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Hospital

SILOAM SPRINGS REGIONAL HOSPITAL

Siloam Springs, AR · CCN 040001 · Rates published

3,128 distinct procedures filed
41 distinct payers
128,152 rate rows
2026-07-17 last MRF observed
Data quality

108,455 of 128,152 rate rows are consumer-grade (84.6%)

19,697 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 11,487
per-diem day rate — not a per-procedure price 7,751
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 225
placeholder amount (≤ $0.02) — excluded from medians 159
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 40
exceeds 10× this hospital's gross charge — excluded from medians 27
template filing: same amount across many unrelated codes — excluded 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.northwesthealth.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/263635210_siloam-springs-regional-hospital_standardcharges.csv
Found on page https://www.northwesthealth.com/pricing-information
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint 9f16b62774994236… · 71,328,697 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $3,930.00 $680,480.18 $456,698.11 nat. median
$168,055
outlier · 2.7×
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $300,248.00 $353,976.59 $327,112.30 nat. median
$292,587
1.1× median
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 $299,547.42 $353,150.65 $326,349.04 nat. median
$220,794
1.5× median
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 2 $266,839.29 $314,589.48 $290,714.39 nat. median
$27,663
outlier · 10.5×
7
MS_DRG 		Lung Transplant 16 $3,930.00 $463,127.69 $255,727.84 nat. median
$70,649
outlier · 3.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $3,930.00 $365,852.01 $196,798.46 nat. median
$186,516
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $3,930.00 $278,730.78 $146,016.57 nat. median
$131,925
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $3,930.00 $277,094.99 $145,692.64 nat. median
$145,435
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $3,930.00 $195,921.20 $130,193.19 nat. median
$97,418
1.3× median
266
OTHER 		Acute Leukemia Without Major O.r. Procedures Age 0-17 2 $97,378.13 $114,803.68 $106,090.90 nat. median
$26,720
outlier · 4.0×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $3,930.00 $147,936.65 $98,761.86 nat. median
$65,418
1.5× median
835
OTHER 		Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 2 $87,761.99 $103,466.77 $95,614.38 nat. median
$58
outlier · 1655.7×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 18 $3,930.00 $133,682.92 $87,960.40 nat. median
$41,943
outlier · 2.1×
955
OTHER 		Craniotomy For Multiple Significant Trauma 2 $80,649.95 $95,082.05 $87,866.00 nat. median
$64,471
1.4× median
215
OTHER 		Other Heart Assist System Implant 2 $77,898.60 $91,838.35 $84,868.48 nat. median
$229
outlier · 371.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $3,930.00 $156,893.68 $83,728.23 nat. median
$72,715
1.2× median
414
OTHER 		Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 $71,598.55 $84,410.92 $78,004.74 nat. median
$20,056
outlier · 3.9×
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 18 $3,930.00 $141,961.38 $75,172.42 nat. median
$74,509
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $3,930.00 $141,625.29 $73,494.32 nat. median
$69,922
1.1× median
974
OTHER 		HIV With Major Related Condition With Mcc 2 $65,458.81 $77,172.49 $71,315.65 nat. median
$15,490
outlier · 4.6×
622
OTHER 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 $63,882.92 $75,314.60 $69,598.76 nat. median
$21,747
outlier · 3.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $39,027.00 $127,714.45 $69,134.60 nat. median
$69,822
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 18 $3,930.00 $129,988.64 $68,970.75 nat. median
$73,023
0.9× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 16 $3,930.00 $99,587.14 $66,844.99 nat. median
$32,772
outlier · 2.0×
6
MS_DRG 		Liver Transplant Without Mcc 16 $3,930.00 $102,248.72 $64,103.18 nat. median
$31,278
outlier · 2.0×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 18 $3,930.00 $93,781.30 $62,328.43 nat. median
$47,121
1.3× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 $51,211.62 $90,882.30 $62,200.65 nat. median
$49,569
1.3× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 14 $3,930.00 $92,627.83 $60,957.72 nat. median
$2,106
outlier · 29.0×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $43,909.81 $109,706.39 $60,206.18 nat. median
$59,651
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $35,250.00 $110,052.34 $59,804.81 nat. median
$60,505
1.0× median
570
MS_DRG 		Skin Debridement With Mcc 18 $3,930.00 $87,367.55 $57,497.94 nat. median
$20,813
