IBRC1710A.TXT

Version 3.22 - Inpatient Facility Charge Table,,,,,,,,
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Item Code,Code Type,Description,Charge Type Indicator,Standard Room and Board Per Diem,Standard Ancillary Charge Per Diem,ICU Room and Board Per Diem,ICU Ancillary Charge Per Diem,Start Date
001,DRG,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC,S,"$4,335.55 ","$28,732.88 ","$7,991.48 ","$28,732.88 ",20171001
002,DRG,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC,S,"$3,954.37 ","$31,684.99 ","$7,111.23 ","$31,684.99 ",20171001
003,DRG,"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",S,"$4,574.34 ","$17,892.02 ","$7,957.38 ","$17,892.02 ",20171001
004,DRG,"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",S,"$4,226.48 ","$11,552.58 ","$6,973.83 ","$11,552.58 ",20171001
005,DRG,LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT,S,"$3,971.10 ","$28,311.42 ","$8,524.12 ","$28,311.42 ",20171001
006,DRG,LIVER TRANSPLANT W/O MCC,S,"$3,223.86 ","$34,513.19 ","$6,262.38 ","$34,513.19 ",20171001
007,DRG,LUNG TRANSPLANT,S,"$4,160.70 ","$32,381.93 ","$7,244.96 ","$32,381.93 ",20171001
008,DRG,SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT,S,"$3,685.70 ","$46,344.87 ","$7,429.21 ","$46,344.87 ",20171001
010,DRG,PANCREAS TRANSPLANT,S,"$4,306.71 ","$35,406.34 ","$7,290.99 ","$35,406.34 ",20171001
011,DRG,"TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W MCC",S,"$3,795.98 ","$12,349.57 ","$6,855.70 ","$12,349.57 ",20171001
012,DRG,"TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W CC",S,"$3,806.15 ","$13,976.76 ","$6,709.58 ","$13,976.76 ",20171001
013,DRG,"TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W/O CC/MCC",S,"$3,298.45 ","$13,030.69 ","$6,056.76 ","$13,030.69 ",20171001
014,DRG,ALLOGENEIC BONE MARROW TRANSPLANT,S,"$5,863.36 ","$15,825.79 ","$7,289.76 ","$15,825.79 ",20171001
016,DRG,AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC,S,"$4,897.87 ","$9,933.35 ","$6,020.75 ","$9,933.35 ",20171001
017,DRG,AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC,S,"$4,180.68 ","$9,287.64 ","$5,926.47 ","$9,287.64 ",20171001
020,DRG,INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC,S,"$4,057.44 ","$20,883.86 ","$8,370.27 ","$20,883.86 ",20171001
021,DRG,INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC,S,"$4,396.52 ","$17,739.40 ","$8,198.56 ","$17,739.40 ",20171001
022,DRG,INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CC/MCC,S,"$4,432.44 ","$23,050.29 ","$7,661.39 ","$23,050.29 ",20171001
023,DRG,CRANIOTOMY W MAJOR DEVICE IMPLANT OR ACUTE CNS PDX W MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY W NEUROSTIMULATOR,S,"$3,685.03 ","$17,334.81 ","$7,656.41 ","$17,334.81 ",20171001
024,DRG,CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC,S,"$4,203.13 ","$27,827.92 ","$8,309.81 ","$27,827.92 ",20171001
025,DRG,CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC,S,"$3,751.30 ","$16,710.41 ","$7,641.04 ","$16,710.41 ",20171001
026,DRG,CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC,S,"$3,965.00 ","$20,656.74 ","$7,929.56 ","$20,656.74 ",20171001
027,DRG,CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC,S,"$3,607.65 ","$33,188.36 ","$7,430.19 ","$33,188.36 ",20171001
028,DRG,SPINAL PROCEDURES W MCC,S,"$3,411.69 ","$15,955.14 ","$6,938.89 ","$15,955.14 ",20171001
029,DRG,SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS,S,"$3,302.45 ","$19,193.82 ","$6,730.43 ","$19,193.82 ",20171001
030,DRG,SPINAL PROCEDURES W/O CC/MCC,S,"$3,348.13 ","$24,157.25 ","$6,951.10 ","$24,157.25 ",20171001
031,DRG,VENTRICULAR SHUNT PROCEDURES W MCC,S,"$3,526.31 ","$11,484.95 ","$6,514.91 ","$11,484.95 ",20171001
032,DRG,VENTRICULAR SHUNT PROCEDURES W CC,S,"$3,731.08 ","$17,351.88 ","$6,965.40 ","$17,351.88 ",20171001
033,DRG,VENTRICULAR SHUNT PROCEDURES W/O CC/MCC,S,"$3,247.62 ","$26,538.26 ","$6,274.60 ","$26,538.26 ",20171001
034,DRG,CAROTID ARTERY STENT PROCEDURE W MCC,S,"$3,426.15 ","$19,232.78 ","$6,606.99 ","$19,232.78 ",20171001
035,DRG,CAROTID ARTERY STENT PROCEDURE W CC,S,"$3,210.28 ","$27,714.17 ","$6,190.43 ","$27,714.17 ",20171001
036,DRG,CAROTID ARTERY STENT PROCEDURE W/O CC/MCC,S,"$3,032.36 ","$44,895.21 ","$5,694.50 ","$44,895.21 ",20171001
037,DRG,EXTRACRANIAL PROCEDURES W MCC,S,"$2,935.99 ","$14,221.72 ","$5,472.32 ","$14,221.72 ",20171001
038,DRG,EXTRACRANIAL PROCEDURES W CC,S,"$3,071.80 ","$19,936.10 ","$5,468.23 ","$19,936.10 ",20171001
039,DRG,EXTRACRANIAL PROCEDURES W/O CC/MCC,S,"$2,894.10 ","$30,411.97 ","$5,416.61 ","$30,411.97 ",20171001
040,DRG,PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC,S,"$3,377.29 ","$10,827.67 ","$6,259.65 ","$10,827.67 ",20171001
041,DRG,PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,S,"$3,677.10 ","$14,178.37 ","$6,729.74 ","$14,178.37 ",20171001
042,DRG,PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,S,"$4,015.38 ","$26,157.41 ","$6,846.95 ","$26,157.41 ",20171001
052,DRG,SPINAL DISORDERS & INJURIES W CC/MCC,N,"$2,338.82 ","$4,003.02 ","$6,140.55 ","$4,003.02 ",20171001
053,DRG,SPINAL DISORDERS & INJURIES W/O CC/MCC,N,"$1,925.95 ","$4,011.54 ","$4,379.81 ","$4,011.54 ",20171001
054,DRG,NERVOUS SYSTEM NEOPLASMS W MCC,N,"$3,223.18 ","$7,182.38 ","$5,788.13 ","$7,182.38 ",20171001
055,DRG,NERVOUS SYSTEM NEOPLASMS W/O MCC,N,"$2,907.49 ","$6,586.58 ","$5,332.43 ","$6,586.58 ",20171001
056,DRG,DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,N,"$2,719.16 ","$4,047.59 ","$5,756.95 ","$4,047.59 ",20171001
057,DRG,DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,N,"$2,929.38 ","$2,652.80 ","$6,002.58 ","$2,652.80 ",20171001
058,DRG,MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,N,"$2,958.72 ","$6,205.59 ","$5,558.82 ","$6,205.59 ",20171001
059,DRG,MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,N,"$2,994.70 ","$5,949.04 ","$5,024.88 ","$5,949.04 ",20171001
060,DRG,MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,N,"$2,807.23 ","$5,790.24 ","$4,723.99 ","$5,790.24 ",20171001
061,DRG,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",N,"$3,537.06 ","$14,341.68 ","$6,802.41 ","$14,341.68 ",20171001
062,DRG,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",N,"$3,903.70 ","$18,645.03 ","$7,479.59 ","$18,645.03 ",20171001
063,DRG,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",N,"$3,995.09 ","$23,556.50 ","$7,520.44 ","$23,556.50 ",20171001
064,DRG,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,N,"$3,250.38 ","$8,490.07 ","$6,353.20 ","$8,490.07 ",20171001
065,DRG,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,N,"$3,035.48 ","$8,275.70 ","$5,610.78 ","$8,275.70 ",20171001
066,DRG,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,N,"$2,652.46 ","$9,054.25 ","$4,821.80 ","$9,054.25 ",20171001
067,DRG,NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,N,"$2,851.62 ","$9,024.14 ","$5,180.56 ","$9,024.14 ",20171001
068,DRG,NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,N,"$2,538.86 ","$9,593.23 ","$4,427.14 ","$9,593.23 ",20171001
069,DRG,TRANSIENT ISCHEMIA W/O THROMBOLYTIC,N,"$3,000.64 ","$11,100.90 ","$5,048.06 ","$11,100.90 ",20171001
070,DRG,NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,N,"$2,812.28 ","$6,724.00 ","$5,402.60 ","$6,724.00 ",20171001
071,DRG,NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,N,"$2,495.54 ","$5,186.73 ","$4,657.13 ","$5,186.73 ",20171001
072,DRG,NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,N,"$2,875.22 ","$7,660.45 ","$5,360.22 ","$7,660.45 ",20171001
073,DRG,CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,N,"$2,927.34 ","$6,757.24 ","$5,235.07 ","$6,757.24 ",20171001
074,DRG,CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,N,"$2,786.42 ","$6,455.36 ","$5,238.22 ","$6,455.36 ",20171001
075,DRG,VIRAL MENINGITIS W CC/MCC,N,"$2,908.04 ","$7,340.52 ","$4,775.80 ","$7,340.52 ",20171001
076,DRG,VIRAL MENINGITIS W/O CC/MCC,N,"$2,738.13 ","$7,033.07 ","$4,512.55 ","$7,033.07 ",20171001
077,DRG,HYPERTENSIVE ENCEPHALOPATHY W MCC,N,"$2,982.74 ","$7,978.81 ","$5,641.04 ","$7,978.81 ",20171001
078,DRG,HYPERTENSIVE ENCEPHALOPATHY W CC,N,"$3,330.88 ","$8,528.93 ","$6,019.27 ","$8,528.93 ",20171001
079,DRG,HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC,N,"$2,796.70 ","$8,314.56 ","$4,857.01 ","$8,314.56 ",20171001
080,DRG,NONTRAUMATIC STUPOR & COMA W MCC,N,"$3,114.26 ","$7,179.63 ","$6,172.48 ","$7,179.63 ",20171001
081,DRG,NONTRAUMATIC STUPOR & COMA W/O MCC,N,"$3,081.98 ","$6,294.36 ","$5,735.28 ","$6,294.36 ",20171001
082,DRG,"TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC",N,"$3,094.80 ","$9,245.12 ","$6,893.74 ","$9,245.12 ",20171001
083,DRG,"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",N,"$3,380.23 ","$8,199.46 ","$6,959.09 ","$8,199.46 ",20171001
084,DRG,"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",N,"$3,348.41 ","$9,974.71 ","$7,291.21 ","$9,974.71 ",20171001
085,DRG,"TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC",N,"$3,450.11 ","$8,275.29 ","$7,089.87 ","$8,275.29 ",20171001
086,DRG,"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",N,"$3,204.30 ","$7,151.19 ","$6,456.22 ","$7,151.19 ",20171001
087,DRG,"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",N,"$2,761.90 ","$7,315.84 ","$5,781.44 ","$7,315.84 ",20171001
088,DRG,CONCUSSION W MCC,N,"$3,486.46 ","$10,926.85 ","$7,554.98 ","$10,926.85 ",20171001
089,DRG,CONCUSSION W CC,N,"$3,795.14 ","$11,336.65 ","$7,351.72 ","$11,336.65 ",20171001
090,DRG,CONCUSSION W/O CC/MCC,N,"$3,853.26 ","$13,412.04 ","$6,903.50 ","$13,412.04 ",20171001
091,DRG,OTHER DISORDERS OF NERVOUS SYSTEM W MCC,N,"$2,743.44 ","$6,359.03 ","$5,830.84 ","$6,359.03 ",20171001
092,DRG,OTHER DISORDERS OF NERVOUS SYSTEM W CC,N,"$2,919.47 ","$5,969.67 ","$5,466.67 ","$5,969.67 ",20171001
093,DRG,OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,N,"$2,812.94 ","$6,976.36 ","$5,222.97 ","$6,976.36 ",20171001
094,DRG,BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC,N,"$3,036.55 ","$8,022.51 ","$5,965.17 ","$8,022.51 ",20171001
095,DRG,BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,N,"$3,155.46 ","$9,327.47 ","$5,733.74 ","$9,327.47 ",20171001
096,DRG,BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W/O CC/MCC,N,"$2,411.83 ","$10,649.42 ","$4,606.04 ","$10,649.42 ",20171001
097,DRG,NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC,N,"$3,278.15 ","$9,078.23 ","$5,962.18 ","$9,078.23 ",20171001
098,DRG,NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,N,"$3,395.69 ","$7,804.93 ","$5,872.75 ","$7,804.93 ",20171001
099,DRG,NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC,N,"$2,668.40 ","$7,014.96 ","$4,381.29 ","$7,014.96 ",20171001
100,DRG,SEIZURES W MCC,N,"$3,335.55 ","$8,534.84 ","$6,197.92 ","$8,534.84 ",20171001
101,DRG,SEIZURES W/O MCC,N,"$3,369.56 ","$7,692.71 ","$5,378.85 ","$7,692.71 ",20171001
102,DRG,HEADACHES W MCC,N,"$3,195.95 ","$8,659.61 ","$5,683.87 ","$8,659.61 ",20171001
103,DRG,HEADACHES W/O MCC,N,"$2,620.25 ","$7,707.98 ","$4,504.62 ","$7,707.98 ",20171001
113,DRG,ORBITAL PROCEDURES W CC/MCC,S,"$3,876.12 ","$14,716.47 ","$7,857.61 ","$14,716.47 ",20171001
