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Hospital

SAGEWEST HEALTH CARE

Riverton, WY · CCN 530008 · Rates published

956 distinct procedures filed
5 distinct payers
30,854 rate rows
2025-01-01 last MRF observed · ⚠ 17 mo old
Data quality

552 of 30,854 rate rows are consumer-grade (1.8%)

30,302 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 30,302

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old.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://hospitalpricedisclosure.com/download.aspx?pi=aoYxoUPTxKbYJUPeM0nw6A*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?pi=aoYxoUPTxKbYJUPeM0nw6A*-*
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 460d124c0325d132… · 5,650,783 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
291
MS_DRG 		Heart Failure And Shock With Mcc 1 $107,969.27 $107,969.27 $107,969.27 nat. median
$13,522
outlier · 8.0×
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 1 $87,137.98 $87,137.98 $87,137.98 nat. median
$20,059
outlier · 4.3×
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 2 $12,632.48 $155,844.46 $84,238.47 nat. median
$11,105
outlier · 7.6×
5116
OTHER 		Level 6 Musculoskeletal Procedures 1 $75,395.35 $75,395.35 $75,395.35 nat. median
$18,574
outlier · 4.1×
742
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 1 $68,962.28 $68,962.28 $68,962.28 nat. median
$18,902
outlier · 3.6×
419
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 1 $60,071.45 $60,071.45 $60,071.45 nat. median
$14,421
outlier · 4.2×
786
MS_DRG 		Cesarean Section Without Sterilization With Mcc 1 $56,478.64 $56,478.64 $56,478.64 nat. median
$15,316
outlier · 3.7×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 1 $49,261.59 $49,261.59 $49,261.59 nat. median
$44,810
1.1× median
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 2 $34,619.37 $62,390.44 $48,504.90 nat. median
$11,700
outlier · 4.1×
897
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 1 $46,430.13 $46,430.13 $46,430.13 nat. median
$8,726
outlier · 5.3×
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 $45,627.58 $45,627.58 $45,627.58 nat. median
$19,476
outlier · 2.3×
5114
OTHER 		Level 4 Musculoskeletal Procedures 2 $14,167.82 $73,639.56 $43,903.69 nat. median
$8,090
outlier · 5.4×
863
MS_DRG 		Postoperative And Post-traumatic Infections Without Mcc 1 $40,091.62 $40,091.62 $40,091.62 nat. median
$10,815
outlier · 3.7×
5155
OTHER 		Level 5 Airway Endoscopy 1 $39,588.83 $39,588.83 $39,588.83 nat. median
$7,444
outlier · 5.3×
439
MS_DRG 		Disorders Of Pancreas Except Malignancy With Cc 2 $28,436.52 $45,757.27 $37,096.89 nat. median
$9,521
outlier · 3.9×
682
MS_DRG 		Renal Failure With Mcc 1 $35,951.50 $35,951.50 $35,951.50 nat. median
$15,223
outlier · 2.4×
507
MS_DRG 		Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 1 $35,468.62 $35,468.62 $35,468.62 nat. median
$19,277
1.8× median
5362
OTHER 		Level 2 Laparoscopy And Related Services 3 $25,082.09 $54,370.09 $34,910.68 nat. median
$11,212
outlier · 3.1×
641
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 1 $33,035.36 $33,035.36 $33,035.36 nat. median
$8,665
outlier · 3.8×
154
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 1 $30,455.66 $30,455.66 $30,455.66 nat. median
$16,089
1.9× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/Mcc 1 $30,412.36 $30,412.36 $30,412.36 nat. median
$17,704
1.7× median
352
MS_DRG 		Inguinal And Femoral Hernia Procedures Without Cc/Mcc 1 $29,934.06 $29,934.06 $29,934.06 nat. median
$12,154
outlier · 2.5×
5361
OTHER 		Level 1 Laparoscopy And Related Services 3 $21,408.26 $38,074.02 $29,687.14 nat. median
$6,691
outlier · 4.4×
788
MS_DRG 		Cesarean Section Without Sterilization Without Cc/Mcc 3 $23,768.27 $34,072.60 $27,412.98 nat. median
$10,164
outlier · 2.7×
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 2 $14,164.66 $46,667.10 $26,101.00 nat. median
$13,648
1.9× median
743
