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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

ADVENTIST HEALTH ST HELENA

Saint Helena, CA · CCN 050013 · Rates published

4,025 distinct procedures filed
42 distinct payers
220,255 rate rows
2026-07-15 last MRF observed
Data quality

203,711 of 220,255 rate rows are consumer-grade (92.5%)

16,544 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 8,295
per-diem day rate — not a per-procedure price 7,177
exceeds 10× this hospital's gross charge — excluded from medians 959
percent-of-charges filed in the dollar field — excluded from medians 87
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 11
placeholder amount (≤ $0.02) — excluded from medians 9
exceeds 3× this hospital's gross charge for a DRG stay — excluded 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbAHSHSAINTHELENACA&type=CDMWithoutLabel&fileType=CSV
Found on page https://www.adventisthealth.org/patients-and-visitors/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-18
Content fingerprint 36f149a54c58a3f3… · 204,302,959 bytes · first seen 2026-07-16

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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $140,475.49 $1,413,635.31 $562,121.14 nat. median
$261,939
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $142,205.40 $1,004,013.12 $529,561.15 nat. median
$132,706
outlier · 4.0×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 20 $111,638.95 $746,507.69 $393,741.33 nat. median
$100,978
outlier · 3.9×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 $80,797.18 $1,239,669.16 $374,307.42 nat. median
$199,832
1.9× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 $46,699.23 $611,318.13 $295,394.05 nat. median
$43,549
outlier · 6.8×
354
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Cc 20 $17,272.36 $549,831.11 $290,005.36 nat. median
$17,345
outlier · 16.7×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 $61,666.76 $615,878.12 $286,009.49 nat. median
$58,419
outlier · 4.9×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 $70,611.96 $555,306.73 $274,722.58 nat. median
$65,792
outlier · 4.2×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 $55,994.52 $453,716.97 $239,310.49 nat. median
$52,447
outlier · 4.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 24 $69,559.00 $754,621.51 $233,342.33 nat. median
$79,040
outlier · 3.0×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 $59,046.68 $568,644.00 $230,855.52 nat. median
$68,581
outlier · 3.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 $69,559.00 $656,492.09 $226,739.73 nat. median
$73,475
outlier · 3.1×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 20 $47,189.97 $595,832.83 $224,124.64 nat. median
$44,514
outlier · 5.0×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 24 $62,241.68 $817,321.20 $221,527.82 nat. median
$59,257
outlier · 3.7×
37
MS_DRG 		Extracranial Procedures With Mcc 20 $33,798.34 $429,323.89 $221,170.27 nat. median
$32,572
outlier · 6.8×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 20 $50,451.23 $794,082.65 $219,934.68 nat. median
$65,958
outlier · 3.3×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 20 $48,707.09 $498,400.32 $212,331.39 nat. median
$62,218
outlier · 3.4×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 21 $47,415.83 $407,772.38 $209,549.69 nat. median
$45,772
outlier · 4.6×
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 20 $23,363.47 $395,796.72 $208,760.78 nat. median
$22,178
outlier · 9.4×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 20 $51,203.14 $419,247.40 $207,411.01 nat. median
$48,124
outlier · 4.3×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 $60,210.97 $391,199.41 $206,335.96 nat. median
$56,397
outlier · 3.7×
334
MS_DRG 		Rectal Resection Without Cc/mcc 20 $16,815.50 $367,213.89 $193,684.92 nat. median
$16,995
outlier · 11.4×
674
MS_DRG 		Other Kidney And Urinary Tract Procedures With Cc 20 $24,009.24 $353,948.84 $186,688.35 nat. median
$23,243
outlier · 8.0×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 $42,785.04 $412,739.26 $186,515.05 nat. median
$47,707
outlier · 3.9×
215
MS_DRG 		Other Heart Assist System Implant 25 $77,207.87 $861,649.31 $184,002.37 nat. median
$98,002
1.9× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 20 $25,093.38 $345,258.00 $182,104.41 nat. median
$24,507
outlier · 7.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $69,559.00 $765,086.88 $180,783.21 nat. median
$92,900
1.9× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 $44,073.06 $331,542.21 $174,870.09 nat. median
$41,643
outlier · 4.2×
288
MS_DRG 		Acute And Subacute Endocarditis With Mcc 20 $27,783.20 $327,853.49 $172,924.51 nat. median
$26,771
outlier · 6.5×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 24 $60,249.98 $490,682.69 $170,898.42 nat. median
$57,082
outlier · 3.0×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 24 $56,082.81 $502,067.98 $169,855.14 nat. median
$53,013
outlier · 3.2×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 20 $38,373.10 $394,751.13 $168,674.53 nat. median
$37,053
outlier · 4.6×
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 $42,247.37 $382,249.53 $164,884.14 nat. median
$41,285
outlier · 4.0×
828
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 20 $17,492.06 $312,437.45 $164,793.40 nat. median
$17,192
outlier · 9.6×
654
MS_DRG 		Major Bladder Procedures With Cc 20 $28,739.01 $311,771.02 $164,441.89 nat. median
$27,626
outlier · 6.0×
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 21 $33,131.02 $314,624.74 $161,682.16 nat. median
$31,836
outlier · 5.1×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 20 $46,089.20 $314,459.36 $161,521.00 nat. median
$49,784
outlier · 3.2×
813
MS_DRG 		Coagulation Disorders 20 $15,659.49 $303,427.53 $160,041.17 nat. median
$15,573
