Price Transparencybeta Hospital negotiated rates

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

BROOKWOOD BAPTIST MEDICAL CENTER

Vestavia, AL · CCN 010139 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Tte w/doppler complete

This hospital’s price: $540 across 6 payers · range $495-$900

Source: https://hospitalpricedisclosure.com/Download.aspx?pxi=0sMviNUxoDkTxLGd3rr*_**__*A*-*&f=iFd*_*cEPwhQHJy3lVvHy9uQ*-* · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

12,575 distinct procedures filed
55 distinct payers
252,622 rate rows
2026-04-01 last MRF observed
Data quality

150,361 of 252,622 rate rows are consumer-grade (59.5%)

102,261 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 96,935
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,582
per-diem day rate — not a per-procedure price 1,537
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 115
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 42
percent-of-charges filed in the dollar field — excluded from medians 36
exceeds 10× this hospital's gross charge — excluded from medians 14
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pxi=0sMviNUxoDkTxLGd3rr*_**__*A*-*&f=iFd*_*cEPwhQHJy3lVvHy9uQ*-*
Found on page https://www.baptisthealthal.com/patient-financial-resources/pricing-info-estimates/hospital-pricing-information
Discovered viaCMS hospital list
Last fetch success · 2026-10-20
Content fingerprint 42d2f4a94bfc17a7… · 35,507,973 bytes · first seen 2026-07-06

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
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 42 $454,489.31 $454,489.31 $454,489.31 nat. median
$640,950
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 $4,634.00 $765,501.50 $292,256.25 nat. median
$359,358
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $12,934.00 $496,779.68 $190,331.45 nat. median
$249,124
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $7,760.00 $376,259.12 $164,664.77 nat. median
$190,557
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $7,760.00 $378,480.31 $145,461.12 nat. median
$198,433
0.7× median
C1820
HCPCS 		Gen Pulse Spectra Wavewriter 32 $25,471.00 $254,703.00 $127,352.00 nat. median
$22,969
outlier · 5.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $4,634.00 $289,052.06 $95,038.97 nat. median
$126,722
0.7× median
7
MS_DRG 		Lung Transplant 11 $7,760.00 $229,568.20 $88,979.53 nat. median
$117,894
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $5,763.00 $213,041.31 $82,710.96 nat. median
$110,192
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $12,934.00 $200,878.82 $78,097.79 nat. median
$103,967
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $25,643.00 $200,648.37 $77,624.19 nat. median
$92,655
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $12,934.00 $195,372.81 $75,633.11 nat. median
$93,270
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $12,934.00 $192,765.17 $75,020.33 nat. median
$97,414
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $61,059.61 $173,419.70 $72,385.24 nat. median
$90,581
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $7,760.00 $182,774.23 $71,230.82 nat. median
$94,964
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 11 $12,934.00 $176,507.74 $68,172.24 nat. median
$93,917
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $55,105.75 $149,436.84 $62,646.54 nat. median
$77,043
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $12,934.00 $159,713.18 $62,483.87 nat. median
$78,037
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $54,938.16 $148,967.07 $62,456.01 nat. median
$77,696
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $36,262.44 $138,600.10 $60,699.48 nat. median
$71,758
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $7,760.00 $153,506.96 $60,129.89 nat. median
$78,262
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $7,760.00 $186,240.00 $59,454.41 nat. median
$74,460
0.8× median
38240
HCPCS 		Transplt Allo Hct/donor 8 $2,756.00 $103,563.23 $56,959.78 nat. median
$12,855
outlier · 4.4×
C1882
HCPCS 		Dfib Dc Livian H220 32 $9,577.00 $152,898.00 $56,902.50 nat. median
$27,370
outlier · 2.1×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $12,934.00 $126,400.60 $56,758.30 nat. median
$66,649
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $7,760.00 $135,077.97 $53,139.87 nat. median
$68,004
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $36,655.43 $136,113.22 $53,002.51 nat. median
$72,473
0.7× median
93591
