DRG Code DRG Description FY18 Average Charge

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1 DRG Code DRG Description FY18 Average Charge 3 ECMO OR TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O $ 665,511 4 TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. $ 422, EXTRACRANIAL PROCEDURES W MCC $ 188, EXTRACRANIAL PROCEDURES W CC $ 119, NERVOUS SYSTEM NEOPLASMS W MCC $ 51, NERVOUS SYSTEM NEOPLASMS W/O MCC $ 48, DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC $ 55, DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC $ 46, MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC $ 37, ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W MCC $ 114, ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W CC $ 89, ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W/O CC/MCC $ 75, INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC $ 160, INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC $ 53, INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC $ 46, TRANSIENT ISCHEMIA $ 36, NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC $ 59, NONSPECIFIC CEREBROVASCULAR DISORDERS W CC $ 88, NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC $ 45, CRANIAL & PERIPHERAL NERVE DISORDERS W MCC $ 90, CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC $ 49, VIRAL MENINGITIS W CC/MCC $ 75, VIRAL MENINGITIS W/O CC/MCC $ 40, TRAUMATIC STUPOR & COMA, COMA >1 HR W CC $ 39, TRAUMATIC STUPOR & COMA, COMA <1 HR W CC $ 54, TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC $ 47, CONCUSSION W CC $ 38, OTHER DISORDERS OF NERVOUS SYSTEM W MCC $ 307, OTHER DISORDERS OF NERVOUS SYSTEM W CC $ 36, OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC $ 53, NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/ $ 112, SEIZURES W MCC $ 116,822

2 101 SEIZURES W/O MCC $ 43, HEADACHES W/O MCC $ 42, NEUROLOGICAL EYE DISORDERS $ 30, OTHER DISORDERS OF THE EYE W/O MCC $ 9, EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC $ 141, DYSEQUILIBRIUM $ 113, OTITIS MEDIA & URI W/O MCC $ 28, OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC $ 30, DENTAL & ORAL DISEASES W CC $ 55, DENTAL & ORAL DISEASES W/O CC/MCC $ 16, PULMONARY EMBOLISM W MCC $ 83, PULMONARY EMBOLISM W/O MCC $ 64, RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC $ 91, RESPIRATORY INFECTIONS & INFLAMMATIONS W CC $ 63, RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC $ 43, RESPIRATORY NEOPLASMS W MCC $ 71, RESPIRATORY NEOPLASMS W CC $ 40, MAJOR CHEST TRAUMA W MCC $ 43, MAJOR CHEST TRAUMA W CC $ 34, PLEURAL EFFUSION W MCC $ 92, PLEURAL EFFUSION W CC $ 66, PULMONARY EDEMA & RESPIRATORY FAILURE $ 75, CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC $ 50, CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC $ 59, CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC $ 40, SIMPLE PNEUMONIA & PLEURISY W MCC $ 71, SIMPLE PNEUMONIA & PLEURISY W CC $ 40, SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC $ 34, INTERSTITIAL LUNG DISEASE W MCC $ 64, PNEUMOTHORAX W MCC $ 96, PNEUMOTHORAX W CC $ 47, BRONCHITIS & ASTHMA W CC/MCC $ 30, BRONCHITIS & ASTHMA W/O CC/MCC $ 17,697

3 204 RESPIRATORY SIGNS & SYMPTOMS $ 50, OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC $ 123, OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC $ 37, RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS $ 363, RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <96 HOURS $ 131, OTHER VASCULAR PROCEDURES W MCC $ 42, OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $ 102, ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC $ 77, ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC $ 56, ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC $ 31, HEART FAILURE & SHOCK W MCC $ 81, HEART FAILURE & SHOCK W CC $ 52, HEART FAILURE & SHOCK W/O CC/MCC $ 37, PERIPHERAL VASCULAR DISORDERS W MCC $ 40, PERIPHERAL VASCULAR DISORDERS W CC $ 46, PERIPHERAL VASCULAR DISORDERS W/O CC/MCC $ 21, ATHEROSCLEROSIS W MCC $ 85, ATHEROSCLEROSIS W/O MCC $ 30, HYPERTENSION W MCC $ 94, HYPERTENSION W/O MCC $ 42, CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC $ 65, CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC $ 44, CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC $ 40, ANGINA PECTORIS $ 14, SYNCOPE & COLLAPSE $ 44, CHEST PAIN $ 32, OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC $ 69, OTHER CIRCULATORY SYSTEM DIAGNOSES W CC $ 105, OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC $ 20, STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC $ 207, MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC $ 245, MAJOR SMALL & LARGE BOWEL PROCEDURES W CC $ 96, MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC $ 127,633

