Hospital

Vibra Hospital Of Amarillo

Amarillo, TX · CCN 452060 · Rates published

13 distinct procedures filed

43 distinct payers

5,056 rate rows

2024-04-02 last MRF observed · ⚠ 27 mo old

Data quality

1 of 5,056 rate rows are consumer-grade (0.0%)

5,055 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	4,954
per-diem day rate — not a per-procedure price	100
percent-of-charges filed in the dollar field — excluded from medians	1

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 27 months old.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://kpcph.com/wp-content/uploads/2024/09/88-1257336_KPC-Promise-Hospital-of-Amarillo_standard-charges.csv
Found on page	https://amarillo.kpcph.com/cms-price-transparency/
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-05-19
Content fingerprint	115c34fd567bdc11… · 1,172,427 bytes · first seen 2026-05-15

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	Min $	Max $	Avg median	vs national
101 MS_DRG	Seizures Without Mcc	—	—	—	nat. median $9,814
121 MS_DRG	Acute Major Eye Infections W Cc/Mcc	—	—	—	nat. median $12,356
146 MS_DRG	Ear, Nose, Mouth & Throat Malignancy W Mcc	—	—	—	nat. median $21,758
147 MS_DRG	Ear, Nose, Mouth & Throat Malignancy W Cc	—	—	—	nat. median $13,304
148 MS_DRG	Ear, Nose, Mouth & Throat Malignancy Without Cc/Mcc	—	—	—	nat. median $9,128
152 MS_DRG	Otitis Media & Uri W Mcc	—	—	—	nat. median $12,253
153 MS_DRG	Otitis Media & Uri Without Mcc	—	—	—	nat. median $8,180
154 MS_DRG	Nasal Trauma & Deformity W Mcc	—	—	—	nat. median $16,089
157 MS_DRG	Dental & Oral Diseases W Mcc	—	—	—	nat. median $17,221
158 MS_DRG	Dental & Oral Diseases W Cc	—	—	—	nat. median $10,106
163 MS_DRG	Major Chest Procedures W Mcc	—	—	—	nat. median $44,937
166 MS_DRG	Other Resp System O.r. Procedures W Mcc	—	—	—	nat. median $37,476
167 MS_DRG	Other Resp System O.r. Procedures W Cc	—	—	—	nat. median $18,895
168 MS_DRG	Other Resp System O.r. Procedures Without Cc/Mcc	—	—	—	nat. median $14,494
175 MS_DRG	Pulmonary Embolism W Mcc	—	—	—	nat. median $14,623
176 MS_DRG	Pulmonary Embolism Without Mcc	—	—	—	nat. median $9,177
177 MS_DRG	Respiratory Infections & Inflammations W Mcc	—	—	—	nat. median $16,234
178 MS_DRG	Respiratory Infections & Inflammations W Cc	—	—	—	nat. median $10,873
179 MS_DRG	Respiratory Infections & Inflammations Without Cc/Mcc	—	—	—	nat. median $8,705
186 MS_DRG	Pleural Effusion W Mcc	—	—	—	nat. median $15,980
187 MS_DRG	Pleural Effusion W Cc	—	—	—	nat. median $10,854
189 MS_DRG	Pulmonary Edema & Respiratory Failure	—	—	—	nat. median $13,017
190 MS_DRG	Chronic Obstructive Pulmonary Disease W Mcc	—	—	—	nat. median $11,699
191 MS_DRG	Chronic Obstructive Pulmonary Disease W Cc	—	—	—	nat. median $9,406
192 MS_DRG	Chronic Obstructive Pulmonary Disease Without Cc/Mcc	—	—	—	nat. median $7,581
193 MS_DRG	Simple Pneumonia & Pleurisy W Mcc	—	—	—	nat. median $13,648
194 MS_DRG	Simple Pneumonia & Pleurisy W Cc	—	—	—	nat. median $9,125
195 MS_DRG	Simple Pneumonia & Pleurisy Without Cc/Mcc	—	—	—	nat. median $7,338
196 MS_DRG	Interstitial Lung Disease W Mcc	—	—	—	nat. median $18,723
199 MS_DRG	Pneumothorax W Mcc	—	—	—	nat. median $17,612
200 MS_DRG	Pneumothorax W Cc	—	—	—	nat. median $11,694
201 MS_DRG	Pneumothorax Without Cc/Mcc	—	—	—	nat. median $7,992
202 MS_DRG	Bronchitis & Asthma W Cc/Mcc	—	—	—	nat. median $10,377
204 MS_DRG	Respiratory Signs & Symptoms	—	—	—	nat. median $8,989
205 MS_DRG	Other Respiratory System Diagnoses W Mcc	—	—	—	nat. median $18,292
206 MS_DRG	Other Respiratory System Diagnoses Without Mcc	—	—	—	nat. median $10,000
207 MS_DRG	Respiratory System Diagnosis W Ventilator Support 96+ Hours	—	—	—	nat. median $62,134
208 MS_DRG	Respiratory System Diagnosis W Ventilator Support <96 Hours	—	—	—	nat. median $26,748
239 MS_DRG	Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc	—	—	—	nat. median $47,740
242 MS_DRG	Permanent Cardiac Pacemaker Implant W Mcc	—	—	—	nat. median $32,825
253 MS_DRG	Other Vascular Procedures W Cc	—	—	—	nat. median $26,079
264 MS_DRG	Other Circulatory System O.r. Procedures	—	—	—	nat. median $33,061
270 MS_DRG	Other Major Cardiovascular Procedures W Mcc	—	—	—	nat. median $51,307
271 MS_DRG	Other Major Cardiovascular Procedures W Cc	—	—	—	nat. median $35,597
280 MS_DRG	Acute Myocardial Infarction, Discharged Alive W Mcc	—	—	—	nat. median $16,529
281 MS_DRG	Acute Myocardial Infarction, Discharged Alive W Cc	—	—	—	nat. median $10,381
282 MS_DRG	Acute Myocardia Infarction, Discharged Alive Without Cc/Mcc	—	—	—	nat. median $8,518
283 MS_DRG	Acute Myocardial Infarction, Expired W Mcc	—	—	—	nat. median $19,748
286 MS_DRG	Circulatory Disorders Except Ami, W Card Cath W Mcc	—	—	—	nat. median $22,019
100 MS_DRG	Seizures W Mcc	—	—	—	nat. median $19,360

