Price Transparencybeta Hospital negotiated rates

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

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Hospital

IDAHO FALLS COMMUNITY HOSPITAL, LLC

Idaho Falls, ID · CCN 130074 · Rates published

Your selected procedure

You selected 93306 (CPT)

ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION

This hospital’s price: $540 across 15 payers · range $540-$1,485

Source: https://apim.services.craneware.com/api-pricing-transparency/api/public/a53e6fb0bce8c74027ff7983218bbdec/charges/mrf · observed 2026-07-15

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

5,451 distinct procedures filed
26 distinct payers
214,288 rate rows
2026-07-15 last MRF observed
Data quality

198,410 of 214,288 rate rows are consumer-grade (92.6%)

15,878 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 8,763
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 7,025
per-diem day rate — not a per-procedure price 37
exceeds 10× this hospital's gross charge — excluded from medians 32
placeholder amount (≤ $0.02) — excluded from medians 15
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/a53e6fb0bce8c74027ff7983218bbdec/charges/mrf
Found on page https://www.idahofallscommunityhospital.com/patients-and-visitors/cost-estimator/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-21
Content fingerprint ef14aed615c559f9… · 4,782,031 bytes · first seen 2026-05-18

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $304,421.31 $655,263.00 $479,398.63 nat. median
$359,358
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $197,747.77 $505,944.25 $351,846.01 nat. median
$249,124
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $150,786.89 $369,129.25 $259,958.07 nat. median
$198,433
1.3× median
3
MS_DRG 		Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 17 $149,905.15 $334,260.50 $242,082.83 nat. median
$190,557
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $80,285.04 $261,947.00 $171,116.02 nat. median
$103,967
1.6× median
4
MS_DRG 		Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 17 $98,015.53 $207,877.25 $152,946.39 nat. median
$126,722
1.2× median
7
MS_DRG 		Lung Transplant 17 $91,673.76 $202,644.75 $147,159.26 nat. median
$117,894
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $85,113.15 $186,770.50 $135,941.83 nat. median
$110,192
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 17 $70,610.55 $184,824.50 $127,717.52 nat. median
$93,917
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $73,098.13 $179,119.50 $126,108.82 nat. median
$94,964
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $69,384.69 $175,745.50 $122,565.10 nat. median
$90,581
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $55,915.84 $180,752.25 $114,107.62 nat. median
$74,460
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $59,864.30 $152,586.00 $105,861.38 nat. median
$77,043
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 $54,575.28 $141,034.25 $97,804.76 nat. median
$72,473
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 $54,342.36 $138,930.75 $96,636.55 nat. median
$71,758
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $77,064.20 $140,019.10 $92,802.92 nat. median
$97,414
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 $54,164.32 $129,839.50 $92,001.91 nat. median
$68,004
1.4× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 $48,942.84 $121,894.50 $85,418.67 nat. median
$63,896
1.3× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 $50,749.25 $116,870.25 $83,809.75 nat. median
$66,660
1.3× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 $51,017.35 $114,273.25 $82,645.30 nat. median
$61,329
1.3× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 $37,795.49 $131,999.00 $82,367.72 nat. median
$51,590
1.6× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 $43,668.59 $123,355.75 $82,355.74 nat. median
$58,331
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 17 $49,181.41 $112,693.00 $80,937.21 nat. median
$62,721
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 17 $80,193.57 $80,193.57 $80,193.57 nat. median
$92,655
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $46,813.45 $113,492.75 $80,153.10 nat. median
$62,038
1.3× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 17 $42,270.34 $117,862.50 $80,066.42 nat. median
$53,907
1.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 $59,677.83 $150,494.75 $80,010.92 nat. median
$77,696
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 16 $47,909.80 $110,085.50 $78,997.65 nat. median
$61,711
1.3× median
426
MS_DRG 		Non-hypovolemic Sodium Disorders 17 $78,099.35 $78,099.35 $78,099.35 nat. median
$93,270
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $46,813.45 $107,038.75 $75,491.60 nat. median
$59,558
1.3× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 17 $41,840.37 $108,050.25 $74,945.31 nat. median
$55,491
1.4× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 17 $43,205.55 $104,191.50 $73,698.52 nat. median
$57,804
1.3× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 17 $45,824.03 $105,589.96 $73,074.89 nat. median
$59,384
1.2× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 $39,408.39 $106,417.50 $72,912.95 nat. median
$53,342
1.4× median
834
MS_DRG 		Acute Leukemia With Mcc 17 $39,175.46 $105,985.25 $72,580.35 nat. median
$50,391
1.4× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 17 $43,618.64 $101,508.75 $72,563.70 nat. median
$58,216
1.2× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 $46,645.26 $96,937.75 $71,791.51 nat. median
$58,118
1.2× median
820
MS_DRG 		Lymphoma & Leukemia With Major O.r. Procedure With Comorbity 17 $41,813.63 $99,590.75 $70,702.19 nat. median
$53,879
1.3× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 $40,867.16 $99,218.00 $70,042.58 nat. median
$53,532
1.3× median
405
MS_DRG 		Pancreas; Liver & Shunt Procedures With Comorbity 17 $39,038.94 $100,420.25 $69,729.60 nat. median
$50,825
1.4× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 17 $39,982.61 $95,086.25 $67,534.43 nat. median
$50,788
1.3× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 17 $40,650.42 $94,001.25 $67,325.84 nat. median
$49,960
1.3× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 17 $38,984.05 $93,793.00 $66,388.52 nat. median
$51,613
1.3× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 $38,069.95 $94,619.00 $66,344.48 nat. median
$50,679
1.3× median
653
MS_DRG 		Major Bladder Procedures With Mcc 17 $37,110.09 $95,527.25 $66,318.67 nat. median
$49,999
1.3× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Comorbity 17 $37,173.43 $93,569.00 $65,371.21 nat. median
$46,420
1.4× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 $34,044.75 $98,005.25 $64,733.80 nat. median
$45,888
1.4× median
837
MS_DRG 		Chemo With Acute Leukemia As Sdx Or With High Dose Chemo Agent With Comorbity 17 $34,350.87 $99,781.50 $64,450.99 nat. median
$45,443
1.4× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 $42,505.37 $113,706.25 $64,420.08 nat. median
$55,188
1.2× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 17 $35,357.87 $93,320.50 $64,339.18 nat. median
$47,451
1.4× median

