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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

HELEN KELLER HOSPITAL

Sheffield, AL · CCN 010019 · Rates published

3,743 distinct procedures filed
11 distinct payers
550,146 rate rows
2026-03-27 last MRF observed
Data quality

534,900 of 550,146 rate rows are consumer-grade (97.2%)

15,246 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 7,114
exceeds 10× this hospital's gross charge — excluded from medians 4,456
per-diem day rate — not a per-procedure price 3,464
placeholder amount (≤ $0.02) — excluded from medians 212
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hh.health/wp-content/uploads/472323163_hellen-keller-hospital_standardcharges.csv
Found on page https://hh.health/financial-information/
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-19
Content fingerprint 21fdb49e7b263770… · 113,673,506 bytes · first seen 2026-05-15

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
C2630
HCPCS 		Generator, Neuro Non-recharg 5 $38,046.15 $118,703.99 $68,483.07 nat. median
$3,861
outlier · 17.7×
C2624
HCPCS 		Cls-system,cardiomems Hf 5 $36,052.75 $112,484.58 $64,894.95 nat. median
$32,760
2.0× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 1 $42,338.65 $42,338.65 $42,338.65 nat. median
$40,454
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $35,307.29 $42,692.10 $42,256.47 nat. median
$66,526
0.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $39,890.57 $40,538.44 $40,214.51 nat. median
$62,134
0.6× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 2 $31,158.94 $32,179.22 $31,669.08 nat. median
$48,178
0.7× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 $16,844.59 $37,368.47 $31,067.47 nat. median
$48,170
0.6× median
93581
CPT 		Xr-inj Proc, Lymphangiogr Bila 5 $1,000.00 $30,756.42 $30,756.42 nat. median
$17,688
1.7× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 $22,640.58 $37,917.09 $30,278.83 nat. median
$35,264
0.9× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 5 $23,647.68 $38,845.74 $29,253.21 nat. median
$44,810
0.7× median
C2622
HCPCS 		Or-pros Pen Gen 23cm 9.5-13mm 5 $15,585.75 $48,627.54 $28,054.35 nat. median
$10,427
outlier · 2.7×
C1882
HCPCS 		Aicd, Other Than Sing/dual 11 $9.93 $122,487.30 $27,671.75 nat. median
$27,114
1.0× median
940
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 1 $27,452.16 $27,452.16 $27,452.16 nat. median
$22,721
1.2× median
64568
CPT 		Opn Impltj Crnl Nrv Nea&pg 3 $26,807.22 $41,904.25 $27,144.97 nat. median
$27,591
1.0× median
33270
CPT 		Ep-p-insert Or Rplc Sub-q Icd 11 $1,000.00 $50,482.31 $27,052.54 nat. median
$32,221
0.8× median
64582
CPT 		Opn Mpltj Hpglsl Nstm Ary Pg 3 $3,993.00 $39,561.84 $26,812.52 nat. median
$28,316
0.9× median
397
MS_DRG 		Appendix Procedures With Mcc 2 $15,736.94 $37,331.02 $26,533.98 nat. median
$24,164
1.1× median
54405
CPT 		Insert Multi-comp Penis Pros 1 $26,312.41 $26,312.41 $26,312.41 nat. median
$18,902
1.4× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 3 $23,993.06 $48,869.38 $24,448.76 nat. median
$37,476
0.7× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 1 $22,761.74 $22,761.74 $22,761.74 nat. median
$31,382
0.7× median
93656
CPT 		Ep-p-com Ep Sdy W/af Fib Ablat 11 $396.90 $33,155.74 $22,526.95 nat. median
$26,811
0.8× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 2 $21,883.97 $22,189.15 $22,036.56 nat. median
$33,061
0.7× median
C1721
HCPCS 		Doppler Flow Testing 11 $12.81 $88,223.46 $21,826.75 nat. median
$22,213
1.0× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 3 $21,241.62 $30,000.00 $21,594.14 nat. median
$34,720
0.6× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 $20,974.73 $20,974.73 $20,974.73 nat. median
$31,075
0.7× median
656
MS_DRG 		Kidney And Ureter Procedures For Neoplasm With Mcc 1 $20,447.49 $20,447.49 $20,447.49 nat. median
$31,645
0.6× median
C2616
HCPCS 		Brachytx, Non-str,yttrium-90 11 $6,879.38 $74,388.60 $20,093.12 nat. median
$28,140
0.7× median
570
MS_DRG 		Skin Debridement With Mcc 1 $19,426.01 $19,426.01 $19,426.01 nat. median
$29,069
0.7× median
64590
CPT 		Ins/rpl Prph Sac/gstr Npg/r 3 $16,386.50 $41,904.25 $19,342.57 nat. median
$18,334
1.1× median
C1722
HCPCS 		Bezlotoxumab 10mg Injection 11 $5.75 $99,184.80 $19,251.75 nat. median
$20,770
0.9× median
C1820
HCPCS 		Generator Neuro Rechg Bat Sy 11 $94.50 $85,833.00 $19,000.00 nat. median
$22,013
0.9× median
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 1 $18,904.25 $18,904.25 $18,904.25 nat. median
$28,775
0.7× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 $15,591.52 $23,250.00 $18,477.19 nat. median
$28,961
0.6× median
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 2 $17,814.76 $18,811.30 $18,313.03 nat. median