Other procedures at this hospital

Browse this hospital's 13 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

100	MS_DRG	Seizures W Mcc	0	0	—	—	—	—	—	2024-04-02
101	MS_DRG	Seizures Without Mcc	0	0	—	—	—	—	—	2024-04-02
121	MS_DRG	Acute Major Eye Infections W Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
146	MS_DRG	Ear, Nose, Mouth & Throat Malignancy W Mcc	0	0	—	—	—	—	—	2024-04-02
147	MS_DRG	Ear, Nose, Mouth & Throat Malignancy W Cc	0	0	—	—	—	—	—	2024-04-02
148	MS_DRG	Ear, Nose, Mouth & Throat Malignancy Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
152	MS_DRG	Otitis Media & Uri W Mcc	0	0	—	—	—	—	—	2024-04-02
153	MS_DRG	Otitis Media & Uri Without Mcc	0	0	—	—	—	—	—	2024-04-02
154	MS_DRG	Nasal Trauma & Deformity W Mcc	0	0	—	—	—	—	—	2024-04-02
157	MS_DRG	Dental & Oral Diseases W Mcc	0	0	—	—	—	—	—	2024-04-02
158	MS_DRG	Dental & Oral Diseases W Cc	0	0	—	—	—	—	—	2024-04-02
163	MS_DRG	Major Chest Procedures W Mcc	0	0	—	—	—	—	—	2024-04-02
166	MS_DRG	Other Resp System O.r. Procedures W Mcc	0	0	—	—	—	—	—	2024-04-02
167	MS_DRG	Other Resp System O.r. Procedures W Cc	0	0	—	—	—	—	—	2024-04-02
168	MS_DRG	Other Resp System O.r. Procedures Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
175	MS_DRG	Pulmonary Embolism W Mcc	0	0	—	—	—	—	—	2024-04-02
176	MS_DRG	Pulmonary Embolism Without Mcc	0	0	—	—	—	—	—	2024-04-02
177	MS_DRG	Respiratory Infections & Inflammations W Mcc	0	0	—	—	—	—	—	2024-04-02
178	MS_DRG	Respiratory Infections & Inflammations W Cc	0	0	—	—	—	—	—	2024-04-02
179	MS_DRG	Respiratory Infections & Inflammations Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
186	MS_DRG	Pleural Effusion W Mcc	0	0	—	—	—	—	—	2024-04-02
187	MS_DRG	Pleural Effusion W Cc	0	0	—	—	—	—	—	2024-04-02
189	MS_DRG	Pulmonary Edema & Respiratory Failure	0	0	—	—	—	—	—	2024-04-02
190	MS_DRG	Chronic Obstructive Pulmonary Disease W Mcc	0	0	—	—	—	—	—	2024-04-02
191	MS_DRG	Chronic Obstructive Pulmonary Disease W Cc	0	0	—	—	—	—	—	2024-04-02
192	MS_DRG	Chronic Obstructive Pulmonary Disease Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
193	MS_DRG	Simple Pneumonia & Pleurisy W Mcc	0	0	—	—	—	—	—	2024-04-02
194	MS_DRG	Simple Pneumonia & Pleurisy W Cc	0	0	—	—	—	—	—	2024-04-02
195	MS_DRG	Simple Pneumonia & Pleurisy Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
196	MS_DRG	Interstitial Lung Disease W Mcc	0	0	—	—	—	—	—	2024-04-02
199	MS_DRG	Pneumothorax W Mcc	0	0	—	—	—	—	—	2024-04-02
200	MS_DRG	Pneumothorax W Cc	0	0	—	—	—	—	—	2024-04-02
201	MS_DRG	Pneumothorax Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
202	MS_DRG	Bronchitis & Asthma W Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
204	MS_DRG	Respiratory Signs & Symptoms	0	0	—	—	—	—	—	2024-04-02
205	MS_DRG	Other Respiratory System Diagnoses W Mcc	0	0	—	—	—	—	—	2024-04-02
206	MS_DRG	Other Respiratory System Diagnoses Without Mcc	0	0	—	—	—	—	—	2024-04-02
207	MS_DRG	Respiratory System Diagnosis W Ventilator Support 96+ Hours	0	0	—	—	—	—	—	2024-04-02
208	MS_DRG	Respiratory System Diagnosis W Ventilator Support <96 Hours	0	0	—	—	—	—	—	2024-04-02
239	MS_DRG	Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc	0	0	—	—	—	—	—	2024-04-02
242	MS_DRG	Permanent Cardiac Pacemaker Implant W Mcc	0	0	—	—	—	—	—	2024-04-02
253	MS_DRG	Other Vascular Procedures W Cc	0	0	—	—	—	—	—	2024-04-02
264	MS_DRG	Other Circulatory System O.r. Procedures	0	0	—	—	—	—	—	2024-04-02
270	MS_DRG	Other Major Cardiovascular Procedures W Mcc	0	0	—	—	—	—	—	2024-04-02
