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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

HOLMES REGIONAL MEDICAL CENTER

Melbourne, FL · CCN 100019 · Rates published

5,250 distinct procedures filed
16 distinct payers
243,609 rate rows
2026-07-15 last MRF observed
Data quality

235,982 of 243,609 rate rows are consumer-grade (96.9%)

7,627 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,275
per-diem day rate — not a per-procedure price 2,427
template filing: same amount across many unrelated codes — excluded 1,328
exceeds 10× this hospital's gross charge — excluded from medians 430
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 145
placeholder amount (≤ $0.02) — excluded from medians 15
exceeds 3× this hospital's gross charge for a DRG stay — excluded 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hf.org/sites/default/files/2025-10/590624371_Holmes-Regional-Medical-Center_standardcharges.csv
Found on page https://hf.org/healthcare-home/patients-visitors/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 93e99178a4dbebf1… · 166,253,767 bytes · first seen 2026-05-08

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 6 $192,144.21 $764,994.70 $656,659.41 nat. median
$249,124
outlier · 2.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $146,376.93 $610,179.09 $522,309.52 nat. median
$190,557
outlier · 2.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $137,695.55 $402,295.23 $344,362.23 nat. median
$126,722
outlier · 2.7×
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 7 $74,786.71 $310,160.23 $265,495.24 nat. median
$97,414
outlier · 2.7×
215
MS_DRG 		Other Heart Assist System Implant 7 $72,754.72 $301,644.55 $258,205.87 nat. median
$93,917
outlier · 2.7×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $245,310.00 $274,747.20 $257,575.50 nat. median
$247,214
1.0× median
5833
APR_DRG 		Neonate With Ecmo 6 $245,310.00 $274,747.20 $257,575.50 nat. median
$244,017
1.1× median
5834
APR_DRG 		Neonate With Ecmo 6 $245,310.00 $274,747.20 $257,575.50 nat. median
$307,273
0.8× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $227,544.57 $254,849.92 $238,921.80 nat. median
$67,766
outlier · 3.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $66,343.49 $274,776.47 $235,206.96 nat. median
$90,581
outlier · 2.6×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $219,175.32 $245,476.36 $230,134.09 nat. median
$133,164
1.7× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $198,769.55 $222,621.90 $208,708.03 nat. median
$154,011
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $58,345.89 $241,260.41 $206,517.42 nat. median
$77,043
outlier · 2.7×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $58,313.99 $241,126.59 $206,402.87 nat. median
$77,696
outlier · 2.7×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $55,541.45 $229,507.57 $196,457.07 nat. median
$74,460
outlier · 2.6×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $183,150.00 $205,128.00 $192,307.50 nat. median
$165,000
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $53,879.05 $222,540.72 $190,493.48 nat. median
$71,758
outlier · 2.7×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $53,343.03 $220,294.36 $188,570.61 nat. median
$72,473
outlier · 2.6×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $51,486.29 $212,513.24 $181,910.02 nat. median
$68,004
outlier · 2.7×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $48,787.83 $201,204.56 $172,229.86 nat. median
$66,649
outlier · 2.6×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $48,037.13 $198,058.51 $169,536.86 nat. median
$62,721
outlier · 2.7×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 7 $47,166.16 $194,408.53 $166,412.50 nat. median
$61,711
outlier · 2.7×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $61,819.54 $189,833.24 $162,496.08 nat. median
$63,896
outlier · 2.5×
5832
APR_DRG 		Neonate With Ecmo 6 $153,656.35 $172,095.11 $161,339.17 nat. median
$159,249
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 7 $64,338.83 $184,127.65 $157,612.13 nat. median
$59,384
outlier · 2.7×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $44,649.77 $183,862.87 $157,385.48 nat. median
$62,038
outlier · 2.5×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $146,520.00 $164,102.40 $153,846.00 nat. median
$175,429
0.9× median
276
MS_DRG 		Non-maligant Breast Disorders 7 $42,859.63 $176,360.76 $150,963.72 nat. median
$56,686
outlier · 2.7×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 $42,613.68 $175,330.11 $150,081.49 nat. median
$58,118
outlier · 2.6×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 7 $42,277.39 $173,920.80 $148,875.13 nat. median
$57,804
outlier · 2.6×
28
MS_DRG 		Spinal Procedures With Mcc 7 $42,079.02 $173,089.44 $148,163.49 nat. median
$54,505
outlier · 2.7×
27487
CPT 		Revise/replace Knee Joint 16 $79.33 $307,047.71 $146,944.26 nat. median
$11,908
outlier · 12.3×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 $41,476.43 $170,564.07 $146,001.79 nat. median
$58,331
outlier · 2.5×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $41,194.48 $169,382.52 $144,990.39 nat. median
$59,558
outlier · 2.4×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 $41,163.91 $169,254.40 $144,880.72 nat. median
$50,905
