Banner Wyoming Medical Center | Casper, WY | 2nd St. — Pricing

771 procedures published in this hospital's Machine-Readable File (MRF) — 749 with a comparable price, 22 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 771
Lowest published price $2,720
Average published price $30,771
Highest published price $496,060

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 771 procedures

Published charges

Showing all 749 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above.

Across 79 procedures, this hospital's negotiated rates average ≈152% of what Medicare pays.

DRG Description Published price Cash price vs. WY median vs. National median vs Medicare
018 MS-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $496,060 $496,060 $586,074 −15% $573,534 −14% —
001 MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $364,865 $364,865 $431,073 −15% $461,389 −21% —
927 MS-DRG 42.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $354,902 $354,902 $419,301 −15% $306,087 +16% —
003 MS-DRG 42.00: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $287,056 $287,056 $339,144 −15% $371,366 −23% —
004 MS-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $197,923 $197,923 $233,838 −15% $248,521 −20% —
007 MS-DRG 42.00: LUNG TRANSPLANT $165,151 $165,151 $195,119 −15% $170,608 −3% —
002 MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $164,855 $164,855 $194,769 −15% $194,769 −15% —
014 MS-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT $154,313 $154,313 $182,314 −15% $182,314 −15% —
212 MS-DRG 42.00: CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $145,022 $145,022 $171,338 −15% $196,346 −26% —
005 MS-DRG 42.00: LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $139,354 $139,354 $164,641 −15% $164,641 −15% —
215 MS-DRG 42.00: OTHER HEART ASSIST SYSTEM IMPLANT $137,536 $137,536 $162,493 −15% $208,939 −34% ≈149% of Medicare
216 MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $130,670 $130,670 $154,381 −15% $188,171 −31% ≈138% of Medicare
020 MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $113,799 $113,799 $134,449 −15% $148,686 −23% —
456 MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $113,489 $113,489 $134,083 −15% $153,282 −26% —
231 MS-DRG 42.00: CORONARY BYPASS WITH PTCA WITH MCC $109,262 $109,262 $129,088 −15% $147,227 −26% —
019 MS-DRG 42.00: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $107,632 $107,632 $127,163 −15% $105,228 +2% —
233 MS-DRG 42.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $105,020 $105,020 $124,077 −15% $144,569 −27% —
219 MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $103,822 $103,822 $122,661 −15% $143,242 −28% —
957 MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $97,386 $97,386 $115,058 −15% $120,573 −19% —
275 MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $94,734 $94,734 $111,924 −15% $131,961 −28% —
870 MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $93,778 $93,778 $110,795 −15% $148,832 −37% —
928 MS-DRG 42.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $93,172 $93,172 $110,079 −15% $89,353 +4% —
207 MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $93,010 $93,010 $109,888 −15% $116,058 −20% —
969 MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $92,539 $92,539 $109,331 −15% $109,331 −15% —
268 MS-DRG 42.00: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $92,297 $92,297 $109,045 −15% $125,242 −26% —
461 MS-DRG 42.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $91,812 $91,812 $108,472 −15% $108,472 −15% —
217 MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $85,699 $85,699 $101,250 −15% $123,995 −31% —
266 MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $84,097 $84,097 $99,357 −15% $113,855 −26% —
573 MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $83,720 $83,720 $98,912 −15% $98,912 −15% —
276 MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $83,612 $83,612 $98,784 −15% $117,280 −29% —
016 MS-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $83,168 $83,168 $98,260 −15% $98,260 −15% —
017 MS-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $83,168 $83,168 $98,260 −15% $81,176 +2% —
021 MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $82,683 $82,683 $97,687 −15% $106,057 −22% —
955 MS-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $81,997 $81,997 $96,876 −15% $102,600 −20% —
457 MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $81,795 $81,795 $96,637 −15% $107,355 −24% —
820 MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $81,418 $81,418 $96,192 −15% $96,192 −15% —
028 MS-DRG 42.00: SPINAL PROCEDURES WITH MCC $81,135 $81,135 $95,858 −15% $113,077 −28% —
790 MS-DRG 42.00: EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $80,785 $80,785 $80,785 +0% $80,018 +1% —
232 MS-DRG 42.00: CORONARY BYPASS WITH PTCA WITHOUT MCC $80,098 $80,098 $94,633 −15% $115,839 −31% —
235 MS-DRG 42.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $79,183 $79,183 $93,551 −15% $112,062 −29% —
218 MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $76,705 $76,705 $90,624 −15% $103,455 −26% —
576 MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $76,517 $76,517 $90,401 −15% $90,401 −15% —
023 MS-DRG 42.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $76,328 $76,328 $90,179 −15% $106,778 −29% —
463 MS-DRG 42.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $76,261 $76,261 $90,099 −15% $89,207 −15% —
834 MS-DRG 42.00: ACUTE LEUKEMIA WITH MCC $75,386 $75,386 $75,386 +0% $85,566 −12% —
405 MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $74,120 $74,120 $87,570 −15% $102,128 −27% —
653 MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH MCC $72,895 $72,895 $86,122 −15% $104,583 −30% —
008 MS-DRG 42.00: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $70,848 $70,848 $83,704 −15% $86,459 −18% —
220 MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $70,619 $70,619 $83,434 −15% $111,320 −37% —
234 MS-DRG 42.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $69,987 $69,987 $82,686 −15% $102,573 −32% —
466 MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $69,839 $69,839 $82,511 −15% $96,507 −28% —
011 MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $69,421 $69,421 $82,018 −15% $101,576 −32% —
326 MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $68,384 $68,384 $80,793 −15% $80,793 −15% —
270 MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $68,088 $68,088 $80,443 −15% $99,423 −32% ≈142% of Medicare
228 MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITH MCC $67,846 $67,846 $80,157 −15% $96,905 −30% —
853 MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $67,307 $67,307 $79,521 −15% $93,172 −28% ≈147% of Medicare
799 MS-DRG 42.00: SPLENIC PROCEDURES WITH MCC $66,715 $66,715 $78,821 −15% $82,218 −19% —
471 MS-DRG 42.00: CERVICAL SPINAL FUSION WITH MCC $66,230 $66,230 $78,248 −15% $92,515 −28% —
267 MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $65,705 $65,705 $77,628 −15% $92,217 −29% ≈137% of Medicare
837 MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $65,220 $65,220 $77,055 −15% $77,055 −15% —
006 MS-DRG 42.00: LIVER TRANSPLANT WITHOUT MCC $65,126 $65,126 $76,944 −15% $84,407 −23% —
239 MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $64,722 $64,722 $76,467 −15% $93,390 −31% —
277 MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $64,386 $64,386 $76,069 −15% $91,329 −30% —
981 MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $63,659 $63,659 $75,210 −15% $90,775 −30% ≈135% of Medicare
163 MS-DRG 42.00: MAJOR CHEST PROCEDURES WITH MCC $63,470 $63,470 $74,987 −15% $90,195 −30% —
221 MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $62,595 $62,595 $73,953 −15% $90,331 −31% —
826 MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $62,312 $62,312 $73,619 −15% $90,724 −31% —
245 MS-DRG 42.00: AICD GENERATOR PROCEDURES $61,006 $61,006 $72,076 −15% $72,076 −15% —
458 MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $61,006 $61,006 $72,076 −15% $83,441 −27% —
329 MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $60,818 $60,818 $71,853 −15% $88,050 −31% ≈147% of Medicare
823 MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $60,616 $60,616 $71,615 −15% $87,761 −31% —
650 MS-DRG 42.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $60,562 $60,562 $71,551 −15% $71,551 −15% —
278 MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $60,050 $60,050 $70,947 −15% $93,238 −36% —
856 MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $59,619 $59,619 $65,028 −8% $76,001 −22% —
025 MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $59,458 $59,458 $70,247 −15% $88,307 −33% —
319 MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $58,731 $58,731 $69,388 −15% $86,970 −32% —
901 MS-DRG 42.00: WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $58,273 $58,273 $68,847 −15% $70,177 −17% —
474 MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $57,936 $57,936 $57,936 +0% $84,692 −32% —
356 MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $57,613 $57,613 $58,075 −1% $82,561 −30% —
793 MS-DRG 42.00: FULL TERM NEONATE WITH MAJOR PROBLEMS $56,671 $56,671 $13,930 +307% $18,649 +204% —
269 MS-DRG 42.00: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $55,997 $55,997 $66,159 −15% $85,159 −34% —
323 MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $55,742 $55,742 $65,856 −15% $101,510 −45% ≈137% of Medicare
031 MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITH MCC $55,432 $55,432 $65,490 −15% $72,962 −24% —
791 MS-DRG 42.00: PREMATURITY WITH MAJOR PROBLEMS $55,176 $55,176 $14,858 +271% $42,679 +29% —
166 MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $54,638 $54,638 $64,552 −15% $75,573 −28% —
958 MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $54,462 $54,462 $64,345 −15% $73,120 −26% —
236 MS-DRG 42.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $54,409 $54,409 $64,281 −15% $82,247 −34% —
628 MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $54,059 $54,059 $63,868 −15% $71,795 −25% —
