|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit
|
51 |
$44,443
|
$4,427
|
+48%
|
|
Level 4 Extraocular, Repair, and Plastic Eye Procedures
APC 5504 · Hospital outpatient visit
|
51 |
$23,385
|
$3,280
|
about average
|
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay
|
50 |
$42,062
|
$13,078
|
+8%
|
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay
|
50 |
$241,439
|
$63,155
|
+8%
|
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay
|
49 |
$60,094
|
$15,762
|
+27%
|
|
Other Vascular Procedures with Complications
MS-DRG 253 · Inpatient stay
|
48 |
$106,484
|
$28,936
|
-5%
|
|
Stomach, Esophageal and Duodenal Procedures with Major Complications
MS-DRG 326 · Inpatient stay
|
48 |
$183,842
|
$58,276
|
-18%
|
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay
|
47 |
$143,192
|
$40,141
|
about average
|
|
Heart Transplant or Implant of Heart Assist System with Major Complications
MS-DRG 001 · Inpatient stay
|
47 |
$1,176,730
|
$321,764
|
-13%
|
|
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc
MS-DRG 027 · Inpatient stay
|
47 |
$101,659
|
$25,006
|
-16%
|
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit
|
47 |
$105,734
|
$28,606
|
-29%
|
|
Autologous Bone Marrow Transplant with Complications/mcc
MS-DRG 016 · Inpatient stay
|
46 |
$256,794
|
$70,611
|
+7%
|
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay
|
45 |
$118,146
|
$33,328
|
-5%
|
|
Chimeric Antigen Receptor (car) T-cell and Other Immunotherapies
MS-DRG 018 · Inpatient stay
|
45 |
$1,704,939
|
$435,401
|
-14%
|
|
Traumatic Stupor and Coma <1 Hour with Complications
MS-DRG 086 · Inpatient stay
|
44 |
$51,833
|
$15,138
|
-8%
|
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay
|
44 |
$107,671
|
$24,623
|
+45%
|
|
Nervous System Neoplasms with Major Complications
MS-DRG 054 · Inpatient stay
|
43 |
$113,220
|
$39,198
|
+71%
|
|
Other Major Cardiovascular Procedures with Complications
MS-DRG 271 · Inpatient stay
|
43 |
$142,597
|
$35,878
|
-5%
|
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay
|
42 |
$208,264
|
$47,533
|
+14%
|
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay
|
42 |
$39,295
|
$11,872
|
+26%
|
|
Other Circulatory System Diagnoses with Complications
MS-DRG 315 · Inpatient stay
|
42 |
$57,193
|
$14,124
|
+38%
|
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay
|
42 |
$108,117
|
$24,019
|
+32%
|
|
Back and Neck Procedures Except Spinal Fusion with Complications
MS-DRG 519 · Inpatient stay
|
42 |
$82,266
|
$20,632
|
-4%
|
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay
|
41 |
$122,819
|
$34,902
|
+8%
|
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay
|
40 |
$56,266
|
$14,893
|
+38%
|
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay
|
40 |
$93,640
|
$25,456
|
-9%
|
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit
|
40 |
$17,843
|
$1,892
|
-6%
|
|
Craniotomy and Endovascular Intracranial Procedures with Complications
MS-DRG 026 · Inpatient stay
|
39 |
$132,670
|
$39,178
|
about average
|
|
Traumatic Stupor and Coma >1 Hour with Complications
MS-DRG 083 · Inpatient stay
|
39 |
$49,450
|
$15,323
|
-17%
|
|
Level 2 Nerve Procedures
APC 5432 · Hospital outpatient visit
|
39 |
$44,077
|
$5,244
|
+13%
|
|
Pancreas, Liver and Shunt Procedures with Complications
MS-DRG 406 · Inpatient stay
|
38 |
$93,042
|
$28,703
|
-34%
|
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay
|
37 |
$57,091
|
$14,267
|
+5%
|
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay
|
37 |
$42,925
|
$12,746
|
about average
|
|
Interstitial Lung Disease with Major Complications
MS-DRG 196 · Inpatient stay
|