Other procedures at this hospital

Browse this hospital's 5,451 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 17 — — $304,421.31 $655,263.00 $479,398.63 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 17 — — $197,747.77 $505,944.25 $351,846.01 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 16 — — $150,786.89 $369,129.25 $259,958.07 2026-07-15
3 MS_DRG Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 26 17 — — $149,905.15 $334,260.50 $242,082.83 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 17 — — $80,285.04 $261,947.00 $171,116.02 2026-07-15
4 MS_DRG Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 26 17 — — $98,015.53 $207,877.25 $152,946.39 2026-07-15
7 MS_DRG Lung Transplant 25 17 — — $91,673.76 $202,644.75 $147,159.26 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 25 17 — — $85,113.15 $186,770.50 $135,941.83 2026-07-15
215 MS_DRG Other Heart Assist System Implant 26 17 — — $70,610.55 $184,824.50 $127,717.52 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 17 — — $73,098.13 $179,119.50 $126,108.82 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 17 — — $69,384.69 $175,745.50 $122,565.10 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 17 — — $55,915.84 $180,752.25 $114,107.62 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 17 — — $59,864.30 $152,586.00 $105,861.38 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 17 — — $54,575.28 $141,034.25 $97,804.76 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 17 — — $54,342.36 $138,930.75 $96,636.55 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 24 17 — — $77,064.20 $140,019.10 $92,802.92 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 16 — — $54,164.32 $129,839.50 $92,001.91 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 17 — — $48,942.84 $121,894.50 $85,418.67 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 17 — — $50,749.25 $116,870.25 $83,809.75 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 16 — — $51,017.35 $114,273.25 $82,645.30 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 26 17 — — $37,795.49 $131,999.00 $82,367.72 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 17 — — $43,668.59 $123,355.75 $82,355.74 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 17 — — $49,181.41 $112,693.00 $80,937.21 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 23 17 — — $80,193.57 $80,193.57 $80,193.57 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 17 — — $46,813.45 $113,492.75 $80,153.10 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 25 17 — — $42,270.34 $117,862.50 $80,066.42 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 17 — — $59,677.83 $150,494.75 $80,010.92 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 16 — — $47,909.80 $110,085.50 $78,997.65 2026-07-15
426 MS_DRG Non-hypovolemic Sodium Disorders 23 17 — — $78,099.35 $78,099.35 $78,099.35 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 17 — — $46,813.45 $107,038.75 $75,491.60 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 26 17 — — $41,840.37 $108,050.25 $74,945.31 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 17 — — $43,205.55 $104,191.50 $73,698.52 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 17 — — $45,824.03 $105,589.96 $73,074.89 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 26 17 — — $39,408.39 $106,417.50 $72,912.95 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 26 17 — — $39,175.46 $105,985.25 $72,580.35 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 26 17 — — $43,618.64 $101,508.75 $72,563.70 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 17 — — $46,645.26 $96,937.75 $71,791.51 2026-07-15
820 MS_DRG Lymphoma & Leukemia With Major O.r. Procedure With Comorbity 26 17 — — $41,813.63 $99,590.75 $70,702.19 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 17 — — $40,867.16 $99,218.00 $70,042.58 2026-07-15
405 MS_DRG Pancreas; Liver & Shunt Procedures With Comorbity 26 17 — — $39,038.94 $100,420.25 $69,729.60 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 17 — — $39,982.61 $95,086.25 $67,534.43 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 17 — — $40,650.42 $94,001.25 $67,325.84 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 17 — — $38,984.05 $93,793.00 $66,388.52 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 17 — — $38,069.95 $94,619.00 $66,344.48 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 26 17 — — $37,110.09 $95,527.25 $66,318.67 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Comorbity 26 17 — — $37,173.43 $93,569.00 $65,371.21 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 17 — — $34,044.75 $98,005.25 $64,733.80 2026-07-15
