|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay
|
22 |
$86,081
|
$18,114
|
+53%
|
|
Coronary Bypass without Cardiac Catheterization with Major Complications
MS-DRG 235 · Inpatient stay
|
22 |
$410,428
|
$67,388
|
+71%
|
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay
|
22 |
$336,105
|
$70,761
|
+51%
|
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit
|
22 |
$33,101
|
$3,166
|
+51%
|
|
Level 4 Extraocular, Repair, and Plastic Eye Procedures
APC 5504 · Hospital outpatient visit
|
22 |
$70,276
|
$3,585
|
+199%
|
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay
|
21 |
$260,349
|
$52,260
|
+45%
|
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay
|
21 |
$49,678
|
$13,072
|
+44%
|
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay
|
21 |
$128,498
|
$24,226
|
+69%
|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit
|
21 |
$43,506
|
$2,079
|
+270%
|
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay
|
20 |
$98,042
|
$18,758
|
+80%
|
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay
|
20 |
$64,926
|
$16,831
|
+15%
|
|
Major Chest Trauma with Complications
MS-DRG 184 · Inpatient stay
|
20 |
$63,158
|
$13,501
|
+29%
|
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with
MS-DRG 516 · Inpatient stay
|
20 |
$124,730
|
$22,691
|
+41%
|
|
Other Multiple Significant Trauma with Major Complications
MS-DRG 963 · Inpatient stay
|
20 |
$112,235
|
$32,607
|
-12%
|
|
Fainting
MS-DRG 312 · Inpatient stay
|
19 |
$51,591
|
$12,604
|
+41%
|
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay
|
19 |
$50,078
|
$13,323
|
+29%
|
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay
|
19 |
$64,255
|
$14,391
|
+43%
|
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit
|
19 |
$99,497
|
$9,539
|
+67%
|
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit
|
19 |
$62,612
|
$2,167
|
+333%
|
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay
|
18 |
$219,792
|
$35,532
|
+59%
|
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay
|
18 |
$53,897
|
$13,270
|
+45%
|
|
Traumatic Stupor and Coma <1 Hour without Complications/mcc
MS-DRG 087 · Inpatient stay
|
18 |
$46,067
|
$12,331
|
-17%
|
|
Postoperative or Post-traumatic Infections with Operating Room Procedures with
MS-DRG 857 · Inpatient stay
|
18 |
$172,418
|
$27,028
|
+78%
|
|
Fractures of Hip and Pelvis with Major Complications
MS-DRG 535 · Inpatient stay
|
18 |
$81,162
|
$16,608
|
+57%
|
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit
|
18 |
$57,706
|
$2,798
|
+148%
|
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit
|
18 |
$37,809
|
$2,899
|
+108%
|
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay
|
17 |
$95,623
|
$29,120
|
about average
|
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay
|
17 |
$50,613
|
$11,823
|
+62%
|
|
Other Operating Room Procedures for Multiple Significant Trauma with Major Complications
MS-DRG 957 · Inpatient stay
|
17 |
$651,742
|
$85,805
|
+78%
|
|
Combined Anterior and Posterior Spinal Fusion with Major Complications
MS-DRG 453 · Inpatient stay
|
17 |
$728,067
|
$115,992
|
+64%
|
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay
|
16 |
$105,948
|
$39,369
|
+23%
|
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay
|
16 |
$54,441
|
$15,001
|
+46%
|
|
Other Circulatory System Diagnoses with Complications
MS-DRG 315 · Inpatient stay
|
16 |
$58,257
|
$16,556
|
+41%
|
|
Aortic and Heart Assist Procedures Except Pulsation Balloon with Major Complications
MS-DRG 268 · Inpatient stay
|
16 |
$456,383
|
$92,516
|
+36%
|
|
Back and Neck Procedures Except Spinal Fusion with Complications
MS-DRG 519 · Inpatient stay
|
16 |
$158,065
|
$23,479
|
+85%
|
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay
|
16 |
$100,933
|
$18,050
|
+49%
|
|
Other Multiple Significant Trauma with Complications
MS-DRG 964 · Inpatient stay
|
16 |
$73,519
|
$20,151
|
about average
|
|
Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 987 · Inpatient stay
|
16 |
$176,307
|
$44,282
|
+22%
|
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit
|
16 |
$12,598
|
$1,485
|
+47%
|
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay
|
15 |
$122,803
|
$18,193
|
+73%
|
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay
|
15 |
$60,336
|
$11,517
|
+84%
|
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay
|
15 |
$104,934
|
$22,133
|
+26%
|
|
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit
MS-DRG 216 · Inpatient stay
|
15 |
$615,093
|
$125,133
|
+38%
|
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay
|
15 |
$187,617
|
$35,805
|
+57%
|
|
Postoperative or Post-traumatic Infections with Operating Room Procedures with Major
MS-DRG 856 · Inpatient stay
|
15 |
