Ochsner Lafayette General Medical Center — Pricing

771 procedures published in this hospital's Machine-Readable File (MRF) — 732 with a comparable price, 39 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 $3,920
Average published price $196,164
Highest published price $4,337,237

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.

Showing all 771 procedures

Published charges

Showing all 732 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.

Across 128 procedures, this hospital's negotiated rates average ≈223% of what Medicare pays.

DRG Description Published price Cash price vs. LA median vs. National median vs Medicare
003 MS DRG- ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES;APR DRG- MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY;SOI - Extreme $4,337,237 $954,192 $4,337,237 +0% $371,366 +1068% ≈197% of Medicare
018 MS DRG- CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES;APR DRG- CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES;SOI - Extreme $3,537,511 $778,252 $3,537,511 +0% $573,534 +517% —
001 MS DRG- HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC;APR DRG- IMPLANTABLE HEART ASSIST SYSTEMS;SOI - Extreme $3,164,132 $696,109 $3,164,132 +0% $461,389 +586% —
793 MS DRG- FULL TERM NEONATE WITH MAJOR PROBLEMS;APR DRG- NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE;SOI - Extreme $1,416,698 $311,674 $1,416,698 +0% $18,649 +7497% —
239 MS DRG- AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC;APR DRG- POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI - Extreme $1,413,275 $310,921 $1,413,275 +0% $93,390 +1413% —
008 MS DRG- SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT;APR DRG- PANCREAS TRANSPLANT;SOI - Extreme $1,169,908 $257,380 $1,169,908 +0% $86,459 +1253% —
212 MS DRG- CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES;APR DRG- CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI - Extreme $1,112,643 $244,781 $1,112,643 +0% $196,346 +467% —
216 MS DRG- CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC;APR DRG- CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI - Extreme $1,035,867 $227,891 $1,035,867 +0% $188,171 +450% —
219 MS DRG- CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC;APR DRG- CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI - Extreme $1,021,741 $224,783 $1,021,741 +0% $143,242 +613% —
004 MS DRG-TRACHEOSTOMY WITH MV>96 hrs OR PRINCIPAL DX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES;APR DRG- NEONATE BIRTH WEIGHT 1000-1249g WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY;SOI -Extreme $1,005,203 $221,145 $1,005,203 +0% $248,521 +304% —
233 MS DRG- CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC;APR DRG- CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI - Extreme $1,002,273 $220,500 $1,002,273 +0% $144,569 +593% ≈164% of Medicare
007 MS DRG- LUNG TRANSPLANT;APR DRG- HEART AND/OR LUNG TRANSPLANT;SOI - Extreme $978,611 $215,294 $978,611 +0% $170,608 +474% —
850 MS DRG- ACUTE LEUKEMIA WITH OTHER PROCEDURES;APR DRG- OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI - Extreme $911,832 $200,603 $911,832 +0% $121,563 +650% —
500 MS DRG- SOFT TISSUE PROCEDURES WITH MCC;APR DRG- CONNECTIVE TISSUE DISORDERS;SOI - Extreme $899,292 $197,844 $899,292 +0% $61,872 +1353% —
005 MS DRG- LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT;APR DRG- LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT;SOI - Extreme $872,495 $191,949 $872,495 +0% $164,641 +430% —
228 MS DRG- OTHER CARDIOTHORACIC PROCEDURES WITH MCC;APR DRG- MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY;SOI - Extreme $852,289 $187,504 $852,289 +0% $96,905 +780% —
163 MS DRG- MAJOR CHEST PROCEDURES WITH MCC;APR DRG- EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI - Extreme $813,595 $178,991 $813,595 +0% $90,195 +802% ≈135% of Medicare
268 MS DRG- AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC;APR DRG- MAJOR ABDOMINAL VASCULAR PROCEDURES;SOI - Extreme $808,050 $177,771 $808,050 +0% $125,242 +545% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $801,039 $176,229 $801,039 +0% $105,228 +661% —
270 MS DRG- OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC;APR DRG- LOWER EXTREMITY VASCULAR PROCEDURES;SOI - Extreme $791,135 $174,050 $791,135 +0% $99,423 +696% ≈130% of Medicare
673 MS DRG- OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC;APR DRG- EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI - Extreme $757,023 $166,545 $757,023 +0% $77,990 +871% ≈209% of Medicare
095 MS DRG- BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC;APR DRG- MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI - Major $749,560 $164,903 $749,560 +0% $47,583 +1475% —
002 MS DRG- HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC;APR DRG- HEART AND/OR LUNG TRANSPLANT;SOI - Major $749,042 $164,789 $749,042 +0% $194,769 +285% —
020 MS DRG- INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC;APR DRG- VENTRICULAR SHUNT PROCEDURES;SOI - Extreme $723,031 $159,067 $723,031 +0% $148,686 +386% —
622 MS DRG- SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC;APR DRG- TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI - Extreme $709,996 $156,199 $709,996 +0% $61,470 +1055% —
515 MS DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC;APR DRG- MAJOR CRANIAL OR FACIAL BONE PROCEDURES;SOI - Extreme $703,024 $154,665 $703,024 +0% $62,821 +1019% —
028 MS DRG- SPINAL PROCEDURES WITH MCC;APR DRG- SPINAL PROCEDURES;SOI - Extreme $686,662 $151,066 $686,662 +0% $113,077 +507% —
271 MS DRG- OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC;APR DRG- MAJOR ABDOMINAL VASCULAR PROCEDURES;SOI - Moderate $651,939 $143,427 $651,939 +0% $71,014 +818% ≈205% of Medicare
981 MS DRG- EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC;APR DRG- POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI - Extreme $636,480 $140,026 $636,480 +0% $90,775 +601% ≈175% of Medicare
829 MS DRG- MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC;APR DRG- OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI - Extreme $613,297 $134,925 $613,297 +0% $53,864 +1039% —
252 MS DRG- OTHER VASCULAR PROCEDURES WITH MCC;APR DRG- LOWER EXTREMITY VASCULAR PROCEDURES;SOI - Extreme $605,509 $133,212 $605,509 +0% $68,508 +784% ≈172% of Medicare
217 MS DRG- CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC;APR DRG- CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI - Moderate $590,936 $130,006 $590,936 +0% $123,995 +377% —
665 MS DRG- PROSTATECTOMY WITH MCC;APR DRG- URETHRAL AND TRANSURETHRAL PROCEDURES;SOI - Extreme $581,123 $127,847 $581,123 +0% $54,072 +975% —
790 MS DRG- EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE;APR DRG- NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY;SOI - Extreme $565,814 $124,479 $565,814 +0% $80,018 +607% —
025 MS DRG- CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC;APR DRG- OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES;SOI - Extreme $565,023 $124,305 $565,023 +0% $88,307 +540% ≈153% of Medicare
356 MS DRG- OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC;APR DRG- OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI - Major $561,324 $123,491 $561,324 +0% $82,561 +580% —
011 MS DRG- TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC;APR DRG- MAJOR CRANIAL OR FACIAL BONE PROCEDURES;SOI - Major $540,503 $118,911 $540,503 +0% $101,576 +432% —
856 MS DRG- POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC;APR DRG- POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI - Extreme $520,524 $114,515 $520,524 +0% $76,001 +585% —
457 MS DRG- SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC;APR DRG- DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK;SOI - Moderate $520,056 $114,412 $520,056 +0% $107,355 +384% —
974 MS DRG- HIV WITH MAJOR RELATED CONDITION WITH MCC;APR DRG- INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI - Extreme $508,296 $111,825 $508,296 +0% $46,402 +995% —
958 MS DRG- OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC;APR DRG- MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI - Extreme $505,503 $111,211 $505,503 +0% $73,120 +591% —
803 MS DRG- OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC;APR DRG- SICKLE CELL ANEMIA CRISIS;SOI - Moderate $504,885 $111,075 $504,885 +0% $39,515 +1178% —
650 MS DRG- KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC;APR DRG- KIDNEY TRANSPLANT;SOI - Extreme $498,467 $109,663 $498,467 +0% $71,551 +597% —
464 MS DRG- WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG- SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES;SOI - Major $494,134 $108,709 $494,134 +0% $58,228 +749% —
430 MS DRG- COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC;APR DRG- DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI - Moderate $493,988 $108,677 $493,988 +0% $101,618 +386% —
326 MS DRG- STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC;APR DRG- MAJOR LARGE BOWEL PROCEDURES;SOI - Extreme $492,239 $108,293 $492,239 +0% $80,793 +509% —
577 MS DRG- SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC;APR DRG- SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES;SOI - Major $491,970 $108,233 $491,970 +0% $47,945 +926% —
014 MS DRG- ALLOGENEIC BONE MARROW TRANSPLANT;APR DRG- ALLOGENEIC BONE MARROW TRANSPLANT;SOI - Major $489,981 $107,796 $489,981 +0% $182,314 +169% —
021 MS DRG- INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC;APR DRG- PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI - Extreme $483,463 $106,362 $483,463 +0% $106,057 +356% —
987 MS DRG- NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC;APR DRG- NERVOUS SYSTEM MALIGNANCY;SOI - Extreme $474,647 $104,422 $474,647 +0% $66,068 +618% —
023 MS DRG- CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR;APR DRG- OTHER OPEN CRANIOTOMY;SOI - Major $473,730 $104,221 $473,730 +0% $106,778 +344% ≈183% of Medicare
143 MS DRG- OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI - Extreme $466,040 $102,529 $466,040 +0% $52,908 +781% —
426 MS DRG- MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE;APR DRG- MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL;SOI - Extreme $457,974 $100,754 $457,974 +0% $142,326 +222% —
220 MS DRG- CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC;APR DRG- CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI - Major $452,015 $99,443 $452,015 +0% $111,320 +306% ≈186% of Medicare
269 MS DRG- AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC;APR DRG- MAJOR ABDOMINAL VASCULAR PROCEDURES;SOI - Extreme $448,298 $98,626 $448,298 +0% $85,159 +426% —
956 MS DRG- LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;APR DRG- MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI - Minor $447,555 $98,462 $447,555 +0% $75,103 +496% —
969 MS DRG- HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC;APR DRG- INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI - Extreme $444,033 $97,687 $444,033 +0% $109,331 +306% —
405 MS DRG- PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC;APR DRG- MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES;SOI - Extreme $443,161 $97,495 $443,161 +0% $102,128 +334% —
016 MS DRG- AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC;APR DRG- AUTOLOGOUS BONE MARROW TRANSPLANT;SOI - Extreme $436,902 $96,118 $436,902 +0% $98,260 +345% —
982 MS DRG- EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC;APR DRG- EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI - Extreme $428,102 $94,182 $428,102 +0% $51,985 +724% —
215 MS DRG- OTHER HEART ASSIST SYSTEM IMPLANT;APR DRG- EXTERNAL HEART ASSIST DEVICES;SOI - Extreme $427,635 $94,080 $427,635 +0% $208,939 +105% ≈143% of Medicare
904 MS DRG- SKIN GRAFTS FOR INJURIES WITH CC/MCC;APR DRG- EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI - Major $423,259 $93,117 $423,259 +0% $59,594 +610% —
232 MS DRG- CORONARY BYPASS WITH PTCA WITHOUT MCC;APR DRG- CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI - Moderate $414,837 $91,264 $414,837 +0% $115,839 +258% —
463 MS DRG- WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC;APR DRG- AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI - Extreme $395,892 $87,096 $395,892 +0% $89,207 +344% —
456 MS DRG- SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC;APR DRG- DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK;SOI - Major $392,282 $86,302 $392,282 +0% $153,282 +156% —
013 MS DRG- TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC;APR DRG- FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES;SOI - Moderate $388,789 $85,534 $388,789 +0% $48,687 +699% —
357 MS DRG- OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC;APR DRG- OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES;SOI - Major $385,824 $84,881 $385,824 +0% $48,682 +693% —
329 MS DRG- MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC;APR DRG- MAJOR SMALL BOWEL PROCEDURES;SOI - Extreme $384,955 $84,690 $384,955 +0% $88,050 +337% ≈175% of Medicare
516 MS DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC;APR DRG- NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION;SOI - Extreme $384,745 $84,644 $384,745 +0% $46,090 +735% ≈236% of Medicare
027 MS DRG- CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC;APR DRG- OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES;SOI - Major $384,675 $84,628 $384,675 +0% $54,583 +605% —
042 MS DRG- PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC;APR DRG- OTHER NERVOUS SYSTEM AND RELATED PROCEDURES;SOI - Moderate $381,671 $83,968 $381,671 +0% $39,018 +878% —
629 MS DRG- OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC;APR DRG- OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS;SOI - Major $377,401 $83,028 $377,401 +0% $47,737 +691% —
327 MS DRG- STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC;APR DRG- MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI - Major $377,370 $83,021 $377,370 +0% $59,421 +535% ≈227% of Medicare
616 MS DRG- AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC;APR DRG- AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI - Extreme $376,861 $82,909 $376,861 +0% $66,685 +465% —
447 MS DRG- MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE;APR DRG- DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI - Extreme $376,707 $82,876 $376,707 +0% $126,098 +199% —
654 MS DRG- MAJOR BLADDER PROCEDURES WITH CC;APR DRG- MAJOR BLADDER PROCEDURES;SOI - Major $374,085 $82,299 $374,085 +0% $58,274 +542% —
141 MS DRG- MAJOR HEAD AND NECK PROCEDURES WITH CC;APR DRG- MAJOR CRANIAL OR FACIAL BONE PROCEDURES;SOI - Major $369,938 $81,386 $369,938 +0% $37,267 +893% —
234 MS DRG- CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC;APR DRG- CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI - Major $369,126 $81,208 $369,126 +0% $102,573 +260% —
094 MS DRG- BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC;APR DRG- BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM;SOI - Extreme $365,157 $80,334 $365,157 +0% $68,639 +432% —
742 MS DRG- UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC;APR DRG- UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA;SOI - Minor $364,868 $80,271 $364,868 +0% $40,552 +800% —
235 MS DRG- CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC;APR DRG- CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI - Major $364,795 $80,255 $364,795 +0% $112,062 +226% —
467 MS DRG- REVISION OF HIP OR KNEE REPLACEMENT WITH CC;APR DRG- NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT;SOI - Major $363,444 $79,958 $363,444 +0% $70,847 +413% ≈154% of Medicare
834 MS DRG- ACUTE LEUKEMIA WITH MCC;APR DRG- ACUTE LEUKEMIA;SOI - Extreme $363,002 $79,860 $363,002 +0% $85,566 +324% —
236 MS DRG- CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC;APR DRG- CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI - Major $356,899 $78,518 $356,899 +0% $82,247 +334% ≈201% of Medicare