837 MS_DRG Chemo With Acute Leukemia As Sdx Or With High Dose Chemo Agent With Comorbity 26 17 — — $34,350.87 $99,781.50 $64,450.99 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 17 — — $42,505.37 $113,706.25 $64,420.08 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 26 17 — — $35,357.87 $93,320.50 $64,339.18 2026-07-15
326 MS_DRG Stomach; Esophageal & Duodenal Proc With Comorbity 26 17 — — $35,639.36 $93,033.50 $64,336.43 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Comorbity 26 17 — — $37,672.34 $90,783.00 $64,227.67 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 23 17 — — $63,943.67 $63,943.67 $63,943.67 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 17 — — $38,923.53 $87,858.75 $63,391.14 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 25 17 — — $38,770.12 $84,936.25 $61,853.18 2026-07-15
576 MS_DRG Skin Graft Exc For Skin Ulcer Or Cellulitis With Comorbity 26 17 — — $35,032.75 $88,604.25 $61,818.50 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 23 17 — — $61,480.01 $61,480.01 $61,480.01 2026-07-15
245 MS_DRG Aicd Generator Procedures 26 17 — — $32,648.63 $94,853.50 $61,329.63 2026-07-15
799 MS_DRG Splenectomy With Comorbity 26 17 — — $32,412.88 $90,097.00 $61,254.94 2026-07-15
853 MS_DRG Infectious & Parasitic Diseases With O.r. Procedure With Comorbity 26 17 — — $35,295.95 $86,941.75 $61,118.85 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 17 — — $50,719.70 $91,465.40 $60,906.12 2026-07-15
163 MS_DRG Major Chest Procedures With Comorbity 26 17 — — $32,081.44 $87,612.00 $59,846.72 2026-07-15
239 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity 26 17 — — $35,177.03 $84,271.25 $59,724.14 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 17 — — $33,460.69 $88,273.50 $58,960.75 2026-07-15
329 MS_DRG Major Small & Large Bowel Procedures With Comorbity 26 17 — — $32,888.57 $85,510.25 $58,958.90 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 17 — — $36,010.91 $80,190.25 $58,100.58 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 25 17 — — $33,173.57 $82,230.75 $57,702.16 2026-07-15
10 MS_DRG Pancreas Transplant 25 17 — — $51,038.48 $63,353.50 $57,195.99 2026-07-15
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 32 25 $10,462.00 $10,462.00 $30,485.70 $83,835.68 $57,160.69 2026-07-15
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity 26 17 — — $33,559.21 $80,736.25 $57,147.73 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity 26 17 — — $32,552.21 $81,606.00 $57,079.11 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 26 17 — — $33,626.77 $79,108.75 $56,367.76 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 17 — — $32,806.23 $78,825.25 $55,815.74 2026-07-15
25 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Comorbity 26 17 — — $32,538.13 $78,681.75 $55,609.94 2026-07-15
458 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus Without Complication… 26 17 — — $29,905.58 $87,648.75 $55,451.54 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 17 — — $32,072.29 $76,469.75 $53,893.41 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 17 — — $31,948.44 $75,545.75 $53,747.10 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Comorbity 26 17 — — $31,455.13 $75,402.25 $53,428.69 2026-07-15
33289 CPT Tcat Impl Wrls P-art Prs Snr 32 25 $32,000.00 $32,000.00 $28,337.57 $77,928.32 $53,132.94 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 17 — — $30,261.66 $75,559.75 $52,910.71 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 26 17 — — $30,074.48 $74,704.00 $52,389.24 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 24 17 — — $42,811.49 $80,732.60 $52,291.77 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 16 — — $30,196.21 $73,585.75 $51,890.98 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 17 — — $51,340.36 $51,340.36 $51,340.36 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Comorbity 26 17 — — $29,767.67 $73,241.00 $51,173.02 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 26 17 — — $30,019.58 $72,250.50 $51,135.04 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 17 — — $30,752.14 $71,338.75 $51,045.44 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 26 17 — — $25,696.75 $74,578.00 $50,137.38 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 26 17 — — $30,557.91 $69,571.25 $49,589.94 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 26 17 — — $22,902.33 $84,719.25 $49,503.94 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 26 17 — — $27,781.09 $69,646.50 $48,713.79 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 17 — — $30,210.99 $67,063.50 $48,637.25 2026-07-15
