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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

NORTH ALABAMA MEDICAL CENTER

Florence, AL · CCN 010006 · Rates published

4,586 distinct procedures filed
155 distinct payers
87,886 rate rows
2026-08-17 last MRF observed
Data quality

84,771 of 87,886 rate rows are consumer-grade (96.5%)

3,115 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,873
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 176
exceeds 10× this hospital's gross charge — excluded from medians 45
exceeds 3× this hospital's gross charge for a DRG stay — excluded 15
placeholder amount (≤ $0.02) — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.namccares.com/docs/ahnorthalabamamedicalcenterlibraries/hcl/mrf3q25/272451336_north-alabama-medical-center_standardcharges.csv
Found on page https://namccares.com/hospital-charges-listing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint aa9f79417c0e306b… · 158,596 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
3
MS_DRG 		Ecmo Trach Mv >96 W Or 5 $91,017.36 $215,241.00 $203,054.54 nat. median
$145,435
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $49,931.40 $140,482.18 $140,482.18 nat. median
$55,923
outlier · 2.5×
1
MS_DRG 		Heart Trnpl/impl Has W Mcc 2 $64,393.00 $183,716.10 $124,054.55 nat. median
$186,516
0.7× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 7 $37,018.67 $110,380.00 $107,371.91 nat. median
$43,023
outlier · 2.5×
4
MS_DRG 		Trach/ Mv >96 Without Maj Or 1 $86,381.22 $86,381.22 $86,381.22 nat. median
$97,418
0.9× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 7 $27,407.09 $81,345.16 $76,638.28 nat. median
$30,358
outlier · 2.5×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $47,394.84 $139,876.58 $72,241.08 nat. median
$55,935
1.3× median
212
MS_DRG 		Hip/femur Procedures <18 1 $68,757.77 $68,757.77 $68,757.77 nat. median
$74,509
0.9× median
579
MS_DRG 		Ot Skn,sbq Brs Px Wmcc 2 $21,677.14 $115,159.00 $68,418.07 nat. median
$23,000
outlier · 3.0×
273
MS_DRG 		Perc Intracardiac W Mcc 1 $66,228.00 $66,228.00 $66,228.00 nat. median
$29,055
outlier · 2.3×
23
MS_DRG 		Craniotomy W Device W Mcc 2 $49,188.00 $82,104.45 $65,646.23 nat. median
$40,301
1.6× median
414
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 $65,181.33 $65,181.33 $65,181.33 nat. median
$25,056
outlier · 2.6×
447
MS_DRG 		Allergic Reactions >17 1 $65,007.80 $65,007.80 $65,007.80 nat. median
$2,958
outlier · 22.0×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 8 $14,982.92 $94,688.00 $63,915.41 nat. median
$33,435
1.9× median
215
MS_DRG 		Oth Heart Assist Sys Impl 2 $60,098.30 $61,963.58 $61,030.94 nat. median
$73,023
0.8× median
231
MS_DRG 		Corn Bypass W Ptca Mcc 2 $52,188.38 $64,138.10 $58,163.24 nat. median
$60,505
1.0× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 7 $26,382.05 $91,249.47 $57,349.35 nat. median
$35,986
1.6× median
40530
HCPCS 		Partial Removal Of Lip 1 $53,113.27 $53,113.27 $53,113.27 nat. median
$3,387
outlier · 15.7×
628
MS_DRG 		Ot Endo/metab Or Px W Mcc 1 $49,188.00 $49,188.00 $49,188.00 nat. median
$26,211
1.9× median
29
MS_DRG 		Spinal Proc W Cc 2 $32,860.41 $64,393.00 $48,626.71 nat. median
$24,349
2.0× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 $33,792.41 $99,945.56 $48,537.65 nat. median
$39,159
1.2× median
246
MS_DRG 		Perc Cv Px W De Stnt W Mcc 1 $46,887.04 $46,887.04 $46,887.04 nat. median
$2,024
outlier · 23.2×
268
MS_DRG 		Art Hrt X Puls Blm W Mcc 3 $41,770.15 $63,502.22 $44,203.57 nat. median
$49,569
0.9× median
665
MS_DRG 		Prostatectomy W Mcc 1 $44,172.00 $44,172.00 $44,172.00 nat. median
$21,952
outlier · 2.0×
95
MS_DRG 		Bac/tubr Inf Nerv Sys W Cc 1 $43,815.00 $43,815.00 $43,815.00 nat. median
$17,673
outlier · 2.5×
275
MS_DRG 		Breast Malignancy 2 $41,066.92 $45,641.93 $43,354.43 nat. median
$51,518
0.8× median
625
MS_DRG 		Thyr/parathy Px W Mcc 1 $42,284.00 $42,284.00 $42,284.00 nat. median
$20,504
outlier · 2.1×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 10 $23,085.26 $96,535.18 $41,831.35 nat. median
$37,725
1.1× median
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 7 $9,888.00 $46,488.31 $41,366.52 nat. median
$18,590
outlier · 2.2×
904
MS_DRG 		Skin Graft Inj Cc/mcc 1 $40,990.00 $40,990.00 $40,990.00 nat. median
$25,168
1.6× median
276
MS_DRG 		Nonmalignant Brst Disorder 1 $40,497.59 $40,497.59 $40,497.59 nat. median
$43,533
0.9× median
207
MS_DRG 		Resp Sys Dx W Vent >96 1 $39,552.00 $39,552.00 $39,552.00 nat. median
$47,121
0.8× median
317
MS_DRG 		Admit For Renal Dialysis 3 $38,049.58 $40,366.22 $39,363.14 nat. median
$2,633
outlier · 14.9×
474
MS_DRG 		Amp Musc/tiss Dis W Mcc 2 $35,602.50 $42,712.28 $39,157.39 nat. median
$29,481
1.3× median
141
MS_DRG 		Mj Head, Neck Px W Cc 1 $38,636.00 $38,636.00 $38,636.00 nat. median
$14,978
outlier · 2.6×
965
MS_DRG 		Oth Mult Sig Trauma Without Cc 1 $37,973.00 $37,973.00 $37,973.00 nat. median
$6,823
outlier · 5.6×
430
