|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit
|
27 |
$7,392
|
$1,666
|
-34%
|
|
Major Chest Procedures with Complications
MS-DRG 164 · Inpatient stay
|
26 |
$50,427
|
$30,561
|
-54%
|
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 219 · Inpatient stay
|
26 |
$240,391
|
$91,246
|
-28%
|
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay
|
25 |
$53,757
|
$15,119
|
+12%
|
|
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications
MS-DRG 269 · Inpatient stay
|
25 |
$65,132
|
$43,334
|
-61%
|
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay
|
25 |
$62,881
|
$30,259
|
-47%
|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit
|
25 |
$9,749
|
$2,471
|
-17%
|
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay
|
24 |
$73,254
|
$23,680
|
+3%
|
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay
|
24 |
$57,439
|
$24,058
|
-27%
|
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay
|
24 |
$61,009
|
$44,578
|
-58%
|
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay
|
24 |
$165,947
|
$59,975
|
-26%
|
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit
|
24 |
$7,911
|
$3,315
|
-56%
|
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit
|
24 |
$19,675
|
$7,257
|
-49%
|
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit
|
24 |
$8,946
|
$3,188
|
-53%
|
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay
|
23 |
$124,142
|
$30,908
|
-14%
|
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay
|
23 |
$48,634
|
$15,982
|
-13%
|
|
Postoperative and Post-traumatic Infections with Major Complications
MS-DRG 862 · Inpatient stay
|
23 |
$71,250
|
$21,616
|
-4%
|
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay
|
23 |
$46,458
|
$12,246
|
+5%
|
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit
|
23 |
$14,278
|
$4,311
|
-31%
|
|
Traumatic Stupor and Coma <1 Hour with Major Complications
MS-DRG 085 · Inpatient stay
|
22 |
$74,154
|
$24,284
|
-24%
|
|
Other Major Cardiovascular Procedures with Complications
MS-DRG 271 · Inpatient stay
|
22 |
$82,358
|
$37,229
|
-45%
|
|
Complications of Treatment with Major Complications
MS-DRG 919 · Inpatient stay
|
22 |
$73,291
|
$29,145
|
about average
|
|
Kidney and Ureter Procedures for Non-neoplasm with Major Complications
MS-DRG 659 · Inpatient stay
|
22 |
$67,231
|
$30,047
|
-32%
|
|
Major Chest Trauma with Major Complications
MS-DRG 183 · Inpatient stay
|
22 |
$61,055
|
$20,094
|
-13%
|
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay
|
21 |
$32,445
|
$11,425
|
-13%
|
|
COPD (severe)
MS-DRG 190 · Inpatient stay
|
21 |
$36,545
|
$13,721
|
-13%
|
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay
|
21 |
$116,510
|
$36,494
|
-16%
|
|
Acute Myocardial Infarction, Expired with Major Complications
MS-DRG 283 · Inpatient stay
|
21 |
$85,247
|
$21,954
|
about average
|
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay
|
21 |
$20,807
|
$6,622
|
-17%
|
|
Coronary Bypass without Cardiac Catheterization with Major Complications
MS-DRG 235 · Inpatient stay
|
21 |
$186,900
|
$77,865
|
-22%
|
|
Kidney and Ureter Procedures for Non-neoplasm without Complications/mcc
MS-DRG 661 · Inpatient stay
|
21 |
$28,706
|
$12,721
|
-39%
|
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay
|
20 |
$50,083
|
$16,258
|
-11%
|
|
Sepsis
MS-DRG 870 · Inpatient stay
|
20 |
$228,633
|
$71,774
|
-15%
|
|
Pulmonary Embolism without Major Complications
MS-DRG 176 · Inpatient stay
|
20 |
$28,234
|
$8,730
|
-19%
|
|
Major Chest Trauma with Complications
MS-DRG 184 · Inpatient stay
|
20 |
$36,364
|
$12,005
|
-26%
|
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit
|
20 |
$24,367
|
$9,003
|
-36%
|
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 024 · Inpatient stay
|
19 |
$101,436
|
$42,582
|
-34%
|
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay
|
19 |
$35,688
|
$13,905
|
-33%
|
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay
|
19 |
$35,653
|
$13,152
|
-25%
|
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay
|
18 |
$72,112
|
$25,674
|
-16%
|
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay
|
18 |
$79,197
|
$24,509
|
-15%
|
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay
|
18 |
$51,465
|
$14,519
|
-6%
|
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay
|
18 |
$36,250
|
$9,060
|
+11%
|
|
Other Circulatory System Diagnoses with Complications
MS-DRG 315 · Inpatient stay
|
18 |
$36,905
|
$10,867
|
-11%
|
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay
|
18 |
$77,976
|
$34,417
|
-40%
|
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay
|
18 |
$40,933
|
$10,431
|
+11%
|
|
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications
MS-DRG 605 · Inpatient stay
|
18 |
$33,577
|
$10,280
|
-18%
|
|
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Major
MS-DRG 239 · Inpatient stay
|
18 |
$198,471
|
$58,595
|
about average
|
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit
|
18 |
$21,530
|
$6,043
|
-28%
|
|
Extracranial Procedures with Complications
MS-DRG 038 · Inpatient stay
|
17 |
$57,473
|
$17,601
|
-14%
|
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay
|
17 |
$88,761
|
$29,070
|
-22%
|
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay
|
17 |
$28,017
|
$11,844
|
-35%
|
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay
