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Hospital

Memorial Hermann Rehabilitation Hospital Katy

Katy, TX · CCN 673038 · Rates published

907 distinct procedures filed
8 distinct payers
21,207 rate rows
2026-04-01 last MRF observed
Data quality

179 of 21,207 rate rows are consumer-grade (0.8%)

21,028 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 21,028
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://memorialhermann.org/-/media/memorial-hermann/org/files/patients-and-visitors/cms-standard-hospital-charges/263896170_memorial-hermann-katy-rehab_standardcharges.ashx
Found on page https://memorialhermann.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-22
Content fingerprint e26c6c3a91e73145… · 6,275,675 bytes · first seen 2026-05-14

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
603
MS_DRG 		Cellulitis Without Mcc 1 $55,773.50 $55,773.50 $55,773.50 nat. median
$8,991
outlier · 6.2×
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 $35,157.87 $35,157.87 $35,157.87 nat. median
$18,115
1.9× median
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 3 $20,053.00 $46,437.47 $33,629.00 nat. median
$12,550
outlier · 2.7×
98
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 $30,287.85 $30,287.85 $30,287.85 nat. median
$21,174
1.4× median
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 1 $27,295.00 $27,295.00 $27,295.00 nat. median
$8,661
outlier · 3.2×
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 3 $18,154.50 $30,974.19 $24,043.93 nat. median
$21,152
1.1× median
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 $21,228.00 $25,522.00 $23,375.00 nat. median
$11,478
outlier · 2.0×
949
MS_DRG 		Aftercare With Cc/Mcc 3 $16,164.50 $30,338.80 $21,779.74 nat. median
$11,791
1.8× median
948
MS_DRG 		Signs And Symptoms Without Mcc 1 $21,228.00 $21,228.00 $21,228.00 nat. median
$7,971
outlier · 2.7×
947
MS_DRG 		Signs And Symptoms With Mcc 1 $19,682.05 $19,682.05 $19,682.05 nat. median
$12,113
1.6× median
5061
OTHER 		Hyperbaric Oxygen 5 $5,182.52 $126,918.00 $19,311.24 nat. median
$146
outlier · 132.2×
5573
OTHER 		Level 3 Imaging With Contrast 1 $2,890.89 $2,890.89 $2,890.89 nat. median
$868
outlier · 3.3×
5054
OTHER 		Level 4 Skin Procedures 2 $183.21 $3,368.18 $1,775.69 nat. median
$2,176
0.8× median
5724
OTHER 		Level 4 Diagnostic Tests And Related Services 5 $999.68 $3,176.00 $1,416.56 nat. median
$1,032
1.4× median
5572
OTHER 		Level 2 Imaging With Contrast 7 $351.99 $1,855.69 $1,109.09 nat. median
$477
outlier · 2.3×
5723
OTHER 		Level 3 Diagnostic Tests And Related Services 1 $1,101.72 $1,101.72 $1,101.72 nat. median
$523
outlier · 2.1×
5052
OTHER 		Level 2 Skin Procedures 7 $392.18 $5,474.99 $929.44 nat. median
$490
1.9× median
5571
OTHER 		Level 1 Imaging With Contrast 5 $175.46 $2,224.80 $718.46 nat. median
$287
outlier · 2.5×
N801
OTHER 		Therapy Services 8 $98.09 $1,645.00 $568.00 nat. median
$290
2.0× median
5101
OTHER 		Level 1 Strapping And Cast Application 1 $562.78 $562.78 $562.78 nat. median
$196
outlier · 2.9×
5051
OTHER 		Level 1 Skin Procedures 2 $418.54 $955.29 $520.05 nat. median
$239
outlier · 2.2×
0790
RC 		Inj, Methylpred Acetate 1 Mg 1 $504.34 $504.34 $504.34 nat. median
$209
outlier · 2.4×
N700
OTHER 		Non-opps Clinic Services 3 $172.40 $1,344.48 $454.61 nat. median
$137
outlier · 3.3×
5721
OTHER 		Level 1 Diagnostic Tests And Related Services 6 $153.74 $1,125.00 $399.78 nat. median
$166
outlier · 2.4×
5012
OTHER 		Clinic Visits And Related Services 6 $129.08 $3,278.16 $390.67 nat. median
$139
outlier · 2.8×
5522
OTHER 		Level 2 Imaging Without Contrast 8 $104.49 $2,314.00 $383.94 nat. median
$152
outlier · 2.5×
5523
OTHER 		Level 3 Imaging Without Contrast 8 $237.27 $1,993.00 $383.14 nat. median
$323
1.2× median
5521
OTHER 		Level 1 Imaging Without Contrast 8 $86.52 $563.41 $138.03 nat. median
$110
1.3× median
126
MS_DRG 		Acute & Subacute Endocarditis 0 — — — nat. median
$1,545
125
MS_DRG 		Other Disorders Of The Eye Without Mcc 0 — — — nat. median
$8,280
111
MS_DRG 		Major Cardiovascular Procedures Without Cc 0 — — — nat. median
$7,489
124
MS_DRG 		Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 0 — — — nat. median
$13,125
123
MS_DRG 		Neurological Eye Disorders 0 — — — nat. median
$8,522
110
MS_DRG 		Major Cardiovascular Procedures W Cc 0 — — — nat. median
$24,281
104
