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

ST LUKE'S JEROME

Jerome, ID · CCN 131310 · Rates published

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You selected 93306 (CPT)

HC Echoc 2d, Doppler, Color Flow, Complete

This hospital’s price: $1,615 across 21 payers · range $540-$2,361

Source: https://stlukesonline.file.core.windows.net/stlukesonline-files/562570686-1366874877_St-Lukes-Magic-Valley-Regional-Medical-Center-LTD_standardcharges.csv?sv=2022-11-02&ss=f&srt=o&sp=rl&se=2026-07-12T19:20:00Z&st=2024-07-12T19:20:00Z&sip=0.0.0.0-255.255.255.255&spr=https&sig=FGacPqS12iM%2B02qiSmRIfavnfLx8l7R64K%2B5yDAzofo%3D · 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.

7,722 distinct procedures filed
33 distinct payers
2,020,569 rate rows
2026-07-15 last MRF observed
Data quality

1,972,050 of 2,020,569 rate rows are consumer-grade (97.6%)

48,519 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 46,772
percent-of-charges filed in the dollar field — excluded from medians 637
per-diem day rate — not a per-procedure price 499
exceeds 10× this hospital's gross charge — excluded from medians 338
placeholder amount (≤ $0.02) — excluded from medians 120
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 118
exceeds 3× this hospital's gross charge for a DRG stay — excluded 32
template filing: same amount across many unrelated codes — excluded 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stlukesonline.file.core.windows.net/stlukesonline-files/562570686-1366874877_St-Lukes-Magic-Valley-Regional-Medical-Center-LTD_standardcharges.csv?sv=2022-11-02&ss=f&srt=o&sp=rl&se=2026-07-12T19:20:00Z&st=2024-07-12T19:20:00Z&sip=0.0.0.0-255.255.255.255&spr=https&sig=FGacPqS12iM%2B02qiSmRIfavnfLx8l7R64K%2B5yDAzofo%3D
Found on page https://www.stlukesonline.org/resources/before-your-visit/price-estimates/price-transparency
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-22
Content fingerprint 11f43a0b8034f9ca… · 387,063,324 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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $133,529.95 $439,651.00 $230,702.94 nat. median
$190,559
1.2× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 $37,039.18 $174,129.75 $171,828.00 nat. median
$50,870
outlier · 3.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $88,037.21 $379,215.90 $156,541.38 nat. median
$126,695
1.2× median
A9543
HCPCS 		Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 10 $53,406.00 $139,509.60 $132,474.27 nat. median
$63,528
outlier · 2.1×
33276
CPT 		Hc Insertion Phrenic Nerve Stimulator System 10 $94,500.75 $126,001.00 $119,700.95 nat. median
$43,278
outlier · 2.8×
215
MS_DRG 		Other Heart Assist System Implant 17 $66,011.08 $263,511.20 $117,456.48 nat. median
$93,901
1.3× median
38240
CPT 		Bone Marrow/stem Transplant 10 $65,462.00 $138,495.75 $116,628.00 nat. median
$12,842
outlier · 9.1×
791
MS_DRG 		Prematurity With Major Problems 5 $25,295.28 $116,086.50 $114,552.00 nat. median
$34,598
outlier · 3.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $60,131.34 $250,367.62 $111,057.66 nat. median
$90,551
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 18 $50,224.82 $265,304.89 $106,057.62 nat. median
$74,370
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 $48,208.63 $198,925.83 $92,662.62 nat. median
$72,398
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 18 $48,700.21 $201,206.28 $88,291.86 nat. median
$71,748
1.2× median
J1303
HCPCS 		Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 21 $52,980.48 $104,754.38 $84,768.77 nat. median
$5,977
outlier · 14.2×
A9607
HCPCS 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 21 $52,107.84 $127,104.50 $84,637.95 nat. median
$432
outlier · 195.7×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With McC 15 $46,505.83 $166,888.83 $84,479.70 nat. median
$67,976
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $81,630.99 $81,630.99 $81,630.99 nat. median
$110,307
0.7× median
A9513
HCPCS 		Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 21 $59,249.80 $147,889.80 $78,155.61 nat. median
$479
outlier · 163.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 18 $43,342.59 $179,673.53 $77,416.26 nat. median
$62,655
1.2× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 18 $37,325.78 $240,413.32 $75,247.98 nat. median
$58,280
1.3× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 18 $40,294.00 $215,946.58 $74,851.26 nat. median
$59,371
1.3× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $40,236.06 $176,087.70 $72,376.32 nat. median
$62,031
1.2× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $35,759.43 $188,797.92 $68,819.52 nat. median
$55,167
1.2× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With McC 18 $36,661.61 $156,048.44 $68,286.00 nat. median
$55,477
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $67,874.63 $277,851.75 $67,874.63 nat. median
$97,323
0.7× median
28
MS_DRG 		Spinal Procedures With McC 18 $37,878.43 $155,455.30 $67,003.50 nat. median
$54,460
