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

SILOAM SPRINGS REGIONAL HOSPITAL

Siloam Springs, AR · CCN 040001 · Rates published

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You selected 93306 (CPT)

NI-TTE 2D W DOPP

This hospital’s price: $637 across 39 payers · range $161-$3,809

Source: https://www.northwesthealth.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/263635210_siloam-springs-regional-hospital_standardcharges.csv · observed 2026-07-17

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.

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 · 2026-10-22
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
$359,358
1.3× median
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $300,248.00 $353,976.59 $327,112.30 nat. median
$380,401
0.9× 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
$1
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 2 $266,839.29 $314,589.48 $290,714.39 nat. median
$39,056
outlier · 7.4×
7
MS_DRG 		Lung Transplant 16 $3,930.00 $463,127.69 $255,727.84 nat. median
$117,894
outlier · 2.2×
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
$249,124
0.8× 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
$198,433
0.7× 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
$190,557
0.8× 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
$126,722
1.0× 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
$60,180
1.8× median
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
$103,967
0.9× 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
$269
outlier · 355.5×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 18 $3,930.00 $133,682.92 $87,960.40 nat. median
$58,216
1.5× median
955
OTHER 		Craniotomy For Multiple Significant Trauma 2 $80,649.95 $95,082.05 $87,866.00 nat. median
$61,896
1.4× median
215
OTHER 		Other Heart Assist System Implant 2 $77,898.60 $91,838.35 $84,868.48 nat. median
$75,009
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $3,930.00 $156,893.68 $83,728.23 nat. median
$110,192
0.8× 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
$33,932
outlier · 2.3×
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 18 $3,930.00 $141,961.38 $75,172.42 nat. median
$97,414
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $3,930.00 $141,625.29 $73,494.32 nat. median
$94,964
0.8× median
974
OTHER 		HIV With Major Related Condition With Mcc 2 $65,458.81 $77,172.49 $71,315.65 nat. median
$28,494
outlier · 2.5×
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
$35,346
2.0× median
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
$90,581
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 18 $3,930.00 $129,988.64 $68,970.75 nat. median
$93,917
0.7× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 16 $3,930.00 $99,587.14 $66,844.99 nat. median
$50,788
1.3× median
6
MS_DRG 		Liver Transplant Without Mcc 16 $3,930.00 $102,248.72 $64,103.18 nat. median
$44,134
1.5× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 18 $3,930.00 $93,781.30 $62,328.43 nat. median
$59,384
1.0× 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
$63,896
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 14 $3,930.00 $92,627.83 $60,957.72 nat. median
$71,201
0.9× median
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
$77,696
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $35,250.00 $110,052.34 $59,804.81 nat. median
$77,043
0.8× median
570
MS_DRG 		Skin Debridement With Mcc 18 $3,930.00 $87,367.55 $57,497.94 nat. median
$28,050
outlier · 2.0×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 $3,930.00 $102,727.19 $55,935.37 nat. median
$74,460
0.8× 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
$72,473
0.8× 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
$71,758
0.8× 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
$68,004
0.8× 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
$30,445
1.7× median
613
OTHER 		Neonate, Birth Weight <750 Grams, Died 2 $48,576.28 $57,268.88 $52,922.58 nat. median
$41,596
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 $29,013.86 $93,087.37 $51,343.93 nat. median
$66,649
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 $3,930.00 $93,142.20 $50,371.31 nat. median
$66,660
0.8× 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
$61,329
0.8× median
10
MS_DRG 		Pancreas Transplant 16 $3,930.00 $93,678.77 $49,673.72 nat. median
$64,903
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 18 $3,930.00 $90,233.55 $48,378.32 nat. median
$62,721
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 18 $3,930.00 $87,874.51 $47,699.18 nat. median
$61,711
0.8× 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
$58,118
0.8× 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
$59,558
0.8× 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
$62,038
0.8× 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
$45,443
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 14 $3,930.00 $69,941.08 $46,036.23 nat. median
$52,841
0.9× median
318
OTHER 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 $42,035.72 $49,557.91 $45,796.82 nat. median
$21,709
outlier · 2.1×
163
MS_DRG 		Major Chest Procedures With Mcc 18 $3,930.00 $68,004.09 $45,201.29 nat. median
$42,735
1.1× 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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