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

PARKVIEW REGIONAL HOSPITAL

Mexia, TX · CCN 450400 · Rates published

923 distinct procedures filed
10 distinct payers
13,229 rate rows
2025-01-01 last MRF observed · ⚠ 21 mo old
Data quality

131 of 13,229 rate rows are consumer-grade (1.0%)

13,098 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 10,431
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,667

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 21 months old.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://url.us.m.mimecastprotect.com/s/VmVhCZ6Xr6HQZ9zwLS9cVXhBXDam?domain=hospitalpricedisclosure.com
Found on page https://url.us.m.mimecastprotect.com/s/13HICYEXqESAR25vqU4UJnhxAzaN?domain=parkviewregional.com
Discovered viaCMS hospital list
Last fetch success · 2026-10-01

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
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 $60,089.43 $60,089.43 $60,089.43 nat. median
$14,442
outlier · 4.2×
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 1 $14,781.85 $14,781.85 $14,781.85 nat. median
$7,744
1.9× median
5302
OTHER 		Level 2 Upper Gi Procedures 1 $12,371.18 $12,371.18 $12,371.18 nat. median
$1,946
outlier · 6.4×
5311
OTHER 		Level 1 Lower Gi Procedures 2 $9,981.34 $13,160.25 $11,570.80 nat. median
$1,019
outlier · 11.4×
291
MS_DRG 		Heart Failure And Shock With Mcc 1 $9,787.51 $9,787.51 $9,787.51 nat. median
$9,572
1.0× median
5165
OTHER 		Level 5 ENT Procedures 2 $3,377.68 $14,763.99 $9,070.83 nat. median
$5,876
1.5× median
0801
RC 		Inj, Methylpred Sod Succ 5mg 1 $8,431.33 $8,431.33 $8,431.33 nat. median
$765
outlier · 11.0×
5312
OTHER 		Level 2 Lower Gi Procedures 1 $8,424.17 $8,424.17 $8,424.17 nat. median
$1,373
outlier · 6.1×
684
MS_DRG 		Renal Failure Without Cc/Mcc 1 $5,282.77 $5,282.77 $5,282.77 nat. median
$4,560
1.2× median
5443
OTHER 		Level 3 Nerve Injections 1 $5,164.77 $5,164.77 $5,164.77 nat. median
$950
outlier · 5.4×
5024
OTHER 		Level 4 Type A Ed Visits 9 $132.60 $13,967.13 $4,563.73 nat. median
$750
outlier · 6.1×
5025
OTHER 		Level 5 Type A Ed Visits 9 $917.28 $12,467.56 $4,475.72 nat. median
$1,207
outlier · 3.7×
5442
OTHER 		Level 2 Nerve Injections 1 $4,311.04 $4,311.04 $4,311.04 nat. median
$743
outlier · 5.8×
5053
OTHER 		Level 3 Skin Procedures 1 $3,772.18 $3,772.18 $3,772.18 nat. median
$706
outlier · 5.3×
5523
OTHER 		Level 3 Imaging Without Contrast 6 $392.42 $13,233.44 $3,271.85 nat. median
$287
outlier · 11.4×
5571
OTHER 		Level 1 Imaging With Contrast 2 $904.00 $4,989.19 $2,946.59 nat. median
$236
outlier · 12.5×
5722
OTHER 		Level 2 Diagnostic Tests And Related Services 3 $1,378.88 $2,549.23 $2,333.23 nat. median
$315
outlier · 7.4×
5781
OTHER 		Resuscitation And Cardioversion 1 $2,024.79 $2,024.79 $2,024.79 nat. median
$693
outlier · 2.9×
5373
OTHER 		Level 3 Urology And Related Services 1 $2,009.30 $2,009.30 $2,009.30 nat. median
$2,062
1.0× median
5023
OTHER 		Level 3 Type A Ed Visits 9 $76.44 $4,020.21 $1,877.59 nat. median
$359
outlier · 5.2×
5112
OTHER 		Level 2 Musculoskeletal Procedures 1 $1,602.98 $1,602.98 $1,602.98 nat. median
$1,645
1.0× median
5164
OTHER 		Level 4 ENT Procedures 1 $1,532.44 $1,532.44 $1,532.44 nat. median
$3,355
outlier · 0.5×
N900
OTHER 		Non-covered Services 1 $1,528.47 $1,528.47 $1,528.47 nat. median
$295
outlier · 5.2×
5572
OTHER 		Level 2 Imaging With Contrast 5 $350.29 $11,698.74 $1,147.23 nat. median
$425
outlier · 2.7×
5522
OTHER 		Level 2 Imaging Without Contrast 8 $105.02 $4,109.18 $1,104.71 nat. median
$137
outlier · 8.0×
N800
OTHER 		Clinical Diagnostic Lab Services 9 $47.28 $1,853.71 $1,079.70 nat. median
$87
outlier · 12.5×
N804
OTHER 		Mammography Services 7 $106.68 $1,307.88 $1,032.54 nat. median
$205
outlier · 5.0×
5051
OTHER 		Level 1 Skin Procedures 1 $1,027.32 $1,027.32 $1,027.32 nat. median
$226
outlier · 4.6×
5521
