|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
3
|
3
|
—
|
—
|
$22,068.09
|
$98,435.35
|
$59,670.87
|
2025-07-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
3
|
3
|
—
|
—
|
$13,112.00
|
$95,867.15
|
$56,112.36
|
2025-07-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
4
|
4
|
—
|
—
|
$3,576.00
|
$81,784.79
|
$54,302.04
|
2025-07-01
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
1
|
1
|
—
|
—
|
$50,066.23
|
$50,066.23
|
$50,066.23
|
2025-07-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
2
|
2
|
—
|
—
|
$29,872.99
|
$58,288.39
|
$44,080.69
|
2025-07-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
1
|
1
|
—
|
—
|
$43,764.29
|
$43,764.29
|
$43,764.29
|
2025-07-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
6
|
4
|
—
|
—
|
$20,264.00
|
$86,632.49
|
$41,919.02
|
2025-07-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
1
|
1
|
—
|
—
|
$41,819.35
|
$41,819.35
|
$41,819.35
|
2025-07-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
3
|
3
|
—
|
—
|
$10,665.84
|
$46,874.14
|
$41,600.91
|
2025-07-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
3
|
3
|
—
|
—
|
$3,269.76
|
$58,323.92
|
$38,119.33
|
2025-07-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
1
|
1
|
—
|
—
|
$37,655.14
|
$37,655.14
|
$37,655.14
|
2025-07-01
|
|
9494
|
OTHER
|
Injection, Ocrelizumab
|
4
|
3
|
—
|
—
|
$14,203.57
|
$36,037.46
|
$33,711.24
|
2025-07-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
4
|
4
|
—
|
—
|
$18,683.28
|
$82,179.79
|
$32,251.20
|
2025-07-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
2
|
2
|
—
|
—
|
$1,349.88
|
$62,864.88
|
$32,107.38
|
2025-07-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
4
|
3
|
—
|
—
|
$3,711.50
|
$47,662.38
|
$31,688.65
|
2025-07-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
11
|
7
|
—
|
—
|
$7,350.00
|
$67,679.26
|
$31,644.34
|
2025-07-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc
|
8
|
6
|
—
|
—
|
$26,708.92
|
$68,729.82
|
$31,551.77
|
2025-07-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
7
|
5
|
—
|
—
|
$23,310.30
|
$32,780.00
|
$30,814.63
|
2025-07-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
1
|
1
|
—
|
—
|
$30,713.90
|
$30,713.90
|
$30,713.90
|
2025-07-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
4
|
4
|
—
|
—
|
$25,300.30
|
$31,688.11
|
$30,405.05
|
2025-07-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
2
|
2
|
—
|
—
|
$22,228.81
|
$38,142.96
|
$30,185.89
|
2025-07-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
1
|
1
|
—
|
—
|
$29,645.66
|
$29,645.66
|
$29,645.66
|
2025-07-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
1
|
1
|
—
|
—
|
$29,523.82
|
$29,523.82
|
$29,523.82
|
2025-07-01
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
2
|
2
|
—
|
—
|
$14,862.20
|
$43,516.11
|
$29,189.15
|
2025-07-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
2
|
2
|
—
|
—
|
$24,223.85
|
$34,116.48
|
$29,170.17
|
2025-07-01
|
|
9149
|
OTHER
|
Inj Ublituximab-xiiy, 1 Mg
|
1
|
1
|
—
|
—
|
$29,121.84
|
$29,121.84
|
$29,121.84
|
2025-07-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
1
|
1
|
—
|
—
|
$28,977.64
|
$28,977.64
|
$28,977.64
|
2025-07-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
1
|
1
|
—
|
—
|
$28,808.69
|
$28,808.69
|
$28,808.69
|
2025-07-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$17,657.12
|
$39,327.40
|
$28,492.26
|
2025-07-01
|
|
5232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
7
|
6
|
—
|
—
|
$18,131.50
|
$38,383.41
|
$28,468.39
|
2025-07-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
3
|
3
|
—
|
—
|
$27,989.12
|
$30,462.29
|
$28,408.56
|
2025-07-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
4
|
4
|
—
|
—
|
$22,050.00
|
$43,160.74
|
$27,644.93
|
2025-07-01
|
|
5465
|
OTHER
|
Level 5 Neurostimulator And Related Procedures
|
8
|
7
|
—
|
—
|
$9,991.00
|
$37,244.42
|
$27,479.43
|
2025-07-01
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
1
|
1
|
—
|
—
|
$27,294.02
|
$27,294.02
|
$27,294.02
|
2025-07-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$26,565.80
|
$26,565.80
|
$26,565.80
|
2025-07-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
1
|
1
|
—
|
—
|
$26,291.44
|
$26,291.44
|
$26,291.44
|
2025-07-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$26,133.47
|
$26,133.47
|
$26,133.47
|
2025-07-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
4
|
4
|
—
|
—
|
$16,877.71
|
$44,605.26
|
$25,457.98
|
2025-07-01
|
|
307
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders Without Mcc
|
1
|
1
|
—
|
—
|
$25,016.02
