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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

Northwest Medical Center - Bentonville

Bentonville, AR · CCN 040138 · Rates published

2,298 distinct procedures filed
40 distinct payers
58,815 rate rows
2026-07-17 last MRF observed
Data quality

47,552 of 58,815 rate rows are consumer-grade (80.9%)

11,263 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
per-diem day rate — not a per-procedure price 6,941
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,111
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 203
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://www.northwesthealth.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/205896848_northwest-medical-center-bentonville_standardcharges.csv
Found on page https://www.northwesthealth.com/pricing-information
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint bca8acfc8a829788… · 125,088,807 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
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 $314,688.86 $344,916.22 $329,802.54 nat. median
$220,794
1.5× median
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $314,871.45 $343,512.99 $329,192.22 nat. median
$292,587
1.1× median
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 2 $280,644.90 $308,422.95 $294,533.93 nat. median
$27,663
outlier · 10.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 $4,263.00 $310,756.53 $154,680.32 nat. median
$131,925
1.2× median
266
OTHER 		Acute Leukemia Without Major O.r. Procedures Age 0-17 2 $102,267.69 $112,216.11 $107,241.90 nat. median
$26,720
outlier · 4.0×
835
OTHER 		Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 2 $92,198.46 $101,284.20 $96,741.33 nat. median
$58
outlier · 1675.2×
20939
CPT 		Bone Marrow Aspir Bone Grfg 17 $59.91 $388,297.77 $90,450.54 nat. median
$1,950
outlier · 46.4×
955
OTHER 		Craniotomy For Multiple Significant Trauma 2 $84,572.82 $92,517.00 $88,544.91 nat. median
$64,471
1.4× median
215
OTHER 		Other Heart Assist System Implant 2 $81,767.53 $89,678.45 $85,722.99 nat. median
$229
outlier · 374.8×
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 23 $4,263.00 $158,272.53 $79,724.43 nat. median
$74,509
1.1× median
414
OTHER 		Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 $75,136.77 $82,386.97 $78,761.87 nat. median
$20,056
outlier · 3.9×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $39,027.00 $186,467.99 $73,259.80 nat. median
$69,822
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 23 $4,263.00 $189,788.39 $73,097.56 nat. median
$73,023
1.0× median
974
OTHER 		HIV With Major Related Condition With Mcc 2 $68,726.00 $75,476.94 $72,101.47 nat. median
$15,490
outlier · 4.7×
622
OTHER 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 $66,964.98 $73,261.74 $70,113.36 nat. median
$21,747
outlier · 3.2×
33990
CPT 		Insj Perq Vad L Hrt Arterial 18 $297.00 $216,155.21 $64,846.56 nat. median
$2,229
outlier · 29.1×
63053
CPT 		Lam Factc/frmt Arthrd Lum Ea 17 $195.45 $278,321.67 $64,832.57 nat. median
$1,611
outlier · 40.2×
63052
CPT 		Lam Facetc/frmt Arthrd Lum 1 17 $220.24 $278,321.67 $64,832.57 nat. median
$3,327
outlier · 19.5×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 $46,732.24 $160,175.53 $64,739.96 nat. median
$59,651
1.1× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 16 $4,263.00 $153,247.15 $63,602.26 nat. median
$2,106
outlier · 30.2×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 21 $35,250.00 $160,680.64 $63,288.39 nat. median
$60,505
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 $33,991.00 $146,354.54 $57,748.79 nat. median
$55,923
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 $21,402.00 $145,723.63 $57,504.84 nat. median
$55,935
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 $4,263.00 $145,241.39 $56,209.95 nat. median
$52,327
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 $30,878.81 $135,911.13 $55,020.36 nat. median
$51,518
1.1× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 $49,287.03 $131,098.28 $54,419.40 nat. median
$49,569
1.1× median
515
OTHER 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 $51,068.68 $56,000.75 $53,534.71 nat. median
$17,041
outlier · 3.1×
613
OTHER 		Neonate, Birth Weight <750 Grams, Died 2 $50,782.15 $55,362.89 $53,072.52 nat. median
$45,113
1.2× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 23 $4,263.00 $104,398.65 $52,978.53 nat. median
$37,013
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 23 $4,263.00 $131,744.44 $51,093.30 nat. median
$48,611
1.1× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 23 $4,263.00 $128,300.15 $50,767.55 nat. median
$47,340
1.1× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 $36,495.65 $95,355.63 $50,599.57 nat. median
$43,299
