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

EAST TENNESSEE CHILDRENS HOSPITAL

Knoxville, TN · CCN 443303 · Rates published

484 distinct procedures filed
6 distinct payers
8,261 rate rows
2024-10-01 last MRF observed · ⚠ 24 mo old
Data quality

1,755 of 8,261 rate rows are consumer-grade (21.2%)

6,506 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6,451
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 42
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 13

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 24 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.etch.com/app/files/public/06fd0f51-15ed-4ab5-8a33-3db6406ac6dc/Documents/Transparency/ETCH Machine Readable File 7.1.24.csv
Found on page https://www.etch.com/your-visit/billing-insurance/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint c4921145304c9dab… · 2,266,867 bytes · first seen 2026-05-09

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
548
MS_DRG 		Septic Arthritis With Mcc 1 $307,542.58 $307,542.58 $307,542.58 nat. median
$13,580
outlier · 22.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $143,216.30 $318,063.14 $230,639.72 nat. median
$145,435
1.6× median
140
MS_DRG 		Major Head And Neck Procedures With Mcc 1 $138,929.42 $138,929.42 $138,929.42 nat. median
$28,105
outlier · 4.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $55,335.79 $1,496,385.82 $132,809.65 nat. median
$97,418
1.4× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $106,328.02 $106,328.02 $106,328.02 nat. median
$2,106
outlier · 50.5×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 $27,608.05 $481,414.52 $105,321.32 nat. median
$40,301
outlier · 2.6×
9312
OTHER 		Inj., Ravulizumab-cwvz 10 Mg 1 $69,932.88 $138,635.82 $104,284.35 nat. median
$227
outlier · 458.7×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $99,310.82 $105,965.96 $102,638.39 nat. median
$59,651
1.7× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 5 $20,810.90 $169,572.68 $95,543.79 nat. median
$32,531
outlier · 2.9×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 1 $94,876.30 $94,876.30 $94,876.30 nat. median
$37,725
outlier · 2.5×
834
MS_DRG 		Acute Leukemia With Mcc 3 $42,191.01 $173,993.98 $92,863.03 nat. median
$37,487
outlier · 2.5×
141
MS_DRG 		Major Head And Neck Procedures With Cc 1 $89,956.82 $89,956.82 $89,956.82 nat. median
$14,978
outlier · 6.0×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $71,729.15 $71,729.15 $71,729.15 nat. median
$2,106
outlier · 34.1×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 $56,611.90 $180,173.81 $70,036.26 nat. median
$40,584
1.7× median
296
MS_DRG 		Cardiac Arrest, Unexplained With Mcc 1 $67,643.41 $67,643.41 $67,643.41 nat. median
$11,574
outlier · 5.8×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $32,238.93 $98,137.62 $65,188.28 nat. median
$42,674
1.5× median
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc 1 $62,754.02 $62,754.02 $62,754.02 nat. median
$11,966
outlier · 5.2×
52
MS_DRG 		Spinal Disorders And Injuries With Cc/Mcc 2 $38,133.70 $80,000.00 $59,066.85 nat. median
$12,739
outlier · 4.6×
643
MS_DRG 		Endocrine Disorders With Mcc 1 $58,525.80 $58,525.80 $58,525.80 nat. median
$11,920
outlier · 4.9×
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 $49,734.32 $49,734.32 $49,734.32 nat. median
$33,583
1.5× median
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 $20,459.23 $73,202.35 $46,830.79 nat. median
$27,920
1.7× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 1 $14,081.74 $79,480.55 $46,781.15 nat. median
$35,986
1.3× median
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 2 $25,865.81 $64,080.33 $44,973.07 nat. median
$8,963
outlier · 5.0×
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 1 $16,149.50 $70,206.59 $43,178.04 nat. median
$29,327
1.5× median
821
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 $43,101.25 $43,101.25 $43,101.25 nat. median
$15,961
outlier · 2.7×
791
MS_DRG 		Prematurity With Major Problems 5 $35,527.38 $82,449.54 $42,042.04 nat. median
$27,149
1.5× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 $17,803.46 $64,993.88 $41,398.67 nat. median
$24,752
1.7× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 $28,197.26 $99,818.30 $41,297.36 nat. median
$34,733
1.2× median
793
MS_DRG 		Full Term Neonate With Major Problems 5 $15,624.00 $54,641.65 $39,748.23 nat. median
$15,882
outlier · 2.5×
671
MS_DRG 		Urethral Procedures With Cc/Mcc 1 $39,471.73 $39,471.73 $39,471.73 nat. median
$12,624
outlier · 3.1×
487
