Ochsner LSU Health Shreveport - Academic Medical Center (Kings Hwy) — Pricing

762 procedures published in this hospital's Machine-Readable File (MRF) — 642 with a comparable price, 120 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 762
Lowest published price $815
Average published price $137,924
Highest published price $1,439,263

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 762 procedures

Published charges

Showing all 642 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 39 procedures, this hospital's negotiated rates average ≈126% of what Medicare pays.

DRG Description Published price Cash price vs. LA median vs. National median vs Medicare
216 MS DRG - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC;APR DRG-POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI- Extreme $1,439,263 $374,208 $157,878 +812% $175,437 +720% —
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-EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO);SOI- Extreme $1,057,563 $274,966 $462,770 +129% $371,366 +185% ≈120% of Medicare
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 $921,023 $239,466 $98,174 +838% $109,331 +742% —
347 MS DRG - ANAL AND STOMAL PROCEDURES WITH MCC;APR DRG-ANAL AND PERINEAL PROCEDURES;SOI- Major $800,670 $208,174 $29,842 +2583% $40,548 +1875% —
867 MS DRG - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC;APR DRG-OTHER INFECTIOUS AND PARASITIC DISEASES;SOI- Extreme $710,694 $184,780 $31,559 +2152% $36,850 +1829% —
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 $691,131 $179,694 $242,380 +185% $138,868 +398% —
933 MS DRG - EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT;APR DRG-EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT;SOI- Extreme $664,693 $172,820 $28,115 +2264% $59,352 +1020% —
545 MS DRG - CONNECTIVE TISSUE DISORDERS WITH MCC;APR DRG-MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI- Major $626,804 $162,969 $45,200 +1287% $39,657 +1481% —
011 MS DRG - TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC;APR DRG-MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI- Extreme $602,183 $156,568 $55,874 +978% $86,953 +593% —
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- Extreme $599,693 $155,920 $82,639 +626% $88,691 +576% —
614 MS DRG - ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC;APR DRG-OPEN CRANIOTOMY EXCEPT TRAUMA;SOI- Extreme $573,002 $148,980 $82,051 +598% $43,586 +1215% —
012 MS DRG - TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC;APR DRG-FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES;SOI- Major $563,677 $146,556 $83,658 +574% $73,029 +672% —
004 MS DRG - TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES;APR DRG-TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE;SOI- Extreme $545,950 $141,947 $292,218 +87% $245,241 +123% —
927 MS DRG - EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT;APR DRG-EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT;SOI- Major $545,136 $141,735 $154,145 +254% $306,087 +78% —
414 MS DRG - CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC;APR DRG-CHOLECYSTECTOMY;SOI- Extreme $521,822 $135,674 $45,771 +1040% $68,399 +663% —
466 MS DRG - REVISION OF HIP OR KNEE REPLACEMENT WITH MCC;APR DRG-NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI- Extreme $520,673 $135,375 $116,776 +346% $96,222 +441% —
405 MS DRG - PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC;APR DRG-MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES;SOI- Extreme $519,583 $135,092 $56,211 +824% $94,927 +447% —
020 MS DRG - INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC;APR DRG-OPEN CRANIOTOMY EXCEPT TRAUMA;SOI- Moderate $519,067 $134,957 $83,183 +524% $134,914 +285% —
463 MS DRG - WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC;APR DRG-TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI- Extreme $502,661 $130,692 $66,425 +657% $78,582 +540% —
270 MS DRG - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC;APR DRG-MAJOR ABDOMINAL VASCULAR PROCEDURES;SOI- Extreme $479,632 $124,704 $136,083 +252% $99,423 +382% —
987 MS DRG - NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC;APR DRG-HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI- Extreme $463,400 $120,484 $71,549 +548% $65,383 +609% —
228 MS DRG - OTHER CARDIOTHORACIC PROCEDURES WITH MCC;APR DRG-PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK;SOI- Extreme $461,595 $120,015 $125,919 +267% $96,905 +376% —
957 MS DRG - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC;APR DRG-EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI- Extreme $458,853 $119,302 $85,573 +436% $120,587 +281% —
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 $456,744 $118,753 $175,384 +160% $102,177 +347% —
166 MS DRG - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC;APR DRG-RESPIRATORY FAILURE;SOI- Extreme $439,817 $114,352 $93,180 +372% $72,782 +504% —
956 MS DRG - LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;APR DRG-EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI- Extreme $438,789 $114,085 $78,808 +457% $75,103 +484% ≈58% of Medicare
981 MS DRG - EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC;APR DRG-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI- Major $438,626 $114,043 $93,631 +368% $86,390 +408% ≈96% of Medicare
850 MS DRG - ACUTE LEUKEMIA WITH OTHER PROCEDURES;APR DRG-OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI- Moderate $434,986 $113,096 $94,974 +358% $121,563 +258% —
025 MS DRG - CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC;APR DRG-POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI- Extreme $425,384 $110,600 $110,608 +285% $88,307 +382% ≈102% of Medicare
234 MS DRG - CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC;APR DRG-CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI- Moderate $420,253 $109,266 $213,273 +97% $102,573 +310% —
217 MS DRG - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC;APR DRG-CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI- Moderate $406,946 $105,806 $236,851 +72% $121,714 +234% —
625 MS DRG - THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC;APR DRG-THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES;SOI- Extreme $398,581 $103,631 $38,515 +935% $58,968 +576% —
219 MS DRG - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC;APR DRG-CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI- Extreme $393,699 $102,362 $215,747 +82% $143,242 +175% —
269 MS DRG - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC;APR DRG-MAJOR ABDOMINAL VASCULAR PROCEDURES;SOI- Major $384,043 $99,851 $153,747 +150% $83,065 +362% —
579 MS DRG - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC;APR DRG-OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI- Moderate $381,707 $99,244 $61,592 +520% $54,129 +605% —
235 MS DRG - CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC;APR DRG-CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI- Extreme $380,126 $98,833 $177,119 +115% $112,062 +239% —
901 MS DRG - WOUND DEBRIDEMENTS FOR INJURIES WITH MCC;APR DRG-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI- Extreme $379,215 $98,596 $40,710 +831% $68,847 +451% —
616 MS DRG - AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC;APR DRG-OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS;SOI- Extreme $370,238 $96,262 $72,579 +410% $62,961 +488% —
500 MS DRG - SOFT TISSUE PROCEDURES WITH MCC;APR DRG-OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES;SOI- Extreme $367,554 $95,564 $77,970 +371% $57,479 +539% —
276 MS DRG - CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR;APR DRG-DEFIBRILLATOR IMPLANTS;SOI- Extreme $366,954 $95,408 $148,704 +147% $117,280 +213% —
674 MS DRG - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC;APR DRG-OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES;SOI- Major $365,880 $95,129 $51,964 +604% $49,631 +637% —
744 MS DRG - D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC;APR DRG-FEMALE REPRODUCTIVE SYSTEM MALIGNANCY;SOI- Extreme $363,116 $94,410 $29,511 +1130% $33,050 +999% —
573 MS DRG - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC;APR DRG-SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES;SOI- Extreme $348,605 $90,637 $40,015 +771% $98,912 +252% —
329 MS DRG - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC;APR DRG-MAJOR SMALL BOWEL PROCEDURES;SOI- Extreme $346,908 $90,196 $147,076 +136% $88,050 +294% —
021 MS DRG - INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC;APR DRG-OPEN CRANIOTOMY EXCEPT TRAUMA;SOI- Major $345,260 $89,768 $57,221 +503% $101,235 +241% —
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 $342,492 $89,048 $193,816 +77% $142,326 +141% —
659 MS DRG - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC;APR DRG-KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY;SOI- Extreme $337,951 $87,867 $38,026 +789% $48,094 +603% —
423 MS DRG - OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC;APR DRG-MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS;SOI- Extreme $337,890 $87,851 $42,262 +700% $72,011 +369% —
173 MS DRG - ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM;APR DRG-OTHER RESPIRATORY AND CHEST PROCEDURES;SOI- Extreme $335,508 $87,232 $36,914 +809% $53,555 +526% —
097 MS DRG - NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC;APR DRG-HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS;SOI- Major $334,013 $86,843 $55,801 +499% $57,855 +477% —
266 MS DRG - ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC;APR DRG-PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES;SOI- Major $331,591 $86,214 $187,889 +76% $113,855 +191% —
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 $330,874 $86,027 $71,631 +362% $74,274 +345% —
268 MS DRG - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC;APR DRG-MAJOR ABDOMINAL VASCULAR PROCEDURES;SOI- Extreme $329,080 $85,561 $167,931 +96% $118,589 +177% —
834 MS DRG - ACUTE LEUKEMIA WITH MCC;APR DRG-ACUTE LEUKEMIA;SOI- Extreme $325,157 $84,541 $40,525 +702% $76,583 +325% —
326 MS DRG - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC;APR DRG-OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI- Extreme $325,102 $84,527 $85,356 +281% $80,747 +303% —
221 MS DRG - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC;APR DRG-OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES;SOI- Moderate $323,761 $84,178 $113,397 +186% $90,331 +258% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $323,557 $84,125 $278,602 +16% $94,988 +241% —
617 MS DRG - AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG-FOOT AND TOE PROCEDURES;SOI- Extreme $322,705 $83,903 $37,649 +757% $42,881 +653% —
231 MS DRG - CORONARY BYPASS WITH PTCA WITH MCC;APR DRG-CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI- Extreme $319,687 $83,119 $319,687 +0% $146,474 +118% —
474 MS DRG - AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC;APR DRG-AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI- Extreme $316,785 $82,364 $64,647 +390% $76,954 +312% —
653 MS DRG - MAJOR BLADDER PROCEDURES WITH MCC;APR DRG-MAJOR BLADDER PROCEDURES;SOI- Extreme $314,076 $81,660 $133,101 +136% $97,046 +224% —
955 MS DRG - CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA;APR DRG-CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA;SOI- Extreme $311,718 $81,047 $126,896 +146% $105,612 +195% —
840 MS DRG - LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC;APR DRG-ACUTE LEUKEMIA;SOI- Major $310,716 $80,786 $37,712 +724% $49,710 +525% —
642 MS DRG - INBORN AND OTHER DISORDERS OF METABOLISM;APR DRG-INBORN ERRORS OF METABOLISM;SOI- Major $310,015 $80,604 $16,969 +1727% $20,727 +1396% —
480 MS DRG - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC;APR DRG-MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI- Extreme $309,151 $80,379 $92,273 +235% $63,984 +383% —
824 MS DRG - LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC;APR DRG-MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI- Extreme $308,690 $80,259 $29,534 +945% $38,382 +704% —
252 MS DRG - OTHER VASCULAR PROCEDURES WITH MCC;APR DRG-LOWER EXTREMITY VASCULAR PROCEDURES;SOI- Extreme $308,272 $80,151 $79,687 +287% $68,508 +350% ≈129% of Medicare
140 MS DRG - MAJOR HEAD AND NECK PROCEDURES WITH MCC;APR DRG-MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI- Major $304,202 $79,093 $83,900 +263% $60,098 +406% —
024 MS DRG - CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC;APR DRG-OPEN CRANIOTOMY EXCEPT TRAUMA;SOI- Major $304,162 $79,082 $91,640 +232% $74,755 +307% ≈121% of Medicare
409 MS DRG - BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC;APR DRG-MAJOR BILIARY TRACT PROCEDURES;SOI- Moderate $303,621 $78,942 $47,341 +541% $46,066 +559% —
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 $300,979 $78,255 $83,988 +258% $66,853 +350% —
477 MS DRG - BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC;APR DRG-OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI- Major $297,366 $77,315 $62,783 +374% $62,269 +378% —
032 MS DRG - VENTRICULAR SHUNT PROCEDURES WITH CC;APR DRG-POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI- Major $295,502 $76,831 $49,303 +499% $45,622 +548% —
377 MS DRG - GASTROINTESTINAL HEMORRHAGE WITH MCC;APR DRG-OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE;SOI- Extreme $294,782 $76,643 $46,940 +528% $37,842 +679% —
163 MS DRG - MAJOR CHEST PROCEDURES WITH MCC;APR DRG-OTHER RESPIRATORY AND CHEST PROCEDURES;SOI- Extreme $294,340 $76,528 $165,068 +78% $88,341 +233% —
356 MS DRG - OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC;APR DRG-OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE;SOI- Major $292,925 $76,160 $58,115 +404% $82,561 +255% —
267 MS DRG - ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC;APR DRG-PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES;SOI- Moderate $292,129 $75,953 $157,538 +85% $92,217 +217% —
215 MS DRG - OTHER HEART ASSIST SYSTEM IMPLANT;APR DRG-EXTERNAL HEART ASSIST DEVICES;SOI- Extreme $286,148 $74,398 $179,884 +59% $191,314 +50% —
820 MS DRG - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC;APR DRG-MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI- Extreme $282,118 $73,351 $96,540 +192% $96,192 +193% —
