East Morgan County Hospital | Brush, CO | Edison St. — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 749 with a comparable price, 22 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 771
Lowest published price $3,213
Average published price $36,355
Highest published price $586,074
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 771 procedures
Published charges
Showing all 749 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above.
| DRG | Description | Published price | Cash price | vs. CO median | vs. National median | ||
|---|---|---|---|---|---|---|---|
| 018 | MS-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $586,074 | $586,074 | $586,074 | +0% | $573,534 | +2% |
| 001 | MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $431,073 | $431,073 | $431,073 | +0% | $461,389 | −7% |
| 927 | MS-DRG 42.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $419,301 | $419,301 | $419,301 | +0% | $306,087 | +37% |
| 003 | MS-DRG 42.00: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $339,144 | $339,144 | $339,144 | +0% | $371,366 | −9% |
| 004 | MS-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $233,838 | $233,838 | $233,838 | +0% | $248,521 | −6% |
| 007 | MS-DRG 42.00: LUNG TRANSPLANT | $195,119 | $195,119 | $195,119 | +0% | $170,608 | +14% |
| 002 | MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $194,769 | $194,769 | $194,769 | +0% | $194,769 | +0% |
| 014 | MS-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT | $182,314 | $182,314 | $182,314 | +0% | $182,314 | +0% |
| 212 | MS-DRG 42.00: CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $171,338 | $171,338 | $171,338 | +0% | $196,346 | −13% |
| 005 | MS-DRG 42.00: LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $164,641 | $164,641 | $164,641 | +0% | $164,641 | +0% |
| 215 | MS-DRG 42.00: OTHER HEART ASSIST SYSTEM IMPLANT | $162,493 | $162,493 | $162,493 | +0% | $208,939 | −22% |
| 216 | MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $154,381 | $154,381 | $154,381 | +0% | $188,171 | −18% |
| 020 | MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $134,449 | $134,449 | $134,449 | +0% | $148,686 | −10% |
| 456 | MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $134,083 | $134,083 | $134,083 | +0% | $153,282 | −13% |
| 231 | MS-DRG 42.00: CORONARY BYPASS WITH PTCA WITH MCC | $129,088 | $129,088 | $129,088 | +0% | $147,227 | −12% |
| 019 | MS-DRG 42.00: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $127,163 | $127,163 | $127,163 | +0% | $105,228 | +21% |
| 233 | MS-DRG 42.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $124,077 | $124,077 | $124,077 | +0% | $144,569 | −14% |
| 219 | MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $122,661 | $122,661 | $122,661 | +0% | $143,242 | −14% |
| 957 | MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $115,058 | $115,058 | $115,058 | +0% | $120,573 | −5% |
| 275 | MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $111,924 | $111,924 | $111,924 | +0% | $131,961 | −15% |
| 870 | MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $110,795 | $110,795 | $110,795 | +0% | $148,832 | −26% |
| 928 | MS-DRG 42.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $110,079 | $110,079 | $110,079 | +0% | $89,353 | +23% |
| 207 | MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $109,888 | $109,888 | $109,888 | +0% | $116,058 | −5% |
| 969 | MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $109,331 | $109,331 | $109,331 | +0% | $109,331 | +0% |
| 268 | MS-DRG 42.00: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $109,045 | $109,045 | $109,045 | +0% | $125,242 | −13% |
| 461 | MS-DRG 42.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $108,472 | $108,472 | $108,472 | +0% | $108,472 | +0% |
| 217 | MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $101,250 | $101,250 | $101,250 | +0% | $123,995 | −18% |
| 266 | MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $99,357 | $99,357 | $99,357 | +0% | $113,855 | −13% |
| 573 | MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $98,912 | $98,912 | $98,912 | +0% | $98,912 | +0% |
| 276 | MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $98,784 | $98,784 | $98,784 | +0% | $117,280 | −16% |
| 016 | MS-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $98,260 | $98,260 | $98,260 | +0% | $98,260 | +0% |
| 017 | MS-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $98,260 | $98,260 | $98,260 | +0% | $81,176 | +21% |
| 021 | MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $97,687 | $97,687 | $97,687 | +0% | $106,057 | −8% |
| 955 | MS-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $96,876 | $96,876 | $96,876 | +0% | $102,600 | −6% |
| 457 | MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $96,637 | $96,637 | $96,637 | +0% | $107,355 | −10% |
| 820 | MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $96,192 | $96,192 | $96,192 | +0% | $96,192 | +0% |
| 028 | MS-DRG 42.00: SPINAL PROCEDURES WITH MCC | $95,858 | $95,858 | $95,858 | +0% | $113,077 | −15% |
| 790 | MS-DRG 42.00: EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $95,444 | $95,444 | $95,444 | +0% | $80,018 | +19% |
| 232 | MS-DRG 42.00: CORONARY BYPASS WITH PTCA WITHOUT MCC | $94,633 | $94,633 | $94,633 | +0% | $115,839 | −18% |
| 235 | MS-DRG 42.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $93,551 | $93,551 | $93,551 | +0% | $112,062 | −17% |
| 218 | MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $90,624 | $90,624 | $90,624 | +0% | $103,455 | −12% |
| 576 | MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $90,401 | $90,401 | $90,401 | +0% | $90,401 | +0% |
| 023 | MS-DRG 42.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $90,179 | $90,179 | $90,179 | +0% | $106,778 | −16% |
| 463 | MS-DRG 42.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $90,099 | $90,099 | $90,099 | +0% | $89,207 | +1% |
| 834 | MS-DRG 42.00: ACUTE LEUKEMIA WITH MCC | $89,065 | $89,065 | $89,065 | +0% | $85,566 | +4% |
| 405 | MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $87,570 | $87,570 | $87,570 | +0% | $102,128 | −14% |
| 653 | MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH MCC | $86,122 | $86,122 | $86,122 | +0% | $104,583 | −18% |
| 008 | MS-DRG 42.00: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $83,704 | $83,704 | $83,704 | +0% | $86,459 | −3% |
| 220 | MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $83,434 | $83,434 | $83,434 | +0% | $111,320 | −25% |
| 234 | MS-DRG 42.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $82,686 | $82,686 | $82,686 | +0% | $102,573 | −19% |
| 466 | MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $82,511 | $82,511 | $82,511 | +0% | $96,507 | −15% |
| 011 | MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $82,018 | $82,018 | $82,018 | +0% | $101,576 | −19% |
| 326 | MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $80,793 | $80,793 | $80,793 | +0% | $80,793 | +0% |
| 270 | MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $80,443 | $80,443 | $80,443 | +0% | $99,423 | −19% |
| 228 | MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $80,157 | $80,157 | $80,157 | +0% | $96,905 | −17% |
| 853 | MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $79,521 | $79,521 | $79,521 | +0% | $93,172 | −15% |
| 799 | MS-DRG 42.00: SPLENIC PROCEDURES WITH MCC | $78,821 | $78,821 | $78,821 | +0% | $82,218 | −4% |
| 471 | MS-DRG 42.00: CERVICAL SPINAL FUSION WITH MCC | $78,248 | $78,248 | $78,248 | +0% | $92,515 | −15% |
| 267 | MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $77,628 | $77,628 | $77,628 | +0% | $92,217 | −16% |
| 837 | MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $77,055 | $77,055 | $77,055 | +0% | $77,055 | +0% |
| 006 | MS-DRG 42.00: LIVER TRANSPLANT WITHOUT MCC | $76,944 | $76,944 | $76,944 | +0% | $84,407 | −9% |
| 239 | MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $76,467 | $76,467 | $76,467 | +0% | $93,390 | −18% |
| 277 | MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $76,069 | $76,069 | $76,069 | +0% | $91,329 | −17% |
| 981 | MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $75,210 | $75,210 | $75,210 | +0% | $90,775 | −17% |
| 163 | MS-DRG 42.00: MAJOR CHEST PROCEDURES WITH MCC | $74,987 | $74,987 | $74,987 | +0% | $90,195 | −17% |
| 221 | MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $73,953 | $73,953 | $73,953 | +0% | $90,331 | −18% |
| 826 | MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $73,619 | $73,619 | $73,619 | +0% | $90,724 | −19% |
| 245 | MS-DRG 42.00: AICD GENERATOR PROCEDURES | $72,076 | $72,076 | $72,076 | +0% | $72,076 | +0% |
| 458 | MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $72,076 | $72,076 | $72,076 | +0% | $83,441 | −14% |
| 329 | MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $71,853 | $71,853 | $71,853 | +0% | $88,050 | −18% |
| 823 | MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $71,615 | $71,615 | $71,615 | +0% | $87,761 | −18% |
| 650 | MS-DRG 42.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $71,551 | $71,551 | $71,551 | +0% | $71,551 | +0% |
| 278 | MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $70,947 | $70,947 | $70,947 | +0% | $93,238 | −24% |
| 856 | MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $70,438 | $70,438 | $70,438 | +0% | $76,001 | −7% |
| 025 | MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $70,247 | $70,247 | $70,247 | +0% | $88,307 | −20% |
| 319 | MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $69,388 | $69,388 | $69,388 | +0% | $86,970 | −20% |
| 901 | MS-DRG 42.00: WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $68,847 | $68,847 | $68,847 | +0% | $70,177 | −2% |
| 474 | MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $68,449 | $68,449 | $68,449 | +0% | $84,692 | −19% |
| 356 | MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $68,067 | $68,067 | $68,067 | +0% | $82,561 | −18% |
| 793 | MS-DRG 42.00: FULL TERM NEONATE WITH MAJOR PROBLEMS | $66,954 | $66,954 | $66,954 | +0% | $18,649 | +259% |
| 269 | MS-DRG 42.00: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $66,159 | $66,159 | $66,159 | +0% | $85,159 | −22% |
| 323 | MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $65,856 | $65,856 | $65,856 | +0% | $101,510 | −35% |
| 031 | MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITH MCC | $65,490 | $65,490 | $65,490 | +0% | $72,962 | −10% |
| 791 | MS-DRG 42.00: PREMATURITY WITH MAJOR PROBLEMS | $65,188 | $65,188 | $65,188 | +0% | $42,679 | +53% |
| 166 | MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $64,552 | $64,552 | $64,552 | +0% | $75,573 | −15% |
| 958 | MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $64,345 | $64,345 | $64,345 | +0% | $73,120 | −12% |
| 236 | MS-DRG 42.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $64,281 | $64,281 | $64,281 | +0% | $82,247 | −22% |
| 628 | MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $63,868 | $63,868 | $63,868 | +0% | $71,795 | −11% |
| 012 | MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $63,709 | $63,709 | $63,709 | +0% | $79,836 | −20% |
| 616 | MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $62,961 | $62,961 | $62,961 | +0% | $66,685 | −6% |
