Price Transparency 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

SAN ANTONIO REGIONAL HOSPITAL

Upland, CA · CCN 050099 · Rates published

6,247 distinct procedures filed
72 distinct payers
674,897 rate rows
2026-04-02 last MRF observed
Data quality

661,195 of 674,897 rate rows are consumer-grade (98.0%)

13,702 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 12,816
exceeds 10× this hospital's gross charge — excluded from medians 423
template filing: same amount across many unrelated codes — excluded 295
percent-of-charges filed in the dollar field — excluded from medians 91
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 44
placeholder amount (≤ $0.02) — excluded from medians 33
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSACHUPLANDCA&type=CDMWithoutLabel
Found on page https://www.arh.org/hospital-price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 136f2b7576396e3c… · 436,876,238 bytes · first seen 2026-05-04

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 53 $5,009.00 $1,040,704.30 $277,931.79 nat. median
$265,286
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 52 $206,294.51 $1,499,864.75 $224,845.13 nat. median
$202,986
1.1× median
C1816
HCPCS 		Receiver And/or Transmitter, Neurostimulator (implantable) 46 $2,730.00 $324,727.23 $166,118.96 nat. median
$13,332
outlier · 12.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 50 $134,626.19 $913,456.15 $144,228.28 nat. median
$133,176
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 56 $89,643.81 $1,029,504.70 $130,723.49 nat. median
$102,358
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 59 $57,069.33 $381,359.51 $98,750.24 nat. median
$99,019
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 $54,956.98 $529,027.87 $97,022.58 nat. median
$93,672
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 59 $78,085.20 $521,795.73 $89,642.10 nat. median
$87,411
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 61 $10,425.47 $378,686.58 $83,604.97 nat. median
$79,312
1.1× median
C1882
HCPCS 		Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 46 $2,730.00 $180,491.81 $81,712.50 nat. median
$27,112
outlier · 3.0×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 56 $25,012.00 $574,452.78 $79,942.96 nat. median
$63,570
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 50 $50,140.33 $335,057.25 $78,040.16 nat. median
$77,576
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 61 $6,215.16 $487,084.98 $77,339.00 nat. median
$73,807
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 56 $44,887.38 $524,709.76 $77,094.21 nat. median
$68,887
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 61 $41,585.09 $465,110.88 $76,562.72 nat. median
$74,915
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 50 $67,178.00 $493,987.18 $72,661.88 nat. median
$66,526
1.1× median
C1721
HCPCS 		Cardioverter-defibrillator, Dual Chamber (implantable) 46 $2,730.00 $245,009.86 $71,794.75 nat. median
$22,210
outlier · 3.2×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 56 $40,996.00 $444,518.55 $71,714.49 nat. median
$54,196
1.3× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 56 $46,657.99 $450,384.40 $68,675.78 nat. median
$59,099
1.2× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 59 $27,964.85 $233,674.78 $68,212.74 nat. median
$65,950
1.0× median
C1824
HCPCS 		Generator, Cardiac Contractility Modulation (implantable) 47 $2,730.00 $137,215.31 $67,207.50 nat. median
$37,950
1.8× median
C1772
HCPCS 		Infusion Pump, Programmable (implantable) 46 $2,730.00 $130,761.46 $66,892.94 nat. median
$8,320
outlier · 8.0×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 $45,132.00 $384,892.75 $66,515.87 nat. median
$64,510
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 $39,110.57 $261,352.05 $65,698.50 nat. median
$61,920
1.1× median
C2622
HCPCS 		Prosthesis, Penile, Non-inflatable 46 $2,730.00 $127,326.44 $65,135.70 nat. median
$10,427
outlier · 6.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 50 $58,076.29 $388,088.42 $64,329.22 nat. median
$62,134
1.0× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 54 $9,098.11 $177,114.82 $63,482.01 nat. median
$49,935
1.3× median
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 46 $2,730.00 $121,582.23 $62,197.17 nat. median
$22,478
outlier · 2.8×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 60 $39,840.00 $334,290.66 $61,995.02 nat. median
$60,726
1.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 61 $6,233.36 $398,236.90 $61,329.38 nat. median
$59,899
1.0× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 61 $4,348.02 $383,283.88 $60,542.68 nat. median
$57,424
1.1× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 $54,689.98 $365,459.77 $59,642.43 nat. median
$55,929
1.1× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 59 $29,472.62 $196,947.55 $59,140.06 nat. median
$58,024
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 49 $39,472.27 $263,769.10 $58,945.67 nat. median
$52,278
1.1× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 52 $31,423.28 $209,982.58 $58,165.15 nat. median
$56,697
1.0× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 52 $53,169.54 $358,577.71 $56,967.33 nat. median
$52,836
1.1× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 50 $14,139.62 $157,706.87 $56,525.76 nat. median
$52,753
1.1× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 52 $36,251.14 $356,871.23 $56,324.89 nat. median
$50,270
1.1× median
C1722
HCPCS 		Cardioverter-defibrillator, Single Chamber (implantable) 46 $2,730.00 $197,828.93 $55,894.30 nat. median
$20,768
outlier · 2.7×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 59 $40,909.09 $339,978.69 $54,945.01 nat. median
$51,307
1.1× median
834
MS_DRG 		Acute Leukemia With Mcc 50 $27,554.92 $184,132.74 $54,447.02 nat. median