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 1 $25,414.93 $25,414.93 $25,414.93 nat. median
$13,187
1.9× median
5342
OTHER 		Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 1 $23,966.91 $23,966.91 $23,966.91 nat. median
$6,950
outlier · 3.4×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 1 $23,108.54 $23,108.54 $23,108.54 nat. median
$24,346
0.9× median
638
MS_DRG 		Diabetes With Cc 3 $19,328.70 $24,662.51 $23,068.80 nat. median
$9,826
outlier · 2.3×
176
MS_DRG 		Pulmonary Embolism Without Mcc 1 $22,304.54 $22,304.54 $22,304.54 nat. median
$9,177
outlier · 2.4×
5414
OTHER 		Level 4 Gynecologic Procedures 1 $22,090.22 $22,169.58 $22,129.90 nat. median
$3,545
outlier · 6.2×
639
MS_DRG 		Diabetes Without Cc/Mcc 1 $22,116.55 $22,116.55 $22,116.55 nat. median
$7,257
outlier · 3.0×
395
MS_DRG 		Other Digestive System Diagnoses Without Cc/Mcc 1 $10,188.81 $33,980.19 $22,084.50 nat. median
$7,530
outlier · 2.9×
784
MS_DRG 		Cesarean Section With Sterilization With Cc 1 $21,611.81 $21,611.81 $21,611.81 nat. median
$11,116
1.9× median
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 1 $21,590.00 $21,590.00 $21,590.00 nat. median
$13,246
1.6× median
768
MS_DRG 		Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c 1 $21,507.68 $21,507.68 $21,507.68 nat. median
$10,536
outlier · 2.0×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 $19,215.49 $23,488.32 $21,351.90 nat. median
$19,635
1.1× median
690
MS_DRG 		Kidney And Urinary Tract Infections Without Mcc 1 $15,827.67 $26,197.33 $21,012.50 nat. median
$8,979
outlier · 2.3×
785
MS_DRG 		Cesarean Section With Sterilization Without Cc/Mcc 1 $19,214.01 $22,126.53 $20,670.27 nat. median
$10,028
outlier · 2.1×
175
MS_DRG 		Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 1 $20,059.08 $20,059.08 $20,059.08 nat. median
$14,625
1.4× median
5164
OTHER 		Level 4 ENT Procedures 2 $17,216.10 $24,995.29 $19,679.91 nat. median
$3,497
outlier · 5.6×
443
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 1 $12,227.70 $26,467.62 $19,347.66 nat. median
$8,115
outlier · 2.4×
5313
OTHER 		Level 3 Lower Gi Procedures 2 $14,284.95 $30,455.21 $19,321.03 nat. median
$3,119
outlier · 6.2×
392
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 1 $13,574.18 $24,994.70 $19,284.44 nat. median
$8,731
outlier · 2.2×
812
MS_DRG 		Red Blood Cell Disorders Without Mcc 1 $19,087.51 $19,087.51 $19,087.51 nat. median
$9,870
1.9× median
5113
OTHER 		Level 3 Musculoskeletal Procedures 3 $10,998.38 $23,088.87 $18,790.45 nat. median
$4,273
outlier · 4.4×
5073
OTHER 		Level 3 Excision/ Biopsy/ Incision And Drainage 1 $12,966.47 $22,344.29 $17,655.38 nat. median
$3,139
outlier · 5.6×
316
MS_DRG 		Other Circulatory System Diagnoses Without Cc/Mcc 1 $17,408.73 $17,408.73 $17,408.73 nat. median
$7,973
outlier · 2.2×
394
MS_DRG 		Other Digestive System Diagnoses With Cc 1 $14,978.53 $14,978.53 $14,978.53 nat. median
$10,260
1.5× median
5153
OTHER 		Level 3 Airway Endoscopy 1 $14,449.98 $14,449.98 $14,449.98 nat. median
$1,878
outlier · 7.7×

Other procedures at this hospital

Browse this hospital's 956 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
             
291 MS_DRG Heart Failure And Shock With Mcc 2 1 — — $107,969.27 $107,969.27 $107,969.27 2025-01-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 2 1 — — $87,137.98 $87,137.98 $87,137.98 2025-01-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 4 2 — — $12,632.48 $155,844.46 $84,238.47 2025-01-01
5116 OTHER Level 6 Musculoskeletal Procedures 2 1 — — $75,395.35 $75,395.35 $75,395.35 2025-01-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 2 1 — — $68,962.28 $68,962.28 $68,962.28 2025-01-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 2 1 — — $60,071.45 $60,071.45 $60,071.45 2025-01-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 2 1 — — $56,478.64 $56,478.64 $56,478.64 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 1 — — $49,261.59 $49,261.59 $49,261.59 2025-01-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 4 2 — — $34,619.37 $62,390.44 $48,504.90 2025-01-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 2 1 — — $46,430.13 $46,430.13 $46,430.13 2025-01-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 1 — — $45,627.58 $45,627.58 $45,627.58 2025-01-01
