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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

BAPTIST HEALTH - FORT SMITH

Fort Smith, AR · CCN 040055 · Rates published

2,760 distinct procedures filed
24 distinct payers
65,822 rate rows
2026-07-15 last MRF observed
Data quality

52,148 of 65,822 rate rows are consumer-grade (79.2%)

13,674 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 11,025
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,569
template filing: same amount across many unrelated codes — excluded 820
placeholder amount (≤ $0.02) — excluded from medians 107
per-diem day rate — not a per-procedure price 86
exceeds 10× this hospital's gross charge — excluded from medians 59
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://app-bhns01saas32d4fp001.cms.optimizely.com/globalassets/documents/hospital-charges/825426152_bh-fs_standardcharges.csv
Found on page https://www.baptist-health.com/billing-insurance-financial-assistance/hospital-charges-and-negotiated-rates/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint 5d3f57e6093e86e8… · 6,031,293 bytes · first seen 2026-05-13

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
215
MS_DRG 		Other Heart Assist System Implant 21 — — $191,797.75 nat. median
$73,023
outlier · 2.6×
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 21 — — $169,460.46 nat. median
$23,671
outlier · 7.2×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 21 — — $149,696.60 nat. median
$60,505
outlier · 2.5×
666
MS_DRG 		Prostatectomy With Cc 21 — — $134,999.87 nat. median
$12,303
outlier · 11.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 — — $98,680.51 nat. median
$69,822
1.4× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 — — $94,151.04 nat. median
$44,036
outlier · 2.1×
799
MS_DRG 		Splenic Procedures With Mcc 21 — — $88,006.43 nat. median
$32,381
outlier · 2.7×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 — — $79,099.21 nat. median
$55,935
1.4× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 21 — — $78,327.96 nat. median
$43,023
1.8× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 21 — — $75,433.48 nat. median
$30,358
outlier · 2.5×
472
MS_DRG 		Cervical Spinal Fusion With Cc 21 — — $74,706.93 nat. median
$21,867
outlier · 3.4×
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 21 — — $61,619.53 nat. median
$20,638
outlier · 3.0×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 21 — — $59,987.20 nat. median
$35,725
1.7× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 — — $59,969.36 nat. median
$38,832
1.5× median
519
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Cc 21 — — $57,671.37 nat. median
$14,677
outlier · 3.9×
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 21 — — $57,296.40 nat. median
$29,495
1.9× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 — — $54,452.89 nat. median
$43,533
1.3× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 — — $53,797.88 nat. median
$30,768
1.7× median
876
MS_DRG 		O.r. Procedures With Principal Diagnosis Of Mental Illness 22 $2,497.00 $2,497.00 $50,682.01 nat. median
$2,958
outlier · 17.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 21 — — $50,644.25 nat. median
$48,611
1.0× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 21 — — $50,403.00 nat. median
$35,985
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 — — $50,155.41 nat. median
$55,923
0.9× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 — — $48,219.54 nat. median
$30,435
1.6× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 — — $47,708.73 nat. median
$34,733
1.4× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 — — $47,069.27 nat. median
$32,245
1.5× median
163
MS_DRG 		Major Chest Procedures With Mcc 21 — — $46,605.01 nat. median
$31,995
1.5× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 — — $45,379.54 nat. median
$39,159
1.2× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 — — $45,165.42 nat. median
$33,546
1.3× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 — — $44,892.53 nat. median
$47,458
0.9× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 21 — — $43,392.66 nat. median
$29,826
1.5× median
302
MS_DRG 		Atherosclerosis With Mcc 21 — — $43,130.06 nat. median
$8,437
outlier · 5.1×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 21 — — $42,906.59 nat. median
$30,674
1.4× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 21 — — $41,974.08 nat. median
$23,998
1.7× median
577
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 21 — — $41,966.80 nat. median
$18,522
outlier · 2.3×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 21 — — $41,852.15 nat. median
$33,435
1.3× median
829
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 21 — — $41,811.25 nat. median
$22,178
1.9× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 21 — — $41,805.63 nat. median
$26,952
1.6× median
557
MS_DRG 		Tendonitis, Myositis And Bursitis With Mcc 21 — — $39,843.23 nat. median
$10,772
outlier · 3.7×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 21 — — $37,810.82 nat. median
$38,859
1.0× median
