Gulf Breeze Hospital MS-DRG Inpatient Charges

Effective Date:   January 1, 2019


In compliance with Centers for Medicare and Medicaid Services (CMS), all hospitals in the United States must post a listing of their current standard charges (prices) and standard charges for each Medicare Severity Diagnosis Related Groups (MS-DRG) Inpatient stay on their hospital website. The standard charges shown represent the individual prices or range of prices for procedures, drugs and supplies at Baptist Health Care affiliated hospitals. The MS-DRG charges shown are the average charges for each MS-DRG Inpatient hospital stay and may differ due to any unforeseen complications, and additional tests or procedures, any of which may increase the ultimate cost of the Inpatient stay. These prices represent what is displayed on an itemized bill. Your individual responsibility is governed by the services ordered and performed by your physician as well as your individual, employer-provided, or governmental insurance plan. Discounts are available for patients without insurance depending on household income levels. If you have questions about your individual situation, please contact Baptist Health Care Customer Service at 850.469.2000 or priceestimates@bhcpns.org

These prices are subject to change without notice. There is no warranty or guarantee regarding the accuracy of the pricing information provided herein. There are many factors that contribute to the total price for services provided.


Gulf Breeze Hospital MS-DRG Inpatient Charges

NOTE: MS-DRG = Medicare Severity Diagnosis Related Groups

 Note: You may need to scroll side to side and/or up and down to view all table elements on some displays

