Price Transparencybeta Hospital negotiated rates

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

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Hospital

Arkansas Children's Hospital

Little Rock, AR · CCN 049801 · Rates published

Your selected procedure

You selected 29806 (CPT)

REPAIR OF SHOULDER JOINT CAPSULE USING AN ENDOSCOPE

This hospital’s price: $6,784 across 9 payers · range $1,417-$8,197

Source: https://apim.services.craneware.com/api-pricing-transparency/api/public/d3b6b861569568a87f28dfbc66463efd/charges/mrf · observed 2026-11-06

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.

10,228 distinct procedures filed
22 distinct payers
341,649 rate rows
2026-07-15 last MRF observed
Data quality

264,575 of 341,649 rate rows are consumer-grade (77.4%)

77,074 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
exceeds 10× this hospital's gross charge — excluded from medians 25,819
per-diem day rate — not a per-procedure price 20,467
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 18,980
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 11,625
placeholder amount (≤ $0.02) — excluded from medians 173
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/d3b6b861569568a87f28dfbc66463efd/charges/mrf
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-11-07
Content fingerprint 9ec635f0705479c5… · 66,828,950 bytes · first seen 2026-11-06

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
J1413
HCPCS 		Elevidys 30 $4,434.00 $3,840,006.92 $3,583,933.21 nat. median
$3,324,572
1.1× median
853
MS_DRG 		Infectious & Parasitic Diseases With O.r. Procedure With Comorbity 1 $301,389.16 $301,389.16 $301,389.16 nat. median
$45,281
outlier · 6.7×
802
MS_DRG 		Other O.r. Proc Of The Blood & Blood Forming Organs With Comorbity 1 $281,753.56 $281,753.56 $281,753.56 nat. median
$35,191
outlier · 8.0×
286
MS_DRG 		Circulatory Disorders Except Ami; With Card Cath With Comorbity 1 $239,936.84 $239,936.84 $239,936.84 nat. median
$20,781
outlier · 11.5×
850
MS_DRG 		Procedure With Diagnosis Of Rehabilitation; Aftercare Or Other Contact With Heal… 1 $225,516.69 $225,516.69 $225,516.69 nat. median
$78,028
outlier · 2.9×
56
MS_DRG 		Degenerative Nervous System Disorders With Comorbity 1 $218,383.54 $218,383.54 $218,383.54 nat. median
$21,129
outlier · 10.3×
314
MS_DRG 		Other Circulatory System Diagnoses With Comorbity 1 $208,786.60 $208,786.60 $208,786.60 nat. median
$19,919
outlier · 10.5×
220
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Complication 1 $197,406.13 $197,406.13 $197,406.13 nat. median
$50,491
outlier · 3.9×
329
MS_DRG 		Major Small & Large Bowel Procedures With Comorbity 1 $188,370.93 $188,370.93 $188,370.93 nat. median
$42,583
outlier · 4.4×
656
MS_DRG 		Kidney & Ureter Procedures For Neoplasm With Comorbity 1 $186,759.03 $186,759.03 $186,759.03 nat. median
$30,337
outlier · 6.2×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 1 $184,435.60 $184,435.60 $184,435.60 nat. median
$63,874
outlier · 2.9×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhal Inj With Complication/comorbity 1 $162,139.55 $162,139.55 $162,139.55 nat. median
$61,444
outlier · 2.6×
219
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 1 $151,699.06 $151,699.06 $151,699.06 nat. median
$72,153
outlier · 2.1×
4
MS_DRG 		Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 1 $147,483.44 $147,483.44 $147,483.44 nat. median
$126,240
1.2× median
3
MS_DRG 		Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 1 $146,510.59 $146,510.59 $146,510.59 nat. median
$190,274
0.8× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Comorbity 1 $140,875.51 $140,875.51 $140,875.51 nat. median
$49,269
outlier · 2.9×
228
MS_DRG 		Other Cardiothoracic Procedures With Comorbity 1 $134,556.34 $134,556.34 $134,556.34 nat. median
$47,242
outlier · 2.8×
904
MS_DRG 		Skin Grafts For Injuries With Complication/comorbity 1 $133,764.16 $133,764.16 $133,764.16 nat. median
$34,718
outlier · 3.9×
929
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhal Inj Without Complication/comorbity 1 $126,046.62 $126,046.62 $126,046.62 nat. median
$29,161
outlier · 4.3×
59
MS_DRG 		Multiple Sclerosis & Cerebellar Ataxia With Complication 1 $119,292.35 $119,292.35 $119,292.35 nat. median
$12,322
outlier · 9.7×
13
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 1 $117,922.45 $117,922.45 $117,922.45 nat. median
$26,341
outlier · 4.5×
229
MS_DRG 		Other Cardiothoracic Procedures Without Comorbity 1 $110,442.44 $110,442.44 $110,442.44 nat. median
$30,744
outlier · 3.6×
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity 1 $103,242.51 $103,242.51 $103,242.51 nat. median
$39,981
outlier · 2.6×
267
MS_DRG 		Endovascular Cardiac Valve Replacement & Supplement Procedures Without Comorbity 1 $102,504.94 $102,504.94 $102,504.94 nat. median
$45,788
outlier · 2.2×
393
MS_DRG 		Other Digestive System Diagnoses With Comorbity 1 $102,473.22 $102,473.22 $102,473.22 nat. median
$15,584
outlier · 6.6×
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 $100,975.19 $100,975.19 $100,975.19 nat. median
$42,696
outlier · 2.4×
458
MS_DRG 		Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus Without Complication… 1 $99,847.42 $99,847.42 $99,847.42 nat. median
$40,320
outlier · 2.5×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome; Neonate 1 $97,423.81 $97,423.81 $97,423.81 nat. median
$50,769
1.9× median
97
MS_DRG 		Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Comorbity 1 $97,313.84 $97,313.84 $97,313.84 nat. median
$33,149
outlier · 2.9×
829
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 $94,737.14 $94,737.14 $94,737.14 nat. median
$29,164
outlier · 3.2×
98
MS_DRG 		Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Complication 1 $94,708.85 $94,708.85 $94,708.85 nat. median
$21,136
outlier · 4.5×
54
MS_DRG 		Nervous System Neoplasms With Mcc 1 $92,963.32 $92,963.32 $92,963.32 nat. median
$14,730
outlier · 6.3×
186
MS_DRG 		Pleural Effusion With Mcc 1 $92,795.73 $92,795.73 $92,795.73 nat. median
$15,113
outlier · 6.1×
266
MS_DRG 		Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity 1 $92,629.95 $92,629.95 $92,629.95 nat. median
$58,153
1.6× median
654
MS_DRG 		Major Bladder Procedures With Complication 1 $90,560.15 $90,560.15 $90,560.15 nat. median
$26,712
outlier · 3.4×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 $87,926.64 $87,926.64 $87,926.64 nat. median
$35,776
outlier · 2.5×
306
MS_DRG 		Cardiac Congenital & Valvular Disorders With Comorbity 1 $87,629.25 $87,629.25 $87,629.25 nat. median
$15,120
outlier · 5.8×
791
MS_DRG 		Prematurity With Major Problems 1 $85,279.82 $85,279.82 $85,279.82 nat. median
$34,518
outlier · 2.5×
846
MS_DRG 		Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Comorbity 1 $83,869.97 $83,869.97 $83,869.97 nat. median
$23,990
outlier · 3.5×
274
MS_DRG 		Percutaneous Intracardiac Procedures Without Comorbity 1 $81,895.21 $81,895.21 $81,895.21 nat. median
$30,799
outlier · 2.7×
70
MS_DRG 		Other Cerebrovascular Disorders With Mcc 1 $80,338.81 $80,338.81 $80,338.81 nat. median
$16,288
outlier · 4.9×
982
MS_DRG 		Extensive O.r. Procedure Unrelated To Principal Diagnosis With Complication 1 $79,204.95 $79,204.95 $79,204.95 nat. median
$23,126
outlier · 3.4×
327
MS_DRG 		Stomach; Esophageal & Duodenal Proc With Complication 1 $79,072.31 $79,072.31 $79,072.31 nat. median
$23,547
outlier · 3.4×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $66,974.14 $66,974.14 $66,974.14 nat. median
$59,289
1.1× median
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 1 $65,255.20 $65,255.20 $65,255.20 nat. median
$19,324
outlier · 3.4×
959
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma Without Complication/comor… 1 $64,390.19 $64,390.19 $64,390.19 nat. median
$26,480
outlier · 2.4×
847
MS_DRG 		Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Complication 1 $63,996.19 $63,996.19 $63,996.19 nat. median
$12,876
outlier · 5.0×
26
MS_DRG 		Craniotomy & Endovascular Intracranial Procedures With Complication 1 $63,640.31 $63,640.31 $63,640.31 nat. median
$29,511
outlier · 2.2×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Comorbity 1 $62,841.82 $62,841.82 $62,841.82 nat. median
$18,592
outlier · 3.4×
793
MS_DRG 		Full Term Neonate With Major Problems 1 $61,927.64 $61,927.64 $61,927.64 nat. median
$33,600
1.8× median