outlier · 10.3×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 20 $39,416.17 $293,734.25 $154,928.50 nat. median
$37,685
outlier · 4.1×
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 $38,261.19 $288,410.46 $152,120.49 nat. median
$36,547
outlier · 4.2×
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 20 $34,776.50 $338,978.99 $151,603.04 nat. median
$39,775
outlier · 3.8×
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 22 $29,264.66 $302,591.68 $149,698.83 nat. median
$27,955
outlier · 5.4×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 $33,776.94 $503,814.57 $147,245.58 nat. median
$45,808
outlier · 3.2×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 $36,126.02 $404,333.46 $146,497.88 nat. median
$47,266
outlier · 3.1×
743
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 23 $2,049.65 $267,758.17 $144,857.17 nat. median
$12,945
outlier · 11.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 $69,559.00 $639,490.62 $141,892.68 nat. median
$74,472
1.9× median
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 20 $18,514.61 $313,877.51 $141,472.32 nat. median
$18,744
outlier · 7.5×
163
MS_DRG 		Major Chest Procedures With Mcc 20 $38,848.30 $283,426.15 $140,865.20 nat. median
$44,914
outlier · 3.1×
34
MS_DRG 		Carotid Artery Stent Procedures With Mcc 20 $32,883.33 $287,342.57 $139,294.90 nat. median
$37,851
outlier · 3.7×
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 20 $23,874.75 $281,389.90 $139,209.84 nat. median
$22,749
outlier · 6.1×

Other procedures at this hospital

Browse this hospital's 4,025 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 14 $1,290,660.47 $193,599.07 85% off $140,475.49 $1,413,635.31 $562,121.14 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 20 $1,115,570.14 $167,335.52 85% off $142,205.40 $1,004,013.12 $529,561.15 2026-04-27
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 40 20 $829,452.99 $124,417.95 85% off $111,638.95 $746,507.69 $393,741.33 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 40 20 $979,342.42 $146,901.36 85% off $80,797.18 $1,239,669.16 $374,307.42 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 40 20 $589,681.51 $88,452.23 85% off $46,699.23 $611,318.13 $295,394.05 2026-07-15
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 20 20 $610,923.45 $91,638.52 85% off $17,272.36 $549,831.11 $290,005.36 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 42 21 $628,799.33 $94,319.90 85% off $61,666.76 $615,878.12 $286,009.49 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 22 $617,007.48 $92,551.12 85% off $70,611.96 $555,306.73 $274,722.58 2026-04-27
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 20 $504,129.97 $75,619.49 85% off $55,994.52 $453,716.97 $239,310.49 2026-04-27
231 MS_DRG Coronary Bypass With Ptca With Mcc 48 24 $782,438.19 $117,365.73 85% off $69,559.00 $754,621.51 $233,342.33 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 42 21 $528,311.46 $79,246.72 85% off $59,046.68 $568,644.00 $230,855.52 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 24 $729,435.66 $109,415.35 85% off $69,559.00 $656,492.09 $226,739.73 2026-04-27
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 40 20 $515,954.81 $77,393.22 85% off $47,189.97 $595,832.83 $224,124.64 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 48 24 $811,989.49 $121,798.43 85% off $62,241.68 $817,321.20 $221,527.82 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 40 20 $466,194.29 $69,929.14 85% off $33,798.34 $429,323.89 $221,170.27 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 40 20 $622,636.26 $93,395.44 85% off $50,451.23 $794,082.65 $219,934.68 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 40 20 $452,094.43 $67,814.17 85% off $48,707.09 $498,400.32 $212,331.39 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 21 $453,080.42 $67,962.06 85% off $47,415.83 $407,772.38 $209,549.69 2026-04-27
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 20 20 $439,774.13 $65,966.12 85% off $23,363.47 $395,796.72 $208,760.78 2026-04-27
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 40 20 $430,046.26 $64,506.94 85% off $51,203.14 $419,247.40 $207,411.01 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 20 $434,666.01 $65,199.90 85% off $60,210.97 $391,199.41 $206,335.96 2026-04-27
334 MS_DRG Rectal Resection Without Cc/mcc 20 20 $408,015.43 $61,202.31 85% off $16,815.50 $367,213.89 $193,684.92 2026-04-27
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 40 20 $393,276.49 $58,991.47 85% off $24,009.24 $353,948.84 $186,688.35 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 40 20 $383,202.59 $57,480.39 85% off $42,785.04 $412,739.26 $186,515.05 2026-07-15
215 MS_DRG Other Heart Assist System Implant 50 25 $756,420.20 $113,463.03 85% off $77,207.87 $861,649.31 $184,002.37 2026-07-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 20 20 $383,620.00 $57,543.00 85% off $25,093.38 $345,258.00 $182,104.41 2026-04-27
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 25 $783,113.93 $117,467.09 85% off $69,559.00 $765,086.88 $180,783.21 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 20 $368,380.23 $55,257.03 85% off $44,073.06 $331,542.21 $174,870.09 2026-04-27
288 MS_DRG Acute And Subacute Endocarditis With Mcc 20 20 $364,281.66 $54,642.25 85% off $27,783.20 $327,853.49 $172,924.51 2026-04-27
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 24 $545,202.99 $81,780.45 85% off $60,249.98 $490,682.69 $170,898.42 2026-04-27
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 24 24 $557,853.32 $83,678.00 85% off $56,082.81 $502,067.98 $169,855.14 2026-04-27
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 40 20 $358,488.08 $53,773.21 85% off $38,373.10 $394,751.13 $168,674.53 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 44 22 $364,329.82 $54,649.47 85% off $42,247.37 $382,249.53 $164,884.14 2026-07-15