outlier · 2.8×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 7 $40,752.21 $167,529.06 $143,403.84 nat. median
$55,491
outlier · 2.6×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $134,310.00 $150,427.20 $141,025.50 nat. median
$151,838
0.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $39,768.49 $163,406.46 $139,874.92 nat. median
$55,188
outlier · 2.5×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $133,200.00 $149,184.00 $139,860.00 nat. median
$162,514
0.9× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 $39,535.46 $162,429.90 $139,038.99 nat. median
$53,532
outlier · 2.6×
24
APR_DRG 		Heart And/or Lung Transplant 6 $132,272.77 $148,145.50 $138,886.41 nat. median
$241,915
0.6× median
33990
CPT 		Insj Perq Vad L Hrt Arterial 16 $79.33 $288,259.96 $137,952.98 nat. median
$4,432
outlier · 31.1×
653
MS_DRG 		Major Bladder Procedures With Mcc 7 $42,899.73 $158,714.44 $135,858.58 nat. median
$49,999
outlier · 2.7×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 $38,327.52 $157,367.76 $134,705.83 nat. median
$51,590
outlier · 2.6×
834
MS_DRG 		Acute Leukemia Without Major O.r. Procedures With Mcc 7 $38,327.52 $157,367.76 $134,705.83 nat. median
$50,391
outlier · 2.7×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 7 $37,657.67 $154,560.52 $132,302.85 nat. median
$50,825
outlier · 2.6×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 7 $37,469.48 $153,771.87 $131,627.77 nat. median
$49,960
outlier · 2.6×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 $37,434.82 $153,626.67 $131,503.48 nat. median
$50,083
outlier · 2.6×
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 $37,430.76 $153,609.59 $131,488.86 nat. median
$46,668
outlier · 2.8×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 $36,920.55 $151,471.41 $129,658.59 nat. median
$51,613
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 5,250 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 6 $696,620.15 $174,155.04 75% off $192,144.21 $764,994.70 $656,659.41 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 7 $288,397.95 $72,099.49 75% off $37,434.82 $153,626.67 $131,503.48 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 6 — — $55,500.00 $62,160.00 $58,275.00 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 6 — — $227,544.57 $254,849.92 $238,921.80 2026-07-15
113 MS_DRG Orbital Procedures With Cc/mcc 13 7 $109,915.02 $27,478.76 75% off $16,107.29 $64,247.66 $54,995.60 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 6 — — $55,523.31 $62,186.11 $58,299.48 2026-07-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 13 7 $77,258.10 $19,314.53 75% off $17,156.94 $68,646.43 $58,760.92 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 10 6 — — $73,625.81 $82,460.91 $77,307.10 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 13 7 $202,063.38 $50,515.85 75% off $29,508.60 $120,409.55 $103,069.83 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 13 7 $139,976.13 $34,994.03 75% off $15,372.91 $61,169.94 $52,361.09 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 13 7 $250,993.96 $62,748.49 75% off $23,208.79 $94,008.39 $80,470.60 2026-07-15
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 13 7 $88,502.21 $22,125.55 75% off $16,362.06 $65,315.32 $55,909.51 2026-07-15
15819 CPT Plastic Surgery, Neck 28 15 $94,012.61 $23,503.15 75% off $79.33 $105,294.12 $63,458.51 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 6 — — $56,663.71 $63,463.36 $59,496.90 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 10 6 — — $56,870.74 $63,695.23 $59,714.28 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 10 6 — — $56,870.74 $63,695.23 $59,714.28 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 10 6 — — $77,290.75 $86,565.64 $81,155.29 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 10 6 — — $98,707.97 $110,552.93 $103,643.37 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 13 7 $193,821.42 $48,455.35 75% off $46,048.73 $131,228.53 $112,330.81 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 13 7 $163,370.20 $40,842.55 75% off $17,876.39 $71,661.51 $61,341.81 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 7 $214,273.44 $53,568.36 75% off $26,934.46 $109,621.89 $93,835.66 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 7 $428,534.96 $107,133.74 75% off $55,541.45 $229,507.57 $196,457.07 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 7 $350,744.78 $87,686.19 75% off $64,338.83 $184,127.65 $157,612.13 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 7 $148,493.51 $37,123.38 75% off $19,009.57 $76,410.47 $65,406.89 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 7 $251,082.62 $62,770.65 75% off $38,327.52 $157,367.76 $134,705.83 2026-07-15
21147 CPT Lefort I-3/> Piece With Graft 32 16 $166,882.50 $41,720.63 75% off $79.33 $186,908.40 $89,449.01 2026-07-15
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 13 7 $547,739.28 $136,934.82 75% off $74,786.71 $310,160.23 $265,495.24 2026-07-15