1.2× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $38,738.21 $125,330.48 $49,619.24 nat. median
$47,458
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $36,321.91 $95,703.49 $49,619.24 nat. median
$45,446
1.1× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 23 $4,263.00 $116,676.88 $48,272.83 nat. median
$41,943
1.2× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 16 $4,263.00 $99,105.37 $47,891.27 nat. median
$2,106
outlier · 22.7×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 23 $4,263.00 $122,650.53 $47,645.83 nat. median
$47,121
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 $35,194.75 $116,812.21 $47,369.89 nat. median
$44,036
1.1× median
318
OTHER 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 $44,462.02 $49,490.23 $46,976.12 nat. median
$46,855
1.0× median
276
MS_DRG 		Non-maligant Breast Disorders 20 $24,669.38 $87,426.06 $46,439.92 nat. median
$43,533
1.1× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 $40,607.68 $86,792.92 $46,107.78 nat. median
$42,674
1.1× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 21 $33,489.76 $115,558.01 $45,840.44 nat. median
$43,803
1.0× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 20 $28,174.97 $111,860.21 $45,386.26 nat. median
$43,023
1.1× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 16 $4,263.00 $67,554.43 $44,254.44 nat. median
$2,106
outlier · 21.0×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 23 $4,263.00 $111,787.78 $43,527.80 nat. median
$40,726
1.1× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 $4,263.00 $86,507.64 $43,481.01 nat. median
$40,584
1.1× median
20936
CPT 		Spinal Bone Autograft 15 $297.00 $172,164.29 $42,610.67 nat. median
$2,915
outlier · 14.6×
595
OTHER 		Major Skin Disorders With Mcc 2 $40,528.29 $44,512.95 $42,520.62 nat. median
$12,375
outlier · 3.4×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 20 $37,809.96 $97,783.91 $42,474.21 nat. median
$37,725
1.1× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 23 $4,263.00 $108,637.03 $42,333.36 nat. median
$38,795
1.1× median

Other procedures at this hospital

Browse this hospital's 2,298 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 2 — — $314,688.86 $344,916.22 $329,802.54 2026-07-17
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $314,871.45 $343,512.99 $329,192.22 2026-07-17
166 OTHER Other Respiratory System O.r. Procedures With Mcc 2 2 — — $280,644.90 $308,422.95 $294,533.93 2026-07-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 22 — — $4,263.00 $310,756.53 $154,680.32 2026-07-17
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 2 2 — — $102,267.69 $112,216.11 $107,241.90 2026-07-17
835 OTHER Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 2 2 — — $92,198.46 $101,284.20 $96,741.33 2026-07-17
20939 CPT Bone Marrow Aspir Bone Grfg 18 17 $456,820.91 $109,637.02 76% off $59.91 $388,297.77 $90,450.54 2026-07-17
955 OTHER Craniotomy For Multiple Significant Trauma 2 2 — — $84,572.82 $92,517.00 $88,544.91 2026-07-17
215 OTHER Other Heart Assist System Implant 2 2 — — $81,767.53 $89,678.45 $85,722.99 2026-07-17
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 25 23 — — $4,263.00 $158,272.53 $79,724.43 2026-07-17
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 — — $75,136.77 $82,386.97 $78,761.87 2026-07-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 21 — — $39,027.00 $186,467.99 $73,259.80 2026-07-17
215 MS_DRG Other Heart Assist System Implant 25 23 — — $4,263.00 $189,788.39 $73,097.56 2026-07-17
974 OTHER HIV With Major Related Condition With Mcc 2 2 — — $68,726.00 $75,476.94 $72,101.47 2026-07-17
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $66,964.98 $73,261.74 $70,113.36 2026-07-17
33990 CPT Insj Perq Vad L Hrt Arterial 19 18 $270,194.01 $64,846.56 76% off $297.00 $216,155.21 $64,846.56 2026-07-17
63052 CPT Lam Facetc/frmt Arthrd Lum 1 18 17 $327,437.26 $78,584.94 76% off $220.24 $278,321.67 $64,832.57 2026-07-17
63053 CPT Lam Factc/frmt Arthrd Lum Ea 18 17 $327,437.26 $78,584.94 76% off $195.45 $278,321.67 $64,832.57 2026-07-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 20 — — $46,732.24 $160,175.53 $64,739.96 2026-07-17
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 16 16 — — $4,263.00 $153,247.15 $63,602.26 2026-07-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 23 21 — — $35,250.00 $160,680.64 $63,288.39 2026-07-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 21 — — $33,991.00 $146,354.54 $57,748.79 2026-07-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 21 — — $21,402.00 $145,723.63 $57,504.84 2026-07-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 23 — — $4,263.00 $145,241.39 $56,209.95 2026-07-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 20 — — $30,878.81 $135,911.13 $55,020.36 2026-07-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 20 — — $49,287.03 $131,098.28 $54,419.40 2026-07-17
