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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

SALINE MEMORIAL HOSPITAL

Benton, AR · CCN 040084 · Rates published

Your selected procedure

You selected 70551 (CPT)

Mri brain stem w/o dye

This hospital’s price: $389 across 40 payers · range $218-$1,412

Source: https://www.salinememorial.org/docs/ahsalinememorialhospitallibraries/hcl/mrf3q262/812816675_saline-memorial-hospital_standardcharges.csv · observed 2026-09-21

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.

3,411 distinct procedures filed
66 distinct payers
103,733 rate rows
2026-09-21 last MRF observed
Data quality

101,714 of 103,733 rate rows are consumer-grade (98.1%)

2,019 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 1,996
exceeds 10× this hospital's gross charge — excluded from medians 17
placeholder amount (≤ $0.02) — excluded from medians 4
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.salinememorial.org/docs/ahsalinememorialhospitallibraries/hcl/mrf3q25/812816675_saline-memorial-hospital_standardcharges.csv
Found on page https://www.salinememorial.org/hospital-charges-listing
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint 8be5392892235049… · 92,303 bytes · first seen 2026-05-05

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
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 $96,773.89 $143,306.58 $96,773.89 nat. median
$97,418
1.0× median
C1882
HCPCS 		Aicd Other Than Sing/dual 12 $94,381.88 $94,381.88 $94,381.88 nat. median
$24,131
outlier · 3.9×
C1721
HCPCS 		Aicd Dual Chamber 12 $81,076.76 $81,076.76 $81,076.76 nat. median
$19,958
outlier · 4.1×
215
MS_DRG 		Other Heart Assist System Implant 30 $72,670.42 $103,015.12 $72,670.42 nat. median
$73,023
1.0× median
C1776
HCPCS 		Joint Device (implantable) 12 $71,430.51 $71,430.51 $71,430.51 nat. median
$3,543
outlier · 20.2×
4169F
CPT 		No Pt Care Icu/vent In 24hrs 12 $70,356.71 $70,356.71 $70,356.71 nat. median
$85,762
0.8× median
C1722
HCPCS 		Aicd Single Chamber 12 $67,844.43 $67,844.43 $67,844.43 nat. median
$19,800
outlier · 3.4×
C1820
HCPCS 		Axonics Stage 2 Full Implant 12 $58,667.81 $58,667.81 $58,667.81 nat. median
$21,100
outlier · 2.8×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 $51,325.56 $78,835.49 $51,325.56 nat. median
$52,327
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 30 $47,864.00 $71,509.48 $47,864.00 nat. median
$48,611
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 30 $44,527.88 $66,573.41 $44,527.88 nat. median
$47,121
0.9× median
S2900
HCPCS 		Robotic Surgical System 12 $43,919.60 $43,919.60 $43,919.60 nat. median
$1,340
outlier · 32.8×
J7330
HCPCS 		Autologous Chondrocytew/membr 12 $42,099.80 $42,099.80 $42,099.80 nat. median
$92,809
outlier · 0.5×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 $20,718.00 $61,491.45 $40,966.09 nat. median
$40,584
1.0× median
C1713
HCPCS 		Anchor/screw Bn/bntis/bn 12 $2,672.45 $38,871.42 $38,871.42 nat. median
$1,045
outlier · 37.2×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 30 $37,258.39 $58,967.03 $37,258.39 nat. median
$38,795
1.0× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 30 $35,062.95 $51,599.64 $35,062.95 nat. median
$35,986
1.0× median
10012
CPT 		Fna Bx W/mr Gdn Ea Addl 12 $34,897.67 $34,897.67 $34,897.67 nat. median
$762
outlier · 45.8×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 $34,533.18 $51,094.76 $34,533.18 nat. median
$34,733
1.0× median
C2621
HCPCS 		Impl Pacemaker Not Sgl/dual Chamb 12 $33,907.89 $33,907.89 $33,907.89 nat. median
$11,743
outlier · 2.9×
C1767
HCPCS 		Battery Interstem 10-14 Hz 12 $33,808.64 $33,808.64 $33,808.64 nat. median
$25,172
1.3× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 $32,846.37 $48,541.36 $32,846.37 nat. median
$33,546
1.0× median
G0269
HCPCS 		Occlusive Device In Vein Art 12 $31,816.58 $31,816.58 $31,816.58 nat. median
$713
outlier · 44.6×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 30 $31,741.83 $47,555.39 $31,741.83 nat. median
$33,435
0.9× median
33264
CPT 		Rmvl & Rplcmt Dfb Gen Mlt Ld 31 $3,376.00 $51,217.35 $30,687.10 nat. median
$32,779
0.9× median
33249
CPT 		Ins/rplcmt Defib With Lead(s) 31 $6,269.00 $51,217.35 $30,687.10 nat. median
$32,069
1.0× median
4168F
CPT 		Pt Care Icu&vent W/in 24hrs 12 $30,419.04 $30,419.04 $30,419.04 nat. median
$41,617
0.7× median
C1781
HCPCS 		Enform Intraperit Biomaterial 12 $271.96 $30,278.92 $30,278.92 nat. median
$1,566
outlier · 19.3×
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 30 $28,998.90 $43,469.75 $28,998.90 nat. median
$29,327
1.0× median
793
MS_DRG 		Full Term Neonate With Major Problems 30 $485.00 $43,138.68 $28,868.67 nat. median
$15,882
1.8× median
4190F
CPT 		Approp Diuretic Tstng Done 12 $28,297.01 $28,297.01 $28,297.01 nat. median
$28,297
1.0× median
791
MS_DRG 		Prematurity With Major Problems 30 $12,597.00 $41,994.41 $28,114.59 nat. median
$27,149
1.0× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 30 $27,595.04 $39,721.40 $27,595.04 nat. median
$27,194
1.0× median
C1757
HCPCS 		Cath Thrombectomy/embolect 12 $27,370.47 $27,370.47 $27,370.47 nat. median
$2,532
outlier · 10.8×
876
MS_DRG 		O.r. Procedures With Principal Diagnosis Of Mental Illness 30 $8,323.00 $36,167.73 $27,226.18 nat. median
$2,958
outlier · 9.2×
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 30 $26,785.73 $36,080.64 $26,785.73 nat. median
$25,616
1.0× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 30 $25,310.97 $36,411.71 $25,310.97 nat. median
$24,752
1.0× median
802
MS_DRG 		Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 30 $24,875.29 $41,219.50 $24,875.29 nat. median
$25,579
1.0× median
C9601
HCPCS 		Drug-eluting Stent Addl Vessel 12 $24,790.79 $24,790.79 $24,790.79 nat. median
$9,005
outlier · 2.8×
C9608
HCPCS 		Cto/bypass Ptca/des Add Vessel 12 $24,790.79 $24,790.79 $24,790.79 nat. median
$9,115
outlier · 2.7×
C9605
HCPCS 		Perc D-e Cor Revasc T Cabg B 12 $24,790.79 $24,790.79 $24,790.79 nat. median
$8,104
outlier · 3.1×
C9606
HCPCS 		Mi Total/sub Coronary/bypass Ptca/d 12 $24,790.79 $24,790.79 $24,790.79 nat. median
$17,051
1.5× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 30 $24,646.20 $37,986.37 $24,646.20 nat. median
$25,953
0.9× median
3130F
CPT 		Upper Gi Endoscopy Performed 12 $24,449.40 $24,449.40 $24,449.40 nat. median
$27,100
0.9× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 $24,315.52 $35,470.23 $24,315.52 nat. median
$24,316
1.0× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 30 $24,263.70 $34,561.85 $24,263.70 nat. median
$23,998
1.0× median
252
MS_DRG 		Other Vascular Procedures With Mcc 30 $23,822.57 $36,089.95 $23,822.57 nat. median
$25,156
0.9× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 30 $23,787.12 $36,486.20 $23,787.12 nat. median
$25,622
0.9× median
93653
CPT 		Ep & Ablate Supravent Arrhyt 31 $23,480.60 $42,649.26 $23,480.60 nat. median
$25,502
0.9× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 30 $22,720.08 $31,381.49 $22,720.08 nat. median
$22,918
1.0× median

