|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$112,389.06
|
$112,389.06
|
$112,389.06
|
2025-07-01
|
|
9312
|
OTHER
|
Inj., Ravulizumab-cwvz 10 Mg
|
2
|
1
|
—
|
—
|
$73,156.13
|
$132,768.56
|
$102,962.35
|
2025-07-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$97,098.54
|
$97,098.54
|
$97,098.54
|
2025-07-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
1
|
1
|
—
|
—
|
$92,083.23
|
$92,083.23
|
$92,083.23
|
2025-07-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
3
|
2
|
—
|
—
|
$27,734.05
|
$101,097.66
|
$81,560.27
|
2025-07-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
1
|
1
|
—
|
—
|
$63,441.63
|
$63,441.63
|
$63,441.63
|
2025-07-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
1
|
1
|
—
|
—
|
$61,030.31
|
$61,030.31
|
$61,030.31
|
2025-07-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
1
|
1
|
—
|
—
|
$59,720.93
|
$59,720.93
|
$59,720.93
|
2025-07-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
2
|
2
|
—
|
—
|
$33,739.96
|
$77,926.68
|
$55,833.32
|
2025-07-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
2
|
2
|
—
|
—
|
$28,453.15
|
$77,178.15
|
$52,815.65
|
2025-07-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
5
|
4
|
—
|
—
|
$16,012.79
|
$61,997.18
|
$44,673.93
|
2025-07-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
3
|
2
|
—
|
—
|
$16,779.13
|
$45,152.34
|
$44,302.27
|
2025-07-01
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
1
|
1
|
—
|
—
|
$43,933.50
|
$43,933.50
|
$43,933.50
|
2025-07-01
|
|
30
|
MS_DRG
|
Spinal Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$43,829.10
|
$43,829.10
|
$43,829.10
|
2025-07-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
1
|
1
|
—
|
—
|
$42,918.75
|
$42,918.75
|
$42,918.75
|
2025-07-01
|
|
519
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Cc
|
1
|
1
|
—
|
—
|
$40,566.04
|
$40,566.04
|
$40,566.04
|
2025-07-01
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
3
|
3
|
—
|
—
|
$14,007.70
|
$41,045.37
|
$37,574.27
|
2025-07-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
2
|
1
|
—
|
—
|
$18,930.44
|
$55,514.66
|
$37,222.55
|
2025-07-01
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
1
|
1
|
—
|
—
|
$37,186.19
|
$37,186.19
|
$37,186.19
|
2025-07-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
1
|
1
|
—
|
—
|
$36,616.24
|
$36,616.24
|
$36,616.24
|
2025-07-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
8
|
5
|
—
|
—
|
$30,392.96
|
$93,788.56
|
$34,470.06
|
2025-07-01
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$31,270.94
|
$35,730.45
|
$33,500.69
|
2025-07-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
4
|
4
|
—
|
—
|
$26,530.58
|
$33,033.46
|
$32,408.33
|
2025-07-01
|
|
9494
|
OTHER
|
Injection, Ocrelizumab
|
12
|
5
|
—
|
—
|
$348.86
|
$109,829.19
|
$32,271.10
|
2025-07-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
1
|
1
|
—
|
—
|
$32,066.59
|
$32,066.59
|
$32,066.59
|
2025-07-01
|
|
416
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$25,310.88
|
$38,729.72
|
$32,020.30
|
2025-07-01
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$18,824.04
|
$43,755.60
|
$31,289.82
|
2025-07-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
1
|
1
|
—
|
—
|
$30,886.38
|
$30,886.38
|
$30,886.38
|
2025-07-01
|
|
5232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
8
|
5
|
—
|
—
|
$9,209.36
|
$64,051.48
|
$29,469.90
|
2025-07-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$29,440.91
|
$29,440.91
|
$29,440.91
|
2025-07-01
|
|
743
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$29,389.96
|
$29,389.96
|
$29,389.96
|
2025-07-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
4
|
4
|
—
|
—
|
$14,759.26
|
$100,725.06
|
$29,321.89
|
2025-07-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
2
|
2
|
—
|
—
|
$27,408.87
|
$27,999.04
|
$27,703.96
|
2025-07-01
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
5
|
5
|
—
|
—
|
$13,470.75
|
$44,986.64
|
$27,673.96
|
2025-07-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
2
|
2
|
—
|
—
|
$26,734.00
|
$28,219.89
|
$27,476.94
|
2025-07-01
|
|
9131
|
OTHER
|
Inj, Ado-trastuzumab Emt 1mg
|
2
|
2
|
—
|
—
|
$20,832.54
|
$33,821.48
|
$27,327.01
|
2025-07-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
1
|
1
|
—
|
—
|
$27,109.82
|
$27,109.82
|
$27,109.82
|
2025-07-01
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
2
|
2
|
—
|
—
|
$15,786.71
|
$37,956.87
|
$26,871.79
|
2025-07-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
1
|
1
|
—
|
—
|
$26,794.52
|
$26,794.52
|