MS_DRG 		Psychoses 1 $36,335.76 $36,335.76 $36,335.76 nat. median
$2,596
outlier · 14.0×
830
MS_DRG 		Myel Dis/neo W Px Wo Cc 1 $35,648.00 $35,648.00 $35,648.00 nat. median
$10,585
outlier · 3.4×
475
MS_DRG 		Amp Musc/tiss Dis W Cc 1 $35,591.30 $35,591.30 $35,591.30 nat. median
$16,005
outlier · 2.2×
33289
HCPCS 		Tcat Impl Wrls P-art Prs Snr 1 $34,334.79 $34,334.79 $34,334.79 nat. median
$28,889
1.2× median
460
MS_DRG 		Spnal Fusn X Cervcal Womcc 2 $22,453.86 $45,995.00 $34,224.43 nat. median
$2,106
outlier · 16.2×
252
MS_DRG 		Other Vascular Procedures With Mcc 7 $21,113.23 $63,821.94 $34,032.88 nat. median
$25,156
1.4× median
76
MS_DRG 		Viral Mening Wo Cc/mcc 1 $33,278.00 $33,278.00 $33,278.00 nat. median
$6,260
outlier · 5.3×
278
MS_DRG 		Cellulitis >17 3 $30,953.35 $52,565.81 $33,253.33 nat. median
$35,985
0.9× median
36
MS_DRG 		Carotid Artry Px Wo Cc/mcc 2 $20,266.62 $45,995.00 $33,130.81 nat. median
$13,664
outlier · 2.4×
356
MS_DRG 		Oth Digest Px W Mcc 1 $33,114.00 $33,114.00 $33,114.00 nat. median
$30,674
1.1× median
33249
CPT 		Insj/rplcmt Defib W/lead(s) 25 $29,190.47 $36,457.64 $32,824.06 nat. median
$32,069
1.0× median
33231
CPT 		Insrt Pulse Gen W/mult Leads 25 $29,190.47 $36,457.64 $32,824.06 nat. median
$31,377
1.0× median
33264
CPT 		Rmvl & Rplcmt Dfb Gen Mlt Ld 25 $29,190.47 $36,457.64 $32,824.06 nat. median
$32,779
1.0× median
33270
CPT 		Ins/rep Subq Defibrillator 25 $29,190.47 $36,457.64 $32,824.06 nat. median
$32,475
1.0× median

Other procedures at this hospital

Browse this hospital's 4,586 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0408T CPT Insj/rplc Cardiac Modulj Sys 34 25 $69,894.24 — $12,159.46 $29,190.47 $20,674.97 2026-08-17
1 MS_DRG Heart Trnpl/impl Has W Mcc 2 2 $718,275.29 $251,396.35 65% off $64,393.00 $183,716.10 $124,054.55 2025-07-01
140 MS_DRG Mj Head, Neck Px W Mcc 1 1 $60,954.53 $21,334.09 65% off $18,398.00 $18,398.00 $18,398.00 2025-07-01
141 MS_DRG Mj Head, Neck Px W Cc 1 1 $66,232.52 $23,181.38 65% off $38,636.00 $38,636.00 $38,636.00 2025-07-01
143 MS_DRG Oth Enmt Or Px W Mcc 1 1 $28,845.37 $10,095.88 65% off $22,131.21 $22,131.21 $22,131.21 2025-07-01
158 MS_DRG Dental/oral Dis W Cc 1 1 $67,242.65 $23,534.93 65% off $14,114.51 $14,114.51 $14,114.51 2025-07-01
165 MS_DRG Maj Chest Px Wo Cc/mcc 2 2 $101,860.29 $35,651.10 65% off $11,700.72 $16,480.00 $14,090.36 2025-07-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 9 8 $219,436.18 $76,802.66 65% off $23,912.18 $68,384.96 $25,736.88 2026-08-17
19357 CPT Breast Reconstruction 136 25 $69,087.42 — $9,978.38 $15,840.33 $12,909.35 2026-08-17
196 MS_DRG Interstital Lung Dis W Mcc 2 2 $109,313.52 $38,259.73 65% off $8,549.16 $22,086.00 $15,317.58 2025-07-01
201 MS_DRG Pneumothorax Wo Cc/mcc 1 1 $39,987.18 $13,995.51 65% off $21,329.00 $21,329.00 $21,329.00 2025-07-01
205 MS_DRG Oth Resp Sys Dx W Mcc 4 4 $63,254.59 $22,139.11 65% off $11,439.91 $18,470.00 $12,385.60 2025-07-01
207 MS_DRG Resp Sys Dx W Vent >96 1 1 $218,117.49 $76,341.12 65% off $39,552.00 $39,552.00 $39,552.00 2025-07-01
20930 CPT Sp Bone Algrft Morsel Add-on 20 15 $54,046.44 — $15,020.24 $15,020.24 $15,020.24 2026-08-17
20931 CPT Sp Bone Algrft Struct Add-on 40 15 $69,806.24 — $15,020.24 $15,020.24 $15,020.24 2026-08-17
20936 CPT Sp Bone Agrft Local Add-on 20 15 $82,256.89 — $15,020.24 $15,020.24 $15,020.24 2026-08-17
212 MS_DRG Hip/femur Procedures <18 1 1 $729,316.87 $255,260.90 65% off $68,757.77 $68,757.77 $68,757.77 2025-07-01
215 MS_DRG Oth Heart Assist Sys Impl 2 2 $397,535.56 $139,137.45 65% off $60,098.30 $61,963.58 $61,030.94 2025-07-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 $395,200.42 $130,889.93 67% off $49,931.40 $140,482.18 $140,482.18 2026-08-17
22600 HCPCS Neck Spine Fusion 1 1 $3,645.04 $1,275.76 65% off $13,349.11 $13,349.11 $13,349.11 2025-07-01
22612 CPT Lumbar Spine Fusion 23 16 $102,264.63 — $16,743.22 $16,743.22 $16,743.22 2026-08-17
22612 HCPCS Lumbar Spine Fusion 2 2 $8,019.09 $2,806.68 65% off $14,155.04 $15,604.22 $14,879.63 2025-07-01
22630 CPT Lumbar Spine Fusion 23 16 $111,226.06 — $16,743.22 $16,743.22 $16,743.22 2026-08-17
22630 HCPCS Lumbar Spine Fusion 1 1 $5,304.32 $1,856.51 65% off $15,052.04 $15,052.04 $15,052.04 2025-07-01
22633 CPT Lumbar Spine Fusion Combined 23 16 $120,187.49 — $16,743.22 $16,743.22 $16,743.22 2026-08-17
22856 HCPCS Cerv Artific Diskectomy 1 1 $11,639.94 $4,073.98 65% off $17,396.97 $17,396.97 $17,396.97 2025-07-01
22867 CPT Insj Stablj Dev W/dcmprn 23 16 $120,187.49 — $16,743.22 $16,743.22 $16,743.22 2026-08-17
23 MS_DRG Craniotomy W Device W Mcc 2 2 $174,511.10 $61,078.89 65% off $49,188.00 $82,104.45 $65,646.23 2025-07-01
231 MS_DRG Corn Bypass W Ptca Mcc 2 2 $372,853.66 $130,498.78 65% off $52,188.38 $64,138.10 $58,163.24 2025-07-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 8 $321,509.32 $112,528.26 65% off $47,394.84 $139,876.58 $72,241.08 2026-08-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 9 $237,932.79 $83,276.48 65% off $33,792.41 $99,945.56 $48,537.65 2026-08-17