236 MS DRG - CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC;APR DRG-CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI- Major $279,543 $72,681 $115,972 +141% $82,247 +240% —
245 MS DRG - AICD GENERATOR PROCEDURES;APR DRG-INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES;SOI- Major $277,592 $72,174 $146,998 +89% $72,076 +285% —
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 $277,295 $72,097 $54,047 +413% $72,859 +281% —
660 MS DRG - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC;APR DRG-KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY;SOI- Major $274,394 $71,343 $36,171 +659% $30,358 +804% —
907 MS DRG - OTHER O.R. PROCEDURES FOR INJURIES WITH MCC;APR DRG-OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES;SOI- Extreme $271,526 $70,597 $62,830 +332% $71,701 +279% —
430 MS DRG - COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC;APR DRG-SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI- Major $270,908 $70,436 $219,723 +23% $93,783 +189% —
026 MS DRG - CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC;APR DRG-OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES;SOI- Major $269,995 $70,199 $94,208 +187% $63,475 +325% —
239 MS DRG - AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC;APR DRG-OTHER CIRCULATORY SYSTEM PROCEDURES;SOI- Major $269,857 $70,163 $104,080 +159% $87,565 +208% —
488 MS DRG - KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC;APR DRG-MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI- Major $267,120 $69,451 $45,073 +493% $41,520 +543% —
870 MS DRG - SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS;APR DRG-SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI- Extreme $266,526 $69,297 $126,146 +111% $138,008 +93% ≈104% of Medicare
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 $262,486 $68,246 $51,471 +410% $64,776 +305% —
823 MS DRG - LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC;APR DRG-OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI- Extreme $262,381 $68,219 $92,884 +182% $80,885 +224% —
207 MS DRG - RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS;APR DRG-RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS;SOI- Extreme $262,358 $68,213 $160,739 +63% $116,058 +126% —
427 MS DRG - MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC;APR DRG-SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL;SOI- Moderate $258,623 $67,242 $208,044 +24% $121,728 +112% —
497 MS DRG - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC;APR DRG-MAJOR CRANIAL OR FACIAL BONE PROCEDURES;SOI- Moderate $258,245 $67,144 $28,222 +815% $29,805 +766% —
141 MS DRG - MAJOR HEAD AND NECK PROCEDURES WITH CC;APR DRG-MAJOR CRANIAL OR FACIAL BONE PROCEDURES;SOI- Major $256,829 $66,775 $34,369 +647% $34,900 +636% —
457 MS DRG - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC;APR DRG-DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI- Extreme $256,478 $66,684 $104,685 +145% $107,355 +139% —
034 MS DRG - CAROTID ARTERY STENT PROCEDURES WITH MCC;APR DRG-PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI- Extreme $255,654 $66,470 $46,821 +446% $72,908 +251% —
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 $254,713 $66,225 $102,538 +148% $87,018 +193% ≈89% of Medicare
022 MS DRG - INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC;APR DRG-PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI- Major $253,396 $65,883 $36,760 +589% $62,404 +306% —
456 MS DRG - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC;APR DRG-DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI- Major $252,748 $65,714 $71,198 +255% $151,029 +67% —
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-OPEN CRANIOTOMY FOR TRAUMA;SOI- Extreme $246,121 $63,992 $185,245 +33% $106,778 +130% ≈127% of Medicare
027 MS DRG - CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC;APR DRG-OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES;SOI- Major $244,774 $63,641 $118,597 +106% $52,332 +368% ≈122% of Medicare
028 MS DRG - SPINAL PROCEDURES WITH MCC;APR DRG-SPINAL PROCEDURES;SOI- Major $244,469 $63,562 $153,674 +59% $95,858 +155% —
275 MS DRG - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC;APR DRG-DEFIBRILLATOR IMPLANTS;SOI- Moderate $244,331 $63,526 $136,357 +79% $131,961 +85% —
464 MS DRG - WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG-KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI- Extreme $244,023 $63,446 $36,687 +565% $54,313 +349% —
974 MS DRG - HIV WITH MAJOR RELATED CONDITION WITH MCC;APR DRG-HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS;SOI- Extreme $239,243 $62,203 $56,055 +327% $46,402 +416% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $238,642 $62,047 $162,344 +47% $120,174 +99% —
286 MS DRG - CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC;APR DRG-CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI- Extreme $235,483 $61,226 $47,632 +394% $44,600 +428% —
229 MS DRG - OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC;APR DRG-PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK;SOI- Moderate $233,670 $60,754 $71,782 +226% $65,325 +258% —
501 MS DRG - SOFT TISSUE PROCEDURES WITH CC;APR DRG-MAJOR CRANIAL OR FACIAL BONE PROCEDURES;SOI- Major $233,629 $60,744 $49,159 +375% $37,975 +515% —
493 MS DRG - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC;APR DRG-EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI- Extreme $233,044 $60,591 $68,944 +238% $56,394 +313% ≈120% of Medicare
330 MS DRG - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC;APR DRG-EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI- Moderate $230,118 $59,831 $75,804 +204% $58,832 +291% —
836 MS DRG - ACUTE LEUKEMIA WITHOUT CC/MCC;APR DRG-ACUTE LEUKEMIA;SOI- Minor $227,755 $59,216 $10,932 +1983% $19,686 +1057% —
322 MS DRG - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC;APR DRG-PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI- Moderate $227,347 $59,110 $96,624 +135% $54,772 +315% —
277 MS DRG - CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC;APR DRG-DEFIBRILLATOR IMPLANTS;SOI- Minor $227,271 $59,091 $154,961 +47% $91,329 +149% —
142 MS DRG - MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC;APR DRG-MAJOR CRANIAL OR FACIAL BONE PROCEDURES;SOI- Minor $227,145 $59,058 $46,585 +388% $34,906 +551% —
175 MS DRG - PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE;APR DRG-PULMONARY EMBOLISM;SOI- Extreme $226,913 $58,997 $21,442 +958% $29,757 +663% —
715 MS DRG - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC;APR DRG-MALIGNANCY, MALE REPRODUCTIVE SYSTEM;SOI- Extreme $225,928 $58,741 $23,726 +852% $38,998 +479% —
471 MS DRG - CERVICAL SPINAL FUSION WITH MCC;APR DRG-MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI- Moderate $223,889 $58,211 $117,238 +91% $92,515 +142% —
472 MS DRG - CERVICAL SPINAL FUSION WITH CC;APR DRG-MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI- Moderate $223,888 $58,211 $84,790 +164% $59,537 +276% —
929 MS DRG - FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC;APR DRG-BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS;SOI- Major $219,862 $57,164 $20,666 +964% $44,472 +394% —
746 MS DRG - VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC;APR DRG-OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES;SOI- Moderate $219,810 $57,151 $32,278 +581% $29,916 +635% —
323 MS DRG - CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC;APR DRG-PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI- Extreme $219,407 $57,046 $171,608 +28% $88,049 +149% —
271 MS DRG - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC;APR DRG-OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES;SOI- Moderate $214,701 $55,822 $139,299 +54% $71,014 +202% —
447 MS DRG - MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE;APR DRG-MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI- Extreme $213,706 $55,564 $117,363 +82% $114,914 +86% —
328 MS DRG - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC;APR DRG-MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI- Moderate $209,635 $54,505 $34,509 +507% $35,375 +493% —
242 MS DRG - PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC;APR DRG-PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK;SOI- Extreme $207,229 $53,880 $88,237 +135% $70,132 +195% —
253 MS DRG - OTHER VASCULAR PROCEDURES WITH CC;APR DRG-LOWER EXTREMITY VASCULAR PROCEDURES;SOI- Major $207,045 $53,832 $80,670 +157% $53,746 +285% —
571 MS DRG - SKIN DEBRIDEMENT WITH CC;APR DRG-TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI- Major $206,710 $53,745 $37,596 +450% $34,901 +492% —
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 $204,886 $53,270 $37,162 +451% $36,334 +464% —
814 MS DRG - RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC;APR DRG-COAGULATION AND PLATELET DISORDERS;SOI- Extreme $204,000 $53,040 $27,663 +637% $32,483 +528% —
904 MS DRG - SKIN GRAFTS FOR INJURIES WITH CC/MCC;APR DRG-MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI- Major $200,876 $52,228 $42,504 +373% $55,097 +265% —
030 MS DRG - SPINAL PROCEDURES WITHOUT CC/MCC;APR DRG-SPINAL PROCEDURES;SOI- Major $199,117 $51,770 $68,218 +192% $45,818 +335% —
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- Moderate $196,994 $51,218 $22,779 +765% $22,032 +794% —
165 MS DRG - MAJOR CHEST PROCEDURES WITHOUT CC/MCC;APR DRG-OTHER RESPIRATORY AND CHEST PROCEDURES;SOI- Moderate $196,282 $51,033 $92,143 +113% $41,380 +374% —
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- Extreme $195,878 $50,928 $51,021 +284% $46,659 +320% —
516 MS DRG - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC;APR DRG-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI- Major $193,693 $50,360 $50,042 +287% $45,817 +323% —
657 MS DRG - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC;APR DRG-KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY;SOI- Major $191,990 $49,917 $61,965 +210% $40,583 +373% —
963 MS DRG - OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC;APR DRG-MAJOR CHEST AND RESPIRATORY TRAUMA;SOI- Extreme $191,304 $49,739 $89,571 +114% $43,491 +340% —
255 MS DRG - UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC;APR DRG-OTHER CIRCULATORY SYSTEM PROCEDURES;SOI- Extreme $190,198 $49,452 $36,325 +424% $43,697 +335% —
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 $190,183 $49,447 $55,868 +240% $82,527 +130% —
492 MS DRG - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC;APR DRG-MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI- Extreme $189,242 $49,203 $78,830 +140% $70,540 +168% —
546 MS DRG - CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG-MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI- Moderate $187,854 $48,842 $36,114 +420% $24,202 +676% —
250 MS DRG - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC;APR DRG-PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI- Major $186,519 $48,495 $67,602 +176% $51,339 +263% —
178 MS DRG - RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC;APR DRG-CYSTIC FIBROSIS - PULMONARY DISEASE;SOI- Moderate $180,234 $46,861 $23,848 +656% $22,024 +718% —
327 MS DRG - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC;APR DRG-MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI- Moderate $180,105 $46,827 $54,417 +231% $54,824 +229% —
264 MS DRG - OTHER CIRCULATORY SYSTEM O.R. PROCEDURES;APR DRG-MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI- Moderate $178,480 $46,405 $59,308 +201% $51,953 +244% —
240 MS DRG - AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC;APR DRG-LOWER EXTREMITY VASCULAR PROCEDURES;SOI- Major $178,164 $46,323 $63,977 +178% $54,475 +227% —
813 MS DRG - COAGULATION DISORDERS;APR DRG-COAGULATION AND PLATELET DISORDERS;SOI- Major $176,579 $45,911 $47,828 +269% $30,128 +486% —
655 MS DRG - MAJOR BLADDER PROCEDURES WITHOUT CC/MCC;APR DRG-KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY;SOI- Minor $176,246 $45,824 $65,265 +170% $41,651 +323% —
557 MS DRG - TENDONITIS, MYOSITIS AND BURSITIS WITH MCC;APR DRG-OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI- Extreme $176,170 $45,804 $24,871 +608% $28,646 +515% —
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- Major $175,255 $45,566 $34,524 +408% $44,053 +298% —
428 MS DRG - MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC;APR DRG-MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL;SOI- Moderate $174,946 $45,486 $144,151 +21% $105,899 +65% —
467 MS DRG - REVISION OF HIP OR KNEE REPLACEMENT WITH CC;APR DRG-NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI- Minor $172,637 $44,886 $78,622 +120% $68,880 +151% ≈115% of Medicare
353 MS DRG - HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC;APR DRG-INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI- Major $172,245 $44,784 $54,505 +216% $60,140 +186% —
577 MS DRG - SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC;APR DRG-SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES;SOI- Moderate $171,806 $44,670 $47,063 +265% $45,432 +278% —
622 MS DRG - SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC;APR DRG-MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI- Extreme $170,260 $44,268 $77,820 +119% $60,861 +180% —
065 MS DRG - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS;APR DRG-HIV WITH MAJOR HIV RELATED CONDITION;SOI- Major $169,224 $43,998 $25,712 +558% $23,469 +621% ≈136% of Medicare
100 MS DRG - SEIZURES WITH MCC;APR DRG-SEIZURE;SOI- Extreme $167,518 $43,555 $37,366 +348% $35,194 +376% ≈126% of Medicare
029 MS DRG - SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS;APR DRG-SPINAL PROCEDURES;SOI- Major $166,046 $43,172 $75,174 +121% $64,152 +159% —
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 $165,104 $42,927 $61,736 +167% $43,524 +279% —
669 MS DRG - TRANSURETHRAL PROCEDURES WITH CC;APR DRG-URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION;SOI- Major $164,315 $42,722 $35,716 +360% $34,354 +378% —
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- Major $164,029 $42,647 $46,226 +255% $49,055 +234% —
673 MS DRG - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC;APR DRG-ACUTE KIDNEY INJURY;SOI- Major $163,596 $42,535 $88,662 +85% $72,945 +124% —
116 MS DRG - INTRAOCULAR PROCEDURES WITH CC/MCC;APR DRG-ORBIT AND EYE PROCEDURES;SOI- Major $163,541 $42,521 $16,441 +895% $28,103 +482% —