Other procedures at this hospital

Browse this hospital's 10,228 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
             
J1413 HCPCS Elevidys 55 30 $3,840,006.85 $3,456,006.17 $4,434.00 $3,840,006.92 $3,583,933.21 2026-07-15
853 MS_DRG Infectious & Parasitic Diseases With O.r. Procedure With Comorbity 1 1 — — $301,389.16 $301,389.16 $301,389.16 2026-07-15
802 MS_DRG Other O.r. Proc Of The Blood & Blood Forming Organs With Comorbity 1 1 — — $281,753.56 $281,753.56 $281,753.56 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami; With Card Cath With Comorbity 1 1 — — $239,936.84 $239,936.84 $239,936.84 2026-07-15
850 MS_DRG Procedure With Diagnosis Of Rehabilitation; Aftercare Or Other Contact With Heal… 1 1 — — $225,516.69 $225,516.69 $225,516.69 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With Comorbity 1 1 — — $218,383.54 $218,383.54 $218,383.54 2026-07-15
314 MS_DRG Other Circulatory System Diagnoses With Comorbity 1 1 — — $208,786.60 $208,786.60 $208,786.60 2026-07-15
220 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Complication 1 1 — — $197,406.13 $197,406.13 $197,406.13 2026-07-15
329 MS_DRG Major Small & Large Bowel Procedures With Comorbity 1 1 — — $188,370.93 $188,370.93 $188,370.93 2026-07-15
656 MS_DRG Kidney & Ureter Procedures For Neoplasm With Comorbity 1 1 — — $186,759.03 $186,759.03 $186,759.03 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 1 1 — — $184,435.60 $184,435.60 $184,435.60 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhal Inj With Complication/comorbity 1 1 — — $162,139.55 $162,139.55 $162,139.55 2026-07-15
219 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 1 1 — — $151,699.06 $151,699.06 $151,699.06 2026-07-15
4 MS_DRG Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 1 1 — — $147,483.44 $147,483.44 $147,483.44 2026-07-15
3 MS_DRG Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 1 1 — — $146,510.59 $146,510.59 $146,510.59 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Comorbity 1 1 — — $140,875.51 $140,875.51 $140,875.51 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Comorbity 1 1 — — $134,556.34 $134,556.34 $134,556.34 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Complication/comorbity 1 1 — — $133,764.16 $133,764.16 $133,764.16 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhal Inj Without Complication/comorbity 1 1 — — $126,046.62 $126,046.62 $126,046.62 2026-07-15
59 MS_DRG Multiple Sclerosis & Cerebellar Ataxia With Complication 1 1 — — $119,292.35 $119,292.35 $119,292.35 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 1 1 — — $117,922.45 $117,922.45 $117,922.45 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Comorbity 1 1 — — $110,442.44 $110,442.44 $110,442.44 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity 1 1 — — $103,242.51 $103,242.51 $103,242.51 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement & Supplement Procedures Without Comorbity 1 1 — — $102,504.94 $102,504.94 $102,504.94 2026-07-15
393 MS_DRG Other Digestive System Diagnoses With Comorbity 1 1 — — $102,473.22 $102,473.22 $102,473.22 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $100,975.19 $100,975.19 $100,975.19 2026-07-15
458 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus Without Complication… 1 1 — — $99,847.42 $99,847.42 $99,847.42 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome; Neonate 1 1 — — $97,423.81 $97,423.81 $97,423.81 2026-07-15
97 MS_DRG Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Comorbity 1 1 — — $97,313.84 $97,313.84 $97,313.84 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $94,737.14 $94,737.14 $94,737.14 2026-07-15
98 MS_DRG Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Complication 1 1 — — $94,708.85 $94,708.85 $94,708.85 2026-07-15
54 MS_DRG Nervous System Neoplasms With Mcc 1 1 — — $92,963.32 $92,963.32 $92,963.32 2026-07-15
186 MS_DRG Pleural Effusion With Mcc 1 1 — — $92,795.73 $92,795.73 $92,795.73 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity 1 1 — — $92,629.95 $92,629.95 $92,629.95 2026-07-15
654 MS_DRG Major Bladder Procedures With Complication 1 1 — — $90,560.15 $90,560.15 $90,560.15 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $87,926.64 $87,926.64 $87,926.64 2026-07-15
306 MS_DRG Cardiac Congenital & Valvular Disorders With Comorbity 1 1 — — $87,629.25 $87,629.25 $87,629.25 2026-07-15
791 MS_DRG Prematurity With Major Problems 1 1 — — $85,279.82 $85,279.82 $85,279.82 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Comorbity 1 1 — — $83,869.97 $83,869.97 $83,869.97 2026-07-15
274 MS_DRG Percutaneous Intracardiac Procedures Without Comorbity 1 1 — — $81,895.21 $81,895.21 $81,895.21 2026-07-15
70 MS_DRG Other Cerebrovascular Disorders With Mcc 1 1 — — $80,338.81 $80,338.81 $80,338.81 2026-07-15
982 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Complication 1 1 — — $79,204.95 $79,204.95 $79,204.95 2026-07-15
327 MS_DRG Stomach; Esophageal & Duodenal Proc With Complication 1 1 — — $79,072.31 $79,072.31 $79,072.31 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $66,974.14 $66,974.14 $66,974.14 2026-07-15