23472 CPT Reconstruct Shoulder Joint 92 16 $88,753.37 — $16,743.22 $16,743.22 $16,743.22 2026-08-17
23472 HCPCS Reconstruct Shoulder Joint 9 7 $10,925.33 $3,823.87 65% off $122.32 $23,977.95 $15,916.30 2025-07-01
23473 HCPCS Revis Reconst Shoulder Joint 2 2 $14,695.97 $5,143.59 65% off $11,742.00 $12,808.80 $12,275.40 2025-07-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 7 7 $265,616.43 $92,965.75 65% off $37,018.67 $110,380.00 $107,371.91 2026-08-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 7 7 $185,774.81 $65,021.18 65% off $27,407.09 $81,345.16 $76,638.28 2026-08-17
239 MS_DRG Amp Exc Up Lmb & Toe W Mcc 3 3 $94,622.07 $33,117.72 65% off $11,614.65 $31,772.39 $18,009.53 2025-07-01
24 MS_DRG Craniotomy Wdevice Wo Mcc 1 1 $53,335.87 $18,667.55 65% off $12,676.13 $12,676.13 $12,676.13 2025-07-01
242 MS_DRG Perm Card Pm Imp W Mcc 4 4 $150,559.91 $52,695.97 65% off $14,418.27 $22,746.37 $21,497.79 2025-07-01
24363 CPT Replace Elbow Joint 46 16 $65,402.23 — $16,743.22 $16,743.22 $16,743.22 2026-08-17
246 MS_DRG Perc Cv Px W De Stnt W Mcc 1 1 $151,844.72 $53,145.65 65% off $46,887.04 $46,887.04 $46,887.04 2025-07-01
247 MS_DRG Perc Cv Px W De Stnt Womcc 1 1 $83,197.02 $29,118.96 65% off $17,254.00 $17,254.00 $17,254.00 2025-07-01
250 MS_DRG Per Cv Px Wo St W Mcc 3 3 $127,258.75 $44,540.56 65% off $14,766.73 $22,025.20 $15,502.23 2025-07-01
252 MS_DRG Other Vascular Procedures With Mcc 8 7 $180,375.64 $63,131.47 65% off $21,113.23 $63,821.94 $34,032.88 2026-08-17
253 MS_DRG Other Vascular Procedures With Cc 23 21 $119,677.91 $48,049.56 60% off $5,796.00 $47,489.10 $15,989.75 2026-08-17
258 MS_DRG Card Pace Dev Replce W Mcc 1 1 $104,809.24 $36,683.23 65% off $18,835.84 $18,835.84 $18,835.84 2025-07-01
25810 HCPCS Fusion/graft Of Wrist Joint 1 1 $17,504.26 $6,126.49 65% off $12,329.10 $12,329.10 $12,329.10 2025-07-01
264 MS_DRG Oth Circ Sys Or Px 4 4 $421,332.86 $147,466.50 65% off $18,032.10 $459,842.00 $25,415.91 2025-07-01
268 MS_DRG Art Hrt X Puls Blm W Mcc 3 3 $232,860.39 $81,501.14 65% off $41,770.15 $63,502.22 $44,203.57 2025-07-01
269 MS_DRG Art Hrt X Puls Blm Wo Mcc 4 4 $156,399.73 $54,739.91 65% off $25,734.62 $27,289.94 $26,538.72 2025-07-01
27 MS_DRG Cran & Endovas Ic Px Wo Cc 1 1 $73,113.33 $25,589.67 65% off $15,779.68 $15,779.68 $15,779.68 2025-07-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 10 $210,234.17 $73,581.96 65% off $23,085.26 $96,535.18 $41,831.35 2026-08-17
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 10 $160,616.38 $56,215.73 65% off $11,592.00 $65,066.06 $27,958.47 2026-08-17
273 MS_DRG Perc Intracardiac W Mcc 1 1 $213,488.23 $74,720.88 65% off $66,228.00 $66,228.00 $66,228.00 2025-07-01
27486 HCPCS Revise/replace Knee Joint 1 1 $13,106.02 $4,587.11 65% off $12,886.15 $12,886.15 $12,886.15 2025-07-01
27487 HCPCS Revise/replace Knee Joint 1 1 $11,914.56 $4,170.10 65% off $13,008.80 $13,008.80 $13,008.80 2025-07-01
275 MS_DRG Breast Malignancy 2 2 $333,502.88 $116,726.01 65% off $41,066.92 $45,641.93 $43,354.43 2025-07-01
276 MS_DRG Nonmalignant Brst Disorder 1 1 $278,971.70 $97,640.10 65% off $40,497.59 $40,497.59 $40,497.59 2025-07-01
277 MS_DRG Cellulitis >17CC 2 2 $234,944.38 $82,230.53 65% off $19,318.00 $30,565.57 $24,941.78 2025-07-01
278 MS_DRG Cellulitis >17 3 3 $222,306.86 $77,807.40 65% off $30,953.35 $52,565.81 $33,253.33 2025-07-01
279 MS_DRG Cellulitis <18 6 5 $166,735.75 $58,357.51 65% off $20,069.24 $37,719.07 $24,566.83 2025-07-01
28 MS_DRG Spinal Proc W Mcc 1 1 $51,498.08 $18,024.33 65% off $27,597.00 $27,597.00 $27,597.00 2025-07-01
28297 HCPCS Correction Hallux Valgus 1 1 $10,269.97 $3,594.49 65% off $12,329.10 $12,329.10 $12,329.10 2025-07-01
28705 CPT Fusion Of Foot Bones 34 25 $106,736.39 — $7,662.55 $16,743.22 $12,202.89 2026-08-17
29 MS_DRG Spinal Proc W Cc 2 2 $160,779.04 $56,272.66 65% off $32,860.41 $64,393.00 $48,626.71 2025-07-01
3 MS_DRG Ecmo Trach Mv >96 W Or 5 5 $751,582.36 $263,053.83 65% off $91,017.36 $215,241.00 $203,054.54 2025-07-01
307 MS_DRG Card Cong/val Dis Wo Mcc 1 1 $31,315.91 $10,960.57 65% off $31,315.91 $31,315.91 $31,315.91 2025-07-01
314 MS_DRG Oth Circ Sys Dx W Mcc 6 6 $73,048.72 $25,567.05 65% off $5,949.12 $16,421.22 $13,677.62 2025-07-01
317 MS_DRG Admit For Renal Dialysis 3 3 $199,298.70 $69,754.54 65% off $38,049.58 $40,366.22 $39,363.14 2025-07-01
321 MS_DRG Kidn/urin Trct Infct >17 8 8 $162,723.56 $56,953.25 65% off $18,155.10 $33,878.34 $23,127.10 2025-07-01
323 MS_DRG Urinary Stones W Cc/eswl 2 2 $162,432.94 $56,851.53 65% off $25,367.85 $26,329.43 $25,848.64 2025-07-01
324 MS_DRG Urinary Stones 2 2 $108,735.52 $38,057.43 65% off $18,648.27 $21,391.62 $20,019.94 2025-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 7 7 $202,924.49 $71,023.57 65% off $26,382.05 $91,249.47 $57,349.35 2026-08-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 8 8 $139,595.00 $48,858.25 65% off $14,982.92 $94,688.00 $63,915.41 2026-08-17
