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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

Pam Specialty Hospital Of Victoria North

Victoria, TX · CCN 452094 · Rates published

2,648 distinct procedures filed
36 distinct payers
55,137 rate rows
2025-09-11 last MRF observed · ⚠ 13 mo old
Data quality

53,975 of 55,137 rate rows are consumer-grade (97.9%)

1,162 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 1,048
per-diem day rate — not a per-procedure price 112
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old.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/10993/383743547_post-acute-medical-at-victoria-llc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/VictoriaNorthSoutheast/10993
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint fc157faf82918dab… · 24,433,200 bytes · first seen 2026-05-09

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
1614
APR_DRG 		Implantable Heart Assist Systems 1 $147,309.07 $147,309.07 $147,309.07 nat. median
$202,242
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 16 $146,787.12 $220,180.68 $146,787.12 nat. median
$145,435
1.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $138,005.40 $138,005.40 $138,005.40 nat. median
$152,792
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 16 $120,731.23 $181,096.85 $120,731.23 nat. median
$97,418
1.2× median
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 16 $99,638.57 $149,457.86 $99,638.57 nat. median
$13,993
outlier · 7.1×
163
MS_DRG 		Major Chest Procedures With Mcc 16 $99,638.57 $149,457.86 $99,638.57 nat. median
$31,995
outlier · 3.1×
164
MS_DRG 		Major Chest Procedures With Cc 16 $99,638.57 $149,457.86 $99,638.57 nat. median
$18,379
outlier · 5.4×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 $98,365.19 $147,547.79 $98,365.19 nat. median
$37,371
outlier · 2.6×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 16 $98,365.19 $147,547.79 $98,365.19 nat. median
$26,952
outlier · 3.6×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 16 $98,365.19 $147,547.79 $98,365.19 nat. median
$28,105
outlier · 3.5×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 $98,352.58 $147,528.87 $98,352.58 nat. median
$33,546
outlier · 2.9×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $96,016.31 $96,016.31 $96,016.31 nat. median
$135,803
0.7× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 $89,640.67 $134,461.01 $89,640.67 nat. median
$24,316
outlier · 3.7×
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 1 $89,225.59 $89,225.59 $89,225.59 nat. median
$16,170
outlier · 5.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 16 $87,081.31 $130,621.97 $87,081.31 nat. median
$48,611
1.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 16 $81,723.04 $122,584.56 $81,723.04 nat. median
$47,121
1.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $80,814.59 $80,814.59 $80,814.59 nat. median
$135,630
0.6× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 1 $80,467.18 $80,467.18 $80,467.18 nat. median
$173,018
outlier · 0.5×
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 $77,564.85 $77,564.85 $77,564.85 nat. median
$50,461
1.5× median
1613
APR_DRG 		Implantable Heart Assist Systems 1 $76,779.47 $76,779.47 $76,779.47 nat. median
$155,539
outlier · 0.5×
6814
APR_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 $68,411.38 $68,411.38 $68,411.38 nat. median
$47,145