CPT 		Transcath Closure Pvl Aortic 29 $1.00 $88,708.00 $52,870.00 nat. median
$18,518
outlier · 2.9×
10
MS_DRG 		Pancreas Transplant 11 $5,763.00 $127,203.63 $50,153.18 nat. median
$64,903
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 $5,763.00 $127,150.45 $50,133.01 nat. median
$61,329
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $295.00 $127,964.12 $49,942.20 nat. median
$63,648
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $5,763.00 $126,475.05 $49,876.83 nat. median
$66,660
0.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $43,376.65 $116,560.34 $49,312.40 nat. median
$62,038
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 $43,225.50 $116,136.67 $49,140.57 nat. median
$58,118
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $12,934.00 $121,924.53 $48,150.84 nat. median
$63,896
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $4,634.00 $114,067.93 $47,947.43 nat. median
$59,384
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $4,634.00 $122,525.48 $47,899.78 nat. median
$62,721
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $7,760.00 $119,322.21 $47,163.79 nat. median
$61,711
0.8× median
C1721
HCPCS 		Dfib Current Plus Dr Sj4 32 $9,363.00 $93,623.00 $46,812.00 nat. median
$22,368
outlier · 2.1×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 $12,934.00 $118,444.72 $46,599.12 nat. median
$60,543
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 $12,934.00 $118,531.59 $46,399.91 nat. median
$57,560
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $12,934.00 $116,560.34 $45,659.63 nat. median
$59,558
0.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 11 $40,134.17 $107,471.71 $45,626.21 nat. median
$57,804
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 $12,934.00 $233,034.32 $43,861.49 nat. median
$58,331
0.8× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 11 $37,884.60 $101,166.22 $43,068.82 nat. median
$48,456
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 13 $13.00 $110,827.55 $42,637.27 nat. median
$58,216
0.7× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 $12,934.00 $106,479.00 $42,292.43 nat. median
$56,686
0.7× median
28
MS_DRG 		Spinal Procedures With Mcc 13 $10.00 $106,509.13 $41,885.01 nat. median
$54,505
0.8× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 11 $4,634.00 $105,115.79 $41,775.37 nat. median
$53,907
0.8× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 $3,450.00 $525,355.59 $41,660.89 nat. median
$50,905
0.8× median

Other procedures at this hospital

Browse this hospital's 12,575 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
             
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 75 42 — — $454,489.31 $454,489.31 $454,489.31 2024-12-11
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 17 11 — — $4,634.00 $765,501.50 $292,256.25 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 11 — — $12,934.00 $496,779.68 $190,331.45 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 11 — — $7,760.00 $376,259.12 $164,664.77 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 11 — — $7,760.00 $378,480.31 $145,461.12 2026-04-01
C1820 HCPCS Gen Pulse Spectra Wavewriter 53 32 $254,703.00 $191,027.25 25% off $25,471.00 $254,703.00 $127,352.00 2024-12-11
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 12 — — $4,634.00 $289,052.06 $95,038.97 2026-04-01
7 MS_DRG Lung Transplant 17 11 — — $7,760.00 $229,568.20 $88,979.53 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 17 11 — — $5,763.00 $213,041.31 $82,710.96 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 11 — — $12,934.00 $200,878.82 $78,097.79 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 18 11 — — $25,643.00 $200,648.37 $77,624.19 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 11 — — $12,934.00 $195,372.81 $75,633.11 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 11 — — $12,934.00 $192,765.17 $75,020.33 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 11 — — $61,059.61 $173,419.70 $72,385.24 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 11 — — $7,760.00 $182,774.23 $71,230.82 2026-04-01
215 MS_DRG Other Heart Assist System Implant 19 11 — — $12,934.00 $176,507.74 $68,172.24 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 11 — — $55,105.75 $149,436.84 $62,646.54 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 11 — — $12,934.00 $159,713.18 $62,483.87 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 11 — — $54,938.16 $148,967.07 $62,456.01 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 12 — — $36,262.44 $138,600.10 $60,699.48 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 17 11 — — $7,760.00 $153,506.96 $60,129.89 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 11 — — $7,760.00 $186,240.00 $59,454.41 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 11 8 — — $2,756.00 $103,563.23 $56,959.78 2026-04-01