|
$25,016.02
|
$25,016.02
|
2025-07-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
2
|
2
|
—
|
—
|
$18,425.03
|
$31,374.77
|
$24,899.90
|
2025-07-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
1
|
1
|
—
|
—
|
$23,895.70
|
$23,895.70
|
$23,895.70
|
2025-07-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
3
|
3
|
—
|
—
|
$19,758.10
|
$25,300.49
|
$22,932.86
|
2025-07-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
1
|
1
|
—
|
—
|
$22,896.72
|
$22,896.72
|
$22,896.72
|
2025-07-01
|
|
5464
|
OTHER
|
Level 4 Neurostimulator And Related Procedures
|
4
|
3
|
—
|
—
|
$18,539.50
|
$47,477.91
|
$22,821.55
|
2025-07-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
1
|
1
|
—
|
—
|
$22,369.16
|
$22,369.16
|
$22,369.16
|
2025-07-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
1
|
1
|
—
|
—
|
$22,289.20
|
$22,289.20
|
$22,289.20
|
2025-07-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
2
|
2
|
—
|
—
|
$13,743.69
|
$30,628.53
|
$22,186.11
|
2025-07-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
3
|
3
|
—
|
—
|
$21,924.06
|
$22,512.69
|
$22,041.03
|
2025-07-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
1
|
1
|
—
|
—
|
$21,927.22
|
$21,927.22
|
$21,927.22
|
2025-07-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
3
|
3
|
—
|
—
|
$13,135.36
|
$44,889.74
|
$21,867.44
|
2025-07-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
3
|
3
|
—
|
—
|
$14,507.29
|
$40,634.54
|
$21,843.79
|
2025-07-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
5
|
4
|
—
|
—
|
$16,881.88
|
$23,907.08
|
$21,490.27
|
2025-07-01
|
|
479
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$21,373.58
|
$21,373.58
|
$21,373.58
|
2025-07-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
1
|
1
|
—
|
—
|
$21,348.12
|
$21,348.12
|
$21,348.12
|
2025-07-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
1
|
1
|
—
|
—
|
$20,680.02
|
$20,680.02
|
$20,680.02
|
2025-07-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
1
|
1
|
—
|
—
|
$20,620.71
|
$20,620.71
|
$20,620.71
|
2025-07-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
1
|
1
|
—
|
—
|
$20,587.05
|
$20,587.05
|
$20,587.05
|
2025-07-01
|
|
5231
|
OTHER
|
Level 1 Icd And Similar Procedures
|
2
|
2
|
—
|
—
|
$20,149.42
|
$20,909.29
|
$20,529.35
|
2025-07-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
1
|
1
|
—
|
—
|
$20,491.65
|
$20,491.65
|
$20,491.65
|
2025-07-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
3
|
3
|
—
|
—
|
$18,649.42
|
$31,467.56
|
$20,379.77
|
2025-07-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$20,091.33
|
$20,091.33
|
$20,091.33
|
2025-07-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
7
|
7
|
—
|
—
|
$15,925.36
|
$90,485.79
|
$19,684.78
|
2025-07-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
2
|
1
|
—
|
—
|
$8,344.00
|
$30,087.30
|
$19,215.65
|
2025-07-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
2
|
2
|
—
|
—
|
$10,263.38
|
$27,237.32
|
$18,750.35
|
2025-07-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
3
|
2
|
—
|
—
|
$8,986.06
|
$23,244.00
|
$18,737.39
|
2025-07-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
1
|
1
|
—
|
—
|
$18,560.27
|
$18,560.27
|
$18,560.27
|
2025-07-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
3
|
3
|
—
|
—
|
$14,196.46
|
$25,249.31
|
$18,278.08
|
2025-07-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
8
|
6
|
—
|
—
|
$6,767.11
|
$29,029.62
|
$18,113.99
|
2025-07-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
1
|
1
|
—
|
—
|
$17,840.58
|
$17,840.58
|
$17,840.58
|
2025-07-01
|
|
63
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
2
|
2
|
—
|
—
|
$13,196.17
|
$22,469.20
|
$17,832.69
|
2025-07-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
2
|
2
|
—
|
—
|
$13,821.29
|
$21,596.68
|
$17,708.99
|
2025-07-01
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
2
|
2
|
—
|
—
|
$13,888.59
|
$21,301.27
|
$17,594.93
|
2025-07-01
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
5
|
5
|
—
|
—
|
$12,615.17
|
$25,742.58
|
$17,250.64
|
2025-07-01
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/Mcc
|
5
|
5
|
—
|
—
|
$12,494.50
|
$78,843.66
|
$17,157.13
|
2025-07-01
|
|
5224
|
OTHER
|
Level 4 Pacemaker And Similar Procedures
|
1
|
1
|
—
|
—
|
$16,863.96
|
$16,863.96
|
$16,863.96
|
2025-07-01
|
|
5116
|
OTHER
|
Level 6 Musculoskeletal Procedures
|
12
|
9
|
—
|
—
|
$2,700.50
|
$65,502.83
|
$16,768.84
|
2025-07-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
2
|
2
|
—
|
—
|
$15,186.03
|
$18,142.92
|
$16,664.47
|
