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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

RIVERVIEW REGIONAL MEDICAL CENTER

Gadsden, AL · CCN 010046 · Rates published

5,205 distinct procedures filed
35 distinct payers
343,966 rate rows
2026-03-17 last MRF observed
Data quality

338,679 of 343,966 rate rows are consumer-grade (98.5%)

5,287 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
per-diem day rate — not a per-procedure price 4,575
template filing: same amount across many unrelated codes — excluded 536
exceeds 10× this hospital's gross charge — excluded from medians 170
percent-of-charges filed in the dollar field — excluded from medians 4
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://riverviewregional.com/wp-content/uploads/2026/04/472228529_RiverviewRegionalMedicalCenter_standardcharges.JSON
Found on page https://riverviewregional.com/patients-visitors/financial-assistance/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 129992985f5920b3… · 26,251,515 bytes · first seen 2026-05-18

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $3,407.00 $523,451.11 $233,268.00 nat. median
$370,174
0.6× median
612
OTHER 		UnGrouped 2 $211,711.00 $247,898.00 $229,804.50 nat. median
$2,164
outlier · 106.2×
636
OTHER 		UnGrouped 3 $199.81 $227,479.00 $194,272.00 nat. median
$53
outlier · 3699.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $3,407.00 $339,698.71 $175,215.64 nat. median
$265,286
0.7× median
633
EAPG 		Alcoholic Liver Disease 3 $206.23 $204,376.00 $174,542.00 nat. median
$235
outlier · 742.5×
631
EAPG 		Hernia 3 $182.60 $199,097.00 $170,034.00 nat. median
$198
outlier · 858.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $3,407.00 $261,562.00 $144,765.00 nat. median
$206,368
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $3,407.00 $257,286.57 $133,162.91 nat. median
$202,986
0.7× median
359
OTHER 		UnGrouped 3 $69.83 $128,182.00 $109,471.00 nat. median
$2,225
outlier · 49.2×
681
OTHER 		UnGrouped 2 $100,181.00 $117,305.00 $108,743.00 nat. median
$0
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $3,407.00 $167,903.21 $87,576.23 nat. median
$133,176
0.7× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $4,058.12 $99,645.50 $85,099.60 nat. median
$87,411
1.0× median
635
OTHER 		UnGrouped 3 $268.14 $96,945.70 $82,793.90 nat. median
$677
outlier · 122.2×
613
OTHER 		UnGrouped 2 $75,089.60 $87,924.60 $81,507.10 nat. median
$42,666
1.9× median
7
MS_DRG 		Lung Transplant 18 $3,407.00 $156,979.09 $81,473.41 nat. median
$122,708
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $3,407.00 $145,677.98 $80,191.50 nat. median
$117,303
0.7× median
634
OTHER 		UnGrouped 3 $269.10 $92,018.10 $78,585.60 nat. median
$414
outlier · 189.8×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $3,407.00 $137,361.25 $69,361.85 nat. median
$108,660
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valveâ Procedures 17 $3,407.00 $131,813.12 $69,121.84 nat. median
$102,358
0.7× median
212
OTHER 		Concomitant Aortic And Mitral Valveâ Procedures 13 $587.32 $103,490.00 $66,768.00 nat. median
$90,581
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $3,407.00 $124,981.30 $65,577.49 nat. median
$100,136
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 18 $3,407.00 $120,696.26 $64,949.50 nat. median
$99,019
0.7× median
426
MS_DRG 		UnGrouped 13 $3,407.00 $99,546.60 $64,223.60 nat. median
$98,905
0.6× median
632
EAPG 		Irritable Bowel Syndrome 3 $144.02 $73,898.00 $63,110.70 nat. median
$147
outlier · 430.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $3,407.00 $118,584.66 $62,570.20 nat. median
$93,672
0.7× median
216
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $3,407.00 $91,778.70 $59,212.10 nat. median
$90,130
0.7× median
850
MS_DRG 		UnGrouped 12 $285.15 $87,639.80 $56,541.80 nat. median
$83,442
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 18 $3,407.00 $102,185.14 $52,835.75 nat. median
$79,312
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $3,407.00 $101,863.91 $52,546.60 nat. median
$81,118
0.6× median
429
MS_DRG 		UnGrouped 12 $55.27 $79,429.00 $51,244.50 nat. median
$82,712
0.6× median
361
OTHER 		UnGrouped 3 $2,135.77 $59,866.20 $51,127.10 nat. median
$1,764
outlier · 29.0×
647
OTHER 		UnGrouped 3 $319.84 $59,435.30 $50,759.10 nat. median
$3,517
outlier · 14.4×
454
OTHER 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $46,584.40 $54,547.00 $50,565.70 nat. median
$34,066
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 $3,407.00 $105,705.00 $50,131.45 nat. median
$77,576
0.6× median
360
OTHER 		UnGrouped 3 $364.53 $57,897.60 $49,445.90 nat. median
$7,392
outlier · 6.7×
646
OTHER 		UnGrouped 2 $45,520.90 $53,301.70 $49,411.30 nat. median
$3,509
outlier · 14.1×
010
OTHER 		Pancreas Transplant 13 $3,407.00 $75,964.90 $49,009.60 nat. median
