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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 WHITE MEMORIAL MONTEBELLO

Montebello, CA · CCN 050350 · Rates published

7,782 distinct procedures filed
32 distinct payers
157,266 rate rows
2025-11-07 last MRF observed
Data quality

150,305 of 157,266 rate rows are consumer-grade (95.6%)

6,961 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 5,855
exceeds 10× this hospital's gross charge — excluded from medians 582
template filing: same amount across many unrelated codes — excluded 469
exceeds 3× this hospital's gross charge for a DRG stay — excluded 55
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbBeverly&type=CDMWithoutLabel&fileType=CSV
Discovered viaDiscovered by HANK
Last fetch —
Content fingerprint bbc23222b7b26b67… · 59,407,353 bytes · first seen 2026-05-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 $67,861.59 $225,232.47 $177,212.98 nat. median
$202,976
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $49,924.00 $148,497.55 $141,426.22 nat. median
$133,161
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 20 $50,490.44 $230,679.47 $106,587.91 nat. median
$100,136
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 26 $23,080.00 $212,207.44 $99,665.29 nat. median
$99,019
1.0× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 30 $7,297.00 $127,574.20 $76,639.27 nat. median
$63,570
1.2× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 20 $7,685.37 $72,643.36 $69,116.51 nat. median
$66,526
1.0× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 $9,520.05 $68,855.54 $65,512.60 nat. median
$59,793
1.1× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 26 $20,197.38 $157,689.74 $64,412.24 nat. median
$65,393
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 20 $29,512.83 $67,629.02 $64,345.62 nat. median
$62,134
1.0× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 26 $39,660.11 $143,949.02 $61,221.53 nat. median
$62,372
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 29 $23,080.00 $88,598.67 $60,447.40 nat. median
$79,312
0.8× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 $39,660.11 $144,635.14 $59,688.07 nat. median
$58,020
1.0× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 $13,055.84 $60,225.74 $57,357.84 nat. median
$55,916
1.0× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 21 $5,917.83 $59,902.03 $56,938.01 nat. median
$52,746
1.1× median
834
MS_DRG 		Acute Leukemia With Mcc 20 $16,517.42 $57,699.12 $54,897.82 nat. median
$53,172
1.0× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 $23,080.00 $69,278.00 $53,326.85 nat. median
$52,879
1.0× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 $8,190.69 $69,922.40 $52,988.66 nat. median
$54,045
1.0× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 24 $23,080.00 $65,820.00 $49,472.94 nat. median
$50,672
1.0× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 $13,496.49 $51,727.31 $49,215.94 nat. median
$47,740
1.0× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 26 $20,197.38 $181,802.06 $48,333.21 nat. median
$46,647
1.0× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 20 $45,919.04 $71,563.88 $47,159.21 nat. median
$44,810
1.1× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 $18,402.63 $49,311.05 $46,916.99 nat. median
$46,084
1.0× median
C1721
HCPCS 		Cardioverter-defibrillator, Dual Chamber (implantable) 20 $2,149.00 $60,107.25 $46,699.40 nat. median
$22,213
outlier · 2.1×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 26 $39,660.11 $109,928.51 $46,100.08 nat. median
$48,483
1.0× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 $10,738.46 $68,171.39 $45,891.88 nat. median
$45,112
1.0× median
163
MS_DRG 		Major Chest Procedures With Mcc 20 $21,039.10 $102,958.62 $44,860.89 nat. median
$44,937
1.0× median
C1882
HCPCS 		Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 20 $2,149.00 $100,777.95 $44,600.70 nat. median
$27,114
1.6× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 $16,283.84 $68,410.46 $44,168.85 nat. median
$48,170
0.9× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 25 $13,055.84 $52,011.78 $44,120.50 nat. median
$45,125
1.0× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 20 $14,235.02 $46,168.55 $43,927.06 nat. median
$42,444
1.0× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 $13,496.49 $45,118.59 $42,928.07 nat. median
$42,295
1.0× median
140
MS_DRG 		Major Head And Neck Procedures With Mcc 19 $15,239.37 $44,828.52 $42,693.82 nat. median
$40,208
1.1× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 20 $13,975.65 $44,159.03 $42,015.10 nat. median
$40,454
1.0× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 $14,013.11 $43,648.24 $41,529.10 nat. median
$40,166
1.0× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 29 $21,864.56 $63,919.00 $39,249.60 nat. median
$42,002
0.9× median
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 $13,055.84 $52,657.22 $39,156.44 nat. median
$38,489
1.0× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 $6,719.62 $40,581.41 $38,648.95 nat. median
$37,698
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 29 $23,080.00 $80,351.43 $38,480.00 nat. median
$73,807
0.5× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 20 $10,439.74 $40,351.24 $38,392.18 nat. median
$38,112