Other procedures at this hospital

Browse this hospital's 3,411 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
             
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 30 $187,322.84 — $96,773.89 $143,306.58 $96,773.89 2026-09-21
C1882 HCPCS Aicd Other Than Sing/dual 13 12 $141,927.65 — $94,381.88 $94,381.88 $94,381.88 2026-09-21
C1721 HCPCS Aicd Dual Chamber 13 12 $121,919.94 — $81,076.76 $81,076.76 $81,076.76 2026-09-21
215 MS_DRG Other Heart Assist System Implant 30 30 $310,417.18 — $72,670.42 $103,015.12 $72,670.42 2026-09-21
C1776 HCPCS Joint Device (implantable) 13 12 $107,414.29 — $71,430.51 $71,430.51 $71,430.51 2026-09-21
4169F CPT No Pt Care Icu/vent In 24hrs 13 12 $105,799.56 — $70,356.71 $70,356.71 $70,356.71 2026-09-21
C1722 HCPCS Aicd Single Chamber 13 12 $102,021.69 — $67,844.43 $67,844.43 $67,844.43 2026-09-21
C1820 HCPCS Axonics Stage 2 Full Implant 13 12 $88,222.26 — $58,667.81 $58,667.81 $58,667.81 2026-09-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 30 $127,291.52 — $51,325.56 $78,835.49 $51,325.56 2026-09-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 30 30 $120,818.86 — $47,864.00 $71,509.48 $47,864.00 2026-09-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 30 30 $117,302.52 — $44,527.88 $66,573.41 $44,527.88 2026-09-21
S2900 HCPCS Robotic Surgical System 13 12 $66,044.50 — $43,919.60 $43,919.60 $43,919.60 2026-09-21
J7330 HCPCS Autologous Chondrocytew/membr 13 12 $63,307.97 — $42,099.80 $42,099.80 $42,099.80 2026-09-21
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 30 $31,693.63 — $20,718.00 $61,491.45 $40,966.09 2026-09-21
C1713 HCPCS Anchor/screw Bn/bntis/bn 13 12 $58,453.26 — $2,672.45 $38,871.42 $38,871.42 2026-09-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 30 $178,170.28 — $37,258.39 $58,967.03 $37,258.39 2026-09-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 30 30 $216,461.88 — $35,062.95 $51,599.64 $35,062.95 2026-09-21
10012 CPT Fna Bx W/mr Gdn Ea Addl 13 12 $52,477.69 — $34,897.67 $34,897.67 $34,897.67 2026-09-21
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 30 $115,176.89 — $34,533.18 $51,094.76 $34,533.18 2026-09-21
C2621 HCPCS Impl Pacemaker Not Sgl/dual Chamb 13 12 $50,989.31 — $33,907.89 $33,907.89 $33,907.89 2026-09-21
C1767 HCPCS Battery Interstem 10-14 Hz 13 12 $50,840.06 — $33,808.64 $33,808.64 $33,808.64 2026-09-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 30 $100,372.59 — $32,846.37 $48,541.36 $32,846.37 2026-09-21
G0269 HCPCS Occlusive Device In Vein Art 13 12 $47,844.49 — $31,816.58 $31,816.58 $31,816.58 2026-09-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 30 30 $203,625.41 — $31,741.83 $47,555.39 $31,741.83 2026-09-21
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 32 31 $142,007.24 — $3,376.00 $51,217.35 $30,687.10 2026-09-21
33249 CPT Ins/rplcmt Defib With Lead(s) 32 31 $142,007.24 — $6,269.00 $51,217.35 $30,687.10 2026-09-21
4168F CPT Pt Care Icu&vent W/in 24hrs 13 12 $45,742.92 — $30,419.04 $30,419.04 $30,419.04 2026-09-21
C1781 HCPCS Enform Intraperit Biomaterial 13 12 $45,532.21 — $271.96 $30,278.92 $30,278.92 2026-09-21
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 30 30 $92,849.04 — $28,998.90 $43,469.75 $28,998.90 2026-09-21
793 MS_DRG Full Term Neonate With Major Problems 30 30 $25,991.71 — $485.00 $43,138.68 $28,868.67 2026-09-21
4190F CPT Approp Diuretic Tstng Done 13 12 $42,551.89 — $28,297.01 $28,297.01 $28,297.01 2026-09-21
791 MS_DRG Prematurity With Major Problems 30 30 $25,824.09 — $12,597.00 $41,994.41 $28,114.59 2026-09-21
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 30 30 $33,637.11 — $27,595.04 $39,721.40 $27,595.04 2026-09-21
C1757 HCPCS Cath Thrombectomy/embolect 13 12 $41,158.61 — $27,370.47 $27,370.47 $27,370.47 2026-09-21
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 30 30 $65,613.10 — $8,323.00 $36,167.73 $27,226.18 2026-09-21
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 30 30 $159,099.10 — $26,785.73 $36,080.64 $26,785.73 2026-09-21
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 30 30 $25,532.23 — $25,310.97 $36,411.71 $25,310.97 2026-09-21
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 30 30 $70,507.66 — $24,875.29 $41,219.50 $24,875.29 2026-09-21
C9608 HCPCS Cto/bypass Ptca/des Add Vessel 13 12 $37,279.38 — $24,790.79 $24,790.79 $24,790.79 2026-09-21
C9606 HCPCS Mi Total/sub Coronary/bypass Ptca/d 13 12 $37,279.38 — $24,790.79 $24,790.79 $24,790.79 2026-09-21
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 13 12 $37,279.38 — $24,790.79 $24,790.79 $24,790.79 2026-09-21