2025-07-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
1
|
1
|
—
|
—
|
$16,658.19
|
$16,658.19
|
$16,658.19
|
2025-07-01
|
|
5623
|
OTHER
|
Level 3 Radiation Therapy
|
7
|
7
|
—
|
—
|
$712.22
|
$24,042.11
|
$16,616.50
|
2025-07-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
7
|
5
|
—
|
—
|
$11,391.73
|
$21,123.72
|
$16,514.83
|
2025-07-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
1
|
1
|
—
|
—
|
$16,478.84
|
$16,478.84
|
$16,478.84
|
2025-07-01
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
2
|
2
|
—
|
—
|
$13,270.27
|
$19,394.59
|
$16,332.43
|
2025-07-01
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
2
|
2
|
—
|
—
|
$13,076.40
|
$19,562.82
|
$16,319.61
|
2025-07-01
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$16,256.79
|
$16,256.79
|
$16,256.79
|
2025-07-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
6
|
4
|
—
|
—
|
$5,960.00
|
$29,311.22
|
$16,005.49
|
2025-07-01
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
3
|
3
|
—
|
—
|
$9,818.83
|
$38,441.56
|
$15,840.87
|
2025-07-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
1
|
1
|
—
|
—
|
$15,787.62
|
$15,787.62
|
$15,787.62
|
2025-07-01
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
4
|
4
|
—
|
—
|
$13,957.00
|
$25,868.54
|
$15,593.03
|
2025-07-01
|
|
710
|
MS_DRG
|
Penis Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$15,580.43
|
$15,580.43
|
$15,580.43
|
2025-07-01
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
2
|
2
|
—
|
—
|
$14,176.60
|
$16,910.91
|
$15,543.76
|
2025-07-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
3
|
3
|
—
|
—
|
$9,770.08
|
$22,736.40
|
$15,526.29
|
2025-07-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
8
|
7
|
—
|
—
|
$10,974.70
|
$20,955.06
|
$15,483.93
|
2025-07-01
|
|
814
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Mcc
|
1
|
1
|
—
|
—
|
$15,303.85
|
$15,303.85
|
$15,303.85
|
2025-07-01
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
3
|
3
|
—
|
—
|
$4,900.00
|
$15,057.91
|
$14,853.92
|
2025-07-01
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
3
|
3
|
—
|
—
|
$11,044.02
|
$26,171.82
|
$14,847.07
|
2025-07-01
|
|
717
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/Mcc
|
1
|
1
|
—
|
—
|
$14,796.71
|
$14,796.71
|
$14,796.71
|
2025-07-01
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
2
|
2
|
—
|
—
|
$13,502.29
|
$16,074.76
|
$14,788.53
|
2025-07-01
|
|
489
|
MS_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$12,197.94
|
$17,236.02
|
$14,716.98
|
2025-07-01
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
2
|
2
|
—
|
—
|
$13,846.23
|
$15,553.91
|
$14,700.07
|
2025-07-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
1
|
1
|
—
|
—
|
$14,454.47
|
$14,454.47
|
$14,454.47
|
2025-07-01
|
|
517
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc…
|
2
|
2
|
—
|
—
|
$9,447.88
|
$19,355.91
|
$14,401.90
|
2025-07-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
3
|
3
|
—
|
—
|
$13,142.33
|
$30,784.57
|
$14,269.87
|
2025-07-01
|
|
769
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses With O.r. Procedures
|
1
|
1
|
—
|
—
|
$14,245.44
|
$14,245.44
|
$14,245.44
|
2025-07-01
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
3
|
3
|
—
|
—
|
$13,749.19
|
$15,984.70
|
$14,203.42
|
2025-07-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
1
|
1
|
—
|
—
|
$14,129.64
|
$14,129.64
|
$14,129.64
|
2025-07-01
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
4
|
4
|
—
|
—
|
$12,463.55
|
$18,005.60
|
$14,056.20
|
2025-07-01
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
3
|
3
|
—
|
—
|
$10,982.98
|
$14,992.13
|
$13,954.06
|
2025-07-01
|
|
923
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc
|
1
|
1
|
—
|
—
|
$13,871.79
|
$13,871.79
|
$13,871.79
|
2025-07-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
2
|
2
|
—
|
—
|
$8,344.00
|
$19,349.00
|
$13,846.50
|
2025-07-01
|
|
5094
|
OTHER
|
Level 4 Breast/Lymphatic Surgery And Related Procedures
|
9
|
7
|
—
|
—
|
$3,976.68
|
$54,333.00
|
$13,724.31
|
2025-07-01
|
|
5194
|
OTHER
|
Level 4 Endovascular Procedures
|
5
|
5
|
—
|
—
|
$3,687.12
|
$15,126.45
|
$13,721.68
|
2025-07-01
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
4
|
4
|
—
|
—
|
$12,078.98
|
$14,798.02
|
$13,703.65
|
2025-07-01
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
5
|
3
|
—
|
—
|
$9,823.74
|
$25,206.84
|
$13,592.50
|
2025-07-01
|
|
519
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Cc
|
4
|
4
|
—
|
—
|
$5,745.41
|
$17,656.27
|
$13,573.82
|
2025-07-01
|
|
584