114,DRG,ORBITAL PROCEDURES W/O CC/MCC,S,"$3,650.88 ","$18,757.84 ","$7,452.51 ","$18,757.84 ",20171001
115,DRG,EXTRAOCULAR PROCEDURES EXCEPT ORBIT,S,"$3,560.28 ","$11,744.15 ","$6,696.00 ","$11,744.15 ",20171001
116,DRG,INTRAOCULAR PROCEDURES W CC/MCC,S,"$3,794.01 ","$11,375.66 ","$6,357.45 ","$11,375.66 ",20171001
117,DRG,INTRAOCULAR PROCEDURES W/O CC/MCC,S,"$3,403.31 ","$14,643.50 ","$7,675.03 ","$14,643.50 ",20171001
121,DRG,ACUTE MAJOR EYE INFECTIONS W CC/MCC,N,"$3,258.54 ","$4,785.95 ","$5,813.87 ","$4,785.95 ",20171001
122,DRG,ACUTE MAJOR EYE INFECTIONS W/O CC/MCC,N,"$2,968.94 ","$4,170.06 ","$5,926.87 ","$4,170.06 ",20171001
123,DRG,NEUROLOGICAL EYE DISORDERS,N,"$3,123.37 ","$10,562.39 ","$4,999.16 ","$10,562.39 ",20171001
124,DRG,OTHER DISORDERS OF THE EYE W MCC,N,"$3,616.66 ","$7,343.35 ","$5,890.68 ","$7,343.35 ",20171001
125,DRG,OTHER DISORDERS OF THE EYE W/O MCC,N,"$3,232.44 ","$6,333.46 ","$5,174.96 ","$6,333.46 ",20171001
129,DRG,MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE,S,"$4,095.69 ","$20,423.30 ","$7,292.68 ","$20,423.30 ",20171001
130,DRG,MAJOR HEAD & NECK PROCEDURES W/O CC/MCC,S,"$3,597.85 ","$24,381.52 ","$6,105.62 ","$24,381.52 ",20171001
131,DRG,CRANIAL/FACIAL PROCEDURES W CC/MCC,S,"$4,163.87 ","$19,604.73 ","$8,044.21 ","$19,604.73 ",20171001
132,DRG,CRANIAL/FACIAL PROCEDURES W/O CC/MCC,S,"$4,661.62 ","$32,540.74 ","$8,512.30 ","$32,540.74 ",20171001
133,DRG,"OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC",S,"$3,397.76 ","$13,156.24 ","$6,378.48 ","$13,156.24 ",20171001
134,DRG,"OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC",S,"$3,363.91 ","$19,374.94 ","$6,044.79 ","$19,374.94 ",20171001
135,DRG,SINUS & MASTOID PROCEDURES W CC/MCC,S,"$3,310.11 ","$13,785.36 ","$6,119.74 ","$13,785.36 ",20171001
136,DRG,SINUS & MASTOID PROCEDURES W/O CC/MCC,S,"$3,287.15 ","$21,585.63 ","$6,006.86 ","$21,585.63 ",20171001
137,DRG,MOUTH PROCEDURES W CC/MCC,S,"$3,072.06 ","$9,632.65 ","$6,156.76 ","$9,632.65 ",20171001
138,DRG,MOUTH PROCEDURES W/O CC/MCC,S,"$3,597.89 ","$13,976.32 ","$5,729.28 ","$13,976.32 ",20171001
139,DRG,SALIVARY GLAND PROCEDURES,S,"$3,434.71 ","$20,785.83 ","$6,192.47 ","$20,785.83 ",20171001
146,DRG,"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",N,"$3,399.28 ","$6,556.77 ","$6,343.17 ","$6,556.77 ",20171001
147,DRG,"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",N,"$3,254.04 ","$6,472.89 ","$5,294.09 ","$6,472.89 ",20171001
148,DRG,"EAR, NOSE, MOUTH & THROAT MALIGNANCY W/O CC/MCC",N,"$2,469.79 ","$6,603.55 ","$4,691.72 ","$6,603.55 ",20171001
149,DRG,DYSEQUILIBRIUM,N,"$3,300.50 ","$9,163.04 ","$5,286.07 ","$9,163.04 ",20171001
150,DRG,EPISTAXIS W MCC,N,"$3,168.10 ","$6,986.80 ","$5,417.43 ","$6,986.80 ",20171001
151,DRG,EPISTAXIS W/O MCC,N,"$3,520.69 ","$6,469.78 ","$6,030.35 ","$6,469.78 ",20171001
152,DRG,OTITIS MEDIA & URI W MCC,N,"$3,478.34 ","$6,890.39 ","$5,619.09 ","$6,890.39 ",20171001
153,DRG,OTITIS MEDIA & URI W/O MCC,N,"$2,878.86 ","$5,614.16 ","$4,665.36 ","$5,614.16 ",20171001
154,DRG,"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC",N,"$3,276.10 ","$7,437.30 ","$5,981.04 ","$7,437.30 ",20171001
155,DRG,"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",N,"$3,288.23 ","$6,979.45 ","$5,724.04 ","$6,979.45 ",20171001
156,DRG,"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",N,"$3,074.96 ","$6,948.59 ","$5,550.59 ","$6,948.59 ",20171001
157,DRG,DENTAL & ORAL DISEASES W MCC,N,"$3,323.37 ","$7,350.80 ","$5,953.93 ","$7,350.80 ",20171001
158,DRG,DENTAL & ORAL DISEASES W CC,N,"$3,296.74 ","$6,909.51 ","$5,484.32 ","$6,909.51 ",20171001
159,DRG,DENTAL & ORAL DISEASES W/O CC/MCC,N,"$3,360.70 ","$8,022.42 ","$6,356.29 ","$8,022.42 ",20171001
163,DRG,MAJOR CHEST PROCEDURES W MCC,S,"$3,179.54 ","$11,967.42 ","$5,645.70 ","$11,967.42 ",20171001
164,DRG,MAJOR CHEST PROCEDURES W CC,S,"$3,612.41 ","$14,982.94 ","$5,437.58 ","$14,982.94 ",20171001
165,DRG,MAJOR CHEST PROCEDURES W/O CC/MCC,S,"$3,225.20 ","$17,262.16 ","$4,807.21 ","$17,262.16 ",20171001
166,DRG,OTHER RESP SYSTEM O.R. PROCEDURES W MCC,S,"$3,285.83 ","$9,760.25 ","$5,581.70 ","$9,760.25 ",20171001
167,DRG,OTHER RESP SYSTEM O.R. PROCEDURES W CC,S,"$3,188.88 ","$10,762.43 ","$5,257.47 ","$10,762.43 ",20171001
168,DRG,OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC,S,"$2,934.49 ","$12,879.60 ","$4,695.72 ","$12,879.60 ",20171001
175,DRG,PULMONARY EMBOLISM W MCC,N,"$2,924.24 ","$7,375.78 ","$4,954.01 ","$7,375.78 ",20171001
176,DRG,PULMONARY EMBOLISM W/O MCC,N,"$2,941.58 ","$7,284.68 ","$4,838.73 ","$7,284.68 ",20171001
177,DRG,RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,N,"$2,914.85 ","$6,550.09 ","$4,989.27 ","$6,550.09 ",20171001
178,DRG,RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,N,"$2,935.76 ","$6,078.82 ","$4,920.06 ","$6,078.82 ",20171001
179,DRG,RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,N,"$2,681.43 ","$5,564.04 ","$4,596.29 ","$5,564.04 ",20171001
180,DRG,RESPIRATORY NEOPLASMS W MCC,N,"$3,052.34 ","$7,547.53 ","$5,024.29 ","$7,547.53 ",20171001
181,DRG,RESPIRATORY NEOPLASMS W CC,N,"$3,187.84 ","$7,608.49 ","$5,138.55 ","$7,608.49 ",20171001
182,DRG,RESPIRATORY NEOPLASMS W/O CC/MCC,N,"$1,689.53 ","$5,178.91 ","$2,890.01 ","$5,178.91 ",20171001
183,DRG,MAJOR CHEST TRAUMA W MCC,N,"$3,428.17 ","$7,703.69 ","$6,932.50 ","$7,703.69 ",20171001
184,DRG,MAJOR CHEST TRAUMA W CC,N,"$3,515.30 ","$8,167.47 ","$7,109.97 ","$8,167.47 ",20171001
185,DRG,MAJOR CHEST TRAUMA W/O CC/MCC,N,"$3,800.29 ","$8,714.92 ","$7,632.04 ","$8,714.92 ",20171001
186,DRG,PLEURAL EFFUSION W MCC,N,"$2,919.76 ","$7,229.82 ","$4,869.44 ","$7,229.82 ",20171001
187,DRG,PLEURAL EFFUSION W CC,N,"$2,864.07 ","$6,664.12 ","$4,538.78 ","$6,664.12 ",20171001
188,DRG,PLEURAL EFFUSION W/O CC/MCC,N,"$2,424.17 ","$6,246.92 ","$3,947.95 ","$6,246.92 ",20171001
189,DRG,PULMONARY EDEMA & RESPIRATORY FAILURE,N,"$2,726.45 ","$6,036.22 ","$4,671.40 ","$6,036.22 ",20171001
190,DRG,CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,N,"$2,560.76 ","$6,117.61 ","$4,420.20 ","$6,117.61 ",20171001
191,DRG,CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,N,"$2,566.41 ","$5,958.81 ","$4,358.98 ","$5,958.81 ",20171001
192,DRG,CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,N,"$2,138.67 ","$5,232.23 ","$3,876.50 ","$5,232.23 ",20171001
193,DRG,SIMPLE PNEUMONIA & PLEURISY W MCC,N,"$2,724.90 ","$6,650.36 ","$4,719.04 ","$6,650.36 ",20171001
194,DRG,SIMPLE PNEUMONIA & PLEURISY W CC,N,"$2,624.96 ","$5,811.48 ","$4,482.67 ","$5,811.48 ",20171001
195,DRG,SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,N,"$2,255.69 ","$5,054.85 ","$4,055.56 ","$5,054.85 ",20171001
196,DRG,INTERSTITIAL LUNG DISEASE W MCC,N,"$3,265.63 ","$6,691.88 ","$5,607.11 ","$6,691.88 ",20171001
197,DRG,INTERSTITIAL LUNG DISEASE W CC,N,"$3,009.94 ","$6,283.18 ","$5,015.55 ","$6,283.18 ",20171001
198,DRG,INTERSTITIAL LUNG DISEASE W/O CC/MCC,N,"$2,853.16 ","$6,496.79 ","$4,744.86 ","$6,496.79 ",20171001
199,DRG,PNEUMOTHORAX W MCC,N,"$2,878.35 ","$6,304.90 ","$5,064.38 ","$6,304.90 ",20171001
200,DRG,PNEUMOTHORAX W CC,N,"$2,962.85 ","$6,487.13 ","$5,090.87 ","$6,487.13 ",20171001
201,DRG,PNEUMOTHORAX W/O CC/MCC,N,"$2,617.16 ","$5,683.77 ","$4,346.00 ","$5,683.77 ",20171001
202,DRG,BRONCHITIS & ASTHMA W CC/MCC,N,"$2,850.66 ","$6,175.22 ","$4,837.57 ","$6,175.22 ",20171001
203,DRG,BRONCHITIS & ASTHMA W/O CC/MCC,N,"$2,528.19 ","$5,343.77 ","$4,480.98 ","$5,343.77 ",20171001
204,DRG,RESPIRATORY SIGNS & SYMPTOMS,N,"$2,986.73 ","$8,008.80 ","$4,812.62 ","$8,008.80 ",20171001
205,DRG,OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,N,"$3,434.48 ","$8,251.22 ","$5,792.60 ","$8,251.22 ",20171001
206,DRG,OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,N,"$3,360.37 ","$8,532.09 ","$5,528.08 ","$8,532.09 ",20171001
207,DRG,RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,N,"$3,114.46 ","$8,571.60 ","$5,596.83 ","$8,571.60 ",20171001
208,DRG,RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,N,"$2,985.95 ","$9,719.56 ","$5,712.15 ","$9,719.56 ",20171001
215,DRG,OTHER HEART ASSIST SYSTEM IMPLANT,S,"$3,349.14 ","$33,274.72 ","$7,186.86 ","$33,274.72 ",20171001
216,DRG,CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC,S,"$3,891.79 ","$23,898.34 ","$6,861.91 ","$23,898.34 ",20171001
217,DRG,CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC,S,"$3,855.67 ","$26,139.73 ","$6,339.53 ","$26,139.73 ",20171001
218,DRG,CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W/O CC/MCC,S,"$3,377.12 ","$33,950.48 ","$6,056.98 ","$33,950.48 ",20171001
219,DRG,CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC,S,"$3,898.43 ","$24,860.69 ","$6,918.52 ","$24,860.69 ",20171001
220,DRG,CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC,S,"$3,814.86 ","$28,552.22 ","$6,410.77 ","$28,552.22 ",20171001
221,DRG,CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC,S,"$3,137.44 ","$31,225.24 ","$5,491.97 ","$31,225.24 ",20171001
222,DRG,CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC,S,"$3,779.10 ","$26,045.93 ","$6,306.30 ","$26,045.93 ",20171001
223,DRG,CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC,S,"$3,584.94 ","$34,421.70 ","$5,050.03 ","$34,421.70 ",20171001
224,DRG,CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC,S,"$3,585.89 ","$29,235.27 ","$6,169.60 ","$29,235.27 ",20171001
225,DRG,CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC,S,"$3,530.13 ","$45,408.21 ","$5,385.08 ","$45,408.21 ",20171001
226,DRG,CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC,S,"$3,306.00 ","$26,706.74 ","$5,493.76 ","$26,706.74 ",20171001
227,DRG,CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC,S,"$3,482.88 ","$47,823.57 ","$5,177.41 ","$47,823.57 ",20171001
228,DRG,OTHER CARDIOTHORACIC PROCEDURES W MCC,S,"$3,596.94 ","$24,567.72 ","$6,628.22 ","$24,567.72 ",20171001
229,DRG,OTHER CARDIOTHORACIC PROCEDURES W/O MCC,S,"$3,331.05 ","$31,697.13 ","$6,036.30 ","$31,697.13 ",20171001
231,DRG,CORONARY BYPASS W PTCA W MCC,S,"$3,217.80 ","$26,915.53 ","$6,174.26 ","$26,915.53 ",20171001
232,DRG,CORONARY BYPASS W PTCA W/O MCC,S,"$3,013.36 ","$27,737.95 ","$5,573.74 ","$27,737.95 ",20171001
233,DRG,CORONARY BYPASS W CARDIAC CATH W MCC,S,"$3,198.48 ","$19,956.30 ","$5,850.98 ","$19,956.30 ",20171001
234,DRG,CORONARY BYPASS W CARDIAC CATH W/O MCC,S,"$3,093.56 ","$22,098.10 ","$5,380.71 ","$22,098.10 ",20171001
235,DRG,CORONARY BYPASS W/O CARDIAC CATH W MCC,S,"$3,406.25 ","$19,792.54 ","$6,129.08 ","$19,792.54 ",20171001
236,DRG,CORONARY BYPASS W/O CARDIAC CATH W/O MCC,S,"$3,272.21 ","$22,888.67 ","$5,630.16 ","$22,888.67 ",20171001
239,DRG,AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,S,"$3,013.25 ","$9,328.10 ","$5,165.50 ","$9,328.10 ",20171001
240,DRG,AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC,S,"$2,967.53 ","$8,678.61 ","$4,651.95 ","$8,678.61 ",20171001
241,DRG,AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC,S,"$2,302.18 ","$7,867.57 ","$3,763.21 ","$7,867.57 ",20171001
242,DRG,PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,S,"$3,543.90 ","$17,899.53 ","$6,074.79 ","$17,899.53 ",20171001
