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.
| DRG | Description | Published price | Cash price | vs. WY median | vs. National median | ||
|---|---|---|---|---|---|---|---|
| 018 | MS-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $496,060 | $496,060 | $586,074 | −15% | $498,715 | −1% |
| 001 | MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $364,865 | $364,865 | $431,073 | −15% | $431,073 | −15% |
| 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% | $248,230 | −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% | $171,338 | −15% |
| 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% | $191,314 | −28% |
| 216 | MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $130,670 | $130,670 | $154,381 | −15% | $175,437 | −26% |
| 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% | $147,083 | −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% | $120,587 | −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% | $143,871 | −35% |
| 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% | $121,714 | −30% |
| 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% | $107,532 | −24% |
| 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% | $104,702 | −23% |
| 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% | $108,151 | −26% |
| 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% | $91,266 | −16% |
| 576 | MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $76,517 | $76,517 | $90,401 | −15% | $82,527 | −7% |
| 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% | $86,389 | −13% |
| 405 | MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $74,120 | $74,120 | $87,570 | −15% | $94,478 | −22% |
| 653 | MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH MCC | $72,895 | $72,895 | $86,122 | −15% | $100,871 | −28% |
| 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% | $102,177 | −31% |
| 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% | $87,031 | −20% |
| 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% |
| 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% | $91,511 | −26% |
| 799 | MS-DRG 42.00: SPLENIC PROCEDURES WITH MCC | $66,715 | $66,715 | $78,821 | −15% | $78,821 | −15% |
| 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% |
| 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% | $76,910 | −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% | $91,116 | −29% |
| 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% | $87,201 | −27% |
| 163 | MS-DRG 42.00: MAJOR CHEST PROCEDURES WITH MCC | $63,470 | $63,470 | $74,987 | −15% | $88,341 | −28% |
| 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% | $88,691 | −30% |
| 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% |
| 823 | MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $60,616 | $60,616 | $71,615 | −15% | $81,439 | −26% |
| 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% | $79,126 | −24% |
| 856 | MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $59,619 | $59,619 | $70,438 | −15% | $76,458 | −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% | $69,388 | −15% |
| 901 | MS-DRG 42.00: WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $58,273 | $58,273 | $68,847 | −15% | $68,847 | −15% |
| 474 | MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $57,936 | $57,936 | $57,936 | +0% | $74,665 | −22% |
| 356 | MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $57,613 | $57,613 | $58,536 | −2% | $82,561 | −30% |
| 793 | MS-DRG 42.00: FULL TERM NEONATE WITH MAJOR PROBLEMS | $56,671 | $56,671 | $15,154 | +274% | $23,091 | +145% |
| 269 | MS-DRG 42.00: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $55,997 | $55,997 | $66,159 | −15% | $83,065 | −33% |
| 323 | MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $55,742 | $55,742 | $65,856 | −15% | $91,884 | −39% |
| 031 | MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITH MCC | $55,432 | $55,432 | $65,490 | −15% | $68,659 | −19% |
| 791 | MS-DRG 42.00: PREMATURITY WITH MAJOR PROBLEMS | $55,176 | $55,176 | $14,858 | +271% | $51,969 | +6% |
| 166 | MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $54,638 | $54,638 | $64,552 | −15% | $75,141 | −27% |
| 958 | MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $54,462 | $54,462 | $64,345 | −15% | $70,455 | −23% |
| 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% | $71,235 | −24% |
| 012 | MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $53,924 | $53,924 | $63,709 | −15% | $79,020 | −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% | $68,118 | −22% |
| 022 | MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $52,820 | $52,820 | $62,404 | −15% | $66,852 | −21% |
| 423 | MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $52,658 | $52,658 | $62,214 | −15% | $75,180 | −30% |
| 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 | $69,917 | −25% | $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% | $65,264 | −21% |
| 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% | $59,207 | −15% |
| 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% | $79,387 | −37% |
| 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% | $57,855 | −15% |
| 094 | MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $48,781 | $48,781 | $48,781 | +0% | $66,578 | −27% |
| 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% | $57,521 | −15% |
| 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% | $63,092 | −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% | $68,880 | −32% |
| 492 | MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $46,613 | $46,613 | $68,344 | −32% | $70,540 | −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% |
| 242 | MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $46,519 | $46,519 | $54,960 | −15% | $70,132 | −34% |
| 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% | $60,628 | −24% |
| 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% | $51,137 | −10% |
| 987 | MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $45,468 | $45,468 | $53,719 | −15% | $67,124 | −32% |
| 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% | $64,132 | −29% |
| 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% | $56,769 | −21% |
| 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% | $69,425 | −36% |
| 485 | MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $44,351 | $44,351 | $52,399 | −15% | $64,956 | −32% |