012 MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $53,924 $53,924 $63,709 −15% $79,836 −32% —
616 MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $53,291 $53,291 $62,961 −15% $66,685 −20% —
022 MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $52,820 $52,820 $62,404 −15% $66,848 −21% —
423 MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $52,658 $52,658 $62,214 −15% $79,225 −34% —
034 MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH MCC $52,524 $52,524 $62,054 −15% $76,219 −31% —
273 MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $52,470 $52,470 $61,991 −15% $78,852 −33% —
736 MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $52,335 $52,335 $61,832 −15% $61,832 −15% —
956 MS-DRG 42.00: LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $52,214 $52,214 $65,803 −21% $75,103 −30% —
040 MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $51,850 $51,850 $61,259 −15% $74,257 −30% —
622 MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $51,514 $51,514 $60,861 −15% $61,470 −16% —
024 MS-DRG 42.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $51,016 $51,016 $60,273 −15% $74,755 −32% —
140 MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITH MCC $50,868 $50,868 $60,098 −15% $60,098 −15% —
876 MS-DRG 42.00: O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $50,248 $50,248 $59,366 −15% $54,196 −7% —
408 MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $50,114 $50,114 $59,207 −15% $62,583 −20% —
907 MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $50,087 $50,087 $59,175 −15% $77,817 −36% —
673 MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $49,790 $49,790 $58,825 −15% $77,990 −36% ≈158% of Medicare
332 MS-DRG 42.00: RECTAL RESECTION WITH MCC $49,198 $49,198 $58,125 −15% $58,125 −15% —
518 MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $49,171 $49,171 $58,094 −15% $71,092 −31% —
097 MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $48,969 $48,969 $48,969 +0% $59,533 −18% —
094 MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $48,781 $48,781 $48,781 +0% $68,639 −29% —
739 MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $48,686 $48,686 $57,521 −15% $62,300 −22% —
495 MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $48,215 $48,215 $56,964 −15% $56,964 −15% —
335 MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH MCC $48,134 $48,134 $56,869 −15% $71,755 −33% —
265 MS-DRG 42.00: AICD LEAD PROCEDURES $47,582 $47,582 $56,216 −15% $63,171 −25% —
414 MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $47,461 $47,461 $56,073 −15% $69,743 −32% —
467 MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITH CC $46,936 $46,936 $72,783 −36% $70,847 −34% —
492 MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $46,613 $46,613 $61,707 −24% $70,564 −34% —
651 MS-DRG 42.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $46,559 $46,559 $55,008 −15% $56,242 −17% —
271 MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $46,532 $46,532 $54,976 −15% $71,014 −34% ≈118% of Medicare
242 MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $46,519 $46,519 $54,960 −15% $70,132 −34% ≈138% of Medicare
802 MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $46,196 $46,196 $54,578 −15% $66,711 −31% —
029 MS-DRG 42.00: SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $46,155 $46,155 $54,530 −15% $67,268 −31% —
574 MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $45,859 $45,859 $54,180 −15% $52,036 −12% —
987 MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $45,468 $45,468 $49,662 −8% $66,068 −31% —
037 MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITH MCC $45,455 $45,455 $53,703 −15% $66,666 −32% —
477 MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $45,361 $45,361 $53,592 −15% $68,653 −34% —
252 MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH MCC $45,159 $45,159 $53,353 −15% $68,508 −34% —
579 MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $44,997 $44,997 $44,997 +0% $58,745 −23% —
469 MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $44,836 $44,836 $52,971 −15% $65,788 −32% —
143 MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $44,782 $44,782 $52,908 −15% $52,908 −15% —
260 MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $44,634 $44,634 $52,733 −15% $70,371 −37% —
485 MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $44,351 $44,351 $52,399 −15% $72,424 −39% —
264 MS-DRG 42.00: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $43,974 $43,974 $51,953 −15% $51,953 −15% —
904 MS-DRG 42.00: SKIN GRAFTS FOR INJURIES WITH CC/MCC $43,839 $43,839 $51,794 −15% $59,594 −26% —
500 MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH MCC $43,664 $43,664 $43,664 +0% $61,872 −29% —
274 MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $43,637 $43,637 $51,556 −15% $65,573 −33% ≈138% of Medicare
929 MS-DRG 42.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $43,301 $43,301 $51,158 −15% $44,472 −3% —
939 MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $43,287 $43,287 $51,142 −15% $55,289 −22% —
279 MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $43,099 $43,099 $50,919 −15% $63,928 −33% —
420 MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $43,099 $43,099 $50,919 −15% $50,919 −15% —
229 MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $42,816 $42,816 $50,585 −15% $65,325 −34% —
515 MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $42,574 $42,574 $50,299 −15% $62,821 −32% —
829 MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $42,466 $42,466 $50,172 −15% $53,864 −21% —
656 MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $42,251 $42,251 $49,917 −15% $65,608 −36% —
840 MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $42,075 $42,075 $42,075 +0% $49,710 −15% —
665 MS-DRG 42.00: PROSTATECTOMY WITH MCC $41,591 $41,591 $49,138 −15% $54,072 −23% —
173 MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $41,402 $41,402 $48,915 −15% $60,407 −31% —
411 MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITH MCC $40,931 $40,931 $48,358 −15% $48,358 −15% —
652 MS-DRG 42.00: KIDNEY TRANSPLANT $40,446 $40,446 $47,786 −15% $54,720 −26% —
464 MS-DRG 42.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $40,406 $40,406 $43,917 −8% $58,228 −31% —
662 MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH MCC $40,352 $40,352 $47,674 −15% $54,562 −26% —
521 MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $40,312 $40,312 $47,627 −15% $70,467 −43% —
324 MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $39,975 $39,975 $47,229 −15% $71,464 −44% ≈154% of Medicare
472 MS-DRG 42.00: CERVICAL SPINAL FUSION WITH CC $39,787 $39,787 $110,368 −64% $59,537 −33% —
026 MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $39,760 $39,760 $46,974 −15% $64,523 −38% —
480 MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $39,706 $39,706 $48,688 −18% $65,653 −40% ≈142% of Medicare
353 MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $39,369 $39,369 $46,513 −15% $60,170 −35% —
570 MS-DRG 42.00: SKIN DEBRIDEMENT WITH MCC $39,342 $39,342 $39,342 +0% $52,435 −25% —
974 MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH MCC $39,275 $39,275 $46,402 −15% $46,402 −15% —
406 MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $38,871 $38,871 $45,924 −15% $58,043 −33% —
321 MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $38,709 $38,709 $45,734 −15% $81,706 −53% ≈152% of Medicare
462 MS-DRG 42.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $38,319 $38,319 $45,272 −15% $58,975 −35% —
263 MS-DRG 42.00: VEIN LIGATION AND STRIPPING $38,036 $38,036 $44,938 −15% $51,253 −26% —
668 MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITH MCC $37,942 $37,942 $44,827 −15% $51,608 −26% —
800 MS-DRG 42.00: SPLENIC PROCEDURES WITH CC $37,942 $37,942 $44,827 −15% $49,184 −23% —
817 MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $37,929 $37,929 $37,929 +0% $39,173 −3% —
240 MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $37,821 $37,821 $37,821 +0% $59,790 −37% —
061 MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $37,740 $37,740 $44,588 −15% $62,264 −39% —
970 MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $37,430 $37,430 $44,222 −15% $44,222 −15% —
255 MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $36,986 $36,986 $43,697 −15% $46,453 −20% —
344 MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $36,892 $36,892 $43,586 −15% $44,546 −17% —
654 MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH CC $36,865 $36,865 $43,554 −15% $58,274 −37% —
963 MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $36,811 $36,811 $36,811 +0% $43,491 −15% —
510 MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $36,636 $36,636 $43,284 −15% $49,839 −26% —
258 MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $36,474 $36,474 $43,093 −15% $52,986 −31% —
208 MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $36,340 $36,340 $42,934 −15% $52,405 −31% —
849 MS-DRG 42.00: RADIOTHERAPY $36,232 $36,232 $42,807 −15% $37,862 −4% —
013 MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $36,165 $36,165 $42,727 −15% $48,687 −26% —
503 MS-DRG 42.00: FOOT PROCEDURES WITH MCC $36,111 $36,111 $42,663 −15% $47,540 −24% —
468 MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $35,949 $35,949 $56,959 −37% $54,929 −35% —
135 MS-DRG 42.00: SINUS AND MASTOID PROCEDURES WITH CC/MCC $35,707 $35,707 $42,186 −15% $42,186 −15% —
577 MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $35,667 $35,667 $42,139 −15% $47,945 −26% —
325 MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $35,599 $35,599 $42,059 −15% $61,217 −42% —
498 MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $35,155 $35,155 $41,534 −15% $49,423 −29% —
619 MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH MCC $35,047 $35,047 $41,407 −15% $51,746 −32% —
288 MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $34,913 $34,913 $41,248 −15% $50,618 −31% —
659 MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $34,859 $34,859 $38,021 −8% $52,178 −33% —