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 21 — — $37,331.73 nat. median
$8,402
outlier · 4.4×
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 21 — — $36,741.31 nat. median
$15,633
outlier · 2.4×
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 — — $36,287.15 nat. median
$29,481
1.2× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 21 — — $35,991.42 nat. median
$37,725
1.0× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 21 — — $35,549.87 nat. median
$35,986
1.0× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 — — $35,503.37 nat. median
$34,615
1.0× median
324
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 21 — — $35,384.48 nat. median
$22,248
1.6× median
783
MS_DRG 		Cesarean Section With Sterilization With Mcc 21 — — $34,375.82 nat. median
$13,196
outlier · 2.6×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 — — $33,002.81 nat. median
$34,616
1.0× median
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 21 — — $32,640.82 nat. median
$7,418
outlier · 4.4×
867
MS_DRG 		Other Infectious And Parasitic Diseases Diagnoses With Mcc 21 — — $32,582.74 nat. median
$14,941
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 2,760 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
             
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 23 21 $58,575.21 $14,643.80 75% off — — $11,244.40 2026-07-15
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 23 21 $48,174.42 $12,043.61 75% off — — $11,302.97 2026-07-15
36903 HCPCS 36903 - Intro Cath Dialysis Circuit W-tcat Plmt IV Stent 23 21 $19,911.84 $4,977.96 75% off $377.34 $23,333.50 $11,388.79 2026-07-15
37243 HCPCS 37243 - Vascular Embolize-occlude Organ Tumor Infarct 23 21 $19,692.40 $4,923.10 75% off $377.34 $23,333.50 $11,388.79 2026-07-15
37236 HCPCS 37236 - Open-perq Placement Intravascular Stent Initial 23 21 $17,288.99 $4,322.25 75% off $461.19 $23,333.50 $11,406.45 2026-07-15
481 RC 0481 - Cardiology - Cardiac Cath Lab 5 5 $10,948.82 $2,737.21 75% off $8,528.00 $14,381.00 $11,454.50 2026-07-15
920 MS_DRG Complications Of Treatment With Cc 23 21 $2,618.18 $654.55 75% off — — $11,530.95 2026-07-15
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 23 21 $74,717.65 $18,679.41 75% off — — $11,551.25 2026-07-15
291 MS_DRG Heart Failure And Shock With Mcc 23 21 $48,068.80 $12,017.20 75% off — — $11,607.31 2026-07-15
36905 HCPCS 36905 - Perq Thrmbc-nfs Dial Circuit Trluml Balo Angiop 23 21 $19,911.84 $4,977.96 75% off $317.63 $23,333.50 $11,611.51 2026-07-15
37241 HCPCS 37241 - Vascular Embolization Or Occlusion Venous Rsandi 23 21 $19,692.40 $4,923.10 75% off $377.34 $23,333.50 $11,623.45 2026-07-15
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 23 21 $46,644.92 $11,661.23 75% off — — $11,640.66 2026-07-15
389 MS_DRG Gastrointestinal Obstruction With Cc 23 21 $33,985.13 $8,496.28 75% off — — $11,661.70 2026-07-15
53865 HCPCS 53865 - Cysto Insj Temp Dev Ischmc Rmdlg Bldr Neckandprst8 19 17 $8,147.36 $2,036.84 75% off $3,360.00 $19,133.90 $11,673.99 2026-07-15
368 MS_DRG Major Esophageal Disorders With Mcc 23 21 $67,895.42 $16,973.86 75% off — — $11,674.59 2026-07-15
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 23 21 $35,862.78 $8,965.70 75% off — — $11,691.60 2026-07-15
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 23 21 $45,920.57 $11,480.14 75% off — — $11,789.89 2026-07-15
92943 HCPCS 92943 - Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd 23 21 $35,837.62 $8,959.41 75% off $406.56 $23,333.50 $11,867.47 2026-07-15
92937 HCPCS 92937 - Perq Trluml Revsc Of--cab Grf 1 Maj C Artand-brnch 23 21 $36,276.24 $9,069.06 75% off $406.56 $23,333.50 $11,867.47 2026-07-15
92928 HCPCS 92928 - Perq Tcat Plmt Ntrac St 1 Les 1+c Segments 23 21 $34,548.80 $8,637.20 75% off $406.56 $23,333.50 $11,867.47 2026-07-15
200 MS_DRG Pneumothorax With Cc 23 21 $45,316.46 $11,329.12 75% off — — $11,877.45 2026-07-15
92924 HCPCS 92924 - Perq Trluml C Athrc Angiop 1 Maj C Artand-branches 23 21 $31,560.88 $7,890.22 75% off $406.56 $23,333.50 $11,905.52 2026-07-15
20692 HCPCS 20692 - Application Multiplane External Fixation System 23 21 $10,289.07 $2,572.27 75% off $377.34 $25,950.00 $12,024.45 2026-07-15
572 MS_DRG Skin Debridement Without Cc/mcc 23 21 $56,323.40 $14,080.85 75% off — — $12,055.73 2026-07-15
53440 HCPCS 53440 - Sling Opration Corrj Male Urinary Incontinence 23 21 $25,319.84 $6,329.96 75% off $461.19 $26,667.10 $12,189.64 2026-07-15
779 MS_DRG Abortion Without D&c 23 21 $27,697.59 $6,924.40 75% off — — $12,273.92 2026-07-15
29889 HCPCS 29889 - Arthrs Aided Pst Cruciate Ligm Rpr-agmntj-rcnstj 23 21 $12,786.45 $3,196.61 75% off $377.34 $25,950.00 $12,282.75 2026-07-15
24430 HCPCS 24430 - Repair Non-malunion Humerus W-o Graft 23 21 $46,887.36 $11,721.84 75% off $406.56 $25,950.00 $12,288.60 2026-07-15
27827 HCPCS 27827 - Open Treatment Fracture Distal Tibia Only 23 21 $8,925.28 $2,231.32 75% off $406.56 $25,950.00 $12,288.60 2026-07-15
54400 HCPCS 54400 - Insj Penile Prosthesis Non-inflatable Semi-rigid 23 21 $8,519.16 $2,129.79 75% off $377.34 $26,667.10 $12,296.97 2026-07-15