33264 CPT Removal And Replacement Of Multiple Lead Defibrillator 32 25 $24,500.00 $24,500.00 $11,885.89 $85,278.76 $48,582.32 2026-07-15
33231 CPT Insrt Pulse Gen W/mult Leads 32 25 $24,500.00 $24,500.00 $11,885.89 $85,278.76 $48,582.32 2026-07-15
33249 CPT Insertion Of Implantable Defibrillator System 32 25 $24,500.00 $24,500.00 $11,885.89 $85,278.76 $48,582.32 2026-07-15
33270 CPT Ins/rep Subq Defibrillator 32 25 $48,000.00 $48,000.00 $11,885.89 $85,278.76 $48,582.32 2026-07-15
24 MS_DRG Cranio With Major Dev Impl/acute Complex Cns Pdx Without Comorbity 26 17 — — $28,071.03 $68,932.50 $48,501.76 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Comorbity 26 17 — — $27,560.13 $69,097.00 $48,328.57 2026-07-15
332 MS_DRG Rectal Resection With Mcc 26 17 — — $26,021.85 $72,871.75 $48,302.80 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 26 17 — — $29,574.14 $66,972.50 $48,273.32 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 23 17 — — $47,595.96 $47,595.96 $47,595.96 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 23 17 — — $47,561.48 $47,561.48 $47,561.48 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 17 — — $25,083.82 $69,867.00 $47,475.41 2026-07-15
69930 CPT Implant Cochlear Device 31 24 $7,857.00 $7,857.00 $5,264.85 $73,292.92 $47,422.54 2026-07-15
40 MS_DRG Periph/cranial Nerve & Other Nerv Syst Proc With Comorbity 26 17 — — $27,714.26 $67,667.25 $47,401.66 2026-07-15
956 MS_DRG Limb Reattachment; Hip & Femur Proc For Multiple Significant Trauma 25 16 — — $27,023.22 $67,390.75 $47,206.99 2026-07-15
C1882 HCPCS Cardioverter-defibrillator; Other Than Single Or Dual Chamber (implantable) 1 1 $66,500.00 $66,500.00 $46,550.00 $46,550.00 $46,550.00 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 26 17 — — $25,755.15 $66,932.25 $46,343.70 2026-07-15
166 MS_DRG Other Resp System O.r. Procedures With Comorbity 26 17 — — $26,845.19 $65,163.00 $46,004.10 2026-07-15
408 MS_DRG Biliary Tract Proc Except Only Cholecyst With Or Without C.d.e. With Comorbity 26 17 — — $25,634.11 $65,653.00 $45,643.56 2026-07-15
628 MS_DRG Other Endocrine; Nutrit & Metab O.r. Proc With Comorbity 26 17 — — $26,768.48 $64,389.50 $45,578.99 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 26 17 — — $28,579.10 $64,991.50 $45,429.60 2026-07-15
673 MS_DRG Other Kidney & Urinary Tract Procedures With Comorbity 26 17 — — $30,109.66 $60,695.25 $45,402.46 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 26 17 — — $26,620.71 $64,713.25 $45,313.09 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 26 17 — — $26,057.05 $63,736.75 $44,896.90 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 26 17 — — $25,613.00 $63,476.00 $44,544.50 2026-07-15
94 MS_DRG Bacterial & Tuberculous Infections Of Nervous System With Comorbity 26 17 — — $25,308.99 $63,645.75 $44,477.37 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 17 — — $25,589.07 $63,322.00 $44,455.54 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 17 — — $39,712.38 $57,985.20 $44,280.58 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Comorbity 26 17 — — $23,010.72 $65,227.75 $44,119.24 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 26 17 — — $26,390.59 $65,224.25 $44,069.01 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Complication 26 17 — — $25,359.67 $62,632.50 $43,996.08 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Complication 26 17 — — $25,568.66 $62,412.00 $43,990.33 2026-07-15
64568 CPT Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 15 13 $8,174.00 $8,174.00 $4,694.03 $43,515.48 $43,515.48 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 26 17 — — $23,432.93 $62,420.75 $42,926.84 2026-07-15
28 MS_DRG Spinal Procedures With Comorbity 26 17 — — $37,433.44 $101,902.50 $42,823.45 2026-07-15
265 MS_DRG Aicd Lead Procedures 26 17 — — $26,004.25 $58,887.50 $42,445.88 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 11 — — $42,367.45 $99,258.25 $42,367.45 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 26 17 — — $24,518.74 $61,521.25 $42,315.20 2026-07-15
492 MS_DRG Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity 26 17 — — $26,380.03 $60,733.75 $42,279.60 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 26 17 — — $26,076.74 $59,062.50 $42,184.26 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue With Comorbity 26 17 — — $24,853.01 $58,780.75 $41,816.88 2026-07-15