$53,173
1.0× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 61 $5,409.78 $303,210.75 $54,177.26 nat. median
$53,268
1.0× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 61 $24,103.06 $331,656.73 $53,946.71 nat. median
$52,879
1.0× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 59 $7,571.00 $148,329.41 $53,164.66 nat. median
$55,736
1.0× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 52 $18,616.74 $146,481.03 $52,502.16 nat. median
$54,066
1.0× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 59 $39,840.00 $349,922.90 $52,364.93 nat. median
$41,527
1.3× median
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 46 $872.51 $300,217.73 $51,958.35 nat. median
$22,013
outlier · 2.4×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 56 $32,012.47 $213,919.78 $51,757.34 nat. median
$44,728
1.2× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 57 $14,657.12 $144,034.98 $51,625.44 nat. median
$49,191
1.0× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 52 $46,689.92 $312,000.23 $51,125.46 nat. median
$48,170
1.1× median

Other procedures at this hospital

Browse this hospital's 6,247 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
             
0238T HCPCS Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open … 68 68 $46,794.00 $12,275.00 74% off $1,575.00 $67,851.30 $30,061.32 2026-04-02
0523T HCPCS Measurement Fractional Flow Reserve In Arteries Of Heart With 3d Functional Mapp… 43 43 $33,672.85 $16,836.43 50% off $73.61 $61,873.86 $30,305.57 2026-04-02
0823T HCPCS Insertion Of Permanent Single-chamber Leadless Pacemaker For Pacing The Right Up… 67 67 $24,232.00 $12,116.00 50% off $52.97 $79,819.11 $25,443.60 2026-04-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 53 53 $1,224,358.00 $1,248,845.16 $5,009.00 $1,040,704.30 $277,931.79 2026-04-02
113 MS_DRG Orbital Procedures With Cc/mcc 50 50 $118,251.00 $120,616.02 $15,041.53 $100,513.35 $23,317.43 2026-04-02
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 50 50 $129,023.00 $131,603.46 $16,411.73 $109,669.55 $20,977.86 2026-04-02
140 MS_DRG Major Head And Neck Procedures With Mcc 50 50 $92,589.38 $94,441.17 $11,777.37 $118,022.13 $42,301.84 2026-04-02
141 MS_DRG Major Head And Neck Procedures With Cc 52 52 $98,219.70 $100,184.09 $12,493.55 $83,486.75 $21,631.43 2026-04-02
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 50 50 $78,327.20 $79,893.74 $9,963.22 $103,669.55 $37,157.54 2026-04-02
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 50 50 $140,705.00 $143,519.10 $17,897.68 $119,599.25 $20,999.67 2026-04-02
163 MS_DRG Major Chest Procedures With Mcc 52 52 $295,571.00 $301,482.42 $37,596.63 $251,235.35 $44,449.01 2026-04-02
164 MS_DRG Major Chest Procedures With Cc 52 52 $180,722.00 $184,336.44 $22,987.84 $153,613.70 $25,470.26 2026-04-02
165 MS_DRG Major Chest Procedures Without Cc/mcc 52 52 $262,748.11 $268,003.07 $18,604.72 $223,335.89 $21,303.04 2026-04-02
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 50 50 $348,318.00 $355,284.36 $36,327.90 $296,070.30 $39,293.43 2026-04-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 50 50 $394,185.00 $402,068.70 $50,140.33 $335,057.25 $78,040.16 2026-04-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 50 50 $456,574.61 $465,706.10 $58,076.29 $388,088.42 $64,329.22 2026-04-02
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 50 50 $211,471.47 $215,700.90 $26,715.49 $179,750.75 $28,501.18 2026-04-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 52 52 $146,358.00 $149,285.16 $18,616.74 $146,481.03 $52,502.16 2026-04-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 56 56 $1,211,182.00 $1,235,405.64 $89,643.81 $1,029,504.70 $130,723.49 2026-04-02
215 MS_DRG Other Heart Assist System Implant 59 59 $448,658.25 $457,631.42 $57,069.33 $381,359.51 $98,750.24 2026-04-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 61 $622,385.73 $634,833.45 $54,956.98 $529,027.87 $97,022.58 2026-04-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 61 $452,815.00 $461,871.30 $45,132.00 $384,892.75 $66,515.87 2026-04-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 61 $307,473.00 $313,622.46 $39,110.57 $261,352.05 $65,698.50 2026-04-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 61 61 $547,189.27 $558,133.06 $41,585.09 $465,110.88 $76,562.72 2026-04-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 61 61 $390,184.38 $397,988.07 $24,103.06 $331,656.73 $53,946.71 2026-04-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 61 61 $223,942.67 $228,421.52 $16,837.92 $190,351.27 $49,987.04 2026-04-02
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 56 56 $675,826.80 $689,343.34 $25,012.00 $574,452.78 $79,942.96 2026-04-02
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 56 56 $251,670.33 $256,703.74 $32,012.47 $213,919.78 $51,757.34 2026-04-02
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 56 56 $522,963.00 $533,422.26 $40,996.00 $444,518.55 $71,714.49 2026-04-02
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 56 56 $292,037.00 $297,877.74 $14,392.00 $248,231.45 $50,160.60 2026-04-02
22523 HCPCS Kyphoplasty Thoracic 45 45 $42,953.00 $281.00 99% off $93.90 $78,926.14 $38,657.70 2026-04-02
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 54 54 $71,526.00 $72,956.52 $9,098.11 $177,114.82 $63,482.01 2026-04-02
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 56 56 $178,832.33 $182,408.98 $9,100.00 $152,007.48 $49,793.65 2026-04-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 61 61 $238,238.40 $243,003.17 $30,303.93 $202,502.64 $50,048.00 2026-04-02