MS_DRG 		Cardiac Valve & Oth Major Cardiothoracic Proc W Cardiac Cath 0 — — — nat. median
$73,288
122
MS_DRG 		Acute Major Eye Infections Without Cc/Mcc 0 — — — nat. median
$7,967
121
MS_DRG 		Acute Major Eye Infections With Cc/Mcc 0 — — — nat. median
$11,743
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 0 — — — nat. median
$50,083
120
MS_DRG 		Other Circulatory System O.r. Procedures 0 — — — nat. median
$26,801
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 0 — — — nat. median
$38,719
109
MS_DRG 		No Longer Valid 0 — — — nat. median
$7,534
103
MS_DRG 		Headaches Without Mcc 0 — — — nat. median
$8,811
100
MS_DRG 		Seizures With Mcc 0 — — — nat. median
$18,371
140
MS_DRG 		Major Head And Neck Procedures With Mcc 0 — — — nat. median
$38,387
14
MS_DRG 		Allogeneic Bone Marrow Transplant 0 — — — nat. median
$110,192
119
MS_DRG 		Vein Ligation & Stripping 0 — — — nat. median
$6,320
141
MS_DRG 		Major Head And Neck Procedures With Cc 0 — — — nat. median
$20,548
142
MS_DRG 		Major Head And Neck Procedures Without Cc/Mcc 0 — — — nat. median
$15,743
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 0 — — — nat. median
$32,977
139
MS_DRG 		Salivary Gland Procedures 0 — — — nat. median
$12,801

Other procedures at this hospital

Browse this hospital's 907 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
             
0790 RC Inj, Methylpred Acetate 1 Mg 1 1 — — $504.34 $504.34 $504.34 2026-04-01
100 MS_DRG Seizures With Mcc 0 0 — — — — — 2026-04-01
102 MS_DRG Headaches With Mcc 0 0 — — — — — 2026-04-01
103 MS_DRG Headaches Without Mcc 0 0 — — — — — 2026-04-01
104 MS_DRG Cardiac Valve & Oth Major Cardiothoracic Proc W Cardiac Cath 0 0 — — — — — 2026-04-01
106 MS_DRG Coronary Bypass W Ptca 0 0 — — — — — 2026-04-01
107 MS_DRG No Longer Valid 0 0 — — — — — 2026-04-01
108 MS_DRG Other Cardiothoracic Procedures 0 0 — — — — — 2026-04-01
109 MS_DRG No Longer Valid 0 0 — — — — — 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 0 0 — — — — — 2026-04-01
110 MS_DRG Major Cardiovascular Procedures W Cc 0 0 — — — — — 2026-04-01
111 MS_DRG Major Cardiovascular Procedures Without Cc 0 0 — — — — — 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 0 0 — — — — — 2026-04-01
114 MS_DRG Orbital Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
115 MS_DRG Extraocular Procedures Except Orbit 0 0 — — — — — 2026-04-01
116 MS_DRG Intraocular Procedures With Cc/Mcc 0 0 — — — — — 2026-04-01
117 MS_DRG Intraocular Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
118 MS_DRG Cardiac Pacemaker Device Replacement 0 0 — — — — — 2026-04-01
119 MS_DRG Vein Ligation & Stripping 0 0 — — — — — 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 0 0 — — — — — 2026-04-01
120 MS_DRG Other Circulatory System O.r. Procedures 0 0 — — — — — 2026-04-01
121 MS_DRG Acute Major Eye Infections With Cc/Mcc 0 0 — — — — — 2026-04-01
122 MS_DRG Acute Major Eye Infections Without Cc/Mcc 0 0 — — — — — 2026-04-01
123 MS_DRG Neurological Eye Disorders 0 0 — — — — — 2026-04-01
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 0 0 — — — — — 2026-04-01
125 MS_DRG Other Disorders Of The Eye Without Mcc 0 0 — — — — — 2026-04-01
126 MS_DRG Acute & Subacute Endocarditis 0 0 — — — — — 2026-04-01
129 MS_DRG Major Head & Neck Procedures W Cc/Mcc Or Major Device 0 0 — — — — — 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 0 0 — — — — — 2026-04-01
130 MS_DRG Major Head & Neck Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 0 0 — — — — — 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc 0 0 — — — — — 2026-04-01
134 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 0 0 — — — — — 2026-04-01
136 MS_DRG Sinus And Mastoid Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
137 MS_DRG Mouth Procedures With Cc/Mcc 0 0 — — — — — 2026-04-01
138 MS_DRG Mouth Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
139 MS_DRG Salivary Gland Procedures 0 0 — — — — — 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 0 0 — — — — — 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 0 0 — — — — — 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 0 0 — — — — — 2026-04-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 0 0 — — — — — 2026-04-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 0 0 — — — — — 2026-04-01
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 0 0 — — — — — 2026-04-01
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 0 0 — — — — — 2026-04-01