573 MS DRG- SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC;APR DRG- SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES;SOI - Major $355,009 $78,102 $355,009 +0% $98,912 +259% —
572 MS DRG- SKIN DEBRIDEMENT WITHOUT CC/MCC;APR DRG- MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI - Minor $354,486 $77,987 $354,486 +0% $24,944 +1321% —
140 MS DRG- MAJOR HEAD AND NECK PROCEDURES WITH MCC;APR DRG- OTHER MAJOR HEAD AND NECK PROCEDURES;SOI - Extreme $353,200 $77,704 $353,200 +0% $60,098 +488% —
319 MS DRG- OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC;APR DRG- PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI - Extreme $351,015 $77,223 $351,015 +0% $86,970 +304% —
012 MS DRG- TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC;APR DRG- EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES;SOI - Extreme $350,227 $77,050 $350,227 +0% $79,836 +339% —
853 MS DRG- INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC;APR DRG- INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI - Extreme $348,342 $76,635 $348,342 +0% $93,172 +274% ≈149% of Medicare
614 MS DRG- ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC;APR DRG- ADRENAL PROCEDURES;SOI - Extreme $347,450 $76,439 $347,450 +0% $48,349 +619% —
368 MS DRG- MAJOR ESOPHAGEAL DISORDERS WITH MCC;APR DRG- MAJOR ESOPHAGEAL DISORDERS;SOI - Extreme $347,267 $76,399 $347,267 +0% $33,876 +925% —
218 MS DRG- CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC;APR DRG- CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI - Minor $343,138 $75,490 $343,138 +0% $103,455 +232% —
221 MS DRG- CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC;APR DRG- CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI - Major $342,382 $75,324 $342,382 +0% $90,331 +279% —
518 MS DRG- BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR;APR DRG- SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI - Extreme $339,863 $74,770 $339,863 +0% $71,092 +378% —
545 MS DRG- CONNECTIVE TISSUE DISORDERS WITH MCC;APR DRG- TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI - Extreme $339,825 $74,762 $339,825 +0% $40,362 +742% —
571 MS DRG- SKIN DEBRIDEMENT WITH CC;APR DRG- OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI - Major $339,110 $74,604 $339,110 +0% $37,169 +812% —
207 MS DRG- RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS;APR DRG- RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS;SOI - Extreme $337,793 $74,315 $337,793 +0% $116,058 +191% —
429 MS DRG- COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC;APR DRG- SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI - Major $336,035 $73,928 $336,035 +0% $144,774 +132% —
660 MS DRG- KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC;APR DRG- KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY;SOI - Major $335,282 $73,762 $335,282 +0% $31,264 +972% —
280 MS DRG- ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC;APR DRG- CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI - Major $334,962 $73,692 $334,962 +0% $30,828 +987% ≈256% of Medicare
652 MS DRG- KIDNEY TRANSPLANT;APR DRG- KIDNEY TRANSPLANT;SOI - Major $331,455 $72,920 $331,455 +0% $54,720 +506% —
414 MS DRG- CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC;APR DRG- CHOLECYSTECTOMY;SOI - Extreme $330,747 $330,747 $330,747 +0% $69,743 +374% —
026 MS DRG- CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC;APR DRG- MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI - Major $328,719 $72,318 $328,719 +0% $64,523 +409% —
907 MS DRG- OTHER O.R. PROCEDURES FOR INJURIES WITH MCC;APR DRG- EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI - Extreme $324,308 $71,348 $324,308 +0% $77,817 +317% —
031 MS DRG- VENTRICULAR SHUNT PROCEDURES WITH MCC;APR DRG- VENTRICULAR SHUNT PROCEDURES;SOI - Extreme $321,721 $70,779 $321,721 +0% $72,962 +341% —
229 MS DRG- OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC;APR DRG- MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY;SOI - Major $316,914 $69,721 $316,914 +0% $65,325 +385% —
420 MS DRG- HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC;APR DRG- OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES;SOI - Extreme $314,091 $69,100 $314,091 +0% $50,919 +517% —
488 MS DRG- KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC;APR DRG- KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI - Major $313,931 $69,065 $313,931 +0% $43,631 +620% —
493 MS DRG- LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC;APR DRG- MAJOR CRANIAL OR FACIAL BONE PROCEDURES;SOI - Major $311,066 $68,435 $311,066 +0% $59,651 +421% ≈247% of Medicare
651 MS DRG- KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC;APR DRG- KIDNEY TRANSPLANT;SOI - Major $309,922 $68,183 $309,922 +0% $56,242 +451% —
619 MS DRG- O.R. PROCEDURES FOR OBESITY WITH MCC;APR DRG- PROCEDURES FOR OBESITY;SOI - Extreme $309,626 $68,118 $309,626 +0% $51,746 +498% —
480 MS DRG- HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC;APR DRG- MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI - Extreme $307,401 $67,628 $307,401 +0% $65,653 +368% ≈211% of Medicare
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $305,494 $67,209 $270,699 +13% $93,238 +228% —
010 MS DRG- PANCREAS TRANSPLANT;APR DRG- PANCREAS TRANSPLANT;SOI - Major $305,109 $67,124 $305,109 +0% $99,940 +205% —
375 MS DRG- DIGESTIVE MALIGNANCY WITH CC;APR DRG- MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI - Moderate $304,954 $67,090 $304,954 +0% $27,277 +1018% —
034 MS DRG- CAROTID ARTERY STENT PROCEDURES WITH MCC;APR DRG- PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI - Extreme $302,341 $66,515 $302,341 +0% $76,219 +297% —
286 MS DRG- CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC;APR DRG- POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI - Extreme $296,968 $65,333 $296,968 +0% $46,283 +542% ≈148% of Medicare
006 MS DRG- LIVER TRANSPLANT WITHOUT MCC;APR DRG- LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT;SOI - Moderate $296,800 $65,296 $340,166 −13% $84,407 +252% —
321 MS DRG- PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES;APR DRG- PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI - Extreme $295,559 $65,023 $295,559 +0% $81,706 +262% ≈199% of Medicare
097 MS DRG- NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC;APR DRG- NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS;SOI - Extreme $294,964 $64,892 $294,964 +0% $59,533 +395% —
024 MS DRG- CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC;APR DRG- OPEN CRANIOTOMY EXCEPT TRAUMA;SOI - Major $294,019 $64,684 $294,019 +0% $74,755 +293% —
266 MS DRG- ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC;APR DRG- PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES;SOI - Extreme $293,260 $64,517 $293,260 +0% $113,855 +158% ≈128% of Medicare
427 MS DRG- MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC;APR DRG- PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES;SOI - Major $292,500 $64,350 $292,500 +0% $132,794 +120% —
166 MS DRG- OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC;APR DRG- OTHER RESPIRATORY AND CHEST PROCEDURES;SOI - Extreme $292,258 $64,297 $292,258 +0% $75,573 +287% —
908 MS DRG- OTHER O.R. PROCEDURES FOR INJURIES WITH CC;APR DRG- PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES;SOI - Major $291,344 $64,096 $291,344 +0% $42,914 +579% —
553 MS DRG- BONE DISEASES AND ARTHROPATHIES WITH MCC;APR DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI - Extreme $290,863 $63,990 $290,863 +0% $26,051 +1016% —
450 MS DRG- SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE;APR DRG- DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI - Extreme $290,673 $63,948 $290,673 +0% $99,943 +191% —
041 MS DRG- PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR;APR DRG- OTHER NERVOUS SYSTEM AND RELATED PROCEDURES;SOI - Major $288,011 $63,362 $288,011 +0% $49,418 +483% —
056 MS DRG- DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC;APR DRG- DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI - Extreme $286,532 $63,037 $286,532 +0% $39,973 +617% ≈145% of Medicare
288 MS DRG- ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC;APR DRG- ACUTE AND SUBACUTE ENDOCARDITIS;SOI - Extreme $285,102 $62,722 $285,102 +0% $50,618 +463% —
659 MS DRG- KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC;APR DRG- KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY;SOI - Extreme $284,612 $62,615 $284,612 +0% $52,178 +445% —
458 MS DRG- SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC;APR DRG- DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK;SOI - Minor $283,629 $62,398 $283,629 +0% $83,441 +240% —
474 MS DRG- AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC;APR DRG- AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI - Extreme $282,906 $62,239 $282,906 +0% $84,692 +234% —
040 MS DRG- PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC;APR DRG- OTHER NERVOUS SYSTEM AND RELATED PROCEDURES;SOI - Extreme $282,326 $62,112 $282,326 +0% $74,257 +280% —
060 MS DRG- MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC;APR DRG- MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI - Moderate $282,224 $62,089 $282,224 +0% $22,148 +1174% —
240 MS DRG- AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC;APR DRG- LOWER EXTREMITY VASCULAR PROCEDURES;SOI - Major $278,935 $61,366 $278,935 +0% $59,790 +367% —
736 MS DRG- UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC;APR DRG- UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY;SOI - Moderate $278,216 $61,208 $278,216 +0% $61,832 +350% —
655 MS DRG- MAJOR BLADDER PROCEDURES WITHOUT CC/MCC;APR DRG- MAJOR BLADDER PROCEDURES;SOI - Moderate $277,873 $61,132 $277,873 +0% $43,174 +544% —
057 MS DRG- DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC;APR DRG- DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI - Extreme $276,837 $60,904 $276,837 +0% $27,543 +905% ≈194% of Medicare
277 MS DRG- CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC;APR DRG- DEFIBRILLATOR IMPLANTS;SOI - Major $275,038 $60,508 $275,038 +0% $91,329 +201% —
315 MS DRG- OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC;APR DRG- MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE;SOI - Extreme $274,069 $60,295 $274,069 +0% $21,363 +1183% ≈274% of Medicare
471 MS DRG- CERVICAL SPINAL FUSION WITH MCC;APR DRG- SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI - Extreme $273,884 $60,254 $273,884 +0% $92,515 +196% —
837 MS DRG- CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC;APR DRG- CHEMOTHERAPY FOR ACUTE LEUKEMIA;SOI - Extreme $273,525 $60,176 $273,525 +0% $77,055 +255% —
029 MS DRG- SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS;APR DRG- SPINAL PROCEDURES;SOI - Major $273,140 $60,091 $273,140 +0% $67,268 +306% —
333 MS DRG- RECTAL RESECTION WITH CC;APR DRG- MAJOR LARGE BOWEL PROCEDURES;SOI - Major $272,079 $59,857 $272,079 +0% $37,154 +632% —
466 MS DRG- REVISION OF HIP OR KNEE REPLACEMENT WITH MCC;APR DRG- NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI - Major $272,018 $59,844 $272,018 +0% $96,507 +182% —
867 MS DRG- OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC;APR DRG- OTHER INFECTIOUS AND PARASITIC DISEASES;SOI - Extreme $271,356 $59,698 $271,356 +0% $38,070 +613% —
520 MS DRG- BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC;APR DRG- VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES;SOI - Moderate $268,900 $59,158 $268,900 +0% $35,465 +658% —
254 MS DRG- OTHER VASCULAR PROCEDURES WITHOUT CC/MCC;APR DRG- LOWER EXTREMITY VASCULAR PROCEDURES;SOI - Moderate $268,297 $59,025 $268,297 +0% $38,836 +591% ≈238% of Medicare
406 MS DRG- PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC;APR DRG- MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES;SOI - Moderate $268,175 $58,999 $268,175 +0% $58,043 +362% —
398 MS DRG- APPENDIX PROCEDURES WITH CC;APR DRG- APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS;SOI - Moderate $265,033 $58,307 $265,033 +0% $40,162 +560% —
501 MS DRG- SOFT TISSUE PROCEDURES WITH CC;APR DRG- FOOT AND TOE PROCEDURES;SOI - Moderate $264,790 $58,254 $264,790 +0% $39,619 +568% —
876 MS DRG- O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS;APR DRG- EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI - Major $264,479 $58,185 $264,479 +0% $54,196 +388% —
783 MS DRG- CESAREAN SECTION WITH STERILIZATION WITH MCC;APR DRG- CESAREAN SECTION WITH STERILIZATION;SOI - Major $264,377 $58,163 $264,377 +0% $29,221 +805% —
164 MS DRG- MAJOR CHEST PROCEDURES WITH CC;APR DRG- OTHER RESPIRATORY AND CHEST PROCEDURES;SOI - Major $263,587 $57,989 $263,587 +0% $56,755 +364% ≈202% of Medicare
901 MS DRG- WOUND DEBRIDEMENTS FOR INJURIES WITH MCC;APR DRG- EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI - Major $261,243 $57,474 $261,243 +0% $70,177 +272% —
656 MS DRG- KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC;APR DRG- KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY;SOI - Major $260,863 $57,390 $260,863 +0% $65,608 +298% —
711 MS DRG- TESTES PROCEDURES WITH CC/MCC;APR DRG- PENIS, TESTES AND SCROTAL PROCEDURES;SOI - Moderate $259,488 $57,087 $259,488 +0% $38,343 +577% —
328 MS DRG- STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC;APR DRG- MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI - Moderate $259,480 $57,086 $259,480 +0% $39,006 +565% ≈271% of Medicare
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $259,046 $56,990 $49,636 +422% $25,748 +906% —
838 MS DRG- CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT;APR DRG- CHEMOTHERAPY FOR ACUTE LEUKEMIA;SOI - Major $257,322 $56,611 $257,322 +0% $31,134 +727% —
481 MS DRG- HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC;APR DRG- OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI - Major $257,016 $56,543 $257,016 +0% $52,751 +387% ≈240% of Medicare
261 MS DRG- CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC;APR DRG- CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT;SOI - Major $256,956 $56,530 $256,956 +0% $42,126 +510% —
264 MS DRG- OTHER CIRCULATORY SYSTEM O.R. PROCEDURES;APR DRG- OTHER CIRCULATORY SYSTEM PROCEDURES;SOI - Major $256,590 $56,450 $256,590 +0% $51,953 +394% —
469 MS DRG- MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT;APR DRG- ELECTIVE HIP JOINT REPLACEMENT;SOI - Major $256,581 $56,448 $256,581 +0% $65,788 +290% —
113 MS DRG- ORBITAL PROCEDURES WITH CC/MCC;APR DRG- ORBIT AND EYE PROCEDURES;SOI - Major $256,456 $56,420 $256,456 +0% $36,167 +609% —
273 MS DRG- PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC;APR DRG- INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES;SOI - Major $254,200 $55,924 $254,200 +0% $78,852 +222% —
799 MS DRG- SPLENIC PROCEDURES WITH MCC;APR DRG- SPLENIC PROCEDURES;SOI - Moderate $252,139 $55,471 $252,139 +0% $82,218 +207% —
870 MS DRG- SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS;APR DRG- SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI - Extreme $250,791 $55,174 $250,791 +0% $148,832 +69% ≈154% of Medicare
423 MS DRG- OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC;APR DRG- MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI - Extreme $250,789 $55,174 $250,789 +0% $79,225 +217% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $250,404 $55,089 $146,328 +71% $35,849 +598% —
330 MS DRG- MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC;APR DRG- MAJOR SMALL BOWEL PROCEDURES;SOI - Major $249,802 $54,957 $249,802 +0% $59,500 +320% ≈241% of Medicare
086 MS DRG- TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC;APR DRG- HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI - Extreme $247,957 $54,551 $247,957 +0% $27,043 +817% ≈225% of Medicare
073 MS DRG- CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC;APR DRG- MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI - Major $246,991 $54,338 $246,991 +0% $30,010 +723% —
