|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
1
|
1
|
—
|
—
|
$32,043.38
|
$32,043.38
|
$32,043.38
|
2025-07-01
|
|
1233
|
OTHER
|
Inj, Vasopressin, 1 Unit
|
1
|
1
|
—
|
—
|
$22,794.60
|
$22,794.60
|
$22,794.60
|
2025-07-01
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
1
|
1
|
—
|
—
|
$13,316.25
|
$13,316.25
|
$13,316.25
|
2025-07-01
|
|
1490
|
OTHER
|
Inj Pembrolizumab
|
1
|
1
|
—
|
—
|
$32,601.99
|
$32,601.99
|
$32,601.99
|
2025-07-01
|
|
150
|
MS_DRG
|
Epistaxis With Mcc
|
1
|
1
|
—
|
—
|
$23,269.88
|
$23,269.88
|
$23,269.88
|
2025-07-01
|
|
154
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat Diagnoses With Mcc
|
2
|
2
|
—
|
—
|
$59,403.43
|
$59,403.43
|
$59,403.43
|
2025-07-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
7
|
5
|
—
|
—
|
$26,853.76
|
$26,853.76
|
$26,853.76
|
2025-07-01
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
8
|
6
|
—
|
—
|
$25,371.65
|
$25,371.65
|
$25,371.65
|
2025-07-01
|
|
165
|
MS_DRG
|
Major Chest Procedures Without Cc/Mcc
|
5
|
4
|
—
|
—
|
$18,842.90
|
$18,842.90
|
$18,842.90
|
2025-07-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
4
|
4
|
—
|
—
|
$24,470.26
|
$24,470.26
|
$24,470.26
|
2025-07-01
|
|
167
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Cc
|
2
|
2
|
—
|
—
|
$16,550.44
|
$16,550.44
|
$16,550.44
|
2025-07-01
|
|
1745
|
OTHER
|
Radium Ra223 Dichloride Ther
|
1
|
1
|
—
|
—
|
$17,545.70
|
$17,545.70
|
$17,545.70
|
2025-07-01
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
10
|
5
|
—
|
—
|
$19,038.56
|
$19,038.56
|
$19,038.56
|
2025-07-01
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
10
|
6
|
—
|
—
|
$41,274.76
|
$41,274.76
|
$41,274.76
|
2025-07-01
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
6
|
6
|
—
|
—
|
$18,549.60
|
$18,549.60
|
$18,549.60
|
2025-07-01
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
17
|
9
|
—
|
—
|
$24,216.03
|
$24,216.03
|
$24,216.03
|
2025-07-01
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With Mcc
|
6
|
5
|
—
|
—
|
$18,337.30
|
$18,337.30
|
$18,337.30
|
2025-07-01
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
2
|
2
|
—
|
—
|
$11,957.63
|
$11,957.63
|
$11,957.63
|
2025-07-01
|
|
200
|
MS_DRG
|
Pneumothorax With Cc
|
5
|
3
|
—
|
—
|
$13,024.45
|
$13,024.45
|
$13,024.45
|
2025-07-01
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
4
|
3
|
—
|
—
|
$15,560.24
|
$15,560.24
|
$15,560.24
|
2025-07-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
5
|
4
|
—
|
—
|
$28,386.49
|
$28,386.49
|
$28,386.49
|
2025-07-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
9
|
6
|
—
|
—
|
$25,642.88
|
$25,642.88
|
$25,642.88
|
2025-07-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
1
|
1
|
—
|
—
|
$69,206.47
|
$69,206.47
|
$69,206.47
|
2025-07-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
5
|
5
|
—
|
—
|
$101,653.82
|
$101,653.82
|
$101,653.82
|
2025-07-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
2
|
2
|
—
|
—
|
$85,393.05
|
$85,393.05
|
$85,393.05
|
2025-07-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
2
|
2
|
—
|
—
|
$59,947.89
|
$59,947.89
|
$59,947.89
|
2025-07-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
1
|
1
|
—
|
—
|
$32,288.46
|
$32,288.46
|
$32,288.46
|
2025-07-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
1
|
1
|
—
|
—
|
$57,302.86
|
$57,302.86
|
$57,302.86
|
2025-07-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
4
|
4
|
—
|
—
|
$55,826.13
|
$55,826.13
|
$55,826.13
|
2025-07-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
2
|
2
|
—
|
—
|
$20,663.56
|
$20,663.56
|
$20,663.56
|
2025-07-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
3
|
2
|
—
|
—
|
$52,929.71
|
$52,929.71
|
$52,929.71
|
2025-07-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
1
|
1
|
—
|
—
|
$122,348.00
|
$122,348.00
|
$122,348.00
|
2025-07-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
1
|
1
|
—
|
—
|
$87,394.00
|
$87,394.00
|
$87,394.00
|
2025-07-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
10
|
6
|
—
|
—
|
$88,035.58
|
$88,035.58
|
$88,035.58
|
2025-07-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
9
|
6
|
—
|
—
|
$109,562.01
|
$109,562.01
|
$109,562.01
|
2025-07-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
6
|
4
|
—
|
—
|
$62,327.12
|
$62,327.12
|
$62,327.12
|
2025-07-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
6
|
5
|
—
|
—
|
$62,840.72
|
$62,840.72
|
$62,840.72
|
2025-07-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
2
|
2
|
—
|
—
|
$29,533.53
|
$29,533.53
|
$29,533.53
|