908 MS_DRG Other O.r. Procedures For Injuries With Cc 1 1 — — $65,255.20 $65,255.20 $65,255.20 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Complication/comor… 1 1 — — $64,390.19 $64,390.19 $64,390.19 2026-07-15
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Complication 1 1 — — $63,996.19 $63,996.19 $63,996.19 2026-07-15
26 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Complication 1 1 — — $63,640.31 $63,640.31 $63,640.31 2026-07-15
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Comorbity 1 1 — — $62,841.82 $62,841.82 $62,841.82 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $61,927.64 $61,927.64 $61,927.64 2026-07-15
25 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Comorbity 1 1 — — $61,163.12 $61,163.12 $61,163.12 2026-07-15
64568 CPT Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 31 30 $78,496.74 $70,647.07 $22.71 $78,496.74 $59,940.95 2026-07-15
441 MS_DRG Disorders Of Liver Except Malig; Cirr; Alc Hepa With Comorbity 1 1 — — $57,767.57 $57,767.57 $57,767.57 2026-07-15
42 MS_DRG Periph/cranial Nerve & Other Nerv Syst Proc Without Complication/comorbity 1 1 — — $55,892.82 $55,892.82 $55,892.82 2026-07-15
519 MS_DRG Back & Neck Proc Exc Spinal Fusion With Complication 1 1 — — $53,996.15 $53,996.15 $53,996.15 2026-07-15
394 MS_DRG Other Digestive System Diagnoses With Complication 1 1 — — $53,759.73 $53,759.73 $53,759.73 2026-07-15
808 MS_DRG Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul With Comorbity 1 1 — — $52,455.62 $52,455.62 $52,455.62 2026-07-15
496 MS_DRG Local Excision & Removal Int Fix Devices Exc Hip & Femur With Complication 1 1 — — $52,209.76 $52,209.76 $52,209.76 2026-07-15
27 MS_DRG Craniotomy & Endovascular Intracranial Procedures Without Complication/comorbity 1 1 — — $51,128.57 $51,128.57 $51,128.57 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue With Complication 1 1 — — $50,752.38 $50,752.38 $50,752.38 2026-07-15
154 MS_DRG Other Ear; Nose; Mouth & Throat Diagnoses With Comorbity 1 1 — — $50,580.79 $50,580.79 $50,580.79 2026-07-15
813 MS_DRG Coagulation Disorders 1 1 — — $50,076.11 $50,076.11 $50,076.11 2026-07-15
837 MS_DRG Chemo With Acute Leukemia As Sdx Or With High Dose Chemo Agent With Comorbity 1 1 — — $49,265.52 $49,265.52 $49,265.52 2026-07-15
663 MS_DRG Minor Bladder Procedures With Complication 1 1 — — $49,179.99 $49,179.99 $49,179.99 2026-07-15
838 MS_DRG Chemo With Acute Leukemia As Sdx With Complication Or High Dose Chemo Agent 1 1 — — $46,821.63 $46,821.63 $46,821.63 2026-07-15
517 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc Without Complication/comorbity 1 1 — — $45,616.91 $45,616.91 $45,616.91 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 — — $45,608.44 $45,608.44 $45,608.44 2026-07-15
502 MS_DRG Soft Tissue Procedures Without Complication/comorbity 1 1 — — $45,200.82 $45,200.82 $45,200.82 2026-07-15
99 MS_DRG Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis Without Complication/co… 1 1 — — $45,074.65 $45,074.65 $45,074.65 2026-07-15
164 MS_DRG Major Chest Procedures With Complication 1 1 — — $44,764.31 $44,764.31 $44,764.31 2026-07-15
520 MS_DRG Back & Neck Proc Exc Spinal Fusion Without Complication/comorbity 1 1 — — $43,795.54 $43,795.54 $43,795.54 2026-07-15
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhal Inj 1 1 — — $43,123.79 $43,123.79 $43,123.79 2026-07-15
640 MS_DRG Misc Disorders Of Nutrition; Metabolism; Fluids/electrolytes With Comorbity 1 1 — — $42,675.93 $42,675.93 $42,675.93 2026-07-15
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Complication/comorbity 1 1 — — $42,625.68 $42,625.68 $42,625.68 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $42,620.05 $42,620.05 $42,620.05 2026-07-15
61885 CPT Insertion Of Brain Neurostimulator Pulse Device With Connection To Single Electr… 39 30 $59,665.04 $53,698.54 $1,416.69 $54,118.73 $41,484.96 2026-07-15
391 MS_DRG Esophagitis; Gastroent & Misc Digest Disorders With Comorbity 1 1 — — $41,030.77 $41,030.77 $41,030.77 2026-07-15
809 MS_DRG Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul With Complication 1 1 — — $40,953.13 $40,953.13 $40,953.13 2026-07-15
642 MS_DRG Inborn And Other Disorders Of Metabolism 1 1 — — $40,150.83 $40,150.83 $40,150.83 2026-07-15
481 MS_DRG Hip & Femur Procedures Except Major Joint With Complication 1 1 — — $38,852.17 $38,852.17 $38,852.17 2026-07-15
143 MS_DRG Other Ear; Nose; Mouth And Throat O.r. Procedures With Mcc 1 1 — — $36,886.41 $36,886.41 $36,886.41 2026-07-15
L8614 HCPCS Cochlear Device; Includes All Internal And External Components 2 2 $28,870.76 $25,983.68 $23,708.76 $49,583.21 $36,645.99 2026-07-15
165 MS_DRG Major Chest Procedures Without Complication/comorbity 1 1 — — $35,656.28 $35,656.28 $35,656.28 2026-07-15
947 MS_DRG Signs & Symptoms With Comorbity 1 1 — — $35,568.93 $35,568.93 $35,568.93 2026-07-15
602 MS_DRG Cellulitis With Comorbity 1 1 — — $34,108.10 $34,108.10 $34,108.10 2026-07-15