outlier · 2.8×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 $3,930.00 $102,727.19 $55,935.37 nat. median
$56,428
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $33,991.00 $100,240.21 $54,621.68 nat. median
$55,923
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $21,402.00 $99,808.09 $54,393.42 nat. median
$55,935
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 $3,930.00 $99,477.79 $53,166.69 nat. median
$52,327
1.0× median
515
OTHER 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 $48,702.91 $57,418.17 $53,060.54 nat. median
$17,041
outlier · 3.1×
613
OTHER 		Neonate, Birth Weight <750 Grams, Died 2 $48,576.28 $57,268.88 $52,922.58 nat. median
$45,113
1.2× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 $29,013.86 $93,087.37 $51,343.93 nat. median
$51,518
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 $3,930.00 $93,142.20 $50,371.31 nat. median
$45,605
1.1× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 $3,930.00 $93,639.60 $50,142.60 nat. median
$37,013
1.4× median
10
MS_DRG 		Pancreas Transplant 16 $3,930.00 $93,678.77 $49,673.72 nat. median
$23,080
outlier · 2.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 18 $3,930.00 $90,233.55 $48,378.32 nat. median
$48,611
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 18 $3,930.00 $87,874.51 $47,699.18 nat. median
$47,340
1.0× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 $34,291.47 $85,528.53 $47,313.08 nat. median
$43,299
1.1× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $34,128.22 $85,840.54 $47,015.22 nat. median
$45,446
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $36,398.59 $85,840.54 $47,015.22 nat. median
$47,458
1.0× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 $3,930.00 $70,515.65 $46,870.04 nat. median
$32,992
1.4× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 14 $3,930.00 $69,941.08 $46,036.23 nat. median
$2,106
outlier · 21.9×
318
OTHER 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 $42,035.72 $49,557.91 $45,796.82 nat. median
$46,855
1.0× median
163
MS_DRG 		Major Chest Procedures With Mcc 18 $3,930.00 $68,004.09 $45,201.29 nat. median
$31,995
1.4× median

Other procedures at this hospital

Browse this hospital's 3,128 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 17 — — $3,930.00 $680,480.18 $456,698.11 2026-07-17
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $300,248.00 $353,976.59 $327,112.30 2026-07-17
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 2 — — $299,547.42 $353,150.65 $326,349.04 2026-07-17
166 OTHER Other Respiratory System O.r. Procedures With Mcc 2 2 — — $266,839.29 $314,589.48 $290,714.39 2026-07-17
7 MS_DRG Lung Transplant 16 16 — — $3,930.00 $463,127.69 $255,727.84 2026-07-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 17 — — $3,930.00 $365,852.01 $196,798.46 2026-07-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 18 — — $3,930.00 $278,730.78 $146,016.57 2026-07-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 18 — — $3,930.00 $277,094.99 $145,692.64 2026-07-17
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 18 — — $3,930.00 $195,921.20 $130,193.19 2026-07-17
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 2 2 — — $97,378.13 $114,803.68 $106,090.90 2026-07-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 16 — — $3,930.00 $147,936.65 $98,761.86 2026-07-17
835 OTHER Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 2 2 — — $87,761.99 $103,466.77 $95,614.38 2026-07-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 18 — — $3,930.00 $133,682.92 $87,960.40 2026-07-17
955 OTHER Craniotomy For Multiple Significant Trauma 2 2 — — $80,649.95 $95,082.05 $87,866.00 2026-07-17
215 OTHER Other Heart Assist System Implant 2 2 — — $77,898.60 $91,838.35 $84,868.48 2026-07-17
14 MS_DRG Allogeneic Bone Marrow Transplant 16 16 — — $3,930.00 $156,893.68 $83,728.23 2026-07-17
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 — — $71,598.55 $84,410.92 $78,004.74 2026-07-17
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 18 18 — — $3,930.00 $141,961.38 $75,172.42 2026-07-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 16 — — $3,930.00 $141,625.29 $73,494.32 2026-07-17
974 OTHER HIV With Major Related Condition With Mcc 2 2 — — $65,458.81 $77,172.49 $71,315.65 2026-07-17
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $63,882.92 $75,314.60 $69,598.76 2026-07-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 16 — — $39,027.00 $127,714.45 $69,134.60 2026-07-17
215 MS_DRG Other Heart Assist System Implant 18 18 — — $3,930.00 $129,988.64 $68,970.75 2026-07-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 16 — — $3,930.00 $99,587.14 $66,844.99 2026-07-17