C9601 HCPCS Drug-eluting Stent Addl Vessel 13 12 $37,279.38 — $24,790.79 $24,790.79 $24,790.79 2026-09-21
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 30 30 $97,619.13 — $24,646.20 $37,986.37 $24,646.20 2026-09-21
3130F CPT Upper Gi Endoscopy Performed 13 12 $36,766.01 — $24,449.40 $24,449.40 $24,449.40 2026-09-21
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 30 $99,754.45 — $24,315.52 $35,470.23 $24,315.52 2026-09-21
264 MS_DRG Other Circulatory System O.r. Procedures 30 30 $42,300.27 — $24,263.70 $34,561.85 $24,263.70 2026-09-21
252 MS_DRG Other Vascular Procedures With Mcc 30 30 $73,954.87 — $23,822.57 $36,089.95 $23,822.57 2026-09-21
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 30 30 $144,311.80 — $23,787.12 $36,486.20 $23,787.12 2026-09-21
93653 CPT Ep & Ablate Supravent Arrhyt 32 31 $89,003.26 — $23,480.60 $42,649.26 $23,480.60 2026-09-21
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 30 30 $106,437.77 — $22,720.08 $31,381.49 $22,720.08 2026-09-21
500 MS_DRG Soft Tissue Procedures With Mcc 30 30 $72,108.93 — $22,038.26 $32,743.02 $22,038.26 2026-09-21
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 30 30 $76,574.84 — $21,518.04 $32,971.67 $21,518.04 2026-09-21
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 32 31 $101,892.36 — $6,269.00 $36,294.94 $21,483.92 2026-09-21
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 19 $76,064.10 — $21,355.77 $21,355.77 $21,355.77 2026-09-21
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 30 $72,980.40 — $20,537.59 $32,224.69 $20,537.59 2026-09-21
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 30 30 $120,002.84 — $20,485.77 $30,130.66 $20,485.77 2026-09-21
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 30 30 $50,543.77 — $20,431.23 $30,024.09 $20,431.23 2026-09-21
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 30 30 $104,030.74 — $20,306.46 $29,695.09 $20,306.46 2026-09-21
800 MS_DRG Splenic Procedures With Cc 30 30 $89,887.14 — $20,300.32 $29,066.05 $20,300.32 2026-09-21
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 30 30 $103,627.94 — $20,289.41 $29,491.27 $20,289.41 2026-09-21
C1785 HCPCS Pmkr Dual Rate-resp 13 12 $30,469.21 — $20,262.03 $20,262.03 $20,262.03 2026-09-21
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 30 30 $123,242.58 — $19,959.41 $27,520.36 $19,959.41 2026-09-21
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 19 $110,656.47 — $19,843.51 $19,843.51 $19,843.51 2026-09-21
C1786 HCPCS Insignia I Ultra Dr 1290 13 12 $28,728.12 — $19,104.20 $19,104.20 $19,104.20 2026-09-21
619 MS_DRG O.r. Procedures For Obesity With Mcc 30 30 $70,163.43 — $19,023.28 $29,873.04 $19,023.28 2026-09-21
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 30 30 $78,726.09 — $18,732.15 $28,438.05 $18,732.15 2026-09-21
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 30 30 $60,331.30 — $18,588.97 $27,424.14 $18,588.97 2026-09-21
27487 CPT Revise/replace Knee Joint 13 12 $125,638.80 — $4,559.00 $28,610.01 $18,536.20 2026-09-21
E0749 HCPCS Elec Osteogen Stim Implanted 13 12 $27,748.14 — $18,452.51 $18,452.51 $18,452.51 2026-09-21
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 30 30 $139,807.01 — $18,319.65 $28,430.81 $18,319.65 2026-09-21
33221 CPT Insert Pulse Gen Mult Exist 32 31 $81,892.95 — $6,269.00 $31,429.39 $18,253.58 2026-09-21
33229 CPT Remv & Rplc Pm Gen Mult Leads 32 31 $81,892.95 — $6,269.00 $31,429.39 $18,253.58 2026-09-21
C1895 HCPCS Lead Cardi/defib Endo Dual Coil 13 12 $27,434.72 — $18,244.09 $18,244.09 $18,244.09 2026-09-21
253 MS_DRG Other Vascular Procedures With Cc 30 30 $112,796.51 — $17,840.34 $26,854.08 $17,840.34 2026-09-21
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 30 30 $118,534.51 — $17,807.61 $28,678.08 $17,807.61 2026-09-21
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 30 30 $94,437.56 — $17,648.75 $31,211.81 $17,648.75 2026-09-21
23472 CPT Reconstruct Shoulder Joint 96 31 $91,591.17 — $4,559.00 $28,610.01 $17,601.67 2026-09-21
20696 CPT Comp Multiplane Ext Fixation 32 31 $170,631.05 — $3,963.00 $44,274.70 $17,601.67 2026-09-21
24371 CPT Revise Reconst Elbow Joint 32 31 $104,632.66 — $6,269.00 $28,610.01 $17,601.67 2026-09-21
24363 CPT Replace Elbow Joint 32 31 $104,632.66 — $4,559.00 $28,610.01 $17,601.67 2026-09-21
56 MS_DRG Degenerative Nervous System Disorders With Mcc 30 30 $99,964.63 — $17,506.93 $24,034.79 $17,506.93 2026-09-21
92933 CPT Prq Card Stent/ath/angio 32 31 $56,701.11 — $17,186.92 $29,911.82 $17,186.92 2026-09-21
37184 CPT Prim Art M-thrmbc 1st Vsl 32 31 $76,064.10 — $4,559.00 $29,911.82 $17,186.92 2026-09-21
