| DRG | DRG Description | DRG Avg Charge |
||||||||
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC | $7,773 | ||||||||
| 064 | INTRACRANIAL
HEMORRHAGE OR CEREBRAL INFARCTION W MCC |
$5,478 | ||||||||
| 065 | INTRACRANIAL
HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS |
$13,210 | ||||||||
| 069 | TRANSIENT ISCHEMIA | $22,393 | ||||||||
| 090 | CONCUSSION W/O CC/MCC | $6,988 | ||||||||
| 101 | SEIZURES W/O MCC | $7,217 | ||||||||
| 149 | DYSEQUILIBRIUM | $15,650 | ||||||||
| 176 | PULMONARY EMBOLISM W/O MCC | $10,473 | ||||||||
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC | $19,564 | ||||||||
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS W CC | $17,987 | ||||||||
| 181 | RESPIRATORY NEOPLASMS W CC | $8,095 | ||||||||
| 183 | MAJOR CHEST TRAUMA W MCC | $25,411 | ||||||||
| 185 | MAJOR CHEST TRAUMA W/O CC/MCC | $7,784 | ||||||||
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $24,226 | ||||||||
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC | $23,725 | ||||||||
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC | $16,692 | ||||||||
| 192 | CHRONIC
OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC |
$15,906 | ||||||||
| 193 | SIMPLE PNEUMONIA & PLEURISY W MCC | $19,844 | ||||||||
| 194 | SIMPLE PNEUMONIA & PLEURISY W CC | $17,936 | ||||||||
| 195 | SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC | $20,813 | ||||||||
| 200 | PNEUMOTHORAX W CC | $10,839 | ||||||||
| 201 | PNEUMOTHORAX W/O CC/MCC | $6,721 | ||||||||
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC | $12,753 | ||||||||
| 281 | ACUTE
MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC |
$8,974 | ||||||||
| 282 | ACUTE
MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC |
$9,232 | ||||||||
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC | $18,684 | ||||||||
| 291 | HEART FAILURE & SHOCK W MCC | $16,427 | ||||||||
| 292 | HEART FAILURE & SHOCK W CC | $11,771 | ||||||||
| 293 | HEART FAILURE & SHOCK W/O CC/MCC | $7,783 | ||||||||
| 301 | PERIPHERAL VASCULAR DISORDERS W/O CC/MCC | $11,359 | ||||||||
| 305 | HYPERTENSION W/O MCC | $8,422 | ||||||||
| 308 | CARDIAC
ARRHYTHMIA & CONDUCTION DISORDERS W MCC |
$25,333 | ||||||||
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC | $9,676 | ||||||||
| 310 | CARDIAC
ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC |
$4,967 | ||||||||
| 311 | ANGINA PECTORIS | $8,708 | ||||||||
| 312 | SYNCOPE & COLLAPSE | $7,679 | ||||||||
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES W CC | $4,075 | ||||||||
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES W CC | $19,634 | ||||||||
| 336 | PERITONEAL ADHESIOLYSIS W CC | $13,002 | ||||||||
| 343 | APPENDECTOMY
W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC |
$14,613 | ||||||||
| 352 | INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC | $14,131 | ||||||||
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC | $26,852 | ||||||||
| 369 | MAJOR ESOPHAGEAL DISORDERS W CC | $18,435 | ||||||||
| 372 | MAJOR
GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC |
$24,876 | ||||||||
| 373 | MAJOR
GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC |
$16,946 | ||||||||
| 375 | DIGESTIVE MALIGNANCY W CC | $14,765 | ||||||||
| 377 | G.I. HEMORRHAGE W MCC | $10,312 | ||||||||
| 378 | G.I. HEMORRHAGE W CC | $12,233 | ||||||||
| 379 | G.I. HEMORRHAGE W/O CC/MCC | $12,558 | ||||||||
| 380 | COMPLICATED PEPTIC ULCER W MCC | $18,961 | ||||||||
| 384 | UNCOMPLICATED PEPTIC ULCER W/O MCC | $17,246 | ||||||||
| 386 | INFLAMMATORY BOWEL DISEASE W CC | $11,708 | ||||||||
| 388 | G.I. OBSTRUCTION W MCC | $14,489 | ||||||||
| 389 | G.I. OBSTRUCTION W CC | $16,401 | ||||||||
| 390 | G.I. OBSTRUCTION W/O CC/MCC | $10,755 | ||||||||
| 392 | ESOPHAGITIS,
GASTROENT & MISC DIGEST DISORDERS W/O MCC |
$10,455 | ||||||||
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES W CC | $15,927 | ||||||||
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC | $7,522 | ||||||||
| 415 | CHOLECYSTECTOMY
EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC |
$23,525 | ||||||||
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC | $24,316 | ||||||||
| 419 | LAPAROSCOPIC
CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC |
$20,651 | ||||||||
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS W CC | $10,411 | ||||||||
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC | $14,652 | ||||||||
| 440 | DISORDERS
OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC |
$12,881 | ||||||||
| 446 | DISORDERS OF THE BILIARY TRACT W/O CC/MCC | $9,133 | ||||||||
| 462 | BILATERAL
OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$43,580 | ||||||||
| 464 | WND
DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC |
$18,710 | ||||||||
| 465 | WND
DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC |
$25,055 | ||||||||
| 467 | REVISION OF HIP OR KNEE REPLACEMENT W CC | $46,930 | ||||||||
| 468 | REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC | $32,150 | ||||||||
| 469 | MAJOR
JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC |
$35,489 | ||||||||
| 470 | MAJOR
JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$27,547 | ||||||||
| 475 | AMPUTATION
FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC |
$38,699 | ||||||||
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC | $37,990 | ||||||||
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC | $24,829 | ||||||||
| 482 | HIP
& FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC |
$19,490 | ||||||||
| 483 | MAJOR
JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$30,183 | ||||||||
| 486 | KNEE PROCEDURES W PDX OF INFECTION W CC | $39,817 | ||||||||
| 488 | KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC | $26,692 | ||||||||
| 489 | KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC | $10,760 | ||||||||
| 492 | LOWER
EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC |
$26,375 | ||||||||
| 493 | LOWER
EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC |
$20,290 | ||||||||
| 494 | LOWER
EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC |
$18,992 | ||||||||
| 495 | LOCAL
EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W MCC |
$17,387 | ||||||||
| 497 | LOCAL
EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC |
$15,247 | ||||||||
| 501 | SOFT TISSUE PROCEDURES W CC | $28,722 | ||||||||
| 504 | FOOT PROCEDURES W CC | $32,996 | ||||||||
| 511 | SHOULDER,ELBOW
OR FOREARM PROC,EXC MAJOR JOINT PROC W CC |
$24,704 | ||||||||
| 512 | SHOULDER,ELBOW
OR FOREARM PROC,EXC MAJOR JOINT PROC W/O CC/MCC |
$19,619 | ||||||||
| 516 | OTHER
MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC |
$21,166 | ||||||||
| 534 | FRACTURES OF FEMUR W/O MCC | $13,104 | ||||||||
| 535 | FRACTURES OF HIP & PELVIS W MCC | $11,639 | ||||||||
| 536 | FRACTURES OF HIP & PELVIS W/O MCC | $7,290 | ||||||||
| 538 | SPRAINS,
STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W/O CC/MCC |
$3,634 | ||||||||
| 549 | SEPTIC ARTHRITIS W CC | $23,876 | ||||||||
| 551 | MEDICAL BACK PROBLEMS W MCC | $14,841 | ||||||||
| 552 | MEDICAL BACK PROBLEMS W/O MCC | $15,260 | ||||||||
| 553 | BONE DISEASES & ARTHROPATHIES W MCC | $20,841 | ||||||||
| 554 | BONE DISEASES & ARTHROPATHIES W/O MCC | $1,155 | ||||||||
| 557 | TENDONITIS, MYOSITIS & BURSITIS W MCC | $11,278 | ||||||||
| 561 | AFTERCARE,
MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC |
$10,387 | ||||||||
| 562 | FX,
SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC |
$14,071 | ||||||||
| 563 | FX,
SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC |
$10,562 | ||||||||
| 571 | SKIN DEBRIDEMENT W CC | $12,581 | ||||||||
| 580 | OTHER SKIN, SUBCUT TISS & BREAST PROC W CC | $30,089 | ||||||||
| 603 | CELLULITIS W/O MCC | $6,269 | ||||||||
| 605 | TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC | $8,993 | ||||||||
| 638 | DIABETES W CC | $10,549 | ||||||||
| 639 | DIABETES W/O CC/MCC | $7,836 | ||||||||
| 640 | MISC
DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC |
$7,355 | ||||||||
| 641 | MISC
DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC |
$10,012 | ||||||||
| 645 | ENDOCRINE DISORDERS W/O CC/MCC | $9,318 | ||||||||
| 682 | RENAL FAILURE W MCC | $14,471 | ||||||||
| 683 | RENAL FAILURE W CC | $7,693 | ||||||||
| 684 | RENAL FAILURE W/O CC/MCC | $15,252 | ||||||||
| 689 | KIDNEY & URINARY TRACT INFECTIONS W MCC | $12,305 | ||||||||
| 690 | KIDNEY & URINARY TRACT INFECTIONS W/O MCC | $14,780 | ||||||||
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC | $22,432 | ||||||||
| 743 | UTERINE
& ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC |
$12,308 | ||||||||
| 765 | CESAREAN SECTION W CC/MCC | $13,691 | ||||||||
| 766 | CESAREAN SECTION W/O CC/MCC | $13,737 | ||||||||
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $8,286 | ||||||||
| 812 | RED BLOOD CELL DISORDERS W/O MCC | $9,837 | ||||||||
| 816 | RETICULOENDOTHELIAL
& IMMUNITY DISORDERS W/O CC/MCC |
$8,575 | ||||||||
| 857 | POSTOPERATIVE
OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC |
$11,948 | ||||||||
| 862 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC | $8,497 | ||||||||
| 864 | FEVER | $8,343 | ||||||||
| 867 | OTHER
INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC |
$22,739 | ||||||||
| 871 | SEPTICEMIA
OR SEVERE SEPSIS W/O MV >96 HOURS W MCC |
$22,670 | ||||||||
| 872 | SEPTICEMIA
OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC |
$14,792 | ||||||||
| 897 | ALCOHOL/DRUG
ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC |
$2,340 | ||||||||
| 902 | WOUND DEBRIDEMENTS FOR INJURIES W CC | $22,323 | ||||||||
| 914 | TRAUMATIC INJURY W/O MCC | $10,646 | ||||||||
| 918 | POISONING & TOXIC EFFECTS OF DRUGS W/O MCC | $9,308 | ||||||||
| 921 | COMPLICATIONS OF TREATMENT W/O CC/MCC | $7,270 | ||||||||
| 940 | O.R.
PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC |
$15,235 | ||||||||
| 948 | SIGNS & SYMPTOMS W/O MCC | $9,262 | ||||||||
| 950 | AFTERCARE W/O CC/MCC | $9,108 | ||||||||
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA W CC | $20,081 | ||||||||