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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

BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO

Frisco, TX · CCN 450853 · Rates published

26,640 distinct procedures filed
33 distinct payers
230,917 rate rows
2026-07-31 last MRF observed
Data quality

68,630 of 230,917 rate rows are consumer-grade (29.7%)

162,287 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 152,676
template filing: same amount across many unrelated codes — excluded 6,774
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,454
per-diem day rate — not a per-procedure price 1,130
exceeds 10× this hospital's gross charge — excluded from medians 204
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 49
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://core.secure.ehc.com/src/util/detail-price-list/621682203_medical-city-frisco_standardcharges.csv
Found on page https://medicalcityhealthcare.com/about/legal/pricing-transparency-cms-required-file-of-standard-charges.dot
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-03
Content fingerprint 9dc8c527bdae5454… · 45,058,779 bytes · first seen 2026-07-31

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
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $463,596.81 $463,596.81 $463,596.81 nat. median
$205,166
outlier · 2.3×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $86,747.83 $86,747.83 $86,747.83 nat. median
$65,958
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $7,947.00 $148,256.28 $78,101.64 nat. median
$80,459
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $7,947.00 $142,730.14 $72,460.62 nat. median
$79,040
0.9× median
273
MS_DRG 		Percutaneous And Other Intracardiac Procedures With Mcc 1 $68,540.44 $68,540.44 $68,540.44 nat. median
$39,761
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $9,172.00 $127,205.21 $67,146.83 nat. median
$71,485
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $7,188.00 $120,560.46 $63,874.23 nat. median
$65,792
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 9 $7,947.00 $116,648.89 $62,297.94 nat. median
$62,767
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 3 $6,318.00 $62,815.56 $61,365.45 nat. median
$60,294
1.0× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 9 $6,318.00 $108,641.08 $57,479.54 nat. median
$55,867
1.0× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 5 $55,902.98 $55,902.98 $55,902.98 nat. median
$57,648
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $54,840.91 $54,840.91 $54,840.91 nat. median
$51,433
1.1× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 7 $7,318.00 $103,427.99 $54,560.84 nat. median
$57,082
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $7,947.00 $97,144.02 $52,545.51 nat. median
$73,475
0.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 7 $5,601.00 $95,599.81 $50,600.40 nat. median
$62,218
0.8× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 1 $50,413.05 $50,413.05 $50,413.05 nat. median
$44,841
1.1× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 10 $7,188.00 $91,221.92 $49,204.96 nat. median
$48,652
1.0× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 $49,120.77 $49,120.77 $49,120.77 nat. median
$41,643
1.2× median
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 9 $33,377.45 $64,227.86 $48,802.65 nat. median
$35,794
1.4× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 $47,128.58 $47,128.58 $47,128.58 nat. median
$52,447
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $7,188.00 $86,658.63 $46,923.32 nat. median
$92,900
0.5× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 4 $7,433.00 $79,441.48 $45,947.15 nat. median
$44,514
1.0× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 11 $6,318.00 $84,112.85 $45,215.43 nat. median
$45,772
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $8,573.00 $80,320.70 $44,446.85 nat. median
$68,581
0.6× median
272
MS_DRG 		Other Major Cardiovascular Procedures Without Cc/mcc 1 $42,905.93 $42,905.93 $42,905.93 nat. median
$24,796
1.7× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 $7,947.00 $77,839.99 $42,893.50 nat. median
$55,446
0.8× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 8 $7,947.00 $81,003.29 $42,705.14 nat. median
$46,399
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $7,947.00 $70,480.37 $39,213.68 nat. median
$74,472
0.5× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 8 $7,188.00 $68,209.78 $37,698.89 nat. median
$37,383
1.0× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 8 $8,255.00 $64,656.80 $36,455.90 nat. median
$51,984
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 $4,582.00 $78,995.30 $35,671.03 nat. median
$62,911
0.6× median