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc 0 0 — — — — — 2026-04-01
149 MS_DRG Dysequilibrium 0 0 — — — — — 2026-04-01
150 MS_DRG Epistaxis With Mcc 0 0 — — — — — 2026-04-01
151 MS_DRG Epistaxis Without Mcc 0 0 — — — — — 2026-04-01
152 MS_DRG Otitis Media And Uri With Mcc 0 0 — — — — — 2026-04-01
153 MS_DRG Otitis Media And Uri Without Mcc 0 0 — — — — — 2026-04-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 0 0 — — — — — 2026-04-01
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 0 0 — — — — — 2026-04-01
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc 0 0 — — — — — 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 0 0 — — — — — 2026-04-01
160 MS_DRG Hernia Procedures Except Inguinal & Femoral Age >17 Without Cc 0 0 — — — — — 2026-04-01
161 MS_DRG Inguinal & Femoral Hernia Procedures Age >17 W Cc 0 0 — — — — — 2026-04-01
162 MS_DRG Inguinal & Femoral Hernia Procedures Age >17 Without Cc 0 0 — — — — — 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 0 0 — — — — — 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 0 0 — — — — — 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 0 0 — — — — — 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 0 0 — — — — — 2026-04-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
169 MS_DRG Mouth Procedures Without Cc 0 0 — — — — — 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 0 0 — — — — — 2026-04-01
171 MS_DRG Other Digestive System O.r. Procedures Without Cc 0 0 — — — — — 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 0 0 — — — — — 2026-04-01
174 MS_DRG G.i. Hemorrhage W Cc 0 0 — — — — — 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 0 0 — — — — — 2026-04-01
176 MS_DRG Pulmonary Embolism Without Mcc 0 0 — — — — — 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 0 0 — — — — — 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 0 0 — — — — — 2026-04-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/Mcc 0 0 — — — — — 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 0 0 — — — — — 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 0 0 — — — — — 2026-04-01
181 MS_DRG Respiratory Neoplasms With Cc 0 0 — — — — — 2026-04-01
182 MS_DRG Respiratory Neoplasms Without Cc/Mcc 0 0 — — — — — 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 0 0 — — — — — 2026-04-01
184 MS_DRG Major Chest Trauma With Cc 0 0 — — — — — 2026-04-01
185 MS_DRG Major Chest Trauma Without Cc/Mcc 0 0 — — — — — 2026-04-01
186 MS_DRG Pleural Effusion With Mcc 0 0 — — — — — 2026-04-01
187 MS_DRG Pleural Effusion With Cc 0 0 — — — — — 2026-04-01
188 MS_DRG Pleural Effusion Without Cc/Mcc 0 0 — — — — — 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 0 0 — — — — — 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 0 0 — — — — — 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 0 0 — — — — — 2026-04-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 0 0 — — — — — 2026-04-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/Mcc 0 0 — — — — — 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 0 0 — — — — — 2026-04-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 0 0 — — — — — 2026-04-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 0 0 — — — — — 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 0 0 — — — — — 2026-04-01
197 MS_DRG Interstitial Lung Disease With Cc 0 0 — — — — — 2026-04-01
198 MS_DRG Interstitial Lung Disease Without Cc/Mcc 0 0 — — — — — 2026-04-01
199 MS_DRG Pneumothorax With Mcc 0 0 — — — — — 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 0 0 — — — — — 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 0 0 — — — — — 2026-04-01
200 MS_DRG Pneumothorax With Cc 0 0 — — — — — 2026-04-01
201 MS_DRG Pneumothorax Without Cc/Mcc 0 0 — — — — — 2026-04-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 0 0 — — — — — 2026-04-01
203 MS_DRG Bronchitis And Asthma Without Cc/Mcc 0 0 — — — — — 2026-04-01
204 MS_DRG Respiratory Signs And Symptoms 0 0 — — — — — 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 0 0 — — — — — 2026-04-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 0 0 — — — — — 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 0 0 — — — — — 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 0 0 — — — — — 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 0 0 — — — — — 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 0 0 — — — — — 2026-04-01
