|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit
|
24 |
$16,322
|
$3,887
|
-25%
|
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay
|
23 |
$100,198
|
$28,899
|
-12%
|
|
Nervous System Neoplasms with Major Complications
MS-DRG 054 · Inpatient stay
|
23 |
$45,250
|
$16,200
|
-32%
|
|
Major Chest Procedures without Complications/mcc
MS-DRG 165 · Inpatient stay
|
23 |
$33,290
|
$22,841
|
-60%
|
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit
|
23 |
$5,769
|
$1,722
|
-49%
|
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit
|
23 |
$22,278
|
$5,784
|
-26%
|
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay
|
22 |
$61,176
|
$24,364
|
-24%
|
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay
|
22 |
$34,387
|
$9,934
|
+8%
|
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay
|
22 |
$84,379
|
$24,525
|
-10%
|
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay
|
22 |
$47,985
|
$22,664
|
-44%
|
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay
|
22 |
$51,906
|
$16,868
|
-8%
|
|
Carotid Artery Stent Procedures with Complications
MS-DRG 035 · Inpatient stay
|
22 |
$68,297
|
$24,583
|
-28%
|
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay
|
21 |
$49,310
|
$17,091
|
-12%
|
|
Traumatic Stupor and Coma <1 Hour with Major Complications
MS-DRG 085 · Inpatient stay
|
21 |
$45,890
|
$24,929
|
-53%
|
|
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except
MS-DRG 003 · Inpatient stay
|
20 |
$693,276
|
$253,024
|
-21%
|
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay
|
20 |
$27,716
|
$10,866
|
-29%
|
|
Other Vascular Procedures with Complications
MS-DRG 253 · Inpatient stay
|
20 |
$55,642
|
$29,206
|
-50%
|
|
Percutaneous and Other Intracardiac Procedures with Major Complications
MS-DRG 273 · Inpatient stay
|
20 |
$98,356
|
$40,025
|
-47%
|
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay
|
19 |
$192,298
|
$62,024
|
+5%
|
|
Pulmonary Embolism without Major Complications
MS-DRG 176 · Inpatient stay
|
19 |
$30,416
|
$10,194
|
-13%
|
|
Heart Failure (with complications)
MS-DRG 292 · Inpatient stay
|
19 |
$45,712
|
$10,727
|
+38%
|
|
Major Chest Procedures with Major Complications
MS-DRG 163 · Inpatient stay
|
18 |
$127,340
|
$56,165
|
-28%
|
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay
|
18 |
$38,270
|
$13,394
|
-30%
|
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay
|
18 |
$27,086
|
$9,296
|
-19%
|
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay
|
18 |
$64,314
|
$26,543
|
-36%
|
|
Disorders of the Biliary Tract with Major Complications
MS-DRG 444 · Inpatient stay
|
18 |
$52,926
|
$24,593
|
-26%
|
|
Disorders of the Biliary Tract with Complications
MS-DRG 445 · Inpatient stay
|
18 |
$31,693
|
$13,708
|
-38%
|
|
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications
MS-DRG 605 · Inpatient stay
|
18 |
$25,128
|
$10,670
|
-39%
|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit
|
18 |
$24,168
|
$13,335
|
-61%
|
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit
|
18 |
$19,674
|
$5,287
|
-43%
|
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit
|
18 |
$64,836
|
$29,772
|
-42%
|
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay
|
17 |
$125,831
|
$45,301
|
-31%
|
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay
|
17 |
$81,944
|
$37,312
|
-44%
|
|
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications
MS-DRG 269 · Inpatient stay
|
17 |
$100,802
|
$41,625
|
-39%
|
|