C9602 HCPCS Perc D-e Cor Stent Ather S 32 31 $71,126.34 — $17,186.92 $29,911.82 $17,186.92 2026-09-21
0238T CPT Atherectomy Iliac Art 32 31 $71,126.34 — $17,186.92 $29,911.82 $17,186.92 2026-09-21
C9607 HCPCS Chronic Total Coronary/bypass Singl 32 31 $57,084.80 — $17,186.92 $29,911.82 $17,186.92 2026-09-21
792 MS_DRG Prematurity Without Major Problems 30 30 $17,066.75 — $7,614.00 $25,339.42 $17,136.03 2026-09-21
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 30 30 $83,041.09 — $17,126.48 $25,435.64 $17,126.48 2026-09-21
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 30 30 $77,638.92 — $16,803.98 $26,238.49 $16,803.98 2026-09-21
C1764 HCPCS Event Recorder Cardiac Confirm Rx 13 12 $25,081.76 — $16,679.37 $16,679.37 $16,679.37 2026-09-21
0235T CPT Atherectomy Visceral 13 12 $24,950.76 — $16,592.26 $16,592.26 $16,592.26 2026-09-21
347 MS_DRG Anal And Stomal Procedures With Mcc 30 30 $52,321.02 — $16,570.80 $23,750.28 $16,570.80 2026-09-21
330 MS_DRG Major Small And Large Bowel Procedures With Cc 30 30 $94,411.35 — $16,549.67 $24,801.43 $16,549.67 2026-09-21
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 30 30 $62,369.54 — $16,253.08 $23,646.82 $16,253.08 2026-09-21
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 30 30 $90,398.54 — $16,201.26 $22,580.15 $16,201.26 2026-09-21
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 30 30 $66,205.13 — $16,049.21 $22,842.93 $16,049.21 2026-09-21
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 30 30 $44,600.40 — $15,768.31 $22,541.86 $15,768.31 2026-09-21
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 30 30 $41,948.67 — $15,524.22 $22,893.63 $15,524.22 2026-09-21
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 30 30 $39,956.99 — $15,289.67 $22,155.96 $15,289.67 2026-09-21
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 30 30 $41,356.73 — $15,142.40 $23,544.39 $15,142.40 2026-09-21
314 MS_DRG Other Circulatory System Diagnoses With Mcc 30 30 $119,463.92 — $15,116.49 $21,573.48 $15,116.49 2026-09-21
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 30 30 $141,447.77 — $14,894.22 $21,634.52 $14,894.22 2026-09-21
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 30 30 $83,048.21 — $14,806.95 $21,909.72 $14,806.95 2026-09-21
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 30 30 $89,337.19 — $14,580.59 $21,669.70 $14,580.59 2026-09-21
C1897 HCPCS Axonics Stage 1 Trial Kit 13 12 $21,833.36 — $14,519.18 $14,519.18 $14,519.18 2026-09-21
908 MS_DRG Other O.r. Procedures For Injuries With Cc 30 30 $85,820.92 — $14,186.50 $20,642.34 $14,186.50 2026-09-21
548 MS_DRG Septic Arthritis With Mcc 30 30 $32,592.74 — $14,169.45 $19,977.09 $14,169.45 2026-09-21
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 30 30 $45,674.45 — $14,149.68 $21,500.02 $14,149.68 2026-09-21
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 30 30 $104,219.14 — $14,056.96 $20,672.34 $14,056.96 2026-09-21
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 30 30 $42,237.55 — $13,996.27 $20,805.81 $13,996.27 2026-09-21
100 MS_DRG Seizures With Mcc 30 30 $59,656.63 — $13,969.68 $20,038.13 $13,969.68 2026-09-21
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 30 30 $42,557.80 — $13,968.32 $19,958.47 $13,968.32 2026-09-21
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 30 30 $75,330.15 — $12,569.70 $15,763.17 $13,834.00 2026-09-21
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 30 30 $59,499.17 — $13,811.50 $20,097.11 $13,811.50 2026-09-21
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 30 30 $58,285.00 — $13,805.37 $21,513.47 $13,805.37 2026-09-21
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 30 30 $35,348.46 — $13,765.82 $20,493.36 $13,765.82 2026-09-21
36416 CPT Capillary Blood Draw 13 12 $20,559.07 — $13,671.78 $13,671.78 $13,671.78 2026-09-21
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 30 30 $84,754.13 — $13,603.55 $19,350.12 $13,603.55 2026-09-21
27091 CPT Removal Of Hip Prosthesis 13 12 $122,694.83 — $3,376.00 $20,948.94 $13,572.65 2026-09-21
27125 CPT Partial Hip Replacement 13 12 $88,796.50 — $3,376.00 $20,948.94 $13,572.65 2026-09-21
27132 CPT Total Hip Arthroplasty 26 12 $82,282.34 — $4,559.00 $20,948.94 $13,572.65 2026-09-21
27712 CPT Realignment Of Lower Leg 13 12 $65,571.09 — $3,376.00 $20,948.94 $13,572.65 2026-09-21
27486 CPT Revise/replace Knee Joint 26 12 $96,792.10 — $4,559.00 $20,948.94 $13,572.65 2026-09-21
27120 CPT Reconstruction Of Hip Socket 26 12 $104,097.92 — $3,376.00 $20,948.94 $13,572.65 2026-09-21
23474 CPT Revis Reconst Shoulder Joint 26 12 $94,978.27 — $4,689.00 $20,948.94 $13,572.65 2026-09-21