OTHER 		Level 1 Imaging Without Contrast 8 $86.36 $3,173.60 $910.14 nat. median
$103
outlier · 8.8×
5524
OTHER 		Level 4 Imaging Without Contrast 6 $169.07 $1,826.95 $798.32 nat. median
$611
1.3× median
5163
OTHER 		Level 3 ENT Procedures 1 $689.52 $689.52 $689.52 nat. median
$1,544
outlier · 0.4×
N801
OTHER 		Therapy Services 8 $403.43 $5,587.05 $558.46 nat. median
$281
2.0× median
5022
OTHER 		Level 2 Type A Ed Visits 8 $105.30 $1,237.41 $412.84 nat. median
$197
outlier · 2.1×
5021
OTHER 		Level 1 Type A Ed Visits 6 $84.71 $544.75 $224.77 nat. median
$99
outlier · 2.3×
5733
OTHER 		Level 3 Minor Procedures 4 $57.16 $1,780.90 $87.11 nat. median
$66
1.3× median
5071
OTHER 		Level 1 Excision/ Biopsy/ Incision And Drainage 1 $76.44 $76.44 $76.44 nat. median
$735
outlier · 0.1×
5111
OTHER 		Level 1 Musculoskeletal Procedures 1 $76.35 $76.35 $76.35 nat. median
$250
outlier · 0.3×
N902
OTHER 		Packaged Services 1 $39.49 $39.49 $39.49 nat. median
$390
outlier · 0.1×
126
MS_DRG 		Acute & Subacute Endocarditis 0 — — — —
125
MS_DRG 		Other Disorders Of The Eye Without Mcc 0 — — — nat. median
$5,925
111
MS_DRG 		Major Cardiovascular Procedures Without Cc 0 — — — nat. median
$12,917
124
MS_DRG 		Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 0 — — — nat. median
$9,359
123
MS_DRG 		Neurological Eye Disorders 0 — — — nat. median
$5,994
110
MS_DRG 		Major Cardiovascular Procedures W Cc 0 — — — nat. median
$20,768
104
MS_DRG 		Cardiac Valve & Oth Major Cardiothoracic Proc W Cardiac Cath 0 — — — nat. median
$20,593
122
MS_DRG 		Acute Major Eye Infections Without Cc/Mcc 0 — — — nat. median
$5,366
121
MS_DRG 		Acute Major Eye Infections With Cc/Mcc 0 — — — nat. median
$8,182
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 0 — — — nat. median
$37,371
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 0 — — — nat. median
$24,795
120
MS_DRG 		Other Circulatory System O.r. Procedures 0 — — — nat. median
$23,803

Other procedures at this hospital

Browse this hospital's 923 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
             
0801 RC Inj, Methylpred Sod Succ 5mg 1 1 — — $8,431.33 $8,431.33 $8,431.33 2025-01-01
100 MS_DRG Seizures With Mcc 0 0 — — — — — 2025-01-01
102 MS_DRG Headaches With Mcc 0 0 — — — — — 2025-01-01
103 MS_DRG Headaches Without Mcc 0 0 — — — — — 2025-01-01
104 MS_DRG Cardiac Valve & Oth Major Cardiothoracic Proc W Cardiac Cath 0 0 — — — — — 2025-01-01
106 MS_DRG Coronary Bypass W Ptca 0 0 — — — — — 2025-01-01
107 MS_DRG No Longer Valid 0 0 — — — — — 2025-01-01
108 MS_DRG Other Cardiothoracic Procedures 0 0 — — — — — 2025-01-01
109 MS_DRG No Longer Valid 0 0 — — — — — 2025-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 0 0 — — — — — 2025-01-01
110 MS_DRG Major Cardiovascular Procedures W Cc 0 0 — — — — — 2025-01-01
111 MS_DRG Major Cardiovascular Procedures Without Cc 0 0 — — — — — 2025-01-01
114 MS_DRG Orbital Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
115 MS_DRG Extraocular Procedures Except Orbit 0 0 — — — — — 2025-01-01
116 MS_DRG Intraocular Procedures With Cc/Mcc 0 0 — — — — — 2025-01-01
117 MS_DRG Intraocular Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
118 MS_DRG Cardiac Pacemaker Device Replacement 0 0 — — — — — 2025-01-01
119 MS_DRG Vein Ligation & Stripping 0 0 — — — — — 2025-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 0 0 — — — — — 2025-01-01
120 MS_DRG Other Circulatory System O.r. Procedures 0 0 — — — — — 2025-01-01
121 MS_DRG Acute Major Eye Infections With Cc/Mcc 0 0 — — — — — 2025-01-01
122 MS_DRG Acute Major Eye Infections Without Cc/Mcc 0 0 — — — — — 2025-01-01
123 MS_DRG Neurological Eye Disorders 0 0 — — — — — 2025-01-01
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 0 0 — — — — — 2025-01-01
125 MS_DRG Other Disorders Of The Eye Without Mcc 0 0 — — — — — 2025-01-01