33020 CPT Incision Of Heart Sac 20 15 $150,598.21 — $18,052.53 $18,052.53 $18,052.53 2026-08-17
33025 CPT Incision Of Heart Sac 20 15 $150,598.21 — $18,052.53 $18,052.53 $18,052.53 2026-08-17
33207 HCPCS Insert Heart Pm Ventricular 2 2 $28,204.96 $9,871.74 65% off $9,388.10 $15,771.89 $12,579.99 2025-07-01
33229 HCPCS REMV&REPLC Pm Gen Mult Leads 1 1 $28,114.24 $9,839.98 65% off $16,315.23 $16,315.23 $16,315.23 2025-07-01
33229 CPT Remv&replc Pm Gen Mult Leads 34 25 $97,638.94 — $12,159.46 $17,363.34 $14,761.40 2026-08-17
33230 CPT Insrt Pulse Gen W/dual Leads 34 25 $180,197.02 — $20,436.13 $36,457.64 $28,446.88 2026-08-17
33231 CPT Insrt Pulse Gen W/mult Leads 34 25 $180,197.02 — $29,190.47 $36,457.64 $32,824.06 2026-08-17
33236 CPT Remove Electrode/thoracotomy 20 15 $86,706.92 — $18,052.53 $18,052.53 $18,052.53 2026-08-17
33237 CPT Remove Electrode/thoracotomy 20 15 $86,706.92 — $18,052.53 $18,052.53 $18,052.53 2026-08-17
33238 CPT Remove Electrode/thoracotomy 20 15 $68,592.06 — $18,052.53 $18,052.53 $18,052.53 2026-08-17
33240 CPT Insrt Pulse Gen W/singl Lead 34 25 $180,197.02 — $20,436.13 $36,457.64 $28,446.88 2026-08-17
33243 CPT Remove Eltrd/thoracotomy 20 15 $68,592.06 — $18,052.53 $18,052.53 $18,052.53 2026-08-17
33249 CPT Insj/rplcmt Defib W/lead(s) 34 25 $281,350.22 — $29,190.47 $36,457.64 $32,824.06 2026-08-17
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 7 $132,213.31 $46,274.66 65% off $1,141.00 $44,225.11 $30,721.70 2025-07-01
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 34 25 $142,509.40 — $20,436.13 $36,457.64 $28,446.88 2026-08-17
33262 HCPCS RMVL& Replc Pulse Gen 1 Lead 2 2 $90,563.20 $31,697.12 65% off $19,101.83 $20,723.49 $19,912.66 2025-07-01
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 34 25 $142,509.40 — $20,436.13 $36,457.64 $28,446.88 2026-08-17
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 3 3 $90,563.20 $31,697.12 65% off $19,736.66 $20,723.49 $19,736.66 2025-07-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 34 25 $142,509.40 — $29,190.47 $36,457.64 $32,824.06 2026-08-17
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 2 2 $81,695.94 $28,593.58 65% off $27,546.85 $30,721.70 $29,134.28 2025-07-01
33270 CPT Ins/rep Subq Defibrillator 34 25 $142,509.40 — $29,190.47 $36,457.64 $32,824.06 2026-08-17
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 3 3 $41,437.09 $14,502.98 65% off $12,159.36 $17,752.04 $16,315.23 2025-07-01
33274 CPT Tcat Insj/rpl Perm Ldls Pm 34 25 $131,034.26 — $12,159.46 $17,363.34 $14,761.40 2026-08-17
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 1 1 $80,685.92 $28,240.07 65% off $34,334.79 $34,334.79 $34,334.79 2025-07-01
33335 CPT Insert Major Vessel Graft 20 15 $209,488.41 — $17,278.98 $17,278.98 $17,278.98 2026-08-17
33340 CPT Perq Clsr Tcat L Atr Apndge 20 15 $146,814.29 — $14,807.91 $14,807.91 $14,807.91 2026-08-17
33430 CPT Replacement Of Mitral Valve 20 15 $217,911.59 — $18,052.53 $18,052.53 $18,052.53 2026-08-17
33500 CPT Repair Heart Vessel Fistula 20 15 $95,498.81 — $18,052.53 $18,052.53 $18,052.53 2026-08-17
33501 CPT Repair Heart Vessel Fistula 20 15 $95,498.81 — $18,052.53 $18,052.53 $18,052.53 2026-08-17
33503 CPT Coronary Artery Graft 20 15 $278,870.34 — $31,635.99 $31,635.99 $31,635.99 2026-08-17
33504 CPT Coronary Artery Graft 20 15 $278,870.34 — $31,635.99 $31,635.99 $31,635.99 2026-08-17
33510 CPT Cabg Vein Single 20 15 $299,582.69 — $31,635.99 $31,635.99 $31,635.99 2026-08-17
33514 CPT Cabg Vein Five 20 15 $277,588.53 — $31,635.99 $31,635.99 $31,635.99 2026-08-17
33516 CPT Cabg Vein Six Or More 20 15 $277,588.53 — $31,635.99 $31,635.99 $31,635.99 2026-08-17
33517 CPT Cabg Artery-vein Single 20 15 $278,870.34 — $31,635.99 $31,635.99 $31,635.99 2026-08-17
33518 CPT Cabg Artery-vein Two 20 15 $278,870.34 — $31,635.99 $31,635.99 $31,635.99 2026-08-17
33521 CPT Cabg Artery-vein Four 20 15 $277,588.53 — $31,635.99 $31,635.99 $31,635.99 2026-08-17
33522 CPT Cabg Artery-vein Five 20 15 $277,588.53 — $31,635.99 $31,635.99 $31,635.99 2026-08-17
33523 CPT Cabg Art-vein Six Or More 20 15 $277,588.53 — $31,635.99 $31,635.99 $31,635.99 2026-08-17
33530 CPT Coronary Artery Bypass/reop 20 15 $278,727.91 — $31,635.99 $31,635.99 $31,635.99 2026-08-17
33533 CPT Cabg Arterial Single 20 15 $259,394.21 — $31,635.99 $31,635.99 $31,635.99 2026-08-17
33534 CPT Cabg Arterial Two 20 15 $259,394.21 — $31,635.99 $31,635.99 $31,635.99 2026-08-17
33535 CPT Cabg Arterial Three 20 15 $259,394.21 — $31,635.99 $31,635.99 $31,635.99 2026-08-17
33536 CPT Cabg Arterial Four Or More 20 15 $259,394.21 — $31,635.99 $31,635.99 $31,635.99 2026-08-17
33572 CPT Open Coronary Endarterectomy 20 15 $278,727.91 — $31,635.99 $31,635.99 $31,635.99 2026-08-17
336 MS_DRG Periton Adhes W Cc 3 3 $78,797.54 $27,579.14 65% off $9,637.15 $16,396.00 $13,119.23 2025-07-01
33612 CPT Repair Double Ventricle 20 15 $95,498.81 — $18,052.53 $18,052.53 $18,052.53 2026-08-17