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 1 $39,400.13 $39,400.13 $39,400.13 nat. median
$11,379
outlier · 3.5×
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 4 $15,683.24 $47,785.21 $39,300.80 nat. median
$30,586
1.3× median
41
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 $38,661.00 $38,661.00 $38,661.00 nat. median
$15,861
outlier · 2.4×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 $35,635.65 $35,635.65 $35,635.65 nat. median
$27,156
1.3× median
862
MS_DRG 		Postoperative And Post-traumatic Infections With Mcc 2 $9,771.05 $61,077.35 $35,424.20 nat. median
$13,176
outlier · 2.7×
309
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Cc 1 $34,953.55 $34,953.55 $34,953.55 nat. median
$5,574
outlier · 6.3×
653
MS_DRG 		Major Bladder Procedures With Mcc 2 $21,265.00 $47,556.13 $34,410.57 nat. median
$36,547
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 3 $26,905.84 $267,722.87 $33,607.42 nat. median
$47,121
0.7× median
658
MS_DRG 		Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 1 $33,267.61 $33,267.61 $33,267.61 nat. median
$11,301
outlier · 2.9×
334
MS_DRG 		Rectal Resection Without Cc/Mcc 2 $6,200.22 $59,994.09 $33,097.15 nat. median
$11,690
outlier · 2.8×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 2 $18,970.77 $47,066.36 $33,018.57 nat. median
$26,952
1.2× median
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 $32,972.41 $32,972.41 $32,972.41 nat. median
$23,839
1.4× median
843
OTHER 		Pegaspargase Injection 3 $9,883.66 $41,769.83 $32,081.09 nat. median
$27,883
1.2× median
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 1 $32,067.12 $32,067.12 $32,067.12 nat. median
$12,668
outlier · 2.5×
545
MS_DRG 		Connective Tissue Disorders With Mcc 2 $12,977.10 $50,819.66 $31,898.38 nat. median
$17,538
1.8× median
802
MS_DRG 		Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 $27,435.80 $35,829.99 $31,632.89 nat. median
$25,579
1.2× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 3 $22,492.35 $157,981.34 $31,380.52 nat. median
$33,435
0.9× median
5166
OTHER 		Cochlear Implant Procedure 4 $2,055.45 $63,342.27 $31,198.35 nat. median
$32,776
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $1,979.60 $149,113.01 $29,653.71 nat. median
$48,611
0.6× median
623
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 $28,464.63 $28,464.63 $28,464.63 nat. median
$13,380
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 484 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
548 MS_DRG Septic Arthritis With Mcc 1 1 — — $307,542.58 $307,542.58 $307,542.58 2024-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 1 — — $143,216.30 $318,063.14 $230,639.72 2024-10-01
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $138,929.42 $138,929.42 $138,929.42 2024-10-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 2 — — $55,335.79 $1,496,385.82 $132,809.65 2024-10-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $106,328.02 $106,328.02 $106,328.02 2024-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 3 — — $27,608.05 $481,414.52 $105,321.32 2024-10-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 2 1 — — $69,932.88 $138,635.82 $104,284.35 2024-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $99,310.82 $105,965.96 $102,638.39 2024-10-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 8 5 — — $20,810.90 $169,572.68 $95,543.79 2024-10-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $94,876.30 $94,876.30 $94,876.30 2024-10-01
834 MS_DRG Acute Leukemia With Mcc 5 3 — — $42,191.01 $173,993.98 $92,863.03 2024-10-01
141 MS_DRG Major Head And Neck Procedures With Cc 1 1 — — $89,956.82 $89,956.82 $89,956.82 2024-10-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $71,729.15 $71,729.15 $71,729.15 2024-10-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 4 — — $56,611.90 $180,173.81 $70,036.26 2024-10-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 1 1 — — $67,643.41 $67,643.41 $67,643.41 2024-10-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — — $32,238.93 $98,137.62 $65,188.28 2024-10-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 1 1 — — $62,754.02 $62,754.02 $62,754.02 2024-10-01
52 MS_DRG Spinal Disorders And Injuries With Cc/Mcc 2 2 — — $38,133.70 $80,000.00 $59,066.85 2024-10-01