1.2× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 $35,545.72 $146,238.03 $65,337.96 nat. median
$53,523
1.2× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With McC 18 $34,287.79 $142,017.64 $63,177.66 nat. median
$50,787
1.2× median
834
MS_DRG 		Acute Leukemia With McC 18 $34,437.94 $193,829.41 $63,042.00 nat. median
$50,371
1.3× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 $31,197.45 $61,357.08 $61,357.08 nat. median
$45,429
1.4× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With McC 18 $36,275.94 $174,740.96 $60,620.64 nat. median
$53,856
1.1× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With McC 18 $31,741.99 $133,798.72 $59,794.14 nat. median
$46,376
1.3× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 17 $37,296.47 $146,106.47 $59,754.24 nat. median
$49,929
1.2× median
799
MS_DRG 		Splenic Procedures With McC 10 $29,624.86 $127,813.82 $59,367.78 nat. median
$43,255
1.4× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 18 $32,114.75 $133,017.07 $58,883.28 nat. median
$50,018
1.2× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC 18 $29,312.71 $167,963.91 $58,830.84 nat. median
$45,868
1.3× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 18 $29,753.83 $145,682.01 $58,617.66 nat. median
$43,895
1.3× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With McC 18 $31,644.80 $131,022.96 $58,354.32 nat. median
$46,239
1.3× median
270
MS_DRG 		Other Major Cardiovascular Procedures With McC 18 $31,495.66 $130,452.85 $58,283.64 nat. median
$49,364
1.2× median
471
MS_DRG 		Cervical Spinal Fusion With McC 18 $30,263.49 $126,895.44 $57,421.80 nat. median
$44,823
1.3× median
228
MS_DRG 		Other Cardiothoracic Procedures With McC 18 $31,048.54 $171,177.59 $56,182.62 nat. median
$47,429
1.2× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With McC 18 $31,160.69 $138,679.54 $55,871.40 nat. median
$45,430
1.2× median
245
MS_DRG 		Aicd Generator Procedures 18 $30,447.29 $118,666.29 $55,586.40 nat. median
$42,878
1.3× median
163
MS_DRG 		Major Chest Procedures With McC 18 $28,717.70 $155,516.68 $55,218.18 nat. median
$42,680
1.3× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $26,903.37 $149,777.14 $54,869.34 nat. median
$40,320
1.4× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 18 $29,937.98 $137,957.04 $53,011.14 nat. median
$45,237
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With McC 15 $52,796.78 $209,347.81 $52,796.78 nat. median
$77,028
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $52,767.50 $245,095.12 $52,767.50 nat. median
$77,632
0.7× median
329
MS_DRG 		Major Small And Large Bowel Procedures With McC 18 $28,609.91 $135,509.21 $52,705.62 nat. median
$42,641
1.2× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 18 $29,619.26 $122,288.10 $52,216.56 nat. median
$43,696
1.2× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 18 $28,109.60 $130,073.12 $50,304.78 nat. median
$41,685
1.2× median

Other procedures at this hospital

Browse this hospital's 7,722 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 74 15 $846,926.43 $846,926.43 $133,529.95 $439,651.00 $230,702.94 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 5 $221,099.51 $221,099.51 $37,039.18 $174,129.75 $171,828.00 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 86 18 $353,492.45 $353,492.45 $88,037.21 $379,215.90 $156,541.38 2026-07-15
A9543 HCPCS Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 190 10 $139,478.10 $139,478.10 $53,406.00 $139,509.60 $132,474.27 2026-07-15
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 95 10 $126,001.00 $126,001.00 $94,500.75 $126,001.00 $119,700.95 2026-07-15
215 MS_DRG Other Heart Assist System Implant 82 17 $137,941.73 $137,941.73 $66,011.08 $263,511.20 $117,456.48 2026-07-15
38240 CPT Bone Marrow/stem Transplant 95 10 $145,785.00 $145,785.00 $65,462.00 $138,495.75 $116,628.00 2026-07-15
791 MS_DRG Prematurity With Major Problems 15 5 $100,289.44 $100,289.44 $25,295.28 $116,086.50 $114,552.00 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 86 18 $358,250.11 $358,250.11 $60,131.34 $250,367.62 $111,057.66 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 85 18 $204,246.31 $204,246.31 $50,224.82 $265,304.89 $106,057.62 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 86 18 $326,166.34 $326,166.34 $48,208.63 $198,925.83 $92,662.62 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 78 18 $341,324.53 $341,324.53 $48,700.21 $201,206.28 $88,291.86 2026-07-15
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 284 21 $110,208.27 $110,208.27 $52,980.48 $104,754.38 $84,768.77 2026-07-15
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 274 21 $105,828.94 $105,828.94 $52,107.84 $127,104.50 $84,637.95 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With McC 73 15 $202,262.82 $202,262.82 $46,505.83 $166,888.83 $84,479.70 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 30 9 $1,453,911.05 $1,453,911.05 $81,630.99 $81,630.99 $81,630.99 2026-07-15