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 20 $347,152.72 $52,072.91 85% off $17,492.06 $312,437.45 $164,793.40 2026-04-27
654 MS_DRG Major Bladder Procedures With Cc 20 20 $346,412.24 $51,961.84 85% off $28,739.01 $311,771.02 $164,441.89 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 21 21 $349,583.04 $52,437.46 85% off $33,131.02 $314,624.74 $161,682.16 2026-04-27
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 20 $340,488.14 $51,073.22 85% off $46,089.20 $314,459.36 $161,521.00 2026-07-15
813 MS_DRG Coagulation Disorders 20 20 $337,141.70 $50,571.25 85% off $15,659.49 $303,427.53 $160,041.17 2026-04-27
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 20 $326,371.39 $48,955.71 85% off $39,416.17 $293,734.25 $154,928.50 2026-04-27
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 20 $320,456.07 $48,068.41 85% off $38,261.19 $288,410.46 $152,120.49 2026-04-27
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 40 20 $313,416.99 $47,012.55 85% off $34,776.50 $338,978.99 $151,603.04 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 22 22 $336,212.98 $50,431.95 85% off $29,264.66 $302,591.68 $149,698.83 2026-04-27
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 40 20 $401,396.77 $60,209.51 85% off $33,776.94 $503,814.57 $147,245.58 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 50 25 $354,579.41 $53,186.91 85% off $36,126.02 $404,333.46 $146,497.88 2026-07-15
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 23 23 $297,509.08 $44,626.36 85% off $2,049.65 $267,758.17 $144,857.17 2026-04-27
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 25 $650,208.61 $97,531.29 85% off $69,559.00 $639,490.62 $141,892.68 2026-07-15
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 40 20 $291,112.36 $43,666.85 85% off $18,514.61 $313,877.51 $141,472.32 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 40 20 $297,201.08 $44,580.16 85% off $38,848.30 $283,426.15 $140,865.20 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 40 20 $277,920.14 $41,688.02 85% off $32,883.33 $287,342.57 $139,294.90 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 40 20 $276,866.01 $41,529.90 85% off $23,874.75 $281,389.90 $139,209.84 2026-07-15
245 MS_DRG Aicd Generator Procedures 48 24 $312,151.09 $46,822.66 85% off $39,884.26 $303,628.58 $139,176.29 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 40 20 $290,437.34 $43,565.60 85% off $24,610.85 $263,579.71 $137,840.97 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 40 20 $286,082.12 $42,912.32 85% off $28,219.53 $260,330.29 $135,764.47 2026-07-15
501 MS_DRG Soft Tissue Procedures With Cc 20 20 $284,151.01 $42,622.65 85% off $17,946.87 $255,735.91 $134,886.48 2026-04-27
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 20 20 $282,993.09 $42,448.96 85% off $15,078.41 $254,693.78 $134,336.82 2026-04-27
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 20 20 $277,867.22 $41,680.08 85% off $21,348.16 $250,080.50 $131,903.57 2026-04-27
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 40 20 $268,231.46 $40,234.71 85% off $30,151.76 $287,589.38 $131,442.16 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 42 21 $288,618.49 $43,292.78 85% off $27,933.09 $287,388.07 $131,124.37 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 42 21 $281,628.99 $42,244.35 85% off $21,741.37 $263,149.73 $128,581.70 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 20 $269,714.08 $40,457.11 85% off $30,971.98 $242,742.67 $128,033.27 2026-04-27
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 50 25 $349,408.73 $52,411.31 85% off $34,900.05 $402,964.20 $127,981.45 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 40 20 $259,795.02 $38,969.25 85% off $25,240.19 $243,140.26 $123,198.29 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 48 24 $360,223.89 $54,033.59 85% off $46,123.45 $349,761.94 $123,150.07 2026-07-15
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 20 20 $256,321.95 $38,448.29 85% off $13,301.28 $230,689.75 $121,676.02 2026-04-27
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 25 $600,624.88 $90,093.73 85% off $67,505.32 $604,546.77 $121,509.57 2026-07-15
196 MS_DRG Interstitial Lung Disease With Mcc 40 20 $272,649.22 $40,897.39 85% off $19,374.94 $313,391.38 $119,424.13 2026-07-15
263 MS_DRG Vein Ligation And Stripping 22 22 $267,829.52 $40,174.43 85% off $31,388.80 $241,046.56 $119,251.09 2026-04-27
336 MS_DRG Peritoneal Adhesiolysis With Cc 20 20 $250,580.05 $37,587.01 85% off $21,648.97 $225,522.05 $118,950.35 2026-04-27
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 40 20 $249,921.83 $37,488.28 85% off $27,144.24 $274,105.23 $118,331.31 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 20 $246,078.94 $36,911.84 85% off $34,204.97 $221,471.05 $116,813.67 2026-04-27
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 20 $245,630.85 $36,844.63 85% off $34,142.69 $221,067.77 $116,600.96 2026-04-27
228 MS_DRG Other Cardiothoracic Procedures With Mcc 48 24 $386,718.76 $58,007.82 85% off $39,112.52 $442,847.20 $116,335.96 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 42 21 $250,578.76 $37,586.81 85% off $29,466.91 $225,520.88 $115,892.68 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 20 20 $244,098.01 $36,614.70 85% off $25,478.37 $219,688.21 $115,873.33 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 46 23 $263,667.42 $39,550.11 85% off $32,778.88 $256,201.15 $115,701.63 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 25 $515,055.73 $77,258.36 85% off $54,749.19 $553,247.21 $115,302.46 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 48 24 $263,537.20 $39,530.58 85% off $32,334.34 $237,183.48 $111,712.39 2026-07-15
165 MS_DRG Major Chest Procedures Without Cc/mcc 40 20 $230,105.32 $34,515.79 85% off $19,652.13 $223,537.39 $110,588.92 2026-07-15