253 MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH CC $34,347 $34,347 $40,580 −15% $57,454 −40% ≈143% of Medicare
164 MS-DRG 42.00: MAJOR CHEST PROCEDURES WITH CC $34,334 $34,334 $38,792 −11% $56,755 −40% —
347 MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITH MCC $34,320 $34,320 $40,548 −15% $40,548 −15% —
959 MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $34,091 $34,091 $40,277 −15% $41,422 −18% —
749 MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $33,889 $33,889 $40,039 −15% $45,167 −25% —
113 MS-DRG 42.00: ORBITAL PROCEDURES WITH CC/MCC $33,755 $33,755 $39,880 −15% $36,167 −7% —
327 MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $33,620 $33,620 $39,721 −15% $59,421 −43% —
545 MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH MCC $33,566 $33,566 $39,657 −15% $40,362 −17% —
982 MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $33,472 $33,472 $39,546 −15% $51,985 −36% —
483 MS-DRG 42.00: MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $33,445 $33,445 $72,795 −54% $58,707 −43% —
792 MS-DRG 42.00: PREMATURITY WITHOUT MAJOR PROBLEMS $33,297 $33,297 $7,376 +351% $12,229 +172% —
473 MS-DRG 42.00: CERVICAL SPINAL FUSION WITHOUT CC/MCC $33,135 $33,135 $42,711 −22% $50,624 −35% —
846 MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $32,906 $32,906 $38,878 −15% $38,878 −15% —
272 MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $32,853 $32,853 $38,814 −15% $55,162 −40% —
027 MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $32,758 $32,758 $38,703 −15% $54,583 −40% —
493 MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $32,341 $32,341 $55,177 −41% $59,651 −46% ≈143% of Medicare
350 MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $32,314 $32,314 $38,178 −15% $50,046 −35% —
056 MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $32,233 $32,233 $63,851 −50% $39,973 −19% —
095 MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $32,099 $32,099 $37,923 −15% $47,583 −33% —
478 MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $32,099 $32,099 $37,923 −15% $50,139 −36% —
674 MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $32,072 $32,072 $37,891 −15% $50,394 −36% —
330 MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $31,937 $31,937 $42,445 −25% $59,500 −46% ≈144% of Medicare
250 MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $31,654 $31,654 $37,398 −15% $59,629 −47% —
030 MS-DRG 42.00: SPINAL PROCEDURES WITHOUT CC/MCC $31,223 $31,223 $36,889 −15% $45,866 −32% —
417 MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $31,210 $31,210 $36,873 −15% $53,451 −42% —
827 MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $31,196 $31,196 $36,857 −15% $50,498 −38% —
035 MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH CC $30,968 $30,968 $36,587 −15% $49,066 −37% —
082 MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $30,671 $30,671 $30,671 +0% $36,489 −16% —
243 MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $30,671 $30,671 $36,237 −15% $50,011 −39% ≈143% of Medicare
085 MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $30,604 $30,604 $36,157 −15% $41,892 −27% —
629 MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $30,469 $30,469 $30,469 +0% $47,737 −36% —
614 MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $30,321 $30,321 $35,823 −15% $48,349 −37% —
397 MS-DRG 42.00: APPENDIX PROCEDURES WITH MCC $30,254 $30,254 $35,744 −15% $53,257 −43% —
835 MS-DRG 42.00: ACUTE LEUKEMIA WITH CC $30,106 $30,106 $35,569 −15% $35,569 −15% —
824 MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $30,065 $30,065 $35,521 −15% $41,608 −28% —
821 MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $30,052 $30,052 $35,505 −15% $47,789 −37% —
041 MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $30,039 $30,039 $35,489 −15% $49,418 −39% —
320 MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $29,971 $29,971 $35,410 −15% $40,060 −25% —
080 MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITH MCC $29,742 $29,742 $29,742 +0% $36,249 −18% —
715 MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $29,729 $29,729 $35,123 −15% $38,998 −24% —
357 MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $29,581 $29,581 $34,948 −15% $48,682 −39% —
808 MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $29,486 $29,486 $34,837 −15% $39,181 −25% —
096 MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $29,352 $29,352 $34,678 −15% $41,620 −29% —
595 MS-DRG 42.00: MAJOR SKIN DISORDERS WITH MCC $29,285 $29,285 $34,598 −15% $34,598 −15% —
734 MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $29,271 $29,271 $34,583 −15% $42,795 −32% —
709 MS-DRG 42.00: PENIS PROCEDURES WITH CC/MCC $29,231 $29,231 $34,535 −15% $34,535 −15% —
940 MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $29,177 $29,177 $34,471 −15% $43,650 −33% —
286 MS-DRG 42.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $29,029 $29,029 $34,296 −15% $46,283 −37% ≈164% of Medicare
098 MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $29,015 $29,015 $32,497 −11% $42,901 −32% —
032 MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITH CC $29,002 $29,002 $34,264 −15% $46,724 −38% —
407 MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $28,961 $28,961 $34,217 −15% $46,727 −38% —
475 MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $28,881 $28,881 $34,121 −15% $45,877 −37% —
857 MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $28,759 $28,759 $33,978 −15% $45,333 −37% —
424 MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $28,706 $28,706 $33,914 −15% $42,415 −32% —
507 MS-DRG 42.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $28,706 $28,706 $33,914 −15% $37,240 −23% —
814 MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $28,652 $28,652 $33,851 −15% $33,851 −15% —
711 MS-DRG 42.00: TESTES PROCEDURES WITH CC/MCC $28,584 $28,584 $33,771 −15% $38,343 −25% —
522 MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $28,436 $28,436 $45,963 −38% $58,280 −51% ≈145% of Medicare
146 MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $28,423 $28,423 $33,580 −15% $40,108 −29% —
655 MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $28,382 $28,382 $33,533 −15% $43,174 −34% —
488 MS-DRG 42.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $28,369 $28,369 $33,517 −15% $43,631 −35% —
336 MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH CC $28,342 $28,342 $33,485 −15% $50,463 −44% —
374 MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH MCC $28,261 $28,261 $31,867 −11% $39,958 −29% —
314 MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $28,194 $28,194 $28,194 +0% $38,666 −27% ≈146% of Medicare
934 MS-DRG 42.00: FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $28,180 $28,180 $33,294 −15% $31,044 −9% —
867 MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $28,167 $28,167 $33,278 −15% $38,070 −26% —
592 MS-DRG 42.00: SKIN ULCERS WITH MCC $28,140 $28,140 $33,246 −15% $33,246 −15% —
333 MS-DRG 42.00: RECTAL RESECTION WITH CC $28,005 $28,005 $33,087 −15% $37,154 −25% —
481 MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $27,938 $27,938 $48,985 −43% $52,751 −47% ≈146% of Medicare
141 MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITH CC $27,898 $27,898 $32,960 −15% $37,267 −25% —
412 MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITH CC $27,817 $27,817 $32,865 −15% $42,906 −35% —
575 MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $27,548 $27,548 $32,546 −15% $29,611 −7% —
516 MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $27,480 $27,480 $32,467 −15% $46,090 −40% —
935 MS-DRG 42.00: NON-EXTENSIVE BURNS $27,480 $27,480 $19,748 +39% $31,701 −13% —
854 MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $27,440 $27,440 $32,419 −15% $43,943 −38% —
486 MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $27,036 $27,036 $31,942 −15% $49,351 −45% —
908 MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH CC $26,982 $26,982 $36,262 −26% $42,914 −37% —
064 MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $26,969 $26,969 $31,862 −15% $39,106 −31% ≈144% of Medicare
838 MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $26,955 $26,955 $31,846 −15% $31,134 −13% —
511 MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $26,848 $26,848 $37,598 −29% $43,538 −38% —
496 MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $26,767 $26,767 $31,624 −15% $43,800 −39% —
617 MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $26,726 $26,726 $31,576 −15% $42,881 −38% —
539 MS-DRG 42.00: OSTEOMYELITIS WITH MCC $26,713 $26,713 $25,784 +4% $37,609 −29% —
100 MS-DRG 42.00: SEIZURES WITH MCC $26,699 $26,699 $31,544 −15% $35,481 −25% —
871 MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $26,699 $26,699 $31,544 −15% $35,628 −25% ≈146% of Medicare
415 MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $26,605 $26,605 $31,433 −15% $43,913 −39% —
737 MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $26,578 $26,578 $31,401 −15% $44,363 −40% —
283 MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $26,538 $26,538 $26,538 +0% $39,955 −34% —
519 MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $26,511 $26,511 $42,769 −38% $44,139 −40% —
707 MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $26,417 $26,417 $35,693 −26% $43,080 −39% —
584 MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $26,376 $26,376 $31,162 −15% $35,030 −25% —
409 MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $26,349 $26,349 $31,131 −15% $46,066 −43% —
548 MS-DRG 42.00: SEPTIC ARTHRITIS WITH MCC $26,255 $26,255 $30,526 −14% $31,346 −16% —
380 MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITH MCC $26,242 $26,242 $26,242 +0% $39,627 −34% —
052 MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITH CC/MCC $26,188 $26,188 $30,940 −15% $32,031 −18% —
432 MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $25,797 $25,797 $30,478 −15% $40,213 −36% ≈157% of Medicare
075 MS-DRG 42.00: VIRAL MENINGITIS WITH CC/MCC $25,770 $25,770 $25,794 −0% $30,447 −15% —
