 2026-04-01
188 MS_DRG Pleural Effusion Without Cc/Mcc 0 0 — — — — — 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 0 0 — — — — — 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 0 0 — — — — — 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 0 0 — — — — — 2026-04-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 0 0 — — — — — 2026-04-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/Mcc 0 0 — — — — — 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 0 0 — — — — — 2026-04-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 1 1 — — $664.91 $664.91 $664.91 2026-04-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 0 0 — — — — — 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 0 0 — — — — — 2026-04-01
197 MS_DRG Interstitial Lung Disease With Cc 0 0 — — — — — 2026-04-01
198 MS_DRG Interstitial Lung Disease Without Cc/Mcc 0 0 — — — — — 2026-04-01
199 MS_DRG Pneumothorax With Mcc 0 0 — — — — — 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 0 0 — — — — — 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 0 0 — — — — — 2026-04-01
200 MS_DRG Pneumothorax With Cc 0 0 — — — — — 2026-04-01
201 MS_DRG Pneumothorax Without Cc/Mcc 0 0 — — — — — 2026-04-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 0 0 — — — — — 2026-04-01
203 MS_DRG Bronchitis And Asthma Without Cc/Mcc 0 0 — — — — — 2026-04-01
204 MS_DRG Respiratory Signs And Symptoms 0 0 — — — — — 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 0 0 — — — — — 2026-04-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 0 0 — — — — — 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 0 0 — — — — — 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 0 0 — — — — — 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 0 0 — — — — — 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 0 0 — — — — — 2026-04-01
210 MS_DRG Hip & Femur Procedures Except Major Joint Age >17 W Cc 0 0 — — — — — 2026-04-01
211 MS_DRG Hip & Femur Procedures Except Major Joint Age >17 Without Cc 0 0 — — — — — 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 0 0 — — — — — 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 0 0 — — — — — 2026-04-01
214 MS_DRG No Longer Valid 0 0 — — — — — 2026-04-01
215 MS_DRG Other Heart Assist System Implant 0 0 — — — — — 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 0 0 — — — — — 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 0 0 — — — — — 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 0 0 — — — — — 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 0 0 — — — — — 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 0 0 — — — — — 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 0 0 — — — — — 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 0 0 — — — — — 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 0 0 — — — — — 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 0 0 — — — — — 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 0 0 — — — — — 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 0 0 — — — — — 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 0 0 — — — — — 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 0 0 — — — — — 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 0 0 — — — — — 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 0 0 — — — — — 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 0 0 — — — — — 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 0 0 — — — — — 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 0 0 — — — — — 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 0 0 — — — — — 2026-04-01
237 MS_DRG Major Cardiovasc Procedures W Mcc 0 0 — — — — — 2026-04-01
238 MS_DRG Major Cardiovasc Procedures Without Mcc 0 0 — — — — — 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 0 0 — — — — — 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 0 0 — — — — — 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 0 0 — — — — — 2026-04-01
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 0 0 — — — — — 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 0 0 — — — — — 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 0 0 — — — — — 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 0 0 — — — — — 2026-04-01
245 MS_DRG Aicd Generator Procedures 0 0 — — — — — 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 0 0 — — — — — 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 0 0 — — — — — 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 0 0 — — — — — 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 0 0 — — — — — 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 0 0 — — — — — 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 0 0 — — — — — 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 0 0 — — — — — 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 0 0 — — — — — 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 0 0 — — — — — 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 0 0 — — — — — 2026-04-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 0 0 — — — — — 2026-04-01
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc 0 0 — — — — — 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 0 0 — — — — — 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 0 0 — — — — — 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 0 0 — — — — — 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 0 0 — — — — — 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 0 0 — — — — — 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 0 0 — — — — — 2026-04-01
263 MS_DRG Vein Ligation And Stripping 0 0 — — — — — 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 0 0 — — — — — 2026-04-01
265 MS_DRG Aicd Lead Procedures 0 0 — — — — — 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 0 0 — — — — — 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 0 0 — — — — — 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 0 0 — — — — — 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 0 0 — — — — — 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 0 0 — — — — — 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 0 0 — — — — — 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 0 0 — — — — — 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 0 0 — — — — — 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 0 0 — — — — — 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 0 0 — — — — — 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 0 0 — — — — — 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 0 0 — — — — — 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 0 0 — — — — — 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 0 0 — — — — — 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 0 0 — — — — — 2026-04-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 0 0 — — — — — 2026-04-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 0 0 — — — — — 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 0 0 — — — — — 2026-04-01
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 0 0 — — — — — 2026-04-01
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/Mcc 0 0 — — — — — 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 0 0 — — — — — 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 0 0 — — — — — 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 0 0 — — — — — 2026-04-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 0 0 — — — — — 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 0 0 — — — — — 2026-04-01