126 MS_DRG Acute & Subacute Endocarditis 0 0 — — — — — 2025-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 0 0 — — — — — 2025-01-01
130 MS_DRG Major Head & Neck Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 0 0 — — — — — 2025-01-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc 0 0 — — — — — 2025-01-01
134 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 0 0 — — — — — 2025-01-01
136 MS_DRG Sinus And Mastoid Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
137 MS_DRG Mouth Procedures With Cc/Mcc 0 0 — — — — — 2025-01-01
138 MS_DRG Mouth Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
139 MS_DRG Salivary Gland Procedures 0 0 — — — — — 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 0 0 — — — — — 2025-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 0 0 — — — — — 2025-01-01
141 MS_DRG Major Head And Neck Procedures With Cc 0 0 — — — — — 2025-01-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 0 0 — — — — — 2025-01-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 0 0 — — — — — 2025-01-01
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 0 0 — — — — — 2025-01-01
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 0 0 — — — — — 2025-01-01
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc 0 0 — — — — — 2025-01-01
149 MS_DRG Dysequilibrium 0 0 — — — — — 2025-01-01
150 MS_DRG Epistaxis With Mcc 0 0 — — — — — 2025-01-01
151 MS_DRG Epistaxis Without Mcc 0 0 — — — — — 2025-01-01
152 MS_DRG Otitis Media And Uri With Mcc 0 0 — — — — — 2025-01-01
153 MS_DRG Otitis Media And Uri Without Mcc 0 0 — — — — — 2025-01-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 0 0 — — — — — 2025-01-01
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 0 0 — — — — — 2025-01-01
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc 0 0 — — — — — 2025-01-01
160 MS_DRG Hernia Procedures Except Inguinal & Femoral Age >17 Without Cc 0 0 — — — — — 2025-01-01
161 MS_DRG Inguinal & Femoral Hernia Procedures Age >17 W Cc 0 0 — — — — — 2025-01-01
162 MS_DRG Inguinal & Femoral Hernia Procedures Age >17 Without Cc 0 0 — — — — — 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 0 0 — — — — — 2025-01-01
164 MS_DRG Major Chest Procedures With Cc 0 0 — — — — — 2025-01-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 0 0 — — — — — 2025-01-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 0 0 — — — — — 2025-01-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
169 MS_DRG Mouth Procedures Without Cc 0 0 — — — — — 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 0 0 — — — — — 2025-01-01
171 MS_DRG Other Digestive System O.r. Procedures Without Cc 0 0 — — — — — 2025-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 0 0 — — — — — 2025-01-01
174 MS_DRG G.i. Hemorrhage W Cc 0 0 — — — — — 2025-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 0 0 — — — — — 2025-01-01
176 MS_DRG Pulmonary Embolism Without Mcc 0 0 — — — — — 2025-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 0 0 — — — — — 2025-01-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 0 0 — — — — — 2025-01-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/Mcc 0 0 — — — — — 2025-01-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 0 0 — — — — — 2025-01-01
180 MS_DRG Respiratory Neoplasms With Mcc 0 0 — — — — — 2025-01-01
181 MS_DRG Respiratory Neoplasms With Cc 0 0 — — — — — 2025-01-01
182 MS_DRG Respiratory Neoplasms Without Cc/Mcc 0 0 — — — — — 2025-01-01
183 MS_DRG Major Chest Trauma With Mcc 0 0 — — — — — 2025-01-01
184 MS_DRG Major Chest Trauma With Cc 0 0 — — — — — 2025-01-01
185 MS_DRG Major Chest Trauma Without Cc/Mcc 0 0 — — — — — 2025-01-01
186 MS_DRG Pleural Effusion With Mcc 0 0 — — — — — 2025-01-01
187 MS_DRG Pleural Effusion With Cc 0 0 — — — — — 2025-01-01