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 20 20 $232,947.43 $34,942.11 85% off $18,836.97 $209,652.69 $110,580.15 2026-04-27
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 25 $391,828.30 $58,774.24 85% off $41,493.78 $436,626.21 $110,332.05 2026-07-15
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 21 21 $236,809.92 $35,521.49 85% off $16,079.39 $213,128.93 $109,524.59 2026-04-27
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 42 21 $316,985.97 $47,547.90 85% off $27,925.84 $389,759.98 $109,181.98 2026-07-15
199 MS_DRG Pneumothorax With Mcc 40 20 $227,576.29 $34,136.44 85% off $18,111.13 $204,818.66 $108,030.46 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 48 24 $228,854.51 $34,328.18 85% off $21,876.88 $212,718.93 $107,421.86 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 44 22 $218,164.22 $32,724.63 85% off $25,792.24 $225,695.48 $107,389.52 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 44 22 $240,946.03 $36,141.90 85% off $30,846.00 $233,980.52 $105,342.43 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 20 $219,477.74 $32,921.66 85% off $30,507.41 $197,529.97 $104,186.09 2026-04-27
271 MS_DRG Other Major Cardiovascular Procedures With Cc 48 24 $265,648.75 $39,847.32 85% off $33,959.76 $258,284.43 $103,728.24 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 48 24 $336,008.57 $50,401.29 85% off $21,577.23 $329,105.88 $103,676.60 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 20 $190,493.77 $28,574.07 85% off $26,478.63 $171,444.39 $103,523.84 2026-04-27
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 20 $216,410.62 $32,461.59 85% off $30,081.08 $194,769.56 $102,730.12 2026-04-27
253 MS_DRG Other Vascular Procedures With Cc 44 22 $232,128.92 $34,819.34 85% off $26,133.56 $248,621.97 $102,547.54 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 42 21 $238,532.62 $35,779.89 85% off $26,054.31 $260,661.77 $101,864.85 2026-07-15
254 MS_DRG Other Vascular Procedures Without Cc/mcc 22 22 $212,815.00 $31,922.25 85% off $18,291.82 $191,533.50 $100,930.96 2026-04-27
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 20 20 $211,788.10 $31,768.22 85% off $17,596.78 $190,609.29 $100,535.82 2026-04-27
39 MS_DRG Extracranial Procedures Without Cc/mcc 40 20 $211,362.60 $31,704.40 85% off $12,068.27 $192,825.63 $100,298.59 2026-07-15
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 40 20 $201,512.33 $30,226.85 85% off $17,366.81 $202,379.71 $100,121.73 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 44 22 $361,239.79 $54,185.97 85% off $25,152.85 $487,371.47 $99,998.83 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 22 22 $214,911.34 $32,236.70 85% off $27,692.86 $193,420.21 $98,412.24 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 40 20 $234,565.58 $35,184.84 85% off $22,186.33 $278,565.57 $96,718.02 2026-07-15
181 MS_DRG Respiratory Neoplasms With Cc 20 20 $202,886.60 $30,432.99 85% off $10,995.42 $182,597.94 $96,310.27 2026-07-15
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 22 22 $200,653.51 $30,098.03 85% off $17,431.49 $180,588.15 $96,272.00 2026-04-27
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 20 20 $200,603.64 $30,090.55 85% off $13,161.65 $180,543.28 $95,226.54 2026-04-27
849 MS_DRG Radiotherapy 20 20 $200,141.23 $30,021.18 85% off $27,817.08 $180,127.11 $95,007.04 2026-04-27
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 20 20 $199,507.05 $29,926.06 85% off $16,995.16 $179,556.35 $94,705.99 2026-04-27
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 21 21 $204,379.74 $30,656.96 85% off $15,642.04 $183,941.77 $94,525.63 2026-04-27
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 20 $192,502.16 $28,875.32 85% off $23,727.93 $173,251.94 $91,380.77 2026-04-27
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 21 21 $193,411.93 $29,011.79 85% off $11,465.63 $174,070.74 $89,453.02 2026-04-27
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 20 $187,061.42 $28,059.21 85% off $26,001.54 $168,355.28 $88,798.06 2026-07-15
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 20 $186,733.26 $28,009.99 85% off $18,040.29 $168,059.93 $88,642.27 2026-04-27
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 42 21 $194,680.54 $29,202.08 85% off $18,099.84 $194,380.06 $88,429.41 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 20 20 $185,890.46 $27,883.57 85% off $21,985.71 $167,301.41 $88,242.20 2026-04-27
834 MS_DRG Acute Leukemia With Mcc 40 20 $162,153.16 $24,322.97 85% off $22,539.29 $145,937.84 $88,122.13 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 20 $179,831.06 $26,974.66 85% off $24,996.52 $161,847.95 $85,365.80 2026-04-27
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 20 $178,522.04 $26,778.31 85% off $24,814.56 $160,669.84 $84,744.41 2026-04-27
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 20 20 $177,502.32 $26,625.35 85% off $15,759.08 $159,752.09 $84,260.35 2026-04-27
908 MS_DRG Other O.r. Procedures For Injuries With Cc 40 20 $171,036.40 $25,655.46 85% off $19,077.45 $184,342.46 $83,165.32 2026-07-15
919 MS_DRG Complications Of Treatment With Mcc 40 20 $205,297.99 $30,794.70 85% off $18,795.91 $246,113.17 $83,098.11 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 46 23 $201,406.79 $30,211.02 85% off $17,560.00 $194,646.11 $83,056.99 2026-07-15
100 MS_DRG Seizures With Mcc 20 20 $174,195.00 $26,129.25 85% off $19,884.16 $156,775.50 $82,690.36 2026-04-27
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 20 20 $174,182.42 $26,127.36 85% off $20,513.49 $156,764.18 $82,684.39 2026-04-27
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 20 20 $173,999.05 $26,099.86 85% off $16,744.66 $156,599.14 $82,597.35 2026-04-27
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 40 20 $192,684.43 $28,902.67 85% off $18,864.15 $224,690.03 $82,235.46 2026-07-15