290 MS_DRG Acute And Subacute Endocarditis Without Cc/Mcc 0 0 — — — — — 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 0 0 — — — — — 2026-04-01
292 MS_DRG Heart Failure And Shock With Cc 0 0 — — — — — 2026-04-01
293 MS_DRG Heart Failure And Shock Without Cc/Mcc 0 0 — — — — — 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 0 0 — — — — — 2026-04-01
295 MS_DRG Deep Vein Thrombophlebitis Without Cc/Mcc 0 0 — — — — — 2026-04-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 0 0 — — — — — 2026-04-01
297 MS_DRG Cardiac Arrest, Unexplained With Cc 0 0 — — — — — 2026-04-01
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/Mcc 0 0 — — — — — 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 0 0 — — — — — 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 0 0 — — — — — 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 0 0 — — — — — 2026-04-01
301 MS_DRG Peripheral Vascular Disorders Without Cc/Mcc 0 0 — — — — — 2026-04-01
302 MS_DRG Atherosclerosis With Mcc 0 0 — — — — — 2026-04-01
303 MS_DRG Atherosclerosis Without Mcc 0 0 — — — — — 2026-04-01
304 MS_DRG Hypertension With Mcc 0 0 — — — — — 2026-04-01
305 MS_DRG Hypertension Without Mcc 0 0 — — — — — 2026-04-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 0 0 — — — — — 2026-04-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 0 0 — — — — — 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 0 0 — — — — — 2026-04-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 0 0 — — — — — 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 0 0 — — — — — 2026-04-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc 0 0 — — — — — 2026-04-01
311 MS_DRG Angina Pectoris 0 0 — — — — — 2026-04-01
312 MS_DRG Syncope And Collapse 0 0 — — — — — 2026-04-01
313 MS_DRG Chest Pain 0 0 — — — — — 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 0 0 — — — — — 2026-04-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 0 0 — — — — — 2026-04-01
316 MS_DRG Other Circulatory System Diagnoses Without Cc/Mcc 0 0 — — — — — 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 0 0 — — — — — 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 0 0 — — — — — 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 0 0 — — — — — 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 0 0 — — — — — 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 0 0 — — — — — 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 0 0 — — — — — 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 0 0 — — — — — 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 0 0 — — — — — 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 0 0 — — — — — 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 0 0 — — — — — 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 0 0 — — — — — 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 0 0 — — — — — 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 0 0 — — — — — 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 0 0 — — — — — 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 0 0 — — — — — 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 0 0 — — — — — 2026-04-01
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc 0 0 — — — — — 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 0 0 — — — — — 2026-04-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 0 0 — — — — — 2026-04-01
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc 0 0 — — — — — 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 0 0 — — — — — 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 0 0 — — — — — 2026-04-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 0 0 — — — — — 2026-04-01
348 MS_DRG Anal And Stomal Procedures With Cc 0 0 — — — — — 2026-04-01
349 MS_DRG Anal And Stomal Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 0 0 — — — — — 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 0 0 — — — — — 2026-04-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 0 0 — — — — — 2026-04-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 0 0 — — — — — 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 0 0 — — — — — 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 0 0 — — — — — 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 0 0 — — — — — 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 0 0 — — — — — 2026-04-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 0 0 — — — — — 2026-04-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 0 0 — — — — — 2026-04-01
361 MS_DRG Laparoscopy & Incisional Tubal Interruption 0 0 — — — — — 2026-04-01
362 MS_DRG Endoscopic Tubal Interruption 0 0 — — — — — 2026-04-01
363 MS_DRG D&c, Conization & Radio-implant, For Malignancy 0 0 — — — — — 2026-04-01
364 MS_DRG D&c, Conization Except For Malignancy 0 0 — — — — — 2026-04-01
365 MS_DRG Other Female Reproductive System O.r. Procedures 0 0 — — — — — 2026-04-01
366 MS_DRG Malignancy, Female Reproductive System W Cc 0 0 — — — — — 2026-04-01
367 MS_DRG Malignancy, Female Reproductive System Without Cc 0 0 — — — — — 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 0 0 — — — — — 2026-04-01
369 MS_DRG Major Esophageal Disorders With Cc 0 0 — — — — — 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 0 0 — — — — — 2026-04-01
370 MS_DRG Major Esophageal Disorders Without Cc/Mcc 0 0 — — — — — 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 0 0 — — — — — 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 — — $13,318.00 $13,318.00 $13,318.00 2026-04-01
5692 OTHER Level 2 Drug Administration 2 2 — — $12.97 $110.00 $61.48 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 7 6 — — $1,175.00 $10,638.56 $7,080.00 2026-04-01
5733 OTHER Level 3 Minor Procedures 7 5 — — $15,470.00 $79,866.00 $55,211.35 2026-04-01
5822 OTHER Level 2 Health And Behavior Services 18 13 — — $160.00 $3,352.00 $1,480.50 2026-04-01
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 3 2 — — $1,994.73 $12,270.00 $7,002.00 2026-04-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 1 1 — — $4,654.37 $4,654.37 $4,654.37 2026-04-01
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 3 3 — — $1,994.73 $6,091.17 $5,786.26 2026-04-01
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 14 9 — — $1,175.00 $11,623.84 $3,550.61 2026-04-01
881 MS_DRG Depressive Neuroses 19 13 — — $1,175.00 $12,150.86 $4,715.00 2026-04-01
882 MS_DRG Neuroses Except Depressive 12 8 — — $1,762.52 $7,356.51 $3,769.14 2026-04-01
883 MS_DRG Disorders Of Personality And Impulse Control 17 12 — — $990.00 $112,460.89 $65,027.59 2026-04-01
884 MS_DRG Organic Disturbances And Intellectual Disability 9 8 — — $1,810.40 $22,331.83 $9,158.00 2026-04-01
885 MS_DRG Psychoses 20 14 — — $1,540.00 $7,362.00 $5,113.00 2026-04-01
886 MS_DRG Behavioral And Developmental Disorders 1 1 — — $5,602.50 $5,602.50 $5,602.50 2026-04-01
887 MS_DRG Other Mental Disorder Diagnoses 10 8 — — $9,308.74 $182,595.30 $49,276.55 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 3 3 — — $2,659.64 $9,108.00 $2,659.64 2026-04-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 18 12 — — $1,958.10 $8,703.00 $3,912.00 2026-04-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 1 1 — — $8,487.00 $8,487.00 $8,487.00 2026-04-01
N800 OTHER Clinical Diagnostic Lab Services 7 6 — — $2.18 $76.97 $50.29 2026-04-01
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