5114 OTHER Level 4 Musculoskeletal Procedures 4 2 — — $14,167.82 $73,639.56 $43,903.69 2025-01-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 2 1 — — $40,091.62 $40,091.62 $40,091.62 2025-01-01
5155 OTHER Level 5 Airway Endoscopy 2 1 — — $39,588.83 $39,588.83 $39,588.83 2025-01-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 4 2 — — $28,436.52 $45,757.27 $37,096.89 2025-01-01
682 MS_DRG Renal Failure With Mcc 2 1 — — $35,951.50 $35,951.50 $35,951.50 2025-01-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 2 1 — — $35,468.62 $35,468.62 $35,468.62 2025-01-01
5362 OTHER Level 2 Laparoscopy And Related Services 8 3 — — $25,082.09 $54,370.09 $34,910.68 2025-01-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 2 1 — — $33,035.36 $33,035.36 $33,035.36 2025-01-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 2 1 — — $30,455.66 $30,455.66 $30,455.66 2025-01-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 2 1 — — $30,412.36 $30,412.36 $30,412.36 2025-01-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/Mcc 2 1 — — $29,934.06 $29,934.06 $29,934.06 2025-01-01
5361 OTHER Level 1 Laparoscopy And Related Services 8 3 — — $21,408.26 $38,074.02 $29,687.14 2025-01-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 6 3 — — $23,768.27 $34,072.60 $27,412.98 2025-01-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 6 2 — — $14,164.66 $46,667.10 $26,101.00 2025-01-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 2 1 — — $25,414.93 $25,414.93 $25,414.93 2025-01-01
5342 OTHER Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 2 1 — — $23,966.91 $23,966.91 $23,966.91 2025-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 1 — — $23,108.54 $23,108.54 $23,108.54 2025-01-01
638 MS_DRG Diabetes With Cc 6 3 — — $19,328.70 $24,662.51 $23,068.80 2025-01-01
176 MS_DRG Pulmonary Embolism Without Mcc 2 1 — — $22,304.54 $22,304.54 $22,304.54 2025-01-01
5414 OTHER Level 4 Gynecologic Procedures 4 1 — — $22,090.22 $22,169.58 $22,129.90 2025-01-01
639 MS_DRG Diabetes Without Cc/Mcc 2 1 — — $22,116.55 $22,116.55 $22,116.55 2025-01-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/Mcc 4 1 — — $10,188.81 $33,980.19 $22,084.50 2025-01-01
784 MS_DRG Cesarean Section With Sterilization With Cc 2 1 — — $21,611.81 $21,611.81 $21,611.81 2025-01-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 2 1 — — $21,590.00 $21,590.00 $21,590.00 2025-01-01
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c 2 1 — — $21,507.68 $21,507.68 $21,507.68 2025-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 4 1 — — $19,215.49 $23,488.32 $21,351.90 2025-01-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 4 1 — — $15,827.67 $26,197.33 $21,012.50 2025-01-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/Mcc 4 1 — — $19,214.01 $22,126.53 $20,670.27 2025-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 2 1 — — $20,059.08 $20,059.08 $20,059.08 2025-01-01
5164 OTHER Level 4 ENT Procedures 6 2 — — $17,216.10 $24,995.29 $19,679.91 2025-01-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 4 1 — — $12,227.70 $26,467.62 $19,347.66 2025-01-01
5313 OTHER Level 3 Lower Gi Procedures 6 2 — — $14,284.95 $30,455.21 $19,321.03 2025-01-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 4 1 — — $13,574.18 $24,994.70 $19,284.44 2025-01-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 2 1 — — $19,087.51 $19,087.51 $19,087.51 2025-01-01
5113 OTHER Level 3 Musculoskeletal Procedures 6 3 — — $10,998.38 $23,088.87 $18,790.45 2025-01-01
5073 OTHER Level 3 Excision/ Biopsy/ Incision And Drainage 4 1 — — $12,966.47 $22,344.29 $17,655.38 2025-01-01