A9513 HCPCS Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 278 21 $120,207.90 $120,207.90 $59,249.80 $147,889.80 $78,155.61 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 86 18 $292,807.06 $292,807.06 $43,342.59 $179,673.53 $77,416.26 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 85 18 $142,323.08 $142,323.08 $37,325.78 $240,413.32 $75,247.98 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 85 18 $239,647.22 $239,647.22 $40,294.00 $215,946.58 $74,851.26 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 85 18 $207,566.98 $207,566.98 $40,236.06 $176,087.70 $72,376.32 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 85 18 $244,931.03 $244,931.03 $35,759.43 $188,797.92 $68,819.52 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With McC 85 18 $244,145.90 $244,145.90 $36,661.61 $156,048.44 $68,286.00 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 42 13 $456,424.79 $456,424.79 $67,874.63 $277,851.75 $67,874.63 2026-07-15
28 MS_DRG Spinal Procedures With McC 85 18 $244,991.94 $244,991.94 $37,878.43 $155,455.30 $67,003.50 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 85 18 $165,303.89 $165,303.89 $35,545.72 $146,238.03 $65,337.96 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With McC 85 18 $150,375.69 $150,375.69 $34,287.79 $142,017.64 $63,177.66 2026-07-15
834 MS_DRG Acute Leukemia With McC 85 18 $193,077.73 $193,077.73 $34,437.94 $193,829.41 $63,042.00 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 62 14 $37,456.29 $37,456.29 $31,197.45 $61,357.08 $61,357.08 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With McC 85 18 $202,486.13 $202,486.13 $36,275.94 $174,740.96 $60,620.64 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 85 18 $158,301.50 $158,301.50 $31,741.99 $133,798.72 $59,794.14 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 82 17 $126,279.25 $126,279.25 $37,296.47 $146,106.47 $59,754.24 2026-07-15
799 MS_DRG Splenic Procedures With McC 59 10 $137,390.14 $137,390.14 $29,624.86 $127,813.82 $59,367.78 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 85 18 $175,124.69 $175,124.69 $32,114.75 $133,017.07 $58,883.28 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC 85 18 $94,154.85 $94,154.85 $29,312.71 $167,963.91 $58,830.84 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 77 18 $232,693.07 $232,693.07 $29,753.83 $145,682.01 $58,617.66 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 85 18 $169,013.92 $169,013.92 $31,644.80 $131,022.96 $58,354.32 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With McC 85 18 $206,951.12 $206,951.12 $31,495.66 $130,452.85 $58,283.64 2026-07-15
471 MS_DRG Cervical Spinal Fusion With McC 85 18 $163,428.32 $163,428.32 $30,263.49 $126,895.44 $57,421.80 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With McC 85 18 $152,359.52 $152,359.52 $31,048.54 $171,177.59 $56,182.62 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 85 18 $135,058.10 $135,058.10 $31,160.69 $138,679.54 $55,871.40 2026-07-15
245 MS_DRG Aicd Generator Procedures 85 18 $56,403.58 $56,403.58 $30,447.29 $118,666.29 $55,586.40 2026-07-15
163 MS_DRG Major Chest Procedures With McC 85 18 $167,361.60 $167,361.60 $28,717.70 $155,516.68 $55,218.18 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 85 18 $202,197.77 $202,197.77 $26,903.37 $149,777.14 $54,869.34 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 85 18 $140,534.44 $140,534.44 $29,937.98 $137,957.04 $53,011.14 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With McC 45 15 $430,063.12 $430,063.12 $52,796.78 $209,347.81 $52,796.78 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 45 15 $435,196.41 $435,196.41 $52,767.50 $245,095.12 $52,767.50 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With McC 85 18 $157,621.25 $157,621.25 $28,609.91 $135,509.21 $52,705.62 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 85 18 $122,349.92 $122,349.92 $29,619.26 $122,288.10 $52,216.56 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 85 18 $115,815.48 $115,815.48 $28,109.60 $130,073.12 $50,304.78 2026-07-15
901 MS_DRG Wound Debridements For Injuries With McC 85 18 $103,496.38 $103,496.38 $27,604.31 $180,226.18 $50,144.04 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 85 18 $95,597.91 $95,597.91 $21,996.22 $136,462.91 $49,686.90 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 56 10 $104,719.10 $104,719.10 $49,320.96 $132,974.68 $49,320.96 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With McC 82 17 $40,294.19 $40,294.19 $27,369.42 $112,523.93 $49,095.24 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 85 18 $124,107.83 $124,107.83 $25,923.31 $120,015.92 $48,749.82 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC 85 18 $141,471.09 $141,471.09 $24,533.28 $100,973.71 $48,623.28 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With McC 85 18 $112,711.25 $112,711.25 $26,577.52 $110,377.62 $48,136.50 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 73 15 $138,904.25 $138,904.25 $25,606.18 $94,696.63 $47,543.70 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With McC 85 18 $112,149.60 $112,149.60 $25,639.24 $106,195.93 $46,979.40 2026-07-15