188 MS_DRG Pleural Effusion Without Cc/Mcc 0 0 — — — — — 2025-01-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 0 0 — — — — — 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 0 0 — — — — — 2025-01-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 0 0 — — — — — 2025-01-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 0 0 — — — — — 2025-01-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/Mcc 0 0 — — — — — 2025-01-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 0 0 — — — — — 2025-01-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 0 0 — — — — — 2025-01-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 0 0 — — — — — 2025-01-01
196 MS_DRG Interstitial Lung Disease With Mcc 0 0 — — — — — 2025-01-01
197 MS_DRG Interstitial Lung Disease With Cc 0 0 — — — — — 2025-01-01
198 MS_DRG Interstitial Lung Disease Without Cc/Mcc 0 0 — — — — — 2025-01-01
199 MS_DRG Pneumothorax With Mcc 0 0 — — — — — 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 0 0 — — — — — 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 0 0 — — — — — 2025-01-01
200 MS_DRG Pneumothorax With Cc 0 0 — — — — — 2025-01-01
201 MS_DRG Pneumothorax Without Cc/Mcc 0 0 — — — — — 2025-01-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 0 0 — — — — — 2025-01-01
203 MS_DRG Bronchitis And Asthma Without Cc/Mcc 0 0 — — — — — 2025-01-01
204 MS_DRG Respiratory Signs And Symptoms 0 0 — — — — — 2025-01-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 0 0 — — — — — 2025-01-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 0 0 — — — — — 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 0 0 — — — — — 2025-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 0 0 — — — — — 2025-01-01
209 MS_DRG Complex Aortic Arch Procedures 0 0 — — — — — 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 0 0 — — — — — 2025-01-01
210 MS_DRG Hip & Femur Procedures Except Major Joint Age >17 W Cc 0 0 — — — — — 2025-01-01
211 MS_DRG Hip & Femur Procedures Except Major Joint Age >17 Without Cc 0 0 — — — — — 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 0 0 — — — — — 2025-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 0 0 — — — — — 2025-01-01
214 MS_DRG No Longer Valid 0 0 — — — — — 2025-01-01
215 MS_DRG Other Heart Assist System Implant 0 0 — — — — — 2025-01-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 0 0 — — — — — 2025-01-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 0 0 — — — — — 2025-01-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 0 0 — — — — — 2025-01-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 0 0 — — — — — 2025-01-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 0 0 — — — — — 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 0 0 — — — — — 2025-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 0 0 — — — — — 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 0 0 — — — — — 2025-01-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 0 0 — — — — — 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 0 0 — — — — — 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 0 0 — — — — — 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 0 0 — — — — — 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 0 0 — — — — — 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 0 0 — — — — — 2025-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 0 0 — — — — — 2025-01-01
237 MS_DRG Major Cardiovasc Procedures W Mcc 0 0 — — — — — 2025-01-01
238 MS_DRG Major Cardiovasc Procedures Without Mcc 0 0 — — — — — 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 0 0 — — — — — 2025-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 0 0 — — — — — 2025-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 0 0 — — — — — 2025-01-01
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 0 0 — — — — — 2025-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 0 0 — — — — — 2025-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 0 0 — — — — — 2025-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 0 0 — — — — — 2025-01-01