$26,794.52
|
2025-07-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
2
|
2
|
—
|
—
|
$26,578.59
|
$26,601.59
|
$26,590.09
|
2025-07-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
6
|
4
|
—
|
—
|
$24,891.06
|
$87,259.60
|
$26,572.32
|
2025-07-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
1
|
1
|
—
|
—
|
$26,444.10
|
$26,444.10
|
$26,444.10
|
2025-07-01
|
|
5200
|
OTHER
|
Implantation Wireless Pa Pressure Monitor
|
2
|
2
|
—
|
—
|
$26,425.11
|
$26,429.69
|
$26,427.40
|
2025-07-01
|
|
581
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$25,452.63
|
$25,452.63
|
$25,452.63
|
2025-07-01
|
|
373
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$25,380.24
|
$25,380.24
|
$25,380.24
|
2025-07-01
|
|
398
|
MS_DRG
|
Appendix Procedures With Cc
|
5
|
4
|
—
|
—
|
$11,604.12
|
$29,377.31
|
$25,234.58
|
2025-07-01
|
|
9364
|
OTHER
|
Inj Enfort Vedo-ejfv 0.25mg
|
3
|
2
|
—
|
—
|
$24,739.06
|
$32,484.03
|
$25,017.07
|
2025-07-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
6
|
3
|
—
|
—
|
$16,490.86
|
$64,736.28
|
$24,875.74
|
2025-07-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
1
|
1
|
—
|
—
|
$24,873.39
|
$24,873.39
|
$24,873.39
|
2025-07-01
|
|
501
|
MS_DRG
|
Soft Tissue Procedures With Cc
|
1
|
1
|
—
|
—
|
$24,867.56
|
$24,867.56
|
$24,867.56
|
2025-07-01
|
|
9431
|
OTHER
|
Inj, Dostarlimab-gxly, 10 Mg
|
3
|
3
|
—
|
—
|
$23,161.09
|
$34,268.90
|
$24,444.69
|
2025-07-01
|
|
5213
|
OTHER
|
Level 3 Electrophysiologic Procedures
|
10
|
6
|
—
|
—
|
$20,871.35
|
$37,949.90
|
$24,287.37
|
2025-07-01
|
|
9208
|
OTHER
|
Agalsidase Beta Injection
|
1
|
1
|
—
|
—
|
$24,006.69
|
$24,006.69
|
$24,006.69
|
2025-07-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
1
|
1
|
—
|
—
|
$23,992.49
|
$23,992.49
|
$23,992.49
|
2025-07-01
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
2
|
2
|
—
|
—
|
$14,068.28
|
$33,828.07
|
$23,948.18
|
2025-07-01
|
|
557
|
MS_DRG
|
Tendonitis, Myositis And Bursitis With Mcc
|
2
|
2
|
—
|
—
|
$19,916.47
|
$27,685.79
|
$23,801.13
|
2025-07-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
1
|
1
|
—
|
—
|
$23,068.57
|
$23,068.57
|
$23,068.57
|
2025-07-01
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
8
|
5
|
—
|
—
|
$13,727.39
|
$47,468.40
|
$22,628.78
|
2025-07-01
|
|
9353
|
OTHER
|
Inj Fam-trastu Deru-nxki 1mg
|
1
|
1
|
—
|
—
|
$22,118.17
|
$22,118.17
|
$22,118.17
|
2025-07-01
|
|
643
|
MS_DRG
|
Endocrine Disorders With Mcc
|
2
|
1
|
—
|
—
|
$12,789.30
|
$31,322.97
|
$22,056.14
|
2025-07-01
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
2
|
2
|
—
|
—
|
$12,414.92
|
$31,351.32
|
$21,883.12
|
2025-07-01
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
1
|
1
|
—
|
—
|
$21,556.00
|
$21,556.00
|
$21,556.00
|
2025-07-01
|
|
784
|
MS_DRG
|
Cesarean Section With Sterilization With Cc
|
1
|
1
|
—
|
—
|
$21,482.44
|
$21,482.44
|
$21,482.44
|
2025-07-01
|
|
5231
|
OTHER
|
Level 1 Icd And Similar Procedures
|
3
|
3
|
—
|
—
|
$21,011.85
|
$29,943.73
|
$21,431.87
|
2025-07-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
4
|
4
|
—
|
—
|
$20,905.10
|
$21,846.80
|
$21,377.22
|
2025-07-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
1
|
1
|
—
|
—
|
$21,290.95
|
$21,290.95
|
$21,290.95
|
2025-07-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
1
|
1
|
—
|
—
|
$21,265.93
|
$21,265.93
|
$21,265.93
|
2025-07-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
2
|
2
|
—
|
—
|
$20,598.70
|
$21,312.41
|
$20,955.56
|
2025-07-01
|
|
346
|
MS_DRG
|
Minor Small And Large Bowel Procedures Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$10,256.68
|
$30,605.56
|
$20,431.12
|
2025-07-01
|
|
502
|
MS_DRG
|
Soft Tissue Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$20,191.61
|
$20,191.61
|
$20,191.61
|
2025-07-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
2
|
1
|
—
|
—
|
$17,875.14
|
$22,213.38
|
$20,044.26
|
2025-07-01
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
1
|
1
|
—
|
—
|
$20,014.56
|
$20,014.56
|
$20,014.56
|
2025-07-01
|
|
9331
|
OTHER
|
Inj, Polatuzumab Vedotin 1mg
|
1
|
1
|
—
|
—
|
$19,600.62
|
$19,600.62
|
$19,600.62
|
2025-07-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
3
|
3
|
—
|
—
|
$19,503.71
|
$19,920.20
|
$19,505.71
|
2025-07-01
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
4
|
3
|
—
|
—
|
$12,316.79
|
$32,851.98
|
$18,773.03
|
2025-07-01
|
|
184
|
MS_DRG
|
Major Chest Trauma With Cc
|
2
|
2
|
—
|
—
|
$7,739.51
|
$29,792.93
|
$18,766.22
|
2025-07-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