271	MS_DRG	Other Major Cardiovascular Procedures W Cc	0	0	—	—	—	—	—	2024-04-02
280	MS_DRG	Acute Myocardial Infarction, Discharged Alive W Mcc	0	0	—	—	—	—	—	2024-04-02
281	MS_DRG	Acute Myocardial Infarction, Discharged Alive W Cc	0	0	—	—	—	—	—	2024-04-02
282	MS_DRG	Acute Myocardia Infarction, Discharged Alive Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
283	MS_DRG	Acute Myocardial Infarction, Expired W Mcc	0	0	—	—	—	—	—	2024-04-02
286	MS_DRG	Circulatory Disorders Except Ami, W Card Cath W Mcc	0	0	—	—	—	—	—	2024-04-02
288	MS_DRG	Acute & Subacute Endocarditis W Mcc	0	0	—	—	—	—	—	2024-04-02
289	MS_DRG	Acute & Subacute Endocarditis W Cc	0	0	—	—	—	—	—	2024-04-02
291	MS_DRG	Heart Failure & Shock W Mcc	0	0	—	—	—	—	—	2024-04-02
292	MS_DRG	Heart Failure & Shock W Cc	0	0	—	—	—	—	—	2024-04-02
293	MS_DRG	Heart Failure & Shock Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
299	MS_DRG	Peripheral Vascular Disorders W Mcc	0	0	—	—	—	—	—	2024-04-02
3	MS_DRG	Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.	0	0	—	—	—	—	—	2024-04-02
300	MS_DRG	Peripheral Vascular Disorders W Cc	0	0	—	—	—	—	—	2024-04-02
301	MS_DRG	Peripheral Vascular Disorders Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
302	MS_DRG	Atherosclerosis W Mcc	0	0	—	—	—	—	—	2024-04-02
303	MS_DRG	Atherosclerosis Without Mcc	0	0	—	—	—	—	—	2024-04-02
306	MS_DRG	Cardiac Congenital & Valvular Disorders W Mcc	0	0	—	—	—	—	—	2024-04-02
307	MS_DRG	Cardiac Congenital & Valvular Disorders Without Mcc	0	0	—	—	—	—	—	2024-04-02
308	MS_DRG	Cardiac Arrhythmia & Conduction Disorders W Mcc	0	0	—	—	—	—	—	2024-04-02
309	MS_DRG	Cardiac Arrhythmia & Conduction Disorders W Cc	0	0	—	—	—	—	—	2024-04-02
312	MS_DRG	Syncope & Collapse	0	0	—	—	—	—	—	2024-04-02
314	MS_DRG	Other Circulatory System Diagnoses W Mcc	0	0	—	—	—	—	—	2024-04-02
315	MS_DRG	Other Circulatory System Diagnoses W Cc	0	0	—	—	—	—	—	2024-04-02
316	MS_DRG	Other Circulatory System Diagnoses Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
329	MS_DRG	Major Small & Large Bowel Procedures W Mcc	0	0	—	—	—	—	—	2024-04-02
356	MS_DRG	Other Digestive System O.r. Procedures W Mcc	0	0	—	—	—	—	—	2024-04-02
357	MS_DRG	Other Digestive System O.r. Procedures W Cc	0	0	—	—	—	—	—	2024-04-02
368	MS_DRG	Major Esophageal Disorders W Mcc	0	0	—	—	—	—	—	2024-04-02
369	MS_DRG	Major Esophageal Disorders W Cc	0	0	—	—	—	—	—	2024-04-02
371	MS_DRG	Major Gastrointestinal Disorders & Peritoneal Infections W Mcc	0	0	—	—	—	—	—	2024-04-02
372	MS_DRG	Major Gastrointestinal Disorders & Peritoneal Infections W Cc	0	0	—	—	—	—	—	2024-04-02
373	MS_DRG	Major Gastrointestinal Disorders & Peritoneal Infections Without Cc/M	0	0	—	—	—	—	—	2024-04-02
374	MS_DRG	Digestive Malignancy W Mcc	0	0	—	—	—	—	—	2024-04-02
375	MS_DRG	Digestive Malignancy W Cc	0	0	—	—	—	—	—	2024-04-02
377	MS_DRG	G.i. Hemorrhage W Mcc	0	0	—	—	—	—	—	2024-04-02
378	MS_DRG	G.i. Hemorrhage W Cc	0	0	—	—	—	—	—	2024-04-02
380	MS_DRG	Complicated Peptic Ulcer W Mcc	0	0	—	—	—	—	—	2024-04-02
381	MS_DRG	Complicated Peptic Ulcer W Cc	0	0	—	—	—	—	—	2024-04-02
383	MS_DRG	Uncomplicated Peptic Ulcer W Mcc	0	0	—	—	—	—	—	2024-04-02
385	MS_DRG	Inflammatory Bowel Disease W Mcc	0	0	—	—	—	—	—	2024-04-02
386	MS_DRG	Inflammatory Bowel Disease W Cc	0	0	—	—	—	—	—	2024-04-02
388	MS_DRG	G.i. Obstruction W Mcc	0	0	—	—	—	—	—	2024-04-02
389	MS_DRG	G.i. Obstruction W Cc	0	0	—	—	—	—	—	2024-04-02
391	MS_DRG	Esophagitis, Gastroent & Misc Digest Disorders W Mcc	0	0	—	—	—	—	—	2024-04-02
392	MS_DRG	Esophagitis, Gastroent & Misc Digest Disorders Without Mcc	0	0	—	—	—	—	—	2024-04-02