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 61 61 $246,262.48 $251,187.73 $30,611.00 $209,323.11 $34,457.05 2026-04-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 52 $429,952.67 $438,551.72 $54,689.98 $365,459.77 $59,642.43 2026-04-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 61 61 $445,513.63 $454,423.90 $10,425.47 $378,686.58 $83,604.97 2026-04-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 61 61 $468,514.00 $477,884.28 $6,233.36 $398,236.90 $61,329.38 2026-04-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 61 61 $573,041.15 $584,501.97 $6,215.16 $487,084.98 $77,339.00 2026-04-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 61 61 $356,718.53 $363,852.90 $5,409.78 $303,210.75 $54,177.26 2026-04-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 61 61 $450,922.21 $459,940.65 $4,348.02 $383,283.88 $60,542.68 2026-04-02
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 61 61 $309,199.18 $315,383.16 $7,169.36 $262,819.30 $42,373.98 2026-04-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 52 52 $338,387.78 $345,155.54 $43,042.93 $287,629.62 $49,666.01 2026-04-02
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 50 50 $217,498.50 $221,848.47 $27,665.81 $184,873.73 $38,796.93 2026-04-02
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 52 52 $199,398.70 $203,386.67 $25,363.51 $169,488.89 $28,765.06 2026-04-02
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 60 60 $241,160.08 $245,983.29 $18,049.05 $204,986.07 $33,248.38 2026-04-02
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 60 60 $198,580.18 $202,551.79 $20,710.90 $168,793.16 $26,469.67 2026-04-02
245 MS_DRG Aicd Generator Procedures 57 57 $291,397.00 $297,224.94 $37,065.70 $247,687.45 $45,248.38 2026-04-02
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 57 57 $205,355.50 $209,462.61 $2,750.00 $174,552.17 $29,707.39 2026-04-02
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 55 55 $74,428.50 $75,917.07 $2,750.00 $83,282.07 $29,850.20 2026-04-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 52 52 $372,869.26 $380,326.65 $44,190.83 $316,938.87 $47,839.07 2026-04-02
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 61 61 $191,483.63 $195,313.30 $2,750.00 $162,761.08 $23,160.49 2026-04-02
252 MS_DRG Other Vascular Procedures With Mcc 52 52 $257,499.27 $262,649.26 $31,204.70 $218,874.38 $35,287.71 2026-04-02
253 MS_DRG Other Vascular Procedures With Cc 52 52 $227,329.40 $231,875.99 $25,227.47 $193,229.99 $28,230.28 2026-04-02
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 50 50 $190,870.22 $194,687.62 $24,278.69 $162,239.69 $26,952.57 2026-04-02
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 52 52 $191,783.80 $195,619.48 $24,394.90 $163,016.23 $30,836.02 2026-04-02
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 60 60 $289,655.50 $295,448.61 $14,108.07 $246,207.18 $34,195.81 2026-04-02
263 MS_DRG Vein Ligation And Stripping 50 50 $156,152.82 $159,275.88 $19,862.64 $132,729.90 $30,322.28 2026-04-02
264 MS_DRG Other Circulatory System O.r. Procedures 50 50 $199,549.42 $203,540.41 $25,382.69 $169,617.01 $33,130.97 2026-04-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 60 60 $393,283.13 $401,148.79 $39,840.00 $334,290.66 $61,995.02 2026-04-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 60 60 $300,692.15 $306,705.99 $38,248.04 $271,717.71 $48,160.35 2026-04-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 59 59 $274,911.50 $280,409.73 $27,964.85 $233,674.78 $68,212.74 2026-04-02
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 59 59 $411,674.00 $419,907.48 $39,840.00 $349,922.90 $52,364.93 2026-04-02
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 52 52 $203,817.33 $207,893.68 $24,520.87 $173,244.73 $26,522.57 2026-04-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 59 59 $399,974.93 $407,974.43 $40,909.09 $339,978.69 $54,945.01 2026-04-02
271 MS_DRG Other Major Cardiovascular Procedures With Cc 59 59 $328,858.94 $335,436.12 $29,992.82 $279,530.10 $37,739.14 2026-04-02
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 59 59 $168,406.63 $171,774.76 $21,421.32 $143,145.63 $25,826.20 2026-04-02
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 59 59 $364,754.50 $372,049.59 $17,248.76 $310,041.33 $46,396.77 2026-04-02
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 59 59 $197,704.60 $201,658.69 $9,100.00 $168,048.91 $32,645.99 2026-04-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 56 56 $617,305.60 $629,651.71 $44,887.38 $524,709.76 $77,094.21 2026-04-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 56 56 $529,864.00 $540,461.28 $46,657.99 $450,384.40 $68,675.78 2026-04-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 56 56 $327,578.00 $334,129.56 $39,382.81 $278,441.30 $46,720.84 2026-04-02
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 52 52 $419,848.50 $428,245.47 $36,251.14 $356,871.23 $56,324.89 2026-04-02
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 52 52 $103,575.00 $105,646.50 $13,174.74 $99,790.17 $35,767.09 2026-04-02
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 61 61 $209,514.13 $213,704.41 $1,800.00 $178,087.01 $23,043.10 2026-04-02
288 MS_DRG Acute And Subacute Endocarditis With Mcc 50 50 $438,042.00 $446,802.84 $26,302.42 $372,335.70 $28,449.55 2026-04-02
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 59 59 $222,388.00 $226,835.76 $28,287.75 $189,029.80 $34,511.81 2026-04-02
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 52 52 $1,764,546.76 $1,799,837.69 $206,294.51 $1,499,864.75 $224,845.13 2026-04-02
31 MS_DRG Ventricular Shunt Procedures With Mcc 52 52 $261,407.00 $266,635.14 $33,250.97 $222,195.95 $44,436.12 2026-04-02
314 MS_DRG Other Circulatory System Diagnoses With Mcc 50 50 $174,659.76 $178,152.96 $20,266.73 $148,460.80 $21,921.14 2026-04-02
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 57 57 $95,582.67 $97,494.32 $12,158.12 $87,038.17 $24,332.06 2026-04-02