243,DRG,PERMANENT CARDIAC PACEMAKER IMPLANT W CC,S,"$3,562.52 ","$22,767.18 ","$5,640.21 ","$22,767.18 ",20171001
244,DRG,PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,S,"$3,220.12 ","$27,373.53 ","$5,107.23 ","$27,373.53 ",20171001
245,DRG,AICD GENERATOR PROCEDURES,S,"$3,695.59 ","$31,811.44 ","$5,550.44 ","$31,811.44 ",20171001
246,DRG,PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,S,"$3,650.37 ","$27,569.87 ","$6,254.05 ","$27,569.87 ",20171001
247,DRG,PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,S,"$3,284.70 ","$38,933.63 ","$5,243.67 ","$38,933.63 ",20171001
248,DRG,PERCUTANEOUS CARDIOVASCULAR PROCEDURES W NON-DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,S,"$3,214.48 ","$21,878.67 ","$5,953.30 ","$21,878.67 ",20171001
249,DRG,PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,S,"$3,080.17 ","$32,545.55 ","$5,361.25 ","$32,545.55 ",20171001
250,DRG,PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC,S,"$3,289.32 ","$20,189.23 ","$5,895.24 ","$20,189.23 ",20171001
251,DRG,PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC,S,"$3,651.12 ","$32,388.25 ","$5,903.97 ","$32,388.25 ",20171001
252,DRG,OTHER VASCULAR PROCEDURES W MCC,S,"$3,309.38 ","$14,566.35 ","$5,688.01 ","$14,566.35 ",20171001
253,DRG,OTHER VASCULAR PROCEDURES W CC,S,"$3,309.85 ","$17,387.71 ","$5,221.77 ","$17,387.71 ",20171001
254,DRG,OTHER VASCULAR PROCEDURES W/O CC/MCC,S,"$3,053.43 ","$25,246.86 ","$5,102.09 ","$25,246.86 ",20171001
255,DRG,UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,S,"$2,809.35 ","$7,514.66 ","$4,481.17 ","$7,514.66 ",20171001
256,DRG,UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,S,"$2,722.58 ","$6,851.20 ","$4,071.07 ","$6,851.20 ",20171001
257,DRG,UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC,S,"$2,677.49 ","$7,551.30 ","$3,895.91 ","$7,551.30 ",20171001
258,DRG,CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC,S,"$3,564.46 ","$15,674.90 ","$5,615.71 ","$15,674.90 ",20171001
259,DRG,CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC,S,"$3,632.68 ","$21,355.17 ","$5,430.36 ","$21,355.17 ",20171001
260,DRG,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,S,"$3,492.63 ","$12,024.64 ","$5,809.89 ","$12,024.64 ",20171001
261,DRG,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,S,"$3,566.43 ","$16,819.39 ","$5,582.78 ","$16,819.39 ",20171001
262,DRG,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC,S,"$3,564.44 ","$21,650.62 ","$5,431.50 ","$21,650.62 ",20171001
263,DRG,VEIN LIGATION & STRIPPING,S,"$3,354.24 ","$12,552.28 ","$5,806.91 ","$12,552.28 ",20171001
264,DRG,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,S,"$3,648.64 ","$10,467.62 ","$6,071.46 ","$10,467.62 ",20171001
265,DRG,AICD LEAD PROCEDURES,S,"$2,897.91 ","$22,581.29 ","$4,948.17 ","$22,581.29 ",20171001
266,DRG,ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC,S,"$4,922.63 ","$40,210.15 ","$8,605.60 ","$40,210.15 ",20171001
267,DRG,ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC,S,"$4,434.78 ","$54,447.90 ","$7,997.79 ","$54,447.90 ",20171001
268,DRG,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MCC,S,"$2,099.97 ","$23,053.94 ","$3,832.99 ","$23,053.94 ",20171001
269,DRG,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC,S,"$1,857.28 ","$51,321.41 ","$3,219.63 ","$51,321.41 ",20171001
270,DRG,OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,S,"$2,256.63 ","$19,545.91 ","$4,224.23 ","$19,545.91 ",20171001
271,DRG,OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,S,"$1,999.53 ","$20,078.67 ","$3,440.62 ","$20,078.67 ",20171001
272,DRG,OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,S,"$1,978.14 ","$30,571.93 ","$3,409.52 ","$30,571.93 ",20171001
273,DRG,PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC,S,"$2,562.50 ","$19,684.54 ","$4,296.69 ","$19,684.54 ",20171001
274,DRG,PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC,S,"$2,849.98 ","$43,401.28 ","$4,295.67 ","$43,401.28 ",20171001
280,DRG,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",N,"$3,567.00 ","$9,405.57 ","$6,162.07 ","$9,405.57 ",20171001
281,DRG,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",N,"$3,574.94 ","$10,788.69 ","$5,972.88 ","$10,788.69 ",20171001
282,DRG,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",N,"$3,695.76 ","$14,460.44 ","$6,060.07 ","$14,460.44 ",20171001
283,DRG,"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",N,"$3,932.38 ","$13,761.67 ","$7,585.55 ","$13,761.67 ",20171001
284,DRG,"ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC",N,"$2,943.58 ","$9,653.55 ","$5,481.20 ","$9,653.55 ",20171001
285,DRG,"ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC",N,"$2,363.87 ","$10,590.36 ","$5,643.95 ","$10,590.36 ",20171001
286,DRG,"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",N,"$3,268.76 ","$10,099.27 ","$5,453.28 ","$10,099.27 ",20171001
287,DRG,"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",N,"$3,212.30 ","$14,411.49 ","$4,897.92 ","$14,411.49 ",20171001
288,DRG,ACUTE & SUBACUTE ENDOCARDITIS W MCC,N,"$3,182.84 ","$5,942.74 ","$5,265.42 ","$5,942.74 ",20171001
289,DRG,ACUTE & SUBACUTE ENDOCARDITIS W CC,N,"$3,159.75 ","$4,957.87 ","$4,808.75 ","$4,957.87 ",20171001
290,DRG,ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,N,"$2,843.98 ","$4,902.37 ","$4,162.48 ","$4,902.37 ",20171001
291,DRG,HEART FAILURE & SHOCK W MCC,N,"$2,922.54 ","$6,219.55 ","$4,952.37 ","$6,219.55 ",20171001
292,DRG,HEART FAILURE & SHOCK W CC,N,"$2,844.47 ","$5,035.78 ","$4,595.87 ","$5,035.78 ",20171001
293,DRG,HEART FAILURE & SHOCK W/O CC/MCC,N,"$2,707.51 ","$5,254.38 ","$4,603.37 ","$5,254.38 ",20171001
294,DRG,DEEP VEIN THROMBOPHLEBITIS W CC/MCC,N,"$2,963.97 ","$6,276.58 ","$5,719.80 ","$6,276.58 ",20171001
295,DRG,DEEP VEIN THROMBOPHLEBITIS W/O CC/MCC,N,"$2,036.87 ","$3,435.57 ","$3,751.30 ","$3,435.57 ",20171001
296,DRG,"CARDIAC ARREST, UNEXPLAINED W MCC",N,"$3,505.23 ","$15,954.39 ","$6,619.27 ","$15,954.39 ",20171001
297,DRG,"CARDIAC ARREST, UNEXPLAINED W CC",N,"$2,589.46 ","$11,015.30 ","$5,533.99 ","$11,015.30 ",20171001
298,DRG,"CARDIAC ARREST, UNEXPLAINED W/O CC/MCC",N,"$2,653.75 ","$8,775.12 ","$5,564.86 ","$8,775.12 ",20171001
299,DRG,PERIPHERAL VASCULAR DISORDERS W MCC,N,"$3,261.57 ","$7,034.31 ","$5,628.27 ","$7,034.31 ",20171001
300,DRG,PERIPHERAL VASCULAR DISORDERS W CC,N,"$3,187.47 ","$6,062.68 ","$5,374.50 ","$6,062.68 ",20171001
301,DRG,PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,N,"$2,804.24 ","$5,633.56 ","$5,135.75 ","$5,633.56 ",20171001
302,DRG,ATHEROSCLEROSIS W MCC,N,"$3,197.60 ","$7,378.09 ","$5,592.16 ","$7,378.09 ",20171001
303,DRG,ATHEROSCLEROSIS W/O MCC,N,"$3,410.36 ","$8,647.36 ","$5,877.88 ","$8,647.36 ",20171001
304,DRG,HYPERTENSION W MCC,N,"$3,056.45 ","$6,921.35 ","$5,001.17 ","$6,921.35 ",20171001
305,DRG,HYPERTENSION W/O MCC,N,"$2,964.69 ","$7,505.44 ","$4,761.52 ","$7,505.44 ",20171001
306,DRG,CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,N,"$4,077.11 ","$7,436.15 ","$6,990.75 ","$7,436.15 ",20171001
307,DRG,CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,N,"$3,591.69 ","$7,028.72 ","$5,882.00 ","$7,028.72 ",20171001
308,DRG,CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,N,"$3,193.70 ","$6,759.89 ","$5,172.48 ","$6,759.89 ",20171001
309,DRG,CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,N,"$3,080.40 ","$6,389.37 ","$4,834.78 ","$6,389.37 ",20171001
310,DRG,CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,N,"$2,919.73 ","$6,649.26 ","$4,571.68 ","$6,649.26 ",20171001
311,DRG,ANGINA PECTORIS,N,"$3,110.39 ","$8,008.51 ","$4,784.40 ","$8,008.51 ",20171001
312,DRG,SYNCOPE & COLLAPSE,N,"$3,342.23 ","$8,374.71 ","$5,254.76 ","$8,374.71 ",20171001
313,DRG,CHEST PAIN,N,"$3,391.88 ","$11,028.50 ","$5,071.17 ","$11,028.50 ",20171001
314,DRG,OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,N,"$3,210.71 ","$8,029.40 ","$5,656.31 ","$8,029.40 ",20171001
315,DRG,OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,N,"$3,253.91 ","$7,495.24 ","$5,481.90 ","$7,495.24 ",20171001
316,DRG,OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,N,"$3,141.36 ","$8,850.68 ","$5,282.66 ","$8,850.68 ",20171001
326,DRG,"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",S,"$3,164.79 ","$11,872.28 ","$6,034.02 ","$11,872.28 ",20171001
327,DRG,"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",S,"$3,560.93 ","$13,751.60 ","$6,399.73 ","$13,751.60 ",20171001
328,DRG,"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",S,"$3,156.01 ","$20,500.13 ","$5,796.82 ","$20,500.13 ",20171001
329,DRG,MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,S,"$2,883.63 ","$10,634.21 ","$5,483.13 ","$10,634.21 ",20171001
330,DRG,MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,S,"$2,956.13 ","$10,861.08 ","$5,166.98 ","$10,861.08 ",20171001
331,DRG,MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,S,"$2,798.91 ","$13,926.82 ","$4,732.74 ","$13,926.82 ",20171001
332,DRG,RECTAL RESECTION W MCC,S,"$2,845.07 ","$11,101.92 ","$5,434.01 ","$11,101.92 ",20171001
333,DRG,RECTAL RESECTION W CC,S,"$3,113.27 ","$12,799.84 ","$5,478.45 ","$12,799.84 ",20171001
334,DRG,RECTAL RESECTION W/O CC/MCC,S,"$3,035.63 ","$16,112.16 ","$5,120.93 ","$16,112.16 ",20171001
335,DRG,PERITONEAL ADHESIOLYSIS W MCC,S,"$2,850.16 ","$9,809.69 ","$5,450.52 ","$9,809.69 ",20171001
336,DRG,PERITONEAL ADHESIOLYSIS W CC,S,"$2,926.28 ","$9,469.67 ","$5,116.87 ","$9,469.67 ",20171001
337,DRG,PERITONEAL ADHESIOLYSIS W/O CC/MCC,S,"$2,874.24 ","$11,618.29 ","$5,055.66 ","$11,618.29 ",20171001
338,DRG,APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC,S,"$2,636.35 ","$10,340.36 ","$5,117.90 ","$10,340.36 ",20171001
339,DRG,APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,S,"$2,821.12 ","$10,525.76 ","$4,794.80 ","$10,525.76 ",20171001
340,DRG,APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,S,"$2,844.47 ","$14,142.40 ","$4,781.78 ","$14,142.40 ",20171001
341,DRG,APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,S,"$3,024.84 ","$13,442.43 ","$5,331.95 ","$13,442.43 ",20171001
342,DRG,APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,S,"$3,066.58 ","$16,347.57 ","$5,310.19 ","$16,347.57 ",20171001
343,DRG,APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,S,"$3,137.56 ","$23,149.57 ","$5,039.45 ","$23,149.57 ",20171001
344,DRG,MINOR SMALL & LARGE BOWEL PROCEDURES W MCC,S,"$2,956.08 ","$8,845.84 ","$5,407.05 ","$8,845.84 ",20171001
345,DRG,MINOR SMALL & LARGE BOWEL PROCEDURES W CC,S,"$3,005.19 ","$8,882.08 ","$4,981.24 ","$8,882.08 ",20171001
346,DRG,MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,S,"$2,841.13 ","$10,688.55 ","$4,550.44 ","$10,688.55 ",20171001
347,DRG,ANAL & STOMAL PROCEDURES W MCC,S,"$2,944.31 ","$9,266.62 ","$5,354.02 ","$9,266.62 ",20171001
348,DRG,ANAL & STOMAL PROCEDURES W CC,S,"$3,094.41 ","$10,123.85 ","$5,241.40 ","$10,123.85 ",20171001
349,DRG,ANAL & STOMAL PROCEDURES W/O CC/MCC,S,"$2,861.82 ","$12,208.61 ","$5,017.84 ","$12,208.61 ",20171001