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 2 — — $51,068.68 $56,000.75 $53,534.71 2026-07-17
613 OTHER Neonate, Birth Weight <750 Grams, Died 2 2 — — $50,782.15 $55,362.89 $53,072.52 2026-07-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 23 — — $4,263.00 $104,398.65 $52,978.53 2026-07-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 23 — — $4,263.00 $131,744.44 $51,093.30 2026-07-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 23 — — $4,263.00 $128,300.15 $50,767.55 2026-07-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 20 — — $36,495.65 $95,355.63 $50,599.57 2026-07-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 21 — — $38,738.21 $125,330.48 $49,619.24 2026-07-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 21 — — $36,321.91 $95,703.49 $49,619.24 2026-07-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 23 — — $4,263.00 $116,676.88 $48,272.83 2026-07-17
459 MS_DRG Spinal Fusion Except Cervical With Mcc 16 16 — — $4,263.00 $99,105.37 $47,891.27 2026-07-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 23 — — $4,263.00 $122,650.53 $47,645.83 2026-07-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 20 — — $35,194.75 $116,812.21 $47,369.89 2026-07-17
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 2 — — $44,462.02 $49,490.23 $46,976.12 2026-07-17
276 MS_DRG Non-maligant Breast Disorders 22 20 — — $24,669.38 $87,426.06 $46,439.92 2026-07-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 20 — — $40,607.68 $86,792.92 $46,107.78 2026-07-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 23 21 — — $33,489.76 $115,558.01 $45,840.44 2026-07-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 20 — — $28,174.97 $111,860.21 $45,386.26 2026-07-17
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 16 16 — — $4,263.00 $67,554.43 $44,254.44 2026-07-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 23 — — $4,263.00 $111,787.78 $43,527.80 2026-07-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 22 — — $4,263.00 $86,507.64 $43,481.01 2026-07-17
20936 CPT Spinal Bone Autograft 16 15 $215,205.36 $51,649.29 76% off $297.00 $172,164.29 $42,610.67 2026-07-17
595 OTHER Major Skin Disorders With Mcc 2 2 — — $40,528.29 $44,512.95 $42,520.62 2026-07-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 20 — — $37,809.96 $97,783.91 $42,474.21 2026-07-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 23 — — $4,263.00 $108,637.03 $42,333.36 2026-07-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 20 — — $27,549.84 $104,123.43 $42,287.14 2026-07-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 19 — — $31,288.08 $79,623.13 $41,476.43 2026-07-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 23 — — $4,263.00 $105,272.80 $41,057.99 2026-07-17
278 MS_DRG Cellulitis Age >17 Without Cc 25 23 — — $4,263.00 $81,016.04 $40,995.39 2026-07-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 21 — — $33,991.00 $101,647.43 $40,625.39 2026-07-17
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 25 23 — — $4,263.00 $79,905.49 $40,449.46 2026-07-17
653 MS_DRG Major Bladder Procedures With Mcc 22 20 — — $28,704.91 $99,047.54 $40,253.88 2026-07-17
213 OTHER Splenic Procedures Age 0-17 2 2 — — $37,866.51 $42,148.83 $40,007.67 2026-07-17
52 OTHER Spinal Disorders And Injuries With Cc/mcc 2 2 — — $37,601.73 $41,135.43 $39,368.58 2026-07-17
22842 CPT Insert Spine Fixation Device 18 17 $456,820.91 $109,637.02 76% off $297.00 $365,456.73 $38,932.03 2026-07-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 23 — — $4,263.00 $75,764.60 $38,763.04 2026-07-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 21 — — $33,184.39 $96,070.24 $38,304.95 2026-07-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 19 — — $26,151.10 $72,591.61 $37,915.78 2026-07-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 23 — — $4,263.00 $94,301.40 $37,620.96 2026-07-17
7 OTHER Lung Transplant 2 2 — — $36,290.27 $38,782.33 $37,536.30 2026-07-17
471 MS_DRG Cervical Spinal Fusion With Mcc 22 20 — — $22,291.19 $92,038.88 $37,446.42 2026-07-17
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 2 — — $35,243.18 $38,953.36 $37,098.27 2026-07-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 20 — — $27,721.33 $90,744.66 $36,927.98 2026-07-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 23 — — $4,263.00 $84,615.14 $36,835.18 2026-07-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 23 — — $4,263.00 $93,811.54 $36,713.08 2026-07-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 23 — — $4,263.00 $71,336.97 $36,237.20 2026-07-17
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $34,585.62 $37,158.01 $35,871.82 2026-07-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 23 — — $4,263.00 $91,573.80 $35,864.76 2026-07-17
277 MS_DRG Cellulitis Age >17 W Cc 22 20 — — $20,059.52 $88,032.30 $35,841.49 2026-07-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 20 — — $23,639.98 $87,612.97 $35,673.51 2026-07-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 22 — — $4,263.00 $89,612.45 $35,464.51 2026-07-17
799 MS_DRG Splenectomy With Mcc 22 20 — — $19,186.41 $86,324.46 $35,157.38 2026-07-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 23 — — $4,263.00 $88,334.89 $35,051.83 2026-07-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 23 — — $4,263.00 $89,162.61 $34,950.68 2026-07-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 23 — — $4,263.00 $87,389.96 $34,278.67 2026-07-17
245 MS_DRG Aicd Generator Procedures 25 23 — — $4,263.00 $86,962.99 $34,116.81 2026-07-17
33225 CPT L Ventric Pacing Lead Add-on 18 17 $388,759.16 $93,302.20 76% off $297.00 $311,007.33 $34,073.21 2026-07-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 23 — — $4,263.00 $66,578.88 $34,017.80 2026-07-17
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 16 16 — — $4,263.00 $81,848.68 $33,606.83 2026-07-17
163 MS_DRG Major Chest Procedures With Mcc 25 23 — — $4,263.00 $85,426.69 $33,534.40 2026-07-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 23 — — $4,263.00 $85,066.44 $33,397.83 2026-07-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 20 — — $29,900.85 $79,533.09 $33,055.32 2026-07-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 23 — — $4,263.00 $83,730.28 $32,891.30 2026-07-17
317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 2 — — $31,085.57 $34,601.04 $32,843.31 2026-07-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 20 — — $24,793.11 $80,497.57 $32,823.29 2026-07-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 22 20 — — $21,609.47 $79,841.88 $32,560.66 2026-07-17
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 25 23 — — $4,263.00 $62,985.31 $32,418.73 2026-07-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 20 — — $26,947.73 $79,159.50 $32,287.31 2026-07-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 23 — — $4,263.00 $67,395.91 $32,169.43 2026-07-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 22 20 — — $22,195.18 $78,635.33 $32,077.34 2026-07-17
140 MS_DRG Major Head And Neck Procedures With Mcc 25 23 — — $4,263.00 $81,300.03 $31,969.99 2026-07-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 23 — — $4,263.00 $73,140.24 $31,598.60 2026-07-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 23 — — $4,263.00 $80,085.86 $31,509.71 2026-07-17
901 MS_DRG Wound Debridements For Injuries With Mcc 25 23 — — $4,263.00 $79,990.55 $31,473.58 2026-07-17
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 2 2 — — $29,271.95 $32,582.32 $30,927.14 2026-07-17
793 MS_DRG Full Term Neonate With Major Problems 24 22 — — $4,263.00 $60,688.53 $30,850.67 2026-07-17
0055T CPT Bone Srgry Cmptr Ct/mri Imag 17 16 $113,511.23 $27,242.70 76% off $297.00 $107,835.67 $30,648.03 2026-07-17
324 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 2 2 — — $28,635.56 $31,873.96 $30,254.76 2026-07-17
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 2 2 — — $28,587.04 $31,819.95 $30,203.50 2026-07-17
20930 CPT Spinal Bone Allograft 16 15 $152,107.28 $36,505.75 76% off $297.00 $121,685.82 $30,117.25 2026-07-17
791 MS_DRG Prematurity With Major Problems 24 22 — — $4,263.00 $59,078.75 $30,063.19 2026-07-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 23 — — $4,263.00 $75,940.13 $29,938.08 2026-07-17
33249 CPT Eltrd/insert Pace-defib 37 34 $289,146.18 $69,395.08 76% off $297.00 $245,774.25 $29,456.33 2026-07-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 24 22 — — $4,263.00 $73,668.09 $29,359.62 2026-07-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 25 23 — — $4,263.00 $74,226.57 $29,288.47 2026-07-17
904 OTHER Skin Grafts For Injuries With Cc/mcc 2 2 — — $27,963.25 $30,567.70 $29,265.47 2026-07-17
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 22 20 — — $18,563.84 $71,413.19 $29,184.36 2026-07-17
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 37 34 $169,536.83 $40,688.84 76% off $344.86 $135,629.46 $29,167.54 2026-07-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 22 20 — — $25,069.44 $71,243.55 $29,116.40 2026-07-17
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 20 — — $18,861.64 $71,235.93 $29,113.35 2026-07-17
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 36 33 $181,326.30 $43,518.31 76% off $363.00 $154,127.35 $28,934.62 2026-07-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 23 — — $4,263.00 $73,180.13 $28,891.76 2026-07-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 23 — — $4,263.00 $71,725.79 $28,891.46 2026-07-17
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 20 — — $23,583.08 $67,420.69 $28,611.72 2026-07-17