820 MS DRG- LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC;APR DRG- OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI - Moderate $246,914 $54,321 $246,914 +0% $96,192 +157% —
486 MS DRG- KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC;APR DRG- KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI - Major $245,702 $54,054 $245,702 +0% $49,351 +398% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $243,199 $53,504 $182,500 +33% $40,548 +500% —
448 MS DRG- MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC;APR DRG- SPINAL PROCEDURES;SOI - Major $243,152 $53,494 $243,152 +0% $81,998 +197% —
135 MS DRG- SINUS AND MASTOID PROCEDURES WITH CC/MCC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI - Extreme $242,805 $53,417 $242,805 +0% $42,186 +476% —
287 MS DRG- CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC;APR DRG- CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI - Major $241,278 $53,081 $241,278 +0% $32,021 +653% ≈253% of Medicare
242 MS DRG- PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC;APR DRG- PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI - Moderate $241,202 $53,065 $241,202 +0% $70,132 +244% —
082 MS DRG- TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC;APR DRG- HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI - Extreme $241,124 $53,047 $241,124 +0% $36,489 +561% ≈150% of Medicare
814 MS DRG- RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC;APR DRG- COAGULATION AND PLATELET DISORDERS;SOI - Extreme $240,619 $52,936 $240,619 +0% $33,851 +611% —
265 MS DRG- AICD LEAD PROCEDURES;APR DRG- CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT;SOI - Extreme $240,577 $52,927 $240,577 +0% $63,171 +281% —
451 MS DRG- SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC;APR DRG- DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI - Major $239,945 $52,788 $239,945 +0% $65,216 +268% —
564 MS DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC;APR DRG- MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI - Extreme $239,900 $52,778 $239,900 +0% $33,653 +613% —
276 MS DRG- CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR;APR DRG- DEFIBRILLATOR IMPLANTS;SOI - Extreme $238,440 $52,457 $238,440 +0% $117,280 +103% —
260 MS DRG- CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC;APR DRG- OTHER CIRCULATORY SYSTEM PROCEDURES;SOI - Extreme $238,401 $52,448 $238,401 +0% $70,371 +239% —
275 MS DRG- CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC;APR DRG- DEFIBRILLATOR IMPLANTS;SOI - Moderate $238,286 $52,423 $238,286 +0% $131,961 +81% —
657 MS DRG- KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC;APR DRG- KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY;SOI - Major $238,033 $52,367 $238,033 +0% $43,298 +450% —
492 MS DRG- LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC;APR DRG- KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI - Extreme $237,333 $52,213 $237,333 +0% $70,564 +236% —
299 MS DRG- PERIPHERAL VASCULAR DISORDERS WITH MCC;APR DRG- CONNECTIVE TISSUE DISORDERS;SOI - Extreme $236,161 $51,955 $236,161 +0% $27,316 +765% —
441 MS DRG- DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC;APR DRG- OTHER DISORDERS OF THE LIVER;SOI - Extreme $236,158 $51,955 $236,158 +0% $33,985 +595% —
470 MS DRG- MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC;APR DRG- NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI - Major $234,822 $51,661 $234,822 +0% $50,607 +364% ≈241% of Medicare
428 MS DRG- MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC;APR DRG- PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES;SOI - Moderate $234,042 $51,489 $234,042 +0% $105,899 +121% —
145 MS DRG- OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI - Moderate $233,581 $51,388 $233,581 +0% $25,712 +808% —
472 MS DRG- CERVICAL SPINAL FUSION WITH CC;APR DRG- SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI - Major $228,362 $50,240 $228,362 +0% $59,537 +284% ≈196% of Medicare
245 MS DRG- AICD GENERATOR PROCEDURES;APR DRG- INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES;SOI - Moderate $227,545 $50,060 $227,545 +0% $72,076 +216% —
309 MS DRG- CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC;APR DRG- INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES;SOI - Major $227,494 $50,049 $227,494 +0% $17,303 +1215% ≈276% of Medicare
902 MS DRG- WOUND DEBRIDEMENTS FOR INJURIES WITH CC;APR DRG- EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI - Minor $227,429 $50,034 $227,429 +0% $40,562 +461% —
521 MS DRG- HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC;APR DRG- NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI - Extreme $226,342 $49,795 $226,342 +0% $70,467 +221% —
263 MS DRG- VEIN LIGATION AND STRIPPING;APR DRG- LOWER EXTREMITY VASCULAR PROCEDURES;SOI - Moderate $226,083 $49,738 $226,083 +0% $51,253 +341% —
511 MS DRG- SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC;APR DRG- SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI - Minor $225,134 $49,529 $225,134 +0% $43,538 +417% —
786 MS DRG- CESAREAN SECTION WITHOUT STERILIZATION WITH MCC;APR DRG- CESAREAN SECTION WITHOUT STERILIZATION;SOI - Major $223,254 $49,116 $223,254 +0% $27,152 +722% —
407 MS DRG- PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC;APR DRG- MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES;SOI - Moderate $222,379 $48,923 $222,379 +0% $46,727 +376% —
707 MS DRG- MAJOR MALE PELVIC PROCEDURES WITH CC/MCC;APR DRG- OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES;SOI - Moderate $220,952 $48,610 $220,952 +0% $43,080 +413% —
502 MS DRG- SOFT TISSUE PROCEDURES WITHOUT CC/MCC;APR DRG- CONNECTIVE TISSUE DISORDERS;SOI - Moderate $220,694 $48,553 $220,694 +0% $31,017 +612% —
351 MS DRG- INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC;APR DRG- HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL;SOI - Moderate $219,904 $48,379 $219,904 +0% $36,505 +502% —
144 MS DRG- OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC;APR DRG- FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES;SOI - Moderate $219,140 $48,211 $219,140 +0% $30,553 +617% —
539 MS DRG- OSTEOMYELITIS WITH MCC;APR DRG- OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI - Extreme $218,362 $48,040 $218,362 +0% $37,609 +481% —
115 MS DRG- EXTRAOCULAR PROCEDURES EXCEPT ORBIT;APR DRG- ORBIT AND EYE PROCEDURES;SOI - Extreme $218,201 $48,004 $218,201 +0% $25,703 +749% —
482 MS DRG- HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC;APR DRG- OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI - Moderate $216,580 $47,648 $216,580 +0% $41,955 +416% ≈270% of Medicare
748 MS DRG- FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES;APR DRG- FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES;SOI - Minor $215,769 $47,469 $215,769 +0% $30,242 +613% —
551 MS DRG- MEDICAL BACK PROBLEMS WITH MCC;APR DRG- OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI - Extreme $214,496 $47,189 $214,496 +0% $34,017 +531% ≈155% of Medicare
623 MS DRG- SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG- OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI - Moderate $213,782 $47,032 $213,782 +0% $34,459 +520% —
917 MS DRG- POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC;APR DRG- TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES;SOI - Extreme $213,288 $46,923 $213,288 +0% $30,235 +605% —
675 MS DRG- OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC;APR DRG- ACUTE KIDNEY INJURY;SOI - Moderate $212,851 $46,827 $212,851 +0% $34,749 +513% —
769 MS DRG- POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES;APR DRG- POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE;SOI - Major $209,425 $46,073 $209,425 +0% $25,094 +735% —
377 MS DRG- GASTROINTESTINAL HEMORRHAGE WITH MCC;APR DRG- MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI - Extreme $209,237 $46,032 $209,237 +0% $37,842 +453% ≈237% of Medicare
468 MS DRG- REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC;APR DRG- NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT;SOI - Moderate $208,702 $45,914 $208,702 +0% $54,929 +280% ≈231% of Medicare
142 MS DRG- MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC;APR DRG- OTHER MAJOR HEAD AND NECK PROCEDURES;SOI - Minor $208,502 $45,870 $208,502 +0% $34,906 +497% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $206,781 $45,492 $206,781 +0% $19,354 +968% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $206,219 $45,368 $173,509 +19% $35,030 +489% —
576 MS DRG- SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC;APR DRG- SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES;SOI - Major $205,358 $45,179 $205,358 +0% $90,401 +127% —
402 MS DRG- SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL;APR DRG- PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES;SOI - Major $204,983 $45,096 $204,983 +0% $79,116 +159% —
336 MS DRG- PERITONEAL ADHESIOLYSIS WITH CC;APR DRG- PERITONEAL ADHESIOLYSIS;SOI - Major $203,442 $44,757 $203,442 +0% $50,463 +303% —
578 MS DRG- SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC;APR DRG- OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI - Minor $202,741 $44,603 $202,741 +0% $29,079 +597% —
165 MS DRG- MAJOR CHEST PROCEDURES WITHOUT CC/MCC;APR DRG- MAJOR RESPIRATORY AND CHEST PROCEDURES;SOI - Moderate $202,710 $44,596 $202,710 +0% $46,340 +337% ≈237% of Medicare
653 MS DRG- MAJOR BLADDER PROCEDURES WITH MCC;APR DRG- MAJOR BLADDER PROCEDURES;SOI - Major $201,137 $44,250 $201,137 +0% $104,583 +92% —
615 MS DRG- ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC;APR DRG- EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI - Moderate $198,873 $43,752 $198,873 +0% $32,833 +506% —
477 MS DRG- BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC;APR DRG- SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI - Extreme $198,599 $43,692 $198,599 +0% $68,653 +189% —
100 MS DRG- SEIZURES WITH MCC;APR DRG- SEIZURE;SOI - Extreme $197,965 $43,552 $197,965 +0% $35,481 +458% ≈148% of Medicare
827 MS DRG- MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC;APR DRG- MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI - Moderate $196,236 $43,172 $196,236 +0% $50,498 +289% —
438 MS DRG- DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC;APR DRG- DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI - Extreme $195,769 $43,069 $195,769 +0% $32,628 +500% —
963 MS DRG- OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC;APR DRG- MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE;SOI - Major $194,946 $42,888 $194,946 +0% $43,491 +348% —
737 MS DRG- UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC;APR DRG- UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY;SOI - Major $193,346 $42,536 $193,346 +0% $44,363 +336% —
483 MS DRG- MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES;APR DRG- SHOULDER AND ELBOW JOINT REPLACEMENT;SOI - Moderate $193,270 $42,519 $193,270 +0% $58,707 +229% ≈176% of Medicare
749 MS DRG- OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC;APR DRG- OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES;SOI - Moderate $193,232 $42,511 $193,232 +0% $45,167 +328% —
478 MS DRG- BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC;APR DRG- HIP AND FEMUR FRACTURE REPAIR;SOI - Moderate $192,844 $42,426 $192,844 +0% $50,139 +285% —
386 MS DRG- INFLAMMATORY BOWEL DISEASE WITH CC;APR DRG- INFLAMMATORY BOWEL DISEASE;SOI - Extreme $192,375 $42,322 $192,375 +0% $22,033 +773% —
815 MS DRG- RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC;APR DRG- OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI - Major $191,645 $42,162 $191,645 +0% $19,264 +895% —
826 MS DRG- MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC;APR DRG- MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI - Major $191,075 $42,036 $191,075 +0% $90,724 +111% —
909 MS DRG- OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC;APR DRG- EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI - Moderate $190,770 $41,969 $190,770 +0% $28,156 +578% —
738 MS DRG- UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC;APR DRG- UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY;SOI - Minor $185,899 $40,898 $185,899 +0% $33,674 +452% —
253 MS DRG- OTHER VASCULAR PROCEDURES WITH CC;APR DRG- OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES;SOI - Major $185,466 $40,802 $185,466 +0% $57,454 +223% ≈212% of Medicare
334 MS DRG- RECTAL RESECTION WITHOUT CC/MCC;APR DRG- MAJOR LARGE BOWEL PROCEDURES;SOI - Minor $185,443 $40,798 $185,443 +0% $36,820 +404% —
323 MS DRG- CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC;APR DRG- PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI - Major $184,975 $40,695 $184,975 +0% $101,510 +82% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $184,298 $40,545 $184,298 +0% $66,848 +176% —
841 MS DRG- LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC;APR DRG- LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI - Extreme $183,944 $40,468 $183,944 +0% $33,633 +447% —
408 MS DRG- BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC;APR DRG- MAJOR BILIARY TRACT PROCEDURES;SOI - Major $183,189 $40,302 $183,189 +0% $62,583 +193% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $182,984 $40,257 $163,512 +12% $35,831 +411% —
988 MS DRG- NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC;APR DRG- NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI - Extreme $181,961 $40,031 $181,961 +0% $38,094 +378% —
661 MS DRG- KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC;APR DRG- KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY;SOI - Moderate $181,851 $40,007 $181,851 +0% $25,970 +600% —
475 MS DRG- AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG- AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI - Moderate $181,509 $39,932 $181,509 +0% $45,877 +296% —
331 MS DRG- MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG- MAJOR SMALL BOWEL PROCEDURES;SOI - Moderate $180,960 $39,811 $180,960 +0% $44,117 +310% ≈256% of Medicare
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $178,911 $39,360 $104,036 +72% $42,906 +317% —
617 MS DRG- AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG- OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS;SOI - Major $178,822 $39,341 $178,822 +0% $42,881 +317% —
801 MS DRG- SPLENIC PROCEDURES WITHOUT CC/MCC;APR DRG- SPLENIC PROCEDURES;SOI - Minor $178,234 $39,211 $178,234 +0% $36,445 +389% —
828 MS DRG- MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC;APR DRG- MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI - Moderate $178,086 $39,179 $178,086 +0% $35,584 +400% —
580 MS DRG- OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC;APR DRG- LOWER EXTREMITY VASCULAR PROCEDURES;SOI - Moderate $178,026 $39,166 $178,026 +0% $38,101 +367% —
283 MS DRG- ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC;APR DRG- CARDIAC ARREST AND SHOCK;SOI - Extreme $176,766 $38,889 $176,766 +0% $39,955 +342% —
317 MS DRG- CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION;APR DRG- PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI - Moderate $176,723 $38,879 $176,723 +0% $88,566 +100% —
741 MS DRG- UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC;APR DRG- UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA;SOI - Minor $175,245 $38,554 $175,245 +0% $30,493 +475% —
739 MS DRG- UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC;APR DRG- UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY;SOI - Extreme $174,584 $38,408 $174,584 +0% $62,300 +180% —
353 MS DRG- HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC;APR DRG- INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI - Major $171,200 $37,664 $171,200 +0% $60,170 +185% —
519 MS DRG- BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC;APR DRG- SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI - Moderate $171,169 $37,657 $171,169 +0% $44,139 +288% —