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 56 56 $313,077.34 $319,338.88 $15,582.60 $266,115.74 $32,708.22 2026-04-02
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 56 56 $210,894.81 $215,112.71 $15,315.12 $179,260.59 $21,193.99 2026-04-02
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 55 55 $379,259.88 $386,845.08 $42,059.39 $322,370.90 $48,241.86 2026-04-02
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 55 55 $271,747.25 $277,182.20 $30,625.58 $230,985.17 $36,047.12 2026-04-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 52 52 $333,401.21 $340,069.23 $42,408.63 $283,391.03 $49,752.79 2026-04-02
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 50 50 $188,523.50 $192,293.97 $23,755.96 $160,244.98 $25,375.95 2026-04-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 50 50 $350,803.14 $357,819.20 $44,622.16 $298,182.67 $47,471.13 2026-04-02
330 MS_DRG Major Small And Large Bowel Procedures With Cc 50 50 $182,871.50 $186,528.93 $23,261.25 $155,440.77 $24,751.99 2026-04-02
33221 HCPCS Insertion Of Pacemaker Pulse Generator With Existing Multiple Leads 67 67 $25,076.00 $12,538.00 50% off $291.26 $69,118.90 $24,773.80 2026-04-02
33229 HCPCS Removal And Replacement Of Multiple Lead Permanent Pacemaker 67 67 $57,121.00 $28,560.50 50% off $301.56 $82,825.45 $24,773.80 2026-04-02
33230 HCPCS Insertion Of Defibrillator With Existing Dual Leads 67 67 $31,678.00 $15,839.00 50% off $312.84 $79,819.11 $28,609.00 2026-04-02
33231 HCPCS Insertion Of Defibrillator With Existing Multiple Leads 67 67 $42,338.00 $21,169.00 50% off $324.65 $112,635.93 $40,371.30 2026-04-02
33240 HCPCS Insertion Of Defibrillator With Existing Single Lead 70 67 $32,919.00 $1,182.00 96% off $383.84 $79,819.11 $28,609.00 2026-04-02
33249 HCPCS Insertion Of Implantable Defibrillator System 67 67 $117,709.00 $58,854.50 50% off $895.01 $170,678.05 $42,389.87 2026-04-02
33262 HCPCS Removal And Replacement Of Single Lead Defibrillator 67 67 $94,118.00 $47,059.00 50% off $301.74 $136,471.10 $30,611.63 2026-04-02
33263 HCPCS Removal And Replacement Of Dual Lead Defibrillator 67 67 $98,614.00 $49,307.00 50% off $313.48 $142,990.30 $30,611.63 2026-04-02
33264 HCPCS Removal And Replacement Of Multiple Lead Defibrillator 67 67 $121,906.00 $60,953.00 50% off $325.13 $176,763.70 $42,389.87 2026-04-02
33270 HCPCS Insertion Or Replacement Of Defibrillator With Electrode 68 68 $41,923.00 $43,305.00 $508.93 $112,635.93 $40,371.30 2026-04-02
33274 HCPCS Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance 67 67 $44,500.00 $22,250.00 50% off $417.92 $69,118.90 $24,773.80 2026-04-02
333 MS_DRG Rectal Resection With Cc 50 50 $127,384.00 $129,931.68 $16,203.24 $108,276.40 $23,229.17 2026-04-02
3349434 CDM Evera Xt Dr System - Mmem [everaxtdrm Mem] 35 35 $94,888.80 $47,444.40 50% off $1,575.00 $85,399.92 $28,466.64 2026-04-02
335 MS_DRG Peritoneal Adhesiolysis With Mcc 50 50 $252,155.67 $257,198.78 $32,074.20 $214,332.32 $35,680.63 2026-04-02
336 MS_DRG Peritoneal Adhesiolysis With Cc 50 50 $166,235.42 $169,560.13 $20,495.13 $141,300.10 $21,959.05 2026-04-02
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 50 50 $26,175.00 $26,698.50 $3,329.46 $73,506.15 $26,346.29 2026-04-02
34 MS_DRG Carotid Artery Stent Procedures With Mcc 57 57 $237,377.00 $242,124.54 $21,983.04 $201,770.45 $38,388.33 2026-04-02
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 51 51 $87,751.00 $89,506.02 $11,161.93 $74,588.35 $22,404.02 2026-04-02
347 MS_DRG Anal And Stomal Procedures With Mcc 50 50 $79,746.50 $81,341.43 $10,143.75 $67,784.53 $22,767.00 2026-04-02
35 MS_DRG Carotid Artery Stent Procedures With Cc 57 57 $106,281.00 $108,406.62 $9,100.00 $90,338.85 $23,708.19 2026-04-02
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 50 50 $205,146.17 $209,249.09 $24,219.57 $174,374.24 $26,022.06 2026-04-02
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 52 52 $180,324.89 $183,931.38 $22,937.33 $153,276.15 $28,781.08 2026-04-02
3545811 CDM Impella Cp 14f Percutaneous [0048-0007] 35 35 $128,750.00 $64,375.00 50% off $1,575.00 $115,875.00 $38,625.00 2026-04-02
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 50 50 $176,199.89 $179,723.88 $22,412.63 $149,769.90 $43,566.34 2026-04-02
3565804 CDM Pump Iab Impella 5l/min Catheter Microaxial [005062] 37 37 $144,200.00 $147,084.00 $2,000.00 $147,084.00 $43,260.00 2026-04-02
3565805 CDM Set Ventricular Assist 2.5in Impella Sterile Latex Free Disp [005042] 37 37 $103,000.00 $105,060.00 $2,000.00 $105,060.00 $30,900.00 2026-04-02
357 MS_DRG Other Digestive System O.r. Procedures With Cc 50 50 $96,312.38 $98,238.62 $12,250.93 $81,865.52 $23,063.54 2026-04-02
36906 HCPCS Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 72 68 $68,900.00 $12,432.00 82% off $1,151.00 $99,905.00 $23,577.50 2026-04-02
37 MS_DRG Extracranial Procedures With Mcc 52 52 $176,184.80 $179,708.50 $22,410.71 $149,757.08 $32,649.96 2026-04-02
37184 HCPCS Primary Removal And Dissolving Of Blood Clot From Artery Or Artery Graft Using F… 68 68 $22,566.00 $6,754.00 70% off $1,700.00 $65,781.23 $22,566.00 2026-04-02
37220 HCPCS Balloon Dilation Of Groin Artery, Initial Vessel 51 45 $36,408.00 $6,754.00 81% off $272.00 $66,899.70 $27,306.00 2026-04-02
37221 HCPCS Insertion Of Stent In Groin Artery, Initial Vessel 51 45 $39,281.00 $12,275.00 69% off $272.00 $72,178.84 $29,460.75 2026-04-02
37224 HCPCS Balloon Dilation Of Artery Of Leg 44 44 $32,556.00 $6,754.00 79% off $1,700.00 $47,206.20 $28,486.50 2026-04-02
37225 HCPCS Removal Of Plaque In Arteries Of Leg 44 44 $53,413.00 $12,275.00 77% off $1,700.00 $77,448.85 $46,736.38 2026-04-02
37226 HCPCS Insertion Of Stent In Arteries Of Leg 51 45 $53,121.00 $12,275.00 77% off $272.00 $97,609.84 $39,840.75 2026-04-02