| 264 | MS-DRG 42.00: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $43,974 | $43,974 | $51,953 | −15% | $53,069 | −17% |
| 904 | MS-DRG 42.00: SKIN GRAFTS FOR INJURIES WITH CC/MCC | $43,839 | $43,839 | $51,794 | −15% | $55,084 | −20% |
| 500 | MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH MCC | $43,664 | $43,664 | $43,664 | +0% | $61,861 | −29% |
| 274 | MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $43,637 | $43,637 | $51,556 | −15% | $65,573 | −33% |
| 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% | $51,904 | −17% |
| 279 | MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $43,099 | $43,099 | $50,919 | −15% | $61,567 | −30% |
| 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% | $59,349 | −28% |
| 656 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $42,251 | $42,251 | $49,917 | −15% | $64,724 | −35% |
| 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% | $48,915 | −15% |
| 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 | $47,428 | −15% | $60,402 | −33% |
| 662 | MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH MCC | $40,352 | $40,352 | $47,674 | −15% | $54,483 | −26% |
| 521 | MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $40,312 | $40,312 | $47,627 | −15% | $71,958 | −44% |
| 324 | MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $39,975 | $39,975 | $47,229 | −15% | $71,464 | −44% |
| 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% | $64,732 | −39% |
| 353 | MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $39,369 | $39,369 | $46,513 | −15% | $60,140 | −35% |
| 570 | MS-DRG 42.00: SKIN DEBRIDEMENT WITH MCC | $39,342 | $39,342 | $39,342 | +0% | $59,564 | −34% |
| 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% | $81,946 | −53% |
| 462 | MS-DRG 42.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $38,319 | $38,319 | $45,272 | −15% | $56,758 | −32% |
| 263 | MS-DRG 42.00: VEIN LIGATION AND STRIPPING | $38,036 | $38,036 | $44,938 | −15% | $49,774 | −24% |
| 668 | MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITH MCC | $37,942 | $37,942 | $44,827 | −15% | $49,836 | −24% |
| 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% | $39,767 | −5% |
| 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% | $53,011 | −29% |
| 970 | MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $37,430 | $37,430 | $44,222 | −15% | $44,057 | −15% |
| 255 | MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $36,986 | $36,986 | $43,697 | −15% | $45,541 | −19% |
| 344 | MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $36,892 | $36,892 | $43,586 | −15% | $47,362 | −22% |
| 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% | $43,785 | −16% |
| 510 | MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $36,636 | $36,636 | $43,284 | −15% | $49,955 | −27% |
| 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% | $47,729 | −24% |
| 503 | MS-DRG 42.00: FOOT PROCEDURES WITH MCC | $36,111 | $36,111 | $42,663 | −15% | $46,155 | −22% |
| 468 | MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $35,949 | $35,949 | $71,446 | −50% | $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% | $56,593 | −37% |
| 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% | $46,197 | −24% |
| 619 | MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH MCC | $35,047 | $35,047 | $41,407 | −15% | $44,973 | −22% |
| 288 | MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $34,913 | $34,913 | $41,248 | −15% | $46,888 | −26% |
| 659 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $34,859 | $34,859 | $41,184 | −15% | $52,178 | −33% |
| 253 | MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH CC | $34,347 | $34,347 | $40,580 | −15% | $54,009 | −36% |
| 164 | MS-DRG 42.00: MAJOR CHEST PROCEDURES WITH CC | $34,334 | $34,334 | $38,792 | −11% | $53,455 | −36% |
| 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% | $40,277 | −15% |
| 749 | MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $33,889 | $33,889 | $40,039 | −15% | $42,815 | −21% |
| 113 | MS-DRG 42.00: ORBITAL PROCEDURES WITH CC/MCC | $33,755 | $33,755 | $39,880 | −15% | $39,880 | −15% |
| 327 | MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $33,620 | $33,620 | $39,721 | −15% | $59,668 | −44% |
| 545 | MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH MCC | $33,566 | $33,566 | $39,657 | −15% | $42,895 | −22% |
| 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% | $60,369 | −45% |
| 792 | MS-DRG 42.00: PREMATURITY WITHOUT MAJOR PROBLEMS | $33,297 | $33,297 | $7,376 | +351% | $15,256 | +118% |
| 473 | MS-DRG 42.00: CERVICAL SPINAL FUSION WITHOUT CC/MCC | $33,135 | $33,135 | $46,274 | −28% | $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 | $72,144 | −55% | $58,203 | −44% |
| 350 | MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $32,314 | $32,314 | $38,178 | −15% | $49,835 | −35% |
| 056 | MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $32,233 | $32,233 | $89,620 | −64% | $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% | $49,631 | −35% |
| 330 | MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $31,937 | $31,937 | $47,158 | −32% | $64,664 | −51% |
| 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% | $48,235 | −35% |
| 417 | MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $31,210 | $31,210 | $36,873 | −15% | $56,005 | −44% |
| 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% | $49,924 | −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% | $36,237 | −15% |
| 243 | MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $30,671 | $30,671 | $36,237 | −15% | $50,011 | −39% |
| 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% | $46,579 | −35% |
| 614 | MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $30,321 | $30,321 | $35,823 | −15% | $49,077 | −38% |
| 397 | MS-DRG 42.00: APPENDIX PROCEDURES WITH MCC | $30,254 | $30,254 | $35,744 | −15% | $54,751 | −45% |
| 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% | $39,687 | −24% |
| 821 | MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $30,052 | $30,052 | $35,505 | −15% | $48,353 | −38% |
| 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% | $47,820 | −37% |
| 320 | MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $29,971 | $29,971 | $35,410 | −15% | $35,410 | −15% |