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 5 $30,792.66 $38,460.50 $34,626.58 nat. median
$33,473
1.0× median
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 9 $7,433.00 $61,148.20 $34,290.60 nat. median
$34,270
1.0× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $7,318.00 $59,872.36 $33,595.18 nat. median
$52,372
0.6× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $11,861.00 $54,246.36 $33,053.68 nat. median
$57,394
0.6× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 8 $32,661.39 $33,433.21 $33,047.30 nat. median
$37,051
0.9× median
479
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 5 $32,784.03 $32,784.03 $32,784.03 nat. median
$18,441
1.8× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 13 $4,582.00 $60,067.57 $32,324.78 nat. median
$53,073
0.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 6 $7,947.00 $55,664.43 $31,805.72 nat. median
$64,357
outlier · 0.5×
915
MS_DRG 		Allergic Reactions With Mcc 1 $31,201.11 $31,201.11 $31,201.11 nat. median
$16,954
1.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 $7,318.00 $57,072.01 $30,739.51 nat. median
$47,707
0.6× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 2 $10,675.00 $48,845.64 $29,760.32 nat. median
$42,341
0.7× median
28
MS_DRG 		Spinal Procedures With Mcc 4 $5,601.00 $53,807.05 $29,704.03 nat. median
$56,970
0.5× median
472
MS_DRG 		Cervical Spinal Fusion With Cc 6 $7,318.00 $51,979.57 $29,648.78 nat. median
$29,471
1.0× median
974
MS_DRG 		HIV With Major Related Condition With Mcc 2 $7,188.00 $51,295.40 $29,241.70 nat. median
$28,656
1.0× median
164
MS_DRG 		Major Chest Procedures With Cc 1 $29,115.37 $29,115.37 $29,115.37 nat. median
$25,372
1.1× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 3 $7,318.00 $88,620.66 $28,957.36 nat. median
$50,071
0.6× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 8 $6,318.00 $50,919.93 $28,618.97 nat. median
$49,784
0.6× median
653
MS_DRG 		Major Bladder Procedures With Mcc 4 $6,318.00 $61,801.66 $28,334.15 nat. median
$51,176
0.6× median
26
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Cc 6 $28,173.06 $51,939.12 $28,173.06 nat. median
$30,843
0.9× median

Other procedures at this hospital

Browse this hospital's 26,640 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
             
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $463,596.81 $463,596.81 $463,596.81 2025-01-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $86,747.83 $86,747.83 $86,747.83 2025-01-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 8 — — $7,947.00 $148,256.28 $78,101.64 2025-01-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 5 — — $7,947.00 $142,730.14 $72,460.62 2025-01-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $68,540.44 $68,540.44 $68,540.44 2025-01-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 7 — — $9,172.00 $127,205.21 $67,146.83 2025-01-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 — — $7,188.00 $120,560.46 $63,874.23 2025-01-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 9 — — $7,947.00 $116,648.89 $62,297.94 2025-01-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 3 — — $6,318.00 $62,815.56 $61,365.45 2025-01-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 10 9 — — $6,318.00 $108,641.08 $57,479.54 2025-01-31
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 5 — — $55,902.98 $55,902.98 $55,902.98 2025-01-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $54,840.91 $54,840.91 $54,840.91 2025-01-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 7 — — $7,318.00 $103,427.99 $54,560.84 2025-01-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 10 — — $7,947.00 $97,144.02 $52,545.51 2025-01-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 11 7 — — $5,601.00 $95,599.81 $50,600.40 2025-01-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $50,413.05 $50,413.05 $50,413.05 2025-01-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 10 — — $7,188.00 $91,221.92 $49,204.96 2025-01-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 7 6 — — $49,120.77 $49,120.77 $49,120.77 2025-01-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 9 9 — — $33,377.45 $64,227.86 $48,802.65 2025-01-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $47,128.58 $47,128.58 $47,128.58 2025-01-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 7 — — $7,188.00 $86,658.63 $46,923.32 2025-01-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 4 — — $7,433.00 $79,441.48 $45,947.15 2025-01-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 11 — — $6,318.00 $84,112.85 $45,215.43 2025-01-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 8 — — $8,573.00 $80,320.70 $44,446.85 2025-01-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 1 1 — — $42,905.93 $42,905.93 $42,905.93 2025-01-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 10 — — $7,947.00 $77,839.99 $42,893.50 2025-01-31
