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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

Post Acute Medical Specialty Hospital Of Texarkana

Texarkana, TX · CCN 452061 · Rates published

14,956 distinct procedures filed
30 distinct payers
65,106 rate rows
2025-09-11 last MRF observed · ⚠ 14 mo old
Data quality

64,689 of 65,106 rate rows are consumer-grade (99.4%)

417 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 242
per-diem day rate — not a per-procedure price 139
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 36

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old.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://sthpiprd.blob.core.windows.net/machine-readable-files/10991/471646382_pam-squared-at-texarkana-llc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/PAMSpecialtyHospitalTexarkana/10991
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-02
Content fingerprint 546e4dbd6d534750… · 60,882,295 bytes · first seen 2026-11-02

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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 15 $172,146.80 $258,220.20 $172,146.80 nat. median
$190,359
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 16 $141,589.37 $212,384.06 $141,589.37 nat. median
$126,461
1.1× median
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 16 $116,852.63 $175,278.95 $116,852.63 nat. median
$18,640
outlier · 6.3×
164
MS_DRG 		Major Chest Procedures With Cc 16 $116,852.63 $175,278.95 $116,852.63 nat. median
$24,221
outlier · 4.8×
163
MS_DRG 		Major Chest Procedures With Mcc 16 $116,852.63 $175,278.95 $116,852.63 nat. median
$42,636
outlier · 2.7×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 16 $115,359.26 $173,038.89 $115,359.26 nat. median
$38,337
outlier · 3.0×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 16 $115,359.26 $173,038.89 $115,359.26 nat. median
$35,655
outlier · 3.2×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 $115,359.26 $173,038.89 $115,359.26 nat. median
$49,944
outlier · 2.3×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 $115,344.47 $173,016.71 $115,344.47 nat. median
$43,609
outlier · 2.6×
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 $105,127.44 $157,691.16 $105,127.44 nat. median
$31,832
outlier · 3.3×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 16 $102,125.91 $153,188.87 $102,125.91 nat. median
$62,577
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 16 $95,841.93 $143,762.90 $95,841.93 nat. median
$59,324
1.6× median
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 9 $77,739.11 $116,608.67 $79,293.89 nat. median
$17,834
outlier · 4.4×
E0766
HCPCS 		Elec Stim Cancer Treatment 1 $78,960.76 $78,960.76 $78,960.76 nat. median
$16,786
outlier · 4.7×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 $77,739.11 $116,608.67 $77,739.11 nat. median
$38,687
outlier · 2.0×
168
MS_DRG 		Other Respiratory System O.r. Procedures Without Cc/mcc 16 $77,739.11 $116,608.67 $77,739.11 nat. median
$13,713
outlier · 5.7×
173
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 16 $77,739.11 $116,608.67 $77,739.11 nat. median
$28,086
outlier · 2.8×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 $74,727.72 $112,091.58 $74,727.72 nat. median
$45,362
1.6× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 $72,401.41 $108,602.12 $72,401.41 nat. median
$35,821
outlier · 2.0×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $69,211.49 $69,211.49 $69,211.49 nat. median
$111,503
0.6× median
799
MS_DRG 		Splenic Procedures With Mcc 16 $68,793.66 $103,190.49 $68,793.66 nat. median