555 MS DRG- SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC;APR DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI - Extreme $169,416 $37,272 $169,416 +0% $24,127 +602% —
884 MS DRG- ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY;APR DRG- DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI - Extreme $169,279 $169,279 $169,279 +0% $26,682 +534% ≈151% of Medicare
393 MS DRG- OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC;APR DRG- OTHER GASTROENTERITIS, NAUSEA AND VOMITING;SOI - Major $169,226 $37,230 $169,226 +0% $34,192 +395% ≈159% of Medicare
625 MS DRG- THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC;APR DRG- THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES;SOI - Major $168,992 $37,178 $168,992 +0% $59,031 +186% —
522 MS DRG- HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC;APR DRG- NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI - Major $168,718 $37,118 $168,718 +0% $58,280 +189% ≈221% of Medicare
808 MS DRG- MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC;APR DRG- MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI - Extreme $168,531 $37,077 $168,531 +0% $39,181 +330% —
314 MS DRG- OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC;APR DRG- POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI - Extreme $167,592 $36,870 $167,592 +0% $38,666 +333% ≈157% of Medicare
494 MS DRG- LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC;APR DRG- KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI - Minor $167,063 $36,754 $167,063 +0% $47,711 +250% ≈268% of Medicare
620 MS DRG- O.R. PROCEDURES FOR OBESITY WITH CC;APR DRG- PROCEDURES FOR OBESITY;SOI - Major $166,940 $36,727 $166,940 +0% $35,453 +371% —
489 MS DRG- KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC;APR DRG- KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI - Minor $166,275 $36,581 $166,275 +0% $28,320 +487% —
380 MS DRG- COMPLICATED PEPTIC ULCER WITH MCC;APR DRG- MAJOR ESOPHAGEAL DISORDERS;SOI - Extreme $165,908 $36,500 $165,908 +0% $39,627 +319% —
658 MS DRG- KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC;APR DRG- KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY;SOI - Minor $165,649 $36,443 $165,649 +0% $36,253 +357% —
425 MS DRG- OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC;APR DRG- EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI - Minor $163,144 $35,892 $163,144 +0% $26,598 +513% —
686 MS DRG- KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC;APR DRG- KIDNEY AND URINARY TRACT MALIGNANCY;SOI - Major $162,540 $35,759 $162,540 +0% $37,844 +329% —
708 MS DRG- MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC;APR DRG- OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES;SOI - Minor $162,066 $35,655 $162,066 +0% $36,988 +338% —
037 MS DRG- EXTRACRANIAL PROCEDURES WITH MCC;APR DRG- OTHER NERVOUS SYSTEM AND RELATED PROCEDURES;SOI - Extreme $161,486 $35,527 $161,486 +0% $66,666 +142% —
811 MS DRG- RED BLOOD CELL DISORDERS WITH MCC;APR DRG- SICKLE CELL ANEMIA CRISIS;SOI - Extreme $161,382 $35,504 $161,382 +0% $28,226 +472% ≈153% of Medicare
415 MS DRG- CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC;APR DRG- CHOLECYSTECTOMY;SOI - Moderate $160,820 $35,380 $160,820 +0% $43,913 +266% —
817 MS DRG- OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC;APR DRG- ANTEPARTUM WITH O.R. PROCEDURE;SOI - Extreme $160,669 $35,347 $160,669 +0% $39,173 +310% —
846 MS DRG- CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC;APR DRG- OTHER CHEMOTHERAPY;SOI - Major $160,557 $35,322 $160,557 +0% $38,878 +313% —
754 MS DRG- MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC;APR DRG- FEMALE REPRODUCTIVE SYSTEM MALIGNANCY;SOI - Extreme $159,784 $35,152 $159,784 +0% $32,433 +393% —
354 MS DRG- HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC;APR DRG- HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL;SOI - Minor $158,714 $34,917 $158,714 +0% $43,477 +265% —
682 MS DRG- RENAL FAILURE WITH MCC;APR DRG- ACUTE KIDNEY INJURY;SOI - Extreme $158,676 $34,909 $158,676 +0% $29,064 +446% ≈160% of Medicare
335 MS DRG- PERITONEAL ADHESIOLYSIS WITH MCC;APR DRG- PERITONEAL ADHESIOLYSIS;SOI - Extreme $158,435 $34,856 $158,435 +0% $71,755 +121% —
371 MS DRG- MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC;APR DRG- MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI - Extreme $157,761 $34,708 $157,761 +0% $33,555 +370% —
324 MS DRG- CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC;APR DRG- PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI - Major $157,463 $34,642 $157,463 +0% $71,464 +120% —
349 MS DRG- ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC;APR DRG- MAJOR LARGE BOWEL PROCEDURES;SOI - Moderate $157,362 $34,620 $157,362 +0% $19,854 +693% —
664 MS DRG- MINOR BLADDER PROCEDURES WITHOUT CC/MCC;APR DRG- OTHER BLADDER PROCEDURES;SOI - Moderate $157,265 $34,598 $157,265 +0% $22,314 +605% —
693 MS DRG- URINARY STONES WITH MCC;APR DRG- URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION;SOI - Extreme $156,033 $34,327 $156,033 +0% $23,892 +553% —
255 MS DRG- UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC;APR DRG- OTHER CIRCULATORY SYSTEM PROCEDURES;SOI - Major $155,990 $34,318 $155,990 +0% $46,453 +236% —
291 MS DRG- HEART FAILURE AND SHOCK WITH MCC;APR DRG- HEART FAILURE;SOI - Extreme $155,587 $34,229 $67,590 +130% $26,776 +481% ≈167% of Medicare
496 MS DRG- LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC;APR DRG- FOOT AND TOE PROCEDURES;SOI - Minor $155,216 $34,148 $155,216 +0% $43,800 +254% —
674 MS DRG- OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC;APR DRG- ACUTE KIDNEY INJURY;SOI - Moderate $155,133 $34,129 $155,133 +0% $50,394 +208% —
789 MS DRG- NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY;APR DRG- NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY;SOI - Extreme $155,072 $34,116 $155,072 +0% $16,351 +848% —
296 MS DRG- CARDIAC ARREST, UNEXPLAINED WITH MCC;APR DRG- CARDIAC ARREST AND SHOCK;SOI - Extreme $154,866 $34,071 $154,866 +0% $33,661 +360% —
812 MS DRG- RED BLOOD CELL DISORDERS WITHOUT MCC;APR DRG- NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI - Moderate $153,995 $33,879 $153,995 +0% $20,488 +652% ≈268% of Medicare
465 MS DRG- WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC;APR DRG- OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI - Moderate $153,980 $33,876 $153,980 +0% $32,443 +375% —
840 MS DRG- LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC;APR DRG- LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI - Extreme $153,517 $33,774 $153,517 +0% $49,710 +209% —
818 MS DRG- OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC;APR DRG- ANTEPARTUM WITH O.R. PROCEDURE;SOI - Moderate $151,950 $33,429 $151,950 +0% $26,870 +466% —
505 MS DRG- FOOT PROCEDURES WITHOUT CC/MCC;APR DRG- FOOT AND TOE PROCEDURES;SOI - Minor $151,799 $33,396 $151,799 +0% $34,937 +334% —
307 MS DRG- CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC;APR DRG- CARDIAC STRUCTURAL AND VALVULAR DISORDERS;SOI - Extreme $151,490 $33,328 $151,490 +0% $20,566 +637% —
485 MS DRG- KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC;APR DRG- NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT;SOI - Extreme $150,961 $33,211 $150,961 +0% $72,424 +108% —
417 MS DRG- LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC;APR DRG- CHOLECYSTECTOMY;SOI - Major $150,911 $33,201 $150,911 +0% $53,451 +182% ≈161% of Medicare
740 MS DRG- UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC;APR DRG- UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY;SOI - Moderate $150,629 $33,138 $150,629 +0% $40,365 +273% —
821 MS DRG- LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC;APR DRG- MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI - Moderate $150,590 $33,130 $150,590 +0% $47,789 +215% —
030 MS DRG- SPINAL PROCEDURES WITHOUT CC/MCC;APR DRG- SPINAL PROCEDURES;SOI - Moderate $150,535 $33,118 $150,535 +0% $45,866 +228% —
272 MS DRG- OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC;APR DRG- LOWER EXTREMITY VASCULAR PROCEDURES;SOI - Minor $150,462 $33,102 $150,462 +0% $55,162 +173% —
167 MS DRG- OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC;APR DRG- OTHER RESPIRATORY AND CHEST PROCEDURES;SOI - Minor $150,129 $33,028 $150,129 +0% $40,642 +269% —
344 MS DRG- MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC;APR DRG- OTHER SMALL AND LARGE BOWEL PROCEDURES;SOI - Major $149,997 $32,999 $149,997 +0% $44,546 +237% —
791 MS DRG- PREMATURITY WITH MAJOR PROBLEMS;APR DRG- NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION;SOI - Moderate $149,542 $32,899 $149,542 +0% $42,679 +250% —
957 MS DRG- OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC;APR DRG- CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA;SOI - Extreme $149,174 $32,818 $172,203 −13% $120,573 +24% —
865 MS DRG- VIRAL ILLNESS WITH MCC;APR DRG- VIRAL ILLNESS;SOI - Extreme $148,597 $32,691 $148,597 +0% $26,910 +452% —
640 MS DRG- MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC;APR DRG- MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS;SOI - Extreme $147,870 $32,531 $147,870 +0% $25,463 +481% ≈160% of Medicare
186 MS DRG- PLEURAL EFFUSION WITH MCC;APR DRG- HEART FAILURE;SOI - Major $147,253 $147,253 $147,253 +0% $33,834 +335% —
346 MS DRG- MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG- OTHER SMALL AND LARGE BOWEL PROCEDURES;SOI - Minor $146,992 $32,338 $146,992 +0% $27,297 +438% —
193 MS DRG- SIMPLE PNEUMONIA AND PLEURISY WITH MCC;APR DRG- INFECTIONS OF UPPER RESPIRATORY TRACT;SOI - Extreme $146,044 $32,130 $107,403 +36% $27,275 +435% ≈163% of Medicare
746 MS DRG- VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC;APR DRG- OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES;SOI - Moderate $145,659 $32,045 $145,659 +0% $29,916 +387% —
308 MS DRG- CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC;APR DRG- CARDIAC ARREST AND SHOCK;SOI - Extreme $145,163 $31,936 $145,163 +0% $26,770 +442% ≈163% of Medicare
802 MS DRG- OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC;APR DRG- OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS;SOI - Major $144,612 $31,815 $144,612 +0% $66,711 +117% —
432 MS DRG- CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC;APR DRG- OTHER DISORDERS OF THE LIVER;SOI - Extreme $143,695 $31,613 $143,695 +0% $40,213 +257% —
175 MS DRG- PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE;APR DRG- PULMONARY EMBOLISM;SOI - Extreme $143,594 $31,591 $143,594 +0% $30,959 +364% —
251 MS DRG- PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC;APR DRG- PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI - Major $142,672 $31,388 $142,672 +0% $46,295 +208% —
854 MS DRG- INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC;APR DRG- INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI - Major $142,430 $31,335 $142,430 +0% $43,943 +224% ≈243% of Medicare
506 MS DRG- MAJOR THUMB OR JOINT PROCEDURES;APR DRG- HAND AND WRIST PROCEDURES;SOI - Major $142,343 $31,315 $142,343 +0% $30,557 +366% —
418 MS DRG- LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC;APR DRG- CHOLECYSTECTOMY;SOI - Major $141,440 $31,117 $141,440 +0% $44,606 +217% ≈237% of Medicare
473 MS DRG- CERVICAL SPINAL FUSION WITHOUT CC/MCC;APR DRG- SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI - Moderate $141,364 $31,100 $141,364 +0% $50,624 +179% —
410 MS DRG- BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC;APR DRG- MAJOR BILIARY TRACT PROCEDURES;SOI - Moderate $141,356 $31,098 $141,356 +0% $34,434 +311% —
322 MS DRG- PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC;APR DRG- PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI - Moderate $140,890 $30,996 $140,890 +0% $58,809 +140% ≈260% of Medicare
542 MS DRG- PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC;APR DRG- OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI - Extreme $140,877 $30,993 $140,877 +0% $36,792 +283% —
947 MS DRG- SIGNS AND SYMPTOMS WITH MCC;APR DRG- OTHER DISORDERS OF THE LIVER;SOI - Extreme $140,469 $30,903 $140,469 +0% $27,401 +413% —
498 MS DRG- LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC;APR DRG- OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI - Major $140,367 $30,881 $140,367 +0% $49,423 +184% —
848 MS DRG- CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC;APR DRG- OTHER CHEMOTHERAPY;SOI - Minor $139,203 $139,203 $142,366 −2% $14,501 +860% —
964 MS DRG- OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC;APR DRG- MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE;SOI - Major $139,113 $30,605 $139,113 +0% $27,394 +408% —
919 MS DRG- COMPLICATIONS OF TREATMENT WITH MCC;APR DRG- MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI - Major $138,256 $30,416 $138,256 +0% $31,105 +344% ≈164% of Medicare
717 MS DRG- OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC;APR DRG- OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES;SOI - Minor $137,961 $30,351 $137,961 +0% $36,670 +276% —
825 MS DRG- LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC;APR DRG- OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI - Minor $137,496 $30,249 $137,496 +0% $27,323 +403% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $136,543 $30,039 $98,658 +38% $21,230 +543% —
424 MS DRG- OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC;APR DRG- NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI - Moderate $136,504 $30,031 $136,504 +0% $42,415 +222% —
189 MS DRG- PULMONARY EDEMA AND RESPIRATORY FAILURE;APR DRG- RESPIRATORY FAILURE;SOI - Extreme $136,169 $29,957 $102,906 +32% $26,580 +412% ≈176% of Medicare
038 MS DRG- EXTRACRANIAL PROCEDURES WITH CC;APR DRG- OPEN EXTRACRANIAL VASCULAR PROCEDURES;SOI - Major $135,866 $29,891 $135,866 +0% $35,770 +280% —
479 MS DRG- BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC;APR DRG- HIP AND FEMUR FRACTURE REPAIR;SOI - Moderate $135,610 $29,834 $135,610 +0% $34,276 +296% —
065 MS DRG- INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS;APR DRG- INTRACRANIAL HEMORRHAGE;SOI - Major $135,490 $29,808 $135,490 +0% $23,940 +466% ≈210% of Medicare
871 MS DRG- SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC;APR DRG- SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI - Extreme $135,282 $29,762 $92,934 +46% $35,628 +280% ≈147% of Medicare
581 MS DRG- OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC;APR DRG- TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI - Minor $134,904 $29,679 $134,904 +0% $26,932 +401% —
064 MS DRG- INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC;APR DRG- CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI - Extreme $134,897 $29,677 $134,897 +0% $39,106 +245% ≈182% of Medicare
559 MS DRG- AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC;APR DRG- MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI - Moderate $134,434 $29,575 $134,434 +0% $33,047 +307% —
116 MS DRG- INTRAOCULAR PROCEDURES WITH CC/MCC;APR DRG- ORBIT AND EYE PROCEDURES;SOI - Major $134,301 $29,546 $134,301 +0% $29,126 +361% —
091 MS DRG- OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC;APR DRG- ANOXIC AND OTHER SEVERE BRAIN DAMAGE;SOI - Extreme $133,775 $29,431 $133,775 +0% $37,387 +258% ≈175% of Medicare
177 MS DRG- RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC;APR DRG- OTHER PNEUMONIA;SOI - Extreme $133,347 $29,336 $133,347 +0% $33,707 +296% ≈154% of Medicare
672 MS DRG- URETHRAL PROCEDURES WITHOUT CC/MCC;APR DRG- URETHRAL AND TRANSURETHRAL PROCEDURES;SOI - Moderate $133,034 $29,267 $133,034 +0% $17,398 +665% —
849 MS DRG- RADIOTHERAPY;APR DRG- RADIOTHERAPY;SOI - Major $132,940 $29,247 $132,940 +0% $37,862 +251% —
413 MS DRG- CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC;APR DRG- CHOLECYSTECTOMY;SOI - Minor $132,376 $29,123 $132,376 +0% $29,316 +352% —