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 $8,190.69 $82,701.48 $37,983.21 nat. median
$77,570
outlier · 0.5×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 $22,944.10 $51,987.63 $37,666.01 nat. median
$37,662
1.0× median
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 $13,269.67 $39,376.95 $37,465.19 nat. median
$34,132
1.1× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 29 $14,176.71 $63,919.00 $37,091.00 nat. median
$53,268
0.7× median
904
MS_DRG 		Skin Grafts For Injuries With Cc/mcc 20 $9,520.05 $41,392.16 $36,766.15 nat. median
$36,505
1.0× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 $15,950.97 $57,007.90 $36,751.14 nat. median
$35,489
1.0× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 26 $20,197.38 $105,238.42 $36,614.01 nat. median
$39,075
0.9× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 25 $35,230.73 $67,124.84 $36,323.68 nat. median
$34,720
1.0× median
414
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 $33,145.79 $40,715.13 $35,660.09 nat. median
$34,948
1.0× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 $13,522.64 $70,025.45 $35,626.06 nat. median
$35,324
1.0× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 25 $20,633.79 $57,495.23 $35,325.93 nat. median
$52,836
0.7× median

Other procedures at this hospital

Browse this hospital's 7,782 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 24 $494,278.40 — $67,861.59 $225,232.47 $177,212.98 2025-11-07
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 20 $387,623.71 — $49,924.00 $148,497.55 $141,426.22 2025-11-07
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 20 $645,301.17 — $50,490.44 $230,679.47 $106,587.91 2025-11-07
215 MS_DRG Other Heart Assist System Implant 26 26 $213,498.87 — $23,080.00 $212,207.44 $99,665.29 2025-11-07
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 30 30 $123,940.41 — $7,297.00 $127,574.20 $76,639.27 2025-11-07
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 20 $137,160.10 — $7,685.37 $72,643.36 $69,116.51 2025-11-07
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 20 $39,309.13 $3,934,674.38 $9,520.05 $68,855.54 $65,512.60 2025-11-07
459 MS_DRG Spinal Fusion Except Cervical With Mcc 26 26 $160,629.26 — $20,197.38 $157,689.74 $64,412.24 2025-11-07
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 20 $112,071.28 — $29,512.83 $67,629.02 $64,345.62 2025-11-07
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 26 26 $146,632.39 — $39,660.11 $143,949.02 $61,221.53 2025-11-07
231 MS_DRG Coronary Bypass With Ptca With Mcc 29 29 $128,641.27 — $23,080.00 $88,598.67 $60,447.40 2025-11-07
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 26 $147,331.30 — $39,660.11 $144,635.14 $59,688.07 2025-11-07
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 19 $123,302.89 — $13,055.84 $60,225.74 $57,357.84 2025-11-07
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 21 $21,315.07 $2,133,547.32 $5,917.83 $59,902.03 $56,938.01 2025-11-07
834 MS_DRG Acute Leukemia With Mcc 20 20 $39,957.18 $3,999,541.90 $16,517.42 $57,699.12 $54,897.82 2025-11-07
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 24 $55,349.61 — $23,080.00 $69,278.00 $53,326.85 2025-11-07
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 25 $203,917.12 — $8,190.69 $69,922.40 $52,988.66 2025-11-07
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 24 $56,545.25 — $23,080.00 $65,820.00 $49,472.94 2025-11-07
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 20 $59,645.26 — $13,496.49 $51,727.31 $49,215.94 2025-11-07
471 MS_DRG Cervical Spinal Fusion With Mcc 26 26 $187,355.90 — $20,197.38 $181,802.06 $48,333.21 2025-11-07
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 20 $152,069.45 — $45,919.04 $71,563.88 $47,159.21 2025-11-07
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 20 $81,134.00 — $18,402.63 $49,311.05 $46,916.99 2025-11-07
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 56 20 $52,171.06 — $2,149.00 $60,107.25 $46,699.40 2025-11-07
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 26 26 $111,977.70 — $39,660.11 $109,928.51 $46,100.08 2025-11-07
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 20 $141,108.52 — $10,738.46 $68,171.39 $45,891.88 2025-11-07
163 MS_DRG Major Chest Procedures With Mcc 20 20 $215,039.09 — $21,039.10 $102,958.62 $44,860.89 2025-11-07
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 145 20 $60,938.64 — $2,149.00 $100,777.95 $44,600.70 2025-11-07
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 24 $109,712.46 — $16,283.84 $68,410.46 $44,168.85 2025-11-07
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 25 $162,797.40 — $13,055.84 $52,011.78 $44,120.50 2025-11-07
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 20 $115,423.31 — $14,235.02 $46,168.55 $43,927.06 2025-11-07
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 20 $88,729.50 — $13,496.49 $45,118.59 $42,928.07 2025-11-07
140 MS_DRG Major Head And Neck Procedures With Mcc 19 19 $32,382.86 $3,241,384.78 $15,239.37 $44,828.52 $42,693.82 2025-11-07
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 20 $59,507.52 — $13,975.65 $44,159.03 $42,015.10 2025-11-07
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 20 $52,888.18 — $14,013.11 $43,648.24 $41,529.10 2025-11-07
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 29 29 $142,824.65 — $21,864.56 $63,919.00 $39,249.60 2025-11-07