245 MS_DRG Aicd Generator Procedures 0 0 — — — — — 2025-01-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 0 0 — — — — — 2025-01-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 0 0 — — — — — 2025-01-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 0 0 — — — — — 2025-01-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 0 0 — — — — — 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 0 0 — — — — — 2025-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 0 0 — — — — — 2025-01-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 0 0 — — — — — 2025-01-01
252 MS_DRG Other Vascular Procedures With Mcc 0 0 — — — — — 2025-01-01
253 MS_DRG Other Vascular Procedures With Cc 0 0 — — — — — 2025-01-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 0 0 — — — — — 2025-01-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 0 0 — — — — — 2025-01-01
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc 0 0 — — — — — 2025-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 0 0 — — — — — 2025-01-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 0 0 — — — — — 2025-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 0 0 — — — — — 2025-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 0 0 — — — — — 2025-01-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 0 0 — — — — — 2025-01-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 0 0 — — — — — 2025-01-01
263 MS_DRG Vein Ligation And Stripping 0 0 — — — — — 2025-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 0 0 — — — — — 2025-01-01
265 MS_DRG Aicd Lead Procedures 0 0 — — — — — 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 0 0 — — — — — 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 0 0 — — — — — 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 0 0 — — — — — 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 0 0 — — — — — 2025-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 0 0 — — — — — 2025-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 0 0 — — — — — 2025-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 0 0 — — — — — 2025-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 0 0 — — — — — 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 0 0 — — — — — 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 0 0 — — — — — 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 0 0 — — — — — 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 0 0 — — — — — 2025-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 0 0 — — — — — 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 0 0 — — — — — 2025-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 0 0 — — — — — 2025-01-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 0 0 — — — — — 2025-01-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 0 0 — — — — — 2025-01-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 0 0 — — — — — 2025-01-01
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 0 0 — — — — — 2025-01-01
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/Mcc 0 0 — — — — — 2025-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 0 0 — — — — — 2025-01-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 0 0 — — — — — 2025-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 0 0 — — — — — 2025-01-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 0 0 — — — — — 2025-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 0 0 — — — — — 2025-01-01
290 MS_DRG Acute And Subacute Endocarditis Without Cc/Mcc 0 0 — — — — — 2025-01-01
291 MS_DRG Heart Failure And Shock With Mcc 1 1 — — $9,787.51 $9,787.51 $9,787.51 2025-01-01
292 MS_DRG Heart Failure And Shock With Cc 0 0 — — — — — 2025-01-01
293 MS_DRG Heart Failure And Shock Without Cc/Mcc 0 0 — — — — — 2025-01-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 0 0 — — — — — 2025-01-01
295 MS_DRG Deep Vein Thrombophlebitis Without Cc/Mcc 0 0 — — — — — 2025-01-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 0 0 — — — — — 2025-01-01