4 335 PERITONEAL ADHESIOLYSIS W MCC $ 127, PERITONEAL ADHESIOLYSIS W CC $ 109, APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC $ 68, APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC $ 56, APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC $ 45, APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC $ 45, MINOR SMALL & LARGE BOWEL PROCEDURES W CC $ 99, INGUINAL & FEMORAL HERNIA PROCEDURES W MCC $ 196, INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC $ 70, HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC $ 71, HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC $ 69, OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC $ 165, MAJOR ESOPHAGEAL DISORDERS W MCC $ 122, MAJOR ESOPHAGEAL DISORDERS W CC $ 34, MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC $ 137, MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC $ 39, DIGESTIVE MALIGNANCY W MCC $ 83, DIGESTIVE MALIGNANCY W CC $ 107, G.I. HEMORRHAGE W MCC $ 90, G.I. HEMORRHAGE W CC $ 68, G.I. HEMORRHAGE W/O CC/MCC $ 34, COMPLICATED PEPTIC ULCER W MCC $ 58, COMPLICATED PEPTIC ULCER W CC $ 60, UNCOMPLICATED PEPTIC ULCER W/O MCC $ 40, INFLAMMATORY BOWEL DISEASE W MCC $ 22, INFLAMMATORY BOWEL DISEASE W CC $ 92, INFLAMMATORY BOWEL DISEASE W/O CC/MCC $ 70, G.I. OBSTRUCTION W MCC $ 112, G.I. OBSTRUCTION W CC $ 67, G.I. OBSTRUCTION W/O CC/MCC $ 32, ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC $ 104, ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC $ 37, OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC $ 108,897

5 394 OTHER DIGESTIVE SYSTEM DIAGNOSES W CC $ 48, OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC $ 33, CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC $ 92, LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC $ 100, LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC $ 77, LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC $ 54, HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC $ 283, OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC $ 127, CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC $ 100, CIRRHOSIS & ALCOHOLIC HEPATITIS W CC $ 77, MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC $ 117, MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC $ 51, DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC $ 125, DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC $ 55, DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC $ 43, DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC $ 70, DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC $ 89, DISORDERS OF THE BILIARY TRACT W MCC $ 120, DISORDERS OF THE BILIARY TRACT W CC $ 49, DISORDERS OF THE BILIARY TRACT W/O CC/MCC $ 44, SPINAL FUSION EXCEPT CERVICAL W/O MCC $ 145, WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC $ 436, MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC $ 101, MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O M $ 96, CERVICAL SPINAL FUSION W CC $ 415, CERVICAL SPINAL FUSION W/O CC/MCC $ 95, BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC $ 52, HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC $ 176, HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC $ 96, HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC $ 74, MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W CC/MCC $ 103, KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC $ 137, LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC $ 39,825

6 494 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC $ 99, SOFT TISSUE PROCEDURES W CC $ 191, FOOT PROCEDURES W CC $ 93, SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W CC $ 80, SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W/O CC/MCC $ 87, NO LONGER VALID $ 240, NO LONGER VALID $ 107, NO LONGER VALID $ 72, FRACTURES OF HIP & PELVIS W MCC $ 50, FRACTURES OF HIP & PELVIS W/O MCC $ 47, OSTEOMYELITIS W CC $ 27, PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC $ 147, PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC $ 128, CONNECTIVE TISSUE DISORDERS W MCC $ 66, CONNECTIVE TISSUE DISORDERS W CC $ 44, MEDICAL BACK PROBLEMS W MCC $ 35, MEDICAL BACK PROBLEMS W/O MCC $ 54, BONE DISEASES & ARTHROPATHIES W/O MCC $ 45, SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC $ 55, TENDONITIS, MYOSITIS & BURSITIS W/O MCC $ 31, AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC $ 171, AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC $ 29, FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC $ 122, FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC $ 47, OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC $ 103, OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC $ 46, OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/M $ 42, NO LONGER VALID $ 80, NO LONGER VALID $ 52, OTHER SKIN, SUBCUT TISS & BREAST PROC W CC $ 67, OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC $ 65, SKIN ULCERS W MCC $ 94, MALIGNANT BREAST DISORDERS W MCC $ 69,639