| 022 | MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $62,404 | $62,404 | $62,404 | +0% | $66,848 | −7% |
| 423 | MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $62,214 | $62,214 | $62,214 | +0% | $79,225 | −21% |
| 034 | MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH MCC | $62,054 | $62,054 | $62,054 | +0% | $76,219 | −19% |
| 273 | MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $61,991 | $61,991 | $61,991 | +0% | $78,852 | −21% |
| 736 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $61,832 | $61,832 | $61,832 | +0% | $61,832 | +0% |
| 956 | MS-DRG 42.00: LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $61,689 | $61,689 | $61,689 | +0% | $75,103 | −18% |
| 040 | MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $61,259 | $61,259 | $61,259 | +0% | $74,257 | −18% |
| 622 | MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $60,861 | $60,861 | $60,861 | +0% | $61,470 | −1% |
| 024 | MS-DRG 42.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $60,273 | $60,273 | $60,273 | +0% | $74,755 | −19% |
| 140 | MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITH MCC | $60,098 | $60,098 | $60,098 | +0% | $60,098 | +0% |
| 876 | MS-DRG 42.00: O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $59,366 | $59,366 | $59,366 | +0% | $54,196 | +10% |
| 408 | MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $59,207 | $59,207 | $59,207 | +0% | $62,583 | −5% |
| 907 | MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $59,175 | $59,175 | $59,175 | +0% | $77,817 | −24% |
| 673 | MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $58,825 | $58,825 | $58,825 | +0% | $77,990 | −25% |
| 332 | MS-DRG 42.00: RECTAL RESECTION WITH MCC | $58,125 | $58,125 | $58,125 | +0% | $58,125 | +0% |
| 518 | MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $58,094 | $58,094 | $58,094 | +0% | $71,092 | −18% |
| 097 | MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $57,855 | $57,855 | $57,855 | +0% | $59,533 | −3% |
| 094 | MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $57,632 | $57,632 | $57,632 | +0% | $68,639 | −16% |
| 739 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $57,521 | $57,521 | $57,521 | +0% | $62,300 | −8% |
| 495 | MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $56,964 | $56,964 | $56,964 | +0% | $56,964 | +0% |
| 335 | MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH MCC | $56,869 | $56,869 | $56,869 | +0% | $71,755 | −21% |
| 265 | MS-DRG 42.00: AICD LEAD PROCEDURES | $56,216 | $56,216 | $56,216 | +0% | $63,171 | −11% |
| 414 | MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $56,073 | $56,073 | $56,073 | +0% | $69,743 | −20% |
| 467 | MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $55,453 | $55,453 | $55,453 | +0% | $70,847 | −22% |
| 492 | MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $55,071 | $55,071 | $55,071 | +0% | $70,564 | −22% |
| 651 | MS-DRG 42.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $55,008 | $55,008 | $55,008 | +0% | $56,242 | −2% |
| 271 | MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $54,976 | $54,976 | $54,976 | +0% | $71,014 | −23% |
| 242 | MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $54,960 | $54,960 | $54,960 | +0% | $70,132 | −22% |
| 802 | MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $54,578 | $54,578 | $54,578 | +0% | $66,711 | −18% |
| 029 | MS-DRG 42.00: SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $54,530 | $54,530 | $54,530 | +0% | $67,268 | −19% |
| 574 | MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $54,180 | $54,180 | $54,180 | +0% | $52,036 | +4% |
| 987 | MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $53,719 | $53,719 | $53,719 | +0% | $66,068 | −19% |
| 037 | MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITH MCC | $53,703 | $53,703 | $53,703 | +0% | $66,666 | −19% |
| 477 | MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $53,592 | $53,592 | $53,592 | +0% | $68,653 | −22% |
| 252 | MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH MCC | $53,353 | $53,353 | $53,353 | +0% | $68,508 | −22% |
| 579 | MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $53,162 | $53,162 | $53,162 | +0% | $58,745 | −10% |
| 469 | MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $52,971 | $52,971 | $52,971 | +0% | $65,788 | −19% |
| 143 | MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $52,908 | $52,908 | $52,908 | +0% | $52,908 | +0% |
| 260 | MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $52,733 | $52,733 | $52,733 | +0% | $70,371 | −25% |
| 485 | MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $52,399 | $52,399 | $52,399 | +0% | $72,424 | −28% |
| 264 | MS-DRG 42.00: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $51,953 | $51,953 | $51,953 | +0% | $51,953 | +0% |
| 904 | MS-DRG 42.00: SKIN GRAFTS FOR INJURIES WITH CC/MCC | $51,794 | $51,794 | $51,794 | +0% | $59,594 | −13% |
| 500 | MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH MCC | $51,587 | $51,587 | $51,587 | +0% | $61,872 | −17% |
| 274 | MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $51,556 | $51,556 | $51,556 | +0% | $65,573 | −21% |
| 929 | MS-DRG 42.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $51,158 | $51,158 | $51,158 | +0% | $44,472 | +15% |
| 939 | MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $51,142 | $51,142 | $51,142 | +0% | $55,289 | −8% |
| 279 | MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $50,919 | $50,919 | $50,919 | +0% | $63,928 | −20% |
| 420 | MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $50,919 | $50,919 | $50,919 | +0% | $50,919 | +0% |
| 229 | MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $50,585 | $50,585 | $50,585 | +0% | $65,325 | −23% |
| 515 | MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $50,299 | $50,299 | $50,299 | +0% | $62,821 | −20% |
| 829 | MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $50,172 | $50,172 | $50,172 | +0% | $53,864 | −7% |
| 656 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $49,917 | $49,917 | $49,917 | +0% | $65,608 | −24% |
| 840 | MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $49,710 | $49,710 | $49,710 | +0% | $49,710 | +0% |
| 665 | MS-DRG 42.00: PROSTATECTOMY WITH MCC | $49,138 | $49,138 | $49,138 | +0% | $54,072 | −9% |
| 173 | MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $48,915 | $48,915 | $48,915 | +0% | $60,407 | −19% |
| 411 | MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $48,358 | $48,358 | $48,358 | +0% | $48,358 | +0% |
| 652 | MS-DRG 42.00: KIDNEY TRANSPLANT | $47,786 | $47,786 | $47,786 | +0% | $54,720 | −13% |
| 464 | MS-DRG 42.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $47,738 | $47,738 | $47,738 | +0% | $58,228 | −18% |
| 662 | MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH MCC | $47,674 | $47,674 | $47,674 | +0% | $54,562 | −13% |
| 521 | MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $47,627 | $47,627 | $47,627 | +0% | $70,467 | −32% |
| 324 | MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $47,229 | $47,229 | $47,229 | +0% | $71,464 | −34% |
| 472 | MS-DRG 42.00: CERVICAL SPINAL FUSION WITH CC | $47,006 | $47,006 | $47,006 | +0% | $59,537 | −21% |
| 026 | MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $46,974 | $46,974 | $46,974 | +0% | $64,523 | −27% |
| 480 | MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $46,911 | $46,911 | $46,911 | +0% | $65,653 | −29% |
| 353 | MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $46,513 | $46,513 | $46,513 | +0% | $60,170 | −23% |
| 570 | MS-DRG 42.00: SKIN DEBRIDEMENT WITH MCC | $46,481 | $46,481 | $46,481 | +0% | $52,435 | −11% |
| 974 | MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH MCC | $46,402 | $46,402 | $46,402 | +0% | $46,402 | +0% |
| 406 | MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $45,924 | $45,924 | $45,924 | +0% | $58,043 | −21% |
| 321 | MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $45,734 | $45,734 | $45,734 | +0% | $81,706 | −44% |
| 462 | MS-DRG 42.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $45,272 | $45,272 | $45,272 | +0% | $58,975 | −23% |
| 263 | MS-DRG 42.00: VEIN LIGATION AND STRIPPING | $44,938 | $44,938 | $44,938 | +0% | $51,253 | −12% |
| 668 | MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITH MCC | $44,827 | $44,827 | $44,827 | +0% | $51,608 | −13% |
| 800 | MS-DRG 42.00: SPLENIC PROCEDURES WITH CC | $44,827 | $44,827 | $44,827 | +0% | $49,184 | −9% |
| 817 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $44,811 | $44,811 | $44,811 | +0% | $39,173 | +14% |
| 240 | MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $44,684 | $44,684 | $44,684 | +0% | $59,790 | −25% |
| 061 | MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $44,588 | $44,588 | $44,588 | +0% | $62,264 | −28% |
| 970 | MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $44,222 | $44,222 | $44,222 | +0% | $44,222 | +0% |
| 255 | MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $43,697 | $43,697 | $43,697 | +0% | $46,453 | −6% |
| 344 | MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $43,586 | $43,586 | $43,586 | +0% | $44,546 | −2% |
| 654 | MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH CC | $43,554 | $43,554 | $43,554 | +0% | $58,274 | −25% |
| 963 | MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $43,491 | $43,491 | $43,491 | +0% | $43,491 | +0% |
| 510 | MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $43,284 | $43,284 | $43,284 | +0% | $49,839 | −13% |
| 258 | MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $43,093 | $43,093 | $43,093 | +0% | $52,986 | −19% |
| 208 | MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $42,934 | $42,934 | $42,934 | +0% | $52,405 | −18% |
| 849 | MS-DRG 42.00: RADIOTHERAPY | $42,807 | $42,807 | $42,807 | +0% | $37,862 | +13% |
| 013 | MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $42,727 | $42,727 | $42,727 | +0% | $48,687 | −12% |
| 503 | MS-DRG 42.00: FOOT PROCEDURES WITH MCC | $42,663 | $42,663 | $42,663 | +0% | $47,540 | −10% |
| 468 | MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $42,473 | $42,473 | $42,473 | +0% | $54,929 | −23% |
| 135 | MS-DRG 42.00: SINUS AND MASTOID PROCEDURES WITH CC/MCC | $42,186 | $42,186 | $42,186 | +0% | $42,186 | +0% |
| 577 | MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $42,139 | $42,139 | $42,139 | +0% | $47,945 | −12% |
| 325 | MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $42,059 | $42,059 | $42,059 | +0% | $61,217 | −31% |
| 498 | MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $41,534 | $41,534 | $41,534 | +0% | $49,423 | −16% |
| 619 | MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH MCC | $41,407 | $41,407 | $41,407 | +0% | $51,746 | −20% |
| 288 | MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $41,248 | $41,248 | $41,248 | +0% | $50,618 | −19% |
| 659 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $41,184 | $41,184 | $41,184 | +0% | $52,178 | −21% |
| 253 | MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH CC | $40,580 | $40,580 | $40,580 | +0% | $57,454 | −29% |
| 164 | MS-DRG 42.00: MAJOR CHEST PROCEDURES WITH CC | $40,564 | $40,564 | $40,564 | +0% | $56,755 | −29% |
