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-tricities

Bristol, TN · CCN 442016 · Rates published

829 distinct procedures filed
36 distinct payers
72,123 rate rows
2026-07-15 last MRF observed
Data quality

29,015 of 72,123 rate rows are consumer-grade (40.2%)

43,108 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 24,041
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 19,067
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://resources.selectmedical.com/Pricing-Transparency/critical-illness-recovery/25-1813125_Select_Specialty_Hospital-TriCities_standardcharges.csv
Found on page https://www.selectspecialtyhospitals.com/locations-and-tours/tn/bristol/tri-cities/
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-12

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
10
MS_DRG 		Pancreas Transplant 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$67,750
outlier · 0.0×
100
MS_DRG 		Seizures With Mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$19,081
outlier · 0.1×
101
MS_DRG 		Seizures Without Mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$9,703
outlier · 0.2×
102
MS_DRG 		Headaches With Mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$12,009
outlier · 0.1×
103
MS_DRG 		Headaches Without Mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$9,211
outlier · 0.2×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$52,447
outlier · 0.0×
113
MS_DRG 		Orbital Procedures With Cc/mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$22,527
outlier · 0.1×
114
MS_DRG 		Orbital Procedures Without Cc/mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$13,470
outlier · 0.1×
115
MS_DRG 		Extraocular Procedures Except Orbit 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$15,528
outlier · 0.1×
116
MS_DRG 		Intraocular Procedures With Cc/mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$17,785
outlier · 0.1×
117
MS_DRG 		Intraocular Procedures Without Cc/mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$11,500
outlier · 0.1×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$40,421
outlier · 0.0×
121
MS_DRG 		Acute Major Eye Infections With Cc/mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$12,162
outlier · 0.1×
122
MS_DRG 		Acute Major Eye Infections Without Cc/mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$8,287
outlier · 0.2×
123
MS_DRG 		Neurological Eye Disorders 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$8,920
outlier · 0.2×
124
MS_DRG 		Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$13,673
outlier · 0.1×
125
MS_DRG 		Other Disorders Of The Eye Without Mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$8,662
outlier · 0.2×
129
MS_DRG 		Major Head & Neck Procedures W Cc/mcc Or Major Device 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$15,476
outlier · 0.1×
13
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$27,435
outlier · 0.1×
130
MS_DRG 		Major Head & Neck Procedures Without Cc/mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$10,707
outlier · 0.2×
131
MS_DRG 		Cranial/facial Procedures W Cc/mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$17,728
outlier · 0.1×
132
MS_DRG 		Cranial/facial Procedures Without Cc/mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$10,727
outlier · 0.1×
133
MS_DRG 		Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$13,527
outlier · 0.1×
134
MS_DRG 		Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$8,281
outlier · 0.2×
135
MS_DRG 		Sinus And Mastoid Procedures With Cc/mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$22,301
outlier · 0.1×
136
MS_DRG 		Sinus And Mastoid Procedures Without Cc/mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$10,965
outlier · 0.1×
137
MS_DRG 		Mouth Procedures With Cc/mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$14,929
outlier · 0.1×
138
MS_DRG 		Mouth Procedures Without Cc/mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$9,470
outlier · 0.2×
139
MS_DRG 		Salivary Gland Procedures 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$13,303
outlier · 0.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$114,305
outlier · 0.0×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$39,825
outlier · 0.0×
141
MS_DRG 		Major Head And Neck Procedures With Cc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$21,232
outlier · 0.1×
142
MS_DRG 		Major Head And Neck Procedures Without Cc/mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$16,445
outlier · 0.1×
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$33,536
outlier · 0.0×
144
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$17,443
outlier · 0.1×
145
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$12,568
outlier · 0.1×
146
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$21,299
outlier · 0.1×
147
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Cc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$13,125
outlier · 0.1×
148
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$9,011
outlier · 0.2×
149
MS_DRG 		Dysequilibrium 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$8,398
outlier · 0.2×
15
MS_DRG 		Autologous Bone Marrow Transplant 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$2,024
0.8× median
150
MS_DRG 		Epistaxis With Mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$13,696
outlier · 0.1×
151
MS_DRG 		Epistaxis Without Mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$8,299
outlier · 0.2×
152
MS_DRG 		Otitis Media And Uri With Mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$12,033
outlier · 0.1×
153
MS_DRG 		Otitis Media And Uri Without Mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$8,052
outlier · 0.2×
154
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$15,923
outlier · 0.1×
155
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Cc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$9,906
outlier · 0.2×
156
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$7,754
outlier · 0.2×
157
MS_DRG 		Dental And Oral Diseases With Mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$16,954
outlier · 0.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 28 $1,608.50 $1,608.50 $1,608.50 nat. median
$261,939
outlier · 0.0×