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 23 21 $41,754.50 $10,438.63 75% off — — $12,395.74 2026-07-15
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 23 21 $31,777.47 $7,944.37 75% off — — $12,409.72 2026-07-15
22551 HCPCS 22551 - Arthrd Ant Interbody Decompress Cervical Belw C2 23 21 $7,964.12 $1,991.03 75% off $461.19 $25,950.00 $12,483.22 2026-07-15
103 MS_DRG Headaches Without Mcc 23 21 $40,449.97 $10,112.49 75% off — — $12,532.10 2026-07-15
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 23 21 $36,160.94 $9,040.24 75% off — — $12,586.41 2026-07-15
254 MS_DRG Other Vascular Procedures Without Cc/mcc 23 21 $68,371.94 $17,092.99 75% off — — $12,657.83 2026-07-15
504 MS_DRG Foot Procedures With Cc 23 21 $68,781.61 $17,195.40 75% off — — $12,683.06 2026-07-15
28730 HCPCS 28730 - Arthrd Midtarsl-tarsometatarsal Mult-transvrs 23 21 $10,824.32 $2,706.08 75% off $377.34 $25,950.00 $12,753.70 2026-07-15
23615 HCPCS 23615 - Optx Prox Humeral Fx W-int Fixj Rpr Tuberosity 23 21 $31,341.86 $7,835.47 75% off $377.34 $25,950.00 $12,753.70 2026-07-15
27130 HCPCS 27130 - Arthrp Acetblr-prox Fem Prostc Agrft-algrft 23 21 $38,425.28 $9,606.32 75% off $406.56 $25,950.00 $12,756.55 2026-07-15
27759 HCPCS 27759 - Tx Tibl Shft Fx Imed Implt W-wo Screwsand-cercla 23 21 $17,303.70 $4,325.93 75% off $461.19 $25,950.00 $12,770.47 2026-07-15
28725 HCPCS 28725 - Arthrodesis Subtalar 23 21 $10,282.86 $2,570.72 75% off $461.19 $25,950.00 $12,770.47 2026-07-15
24516 HCPCS 24516 - Tx Humrl Shft Fx W-insj Imed Implt W-wo Cerclage 23 21 $17,105.40 $4,276.35 75% off $461.19 $25,950.00 $12,770.47 2026-07-15
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 23 21 $42,460.59 $10,615.15 75% off — — $12,824.58 2026-07-15
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 23 21 $763.87 $190.97 75% off — — $12,846.08 2026-07-15
787 MS_DRG Cesarean Section Without Sterilization With Cc 23 21 $41,255.25 $10,313.81 75% off — — $12,909.75 2026-07-15
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 23 21 $65,485.94 $16,371.49 75% off — — $12,928.05 2026-07-15
23470 HCPCS 23470 - Arthroplasty Glenohumrl Jt Hemiarthroplasty 23 21 $27,078.48 $6,769.62 75% off $377.34 $25,950.00 $13,028.15 2026-07-15
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 23 21 $53,032.46 $13,258.12 75% off — — $13,029.17 2026-07-15
27447 HCPCS 27447 - Arthrp Kne Condyleandplatu Medialandlat Compartments 23 21 $21,551.29 $5,387.82 75% off $406.56 $25,950.00 $13,034.00 2026-07-15
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 23 21 $66,874.89 $16,718.72 75% off — — $13,083.48 2026-07-15
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 23 21 $31,936.07 $7,984.02 75% off — — $13,137.48 2026-07-15
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 23 21 $38,816.10 $9,704.03 75% off — — $13,198.94 2026-07-15
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 23 21 $64,668.19 $16,167.05 75% off — — $13,217.54 2026-07-15
637 MS_DRG Diabetes With Mcc 23 21 $58,204.68 $14,551.17 75% off — — $13,267.93 2026-07-15
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 23 21 $48,389.01 $12,097.25 75% off — — $13,319.71 2026-07-15
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 23 21 $40,180.28 $10,045.07 75% off — — $13,341.90 2026-07-15
683 MS_DRG Renal Failure With Cc 23 21 $34,881.37 $8,720.34 75% off — — $13,412.20 2026-07-15
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 23 21 $40,540.15 $10,135.04 75% off — — $13,430.92 2026-07-15
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 23 21 $58,631.71 $14,657.93 75% off — — $13,524.91 2026-07-15
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 23 21 $37,817.79 $9,454.45 75% off — — $13,526.23 2026-07-15
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 23 21 $61,806.08 $15,451.52 75% off — — $13,575.19 2026-07-15
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 23 21 $54,523.68 $13,630.92 75% off — — $13,602.05 2026-07-15
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 23 21 $58,828.43 $14,707.11 75% off — — $13,663.25 2026-07-15
682 MS_DRG Renal Failure With Mcc 23 21 $55,911.43 $13,977.86 75% off — — $13,829.49 2026-07-15
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 23 21 $40,746.21 $10,186.55 75% off — — $13,880.26 2026-07-15
885 MS_DRG Psychoses 24 22 $68,169.52 $17,042.38 75% off $2,497.00 $2,497.00 $13,886.04 2026-07-15
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 23 21 $48,906.78 $12,226.70 75% off — — $13,892.44 2026-07-15
643 MS_DRG Endocrine Disorders With Mcc 23 21 $49,219.52 $12,304.88 75% off — — $13,898.62 2026-07-15
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 23 21 $73,115.15 $18,278.79 75% off — — $13,962.41 2026-07-15
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 23 21 $58,326.92 $14,581.73 75% off — — $14,012.51 2026-07-15
93458 HCPCS 93458 - Cath Plmt L Hrt And Arts W-njx And Angio Img Sandi 22 20 $16,363.36 $4,090.84 75% off $210.45 $6,957.00 $14,031.00 2026-07-15
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 23 21 $79,753.96 $19,938.49 75% off — — $14,056.48 2026-07-15