2025-07-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
4
|
4
|
—
|
—
|
$17,955.08
|
$17,955.08
|
$17,955.08
|
2025-07-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
2
|
2
|
—
|
—
|
$22,023.48
|
$22,023.48
|
$22,023.48
|
2025-07-01
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
5
|
4
|
—
|
—
|
$40,703.96
|
$40,703.96
|
$40,703.96
|
2025-07-01
|
|
244
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant Without Cc/Mcc
|
4
|
4
|
—
|
—
|
$18,935.46
|
$18,935.46
|
$18,935.46
|
2025-07-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
6
|
5
|
—
|
—
|
$40,258.14
|
$40,258.14
|
$40,258.14
|
2025-07-01
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
2
|
2
|
—
|
—
|
$14,072.22
|
$14,072.22
|
$14,072.22
|
2025-07-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
7
|
6
|
—
|
—
|
$36,646.64
|
$36,646.64
|
$36,646.64
|
2025-07-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
5
|
4
|
—
|
—
|
$30,166.98
|
$30,166.98
|
$30,166.98
|
2025-07-01
|
|
254
|
MS_DRG
|
Other Vascular Procedures Without Cc/Mcc
|
3
|
3
|
—
|
—
|
$17,237.76
|
$17,237.76
|
$17,237.76
|
2025-07-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
2
|
2
|
—
|
—
|
$32,822.85
|
$32,822.85
|
$32,822.85
|
2025-07-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
2
|
2
|
—
|
—
|
$50,910.38
|
$50,910.38
|
$50,910.38
|
2025-07-01
|
|
262
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$30,085.64
|
$30,085.64
|
$30,085.64
|
2025-07-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
2
|
2
|
—
|
—
|
$16,598.04
|
$16,598.04
|
$16,598.04
|
2025-07-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
4
|
3
|
—
|
—
|
$52,998.93
|
$52,998.93
|
$52,998.93
|
2025-07-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
6
|
6
|
—
|
—
|
$45,082.04
|
$45,082.04
|
$45,082.04
|
2025-07-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
3
|
2
|
—
|
—
|
$44,645.61
|
$44,645.61
|
$44,645.61
|
2025-07-01
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$75,415.26
|
$75,415.26
|
$75,415.26
|
2025-07-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
2
|
1
|
—
|
—
|
$39,932.34
|
$39,932.34
|
$39,932.34
|
2025-07-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
4
|
4
|
—
|
—
|
$20,351.04
|
$20,351.04
|
$20,351.04
|
2025-07-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
3
|
1
|
—
|
—
|
$74,700.66
|
$74,700.66
|
$74,700.66
|
2025-07-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
3
|
2
|
—
|
—
|
$42,919.16
|
$42,919.16
|
$42,919.16
|
2025-07-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
2
|
2
|
—
|
—
|
$58,504.72
|
$58,504.72
|
$58,504.72
|
2025-07-01
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
15
|
9
|
—
|
—
|
$18,368.92
|
$18,368.92
|
$18,368.92
|
2025-07-01
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
5
|
5
|
—
|
—
|
$16,326.25
|
$16,326.25
|
$16,326.25
|
2025-07-01
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
13
|
8
|
—
|
—
|
$17,394.57
|
$17,394.57
|
$17,394.57
|
2025-07-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
2
|
2
|
—
|
—
|
$28,310.56
|
$28,310.56
|
$28,310.56
|
2025-07-01
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
3
|
3
|
—
|
—
|
$16,828.63
|
$16,828.63
|
$16,828.63
|
2025-07-01
|
|
296
|
MS_DRG
|
Cardiac Arrest, Unexplained With Mcc
|
4
|
3
|
—
|
—
|
$20,187.17
|
$20,187.17
|
$20,187.17
|
2025-07-01
|
|
297
|
MS_DRG
|
Cardiac Arrest, Unexplained With Cc
|
1
|
1
|
—
|
—
|
$14,418.04
|
$14,418.04
|
$14,418.04
|
2025-07-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
4
|
3
|
—
|
—
|
$171,526.43
|
$171,526.43
|
$171,526.43
|
2025-07-01
|
|
30
|
MS_DRG
|
Spinal Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$34,075.36
|
$34,075.36
|
$34,075.36
|
2025-07-01
|
|
300
|
MS_DRG
|
Peripheral Vascular Disorders With Cc
|
7
|
5
|
—
|
—
|
$14,930.50
|
$14,930.50
|
$14,930.50
|
2025-07-01
|
|
301
|
MS_DRG
|
Peripheral Vascular Disorders Without Cc/Mcc
|
4
|
3
|
—
|
—
|
$24,342.08
|
$24,342.08
|
$24,342.08
|
2025-07-01
|
|
305
|
MS_DRG
|
Hypertension Without Mcc
|
14
|
6
|
—
|
—
|
$20,224.33
|
$20,224.33
|
$20,224.33
|
2025-07-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
1
|
1
|
—
|
—
|
$26,210.58
|
$26,210.58
|
$26,210.58
|
2025-07-01
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
10
|
8
|
—
|
—
|
$15,971.89
|
$15,971.89
|
$15,971.89
|
2025-07-01
|
|
322
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc
|
17
|
8
|
—
|
—
|
$31,118.75
|
$31,118.75
|
$31,118.75
|
2025-07-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
3
|
3
|
—
|
—
|
$32,704.09
|
$32,704.09
|
$32,704.09
|