37227 HCPCS Removal Of Plaque And Insertion Of Stents In Arteries Of Leg 51 45 $31,799.00 $12,432.00 61% off $272.00 $58,430.66 $25,439.20 2026-04-02
37228 HCPCS Balloon Dilation Of Artery Of Leg, Initial Vessel 51 45 $45,315.00 $6,754.00 85% off $272.00 $83,266.31 $33,986.25 2026-04-02
37229 HCPCS Removal Of Plaque In Artery Of Leg, Initial Vessel 51 45 $55,990.00 $12,275.00 78% off $272.00 $102,881.63 $41,992.50 2026-04-02
37230 HCPCS Insertion Of Stent In Artery Of Leg, Initial Vessel 51 45 $27,982.00 $12,275.00 56% off $272.00 $51,416.93 $20,986.50 2026-04-02
37231 HCPCS Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 51 45 $33,800.00 $12,432.00 63% off $272.00 $62,107.50 $27,040.00 2026-04-02
37232 HCPCS Balloon Dilation Of Artery Of Leg, Each Additional Vessel 51 45 $40,656.00 $281.00 99% off $272.00 $74,705.40 $30,492.00 2026-04-02
37242 HCPCS Occlusion Of Artery With Review By Radiologist 68 68 $32,131.00 $12,275.00 62% off $428.15 $65,781.23 $23,577.50 2026-04-02
3728153 CDM Valve Aor 23mm Sapien 3 Bvn Transcatheter Strl [9600tfx23a] 35 35 $167,375.00 $83,687.50 50% off $1,575.00 $150,637.50 $50,212.50 2026-04-02
3728155 CDM Valve Aor 26mm Sapien 3 Bvn Transcatheter Strl [9600tfx26a] 35 35 $167,375.00 $83,687.50 50% off $1,575.00 $150,637.50 $50,212.50 2026-04-02
3728157 CDM Valve Aor 29mm Sapien 3 Bvn Transcatheter Strl [9600tfx29a] 35 35 $167,375.00 $83,687.50 50% off $1,575.00 $150,637.50 $50,212.50 2026-04-02
3728524 CDM Defibrillator Cardiac Unify Assura Crt Cardioverter Next Gen [cd3357-40q] 35 35 $96,562.50 $48,281.25 50% off $1,575.00 $86,906.25 $28,968.75 2026-04-02
374 MS_DRG Digestive Malignancy With Mcc 50 50 $174,890.43 $178,388.24 $20,786.71 $148,656.87 $22,271.46 2026-04-02
3839545 CDM Aortic Valve, Medium-zorc [hva-m] 37 37 $70,889.80 $72,307.60 $2,000.00 $72,307.60 $21,266.94 2026-04-02
3899560 CDM Pump Perfusion Impella Cardiopulmonary Bypass Nonroller [005082] 37 37 $128,750.00 $131,325.00 $2,000.00 $131,325.00 $38,625.00 2026-04-02
397 MS_DRG Appendix Procedures With Mcc 50 50 $194,166.88 $198,050.21 $23,276.80 $165,041.84 $24,939.41 2026-04-02
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 50 50 $1,074,654.29 $1,096,147.38 $134,626.19 $913,456.15 $144,228.28 2026-04-02
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 50 50 $207,793.00 $211,948.86 $26,431.27 $176,624.05 $38,294.11 2026-04-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 52 52 $421,856.13 $430,293.25 $53,169.54 $358,577.71 $56,967.33 2026-04-02
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 50 50 $188,624.54 $192,397.03 $23,993.04 $160,330.86 $28,763.23 2026-04-02
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 50 50 $151,757.00 $154,792.14 $19,303.49 $128,993.45 $22,178.36 2026-04-02
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 50 50 $243,609.67 $248,481.86 $30,987.15 $207,068.22 $35,627.67 2026-04-02
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 50 50 $248,303.50 $253,269.57 $21,369.87 $211,057.98 $23,114.34 2026-04-02
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 50 50 $210,941.00 $215,159.82 $26,831.70 $179,299.85 $32,761.04 2026-04-02
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 50 50 $256,931.00 $262,069.62 $32,681.62 $218,391.35 $35,949.79 2026-04-02
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 51 51 $186,986.41 $190,726.14 $14,814.00 $158,938.45 $24,850.90 2026-04-02
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 50 50 $73,509.26 $74,979.44 $9,350.38 $94,275.48 $33,790.49 2026-04-02
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 52 52 $248,819.43 $253,795.82 $31,649.83 $211,496.51 $41,188.08 2026-04-02
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 50 50 $241,139.67 $245,962.46 $21,264.90 $204,968.72 $23,000.81 2026-04-02
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 59 59 $613,877.33 $626,154.88 $78,085.20 $521,795.73 $89,642.10 2026-04-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 59 59 $231,703.00 $236,337.06 $29,472.62 $196,947.55 $59,140.06 2026-04-02
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 59 59 $144,387.33 $147,275.08 $18,366.07 $122,729.23 $36,277.85 2026-04-02
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 59 59 $111,495.00 $113,724.90 $7,571.00 $148,329.41 $53,164.66 2026-04-02
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 59 59 $132,214.67 $134,858.96 $14,546.00 $112,382.47 $26,776.73 2026-04-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 50 50 $111,160.54 $113,383.75 $14,139.62 $157,706.87 $56,525.76 2026-04-02
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 52 52 $140,483.88 $143,293.55 $17,869.55 $119,411.29 $30,890.57 2026-04-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 57 57 $115,228.93 $117,533.51 $14,657.12 $144,034.98 $51,625.44 2026-04-02
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 57 57 $236,257.50 $240,982.65 $30,051.95 $200,818.88 $35,500.31 2026-04-02
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 57 57 $158,144.81 $161,307.71 $12,409.00 $134,423.09 $27,253.76 2026-04-02
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 59 59 $77,000.90 $78,540.92 $9,794.51 $83,929.55 $30,082.28 2026-04-02
472 MS_DRG Cervical Spinal Fusion With Cc 59 59 $214,151.67 $218,434.70 $27,240.09 $182,028.92 $30,679.36 2026-04-02
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 59 59 $152,650.33 $155,703.34 $15,870.20 $129,752.78 $24,212.01 2026-04-02
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 50 50 $160,917.17 $164,135.51 $20,468.66 $136,779.59 $42,575.57 2026-04-02
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 50 50 $99,890.33 $101,888.14 $12,706.05 $84,906.78 $22,569.64 2026-04-02
4762951 CDM Edwards Sapien 3 Ultra & Delivery System 37 37 $126,072.00 $128,593.44 $2,000.00 $128,593.44 $37,821.60 2026-04-02