2
|
2
|
—
|
—
|
$18,629.80
|
$18,863.60
|
$18,746.70
|
2025-07-01
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
2
|
2
|
—
|
—
|
$15,582.44
|
$21,267.80
|
$18,425.12
|
2025-07-01
|
|
1446
|
OTHER
|
Visualization Adjunct
|
6
|
5
|
—
|
—
|
$1,604.05
|
$23,561.11
|
$18,330.90
|
2025-07-01
|
|
9002
|
OTHER
|
Tenecteplase Injection
|
4
|
4
|
—
|
—
|
$9,197.29
|
$24,265.34
|
$18,220.01
|
2025-07-01
|
|
9347
|
OTHER
|
Inj Luspatercept-aamt 0.25mg
|
1
|
1
|
—
|
—
|
$18,046.80
|
$18,046.80
|
$18,046.80
|
2025-07-01
|
|
9284
|
OTHER
|
Ipilimumab Injection
|
2
|
1
|
—
|
—
|
$10,932.09
|
$25,120.81
|
$18,026.45
|
2025-07-01
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
3
|
3
|
—
|
—
|
$16,117.13
|
$45,392.13
|
$18,026.05
|
2025-07-01
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
3
|
3
|
—
|
—
|
$9,800.75
|
$22,717.61
|
$18,007.41
|
2025-07-01
|
|
9160
|
OTHER
|
Inj, Acetaminophen (b Braun)
|
8
|
5
|
—
|
—
|
$895.46
|
$22,085.19
|
$17,846.49
|
2025-07-01
|
|
1488
|
OTHER
|
Injection, Ramucirumab
|
2
|
2
|
—
|
—
|
$2,171.23
|
$33,341.00
|
$17,756.12
|
2025-07-01
|
|
5224
|
OTHER
|
Level 4 Pacemaker And Similar Procedures
|
8
|
6
|
—
|
—
|
$15,130.08
|
$25,097.97
|
$17,741.31
|
2025-07-01
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
4
|
3
|
—
|
—
|
$8,272.25
|
$18,017.58
|
$17,693.26
|
2025-07-01
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
2
|
2
|
—
|
—
|
$6,513.13
|
$28,802.47
|
$17,657.80
|
2025-07-01
|
|
710
|
MS_DRG
|
Penis Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$17,501.63
|
$17,501.63
|
$17,501.63
|
2025-07-01
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
5
|
4
|
—
|
—
|
$12,509.26
|
$28,747.48
|
$17,315.58
|
2025-07-01
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
1
|
1
|
—
|
—
|
$17,113.21
|
$17,113.21
|
$17,113.21
|
2025-07-01
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
1
|
1
|
—
|
—
|
$16,847.95
|
$16,847.95
|
$16,847.95
|
2025-07-01
|
|
645
|
MS_DRG
|
Endocrine Disorders Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$5,675.67
|
$26,575.02
|
$16,125.34
|
2025-07-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
4
|
2
|
—
|
—
|
$13,551.85
|
$24,060.92
|
$15,950.22
|
2025-07-01
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
1
|
1
|
—
|
—
|
$15,889.81
|
$15,889.81
|
$15,889.81
|
2025-07-01
|
|
1471
|
OTHER
|
Injection, Pertuzumab, 1 Mg
|
7
|
6
|
—
|
—
|
$3,033.83
|
$40,761.14
|
$15,765.82
|
2025-07-01
|
|
9287
|
OTHER
|
Brentuximab Vedotin Inj
|
2
|
2
|
—
|
—
|
$396.51
|
$30,972.72
|
$15,684.62
|
2025-07-01
|
|
54
|
MS_DRG
|
Nervous System Neoplasms With Mcc
|
2
|
2
|
—
|
—
|
$11,460.94
|
$19,840.99
|
$15,650.97
|
2025-07-01
|
|
809
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
3
|
2
|
—
|
—
|
$9,666.10
|
$35,297.77
|
$15,618.94
|
2025-07-01
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
10
|
6
|
—
|
—
|
$15,223.24
|
$66,202.17
|
$15,616.02
|
2025-07-01
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
1
|
1
|
—
|
—
|
$15,583.85
|
$15,583.85
|
$15,583.85
|
2025-07-01
|
|
810
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
1
|
1
|
—
|
—
|
$15,518.60
|
$15,518.60
|
$15,518.60
|
2025-07-01
|
|
99
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$15,350.34
|
$15,350.34
|
$15,350.34
|
2025-07-01
|
|
446
|
MS_DRG
|
Disorders Of The Biliary Tract Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$15,148.35
|
$15,148.35
|
$15,148.35
|
2025-07-01
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
3
|
3
|
—
|
—
|
$14,835.56
|
$25,614.99
|
$15,118.09
|
2025-07-01
|
|
496
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
2
|
2
|
—
|
—
|
$14,874.67
|
$15,150.89
|
$15,012.78
|
2025-07-01
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
6
|
4
|
—
|
—
|
$12,895.97
|
$32,644.76
|
$14,992.70
|
2025-07-01
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
1
|
1
|
—
|
—
|
$14,990.03
|
$14,990.03
|
$14,990.03
|
2025-07-01
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
4
|
4
|
—
|
—
|
$14,645.87
|
$15,836.18
|
$14,921.71
|
2025-07-01
|
|
380
|
MS_DRG
|
Complicated Peptic Ulcer With Mcc
|
1
|
1
|
—
|
—
|
$14,911.70
|
$14,911.70
|
$14,911.70
|
2025-07-01
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
17
|
8
|
—
|
—
|
$9,696.62
|
$74,661.85
|
$14,864.75
|
2025-07-01
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
1
|
1
|
—
|
—
|
$14,820.30
|
$14,820.30
|
$14,820.30
|
2025-07-01
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
2
|
2
|
—
|
—
|
$13,224.25
|
$16,400.91
|
$14,812.58
|