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 8 8 — — $7,947.00 $81,003.29 $42,705.14 2025-01-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 6 — — $7,947.00 $70,480.37 $39,213.68 2025-01-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 8 — — $7,188.00 $68,209.78 $37,698.89 2025-01-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 8 — — $8,255.00 $64,656.80 $36,455.90 2025-01-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 4 — — $4,582.00 $78,995.30 $35,671.03 2025-01-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 7 5 — — $30,792.66 $38,460.50 $34,626.58 2025-01-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 9 9 — — $7,433.00 $61,148.20 $34,290.60 2025-01-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $7,318.00 $59,872.36 $33,595.18 2025-01-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 7 — — $11,861.00 $54,246.36 $33,053.68 2025-01-31
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 10 8 — — $32,661.39 $33,433.21 $33,047.30 2025-01-31
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 6 5 — — $32,784.03 $32,784.03 $32,784.03 2025-01-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 13 — — $4,582.00 $60,067.57 $32,324.78 2025-01-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 6 — — $7,947.00 $55,664.43 $31,805.72 2025-01-31
915 MS_DRG Allergic Reactions With Mcc 1 1 — — $31,201.11 $31,201.11 $31,201.11 2025-01-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 7 — — $7,318.00 $57,072.01 $30,739.51 2025-01-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $10,675.00 $48,845.64 $29,760.32 2025-01-31
28 MS_DRG Spinal Procedures With Mcc 5 4 — — $5,601.00 $53,807.05 $29,704.03 2025-01-31
472 MS_DRG Cervical Spinal Fusion With Cc 7 6 — — $7,318.00 $51,979.57 $29,648.78 2025-01-31
974 MS_DRG HIV With Major Related Condition With Mcc 2 2 — — $7,188.00 $51,295.40 $29,241.70 2025-01-31
164 MS_DRG Major Chest Procedures With Cc 1 1 — — $29,115.37 $29,115.37 $29,115.37 2025-01-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 3 — — $7,318.00 $88,620.66 $28,957.36 2025-01-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 8 — — $6,318.00 $50,919.93 $28,618.97 2025-01-31
653 MS_DRG Major Bladder Procedures With Mcc 4 4 — — $6,318.00 $61,801.66 $28,334.15 2025-01-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 9 6 — — $28,173.06 $51,939.12 $28,173.06 2025-01-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 11 10 — — $4,582.00 $51,432.59 $28,007.29 2025-01-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 10 — — $8,096.00 $47,849.91 $27,972.96 2025-01-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 5 — — $8,096.00 $47,508.80 $27,802.40 2025-01-31
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 7 7 — — $21,481.49 $33,095.34 $27,288.42 2025-01-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 1 — — $6,159.00 $48,321.27 $27,240.13 2025-01-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 9 9 — — $11,268.00 $42,471.68 $26,869.84 2025-01-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 12 11 — — $7,318.00 $45,526.54 $26,422.27 2025-01-31
253 MS_DRG Other Vascular Procedures With Cc 7 5 — — $7,318.00 $44,868.75 $26,093.38 2025-01-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 15 12 — — $8,096.00 $43,692.11 $25,894.06 2025-01-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 7 7 — — $7,188.00 $44,539.85 $25,863.92 2025-01-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 7 — — $8,255.00 $42,488.20 $25,371.60 2025-01-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $7,318.00 $42,461.81 $24,889.90 2025-01-31
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 3 3 — — $8,255.00 $37,429.02 $24,294.39 2025-01-31
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 9 7 — — $10,675.00 $37,050.88 $23,862.94 2025-01-31
332 MS_DRG Rectal Resection With Mcc 9 8 — — $6,159.00 $41,412.68 $23,785.84 2025-01-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 — — $9,172.00 $38,154.55 $23,663.28 2025-01-31
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 2 2 — — $9,172.00 $37,562.69 $23,367.35 2025-01-31
252 MS_DRG Other Vascular Procedures With Mcc 10 8 — — $7,947.00 $38,286.98 $23,116.99 2025-01-31
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 11 7 — — $7,318.00 $37,912.69 $22,615.35 2025-01-31
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 12 10 — — $7,947.00 $37,149.38 $22,548.19 2025-01-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 4 — — $8,255.00 $36,540.33 $22,397.67 2025-01-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 8 7 — — $5,854.00 $40,158.18 $22,282.59 2025-01-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 8 8 — — $7,947.00 $36,298.31 $22,122.65 2025-01-31