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 24 24 $173,014.80 $25,952.22 85% off $20,759.89 $155,713.32 $82,130.13 2026-04-27
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 40 20 $160,875.01 $24,131.25 85% off $14,021.99 $163,262.29 $80,769.48 2026-07-15
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 20 20 $166,943.21 $25,041.48 85% off $16,851.43 $150,248.89 $79,247.94 2026-04-27
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 40 20 $163,854.60 $24,578.19 85% off $22,775.79 $147,469.14 $78,263.49 2026-07-15
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 20 20 $164,224.26 $24,633.64 85% off $13,569.23 $147,801.83 $77,957.26 2026-04-27
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 21 21 $166,764.34 $25,014.65 85% off $10,339.00 $150,087.91 $77,128.51 2026-04-27
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 20 20 $156,189.86 $23,428.48 85% off $7,183.47 $140,570.87 $74,143.32 2026-04-27
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 40 20 $155,428.23 $23,314.24 85% off $16,101.98 $142,714.97 $73,743.43 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 40 20 $150,897.05 $22,634.56 85% off $18,961.66 $148,841.33 $73,635.12 2026-07-15
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 20 20 $154,537.37 $23,180.61 85% off $12,360.87 $139,083.63 $73,358.89 2026-04-27
593 MS_DRG Skin Ulcers With Cc 20 20 $152,065.75 $22,809.86 85% off $12,179.15 $136,859.18 $72,185.61 2026-04-27
398 MS_DRG Appendix Procedures With Cc 20 20 $152,022.36 $22,803.35 85% off $15,539.37 $136,820.12 $72,165.01 2026-04-27
38 MS_DRG Extracranial Procedures With Cc 40 20 $152,184.58 $22,827.69 85% off $16,658.42 $143,419.46 $72,154.54 2026-07-15
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 40 20 $151,672.11 $22,750.82 85% off $19,942.68 $137,667.98 $71,982.99 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 20 $131,922.21 $19,788.33 85% off $18,337.19 $118,729.99 $71,693.12 2026-04-27
666 MS_DRG Prostatectomy With Cc 20 20 $150,532.01 $22,579.80 85% off $17,959.19 $135,478.81 $71,457.55 2026-04-27
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 40 20 $150,303.08 $22,545.46 85% off $19,871.52 $141,881.05 $71,259.29 2026-07-15
902 MS_DRG Wound Debridements For Injuries With Cc 40 20 $148,553.25 $22,282.99 85% off $19,655.21 $134,672.58 $70,505.01 2026-07-15
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 40 20 $140,429.55 $21,064.43 85% off $16,403.17 $146,565.59 $70,252.58 2026-07-15
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 20 $146,737.92 $22,010.69 85% off $19,201.44 $132,064.13 $69,656.49 2026-04-27
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 20 20 $146,460.00 $21,969.00 85% off $20,357.94 $131,814.00 $69,524.56 2026-04-27
314 MS_DRG Other Circulatory System Diagnoses With Mcc 40 20 $157,362.76 $23,604.41 85% off $15,893.90 $180,342.79 $69,287.13 2026-07-15
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 20 20 $145,771.54 $21,865.73 85% off $14,627.71 $131,194.38 $69,197.75 2026-04-27
C1822 HCPCS Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 44 24 $132,500.00 $19,875.00 85% off $11,526.00 $132,500.00 $69,002.40 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 48 24 $182,432.33 $27,364.85 85% off $24,990.91 $166,566.55 $68,890.03 2026-07-15
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 40 20 $151,424.51 $22,713.68 85% off $15,761.76 $170,509.55 $68,711.08 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 21 21 $242,999.39 $36,449.91 85% off $36,571.41 $560,807.39 $68,654.81 2026-07-15
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 40 20 $142,540.02 $21,381.00 85% off $13,711.94 $128,286.02 $67,663.75 2026-07-15
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 24 24 $142,023.04 $21,303.46 85% off $18,556.70 $127,820.74 $67,418.34 2026-04-27
54 MS_DRG Nervous System Neoplasms With Mcc 40 20 $156,246.04 $23,436.90 85% off $15,382.21 $181,645.79 $67,056.49 2026-07-15
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 40 20 $147,492.57 $22,123.88 85% off $15,376.04 $165,929.50 $67,029.60 2026-07-15
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 20 20 $141,047.76 $21,157.16 85% off $19,605.64 $126,942.98 $66,955.37 2026-04-27
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 40 20 $139,764.84 $20,964.73 85% off $18,135.77 $125,788.35 $66,346.37 2026-07-15
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 24 24 $126,265.00 $18,939.75 85% off $11,526.00 $126,265.00 $66,289.12 2026-07-15
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 40 20 $139,607.60 $20,941.14 85% off $14,028.15 $130,643.60 $66,203.99 2026-07-15
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 20 $138,663.55 $20,799.53 85% off $18,417.07 $124,797.20 $65,823.58 2026-04-27
757 MS_DRG Infections, Female Reproductive System With Mcc 20 20 $138,268.26 $20,740.24 85% off $14,700.60 $124,441.43 $65,635.95 2026-04-27
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 28 $448,093.72 $67,214.06 85% off $31,140.35 $403,284.35 $64,861.57 2026-04-27
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 40 20 $132,128.36 $19,819.25 85% off $18,365.84 $118,915.52 $64,389.71 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 20 $128,198.27 $19,229.74 85% off $17,819.56 $115,378.44 $64,096.35 2026-04-27
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 28 $284,965.71 $42,744.86 85% off $36,205.84 $256,469.14 $63,605.26 2026-04-27
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 20 20 $132,786.60 $19,917.99 85% off $16,874.02 $119,507.94 $63,033.80 2026-04-27
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 40 20 $131,665.52 $19,749.83 85% off $16,468.49 $119,442.07 $62,488.84 2026-07-15
302 MS_DRG Atherosclerosis With Mcc 43 23 $128,027.13 $19,204.07 85% off $12,284.89 $300,173.13 $62,336.41 2026-07-15