2025-07-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
6
|
5
|
—
|
—
|
$19,848.46
|
$19,848.46
|
$19,848.46
|
2025-07-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
1
|
1
|
—
|
—
|
$18,527.50
|
$18,527.50
|
$18,527.50
|
2025-07-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
4
|
2
|
—
|
—
|
$56,540.48
|
$56,540.48
|
$56,540.48
|
2025-07-01
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
3
|
3
|
—
|
—
|
$20,091.54
|
$20,091.54
|
$20,091.54
|
2025-07-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
9
|
6
|
—
|
—
|
$176,137.08
|
$176,137.08
|
$176,137.08
|
2025-07-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
15
|
8
|
—
|
—
|
$31,233.59
|
$31,233.59
|
$31,233.59
|
2025-07-01
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/Mcc
|
12
|
7
|
—
|
—
|
$16,871.40
|
$16,871.40
|
$16,871.40
|
2025-07-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
4
|
4
|
—
|
—
|
$30,432.29
|
$30,432.29
|
$30,432.29
|
2025-07-01
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
10
|
6
|
—
|
—
|
$20,866.09
|
$20,866.09
|
$20,866.09
|
2025-07-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
1
|
1
|
—
|
—
|
$25,533.21
|
$25,533.21
|
$25,533.21
|
2025-07-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
2
|
2
|
—
|
—
|
$31,977.62
|
$31,977.62
|
$31,977.62
|
2025-07-01
|
|
345
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Cc
|
4
|
3
|
—
|
—
|
$13,229.47
|
$13,229.47
|
$13,229.47
|
2025-07-01
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
1
|
1
|
—
|
—
|
$15,389.04
|
$15,389.04
|
$15,389.04
|
2025-07-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
1
|
1
|
—
|
—
|
$19,691.99
|
$19,691.99
|
$19,691.99
|
2025-07-01
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
3
|
3
|
—
|
—
|
$16,364.52
|
$16,364.52
|
$16,364.52
|
2025-07-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
4
|
3
|
—
|
—
|
$34,669.60
|
$34,669.60
|
$34,669.60
|
2025-07-01
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
5
|
4
|
—
|
—
|
$21,842.18
|
$21,842.18
|
$21,842.18
|
2025-07-01
|
|
358
|
MS_DRG
|
Other Digestive System O.r. Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$14,405.05
|
$14,405.05
|
$14,405.05
|
2025-07-01
|
|
36
|
MS_DRG
|
Carotid Artery Stent Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$14,002.49
|
$14,002.49
|
$14,002.49
|
2025-07-01
|
|
368
|
MS_DRG
|
Major Esophageal Disorders With Mcc
|
4
|
4
|
—
|
—
|
$13,365.24
|
$13,365.24
|
$13,365.24
|
2025-07-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
1
|
1
|
—
|
—
|
$22,016.47
|
$22,016.47
|
$22,016.47
|
2025-07-01
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
10
|
7
|
—
|
—
|
$16,891.94
|
$16,891.94
|
$16,891.94
|
2025-07-01
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
18
|
8
|
—
|
—
|
$20,102.59
|
$20,102.59
|
$20,102.59
|
2025-07-01
|
|
38
|
MS_DRG
|
Extracranial Procedures With Cc
|
3
|
3
|
—
|
—
|
$16,763.42
|
$16,763.42
|
$16,763.42
|
2025-07-01
|
|
385
|
MS_DRG
|
Inflammatory Bowel Disease With Mcc
|
2
|
1
|
—
|
—
|
$29,374.39
|
$29,374.39
|
$29,374.39
|
2025-07-01
|
|
386
|
MS_DRG
|
Inflammatory Bowel Disease With Cc
|
6
|
5
|
—
|
—
|
$42,640.29
|
$42,640.29
|
$42,640.29
|
2025-07-01
|
|
387
|
MS_DRG
|
Inflammatory Bowel Disease Without Cc/Mcc
|
4
|
4
|
—
|
—
|
$18,032.52
|
$18,032.52
|
$18,032.52
|
2025-07-01
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
11
|
7
|
—
|
—
|
$20,620.31
|
$20,620.31
|
$20,620.31
|
2025-07-01
|
|
39
|
MS_DRG
|
Extracranial Procedures Without Cc/Mcc
|
4
|
3
|
—
|
—
|
$13,137.24
|
$13,137.24
|
$13,137.24
|
2025-07-01
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
11
|
8
|
—
|
—
|
$22,265.78
|
$22,265.78
|
$22,265.78
|
2025-07-01
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
3
|
3
|
—
|
—
|
$13,987.66
|
$13,987.66
|
$13,987.66
|
2025-07-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
3
|
3
|
—
|
—
|
$19,623.32
|
$19,623.32
|
$19,623.32
|
2025-07-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
1
|
1
|
—
|
—
|
$49,388.82
|
$49,388.82
|
$49,388.82
|
2025-07-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
1
|
1
|
—
|
—
|
$17,614.60
|
$17,614.60
|
$17,614.60
|
2025-07-01
|
|
407
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$12,112.40
|
$12,112.40
|
$12,112.40
|
2025-07-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
1
|
1
|
—
|
—
|
$143,061.32
|
$143,061.32
|
$143,061.32
|
2025-07-01
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
2
|
2
|
—
|
—
|
$19,335.86
|
$19,335.86
|
$19,335.86
|
2025-07-01
|
|
416
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$12,879.23