755 MS_DRG Malignancy, Female Reproductive System With Cc 1 1 — — $33,924.66 $33,924.66 $33,924.66 2026-07-15
144 MS_DRG Other Ear; Nose; Mouth And Throat O.r. Procedures With Cc 1 1 — — $33,489.99 $33,489.99 $33,489.99 2026-07-15
74 MS_DRG Cranial & Peripheral Nerve Disorders Without Comorbity 1 1 — — $33,347.41 $33,347.41 $33,347.41 2026-07-15
465 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis Without Complication/c… 1 1 — — $32,708.12 $32,708.12 $32,708.12 2026-07-15
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 1 1 — — $32,435.06 $32,435.06 $32,435.06 2026-07-15
178 MS_DRG Respiratory Infections & Inflammations With Complication 1 1 — — $32,095.43 $32,095.43 $32,095.43 2026-07-15
552 MS_DRG Medical Back Problems Without Comorbity 1 1 — — $31,179.89 $31,179.89 $31,179.89 2026-07-15
880 MS_DRG Acute Adjustment Reaction & Psychosocial Dysfunction 1 1 — — $31,011.67 $31,011.67 $31,011.67 2026-07-15
792 MS_DRG Prematurity Without Major Problems 1 1 — — $30,743.88 $30,743.88 $30,743.88 2026-07-15
883 MS_DRG Disorders Of Personality & Impulse Control 1 1 — — $30,486.89 $30,486.89 $30,486.89 2026-07-15
331 MS_DRG Major Small & Large Bowel Procedures Without Complication/comorbity 1 1 — — $30,112.20 $30,112.20 $30,112.20 2026-07-15
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity 1 1 — — $29,845.81 $29,845.81 $29,845.81 2026-07-15
482 MS_DRG Hip & Femur Procedures Except Major Joint Without Complication/comorbity 1 1 — — $29,824.05 $29,824.05 $29,824.05 2026-07-15
516 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc With Complication 1 1 — — $29,733.20 $29,733.20 $29,733.20 2026-07-15
L5856 HCPCS Elec Knee-shin Swing/stance 31 30 $39,796.43 $35,816.79 $29,717.20 $29,717.20 $29,717.20 2026-07-15
L6880 HCPCS Elec Hand Ind Art Digits 31 30 $42,732.68 $38,459.41 $29,576.84 $29,576.84 $29,576.84 2026-07-15
0571T CPT Insj/rplcmt Icds Ss Eltrd 31 30 $52,748.59 $47,473.73 $29,347.82 $29,347.82 $29,347.82 2026-07-15
93653 CPT Compre Ep Eval Tx Svt 62 30 $47,433.21 $42,689.89 $1,897.41 $40,519.25 $29,294.22 2026-07-15
444 MS_DRG Disorders Of The Biliary Tract With Comorbity 1 1 — — $29,012.63 $29,012.63 $29,012.63 2026-07-15
683 MS_DRG Renal Failure With Complication 1 1 — — $28,756.80 $28,756.80 $28,756.80 2026-07-15
398 MS_DRG Appendix Procedures With Cc 1 1 — — $28,637.70 $28,637.70 $28,637.70 2026-07-15
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 1 1 — — $28,473.18 $28,473.18 $28,473.18 2026-07-15
501 MS_DRG Soft Tissue Procedures With Complication 1 1 — — $28,334.26 $28,334.26 $28,334.26 2026-07-15
902 MS_DRG Wound Debridements For Injuries With Complication 1 1 — — $28,239.88 $28,239.88 $28,239.88 2026-07-15
358 MS_DRG Other Digestive System O.r. Procedures Without Complication/comorbity 1 1 — — $27,880.76 $27,880.76 $27,880.76 2026-07-15
547 MS_DRG Connective Tissue Disorders Without Complication/comorbity 1 1 — — $27,051.91 $27,051.91 $27,051.91 2026-07-15
33 MS_DRG Ventricular Shunt Procedures Without Complication/comorbity 1 1 — — $26,971.21 $26,971.21 $26,971.21 2026-07-15
33289 CPT Tcat Impl Wrls P-art Prs Snr 9 6 $47,737.51 $42,963.76 $1,192.50 $26,818.23 $26,818.23 2026-07-15
76 MS_DRG Viral Meningitis Without Complication/comorbity 1 1 — — $26,121.79 $26,121.79 $26,121.79 2026-07-15
204 MS_DRG Respiratory Signs & Symptoms 1 1 — — $26,120.20 $26,120.20 $26,120.20 2026-07-15
399 MS_DRG Appendix Procedures Without Cc/mcc 1 1 — — $26,045.20 $26,045.20 $26,045.20 2026-07-15
940 MS_DRG O.r. Proc With Diagnoses Of Other Contact With Health Services With Complication 1 1 — — $25,440.11 $25,440.11 $25,440.11 2026-07-15
607 MS_DRG Minor Skin Disorders Without Comorbity 1 1 — — $25,091.97 $25,091.97 $25,091.97 2026-07-15
556 MS_DRG Signs & Symptoms Of Musculoskeletal System & Conn Tissue Without Comorbity 1 1 — — $24,952.24 $24,952.24 $24,952.24 2026-07-15
638 MS_DRG Diabetes With Complication 1 1 — — $24,928.29 $24,928.29 $24,928.29 2026-07-15
935 MS_DRG Non-extensive Burns 1 1 — — $24,750.36 $24,750.36 $24,750.36 2026-07-15
989 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis Without Complication/co… 1 1 — — $24,744.54 $24,744.54 $24,744.54 2026-07-15
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $24,447.65 $24,447.65 $24,447.65 2026-07-15
811 MS_DRG Red Blood Cell Disorders With Comorbity 1 1 — — $24,249.57 $24,249.57 $24,249.57 2026-07-15
92 MS_DRG Other Disorders Of Nervous System With Complication 1 1 — — $24,118.58 $24,118.58 $24,118.58 2026-07-15
309 MS_DRG Cardiac Arrhythmia & Conduction Disorders With Complication 1 1 — — $23,800.63 $23,800.63 $23,800.63 2026-07-15
869 MS_DRG Other Infectious & Parasitic Diseases Diagnoses Without Complication/comorbity 1 1 — — $23,606.52 $23,606.52 $23,606.52 2026-07-15
660 MS_DRG Kidney & Ureter Procedures For Non-neoplasm With Complication 1 1 — — $23,378.42 $23,378.42 $23,378.42 2026-07-15
812 MS_DRG Red Blood Cell Disorders Without Comorbity 1 1 — — $23,239.69 $23,239.69 $23,239.69 2026-07-15
145 MS_DRG Other Ear; Nose; Mouth And Throat O.r. Procedures Without Cc/mcc 1 1 — — $23,176.59 $23,176.59 $23,176.59 2026-07-15