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 24 $104,918.89 — $13,055.84 $52,657.22 $39,156.44 2025-11-07
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 19 $95,275.94 — $6,719.62 $40,581.41 $38,648.95 2025-11-07
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 29 29 $75,112.01 — $23,080.00 $80,351.43 $38,480.00 2025-11-07
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 20 $40,213.28 $4,025,176.14 $10,439.74 $40,351.24 $38,392.18 2025-11-07
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 25 $124,478.32 — $8,190.69 $82,701.48 $37,983.21 2025-11-07
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 25 $111,459.21 — $22,944.10 $51,987.63 $37,666.01 2025-11-07
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 20 $31,164.67 $3,119,449.22 $13,269.67 $39,376.95 $37,465.19 2025-11-07
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 29 29 $30,124.76 $3,015,358.77 $14,176.71 $63,919.00 $37,091.00 2025-11-07
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 20 20 $59,242.17 — $9,520.05 $41,392.16 $36,766.15 2025-11-07
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 25 $86,998.22 — $15,950.97 $57,007.90 $36,751.14 2025-11-07
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 26 26 $107,200.19 — $20,197.38 $105,238.42 $36,614.01 2025-11-07
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 25 $77,185.89 — $35,230.73 $67,124.84 $36,323.68 2025-11-07
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 20 $86,517.49 — $33,145.79 $40,715.13 $35,660.09 2025-11-07
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 20 $134,930.14 — $13,522.64 $70,025.45 $35,626.06 2025-11-07
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 25 $96,610.06 — $20,633.79 $57,495.23 $35,325.93 2025-11-07
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 22 $121,028.08 — $9,520.05 $47,765.63 $34,907.37 2025-11-07
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 24 24 $128,408.98 — $16,670.78 $41,305.97 $34,504.57 2025-11-07
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 24 $129,032.15 — $11,921.53 $48,511.84 $34,316.81 2025-11-07
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 25 25 $125,277.33 — $21,073.73 $99,040.60 $34,148.65 2025-11-07
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 19 $21,111.33 $2,113,153.55 $14,013.11 $35,808.79 $34,103.61 2025-11-07
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 25 $91,672.87 — $13,547.72 $68,813.00 $33,910.00 2025-11-07
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 26 26 $207,434.87 — $7,297.00 $127,574.20 $33,690.03 2025-11-07
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 25 25 $98,295.52 — $15,343.30 $46,257.87 $33,542.67 2025-11-07
33249 HCPCS Insertion Of Implantable Defibrillator System 31 31 $86,779.78 $40,737.40 53% off $271.00 $59,543.09 $33,484.83 2025-11-07
264 MS_DRG Other Circulatory System O.r. Procedures 20 20 $87,978.99 — $13,547.72 $38,760.39 $33,437.97 2025-11-07
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 25 25 $72,334.19 — $13,431.47 $36,308.02 $33,368.46 2025-11-07
37 MS_DRG Extracranial Procedures With Mcc 20 20 $92,207.25 — $13,055.84 $34,600.14 $32,920.29 2025-11-07
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 20 $68,128.56 — $9,520.05 $34,036.80 $32,384.31 2025-11-07
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 20 $65,044.76 — $10,738.46 $35,469.83 $32,379.96 2025-11-07
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 26 26 $78,128.86 — $23,080.00 $75,021.42 $32,313.27 2025-11-07
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 19 $60,667.66 — $13,431.47 $33,494.48 $31,899.50 2025-11-07
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 29 29 $83,758.19 — $9,028.00 $77,075.38 $31,755.96 2025-11-07
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 23 $36,486.34 $3,652,125.62 $17,170.47 $54,709.01 $31,707.78 2025-11-07
500 MS_DRG Soft Tissue Procedures With Mcc 19 19 $56,882.69 — $11,711.98 $33,262.21 $31,678.29 2025-11-07
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 25 $53,531.40 — $18,443.27 $52,417.82 $31,414.68 2025-11-07
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 20 $55,368.77 — $5,917.83 $32,735.65 $31,146.33 2025-11-07
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 19 19 $70,933.91 — $13,055.84 $32,677.85 $31,121.76 2025-11-07
33270 HCPCS Insertion Or Replacement Of Defibrillator With Electrode 31 31 $82,733.91 $40,737.40 51% off $508.93 $59,543.09 $30,818.44 2025-11-07
662 MS_DRG Minor Bladder Procedures With Mcc 20 20 $43,361.62 $4,340,311.31 $11,952.27 $32,176.52 $30,614.35 2025-11-07
263 MS_DRG Vein Ligation And Stripping 20 20 $38,079.58 $3,811,602.41 $15,811.04 $32,133.43 $30,573.35 2025-11-07
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 27 27 $43,344.38 $4,338,586.06 $5,394.00 $43,344.38 $30,126.80 2025-11-07
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 25 25 $71,851.80 — $14,226.19 $31,745.61 $29,982.92 2025-11-07
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 25 25 $62,724.40 — $19,212.76 $36,425.70 $29,518.10 2025-11-07
472 MS_DRG Cervical Spinal Fusion With Cc 26 26 $104,960.27 — $20,197.38 $102,716.57 $29,489.19 2025-11-07
570 MS_DRG Skin Debridement With Mcc 19 19 $18,985.00 $1,900,316.86 $9,520.05 $30,911.11 $29,439.15 2025-11-07