252 MS_DRG Other Vascular Procedures With Comorbity 26 17 — — $25,090.15 $58,185.75 $41,637.95 2026-07-15
97 MS_DRG Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Comorbity 26 17 — — $25,959.22 $65,492.00 $41,514.17 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 26 17 — — $23,252.08 $59,655.75 $41,453.92 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 26 17 — — $34,522.58 $87,848.25 $41,414.52 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Comorbity 26 17 — — $22,706.01 $60,238.50 $41,403.53 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 23 17 — — $41,126.10 $41,126.10 $41,126.10 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 26 17 — — $23,788.30 $65,703.75 $41,096.26 2026-07-15
987 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity 26 17 — — $24,668.63 $57,270.50 $40,969.57 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 26 17 — — $24,971.23 $56,812.00 $40,891.61 2026-07-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 23 17 — — $40,702.50 $40,702.50 $40,702.50 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 26 17 — — $23,706.67 $57,552.25 $40,629.46 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 26 17 — — $23,709.48 $57,335.25 $40,522.36 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 26 17 — — $24,050.77 $56,920.50 $40,485.64 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 24 17 — — $33,043.39 $62,171.20 $40,325.34 2026-07-15
656 MS_DRG Kidney & Ureter Procedures For Neoplasm With Comorbity 26 17 — — $22,947.38 $57,487.50 $40,217.44 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 17 — — $40,105.05 $40,105.05 $40,105.05 2026-07-15
840 MS_DRG Lymphoma & Non-acute Leukemia With Comorbity 26 17 — — $23,306.97 $56,369.25 $39,838.11 2026-07-15
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 66 26 $19,370.00 $19,370.00 $5,775.40 $73,719.00 $39,747.20 2026-07-15
143 MS_DRG Other Ear; Nose; Mouth And Throat O.r. Procedures With Mcc 26 17 — — $26,907.81 $52,150.00 $39,528.90 2026-07-15
652 MS_DRG Kidney Transplant 25 17 — — $23,268.97 $55,749.75 $39,509.36 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 26 17 — — $22,779.90 $56,150.50 $39,465.20 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 26 17 — — $22,813.68 $55,814.50 $39,314.09 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 26 17 — — $23,332.30 $55,023.50 $39,177.90 2026-07-15
515 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc With Comorbity 26 17 — — $22,969.19 $54,951.75 $38,960.47 2026-07-15
518 MS_DRG Back & Neck Proc Exc Spinal Fusion With Comorbity Or Disc Device/neurostim 26 17 — — $26,842.36 $62,772.50 $38,342.42 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 23 17 — — $38,047.41 $38,047.41 $38,047.41 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 26 17 — — $22,422.41 $53,571.00 $37,996.71 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 25 16 — — $23,207.74 $52,750.25 $37,979.00 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com… 26 17 — — $21,887.60 $54,015.50 $37,951.55 2026-07-15
665 MS_DRG Prostatectomy With Mcc 26 17 — — $22,506.86 $53,243.75 $37,875.31 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 17 — — $22,461.12 $52,074.75 $37,267.93 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 26 17 — — $20,740.57 $53,660.25 $37,200.41 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 26 17 — — $22,653.93 $55,448.75 $37,131.57 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 26 17 — — $19,261.38 $55,053.25 $37,079.61 2026-07-15
480 MS_DRG Hip & Femur Procedures Except Major Joint With Comorbity 26 17 — — $21,036.83 $52,956.75 $36,996.79 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 26 17 — — $20,964.35 $52,925.25 $36,944.80 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 26 17 — — $22,086.74 $51,345.00 $36,715.87 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 24 17 — — $30,994.91 $53,820.00 $36,701.18 2026-07-15
800 MS_DRG Splenic Procedures With Cc 26 17 — — $20,312.71 $51,740.50 $36,026.61 2026-07-15
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 32 25 $7,600.00 $7,600.00 $19,166.24 $52,707.16 $35,936.70 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 26 17 — — $21,795.41 $49,703.50 $35,749.46 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 26 17 — — $20,951.68 $50,419.25 $35,685.46 2026-07-15
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 32 25 $22,000.00 $22,000.00 $19,029.49 $52,331.10 $35,680.29 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 26 17 — — $20,241.64 $50,799.00 $35,520.32 2026-07-15