27513 CPT Treatment Of Thigh Fracture 13 12 $88,154.94 — $3,376.00 $20,948.94 $13,572.65 2026-09-21
27514 CPT Treatment Of Thigh Fracture 13 12 $88,154.94 — $3,376.00 $20,948.94 $13,572.65 2026-09-21
27511 CPT Treatment Of Thigh Fracture 13 12 $88,154.94 — $2,985.00 $20,948.94 $13,572.65 2026-09-21
27138 CPT Revise Hip Joint Replacement 13 12 $101,848.50 — $4,559.00 $20,948.94 $13,572.65 2026-09-21
27134 CPT Revise Hip Joint Replacement 13 12 $85,203.77 — $4,559.00 $20,948.94 $13,572.65 2026-09-21
27488 CPT Removal Of Knee Prosthesis 13 12 $142,208.39 — $3,376.00 $20,948.94 $13,572.65 2026-09-21
L8699 HCPCS Graft Tissue Denovo Cartlg 110mg 13 12 $20,327.75 — $13,517.95 $13,517.95 $13,517.95 2026-09-21
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 30 30 $56,150.74 — $13,475.37 $18,559.69 $13,475.37 2026-09-21
C2620 HCPCS Generator Pulse Mdl 5156 13 12 $20,175.18 — $13,416.50 $13,416.50 $13,416.50 2026-09-21
902 MS_DRG Wound Debridements For Injuries With Cc 30 30 $49,774.64 — $13,371.73 $19,807.42 $13,371.73 2026-09-21
205 MS_DRG Other Respiratory System Diagnoses With Mcc 30 30 $25,866.55 — $13,304.92 $18,943.53 $13,304.92 2026-09-21
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 30 30 $94,884.14 — $13,289.23 $19,956.40 $13,289.23 2026-09-21
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 30 30 $65,868.70 — $13,288.55 $20,759.25 $13,288.55 2026-09-21
C1761 HCPCS Cath Trans Intra Lith/coro Shockwa 13 12 $19,881.34 — $13,221.09 $13,221.09 $13,221.09 2026-09-21
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 30 30 $71,157.62 — $13,090.14 $19,294.26 $13,090.14 2026-09-21
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 30 30 $125,131.82 — $12,970.14 $18,868.00 $12,970.14 2026-09-21
919 MS_DRG Complications Of Treatment With Mcc 30 30 $39,038.78 — $12,867.19 $18,941.46 $12,867.19 2026-09-21
91 MS_DRG Other Disorders Of Nervous System With Mcc 30 30 $82,512.37 — $12,862.42 $18,169.65 $12,862.42 2026-09-21
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 30 30 $79,990.48 — $12,830.37 $18,912.49 $12,830.37 2026-09-21
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 19 19 $74,632.22 — $12,769.01 $12,769.01 $12,769.01 2026-09-21
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 30 30 $15,116.00 — $12,724.01 $18,645.56 $12,724.01 2026-09-21
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 30 30 $55,724.74 — $3,567.00 $16,330.65 $12,575.37 2026-09-21
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 30 30 $78,547.15 — $12,522.19 $17,877.89 $12,522.19 2026-09-21
C1724 HCPCS Cath Trans Atherecrotation 13 12 $18,777.34 — $12,486.93 $12,486.93 $12,486.93 2026-09-21
199 MS_DRG Pneumothorax With Mcc 30 30 $20,317.97 — $12,469.69 $18,251.38 $12,469.69 2026-09-21
505 MS_DRG Foot Procedures Without Cc/mcc 30 30 $84,604.87 — $12,399.47 $18,548.31 $12,399.47 2026-09-21
504 MS_DRG Foot Procedures With Cc 30 30 $112,796.51 — $12,399.47 $19,338.74 $12,399.47 2026-09-21
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 30 30 $47,090.21 — $12,351.74 $18,344.49 $12,351.74 2026-09-21
24587 CPT Treat Elbow Fracture 32 31 $66,951.66 — $3,376.00 $20,948.94 $12,315.22 2026-09-21
24586 CPT Treat Elbow Fracture 96 31 $68,801.97 — $2,985.00 $20,948.94 $12,315.22 2026-09-21
24546 CPT Treat Humerus Fracture 64 31 $68,758.36 — $3,376.00 $20,948.94 $12,315.22 2026-09-21
24346 CPT Reconstruct Elbow Med Ligmnt 32 31 $26,613.47 — $3,376.00 $20,948.94 $12,315.22 2026-09-21
24575 CPT Treat Humerus Fracture 64 31 $65,452.58 — $2,461.00 $20,948.94 $12,315.22 2026-09-21
24579 CPT Treat Humerus Fracture 32 31 $83,701.95 — $2,461.00 $20,948.94 $12,315.22 2026-09-21
20692 CPT Apply Bone Fixation Device 64 31 $126,251.62 — $2,461.00 $20,948.94 $12,315.22 2026-09-21
24366 CPT Reconstruct Head Of Radius 64 31 $51,044.90 — $3,376.00 $20,948.94 $12,315.22 2026-09-21
29867 CPT Allgrft Implnt Knee W/scope 32 31 $67,793.34 — $3,963.00 $20,948.94 $12,315.22 2026-09-21
27130 CPT Total Hip Arthroplasty 96 31 $91,631.35 — $4,559.00 $20,948.94 $12,315.22 2026-09-21
28420 CPT Treat/graft Heel Fracture 32 31 $61,968.29 — $2,985.00 $20,948.94 $12,315.22 2026-09-21
28297 CPT Correction Hallux Valgus 64 31 $44,398.56 — $2,461.00 $20,948.94 $12,315.22 2026-09-21
27446 CPT Revision Of Knee Joint 96 31 $76,243.63 — $6,269.00 $20,948.94 $12,315.22 2026-09-21
23491 CPT Reinforce Shoulder Bones 32 31 $67,121.81 — $2,461.00 $20,948.94 $12,315.22 2026-09-21
27447 CPT Total Knee Arthroplasty 128 31 $79,142.51 — $6,269.00 $20,948.94 $12,315.22 2026-09-21
27870 CPT Fusion Of Ankle Joint Open 64 31 $78,197.26 — $2,985.00 $20,948.94 $12,315.22 2026-09-21