668 MS_DRG Transurethral Procedures With Mcc 20 20 $36,998.19 $3,703,359.23 $10,310.18 $30,689.35 $29,199.37 2025-11-07
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 19 19 $43,698.27 $4,374,008.92 $12,783.75 $30,500.17 $29,047.77 2025-11-07
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 25 25 $70,138.24 — $16,434.38 $30,608.42 $28,996.68 2025-11-07
C1817 HCPCS Septal Defect Implant System, Intracardiac 20 20 $28,982.00 — $2,149.00 $30,431.10 $28,982.00 2025-11-07
974 MS_DRG HIV With Major Related Condition With Mcc 20 20 $106,576.43 — $7,168.75 $73,302.07 $28,887.62 2025-11-07
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 26 26 $81,820.28 — $13,547.72 $63,919.00 $28,861.92 2025-11-07
C1722 HCPCS Cardioverter-defibrillator, Single Chamber (implantable) 20 20 $28,838.64 — $2,149.00 $30,280.57 $28,838.64 2025-11-07
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 20 $61,137.25 — $13,496.49 $29,958.90 $28,504.39 2025-11-07
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 25 25 $59,083.84 — $27,452.52 $53,959.59 $27,804.85 2025-11-07
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 20 $52,710.73 — $8,471.97 $28,977.26 $27,570.41 2025-11-07
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 20 20 $70,159.80 — $18,832.27 $29,512.83 $27,513.31 2025-11-07
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 27 27 $90,252.61 — $7,297.00 $46,724.26 $27,219.39 2025-11-07
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 20 20 $68,110.61 — $13,496.49 $28,349.81 $26,973.42 2025-11-07
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 21 21 $72,737.22 — $15,950.97 $34,799.00 $26,625.46 2025-11-07
C1825 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable With Carotid Sinus Ba… 20 20 $26,605.13 — $2,149.00 $27,935.39 $26,605.13 2025-11-07
252 MS_DRG Other Vascular Procedures With Mcc 26 26 $45,693.13 $4,573,685.36 $11,494.00 $36,662.21 $26,357.27 2025-11-07
253 MS_DRG Other Vascular Procedures With Cc 23 23 $27,934.42 $2,796,115.12 $16,317.53 $27,279.89 $25,980.84 2025-11-07
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 20 20 $41,484.06 $4,152,376.29 $13,375.64 $27,145.36 $25,827.44 2025-11-07
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 20 20 $95,207.53 — $11,656.86 $54,769.12 $25,816.68 2025-11-07
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 23 23 $44,542.22 $4,458,484.51 $20,497.19 $31,879.08 $25,630.31 2025-11-07
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 22 22 $80,075.75 — $13,547.72 $73,707.00 $25,554.43 2025-11-07
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 19 19 $40,474.76 $4,051,349.43 $13,266.44 $26,704.99 $25,433.32 2025-11-07
245 MS_DRG Aicd Generator Procedures 25 25 $25,906.34 $2,593,113.30 $12,191.52 $53,117.00 $25,432.25 2025-11-07
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 25 25 $69,409.62 — $15,950.97 $38,676.24 $25,385.27 2025-11-07
164 MS_DRG Major Chest Procedures With Cc 20 20 $130,137.84 — $21,039.10 $63,830.32 $25,264.15 2025-11-07
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 24 24 $107,062.99 — $13,055.84 $42,230.13 $25,253.14 2025-11-07
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 20 20 $26,313.87 $2,633,905.24 $3,985.50 $26,189.99 $24,918.47 2025-11-07
545 MS_DRG Connective Tissue Disorders With Mcc 20 20 $25,488.62 $2,551,301.59 $6,318.33 $26,082.79 $24,816.47 2025-11-07
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 25 25 $70,779.62 — $13,431.47 $30,687.58 $24,615.53 2025-11-07
330 MS_DRG Major Small And Large Bowel Procedures With Cc 20 20 $68,591.14 — $23,948.03 $32,278.99 $24,594.81 2025-11-07
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 23 23 $77,363.93 — $18,402.63 $28,813.75 $24,560.42 2025-11-07
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 20 20 $106,401.66 — $18,443.27 $37,991.78 $24,465.39 2025-11-07
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 26 26 $75,619.60 — $20,197.38 $74,235.77 $24,436.36 2025-11-07
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 19 19 $30,720.74 $3,075,013.97 $11,557.21 $25,279.82 $24,076.02 2025-11-07
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 20 20 $59,423.03 — $12,522.25 $25,081.18 $23,863.49 2025-11-07
113 MS_DRG Orbital Procedures With Cc/mcc 19 19 $14,005.99 $1,401,939.19 $6,591.22 $24,710.18 $23,533.50 2025-11-07
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 20 20 $64,578.02 — $13,975.65 $25,821.75 $23,408.38 2025-11-07
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 25 25 $253,008.79 — $18,951.05 $113,410.17 $23,391.36 2025-11-07
357 MS_DRG Other Digestive System O.r. Procedures With Cc 24 24 $95,357.17 — $14,235.02 $32,919.84 $23,277.26 2025-11-07
56 MS_DRG Degenerative Nervous System Disorders With Mcc 19 19 $38,367.20 $3,840,391.74 $7,778.66 $24,415.90 $23,253.23 2025-11-07
05001345 CDM Pulse Generator 12 12 $48,358.65 — $2,149.00 $50,776.58 $23,212.15 2025-11-07
347 MS_DRG Anal And Stomal Procedures With Mcc 20 20 $29,511.58 $2,953,982.33 $9,253.61 $24,126.87 $22,955.51 2025-11-07
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 20 20 $69,376.49 — $7,848.98 $24,021.77 $22,855.50 2025-11-07
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 25 25 $48,565.45 $4,861,192.69 $19,269.71 $34,854.91 $22,854.90 2025-11-07
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 20 20 $221,086.57 — $7,848.98 $79,300.43 $22,740.74 2025-11-07