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 8 7 — — $9,172.00 $34,623.74 $21,897.87 2025-01-31
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 2 2 — — $6,318.00 $36,802.89 $21,560.44 2025-01-31
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 3 3 — — $8,096.00 $21,773.31 $21,270.66 2025-01-31
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 1 — — $20,681.99 $20,681.99 $20,681.99 2025-01-31
570 MS_DRG Skin Debridement With Mcc 9 7 — — $7,947.00 $33,359.84 $20,653.42 2025-01-31
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 10 — — $8,255.00 $32,903.63 $20,579.31 2025-01-31
35 MS_DRG Carotid Artery Stent Procedures With Cc 3 3 — — $4,582.00 $21,017.43 $20,532.24 2025-01-31
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 12 9 — — $7,947.00 $33,097.10 $20,522.05 2025-01-31
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 3 3 — — $8,255.00 $25,490.79 $20,408.71 2025-01-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 4 — — $11,861.00 $28,578.16 $20,219.58 2025-01-31
722 MS_DRG Malignancy, Male Reproductive System With Mcc 10 7 — — $6,159.00 $32,973.98 $19,566.49 2025-01-31
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 9 7 — — $19,150.03 $19,150.03 $19,150.03 2025-01-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 5 — — $7,318.00 $30,913.09 $19,115.54 2025-01-31
755 MS_DRG Malignancy, Female Reproductive System With Cc 1 1 — — $19,077.70 $19,077.70 $19,077.70 2025-01-31
571 MS_DRG Skin Debridement With Cc 9 8 — — $8,096.00 $29,757.14 $18,926.57 2025-01-31
254 MS_DRG Other Vascular Procedures Without Cc/mcc 5 5 — — $7,318.00 $30,516.94 $18,917.47 2025-01-31
137 MS_DRG Mouth Procedures With Cc/mcc 2 2 — — $11,268.00 $26,464.66 $18,866.33 2025-01-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 2 — — $11,268.00 $26,390.84 $18,829.42 2025-01-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 2 — — $4,582.00 $33,019.44 $18,800.72 2025-01-31
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 7 5 — — $10,675.00 $26,836.73 $18,755.87 2025-01-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 11 9 — — $5,854.00 $31,609.78 $18,731.89 2025-01-31
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 2 2 — — $11,861.00 $25,465.67 $18,663.33 2025-01-31
783 MS_DRG Cesarean Section With Sterilization With Mcc 9 8 — — $6,159.00 $31,162.42 $18,660.71 2025-01-31
533 MS_DRG Fractures Of Femur With Mcc 9 9 — — $18,624.06 $18,624.06 $18,624.06 2025-01-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 8 6 — — $5,854.00 $44,646.84 $18,555.71 2025-01-31
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 4 4 — — $4,582.00 $38,846.62 $18,537.76 2025-01-31
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 6 6 — — $18,526.78 $18,526.78 $18,526.78 2025-01-31
620 MS_DRG O.r. Procedures For Obesity With Cc 8 7 — — $18,519.04 $18,519.04 $18,519.04 2025-01-31
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 4 4 — — $4,582.00 $39,317.97 $18,394.24 2025-01-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 5 4 — — $7,318.00 $29,412.13 $18,365.06 2025-01-31
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $9,172.00 $26,453.15 $17,812.58 2025-01-31
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 3 2 — — $8,255.00 $18,040.53 $17,624.06 2025-01-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 7 — — $7,318.00 $27,432.80 $17,375.40 2025-01-31
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 3 — — $9,172.00 $29,846.84 $17,330.97 2025-01-31
545 MS_DRG Connective Tissue Disorders With Mcc 12 11 — — $5,601.00 $28,462.37 $17,031.69 2025-01-31
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 2 1 — — $6,159.00 $27,903.36 $17,031.18 2025-01-31
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 2 2 — — $7,188.00 $25,514.91 $16,351.45 2025-01-31
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 3 3 — — $8,255.00 $20,400.39 $16,333.18 2025-01-31
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 10 8 — — $7,188.00 $25,177.22 $16,182.61 2025-01-31
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 12 11 — — $6,318.00 $27,854.12 $16,130.56 2025-01-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 12 10 — — $8,096.00 $23,836.86 $15,966.43 2025-01-31
32 MS_DRG Ventricular Shunt Procedures With Cc 13 10 — — $7,318.00 $24,587.78 $15,952.89 2025-01-31
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 2 2 — — $11,268.00 $20,610.70 $15,939.35 2025-01-31
503 MS_DRG Foot Procedures With Mcc 7 6 — — $7,318.00 $24,512.57 $15,915.28 2025-01-31