196 MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH MCC $25,515 $25,515 $22,992 +11% $32,637 −22% —
902 MS-DRG 42.00: WOUND DEBRIDEMENTS FOR INJURIES WITH CC $25,380 $25,380 $25,380 +0% $40,562 −37% —
261 MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $25,340 $25,340 $29,938 −15% $42,126 −40% —
470 MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $25,340 $25,340 $47,428 −47% $50,607 −50% ≈149% of Medicare
744 MS-DRG 42.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $25,340 $25,340 $29,938 −15% $38,861 −35% —
906 MS-DRG 42.00: HAND PROCEDURES FOR INJURIES $25,340 $25,340 $29,938 −15% $32,065 −21% —
165 MS-DRG 42.00: MAJOR CHEST PROCEDURES WITHOUT CC/MCC $25,259 $25,259 $29,842 −15% $46,340 −45% —
722 MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $25,245 $25,245 $29,826 −15% $29,826 −15% —
883 MS-DRG 42.00: DISORDERS OF PERSONALITY AND IMPULSE CONTROL $25,245 $25,245 $25,245 +0% $23,206 +9% —
062 MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $25,205 $25,205 $29,779 −15% $52,075 −52% —
465 MS-DRG 42.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $25,191 $25,191 $29,763 −15% $32,443 −22% —
494 MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $25,165 $25,165 $45,916 −45% $47,711 −47% —
259 MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $25,138 $25,138 $29,699 −15% $39,020 −36% —
479 MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $25,097 $25,097 $29,651 −15% $34,276 −27% —
623 MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $25,057 $25,057 $29,604 −15% $34,459 −27% —
843 MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $25,057 $25,057 $27,330 −8% $36,431 −31% —
803 MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $25,016 $25,016 $29,556 −15% $39,515 −37% —
941 MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $24,989 $24,989 $29,524 −15% $29,524 −15% —
754 MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $24,949 $24,949 $29,476 −15% $32,433 −23% —
559 MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $24,922 $24,922 $34,173 −27% $33,047 −25% —
657 MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $24,828 $24,828 $29,333 −15% $43,298 −43% —
862 MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $24,801 $24,801 $29,301 −15% $32,859 −25% ≈136% of Medicare
686 MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $24,761 $24,761 $29,254 −15% $37,844 −35% —
116 MS-DRG 42.00: INTRAOCULAR PROCEDURES WITH CC/MCC $24,653 $24,653 $29,126 −15% $29,126 −15% —
244 MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $24,639 $24,639 $29,110 −15% $41,591 −41% ≈146% of Medicare
441 MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $24,612 $24,612 $29,079 −15% $33,985 −28% ≈146% of Medicare
919 MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITH MCC $24,572 $24,572 $24,572 +0% $31,105 −21% —
542 MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $24,559 $24,559 $29,015 −15% $36,792 −33% —
322 MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $24,545 $24,545 $28,999 −15% $58,809 −58% ≈158% of Medicare
167 MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $24,505 $24,505 $28,951 −15% $40,642 −40% —
789 MS-DRG 42.00: NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $24,491 $24,491 $17,371 +41% $16,351 +50% —
717 MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $24,424 $24,424 $28,856 −15% $36,670 −33% —
205 MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $24,370 $24,370 $28,792 −15% $33,255 −27% —
036 MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $24,343 $24,343 $28,760 −15% $40,694 −40% —
070 MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $24,101 $24,101 $28,474 −15% $31,951 −25% —
377 MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH MCC $24,101 $24,101 $27,512 −12% $37,842 −36% ≈146% of Medicare
801 MS-DRG 42.00: SPLENIC PROCEDURES WITHOUT CC/MCC $24,101 $24,101 $28,474 −15% $36,445 −34% —
091 MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $24,087 $24,087 $30,230 −20% $37,387 −36% —
740 MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $24,060 $24,060 $28,426 −15% $40,365 −40% —
742 MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $23,993 $23,993 $58,862 −59% $40,552 −41% —
896 MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $23,939 $23,939 $46,625 −49% $31,159 −23% ≈142% of Medicare
199 MS-DRG 42.00: PNEUMOTHORAX WITH MCC $23,885 $23,885 $28,220 −15% $33,787 −29% —
915 MS-DRG 42.00: ALLERGIC REACTIONS WITH MCC $23,885 $23,885 $28,220 −15% $32,645 −27% —
783 MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH MCC $23,858 $23,858 $26,023 −8% $29,221 −18% —
435 MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $23,697 $23,697 $23,697 +0% $37,950 −38% —
884 MS-DRG 42.00: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $23,657 $23,657 $25,803 −8% $26,682 −11% —
786 MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $23,562 $23,562 $29,165 −19% $27,152 −13% —
371 MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $23,535 $23,535 $25,671 −8% $33,555 −30% —
580 MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $23,522 $23,522 $27,790 −15% $38,101 −38% —
922 MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $23,495 $23,495 $27,758 −15% $31,563 −26% —
582 MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITH CC/MCC $23,441 $23,441 $27,695 −15% $35,849 −35% —
042 MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $23,428 $23,428 $27,679 −15% $39,018 −40% —
180 MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH MCC $23,401 $23,401 $27,647 −15% $36,658 −36% —
501 MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH CC $23,374 $23,374 $27,615 −15% $39,619 −41% —
254 MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $23,360 $23,360 $27,599 −15% $38,836 −40% —
144 MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $23,306 $23,306 $27,536 −15% $30,553 −24% —
058 MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $23,266 $23,266 $27,488 −15% $30,243 −23% —
504 MS-DRG 42.00: FOOT PROCEDURES WITH CC $23,253 $23,253 $27,472 −15% $38,960 −40% —
354 MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $23,131 $23,131 $46,206 −50% $43,477 −47% —
666 MS-DRG 42.00: PROSTATECTOMY WITH CC $23,118 $23,118 $23,118 +0% $31,906 −28% —
671 MS-DRG 42.00: URETHRAL PROCEDURES WITH CC/MCC $23,051 $23,051 $27,233 −15% $27,233 −15% —
421 MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $23,024 $23,024 $27,202 −15% $36,354 −37% —
157 MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH MCC $22,983 $22,983 $27,154 −15% $31,300 −27% —
505 MS-DRG 42.00: FOOT PROCEDURES WITHOUT CC/MCC $22,970 $22,970 $27,138 −15% $34,937 −34% —
551 MS-DRG 42.00: MEDICAL BACK PROBLEMS WITH MCC $22,916 $22,916 $28,541 −20% $34,017 −33% —
855 MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $22,916 $22,916 $27,074 −15% $28,202 −19% —
988 MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $22,849 $22,849 $26,995 −15% $38,094 −40% —
177 MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $22,835 $22,835 $26,979 −15% $33,707 −32% ≈145% of Medicare
571 MS-DRG 42.00: SKIN DEBRIDEMENT WITH CC $22,781 $22,781 $26,915 −15% $37,169 −39% —
585 MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $22,674 $22,674 $26,788 −15% $32,574 −30% —
886 MS-DRG 42.00: BEHAVIORAL AND DEVELOPMENTAL DISORDERS $22,647 $22,647 $24,701 −8% $26,510 −15% —
746 MS-DRG 42.00: VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $22,566 $22,566 $26,661 −15% $29,916 −25% —
331 MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $22,512 $22,512 $41,298 −45% $44,117 −49% ≈155% of Medicare
438 MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $22,472 $22,472 $26,549 −15% $32,628 −31% —
698 MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $22,270 $22,270 $22,270 +0% $32,496 −31% ≈146% of Medicare
368 MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH MCC $22,243 $22,243 $22,243 +0% $33,876 −34% —
262 MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $22,149 $22,149 $26,168 −15% $33,694 −34% —
643 MS-DRG 42.00: ENDOCRINE DISORDERS WITH MCC $22,149 $22,149 $26,168 −15% $33,563 −34% —
256 MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $22,081 $22,081 $26,088 −15% $32,944 −33% —
828 MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $22,081 $22,081 $26,088 −15% $35,584 −38% —
865 MS-DRG 42.00: VIRAL ILLNESS WITH MCC $22,081 $22,081 $24,085 −8% $26,910 −18% —
418 MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $22,014 $22,014 $36,755 −40% $44,606 −51% ≈150% of Medicare
983 MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $22,014 $22,014 $24,011 −8% $34,607 −36% —
444 MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH MCC $21,987 $21,987 $23,982 −8% $34,273 −36% —
533 MS-DRG 42.00: FRACTURES OF FEMUR WITH MCC $21,960 $21,960 $25,945 −15% $25,945 −15% —
033 MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $21,852 $21,852 $25,818 −15% $35,419 −38% —
620 MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH CC $21,839 $21,839 $25,802 −15% $35,453 −38% —
513 MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $21,825 $21,825 $25,786 −15% $33,424 −35% —
727 MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $21,825 $21,825 $25,786 −15% $26,463 −18% —
393 MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $21,812 $21,812 $25,770 −15% $34,192 −36% —
512 MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $21,731 $21,731 $23,809 −9% $35,692 −39% —
578 MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $21,691 $21,691 $25,627 −15% $29,079 −25% —
895 MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $21,664 $21,664 $25,595 −15% $21,986 −1% —
334 MS-DRG 42.00: RECTAL RESECTION WITHOUT CC/MCC $21,610 $21,610 $25,531 −15% $36,820 −41% —
296 MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH MCC $21,583 $21,583 $25,499 −15% $33,661 −36% —
425 MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $21,570 $21,570 $25,484 −15% $26,598 −19% —
597 MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH MCC $21,556 $21,556 $24,187 −11% $33,386 −35% —