570 MS_DRG Skin Debridement With Mcc 26 17 — — $21,239.48 $49,721.00 $35,480.24 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 26 17 — — $20,861.60 $53,583.25 $35,436.46 2026-07-15
61 MS_DRG Ischemic Stroke; Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 26 17 — — $19,944.67 $50,590.75 $35,267.71 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 26 17 — — $21,091.01 $49,122.50 $35,106.75 2026-07-15
33240 CPT Insrt Pulse Gen W/singl Lead 32 25 $24,500.00 $24,500.00 $9,558.53 $60,432.40 $34,995.46 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 26 17 — — $21,798.24 $48,028.75 $34,913.50 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 26 17 — — $20,601.94 $48,807.50 $34,704.72 2026-07-15
64590 CPT Insertion Of Peripheral Or Gastric Neurostimulator Generator 32 25 $23,000.00 $23,000.00 $16,649.56 $52,707.16 $34,678.36 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Complication/comorbity 26 17 — — $19,880.64 $49,073.50 $34,477.07 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 26 17 — — $20,822.19 $47,682.25 $34,252.22 2026-07-15
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 32 25 $24,500.00 $24,500.00 $8,060.04 $60,432.40 $34,246.22 2026-07-15
33263 CPT Removal And Replacement Of Dual Lead Defibrillator 32 25 $24,500.00 $24,500.00 $8,060.04 $60,432.40 $34,246.22 2026-07-15
33230 CPT Insrt Pulse Gen W/dual Leads 32 25 $24,500.00 $24,500.00 $8,060.04 $60,432.40 $34,246.22 2026-07-15
344 MS_DRG Minor Small & Large Bowel Procedures With Comorbity 26 17 — — $18,718.12 $49,322.00 $34,020.06 2026-07-15
37284 CPT Revsc Evasc Tpvt St Sf 1st 31 25 $24,000.00 $24,000.00 $18,110.64 $49,804.26 $33,957.45 2026-07-15
93582 CPT Perq Transcath Closure Pda 32 25 $25,000.00 $25,000.00 $18,110.64 $49,804.26 $33,957.45 2026-07-15
37290 CPT Revsc Evsc Tpvt Athrc Cplx 1 31 25 $27,000.00 $27,000.00 $18,110.64 $49,804.26 $33,957.45 2026-07-15
93590 CPT Perq Transcath Cls Mitral 32 25 $25,000.00 $25,000.00 $18,110.64 $49,804.26 $33,957.45 2026-07-15
37294 CPT Rvsc Evsc Tpvt St Athr Cpx 1 31 25 $37,500.00 $37,500.00 $18,110.64 $49,804.26 $33,957.45 2026-07-15
37271 CPT Revsc Evsc Fpvt Athrc Sf 1st 31 25 $24,000.00 $24,000.00 $18,110.64 $49,804.26 $33,957.45 2026-07-15
92930 CPT Prq Tcat Plmt Ntrac St 2+les 32 25 $24,000.00 $24,000.00 $18,110.64 $49,804.26 $33,957.45 2026-07-15
37288 CPT Revsc Evsc Tpvt Athrc Sf 1st 31 25 $24,000.00 $24,000.00 $18,110.64 $49,804.26 $33,957.45 2026-07-15
93591 CPT Perq Transcath Cls Aortic 32 25 $25,000.00 $25,000.00 $18,110.64 $49,804.26 $33,957.45 2026-07-15
C9767 HCPCS Revasc Lithotrip-stent-ather 32 25 $25,000.00 $25,000.00 $18,110.64 $49,804.26 $33,957.45 2026-07-15
37277 CPT Rvsc Evsc Fpvt St Athr Cpx 1 31 25 $37,500.00 $37,500.00 $18,110.64 $49,804.26 $33,957.45 2026-07-15
37273 CPT Revsc Evsc Fpvt Athrc Cplx 1 31 25 $27,000.00 $27,000.00 $18,110.64 $49,804.26 $33,957.45 2026-07-15
37292 CPT Rvsc Evsc Tpvt St Athrc Sf 1 31 25 $25,000.00 $25,000.00 $18,110.64 $49,804.26 $33,957.45 2026-07-15
37275 CPT Rvsc Evsc Fpvt St Athrc Sf 1 31 25 $25,000.00 $25,000.00 $18,110.64 $49,804.26 $33,957.45 2026-07-15
37242 CPT Occlusion Of Artery With Review By Radiologist 32 25 $16,000.00 $16,000.00 $18,110.64 $49,804.26 $33,957.45 2026-07-15
974 MS_DRG HIV With Major Related Condition With Comorbity 26 17 — — $20,851.76 $47,057.50 $33,954.63 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 25 16 — — $27,946.47 $39,600.75 $33,773.61 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Comorbity 25 16 — — $19,780.71 $47,736.50 $33,758.61 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 26 17 — — $21,772.19 $45,244.50 $33,508.35 2026-07-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 26 17 — — $19,102.35 $52,283.00 $33,474.94 2026-07-15
288 MS_DRG Acute & Subacute Endocarditis With Comorbity 26 17 — — $19,586.50 $46,984.00 $33,285.25 2026-07-15
503 MS_DRG Foot Procedures With Mcc 26 17 — — $20,183.94 $46,186.00 $33,184.97 2026-07-15
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 32 25 $7,000.00 $7,000.00 $4,864.31 $60,315.55 $33,049.28 2026-07-15
22630 CPT Arthrd Pst Tq 1ntrspc Lum 32 25 $7,210.00 $7,210.00 $4,844.49 $60,315.55 $33,044.33 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 25 16 — — $21,260.60 $47,878.25 $32,921.20 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 26 17 — — $18,611.17 $47,446.00 $32,876.09 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 26 17 — — $18,808.20 $46,445.00 $32,626.60 2026-07-15