$67,882
0.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 $3,407.00 $86,483.84 $48,731.70 nat. median
$71,240
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 $2,074.54 $92,673.20 $48,538.10 nat. median
$73,807
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 $3,407.00 $93,074.43 $48,529.40 nat. median
$74,915
0.6× median
246
MS_DRG 		UnGrouped 1 $47,918.60 $47,918.60 $47,918.60 nat. median
$26,892
1.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 $3,407.00 $92,366.52 $47,015.85 nat. median
$72,138
0.7× median
10
MS_DRG 		Pancreas Transplant 17 $3,407.00 $86,982.04 $46,092.82 nat. median
$68,882
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 $3,407.00 $86,432.93 $44,073.77 nat. median
$68,887
0.6× median
427
MS_DRG 		UnGrouped 13 $192.28 $67,763.50 $43,718.40 nat. median
$68,090
0.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 18 $103.50 $83,783.11 $43,471.95 nat. median
$66,526
0.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 18 $3,407.00 $112,447.28 $42,763.96 nat. median
$64,732
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 18 $3,407.00 $86,945.68 $41,553.20 nat. median
$64,027
0.6× median
447
MS_DRG 		UnGrouped 12 $3,407.00 $64,012.90 $41,298.60 nat. median
$63,738
0.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 $3,407.00 $83,372.18 $41,073.10 nat. median
$65,950
0.6× median

Other procedures at this hospital

Browse this hospital's 5,205 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
             
006 OTHER Liver Transplant Without Mcc 38 13 — $39,022.00 $3,407.00 $65,163.90 $30,017.60 2024-12-19
010 OTHER Pancreas Transplant 38 13 — $63,712.00 $3,407.00 $75,964.90 $49,009.60 2024-12-19
034 OTHER Carotid Artery Stent Procedures With Mcc 38 13 — $31,431.00 $3,407.00 $37,475.90 $24,178.00 2024-12-19
094 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 38 13 — $29,534.00 $3,407.00 $35,214.30 $22,718.90 2024-12-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 62 18 — $223,329.00 $3,407.00 $339,698.71 $175,215.64 2026-03-17
10 MS_DRG Pancreas Transplant 24 17 — $45,863.00 $3,407.00 $86,982.04 $46,092.82 2026-03-17
104 EAPG Major Open Coronary Artery Procedures Including Cabg 6 3 — — $21,670.60 $25,984.40 $25,374.70 2024-12-19
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 62 18 — $43,343.00 $3,407.00 $66,113.24 $34,008.30 2026-03-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 62 18 — $33,130.00 $3,407.00 $51,105.30 $26,213.99 2026-03-17
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Ccmcc 62 18 — $21,641.00 $3,407.00 $34,932.46 $17,637.15 2026-03-17
14 MS_DRG Allogeneic Bone Marrow Transplant 62 18 — $104,248.00 $3,407.00 $145,677.98 $80,191.50 2026-03-17
140 MS_DRG Major Head And Neck Procedures With Mcc 62 18 — $34,122.00 $3,407.00 $51,702.90 $26,248.20 2026-03-17
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 62 18 — $26,793.00 $3,407.00 $45,415.35 $20,610.40 2026-03-17
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 62 18 — $48,402.00 $3,407.00 $71,878.34 $37,812.26 2026-03-17
163 MS_DRG Major Chest Procedures With Mcc 62 18 — $37,126.00 $3,407.00 $54,327.26 $28,738.54 2026-03-17
164 MS_DRG Major Chest Procedures With Cc 62 18 — $20,589.00 $3,407.00 $30,595.30 $16,155.20 2026-03-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 64 18 — $31,127.00 $3,407.00 $48,289.13 $24,184.00 2026-03-17
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 62 18 — $48,402.00 $3,407.00 $65,848.98 $37,232.50 2026-03-17
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 64 18 — $24,949.00 $1,877.87 $36,079.18 $19,383.90 2026-03-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 62 18 — $298,766.00 $3,407.00 $523,451.11 $233,268.00 2026-03-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 62 18 — $63,351.00 $3,407.00 $86,483.84 $48,731.70 2026-03-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 62 18 — $87,792.00 $3,407.00 $137,361.25 $69,361.85 2026-03-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 62 18 — $64,408.00 $3,407.00 $105,705.00 $50,131.45 2026-03-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 65 19 — $51,811.00 $2,734.16 $77,999.82 $40,651.80 2026-03-17
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 64 18 — $21,908.00 $3,407.00 $33,319.05 $17,021.00 2026-03-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 62 18 — $44,382.00 $3,407.00 $81,318.95 $34,140.30 2026-03-17
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 24 17 — $69,121.00 $3,407.00 $131,813.12 $69,121.84 2026-03-17
212 OTHER Concomitant Aortic And Mitral Valveâ Procedures 40 13 — $86,798.00 $587.32 $103,490.00 $66,768.00 2024-12-19
215 MS_DRG Other Heart Assist System Implant 62 18 — $84,434.00 $3,407.00 $120,696.26 $64,949.50 2026-03-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 17 — $62,258.00 $3,407.00 $118,584.66 $62,570.20 2026-03-17
