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

HOUSTON METHODIST BAYTOWN HOSPITAL

Baytown, TX · CCN 450424 · Rates published

643 distinct procedures filed
22 distinct payers
14,915 rate rows
2025-01-01 last MRF observed · ⚠ 21 mo old
Data quality

5,097 of 14,915 rate rows are consumer-grade (34.2%)

9,818 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 9,799
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 17
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 2

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 21 months old.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://www.houstonmethodist.org/-/media/files/patient-resources/741287015_houston-methodist-baytown-hospital_standardcharges.ashx
Found on page https://www.houstonmethodist.org/for-patients/patient-resources/billing-insurance/pricing-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 2f1d69c7a5e403f8… · 7,502,116 bytes · first seen 2026-05-04

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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $71,124.66 $1,004,250.00 $537,687.33 nat. median
$186,516
outlier · 2.9×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $271,325.55 $271,325.55 $271,325.55 nat. median
$60,505
outlier · 4.5×
95
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Cc 4 $36,121.42 $351,055.21 $196,877.67 nat. median
$17,673
outlier · 11.1×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $52,324.08 $257,430.02 $154,877.05 nat. median
$49,569
outlier · 3.1×
215
MS_DRG 		Other Heart Assist System Implant 4 $75,466.22 $760,530.16 $151,512.92 nat. median
$73,023
outlier · 2.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $18,345.00 $379,032.09 $149,965.62 nat. median
$145,435
1.0× median
577
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 $137,000.18 $137,000.18 $137,000.18 nat. median
$18,522
outlier · 7.4×
665
MS_DRG 		Prostatectomy With Mcc 1 $123,214.85 $123,214.85 $123,214.85 nat. median
$21,952
outlier · 5.6×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $107,888.57 $130,620.40 $119,254.49 nat. median
$41,943
outlier · 2.8×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $111,095.30 $111,095.30 $111,095.30 nat. median
$55,923
2.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $104,247.94 $104,247.94 $104,247.94 nat. median
$59,651
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $1,119.12 $337,925.56 $103,671.85 nat. median
$97,418
1.1× median
272
MS_DRG 		Other Major Cardiovascular Procedures Without Cc/Mcc 2 $18,205.00 $186,357.75 $102,281.38 nat. median
$18,784
outlier · 5.4×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $92,799.67 $92,799.67 $92,799.67 nat. median
$40,726
outlier · 2.3×
585
MS_DRG 		Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 1 $90,158.09 $90,158.09 $90,158.09 nat. median
$13,636
outlier · 6.6×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $86,438.25 $86,438.25 $86,438.25 nat. median
$30,649
outlier · 2.8×
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 2 $17,028.13 $152,464.18 $84,746.15 nat. median
$24,349
outlier · 3.5×
581
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 2 $19,133.34 $138,313.70 $78,723.52 nat. median
$10,677
outlier · 7.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $65,058.67 $165,603.86 $77,908.92 nat. median
$69,822
1.1× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/Mcc 3 $45,053.44 $76,211.72 $72,796.85 nat. median
$19,904
outlier · 3.7×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 7 $26,570.41 $416,273.41 $69,752.83 nat. median
$47,121
1.5× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 $67,908.64 $67,908.64 $67,908.64 nat. median
$33,583
outlier · 2.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $50,695.74 $264,674.42 $65,531.57 nat. median
$55,935
1.2× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 $36,121.42 $379,492.00 $65,268.18 nat. median
$24,752
outlier · 2.6×
904
MS_DRG 		Skin Grafts For Injuries With Cc/Mcc 1 $60,722.08 $60,722.08 $60,722.08 nat. median
$25,168
outlier · 2.4×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $48,942.61 $67,067.00 $58,004.81 nat. median
$2,106
outlier · 27.5×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $56,981.25 $58,401.40 $57,691.32 nat. median
$2,024
outlier · 28.5×
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 $26,622.44 $86,128.66 $56,817.85 nat. median
$25,953
outlier · 2.2×
63
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 $48,615.54 $62,426.91 $55,521.23 nat. median
$10,311
outlier · 5.4×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 $34,681.67 $118,749.82 $55,050.82 nat. median