$43,234
1.6× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 16 $68,793.66 $103,190.49 $68,793.66 nat. median
$40,205
1.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 $68,532.45 $102,798.68 $68,532.45 nat. median
$58,052
1.2× median
582
MS_DRG 		Mastectomy For Malignancy With Cc/mcc 9 $66,856.72 $100,285.08 $68,193.85 nat. median
$18,195
outlier · 3.7×
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 $66,856.72 $100,285.08 $66,856.72 nat. median
$30,192
outlier · 2.2×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 $66,418.07 $99,627.11 $66,418.07 nat. median
$41,655
1.6× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 15 $64,633.91 $96,950.87 $64,633.91 nat. median
$17,319
outlier · 3.7×
619
MS_DRG 		O.r. Procedures For Obesity With Mcc 16 $64,446.62 $96,669.93 $64,446.62 nat. median
$26,741
outlier · 2.4×
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 $64,446.62 $96,669.93 $64,446.62 nat. median
$33,559
1.9× median
551
MS_DRG 		Medical Back Problems With Mcc 16 $64,362.84 $96,544.26 $64,362.84 nat. median
$16,085
outlier · 4.0×
61
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 16 $64,111.48 $96,167.22 $64,111.48 nat. median
$25,952
outlier · 2.5×
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 16 $64,111.48 $96,167.22 $64,111.48 nat. median
$19,223
outlier · 3.3×
35
MS_DRG 		Carotid Artery Stent Procedures With Cc 9 $62,213.96 $93,320.94 $63,458.24 nat. median
$22,719
outlier · 2.8×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $62,213.96 $93,320.94 $63,458.24 nat. median
$72,247
0.9× median
750
MS_DRG 		Other Female Reproductive System O.r. Procedures Without Cc/mcc 9 $62,213.96 $93,320.94 $63,458.24 nat. median
$14,176
outlier · 4.5×
901
MS_DRG 		Wound Debridements For Injuries With Mcc 16 $63,239.11 $94,858.67 $63,239.11 nat. median
$39,584
1.6× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 13 $62,623.03 $93,934.55 $62,623.03 nat. median
$31,156
outlier · 2.0×
245
MS_DRG 		Aicd Generator Procedures 16 $62,623.03 $93,934.55 $62,623.03 nat. median
$42,812
1.5× median
263
MS_DRG 		Vein Ligation And Stripping 16 $62,623.03 $93,934.55 $62,623.03 nat. median
$26,998
outlier · 2.3×
828
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 11 $61,972.46 $92,958.69 $62,592.18 nat. median
$16,541
outlier · 3.8×
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 11 $61,972.46 $92,958.69 $62,592.18 nat. median
$19,324
outlier · 3.2×
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 16 $62,475.17 $93,712.76 $62,475.17 nat. median
$23,167
outlier · 2.7×
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 $62,213.96 $93,320.94 $62,213.96 nat. median
$29,441
outlier · 2.1×
783
MS_DRG 		Cesarean Section With Sterilization With Mcc 16 $62,213.96 $93,320.94 $62,213.96 nat. median
$18,753
outlier · 3.3×
27
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 16 $62,213.96 $93,320.94 $62,213.96 nat. median
$24,339
outlier · 2.6×
39
MS_DRG 		Extracranial Procedures Without Cc/mcc 16 $62,213.96 $93,320.94 $62,213.96 nat. median
$12,018
outlier · 5.2×
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 16 $62,213.96 $93,320.94 $62,213.96 nat. median
$26,726
outlier · 2.3×
829
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 $62,213.96 $93,320.94 $62,213.96 nat. median
$29,193
outlier · 2.1×
747
MS_DRG 		Vagina, Cervix And Vulva Procedures Without Cc/mcc 16 $62,213.96 $93,320.94 $62,213.96 nat. median
$9,455
outlier · 6.6×
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 $62,213.96 $93,320.94 $62,213.96 nat. median
$42,755
1.5× median