6 MS_DRG Liver Transplant Without Mcc 16 16 — — $3,930.00 $102,248.72 $64,103.18 2026-07-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 18 — — $3,930.00 $93,781.30 $62,328.43 2026-07-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 15 — — $51,211.62 $90,882.30 $62,200.65 2026-07-17
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 14 14 — — $3,930.00 $92,627.83 $60,957.72 2026-07-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 15 — — $43,909.81 $109,706.39 $60,206.18 2026-07-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 16 — — $35,250.00 $110,052.34 $59,804.81 2026-07-17
570 MS_DRG Skin Debridement With Mcc 18 18 — — $3,930.00 $87,367.55 $57,497.94 2026-07-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 18 — — $3,930.00 $102,727.19 $55,935.37 2026-07-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 16 — — $33,991.00 $100,240.21 $54,621.68 2026-07-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 16 — — $21,402.00 $99,808.09 $54,393.42 2026-07-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 18 — — $3,930.00 $99,477.79 $53,166.69 2026-07-17
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 2 — — $48,702.91 $57,418.17 $53,060.54 2026-07-17
613 OTHER Neonate, Birth Weight <750 Grams, Died 2 2 — — $48,576.28 $57,268.88 $52,922.58 2026-07-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 15 — — $29,013.86 $93,087.37 $51,343.93 2026-07-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 17 — — $3,930.00 $93,142.20 $50,371.31 2026-07-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 18 — — $3,930.00 $93,639.60 $50,142.60 2026-07-17
10 MS_DRG Pancreas Transplant 16 16 — — $3,930.00 $93,678.77 $49,673.72 2026-07-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 18 — — $3,930.00 $90,233.55 $48,378.32 2026-07-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 18 — — $3,930.00 $87,874.51 $47,699.18 2026-07-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 15 — — $34,291.47 $85,528.53 $47,313.08 2026-07-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 16 — — $36,398.59 $85,840.54 $47,015.22 2026-07-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 16 — — $34,128.22 $85,840.54 $47,015.22 2026-07-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 18 — — $3,930.00 $70,515.65 $46,870.04 2026-07-17
459 MS_DRG Spinal Fusion Except Cervical With Mcc 14 14 — — $3,930.00 $69,941.08 $46,036.23 2026-07-17
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 2 — — $42,035.72 $49,557.91 $45,796.82 2026-07-17
163 MS_DRG Major Chest Procedures With Mcc 18 18 — — $3,930.00 $68,004.09 $45,201.29 2026-07-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 15 — — $33,069.13 $80,006.26 $44,368.29 2026-07-17
276 MS_DRG Non-maligant Breast Disorders 15 15 — — $23,179.45 $78,416.16 $43,519.76 2026-07-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 16 — — $31,467.12 $79,147.24 $43,479.44 2026-07-17
653 MS_DRG Major Bladder Procedures With Mcc 15 15 — — $26,971.26 $67,839.00 $43,413.72 2026-07-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 15 — — $38,155.14 $77,848.27 $43,216.68 2026-07-17
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 14 14 — — $3,930.00 $64,689.47 $42,582.15 2026-07-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 15 — — $26,473.32 $76,614.57 $42,558.29 2026-07-17
28 MS_DRG Spinal Procedures With Mcc 18 18 — — $3,930.00 $78,438.36 $42,268.63 2026-07-17
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 16 16 — — $3,930.00 $77,412.23 $42,158.52 2026-07-17
595 OTHER Major Skin Disorders With Mcc 2 2 — — $38,652.31 $45,569.04 $42,110.68 2026-07-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 17 — — $3,930.00 $77,592.39 $41,425.44 2026-07-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 18 — — $3,930.00 $76,564.96 $41,298.24 2026-07-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 18 — — $3,930.00 $74,809.07 $40,388.72 2026-07-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 18 — — $3,930.00 $74,406.97 $40,180.44 2026-07-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 15 — — $29,398.41 $71,417.38 $39,784.66 2026-07-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 15 — — $25,885.94 $71,315.55 $39,730.33 2026-07-17
J7330 HCPCS Cult Chondro Implant 31 26 $72,181.30 $21,654.39 70% off $6,862.10 $72,181.30 $39,699.72 2026-07-17
278 MS_DRG Cellulitis Age >17 Without Cc 18 18 — — $3,930.00 $72,666.74 $39,279.03 2026-07-17
52 OTHER Spinal Disorders And Injuries With Cc/mcc 2 2 — — $35,927.34 $42,356.44 $39,141.89 2026-07-17
213 OTHER Splenic Procedures Age 0-17 2 2 — — $35,800.13 $42,206.47 $39,003.30 2026-07-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 18 — — $3,930.00 $72,102.77 $38,986.90 2026-07-17
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 18 18 — — $3,930.00 $71,670.64 $38,763.06 2026-07-17