$34,615
1.6× median
135
MS_DRG 		Sinus And Mastoid Procedures With Cc/Mcc 1 $54,917.63 $54,917.63 $54,917.63 nat. median
$15,526
outlier · 3.5×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $54,542.65 $54,699.64 $54,621.15 nat. median
$51,518
1.1× median
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 1 $54,006.94 $54,006.94 $54,006.94 nat. median
$20,717
outlier · 2.6×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 5 $25,846.58 $237,840.60 $53,896.15 nat. median
$48,611
1.1× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $53,747.73 $53,747.73 $53,747.73 nat. median
$2,024
outlier · 26.6×
5093
OTHER 		Level 3 Breast/Lymphatic Surgery And Related Procedures 3 $13,174.87 $70,912.55 $52,099.01 nat. median
$8,851
outlier · 5.9×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 $47,122.96 $88,585.00 $50,200.68 nat. median
$2,024
outlier · 24.8×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 3 $45,913.81 $160,080.84 $50,196.10 nat. median
$2,106
outlier · 23.8×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 8 $34,227.70 $104,752.56 $49,589.79 nat. median
$37,725
1.3× median
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 4 $16,037.91 $62,368.71 $49,289.41 nat. median
$14,655
outlier · 3.4×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 2 $27,407.36 $68,720.04 $48,063.70 nat. median
$22,934
outlier · 2.1×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 $47,629.58 $47,970.01 $47,799.79 nat. median
$43,533
1.1× median
473
MS_DRG 		Cervical Spinal Fusion Without Cc/Mcc 3 $20,361.35 $75,453.06 $46,702.54 nat. median
$17,580
outlier · 2.7×
28
MS_DRG 		Spinal Procedures With Mcc 1 $46,123.87 $46,123.87 $46,123.87 nat. median
$41,895
1.1× median
489
MS_DRG 		Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 1 $45,290.73 $45,290.73 $45,290.73 nat. median
$8,891
outlier · 5.1×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 6 $40,256.43 $157,859.90 $44,545.71 nat. median
$43,023
1.0× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 6 $23,257.96 $111,916.55 $43,696.25 nat. median
$38,795
1.1× median
500
MS_DRG 		Soft Tissue Procedures With Mcc 2 $22,762.25 $63,039.60 $42,900.93 nat. median
$22,181
1.9× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 $11,055.17 $132,858.24 $42,405.76 nat. median
$26,211
1.6× median
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 $41,897.49 $41,897.49 $41,897.49 nat. median
$24,795
1.7× median

Other procedures at this hospital

Browse this hospital's 643 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $71,124.66 $1,004,250.00 $537,687.33 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $271,325.55 $271,325.55 $271,325.55 2025-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 4 4 — — $36,121.42 $351,055.21 $196,877.67 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 — — $52,324.08 $257,430.02 $154,877.05 2025-01-01
215 MS_DRG Other Heart Assist System Implant 4 4 — — $75,466.22 $760,530.16 $151,512.92 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 6 — — $18,345.00 $379,032.09 $149,965.62 2025-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 — — $137,000.18 $137,000.18 $137,000.18 2025-01-01
665 MS_DRG Prostatectomy With Mcc 1 1 — — $123,214.85 $123,214.85 $123,214.85 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 2 — — $107,888.57 $130,620.40 $119,254.49 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $111,095.30 $111,095.30 $111,095.30 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $104,247.94 $104,247.94 $104,247.94 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 5 — — $1,119.12 $337,925.56 $103,671.85 2025-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 2 2 — — $18,205.00 $186,357.75 $102,281.38 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $92,799.67 $92,799.67 $92,799.67 2025-01-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 1 1 — — $90,158.09 $90,158.09 $90,158.09 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $86,438.25 $86,438.25 $86,438.25 2025-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 2 2 — — $17,028.13 $152,464.18 $84,746.15 2025-01-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 2 2 — — $19,133.34 $138,313.70 $78,723.52 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $65,058.67 $165,603.86 $77,908.92 2025-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 3 3 — — $45,053.44 $76,211.72 $72,796.85 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 7 7 — — $26,570.41 $416,273.41 $69,752.83 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $67,908.64 $67,908.64 $67,908.64 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 10 — — $50,695.74 $264,674.42 $65,531.57 2025-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 3 — — $36,121.42 $379,492.00 $65,268.18 2025-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 1 1 — — $60,722.08 $60,722.08 $60,722.08 2025-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $48,942.61 $67,067.00 $58,004.81 2025-01-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 2 — — $56,981.25 $58,401.40 $57,691.32 2025-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 4 — — $26,622.44 $86,128.66 $56,817.85 2025-01-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $48,615.54 $62,426.91 $55,521.23 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 6 — — $34,681.67 $118,749.82 $55,050.82 2025-01-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 1 1 — — $54,917.63 $54,917.63 $54,917.63 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 — — $54,542.65 $54,699.64 $54,621.15 2025-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $54,006.94 $54,006.94 $54,006.94 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 11 5 — — $25,846.58 $237,840.60 $53,896.15 2025-01-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $53,747.73 $53,747.73 $53,747.73 2025-01-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 3 3 — — $13,174.87 $70,912.55 $52,099.01 2025-01-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 4 — — $47,122.96 $88,585.00 $50,200.68 2025-01-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 3 3 — — $45,913.81 $160,080.84 $50,196.10 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 8 — — $34,227.70 $104,752.56 $49,589.79 2025-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 4 4 — — $16,037.91 $62,368.71 $49,289.41 2025-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 2 2 — — $27,407.36 $68,720.04 $48,063.70 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 2 — — $47,629.58 $47,970.01 $47,799.79 2025-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 4 3 — — $20,361.35 $75,453.06 $46,702.54 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $46,123.87 $46,123.87 $46,123.87 2025-01-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 1 1 — — $45,290.73 $45,290.73 $45,290.73 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 7 6 — — $40,256.43 $157,859.90 $44,545.71 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 6 — — $23,257.96 $111,916.55 $43,696.25 2025-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 2 2 — — $22,762.25 $63,039.60 $42,900.93 2025-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 4 — — $11,055.17 $132,858.24 $42,405.76 2025-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $41,897.49 $41,897.49 $41,897.49 2025-01-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/Mcc 2 2 — — $31,575.93 $50,488.98 $41,032.46 2025-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 2 — — $23,477.68 $58,285.05 $40,881.37 2025-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $40,507.43 $40,507.43 $40,507.43 2025-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $40,123.22 $40,123.22 $40,123.22 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 9 8 — — $10,898.71 $135,505.71 $40,100.61 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 4 — — $24,892.17 $48,521.83 $39,203.09 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 2 — — $36,497.50 $40,317.69 $38,407.60 2025-01-01
5116 OTHER Level 6 Musculoskeletal Procedures 8 5 — — $16,891.59 $114,169.28 $38,406.86 2025-01-01
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/Mcc 2 2 — — $25,475.09 $50,993.21 $38,234.15 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 11 — — $17,396.29 $92,679.42 $38,050.65 2025-01-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 5 — — $26,840.98 $114,856.76 $37,957.04 2025-01-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $37,630.05 $37,630.05 $37,630.05 2025-01-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $37,531.81 $37,531.81 $37,531.81 2025-01-01
902 MS_DRG Wound Debridements For Injuries With Cc 1 1 — — $37,496.85 $37,496.85 $37,496.85 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 11 7 — — $12,737.50 $117,812.98 $37,248.32 2025-01-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 1 1 — — $37,128.20 $37,128.20 $37,128.20 2025-01-01
