DRG Description," Average ""Charge"""
,
"012 - TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W CC","$43,873.05 "
054 - NERVOUS SYSTEM NEOPLASMS W MCC,"$10,117.00 "
055 - NERVOUS SYSTEM NEOPLASMS W/O MCC,"$20,321.50 "
065 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,"$13,789.02 "
066 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,"$7,889.00 "
074 - CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,"$8,314.00 "
149 - DYSEQUILIBRIUM,"$7,464.06 "
175 - PULMONARY EMBOLISM W MCC,"$19,191.00 "
176 - PULMONARY EMBOLISM W/O MCC,"$9,956.03 "
178 - RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,"$11,613.00 "
184 - MAJOR CHEST TRAUMA W CC,"$8,210.00 "
186 - PLEURAL EFFUSION W MCC,"$14,580.86 "
187 - PLEURAL EFFUSION W CC,"$11,548.50 "
188 - PLEURAL EFFUSION W/O CC/MCC,"$11,102.26 "
189 - PULMONARY EDEMA & RESPIRATORY FAILURE,"$21,583.49 "
190 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,"$61,574.82 "
191 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,"$14,305.78 "
192 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,"$11,215.18 "
193 - SIMPLE PNEUMONIA & PLEURISY W MCC,"$19,034.30 "
194 - SIMPLE PNEUMONIA & PLEURISY W CC,"$12,662.24 "
195 - SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,"$10,325.25 "
197 - INTERSTITIAL LUNG DISEASE W CC,"$22,421.00 "
202 - BRONCHITIS & ASTHMA W CC/MCC,"$7,941.00 "
203 - BRONCHITIS & ASTHMA W/O CC/MCC,"$6,544.15 "
206 - OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,"$9,334.00 "
244 - PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,"$38,787.00 "
262 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC,"$33,781.00 "
"280 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC","$7,695.00 "
"281 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC","$7,284.00 "
"282 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC","$3,704.50 "
291 - HEART FAILURE & SHOCK W MCC,"$9,313.80 "
292 - HEART FAILURE & SHOCK W CC,"$10,328.33 "
293 - HEART FAILURE & SHOCK W/O CC/MCC,"$10,135.00 "
300 - PERIPHERAL VASCULAR DISORDERS W CC,"$1,710.00 "
304 - HYPERTENSION W MCC,"$10,145.00 "
305 - HYPERTENSION W/O MCC,"$14,774.00 "
308 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,"$18,902.00 "
309 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,"$30,912.00 "
310 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,"$11,334.00 "
312 - SYNCOPE & COLLAPSE,"$6,398.00 "
313 - CHEST PAIN,"$16,862.73 "
314 - OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,"$17,990.06 "
316 - OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,"$13,165.50 "
"326 - STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC","$76,594.59 "
329 - MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,"$193,576.68 "
330 - MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,"$53,112.73 "
331 - MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,"$54,652.68 "
336 - PERITONEAL ADHESIOLYSIS W CC,"$48,959.96 "
343 - APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,"$20,031.00 "
372 - MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,"$10,180.00 "
373 - MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,"$14,568.00 "
377 - G.I. HEMORRHAGE W MCC,"$8,295.00 "
378 - G.I. HEMORRHAGE W CC,"$14,697.67 "
386 - INFLAMMATORY BOWEL DISEASE W CC,"$8,598.00 "
387 - INFLAMMATORY BOWEL DISEASE W/O CC/MCC,"$7,974.00 "
389 - G.I. OBSTRUCTION W CC,"$8,738.00 "
390 - G.I. OBSTRUCTION W/O CC/MCC,"$11,573.07 "
"392 - ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC","$9,565.00 "
395 - OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,"$10,220.50 "
415 - CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC,"$36,845.00 "
417 - LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,"$23,979.00 "
419 - LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,"$33,434.00 "
439 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,"$17,695.06 "
440 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,"$8,144.06 "
"442 - DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC","$8,793.00 "