243 MS DRG - PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC;APR DRG-PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK;SOI- Moderate $163,122 $42,412 $58,293 +180% $50,011 +226% —
324 MS DRG - CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC;APR DRG-PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI- Minor $163,049 $42,393 $133,566 +22% $66,819 +144% —
481 MS DRG - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC;APR DRG-NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI- Moderate $162,725 $42,309 $74,029 +120% $51,172 +218% ≈116% of Medicare
279 MS DRG - ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC;APR DRG-LOWER EXTREMITY VASCULAR PROCEDURES;SOI- Major $162,689 $42,299 $87,704 +85% $57,277 +184% —
146 MS DRG - EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC;APR DRG-EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES;SOI- Major $162,655 $42,290 $21,919 +642% $37,080 +339% —
448 MS DRG - MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC;APR DRG-DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI- Major $162,097 $42,145 $129,588 +25% $81,998 +98% —
057 MS DRG - DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC;APR DRG-HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS;SOI- Moderate $162,095 $42,145 $32,819 +394% $25,426 +538% —
274 MS DRG - PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC;APR DRG-CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI- Major $161,711 $42,045 $138,495 +17% $65,573 +147% —
144 MS DRG - OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC;APR DRG-MAJOR CRANIAL OR FACIAL BONE PROCEDURES;SOI- Moderate $159,153 $41,380 $29,134 +446% $29,558 +438% —
444 MS DRG - DISORDERS OF THE BILIARY TRACT WITH MCC;APR DRG-DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI- Extreme $158,664 $41,253 $49,470 +221% $31,128 +410% —
013 MS DRG - TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC;APR DRG-OTHER MAJOR HEAD AND NECK PROCEDURES;SOI- Minor $158,601 $41,236 $27,739 +472% $45,290 +250% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $157,691 $41,000 $85,132 +85% $182,314 −14% —
272 MS DRG - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC;APR DRG-OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES;SOI- Moderate $157,089 $40,843 $67,960 +131% $55,162 +185% —
371 MS DRG - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC;APR DRG-MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI- Major $156,648 $40,729 $34,208 +358% $31,758 +393% —
959 MS DRG - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC;APR DRG-EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI- Major $156,536 $40,699 $27,677 +466% $40,277 +289% —
039 MS DRG - EXTRACRANIAL PROCEDURES WITHOUT CC/MCC;APR DRG-PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI- Moderate $155,873 $40,527 $23,726 +557% $25,267 +517% —
164 MS DRG - MAJOR CHEST PROCEDURES WITH CC;APR DRG-OTHER RESPIRATORY AND CHEST PROCEDURES;SOI- Moderate $154,984 $40,296 $109,748 +41% $53,141 +192% —
750 MS DRG - OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC;APR DRG-OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES;SOI- Moderate $154,498 $40,170 $19,857 +678% $23,920 +546% —
406 MS DRG - PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC;APR DRG-MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES;SOI- Moderate $154,094 $40,064 $29,362 +425% $58,043 +165% —
707 MS DRG - MAJOR MALE PELVIC PROCEDURES WITH CC/MCC;APR DRG-PROSTATECTOMY PROCEDURES;SOI- Minor $153,933 $40,023 $103,925 +48% $43,080 +257% —
468 MS DRG - REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC;APR DRG-ELECTIVE HIP JOINT REPLACEMENT;SOI- Moderate $153,324 $39,864 $108,088 +42% $54,929 +179% —
519 MS DRG - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC;APR DRG-MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI- Moderate $153,193 $39,830 $55,926 +174% $43,775 +250% —
273 MS DRG - PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC;APR DRG-PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI- Moderate $152,973 $39,773 $107,876 +42% $78,852 +94% —
186 MS DRG - PLEURAL EFFUSION WITH MCC;APR DRG-HEART FAILURE;SOI- Moderate $152,868 $39,746 $39,683 +285% $32,468 +371% —
478 MS DRG - BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC;APR DRG-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI- Extreme $152,555 $39,664 $72,984 +109% $50,139 +204% —
465 MS DRG - WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC;APR DRG-OTHER MAJOR HEAD AND NECK PROCEDURES;SOI- Minor $151,399 $39,364 $36,675 +313% $32,839 +361% —
575 MS DRG - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC;APR DRG-SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES;SOI- Moderate $150,853 $39,222 $12,974 +1063% $29,109 +418% —
180 MS DRG - RESPIRATORY NEOPLASMS WITH MCC;APR DRG-RESPIRATORY MALIGNANCY;SOI- Extreme $150,021 $39,005 $43,392 +246% $36,658 +309% —
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 $149,977 $38,994 $34,861 +330% $39,093 +284% —
515 MS DRG - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC;APR DRG-MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI- Major $149,815 $38,952 $54,848 +173% $62,821 +138% —
368 MS DRG - MAJOR ESOPHAGEAL DISORDERS WITH MCC;APR DRG-OTHER ESOPHAGEAL DISORDERS;SOI- Extreme $148,924 $38,720 $43,300 +244% $33,607 +343% —
918 MS DRG - POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC;APR DRG-TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES;SOI- Major $147,848 $38,440 $11,452 +1191% $15,045 +883% —
818 MS DRG - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC;APR DRG-ANTEPARTUM WITH O.R. PROCEDURE;SOI- Major $147,817 $38,432 $27,021 +447% $24,316 +508% —
251 MS DRG - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC;APR DRG-PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI- Major $146,300 $38,038 $62,279 +135% $41,380 +254% —
689 MS DRG - KIDNEY AND URINARY TRACT INFECTIONS WITH MCC;APR DRG-KIDNEY AND URINARY TRACT INFECTIONS;SOI- Extreme $144,826 $37,655 $24,198 +498% $22,982 +530% —
570 MS DRG - SKIN DEBRIDEMENT WITH MCC;APR DRG-OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI- Extreme $144,481 $37,565 $60,240 +140% $52,435 +176% —
982 MS DRG - EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC;APR DRG-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI- Major $143,657 $37,351 $48,375 +197% $51,985 +176% —
287 MS DRG - CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC;APR DRG-CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI- Major $143,415 $37,288 $40,539 +254% $31,190 +360% —
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- Moderate $142,490 $37,047 $125,971 +13% $75,492 +89% —
928 MS DRG - FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC;APR DRG-BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS;SOI- Extreme $142,489 $37,047 $43,398 +228% $89,353 +59% —
482 MS DRG - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC;APR DRG-OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI- Moderate $141,640 $36,826 $60,104 +136% $39,747 +256% —
470 MS DRG - MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC;APR DRG-NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT;SOI- Minor $141,370 $36,756 $77,962 +81% $49,197 +187% —
902 MS DRG - WOUND DEBRIDEMENTS FOR INJURIES WITH CC;APR DRG-MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI- Moderate $141,141 $36,697 $43,774 +222% $35,459 +298% —
654 MS DRG - MAJOR BLADDER PROCEDURES WITH CC;APR DRG-MAJOR BLADDER PROCEDURES;SOI- Moderate $139,766 $36,339 $51,569 +171% $53,868 +159% —
189 MS DRG - PULMONARY EDEMA AND RESPIRATORY FAILURE;APR DRG-RESPIRATORY FAILURE;SOI- Extreme $139,072 $36,159 $34,870 +299% $25,704 +441% ≈136% of Medicare
817 MS DRG - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC;APR DRG-ANTEPARTUM WITH O.R. PROCEDURE;SOI- Major $138,712 $36,065 $36,606 +279% $36,097 +284% —
495 MS DRG - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC;APR DRG-OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES;SOI- Major $138,693 $36,060 $42,458 +227% $56,964 +143% —
580 MS DRG - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC;APR DRG-OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI- Major $138,431 $35,992 $59,184 +134% $36,242 +282% —
913 MS DRG - TRAUMATIC INJURY WITH MCC;APR DRG-OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI- Major $138,175 $35,925 $12,849 +975% $24,198 +471% —
417 MS DRG - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC;APR DRG-CHOLECYSTECTOMY;SOI- Major $137,893 $35,852 $60,767 +127% $52,313 +164% —
183 MS DRG - MAJOR CHEST TRAUMA WITH MCC;APR DRG-MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE;SOI- Major $137,841 $35,839 $26,970 +411% $28,924 +377% —
908 MS DRG - OTHER O.R. PROCEDURES FOR INJURIES WITH CC;APR DRG-HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION;SOI- Moderate $137,147 $35,658 $37,636 +264% $41,660 +229% —
092 MS DRG - OTHER DISORDERS OF NERVOUS SYSTEM WITH CC;APR DRG-SPINAL DISORDERS AND INJURIES;SOI- Moderate $135,687 $35,279 $25,748 +427% $24,136 +462% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $135,571 $35,248 $51,394 +164% $67,901 +100% —
451 MS DRG - SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC;APR DRG-SPINAL PROCEDURES;SOI- Moderate $135,542 $35,241 $96,629 +40% $65,216 +108% —
314 MS DRG - OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC;APR DRG-MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE;SOI- Major $135,384 $35,200 $66,687 +103% $38,357 +253% —
489 MS DRG - KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC;APR DRG-KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI- Major $135,359 $35,193 $29,734 +355% $27,492 +392% —
535 MS DRG - FRACTURES OF HIP AND PELVIS WITH MCC;APR DRG-FRACTURE OF FEMUR;SOI- Extreme $135,347 $35,190 $29,423 +360% $23,350 +480% —
846 MS DRG - CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC;APR DRG-OTHER CHEMOTHERAPY;SOI- Extreme $134,918 $35,079 $26,624 +407% $38,878 +247% —
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- Minor $134,603 $34,997 $64,043 +110% $47,546 +183% —
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- Moderate $132,688 $34,499 $41,256 +222% $44,989 +195% —
922 MS DRG - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC;APR DRG-INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE;SOI- Extreme $132,048 $34,332 $31,839 +315% $29,409 +349% —
469 MS DRG - MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT;APR DRG-ELECTIVE KNEE JOINT REPLACEMENT;SOI- Extreme $131,388 $34,161 $84,993 +55% $65,254 +101% —
513 MS DRG - HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC;APR DRG-HAND AND WRIST PROCEDURES;SOI- Major $131,211 $34,115 $32,614 +302% $33,424 +293% —
596 MS DRG - MAJOR SKIN DISORDERS WITHOUT MCC;APR DRG-MAJOR SKIN DISORDERS;SOI- Moderate $130,938 $34,044 $11,664 +1023% $17,226 +660% —
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 $129,793 $33,746 $26,079 +398% $41,900 +210% —
280 MS DRG - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC;APR DRG-HEART FAILURE;SOI- Extreme $129,224 $33,598 $30,357 +326% $28,967 +346% ≈114% of Medicare
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- Minor $129,194 $33,591 $120,339 +7% $79,944 +62% —
641 MS DRG - MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC;APR DRG-DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI- Major $128,680 $33,457 $16,702 +670% $16,745 +668% ≈148% of Medicare
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 EXCEPT FOR CURVATURE OF BACK;SOI- Minor $128,371 $33,377 $55,139 +133% $83,441 +54% —
483 MS DRG - MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES;APR DRG-SHOULDER AND ELBOW JOINT REPLACEMENT;SOI- Moderate $127,533 $33,159 $83,829 +52% $57,149 +123% —
885 MS DRG - PSYCHOSES;APR DRG-SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS;SOI- Major $127,474 $33,143 $16,075 +693% $21,489 +493% —
208 MS DRG - RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS;APR DRG-OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI- Extreme $127,260 $33,087 $55,384 +130% $52,405 +143% ≈121% of Medicare
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- Minor $126,978 $33,014 $28,212 +350% $35,584 +257% —
143 MS DRG - OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC;APR DRG-TONSIL AND ADENOID PROCEDURES;SOI- Extreme $126,921 $32,999 $63,177 +101% $52,908 +140% —
800 MS DRG - SPLENIC PROCEDURES WITH CC;APR DRG-SPLENIC PROCEDURES;SOI- Minor $126,872 $32,987 $24,688 +414% $49,184 +158% —
016 MS DRG - AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC;APR DRG-AUTOLOGOUS BONE MARROW TRANSPLANT;SOI- Minor $126,486 $32,886 $39,220 +223% $98,260 +29% —
643 MS DRG - ENDOCRINE DISORDERS WITH MCC;APR DRG-THYROID DISORDERS;SOI- Extreme $126,458 $32,879 $39,492 +220% $32,996 +283% —
917 MS DRG - POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC;APR DRG-INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE;SOI- Extreme $126,016 $32,764 $35,324 +257% $28,134 +348% —
082 MS DRG - TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC;APR DRG-HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI- Extreme $125,926 $32,741 $24,360 +417% $36,237 +248% ≈108% of Medicare
177 MS DRG - RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC;APR DRG-CYSTIC FIBROSIS - PULMONARY DISEASE;SOI- Major $125,831 $32,716 $40,636 +210% $31,840 +295% —
074 MS DRG - CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC;APR DRG-MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI- Moderate $125,732 $32,690 $20,035 +528% $23,141 +443% —
835 MS DRG - ACUTE LEUKEMIA WITH CC;APR DRG-ACUTE LEUKEMIA;SOI- Minor $125,670 $32,674 $26,553 +373% $35,569 +253% —
058 MS DRG - MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC;APR DRG-MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI- Major $125,577 $32,650 $15,747 +697% $29,609 +324% —
475 MS DRG - AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG-AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI- Extreme $124,437 $32,354 $65,618 +90% $44,553 +179% —
536 MS DRG - FRACTURES OF HIP AND PELVIS WITHOUT MCC;APR DRG-HIP AND FEMUR FRACTURE REPAIR;SOI- Moderate $124,190 $32,289 $20,702 +500% $18,002 +590% —