1.5× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 1 $68,373.20 $68,373.20 $68,373.20 nat. median
$106,926
0.6× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $67,801.76 $67,801.76 $67,801.76 nat. median
$73,618
0.9× median
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency 1 $66,302.95 $66,302.95 $66,302.95 nat. median
$14,114
outlier · 4.7×
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 16 $66,287.03 $99,430.55 $66,287.03 nat. median
$13,247
outlier · 5.0×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 $66,287.03 $99,430.55 $66,287.03 nat. median
$28,888
outlier · 2.3×
168
MS_DRG 		Other Respiratory System O.r. Procedures Without Cc/mcc 16 $66,287.03 $99,430.55 $66,287.03 nat. median
$10,065
outlier · 6.6×
173
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 16 $66,287.03 $99,430.55 $66,287.03 nat. median
$20,933
outlier · 3.2×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 $63,719.26 $95,578.89 $63,719.26 nat. median
$34,733
1.8× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 $61,735.65 $92,603.48 $61,735.65 nat. median
$27,156
outlier · 2.3×
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 $59,644.13 $59,644.13 $59,644.13 nat. median
$77,606
0.8× median
799
MS_DRG 		Splenic Procedures With Mcc 16 $58,659.37 $87,989.06 $58,659.37 nat. median
$32,381
1.8× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 16 $58,659.37 $87,989.06 $58,659.37 nat. median
$30,674
1.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 $58,436.64 $87,654.96 $58,436.64 nat. median
$43,299
1.3× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 $57,007.77 $85,511.66 $57,007.77 nat. median
$23,000
outlier · 2.5×
582
MS_DRG 		Mastectomy For Malignancy With Cc/mcc 16 $57,007.77 $85,511.66 $57,007.77 nat. median
$13,260
outlier · 4.3×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 $56,633.74 $84,950.61 $56,633.74 nat. median
$31,991
1.8× median
1612
APR_DRG 		Implantable Heart Assist Systems 1 $55,192.50 $55,192.50 $55,192.50 nat. median
$109,992
0.5× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 16 $55,112.41 $82,668.62 $55,112.41 nat. median
$13,001
outlier · 4.2×
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 $54,952.71 $82,429.07 $54,952.71 nat. median
$24,822
outlier · 2.2×
619
MS_DRG 		O.r. Procedures For Obesity With Mcc 16 $54,952.71 $82,429.07 $54,952.71 nat. median
$19,944
outlier · 2.8×
551
MS_DRG 		Medical Back Problems With Mcc 16 $54,881.27 $82,321.91 $54,881.27 nat. median
$11,966
outlier · 4.6×
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 16 $54,666.94 $82,000.41 $54,666.94 nat. median
$14,700
outlier · 3.7×
61
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 16 $54,666.94 $82,000.41 $54,666.94 nat. median
$19,667
outlier · 2.8×
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $54,561.43 $54,561.43 $54,561.43 nat. median
$68,335
0.8× median
901
MS_DRG 		Wound Debridements For Injuries With Mcc 16 $53,923.09 $80,884.64 $53,923.09 nat. median
$28,755
1.9× median
245
MS_DRG 		Aicd Generator Procedures 16 $53,397.77 $80,096.66 $53,397.77 nat. median
$32,088
1.7× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 16 $53,397.77 $80,096.66 $53,397.77 nat. median
$23,998
outlier · 2.2×
263
MS_DRG 		Vein Ligation And Stripping 16 $53,397.77 $80,096.66 $53,397.77 nat. median
$19,964
outlier · 2.7×
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 16 $53,271.69 $79,907.54 $53,271.69 nat. median
$17,763
outlier · 3.0×