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 23 21 $101,464.25 $25,366.06 75% off — — $14,068.85 2026-07-15
177 MS_DRG Respiratory Infections And Inflammations With Mcc 23 21 $62,625.00 $15,656.25 75% off — — $14,110.73 2026-07-15
919 MS_DRG Complications Of Treatment With Mcc 23 21 $73,671.30 $18,417.83 75% off — — $14,145.41 2026-07-15
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 23 21 $81,018.35 $20,254.59 75% off — — $14,196.15 2026-07-15
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 21 $93,073.19 $23,268.30 75% off — — $14,201.16 2026-07-15
C9764 HCPCS C9764 - Revasc Intravasc Lithotripsy 15 14 $16,803.28 $4,200.82 75% off $10,818.00 $23,333.50 $14,243.81 2026-07-15
180 MS_DRG Respiratory Neoplasms With Mcc 23 21 $77,440.37 $19,360.09 75% off — — $14,244.37 2026-07-15
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 23 21 $1,884.72 $471.18 75% off — — $14,265.80 2026-07-15
393 MS_DRG Other Digestive System Diagnoses With Mcc 23 21 $53,125.54 $13,281.39 75% off — — $14,291.00 2026-07-15
C9772 HCPCS C9772 - Revasc Lithotrip Tibi-perone 15 14 $24,103.04 $6,025.76 75% off $11,181.40 $23,333.50 $14,309.54 2026-07-15
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 23 21 $35,955.69 $8,988.92 75% off — — $14,318.53 2026-07-15
102 MS_DRG Headaches With Mcc 23 21 $68,398.56 $17,099.64 75% off — — $14,335.71 2026-07-15
501 MS_DRG Soft Tissue Procedures With Cc 23 21 $57,678.12 $14,419.53 75% off — — $14,340.24 2026-07-15
C9604 HCPCS C9604 - Perc D-e Cor Revasc T Cabg S 16 15 $36,276.24 $9,069.06 75% off $11,181.40 $23,333.50 $14,446.83 2026-07-15
C9600 HCPCS C9600 - Perc Drug-el Cor Stent Sing 16 15 $34,548.80 $8,637.20 75% off $11,181.40 $23,333.50 $14,446.83 2026-07-15
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 21 $60,311.30 $15,077.83 75% off — — $14,459.56 2026-07-15
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 23 21 $64,032.61 $16,008.15 75% off — — $14,626.13 2026-07-15
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 23 21 $63,324.91 $15,831.23 75% off — — $14,644.46 2026-07-15
165 MS_DRG Major Chest Procedures Without Cc/mcc 23 21 $59,253.64 $14,813.41 75% off — — $14,684.97 2026-07-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 23 21 $10,948.82 $2,737.21 75% off — — $14,822.42 2026-07-15
813 MS_DRG Coagulation Disorders 23 21 $76,198.81 $19,049.70 75% off — — $14,867.85 2026-07-15
445 MS_DRG Disorders Of The Biliary Tract With Cc 23 21 $41,231.53 $10,307.88 75% off — — $14,880.56 2026-07-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 23 21 $104,097.59 $26,024.40 75% off — — $15,080.72 2026-07-15
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 23 21 $1,537.11 $384.28 75% off — — $15,095.02 2026-07-15
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 23 21 $43,731.50 $10,932.88 75% off — — $15,103.18 2026-07-15
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 23 21 $71,356.02 $17,839.01 75% off — — $15,108.22 2026-07-15
592 MS_DRG Skin Ulcers With Mcc 23 21 $24,323.18 $6,080.80 75% off — — $15,110.45 2026-07-15
506 MS_DRG Major Thumb Or Joint Procedures 23 21 $60,363.26 $15,090.82 75% off — — $15,191.62 2026-07-15
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 23 21 $54,944.41 $13,736.10 75% off — — $15,201.68 2026-07-15
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 23 21 $50,121.69 $12,530.42 75% off — — $15,336.56 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 23 21 $41,106.78 $10,276.70 75% off — — $15,365.25 2026-07-15
157 MS_DRG Dental And Oral Diseases With Mcc 23 21 $60,520.39 $15,130.10 75% off — — $15,507.85 2026-07-15
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 23 21 $56,189.01 $14,047.25 75% off — — $15,578.37 2026-07-15
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 24 22 $45,814.85 $11,453.71 75% off $2,497.00 $2,497.00 $15,671.18 2026-07-15
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 21 $66,263.02 $16,565.76 75% off — — $15,682.19 2026-07-15
37182 HCPCS 37182 - Insj Transvns Intrahepatc Portosysic Shunt 20 19 $12,919.92 $3,229.98 75% off $461.19 $37,052.60 $15,704.20 2026-07-15
C9781 HCPCS C9781 - Arthro-shoul Surg; W-spacer 15 14 $9,851.57 $2,462.89 75% off $10,818.00 $25,950.00 $15,730.75 2026-07-15
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 23 21 $36,705.76 $9,176.44 75% off — — $15,764.01 2026-07-15
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 23 21 $93,314.04 $23,328.51 75% off — — $15,803.84 2026-07-15
27871 HCPCS 27871 - Arthrodesis Tibiofibular Joint Proximal-distal 19 17 $27,379.04 $6,844.76 75% off $6,256.00 $25,950.00 $15,847.79 2026-07-15
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 23 21 $72,052.47 $18,013.12 75% off — — $15,857.77 2026-07-15
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 23 21 $75,068.84 $18,767.21 75% off — — $15,876.99 2026-07-15
37242 HCPCS 37242 - Vascular Embolization Or Occlusion Arterial Rsandi 23 21 $17,915.68 $4,478.92 75% off $377.34 $37,052.60 $15,911.53 2026-07-15
916 MS_DRG Allergic Reactions Without Mcc 23 21 $19,245.49 $4,811.37 75% off — — $15,945.51 2026-07-15
23472 HCPCS 23472 - Arthroplasty Glenohumeral Joint Total Shoulder 23 21 $22,787.44 $5,696.86 75% off $461.19 $35,440.00 $16,011.14 2026-07-15