643 MS_DRG Endocrine Disorders With Mcc 1 1 — — $58,525.80 $58,525.80 $58,525.80 2024-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $49,734.32 $49,734.32 $49,734.32 2024-10-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $20,459.23 $73,202.35 $46,830.79 2024-10-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 1 — — $14,081.74 $79,480.55 $46,781.15 2024-10-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 2 2 — — $25,865.81 $64,080.33 $44,973.07 2024-10-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 1 — — $16,149.50 $70,206.59 $43,178.04 2024-10-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 1 — — $43,101.25 $43,101.25 $43,101.25 2024-10-01
791 MS_DRG Prematurity With Major Problems 7 5 — — $35,527.38 $82,449.54 $42,042.04 2024-10-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 1 — — $17,803.46 $64,993.88 $41,398.67 2024-10-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 2 — — $28,197.26 $99,818.30 $41,297.36 2024-10-01
793 MS_DRG Full Term Neonate With Major Problems 8 5 — — $15,624.00 $54,641.65 $39,748.23 2024-10-01
671 MS_DRG Urethral Procedures With Cc/Mcc 1 1 — — $39,471.73 $39,471.73 $39,471.73 2024-10-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 1 1 — — $39,400.13 $39,400.13 $39,400.13 2024-10-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 6 4 — — $15,683.24 $47,785.21 $39,300.80 2024-10-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 1 — — $38,661.00 $38,661.00 $38,661.00 2024-10-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $35,635.65 $35,635.65 $35,635.65 2024-10-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 2 2 — — $9,771.05 $61,077.35 $35,424.20 2024-10-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 1 1 — — $34,953.55 $34,953.55 $34,953.55 2024-10-01
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $21,265.00 $47,556.13 $34,410.57 2024-10-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 3 — — $26,905.84 $267,722.87 $33,607.42 2024-10-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 1 1 — — $33,267.61 $33,267.61 $33,267.61 2024-10-01
334 MS_DRG Rectal Resection Without Cc/Mcc 2 2 — — $6,200.22 $59,994.09 $33,097.15 2024-10-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 2 — — $18,970.77 $47,066.36 $33,018.57 2024-10-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $32,972.41 $32,972.41 $32,972.41 2024-10-01
843 OTHER Pegaspargase Injection 4 3 — — $9,883.66 $41,769.83 $32,081.09 2024-10-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 1 1 — — $32,067.12 $32,067.12 $32,067.12 2024-10-01
545 MS_DRG Connective Tissue Disorders With Mcc 2 2 — — $12,977.10 $50,819.66 $31,898.38 2024-10-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 2 1 — — $27,435.80 $35,829.99 $31,632.89 2024-10-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 3 — — $22,492.35 $157,981.34 $31,380.52 2024-10-01
5166 OTHER Cochlear Implant Procedure 6 4 — — $2,055.45 $63,342.27 $31,198.35 2024-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 3 — — $1,979.60 $149,113.01 $29,653.71 2024-10-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $28,464.63 $28,464.63 $28,464.63 2024-10-01
792 MS_DRG Prematurity Without Major Problems 6 4 — — $17,946.27 $46,615.30 $28,236.79 2024-10-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 5 4 — — $18,475.26 $79,212.99 $28,006.07 2024-10-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 5 3 — — $18,028.91 $132,702.16 $27,766.62 2024-10-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 1 1 — — $27,570.36 $27,570.36 $27,570.36 2024-10-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 1 1 — — $27,020.87 $27,020.87 $27,020.87 2024-10-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 1 1 — — $26,937.01 $26,937.01 $26,937.01 2024-10-01
9028 OTHER Inj Inotuzumab Ozogam 0.1 Mg 1 1 — — $26,377.89 $26,377.89 $26,377.89 2024-10-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 2 1 — — $10,064.85 $41,907.80 $25,986.33 2024-10-01
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $25,877.55 $25,877.55 $25,877.55 2024-10-01
186 MS_DRG Pleural Effusion With Mcc 1 1 — — $25,765.97 $25,765.97 $25,765.97 2024-10-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 3 — — $8,506.00 $98,953.20 $25,702.19 2024-10-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 — — $25,635.38 $25,635.38 $25,635.38 2024-10-01