24515 CPT Treat Humerus Fracture 32 31 $80,918.65 — $2,985.00 $20,948.94 $12,315.22 2026-09-21
27428 CPT Reconstruction Knee 64 31 $50,523.14 — $2,985.00 $20,948.94 $12,315.22 2026-09-21
27441 CPT Revision Of Knee Joint 32 31 $71,150.33 — $3,376.00 $20,948.94 $12,315.22 2026-09-21
27828 CPT Treat Lower Leg Fracture 32 31 $71,195.61 — $3,963.00 $20,948.94 $12,315.22 2026-09-21
23473 CPT Revis Reconst Shoulder Joint 32 31 $105,744.44 — $4,559.00 $20,948.94 $12,315.22 2026-09-21
24666 CPT Treat Radius Fracture 32 31 $60,638.80 — $2,985.00 $20,948.94 $12,315.22 2026-09-21
27442 CPT Revision Of Knee Joint 32 31 $113,104.33 — $3,376.00 $20,948.94 $12,315.22 2026-09-21
27758 CPT Treatment Of Tibia Fracture 32 31 $71,195.61 — $2,985.00 $20,948.94 $12,315.22 2026-09-21
27759 CPT Treatment Of Tibia Fracture 32 31 $48,661.97 — $2,985.00 $20,948.94 $12,315.22 2026-09-21
24410 CPT Revision Of Humerus 32 31 $94,123.80 — $2,985.00 $20,948.94 $12,315.22 2026-09-21
27443 CPT Revision Of Knee Joint 32 31 $113,104.33 — $3,376.00 $20,948.94 $12,315.22 2026-09-21
24545 CPT Treat Humerus Fracture 64 31 $69,657.26 — $2,985.00 $20,948.94 $12,315.22 2026-09-21
24370 CPT Revise Reconst Elbow Joint 32 31 $104,632.66 — $6,269.00 $20,948.94 $12,315.22 2026-09-21
27709 CPT Incision Of Tibia & Fibula 32 31 $77,083.04 — $2,084.00 $20,948.94 $12,315.22 2026-09-21
27827 CPT Treat Lower Leg Fracture 64 31 $53,996.15 — $3,963.00 $20,948.94 $12,315.22 2026-09-21
23615 CPT Treat Humerus Fracture 96 31 $44,757.20 — $2,985.00 $20,948.94 $12,315.22 2026-09-21
24516 CPT Treat Humerus Fracture 64 31 $74,773.20 — $2,985.00 $20,948.94 $12,315.22 2026-09-21
23680 CPT Treat Dislocation/fracture 32 31 $77,737.72 — $2,461.00 $20,948.94 $12,315.22 2026-09-21
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 30 30 $29,260.58 — $12,289.01 $17,224.02 $12,289.01 2026-09-21
915 MS_DRG Allergic Reactions With Mcc 30 30 $42,694.71 — $12,282.88 $17,397.83 $12,282.88 2026-09-21
C1876 HCPCS Stent Non Ctd/non Cvrd W/delivery 13 12 $18,312.88 — $12,178.07 $12,178.07 $12,178.07 2026-09-21
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 30 30 $30,358.40 — $12,133.56 $17,004.69 $12,133.56 2026-09-21
551 MS_DRG Medical Back Problems With Mcc 30 30 $107,646.47 — $12,068.11 $17,340.93 $12,068.11 2026-09-21
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 30 30 $66,233.35 — $12,031.97 $17,406.11 $12,031.97 2026-09-21
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 30 30 $58,376.24 — $11,959.02 $16,619.81 $11,959.02 2026-09-21
43647 CPT Lap Impl Electrode Antrum 32 31 $52,434.75 — $4,559.00 $18,181.58 $11,935.71 2026-09-21
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 30 30 $67,686.41 — $11,894.24 $17,116.42 $11,894.24 2026-09-21
368 MS_DRG Major Esophageal Disorders With Mcc 30 30 $40,192.70 — $11,819.93 $16,469.80 $11,819.93 2026-09-21
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 30 30 $85,136.27 — $11,807.65 $17,733.04 $11,807.65 2026-09-21
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 30 30 $57,963.24 — $11,740.83 $17,501.29 $11,740.83 2026-09-21
643 MS_DRG Endocrine Disorders With Mcc 30 30 $70,460.73 — $11,733.33 $17,030.55 $11,733.33 2026-09-21
393 MS_DRG Other Digestive System Diagnoses With Mcc 30 30 $30,824.38 — $11,724.47 $16,546.36 $11,724.47 2026-09-21
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 30 30 $82,358.16 — $11,690.38 $17,411.28 $11,690.38 2026-09-21
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 30 30 $58,567.94 — $11,624.93 $16,596.02 $11,624.93 2026-09-21
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 30 30 $38,407.41 — $11,613.34 $16,226.67 $11,613.34 2026-09-21
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 30 30 $71,110.30 — $11,604.47 $16,159.42 $11,604.47 2026-09-21
299 MS_DRG Peripheral Vascular Disorders With Mcc 30 30 $28,895.65 — $11,462.66 $16,891.91 $11,462.66 2026-09-21
177 MS_DRG Respiratory Infections And Inflammations With Mcc 30 30 $35,495.71 — $11,455.16 $16,167.69 $11,455.16 2026-09-21
786 MS_DRG Cesarean Section Without Sterilization With Mcc 30 30 $30,196.14 — $4,346.00 $19,380.00 $11,451.06 2026-09-21
C2623 HCPCS Cath Translum Angio Drug 5-6 X 250 13 12 $17,210.35 — $11,444.89 $11,444.89 $11,444.89 2026-09-21
C1762 HCPCS Allograft Articular Cartlidge Atgra 13 12 $17,193.76 — $11,433.85 $11,433.85 $11,433.85 2026-09-21
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 30 30 $56,708.12 — $11,395.84 $17,126.77 $11,395.84 2026-09-21
620 MS_DRG O.r. Procedures For Obesity With Cc 30 30 $63,986.23 — $11,322.20 $16,556.70 $11,322.20 2026-09-21