C1882 HCPCS Dfib Dc Livian H220 212 32 $152,025.00 $114,018.75 25% off $9,577.00 $152,898.00 $56,902.50 2024-12-11
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 11 — — $12,934.00 $126,400.60 $56,758.30 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 11 — — $7,760.00 $135,077.97 $53,139.87 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 11 — — $36,655.43 $136,113.22 $53,002.51 2026-04-01
93591 CPT Transcath Closure Pvl Aortic 51 29 $88,708.00 $66,531.00 25% off $1.00 $88,708.00 $52,870.00 2024-12-11
10 MS_DRG Pancreas Transplant 17 11 — — $5,763.00 $127,203.63 $50,153.18 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 17 11 — — $5,763.00 $127,150.45 $50,133.01 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 11 — — $295.00 $127,964.12 $49,942.20 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 11 — — $5,763.00 $126,475.05 $49,876.83 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 11 — — $43,376.65 $116,560.34 $49,312.40 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 11 — — $43,225.50 $116,136.67 $49,140.57 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 11 — — $12,934.00 $121,924.53 $48,150.84 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 11 — — $4,634.00 $114,067.93 $47,947.43 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 11 — — $4,634.00 $122,525.48 $47,899.78 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 11 — — $7,760.00 $119,322.21 $47,163.79 2026-04-01
C1721 HCPCS Dfib Current Plus Dr Sj4 53 32 $93,623.00 $70,217.25 25% off $9,363.00 $93,623.00 $46,812.00 2024-12-11
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 11 — — $12,934.00 $118,444.72 $46,599.12 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 11 — — $12,934.00 $118,531.59 $46,399.91 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 13 — — $12,934.00 $116,560.34 $45,659.63 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 11 — — $40,134.17 $107,471.71 $45,626.21 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 12 — — $12,934.00 $233,034.32 $43,861.49 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 16 11 — — $37,884.60 $101,166.22 $43,068.82 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 13 — — $13.00 $110,827.55 $42,637.27 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 11 — — $12,934.00 $106,479.00 $42,292.43 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 35 13 — — $10.00 $106,509.13 $41,885.01 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 17 11 — — $4,634.00 $105,115.79 $41,775.37 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 12 — — $3,450.00 $525,355.59 $41,660.89 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 13 — — $9,760.00 $118,068.86 $41,584.10 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 11 — — $36,389.53 $96,975.55 $41,369.15 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 11 — — $5,763.00 $103,965.31 $41,339.00 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 34 13 — — $13,356.00 $104,032.67 $40,955.00 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 11 — — $12,934.00 $102,233.38 $40,682.08 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 9 7 — — $3,356.00 $72,520.11 $40,288.95 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 12 — — $5,763.00 $130,641.97 $40,034.31 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 11 — — $5,763.00 $101,035.04 $40,028.41 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 24 11 — — $30,517.53 $105,390.91 $39,972.90 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 11 8 — — $3,955.00 $72,520.11 $39,886.06 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 8 — — $3,955.00 $72,520.11 $39,886.06 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 11 8 — — $3,955.00 $72,520.11 $39,886.06 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 17 11 — — $5,763.00 $99,352.74 $39,589.48 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 11 — — $12,934.00 $150,616.35 $39,509.90 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 11 — — $7,760.00 $98,672.03 $39,136.58 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 11 — — $7,760.00 $97,906.22 $39,040.82 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 