MS-DRG CODE MS-DRG DESCRIPTION AVERAGE CHARGES
289 ACUTE & SUBACUTE ENDOCARDITIS W CC $22,940
880 ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION $19,054
835 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC $89,131
836 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W/O CC/MCC $32,333
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC $8,525
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC $20,305
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC $11,400
560 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC $57,055
559 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC $35,997
896 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC $28,818
897 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC $17,404
894 ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA $14,494
916 ALLERGIC REACTIONS W/O MCC $54,750
617 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC $60,955
616 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC $83,677
240 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC $71,174
475 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC $56,312
476 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC $71,167
348 ANAL & STOMAL PROCEDURES W CC $52,643
347 ANAL & STOMAL PROCEDURES W MCC $48,872
349 ANAL & STOMAL PROCEDURES W/O CC/MCC $31,193
311 ANGINA PECTORIS $29,438
339 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC $48,714
340 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC $45,395
342 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC $45,985
343 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC $44,876
303 ATHEROSCLEROSIS W/O MCC $5,420
095 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC $40,608
096 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W/O CC/MCC $108,216
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC $42,299
553 BONE DISEASES & ARTHROPATHIES W MCC $18,937
554 BONE DISEASES & ARTHROPATHIES W/O MCC $5,364
585 BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC $72,552
202 BRONCHITIS & ASTHMA W CC/MCC $21,309
203 BRONCHITIS & ASTHMA W/O CC/MCC $14,683
296 CARDIAC ARREST, UNEXPLAINED W MCC $77,190
309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC $14,901
308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC $27,996
310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC $13,063
226 CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC $168,042
602 CELLULITIS W MCC $25,679
603 CELLULITIS W/O MCC $21,114
472 CERVICAL SPINAL FUSION W CC $70,893
471 CERVICAL SPINAL FUSION W MCC $70,634
473 CERVICAL SPINAL FUSION W/O CC/MCC $70,257
313 CHEST PAIN $26,300
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC $21,660
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC $25,887
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC $11,839
433 CIRRHOSIS & ALCOHOLIC HEPATITIS W CC $21,391
432 CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC $38,650
813 COAGULATION DISORDERS $38,895
454 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC $98,235
455 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC $98,639
381 COMPLICATED PEPTIC ULCER W CC $29,530
380 COMPLICATED PEPTIC ULCER W MCC $37,404
382 COMPLICATED PEPTIC ULCER W/O CC/MCC $23,151
920 COMPLICATIONS OF TREATMENT W CC $25,563
919 COMPLICATIONS OF TREATMENT W MCC $45,394
921 COMPLICATIONS OF TREATMENT W/O CC/MCC $18,091
546 CONNECTIVE TISSUE DISORDERS W CC $33,508
545 CONNECTIVE TISSUE DISORDERS W MCC $28,264
074 CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC $23,468
026 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC $150,930
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC $22,313
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC $31,619
157 DENTAL & ORAL DISEASES W MCC $41,690
638 DIABETES W CC $17,857
637 DIABETES W MCC $15,495
639 DIABETES W/O CC/MCC $10,689
375 DIGESTIVE MALIGNANCY W CC $13,536
374 DIGESTIVE MALIGNANCY W MCC $45,670
442 DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC $17,681
441 DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC $34,140
443 DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC $19,163
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC $22,147
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC $38,806
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC $17,306
445 DISORDERS OF THE BILIARY TRACT W CC $22,379
444 DISORDERS OF THE BILIARY TRACT W MCC $20,032
446 DISORDERS OF THE BILIARY TRACT W/O CC/MCC $12,135
149 DYSEQUILIBRIUM $23,579
146 EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC $13,500
644 ENDOCRINE DISORDERS W CC $32,680
643 ENDOCRINE DISORDERS W MCC $22,342
391 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC $25,822
392 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC $22,596
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC $62,760
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC $104,678
983 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC $48,582
038 EXTRACRANIAL PROCEDURES W CC $45,666
037 EXTRACRANIAL PROCEDURES W MCC $66,790
039 EXTRACRANIAL PROCEDURES W/O CC/MCC $42,398
864 FEVER $16,141
505 FOOT PROCEDURES W/O CC/MCC $51,697
535 FRACTURES OF HIP & PELVIS W MCC $25,859
536 FRACTURES OF HIP & PELVIS W/O MCC $19,225
562 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC $30,223
563 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC $18,715
378 G.I. HEMORRHAGE W CC $21,574
377 G.I. HEMORRHAGE W MCC $30,523
379 G.I. HEMORRHAGE W/O CC/MCC $18,734
389 G.I. OBSTRUCTION W CC $21,313
388 G.I. OBSTRUCTION W MCC $40,212
390 G.I. OBSTRUCTION W/O CC/MCC $23,271
513 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC $51,793
514 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC $31,910
102 HEADACHES W MCC $33,611
103 HEADACHES W/O MCC $23,206
292 HEART FAILURE & SHOCK W CC $18,877
291 HEART FAILURE & SHOCK W MCC $28,358
293 HEART FAILURE & SHOCK W/O CC/MCC $21,682
354 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC $49,446
353 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC $93,577
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC $60,662
480 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC $67,778
482 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC $45,524
975 HIV W MAJOR RELATED CONDITION W CC $16,408
974 HIV W MAJOR RELATED CONDITION W MCC $65,943
304 HYPERTENSION W MCC $24,809
305 HYPERTENSION W/O MCC $24,850
078 HYPERTENSIVE ENCEPHALOPATHY W CC $29,894