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 20 20 $130,305.32 $19,545.80 85% off $10,343.50 $117,274.79 $61,855.93 2026-04-27
35 MS_DRG Carotid Artery Stent Procedures With Cc 20 20 $129,825.68 $19,473.85 85% off $18,045.77 $116,843.11 $61,628.25 2026-04-27
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 56 28 $259,974.70 $38,996.21 85% off $19,803.05 $250,971.24 $61,390.85 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 20 20 $112,173.62 $16,826.04 85% off $15,592.13 $100,956.26 $60,960.75 2026-04-27
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 40 20 $121,014.85 $18,152.23 85% off $13,676.25 $129,275.46 $59,619.61 2026-07-15
291 MS_DRG Heart Failure And Shock With Mcc 40 20 $124,754.71 $18,713.21 85% off $13,180.13 $113,270.74 $59,207.62 2026-07-15
397 MS_DRG Appendix Procedures With Mcc 20 20 $123,645.62 $18,546.84 85% off $17,186.74 $111,281.06 $58,694.57 2026-07-15
91 MS_DRG Other Disorders Of Nervous System With Mcc 20 20 $123,479.19 $18,521.88 85% off $17,163.61 $111,131.27 $58,615.57 2026-04-27
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 21 21 $126,587.93 $18,988.19 85% off $10,339.00 $113,929.14 $58,546.92 2026-04-27
0620T OTHER Insertion Of Stent To Shunt Arterial Blood To Deep Vein Of Lower Leg Via Cathete… 31 31 $119,711.00 $17,956.65 85% off $4,145.00 $119,711.00 $58,514.20 2026-07-15
33270 HCPCS Insertion Or Replacement Of Defibrillator With Electrode 30 30 $200,223.00 $30,033.45 85% off $508.93 $180,200.70 $58,378.60 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 28 28 $257,429.17 $38,614.38 85% off $28,212.34 $231,686.25 $58,276.57 2026-04-27
71 MS_DRG Other Cerebrovascular Disorders With Cc 20 20 $122,197.61 $18,329.64 85% off $10,533.43 $109,977.85 $58,007.21 2026-04-27
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 48 24 $102,797.60 $15,419.64 85% off $13,105.25 $100,181.52 $57,747.96 2026-07-15
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 40 20 $114,369.62 $17,155.44 85% off $13,021.00 $115,979.34 $57,377.56 2026-07-15
759 MS_DRG Infections, Female Reproductive System Without Cc/mcc 20 20 $119,645.10 $17,946.77 85% off $6,812.85 $107,680.59 $56,795.53 2026-04-27
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 157 24 $112,329.25 $16,849.39 85% off $11,526.00 $146,575.00 $56,732.40 2026-07-15
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 40 20 $114,112.55 $17,116.88 85% off $14,200.38 $113,457.67 $56,130.03 2026-07-15
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 20 20 $117,754.18 $17,663.13 85% off $15,434.66 $105,978.76 $55,897.91 2026-04-27
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 40 20 $152,652.54 $22,897.88 85% off $12,772.59 $192,074.36 $55,680.20 2026-07-15
177 MS_DRG Respiratory Infections And Inflammations With Mcc 40 20 $117,020.03 $17,553.01 85% off $15,630.35 $109,432.31 $55,493.64 2026-07-15
375 MS_DRG Digestive Malignancy With Cc 20 20 $115,913.57 $17,387.04 85% off $12,418.36 $104,322.21 $55,024.18 2026-04-27
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 20 20 $115,630.16 $17,344.52 85% off $7,692.69 $104,067.14 $54,889.63 2026-07-15
602 MS_DRG Cellulitis With Mcc 40 20 $130,412.59 $19,561.89 85% off $12,568.21 $153,365.75 $54,789.26 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 24 24 $93,908.07 $14,086.21 85% off $13,053.22 $93,908.07 $54,491.92 2026-04-27
180 MS_DRG Respiratory Neoplasms With Mcc 40 20 $109,004.02 $16,350.60 85% off $13,375.77 $109,601.54 $54,222.32 2026-07-15
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 40 20 $113,824.71 $17,073.71 85% off $10,372.25 $104,684.77 $54,002.19 2026-07-15
504 MS_DRG Foot Procedures With Cc 20 20 $113,743.19 $17,061.48 85% off $15,810.30 $102,368.87 $53,993.90 2026-04-27
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 48 24 $188,785.73 $28,317.86 85% off $19,945.97 $210,667.75 $53,310.18 2026-07-15
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 24 24 $109,071.29 $16,360.69 85% off $15,160.91 $98,164.16 $52,872.90 2026-04-27
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 40 20 $117,585.66 $17,637.85 85% off $12,121.87 $133,167.27 $52,843.51 2026-07-15
665 MS_DRG Prostatectomy With Mcc 20 20 $96,630.16 $14,494.52 85% off $13,431.59 $86,967.14 $52,364.03 2026-04-27
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 20 20 $110,203.55 $16,530.53 85% off $8,175.21 $99,183.20 $52,313.62 2026-04-27
974 MS_DRG HIV With Major Related Condition With Mcc 40 20 $202,063.71 $30,309.56 85% off $11,542.51 $288,978.99 $52,122.01 2026-07-15
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 40 20 $109,858.37 $16,478.76 85% off $14,826.62 $101,745.37 $52,110.82 2026-07-15
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 48 24 $161,524.08 $24,228.61 85% off $15,343.28 $167,457.43 $51,916.65 2026-07-15
189 MS_DRG Pulmonary Edema And Respiratory Failure 40 20 $108,865.94 $16,329.89 85% off $12,683.23 $102,179.53 $51,621.73 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 20 $93,799.39 $14,069.91 85% off $13,038.12 $84,419.45 $50,975.27 2026-07-15
374 MS_DRG Digestive Malignancy With Mcc 20 20 $106,087.33 $15,913.10 85% off $14,746.14 $95,478.59 $50,359.65 2026-04-27
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 40 20 $101,997.24 $15,299.59 85% off $12,657.67 $101,638.87 $50,283.01 2026-07-15
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 20 20 $105,532.88 $15,829.93 85% off $10,629.93 $94,979.59 $50,096.46 2026-04-27
540 MS_DRG Osteomyelitis With Cc 20 20 $105,524.74 $15,828.71 85% off $13,308.46 $94,972.27 $50,092.60 2026-04-27
C1722 HCPCS Cardioverter-defibrillator, Single Chamber (implantable) 157 24 $90,052.25 $13,507.84 85% off $11,526.00 $137,500.00 $49,871.25 2026-07-15
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 40 20 $150,885.15 $22,632.78 85% off $11,386.30 $197,869.01 $49,636.90 2026-07-15