L5858 HCPCS Stance Phase Only 31 30 $27,063.01 $24,356.71 $23,006.91 $23,006.91 $23,006.91 2026-07-15
816 MS_DRG Reticuloendothelial & Immunity Disorders Without Complication/comorbity 1 1 — — $21,332.25 $21,332.25 $21,332.25 2026-07-15
378 MS_DRG G.i. Hemorrhage With Complication 1 1 — — $21,267.33 $21,267.33 $21,267.33 2026-07-15
194 MS_DRG Simple Pneumonia & Pleurisy With Complication 1 1 — — $21,068.60 $21,068.60 $21,068.60 2026-07-15
33902 CPT Percutaneous Pulmonary Artery Revascularization By Stent Placement; Initial; Abn… 29 26 $54,086.41 $48,677.77 $17,139.63 $39,745.98 $21,061.00 2026-07-15
328 MS_DRG Stomach; Esophageal & Duodenal Proc Without Complication/comorbity 1 1 — — $20,923.42 $20,923.42 $20,923.42 2026-07-15
100 MS_DRG Seizures With Comorbity 1 1 — — $20,810.30 $20,810.30 $20,810.30 2026-07-15
387 MS_DRG Inflammatory Bowel Disease Without Complication/comorbity 1 1 — — $20,774.33 $20,774.33 $20,774.33 2026-07-15
379 MS_DRG G.i. Hemorrhage Without Complication/comorbity 1 1 — — $20,594.65 $20,594.65 $20,594.65 2026-07-15
315 MS_DRG Other Circulatory System Diagnoses With Complication 1 1 — — $20,488.38 $20,488.38 $20,488.38 2026-07-15
386 MS_DRG Inflammatory Bowel Disease With Complication 1 1 — — $20,423.00 $20,423.00 $20,423.00 2026-07-15
83 MS_DRG Traumatic Stupor & Coma; Coma >1 Hr With Complication 1 1 — — $20,383.55 $20,383.55 $20,383.55 2026-07-15
689 MS_DRG Kidney & Urinary Tract Infections With Comorbity 1 1 — — $20,171.47 $20,171.47 $20,171.47 2026-07-15
810 MS_DRG Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul Without Complication/co… 1 1 — — $19,691.47 $19,691.47 $19,691.47 2026-07-15
684 MS_DRG Renal Failure Without Cc/mcc 1 1 — — $19,653.23 $19,653.23 $19,653.23 2026-07-15
330 MS_DRG Major Small & Large Bowel Procedures With Complication 1 1 — — $19,645.31 $19,645.31 $19,645.31 2026-07-15
922 MS_DRG Other Injury; Poisoning & Toxic Effect Diag With Comorbity 1 1 — — $19,208.18 $19,208.18 $19,208.18 2026-07-15
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Comorbity 1 1 — — $19,191.71 $19,191.71 $19,191.71 2026-07-15
69930 CPT Insertion Of Cochlear Device 52 10 $39,056.11 $35,150.50 $1,416.69 $48,483.98 $18,785.60 2026-07-15
948 MS_DRG Signs & Symptoms Without Comorbity 1 1 — — $18,680.83 $18,680.83 $18,680.83 2026-07-15
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Complication 1 1 — — $18,534.96 $18,534.96 $18,534.96 2026-07-15
93654 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 31 30 $39,067.82 $35,161.04 $2,531.39 $37,509.67 $18,340.79 2026-07-15
201 MS_DRG Pneumothorax Without Complication/comorbity 1 1 — — $18,323.95 $18,323.95 $18,323.95 2026-07-15
700 MS_DRG Other Kidney & Urinary Tract Diagnoses Without Complication/comorbity 1 1 — — $18,281.45 $18,281.45 $18,281.45 2026-07-15
923 MS_DRG Other Injury; Poisoning & Toxic Effect Diag Without Comorbity 1 1 — — $18,231.30 $18,231.30 $18,231.30 2026-07-15
661 MS_DRG Kidney & Ureter Procedures For Non-neoplasm Without Complication/comorbity 1 1 — — $18,170.45 $18,170.45 $18,170.45 2026-07-15
917 MS_DRG Poisoning & Toxic Effects Of Drugs With Comorbity 1 1 — — $18,040.95 $18,040.95 $18,040.95 2026-07-15
33274 CPT Tcat Insj/rpl Perm Ldls Pm 7 7 $7,260.32 $6,534.29 $1,192.50 $24,982.37 $18,009.21 2026-07-15
794 MS_DRG Neonate With Other Significant Problems 1 1 — — $17,859.99 $17,859.99 $17,859.99 2026-07-15
442 MS_DRG Disorders Of Liver Except Malig; Cirr; Alc Hepa With Complication 1 1 — — $17,823.91 $17,823.91 $17,823.91 2026-07-15
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 31 30 $37,964.78 $34,168.30 $1,731.51 $33,186.01 $17,458.76 2026-07-15
33230 CPT Insrt Pulse Gen W/dual Leads 31 30 $4,791.61 $4,312.45 $1,731.51 $33,186.01 $17,458.76 2026-07-15
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 31 30 $7,549.15 $6,794.24 $1,731.51 $33,186.01 $17,458.76 2026-07-15
699 MS_DRG Other Kidney & Urinary Tract Diagnoses With Complication 1 1 — — $17,389.79 $17,389.79 $17,389.79 2026-07-15
61624 CPT Tcat Perm Occls/embolj Cns 26 25 $2,451.94 $2,206.75 $17,139.63 $17,139.63 $17,139.63 2026-07-15
158 MS_DRG Dental & Oral Diseases With Complication 1 1 — — $17,127.73 $17,127.73 $17,127.73 2026-07-15
305 MS_DRG Hypertension Without Comorbity 1 1 — — $16,945.43 $16,945.43 $16,945.43 2026-07-15
639 MS_DRG Diabetes Without Complication/comorbity 1 1 — — $16,592.16 $16,592.16 $16,592.16 2026-07-15
308 MS_DRG Cardiac Arrhythmia & Conduction Disorders With Comorbity 1 1 — — $16,376.63 $16,376.63 $16,376.63 2026-07-15
546 MS_DRG Connective Tissue Disorders With Complication 1 1 — — $16,202.87 $16,202.87 $16,202.87 2026-07-15
987 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity 1 1 — — $16,195.62 $16,195.62 $16,195.62 2026-07-15
310 MS_DRG Cardiac Arrhythmia & Conduction Disorders Without Complication/comorbity 1 1 — — $15,804.91 $15,804.91 $15,804.91 2026-07-15
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 8 8 $5,081.04 $4,572.94 $1,731.51 $46,650.45 $15,746.57 2026-07-15