33774 CPT Repair Great Vessels Defect 20 15 $220,204.82 — $18,052.53 $18,052.53 $18,052.53 2026-08-17
33775 CPT Repair Great Vessels Defect 20 15 $220,204.82 — $18,052.53 $18,052.53 $18,052.53 2026-08-17
33776 CPT Repair Great Vessels Defect 20 15 $220,204.82 — $18,052.53 $18,052.53 $18,052.53 2026-08-17
33777 CPT Repair Great Vessels Defect 20 15 $220,204.82 — $18,052.53 $18,052.53 $18,052.53 2026-08-17
33858 CPT As-aort Grf F/aortic Dsj 20 15 $321,328.57 — $17,278.98 $17,278.98 $17,278.98 2026-08-17
33859 CPT As-aort Grf F/ds Oth/thn Dsj 20 15 $321,328.57 — $17,278.98 $17,278.98 $17,278.98 2026-08-17
33866 CPT Aortic Hemiarch Graft 20 15 $321,328.57 — $17,278.98 $17,278.98 $17,278.98 2026-08-17
33970 CPT Aortic Circulation Assist 20 15 $111,316.98 — $17,278.98 $17,278.98 $17,278.98 2026-08-17
33973 CPT Insert Balloon Device 20 15 $111,316.98 — $17,278.98 $17,278.98 $17,278.98 2026-08-17
33975 CPT Implant Ventricular Device 20 15 $220,204.82 — $18,052.53 $18,052.53 $18,052.53 2026-08-17
33977 CPT Remove Ventricular Device 20 15 $220,204.82 — $18,052.53 $18,052.53 $18,052.53 2026-08-17
33978 CPT Remove Ventricular Device 20 15 $220,204.82 — $18,052.53 $18,052.53 $18,052.53 2026-08-17
33979 CPT Insert Intracorporeal Device 20 15 $220,204.82 — $18,052.53 $18,052.53 $18,052.53 2026-08-17
33981 CPT Replace Vad Pump Ext 20 15 $104,821.78 — $18,052.53 $18,052.53 $18,052.53 2026-08-17
340 MS_DRG Apndec/comp Pdx Wo Cc 1 1 $50,298.19 $17,604.37 65% off $16,115.06 $16,115.06 $16,115.06 2025-07-01
34051 CPT Removal Of Artery Clot 20 15 $82,455.53 — $26,197.68 $26,197.68 $26,197.68 2026-08-17
34151 CPT Removal Of Artery Clot 20 15 $130,026.91 — $17,278.98 $17,278.98 $17,278.98 2026-08-17
344 MS_DRG Min Sm/lg Bowel Px W Mcc 1 1 $90,067.54 $31,523.64 65% off $18,179.33 $18,179.33 $18,179.33 2025-07-01
34701 HCPCS Evasc Rpr A-ao Ndgft 1 1 $6,553.01 $2,293.55 65% off $24,822.94 $24,822.94 $24,822.94 2025-07-01
34841 CPT Endovasc Visc Aorta 1 Graft 20 15 $312,858.06 — $26,197.68 $26,197.68 $26,197.68 2026-08-17
34842 CPT Endovasc Visc Aorta 2 Graft 20 15 $312,858.06 — $26,197.68 $26,197.68 $26,197.68 2026-08-17
34843 CPT Endovasc Visc Aorta 3 Graft 20 15 $312,858.06 — $26,197.68 $26,197.68 $26,197.68 2026-08-17
34844 CPT Endovasc Visc Aorta 4 Graft 20 15 $312,858.06 — $26,197.68 $26,197.68 $26,197.68 2026-08-17
34845 CPT Visc & Infraren Abd 1 Prosth 20 15 $312,858.06 — $26,197.68 $26,197.68 $26,197.68 2026-08-17
34846 CPT Visc & Infraren Abd 2 Prosth 20 15 $312,858.06 — $26,197.68 $26,197.68 $26,197.68 2026-08-17
34847 CPT Visc & Infraren Abd 3 Prosth 20 15 $312,858.06 — $26,197.68 $26,197.68 $26,197.68 2026-08-17
34848 CPT Visc & Infraren Abd 4+ Prost 20 15 $312,858.06 — $26,197.68 $26,197.68 $26,197.68 2026-08-17
353 MS_DRG Hernia Px X Ing/fem Mcc 2 2 $70,809.74 $24,783.41 65% off $11,653.07 $51,107.53 $31,380.30 2025-07-01
35363 CPT Rechanneling Of Artery 20 15 $108,094.54 — $17,278.98 $17,278.98 $17,278.98 2026-08-17
356 MS_DRG Oth Digest Px W Mcc 1 1 $121,317.20 $42,461.02 65% off $33,114.00 $33,114.00 $33,114.00 2025-07-01
35645 CPT Art Byp Subclav-vertebrl 20 15 $142,692.26 — $17,278.98 $17,278.98 $17,278.98 2026-08-17
358 MS_DRG Oth Digest Px Wo Cc/mcc 1 1 $58,531.77 $20,486.12 65% off $13,365.37 $13,365.37 $13,365.37 2025-07-01
35840 CPT Explore Abdominal Vessels 20 15 $130,026.91 — $26,197.68 $26,197.68 $26,197.68 2026-08-17
36 MS_DRG Carotid Artry Px Wo Cc/mcc 2 2 $72,904.39 $25,516.54 65% off $20,266.62 $45,995.00 $33,130.81 2025-07-01
368 MS_DRG Major Esophageal Disorders With Mcc 6 6 $89,585.80 $22,641.87 75% off $7,107.29 $29,125.40 $21,685.21 2026-08-17
36903 CPT Intro Cath Dialysis Circuit 68 25 $67,413.96 — $10,325.02 $16,072.47 $13,198.75 2026-08-17
36906 HCPCS Thrmbc/nfs Dialysis Circuit 3 3 $24,019.84 $8,406.94 65% off $14,682.38 $17,206.29 $16,386.94 2025-07-01
36906 CPT Thrmbc/nfs Dialysis Circuit 34 25 $111,736.69 — $16,072.47 $16,348.70 $16,210.58 2026-08-17
37 MS_DRG Ex Cranial Px W Mcc 3 3 $173,005.55 $60,551.94 65% off $20,647.57 $31,628.25 $21,094.11 2025-07-01
37184 CPT Prim Art M-thrmbc 1st Vsl 34 25 $104,906.56 — $8,635.37 $16,348.70 $12,492.03 2026-08-17
37186 CPT Sec Art Thrombectomy Add-on 20 15 $136,650.89 — $16,072.47 $16,072.47 $16,072.47 2026-08-17
37187 HCPCS Venous Mech Thrombectomy 2 2 $9,327.47 $3,264.61 65% off $4,990.07 $23,762.66 $14,376.36 2025-07-01
37221 HCPCS Iliac Revasc W/stent 2 2 $44,226.00 $15,479.10 65% off $14,657.17 $15,416.50 $15,036.83 2025-07-01
37225 HCPCS Fem/popl Revas W/ather 3 3 $32,402.80 $11,340.98 65% off $9,529.97 $15,306.42 $14,682.38 2025-07-01
37226 HCPCS Fem/popl Revasc W/stent 2 2 $25,222.42 $8,827.85 65% off $9,211.41 $16,072.47 $12,641.94 2025-07-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 2 2 $44,235.15 $15,482.30 65% off $14,682.38 $15,057.17 $14,869.77 2025-07-01
37229 HCPCS Tib/per Revasc W/ather 3 3 $49,077.95 $17,177.28 65% off $14,682.38 $21,303.02 $15,618.80 2025-07-01