$28,136
0.7× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 $10,887.17 $36,549.06 $17,328.56 nat. median
$26,748
0.6× median
37227
CPT 		Fem/popl Revasc Stnt & Ather 8 $22.08 $49,212.50 $17,224.38 nat. median
$18,025
1.0× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 1 $17,042.51 $17,042.51 $17,042.51 nat. median
$27,218
0.6× median
33274
CPT 		Epp-inst/replc Leadless Ppm 11 $1,000.00 $27,070.50 $16,766.73 nat. median
$19,643
0.9× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 $16,554.98 $16,554.98 $16,554.98 nat. median
$26,699
0.6× median
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 $16,199.01 $21,946.52 $16,346.65 nat. median
$25,587
0.6× median
37242
CPT 		Vasc Embolize/occlude Artery 11 $1,000.00 $19,281.50 $15,799.30 nat. median
$16,728
0.9× median
J7315
HCPCS 		Cl-p-revas (stent+dca) 1vsl Lm 11 $169.85 $26,817.00 $15,799.15 nat. median
$660
outlier · 24.0×
61624
CPT 		Xr-transcatheter Occlusion Or 11 $1,000.00 $29,020.50 $15,799.15 nat. median
$7,128
outlier · 2.2×
J7189
HCPCS 		Cl-p-revas (stent+dca) 1vsl Ld 11 $396.90 $26,817.00 $15,799.15 nat. median
$3,736
outlier · 4.2×
C9767
HCPCS 		Clp-revas, Ivl Low Ext Art Ste 11 $1,000.00 $29,476.00 $15,799.15 nat. median
$20,596
0.8× median
76883
CPT 		Clp-revas, Ivl Tibi/perone Ath 11 $135.43 $29,476.00 $15,799.15 nat. median
$135
outlier · 116.8×
C9773
HCPCS 		Clp-revas, Ivl Tibi/perone Ste 11 $1,000.00 $29,476.00 $15,799.15 nat. median
$19,390
0.8× median
C9602
HCPCS 		Cl-p-revasc (des+dca) 1vsl 11 $7.29 $26,817.00 $15,799.15 nat. median
$20,441
0.8× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 2 $15,419.69 $16,039.60 $15,729.65 nat. median
$24,638
0.6× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 $15,044.10 $33,885.32 $15,642.89 nat. median
$24,757
0.6× median

Other procedures at this hospital

Browse this hospital's 3,743 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
             
C2630 HCPCS Generator, Neuro Non-recharg 18 5 $152,184.60 $152,184.60 $38,046.15 $118,703.99 $68,483.07 2026-03-27
C2624 HCPCS Cls-system,cardiomems Hf 18 5 $144,211.00 $144,211.00 $36,052.75 $112,484.58 $64,894.95 2026-03-27
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 1 — — $42,338.65 $42,338.65 $42,338.65 2026-03-27
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 3 — — $35,307.29 $42,692.10 $42,256.47 2026-03-27
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 2 — — $39,890.57 $40,538.44 $40,214.51 2026-03-27
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 2 — — $31,158.94 $32,179.22 $31,669.08 2026-03-27
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 7 — — $16,844.59 $37,368.47 $31,067.47 2026-03-27
93581 CPT Xr-inj Proc, Lymphangiogr Bila 14 5 $8,031.00 $8,031.00 $1,000.00 $30,756.42 $30,756.42 2026-03-27
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 2 — — $22,640.58 $37,917.09 $30,278.83 2026-03-27
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 5 — — $23,647.68 $38,845.74 $29,253.21 2026-03-27
C2622 HCPCS Or-pros Pen Gen 23cm 9.5-13mm 18 5 $62,343.00 $62,343.00 $15,585.75 $48,627.54 $28,054.35 2026-03-27
C1882 HCPCS Aicd, Other Than Sing/dual 744 11 $104,618.00 $104,618.00 $9.93 $122,487.30 $27,671.75 2026-03-27
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 1 — — $27,452.16 $27,452.16 $27,452.16 2026-03-27
64568 CPT Opn Impltj Crnl Nrv Nea&pg 8 3 — — $26,807.22 $41,904.25 $27,144.97 2026-03-27
33270 CPT Ep-p-insert Or Rplc Sub-q Icd 46 11 $48,385.00 $48,385.00 $1,000.00 $50,482.31 $27,052.54 2026-03-27
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 10 3 — — $3,993.00 $39,561.84 $26,812.52 2026-03-27
397 MS_DRG Appendix Procedures With Mcc 4 2 — — $15,736.94 $37,331.02 $26,533.98 2026-03-27
54405 CPT Insert Multi-comp Penis Pros 2 1 — — $26,312.41 $26,312.41 $26,312.41 2026-03-27
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 3 — — $23,993.06 $48,869.38 $24,448.76 2026-03-27
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 1 — — $22,761.74 $22,761.74 $22,761.74 2026-03-27
93656 CPT Ep-p-com Ep Sdy W/af Fib Ablat 88 11 $28,588.50 $28,588.50 $396.90 $33,155.74 $22,526.95 2026-03-27
264 MS_DRG Other Circulatory System O.r. Procedures 4 2 — — $21,883.97 $22,189.15 $22,036.56 2026-03-27
C1721 HCPCS Doppler Flow Testing 510 11 $80,889.00 $80,889.00 $12.81 $88,223.46 $21,826.75 2026-03-27
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 8 3 — — $21,241.62 $30,000.00 $21,594.14 2026-03-27
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 2 1 — — $20,974.73 $20,974.73 $20,974.73 2026-03-27
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 1 — — $20,447.49 $20,447.49 $20,447.49 2026-03-27