| 080 | MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITH MCC | $29,742 | $29,742 | $29,742 | +0% | $35,752 | −17% |
| 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% | $41,442 | −29% |
| 595 | MS-DRG 42.00: MAJOR SKIN DISORDERS WITH MCC | $29,285 | $29,285 | $34,598 | −15% | $32,488 | −10% |
| 734 | MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $29,271 | $29,271 | $34,583 | −15% | $40,891 | −28% |
| 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% | $39,044 | −25% |
| 286 | MS-DRG 42.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $29,029 | $29,029 | $34,296 | −15% | $46,658 | −38% |
| 098 | MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $29,015 | $29,015 | $32,497 | −11% | $43,749 | −34% |
| 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% | $40,596 | −29% |
| 475 | MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $28,881 | $28,881 | $34,121 | −15% | $47,089 | −39% |
| 857 | MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $28,759 | $28,759 | $33,978 | −15% | $47,426 | −39% |
| 424 | MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $28,706 | $28,706 | $33,914 | −15% | $39,893 | −28% |
| 507 | MS-DRG 42.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $28,706 | $28,706 | $33,914 | −15% | $37,744 | −24% |
| 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% | $37,960 | −25% |
| 522 | MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $28,436 | $28,436 | $58,329 | −51% | $61,176 | −54% |
| 146 | MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $28,423 | $28,423 | $33,580 | −15% | $39,247 | −28% |
| 655 | MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $28,382 | $28,382 | $33,533 | −15% | $44,153 | −36% |
| 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% | $53,373 | −47% |
| 374 | MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH MCC | $28,261 | $28,261 | $31,867 | −11% | $42,775 | −34% |
| 314 | MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $28,194 | $28,194 | $28,194 | +0% | $40,916 | −31% |
| 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% | $39,461 | −29% |
| 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% | $34,352 | −18% |
| 481 | MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $27,938 | $27,938 | $33,008 | −15% | $57,107 | −51% |
| 141 | MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITH CC | $27,898 | $27,898 | $32,960 | −15% | $39,141 | −29% |
| 412 | MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITH CC | $27,817 | $27,817 | $32,865 | −15% | $37,834 | −26% |
| 575 | MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $27,548 | $27,548 | $32,546 | −15% | $30,097 | −8% |
| 516 | MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $27,480 | $27,480 | $32,467 | −15% | $47,347 | −42% |
| 935 | MS-DRG 42.00: NON-EXTENSIVE BURNS | $27,480 | $27,480 | $27,480 | +0% | $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% | $44,357 | −38% |
| 486 | MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $27,036 | $27,036 | $31,942 | −15% | $47,529 | −43% |
| 908 | MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $26,982 | $26,982 | $36,262 | −26% | $43,874 | −39% |
| 064 | MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $26,969 | $26,969 | $31,862 | −15% | $39,106 | −31% |
| 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% | $31,311 | −14% |
| 511 | MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $26,848 | $26,848 | $43,476 | −38% | $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 | $26,713 | +0% | $37,126 | −28% |
| 100 | MS-DRG 42.00: SEIZURES WITH MCC | $26,699 | $26,699 | $31,544 | −15% | $36,405 | −27% |
| 871 | MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $26,699 | $26,699 | $31,544 | −15% | $37,479 | −29% |
| 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% | $38,837 | −32% |
| 519 | MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $26,511 | $26,511 | $54,216 | −51% | $44,132 | −40% |
| 707 | MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $26,417 | $26,417 | $40,175 | −34% | $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% | $34,089 | −23% |
| 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 | $31,019 | −15% | $31,019 | −15% |
| 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% | $31,319 | −16% |
| 432 | MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $25,797 | $25,797 | $30,478 | −15% | $38,851 | −34% |
| 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 | $25,515 | +0% | $33,507 | −24% |
| 902 | MS-DRG 42.00: WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $25,380 | $25,380 | $25,380 | +0% | $36,416 | −30% |
| 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% | $51,133 | −50% |
| 744 | MS-DRG 42.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $25,340 | $25,340 | $29,938 | −15% | $36,862 | −31% |
| 906 | MS-DRG 42.00: HAND PROCEDURES FOR INJURIES | $25,340 | $25,340 | $29,938 | −15% | $31,685 | −20% |
| 165 | MS-DRG 42.00: MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $25,259 | $25,259 | $29,842 | −15% | $41,380 | −39% |
| 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% | $26,905 | −6% |
| 062 | MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $25,205 | $25,205 | $29,779 | −15% | $54,619 | −54% |
| 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% | $34,528 | −27% |
| 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% | $48,901 | −49% |
| 259 | MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $25,138 | $25,138 | $29,699 | −15% | $36,091 | −30% |
| 479 | MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $25,097 | $25,097 | $29,651 | −15% | $33,388 | −25% |
| 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% | $37,223 | −33% |
| 843 | MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $25,057 | $25,057 | $29,604 | −15% | $39,105 | −36% |
| 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% | $33,495 | −25% |
| 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% | $29,481 | −15% |
| 559 | MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,922 | $24,922 | $34,173 | −27% | $31,789 | −22% |
| 657 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $24,828 | $24,828 | $29,333 | −15% | $44,833 | −45% |
| 862 | MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $24,801 | $24,801 | $29,301 | −15% | $32,792 | −24% |