7 602 CELLULITIS W MCC $ 68, CELLULITIS W/O MCC $ 40, TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC $ 39, MINOR SKIN DISORDERS W/O MCC $ 73, AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC $ 101, SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC $ 242, SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/ $ 38, OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC $ 105, DIABETES W MCC $ 88, DIABETES W CC $ 47, DIABETES W/O CC/MCC $ 34, NUTRITIONAL & MISC METABOLIC DISORDERS W MCC $ 73, NUTRITIONAL & MISC METABOLIC DISORDERS W/O MCC $ 42, INBORN ERRORS OF METABOLISM $ 21, ENDOCRINE DISORDERS W MCC $ 32, ENDOCRINE DISORDERS W CC $ 30, OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC $ 260, OTHER KIDNEY & URINARY TRACT PROCEDURES W CC $ 207, RENAL FAILURE W MCC $ 100, RENAL FAILURE W CC $ 43, RENAL FAILURE W/O CC/MCC $ 23, KIDNEY & URINARY TRACT NEOPLASMS W CC $ 56, KIDNEY & URINARY TRACT INFECTIONS W MCC $ 55, KIDNEY & URINARY TRACT INFECTIONS W/O MCC $ 43, URINARY STONES W/O ESW LITHOTRIPSY W/O MCC $ 29, OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC $ 66, OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC $ 71, MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC $ 53, INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC $ 29, INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC $ 41, UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC $ 66, UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC $ 60, VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC $ 53,361

8 757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC $ 9, INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC $ 43, POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE $ 42, OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS $ 24, MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC $ 49, RED BLOOD CELL DISORDERS W MCC $ 85, RED BLOOD CELL DISORDERS W/O MCC $ 42, COAGULATION DISORDERS $ 40, ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC $ 31, LYMPHOMA & NON-ACUTE LEUKEMIA W MCC $ 169, INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC $ 267, INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC $ 156, POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC $ 972, POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC $ 55, POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MC $ 34, POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC $ 199, POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC $ 41, FEVER $ 80, VIRAL ILLNESS W MCC $ 19, VIRAL ILLNESS W/O MCC $ 55, SEPTICEMIA OR SEVERE SEPSIS W MV 96+ HOURS $ 273, SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC $ 98, SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W/O MCC $ 49, ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION $ 17, ORGANIC DISTURBANCES & MENTAL RETARDATION $ 51, ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA $ 29, ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MC $ 50, ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O $ 50, WOUND DEBRIDEMENTS FOR INJURIES W CC $ 86, OTHER O.R. PROCEDURES FOR INJURIES W MCC $ 158, OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC $ 71, TRAUMATIC INJURY W MCC $ 261, POISONING & TOXIC EFFECTS OF DRUGS W MCC $ 99,850

9 918 POISONING & TOXIC EFFECTS OF DRUGS W/O MCC $ 44, COMPLICATIONS OF TREATMENT W MCC $ 70, COMPLICATIONS OF TREATMENT W CC $ 61, SIGNS & SYMPTOMS W MCC $ 84, SIGNS & SYMPTOMS W/O MCC $ 46, AFTERCARE W CC/MCC $ 45, AFTERCARE W/O CC/MCC $ 38, OTHER MULTIPLE SIGNIFICANT TRAUMA W CC $ 132, HIV W MAJOR RELATED CONDITION W MCC $ 120, HIV W MAJOR RELATED CONDITION W CC $ 95, HIV W OR W/O OTHER RELATED CONDITION $ 9, EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC $ 279, EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC $ 135, EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC $ 56, NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC $ 99, NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/ $ 66,505

Randolph Health Average Inpatient DRG Charge

Randolph Health Average Inpatient DRG Charge 004 Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. 244,470 040 Periph/Cranial Nerve & Other Nerv Syst Proc W Mcc 61,412 041 Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim