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IP DRG

Top 60 MS DRGs Treated by Parkview

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Note

  1. The pricing on this page is for inpatient care only
  2. Charging is based on the length of stay, amount of supplies used, therapies provided, testing given as well as other care provided
  3. This pricing is an average charge and not intended to be the exact charge for any particular patient
  4. The average charge shown is an estimate and that actual charges for the service depend on the circumstances at the time the service is provided
  5. Any discount is negotiated by the insurance provide. Most insurance providers should be able to tell their members what financial responsibility they will have. 
  6. Patients without insurance are able to receive a discount to the insurance provider with the lowest negotiated discount.

Diagnosis-Related Group (DRG)

A system that classifies inpatient cases into the one of 999 groups. A single patient may have from 1 to 30 diagnosis' which can be grouped into a single DRG. The purpose of the DRG grouping is to aid in providing statistical, epidemiological and reimbursement data for a user of the data. It is mostly commonly used for reimbursement by most government and commercial payers (insurance companies). What is provided in this table indicates what is charged according to that particular DRG. It is in no way an indication of what is paid.

List of Top 60 MS DRGs Treated by Parkview

MSDGRDESCRIPTIONPLAIN LANGUAGE DESCRIPTIONSelf Pay Price
775 VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES Normal Delivery - The DRG is applied to the mother only $4,521.75
871 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC Blood stream infections by virulent microorganisms with complications and other medical conditions not requiring mechanical ventilation $29,180.60
885 PSYCHOSES A serious mental illness characterized by defective or lost contact with reality or hallucinations e.g.: Schizophrenia $9,831.46
740 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC Hip or Knee replacement without complication or other medical conditions $35,669.07
189 PULMONARY EDEMA  RESPIRATORY FAILURE An Abnormal accumulation of fluid in the lungs $22,433.68
795 NORMAL NEWBORN Treatment and care for a single baby born in the hospital or on route to the hospital $1,308.25
897 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC Detoxification for Alcohol or other drug abuse or dependence with out rehabilitation $10,575.73
392 ESOPHAGITIS GASTROENT  MISC DIGEST DISORDERS W/O MCC Inflammation of the esophagus or other disorders of the digestive tract without any complications or complicating conditionsV $13,223.49
872 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC Blood stream infections by virulent microorganisms without complications  and other medical conditions not requiring mechanical ventilation $18,042.11
766 CESAREAN SECTION W/O CC/MCC Also called C-section - Newborn delivery involving incision of the walls of the abdomen and uterus without complications or complicating conditions - This DRG is applied to the mother $7,681.36
603 CELLULITIS W/O MCC Inflammation of the connective tissue that includes but is not limited to; tendons, ligaments cartilage and bone $12,618.95
794 NEONATE W OTHER SIGNIFICANT PROBLEMS A Newborn with other problems $1,948.40
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC a.k.a - COPD, diseases that block  the lung with other complications and complicating medical conditions. $16,159.32
247 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC Heart procedures that do not require opening the chest cavity but include the use of drug covered stents to keep the cardiac vessels open also there are no complications or other medical conditions $46,014.71
853 INFECTIOUS  PARASITIC DISEASES W O.R. PROCEDURE W MCC Infectious parasitic diseases that require an operating room procedure and have complications and other complicating medical conditions $80,185.91
291 HEART FAILURE  SHOCK W MCC Heart Attack or Heart failure with complications or other complicating medical conditions $22,875.39
767 VAGINAL DELIVERY W STERILIZATION /OR DC Normal Delivery  with reproductive sterilization to prevent future pregnancy- The DRG is applied to the mother $11,254.43
292 HEART FAILURE  SHOCK W CC Heart Attack or Heart failure with complications or other complicating medical conditions $15,876.35
690 KIDNEY  URINARY TRACT INFECTIONS W/O MCC Infections of the kidney or urinary tract with out complications or complicating medical conditions $13,251.76
460 SPINAL FUSION EXCEPT CERVICAL W/O MCC Procedures that require the fusion of the either lumbar or thoracic spinal vertebra without complications or complicating medical conditions $97,744.50
378 G.I. HEMORRHAGE W CC Bleeding in either the small or large intestines with complications or other complicating medical conditions. $18,980.38
917 POISONING  TOXIC EFFECTS OF DRUGS W MCC Drug overdose with other complications and complicating medical conditions $26,243.01
683 RENAL FAILURE W CC Kidney failure with complications and other complicating medical conditions $16,351.99