445 - DISORDERS OF THE BILIARY TRACT W CC,"$9,513.00 "
470 - MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,"$44,307.98 "
475 - AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC,"$11,829.84 "
481 - HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,"$28,640.91 "
"493 - LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC","$44,727.50 "
"494 - LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC","$25,072.00 "
543 - PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,"$9,251.00 "
554 - BONE DISEASES & ARTHROPATHIES W/O MCC,"$18,406.40 "
556 - SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,"$9,285.05 "
"558 - TENDONITIS, MYOSITIS & BURSITIS W/O MCC","$19,298.00 "
"560 - AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC","$8,035.17 "
"561 - AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC","$9,751.73 "
"563 - FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC","$11,020.50 "
572 - SKIN DEBRIDEMENT W/O CC/MCC,"$16,336.85 "
"580 - OTHER SKIN, SUBCUT TISS & BREAST PROC W CC","$15,459.76 "
600 - NON-MALIGNANT BREAST DISORDERS W CC/MCC,"$9,391.00 "
603 - CELLULITIS W/O MCC,"$8,954.53 "
638 - DIABETES W CC,"$7,480.00 "
639 - DIABETES W/O CC/MCC,"$8,469.45 "
"641 - MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC","$12,540.59 "
644 - ENDOCRINE DISORDERS W CC,"$25,673.00 "
657 - KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,"$23,984.00 "
660 - KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,"$22,522.03 "
661 - KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,"$12,664.06 "
682 - RENAL FAILURE W MCC,"$14,113.17 "
683 - RENAL FAILURE W CC,"$8,633.01 "
684 - RENAL FAILURE W/O CC/MCC,"$10,654.52 "
690 - KIDNEY & URINARY TRACT INFECTIONS W/O MCC,"$96,951.79 "
698 - OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,"$16,211.00 "
713 - TRANSURETHRAL PROSTATECTOMY W CC/MCC,"$25,210.84 "
728 - INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,"$9,406.01 "
743 - UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,"$13,379.00 "
766 - POSTPARTUM & POST ABORTION DIAGNOSES W OR PROCEDURE,"$9,170.06 "
784 - CESAREAN SECTION W STERILIZATION,"$7,918.00 "
785-CESAREAN SECTION W/O STERILIZATION,"$8,962.00 "
787-CESAREAN SECTION W STERIIZATION W/ CC,"$7,637.00 "
788-CESAREAN SECTION W/O STERILIZATION W/O CC/MCC,"$9,067.09 "
792-PREMATURITY W/O MAJOR PROBLEMS,"$3,291.97 "
793-FULL TERM NEONATE W MAJOR PROBLEMS,"$3,965.75 "
794-NEONATE W OTHER SIGNIFICANT PROBLEMS,"$2,481.56 "
795-NORMAL NEWBORN,"$1,821.76 "
806-VAGINAL DELIVERY W/O STERILIZATION/D&C W CC,"$5,200.96 "
807-VAGINAL DELIVERY W/O STERILIZATION/DC& W/O ,"$4,454.42 "
809 - MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,"$52,292.00 "
811 - RED BLOOD CELL DISORDERS W MCC,"$27,683.00 "
832-OTHER ANTEPARTUM DIAGNOSES W/O OR PROCEDURE,"$17,066.01 "
854 - INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,"$12,304.00 "
863 - POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,"$15,911.00 "
871 - SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,"$15,957.32 "
872 - SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,"$14,916.01 "
880 - ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,"$2,557.03 "
881 - DEPRESSIVE NEUROSES,"$6,543.42 "
882 - NEUROSES EXCEPT DEPRESSIVE,"$6,573.71 "
883 - DISORDERS OF PERSONALITY & IMPULSE CONTROL,"$14,386.06 "
884 - ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,"$26,930.32 "
885 - PSYCHOSES,"$11,135.19 "
886 - BEHAVIORAL & DEVELOPMENTAL DISORDERS,"$75,556.31 "
"894 - ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA","$3,575.54 "
895 - ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY,"$11,643.72 "
897 - ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,"$6,459.60 "
907 - OTHER O.R. PROCEDURES FOR INJURIES W MCC,"$68,517.69 "
908 - OTHER O.R. PROCEDURES FOR INJURIES W CC,"$32,867.92 "
947 - SIGNS & SYMPTOMS W MCC,"$14,625.00 "
948 - SIGNS & SYMPTOMS W/O MCC,"$13,238.48 "
957 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,"$80,194.86 "