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 30 30 $57,858.21 — $11,298.34 $16,577.40 $11,298.34 2026-09-21
183 MS_DRG Major Chest Trauma With Mcc 30 30 $68,169.35 — $11,256.07 $15,828.35 $11,256.07 2026-09-21
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 30 30 $62,643.33 — $11,249.93 $16,874.33 $11,249.93 2026-09-21
186 MS_DRG Pleural Effusion With Mcc 30 30 $33,915.61 — $11,206.29 $16,124.24 $11,206.29 2026-09-21
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 30 30 $68,876.18 — $11,087.66 $15,462.10 $11,087.66 2026-09-21
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 30 30 $44,632.61 — $10,999.70 $15,383.47 $10,999.70 2026-09-21
813 MS_DRG Coagulation Disorders 30 30 $11,431.24 — $10,988.11 $15,780.75 $10,988.11 2026-09-21
C1874 HCPCS St Coated Viabahn 7 Fr 6-7mmx15cmx0 13 12 $16,409.44 — $10,912.28 $10,912.28 $10,912.28 2026-09-21
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 30 30 $53,043.75 — $10,900.16 $15,881.11 $10,900.16 2026-09-21
37187 CPT Venous Mech Thrombectomy 32 31 $21,670.87 — $4,559.00 $18,836.70 $10,854.40 2026-09-21
37238 CPT Open/perq Place Stent Same 32 31 $44,789.33 — $4,559.00 $18,836.70 $10,854.40 2026-09-21
37244 CPT Vasc Emboliize/occlude Bleed 32 31 $44,789.33 — $6,269.00 $18,836.70 $10,854.40 2026-09-21
C9604 HCPCS Perc D-e Cor Revasc T Cabg S 32 31 $37,279.38 — $10,854.40 $18,836.70 $10,854.40 2026-09-21
0234T CPT Atherectomy Renal 32 31 $44,789.33 — $10,854.40 $18,836.70 $10,854.40 2026-09-21
37236 CPT Open Perq Place Stent 1st 32 31 $43,702.43 — $4,559.00 $18,836.70 $10,854.40 2026-09-21
C9600 HCPCS Perc Drug-el Cor Stent Sing 32 31 $61,649.20 — $10,854.40 $22,688.97 $10,854.40 2026-09-21
92937 CPT Prq Revasc Byp Graft 1 Vsl 32 31 $44,789.33 — $10,854.40 $18,836.70 $10,854.40 2026-09-21
92943 CPT Prq Card Revasc Chronic 1vsl 32 31 $57,039.62 — $10,854.40 $21,113.10 $10,854.40 2026-09-21
92924 CPT Prq Card Angio/arthrect 1 Art 32 31 $44,789.33 — $10,854.40 $18,836.70 $10,854.40 2026-09-21
92928 CPT Prq Card Stent W/angio 1 Vsl 32 31 $58,386.12 — $10,854.40 $21,483.38 $10,854.40 2026-09-21
C9764 HCPCS Revasc Intravasc Lithotripsy 32 31 $40,727.53 — $10,854.40 $18,836.70 $10,854.40 2026-09-21
C1900 HCPCS Lead Coronary Venous 13 12 $16,250.24 — $10,806.41 $10,806.41 $10,806.41 2026-09-21
398 MS_DRG Appendix Procedures With Cc 19 19 $43,950.73 — $10,750.84 $10,750.84 $10,750.84 2026-09-21
C1734 HCPCS Orth/devic/drug Bn/bntis/bn 13 12 $16,127.15 — $10,724.56 $10,724.56 $10,724.56 2026-09-21
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 30 30 $38,443.84 — $10,699.02 $16,287.71 $10,699.02 2026-09-21
682 MS_DRG Renal Failure With Mcc 30 30 $32,574.21 — $10,673.80 $15,322.43 $10,673.80 2026-09-21
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 30 30 $49,269.90 — $10,643.12 $16,303.23 $10,643.12 2026-09-21
794 MS_DRG Neonate With Other Significant Problems 30 30 $15,235.48 — $2,538.00 $15,269.66 $10,498.57 2026-09-21
865 MS_DRG Viral Illness With Mcc 30 30 $54,312.42 — $10,496.53 $15,501.41 $10,496.53 2026-09-21
388 MS_DRG Gastrointestinal Obstruction With Mcc 30 30 $53,333.70 — $10,455.62 $15,278.97 $10,455.62 2026-09-21
602 MS_DRG Cellulitis With Mcc 30 30 $48,807.91 — $10,450.84 $14,704.77 $10,450.84 2026-09-21
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 30 30 $20,537.02 — $10,411.98 $14,740.98 $10,411.98 2026-09-21
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 30 30 $56,043.15 — $10,400.39 $15,605.91 $10,400.39 2026-09-21
637 MS_DRG Diabetes With Mcc 30 30 $54,581.47 — $10,362.89 $14,864.10 $10,362.89 2026-09-21
C1778 HCPCS Lead Interstem 3.5 Kit 13 12 $15,474.22 — $10,290.35 $10,290.35 $10,290.35 2026-09-21
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 30 30 $40,784.48 — $10,246.30 $14,930.31 $10,246.30 2026-09-21
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 30 30 $51,557.47 — $10,204.03 $14,477.16 $10,204.03 2026-09-21
885 MS_DRG Psychoses 30 30 $54,371.56 — $8,323.00 $13,071.25 $10,044.48 2026-09-21
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 30 30 $38,584.35 — $10,041.07 $14,211.27 $10,041.07 2026-09-21
811 MS_DRG Red Blood Cell Disorders With Mcc 30 30 $25,657.77 — $10,026.07 $14,528.89 $10,026.07 2026-09-21
33213 CPT Insert Pulse Gen Dual Exist 32 31 $45,762.67 — $2,461.00 $17,054.57 $10,016.68 2026-09-21
33214 CPT Upgr Imp Pace Sys/conv Sin C-dual C 32 31 $45,762.67 — $6,269.00 $17,054.57 $10,016.68 2026-09-21
33207 CPT Ins/repl Perm Pace W/trans Ele Ven 32 31 $45,762.67 — $6,269.00 $17,054.57 $10,016.68 2026-09-21
33206 CPT Ins/repl Perm Pace W/trans Ele Atr 32 31 $45,762.67 — $6,269.00 $17,054.57 $10,016.68 2026-09-21