659 MS_DRG Kidney & Ureter Procedures For Non-neoplasm With Comorbity 26 17 — — $18,423.28 $46,649.75 $32,536.51 2026-07-15
22867 CPT Insj Stablj Dev W/dcmprn 32 25 $9,000.00 $9,000.00 $17,322.44 $47,636.71 $32,479.58 2026-07-15
27279 CPT Arthrd Si Jt Plmt Tartclr Dv 64 25 $6,386.00 $6,386.00 $17,322.44 $47,636.71 $32,479.58 2026-07-15
164 MS_DRG Major Chest Procedures With Complication 26 17 — — $18,304.35 $46,476.50 $32,390.42 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Comorbity 26 17 — — $18,786.39 $46,784.50 $32,278.72 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 26 17 — — $18,508.42 $47,071.50 $32,251.73 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 17 — — $19,885.57 $44,527.00 $32,206.28 2026-07-15
29 MS_DRG Spinal Procedures With Complication Or Spinal Neurostimulators 26 17 — — $24,550.42 $57,704.50 $32,181.84 2026-07-15
62362 CPT Insertion Of Programmable Spinal Canal Drug Infusion Pump 32 25 $21,321.00 $21,321.00 $15,199.98 $48,968.07 $32,084.03 2026-07-15
255 MS_DRG Upper Limb & Toe Amputation For Circ System Disorders With Comorbity 26 17 — — $19,524.57 $44,364.25 $31,944.41 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 26 17 — — $19,195.93 $44,621.50 $31,908.72 2026-07-15
849 MS_DRG Radiotherapy 26 17 — — $19,609.71 $43,646.75 $31,628.23 2026-07-15
33274 CPT Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance 64 25 $21,015.00 $21,015.00 $10,798.61 $52,331.10 $31,564.85 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Comorbity 26 17 — — $25,671.39 $68,453.00 $31,364.59 2026-07-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 26 17 — — $17,742.79 $44,885.75 $31,314.27 2026-07-15
263 MS_DRG Vein Ligation And Stripping 26 17 — — $22,057.89 $40,486.25 $31,272.07 2026-07-15
27 MS_DRG Craniotomy & Endovascular Intracranial Procedures Without Complication/comorbity 26 17 — — $18,296.61 $44,033.50 $31,165.06 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 26 17 — — $18,692.79 $43,900.50 $31,145.62 2026-07-15
982 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Complication 26 17 — — $17,843.43 $44,425.50 $31,134.47 2026-07-15
330 MS_DRG Major Small & Large Bowel Procedures With Complication 26 17 — — $17,412.06 $44,619.75 $30,926.60 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 26 17 — — $18,006.68 $43,813.00 $30,909.84 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 26 17 — — $20,048.83 $41,770.75 $30,909.79 2026-07-15
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion; Coronary… 31 25 $18,000.00 $18,000.00 $11,316.69 $49,804.26 $30,560.47 2026-07-15
92933 CPT Prq Trlml C Athrc St Angiop1 32 25 $54,755.63 $54,755.63 $11,316.68 $49,804.26 $30,560.47 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 26 17 — — $18,078.45 $42,946.75 $30,512.60 2026-07-15
61886 CPT Implant Neurostim Arrays 15 13 $4,000.00 $4,000.00 $2,525.45 $30,485.70 $30,485.70 2026-07-15
61885 CPT Insrt/redo Neurostim 1 Array 15 13 $6,300.00 $6,300.00 $2,386.76 $30,485.70 $30,485.70 2026-07-15
63685 CPT Insertion Of Spinal Neurostimulator Generator Or Receiver 16 14 $7,699.25 $7,699.25 $3,485.54 $68,592.82 $30,485.70 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 23 17 — — $30,385.51 $30,385.51 $30,385.51 2026-07-15
827 MS_DRG Myeloprolif Disord Or Poorly Diff Neopl With Maj O.r. Proc With Complication 26 17 — — $16,806.88 $43,757.00 $30,202.77 2026-07-15
33229 CPT Removal And Replacement Of Multiple Lead Permanent Pacemaker 32 25 $24,500.00 $24,500.00 $8,016.48 $52,331.10 $30,173.79 2026-07-15
33221 CPT Insert Pulse Gen Mult Leads 32 25 $24,500.00 $24,500.00 $7,983.47 $52,331.10 $30,157.28 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 26 17 — — $15,901.19 $44,149.00 $30,025.10 2026-07-15
54401 CPT Insert Self-contd Prosthesis 32 25 $6,180.00 $6,180.00 $3,570.67 $56,309.72 $29,940.19 2026-07-15
53447 CPT Remove/replace Ur Sphincter 31 24 $5,488.00 $5,488.00 $3,570.67 $46,071.58 $29,940.19 2026-07-15
54416 CPT Remv/repl Penis Contain Pros 32 25 $5,708.00 $5,708.00 $3,570.67 $56,309.71 $29,940.19 2026-07-15
54405 CPT Insert Multi-comp Penis Pros 32 25 $5,665.00 $5,665.00 $3,570.67 $56,309.71 $29,940.19 2026-07-15
53445 CPT Insert Uro/ves Nck Sphincter 32 25 $6,500.00 $6,500.00 $3,570.67 $56,309.71 $29,940.19 2026-07-15