C2616 HCPCS Brachytx, Non-str,yttrium-90 68 11 $95,370.00 $95,370.00 $6,879.38 $74,388.60 $20,093.12 2026-03-27
570 MS_DRG Skin Debridement With Mcc 2 1 — — $19,426.01 $19,426.01 $19,426.01 2026-03-27
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 6 3 — — $16,386.50 $41,904.25 $19,342.57 2026-03-27
C1722 HCPCS Bezlotoxumab 10mg Injection 508 11 $65,337.00 $65,337.00 $5.75 $99,184.80 $19,251.75 2026-03-27
C1820 HCPCS Generator Neuro Rechg Bat Sy 566 11 $66,000.00 $66,000.00 $94.50 $85,833.00 $19,000.00 2026-03-27
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 2 1 — — $18,904.25 $18,904.25 $18,904.25 2026-03-27
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 8 4 — — $15,591.52 $23,250.00 $18,477.19 2026-03-27
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 2 — — $17,814.76 $18,811.30 $18,313.03 2026-03-27
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 14 6 — — $10,887.17 $36,549.06 $17,328.56 2026-03-27
37227 CPT Fem/popl Revasc Stnt & Ather 88 8 $49,212.50 $49,212.50 $22.08 $49,212.50 $17,224.38 2026-03-27
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 2 1 — — $17,042.51 $17,042.51 $17,042.51 2026-03-27
33274 CPT Epp-inst/replc Leadless Ppm 26 11 $27,070.50 $27,070.50 $1,000.00 $27,070.50 $16,766.73 2026-03-27
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 2 1 — — $16,554.98 $16,554.98 $16,554.98 2026-03-27
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 8 4 — — $16,199.01 $21,946.52 $16,346.65 2026-03-27
37242 CPT Vasc Embolize/occlude Artery 30 11 $19,281.50 $19,281.50 $1,000.00 $19,281.50 $15,799.30 2026-03-27
C9773 HCPCS Clp-revas, Ivl Tibi/perone Ste 48 11 $29,476.00 $29,476.00 $1,000.00 $29,476.00 $15,799.15 2026-03-27
C9602 HCPCS Cl-p-revasc (des+dca) 1vsl 260 11 $26,817.00 $26,817.00 $7.29 $26,817.00 $15,799.15 2026-03-27
61624 CPT Xr-transcatheter Occlusion Or 96 11 $29,020.50 $29,020.50 $1,000.00 $29,020.50 $15,799.15 2026-03-27
C9767 HCPCS Clp-revas, Ivl Low Ext Art Ste 48 11 $29,476.00 $29,476.00 $1,000.00 $29,476.00 $15,799.15 2026-03-27
J7315 HCPCS Cl-p-revas (stent+dca) 1vsl Lm 48 11 $26,817.00 $26,817.00 $169.85 $26,817.00 $15,799.15 2026-03-27
76883 CPT Clp-revas, Ivl Tibi/perone Ath 46 11 $29,476.00 $29,476.00 $135.43 $29,476.00 $15,799.15 2026-03-27
J7189 HCPCS Cl-p-revas (stent+dca) 1vsl Ld 48 11 $26,817.00 $26,817.00 $396.90 $26,817.00 $15,799.15 2026-03-27
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 2 — — $15,419.69 $16,039.60 $15,729.65 2026-03-27
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 6 3 — — $15,044.10 $33,885.32 $15,642.89 2026-03-27
330 MS_DRG Major Small And Large Bowel Procedures With Cc 14 6 — — $14,876.14 $19,443.80 $15,289.44 2026-03-27
643 MS_DRG Endocrine Disorders With Mcc 4 2 — — $11,026.16 $19,257.95 $15,142.06 2026-03-27
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 2 — — $13,869.41 $16,259.57 $15,064.49 2026-03-27
C1772 HCPCS Infusion Pump, Programmable 16 4 $43,000.00 $43,000.00 $10,750.00 $32,250.00 $15,050.00 2026-03-27
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 1 — — $14,897.75 $14,897.75 $14,897.75 2026-03-27
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 2 — — $14,588.88 $14,928.51 $14,758.69 2026-03-27
C9607 HCPCS Cl-p-chronic Revas Des 1vsl 180 11 $17,512.50 $17,512.50 $396.90 $17,512.50 $14,729.45 2026-03-27
C1761 HCPCS Cath, Trans Intra Litho/coro 18 5 $32,618.00 $32,618.00 $8,154.50 $25,442.04 $14,678.10 2026-03-27
336 MS_DRG Peritoneal Adhesiolysis With Cc 4 2 — — $13,776.55 $15,468.51 $14,622.53 2026-03-27
C9766 HCPCS Clp-revas, Ivl Low Ext Art Ath 48 11 $29,476.00 $29,476.00 $1,000.00 $29,476.00 $14,531.67 2026-03-27
C2621 HCPCS Xr-angio-inject Perc Feeding T 136 11 $40,327.50 $40,327.50 $205.64 $77,972.70 $14,389.75 2026-03-27
37237 CPT Open/perq Place Stent Ea Add 18 6 $17,976.50 $17,976.50 $1,000.00 $22,255.29 $14,021.67 2026-03-27
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 8 3 — — $8,220.36 $17,923.63 $13,973.16 2026-03-27
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 8 4 — — $13,558.51 $14,149.27 $13,872.42 2026-03-27
314 MS_DRG Other Circulatory System Diagnoses With Mcc 8 4 — — $11,582.17 $14,077.77 $13,798.89 2026-03-27
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 20 7 — — $13,343.41 $23,250.00 $13,737.49 2026-03-27
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 12 6 — — $13,096.13 $22,936.42 $13,704.83 2026-03-27
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 6 3 — — $13,352.45 $24,668.34 $13,619.50 2026-03-27
36906 CPT Xr-av Grft W/mech Thrombo Stnt 66 11 $29,700.00 $29,700.00 $11.17 $29,700.00 $13,365.00 2026-03-27
374 MS_DRG Digestive Malignancy With Mcc 4 2 — — $12,394.37 $14,164.06 $13,279.22 2026-03-27