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 53 53 $162,948.00 $166,206.96 $20,726.99 $138,505.80 $34,261.58 2026-04-02
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 55 55 $170,288.00 $173,693.76 $21,660.63 $144,744.80 $24,877.32 2026-04-02
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 52 52 $209,235.15 $213,419.85 $26,614.71 $177,849.87 $29,388.69 2026-04-02
4809820 CDM Mitraclip Delivery System 37 37 $154,500.00 $157,590.00 $2,000.00 $157,590.00 $46,350.00 2026-04-02
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 59 59 $232,649.88 $237,302.87 $26,940.98 $197,752.39 $31,072.72 2026-04-02
4830363 CDM Device Epi Sense St Guided Coagulation 30cm Cannula [epist-30] 36 36 $73,950.00 $36,975.00 50% off $161.65 $66,555.00 $22,185.00 2026-04-02
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 52 52 $277,718.00 $283,272.36 $31,365.22 $236,060.30 $34,785.71 2026-04-02
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 52 52 $164,033.00 $167,313.66 $20,324.07 $139,428.05 $21,842.01 2026-04-02
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 52 52 $316,100.33 $322,422.34 $35,685.46 $268,685.28 $38,598.54 2026-04-02
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 52 52 $148,838.07 $151,814.83 $18,932.20 $126,512.36 $25,152.20 2026-04-02
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 50 50 $71,909.00 $73,347.18 $9,146.82 $100,324.21 $35,958.50 2026-04-02
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 52 52 $133,295.67 $135,961.58 $16,955.21 $113,301.32 $29,919.63 2026-04-02
500 MS_DRG Soft Tissue Procedures With Mcc 50 50 $160,259.00 $163,464.18 $20,384.94 $136,220.15 $31,387.44 2026-04-02
503 MS_DRG Foot Procedures With Mcc 52 52 $196,845.75 $200,782.67 $25,038.78 $167,318.89 $28,165.63 2026-04-02
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 51 51 $84,905.00 $86,603.10 $10,799.92 $83,578.14 $29,956.32 2026-04-02
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 55 55 $219,682.67 $224,076.32 $27,943.64 $186,730.27 $32,238.74 2026-04-02
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 57 57 $137,355.88 $140,103.00 $17,471.67 $116,752.50 $20,919.07 2026-04-02
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 57 57 $263,571.30 $268,842.73 $33,526.27 $224,035.61 $38,216.48 2026-04-02
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 54 54 $192,296.08 $196,142.00 $24,460.06 $163,451.66 $28,877.78 2026-04-02
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 54 54 $137,899.84 $140,657.84 $17,540.86 $117,214.87 $21,160.18 2026-04-02
545 MS_DRG Connective Tissue Disorders With Mcc 50 50 $124,735.50 $127,230.21 $15,866.36 $106,025.17 $24,612.68 2026-04-02
56 MS_DRG Degenerative Nervous System Disorders With Mcc 50 50 $333,494.50 $340,164.39 $22,578.95 $283,470.33 $24,422.12 2026-04-02
570 MS_DRG Skin Debridement With Mcc 50 50 $237,323.00 $242,069.46 $28,585.49 $201,724.55 $30,627.29 2026-04-02
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 50 50 $108,934.00 $111,112.68 $13,856.40 $96,054.68 $34,428.20 2026-04-02
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 50 50 $262,800.44 $268,056.45 $31,476.02 $223,380.38 $33,724.28 2026-04-02
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 50 50 $143,748.00 $146,622.96 $18,284.75 $122,185.80 $21,230.76 2026-04-02
595 MS_DRG Major Skin Disorders With Mcc 50 50 $147,453.00 $150,402.06 $18,756.02 $125,335.05 $21,190.15 2026-04-02
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 50 50 $205,398.00 $209,505.96 $26,126.63 $174,588.30 $28,184.45 2026-04-02
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 50 50 $154,950.20 $158,049.20 $19,709.67 $131,707.67 $21,900.58 2026-04-02
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 50 50 $200,191.25 $204,195.08 $25,464.33 $170,162.56 $34,586.88 2026-04-02
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 50 50 $286,661.33 $292,394.56 $34,593.00 $243,662.13 $37,063.91 2026-04-02
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 50 50 $136,434.00 $139,162.68 $17,354.40 $115,968.90 $29,952.36 2026-04-02
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 52 52 $312,280.00 $318,525.60 $36,221.96 $265,438.00 $39,635.24 2026-04-02
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 50 50 $157,253.44 $160,398.51 $20,002.64 $133,665.42 $22,002.90 2026-04-02
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 50 50 $194,576.88 $198,468.42 $19,545.55 $165,390.35 $21,141.10 2026-04-02
655 MS_DRG Major Bladder Procedures Without Cc/mcc 50 50 $99,351.50 $101,338.53 $12,637.51 $84,448.78 $20,991.74 2026-04-02
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 50 50 $166,940.00 $170,278.80 $21,234.77 $141,899.00 $31,575.88 2026-04-02
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 50 50 $203,850.00 $207,927.00 $24,695.82 $173,272.50 $26,459.79 2026-04-02
662 MS_DRG Minor Bladder Procedures With Mcc 50 50 $40,197.22 $41,001.17 $5,113.09 $84,712.62 $30,362.95 2026-04-02
665 MS_DRG Prostatectomy With Mcc 50 50 $143,550.00 $146,421.00 $18,259.56 $122,017.50 $30,955.03 2026-04-02
668 MS_DRG Transurethral Procedures With Mcc 50 50 $306,146.50 $312,269.43 $28,380.41 $260,224.53 $30,697.17 2026-04-02
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 50 50 $296,756.36 $302,691.49 $37,747.41 $252,242.91 $41,982.62 2026-04-02
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 52 52 $137,891.00 $140,648.82 $17,539.73 $117,207.35 $23,193.46 2026-04-02
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 52 52 $174,394.33 $177,882.22 $19,441.56 $148,235.18 $21,704.98 2026-04-02
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 50 50 $239,922.00 $244,720.44 $21,745.03 $203,933.70 $23,520.14 2026-04-02
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 50 50 $104,797.13 $106,893.07 $13,330.19 $89,077.56 $21,124.64 2026-04-02