17 11 — — $4,634.00 $97,319.46 $38,818.26 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 11 — — $5,763.00 $87,546.56 $38,570.03 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 11 — — $4,634.00 $96,684.83 $38,386.58 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 29 13 — — $9,760.00 $96,837.28 $38,252.85 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 11 — — $7,760.00 $83,171.54 $38,088.94 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 32 13 — — $16.60 $99,610.30 $38,050.47 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 11 — — $29,201.64 $93,120.00 $37,895.79 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 17 11 — — $12,934.00 $94,477.82 $37,740.45 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 11 — — $12,934.00 $94,534.55 $37,575.02 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 11 — — $28,057.23 $73,620.23 $37,350.14 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 11 — — $7,760.00 $93,843.19 $37,314.09 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 11 — — $12,934.00 $92,276.13 $36,905.35 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 28 13 — — $9,760.00 $92,116.58 $36,480.04 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 13 — — $9,760.00 $89,347.63 $35,440.19 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 11 — — $4,634.00 $81,274.75 $35,001.18 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 11 — — $12,934.00 $165,490.00 $34,996.51 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 11 — — $5,763.00 $86,883.57 $34,859.99 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 11 — — $4,634.00 $80,634.80 $34,741.64 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 11 — — $7,760.00 $87,246.98 $34,651.31 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 16 11 — — $30,434.55 $80,283.81 $34,599.28 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 19 11 — — $12,730.00 $85,598.36 $34,032.19 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 13 — — $10.90 $85,165.83 $33,869.75 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 11 — — $12,930.00 $162,847.41 $33,580.17 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 17 11 — — $5,763.00 $83,341.72 $33,516.58 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 11 — — $5,763.00 $82,923.36 $33,357.90 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 11 — — $28,342.50 $81,482.16 $33,271.72 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 17 11 — — $7,760.00 $82,200.10 $33,083.57 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 11 — — $12,934.00 $81,872.15 $32,632.85 2026-04-01
245 MS_DRG Aicd Generator Procedures 19 11 — — $12,934.00 $80,877.66 $32,259.38 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 11 — — $12,934.00 $84,314.14 $32,246.06 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 39 13 — — $6.60 $93,117.66 $32,154.86 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 11 — — $12,934.00 $79,425.82 $32,031.30 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 11 — — $7,760.00 $79,113.83 $31,912.96 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 26 11 — — $5,763.00 $79,448.87 $31,881.43 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 11 — — $7,760.00 $77,871.17 $31,441.62 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 9 7 — — $11,250.45 $56,404.71 $31,335.95 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 17 11 — — $4,634.00 $76,100.24 $30,769.92 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 11 — — $12,934.00 $76,711.82 $30,694.94 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 17 11 — — $12,934.00 $75,610.97 $30,584.35 2026-04-01
69930 HCPCS Implant Cochlear Device 11 8 — — $3,955.00 $54,286.79 $30,460.92 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 17 11 — — $7,760.00 $74,699.81 $30,238.74 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 11 — — $12,934.00 $74,864.67 $30,151.26 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 17 11 — — $4,634.00 $74,393.13 $30,122.42 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 22 11 — — $12,934.00 $75,176.66 $30,118.43 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 11 — — $4,634.00 $74,737.03 $30,103.10 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 22 11 — — $7,760.00 $74,254.86 $29,921.12 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 11 — — $12,934.00 $73,967.68 $29,664.41 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 25 12 — — $2,264.00 $73,914.50 $29,644.44 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 34 13 — — $7,760.00 $73,132.74 $29,350.86 2026-04-01