C9775 HCPCS Clp-revas, Ivl Tibi/perone Ste 66 11 $29,476.00 $29,476.00 $367.88 $29,476.00 $13,264.20 2026-03-27
180 MS_DRG Respiratory Neoplasms With Mcc 4 2 — — $11,142.19 $15,253.47 $13,197.83 2026-03-27
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 8 4 — — $6,645.26 $13,714.57 $13,180.87 2026-03-27
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 14 5 — — $12,683.78 $24,516.69 $13,133.15 2026-03-27
380 MS_DRG Complicated Peptic Ulcer With Mcc 2 1 — — $13,080.47 $13,080.47 $13,080.47 2026-03-27
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 10 4 — — $12,449.90 $16,115.56 $12,898.70 2026-03-27
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 4 2 — — $10,899.80 $14,880.76 $12,890.28 2026-03-27
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 20 8 — — $12,467.90 $26,447.98 $12,889.08 2026-03-27
908 MS_DRG Other O.r. Procedures For Injuries With Cc 2 1 — — $12,882.31 $12,882.31 $12,882.31 2026-03-27
93654 CPT Ep-p-comp Ep Study W/vt Ablat 92 11 $28,558.50 $28,558.50 $396.90 $33,155.74 $12,851.33 2026-03-27
20982 CPT Bone Ablation Microwave 48 11 $23,099.50 $23,099.50 $1,000.00 $23,099.50 $12,753.17 2026-03-27
783 MS_DRG Cesarean Section With Sterilization With Mcc 38 11 — — $12,656.65 $18,032.51 $12,656.65 2026-03-27
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 10 4 — — $10,804.93 $20,002.55 $12,642.80 2026-03-27
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 2 — — $12,538.32 $12,721.93 $12,630.12 2026-03-27
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 1 — — $12,592.61 $12,592.61 $12,592.61 2026-03-27
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 2 — — $10,992.10 $14,115.82 $12,553.96 2026-03-27
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 8 4 — — $10,756.32 $23,304.44 $12,472.33 2026-03-27
C1895 HCPCS Eps-st Jude Durata Dual Lead 60 8 $28,926.00 $28,926.00 $6,615.00 $26,460.00 $12,461.85 2026-03-27
196 MS_DRG Interstitial Lung Disease With Mcc 2 1 — — $12,460.17 $12,460.17 $12,460.17 2026-03-27
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 2 1 — — $12,416.93 $12,416.93 $12,416.93 2026-03-27
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 6 3 — — $11,756.87 $12,857.60 $12,355.72 2026-03-27
205 MS_DRG Other Respiratory System Diagnoses With Mcc 4 2 — — $12,022.34 $12,445.81 $12,234.08 2026-03-27
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 6 3 — — $12,117.66 $12,405.13 $12,117.80 2026-03-27
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 2 1 — — $12,106.81 $12,106.81 $12,106.81 2026-03-27
93582 CPT Clp-perq Transcath Closure Pda 74 11 $26,817.00 $26,817.00 $396.90 $26,817.00 $12,067.65 2026-03-27
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 1 — — $12,041.71 $12,041.71 $12,041.71 2026-03-27
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 38 11 — — $11,994.04 $11,994.04 $11,994.04 2026-03-27
C9765 HCPCS Clp-revas, Ivl Low Ext Art Ste 66 11 $29,476.00 $29,476.00 $100.50 $29,476.00 $11,957.26 2026-03-27
36908 CPT Xr-stent Plac Cent Dialys Seg 18 6 $17,946.50 $17,946.50 $1,000.00 $13,998.27 $11,957.26 2026-03-27
304 MS_DRG Hypertension With Mcc 38 11 — — $8,027.37 $11,941.10 $11,941.10 2026-03-27
291 MS_DRG Heart Failure And Shock With Mcc 38 11 — — $8,496.06 $18,195.02 $11,922.35 2026-03-27
501 MS_DRG Soft Tissue Procedures With Cc 4 2 — — $11,772.04 $12,001.35 $11,886.69 2026-03-27
398 MS_DRG Appendix Procedures With Cc 8 3 — — $9,740.93 $20,084.14 $11,832.92 2026-03-27
357 MS_DRG Other Digestive System O.r. Procedures With Cc 38 11 — — $11,800.47 $11,800.47 $11,800.47 2026-03-27
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 6 3 — — $11,574.74 $11,921.53 $11,797.91 2026-03-27
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 38 11 — — $5,853.54 $11,748.96 $11,748.96 2026-03-27
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 6 2 — — $11,514.68 $15,072.95 $11,748.62 2026-03-27
375 MS_DRG Digestive Malignancy With Cc 38 11 — — $8,360.64 $14,841.79 $11,741.85 2026-03-27
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 10 5 — — $5,959.85 $25,248.92 $11,724.60 2026-03-27
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 4 2 — — $11,622.01 $11,758.18 $11,690.10 2026-03-27
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 38 11 — — $7,719.73 $11,613.06 $11,613.06 2026-03-27
189 MS_DRG Pulmonary Edema And Respiratory Failure 38 11 — — $8,122.09 $17,588.64 $11,556.67 2026-03-27
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 38 11 — — $10,975.23 $11,434.85 $11,434.85 2026-03-27
638 MS_DRG Diabetes With Cc 38 11 — — $4,779.41 $12,419.35 $11,346.68 2026-03-27
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 38 11 — — $7,436.08 $15,331.84 $11,323.41 2026-03-27