210 MS_DRG Hip & Femur Procedures Except Major Joint Age >17 W Cc 0 0 — — — — — 2026-04-01
211 MS_DRG Hip & Femur Procedures Except Major Joint Age >17 Without Cc 0 0 — — — — — 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 0 0 — — — — — 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 0 0 — — — — — 2026-04-01
214 MS_DRG No Longer Valid 0 0 — — — — — 2026-04-01
215 MS_DRG Other Heart Assist System Implant 0 0 — — — — — 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 0 0 — — — — — 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 0 0 — — — — — 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 0 0 — — — — — 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 0 0 — — — — — 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 0 0 — — — — — 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 0 0 — — — — — 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 0 0 — — — — — 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 0 0 — — — — — 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 0 0 — — — — — 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 0 0 — — — — — 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 0 0 — — — — — 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 0 0 — — — — — 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 0 0 — — — — — 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 0 0 — — — — — 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 0 0 — — — — — 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 0 0 — — — — — 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 0 0 — — — — — 2026-04-01
237 MS_DRG Major Cardiovasc Procedures W Mcc 0 0 — — — — — 2026-04-01
238 MS_DRG Major Cardiovasc Procedures Without Mcc 0 0 — — — — — 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 0 0 — — — — — 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 0 0 — — — — — 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 0 0 — — — — — 2026-04-01
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 0 0 — — — — — 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 0 0 — — — — — 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 0 0 — — — — — 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 0 0 — — — — — 2026-04-01
245 MS_DRG Aicd Generator Procedures 0 0 — — — — — 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 0 0 — — — — — 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 0 0 — — — — — 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 0 0 — — — — — 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 0 0 — — — — — 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 0 0 — — — — — 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 0 0 — — — — — 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 0 0 — — — — — 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 0 0 — — — — — 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 0 0 — — — — — 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 0 0 — — — — — 2026-04-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 0 0 — — — — — 2026-04-01
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc 0 0 — — — — — 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 0 0 — — — — — 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 0 0 — — — — — 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 0 0 — — — — — 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 0 0 — — — — — 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 0 0 — — — — — 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 0 0 — — — — — 2026-04-01
263 MS_DRG Vein Ligation And Stripping 0 0 — — — — — 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 0 0 — — — — — 2026-04-01
265 MS_DRG Aicd Lead Procedures 0 0 — — — — — 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 0 0 — — — — — 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 0 0 — — — — — 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 0 0 — — — — — 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 0 0 — — — — — 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 0 0 — — — — — 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 0 0 — — — — — 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 0 0 — — — — — 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 0 0 — — — — — 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 0 0 — — — — — 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 0 0 — — — — — 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 0 0 — — — — — 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 0 0 — — — — — 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 0 0 — — — — — 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 0 0 — — — — — 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 0 0 — — — — — 2026-04-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 0 0 — — — — — 2026-04-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 0 0 — — — — — 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 0 0 — — — — — 2026-04-01