37230 HCPCS Tib/per Revasc W/stent 2 2 $46,094.05 $16,132.92 65% off $15,618.80 $22,561.42 $19,090.11 2025-07-01
37231 HCPCS Tib/per Revasc Stent & Ather 1 1 $5,957.28 $2,085.05 65% off $14,148.63 $14,148.63 $14,148.63 2025-07-01
37233 HCPCS Tibper Revasc W/ather Add-on 1 1 $75,221.44 $26,327.50 65% off $15,307.17 $15,307.17 $15,307.17 2025-07-01
37236 CPT Open/perq Place Stent 1st 68 25 $129,155.98 — $10,325.02 $16,072.47 $13,198.75 2026-08-17
37237 CPT Open/perq Place Stent Ea Add 20 15 $132,287.79 — $16,072.47 $16,072.47 $16,072.47 2026-08-17
37238 CPT Open/perq Place Stent Same 68 25 $103,149.90 — $10,325.02 $16,072.47 $13,198.75 2026-08-17
37239 CPT Open/perq Place Stent Ea Add 20 15 $100,707.96 — $16,072.47 $16,072.47 $16,072.47 2026-08-17
37241 HCPCS Vasc Embolize/occlude Venous 1 1 $21,570.08 $7,549.53 65% off $15,307.17 $15,307.17 $15,307.17 2025-07-01
37242 CPT Vasc Embolize/occlude Artery 34 25 $139,947.59 — $16,072.47 $16,348.70 $16,210.58 2026-08-17
37242 HCPCS Vasc Embolize/occlude Artery 2 2 $21,570.08 $7,549.53 65% off $14,148.63 $14,682.38 $14,415.50 2025-07-01
37243 CPT Vasc Embolize/occlude Organ 34 25 $139,947.59 — $10,325.02 $16,072.47 $13,198.75 2026-08-17
37244 CPT Vasc Embolize/occlude Bleed 34 25 $139,947.59 — $10,325.02 $16,072.47 $13,198.75 2026-08-17
384 MS_DRG Uncmp Peptc Ulcer Wo Mcc 1 1 $38,898.19 $13,614.37 65% off $12,885.00 $12,885.00 $12,885.00 2025-07-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 8 8 $41,510.89 $14,528.81 65% off $8,094.15 $23,204.82 $13,869.62 2026-08-17
398 MS_DRG Re/immunity Disorder W Cc 3 3 $59,302.98 $20,756.04 65% off $14,411.72 $26,367.51 $21,520.00 2025-07-01
4 MS_DRG Trach/ Mv >96 Without Maj Or 1 1 $602,138.40 $210,748.44 65% off $86,381.22 $86,381.22 $86,381.22 2025-07-01
40530 HCPCS Partial Removal Of Lip 1 1 $8,190.56 $2,866.70 65% off $53,113.27 $53,113.27 $53,113.27 2025-07-01
409 MS_DRG Bil Trac Px Ex Chole W Cc 1 1 $124,063.40 $43,422.19 65% off $12,204.72 $12,204.72 $12,204.72 2025-07-01
41 MS_DRG Per/cran Nrv + Oth W Cc 1 1 $70,751.45 $24,763.01 65% off $15,122.33 $15,122.33 $15,122.33 2025-07-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 3 $71,647.69 — $65,181.33 $65,181.33 $65,181.33 2026-08-17
423 MS_DRG Ot Hepa/pacr Or Px W Mcc 1 1 $75,179.80 $26,312.93 65% off $25,740.82 $25,740.82 $25,740.82 2025-07-01
424 MS_DRG Ot Hepa/pacr Or Px W Cc 1 1 $50,453.19 $17,658.62 65% off $12,830.73 $12,830.73 $12,830.73 2025-07-01
427 MS_DRG Neuroses Except Depressive 1 1 $142,112.92 $49,739.52 65% off $21,428.70 $21,428.70 $21,428.70 2025-07-01
430 MS_DRG Psychoses 1 1 $237,069.80 $82,974.43 65% off $36,335.76 $36,335.76 $36,335.76 2025-07-01
447 MS_DRG Allergic Reactions >17 1 1 $203,603.62 $71,261.27 65% off $65,007.80 $65,007.80 $65,007.80 2025-07-01
448 MS_DRG Allergic Reactions <18 2 2 $118,574.81 $41,501.18 65% off $26,066.72 $27,024.61 $26,545.67 2025-07-01
451 MS_DRG Pois/toxic Eff Drugs <18 1 1 $101,266.97 $35,443.44 65% off $18,398.00 $18,398.00 $18,398.00 2025-07-01
460 MS_DRG Spnal Fusn X Cervcal Womcc 2 2 $126,545.29 $44,290.85 65% off $22,453.86 $45,995.00 $34,224.43 2025-07-01
463 MS_DRG Wnd Deb & Sg Ex Hand Wmcc 3 3 $130,929.58 $45,825.35 65% off $12,653.94 $34,593.61 $18,864.71 2025-07-01
466 MS_DRG Rev Hip/knee Repl W Mcc 1 1 $145,907.06 $51,067.47 65% off $27,420.57 $27,420.57 $27,420.57 2025-07-01
471 MS_DRG Cervical Spn Fusn W Mcc 1 1 $78,025.48 $27,308.92 65% off $27,597.00 $27,597.00 $27,597.00 2025-07-01
472 MS_DRG Cervical Spn Fusn W Cc 3 3 $64,812.21 $22,684.27 65% off $18,761.75 $28,147.23 $19,443.89 2025-07-01
474 MS_DRG Amp Musc/tiss Dis W Mcc 2 2 $357,707.08 $125,197.48 65% off $35,602.50 $42,712.28 $39,157.39 2025-07-01
475 MS_DRG Amp Musc/tiss Dis W Cc 1 1 $105,012.19 $36,754.27 65% off $35,591.30 $35,591.30 $35,591.30 2025-07-01
477 MS_DRG Bx Musc & Conn Tis W Mcc 1 1 $90,412.23 $31,644.28 65% off $19,219.63 $19,219.63 $19,219.63 2025-07-01
479 MS_DRG Bx Musc & Conn Tis Wo Cc 1 1 $46,663.61 $16,332.26 65% off $24,594.00 $24,594.00 $24,594.00 2025-07-01
483 MS_DRG Maj Reatt Px Upper Ext 2 2 $57,010.64 $19,953.73 65% off $16,477.67 $17,036.84 $16,757.25 2025-07-01
500 MS_DRG Soft Tiss Px W Mcc 1 1 $83,881.79 $29,358.63 65% off $20,802.59 $20,802.59 $20,802.59 2025-07-01
501 MS_DRG Soft Tiss Px W Cc 3 3 $64,602.15 $22,610.75 65% off $11,345.12 $30,128.00 $16,997.48 2025-07-01
511 MS_DRG Ue Px Ex Maj Joint Px W Cc 1 1 $48,048.48 $16,816.97 65% off $15,369.83 $15,369.83 $15,369.83 2025-07-01
513 MS_DRG Hnd/wrst Px W Cc/mcc 1 1 $57,162.93 $20,007.03 65% off $13,184.00 $13,184.00 $13,184.00 2025-07-01
518 MS_DRG B/n X Sp Fus Mcc Dxc Nestm 2 2 $98,628.07 $34,519.82 65% off $24,017.71 $34,134.02 $29,075.86 2025-07-01
52 MS_DRG Spinal Dis & Inj W Cc/mcc 2 2 $32,031.14 $11,210.90 65% off $12,672.54 $19,776.00 $16,224.27 2025-07-01
520 MS_DRG B/n Px X Spn Fus Wo Cc/mcc 3 3 $50,557.68 $17,695.19 65% off $9,406.68 $33,114.00 $12,975.49 2025-07-01