350,DRG,INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,S,"$2,804.20 ","$10,436.19 ","$5,181.61 ","$10,436.19 ",20171001
351,DRG,INGUINAL & FEMORAL HERNIA PROCEDURES W CC,S,"$3,365.24 ","$13,359.59 ","$5,667.17 ","$13,359.59 ",20171001
352,DRG,INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,S,"$3,201.29 ","$17,066.91 ","$5,243.21 ","$17,066.91 ",20171001
353,DRG,HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC,S,"$2,906.91 ","$12,420.17 ","$5,644.17 ","$12,420.17 ",20171001
354,DRG,HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,S,"$2,916.70 ","$12,939.92 ","$5,206.69 ","$12,939.92 ",20171001
355,DRG,HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,S,"$2,982.58 ","$16,950.02 ","$5,038.78 ","$16,950.02 ",20171001
356,DRG,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,S,"$3,295.23 ","$10,891.93 ","$5,915.19 ","$10,891.93 ",20171001
357,DRG,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,S,"$3,181.58 ","$11,614.87 ","$5,547.90 ","$11,614.87 ",20171001
358,DRG,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,S,"$2,914.72 ","$13,590.95 ","$4,959.82 ","$13,590.95 ",20171001
368,DRG,MAJOR ESOPHAGEAL DISORDERS W MCC,N,"$3,222.25 ","$8,977.01 ","$5,949.43 ","$8,977.01 ",20171001
369,DRG,MAJOR ESOPHAGEAL DISORDERS W CC,N,"$2,924.04 ","$7,959.65 ","$5,172.70 ","$7,959.65 ",20171001
370,DRG,MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC,N,"$2,987.20 ","$8,441.17 ","$5,099.87 ","$8,441.17 ",20171001
371,DRG,MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,N,"$2,943.00 ","$5,714.42 ","$4,920.29 ","$5,714.42 ",20171001
372,DRG,MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,N,"$2,933.31 ","$5,072.19 ","$4,729.60 ","$5,072.19 ",20171001
373,DRG,MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,N,"$2,779.65 ","$5,034.63 ","$4,524.38 ","$5,034.63 ",20171001
374,DRG,DIGESTIVE MALIGNANCY W MCC,N,"$3,513.08 ","$7,127.49 ","$5,780.73 ","$7,127.49 ",20171001
375,DRG,DIGESTIVE MALIGNANCY W CC,N,"$3,272.65 ","$6,962.95 ","$5,123.20 ","$6,962.95 ",20171001
376,DRG,DIGESTIVE MALIGNANCY W/O CC/MCC,N,"$2,407.16 ","$7,116.28 ","$3,815.81 ","$7,116.28 ",20171001
377,DRG,G.I. HEMORRHAGE W MCC,N,"$3,152.30 ","$8,358.36 ","$5,626.67 ","$8,358.36 ",20171001
378,DRG,G.I. HEMORRHAGE W CC,N,"$2,960.98 ","$7,610.88 ","$5,135.53 ","$7,610.88 ",20171001
379,DRG,G.I. HEMORRHAGE W/O CC/MCC,N,"$2,819.63 ","$7,146.14 ","$4,793.37 ","$7,146.14 ",20171001
380,DRG,COMPLICATED PEPTIC ULCER W MCC,N,"$2,927.53 ","$7,410.56 ","$5,242.47 ","$7,410.56 ",20171001
381,DRG,COMPLICATED PEPTIC ULCER W CC,N,"$2,874.27 ","$7,382.94 ","$5,038.22 ","$7,382.94 ",20171001
382,DRG,COMPLICATED PEPTIC ULCER W/O CC/MCC,N,"$2,782.60 ","$8,064.15 ","$4,607.80 ","$8,064.15 ",20171001
383,DRG,UNCOMPLICATED PEPTIC ULCER W MCC,N,"$2,812.64 ","$7,914.61 ","$4,718.60 ","$7,914.61 ",20171001
384,DRG,UNCOMPLICATED PEPTIC ULCER W/O MCC,N,"$2,798.21 ","$8,661.22 ","$4,601.80 ","$8,661.22 ",20171001
385,DRG,INFLAMMATORY BOWEL DISEASE W MCC,N,"$2,975.51 ","$6,108.36 ","$4,990.98 ","$6,108.36 ",20171001
386,DRG,INFLAMMATORY BOWEL DISEASE W CC,N,"$2,863.68 ","$6,013.97 ","$4,776.90 ","$6,013.97 ",20171001
387,DRG,INFLAMMATORY BOWEL DISEASE W/O CC/MCC,N,"$2,716.19 ","$5,988.91 ","$4,310.83 ","$5,988.91 ",20171001
388,DRG,G.I. OBSTRUCTION W MCC,N,"$2,836.48 ","$6,111.39 ","$4,948.76 ","$6,111.39 ",20171001
389,DRG,G.I. OBSTRUCTION W CC,N,"$2,774.41 ","$5,394.51 ","$4,604.33 ","$5,394.51 ",20171001
390,DRG,G.I. OBSTRUCTION W/O CC/MCC,N,"$2,678.59 ","$5,323.61 ","$4,491.61 ","$5,323.61 ",20171001
391,DRG,"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",N,"$2,846.16 ","$6,643.34 ","$4,780.81 ","$6,643.34 ",20171001
392,DRG,"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",N,"$2,668.18 ","$6,541.70 ","$4,425.97 ","$6,541.70 ",20171001
393,DRG,OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,N,"$3,173.20 ","$7,089.34 ","$5,446.60 ","$7,089.34 ",20171001
394,DRG,OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,N,"$3,000.78 ","$6,496.14 ","$5,028.62 ","$6,496.14 ",20171001
395,DRG,OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,N,"$3,342.80 ","$8,007.28 ","$5,419.74 ","$8,007.28 ",20171001
405,DRG,"PANCREAS, LIVER & SHUNT PROCEDURES W MCC",S,"$3,563.11 ","$13,690.14 ","$6,889.52 ","$13,690.14 ",20171001
406,DRG,"PANCREAS, LIVER & SHUNT PROCEDURES W CC",S,"$3,836.28 ","$15,432.39 ","$6,944.29 ","$15,432.39 ",20171001
407,DRG,"PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC",S,"$3,609.87 ","$16,875.80 ","$6,264.99 ","$16,875.80 ",20171001
408,DRG,BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,S,"$3,203.74 ","$11,210.27 ","$6,197.89 ","$11,210.27 ",20171001
409,DRG,BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC,S,"$3,466.60 ","$12,525.51 ","$6,228.33 ","$12,525.51 ",20171001
410,DRG,BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC/MCC,S,"$3,322.14 ","$13,706.04 ","$5,628.61 ","$13,706.04 ",20171001
411,DRG,CHOLECYSTECTOMY W C.D.E. W MCC,S,"$2,669.37 ","$11,942.00 ","$5,230.77 ","$11,942.00 ",20171001
412,DRG,CHOLECYSTECTOMY W C.D.E. W CC,S,"$2,833.59 ","$13,445.61 ","$5,314.88 ","$13,445.61 ",20171001
413,DRG,CHOLECYSTECTOMY W C.D.E. W/O CC/MCC,S,"$2,686.81 ","$15,225.64 ","$4,661.42 ","$15,225.64 ",20171001
414,DRG,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC,S,"$3,014.64 ","$11,908.46 ","$5,686.08 ","$11,908.46 ",20171001
415,DRG,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC,S,"$2,909.35 ","$12,000.45 ","$5,174.61 ","$12,000.45 ",20171001
416,DRG,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,S,"$2,792.17 ","$13,222.61 ","$4,683.90 ","$13,222.61 ",20171001
417,DRG,LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,S,"$2,845.92 ","$12,712.16 ","$5,182.37 ","$12,712.16 ",20171001
418,DRG,LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,S,"$2,969.43 ","$14,681.06 ","$4,975.49 ","$14,681.06 ",20171001
419,DRG,LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,S,"$2,931.32 ","$17,930.32 ","$4,592.24 ","$17,930.32 ",20171001
420,DRG,HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,S,"$3,364.51 ","$11,848.49 ","$6,708.85 ","$11,848.49 ",20171001
421,DRG,HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,S,"$3,423.28 ","$12,985.68 ","$6,419.66 ","$12,985.68 ",20171001
422,DRG,HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,S,"$3,516.96 ","$17,250.31 ","$6,480.96 ","$17,250.31 ",20171001
423,DRG,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC,S,"$3,202.58 ","$10,163.88 ","$6,045.81 ","$10,163.88 ",20171001
424,DRG,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC,S,"$3,262.63 ","$10,062.39 ","$5,249.03 ","$10,062.39 ",20171001
425,DRG,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W/O CC/MCC,S,"$3,421.96 ","$15,060.13 ","$5,900.68 ","$15,060.13 ",20171001
432,DRG,CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,N,"$3,086.92 ","$7,787.16 ","$5,575.32 ","$7,787.16 ",20171001
433,DRG,CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,N,"$2,843.77 ","$6,624.93 ","$4,673.21 ","$6,624.93 ",20171001
434,DRG,CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC,N,"$3,142.99 ","$7,706.23 ","$5,313.59 ","$7,706.23 ",20171001
435,DRG,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC,N,"$3,211.36 ","$8,023.88 ","$5,386.26 ","$8,023.88 ",20171001
436,DRG,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,N,"$3,155.76 ","$7,360.14 ","$4,953.40 ","$7,360.14 ",20171001
437,DRG,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC,N,"$2,296.31 ","$7,361.60 ","$3,628.95 ","$7,361.60 ",20171001
438,DRG,DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,N,"$2,727.89 ","$7,074.05 ","$4,926.67 ","$7,074.05 ",20171001
439,DRG,DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,N,"$2,605.27 ","$6,067.12 ","$4,380.23 ","$6,067.12 ",20171001
440,DRG,DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,N,"$2,409.57 ","$6,089.51 ","$4,006.73 ","$6,089.51 ",20171001
441,DRG,"DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC",N,"$3,067.56 ","$7,457.05 ","$5,627.98 ","$7,457.05 ",20171001
442,DRG,"DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC",N,"$2,987.89 ","$6,342.57 ","$4,965.60 ","$6,342.57 ",20171001
443,DRG,"DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC",N,"$3,179.54 ","$7,228.19 ","$5,212.06 ","$7,228.19 ",20171001
444,DRG,DISORDERS OF THE BILIARY TRACT W MCC,N,"$3,189.26 ","$8,458.97 ","$5,478.09 ","$8,458.97 ",20171001
445,DRG,DISORDERS OF THE BILIARY TRACT W CC,N,"$3,236.46 ","$9,243.21 ","$5,153.32 ","$9,243.21 ",20171001
446,DRG,DISORDERS OF THE BILIARY TRACT W/O CC/MCC,N,"$3,284.03 ","$10,417.56 ","$5,206.10 ","$10,417.56 ",20171001
453,DRG,COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,S,"$3,293.15 ","$34,735.43 ","$6,912.24 ","$34,735.43 ",20171001
454,DRG,COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,S,"$3,155.67 ","$49,656.81 ","$6,297.04 ","$49,656.81 ",20171001
455,DRG,COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,S,"$2,727.35 ","$59,943.40 ","$5,289.49 ","$59,943.40 ",20171001
456,DRG,SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W MCC,S,"$3,498.42 ","$29,382.72 ","$7,244.53 ","$29,382.72 ",20171001
457,DRG,SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W CC,S,"$3,489.18 ","$40,616.22 ","$7,094.85 ","$40,616.22 ",20171001
458,DRG,SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W/O CC/MCC,S,"$2,837.08 ","$50,674.97 ","$5,816.33 ","$50,674.97 ",20171001
459,DRG,SPINAL FUSION EXCEPT CERVICAL W MCC,S,"$3,070.68 ","$27,836.36 ","$6,347.15 ","$27,836.36 ",20171001
460,DRG,SPINAL FUSION EXCEPT CERVICAL W/O MCC,S,"$2,861.26 ","$43,163.31 ","$5,679.11 ","$43,163.31 ",20171001
461,DRG,BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC,S,"$3,265.67 ","$23,882.67 ","$6,195.87 ","$23,882.67 ",20171001
462,DRG,BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC,S,"$3,091.80 ","$33,673.30 ","$4,307.59 ","$33,673.30 ",20171001
463,DRG,"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",S,"$3,537.41 ","$9,396.83 ","$6,450.12 ","$9,396.83 ",20171001
464,DRG,"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",S,"$3,302.06 ","$12,343.03 ","$6,086.57 ","$12,343.03 ",20171001
465,DRG,"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",S,"$3,501.21 ","$18,900.68 ","$6,643.23 ","$18,900.68 ",20171001
466,DRG,REVISION OF HIP OR KNEE REPLACEMENT W MCC,S,"$2,977.30 ","$18,968.19 ","$5,665.35 ","$18,968.19 ",20171001
467,DRG,REVISION OF HIP OR KNEE REPLACEMENT W CC,S,"$2,985.24 ","$29,311.87 ","$5,198.34 ","$29,311.87 ",20171001
468,DRG,REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,S,"$2,982.30 ","$37,529.45 ","$5,131.68 ","$37,529.45 ",20171001
469,DRG,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT,S,"$3,360.94 ","$18,517.79 ","$6,386.80 ","$18,517.79 ",20171001
470,DRG,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,S,"$2,944.07 ","$27,441.77 ","$4,985.73 ","$27,441.77 ",20171001
471,DRG,CERVICAL SPINAL FUSION W MCC,S,"$3,324.67 ","$20,880.90 ","$6,935.44 ","$20,880.90 ",20171001
472,DRG,CERVICAL SPINAL FUSION W CC,S,"$3,360.54 ","$36,873.40 ","$6,611.72 ","$36,873.40 ",20171001