215 MS_DRG Other Heart Assist System Implant 13 7 $442,038.27 $110,509.57 75% off $72,754.72 $301,644.55 $258,205.87 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 7 $512,247.97 $128,061.99 75% off $66,343.49 $274,776.47 $235,206.96 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 7 $509,053.79 $127,263.45 75% off $44,649.77 $183,862.87 $157,385.48 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 7 $386,024.68 $96,506.17 75% off $41,194.48 $169,382.52 $144,990.39 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 7 $509,321.34 $127,330.34 75% off $53,343.03 $220,294.36 $188,570.61 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 10 6 — — $54,560.01 $61,107.21 $57,288.01 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 7 $377,779.61 $94,444.90 75% off $36,760.91 $150,802.35 $129,085.88 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 7 $346,585.48 $86,646.37 75% off $31,977.44 $130,755.91 $111,926.25 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 7 $244,206.40 $61,051.60 75% off $34,631.74 $141,879.53 $121,448.00 2026-07-15
22867 CPT Insj Stablj Dev W/dcmprn 42 16 $181,543.43 $45,385.86 75% off $79.33 $203,328.64 $53,827.62 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 13 7 $176,848.20 $44,212.05 75% off $21,879.92 $88,439.47 $75,703.64 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 7 $275,079.08 $68,769.77 75% off $39,535.46 $162,429.90 $139,038.99 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 10 6 — — $72,051.42 $80,697.59 $75,653.99 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 7 $383,761.26 $95,940.32 75% off $58,345.89 $241,260.41 $206,517.42 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 7 $357,334.25 $89,333.56 75% off $42,277.39 $173,920.80 $148,875.13 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 7 $375,650.77 $93,912.69 75% off $53,879.05 $222,540.72 $190,493.48 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 7 $321,033.23 $80,258.31 75% off $36,920.55 $151,471.41 $129,658.59 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 7 $352,546.97 $88,136.74 75% off $40,752.21 $167,529.06 $143,403.84 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 13 7 $281,693.92 $70,423.48 75% off $28,713.06 $117,075.60 $100,215.99 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 7 $237,107.81 $59,276.95 75% off $34,995.88 $143,405.58 $122,754.29 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 10 6 — — $132,272.77 $148,145.50 $138,886.41 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 7 $194,225.97 $48,556.49 75% off $26,604.29 $108,238.20 $92,651.23 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 13 7 $143,035.39 $35,758.85 75% off $20,561.27 $82,913.25 $70,973.23 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 13 7 $143,848.29 $35,962.07 75% off $23,820.90 $96,573.63 $82,666.43 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 13 7 $101,010.06 $25,252.52 75% off $16,081.47 $64,139.47 $54,902.99 2026-07-15
245 MS_DRG Aicd Generator Procedures 13 7 $183,455.15 $45,863.79 75% off $33,976.15 $139,132.08 $119,096.20 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 7 $234,548.50 $58,637.13 75% off $31,160.15 $127,330.85 $108,994.42 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 13 7 $127,262.78 $31,815.69 75% off $16,487.75 $65,842.03 $56,360.37 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 13 7 $204,197.34 $51,049.33 75% off $24,081.78 $97,666.92 $83,602.28 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 13 7 $177,429.34 $44,357.34 75% off $18,120.97 $72,686.46 $62,219.16 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 13 7 $123,319.70 $30,829.92 75% off $18,552.37 $74,494.37 $63,766.72 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 13 7 $147,792.34 $36,948.08 75% off $21,555.87 $87,081.40 $74,541.14 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 13 7 $168,475.72 $42,118.93 75% off $23,917.36 $96,977.92 $83,012.50 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 13 7 $151,319.69 $37,829.92 75% off $24,521.33 $99,508.99 $85,179.08 2026-07-15
265 MS_DRG Aicd Lead Procedures 13 7 $200,310.14 $50,077.54 75% off $25,011.16 $101,561.75 $86,936.23 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 7 $455,805.69 $113,951.42 75% off $41,476.43 $170,564.07 $146,001.79 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 7 $388,588.35 $97,147.09 75% off $32,739.02 $133,947.51 $114,658.24 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 7 $276,128.70 $69,032.17 75% off $61,819.54 $189,833.24 $162,496.08 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 7 $210,210.01 $52,552.50 75% off $29,043.23 $118,459.29 $101,400.42 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 13 7 $154,740.81 $38,685.20 75% off $17,542.13 $70,260.73 $60,142.75 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 7 $245,106.98 $61,276.74 75% off $35,648.78 $146,141.64 $125,096.34 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 13 7 $187,191.99 $46,798.00 75% off $24,176.88 $98,065.51 $83,943.47 2026-07-15
27132 CPT Total Hip Arthroplasty 32 16 $109,615.25 $27,403.81 75% off $79.33 $122,769.08 $58,753.78 2026-07-15
27134 CPT Revise Hip Joint Replacement 32 16 $101,281.31 $25,320.33 75% off $79.33 $113,435.07 $54,286.79 2026-07-15
27137 CPT Revise Hip Joint Replacement 32 16 $102,333.21 $25,583.30 75% off $79.33 $114,613.20 $54,850.60 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 13 7 $139,018.12 $34,754.53 75% off $17,775.85 $71,240.14 $60,981.12 2026-07-15