| 347 | MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITH MCC | $40,548 | $40,548 | $40,548 | +0% | $40,548 | +0% |
| 959 | MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $40,277 | $40,277 | $40,277 | +0% | $41,422 | −3% |
| 749 | MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $40,039 | $40,039 | $40,039 | +0% | $45,167 | −11% |
| 113 | MS-DRG 42.00: ORBITAL PROCEDURES WITH CC/MCC | $39,880 | $39,880 | $39,880 | +0% | $36,167 | +10% |
| 327 | MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $39,721 | $39,721 | $39,721 | +0% | $59,421 | −33% |
| 545 | MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH MCC | $39,657 | $39,657 | $39,657 | +0% | $40,362 | −2% |
| 982 | MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $39,546 | $39,546 | $39,546 | +0% | $51,985 | −24% |
| 483 | MS-DRG 42.00: MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $39,514 | $39,514 | $39,514 | +0% | $58,707 | −33% |
| 792 | MS-DRG 42.00: PREMATURITY WITHOUT MAJOR PROBLEMS | $39,339 | $39,339 | $39,339 | +0% | $12,229 | +222% |
| 473 | MS-DRG 42.00: CERVICAL SPINAL FUSION WITHOUT CC/MCC | $39,148 | $39,148 | $39,148 | +0% | $50,624 | −23% |
| 846 | MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $38,878 | $38,878 | $38,878 | +0% | $38,878 | +0% |
| 272 | MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $38,814 | $38,814 | $38,814 | +0% | $55,162 | −30% |
| 027 | MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $38,703 | $38,703 | $38,703 | +0% | $54,583 | −29% |
| 493 | MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $38,209 | $38,209 | $38,209 | +0% | $59,651 | −36% |
| 350 | MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $38,178 | $38,178 | $38,178 | +0% | $50,046 | −24% |
| 056 | MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $38,082 | $38,082 | $38,082 | +0% | $39,973 | −5% |
| 095 | MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $37,923 | $37,923 | $37,923 | +0% | $47,583 | −20% |
| 478 | MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $37,923 | $37,923 | $37,923 | +0% | $50,139 | −24% |
| 674 | MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $37,891 | $37,891 | $37,891 | +0% | $50,394 | −25% |
| 330 | MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $37,732 | $37,732 | $37,732 | +0% | $59,500 | −37% |
| 250 | MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $37,398 | $37,398 | $37,398 | +0% | $59,629 | −37% |
| 030 | MS-DRG 42.00: SPINAL PROCEDURES WITHOUT CC/MCC | $36,889 | $36,889 | $36,889 | +0% | $45,866 | −20% |
| 417 | MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $36,873 | $36,873 | $36,873 | +0% | $53,451 | −31% |
| 827 | MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $36,857 | $36,857 | $36,857 | +0% | $50,498 | −27% |
| 035 | MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH CC | $36,587 | $36,587 | $36,587 | +0% | $49,066 | −25% |
| 082 | MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $36,237 | $36,237 | $36,237 | +0% | $36,489 | −1% |
| 243 | MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $36,237 | $36,237 | $36,237 | +0% | $50,011 | −28% |
| 085 | MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $36,157 | $36,157 | $36,157 | +0% | $41,892 | −14% |
| 629 | MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $35,998 | $35,998 | $35,998 | +0% | $47,737 | −25% |
| 614 | MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $35,823 | $35,823 | $35,823 | +0% | $48,349 | −26% |
| 397 | MS-DRG 42.00: APPENDIX PROCEDURES WITH MCC | $35,744 | $35,744 | $35,744 | +0% | $53,257 | −33% |
| 835 | MS-DRG 42.00: ACUTE LEUKEMIA WITH CC | $35,569 | $35,569 | $35,569 | +0% | $35,569 | +0% |
| 824 | MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $35,521 | $35,521 | $35,521 | +0% | $41,608 | −15% |
| 821 | MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $35,505 | $35,505 | $35,505 | +0% | $47,789 | −26% |
| 041 | MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $35,489 | $35,489 | $35,489 | +0% | $49,418 | −28% |
| 320 | MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $35,410 | $35,410 | $35,410 | +0% | $40,060 | −12% |
| 080 | MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITH MCC | $35,139 | $35,139 | $35,139 | +0% | $36,249 | −3% |
| 715 | MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $35,123 | $35,123 | $35,123 | +0% | $38,998 | −10% |
| 357 | MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $34,948 | $34,948 | $34,948 | +0% | $48,682 | −28% |
| 808 | MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $34,837 | $34,837 | $34,837 | +0% | $39,181 | −11% |
| 096 | MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $34,678 | $34,678 | $34,678 | +0% | $41,620 | −17% |
| 595 | MS-DRG 42.00: MAJOR SKIN DISORDERS WITH MCC | $34,598 | $34,598 | $34,598 | +0% | $34,598 | +0% |
| 734 | MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $34,583 | $34,583 | $34,583 | +0% | $42,795 | −19% |
| 709 | MS-DRG 42.00: PENIS PROCEDURES WITH CC/MCC | $34,535 | $34,535 | $34,535 | +0% | $34,535 | +0% |
| 940 | MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $34,471 | $34,471 | $34,471 | +0% | $43,650 | −21% |
| 286 | MS-DRG 42.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $34,296 | $34,296 | $34,296 | +0% | $46,283 | −26% |
| 098 | MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $34,280 | $34,280 | $34,280 | +0% | $42,901 | −20% |
| 032 | MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITH CC | $34,264 | $34,264 | $34,264 | +0% | $46,724 | −27% |
| 407 | MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $34,217 | $34,217 | $34,217 | +0% | $46,727 | −27% |
| 475 | MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $34,121 | $34,121 | $34,121 | +0% | $45,877 | −26% |
| 857 | MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $33,978 | $33,978 | $33,978 | +0% | $45,333 | −25% |
| 424 | MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $33,914 | $33,914 | $33,914 | +0% | $42,415 | −20% |
| 507 | MS-DRG 42.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $33,914 | $33,914 | $33,914 | +0% | $37,240 | −9% |
| 814 | MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $33,851 | $33,851 | $33,851 | +0% | $33,851 | +0% |
| 711 | MS-DRG 42.00: TESTES PROCEDURES WITH CC/MCC | $33,771 | $33,771 | $33,771 | +0% | $38,343 | −12% |
| 522 | MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $33,596 | $33,596 | $33,596 | +0% | $58,280 | −42% |
| 146 | MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $33,580 | $33,580 | $33,580 | +0% | $40,108 | −16% |
| 655 | MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $33,533 | $33,533 | $33,533 | +0% | $43,174 | −22% |
| 488 | MS-DRG 42.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $33,517 | $33,517 | $33,517 | +0% | $43,631 | −23% |
| 336 | MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH CC | $33,485 | $33,485 | $33,485 | +0% | $50,463 | −34% |
| 374 | MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH MCC | $33,389 | $33,389 | $33,389 | +0% | $39,958 | −16% |
| 314 | MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $33,310 | $33,310 | $33,310 | +0% | $38,666 | −14% |
| 934 | MS-DRG 42.00: FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $33,294 | $33,294 | $33,294 | +0% | $31,044 | +7% |
| 867 | MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $33,278 | $33,278 | $33,278 | +0% | $38,070 | −13% |
| 592 | MS-DRG 42.00: SKIN ULCERS WITH MCC | $33,246 | $33,246 | $33,246 | +0% | $33,246 | +0% |
| 333 | MS-DRG 42.00: RECTAL RESECTION WITH CC | $33,087 | $33,087 | $33,087 | +0% | $37,154 | −11% |
| 481 | MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $33,008 | $33,008 | $33,008 | +0% | $52,751 | −37% |
| 141 | MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITH CC | $32,960 | $32,960 | $32,960 | +0% | $37,267 | −12% |
| 412 | MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITH CC | $32,865 | $32,865 | $32,865 | +0% | $42,906 | −23% |
| 575 | MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $32,546 | $32,546 | $32,546 | +0% | $29,611 | +10% |
| 516 | MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $32,467 | $32,467 | $32,467 | +0% | $46,090 | −30% |
| 935 | MS-DRG 42.00: NON-EXTENSIVE BURNS | $32,467 | $32,467 | $32,467 | +0% | $31,701 | +2% |
| 854 | MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $32,419 | $32,419 | $32,419 | +0% | $43,943 | −26% |
| 486 | MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $31,942 | $31,942 | $31,942 | +0% | $49,351 | −35% |
| 908 | MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $31,878 | $31,878 | $31,878 | +0% | $42,914 | −26% |
| 064 | MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $31,862 | $31,862 | $31,862 | +0% | $39,106 | −19% |
| 838 | MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $31,846 | $31,846 | $31,846 | +0% | $31,134 | +2% |
| 511 | MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $31,719 | $31,719 | $31,719 | +0% | $43,538 | −27% |
| 496 | MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $31,624 | $31,624 | $31,624 | +0% | $43,800 | −28% |
| 617 | MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $31,576 | $31,576 | $31,576 | +0% | $42,881 | −26% |
| 539 | MS-DRG 42.00: OSTEOMYELITIS WITH MCC | $31,560 | $31,560 | $31,560 | +0% | $37,609 | −16% |
| 100 | MS-DRG 42.00: SEIZURES WITH MCC | $31,544 | $31,544 | $31,544 | +0% | $35,481 | −11% |
| 871 | MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $31,544 | $31,544 | $31,544 | +0% | $35,628 | −11% |
| 415 | MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $31,433 | $31,433 | $31,433 | +0% | $43,913 | −28% |
| 737 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $31,401 | $31,401 | $31,401 | +0% | $44,363 | −29% |
| 283 | MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $31,353 | $31,353 | $31,353 | +0% | $39,955 | −22% |
| 519 | MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $31,322 | $31,322 | $31,322 | +0% | $44,139 | −29% |
| 707 | MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $31,210 | $31,210 | $31,210 | +0% | $43,080 | −28% |
| 584 | MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $31,162 | $31,162 | $31,162 | +0% | $35,030 | −11% |
| 409 | MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $31,131 | $31,131 | $31,131 | +0% | $46,066 | −32% |
| 548 | MS-DRG 42.00: SEPTIC ARTHRITIS WITH MCC | $31,019 | $31,019 | $31,019 | +0% | $31,346 | −1% |
| 380 | MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITH MCC | $31,003 | $31,003 | $31,003 | +0% | $39,627 | −22% |
| 052 | MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITH CC/MCC | $30,940 | $30,940 | $30,940 | +0% | $32,031 | −3% |
| 432 | MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $30,478 | $30,478 | $30,478 | +0% | $40,213 | −24% |
| 075 | MS-DRG 42.00: VIRAL MENINGITIS WITH CC/MCC | $30,447 | $30,447 | $30,447 | +0% | $30,447 | +0% |
| 196 | MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH MCC | $30,144 | $30,144 | $30,144 | +0% | $32,637 | −8% |
| 902 | MS-DRG 42.00: WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $29,985 | $29,985 | $29,985 | +0% | $40,562 | −26% |