393	MS_DRG	Other Digestive System Diagnoses W Mcc	0	0	—	—	—	—	—	2024-04-02
394	MS_DRG	Other Digestive System Diagnoses W Cc	0	0	—	—	—	—	—	2024-04-02
395	MS_DRG	Other Digestive System Diagnoses Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
4	MS_DRG	Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r.	0	0	—	—	—	—	—	2024-04-02
40	MS_DRG	Periph/Cranial Nerve & Other Nerv Syst Proc W Mcc	0	0	—	—	—	—	—	2024-04-02
41	MS_DRG	Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neuros	0	0	—	—	—	—	—	2024-04-02
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures W Mcc	0	0	—	—	—	—	—	2024-04-02
432	MS_DRG	Cirrhosis & Alcoholic Hepatitis W Mcc	0	0	—	—	—	—	—	2024-04-02
433	MS_DRG	Cirrhosis & Alcoholic Hepatitis W Cc	0	0	—	—	—	—	—	2024-04-02
435	MS_DRG	Malignancy Of Hepatobiliary System Or Pancreas W Mcc	0	0	—	—	—	—	—	2024-04-02
438	MS_DRG	Disorders Of Pancreas Except Malignancy W Mcc	0	0	—	—	—	—	—	2024-04-02
439	MS_DRG	Disorders Of Pancreas Except Malignancy W Cc	0	0	—	—	—	—	—	2024-04-02
441	MS_DRG	Disorders Of Liver Except Malig,cirr,alc Hepa W Mcc	0	0	—	—	—	—	—	2024-04-02
442	MS_DRG	Disorders Of Liver Except Malig,cirr,alc Hepa W Cc	0	0	—	—	—	—	—	2024-04-02
443	MS_DRG	Disorders Of Liver Except Malig,cirr,alc Hepa Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
444	MS_DRG	Disorders Of The Biliary Tract W Mcc	0	0	—	—	—	—	—	2024-04-02
445	MS_DRG	Disorders Of The Biliary Tract W Cc	0	0	—	—	—	—	—	2024-04-02
463	MS_DRG	Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Mcc	0	0	—	—	—	—	—	2024-04-02
464	MS_DRG	Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Cc	0	0	—	—	—	—	—	2024-04-02
465	MS_DRG	Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis Without Cc/	0	0	—	—	—	—	—	2024-04-02
466	MS_DRG	Revision Of Hip Or Knee Replacement W Mcc	0	0	—	—	—	—	—	2024-04-02
467	MS_DRG	Revision Of Hip Or Knee Replacement W Cc	0	0	—	—	—	—	—	2024-04-02
474	MS_DRG	Amputation For Musculoskeletal Sys & Conn Tissue Dis W Mcc	0	0	—	—	—	—	—	2024-04-02
477	MS_DRG	Biopsies Of Musculoskeletal System & Connective Tissue W Mcc	0	0	—	—	—	—	—	2024-04-02
481	MS_DRG	Hip & Femur Procedures Except Major Joint W Cc	0	0	—	—	—	—	—	2024-04-02
492	MS_DRG	Lower Extrem & Humer Proc Except Hip,foot,femur W Mcc	0	0	—	—	—	—	—	2024-04-02
495	MS_DRG	Local Excision & Removal Int Fix Devices Exc Hip & Femur W Mcc	0	0	—	—	—	—	—	2024-04-02
498	MS_DRG	Local Excision & Removal Int Fix Devices Of Hip & Femur W Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
499	MS_DRG	Local Excision & Removal Int Fix Devices Of Hip & Femur Without Cc/Mc	0	0	—	—	—	—	—	2024-04-02
500	MS_DRG	Soft Tissue Procedures W Mcc	0	0	—	—	—	—	—	2024-04-02
501	MS_DRG	Soft Tissue Procedures W Cc	0	0	—	—	—	—	—	2024-04-02
502	MS_DRG	Soft Tissue Procedures Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
503	MS_DRG	Foot Procedures W Mcc	0	0	—	—	—	—	—	2024-04-02
513	MS_DRG	Hand Or Wrist Proc, Except Major Thumb Or Joint Proc W Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
515	MS_DRG	Other Musculoskelet Sys & Conn Tiss O.r. Proc W Mcc	0	0	—	—	—	—	—	2024-04-02
52	MS_DRG	Spinal Disorders & Injuries W Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
533	MS_DRG	Fractures Of Femur W Mcc	0	0	—	—	—	—	—	2024-04-02
535	MS_DRG	Fractures Of Hip & Pelvis W Mcc	0	0	—	—	—	—	—	2024-04-02
539	MS_DRG	Osteomyelitis W Mcc	0	0	—	—	—	—	—	2024-04-02
54	MS_DRG	Nervous System Neoplasms W Mcc	0	0	—	—	—	—	—	2024-04-02