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 50 50 $99,243.33 $101,228.20 $12,623.75 $98,907.49 $35,450.71 2026-04-02
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 50 50 $83,026.00 $84,686.52 $10,560.91 $97,573.78 $34,972.68 2026-04-02
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 50 50 $82,264.00 $83,909.28 $10,463.98 $71,046.26 $25,464.61 2026-04-02
783 MS_DRG Cesarean Section With Sterilization With Mcc 58 58 $106,109.00 $108,231.18 $4,200.00 $90,192.65 $24,348.87 2026-04-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 49 49 $310,316.59 $316,522.92 $39,472.27 $263,769.10 $58,945.67 2026-04-02
791 MS_DRG Prematurity With Major Problems 49 49 $245,845.86 $250,762.78 $31,271.59 $208,968.98 $40,255.82 2026-04-02
792 MS_DRG Prematurity Without Major Problems 49 49 $73,471.47 $74,940.90 $9,345.57 $67,770.10 $24,290.36 2026-04-02
793 MS_DRG Full Term Neonate With Major Problems 49 49 $70,595.83 $72,007.74 $8,979.79 $115,374.08 $41,352.72 2026-04-02
799 MS_DRG Splenic Procedures With Mcc 50 50 $328,954.00 $335,533.08 $41,842.95 $279,610.90 $45,814.44 2026-04-02
800 MS_DRG Splenic Procedures With Cc 50 50 $702,871.00 $716,928.42 $27,305.46 $597,440.35 $29,534.47 2026-04-02
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 50 50 $139,686.50 $142,480.23 $17,768.12 $118,733.53 $39,512.99 2026-04-02
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 50 50 $57,837.22 $58,993.97 $7,356.89 $61,093.26 $21,897.22 2026-04-02
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 50 50 $122,714.00 $125,168.28 $15,609.22 $104,306.90 $21,091.91 2026-04-02
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 50 50 $200,383.40 $204,391.07 $22,214.48 $170,325.89 $24,027.90 2026-04-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 52 52 $247,038.33 $251,979.10 $31,423.28 $209,982.58 $58,165.15 2026-04-02
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 51 51 $168,065.00 $171,426.30 $21,377.87 $142,855.25 $22,645.72 2026-04-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 52 52 $410,025.00 $418,225.50 $44,561.14 $348,521.25 $50,404.33 2026-04-02
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 50 50 $184,406.80 $188,094.94 $22,020.09 $156,745.78 $23,592.94 2026-04-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 50 50 $168,841.00 $172,217.82 $21,476.58 $143,514.85 $46,392.88 2026-04-02
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 50 50 $170,119.67 $173,522.06 $21,639.22 $144,601.72 $31,339.84 2026-04-02
834 MS_DRG Acute Leukemia With Mcc 50 50 $216,626.75 $220,959.29 $27,554.92 $184,132.74 $54,447.02 2026-04-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 50 50 $78,667.00 $80,240.34 $10,006.44 $132,936.42 $47,647.46 2026-04-02
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 50 50 $206,305.90 $210,432.02 $26,242.11 $175,360.02 $32,082.67 2026-04-02
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 50 50 $229,340.00 $233,926.80 $19,388.10 $194,939.00 $20,970.79 2026-04-02
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 50 50 $239,838.20 $244,634.96 $22,081.32 $203,862.47 $23,883.87 2026-04-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 52 52 $367,059.09 $374,400.27 $46,689.92 $312,000.23 $51,125.46 2026-04-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 52 52 $212,681.78 $216,935.41 $27,053.12 $180,779.51 $45,112.51 2026-04-02
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 50 50 $113,037.39 $115,298.13 $14,378.36 $96,081.78 $21,238.69 2026-04-02
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 50 50 $342,877.57 $349,735.12 $20,344.48 $291,445.93 $22,005.24 2026-04-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 50 50 $581,161.38 $592,784.61 $67,178.00 $493,987.18 $72,661.88 2026-04-02
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 50 50 $123,555.00 $126,026.10 $15,716.20 $106,942.94 $38,330.80 2026-04-02
901 MS_DRG Wound Debridements For Injuries With Mcc 52 52 $212,198.50 $216,442.47 $26,991.65 $180,368.73 $41,620.49 2026-04-02
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 50 50 $51,674.00 $52,707.48 $6,572.93 $101,635.78 $36,428.59 2026-04-02
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 50 50 $221,832.28 $226,268.93 $28,217.07 $188,557.44 $38,076.91 2026-04-02
92933 HCPCS Removal Of Plaque, Insertion Of Stent And Balloon Dilation Of Single Coronary Ar… 90 67 $73,184.00 $36,592.00 50% off $774.79 $106,116.80 $22,530.58 2026-04-02
92978 HCPCS Ultrasound Evaluation Of Heart Blood Vessel Or Graft With Review By Radiologist,… 44 44 $31,360.00 $1,182.00 96% off $1,151.00 $57,624.00 $28,224.00 2026-04-02
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 50 50 $77,584.00 $79,135.68 $9,868.68 $65,946.40 $21,924.00 2026-04-02
93571 HCPCS Ultrasound Evaluation Of Heart Blood Vessel During Diagnosis Or Treatment, Initi… 44 44 $23,268.00 $11,634.00 50% off $50.86 $42,754.95 $20,941.20 2026-04-02
93580 HCPCS Repair Of Congenital Abnormality In Wall Between Upper Heart Chambers With Impla… 67 67 $82,262.00 $1,182.00 99% off $866.26 $119,279.90 $23,577.50 2026-04-02
93581 HCPCS Repair Of Congenital Abnormality In Wall Between Lower Heart Chambers With Impla… 67 67 $38,115.00 $1,182.00 97% off $1,091.18 $65,781.23 $23,577.50 2026-04-02
93590 HCPCS Repair Of Leak Adjacent To Mitral Valve, First Closure Device 67 67 $22,566.00 $11,283.00 50% off $1,443.05 $65,781.23 $22,566.00 2026-04-02
93591 HCPCS Repair Of Leak Adjacent To Aortic Valve, First Closure Device 67 67 $22,566.00 $11,283.00 50% off $1,197.90 $65,781.23 $22,566.00 2026-04-02
93623 HCPCS Programming Of Heart Rhythm Stimulation After Drug Infusion 44 44 $23,308.00 $1,182.00 95% off $1,151.00 $42,828.45 $20,977.20 2026-04-02