2025-07-01
|
|
387
|
MS_DRG
|
Inflammatory Bowel Disease Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$14,755.46
|
$14,755.46
|
$14,755.46
|
2025-07-01
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
3
|
3
|
—
|
—
|
$10,422.87
|
$85,150.04
|
$14,680.59
|
2025-07-01
|
|
5674
|
OTHER
|
Level 4 Pathology
|
5
|
4
|
—
|
—
|
$3,403.36
|
$14,760.89
|
$14,507.00
|
2025-07-01
|
|
785
|
MS_DRG
|
Cesarean Section With Sterilization Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$10,382.74
|
$18,608.81
|
$14,495.78
|
2025-07-01
|
|
748
|
MS_DRG
|
Female Reproductive System Reconstructive Procedures
|
1
|
1
|
—
|
—
|
$14,447.98
|
$14,447.98
|
$14,447.98
|
2025-07-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
1
|
1
|
—
|
—
|
$14,446.98
|
$14,446.98
|
$14,446.98
|
2025-07-01
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
1
|
1
|
—
|
—
|
$14,424.48
|
$14,424.48
|
$14,424.48
|
2025-07-01
|
|
722
|
MS_DRG
|
Malignancy, Male Reproductive System With Mcc
|
1
|
1
|
—
|
—
|
$14,359.30
|
$14,359.30
|
$14,359.30
|
2025-07-01
|
|
62
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
2
|
1
|
—
|
—
|
$14,341.35
|
$14,367.15
|
$14,354.25
|
2025-07-01
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
4
|
4
|
—
|
—
|
$6,487.18
|
$46,153.33
|
$14,133.58
|
2025-07-01
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
1
|
1
|
—
|
—
|
$14,078.40
|
$14,078.40
|
$14,078.40
|
2025-07-01
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
|
3
|
2
|
—
|
—
|
$13,292.52
|
$19,882.32
|
$14,061.97
|
2025-07-01
|
|
596
|
MS_DRG
|
Major Skin Disorders Without Mcc
|
1
|
1
|
—
|
—
|
$13,998.78
|
$13,998.78
|
$13,998.78
|
2025-07-01
|
|
85
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
2
|
2
|
—
|
—
|
$11,181.06
|
$16,810.48
|
$13,995.77
|
2025-07-01
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
1
|
1
|
—
|
—
|
$13,913.09
|
$13,913.09
|
$13,913.09
|
2025-07-01
|
|
167
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Cc
|
1
|
1
|
—
|
—
|
$13,905.89
|
$13,905.89
|
$13,905.89
|
2025-07-01
|
|
49
|
MS_DRG
|
Major Head & Neck Procedures
|
1
|
1
|
—
|
—
|
$13,828.23
|
$13,828.23
|
$13,828.23
|
2025-07-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
2
|
2
|
—
|
—
|
$9,672.37
|
$17,924.18
|
$13,798.28
|
2025-07-01
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
5
|
3
|
—
|
—
|
$8,389.93
|
$28,280.32
|
$13,772.30
|
2025-07-01
|
|
902
|
MS_DRG
|
Wound Debridements For Injuries With Cc
|
1
|
1
|
—
|
—
|
$13,677.88
|
$13,677.88
|
$13,677.88
|
2025-07-01
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
1
|
1
|
—
|
—
|
$13,660.97
|
$13,660.97
|
$13,660.97
|
2025-07-01
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
1
|
1
|
—
|
—
|
$13,495.77
|
$13,495.77
|
$13,495.77
|
2025-07-01
|
|
9483
|
OTHER
|
Inj, Atezolizumab,10 Mg
|
8
|
5
|
—
|
—
|
$10,097.78
|
$24,752.30
|
$13,386.52
|
2025-07-01
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
6
|
4
|
—
|
—
|
$7,337.52
|
$42,557.67
|
$13,385.22
|
2025-07-01
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
1
|
1
|
—
|
—
|
$13,327.01
|
$13,327.01
|
$13,327.01
|
2025-07-01
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
3
|
3
|
—
|
—
|
$7,765.93
|
$30,466.78
|
$12,994.88
|
2025-07-01
|
|
9400
|
OTHER
|
Inj, Labetalol Hcl, 5mg
|
3
|
3
|
—
|
—
|
$713.63
|
$16,424.06
|
$12,971.49
|
2025-07-01
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/Mcc
|
5
|
3
|
—
|
—
|
$12,708.25
|
$31,600.80
|
$12,962.31
|
2025-07-01
|
|
70
|
MS_DRG
|
Nonspecific Cerebrovascular Disorders With Mcc
|
3
|
3
|
—
|
—
|
$3,795.65
|
$13,159.50
|
$12,926.31
|
2025-07-01
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
9
|
5
|
—
|
—
|
$10,816.94
|
$32,061.96
|
$12,839.38
|
2025-07-01
|
|
364
|
MS_DRG
|
D&c, Conization Except For Malignancy
|
1
|
1
|
—
|
—
|
$12,776.73
|
$12,776.73
|
$12,776.73
|
2025-07-01
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
7
|
5
|
—
|
—
|
$9,411.56
|
$36,905.42
|
$12,769.39
|
2025-07-01
|
|
256
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Cc
|
1
|
1
|
—
|
—
|
$12,739.77
|
$12,739.77
|
$12,739.77
|
2025-07-01
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/Mcc
|
9
|
7
|
—
|
—
|
$9,240.05
|
$25,370.31
|
$12,728.56
|
2025-07-01
|
|
546
|
MS_DRG
|
Connective Tissue Disorders With Cc
|
2
|
2
|
—
|
—
|
$9,451.28
|
$15,986.50
|
$12,718.89
|
2025-07-01
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
2
|
2
|
—
|
—
|
$12,384.24
|
$12,908.69
|
$12,646.47
|
2025-07-01
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
7