297 MS_DRG Cardiac Arrest, Unexplained With Cc 0 0 — — — — — 2025-01-01
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/Mcc 0 0 — — — — — 2025-01-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 0 0 — — — — — 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 0 0 — — — — — 2025-01-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
300 MS_DRG Peripheral Vascular Disorders With Cc 0 0 — — — — — 2025-01-01
301 MS_DRG Peripheral Vascular Disorders Without Cc/Mcc 0 0 — — — — — 2025-01-01
302 MS_DRG Atherosclerosis With Mcc 0 0 — — — — — 2025-01-01
303 MS_DRG Atherosclerosis Without Mcc 0 0 — — — — — 2025-01-01
304 MS_DRG Hypertension With Mcc 0 0 — — — — — 2025-01-01
305 MS_DRG Hypertension Without Mcc 0 0 — — — — — 2025-01-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 0 0 — — — — — 2025-01-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 0 0 — — — — — 2025-01-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 0 0 — — — — — 2025-01-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 0 0 — — — — — 2025-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 0 0 — — — — — 2025-01-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc 0 0 — — — — — 2025-01-01
311 MS_DRG Angina Pectoris 0 0 — — — — — 2025-01-01
312 MS_DRG Syncope And Collapse 0 0 — — — — — 2025-01-01
313 MS_DRG Chest Pain 0 0 — — — — — 2025-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 0 0 — — — — — 2025-01-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 0 0 — — — — — 2025-01-01
316 MS_DRG Other Circulatory System Diagnoses Without Cc/Mcc 0 0 — — — — — 2025-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 0 0 — — — — — 2025-01-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 0 0 — — — — — 2025-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 0 0 — — — — — 2025-01-01
32 MS_DRG Ventricular Shunt Procedures With Cc 0 0 — — — — — 2025-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 0 0 — — — — — 2025-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 0 0 — — — — — 2025-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 0 0 — — — — — 2025-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 0 0 — — — — — 2025-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 0 0 — — — — — 2025-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 0 0 — — — — — 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 0 0 — — — — — 2025-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 0 0 — — — — — 2025-01-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 0 0 — — — — — 2025-01-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 0 0 — — — — — 2025-01-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
347 MS_DRG Anal And Stomal Procedures With Mcc 0 0 — — — — — 2025-01-01
348 MS_DRG Anal And Stomal Procedures With Cc 0 0 — — — — — 2025-01-01
349 MS_DRG Anal And Stomal Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 0 0 — — — — — 2025-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 0 0 — — — — — 2025-01-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 0 0 — — — — — 2025-01-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 0 0 — — — — — 2025-01-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 0 0 — — — — — 2025-01-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 0 0 — — — — — 2025-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 0 0 — — — — — 2025-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 0 0 — — — — — 2025-01-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 0 0 — — — — — 2025-01-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 0 0 — — — — — 2025-01-01
361 MS_DRG Laparoscopy & Incisional Tubal Interruption 0 0 — — — — — 2025-01-01
362 MS_DRG Endoscopic Tubal Interruption 0 0 — — — — — 2025-01-01
363 MS_DRG D&c, Conization & Radio-implant, For Malignancy 0 0 — — — — — 2025-01-01