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc
MS-DRG 027 · Inpatient stay
|
17 |
$80,251
|
$28,902
|
-34%
|
|
Traumatic Stupor and Coma >1 Hour with Complications
MS-DRG 083 · Inpatient stay
|
17 |
$30,401
|
$15,173
|
-49%
|
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay
|
17 |
$60,912
|
$22,035
|
-24%
|
|
Other Multiple Significant Trauma with Complications
MS-DRG 964 · Inpatient stay
|
17 |
$37,684
|
$15,727
|
-48%
|
|
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit
MS-DRG 062 · Inpatient stay
|
17 |
$56,966
|
$20,357
|
-39%
|
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit
|
17 |
$30,949
|
$10,825
|
-40%
|
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay
|
16 |
$36,656
|
$10,104
|
+17%
|
|
Complications of Treatment with Major Complications
MS-DRG 919 · Inpatient stay
|
16 |
$78,467
|
$31,169
|
+5%
|
|
Dysequilibrium
MS-DRG 149 · Inpatient stay
|
16 |
$30,161
|
$8,842
|
-23%
|
|
Bone Diseases and Arthropathies without Major Complications
MS-DRG 554 · Inpatient stay
|
16 |
$23,692
|
$10,593
|
-26%
|
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay
|
15 |
$41,759
|
$12,500
|
about average
|
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 220 · Inpatient stay
|
15 |
$140,543
|
$69,059
|
-40%
|
|
Other Operating Room Procedures for Injuries with Complications
MS-DRG 908 · Inpatient stay
|
15 |
$60,511
|
$22,533
|
-33%
|
|
Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Major
MS-DRG 020 · Inpatient stay
|
15 |
$196,919
|
$97,287
|
-43%
|
|
Postoperative and Post-traumatic Infections with Major Complications
MS-DRG 862 · Inpatient stay
|
14 |
$67,636
|
$29,056
|
-9%
|
|
Psychoses
MS-DRG 885 · Inpatient stay
|
14 |
$50,452
|
$19,406
|
+40%
|
|
Cranial and Peripheral Nerve Disorders without Major Complications
MS-DRG 074 · Inpatient stay
|
14 |
$47,964
|
$13,187
|
about average
|
|
Peripheral Vascular Disorders with Major Complications
MS-DRG 299 · Inpatient stay
|
14 |
$34,238
|
$16,165
|
-49%
|
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay
|
14 |
$44,576
|
$17,894
|
-36%
|
|
Other Skin, Subcutaneous Tissue and Breast Procedures with Complications
MS-DRG 580 · Inpatient stay
|
14 |
$62,392
|
$20,604
|
-24%
|
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay
|
14 |
$57,152
|
$20,722
|
-13%
|
|
Complications of Treatment with Complications
MS-DRG 920 · Inpatient stay
|
14 |
$42,970
|
$13,289
|
about average
|
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay
|
14 |
$23,405
|
$10,096
|
-36%
|
|
Pneumothorax with Major Complications
MS-DRG 199 · Inpatient stay
|
14 |
$46,717
|
$21,392
|
-41%
|
|
Level 4 Extraocular, Repair, and Plastic Eye Procedures
APC 5504 · Hospital outpatient visit
|
14 |
$9,879
|
$3,924
|
-58%
|
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay
|
13 |
$29,930
|
$11,634
|
-44%
|
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay
|
13 |
$48,200
|
$19,420
|
-35%
|
|
Disorders of Pancreas Except Malignancy with Complications
MS-DRG 439 · Inpatient stay
|
13 |
$33,778
|
$10,676
|
-6%
|
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay
|
13 |
$140,600
|
$71,236
|
-37%
|
|
Back and Neck Procedures Except Spinal Fusion with Complications
MS-DRG 519 · Inpatient stay
|
13 |
$47,875
|
$22,562
|
-44%
|
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay
|
13 |
$65,398
|
$18,348
|
+27%
|
|
Postoperative and Post-traumatic Infections without Major Complications
MS-DRG 863 · Inpatient stay
|
13 |
$29,945
|
$11,015
|
-22%
|
|