| 261 | MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $29,938 | $29,938 | $29,938 | +0% | $42,126 | −29% |
| 470 | MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $29,938 | $29,938 | $29,938 | +0% | $50,607 | −41% |
| 744 | MS-DRG 42.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $29,938 | $29,938 | $29,938 | +0% | $38,861 | −23% |
| 906 | MS-DRG 42.00: HAND PROCEDURES FOR INJURIES | $29,938 | $29,938 | $29,938 | +0% | $32,065 | −7% |
| 165 | MS-DRG 42.00: MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $29,842 | $29,842 | $29,842 | +0% | $46,340 | −36% |
| 722 | MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $29,826 | $29,826 | $29,826 | +0% | $29,826 | +0% |
| 883 | MS-DRG 42.00: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $29,826 | $29,826 | $29,826 | +0% | $23,206 | +29% |
| 062 | MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $29,779 | $29,779 | $29,779 | +0% | $52,075 | −43% |
| 465 | MS-DRG 42.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $29,763 | $29,763 | $29,763 | +0% | $32,443 | −8% |
| 494 | MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $29,731 | $29,731 | $29,731 | +0% | $47,711 | −38% |
| 259 | MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $29,699 | $29,699 | $29,699 | +0% | $39,020 | −24% |
| 479 | MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $29,651 | $29,651 | $29,651 | +0% | $34,276 | −13% |
| 623 | MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $29,604 | $29,604 | $29,604 | +0% | $34,459 | −14% |
| 843 | MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $29,604 | $29,604 | $29,604 | +0% | $36,431 | −19% |
| 803 | MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $29,556 | $29,556 | $29,556 | +0% | $39,515 | −25% |
| 941 | MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $29,524 | $29,524 | $29,524 | +0% | $29,524 | +0% |
| 754 | MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $29,476 | $29,476 | $29,476 | +0% | $32,433 | −9% |
| 559 | MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $29,444 | $29,444 | $29,444 | +0% | $33,047 | −11% |
| 657 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $29,333 | $29,333 | $29,333 | +0% | $43,298 | −32% |
| 862 | MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $29,301 | $29,301 | $29,301 | +0% | $32,859 | −11% |
| 686 | MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $29,254 | $29,254 | $29,254 | +0% | $37,844 | −23% |
| 116 | MS-DRG 42.00: INTRAOCULAR PROCEDURES WITH CC/MCC | $29,126 | $29,126 | $29,126 | +0% | $29,126 | +0% |
| 244 | MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $29,110 | $29,110 | $29,110 | +0% | $41,591 | −30% |
| 441 | MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $29,079 | $29,079 | $29,079 | +0% | $33,985 | −14% |
| 919 | MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITH MCC | $29,031 | $29,031 | $29,031 | +0% | $31,105 | −7% |
| 542 | MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $29,015 | $29,015 | $29,015 | +0% | $36,792 | −21% |
| 322 | MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $28,999 | $28,999 | $28,999 | +0% | $58,809 | −51% |
| 167 | MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $28,951 | $28,951 | $28,951 | +0% | $40,642 | −29% |
| 789 | MS-DRG 42.00: NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $28,935 | $28,935 | $28,935 | +0% | $16,351 | +77% |
| 717 | MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $28,856 | $28,856 | $28,856 | +0% | $36,670 | −21% |
| 205 | MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $28,792 | $28,792 | $28,792 | +0% | $33,255 | −13% |
| 036 | MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $28,760 | $28,760 | $28,760 | +0% | $40,694 | −29% |
| 070 | MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $28,474 | $28,474 | $28,474 | +0% | $31,951 | −11% |
| 377 | MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH MCC | $28,474 | $28,474 | $28,474 | +0% | $37,842 | −25% |
| 801 | MS-DRG 42.00: SPLENIC PROCEDURES WITHOUT CC/MCC | $28,474 | $28,474 | $28,474 | +0% | $36,445 | −22% |
| 091 | MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $28,458 | $28,458 | $28,458 | +0% | $37,387 | −24% |
| 740 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $28,426 | $28,426 | $28,426 | +0% | $40,365 | −30% |
| 742 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $28,347 | $28,347 | $28,347 | +0% | $40,552 | −30% |
| 896 | MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $28,283 | $28,283 | $28,283 | +0% | $31,159 | −9% |
| 199 | MS-DRG 42.00: PNEUMOTHORAX WITH MCC | $28,220 | $28,220 | $28,220 | +0% | $33,787 | −16% |
| 915 | MS-DRG 42.00: ALLERGIC REACTIONS WITH MCC | $28,220 | $28,220 | $28,220 | +0% | $32,645 | −14% |
| 783 | MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH MCC | $28,188 | $28,188 | $28,188 | +0% | $29,221 | −4% |
| 435 | MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $27,997 | $27,997 | $27,997 | +0% | $37,950 | −26% |
| 884 | MS-DRG 42.00: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $27,949 | $27,949 | $27,949 | +0% | $26,682 | +5% |
| 786 | MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $27,838 | $27,838 | $27,838 | +0% | $27,152 | +3% |
| 371 | MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $27,806 | $27,806 | $27,806 | +0% | $33,555 | −17% |
| 580 | MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $27,790 | $27,790 | $27,790 | +0% | $38,101 | −27% |
| 922 | MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $27,758 | $27,758 | $27,758 | +0% | $31,563 | −12% |
| 582 | MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $27,695 | $27,695 | $27,695 | +0% | $35,849 | −23% |
| 042 | MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $27,679 | $27,679 | $27,679 | +0% | $39,018 | −29% |
| 180 | MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH MCC | $27,647 | $27,647 | $27,647 | +0% | $36,658 | −25% |
| 501 | MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH CC | $27,615 | $27,615 | $27,615 | +0% | $39,619 | −30% |
| 254 | MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $27,599 | $27,599 | $27,599 | +0% | $38,836 | −29% |
| 144 | MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $27,536 | $27,536 | $27,536 | +0% | $30,553 | −10% |
| 058 | MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $27,488 | $27,488 | $27,488 | +0% | $30,243 | −9% |
| 504 | MS-DRG 42.00: FOOT PROCEDURES WITH CC | $27,472 | $27,472 | $27,472 | +0% | $38,960 | −29% |
| 354 | MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $27,329 | $27,329 | $27,329 | +0% | $43,477 | −37% |
| 666 | MS-DRG 42.00: PROSTATECTOMY WITH CC | $27,313 | $27,313 | $27,313 | +0% | $31,906 | −14% |
| 671 | MS-DRG 42.00: URETHRAL PROCEDURES WITH CC/MCC | $27,233 | $27,233 | $27,233 | +0% | $27,233 | +0% |
| 421 | MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $27,202 | $27,202 | $27,202 | +0% | $36,354 | −25% |
| 157 | MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH MCC | $27,154 | $27,154 | $27,154 | +0% | $31,300 | −13% |
| 505 | MS-DRG 42.00: FOOT PROCEDURES WITHOUT CC/MCC | $27,138 | $27,138 | $27,138 | +0% | $34,937 | −22% |
| 551 | MS-DRG 42.00: MEDICAL BACK PROBLEMS WITH MCC | $27,074 | $27,074 | $27,074 | +0% | $34,017 | −20% |
| 855 | MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $27,074 | $27,074 | $27,074 | +0% | $28,202 | −4% |
| 988 | MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $26,995 | $26,995 | $26,995 | +0% | $38,094 | −29% |
| 177 | MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $26,979 | $26,979 | $26,979 | +0% | $33,707 | −20% |
| 571 | MS-DRG 42.00: SKIN DEBRIDEMENT WITH CC | $26,915 | $26,915 | $26,915 | +0% | $37,169 | −28% |
| 585 | MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $26,788 | $26,788 | $26,788 | +0% | $32,574 | −18% |
| 886 | MS-DRG 42.00: BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $26,756 | $26,756 | $26,756 | +0% | $26,510 | +1% |
| 746 | MS-DRG 42.00: VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $26,661 | $26,661 | $26,661 | +0% | $29,916 | −11% |
| 331 | MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $26,597 | $26,597 | $26,597 | +0% | $44,117 | −40% |
| 438 | MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $26,549 | $26,549 | $26,549 | +0% | $32,628 | −19% |
| 698 | MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $26,311 | $26,311 | $26,311 | +0% | $32,496 | −19% |
| 368 | MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH MCC | $26,279 | $26,279 | $26,279 | +0% | $33,876 | −22% |
| 262 | MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $26,168 | $26,168 | $26,168 | +0% | $33,694 | −22% |
| 643 | MS-DRG 42.00: ENDOCRINE DISORDERS WITH MCC | $26,168 | $26,168 | $26,168 | +0% | $33,563 | −22% |
| 256 | MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $26,088 | $26,088 | $26,088 | +0% | $32,944 | −21% |
| 828 | MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $26,088 | $26,088 | $26,088 | +0% | $35,584 | −27% |
| 865 | MS-DRG 42.00: VIRAL ILLNESS WITH MCC | $26,088 | $26,088 | $26,088 | +0% | $26,910 | −3% |
| 418 | MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $26,008 | $26,008 | $26,008 | +0% | $44,606 | −42% |
| 983 | MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $26,008 | $26,008 | $26,008 | +0% | $34,607 | −25% |
| 444 | MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH MCC | $25,977 | $25,977 | $25,977 | +0% | $34,273 | −24% |
| 533 | MS-DRG 42.00: FRACTURES OF FEMUR WITH MCC | $25,945 | $25,945 | $25,945 | +0% | $25,945 | +0% |
| 033 | MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $25,818 | $25,818 | $25,818 | +0% | $35,419 | −27% |
| 620 | MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH CC | $25,802 | $25,802 | $25,802 | +0% | $35,453 | −27% |
| 513 | MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $25,786 | $25,786 | $25,786 | +0% | $33,424 | −23% |
| 727 | MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $25,786 | $25,786 | $25,786 | +0% | $26,463 | −3% |
| 393 | MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $25,770 | $25,770 | $25,770 | +0% | $34,192 | −25% |
| 512 | MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $25,674 | $25,674 | $25,674 | +0% | $35,692 | −28% |
| 578 | MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $25,627 | $25,627 | $25,627 | +0% | $29,079 | −12% |
| 895 | MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $25,595 | $25,595 | $25,595 | +0% | $21,986 | +16% |
| 334 | MS-DRG 42.00: RECTAL RESECTION WITHOUT CC/MCC | $25,531 | $25,531 | $25,531 | +0% | $36,820 | −31% |
| 296 | MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH MCC | $25,499 | $25,499 | $25,499 | +0% | $33,661 | −24% |
| 425 | MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $25,484 | $25,484 | $25,484 | +0% | $26,598 | −4% |
| 597 | MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH MCC | $25,468 | $25,468 | $25,468 | +0% | $33,386 | −24% |
| 038 | MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITH CC | $25,452 | $25,452 | $25,452 | +0% | $35,770 | −29% |