799 MS DRG - SPLENIC PROCEDURES WITH MCC;APR DRG-OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI- Major $123,572 $32,129 $86,439 +43% $78,821 +57% —
031 MS DRG - VENTRICULAR SHUNT PROCEDURES WITH MCC;APR DRG-VENTRICULAR SHUNT PROCEDURES;SOI- Major $123,453 $32,098 $43,525 +184% $68,659 +80% —
075 MS DRG - VIRAL MENINGITIS WITH CC/MCC;APR DRG-VIRAL MENINGITIS;SOI- Moderate $123,442 $32,095 $26,463 +366% $29,853 +313% —
485 MS DRG - KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC;APR DRG-OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI- Extreme $122,209 $31,774 $68,179 +79% $64,956 +88% —
070 MS DRG - NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC;APR DRG-ALTERATION IN CONSCIOUSNESS;SOI- Extreme $122,145 $31,758 $25,907 +371% $30,814 +296% ≈92% of Medicare
355 MS DRG - HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC;APR DRG-HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL;SOI- Minor $121,729 $31,649 $37,878 +221% $31,978 +281% —
656 MS DRG - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC;APR DRG-KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY;SOI- Extreme $121,636 $31,625 $33,487 +263% $64,465 +89% —
533 MS DRG - FRACTURES OF FEMUR WITH MCC;APR DRG-FRACTURE OF FEMUR;SOI- Extreme $121,308 $31,540 $14,682 +726% $25,945 +368% —
432 MS DRG - CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC;APR DRG-OTHER DISORDERS OF THE LIVER;SOI- Extreme $120,280 $31,273 $35,757 +236% $36,933 +226% —
615 MS DRG - ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC;APR DRG-ADRENAL PROCEDURES;SOI- Moderate $120,180 $31,247 $48,469 +148% $31,812 +278% —
662 MS DRG - MINOR BLADDER PROCEDURES WITH MCC;APR DRG-OTHER BLADDER PROCEDURES;SOI- Extreme $120,071 $31,219 $62,814 +91% $54,483 +120% —
054 MS DRG - NERVOUS SYSTEM NEOPLASMS WITH MCC;APR DRG-NERVOUS SYSTEM MALIGNANCY;SOI- Extreme $119,890 $31,171 $22,729 +427% $29,484 +307% —
040 MS DRG - PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC;APR DRG-OTHER NERVOUS SYSTEM AND RELATED PROCEDURES;SOI- Major $119,876 $31,168 $85,520 +40% $74,257 +61% —
564 MS DRG - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC;APR DRG-MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI- Extreme $119,739 $31,132 $18,475 +548% $32,936 +264% —
592 MS DRG - SKIN ULCERS WITH MCC;APR DRG-HIV WITH MAJOR HIV RELATED CONDITION;SOI- Extreme $119,522 $31,076 $34,631 +245% $32,662 +266% —
494 MS DRG - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC;APR DRG-OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI- Minor $119,196 $30,991 $61,521 +94% $45,963 +159% —
278 MS DRG - ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC;APR DRG-LOWER EXTREMITY VASCULAR PROCEDURES;SOI- Major $118,616 $30,840 $130,728 −9% $84,861 +40% —
056 MS DRG - DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC;APR DRG-DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI- Major $117,932 $30,662 $62,652 +88% $39,409 +199% —
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- Major $117,464 $30,541 $42,214 +178% $70,735 +66% —
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 $116,476 $30,284 $47,716 +144% $37,902 +207% —
623 MS DRG - SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG-TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI- Major $114,991 $29,898 $43,775 +163% $33,165 +247% —
871 MS DRG - SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC;APR DRG-SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI- Extreme $114,355 $29,732 $47,280 +142% $35,237 +225% ≈109% of Medicare
167 MS DRG - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC;APR DRG-RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI- Major $113,388 $29,481 $51,057 +122% $40,563 +180% —
574 MS DRG - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC;APR DRG-SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES;SOI- Major $112,920 $29,359 $34,534 +227% $49,065 +130% —
199 MS DRG - PNEUMOTHORAX WITH MCC;APR DRG-MAJOR CHEST AND RESPIRATORY TRAUMA;SOI- Extreme $112,623 $29,282 $23,280 +384% $31,491 +258% —
658 MS DRG - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC;APR DRG-KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY;SOI- Moderate $112,582 $29,271 $48,020 +134% $35,528 +217% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $112,531 $29,258 $14,637 +669% $17,550 +541% —
605 MS DRG - TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC;APR DRG-CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE;SOI- Extreme $112,442 $29,235 $24,757 +354% $19,287 +483% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $111,872 $29,087 $21,164 +429% $18,478 +505% —
919 MS DRG - COMPLICATIONS OF TREATMENT WITH MCC;APR DRG-POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI- Extreme $111,745 $29,054 $31,482 +255% $29,031 +285% —
265 AICD LEAD PROCEDURES $111,672 $29,035 $37,137 +201% $56,695 +97% —
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 $111,337 $28,948 $43,855 +154% $40,552 +175% —
977 MS DRG - HIV WITH OR WITHOUT OTHER RELATED CONDITION;APR DRG-HIV WITH MAJOR HIV RELATED CONDITION;SOI- Moderate $110,899 $28,834 $29,805 +272% $22,525 +392% —
708 MS DRG - MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC;APR DRG-PROSTATECTOMY PROCEDURES;SOI- Minor $110,196 $28,651 $53,000 +108% $32,911 +235% —
479 MS DRG - BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC;APR DRG-OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI- Minor $110,177 $28,646 $27,358 +303% $31,909 +245% —
559 MS DRG - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC;APR DRG-MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI- Major $109,291 $28,416 $37,740 +190% $30,974 +253% —
626 MS DRG - THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC;APR DRG-THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES;SOI- Major $109,140 $28,376 $22,809 +378% $27,279 +300% —
462 MS DRG - BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC;APR DRG-ELECTIVE KNEE JOINT REPLACEMENT;SOI- Major $109,001 $28,340 $60,535 +80% $56,758 +92% —
711 MS DRG - TESTES PROCEDURES WITH CC/MCC;APR DRG-PENIS, TESTES AND SCROTAL PROCEDURES;SOI- Moderate $108,800 $28,288 $26,421 +312% $34,852 +212% —
847 MS DRG - CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC;APR DRG-OTHER CHEMOTHERAPY;SOI- Major $108,386 $28,180 $23,881 +354% $22,275 +387% ≈108% 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 $108,052 $28,094 $46,767 +131% $41,703 +159% —
786 MS DRG - CESAREAN SECTION WITHOUT STERILIZATION WITH MCC;APR DRG-CESAREAN SECTION WITHOUT STERILIZATION;SOI- Major $108,005 $28,081 $22,942 +371% $27,118 +298% —
486 MS DRG - KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC;APR DRG-KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI- Minor $107,721 $28,007 $69,602 +55% $46,477 +132% —
698 MS DRG - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC;APR DRG-MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI- Extreme $106,652 $27,730 $28,616 +273% $30,058 +255% ≈137% of Medicare
261 MS DRG - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC;APR DRG-OTHER CIRCULATORY SYSTEM PROCEDURES;SOI- Minor $106,593 $27,714 $51,947 +105% $42,126 +153% —
521 MS DRG - HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC;APR DRG-NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI- Major $106,442 $27,675 $64,282 +66% $67,764 +57% —
194 MS DRG - SIMPLE PNEUMONIA AND PLEURISY WITH CC;APR DRG-INFECTIONS OF UPPER RESPIRATORY TRACT;SOI- Major $104,888 $27,271 $19,357 +442% $18,204 +476% —
085 MS DRG - TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC;APR DRG-BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA;SOI- Major $104,574 $27,189 $22,931 +356% $37,064 +182% —
296 MS DRG - CARDIAC ARREST, UNEXPLAINED WITH MCC;APR DRG-CARDIAC ARREST AND SHOCK;SOI- Extreme $104,355 $27,132 $46,939 +122% $30,910 +238% —
099 MS DRG - NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC;APR DRG-MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI- Moderate $103,061 $26,796 $23,471 +339% $25,666 +302% —
558 MS DRG - TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC;APR DRG-OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI- Major $102,846 $26,740 $16,479 +524% $17,367 +492% —
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 $102,656 $26,691 $64,026 +60% $50,624 +103% —
988 MS DRG - NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC;APR DRG-MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI- Moderate $102,254 $26,586 $47,723 +114% $38,094 +168% —
522 MS DRG - HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC;APR DRG-NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI- Moderate $101,429 $26,372 $50,240 +102% $56,519 +79% —
547 MS DRG - CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC;APR DRG-MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI- Moderate $101,367 $26,356 $10,853 +834% $14,861 +582% —
604 MS DRG - TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC;APR DRG-CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE;SOI- Major $101,080 $26,281 $17,934 +464% $28,140 +259% —
441 MS DRG - DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC;APR DRG-HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS;SOI- Extreme $100,264 $26,069 $28,244 +255% $32,399 +209% —
181 MS DRG - RESPIRATORY NEOPLASMS WITH CC;APR DRG-RESPIRATORY MALIGNANCY;SOI- Major $99,559 $25,885 $35,809 +178% $22,431 +344% —
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 $99,273 $25,811 $43,616 +128% $48,680 +104% —
542 MS DRG - PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC;APR DRG-CONNECTIVE TISSUE DISORDERS;SOI- Major $98,942 $25,725 $64,579 +53% $35,114 +182% —
906 MS DRG - HAND PROCEDURES FOR INJURIES;APR DRG-MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI- Moderate $98,937 $25,723 $28,715 +245% $31,520 +214% —
291 MS DRG - HEART FAILURE AND SHOCK WITH MCC;APR DRG-HEART FAILURE;SOI- Extreme $98,315 $25,562 $27,049 +263% $25,020 +293% ≈137% of Medicare
073 MS DRG - CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC;APR DRG-PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS;SOI- Moderate $98,010 $25,483 $35,519 +176% $28,252 +247% —
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- Extreme $97,674 $25,395 $10,785 +806% $16,642 +487% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $97,092 $25,244 $70,333 +38% $40,063 +142% —
783 MS DRG - CESAREAN SECTION WITH STERILIZATION WITH MCC;APR DRG-CESAREAN SECTION WITH STERILIZATION;SOI- Major $96,461 $25,080 $21,730 +344% $28,375 +240% —
640 MS DRG - MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC;APR DRG-NON-HYPOVOLEMIC SODIUM DISORDERS;SOI- Extreme $95,633 $24,865 $35,544 +169% $24,480 +291% ≈129% of Medicare
393 MS DRG - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC;APR DRG-MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE;SOI- Extreme $95,144 $24,737 $40,098 +137% $32,689 +191% —
421 MS DRG - HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC;APR DRG-OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES;SOI- Moderate $94,749 $24,635 $26,303 +260% $36,333 +161% —
628 MS DRG - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC;APR DRG-OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS;SOI- Major $94,374 $24,537 $70,566 +34% $68,006 +39% —
205 MS DRG - OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC;APR DRG-MAJOR CHEST AND RESPIRATORY TRAUMA;SOI- Extreme $94,053 $24,454 $18,573 +406% $32,204 +192% —
344 MS DRG - MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC;APR DRG-INTESTINAL OBSTRUCTION;SOI- Major $93,779 $24,382 $46,424 +102% $44,839 +109% —
909 MS DRG - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC;APR DRG-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI- Minor $93,665 $24,353 $31,959 +193% $28,156 +233% —
407 MS DRG - PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC;APR DRG-MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES;SOI- Moderate $92,974 $24,173 $39,010 +138% $40,232 +131% —
983 MS DRG - EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC;APR DRG-OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI- Minor $92,324 $24,004 $30,033 +207% $30,930 +198% —
884 MS DRG - ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY;APR DRG-DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI- Extreme $91,523 $23,796 $28,404 +222% $25,208 +263% —
200 MS DRG - PNEUMOTHORAX WITH CC;APR DRG-MAJOR CHEST AND RESPIRATORY TRAUMA;SOI- Major $90,309 $23,480 $22,598 +300% $20,573 +339% —
254 MS DRG - OTHER VASCULAR PROCEDURES WITHOUT CC/MCC;APR DRG-LOWER EXTREMITY VASCULAR PROCEDURES;SOI- Moderate $90,256 $23,467 $34,944 +158% $38,836 +132% —
502 MS DRG - SOFT TISSUE PROCEDURES WITHOUT CC/MCC;APR DRG-SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI- Moderate $89,807 $23,350 $28,835 +211% $30,006 +199% —
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- Major $89,749 $23,335 $33,657 +167% $43,538 +106% —
064 MS DRG - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC;APR DRG-CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI- Extreme $89,470 $23,262 $36,919 +142% $35,714 +151% ≈137% of Medicare
035 MS DRG - CAROTID ARTERY STENT PROCEDURES WITH CC;APR DRG-PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI- Major $89,466 $23,261 $57,688 +55% $46,430 +93% —
397 MS DRG - APPENDIX PROCEDURES WITH MCC;APR DRG-APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS;SOI- Moderate $89,307 $23,220 $88,532 +1% $52,319 +71% —
059 MS DRG - MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC;APR DRG-MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI- Major $89,048 $23,152 $28,290 +215% $26,322 +238% —
863 MS DRG - POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC;APR DRG-POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI- Major $88,808 $23,090 $28,888 +207% $20,007 +344% —
418 MS DRG - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC;APR DRG-CHOLECYSTECTOMY;SOI- Moderate $87,892 $22,852 $46,416 +89% $42,119 +109% —
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 $87,864 $22,845 $65,981 +33% $57,963 +52% —
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 $87,717 $22,806 $27,285 +221% $24,022 +265% —