540	MS_DRG	Osteomyelitis W Cc	0	0	—	—	—	—	—	2024-04-02
541	MS_DRG	Osteomyelitis Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
542	MS_DRG	Pathological Fractures & Musculoskelet & Conn Tiss Malig W Mcc	0	0	—	—	—	—	—	2024-04-02
545	MS_DRG	Connective Tissue Disorders W Mcc	0	0	—	—	—	—	—	2024-04-02
548	MS_DRG	Septic Arthritis W Mcc	0	0	—	—	—	—	—	2024-04-02
549	MS_DRG	Septic Arthritis W Cc	0	0	—	—	—	—	—	2024-04-02
55	MS_DRG	Nervous System Neoplasms Without Mcc	0	0	—	—	—	—	—	2024-04-02
551	MS_DRG	Medical Back Problems W Mcc	0	0	—	—	—	—	—	2024-04-02
552	MS_DRG	Medical Back Problems Without Mcc	0	0	—	—	—	—	—	2024-04-02
553	MS_DRG	Bone Diseases & Arthropathies W Mcc	0	0	—	—	—	—	—	2024-04-02
554	MS_DRG	Bone Diseases & Arthropathies Without Mcc	0	0	—	—	—	—	—	2024-04-02
555	MS_DRG	Signs & Symptoms Of Musculoskeletal System & Conn Tissue W Mcc	0	0	—	—	—	—	—	2024-04-02
557	MS_DRG	Tendonitis, Myositis & Bursitis W Mcc	0	0	—	—	—	—	—	2024-04-02
558	MS_DRG	Tendonitis, Myositis & Bursitis Without Mcc	0	0	—	—	—	—	—	2024-04-02
559	MS_DRG	Aftercare, Musculoskeletal System & Connective Tissue W Mcc	0	0	—	—	—	—	—	2024-04-02
56	MS_DRG	Degenerative Nervous System Disorders W Mcc	0	0	—	—	—	—	—	2024-04-02
560	MS_DRG	Aftercare, Musculoskeletal System & Connective Tissue W Cc	0	0	—	—	—	—	—	2024-04-02
561	MS_DRG	Aftercare, Musculoskeletal System & Connective Tissue Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
562	MS_DRG	Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W Mcc	0	0	—	—	—	—	—	2024-04-02
563	MS_DRG	Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh Without Mcc	0	0	—	—	—	—	—	2024-04-02
564	MS_DRG	Other Musculoskeletal Sys & Connective Tissue Diagnoses W Mcc	0	0	—	—	—	—	—	2024-04-02
565	MS_DRG	Other Musculoskeletal Sys & Connective Tissue Diagnoses W Cc	0	0	—	—	—	—	—	2024-04-02
57	MS_DRG	Degenerative Nervous System Disorders Without Mcc	0	0	—	—	—	—	—	2024-04-02
570	MS_DRG	Skin Debridement W Mcc	0	0	—	—	—	—	—	2024-04-02
571	MS_DRG	Skin Debridement W Cc	0	0	—	—	—	—	—	2024-04-02
572	MS_DRG	Skin Debridement Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
573	MS_DRG	Skin Graft &/or Debrid For Skn Ulcer Or Cellulitis W Mcc	0	0	—	—	—	—	—	2024-04-02
574	MS_DRG	Skin Graft &/or Debrid For Skn Ulcer Or Cellulitis W Cc	0	0	—	—	—	—	—	2024-04-02
576	MS_DRG	Skin Graft &/or Debrid Exc For Skin Ulcer Or Cellulitis W Mcc	0	0	—	—	—	—	—	2024-04-02
577	MS_DRG	Skin Graft &/or Debrid Exc For Skin Ulcer Or Cellulitis W Cc	0	0	—	—	—	—	—	2024-04-02
579	MS_DRG	Other Skin, Subcut Tiss & Breast Proc W Mcc	0	0	—	—	—	—	—	2024-04-02
580	MS_DRG	Other Skin, Subcut Tiss & Breast Proc W Cc	0	0	—	—	—	—	—	2024-04-02
59	MS_DRG	Multiple Sclerosis & Cerebellar Ataxia W Cc	0	0	—	—	—	—	—	2024-04-02
592	MS_DRG	Skin Ulcers W Mcc	0	0	—	—	—	—	—	2024-04-02
593	MS_DRG	Skin Ulcers W Cc	0	0	—	—	—	—	—	2024-04-02
594	MS_DRG	Skin Ulcers Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
595	MS_DRG	Major Skin Disorders W Mcc	0	0	—	—	—	—	—	2024-04-02
60	MS_DRG	Multiple Sclerosis & Cerebellar Ataxia Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
602	MS_DRG	Cellulitis W Mcc	0	0	—	—	—	—	—	2024-04-02
603	MS_DRG	Cellulitis Without Mcc	0	0	—	—	—	—	—	2024-04-02
604	MS_DRG	Trauma To The Skin, Subcut Tiss & Breast W Mcc	0	0	—	—	—	—	—	2024-04-02
605	MS_DRG	Trauma To The Skin, Subcut Tiss & Breast Without Mcc	0	0	—	—	—	—	—	2024-04-02
606	MS_DRG	Minor Skin Disorders W Mcc	0	0	—	—	—	—	—	2024-04-02
607	MS_DRG	Minor Skin Disorders Without Mcc	0	0	—	—	—	—	—	2024-04-02