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 13 — $76,975.00 $3,407.00 $91,778.70 $59,212.10 2024-12-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 64 18 — $51,737.00 $1,655.23 $89,209.20 $40,594.10 2026-03-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 64 18 — $47,717.00 $3,407.00 $79,704.14 $37,440.10 2026-03-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 18 — $61,851.00 $3,407.00 $93,074.43 $48,529.40 2026-03-17
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Ccm… 62 18 — $28,599.00 $3,407.00 $39,441.43 $21,999.60 2026-03-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 17 — $34,273.00 $3,407.00 $64,642.87 $34,445.29 2026-03-17
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 13 — $42,559.00 $1,395.92 $50,744.40 $32,738.30 2024-12-19
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 18 — $36,994.00 $3,407.00 $61,096.04 $30,005.50 2026-03-17
224 MS_DRG UnGrouped 2 1 — — $24,856.50 $24,856.50 $24,856.50 2024-12-19
228 MS_DRG Other Cardiothoracic Procedures With Mcc 64 18 — $40,082.00 $3,407.00 $59,971.15 $31,295.45 2026-03-17
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 64 18 — $25,247.00 $41.65 $38,177.45 $19,809.60 2026-03-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 62 18 — $45,787.00 $3,407.00 $69,461.26 $35,925.70 2026-03-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 62 18 — $67,671.00 $3,407.00 $102,185.14 $52,835.75 2026-03-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 62 18 — $48,977.00 $3,407.00 $73,489.32 $38,428.60 2026-03-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 64 18 — $62,474.00 $2,074.54 $92,673.20 $48,538.10 2026-03-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 64 18 — $42,745.00 $1,106.31 $66,217.48 $33,538.80 2026-03-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 17 — $37,643.00 $3,407.00 $71,137.70 $37,831.64 2026-03-17
235 EAPG Level Ii Anterior Chamber Eye Procedures 40 13 — — $3,407.00 $56,280.80 $36,310.20 2024-12-19
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 62 18 — $33,197.00 $3,407.00 $50,775.59 $26,157.10 2026-03-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 64 18 — $40,506.00 $2,641.01 $59,659.62 $31,470.40 2026-03-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 62 18 — $30,743.00 $3,407.00 $47,419.07 $24,350.03 2026-03-17
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 62 18 — $23,713.00 $3,407.00 $34,553.05 $18,450.08 2026-03-17
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 63 19 — $27,505.00 $3,407.00 $38,702.32 $21,158.20 2026-03-17
245 MS_DRG Aicd Generator Procedures 64 18 — $39,320.00 $3,407.00 $55,304.27 $30,246.20 2026-03-17
246 MS_DRG UnGrouped 2 1 — — $47,918.60 $47,918.60 $47,918.60 2024-12-19
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 62 18 — $36,044.00 $3,407.00 $55,113.96 $28,365.54 2026-03-17
252 MS_DRG Other Vascular Procedures With Mcc 64 18 — $27,809.00 $1,105.55 $42,590.02 $21,819.50 2026-03-17
253 MS_DRG Other Vascular Procedures With Cc 64 18 — $20,874.00 $3,407.00 $31,463.21 $16,378.40 2026-03-17
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 64 18 — $21,376.00 $3,407.00 $32,697.21 $16,772.20 2026-03-17
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 64 18 — $22,870.00 $1,613.53 $38,087.75 $17,944.30 2026-03-17
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 62 18 — $24,870.00 $3,407.00 $37,688.95 $19,597.65 2026-03-17
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 64 18 — $27,617.00 $124.70 $47,954.50 $21,244.50 2026-03-17
263 MS_DRG Vein Ligation And Stripping 64 18 — $21,894.00 $3,407.00 $37,061.04 $17,179.00 2026-03-17
264 MS_DRG Other Circulatory System O.r. Procedures 64 18 — $28,320.00 $3,407.00 $40,493.92 $21,785.00 2026-03-17
265 MS_DRG Aicd Lead Procedures 64 18 — $28,890.00 $3,407.00 $43,858.92 $22,667.80 2026-03-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 17 — $39,277.00 $3,407.00 $74,286.93 $39,277.30 2026-03-17
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 40 13 — $48,045.00 $3,407.00 $57,285.30 $36,958.30 2024-12-19
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 64 18 — $37,880.00 $3,271.51 $57,709.23 $29,139.10 2026-03-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 64 18 — $53,395.00 $3,407.00 $83,372.18 $41,073.10 2026-03-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 17 — $27,295.00 $3,407.00 $51,192.57 $27,295.92 2026-03-17
269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 40 13 — $33,581.00 $46.47 $40,039.10 $25,831.70 2024-12-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 64 18 — $41,265.00 $222.24 $63,957.99 $31,743.10 2026-03-17
271 MS_DRG Other Major Cardiovascular Procedures With Cc 64 18 — $27,919.00 $288.03 $43,108.58 $21,476.80 2026-03-17