779 INDUCED TERMINATION PREGNANCY W/O D&C $16,837
854 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC $71,023
853 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC $107,976
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC $61,094
386 INFLAMMATORY BOWEL DISEASE W CC $24,481
387 INFLAMMATORY BOWEL DISEASE W/O CC/MCC $28,125
351 INGUINAL & FEMORAL HERNIA PROCEDURES W CC $35,666
350 INGUINAL & FEMORAL HERNIA PROCEDURES W MCC $59,257
352 INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC $47,115
196 INTERSTITIAL LUNG DISEASE W MCC $33,396
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS $28,763
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC $33,145
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC $22,184
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC $60,009
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC $74,183
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC $27,336
689 KIDNEY & URINARY TRACT INFECTIONS W MCC $24,808
690 KIDNEY & URINARY TRACT INFECTIONS W/O MCC $17,737
687 KIDNEY & URINARY TRACT NEOPLASMS W CC $13,213
686 KIDNEY & URINARY TRACT NEOPLASMS W MCC $27,823
695 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC $18,225
486 KNEE PROCEDURES W PDX OF INFECTION W CC $66,024
487 KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC $54,826
489 KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC $57,351
418 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC $58,173
417 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC $57,708
419 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC $46,556
956 LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA $61,327
496 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC $96,545
497 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC $79,433
493 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC $72,137
492 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC $70,477
494 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC $63,729
841 LYMPHOMA & NON-ACUTE LEUKEMIA W CC $31,864
840 LYMPHOMA & NON-ACUTE LEUKEMIA W MCC $43,695
164 MAJOR CHEST PROCEDURES W CC $67,596
165 MAJOR CHEST PROCEDURES W/O CC/MCC $57,077
184 MAJOR CHEST TRAUMA W CC $38,193
369 MAJOR ESOPHAGEAL DISORDERS W CC $24,987
368 MAJOR ESOPHAGEAL DISORDERS W MCC $29,200
370 MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC $13,735
372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC $23,643
371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC $44,571
373 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC $20,547
809 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC $63,335
808 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC $57,233
810 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC $12,534
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT $84,588
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC $80,392
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $88,497
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W/O CC/MCC $78,166
596 MAJOR SKIN DISORDERS W/O MCC $12,048
330 MAJOR SMALL & LARGE BOWEL PROCEDURES W CC $67,896
329 MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC $104,312
331 MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC $50,531
506 MAJOR THUMB OR JOINT PROCEDURES $33,964
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC $39,712
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC $33,615
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC $16,359
598 MALIGNANT BREAST DISORDERS W CC $41,538
582 MASTECTOMY FOR MALIGNANCY W CC/MCC $54,487
583 MASTECTOMY FOR MALIGNANCY W/O CC/MCC $66,416
551 MEDICAL BACK PROBLEMS W MCC $33,090
552 MEDICAL BACK PROBLEMS W/O MCC $19,858
761 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC $13,306
606 MINOR SKIN DISORDERS W MCC $13,154
607 MINOR SKIN DISORDERS W/O MCC $19,021
345 MINOR SMALL & LARGE BOWEL PROCEDURES W CC $49,047
346 MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC $24,987
640 MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC $22,447
641 MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC $16,258
137 MOUTH PROCEDURES W CC/MCC $93,888
059 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC $11,266
054 NERVOUS SYSTEM NEOPLASMS W MCC $26,779
123 NEUROLOGICAL EYE DISORDERS $15,537
882 NEUROSES EXCEPT DEPRESSIVE $39,130
098 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC $30,276
099 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC $28,549
935 NON-EXTENSIVE BURNS $52,671
987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC $52,632
989 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC $20,909
600 NON-MALIGNANT BREAST DISORDERS W CC/MCC $22,646
601 NON-MALIGNANT BREAST DISORDERS W/O CC/MCC $21,808
071 NONSPECIFIC CEREBROVASCULAR DISORDERS W CC $22,073
070 NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC $30,909
072 NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC $28,983
067 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC $44,011
080 NONTRAUMATIC STUPOR & COMA W MCC $47,039
941 O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC $67,019
540 OSTEOMYELITIS W CC $62,026
781 OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS $34,776
315 OTHER CIRCULATORY SYSTEM DIAGNOSES W CC $25,637
314 OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC $36,052
316 OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC $31,278
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $48,788
394 OTHER DIGESTIVE SYSTEM DIAGNOSES W CC $26,080
393 OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC $57,092
395 OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC $22,231
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC $33,099
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC $73,711
092 OTHER DISORDERS OF NERVOUS SYSTEM W CC $21,611
091 OTHER DISORDERS OF NERVOUS SYSTEM W MCC $22,234
093 OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC $12,643
125 OTHER DISORDERS OF THE EYE W/O MCC $25,557
154 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC $30,612
156 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC $14,649
629 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC $109,351
922 OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC $11,699
923 OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC $15,857
699 OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC $21,662