93654 CPT Hc Ep & Ablate Ventric Tachy 137 21 $58,406.00 $58,406.00 $23,263.03 $72,270.71 $46,724.80 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 77 18 $178,237.31 $178,237.31 $27,942.00 $127,818.92 $46,704.66 2026-07-15
332 MS_DRG Rectal Resection With McC 85 18 $107,318.82 $107,318.82 $21,611.79 $111,088.71 $46,287.42 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With McC 85 18 $120,091.40 $120,091.40 $24,363.19 $100,530.91 $45,748.20 2026-07-15
19367 CPT Breast Reconstruction 95 10 $48,055.00 $48,055.00 $36,041.25 $48,055.00 $45,652.25 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With McC 85 18 $123,768.34 $123,768.34 $24,228.61 $106,288.42 $45,593.16 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 85 18 $133,460.15 $133,460.15 $23,686.56 $101,254.04 $45,016.32 2026-07-15
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 284 21 $62,749.55 $62,749.55 $28,052.32 $59,668.60 $44,883.71 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With McC 85 18 $139,725.21 $139,725.21 $25,342.01 $148,005.57 $44,823.66 2026-07-15
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 294 21 $63,041.92 $63,041.92 $27,857.23 $59,896.00 $44,571.57 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 85 18 $108,846.43 $108,846.43 $25,568.17 $103,314.41 $44,568.30 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 85 18 $115,716.01 $115,716.01 $24,803.07 $93,289.69 $44,486.22 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC 85 18 $95,126.30 $95,126.30 $22,333.91 $93,821.11 $44,325.48 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 9 $233,683.76 $233,683.76 $44,253.49 $44,253.49 $44,253.49 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With McC 56 10 $132,602.94 $132,602.94 $44,068.98 $95,951.94 $44,068.98 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 41 13 $225,398.90 $225,398.90 $44,031.06 $181,502.53 $44,031.06 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With McC 77 18 $166,799.84 $166,799.84 $22,335.16 $130,388.13 $43,456.80 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 73 15 $112,277.48 $112,277.48 $23,815.53 $116,949.63 $43,367.88 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With McC 85 18 $117,761.90 $117,761.90 $23,502.13 $99,331.35 $43,187.76 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 85 18 $77,666.98 $77,666.98 $24,080.95 $102,096.79 $42,915.30 2026-07-15
S2102 HCPCS Hc Process Auto Islet Transcon 95 10 $44,887.00 $44,887.00 $33,665.25 $44,887.00 $42,642.65 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 30 9 $498,050.87 $498,050.87 $42,543.84 $42,543.84 $42,543.84 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurost… 82 17 $160,680.61 $160,680.61 $22,330.17 $94,205.48 $42,495.78 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 85 18 $127,551.99 $127,551.99 $21,935.16 $92,384.22 $42,344.16 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With McC 85 18 $125,461.92 $125,461.92 $22,575.66 $127,709.10 $41,995.32 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 85 18 $136,449.50 $136,449.50 $21,814.91 $99,609.63 $41,832.30 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With McC 85 18 $136,289.91 $136,289.91 $23,989.36 $122,642.93 $41,790.12 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 85 18 $100,318.99 $100,318.99 $24,583.75 $103,562.06 $41,550.72 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 45 15 $332,410.82 $332,410.82 $41,542.60 $188,664.98 $41,542.60 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 77 18 $160,268.65 $160,268.65 $23,314.60 $159,293.91 $41,280.54 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 82 17 $32,035.68 $32,035.68 $21,588.12 $87,859.42 $41,092.44 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With McC 85 18 $103,194.69 $103,194.69 $22,733.29 $93,454.79 $40,737.90 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/McC 85 18 $70,335.74 $70,335.74 $24,056.65 $86,477.47 $40,491.66 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With McC 85 18 $86,677.11 $86,677.11 $21,830.49 $95,791.94 $40,295.58 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With McC 85 18 $144,580.84 $144,580.84 $26,103.37 $95,397.31 $39,831.60 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 85 18 $126,997.72 $126,997.72 $22,125.81 $89,311.79 $39,739.26 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 85 18 $147,261.13 $147,261.13 $21,460.39 $89,159.59 $39,715.32 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With McC 85 18 $83,031.62 $83,031.62 $21,133.91 $89,131.21 $39,597.90 2026-07-15
C1831 HCPCS Hc Aprevo Kit Implant Level 1 Patient Specific 342 8 $45,500.00 $45,500.00 $15,184.00 $65,000.00 $39,520.00 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 85 18 $148,242.27 $148,242.27 $20,913.98 $88,437.28 $38,960.64 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With McC 85 18 $94,707.07 $94,707.07 $21,426.75 $88,376.20 $38,791.92 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 41 13 $149,462.56 $149,462.56 $38,594.32 $160,204.53 $38,594.32 2026-07-15