507 MS DRG- MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC;APR DRG- SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI - Major $132,297 $29,105 $132,297 +0% $37,240 +255% —
384 MS DRG- UNCOMPLICATED PEPTIC ULCER WITHOUT MCC;APR DRG- PEPTIC ULCER AND GASTRITIS;SOI - Moderate $132,033 $29,047 $132,033 +0% $19,305 +584% —
709 MS DRG- PENIS PROCEDURES WITH CC/MCC;APR DRG- PENIS, TESTES AND SCROTAL PROCEDURES;SOI - Moderate $131,646 $28,962 $131,646 +0% $34,535 +281% —
824 MS DRG- LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC;APR DRG- OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI - Moderate $130,952 $28,809 $130,952 +0% $41,608 +215% —
517 MS DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC;APR DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES;SOI - Moderate $130,523 $28,715 $130,523 +0% $33,393 +291% —
710 MS DRG- PENIS PROCEDURES WITHOUT CC/MCC;APR DRG- PENIS, TESTES AND SCROTAL PROCEDURES;SOI - Minor $129,978 $28,595 $129,978 +0% $26,436 +392% —
637 MS DRG- DIABETES WITH MCC;APR DRG- DIABETES;SOI - Extreme $129,948 $28,588 $129,948 +0% $30,100 +332% ≈155% of Medicare
822 MS DRG- LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC;APR DRG- MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI - Minor $129,925 $28,584 $129,925 +0% $25,390 +412% —
716 MS DRG- OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC;APR DRG- OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES;SOI - Minor $129,669 $28,527 $129,669 +0% $22,620 +473% —
279 MS DRG- ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC;APR DRG- LOWER EXTREMITY VASCULAR PROCEDURES;SOI - Minor $129,569 $28,505 $129,569 +0% $63,928 +103% —
267 MS DRG- ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC;APR DRG- PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES;SOI - Minor $129,089 $28,400 $157,480 −18% $92,217 +40% ≈160% of Medicare
543 MS DRG- PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC;APR DRG- HIP AND FEMUR FRACTURE REPAIR;SOI - Major $128,736 $28,322 $128,736 +0% $23,551 +447% ≈242% of Medicare
857 MS DRG- POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC;APR DRG- POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI - Major $128,327 $28,232 $128,327 +0% $45,333 +183% —
274 MS DRG- PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC;APR DRG- PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI - Major $126,906 $27,919 $126,906 +0% $65,573 +94% ≈177% of Medicare
374 MS DRG- DIGESTIVE MALIGNANCY WITH MCC;APR DRG- DIGESTIVE MALIGNANCY;SOI - Extreme $126,430 $27,815 $126,430 +0% $39,958 +216% —
579 MS DRG- OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC;APR DRG- OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI - Major $126,334 $27,794 $126,334 +0% $58,745 +115% —
743 MS DRG- UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC;APR DRG- UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA;SOI - Minor $126,156 $27,754 $126,156 +0% $30,784 +310% —
250 MS DRG- PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC;APR DRG- PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI - Major $125,793 $27,675 $125,793 +0% $59,629 +111% —
085 MS DRG- TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC;APR DRG- HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI - Moderate $124,895 $27,477 $124,895 +0% $41,892 +198% ≈189% of Medicare
813 MS DRG- COAGULATION DISORDERS;APR DRG- COAGULATION AND PLATELET DISORDERS;SOI - Extreme $124,891 $27,476 $124,891 +0% $33,296 +275% —
621 MS DRG- O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC;APR DRG- PROCEDURES FOR OBESITY;SOI - Moderate $124,759 $27,447 $124,759 +0% $32,451 +284% —
574 MS DRG- SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC;APR DRG- OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI - Moderate $123,642 $27,201 $123,642 +0% $52,036 +138% —
510 MS DRG- SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC;APR DRG- SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI - Moderate $123,436 $27,156 $123,436 +0% $49,839 +148% —
951 MS DRG- OTHER FACTORS INFLUENCING HEALTH STATUS;APR DRG- SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI - Major $123,297 $27,125 $123,297 +0% $10,160 +1114% —
669 MS DRG- TRANSURETHRAL PROCEDURES WITH CC;APR DRG- URETHRAL AND TRANSURETHRAL PROCEDURES;SOI - Major $122,675 $26,989 $122,675 +0% $34,354 +257% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $122,432 $26,935 $89,459 +37% $27,989 +337% —
830 MS DRG- MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC;APR DRG- MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI - Moderate $122,344 $26,916 $122,344 +0% $31,170 +293% —
666 MS DRG- PROSTATECTOMY WITH CC;APR DRG- URETHRAL AND TRANSURETHRAL PROCEDURES;SOI - Moderate $120,342 $26,475 $120,342 +0% $31,906 +277% —
149 MS DRG- DYSEQUILIBRIUM;APR DRG- VERTIGO AND OTHER LABYRINTH DISORDERS;SOI - Major $120,118 $26,426 $120,118 +0% $18,096 +564% —
671 MS DRG- URETHRAL PROCEDURES WITH CC/MCC;APR DRG- URETHRAL AND TRANSURETHRAL PROCEDURES;SOI - Moderate $119,940 $26,387 $119,940 +0% $27,233 +340% —
868 MS DRG- OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC;APR DRG- POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI - Moderate $119,732 $26,341 $119,732 +0% $22,763 +426% —
197 MS DRG- INTERSTITIAL LUNG DISEASE WITH CC;APR DRG- CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI - Moderate $119,731 $26,341 $119,731 +0% $21,941 +446% —
735 MS DRG- PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC;APR DRG- OTHER GYN PROCEDURES FOR MALIGNANCY;SOI - Minor $119,248 $26,235 $119,248 +0% $26,948 +343% —
103 MS DRG- HEADACHES WITHOUT MCC;APR DRG- MIGRAINE AND OTHER HEADACHES;SOI - Major $119,195 $26,223 $119,195 +0% $21,280 +460% ≈212% of Medicare
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $117,722 $25,899 $117,722 +0% $29,826 +295% —
607 MS DRG- MINOR SKIN DISORDERS WITHOUT MCC;APR DRG- OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI - Minor $117,221 $25,789 $117,221 +0% $15,889 +638% —
554 MS DRG- BONE DISEASES AND ARTHROPATHIES WITHOUT MCC;APR DRG- ELECTIVE KNEE JOINT REPLACEMENT;SOI - Minor $117,066 $25,755 $117,066 +0% $18,528 +532% —
983 MS DRG- EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC;APR DRG- OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES;SOI - Minor $117,043 $25,749 $117,043 +0% $34,607 +238% —
627 MS DRG- THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC;APR DRG- THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES;SOI - Minor $116,784 $25,692 $116,784 +0% $28,125 +315% —
032 MS DRG- VENTRICULAR SHUNT PROCEDURES WITH CC;APR DRG- VENTRICULAR SHUNT PROCEDURES;SOI - Moderate $116,432 $25,615 $116,432 +0% $46,724 +149% —
885 MS DRG- PSYCHOSES;APR DRG- SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS;SOI - Major $116,056 $25,532 $116,056 +0% $21,729 +434% —
744 MS DRG- D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC;APR DRG- DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES;SOI - Major $114,635 $25,220 $114,635 +0% $38,861 +195% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $114,492 $25,188 $114,492 +0% $61,217 +87% —
626 MS DRG- THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC;APR DRG- THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES;SOI - Moderate $113,826 $25,042 $113,826 +0% $33,454 +240% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $113,600 $24,992 $113,600 +0% $58,975 +93% —
823 MS DRG- LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC;APR DRG- LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI - Major $113,319 $24,930 $118,618 −4% $87,761 +29% —
345 MS DRG- MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC;APR DRG- OTHER SMALL AND LARGE BOWEL PROCEDURES;SOI - Minor $113,229 $24,910 $113,229 +0% $33,048 +243% —
070 MS DRG- NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC;APR DRG- ALTERATION IN CONSCIOUSNESS;SOI - Extreme $112,683 $24,790 $112,683 +0% $31,951 +253% —
358 MS DRG- OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC;APR DRG- OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES;SOI - Major $111,921 $24,623 $111,921 +0% $30,083 +272% —
399 MS DRG- APPENDIX PROCEDURES WITHOUT CC/MCC;APR DRG- APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS;SOI - Moderate $111,490 $24,528 $111,490 +0% $31,321 +256% —
168 MS DRG- OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC;APR DRG- OTHER RESPIRATORY AND CHEST PROCEDURES;SOI - Minor $110,598 $24,331 $110,598 +0% $29,949 +269% —
391 MS DRG- ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC;APR DRG- OTHER GASTROENTERITIS, NAUSEA AND VOMITING;SOI - Extreme $110,558 $24,323 $110,558 +0% $28,050 +294% ≈157% of Medicare
941 MS DRG- O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC;APR DRG- PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES;SOI - Minor $110,209 $24,246 $110,209 +0% $29,524 +273% —
747 MS DRG- VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC;APR DRG- OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES;SOI - Minor $109,604 $24,113 $109,604 +0% $19,594 +459% —
389 MS DRG- GASTROINTESTINAL OBSTRUCTION WITH CC;APR DRG- INTESTINAL OBSTRUCTION;SOI - Extreme $109,448 $24,079 $109,448 +0% $17,578 +523% ≈261% of Medicare
416 MS DRG- CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC;APR DRG- CHOLECYSTECTOMY;SOI - Moderate $109,127 $24,008 $109,127 +0% $30,418 +259% —
208 MS DRG- RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS;APR DRG- ASTHMA;SOI - Extreme $108,930 $23,965 $108,930 +0% $52,405 +108% ≈152% of Medicare
970 MS DRG- HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC;APR DRG- INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI - Moderate $107,765 $23,708 $107,765 +0% $44,222 +144% —
039 MS DRG- EXTRACRANIAL PROCEDURES WITHOUT CC/MCC;APR DRG- OPEN EXTRACRANIAL VASCULAR PROCEDURES;SOI - Major $107,739 $23,703 $107,739 +0% $26,618 +305% ≈259% of Medicare
642 MS DRG- INBORN AND OTHER DISORDERS OF METABOLISM;APR DRG- PERITONEAL ADHESIOLYSIS;SOI - Moderate $106,995 $23,539 $106,995 +0% $20,727 +416% —
734 MS DRG- PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC;APR DRG- OTHER GYN PROCEDURES FOR MALIGNANCY;SOI - Minor $106,912 $23,521 $106,912 +0% $42,795 +150% —
035 MS DRG- CAROTID ARTERY STENT PROCEDURES WITH CC;APR DRG- PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI - Minor $106,836 $23,504 $106,836 +0% $49,066 +118% ≈227% of Medicare
080 MS DRG- NONTRAUMATIC STUPOR AND COMA WITH MCC;APR DRG- ANOXIC AND OTHER SEVERE BRAIN DAMAGE;SOI - Major $106,730 $23,481 $106,730 +0% $36,249 +194% —
154 MS DRG- OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI - Extreme $106,680 $23,470 $106,680 +0% $27,633 +286% —
504 MS DRG- FOOT PROCEDURES WITH CC;APR DRG- FOOT AND TOE PROCEDURES;SOI - Moderate $106,047 $23,330 $106,047 +0% $38,960 +172% —
831 MS DRG- OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC;APR DRG- ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI - Extreme $105,995 $105,995 $105,995 +0% $18,133 +485% —
503 MS DRG- FOOT PROCEDURES WITH MCC;APR DRG- FOOT AND TOE PROCEDURES;SOI - Extreme $105,851 $23,287 $105,851 +0% $47,540 +123% —
337 MS DRG- PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC;APR DRG- PERITONEAL ADHESIOLYSIS;SOI - Minor $105,578 $23,227 $105,578 +0% $39,211 +169% —
435 MS DRG- MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC;APR DRG- OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES;SOI - Major $105,378 $23,183 $105,378 +0% $37,950 +178% —
281 MS DRG- ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC;APR DRG- CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI - Minor $105,316 $23,169 $105,316 +0% $20,463 +415% ≈277% of Medicare
243 MS DRG- PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC;APR DRG- PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK;SOI - Major $105,282 $23,162 $105,282 +0% $50,011 +111% —
173 MS DRG- ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM;APR DRG- OTHER RESPIRATORY AND CHEST PROCEDURES;SOI - Major $105,157 $23,135 $105,157 +0% $60,407 +74% —
894 MS DRG- ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA;APR DRG- DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE;SOI - Extreme $104,158 $22,915 $104,158 +0% $12,324 +745% —
098 MS DRG- NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC;APR DRG- NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS;SOI - Moderate $103,620 $22,796 $103,620 +0% $42,901 +142% —
033 MS DRG- VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC;APR DRG- VENTRICULAR SHUNT PROCEDURES;SOI - Minor $103,505 $22,771 $103,505 +0% $35,419 +192% —
419 MS DRG- LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC;APR DRG- CHOLECYSTECTOMY;SOI - Moderate $103,497 $22,769 $103,497 +0% $36,937 +180% —
302 MS DRG- ATHEROSCLEROSIS WITH MCC;APR DRG- ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI - Extreme $103,416 $22,751 $103,416 +0% $22,446 +361% —
643 MS DRG- ENDOCRINE DISORDERS WITH MCC;APR DRG- NON-HYPOVOLEMIC SODIUM DISORDERS;SOI - Extreme $103,281 $22,722 $103,281 +0% $33,563 +208% —
137 MS DRG- MOUTH PROCEDURES WITH CC/MCC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI - Moderate $102,099 $22,462 $102,099 +0% $27,861 +266% —
259 MS DRG- CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC;APR DRG- INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES;SOI - Minor $101,799 $22,396 $101,799 +0% $39,020 +161% —
397 MS DRG- APPENDIX PROCEDURES WITH MCC;APR DRG- APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS;SOI - Major $101,308 $22,288 $101,308 +0% $53,257 +90% —
146 MS DRG- EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC;APR DRG- EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES;SOI - Major $101,289 $22,284 $101,289 +0% $40,108 +153% —
147 MS DRG- EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC;APR DRG- EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES;SOI - Major $101,288 $22,283 $101,288 +0% $22,851 +343% —
497 MS DRG- LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC;APR DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES;SOI - Minor $101,159 $22,255 $101,159 +0% $29,805 +239% —
421 MS DRG- HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC;APR DRG- OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES;SOI - Moderate $101,079 $22,237 $101,079 +0% $36,354 +178% —
244 MS DRG- PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC;APR DRG- PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK;SOI - Moderate $100,746 $22,164 $100,746 +0% $41,591 +142% —
809 MS DRG- MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC;APR DRG- MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI - Extreme $100,251 $22,055 $100,251 +0% $22,458 +346% ≈245% of Medicare
881 DEPRESSIVE NEUROSES $99,322 $21,851 $10,770 +822% $15,058 +560% —
699 MS DRG- OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC;APR DRG- NEPHRITIS AND NEPHROSIS;SOI - Major $98,595 $21,691 $98,595 +0% $21,275 +363% ≈256% of Medicare
726 MS DRG- BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC;APR DRG- MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI - Major $98,325 $21,631 $98,325 +0% $15,019 +555% —
950 MS DRG- AFTERCARE WITHOUT CC/MCC;APR DRG- OTHER AFTERCARE AND CONVALESCENCE;SOI - Minor $97,908 $21,540 $97,908 +0% $13,527 +624% —
949 MS DRG- AFTERCARE WITH CC/MCC;APR DRG- OTHER AFTERCARE AND CONVALESCENCE;SOI - Moderate $97,907 $21,539 $97,907 +0% $23,953 +309% —
920 MS DRG- COMPLICATIONS OF TREATMENT WITH CC;APR DRG- HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION;SOI - Major $97,752 $21,505 $97,752 +0% $22,468 +335% —
698 MS DRG- OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC;APR DRG- MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI - Extreme $97,575 $21,467 $97,575 +0% $32,496 +200% ≈168% of Medicare
663 MINOR BLADDER PROCEDURES WITH CC $96,959 $21,331 $74,243 +31% $33,103 +193% —