539 MS_DRG Osteomyelitis W Mcc 2 2 $105,842.46 $37,044.86 65% off $12,999.26 $27,705.00 $20,352.13 2025-07-01
54411 CPT Remov/replc Penis Pros Comp 34 25 $59,353.28 — $18,326.05 $20,127.58 $19,226.81 2026-08-17
545 MS_DRG Conn Tiss Dis W Mcc 1 1 $48,134.01 $16,846.90 65% off $14,005.69 $14,005.69 $14,005.69 2025-07-01
551 MS_DRG Med Back Prob W Mcc 3 3 $92,608.98 $32,413.14 65% off $11,669.49 $75,348.00 $16,208.90 2025-07-01
56 MS_DRG Deg Nrv Sys Dis W Mcc 4 4 $97,090.32 $33,981.61 65% off $13,050.00 $16,153.41 $14,930.16 2025-07-01
560 MS_DRG Aftcare Mus Conn Tiss W Cc 3 3 $53,611.62 $18,764.07 65% off $7,731.86 $26,364.58 $21,281.00 2025-07-01
561 MS_DRG Aftrcare Mus Con Tis Wo Cc 2 2 $43,151.29 $15,102.95 65% off $11,760.00 $15,225.00 $13,492.50 2025-07-01
57 MS_DRG Deg Nrv Sys Dis Wo Mcc 6 6 $52,396.25 $18,338.69 65% off $5,430.08 $22,622.30 $14,900.68 2025-07-01
570 MS_DRG Skin Debridemnt W Mcc 1 1 $72,459.19 $25,360.72 65% off $17,498.75 $17,498.75 $17,498.75 2025-07-01
579 MS_DRG Ot Skn,sbq Brs Px Wmcc 2 2 $154,109.36 $53,938.28 65% off $21,677.14 $115,159.00 $68,418.07 2025-07-01
58 MS_DRG Ms & Cereb Atax W Mcc 1 1 $53,884.67 $18,859.63 65% off $21,750.00 $21,750.00 $21,750.00 2025-07-01
581 MS_DRG Skin Subc Brst Px Wo Cc 1 1 $33,811.51 $11,834.03 65% off $19,568.00 $19,568.00 $19,568.00 2025-07-01
584 MS_DRG Bx Breas & Ot Bres Px Wcc 1 1 $51,366.08 $17,978.13 65% off $24,594.00 $24,594.00 $24,594.00 2025-07-01
585 MS_DRG Bx Bres & Ot Bres Px Wocc 1 1 $33,703.04 $11,796.06 65% off $22,076.00 $22,076.00 $22,076.00 2025-07-01
61 MS_DRG Isc Cva W/thrombo W Mcc 2 2 $76,660.47 $26,831.16 65% off $16,919.80 $17,489.08 $17,204.44 2025-07-01
614 MS_DRG Adr & Pitu Pdx W Cc/mcc 1 1 $78,447.91 $27,456.77 65% off $21,705.20 $21,705.20 $21,705.20 2025-07-01
616 MS_DRG Amp Low Limb W Mcc 1 1 $54,792.19 $19,177.27 65% off $12,599.61 $12,599.61 $12,599.61 2025-07-01
617 MS_DRG Amp Low Limb W Cc 7 7 $70,106.38 $24,537.23 65% off $12,347.62 $33,658.13 $18,396.56 2025-07-01
62360 CPT Insert Spine Infusion Device 34 25 $166,044.43 — $15,020.24 $16,091.40 $15,555.82 2026-08-17
625 MS_DRG Thyr/parathy Px W Mcc 1 1 $54,041.68 $18,914.59 65% off $42,284.00 $42,284.00 $42,284.00 2025-07-01
628 MS_DRG Ot Endo/metab Or Px W Mcc 1 1 $211,571.28 $74,049.95 65% off $49,188.00 $49,188.00 $49,188.00 2025-07-01
63277 HCPCS Bx/exc Xdrl Spine Lesn Lmbr 1 1 $15,912.96 $5,569.54 65% off $18,075.24 $18,075.24 $18,075.24 2025-07-01
63655 HCPCS Implant Neuroelectrodes 1 1 $7,614.88 $2,665.21 65% off $18,748.13 $18,748.13 $18,748.13 2025-07-01
63685 CPT Insrt/redo Spine N Generator 34 25 $35,587.56 — $27,744.68 $30,262.69 $29,003.69 2026-08-17
63685 HCPCS Insrt/redo Spine N Generator 3 3 $2,792.12 $977.24 65% off $2,538.30 $25,990.56 $21,684.07 2025-07-01
64590 CPT Insrt/redo Pn/gastr Stimul 34 25 $47,627.11 — $19,524.04 $30,262.69 $24,893.37 2026-08-17
64590 HCPCS Insrt/redo Pn/gastr Stimul 4 4 $4,801.60 $1,680.56 65% off $17,721.83 $28,821.70 $18,316.69 2025-07-01
654 MS_DRG Maj Bladder Px W Cc 2 2 $76,059.42 $26,620.80 65% off $16,378.56 $26,877.68 $21,628.12 2025-07-01
656 MS_DRG Kid/ure Px For Neop W Mcc 1 1 $79,601.70 $27,860.60 65% off $20,213.70 $20,213.70 $20,213.70 2025-07-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 7 7 $129,053.20 $45,168.62 65% off $9,888.00 $46,488.31 $41,366.52 2026-08-17
665 MS_DRG Prostatectomy W Mcc 1 1 $132,787.19 $46,475.52 65% off $44,172.00 $44,172.00 $44,172.00 2025-07-01
668 MS_DRG Transurethral Px W Mcc 1 1 $145,524.80 $50,933.68 65% off $18,185.54 $18,185.54 $18,185.54 2025-07-01
710 MS_DRG Penis Px Without Cc/mcc 1 1 $25,925.34 $9,073.87 65% off $18,398.00 $18,398.00 $18,398.00 2025-07-01
742 MS_DRG Uter/adnx Px Non Mal W Cc 1 1 $106,927.08 $37,424.48 65% off $23,184.00 $23,184.00 $23,184.00 2025-07-01
743 MS_DRG Utr/adnex Px Non Mal Wo Cc 1 1 $43,574.89 $15,251.21 65% off $17,388.00 $17,388.00 $17,388.00 2025-07-01
744 MS_DRG D&C, Con, Lap & Tub W Cc 1 1 $57,877.52 $20,257.13 65% off $31,238.43 $31,238.43 $31,238.43 2025-07-01
76 MS_DRG Viral Mening Wo Cc/mcc 1 1 $73,571.61 $25,750.06 65% off $33,278.00 $33,278.00 $33,278.00 2025-07-01
769 MS_DRG Pp & Post Ab Dx Wo Or Px 4 4 $67,733.73 $23,706.81 65% off $9,314.30 $20,176.74 $16,504.80 2025-07-01
78 MS_DRG Hyp Enceph W Cc 2 2 $52,632.69 $18,421.44 65% off $6,923.59 $19,632.00 $13,277.80 2025-07-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 6 6 $36,769.40 $13,095.65 64% off $6,111.00 $30,179.25 $23,941.10 2026-08-17
801 MS_DRG Splenectomy Without Cc/mcc 1 1 $50,131.51 $17,546.03 65% off $22,076.00 $22,076.00 $22,076.00 2025-07-01
808 MS_DRG Maj Hemo/immo Dx W Mcc 1 1 $72,385.45 $25,334.91 65% off $14,836.39 $14,836.39 $14,836.39 2025-07-01
81 MS_DRG Nt Stupor/coma Wo Mcc 1 1 $64,628.61 $22,620.01 65% off $17,178.00 $17,178.00 $17,178.00 2025-07-01
814 MS_DRG Reticul & Immun Dis W Mcc 1 1 $43,281.22 $15,148.43 65% off $13,865.15 $13,865.15 $13,865.15 2025-07-01