265 MS_DRG Aicd Lead Procedures 85 18 $79,853.11 $79,853.11 $22,225.50 $91,169.18 $38,555.94 2026-07-15
37 MS_DRG Extracranial Procedures With McC 85 18 $118,924.10 $118,924.10 $20,690.92 $87,080.35 $38,452.20 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With McC 30 9 $1,601,726.29 $1,601,726.29 $38,368.77 $38,368.77 $38,368.77 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without McC 85 18 $62,313.32 $62,313.32 $19,445.44 $83,602.92 $38,298.30 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without McC 45 15 $326,431.18 $326,431.18 $38,060.36 $157,585.92 $38,060.36 2026-07-15
93653 CPT Hc Ep & Ablate Supravent Arrhyt 197 21 $58,406.00 $58,406.00 $23,263.03 $93,925.16 $37,963.90 2026-07-15
93656 CPT Hc Tx Atrial Fib Pulm Vein Isol 197 21 $58,406.00 $58,406.00 $23,263.03 $93,925.16 $37,963.90 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 59 10 $42,700.21 $42,700.21 $21,823.63 $87,108.73 $37,829.76 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 85 18 $80,131.63 $80,131.63 $21,776.28 $84,253.00 $37,730.58 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With McC 85 18 $105,007.85 $105,007.85 $20,299.03 $97,005.74 $37,680.42 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without McC 85 18 $69,422.26 $69,422.26 $19,803.36 $115,579.77 $37,630.26 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/McC 45 15 $334,672.73 $334,672.73 $37,606.78 $233,777.88 $37,606.78 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With McC 85 18 $119,900.53 $119,900.53 $21,990.61 $114,287.94 $37,177.68 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 15 $284,946.35 $284,946.35 $37,067.22 $150,300.23 $37,067.22 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With McC 85 18 $85,939.92 $85,939.92 $20,057.90 $84,975.32 $37,061.40 2026-07-15
500 MS_DRG Soft Tissue Procedures With McC 85 18 $122,924.72 $122,924.72 $19,742.64 $90,627.51 $36,531.30 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 73 15 $93,896.89 $93,896.89 $24,483.44 $69,439.62 $36,437.82 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With McC 85 18 $111,874.34 $111,874.34 $20,572.54 $85,790.50 $36,167.64 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 85 18 $74,109.91 $74,109.91 $19,213.67 $96,112.73 $36,077.58 2026-07-15
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 274 21 $38,731.50 $38,731.50 $29,025.00 $72,274.14 $36,020.29 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With McC 85 18 $90,569.19 $90,569.19 $20,307.75 $86,218.73 $35,929.38 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With McC 85 18 $62,746.87 $62,746.87 $15,794.98 $72,664.99 $35,679.72 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With McC 85 18 $87,501.66 $87,501.66 $19,267.25 $92,763.22 $35,542.92 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With McC 82 17 $42,160.05 $42,160.05 $19,869.12 $80,620.78 $35,419.80 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With McC 82 17 $32,970.04 $32,970.04 $19,775.66 $82,945.09 $35,306.94 2026-07-15
653 MS_DRG Major Bladder Procedures With McC 44 15 $256,780.09 $256,780.09 $34,732.64 $167,105.58 $34,732.64 2026-07-15
662 MS_DRG Minor Bladder Procedures With McC 85 18 $84,626.60 $84,626.60 $19,436.72 $90,185.34 $34,641.18 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 45 15 $311,126.84 $311,126.84 $34,437.94 $198,493.87 $34,437.94 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With McC 85 18 $120,267.39 $120,267.39 $18,160.09 $88,584.28 $34,418.88 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 9 $283,392.63 $283,392.63 $34,293.39 $34,293.39 $34,293.39 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 85 18 $116,818.37 $116,818.37 $18,371.30 $77,427.12 $34,054.08 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With McC 85 18 $116,332.68 $116,332.68 $18,323.95 $76,072.77 $33,812.40 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With McC 30 9 $509,378.04 $509,378.04 $33,615.51 $33,615.51 $33,615.51 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 85 18 $73,044.14 $73,044.14 $16,843.58 $72,303.83 $33,431.64 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 85 18 $122,760.51 $122,760.51 $17,497.78 $74,486.26 $33,398.58 2026-07-15
570 MS_DRG Skin Debridement With McC 85 18 $86,893.55 $86,893.55 $18,040.56 $118,767.44 $33,254.94 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 44 15 $272,522.63 $272,522.63 $33,147.60 $134,090.23 $33,147.60 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 15 $296,294.36 $296,294.36 $33,001.18 $137,665.15 $33,001.18 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With McC 85 18 $88,669.34 $88,669.34 $16,987.51 $90,994.54 $32,965.38 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC 77 18 $126,381.14 $126,381.14 $16,944.59 $70,183.32 $32,924.34 2026-07-15
69930 CPT Implant Cochlear Device 137 21 $20,094.00 $20,094.00 $14,668.62 $102,604.71 $32,846.36 2026-07-15