316 MS_DRG Other Circulatory System Diagnoses Without Cc/Mcc 2 1 — — $17,408.73 $17,408.73 $17,408.73 2025-01-01
394 MS_DRG Other Digestive System Diagnoses With Cc 2 1 — — $14,978.53 $14,978.53 $14,978.53 2025-01-01
5153 OTHER Level 3 Airway Endoscopy 2 1 — — $14,449.98 $14,449.98 $14,449.98 2025-01-01
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 6 3 — — $489.35 $16,867.37 $14,296.51 2025-01-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 2 1 — — $14,202.34 $14,202.34 $14,202.34 2025-01-01
203 MS_DRG Bronchitis And Asthma Without Cc/Mcc 2 1 — — $14,141.56 $14,141.56 $14,141.56 2025-01-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/Mcc 2 1 — — $13,626.71 $13,626.71 $13,626.71 2025-01-01
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 2 1 — — $13,442.54 $13,442.54 $13,442.54 2025-01-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 4 2 — — $9,835.56 $16,346.27 $13,090.92 2025-01-01
761 MS_DRG Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc 2 1 — — $13,032.85 $13,032.85 $13,032.85 2025-01-01
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 4 2 — — $9,189.68 $16,058.07 $12,623.88 2025-01-01
5091 OTHER Level 1 Breast/Lymphatic Surgery And Related Procedures 2 1 — — $12,577.29 $12,577.29 $12,577.29 2025-01-01
603 MS_DRG Cellulitis Without Mcc 2 1 — — $12,477.23 $12,477.23 $12,477.23 2025-01-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 2 1 — — $12,251.67 $12,251.67 $12,251.67 2025-01-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 2 1 — — $11,749.34 $11,749.34 $11,749.34 2025-01-01
5183 OTHER Level 3 Vascular Procedures 2 1 — — $11,682.59 $11,682.59 $11,682.59 2025-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 2 1 — — $11,624.89 $11,624.89 $11,624.89 2025-01-01
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/Mcc 8 3 — — $6,502.77 $14,958.76 $11,158.33 2025-01-01
305 MS_DRG Hypertension Without Mcc 2 1 — — $11,139.91 $11,139.91 $11,139.91 2025-01-01
5163 OTHER Level 3 ENT Procedures 2 1 — — $10,774.30 $10,774.30 $10,774.30 2025-01-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/Mcc 2 1 — — $10,553.79 $10,553.79 $10,553.79 2025-01-01
5593 OTHER Level 3 Nuclear Medicine And Related Services 6 2 — — $2,386.34 $11,414.91 $10,222.27 2025-01-01
5052 OTHER Level 2 Skin Procedures 2 1 — — $9,760.60 $9,760.60 $9,760.60 2025-01-01
389 MS_DRG Gastrointestinal Obstruction With Cc 2 1 — — $9,127.92 $9,127.92 $9,127.92 2025-01-01
5115 OTHER Level 5 Musculoskeletal Procedures 8 3 — — $567.86 $103,079.95 $9,118.63 2025-01-01
779 MS_DRG Abortion Without D&c 2 1 — — $9,107.07 $9,107.07 $9,107.07 2025-01-01
5053 OTHER Level 3 Skin Procedures 2 1 — — $8,485.89 $8,485.89 $8,485.89 2025-01-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 4 2 — — $2,789.58 $13,751.69 $8,270.64 2025-01-01
607 MS_DRG Minor Skin Disorders Without Mcc 2 1 — — $7,731.11 $7,731.11 $7,731.11 2025-01-01
5025 OTHER Level 5 Type A Ed Visits 12 5 — — $3,654.70 $10,682.49 $7,665.20 2025-01-01
5415 OTHER Level 5 Gynecologic Procedures 6 2 — — $4,108.57 $16,568.60 $5,891.39 2025-01-01
5312 OTHER Level 2 Lower Gi Procedures 10 4 — — $3,582.90 $6,711.41 $5,806.64 2025-01-01
5302 OTHER Level 2 Upper Gi Procedures 6 2 — — $3,713.96 $5,859.20 $5,749.96 2025-01-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 4 1 — — $454.36 $10,584.07 $5,519.21 2025-01-01
5573 OTHER Level 3 Imaging With Contrast 4 2 — — $3,979.52 $6,850.95 $5,415.23 2025-01-01
5572 OTHER Level 2 Imaging With Contrast 10 4 — — $3,617.83 $6,743.66 $5,238.85 2025-01-01
5301 OTHER Level 1 Upper Gi Procedures 8 3 — — $4,374.99 $6,423.93 $4,401.26 2025-01-01
792 MS_DRG Prematurity Without Major Problems 4 2 — — $2,076.90 $6,128.45 $4,102.68 2025-01-01
5024 OTHER Level 4 Type A Ed Visits 12 5 — — $3,125.73 $7,923.29 $4,011.30 2025-01-01
5311 OTHER Level 1 Lower Gi Procedures 10 4 — — $2,685.38 $6,483.35 $3,910.29 2025-01-01