399 MS_DRG Appendix Procedures Without Cc/mcc 20 20 $104,465.29 $15,669.79 85% off $11,752.06 $94,018.76 $49,589.67 2026-04-27
69 MS_DRG Transient Ischemia Without Thrombolytic 40 20 $101,770.44 $15,265.57 85% off $8,200.88 $109,989.34 $49,282.21 2026-07-15
758 MS_DRG Infections, Female Reproductive System With Cc 20 20 $102,941.46 $15,441.22 85% off $10,050.90 $92,647.31 $48,866.32 2026-04-27
55 MS_DRG Nervous System Neoplasms Without Mcc 20 20 $102,632.74 $15,394.91 85% off $10,467.72 $92,369.46 $48,719.76 2026-04-27
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 20 20 $100,891.14 $15,133.67 85% off $14,023.87 $90,802.03 $48,393.37 2026-04-27
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 40 20 $101,960.61 $15,294.09 85% off $9,435.94 $95,330.00 $48,352.37 2026-07-15
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 40 20 $101,946.49 $15,291.97 85% off $12,360.87 $94,835.90 $48,352.19 2026-07-15
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc 20 20 $101,757.57 $15,263.64 85% off $10,495.44 $91,581.81 $48,304.32 2026-04-27
299 MS_DRG Peripheral Vascular Disorders With Mcc 40 20 $123,862.79 $18,579.42 85% off $10,962.38 $151,973.57 $47,788.88 2026-07-15
C2624 HCPCS Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 24 24 $90,375.00 $13,556.25 85% off $12,256.00 $90,375.00 $47,446.88 2026-07-15
444 MS_DRG Disorders Of The Biliary Tract With Mcc 20 20 $98,826.17 $14,823.93 85% off $13,736.84 $88,943.55 $46,912.78 2026-04-27
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 20 20 $97,756.00 $14,663.40 85% off $8,874.36 $87,980.40 $46,404.78 2026-04-27
761 MS_DRG Menstrual And Other Female Reproductive System Disorders Without Cc/mcc 20 20 $97,217.13 $14,582.57 85% off $5,847.80 $87,495.42 $46,148.97 2026-04-27
304 MS_DRG Hypertension With Mcc 40 20 $228,762.13 $34,314.32 85% off $9,702.19 $348,951.91 $45,827.12 2026-07-15
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 46 23 $112,155.17 $16,823.28 85% off $10,986.18 $109,526.14 $45,689.16 2026-07-15
380 MS_DRG Complicated Peptic Ulcer With Mcc 20 20 $95,871.33 $14,380.70 85% off $13,326.11 $86,284.20 $45,510.12 2026-04-27
300 MS_DRG Peripheral Vascular Disorders With Cc 40 20 $90,595.44 $13,589.32 85% off $10,333.43 $96,164.65 $45,047.08 2026-07-15
682 MS_DRG Renal Failure With Mcc 40 20 $94,845.98 $14,226.90 85% off $12,371.79 $90,617.61 $44,952.13 2026-07-15
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 43 22 $72,630.46 $10,894.57 85% off $10,095.63 $149,875.46 $44,529.74 2026-07-15
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 20 20 $92,837.04 $13,925.56 85% off $10,448.22 $83,553.34 $44,069.74 2026-04-27
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 40 20 $87,701.57 $13,155.24 85% off $10,307.75 $91,122.01 $43,913.73 2026-07-15
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 204 24 $70,039.50 $10,505.93 85% off $11,526.00 $137,500.00 $43,650.00 2026-07-15
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 104 24 $81,500.00 $12,225.00 85% off $11,526.00 $113,385.00 $43,215.59 2026-07-15
906 MS_DRG Hand Procedures For Injuries 20 20 $90,774.68 $13,616.20 85% off $12,617.68 $81,697.21 $43,090.74 2026-04-27
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 40 20 $89,507.30 $13,426.10 85% off $10,553.96 $80,556.57 $42,489.11 2026-07-15
592 MS_DRG Skin Ulcers With Mcc 22 22 $77,279.50 $11,591.93 85% off $10,741.85 $165,559.50 $41,997.54 2026-04-27
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 20 20 $87,777.52 $13,166.63 85% off $7,073.62 $78,999.77 $41,667.99 2026-04-27
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 40 20 $86,988.92 $13,048.34 85% off $11,372.20 $82,827.59 $41,232.13 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 20 20 $75,815.35 $11,372.30 85% off $10,538.33 $68,233.82 $41,201.85 2026-04-27
505 MS_DRG Foot Procedures Without Cc/mcc 20 20 $85,216.48 $12,782.47 85% off $11,845.09 $76,694.83 $40,452.26 2026-04-27
93653 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 30 30 $100,865.00 $15,129.75 85% off $945.93 $90,778.50 $39,718.32 2026-07-15
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 20 20 $83,501.77 $12,525.26 85% off $10,482.10 $75,151.59 $39,638.29 2026-04-27
93656 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 30 30 $99,894.00 $14,984.10 85% off $1,262.95 $89,904.60 $39,503.10 2026-07-15
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 20 20 $82,232.18 $12,334.83 85% off $9,910.25 $74,008.96 $39,035.61 2026-04-27
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 40 20 $78,293.58 $11,744.03 85% off $7,553.06 $78,807.19 $38,987.67 2026-07-15
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 20 20 $75,818.55 $11,372.78 85% off $10,538.78 $68,236.70 $38,883.64 2026-04-27
637 MS_DRG Diabetes With Mcc 40 20 $104,480.07 $15,672.01 85% off $8,889.45 $130,506.57 $38,752.23 2026-07-15
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 20 20 $81,475.01 $12,221.25 85% off $9,661.80 $73,327.51 $38,676.18 2026-04-27
693 MS_DRG Urinary Stones With Mcc 21 21 $82,998.18 $12,449.73 85% off $11,536.75 $74,698.36 $38,386.66 2026-07-15
0569T OTHER Repair Of Valve Between Upper Right And Lower Right Chambers Of Heart (tricuspid… 24 24 $75,040.00 $11,256.00 85% off $4,145.00 $75,040.00 $38,367.95 2026-07-15
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 20 20 $80,498.86 $12,074.83 85% off $8,636.18 $72,448.97 $38,212.81 2026-04-27
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 20 20 $80,259.36 $12,038.90 85% off $11,156.05 $72,233.42 $38,099.11 2026-04-27
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 20 20 $79,311.90 $11,896.79 85% off $11,024.35 $71,380.71 $37,649.35 2026-04-27
204 MS_DRG Respiratory Signs And Symptoms 20 20 $79,042.26 $11,856.34 85% off $8,289.17 $71,138.03 $37,521.37 2026-04-27
639 MS_DRG Diabetes Without Cc/mcc 20 20 $78,903.15 $11,835.47 85% off $6,377.55 $71,012.84 $37,455.32 2026-04-27