| 686 | MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $24,761 | $24,761 | $29,254 | −15% | $36,025 | −31% |
| 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% | $40,063 | −38% |
| 441 | MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $24,612 | $24,612 | $29,079 | −15% | $34,987 | −30% |
| 919 | MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITH MCC | $24,572 | $24,572 | $24,572 | +0% | $31,917 | −23% |
| 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% |
| 167 | MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $24,505 | $24,505 | $28,951 | −15% | $40,563 | −40% |
| 789 | MS-DRG 42.00: NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $24,491 | $24,491 | $24,491 | +0% | $18,632 | +31% |
| 717 | MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $24,424 | $24,424 | $28,856 | −15% | $34,894 | −30% |
| 205 | MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $24,370 | $24,370 | $28,792 | −15% | $33,894 | −28% |
| 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% | $33,652 | −28% |
| 377 | MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH MCC | $24,101 | $24,101 | $28,474 | −15% | $38,041 | −37% |
| 801 | MS-DRG 42.00: SPLENIC PROCEDURES WITHOUT CC/MCC | $24,101 | $24,101 | $28,474 | −15% | $28,634 | −16% |
| 091 | MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $24,087 | $24,087 | $32,001 | −25% | $37,921 | −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% | $39,589 | −39% |
| 742 | MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $23,993 | $23,993 | $58,862 | −59% | $41,113 | −42% |
| 896 | MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $23,939 | $23,939 | $46,625 | −49% | $32,212 | −26% |
| 199 | MS-DRG 42.00: PNEUMOTHORAX WITH MCC | $23,885 | $23,885 | $28,220 | −15% | $34,228 | −30% |
| 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 | $28,188 | −15% | $29,112 | −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 | $27,949 | −15% | $27,002 | −12% |
| 786 | MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $23,562 | $23,562 | $30,492 | −23% | $27,838 | −15% |
| 371 | MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $23,535 | $23,535 | $27,806 | −15% | $35,017 | −33% |
| 580 | MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $23,522 | $23,522 | $27,790 | −15% | $39,360 | −40% |
| 922 | MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $23,495 | $23,495 | $27,758 | −15% | $31,839 | −26% |
| 582 | MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $23,441 | $23,441 | $27,695 | −15% | $35,206 | −33% |
| 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% | $30,033 | −22% |
| 058 | MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $23,266 | $23,266 | $27,488 | −15% | $29,609 | −21% |
| 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 | $65,084 | −64% | $43,477 | −47% |
| 666 | MS-DRG 42.00: PROSTATECTOMY WITH CC | $23,118 | $23,118 | $23,118 | +0% | $32,253 | −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% | $32,211 | −29% |
| 505 | MS-DRG 42.00: FOOT PROCEDURES WITHOUT CC/MCC | $22,970 | $22,970 | $27,138 | −15% | $33,900 | −32% |
| 551 | MS-DRG 42.00: MEDICAL BACK PROBLEMS WITH MCC | $22,916 | $22,916 | $28,541 | −20% | $34,920 | −34% |
| 855 | MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $22,916 | $22,916 | $27,074 | −15% | $27,261 | −16% |
| 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% | $34,448 | −34% |
| 571 | MS-DRG 42.00: SKIN DEBRIDEMENT WITH CC | $22,781 | $22,781 | $26,915 | −15% | $37,012 | −38% |
| 585 | MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $22,674 | $22,674 | $26,788 | −15% | $32,209 | −30% |
| 886 | MS-DRG 42.00: BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $22,647 | $22,647 | $26,756 | −15% | $26,510 | −15% |
| 746 | MS-DRG 42.00: VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $22,566 | $22,566 | $26,661 | −15% | $31,836 | −29% |
| 331 | MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $22,512 | $22,512 | $41,298 | −45% | $46,249 | −51% |
| 438 | MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $22,472 | $22,472 | $26,549 | −15% | $33,814 | −34% |
| 698 | MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $22,270 | $22,270 | $22,270 | +0% | $33,051 | −33% |
| 368 | MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH MCC | $22,243 | $22,243 | $22,243 | +0% | $35,349 | −37% |
| 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% | $33,909 | −35% |
| 256 | MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $22,081 | $22,081 | $26,088 | −15% | $31,216 | −29% |
| 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 | $26,088 | −15% | $26,088 | −15% |
| 418 | MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $22,014 | $22,014 | $47,501 | −54% | $47,027 | −53% |
| 983 | MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $22,014 | $22,014 | $26,008 | −15% | $33,754 | −35% |
| 444 | MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH MCC | $21,987 | $21,987 | $25,977 | −15% | $35,591 | −38% |
| 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% | $25,786 | −15% |
| 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% | $34,423 | −37% |
| 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% | $32,213 | −33% |
| 296 | MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH MCC | $21,583 | $21,583 | $25,499 | −15% | $33,031 | −35% |
| 425 | MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $21,570 | $21,570 | $25,484 | −15% | $25,999 | −17% |
| 597 | MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH MCC | $21,556 | $21,556 | $24,187 | −11% | $34,128 | −37% |
| 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 | $25,404 | −15% | $37,183 | −42% |
| 917 | MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $21,489 | $21,489 | $25,388 | −15% | $33,289 | −35% |
| 482 | MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $21,381 | $21,381 | $35,138 | −39% | $43,248 | −51% |
| 251 | MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $21,368 | $21,368 | $25,245 | −15% | $47,083 | −55% |
| 280 | MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $21,368 | $21,368 | $25,245 | −15% | $32,530 | −34% |
| 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% | $26,751 | −20% |
| 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% | $25,149 | −15% |