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 0 0 — — — — — 2026-04-01
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/Mcc 0 0 — — — — — 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 0 0 — — — — — 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 0 0 — — — — — 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 0 0 — — — — — 2026-04-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 0 0 — — — — — 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 0 0 — — — — — 2026-04-01
290 MS_DRG Acute And Subacute Endocarditis Without Cc/Mcc 0 0 — — — — — 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 0 0 — — — — — 2026-04-01
292 MS_DRG Heart Failure And Shock With Cc 0 0 — — — — — 2026-04-01
293 MS_DRG Heart Failure And Shock Without Cc/Mcc 0 0 — — — — — 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 0 0 — — — — — 2026-04-01
295 MS_DRG Deep Vein Thrombophlebitis Without Cc/Mcc 0 0 — — — — — 2026-04-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 0 0 — — — — — 2026-04-01
297 MS_DRG Cardiac Arrest, Unexplained With Cc 0 0 — — — — — 2026-04-01
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/Mcc 0 0 — — — — — 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 0 0 — — — — — 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 0 0 — — — — — 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 0 0 — — — — — 2026-04-01
301 MS_DRG Peripheral Vascular Disorders Without Cc/Mcc 0 0 — — — — — 2026-04-01
302 MS_DRG Atherosclerosis With Mcc 0 0 — — — — — 2026-04-01
303 MS_DRG Atherosclerosis Without Mcc 0 0 — — — — — 2026-04-01
304 MS_DRG Hypertension With Mcc 0 0 — — — — — 2026-04-01
305 MS_DRG Hypertension Without Mcc 0 0 — — — — — 2026-04-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 0 0 — — — — — 2026-04-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 0 0 — — — — — 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 0 0 — — — — — 2026-04-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 0 0 — — — — — 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 0 0 — — — — — 2026-04-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc 0 0 — — — — — 2026-04-01
311 MS_DRG Angina Pectoris 0 0 — — — — — 2026-04-01
312 MS_DRG Syncope And Collapse 0 0 — — — — — 2026-04-01
313 MS_DRG Chest Pain 0 0 — — — — — 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 0 0 — — — — — 2026-04-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 0 0 — — — — — 2026-04-01
316 MS_DRG Other Circulatory System Diagnoses Without Cc/Mcc 0 0 — — — — — 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 0 0 — — — — — 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 0 0 — — — — — 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 0 0 — — — — — 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 0 0 — — — — — 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 0 0 — — — — — 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 0 0 — — — — — 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 0 0 — — — — — 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 0 0 — — — — — 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 0 0 — — — — — 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 0 0 — — — — — 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 0 0 — — — — — 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 0 0 — — — — — 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 0 0 — — — — — 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 0 0 — — — — — 2026-04-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 0 0 — — — — — 2026-04-01
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc 0 0 — — — — — 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 0 0 — — — — — 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 0 0 — — — — — 2026-04-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 0 0 — — — — — 2026-04-01