183 MS_DRG Major Chest Trauma With Mcc 20 20 $77,059.82 $11,558.97 85% off $10,711.32 $69,353.84 $36,580.30 2026-04-27
811 MS_DRG Red Blood Cell Disorders With Mcc 40 20 $97,450.89 $14,617.63 85% off $8,364.63 $121,252.14 $36,464.36 2026-07-15
123 MS_DRG Neurological Eye Disorders 20 20 $76,416.13 $11,462.42 85% off $8,198.83 $68,774.52 $36,274.74 2026-04-27
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 40 20 $72,855.72 $10,928.36 85% off $7,026.39 $72,692.17 $35,962.43 2026-07-15
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 20 20 $75,594.38 $11,339.16 85% off $10,507.62 $68,034.94 $35,884.65 2026-04-27
0825T OTHER Removal And Replacement Of Single-chamber Permanent Leadless Pacemaker For Pacin… 31 31 $80,816.00 $12,122.40 85% off $4,145.00 $80,816.00 $35,825.73 2026-07-15
0823T OTHER Insertion Of Permanent Single-chamber Leadless Pacemaker For Pacing The Right Up… 31 31 $80,816.00 $12,122.40 85% off $4,145.00 $80,816.00 $35,825.73 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 20 20 $65,089.24 $9,763.39 85% off $9,047.40 $58,580.32 $35,772.48 2026-04-27
103 MS_DRG Headaches Without Mcc 20 20 $74,497.34 $11,174.60 85% off $8,585.87 $67,047.61 $35,363.88 2026-07-15
348 MS_DRG Anal And Stomal Procedures With Cc 20 20 $73,858.33 $11,078.75 85% off $10,266.31 $66,472.50 $35,060.55 2026-04-27
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 20 20 $73,797.00 $11,069.55 85% off $8,291.23 $66,417.30 $35,031.43 2026-04-27
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 20 20 $73,191.22 $10,978.68 85% off $7,082.86 $65,872.10 $34,743.88 2026-04-27
37277 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 31 31 $77,443.00 $11,616.45 85% off $4,145.00 $77,443.00 $34,330.48 2026-07-15
37275 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 31 31 $77,443.00 $11,616.45 85% off $4,145.00 $77,443.00 $34,330.48 2026-07-15
37292 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 31 31 $77,442.00 $11,616.30 85% off $4,145.00 $77,442.00 $34,330.04 2026-07-15
37286 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 31 31 $77,442.00 $11,616.30 85% off $4,145.00 $77,442.00 $34,330.04 2026-07-15
37284 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 31 31 $77,442.00 $11,616.30 85% off $4,145.00 $77,442.00 $34,330.04 2026-07-15
37288 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 31 31 $77,442.00 $11,616.30 85% off $4,145.00 $77,442.00 $34,330.04 2026-07-15
37290 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 31 31 $77,442.00 $11,616.30 85% off $4,145.00 $77,442.00 $34,330.04 2026-07-15
37294 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 31 31 $77,442.00 $11,616.30 85% off $4,145.00 $77,442.00 $34,330.04 2026-07-15
312 MS_DRG Syncope And Collapse 40 20 $89,119.68 $13,367.95 85% off $7,872.60 $109,441.77 $34,319.44 2026-07-15
125 MS_DRG Other Disorders Of The Eye Without Mcc 20 20 $72,243.84 $10,836.58 85% off $7,882.62 $65,019.46 $34,294.15 2026-04-27
149 MS_DRG Dysequilibrium 20 20 $71,671.96 $10,750.79 85% off $7,716.30 $64,504.76 $34,022.68 2026-04-27
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 40 20 $71,045.20 $10,656.78 85% off $7,423.71 $64,318.67 $33,720.03 2026-07-15
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 40 20 $67,407.04 $10,111.06 85% off $7,726.66 $71,303.92 $33,630.74 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 40 20 $84,018.76 $12,602.82 85% off $5,985.19 $112,480.75 $33,211.10 2026-07-15
445 MS_DRG Disorders Of The Biliary Tract With Cc 20 20 $69,822.48 $10,473.37 85% off $9,705.32 $62,840.23 $33,144.74 2026-04-27
C9767 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 30 30 $93,636.00 $14,045.40 85% off $4,145.00 $84,272.40 $32,930.87 2026-07-15
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 40 20 $66,198.66 $9,929.80 85% off $7,467.85 $70,257.51 $32,923.33 2026-07-15
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 40 20 $109,612.09 $16,441.82 85% off $6,943.83 $152,341.74 $32,798.34 2026-07-15
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 20 20 $69,058.77 $10,358.82 85% off $9,599.17 $62,152.89 $32,782.20 2026-04-27
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 40 20 $102,665.51 $15,399.83 85% off $6,892.51 $140,170.12 $32,555.97 2026-07-15
378 MS_DRG Gastrointestinal Hemorrhage With Cc 40 20 $68,412.76 $10,261.92 85% off $9,136.54 $63,985.49 $32,442.81 2026-07-15
683 MS_DRG Renal Failure With Cc 40 20 $65,478.34 $9,821.75 85% off $8,121.17 $65,277.89 $32,294.43 2026-07-15
186 MS_DRG Pleural Effusion With Mcc 20 20 $67,836.24 $10,175.44 85% off $9,429.24 $61,052.62 $32,201.86 2026-04-27
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 20 $59,140.45 $8,871.07 85% off $8,220.52 $53,226.41 $32,139.88 2026-04-27
684 MS_DRG Renal Failure Without Cc/mcc 41 21 $52,346.03 $7,851.90 85% off $6,162.98 $105,314.03 $32,030.54 2026-07-15
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 20 20 $66,913.49 $10,037.02 85% off $9,300.98 $60,222.14 $31,763.83 2026-04-27
645 MS_DRG Endocrine Disorders Without Cc/mcc 20 20 $66,676.73 $10,001.51 85% off $7,887.75 $60,009.06 $31,651.44 2026-04-27
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 20 20 $61,058.67 $9,158.80 85% off $8,487.16 $54,952.80 $31,588.87 2026-04-27
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 41 21 $57,818.75 $8,672.81 85% off $8,036.81 $124,028.75 $30,572.82 2026-07-15
92 MS_DRG Other Disorders Of Nervous System With Cc 20 20 $64,165.83 $9,624.87 85% off $8,919.05 $57,749.24 $30,459.52 2026-04-27
570 MS_DRG Skin Debridement With Mcc 41 22 $10,987.88 $1,648.18 85% off $1,527.32 $415,191.82 $30,194.80 2026-07-15
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 40 20 $65,974.77 $9,896.22 85% off $6,924.52 $73,919.55 $30,186.44 2026-07-15
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