1311 OTHER Canakinumab Injection 2 2 — — $17,985.68 $32,094.36 $25,040.02 2024-10-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 1 — — $11,890.15 $37,609.64 $24,749.89 2024-10-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/Mcc 1 1 — — $24,348.93 $24,348.93 $24,348.93 2024-10-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 3 3 — — $12,759.00 $49,284.20 $24,043.16 2024-10-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 — — $24,024.45 $24,024.45 $24,024.45 2024-10-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 2 — — $13,992.69 $33,918.14 $23,955.42 2024-10-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $23,546.35 $23,546.35 $23,546.35 2024-10-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $23,399.67 $23,399.67 $23,399.67 2024-10-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 5 4 — — $7,159.41 $34,656.69 $23,398.37 2024-10-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc 2 2 — — $2,516.67 $44,088.46 $23,302.57 2024-10-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 4 2 — — $79.30 $46,729.62 $23,210.60 2024-10-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 2 — — $19,251.03 $26,202.36 $22,726.69 2024-10-01
72 MS_DRG Nonspecific Cerebrovascular Disorders Without Cc/Mcc 1 1 — — $22,157.88 $22,157.88 $22,157.88 2024-10-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $15,222.02 $26,973.78 $21,097.90 2024-10-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $20,599.92 $20,599.92 $20,599.92 2024-10-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 1 — — $13,963.00 $26,861.95 $20,412.47 2024-10-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 5 3 — — $11,945.52 $42,969.30 $20,404.78 2024-10-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 — — $20,342.60 $20,342.60 $20,342.60 2024-10-01
883 MS_DRG Disorders Of Personality And Impulse Control 1 1 — — $20,233.86 $20,233.86 $20,233.86 2024-10-01
398 MS_DRG Appendix Procedures With Cc 2 1 — — $7,362.20 $31,824.79 $19,593.49 2024-10-01
540 MS_DRG Osteomyelitis With Cc 3 2 — — $6,797.50 $20,103.77 $19,566.54 2024-10-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 1 — — $14,561.32 $24,555.74 $19,558.53 2024-10-01
32 MS_DRG Ventricular Shunt Procedures With Cc 4 3 — — $9,907.28 $37,074.70 $19,390.19 2024-10-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $19,065.95 $19,065.95 $19,065.95 2024-10-01
572 MS_DRG Skin Debridement Without Cc/Mcc 1 1 — — $18,782.47 $18,782.47 $18,782.47 2024-10-01
964 MS_DRG Other Multiple Significant Trauma With Cc 2 2 — — $6,830.81 $30,601.50 $18,716.15 2024-10-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 6 4 — — $10,835.43 $81,289.10 $18,268.06 2024-10-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $18,256.95 $18,256.95 $18,256.95 2024-10-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 2 2 — — $9,480.20 $26,894.28 $18,187.24 2024-10-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 1 — — $10,927.76 $25,430.28 $18,179.02 2024-10-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 2 — — $16,433.80 $19,837.08 $18,135.44 2024-10-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 5 3 — — $15,434.70 $53,260.83 $17,710.50 2024-10-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 — — $8,177.08 $26,883.07 $17,530.07 2024-10-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 5 4 — — $10,193.31 $84,534.34 $17,145.95 2024-10-01
919 MS_DRG Complications Of Treatment With Mcc 3 3 — — $8,930.39 $23,868.12 $17,080.67 2024-10-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 6 4 — — $8,011.66 $34,497.41 $16,976.36 2024-10-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 3 2 — — $9,493.02 $20,038.28 $16,967.20 2024-10-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 — — $16,775.84 $16,775.84 $16,775.84 2024-10-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 2 1 — — $4,634.39 $28,868.15 $16,751.27 2024-10-01
654 MS_DRG Major Bladder Procedures With Cc 3 1 — — $15,537.71 $47,961.89 $16,241.51 2024-10-01
55 MS_DRG Nervous System Neoplasms Without Mcc 2 2 — — $4,905.38 $27,519.59 $16,212.49 2024-10-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 2 — — $15,453.30 $35,591.00 $16,191.24 2024-10-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 4 2 — — $4,761.88 $41,824.97 $16,145.51 2024-10-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 1 1 — — $15,781.27 $15,781.27 $15,781.27 2024-10-01
794 MS_DRG Neonate With Other Significant Problems 7 5 — — $6,118.00 $25,179.37 $15,683.41 2024-10-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 5 3 — — $14,383.96 $16,791.35 $15,650.91 2024-10-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 2 — — $1,107.41 $41,276.59 $15,471.62 2024-10-01
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/Mcc 1 1 — — $15,446.76 $15,446.76 $15,446.76 2024-10-01
28 MS_DRG Spinal Procedures With Mcc 2 2 — — $14,920.69 $15,650.91 $15,285.80 2024-10-01
5116 OTHER Level 6 Musculoskeletal Procedures 2 2 — — $5,175.00 $25,123.00 $15,149.00 2024-10-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 1 1 — — $15,115.41 $15,115.41 $15,115.41 2024-10-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 1 — — $14,918.47 $14,918.47 $14,918.47 2024-10-01