27138 CPT Revise Hip Joint Component 22 8 $61,769.40 — $3,900.00 $58,680.90 $30,884.70 2024-12-19
272 MS_DRG Other Major Cardiovascular Procedures Without Ccmcc 64 18 — $20,472.00 $278.01 $30,946.83 $16,063.40 2026-03-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 24 17 — $26,681.00 $3,407.00 $50,008.28 $26,814.92 2026-03-17
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 38 13 — $31,602.00 $3,407.00 $41,602.20 $24,309.30 2024-12-19
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 62 18 — $25,363.00 $3,407.00 $39,901.16 $20,347.78 2026-03-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 62 18 — $56,551.00 $3,407.00 $86,432.93 $44,073.77 2026-03-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc 64 18 — $49,654.00 $3,407.00 $72,810.50 $38,196.10 2026-03-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 64 18 — $37,463.00 $1,013.85 $55,984.30 $29,250.35 2026-03-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 64 18 — $40,240.00 $364.46 $67,472.08 $31,109.30 2026-03-17
27880 CPT Amputation Of Lower Leg 22 8 $38,101.60 — $3,900.00 $36,196.50 $19,050.80 2024-12-19
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 64 18 — $26,022.00 $2,197.57 $43,715.88 $20,217.80 2026-03-17
28 MS_DRG Spinal Procedures With Mcc 62 18 — $48,746.00 $3,407.00 $72,831.11 $37,685.05 2026-03-17
288 MS_DRG Acute And Subacute Endocarditis With Mcc 64 18 — $22,285.00 $133.11 $32,803.88 $17,399.65 2026-03-17
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 62 18 — $27,226.00 $3,407.00 $41,354.56 $21,257.75 2026-03-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 62 18 — $170,085.00 $3,407.00 $257,286.57 $133,162.91 2026-03-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 62 18 — $33,817.00 $3,407.00 $54,311.50 $26,013.50 2026-03-17
317 MS_DRG UnGrouped 40 13 — $49,591.00 $181.57 $59,128.60 $38,147.50 2024-12-19
318 OTHER UnGrouped 6 3 — — $257.59 $37,745.60 $32,235.60 2024-12-19
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 64 18 — $35,415.00 $207.65 $54,098.16 $27,787.70 2026-03-17
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 65 19 — $23,196.00 $204.30 $32,980.86 $17,847.69 2026-03-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 64 18 — $34,361.00 $316.21 $57,363.01 $26,960.40 2026-03-17
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 64 18 — $25,949.00 $28.98 $38,195.63 $20,254.14 2026-03-17
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 64 18 — $23,317.00 $94.05 $38,915.67 $18,295.30 2026-03-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 62 18 — $40,839.00 $3,407.00 $60,456.02 $31,911.89 2026-03-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 17 — $29,643.00 $3,407.00 $55,717.62 $29,791.73 2026-03-17
329 OTHER Major Small And Large Bowel Procedures With Mcc 40 13 — $36,989.00 $630.11 $44,102.60 $28,453.30 2024-12-19
332 MS_DRG Rectal Resection With Mcc 64 18 — $28,111.00 $1,160.38 $43,889.22 $22,057.00 2026-03-17
33221 CPT Hc Insert Pm Pulse Gen Only (existing Leads) 85 22 $92,826.80 $21,343.00 77% off $374.23 $88,185.40 $16,581.90 2026-03-17
33229 CPT Hc Remvl Perm Pm Pls Gen Wrepl Plse Gen Mult Ld Sys 85 22 $93,056.30 $21,343.00 77% off $524.88 $88,403.50 $16,581.90 2026-03-17
33230 CPT Hc Insj Implntbl Defib Pulse Gen Wexist Dual Leads 85 22 $112,293.00 $25,818.00 77% off $325.58 $106,679.00 $19,860.60 2026-03-17
33240 CPT Hc Insert Pulse Gen,sngldual 85 22 $27,320.60 $25,818.00 $383.49 $27,320.60 $19,860.60 2026-03-17
33249 CPT Hc Insertrplacmnt Aicd W Lead Singdual 85 22 $99,469.30 $36,035.00 64% off $325.58 $94,495.90 $27,997.10 2026-03-17
33262 CPT Hc Rem Pac Cvdfb Plse Gen &repl Plse Gen Sngl Lead 85 22 $75,790.10 $25,818.00 66% off $524.88 $72,000.60 $19,860.60 2026-03-17
33263 CPT Hc Rem Pac Cvdfb Plse Gen &repl Plse Gen Dual Lead 85 22 $75,790.10 $25,818.00 66% off $524.88 $72,000.60 $19,860.60 2026-03-17
33264 CPT Hc Rem Pac Cvdfb Pls Gen &repl Plse Gen Multi Lead 85 22 $99,469.30 $36,035.00 64% off $524.88 $94,495.90 $27,997.10 2026-03-17
33270 CPT Hc Insrtrep Subq Defibrillator And Lead 85 22 $99,469.30 $36,035.00 64% off $383.49 $94,495.90 $27,997.10 2026-03-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 64 18 — $29,334.00 $504.27 $43,285.56 $22,677.85 2026-03-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 17 — $25,079.00 $3,407.00 $46,919.66 $25,204.51 2026-03-17
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 62 18 — $21,992.00 $3,407.00 $31,308.06 $16,979.80 2026-03-17
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 64 18 — $23,877.00 $123.98 $35,177.32 $18,643.10 2026-03-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 17 — $28,362.00 $3,407.00 $53,248.42 $28,362.50 2026-03-17
356 OTHER Other Digestive System O.r. Procedures With Mcc 40 13 — $34,411.00 $251.27 $41,028.60 $26,470.10 2024-12-19
359 OTHER UnGrouped 6 3 — — $69.83 $128,182.00 $109,471.00 2024-12-19