038 MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITH CC $21,543 $21,543 $25,452 −15% $35,770 −40% —
328 MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $21,502 $21,502 $23,453 −8% $39,006 −45% —
917 MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $21,489 $21,489 $25,388 −15% $30,235 −29% —
482 MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $21,381 $21,381 $35,138 −39% $41,955 −49% —
251 MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $21,368 $21,368 $25,245 −15% $46,295 −54% —
280 MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $21,368 $21,368 $25,245 −15% $30,828 −31% ≈149% of Medicare
675 MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $21,368 $21,368 $25,245 −15% $34,749 −39% —
606 MS-DRG 42.00: MINOR SKIN DISORDERS WITH MCC $21,354 $21,354 $25,229 −15% $27,975 −24% —
905 MS-DRG 42.00: SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $21,327 $21,327 $25,197 −15% $25,197 −15% —
830 MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $21,287 $21,287 $25,149 −15% $31,170 −32% —
299 MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH MCC $21,220 $21,220 $21,220 +0% $27,316 −22% —
183 MS-DRG 42.00: MAJOR CHEST TRAUMA WITH MCC $21,206 $21,206 $21,857 −3% $29,933 −29% —
841 MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $21,193 $21,193 $25,038 −15% $33,633 −37% —
385 MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH MCC $21,098 $21,098 $24,927 −15% $27,617 −24% —
410 MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $21,071 $21,071 $24,895 −15% $34,434 −39% —
115 MS-DRG 42.00: EXTRAOCULAR PROCEDURES EXCEPT ORBIT $21,058 $21,058 $24,879 −15% $25,703 −18% —
564 MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $21,031 $21,031 $24,847 −15% $33,653 −38% —
813 MS-DRG 42.00: COAGULATION DISORDERS $21,004 $21,004 $24,815 −15% $33,296 −37% —
557 MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $20,964 $20,964 $24,768 −15% $32,877 −36% —
186 MS-DRG 42.00: PLEURAL EFFUSION WITH MCC $20,896 $20,896 $24,688 −15% $33,834 −38% —
142 MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $20,802 $20,802 $24,577 −15% $34,906 −40% —
487 MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $20,802 $20,802 $24,577 −15% $35,074 −41% —
769 MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $20,789 $20,789 $24,561 −15% $25,094 −17% —
345 MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $20,748 $20,748 $20,981 −1% $33,048 −37% —
154 MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $20,708 $20,708 $24,465 −15% $27,633 −25% —
306 MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $20,694 $20,694 $24,450 −15% $24,586 −16% —
669 MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITH CC $20,667 $20,667 $24,418 −15% $34,354 −40% —
088 MS-DRG 42.00: CONCUSSION WITH MCC $20,654 $20,654 $24,402 −15% $24,402 −15% —
583 MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $20,492 $20,492 $24,211 −15% $35,831 −43% —
562 MS-DRG 42.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $20,479 $20,479 $17,525 +17% $29,743 −31% —
621 MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $20,425 $20,425 $24,131 −15% $32,451 −37% —
073 MS-DRG 42.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $20,371 $20,371 $24,068 −15% $30,010 −32% —
398 MS-DRG 42.00: APPENDIX PROCEDURES WITH CC $20,371 $20,371 $46,322 −56% $40,162 −49% —
077 MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH MCC $20,344 $20,344 $24,036 −15% $24,550 −17% —
413 MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $20,331 $20,331 $24,020 −15% $29,316 −31% —
604 MS-DRG 42.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $20,277 $20,277 $23,956 −15% $28,140 −28% —
137 MS-DRG 42.00: MOUTH PROCEDURES WITH CC/MCC $20,264 $20,264 $23,941 −15% $27,861 −27% —
682 MS-DRG 42.00: RENAL FAILURE WITH MCC $20,210 $20,210 $23,877 −15% $29,064 −30% ≈145% of Medicare
964 MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $20,210 $20,210 $23,877 −15% $27,394 −26% —
337 MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $20,142 $20,142 $23,797 −15% $39,211 −49% —
913 MS-DRG 42.00: TRAUMATIC INJURY WITH MCC $20,129 $20,129 $23,781 −15% $24,198 −17% —
517 MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $20,115 $20,115 $38,461 −48% $33,393 −40% —
626 MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $20,089 $20,089 $23,734 −15% $33,454 −40% —
757 MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $20,089 $20,089 $23,734 −15% $26,280 −24% —
794 MS-DRG 42.00: NEONATE WITH OTHER SIGNIFICANT PROBLEMS $20,062 $20,062 $6,340 +216% $8,445 +138% —
602 MS-DRG 42.00: CELLULITIS WITH MCC $20,035 $20,035 $27,249 −26% $30,598 −35% —
063 MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $20,021 $20,021 $23,654 −15% $39,887 −50% —
658 MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $19,927 $19,927 $31,926 −38% $36,253 −45% —
289 MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $19,900 $19,900 $19,900 +0% $32,697 −39% —
054 MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITH MCC $19,846 $19,846 $19,130 +4% $30,502 −35% —
615 MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $19,806 $19,806 $23,400 −15% $32,833 −40% —
506 MS-DRG 42.00: MAJOR THUMB OR JOINT PROCEDURES $19,698 $19,698 $23,272 −15% $30,557 −36% —
663 MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH CC $19,644 $19,644 $23,209 −15% $33,103 −41% —
708 MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $19,644 $19,644 $26,453 −26% $36,988 −47% —
351 MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $19,604 $19,604 $23,161 −15% $36,505 −46% —
388 MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH MCC $19,577 $19,577 $17,940 +9% $30,571 −36% —
713 MS-DRG 42.00: TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $19,536 $19,536 $23,082 −15% $32,100 −39% —
637 MS-DRG 42.00: DIABETES WITH MCC $19,510 $19,510 $23,050 −15% $30,100 −35% —
508 MS-DRG 42.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $19,308 $19,308 $22,811 −15% $22,811 −15% —
520 MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $19,281 $19,281 $22,779 −15% $35,465 −46% —
818 MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $19,267 $19,267 $19,267 +0% $26,870 −28% —
497 MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $19,213 $19,213 $22,700 −15% $29,805 −36% —
716 MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $19,146 $19,146 $22,620 −15% $22,620 −15% —
796 MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $19,092 $19,092 $25,169 −24% $22,557 −15% —
067 MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $19,079 $19,079 $22,541 −15% $24,941 −24% —
693 MS-DRG 42.00: URINARY STONES WITH MCC $19,065 $19,065 $22,525 −15% $23,892 −20% —
977 MS-DRG 42.00: HIV WITH OR WITHOUT OTHER RELATED CONDITION $19,065 $19,065 $22,525 −15% $22,525 −15% —
836 MS-DRG 42.00: ACUTE LEUKEMIA WITHOUT CC/MCC $19,011 $19,011 $22,461 −15% $19,686 −3% —
422 MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $18,998 $18,998 $22,445 −15% $25,073 −24% —
748 MS-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $18,917 $18,917 $22,350 −15% $30,242 −37% —
811 MS-DRG 42.00: RED BLOOD CELL DISORDERS WITH MCC $18,904 $18,904 $24,259 −22% $28,226 −33% —
175 MS-DRG 42.00: PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $18,890 $18,890 $22,318 −15% $30,959 −39% ≈159% of Medicare
555 MS-DRG 42.00: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $18,836 $18,836 $22,254 −15% $24,127 −22% —
383 MS-DRG 42.00: UNCOMPLICATED PEPTIC ULCER WITH MCC $18,823 $18,823 $22,238 −15% $27,426 −31% —
630 MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $18,796 $18,796 $22,207 −15% $22,393 −16% —
241 MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $18,769 $18,769 $22,175 −15% $30,770 −39% —
502 MS-DRG 42.00: SOFT TISSUE PROCEDURES WITHOUT CC/MCC $18,621 $18,621 $20,310 −8% $31,017 −40% —
885 MS-DRG 42.00: PSYCHOSES $18,392 $18,392 $20,061 −8% $21,729 −15% —
738 MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $18,379 $18,379 $21,714 −15% $33,674 −45% —
057 MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $18,352 $18,352 $21,682 −15% $27,543 −33% —
355 MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $18,352 $18,352 $36,170 −49% $32,841 −44% —
975 MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH CC $18,352 $18,352 $21,682 −15% $27,808 −34% —
750 MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $18,311 $18,311 $21,634 −15% $27,989 −35% —
083 MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $18,257 $18,257 $21,570 −15% $27,285 −33% —
168 MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $18,257 $18,257 $21,570 −15% $29,949 −39% —
909 MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $18,257 $18,257 $21,570 −15% $28,156 −35% —
553 MS-DRG 42.00: BONE DISEASES AND ARTHROPATHIES WITH MCC $18,204 $18,204 $19,855 −8% $26,051 −30% —
581 MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $18,136 $18,136 $21,427 −15% $26,932 −33% —
660 MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $18,123 $18,123 $21,411 −15% $31,264 −42% ≈151% of Medicare
416 MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $18,029 $18,029 $18,029 +0% $30,418 −41% —
193 MS-DRG 42.00: SIMPLE PNEUMONIA AND PLEURISY WITH MCC $17,867 $17,867 $20,532 −13% $27,275 −34% ≈150% of Medicare
124 MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $17,800 $17,800 $21,029 −15% $21,894 −19% —
099 MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $17,773 $17,773 $20,998 −15% $27,119 −34% —
086 MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $17,732 $17,732 $20,950 −15% $27,043 −34% —
150 MS-DRG 42.00: EPISTAXIS WITH MCC $17,705 $17,705 $20,918 −15% $23,171 −24% —
640 MS-DRG 42.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $17,705 $17,705 $20,918 −15% $25,463 −30% ≈152% of Medicare
419 MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $17,678 $17,678 $20,886 −15% $36,937 −52% —
642 MS-DRG 42.00: INBORN AND OTHER DISORDERS OF METABOLISM $17,544 $17,544 $18,410 −5% $20,727 −15% —
839 MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $17,544 $17,544 $20,727 −15% $20,980 −16% —