Other procedures at this hospital

Browse this hospital's 2,648 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
             
1614 APR_DRG Implantable Heart Assist Systems 1 1 — — $147,309.07 $147,309.07 $147,309.07 2025-09-11
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 18 16 — — $146,787.12 $220,180.68 $146,787.12 2025-09-11
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $138,005.40 $138,005.40 $138,005.40 2025-09-11
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 18 16 — — $120,731.23 $181,096.85 $120,731.23 2025-09-11
163 MS_DRG Major Chest Procedures With Mcc 18 16 — — $99,638.57 $149,457.86 $99,638.57 2025-09-11
165 MS_DRG Major Chest Procedures Without Cc/mcc 18 16 — — $99,638.57 $149,457.86 $99,638.57 2025-09-11
164 MS_DRG Major Chest Procedures With Cc 18 16 — — $99,638.57 $149,457.86 $99,638.57 2025-09-11
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 16 — — $98,365.19 $147,547.79 $98,365.19 2025-09-11
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 16 — — $98,365.19 $147,547.79 $98,365.19 2025-09-11
140 MS_DRG Major Head And Neck Procedures With Mcc 18 16 — — $98,365.19 $147,547.79 $98,365.19 2025-09-11
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 16 — — $98,352.58 $147,528.87 $98,352.58 2025-09-11
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $96,016.31 $96,016.31 $96,016.31 2025-09-11
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 16 — — $89,640.67 $134,461.01 $89,640.67 2025-09-11
2004 APR_DRG Cardiac Structural And Valvular Disorders 1 1 — — $89,225.59 $89,225.59 $89,225.59 2025-09-11
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 16 — — $87,081.31 $130,621.97 $87,081.31 2025-09-11
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 16 — — $81,723.04 $122,584.56 $81,723.04 2025-09-11
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $80,814.59 $80,814.59 $80,814.59 2025-09-11
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $80,467.18 $80,467.18 $80,467.18 2025-09-11
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 1 — — $77,564.85 $77,564.85 $77,564.85 2025-09-11
1613 APR_DRG Implantable Heart Assist Systems 1 1 — — $76,779.47 $76,779.47 $76,779.47 2025-09-11
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $68,411.38 $68,411.38 $68,411.38 2025-09-11
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $68,373.20 $68,373.20 $68,373.20 2025-09-11
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $67,801.76 $67,801.76 $67,801.76 2025-09-11
2464 APR_DRG Gastrointestinal Vascular Insufficiency 1 1 — — $66,302.95 $66,302.95 $66,302.95 2025-09-11
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 18 16 — — $66,287.03 $99,430.55 $66,287.03 2025-09-11
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 16 — — $66,287.03 $99,430.55 $66,287.03 2025-09-11
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 18 16 — — $66,287.03 $99,430.55 $66,287.03 2025-09-11
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 18 16 — — $66,287.03 $99,430.55 $66,287.03 2025-09-11
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 16 — — $63,719.26 $95,578.89 $63,719.26 2025-09-11
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 16 — — $61,735.65 $92,603.48 $61,735.65 2025-09-11
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $59,644.13 $59,644.13 $59,644.13 2025-09-11
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 16 — — $58,659.37 $87,989.06 $58,659.37 2025-09-11
799 MS_DRG Splenic Procedures With Mcc 18 16 — — $58,659.37 $87,989.06 $58,659.37 2025-09-11
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 16 — — $58,436.64 $87,654.96 $58,436.64 2025-09-11
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 18 16 — — $57,007.77 $85,511.66 $57,007.77 2025-09-11
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 18 16 — — $57,007.77 $85,511.66 $57,007.77 2025-09-11
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 16 — — $56,633.74 $84,950.61 $56,633.74 2025-09-11
1612 APR_DRG Implantable Heart Assist Systems 1 1 — — $55,192.50 $55,192.50 $55,192.50 2025-09-11
205 MS_DRG Other Respiratory System Diagnoses With Mcc 18 16 — — $55,112.41 $82,668.62 $55,112.41 2025-09-11
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 16 — — $54,952.71 $82,429.07 $54,952.71 2025-09-11
619 MS_DRG O.r. Procedures For Obesity With Mcc 18 16 — — $54,952.71 $82,429.07 $54,952.71 2025-09-11
551 MS_DRG Medical Back Problems With Mcc 18 16 — — $54,881.27 $82,321.91 $54,881.27 2025-09-11
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 16 — — $54,666.94 $82,000.41 $54,666.94 2025-09-11
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 18 16 — — $54,666.94 $82,000.41 $54,666.94 2025-09-11
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $54,561.43 $54,561.43 $54,561.43 2025-09-11
901 MS_DRG Wound Debridements For Injuries With Mcc 18 16 — — $53,923.09 $80,884.64 $53,923.09 2025-09-11
245 MS_DRG Aicd Generator Procedures 18 16 — — $53,397.77 $80,096.66 $53,397.77 2025-09-11
264 MS_DRG Other Circulatory System O.r. Procedures 18 16 — — $53,397.77 $80,096.66 $53,397.77 2025-09-11
263 MS_DRG Vein Ligation And Stripping 18 16 — — $53,397.77 $80,096.66 $53,397.77 2025-09-11
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 18 16 — — $53,271.69 $79,907.54 $53,271.69 2025-09-11
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
254 MS_DRG Other Vascular Procedures Without Cc/mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
38 MS_DRG Extracranial Procedures With Cc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