92929 CPT Cor Stnt Angio Add 39 29 $48,741.00 $36,555.75 25% off $4,875.00 $48,741.00 $29,245.00 2024-12-11
33270 HCPCS Ins/rep Subq Defibrillator 11 8 — — $3,955.00 $51,680.04 $28,998.25 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 11 8 — — $3,955.00 $51,680.04 $28,998.25 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 11 8 — — $3,955.00 $51,680.04 $28,998.25 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 11 8 — — $3,955.00 $51,680.04 $28,998.25 2026-04-01
791 MS_DRG Prematurity With Major Problems 22 11 — — $3,450.00 $71,953.89 $28,908.15 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 9 7 — — $6,852.00 $51,680.04 $28,711.13 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 9 7 — — $6,852.00 $51,680.04 $28,711.13 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 17 11 — — $4,634.00 $70,626.14 $28,693.63 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 27 12 — — $12,934.00 $113,490.02 $28,651.85 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 11 8 — — $3,955.00 $51,680.04 $28,424.02 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 7 5 — — $28,081.07 $86,034.79 $28,366.25 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 23 11 — — $12,934.00 $77,604.00 $28,288.03 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 9 7 — — $5,141.00 $50,805.51 $28,225.28 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 11 — — $24,722.41 $64,272.78 $28,105.48 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 17 11 — — $12,934.00 $69,032.48 $28,089.16 2026-04-01
332 MS_DRG Rectal Resection With Mcc 18 11 — — $4,634.00 $64,184.15 $28,069.53 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 11 8 — — $3,839.00 $50,805.51 $27,943.03 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 11 8 — — $3,955.00 $50,805.51 $27,943.03 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 11 8 — — $3,955.00 $50,805.51 $27,943.03 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 11 8 — — $3,955.00 $50,805.51 $27,943.03 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 11 8 — — $3,955.00 $50,805.51 $27,943.03 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 11 8 — — $3,356.00 $50,805.51 $27,943.03 2026-04-01
61886 HCPCS Implant Neurostim Arrays 11 8 — — $3,955.00 $50,805.51 $27,943.03 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 11 8 — — $3,839.00 $50,805.51 $27,943.03 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 11 8 — — $3,955.00 $50,805.51 $27,943.03 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 12 — — $4,634.00 $69,346.25 $27,928.88 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 11 — — $4,634.00 $63,093.94 $27,627.36 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 11 — — $5,763.00 $72,160.12 $27,591.36 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 34 13 — — $7.00 $68,513.08 $27,477.91 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 11 — — $7,760.00 $77,456.24 $27,445.57 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 11 — — $4,634.00 $63,796.56 $27,341.21 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 17 11 — — $12,934.00 $66,415.98 $27,096.73 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 19 11 — — $7,760.00 $98,307.26 $27,034.21 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 16 11 — — $23,746.57 $61,537.51 $26,996.10 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 11 — — $5,763.00 $66,706.70 $26,937.63 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 12 8 — — $100.00 $159,291.01 $26,896.40 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 12 — — $5,763.00 $66,064.98 $26,830.12 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 38 13 — — $4.90 $68,615.90 $26,824.96 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 17 11 — — $5,763.00 $65,692.72 $26,822.40 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 11 — — $247.42 $74,144.00 $26,769.20 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 16 11 — — $23,539.13 $60,956.06 $26,760.27 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 11 — — $4,634.00 $63,365.16 $26,564.76 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 18 11 — — $4,634.00 $60,397.66 $26,533.79 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 18 11 — — $5,763.00 $65,113.04 $26,470.83 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 27 13 — — $7,760.00 $65,086.45 $26,329.16 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 11 — — $4,634.00 $61,821.14 $26,304.00 2026-04-01