348 MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITH CC $17,517 $17,517 $20,695 −15% $27,947 −37% —
741 MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $17,490 $17,490 $20,664 −15% $30,493 −43% —
540 MS-DRG 42.00: OSTEOMYELITIS WITH CC $17,476 $17,476 $17,476 +0% $26,676 −34% —
535 MS-DRG 42.00: FRACTURES OF HIP AND PELVIS WITH MCC $17,463 $17,463 $20,632 −15% $24,552 −29% —
710 MS-DRG 42.00: PENIS PROCEDURES WITHOUT CC/MCC $17,463 $17,463 $20,632 −15% $26,436 −34% —
887 MS-DRG 42.00: OTHER MENTAL DISORDER DIAGNOSES $17,450 $17,450 $17,450 +0% $20,616 −15% —
825 MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $17,382 $17,382 $20,536 −15% $27,323 −36% —
499 MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $17,369 $17,369 $20,520 −15% $21,230 −18% —
346 MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $17,342 $17,342 $20,489 −15% $27,297 −36% —
291 MS-DRG 42.00: HEART FAILURE AND SHOCK WITH MCC $17,288 $17,288 $22,026 −22% $26,776 −35% ≈152% of Medicare
858 MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $17,275 $17,275 $20,409 −15% $25,748 −33% —
121 MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $17,248 $17,248 $20,377 −15% $19,412 −11% —
358 MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $17,248 $17,248 $20,377 −15% $30,083 −43% —
391 MS-DRG 42.00: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $17,180 $17,180 $31,115 −45% $28,050 −39% ≈149% of Medicare
947 MS-DRG 42.00: SIGNS AND SYMPTOMS WITH MCC $16,857 $16,857 $24,565 −31% $27,401 −38% —
903 MS-DRG 42.00: WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $16,722 $16,722 $19,757 −15% $25,581 −35% —
725 MS-DRG 42.00: BENIGN PROSTATIC HYPERTROPHY WITH MCC $16,709 $16,709 $19,741 −15% $22,320 −25% —
822 MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $16,682 $16,682 $30,135 −45% $25,390 −34% —
489 MS-DRG 42.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $16,669 $16,669 $19,693 −15% $28,320 −41% —
147 MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $16,642 $16,642 $19,661 −15% $22,851 −27% —
627 MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $16,642 $16,642 $19,661 −15% $28,125 −41% —
114 MS-DRG 42.00: ORBITAL PROCEDURES WITHOUT CC/MCC $16,588 $16,588 $19,598 −15% $19,598 −15% —
189 MS-DRG 42.00: PULMONARY EDEMA AND RESPIRATORY FAILURE $16,588 $16,588 $19,598 −15% $26,580 −38% ≈155% of Medicare
145 MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $16,440 $16,440 $16,440 +0% $25,712 −36% —
768 MS-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $16,399 $16,399 $17,611 −7% $16,846 −3% —
847 MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $16,332 $16,332 $19,296 −15% $23,498 −30% —
593 MS-DRG 42.00: SKIN ULCERS WITH CC $16,292 $16,292 $19,248 −15% $22,886 −29% —
804 MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $16,292 $16,292 $19,248 −15% $24,544 −34% —
102 MS-DRG 42.00: HEADACHES WITH MCC $16,251 $16,251 $19,200 −15% $25,740 −37% —
549 MS-DRG 42.00: SEPTIC ARTHRITIS WITH CC $16,238 $16,238 $17,711 −8% $24,056 −33% —
809 MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $16,211 $16,211 $19,152 −15% $22,458 −28% —
308 MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $16,184 $16,184 $24,544 −34% $26,770 −40% ≈151% of Medicare
546 MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH CC $16,144 $16,144 $19,073 −15% $25,700 −37% —
598 MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH CC $16,144 $16,144 $14,047 +15% $19,073 −15% —
117 MS-DRG 42.00: INTRAOCULAR PROCEDURES WITHOUT CC/MCC $16,130 $16,130 $19,057 −15% $17,193 −6% —
375 MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH CC $16,130 $16,130 $21,615 −25% $27,277 −41% —
695 MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $16,103 $16,103 $19,025 −15% $24,566 −34% —
139 MS-DRG 42.00: SALIVARY GLAND PROCEDURES $15,995 $15,995 $18,898 −15% $23,612 −32% —
152 MS-DRG 42.00: OTITIS MEDIA AND URI WITH MCC $15,995 $15,995 $18,898 −15% $20,247 −21% —
712 MS-DRG 42.00: TESTES PROCEDURES WITHOUT CC/MCC $15,995 $15,995 $18,898 −15% $18,898 −15% —
059 MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $15,982 $15,982 $18,882 −15% $27,163 −41% —
476 MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $15,847 $15,847 $18,723 −15% $23,443 −32% —
718 MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $15,834 $15,834 $18,707 −15% $19,270 −18% —
689 MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $15,807 $15,807 $18,675 −15% $23,617 −33% ≈164% of Medicare
618 MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $15,645 $15,645 $18,484 −15% $19,354 −19% —
743 MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $15,645 $15,645 $21,768 −28% $30,784 −49% —
844 MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $15,578 $15,578 $18,405 −15% $21,847 −29% —
089 MS-DRG 42.00: CONCUSSION WITH CC $15,484 $15,484 $18,293 −15% $18,821 −18% —
304 MS-DRG 42.00: HYPERTENSION WITH MCC $15,470 $15,470 $18,278 −15% $26,080 −41% —
039 MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $15,363 $15,363 $18,150 −15% $26,618 −42% ≈157% of Medicare
572 MS-DRG 42.00: SKIN DEBRIDEMENT WITHOUT CC/MCC $15,349 $15,349 $18,134 −15% $24,944 −38% —
560 MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,241 $15,241 $25,353 −40% $25,279 −40% —
302 MS-DRG 42.00: ATHEROSCLEROSIS WITH MCC $15,093 $15,093 $17,832 −15% $22,446 −33% —
624 MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $15,013 $15,013 $17,737 −15% $17,737 −15% —
723 MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $14,999 $14,999 $17,721 −15% $19,815 −24% —
399 MS-DRG 42.00: APPENDIX PROCEDURES WITHOUT CC/MCC $14,986 $14,986 $17,705 −15% $31,321 −52% —
697 MS-DRG 42.00: URETHRAL STRICTURE $14,986 $14,986 $17,705 −15% $18,428 −19% —
352 MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $14,932 $14,932 $17,641 −15% $27,843 −46% —
190 MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $14,837 $14,837 $22,755 −35% $24,386 −39% ≈160% of Medicare
181 MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH CC $14,824 $14,824 $14,824 +0% $23,573 −37% —
436 MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $14,824 $14,824 $17,514 −15% $25,034 −41% —
294 MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $14,730 $14,730 $17,403 −15% $19,132 −23% —
543 MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $14,689 $14,689 $17,355 −15% $23,551 −38% ≈154% of Medicare
445 MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH CC $14,636 $14,636 $16,888 −13% $23,319 −37% ≈156% of Medicare
868 MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $14,622 $14,622 $17,275 −15% $22,763 −36% —
290 MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $14,609 $14,609 $17,259 −15% $15,901 −8% —
755 MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $14,609 $14,609 $17,259 −15% $18,459 −21% —
287 MS-DRG 42.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $14,568 $14,568 $17,212 −15% $32,021 −55% ≈154% of Medicare
989 MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $14,541 $14,541 $17,180 −15% $25,652 −43% —
200 MS-DRG 42.00: PNEUMOTHORAX WITH CC $14,501 $14,501 $19,471 −26% $21,368 −32% —
831 MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $14,474 $14,474 $14,474 +0% $18,133 −20% —
055 MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $14,447 $14,447 $17,069 −15% $20,926 −31% —
381 MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITH CC $14,447 $14,447 $17,069 −15% $24,177 −40% —
949 MS-DRG 42.00: AFTERCARE WITH CC/MCC $14,447 $14,447 $22,920 −37% $23,953 −40% —
300 MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH CC $14,366 $14,366 $13,789 +4% $20,422 −30% —
842 MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $14,353 $14,353 $14,353 +0% $19,657 −27% —
071 MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $14,299 $14,299 $15,596 −8% $23,488 −39% —
644 MS-DRG 42.00: ENDOCRINE DISORDERS WITH CC $14,299 $14,299 $22,290 −36% $23,198 −38% —
664 MS-DRG 42.00: MINOR BLADDER PROCEDURES WITHOUT CC/MCC $14,299 $14,299 $16,894 −15% $22,314 −36% —
184 MS-DRG 42.00: MAJOR CHEST TRAUMA WITH CC $14,164 $14,164 $16,605 −15% $22,432 −37% —
787 MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH CC $14,151 $14,151 $24,819 −43% $23,571 −40% —
667 MS-DRG 42.00: PROSTATECTOMY WITHOUT CC/MCC $14,137 $14,137 $16,703 −15% $16,703 −15% —
661 MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $14,110 $14,110 $21,320 −34% $25,970 −46% —
687 MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $14,070 $14,070 $15,347 −8% $20,232 −30% —
372 MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $14,030 $14,030 $16,765 −16% $22,850 −39% —
514 MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $14,030 $14,030 $16,575 −15% $22,635 −38% —
745 MS-DRG 42.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $13,949 $13,949 $16,480 −15% $18,348 −24% —
920 MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITH CC $13,922 $13,922 $16,444 −15% $22,468 −38% —
433 MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $13,882 $13,882 $16,400 −15% $23,749 −42% —
872 MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $13,868 $13,868 $18,502 −25% $22,888 −39% ≈165% of Medicare
074 MS-DRG 42.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $13,814 $13,814 $25,814 −46% $23,141 −40% —
092 MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $13,814 $13,814 $16,321 −15% $24,914 −45% ≈158% of Medicare
600 MS-DRG 42.00: NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $13,814 $13,814 $16,321 −15% $16,700 −17% —
784 MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH CC $13,787 $13,787 $22,202 −38% $23,283 −41% —
699 MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $13,747 $13,747 $16,241 −15% $21,275 −35% ≈153% of Medicare
078 MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH CC $13,693 $13,693 $16,178 −15% $17,698 −23% —
065 MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $13,680 $13,680 $16,162 −15% $23,940 −43% ≈160% of Medicare