37 |
$123,585
|
$42,461
|
+54%
|
|
Coronary Bypass without Cardiac Catheterization with Major Complications
MS-DRG 235 · Inpatient stay
|
37 |
$265,394
|
$63,799
|
+10%
|
|
Lymphoma and Non-acute Leukemia with Complications
MS-DRG 841 · Inpatient stay
|
37 |
$128,461
|
$26,633
|
+42%
|
|
Complications of Treatment with Complications
MS-DRG 920 · Inpatient stay
|
36 |
$57,479
|
$16,020
|
+30%
|
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay
|
35 |
$81,649
|
$35,215
|
-5%
|
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay
|
35 |
$113,418
|
$27,691
|
+41%
|
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay
|
35 |
$157,765
|
$32,927
|
+10%
|
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay
|
35 |
$65,615
|
$17,508
|
+17%
|
|
Major Head and Neck Procedures with Complications
MS-DRG 141 · Inpatient stay
|
35 |
$83,612
|
$25,139
|
-29%
|
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay
|
35 |
$93,417
|
$22,900
|
+17%
|
|
Acute Leukemia with Major Complications
MS-DRG 834 · Inpatient stay
|
35 |
$340,219
|
$94,033
|
+26%
|
|
Chemotherapy with Acute Leukemia as Secondary Diagnosis with Complications or High Dose
MS-DRG 838 · Inpatient stay
|
35 |
$92,333
|
$23,013
|
+29%
|
|
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications
MS-DRG 269 · Inpatient stay
|
34 |
$178,141
|
$38,902
|
+8%
|
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay
|
34 |
$81,476
|
$21,555
|
-5%
|
|
Sepsis
MS-DRG 870 · Inpatient stay
|
34 |
$283,236
|
$85,168
|
+5%
|
|
Major Small and Large Bowel Procedures without Complications/mcc
MS-DRG 331 · Inpatient stay
|
34 |
$53,022
|
$21,034
|
-29%
|
|
Peritoneal Adhesiolysis with Complications
MS-DRG 336 · Inpatient stay
|
34 |
$70,899
|
$22,438
|
-28%
|
|
Digestive Malignancy with Major Complications
MS-DRG 374 · Inpatient stay
|
34 |
$111,865
|
$25,640
|
+30%
|
|
Kidney and Ureter Procedures for Non-neoplasm with Major Complications
MS-DRG 659 · Inpatient stay
|
34 |
$129,765
|
$37,244
|
+32%
|
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay
|
33 |
$65,943
|
$18,880
|
-7%
|
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay
|
33 |
$50,076
|
$13,494
|
+35%
|
|
COPD (severe)
MS-DRG 190 · Inpatient stay
|
33 |
$46,955
|
$14,347
|
+12%
|
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay
|
33 |
$87,909
|
$20,098
|
+10%
|
|
Major Chest Trauma with Complications
MS-DRG 184 · Inpatient stay
|
33 |
$52,499
|
$13,421
|
+7%
|
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay
|
32 |
$101,306
|
$22,664
|
+86%
|
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay
|
32 |
$50,121
|
$12,321
|
+11%
|
|
Disorders of the Biliary Tract with Major Complications
MS-DRG 444 · Inpatient stay
|
32 |
$66,113
|
$19,376
|
-8%
|
|
Level 8 Urology and Related Services
APC 5378 · Hospital outpatient visit
|
32 |
$50,193
|
$17,405
|
-42%
|
|
Fainting
MS-DRG 312 · Inpatient stay
|
31 |
$40,452
|
$10,449
|
+10%
|
|
Postoperative and Post-traumatic Infections with Major Complications
MS-DRG 862 · Inpatient stay
|
31 |
$61,526
|
$22,342
|
-17%
|
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay
|
31 |
$77,327
|
$27,963
|
+55%
|
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay
|
31 |
$148,282
|
$37,213
|
+14%
|
|
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications
MS-DRG 371 · Inpatient stay
|
31 |
$73,525
|
$22,366
|
+7%
|
|
Level 6 Gynecologic Procedures
APC 5416 · Hospital outpatient visit
|
31 |
$52,978
|
$6,725
|
+30%
|
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay
|
30 |
$103,980
|
$23,699
|
about average
|
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay
|
30 |
$259,690
|
$72,134
|
+41%
|
|
Liver Transplant with Major Complications or Intestinal Transplant
MS-DRG 005 · Inpatient stay
|
30 |
$522,096
|
$139,285
|
-27%
|
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay
|
29 |
$44,740
|
$10,531
|
+41%
|
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay
|
29 |
$143,606
|
$32,449
|
+22%
|
|
Hernia Procedures Except Inguinal and Femoral with Complications
MS-DRG 354 · Inpatient stay
|
29 |
$62,703
|
$20,074
|
-26%
|
|
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio
MS-DRG 809 · Inpatient stay
|
29 |
$102,452
|
$31,325
|
+86%
|
|
Chemotherapy with Acute Leukemia as Secondary Diagnosis or with High Dose Chemotherapy a
MS-DRG 837 · Inpatient stay
|
29 |
$274,706
|
$76,132
|
+47%
|
|
Respiratory System Diagnosis with Ventilator Support >96 Hours
MS-DRG 207 · Inpatient stay
|
28 |
$303,297
|
$93,620
|
+18%
|
|
Cranial and Peripheral Nerve Disorders without Major Complications
MS-DRG 074 · Inpatient stay
|
28 |
$39,351
|
$13,498
|
-17%
|
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay
|
28 |
$62,687
|
$13,402
|
+51%
|
|
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio
MS-DRG 808 · Inpatient stay
|
28 |
$132,317
|
$27,454
|
+24%
|
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay
|
27 |
$47,464
|
$18,514
|
-18%
|
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay
|
27 |
$93,703
|
$30,520
|
+66%
|
|
Aortic and Heart Assist Procedures Except Pulsation Balloon with Major Complications
MS-DRG 268 · Inpatient stay
|
27 |
$344,158
|
$88,713
|
about average
|
|
Biopsies of Musculoskeletal System and Connective Tissue with Complications
MS-DRG 478 · Inpatient stay
|
27 |
$91,117
|
$28,140
|
-21%
|
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with
MS-DRG 516 · Inpatient stay
|
27 |
$93,385
|
$24,014
|
+6%
|
|
Kidney Transplant with Hemodialysis with Major Complications
MS-DRG 650 · Inpatient stay
|
27 |
$344,239
|
$60,157
|
-5%
|
|
Lymphoma and Non-acute Leukemia with Other Procedures with Major Complications
MS-DRG 823 · Inpatient stay
|
27 |
$266,149
|
$77,160
|
-20%
|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit
|
27 |
$4,784
|
$590
|
+53%
|
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 024 · Inpatient stay
|
26 |
$145,265
|
$41,483
|
-6%
|
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay
|
26 |
$35,466
|
$10,457
|
+6%
|
|
Traumatic Stupor and Coma >1 Hour with Major Complications
MS-DRG 082 · Inpatient stay
|
26 |
$87,516
|
$26,517
|
-10%
|
|
Digestive Malignancy with Complications
MS-DRG 375 · Inpatient stay
|
26 |
$59,765
|
$13,933
|
+12%
|
|
Kidney and Ureter Procedures for Neoplasm with Complications
MS-DRG 657 · Inpatient stay
|
26 |
$77,615
|
$21,616
|
-14%
|
|
Other Operating Room Procedures for Injuries with Major Complications
MS-DRG 907 · Inpatient stay
|
26 |
$181,272
|
$47,097
|
+5%
|
|
Other Respiratory System Diagnoses without Major Complications
MS-DRG 206 · Inpatient stay
|
26 |
$69,239
|
$16,798
|
+50%
|
|
Major Chest Procedures with Major Complications
MS-DRG 163 · Inpatient stay
|
25 |
$178,518
|
$54,504
|
about average
|
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay
|
25 |
$40,748
|
$11,983
|
+18%
|
|
Heart Failure (with complications)
MS-DRG 292 · Inpatient stay
|
25 |
$50,939
|
$14,806
|
+54%
|
|
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive
MS-DRG 457 · Inpatient stay
|
25 |
$346,959
|
$81,390
|
+21%
|
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit
|
25 |
$46,202
|
$8,198
|
+4%
|
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay
|
24 |
$48,716
|
$14,660
|
+50%
|