$280,672
|
$87,859
|
+48%
|
|
Other Circulatory System Operating Room Procedures
MS-DRG 264 · Inpatient stay
|
15 |
$187,492
|
$39,270
|
+38%
|
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Major Complications
MS-DRG 492 · Inpatient stay
|
15 |
$166,440
|
$32,997
|
+11%
|
|
Peripheral, Cranial Nerve and Other Nervous System Procedures with Major Complications
MS-DRG 040 · Inpatient stay
|
15 |
$194,236
|
$40,642
|
+3%
|
|
Peripheral, Cranial Nerve and Other Nervous System Procedures with Complications or
MS-DRG 041 · Inpatient stay
|
15 |
$98,904
|
$23,282
|
-4%
|
|
Major Chest Trauma with Major Complications
MS-DRG 183 · Inpatient stay
|
15 |
$67,856
|
$19,336
|
about average
|
|
COPD (severe)
MS-DRG 190 · Inpatient stay
|
14 |
$36,519
|
$14,678
|
-13%
|
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay
|
14 |
$48,178
|
$11,946
|
+52%
|
|
Interstitial Lung Disease with Major Complications
MS-DRG 196 · Inpatient stay
|
14 |
$65,428
|
$25,338
|
-18%
|
|
Other Operating Room Procedures for Injuries with Complications
MS-DRG 908 · Inpatient stay
|
14 |
$122,982
|
$24,698
|
+36%
|
|
Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Major
MS-DRG 020 · Inpatient stay
|
14 |
$497,612
|
$113,825
|
+43%
|
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit
|
14 |
$61,729
|
$2,985
|
+226%
|
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay
|
13 |
$57,312
|
$12,903
|
+31%
|
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay
|
13 |
$96,668
|
$17,757
|
+68%
|
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures without
MS-DRG 517 · Inpatient stay
|
13 |
$117,827
|
$19,295
|
+60%
|
|
Other Operating Room Procedures for Injuries with Major Complications
MS-DRG 907 · Inpatient stay
|
13 |
$231,839
|
$44,135
|
+34%
|
|
Spinal Procedures with Major Complications
MS-DRG 028 · Inpatient stay
|
13 |
$286,095
|
$54,891
|
+3%
|
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit
|
13 |
$76,027
|
$5,676
|
+92%
|
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit
|
13 |
$28,351
|
$1,574
|
+149%
|
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay
|
12 |
$35,200
|
$10,449
|
about average
|
|
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications
MS-DRG 233 · Inpatient stay
|
12 |
$465,109
|
$108,540
|
+51%
|
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay
|
12 |
$319,120
|
$45,639
|
+74%
|
|
Postoperative and Post-traumatic Infections with Major Complications
MS-DRG 862 · Inpatient stay
|
12 |
$100,789
|
$29,512
|
+36%
|
|
Stomach, Esophageal and Duodenal Procedures with Major Complications
MS-DRG 326 · Inpatient stay
|
12 |
$374,997
|
$63,528
|
+68%
|
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay
|
12 |
$149,546
|
$44,984
|
+38%
|
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay
|
12 |
$103,039
|
$21,574
|
+56%
|
|
Other Operating Room Procedures for Multiple Significant Trauma with Complications
MS-DRG 958 · Inpatient stay
|
12 |
$254,611
|
$47,207
|
+62%
|
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay
|
12 |
$57,259
|
$12,403
|
+56%
|
|
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive
MS-DRG 457 · Inpatient stay
|
12 |
$371,341
|
$60,936
|
+29%
|
|
Pneumothorax with Major Complications
MS-DRG 199 · Inpatient stay
|
12 |
$107,620
|
$21,367
|
+35%
|
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Major
MS-DRG 562 · Inpatient stay
|
12 |
$106,630
|
$18,024
|
+99%
|
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit
|
12 |
$66,297
|
$3,770
|
+221%
|
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay
|
11 |
$47,397
|
$15,430
|
about average
|
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay
|
11 |
$76,118
|
$10,720
|
+84%
|
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay
|
11 |
$99,391
|
$21,605
|
+50%
|
|
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications
MS-DRG 269 · Inpatient stay
|
11 |
$180,124
|
$40,802
|
+9%
|
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay
|
11 |
$168,831
|
$42,040
|
+10%
|
|
Major Head and Neck Procedures with Complications
MS-DRG 141 · Inpatient stay
|
11 |
$220,524
|
$28,002
|
+88%
|
|
Peripheral Vascular Disorders with Major Complications
MS-DRG 299 · Inpatient stay
|
11 |
$105,448
|
$22,202
|
+57%
|
|
Pneumothorax with Complications
MS-DRG 200 · Inpatient stay
|
11 |
$52,007
|
$14,455
|
+9%
|
|
Full Thickness Burn with Skin Graft or Inhalation Injury with Complications/mcc
MS-DRG 928 · Inpatient stay
|
11 |
$261,632
|
$73,520
|
-5%
|
|
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit
MS-DRG 062 · Inpatient stay
|
11 |
$87,645
|
$21,062
|
-7%
|
|
Implantation of Drug Infusion Device
APC 5471 · Hospital outpatient visit
|
11 |
$82,219
|
$15,150
|
+11%
|