164 MS_DRG Major Chest Procedures With Cc 4 2 — — $12,407.70 $37,573.81 $14,164.35 2024-10-01
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/Mcc 1 1 — — $14,164.13 $14,164.13 $14,164.13 2024-10-01
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $13,966.90 $13,966.90 $13,966.90 2024-10-01
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc 6 5 — — $5,736.00 $23,820.08 $13,831.28 2024-10-01
9245 OTHER Romiplostim Injection 2 2 — — $8,743.26 $18,504.10 $13,623.68 2024-10-01
184 MS_DRG Major Chest Trauma With Cc 1 1 — — $13,561.51 $13,561.51 $13,561.51 2024-10-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 — — $13,520.51 $13,520.51 $13,520.51 2024-10-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 2 2 — — $7,923.63 $19,087.74 $13,505.69 2024-10-01
502 MS_DRG Soft Tissue Procedures Without Cc/Mcc 2 2 — — $5,272.60 $21,310.59 $13,291.60 2024-10-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 4 3 — — $5,013.87 $44,932.42 $13,185.01 2024-10-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 2 1 — — $6,471.03 $19,862.63 $13,166.83 2024-10-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $13,140.37 $13,140.37 $13,140.37 2024-10-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 4 3 — — $3,240.42 $33,841.77 $13,118.65 2024-10-01
200 MS_DRG Pneumothorax With Cc 3 2 — — $5,028.10 $13,477.22 $13,038.61 2024-10-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 3 2 — — $4,986.93 $15,946.12 $12,972.30 2024-10-01
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $12,945.84 $12,945.84 $12,945.84 2024-10-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 2 — — $10,833.84 $22,458.40 $12,821.30 2024-10-01
541 MS_DRG Osteomyelitis Without Cc/Mcc 2 2 — — $12,583.94 $13,017.81 $12,800.88 2024-10-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 4 3 — — $9,060.42 $35,982.14 $12,658.15 2024-10-01
965 MS_DRG Other Multiple Significant Trauma Without Cc/Mcc 2 2 — — $4,749.25 $20,535.28 $12,642.26 2024-10-01
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc 1 1 — — $12,609.16 $12,609.16 $12,609.16 2024-10-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 2 2 — — $7,152.52 $17,991.00 $12,571.76 2024-10-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 — — $12,536.62 $12,536.62 $12,536.62 2024-10-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 1 1 — — $12,349.78 $12,349.78 $12,349.78 2024-10-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 3 — — $11,540.44 $36,989.48 $12,325.92 2024-10-01
201 MS_DRG Pneumothorax Without Cc/Mcc 1 1 — — $12,273.59 $12,273.59 $12,273.59 2024-10-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 2 — — $5,976.22 $42,115.22 $12,144.32 2024-10-01
9208 OTHER Agalsidase Beta Injection 1 1 — — $12,119.26 $12,119.26 $12,119.26 2024-10-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 3 2 — — $2,889.23 $60,085.98 $12,029.02 2024-10-01
682 MS_DRG Renal Failure With Mcc 4 2 — — $5,634.83 $18,435.49 $11,858.19 2024-10-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 5 2 — — $8,393.81 $15,937.71 $11,803.71 2024-10-01
593 MS_DRG Skin Ulcers With Cc 1 1 — — $11,735.24 $11,735.24 $11,735.24 2024-10-01
503 MS_DRG Foot Procedures With Mcc 1 1 — — $11,702.08 $11,702.08 $11,702.08 2024-10-01
9045 OTHER Idursulfase Injection 1 1 — — $11,672.73 $11,672.73 $11,672.73 2024-10-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 6 3 — — $7,920.56 $28,208.80 $11,628.46 2024-10-01
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/Mcc 3 2 — — $4,011.50 $23,259.07 $11,404.07 2024-10-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 7 4 — — $7,655.40 $21,977.64 $11,389.94 2024-10-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $11,321.41 $11,321.41 $11,321.41 2024-10-01
1083 OTHER Adalimumab Injection 1 1 — — $10,872.84 $10,872.84 $10,872.84 2024-10-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 1 1 — — $10,764.36 $10,764.36 $10,764.36 2024-10-01
637 MS_DRG Diabetes With Mcc 4 2 — — $6,790.08 $16,007.35 $10,753.77 2024-10-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 — — $10,566.45 $10,566.45 $10,566.45 2024-10-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 1 1 — — $10,520.18 $10,520.18 $10,520.18 2024-10-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 2 — — $6,843.38 $23,676.20 $10,512.20 2024-10-01
839 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 2 1 — — $7,007.89 $13,610.14 $10,309.01 2024-10-01