348 MS_DRG Anal And Stomal Procedures With Cc 0 0 — — — — — 2026-04-01
349 MS_DRG Anal And Stomal Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 0 0 — — — — — 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 0 0 — — — — — 2026-04-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 0 0 — — — — — 2026-04-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 0 0 — — — — — 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 0 0 — — — — — 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 0 0 — — — — — 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 0 0 — — — — — 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 0 0 — — — — — 2026-04-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 0 0 — — — — — 2026-04-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 0 0 — — — — — 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 0 0 — — — — — 2026-04-01
361 MS_DRG Laparoscopy & Incisional Tubal Interruption 0 0 — — — — — 2026-04-01
362 MS_DRG Endoscopic Tubal Interruption 0 0 — — — — — 2026-04-01
363 MS_DRG D&c, Conization & Radio-implant, For Malignancy 0 0 — — — — — 2026-04-01
364 MS_DRG D&c, Conization Except For Malignancy 0 0 — — — — — 2026-04-01
365 MS_DRG Other Female Reproductive System O.r. Procedures 0 0 — — — — — 2026-04-01
366 MS_DRG Malignancy, Female Reproductive System W Cc 0 0 — — — — — 2026-04-01
367 MS_DRG Malignancy, Female Reproductive System Without Cc 0 0 — — — — — 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 0 0 — — — — — 2026-04-01
369 MS_DRG Major Esophageal Disorders With Cc 0 0 — — — — — 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 0 0 — — — — — 2026-04-01
370 MS_DRG Major Esophageal Disorders Without Cc/Mcc 0 0 — — — — — 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 0 0 — — — — — 2026-04-01
5012 OTHER Clinic Visits And Related Services 12 6 — — $129.08 $3,278.16 $390.67 2026-04-01
5051 OTHER Level 1 Skin Procedures 3 2 — — $418.54 $955.29 $520.05 2026-04-01
5052 OTHER Level 2 Skin Procedures 11 7 — — $392.18 $5,474.99 $929.44 2026-04-01
5054 OTHER Level 4 Skin Procedures 2 2 — — $183.21 $3,368.18 $1,775.69 2026-04-01
5061 OTHER Hyperbaric Oxygen 5 5 — — $5,182.52 $126,918.00 $19,311.24 2026-04-01
5101 OTHER Level 1 Strapping And Cast Application 1 1 — — $562.78 $562.78 $562.78 2026-04-01
5521 OTHER Level 1 Imaging Without Contrast 15 8 — — $86.52 $563.41 $138.03 2026-04-01
5522 OTHER Level 2 Imaging Without Contrast 20 8 — — $104.49 $2,314.00 $383.94 2026-04-01
5523 OTHER Level 3 Imaging Without Contrast 18 8 — — $237.27 $1,993.00 $383.14 2026-04-01
5571 OTHER Level 1 Imaging With Contrast 13 5 — — $175.46 $2,224.80 $718.46 2026-04-01
5572 OTHER Level 2 Imaging With Contrast 14 7 — — $351.99 $1,855.69 $1,109.09 2026-04-01
5573 OTHER Level 3 Imaging With Contrast 1 1 — — $2,890.89 $2,890.89 $2,890.89 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $35,157.87 $35,157.87 $35,157.87 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 3 3 — — $18,154.50 $30,974.19 $24,043.93 2026-04-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 2 — — $21,228.00 $25,522.00 $23,375.00 2026-04-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 1 1 — — $27,295.00 $27,295.00 $27,295.00 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 3 3 — — $20,053.00 $46,437.47 $33,629.00 2026-04-01
5721 OTHER Level 1 Diagnostic Tests And Related Services 13 6 — — $153.74 $1,125.00 $399.78 2026-04-01
5723 OTHER Level 3 Diagnostic Tests And Related Services 1 1 — — $1,101.72 $1,101.72 $1,101.72 2026-04-01
5724 OTHER Level 4 Diagnostic Tests And Related Services 10 5 — — $999.68 $3,176.00 $1,416.56 2026-04-01
603 MS_DRG Cellulitis Without Mcc 1 1 — — $55,773.50 $55,773.50 $55,773.50 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 1 1 — — $19,682.05 $19,682.05 $19,682.05 2026-04-01
948 MS_DRG Signs And Symptoms Without Mcc 1 1 — — $21,228.00 $21,228.00 $21,228.00 2026-04-01
949 MS_DRG Aftercare With Cc/Mcc 4 3 — — $16,164.50 $30,338.80 $21,779.74 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 — — $30,287.85 $30,287.85 $30,287.85 2026-04-01
N700 OTHER Non-opps Clinic Services 4 3 — — $172.40 $1,344.48 $454.61 2026-04-01
N801 OTHER Therapy Services 17 8 — — $98.09 $1,645.00 $568.00 2026-04-01
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