551 MS_DRG Medical Back Problems With Mcc 38 11 — — $10,180.79 $13,787.60 $11,291.00 2026-03-27
920 MS_DRG Complications Of Treatment With Cc 38 11 — — $11,285.11 $13,959.10 $11,285.11 2026-03-27
93653 CPT Ep-p-comp Ep Study W/svt Ablat 74 11 $28,558.50 $28,558.50 $396.90 $33,155.74 $11,263.48 2026-03-27
964 MS_DRG Other Multiple Significant Trauma With Cc 38 11 — — $11,228.65 $11,228.65 $11,228.65 2026-03-27
183 MS_DRG Major Chest Trauma With Mcc 38 11 — — $11,211.75 $11,211.75 $11,211.75 2026-03-27
100 MS_DRG Seizures With Mcc 38 11 — — $11,163.18 $13,336.09 $11,163.18 2026-03-27
663 MS_DRG Minor Bladder Procedures With Cc 38 11 — — $11,150.96 $11,150.96 $11,150.96 2026-03-27
388 MS_DRG Gastrointestinal Obstruction With Mcc 38 11 — — $9,597.89 $11,112.97 $11,112.97 2026-03-27
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 38 11 — — $6,050.61 $11,100.93 $11,100.93 2026-03-27
571 MS_DRG Skin Debridement With Cc 38 11 — — $11,098.03 $11,098.03 $11,098.03 2026-03-27
368 MS_DRG Major Esophageal Disorders With Mcc 6 2 — — $10,787.65 $13,749.72 $11,077.27 2026-03-27
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 2 1 — — $11,047.14 $11,047.14 $11,047.14 2026-03-27
444 MS_DRG Disorders Of The Biliary Tract With Mcc 4 2 — — $10,885.45 $11,179.51 $11,032.48 2026-03-27
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 12 5 — — $9,396.30 $19,641.32 $11,020.24 2026-03-27
670 MS_DRG Transurethral Procedures Without Cc/mcc 38 11 — — $10,993.41 $10,993.41 $10,993.41 2026-03-27
137 MS_DRG Mouth Procedures With Cc/mcc 38 11 — — $10,981.84 $10,981.84 $10,981.84 2026-03-27
947 MS_DRG Signs And Symptoms With Mcc 38 11 — — $10,980.39 $10,980.39 $10,980.39 2026-03-27
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 8 4 — — $10,602.31 $11,390.36 $10,976.51 2026-03-27
394 MS_DRG Other Digestive System Diagnoses With Cc 38 11 — — $6,346.48 $10,956.17 $10,956.17 2026-03-27
572 MS_DRG Skin Debridement Without Cc/mcc 38 11 — — $10,940.05 $15,803.98 $10,940.05 2026-03-27
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 38 11 — — $4,737.86 $10,919.12 $10,919.12 2026-03-27
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 6 3 — — $5,702.78 $11,208.44 $10,881.98 2026-03-27
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 6 2 — — $9,685.97 $12,371.90 $10,852.23 2026-03-27
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 38 11 — — $6,196.70 $10,820.87 $10,820.87 2026-03-27
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 38 11 — — $8,222.37 $10,809.09 $10,809.09 2026-03-27
393 MS_DRG Other Digestive System Diagnoses With Mcc 10 5 — — $10,593.82 $11,123.84 $10,754.50 2026-03-27
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 1 — — $10,744.95 $10,744.95 $10,744.95 2026-03-27
884 MS_DRG Organic Disturbances And Intellectual Disability 2 1 — — $10,717.45 $10,717.45 $10,717.45 2026-03-27
177 MS_DRG Respiratory Infections And Inflammations With Mcc 14 6 — — $9,656.19 $19,238.79 $10,712.66 2026-03-27
437 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc 38 11 — — $10,697.37 $10,697.37 $10,697.37 2026-03-27
348 MS_DRG Anal And Stomal Procedures With Cc 38 11 — — $10,685.27 $10,685.27 $10,685.27 2026-03-27
37247 CPT Trluml Balo Angiop Addl Art 24 6 $16,267.00 $16,267.00 $1,000.00 $16,239.60 $10,663.13 2026-03-27
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 14 6 — — $10,496.45 $13,546.74 $10,662.82 2026-03-27
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 2 1 — — $10,649.32 $10,649.32 $10,649.32 2026-03-27
644 MS_DRG Endocrine Disorders With Cc 38 11 — — $6,945.58 $10,594.47 $10,594.47 2026-03-27
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 38 11 — — $6,884.38 $14,145.38 $10,594.33 2026-03-27
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 6 2 — — $9,958.83 $12,747.83 $10,460.73 2026-03-27
668 MS_DRG Transurethral Procedures With Mcc 38 11 — — $10,439.78 $10,439.78 $10,439.78 2026-03-27
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 4 2 — — $10,257.50 $10,591.12 $10,424.31 2026-03-27
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 38 11 — — $10,394.88 $10,394.88 $10,394.88 2026-03-27
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 38 11 — — $10,392.93 $12,376.02 $10,392.93 2026-03-27
445 MS_DRG Disorders Of The Biliary Tract With Cc 38 11 — — $7,462.63 $13,428.29 $10,342.94 2026-03-27
434 MS_DRG Cirrhosis And Alcoholic Hepatitis Without Cc/mcc 38 11 — — $10,336.10 $10,336.10 $10,336.10 2026-03-27
381 MS_DRG Complicated Peptic Ulcer With Cc 38 11 — — $8,958.94 $10,285.70 $10,285.70 2026-03-27
186 MS_DRG Pleural Effusion With Mcc 6 2 — — $9,623.88 $12,997.08 $10,281.34 2026-03-27
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 38 11 — — $10,267.93 $10,267.93 $10,267.93 2026-03-27