5112 OTHER Level 2 Musculoskeletal Procedures 2 1 — — $3,841.93 $3,841.93 $3,841.93 2025-01-01
794 MS_DRG Neonate With Other Significant Problems 4 1 — — $1,654.41 $5,824.03 $3,739.22 2025-01-01
5591 OTHER Level 1 Nuclear Medicine And Related Services 6 3 — — $2,712.14 $4,122.44 $3,630.13 2025-01-01
5692 OTHER Level 2 Drug Administration 4 2 — — $338.34 $6,832.83 $3,585.59 2025-01-01
5071 OTHER Level 1 Excision/ Biopsy/ Incision And Drainage 8 3 — — $2,044.76 $7,848.35 $3,546.93 2025-01-01
5524 OTHER Level 4 Imaging Without Contrast 10 4 — — $2,424.60 $5,762.02 $3,509.91 2025-01-01
998 MS_DRG Principal Diagnosis Invalid As Discharge Diagnosis 2 1 — — $3,501.80 $3,501.80 $3,501.80 2025-01-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc 2 1 — — $3,400.59 $3,400.59 $3,400.59 2025-01-01
5592 OTHER Level 2 Nuclear Medicine And Related Services 2 1 — — $3,261.62 $3,261.62 $3,261.62 2025-01-01
5523 OTHER Level 3 Imaging Without Contrast 10 4 — — $2,097.20 $4,437.56 $3,004.04 2025-01-01
5241 OTHER Level 1 Blood Product Exchange And Related Services 2 1 — — $2,955.38 $2,955.38 $2,955.38 2025-01-01
5072 OTHER Level 2 Excision/ Biopsy/ Incision And Drainage 8 3 — — $1,296.83 $9,838.84 $2,943.89 2025-01-01
5571 OTHER Level 1 Imaging With Contrast 8 3 — — $2,063.26 $6,424.68 $2,942.27 2025-01-01
5691 OTHER Level 1 Drug Administration 4 1 — — $1,102.44 $4,763.21 $2,932.82 2025-01-01
5781 OTHER Resuscitation And Cardioversion 4 2 — — $875.21 $4,981.59 $2,928.40 2025-01-01
5181 OTHER Level 1 Vascular Procedures 2 1 — — $2,541.31 $2,541.31 $2,541.31 2025-01-01
5182 OTHER Level 2 Vascular Procedures 4 1 — — $512.95 $4,023.56 $2,268.26 2025-01-01
5734 OTHER Level 4 Minor Procedures 8 3 — — $1,532.99 $2,773.73 $2,213.41 2025-01-01
5693 OTHER Level 3 Drug Administration 8 3 — — $1,065.89 $27,183.53 $1,941.68 2025-01-01
5771 OTHER Cardiac Rehabilitation 8 3 — — $736.50 $2,329.30 $1,877.70 2025-01-01
9501 OTHER Platelet Pheres Leukoreduced 2 1 — — $1,864.87 $1,864.87 $1,864.87 2025-01-01
5441 OTHER Level 1 Nerve Injections 4 2 — — $1,739.15 $1,962.10 $1,850.62 2025-01-01
5442 OTHER Level 2 Nerve Injections 4 2 — — $1,221.43 $2,037.87 $1,629.65 2025-01-01
795 MS_DRG Normal Newborn 2 1 — — $1,520.09 $1,520.09 $1,520.09 2025-01-01
5522 OTHER Level 2 Imaging Without Contrast 12 5 — — $982.23 $2,620.35 $1,441.70 2025-01-01
5443 OTHER Level 3 Nerve Injections 2 1 — — $1,395.46 $1,395.46 $1,395.46 2025-01-01
5051 OTHER Level 1 Skin Procedures 2 1 — — $1,384.54 $1,384.54 $1,384.54 2025-01-01
5023 OTHER Level 3 Type A Ed Visits 12 5 — — $783.92 $2,277.94 $1,302.78 2025-01-01
0753 OTHER Inj Cefazolin (wg Crit Care) 2 1 — — $1,262.36 $1,262.36 $1,262.36 2025-01-01
5722 OTHER Level 2 Diagnostic Tests And Related Services 2 1 — — $1,220.05 $1,220.05 $1,220.05 2025-01-01
5022 OTHER Level 2 Type A Ed Visits 8 3 — — $820.64 $2,020.75 $1,200.08 2025-01-01
5021 OTHER Level 1 Type A Ed Visits 8 3 — — $539.45 $1,517.07 $1,045.12 2025-01-01
N801 OTHER Therapy Services 2 1 — — $987.14 $987.14 $987.14 2025-01-01
5671 OTHER Level 1 Pathology 2 1 — — $975.13 $975.13 $975.13 2025-01-01
5733 OTHER Level 3 Minor Procedures 8 3 — — $778.05 $1,230.78 $909.90 2025-01-01
5521 OTHER Level 1 Imaging Without Contrast 8 3 — — $440.60 $1,089.33 $711.62 2025-01-01
637 MS_DRG Diabetes With Mcc 2 1 — — $600.43 $600.43 $600.43 2025-01-01
N800 OTHER Clinical Diagnostic Lab Services 10 4 — — $384.73 $714.42 $565.31 2025-01-01
5411 OTHER Level 1 Gynecologic Procedures 10 4 — — $303.60 $1,272.16 $536.28 2025-01-01
N804 OTHER Mammography Services 10 4 — — $325.80 $619.05 $471.66 2025-01-01
5673 OTHER Level 3 Pathology 2 1 — — $453.74 $453.74 $453.74 2025-01-01
N902 OTHER Packaged Services 6 3 — — $218.28 $262.99 $233.55 2025-01-01
N900 OTHER Non-covered Services 2 1 — — $201.66 $201.66 $201.66 2025-01-01
215 MS_DRG Other Heart Assist System Implant 0 0 — — — — — 2025-01-01