915 MS_DRG Allergic Reactions With Mcc 23 21 $44,639.64 $11,159.91 75% off — — $16,028.23 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 23 21 $79,543.31 $19,885.83 75% off — — $16,033.54 2026-07-15
199 MS_DRG Pneumothorax With Mcc 23 21 $66,773.10 $16,693.28 75% off — — $16,051.85 2026-07-15
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 23 21 $75,939.37 $18,984.84 75% off — — $16,092.44 2026-07-15
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 23 21 $48,519.14 $12,129.79 75% off — — $16,100.11 2026-07-15
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 23 21 $86,795.21 $21,698.80 75% off — — $16,147.41 2026-07-15
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 23 21 $29,375.95 $7,343.99 75% off — — $16,202.44 2026-07-15
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 23 21 $2,334.80 $583.70 75% off — — $16,249.05 2026-07-15
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 23 21 $26,770.12 $6,692.53 75% off — — $16,332.22 2026-07-15
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 23 21 $75,503.78 $18,875.95 75% off — — $16,418.27 2026-07-15
801 MS_DRG Splenic Procedures Without Cc/mcc 23 21 $59,203.84 $14,800.96 75% off — — $16,499.30 2026-07-15
186 MS_DRG Pleural Effusion With Mcc 23 21 $61,049.78 $15,262.45 75% off — — $16,512.01 2026-07-15
100 MS_DRG Seizures With Mcc 23 21 $75,756.36 $18,939.09 75% off — — $16,528.09 2026-07-15
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 23 21 $487.28 $121.82 75% off — — $16,812.54 2026-07-15
921 MS_DRG Complications Of Treatment Without Cc/mcc 23 21 $878.39 $219.60 75% off — — $16,816.96 2026-07-15
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 23 21 $44,344.08 $11,086.02 75% off — — $16,963.06 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 23 21 $71,878.69 $17,969.67 75% off — — $17,072.01 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 23 21 $81,107.77 $20,276.94 75% off — — $17,105.64 2026-07-15
196 MS_DRG Interstitial Lung Disease With Mcc 23 21 $56,420.15 $14,105.04 75% off — — $17,220.50 2026-07-15
181 MS_DRG Respiratory Neoplasms With Cc 23 21 $53,211.26 $13,302.82 75% off — — $17,256.95 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 23 21 $78,716.56 $19,679.14 75% off — — $17,267.80 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 23 21 $1,334.34 $333.59 75% off — — $17,304.89 2026-07-15
884 MS_DRG Organic Disturbances And Intellectual Disability 24 22 $69,411.41 $17,352.85 75% off $2,497.00 $2,497.00 $17,312.22 2026-07-15
602 MS_DRG Cellulitis With Mcc 23 21 $41,651.88 $10,412.97 75% off — — $17,402.83 2026-07-15
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 23 21 $45,014.37 $11,253.59 75% off — — $17,659.53 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 23 21 $114,325.59 $28,581.40 75% off — — $17,661.85 2026-07-15
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 23 21 $55,608.54 $13,902.14 75% off — — $17,678.86 2026-07-15
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 23 21 $73,424.45 $18,356.11 75% off — — $17,775.39 2026-07-15
36837 HCPCS 36837 - Perq Av Fistula Creation Uxtr Sep Access Sites 23 21 $42,623.36 $10,655.84 75% off $406.56 $37,052.60 $17,902.47 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 23 21 $244.62 $61.16 75% off — — $17,956.59 2026-07-15
22856 HCPCS 22856 - Total Disc Arthrp Ant Single Interspace Cervical 23 21 $20,549.47 $5,137.37 75% off $461.19 $35,521.60 $18,216.58 2026-07-15
93580 HCPCS 93580 - Prq Tcat Clsr Cgen Intratrl Comunicaj W-implt 23 21 $48,667.84 $12,166.96 75% off $1,261.71 $37,052.60 $18,326.47 2026-07-15
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 23 21 $83,968.09 $20,992.02 75% off — — $18,395.92 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 23 21 $100,959.23 $25,239.81 75% off — — $18,423.54 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 23 21 $120,288.34 $30,072.09 75% off — — $18,507.50 2026-07-15
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 23 21 $54,585.73 $13,646.43 75% off — — $18,544.41 2026-07-15
64590 HCPCS 64590 - Ins-rplc Perph Sac-gstrc Npg-rcvr Pckt Crtjandconn 23 21 $8,776.11 $2,194.03 75% off $461.19 $39,212.20 $18,572.54 2026-07-15
908 MS_DRG Other O.r. Procedures For Injuries With Cc 23 21 $86,182.19 $21,545.55 75% off — — $18,579.55 2026-07-15
33229 HCPCS 33229 - Remvl Perm Pm Pls Gen W-repl Plse Gen Mult Lead 23 21 $35,433.84 $8,858.46 75% off $461.19 $38,932.40 $18,584.59 2026-07-15
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 23 21 $88,797.02 $22,199.26 75% off — — $18,676.84 2026-07-15
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 23 21 $62,817.26 $15,704.32 75% off — — $18,726.46 2026-07-15
999 MS_DRG Ungroupable 23 21 $99,550.09 $24,887.52 75% off — — $19,029.88 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 23 21 $144,974.73 $36,243.68 75% off — — $19,268.78 2026-07-15
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 23 21 $36,929.52 $9,232.38 75% off — — $19,292.11 2026-07-15
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 23 21 $72,761.85 $18,190.46 75% off — — $19,354.13 2026-07-15