265 MS_DRG Aicd Lead Procedures 17 11 — — $12,934.00 $64,139.83 $26,233.40 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 11 — — $7,760.00 $63,930.65 $26,154.06 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 11 — — $5,763.00 $63,512.30 $26,103.55 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 11 — — $2,529.52 $112,848.80 $26,060.72 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 19 11 — — $4,634.00 $64,322.42 $26,042.23 2026-04-01
93613 HCPCS Electrophys Map 3d Add-on 3 1 — — $18,784.00 $33,046.00 $26,006.00 2026-04-01
93609 HCPCS Map Tachycardia Add-on 3 1 — — $18,784.00 $33,046.00 $26,006.00 2026-04-01
93655 HCPCS Ablate Arrhythmia Add On 3 1 — — $18,784.00 $33,046.00 $26,006.00 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 9 7 — — $18,784.00 $43,034.55 $26,006.00 2026-04-01
93621 HCPCS Electrophysiology Evaluation 3 1 — — $18,784.00 $33,046.00 $26,006.00 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 9 7 — — $18,784.00 $43,034.55 $26,006.00 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 9 7 — — $18,784.00 $43,034.55 $26,006.00 2026-04-01
93631 HCPCS Heart Pacing Mapping 3 1 — — $18,784.00 $33,046.00 $26,006.00 2026-04-01
93623 HCPCS Stimulation Pacing Heart 3 1 — — $18,784.00 $33,046.00 $26,006.00 2026-04-01
93622 HCPCS Electrophysiology Evaluation 3 1 — — $18,784.00 $33,046.00 $26,006.00 2026-04-01
93657 HCPCS Tx L/r Atrial Fib Addl 3 1 — — $18,784.00 $33,046.00 $26,006.00 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 11 8 — — $3,955.00 $47,225.57 $25,974.06 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 28 11 — — $3,450.00 $72,450.00 $25,891.36 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 17 11 — — $4,634.00 $63,207.39 $25,879.74 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 16 11 — — $22,683.45 $58,557.60 $25,787.50 2026-04-01
J9266 HCPCS Pegaspargase Per 5ml Ij 75 42 $229,028.00 $171,771.00 25% off $22,903.00 $229,028.00 $25,762.46 2024-12-11
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 11 — — $7,760.00 $63,154.21 $25,731.55 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 22 11 — — $4,634.00 $63,301.34 $25,658.78 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 26 11 — — $7,760.00 $166,031.40 $25,561.59 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 11 — — $12,934.00 $62,516.04 $25,363.87 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 20 11 — — $21,534.42 $61,837.09 $25,108.90 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 11 — — $4,634.00 $61,239.69 $25,008.97 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 11 — — $3,450.00 $60,775.25 $24,833.68 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 16 11 — — $21,807.54 $56,102.41 $24,791.72 2026-04-01
22630 HCPCS Lumbar Spine Fusion 11 8 — — $3,356.00 $44,674.68 $24,571.07 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 11 8 — — $3,529.00 $44,674.68 $24,571.07 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 11 8 — — $3,186.00 $44,674.68 $24,571.07 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 11 8 — — $2,756.00 $44,674.68 $24,571.07 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 11 8 — — $2,666.00 $44,674.68 $24,571.07 2026-04-01
22558 HCPCS Lumbar Spine Fusion 11 8 — — $3,356.00 $44,674.68 $24,571.07 2026-04-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 11 8 — — $3,955.00 $44,674.68 $24,571.07 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 11 8 — — $3,955.00 $44,674.68 $24,571.07 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 19 11 — — $12,934.00 $94,755.78 $24,539.91 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 11 8 — — $3,955.00 $44,318.16 $24,374.99 2026-04-01
5463 OTHER Level 3 Neurostimulator And Related Procedures 3 2 — — $6,561.18 $35,217.33 $24,323.05 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 19 11 — — $7,760.00 $56,592.40 $24,274.88 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 21 11 — — $7,760.00 $59,218.82 $24,125.63 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 20 11 — — $7,760.00 $194,000.00 $23,921.78 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 27 11 — — $221.10 $58,351.97 $23,800.09 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 19 11 — — $4,634.00 $57,345.07 $23,656.19 2026-04-01
652 MS_DRG Kidney Transplant 17 11 — — $5,763.00 $57,249.35 $23,619.88 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 18 11 — — $5,763.00 $57,408.89 $23,563.16 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 17 11 — — $4,634.00 $57,095.12 $23,561.38 2026-04-01