| 299 | MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH MCC | $21,220 | $21,220 | $21,220 | +0% | $26,686 | −20% |
| 183 | MS-DRG 42.00: MAJOR CHEST TRAUMA WITH MCC | $21,206 | $21,206 | $21,857 | −3% | $31,295 | −32% |
| 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% | $26,850 | −22% |
| 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% | $32,182 | −35% |
| 557 | MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $20,964 | $20,964 | $24,768 | −15% | $33,325 | −37% |
| 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% | $25,347 | −18% |
| 345 | MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $20,748 | $20,748 | $20,981 | −1% | $31,772 | −35% |
| 154 | MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $20,708 | $20,708 | $24,465 | −15% | $24,465 | −15% |
| 306 | MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $20,694 | $20,694 | $24,450 | −15% | $25,599 | −19% |
| 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% | $31,566 | −35% |
| 562 | MS-DRG 42.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $20,479 | $20,479 | $20,479 | +0% | $30,328 | −32% |
| 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% | $29,635 | −31% |
| 398 | MS-DRG 42.00: APPENDIX PROCEDURES WITH CC | $20,371 | $20,371 | $68,577 | −70% | $41,614 | −51% |
| 077 | MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $20,344 | $20,344 | $24,036 | −15% | $24,036 | −15% |
| 413 | MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $20,331 | $20,331 | $24,020 | −15% | $28,585 | −29% |
| 604 | MS-DRG 42.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $20,277 | $20,277 | $23,956 | −15% | $30,537 | −34% |
| 137 | MS-DRG 42.00: MOUTH PROCEDURES WITH CC/MCC | $20,264 | $20,264 | $23,941 | −15% | $24,906 | −19% |
| 682 | MS-DRG 42.00: RENAL FAILURE WITH MCC | $20,210 | $20,210 | $23,877 | −15% | $31,184 | −35% |
| 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% | $39,857 | −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% | $33,137 | −39% |
| 626 | MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $20,089 | $20,089 | $23,734 | −15% | $32,093 | −37% |
| 757 | MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $20,089 | $20,089 | $23,734 | −15% | $24,829 | −19% |
| 794 | MS-DRG 42.00: NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $20,062 | $20,062 | $8,062 | +149% | $8,633 | +132% |
| 602 | MS-DRG 42.00: CELLULITIS WITH MCC | $20,035 | $20,035 | $30,828 | −35% | $31,269 | −36% |
| 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% | $37,324 | −46% |
| 658 | MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $19,927 | $19,927 | $40,310 | −51% | $38,106 | −48% |
| 289 | MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $19,900 | $19,900 | $19,900 | +0% | $31,324 | −36% |
| 054 | MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITH MCC | $19,846 | $19,846 | $19,130 | +4% | $30,447 | −35% |
| 615 | MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $19,806 | $19,806 | $23,400 | −15% | $31,812 | −38% |
| 506 | MS-DRG 42.00: MAJOR THUMB OR JOINT PROCEDURES | $19,698 | $19,698 | $23,272 | −15% | $29,565 | −33% |
| 663 | MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH CC | $19,644 | $19,644 | $23,209 | −15% | $32,018 | −39% |
| 708 | MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $19,644 | $19,644 | $29,697 | −34% | $39,617 | −50% |
| 351 | MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $19,604 | $19,604 | $23,161 | −15% | $34,748 | −44% |
| 388 | MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH MCC | $19,577 | $19,577 | $19,577 | +0% | $30,897 | −37% |
| 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% | $31,433 | −38% |
| 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% | $33,374 | −42% |
| 818 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $19,267 | $19,267 | $19,267 | +0% | $28,593 | −33% |
| 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% | $21,800 | −12% |
| 796 | MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $19,092 | $19,092 | $27,781 | −31% | $22,557 | −15% |
| 067 | MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $19,079 | $19,079 | $22,541 | −15% | $28,622 | −33% |
| 693 | MS-DRG 42.00: URINARY STONES WITH MCC | $19,065 | $19,065 | $22,525 | −15% | $23,654 | −19% |
| 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% | $25,766 | −26% |
| 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 | $26,184 | −28% | $28,113 | −33% |
| 175 | MS-DRG 42.00: PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $18,890 | $18,890 | $22,318 | −15% | $30,959 | −39% |
| 555 | MS-DRG 42.00: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $18,836 | $18,836 | $22,254 | −15% | $26,179 | −28% |
| 383 | MS-DRG 42.00: UNCOMPLICATED PEPTIC ULCER WITH MCC | $18,823 | $18,823 | $22,238 | −15% | $28,065 | −33% |
| 630 | MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $18,796 | $18,796 | $22,207 | −15% | $24,601 | −24% |
| 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% | $25,972 | −28% |
| 502 | MS-DRG 42.00: SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $18,621 | $18,621 | $22,000 | −15% | $31,017 | −40% |
| 885 | MS-DRG 42.00: PSYCHOSES | $18,392 | $18,392 | $21,729 | −15% | $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% | $27,621 | −34% |
| 355 | MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $18,352 | $18,352 | $50,659 | −64% | $34,468 | −47% |
| 975 | MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH CC | $18,352 | $18,352 | $21,682 | −15% | $27,741 | −34% |
| 750 | MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $18,311 | $18,311 | $21,634 | −15% | $24,145 | −24% |
| 083 | MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $18,257 | $18,257 | $21,570 | −15% | $26,398 | −31% |
| 168 | MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $18,257 | $18,257 | $21,570 | −15% | $28,950 | −37% |
| 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 | $21,507 | −15% | $26,765 | −32% |
| 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% | $31,667 | −43% |
| 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 | $21,109 | −15% | $29,171 | −39% |
| 124 | MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $17,800 | $17,800 | $21,029 | −15% | $21,029 | −15% |
| 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% | $24,623 | −28% |