616	MS_DRG	Amputat Of Lower Limb For Endocrine,nutrit,& Metabol Dis W Mcc	0	0	—	—	—	—	—	2024-04-02
617	MS_DRG	Amputat Of Lower Limb For Endocrine,nutrit,& Metabol Dis W Cc	0	0	—	—	—	—	—	2024-04-02
622	MS_DRG	Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Mcc	0	0	—	—	—	—	—	2024-04-02
623	MS_DRG	Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Cc	0	0	—	—	—	—	—	2024-04-02
624	MS_DRG	Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis Without Cc/M	0	0	—	—	—	—	—	2024-04-02
628	MS_DRG	Other Endocrine, Nutrit & Metab O.r. Proc W Mcc	0	0	—	—	—	—	—	2024-04-02
629	MS_DRG	Other Endocrine, Nutrit & Metab O.r. Proc W Cc	0	0	—	—	—	—	—	2024-04-02
637	MS_DRG	Diabetes W Mcc	0	0	—	—	—	—	—	2024-04-02
638	MS_DRG	Diabetes W Cc	0	0	—	—	—	—	—	2024-04-02
639	MS_DRG	Diabetes Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
64	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction W Mcc	0	0	—	—	—	—	—	2024-04-02
640	MS_DRG	Nutritional & Misc Metabolic Disorders W Mcc	0	0	—	—	—	—	—	2024-04-02
641	MS_DRG	Nutritional & Misc Metabolic Disorders Without Mcc	0	0	—	—	—	—	—	2024-04-02
643	MS_DRG	Endocrine Disorders W Mcc	0	0	—	—	—	—	—	2024-04-02
644	MS_DRG	Endocrine Disorders W Cc	0	0	—	—	—	—	—	2024-04-02
645	MS_DRG	Endocrine Disorders Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
65	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction W Cc	0	0	—	—	—	—	—	2024-04-02
673	MS_DRG	Other Kidney & Urinary Tract Procedures W Mcc	0	0	—	—	—	—	—	2024-04-02
674	MS_DRG	Other Kidney & Urinary Tract Procedures W Cc	0	0	—	—	—	—	—	2024-04-02
675	MS_DRG	Other Kidney & Urinary Tract Procedures Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
682	MS_DRG	Renal Failure W Mcc	0	0	—	—	—	—	—	2024-04-02
683	MS_DRG	Renal Failure W Cc	0	0	—	—	—	—	—	2024-04-02
684	MS_DRG	Renal Failure Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
689	MS_DRG	Kidney & Urinary Tract Infections W Mcc	0	0	—	—	—	—	—	2024-04-02
690	MS_DRG	Kidney & Urinary Tract Infections Without Mcc	0	0	—	—	—	—	—	2024-04-02
693	MS_DRG	Urinary Stones Without Esw Lithotripsy W Mcc	0	0	—	—	—	—	—	2024-04-02
694	MS_DRG	Urinary Stones Without Esw Lithotripsy Without Mcc	0	0	—	—	—	—	—	2024-04-02
695	MS_DRG	Kidney & Urinary Tract Signs & Symptoms W Mcc	0	0	—	—	—	—	—	2024-04-02
697	MS_DRG	Urethral Stricture	0	0	—	—	—	—	—	2024-04-02
698	MS_DRG	Other Kidney & Urinary Tract Diagnoses W Mcc	0	0	—	—	—	—	—	2024-04-02
699	MS_DRG	Other Kidney & Urinary Tract Diagnoses W Cc	0	0	—	—	—	—	—	2024-04-02
70	MS_DRG	Nonspecific Cerebrovascular Disorders W Mcc	0	0	—	—	—	—	—	2024-04-02
71	MS_DRG	Nonspecific Cerebrovascular Disorders W Cc	0	0	—	—	—	—	—	2024-04-02
717	MS_DRG	Other Male Reproductive System O.r. Proc Exc Malignancy W Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
727	MS_DRG	Inflammation Of The Male Reproductive System W Mcc	0	0	—	—	—	—	—	2024-04-02
728	MS_DRG	Inflammation Of The Male Reproductive System Without Mcc	0	0	—	—	—	—	—	2024-04-02
729	MS_DRG	Other Male Reproductive System Diagnoses W Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
73	MS_DRG	Cranial & Peripheral Nerve Disorders W Mcc	0	0	—	—	—	—	—	2024-04-02
74	MS_DRG	Cranial & Peripheral Nerve Disorders Without Mcc	0	0	—	—	—	—	—	2024-04-02
754	MS_DRG	Malignancy, Female Reproductive System W Mcc	0	0	—	—	—	—	—	2024-04-02
757	MS_DRG	Infections, Female Reproductive System W Mcc	0	0	—	—	—	—	—	2024-04-02
758	MS_DRG	Infections, Female Reproductive System W Cc	0	0	—	—	—	—	—	2024-04-02