C2621 HCPCS Pm Syncra Crt-p C2tr01 52 31 $47,109.00 $35,331.75 25% off $4,711.00 $47,109.00 $23,555.00 2024-12-11
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 22 11 — — $5,763.00 $57,662.39 $23,541.13 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 26 11 — — $3,450.00 $55,200.00 $23,455.97 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 11 8 — — $3,955.00 $47,741.00 $23,397.92 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 11 8 — — $3,955.00 $47,741.00 $23,397.92 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 11 8 — — $3,955.00 $47,741.00 $23,397.92 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 11 8 — — $3,955.00 $47,741.00 $23,397.92 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 29 12 — — $12,934.00 $93,294.52 $23,392.01 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 11 — — $4,634.00 $57,206.80 $23,370.04 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 17 11 — — $20,407.89 $56,494.18 $23,333.44 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 11 — — $12,934.00 $56,910.76 $23,258.86 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 11 — — $12,934.00 $88,810.00 $23,257.41 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 18 11 — — $7,638.00 $56,325.77 $23,154.38 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 24 11 — — $4,634.00 $65,053.48 $23,090.39 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 19 11 — — $5,763.00 $56,439.22 $23,081.78 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 18 11 — — $5,763.00 $56,017.32 $23,037.96 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 17 11 — — $5,763.00 $55,700.01 $23,032.22 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 16 11 — — $20,259.34 $51,762.84 $23,031.67 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 18 11 — — $17,458.10 $93,269.56 $22,902.25 2026-04-01
665 MS_DRG Prostatectomy With Mcc 17 11 — — $3,450.00 $55,329.51 $22,891.69 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 22 12 — — $618.03 $116,713.79 $22,863.43 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 11 — — $4,572.80 $55,831.19 $22,853.44 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 18 11 — — $3,450.00 $51,160.12 $22,787.21 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 22 11 — — $7,760.00 $43,328.33 $22,762.13 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 11 — — $7,760.00 $56,173.27 $22,698.08 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 11 — — $7,760.00 $61,104.00 $22,621.77 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 17 11 — — $6,934.08 $54,271.21 $22,490.29 2026-04-01
263 MS_DRG Vein Ligation And Stripping 17 11 — — $5,763.00 $54,198.53 $22,462.71 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 17 11 — — $5,763.00 $53,537.31 $22,211.92 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 17 11 — — $4,634.00 $53,478.81 $22,189.73 2026-04-01
92941 CPT Revas Perc Trans Occl Mi 42 32 $37,018.00 $27,763.50 25% off $3,702.00 $37,018.00 $22,137.00 2024-12-11
503 MS_DRG Foot Procedures With Mcc 16 11 — — $19,444.13 $49,477.83 $22,104.92 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 11 — — $5,763.00 $53,544.40 $21,994.66 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 17 11 — — $5,763.00 $52,762.64 $21,918.09 2026-04-01
0DL70CZ OTHER Occlusion Of Stomach, Pylorus With Extraluminal Device, Open Approach 2 1 — — $21,198.00 $22,259.00 $21,728.50 2024-12-11
0DL70DZ OTHER Occlusion Of Stomach, Pylorus With Intraluminal Device, Open Approach 2 1 — — $21,198.00 $22,259.00 $21,728.50 2024-12-11
0D168K9 OTHER Bypass Stomach To Duodenum With Nonautologous Tissue Substitute, Via Natural Or … 2 1 — — $21,198.00 $22,259.00 $21,728.50 2024-12-11
0DL64DZ OTHER Occlusion Of Stomach With Intraluminal Device, Percutaneous Endoscopic Approach 2 1 — — $21,198.00 $22,259.00 $21,728.50 2024-12-11
0D160ZB OTHER Bypass Stomach To Ileum, Open Approach 2 1 — — $21,198.00 $22,259.00 $21,728.50 2024-12-11
0D160JA OTHER Bypass Stomach To Jejunum With Synthetic Substitute, Open Approach 2 1 — — $21,198.00 $22,259.00 $21,728.50 2024-12-11
0D164JB OTHER Bypass Stomach To Ileum With Synthetic Substitute, Percutaneous Endoscopic Appro… 2 1 — — $21,198.00 $22,259.00 $21,728.50 2024-12-11
5213 OTHER Level 3 Electrophysiologic Procedures 15 10 — — $16,807.17 $84,490.36 $21,706.53 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 17 11 — — $5,763.00 $52,190.06 $21,700.92 2026-04-01