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc
|
2
|
2
|
—
|
—
|
$8,915.55
|
$18,125.30
|
$13,520.42
|
2025-07-01
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
1
|
1
|
—
|
—
|
$13,497.45
|
$13,497.45
|
$13,497.45
|
2025-07-01
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
8
|
6
|
—
|
—
|
$11,038.64
|
$15,842.90
|
$13,465.62
|
2025-07-01
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
1
|
1
|
—
|
—
|
$13,452.96
|
$13,452.96
|
$13,452.96
|
2025-07-01
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
2
|
2
|
—
|
—
|
$11,572.15
|
$15,222.99
|
$13,397.57
|
2025-07-01
|
|
62
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
4
|
4
|
—
|
—
|
$4,640.99
|
$17,889.60
|
$13,326.22
|
2025-07-01
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
2
|
2
|
—
|
—
|
$12,940.86
|
$13,628.10
|
$13,284.48
|
2025-07-01
|
|
5622
|
OTHER
|
Level 2 Radiation Therapy
|
6
|
4
|
—
|
—
|
$6,549.99
|
$25,070.00
|
$13,260.53
|
2025-07-01
|
|
507
|
MS_DRG
|
Major Shoulder Or Elbow Joint Procedures With Cc/Mcc
|
1
|
1
|
—
|
—
|
$13,193.40
|
$13,193.40
|
$13,193.40
|
2025-07-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
2
|
2
|
—
|
—
|
$10,692.95
|
$15,693.77
|
$13,193.36
|
2025-07-01
|
|
824
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
3
|
3
|
—
|
—
|
$3,576.00
|
$17,574.28
|
$12,999.61
|
2025-07-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
1
|
1
|
—
|
—
|
$12,963.69
|
$12,963.69
|
$12,963.69
|
2025-07-01
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc
|
4
|
4
|
—
|
—
|
$10,469.48
|
$49,467.28
|
$12,825.44
|
2025-07-01
|
|
322
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc
|
8
|
8
|
—
|
—
|
$9,246.32
|
$37,354.90
|
$12,692.25
|
2025-07-01
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
7
|
6
|
—
|
—
|
$6,614.84
|
$25,796.26
|
$12,646.00
|
2025-07-01
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
4
|
4
|
—
|
—
|
$10,793.90
|
$14,738.41
|
$12,633.28
|
2025-07-01
|
|
843
|
MS_DRG
|
Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…
|
2
|
2
|
—
|
—
|
$11,763.06
|
$13,429.82
|
$12,596.44
|
2025-07-01
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
4
|
4
|
—
|
—
|
$7,286.18
|
$16,890.30
|
$12,431.24
|
2025-07-01
|
|
604
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc
|
2
|
2
|
—
|
—
|
$9,993.85
|
$14,868.42
|
$12,431.14
|
2025-07-01
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
2
|
2
|
—
|
—
|
$10,021.66
|
$14,814.08
|
$12,417.87
|
2025-07-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
1
|
1
|
—
|
—
|
$12,340.01
|
$12,340.01
|
$12,340.01
|
2025-07-01
|
|
52
|
MS_DRG
|
Spinal Disorders And Injuries With Cc/Mcc
|
1
|
1
|
—
|
—
|
$12,293.49
|
$12,293.49
|
$12,293.49
|
2025-07-01
|
|
348
|
MS_DRG
|
Anal And Stomal Procedures With Cc
|
2
|
2
|
—
|
—
|
$9,341.58
|
$15,241.95
|
$12,291.76
|
2025-07-01
|
|
746
|
MS_DRG
|
Vagina, Cervix And Vulva Procedures With Cc/Mcc
|
1
|
1
|
—
|
—
|
$12,261.52
|
$12,261.52
|
$12,261.52
|
2025-07-01
|
|
539
|
MS_DRG
|
Osteomyelitis With Mcc
|
1
|
1
|
—
|
—
|
$12,260.52
|
$12,260.52
|
$12,260.52
|
2025-07-01
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
4
|
4
|
—
|
—
|
$7,788.93
|
$13,148.29
|
$12,242.83
|
2025-07-01
|
|
548
|
MS_DRG
|
Septic Arthritis With Mcc
|
1
|
1
|
—
|
—
|
$12,213.77
|
$12,213.77
|
$12,213.77
|
2025-07-01
|
|
465
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
2
|
2
|
—
|
—
|
$10,746.05
|
$13,457.18
|
$12,101.61
|
2025-07-01
|
|
5115
|
OTHER
|
Level 5 Musculoskeletal Procedures
|
14
|
10
|
—
|
—
|
$5,018.63
|
$74,946.58
|
$12,099.99
|
2025-07-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$11,966.50
|
$11,966.50
|
$11,966.50
|
2025-07-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
3
|
3
|
—
|
—
|
$11,344.39
|
$21,236.73
|
$11,920.00
|
2025-07-01
|
|
496
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
1
|
1
|
—
|
—
|
$11,826.50
|
$11,826.50
|
$11,826.50
|
2025-07-01
|
|
722
|
MS_DRG
|
Malignancy, Male Reproductive System With Mcc
|
1
|
1
|
—
|
—
|
$11,819.53
|
$11,819.53
|
$11,819.53
|
2025-07-01
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
1
|
1
|
—
|
—
|
$11,795.33
|
$11,795.33
|
$11,795.33
|
2025-07-01
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
14
|
10
|
—
|
—
|
$7,330.10
|
$50,767.40
|
$11,737.29
|
2025-07-01
|
|
922
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc
|
2
|
2
|
—
|
—
|
$10,776.87
|
$12,577.64
|
$11,677.26
|
2025-07-01
|
|
657
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Cc
|
1
|
1
|
—
|
—
|
$11,665.08
|
$11,665.08
|
$11,665.08
|
2025-07-01
|
|
620
|