759	MS_DRG	Infections, Female Reproductive System Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
760	MS_DRG	Menstrual & Other Female Reproductive System Disorders W Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
776	MS_DRG	Postpartum & Post Abortion Diagnoses Without O.r. Procedure	0	0	—	—	—	—	—	2024-04-02
80	MS_DRG	Nontraumatic Stupor & Coma W Mcc	0	0	—	—	—	—	—	2024-04-02
808	MS_DRG	Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc	0	0	—	—	—	—	—	2024-04-02
809	MS_DRG	Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc	0	0	—	—	—	—	—	2024-04-02
811	MS_DRG	Red Blood Cell Disorders W Mcc	0	0	—	—	—	—	—	2024-04-02
814	MS_DRG	Reticuloendothelial & Immunity Disorders W Mcc	0	0	—	—	—	—	—	2024-04-02
815	MS_DRG	Reticuloendothelial & Immunity Disorders W Cc	0	0	—	—	—	—	—	2024-04-02
82	MS_DRG	Traumatic Stupor & Coma, Coma >1 Hr W Mcc	0	0	—	—	—	—	—	2024-04-02
83	MS_DRG	Traumatic Stupor & Coma, Coma >1 Hr W Cc	0	0	—	—	—	—	—	2024-04-02
84	MS_DRG	Traumatic Stupor & Coma, Coma >1 Hr Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
840	MS_DRG	Lymphoma & Non-acute Leukemia W Mcc	0	0	—	—	—	—	—	2024-04-02
841	MS_DRG	Lymphoma & Non-acute Leukemia W Cc	0	0	—	—	—	—	—	2024-04-02
843	MS_DRG	Other Myeloprolif Dis Or Poorly Diff Neopl Diag W Mcc	0	0	—	—	—	—	—	2024-04-02
845	MS_DRG	Other Myeloprolif Dis Or Poorly Diff Neopl Diag Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
85	MS_DRG	Traumatic Stupor & Coma, Coma <1 Hr W Mcc	0	0	—	—	—	—	—	2024-04-02
853	MS_DRG	Infectious & Parasitic Diseases W O.r. Procedure W Mcc	0	0	—	—	—	—	—	2024-04-02
856	MS_DRG	Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc	0	0	—	—	—	—	—	2024-04-02
862	MS_DRG	Postoperative & Post-traumatic Infections W Mcc	0	0	—	—	—	—	—	2024-04-02
863	MS_DRG	Postoperative & Post-traumatic Infections Without Mcc	0	0	—	—	—	—	—	2024-04-02
866	MS_DRG	Viral Illness Without Mcc	0	0	—	—	—	—	—	2024-04-02
867	MS_DRG	Other Infectious & Parasitic Diseases Diagnoses W Mcc	0	0	—	—	—	—	—	2024-04-02
868	MS_DRG	Other Infectious & Parasitic Diseases Diagnoses W Cc	0	0	—	—	—	—	—	2024-04-02
869	MS_DRG	Other Infectious & Parasitic Diseases Diagnoses Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
870	MS_DRG	Septicemia W Mv 96+ Hours	0	0	—	—	—	—	—	2024-04-02
871	MS_DRG	Septicemia Without Mv 96+ Hours W Mcc	0	0	—	—	—	—	—	2024-04-02
872	MS_DRG	Septicemia Without Mv 96+ Hours Without Mcc	0	0	—	—	—	—	—	2024-04-02
880	MS_DRG	Acute Adjustment Reaction & Psychosocial Dysfunction	0	0	—	—	—	—	—	2024-04-02
887	MS_DRG	Other Mental Disorder Diagnoses	0	0	—	—	—	—	—	2024-04-02
896	MS_DRG	Alcohol/Drug Abuse Or Dependence Without Rehabilitation Therapy W Mcc	0	0	—	—	—	—	—	2024-04-02
897	MS_DRG	Alcohol/Drug Abuse Or Dependence Without Rehabilitation Therapy Without M	0	0	—	—	—	—	—	2024-04-02
901	MS_DRG	Wound Debridements For Injuries W Mcc	0	0	—	—	—	—	—	2024-04-02
902	MS_DRG	Wound Debridements For Injuries W Cc	0	0	—	—	—	—	—	2024-04-02
906	MS_DRG	Hand Procedures For Injuries	0	0	—	—	—	—	—	2024-04-02
907	MS_DRG	Other O.r. Procedures For Injuries W Mcc	0	0	—	—	—	—	—	2024-04-02
91	MS_DRG	Other Disorders Of Nervous System W Mcc	0	0	—	—	—	—	—	2024-04-02
913	MS_DRG	Traumatic Injury W Mcc	0	0	—	—	—	—	—	2024-04-02
914	MS_DRG	Traumatic Injury Without Mcc	0	0	—	—	—	—	—	2024-04-02
917	MS_DRG	Poisoning & Toxic Effects Of Drugs W Mcc	0	0	—	—	—	—	—	2024-04-02
919	MS_DRG	Complications Of Treatment W Mcc	0	0	—	—	—	—	—	2024-04-02
92	MS_DRG	Other Disorders Of Nervous System W Cc	0	0	—	—	—	—	—	2024-04-02