091 MS DRG - OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC;APR DRG-OTHER DISORDERS OF NERVOUS SYSTEM;SOI- Extreme $87,079 $22,640 $34,501 +152% $36,375 +139% —
517 MS DRG - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC;APR DRG-VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES;SOI- Moderate $86,939 $22,604 $53,017 +64% $33,137 +162% —
581 MS DRG - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC;APR DRG-OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI- Major $86,931 $22,602 $37,749 +130% $25,243 +244% —
331 MS DRG - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG-MAJOR SMALL BOWEL PROCEDURES;SOI- Moderate $86,649 $22,529 $51,631 +68% $44,117 +96% —
520 MS DRG - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC;APR DRG-SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI- Moderate $86,516 $22,494 $33,999 +154% $31,816 +172% —
644 MS DRG - ENDOCRINE DISORDERS WITH CC;APR DRG-OTHER ENDOCRINE DISORDERS;SOI- Major $86,482 $22,485 $19,297 +348% $22,941 +277% —
083 MS DRG - TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC;APR DRG-BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA;SOI- Moderate $86,358 $22,453 $22,765 +279% $24,118 +258% ≈132% of Medicare
147 MS DRG - EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC;APR DRG-EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES;SOI- Major $85,848 $22,320 $19,462 +341% $21,860 +293% —
872 MS DRG - SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC;APR DRG-SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI- Major $85,471 $22,223 $28,123 +204% $22,781 +275% ≈135% of Medicare
496 MS DRG - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC;APR DRG-OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES;SOI- Moderate $85,087 $22,123 $75,709 +12% $43,800 +94% —
336 MS DRG - PERITONEAL ADHESIOLYSIS WITH CC;APR DRG-PERITONEAL ADHESIOLYSIS;SOI- Moderate $85,078 $22,120 $54,942 +55% $49,470 +72% —
080 MS DRG - NONTRAUMATIC STUPOR AND COMA WITH MCC;APR DRG-ANOXIC AND OTHER SEVERE BRAIN DAMAGE;SOI- Extreme $84,770 $22,040 $23,369 +263% $35,139 +141% —
124 MS DRG - OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT;APR DRG-EYE INFECTIONS AND OTHER EYE DISORDERS;SOI- Major $84,734 $22,031 $8,023 +956% $21,029 +303% —
357 MS DRG - OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC;APR DRG-OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES;SOI- Moderate $84,134 $21,875 $56,437 +49% $48,682 +73% —
036 MS DRG - CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC;APR DRG-OPEN EXTRACRANIAL VASCULAR PROCEDURES;SOI- Minor $82,822 $21,534 $44,950 +84% $40,694 +104% —
682 MS DRG - RENAL FAILURE WITH MCC;APR DRG-ACUTE KIDNEY INJURY;SOI- Extreme $82,512 $21,453 $27,953 +195% $27,854 +196% ≈118% of Medicare
263 MS DRG - VEIN LIGATION AND STRIPPING;APR DRG-OTHER CIRCULATORY SYSTEM PROCEDURES;SOI- Moderate $81,990 $21,317 $17,428 +370% $44,938 +82% —
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 $80,795 $21,007 $29,910 +170% $36,280 +123% —
352 MS DRG - INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC;APR DRG-INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI- Minor $80,443 $20,915 $30,099 +167% $25,162 +220% —
311 MS DRG - ANGINA PECTORIS;APR DRG-ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI- Major $80,351 $20,891 $11,421 +604% $15,165 +430% —
378 MS DRG - GASTROINTESTINAL HEMORRHAGE WITH CC;APR DRG-PEPTIC ULCER AND GASTRITIS;SOI- Minor $80,003 $20,801 $21,582 +271% $21,886 +266% ≈121% of Medicare
627 MS DRG - THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC;APR DRG-THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES;SOI- Moderate $78,989 $20,537 $26,357 +200% $25,623 +208% —
408 MS DRG - BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC;APR DRG-DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI- Major $78,936 $20,523 $36,462 +116% $59,207 +33% —
841 MS DRG - LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC;APR DRG-LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI- Moderate $78,272 $20,351 $47,448 +65% $31,059 +152% —
283 MS DRG - ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC;APR DRG-CARDIAC ARREST AND SHOCK;SOI- Major $78,124 $20,312 $75,916 +3% $35,014 +123% —
699 MS DRG - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC;APR DRG-MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI- Major $77,087 $20,043 $24,373 +216% $20,732 +272% —
862 MS DRG - POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC;APR DRG-POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI- Extreme $76,748 $19,955 $30,606 +151% $30,394 +153% —
078 MS DRG - HYPERTENSIVE ENCEPHALOPATHY WITH CC;APR DRG-ALTERATION IN CONSCIOUSNESS;SOI- Moderate $76,440 $19,874 $20,059 +281% $17,434 +338% —
975 MS DRG - HIV WITH MAJOR RELATED CONDITION WITH CC;APR DRG-HIV WITH MAJOR HIV RELATED CONDITION;SOI- Moderate $76,410 $19,867 $26,939 +184% $25,010 +206% —
101 MS DRG - SEIZURES WITHOUT MCC;APR DRG-SEIZURE;SOI- Major $75,810 $19,711 $24,986 +203% $19,954 +280% ≈126% of Medicare
345 MS DRG - MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC;APR DRG-INTESTINAL OBSTRUCTION;SOI- Major $75,799 $19,708 $26,767 +183% $31,062 +144% —
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 $75,692 $19,680 $20,308 +273% $18,428 +311% —
256 MS DRG - UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC;APR DRG-FOOT AND TOE PROCEDURES;SOI- Moderate $75,575 $19,650 $30,683 +146% $29,729 +154% —
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- Moderate $75,518 $19,635 $46,673 +62% $27,321 +176% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $75,456 $19,619 $48,960 +54% $23,723 +218% —
445 MS DRG - DISORDERS OF THE BILIARY TRACT WITH CC;APR DRG-DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI- Minor $75,171 $19,544 $18,217 +313% $21,806 +245% —
964 MS DRG - OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC;APR DRG-MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE;SOI- Major $75,067 $19,517 $30,411 +147% $25,854 +190% —
903 MS DRG - WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC;APR DRG-MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI- Minor $74,769 $19,440 $13,078 +472% $23,588 +217% —
572 MS DRG - SKIN DEBRIDEMENT WITHOUT CC/MCC;APR DRG-OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI- Minor $74,284 $19,314 $28,378 +162% $24,432 +204% —
052 MS DRG - SPINAL DISORDERS AND INJURIES WITH CC/MCC;APR DRG-SPINAL DISORDERS AND INJURIES;SOI- Moderate $73,943 $19,225 $24,571 +201% $30,940 +139% —
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- Minor $73,802 $19,189 $21,425 +244% $25,149 +193% —
193 MS DRG - SIMPLE PNEUMONIA AND PLEURISY WITH MCC;APR DRG-BRONCHIOLITIS AND RSV PNEUMONIA;SOI- Major $73,017 $18,984 $31,866 +129% $26,158 +179% —
578 MS DRG - SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC;APR DRG-SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES;SOI- Minor $72,768 $18,920 $27,371 +166% $28,578 +155% —
053 MS DRG - SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC;APR DRG-SPINAL DISORDERS AND INJURIES;SOI- Minor $72,363 $18,814 $8,007 +804% $20,309 +256% —
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- Moderate $72,056 $18,735 $32,285 +123% $35,692 +102% —
811 MS DRG - RED BLOOD CELL DISORDERS WITH MCC;APR DRG-OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI- Extreme $71,233 $18,521 $23,654 +201% $27,934 +155% —
033 MS DRG - VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC;APR DRG-VENTRICULAR SHUNT PROCEDURES;SOI- Minor $71,097 $18,485 $71,097 +0% $33,984 +109% —
504 MS DRG - FOOT PROCEDURES WITH CC;APR DRG-FOOT AND TOE PROCEDURES;SOI- Major $70,467 $18,321 $48,796 +44% $36,598 +93% —
086 MS DRG - TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC;APR DRG-CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA;SOI- Major $70,344 $18,289 $18,282 +285% $23,115 +204% ≈142% of Medicare
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 $69,976 $18,194 $22,293 +214% $20,842 +236% —
948 MS DRG - SIGNS AND SYMPTOMS WITHOUT MCC;APR DRG-SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI- Major $69,047 $17,952 $19,901 +247% $17,727 +290% —
399 MS DRG - APPENDIX PROCEDURES WITHOUT CC/MCC;APR DRG-APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS;SOI- Minor $68,967 $17,931 $28,191 +145% $30,314 +128% —
939 MS DRG - O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC;APR DRG-PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES;SOI- Major $68,875 $17,908 $26,866 +156% $51,142 +35% —
507 MS DRG - MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC;APR DRG-SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI- Moderate $68,546 $17,822 $45,280 +51% $36,202 +89% —
038 MS DRG - EXTRACRANIAL PROCEDURES WITH CC;APR DRG-OPEN EXTRACRANIAL VASCULAR PROCEDURES;SOI- Moderate $67,947 $17,666 $23,998 +183% $35,770 +90% —
206 MS DRG - OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC;APR DRG-OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI- Moderate $67,852 $17,641 $10,667 +536% $17,731 +283% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $67,300 $17,498 $29,148 +131% $33,490 +101% —
369 MS DRG - MAJOR ESOPHAGEAL DISORDERS WITH CC;APR DRG-OTHER ESOPHAGEAL DISORDERS;SOI- Major $66,925 $17,401 $24,636 +172% $22,713 +195% —
803 MS DRG - OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC;APR DRG-SICKLE CELL ANEMIA CRISIS;SOI- Moderate $66,886 $17,390 $23,566 +184% $33,564 +99% —
543 MS DRG - PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC;APR DRG-MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY;SOI- Major $66,779 $17,363 $25,592 +161% $23,496 +184% —
880 MS DRG - ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION;APR DRG-ACUTE ANXIETY AND STRESS SYNDROMES;SOI- Major $66,683 $17,338 $15,116 +341% $15,636 +326% —
602 MS DRG - CELLULITIS WITH MCC;APR DRG-CELLULITIS AND OTHER SKIN INFECTIONS;SOI- Major $66,337 $17,248 $25,010 +165% $29,347 +126% —
304 MS DRG - HYPERTENSION WITH MCC;APR DRG-HYPERTENSION;SOI- Extreme $66,093 $17,184 $26,659 +148% $24,185 +173% —
391 MS DRG - ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC;APR DRG-OTHER GASTROENTERITIS, NAUSEA AND VOMITING;SOI- Extreme $65,938 $17,144 $26,767 +146% $27,244 +142% —
629 MS DRG - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC;APR DRG-FOOT AND TOE PROCEDURES;SOI- Moderate $65,841 $17,119 $35,001 +88% $45,059 +46% —
337 MS DRG - PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC;APR DRG-PERITONEAL ADHESIOLYSIS;SOI- Minor $65,648 $17,069 $35,118 +87% $36,239 +81% —
281 MS DRG - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC;APR DRG-HEART FAILURE;SOI- Major $65,579 $17,051 $24,038 +173% $20,463 +220% —
914 MS DRG - TRAUMATIC INJURY WITHOUT MCC;APR DRG-OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI- Minor $65,489 $17,027 $7,966 +722% $15,593 +320% —
113 MS DRG - ORBITAL PROCEDURES WITH CC/MCC;APR DRG-ORBIT AND EYE PROCEDURES;SOI- Major $65,446 $17,016 $26,052 +151% $35,642 +84% —
717 MS DRG - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC;APR DRG-MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI- Major $65,189 $16,949 $25,434 +156% $32,538 +100% —
374 MS DRG - DIGESTIVE MALIGNANCY WITH MCC;APR DRG-DIGESTIVE MALIGNANCY;SOI- Major $65,051 $16,913 $42,166 +54% $38,885 +67% —
438 MS DRG - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC;APR DRG-DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI- Major $64,805 $16,849 $31,731 +104% $32,502 +99% —
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- Major $63,976 $16,634 $14,637 +337% $20,421 +213% —
915 MS DRG - ALLERGIC REACTIONS WITH MCC;APR DRG-ALLERGIC REACTIONS;SOI- Major $63,845 $16,600 $59,689 +7% $30,944 +106% —
999 MS DRG - UNGROUPABLE;APR DRG-MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI- Moderate $63,843 $16,599 $50,768 +26% $28,822 +122% —
940 MS DRG - O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC;APR DRG-SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI- Moderate $63,367 $16,475 $44,892 +41% $38,420 +65% —
115 MS DRG - EXTRAOCULAR PROCEDURES EXCEPT ORBIT;APR DRG-ORBIT AND EYE PROCEDURES;SOI- Moderate $63,335 $16,467 $16,274 +289% $24,879 +155% —
829 MS DRG - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC;APR DRG-CHEMOTHERAPY FOR ACUTE LEUKEMIA;SOI- Moderate $63,287 $16,455 $67,438 −6% $53,817 +18% —
584 MS DRG - BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC;APR DRG-MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI- Moderate $62,789 $16,325 $36,483 +72% $34,089 +84% —
138 MS DRG - MOUTH PROCEDURES WITHOUT CC/MCC;APR DRG-EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES;SOI- Minor $62,658 $16,291 $7,104 +782% $17,383 +260% —
822 MS DRG - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC;APR DRG-OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI- Minor $62,628 $16,283 $12,306 +409% $25,390 +147% —
951 MS DRG - OTHER FACTORS INFLUENCING HEALTH STATUS;APR DRG-SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI- Major $61,765 $16,059 $10,551 +485% $9,385 +558% —
514 MS DRG - HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC;APR DRG-HAND AND WRIST PROCEDURES;SOI- Moderate $61,678 $16,036 $29,605 +108% $20,080 +207% —
093 MS DRG - OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC;APR DRG-OTHER NERVOUS SYSTEM AND RELATED PROCEDURES;SOI- Minor $61,214 $15,916 $15,799 +287% $17,522 +249% —
923 MS DRG - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC;APR DRG-INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE;SOI- Major $61,079 $15,880 $17,668 +246% $16,571 +269% —
386 MS DRG - INFLAMMATORY BOWEL DISEASE WITH CC;APR DRG-INFLAMMATORY BOWEL DISEASE;SOI- Major $61,038 $15,870 $16,577 +268% $20,968 +191% —
433 MS DRG - CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC;APR DRG-ALCOHOLIC LIVER DISEASE;SOI- Major $61,036 $15,869 $23,582 +159% $23,749 +157% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $60,894 $15,832 $14,768 +312% $29,826 +104% —
506 MS DRG - MAJOR THUMB OR JOINT PROCEDURES;APR DRG-HAND AND WRIST PROCEDURES;SOI- Moderate $60,881 $15,829 $19,915 +206% $28,983 +110% —
442 MS DRG - DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC;APR DRG-HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS;SOI- Moderate $60,354 $15,692 $24,957 +142% $21,449 +181% —