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/Mcc 1 1 — — $37,098.22 $37,098.22 $37,098.22 2025-01-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 1 1 — — $36,790.50 $36,790.50 $36,790.50 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 13 8 — — $17,856.82 $341,629.71 $36,341.25 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 9 — — $25,857.53 $58,341.29 $35,965.06 2025-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 7 5 — — $28,948.10 $106,787.46 $35,867.86 2025-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 3 3 — — $27,341.62 $65,130.68 $35,595.05 2025-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 3 — — $17,491.39 $43,805.47 $34,863.29 2025-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 6 — — $19,418.68 $58,774.46 $34,490.58 2025-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 5 4 — — $14,568.49 $117,009.03 $33,985.25 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 8 6 — — $20,006.14 $126,491.69 $33,591.86 2025-01-01
5232 OTHER Level 2 Icd And Similar Procedures 13 9 — — $9,270.13 $179,875.64 $32,959.38 2025-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 3 — — $23,446.18 $71,367.25 $32,934.65 2025-01-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 5 — — $19,484.79 $265,150.90 $32,706.08 2025-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 2 — — $21,824.27 $43,542.03 $32,683.15 2025-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 8 6 — — $20,624.66 $96,172.27 $32,634.94 2025-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 5 — — $30,941.65 $38,689.83 $32,619.10 2025-01-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 1 1 — — $32,259.90 $32,259.90 $32,259.90 2025-01-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 1 1 — — $32,178.09 $32,178.09 $32,178.09 2025-01-01
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/Mcc 1 1 — — $31,816.68 $31,816.68 $31,816.68 2025-01-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 — — $31,717.90 $31,717.90 $31,717.90 2025-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 4 4 — — $24,093.39 $40,123.22 $31,553.62 2025-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 6 — — $17,358.56 $40,188.25 $31,525.76 2025-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 7 — — $23,028.47 $65,085.25 $31,069.80 2025-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 8 6 — — $24,168.10 $84,411.93 $30,932.99 2025-01-01
368 MS_DRG Major Esophageal Disorders With Mcc 3 3 — — $14,430.69 $37,435.89 $30,644.49 2025-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 5 4 — — $20,450.02 $143,362.17 $30,543.06 2025-01-01
813 MS_DRG Coagulation Disorders 6 6 — — $14,372.65 $272,843.99 $30,509.49 2025-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 4 — — $29,600.58 $31,071.07 $30,309.54 2025-01-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 3 3 — — $18,704.95 $31,049.62 $30,303.28 2025-01-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 7 5 — — $15,704.50 $55,901.47 $30,025.85 2025-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 7 6 — — $11,504.46 $333,015.31 $29,770.26 2025-01-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 1 1 — — $29,600.48 $29,600.48 $29,600.48 2025-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 2 2 — — $18,150.22 $41,002.76 $29,576.49 2025-01-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 7 5 — — $28,573.34 $174,356.29 $29,491.68 2025-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 5 — — $17,078.09 $45,453.33 $29,400.11 2025-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 2 — — $28,380.89 $30,810.61 $29,374.05 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $29,256.41 $29,256.41 $29,256.41 2025-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 8 8 — — $22,001.14 $69,802.79 $28,823.48 2025-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 4 — — $10,206.00 $69,239.10 $28,814.97 2025-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 8 — — $14,649.14 $70,715.06 $28,666.67 2025-01-01
164 MS_DRG Major Chest Procedures With Cc 8 5 — — $16,142.74 $86,451.24 $28,577.78 2025-01-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 1 1 — — $28,405.36 $28,405.36 $28,405.36 2025-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 9 6 — — $24,320.79 $79,569.02 $28,390.54 2025-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 2 — — $25,185.20 $31,319.74 $28,252.47 2025-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 8 7 — — $23,822.88 $173,993.15 $28,119.25 2025-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 5 4 — — $16,616.24 $47,757.90 $28,049.85 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 7 — — $11,660.37 $46,883.95 $27,709.31 2025-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 8 7 — — $13,803.74 $72,902.91 $27,471.40 2025-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 4 3 — — $19,109.61 $50,085.17 $27,409.40 2025-01-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 1 1 — — $27,285.85 $27,285.85 $27,285.85 2025-01-01