473,DRG,CERVICAL SPINAL FUSION W/O CC/MCC,S,"$2,834.62 ","$52,525.43 ","$5,863.61 ","$52,525.43 ",20171001
474,DRG,AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,S,"$3,029.45 ","$9,127.96 ","$5,469.01 ","$9,127.96 ",20171001
475,DRG,AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC,S,"$2,842.32 ","$8,399.78 ","$4,619.90 ","$8,399.78 ",20171001
476,DRG,AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC,S,"$2,868.27 ","$10,886.59 ","$4,832.94 ","$10,886.59 ",20171001
477,DRG,BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,S,"$3,223.62 ","$9,597.16 ","$5,394.59 ","$9,597.16 ",20171001
478,DRG,BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,S,"$3,076.04 ","$11,656.23 ","$4,897.88 ","$11,656.23 ",20171001
479,DRG,BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,S,"$3,148.19 ","$16,505.03 ","$5,149.81 ","$16,505.03 ",20171001
480,DRG,HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,S,"$3,096.48 ","$13,089.46 ","$5,849.18 ","$13,089.46 ",20171001
481,DRG,HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,S,"$3,088.69 ","$14,540.12 ","$5,297.85 ","$14,540.12 ",20171001
482,DRG,HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,S,"$3,280.15 ","$16,438.61 ","$5,498.41 ","$16,438.61 ",20171001
483,DRG,MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,S,"$2,812.16 ","$43,247.05 ","$5,195.82 ","$43,247.05 ",20171001
485,DRG,KNEE PROCEDURES W PDX OF INFECTION W MCC,S,"$2,657.72 ","$9,293.23 ","$4,775.72 ","$9,293.23 ",20171001
486,DRG,KNEE PROCEDURES W PDX OF INFECTION W CC,S,"$2,679.23 ","$10,696.51 ","$4,403.95 ","$10,696.51 ",20171001
487,DRG,KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,S,"$2,519.32 ","$11,189.95 ","$3,700.37 ","$11,189.95 ",20171001
488,DRG,KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,S,"$2,861.26 ","$14,329.40 ","$5,203.82 ","$14,329.40 ",20171001
489,DRG,KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC,S,"$3,192.14 ","$21,880.83 ","$5,404.55 ","$21,880.83 ",20171001
492,DRG,"LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC",S,"$3,043.78 ","$14,697.84 ","$5,846.21 ","$14,697.84 ",20171001
493,DRG,"LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC",S,"$3,106.06 ","$17,211.00 ","$5,282.70 ","$17,211.00 ",20171001
494,DRG,"LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC",S,"$3,139.70 ","$21,021.01 ","$5,062.72 ","$21,021.01 ",20171001
495,DRG,LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W MCC,S,"$3,700.99 ","$11,426.63 ","$6,775.41 ","$11,426.63 ",20171001
496,DRG,LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,S,"$3,240.76 ","$14,781.43 ","$5,921.39 ","$14,781.43 ",20171001
497,DRG,LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,S,"$3,438.09 ","$23,493.05 ","$6,012.04 ","$23,493.05 ",20171001
498,DRG,LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC/MCC,S,"$2,993.32 ","$10,857.80 ","$5,723.80 ","$10,857.80 ",20171001
499,DRG,LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W/O CC/MCC,S,"$3,116.56 ","$18,061.29 ","$4,577.33 ","$18,061.29 ",20171001
500,DRG,SOFT TISSUE PROCEDURES W MCC,S,"$3,253.74 ","$8,372.96 ","$5,874.98 ","$8,372.96 ",20171001
501,DRG,SOFT TISSUE PROCEDURES W CC,S,"$3,192.33 ","$10,230.35 ","$5,479.29 ","$10,230.35 ",20171001
502,DRG,SOFT TISSUE PROCEDURES W/O CC/MCC,S,"$3,435.11 ","$17,112.74 ","$5,719.43 ","$17,112.74 ",20171001
503,DRG,FOOT PROCEDURES W MCC,S,"$3,069.03 ","$8,290.27 ","$4,861.65 ","$8,290.27 ",20171001
504,DRG,FOOT PROCEDURES W CC,S,"$3,251.93 ","$9,954.25 ","$5,067.69 ","$9,954.25 ",20171001
505,DRG,FOOT PROCEDURES W/O CC/MCC,S,"$3,597.30 ","$17,135.59 ","$5,438.61 ","$17,135.59 ",20171001
506,DRG,MAJOR THUMB OR JOINT PROCEDURES,S,"$2,886.30 ","$9,935.96 ","$4,950.70 ","$9,935.96 ",20171001
507,DRG,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,S,"$3,300.17 ","$12,825.10 ","$5,099.55 ","$12,825.10 ",20171001
508,DRG,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W/O CC/MCC,S,"$3,083.92 ","$23,772.36 ","$5,235.61 ","$23,772.36 ",20171001
509,DRG,ARTHROSCOPY,S,"$3,135.24 ","$12,269.63 ","$6,215.45 ","$12,269.63 ",20171001
510,DRG,"SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W MCC",S,"$3,258.79 ","$16,235.70 ","$6,473.58 ","$16,235.70 ",20171001
511,DRG,"SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W CC",S,"$3,356.08 ","$18,936.60 ","$5,813.07 ","$18,936.60 ",20171001
512,DRG,"SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W/O CC/MCC",S,"$3,222.69 ","$23,631.59 ","$5,201.90 ","$23,631.59 ",20171001
513,DRG,"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",S,"$3,350.73 ","$10,870.48 ","$6,007.55 ","$10,870.48 ",20171001
514,DRG,"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",S,"$3,376.59 ","$14,254.12 ","$5,863.24 ","$14,254.12 ",20171001
515,DRG,OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,S,"$3,169.91 ","$11,959.23 ","$5,935.04 ","$11,959.23 ",20171001
516,DRG,OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,S,"$3,378.10 ","$16,129.96 ","$6,038.29 ","$16,129.96 ",20171001
517,DRG,OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,S,"$3,200.99 ","$22,485.74 ","$5,630.83 ","$22,485.74 ",20171001
518,DRG,BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,S,"$3,649.11 ","$22,704.64 ","$7,368.73 ","$22,704.64 ",20171001
519,DRG,BACK & NECK PROC EXC SPINAL FUSION W CC,S,"$3,392.09 ","$17,857.33 ","$6,160.39 ","$17,857.33 ",20171001
520,DRG,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC,S,"$3,173.85 ","$23,128.71 ","$5,483.53 ","$23,128.71 ",20171001
533,DRG,FRACTURES OF FEMUR W MCC,N,"$2,658.73 ","$5,711.06 ","$4,886.61 ","$5,711.06 ",20171001
534,DRG,FRACTURES OF FEMUR W/O MCC,N,"$3,224.81 ","$5,439.91 ","$5,814.96 ","$5,439.91 ",20171001
535,DRG,FRACTURES OF HIP & PELVIS W MCC,N,"$3,053.29 ","$6,292.71 ","$5,620.08 ","$6,292.71 ",20171001
536,DRG,FRACTURES OF HIP & PELVIS W/O MCC,N,"$2,925.84 ","$4,857.46 ","$5,511.22 ","$4,857.46 ",20171001
537,DRG,"SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W CC/MCC",N,"$3,023.52 ","$6,126.58 ","$5,069.01 ","$6,126.58 ",20171001
538,DRG,"SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W/O CC/MCC",N,"$3,047.38 ","$5,826.59 ","$5,677.54 ","$5,826.59 ",20171001
539,DRG,OSTEOMYELITIS W MCC,N,"$3,076.57 ","$4,183.96 ","$4,738.88 ","$4,183.96 ",20171001
540,DRG,OSTEOMYELITIS W CC,N,"$2,990.93 ","$4,329.57 ","$4,526.09 ","$4,329.57 ",20171001
541,DRG,OSTEOMYELITIS W/O CC/MCC,N,"$2,589.96 ","$3,907.74 ","$4,212.41 ","$3,907.74 ",20171001
542,DRG,PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC,N,"$3,363.78 ","$6,886.88 ","$5,645.50 ","$6,886.88 ",20171001
543,DRG,PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,N,"$3,406.70 ","$6,501.45 ","$5,382.71 ","$6,501.45 ",20171001
544,DRG,PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,N,"$3,550.05 ","$6,340.83 ","$5,833.67 ","$6,340.83 ",20171001
545,DRG,CONNECTIVE TISSUE DISORDERS W MCC,N,"$3,595.65 ","$8,446.68 ","$6,287.72 ","$8,446.68 ",20171001
546,DRG,CONNECTIVE TISSUE DISORDERS W CC,N,"$3,263.58 ","$6,934.22 ","$5,624.49 ","$6,934.22 ",20171001
547,DRG,CONNECTIVE TISSUE DISORDERS W/O CC/MCC,N,"$3,052.65 ","$6,499.38 ","$5,559.93 ","$6,499.38 ",20171001
548,DRG,SEPTIC ARTHRITIS W MCC,N,"$3,126.68 ","$5,210.56 ","$4,584.77 ","$5,210.56 ",20171001
549,DRG,SEPTIC ARTHRITIS W CC,N,"$2,926.50 ","$5,072.18 ","$4,664.58 ","$5,072.18 ",20171001
550,DRG,SEPTIC ARTHRITIS W/O CC/MCC,N,"$2,679.72 ","$5,031.14 ","$4,376.69 ","$5,031.14 ",20171001
551,DRG,MEDICAL BACK PROBLEMS W MCC,N,"$3,001.90 ","$6,744.00 ","$6,026.91 ","$6,744.00 ",20171001
552,DRG,MEDICAL BACK PROBLEMS W/O MCC,N,"$3,411.42 ","$7,031.87 ","$6,469.29 ","$7,031.87 ",20171001
553,DRG,BONE DISEASES & ARTHROPATHIES W MCC,N,"$3,192.56 ","$6,914.42 ","$5,553.52 ","$6,914.42 ",20171001
554,DRG,BONE DISEASES & ARTHROPATHIES W/O MCC,N,"$2,743.27 ","$3,938.39 ","$5,118.87 ","$3,938.39 ",20171001
555,DRG,SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,N,"$2,552.77 ","$5,934.00 ","$4,668.57 ","$5,934.00 ",20171001
556,DRG,SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,N,"$2,438.93 ","$5,061.11 ","$4,250.53 ","$5,061.11 ",20171001
557,DRG,"TENDONITIS, MYOSITIS & BURSITIS W MCC",N,"$2,887.84 ","$5,616.81 ","$4,947.16 ","$5,616.81 ",20171001
558,DRG,"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",N,"$2,622.29 ","$4,815.24 ","$4,364.48 ","$4,815.24 ",20171001
559,DRG,"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC",N,"$2,364.37 ","$3,754.60 ","$4,352.01 ","$3,754.60 ",20171001
560,DRG,"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",N,"$2,393.94 ","$3,466.55 ","$4,290.90 ","$3,466.55 ",20171001
561,DRG,"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",N,"$1,976.17 ","$3,309.39 ","$3,790.82 ","$3,309.39 ",20171001
562,DRG,"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",N,"$3,140.13 ","$7,149.05 ","$5,760.00 ","$7,149.05 ",20171001
563,DRG,"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",N,"$3,457.31 ","$6,568.52 ","$5,822.03 ","$6,568.52 ",20171001
564,DRG,OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,N,"$3,041.65 ","$5,753.10 ","$5,206.67 ","$5,753.10 ",20171001
565,DRG,OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,N,"$3,238.73 ","$5,805.43 ","$5,459.54 ","$5,805.43 ",20171001
566,DRG,OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,N,"$2,782.19 ","$5,629.00 ","$4,710.76 ","$5,629.00 ",20171001
570,DRG,SKIN DEBRIDEMENT W MCC,S,"$3,293.52 ","$5,549.39 ","$5,177.11 ","$5,549.39 ",20171001
571,DRG,SKIN DEBRIDEMENT W CC,S,"$2,950.69 ","$6,604.05 ","$4,864.97 ","$6,604.05 ",20171001
572,DRG,SKIN DEBRIDEMENT W/O CC/MCC,S,"$2,739.43 ","$7,662.81 ","$4,772.98 ","$7,662.81 ",20171001
573,DRG,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W MCC,S,"$3,008.39 ","$6,233.73 ","$5,474.68 ","$6,233.73 ",20171001
574,DRG,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,S,"$3,662.39 ","$8,541.61 ","$6,416.27 ","$8,541.61 ",20171001
575,DRG,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W/O CC/MCC,S,"$3,339.87 ","$8,214.20 ","$5,471.60 ","$8,214.20 ",20171001
576,DRG,SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W MCC,S,"$3,695.51 ","$11,913.45 ","$7,631.19 ","$11,913.45 ",20171001
577,DRG,SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,S,"$3,990.63 ","$15,254.15 ","$7,691.49 ","$15,254.15 ",20171001
578,DRG,SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O CC/MCC,S,"$4,563.84 ","$23,103.39 ","$8,991.14 ","$23,103.39 ",20171001
579,DRG,"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",S,"$3,134.35 ","$7,153.57 ","$5,604.31 ","$7,153.57 ",20171001
580,DRG,"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",S,"$3,832.08 ","$13,618.39 ","$6,888.76 ","$13,618.39 ",20171001
581,DRG,"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",S,"$4,808.62 ","$28,838.69 ","$8,969.44 ","$28,838.69 ",20171001
582,DRG,MASTECTOMY FOR MALIGNANCY W CC/MCC,S,"$4,074.37 ","$24,569.55 ","$7,161.37 ","$24,569.55 ",20171001
583,DRG,MASTECTOMY FOR MALIGNANCY W/O CC/MCC,S,"$3,625.30 ","$33,407.31 ","$7,303.38 ","$33,407.31 ",20171001