| 328 | MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $25,404 | $25,404 | $25,404 | +0% | $39,006 | −35% |
| 917 | MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $25,388 | $25,388 | $25,388 | +0% | $30,235 | −16% |
| 482 | MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $25,261 | $25,261 | $25,261 | +0% | $41,955 | −40% |
| 251 | MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $25,245 | $25,245 | $25,245 | +0% | $46,295 | −45% |
| 280 | MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $25,245 | $25,245 | $25,245 | +0% | $30,828 | −18% |
| 675 | MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $25,245 | $25,245 | $25,245 | +0% | $34,749 | −27% |
| 606 | MS-DRG 42.00: MINOR SKIN DISORDERS WITH MCC | $25,229 | $25,229 | $25,229 | +0% | $27,975 | −10% |
| 905 | MS-DRG 42.00: SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $25,197 | $25,197 | $25,197 | +0% | $25,197 | +0% |
| 830 | MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $25,149 | $25,149 | $25,149 | +0% | $31,170 | −19% |
| 299 | MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH MCC | $25,070 | $25,070 | $25,070 | +0% | $27,316 | −8% |
| 183 | MS-DRG 42.00: MAJOR CHEST TRAUMA WITH MCC | $25,054 | $25,054 | $25,054 | +0% | $29,933 | −16% |
| 841 | MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $25,038 | $25,038 | $25,038 | +0% | $33,633 | −26% |
| 385 | MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH MCC | $24,927 | $24,927 | $24,927 | +0% | $27,617 | −10% |
| 410 | MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $24,895 | $24,895 | $24,895 | +0% | $34,434 | −28% |
| 115 | MS-DRG 42.00: EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $24,879 | $24,879 | $24,879 | +0% | $25,703 | −3% |
| 564 | MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $24,847 | $24,847 | $24,847 | +0% | $33,653 | −26% |
| 813 | MS-DRG 42.00: COAGULATION DISORDERS | $24,815 | $24,815 | $24,815 | +0% | $33,296 | −25% |
| 557 | MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $24,768 | $24,768 | $24,768 | +0% | $32,877 | −25% |
| 186 | MS-DRG 42.00: PLEURAL EFFUSION WITH MCC | $24,688 | $24,688 | $24,688 | +0% | $33,834 | −27% |
| 142 | MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $24,577 | $24,577 | $24,577 | +0% | $34,906 | −30% |
| 487 | MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $24,577 | $24,577 | $24,577 | +0% | $35,074 | −30% |
| 769 | MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $24,561 | $24,561 | $24,561 | +0% | $25,094 | −2% |
| 345 | MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $24,513 | $24,513 | $24,513 | +0% | $33,048 | −26% |
| 154 | MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $24,465 | $24,465 | $24,465 | +0% | $27,633 | −11% |
| 306 | MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $24,450 | $24,450 | $24,450 | +0% | $24,586 | −1% |
| 669 | MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITH CC | $24,418 | $24,418 | $24,418 | +0% | $34,354 | −29% |
| 088 | MS-DRG 42.00: CONCUSSION WITH MCC | $24,402 | $24,402 | $24,402 | +0% | $24,402 | +0% |
| 583 | MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $24,211 | $24,211 | $24,211 | +0% | $35,831 | −32% |
| 562 | MS-DRG 42.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $24,195 | $24,195 | $24,195 | +0% | $29,743 | −19% |
| 621 | MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $24,131 | $24,131 | $24,131 | +0% | $32,451 | −26% |
| 073 | MS-DRG 42.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $24,068 | $24,068 | $24,068 | +0% | $30,010 | −20% |
| 398 | MS-DRG 42.00: APPENDIX PROCEDURES WITH CC | $24,068 | $24,068 | $24,068 | +0% | $40,162 | −40% |
| 077 | MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $24,036 | $24,036 | $24,036 | +0% | $24,550 | −2% |
| 413 | MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $24,020 | $24,020 | $24,020 | +0% | $29,316 | −18% |
| 604 | MS-DRG 42.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $23,956 | $23,956 | $23,956 | +0% | $28,140 | −15% |
| 137 | MS-DRG 42.00: MOUTH PROCEDURES WITH CC/MCC | $23,941 | $23,941 | $23,941 | +0% | $27,861 | −14% |
| 682 | MS-DRG 42.00: RENAL FAILURE WITH MCC | $23,877 | $23,877 | $23,877 | +0% | $29,064 | −18% |
| 964 | MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $23,877 | $23,877 | $23,877 | +0% | $27,394 | −13% |
| 337 | MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $23,797 | $23,797 | $23,797 | +0% | $39,211 | −39% |
| 913 | MS-DRG 42.00: TRAUMATIC INJURY WITH MCC | $23,781 | $23,781 | $23,781 | +0% | $24,198 | −2% |
| 517 | MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $23,766 | $23,766 | $23,766 | +0% | $33,393 | −29% |
| 626 | MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $23,734 | $23,734 | $23,734 | +0% | $33,454 | −29% |
| 757 | MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $23,734 | $23,734 | $23,734 | +0% | $26,280 | −10% |
| 794 | MS-DRG 42.00: NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $23,702 | $23,702 | $14,773 | +60% | $8,445 | +181% |
| 602 | MS-DRG 42.00: CELLULITIS WITH MCC | $23,670 | $23,670 | $23,670 | +0% | $30,598 | −23% |
| 063 | MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $23,654 | $23,654 | $23,654 | +0% | $39,887 | −41% |
| 658 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $23,543 | $23,543 | $23,543 | +0% | $36,253 | −35% |
| 289 | MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $23,511 | $23,511 | $23,511 | +0% | $32,697 | −28% |
| 054 | MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITH MCC | $23,447 | $23,447 | $23,447 | +0% | $30,502 | −23% |
| 615 | MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $23,400 | $23,400 | $23,400 | +0% | $32,833 | −29% |
| 506 | MS-DRG 42.00: MAJOR THUMB OR JOINT PROCEDURES | $23,272 | $23,272 | $23,272 | +0% | $30,557 | −24% |
| 663 | MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH CC | $23,209 | $23,209 | $23,209 | +0% | $33,103 | −30% |
| 708 | MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $23,209 | $23,209 | $23,209 | +0% | $36,988 | −37% |
| 351 | MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $23,161 | $23,161 | $23,161 | +0% | $36,505 | −37% |
| 388 | MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH MCC | $23,129 | $23,129 | $23,129 | +0% | $30,571 | −24% |
| 713 | MS-DRG 42.00: TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $23,082 | $23,082 | $23,082 | +0% | $32,100 | −28% |
| 637 | MS-DRG 42.00: DIABETES WITH MCC | $23,050 | $23,050 | $23,050 | +0% | $30,100 | −23% |
| 508 | MS-DRG 42.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $22,811 | $22,811 | $22,811 | +0% | $22,811 | +0% |
| 520 | MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $22,779 | $22,779 | $22,779 | +0% | $35,465 | −36% |
| 818 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $22,763 | $22,763 | $22,763 | +0% | $26,870 | −15% |
| 497 | MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $22,700 | $22,700 | $22,700 | +0% | $29,805 | −24% |
| 716 | MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $22,620 | $22,620 | $22,620 | +0% | $22,620 | +0% |
| 796 | MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $22,557 | $22,557 | $22,557 | +0% | $22,557 | +0% |
| 067 | MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $22,541 | $22,541 | $22,541 | +0% | $24,941 | −10% |
| 693 | MS-DRG 42.00: URINARY STONES WITH MCC | $22,525 | $22,525 | $22,525 | +0% | $23,892 | −6% |
| 977 | MS-DRG 42.00: HIV WITH OR WITHOUT OTHER RELATED CONDITION | $22,525 | $22,525 | $22,525 | +0% | $22,525 | +0% |
| 836 | MS-DRG 42.00: ACUTE LEUKEMIA WITHOUT CC/MCC | $22,461 | $22,461 | $22,461 | +0% | $19,686 | +14% |
| 422 | MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $22,445 | $22,445 | $22,445 | +0% | $25,073 | −10% |
| 748 | MS-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $22,350 | $22,350 | $22,350 | +0% | $30,242 | −26% |
| 811 | MS-DRG 42.00: RED BLOOD CELL DISORDERS WITH MCC | $22,334 | $22,334 | $22,334 | +0% | $28,226 | −21% |
| 175 | MS-DRG 42.00: PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $22,318 | $22,318 | $22,318 | +0% | $30,959 | −28% |
| 555 | MS-DRG 42.00: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $22,254 | $22,254 | $22,254 | +0% | $24,127 | −8% |
| 383 | MS-DRG 42.00: UNCOMPLICATED PEPTIC ULCER WITH MCC | $22,238 | $22,238 | $22,238 | +0% | $27,426 | −19% |
| 630 | MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $22,207 | $22,207 | $22,207 | +0% | $22,393 | −1% |
| 241 | MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $22,175 | $22,175 | $22,175 | +0% | $30,770 | −28% |
| 502 | MS-DRG 42.00: SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $22,000 | $22,000 | $22,000 | +0% | $31,017 | −29% |
| 885 | MS-DRG 42.00: PSYCHOSES | $21,729 | $21,729 | $21,729 | +0% | $21,729 | +0% |
| 738 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $21,714 | $21,714 | $21,714 | +0% | $33,674 | −36% |
| 057 | MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $21,682 | $21,682 | $21,682 | +0% | $27,543 | −21% |
| 355 | MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $21,682 | $21,682 | $21,682 | +0% | $32,841 | −34% |
| 975 | MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH CC | $21,682 | $21,682 | $21,682 | +0% | $27,808 | −22% |
| 750 | MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $21,634 | $21,634 | $21,634 | +0% | $27,989 | −23% |
| 083 | MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $21,570 | $21,570 | $21,570 | +0% | $27,285 | −21% |
| 168 | MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $21,570 | $21,570 | $21,570 | +0% | $29,949 | −28% |
| 909 | MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $21,570 | $21,570 | $21,570 | +0% | $28,156 | −23% |
| 553 | MS-DRG 42.00: BONE DISEASES AND ARTHROPATHIES WITH MCC | $21,507 | $21,507 | $21,507 | +0% | $26,051 | −17% |
| 581 | MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $21,427 | $21,427 | $21,427 | +0% | $26,932 | −20% |
| 660 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $21,411 | $21,411 | $21,411 | +0% | $31,264 | −32% |
| 416 | MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $21,300 | $21,300 | $21,300 | +0% | $30,418 | −30% |
| 193 | MS-DRG 42.00: SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $21,109 | $21,109 | $21,109 | +0% | $27,275 | −23% |
| 124 | MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $21,029 | $21,029 | $21,029 | +0% | $21,894 | −4% |
| 099 | MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $20,998 | $20,998 | $20,998 | +0% | $27,119 | −23% |
| 086 | MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $20,950 | $20,950 | $20,950 | +0% | $27,043 | −23% |
| 150 | MS-DRG 42.00: EPISTAXIS WITH MCC | $20,918 | $20,918 | $20,918 | +0% | $23,171 | −10% |
| 640 | MS-DRG 42.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $20,918 | $20,918 | $20,918 | +0% | $25,463 | −18% |
| 419 | MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $20,886 | $20,886 | $20,886 | +0% | $36,937 | −43% |
| 642 | MS-DRG 42.00: INBORN AND OTHER DISORDERS OF METABOLISM | $20,727 | $20,727 | $20,727 | +0% | $20,727 | +0% |
| 839 | MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $20,727 | $20,727 | $20,727 | +0% | $20,980 | −1% |