923 MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $13,612 $13,612 $16,082 −15% $17,601 −23% —
596 MS-DRG 42.00: MAJOR SKIN DISORDERS WITHOUT MCC $13,585 $13,585 $13,585 +0% $17,226 −21% —
805 MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $13,572 $13,572 $16,035 −15% $15,370 −12% —
863 MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $13,545 $13,545 $17,544 −23% $20,957 −35% —
810 MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $13,531 $13,531 $13,531 +0% $18,316 −26% —
729 MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $13,518 $13,518 $15,971 −15% $17,483 −23% —
565 MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $13,451 $13,451 $28,238 −52% $22,506 −40% —
197 MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH CC $13,437 $13,437 $15,876 −15% $21,941 −39% —
187 MS-DRG 42.00: PLEURAL EFFUSION WITH CC $13,410 $13,410 $15,844 −15% $21,789 −38% —
797 MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $13,410 $13,410 $14,627 −8% $19,962 −33% —
760 MS-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $13,397 $13,397 $15,828 −15% $20,895 −36% —
815 MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $13,383 $13,383 $15,812 −15% $19,264 −31% —
758 MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $13,370 $13,370 $15,796 −15% $20,901 −36% —
257 MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $13,343 $13,343 $15,764 −15% $15,764 −15% —
779 MS-DRG 42.00: ABORTION WITHOUT D&C $13,316 $13,316 $15,732 −15% $15,327 −13% —
369 MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH CC $13,303 $13,303 $15,716 −15% $25,303 −47% —
178 MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $13,289 $13,289 $16,513 −20% $22,024 −40% ≈154% of Medicare
053 MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $13,249 $13,249 $15,653 −15% $20,455 −35% —
378 MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH CC $13,249 $13,249 $17,646 −25% $22,098 −40% ≈160% of Medicare
349 MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $13,141 $13,141 $15,526 −15% $19,854 −34% —
386 MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH CC $13,087 $13,087 $13,087 +0% $22,033 −41% —
315 MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $13,020 $13,020 $13,097 −1% $21,363 −39% —
537 MS-DRG 42.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $13,020 $13,020 $15,382 −15% $18,072 −28% —
552 MS-DRG 42.00: MEDICAL BACK PROBLEMS WITHOUT MCC $13,006 $13,006 $18,482 −30% $21,396 −39% ≈163% of Medicare
670 MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $12,966 $12,966 $15,319 −15% $20,911 −38% —
714 MS-DRG 42.00: TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $12,912 $12,912 $15,255 −15% $17,934 −28% —
202 MS-DRG 42.00: BRONCHITIS AND ASTHMA WITH CC/MCC $12,899 $12,899 $15,239 −15% $17,724 −27% —
965 MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $12,872 $12,872 $15,207 −15% $20,259 −36% —
880 MS-DRG 42.00: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $12,858 $12,858 $8,096 +59% $17,733 −27% —
442 MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $12,818 $12,818 $13,196 −3% $21,449 −40% —
155 MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $12,751 $12,751 $15,064 −15% $16,968 −25% —
550 MS-DRG 42.00: SEPTIC ARTHRITIS WITHOUT CC/MCC $12,710 $12,710 $15,017 −15% $19,138 −34% —
307 MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $12,697 $12,697 $15,001 −15% $20,566 −38% —
158 MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH CC $12,643 $12,643 $14,937 −15% $18,466 −32% —
882 MS-DRG 42.00: NEUROSES EXCEPT DEPRESSIVE $12,643 $12,643 $14,937 −15% $15,680 −19% —
672 MS-DRG 42.00: URETHRAL PROCEDURES WITHOUT CC/MCC $12,629 $12,629 $14,921 −15% $17,398 −27% —
394 MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $12,616 $12,616 $14,905 −15% $20,181 −37% ≈169% of Medicare
090 MS-DRG 42.00: CONCUSSION WITHOUT CC/MCC $12,589 $12,589 $14,873 −15% $15,412 −18% —
076 MS-DRG 42.00: VIRAL MENINGITIS WITHOUT CC/MCC $12,427 $12,427 $14,682 −15% $17,135 −27% —
084 MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $12,387 $12,387 $14,635 −15% $19,924 −38% —
866 MS-DRG 42.00: VIRAL ILLNESS WITHOUT MCC $12,360 $12,360 $12,360 +0% $17,081 −28% —
206 MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $12,306 $12,306 $13,423 −8% $18,488 −33% —
281 MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $12,293 $12,293 $16,368 −25% $20,463 −40% ≈164% of Medicare
081 MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $12,252 $12,252 $14,476 −15% $16,552 −26% —
101 MS-DRG 42.00: SEIZURES WITHOUT MCC $12,252 $12,252 $14,476 −15% $20,461 −40% —
605 MS-DRG 42.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $12,239 $12,239 $14,460 −15% $20,506 −40% —
914 MS-DRG 42.00: TRAUMATIC INJURY WITHOUT MCC $12,225 $12,225 $14,444 −15% $15,855 −23% —
819 MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $12,212 $12,212 $17,982 −32% $18,126 −33% —
881 MS-DRG 42.00: DEPRESSIVE NEUROSES $12,212 $12,212 $13,416 −9% $15,058 −19% —
683 MS-DRG 42.00: RENAL FAILURE WITH CC $12,131 $12,131 $15,280 −21% $19,130 −37% ≈161% of Medicare
812 MS-DRG 42.00: RED BLOOD CELL DISORDERS WITHOUT MCC $12,131 $12,131 $17,264 −30% $20,488 −41% —
638 MS-DRG 42.00: DIABETES WITH CC $12,104 $12,104 $18,509 −35% $19,661 −38% ≈160% of Medicare
060 MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $12,077 $12,077 $14,269 −15% $22,148 −45% —
563 MS-DRG 42.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $12,064 $12,064 $15,291 −21% $19,842 −39% —
607 MS-DRG 42.00: MINOR SKIN DISORDERS WITHOUT MCC $12,037 $12,037 $12,037 +0% $15,889 −24% —
376 MS-DRG 42.00: DIGESTIVE MALIGNANCY WITHOUT CC/MCC $11,997 $11,997 $14,173 −15% $16,998 −29% —
747 MS-DRG 42.00: VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $11,943 $11,943 $14,110 −15% $19,594 −39% —
087 MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $11,929 $11,929 $14,094 −15% $16,520 −28% —
603 MS-DRG 42.00: CELLULITIS WITHOUT MCC $11,916 $11,916 $15,317 −22% $18,530 −36% ≈176% of Medicare
864 MS-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS $11,889 $11,889 $14,165 −16% $18,640 −36% —
558 MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $11,822 $11,822 $17,229 −31% $18,602 −36% —
384 MS-DRG 42.00: UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $11,795 $11,795 $13,935 −15% $19,305 −39% —
068 MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $11,727 $11,727 $13,539 −13% $19,569 −40% —
138 MS-DRG 42.00: MOUTH PROCEDURES WITHOUT CC/MCC $11,660 $11,660 $13,776 −15% $19,119 −39% —
785 MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $11,660 $11,660 $23,582 −51% $19,846 −41% —
845 MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $11,646 $11,646 $13,760 −15% $14,055 −17% —
312 MS-DRG 42.00: SYNCOPE AND COLLAPSE $11,633 $11,633 $13,744 −15% $19,342 −40% ≈159% of Medicare
918 MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $11,593 $11,593 $13,696 −15% $15,452 −25% —
541 MS-DRG 42.00: OSTEOMYELITIS WITHOUT CC/MCC $11,552 $11,552 $13,648 −15% $15,215 −24% —
292 MS-DRG 42.00: HEART FAILURE AND SHOCK WITH CC $11,539 $11,539 $13,633 −15% $16,371 −30% ≈157% of Medicare
897 MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $11,525 $11,525 $13,617 −15% $16,699 −31% ≈149% of Medicare
439 MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $11,512 $11,512 $14,764 −22% $19,096 −40% —
788 MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $11,512 $11,512 $24,036 −52% $20,084 −43% —
191 MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $11,431 $11,431 $13,505 −15% $18,807 −39% —
976 MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $11,377 $11,377 $12,929 −12% $16,212 −30% —
103 MS-DRG 42.00: HEADACHES WITHOUT MCC $11,337 $11,337 $13,394 −15% $21,280 −47% —
848 MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $11,256 $11,256 $13,299 −15% $14,501 −22% —
798 MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $11,243 $11,243 $13,283 −15% $18,452 −39% —
437 MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $11,189 $11,189 $13,219 −15% $14,014 −20% —
556 MS-DRG 42.00: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $11,094 $11,094 $13,108 −15% $18,126 −39% —
204 MS-DRG 42.00: RESPIRATORY SIGNS AND SYMPTOMS $11,081 $11,081 $15,876 −30% $18,004 −38% —
547 MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $11,081 $11,081 $13,092 −15% $16,565 −33% —
194 MS-DRG 42.00: SIMPLE PNEUMONIA AND PLEURISY WITH CC $11,068 $11,068 $14,980 −26% $18,204 −39% ≈158% of Medicare
554 MS-DRG 42.00: BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $11,068 $11,068 $13,076 −15% $18,528 −40% —
176 MS-DRG 42.00: PULMONARY EMBOLISM WITHOUT MCC $10,987 $10,987 $12,980 −15% $18,081 −39% —
534 MS-DRG 42.00: FRACTURES OF FEMUR WITHOUT MCC $10,906 $10,906 $12,885 −15% $17,559 −38% —
724 MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,906 $10,906 $12,885 −15% $12,768 −15% —
690 MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $10,866 $10,866 $15,804 −31% $17,674 −39% ≈162% of Medicare
123 MS-DRG 42.00: NEUROLOGICAL EYE DISORDERS $10,825 $10,825 $12,789 −15% $19,745 −45% —
446 MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $10,798 $10,798 $13,277 −19% $17,700 −39% —
948 MS-DRG 42.00: SIGNS AND SYMPTOMS WITHOUT MCC $10,785 $10,785 $24,248 −56% $17,921 −40% ≈153% of Medicare
728 MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $10,771 $10,771 $12,726 −15% $17,118 −37% —
069 MS-DRG 42.00: TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $10,758 $10,758 $14,078 −24% $21,056 −49% —
182 MS-DRG 42.00: RESPIRATORY NEOPLASMS WITHOUT CC/MCC $10,758 $10,758 $12,710 −15% $14,064 −24% —
770 MS-DRG 42.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $10,758 $10,758 $12,710 −15% $18,956 −43% —
125 MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITHOUT MCC $10,744 $10,744 $12,694 −15% $17,298 −38% —
295 MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $10,731 $10,731 $12,678 −15% $13,445 −20% —
389 MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH CC $10,717 $10,717 $12,964 −17% $17,578 −39% ≈166% of Medicare