584,DRG,"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W CC/MCC",S,"$3,653.03 ","$16,766.61 ","$6,809.39 ","$16,766.61 ",20171001
585,DRG,"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",S,"$3,483.55 ","$29,752.02 ","$7,621.92 ","$29,752.02 ",20171001
592,DRG,SKIN ULCERS W MCC,N,"$2,662.83 ","$3,289.50 ","$4,219.50 ","$3,289.50 ",20171001
593,DRG,SKIN ULCERS W CC,N,"$2,684.85 ","$3,721.08 ","$4,224.34 ","$3,721.08 ",20171001
594,DRG,SKIN ULCERS W/O CC/MCC,N,"$2,356.41 ","$3,326.68 ","$4,120.16 ","$3,326.68 ",20171001
595,DRG,MAJOR SKIN DISORDERS W MCC,N,"$3,190.50 ","$6,084.44 ","$6,309.31 ","$6,084.44 ",20171001
596,DRG,MAJOR SKIN DISORDERS W/O MCC,N,"$3,311.55 ","$4,974.16 ","$6,145.45 ","$4,974.16 ",20171001
597,DRG,MALIGNANT BREAST DISORDERS W MCC,N,"$2,948.65 ","$6,197.33 ","$4,924.36 ","$6,197.33 ",20171001
598,DRG,MALIGNANT BREAST DISORDERS W CC,N,"$3,182.52 ","$5,995.26 ","$5,248.08 ","$5,995.26 ",20171001
599,DRG,MALIGNANT BREAST DISORDERS W/O CC/MCC,N,"$4,362.15 ","$8,069.62 ","$6,432.92 ","$8,069.62 ",20171001
600,DRG,NON-MALIGNANT BREAST DISORDERS W CC/MCC,N,"$2,785.65 ","$5,326.13 ","$4,379.06 ","$5,326.13 ",20171001
601,DRG,NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,N,"$2,880.52 ","$5,207.63 ","$4,655.84 ","$5,207.63 ",20171001
602,DRG,CELLULITIS W MCC,N,"$2,847.56 ","$5,462.44 ","$4,759.22 ","$5,462.44 ",20171001
603,DRG,CELLULITIS W/O MCC,N,"$2,829.93 ","$4,713.17 ","$4,557.02 ","$4,713.17 ",20171001
604,DRG,"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",N,"$3,361.68 ","$7,924.13 ","$5,947.32 ","$7,924.13 ",20171001
605,DRG,"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",N,"$3,670.74 ","$8,457.26 ","$6,280.68 ","$8,457.26 ",20171001
606,DRG,MINOR SKIN DISORDERS W MCC,N,"$3,078.47 ","$5,422.40 ","$5,443.35 ","$5,422.40 ",20171001
607,DRG,MINOR SKIN DISORDERS W/O MCC,N,"$3,343.77 ","$5,214.89 ","$5,626.30 ","$5,214.89 ",20171001
614,DRG,ADRENAL & PITUITARY PROCEDURES W CC/MCC,S,"$3,867.16 ","$19,934.92 ","$7,501.64 ","$19,934.92 ",20171001
615,DRG,ADRENAL & PITUITARY PROCEDURES W/O CC/MCC,S,"$3,542.33 ","$27,923.76 ","$6,865.24 ","$27,923.76 ",20171001
616,DRG,"AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC",S,"$2,684.85 ","$7,946.82 ","$4,669.18 ","$7,946.82 ",20171001
617,DRG,"AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC",S,"$2,774.56 ","$8,102.57 ","$4,448.70 ","$8,102.57 ",20171001
618,DRG,"AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W/O CC/MCC",S,"$2,636.75 ","$7,413.85 ","$3,737.34 ","$7,413.85 ",20171001
619,DRG,O.R. PROCEDURES FOR OBESITY W MCC,S,"$3,244.78 ","$20,287.59 ","$6,591.80 ","$20,287.59 ",20171001
620,DRG,O.R. PROCEDURES FOR OBESITY W CC,S,"$3,212.96 ","$28,977.33 ","$6,028.04 ","$28,977.33 ",20171001
621,DRG,O.R. PROCEDURES FOR OBESITY W/O CC/MCC,S,"$2,818.54 ","$34,363.53 ","$4,863.99 ","$34,363.53 ",20171001
622,DRG,"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",S,"$3,262.59 ","$6,660.99 ","$5,184.35 ","$6,660.99 ",20171001
623,DRG,"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",S,"$3,481.04 ","$7,489.85 ","$6,032.25 ","$7,489.85 ",20171001
624,DRG,"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC",S,"$3,705.84 ","$10,515.77 ","$8,720.63 ","$10,515.77 ",20171001
625,DRG,"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC",S,"$3,184.80 ","$13,914.51 ","$6,209.17 ","$13,914.51 ",20171001
626,DRG,"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC",S,"$3,678.61 ","$22,209.13 ","$6,463.61 ","$22,209.13 ",20171001
627,DRG,"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",S,"$3,214.63 ","$27,785.16 ","$5,296.57 ","$27,785.16 ",20171001
628,DRG,"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",S,"$2,958.32 ","$9,718.13 ","$5,254.30 ","$9,718.13 ",20171001
629,DRG,"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",S,"$3,114.72 ","$9,262.68 ","$5,012.66 ","$9,262.68 ",20171001
630,DRG,"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC",S,"$3,152.21 ","$15,869.41 ","$4,936.01 ","$15,869.41 ",20171001
637,DRG,DIABETES W MCC,N,"$2,952.11 ","$6,391.62 ","$5,278.35 ","$6,391.62 ",20171001
638,DRG,DIABETES W CC,N,"$2,914.11 ","$5,380.91 ","$5,002.82 ","$5,380.91 ",20171001
639,DRG,DIABETES W/O CC/MCC,N,"$2,870.92 ","$5,473.63 ","$4,824.93 ","$5,473.63 ",20171001
640,DRG,"MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC",N,"$2,936.35 ","$6,164.98 ","$4,969.26 ","$6,164.98 ",20171001
641,DRG,"MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC",N,"$2,766.57 ","$5,323.55 ","$4,759.04 ","$5,323.55 ",20171001
642,DRG,INBORN AND OTHER DISORDERS OF METABOLISM,N,"$3,027.47 ","$9,484.30 ","$5,632.93 ","$9,484.30 ",20171001
643,DRG,ENDOCRINE DISORDERS W MCC,N,"$3,265.25 ","$6,376.25 ","$5,768.39 ","$6,376.25 ",20171001
644,DRG,ENDOCRINE DISORDERS W CC,N,"$3,290.23 ","$5,821.89 ","$5,494.31 ","$5,821.89 ",20171001
645,DRG,ENDOCRINE DISORDERS W/O CC/MCC,N,"$3,415.54 ","$6,368.94 ","$5,860.75 ","$6,368.94 ",20171001
652,DRG,KIDNEY TRANSPLANT,S,"$3,964.06 ","$44,083.89 ","$7,702.93 ","$44,083.89 ",20171001
653,DRG,MAJOR BLADDER PROCEDURES W MCC,S,"$3,227.51 ","$12,166.67 ","$5,954.44 ","$12,166.67 ",20171001
654,DRG,MAJOR BLADDER PROCEDURES W CC,S,"$3,325.18 ","$14,169.62 ","$5,904.51 ","$14,169.62 ",20171001
655,DRG,MAJOR BLADDER PROCEDURES W/O CC/MCC,S,"$3,150.70 ","$17,486.05 ","$5,478.75 ","$17,486.05 ",20171001
656,DRG,KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC,S,"$3,192.23 ","$14,654.93 ","$6,002.70 ","$14,654.93 ",20171001
657,DRG,KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,S,"$3,287.27 ","$18,011.80 ","$5,980.64 ","$18,011.80 ",20171001
658,DRG,KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,S,"$3,063.01 ","$23,623.92 ","$5,496.21 ","$23,623.92 ",20171001
659,DRG,KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC,S,"$3,754.98 ","$12,343.53 ","$6,926.04 ","$12,343.53 ",20171001
660,DRG,KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,S,"$4,072.65 ","$16,453.09 ","$6,997.70 ","$16,453.09 ",20171001
661,DRG,KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,S,"$3,441.92 ","$26,206.87 ","$5,759.55 ","$26,206.87 ",20171001
662,DRG,MINOR BLADDER PROCEDURES W MCC,S,"$3,118.85 ","$8,272.29 ","$5,370.65 ","$8,272.29 ",20171001
663,DRG,MINOR BLADDER PROCEDURES W CC,S,"$3,010.66 ","$10,783.46 ","$5,044.74 ","$10,783.46 ",20171001
664,DRG,MINOR BLADDER PROCEDURES W/O CC/MCC,S,"$2,867.45 ","$18,985.04 ","$4,785.65 ","$18,985.04 ",20171001
665,DRG,PROSTATECTOMY W MCC,S,"$2,997.82 ","$8,117.40 ","$4,869.57 ","$8,117.40 ",20171001
666,DRG,PROSTATECTOMY W CC,S,"$3,408.33 ","$10,085.38 ","$5,083.14 ","$10,085.38 ",20171001
667,DRG,PROSTATECTOMY W/O CC/MCC,S,"$3,066.59 ","$13,232.72 ","$4,289.64 ","$13,232.72 ",20171001
668,DRG,TRANSURETHRAL PROCEDURES W MCC,S,"$3,318.88 ","$9,985.35 ","$5,785.27 ","$9,985.35 ",20171001
669,DRG,TRANSURETHRAL PROCEDURES W CC,S,"$3,519.71 ","$13,493.91 ","$5,816.25 ","$13,493.91 ",20171001
670,DRG,TRANSURETHRAL PROCEDURES W/O CC/MCC,S,"$3,343.26 ","$14,726.69 ","$5,123.07 ","$14,726.69 ",20171001
671,DRG,URETHRAL PROCEDURES W CC/MCC,S,"$3,211.32 ","$11,334.59 ","$5,570.72 ","$11,334.59 ",20171001
672,DRG,URETHRAL PROCEDURES W/O CC/MCC,S,"$4,001.16 ","$21,692.84 ","$5,878.21 ","$21,692.84 ",20171001
673,DRG,OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,S,"$3,326.18 ","$9,707.70 ","$5,509.73 ","$9,707.70 ",20171001
674,DRG,OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,S,"$3,167.84 ","$10,710.90 ","$5,232.49 ","$10,710.90 ",20171001
675,DRG,OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC,S,"$2,817.35 ","$17,031.63 ","$4,164.84 ","$17,031.63 ",20171001
682,DRG,RENAL FAILURE W MCC,N,"$2,935.27 ","$6,543.57 ","$5,030.58 ","$6,543.57 ",20171001
683,DRG,RENAL FAILURE W CC,N,"$2,830.25 ","$5,716.09 ","$4,672.69 ","$5,716.09 ",20171001
684,DRG,RENAL FAILURE W/O CC/MCC,N,"$2,486.98 ","$5,376.42 ","$4,187.08 ","$5,376.42 ",20171001
685,DRG,ADMIT FOR RENAL DIALYSIS,N,"$2,793.71 ","$7,729.41 ","$4,780.99 ","$7,729.41 ",20171001
686,DRG,KIDNEY & URINARY TRACT NEOPLASMS W MCC,N,"$3,357.65 ","$7,099.34 ","$5,875.94 ","$7,099.34 ",20171001
687,DRG,KIDNEY & URINARY TRACT NEOPLASMS W CC,N,"$3,685.50 ","$7,873.74 ","$5,759.98 ","$7,873.74 ",20171001
688,DRG,KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,N,"$2,917.55 ","$9,927.79 ","$5,223.24 ","$9,927.79 ",20171001
689,DRG,KIDNEY & URINARY TRACT INFECTIONS W MCC,N,"$2,875.21 ","$5,513.23 ","$4,788.49 ","$5,513.23 ",20171001
690,DRG,KIDNEY & URINARY TRACT INFECTIONS W/O MCC,N,"$2,799.49 ","$5,411.65 ","$4,648.65 ","$5,411.65 ",20171001
691,DRG,URINARY STONES W ESW LITHOTRIPSY W CC/MCC,N,"$2,739.73 ","$16,124.22 ","$4,800.87 ","$16,124.22 ",20171001
692,DRG,URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC,N,"$2,234.48 ","$15,755.93 ","$3,937.05 ","$15,755.93 ",20171001
693,DRG,URINARY STONES W/O ESW LITHOTRIPSY W MCC,N,"$2,990.27 ","$8,763.58 ","$5,500.53 ","$8,763.58 ",20171001
694,DRG,URINARY STONES W/O ESW LITHOTRIPSY W/O MCC,N,"$2,980.50 ","$11,049.58 ","$4,959.74 ","$11,049.58 ",20171001
695,DRG,KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC,N,"$3,223.20 ","$6,507.84 ","$5,507.60 ","$6,507.84 ",20171001
696,DRG,KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC,N,"$3,108.93 ","$5,681.85 ","$4,932.34 ","$5,681.85 ",20171001
697,DRG,URETHRAL STRICTURE,N,"$2,802.71 ","$8,054.77 ","$4,908.68 ","$8,054.77 ",20171001
698,DRG,OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,N,"$3,291.31 ","$6,515.68 ","$5,631.22 ","$6,515.68 ",20171001
699,DRG,OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,N,"$3,447.65 ","$7,158.12 ","$5,548.37 ","$7,158.12 ",20171001
700,DRG,OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,N,"$3,706.58 ","$8,099.13 ","$6,028.23 ","$8,099.13 ",20171001
707,DRG,MAJOR MALE PELVIC PROCEDURES W CC/MCC,S,"$3,289.15 ","$23,888.39 ","$6,160.10 ","$23,888.39 ",20171001
708,DRG,MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,S,"$3,035.81 ","$43,120.99 ","$5,024.64 ","$43,120.99 ",20171001
709,DRG,PENIS PROCEDURES W CC/MCC,S,"$3,289.97 ","$11,985.11 ","$6,393.22 ","$11,985.11 ",20171001
710,DRG,PENIS PROCEDURES W/O CC/MCC,S,"$3,200.90 ","$26,424.09 ","$5,878.62 ","$26,424.09 ",20171001
711,DRG,TESTES PROCEDURES W CC/MCC,S,"$3,466.09 ","$10,362.38 ","$6,012.72 ","$10,362.38 ",20171001
712,DRG,TESTES PROCEDURES W/O CC/MCC,S,"$3,854.00 ","$13,603.30 ","$5,681.30 ","$13,603.30 ",20171001
713,DRG,TRANSURETHRAL PROSTATECTOMY W CC/MCC,S,"$3,051.63 ","$11,261.27 ","$5,100.22 ","$11,261.27 ",20171001
714,DRG,TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,S,"$3,322.80 ","$17,176.10 ","$4,936.88 ","$17,176.10 ",20171001
715,DRG,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W CC/MCC,S,"$3,682.33 ","$11,214.56 ","$5,610.91 ","$11,214.56 ",20171001
716,DRG,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC,S,"$3,312.77 ","$37,465.11 ","$6,057.38 ","$37,465.11 ",20171001
717,DRG,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,S,"$3,213.84 ","$9,486.66 ","$5,403.49 ","$9,486.66 ",20171001