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 16 16 — — $3,930.00 $70,918.68 $38,760.99 2026-07-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 18 — — $3,930.00 $71,203.28 $38,520.99 2026-07-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 16 — — $33,991.00 $69,619.70 $38,498.53 2026-07-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 15 — — $36,959.24 $68,882.10 $38,436.22 2026-07-17
7 OTHER Lung Transplant 2 2 — — $34,999.34 $41,262.38 $38,130.86 2026-07-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 18 — — $3,930.00 $69,110.55 $37,436.99 2026-07-17
471 MS_DRG Cervical Spinal Fusion With Mcc 15 15 — — $20,944.89 $63,038.68 $37,258.04 2026-07-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 18 — — $3,930.00 $67,956.50 $36,839.21 2026-07-17
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 2 — — $33,588.47 $39,599.03 $36,593.75 2026-07-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 16 — — $31,180.20 $65,799.81 $36,426.03 2026-07-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 15 — — $24,571.69 $65,110.50 $36,418.82 2026-07-17
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $33,292.36 $39,249.94 $36,271.15 2026-07-17
64473 CPT Lwr Xtr Fscl Pln Blk Uni Njx 25 23 $74,879.77 $22,463.93 70% off $101.99 $63,647.80 $35,942.29 2026-07-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 18 — — $3,930.00 $64,588.31 $35,785.82 2026-07-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 18 — — $3,930.00 $64,473.42 $35,035.02 2026-07-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 18 — — $3,930.00 $64,252.79 $34,920.75 2026-07-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 15 — — $26,047.08 $62,152.24 $34,840.05 2026-07-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 18 — — $3,930.00 $63,985.17 $34,782.13 2026-07-17
277 MS_DRG Cellulitis Age >17 W Cc 15 15 — — $18,848.01 $60,294.52 $33,848.64 2026-07-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 17 17 — — $3,930.00 $61,376.78 $33,751.18 2026-07-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 15 — — $22,212.22 $60,007.31 $33,695.35 2026-07-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 18 — — $3,930.00 $61,251.45 $33,366.10 2026-07-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 18 — — $3,930.00 $61,068.68 $33,271.44 2026-07-17
799 MS_DRG Splenectomy With Mcc 15 15 — — $18,027.63 $59,124.79 $33,224.38 2026-07-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 18 — — $3,930.00 $59,854.56 $32,642.56 2026-07-17
245 MS_DRG Aicd Generator Procedures 18 18 — — $3,930.00 $59,562.13 $32,491.08 2026-07-17
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 14 14 — — $3,930.00 $49,314.26 $32,469.60 2026-07-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 18 — — $3,930.00 $59,383.28 $32,398.43 2026-07-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 18 — — $3,930.00 $59,357.17 $32,384.90 2026-07-17
317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 2 — — $29,389.23 $34,648.36 $32,018.79 2026-07-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 18 — — $3,930.00 $58,492.93 $31,937.25 2026-07-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 18 — — $3,930.00 $58,263.16 $31,818.22 2026-07-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 18 — — $3,930.00 $57,348.00 $31,344.18 2026-07-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 15 — — $23,295.71 $55,133.88 $31,094.51 2026-07-17
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 18 18 — — $3,930.00 $56,494.21 $30,901.94 2026-07-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 15 — — $20,304.35 $54,684.78 $30,854.84 2026-07-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 15 — — $29,571.12 $54,473.29 $30,752.57 2026-07-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 18 — — $3,930.00 $55,039.88 $30,739.97 2026-07-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 18 — — $3,930.00 $56,043.81 $30,668.64 2026-07-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 15 — — $25,320.20 $54,217.41 $30,605.41 2026-07-17
140 MS_DRG Major Head And Neck Procedures With Mcc 18 18 — — $3,930.00 $55,683.49 $30,482.00 2026-07-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 15 — — $20,854.68 $53,858.40 $30,413.79 2026-07-17
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 2 2 — — $27,674.58 $32,626.87 $30,150.72 2026-07-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 18 — — $3,930.00 $55,012.46 $30,134.42 2026-07-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 18 — — $3,930.00 $54,851.89 $30,051.24 2026-07-17
901 MS_DRG Wound Debridements For Injuries With Mcc 18 18 — — $3,930.00 $54,786.61 $30,017.44 2026-07-17
793 MS_DRG Full Term Neonate With Major Problems 17 17 — — $3,930.00 $54,434.13 $29,551.04 2026-07-17