|
5
|
—
|
—
|
$7,979.48
|
$22,299.09
|
$12,481.72
|
2025-07-01
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
3
|
2
|
—
|
—
|
$10,530.61
|
$20,385.14
|
$12,469.98
|
2025-07-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
2
|
2
|
—
|
—
|
$9,917.06
|
$15,015.62
|
$12,466.34
|
2025-07-01
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
4
|
3
|
—
|
—
|
$11,309.02
|
$13,156.16
|
$12,350.57
|
2025-07-01
|
|
386
|
MS_DRG
|
Inflammatory Bowel Disease With Cc
|
2
|
2
|
—
|
—
|
$7,807.53
|
$16,892.14
|
$12,349.83
|
2025-07-01
|
|
513
|
MS_DRG
|
Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc
|
1
|
1
|
—
|
—
|
$12,347.45
|
$12,347.45
|
$12,347.45
|
2025-07-01
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
5
|
4
|
—
|
—
|
$11,065.95
|
$13,568.78
|
$12,207.46
|
2025-07-01
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
1
|
1
|
—
|
—
|
$12,196.71
|
$12,196.71
|
$12,196.71
|
2025-07-01
|
|
813
|
MS_DRG
|
Coagulation Disorders
|
5
|
3
|
—
|
—
|
$8,640.44
|
$59,738.77
|
$12,161.86
|
2025-07-01
|
|
183
|
MS_DRG
|
Major Chest Trauma With Mcc
|
4
|
3
|
—
|
—
|
$11,898.83
|
$23,512.18
|
$12,142.07
|
2025-07-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
1
|
1
|
—
|
—
|
$12,136.53
|
$12,136.53
|
$12,136.53
|
2025-07-01
|
|
399
|
MS_DRG
|
Appendix Procedures Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$8,861.43
|
$15,225.08
|
$12,043.26
|
2025-07-01
|
|
5164
|
OTHER
|
Level 4 ENT Procedures
|
29
|
13
|
—
|
—
|
$1,360.55
|
$28,715.08
|
$11,999.27
|
2025-07-01
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
1
|
1
|
—
|
—
|
$11,924.14
|
$11,924.14
|
$11,924.14
|
2025-07-01
|
|
186
|
MS_DRG
|
Pleural Effusion With Mcc
|
1
|
1
|
—
|
—
|
$11,869.98
|
$11,869.98
|
$11,869.98
|
2025-07-01
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/Mcc
|
4
|
3
|
—
|
—
|
$10,758.25
|
$12,360.83
|
$11,823.91
|
2025-07-01
|
|
77
|
MS_DRG
|
Hypertensive Encephalopathy With Mcc
|
1
|
1
|
—
|
—
|
$11,802.45
|
$11,802.45
|
$11,802.45
|
2025-07-01
|
|
9492
|
OTHER
|
Inj., Durvalumab, 10 Mg
|
8
|
6
|
—
|
—
|
$161.88
|
$67,350.25
|
$11,756.28
|
2025-07-01
|
|
385
|
MS_DRG
|
Inflammatory Bowel Disease With Mcc
|
1
|
1
|
—
|
—
|
$11,754.60
|
$11,754.60
|
$11,754.60
|
2025-07-01
|
|
306
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders With Mcc
|
1
|
1
|
—
|
—
|
$11,752.28
|
$11,752.28
|
$11,752.28
|
2025-07-01
|
|
1490
|
OTHER
|
Inj Pembrolizumab
|
12
|
5
|
—
|
—
|
$514.15
|
$19,654.10
|
$11,649.33
|
2025-07-01
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
3
|
2
|
—
|
—
|
$5,590.46
|
$11,714.63
|
$11,561.15
|
2025-07-01
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
2
|
2
|
—
|
—
|
$11,201.28
|
$11,675.74
|
$11,438.51
|
2025-07-01
|
|
713
|
MS_DRG
|
Transurethral Prostatectomy With Cc/Mcc
|
1
|
1
|
—
|
—
|
$11,415.32
|
$11,415.32
|
$11,415.32
|
2025-07-01
|
|
9276
|
OTHER
|
Cabazitaxel Injection
|
1
|
1
|
—
|
—
|
$11,357.48
|
$11,357.48
|
$11,357.48
|
2025-07-01
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
9
|
4
|
—
|
—
|
$6,933.08
|
$25,184.07
|
$11,262.15
|
2025-07-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
2
|
2
|
—
|
—
|
$7,565.09
|
$14,794.46
|
$11,179.77
|
2025-07-01
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
7
|
4
|
—
|
—
|
$4,810.86
|
$27,015.62
|
$11,162.19
|
2025-07-01
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
6
|
4
|
—
|
—
|
$8,701.88
|
$14,154.65
|
$10,967.47
|
2025-07-01
|
|
562
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
1
|
1
|
—
|
—
|
$10,942.10
|
$10,942.10
|
$10,942.10
|
2025-07-01
|
|
787
|
MS_DRG
|
Cesarean Section Without Sterilization With Cc
|
5
|
3
|
—
|
—
|
$7,659.40
|
$20,058.78
|
$10,878.55
|
2025-07-01
|
|
9126
|
OTHER
|
Natalizumab Injection
|
6
|
4
|
—
|
—
|
$1,964.37
|
$12,416.66
|
$10,806.02
|
2025-07-01
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
5
|
2
|
—
|
—
|
$2,746.90
|
$25,079.90
|
$10,709.83
|
2025-07-01
|
|
9235
|
OTHER
|
Panitumumab Injection
|
1
|
1
|
—
|
—
|
$10,684.86
|
$10,684.86
|
$10,684.86
|
2025-07-01
|
|
864
|
MS_DRG
|
Fever And Inflammatory Conditions
|
2
|
2
|
—
|
—
|
$7,428.09
|
$13,889.12
|
$10,658.60
|
2025-07-01
|
|
150
|
MS_DRG
|
Epistaxis With Mcc
|
1
|
1
|
—
|
—
|
$10,648.33
|
$10,648.33
|
$10,648.33
|
2025-07-01
|
|
497
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
1
|
1
|
—
|
—
|
$10,598.95
|
$10,598.95
|
$10,598.95
|
2025-07-01
|
|
337
|
MS_DRG
|
Peritoneal Adhesiolysis Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$10,593.21
|
$10,593.21
|
$10,593.21