698 OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC $25,228
964 OTHER MULTIPLE SIGNIFICANT TRAUMA W CC $13,674
516 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC $98,120
517 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC $53,397
565 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC $30,539
564 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC $26,255
908 OTHER O.R. PROCEDURES FOR INJURIES W CC $59,950
907 OTHER O.R. PROCEDURES FOR INJURIES W MCC $92,043
167 OTHER RESP SYSTEM O.R. PROCEDURES W CC $35,611
166 OTHER RESP SYSTEM O.R. PROCEDURES W MCC $78,756
168 OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC $44,730
205 OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC $24,292
206 OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC $14,289
580 OTHER SKIN, SUBCUT TISS & BREAST PROC W CC $51,087
581 OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC $50,596
252 OTHER VASCULAR PROCEDURES W MCC $66,401
152 OTITIS MEDIA & URI W MCC $22,974
153 OTITIS MEDIA & URI W/O MCC $13,337
543 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC $25,023
542 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC $24,499
544 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC $16,432
710 PENIS PROCEDURES W/O CC/MCC $44,342
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC $175,201
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC $112,694
041 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM $115,272
040 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC $47,619
300 PERIPHERAL VASCULAR DISORDERS W CC $24,883
299 PERIPHERAL VASCULAR DISORDERS W MCC $20,522
301 PERIPHERAL VASCULAR DISORDERS W/O CC/MCC $11,273
336 PERITONEAL ADHESIOLYSIS W CC $63,382
335 PERITONEAL ADHESIOLYSIS W MCC $105,070
337 PERITONEAL ADHESIOLYSIS W/O CC/MCC $52,589
243 PERMANENT CARDIAC PACEMAKER IMPLANT W CC $64,448
242 PERMANENT CARDIAC PACEMAKER IMPLANT W MCC $159,916
244 PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC $65,958
187 PLEURAL EFFUSION W CC $41,961
186 PLEURAL EFFUSION W MCC $45,281
200 PNEUMOTHORAX W CC $20,435
199 PNEUMOTHORAX W MCC $15,466
201 PNEUMOTHORAX W/O CC/MCC $15,859
917 POISONING & TOXIC EFFECTS OF DRUGS W MCC $20,534
918 POISONING & TOXIC EFFECTS OF DRUGS W/O MCC $12,221
863 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC $23,282
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC $55,809
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC $64,900
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC $41,486
769 POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE $45,345
776 POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE $68,387
189 PULMONARY EDEMA & RESPIRATORY FAILURE $25,631
175 PULMONARY EMBOLISM W MCC $30,131
176 PULMONARY EMBOLISM W/O MCC $21,944
811 RED BLOOD CELL DISORDERS W MCC $19,237
812 RED BLOOD CELL DISORDERS W/O MCC $20,661
683 RENAL FAILURE W CC $18,057
682 RENAL FAILURE W MCC $25,257
684 RENAL FAILURE W/O CC/MCC $14,561
178 RESPIRATORY INFECTIONS & INFLAMMATIONS W CC $19,219
177 RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC $41,738
179 RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC $17,251
181 RESPIRATORY NEOPLASMS W CC $9,530
180 RESPIRATORY NEOPLASMS W MCC $86,487
204 RESPIRATORY SIGNS & SYMPTOMS $25,434
208 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS $42,461
815 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $31,889
467 REVISION OF HIP OR KNEE REPLACEMENT W CC $86,635
468 REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC $73,855
100 SEIZURES W MCC $41,250
101 SEIZURES W/O MCC $18,297
549 SEPTIC ARTHRITIS W CC $49,633
548 SEPTIC ARTHRITIS W MCC $18,446
870 SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS $169,247
871 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC $37,691
872 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC $27,943
510 SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W MCC $36,235
512 SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W/O CC/MCC $48,658
556 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC $25,539
947 SIGNS & SYMPTOMS W MCC $19,127
948 SIGNS & SYMPTOMS W/O MCC $18,461
194 SIMPLE PNEUMONIA & PLEURISY W CC $22,935
193 SIMPLE PNEUMONIA & PLEURISY W MCC $25,205
195 SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC $13,770
571 SKIN DEBRIDEMENT W CC $62,250
570 SKIN DEBRIDEMENT W MCC $32,137
623 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC $75,721
593 SKIN ULCERS W CC $7,444
501 SOFT TISSUE PROCEDURES W CC $50,953
500 SOFT TISSUE PROCEDURES W MCC $45,734
502 SOFT TISSUE PROCEDURES W/O CC/MCC $67,121
457 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W CC $126,822
456 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W MCC $160,309
458 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W/O CC/MCC $101,053
459 SPINAL FUSION EXCEPT CERVICAL W MCC $122,563
460 SPINAL FUSION EXCEPT CERVICAL W/O MCC $96,228
030 SPINAL PROCEDURES W/O CC/MCC $42,744
327 STOMACH, ESOPHAGEAL & DUODENAL PROC W CC $42,554
326 STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC $141,115
328 STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC $44,541
312 SYNCOPE & COLLAPSE $24,059
557 TENDONITIS, MYOSITIS & BURSITIS W MCC $33,462
558 TENDONITIS, MYOSITIS & BURSITIS W/O MCC $13,458
004 TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. $287,914
069 TRANSIENT ISCHEMIA W/O THROMBOLYTIC $22,932
604 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC $40,813
605 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC $27,492
913 TRAUMATIC INJURY W MCC $21,904
087 TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC $16,244
084 TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC $24,358
384 UNCOMPLICATED PEPTIC ULCER W/O MCC $28,378
256 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC $45,248
694 URINARY STONES W/O ESW LITHOTRIPSY W/O MCC $21,478
742 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC $51,599
743 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC $42,675
746 VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC $25,552
865 VIRAL ILLNESS W MCC $21,617
866 VIRAL ILLNESS W/O MCC $30,102
076 VIRAL MENINGITIS W/O CC/MCC $25,664
464 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC $56,278
463 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC $198,046
465 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC $60,677
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