547 MS_DRG Connective Tissue Disorders Without Cc/Mcc 2 1 — — $3,779.21 $16,680.70 $10,229.96 2024-10-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 3 2 — — $9,359.37 $24,629.26 $10,139.63 2024-10-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 2 1 — — $10,096.60 $10,132.45 $10,114.53 2024-10-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 1 — — $10,103.42 $10,103.42 $10,103.42 2024-10-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 4 2 — — $8,699.22 $27,032.04 $10,086.79 2024-10-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 8 5 — — $9,361.35 $92,385.62 $10,063.30 2024-10-01
595 MS_DRG Major Skin Disorders With Mcc 1 1 — — $9,980.98 $9,980.98 $9,980.98 2024-10-01
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 — — $7,238.44 $12,375.76 $9,807.10 2024-10-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 8 5 — — $5,830.66 $18,804.42 $9,763.09 2024-10-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 3 3 — — $8,517.24 $23,480.09 $9,730.50 2024-10-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 3 2 — — $3,186.00 $211,846.44 $9,593.15 2024-10-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 2 — — $5,875.95 $15,173.65 $9,523.17 2024-10-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 2 — — $8,974.35 $9,987.58 $9,480.97 2024-10-01
534 MS_DRG Fractures Of Femur Without Mcc 1 1 — — $9,415.83 $9,415.83 $9,415.83 2024-10-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 1 1 — — $9,284.46 $9,284.46 $9,284.46 2024-10-01
9449 OTHER Injection, Blinatumomab 3 2 — — $732.49 $9,779.08 $9,272.52 2024-10-01
758 MS_DRG Infections, Female Reproductive System With Cc 1 1 — — $9,234.82 $9,234.82 $9,234.82 2024-10-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 1 1 — — $9,126.74 $9,126.74 $9,126.74 2024-10-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 8 5 — — $6,318.18 $41,581.66 $9,115.28 2024-10-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $9,009.52 $9,009.52 $9,009.52 2024-10-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 2 — — $8,847.47 $25,040.51 $8,890.67 2024-10-01
305 MS_DRG Hypertension Without Mcc 2 2 — — $4,859.22 $12,759.00 $8,809.11 2024-10-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 5 2 — — $3,289.40 $9,809.17 $8,808.00 2024-10-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/Mcc 1 1 — — $8,770.38 $8,770.38 $8,770.38 2024-10-01
263 MS_DRG Vein Ligation And Stripping 1 1 — — $8,716.94 $8,716.94 $8,716.94 2024-10-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 3 3 — — $8,316.80 $11,899.88 $8,709.81 2024-10-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 3 3 — — $3,964.74 $17,411.57 $8,571.49 2024-10-01
801 MS_DRG Splenic Procedures Without Cc/Mcc 2 2 — — $8,167.34 $8,942.57 $8,554.95 2024-10-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 1 1 — — $8,380.85 $8,380.85 $8,380.85 2024-10-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 1 1 — — $8,352.82 $8,352.82 $8,352.82 2024-10-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 4 3 — — $1,219.00 $10,146.48 $8,301.92 2024-10-01
76 MS_DRG Viral Meningitis Without Cc/Mcc 5 3 — — $4,448.13 $26,195.83 $8,175.70 2024-10-01
75 MS_DRG Viral Meningitis With Cc/Mcc 6 3 — — $6,594.43 $13,458.17 $8,136.14 2024-10-01
501 MS_DRG Soft Tissue Procedures With Cc 1 1 — — $7,982.34 $7,982.34 $7,982.34 2024-10-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $7,922.17 $7,922.17 $7,922.17 2024-10-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 1 1 — — $7,922.17 $7,922.17 $7,922.17 2024-10-01
757 MS_DRG Infections, Female Reproductive System With Mcc 1 1 — — $7,921.86 $7,921.86 $7,921.86 2024-10-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 7 4 — — $6,865.70 $29,128.75 $7,907.11 2024-10-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 4 3 — — $6,772.59 $10,298.72 $7,901.15 2024-10-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 2 2 — — $3,774.92 $11,945.91 $7,860.41 2024-10-01
571 MS_DRG Skin Debridement With Cc 1 1 — — $7,841.54 $7,841.54 $7,841.54 2024-10-01
81 MS_DRG Nontraumatic Stupor And Coma Without Mcc 1 1 — — $7,755.82 $7,755.82 $7,755.82 2024-10-01
813 MS_DRG Coagulation Disorders 5 3 — — $4,469.81 $9,756.22 $7,674.31 2024-10-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 2 1 — — $7,602.13 $7,602.13 $7,602.13 2024-10-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 6 3 — — $1,139.31 $35,613.16 $7,491.85 2024-10-01
100 MS_DRG Seizures With Mcc 6 3 — — $4,561.34 $15,701.64 $7,460.96 2024-10-01
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/Mcc 1 1 — — $7,442.63 $7,442.63 $7,442.63 2024-10-01