|
$12,879.23
|
$12,879.23
|
2025-07-01
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
10
|
6
|
—
|
—
|
$54,909.44
|
$54,909.44
|
$54,909.44
|
2025-07-01
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
14
|
8
|
—
|
—
|
$12,420.73
|
$12,420.73
|
$12,420.73
|
2025-07-01
|
|
42
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$12,002.36
|
$12,002.36
|
$12,002.36
|
2025-07-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
3
|
2
|
—
|
—
|
$116,855.62
|
$116,855.62
|
$116,855.62
|
2025-07-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$23,701.86
|
$23,701.86
|
$23,701.86
|
2025-07-01
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
13
|
7
|
—
|
—
|
$17,246.41
|
$17,246.41
|
$17,246.41
|
2025-07-01
|
|
436
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Cc
|
3
|
2
|
—
|
—
|
$16,645.56
|
$16,645.56
|
$16,645.56
|
2025-07-01
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
11
|
6
|
—
|
—
|
$18,606.58
|
$18,606.58
|
$18,606.58
|
2025-07-01
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
7
|
5
|
—
|
—
|
$12,522.21
|
$12,522.21
|
$12,522.21
|
2025-07-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
1
|
1
|
—
|
—
|
$24,721.85
|
$24,721.85
|
$24,721.85
|
2025-07-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
2
|
2
|
—
|
—
|
$33,566.08
|
$33,566.08
|
$33,566.08
|
2025-07-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
1
|
1
|
—
|
—
|
$39,556.09
|
$39,556.09
|
$39,556.09
|
2025-07-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
1
|
1
|
—
|
—
|
$49,851.81
|
$49,851.81
|
$49,851.81
|
2025-07-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
1
|
1
|
—
|
—
|
$69,147.34
|
$69,147.34
|
$69,147.34
|
2025-07-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
1
|
1
|
—
|
—
|
$25,472.40
|
$25,472.40
|
$25,472.40
|
2025-07-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
3
|
3
|
—
|
—
|
$17,996.67
|
$17,996.67
|
$17,996.67
|
2025-07-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
1
|
1
|
—
|
—
|
$21,316.72
|
$21,316.72
|
$21,316.72
|
2025-07-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$16,104.30
|
$16,104.30
|
$16,104.30
|
2025-07-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
2
|
2
|
—
|
—
|
$20,606.85
|
$20,606.85
|
$20,606.85
|
2025-07-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
4
|
4
|
—
|
—
|
$30,143.24
|
$30,143.24
|
$30,143.24
|
2025-07-01
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/Mcc
|
4
|
3
|
—
|
—
|
$24,268.10
|
$24,268.10
|
$24,268.10
|
2025-07-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
2
|
2
|
—
|
—
|
$23,786.78
|
$23,786.78
|
$23,786.78
|
2025-07-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
3
|
3
|
—
|
—
|
$43,953.37
|
$43,953.37
|
$43,953.37
|
2025-07-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
6
|
6
|
—
|
—
|
$13,368.86
|
$13,368.86
|
$13,368.86
|
2025-07-01
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
9
|
7
|
—
|
—
|
$17,934.01
|
$17,934.01
|
$17,934.01
|
2025-07-01
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/Mcc
|
6
|
4
|
—
|
—
|
$16,826.97
|
$16,826.97
|
$16,826.97
|
2025-07-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
2
|
2
|
—
|
—
|
$16,597.35
|
$16,597.35
|
$16,597.35
|
2025-07-01
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
1
|
1
|
—
|
—
|
$25,767.27
|
$25,767.27
|
$25,767.27
|
2025-07-01
|
|
488
|
MS_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc
|
1
|
1
|
—
|
—
|
$12,408.83
|
$12,408.83
|
$12,408.83
|
2025-07-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
4
|
4
|
—
|
—
|
$26,101.03
|
$26,101.03
|
$26,101.03
|
2025-07-01
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
3
|
2
|
—
|
—
|
$24,665.51
|
$24,665.51
|
$24,665.51
|
2025-07-01
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc
|
8
|
6
|
—
|
—
|
$15,929.86
|
$15,929.86
|
$15,929.86
|
2025-07-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
1
|
1
|
—
|
—
|
$21,357.20
|
$21,357.20
|
$21,357.20
|
2025-07-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
1
|
1
|
—
|
—
|
$17,847.03
|
$17,847.03
|
$17,847.03
|
2025-07-01
|
|
5055
|
OTHER
|
Level 5 Skin Procedures
|
4
|
3
|
—
|
—
|
$20,380.44
|
$20,380.44
|
$20,380.44
|
2025-07-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
1
|
1
|
—
|
—
|
$16,072.77
|
$16,072.77
|
$16,072.77
|
2025-07-01
|
|
5113
|
OTHER
|
Level 3 Musculoskeletal Procedures
|
19
|
8
|
—
|
—
|
$19,456.44
|
$19,456.44
|
$19,456.44
|
2025-07-01
|
|
5115
|
OTHER
|
Level 5 Musculoskeletal Procedures
|
18
|
9
|
—
|
—
|
$14,431.57
|
$14,431.57