33231 CPT Insrt Pulse Gen W/mult Leads 8 8 $4,983.33 $4,485.00 $1,731.51 $46,650.45 $15,746.57 2026-07-15
33270 CPT Ins/rep Subq Defibrillator 8 8 $53,368.12 $48,031.31 $1,416.69 $46,650.45 $15,551.55 2026-07-15
33249 CPT Insj/rplcmt Defib W/lead(s) 8 8 $53,368.12 $48,031.31 $1,416.69 $46,650.45 $15,551.55 2026-07-15
64582 CPT Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat… 8 8 $11,577.16 $10,419.44 $1,731.51 $42,697.74 $15,498.26 2026-07-15
93581 CPT Transcath Closure Of Vsd 31 30 $5,209.15 $4,688.24 $5,209.15 $24,982.37 $15,095.76 2026-07-15
918 MS_DRG Poisoning & Toxic Effects Of Drugs Without Comorbity 1 1 — — $14,882.22 $14,882.22 $14,882.22 2026-07-15
93580 CPT Repair Of Congenital Abnormality In Wall Between Upper Heart Chambers With Impla… 31 30 $24,136.99 $21,723.29 $4,736.99 $28,882.85 $14,859.68 2026-07-15
93582 CPT Perq Transcath Closure Pda 31 30 $23,208.64 $20,887.78 $4,343.51 $24,982.37 $14,662.94 2026-07-15
93591 CPT Perq Transcath Cls Aortic 31 30 $28,579.83 $25,721.85 $4,294.57 $24,982.37 $14,638.47 2026-07-15
864 MS_DRG Fever And Inflammatory Conditions 1 1 — — $14,547.65 $14,547.65 $14,547.65 2026-07-15
33229 CPT Remv&replc Pm Gen Mult Leads 31 30 $35,505.85 $31,955.27 $1,731.51 $27,155.79 $14,443.65 2026-07-15
33221 CPT Insert Pulse Gen Mult Leads 31 30 $29,871.37 $26,884.23 $1,731.51 $27,155.79 $14,443.65 2026-07-15
951 MS_DRG Other Factors Influencing Health Status 1 1 — — $14,154.25 $14,154.25 $14,154.25 2026-07-15
101 MS_DRG Seizures Without Comorbity 1 1 — — $13,949.70 $13,949.70 $13,949.70 2026-07-15
392 MS_DRG Esophagitis; Gastroent & Misc Digest Disorders Without Comorbity 1 1 — — $13,927.89 $13,927.89 $13,927.89 2026-07-15
102 MS_DRG Headaches With Comorbity 1 1 — — $13,775.49 $13,775.49 $13,775.49 2026-07-15
93 MS_DRG Other Disorders Of Nervous System Without Complication/comorbity 1 1 — — $13,734.94 $13,734.94 $13,734.94 2026-07-15
193 MS_DRG Simple Pneumonia & Pleurisy With Comorbity 1 1 — — $13,572.02 $13,572.02 $13,572.02 2026-07-15
189 MS_DRG Pulmonary Edema & Respiratory Failure 1 1 — — $13,565.69 $13,565.69 $13,565.69 2026-07-15
89 MS_DRG Concussion With Cc 1 1 — — $13,361.30 $13,361.30 $13,361.30 2026-07-15
27415 CPT Implantation Of Donor Cartilage Cells Into Knee Joint 31 30 $30,960.53 $27,864.48 $1,416.69 $25,174.75 $13,295.72 2026-07-15
603 MS_DRG Cellulitis Without Comorbity 1 1 — — $13,235.79 $13,235.79 $13,235.79 2026-07-15
62360 CPT Insertion Of Spinal Canal Drug Infusion Device Beneath Skin 31 30 $48,556.82 $43,701.14 $1,731.51 $24,634.58 $13,183.05 2026-07-15
92997 CPT Balloon Dilation Of Pulmonary Artery; Single Vessel 38 30 $15,034.24 $13,530.82 $1,416.69 $15,438.47 $13,116.00 2026-07-15
33903 CPT Percutaneous Pulmonary Artery Revascularization By Stent Placement; Initial; Abn… 27 26 $11,501.41 $10,351.27 $10,793.53 $15,438.47 $13,116.00 2026-07-15
949 MS_DRG Aftercare With Cc/mcc 1 1 — — $13,067.08 $13,067.08 $13,067.08 2026-07-15
19357 CPT Tiss Xpndr Plmt Brst Rcnstj 31 30 $20,392.73 $18,353.46 $1,416.69 $24,264.17 $12,840.43 2026-07-15
312 MS_DRG Syncope And Collapse 1 1 — — $12,514.64 $12,514.64 $12,514.64 2026-07-15
33214 CPT Upgrade Of Pacemaker System 27 26 $4,935.43 $4,441.89 $9,772.36 $15,021.74 $12,397.05 2026-07-15
81416 CPT Exome Sequence Analysis 58 30 $2,605.98 $2,345.38 $2,084.78 $12,000.00 $12,000.00 2026-07-15
206 MS_DRG Other Respiratory System Diagnoses Without Comorbity 1 1 — — $11,953.11 $11,953.11 $11,953.11 2026-07-15
91 MS_DRG Other Disorders Of Nervous System With Comorbity 1 1 — — $11,803.57 $11,803.57 $11,803.57 2026-07-15
690 MS_DRG Kidney & Urinary Tract Infections Without Comorbity 1 1 — — $11,765.84 $11,765.84 $11,765.84 2026-07-15
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 1 1 — — $11,343.03 $11,343.03 $11,343.03 2026-07-15
884 MS_DRG Organic Disturbances & Intellectual Disability 1 1 — — $11,214.73 $11,214.73 $11,214.73 2026-07-15
698 MS_DRG Other Kidney & Urinary Tract Diagnoses With Comorbity 1 1 — — $11,128.92 $11,128.92 $11,128.92 2026-07-15
641 MS_DRG Misc Disorders Of Nutrition; Metabolism; Fluids/electrolytes Without Comorbity 1 1 — — $11,111.91 $11,111.91 $11,111.91 2026-07-15
103 MS_DRG Headaches Without Comorbity 1 1 — — $10,982.63 $10,982.63 $10,982.63 2026-07-15
33900 CPT Percutaneous Pulmonary Artery Revascularization By Stent Placement; Initial; Nor… 27 26 $62,779.55 $56,501.60 $10,793.53 $10,793.53 $10,793.53 2026-07-15
33901 CPT Perq P-art Revsc 1 Nm Nt Bi 27 26 $11,280.22 $10,152.20 $10,793.53 $10,793.53 $10,793.53 2026-07-15
C1778 HCPCS Lead; Neurostimulator (implantable) 2 2 $12,140.55 $10,926.50 $10,508.52 $10,926.50 $10,717.51 2026-07-15
L5857 HCPCS Elec Knee-shin Swing Only 31 30 $12,403.85 $11,163.47 $10,544.80 $10,544.80 $10,544.80 2026-07-15
C2628 HCPCS Catheter; Occlusion 1 1 $11,535.00 $10,381.50 $10,381.50 $10,381.50 $10,381.50 2026-07-15
27709 CPT Incision Or Partial Removal Of Shin And Outer Lower Leg Bones 31 30 $23,181.69 $20,863.52 $1,731.51 $18,976.59 $10,354.05 2026-07-15