| 348 | MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITH CC | $20,695 | $20,695 | $20,695 | +0% | $27,947 | −26% |
| 741 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $20,664 | $20,664 | $20,664 | +0% | $30,493 | −32% |
| 540 | MS-DRG 42.00: OSTEOMYELITIS WITH CC | $20,648 | $20,648 | $20,648 | +0% | $26,676 | −23% |
| 535 | MS-DRG 42.00: FRACTURES OF HIP AND PELVIS WITH MCC | $20,632 | $20,632 | $20,632 | +0% | $24,552 | −16% |
| 710 | MS-DRG 42.00: PENIS PROCEDURES WITHOUT CC/MCC | $20,632 | $20,632 | $20,632 | +0% | $26,436 | −22% |
| 887 | MS-DRG 42.00: OTHER MENTAL DISORDER DIAGNOSES | $20,616 | $20,616 | $20,616 | +0% | $20,616 | +0% |
| 825 | MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $20,536 | $20,536 | $20,536 | +0% | $27,323 | −25% |
| 499 | MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $20,520 | $20,520 | $20,520 | +0% | $21,230 | −3% |
| 346 | MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $20,489 | $20,489 | $20,489 | +0% | $27,297 | −25% |
| 291 | MS-DRG 42.00: HEART FAILURE AND SHOCK WITH MCC | $20,425 | $20,425 | $20,425 | +0% | $26,776 | −24% |
| 858 | MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $20,409 | $20,409 | $20,409 | +0% | $25,748 | −21% |
| 121 | MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $20,377 | $20,377 | $20,377 | +0% | $19,412 | +5% |
| 358 | MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $20,377 | $20,377 | $20,377 | +0% | $30,083 | −32% |
| 391 | MS-DRG 42.00: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $20,298 | $20,298 | $20,298 | +0% | $28,050 | −28% |
| 947 | MS-DRG 42.00: SIGNS AND SYMPTOMS WITH MCC | $19,916 | $19,916 | $19,916 | +0% | $27,401 | −27% |
| 903 | MS-DRG 42.00: WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $19,757 | $19,757 | $19,757 | +0% | $25,581 | −23% |
| 725 | MS-DRG 42.00: BENIGN PROSTATIC HYPERTROPHY WITH MCC | $19,741 | $19,741 | $19,741 | +0% | $22,320 | −12% |
| 822 | MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $19,709 | $19,709 | $19,709 | +0% | $25,390 | −22% |
| 489 | MS-DRG 42.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $19,693 | $19,693 | $19,693 | +0% | $28,320 | −30% |
| 147 | MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $19,661 | $19,661 | $19,661 | +0% | $22,851 | −14% |
| 627 | MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $19,661 | $19,661 | $19,661 | +0% | $28,125 | −30% |
| 114 | MS-DRG 42.00: ORBITAL PROCEDURES WITHOUT CC/MCC | $19,598 | $19,598 | $19,598 | +0% | $19,598 | +0% |
| 189 | MS-DRG 42.00: PULMONARY EDEMA AND RESPIRATORY FAILURE | $19,598 | $19,598 | $19,598 | +0% | $26,580 | −26% |
| 145 | MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $19,423 | $19,423 | $19,423 | +0% | $25,712 | −24% |
| 768 | MS-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $19,375 | $19,375 | $19,375 | +0% | $16,846 | +15% |
| 847 | MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $19,296 | $19,296 | $19,296 | +0% | $23,498 | −18% |
| 593 | MS-DRG 42.00: SKIN ULCERS WITH CC | $19,248 | $19,248 | $19,248 | +0% | $22,886 | −16% |
| 804 | MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $19,248 | $19,248 | $19,248 | +0% | $24,544 | −22% |
| 102 | MS-DRG 42.00: HEADACHES WITH MCC | $19,200 | $19,200 | $19,200 | +0% | $25,740 | −25% |
| 549 | MS-DRG 42.00: SEPTIC ARTHRITIS WITH CC | $19,184 | $19,184 | $19,184 | +0% | $24,056 | −20% |
| 809 | MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $19,152 | $19,152 | $19,152 | +0% | $22,458 | −15% |
| 308 | MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $19,121 | $19,121 | $19,121 | +0% | $26,770 | −29% |
| 546 | MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH CC | $19,073 | $19,073 | $19,073 | +0% | $25,700 | −26% |
| 598 | MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH CC | $19,073 | $19,073 | $19,073 | +0% | $19,073 | +0% |
| 117 | MS-DRG 42.00: INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $19,057 | $19,057 | $19,057 | +0% | $17,193 | +11% |
| 375 | MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH CC | $19,057 | $19,057 | $19,057 | +0% | $27,277 | −30% |
| 695 | MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $19,025 | $19,025 | $19,025 | +0% | $24,566 | −23% |
| 139 | MS-DRG 42.00: SALIVARY GLAND PROCEDURES | $18,898 | $18,898 | $18,898 | +0% | $23,612 | −20% |
| 152 | MS-DRG 42.00: OTITIS MEDIA AND URI WITH MCC | $18,898 | $18,898 | $18,898 | +0% | $20,247 | −7% |
| 712 | MS-DRG 42.00: TESTES PROCEDURES WITHOUT CC/MCC | $18,898 | $18,898 | $18,898 | +0% | $18,898 | +0% |
| 059 | MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $18,882 | $18,882 | $18,882 | +0% | $27,163 | −30% |
| 476 | MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $18,723 | $18,723 | $18,723 | +0% | $23,443 | −20% |
| 718 | MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $18,707 | $18,707 | $18,707 | +0% | $19,270 | −3% |
| 689 | MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $18,675 | $18,675 | $18,675 | +0% | $23,617 | −21% |
| 618 | MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $18,484 | $18,484 | $18,484 | +0% | $19,354 | −4% |
| 743 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $18,484 | $18,484 | $20,852 | −11% | $30,784 | −40% |
| 844 | MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $18,405 | $18,405 | $18,405 | +0% | $21,847 | −16% |
| 089 | MS-DRG 42.00: CONCUSSION WITH CC | $18,293 | $18,293 | $18,293 | +0% | $18,821 | −3% |
| 304 | MS-DRG 42.00: HYPERTENSION WITH MCC | $18,278 | $18,278 | $18,278 | +0% | $26,080 | −30% |
| 039 | MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,150 | $18,150 | $18,150 | +0% | $26,618 | −32% |
| 572 | MS-DRG 42.00: SKIN DEBRIDEMENT WITHOUT CC/MCC | $18,134 | $18,134 | $18,134 | +0% | $24,944 | −27% |
| 560 | MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,007 | $18,007 | $18,007 | +0% | $25,279 | −29% |
| 302 | MS-DRG 42.00: ATHEROSCLEROSIS WITH MCC | $17,832 | $17,832 | $17,832 | +0% | $22,446 | −21% |
| 624 | MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $17,737 | $17,737 | $17,737 | +0% | $17,737 | +0% |
| 723 | MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $17,721 | $17,721 | $17,721 | +0% | $19,815 | −11% |
| 399 | MS-DRG 42.00: APPENDIX PROCEDURES WITHOUT CC/MCC | $17,705 | $17,705 | $17,705 | +0% | $31,321 | −43% |
| 697 | MS-DRG 42.00: URETHRAL STRICTURE | $17,705 | $17,705 | $17,705 | +0% | $18,428 | −4% |
| 352 | MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $17,641 | $17,641 | $17,641 | +0% | $27,843 | −37% |
| 190 | MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $17,530 | $17,530 | $17,530 | +0% | $24,386 | −28% |
| 181 | MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH CC | $17,514 | $17,514 | $17,514 | +0% | $23,573 | −26% |
| 436 | MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $17,514 | $17,514 | $17,514 | +0% | $25,034 | −30% |
| 294 | MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $17,403 | $17,403 | $17,403 | +0% | $19,132 | −9% |
| 543 | MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $17,355 | $17,355 | $17,355 | +0% | $23,551 | −26% |
| 445 | MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH CC | $17,291 | $17,291 | $17,291 | +0% | $23,319 | −26% |
| 868 | MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $17,275 | $17,275 | $17,275 | +0% | $22,763 | −24% |
| 290 | MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $17,259 | $17,259 | $17,259 | +0% | $15,901 | +9% |
| 755 | MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $17,259 | $17,259 | $17,259 | +0% | $18,459 | −7% |
| 287 | MS-DRG 42.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $17,212 | $17,212 | $17,212 | +0% | $32,021 | −46% |
| 989 | MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $17,180 | $17,180 | $17,180 | +0% | $25,652 | −33% |
| 200 | MS-DRG 42.00: PNEUMOTHORAX WITH CC | $17,132 | $17,132 | $17,132 | +0% | $21,368 | −20% |
| 831 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $17,100 | $17,100 | $17,100 | +0% | $18,133 | −6% |
| 055 | MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $17,069 | $17,069 | $17,069 | +0% | $20,926 | −18% |
| 381 | MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITH CC | $17,069 | $17,069 | $17,069 | +0% | $24,177 | −29% |
| 949 | MS-DRG 42.00: AFTERCARE WITH CC/MCC | $17,069 | $17,069 | $17,069 | +0% | $23,953 | −29% |
| 300 | MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH CC | $16,973 | $16,973 | $16,973 | +0% | $20,422 | −17% |
| 842 | MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $16,957 | $16,957 | $16,957 | +0% | $19,657 | −14% |
| 071 | MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $16,894 | $16,894 | $16,894 | +0% | $23,488 | −28% |
| 644 | MS-DRG 42.00: ENDOCRINE DISORDERS WITH CC | $16,894 | $16,894 | $16,894 | +0% | $23,198 | −27% |
| 664 | MS-DRG 42.00: MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,894 | $16,894 | $16,894 | +0% | $22,314 | −24% |
| 184 | MS-DRG 42.00: MAJOR CHEST TRAUMA WITH CC | $16,735 | $16,735 | $16,735 | +0% | $22,432 | −25% |
| 787 | MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $16,719 | $16,719 | $16,719 | +0% | $23,571 | −29% |
| 667 | MS-DRG 42.00: PROSTATECTOMY WITHOUT CC/MCC | $16,703 | $16,703 | $16,703 | +0% | $16,703 | +0% |
| 661 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $16,671 | $16,671 | $16,671 | +0% | $25,970 | −36% |
| 687 | MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $16,623 | $16,623 | $16,623 | +0% | $20,232 | −18% |
| 372 | MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $16,575 | $16,575 | $16,575 | +0% | $22,850 | −27% |
| 514 | MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $16,575 | $16,575 | $16,575 | +0% | $22,635 | −27% |
| 745 | MS-DRG 42.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $16,480 | $16,480 | $16,480 | +0% | $18,348 | −10% |
| 920 | MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITH CC | $16,448 | $16,448 | $16,448 | +0% | $22,468 | −27% |
| 433 | MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $16,400 | $16,400 | $16,400 | +0% | $23,749 | −31% |
| 872 | MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $16,385 | $16,385 | $16,385 | +0% | $22,888 | −28% |
| 074 | MS-DRG 42.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $16,321 | $16,321 | $16,321 | +0% | $23,141 | −29% |
| 092 | MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $16,321 | $16,321 | $16,321 | +0% | $24,914 | −34% |
| 600 | MS-DRG 42.00: NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $16,321 | $16,321 | $16,321 | +0% | $16,700 | −2% |
| 784 | MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH CC | $16,289 | $16,289 | $16,289 | +0% | $23,283 | −30% |
| 699 | MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $16,241 | $16,241 | $16,241 | +0% | $21,275 | −24% |
| 078 | MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH CC | $16,178 | $16,178 | $16,178 | +0% | $17,698 | −9% |
| 065 | MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $16,162 | $16,162 | $16,162 | +0% | $23,940 | −32% |