|
$14,431.57
|
2025-07-01
|
|
5116
|
OTHER
|
Level 6 Musculoskeletal Procedures
|
6
|
4
|
—
|
—
|
$16,253.76
|
$16,253.76
|
$16,253.76
|
2025-07-01
|
|
512
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/…
|
1
|
1
|
—
|
—
|
$30,916.02
|
$30,916.02
|
$30,916.02
|
2025-07-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$23,037.72
|
$23,037.72
|
$23,037.72
|
2025-07-01
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
3
|
3
|
—
|
—
|
$19,749.35
|
$19,749.35
|
$19,749.35
|
2025-07-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
3
|
3
|
—
|
—
|
$25,754.79
|
$25,754.79
|
$25,754.79
|
2025-07-01
|
|
5184
|
OTHER
|
Level 4 Vascular Procedures
|
4
|
3
|
—
|
—
|
$15,684.45
|
$15,684.45
|
$15,684.45
|
2025-07-01
|
|
5191
|
OTHER
|
Level 1 Endovascular Procedures
|
24
|
10
|
—
|
—
|
$19,486.42
|
$19,486.42
|
$19,486.42
|
2025-07-01
|
|
52
|
MS_DRG
|
Spinal Disorders And Injuries With Cc/Mcc
|
1
|
1
|
—
|
—
|
$72,881.99
|
$72,881.99
|
$72,881.99
|
2025-07-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
5
|
5
|
—
|
—
|
$25,570.01
|
$25,570.01
|
$25,570.01
|
2025-07-01
|
|
5213
|
OTHER
|
Level 3 Electrophysiologic Procedures
|
10
|
6
|
—
|
—
|
$14,989.48
|
$14,989.48
|
$14,989.48
|
2025-07-01
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
6
|
5
|
—
|
—
|
$20,345.76
|
$20,345.76
|
$20,345.76
|
2025-07-01
|
|
5222
|
OTHER
|
Level 2 Pacemaker And Similar Procedures
|
5
|
4
|
—
|
—
|
$13,031.47
|
$13,031.47
|
$13,031.47
|
2025-07-01
|
|
5223
|
OTHER
|
Level 3 Pacemaker And Similar Procedures
|
6
|
5
|
—
|
—
|
$24,582.40
|
$24,582.40
|
$24,582.40
|
2025-07-01
|
|
5224
|
OTHER
|
Level 4 Pacemaker And Similar Procedures
|
1
|
1
|
—
|
—
|
$16,292.69
|
$16,292.69
|
$16,292.69
|
2025-07-01
|
|
5231
|
OTHER
|
Level 1 Icd And Similar Procedures
|
2
|
2
|
—
|
—
|
$60,877.38
|
$60,877.38
|
$60,877.38
|
2025-07-01
|
|
535
|
MS_DRG
|
Fractures Of Hip And Pelvis With Mcc
|
4
|
4
|
—
|
—
|
$12,482.64
|
$12,482.64
|
$12,482.64
|
2025-07-01
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
13
|
7
|
—
|
—
|
$14,843.03
|
$14,843.03
|
$14,843.03
|
2025-07-01
|
|
5378
|
OTHER
|
Level 8 Urology And Related Services
|
5
|
5
|
—
|
—
|
$22,535.33
|
$22,535.33
|
$22,535.33
|
2025-07-01
|
|
54
|
MS_DRG
|
Nervous System Neoplasms With Mcc
|
4
|
4
|
—
|
—
|
$13,661.13
|
$13,661.13
|
$13,661.13
|
2025-07-01
|
|
542
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
2
|
2
|
—
|
—
|
$21,350.07
|
$21,350.07
|
$21,350.07
|
2025-07-01
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
4
|
3
|
—
|
—
|
$15,267.09
|
$15,267.09
|
$15,267.09
|
2025-07-01
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
1
|
1
|
—
|
—
|
$39,052.00
|
$39,052.00
|
$39,052.00
|
2025-07-01
|
|
546
|
MS_DRG
|
Connective Tissue Disorders With Cc
|
2
|
2
|
—
|
—
|
$39,201.32
|
$39,201.32
|
$39,201.32
|
2025-07-01
|
|
5464
|
OTHER
|
Level 4 Neurostimulator And Related Procedures
|
7
|
5
|
—
|
—
|
$25,400.73
|
$25,400.73
|
$25,400.73
|
2025-07-01
|
|
553
|
MS_DRG
|
Bone Diseases And Arthropathies With Mcc
|
1
|
1
|
—
|
—
|
$23,470.14
|
$23,470.14
|
$23,470.14
|
2025-07-01
|
|
557
|
MS_DRG
|
Tendonitis, Myositis And Bursitis With Mcc
|
5
|
4
|
—
|
—
|
$14,164.24
|
$14,164.24
|
$14,164.24
|
2025-07-01
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
2
|
2
|
—
|
—
|
$13,777.36
|
$13,777.36
|
$13,777.36
|
2025-07-01
|
|
5626
|
OTHER
|
Level 6 Radiation Therapy
|
13
|
7
|
—
|
—
|
$14,167.16
|
$14,167.16
|
$14,167.16
|
2025-07-01
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
7
|
4
|
—
|
—
|
$18,605.12
|
$18,605.12
|
$18,605.12
|
2025-07-01
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
8
|
6
|
—
|
—
|
$18,290.41
|
$18,290.41
|
$18,290.41
|
2025-07-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
3
|
3
|
—
|
—
|
$14,117.56
|
$14,117.56
|
$14,117.56
|
2025-07-01
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
5
|
4
|
—
|
—
|
$12,888.59
|
$12,888.59
|
$12,888.59
|
2025-07-01
|
|
572
|
MS_DRG
|
Skin Debridement Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$14,893.43
|
$14,893.43
|
$14,893.43
|
2025-07-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
2
|
2
|
—
|
—
|
$13,582.82
|
$13,582.82
|
$13,582.82
|
2025-07-01
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
3
|
3
|
—
|
—
|
$20,845.74
|
$20,845.74
|
$20,845.74
|
2025-07-01
|
|
581
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$14,177.38
|
$14,177.38
|
$14,177.38
|
2025-07-01
|
|
583
|
MS_DRG
|
Mastectomy For Malignancy Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$30,147.97
|