27280 CPT Arthr Si Jt Opn B1grf Instrm 32 16 $153,715.01 $38,428.75 75% off $79.33 $172,160.81 $82,391.25 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 7 $179,727.71 $44,931.93 75% off $27,342.09 $111,330.15 $95,297.92 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 13 7 $158,028.33 $39,507.08 75% off $21,979.81 $88,857.99 $76,061.89 2026-07-15
27487 CPT Revise/replace Knee Joint 32 16 $274,149.74 $68,537.44 75% off $79.33 $307,047.71 $146,944.26 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 7 $344,176.83 $86,044.21 75% off $48,787.83 $201,204.56 $172,229.86 2026-07-15
276 MS_DRG Non-maligant Breast Disorders 13 7 $254,925.76 $63,731.44 75% off $42,859.63 $176,360.76 $150,963.72 2026-07-15
277 MS_DRG Cellulitis Age >17 W Cc 13 7 $183,673.10 $45,918.27 75% off $32,380.30 $132,444.24 $113,371.45 2026-07-15
279 MS_DRG Cellulitis Age 0-17 13 7 $143,437.88 $35,859.47 75% off $22,546.39 $91,232.47 $78,094.43 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 13 7 $326,515.42 $81,628.85 75% off $42,079.02 $173,089.44 $148,163.49 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 13 7 $108,027.25 $27,006.81 75% off $15,813.13 $63,014.86 $53,940.33 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 13 7 $396,010.66 $99,002.66 75% off $19,333.64 $77,768.54 $66,569.39 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 13 7 $185,855.83 $46,463.96 75% off $23,581.07 $95,568.61 $81,806.14 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 7 $931,738.71 $232,934.68 75% off $146,376.93 $610,179.09 $522,309.52 2026-07-15
30 MS_DRG Spinal Procedures Without Cc/mcc 13 7 $207,261.16 $51,815.29 75% off $15,895.34 $63,359.36 $54,235.22 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 6 — — $87,540.39 $98,045.24 $91,917.41 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 7 $159,597.83 $39,899.46 75% off $29,246.36 $119,310.57 $102,129.11 2026-07-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 13 7 $101,402.03 $25,350.51 75% off $15,406.88 $61,312.30 $52,482.95 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 7 $329,449.29 $82,362.32 75% off $30,620.05 $125,067.41 $107,056.93 2026-07-15
32 MS_DRG Ventricular Shunt Procedures With Cc 13 7 $155,513.29 $38,878.32 75% off $15,285.26 $60,802.67 $52,046.71 2026-07-15
321 MS_DRG Kidney & Urinary Tract Infections Age >17 Without Cc 13 7 $118,239.35 $29,559.84 75% off $20,116.96 $81,051.24 $69,379.36 2026-07-15
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 13 7 $210,817.62 $52,704.40 75% off $29,713.77 $121,269.38 $103,805.84 2026-07-15
324 MS_DRG Urinary Stones Without Cc 13 7 $125,100.37 $31,275.09 75% off $22,483.21 $90,967.69 $77,867.78 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 13 7 $117,675.49 $29,418.87 75% off $20,220.90 $81,486.85 $69,752.24 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 13 7 $260,501.92 $65,125.48 75% off $35,281.91 $144,604.21 $123,780.31 2026-07-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 13 7 $142,466.59 $35,616.65 75% off $17,272.42 $69,130.44 $59,175.23 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 13 7 $269,798.95 $67,449.74 75% off $31,972.69 $130,735.98 $111,909.19 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 13 7 $173,743.29 $43,435.82 75% off $16,834.92 $67,296.90 $57,605.73 2026-07-15
33249 CPT Insj/rplcmt Defib W/lead(s) 41 16 $145,561.85 $36,390.46 75% off $845.76 $163,029.27 $59,971.48 2026-07-15
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 68 16 $164,208.07 $41,052.02 75% off $79.33 $183,913.04 $78,523.70 2026-07-15
33270 CPT Ins/rep Subq Defibrillator 68 16 $250,755.14 $62,688.79 75% off $79.33 $280,845.76 $86,880.67 2026-07-15
33340 CPT Perq Clsr Tcat L Atr Apndge 31 16 $186,197.86 $46,549.47 75% off $725.48 $208,541.60 $106,132.78 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 13 7 $212,157.52 $53,039.38 75% off $25,392.97 $103,161.82 $88,305.88 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 13 7 $128,261.17 $32,065.29 75% off $15,126.98 $60,139.29 $51,478.86 2026-07-15
33990 CPT Insj Perq Vad L Hrt Arterial 32 16 $257,374.96 $64,343.74 75% off $79.33 $288,259.96 $137,952.98 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 13 7 $201,063.94 $50,265.98 75% off $27,195.33 $110,715.18 $94,771.51 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 13 7 $123,624.85 $30,906.21 75% off $19,082.28 $76,715.11 $65,667.66 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 13 7 $46,086.98 $11,521.75 75% off $16,855.98 $67,385.16 $57,681.28 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 13 7 $174,948.80 $43,737.20 75% off $16,230.96 $64,765.83 $55,439.15 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 13 7 $85,464.50 $21,366.13 75% off $17,208.57 $68,862.81 $58,946.14 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 13 7 $166,935.23 $41,733.81 75% off $20,702.58 $83,505.44 $71,480.14 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 13 7 $189,737.21 $47,434.30 75% off $29,756.57 $121,448.74 $103,959.38 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 13 7 $106,304.65 $26,576.16 75% off $16,076.05 $64,116.69 $54,883.49 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 13 7 $206,025.31 $51,506.33 75% off $23,337.86 $94,549.34 $80,933.65 2026-07-15
37242 CPT Vasc Embolize/occlude Artery 64 16 $98,869.90 $24,717.48 75% off $79.33 $197,752.20 $73,448.49 2026-07-15