Other procedures at this hospital

Browse this hospital's 829 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
             
10 MS_DRG Pancreas Transplant 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
100 MS_DRG Seizures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
101 MS_DRG Seizures Without Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
102 MS_DRG Headaches With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
103 MS_DRG Headaches Without Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
113 MS_DRG Orbital Procedures With Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
114 MS_DRG Orbital Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
115 MS_DRG Extraocular Procedures Except Orbit 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
116 MS_DRG Intraocular Procedures With Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
117 MS_DRG Intraocular Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
121 MS_DRG Acute Major Eye Infections With Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
122 MS_DRG Acute Major Eye Infections Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
123 MS_DRG Neurological Eye Disorders 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
125 MS_DRG Other Disorders Of The Eye Without Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Device 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
130 MS_DRG Major Head & Neck Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
131 MS_DRG Cranial/facial Procedures W Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
132 MS_DRG Cranial/facial Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
134 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
137 MS_DRG Mouth Procedures With Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
138 MS_DRG Mouth Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
139 MS_DRG Salivary Gland Procedures 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
149 MS_DRG Dysequilibrium 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
15 MS_DRG Autologous Bone Marrow Transplant 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
150 MS_DRG Epistaxis With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
151 MS_DRG Epistaxis Without Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
152 MS_DRG Otitis Media And Uri With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
153 MS_DRG Otitis Media And Uri Without Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
157 MS_DRG Dental And Oral Diseases With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
158 MS_DRG Dental And Oral Diseases With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
165 MS_DRG Major Chest Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnos 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
176 MS_DRG Pulmonary Embolism Without Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
177 MS_DRG Respiratory Infections And Inflammations With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
178 MS_DRG Respiratory Infections And Inflammations With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
180 MS_DRG Respiratory Neoplasms With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
181 MS_DRG Respiratory Neoplasms With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
182 MS_DRG Respiratory Neoplasms Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
183 MS_DRG Major Chest Trauma With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
184 MS_DRG Major Chest Trauma With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
185 MS_DRG Major Chest Trauma Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
186 MS_DRG Pleural Effusion With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
187 MS_DRG Pleural Effusion With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
188 MS_DRG Pleural Effusion Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
189 MS_DRG Pulmonary Edema And Respiratory Failure 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
196 MS_DRG Interstitial Lung Disease With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
197 MS_DRG Interstitial Lung Disease With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
199 MS_DRG Pneumothorax With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
200 MS_DRG Pneumothorax With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
201 MS_DRG Pneumothorax Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
202 MS_DRG Bronchitis And Asthma With Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
204 MS_DRG Respiratory Signs And Symptoms 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
205 MS_DRG Other Respiratory System Diagnoses With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 58 28 — — $1,608.50 $64,418.49 $1,608.50 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
215 MS_DRG Other Heart Assist System Implant 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without A 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without A 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With M 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Withou 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With M 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Withou 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
237 MS_DRG Major Cardiovasc Procedures W Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
238 MS_DRG Major Cardiovasc Procedures Without Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And To 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And To 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And To 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
245 MS_DRG Aicd Generator Procedures 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Witho 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent W 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent W 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device W 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device W 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
254 MS_DRG Other Vascular Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Witho 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
263 MS_DRG Vein Ligation And Stripping 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
265 MS_DRG Aicd Lead Procedures 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Wit 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Wit 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimula 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Witho 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
289 MS_DRG Acute And Subacute Endocarditis With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
291 MS_DRG Heart Failure And Shock With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
292 MS_DRG Heart Failure And Shock With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
293 MS_DRG Heart Failure And Shock Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
294 MS_DRG Deep Vein Thrombophlebitis With Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
295 MS_DRG Deep Vein Thrombophlebitis Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
297 MS_DRG Cardiac Arrest, Unexplained With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
299 MS_DRG Peripheral Vascular Disorders With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
30 MS_DRG Spinal Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
300 MS_DRG Peripheral Vascular Disorders With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
302 MS_DRG Atherosclerosis With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
303 MS_DRG Atherosclerosis Without Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
304 MS_DRG Hypertension With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
305 MS_DRG Hypertension Without Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
311 MS_DRG Angina Pectoris 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
312 MS_DRG Syncope And Collapse 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
313 MS_DRG Chest Pain 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
315 MS_DRG Other Circulatory System Diagnoses With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
32 MS_DRG Ventricular Shunt Procedures With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
332 MS_DRG Rectal Resection With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
333 MS_DRG Rectal Resection With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
334 MS_DRG Rectal Resection Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
348 MS_DRG Anal And Stomal Procedures With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without M 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
368 MS_DRG Major Esophageal Disorders With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
369 MS_DRG Major Esophageal Disorders With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
370 MS_DRG Major Esophageal Disorders Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without C 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
374 MS_DRG Digestive Malignancy With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
375 MS_DRG Digestive Malignancy With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
376 MS_DRG Digestive Malignancy Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
378 MS_DRG Gastrointestinal Hemorrhage With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
38 MS_DRG Extracranial Procedures With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
380 MS_DRG Complicated Peptic Ulcer With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
381 MS_DRG Complicated Peptic Ulcer With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
385 MS_DRG Inflammatory Bowel Disease With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
386 MS_DRG Inflammatory Bowel Disease With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
388 MS_DRG Gastrointestinal Obstruction With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
389 MS_DRG Gastrointestinal Obstruction With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
39 MS_DRG Extracranial Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders W 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders W 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
393 MS_DRG Other Digestive System Diagnoses With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
394 MS_DRG Other Digestive System Diagnoses With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
397 MS_DRG Appendix Procedures With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
398 MS_DRG Appendix Procedures With Cc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
399 MS_DRG Appendix Procedures Without Cc/mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, M 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 58 28 — — $1,608.50 $1,608.50 $1,608.50 2026-07-15
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