Other procedures at this hospital

Browse this hospital's 14,956 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 16 — — $115,359.26 $173,038.89 $115,359.26 2025-09-11
113 MS_DRG Orbital Procedures With Cc/mcc 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
114 MS_DRG Orbital Procedures Without Cc/mcc 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
115 MS_DRG Extraocular Procedures Except Orbit 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
116 MS_DRG Intraocular Procedures With Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
117 MS_DRG Intraocular Procedures Without Cc/mcc 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 17 16 — — $77,739.11 $116,608.67 $77,739.11 2025-09-11
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
137 MS_DRG Mouth Procedures With Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
138 MS_DRG Mouth Procedures Without Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
139 MS_DRG Salivary Gland Procedures 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
140 MS_DRG Major Head And Neck Procedures With Mcc 17 16 — — $115,359.26 $173,038.89 $115,359.26 2025-09-11
141 MS_DRG Major Head And Neck Procedures With Cc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
152 MS_DRG Otitis Media And Uri With Mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
157 MS_DRG Dental And Oral Diseases With Mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
163 MS_DRG Major Chest Procedures With Mcc 17 16 — — $116,852.63 $175,278.95 $116,852.63 2025-09-11
164 MS_DRG Major Chest Procedures With Cc 17 16 — — $116,852.63 $175,278.95 $116,852.63 2025-09-11
165 MS_DRG Major Chest Procedures Without Cc/mcc 17 16 — — $116,852.63 $175,278.95 $116,852.63 2025-09-11
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 17 16 — — $115,359.26 $173,038.89 $115,359.26 2025-09-11
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 9 9 — — $77,739.11 $116,608.67 $79,293.89 2025-09-11
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 17 16 — — $77,739.11 $116,608.67 $77,739.11 2025-09-11
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 17 16 — — $77,739.11 $116,608.67 $77,739.11 2025-09-11
189 MS_DRG Pulmonary Edema And Respiratory Failure 16 15 — — $48,236.39 $72,354.59 $48,236.39 2025-09-11
197 MS_DRG Interstitial Lung Disease With Cc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
202 MS_DRG Bronchitis And Asthma With Cc/mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
205 MS_DRG Other Respiratory System Diagnoses With Mcc 16 15 — — $64,633.91 $96,950.87 $64,633.91 2025-09-11
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 17 16 — — $95,841.93 $143,762.90 $95,841.93 2025-09-11
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 17 16 — — $58,197.13 $87,295.70 $58,197.13 2025-09-11
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
215 MS_DRG Other Heart Assist System Implant 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 9 — — $62,213.96 $93,320.94 $63,458.24 2025-09-11
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
245 MS_DRG Aicd Generator Procedures 17 16 — — $62,623.03 $93,934.55 $62,623.03 2025-09-11
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
252 MS_DRG Other Vascular Procedures With Mcc 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
253 MS_DRG Other Vascular Procedures With Cc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
254 MS_DRG Other Vascular Procedures Without Cc/mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
263 MS_DRG Vein Ligation And Stripping 17 16 — — $62,623.03 $93,934.55 $62,623.03 2025-09-11
264 MS_DRG Other Circulatory System O.r. Procedures 14 13 — — $62,623.03 $93,934.55 $62,623.03 2025-09-11
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
271 MS_DRG Other Major Cardiovascular Procedures With Cc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
28 MS_DRG Spinal Procedures With Mcc 17 16 — — $59,094.14 $88,641.21 $59,094.14 2025-09-11
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
288 MS_DRG Acute And Subacute Endocarditis With Mcc 16 15 — — $50,222.63 $75,333.95 $50,222.63 2025-09-11
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 15 — — $59,094.14 $88,641.21 $59,094.14 2025-09-11
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 16 15 — — $172,146.80 $258,220.20 $172,146.80 2025-09-11
304 MS_DRG Hypertension With Mcc 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 9 9 — — $46,550.81 $69,826.22 $47,481.83 2025-09-11
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
312 MS_DRG Syncope And Collapse 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
32 MS_DRG Ventricular Shunt Procedures With Cc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 14 13 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
34 MS_DRG Carotid Artery Stent Procedures With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
35 MS_DRG Carotid Artery Stent Procedures With Cc 9 9 — — $62,213.96 $93,320.94 $63,458.24 2025-09-11
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 17 16 — — $68,793.66 $103,190.49 $68,793.66 2025-09-11
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
37 MS_DRG Extracranial Procedures With Mcc 11 11 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
374 MS_DRG Digestive Malignancy With Mcc 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
38 MS_DRG Extracranial Procedures With Cc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
380 MS_DRG Complicated Peptic Ulcer With Mcc 17 16 — — $47,201.38 $70,802.07 $47,201.38 2025-09-11
385 MS_DRG Inflammatory Bowel Disease With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