252 MS_DRG Other Vascular Procedures With Mcc 12 9 — — $25,784.97 $114,220.96 $27,207.56 2025-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 5 4 — — $21,788.34 $45,524.43 $26,996.49 2025-01-01
37 MS_DRG Extracranial Procedures With Mcc 3 3 — — $26,241.90 $53,433.28 $26,973.96 2025-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 5 — — $13,428.93 $73,880.31 $26,958.71 2025-01-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc 1 1 — — $26,920.06 $26,920.06 $26,920.06 2025-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 9 7 — — $23,029.81 $58,779.80 $26,892.60 2025-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 3 — — $25,356.50 $197,485.81 $26,768.71 2025-01-01
121 MS_DRG Acute Major Eye Infections With Cc/Mcc 1 1 — — $26,681.67 $26,681.67 $26,681.67 2025-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 11 5 — — $13,246.62 $113,737.16 $26,542.02 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 3 — — $19,856.42 $70,166.30 $26,444.54 2025-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 6 6 — — $13,506.20 $60,081.18 $26,358.81 2025-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 2 — — $26,034.15 $26,388.78 $26,211.47 2025-01-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 8 5 — — $7,389.09 $126,928.48 $26,183.79 2025-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 2 — — $26,082.88 $26,260.00 $26,171.44 2025-01-01
834 MS_DRG Acute Leukemia With Mcc 2 2 — — $10,698.43 $41,628.64 $26,163.53 2025-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $26,078.35 $26,078.35 $26,078.35 2025-01-01
157 MS_DRG Dental And Oral Diseases With Mcc 1 1 — — $25,906.85 $25,906.85 $25,906.85 2025-01-01
5055 OTHER Level 5 Skin Procedures 1 1 — — $25,677.36 $25,677.36 $25,677.36 2025-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 6 5 — — $17,905.27 $93,471.35 $25,182.54 2025-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 6 5 — — $17,427.68 $90,960.31 $25,004.79 2025-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $24,793.72 $24,793.72 $24,793.72 2025-01-01
253 MS_DRG Other Vascular Procedures With Cc 13 9 — — $13,251.00 $98,036.56 $24,763.60 2025-01-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/Mcc 1 1 — — $24,703.97 $24,703.97 $24,703.97 2025-01-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 3 3 — — $9,628.25 $109,230.00 $24,546.48 2025-01-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 13 8 — — $12,324.48 $232,152.59 $24,181.74 2025-01-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 2 2 — — $16,803.74 $31,001.28 $23,902.51 2025-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 5 — — $10,787.92 $87,679.94 $23,892.22 2025-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 8 6 — — $16,626.84 $29,058.08 $23,592.33 2025-01-01
668 MS_DRG Transurethral Procedures With Mcc 2 2 — — $20,995.35 $26,129.70 $23,562.53 2025-01-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/Mcc 8 4 — — $13,804.02 $35,043.97 $23,536.73 2025-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 — — $21,654.94 $25,276.34 $23,465.64 2025-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 4 — — $19,141.84 $29,522.95 $23,366.92 2025-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $23,352.57 $23,352.57 $23,352.57 2025-01-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 3 3 — — $13,228.38 $36,684.79 $23,344.23 2025-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 7 6 — — $21,631.69 $25,456.10 $23,113.19 2025-01-01
5213 OTHER Level 3 Electrophysiologic Procedures 14 8 — — $3,617.06 $38,827.01 $22,913.86 2025-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 2 2 — — $22,158.95 $23,648.69 $22,903.82 2025-01-01
791 MS_DRG Prematurity With Major Problems 4 4 — — $7,352.34 $39,148.17 $22,886.15 2025-01-01
5231 OTHER Level 1 Icd And Similar Procedures 5 3 — — $21,998.36 $98,068.27 $22,884.48 2025-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 — — $22,616.65 $22,616.65 $22,616.65 2025-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 30 14 — — $13,126.50 $58,708.75 $22,435.07 2025-01-01
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $22,387.56 $22,387.56 $22,387.56 2025-01-01
711 MS_DRG Testes Procedures With Cc/Mcc 1 1 — — $22,303.54 $22,303.54 $22,303.54 2025-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 18 11 — — $16,367.82 $41,725.93 $22,126.91 2025-01-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 2 — — $13,211.14 $24,618.07 $22,030.16 2025-01-01