385 MS DRG - INFLAMMATORY BOWEL DISEASE WITH MCC;APR DRG-INFLAMMATORY BOWEL DISEASE;SOI- Major $60,205 $15,653 $22,792 +164% $26,020 +131% —
419 MS DRG - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC;APR DRG-CHOLECYSTECTOMY;SOI- Moderate $60,025 $15,606 $36,340 +65% $34,887 +72% —
114 MS DRG - ORBITAL PROCEDURES WITHOUT CC/MCC;APR DRG-ORBIT AND EYE PROCEDURES;SOI- Minor $59,584 $15,492 $10,190 +485% $19,598 +204% —
755 MS DRG - MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC;APR DRG-FEMALE REPRODUCTIVE SYSTEM MALIGNANCY;SOI- Moderate $59,239 $15,402 $19,028 +211% $18,459 +221% —
139 MS DRG - SALIVARY GLAND PROCEDURES;APR DRG-OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI- Moderate $59,139 $15,376 $14,655 +304% $21,014 +181% —
865 MS DRG - VIRAL ILLNESS WITH MCC;APR DRG-VIRAL ILLNESS;SOI- Major $59,055 $15,354 $15,709 +276% $26,088 +126% —
168 MS DRG - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC;APR DRG-OTHER RESPIRATORY AND CHEST PROCEDURES;SOI- Minor $58,376 $15,178 $40,599 +44% $28,527 +105% —
672 MS DRG - URETHRAL PROCEDURES WITHOUT CC/MCC;APR DRG-URETHRAL AND TRANSURETHRAL PROCEDURES;SOI- Minor $58,225 $15,139 $9,456 +516% $17,398 +235% —
354 MS DRG - HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC;APR DRG-HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL;SOI- Minor $58,152 $15,120 $41,931 +39% $43,266 +34% —
838 MS DRG - CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT;APR DRG-CHEMOTHERAPY FOR ACUTE LEUKEMIA;SOI- Moderate $58,052 $15,094 $17,274 +236% $30,661 +89% —
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 $57,604 $14,977 $36,908 +56% $35,542 +62% —
565 MS DRG - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC;APR DRG-MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI- Moderate $57,140 $14,856 $23,859 +139% $21,545 +165% —
197 INTERSTITIAL LUNG DISEASE WITH CC $56,846 $14,780 $17,819 +219% $20,106 +183% —
299 MS DRG - PERIPHERAL VASCULAR DISORDERS WITH MCC;APR DRG-PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI- Extreme $56,445 $14,676 $21,036 +168% $25,731 +119% —
645 MS DRG - ENDOCRINE DISORDERS WITHOUT CC/MCC;APR DRG-NON-HYPOVOLEMIC SODIUM DISORDERS;SOI- Minor $56,294 $14,636 $9,171 +514% $14,166 +297% —
135 MS DRG - SINUS AND MASTOID PROCEDURES WITH CC/MCC;APR DRG-OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI- Moderate $56,233 $14,620 $50,039 +12% $40,065 +40% —
375 MS DRG - DIGESTIVE MALIGNANCY WITH CC;APR DRG-DIGESTIVE MALIGNANCY;SOI- Major $55,929 $14,542 $17,545 +219% $27,219 +105% —
690 MS DRG - KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC;APR DRG-KIDNEY AND URINARY TRACT INFECTIONS;SOI- Major $55,469 $14,422 $18,582 +199% $17,466 +218% —
071 MS DRG - NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC;APR DRG-ALTERATION IN CONSCIOUSNESS;SOI- Extreme $55,313 $14,381 $22,186 +149% $23,396 +136% ≈132% of Medicare
346 MS DRG - MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG-OTHER SMALL AND LARGE BOWEL PROCEDURES;SOI- Minor $54,844 $14,259 $20,366 +169% $26,146 +110% —
435 MS DRG - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC;APR DRG-MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS;SOI- Major $54,730 $14,230 $33,073 +65% $37,950 +44% —
443 MS DRG - DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC;APR DRG-OTHER DISORDERS OF THE LIVER;SOI- Minor $54,713 $14,225 $16,983 +222% $15,600 +251% —
315 MS DRG - OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC;APR DRG-OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI- Major $54,696 $14,221 $20,942 +161% $20,777 +163% —
060 MS DRG - MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC;APR DRG-MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI- Moderate $54,654 $14,210 $26,051 +110% $21,261 +157% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $54,483 $14,166 $15,247 +257% $13,090 +316% —
095 MS DRG - BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC;APR DRG-BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM;SOI- Moderate $54,420 $14,149 $54,420 +0% $47,583 +14% —
551 MS DRG - MEDICAL BACK PROBLEMS WITH MCC;APR DRG-OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI- Major $53,661 $13,952 $44,103 +22% $31,086 +73% —
758 MS DRG - INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC;APR DRG-FEMALE REPRODUCTIVE SYSTEM INFECTIONS;SOI- Major $53,500 $13,910 $12,451 +330% $19,091 +180% —
503 MS DRG - FOOT PROCEDURES WITH MCC;APR DRG-FOOT AND TOE PROCEDURES;SOI- Major $53,218 $13,837 $54,196 −2% $43,901 +21% —
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- Moderate $53,114 $13,810 $11,169 +376% $13,198 +302% —
176 MS DRG - PULMONARY EMBOLISM WITHOUT MCC;APR DRG-PULMONARY EMBOLISM;SOI- Major $53,075 $13,800 $18,538 +186% $18,081 +194% —
866 MS DRG - VIRAL ILLNESS WITHOUT MCC;APR DRG-VIRAL ILLNESS;SOI- Moderate $52,882 $13,749 $18,361 +188% $16,391 +223% —
476 MS DRG - AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC;APR DRG-AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI- Minor $52,828 $13,735 $27,469 +92% $21,062 +151% —
534 MS DRG - FRACTURES OF FEMUR WITHOUT MCC;APR DRG-FRACTURE OF FEMUR;SOI- Major $52,824 $13,734 $7,010 +654% $17,195 +207% —
896 MS DRG - ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC;APR DRG-ALCOHOL ABUSE AND DEPENDENCE;SOI- Extreme $52,804 $13,729 $20,366 +159% $30,275 +74% —
499 MS DRG - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC;APR DRG-OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI- Minor $52,349 $13,611 $33,727 +55% $22,532 +132% —
184 MS DRG - MAJOR CHEST TRAUMA WITH CC;APR DRG-MAJOR CHEST AND RESPIRATORY TRAUMA;SOI- Major $52,310 $13,601 $13,293 +294% $20,842 +151% —
398 MS DRG - APPENDIX PROCEDURES WITH CC;APR DRG-APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS;SOI- Minor $52,201 $13,572 $52,201 +0% $39,107 +33% —
638 MS DRG - DIABETES WITH CC;APR DRG-OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI- Major $51,933 $13,503 $21,692 +139% $18,821 +176% —
934 MS DRG - FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY;APR DRG-EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT;SOI- Minor $51,539 $13,400 $15,977 +223% $31,044 +66% —
182 MS DRG - RESPIRATORY NEOPLASMS WITHOUT CC/MCC;APR DRG-RESPIRATORY MALIGNANCY;SOI- Minor $51,347 $13,350 $21,502 +139% $14,064 +265% —
308 MS DRG - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC;APR DRG-CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI- Major $51,165 $13,303 $19,824 +158% $26,488 +93% —
784 MS DRG - CESAREAN SECTION WITH STERILIZATION WITH CC;APR DRG-CESAREAN SECTION WITH STERILIZATION;SOI- Major $50,996 $13,259 $18,030 +183% $22,560 +126% —
037 EXTRACRANIAL PROCEDURES WITH MCC $49,605 $12,897 $49,605 +0% $64,749 −23% —
607 MS DRG - MINOR SKIN DISORDERS WITHOUT MCC;APR DRG-CELLULITIS AND OTHER SKIN INFECTIONS;SOI- Moderate $49,558 $12,885 $14,778 +235% $15,284 +224% —
920 MS DRG - COMPLICATIONS OF TREATMENT WITH CC;APR DRG-OTHER COMPLICATIONS OF TREATMENT;SOI- Major $49,443 $12,855 $21,587 +129% $21,181 +133% —
935 MS DRG - NON-EXTENSIVE BURNS;APR DRG-PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT;SOI- Major $49,032 $12,748 $17,416 +182% $29,458 +66% —
123 MS DRG - NEUROLOGICAL EYE DISORDERS;APR DRG-EYE INFECTIONS AND OTHER EYE DISORDERS;SOI- Moderate $48,773 $12,681 $19,922 +145% $17,831 +174% —
505 MS DRG - FOOT PROCEDURES WITHOUT CC/MCC;APR DRG-FOOT AND TOE PROCEDURES;SOI- Moderate $48,647 $12,648 $27,050 +80% $31,716 +53% —
603 MS DRG - CELLULITIS WITHOUT MCC;APR DRG-OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI- Moderate $48,547 $12,622 $19,952 +143% $18,530 +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 $48,263 $12,548 $7,343 +557% $13,485 +258% —
042 MS DRG - PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC;APR DRG-OTHER NERVOUS SYSTEM AND RELATED PROCEDURES;SOI- Minor $48,228 $12,539 $41,958 +15% $39,018 +24% —
157 MS DRG - DENTAL AND ORAL DISEASES WITH MCC;APR DRG-OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI- Moderate $47,961 $12,470 $17,365 +176% $27,457 +75% —
713 MS DRG - TRANSURETHRAL PROSTATECTOMY WITH CC/MCC;APR DRG-TRANSURETHRAL PROSTATECTOMY;SOI- Major $47,949 $12,467 $33,716 +42% $29,663 +62% —
949 MS DRG - AFTERCARE WITH CC/MCC;APR DRG-OTHER AFTERCARE AND CONVALESCENCE;SOI- Extreme $47,836 $12,437 $26,724 +79% $23,953 +100% —
539 MS DRG - OSTEOMYELITIS WITH MCC;APR DRG-OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI- Extreme $47,605 $12,377 $27,935 +70% $33,746 +41% —
262 MS DRG - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC;APR DRG-OTHER CIRCULATORY SYSTEM PROCEDURES;SOI- Minor $47,234 $12,281 $31,686 +49% $33,694 +40% —
379 MS DRG - GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC;APR DRG-PEPTIC ULCER AND GASTRITIS;SOI- Major $47,177 $12,266 $20,711 +128% $14,134 +234% —
358 MS DRG - OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC;APR DRG-OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES;SOI- Moderate $46,815 $12,172 $41,902 +12% $29,374 +59% —
709 MS DRG - PENIS PROCEDURES WITH CC/MCC;APR DRG-MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI- Minor $46,675 $12,135 $21,136 +121% $34,535 +35% —
333 RECTAL RESECTION WITH CC $46,016 $11,964 $22,363 +106% $34,352 +34% —
436 MS DRG - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC;APR DRG-MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS;SOI- Minor $45,759 $11,897 $21,276 +115% $24,017 +91% —
839 MS DRG - CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC;APR DRG-CHEMOTHERAPY FOR ACUTE LEUKEMIA;SOI- Moderate $45,425 $11,810 $11,766 +286% $20,980 +117% —
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- Major $45,279 $11,772 $12,232 +270% $18,803 +141% —
394 MS DRG - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC;APR DRG-OTHER GASTROENTERITIS, NAUSEA AND VOMITING;SOI- Major $44,553 $11,584 $15,999 +178% $18,918 +136% —
552 MS DRG - MEDICAL BACK PROBLEMS WITHOUT MCC;APR DRG-OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI- Major $44,403 $11,545 $28,929 +53% $21,213 +109% ≈150% of Medicare
305 MS DRG - HYPERTENSION WITHOUT MCC;APR DRG-HYPERTENSION;SOI- Major $44,350 $11,531 $15,455 +187% $17,144 +159% —
158 MS DRG - DENTAL AND ORAL DISEASES WITH CC;APR DRG-OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI- Moderate $43,970 $11,432 $18,032 +144% $17,700 +148% —
554 MS DRG - BONE DISEASES AND ARTHROPATHIES WITHOUT MCC;APR DRG-OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI- Major $43,962 $11,430 $24,653 +78% $18,253 +141% —
068 MS DRG - NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC;APR DRG-NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION;SOI- Minor $43,147 $11,218 $22,001 +96% $19,569 +120% —
137 MS DRG - MOUTH PROCEDURES WITH CC/MCC;APR DRG-OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI- Moderate $42,910 $11,157 $13,790 +211% $24,348 +76% —
090 MS DRG - CONCUSSION WITHOUT CC/MCC;APR DRG-CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA;SOI- Minor $42,884 $11,150 $8,016 +435% $14,873 +188% —
069 MS DRG - TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC;APR DRG-TRANSIENT ISCHEMIA;SOI- Major $42,832 $11,136 $22,611 +89% $20,278 +111% —
192 MS DRG - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC;APR DRG-CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI- Minor $42,823 $11,134 $14,790 +190% $14,368 +198% —
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- Major $42,668 $11,094 $35,396 +21% $24,465 +74% —
637 MS DRG - DIABETES WITH MCC;APR DRG-DIABETES;SOI- Major $42,602 $11,076 $39,314 +8% $28,819 +48% —
566 MS DRG - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC;APR DRG-PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS;SOI- Minor $42,597 $11,075 $10,263 +315% $14,337 +197% —
392 MS DRG - ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC;APR DRG-OTHER ESOPHAGEAL DISORDERS;SOI- Minor $42,339 $11,008 $22,535 +88% $17,322 +144% ≈136% of Medicare
965 MS DRG - OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC;APR DRG-MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE;SOI- Major $42,257 $10,987 $11,744 +260% $17,585 +140% —
087 MS DRG - TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC;APR DRG-HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI- Moderate $42,074 $10,939 $18,733 +125% $15,869 +165% —
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- Minor $41,939 $10,904 $17,190 +144% $25,307 +66% —
858 MS DRG - POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC;APR DRG-POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI- Minor $41,933 $10,903 $14,439 +190% $23,924 +75% —
541 OSTEOMYELITIS WITHOUT CC/MCC $41,659 $10,831 $12,684 +228% $14,549 +186% —
084 MS DRG - TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC;APR DRG-CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA;SOI- Moderate $41,613 $10,819 $12,504 +233% $18,191 +129% —
663 MS DRG - MINOR BLADDER PROCEDURES WITH CC;APR DRG-OTHER BLADDER PROCEDURES;SOI- Minor $41,592 $10,814 $25,988 +60% $29,924 +39% —
560 MS DRG - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC;APR DRG-MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI- Moderate $41,579 $10,811 $26,439 +57% $24,452 +70% —
348 MS DRG - ANAL AND STOMAL PROCEDURES WITH CC;APR DRG-OTHER SMALL AND LARGE BOWEL PROCEDURES;SOI- Moderate $41,334 $10,747 $34,549 +20% $27,947 +48% —
804 MS DRG - OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC;APR DRG-SICKLE CELL ANEMIA CRISIS;SOI- Minor $41,192 $10,710 $11,915 +246% $24,544 +68% —
561 MS DRG - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC;APR DRG-MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI- Minor $40,890 $10,631 $28,867 +42% $18,150 +125% —
864 MS DRG - FEVER AND INFLAMMATORY CONDITIONS;APR DRG-FEVER AND INFLAMMATORY CONDITIONS;SOI- Major $40,871 $10,626 $14,916 +174% $17,412 +135% —
066 MS DRG - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC;APR DRG-INTRACRANIAL HEMORRHAGE;SOI- Minor $40,632 $10,564 $20,913 +94% $19,483 +109% —
117 MS DRG - INTRAOCULAR PROCEDURES WITHOUT CC/MCC;APR DRG-ORBIT AND EYE PROCEDURES;SOI- Minor $40,604 $10,557 $9,324 +336% $17,193 +136% —
897 MS DRG - ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC;APR DRG-OPIOID ABUSE AND DEPENDENCE;SOI- Major $40,422 $10,510 $13,087 +209% $16,049 +152% —