360 OTHER UnGrouped 6 3 — — $364.53 $57,897.60 $49,445.90 2024-12-19
361 OTHER UnGrouped 6 3 — — $2,135.77 $59,866.20 $51,127.10 2024-12-19
362 OTHER UnGrouped 6 3 — — $2,313.26 $36,962.40 $31,566.80 2024-12-19
363 OTHER UnGrouped 6 3 — — $2,544.60 $33,587.70 $28,684.70 2024-12-19
364 OTHER UnGrouped 6 3 — — $170.29 $28,598.40 $24,423.70 2024-12-19
36836 CPT Prq Av Fstl Crtj Uxtr 1 Acs 22 15 $57,543.90 $16,361.00 72% off $1,155.37 $32,722.68 $16,361.34 2026-03-17
37 MS_DRG Extracranial Procedures With Mcc 62 18 — $26,943.00 $3,407.00 $39,906.01 $21,140.40 2026-03-17
396 EAPG Level I Microbiology Tests 6 3 — — $8.67 $35,996.00 $30,741.50 2024-12-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 62 18 — $112,375.00 $3,407.00 $167,903.21 $87,576.23 2026-03-17
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 62 18 — $30,509.00 $3,407.00 $46,804.50 $24,103.66 2026-03-17
401 OTHER UnGrouped 6 3 — — $38.48 $18,984.50 $16,213.20 2024-12-19
402 MS_DRG UnGrouped 40 13 — $31,617.00 $5.88 $37,697.40 $24,320.90 2024-12-19
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 64 18 — $43,603.00 $12.63 $66,312.03 $34,148.70 2026-03-17
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 64 18 — $22,893.00 $4.48 $35,155.50 $17,962.20 2026-03-17
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 17 — $23,160.00 $3,407.00 $52,745.61 $23,276.22 2026-03-17
408 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 40 13 — $28,369.00 $6.79 $52,745.60 $21,822.70 2024-12-19
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 62 18 — $22,323.00 $3,407.00 $40,041.78 $19,190.68 2026-03-17
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 24 17 — $23,141.00 $3,407.00 $43,184.95 $23,257.31 2026-03-17
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 40 13 — $28,389.00 $32.57 $34,981.40 $21,837.90 2024-12-19
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 64 18 — $28,592.00 $176.35 $46,477.30 $22,163.66 2026-03-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 64 18 — $32,843.00 $764.77 $74,011.60 $25,769.80 2026-03-17
426 MS_DRG UnGrouped 38 13 — $83,490.00 $3,407.00 $99,546.60 $64,223.60 2024-12-19
427 MS_DRG UnGrouped 40 13 — $56,833.00 $192.28 $67,763.50 $43,718.40 2024-12-19
428 MS_DRG UnGrouped 40 13 — $44,199.00 $78.99 $52,698.90 $33,999.30 2024-12-19
429 MS_DRG UnGrouped 36 12 — $66,617.00 $55.27 $79,429.00 $51,244.50 2024-12-19
430 MS_DRG UnGrouped 34 12 — $43,933.00 $3,407.00 $52,382.20 $33,795.00 2024-12-19
447 MS_DRG UnGrouped 34 12 — $53,688.00 $3,407.00 $64,012.90 $41,298.60 2024-12-19
448 MS_DRG UnGrouped 57 17 — $32,971.00 $52.29 $51,405.92 $25,616.00 2026-03-17
450 MS_DRG UnGrouped 36 12 — $41,401.00 $969.47 $49,362.90 $31,847.00 2024-12-19
451 MS_DRG UnGrouped 34 12 — $25,087.00 $3,407.00 $29,911.60 $19,297.80 2024-12-19
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 7 4 — — $4,058.12 $99,645.50 $85,099.60 2026-03-17
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 4 2 — — $46,584.40 $54,547.00 $50,565.70 2024-12-19
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Ccmcc 7 4 — — $4,058.12 $39,704.30 $33,908.40 2026-03-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 62 18 — $67,634.00 $3,407.00 $101,863.91 $52,546.60 2026-03-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 62 18 — $46,058.00 $3,407.00 $72,283.21 $36,614.49 2026-03-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 64 18 — $34,824.00 $27.95 $50,579.21 $26,977.70 2026-03-17
459 OTHER Spinal Fusion Except Cervical With Mcc 6 3 — — $46.27 $45,597.40 $38,941.20 2024-12-19
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 9 5 — — $1,737.18 $32,244.01 $27,537.20 2026-03-17
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 40 13 — $49,198.00 $2,755.60 $67,660.80 $37,845.30 2024-12-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 17 — $35,470.00 $3,407.00 $67,660.75 $35,647.45 2026-03-17
462 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 40 13 — $23,330.00 $3,407.00 $27,817.70 $17,946.90 2024-12-19
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 24 17 — $17,465.00 $3,407.00 $32,243.86 $17,552.64 2026-03-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 64 18 — $43,384.00 $3,407.00 $69,087.91 $34,039.90 2026-03-17
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 64 18 — $24,001.00 $3,407.00 $37,755.61 $18,831.70 2026-03-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 64 18 — $40,962.00 $3,407.00 $68,087.20 $32,139.80 2026-03-17
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 62 18 — $27,768.00 $3,407.00 $42,748.56 $22,007.52 2026-03-17
468 MS_DRG Revision Of Hip Or Knee Replacement Without Ccmcc 63 19 — $21,430.00 $3,407.00 $33,310.57 $16,814.40 2026-03-17
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 62 18 — $26,531.00 $3,407.00 $36,767.69 $20,408.60 2026-03-17