503 MS_DRG Foot Procedures With Mcc 1 1 — — $21,970.71 $21,970.71 $21,970.71 2025-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 9 — — $18,458.34 $47,527.16 $21,967.96 2025-01-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 2 2 — — $16,442.44 $27,467.75 $21,955.10 2025-01-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 1 1 — — $21,848.46 $21,848.46 $21,848.46 2025-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 7 5 — — $17,079.62 $46,311.36 $21,711.18 2025-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $21,458.92 $21,458.92 $21,458.92 2025-01-01
186 MS_DRG Pleural Effusion With Mcc 3 3 — — $13,796.07 $36,281.63 $21,381.02 2025-01-01
422 MS_DRG Hepatobiliary Diagnostic Procedures Without Cc/Mcc 1 1 — — $21,320.96 $21,320.96 $21,320.96 2025-01-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 3 3 — — $1,551.03 $34,912.22 $21,305.02 2025-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 4 4 — — $10,362.34 $36,294.43 $21,062.88 2025-01-01
5432 OTHER Level 2 Nerve Procedures 1 1 — — $21,060.60 $21,060.60 $21,060.60 2025-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 10 7 — — $15,188.38 $47,548.98 $20,996.03 2025-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 13 7 — — $16,465.54 $53,783.48 $20,925.88 2025-01-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $20,824.95 $20,824.95 $20,824.95 2025-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 5 3 — — $13,438.25 $30,168.11 $20,630.99 2025-01-01
545 MS_DRG Connective Tissue Disorders With Mcc 5 4 — — $20,253.96 $36,983.85 $20,608.43 2025-01-01
501 MS_DRG Soft Tissue Procedures With Cc 3 3 — — $12,759.97 $72,318.00 $20,367.79 2025-01-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 2 2 — — $18,479.03 $21,956.71 $20,217.87 2025-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 7 5 — — $15,694.72 $76,875.04 $20,113.22 2025-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 7 6 — — $10,493.06 $97,958.26 $20,049.95 2025-01-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/Mcc 2 2 — — $15,503.94 $24,481.87 $19,992.90 2025-01-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 4 — — $16,816.87 $31,064.19 $19,950.17 2025-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 7 5 — — $10,715.41 $41,001.02 $19,936.65 2025-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $19,858.01 $19,858.01 $19,858.01 2025-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $19,717.82 $19,717.82 $19,717.82 2025-01-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 2 2 — — $8,970.13 $29,947.96 $19,459.04 2025-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 3 3 — — $18,661.22 $28,601.72 $19,429.47 2025-01-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 3 3 — — $19,005.97 $39,283.40 $19,396.68 2025-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 7 6 — — $16,595.84 $68,210.64 $19,388.69 2025-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 11 8 — — $13,997.11 $50,538.53 $19,361.70 2025-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 2 2 — — $17,089.20 $21,567.42 $19,328.31 2025-01-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 4 4 — — $12,225.15 $32,130.63 $19,288.67 2025-01-01
947 MS_DRG Signs And Symptoms With Mcc 5 5 — — $10,757.66 $56,674.71 $19,269.55 2025-01-01
975 MS_DRG HIV With Major Related Condition With Cc 2 1 — — $12,538.24 $25,923.66 $19,230.95 2025-01-01
5378 OTHER Level 8 Urology And Related Services 1 1 — — $19,217.37 $19,217.37 $19,217.37 2025-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 11 7 — — $12,439.80 $37,969.46 $19,145.08 2025-01-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 2 2 — — $12,806.64 $25,136.99 $18,971.82 2025-01-01
549 MS_DRG Septic Arthritis With Cc 1 1 — — $18,747.34 $18,747.34 $18,747.34 2025-01-01
570 MS_DRG Skin Debridement With Mcc 6 5 — — $1,632.00 $31,343.96 $18,737.24 2025-01-01
0961 RC Albumin (human),5%, 50ml 1 1 — — $18,720.56 $18,720.56 $18,720.56 2025-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 1 1 — — $18,701.15 $18,701.15 $18,701.15 2025-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 7 6 — — $9,815.48 $48,457.84 $18,557.80 2025-01-01
595 MS_DRG Major Skin Disorders With Mcc 1 1 — — $18,555.49 $18,555.49 $18,555.49 2025-01-01
977 MS_DRG HIV With Or Without Other Related Condition 3 3 — — $16,534.14 $19,341.82 $18,413.14 2025-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 7 6 — — $9,589.67 $47,373.26 $18,398.25 2025-01-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 2 2 — — $13,689.57 $23,073.00 $18,381.28 2025-01-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 12 9 — — $7,230.24 $47,624.40 $18,380.17 2025-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 12 9 — — $17,094.86 $96,696.06 $18,259.21 2025-01-01