|
2025-07-01
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc
|
1
|
1
|
—
|
—
|
$10,538.63
|
$10,538.63
|
$10,538.63
|
2025-07-01
|
|
869
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$10,523.54
|
$10,523.54
|
$10,523.54
|
2025-07-01
|
|
86
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Cc
|
1
|
1
|
—
|
—
|
$10,488.27
|
$10,488.27
|
$10,488.27
|
2025-07-01
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
8
|
5
|
—
|
—
|
$6,215.53
|
$17,417.98
|
$10,434.60
|
2025-07-01
|
|
9038
|
OTHER
|
Inj Estrogen Conjugate
|
1
|
1
|
—
|
—
|
$10,346.93
|
$10,346.93
|
$10,346.93
|
2025-07-01
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
7
|
4
|
—
|
—
|
$6,534.94
|
$29,984.85
|
$10,342.74
|
2025-07-01
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
1
|
1
|
—
|
—
|
$10,309.76
|
$10,309.76
|
$10,309.76
|
2025-07-01
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
1
|
1
|
—
|
—
|
$10,242.57
|
$10,242.57
|
$10,242.57
|
2025-07-01
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
6
|
5
|
—
|
—
|
$9,367.69
|
$20,499.05
|
$10,235.27
|
2025-07-01
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
6
|
5
|
—
|
—
|
$6,572.59
|
$40,539.18
|
$10,235.08
|
2025-07-01
|
|
918
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs Without Mcc
|
1
|
1
|
—
|
—
|
$10,222.58
|
$10,222.58
|
$10,222.58
|
2025-07-01
|
|
200
|
MS_DRG
|
Pneumothorax With Cc
|
1
|
1
|
—
|
—
|
$10,075.37
|
$10,075.37
|
$10,075.37
|
2025-07-01
|
|
858
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$10,044.61
|
$10,044.61
|
$10,044.61
|
2025-07-01
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
1
|
1
|
—
|
—
|
$10,041.61
|
$10,041.61
|
$10,041.61
|
2025-07-01
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
11
|
5
|
—
|
—
|
$8,472.70
|
$29,792.47
|
$10,028.12
|
2025-07-01
|
|
437
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$10,003.67
|
$10,003.67
|
$10,003.67
|
2025-07-01
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
11
|
6
|
—
|
—
|
$4,834.14
|
$63,355.96
|
$9,997.94
|
2025-07-01
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
4
|
4
|
—
|
—
|
$9,832.81
|
$10,189.81
|
$9,987.03
|
2025-07-01
|
|
73
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders With Mcc
|
1
|
1
|
—
|
—
|
$9,986.59
|
$9,986.59
|
$9,986.59
|
2025-07-01
|
|
805
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Mcc
|
3
|
3
|
—
|
—
|
$6,661.67
|
$14,295.09
|
$9,863.61
|
2025-07-01
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/Mcc
|
2
|
2
|
—
|
—
|
$6,502.36
|
$12,959.15
|
$9,730.75
|
2025-07-01
|
|
5223
|
OTHER
|
Level 3 Pacemaker And Similar Procedures
|
9
|
5
|
—
|
—
|
$9,372.09
|
$36,113.83
|
$9,712.40
|
2025-07-01
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
14
|
6
|
—
|
—
|
$3,500.77
|
$23,284.80
|
$9,670.42
|
2025-07-01
|
|
9304
|
OTHER
|
Inj., Cemiplimab-rwlc, 1 Mg
|
2
|
2
|
—
|
—
|
$8,784.34
|
$10,039.50
|
$9,411.92
|
2025-07-01
|
|
639
|
MS_DRG
|
Diabetes Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$7,054.94
|
$11,765.25
|
$9,410.09
|
2025-07-01
|
|
883
|
MS_DRG
|
Disorders Of Personality And Impulse Control
|
2
|
2
|
—
|
—
|
$6,676.62
|
$11,863.43
|
$9,270.02
|
2025-07-01
|
|
305
|
MS_DRG
|
Hypertension Without Mcc
|
3
|
2
|
—
|
—
|
$5,553.65
|
$9,487.39
|
$9,255.93
|
2025-07-01
|
|
9378
|
OTHER
|
Daratumumab, Hyaluronidase
|
3
|
2
|
—
|
—
|
$9,132.33
|
$9,295.44
|
$9,239.66
|
2025-07-01
|
|
69
|
MS_DRG
|
Transient Ischemia Without Thrombolytic
|
4
|
3
|
—
|
—
|
$1,347.61
|
$12,388.33
|
$9,237.92
|
2025-07-01
|
|
115
|
MS_DRG
|
Extraocular Procedures Except Orbit
|
2
|
2
|
—
|
—
|
$6,458.24
|
$11,928.44
|
$9,193.34
|
2025-07-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
1
|
1
|
—
|
—
|
$9,189.47
|
$9,189.47
|
$9,189.47
|
2025-07-01
|
|
304
|
MS_DRG
|
Hypertension With Mcc
|
1
|
1
|
—
|
—
|
$9,098.67
|
$9,098.67
|
$9,098.67
|
2025-07-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
1
|
1
|
—
|
—
|
$9,068.96
|
$9,068.96
|
$9,068.96
|
2025-07-01
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
8
|
6
|
—
|
—
|
$2,658.68
|
$53,918.56
|
$9,057.81
|
2025-07-01
|
|
894
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence, Left Ama
|
5
|
4
|
—
|
—
|
$5,087.81
|
$43,495.65
|
$9,009.36
|
2025-07-01
|
|
757
|
MS_DRG
|
Infections, Female Reproductive System With Mcc
|
1
|
1
|
—
|
—
|
$9,001.80
|
$9,001.80
|
$9,001.80
|
2025-07-01
|
|
313
|
MS_DRG
|
Chest Pain
|
4
|
3
|
—
|
—
|
$6,119.11
|
$13,465.00
|
$8,999.90
|
2025-07-01
|
|
197
|
MS_DRG
|
Interstitial Lung Disease With Cc