471 MS_DRG Cervical Spinal Fusion With Mcc 24 17 — $31,103.00 $3,407.00 $58,532.29 $31,259.32 2026-03-17
471 OTHER Cervical Spinal Fusion With Mcc 40 13 — $39,086.00 $68.90 $46,603.70 $30,066.90 2024-12-19
472 MS_DRG Cervical Spinal Fusion With Cc 64 18 — $23,594.00 $136.18 $35,711.89 $18,512.90 2026-03-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 17 — $27,734.00 $3,407.00 $52,037.46 $27,872.97 2026-03-17
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 40 13 — $36,142.00 $216.35 $43,092.40 $27,801.50 2024-12-19
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 64 18 — $27,877.00 $230.48 $41,875.80 $21,830.67 2026-03-17
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 62 18 — $23,941.00 $3,407.00 $36,407.30 $18,784.50 2026-03-17
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 24 17 — $18,169.00 $3,407.00 $33,600.28 $18,259.86 2026-03-17
483 OTHER Major Joint Or Limb Reattachment Procedures Of Upper Extremities 40 13 — $20,836.00 $380.29 $24,843.50 $16,028.10 2024-12-19
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 24 17 — $21,031.00 $3,407.00 $39,118.10 $21,136.86 2026-03-17
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 40 13 — $26,140.00 $3,164.42 $32,686.50 $20,108.20 2024-12-19
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 62 18 — $28,763.00 $3,407.00 $44,506.22 $22,840.39 2026-03-17
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 62 18 — $28,522.00 $3,407.00 $43,949.83 $22,378.90 2026-03-17
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 62 18 — $20,652.00 $3,407.00 $36,568.90 $17,206.75 2026-03-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 62 18 — $84,865.00 $3,407.00 $124,981.30 $65,577.49 2026-03-17
500 MS_DRG Soft Tissue Procedures With Mcc 24 17 — $20,639.00 $3,407.00 $38,362.91 $20,743.10 2026-03-17
500 OTHER Soft Tissue Procedures With Mcc 38 13 — $25,740.00 $3,407.00 $30,690.90 $19,800.60 2024-12-19
503 MS_DRG Foot Procedures With Mcc 24 17 — $18,289.00 $3,407.00 $33,833.02 $18,381.25 2026-03-17
503 OTHER Foot Procedures With Mcc 38 13 — $21,614.00 $3,407.00 $26,612.80 $16,626.30 2024-12-19
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 64 18 — $23,285.00 $424.72 $36,613.75 $18,270.50 2026-03-17
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 62 18 — $25,137.00 $3,407.00 $38,630.81 $19,939.47 2026-03-17
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 64 18 — $29,023.00 $230.61 $45,302.62 $22,772.00 2026-03-17
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 64 18 — $23,733.00 $180.33 $34,791.85 $18,519.12 2026-03-17
545 MS_DRG Connective Tissue Disorders With Mcc 64 18 — $20,668.00 $186.15 $30,082.55 $16,119.08 2026-03-17
55 EAPG Level Ii Hip And Femur Procedures 2 1 — — $17,558.30 $17,558.30 $17,558.30 2024-12-19
570 MS_DRG Skin Debridement With Mcc 64 18 — $24,488.00 $377.43 $35,651.28 $19,033.03 2026-03-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 62 18 — $49,368.00 $3,407.00 $79,414.43 $39,707.44 2026-03-17
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 64 18 — $28,081.00 $333.31 $42,079.44 $21,601.40 2026-03-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 64 18 — $43,339.00 $242.94 $59,411.12 $33,337.80 2026-03-17
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 24 17 — $17,406.00 $3,407.00 $40,272.20 $17,493.86 2026-03-17
577 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 38 13 — $21,742.00 $3,407.00 $29,100.80 $16,724.80 2024-12-19
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 64 18 — $26,457.00 $406.75 $39,256.29 $20,657.30 2026-03-17
6 MS_DRG Liver Transplant Without Mcc 24 17 — $29,898.00 $3,407.00 $65,163.86 $30,047.69 2026-03-17
608 OTHER UnGrouped 6 3 — — $166.09 $42,299.50 $36,124.80 2024-12-19
609 OTHER UnGrouped 4 2 — — $18,855.60 $22,078.60 $20,467.10 2024-12-19
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 62 18 — $22,063.00 $3,407.00 $33,420.88 $17,422.41 2026-03-17
612 OTHER UnGrouped 4 2 — — $211,711.00 $247,898.00 $229,804.50 2024-12-19
613 OTHER UnGrouped 4 2 — — $75,089.60 $87,924.60 $81,507.10 2024-12-19
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 64 18 — $31,244.00 $257.84 $47,088.52 $24,033.90 2026-03-17
619 MS_DRG O.r. Procedures For Obesity With Mcc 64 18 — $22,245.00 $277.93 $35,000.34 $17,454.30 2026-03-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 62 18 — $30,271.00 $3,407.00 $43,143.73 $23,286.10 2026-03-17
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 24 17 — $19,729.00 $3,407.00 $36,608.90 $19,828.56 2026-03-17
625 OTHER Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 38 13 — $23,357.00 $3,407.00 $27,848.80 $17,966.90 2024-12-19
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 64 18 — $31,881.00 $277.68 $45,175.34 $24,524.50 2026-03-17
631 EAPG Hernia 6 3 — — $182.60 $199,097.00 $170,034.00 2024-12-19