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 4 2 — — $10,068.28 $10,432.25 $10,250.26 2026-03-27
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 38 11 — — $9,118.96 $10,232.58 $10,232.58 2026-03-27
639 MS_DRG Diabetes Without Cc/mcc 38 11 — — $4,490.61 $10,188.86 $10,188.86 2026-03-27
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 38 11 — — $8,572.52 $17,675.02 $10,183.72 2026-03-27
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 38 11 — — $5,900.30 $10,177.27 $10,177.27 2026-03-27
748 MS_DRG Female Reproductive System Reconstructive Procedures 38 11 — — $10,160.51 $10,160.51 $10,160.51 2026-03-27
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 38 11 — — $6,501.78 $10,127.91 $10,127.91 2026-03-27
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 38 11 — — $7,098.37 $10,124.84 $10,124.84 2026-03-27
399 MS_DRG Appendix Procedures Without Cc/mcc 38 11 — — $7,491.16 $10,122.98 $10,122.98 2026-03-27
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 38 11 — — $5,241.40 $10,090.60 $10,090.60 2026-03-27
552 MS_DRG Medical Back Problems Without Mcc 38 11 — — $6,459.09 $10,083.20 $10,083.20 2026-03-27
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 4 2 — — $9,871.61 $10,265.18 $10,068.40 2026-03-27
37241 CPT Xr-ven Emboliz Not Hemmorrage 26 11 $19,281.50 $19,281.50 $1,000.00 $19,281.50 $10,048.87 2026-03-27
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 38 11 — — $6,340.76 $10,034.11 $10,034.11 2026-03-27
24366 CPT Reconstruct Head Of Radius 48 11 — — $9,956.83 $11,318.77 $9,956.83 2026-03-27
24365 CPT Reconstruct Head Of Radius 48 11 — — $9,956.83 $11,049.42 $9,956.83 2026-03-27
23474 CPT Revis Reconst Shoulder Joint 48 11 — — $9,956.83 $9,956.83 $9,956.83 2026-03-27
23473 CPT Revis Reconst Shoulder Joint 48 11 — — $9,956.83 $9,956.83 $9,956.83 2026-03-27
23472 CPT Reconstruct Shoulder Joint 48 11 — — $3,207.00 $18,913.66 $9,956.83 2026-03-27
27487 CPT Revise/replace Knee Joint 48 11 — — $5,184.00 $17,856.41 $9,956.83 2026-03-27
C9600 HCPCS Cl-p-revas(des+ptca) 1vsl,lm 232 11 $17,512.50 $17,512.50 $18.15 $17,512.50 $9,949.38 2026-03-27
92943 CPT Cl-p-chronic Revas 1vsl,lcx 272 11 $17,512.50 $17,512.50 $396.90 $17,512.50 $9,949.38 2026-03-27
88239 CPT Xr-bilat Ven Embo Oth Than Hem 34 11 $38,563.00 $38,563.00 $120.75 $30,079.14 $9,949.38 2026-03-27
37238 CPT Xr- Vascular Stent Ven, Initia 126 11 $17,946.50 $17,946.50 $396.90 $33,382.94 $9,949.38 2026-03-27
37243 CPT Vasc Embolize/occlude Organ 62 11 $19,281.50 $19,281.50 $633.70 $22,255.29 $9,949.38 2026-03-27
92928 CPT Cl-p-revas(stent+ptca) 1vsl,lm 250 11 $17,512.50 $17,512.50 $396.90 $17,512.50 $9,949.38 2026-03-27
C9772 HCPCS Clp-revas, Ivl Tibi/perone 48 11 $18,435.50 $18,435.50 $1,000.00 $18,435.50 $9,949.38 2026-03-27
37244 CPT Ccl-vasc Embolize/occlude Blee 56 11 $19,281.50 $19,281.50 $1,000.00 $22,255.29 $9,949.38 2026-03-27
0237T CPT Trluml Perip Athrc Brchiocph 62 11 $17,555.50 $17,555.50 $66.24 $22,255.29 $9,949.38 2026-03-27
C9604 HCPCS Cl-p-revas Byp(des+dca)1vsl Lc 50 11 $17,512.50 $17,512.50 $374.62 $17,512.50 $9,949.38 2026-03-27
37236 CPT Open/perq Place Stent 1st 48 11 $17,946.50 $17,946.50 $1,000.00 $22,255.29 $9,949.38 2026-03-27
36903 CPT Xr-av Graft Periphe Angio Stnt 48 11 $21,272.00 $21,272.00 $1,000.00 $22,255.29 $9,949.38 2026-03-27
92924 CPT Cl-p-revas (dca+ptca) 1vsl,lm 260 11 $17,512.50 $17,512.50 $271.95 $17,809.74 $9,949.38 2026-03-27
682 MS_DRG Renal Failure With Mcc 12 6 — — $4,828.70 $10,379.41 $9,907.81 2026-03-27
811 MS_DRG Red Blood Cell Disorders With Mcc 10 4 — — $9,105.83 $12,129.36 $9,863.66 2026-03-27
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 2 1 — — $9,843.26 $9,843.26 $9,843.26 2026-03-27
637 MS_DRG Diabetes With Mcc 12 5 — — $9,434.75 $19,383.56 $9,836.80 2026-03-27
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 38 11 — — $5,657.82 $11,568.22 $9,803.77 2026-03-27
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 38 11 — — $7,066.95 $9,743.95 $9,743.95 2026-03-27
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 2 1 — — $9,734.78 $9,734.78 $9,734.78 2026-03-27
683 MS_DRG Renal Failure With Cc 38 11 — — $6,073.52 $13,083.16 $9,730.72 2026-03-27
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 38 11 — — $9,724.87 $9,724.87 $9,724.87 2026-03-27
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 38 11 — — $4,970.72 $9,702.73 $9,702.73 2026-03-27
602 MS_DRG Cellulitis With Mcc 8 4 — — $9,512.13 $9,883.75 $9,689.85 2026-03-27
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 38 11 — — $9,659.02 $9,659.02 $9,659.02 2026-03-27
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 38 11 — — $9,653.87 $9,653.87 $9,653.87 2026-03-27