974 MS_DRG HIV With Major Related Condition With McC 85 18 $53,976.29 $53,976.29 $18,605.57 $83,503.66 $32,752.20 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With McC 85 18 $97,167.23 $97,167.23 $18,274.11 $80,472.05 $32,692.92 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With McC 85 18 $63,567.02 $63,567.02 $17,479.72 $69,873.75 $32,504.82 2026-07-15
783 MS_DRG Cesarean Section With Sterilization With McC 85 18 $45,897.99 $45,897.99 $11,477.24 $44,021.00 $32,300.00 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC 85 18 $97,204.02 $97,204.02 $16,510.87 $69,283.00 $32,242.62 2026-07-15
33264 CPT Hc Remv&Replc Cvd Gen Mult Lead 137 21 $25,225.00 $25,225.00 $18,918.75 $98,724.53 $32,223.98 2026-07-15
668 MS_DRG Transurethral Procedures With McC 85 18 $79,629.18 $79,629.18 $18,170.06 $72,695.95 $32,181.06 2026-07-15
52 MS_DRG Spinal Disorders And Injuries With Cc/McC 82 17 $63,828.76 $63,828.76 $20,295.42 $50,162.27 $31,983.55 2026-07-15
263 MS_DRG Vein Ligation And Stripping 74 17 $122,445.74 $122,445.74 $16,710.87 $72,881.68 $31,760.40 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With McC 73 15 $46,748.35 $46,748.35 $16,926.45 $70,250.12 $31,614.48 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 85 18 $98,411.94 $98,411.94 $18,144.51 $81,760.99 $30,941.88 2026-07-15
67027 CPT Implant Eye Drug System 95 10 $38,558.00 $38,558.00 $24,831.00 $40,051.00 $30,846.40 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With McC 85 18 $64,053.49 $64,053.49 $17,018.66 $85,356.15 $30,740.10 2026-07-15
64582 CPT Hc Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor 137 21 $15,268.00 $15,268.00 $11,145.64 $90,359.53 $30,415.00 2026-07-15
64568 CPT Inc For Vagus N Elect Impl 137 21 $15,268.00 $15,268.00 $11,145.64 $90,359.53 $30,415.00 2026-07-15
61886 CPT Implant Neurostim Arrays 137 21 $15,268.00 $15,268.00 $11,145.64 $90,359.53 $30,415.00 2026-07-15
800 MS_DRG Splenic Procedures With Cc 85 18 $65,365.01 $65,365.01 $18,154.48 $72,688.21 $30,306.90 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With McC 85 18 $61,066.33 $61,066.33 $16,788.13 $80,552.97 $30,010.50 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 85 18 $90,163.71 $90,163.71 $16,721.46 $69,749.93 $29,641.14 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With McC 85 18 $64,508.69 $64,508.69 $16,101.53 $92,636.06 $29,376.66 2026-07-15
58200 CPT Hc Tot Abd Hyst W/Paraortic & Pelvic Lymph Node Sam 95 10 $30,881.00 $30,881.00 $23,160.75 $30,881.00 $29,336.95 2026-07-15
50405 CPT Revision Of Kidney/ureter 95 10 $30,881.00 $30,881.00 $23,160.75 $30,881.00 $29,336.95 2026-07-15
92941 CPT Hc Prq Card Revasc Mi 1 Vsl 157 16 $32,499.00 $32,499.00 $21,124.35 $34,054.00 $29,249.10 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With McC 85 18 $72,268.33 $72,268.33 $16,302.15 $73,406.00 $29,247.84 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 85 18 $52,529.36 $52,529.36 $14,935.80 $67,946.79 $29,147.52 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without McC 41 13 $117,985.99 $117,985.99 $28,983.74 $123,371.57 $28,983.74 2026-07-15
347 MS_DRG Anal And Stomal Procedures With McC 85 18 $48,367.36 $48,367.36 $14,746.39 $65,759.13 $28,935.48 2026-07-15
503 MS_DRG Foot Procedures With McC 85 18 $93,054.25 $93,054.25 $16,489.69 $69,184.97 $28,879.62 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/McC 85 18 $71,346.70 $71,346.70 $16,128.32 $75,645.75 $28,798.68 2026-07-15
50548 CPT Laparo Remove W/ureter 95 10 $30,256.00 $30,256.00 $22,692.00 $30,256.00 $28,743.20 2026-07-15
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 308 21 $42,413.92 $42,413.92 $17,939.40 $40,319.82 $28,703.04 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 15 $216,242.56 $216,242.56 $28,614.27 $131,529.68 $28,614.27 2026-07-15
545 MS_DRG Connective Tissue Disorders With McC 85 18 $51,461.83 $51,461.83 $15,528.29 $77,350.85 $28,598.04 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 85 18 $82,579.46 $82,579.46 $15,254.18 $64,131.34 $28,593.48 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without McC 85 18 $37,823.40 $37,823.40 $14,422.40 $67,848.53 $28,173.96 2026-07-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/McC 85 18 $91,779.34 $91,779.34 $15,022.40 $68,416.22 $27,937.98 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With McC 44 15 $208,223.30 $208,223.30 $27,864.74 $113,919.55 $27,864.74 2026-07-15
63685 CPT Insrt/redo Spine N Generator 137 21 $15,268.00 $15,268.00 $11,145.64 $90,359.53 $27,561.00 2026-07-15
709 MS_DRG Penis Procedures With Cc/McC 85 18 $49,756.25 $49,756.25 $14,000.60 $56,000.13 $27,496.80 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC 85 18 $41,418.50 $41,418.50 $15,911.49 $77,729.44 $27,462.60 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With McC 85 18 $96,350.77 $96,350.77 $14,806.82 $59,792.29 $27,105.78 2026-07-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 85 18 $46,099.54 $46,099.54 $14,226.14 $62,556.94 $27,002.04 2026-07-15
A9548 HCPCS Pentetate Indium Disodium In-111 1.5 Mci/1.5 Ml Intrathecal Solution 108 7 $30,111.01 $30,111.01 $22,559.63 $28,635.38 $26,920.00 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With McC 85 18 $80,035.03 $80,035.03 $15,069.75 $61,912.80 $26,869.80 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 85 18 $62,089.45 $62,089.45 $14,036.11 $73,787.48 $26,721.60 2026-07-15