374 MS_DRG Digestive Malignancy With Mcc 13 7 $98,015.76 $24,503.94 75% off $15,120.85 $60,113.67 $51,456.93 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 7 $670,360.09 $167,590.02 75% off $137,695.55 $402,295.23 $344,362.23 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 7 $236,170.37 $59,042.59 75% off $26,403.18 $107,395.46 $91,929.85 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 7 $220,301.66 $55,075.42 75% off $37,657.67 $154,560.52 $132,302.85 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 13 7 $110,802.50 $27,700.62 75% off $19,856.09 $79,957.96 $68,443.52 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 13 7 $112,347.93 $28,086.98 75% off $24,563.45 $99,685.51 $85,330.18 2026-07-15
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 13 7 $110,233.82 $27,558.46 75% off $15,019.63 $59,689.45 $51,093.80 2026-07-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 13 7 $110,060.51 $27,515.13 75% off $16,118.18 $64,293.21 $55,034.59 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 13 7 $200,232.75 $50,058.19 75% off $24,580.43 $99,756.69 $85,391.11 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 13 7 $139,160.35 $34,790.09 75% off $16,921.87 $67,661.33 $57,917.68 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 13 7 $50,929.01 $12,732.25 75% off $28,409.38 $115,802.95 $99,126.61 2026-07-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 13 7 $78,372.09 $19,593.02 75% off $16,288.71 $65,007.83 $55,646.30 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 6 — — $51,280.79 $57,434.48 $53,844.83 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 6 — — $74,365.74 $83,289.63 $78,084.03 2026-07-15
44205 CPT Lap Colectomy Part W/ileum 32 16 $146,996.72 $36,749.18 75% off $79.33 $164,636.33 $78,790.24 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 7 $482,234.32 $120,558.58 75% off $58,313.99 $241,126.59 $206,402.87 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 7 $308,615.85 $77,153.96 75% off $39,768.49 $163,406.46 $139,874.92 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 7 $227,163.41 $56,790.85 75% off $30,111.89 $122,937.78 $105,233.98 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 7 $359,145.91 $89,786.48 75% off $37,469.48 $153,771.87 $131,627.77 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 7 $197,842.77 $49,460.69 75% off $20,808.56 $83,949.59 $71,860.33 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 7 $363,558.57 $90,889.64 75% off $35,387.89 $145,048.36 $124,160.50 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 13 7 $201,692.56 $50,423.14 75% off $24,046.45 $97,518.87 $83,475.55 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 13 7 $184,540.71 $46,135.18 75% off $18,598.56 $74,687.97 $63,932.44 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 7 $210,039.11 $52,509.78 75% off $22,983.23 $93,063.16 $79,661.49 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 13 7 $310,128.08 $77,532.02 75% off $34,955.17 $138,292.19 $118,377.26 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 13 7 $177,534.73 $44,383.68 75% off $20,459.36 $82,486.18 $70,607.66 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 13 7 $153,135.23 $38,283.81 75% off $16,860.04 $67,402.25 $57,695.91 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 7 $291,820.39 $72,955.10 75% off $31,244.40 $127,683.89 $109,296.62 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 13 7 $134,723.70 $33,680.92 75% off $15,432.69 $61,420.49 $52,575.56 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 13 7 $154,874.58 $38,718.64 75% off $24,140.20 $97,911.77 $83,811.87 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 13 7 $110,613.38 $27,653.35 75% off $16,664.38 $66,582.28 $56,994.02 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 13 7 $183,568.20 $45,892.05 75% off $20,756.92 $83,733.21 $71,675.11 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 13 7 $245,025.31 $61,256.33 75% off $18,088.36 $72,549.80 $62,102.18 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 7 $121,719.49 $30,429.87 75% off $22,647.61 $91,656.69 $78,457.56 2026-07-15
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 13 7 $143,659.42 $35,914.86 75% off $15,185.39 $60,384.14 $51,688.45 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 7 $247,219.36 $61,804.84 75% off $24,902.45 $101,106.22 $86,546.30 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 13 7 $181,948.98 $45,487.24 75% off $17,088.31 $68,358.87 $58,514.77 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 7 $197,664.46 $49,416.11 75% off $24,694.57 $100,235.00 $85,800.54 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 13 7 $183,956.74 $45,989.18 75% off $17,930.05 $71,886.43 $61,534.34 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 13 7 $153,771.61 $38,442.90 75% off $22,303.86 $90,216.06 $77,224.39 2026-07-15
503 MS_DRG Foot Procedures With Mcc 13 7 $123,788.03 $30,947.01 75% off $18,756.86 $75,351.35 $64,500.29 2026-07-15