718,DRG,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,S,"$3,299.10 ","$13,321.00 ","$5,224.92 ","$13,321.00 ",20171001
722,DRG,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC",N,"$3,477.31 ","$6,131.64 ","$5,485.09 ","$6,131.64 ",20171001
723,DRG,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",N,"$3,568.86 ","$6,637.81 ","$5,967.10 ","$6,637.81 ",20171001
724,DRG,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W/O CC/MCC",N,"$4,196.94 ","$11,281.12 ","$6,228.98 ","$11,281.12 ",20171001
725,DRG,BENIGN PROSTATIC HYPERTROPHY W MCC,N,"$2,889.19 ","$5,319.06 ","$4,654.01 ","$5,319.06 ",20171001
726,DRG,BENIGN PROSTATIC HYPERTROPHY W/O MCC,N,"$3,487.51 ","$6,266.36 ","$5,496.16 ","$6,266.36 ",20171001
727,DRG,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC,N,"$3,113.52 ","$6,155.46 ","$5,126.51 ","$6,155.46 ",20171001
728,DRG,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,N,"$2,777.41 ","$5,365.28 ","$4,585.80 ","$5,365.28 ",20171001
729,DRG,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC,N,"$2,780.21 ","$5,378.56 ","$4,572.97 ","$5,378.56 ",20171001
730,DRG,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W/O CC/MCC,N,"$3,092.42 ","$7,628.45 ","$5,675.76 ","$7,628.45 ",20171001
734,DRG,"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W CC/MCC",S,"$3,775.06 ","$17,004.21 ","$7,343.90 ","$17,004.21 ",20171001
735,DRG,"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",S,"$3,328.49 ","$26,889.66 ","$5,148.44 ","$26,889.66 ",20171001
736,DRG,UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,S,"$3,302.45 ","$12,346.37 ","$6,510.30 ","$12,346.37 ",20171001
737,DRG,UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,S,"$3,350.26 ","$13,674.50 ","$6,312.03 ","$13,674.50 ",20171001
738,DRG,UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,S,"$3,157.35 ","$17,731.27 ","$5,159.28 ","$17,731.27 ",20171001
739,DRG,"UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",S,"$3,565.04 ","$14,187.53 ","$7,001.30 ","$14,187.53 ",20171001
740,DRG,"UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",S,"$3,508.73 ","$18,262.23 ","$6,200.58 ","$18,262.23 ",20171001
741,DRG,"UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",S,"$3,458.74 ","$27,886.26 ","$5,880.36 ","$27,886.26 ",20171001
742,DRG,UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,S,"$3,022.61 ","$16,166.56 ","$5,917.54 ","$16,166.56 ",20171001
743,DRG,UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,S,"$2,737.01 ","$21,847.52 ","$5,063.42 ","$21,847.52 ",20171001
744,DRG,"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",S,"$3,600.49 ","$11,167.94 ","$5,999.42 ","$11,167.94 ",20171001
745,DRG,"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC",S,"$3,170.76 ","$18,164.19 ","$5,286.28 ","$18,164.19 ",20171001
746,DRG,"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",S,"$3,078.36 ","$11,231.43 ","$5,501.03 ","$11,231.43 ",20171001
747,DRG,"VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC",S,"$2,752.19 ","$19,299.81 ","$4,970.19 ","$19,299.81 ",20171001
748,DRG,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,S,"$2,926.41 ","$26,078.08 ","$6,012.78 ","$26,078.08 ",20171001
749,DRG,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC,S,"$3,479.57 ","$12,151.49 ","$6,177.05 ","$12,151.49 ",20171001
750,DRG,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,S,"$3,270.91 ","$20,609.05 ","$6,101.33 ","$20,609.05 ",20171001
754,DRG,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",N,"$3,282.52 ","$6,610.31 ","$5,632.82 ","$6,610.31 ",20171001
755,DRG,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",N,"$3,369.61 ","$6,496.28 ","$5,435.80 ","$6,496.28 ",20171001
756,DRG,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",N,"$2,394.42 ","$5,352.74 ","$4,437.99 ","$5,352.74 ",20171001
757,DRG,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",N,"$2,694.54 ","$5,498.73 ","$4,541.30 ","$5,498.73 ",20171001
758,DRG,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",N,"$2,808.86 ","$5,440.52 ","$4,411.92 ","$5,440.52 ",20171001
759,DRG,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",N,"$2,829.11 ","$5,452.96 ","$4,879.42 ","$5,452.96 ",20171001
760,DRG,MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,N,"$3,527.42 ","$8,104.20 ","$5,704.42 ","$8,104.20 ",20171001
761,DRG,MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,N,"$3,969.41 ","$10,215.01 ","$6,203.93 ","$10,215.01 ",20171001
765,DRG,CESAREAN SECTION W CC/MCC,S,"$2,876.22 ","$6,607.46 ","$5,497.73 ","$6,607.46 ",20171001
766,DRG,CESAREAN SECTION W/O CC/MCC,S,"$2,641.84 ","$7,462.05 ","$4,880.82 ","$7,462.05 ",20171001
767,DRG,VAGINAL DELIVERY W STERILIZATION &/OR D&C,S,"$2,825.62 ","$9,039.72 ","$4,334.96 ","$9,039.72 ",20171001
768,DRG,VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C,S,"$3,934.59 ","$7,919.92 ","$7,360.36 ","$7,919.92 ",20171001
769,DRG,POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE,S,"$2,822.27 ","$11,994.07 ","$5,448.48 ","$11,994.07 ",20171001
770,DRG,"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",S,"$3,133.58 ","$12,433.27 ","$5,308.96 ","$12,433.27 ",20171001
774,DRG,VAGINAL DELIVERY W COMPLICATING DIAGNOSES,N,"$2,850.23 ","$5,645.11 ","$4,935.96 ","$5,645.11 ",20171001
775,DRG,VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES,N,"$2,832.97 ","$5,821.81 ","$5,324.49 ","$5,821.81 ",20171001
776,DRG,POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,N,"$3,198.50 ","$5,243.67 ","$5,895.45 ","$5,243.67 ",20171001
777,DRG,ECTOPIC PREGNANCY,N,"$3,040.63 ","$18,002.69 ","$6,042.98 ","$18,002.69 ",20171001
778,DRG,THREATENED ABORTION,N,"$2,749.63 ","$3,148.11 ","$4,160.59 ","$3,148.11 ",20171001
779,DRG,ABORTION W/O D&C,N,"$3,554.84 ","$7,829.91 ","$5,085.51 ","$7,829.91 ",20171001
780,DRG,FALSE LABOR,N,"$2,300.01 ","$4,172.05 ","$4,385.46 ","$4,172.05 ",20171001
781,DRG,OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS,N,"$3,235.52 ","$3,731.90 ","$5,410.32 ","$3,731.90 ",20171001
782,DRG,OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS,N,"$2,902.49 ","$4,824.88 ","$4,933.90 ","$4,824.88 ",20171001
789,DRG,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY",N,"$4,492.25 ","$9,433.75 ","$8,280.03 ","$9,433.75 ",20171001
790,DRG,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE",N,"$3,363.99 ","$7,064.38 ","$6,200.41 ","$7,064.38 ",20171001
791,DRG,PREMATURITY W MAJOR PROBLEMS,N,"$2,633.40 ","$5,530.15 ","$4,853.81 ","$5,530.15 ",20171001
792,DRG,PREMATURITY W/O MAJOR PROBLEMS,N,"$1,859.03 ","$3,903.97 ","$3,426.51 ","$3,903.97 ",20171001
793,DRG,FULL TERM NEONATE W MAJOR PROBLEMS,N,"$2,144.53 ","$4,503.51 ","$3,952.74 ","$4,503.51 ",20171001
794,DRG,NEONATE W OTHER SIGNIFICANT PROBLEMS,N,"$1,161.63 ","$2,439.43 ","$2,141.08 ","$2,439.43 ",20171001
795,DRG,NORMAL NEWBORN,N,$895.47 ,"$1,880.48 ","$1,650.50 ","$1,880.48 ",20171001
799,DRG,SPLENECTOMY W MCC,S,"$3,031.36 ","$14,938.17 ","$6,430.49 ","$14,938.17 ",20171001
800,DRG,SPLENECTOMY W CC,S,"$3,086.07 ","$16,306.88 ","$5,858.48 ","$16,306.88 ",20171001
801,DRG,SPLENECTOMY W/O CC/MCC,S,"$2,863.84 ","$20,873.52 ","$4,940.84 ","$20,873.52 ",20171001
802,DRG,OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC,S,"$3,375.46 ","$10,664.91 ","$5,976.29 ","$10,664.91 ",20171001
803,DRG,OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC,S,"$3,435.03 ","$12,333.84 ","$5,476.95 ","$12,333.84 ",20171001
804,DRG,OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC,S,"$3,246.79 ","$17,459.70 ","$5,299.69 ","$17,459.70 ",20171001
808,DRG,MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,N,"$3,315.17 ","$8,761.98 ","$5,419.98 ","$8,761.98 ",20171001
809,DRG,MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,N,"$3,180.55 ","$7,816.66 ","$5,016.46 ","$7,816.66 ",20171001
810,DRG,MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,N,"$2,828.44 ","$8,267.48 ","$4,692.29 ","$8,267.48 ",20171001
811,DRG,RED BLOOD CELL DISORDERS W MCC,N,"$3,025.38 ","$7,474.32 ","$4,983.08 ","$7,474.32 ",20171001
812,DRG,RED BLOOD CELL DISORDERS W/O MCC,N,"$2,806.00 ","$6,480.25 ","$4,515.08 ","$6,480.25 ",20171001
813,DRG,COAGULATION DISORDERS,N,"$3,172.82 ","$15,183.93 ","$5,339.93 ","$15,183.93 ",20171001
814,DRG,RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,N,"$3,549.87 ","$8,471.06 ","$6,262.53 ","$8,471.06 ",20171001
815,DRG,RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,N,"$3,037.07 ","$6,981.68 ","$5,116.54 ","$6,981.68 ",20171001
816,DRG,RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,N,"$2,390.04 ","$6,396.72 ","$4,599.34 ","$6,396.72 ",20171001
820,DRG,LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC,S,"$3,794.64 ","$12,951.87 ","$6,619.22 ","$12,951.87 ",20171001
821,DRG,LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC,S,"$3,900.10 ","$16,450.13 ","$6,624.81 ","$16,450.13 ",20171001
822,DRG,LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC,S,"$3,323.22 ","$21,333.42 ","$5,611.16 ","$21,333.42 ",20171001
823,DRG,LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W MCC,S,"$4,046.84 ","$12,260.07 ","$6,712.09 ","$12,260.07 ",20171001
824,DRG,LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W CC,S,"$3,645.44 ","$12,252.43 ","$5,709.71 ","$12,252.43 ",20171001
825,DRG,LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W/O CC/MCC,S,"$3,524.63 ","$16,771.84 ","$5,481.62 ","$16,771.84 ",20171001
826,DRG,MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC,S,"$3,553.58 ","$12,466.15 ","$6,707.50 ","$12,466.15 ",20171001
827,DRG,MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC,S,"$3,893.52 ","$15,315.99 ","$6,873.86 ","$15,315.99 ",20171001
828,DRG,MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC,S,"$3,328.86 ","$16,809.79 ","$5,804.58 ","$16,809.79 ",20171001
829,DRG,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER  PROCEDURE W CC/MCC,S,"$3,716.76 ","$12,612.42 ","$6,252.84 ","$12,612.42 ",20171001
830,DRG,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER  PROCEDURE W/O CC/MCC,S,"$4,356.47 ","$21,818.67 ","$6,981.43 ","$21,818.67 ",20171001
834,DRG,ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC,N,"$4,323.77 ","$11,290.93 ","$6,323.92 ","$11,290.93 ",20171001
835,DRG,ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC,N,"$4,039.92 ","$10,455.93 ","$5,587.86 ","$10,455.93 ",20171001
836,DRG,ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W/O CC/MCC,N,"$3,484.06 ","$9,438.41 ","$5,109.16 ","$9,438.41 ",20171001
837,DRG,CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC,N,"$4,032.35 ","$9,844.78 ","$5,456.94 ","$9,844.78 ",20171001
838,DRG,CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT,N,"$3,991.66 ","$10,835.26 ","$5,364.17 ","$10,835.26 ",20171001
839,DRG,CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC,N,"$3,607.26 ","$7,562.07 ","$4,823.36 ","$7,562.07 ",20171001
840,DRG,LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,N,"$4,130.80 ","$10,380.08 ","$6,260.11 ","$10,380.08 ",20171001
841,DRG,LYMPHOMA & NON-ACUTE LEUKEMIA W CC,N,"$3,866.68 ","$9,955.22 ","$5,838.39 ","$9,955.22 ",20171001