849 MS_DRG Radiotherapy 85 18 $65,971.95 $65,971.95 $16,642.33 $69,430.05 $26,663.46 2026-07-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 77 18 $103,123.28 $103,123.28 $14,069.75 $57,545.37 $26,654.34 2026-07-15
0238T OTHER Hc Trluml Perip Athrc Iliac Art 95 10 $33,308.00 $33,308.00 $17,516.00 $42,944.00 $26,646.40 2026-07-15
92933 CPT Hc Prq Trluml Coronry Stent/Ath/Angio One Art/Brnch 95 10 $33,308.00 $33,308.00 $24,981.00 $42,944.00 $26,646.40 2026-07-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With McC 85 18 $52,513.75 $52,513.75 $14,118.35 $58,631.42 $26,626.98 2026-07-15
C9602 HCPCS Hc Perc D-e Cor Stent Ather S 190 21 $33,308.00 $33,308.00 $17,175.28 $52,869.22 $26,625.00 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With McC 41 13 $203,865.44 $203,865.44 $26,538.26 $106,799.58 $26,538.26 2026-07-15
140 MS_DRG Major Head And Neck Procedures With McC 30 9 $354,398.46 $354,398.46 $26,350.10 $26,350.10 $26,350.10 2026-07-15
412 MS_DRG Cholecystectomy With C.d.e. With Cc 85 18 $90,779.27 $90,779.27 $13,280.97 $60,487.70 $26,170.98 2026-07-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC 82 17 $67,137.46 $67,137.46 $19,740.94 $56,229.72 $26,041.02 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 85 18 $84,010.87 $84,010.87 $14,173.18 $73,261.50 $26,035.32 2026-07-15
Q4226 HCPCS Hc Graft Skin 10x10cm Autologous 108 7 $32,500.00 $32,500.00 $9,750.00 $52,000.00 $26,000.00 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 41 13 $21,602.28 $21,602.28 $25,984.37 $32,246.25 $25,984.37 2026-07-15
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC 85 18 $83,078.59 $83,078.59 $12,245.46 $54,343.96 $25,868.88 2026-07-15
19357 CPT Breast Reconstruction 274 21 $31,669.50 $31,669.50 $15,412.49 $102,698.61 $25,860.00 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With McC 85 18 $94,045.36 $94,045.36 $14,456.05 $58,773.31 $25,824.42 2026-07-15
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With McC 82 17 $59,797.86 $59,797.86 $20,349.00 $47,737.35 $25,809.25 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without McC 44 15 $227,337.40 $227,337.40 $25,620.51 $106,016.76 $25,620.51 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 85 18 $89,638.57 $89,638.57 $14,031.12 $56,670.85 $25,606.68 2026-07-15
113 MS_DRG Orbital Procedures With Cc/McC 85 18 $50,633.70 $50,633.70 $14,059.79 $64,680.82 $25,596.42 2026-07-15
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 85 18 $64,012.82 $64,012.82 $14,013.06 $58,373.45 $25,579.32 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/McC 85 18 $76,773.32 $76,773.32 $14,070.38 $56,946.88 $25,458.48 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 77 18 $99,912.81 $99,912.81 $13,386.27 $63,961.48 $25,451.64 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With McC 82 17 $70,464.65 $70,464.65 $16,562.94 $61,758.02 $25,431.12 2026-07-15
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 85 18 $43,944.41 $43,944.41 $12,636.73 $55,094.96 $25,354.74 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 85 18 $57,892.65 $57,892.65 $13,441.09 $59,325.92 $25,321.68 2026-07-15
44213 CPT Hc Lap Mobil Splenic Fl Add-on 149 15 $29,395.00 $29,395.00 $9,698.00 $29,395.00 $24,985.75 2026-07-15
43775 CPT Hc Lap Sleeve Gastrectomy 178 21 $30,881.00 $30,881.00 $983.37 $30,881.00 $24,704.80 2026-07-15
J1304 HCPCS Tofersen 100 Mg/15 Ml (6.7 Mg/ml) Intrathecal Solution 302 21 $31,518.85 $31,518.85 $15,366.40 $38,464.20 $24,586.24 2026-07-15
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 82 17 $36,467.06 $36,467.06 $12,186.60 $32,094.58 $24,450.88 2026-07-15
C1882 HCPCS Hc Crt-d 5.37x8.08x0.99cm Inogen 1,474 11 $26,550.00 $26,550.00 $15,136.55 $37,859.00 $24,436.00 2026-07-15
595 MS_DRG Major Skin Disorders With McC 85 18 $48,062.44 $48,062.44 $13,178.17 $56,108.48 $24,411.96 2026-07-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 85 18 $33,011.61 $33,011.61 $14,269.75 $66,759.00 $24,407.40 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 29 9 $145,477.46 $145,477.46 $24,375.03 $24,375.03 $24,375.03 2026-07-15
33519 CPT Hc Cabg Artery-vein Three 146 15 $28,620.00 $28,620.00 $18,603.00 $28,620.00 $24,327.00 2026-07-15
784 MS_DRG Cesarean Section With Sterilization With Cc 85 18 $46,161.06 $46,161.06 $6,747.65 $27,017.00 $24,300.00 2026-07-15
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 85 18 $86,693.02 $86,693.02 $12,190.56 $63,747.62 $24,297.96 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With McC 85 18 $72,447.45 $72,447.45 $13,790.00 $55,608.01 $24,179.40 2026-07-15
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With McC 85 18 $41,184.24 $41,184.24 $13,360.10 $80,157.04 $24,092.76 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 85 18 $51,208.36 $51,208.36 $13,575.67 $55,094.65 $24,042.60 2026-07-15
33231 CPT Hc Insrt Pulse Gen W/Mult Leads 95 10 $25,225.00 $25,225.00 $18,918.75 $80,191.00 $23,963.75 2026-07-15