935 MS_DRG Non-extensive Burns 1 1 — — $18,209.04 $18,209.04 $18,209.04 2025-01-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 5 4 — — $23.65 $18,338.23 $18,111.75 2025-01-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 5 4 — — $14,478.48 $27,903.70 $18,044.65 2025-01-01
67 MS_DRG Nonspecific Cva And Precerebral Occlusion Without Infarction With Mcc 2 2 — — $11,256.51 $24,227.74 $17,742.12 2025-01-01
5661 OTHER Therapeutic Nuclear Medicine 1 1 — — $17,704.23 $17,704.23 $17,704.23 2025-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 10 9 — — $16,346.74 $52,136.72 $17,593.22 2025-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 15 9 — — $7,950.27 $35,966.55 $17,569.58 2025-01-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 8 6 — — $13,116.94 $40,327.04 $17,545.91 2025-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 4 3 — — $13,438.25 $19,055.90 $17,426.04 2025-01-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 10 7 — — $12,245.43 $33,535.80 $17,340.88 2025-01-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 4 3 — — $13,104.30 $22,144.75 $17,305.18 2025-01-01
5194 OTHER Level 4 Endovascular Procedures 5 4 — — $250.00 $61,054.40 $17,264.04 2025-01-01
539 MS_DRG Osteomyelitis With Mcc 6 4 — — $11,429.60 $32,013.86 $17,123.55 2025-01-01
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc 1 1 — — $17,037.08 $17,037.08 $17,037.08 2025-01-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 9 6 — — $15,273.96 $30,414.70 $17,023.53 2025-01-01
374 MS_DRG Digestive Malignancy With Mcc 11 9 — — $12,095.14 $40,737.04 $16,989.25 2025-01-01
548 MS_DRG Septic Arthritis With Mcc 1 1 — — $16,982.48 $16,982.48 $16,982.48 2025-01-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 11 7 — — $13,317.22 $130,009.56 $16,940.60 2025-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 17 10 — — $3,673.84 $63,302.06 $16,836.83 2025-01-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 1 1 — — $16,808.98 $16,808.98 $16,808.98 2025-01-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 20 13 — — $12,942.75 $73,411.89 $16,783.18 2025-01-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 2 2 — — $15,967.80 $17,476.42 $16,722.11 2025-01-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 7 — — $14,308.15 $79,320.66 $16,664.84 2025-01-01
5416 OTHER Level 6 Gynecologic Procedures 1 1 — — $16,621.48 $16,621.48 $16,621.48 2025-01-01
5471 OTHER Implantation Of Drug Infusion Device 6 4 — — $15,194.11 $83,038.03 $16,616.68 2025-01-01
835 MS_DRG Acute Leukemia With Cc 1 1 — — $16,444.59 $16,444.59 $16,444.59 2025-01-01
196 MS_DRG Interstitial Lung Disease With Mcc 10 7 — — $4,076.02 $35,760.61 $16,426.93 2025-01-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 5 4 — — $7,889.65 $32,519.66 $16,369.40 2025-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 12 7 — — $8,800.60 $30,507.95 $16,321.24 2025-01-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 6 4 — — $15,717.17 $41,193.76 $16,134.97 2025-01-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 3 2 — — $15,390.65 $30,254.93 $16,085.23 2025-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 3 3 — — $7,976.61 $16,942.93 $16,081.10 2025-01-01
349 MS_DRG Anal And Stomal Procedures Without Cc/Mcc 1 1 — — $15,960.29 $15,960.29 $15,960.29 2025-01-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 2 2 — — $15,858.40 $16,028.22 $15,943.31 2025-01-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 1 1 — — $15,926.41 $15,926.41 $15,926.41 2025-01-01
183 MS_DRG Major Chest Trauma With Mcc 2 2 — — $14,204.03 $17,536.72 $15,870.38 2025-01-01
546 MS_DRG Connective Tissue Disorders With Cc 3 3 — — $11,168.11 $19,063.07 $15,857.28 2025-01-01
919 MS_DRG Complications Of Treatment With Mcc 7 5 — — $8,270.40 $29,747.02 $15,736.89 2025-01-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 6 6 — — $13,468.34 $82,627.54 $15,553.47 2025-01-01
100 MS_DRG Seizures With Mcc 9 6 — — $12,143.13 $17,376.13 $15,539.26 2025-01-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 4 2 — — $8,911.78 $19,676.67 $15,519.84 2025-01-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 4 3 — — $13,324.96 $88,054.61 $15,451.96 2025-01-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 10 7 — — $6,489.88 $60,463.90 $15,417.72 2025-01-01