202 MS_DRG Bronchitis And Asthma With Cc/mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
253 MS_DRG Other Vascular Procedures With Cc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
37 MS_DRG Extracranial Procedures With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
252 MS_DRG Other Vascular Procedures With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
745 MS_DRG D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
39 MS_DRG Extracranial Procedures Without Cc/mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
755 MS_DRG Malignancy, Female Reproductive System With Cc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
215 MS_DRG Other Heart Assist System Implant 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
787 MS_DRG Cesarean Section Without Sterilization With Cc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
744 MS_DRG D&C, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
643 MS_DRG Endocrine Disorders With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
783 MS_DRG Cesarean Section With Sterilization With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
963 MS_DRG Other Multiple Significant Trauma With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
35 MS_DRG Carotid Artery Stent Procedures With Cc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
693 MS_DRG Urinary Stones With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
850 MS_DRG Acute Leukemia With Other Procedures 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
748 MS_DRG Female Reproductive System Reconstructive Procedures 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
32 MS_DRG Ventricular Shunt Procedures With Cc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
784 MS_DRG Cesarean Section With Sterilization With Cc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
786 MS_DRG Cesarean Section Without Sterilization With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
385 MS_DRG Inflammatory Bowel Disease With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
754 MS_DRG Malignancy, Female Reproductive System With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
54 MS_DRG Nervous System Neoplasms With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 16 — — $53,048.95 $79,573.43 $53,048.95 2025-09-11
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 16 — — $52,998.52 $79,497.78 $52,998.52 2025-09-11
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 16 — — $52,843.03 $79,264.55 $52,843.03 2025-09-11
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 18 16 — — $52,843.03 $79,264.55 $52,843.03 2025-09-11
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 16 — — $52,843.03 $79,264.55 $52,843.03 2025-09-11
908 MS_DRG Other O.r. Procedures For Injuries With Cc 18 16 — — $52,843.03 $79,264.55 $52,843.03 2025-09-11
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 16 — — $52,843.03 $79,264.55 $52,843.03 2025-09-11
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 16 — — $52,843.03 $79,264.55 $52,843.03 2025-09-11
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 16 — — $52,843.03 $79,264.55 $52,843.03 2025-09-11
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 16 — — $52,843.03 $79,264.55 $52,843.03 2025-09-11
1611 APR_DRG Implantable Heart Assist Systems 1 1 — — $52,345.08 $52,345.08 $52,345.08 2025-09-11
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $51,977.16 $51,977.16 $51,977.16 2025-09-11
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $51,959.49 $51,959.49 $51,959.49 2025-09-11
500 MS_DRG Soft Tissue Procedures With Mcc 18 16 — — $51,762.97 $77,644.46 $51,762.97 2025-09-11
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $50,618.77 $50,618.77 $50,618.77 2025-09-11
28 MS_DRG Spinal Procedures With Mcc 18 16 — — $50,388.73 $75,583.10 $50,388.73 2025-09-11
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 16 — — $50,388.73 $75,583.10 $50,388.73 2025-09-11
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 18 16 — — $50,388.73 $75,583.10 $50,388.73 2025-09-11
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 16 — — $50,308.88 $75,463.32 $50,308.88 2025-09-11
665 MS_DRG Prostatectomy With Mcc 18 16 — — $50,308.88 $75,463.32 $50,308.88 2025-09-11
653 MS_DRG Major Bladder Procedures With Mcc 18 16 — — $50,308.88 $75,463.32 $50,308.88 2025-09-11
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 16 — — $49,817.18 $74,725.77 $49,817.18 2025-09-11
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 18 16 — — $49,623.86 $74,435.79 $49,623.86 2025-09-11
570 MS_DRG Skin Debridement With Mcc 18 16 — — $49,476.77 $74,215.16 $49,476.77 2025-09-11
4414 APR_DRG Major Bladder Procedures 1 1 — — $49,414.99 $49,414.99 $49,414.99 2025-09-11
974 MS_DRG HIV With Major Related Condition With Mcc 18 16 — — $47,892.41 $71,838.62 $47,892.41 2025-09-11
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 18 16 — — $46,850.17 $70,275.26 $46,850.17 2025-09-11
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 18 16 — — $46,850.17 $70,275.26 $46,850.17 2025-09-11
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 18 16 — — $46,850.17 $70,275.26 $46,850.17 2025-09-11
1784 APR_DRG External Heart Assist Systems 1 1 — — $46,282.63 $46,282.63 $46,282.63 2025-09-11
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $45,325.28 $45,325.28 $45,325.28 2025-09-11
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 18 16 — — $45,089.30 $67,633.95 $45,089.30 2025-09-11
919 MS_DRG Complications Of Treatment With Mcc 18 16 — — $45,068.29 $67,602.44 $45,068.29 2025-09-11