241 MS DRG- AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC;APR DRG- AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI - Minor $96,667 $21,267 $96,667 +0% $30,770 +214% —
560 MS DRG- AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC;APR DRG- OTHER AFTERCARE AND CONVALESCENCE;SOI - Major $95,774 $21,070 $95,774 +0% $25,279 +279% —
378 MS DRG- GASTROINTESTINAL HEMORRHAGE WITH CC;APR DRG- PEPTIC ULCER AND GASTRITIS;SOI - Extreme $95,171 $20,938 $95,171 +0% $22,098 +331% ≈263% of Medicare
087 MS DRG- TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC;APR DRG- HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI - Moderate $95,115 $20,925 $95,115 +0% $16,520 +476% ≈310% of Medicare
256 MS DRG- UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC;APR DRG- FOOT AND TOE PROCEDURES;SOI - Major $93,872 $20,652 $93,872 +0% $32,944 +185% —
284 MS DRG- ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC;APR DRG- CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE;SOI - Extreme $93,589 $20,590 $93,589 +0% $16,450 +469% —
624 MS DRG- SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC;APR DRG- OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI - Minor $92,191 $20,282 $92,191 +0% $17,737 +420% —
196 MS DRG- INTERSTITIAL LUNG DISEASE WITH MCC;APR DRG- INTERSTITIAL AND ALVEOLAR LUNG DISEASES;SOI - Major $91,290 $20,084 $91,290 +0% $32,637 +180% —
058 MS DRG- MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC;APR DRG- MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI - Moderate $90,974 $20,014 $90,974 +0% $30,243 +201% —
977 MS DRG- HIV WITH OR WITHOUT OTHER RELATED CONDITION;APR DRG- SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI - Moderate $89,957 $19,791 $89,957 +0% $22,525 +299% —
903 MS DRG- WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC;APR DRG- PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES;SOI - Minor $89,955 $19,790 $89,955 +0% $25,581 +252% —
540 MS DRG- OSTEOMYELITIS WITH CC;APR DRG- OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI - Major $89,908 $19,780 $89,908 +0% $26,676 +237% —
350 MS DRG- INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC;APR DRG- INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI - Major $89,893 $19,776 $89,893 +0% $50,046 +80% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $89,536 $19,698 $56,214 +59% $17,934 +399% —
388 MS DRG- GASTROINTESTINAL OBSTRUCTION WITH MCC;APR DRG- OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES;SOI - Extreme $89,454 $89,454 $89,454 +0% $30,571 +193% —
355 MS DRG- HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC;APR DRG- HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL;SOI - Minor $89,437 $19,676 $89,437 +0% $32,841 +172% —
059 MS DRG- MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC;APR DRG- MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI - Moderate $89,098 $19,602 $89,098 +0% $27,163 +228% —
139 MS DRG- SALIVARY GLAND PROCEDURES;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI - Moderate $89,056 $19,592 $89,056 +0% $23,612 +277% —
880 MS DRG- ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION;APR DRG- DEPRESSIVE DISORDERS;SOI - Major $88,622 $19,497 $88,622 +0% $17,733 +400% —
052 MS DRG- SPINAL DISORDERS AND INJURIES WITH CC/MCC;APR DRG- SPINAL DISORDERS AND INJURIES;SOI - Moderate $88,488 $19,467 $88,488 +0% $32,031 +176% —
306 MS DRG- CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC;APR DRG- CARDIAC STRUCTURAL AND VALVULAR DISORDERS;SOI - Major $86,887 $19,115 $86,887 +0% $24,586 +253% —
835 MS DRG- ACUTE LEUKEMIA WITH CC;APR DRG- ACUTE LEUKEMIA;SOI - Moderate $86,199 $18,964 $86,199 +0% $35,569 +142% —
092 MS DRG- OTHER DISORDERS OF NERVOUS SYSTEM WITH CC;APR DRG- SPINAL DISORDERS AND INJURIES;SOI - Major $86,077 $18,937 $86,077 +0% $24,914 +246% ≈261% of Medicare
800 MS DRG- SPLENIC PROCEDURES WITH CC;APR DRG- MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE;SOI - Minor $86,072 $18,936 $86,072 +0% $49,184 +75% —
180 MS DRG- RESPIRATORY NEOPLASMS WITH MCC;APR DRG- RESPIRATORY MALIGNANCY;SOI - Extreme $85,220 $18,748 $85,220 +0% $36,658 +132% ≈212% of Medicare
036 MS DRG- CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC;APR DRG- PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI - Minor $85,000 $18,700 $85,000 +0% $40,694 +109% ≈245% of Medicare
976 MS DRG- HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC;APR DRG- HIV WITH MAJOR HIV RELATED CONDITION;SOI - Major $83,641 $18,401 $83,641 +0% $16,212 +416% —
723 MS DRG- MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC;APR DRG- MALIGNANCY, MALE REPRODUCTIVE SYSTEM;SOI - Major $83,610 $18,394 $83,610 +0% $19,815 +322% —
123 MS DRG- NEUROLOGICAL EYE DISORDERS;APR DRG- EYE INFECTIONS AND OTHER EYE DISORDERS;SOI - Major $83,472 $18,364 $83,472 +0% $19,745 +323% —
550 MS DRG- SEPTIC ARTHRITIS WITHOUT CC/MCC;APR DRG- OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI - Minor $83,167 $18,297 $83,167 +0% $19,138 +335% —
689 MS DRG- KIDNEY AND URINARY TRACT INFECTIONS WITH MCC;APR DRG- KIDNEY AND URINARY TRACT INFECTIONS;SOI - Extreme $83,142 $18,291 $73,031 +14% $23,617 +252% ≈165% of Medicare
054 MS DRG- NERVOUS SYSTEM NEOPLASMS WITH MCC;APR DRG- NERVOUS SYSTEM MALIGNANCY;SOI - Extreme $83,096 $18,281 $83,096 +0% $30,502 +172% —
918 MS DRG- POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC;APR DRG- TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES;SOI - Extreme $81,727 $17,980 $81,727 +0% $15,452 +429% —
312 MS DRG- SYNCOPE AND COLLAPSE;APR DRG- OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI - Major $81,549 $17,941 $81,549 +0% $19,342 +322% ≈242% of Medicare
158 MS DRG- DENTAL AND ORAL DISEASES WITH CC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI - Minor $80,736 $17,762 $80,736 +0% $18,466 +337% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $80,364 $17,680 $80,364 +0% $38,998 +106% —
352 MS DRG- INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC;APR DRG- INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI - Moderate $80,336 $17,674 $80,336 +0% $27,843 +189% —
975 MS DRG- HIV WITH MAJOR RELATED CONDITION WITH CC;APR DRG- HIV WITH MAJOR HIV RELATED CONDITION;SOI - Moderate $79,884 $17,574 $79,884 +0% $27,808 +187% —
487 MS DRG- KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC;APR DRG- KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI - Minor $79,735 $17,542 $79,735 +0% $35,074 +127% —
535 MS DRG- FRACTURES OF HIP AND PELVIS WITH MCC;APR DRG- FRACTURE OF PELVIS OR DISLOCATION OF HIP;SOI - Major $79,505 $17,491 $79,505 +0% $24,552 +224% ≈200% of Medicare
512 MS DRG- SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC;APR DRG- SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI - Minor $79,484 $17,487 $79,484 +0% $35,692 +123% —
148 MS DRG- EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC;APR DRG- EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES;SOI - Minor $79,484 $17,486 $79,484 +0% $13,586 +485% —
712 MS DRG- TESTES PROCEDURES WITHOUT CC/MCC;APR DRG- PENIS, TESTES AND SCROTAL PROCEDURES;SOI - Minor $79,383 $17,464 $79,383 +0% $18,898 +320% —
081 MS DRG- NONTRAUMATIC STUPOR AND COMA WITHOUT MCC;APR DRG- ALTERATION IN CONSCIOUSNESS;SOI - Moderate $79,153 $17,414 $79,153 +0% $16,552 +378% —
394 MS DRG- OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC;APR DRG- OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI - Major $78,675 $17,308 $78,675 +0% $20,181 +290% ≈233% of Medicare
074 MS DRG- CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC;APR DRG- MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI - Moderate $78,362 $78,362 $78,362 +0% $23,141 +239% ≈286% of Medicare
381 MS DRG- COMPLICATED PEPTIC ULCER WITH CC;APR DRG- OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI - Major $78,274 $17,220 $78,274 +0% $24,177 +224% —
847 MS DRG- CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC;APR DRG- OTHER CHEMOTHERAPY;SOI - Major $77,579 $17,067 $77,579 +0% $23,498 +230% —
433 MS DRG- CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC;APR DRG- OTHER DISORDERS OF THE LIVER;SOI - Major $76,673 $16,868 $76,673 +0% $23,749 +223% —
906 HAND PROCEDURES FOR INJURIES $76,409 $16,810 $76,409 +0% $32,065 +138% —
948 MS DRG- SIGNS AND SYMPTOMS WITHOUT MCC;APR DRG- SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI - Major $76,270 $16,779 $62,318 +22% $17,921 +326% ≈169% of Medicare
184 MS DRG- MAJOR CHEST TRAUMA WITH CC;APR DRG- MAJOR CHEST AND RESPIRATORY TRAUMA;SOI - Major $74,949 $16,489 $74,949 +0% $22,432 +234% —
444 MS DRG- DISORDERS OF THE BILIARY TRACT WITH MCC;APR DRG- DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI - Major $74,590 $16,410 $74,590 +0% $34,273 +118% —
872 MS DRG- SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC;APR DRG- OTHER INFECTIOUS AND PARASITIC DISEASES;SOI - Major $74,416 $16,372 $74,416 +0% $22,888 +225% ≈243% of Medicare
442 MS DRG- DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC;APR DRG- OTHER DISORDERS OF THE LIVER;SOI - Major $73,724 $16,219 $73,724 +0% $21,449 +244% —
862 MS DRG- POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC;APR DRG- POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI - Major $73,508 $16,172 $73,508 +0% $32,859 +124% —
760 MS DRG- MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC;APR DRG- MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS;SOI - Extreme $73,324 $16,131 $73,324 +0% $20,895 +251% —
513 MS DRG- HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC;APR DRG- HAND AND WRIST PROCEDURES;SOI - Minor $72,883 $16,034 $72,883 +0% $33,424 +118% —
304 MS DRG- HYPERTENSION WITH MCC;APR DRG- MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI - Major $72,698 $15,994 $72,698 +0% $26,080 +179% —
549 MS DRG- SEPTIC ARTHRITIS WITH CC;APR DRG- OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI - Major $72,657 $15,984 $72,657 +0% $24,056 +202% —
151 MS DRG- EPISTAXIS WITHOUT MCC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI - Major $72,654 $15,984 $72,654 +0% $13,032 +458% —
445 MS DRG- DISORDERS OF THE BILIARY TRACT WITH CC;APR DRG- DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI - Major $72,533 $15,957 $72,533 +0% $23,319 +211% ≈234% of Medicare
939 MS DRG- O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC;APR DRG- OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES;SOI - Major $72,529 $15,956 $87,234 −17% $55,289 +31% —
602 MS DRG- CELLULITIS WITH MCC;APR DRG- OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI - Moderate $72,389 $15,926 $72,389 +0% $30,598 +137% ≈233% of Medicare
062 MS DRG- ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC;APR DRG- CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI - Major $71,957 $15,830 $71,957 +0% $52,075 +38% —
292 MS DRG- HEART FAILURE AND SHOCK WITH CC;APR DRG- CARDIAC ARREST AND SHOCK;SOI - Major $71,890 $15,816 $60,069 +20% $16,371 +339% —
561 MS DRG- AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC;APR DRG- OTHER AFTERCARE AND CONVALESCENCE;SOI - Moderate $71,630 $15,759 $71,630 +0% $18,150 +295% —
558 MS DRG- TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC;APR DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI - Major $71,357 $15,698 $71,357 +0% $18,602 +284% —
071 MS DRG- NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC;APR DRG- ALTERATION IN CONSCIOUSNESS;SOI - Major $70,088 $15,419 $70,088 +0% $23,488 +198% —
476 MS DRG- AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC;APR DRG- AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI - Moderate $69,879 $15,373 $69,879 +0% $23,443 +198% —
385 MS DRG- INFLAMMATORY BOWEL DISEASE WITH MCC;APR DRG- INFLAMMATORY BOWEL DISEASE;SOI - Moderate $69,820 $15,360 $69,820 +0% $27,617 +153% —
370 MS DRG- MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC;APR DRG- MAJOR ESOPHAGEAL DISORDERS;SOI - Minor $69,281 $15,242 $69,281 +0% $15,495 +347% —
897 MS DRG- ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC;APR DRG- OPIOID ABUSE AND DEPENDENCE;SOI - Major $69,213 $15,227 $69,213 +0% $16,699 +314% —
093 MS DRG- OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC;APR DRG- OTHER DISORDERS OF NERVOUS SYSTEM;SOI - Moderate $68,972 $15,174 $68,972 +0% $17,620 +291% —
597 MS DRG- MALIGNANT BREAST DISORDERS WITH MCC;APR DRG- MALIGNANT BREAST DISORDERS;SOI - Major $68,437 $15,056 $68,437 +0% $33,386 +105% —
436 MS DRG- MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC;APR DRG- OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES;SOI - Minor $68,107 $14,984 $68,107 +0% $25,034 +172% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $67,555 $14,862 $67,555 +0% $46,066 +47% —
546 MS DRG- CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG- CONNECTIVE TISSUE DISORDERS;SOI - Major $67,004 $14,741 $67,004 +0% $25,700 +161% —
258 MS DRG- CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC;APR DRG- INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES;SOI - Moderate $66,676 $14,669 $78,916 −16% $52,986 +26% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $66,412 $14,611 $25,720 +158% $20,911 +218% —
687 MS DRG- KIDNEY AND URINARY TRACT NEOPLASMS WITH CC;APR DRG- KIDNEY AND URINARY TRACT MALIGNANCY;SOI - Moderate $65,940 $14,507 $65,940 +0% $20,232 +226% —
533 MS DRG- FRACTURES OF FEMUR WITH MCC;APR DRG- FRACTURE OF FEMUR;SOI - Extreme $64,518 $14,194 $64,518 +0% $25,945 +149% —
842 MS DRG- LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC;APR DRG- LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI - Moderate $63,505 $13,971 $63,505 +0% $19,657 +223% —
638 MS DRG- DIABETES WITH CC;APR DRG- OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI - Major $63,262 $13,918 $63,262 +0% $19,661 +222% ≈289% of Medicare
690 MS DRG- KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC;APR DRG- KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY;SOI - Moderate $63,192 $13,902 $41,097 +54% $17,674 +258% ≈266% of Medicare
061 MS DRG- ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC;APR DRG- CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI - Major $62,264 $13,698 $83,595 −26% $62,264 +0% —
565 MS DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC;APR DRG- MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI - Moderate $62,183 $13,680 $62,183 +0% $22,506 +176% —
202 MS DRG- BRONCHITIS AND ASTHMA WITH CC/MCC;APR DRG- BRONCHIOLITIS AND RSV PNEUMONIA;SOI - Minor $62,112 $13,665 $62,112 +0% $17,724 +250% ≈181% of Medicare
787 MS DRG- CESAREAN SECTION WITHOUT STERILIZATION WITH CC;APR DRG- CESAREAN SECTION WITHOUT STERILIZATION;SOI - Minor $61,820 $13,600 $61,820 +0% $23,571 +162% —
816 MS DRG- RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC;APR DRG- OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI - Minor $61,626 $13,558 $61,626 +0% $14,638 +321% —
694 MS DRG- URINARY STONES WITHOUT MCC;APR DRG- URETHRAL AND TRANSURETHRAL PROCEDURES;SOI - Moderate $61,334 $13,493 $61,334 +0% $17,345 +254% —
989 MS DRG- NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC;APR DRG- NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI - Moderate $61,259 $13,477 $61,259 +0% $25,652 +139% —
596 MS DRG- MAJOR SKIN DISORDERS WITHOUT MCC;APR DRG- MAJOR SKIN DISORDERS;SOI - Major $61,172 $13,458 $61,172 +0% $17,226 +255% —
138 MS DRG- MOUTH PROCEDURES WITHOUT CC/MCC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI - Minor $60,601 $13,332 $60,601 +0% $19,119 +217% —
603 MS DRG- CELLULITIS WITHOUT MCC;APR DRG- CELLULITIS AND OTHER SKIN INFECTIONS;SOI - Major $60,454 $13,300 $46,504 +30% $18,530 +226% ≈245% of Medicare
547 MS DRG- CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC;APR DRG- MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI - Minor $60,061 $13,213 $60,061 +0% $16,565 +263% —