214 MS_DRG No Longer Valid 0 0 — — — — — 2025-01-01
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc 0 0 — — — — — 2025-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 0 0 — — — — — 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 0 0 — — — — — 2025-01-01
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 0 0 — — — — — 2025-01-01
126 MS_DRG Acute & Subacute Endocarditis 0 0 — — — — — 2025-01-01
211 MS_DRG Hip & Femur Procedures Except Major Joint Age >17 Without Cc 0 0 — — — — — 2025-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 0 0 — — — — — 2025-01-01
210 MS_DRG Hip & Femur Procedures Except Major Joint Age >17 W Cc 0 0 — — — — — 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 0 0 — — — — — 2025-01-01
209 MS_DRG Complex Aortic Arch Procedures 0 0 — — — — — 2025-01-01
153 MS_DRG Otitis Media And Uri Without Mcc 0 0 — — — — — 2025-01-01
125 MS_DRG Other Disorders Of The Eye Without Mcc 0 0 — — — — — 2025-01-01
111 MS_DRG Major Cardiovascular Procedures Without Cc 0 0 — — — — — 2025-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 0 0 — — — — — 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 0 0 — — — — — 2025-01-01
152 MS_DRG Otitis Media And Uri With Mcc 0 0 — — — — — 2025-01-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 0 0 — — — — — 2025-01-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 0 0 — — — — — 2025-01-01
151 MS_DRG Epistaxis Without Mcc 0 0 — — — — — 2025-01-01
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 0 0 — — — — — 2025-01-01
204 MS_DRG Respiratory Signs And Symptoms 0 0 — — — — — 2025-01-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 0 0 — — — — — 2025-01-01
150 MS_DRG Epistaxis With Mcc 0 0 — — — — — 2025-01-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 0 0 — — — — — 2025-01-01
201 MS_DRG Pneumothorax Without Cc/Mcc 0 0 — — — — — 2025-01-01
149 MS_DRG Dysequilibrium 0 0 — — — — — 2025-01-01
123 MS_DRG Neurological Eye Disorders 0 0 — — — — — 2025-01-01
110 MS_DRG Major Cardiovascular Procedures W Cc 0 0 — — — — — 2025-01-01
104 MS_DRG Cardiac Valve & Oth Major Cardiothoracic Proc W Cardiac Cath 0 0 — — — — — 2025-01-01
200 MS_DRG Pneumothorax With Cc 0 0 — — — — — 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 0 0 — — — — — 2025-01-01
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc 0 0 — — — — — 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 0 0 — — — — — 2025-01-01
199 MS_DRG Pneumothorax With Mcc 0 0 — — — — — 2025-01-01
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 0 0 — — — — — 2025-01-01
122 MS_DRG Acute Major Eye Infections Without Cc/Mcc 0 0 — — — — — 2025-01-01
198 MS_DRG Interstitial Lung Disease Without Cc/Mcc 0 0 — — — — — 2025-01-01
197 MS_DRG Interstitial Lung Disease With Cc 0 0 — — — — — 2025-01-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 0 0 — — — — — 2025-01-01
196 MS_DRG Interstitial Lung Disease With Mcc 0 0 — — — — — 2025-01-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 0 0 — — — — — 2025-01-01
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
121 MS_DRG Acute Major Eye Infections With Cc/Mcc 0 0 — — — — — 2025-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 0 0 — — — — — 2025-01-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 0 0 — — — — — 2025-01-01
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/Mcc 0 0 — — — — — 2025-01-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 0 0 — — — — — 2025-01-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/Mcc 0 0 — — — — — 2025-01-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 0 0 — — — — — 2025-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 0 0 — — — — — 2025-01-01
120 MS_DRG Other Circulatory System O.r. Procedures 0 0 — — — — — 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 0 0 — — — — — 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 0 0 — — — — — 2025-01-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 0 0 — — — — — 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 0 0 — — — — — 2025-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 0 0 — — — — — 2025-01-01