$30,147.97
|
$30,147.97
|
2025-07-01
|
|
584
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc
|
1
|
1
|
—
|
—
|
$12,758.60
|
$12,758.60
|
$12,758.60
|
2025-07-01
|
|
59
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia With Cc
|
4
|
3
|
—
|
—
|
$19,773.80
|
$19,773.80
|
$19,773.80
|
2025-07-01
|
|
592
|
MS_DRG
|
Skin Ulcers With Mcc
|
2
|
2
|
—
|
—
|
$12,348.36
|
$12,348.36
|
$12,348.36
|
2025-07-01
|
|
597
|
MS_DRG
|
Malignant Breast Disorders With Mcc
|
1
|
1
|
—
|
—
|
$15,794.84
|
$15,794.84
|
$15,794.84
|
2025-07-01
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
12
|
7
|
—
|
—
|
$13,171.28
|
$13,171.28
|
$13,171.28
|
2025-07-01
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc
|
4
|
2
|
—
|
—
|
$15,576.50
|
$15,576.50
|
$15,576.50
|
2025-07-01
|
|
614
|
MS_DRG
|
Adrenal And Pituitary Procedures With Cc/Mcc
|
2
|
2
|
—
|
—
|
$15,306.14
|
$15,306.14
|
$15,306.14
|
2025-07-01
|
|
615
|
MS_DRG
|
Adrenal And Pituitary Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$17,588.80
|
$17,588.80
|
$17,588.80
|
2025-07-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
2
|
2
|
—
|
—
|
$23,638.98
|
$23,638.98
|
$23,638.98
|
2025-07-01
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
6
|
5
|
—
|
—
|
$14,501.03
|
$14,501.03
|
$14,501.03
|
2025-07-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
1
|
1
|
—
|
—
|
$16,401.66
|
$16,401.66
|
$16,401.66
|
2025-07-01
|
|
62
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
5
|
4
|
—
|
—
|
$17,125.84
|
$17,125.84
|
$17,125.84
|
2025-07-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
2
|
2
|
—
|
—
|
$22,908.69
|
$22,908.69
|
$22,908.69
|
2025-07-01
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
3
|
2
|
—
|
—
|
$16,870.51
|
$16,870.51
|
$16,870.51
|
2025-07-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
1
|
1
|
—
|
—
|
$19,389.42
|
$19,389.42
|
$19,389.42
|
2025-07-01
|
|
626
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Cc
|
2
|
2
|
—
|
—
|
$18,089.97
|
$18,089.97
|
$18,089.97
|
2025-07-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$13,631.83
|
$13,631.83
|
$13,631.83
|
2025-07-01
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
1
|
1
|
—
|
—
|
$29,811.63
|
$29,811.63
|
$29,811.63
|
2025-07-01
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
12
|
7
|
—
|
—
|
$14,377.03
|
$14,377.03
|
$14,377.03
|
2025-07-01
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
18
|
9
|
—
|
—
|
$51,531.54
|
$51,531.54
|
$51,531.54
|
2025-07-01
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
16
|
8
|
—
|
—
|
$24,331.65
|
$24,331.65
|
$24,331.65
|
2025-07-01
|
|
642
|
MS_DRG
|
Inborn And Other Disorders Of Metabolism
|
2
|
2
|
—
|
—
|
$13,276.67
|
$13,276.67
|
$13,276.67
|
2025-07-01
|
|
643
|
MS_DRG
|
Endocrine Disorders With Mcc
|
4
|
4
|
—
|
—
|
$32,185.51
|
$32,185.51
|
$32,185.51
|
2025-07-01
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
18
|
8
|
—
|
—
|
$14,900.15
|
$14,900.15
|
$14,900.15
|
2025-07-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
2
|
1
|
—
|
—
|
$34,906.35
|
$34,906.35
|
$34,906.35
|
2025-07-01
|
|
655
|
MS_DRG
|
Major Bladder Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$13,783.37
|
$13,783.37
|
$13,783.37
|
2025-07-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
2
|
2
|
—
|
—
|
$48,464.11
|
$48,464.11
|
$48,464.11
|
2025-07-01
|
|
657
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Cc
|
4
|
4
|
—
|
—
|
$17,787.27
|
$17,787.27
|
$17,787.27
|
2025-07-01
|
|
658
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc
|
5
|
3
|
—
|
—
|
$15,172.86
|
$15,172.86
|
$15,172.86
|
2025-07-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
6
|
4
|
—
|
—
|
$26,807.08
|
$26,807.08
|
$26,807.08
|
2025-07-01
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc
|
11
|
7
|
—
|
—
|
$19,782.88
|
$19,782.88
|
$19,782.88
|
2025-07-01
|
|
660
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Cc
|
11
|
6
|
—
|
—
|
$32,811.94
|
$32,811.94
|
$32,811.94
|
2025-07-01
|
|
661
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc
|
12
|
6
|
—
|
—
|
$25,601.88
|
$25,601.88
|
$25,601.88
|
2025-07-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
3
|
2
|
—
|
—
|
$35,120.79
|
$35,120.79
|
$35,120.79
|
2025-07-01
|
|
669
|
MS_DRG
|
Transurethral Procedures With Cc
|
1
|
1
|
—
|
—
|
$16,389.35
|
$16,389.35
|
$16,389.35
|
2025-07-01
|
|
67
|
MS_DRG
|
Nonspecific Cva And Precerebral Occlusion Without Infarction With Mcc
|
1
|
1
|
—
|
—
|
$23,235.24
|
$23,235.24
|
$23,235.24
|
2025-07-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