915 MS_DRG Allergic Reactions With Mcc 3 3 — — $13,712.12 $16,431.96 $15,379.98 2025-01-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 1 1 — — $15,300.14 $15,300.14 $15,300.14 2025-01-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 3 2 — — $12,789.19 $35,791.80 $15,284.95 2025-01-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 1 1 — — $15,256.06 $15,256.06 $15,256.06 2025-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 17 10 — — $4,443.24 $42,885.08 $15,249.05 2025-01-01
78 MS_DRG Hypertensive Encephalopathy With Cc 2 2 — — $10,947.54 $19,529.66 $15,238.60 2025-01-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 4 3 — — $12,884.84 $16,932.09 $15,219.94 2025-01-01
199 MS_DRG Pneumothorax With Mcc 5 3 — — $12,077.11 $27,316.32 $15,147.50 2025-01-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 1 1 — — $15,139.22 $15,139.22 $15,139.22 2025-01-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 2 2 — — $11,844.51 $18,355.11 $15,099.81 2025-01-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 8 6 — — $10,063.72 $28,747.86 $15,091.97 2025-01-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 9 7 — — $7,591.23 $36,470.28 $15,009.03 2025-01-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 8 6 — — $7,602.30 $51,126.26 $14,987.46 2025-01-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/Mcc 1 1 — — $14,980.01 $14,980.01 $14,980.01 2025-01-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $14,947.25 $14,947.25 $14,947.25 2025-01-01
620 MS_DRG O.r. Procedures For Obesity With Cc 6 5 — — $13,185.71 $27,475.62 $14,895.83 2025-01-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/Mcc 2 1 — — $7,341.47 $22,376.60 $14,859.03 2025-01-01
572 MS_DRG Skin Debridement Without Cc/Mcc 2 2 — — $14,375.16 $15,307.65 $14,841.40 2025-01-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 8 6 — — $7,825.06 $26,784.54 $14,804.44 2025-01-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 12 8 — — $5,380.10 $29,326.30 $14,791.61 2025-01-01
596 MS_DRG Major Skin Disorders Without Mcc 1 1 — — $14,762.62 $14,762.62 $14,762.62 2025-01-01
865 MS_DRG Viral Illness With Mcc 2 2 — — $14,603.76 $14,754.98 $14,679.37 2025-01-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 1 1 — — $14,660.21 $14,660.21 $14,660.21 2025-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 11 8 — — $8,050.73 $39,107.99 $14,659.32 2025-01-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 10 6 — — $12,825.24 $37,200.36 $14,651.45 2025-01-01
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 2 — — $11,946.89 $17,087.14 $14,517.01 2025-01-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 4 4 — — $5,595.11 $16,037.69 $14,460.31 2025-01-01
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 10 8 — — $6,160.31 $36,278.27 $14,451.13 2025-01-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 2 2 — — $14,079.62 $14,787.46 $14,433.54 2025-01-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 4 3 — — $12,628.27 $22,178.07 $14,420.29 2025-01-01
180 MS_DRG Respiratory Neoplasms With Mcc 11 8 — — $4,214.80 $28,322.68 $14,401.87 2025-01-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 4 4 — — $14,148.28 $28,062.69 $14,399.66 2025-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 — — $14,398.22 $14,398.22 $14,398.22 2025-01-01
181 MS_DRG Respiratory Neoplasms With Cc 2 2 — — $10,332.86 $18,446.04 $14,389.45 2025-01-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 9 7 — — $7,838.80 $26,905.10 $14,286.41 2025-01-01
643 MS_DRG Endocrine Disorders With Mcc 9 6 — — $13,028.10 $32,760.48 $14,259.64 2025-01-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 4 4 — — $13,600.92 $28,783.73 $14,248.14 2025-01-01
38 MS_DRG Extracranial Procedures With Cc 6 4 — — $9,728.32 $19,660.31 $14,242.62 2025-01-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 7 5 — — $13,313.82 $31,865.28 $14,242.14 2025-01-01
571 MS_DRG Skin Debridement With Cc 6 3 — — $5,975.56 $60,381.68 $14,228.80 2025-01-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 5 4 — — $1,906.00 $21,512.29 $14,200.04 2025-01-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 3 3 — — $10,015.84 $48,727.24 $14,195.03 2025-01-01
592 MS_DRG Skin Ulcers With Mcc 3 3 — — $10,734.76 $17,641.24 $14,155.60 2025-01-01
398 MS_DRG Appendix Procedures With Cc 7 5 — — $9,404.53 $45,627.40 $14,145.10 2025-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 15 10 — — $6,376.07 $29,298.08 $14,130.55 2025-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 18 12 — — $6,782.88 $36,807.38 $14,123.77 2025-01-01
597 MS_DRG Malignant Breast Disorders With Mcc 3 3 — — $7,302.95 $38,333.12 $14,118.21 2025-01-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 3 3 — — $12,292.74 $19,366.08 $14,109.02 2025-01-01
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