MS_DRG
|
O.r. Procedures For Obesity With Cc
|
4
|
4
|
—
|
—
|
$9,571.72
|
$12,480.23
|
$11,662.73
|
2025-07-01
|
|
754
|
MS_DRG
|
Malignancy, Female Reproductive System With Mcc
|
2
|
2
|
—
|
—
|
$11,368.57
|
$11,813.87
|
$11,591.22
|
2025-07-01
|
|
244
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$11,566.45
|
$11,566.45
|
$11,566.45
|
2025-07-01
|
|
557
|
MS_DRG
|
Tendonitis, Myositis And Bursitis With Mcc
|
2
|
2
|
—
|
—
|
$11,437.34
|
$11,669.05
|
$11,553.19
|
2025-07-01
|
|
542
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
1
|
1
|
—
|
—
|
$11,538.53
|
$11,538.53
|
$11,538.53
|
2025-07-01
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
4
|
4
|
—
|
—
|
$3,576.00
|
$12,687.20
|
$11,441.12
|
2025-07-01
|
|
368
|
MS_DRG
|
Major Esophageal Disorders With Mcc
|
2
|
2
|
—
|
—
|
$10,444.26
|
$12,414.61
|
$11,429.44
|
2025-07-01
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
4
|
3
|
—
|
—
|
$7,512.33
|
$14,960.20
|
$11,318.67
|
2025-07-01
|
|
919
|
MS_DRG
|
Complications Of Treatment With Mcc
|
1
|
1
|
—
|
—
|
$11,318.02
|
$11,318.02
|
$11,318.02
|
2025-07-01
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
4
|
3
|
—
|
—
|
$8,088.89
|
$12,676.43
|
$11,312.08
|
2025-07-01
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
7
|
6
|
—
|
—
|
$8,598.02
|
$46,548.56
|
$11,173.05
|
2025-07-01
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
3
|
3
|
—
|
—
|
$9,189.27
|
$11,393.93
|
$11,143.65
|
2025-07-01
|
|
421
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Cc
|
2
|
2
|
—
|
—
|
$10,639.49
|
$11,646.73
|
$11,143.11
|
2025-07-01
|
|
93
|
MS_DRG
|
Other Disorders Of Nervous System Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$11,119.06
|
$11,119.06
|
$11,119.06
|
2025-07-01
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
2
|
2
|
—
|
—
|
$4,900.00
|
$17,317.10
|
$11,108.55
|
2025-07-01
|
|
5416
|
OTHER
|
Level 6 Gynecologic Procedures
|
1
|
1
|
—
|
—
|
$10,985.53
|
$10,985.53
|
$10,985.53
|
2025-07-01
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
8
|
6
|
—
|
—
|
$7,941.70
|
$18,418.46
|
$10,931.74
|
2025-07-01
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
3
|
3
|
—
|
—
|
$8,799.12
|
$15,454.70
|
$10,871.37
|
2025-07-01
|
|
915
|
MS_DRG
|
Allergic Reactions With Mcc
|
2
|
2
|
—
|
—
|
$10,605.14
|
$11,117.40
|
$10,861.27
|
2025-07-01
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
6
|
5
|
—
|
—
|
$2,869.93
|
$32,537.85
|
$10,814.14
|
2025-07-01
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/Mcc
|
6
|
4
|
—
|
—
|
$4,768.00
|
$16,275.17
|
$10,771.20
|
2025-07-01
|
|
296
|
MS_DRG
|
Cardiac Arrest, Unexplained With Mcc
|
2
|
2
|
—
|
—
|
$9,890.73
|
$11,537.13
|
$10,713.93
|
2025-07-01
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
1
|
1
|
—
|
—
|
$10,696.50
|
$10,696.50
|
$10,696.50
|
2025-07-01
|
|
711
|
MS_DRG
|
Testes Procedures With Cc/Mcc
|
1
|
1
|
—
|
—
|
$10,687.05
|
$10,687.05
|
$10,687.05
|
2025-07-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
1
|
1
|
—
|
—
|
$10,675.75
|
$10,675.75
|
$10,675.75
|
2025-07-01
|
|
328
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc
|
4
|
3
|
—
|
—
|
$7,529.36
|
$11,624.66
|
$10,574.42
|
2025-07-01
|
|
488
|
MS_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc
|
1
|
1
|
—
|
—
|
$10,571.65
|
$10,571.65
|
$10,571.65
|
2025-07-01
|
|
520
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc
|
5
|
5
|
—
|
—
|
$8,649.60
|
$12,102.94
|
$10,531.83
|
2025-07-01
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With Mcc
|
2
|
2
|
—
|
—
|
$9,006.96
|
$11,983.08
|
$10,495.02
|
2025-07-01
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
3
|
3
|
—
|
—
|
$8,474.03
|
$12,809.88
|
$10,459.42
|
2025-07-01
|
|
256
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Cc
|
1
|
1
|
—
|
—
|
$10,453.57
|
$10,453.57
|
$10,453.57
|
2025-07-01
|
|
135
|
MS_DRG
|
Sinus And Mastoid Procedures With Cc/Mcc
|
1
|
1
|
—
|
—
|
$10,422.36
|
$10,422.36
|
$10,422.36
|
2025-07-01
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
2
|
2
|
—
|
—
|
$9,409.98
|
$11,410.62
|
$10,410.30
|
2025-07-01
|
|
585
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$10,402.87
|
$10,402.87
|
$10,402.87
|
2025-07-01
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
7
|
7
|
—
|
—
|
$5,755.80
|
$14,779.64
|
$10,376.61
|
2025-07-01
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
6
|
6
|
—
|
—
|
$4,847.99
|
$21,213.68
|
$10,357.39
|
2025-07-01
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
11
|
8
|
—
|
—
|
$5,325.21
|
$12,271.29
|
$10,328.98