10
|
7
|
—
|
—
|
$33,655.68
|
$33,655.68
|
$33,655.68
|
2025-07-01
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
4
|
3
|
—
|
—
|
$21,217.92
|
$21,217.92
|
$21,217.92
|
2025-07-01
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
16
|
8
|
—
|
—
|
$12,177.53
|
$12,177.53
|
$12,177.53
|
2025-07-01
|
|
70
|
MS_DRG
|
Nonspecific Cerebrovascular Disorders With Mcc
|
9
|
6
|
—
|
—
|
$21,411.34
|
$21,411.34
|
$21,411.34
|
2025-07-01
|
|
707
|
MS_DRG
|
Major Male Pelvic Procedures With Cc/Mcc
|
1
|
1
|
—
|
—
|
$20,665.56
|
$20,665.56
|
$20,665.56
|
2025-07-01
|
|
71
|
MS_DRG
|
Nonspecific Cerebrovascular Disorders With Cc
|
9
|
5
|
—
|
—
|
$17,371.64
|
$17,371.64
|
$17,371.64
|
2025-07-01
|
|
710
|
MS_DRG
|
Penis Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$18,193.92
|
$18,193.92
|
$18,193.92
|
2025-07-01
|
|
717
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/Mcc
|
2
|
2
|
—
|
—
|
$15,159.12
|
$15,159.12
|
$15,159.12
|
2025-07-01
|
|
725
|
MS_DRG
|
Benign Prostatic Hypertrophy With Mcc
|
1
|
1
|
—
|
—
|
$17,649.83
|
$17,649.83
|
$17,649.83
|
2025-07-01
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without Mcc
|
9
|
5
|
—
|
—
|
$12,162.81
|
$12,162.81
|
$12,162.81
|
2025-07-01
|
|
742
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc
|
3
|
2
|
—
|
—
|
$13,891.23
|
$13,891.23
|
$13,891.23
|
2025-07-01
|
|
744
|
MS_DRG
|
D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc
|
5
|
4
|
—
|
—
|
$19,871.74
|
$19,871.74
|
$19,871.74
|
2025-07-01
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/Mcc
|
2
|
2
|
—
|
—
|
$58,822.58
|
$58,822.58
|
$58,822.58
|
2025-07-01
|
|
754
|
MS_DRG
|
Malignancy, Female Reproductive System With Mcc
|
1
|
1
|
—
|
—
|
$12,756.36
|
$12,756.36
|
$12,756.36
|
2025-07-01
|
|
769
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses With O.r. Procedures
|
2
|
2
|
—
|
—
|
$12,771.44
|
$12,771.44
|
$12,771.44
|
2025-07-01
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
8
|
5
|
—
|
—
|
$51,972.27
|
$51,972.27
|
$51,972.27
|
2025-07-01
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/Mcc
|
14
|
7
|
—
|
—
|
$23,030.36
|
$23,030.36
|
$23,030.36
|
2025-07-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
7
|
4
|
—
|
—
|
$34,413.84
|
$34,413.84
|
$34,413.84
|
2025-07-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
5
|
4
|
—
|
—
|
$30,058.15
|
$30,058.15
|
$30,058.15
|
2025-07-01
|
|
796
|
MS_DRG
|
Vaginal Delivery With Sterilization And/Or D&c With Mcc
|
1
|
1
|
—
|
—
|
$12,821.38
|
$12,821.38
|
$12,821.38
|
2025-07-01
|
|
80
|
MS_DRG
|
Nontraumatic Stupor And Coma With Mcc
|
1
|
1
|
—
|
—
|
$20,474.20
|
$20,474.20
|
$20,474.20
|
2025-07-01
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
3
|
2
|
—
|
—
|
$24,951.17
|
$24,951.17
|
$24,951.17
|
2025-07-01
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
13
|
8
|
—
|
—
|
$14,567.07
|
$14,567.07
|
$14,567.07
|
2025-07-01
|
|
813
|
MS_DRG
|
Coagulation Disorders
|
6
|
3
|
—
|
—
|
$12,538.95
|
$12,538.95
|
$12,538.95
|
2025-07-01
|
|
814
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Mcc
|
2
|
2
|
—
|
—
|
$14,356.02
|
$14,356.02
|
$14,356.02
|
2025-07-01
|
|
815
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Cc
|
2
|
2
|
—
|
—
|
$20,645.53
|
$20,645.53
|
$20,645.53
|
2025-07-01
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$46,678.58
|
$46,678.58
|
$46,678.58
|
2025-07-01
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
3
|
2
|
—
|
—
|
$31,199.83
|
$31,199.83
|
$31,199.83
|
2025-07-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$33,487.11
|
$33,487.11
|
$33,487.11
|
2025-07-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
1
|
1
|
—
|
—
|
$69,164.00
|
$69,164.00
|
$69,164.00
|
2025-07-01
|
|
825
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$48,071.57
|
$48,071.57
|
$48,071.57
|
2025-07-01
|
|
827
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
1
|
1
|
—
|
—
|
$39,944.90
|
$39,944.90
|
$39,944.90
|
2025-07-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
1
|
1
|
—
|
—
|
$20,882.15
|
$20,882.15
|
$20,882.15
|
2025-07-01
|
|
83
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Cc
|
4
|
4
|
—
|
—
|
$13,490.23
|
$13,490.23
|
$13,490.23
|
2025-07-01
|
|
842
|
MS_DRG
|
Lymphoma And Non-acute Leukemia Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$28,787.77
|
$28,787.77
|
$28,787.77
|
2025-07-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
17
|
9
|
—
|
—
|
$126,787.27
|
$126,787.27
|
$126,787.27
|
2025-07-01
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