263 MS_DRG Vein Ligation And Stripping 4 4 — — $5,854.00 $49,689.62 $15,772.10 2025-01-31
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 8 6 — — $7,188.00 $24,318.93 $15,753.47 2025-01-31
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 4 3 — — $5,601.00 $30,276.37 $15,556.80 2025-01-31
540 MS_DRG Osteomyelitis With Cc 6 6 — — $8,096.00 $22,832.74 $15,464.37 2025-01-31
796 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Mcc 12 10 — — $5,854.00 $24,946.82 $15,400.41 2025-01-31
67 MS_DRG Nonspecific Cva And Precerebral Occlusion Without Infarction With Mcc 2 2 — — $5,854.00 $24,920.44 $15,387.22 2025-01-31
886 MS_DRG Behavioral And Developmental Disorders 1 1 — — $15,370.74 $15,370.74 $15,370.74 2025-01-31
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 8 5 — — $7,318.00 $23,297.77 $15,307.89 2025-01-31
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 4 — — $7,188.00 $32,738.30 $15,210.87 2025-01-31
54 MS_DRG Nervous System Neoplasms With Mcc 14 11 — — $7,318.00 $25,915.92 $15,161.46 2025-01-31
668 MS_DRG Transurethral Procedures With Mcc 8 8 — — $7,188.00 $25,756.52 $15,081.76 2025-01-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 4 — — $7,318.00 $34,181.79 $14,960.95 2025-01-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 14 9 — — $6,159.00 $23,610.96 $14,884.98 2025-01-31
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 12 9 — — $7,188.00 $22,489.88 $14,838.94 2025-01-31
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 11 7 — — $7,318.00 $22,198.41 $14,758.20 2025-01-31
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 12 9 — — $7,947.00 $25,002.18 $14,704.59 2025-01-31
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 3 3 — — $7,433.00 $18,218.79 $14,586.53 2025-01-31
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 2 2 — — $10,675.00 $18,385.47 $14,530.24 2025-01-31
887 MS_DRG Other Mental Disorder Diagnoses 13 10 — — $6,159.00 $22,787.01 $14,473.00 2025-01-31
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 8 8 — — $7,433.00 $24,099.18 $14,253.09 2025-01-31
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 11 8 — — $7,188.00 $21,284.06 $14,236.03 2025-01-31
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 10 7 — — $10,675.00 $17,517.80 $14,096.40 2025-01-31
181 MS_DRG Respiratory Neoplasms With Cc 2 2 — — $8,573.00 $19,366.15 $13,969.58 2025-01-31
885 MS_DRG Psychoses 2 2 — — $12,200.59 $15,598.82 $13,899.70 2025-01-31
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 7 6 — — $12,125.12 $23,332.24 $13,869.62 2025-01-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 10 8 — — $6,318.00 $27,329.90 $13,864.73 2025-01-31
655 MS_DRG Major Bladder Procedures Without Cc/mcc 2 2 — — $8,096.00 $19,265.29 $13,680.65 2025-01-31
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 10 8 — — $8,255.00 $19,033.95 $13,644.48 2025-01-31
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 11 10 — — $8,096.00 $18,700.44 $13,398.22 2025-01-31
718 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy Without Cc/mcc 2 2 — — $5,854.00 $20,679.97 $13,266.99 2025-01-31
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 5 4 — — $4,582.00 $26,037.28 $13,218.49 2025-01-31
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 14 10 — — $4,582.00 $21,489.48 $13,035.74 2025-01-31
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 6 5 — — $8,255.00 $17,636.58 $12,945.79 2025-01-31
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 7 5 — — $9,172.00 $16,690.09 $12,931.05 2025-01-31
77 MS_DRG Hypertensive Encephalopathy With Mcc 2 2 — — $11,861.00 $13,809.63 $12,835.31 2025-01-31
539 MS_DRG Osteomyelitis With Mcc 5 4 — — $7,947.00 $17,718.71 $12,832.85 2025-01-31
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 2 2 — — $7,318.00 $18,133.23 $12,725.61 2025-01-31
883 MS_DRG Disorders Of Personality And Impulse Control 2 2 — — $8,573.00 $16,745.45 $12,659.23 2025-01-31
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 10 7 — — $4,582.00 $20,632.48 $12,607.24 2025-01-31
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 9 8 — — $8,096.00 $17,060.72 $12,578.36 2025-01-31
289 MS_DRG Acute And Subacute Endocarditis With Cc 4 4 — — $6,318.00 $25,989.79 $12,482.71 2025-01-31
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 9 7 — — $10,675.00 $14,129.58 $12,402.29 2025-01-31
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 6 6 — — $7,947.00 $16,613.30 $12,280.15 2025-01-31
552 MS_DRG Medical Back Problems Without Mcc 7 6 — — $7,433.00 $16,995.29 $12,214.15 2025-01-31
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 7 6 — — $10,675.00 $13,658.82 $12,166.91 2025-01-31
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 9 9 — — $10,347.39 $19,911.38 $12,159.19 2025-01-31