|
2025-07-01
|
|
841
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Cc
|
1
|
1
|
—
|
—
|
$10,270.06
|
$10,270.06
|
$10,270.06
|
2025-07-01
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/Mcc
|
5
|
4
|
—
|
—
|
$8,598.87
|
$21,673.54
|
$10,257.77
|
2025-07-01
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
6
|
6
|
—
|
—
|
$5,290.99
|
$14,174.96
|
$10,188.42
|
2025-07-01
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
|
6
|
6
|
—
|
—
|
$4,986.98
|
$12,796.84
|
$10,169.23
|
2025-07-01
|
|
658
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$9,365.07
|
$10,858.19
|
$10,111.63
|
2025-07-01
|
|
964
|
MS_DRG
|
Other Multiple Significant Trauma With Cc
|
1
|
1
|
—
|
—
|
$10,044.99
|
$10,044.99
|
$10,044.99
|
2025-07-01
|
|
909
|
MS_DRG
|
Other O.r. Procedures For Injuries Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$10,030.81
|
$10,030.81
|
$10,030.81
|
2025-07-01
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
2
|
2
|
—
|
—
|
$8,384.78
|
$11,659.68
|
$10,022.23
|
2025-07-01
|
|
513
|
MS_DRG
|
Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc
|
1
|
1
|
—
|
—
|
$10,015.07
|
$10,015.07
|
$10,015.07
|
2025-07-01
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
5
|
5
|
—
|
—
|
$5,146.58
|
$15,931.45
|
$9,975.91
|
2025-07-01
|
|
621
|
MS_DRG
|
O.r. Procedures For Obesity Without Cc/Mcc
|
8
|
7
|
—
|
—
|
$7,331.75
|
$20,526.54
|
$9,852.99
|
2025-07-01
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
3
|
3
|
—
|
—
|
$7,520.92
|
$14,456.79
|
$9,812.07
|
2025-07-01
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc
|
3
|
3
|
—
|
—
|
$9,767.76
|
$12,030.60
|
$9,776.21
|
2025-07-01
|
|
186
|
MS_DRG
|
Pleural Effusion With Mcc
|
6
|
4
|
—
|
—
|
$6,627.34
|
$15,112.20
|
$9,765.56
|
2025-07-01
|
|
5193
|
OTHER
|
Level 3 Endovascular Procedures
|
12
|
10
|
—
|
—
|
$7,856.79
|
$24,688.14
|
$9,712.65
|
2025-07-01
|
|
70
|
MS_DRG
|
Nonspecific Cerebrovascular Disorders With Mcc
|
6
|
5
|
—
|
—
|
$8,376.85
|
$12,287.10
|
$9,675.70
|
2025-07-01
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
7
|
6
|
—
|
—
|
$3,576.00
|
$14,631.44
|
$9,672.00
|
2025-07-01
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
2
|
2
|
—
|
—
|
$9,099.07
|
$10,198.53
|
$9,648.80
|
2025-07-01
|
|
564
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc
|
1
|
1
|
—
|
—
|
$9,623.22
|
$9,623.22
|
$9,623.22
|
2025-07-01
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
5
|
5
|
—
|
—
|
$4,665.72
|
$52,732.70
|
$9,558.08
|
2025-07-01
|
|
77
|
MS_DRG
|
Hypertensive Encephalopathy With Mcc
|
1
|
1
|
—
|
—
|
$9,553.70
|
$9,553.70
|
$9,553.70
|
2025-07-01
|
|
355
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc
|
4
|
4
|
—
|
—
|
$8,460.47
|
$14,115.27
|
$9,471.31
|
2025-07-01
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
2
|
2
|
—
|
—
|
$7,016.55
|
$11,894.36
|
$9,455.45
|
2025-07-01
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
6
|
6
|
—
|
—
|
$3,675.00
|
$11,883.61
|
$9,401.51
|
2025-07-01
|
|
399
|
MS_DRG
|
Appendix Procedures Without Cc/Mcc
|
3
|
3
|
—
|
—
|
$8,414.33
|
$11,517.80
|
$9,385.12
|
2025-07-01
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
1
|
1
|
—
|
—
|
$9,347.80
|
$9,347.80
|
$9,347.80
|
2025-07-01
|
|
2640
|
OTHER
|
Brachytx, Stranded, P-103
|
2
|
2
|
—
|
—
|
$7,075.41
|
$11,469.72
|
$9,272.56
|
2025-07-01
|
|
660
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Cc
|
4
|
4
|
—
|
—
|
$7,919.34
|
$13,302.80
|
$9,266.14
|
2025-07-01
|
|
38
|
MS_DRG
|
Extracranial Procedures With Cc
|
1
|
1
|
—
|
—
|
$9,231.39
|
$9,231.39
|
$9,231.39
|
2025-07-01
|
|
145
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$9,128.58
|
$9,128.58
|
$9,128.58
|
2025-07-01
|
|
661
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc
|
3
|
3
|
—
|
—
|
$3,203.39
|
$10,258.51
|
$9,117.93
|
2025-07-01
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
10
|
7
|
—
|
—
|
$2,980.00
|
$20,862.62
|
$9,080.74
|
2025-07-01
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$9,038.17
|
$9,038.17
|
$9,038.17
|
2025-07-01
|
|
5362
|
OTHER
|
Level 2 Laparoscopy And Related Services
|
11
|
9
|
—
|
—
|
$2,099.70
|
$34,995.66
|
$8,909.81
|
2025-07-01
|
|
5093
|
OTHER
|
Level 3 Breast/Lymphatic Surgery And Related Procedures
|
4
|
4
|
—
|
—
|
$6,882.66
|
$10,248.82
|
$8,891.85
|
2025-07-01
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
7
|
7
|
—
|
—
|
$4,900.00
|
$16,845.06
|
$8,845.67
|
2025-07-01
|
|
501
|
MS_DRG
|
Soft Tissue Procedures With Cc
|
5
|
5
|
—
|
—
|
$7,115.90
|
$13,066.30
|
$8,698.82
|