842,DRG,LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,N,"$2,940.03 ","$9,053.68 ","$4,780.77 ","$9,053.68 ",20171001
843,DRG,OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC,N,"$3,378.30 ","$7,430.06 ","$5,689.17 ","$7,430.06 ",20171001
844,DRG,OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,N,"$3,386.26 ","$7,059.91 ","$5,433.91 ","$7,059.91 ",20171001
845,DRG,OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC,N,"$2,902.60 ","$6,890.56 ","$4,369.02 ","$6,890.56 ",20171001
846,DRG,CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC,N,"$4,222.59 ","$10,700.42 ","$5,828.66 ","$10,700.42 ",20171001
847,DRG,CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC,N,"$3,649.69 ","$11,213.87 ","$4,515.08 ","$11,213.87 ",20171001
848,DRG,CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC,N,"$3,056.95 ","$10,551.46 ","$5,017.57 ","$10,551.46 ",20171001
849,DRG,RADIOTHERAPY,N,"$3,905.08 ","$9,302.67 ","$6,572.83 ","$9,302.67 ",20171001
853,DRG,INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,S,"$3,207.67 ","$10,969.95 ","$5,859.63 ","$10,969.95 ",20171001
854,DRG,INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,S,"$2,961.40 ","$9,124.73 ","$4,876.35 ","$9,124.73 ",20171001
855,DRG,INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC,S,"$2,667.24 ","$10,978.52 ","$4,893.97 ","$10,978.52 ",20171001
856,DRG,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,S,"$3,077.62 ","$9,441.54 ","$5,814.15 ","$9,441.54 ",20171001
857,DRG,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,S,"$3,101.28 ","$9,045.71 ","$5,143.98 ","$9,045.71 ",20171001
858,DRG,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,S,"$2,744.26 ","$9,381.13 ","$4,564.21 ","$9,381.13 ",20171001
862,DRG,POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,N,"$3,060.46 ","$6,313.27 ","$5,382.28 ","$6,313.27 ",20171001
863,DRG,POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,N,"$2,987.11 ","$5,509.87 ","$4,658.58 ","$5,509.87 ",20171001
864,DRG,FEVER,N,"$3,064.26 ","$7,019.04 ","$4,911.25 ","$7,019.04 ",20171001
865,DRG,VIRAL ILLNESS W MCC,N,"$3,475.20 ","$7,380.67 ","$5,933.11 ","$7,380.67 ",20171001
866,DRG,VIRAL ILLNESS W/O MCC,N,"$3,117.37 ","$6,267.74 ","$4,970.01 ","$6,267.74 ",20171001
867,DRG,OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC,N,"$3,439.39 ","$8,106.22 ","$5,824.58 ","$8,106.22 ",20171001
868,DRG,OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,N,"$2,938.80 ","$5,528.92 ","$4,660.27 ","$5,528.92 ",20171001
869,DRG,OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC,N,"$2,426.70 ","$4,753.40 ","$4,305.58 ","$4,753.40 ",20171001
870,DRG,SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,N,"$4,008.95 ","$11,575.44 ","$6,734.28 ","$11,575.44 ",20171001
871,DRG,SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,N,"$3,227.63 ","$7,484.32 ","$5,548.36 ","$7,484.32 ",20171001
872,DRG,SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,N,"$3,012.07 ","$5,739.63 ","$4,753.99 ","$5,739.63 ",20171001
876,DRG,O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,S,"$3,406.18 ","$5,035.44 ","$5,522.51 ","$5,035.44 ",20171001
880,DRG,ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,N,"$2,157.25 ","$2,796.78 ","$3,858.93 ","$2,796.78 ",20171001
881,DRG,DEPRESSIVE NEUROSES,N,"$2,435.53 ",$889.73 ,"$3,577.92 ",$889.73 ,20171001
882,DRG,NEUROSES EXCEPT DEPRESSIVE,N,"$2,104.41 ",$811.44 ,"$3,286.76 ",$811.44 ,20171001
883,DRG,DISORDERS OF PERSONALITY & IMPULSE CONTROL,N,"$2,010.46 ",$678.02 ,"$3,074.03 ",$678.02 ,20171001
884,DRG,ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,N,"$2,590.48 ","$1,571.42 ","$4,738.39 ","$1,571.42 ",20171001
885,DRG,PSYCHOSES,N,"$2,325.82 ",$659.91 ,"$3,458.45 ",$659.91 ,20171001
886,DRG,BEHAVIORAL & DEVELOPMENTAL DISORDERS,N,"$1,737.71 ",$684.55 ,"$3,232.11 ",$684.55 ,20171001
887,DRG,OTHER MENTAL DISORDER DIAGNOSES,N,"$1,308.04 ",$910.33 ,"$2,069.22 ",$910.33 ,20171001
894,DRG,"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",N,"$1,855.99 ","$1,620.58 ","$3,870.28 ","$1,620.58 ",20171001
895,DRG,ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY,N,"$1,717.97 ",$340.63 ,"$3,737.06 ",$340.63 ,20171001
896,DRG,ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,N,"$2,650.25 ","$4,594.37 ","$4,885.41 ","$4,594.37 ",20171001
897,DRG,ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,N,"$1,748.77 ","$1,223.49 ","$3,382.16 ","$1,223.49 ",20171001
901,DRG,WOUND DEBRIDEMENTS FOR INJURIES W MCC,S,"$3,448.40 ","$7,595.02 ","$5,946.21 ","$7,595.02 ",20171001
902,DRG,WOUND DEBRIDEMENTS FOR INJURIES W CC,S,"$3,452.40 ","$8,531.15 ","$5,848.28 ","$8,531.15 ",20171001
903,DRG,WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC,S,"$3,351.07 ","$10,590.05 ","$5,796.18 ","$10,590.05 ",20171001
904,DRG,SKIN GRAFTS FOR INJURIES W CC/MCC,S,"$3,496.54 ","$10,464.39 ","$6,565.41 ","$10,464.39 ",20171001
905,DRG,SKIN GRAFTS FOR INJURIES W/O CC/MCC,S,"$3,241.94 ","$11,170.94 ","$6,367.16 ","$11,170.94 ",20171001
906,DRG,HAND PROCEDURES FOR INJURIES,S,"$3,104.63 ","$14,433.80 ","$6,540.50 ","$14,433.80 ",20171001
907,DRG,OTHER O.R. PROCEDURES FOR INJURIES W MCC,S,"$3,020.68 ","$11,822.16 ","$5,979.01 ","$11,822.16 ",20171001
908,DRG,OTHER O.R. PROCEDURES FOR INJURIES W CC,S,"$3,111.52 ","$12,575.60 ","$5,652.76 ","$12,575.60 ",20171001
909,DRG,OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,S,"$2,969.51 ","$16,382.52 ","$5,470.92 ","$16,382.52 ",20171001
913,DRG,TRAUMATIC INJURY W MCC,N,"$3,094.79 ","$7,017.03 ","$5,702.81 ","$7,017.03 ",20171001
914,DRG,TRAUMATIC INJURY W/O MCC,N,"$2,663.56 ","$5,898.60 ","$4,842.40 ","$5,898.60 ",20171001
915,DRG,ALLERGIC REACTIONS W MCC,N,"$3,160.77 ","$9,074.90 ","$6,316.63 ","$9,074.90 ",20171001
916,DRG,ALLERGIC REACTIONS W/O MCC,N,"$2,965.12 ","$5,894.50 ","$5,598.70 ","$5,894.50 ",20171001
917,DRG,POISONING & TOXIC EFFECTS OF DRUGS W MCC,N,"$3,005.73 ","$8,202.32 ","$5,649.55 ","$8,202.32 ",20171001
918,DRG,POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,N,"$3,148.10 ","$6,252.68 ","$5,325.26 ","$6,252.68 ",20171001
919,DRG,COMPLICATIONS OF TREATMENT W MCC,N,"$3,227.77 ","$7,277.22 ","$5,604.63 ","$7,277.22 ",20171001
920,DRG,COMPLICATIONS OF TREATMENT W CC,N,"$3,186.08 ","$6,783.04 ","$5,340.53 ","$6,783.04 ",20171001
921,DRG,COMPLICATIONS OF TREATMENT W/O CC/MCC,N,"$2,934.98 ","$7,192.71 ","$5,070.87 ","$7,192.71 ",20171001
922,DRG,"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC",N,"$3,538.56 ","$8,232.23 ","$6,939.52 ","$8,232.23 ",20171001
923,DRG,"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",N,"$3,229.01 ","$5,521.65 ","$6,042.85 ","$5,521.65 ",20171001
927,DRG,EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV >96 HRS W SKIN GRAFT,S,"$3,699.84 ","$15,781.69 ","$8,755.75 ","$15,781.69 ",20171001
928,DRG,FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC/MCC,S,"$4,099.70 ","$9,904.18 ","$9,722.05 ","$9,904.18 ",20171001
929,DRG,FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W/O CC/MCC,S,"$3,953.07 ","$8,813.45 ","$9,920.26 ","$8,813.45 ",20171001
933,DRG,EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV >96 HRS W/O SKIN GRAFT,N,"$2,681.78 ","$12,189.31 ","$7,778.76 ","$12,189.31 ",20171001
934,DRG,FULL THICKNESS BURN W/O SKIN GRFT OR INHAL INJ,N,"$2,936.29 ","$5,097.63 ","$8,418.49 ","$5,097.63 ",20171001
935,DRG,NON-EXTENSIVE BURNS,N,"$3,936.01 ","$8,356.26 ","$10,912.38 ","$8,356.26 ",20171001
939,DRG,O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W MCC,S,"$2,999.26 ","$7,451.44 ","$5,906.42 ","$7,451.44 ",20171001
940,DRG,O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC,S,"$3,100.76 ","$8,916.95 ","$6,085.48 ","$8,916.95 ",20171001
941,DRG,O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,S,"$2,800.41 ","$16,055.54 ","$6,032.88 ","$16,055.54 ",20171001
945,DRG,REHABILITATION W CC/MCC,N,"$2,293.95 ","$2,882.15 ","$4,122.28 ","$2,882.15 ",20171001
946,DRG,REHABILITATION W/O CC/MCC,N,"$2,169.09 ","$2,116.00 ","$3,320.91 ","$2,116.00 ",20171001
947,DRG,SIGNS & SYMPTOMS W MCC,N,"$2,626.47 ","$5,375.19 ","$4,872.57 ","$5,375.19 ",20171001
948,DRG,SIGNS & SYMPTOMS W/O MCC,N,"$2,460.21 ","$5,012.77 ","$4,137.82 ","$5,012.77 ",20171001
949,DRG,AFTERCARE W CC/MCC,N,"$2,460.64 ","$2,881.12 ","$4,480.00 ","$2,881.12 ",20171001
950,DRG,AFTERCARE W/O CC/MCC,N,"$1,713.46 ","$1,792.02 ","$3,066.20 ","$1,792.02 ",20171001
951,DRG,OTHER FACTORS INFLUENCING HEALTH STATUS,N,"$1,777.16 ","$2,292.75 ","$6,509.30 ","$2,292.75 ",20171001
955,DRG,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,S,"$4,602.60 ","$23,352.73 ","$10,185.41 ","$23,352.73 ",20171001
956,DRG,"LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA",S,"$3,479.75 ","$17,577.68 ","$7,661.56 ","$17,577.68 ",20171001
957,DRG,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,S,"$3,345.48 ","$18,582.75 ","$7,971.92 ","$18,582.75 ",20171001
958,DRG,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC,S,"$3,450.10 ","$17,585.24 ","$7,678.78 ","$17,585.24 ",20171001
959,DRG,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC,S,"$3,093.79 ","$18,490.16 ","$7,203.46 ","$18,490.16 ",20171001
963,DRG,OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC,N,"$3,126.26 ","$9,597.87 ","$6,994.88 ","$9,597.87 ",20171001
964,DRG,OTHER MULTIPLE SIGNIFICANT TRAUMA W CC,N,"$3,183.43 ","$8,187.86 ","$7,161.03 ","$8,187.86 ",20171001
965,DRG,OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC,N,"$3,501.00 ","$8,612.19 ","$7,948.51 ","$8,612.19 ",20171001
969,DRG,HIV W EXTENSIVE O.R. PROCEDURE W MCC,S,"$3,648.51 ","$11,022.45 ","$6,467.96 ","$11,022.45 ",20171001
970,DRG,HIV W EXTENSIVE O.R. PROCEDURE W/O MCC,S,"$2,941.83 ","$11,768.30 ","$6,022.96 ","$11,768.30 ",20171001
974,DRG,HIV W MAJOR RELATED CONDITION W MCC,N,"$3,618.55 ","$8,586.86 ","$6,260.75 ","$8,586.86 ",20171001
975,DRG,HIV W MAJOR RELATED CONDITION W CC,N,"$3,619.69 ","$6,657.04 ","$5,236.13 ","$6,657.04 ",20171001
976,DRG,HIV W MAJOR RELATED CONDITION W/O CC/MCC,N,"$3,170.57 ","$6,304.27 ","$4,997.34 ","$6,304.27 ",20171001
977,DRG,HIV W OR W/O OTHER RELATED CONDITION,N,"$3,061.23 ","$6,603.39 ","$4,683.53 ","$6,603.39 ",20171001
981,DRG,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,S,"$3,114.90 ","$11,011.37 ","$5,707.59 ","$11,011.37 ",20171001
982,DRG,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,S,"$3,172.38 ","$13,009.22 ","$5,466.30 ","$13,009.22 ",20171001
983,DRG,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,S,"$2,793.05 ","$17,443.52 ","$4,908.60 ","$17,443.52 ",20171001
987,DRG,NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,S,"$3,211.63 ","$8,834.11 ","$5,721.96 ","$8,834.11 ",20171001
988,DRG,NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,S,"$3,077.64 ","$9,307.03 ","$5,161.56 ","$9,307.03 ",20171001
989,DRG,NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,S,"$2,501.68 ","$11,956.24 ","$4,410.00 ","$11,956.24 ",20171001
000,SNF,SKILLED NURSING FACILITY PER DIEM,,$947.29 ,,,,20171001
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