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 38 11 — — $4,914.84 $9,637.25 $9,637.25 2026-03-27
72 MS_DRG Other Cerebrovascular Disorders Without Cc/mcc 38 11 — — $5,200.51 $9,624.56 $9,624.56 2026-03-27
53445 CPT Insert Uro/ves Nck Sphincter 48 11 — — $8,386.99 $17,712.14 $9,610.05 2026-03-27
70 MS_DRG Other Cerebrovascular Disorders With Mcc 4 2 — — $7,768.01 $11,202.74 $9,485.38 2026-03-27
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 2 1 — — $9,435.66 $9,435.66 $9,435.66 2026-03-27
299 MS_DRG Peripheral Vascular Disorders With Mcc 38 11 — — $9,429.82 $13,306.38 $9,429.82 2026-03-27
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 38 11 — — $9,400.02 $9,860.51 $9,400.02 2026-03-27
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 38 11 — — $4,390.37 $9,895.70 $9,398.57 2026-03-27
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc 2 1 — — $9,302.22 $9,302.22 $9,302.22 2026-03-27
836 MS_DRG Acute Leukemia Without Cc/mcc 38 11 — — $9,267.21 $9,267.21 $9,267.21 2026-03-27
69 MS_DRG Transient Ischemia Without Thrombolytic 38 11 — — $5,481.22 $11,301.20 $9,259.34 2026-03-27
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 38 11 — — $8,175.31 $9,254.04 $9,254.04 2026-03-27
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 38 11 — — $9,210.30 $9,210.30 $9,210.30 2026-03-27
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 8 4 — — $8,737.34 $18,015.14 $9,174.41 2026-03-27
812 MS_DRG Red Blood Cell Disorders Without Mcc 38 11 — — $6,420.32 $9,096.70 $9,096.70 2026-03-27
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 38 11 — — $7,581.07 $9,089.29 $9,089.29 2026-03-27
813 MS_DRG Coagulation Disorders 38 11 — — $9,068.91 $10,328.96 $9,068.91 2026-03-27
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 38 11 — — $9,066.32 $15,751.84 $9,066.32 2026-03-27
593 MS_DRG Skin Ulcers With Cc 38 11 — — $8,323.55 $9,059.23 $9,059.23 2026-03-27
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 38 11 — — $9,053.97 $9,053.97 $9,053.97 2026-03-27
71 MS_DRG Other Cerebrovascular Disorders With Cc 38 11 — — $6,654.56 $9,049.57 $9,049.57 2026-03-27
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 22 8 — — $6,696.51 $15,056.24 $9,010.53 2026-03-27
389 MS_DRG Gastrointestinal Obstruction With Cc 38 11 — — $5,508.75 $8,965.20 $8,965.20 2026-03-27
37187 CPT Venous Mech Thrombectomy 164 11 $6,965.50 $6,965.50 $1,000.00 $37,870.56 $8,957.88 2026-03-27
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 38 11 — — $8,954.62 $8,954.62 $8,954.62 2026-03-27
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 38 11 — — $5,103.87 $8,949.17 $8,949.17 2026-03-27
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 16 7 — — $8,634.50 $17,803.10 $8,944.06 2026-03-27
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 38 11 — — $8,943.97 $8,943.97 $8,943.97 2026-03-27
792 MS_DRG Prematurity Without Major Problems 34 11 — — $568.00 $8,935.62 $8,935.62 2026-03-27
92 MS_DRG Other Disorders Of Nervous System With Cc 38 11 — — $7,050.47 $8,916.62 $8,916.62 2026-03-27
20983 CPT Cl-p-revas (dca+ptca) 1vsl,rc 48 11 $17,512.50 $17,512.50 $1,000.00 $17,512.50 $8,915.00 2026-03-27
596 MS_DRG Major Skin Disorders Without Mcc 2 1 — — $8,893.13 $8,893.13 $8,893.13 2026-03-27
27447 CPT Total Knee Arthroplasty 192 11 — — $2,702.70 $23,250.00 $8,881.76 2026-03-27
27130 CPT Total Hip Arthroplasty 144 11 — — $3,207.00 $23,250.00 $8,881.76 2026-03-27
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 38 11 — — $6,743.53 $14,612.96 $8,858.30 2026-03-27
33229 CPT Anchor/screw Bn/bn,tis/bn 50 11 $3,534.50 $3,534.50 $1,000.00 $16,932.73 $8,857.00 2026-03-27
176 MS_DRG Pulmonary Embolism Without Mcc 38 11 — — $5,567.09 $8,788.86 $8,788.86 2026-03-27
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 38 11 — — $6,268.69 $8,735.19 $8,735.19 2026-03-27
292 MS_DRG Heart Failure And Shock With Cc 38 11 — — $5,866.14 $12,053.74 $8,710.84 2026-03-27
787 MS_DRG Cesarean Section Without Sterilization With Cc 38 11 — — $3,464.00 $14,551.02 $8,701.33 2026-03-27
718 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy Without Cc/mcc 38 11 — — $8,664.95 $8,664.95 $8,664.95 2026-03-27
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 6 3 — — $4,840.78 $11,073.02 $8,645.85 2026-03-27
149 MS_DRG Dysequilibrium 38 11 — — $5,350.65 $8,640.68 $8,640.68 2026-03-27
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/mcc 38 11 — — $8,616.61 $8,616.61 $8,616.61 2026-03-27
178 MS_DRG Respiratory Infections And Inflammations With Cc 38 11 — — $6,627.99 $11,975.52 $8,585.64 2026-03-27
200 MS_DRG Pneumothorax With Cc 38 11 — — $4,886.32 $8,514.21 $8,514.21 2026-03-27
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 12 5 — — $8,404.54 $10,566.30 $8,491.11 2026-03-27