251 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent Without Mcc 9 8 — — $6,159.00 $18,116.05 $12,137.52 2025-01-31
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 2 2 — — $7,433.00 $16,629.32 $12,031.16 2025-01-31
671 MS_DRG Urethral Procedures With Cc/mcc 2 2 — — $8,573.00 $15,285.55 $11,929.27 2025-01-31
501 MS_DRG Soft Tissue Procedures With Cc 11 8 — — $7,947.00 $15,864.30 $11,905.65 2025-01-31
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 6 6 — — $11,861.00 $11,861.00 $11,861.00 2025-01-31
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 3 3 — — $8,255.00 $17,760.36 $11,861.00 2025-01-31
597 MS_DRG Malignant Breast Disorders With Mcc 5 5 — — $5,601.00 $18,271.31 $11,861.00 2025-01-31
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 3 2 — — $7,318.00 $21,735.25 $11,861.00 2025-01-31
397 MS_DRG Appendix Procedures With Mcc 5 4 — — $5,601.00 $20,533.92 $11,861.00 2025-01-31
196 MS_DRG Interstitial Lung Disease With Mcc 3 3 — — $4,582.00 $17,323.96 $11,861.00 2025-01-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 2 — — $11,268.00 $30,610.40 $11,861.00 2025-01-31
779 MS_DRG Abortion Without D&c 9 8 — — $6,318.00 $17,398.05 $11,858.02 2025-01-31
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 8 7 — — $5,854.00 $17,732.22 $11,793.11 2025-01-31
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 6 6 — — $7,947.00 $15,449.30 $11,698.15 2025-01-31
913 MS_DRG Traumatic Injury With Mcc 2 2 — — $6,318.00 $17,061.21 $11,689.60 2025-01-31
509 MS_DRG Arthroscopy 7 5 — — $11,268.00 $11,841.64 $11,554.82 2025-01-31
386 MS_DRG Inflammatory Bowel Disease With Cc 6 6 — — $5,854.00 $17,088.50 $11,471.25 2025-01-31
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 9 6 — — $7,318.00 $15,534.67 $11,426.33 2025-01-31
537 MS_DRG Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/mcc 5 5 — — $5,854.00 $17,007.60 $11,416.00 2025-01-31
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 4 — — $7,947.00 $79,123.44 $11,416.00 2025-01-31
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 2 2 — — $6,159.00 $16,526.95 $11,342.98 2025-01-31
38 MS_DRG Extracranial Procedures With Cc 7 7 — — $7,188.00 $18,264.46 $11,335.73 2025-01-31
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 5 4 — — $8,096.00 $20,998.59 $11,268.00 2025-01-31
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 5 4 — — $5,854.00 $16,356.03 $11,268.00 2025-01-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 5 3 — — $4,582.00 $23,116.29 $11,268.00 2025-01-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 5 3 — — $7,947.00 $46,592.37 $11,268.00 2025-01-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 11 7 — — $11,268.00 $11,268.00 $11,268.00 2025-01-31
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 6 4 — — $10,675.00 $11,861.00 $11,268.00 2025-01-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 4 — — $8,573.00 $167,815.20 $11,268.00 2025-01-31
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 3 3 — — $7,433.00 $14,929.29 $11,268.00 2025-01-31
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 5 5 — — $11,268.00 $11,268.00 $11,268.00 2025-01-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 6 — — $11,268.00 $11,268.00 $11,268.00 2025-01-31
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 10 10 — — $8,573.00 $13,905.83 $11,239.42 2025-01-31
150 MS_DRG Epistaxis With Mcc 10 10 — — $7,433.00 $15,006.33 $11,219.67 2025-01-31
902 MS_DRG Wound Debridements For Injuries With Cc 16 11 — — $5,601.00 $16,828.49 $11,214.75 2025-01-31
506 MS_DRG Major Thumb Or Joint Procedures 7 5 — — $9,172.00 $13,059.56 $11,115.78 2025-01-31
596 MS_DRG Major Skin Disorders Without Mcc 9 8 — — $7,188.00 $17,746.29 $11,076.65 2025-01-31
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 13 10 — — $7,318.00 $14,815.94 $11,066.97 2025-01-31
393 MS_DRG Other Digestive System Diagnoses With Mcc 15 12 — — $7,188.00 $14,803.14 $10,995.57 2025-01-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 4 3 — — $7,188.00 $21,723.36 $10,971.50 2025-01-31
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 2 — — $5,854.00 $16,085.49 $10,969.74 2025-01-31
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 7 6 — — $7,188.00 $14,690.88 $10,939.44 2025-01-31
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 2 2 — — $5,854.00 $16,016.65 $10,935.33 2025-01-31
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 9 9 — — $8,524.33 $13,132.96 $10,828.65 2025-01-31
836 MS_DRG Acute Leukemia Without Major O.r. Procedures Without Cc/mcc 5 4 — — $5,601.00 $13,668.38 $10,690.69 2025-01-31
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 3 3 — — $5,601.00 $27,448.63 $10,675.00 2025-01-31