|
1
|
1
|
—
|
—
|
$8,941.81
|
$8,941.81
|
$8,941.81
|
2025-07-01
|
|
352
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$8,845.09
|
$8,845.09
|
$8,845.09
|
2025-07-01
|
|
9143
|
OTHER
|
Inj Acetaminophen -fresenius
|
26
|
12
|
—
|
—
|
$824.68
|
$28,333.25
|
$8,813.58
|
2025-07-01
|
|
436
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Cc
|
1
|
1
|
—
|
—
|
$8,772.36
|
$8,772.36
|
$8,772.36
|
2025-07-01
|
|
300
|
MS_DRG
|
Peripheral Vascular Disorders With Cc
|
5
|
4
|
—
|
—
|
$6,503.08
|
$16,910.73
|
$8,716.95
|
2025-07-01
|
|
244
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$3,444.31
|
$13,854.75
|
$8,649.53
|
2025-07-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
1
|
1
|
—
|
—
|
$8,649.22
|
$8,649.22
|
$8,649.22
|
2025-07-01
|
|
750
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures Without Cc/Mcc
|
3
|
3
|
—
|
—
|
$5,337.96
|
$9,608.32
|
$8,625.67
|
2025-07-01
|
|
687
|
MS_DRG
|
Kidney And Urinary Tract Neoplasms With Cc
|
2
|
1
|
—
|
—
|
$8,564.09
|
$8,592.27
|
$8,578.18
|
2025-07-01
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without Mcc
|
5
|
4
|
—
|
—
|
$1,358.66
|
$18,673.38
|
$8,535.66
|
2025-07-01
|
|
644
|
MS_DRG
|
Endocrine Disorders With Cc
|
3
|
3
|
—
|
—
|
$7,077.08
|
$28,212.06
|
$8,511.31
|
2025-07-01
|
|
1476
|
OTHER
|
Obinutuzumab Inj
|
4
|
4
|
—
|
—
|
$7,523.16
|
$10,400.70
|
$8,424.03
|
2025-07-01
|
|
920
|
MS_DRG
|
Complications Of Treatment With Cc
|
2
|
2
|
—
|
—
|
$8,332.59
|
$8,484.82
|
$8,408.70
|
2025-07-01
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
11
|
6
|
—
|
—
|
$6,157.90
|
$19,465.11
|
$8,383.86
|
2025-07-01
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
10
|
6
|
—
|
—
|
$7,982.06
|
$32,238.09
|
$8,383.73
|
2025-07-01
|
|
863
|
MS_DRG
|
Postoperative And Post-traumatic Infections Without Mcc
|
1
|
1
|
—
|
—
|
$8,319.05
|
$8,319.05
|
$8,319.05
|
2025-07-01
|
|
78
|
MS_DRG
|
Hypertensive Encephalopathy With Cc
|
2
|
2
|
—
|
—
|
$8,203.17
|
$8,365.57
|
$8,284.37
|
2025-07-01
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
4
|
3
|
—
|
—
|
$7,762.88
|
$8,393.38
|
$8,278.87
|
2025-07-01
|
|
375
|
MS_DRG
|
Digestive Malignancy With Cc
|
3
|
2
|
—
|
—
|
$6,954.15
|
$20,400.70
|
$8,228.73
|
2025-07-01
|
|
807
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c Without Cc/Mcc
|
8
|
7
|
—
|
—
|
$6,615.00
|
$14,333.36
|
$8,162.68
|
2025-07-01
|
|
369
|
MS_DRG
|
Major Esophageal Disorders With Cc
|
1
|
1
|
—
|
—
|
$8,138.41
|
$8,138.41
|
$8,138.41
|
2025-07-01
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
2
|
2
|
—
|
—
|
$8,049.33
|
$8,200.19
|
$8,124.76
|
2025-07-01
|
|
607
|
MS_DRG
|
Minor Skin Disorders Without Mcc
|
1
|
1
|
—
|
—
|
$8,007.89
|
$8,007.89
|
$8,007.89
|
2025-07-01
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
4
|
4
|
—
|
—
|
$6,137.62
|
$17,618.81
|
$7,932.61
|
2025-07-01
|
|
433
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Cc
|
4
|
2
|
—
|
—
|
$4,228.75
|
$8,465.25
|
$7,928.13
|
2025-07-01
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
6
|
5
|
—
|
—
|
$4,891.72
|
$12,689.79
|
$7,926.15
|
2025-07-01
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
3
|
1
|
—
|
—
|
$7,914.80
|
$17,522.39
|
$7,920.00
|
2025-07-01
|
|
598
|
MS_DRG
|
Malignant Breast Disorders With Cc
|
1
|
1
|
—
|
—
|
$7,890.23
|
$7,890.23
|
$7,890.23
|
2025-07-01
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
4
|
3
|
—
|
—
|
$4,987.99
|
$8,442.79
|
$7,836.60
|
2025-07-01
|
|
58
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia With Mcc
|
3
|
2
|
—
|
—
|
$6,201.35
|
$13,351.62
|
$7,799.69
|
2025-07-01
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
6
|
3
|
—
|
—
|
$2,270.88
|
$13,211.96
|
$7,798.03
|
2025-07-01
|
|
9474
|
OTHER
|
Inj Irinotecan Liposome 1 Mg
|
3
|
3
|
—
|
—
|
$2,792.26
|
$23,985.45
|
$7,731.30
|
2025-07-01
|
|
5222
|
OTHER
|
Level 2 Pacemaker And Similar Procedures
|
20
|
8
|
—
|
—
|
$3,269.41
|
$10,236.03
|
$7,723.95
|
2025-07-01
|
|
0800
|
RC
|
Leuprolide Acetate
|
1
|
1
|
—
|
—
|
$7,694.80
|
$7,694.80
|
$7,694.80
|
2025-07-01
|
|
572
|
MS_DRG
|
Skin Debridement Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$7,620.29
|
$7,620.29
|
$7,620.29
|
2025-07-01
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
9
|
5
|
—
|
—
|
$1,293.85
|
$16,353.82
|
$7,550.58
|
2025-07-01
|
|
101
|
MS_DRG
|
Seizures Without Mcc
|
2
|
2
|
—
|
—
|
$7,468.94
|
$7,623.15
|
$7,546.05
|
2025-07-01
|
|
919
|
MS_DRG
|
Complications Of Treatment With Mcc
|
2
|
2
|
—
|
—
|
$5,269.98
|
$9,766.67
|