188 MS_DRG Pleural Effusion Without Cc/Mcc 0 0 — — — — — 2025-01-01
141 MS_DRG Major Head And Neck Procedures With Cc 0 0 — — — — — 2025-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 0 0 — — — — — 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 0 0 — — — — — 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 0 0 — — — — — 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 0 0 — — — — — 2025-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 0 0 — — — — — 2025-01-01
109 MS_DRG No Longer Valid 0 0 — — — — — 2025-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 0 0 — — — — — 2025-01-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 0 0 — — — — — 2025-01-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 0 0 — — — — — 2025-01-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 0 0 — — — — — 2025-01-01
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 0 0 — — — — — 2025-01-01
103 MS_DRG Headaches Without Mcc 0 0 — — — — — 2025-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 0 0 — — — — — 2025-01-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 0 0 — — — — — 2025-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 0 0 — — — — — 2025-01-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 0 0 — — — — — 2025-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 0 0 — — — — — 2025-01-01
290 MS_DRG Acute And Subacute Endocarditis Without Cc/Mcc 0 0 — — — — — 2025-01-01
100 MS_DRG Seizures With Mcc 0 0 — — — — — 2025-01-01
292 MS_DRG Heart Failure And Shock With Cc 0 0 — — — — — 2025-01-01
293 MS_DRG Heart Failure And Shock Without Cc/Mcc 0 0 — — — — — 2025-01-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 0 0 — — — — — 2025-01-01
295 MS_DRG Deep Vein Thrombophlebitis Without Cc/Mcc 0 0 — — — — — 2025-01-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 0 0 — — — — — 2025-01-01
297 MS_DRG Cardiac Arrest, Unexplained With Cc 0 0 — — — — — 2025-01-01
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/Mcc 0 0 — — — — — 2025-01-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 0 0 — — — — — 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 0 0 — — — — — 2025-01-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
300 MS_DRG Peripheral Vascular Disorders With Cc 0 0 — — — — — 2025-01-01
301 MS_DRG Peripheral Vascular Disorders Without Cc/Mcc 0 0 — — — — — 2025-01-01
302 MS_DRG Atherosclerosis With Mcc 0 0 — — — — — 2025-01-01
303 MS_DRG Atherosclerosis Without Mcc 0 0 — — — — — 2025-01-01
304 MS_DRG Hypertension With Mcc 0 0 — — — — — 2025-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 0 0 — — — — — 2025-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 0 0 — — — — — 2025-01-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 0 0 — — — — — 2025-01-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 0 0 — — — — — 2025-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 0 0 — — — — — 2025-01-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc 0 0 — — — — — 2025-01-01
311 MS_DRG Angina Pectoris 0 0 — — — — — 2025-01-01
312 MS_DRG Syncope And Collapse 0 0 — — — — — 2025-01-01
313 MS_DRG Chest Pain 0 0 — — — — — 2025-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 0 0 — — — — — 2025-01-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 0 0 — — — — — 2025-01-01
187 MS_DRG Pleural Effusion With Cc 0 0 — — — — — 2025-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 0 0 — — — — — 2025-01-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 0 0 — — — — — 2025-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 0 0 — — — — — 2025-01-01