324 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 2 2 — — $27,072.92 $31,917.54 $29,495.23 2026-07-17
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 2 2 — — $27,027.05 $31,863.46 $29,445.25 2026-07-17
904 OTHER Skin Grafts For Injuries With Cc/mcc 2 2 — — $26,758.71 $31,547.11 $29,152.91 2026-07-17
791 MS_DRG Prematurity With Major Problems 17 17 — — $3,930.00 $52,990.25 $28,810.68 2026-07-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 18 — — $3,930.00 $52,012.43 $28,580.47 2026-07-17
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 18 18 — — $3,930.00 $42,592.31 $28,316.94 2026-07-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 18 — — $3,930.00 $51,069.85 $28,092.22 2026-07-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 18 — — $3,930.00 $50,838.78 $27,972.53 2026-07-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 18 — — $3,930.00 $50,531.99 $27,813.62 2026-07-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 18 — — $3,930.00 $50,456.27 $27,774.40 2026-07-17
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 15 — — $17,442.66 $48,911.86 $27,773.96 2026-07-17
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 18 — — $3,930.00 $50,407.97 $27,749.38 2026-07-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 15 — — $23,555.35 $48,795.67 $27,711.94 2026-07-17
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 15 — — $17,722.47 $48,790.45 $27,709.15 2026-07-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 18 — — $3,930.00 $49,125.96 $27,614.79 2026-07-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 18 — — $3,930.00 $50,122.06 $27,601.28 2026-07-17
862 OTHER Postoperative And Post-traumatic Infections With Mcc 2 2 — — $25,229.74 $29,744.53 $27,487.14 2026-07-17
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 15 — — $22,158.77 $47,932.74 $27,251.41 2026-07-17
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 17 17 — — $3,930.00 $48,379.22 $26,950.66 2026-07-17
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 14 — — $18,818.73 $47,333.51 $26,938.40 2026-07-17
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 18 — — $3,930.00 $48,653.37 $26,840.52 2026-07-17
64486 CPT Tap Block Unil By Injection 26 24 $57,234.22 $17,170.27 70% off $95.01 $48,649.09 $26,757.00 2026-07-17
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 15 — — $18,491.22 $46,509.74 $26,491.98 2026-07-17
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 18 18 — — $3,930.00 $47,952.32 $26,477.39 2026-07-17
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 15 — — $20,896.50 $46,427.50 $26,448.09 2026-07-17
64488 CPT Tap Block Bi Injection 26 24 $56,328.47 $16,898.54 70% off $110.05 $47,879.20 $26,333.56 2026-07-17
22 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 2 2 — — $24,084.55 $28,394.41 $26,239.48 2026-07-17
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 18 — — $3,930.00 $47,370.07 $26,175.82 2026-07-17
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 14 14 — — $3,930.00 $39,669.00 $26,125.74 2026-07-17
332 MS_DRG Rectal Resection With Mcc 18 18 — — $3,930.00 $47,268.24 $26,123.06 2026-07-17
265 MS_DRG Aicd Lead Procedures 18 18 — — $3,930.00 $47,235.60 $26,106.15 2026-07-17
634 OTHER Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 2 2 — — $23,962.02 $28,249.96 $26,105.99 2026-07-17
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 18 — — $3,930.00 $47,152.05 $26,062.88 2026-07-17
279 MS_DRG Cellulitis Age 0-17 18 18 — — $3,930.00 $47,081.55 $26,026.36 2026-07-17
252 MS_DRG Other Vascular Procedures With Mcc 15 15 — — $21,814.21 $45,539.76 $25,974.32 2026-07-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 18 18 — — $3,930.00 $46,773.45 $25,866.78 2026-07-17
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 15 15 — — $14,189.72 $45,319.13 $25,856.58 2026-07-17
398 OTHER Major Head And Neck Procedures Without Cc/mcc 2 2 — — $23,732.32 $27,979.15 $25,855.74 2026-07-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 18 — — $3,930.00 $46,665.10 $25,810.64 2026-07-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 18 — — $3,930.00 $46,618.10 $25,786.30 2026-07-17
460 OTHER Spinal Fusion Except Cervical Without Mcc 2 2 — — $23,644.96 $27,876.17 $25,760.56 2026-07-17
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 18 — — $3,930.00 $46,548.91 $25,750.45 2026-07-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 18 — — $3,930.00 $46,465.36 $25,707.18 2026-07-17
518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 2 — — $23,579.08 $27,798.49 $25,688.79 2026-07-17
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 18 — — $3,930.00 $46,039.76 $25,486.75 2026-07-17
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 18 — — $3,930.00 $45,945.77 $25,438.03 2026-07-17
