Price Transparencybeta Hospital negotiated rates

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

Select Specialty Hospital - South Dakota

Sioux Falls, SD · CCN 432002 · Rates published

337 distinct procedures filed
31 distinct payers
29,656 rate rows
2026-09-20 last MRF observed
Data quality

7,077 of 29,656 rate rows are consumer-grade (23.9%)

22,579 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 13,143
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 9,436
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://resources.selectmedical.com/Pricing-Transparency/critical-illness-recovery/91-1773396_Select_Specialty_Hospital-South_Dakota_standardcharges.csv
Found on page https://www.selectspecialtyhospitals.com/patients-and-caregivers/admissions/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-20
Content fingerprint cc2ead16a56bbd2f… · 71,503,987 bytes · first seen 2026-09-20

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
100
MS_DRG 		Seizures With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$18,344
outlier · 0.1×
101
MS_DRG 		Seizures Without Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$9,267
outlier · 0.2×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$38,687
outlier · 0.1×
125
MS_DRG 		Other Disorders Of The Eye Without Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$8,277
outlier · 0.3×
146
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$20,502
outlier · 0.1×
147
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Cc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$12,625
outlier · 0.2×
148
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy Without Cc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$8,659
outlier · 0.2×
149
MS_DRG 		Dysequilibrium 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$7,940
outlier · 0.3×
150
MS_DRG 		Epistaxis With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$13,316
outlier · 0.2×
152
MS_DRG 		Otitis Media And Uri With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$11,595
outlier · 0.2×
153
MS_DRG 		Otitis Media And Uri Without Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$7,678
outlier · 0.3×
154
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$15,301
outlier · 0.1×
157
MS_DRG 		Dental And Oral Diseases With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$16,360
outlier · 0.1×
158
MS_DRG 		Dental And Oral Diseases With Cc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$9,553
outlier · 0.2×
163
MS_DRG 		Major Chest Procedures With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$42,636
outlier · 0.0×
166
MS_DRG 		Other Resp System O.r. Procedures W Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$35,655
outlier · 0.1×
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$17,834
outlier · 0.1×
168
MS_DRG 		Other Respiratory System O.r. Procedures Without Cc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$13,713
outlier · 0.2×
175
MS_DRG 		Pulmonary Embolism With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$13,725
outlier · 0.2×
176
MS_DRG 		Pulmonary Embolism Without Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$8,582
outlier · 0.2×
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$15,375
outlier · 0.1×
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$10,189
outlier · 0.2×
179
MS_DRG 		Respiratory Infections And Inflammations Without Cc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$8,185
outlier · 0.3×
180
MS_DRG 		Respiratory Neoplasms With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$17,028
outlier · 0.1×
181
MS_DRG 		Respiratory Neoplasms With Cc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$11,118
outlier · 0.2×
183
MS_DRG 		Major Chest Trauma With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$15,007
outlier · 0.1×
186
MS_DRG 		Pleural Effusion With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$15,113
outlier · 0.1×
187
MS_DRG 		Pleural Effusion With Cc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$10,194
outlier · 0.2×
189
MS_DRG 		Pulmonary Edema & Respiratory Failure 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$12,270
outlier · 0.2×
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$11,057
outlier · 0.2×
191
MS_DRG 		Chronic Obstructive Pulmonary Disease With Cc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$8,839
outlier · 0.2×
192
MS_DRG 		Chronic Obstructive Pulmonary Disease Without Cc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$7,109
outlier · 0.3×
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$12,858
outlier · 0.2×
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$8,511
outlier · 0.2×
195
MS_DRG 		Simple Pneumonia And Pleurisy Without Cc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$6,812
outlier · 0.3×
196
MS_DRG 		Interstitial Lung Disease With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$17,835
outlier · 0.1×
199
MS_DRG 		Pneumothorax With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$16,740
outlier · 0.1×
200
MS_DRG 		Pneumothorax With Cc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$11,050
outlier · 0.2×
202
MS_DRG 		Bronchitis And Asthma With Cc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$9,788
outlier · 0.2×
204
MS_DRG 		Respiratory Signs And Symptoms 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$8,468
outlier · 0.2×
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$17,319
outlier · 0.1×
206
MS_DRG 		Other Respiratory System Diagnoses Without Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$9,488
outlier · 0.2×
207
MS_DRG 		Respiratory System Diagnosis W Ventilator Support >96 Hours 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$59,324
outlier · 0.0×
208
MS_DRG 		Respiratory System Diagnosis W Ventilator Support <=96 Hours 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$25,366
outlier · 0.1×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$47,347
outlier · 0.0×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$53,419
outlier · 0.0×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$45,172
outlier · 0.0×
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$26,726
outlier · 0.1×
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$30,977
outlier · 0.1×
252
MS_DRG 		Other Vascular Procedures With Mcc 13 $2,092.27 $2,092.27 $2,092.27 nat. median
$32,644
outlier · 0.1×