386 MS_DRG Inflammatory Bowel Disease With Cc 9 9 — — $46,550.81 $69,826.22 $47,481.83 2025-09-11
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
388 MS_DRG Gastrointestinal Obstruction With Mcc 16 15 — — $48,699.68 $73,049.52 $48,699.68 2025-09-11
39 MS_DRG Extracranial Procedures Without Cc/mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
393 MS_DRG Other Digestive System Diagnoses With Mcc 17 16 — — $50,074.77 $75,112.16 $50,074.77 2025-09-11
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 17 16 — — $141,589.37 $212,384.06 $141,589.37 2025-09-11
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 17 16 — — $72,401.41 $108,602.12 $72,401.41 2025-09-11
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 9 9 — — $47,201.38 $70,802.07 $48,145.41 2025-09-11
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 17 16 — — $47,201.38 $70,802.07 $47,201.38 2025-09-11
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 17 16 — — $47,201.38 $70,802.07 $47,201.38 2025-09-11
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 15 — — $52,396.15 $78,594.23 $52,396.15 2025-09-11
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 16 — — $52,396.15 $78,594.23 $52,396.15 2025-09-11
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 16 — — $52,396.15 $78,594.23 $52,396.15 2025-09-11
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 17 16 — — $51,637.14 $77,455.71 $51,637.14 2025-09-11
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 16 — — $52,396.15 $78,594.23 $52,396.15 2025-09-11
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 17 16 — — $52,396.15 $78,594.23 $52,396.15 2025-09-11
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 16 — — $62,154.81 $93,232.22 $62,154.81 2025-09-11
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 16 — — $47,004.24 $70,506.36 $47,004.24 2025-09-11
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
500 MS_DRG Soft Tissue Procedures With Mcc 17 16 — — $60,705.80 $91,058.70 $60,705.80 2025-09-11
501 MS_DRG Soft Tissue Procedures With Cc 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 14 13 — — $59,094.14 $88,641.21 $59,094.14 2025-09-11
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 17 16 — — $52,396.15 $78,594.23 $52,396.15 2025-09-11
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 17 16 — — $52,396.15 $78,594.23 $52,396.15 2025-09-11
539 MS_DRG Osteomyelitis With Mcc 14 13 — — $47,773.10 $71,659.65 $47,773.10 2025-09-11
54 MS_DRG Nervous System Neoplasms With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
545 MS_DRG Connective Tissue Disorders With Mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
551 MS_DRG Medical Back Problems With Mcc 17 16 — — $64,362.84 $96,544.26 $64,362.84 2025-09-11
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
570 MS_DRG Skin Debridement With Mcc 17 16 — — $58,024.63 $87,036.95 $58,024.63 2025-09-11
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 15 — — $68,532.45 $102,798.68 $68,532.45 2025-09-11
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 9 9 — — $46,550.81 $69,826.22 $47,481.83 2025-09-11
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 15 — — $66,856.72 $100,285.08 $66,856.72 2025-09-11
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 17 16 — — $54,944.24 $82,416.36 $54,944.24 2025-09-11
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 17 16 — — $54,944.24 $82,416.36 $54,944.24 2025-09-11
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 9 9 — — $66,856.72 $100,285.08 $68,193.85 2025-09-11
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 17 16 — — $54,944.24 $82,416.36 $54,944.24 2025-09-11
606 MS_DRG Minor Skin Disorders With Mcc 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 17 16 — — $64,111.48 $96,167.22 $64,111.48 2025-09-11
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
619 MS_DRG O.r. Procedures For Obesity With Mcc 17 16 — — $64,446.62 $96,669.93 $64,446.62 2025-09-11
620 MS_DRG O.r. Procedures For Obesity With Cc 17 16 — — $46,757.81 $70,136.72 $46,757.81 2025-09-11
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 17 16 — — $64,446.62 $96,669.93 $64,446.62 2025-09-11
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 17 16 — — $46,757.81 $70,136.72 $46,757.81 2025-09-11
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 17 16 — — $64,111.48 $96,167.22 $64,111.48 2025-09-11
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 17 16 — — $48,221.61 $72,332.42 $48,221.61 2025-09-11
643 MS_DRG Endocrine Disorders With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
653 MS_DRG Major Bladder Procedures With Mcc 17 16 — — $59,000.50 $88,500.75 $59,000.50 2025-09-11
654 MS_DRG Major Bladder Procedures With Cc 17 16 — — $51,578.00 $77,367.00 $51,578.00 2025-09-11
655 MS_DRG Major Bladder Procedures Without Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 12 11 — — $46,550.81 $69,826.22 $47,016.32 2025-09-11
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 7 7 — — $46,550.81 $69,826.22 $47,481.83 2025-09-11
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
662 MS_DRG Minor Bladder Procedures With Mcc 11 11 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
663 MS_DRG Minor Bladder Procedures With Cc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
665 MS_DRG Prostatectomy With Mcc 17 16 — — $59,000.50 $88,500.75 $59,000.50 2025-09-11
666 MS_DRG Prostatectomy With Cc 17 16 — — $51,578.00 $77,367.00 $51,578.00 2025-09-11
667 MS_DRG Prostatectomy Without Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
668 MS_DRG Transurethral Procedures With Mcc 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