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 16 — — $45,017.85 $67,526.78 $45,017.85 2025-09-11
6904 APR_DRG Acute Leukemia 1 1 — — $44,918.24 $44,918.24 $44,918.24 2025-09-11
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 16 — — $44,677.45 $67,016.18 $44,677.45 2025-09-11
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 16 — — $44,677.45 $67,016.18 $44,677.45 2025-09-11
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 16 — — $44,677.45 $67,016.18 $44,677.45 2025-09-11
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 16 — — $44,677.45 $67,016.18 $44,677.45 2025-09-11
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 18 16 — — $44,677.45 $67,016.18 $44,677.45 2025-09-11
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 16 — — $44,677.45 $67,016.18 $44,677.45 2025-09-11
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 18 16 — — $44,677.45 $67,016.18 $44,677.45 2025-09-11
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 1 1 — — $44,643.09 $44,643.09 $44,643.09 2025-09-11
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $44,592.92 $44,592.92 $44,592.92 2025-09-11
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 18 16 — — $44,030.25 $66,045.38 $44,030.25 2025-09-11
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 18 16 — — $43,979.82 $65,969.73 $43,979.82 2025-09-11
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 18 16 — — $43,979.82 $65,969.73 $43,979.82 2025-09-11
666 MS_DRG Prostatectomy With Cc 18 16 — — $43,979.82 $65,969.73 $43,979.82 2025-09-11
654 MS_DRG Major Bladder Procedures With Cc 18 16 — — $43,979.82 $65,969.73 $43,979.82 2025-09-11
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $43,246.20 $43,246.20 $43,246.20 2025-09-11
288 MS_DRG Acute And Subacute Endocarditis With Mcc 18 16 — — $42,824.12 $64,236.18 $42,824.12 2025-09-11
393 MS_DRG Other Digestive System Diagnoses With Mcc 18 16 — — $42,698.04 $64,047.06 $42,698.04 2025-09-11
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $42,079.02 $42,079.02 $42,079.02 2025-09-11
388 MS_DRG Gastrointestinal Obstruction With Mcc 18 16 — — $41,525.53 $62,288.30 $41,525.53 2025-09-11
189 MS_DRG Pulmonary Edema And Respiratory Failure 18 16 — — $41,130.48 $61,695.72 $41,130.48 2025-09-11
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 18 16 — — $41,117.88 $61,676.82 $41,117.88 2025-09-11
539 MS_DRG Osteomyelitis With Mcc 18 16 — — $40,735.44 $61,103.16 $40,735.44 2025-09-11
380 MS_DRG Complicated Peptic Ulcer With Mcc 18 16 — — $40,247.95 $60,371.93 $40,247.95 2025-09-11
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 18 16 — — $40,247.95 $60,371.93 $40,247.95 2025-09-11
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 16 — — $40,247.95 $60,371.93 $40,247.95 2025-09-11
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 18 16 — — $40,247.95 $60,371.93 $40,247.95 2025-09-11
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 16 — — $40,079.84 $60,119.76 $40,079.84 2025-09-11
620 MS_DRG O.r. Procedures For Obesity With Cc 18 16 — — $39,869.72 $59,804.58 $39,869.72 2025-09-11
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 16 — — $39,869.72 $59,804.58 $39,869.72 2025-09-11
304 MS_DRG Hypertension With Mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
672 MS_DRG Urethral Procedures Without Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
670 MS_DRG Transurethral Procedures Without Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
709 MS_DRG Penis Procedures With Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
671 MS_DRG Urethral Procedures With Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
157 MS_DRG Dental And Oral Diseases With Mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
668 MS_DRG Transurethral Procedures With Mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
667 MS_DRG Prostatectomy Without Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
606 MS_DRG Minor Skin Disorders With Mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
152 MS_DRG Otitis Media And Uri With Mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
669 MS_DRG Transurethral Procedures With Cc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
197 MS_DRG Interstitial Lung Disease With Cc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
663 MS_DRG Minor Bladder Procedures With Cc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
114 MS_DRG Orbital Procedures Without Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
312 MS_DRG Syncope And Collapse 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
662 MS_DRG Minor Bladder Procedures With Mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
902 MS_DRG Wound Debridements For Injuries With Cc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
196 MS_DRG Interstitial Lung Disease With Mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
501 MS_DRG Soft Tissue Procedures With Cc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
374 MS_DRG Digestive Malignancy With Mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
115 MS_DRG Extraocular Procedures Except Orbit 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
655 MS_DRG Major Bladder Procedures Without Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
711 MS_DRG Testes Procedures With Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
116 MS_DRG Intraocular Procedures With Cc/mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 16 — — $39,693.21 $59,539.82 $39,693.21 2025-09-11
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