684 MS_DRG Renal Failure Without Cc/mcc 23 21 $34,961.15 $8,740.29 75% off — — $19,416.67 2026-07-15
786 MS_DRG Cesarean Section Without Sterilization With Mcc 23 21 $33,794.24 $8,448.56 75% off — — $19,460.17 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 23 21 $80,728.65 $20,182.16 75% off — — $19,683.56 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 23 21 $88,444.74 $22,111.19 75% off — — $19,697.98 2026-07-15
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 23 21 $78,278.13 $19,569.53 75% off — — $19,818.16 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 23 21 $91,039.54 $22,759.89 75% off — — $19,839.27 2026-07-15
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 23 21 $57,586.86 $14,396.72 75% off — — $19,884.30 2026-07-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 23 21 $85,531.53 $21,382.88 75% off — — $20,015.71 2026-07-15
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 23 21 $94,676.62 $23,669.16 75% off — — $20,058.85 2026-07-15
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 23 21 $39,925.21 $9,981.30 75% off — — $20,331.28 2026-07-15
398 MS_DRG Appendix Procedures With Cc 23 21 $76,410.09 $19,102.52 75% off — — $20,412.41 2026-07-15
399 MS_DRG Appendix Procedures Without Cc/mcc 23 21 $62,743.50 $15,685.88 75% off — — $20,455.92 2026-07-15
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 23 21 $53,663.68 $13,415.92 75% off — — $20,496.85 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 23 21 $88,696.47 $22,174.12 75% off — — $20,601.43 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 23 21 $108,770.86 $27,192.72 75% off — — $20,613.56 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 23 21 $66,016.70 $16,504.18 75% off — — $20,618.83 2026-07-15
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 23 21 $69,520.07 $17,380.02 75% off — — $21,168.14 2026-07-15
570 MS_DRG Skin Debridement With Mcc 23 21 $93,233.69 $23,308.42 75% off — — $21,309.88 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 23 21 $96,828.39 $24,207.10 75% off — — $21,311.87 2026-07-15
948 MS_DRG Signs And Symptoms Without Mcc 23 21 $572.00 $143.00 75% off — — $21,354.85 2026-07-15
C9602 HCPCS C9602 - Perc D-e Cor Stent Ather S 16 15 $48,667.84 $12,166.96 75% off $11,541.00 $37,052.60 $21,593.62 2026-07-15
C9607 HCPCS C9607 - Perc D-e Cor Revasc Chro Sin 16 15 $48,667.84 $12,166.96 75% off $11,541.00 $37,052.60 $21,593.62 2026-07-15
693 MS_DRG Urinary Stones With Mcc 23 21 $41,136.86 $10,284.22 75% off — — $21,835.44 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 23 21 $108,781.23 $27,195.31 75% off — — $21,880.60 2026-07-15
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 23 21 $76,139.09 $19,034.77 75% off — — $21,918.79 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 21 $104,573.65 $26,143.41 75% off — — $21,952.76 2026-07-15
C9767 HCPCS C9767 - Revasc Lithotrip-stent-ather 15 14 $39,608.40 $9,902.10 75% off $11,541.00 $37,052.60 $22,106.04 2026-07-15
C9765 HCPCS C9765 - Revasc Intra Lithotrip-stent 15 14 $33,986.99 $8,496.75 75% off $11,541.00 $37,052.60 $22,106.04 2026-07-15
C9766 HCPCS C9766 - Revasc Intra Lithotrip-ather 15 14 $30,897.36 $7,724.34 75% off $11,541.00 $37,052.60 $22,106.04 2026-07-15
C9775 HCPCS C9775 - Revasc Lith-sten-ath Tib-per 15 14 $43,718.48 $10,929.62 75% off $11,541.00 $37,052.60 $22,106.04 2026-07-15
33263 HCPCS 33263 - Rmvl Impltbl Dfb Plse Gen W-rplcmt Plse Gen 2 Ld 23 21 $45,207.76 $11,301.94 75% off $461.19 $44,959.50 $22,209.71 2026-07-15
33262 HCPCS 33262 - Rmvl Impltbl Dfb Plse Gen W-repl Plse Gen 1 Lead 23 21 $45,207.76 $11,301.94 75% off $461.19 $44,959.50 $22,209.71 2026-07-15
388 MS_DRG Gastrointestinal Obstruction With Mcc 23 21 $51,198.87 $12,799.72 75% off — — $22,268.00 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 23 21 $59,047.24 $14,761.81 75% off — — $22,309.54 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 23 21 $67,966.28 $16,991.57 75% off — — $22,378.61 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 23 21 $115,089.80 $28,772.45 75% off — — $22,433.49 2026-07-15
709 MS_DRG Penis Procedures With Cc/mcc 23 21 $122,156.60 $30,539.15 75% off — — $22,879.01 2026-07-15
22612 HCPCS 22612 - Arthrodesis Posterior-pstlat Tq 1ntrspc Lumbar 19 17 $10,102.56 $2,525.64 75% off $6,256.00 $35,521.60 $22,951.35 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 23 21 $82,862.32 $20,715.58 75% off — — $23,154.51 2026-07-15
33274 HCPCS 33274 - Tcat Insj-rpl Perm Leadless Pacemaker Rv W-img 19 17 $30,497.31 $7,624.33 75% off $6,256.00 $38,932.40 $23,167.55 2026-07-15
54410 HCPCS 54410 - Rmvl And Rplcmt Inflatable Penile Prosth Same Sess 19 17 $24,339.35 $6,084.84 75% off $3,384.00 $41,892.40 $23,484.92 2026-07-15
54405 HCPCS 54405 - Insj Multi-component Inflatable Penile Prosth 19 17 $14,902.47 $3,725.62 75% off $3,384.00 $41,892.40 $23,484.92 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 23 21 $116,068.84 $29,017.21 75% off — — $23,506.04 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 21 $101,251.49 $25,312.87 75% off — — $23,612.55 2026-07-15