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 19 19 $19,581.83 $1,960,056.98 $10,738.46 $23,811.57 $22,677.68 2025-11-07
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 19 19 $13,509.92 $1,352,284.90 $7,382.89 $23,233.52 $22,127.16 2025-11-07
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 29 29 $56,326.66 — $7,297.00 $27,828.00 $22,105.87 2025-11-07
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 20 20 $29,397.10 $2,942,523.51 $7,080.41 $23,205.14 $22,078.53 2025-11-07
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 23 23 $57,524.60 — $6,719.62 $24,009.96 $21,965.01 2025-11-07
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 25 25 $118,938.77 — $14,013.11 $50,181.73 $21,899.94 2025-11-07
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 29 29 $48,094.73 $4,814,075.67 $7,297.00 $40,235.74 $21,845.89 2025-11-07
141 MS_DRG Major Head And Neck Procedures With Cc 20 20 $16,643.63 $1,665,955.41 $7,832.49 $33,598.63 $21,831.87 2025-11-07
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 22 22 $59,914.14 — $13,522.64 $27,064.69 $21,808.85 2025-11-07
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 19 19 $30,770.76 $3,080,020.76 $13,731.48 $22,507.27 $21,435.49 2025-11-07
374 MS_DRG Digestive Malignancy With Mcc 20 20 $47,286.81 $4,733,206.24 $7,654.98 $22,477.84 $21,386.54 2025-11-07
32 MS_DRG Ventricular Shunt Procedures With Cc 24 24 $128,088.57 — $14,731.86 $54,770.84 $21,330.39 2025-11-07
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 29 29 $63,699.60 — $7,266.00 $63,891.48 $21,329.39 2025-11-07
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 19 19 $23,515.65 $2,353,814.95 $7,080.41 $22,351.72 $21,287.35 2025-11-07
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 20 20 $78,250.25 — $20,646.33 $36,824.57 $21,203.95 2025-11-07
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 19 19 $45,788.55 $4,583,236.96 $21,130.85 $22,230.86 $21,172.24 2025-11-07
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 25 25 $55,178.39 — $16,434.38 $30,082.35 $20,965.04 2025-11-07
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 20 20 $134,436.06 — $6,664.50 $67,526.95 $20,952.03 2025-11-07
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 25 25 $171,590.00 — $15,950.97 $93,089.68 $20,931.01 2025-11-07
711 MS_DRG Testes Procedures With Cc/mcc 23 23 $74,738.77 — $11,480.88 $32,477.56 $20,857.94 2025-11-07
314 MS_DRG Other Circulatory System Diagnoses With Mcc 23 23 $52,787.08 — $5,960.24 $21,915.56 $20,831.15 2025-11-07
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 25 25 $82,226.40 — $14,226.19 $42,274.80 $20,813.90 2025-11-07
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 20 20 $95,243.90 — $13,431.47 $45,994.90 $20,800.89 2025-11-07
935 MS_DRG Non-extensive Burns 19 19 $16,536.05 $1,655,187.50 $5,986.74 $21,650.70 $20,619.71 2025-11-07
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 20 20 $23,242.36 $2,326,460.29 $8,208.71 $21,536.14 $20,490.56 2025-11-07
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 19 19 $22,960.36 $2,298,233.31 $18,951.05 $21,311.23 $20,296.41 2025-11-07
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 20 20 $61,455.03 — $8,190.69 $23,637.90 $20,129.25 2025-11-07
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 21 21 $27,323.90 $2,735,005.25 $9,534.25 $26,823.88 $20,021.14 2025-11-07
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 20 20 $37,263.52 $3,729,918.38 $14,299.19 $21,023.25 $20,002.57 2025-11-07
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 21 21 $60,225.79 — $16,283.84 $44,731.30 $20,000.12 2025-11-07
908 MS_DRG Other O.r. Procedures For Injuries With Cc 19 19 $22,810.31 $2,283,213.95 $13,431.47 $20,969.65 $19,971.09 2025-11-07
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 20 20 $115,437.66 — $7,250.02 $100,726.85 $19,967.09 2025-11-07
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 20 20 $29,989.70 $3,001,839.77 $7,816.47 $20,818.31 $19,807.57 2025-11-07
539 MS_DRG Osteomyelitis With Mcc 19 19 $21,053.81 $2,107,395.40 $7,986.44 $20,701.65 $19,715.85 2025-11-07
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 20 20 $55,686.03 — $7,017.16 $20,816.49 $19,700.84 2025-11-07
380 MS_DRG Complicated Peptic Ulcer With Mcc 20 20 $33,463.02 $3,349,504.51 $7,397.38 $20,622.82 $19,621.58 2025-11-07
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 20 20 $58,618.41 — $7,685.37 $23,717.05 $19,443.59 2025-11-07
C1764 HCPCS Event Recorder, Cardiac (implantable) 19 19 $19,441.90 — $2,149.00 $20,414.00 $19,441.90 2025-11-07
100 MS_DRG Seizures With Mcc 20 20 $70,199.94 — $6,048.58 $25,349.14 $19,386.54 2025-11-07
548 MS_DRG Septic Arthritis With Mcc 20 20 $24,907.58 $2,493,141.46 $6,911.23 $20,293.86 $19,308.58 2025-11-07
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 20 20 $59,093.39 — $5,620.65 $25,678.02 $18,923.09 2025-11-07
196 MS_DRG Interstitial Lung Disease With Mcc 20 20 $37,686.57 $3,772,263.35 $7,186.77 $19,834.57 $18,871.60 2025-11-07
504 MS_DRG Foot Procedures With Cc 20 20 $72,173.66 — $11,339.18 $28,342.09 $18,709.89 2025-11-07
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 22 $60,311.82 — $13,522.64 $20,876.74 $18,702.60 2025-11-07
754 MS_DRG Malignancy, Female Reproductive System With Mcc 20 20 $37,056.56 $3,709,201.81 $6,949.66 $26,028.63 $18,434.63 2025-11-07