| 923 | MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $16,082 | $16,082 | $16,082 | +0% | $17,601 | −9% |
| 596 | MS-DRG 42.00: MAJOR SKIN DISORDERS WITHOUT MCC | $16,050 | $16,050 | $16,050 | +0% | $17,226 | −7% |
| 805 | MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $16,035 | $16,035 | $16,035 | +0% | $15,370 | +4% |
| 863 | MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $16,003 | $16,003 | $16,003 | +0% | $20,957 | −24% |
| 810 | MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $15,987 | $15,987 | $15,987 | +0% | $18,316 | −13% |
| 729 | MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $15,971 | $15,971 | $15,971 | +0% | $17,483 | −9% |
| 565 | MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $15,891 | $15,891 | $15,891 | +0% | $22,506 | −29% |
| 197 | MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH CC | $15,876 | $15,876 | $15,876 | +0% | $21,941 | −28% |
| 187 | MS-DRG 42.00: PLEURAL EFFUSION WITH CC | $15,844 | $15,844 | $15,844 | +0% | $21,789 | −27% |
| 797 | MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $15,844 | $15,844 | $15,844 | +0% | $19,962 | −21% |
| 760 | MS-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $15,828 | $15,828 | $15,828 | +0% | $20,895 | −24% |
| 815 | MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $15,812 | $15,812 | $15,812 | +0% | $19,264 | −18% |
| 758 | MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $15,796 | $15,796 | $15,796 | +0% | $20,901 | −24% |
| 257 | MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $15,764 | $15,764 | $15,764 | +0% | $15,764 | +0% |
| 779 | MS-DRG 42.00: ABORTION WITHOUT D&C | $15,732 | $15,732 | $15,732 | +0% | $15,327 | +3% |
| 369 | MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH CC | $15,716 | $15,716 | $15,716 | +0% | $25,303 | −38% |
| 178 | MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $15,701 | $15,701 | $15,701 | +0% | $22,024 | −29% |
| 053 | MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $15,653 | $15,653 | $15,653 | +0% | $20,455 | −23% |
| 378 | MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH CC | $15,653 | $15,653 | $15,653 | +0% | $22,098 | −29% |
| 349 | MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $15,526 | $15,526 | $15,526 | +0% | $19,854 | −22% |
| 386 | MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH CC | $15,462 | $15,462 | $15,462 | +0% | $22,033 | −30% |
| 315 | MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $15,382 | $15,382 | $15,382 | +0% | $21,363 | −28% |
| 537 | MS-DRG 42.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $15,382 | $15,382 | $15,382 | +0% | $18,072 | −15% |
| 552 | MS-DRG 42.00: MEDICAL BACK PROBLEMS WITHOUT MCC | $15,366 | $15,366 | $15,366 | +0% | $21,396 | −28% |
| 670 | MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $15,319 | $15,319 | $15,319 | +0% | $20,911 | −27% |
| 714 | MS-DRG 42.00: TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $15,255 | $15,255 | $15,255 | +0% | $17,934 | −15% |
| 202 | MS-DRG 42.00: BRONCHITIS AND ASTHMA WITH CC/MCC | $15,239 | $15,239 | $15,239 | +0% | $17,724 | −14% |
| 965 | MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $15,207 | $15,207 | $15,207 | +0% | $20,259 | −25% |
| 880 | MS-DRG 42.00: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $15,191 | $15,191 | $15,191 | +0% | $17,733 | −14% |
| 442 | MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $15,144 | $15,144 | $15,144 | +0% | $21,449 | −29% |
| 155 | MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $15,064 | $15,064 | $15,064 | +0% | $16,968 | −11% |
| 550 | MS-DRG 42.00: SEPTIC ARTHRITIS WITHOUT CC/MCC | $15,017 | $15,017 | $15,017 | +0% | $19,138 | −22% |
| 307 | MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $15,001 | $15,001 | $15,001 | +0% | $20,566 | −27% |
| 158 | MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH CC | $14,937 | $14,937 | $14,937 | +0% | $18,466 | −19% |
| 882 | MS-DRG 42.00: NEUROSES EXCEPT DEPRESSIVE | $14,937 | $14,937 | $14,937 | +0% | $15,680 | −5% |
| 672 | MS-DRG 42.00: URETHRAL PROCEDURES WITHOUT CC/MCC | $14,921 | $14,921 | $14,921 | +0% | $17,398 | −14% |
| 394 | MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $14,905 | $14,905 | $14,905 | +0% | $20,181 | −26% |
| 090 | MS-DRG 42.00: CONCUSSION WITHOUT CC/MCC | $14,873 | $14,873 | $14,873 | +0% | $15,412 | −3% |
| 076 | MS-DRG 42.00: VIRAL MENINGITIS WITHOUT CC/MCC | $14,682 | $14,682 | $14,682 | +0% | $17,135 | −14% |
| 084 | MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $14,635 | $14,635 | $14,635 | +0% | $19,924 | −27% |
| 866 | MS-DRG 42.00: VIRAL ILLNESS WITHOUT MCC | $14,603 | $14,603 | $14,603 | +0% | $17,081 | −15% |
| 206 | MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $14,539 | $14,539 | $14,539 | +0% | $18,488 | −21% |
| 281 | MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $14,523 | $14,523 | $14,523 | +0% | $20,463 | −29% |
| 081 | MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $14,476 | $14,476 | $14,476 | +0% | $16,552 | −13% |
| 101 | MS-DRG 42.00: SEIZURES WITHOUT MCC | $14,476 | $14,476 | $14,476 | +0% | $20,461 | −29% |
| 605 | MS-DRG 42.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $14,460 | $14,460 | $14,460 | +0% | $20,506 | −29% |
| 914 | MS-DRG 42.00: TRAUMATIC INJURY WITHOUT MCC | $14,444 | $14,444 | $14,444 | +0% | $15,855 | −9% |
| 819 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,428 | $14,428 | $14,428 | +0% | $18,126 | −20% |
| 881 | MS-DRG 42.00: DEPRESSIVE NEUROSES | $14,428 | $14,428 | $14,428 | +0% | $15,058 | −4% |
| 683 | MS-DRG 42.00: RENAL FAILURE WITH CC | $14,333 | $14,333 | $14,333 | +0% | $19,130 | −25% |
| 812 | MS-DRG 42.00: RED BLOOD CELL DISORDERS WITHOUT MCC | $14,333 | $14,333 | $14,333 | +0% | $20,488 | −30% |
| 638 | MS-DRG 42.00: DIABETES WITH CC | $14,301 | $14,301 | $14,301 | +0% | $19,661 | −27% |
| 060 | MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $14,269 | $14,269 | $14,269 | +0% | $22,148 | −36% |
| 563 | MS-DRG 42.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $14,253 | $14,253 | $14,253 | +0% | $19,842 | −28% |
| 607 | MS-DRG 42.00: MINOR SKIN DISORDERS WITHOUT MCC | $14,221 | $14,221 | $14,221 | +0% | $15,889 | −10% |
| 376 | MS-DRG 42.00: DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $14,173 | $14,173 | $14,173 | +0% | $16,998 | −17% |
| 747 | MS-DRG 42.00: VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $14,110 | $14,110 | $14,110 | +0% | $19,594 | −28% |
| 087 | MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $14,094 | $14,094 | $14,094 | +0% | $16,520 | −15% |
| 603 | MS-DRG 42.00: CELLULITIS WITHOUT MCC | $14,078 | $14,078 | $14,078 | +0% | $18,530 | −24% |
| 864 | MS-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS | $14,046 | $14,046 | $14,046 | +0% | $18,640 | −25% |
| 558 | MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $13,967 | $13,967 | $13,967 | +0% | $18,602 | −25% |
| 384 | MS-DRG 42.00: UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $13,935 | $13,935 | $13,935 | +0% | $19,305 | −28% |
| 068 | MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $13,855 | $13,855 | $13,855 | +0% | $19,569 | −29% |
| 138 | MS-DRG 42.00: MOUTH PROCEDURES WITHOUT CC/MCC | $13,776 | $13,776 | $13,776 | +0% | $19,119 | −28% |
| 785 | MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $13,776 | $13,776 | $13,776 | +0% | $19,846 | −31% |
| 845 | MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $13,760 | $13,760 | $13,760 | +0% | $14,055 | −2% |
| 312 | MS-DRG 42.00: SYNCOPE AND COLLAPSE | $13,744 | $13,744 | $13,744 | +0% | $19,342 | −29% |
| 918 | MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $13,696 | $13,696 | $13,696 | +0% | $15,452 | −11% |
| 541 | MS-DRG 42.00: OSTEOMYELITIS WITHOUT CC/MCC | $13,648 | $13,648 | $13,648 | +0% | $15,215 | −10% |
| 292 | MS-DRG 42.00: HEART FAILURE AND SHOCK WITH CC | $13,633 | $13,633 | $13,633 | +0% | $16,371 | −17% |
| 897 | MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $13,617 | $13,617 | $13,617 | +0% | $16,699 | −18% |
| 439 | MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $13,601 | $13,601 | $13,601 | +0% | $19,096 | −29% |
| 788 | MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $13,601 | $13,601 | $13,601 | +0% | $20,084 | −32% |
| 191 | MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $13,505 | $13,505 | $13,505 | +0% | $18,807 | −28% |
| 976 | MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $13,442 | $13,442 | $13,442 | +0% | $16,212 | −17% |
| 103 | MS-DRG 42.00: HEADACHES WITHOUT MCC | $13,394 | $13,394 | $13,394 | +0% | $21,280 | −37% |
| 848 | MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $13,299 | $13,299 | $13,299 | +0% | $14,501 | −8% |
| 798 | MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $13,283 | $13,283 | $13,283 | +0% | $18,452 | −28% |
| 437 | MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $13,219 | $13,219 | $13,219 | +0% | $14,014 | −6% |
| 556 | MS-DRG 42.00: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $13,108 | $13,108 | $13,108 | +0% | $18,126 | −28% |
| 204 | MS-DRG 42.00: RESPIRATORY SIGNS AND SYMPTOMS | $13,092 | $13,092 | $13,092 | +0% | $18,004 | −27% |
| 547 | MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,092 | $13,092 | $13,092 | +0% | $16,565 | −21% |
| 194 | MS-DRG 42.00: SIMPLE PNEUMONIA AND PLEURISY WITH CC | $13,076 | $13,076 | $13,076 | +0% | $18,204 | −28% |
| 554 | MS-DRG 42.00: BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $13,076 | $13,076 | $13,076 | +0% | $18,528 | −29% |
| 176 | MS-DRG 42.00: PULMONARY EMBOLISM WITHOUT MCC | $12,980 | $12,980 | $12,980 | +0% | $18,081 | −28% |
| 534 | MS-DRG 42.00: FRACTURES OF FEMUR WITHOUT MCC | $12,885 | $12,885 | $12,885 | +0% | $17,559 | −27% |
| 724 | MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $12,885 | $12,885 | $12,885 | +0% | $12,768 | +1% |
| 690 | MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $12,837 | $12,837 | $12,837 | +0% | $17,674 | −27% |
| 123 | MS-DRG 42.00: NEUROLOGICAL EYE DISORDERS | $12,789 | $12,789 | $12,789 | +0% | $19,745 | −35% |
| 446 | MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $12,758 | $12,758 | $12,758 | +0% | $17,700 | −28% |
| 948 | MS-DRG 42.00: SIGNS AND SYMPTOMS WITHOUT MCC | $12,742 | $12,742 | $12,742 | +0% | $17,921 | −29% |
| 728 | MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $12,726 | $12,726 | $12,726 | +0% | $17,118 | −26% |
| 069 | MS-DRG 42.00: TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $12,710 | $12,710 | $12,710 | +0% | $21,056 | −40% |
| 182 | MS-DRG 42.00: RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $12,710 | $12,710 | $12,710 | +0% | $14,064 | −10% |
| 770 | MS-DRG 42.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $12,710 | $12,710 | $12,710 | +0% | $18,956 | −33% |
| 125 | MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITHOUT MCC | $12,694 | $12,694 | $12,694 | +0% | $17,298 | −27% |
| 295 | MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $12,678 | $12,678 | $12,678 | +0% | $13,445 | −6% |
| 389 | MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH CC | $12,662 | $12,662 | $12,662 | +0% | $17,578 | −28% |