22630 HCPCS 22630 - Arthrodesis Posterior Interbody 1 Ntrspc Lumbar 23 21 $8,434.69 $2,108.67 75% off $461.19 $54,844.20 $23,685.50 2026-07-15
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 23 21 $56,071.85 $14,017.96 75% off — — $23,697.31 2026-07-15
53445 HCPCS 53445 - Insj Inflatable Urethral-bladder Neck Sphincter 19 17 $27,258.40 $6,814.60 75% off $2,184.00 $41,892.40 $23,770.17 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 21 $190,222.03 $47,555.51 75% off — — $23,861.22 2026-07-15
437 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc 23 21 $54,048.85 $13,512.21 75% off — — $24,111.25 2026-07-15
54411 HCPCS 54411 - Rmvl And Rplcmt Nfltbl Penile Prosth Infected Fiel 19 17 $27,724.32 $6,931.08 75% off $698.00 $41,892.40 $24,124.31 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 23 21 $116,114.15 $29,028.54 75% off — — $24,290.95 2026-07-15
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 23 21 $35,959.44 $8,989.86 75% off — — $24,548.80 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 23 21 $97,450.25 $24,362.56 75% off — — $24,659.88 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 23 21 $85,651.29 $21,412.82 75% off — — $24,888.65 2026-07-15
300 MS_DRG Peripheral Vascular Disorders With Cc 23 21 $58,128.68 $14,532.17 75% off — — $24,897.86 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 23 21 $3,557.13 $889.28 75% off — — $24,919.91 2026-07-15
711 MS_DRG Testes Procedures With Cc/mcc 23 21 $101,892.35 $25,473.09 75% off — — $24,951.12 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 23 21 $126,825.66 $31,706.42 75% off — — $25,630.31 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 23 21 $214,871.42 $53,717.86 75% off — — $25,821.54 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 21 $138,666.84 $34,666.71 75% off — — $25,860.85 2026-07-15
397 MS_DRG Appendix Procedures With Mcc 23 21 $100,536.09 $25,134.02 75% off — — $25,981.26 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 23 21 $879.75 $219.94 75% off — — $26,180.19 2026-07-15
571 MS_DRG Skin Debridement With Cc 23 21 $68,551.82 $17,137.96 75% off — — $26,857.13 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 21 $130,938.41 $32,734.60 75% off — — $26,979.11 2026-07-15
63685 HCPCS 63685 - Insj-rplcmt Spinal Npg-rcvr Pocket Crtjandconnj 23 21 $15,684.24 $3,921.06 75% off $461.19 $62,370.70 $27,703.10 2026-07-15
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 23 21 $74,615.37 $18,653.84 75% off — — $27,827.63 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 21 $291,537.65 $72,884.41 75% off — — $27,897.53 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 23 21 $245,854.72 $61,463.68 75% off — — $27,911.89 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 21 $174,012.58 $43,503.15 75% off — — $28,231.19 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 23 21 $95,929.17 $23,982.29 75% off — — $28,614.39 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 23 21 $133,035.65 $33,258.91 75% off — — $28,919.74 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 23 21 $1,819.31 $454.83 75% off — — $29,023.16 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 23 21 $96,678.38 $24,169.60 75% off — — $29,087.22 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 23 21 $109,429.92 $27,357.48 75% off — — $29,125.28 2026-07-15
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 23 21 $40,119.59 $10,029.90 75% off — — $29,408.13 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 23 21 $122,342.22 $30,585.56 75% off — — $29,426.10 2026-07-15
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 23 21 $105,483.48 $26,370.87 75% off — — $29,653.95 2026-07-15
299 MS_DRG Peripheral Vascular Disorders With Mcc 23 21 $64,516.41 $16,129.10 75% off — — $29,670.56 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 23 21 $152,573.76 $38,143.44 75% off — — $30,056.81 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 23 21 $130,146.49 $32,536.62 75% off — — $30,417.49 2026-07-15
33249 HCPCS 33249 - Insj-rplcmt Perm Dfb W-trnsvns Lds 1-dual Chmbr 23 21 $71,817.77 $17,954.44 75% off $377.34 $63,444.30 $30,624.75 2026-07-15
33264 HCPCS 33264 - Rmvl Impltbl Dfb Pls Gen W-rplcmt Pls Gen Mlt Ld 23 21 $64,396.80 $16,099.20 75% off $461.19 $63,444.30 $30,642.40 2026-07-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 23 21 $2,334.80 $583.70 75% off — — $30,987.56 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 23 21 $53,250.57 $13,312.64 75% off — — $31,085.22 2026-07-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 23 21 $58,733.34 $14,683.34 75% off — — $31,305.63 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 23 21 $174,117.53 $43,529.38 75% off — — $31,382.42 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 23 21 $139,613.99 $34,903.50 75% off — — $32,077.99 2026-07-15
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 23 21 $84,719.61 $21,179.90 75% off — — $32,582.74 2026-07-15
178 MS_DRG Respiratory Infections And Inflammations With Cc 23 21 $46,625.70 $11,656.43 75% off — — $32,640.82 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 23 21 $104,952.43 $26,238.11 75% off — — $33,002.81 2026-07-15