2025-07-01
|
|
669
|
MS_DRG
|
Transurethral Procedures With Cc
|
2
|
2
|
—
|
—
|
$6,085.74
|
$11,244.35
|
$8,665.05
|
2025-07-01
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
6
|
5
|
—
|
—
|
$2,384.00
|
$12,827.05
|
$8,654.92
|
2025-07-01
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
7
|
5
|
—
|
—
|
$2,678.58
|
$11,278.43
|
$8,643.34
|
2025-07-01
|
|
744
|
MS_DRG
|
D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc
|
1
|
1
|
—
|
—
|
$8,630.92
|
$8,630.92
|
$8,630.92
|
2025-07-01
|
|
5612
|
OTHER
|
Level 2 Therapeutic Radiation Treatment Preparation
|
7
|
7
|
—
|
—
|
$652.44
|
$21,264.68
|
$8,615.00
|
2025-07-01
|
|
436
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Cc
|
2
|
2
|
—
|
—
|
$6,958.83
|
$10,262.32
|
$8,610.58
|
2025-07-01
|
|
572
|
MS_DRG
|
Skin Debridement Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$8,600.15
|
$8,600.15
|
$8,600.15
|
2025-07-01
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
2
|
2
|
—
|
—
|
$7,781.81
|
$9,406.42
|
$8,594.11
|
2025-07-01
|
|
181
|
MS_DRG
|
Respiratory Neoplasms With Cc
|
1
|
1
|
—
|
—
|
$8,335.43
|
$8,335.43
|
$8,335.43
|
2025-07-01
|
|
5613
|
OTHER
|
Level 3 Therapeutic Radiation Treatment Preparation
|
6
|
4
|
—
|
—
|
$2,235.15
|
$29,457.47
|
$8,256.69
|
2025-07-01
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
9
|
6
|
—
|
—
|
$1,192.00
|
$10,316.83
|
$8,247.36
|
2025-07-01
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
4
|
4
|
—
|
—
|
$6,907.23
|
$12,265.04
|
$8,238.07
|
2025-07-01
|
|
742
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc
|
2
|
2
|
—
|
—
|
$7,776.04
|
$8,683.53
|
$8,229.78
|
2025-07-01
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
4
|
4
|
—
|
—
|
$2,847.79
|
$16,008.46
|
$8,218.48
|
2025-07-01
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
2
|
2
|
—
|
—
|
$5,250.62
|
$11,127.45
|
$8,189.03
|
2025-07-01
|
|
5223
|
OTHER
|
Level 3 Pacemaker And Similar Procedures
|
4
|
4
|
—
|
—
|
$1,783.47
|
$9,472.51
|
$8,172.40
|
2025-07-01
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
10
|
7
|
—
|
—
|
$2,337.50
|
$10,908.53
|
$8,144.26
|
2025-07-01
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
2
|
2
|
—
|
—
|
$6,883.83
|
$9,393.04
|
$8,138.44
|
2025-07-01
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
4
|
4
|
—
|
—
|
$6,589.62
|
$11,005.26
|
$8,076.11
|
2025-07-01
|
|
540
|
MS_DRG
|
Osteomyelitis With Cc
|
2
|
2
|
—
|
—
|
$6,125.00
|
$9,836.46
|
$7,980.73
|
2025-07-01
|
|
5376
|
OTHER
|
Level 6 Urology And Related Services
|
4
|
4
|
—
|
—
|
$7,492.56
|
$8,173.42
|
$7,976.27
|
2025-07-01
|
|
687
|
MS_DRG
|
Kidney And Urinary Tract Neoplasms With Cc
|
1
|
1
|
—
|
—
|
$7,959.02
|
$7,959.02
|
$7,959.02
|
2025-07-01
|
|
337
|
MS_DRG
|
Peritoneal Adhesiolysis Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$7,935.14
|
$7,935.14
|
$7,935.14
|
2025-07-01
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
2
|
2
|
—
|
—
|
$4,288.04
|
$11,566.76
|
$7,927.40
|
2025-07-01
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
10
|
6
|
—
|
—
|
$4,768.00
|
$12,574.71
|
$7,910.46
|
2025-07-01
|
|
383
|
MS_DRG
|
Uncomplicated Peptic Ulcer With Mcc
|
2
|
2
|
—
|
—
|
$7,611.28
|
$8,129.19
|
$7,870.23
|
2025-07-01
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
6
|
5
|
—
|
—
|
$3,965.35
|
$9,132.63
|
$7,829.99
|
2025-07-01
|
|
686
|
MS_DRG
|
Kidney And Urinary Tract Neoplasms With Mcc
|
1
|
1
|
—
|
—
|
$7,703.59
|
$7,703.59
|
$7,703.59
|
2025-07-01
|
|
60
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$7,644.01
|
$7,644.01
|
$7,644.01
|
2025-07-01
|
|
592
|
MS_DRG
|
Skin Ulcers With Mcc
|
1
|
1
|
—
|
—
|
$7,607.20
|
$7,607.20
|
$7,607.20
|
2025-07-01
|
|
693
|
MS_DRG
|
Urinary Stones With Mcc
|
1
|
1
|
—
|
—
|
$7,606.61
|
$7,606.61
|
$7,606.61
|
2025-07-01
|
|
949
|
MS_DRG
|
Aftercare With Cc/Mcc
|
2
|
2
|
—
|
—
|
$6,565.54
|
$8,602.16
|
$7,583.85
|
2025-07-01
|
|
546
|
MS_DRG
|
Connective Tissue Disorders With Cc
|
1
|
1
|
—
|
—
|
$7,535.71
|
$7,535.71
|
$7,535.71
|
2025-07-01
|
|
167
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Cc
|
1
|
1
|
—
|
—
|
$7,530.24
|
$7,530.24
|
$7,530.24
|
2025-07-01
|
|
152
|
MS_DRG
|
Otitis Media And Uri With Mcc
|
1
|
1
|
—
|
—
|
$7,512.01
|
$7,512.01
|
$7,512.01
|
2025-07-01
|
|
54
|
MS_DRG
|
Nervous System Neoplasms With Mcc
|
3
|
3
|
—
|
—
|
$6,885.89
|
$19,796.77
|
$7,436.54
|
2025-07-01
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/Mcc
|
3
|
3
|
—
|
—
|
$4,415.94
|
$10,728.00
|
$7,427.69
|
2025-07-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