632 EAPG Irritable Bowel Syndrome 6 3 — — $144.02 $73,898.00 $63,110.70 2024-12-19
633 EAPG Alcoholic Liver Disease 6 3 — — $206.23 $204,376.00 $174,542.00 2024-12-19
634 OTHER UnGrouped 6 3 — — $269.10 $92,018.10 $78,585.60 2024-12-19
635 OTHER UnGrouped 6 3 — — $268.14 $96,945.70 $82,793.90 2024-12-19
636 OTHER UnGrouped 6 3 — — $199.81 $227,479.00 $194,272.00 2024-12-19
63655 CPT Implant Neuroelectrodes 22 14 $21,092.20 $17,314.00 $6,587.00 $21,092.20 $17,314.99 2026-03-17
64590 CPT Insrpl Prph Sacgstr Npgr 62 20 $30,866.60 $23,961.00 22% off $325.58 $29,323.30 $18,431.70 2024-12-19
646 OTHER UnGrouped 4 2 — — $45,520.90 $53,301.70 $49,411.30 2024-12-19
647 OTHER UnGrouped 6 3 — — $319.84 $59,435.30 $50,759.10 2024-12-19
648 OTHER UnGrouped 6 3 — — $341.27 $40,863.70 $34,898.60 2024-12-19
649 OTHER UnGrouped 6 3 — — $327.64 $30,024.30 $25,641.40 2024-12-19
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 64 18 — $37,110.00 $318.22 $56,989.20 $28,546.90 2026-03-17
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 64 18 — $28,141.00 $364.55 $137,386.00 $22,080.60 2026-03-17
652 MS_DRG Kidney Transplant 24 17 — $21,046.00 $3,407.00 $39,147.19 $21,152.03 2026-03-17
652 EAPG Other Injuries And Disorders Of The Musculoskeletal System And Connective Tissue 40 13 — — $186.03 $35,046.60 $19,209.00 2024-12-19
653 MS_DRG Major Bladder Procedures With Mcc 64 18 — $44,756.00 $245.40 $62,989.46 $34,427.90 2026-03-17
654 MS_DRG Major Bladder Procedures With Cc 64 18 — $23,001.00 $167.53 $33,932.41 $17,830.73 2026-03-17
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 64 18 — $26,446.00 $347.70 $38,593.23 $20,343.50 2026-03-17
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 64 18 — $21,121.00 $224.15 $30,800.15 $16,328.80 2026-03-17
662 MS_DRG Minor Bladder Procedures With Mcc 64 18 — $25,352.00 $153.10 $37,110.74 $19,743.75 2026-03-17
665 OTHER Prostatectomy With Mcc 38 13 — $27,834.00 $3,407.00 $33,187.20 $21,411.10 2024-12-19
665 MS_DRG Prostatectomy With Mcc 24 17 — $20,365.00 $3,407.00 $37,834.41 $20,467.53 2026-03-17
668 MS_DRG Transurethral Procedures With Mcc 62 18 — $23,745.00 $3,407.00 $35,395.51 $18,631.40 2026-03-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 64 18 — $33,809.00 $202.54 $50,930.74 $26,306.40 2026-03-17
676 OTHER UnGrouped 6 3 — — $180.03 $28,460.70 $24,306.10 2024-12-19
677 OTHER UnGrouped 4 2 — — $31,780.60 $37,212.70 $34,496.65 2024-12-19
678 OTHER UnGrouped 4 2 — — $18,157.80 $21,261.50 $19,709.65 2024-12-19
681 OTHER UnGrouped 4 2 — — $100,181.00 $117,305.00 $108,743.00 2024-12-19
691 MS_DRG UnGrouped 6 3 — — $147.53 $37,171.60 $31,745.40 2024-12-19
692 MS_DRG UnGrouped 6 3 — — $175.82 $29,060.60 $24,818.40 2024-12-19
7 MS_DRG Lung Transplant 62 18 — $103,988.00 $3,407.00 $156,979.09 $81,473.41 2026-03-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 62 18 — $31,817.00 $3,407.00 $43,329.20 $24,475.30 2026-03-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 62 18 — $32,160.00 $3,407.00 $43,429.81 $24,738.60 2026-03-17
749 MS_DRG Other Female Reproductive System O.r. Procedures With Ccmcc 62 18 — $21,155.00 $3,407.00 $31,123.81 $16,407.08 2026-03-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 59 18 — $47,682.00 $4,058.12 $72,045.62 $36,678.60 2026-03-17
791 MS_DRG Prematurity With Major Problems 23 17 — $26,263.00 $2,353.77 $49,202.18 $26,263.31 2026-03-17
791 OTHER Prematurity With Major Problems 36 13 — $32,784.00 $2,308.76 $39,089.20 $25,218.90 2024-12-19
793 MS_DRG Full Term Neonate With Major Problems 59 18 — $33,658.00 $4,058.12 $50,542.85 $26,689.21 2026-03-17
799 OTHER Splenic Procedures With Mcc 38 13 — $38,276.00 $3,407.00 $45,637.70 $29,443.70 2024-12-19
799 MS_DRG Splenic Procedures With Mcc 24 17 — $29,218.00 $3,407.00 $54,898.19 $29,364.49 2026-03-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 62 18 — $43,701.00 $3,407.00 $67,937.56 $34,596.15 2026-03-17
800 MS_DRG Splenic Procedures With Cc 64 18 — $23,726.00 $290.37 $34,930.00 $18,404.87 2026-03-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 64 18 — $29,029.00 $171.66 $49,748.11 $22,777.00 2026-03-17
82 EAPG Comprehensive Cardiac Electrophysiologic Procedures With Ablation 2 1 — — $19,667.10 $19,667.10 $19,667.10 2024-12-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 64 18 — $46,714.00 $245.58 $71,091.64 $36,571.76 2026-03-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 64 18 — $37,681.00 $184.92 $55,575.80 $29,275.80 2026-03-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 17 — $30,154.00 $3,407.00 $56,703.12 $30,305.57 2026-03-17
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 40 13 — $38,440.00 $246.81 $48,228.30 $29,569.50 2024-12-19
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 64 18 — $25,069.00 $190.55 $38,304.73 $19,670.10 2026-03-17