$7,518.32
|
2025-07-01
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
1
|
1
|
—
|
—
|
$7,460.69
|
$7,460.69
|
$7,460.69
|
2025-07-01
|
|
137
|
MS_DRG
|
Mouth Procedures With Cc/Mcc
|
1
|
1
|
—
|
—
|
$7,452.74
|
$7,452.74
|
$7,452.74
|
2025-07-01
|
|
660
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Cc
|
1
|
1
|
—
|
—
|
$7,389.98
|
$7,389.98
|
$7,389.98
|
2025-07-01
|
|
866
|
MS_DRG
|
Viral Illness Without Mcc
|
4
|
2
|
—
|
—
|
$7,036.64
|
$18,118.94
|
$7,368.56
|
2025-07-01
|
|
75
|
MS_DRG
|
Viral Meningitis With Cc/Mcc
|
1
|
1
|
—
|
—
|
$7,340.05
|
$7,340.05
|
$7,340.05
|
2025-07-01
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without Mcc
|
2
|
2
|
—
|
—
|
$7,168.89
|
$7,420.39
|
$7,294.64
|
2025-07-01
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
3
|
2
|
—
|
—
|
$6,719.94
|
$7,245.15
|
$7,242.25
|
2025-07-01
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
2
|
2
|
—
|
—
|
$7,024.61
|
$7,452.74
|
$7,238.67
|
2025-07-01
|
|
768
|
MS_DRG
|
Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c
|
3
|
3
|
—
|
—
|
$6,527.08
|
$9,320.91
|
$7,232.75
|
2025-07-01
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
17
|
11
|
—
|
—
|
$1,826.65
|
$29,042.74
|
$7,171.56
|
2025-07-01
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
8
|
4
|
—
|
—
|
$5,028.94
|
$12,830.56
|
$7,170.45
|
2025-07-01
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
7
|
4
|
—
|
—
|
$5,633.80
|
$20,594.05
|
$7,137.10
|
2025-07-01
|
|
728
|
MS_DRG
|
Inflammation Of The Male Reproductive System Without Mcc
|
1
|
1
|
—
|
—
|
$7,048.45
|
$7,048.45
|
$7,048.45
|
2025-07-01
|
|
760
|
MS_DRG
|
Menstrual And Other Female Reproductive System Disorders With Cc/Mcc
|
1
|
1
|
—
|
—
|
$7,032.12
|
$7,032.12
|
$7,032.12
|
2025-07-01
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
5
|
4
|
—
|
—
|
$5,556.35
|
$13,792.37
|
$7,030.04
|
2025-07-01
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
2
|
2
|
—
|
—
|
$6,894.73
|
$7,152.08
|
$7,023.40
|
2025-07-01
|
|
882
|
MS_DRG
|
Neuroses Except Depressive
|
10
|
6
|
—
|
—
|
$2,192.78
|
$8,558.88
|
$7,014.08
|
2025-07-01
|
|
885
|
MS_DRG
|
Psychoses
|
21
|
13
|
—
|
—
|
$2,889.76
|
$18,194.66
|
$7,009.49
|
2025-07-01
|
|
9186
|
OTHER
|
Inj., Rituximab, 10 Mg
|
2
|
2
|
—
|
—
|
$5,709.56
|
$8,231.55
|
$6,970.56
|
2025-07-01
|
|
9430
|
OTHER
|
Piflu F-18, Dia 1 Millicurie
|
15
|
6
|
—
|
—
|
$1,171.11
|
$20,786.19
|
$6,958.67
|
2025-07-01
|
|
9290
|
OTHER
|
Inj, Bupivacaine, Nos, 0.5mg
|
24
|
11
|
—
|
—
|
$824.68
|
$33,417.85
|
$6,941.91
|
2025-07-01
|
|
5594
|
OTHER
|
Level 4 Nuclear Medicine And Related Services
|
25
|
12
|
—
|
—
|
$554.37
|
$15,045.56
|
$6,914.50
|
2025-07-01
|
|
756
|
MS_DRG
|
Malignancy, Female Reproductive System Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$6,293.91
|
$7,465.94
|
$6,879.92
|
2025-07-01
|
|
554
|
MS_DRG
|
Bone Diseases And Arthropathies Without Mcc
|
3
|
2
|
—
|
—
|
$6,674.04
|
$7,001.64
|
$6,874.52
|
2025-07-01
|
|
1297
|
OTHER
|
Ferumoxytol, Non-esrd
|
1
|
1
|
—
|
—
|
$6,873.66
|
$6,873.66
|
$6,873.66
|
2025-07-01
|
|
5212
|
OTHER
|
Level 2 Electrophysiologic Procedures
|
2
|
1
|
—
|
—
|
$6,791.15
|
$6,793.44
|
$6,792.30
|
2025-07-01
|
|
661
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$5,577.64
|
$7,992.44
|
$6,785.04
|
2025-07-01
|
|
565
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
|
1
|
1
|
—
|
—
|
$6,772.28
|
$6,772.28
|
$6,772.28
|
2025-07-01
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
5
|
4
|
—
|
—
|
$6,511.36
|
$10,257.85
|
$6,733.11
|
2025-07-01
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
7
|
5
|
—
|
—
|
$5,117.16
|
$69,505.43
|
$6,720.05
|
2025-07-01
|
|
9487
|
OTHER
|
Ustekinumab, IV Inject,1 Mg
|
6
|
4
|
—
|
—
|
$4,115.73
|
$22,414.55
|
$6,713.97
|
2025-07-01
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
6
|
5
|
—
|
—
|
$5,145.32
|
$8,661.31
|
$6,701.68
|
2025-07-01
|
|
880
|
MS_DRG
|
Acute Adjustment Reaction And Psychosocial Dysfunction
|
7
|
6
|
—
|
—
|
$4,877.88
|
$21,890.74
|
$6,682.36
|
2025-07-01
|
|
806
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Cc
|
5
|
4
|
—
|
—
|
$6,108.60
|
$11,833.50
|
$6,674.32
|
2025-07-01
|
|
125
|
MS_DRG
|
Other Disorders Of The Eye Without Mcc
|
1
|
1
|
—
|
—
|
$6,670.17
|
$6,670.17
|
$6,670.17
|
2025-07-01
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
10
|
6
|
—
|
—
|
$4,645.38
|
$12,595.64
|
$6,647.99
|
2025-07-01
|
|
45
|
MS_DRG
|
Neurological Eye Disorders
|
2
|
2
|
—
|
—
|
$6,624.44
|
$6,624.44
|
$6,624.44
|
2025-07-01
|