1
|
1
|
—
|
—
|
$7,426.70
|
$7,426.70
|
$7,426.70
|
2025-07-01
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
2
|
2
|
—
|
—
|
$3,576.00
|
$11,229.31
|
$7,402.65
|
2025-07-01
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
3
|
3
|
—
|
—
|
$4,093.62
|
$11,030.43
|
$7,390.69
|
2025-07-01
|
|
251
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc
|
2
|
2
|
—
|
—
|
$4,919.86
|
$9,803.38
|
$7,361.62
|
2025-07-01
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
5
|
5
|
—
|
—
|
$4,459.68
|
$8,255.83
|
$7,340.06
|
2025-07-01
|
|
5626
|
OTHER
|
Level 6 Radiation Therapy
|
5
|
5
|
—
|
—
|
$7,056.81
|
$8,410.26
|
$7,320.64
|
2025-07-01
|
|
760
|
MS_DRG
|
Menstrual And Other Female Reproductive System Disorders With Cc/Mcc
|
1
|
1
|
—
|
—
|
$7,313.83
|
$7,313.83
|
$7,313.83
|
2025-07-01
|
|
39
|
MS_DRG
|
Extracranial Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$7,306.01
|
$7,306.01
|
$7,306.01
|
2025-07-01
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
5
|
4
|
—
|
—
|
$2,514.50
|
$11,272.75
|
$7,224.71
|
2025-07-01
|
|
381
|
MS_DRG
|
Complicated Peptic Ulcer With Cc
|
2
|
2
|
—
|
—
|
$6,611.36
|
$7,819.73
|
$7,215.55
|
2025-07-01
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
2
|
2
|
—
|
—
|
$5,662.16
|
$8,752.97
|
$7,207.56
|
2025-07-01
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
5
|
5
|
—
|
—
|
$5,887.08
|
$11,466.38
|
$7,200.00
|
2025-07-01
|
|
85
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
1
|
1
|
—
|
—
|
$7,195.20
|
$7,195.20
|
$7,195.20
|
2025-07-01
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
10
|
7
|
—
|
—
|
$3,576.00
|
$9,224.54
|
$7,190.71
|
2025-07-01
|
|
5222
|
OTHER
|
Level 2 Pacemaker And Similar Procedures
|
6
|
6
|
—
|
—
|
$4,902.95
|
$10,205.25
|
$7,155.91
|
2025-07-01
|
|
815
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Cc
|
2
|
2
|
—
|
—
|
$6,285.52
|
$7,986.47
|
$7,136.00
|
2025-07-01
|
|
416
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$7,113.56
|
$7,113.56
|
$7,113.56
|
2025-07-01
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
1
|
1
|
—
|
—
|
$7,105.01
|
$7,105.01
|
$7,105.01
|
2025-07-01
|
|
375
|
MS_DRG
|
Digestive Malignancy With Cc
|
1
|
1
|
—
|
—
|
$7,041.46
|
$7,041.46
|
$7,041.46
|
2025-07-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
1
|
1
|
—
|
—
|
$6,998.02
|
$6,998.02
|
$6,998.02
|
2025-07-01
|
|
59
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia With Cc
|
1
|
1
|
—
|
—
|
$6,952.99
|
$6,952.99
|
$6,952.99
|
2025-07-01
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
2
|
2
|
—
|
—
|
$6,044.64
|
$7,849.51
|
$6,947.08
|
2025-07-01
|
|
863
|
MS_DRG
|
Postoperative And Post-traumatic Infections Without Mcc
|
2
|
2
|
—
|
—
|
$6,110.28
|
$7,712.24
|
$6,911.26
|
2025-07-01
|
|
1489
|
OTHER
|
Inj Vedolizumab IV 1 Mg
|
5
|
5
|
—
|
—
|
$5,529.02
|
$13,269.52
|
$6,837.23
|
2025-07-01
|
|
743
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$5,289.42
|
$8,295.58
|
$6,792.50
|
2025-07-01
|
|
386
|
MS_DRG
|
Inflammatory Bowel Disease With Cc
|
5
|
4
|
—
|
—
|
$2,936.99
|
$8,121.13
|
$6,784.05
|
2025-07-01
|
|
644
|
MS_DRG
|
Endocrine Disorders With Cc
|
3
|
3
|
—
|
—
|
$6,497.84
|
$10,233.00
|
$6,742.51
|
2025-07-01
|
|
865
|
MS_DRG
|
Viral Illness With Mcc
|
2
|
2
|
—
|
—
|
$6,712.89
|
$6,723.34
|
$6,718.11
|
2025-07-01
|
|
300
|
MS_DRG
|
Peripheral Vascular Disorders With Cc
|
4
|
4
|
—
|
—
|
$2,450.00
|
$8,123.99
|
$6,669.14
|
2025-07-01
|
|
885
|
MS_DRG
|
Psychoses
|
4
|
4
|
—
|
—
|
$5,202.89
|
$9,176.94
|
$6,655.32
|
2025-07-01
|
|
67
|
MS_DRG
|
Nonspecific Cva And Precerebral Occlusion Without Infarction With Mcc
|
1
|
1
|
—
|
—
|
$6,653.09
|
$6,653.09
|
$6,653.09
|
2025-07-01
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
3
|
3
|
—
|
—
|
$6,534.04
|
$9,686.00
|
$6,620.02
|
2025-07-01
|
|
395
|
MS_DRG
|
Other Digestive System Diagnoses Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$6,590.38
|
$6,590.38
|
$6,590.38
|
2025-07-01
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
5
|
5
|
—
|
—
|
$5,036.72
|
$8,753.48
|
$6,504.70
|
2025-07-01
|
|
5114
|
OTHER
|
Level 4 Musculoskeletal Procedures
|
18
|
13
|
—
|
—
|
$3,038.00
|
$51,329.98
|
$6,364.59
|
2025-07-01
|
|
304
|
MS_DRG
|
Hypertension With Mcc
|
2
|
2
|
—
|
—
|
$4,186.17
|
$8,452.56
|
$6,319.36
|
2025-07-01
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
9
|
7
|
—
|
—
|
$4,768.00
|
$7,961.53
|
$6,317.81
|
2025-07-01
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
8
|
6
|
—
|
—
|
$4,864.92
|
$7,795.46
|
$6,305.81
|
2025-07-01
|