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 62 18 — $44,382.00 $3,407.00 $75,741.42 $34,823.10 2026-03-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 62 18 — $40,271.00 $3,407.00 $58,236.52 $30,978.20 2026-03-17
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 24 17 — $21,080.00 $3,407.00 $39,212.65 $21,186.12 2026-03-17
840 EAPG Opioid Abuse And Dependence 40 13 — — $201.96 $37,336.10 $19,924.00 2024-12-19
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 62 18 — $20,880.00 $3,407.00 $31,425.64 $16,062.10 2026-03-17
849 MS_DRG Radiotherapy 62 18 — $21,807.00 $3,407.00 $32,843.88 $17,177.05 2026-03-17
850 MS_DRG UnGrouped 36 12 — $73,504.00 $285.15 $87,639.80 $56,541.80 2024-12-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 64 18 — $40,225.00 $205.48 $59,864.47 $31,364.38 2026-03-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 62 18 — $36,354.00 $3,407.00 $55,138.20 $28,303.14 2026-03-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 64 18 — $55,678.00 $103.50 $83,783.11 $43,471.95 2026-03-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 64 18 — $31,754.00 $197.67 $46,849.35 $24,731.58 2026-03-17
901 MS_DRG Wound Debridements For Injuries With Mcc 62 18 — $35,713.00 $3,407.00 $50,870.14 $27,472.00 2026-03-17
904 MS_DRG Skin Grafts For Injuries With Ccmcc 62 18 — $31,213.00 $3,407.00 $53,789.40 $24,010.20 2026-03-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 62 18 — $32,182.00 $3,407.00 $46,539.03 $24,881.67 2026-03-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 62 18 — $188,194.00 $3,407.00 $261,562.00 $144,765.00 2026-03-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 62 18 — $53,484.00 $3,407.00 $86,945.68 $41,553.20 2026-03-17
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Ccmcc 62 18 — $25,833.00 $3,407.00 $39,041.73 $19,871.70 2026-03-17
92934 CPT Hc Prq Drug Eluting Cor Stent Ather Br 44 9 $21,559.50 — $4,997.00 $30,686.80 $16,114.00 2026-03-17
92941 CPT Hc Prq Trluml Coronry Tot Occlus Revasc Mi One Vsl 49 11 $38,627.10 — $602.70 $51,144.70 $23,176.20 2026-03-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 62 18 — $34,894.00 $3,407.00 $47,204.52 $26,842.20 2026-03-17
93653 CPT Hc Ephys Eval W Ablation Supravent Arrhythmia 85 22 $56,683.30 $26,014.00 54% off $732.22 $53,849.20 $20,211.50 2026-03-17
93654 CPT Hc Ephys Eval W Ablation Ventricular Tachycardia 85 22 $56,683.30 $26,014.00 54% off $977.18 $53,849.20 $20,211.50 2026-03-17
93656 CPT Hc Ephys Evl Trnsptl Tx Atril Fib Isolat Pulm Vein 85 22 $56,683.30 $26,014.00 54% off $977.57 $53,849.20 $20,211.50 2026-03-17
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 62 18 — $25,782.00 $3,407.00 $43,983.77 $21,539.41 2026-03-17
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 17 — $22,869.00 $3,407.00 $42,661.29 $22,984.25 2026-03-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 62 18 — $54,665.00 $3,407.00 $112,447.28 $42,763.96 2026-03-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 63 19 — $30,907.00 $3,407.00 $78,060.40 $24,250.40 2026-03-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 62 18 — $59,691.00 $3,407.00 $92,366.52 $47,015.85 2026-03-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 17 — $27,237.00 $3,407.00 $51,079.84 $27,373.60 2026-03-17
958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 38 13 — $33,178.00 $3,407.00 $41,178.40 $25,522.20 2024-12-19
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Ccmcc 62 18 — $21,592.00 $3,407.00 $35,687.64 $16,942.10 2026-03-17
963 MS_DRG Other Multiple Significant Trauma With Mcc 62 18 — $22,168.00 $3,407.00 $33,138.44 $17,393.60 2026-03-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 62 18 — $50,681.00 $3,407.00 $74,200.87 $39,232.60 2026-03-17
97 EAPG Aicd And Related Cardiac Device Insertion Or Replacement 2 1 — — $29,944.80 $29,944.80 $29,944.80 2024-12-19
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 62 18 — $29,027.00 $3,407.00 $43,781.34 $22,761.58 2026-03-17
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 62 18 — $21,667.00 $3,407.00 $31,969.90 $17,000.40 2026-03-17
974 MS_DRG HIV With Major Related Condition With Mcc 62 18 — $24,298.00 $3,407.00 $37,564.60 $18,882.25 2026-03-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 63 19 — $38,269.00 $3,407.00 $56,872.83 $30,027.00 2026-03-17
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 62 18 — $28,380.00 $3,407.00 $41,558.21 $22,171.21 2026-03-17
C2616 HCPCS Hc (sup Shell C2616) Y90 Brachytherapy 36 14 — $22,330.00 $16,318.20 $26,624.40 $17,177.00 2024-12-19
C9602 HCPCS Hc Perc D-e Cor Stent Ather S 98 20 $79,699.90 $19,206.00 76% off $6,587.00 $75,714.90 $16,361.34 2026-03-17
C9606 HCPCS Hc Prq Drug Eluting Cor Revasc W Ami S 44 9 $53,836.50 — $1,477.00 $51,144.70 $30,687.75 2026-03-17
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