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 18 — — $3,930.00 $45,528.01 $25,221.64 2026-07-17
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $23,123.85 $27,261.81 $25,192.83 2026-07-17
468 OTHER Revision Of Hip Or Knee Replacement Without Cc/mcc 2 2 — — $23,021.03 $27,140.58 $25,080.81 2026-07-17
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 18 — — $3,930.00 $45,099.80 $24,999.83 2026-07-17
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 18 — — $3,930.00 $44,757.76 $24,822.66 2026-07-17
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 18 — — $3,930.00 $44,538.44 $24,709.06 2026-07-17
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 15 15 — — $17,145.32 $43,124.58 $24,685.40 2026-07-17
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 18 18 — — $3,930.00 $44,479.69 $24,678.62 2026-07-17
472 OTHER Cervical Spinal Fusion With Cc 2 2 — — $22,599.15 $26,643.21 $24,621.18 2026-07-17
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 15 15 — — $15,411.94 $42,973.14 $24,604.56 2026-07-17
37 MS_DRG Extracranial Procedures With Mcc 18 18 — — $3,930.00 $42,978.37 $24,366.11 2026-07-17
483 OTHER Major Joint Or Limb Reattachment Procedures Of Upper Extremities 2 2 — — $22,288.43 $26,276.89 $24,282.66 2026-07-17
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 15 — — $12,020.56 $42,278.62 $24,233.92 2026-07-17
264 MS_DRG Other Circulatory System O.r. Procedures 18 18 — — $3,930.00 $43,611.53 $24,228.94 2026-07-17
652 MS_DRG Kidney Transplant 16 16 — — $3,930.00 $42,161.12 $24,179.09 2026-07-17
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $22,026.12 $25,967.64 $23,996.88 2026-07-17
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 15 — — $16,994.83 $41,682.00 $23,915.51 2026-07-17
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 15 — — $22,972.87 $41,604.98 $23,890.40 2026-07-17
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 15 15 — — $22,952.13 $41,564.51 $23,868.82 2026-07-17
362 OTHER Cardiac Defibrillator Implant Without Mcc 2 2 — — $21,848.73 $25,758.50 $23,803.61 2026-07-17
500 MS_DRG Soft Tissue Procedures With Mcc 15 15 — — $17,698.54 $41,316.46 $23,720.43 2026-07-17
10 OTHER Pancreas Transplant 2 2 — — $21,756.60 $25,649.89 $23,703.24 2026-07-17
583 OTHER Mastectomy For Malignancy Without Cc/mcc 2 2 — — $21,740.21 $25,630.57 $23,685.39 2026-07-17
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 18 — — $3,930.00 $42,465.30 $23,635.21 2026-07-17
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 18 18 — — $3,930.00 $42,231.62 $23,514.17 2026-07-17
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 18 18 — — $3,930.00 $42,129.79 $23,461.42 2026-07-17
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 18 18 — — $3,930.00 $42,047.54 $23,418.82 2026-07-17
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 18 18 — — $3,930.00 $41,116.72 $23,382.33 2026-07-17
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 18 18 — — $3,930.00 $41,911.77 $23,348.49 2026-07-17
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $21,161.29 $24,948.05 $23,054.67 2026-07-17
584 OTHER Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 2 2 — — $21,154.03 $24,939.49 $23,046.76 2026-07-17
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 18 18 — — $3,930.00 $41,253.80 $23,007.68 2026-07-17
662 MS_DRG Minor Bladder Procedures With Mcc 15 15 — — $15,890.29 $39,967.88 $23,000.73 2026-07-17
411 OTHER Cholecystectomy With C.d.e. With Mcc 2 2 — — $21,063.86 $24,833.18 $22,948.52 2026-07-17
324 MS_DRG Urinary Stones Without Cc 18 18 — — $3,930.00 $41,136.30 $22,946.83 2026-07-17
78 OTHER Hypertensive Encephalopathy With Cc 2 2 — — $21,026.92 $24,789.63 $22,908.28 2026-07-17
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 18 18 — — $3,930.00 $41,020.12 $22,886.64 2026-07-17
364 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 — — $20,969.08 $24,721.44 $22,845.26 2026-07-17
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 15 — — $13,986.06 $39,598.43 $22,803.56 2026-07-17
665 MS_DRG Prostatectomy With Mcc 18 18 — — $3,930.00 $40,747.27 $22,745.31 2026-07-17
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 15 — — $16,964.49 $39,432.63 $22,715.08 2026-07-17
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 15 15 — — $15,675.40 $39,427.41 $22,712.30 2026-07-17
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 18 — — $3,930.00 $40,662.41 $22,701.35 2026-07-17
469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 2 2 — — $20,805.12 $24,528.14 $22,666.63 2026-07-17
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 18 18 — — $3,930.00 $40,590.61 $22,664.17 2026-07-17
734 OTHER Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 2 2 — — $20,799.49 $24,521.51 $22,660.50 2026-07-17