| 536 | MS-DRG 42.00: FRACTURES OF HIP AND PELVIS WITHOUT MCC | $12,519 | $12,519 | $12,519 | +0% | $18,002 | −30% |
| 594 | MS-DRG 42.00: SKIN ULCERS WITHOUT CC/MCC | $12,519 | $12,519 | $12,519 | +0% | $14,209 | −12% |
| 392 | MS-DRG 42.00: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $12,503 | $12,503 | $12,503 | +0% | $17,322 | −28% |
| 072 | MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $12,455 | $12,455 | $12,455 | +0% | $19,037 | −35% |
| 694 | MS-DRG 42.00: URINARY STONES WITHOUT MCC | $12,455 | $12,455 | $12,455 | +0% | $17,345 | −28% |
| 641 | MS-DRG 42.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $12,424 | $12,424 | $12,424 | +0% | $17,038 | −27% |
| 688 | MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $12,424 | $12,424 | $12,424 | +0% | $12,593 | −1% |
| 561 | MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,408 | $12,408 | $12,408 | +0% | $18,150 | −32% |
| 198 | MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $12,376 | $12,376 | $12,376 | +0% | $15,549 | −20% |
| 093 | MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $12,312 | $12,312 | $12,312 | +0% | $17,620 | −30% |
| 151 | MS-DRG 42.00: EPISTAXIS WITHOUT MCC | $12,265 | $12,265 | $12,265 | +0% | $13,032 | −6% |
| 544 | MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $12,217 | $12,217 | $12,217 | +0% | $16,776 | −27% |
| 179 | MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $12,137 | $12,137 | $12,137 | +0% | $14,648 | −17% |
| 645 | MS-DRG 42.00: ENDOCRINE DISORDERS WITHOUT CC/MCC | $12,105 | $12,105 | $12,105 | +0% | $15,428 | −22% |
| 382 | MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $12,042 | $12,042 | $12,042 | +0% | $16,634 | −28% |
| 185 | MS-DRG 42.00: MAJOR CHEST TRAUMA WITHOUT CC/MCC | $12,026 | $12,026 | $12,026 | +0% | $17,124 | −30% |
| 305 | MS-DRG 42.00: HYPERTENSION WITHOUT MCC | $11,994 | $11,994 | $11,994 | +0% | $18,086 | −34% |
| 566 | MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $11,946 | $11,946 | $11,946 | +0% | $14,716 | −19% |
| 188 | MS-DRG 42.00: PLEURAL EFFUSION WITHOUT CC/MCC | $11,883 | $11,883 | $11,883 | +0% | $14,514 | −18% |
| 806 | MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $11,883 | $11,883 | $11,883 | +0% | $13,275 | −10% |
| 122 | MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $11,851 | $11,851 | $11,851 | +0% | $11,997 | −1% |
| 149 | MS-DRG 42.00: DYSEQUILIBRIUM | $11,851 | $11,851 | $11,851 | +0% | $18,096 | −35% |
| 309 | MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $11,851 | $11,851 | $11,851 | +0% | $17,303 | −32% |
| 370 | MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $11,835 | $11,835 | $11,835 | +0% | $15,495 | −24% |
| 079 | MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $11,787 | $11,787 | $11,787 | +0% | $11,847 | −1% |
| 284 | MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $11,771 | $11,771 | $11,771 | +0% | $16,450 | −28% |
| 832 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $11,740 | $11,740 | $11,740 | +0% | $12,895 | −9% |
| 153 | MS-DRG 42.00: OTITIS MEDIA AND URI WITHOUT MCC | $11,692 | $11,692 | $11,692 | +0% | $14,583 | −20% |
| 726 | MS-DRG 42.00: BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $11,628 | $11,628 | $11,628 | +0% | $15,019 | −23% |
| 297 | MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH CC | $11,596 | $11,596 | $11,596 | +0% | $12,336 | −6% |
| 313 | MS-DRG 42.00: CHEST PAIN | $11,517 | $11,517 | $11,517 | +0% | $16,440 | −30% |
| 282 | MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $11,421 | $11,421 | $11,421 | +0% | $19,227 | −41% |
| 373 | MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $11,406 | $11,406 | $11,406 | +0% | $16,767 | −32% |
| 776 | MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $11,406 | $11,406 | $11,406 | +0% | $12,454 | −8% |
| 443 | MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $11,374 | $11,374 | $11,374 | +0% | $15,600 | −27% |
| 301 | MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $11,294 | $11,294 | $11,294 | +0% | $15,837 | −29% |
| 816 | MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $11,294 | $11,294 | $11,294 | +0% | $14,638 | −23% |
| 538 | MS-DRG 42.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $11,278 | $11,278 | $11,278 | +0% | $11,909 | −5% |
| 700 | MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $11,262 | $11,262 | $11,262 | +0% | $14,797 | −24% |
| 201 | MS-DRG 42.00: PNEUMOTHORAX WITHOUT CC/MCC | $11,231 | $11,231 | $11,231 | +0% | $14,053 | −20% |
| 311 | MS-DRG 42.00: ANGINA PECTORIS | $11,103 | $11,103 | $11,103 | +0% | $15,502 | −28% |
| 921 | MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $11,103 | $11,103 | $11,103 | +0% | $14,415 | −23% |
| 203 | MS-DRG 42.00: BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $11,056 | $11,056 | $11,056 | +0% | $12,252 | −10% |
| 316 | MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $11,024 | $11,024 | $11,024 | +0% | $13,651 | −19% |
| 696 | MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $11,008 | $11,008 | $11,008 | +0% | $14,689 | −25% |
| 869 | MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $10,992 | $10,992 | $10,992 | +0% | $12,559 | −12% |
| 066 | MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $10,944 | $10,944 | $10,944 | +0% | $20,781 | −47% |
| 387 | MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $10,881 | $10,881 | $10,881 | +0% | $16,288 | −33% |
| 159 | MS-DRG 42.00: DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $10,737 | $10,737 | $10,737 | +0% | $13,633 | −21% |
| 599 | MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $10,706 | $10,706 | $10,706 | +0% | $14,290 | −25% |
| 434 | MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $10,658 | $10,658 | $10,658 | +0% | $12,460 | −14% |
| 916 | MS-DRG 42.00: ALLERGIC REACTIONS WITHOUT MCC | $10,483 | $10,483 | $10,483 | +0% | $13,942 | −25% |
| 303 | MS-DRG 42.00: ATHEROSCLEROSIS WITHOUT MCC | $10,467 | $10,467 | $10,467 | +0% | $14,927 | −30% |
| 156 | MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $10,435 | $10,435 | $10,435 | +0% | $14,549 | −28% |
| 807 | MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $10,403 | $10,403 | $10,403 | +0% | $12,078 | −14% |
| 395 | MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $10,308 | $10,308 | $10,308 | +0% | $14,128 | −27% |
| 759 | MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $10,276 | $10,276 | $10,276 | +0% | $14,250 | −28% |
| 192 | MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $10,213 | $10,213 | $10,213 | +0% | $14,368 | −29% |
| 950 | MS-DRG 42.00: AFTERCARE WITHOUT CC/MCC | $10,165 | $10,165 | $10,165 | +0% | $13,527 | −25% |
| 601 | MS-DRG 42.00: NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $10,085 | $10,085 | $10,085 | +0% | $10,975 | −8% |
| 379 | MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $10,069 | $10,069 | $10,069 | +0% | $15,038 | −33% |
| 195 | MS-DRG 42.00: SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $9,958 | $9,958 | $9,958 | +0% | $13,824 | −28% |
| 639 | MS-DRG 42.00: DIABETES WITHOUT CC/MCC | $9,910 | $9,910 | $9,910 | +0% | $13,910 | −29% |
| 730 | MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $9,894 | $9,894 | $9,894 | +0% | $11,071 | −11% |
| 440 | MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,799 | $9,799 | $9,799 | +0% | $15,183 | −35% |
| 684 | MS-DRG 42.00: RENAL FAILURE WITHOUT CC/MCC | $9,688 | $9,688 | $9,688 | +0% | $13,642 | −29% |
| 761 | MS-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $9,640 | $9,640 | $9,640 | +0% | $11,421 | −16% |
| 951 | MS-DRG 42.00: OTHER FACTORS INFLUENCING HEALTH STATUS | $9,385 | $9,385 | $9,385 | +0% | $10,160 | −8% |
| 894 | MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $9,147 | $9,147 | $9,147 | +0% | $12,324 | −26% |
| 293 | MS-DRG 42.00: HEART FAILURE AND SHOCK WITHOUT CC/MCC | $8,940 | $8,940 | $8,940 | +0% | $12,999 | −31% |
| 390 | MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $8,892 | $8,892 | $8,892 | +0% | $13,361 | −33% |
| 310 | MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $8,797 | $8,797 | $8,797 | +0% | $13,384 | −34% |
| 833 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $8,145 | $8,145 | $8,145 | +0% | $9,940 | −18% |
| 285 | MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $7,779 | $7,779 | $7,779 | +0% | $10,480 | −26% |
| 298 | MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $6,999 | $6,999 | $6,999 | +0% | $8,927 | −22% |
| 795 | MS-DRG 42.00: NORMAL NEWBORN | $3,213 | $3,213 | $3,213 | +0% | $4,720 | −32% |
Procedures with negotiated rates only
These 22 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 136 | MS-DRG 42.00: SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,986 – $31,144 · median $10,985 | 46 plans |
| 148 | MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,335 – $25,129 · median $9,169 | 46 plans |
| 317 | MS-DRG 42.00: CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $58,432 – $187,231 · median $64,276 | 46 plans |
| 402 | MS-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $37,278 – $170,301 · median $41,006 | 46 plans |
| 426 | MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $98,328 – $317,038 · median $108,161 | 46 plans |
| 427 | MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $66,956 – $229,302 · median $73,651 | 46 plans |
| 428 | MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $52,086 – $198,682 · median $57,294 | 46 plans |
| 429 | MS-DRG 42.00: COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $78,470 – $252,428 · median $86,317 | 46 plans |
| 430 | MS-DRG 42.00: COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $51,773 – $198,682 · median $56,950 | 46 plans |
| 447 | MS-DRG 42.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $63,254 – $202,918 · median $69,579 | 46 plans |
| 448 | MS-DRG 42.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $38,871 – $123,587 · median $42,759 | 46 plans |
| 509 | MS-DRG 42.00: ARTHROSCOPY | $17,228 – $53,167 · median $18,951 | 46 plans |
| 625 | MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $27,557 – $86,773 · median $30,312 | 46 plans |
| 735 | MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,179 – $43,942 · median $13,397 | 46 plans |
| 756 | MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,771 – $28,903 · median $10,748 | 46 plans |
| 850 | MS-DRG 42.00: ACUTE LEUKEMIA WITH OTHER PROCEDURES | $86,575 – $278,798 · median $95,233 | 46 plans |
| 933 | MS-DRG 42.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $41,136 – $130,954 · median $45,249 | 46 plans |
| 945 | MS-DRG 42.00: REHABILITATION WITH CC/MCC | $15,087 – $49,461 · median $16,595 | 46 plans |
| 946 | MS-DRG 42.00: REHABILITATION WITHOUT CC/MCC | $11,273 – $45,590 · median $12,400 | 46 plans |
| 010 | MS-DRG 42.00: PANCREAS TRANSPLANT | $75,051 – $241,303 · median $82,556 | 45 plans |
| 450 | MS-DRG 42.00: SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $48,793 – $155,868 · median $50,745 | 40 plans |
| 451 | MS-DRG 42.00: SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $29,593 – $93,398 · median $30,777 | 40 plans |
No procedures match that keyword.