12
|
7
|
—
|
—
|
$27,829.31
|
$27,829.31
|
$27,829.31
|
2025-07-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
4
|
4
|
—
|
—
|
$93,898.19
|
$93,898.19
|
$93,898.19
|
2025-07-01
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
4
|
3
|
—
|
—
|
$17,594.23
|
$17,594.23
|
$17,594.23
|
2025-07-01
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
5
|
4
|
—
|
—
|
$16,761.10
|
$16,761.10
|
$16,761.10
|
2025-07-01
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
1
|
1
|
—
|
—
|
$14,733.99
|
$14,733.99
|
$14,733.99
|
2025-07-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
10
|
6
|
—
|
—
|
$113,175.80
|
$113,175.80
|
$113,175.80
|
2025-07-01
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
21
|
10
|
—
|
—
|
$19,519.69
|
$19,519.69
|
$19,519.69
|
2025-07-01
|
|
880
|
MS_DRG
|
Acute Adjustment Reaction And Psychosocial Dysfunction
|
2
|
2
|
—
|
—
|
$15,655.24
|
$15,655.24
|
$15,655.24
|
2025-07-01
|
|
885
|
MS_DRG
|
Psychoses
|
3
|
3
|
—
|
—
|
$12,863.13
|
$12,863.13
|
$12,863.13
|
2025-07-01
|
|
89
|
MS_DRG
|
Concussion With Cc
|
1
|
1
|
—
|
—
|
$15,603.77
|
$15,603.77
|
$15,603.77
|
2025-07-01
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
10
|
6
|
—
|
—
|
$15,080.82
|
$15,080.82
|
$15,080.82
|
2025-07-01
|
|
902
|
MS_DRG
|
Wound Debridements For Injuries With Cc
|
2
|
2
|
—
|
—
|
$15,161.51
|
$15,161.51
|
$15,161.51
|
2025-07-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
5
|
5
|
—
|
—
|
$53,242.28
|
$53,242.28
|
$53,242.28
|
2025-07-01
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
4
|
3
|
—
|
—
|
$22,505.64
|
$22,505.64
|
$22,505.64
|
2025-07-01
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
7
|
6
|
—
|
—
|
$17,428.17
|
$17,428.17
|
$17,428.17
|
2025-07-01
|
|
915
|
MS_DRG
|
Allergic Reactions With Mcc
|
4
|
3
|
—
|
—
|
$35,086.65
|
$35,086.65
|
$35,086.65
|
2025-07-01
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
9
|
6
|
—
|
—
|
$14,754.03
|
$14,754.03
|
$14,754.03
|
2025-07-01
|
|
919
|
MS_DRG
|
Complications Of Treatment With Mcc
|
7
|
4
|
—
|
—
|
$79,764.21
|
$79,764.21
|
$79,764.21
|
2025-07-01
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
10
|
6
|
—
|
—
|
$18,990.41
|
$18,990.41
|
$18,990.41
|
2025-07-01
|
|
9312
|
OTHER
|
Inj., Ravulizumab-cwvz 10 Mg
|
1
|
1
|
—
|
—
|
$78,224.66
|
$78,224.66
|
$78,224.66
|
2025-07-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
6
|
4
|
—
|
—
|
$21,430.38
|
$21,430.38
|
$21,430.38
|
2025-07-01
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
2
|
2
|
—
|
—
|
$14,510.62
|
$14,510.62
|
$14,510.62
|
2025-07-01
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
10
|
6
|
—
|
—
|
$16,367.09
|
$16,367.09
|
$16,367.09
|
2025-07-01
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
9
|
4
|
—
|
—
|
$13,296.75
|
$13,296.75
|
$13,296.75
|
2025-07-01
|
|
9480
|
OTHER
|
Injection Trabectedin 0.1mg
|
5
|
2
|
—
|
—
|
$13,330.64
|
$13,330.64
|
$13,330.64
|
2025-07-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
2
|
2
|
—
|
—
|
$18,006.75
|
$18,006.75
|
$18,006.75
|
2025-07-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$23,592.27
|
$23,592.27
|
$23,592.27
|
2025-07-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
1
|
1
|
—
|
—
|
$36,561.40
|
$36,561.40
|
$36,561.40
|
2025-07-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$46,354.60
|
$46,354.60
|
$46,354.60
|
2025-07-01
|
|
964
|
MS_DRG
|
Other Multiple Significant Trauma With Cc
|
4
|
4
|
—
|
—
|
$14,547.12
|
$14,547.12
|
$14,547.12
|
2025-07-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$43,814.48
|
$43,814.48
|
$43,814.48
|
2025-07-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
1
|
1
|
—
|
—
|
$18,027.45
|
$18,027.45
|
$18,027.45
|
2025-07-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
7
|
6
|
—
|
—
|
$15,956.78
|
$15,956.78
|
$15,956.78
|
2025-07-01
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
2
|
2
|
—
|
—
|
$19,196.84
|
$19,196.84
|
$19,196.84
|
2025-07-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
8
|
6
|
—
|
—
|
$81,662.51
|
$81,662.51
|
$81,662.51
|
2025-07-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
5
|
4
|
—
|
—
|
$23,988.29
|
$23,988.29
|
$23,988.29
|
2025-07-01
|
|
983
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$13,804.61
|
$13,804.61
|
$13,804.61
|
2025-07-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
6
|
4
|
—
|
—
|
$36,864.79
|
$36,864.79
|
$36,864.79
|
2025-07-01
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
3
|
3
|
—
|
—
|
$12,959.74
|
$12,959.74
|
$12,959.74
|
2025-07-01
|