50546 CPT Laparoscopic Nephrectomy 32 16 $95,387.02 $23,846.76 75% off $79.33 $106,833.46 $51,127.44 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 13 7 $153,195.25 $38,298.81 75% off $20,193.73 $81,372.97 $69,654.76 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 13 7 $155,145.97 $38,786.49 75% off $21,785.50 $88,043.72 $75,364.88 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 7 $217,895.45 $54,473.86 75% off $25,125.29 $102,040.06 $87,345.66 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 13 7 $167,889.88 $41,972.47 75% off $20,578.25 $82,984.42 $71,034.15 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 13 7 $140,033.94 $35,008.48 75% off $15,098.44 $60,019.72 $51,376.51 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 6 — — $51,805.72 $58,022.41 $54,396.01 2026-07-15
54411 CPT Remov/replc Penis Pros Comp 42 16 $201,262.51 $50,315.63 75% off $79.33 $225,414.01 $59,674.34 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 13 7 $169,793.51 $42,448.38 75% off $17,943.64 $71,943.37 $61,583.08 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 13 7 $78,054.80 $19,513.70 75% off $17,788.74 $71,294.23 $61,027.42 2026-07-15
570 MS_DRG Skin Debridement With Mcc 13 7 $122,212.58 $30,553.15 75% off $48,069.88 $85,703.41 $73,361.58 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 7 $318,110.44 $79,527.61 75% off $42,613.68 $175,330.11 $150,081.49 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 7 $196,204.85 $49,051.21 75% off $24,316.15 $98,649.17 $84,443.08 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 7 $124,293.55 $31,073.39 75% off $37,430.76 $153,609.59 $131,488.86 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 13 7 $206,903.79 $51,725.95 75% off $18,866.90 $75,812.58 $64,895.10 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 13 7 $108,695.95 $27,173.99 75% off $22,920.05 $92,798.38 $79,434.84 2026-07-15
5831 APR_DRG Neonate With Ecmo 10 6 — — $90,740.28 $101,629.11 $95,277.29 2026-07-15
5832 APR_DRG Neonate With Ecmo 10 6 — — $153,656.35 $172,095.11 $161,339.17 2026-07-15
5833 APR_DRG Neonate With Ecmo 10 6 — — $245,310.00 $274,747.20 $257,575.50 2026-07-15
5834 APR_DRG Neonate With Ecmo 10 6 — — $245,310.00 $274,747.20 $257,575.50 2026-07-15
58548 CPT Lap Radical Hyst 32 16 $108,431.06 $27,107.77 75% off $79.33 $121,442.79 $58,119.04 2026-07-15
5881 APR_DRG Female Reproductive System Reconstructive Procedures 10 6 — — $55,500.00 $62,160.00 $58,275.00 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 6 — — $122,819.21 $137,557.52 $128,960.17 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 6 — — $146,520.00 $164,102.40 $153,846.00 2026-07-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 6 — — $245,310.00 $274,747.20 $257,575.50 2026-07-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 6 — — $65,999.17 $73,919.07 $69,299.13 2026-07-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 6 — — $96,570.00 $108,158.40 $101,398.50 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 6 — — $88,800.00 $99,456.00 $93,240.00 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 6 — — $101,010.00 $113,131.20 $106,060.50 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 6 — — $133,200.00 $149,184.00 $139,860.00 2026-07-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 6 — — $73,005.44 $81,766.09 $76,655.71 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 6 — — $109,890.00 $123,076.80 $115,384.50 2026-07-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 6 — — $134,310.00 $150,427.20 $141,025.50 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 6 — — $51,857.62 $58,080.53 $54,450.50 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 6 — — $98,628.75 $110,464.20 $103,560.19 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 6 — — $111,000.00 $124,320.00 $116,550.00 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 6 — — $58,832.64 $65,892.56 $61,774.27 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 6 — — $88,800.00 $99,456.00 $93,240.00 2026-07-15
60650 CPT Laparoscopy Adrenalectomy 31 16 $99,625.29 $24,906.32 75% off $1,130.94 $111,580.32 $56,786.42 2026-07-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 6 — — $75,285.51 $84,319.77 $79,049.79 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 6 — — $109,806.49 $122,983.27 $115,296.81 2026-07-15
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 6 — — $54,062.45 $60,549.94 $56,765.57 2026-07-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 6 — — $62,629.81 $70,145.39 $65,761.30 2026-07-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 6 — — $79,047.66 $88,533.38 $83,000.04 2026-07-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 6 — — $183,150.00 $205,128.00 $192,307.50 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 13 7 $128,977.56 $32,244.39 75% off $19,142.73 $76,968.50 $65,884.56 2026-07-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 6 — — $91,327.43 $102,286.72 $95,893.80 2026-07-15
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 6 — — $49,819.32 $55,797.64 $52,310.29 2026-07-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 6 — — $71,941.68 $80,574.68 $75,538.76 2026-07-15
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 6 — — $48,897.90 $54,765.65 $51,342.80 2026-07-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 6 — — $68,820.00 $77,078.40 $72,261.00 2026-07-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 13 7 $273,901.07 $68,475.27 75% off $16,259.49 $64,885.41 $55,541.51 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 7 $210,824.82 $52,706.20 75% off $27,034.33 $110,040.42 $94,193.92 2026-07-15