27758 CPT Treatment Broken Middle Part Of Shin Bone With Plate Or Screws 62 30 $16,657.98 $14,992.18 $1,416.69 $18,976.59 $10,196.64 2026-07-15
27759 CPT Treatment Of Broken Part Of Shin Bone With Rod 31 30 $18,976.59 $17,078.93 $1,416.69 $18,976.59 $10,196.64 2026-07-15
29889 CPT Repair Of Posterior Cruciate Ligament Of Knee Using An Endoscope 31 30 $16,940.05 $15,246.05 $1,416.69 $18,976.59 $10,196.64 2026-07-15
28725 CPT Fusion Of Foot Below Ankle 62 30 $9,488.30 $17,078.93 $1,416.69 $18,976.59 $10,196.64 2026-07-15
27429 CPT Reconstruction Of Ligaments Inside And Outside Knee Joint 62 30 $10,296.66 $9,266.99 $1,416.69 $18,976.59 $10,196.64 2026-07-15
27827 CPT Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 93 30 $12,546.09 $11,291.48 $1,416.69 $18,976.59 $10,196.64 2026-07-15
69716 CPT Implantation Of Cochlear Stimulating System Into Skull With Magnetic Attachment … 62 30 $26,390.65 $23,751.58 $1,416.69 $18,976.59 $10,196.64 2026-07-15
69714 CPT Implantation Of Cochlear Stimulating System Into Skull With Attachment Through S… 93 30 $29,781.91 $26,803.72 $1,416.69 $20,845.69 $10,196.64 2026-07-15
28730 CPT Fusion Of Foot Bones 31 30 $26,089.72 $23,480.75 $1,416.69 $18,976.59 $10,196.64 2026-07-15
24579 CPT Treatment Of Broken Elbow 62 30 $14,445.90 $13,001.31 $1,416.69 $18,976.59 $10,196.64 2026-07-15
28715 CPT Fusion Of 3 Bones Of Ankle 62 30 $17,006.17 $15,305.56 $1,416.69 $18,976.59 $10,196.64 2026-07-15
25365 CPT Incision Or Partial Removal Of Both Forearm Bones 31 30 $6,543.59 $5,889.23 $1,416.69 $18,976.59 $10,196.64 2026-07-15
24575 CPT Treatment Of Broken Outer Part Of Upper Arm Bone At Elbow 62 30 $15,999.46 $14,399.51 $1,416.69 $18,976.59 $10,196.64 2026-07-15
24545 CPT Treatment Of Upper Arm Bone Broken At Elbow 31 30 $7,065.37 $6,358.83 $1,416.69 $18,976.59 $10,196.64 2026-07-15
24515 CPT Treatment Of Broken Middle Part Of Upper Arm Bone With Placement Of Stabilizing … 62 30 $8,759.38 $7,883.44 $1,416.69 $18,976.59 $10,196.64 2026-07-15
24430 CPT Repair Of Nonhealed Broken Upper Arm Bone 62 30 $9,544.12 $8,589.71 $1,416.69 $18,976.59 $10,196.64 2026-07-15
23615 CPT Treatment Of Broken Top Of Upper Arm Bone 31 30 $5,662.86 $5,096.57 $1,416.69 $18,976.59 $10,196.64 2026-07-15
L8619 HCPCS Cochlear Implant; External Speech Processor And Controller; Integrated System; R… 127 30 $17,044.77 $15,340.29 $10,172.28 $29,657.90 $10,172.28 2026-07-15
390 MS_DRG G.i. Obstruction Without Complication/comorbity 1 1 — — $9,858.26 $9,858.26 $9,858.26 2026-07-15
866 MS_DRG Viral Illness Without Comorbity 1 1 — — $9,769.85 $9,769.85 $9,769.85 2026-07-15
177 MS_DRG Respiratory Infections & Inflammations With Comorbity 1 1 — — $9,705.42 $9,705.42 $9,705.42 2026-07-15
L6925 HCPCS Wrist Disart Myoelectronic C 31 30 $18,871.18 $16,984.06 $9,473.02 $9,473.02 $9,473.02 2026-07-15
37182 CPT Insert Hepatic Shunt (tips) 30 29 $11,340.03 $10,206.03 $1,731.51 $17,139.63 $9,435.57 2026-07-15
37184 CPT Prim Art M-thrmbc 1st Vsl 31 30 $5,373.77 $4,836.39 $1,731.51 $17,139.63 $9,435.57 2026-07-15
761 MS_DRG Menstrual And Other Female Reproductive System Disorders Without Cc/mcc 1 1 — — $9,288.50 $9,288.50 $9,288.50 2026-07-15
37242 CPT Occlusion Of Artery With Review By Radiologist 62 30 $86,689.14 $78,020.23 $1,416.69 $17,139.63 $9,278.16 2026-07-15
92990 CPT Revision Of Pulmonary Valve 31 30 $15,034.24 $13,530.82 $3,082.61 $15,438.47 $9,260.54 2026-07-15
C1817 HCPCS Septal Defect Implant System; Intracardiac 2 2 $7,906.50 $7,115.85 $6,821.19 $11,514.02 $9,167.60 2026-07-15
62362 CPT Insertion Of Programmable Spinal Canal Drug Infusion Pump 8 8 $45,201.83 $40,681.65 $1,192.50 $24,634.58 $9,164.68 2026-07-15
22600 CPT Fusion Of Spine In Neck By Posterior Approach 30 29 $38,800.02 $34,920.02 $1,731.51 $16,393.69 $9,062.60 2026-07-15
596 MS_DRG Major Skin Disorders Without Comorbity 1 1 — — $9,014.33 $9,014.33 $9,014.33 2026-07-15
L5987 HCPCS Shank Ft W Vert Load Pylon 31 30 $15,831.48 $14,248.33 $8,905.25 $8,905.25 $8,905.25 2026-07-15
20982 CPT Destruction Of Growths And Adjacent Soft Tissue 31 30 $4,578.68 $4,120.81 $1,416.69 $16,393.69 $8,905.19 2026-07-15
27487 CPT Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis 30 29 $13,675.60 $12,308.04 $1,416.69 $16,393.69 $8,905.19 2026-07-15
37221 CPT Iliac Revasc W/stent 31 30 $8,927.71 $8,034.94 $1,731.51 $15,438.47 $8,584.99 2026-07-15
61623 CPT Evasc Temp Balo Artl Occ H/n 31 30 $16,219.66 $14,597.69 $1,731.51 $15,438.47 $8,584.99 2026-07-15
37238 CPT Open/perq Place Stent Same 31 30 $16,746.06 $15,071.45 $1,731.51 $16,331.60 $8,584.99 2026-07-15
37236 CPT Insertion Of Stent In Artery (except Lower Extremity; Chest; Heart; Neck And Bra… 64 30 $42,122.58 $37,910.32 $1,416.69 $23,685.79 $8,584.99 2026-07-15
37187 CPT Venous Mech Thrombectomy 31 30 $8,132.20 $7,318.98 $1,731.51 $15,438.47 $8,584.99 2026-07-15
92928 CPT Prq Tcat Plmt Ntrac St 1 Les 31 30 $18,420.66 $16,578.59 $1,526.40 $15,438.47 $8,482.43 2026-07-15
37243 CPT Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist 31 30 $7,567.83 $6,811.05 $1,416.69 $15,438.47 $8,427.58 2026-07-15