54410 CPT Remove/replace Penis Prosth 32 25 $6,798.00 $6,798.00 $3,570.67 $56,309.71 $29,940.19 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 26 17 — — $16,697.09 $43,130.50 $29,913.79 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Comorbity 26 17 — — $17,336.06 $42,442.75 $29,889.40 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 15 11 — — $29,884.47 $69,634.25 $29,884.47 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 17 — — $25,921.23 $41,607.80 $29,842.87 2026-07-15
54411 CPT Remov/replc Penis Pros Comp 32 25 $8,000.00 $8,000.00 $3,254.13 $56,309.72 $29,781.92 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Complication 26 17 — — $15,538.09 $44,080.75 $29,709.11 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue With Complication 26 17 — — $17,848.34 $41,273.75 $29,561.04 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 26 17 — — $18,389.50 $40,710.25 $29,549.88 2026-07-15
93581 CPT Transcath Closure Of Vsd 32 25 $25,000.00 $25,000.00 $8,937.97 $49,804.26 $29,371.12 2026-07-15
93580 CPT Repair Of Congenital Abnormality In Wall Between Upper Heart Chambers With Impla… 32 25 $20,000.00 $20,000.00 $8,937.97 $49,804.26 $29,371.12 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 26 17 — — $17,469.05 $42,092.75 $29,359.45 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 26 17 — — $16,999.68 $41,702.50 $29,351.09 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 26 17 — — $17,364.91 $40,964.00 $29,164.46 2026-07-15
791 MS_DRG Prematurity With Major Problems 15 11 — — $29,106.18 $67,789.75 $29,106.18 2026-07-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 26 17 — — $18,692.79 $40,832.75 $29,049.43 2026-07-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 26 17 — — $16,485.97 $41,387.50 $28,936.74 2026-07-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 26 17 — — $15,966.65 $41,818.00 $28,892.33 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 23 17 — — $28,835.25 $28,835.25 $28,835.25 2026-07-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 26 17 — — $16,015.20 $41,090.00 $28,552.60 2026-07-15
629 MS_DRG Other Endocrine; Nutrit & Metab O.r. Proc With Complication 26 17 — — $15,875.17 $41,137.25 $28,506.21 2026-07-15
85 MS_DRG Traumatic Stupor & Coma; Coma <1 Hr With Comorbity 26 17 — — $16,530.32 $40,430.25 $28,480.28 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 26 17 — — $16,598.57 $40,348.00 $28,473.28 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 26 17 — — $16,907.51 $39,709.25 $28,308.38 2026-07-15
0238T CPT Trluml Perip Athrc Iliac Art 31 25 $16,000.00 $16,000.00 $6,796.58 $49,804.26 $28,300.42 2026-07-15
709 MS_DRG Penis Procedures With Cc/mcc 26 17 — — $16,918.75 $40,537.00 $28,143.94 2026-07-15
82 MS_DRG Traumatic Stupor & Coma; Coma >1 Hr With Comorbity 26 17 — — $16,626.72 $39,581.50 $28,104.11 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 26 17 — — $16,987.73 $38,888.50 $27,938.12 2026-07-15
36906 CPT Thrmbc/nfs Dialysis Circuit 31 25 $22,000.00 $22,000.00 $6,041.16 $49,804.26 $27,922.71 2026-07-15
113 MS_DRG Orbital Procedures With Cc/mcc 26 17 — — $17,087.65 $38,400.25 $27,743.95 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 11 — — $27,740.29 $57,153.25 $27,740.29 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 26 17 — — $16,890.62 $38,400.25 $27,645.44 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Complication 26 17 — — $15,381.87 $40,101.25 $27,555.23 2026-07-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Complication 26 17 — — $15,939.20 $39,982.25 $27,547.81 2026-07-15
22861 CPT Rev Rplcm Arthrp 1ntrspc Crv 33 26 $12,434.00 $12,434.00 $6,983.62 $47,636.71 $27,310.17 2026-07-15
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 26 17 — — $15,531.75 $38,941.00 $27,236.38 2026-07-15
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 26 17 — — $15,272.79 $39,159.75 $27,208.08 2026-07-15
808 MS_DRG Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul With Comorbity 26 17 — — $16,079.95 $38,269.00 $27,174.47 2026-07-15
32 MS_DRG Ventricular Shunt Procedures With Cc 26 17 — — $15,538.79 $38,801.00 $27,169.90 2026-07-15
37184 CPT Prim Art M-thrmbc 1st Vsl 31 25 $5,500.00 $5,500.00 $4,530.42 $49,804.26 $27,167.34 2026-07-15
333 MS_DRG Rectal Resection With Cc 26 17 — — $17,025.02 $37,488.50 $27,145.13 2026-07-15
412 MS_DRG Cholecystectomy With C.d.e. With Cc 26 17 — — $15,338.24 $39,859.75 $27,095.25 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 26 17 — — $15,891.35 $38,603.25 $27,089.70 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 26 17 — — $16,295.97 $37,724.75 $27,010.36 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 26 17 — — $15,445.21 $38,330.25 $26,887.73 2026-07-15
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