61885 CPT Insrt/redo Neurostim 1 Array 42 16 $243,813.39 $60,953.35 75% off $79.33 $273,071.00 $72,290.67 2026-07-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 6 — — $70,552.18 $79,018.44 $74,079.79 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 7 $305,514.89 $76,378.72 75% off $26,198.71 $106,538.48 $91,196.28 2026-07-15
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 10 6 — — $50,398.88 $56,446.75 $52,918.82 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 13 7 $225,886.11 $56,471.53 75% off $20,254.88 $81,629.20 $69,874.09 2026-07-15
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 10 6 — — $62,538.59 $70,043.22 $65,665.52 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 13 7 $225,293.85 $56,323.46 75% off $27,582.58 $112,338.02 $96,160.65 2026-07-15
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 13 7 $143,158.97 $35,789.74 75% off $16,056.36 $64,034.13 $54,812.82 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 6 — — $105,450.00 $118,104.00 $110,722.50 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 6 — — $198,769.55 $222,621.90 $208,708.03 2026-07-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 6 — — $64,419.21 $72,149.52 $67,640.17 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 6 — — $219,175.32 $245,476.36 $230,134.09 2026-07-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 10 6 — — $71,752.79 $80,363.12 $75,340.43 2026-07-15
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 64 16 $159,968.77 $39,992.19 75% off $79.33 $179,165.02 $80,304.32 2026-07-15
64568 CPT Opn Impltj Crnl Nrv Nea&pg 42 16 $335,208.69 $83,802.17 75% off $79.33 $375,433.73 $99,389.38 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 13 7 $193,695.67 $48,423.92 75% off $42,899.73 $158,714.44 $135,858.58 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 13 7 $58,559.85 $14,639.96 75% off $19,949.16 $80,348.01 $68,777.40 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 13 7 $110,864.90 $27,716.22 75% off $22,910.54 $92,758.52 $79,400.72 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 13 7 $128,328.11 $32,082.03 75% off $18,333.60 $73,577.61 $62,981.98 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 13 7 $116,912.39 $29,228.10 75% off $21,970.29 $88,818.13 $76,027.77 2026-07-15
665 MS_DRG Prostatectomy With Mcc 13 7 $121,380.97 $30,345.24 75% off $24,103.51 $97,758.03 $83,680.27 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 13 7 $78,074.85 $19,518.71 75% off $20,589.12 $83,029.98 $71,073.15 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 13 7 $210,726.51 $52,681.63 75% off $29,239.57 $119,282.10 $102,104.74 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 13 7 $106,381.33 $26,595.33 75% off $16,459.22 $65,722.46 $56,258.02 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 13 7 $81,673.69 $20,418.42 75% off $16,118.85 $64,296.06 $55,037.03 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 10 6 — — $49,530.49 $55,474.15 $52,007.01 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 13 7 $136,199.80 $34,049.95 75% off $27,527.56 $112,107.41 $95,963.25 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 13 7 $127,886.16 $31,971.54 75% off $27,821.71 $113,340.20 $97,018.51 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 10 6 — — $77,877.11 $87,222.36 $81,770.97 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 13 7 $111,791.76 $27,947.94 75% off $18,362.83 $73,700.03 $63,086.77 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 7 $134,410.41 $33,602.60 75% off $41,163.91 $169,254.40 $144,880.72 2026-07-15
791 MS_DRG Prematurity With Major Problems 13 7 $89,684.75 $22,421.19 75% off $28,358.42 $115,589.41 $98,943.82 2026-07-15
792 MS_DRG Prematurity Without Major Problems 13 7 $27,204.55 $6,801.14 75% off $17,419.17 $69,745.41 $59,701.64 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 13 7 $44,304.09 $11,076.02 75% off $29,109.81 $118,738.31 $101,639.26 2026-07-15
799 MS_DRG Splenectomy With Mcc 13 7 $187,709.44 $46,927.36 75% off $33,079.37 $135,373.91 $115,879.23 2026-07-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 13 7 $114,294.57 $28,573.64 75% off $16,336.25 $65,207.13 $55,816.90 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 13 7 $95,460.70 $23,865.18 75% off $17,999.35 $72,176.83 $61,782.92 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 13 7 $104,099.13 $26,024.78 75% off $16,539.40 $66,058.41 $56,545.59 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 7 $202,136.95 $50,534.24 75% off $32,567.81 $133,230.04 $114,044.09 2026-07-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 13 7 $92,801.77 $23,200.44 75% off $15,718.69 $62,619.12 $53,601.58 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 7 $217,150.43 $54,287.61 75% off $33,220.01 $135,963.26 $116,383.71 2026-07-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 7 $100,438.03 $25,109.51 75% off $16,809.11 $67,188.71 $57,513.12 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 13 7 $61,820.46 $15,455.12 75% off $21,727.07 $87,798.87 $75,155.29 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 13 7 $154,570.11 $38,642.53 75% off $38,327.52 $157,367.76 $134,705.83 2026-07-15