37244 CPT Vasc Embolize/occlude Bleed 31 30 $16,266.09 $14,639.48 $1,416.69 $15,438.47 $8,427.58 2026-07-15
37241 CPT Occlusion Of Vein With Review By Radiologist 94 30 $16,585.04 $14,926.54 $1,416.69 $32,650.05 $8,427.58 2026-07-15
33213 CPT Insert Pulse Gen Dual Leads 31 30 $16,523.91 $14,871.52 $1,731.51 $15,021.74 $8,376.62 2026-07-15
33228 CPT Removal And Replacement Of Dual Lead Permanent Pacemaker 32 30 $16,659.97 $14,993.97 $1,731.51 $15,021.74 $8,376.62 2026-07-15
61626 CPT Tcat Perm Occls/embol Noncns 62 30 $23,588.83 $21,229.94 $1,192.50 $15,438.47 $8,371.53 2026-07-15
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 1 1 — — $8,340.22 $8,340.22 $8,340.22 2026-07-15
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/mcc 1 1 — — $8,279.57 $8,279.57 $8,279.57 2026-07-15
L8690 HCPCS Auditory Osseointegrated Device; Includes All Internal And External Components 4 3 $35,253.75 $31,728.38 $1,909.44 $14,581.21 $7,817.44 2026-07-15
637 MS_DRG Diabetes With Comorbity 1 1 — — $7,803.04 $7,803.04 $7,803.04 2026-07-15
558 MS_DRG Tendonitis; Myositis & Bursitis Without Comorbity 1 1 — — $7,707.11 $7,707.11 $7,707.11 2026-07-15
203 MS_DRG Bronchitis & Asthma Without Complication/comorbity 1 1 — — $7,533.19 $7,533.19 $7,533.19 2026-07-15
43281 CPT Repair Of Hernia Of Muscle At Esophagus And Stomach Using An Endoscope 31 30 $14,976.82 $13,479.14 $1,731.51 $13,216.19 $7,473.85 2026-07-15
38120 CPT Exam Of Spleen Using An Endoscope 31 30 $18,841.68 $16,957.51 $1,731.51 $13,216.19 $7,473.85 2026-07-15
789 MS_DRG Neonates; Died Or Transferred To Another Acute Care Facility 1 1 — — $7,443.60 $7,443.60 $7,443.60 2026-07-15
50544 CPT Repair Of Kidney Using An Endoscope 62 30 $24,727.24 $22,254.52 $1,416.69 $13,216.19 $7,395.15 2026-07-15
195 MS_DRG Simple Pneumonia & Pleurisy Without Complication/comorbity 1 1 — — $7,299.63 $7,299.63 $7,299.63 2026-07-15
93620 CPT Comp Ep Evl R At Ven Pac&rec 61 30 $5,385.52 $9,693.92 $2,519.51 $9,791.84 $7,292.49 2026-07-15
93619 CPT Comprehensive Ep Evaluation 62 30 $10,986.44 $9,887.80 $1,826.91 $12,196.24 $7,292.49 2026-07-15
A0431 HCPCS Ambulance Service; Conventional Air Services; Transport; One Way (rotary Wing) 2 2 $8,401.61 $7,561.45 $6,922.93 $7,309.40 $7,116.16 2026-07-15
V5040 HCPCS Hearing Aid; Monaural; Body Worn; Bone Conduction 2 2 $5,463.38 $4,917.04 $4,917.04 $8,792.40 $6,854.72 2026-07-15
33227 CPT Removal And Replacement Of Single Lead Permanent Pacemaker 31 30 $12,667.57 $11,400.81 $1,731.51 $11,871.59 $6,801.55 2026-07-15
27514 CPT Treatment Of Broken Side Of Lower End Of Thigh Bone 30 29 $12,401.96 $11,161.76 $1,416.69 $12,003.85 $6,710.27 2026-07-15
28297 CPT Correction Of Bunion With Midfoot And Hindfoot Bone Fusion 28 28 $1,000.00 $900.00 $1,416.69 $9,620.04 $6,710.27 2026-07-15
33210 CPT Insert Electrd/pm Cath Sngl 31 30 $12,915.96 $11,624.36 $1,526.40 $11,871.59 $6,698.99 2026-07-15
42227 CPT Lengthening Of Roof Of Mouth Using Mucous Membrane Tissue Graft 27 26 $9,319.21 $8,387.29 $5,534.90 $7,765.79 $6,650.35 2026-07-15
33216 CPT Insert 1 Electrode Pm-defib 31 30 $4,935.43 $4,441.89 $1,416.69 $11,871.59 $6,644.14 2026-07-15
33212 CPT Insert Pulse Gen Sngl Lead 35 30 $4,935.43 $4,441.89 $1.00 $11,871.59 $6,644.14 2026-07-15
49329 CPT Other Procedure On Abdomen Using An Endoscope 27 26 $5,719.54 $5,147.59 $5,652.42 $7,580.33 $6,616.38 2026-07-15
43659 CPT Other Procedure On Stomach Using An Endoscope 26 26 $7,806.09 $7,025.48 $5,652.42 $7,580.33 $6,616.38 2026-07-15
50949 CPT Other Procedure On Ureter Using An Endoscope 27 26 $4,490.65 $4,041.59 $5,652.42 $7,580.33 $6,616.38 2026-07-15
33285 CPT Insertion Of Heart Rhythm Monitor Under Skin 62 30 $18,303.75 $16,473.38 $1,192.50 $11,871.59 $6,588.09 2026-07-15
33233 CPT Removal Of Pm Generator 31 30 $4,983.35 $4,485.02 $1,192.50 $11,871.59 $6,532.05 2026-07-15
795 MS_DRG Normal Newborn 1 1 — — $6,463.73 $6,463.73 $6,463.73 2026-07-15
V5120 HCPCS Binaural; Body 2 2 $10,409.85 $9,368.86 $2,222.22 $9,779.70 $6,000.96 2026-07-15
93650 CPT Icar Cath Abltj Av Node Func 31 30 $11,201.86 $10,081.67 $2,076.91 $9,791.84 $5,934.38 2026-07-15
C1889 HCPCS Implantable/insertable Device; Not Otherwise Classified 2 2 $910.89 $819.80 $5,609.76 $6,156.00 $5,882.88 2026-07-15
47564 CPT Laparo Cholecystectomy/explr 31 30 $18,210.51 $16,389.46 $1,731.51 $9,938.63 $5,835.07 2026-07-15
92986 CPT Revision Of Aortic Valve 31 30 $8,372.16 $7,534.94 $3,928.43 $7,585.06 $5,756.74 2026-07-15
33206 CPT Insert Heart Pm Atrial 31 30 $17,159.77 $15,443.79 $1,731.51 $9,772.36 $5,751.94 2026-07-15
43265 CPT Ercp Lithotripsy Calculi 31 30 $5,591.33 $5,032.20 $5,676.14 $5,676.14 $5,676.14 2026-07-15
21811 CPT Treatment Of Broken Ribs On Side With Placement Of Stabilizing Device; 1-3 Ribs 31 30 $14,949.58 $13,454.62 $1,731.51 $13,006.13 $5,675.77 2026-07-15
33207 CPT Insertion Of Pacemaker And Lower Heart Chamber Electrode 31 30 $38,705.89 $34,835.30 $1,526.40 $15,021.74 $5,649.38 2026-07-15
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