| 150 | MS-DRG 42.00: EPISTAXIS WITH MCC | $17,705 | $17,705 | $20,918 | −15% | $21,230 | −17% |
| 640 | MS-DRG 42.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $17,705 | $17,705 | $20,918 | −15% | $28,162 | −37% |
| 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% | $27,453 | −36% |
| 535 | MS-DRG 42.00: FRACTURES OF HIP AND PELVIS WITH MCC | $17,463 | $17,463 | $20,632 | −15% | $23,311 | −25% |
| 710 | MS-DRG 42.00: PENIS PROCEDURES WITHOUT CC/MCC | $17,463 | $17,463 | $20,632 | −15% | $24,531 | −29% |
| 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% | $27,645 | −37% |
| 291 | MS-DRG 42.00: HEART FAILURE AND SHOCK WITH MCC | $17,288 | $17,288 | $23,627 | −27% | $27,864 | −38% |
| 858 | MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $17,275 | $17,275 | $20,409 | −15% | $26,222 | −34% |
| 121 | MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $17,248 | $17,248 | $20,377 | −15% | $18,291 | −6% |
| 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 | $41,932 | −59% | $28,515 | −40% |
| 947 | MS-DRG 42.00: SIGNS AND SYMPTOMS WITH MCC | $16,857 | $16,857 | $24,565 | −31% | $27,070 | −38% |
| 903 | MS-DRG 42.00: WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $16,722 | $16,722 | $19,757 | −15% | $23,588 | −29% |
| 725 | MS-DRG 42.00: BENIGN PROSTATIC HYPERTROPHY WITH MCC | $16,709 | $16,709 | $19,741 | −15% | $20,739 | −19% |
| 822 | MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $16,682 | $16,682 | $40,561 | −59% | $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% | $27,711 | −40% |
| 147 | MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $16,642 | $16,642 | $19,661 | −15% | $21,876 | −24% |
| 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% | $27,470 | −40% |
| 145 | MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $16,440 | $16,440 | $16,440 | +0% | $23,405 | −30% |
| 768 | MS-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $16,399 | $16,399 | $17,611 | −7% | $19,258 | −15% |
| 847 | MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $16,332 | $16,332 | $19,296 | −15% | $22,726 | −28% |
| 593 | MS-DRG 42.00: SKIN ULCERS WITH CC | $16,292 | $16,292 | $19,248 | −15% | $23,072 | −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% | $25,440 | −36% |
| 549 | MS-DRG 42.00: SEPTIC ARTHRITIS WITH CC | $16,238 | $16,238 | $19,184 | −15% | $21,668 | −25% |
| 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% | $23,515 | −31% |
| 308 | MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $16,184 | $16,184 | $27,326 | −41% | $26,770 | −40% |
| 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 | $16,144 | +0% | $19,150 | −16% |
| 117 | MS-DRG 42.00: INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $16,130 | $16,130 | $19,057 | −15% | $19,057 | −15% |
| 375 | MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH CC | $16,130 | $16,130 | $24,173 | −33% | $27,277 | −41% |
| 695 | MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $16,103 | $16,103 | $19,025 | −15% | $21,550 | −25% |
| 139 | MS-DRG 42.00: SALIVARY GLAND PROCEDURES | $15,995 | $15,995 | $18,898 | −15% | $21,014 | −24% |
| 152 | MS-DRG 42.00: OTITIS MEDIA AND URI WITH MCC | $15,995 | $15,995 | $18,898 | −15% | $19,971 | −20% |
| 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% | $21,556 | −27% |
| 689 | MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $15,807 | $15,807 | $18,675 | −15% | $25,980 | −39% |
| 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 | $25,051 | −38% | $32,593 | −52% |
| 844 | MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $15,578 | $15,578 | $18,405 | −15% | $21,153 | −26% |
| 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% | $25,267 | −39% |
| 572 | MS-DRG 42.00: SKIN DEBRIDEMENT WITHOUT CC/MCC | $15,349 | $15,349 | $18,134 | −15% | $24,841 | −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% | $22,223 | −32% |
| 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% | $19,968 | −25% |
| 399 | MS-DRG 42.00: APPENDIX PROCEDURES WITHOUT CC/MCC | $14,986 | $14,986 | $17,705 | −15% | $32,462 | −54% |
| 697 | MS-DRG 42.00: URETHRAL STRICTURE | $14,986 | $14,986 | $17,705 | −15% | $17,705 | −15% |
| 352 | MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $14,932 | $14,932 | $17,641 | −15% | $24,957 | −40% |
| 190 | MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $14,837 | $14,837 | $27,980 | −47% | $24,930 | −40% |
| 181 | MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH CC | $14,824 | $14,824 | $14,824 | +0% | $23,084 | −36% |
| 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% |
| 445 | MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH CC | $14,636 | $14,636 | $16,888 | −13% | $24,075 | −39% |
| 868 | MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $14,622 | $14,622 | $17,275 | −15% | $23,312 | −37% |
| 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% | $19,510 | −25% |
| 287 | MS-DRG 42.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $14,568 | $14,568 | $17,212 | −15% | $33,023 | −56% |
| 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 | $21,810 | −34% | $22,059 | −34% |
| 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 | $28,771 | −50% | $23,953 | −40% |
| 300 | MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH CC | $14,366 | $14,366 | $14,366 | +0% | $19,416 | −26% |
| 842 | MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $14,353 | $14,353 | $14,353 | +0% | $18,134 | −21% |
| 071 | MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $14,299 | $14,299 | $16,894 | −15% | $26,190 | −45% |
| 644 | MS-DRG 42.00: ENDOCRINE DISORDERS WITH CC | $14,299 | $14,299 | $27,686 | −48% | $23,198 | −38% |
| 664 | MS-DRG 42.00: MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,299 | $14,299 | $16,894 | −15% | $19,371 | −26% |
| 184 | MS-DRG 42.00: MAJOR CHEST TRAUMA WITH CC | $14,164 | $14,164 | $16,735 | −15% | $22,688 | −38% |
| 787 | MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $14,151 | $14,151 | $26,373 | −46% | $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 | $25,970 | −46% | $27,533 | −49% |
| 687 | MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $14,070 | $14,070 | $16,623 | −15% | $19,514 | −28% |
| 372 | MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $14,030 | $14,030 | $16,954 | −17% | $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% | $18,201 | −23% |