63685 CPT Implant Neuroreceiver 38 35 $176,739.00 $42,417.36 76% off $297.86 $123,717.30 $28,390.65 2026-07-17
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 20 — — $20,028.35 $69,108.74 $28,261.27 2026-07-17
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 22 — — $4,263.00 $70,635.51 $28,198.51 2026-07-17
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 23 — — $4,263.00 $54,815.89 $28,078.87 2026-07-17
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 22 20 — — $19,679.80 $61,982.45 $27,779.48 2026-07-17
271 MS_DRG Other Major Cardiovascular Procedures With Cc 22 20 — — $22,239.68 $67,785.92 $27,731.39 2026-07-17
862 OTHER Postoperative And Post-traumatic Infections With Mcc 2 2 — — $26,404.33 $28,990.38 $27,697.36 2026-07-17
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 25 23 — — $4,263.00 $70,012.22 $27,690.83 2026-07-17
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 25 23 — — $4,263.00 $69,162.11 $27,368.56 2026-07-17
37223 CPT Iliac Revasc W/stent Add-on 19 18 $314,429.98 $75,463.20 76% off $297.00 $251,543.98 $27,355.41 2026-07-17
332 MS_DRG Rectal Resection With Mcc 25 23 — — $4,263.00 $69,013.44 $27,312.19 2026-07-17
265 MS_DRG Aicd Lead Procedures 25 23 — — $4,263.00 $68,965.79 $27,294.14 2026-07-17
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 23 — — $4,263.00 $68,843.80 $27,247.88 2026-07-17
252 MS_DRG Other Vascular Procedures With Mcc 22 20 — — $23,216.38 $66,489.79 $27,212.19 2026-07-17
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 22 20 — — $15,101.80 $64,056.51 $27,083.16 2026-07-17
22614 CPT Spine Fusion, Extra Segment 18 17 $304,347.74 $73,043.46 76% off $297.00 $243,478.19 $27,039.12 2026-07-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 25 23 — — $4,263.00 $68,291.03 $27,038.34 2026-07-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 25 23 — — $4,263.00 $68,132.83 $26,978.36 2026-07-17
279 MS_DRG Cellulitis Age 0-17 25 23 — — $4,263.00 $52,491.15 $26,972.66 2026-07-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 23 — — $4,263.00 $68,064.21 $26,952.34 2026-07-17
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 16 16 — — $4,263.00 $44,648.18 $26,927.32 2026-07-17
22 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 2 2 — — $25,474.70 $28,355.64 $26,915.17 2026-07-17
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 23 — — $4,263.00 $51,897.31 $26,914.05 2026-07-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 23 — — $4,263.00 $51,804.16 $26,867.80 2026-07-17
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 23 — — $4,263.00 $64,303.70 $26,632.22 2026-07-17
570 MS_DRG Skin Debridement With Mcc 25 23 — — $4,263.00 $56,059.72 $26,616.91 2026-07-17
398 OTHER Major Head And Neck Procedures Without Cc/mcc 2 2 — — $25,102.14 $27,940.94 $26,521.54 2026-07-17
460 OTHER Spinal Fusion Except Cervical Without Mcc 2 2 — — $25,009.75 $27,838.10 $26,423.92 2026-07-17
518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 2 — — $24,940.06 $27,760.53 $26,350.29 2026-07-17
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 23 — — $4,263.00 $66,472.63 $26,348.97 2026-07-17
22846 CPT Insert Spine Fixation Device 19 18 $168,700.07 $40,488.02 76% off $297.00 $134,960.06 $26,317.21 2026-07-17
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 25 23 — — $4,263.00 $65,847.44 $26,111.98 2026-07-17
22859 CPT Insj Biomechanical Device 18 17 $130,744.26 $31,378.62 76% off $285.12 $111,132.62 $25,887.36 2026-07-17
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $24,458.56 $27,224.58 $25,841.57 2026-07-17
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 22 20 — — $18,247.39 $62,963.54 $25,799.67 2026-07-17
468 OTHER Revision Of Hip Or Knee Replacement Without Cc/mcc 2 2 — — $24,349.80 $27,103.52 $25,726.66 2026-07-17
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 22 20 — — $16,402.58 $62,742.44 $25,711.11 2026-07-17
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 23 — — $4,263.00 $49,900.36 $25,699.03 2026-07-17
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 22 20 — — $22,815.11 $60,685.78 $25,629.59 2026-07-17
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 25 23 — — $4,263.00 $49,590.34 $25,546.64 2026-07-17
652 MS_DRG Kidney Transplant 21 19 — — $4,263.00 $61,556.85 $25,513.05 2026-07-17
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 20 — — $22,837.33 $58,121.58 $25,417.02 2026-07-17
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 34 31 $246,479.91 $59,155.18 76% off $824.01 $209,507.92 $25,330.78 2026-07-17
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 22 20 — — $12,793.21 $61,728.40 $25,304.92 2026-07-17
264 MS_DRG Other Circulatory System O.r. Procedures 25 23 — — $4,263.00 $49,580.14 $25,288.22 2026-07-17