473 OTHER Cervical Spinal Fusion Without Cc/mcc 2 2 — — $20,783.91 $24,503.13 $22,643.52 2026-07-17
585 OTHER Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 2 2 — — $20,723.73 $24,432.19 $22,577.96 2026-07-17
582 OTHER Mastectomy For Malignancy With Cc/mcc 2 2 — — $20,664.68 $24,362.56 $22,513.62 2026-07-17
941 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 2 2 — — $20,607.72 $24,295.42 $22,451.57 2026-07-17
263 MS_DRG Vein Ligation And Stripping 18 18 — — $3,930.00 $39,914.36 $22,313.89 2026-07-17
472 MS_DRG Cervical Spinal Fusion With Cc 15 15 — — $13,036.01 $38,461.34 $22,196.72 2026-07-17
413 OTHER Cholecystectomy With C.d.e. Without Cc/mcc 2 2 — — $20,252.90 $23,877.10 $22,065.00 2026-07-17
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 18 18 — — $3,930.00 $39,384.32 $22,039.33 2026-07-17
668 MS_DRG Transurethral Procedures With Mcc 15 15 — — $15,155.88 $38,120.60 $22,014.87 2026-07-17
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 14 14 — — $15,424.76 $38,020.08 $21,969.97 2026-07-17
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 18 18 — — $3,930.00 $38,435.23 $21,965.32 2026-07-17
49618 CPT Rpr Aa Hrn Rcr > 10 Ncr/strn 26 24 $42,957.45 $12,887.24 70% off $363.00 $36,513.83 $21,908.30 2026-07-17
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 15 15 — — $16,398.63 $37,885.61 $21,889.47 2026-07-17
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 15 — — $17,610.56 $37,862.11 $21,876.92 2026-07-17
619 MS_DRG O.r. Procedures For Obesity With Mcc 15 15 — — $14,986.63 $37,695.01 $21,787.74 2026-07-17
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 18 18 — — $3,930.00 $38,856.90 $21,766.14 2026-07-17
27 OTHER Craniotomy And Endovascular Intracranial Procedures Age >17 Without Cc/mcc 2 2 — — $19,923.25 $23,488.47 $21,705.86 2026-07-17
462 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 2 2 — — $19,900.90 $23,462.12 $21,681.51 2026-07-17
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 15 15 — — $16,875.10 $37,470.46 $21,667.91 2026-07-17
581 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 2 2 — — $19,828.42 $23,376.66 $21,602.54 2026-07-17
467 OTHER Revision Of Hip Or Knee Replacement With Cc 2 2 — — $19,762.25 $23,298.65 $21,530.45 2026-07-17
969 OTHER HIV With Extensive O.r. Procedures With Mcc 2 2 — — $19,682.22 $23,204.30 $21,443.26 2026-07-17
707 OTHER Major Male Pelvic Procedures With Cc/mcc 2 2 — — $19,558.41 $23,058.33 $21,308.37 2026-07-17
800 MS_DRG Splenectomy With Cc 15 15 — — $11,836.31 $36,676.72 $21,244.31 2026-07-17
654 MS_DRG Major Bladder Procedures With Cc 15 15 — — $12,681.98 $36,544.86 $21,173.92 2026-07-17
974 MS_DRG HIV With Major Related Condition With Mcc 18 18 — — $3,930.00 $37,676.73 $21,154.82 2026-07-17
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 18 18 — — $3,930.00 $37,621.90 $21,126.40 2026-07-17
503 MS_DRG Foot Procedures With Mcc 15 15 — — $11,544.85 $36,437.81 $21,116.81 2026-07-17
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $19,301.47 $22,755.42 $21,028.44 2026-07-17
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $19,293.21 $22,745.68 $21,019.44 2026-07-17
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 15 15 — — $9,408.27 $36,187.15 $20,983.03 2026-07-17
322 OTHER Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 2 2 — — $19,244.97 $22,688.80 $20,966.89 2026-07-17
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 18 18 — — $3,930.00 $37,213.28 $20,914.76 2026-07-17
321 MS_DRG Kidney & Urinary Tract Infections Age >17 Without Cc 15 15 — — $13,010.07 $35,520.04 $20,627.02 2026-07-17
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 2 — — $18,793.46 $22,156.50 $20,474.98 2026-07-17
C1767 HCPCS Genratr Neurostm 2 44 18 $32,144.04 $17,519.73 45% off $3,026.14 $32,434.03 $20,418.68 2026-07-17
619 OTHER O.r. Procedures For Obesity With Mcc 2 2 — — $18,653.01 $21,990.92 $20,321.96 2026-07-17
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 18 — — $3,930.00 $35,993.94 $20,283.15 2026-07-17
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 18 18 — — $3,930.00 $35,884.28 $20,226.37 2026-07-17
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 18 18 — — $3,930.00 $35,875.14 $20,221.62 2026-07-17
963 MS_DRG Other Multiple Significant Trauma With Mcc 18 18 — — $3,930.00 $35,689.76 $20,125.60 2026-07-17
27487 CPT Revise/replace Knee Joint 38 36 $231,198.51 $69,359.55 70% off $250.00 $196,518.73 $20,045.45 2026-07-17
276 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 2 — — $18,342.94 $21,625.36 $19,984.15 2026-07-17
849 MS_DRG Radiotherapy 18 18 — — $3,930.00 $35,372.52 $19,961.28 2026-07-17
49616 CPT Rpr Aa Hrn Rcr 3-10 Ncr/strn 29 27 $43,849.20 $13,154.76 70% off $363.00 $37,271.82 $19,951.39 2026-07-17