33208 CPT Ins/repl Perm Pace W/trans Ele A&v 32 31 $45,762.67 — $6,269.00 $17,054.57 $10,016.68 2026-09-21
33224 CPT Insert Pacing Lead & Connect 32 31 $45,762.67 — $2,084.00 $17,054.57 $10,016.68 2026-09-21
33228 CPT Remove/replc Ppm Gen Dual Lead 32 31 $45,762.67 — $2,985.00 $17,054.57 $10,016.68 2026-09-21
58673 CPT Laparoscopy Salpingostomy 32 31 $27,648.87 — $3,376.00 $17,344.76 $9,964.89 2026-09-21
58571 CPT Tlh W/t/o 250 G Or Less 32 31 $42,449.20 — $4,559.00 $17,344.76 $9,964.89 2026-09-21
58570 CPT Tlh Uterus 250 G Or Less 32 31 $42,449.20 — $4,559.00 $17,344.76 $9,964.89 2026-09-21
58572 CPT Tlh Uterus Over 250 G 32 31 $42,449.20 — $4,689.00 $17,344.76 $9,964.89 2026-09-21
58573 CPT Tlh W/t/o Uterus Over 250 G 32 31 $42,449.20 — $3,963.00 $17,344.76 $9,964.89 2026-09-21
58543 CPT Lsh Uterus Above 250 G 32 31 $42,449.20 — $4,559.00 $17,344.76 $9,964.89 2026-09-21
58542 CPT Lsh W/t/o Ut 250 G Or Less 32 31 $42,449.20 — $4,689.00 $17,344.76 $9,964.89 2026-09-21
58544 CPT Lsh W/t/o Uterus Above 250 G 32 31 $42,449.20 — $4,689.00 $17,344.76 $9,964.89 2026-09-21
58552 CPT Laparo-vag Hyst Incl T/o 32 31 $38,958.91 — $4,559.00 $17,344.76 $9,964.89 2026-09-21
58541 CPT Lsh Uterus 250 G Or Less 32 31 $42,449.20 — $4,559.00 $17,344.76 $9,964.89 2026-09-21
38120 CPT Laparoscopy Splenectomy 32 31 $89,887.14 — $4,689.00 $17,344.76 $9,964.89 2026-09-21
58554 CPT Laparo-vag Hyst W/t/o Compl 32 31 $39,692.70 — $4,559.00 $17,344.76 $9,964.89 2026-09-21
47564 CPT Laparo Cholecystectomy/explr 32 31 $59,741.95 — $4,559.00 $17,344.76 $9,964.89 2026-09-21
43770 CPT Lap Place Gastr Adj Device 32 31 $48,503.64 — $3,963.00 $17,344.76 $9,964.89 2026-09-21
43284 CPT Laps Esophgl Sphnctr Agmntj 32 31 $52,636.19 — $3,963.00 $17,344.76 $9,964.89 2026-09-21
43280 CPT Laparoscopy Fundoplasty 32 31 $52,636.19 — $3,963.00 $17,344.76 $9,964.89 2026-09-21
43281 CPT Lap Paraesophag Hern Repair 32 31 $42,990.99 — $3,963.00 $17,344.76 $9,964.89 2026-09-21
43210 CPT Egd Esophagogastrc Fndoplsty 32 31 $48,503.64 — $4,559.00 $17,344.76 $9,964.89 2026-09-21
43282 CPT Lap Paraesoph Her Rpr W/mesh 32 31 $52,636.19 — $3,963.00 $17,344.76 $9,964.89 2026-09-21
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 30 30 $45,168.12 — $9,959.94 $13,924.68 $9,959.94 2026-09-21
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 30 30 $34,842.42 — $4,756.00 $17,482.67 $9,907.44 2026-09-21
C1725 HCPCS Cath Translumin Nonlaser Shockwave 13 12 $14,593.75 — $9,704.84 $9,704.84 $9,704.84 2026-09-21
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 30 $61,154.12 — $9,501.53 $11,915.49 $9,587.67 2026-09-21
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 30 30 $54,502.56 — $9,523.58 $13,915.37 $9,523.58 2026-09-21
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 30 30 $50,749.60 — $9,501.08 $13,263.57 $9,501.08 2026-09-21
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 30 30 $35,733.28 — $9,488.12 $13,818.12 $9,488.12 2026-09-21
49618 CPT Rpr Aa Hrn Rcr > 10 Ncr/strn 13 12 $43,669.43 — $1,647.56 $13,051.22 $9,449.10 2026-09-21
C1714 HCPCS Cath Trans Athrect Direct Panthe 13 12 $14,189.36 — $9,435.92 $9,435.92 $9,435.92 2026-09-21
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 30 30 $51,528.09 — $9,417.90 $13,598.78 $9,417.90 2026-09-21
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 30 30 $47,669.82 — $9,417.21 $14,130.57 $9,417.21 2026-09-21
291 MS_DRG Heart Failure And Shock With Mcc 30 30 $36,271.73 — $9,329.94 $13,282.19 $9,329.94 2026-09-21
947 MS_DRG Signs And Symptoms With Mcc 30 30 $59,392.81 — $9,203.13 $13,133.21 $9,203.13 2026-09-21
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 30 30 $37,577.40 — $9,191.53 $13,121.83 $9,191.53 2026-09-21
C1889 HCPCS Implant/insert Device Noc 13 12 $13,733.13 — $9,132.53 $9,132.53 $9,132.53 2026-09-21
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 30 30 $55,543.73 — $8,877.22 $11,554.41 $8,877.22 2026-09-21
189 MS_DRG Pulmonary Edema And Respiratory Failure 30 30 $40,974.96 — $8,870.40 $12,781.45 $8,870.40 2026-09-21
59618 CPT Attempted Vbac Delivery 13 12 $27,589.30 — $2,190.11 $8,820.06 $8,820.06 2026-09-21
59510 CPT Cesarean Delivery 13 12 $27,589.30 — $2,168.55 $8,809.28 $8,809.28 2026-09-21
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 30 30 $37,358.73 — $8,745.63 $12,100.68 $8,745.63 2026-09-21
C1885 HCPCS Cath Translum Laser Otw&rx 0.9-2.0 13 12 $13,028.63 — $8,664.04 $8,664.04 $8,664.04 2026-09-21
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 30 30 $34,844.05 — $8,655.63 $12,456.58 $8,655.63 2026-09-21
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