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 5 5 — — $7,433.00 $41,933.31 $10,675.00 2025-01-31
849 MS_DRG Radiotherapy 3 3 — — $8,573.00 $30,725.02 $10,675.00 2025-01-31
666 MS_DRG Prostatectomy With Cc 7 5 — — $5,601.00 $30,205.63 $10,675.00 2025-01-31
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 — — $5,601.00 $34,903.39 $10,675.00 2025-01-31
551 MS_DRG Medical Back Problems With Mcc 6 5 — — $10,675.00 $10,675.00 $10,675.00 2025-01-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 5 3 — — $6,318.00 $35,193.57 $10,675.00 2025-01-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 3 — — $10,675.00 $10,675.00 $10,675.00 2025-01-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 5 4 — — $8,096.00 $57,729.57 $10,675.00 2025-01-31
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 3 2 — — $7,318.00 $16,721.63 $10,675.00 2025-01-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 7 5 — — $4,582.00 $35,104.20 $10,675.00 2025-01-31
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 10 8 — — $4,582.00 $16,523.12 $10,552.56 2025-01-31
374 MS_DRG Digestive Malignancy With Mcc 4 4 — — $6,318.00 $19,184.86 $10,516.50 2025-01-31
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 2 2 — — $5,854.00 $14,945.73 $10,399.86 2025-01-31
299 MS_DRG Peripheral Vascular Disorders With Mcc 2 2 — — $6,318.00 $14,406.47 $10,362.24 2025-01-31
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 12 11 — — $4,582.00 $15,876.66 $10,229.33 2025-01-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 9 8 — — $9,172.00 $11,268.00 $10,220.00 2025-01-31
189 MS_DRG Pulmonary Edema And Respiratory Failure 4 4 — — $7,433.00 $14,064.51 $10,220.00 2025-01-31
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 4 4 — — $7,433.00 $15,484.66 $10,217.00 2025-01-31
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 8 6 — — $8,573.00 $11,861.00 $10,217.00 2025-01-31
39 MS_DRG Extracranial Procedures Without Cc/mcc 5 4 — — $5,854.00 $20,067.91 $10,187.99 2025-01-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 6 6 — — $6,318.00 $89,329.45 $10,058.00 2025-01-31
399 MS_DRG Appendix Procedures Without Cc/mcc 14 11 — — $4,582.00 $19,577.20 $10,056.30 2025-01-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 9 7 — — $8,096.00 $11,861.00 $9,978.50 2025-01-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 6 — — $5,601.00 $54,116.41 $9,923.50 2025-01-31
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 4 4 — — $4,582.00 $20,773.39 $9,923.50 2025-01-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 4 — — $7,188.00 $30,987.34 $9,920.50 2025-01-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 6 6 — — $4,582.00 $25,676.09 $9,920.50 2025-01-31
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 4 3 — — $5,601.00 $38,229.28 $9,904.00 2025-01-31
546 MS_DRG Connective Tissue Disorders With Cc 6 4 — — $7,947.00 $11,861.00 $9,904.00 2025-01-31
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 9 5 — — $7,947.00 $11,861.00 $9,904.00 2025-01-31
919 MS_DRG Complications Of Treatment With Mcc 12 9 — — $4,582.00 $16,677.76 $9,900.94 2025-01-31
572 MS_DRG Skin Debridement Without Cc/mcc 4 4 — — $6,318.00 $20,043.29 $9,761.50 2025-01-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 8 8 — — $8,255.00 $11,268.00 $9,761.50 2025-01-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 7 6 — — $8,255.00 $11,268.00 $9,761.50 2025-01-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 7 7 — — $8,255.00 $11,268.00 $9,761.50 2025-01-31
212 MS_DRG Concomitant Aortic And Mitral Valve�procedures 4 4 — — $7,433.00 $122,958.31 $9,761.50 2025-01-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 3 — — $7,188.00 $24,142.23 $9,761.50 2025-01-31
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 4 4 — — $7,188.00 $24,595.77 $9,682.00 2025-01-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 4 3 — — $7,947.00 $36,996.97 $9,682.00 2025-01-31
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 4 3 — — $4,582.00 $15,983.97 $9,647.00 2025-01-31
553 MS_DRG Bone Diseases And Arthropathies With Mcc 13 12 — — $7,188.00 $12,067.54 $9,627.77 2025-01-31
55 MS_DRG Nervous System Neoplasms Without Mcc 8 8 — — $8,573.00 $10,675.00 $9,624.00 2025-01-31
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 8 7 — — $7,947.00 $11,268.00 $9,607.50 2025-01-31
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 12 8 — — $7,318.00 $11,861.00 $9,589.50 2025-01-31
504 MS_DRG Foot Procedures With Cc 8 6 — — $7,318.00 $11,861.00 $9,589.50 2025-01-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 9 8 — — $7,188.00 $11,861.00 $9,524.50 2025-01-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 3 — — $7,318.00 $28,380.18 $9,465.00 2025-01-31