540 MS DRG - OSTEOMYELITIS WITH CC;APR DRG-OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI- Moderate $40,303 $10,479 $23,875 +69% $23,494 +72% —
683 MS DRG - RENAL FAILURE WITH CC;APR DRG-ACUTE KIDNEY INJURY;SOI- Major $40,085 $10,422 $16,875 +138% $18,620 +115% ≈132% of Medicare
550 MS DRG - SEPTIC ARTHRITIS WITHOUT CC/MCC;APR DRG-OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI- Minor $39,997 $10,399 $13,934 +187% $16,156 +148% —
380 MS DRG - COMPLICATED PEPTIC ULCER WITH MCC;APR DRG-OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI- Major $39,729 $10,330 $24,670 +61% $36,641 +8% —
776 MS DRG - POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES;APR DRG-POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE;SOI- Major $39,625 $10,302 $9,052 +338% $12,381 +220% —
292 MS DRG - HEART FAILURE AND SHOCK WITH CC;APR DRG-HEART FAILURE;SOI- Moderate $39,069 $10,158 $19,922 +96% $16,212 +141% —
384 MS DRG - UNCOMPLICATED PEPTIC ULCER WITHOUT MCC;APR DRG-PEPTIC ULCER AND GASTRITIS;SOI- Major $38,994 $10,139 $14,636 +166% $19,305 +102% —
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 $38,991 $10,138 $7,299 +434% $14,055 +177% —
887 MS DRG - OTHER MENTAL DISORDER DIAGNOSES;APR DRG-ACUTE ANXIETY AND STRESS SYNDROMES;SOI- Moderate $38,786 $10,084 $7,728 +402% $20,602 +88% —
094 MS DRG - BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC;APR DRG-BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM;SOI- Moderate $38,370 $9,976 $38,370 +0% $62,524 −39% —
787 MS DRG - CESAREAN SECTION WITHOUT STERILIZATION WITH CC;APR DRG-CESAREAN SECTION WITHOUT STERILIZATION;SOI- Moderate $37,537 $9,760 $22,755 +65% $23,571 +59% —
723 MS DRG - MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC;APR DRG-MALIGNANCY, MALE REPRODUCTIVE SYSTEM;SOI- Moderate $37,174 $9,665 $18,079 +106% $19,317 +92% —
282 MS DRG - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC;APR DRG-ACUTE MYOCARDIAL INFARCTION;SOI- Minor $36,833 $9,577 $13,973 +164% $18,623 +98% —
159 MS DRG - DENTAL AND ORAL DISEASES WITHOUT CC/MCC;APR DRG-OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI- Moderate $36,724 $9,548 $11,962 +207% $13,368 +175% —
316 MS DRG - OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC;APR DRG-MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE;SOI- Minor $36,570 $9,508 $12,331 +197% $12,797 +186% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $36,532 $9,498 $8,555 +327% $15,858 +130% —
387 MS DRG - INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC;APR DRG-INFLAMMATORY BOWEL DISEASE;SOI- Moderate $36,496 $9,489 $16,402 +123% $14,880 +145% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $36,227 $9,419 $39,213 −8% $31,566 +15% —
388 MS DRG - GASTROINTESTINAL OBSTRUCTION WITH MCC;APR DRG-INTESTINAL OBSTRUCTION;SOI- Major $36,170 $9,404 $20,298 +78% $28,780 +26% —
905 MS DRG - SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC;APR DRG-MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI- Minor $36,076 $9,380 $26,775 +35% $25,197 +43% —
202 MS DRG - BRONCHITIS AND ASTHMA WITH CC/MCC;APR DRG-ASTHMA;SOI- Major $36,047 $9,372 $23,318 +55% $17,273 +109% —
190 MS DRG - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC;APR DRG-CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI- Major $34,904 $9,075 $21,887 +59% $24,190 +44% —
831 MS DRG - OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC;APR DRG-ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI- Major $34,883 $9,070 $16,000 +118% $18,133 +92% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $34,799 $9,048 $20,678 +68% $25,786 +35% —
700 MS DRG - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC;APR DRG-OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS;SOI- Moderate $34,743 $9,033 $13,149 +164% $13,303 +161% —
544 MS DRG - PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC;APR DRG-FRACTURE OF FEMUR;SOI- Minor $34,691 $9,020 $14,790 +135% $16,776 +107% —
606 MS DRG - MINOR SKIN DISORDERS WITH MCC;APR DRG-OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI- Major $34,401 $8,944 $27,050 +27% $25,434 +35% —
395 MS DRG - OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC;APR DRG-OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI- Moderate $34,163 $8,882 $10,099 +238% $14,128 +142% —
300 MS DRG - PERIPHERAL VASCULAR DISORDERS WITH CC;APR DRG-PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI- Moderate $34,027 $8,847 $23,860 +43% $19,579 +74% —
351 MS DRG - INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC;APR DRG-INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI- Moderate $33,792 $8,786 $35,407 −5% $33,792 +0% —
779 ABORTION WITHOUT D&C $33,712 $8,765 $8,337 +304% $15,327 +120% —
812 MS DRG - RED BLOOD CELL DISORDERS WITHOUT MCC;APR DRG-SICKLE CELL ANEMIA CRISIS;SOI- Major $33,601 $8,736 $21,472 +56% $20,488 +64% ≈129% of Medicare
549 SEPTIC ARTHRITIS WITH CC $32,572 $8,469 $21,289 +53% $20,938 +56% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $32,112 $8,349 $22,925 +40% $16,719 +92% —
370 MS DRG - MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC;APR DRG-MAJOR ESOPHAGEAL DISORDERS;SOI- Minor $32,069 $8,338 $17,816 +80% $15,072 +113% —
312 MS DRG - SYNCOPE AND COLLAPSE;APR DRG-OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI- Moderate $32,051 $8,333 $20,728 +55% $19,342 +66% ≈140% of Medicare
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $31,297 $8,137 $22,934 +36% $50,919 −39% —
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 $31,255 $8,126 $28,696 +9% $27,168 +15% —
921 MS DRG - COMPLICATIONS OF TREATMENT WITHOUT CC/MCC;APR DRG-POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI- Moderate $31,159 $8,101 $10,735 +190% $14,012 +122% —
152 MS DRG - OTITIS MEDIA AND URI WITH MCC;APR DRG-INFECTIONS OF UPPER RESPIRATORY TRACT;SOI- Major $30,861 $8,024 $14,444 +114% $19,795 +56% —
372 MS DRG - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC;APR DRG-MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI- Major $30,704 $7,983 $25,271 +22% $22,850 +34% —
125 MS DRG - OTHER DISORDERS OF THE EYE WITHOUT MCC;APR DRG-EYE INFECTIONS AND OTHER EYE DISORDERS;SOI- Moderate $30,548 $7,942 $18,156 +68% $15,876 +92% —
976 MS DRG - HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC;APR DRG-HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS;SOI- Moderate $30,444 $7,915 $14,958 +104% $16,212 +88% —
089 CONCUSSION WITH CC $30,309 $7,880 $13,262 +129% $18,293 +66% —
203 MS DRG - BRONCHITIS AND ASTHMA WITHOUT CC/MCC;APR DRG-OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI- Minor $30,185 $7,848 $14,737 +105% $12,279 +146% —
301 MS DRG - PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC;APR DRG-PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI- Minor $29,921 $7,779 $11,377 +163% $15,607 +92% —
191 MS DRG - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC;APR DRG-CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI- Major $29,827 $7,755 $18,365 +62% $18,278 +63% —
179 MS DRG - RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC;APR DRG-CYSTIC FIBROSIS - PULMONARY DISEASE;SOI- Moderate $29,198 $7,591 $16,262 +80% $14,444 +102% —
868 MS DRG - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC;APR DRG-OTHER INFECTIOUS AND PARASITIC DISEASES;SOI- Moderate $29,143 $7,577 $17,665 +65% $22,231 +31% —
306 MS DRG - CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC;APR DRG-CARDIAC STRUCTURAL AND VALVULAR DISORDERS;SOI- Major $28,906 $7,515 $24,497 +18% $24,450 +18% —
373 MS DRG - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC;APR DRG-MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI- Moderate $28,876 $7,508 $10,879 +165% $16,104 +79% —
288 MS DRG - ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC;APR DRG-ACUTE AND SUBACUTE ENDOCARDITIS;SOI- Moderate $28,869 $7,506 $29,404 −2% $45,497 −37% —
307 MS DRG - CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC;APR DRG-CARDIAC STRUCTURAL AND VALVULAR DISORDERS;SOI- Moderate $28,336 $7,367 $11,238 +152% $18,608 +52% —
201 PNEUMOTHORAX WITHOUT CC/MCC $28,281 $7,353 $11,438 +147% $13,081 +116% —
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 $28,107 $7,308 $14,692 +91% $17,715 +59% —
153 MS DRG - OTITIS MEDIA AND URI WITHOUT MCC;APR DRG-INFECTIONS OF UPPER RESPIRATORY TRACT;SOI- Moderate $28,104 $7,307 $14,829 +90% $14,473 +94% —
815 MS DRG - RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC;APR DRG-OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI- Minor $27,782 $7,223 $18,875 +47% $18,017 +54% —
882 NEUROSES EXCEPT DEPRESSIVE $27,760 $7,218 $9,320 +198% $15,680 +77% —
710 MS DRG - PENIS PROCEDURES WITHOUT CC/MCC;APR DRG-PENIS, TESTES AND SCROTAL PROCEDURES;SOI- Minor $27,444 $7,136 $17,252 +59% $23,814 +15% —
947 MS DRG - SIGNS AND SYMPTOMS WITH MCC;APR DRG-SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI- Major $27,155 $7,060 $26,617 +2% $25,474 +7% —
832 MS DRG - OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC;APR DRG-ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI- Moderate $26,586 $6,912 $18,719 +42% $12,895 +106% —
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- Major $26,531 $6,898 $27,017 −2% $29,211 −9% —
833 MS DRG - OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC;APR DRG-ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI- Moderate $26,458 $6,879 $10,165 +160% $9,076 +192% —
389 MS DRG - GASTROINTESTINAL OBSTRUCTION WITH CC;APR DRG-INTESTINAL OBSTRUCTION;SOI- Moderate $25,797 $6,707 $17,413 +48% $17,388 +48% —
122 MS DRG - ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC;APR DRG-EYE INFECTIONS AND OTHER EYE DISORDERS;SOI- Minor $25,583 $6,651 $7,537 +239% $11,997 +113% —
694 MS DRG - URINARY STONES WITHOUT MCC;APR DRG-URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION;SOI- Moderate $25,551 $6,643 $10,566 +142% $16,531 +55% —
103 MS DRG - HEADACHES WITHOUT MCC;APR DRG-MIGRAINE AND OTHER HEADACHES;SOI- Moderate $25,530 $6,638 $8,786 +191% $20,111 +27% —
434 MS DRG - CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC;APR DRG-OTHER DISORDERS OF THE LIVER;SOI- Minor $25,013 $6,503 $18,554 +35% $12,405 +102% —
439 MS DRG - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC;APR DRG-DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI- Minor $24,524 $6,376 $19,517 +26% $19,096 +28% —
309 MS DRG - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC;APR DRG-CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI- Moderate $24,510 $6,373 $22,998 +7% $16,865 +45% —
696 MS DRG - KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC;APR DRG-OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS;SOI- Minor $24,453 $6,358 $9,118 +168% $14,441 +69% —
121 MS DRG - ACUTE MAJOR EYE INFECTIONS WITH CC/MCC;APR DRG-EYE INFECTIONS AND OTHER EYE DISORDERS;SOI- Minor $24,398 $6,344 $16,800 +45% $18,291 +33% —
595 MS DRG - MAJOR SKIN DISORDERS WITH MCC;APR DRG-MAJOR SKIN DISORDERS;SOI- Major $24,378 $6,338 $23,318 +5% $31,785 −23% —
187 MS DRG - PLEURAL EFFUSION WITH CC;APR DRG-OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI- Major $24,337 $6,328 $18,800 +29% $21,467 +13% —
684 MS DRG - RENAL FAILURE WITHOUT CC/MCC;APR DRG-ACUTE KIDNEY INJURY;SOI- Minor $24,303 $6,319 $15,085 +61% $13,623 +78% —
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 $24,279 $6,312 $5,293 +359% $13,586 +79% —
195 MS DRG - SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC;APR DRG-INFECTIONS OF UPPER RESPIRATORY TRACT;SOI- Minor $23,923 $6,220 $18,452 +30% $13,824 +73% —
313 MS DRG - CHEST PAIN;APR DRG-ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI- Moderate $23,668 $6,154 $11,202 +111% $15,962 +48% —
760 MS DRG - MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC;APR DRG-MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS;SOI- Moderate $23,453 $6,098 $17,571 +33% $18,282 +28% —
302 MS DRG - ATHEROSCLEROSIS WITH MCC;APR DRG-ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI- Major $23,113 $6,009 $18,013 +28% $20,844 +11% —
310 MS DRG - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC;APR DRG-CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI- Moderate $23,035 $5,989 $11,589 +99% $13,384 +72% —
381 MS DRG - COMPLICATED PEPTIC ULCER WITH CC;APR DRG-MAJOR ESOPHAGEAL DISORDERS;SOI- Major $22,954 $5,968 $29,448 −22% $24,177 −5% —
593 MS DRG - SKIN ULCERS WITH CC;APR DRG-SKIN ULCERS;SOI- Major $22,902 $5,954 $17,855 +28% $20,470 +12% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $22,828 $5,935 $19,908 +15% $32,981 −31% —
728 MS DRG - INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC;APR DRG-MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI- Major $22,827 $5,935 $13,061 +75% $16,837 +36% —
390 MS DRG - GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC;APR DRG-INTESTINAL OBSTRUCTION;SOI- Moderate $22,781 $5,923 $12,107 +88% $13,318 +71% —
446 MS DRG - DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC;APR DRG-DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI- Minor $21,899 $5,694 $10,130 +116% $17,700 +24% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $21,347 $5,550 $10,003 +113% $16,352 +31% —
150 MS DRG - EPISTAXIS WITH MCC;APR DRG-OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI- Major $21,012 $5,463 $19,562 +7% $21,133 −1% —
639 MS DRG - DIABETES WITHOUT CC/MCC;APR DRG-DIABETES;SOI- Moderate $20,356 $5,293 $15,755 +29% $13,910 +46% —
149 MS DRG - DYSEQUILIBRIUM;APR DRG-VERTIGO AND OTHER LABYRINTH DISORDERS;SOI- Moderate $20,020 $5,205 $16,577 +21% $17,203 +16% —
916 MS DRG - ALLERGIC REACTIONS WITHOUT MCC;APR DRG-ALLERGIC REACTIONS;SOI- Minor $19,950 $5,187 $19,973 −0% $13,890 +44% —
894 MS DRG - ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA;APR DRG-DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE;SOI- Moderate $19,828 $5,155 $11,440 +73% $12,013 +65% —
055 MS DRG - NERVOUS SYSTEM NEOPLASMS WITHOUT MCC;APR DRG-NERVOUS SYSTEM MALIGNANCY;SOI- Major $19,315 $5,022 $12,752 +51% $19,868 −3% —
597 MS DRG - MALIGNANT BREAST DISORDERS WITH MCC;APR DRG-MALIGNANT BREAST DISORDERS;SOI- Major $19,303 $5,019 $19,303 +0% $31,846 −39% —