93641 HCPCS Evaluation Of Single Or Dual Chamber Pacing Cardioverter-defibrillator And Gener… 44 44 $35,904.00 $1,182.00 97% off $1,151.00 $65,973.60 $32,313.60 2026-04-02
93653 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 67 67 $102,839.00 $51,419.50 50% off $945.93 $149,116.55 $33,617.70 2026-04-02
93654 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 67 67 $110,736.00 $55,368.00 50% off $1,262.59 $160,567.20 $33,617.70 2026-04-02
93656 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 67 67 $118,197.00 $1,182.00 99% off $1,151.00 $171,385.65 $33,617.70 2026-04-02
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 50 50 $262,118.67 $267,361.04 $33,341.49 $222,800.87 $35,972.28 2026-04-02
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 50 50 $306,829.00 $312,965.58 $25,068.07 $260,804.65 $27,114.44 2026-04-02
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 52 52 $172,399.00 $175,846.98 $21,929.15 $146,539.15 $37,320.19 2026-04-02
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 52 52 $352,440.00 $359,488.80 $28,614.65 $299,574.00 $32,764.75 2026-04-02
963 MS_DRG Other Multiple Significant Trauma With Mcc 50 50 $278,965.50 $284,544.81 $26,570.68 $237,120.68 $28,739.70 2026-04-02
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 50 50 $335,848.00 $342,564.96 $35,104.24 $285,470.80 $37,969.88 2026-04-02
974 MS_DRG HIV With Major Related Condition With Mcc 50 50 $482,011.17 $491,651.39 $28,049.96 $409,709.49 $30,339.74 2026-04-02
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 50 50 $194,469.57 $198,358.96 $22,304.87 $165,299.13 $24,125.67 2026-04-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 52 52 $339,304.12 $346,090.21 $43,159.49 $288,408.50 $47,468.88 2026-04-02
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 50 50 $181,534.80 $185,165.49 $23,091.23 $154,304.58 $25,019.84 2026-04-02
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 50 50 $211,556.63 $215,787.77 $26,910.00 $179,823.14 $34,001.74 2026-04-02
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 406 46 $73,950.75 $75,429.77 $2,730.00 $245,009.86 $71,794.75 2026-04-02
C1722 HCPCS Cardioverter-defibrillator, Single Chamber (implantable) 361 46 $64,422.88 $65,711.33 $2,730.00 $197,828.93 $55,894.30 2026-04-02
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 46 46 $66,167.20 $67,490.54 $2,730.00 $121,582.23 $62,197.17 2026-04-02
C1772 HCPCS Infusion Pump, Programmable (implantable) 46 46 $71,162.70 $72,585.95 $2,730.00 $130,761.46 $66,892.94 2026-04-02
C1786 HCPCS Pacemaker, Single Chamber, Rate-responsive (implantable) 496 46 $23,175.00 $23,638.50 $2,730.00 $134,565.64 $21,409.38 2026-04-02
C1813 HCPCS Prosthesis, Penile, Inflatable 633 46 $40,376.00 $56,270.14 $0.95 $139,770.36 $20,900.01 2026-04-02
C1815 HCPCS Prosthesis, Urinary Sphincter (implantable) 181 46 $40,685.00 $41,498.70 $2,730.00 $77,029.84 $36,822.50 2026-04-02
C1816 HCPCS Receiver And/or Transmitter, Neurostimulator (implantable) 46 46 $176,722.30 $180,256.75 $2,730.00 $324,727.23 $166,118.96 2026-04-02
C1817 HCPCS Septal Defect Implant System, Intracardiac 182 46 $41,592.38 $42,424.22 $899.63 $83,493.15 $28,150.14 2026-04-02
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 182 46 $57,731.50 $58,886.13 $872.51 $300,217.73 $51,958.35 2026-04-02
C1824 HCPCS Generator, Cardiac Contractility Modulation (implantable) 47 47 $74,675.00 $76,168.50 $2,730.00 $137,215.31 $67,207.50 2026-04-02
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 226 46 $83,868.50 $85,545.87 $2,730.00 $180,491.81 $81,712.50 2026-04-02
C2620 HCPCS Pacemaker, Single Chamber, Non Rate-responsive (implantable) 46 46 $32,107.00 $32,749.14 $2,730.00 $58,996.61 $30,180.58 2026-04-02
C2621 HCPCS Pacemaker, Other Than Single Or Dual Chamber (implantable) 136 46 $31,477.50 $32,107.05 $2,730.00 $70,880.83 $31,262.00 2026-04-02
C2622 HCPCS Prosthesis, Penile, Non-inflatable 46 46 $69,293.30 $70,679.17 $2,730.00 $127,326.44 $65,135.70 2026-04-02
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 68 68 $70,589.00 $35,294.50 50% off $2,730.00 $102,354.05 $21,353.01 2026-04-02
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary … 68 68 $73,184.00 $36,592.00 50% off $2,730.00 $106,116.80 $33,008.50 2026-04-02
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 45 45 $54,151.00 $27,075.50 50% off $2,325.00 $99,502.46 $48,735.90 2026-04-02
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 68 68 $27,609.00 $13,804.50 50% off $2,730.00 $65,781.23 $24,802.24 2026-04-02
C9765 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 85 60 $28,611.00 $14,305.50 50% off $1,575.00 $65,781.23 $25,227.93 2026-04-02
C9766 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 105 60 $28,611.00 $14,305.50 50% off $1,575.00 $65,781.23 $28,038.78 2026-04-02
C9767 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 85 60 $28,611.00 $14,305.50 50% off $1,575.00 $65,781.23 $25,227.93 2026-04-02
C9773 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(i… 59 59 $28,611.00 $14,305.50 50% off $1,575.00 $65,781.23 $23,577.50 2026-04-02
C9774 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 84 60 $28,611.00 $14,305.50 50% off $1,575.00 $65,781.23 $25,749.90 2026-04-02
C9775 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 84 60 $28,611.00 $14,305.50 50% off $1,575.00 $94,927.15 $25,749.90 2026-04-02
J3101 HCPCS Injection, Tenecteplase, 1 Mg 101 70 $27,910.57 $13,955.28 50% off $100.12 $60,357.28 $23,650.20 2026-04-02
L8679 HCPCS Implantable Neurostimulator, Pulse Generator, Any Type 171 69 $69,475.60 $70,865.11 $2,506.15 $357,204.67 $24,704.06 2026-04-02
L8686 HCPCS Implantable Neurostimulator Pulse Generator, Single Array, Non-rechargeable, Inc… 46 46 $49,234.00 $50,218.68 $2,730.00 $90,467.48 $46,279.96 2026-04-02
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