| 920 | MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITH CC | $13,922 | $13,922 | $16,444 | −15% | $20,764 | −33% |
| 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 | $19,789 | −30% | $22,888 | −39% |
| 074 | MS-DRG 42.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $13,814 | $13,814 | $35,306 | −61% | $24,527 | −44% |
| 092 | MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $13,814 | $13,814 | $16,321 | −15% | $24,914 | −45% |
| 600 | MS-DRG 42.00: NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $13,814 | $13,814 | $16,321 | −15% | $17,061 | −19% |
| 784 | MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH CC | $13,787 | $13,787 | $25,275 | −45% | $24,042 | −43% |
| 699 | MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $13,747 | $13,747 | $16,241 | −15% | $21,275 | −35% |
| 078 | MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH CC | $13,693 | $13,693 | $16,178 | −15% | $17,607 | −22% |
| 065 | MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $13,680 | $13,680 | $16,162 | −15% | $26,044 | −47% |
| 923 | MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $13,612 | $13,612 | $16,082 | −15% | $17,111 | −20% |
| 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% | $16,035 | −15% |
| 863 | MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $13,545 | $13,545 | $17,544 | −23% | $21,151 | −36% |
| 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% | $19,270 | −30% |
| 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% | $22,005 | −39% |
| 197 | MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH CC | $13,437 | $13,437 | $15,876 | −15% | $20,480 | −34% |
| 187 | MS-DRG 42.00: PLEURAL EFFUSION WITH CC | $13,410 | $13,410 | $15,844 | −15% | $22,288 | −40% |
| 797 | MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $13,410 | $13,410 | $15,844 | −15% | $20,765 | −35% |
| 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% | $18,601 | −28% |
| 758 | MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $13,370 | $13,370 | $15,796 | −15% | $21,407 | −38% |
| 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% | $25,774 | −48% |
| 178 | MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $13,289 | $13,289 | $16,003 | −17% | $22,140 | −40% |
| 053 | MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $13,249 | $13,249 | $15,653 | −15% | $20,313 | −35% |
| 378 | MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH CC | $13,249 | $13,249 | $17,646 | −25% | $22,098 | −40% |
| 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% | $16,582 | −21% |
| 552 | MS-DRG 42.00: MEDICAL BACK PROBLEMS WITHOUT MCC | $13,006 | $13,006 | $19,210 | −32% | $21,396 | −39% |
| 670 | MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $12,966 | $12,966 | $15,319 | −15% | $20,371 | −36% |
| 714 | MS-DRG 42.00: TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $12,912 | $12,912 | $15,255 | −15% | $18,363 | −30% |
| 202 | MS-DRG 42.00: BRONCHITIS AND ASTHMA WITH CC/MCC | $12,899 | $12,899 | $15,239 | −15% | $18,887 | −32% |
| 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 | $12,858 | +0% | $16,001 | −20% |
| 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% | $16,899 | −25% |
| 550 | MS-DRG 42.00: SEPTIC ARTHRITIS WITHOUT CC/MCC | $12,710 | $12,710 | $15,017 | −15% | $16,156 | −21% |
| 307 | MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $12,697 | $12,697 | $15,001 | −15% | $19,532 | −35% |
| 158 | MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH CC | $12,643 | $12,643 | $14,937 | −15% | $18,267 | −31% |
| 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% | $20,635 | −39% |
| 090 | MS-DRG 42.00: CONCUSSION WITHOUT CC/MCC | $12,589 | $12,589 | $14,873 | −15% | $15,534 | −19% |
| 076 | MS-DRG 42.00: VIRAL MENINGITIS WITHOUT CC/MCC | $12,427 | $12,427 | $14,682 | −15% | $16,201 | −23% |
| 084 | MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $12,387 | $12,387 | $14,635 | −15% | $20,226 | −39% |
| 866 | MS-DRG 42.00: VIRAL ILLNESS WITHOUT MCC | $12,360 | $12,360 | $12,360 | +0% | $17,294 | −29% |
| 206 | MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $12,306 | $12,306 | $14,539 | −15% | $18,722 | −34% |
| 281 | MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $12,293 | $12,293 | $16,368 | −25% | $20,463 | −40% |
| 081 | MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $12,252 | $12,252 | $14,476 | −15% | $15,159 | −19% |
| 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% | $16,295 | −25% |
| 819 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,212 | $12,212 | $21,537 | −43% | $18,098 | −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% | $19,733 | −39% |
| 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 | $22,717 | −47% | $20,361 | −41% |
| 060 | MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $12,077 | $12,077 | $14,269 | −15% | $23,079 | −48% |
| 563 | MS-DRG 42.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $12,064 | $12,064 | $16,330 | −26% | $19,842 | −39% |
| 607 | MS-DRG 42.00: MINOR SKIN DISORDERS WITHOUT MCC | $12,037 | $12,037 | $12,037 | +0% | $16,097 | −25% |
| 376 | MS-DRG 42.00: DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $11,997 | $11,997 | $14,173 | −15% | $15,745 | −24% |
| 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% | $16,545 | −28% |
| 603 | MS-DRG 42.00: CELLULITIS WITHOUT MCC | $11,916 | $11,916 | $16,556 | −28% | $19,553 | −39% |
| 864 | MS-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS | $11,889 | $11,889 | $14,285 | −17% | $18,591 | −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% | $19,492 | −40% |
| 785 | MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $11,660 | $11,660 | $26,155 | −55% | $20,473 | −43% |
| 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% | $19,517 | −40% |
| 918 | MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $11,593 | $11,593 | $13,696 | −15% | $15,642 | −26% |
| 541 | MS-DRG 42.00: OSTEOMYELITIS WITHOUT CC/MCC | $11,552 | $11,552 | $13,648 | −15% | $14,549 | −21% |
| 292 | MS-DRG 42.00: HEART FAILURE AND SHOCK WITH CC | $11,539 | $11,539 | $13,633 | −15% | $17,958 | −36% |
| 897 | MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $11,525 | $11,525 | $13,617 | −15% | $16,765 | −31% |