920	MS_DRG	Complications Of Treatment W Cc	0	0	—	—	—	—	—	2024-04-02
921	MS_DRG	Complications Of Treatment Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
922	MS_DRG	Other Injury, Poisoning & Toxic Effect Diag W Mcc	0	0	—	—	—	—	—	2024-04-02
923	MS_DRG	Other Injury, Poisoning & Toxic Effect Diag Without Mcc	0	0	—	—	—	—	—	2024-04-02
928	MS_DRG	Full Thickness Burn W Skin Graft Or Inhal Inj W Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
93	MS_DRG	Other Disorders Of Nervous System Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
933	MS_DRG	Extensive Burns Or Full Thickness Burns W Mv 96+ Hrs Without Skin Gra	0	0	—	—	—	—	—	2024-04-02
934	MS_DRG	Full Thickness Burn Without Skin Grft Or Inhal Inj	0	0	—	—	—	—	—	2024-04-02
935	MS_DRG	Non-extensive Burns	0	0	—	—	—	—	—	2024-04-02
939	MS_DRG	O.r. Proc W Diagnoses Of Other Contact W Health Services W Mcc	0	0	—	—	—	—	—	2024-04-02
94	MS_DRG	Bacterial & Tuberculous Infections Of Nervous System W Mcc	0	0	—	—	—	—	—	2024-04-02
940	MS_DRG	O.r. Proc W Diagnoses Of Other Contact W Health Services W Cc	0	0	—	—	—	—	—	2024-04-02
947	MS_DRG	Signs & Symptoms W Mcc	0	0	—	—	—	—	—	2024-04-02
948	MS_DRG	Signs & Symptoms Without Mcc	0	0	—	—	—	—	—	2024-04-02
949	MS_DRG	Aftercare W Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
95	MS_DRG	Bacterial & Tuberculous Infections Of Nervous System W Cc	0	0	—	—	—	—	—	2024-04-02
950	MS_DRG	Aftercare Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
951	MS_DRG	Other Factors Influencing Health Status	0	0	—	—	—	—	—	2024-04-02
96	MS_DRG	Bacterial & Tuberculous Infections Of Nervous System Without Cc/Mcc	0	0	—	—	—	—	—	2024-04-02
963	MS_DRG	Other Multiple Significant Trauma W Mcc	0	0	—	—	—	—	—	2024-04-02
964	MS_DRG	Other Multiple Significant Trauma W Cc	0	0	—	—	—	—	—	2024-04-02
97	MS_DRG	Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis W Mcc	0	0	—	—	—	—	—	2024-04-02
974	MS_DRG	HIV W Major Related Condition W Mcc	0	0	—	—	—	—	—	2024-04-02
975	MS_DRG	HIV W Major Related Condition W Cc	0	0	—	—	—	—	—	2024-04-02
98	MS_DRG	Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis W Cc	0	0	—	—	—	—	—	2024-04-02
981	MS_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc	0	0	—	—	—	—	—	2024-04-02
982	MS_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc	0	0	—	—	—	—	—	2024-04-02
983	MS_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis Without Cc/	0	0	—	—	—	—	—	2024-04-02
987	MS_DRG	Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc	0	0	—	—	—	—	—	2024-04-02
,270,RC,IMB-0496,LOCAL,,inpatient,,,39.72,39.72,,,,,,,,,, WALKER	OTHER	Immobilizer,knee,cut-away,19"	0	0	—	—	—	—	—	2024-04-02
,270,RC,IMB-0565,LOCAL,,inpatient,,,47.96,47.96,,,,,,,,,, POUCH	OTHER	Pouch,eakin,fistula,6.9 X4.3"	0	0	—	—	—	—	—	2024-04-02
27-48"	OTHER	Binder, Abdominal, 12"h	0	0	—	$28.68	—	—	—	2024-04-02
27-48"""	OTHER	Binder, Abdominal, 9"h	0	0	—	$27.96	—	—	—	2024-04-02
4-PANEL	OTHER	Binder,abdominal,12"	0	0	—	—	—	—	—	2024-04-02
4-PANL	OTHER	Binder,abdominal12"	0	0	—	—	—	—	—	2024-04-02
4-PANL"	OTHER	Binder, Abdominal, 12"	0	0	—	$32.80	—	—	—	2024-04-02
AD"	OTHER	Collar,trach,adjustable,19"	0	0	—	$22.92	—	—	—	2024-04-02
HYDROFERA"	OTHER	Dressing,foam,4"x4""	0	0	—	$34.60	—	—	—	2024-04-02
L"	OTHER	Splint,wrist,forearm,dlx,10"	0	0	—	$27.52	—	—	—	2024-04-02
LF	OTHER	Set,iv,extension,18"	0	0	—	—	—	—	—	2024-04-02
MODIFIED	OTHER	Needle,2.75"	0	0	—	—	—	—	—	2024-04-02
PEEL O"	OTHER	Aegis 1" Disk 4mm Hole	0	0	—	$20.52	—	—	—	2024-04-02

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