Other procedures at this hospital

Browse this hospital's 337 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
100 MS_DRG Seizures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
101 MS_DRG Seizures Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
125 MS_DRG Other Disorders Of The Eye Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
149 MS_DRG Dysequilibrium 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
150 MS_DRG Epistaxis With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
152 MS_DRG Otitis Media And Uri With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
153 MS_DRG Otitis Media And Uri Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
157 MS_DRG Dental And Oral Diseases With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
158 MS_DRG Dental And Oral Diseases With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
163 MS_DRG Major Chest Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
166 MS_DRG Other Resp System O.r. Procedures W Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
175 MS_DRG Pulmonary Embolism With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
176 MS_DRG Pulmonary Embolism Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
177 MS_DRG Respiratory Infections And Inflammations With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
178 MS_DRG Respiratory Infections And Inflammations With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
179 MS_DRG Respiratory Infections And Inflammations Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
180 MS_DRG Respiratory Neoplasms With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
181 MS_DRG Respiratory Neoplasms With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
183 MS_DRG Major Chest Trauma With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
186 MS_DRG Pleural Effusion With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
187 MS_DRG Pleural Effusion With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
189 MS_DRG Pulmonary Edema & Respiratory Failure 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
196 MS_DRG Interstitial Lung Disease With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
199 MS_DRG Pneumothorax With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
200 MS_DRG Pneumothorax With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
202 MS_DRG Bronchitis And Asthma With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
204 MS_DRG Respiratory Signs And Symptoms 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
205 MS_DRG Other Respiratory System Diagnoses With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
207 MS_DRG Respiratory System Diagnosis W Ventilator Support >96 Hours 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
208 MS_DRG Respiratory System Diagnosis W Ventilator Support <=96 Hours 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
252 MS_DRG Other Vascular Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
264 MS_DRG Other Circulatory System O.r. Procedures 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
265 MS_DRG Aicd Lead Procedures 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
28 MS_DRG Spinal Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
288 MS_DRG Acute And Subacute Endocarditis With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
289 MS_DRG Acute And Subacute Endocarditis With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
290 MS_DRG Acute And Subacute Endocarditis Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
291 MS_DRG Heart Failure And Shock With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
292 MS_DRG Heart Failure And Shock With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
294 MS_DRG Deep Vein Thrombophlebitis With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
295 MS_DRG Deep Vein Thrombophlebitis Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
299 MS_DRG Peripheral Vascular Disorders With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
300 MS_DRG Peripheral Vascular Disorders With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
302 MS_DRG Atherosclerosis With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
304 MS_DRG Hypertension With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
305 MS_DRG Hypertension Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
312 MS_DRG Syncope And Collapse 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
314 MS_DRG Other Circulatory System Diagnoses With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
315 MS_DRG Other Circulatory System Diagnoses With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
316 MS_DRG Other Circulatory System Diagnoses Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
330 MS_DRG Major Small And Large Bowel Procedures With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
357 MS_DRG Other Digestive System O.r. Procedures With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
368 MS_DRG Major Esophageal Disorders With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
374 MS_DRG Digestive Malignancy With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
375 MS_DRG Digestive Malignancy With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
378 MS_DRG Gastrointestinal Hemorrhage With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
380 MS_DRG Complicated Peptic Ulcer With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
381 MS_DRG Complicated Peptic Ulcer With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
385 MS_DRG Inflammatory Bowel Disease With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
386 MS_DRG Inflammatory Bowel Disease With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
388 MS_DRG Gastrointestinal Obstruction With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
389 MS_DRG Gastrointestinal Obstruction With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
393 MS_DRG Other Digestive System Diagnoses With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
394 MS_DRG Other Digestive System Diagnoses With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
395 MS_DRG Other Digestive System Diagnoses Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
434 MS_DRG Cirrhosis And Alcoholic Hepatitis Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