32 MS_DRG Ventricular Shunt Procedures With Cc 0 0 — — — — — 2025-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 0 0 — — — — — 2025-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 0 0 — — — — — 2025-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 0 0 — — — — — 2025-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 0 0 — — — — — 2025-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 0 0 — — — — — 2025-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 0 0 — — — — — 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 0 0 — — — — — 2025-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 0 0 — — — — — 2025-01-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 0 0 — — — — — 2025-01-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
186 MS_DRG Pleural Effusion With Mcc 0 0 — — — — — 2025-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 0 0 — — — — — 2025-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 0 0 — — — — — 2025-01-01
185 MS_DRG Major Chest Trauma Without Cc/Mcc 0 0 — — — — — 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 0 0 — — — — — 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 0 0 — — — — — 2025-01-01
184 MS_DRG Major Chest Trauma With Cc 0 0 — — — — — 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 0 0 — — — — — 2025-01-01
119 MS_DRG Vein Ligation & Stripping 0 0 — — — — — 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 0 0 — — — — — 2025-01-01
265 MS_DRG Aicd Lead Procedures 0 0 — — — — — 2025-01-01
183 MS_DRG Major Chest Trauma With Mcc 0 0 — — — — — 2025-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 0 0 — — — — — 2025-01-01
263 MS_DRG Vein Ligation And Stripping 0 0 — — — — — 2025-01-01
182 MS_DRG Respiratory Neoplasms Without Cc/Mcc 0 0 — — — — — 2025-01-01
139 MS_DRG Salivary Gland Procedures 0 0 — — — — — 2025-01-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 0 0 — — — — — 2025-01-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 0 0 — — — — — 2025-01-01
181 MS_DRG Respiratory Neoplasms With Cc 0 0 — — — — — 2025-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 0 0 — — — — — 2025-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 0 0 — — — — — 2025-01-01
180 MS_DRG Respiratory Neoplasms With Mcc 0 0 — — — — — 2025-01-01
138 MS_DRG Mouth Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
118 MS_DRG Cardiac Pacemaker Device Replacement 0 0 — — — — — 2025-01-01
108 MS_DRG Other Cardiothoracic Procedures 0 0 — — — — — 2025-01-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 0 0 — — — — — 2025-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 0 0 — — — — — 2025-01-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 0 0 — — — — — 2025-01-01
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc 0 0 — — — — — 2025-01-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 0 0 — — — — — 2025-01-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/Mcc 0 0 — — — — — 2025-01-01
137 MS_DRG Mouth Procedures With Cc/Mcc 0 0 — — — — — 2025-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 0 0 — — — — — 2025-01-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 0 0 — — — — — 2025-01-01
253 MS_DRG Other Vascular Procedures With Cc 0 0 — — — — — 2025-01-01
252 MS_DRG Other Vascular Procedures With Mcc 0 0 — — — — — 2025-01-01
136 MS_DRG Sinus And Mastoid Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
117 MS_DRG Intraocular Procedures Without Cc/Mcc 0 0 — — — — — 2025-01-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 0 0 — — — — — 2025-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 0 0 — — — — — 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 0 0 — — — — — 2025-01-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 0 0 — — — — — 2025-01-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 0 0 — — — — — 2025-01-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 0 0 — — — — — 2025-01-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 0 0 — — — — — 2025-01-01
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