669 MS_DRG Transurethral Procedures With Cc 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
670 MS_DRG Transurethral Procedures Without Cc/mcc 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
671 MS_DRG Urethral Procedures With Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
672 MS_DRG Urethral Procedures Without Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 17 16 — — $59,000.50 $88,500.75 $59,000.50 2025-09-11
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 9 9 — — $51,578.00 $77,367.00 $52,609.56 2025-09-11
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 16 15 — — $51,578.00 $77,367.00 $51,578.00 2025-09-11
693 MS_DRG Urinary Stones With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
709 MS_DRG Penis Procedures With Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
711 MS_DRG Testes Procedures With Cc/mcc 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 11 11 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
744 MS_DRG D&C, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
745 MS_DRG D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
748 MS_DRG Female Reproductive System Reconstructive Procedures 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 9 9 — — $62,213.96 $93,320.94 $63,458.24 2025-09-11
754 MS_DRG Malignancy, Female Reproductive System With Mcc 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
755 MS_DRG Malignancy, Female Reproductive System With Cc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
77 MS_DRG DRG 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
78 MS_DRG DRG 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
783 MS_DRG Cesarean Section With Sterilization With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
784 MS_DRG Cesarean Section With Sterilization With Cc 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
786 MS_DRG Cesarean Section Without Sterilization With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
787 MS_DRG Cesarean Section Without Sterilization With Cc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
799 MS_DRG Splenic Procedures With Mcc 17 16 — — $68,793.66 $103,190.49 $68,793.66 2025-09-11
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 16 15 — — $52,879.15 $79,318.73 $52,879.15 2025-09-11
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 15 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 17 16 — — $61,972.46 $92,958.69 $61,972.46 2025-09-11
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 11 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 11 — — $61,972.46 $92,958.69 $62,592.18 2025-09-11
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
850 MS_DRG Acute Leukemia With Other Procedures 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 16 — — $74,727.72 $112,091.58 $74,727.72 2025-09-11
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 16 15 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 15 — — $66,418.07 $99,627.11 $66,418.07 2025-09-11
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 16 — — $102,125.91 $153,188.87 $102,125.91 2025-09-11
901 MS_DRG Wound Debridements For Injuries With Mcc 17 16 — — $63,239.11 $94,858.67 $63,239.11 2025-09-11
902 MS_DRG Wound Debridements For Injuries With Cc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 17 16 — — $61,972.46 $92,958.69 $61,972.46 2025-09-11
908 MS_DRG Other O.r. Procedures For Injuries With Cc 12 11 — — $61,972.46 $92,958.69 $62,592.18 2025-09-11
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
919 MS_DRG Complications Of Treatment With Mcc 17 16 — — $52,854.51 $79,281.77 $52,854.51 2025-09-11
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 12 11 — — $46,550.81 $69,826.22 $47,016.32 2025-09-11
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 17 16 — — $58,423.85 $87,635.78 $58,423.85 2025-09-11
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 17 16 — — $52,795.37 $79,193.06 $52,795.37 2025-09-11
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 17 16 — — $46,550.81 $69,826.22 $46,550.81 2025-09-11
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 12 11 — — $46,550.81 $69,826.22 $47,016.32 2025-09-11
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 16 — — $61,972.46 $92,958.69 $61,972.46 2025-09-11
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 15 — — $61,972.46 $92,958.69 $61,972.46 2025-09-11
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 16 — — $61,972.46 $92,958.69 $61,972.46 2025-09-11
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 15 — — $61,972.46 $92,958.69 $61,972.46 2025-09-11
963 MS_DRG Other Multiple Significant Trauma With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 17 16 — — $62,213.96 $93,320.94 $62,213.96 2025-09-11
974 MS_DRG HIV With Major Related Condition With Mcc 16 15 — — $56,166.54 $84,249.81 $56,166.54 2025-09-11
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 16 — — $115,344.47 $173,016.71 $115,344.47 2025-09-11
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 17 16 — — $62,475.17 $93,712.76 $62,475.17 2025-09-11
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 15 — — $105,127.44 $157,691.16 $105,127.44 2025-09-11
A9543 HCPCS Y90 Ibritumomab, Rx 1 1 — — $55,923.02 $55,923.02 $55,923.02 2025-09-11
E0766 HCPCS Elec Stim Cancer Treatment 1 1 — — $78,960.76 $78,960.76 $78,960.76 2025-09-11
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $69,211.49 $69,211.49 $69,211.49 2025-09-11
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $52,421.58 $52,421.58 $52,421.58 2025-09-11
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