440 MS DRG - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC;APR DRG-DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI- Minor $19,076 $4,960 $16,162 +18% $15,070 +27% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $19,045 $4,952 $16,725 +14% $15,077 +26% —
601 MS DRG - NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC;APR DRG-OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI- Minor $18,166 $4,723 $8,449 +115% $10,975 +66% —
886 MS DRG - BEHAVIORAL AND DEVELOPMENTAL DISORDERS;APR DRG-DISORDERS OF IMPULSE CONTROL & DEVELOPMENT;SOI- Moderate $17,866 $4,645 $14,677 +22% $24,836 −28% —
726 MS DRG - BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC;APR DRG-MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI- Moderate $17,622 $4,582 $13,637 +29% $13,892 +27% —
848 MS DRG - CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC;APR DRG-OTHER CHEMOTHERAPY;SOI- Moderate $16,192 $4,210 $11,499 +41% $13,822 +17% —
769 MS DRG - POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES;APR DRG-POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE;SOI- Moderate $15,622 $4,062 $30,170 −48% $24,561 −36% —
869 MS DRG - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC;APR DRG-OTHER INFECTIOUS AND PARASITIC DISEASES;SOI- Moderate $15,125 $3,933 $9,044 +67% $12,537 +21% —
303 MS DRG - ATHEROSCLEROSIS WITHOUT MCC;APR DRG-ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI- Minor $14,860 $3,864 $14,621 +2% $14,927 −0% —
437 MS DRG - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC;APR DRG-MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS;SOI- Minor $14,092 $3,664 $5,102 +176% $13,385 +5% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $13,410 $3,487 $11,815 +14% $14,208 −6% —
598 MS DRG - MALIGNANT BREAST DISORDERS WITH CC;APR DRG-MALIGNANT BREAST DISORDERS;SOI- Moderate $12,499 $3,250 $20,539 −39% $19,073 −34% —
693 MS DRG - URINARY STONES WITH MCC;APR DRG-URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION;SOI- Extreme $12,362 $3,214 $12,362 +0% $22,525 −45% —
293 MS DRG - HEART FAILURE AND SHOCK WITHOUT CC/MCC;APR DRG-HEART FAILURE;SOI- Minor $12,239 $3,182 $10,349 +18% $11,955 +2% —
382 MS DRG - COMPLICATED PEPTIC ULCER WITHOUT CC/MCC;APR DRG-PEPTIC ULCER AND GASTRITIS;SOI- Minor $11,546 $3,002 $9,897 +17% $16,634 −31% —
594 MS DRG - SKIN ULCERS WITHOUT CC/MCC;APR DRG-SKIN ULCERS;SOI- Minor $8,988 $2,337 $8,987 +0% $14,209 −37% —
790 MS DRG - EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE;APR DRG-NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE;SOI- Moderate $8,566 $2,227 $61,499 −86% $80,018 −89% —
792 MS DRG - PREMATURITY WITHOUT MAJOR PROBLEMS;APR DRG-NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE;SOI- Minor $8,566 $2,227 $13,310 −36% $11,633 −26% —
204 MS DRG - RESPIRATORY SIGNS AND SYMPTOMS;APR DRG-RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI- Minor $8,020 $2,085 $9,981 −20% $16,866 −52% —
151 MS DRG - EPISTAXIS WITHOUT MCC;APR DRG-OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI- Minor $7,870 $2,046 $8,657 −9% $13,032 −40% —
196 MS DRG - INTERSTITIAL LUNG DISEASE WITH MCC;APR DRG-INTERSTITIAL AND ALVEOLAR LUNG DISEASES;SOI- Moderate $7,673 $1,995 $22,869 −66% $30,766 −75% —
072 MS DRG - NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC;APR DRG-ALTERATION IN CONSCIOUSNESS;SOI- Moderate $7,565 $1,967 $15,984 −53% $16,654 −55% —
289 MS DRG - ACUTE AND SUBACUTE ENDOCARDITIS WITH CC;APR DRG-ACUTE AND SUBACUTE ENDOCARDITIS;SOI- Major $5,032 $1,308 $22,592 −78% $29,371 −83% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,109 $1,068 $5,821 −29% $15,589 −74% —
789 MS DRG - NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY;APR DRG-NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE;SOI- Minor $815 $212 $9,865 −92% $14,284 −94% —

Procedures with negotiated rates only

These 120 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
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $9,700 – $107,844 · median $65,360 20 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $9,700 – $105,130 · median $63,715 18 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $18,902 – $51,598 · median $31,271 18 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $13,041 – $33,756 · median $20,458 18 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $28,766 – $78,626 · median $47,652 18 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $16,469 – $43,242 · median $26,207 18 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,700 – $13,633 · median $10,828 18 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $34,417 – $80,336 · median $65,649 17 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,473 – $13,091 · median $8,861 17 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $3,800 – $11,333 · median $8,861 17 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $3,800 – $11,655 · median $9,164 17 plans
791 PREMATURITY WITH MAJOR PROBLEMS $2,600 – $50,258 · median $44,217 17 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,700 – $15,493 · median $12,771 17 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,700 – $12,311 · median $9,780 17 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,700 – $12,311 · median $9,780 17 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $2,600 – $20,323 · median $19,261 17 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $2,700 – $12,618 · median $10,069 17 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,700 – $8,896 · median $6,569 17 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $76,421 – $189,325 · median $114,742 16 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $10,400 – $29,537 · median $17,901 16 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $6,689 – $19,013 · median $11,523 16 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,641 – $16,444 · median $9,966 16 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $3,755 – $13,386 · median $8,113 16 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $8,483 – $20,497 · median $12,422 16 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $7,176 – $24,737 · median $14,992 16 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $4,543 – $17,275 · median $10,470 16 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,528 – $15,821 · median $9,588 16 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,207 – $11,348 · median $6,877 16 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $20,078 – $52,562 · median $31,855 16 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $4,125 – $25,895 · median $22,733 16 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $4,125 – $17,937 · median $16,459 16 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $2,600 – $23,803 · median $21,084 16 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $2,600 – $17,982 · median $16,494 16 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $261,863 – $493,698 · median $391,509 15 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,574 – $19,046 · median $17,333 15 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,276 – $12,003 · median $11,781 15 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $11,523 – $20,243 · median $18,277 15 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,119 – $9,199 · median $9,199 15 plans
088 CONCUSSION WITH MCC $11,004 – $18,467 · median $16,877 15 plans
102 HEADACHES WITH MCC $7,162 – $15,179 · median $14,285 15 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,504 – $12,806 · median $12,414 15 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,292 – $9,896 · median $9,896 15 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,527 – $9,547 · median $9,547 15 plans
332 RECTAL RESECTION WITH MCC $32,369 – $45,409 · median $38,115 15 plans
334 RECTAL RESECTION WITHOUT CC/MCC $11,351 – $21,713 · median $19,436 15 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $30,267 – $47,434 · median $39,712 15 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $5,853 – $11,532 · median $11,410 15 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $17,595 – $31,663 · median $27,280 15 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,180 – $11,559 · median $11,431 15 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,389 – $16,550 · median $15,365 15 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,838 – $20,305 · median $18,326 15 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $26,543 – $35,822 · median $30,558 15 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $18,231 – $27,905 · median $24,317 15 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $13,035 – $21,764 · median $19,476 15 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $9,124 – $19,236 · median $17,483 15 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $16,893 – $29,891 · median $25,882 15 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $11,053 – $20,236 · median $18,271 15 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $8,468 – $16,895 · median $15,638 15 plans
509 ARTHROSCOPY $9,466 – $22,997 · median $20,448 15 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $4,493 – $9,249 · median $9,249 15 plans
548 SEPTIC ARTHRITIS WITH MCC $12,252 – $26,373 · median $23,109 15 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $8,479 – $17,097 · median $15,797 15 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $7,915 – $22,925 · median $20,391 15 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $7,984 – $25,987 · median $22,805 15 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,665 – $11,192 · median $11,142 15 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $6,993 – $12,523 · median $12,191 15 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,918 – $16,300 · median $15,168 15 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $24,466 – $35,693 · median $30,456 15 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $13,049 – $20,906 · median $18,800 15 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $10,541 – $19,136 · median $17,405 15 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $6,778 – $13,132 · median $12,671 15 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $8,605 – $18,344 · median $16,780 15 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,899 – $14,136 · median $13,462 15 plans
665 PROSTATECTOMY WITH MCC $21,562 – $44,949 · median $37,753 15 plans
666 PROSTATECTOMY WITH CC $11,646 – $21,565 · median $19,319 15 plans
667 PROSTATECTOMY WITHOUT CC/MCC $6,145 – $13,455 · median $12,926 15 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $17,349 – $38,177 · median $32,415 15 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $5,841 – $12,511 · median $12,182 15 plans
671 URETHRAL PROCEDURES WITH CC/MCC $10,181 – $22,565 · median $20,107 15 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $9,511 – $20,491 · median $18,473 15 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $4,774 – $9,793 · median $9,793 15 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $9,080 – $14,764 · median $13,958 15 plans
697 URETHRAL STRICTURE $5,785 – $13,115 · median $12,657 15 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $5,905 – $14,002 · median $13,357 15 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $4,899 – $12,302 · median $12,017 15 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $6,774 – $18,580 · median $16,966 15 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $6,073 – $16,127 · median $15,032 15 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,566 – $9,838 · median $9,838 15 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,103 – $16,529 · median $15,349 15 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,265 – $14,412 · median $13,680 15 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,288 – $8,582 · median $8,582 15 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $18,696 – $27,528 · median $24,020 15 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $8,195 – $15,891 · median $14,846 15 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $30,964 – $51,547 · median $42,954 15 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $14,064 – $26,161 · median $22,942 15 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,016 – $19,858 · median $17,973 15 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $23,303 – $52,114 · median $43,401 15 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $6,772 – $15,692 · median $14,689 15 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $5,688 – $13,416 · median $12,895 15 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,186 – $12,505 · median $12,177 15 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $6,856 – $17,834 · median $16,378 15 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,913 – $23,686 · median $20,991 15 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,887 – $17,520 · median $16,925 15 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $8,636 – $19,325 · median $17,553 15 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $25,571 – $46,929 · median $39,314 15 plans
849 RADIOTHERAPY $9,397 – $34,967 · median $29,884 15 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $19,009 – $51,442 · median $42,872 15 plans
881 DEPRESSIVE NEUROSES $4,459 – $11,966 · median $11,752 15 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $9,550 – $24,269 · median $21,451 15 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $7,691 – $18,954 · median $17,261 15 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $8,261 – $25,584 · median $22,487 15 plans
945 REHABILITATION WITH CC/MCC $9,263 – $19,983 · median $18,072 15 plans
946 REHABILITATION WITHOUT CC/MCC $8,790 – $14,616 · median $13,841 15 plans
950 AFTERCARE WITHOUT CC/MCC $3,994 – $8,368 · median $8,368 15 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $18,682 – $34,734 · median $29,701 15 plans
795 NORMAL NEWBORN $1,938 – $4,381 · median $4,381 14 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $4,500 – $13,423 · median $13,423 13 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $5,886 – $10,745 · median $10,745 11 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $212,886 – $217,907 · median $215,397 2 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $118,785 – $121,587 · median $120,186 2 plans
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