257 MS DRG- UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC;APR DRG- FOOT AND TOE PROCEDURES;SOI - Moderate $59,981 $13,196 $59,981 +0% $15,764 +280% —
348 MS DRG- ANAL AND STOMAL PROCEDURES WITH CC;APR DRG- ANAL AND PERINEAL PROCEDURES;SOI - Minor $59,711 $13,136 $59,711 +0% $27,947 +114% —
570 MS DRG- SKIN DEBRIDEMENT WITH MCC;APR DRG- CELLULITIS AND OTHER SKIN INFECTIONS;SOI - Major $59,214 $13,027 $59,214 +0% $52,435 +13% —
075 MS DRG- VIRAL MENINGITIS WITH CC/MCC;APR DRG- VIRAL MENINGITIS;SOI - Major $59,055 $12,992 $59,055 +0% $30,447 +94% —
965 MS DRG- OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC;APR DRG- MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE;SOI - Moderate $58,814 $12,939 $58,814 +0% $20,259 +190% —
101 MS DRG- SEIZURES WITHOUT MCC;APR DRG- SEIZURE;SOI - Major $58,792 $12,934 $58,792 +0% $20,461 +187% ≈268% of Medicare
662 MS DRG- MINOR BLADDER PROCEDURES WITH MCC;APR DRG- OTHER BLADDER PROCEDURES;SOI - Major $58,628 $12,898 $58,628 +0% $54,562 +7% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $58,041 $12,769 $55,255 +5% $27,426 +112% —
794 MS DRG- NEONATE WITH OTHER SIGNIFICANT PROBLEMS;APR DRG- NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM;SOI - Major $57,563 $12,664 $57,563 +0% $8,445 +582% —
372 MS DRG- MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC;APR DRG- MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI - Extreme $56,941 $12,527 $56,941 +0% $22,850 +149% ≈230% of Medicare
585 MS DRG- BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC;APR DRG- BREAST PROCEDURES EXCEPT MASTECTOMY;SOI - Minor $56,909 $12,520 $56,909 +0% $32,574 +75% —
541 MS DRG- OSTEOMYELITIS WITHOUT CC/MCC;APR DRG- OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI - Minor $56,852 $12,507 $56,852 +0% $15,215 +274% —
544 MS DRG- PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC;APR DRG- MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY;SOI - Minor $56,705 $12,475 $56,705 +0% $16,776 +238% —
392 MS DRG- ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC;APR DRG- MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE;SOI - Minor $56,577 $12,447 $52,123 +9% $17,322 +227% ≈279% of Medicare
804 MS DRG- OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC;APR DRG- OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS;SOI - Minor $56,533 $12,437 $56,533 +0% $24,544 +130% —
552 MS DRG- MEDICAL BACK PROBLEMS WITHOUT MCC;APR DRG- OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI - Major $56,281 $12,382 $56,281 +0% $21,396 +163% ≈241% of Medicare
083 MS DRG- TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC;APR DRG- HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI - Major $56,251 $12,375 $56,251 +0% $27,285 +106% ≈203% of Medicare
320 MS DRG- OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC;APR DRG- PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI - Minor $55,675 $12,249 $68,965 −19% $40,060 +39% —
077 MS DRG- HYPERTENSIVE ENCEPHALOPATHY WITH MCC;APR DRG- ALTERATION IN CONSCIOUSNESS;SOI - Major $55,422 $12,193 $55,422 +0% $24,550 +126% —
641 MS DRG- MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC;APR DRG- MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS;SOI - Moderate $55,312 $12,169 $42,879 +29% $17,038 +225% ≈277% of Medicare
191 MS DRG- CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC;APR DRG- CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI - Major $55,118 $12,126 $55,118 +0% $18,807 +193% —
819 MS DRG- OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC;APR DRG- ANTEPARTUM WITH O.R. PROCEDURE;SOI - Moderate $54,991 $12,098 $54,991 +0% $18,126 +203% —
187 MS DRG- PLEURAL EFFUSION WITH CC;APR DRG- OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI - Major $54,837 $12,064 $54,837 +0% $21,789 +152% —
563 MS DRG- FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC;APR DRG- FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK;SOI - Minor $54,703 $12,035 $54,703 +0% $19,842 +176% ≈244% of Medicare
282 MS DRG- ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC;APR DRG- MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE;SOI - Moderate $54,642 $12,021 $54,642 +0% $19,227 +184% —
713 MS DRG- TRANSURETHRAL PROSTATECTOMY WITH CC/MCC;APR DRG- TRANSURETHRAL PROSTATECTOMY;SOI - Moderate $54,605 $12,013 $54,605 +0% $32,100 +70% —
439 MS DRG- DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC;APR DRG- DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI - Major $54,571 $12,006 $54,571 +0% $19,096 +186% ≈269% of Medicare
300 MS DRG- PERIPHERAL VASCULAR DISORDERS WITH CC;APR DRG- PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI - Major $54,551 $12,001 $54,551 +0% $20,422 +167% —
866 MS DRG- VIRAL ILLNESS WITHOUT MCC;APR DRG- VIRAL ILLNESS;SOI - Major $53,912 $11,861 $53,912 +0% $17,081 +216% —
206 MS DRG- OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC;APR DRG- OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI - Major $53,173 $11,698 $53,173 +0% $18,488 +188% ≈281% of Medicare
562 MS DRG- FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC;APR DRG- FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK;SOI - Extreme $52,998 $11,660 $52,998 +0% $29,743 +78% —
864 MS DRG- FEVER AND INFLAMMATORY CONDITIONS;APR DRG- FEVER AND INFLAMMATORY CONDITIONS;SOI - Major $52,814 $11,619 $52,814 +0% $18,640 +183% —
537 MS DRG- SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC;APR DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI - Major $52,715 $11,597 $52,715 +0% $18,072 +192% —
303 MS DRG- ATHEROSCLEROSIS WITHOUT MCC;APR DRG- ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI - Major $51,791 $11,394 $51,791 +0% $14,927 +247% —
844 MS DRG- OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC;APR DRG- LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR;SOI - Moderate $51,741 $11,383 $51,741 +0% $21,847 +137% —
566 MS DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC;APR DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI - Moderate $51,325 $11,291 $51,325 +0% $14,716 +249% —
099 MS DRG- NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC;APR DRG- NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS;SOI - Moderate $50,852 $11,188 $50,852 +0% $27,119 +88% —
776 MS DRG- POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES;APR DRG- POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE;SOI - Major $50,682 $11,150 $50,682 +0% $12,454 +307% —
770 MS DRG- ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY;APR DRG- ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY;SOI - Major $50,491 $11,108 $50,491 +0% $18,956 +166% —
155 MS DRG- OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI - Moderate $50,354 $11,078 $50,354 +0% $16,968 +197% —
124 MS DRG- OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT;APR DRG- SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS;SOI - Major $49,521 $10,895 $49,521 +0% $21,894 +126% —
905 MS DRG- SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC;APR DRG- MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI - Minor $49,512 $10,893 $49,512 +0% $25,197 +96% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $49,265 $10,838 $21,291 +131% $16,634 +196% —
595 MS DRG- MAJOR SKIN DISORDERS WITH MCC;APR DRG- MAJOR SKIN DISORDERS;SOI - Major $48,705 $10,715 $48,705 +0% $34,598 +41% —
514 MS DRG- HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC;APR DRG- HAND AND WRIST PROCEDURES;SOI - Minor $48,675 $10,709 $48,675 +0% $22,635 +115% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $48,357 $10,639 $48,357 +0% $12,336 +292% —
178 MS DRG- RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC;APR DRG- MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI - Major $48,338 $10,634 $48,338 +0% $22,024 +119% ≈227% of Medicare
645 MS DRG- ENDOCRINE DISORDERS WITHOUT CC/MCC;APR DRG- NON-HYPOVOLEMIC SODIUM DISORDERS;SOI - Moderate $48,189 $10,602 $48,189 +0% $15,428 +212% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $48,015 $10,563 $34,326 +40% $22,557 +113% —
536 MS DRG- FRACTURES OF HIP AND PELVIS WITHOUT MCC;APR DRG- MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE;SOI - Major $47,378 $10,423 $47,378 +0% $18,002 +163% ≈276% of Medicare
194 MS DRG- SIMPLE PNEUMONIA AND PLEURISY WITH CC;APR DRG- OTHER PNEUMONIA;SOI - Major $47,281 $10,402 $47,281 +0% $18,204 +160% ≈235% of Medicare
102 MS DRG- HEADACHES WITH MCC;APR DRG- MIGRAINE AND OTHER HEADACHES;SOI - Major $47,079 $10,357 $47,079 +0% $25,740 +83% —
556 MS DRG- SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC;APR DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI - Moderate $47,054 $10,352 $47,054 +0% $18,126 +160% —
190 MS DRG- CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC;APR DRG- CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI - Major $47,005 $10,341 $47,005 +0% $24,386 +93% ≈173% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $46,323 $10,191 $46,323 +0% $19,270 +140% —
293 MS DRG- HEART FAILURE AND SHOCK WITHOUT CC/MCC;APR DRG- HEART FAILURE;SOI - Moderate $45,905 $10,099 $45,905 +0% $12,999 +253% —
915 MS DRG- ALLERGIC REACTIONS WITH MCC;APR DRG- ALLERGIC REACTIONS;SOI - Moderate $45,900 $10,098 $45,900 +0% $32,645 +41% —
593 MS DRG- SKIN ULCERS WITH CC;APR DRG- SKIN ULCERS;SOI - Major $45,540 $10,019 $45,540 +0% $22,886 +99% —
592 MS DRG- SKIN ULCERS WITH MCC;APR DRG- SKIN ULCERS;SOI - Major $45,218 $9,948 $50,827 −11% $33,246 +36% —
446 MS DRG- DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC;APR DRG- DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI - Moderate $45,051 $9,911 $45,051 +0% $17,700 +155% —
923 MS DRG- OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC;APR DRG- OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES;SOI - Moderate $44,596 $9,811 $44,596 +0% $17,601 +153% —
204 MS DRG- RESPIRATORY SIGNS AND SYMPTOMS;APR DRG- RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI - Moderate $44,583 $9,808 $44,583 +0% $18,004 +148% —
940 MS DRG- O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC;APR DRG- PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES;SOI - Minor $43,650 $9,603 $43,650 +0% $43,650 +0% —
916 MS DRG- ALLERGIC REACTIONS WITHOUT MCC;APR DRG- ALLERGIC REACTIONS;SOI - Major $43,003 $9,461 $43,003 +0% $13,942 +208% —
305 MS DRG- HYPERTENSION WITHOUT MCC;APR DRG- HYPERTENSION;SOI - Major $42,711 $9,397 $42,711 +0% $18,086 +136% ≈231% of Medicare
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $42,631 $9,379 $42,631 +0% $16,700 +155% —
921 MS DRG- COMPLICATIONS OF TREATMENT WITHOUT CC/MCC;APR DRG- OTHER COMPLICATIONS OF TREATMENT;SOI - Moderate $42,618 $9,376 $42,618 +0% $14,415 +196% —
810 MS DRG- MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC;APR DRG- MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI - Moderate $42,568 $9,365 $42,568 +0% $18,316 +132% —
644 MS DRG- ENDOCRINE DISORDERS WITH CC;APR DRG- NON-HYPOVOLEMIC SODIUM DISORDERS;SOI - Major $41,881 $9,214 $41,881 +0% $23,198 +81% —
395 MS DRG- OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC;APR DRG- MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE;SOI - Minor $41,820 $9,200 $41,820 +0% $14,128 +196% —
605 MS DRG- TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC;APR DRG- HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS;SOI - Moderate $41,612 $9,155 $41,612 +0% $20,506 +103% —
863 MS DRG- POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC;APR DRG- POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI - Minor $41,567 $9,145 $41,567 +0% $20,957 +98% —
369 MS DRG- MAJOR ESOPHAGEAL DISORDERS WITH CC;APR DRG- MAJOR ESOPHAGEAL DISORDERS;SOI - Major $41,381 $9,104 $41,381 +0% $25,303 +64% —
198 MS DRG- INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC;APR DRG- INTERSTITIAL AND ALVEOLAR LUNG DISEASES;SOI - Minor $41,192 $9,062 $41,192 +0% $15,549 +165% —
683 MS DRG- RENAL FAILURE WITH CC;APR DRG- ACUTE KIDNEY INJURY;SOI - Major $41,074 $9,036 $41,074 +0% $19,130 +115% ≈255% of Medicare
181 MS DRG- RESPIRATORY NEOPLASMS WITH CC;APR DRG- RESPIRATORY MALIGNANCY;SOI - Moderate $40,764 $8,968 $40,764 +0% $23,573 +73% —
159 MS DRG- DENTAL AND ORAL DISEASES WITHOUT CC/MCC;APR DRG- INFECTIONS OF UPPER RESPIRATORY TRACT;SOI - Moderate $40,401 $8,888 $40,401 +0% $13,633 +196% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $40,073 $8,816 $40,073 +0% $28,140 +42% —
914 MS DRG- TRAUMATIC INJURY WITHOUT MCC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI - Moderate $39,134 $8,610 $39,134 +0% $15,855 +147% —
700 MS DRG- OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC;APR DRG- NEPHRITIS AND NEPHROSIS;SOI - Minor $39,125 $8,607 $39,125 +0% $14,797 +164% —
179 MS DRG- RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC;APR DRG- MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI - Moderate $39,034 $8,587 $39,034 +0% $14,648 +166% —
387 MS DRG- INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC;APR DRG- MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI - Minor $39,001 $8,580 $39,001 +0% $16,288 +139% —
806 MS DRG- VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC;APR DRG- VAGINAL DELIVERY;SOI - Moderate $38,790 $8,534 $38,790 +0% $13,275 +192% —
262 MS DRG- CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC;APR DRG- OTHER CIRCULATORY SYSTEM PROCEDURES;SOI - Minor $38,639 $8,501 $38,639 +0% $33,694 +15% —
072 MS DRG- NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC;APR DRG- ALTERATION IN CONSCIOUSNESS;SOI - Moderate $38,495 $8,469 $38,495 +0% $19,037 +102% —
053 MS DRG- SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC;APR DRG- SPINAL DISORDERS AND INJURIES;SOI - Minor $38,376 $8,443 $38,376 +0% $20,455 +88% —
606 MS DRG- MINOR SKIN DISORDERS WITH MCC;APR DRG- OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI - Moderate $38,340 $8,435 $42,752 −10% $27,975 +37% —
882 MS DRG- NEUROSES EXCEPT DEPRESSIVE;APR DRG- ADJUSTMENT DISORDERS;SOI - Moderate $38,052 $8,371 $38,052 +0% $15,680 +143% —
176 MS DRG- PULMONARY EMBOLISM WITHOUT MCC;APR DRG- PULMONARY EMBOLISM;SOI - Major $37,985 $8,357 $37,985 +0% $18,081 +110% ≈266% of Medicare
784 CESAREAN SECTION WITH STERILIZATION WITH CC $37,439 $8,236 $25,692 +46% $23,283 +61% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $37,427 $8,234 $37,427 +0% $11,847 +216% —
832 MS DRG- OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC;APR DRG- ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI - Major $37,223 $8,189 $37,223 +0% $12,895 +189% —
922 MS DRG- OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC;APR DRG- OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES;SOI - Moderate $36,548 $8,041 $36,548 +0% $31,563 +16% —
376 MS DRG- DIGESTIVE MALIGNANCY WITHOUT CC/MCC;APR DRG- DIGESTIVE MALIGNANCY;SOI - Moderate $36,258 $7,977 $36,258 +0% $16,998 +113% —
153 MS DRG- OTITIS MEDIA AND URI WITHOUT MCC;APR DRG- INFECTIONS OF UPPER RESPIRATORY TRACT;SOI - Moderate $35,818 $7,880 $35,818 +0% $14,583 +146% —
697 URETHRAL STRICTURE $35,534 $7,817 $35,534 +0% $18,428 +93% —
066 MS DRG- INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC;APR DRG- OTHER NERVOUS SYSTEM AND RELATED PROCEDURES;SOI - Moderate $35,264 $7,758 $35,264 +0% $20,781 +70% ≈311% of Medicare
839 MS DRG- CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC;APR DRG- CHEMOTHERAPY FOR ACUTE LEUKEMIA;SOI - Minor $35,260 $7,757 $55,869 −37% $20,980 +68% —
069 MS DRG- TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC;APR DRG- TRANSIENT ISCHEMIA;SOI - Major $34,504 $7,591 $34,504 +0% $21,056 +64% ≈269% of Medicare
390 MS DRG- GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC;APR DRG- MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE;SOI - Minor $34,102 $7,503 $34,102 +0% $13,361 +155% ≈306% of Medicare
313 MS DRG- CHEST PAIN;APR DRG- ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI - Major $33,511 $7,372 $33,511 +0% $16,440 +104% ≈268% of Medicare