472 OTHER Cervical Spinal Fusion With Cc 2 2 — — $23,903.57 $26,606.83 $25,255.20 2026-07-17
634 OTHER Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 2 2 — — $24,587.84 $25,774.85 $25,181.35 2026-07-17
22630 CPT Lumbar Spine Fusion 36 33 $198,053.60 $47,532.86 76% off $363.00 $158,442.88 $24,968.86 2026-07-17
22558 CPT Lumbar Spine Fusion 32 31 $71,981.00 $17,275.44 76% off $363.00 $61,183.85 $24,968.86 2026-07-17
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 22 20 — — $18,087.22 $60,857.32 $24,955.98 2026-07-17
483 OTHER Major Joint Or Limb Reattachment Procedures Of Upper Extremities 2 2 — — $23,574.92 $26,241.00 $24,907.96 2026-07-17
500 MS_DRG Soft Tissue Procedures With Mcc 22 20 — — $18,836.16 $60,323.62 $24,742.21 2026-07-17
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 25 23 — — $4,263.00 $62,000.97 $24,653.79 2026-07-17
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 25 23 — — $4,263.00 $47,083.97 $24,524.44 2026-07-17
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 25 23 — — $4,263.00 $61,511.11 $24,468.08 2026-07-17
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 25 23 — — $4,263.00 $61,391.02 $24,422.56 2026-07-17
362 OTHER Cardiac Defibrillator Implant Without Mcc 2 2 — — $23,109.84 $25,723.33 $24,416.58 2026-07-17
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 25 23 — — $4,263.00 $60,031.99 $24,369.72 2026-07-17
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 25 23 — — $4,263.00 $61,192.79 $24,347.41 2026-07-17
10 OTHER Pancreas Transplant 2 2 — — $23,012.39 $25,614.86 $24,313.62 2026-07-17
583 OTHER Mastectomy For Malignancy Without Cc/mcc 2 2 — — $22,995.06 $25,595.57 $24,295.32 2026-07-17
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 25 23 — — $4,263.00 $46,628.89 $23,983.23 2026-07-17
662 MS_DRG Minor Bladder Procedures With Mcc 22 20 — — $16,911.68 $44,560.13 $23,953.49 2026-07-17
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $22,915.28 $24,834.51 $23,874.89 2026-07-17
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 25 23 — — $4,263.00 $59,890.94 $23,853.89 2026-07-17
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 20 — — $14,885.06 $57,815.22 $23,737.40 2026-07-17
324 MS_DRG Urinary Stones Without Cc 25 23 — — $4,263.00 $45,862.80 $23,714.19 2026-07-17
665 MS_DRG Prostatectomy With Mcc 25 23 — — $4,263.00 $59,492.57 $23,702.86 2026-07-17
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 23 — — $4,263.00 $45,334.46 $23,655.89 2026-07-17
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $22,382.72 $24,913.98 $23,648.35 2026-07-17
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 22 20 — — $18,054.93 $57,573.15 $23,640.43 2026-07-17
584 OTHER Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 2 2 — — $22,375.04 $24,905.43 $23,640.24 2026-07-17
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 22 20 — — $16,682.98 $57,565.52 $23,637.39 2026-07-17
364 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 — — $22,179.41 $24,687.68 $23,433.54 2026-07-17
469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 2 2 — — $22,005.99 $24,494.65 $23,250.32 2026-07-17
263 MS_DRG Vein Ligation And Stripping 25 23 — — $4,263.00 $58,276.49 $23,241.84 2026-07-17
473 OTHER Cervical Spinal Fusion Without Cc/mcc 2 2 — — $21,983.55 $24,469.67 $23,226.61 2026-07-17
585 OTHER Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 2 2 — — $21,919.90 $24,398.82 $23,159.36 2026-07-17
582 OTHER Mastectomy For Malignancy With Cc/mcc 2 2 — — $21,857.44 $24,329.30 $23,093.37 2026-07-17
78 OTHER Hypertensive Encephalopathy With Cc 2 2 — — $21,989.74 $24,159.99 $23,074.87 2026-07-17
472 MS_DRG Cervical Spinal Fusion With Cc 22 20 — — $13,873.93 $56,155.02 $23,072.39 2026-07-17
941 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 2 2 — — $21,797.20 $24,262.24 $23,029.72 2026-07-17
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 25 23 — — $4,263.00 $43,909.52 $22,948.50 2026-07-17
411 OTHER Cholecystectomy With C.d.e. With Mcc 2 2 — — $21,953.71 $23,916.51 $22,935.11 2026-07-17
668 MS_DRG Transurethral Procedures With Mcc 22 20 — — $16,130.07 $55,657.54 $22,873.10 2026-07-17
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 25 23 — — $4,263.00 $56,116.90 $22,855.83 2026-07-17
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 22 20 — — $16,416.23 $55,510.77 $22,814.31 2026-07-17
619 MS_DRG O.r. Procedures For Obesity With Mcc 21 19 — — $15,949.94 $42,026.11 $22,810.46 2026-07-17
734 OTHER Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 2 2 — — $21,723.99 $23,795.93 $22,759.96 2026-07-17
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 22 20 — — $17,452.70 $55,314.44 $22,735.67 2026-07-17
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 22 20 — — $18,742.53 $55,280.13 $22,721.93 2026-07-17
413 OTHER Cholecystectomy With C.d.e. Without Cc/mcc 2 2 — — $21,421.89 $23,844.49 $22,633.19 2026-07-17