551 MS_DRG Medical Back Problems With Mcc 1 1 — — $7,426.02 $7,426.02 $7,426.02 2024-10-01
602 MS_DRG Cellulitis With Mcc 4 2 — — $4,289.96 $16,291.42 $7,406.53 2024-10-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 1 1 — — $7,391.71 $7,391.71 $7,391.71 2024-10-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 4 2 — — $2,234.00 $9,744.00 $7,385.24 2024-10-01
149 MS_DRG Dysequilibrium 1 1 — — $7,311.74 $7,311.74 $7,311.74 2024-10-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 3 2 — — $4,250.50 $9,683.22 $7,300.53 2024-10-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 1 1 — — $7,278.79 $7,278.79 $7,278.79 2024-10-01
122 MS_DRG Acute Major Eye Infections Without Cc/Mcc 1 1 — — $7,243.20 $7,243.20 $7,243.20 2024-10-01
300 MS_DRG Peripheral Vascular Disorders With Cc 1 1 — — $7,115.24 $7,115.24 $7,115.24 2024-10-01
7048 OTHER Alteplase Recombinant 1 1 — — $7,112.72 $7,112.72 $7,112.72 2024-10-01
948 MS_DRG Signs And Symptoms Without Mcc 5 3 — — $1,783.25 $14,494.40 $7,089.30 2024-10-01
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc 3 2 — — $2,234.00 $9,503.07 $7,059.30 2024-10-01
596 MS_DRG Major Skin Disorders Without Mcc 5 3 — — $4,536.07 $16,300.30 $7,043.40 2024-10-01
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 4 2 — — $2,847.00 $15,837.88 $7,022.15 2024-10-01
348 MS_DRG Anal And Stomal Procedures With Cc 2 2 — — $6,718.57 $7,131.96 $6,925.26 2024-10-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 1 1 — — $6,896.11 $6,896.11 $6,896.11 2024-10-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/Mcc 4 3 — — $6,696.19 $25,226.13 $6,894.56 2024-10-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 3 2 — — $4,942.97 $20,180.55 $6,894.26 2024-10-01
865 MS_DRG Viral Illness With Mcc 1 1 — — $6,737.10 $6,737.10 $6,737.10 2024-10-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/Mcc 2 2 — — $6,583.89 $6,879.66 $6,731.77 2024-10-01
552 MS_DRG Medical Back Problems Without Mcc 2 1 — — $4,686.94 $8,730.94 $6,708.94 2024-10-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc 2 2 — — $6,251.58 $6,803.70 $6,527.64 2024-10-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 7 4 — — $1,234.50 $21,703.49 $6,511.83 2024-10-01
601 MS_DRG Non-malignant Breast Disorders Without Cc/Mcc 2 1 — — $3,481.00 $9,465.44 $6,473.22 2024-10-01
811 MS_DRG Red Blood Cell Disorders With Mcc 1 1 — — $6,449.68 $6,449.68 $6,449.68 2024-10-01
5415 OTHER Level 5 Gynecologic Procedures 2 2 — — $1,128.33 $11,756.13 $6,442.23 2024-10-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc 3 2 — — $4,653.28 $6,618.07 $6,425.80 2024-10-01
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 6 4 — — $4,761.88 $19,819.69 $6,385.35 2024-10-01
123 MS_DRG Neurological Eye Disorders 2 1 — — $5,403.31 $7,295.24 $6,349.27 2024-10-01
549 MS_DRG Septic Arthritis With Cc 1 1 — — $6,302.92 $6,302.92 $6,302.92 2024-10-01
546 MS_DRG Connective Tissue Disorders With Cc 5 2 — — $5,865.24 $19,423.09 $6,243.90 2024-10-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 4 3 — — $2,950.14 $12,759.00 $6,132.32 2024-10-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 2 2 — — $3,117.42 $9,141.82 $6,129.62 2024-10-01
638 MS_DRG Diabetes With Cc 8 5 — — $4,069.42 $18,737.10 $6,105.87 2024-10-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 6 4 — — $5,159.92 $33,575.10 $6,098.08 2024-10-01
138 MS_DRG Mouth Procedures Without Cc/Mcc 1 1 — — $6,090.26 $6,090.26 $6,090.26 2024-10-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 2 2 — — $5,775.14 $6,118.19 $5,946.66 2024-10-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/Mcc 3 2 — — $1,022.00 $13,965.57 $5,936.44 2024-10-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 1 1 — — $5,916.95 $5,916.95 $5,916.95 2024-10-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 3 2 — — $4,730.24 $8,998.73 $5,878.06 2024-10-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 3 1 — — $5,157.56 $5,999.00 $5,866.62 2024-10-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 4 3 — — $4,783.50 $10,914.48 $5,850.44 2024-10-01
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 3 2 — — $3,510.46 $13,786.08 $5,768.43 2024-10-01
600 MS_DRG Non-malignant Breast Disorders With Cc/Mcc 2 2 — — $3,076.48 $8,455.72 $5,766.10 2024-10-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 7 4 — — $4,652.64 $15,475.55 $5,763.61 2024-10-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 3 3 — — $4,923.87 $9,569.08 $5,762.39 2024-10-01