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 11 9 — — $8,255.00 $10,675.00 $9,465.00 2025-01-31
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/mcc 4 4 — — $5,854.00 $16,235.83 $9,428.91 2025-01-31
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 8 6 — — $7,318.00 $11,516.62 $9,417.31 2025-01-31
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 8 5 — — $8,255.00 $10,508.54 $9,381.77 2025-01-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 4 — — $4,582.00 $69,608.03 $9,350.50 2025-01-31
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 8 5 — — $4,582.00 $32,643.33 $9,311.00 2025-01-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 5 — — $4,582.00 $72,402.76 $9,311.00 2025-01-31
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 7 6 — — $7,318.00 $11,268.00 $9,293.00 2025-01-31
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/mcc 13 10 — — $7,188.00 $11,268.00 $9,228.00 2025-01-31
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 9 6 — — $7,188.00 $11,268.00 $9,228.00 2025-01-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 3 3 — — $7,318.00 $24,883.46 $9,172.00 2025-01-31
948 MS_DRG Signs And Symptoms Without Mcc 5 4 — — $7,188.00 $14,087.99 $9,172.00 2025-01-31
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 3 2 — — $8,096.00 $14,364.98 $9,172.00 2025-01-31
624 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 4 — — $6,159.00 $19,601.83 $9,172.00 2025-01-31
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 3 2 — — $5,854.00 $15,428.42 $9,172.00 2025-01-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 5 — — $4,582.00 $94,599.00 $9,172.00 2025-01-31
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 7 7 — — $9,172.00 $9,172.00 $9,172.00 2025-01-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 5 4 — — $7,318.00 $23,700.02 $9,172.00 2025-01-31
100 MS_DRG Seizures With Mcc 5 5 — — $5,854.00 $22,632.22 $9,172.00 2025-01-31
116 MS_DRG Intraocular Procedures With Cc/mcc 3 2 — — $8,096.00 $16,347.21 $9,172.00 2025-01-31
538 MS_DRG Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/mcc 12 7 — — $6,481.17 $11,861.00 $9,171.08 2025-01-31
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 13 10 — — $6,318.00 $11,861.00 $9,089.50 2025-01-31
139 MS_DRG Salivary Gland Procedures 10 7 — — $7,318.00 $10,855.58 $9,086.79 2025-01-31
541 MS_DRG Osteomyelitis Without Cc/mcc 12 10 — — $6,159.00 $11,861.00 $9,010.00 2025-01-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $7,188.00 $30,150.55 $8,996.50 2025-01-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 3 — — $7,188.00 $31,129.01 $8,996.50 2025-01-31
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 7 4 — — $7,318.00 $10,675.00 $8,996.50 2025-01-31
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc 7 6 — — $7,318.00 $10,675.00 $8,996.50 2025-01-31
471 MS_DRG Cervical Spinal Fusion With Mcc 6 5 — — $7,318.00 $10,675.00 $8,996.50 2025-01-31
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 4 2 — — $6,159.00 $23,965.41 $8,996.50 2025-01-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 9 7 — — $7,188.00 $10,675.00 $8,931.50 2025-01-31
786 MS_DRG Cesarean Section Without Sterilization With Mcc 8 7 — — $7,188.00 $10,675.00 $8,931.50 2025-01-31
748 MS_DRG Female Reproductive System Reconstructive Procedures 4 4 — — $5,601.00 $16,038.34 $8,931.50 2025-01-31
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 13 11 — — $6,563.43 $11,268.00 $8,915.72 2025-01-31
797 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Cc 9 8 — — $8,892.39 $8,892.39 $8,892.39 2025-01-31
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 3 2 — — $6,159.00 $17,507.10 $8,887.93 2025-01-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 5 — — $4,582.00 $64,878.27 $8,872.50 2025-01-31
380 MS_DRG Complicated Peptic Ulcer With Mcc 4 3 — — $5,854.00 $17,398.16 $8,872.50 2025-01-31
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 6 5 — — $5,854.00 $28,510.32 $8,872.50 2025-01-31
12007 CPT Repair Of Wound (over 30.0 Centimeters) Of The Scalp, Neck, Underarms, Genitals,… 12 9 $13,800.00 — $8,871.00 $8,871.00 $8,871.00 2026-07-31
12001 CPT Repair Of Wound (2.5 Centimeters Or Less) Of The Scalp, Neck, Underarms, Trunk, … 14 9 $13,800.00 — $8,871.00 $8,871.00 $8,871.00 2026-07-31
12011 CPT Repair Of Wound (2.5 Centimeters Or Less) Of The Face, Ears, Eyelids, Nose, Lips… 9 7 $13,800.00 — $8,871.00 $8,871.00 $8,871.00 2026-07-31
0501F CPT Report Also: Date Of Visit And, In A Separate Field, The Date Of The Last Menstr… 14 10 — — $8,871.00 $8,871.00 $8,871.00 2025-01-31
00472 CPT Anesthesia For Partial Removal Of Rib And Chest Wall Repair 12 10 — — $8,871.00 $8,871.00 $8,871.00 2025-01-31
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