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 26 11 — — $6,605.59 $13,170.84 $8,420.09 2026-03-27
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 38 11 — — $7,287.21 $8,574.78 $8,413.00 2026-03-27
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 38 11 — — $5,362.81 $8,412.35 $8,412.35 2026-03-27
91 MS_DRG Other Disorders Of Nervous System With Mcc 38 11 — — $8,403.99 $12,036.35 $8,403.99 2026-03-27
305 MS_DRG Hypertension Without Mcc 38 11 — — $5,239.46 $8,400.78 $8,400.78 2026-03-27
786 MS_DRG Cesarean Section Without Sterilization With Mcc 38 11 — — $8,392.05 $8,392.05 $8,392.05 2026-03-27
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 38 11 — — $6,137.74 $8,365.27 $8,365.27 2026-03-27
784 MS_DRG Cesarean Section With Sterilization With Cc 38 11 — — $3,464.00 $13,270.72 $8,346.12 2026-03-27
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 38 11 — — $5,135.15 $11,327.80 $8,325.61 2026-03-27
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 38 11 — — $8,307.01 $8,307.01 $8,307.01 2026-03-27
184 MS_DRG Major Chest Trauma With Cc 38 11 — — $7,179.99 $8,786.19 $8,293.69 2026-03-27
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 38 11 — — $5,791.42 $8,257.89 $8,257.89 2026-03-27
965 MS_DRG Other Multiple Significant Trauma Without Cc/mcc 38 11 — — $8,233.23 $8,233.23 $8,233.23 2026-03-27
948 MS_DRG Signs And Symptoms Without Mcc 38 11 — — $5,466.15 $8,217.78 $8,217.78 2026-03-27
603 MS_DRG Cellulitis Without Mcc 38 11 — — $5,983.68 $10,685.94 $8,194.38 2026-03-27
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 38 11 — — $4,669.89 $8,188.32 $8,188.32 2026-03-27
312 MS_DRG Syncope And Collapse 38 11 — — $5,906.53 $8,185.41 $8,185.41 2026-03-27
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 38 11 — — $4,387.06 $14,990.08 $8,179.30 2026-03-27
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 10 4 — — $7,933.20 $9,919.73 $8,175.29 2026-03-27
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 38 11 — — $6,911.05 $15,082.82 $8,113.91 2026-03-27
758 MS_DRG Infections, Female Reproductive System With Cc 38 11 — — $8,105.04 $8,105.04 $8,105.04 2026-03-27
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 38 11 — — $4,503.34 $8,055.30 $8,055.30 2026-03-27
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 38 11 — — $7,961.12 $7,961.12 $7,961.12 2026-03-27
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 38 11 — — $7,954.00 $7,954.00 $7,954.00 2026-03-27
J3415 HCPCS Eps-pacesetter Ident/victor Dr 34 5 $31,728.00 $31,728.00 $13.85 $24,747.84 $7,932.00 2026-03-27
315 MS_DRG Other Circulatory System Diagnoses With Cc 38 11 — — $6,538.99 $7,916.31 $7,916.31 2026-03-27
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 38 11 — — $7,915.17 $9,412.59 $7,915.17 2026-03-27
75565 CPT Trluml Perip Athrc Renal Art 54 11 $17,555.50 $17,555.50 $345.00 $17,555.50 $7,899.98 2026-03-27
300 MS_DRG Peripheral Vascular Disorders With Cc 38 11 — — $7,170.09 $7,893.22 $7,893.22 2026-03-27
92990 CPT Clp-valvuloplasty,pulmonic 74 11 $17,512.50 $17,512.50 $396.90 $17,512.50 $7,880.63 2026-03-27
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 38 11 — — $5,922.03 $7,851.00 $7,851.00 2026-03-27
C1896 HCPCS Cls-amplatzer Pfo Occluder 70 5 $31,230.00 $31,230.00 $48.73 $45,061.77 $7,807.50 2026-03-27
90 MS_DRG Concussion Without Cc/mcc 38 11 — — $7,799.95 $7,799.95 $7,799.95 2026-03-27
187 MS_DRG Pleural Effusion With Cc 38 11 — — $6,777.14 $7,757.01 $7,757.01 2026-03-27
684 MS_DRG Renal Failure Without Cc/mcc 38 11 — — $4,344.18 $7,741.70 $7,741.70 2026-03-27
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 38 11 — — $3,464.00 $8,974.21 $7,711.53 2026-03-27
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 38 11 — — $3,464.00 $9,763.51 $7,705.26 2026-03-27
935 MS_DRG Non-extensive Burns 38 11 — — $7,692.15 $7,692.15 $7,692.15 2026-03-27
919 MS_DRG Complications Of Treatment With Mcc 38 11 — — $7,637.69 $11,726.32 $7,637.69 2026-03-27
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 38 11 — — $4,567.86 $9,449.18 $7,617.28 2026-03-27
537 MS_DRG Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/mcc 38 11 — — $6,255.16 $7,605.84 $7,605.84 2026-03-27
27381 CPT Repair/graft Kneecap Tendon 48 11 — — $6,415.16 $7,582.36 $7,582.36 2026-03-27
27698 CPT Repair Of Ankle Ligament 48 11 — — $2,814.00 $7,582.36 $7,582.36 2026-03-27
27652 CPT Repair/graft Achilles Tendon 48 11 — — $7,582.36 $7,582.36 $7,582.36 2026-03-27
27654 CPT Repair Of Achilles Tendon 96 11 — — $7,582.36 $13,372.93 $7,582.36 2026-03-27
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 38 11 — — $4,695.33 $7,578.70 $7,578.70 2026-03-27
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