817 MS_DRG Oth Antp Dx W Or W Mcc 1 1 $115,134.26 $40,296.99 65% off $26,576.00 $26,576.00 $26,576.00 2025-07-01
826 MS_DRG Myl Dis/neo W Mor Px W Mcc 1 1 $177,368.64 $62,079.02 65% off $29,458.34 $29,458.34 $29,458.34 2025-07-01
830 MS_DRG Myel Dis/neo W Px Wo Cc 1 1 $50,534.16 $17,686.96 65% off $35,648.00 $35,648.00 $35,648.00 2025-07-01
841 MS_DRG Lymph & Non Ac Leuk W Cc 2 2 $68,379.58 $23,932.85 65% off $11,885.00 $13,933.31 $12,909.15 2025-07-01
843 MS_DRG Ot Myelo Dis Dif Neop Wmcc 1 1 $96,029.62 $33,610.37 65% off $23,193.00 $23,193.00 $23,193.00 2025-07-01
844 MS_DRG Ot Myelo Dis Dif Neop Wcc 1 1 $54,272.60 $18,995.41 65% off $13,050.00 $13,050.00 $13,050.00 2025-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 21 $272,303.15 $69,462.17 74% off $4,304.00 $90,356.63 $23,424.88 2026-08-17
867 MS_DRG Oth Inf/para Dx W Mcc 1 1 $14,148.93 $4,952.13 65% off $14,148.93 $14,148.93 $14,148.93 2025-07-01
871 MS_DRG Septi/seps Wo MV>96HR Wmcc 29 24 $77,880.71 $27,258.25 65% off $2,577.00 $35,539.98 $12,726.08 2026-08-17
902 MS_DRG Wnd Debrid Inj W Cc 1 1 $72,763.06 $25,467.07 65% off $16,144.55 $16,144.55 $16,144.55 2025-07-01
904 MS_DRG Skin Graft Inj Cc/mcc 1 1 $162,114.44 $56,740.05 65% off $40,990.00 $40,990.00 $40,990.00 2025-07-01
93613 CPT Electrophys Map 3d Add-on 9 6 $185.32 — $23,944.63 $23,944.63 $23,944.63 2026-08-17
93619 CPT Electrophysiology Evaluation 34 25 $15,760.04 — $6,908.59 $23,944.63 $15,426.61 2026-08-17
93620 CPT Electrophysiology Evaluation 34 25 $30,327.47 — $6,908.59 $23,944.63 $15,426.61 2026-08-17
93621 CPT Electrophysiology Evaluation 9 6 $185.32 — $23,944.63 $23,944.63 $23,944.63 2026-08-17
93622 CPT Electrophysiology Evaluation 20 15 $115,936.47 — $23,944.63 $23,944.63 $23,944.63 2026-08-17
93623 CPT Stimulation Pacing Heart 20 15 $88,122.49 — $23,944.63 $23,944.63 $23,944.63 2026-08-17
93624 CPT Electrophysiologic Study 34 25 $15,760.04 — $6,908.59 $23,944.63 $15,426.61 2026-08-17
93650 CPT Ablate Heart Dysrhythm Focus 34 25 $15,760.04 — $6,908.59 $23,944.63 $15,426.61 2026-08-17
93653 CPT Ep & Ablate Supravent Arrhyt 34 25 $95,331.86 — $22,335.43 $23,944.63 $23,140.03 2026-08-17
93653 HCPCS Ep & Ablate Supravent Arrhyt 8 8 $50,369.09 $17,629.18 65% off $16,036.24 $32,190.43 $23,016.16 2025-07-01
93654 CPT Ep & Ablate Ventric Tachy 34 25 $110,221.31 — $22,335.43 $23,944.63 $23,140.03 2026-08-17
93654 HCPCS Ep & Ablate Ventric Tachy 3 3 $50,369.09 $17,629.18 65% off $20,880.86 $32,464.33 $22,387.69 2025-07-01
93655 CPT Ablate Arrhythmia Add On 20 15 $115,848.31 — $23,944.63 $23,944.63 $23,944.63 2026-08-17
93656 CPT Tx Atrial Fib Pulm Vein Isol 34 25 $115,936.47 — $22,335.43 $23,944.63 $23,140.03 2026-08-17
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 12 11 $50,369.09 $17,629.18 65% off $19,886.53 $32,464.33 $22,918.75 2025-07-01
93657 CPT Tx L/r Atrial Fib Addl 20 15 $116,587.18 — $23,944.63 $23,944.63 $23,944.63 2026-08-17
93662 CPT Intracardiac ECG (ice) 20 15 $109,032.64 — $23,944.63 $23,944.63 $23,944.63 2026-08-17
941 MS_DRG Or Px W Pdx Oth Svcs Womcc 1 1 $37,493.09 $13,122.58 65% off $17,216.00 $17,216.00 $17,216.00 2025-07-01
945 MS_DRG Rehab W Cc/mcc 2 2 $65,031.08 $22,760.88 65% off $11,459.00 $16,876.20 $14,167.60 2025-07-01
947 MS_DRG Signs & Symptoms W Mcc 2 2 $48,684.80 $17,039.68 65% off $7,966.24 $41,325.00 $24,645.62 2025-07-01
95 MS_DRG Bac/tubr Inf Nerv Sys W Cc 1 1 $102,620.94 $35,917.33 65% off $43,815.00 $43,815.00 $43,815.00 2025-07-01
956 MS_DRG Limb Reatt HIM&FEM Mult Tr 3 3 $75,991.97 $26,597.19 65% off $23,758.87 $24,226.30 $23,783.88 2025-07-01
96 MS_DRG Bac/tb Inf Nerv Sys Wo Cc 1 1 $67,191.52 $23,517.03 65% off $15,078.91 $15,078.91 $15,078.91 2025-07-01
965 MS_DRG Oth Mult Sig Trauma Without Cc 1 1 $59,166.97 $20,708.44 65% off $37,973.00 $37,973.00 $37,973.00 2025-07-01
977 MS_DRG HIV W Or Wo Oth Relat Cond 1 1 $14,394.48 $5,038.07 65% off $14,394.48 $14,394.48 $14,394.48 2025-07-01
982 MS_DRG Ext Or Px Unrel Pdx W Cc 5 5 $87,858.88 $30,750.61 65% off $11,592.00 $23,317.61 $16,135.62 2025-07-01
983 MS_DRG Ext Or Px Unrel Pdx Wo Cc 2 2 $97,494.05 $34,122.92 65% off $12,944.64 $45,995.00 $29,469.82 2025-07-01
C1721 HCPCS Aicd Dual Chamber 1 1 $104,143.03 $11,191.21 89% off $15,987.44 $15,987.44 $15,987.44 2026-08-17
C9602 HCPCS Perc D-e Cor Stent Ather S 1 1 $22,460.48 $7,861.17 65% off $14,976.03 $14,976.03 $14,976.03 2025-07-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 2 2 $24,706.53 $8,647.29 65% off $15,883.80 $16,386.94 $16,135.37 2025-07-01
C9765 HCPCS Revasc Intra Lithotrip-stent 2 2 $45,266.14 $15,843.15 65% off $14,682.38 $15,306.42 $14,994.40 2025-07-01
C9766 HCPCS Revasc Intra Lithotrip-ather 36 27 $121,228.70 $15,843.15 87% off $8,635.37 $16,348.70 $12,492.03 2026-08-17
C9767 HCPCS Revasc Lithotrip-stent-ather 4 4 $45,266.14 $15,843.15 65% off $14,148.63 $23,762.66 $16,566.70 2025-07-01
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