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 13 7 $68,392.48 $17,098.12 75% off $15,287.29 $60,811.21 $52,054.02 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 13 7 $114,669.91 $28,667.48 75% off $22,441.77 $90,794.02 $77,719.12 2026-07-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 10 6 — — $51,997.64 $58,237.36 $54,597.52 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 10 6 — — $87,803.31 $98,339.71 $92,193.48 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 6 — — $49,157.14 $55,056.00 $51,615.00 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 13 7 $155,198.85 $38,799.71 75% off $18,126.40 $72,709.24 $62,238.66 2026-07-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 13 7 $94,159.82 $23,539.95 75% off $16,171.17 $64,515.29 $55,224.69 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 7 $288,397.37 $72,099.34 75% off $34,754.04 $142,392.01 $121,886.68 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 13 7 $360,771.17 $90,192.79 75% off $31,427.16 $128,449.76 $109,952.20 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 13 7 $123,793.08 $30,948.27 75% off $15,579.42 $62,035.46 $53,101.97 2026-07-15
8634 APR_DRG Neonatal Aftercare 10 6 — — $89,321.49 $100,040.07 $93,787.56 2026-07-15
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 13 7 $113,938.56 $28,484.64 75% off $15,344.36 $61,050.37 $52,258.74 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 7 $289,028.30 $72,257.07 75% off $48,037.13 $198,058.51 $169,536.86 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 13 7 $59,401.34 $14,850.33 75% off $27,473.20 $111,879.64 $95,768.28 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 13 7 $229,333.50 $57,333.38 75% off $30,876.17 $126,140.77 $107,975.72 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 13 7 $286,265.57 $71,566.39 75% off $27,007.84 $109,929.38 $94,098.87 2026-07-15
906 MS_DRG Hand Procedures For Injuries 13 7 $113,688.22 $28,422.06 75% off $15,603.88 $62,137.96 $53,189.71 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 13 7 $206,241.76 $51,560.44 75% off $27,840.74 $113,419.92 $97,086.75 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $65,032.68 $72,836.60 $68,284.31 2026-07-15
935 MS_DRG Non-extensive Burns 13 7 $73,761.34 $18,440.33 75% off $15,698.31 $62,533.70 $53,528.46 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 7 $177,731.58 $44,432.89 75% off $22,339.86 $90,366.95 $77,353.55 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $96,765.82 $108,377.72 $101,604.11 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 13 7 $170,567.25 $42,641.81 75% off $25,564.84 $103,882.14 $88,922.47 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 13 7 $95,946.50 $23,986.63 75% off $15,120.85 $60,113.67 $51,456.93 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 13 7 $110,886.30 $27,721.58 75% off $17,062.51 $68,250.68 $58,422.16 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 7 $374,195.23 $93,548.81 75% off $47,166.16 $194,408.53 $166,412.50 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 7 $356,698.15 $89,174.54 75% off $26,744.92 $108,827.55 $93,155.71 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 7 $457,881.65 $114,470.41 75% off $51,486.29 $212,513.24 $181,910.02 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 13 7 $292,247.85 $73,061.96 75% off $28,697.42 $117,010.12 $100,159.94 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 13 7 $170,919.76 $42,729.94 75% off $18,738.50 $75,274.48 $64,434.49 2026-07-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 13 7 $176,096.31 $44,024.08 75% off $17,062.51 $68,250.68 $58,422.16 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 13 7 $160,128.12 $40,032.03 75% off $19,233.09 $77,347.17 $66,208.70 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 13 7 $283,013.85 $70,753.46 75% off $25,129.37 $102,057.15 $87,360.29 2026-07-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 13 7 $94,992.30 $23,748.08 75% off $18,802.37 $75,542.10 $64,663.57 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 13 7 $214,923.86 $53,730.96 75% off $21,064.00 $85,020.10 $72,776.68 2026-07-15
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 13 7 $97,134.85 $24,283.71 75% off $15,514.21 $61,762.14 $52,868.01 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 7 $288,758.41 $72,189.60 75% off $33,073.26 $135,348.29 $115,857.30 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 13 7 $155,617.26 $38,904.31 75% off $17,409.66 $69,705.55 $59,667.52 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 7 $228,958.08 $57,239.52 75% off $24,572.97 $99,725.37 $85,364.30 2026-07-15
C1820 HCPCS Nurostim Gen Rechg (14001-14500) 407 16 $79,360.00 $19,840.00 75% off $79.33 $138,880.00 $52,080.00 2026-07-15
C1823 HCPCS Remede Ipg W/leads 30 16 $186,000.00 $46,500.00 75% off $79.33 $208,320.00 $106,950.00 2026-07-15
C1824 HCPCS Cardiac Ipg (25000-26000) 59 16 $128,960.00 $32,240.00 75% off $79.33 $144,435.20 $70,928.00 2026-07-15
C1825 HCPCS Carotid Sinus Baroreceptor System 30 16 $138,880.00 $34,720.00 75% off $79.33 $155,545.60 $79,856.00 2026-07-15
C1882 HCPCS Icd Bi-v D C1882 (13000-14000) 204 16 $91,760.00 $22,940.00 75% off $79.33 $166,656.00 $57,660.00 2026-07-15
L8687 HCPCS Neurostim Ipg Reprgm With Extention 30 16 $98,580.00 $24,645.00 75% off $79.33 $110,409.60 $56,683.50 2026-07-15
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