570 MS_DRG Skin Debridement With Mcc 18 11 — — $3,450.00 $52,136.88 $21,573.41 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 28 11 — — $11,362.53 $52,225.51 $21,499.37 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 23 12 — — $12,934.00 $88,652.68 $21,484.36 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 18 11 — — $4,634.00 $47,816.81 $21,431.23 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 17 11 — — $5,763.00 $51,411.85 $21,405.74 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 22 11 — — $7,760.00 $51,626.34 $21,380.73 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 20 11 — — $4,634.00 $157,556.00 $21,333.39 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 17 11 — — $3,450.00 $51,085.67 $21,282.02 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 18 11 — — $5,763.00 $46,988.96 $21,095.47 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 22 11 — — $12,934.00 $50,880.04 $20,994.09 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 24 11 — — $4,634.00 $56,934.29 $20,862.94 2026-04-01
800 MS_DRG Splenic Procedures With Cc 17 11 — — $5,763.00 $49,802.23 $20,795.22 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 17 11 — — $7,760.00 $49,623.19 $20,727.31 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 25 11 — — $5,763.00 $61,635.62 $20,443.57 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 25 11 — — $125.00 $112,197.00 $20,439.34 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 18 11 — — $12,934.00 $45,257.03 $20,393.02 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 9 7 — — $6,852.00 $36,622.83 $20,346.01 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 9 7 — — $6,852.00 $36,622.83 $20,346.01 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 9 7 — — $6,852.00 $36,622.83 $20,346.01 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 20 11 — — $12,729.96 $49,137.47 $20,339.69 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 17 11 — — $4,634.00 $48,462.07 $20,286.91 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 25 12 — — $7,760.00 $48,726.20 $20,185.24 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 20 11 — — $27.49 $48,713.80 $20,180.58 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 11 8 — — $3,955.00 $36,622.83 $20,142.55 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 11 8 — — $3,955.00 $36,622.83 $20,142.55 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 11 8 — — $3,955.00 $36,622.83 $20,142.55 2026-04-01
849 MS_DRG Radiotherapy 17 11 — — $3,450.00 $48,031.31 $20,123.52 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 19 11 — — $5,763.00 $124,251.00 $20,060.38 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 18 11 — — $3,450.00 $47,972.81 $20,001.82 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 27 11 — — $12,934.00 $48,231.62 $19,999.51 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 17 11 — — $12,934.00 $47,153.82 $19,790.70 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 17 11 — — $4,634.00 $46,753.19 $19,638.74 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 7 6 — — $19,084.98 $31,779.00 $19,602.70 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 5 2 — — $3,955.00 $34,355.00 $19,528.00 2026-04-01
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 5 2 — — $3,955.00 $34,355.00 $19,528.00 2026-04-01
C9603 HCPCS Perc D-e Cor Stent Ather Br 5 2 — — $3,955.00 $34,355.00 $19,528.00 2026-04-01
C9601 HCPCS Perc Drug-el Cor Stent Bran 5 2 — — $3,955.00 $34,355.00 $19,528.00 2026-04-01
C9608 HCPCS Perc D-e Cor Revasc Chro Add 5 2 — — $3,955.00 $34,355.00 $19,528.00 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 16 11 — — $17,111.09 $42,938.34 $19,452.60 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 16 11 — — $17,061.13 $42,798.30 $19,395.81 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 17 11 — — $4,634.00 $45,957.25 $19,336.84 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 11 8 — — $3,955.00 $34,355.00 $19,282.97 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 11 8 — — $3,955.00 $34,355.00 $19,282.97 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 19 11 — — $4,634.00 $45,785.30 $19,271.62 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 18 11 — — $7,760.00 $42,454.39 $19,256.32 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 19 11 — — $350.00 $45,721.48 $19,247.42 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 25 12 — — $7,760.00 $90,538.00 $19,166.03 2026-04-01
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