444 MS_DRG Disorders Of The Biliary Tract With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
445 MS_DRG Disorders Of The Biliary Tract With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
500 MS_DRG Soft Tissue Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
501 MS_DRG Soft Tissue Procedures With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
503 MS_DRG Foot Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
504 MS_DRG Foot Procedures With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
52 MS_DRG Spinal Disorders And Injuries With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
53 MS_DRG Spinal Disorders And Injuries Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
533 MS_DRG Fractures Of Femur With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
539 MS_DRG Osteomyelitis With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
54 MS_DRG Nervous System Neoplasms With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
540 MS_DRG Osteomyelitis With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
541 MS_DRG Osteomyelitis Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
545 MS_DRG Connective Tissue Disorders With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
548 MS_DRG Septic Arthritis With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
549 MS_DRG Septic Arthritis With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
55 MS_DRG Nervous System Neoplasms Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
550 MS_DRG Septic Arthritis Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
551 MS_DRG Medical Back Problems With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
552 MS_DRG Medical Back Problems Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
553 MS_DRG Bone Diseases And Arthropathies With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
56 MS_DRG Degenerative Nervous System Disorders With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
570 MS_DRG Skin Debridement With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
571 MS_DRG Skin Debridement With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
572 MS_DRG Skin Debridement Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
592 MS_DRG Skin Ulcers With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
593 MS_DRG Skin Ulcers With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
594 MS_DRG Skin Ulcers Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
595 MS_DRG Major Skin Disorders With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
596 MS_DRG Major Skin Disorders Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
597 MS_DRG Malignant Breast Disorders With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
598 MS_DRG Malignant Breast Disorders With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
600 MS_DRG Non-malignant Breast Disorders With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
602 MS_DRG Cellulitis With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
603 MS_DRG Cellulitis Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
606 MS_DRG Minor Skin Disorders With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
607 MS_DRG Minor Skin Disorders Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
619 MS_DRG O.r. Procedures For Obesity With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
637 MS_DRG Diabetes With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
638 MS_DRG Diabetes With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
642 MS_DRG Inborn And Other Disorders Of Metabolism 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
643 MS_DRG Endocrine Disorders With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
644 MS_DRG Endocrine Disorders With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
645 MS_DRG Endocrine Disorders Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
662 MS_DRG Minor Bladder Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
682 MS_DRG Renal Failure With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
683 MS_DRG Renal Failure With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
684 MS_DRG Renal Failure Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
693 MS_DRG Urinary Stones With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
711 MS_DRG Testes Procedures With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
72 MS_DRG Nonspecific Cerebrovascular Disorders Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
725 MS_DRG Benign Prostatic Hypertrophy With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
729 MS_DRG Other Male Reproductive System Diagnoses With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
75 MS_DRG Viral Meningitis With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
754 MS_DRG Malignancy, Female Reproductive System With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
755 MS_DRG Malignancy, Female Reproductive System With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
757 MS_DRG Infections, Female Reproductive System With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
758 MS_DRG Infections, Female Reproductive System With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
759 MS_DRG Infections, Female Reproductive System Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
811 MS_DRG Red Blood Cell Disorders With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
812 MS_DRG Red Blood Cell Disorders Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
813 MS_DRG Coagulation Disorders 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
865 MS_DRG Viral Illness With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
866 MS_DRG Viral Illness Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
901 MS_DRG Wound Debridements For Injuries With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
902 MS_DRG Wound Debridements For Injuries With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
903 MS_DRG Wound Debridements For Injuries Without Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
904 MS_DRG Skin Grafts For Injuries With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
908 MS_DRG Other O.r. Procedures For Injuries With Cc 21 13 — — $2,092.27 $2,092.27 $2,092.27 2026-09-20
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