22853 CPT Insj Biomechanical Device 18 17 $113,686.47 $27,284.75 76% off $219.73 $96,633.50 $22,509.92 2026-07-17
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 22 20 — — $17,959.79 $54,708.31 $22,492.87 2026-07-17
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 25 23 — — $4,263.00 $43,321.50 $22,464.89 2026-07-17
22612 CPT Lumbar Spine Fusion 31 28 $232,357.12 $55,765.71 76% off $1,369.20 $197,503.55 $22,270.62 2026-07-17
27 OTHER Craniotomy And Endovascular Intracranial Procedures Age >17 Without Cc/mcc 2 2 — — $21,073.22 $23,456.39 $22,264.81 2026-07-17
462 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 2 2 — — $21,049.58 $23,430.08 $22,239.83 2026-07-17
581 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 2 2 — — $20,972.91 $23,344.74 $22,158.83 2026-07-17
467 OTHER Revision Of Hip Or Knee Replacement With Cc 2 2 — — $20,902.92 $23,266.83 $22,084.88 2026-07-17
800 MS_DRG Splenectomy With Cc 22 20 — — $12,597.12 $53,549.41 $22,028.65 2026-07-17
974 MS_DRG HIV With Major Related Condition With Mcc 25 23 — — $4,263.00 $42,005.73 $22,003.34 2026-07-17
654 MS_DRG Major Bladder Procedures With Cc 22 20 — — $13,497.15 $53,356.90 $21,951.54 2026-07-17
503 MS_DRG Foot Procedures With Mcc 22 20 — — $12,286.93 $53,200.60 $21,888.92 2026-07-17
707 OTHER Major Male Pelvic Procedures With Cc/mcc 2 2 — — $20,687.32 $23,026.84 $21,857.08 2026-07-17
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 25 23 — — $4,263.00 $51,095.05 $21,746.81 2026-07-17
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 22 20 — — $10,013.02 $52,834.63 $21,742.32 2026-07-17
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $20,415.55 $22,724.34 $21,569.94 2026-07-17
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $20,406.81 $22,714.61 $21,560.71 2026-07-17
322 OTHER Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 2 2 — — $20,355.78 $22,657.82 $21,506.80 2026-07-17
321 MS_DRG Kidney & Urinary Tract Infections Age >17 Without Cc 22 20 — — $13,846.33 $39,601.24 $21,352.17 2026-07-17
969 OTHER HIV With Extensive O.r. Procedures With Mcc 2 2 — — $20,393.82 $21,913.44 $21,153.63 2026-07-17
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 25 23 — — $4,263.00 $52,392.42 $21,011.21 2026-07-17
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 25 23 — — $4,263.00 $52,379.08 $21,006.16 2026-07-17
963 MS_DRG Other Multiple Significant Trauma With Mcc 25 23 — — $4,263.00 $52,108.42 $20,903.56 2026-07-17
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 37 34 $156,915.33 $37,659.68 76% off $331.06 $133,378.03 $20,857.34 2026-07-17
619 OTHER O.r. Procedures For Obesity With Mcc 2 2 — — $19,729.66 $21,960.89 $20,845.28 2026-07-17
849 MS_DRG Radiotherapy 25 23 — — $4,263.00 $51,645.24 $20,727.97 2026-07-17
288 MS_DRG Acute And Subacute Endocarditis With Mcc 25 23 — — $4,263.00 $51,582.34 $20,704.12 2026-07-17
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 25 23 — — $4,263.00 $41,098.30 $20,693.35 2026-07-17
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 25 23 — — $4,263.00 $39,260.66 $20,640.53 2026-07-17
276 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 2 — — $19,401.69 $21,595.83 $20,498.76 2026-07-17
334 OTHER Rectal Resection Without Cc/mcc 2 2 — — $19,368.07 $21,558.41 $20,463.24 2026-07-17
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 2 — — $19,560.92 $21,276.54 $20,418.73 2026-07-17
253 MS_DRG Other Vascular Procedures With Cc 22 20 — — $14,543.88 $49,474.21 $20,396.24 2026-07-17
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 25 23 — — $4,263.00 $50,701.73 $20,370.28 2026-07-17
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 25 23 — — $4,263.00 $50,270.95 $20,206.98 2026-07-17
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 24 22 — — $4,263.00 $49,161.62 $19,976.40 2026-07-17
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 22 20 — — $14,869.60 $36,912.94 $19,941.94 2026-07-17
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 25 23 — — $4,263.00 $49,230.23 $19,812.45 2026-07-17
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 25 23 — — $4,263.00 $37,540.26 $19,786.43 2026-07-17
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 24 22 — — $4,311.00 $48,662.22 $19,785.18 2026-07-17
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 25 23 — — $4,263.00 $37,733.84 $19,718.02 2026-07-17
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 25 23 — — $4,263.00 $48,940.51 $19,702.61 2026-07-17
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 25 23 — — $4,263.00 $38,402.27 $19,509.67 2026-07-17
708 OTHER Major Male Pelvic Procedures Without Cc/mcc 2 2 — — $18,456.72 $20,543.99 $19,500.36 2026-07-17
164 MS_DRG Major Chest Procedures With Cc 25 23 — — $4,263.00 $48,109.46 $19,387.56 2026-07-17