Non-extensive Burns
MS-DRG 935 · Inpatient stay
|
13 |
$49,613
|
$28,821
|
-48%
|
|
Major Gastrointestinal Disorders and Peritoneal Infections with Complications
MS-DRG 372 · Inpatient stay
|
13 |
$32,173
|
$12,623
|
-19%
|
|
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Major Complications
MS-DRG 846 · Inpatient stay
|
13 |
$68,936
|
$30,151
|
-36%
|
|
Traumatic Stupor and Coma >1 Hour without Complications/mcc
MS-DRG 084 · Inpatient stay
|
13 |
$23,879
|
$10,552
|
-51%
|
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit
|
13 |
$9,435
|
$3,538
|
-54%
|
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay
|
12 |
$50,660
|
$19,023
|
-29%
|
|
Other Circulatory System Diagnoses with Complications
MS-DRG 315 · Inpatient stay
|
12 |
$50,992
|
$15,954
|
+23%
|
|
Spinal Fusion Except Cervical with Major Complications
MS-DRG 459 · Inpatient stay
|
12 |
$150,879
|
$64,315
|
-41%
|
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with
MS-DRG 516 · Inpatient stay
|
12 |
$41,148
|
$23,143
|
-53%
|
|
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio
MS-DRG 809 · Inpatient stay
|
12 |
$48,744
|
$16,881
|
-11%
|
|
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Complications
MS-DRG 847 · Inpatient stay
|
12 |
$50,128
|
$15,832
|
-6%
|
|
Postoperative or Post-traumatic Infections with Operating Room Procedures with
MS-DRG 857 · Inpatient stay
|
12 |
$77,324
|
$28,087
|
-20%
|
|
Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 987 · Inpatient stay
|
12 |
$141,618
|
$38,707
|
about average
|
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Major Complications
MS-DRG 492 · Inpatient stay
|
12 |
$106,013
|
$44,276
|
-29%
|
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications
MS-DRG 896 · Inpatient stay
|
12 |
$108,051
|
$33,720
|
+65%
|
|
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit
MS-DRG 061 · Inpatient stay
|
12 |
$90,407
|
$31,106
|
-38%
|
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit
|
12 |
$10,637
|
$3,267
|
-44%
|
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay
|
11 |
$109,186
|
$43,526
|
-21%
|
|
Acute Myocardial Infarction, Expired with Major Complications
MS-DRG 283 · Inpatient stay
|
11 |
$69,550
|
$26,888
|
-18%
|
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay
|
11 |
$96,722
|
$48,799
|
-46%
|
|
Sepsis
MS-DRG 870 · Inpatient stay
|
11 |
$228,226
|
$81,091
|
-15%
|
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay
|
11 |
$158,111
|
$52,822
|
-30%
|
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay
|
11 |
$53,948
|
$20,026
|
-34%
|
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay
|
11 |
$64,157
|
$29,616
|
-46%
|
|
Lymphoma and Non-acute Leukemia with Complications
MS-DRG 841 · Inpatient stay
|
11 |
$46,858
|
$17,256
|
-48%
|
|
Other Respiratory System Diagnoses without Major Complications
MS-DRG 206 · Inpatient stay
|
11 |
$29,878
|
$10,675
|
-35%
|
|
Back and Neck Procedures Except Spinal Fusion without Complications/mcc
MS-DRG 520 · Inpatient stay
|
11 |
$21,750
|
$14,931
|
-67%
|
|
Disorders of Pancreas Except Malignancy with Major Complications
MS-DRG 438 · Inpatient stay
|
11 |
$84,568
|
$23,226
|
+22%
|
|
Major Chest Trauma without Complications/mcc
MS-DRG 185 · Inpatient stay
|
11 |
$22,868
|
$9,077
|
-56%
|
|
Spinal Procedures with Major Complications
MS-DRG 028 · Inpatient stay
|
11 |
$172,127
|
$63,480
|
-38%
|
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit
|
11 |
$16,549
|
$6,946
|
-57%
|