783 MS_DRG Cesarean Section With Sterilization With Mcc 23 21 $45,951.03 $11,487.76 75% off — — $34,375.82 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 23 21 $179.36 $44.84 75% off — — $35,384.48 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 21 $121,466.49 $30,366.62 75% off — — $35,503.37 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 23 21 $147,646.37 $36,911.59 75% off — — $35,549.87 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 21 $156,729.85 $39,182.46 75% off — — $35,991.42 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 23 21 $148,365.35 $37,091.34 75% off — — $36,287.15 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 23 21 $103,754.07 $25,938.52 75% off — — $36,741.31 2026-07-15
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 23 21 $48,378.68 $12,094.67 75% off — — $37,331.73 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 21 $203,678.33 $50,919.58 75% off — — $37,810.82 2026-07-15
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 23 21 $64,350.89 $16,087.72 75% off — — $39,843.23 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 23 21 $103,119.71 $25,779.93 75% off — — $41,805.63 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 23 21 $1,142.76 $285.69 75% off — — $41,811.25 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 23 21 $283,531.06 $70,882.77 75% off — — $41,852.15 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 23 21 $60,960.13 $15,240.03 75% off — — $41,966.80 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 23 21 $141,535.17 $35,383.79 75% off — — $41,974.08 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 21 $136,438.42 $34,109.61 75% off — — $42,906.59 2026-07-15
302 MS_DRG Atherosclerosis With Mcc 23 21 $75,310.11 $18,827.53 75% off — — $43,130.06 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 23 21 $139,930.08 $34,982.52 75% off — — $43,392.66 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 21 $164,803.13 $41,200.78 75% off — — $44,892.53 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 21 $163,474.25 $40,868.56 75% off — — $45,165.42 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 23 21 $321,248.63 $80,312.16 75% off — — $45,379.54 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 23 21 $146,951.10 $36,737.78 75% off — — $46,605.01 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 23 21 $116,657.64 $29,164.41 75% off — — $47,069.27 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 21 $175,530.18 $43,882.55 75% off — — $47,708.73 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 21 $5,649.36 $1,412.34 75% off — — $48,219.54 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 21 $343,735.80 $85,933.95 75% off — — $50,155.41 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 21 $1,093.25 $273.31 75% off — — $50,403.00 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 23 21 $225,099.91 $56,274.98 75% off — — $50,644.25 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 24 22 $119,322.45 $29,830.61 75% off $2,497.00 $2,497.00 $50,682.01 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 21 $116,863.08 $29,215.77 75% off — — $53,797.88 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 21 $165,440.69 $41,360.17 75% off — — $54,452.89 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 23 21 $155,324.24 $38,831.06 75% off — — $57,296.40 2026-07-15
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 23 21 $120,445.98 $30,111.50 75% off — — $57,671.37 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 21 $276,058.09 $69,014.52 75% off — — $59,969.36 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 23 21 $166,910.20 $41,727.55 75% off — — $59,987.20 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 23 21 $123,771.62 $30,942.91 75% off — — $61,619.53 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 23 21 $102,199.96 $25,549.99 75% off — — $74,706.93 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 23 21 $226,251.11 $56,562.78 75% off — — $75,433.48 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 23 21 $281,431.77 $70,357.94 75% off — — $78,327.96 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 21 $343,351.72 $85,837.93 75% off — — $79,099.21 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 23 21 $218,415.59 $54,603.90 75% off — — $88,006.43 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 23 21 $126,489.71 $31,622.43 75% off — — $94,151.04 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 21 $423,663.53 $105,915.88 75% off — — $98,680.51 2026-07-15
666 MS_DRG Prostatectomy With Cc 23 21 $104,833.91 $26,208.48 75% off — — $134,999.87 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 23 21 $370,606.67 $92,651.67 75% off — — $149,696.60 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 23 21 $129,165.74 $32,291.44 75% off — — $169,460.46 2026-07-15
215 MS_DRG Other Heart Assist System Implant 23 21 $439,407.42 $109,851.86 75% off — — $191,797.75 2026-07-15
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