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 20 20 $67,424.41 — $7,652.51 $29,320.04 $18,384.58 2025-11-07
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 20 20 $33,537.18 $3,356,927.61 $10,284.98 $19,283.84 $18,347.61 2025-11-07
205 MS_DRG Other Respiratory System Diagnoses With Mcc 19 19 $17,318.86 $1,733,543.41 $6,513.96 $19,243.90 $18,327.52 2025-11-07
919 MS_DRG Complications Of Treatment With Mcc 20 20 $40,441.18 $4,047,988.15 $6,328.80 $19,241.80 $18,307.60 2025-11-07
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 20 20 $58,914.33 — $6,847.89 $23,537.26 $18,297.49 2025-11-07
254 MS_DRG Other Vascular Procedures Without Cc/mcc 20 20 $25,299.43 $2,532,364.44 $17,799.18 $26,357.27 $18,279.90 2025-11-07
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 20 20 $88,760.81 — $17,790.19 $39,237.68 $18,270.67 2025-11-07
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 19 $14,322.76 $1,433,646.72 $5,917.83 $19,167.18 $18,254.45 2025-11-07
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 20 20 $46,420.22 $4,646,463.91 $7,515.05 $19,167.18 $18,236.60 2025-11-07
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 26 26 $49,687.66 $4,973,520.61 $13,431.47 $48,778.37 $18,210.47 2025-11-07
722 MS_DRG Malignancy, Male Reproductive System With Mcc 19 19 $13,894.58 $1,390,787.21 $6,550.00 $19,020.04 $18,114.32 2025-11-07
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 28 28 $43,575.19 $4,361,688.78 $8,456.00 $52,832.71 $18,092.30 2025-11-07
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 25 25 $38,253.99 $3,829,059.91 $13,431.47 $29,132.81 $18,075.40 2025-11-07
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 20 20 $8,894.36 $890,287.19 $5,272.42 $18,956.98 $18,036.61 2025-11-07
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 20 $47,740.22 $4,778,590.49 $9,520.05 $22,068.22 $17,956.17 2025-11-07
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 20 20 $28,730.05 $2,875,753.97 $6,543.29 $18,862.39 $17,946.61 2025-11-07
505 MS_DRG Foot Procedures Without Cc/mcc 25 25 $63,785.02 — $11,339.18 $33,968.12 $17,945.16 2025-11-07
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 19 19 $39,368.16 $3,940,583.43 $6,523.86 $18,635.37 $17,747.97 2025-11-07
180 MS_DRG Respiratory Neoplasms With Mcc 20 20 $61,110.93 — $7,250.02 $22,159.82 $17,676.90 2025-11-07
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 20 20 $44,672.48 $4,471,523.19 $13,431.47 $18,566.00 $17,664.62 2025-11-07
199 MS_DRG Pneumothorax With Mcc 19 19 $28,707.15 $2,873,462.59 $4,407.19 $18,540.78 $17,657.88 2025-11-07
906 MS_DRG Hand Procedures For Injuries 19 19 $22,133.57 $2,215,475.18 $10,468.13 $18,522.91 $17,640.87 2025-11-07
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 20 $54,618.60 — $8,471.97 $24,817.81 $17,588.82 2025-11-07
91 MS_DRG Other Disorders Of Nervous System With Mcc 20 20 $41,018.76 $4,105,801.40 $8,808.02 $18,457.75 $17,561.62 2025-11-07
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 19 19 $32,015.10 $3,204,573.85 $5,474.36 $18,386.28 $17,510.74 2025-11-07
666 MS_DRG Prostatectomy With Cc 19 19 $35,783.60 $3,581,784.49 $9,621.47 $18,385.23 $17,509.74 2025-11-07
501 MS_DRG Soft Tissue Procedures With Cc 20 20 $28,066.04 $2,809,290.27 $11,711.98 $19,424.01 $17,497.73 2025-11-07
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 19 19 $24,113.23 $2,413,630.57 $5,083.53 $18,341.09 $17,467.70 2025-11-07
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 20 20 $78,299.70 — $16,962.02 $36,847.84 $17,420.13 2025-11-07
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 19 19 $21,109.88 $2,113,007.72 $14,013.11 $18,261.21 $17,391.63 2025-11-07
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 19 19 $40,372.11 $4,041,075.01 $17,311.67 $18,999.12 $17,345.58 2025-11-07
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 19 19 $31,791.42 $3,182,184.69 $9,520.05 $18,161.37 $17,296.54 2025-11-07
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 25 25 $82,750.07 — $6,719.62 $26,316.87 $17,293.53 2025-11-07
05000568 CDM Heart Valve Stented Porcine 13 13 $36,017.27 — $2,149.00 $37,818.13 $17,288.29 2025-11-07
05703195 CDM Valve Heart Tissue 13 13 $36,017.27 — $2,149.00 $37,818.13 $17,288.29 2025-11-07
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 20 20 $52,011.42 — $16,812.17 $24,476.58 $17,266.24 2025-11-07
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 19 19 $32,473.89 $3,250,497.12 $11,772.06 $17,966.93 $17,111.36 2025-11-07
05000625 CDM Stent Graft Bi Furcated 13 13 $35,506.88 — $2,149.00 $37,282.22 $17,043.30 2025-11-07
C1875 HCPCS Stent, Coated/covered, Without Delivery System 20 20 $17,001.77 — $2,149.00 $17,851.86 $17,001.77 2025-11-07
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 20 20 $44,450.23 $4,449,277.33 $12,522.25 $17,778.80 $16,915.64 2025-11-07
571 MS_DRG Skin Debridement With Cc 19 19 $50,937.73 — $9,520.05 $17,756.73 $16,911.17 2025-11-07
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 20 20 $20,680.83 $2,070,062.16 $3,681.02 $17,759.88 $16,897.63 2025-11-07
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 20 20 $31,494.73 $3,152,486.60 $3,496.92 $17,740.96 $16,879.64 2025-11-07
915 MS_DRG Allergic Reactions With Mcc 19 19 $27,945.35 $2,797,209.37 $4,978.58 $17,673.70 $16,832.09 2025-11-07