536 MS-DRG 42.00: FRACTURES OF HIP AND PELVIS WITHOUT MCC $10,596 $10,596 $28,878 −63% $18,002 −41% —
594 MS-DRG 42.00: SKIN ULCERS WITHOUT CC/MCC $10,596 $10,596 $12,519 −15% $14,209 −25% —
392 MS-DRG 42.00: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $10,583 $10,583 $12,604 −16% $17,322 −39% ≈163% of Medicare
072 MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $10,542 $10,542 $15,229 −31% $19,037 −45% —
694 MS-DRG 42.00: URINARY STONES WITHOUT MCC $10,542 $10,542 $12,455 −15% $17,345 −39% —
641 MS-DRG 42.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $10,516 $10,516 $12,424 −15% $17,038 −38% ≈166% of Medicare
688 MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $10,516 $10,516 $12,424 −15% $12,593 −17% —
561 MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,502 $10,502 $23,480 −55% $18,150 −42% —
198 MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $10,475 $10,475 $12,376 −15% $15,549 −33% —
093 MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $10,421 $10,421 $18,161 −43% $17,620 −41% —
151 MS-DRG 42.00: EPISTAXIS WITHOUT MCC $10,381 $10,381 $12,265 −15% $13,032 −20% —
544 MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $10,340 $10,340 $12,217 −15% $16,776 −38% —
179 MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $10,273 $10,273 $15,452 −34% $14,648 −30% —
645 MS-DRG 42.00: ENDOCRINE DISORDERS WITHOUT CC/MCC $10,246 $10,246 $12,105 −15% $15,428 −34% —
382 MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $10,192 $10,192 $10,192 +0% $16,634 −39% —
185 MS-DRG 42.00: MAJOR CHEST TRAUMA WITHOUT CC/MCC $10,179 $10,179 $12,026 −15% $17,124 −41% —
305 MS-DRG 42.00: HYPERTENSION WITHOUT MCC $10,152 $10,152 $12,040 −16% $18,086 −44% ≈177% of Medicare
566 MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $10,112 $10,112 $11,946 −15% $14,716 −31% —
188 MS-DRG 42.00: PLEURAL EFFUSION WITHOUT CC/MCC $10,058 $10,058 $11,883 −15% $14,514 −31% —
806 MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $10,058 $10,058 $12,024 −16% $13,275 −24% —
122 MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $10,031 $10,031 $11,851 −15% $11,997 −16% —
149 MS-DRG 42.00: DYSEQUILIBRIUM $10,031 $10,031 $11,851 −15% $18,096 −45% —
309 MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $10,031 $10,031 $12,766 −21% $17,303 −42% ≈190% of Medicare
370 MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $10,017 $10,017 $11,835 −15% $15,495 −35% —
079 MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $9,977 $9,977 $11,787 −15% $11,847 −16% —
284 MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $9,963 $9,963 $11,771 −15% $16,450 −39% —
832 MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $9,937 $9,937 $10,838 −8% $12,895 −23% —
153 MS-DRG 42.00: OTITIS MEDIA AND URI WITHOUT MCC $9,896 $9,896 $11,692 −15% $14,583 −32% —
726 MS-DRG 42.00: BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $9,842 $9,842 $11,628 −15% $15,019 −34% —
297 MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH CC $9,815 $9,815 $11,596 −15% $12,336 −20% —
313 MS-DRG 42.00: CHEST PAIN $9,748 $9,748 $11,517 −15% $16,440 −41% —
282 MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $9,667 $9,667 $11,421 −15% $19,227 −50% ≈177% of Medicare
373 MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $9,654 $9,654 $13,634 −29% $16,767 −42% —
776 MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $9,654 $9,654 $11,406 −15% $12,454 −22% —
443 MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $9,627 $9,627 $11,374 −15% $15,600 −38% —
301 MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $9,560 $9,560 $11,294 −15% $15,837 −40% —
816 MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $9,560 $9,560 $11,294 −15% $14,638 −35% —
538 MS-DRG 42.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $9,546 $9,546 $11,278 −15% $11,909 −20% —
700 MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $9,533 $9,533 $11,262 −15% $14,797 −36% —
201 MS-DRG 42.00: PNEUMOTHORAX WITHOUT CC/MCC $9,506 $9,506 $11,231 −15% $14,053 −32% —
311 MS-DRG 42.00: ANGINA PECTORIS $9,398 $9,398 $11,371 −17% $15,502 −39% —
921 MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $9,398 $9,398 $14,166 −34% $14,415 −35% —
203 MS-DRG 42.00: BRONCHITIS AND ASTHMA WITHOUT CC/MCC $9,358 $9,358 $11,056 −15% $12,252 −24% —
316 MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $9,331 $9,331 $11,024 −15% $13,651 −32% —
696 MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $9,317 $9,317 $11,008 −15% $14,689 −37% —
869 MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $9,304 $9,304 $10,992 −15% $12,559 −26% —
066 MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $9,263 $9,263 $17,817 −48% $20,781 −55% —
387 MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $9,209 $9,209 $10,881 −15% $16,288 −43% —
159 MS-DRG 42.00: DENTAL AND ORAL DISEASES WITHOUT CC/MCC $9,088 $9,088 $10,737 −15% $13,633 −33% —
599 MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $9,061 $9,061 $10,706 −15% $14,290 −37% —
434 MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $9,021 $9,021 $10,658 −15% $12,460 −28% —
916 MS-DRG 42.00: ALLERGIC REACTIONS WITHOUT MCC $8,873 $8,873 $10,483 −15% $13,942 −36% —
303 MS-DRG 42.00: ATHEROSCLEROSIS WITHOUT MCC $8,859 $8,859 $10,467 −15% $14,927 −41% —
156 MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $8,832 $8,832 $9,634 −8% $14,549 −39% —
807 MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $8,806 $8,806 $11,135 −21% $12,078 −27% —
395 MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $8,725 $8,725 $10,308 −15% $14,128 −38% —
759 MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,698 $8,698 $10,276 −15% $14,250 −39% —
192 MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $8,644 $8,644 $10,073 −14% $14,368 −40% —
950 MS-DRG 42.00: AFTERCARE WITHOUT CC/MCC $8,604 $8,604 $10,165 −15% $13,527 −36% —
601 MS-DRG 42.00: NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $8,536 $8,536 $10,085 −15% $10,975 −22% —
379 MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $8,523 $8,523 $10,069 −15% $15,038 −43% —
195 MS-DRG 42.00: SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $8,429 $8,429 $11,656 −28% $13,824 −39% —
639 MS-DRG 42.00: DIABETES WITHOUT CC/MCC $8,388 $8,388 $14,628 −43% $13,910 −40% —
730 MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $8,375 $8,375 $9,894 −15% $11,071 −24% —
440 MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $8,294 $8,294 $9,799 −15% $15,183 −45% —
684 MS-DRG 42.00: RENAL FAILURE WITHOUT CC/MCC $8,200 $8,200 $9,688 −15% $13,642 −40% —
761 MS-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $8,159 $8,159 $9,640 −15% $11,421 −29% —
951 MS-DRG 42.00: OTHER FACTORS INFLUENCING HEALTH STATUS $7,944 $7,944 $9,385 −15% $10,160 −22% —
894 MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $7,742 $7,742 $14,515 −47% $12,324 −37% —
293 MS-DRG 42.00: HEART FAILURE AND SHOCK WITHOUT CC/MCC $7,567 $7,567 $13,195 −43% $12,999 −42% —
390 MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $7,526 $7,526 $10,211 −26% $13,361 −44% ≈194% of Medicare
310 MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $7,446 $7,446 $12,768 −42% $13,384 −44% ≈192% of Medicare
833 MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $6,894 $6,894 $8,145 −15% $9,940 −31% —
285 MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $6,584 $6,584 $7,779 −15% $10,480 −37% —
298 MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $5,924 $5,924 $6,999 −15% $8,927 −34% —
795 MS-DRG 42.00: NORMAL NEWBORN $2,720 $2,720 $3,313 −18% $4,720 −42% —

Procedures with negotiated rates only

These 22 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
136 MS-DRG 42.00: SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $9,344 – $21,851 · median $12,240 10 plans
148 MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $7,648 – $17,886 · median $10,019 10 plans
317 MS-DRG 42.00: CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $59,093 – $138,192 · median $77,412 10 plans
402 MS-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $37,370 – $87,391 · median $48,954 10 plans
426 MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $100,062 – $233,999 · median $131,081 10 plans
427 MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $67,845 – $158,660 · median $88,877 10 plans
428 MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $52,575 – $122,951 · median $68,874 10 plans
429 MS-DRG 42.00: COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $79,670 – $186,312 · median $104,367 10 plans
430 MS-DRG 42.00: COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $52,255 – $122,200 · median $68,453 10 plans
447 MS-DRG 42.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $64,044 – $149,770 · median $83,897 10 plans
448 MS-DRG 42.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $39,006 – $91,217 · median $51,098 10 plans
450 MS-DRG 42.00: SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $49,194 – $115,043 · median $64,444 10 plans
451 MS-DRG 42.00: SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $29,478 – $68,935 · median $38,616 10 plans
509 MS-DRG 42.00: ARTHROSCOPY $16,780 – $39,241 · median $21,982 10 plans
625 MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $27,387 – $64,045 · median $35,877 10 plans
735 MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $11,595 – $27,116 · median $15,190 10 plans
756 MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $9,122 – $21,333 · median $11,950 10 plans
850 MS-DRG 42.00: ACUTE LEUKEMIA WITH OTHER PROCEDURES $87,993 – $205,775 · median $115,270 10 plans
933 MS-DRG 42.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $41,331 – $96,654 · median $54,143 10 plans
945 MS-DRG 42.00: REHABILITATION WITH CC/MCC $14,581 – $34,099 · median $19,101 10 plans
946 MS-DRG 42.00: REHABILITATION WITHOUT CC/MCC $10,665 – $24,940 · median $13,971 10 plans
010 MS-DRG 42.00: PANCREAS TRANSPLANT $76,159 – $178,101 · median $121,854 9 plans
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