334 OTHER Rectal Resection Without Cc/mcc 2 2 — — $18,311.16 $21,587.89 $19,949.53 2026-07-17
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 18 18 — — $3,930.00 $34,604.89 $19,941.18 2026-07-17
288 MS_DRG Acute And Subacute Endocarditis With Mcc 18 18 — — $3,930.00 $35,329.44 $19,938.96 2026-07-17
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 18 18 — — $3,930.00 $35,214.56 $19,879.46 2026-07-17
253 MS_DRG Other Vascular Procedures With Cc 15 15 — — $13,665.50 $33,885.56 $19,754.72 2026-07-17
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 18 18 — — $3,930.00 $34,726.30 $19,626.56 2026-07-17
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 18 18 — — $3,930.00 $34,431.26 $19,473.72 2026-07-17
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 15 15 — — $16,806.00 $33,329.42 $19,457.93 2026-07-17
49623 CPT Rmvl Ninfct Mesh Hernia Rpr 22 20 $31,363.46 $9,409.04 70% off $176.05 $26,658.94 $19,445.35 2026-07-17
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 15 15 — — $11,826.14 $33,171.45 $19,373.61 2026-07-17
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 15 15 — — $13,971.54 $33,108.79 $19,340.19 2026-07-17
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 18 18 — — $3,930.00 $33,845.09 $19,170.10 2026-07-17
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 18 18 — — $3,930.00 $33,718.45 $19,104.51 2026-07-17
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 18 18 — — $3,930.00 $33,671.46 $19,080.15 2026-07-17
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 18 18 — — $3,930.00 $33,671.46 $19,080.15 2026-07-17
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 15 15 — — $12,933.86 $32,531.75 $19,032.22 2026-07-17
708 OTHER Major Male Pelvic Procedures Without Cc/mcc 2 2 — — $17,449.53 $20,572.08 $19,010.81 2026-07-17
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 18 18 — — $3,930.00 $33,520.02 $19,001.73 2026-07-17
C1820 HCPCS Genrate Neuro Rech 4 22 18 $29,791.18 $16,385.15 45% off $2,830.16 $29,791.18 $18,947.19 2026-07-17
748 OTHER Female Reproductive System Reconstructive Procedures 2 2 — — $17,342.18 $20,445.52 $18,893.85 2026-07-17
499 OTHER Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 2 2 — — $17,209.43 $20,289.01 $18,749.22 2026-07-17
347 MS_DRG Anal And Stomal Procedures With Mcc 15 15 — — $11,915.00 $29,969.06 $18,735.74 2026-07-17
164 MS_DRG Major Chest Procedures With Cc 18 18 — — $3,930.00 $32,950.82 $18,706.89 2026-07-17
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 15 15 — — $9,265.02 $31,909.03 $18,699.89 2026-07-17
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 18 18 — — $3,930.00 $32,936.46 $18,699.43 2026-07-17
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 15 15 — — $10,499.65 $31,871.17 $18,679.69 2026-07-17
58150 CPT Total Hysterectomy 27 25 $38,814.76 $11,644.43 70% off $297.00 $32,992.55 $18,631.08 2026-07-17
545 MS_DRG Connective Tissue Disorders With Mcc 18 18 — — $3,930.00 $32,398.59 $18,420.83 2026-07-17
330 MS_DRG Major Small And Large Bowel Procedures With Cc 15 15 — — $10,414.61 $31,295.45 $18,372.43 2026-07-17
397 MS_DRG Coagulation Disorders 15 15 — — $7,931.53 $31,265.42 $18,356.41 2026-07-17
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 15 15 — — $9,414.21 $31,154.45 $18,297.19 2026-07-17
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 18 18 — — $3,930.00 $32,104.86 $18,268.68 2026-07-17
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 18 18 — — $3,930.00 $32,095.72 $18,263.96 2026-07-17
783 MS_DRG Cesarean Section With Sterilization With Mcc 18 18 — — $3,930.00 $32,051.33 $18,074.25 2026-07-17
792 MS_DRG Prematurity Without Major Problems 17 17 — — $3,930.00 $31,974.31 $18,034.74 2026-07-17
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 18 18 — — $3,930.00 $31,401.19 $17,904.21 2026-07-17
27132 CPT Total Hip Replacement 35 33 $95,628.26 $28,688.48 70% off $320.00 $81,284.02 $17,854.19 2026-07-17
35 MS_DRG Carotid Artery Stent Procedures With Cc 18 18 — — $3,930.00 $31,207.98 $17,804.11 2026-07-17
352 OTHER Inguinal And Femoral Hernia Procedures Age >17 Without Cc/mcc 2 2 — — $16,189.21 $19,086.22 $17,637.72 2026-07-17
328 OTHER Stomach, Esophageal And Duodenal Procedures Age >17 Without Cc/mcc 2 2 — — $16,177.73 $19,072.70 $17,625.22 2026-07-17
620 OTHER O.r. Procedures For Obesity With Cc 2 2 — — $16,168.72 $19,062.07 $17,615.40 2026-07-17
793 OTHER Neonatal Aftercare For Weight Gain 2 2 — — $16,139.13 $19,027.19 $17,583.16 2026-07-17
113 MS_DRG Orbital Procedures With Cc/mcc 18 18 — — $3,930.00 $30,693.61 $17,537.68 2026-07-17
288 OTHER Acute And Subacute Endocarditis With Mcc 2 2 — — $16,046.42 $18,917.89 $17,482.15 2026-07-17
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