364 MS_DRG D&c, Conization Except For Malignancy 0 0 — — — — — 2025-01-01
365 MS_DRG Other Female Reproductive System O.r. Procedures 0 0 — — — — — 2025-01-01
366 MS_DRG Malignancy, Female Reproductive System W Cc 0 0 — — — — — 2025-01-01
367 MS_DRG Malignancy, Female Reproductive System Without Cc 0 0 — — — — — 2025-01-01
368 MS_DRG Major Esophageal Disorders With Mcc 0 0 — — — — — 2025-01-01
369 MS_DRG Major Esophageal Disorders With Cc 0 0 — — — — — 2025-01-01
37 MS_DRG Extracranial Procedures With Mcc 0 0 — — — — — 2025-01-01
370 MS_DRG Major Esophageal Disorders Without Cc/Mcc 0 0 — — — — — 2025-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 0 0 — — — — — 2025-01-01
5021 OTHER Level 1 Type A Ed Visits 6 6 — — $84.71 $544.75 $224.77 2025-01-01
5022 OTHER Level 2 Type A Ed Visits 8 8 — — $105.30 $1,237.41 $412.84 2025-01-01
5023 OTHER Level 3 Type A Ed Visits 9 9 — — $76.44 $4,020.21 $1,877.59 2025-01-01
5024 OTHER Level 4 Type A Ed Visits 9 9 — — $132.60 $13,967.13 $4,563.73 2025-01-01
5025 OTHER Level 5 Type A Ed Visits 9 9 — — $917.28 $12,467.56 $4,475.72 2025-01-01
5051 OTHER Level 1 Skin Procedures 1 1 — — $1,027.32 $1,027.32 $1,027.32 2025-01-01
5053 OTHER Level 3 Skin Procedures 1 1 — — $3,772.18 $3,772.18 $3,772.18 2025-01-01
5071 OTHER Level 1 Excision/ Biopsy/ Incision And Drainage 1 1 — — $76.44 $76.44 $76.44 2025-01-01
5111 OTHER Level 1 Musculoskeletal Procedures 1 1 — — $76.35 $76.35 $76.35 2025-01-01
5112 OTHER Level 2 Musculoskeletal Procedures 1 1 — — $1,602.98 $1,602.98 $1,602.98 2025-01-01
5163 OTHER Level 3 ENT Procedures 1 1 — — $689.52 $689.52 $689.52 2025-01-01
5164 OTHER Level 4 ENT Procedures 1 1 — — $1,532.44 $1,532.44 $1,532.44 2025-01-01
5165 OTHER Level 5 ENT Procedures 2 2 — — $3,377.68 $14,763.99 $9,070.83 2025-01-01
5302 OTHER Level 2 Upper Gi Procedures 1 1 — — $12,371.18 $12,371.18 $12,371.18 2025-01-01
5311 OTHER Level 1 Lower Gi Procedures 2 2 — — $9,981.34 $13,160.25 $11,570.80 2025-01-01
5312 OTHER Level 2 Lower Gi Procedures 1 1 — — $8,424.17 $8,424.17 $8,424.17 2025-01-01
5373 OTHER Level 3 Urology And Related Services 1 1 — — $2,009.30 $2,009.30 $2,009.30 2025-01-01
5442 OTHER Level 2 Nerve Injections 1 1 — — $4,311.04 $4,311.04 $4,311.04 2025-01-01
5443 OTHER Level 3 Nerve Injections 1 1 — — $5,164.77 $5,164.77 $5,164.77 2025-01-01
5521 OTHER Level 1 Imaging Without Contrast 8 8 — — $86.36 $3,173.60 $910.14 2025-01-01
5522 OTHER Level 2 Imaging Without Contrast 8 8 — — $105.02 $4,109.18 $1,104.71 2025-01-01
5523 OTHER Level 3 Imaging Without Contrast 6 6 — — $392.42 $13,233.44 $3,271.85 2025-01-01
5524 OTHER Level 4 Imaging Without Contrast 6 6 — — $169.07 $1,826.95 $798.32 2025-01-01
5571 OTHER Level 1 Imaging With Contrast 2 2 — — $904.00 $4,989.19 $2,946.59 2025-01-01
5572 OTHER Level 2 Imaging With Contrast 5 5 — — $350.29 $11,698.74 $1,147.23 2025-01-01
5722 OTHER Level 2 Diagnostic Tests And Related Services 3 3 — — $1,378.88 $2,549.23 $2,333.23 2025-01-01
5733 OTHER Level 3 Minor Procedures 4 4 — — $57.16 $1,780.90 $87.11 2025-01-01
5781 OTHER Resuscitation And Cardioversion 1 1 — — $2,024.79 $2,024.79 $2,024.79 2025-01-01
684 MS_DRG Renal Failure Without Cc/Mcc 1 1 — — $5,282.77 $5,282.77 $5,282.77 2025-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 1 — — $60,089.43 $60,089.43 $60,089.43 2025-01-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 1 1 — — $14,781.85 $14,781.85 $14,781.85 2025-01-01
N800 OTHER Clinical Diagnostic Lab Services 9 9 — — $47.28 $1,853.71 $1,079.70 2025-01-01
N801 OTHER Therapy Services 8 8 — — $403.43 $5,587.05 $558.46 2025-01-01
N804 OTHER Mammography Services 7 7 — — $106.68 $1,307.88 $1,032.54 2025-01-01
N900 OTHER Non-covered Services 1 1 — — $1,528.47 $1,528.47 $1,528.47 2025-01-01
N902 OTHER Packaged Services 1 1 — — $39.49 $39.49 $39.49 2025-01-01
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