551 MS_DRG Medical Back Problems With Mcc 19 19 $43,682.04 $4,372,384.77 $7,068.39 $17,615.89 $16,777.04 2025-11-07
444 MS_DRG Disorders Of The Biliary Tract With Mcc 20 20 $42,791.63 $4,283,258.41 $7,548.27 $17,857.00 $16,724.99 2025-11-07
70 MS_DRG Other Cerebrovascular Disorders With Mcc 20 20 $59,198.46 — $7,216.45 $23,617.37 $16,663.93 2025-11-07
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 20 20 $32,936.18 $3,296,770.20 $5,754.58 $17,387.83 $16,543.65 2025-11-07
643 MS_DRG Endocrine Disorders With Mcc 20 20 $63,720.65 — $6,401.24 $17,300.59 $16,460.65 2025-11-07
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 19 19 $34,070.07 $3,410,267.72 $11,921.53 $17,274.32 $16,451.73 2025-11-07
05000981 CDM Stent Graft 13 13 $34,261.13 — $2,149.00 $35,974.19 $16,445.34 2025-11-07
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 24 24 $39,454.83 $3,949,259.12 $16,293.69 $19,222.55 $16,434.38 2025-11-07
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 20 20 $50,313.79 — $13,975.65 $23,448.00 $16,429.71 2025-11-07
913 MS_DRG Traumatic Injury With Mcc 20 20 $41,490.99 $4,153,069.69 $7,068.39 $17,179.73 $16,345.65 2025-11-07
299 MS_DRG Peripheral Vascular Disorders With Mcc 20 20 $46,159.29 $4,620,346.85 $6,120.66 $21,088.61 $16,342.62 2025-11-07
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 20 20 $41,042.62 $4,108,189.79 $10,738.46 $18,793.97 $16,329.61 2025-11-07
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 19 19 $22,675.77 $2,269,747.07 $6,624.92 $17,133.48 $16,317.60 2025-11-07
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 19 19 $53,345.65 — $16,267.72 $25,104.46 $16,299.58 2025-11-07
884 MS_DRG Organic Disturbances And Intellectual Disability 19 19 $39,391.99 $3,942,969.13 $5,801.57 $16,909.62 $16,104.40 2025-11-07
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 19 19 $43,312.77 $4,335,422.03 $9,520.05 $16,883.34 $16,079.37 2025-11-07
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 20 20 $46,444.67 $4,648,912.23 $7,816.47 $19,696.24 $16,056.35 2025-11-07
393 MS_DRG Other Digestive System Diagnoses With Mcc 20 20 $57,732.06 — $6,332.68 $28,202.41 $16,008.31 2025-11-07
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 19 19 $9,718.87 $972,817.10 $4,573.70 $16,778.24 $15,979.28 2025-11-07
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 25 25 $41,304.85 $4,134,437.67 $13,026.89 $21,088.42 $15,950.97 2025-11-07
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 22 22 $59,916.28 — $15,646.34 $34,977.34 $15,950.97 2025-11-07
368 MS_DRG Major Esophageal Disorders With Mcc 20 20 $31,282.68 $3,131,261.57 $7,161.33 $16,730.95 $15,918.65 2025-11-07
92925 HCPCS Removal Of Plaque With Balloon Dilation Of Coronary Artery Or Branch, Each Addit… 18 18 $25,310.85 — $181.00 $25,310.85 $15,907.87 2025-11-07
385 MS_DRG Inflammatory Bowel Disease With Mcc 19 19 $25,848.51 $2,587,324.26 $6,655.31 $16,630.05 $15,838.14 2025-11-07
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 19 19 $20,262.35 $2,028,174.11 $6,050.34 $16,561.74 $15,773.08 2025-11-07
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 20 20 $32,345.86 $3,237,681.18 $10,468.13 $16,545.97 $15,742.67 2025-11-07
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 19 19 $29,890.37 $2,991,897.04 $5,000.14 $16,483.96 $15,699.01 2025-11-07
177 MS_DRG Respiratory Infections And Inflammations With Mcc 20 20 $62,460.36 — $6,233.39 $24,639.69 $15,641.96 2025-11-07
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 20 20 $46,484.23 $4,652,871.04 $5,244.31 $16,415.65 $15,618.67 2025-11-07
186 MS_DRG Pleural Effusion With Mcc 19 19 $45,402.02 $4,544,546.84 $7,186.77 $16,379.91 $15,599.91 2025-11-07
669 MS_DRG Transurethral Procedures With Cc 20 20 $79,787.69 — $10,310.18 $42,017.89 $15,534.85 2025-11-07
77 MS_DRG Hypertensive Encephalopathy With Mcc 19 19 $58,945.90 — $5,764.82 $16,250.64 $15,476.80 2025-11-07
C1895 HCPCS Lead, Cardioverter-defibrillator, Endocardial Dual Coil (implantable) 91 20 $15,504.30 — $1,182.46 $62,017.20 $15,456.15 2025-11-07
33240 HCPCS Insertion Of Defibrillator With Existing Single Lead 32 32 $58,606.04 $28,520.10 51% off $181.00 $41,685.89 $15,443.61 2025-11-07
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 20 20 $18,858.04 $1,887,608.71 $4,440.00 $16,223.31 $15,435.67 2025-11-07
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 19 19 $32,935.32 $3,296,683.91 $15,020.56 $16,132.93 $15,364.69 2025-11-07
115 MS_DRG Extraocular Procedures Except Orbit 19 19 $19,031.07 $1,904,928.10 $10,660.72 $16,131.88 $15,363.69 2025-11-07
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 19 19 $35,087.50 $3,512,107.87 $15,326.66 $16,512.18 $15,356.68 2025-11-07
183 MS_DRG Major Chest Trauma With Mcc 19 19 $38,763.98 $3,880,107.71 $7,078.64 $16,079.33 $15,313.64 2025-11-07
54 MS_DRG Nervous System Neoplasms With Mcc 19 19 $32,413.50 $3,244,452.15 $7,773.36 $16,047.80 $15,283.61 2025-11-07
813 MS_DRG Coagulation Disorders 20 20 $28,768.56 $2,879,609.48 $8,334.15 $20,379.44 $15,267.60 2025-11-07
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 20 20 $23,561.69 $2,358,423.40 $10,134.67 $16,022.57 $15,244.67 2025-11-07
663 MS_DRG Minor Bladder Procedures With Cc 20 20 $32,465.09 $3,249,616.01 $11,952.27 $17,887.71 $15,216.55 2025-11-07