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $33,396 $7,347 $33,396 +0% $18,348 +82% —
096 MS DRG- BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC;APR DRG- MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI - Minor $33,319 $7,330 $49,091 −32% $41,620 −20% —
188 MS DRG- PLEURAL EFFUSION WITHOUT CC/MCC;APR DRG- OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI - Minor $33,224 $7,309 $33,224 +0% $14,514 +129% —
628 MS DRG- OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC;APR DRG- FOOT AND TOE PROCEDURES;SOI - Major $33,108 $7,284 $91,838 −64% $71,795 −54% —
063 MS DRG- ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC;APR DRG- CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI - Minor $33,007 $7,262 $44,360 −26% $39,887 −17% —
379 MS DRG- GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC;APR DRG- PEPTIC ULCER AND GASTRITIS;SOI - Moderate $32,855 $7,228 $32,855 +0% $15,038 +118% —
836 MS DRG- ACUTE LEUKEMIA WITHOUT CC/MCC;APR DRG- ACUTE LEUKEMIA;SOI - Moderate $32,516 $7,154 $32,516 +0% $19,686 +65% —
310 MS DRG- CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC;APR DRG- CARDIAC ARREST AND SHOCK;SOI - Minor $32,500 $7,150 $32,500 +0% $13,384 +143% ≈353% of Medicare
695 MS DRG- KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC;APR DRG- OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS;SOI - Major $32,430 $7,135 $32,430 +0% $24,566 +32% —
548 MS DRG- SEPTIC ARTHRITIS WITH MCC;APR DRG- OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI - Major $32,429 $7,134 $32,429 +0% $31,346 +3% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $32,317 $7,110 $32,317 +0% $15,589 +107% —
157 MS DRG- DENTAL AND ORAL DISEASES WITH MCC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI - Major $32,079 $7,057 $32,079 +0% $31,300 +2% —
843 MS DRG- OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC;APR DRG- LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR;SOI - Extreme $31,511 $6,932 $31,511 +0% $36,431 −14% —
887 MS DRG- OTHER MENTAL DISORDER DIAGNOSES;APR DRG- OTHER MENTAL HEALTH CONDITIONS AND DISORDERS;SOI - Moderate $31,416 $6,911 $31,416 +0% $20,616 +52% —
088 MS DRG- CONCUSSION WITH MCC;APR DRG- CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA;SOI - Major $31,184 $6,861 $31,184 +0% $24,402 +28% —
757 MS DRG- INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC;APR DRG- KIDNEY AND URINARY TRACT INFECTIONS;SOI - Extreme $30,759 $6,767 $39,591 −22% $26,280 +17% —
316 MS DRG- OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC;APR DRG- OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI - Minor $30,326 $6,672 $30,326 +0% $13,651 +122% —
289 MS DRG- ACUTE AND SUBACUTE ENDOCARDITIS WITH CC;APR DRG- ACUTE AND SUBACUTE ENDOCARDITIS;SOI - Moderate $30,210 $6,646 $42,925 −30% $32,697 −8% —
199 MS DRG- PNEUMOTHORAX WITH MCC;APR DRG- OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI - Moderate $29,910 $6,580 $31,070 −4% $33,787 −11% —
156 MS DRG- OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI - Minor $29,427 $6,474 $29,427 +0% $14,549 +102% —
755 MS DRG- MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC;APR DRG- FEMALE REPRODUCTIVE SYSTEM MALIGNANCY;SOI - Major $29,165 $6,416 $29,165 +0% $18,459 +58% —
443 MS DRG- DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC;APR DRG- OTHER DISORDERS OF THE LIVER;SOI - Minor $28,576 $6,287 $28,576 +0% $15,600 +83% —
728 MS DRG- INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC;APR DRG- MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI - Minor $28,175 $6,199 $28,175 +0% $17,118 +65% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $28,009 $6,162 $28,009 +0% $19,962 +40% —
090 CONCUSSION WITHOUT CC/MCC $27,525 $6,056 $27,525 +0% $15,412 +79% —
301 MS DRG- PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC;APR DRG- PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI - Minor $27,413 $6,031 $27,413 +0% $15,837 +73% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $27,383 $6,024 $25,107 +9% $18,452 +48% —
203 MS DRG- BRONCHITIS AND ASTHMA WITHOUT CC/MCC;APR DRG- BRONCHIOLITIS AND RSV PNEUMONIA;SOI - Moderate $27,243 $5,994 $27,243 +0% $12,252 +122% —
195 MS DRG- SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC;APR DRG- INFECTIONS OF UPPER RESPIRATORY TRACT;SOI - Moderate $27,139 $5,971 $27,139 +0% $13,824 +96% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $27,065 $5,954 $20,889 +30% $20,084 +35% —
833 MS DRG- OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC;APR DRG- ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI - Moderate $26,874 $5,912 $26,874 +0% $9,940 +170% —
727 MS DRG- INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC;APR DRG- MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI - Major $26,463 $5,822 $26,463 +0% $26,463 +0% —
758 MS DRG- INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC;APR DRG- FEMALE REPRODUCTIVE SYSTEM INFECTIONS;SOI - Minor $26,059 $5,733 $26,760 −3% $20,901 +25% —
684 MS DRG- RENAL FAILURE WITHOUT CC/MCC;APR DRG- ACUTE KIDNEY INJURY;SOI - Moderate $25,884 $5,694 $25,884 +0% $13,642 +90% ≈321% of Medicare
373 MS DRG- MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC;APR DRG- MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI - Moderate $25,553 $5,622 $25,553 +0% $16,767 +52% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $24,430 $5,375 $24,430 +0% $24,941 −2% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $24,383 $5,364 $22,041 +11% $19,846 +23% —
725 MS DRG- BENIGN PROSTATIC HYPERTROPHY WITH MCC;APR DRG- MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI - Major $24,031 $5,287 $24,031 +0% $22,320 +8% —
152 MS DRG- OTITIS MEDIA AND URI WITH MCC;APR DRG- INFECTIONS OF UPPER RESPIRATORY TRACT;SOI - Moderate $24,012 $5,283 $28,768 −17% $20,247 +19% —
121 MS DRG- ACUTE MAJOR EYE INFECTIONS WITH CC/MCC;APR DRG- EYE INFECTIONS AND OTHER EYE DISORDERS;SOI - Major $23,578 $5,187 $30,548 −23% $19,412 +21% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $23,578 $5,187 $21,465 +10% $16,846 +40% —
150 MS DRG- EPISTAXIS WITH MCC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI - Major $23,171 $5,098 $23,171 +0% $23,171 +0% —
437 MS DRG- MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC;APR DRG- MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS;SOI - Moderate $23,152 $5,093 $23,152 +0% $14,014 +65% —
192 MS DRG- CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC;APR DRG- CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI - Minor $22,391 $4,926 $22,391 +0% $14,368 +56% —
185 MS DRG- MAJOR CHEST TRAUMA WITHOUT CC/MCC;APR DRG- MAJOR CHEST AND RESPIRATORY TRAUMA;SOI - Minor $21,818 $4,800 $21,818 +0% $17,124 +27% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $21,793 $4,794 $19,758 +10% $15,370 +42% —
639 MS DRG- DIABETES WITHOUT CC/MCC;APR DRG- DIABETES;SOI - Major $21,390 $4,706 $21,390 +0% $13,910 +54% —
696 MS DRG- KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC;APR DRG- OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS;SOI - Major $21,248 $4,675 $21,275 −0% $14,689 +45% —
440 MS DRG- DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC;APR DRG- DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI - Minor $21,129 $4,648 $21,395 −1% $15,183 +39% —
076 MS DRG- VIRAL MENINGITIS WITHOUT CC/MCC;APR DRG- VIRAL MENINGITIS;SOI - Minor $20,811 $4,578 $20,811 +0% $17,135 +21% —
125 MS DRG- OTHER DISORDERS OF THE EYE WITHOUT MCC;APR DRG- SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS;SOI - Major $20,464 $4,502 $20,464 +0% $17,298 +18% —
534 MS DRG- FRACTURES OF FEMUR WITHOUT MCC;APR DRG- FRACTURE OF FEMUR;SOI - Moderate $20,216 $4,447 $20,216 +0% $17,559 +15% —
792 MS DRG- PREMATURITY WITHOUT MAJOR PROBLEMS;APR DRG- NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM;SOI - Moderate $19,847 $4,366 $19,847 +0% $12,229 +62% —
183 MS DRG- MAJOR CHEST TRAUMA WITH MCC;APR DRG- MAJOR CHEST AND RESPIRATORY TRAUMA;SOI - Moderate $19,701 $4,334 $39,667 −50% $29,933 −34% —
598 MS DRG- MALIGNANT BREAST DISORDERS WITH CC;APR DRG- MALIGNANT BREAST DISORDERS;SOI - Moderate $19,544 $4,300 $19,544 +0% $19,073 +2% —
311 MS DRG- ANGINA PECTORIS;APR DRG- ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI - Minor $18,781 $4,132 $19,260 −2% $15,502 +21% —
201 MS DRG- PNEUMOTHORAX WITHOUT CC/MCC;APR DRG- OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI - Minor $18,596 $4,091 $22,782 −18% $14,053 +32% —
729 MS DRG- OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC;APR DRG- MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI - Moderate $18,338 $4,034 $18,338 +0% $17,483 +5% —
761 MS DRG- MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC;APR DRG- MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS;SOI - Minor $18,296 $4,025 $19,789 −8% $11,421 +60% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $17,835 $3,924 $17,835 +0% $10,480 +70% —
759 MS DRG- INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC;APR DRG- FEMALE REPRODUCTIVE SYSTEM INFECTIONS;SOI - Minor $17,405 $3,829 $22,243 −22% $14,250 +22% —
896 MS DRG- ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC;APR DRG- COCAINE ABUSE AND DEPENDENCE;SOI - Moderate $16,803 $3,697 $42,023 −60% $31,159 −46% —
084 MS DRG- TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC;APR DRG- HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI - Minor $16,023 $3,525 $19,924 −20% $19,924 −20% ≈281% of Medicare
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $15,963 $3,512 $15,757 +1% $12,078 +32% —
294 MS DRG- DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC;APR DRG- PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI - Moderate $15,696 $3,453 $37,472 −58% $19,132 −18% —
557 MS DRG- TENDONITIS, MYOSITIS AND BURSITIS WITH MCC;APR DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI - Moderate $15,335 $3,374 $47,964 −68% $32,877 −53% —
078 MS DRG- HYPERTENSIVE ENCEPHALOPATHY WITH CC;APR DRG- ALTERATION IN CONSCIOUSNESS;SOI - Moderate $15,257 $3,357 $29,153 −48% $17,698 −14% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $14,036 $3,088 $14,036 +0% $12,559 +12% —
068 MS DRG- NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC;APR DRG- NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION;SOI - Moderate $13,981 $3,076 $16,139 −13% $19,569 −29% —
779 MS DRG- ABORTION WITHOUT D&C;APR DRG- ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY;SOI - Minor $13,254 $2,916 $13,254 +0% $15,327 −14% —
055 MS DRG- NERVOUS SYSTEM NEOPLASMS WITHOUT MCC;APR DRG- NERVOUS SYSTEM MALIGNANCY;SOI - Minor $13,194 $2,903 $24,194 −45% $20,926 −37% —
883 MS DRG- DISORDERS OF PERSONALITY AND IMPULSE CONTROL;APR DRG- EATING DISORDERS;SOI - Moderate $13,008 $2,862 $13,008 +0% $23,206 −44% —
295 MS DRG- DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC;APR DRG- PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI - Minor $12,935 $2,846 $12,935 +0% $13,445 −4% —
205 MS DRG- OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC;APR DRG- OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI - Moderate $12,514 $2,753 $26,426 −53% $33,255 −62% ≈143% of Medicare
122 MS DRG- ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC;APR DRG- EYE INFECTIONS AND OTHER EYE DISORDERS;SOI - Minor $12,160 $2,675 $23,121 −47% $11,997 +1% —
200 MS DRG- PNEUMOTHORAX WITH CC;APR DRG- OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI - Minor $11,962 $2,632 $28,409 −58% $21,368 −44% —
855 MS DRG- INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC;APR DRG- INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI - Minor $11,828 $2,602 $11,828 +0% $28,202 −58% —
538 MS DRG- SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC;APR DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI - Minor $8,264 $1,818 $8,264 +0% $11,909 −31% —
434 MS DRG- CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC;APR DRG- ALCOHOLIC LIVER DISEASE;SOI - Minor $6,371 $1,402 $6,371 +0% $12,460 −49% —
845 MS DRG- OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC;APR DRG- LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR;SOI - Minor $4,587 $1,009 $4,587 +0% $14,055 −67% —
795 MS DRG- NORMAL NEWBORN;APR DRG- NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM;SOI - Moderate $3,920 $862 $3,920 +0% $4,720 −17% —

Procedures with negotiated rates only

These 39 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
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $29,455 – $200,000 · median $98,000 27 plans
089 CONCUSSION WITH CC $7,963 – $19,898 · median $14,976 26 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $9,180 – $21,940 · median $16,512 26 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $7,541 – $20,019 · median $15,067 26 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $8,042 – $18,155 · median $13,664 26 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,196 – $15,544 · median $11,698 26 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $55,515 – $157,276 · median $118,368 26 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,599 – $18,170 · median $13,675 26 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,169 – $8,198 · median $6,170 26 plans
332 RECTAL RESECTION WITH MCC $23,080 – $64,379 · median $48,453 26 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $20,728 – $50,788 · median $38,224 26 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $10,818 – $27,272 · median $20,525 26 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $30,113 – $113,897 · median $85,721 26 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $23,496 – $65,342 · median $49,177 26 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $10,296 – $23,954 · median $18,028 26 plans
509 ARTHROSCOPY $11,873 – $32,604 · median $24,538 26 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,446 – $37,059 · median $27,891 26 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,294 – $15,752 · median $11,855 26 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,686 – $15,867 · median $11,942 26 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,055 – $11,127 · median $8,374 26 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,992 – $26,008 · median $19,574 26 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,047 – $19,076 · median $14,357 26 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $19,295 – $54,127 · median $40,736 26 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,169 – $13,441 · median $10,116 26 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,509 – $13,523 · median $10,178 26 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,726 – $11,264 · median $8,477 26 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $7,452 – $33,343 · median $25,095 26 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $10,332 – $26,873 · median $20,225 26 plans
913 TRAUMATIC INJURY WITH MCC $10,586 – $30,036 · median $22,605 26 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $120,283 – $440,295 · median $331,372 26 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $39,149 – $123,960 · median $93,294 26 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $20,317 – $59,028 · median $44,425 26 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $19,591 – $80,307 · median $60,440 26 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $12,931 – $39,826 · median $29,974 26 plans
935 NON-EXTENSIVE BURNS $12,855 – $40,765 · median $30,680 26 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $40,584 – $126,733 · median $95,381 26 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $16,935 – $49,071 · median $36,931 26 plans
945 REHABILITATION WITH CC/MCC $9,892 – $27,218 · median $17,498 24 plans
946 REHABILITATION WITHOUT CC/MCC $7,802 – $19,907 · median $12,952 24 plans
← Back to Ochsner Lafayette General Medical Center profile