552 MEDICAL BACK PROBLEMS W/O MCC Back conditions not requiring surgery with out complicating medical conditions $15,269.92
65 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS Stroke or bleeding in the brain with complicating medical conditions patient received TPA within 24 hours of admission. $23,404.12
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC a.k.a - COPD, diseases that block  the lung with other complications and complicating medical conditions. $15,452.96
641 MISC DISORDERS OF NUTRITIONMETABOLISM FLUIDS/ELECTROLYTES W/O MCC Electrolyte imbalances and other nutrition and metabolic conditions - no medical complications $14,255.24
57 DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC Degenerative nervous system disorders w/o complicating medical conditions e.g. ALS, Multiple Sclerosis $18,782.68
765 CESAREAN SECTION W CC/MCC Also called C-section - Newborn delivery involving incision of the walls of the abdomen and uterus with complications or complicating conditions - This DRG is applied to the mother $9,228.99
194 SIMPLE PNEUMONIA  PLEURISY W CC Pneumonia and Pleurisy $14,102.06
287 CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH W/O MCC Circulatory disorders except acute myocardia infarction without complicating medical conditions $22,936.60
638 DIABETES W CC Diabetes with complicating medical conditions $19,086.72
881 DEPRESSIVE NEUROSES Depression and other mental or emotional disorders affecting only part of the personality $6,246.17
481 HIP  FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC Procedures on the Hip or femur not requiring major joint replacement with complicating medical conditions $39,901.72
918 POISONING  TOXIC EFFECTS OF DRUGS W/O MCC Drug overdose without other complications and complicating medical conditions $14,877.39
203 BRONCHITIS  ASTHMA W/O CC/MCC Inflammation of the bronchi or chronic lung disorders  with complicating medical conditions $7,056.41
309 CARDIAC ARRHYTHMIA  CONDUCTION DISORDERS W CC  Disorders in heartbeat rhythm with complicating medical conditions $14,291.04
639 DIABETES W/O CC/MCC Diabetes without complicating medical conditions $15,444.92
312 SYNCOPE  COLLAPSE Loss of consciousness resulting from insufficient blood flow to the brain $16,484.74
948 SIGNS  SYMPTOMS W/O MCC Various symptoms not explain with testing and not other complicating medical conditions $15,385.78
176 PULMONARY EMBOLISM W/O MCC Conditions where there is an obstruction of the pulmonary artery without other complicating medical conditions $15,462.90
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC Disorders of the pancreas (e.g. pancreatitis) excluding malignant tumors $14,913.94
330 MAJOR SMALL  LARGE BOWEL PROCEDURES W CC Major small and large bowel procedure with complicating medical conditions $38,764.94
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES Major joint or limb reattachment procedure of upper extremities $36,478.68
854 INFECTIOUS  PARASITIC DISEASES W O.R. PROCEDURE W CC Infectious parasitic diseases that require an operating room procedure and have complications and other complicating medical conditions $40,559.61
246 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS Heart procedures that do not require opening the chest cavity but include the use of drug covered stents to keep the cardiac vessels open using 4 or more stents also there are no complications or other medical conditions $59,530.85
389 G.I. OBSTRUCTION W CC Obstructions of the gastrointestinal tract with complicating medical conditions $12,684.94
895 ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY Alcohol or drug detox with rehabilitation $11,584.62
774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES Live birth delivered vaginally with complicating medical conditions $6,463.46
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC Disorders of the pancreas (e.g. pancreatitis) excluding malignant tumors without complicating medical conditions $11,072.00
193 SIMPLE PNEUMONIA  PLEURISY W MCC Pneumonia and Pleurisy with complicating medical conditions $18,523.16
682 RENAL FAILURE W MCC Kidney failure with complications and other complicating medical conditions $23,893.75
313 CHEST PAIN Chest pain possible acute myocardial infarction or other conditions related to chest pain  $13,340.80
793 FULL TERM NEONATE W MAJOR PROBLEMS Full term newborn with major complicating medical conditions $6,603.83
329 MAJOR SMALL  LARGE BOWEL PROCEDURES W MCC Major small and large bowel procedures with complicating medical conditions $65,503.42
64 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC Bleeding in the brain or stroke with complicating medical conditions $33,821.03
202 BRONCHITIS  ASTHMA W CC/MCC Inflammation of the bronchi or chronic lung disorders  with complicating medical conditions $10,987.17
812 RED BLOOD CELL DISORDERS W/O MCC Red Blood Cell disorders without complicating medical conditions e.g. Anemia, Leukemia, lymphoma, Hemophilia etc. $17,485.19
331 MAJOR SMALL  LARGE BOWEL PROCEDURES W/O CC/MCC Major small and large bowel procedures without complicating medical conditions $29,271.53
101 SEIZURES W/O MCC Seizure disorders without complicating medical conditions e.g. epilepsy

$38,686.35

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