|
17 |
$70,006
|
$22,689
|
+9%
|
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay
|
17 |
$43,822
|
$22,605
|
-45%
|
|
Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 987 · Inpatient stay
|
17 |
$79,560
|
$34,842
|
-45%
|
|
Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Major
MS-DRG 020 · Inpatient stay
|
17 |
$236,785
|
$105,315
|
-32%
|
|
Traumatic Stupor and Coma <1 Hour with Complications
MS-DRG 086 · Inpatient stay
|
16 |
$39,537
|
$14,772
|
-30%
|
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay
|
16 |
$48,119
|
$24,386
|
-6%
|
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without
MS-DRG 494 · Inpatient stay
|
16 |
$51,893
|
$20,054
|
-41%
|
|
Disorders of Pancreas Except Malignancy with Major Complications
MS-DRG 438 · Inpatient stay
|
16 |
$44,857
|
$18,105
|
-35%
|
|
Level 4 Extraocular, Repair, and Plastic Eye Procedures
APC 5504 · Hospital outpatient visit
|
16 |
$12,160
|
$4,099
|
-48%
|
|
Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face
MS-DRG 004 · Inpatient stay
|
15 |
$383,790
|
$151,963
|
-29%
|
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 220 · Inpatient stay
|
15 |
$151,915
|
$71,439
|
-35%
|
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications
MS-DRG 493 · Inpatient stay
|
15 |
$78,495
|
$25,880
|
-23%
|
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay
|
14 |
$30,466
|
$10,598
|
-4%
|
|
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications
MS-DRG 233 · Inpatient stay
|
14 |
$294,207
|
$104,083
|
-4%
|
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay
|
14 |
$56,185
|
$23,667
|
about average
|
|
Revision of Hip or Knee Replacement with Major Complications
MS-DRG 466 · Inpatient stay
|
14 |
$113,493
|
$53,333
|
-48%
|
|
Biopsies of Musculoskeletal System and Connective Tissue with Complications
MS-DRG 478 · Inpatient stay
|
14 |
$49,055
|
$25,053
|
-57%
|
|
Other Operating Room Procedures for Injuries with Major Complications
MS-DRG 907 · Inpatient stay
|
14 |
$119,885
|
$34,576
|
-31%
|
|
Complications of Treatment with Complications
MS-DRG 920 · Inpatient stay
|
14 |
$34,421
|
$13,499
|
-22%
|
|
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma
MS-DRG 956 · Inpatient stay
|
14 |
$91,311
|
$44,523
|
-49%
|
|
Pneumothorax with Major Complications
MS-DRG 199 · Inpatient stay
|
14 |
$33,524
|
$19,065
|
-58%
|
|
Cochlear Implant Procedure
APC 5166 · Hospital outpatient visit
|
14 |
$42,934
|
$35,443
|
-65%
|
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay
|
13 |
$41,691
|
$11,792
|
-7%
|
|
Craniotomy and Endovascular Intracranial Procedures with Complications
MS-DRG 026 · Inpatient stay
|
13 |
$61,790
|
$34,928
|
-54%
|
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with
MS-DRG 516 · Inpatient stay
|
13 |
$80,980
|
$22,506
|
-8%
|
|
Acute Leukemia with Major Complications
MS-DRG 834 · Inpatient stay
|
13 |
$206,849
|
$71,604
|
-24%
|
|
Chemotherapy with Acute Leukemia as Secondary Diagnosis or with High Dose Chemotherapy a
MS-DRG 837 · Inpatient stay
|
13 |
$169,145
|
$87,276
|
-9%
|
|
Laparoscopic Cholecystectomy without C.d.e. with Major Complications
MS-DRG 417 · Inpatient stay
|
13 |
$61,360
|
$25,188
|
-42%
|
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit
|
13 |
$7,865
|
$1,617
|
+23%
|
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay
|
12 |
$29,055
|
$8,907
|
-30%
|
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay
|
12 |
$158,189
|
$43,251
|
-14%
|
|
Heart Attack (uncomplicated)
MS-DRG 282 · Inpatient stay
|
12 |
$30,525
|
$8,119
|
-21%
|
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay
|
12 |
$38,499
|
$8,353
|
+15%
|
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay
|
12 |
$76,264
|
$22,782
|
+33%
|
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay
|
12 |
$96,583
|
$21,356
|
+16%
|
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay
|
12 |
$55,048
|
$17,754
|
-33%
|
|
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications
MS-DRG 521 · Inpatient stay
|
12 |
$92,256
|
$38,200
|
-18%
|
|
Hip or Thigh Bone Surgery (uncomplicated)
MS-DRG 482 · Inpatient stay
|
12 |
$51,814
|
$21,286
|
-24%
|
|
Peripheral Vascular Disorders with Major Complications
MS-DRG 299 · Inpatient stay
|
12 |
$67,660
|
$17,680
|
about average
|
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay
|
12 |
$41,852
|
$24,738
|
-49%
|
|
Other Skin, Subcutaneous Tissue and Breast Procedures with Complications
MS-DRG 580 · Inpatient stay
|
12 |
$71,668
|
$19,316
|
-13%
|
|
Kidney Transplant
MS-DRG 652 · Inpatient stay
|
12 |
$180,848
|
$49,736
|
-39%
|
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay
|
12 |
$84,315
|
$18,780
|
+24%
|
|
Other Multiple Significant Trauma with Complications
MS-DRG 964 · Inpatient stay
|
12 |
$49,641
|
$25,405
|
-31%
|
|
Other Respiratory System Operating Room Procedures with Major Complications
MS-DRG 166 · Inpatient stay
|
12 |
$91,360
|
$40,415
|
-37%
|
|
Pneumothorax with Complications
MS-DRG 200 · Inpatient stay
|
12 |
$34,082
|
$12,510
|
-29%
|
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay
|
12 |
$47,353
|
$11,873
|
+14%
|
|
Peripheral, Cranial Nerve and Other Nervous System Procedures with Complications or
MS-DRG 041 · Inpatient stay
|
12 |
$57,830
|
$23,861
|
-44%
|