915 MS_DRG Allergic Reactions With Mcc 2 2 — — $2,449.44 $8,993.97 $5,721.70 2024-10-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 3 2 — — $1,223.00 $34,725.97 $5,699.06 2024-10-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 1 1 — — $5,685.03 $5,685.03 $5,685.03 2024-10-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 7 4 — — $4,210.48 $13,147.47 $5,654.84 2024-10-01
9209 OTHER Laronidase Injection 1 1 — — $5,565.65 $5,565.65 $5,565.65 2024-10-01
197 MS_DRG Interstitial Lung Disease With Cc 1 1 — — $5,562.33 $5,562.33 $5,562.33 2024-10-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 5 4 — — $2,699.29 $8,198.78 $5,513.68 2024-10-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 3 1 — — $5,054.03 $12,486.76 $5,432.59 2024-10-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 2 1 — — $4,779.00 $5,999.00 $5,389.00 2024-10-01
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 1 1 — — $5,376.80 $5,376.80 $5,376.80 2024-10-01
903 MS_DRG Wound Debridements For Injuries Without Cc/Mcc 1 1 — — $5,368.66 $5,368.66 $5,368.66 2024-10-01
121 MS_DRG Acute Major Eye Infections With Cc/Mcc 3 3 — — $4,715.30 $6,233.04 $5,306.65 2024-10-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 8 5 — — $1,143.28 $16,530.78 $5,276.19 2024-10-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 3 2 — — $4,781.19 $12,992.86 $5,203.98 2024-10-01
176 MS_DRG Pulmonary Embolism Without Mcc 2 2 — — $4,352.31 $5,865.04 $5,108.68 2024-10-01
550 MS_DRG Septic Arthritis Without Cc/Mcc 1 1 — — $5,099.98 $5,099.98 $5,099.98 2024-10-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 7 4 — — $1,133.13 $11,141.50 $5,096.22 2024-10-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 3 2 — — $1,100.00 $10,665.50 $4,989.29 2024-10-01
89 MS_DRG Concussion With Cc 1 1 — — $4,985.91 $4,985.91 $4,985.91 2024-10-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 2 1 — — $4,188.41 $5,724.26 $4,956.34 2024-10-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 3 1 — — $3,288.39 $5,602.77 $4,885.78 2024-10-01
5362 OTHER Level 2 Laparoscopy And Related Services 6 4 — — $846.25 $28,075.77 $4,870.63 2024-10-01
152 MS_DRG Otitis Media And Uri With Mcc 3 1 — — $3,867.22 $5,271.88 $4,864.43 2024-10-01
376 MS_DRG Digestive Malignancy Without Cc/Mcc 1 1 — — $4,844.17 $4,844.17 $4,844.17 2024-10-01
9434 OTHER Inj Anifrolumab-fnia 1mg 1 1 — — $4,671.56 $4,671.56 $4,671.56 2024-10-01
386 MS_DRG Inflammatory Bowel Disease With Cc 4 2 — — $2,790.61 $12,044.24 $4,642.73 2024-10-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 6 4 — — $1,505.91 $14,786.58 $4,598.59 2024-10-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/Mcc 5 3 — — $1,144.00 $10,578.14 $4,446.14 2024-10-01
683 MS_DRG Renal Failure With Cc 4 3 — — $2,776.84 $10,025.04 $4,371.71 2024-10-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 5 3 — — $3,235.38 $8,064.26 $4,341.27 2024-10-01
8011 OTHER Comprehensive Observation Services 9 6 — — $1,088.00 $12,001.19 $4,318.94 2024-10-01
603 MS_DRG Cellulitis Without Mcc 7 4 — — $1,219.00 $11,904.94 $4,292.09 2024-10-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 5 4 — — $2,087.31 $27,465.03 $4,290.45 2024-10-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc 5 3 — — $2,234.00 $13,401.12 $4,288.53 2024-10-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 2 2 — — $1,066.25 $7,476.53 $4,271.39 2024-10-01
864 MS_DRG Fever And Inflammatory Conditions 3 2 — — $1,088.00 $7,838.55 $4,237.70 2024-10-01
866 MS_DRG Viral Illness Without Mcc 4 3 — — $1,307.80 $19,942.54 $4,182.40 2024-10-01
1353 OTHER Belimumab Injection 4 2 — — $90.52 $9,734.97 $4,171.60 2024-10-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 1 1 — — $4,151.61 $4,151.61 $4,151.61 2024-10-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 5 4 — — $1,692.50 $8,324.37 $4,139.00 2024-10-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 1 1 — — $4,139.00 $4,139.00 $4,139.00 2024-10-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 8 5 — — $1,101.06 $8,716.23 $4,128.26 2024-10-01
916 MS_DRG Allergic Reactions Without Mcc 4 3 — — $1,379.17 $16,152.89 $4,123.16 2024-10-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/Mcc 2 1 — — $2,323.00 $5,902.38 $4,112.69 2024-10-01
5155 OTHER Level 5 Airway Endoscopy 9 6 — — $55.00 $7,635.09 $4,070.25 2024-10-01
312 MS_DRG Syncope And Collapse 1 1 — — $4,064.43 $4,064.43 $4,064.43 2024-10-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 7 4 — — $1,312.81 $12,088.30 $4,000.32 2024-10-01
198 MS_DRG Interstitial Lung Disease Without Cc/Mcc 1 1 — — $3,984.56 $3,984.56 $3,984.56 2024-10-01
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