606 MS_DRG Minor Skin Disorders With Mcc 19 19 $26,340.85 $2,636,605.32 $5,517.47 $15,903.81 $15,146.48 2025-11-07
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 19 19 $25,084.89 $2,510,889.62 $13,375.64 $15,814.47 $15,061.40 2025-11-07
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 19 19 $22,426.63 $2,244,809.55 $9,621.47 $15,800.81 $15,048.39 2025-11-07
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 20 20 $26,598.19 $2,662,364.62 $13,525.49 $15,768.23 $15,002.68 2025-11-07
865 MS_DRG Viral Illness With Mcc 19 19 $14,125.91 $1,413,942.85 $4,943.95 $15,747.21 $14,997.34 2025-11-07
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 24 24 $24,363.35 $2,438,666.94 $7,297.00 $34,264.55 $14,959.30 2025-11-07
137 MS_DRG Mouth Procedures With Cc/mcc 20 20 $33,730.28 $3,376,255.99 $12,122.95 $19,544.08 $14,946.29 2025-11-07
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 19 19 $39,631.62 $3,966,954.75 $11,711.98 $15,627.39 $14,883.23 2025-11-07
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 19 19 $40,390.45 $4,042,910.60 $5,620.65 $15,585.35 $14,843.19 2025-11-07
682 MS_DRG Renal Failure With Mcc 20 20 $42,327.88 $4,236,838.44 $5,754.58 $19,813.14 $14,824.17 2025-11-07
748 MS_DRG Female Reproductive System Reconstructive Procedures 25 25 $34,352.30 $3,438,517.52 $13,859.13 $16,064.48 $14,798.64 2025-11-07
388 MS_DRG Gastrointestinal Obstruction With Mcc 19 19 $33,789.26 $3,382,159.22 $5,646.80 $15,521.24 $14,782.13 2025-11-07
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 19 19 $19,181.76 $1,920,011.29 $14,743.24 $15,510.73 $14,772.12 2025-11-07
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/mcc 19 19 $21,957.99 $2,197,900.38 $12,838.87 $15,460.28 $14,724.08 2025-11-07
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 20 20 $24,185.01 $2,420,815.09 $6,601.60 $15,471.84 $14,720.69 2025-11-07
05000074 CDM Perimounted Aortic Valve 13 13 $30,453.27 — $2,149.00 $31,975.93 $14,617.57 2025-11-07
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 19 19 $48,794.73 $4,884,142.66 $13,522.64 $15,339.42 $14,608.97 2025-11-07
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 22 22 $28,410.67 $2,843,785.71 $12,916.78 $16,150.79 $14,598.56 2025-11-07
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 19 19 $36,415.93 $3,645,078.00 $14,517.47 $17,137.34 $14,545.91 2025-11-07
33231 HCPCS Insertion Of Defibrillator With Existing Multiple Leads 32 32 $58,525.79 $40,737.40 30% off $181.00 $59,543.09 $14,518.11 2025-11-07
33230 HCPCS Insertion Of Defibrillator With Existing Dual Leads 32 32 $58,525.79 $28,520.10 51% off $181.00 $41,685.89 $14,518.11 2025-11-07
33264 HCPCS Removal And Replacement Of Multiple Lead Defibrillator 32 32 $70,431.68 $40,737.40 42% off $181.00 $59,543.09 $14,518.11 2025-11-07
33263 HCPCS Removal And Replacement Of Dual Lead Defibrillator 32 32 $67,756.68 $28,520.10 58% off $181.00 $41,685.89 $14,518.11 2025-11-07
33262 HCPCS Removal And Replacement Of Single Lead Defibrillator 32 32 $59,164.58 $28,520.10 52% off $181.00 $41,685.89 $14,518.11 2025-11-07
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 19 19 $8,745.25 $875,361.54 $9,520.05 $15,167.05 $14,444.81 2025-11-07
710 MS_DRG Penis Procedures Without Cc/mcc 20 20 $111,912.38 — $13,997.99 $52,665.96 $14,376.05 2025-11-07
637 MS_DRG Diabetes With Mcc 20 20 $34,268.77 $3,430,156.70 $5,746.10 $15,099.79 $14,366.69 2025-11-07
05000673 CDM Stent Endoprothesis 13 13 $29,930.04 — $2,149.00 $31,426.54 $14,366.42 2025-11-07
757 MS_DRG Infections, Female Reproductive System With Mcc 19 19 $18,262.63 $1,828,010.73 $6,016.42 $15,049.34 $14,332.70 2025-11-07
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 20 20 $36,400.85 $3,643,568.11 $5,579.31 $14,974.72 $14,247.69 2025-11-07
642 MS_DRG Inborn And Other Disorders Of Metabolism 20 20 $52,058.57 — $6,898.78 $23,182.42 $14,234.61 2025-11-07
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 24 24 $26,689.40 $2,671,494.18 $7,961.03 $17,398.34 $14,226.19 2025-11-07
602 MS_DRG Cellulitis With Mcc 20 20 $23,795.29 $2,381,805.99 $5,530.90 $14,937.93 $14,212.69 2025-11-07
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 20 20 $128,120.24 — $13,965.02 $62,455.52 $14,113.70 2025-11-07
811 MS_DRG Red Blood Cell Disorders With Mcc 20 20 $39,389.79 $3,942,748.50 $8,334.15 $14,759.26 $14,056.44 2025-11-07
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 20 $52,190.94 — $8,471.97 $27,286.95 $14,051.43 2025-11-07
422 MS_DRG Hepatobiliary Diagnostic Procedures Without Cc/mcc 19 19 $27,140.91 $2,716,688.45 $13,981.01 $14,708.82 $14,008.39 2025-11-07
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 20 20 $47,418.68 $4,746,405.97 $13,619.37 $22,315.23 $13,987.20 2025-11-07
885 MS_DRG Psychoses 19 19 $34,536.49 $3,456,954.13 $4,498.36 $14,680.44 $13,981.37 2025-11-07
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 19 19 $47,395.80 $4,744,115.28 $7,848.98 $14,669.93 $13,971.36 2025-11-07
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 20 20 $29,806.38 $2,983,490.74 $13,496.49 $14,550.11 $13,843.70 2025-11-07
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 21 21 $24,468.42 $2,449,183.35 $7,397.38 $49,208.42 $13,820.21 2025-11-07
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 24 24 $73,710.67 — $6,799.13 $29,889.56 $13,749.15 2025-11-07
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