| 439 | MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $11,512 | $11,512 | $14,924 | −23% | $20,093 | −43% |
| 788 | MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $11,512 | $11,512 | $24,150 | −52% | $20,139 | −43% |
| 191 | MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $11,431 | $11,431 | $13,505 | −15% | $19,072 | −40% |
| 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% | $20,630 | −45% |
| 848 | MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,256 | $11,256 | $13,299 | −15% | $13,822 | −19% |
| 798 | MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $11,243 | $11,243 | $13,283 | −15% | $20,021 | −44% |
| 437 | MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $11,189 | $11,189 | $13,219 | −15% | $13,385 | −16% |
| 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% | $17,498 | −37% |
| 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% | $18,961 | −42% |
| 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% | $18,070 | −40% |
| 724 | MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $10,906 | $10,906 | $12,885 | −15% | $12,650 | −14% |
| 690 | MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $10,866 | $10,866 | $15,804 | −31% | $17,817 | −39% |
| 123 | MS-DRG 42.00: NEUROLOGICAL EYE DISORDERS | $10,825 | $10,825 | $12,789 | −15% | $17,831 | −39% |
| 446 | MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $10,798 | $10,798 | $13,796 | −22% | $17,700 | −39% |
| 948 | MS-DRG 42.00: SIGNS AND SYMPTOMS WITHOUT MCC | $10,785 | $10,785 | $26,917 | −60% | $17,962 | −40% |
| 728 | MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $10,771 | $10,771 | $12,726 | −15% | $18,139 | −41% |
| 069 | MS-DRG 42.00: TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $10,758 | $10,758 | $15,446 | −30% | $21,254 | −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% | $18,817 | −43% |
| 125 | MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITHOUT MCC | $10,744 | $10,744 | $12,694 | −15% | $16,191 | −34% |
| 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 | $13,266 | −19% | $17,747 | −40% |
| 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 | $12,705 | −17% | $17,322 | −39% |
| 072 | MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $10,542 | $10,542 | $18,003 | −41% | $18,054 | −42% |
| 694 | MS-DRG 42.00: URINARY STONES WITHOUT MCC | $10,542 | $10,542 | $12,455 | −15% | $17,347 | −39% |
| 641 | MS-DRG 42.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $10,516 | $10,516 | $12,424 | −15% | $17,186 | −39% |
| 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% | $14,785 | −29% |
| 093 | MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $10,421 | $10,421 | $18,161 | −43% | $17,522 | −41% |
| 151 | MS-DRG 42.00: EPISTAXIS WITHOUT MCC | $10,381 | $10,381 | $12,265 | −15% | $13,119 | −21% |
| 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 | $18,768 | −45% | $16,470 | −38% |
| 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% | $16,983 | −40% |
| 305 | MS-DRG 42.00: HYPERTENSION WITHOUT MCC | $10,152 | $10,152 | $12,085 | −16% | $17,930 | −43% |
| 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 | $12,164 | −17% | $13,652 | −26% |
| 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% | $17,203 | −42% |
| 309 | MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $10,031 | $10,031 | $13,102 | −23% | $17,477 | −43% |
| 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% | $14,343 | −31% |
| 832 | MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $9,937 | $9,937 | $11,740 | −15% | $12,895 | −23% |
| 153 | MS-DRG 42.00: OTITIS MEDIA AND URI WITHOUT MCC | $9,896 | $9,896 | $11,692 | −15% | $14,684 | −33% |
| 726 | MS-DRG 42.00: BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $9,842 | $9,842 | $11,628 | −15% | $14,249 | −31% |
| 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% | $21,270 | −55% |
| 373 | MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $9,654 | $9,654 | $15,862 | −39% | $17,527 | −45% |
| 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% | $13,613 | −30% |
| 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% | $13,303 | −28% |
| 201 | MS-DRG 42.00: PNEUMOTHORAX WITHOUT CC/MCC | $9,506 | $9,506 | $11,231 | −15% | $13,405 | −29% |
| 311 | MS-DRG 42.00: ANGINA PECTORIS | $9,398 | $9,398 | $11,638 | −19% | $15,502 | −39% |
| 921 | MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $9,398 | $9,398 | $11,103 | −15% | $14,565 | −35% |
| 203 | MS-DRG 42.00: BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $9,358 | $9,358 | $11,056 | −15% | $12,511 | −25% |
| 316 | MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $9,331 | $9,331 | $11,024 | −15% | $12,840 | −27% |
| 696 | MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $9,317 | $9,317 | $11,008 | −15% | $15,040 | −38% |
| 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 | $21,521 | −57% | $21,905 | −58% |
| 387 | MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $9,209 | $9,209 | $10,881 | −15% | $16,453 | −44% |
| 159 | MS-DRG 42.00: DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $9,088 | $9,088 | $10,737 | −15% | $13,987 | −35% |
| 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% | $12,381 | −27% |
| 916 | MS-DRG 42.00: ALLERGIC REACTIONS WITHOUT MCC | $8,873 | $8,873 | $10,483 | −15% | $13,890 | −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 | $10,435 | −15% | $13,497 | −35% |
| 807 | MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $8,806 | $8,806 | $11,747 | −25% | $12,551 | −30% |
| 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% | $14,208 | −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% | $14,843 | −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% | $14,668 | −43% |
| 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% | $15,907 | −48% |
| 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% | $10,553 | −25% |
| 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% | $12,758 | −41% |
| 390 | MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $7,526 | $7,526 | $11,529 | −35% | $13,414 | −44% |
| 310 | MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $7,446 | $7,446 | $12,812 | −42% | $13,384 | −44% |
| 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 | $3,414 | −20% | $5,293 | −49% |
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 |
No procedures match that keyword.