748 OTHER Female Reproductive System Reconstructive Procedures 2 2 — — $18,343.17 $20,417.60 $19,380.38 2026-07-17
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 22 20 — — $13,765.22 $36,269.60 $19,339.28 2026-07-17
499 OTHER Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 2 2 — — $18,202.76 $20,261.31 $19,232.03 2026-07-17
54410 CPT Remove/replace Penis Prosth 34 31 $165,931.04 $39,823.45 76% off $297.00 $116,151.73 $19,175.88 2026-07-17
54405 CPT Insert Multi-comp Prosthesis 34 31 $104,850.51 $25,164.12 76% off $297.00 $73,395.36 $19,080.48 2026-07-17
53445 CPT Correct Urine Flow Control 35 32 $199,471.30 $47,873.11 76% off $297.00 $139,629.91 $19,080.48 2026-07-17
545 MS_DRG Connective Tissue Disorders With Mcc 25 23 — — $4,263.00 $36,121.14 $18,925.23 2026-07-17
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 25 23 — — $4,263.00 $35,793.66 $18,919.33 2026-07-17
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 25 23 — — $4,263.00 $46,860.98 $18,914.26 2026-07-17
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 25 23 — — $4,263.00 $46,588.41 $18,810.93 2026-07-17
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 25 23 — — $4,263.00 $35,533.12 $18,789.99 2026-07-17
53415 CPT Reconstruction Of Urethra 19 18 $77,775.12 $18,666.03 76% off $297.00 $62,220.10 $18,666.03 2026-07-17
22585 CPT Additional Spinal Fusion 18 17 $94,259.14 $22,622.19 76% off $277.69 $75,407.31 $18,663.31 2026-07-17
792 MS_DRG Prematurity Without Major Problems 24 22 — — $4,263.00 $35,648.11 $18,601.22 2026-07-17
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 25 23 — — $4,263.00 $45,846.94 $18,529.84 2026-07-17
330 MS_DRG Major Small And Large Bowel Procedures With Cc 25 23 — — $4,263.00 $45,692.55 $18,471.31 2026-07-17
397 MS_DRG Coagulation Disorders 25 23 — — $4,263.00 $45,648.71 $18,454.71 2026-07-17
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 25 23 — — $4,263.00 $34,734.05 $18,393.27 2026-07-17
783 MS_DRG Cesarean Section With Sterilization With Mcc 25 23 — — $2,922.00 $46,796.17 $18,368.22 2026-07-17
63655 CPT Implant Neuroelectrodes 38 35 $186,360.43 $44,726.50 76% off $320.00 $149,088.34 $18,191.08 2026-07-17
113 MS_DRG Orbital Procedures With Cc/mcc 25 23 — — $4,263.00 $44,813.85 $18,138.22 2026-07-17
352 OTHER Inguinal And Femoral Hernia Procedures Age >17 Without Cc/mcc 2 2 — — $17,123.65 $19,060.16 $18,091.90 2026-07-17
63710 CPT Graft Repair Of Spine Defect 19 18 $75,349.34 $18,083.84 76% off $297.00 $60,279.47 $18,083.84 2026-07-17
328 OTHER Stomach, Esophageal And Duodenal Procedures Age >17 Without Cc/mcc 2 2 — — $17,111.51 $19,046.65 $18,079.08 2026-07-17
333 MS_DRG Rectal Resection With Cc 25 23 — — $4,263.00 $44,644.21 $18,073.90 2026-07-17
620 OTHER O.r. Procedures For Obesity With Cc 2 2 — — $17,101.98 $19,036.04 $18,069.01 2026-07-17
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 25 23 — — $4,263.00 $44,575.59 $18,047.88 2026-07-17
793 OTHER Neonatal Aftercare For Weight Gain 2 2 — — $17,070.68 $19,001.20 $18,035.94 2026-07-17
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 25 23 — — $4,263.00 $37,231.85 $18,035.61 2026-07-17
709 MS_DRG Penis Procedures With Cc/mcc 25 23 — — $4,263.00 $44,356.39 $17,964.78 2026-07-17
357 MS_DRG Other Digestive System O.r. Procedures With Cc 25 23 — — $4,263.00 $44,325.89 $17,953.23 2026-07-17
64590 CPT Implant Neuroreceiver 38 35 $138,815.91 $33,315.82 76% off $361.02 $117,993.52 $17,951.29 2026-07-17
470 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 2 2 — — $16,964.16 $18,882.64 $17,923.40 2026-07-17
22840 CPT Insert Spine Fixation Device 18 17 $187,051.66 $44,892.40 76% off $297.00 $149,641.33 $17,890.03 2026-07-17
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 23 — — $4,263.00 $44,053.32 $17,849.89 2026-07-17
347 MS_DRG Anal And Stomal Procedures With Mcc 25 23 — — $4,263.00 $43,755.97 $17,737.18 2026-07-17
279 OTHER Other Major Cardiovascular Procedures Without Cc/mcc 2 2 — — $16,734.65 $18,627.17 $17,680.91 2026-07-17
459 OTHER Spinal Fusion Except Cervical With Mcc 2 2 — — $16,682.61 $18,569.25 $17,625.93 2026-07-17
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 25 23 — — $4,263.00 $43,376.66 $17,593.38 2026-07-17
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 25 23 — — $4,263.00 $33,402.27 $17,588.65 2026-07-17
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 24 22 — — $4,263.00 $43,489.12 $17,564.74 2026-07-17
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 25 23 — — $4,263.00 $39,700.17 $17,520.39 2026-07-17
37230 CPT Tib/per Revasc W/stent 27 24 $366,331.22 $87,919.49 76% off $363.00 $293,064.98 $17,470.19 2026-07-17
517 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 2 2 — — $16,484.89 $18,349.16 $17,417.03 2026-07-17
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