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 85 18 $85,572.81 $85,572.81 $12,292.81 $51,271.54 $23,936.58 2026-07-15
835 MS_DRG Acute Leukemia With Cc 85 18 $72,201.50 $72,201.50 $13,307.76 $90,101.53 $23,906.94 2026-07-15
33418 CPT Hc Tcat Mitral Valve Repair Initial Prosthesis 157 16 $27,838.00 $27,838.00 $18,094.70 $27,838.00 $23,801.49 2026-07-15
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 85 18 $43,694.55 $43,694.55 $13,515.86 $55,579.64 $23,759.88 2026-07-15
314 MS_DRG Other Circulatory System Diagnoses With McC 85 18 $64,268.19 $64,268.19 $13,417.42 $54,006.02 $23,741.64 2026-07-15
33361 CPT Hc Replace Aortic Valve Perq 149 15 $27,838.00 $27,838.00 $18,094.70 $27,838.00 $23,662.30 2026-07-15
44207 CPT Hc L Colectomy/Coloproctostomy 178 21 $29,395.00 $29,395.00 $1,630.29 $29,395.00 $23,516.00 2026-07-15
33249 CPT Eltrd/insert Pace-defib 190 21 $25,225.00 $25,225.00 $16,396.25 $98,724.53 $23,459.25 2026-07-15
33270 CPT Hc Ins/Rep Subq Defibrillator 190 21 $25,225.00 $25,225.00 $16,396.25 $98,724.53 $23,459.25 2026-07-15
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 82 17 $61,278.44 $61,278.44 $12,449.20 $52,579.45 $23,433.84 2026-07-15
35301 CPT Hc Teaec W/Patch Grf Carotid Vertb Subclav Neck Inc 95 10 $24,655.00 $24,655.00 $6,582.00 $24,655.00 $23,422.25 2026-07-15
32 MS_DRG Ventricular Shunt Procedures With Cc 77 18 $89,872.22 $89,872.22 $13,305.89 $55,561.58 $23,421.30 2026-07-15
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 85 18 $62,818.77 $62,818.77 $11,090.32 $54,878.21 $23,407.62 2026-07-15
711 MS_DRG Testes Procedures With Cc/McC 85 18 $62,939.70 $62,939.70 $11,904.03 $54,764.45 $23,294.76 2026-07-15
80 MS_DRG Nontraumatic Stupor And Coma With McC 85 18 $36,184.07 $36,184.07 $12,385.02 $56,977.83 $23,253.72 2026-07-15
35151 CPT Hc Dir Rpr Aneurysm & Graft Popliteal Artery 178 21 $28,992.00 $28,992.00 $1,084.14 $28,992.00 $23,193.60 2026-07-15
35121 CPT Hc Dir Rpr Aneurysm Hepatic/Celiac/Renal/Mesenteric 178 21 $28,992.00 $28,992.00 $1,378.54 $28,992.00 $23,193.60 2026-07-15
33277 CPT Hc Insj Phrenic Nrv Stimulator Transvns Sensing Ld Add-on 95 10 $24,378.00 $24,378.00 $18,283.50 $24,378.00 $23,159.10 2026-07-15
33288 CPT Hc Rmvl&Rplcmt Phrnc Nrv Stim Trnsvns Stimj/Snsg Ld 95 10 $24,378.00 $24,378.00 $18,283.50 $24,378.00 $23,159.10 2026-07-15
33262 CPT Hc Remv&Replc Cvd Gen Sing Lead 137 21 $19,362.00 $19,362.00 $14,134.26 $70,230.23 $23,087.72 2026-07-15
33263 CPT Hc Remv&Replc Cvd Gen Dual Lead 137 21 $19,362.00 $19,362.00 $14,134.26 $70,230.23 $23,087.72 2026-07-15
935 MS_DRG Non-extensive Burns 73 15 $44,860.44 $44,860.44 $13,684.71 $43,973.57 $23,074.74 2026-07-15
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With McC 85 18 $76,844.81 $76,844.81 $14,293.43 $54,457.47 $22,961.88 2026-07-15
C1826 HCPCS Hc Stimulator Spinal Cord Inceptiv 93 17 $28,600.00 $28,600.00 $19,676.80 $28,600.00 $22,880.00 2026-07-15
539 MS_DRG Osteomyelitis With McC 85 18 $61,692.13 $61,692.13 $12,600.60 $109,507.88 $22,753.26 2026-07-15
259 MS_DRG Cardiac Pacemaker Device Replacement Without McC 85 18 $40,049.86 $40,049.86 $10,951.38 $48,152.68 $22,732.74 2026-07-15
374 MS_DRG Digestive Malignancy With McC 85 18 $52,886.64 $52,886.64 $13,155.11 $59,340.37 $22,723.62 2026-07-15
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 77 18 $90,607.05 $90,607.05 $10,816.80 $48,261.03 $22,716.78 2026-07-15
J0841 HCPCS Antivenin Crotalidae (equine) Solution For Injection 206 11 $28,386.50 $28,386.50 $11,959.08 $26,973.35 $22,704.00 2026-07-15
33510 CPT Hc Coronary Artery Bypass 1 Coronary Venous Graft 95 10 $23,850.00 $23,850.00 $17,887.50 $23,850.00 $22,657.50 2026-07-15
786 MS_DRG Cesarean Section Without Sterilization With McC 85 18 $52,774.14 $52,774.14 $10,067.89 $30,783.00 $22,600.00 2026-07-15
902 MS_DRG Wound Debridements For Injuries With Cc 85 18 $42,424.20 $42,424.20 $11,823.03 $50,546.10 $22,592.52 2026-07-15
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 85 18 $83,794.12 $83,794.12 $12,219.29 $51,434.06 $22,560.60 2026-07-15
78431 CPT Hc Myocrd Img PET Prfuj Mlt Std Rst&Strs Cncrnt CT 95 10 $28,131.00 $28,131.00 $4,263.00 $26,724.45 $22,504.80 2026-07-15
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With McC 85 18 $42,727.31 $42,727.31 $12,393.74 $51,671.39 $22,480.80 2026-07-15
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With McC 85 18 $52,034.50 $52,034.50 $12,224.90 $51,145.13 $22,312.08 2026-07-15
33419 CPT Hc Tcat Mitral Valve Repair Addl Prosthesis Add-on 113 16 $27,838.00 $27,838.00 $18,094.70 $27,838.00 $22,270.40 2026-07-15
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 85 18 $61,739.43 $61,739.43 $12,034.87 $51,194.15 $22,161.60 2026-07-15
93582 CPT Hc Perq Transcath Closure Pda 95 10 $23,315.00 $23,315.00 $17,486.25 $42,944.00 $22,149.25 2026-07-15
37231 CPT Tib/per Revasc Stent & Ather 95 10 $23,315.00 $23,315.00 $17,486.25 $42,944.00 $22,149.25 2026-07-15
37230 CPT Hc Revsc Opn/Prq Tib/Pero W/Stnt/Angiop Sm Vsl 95 10 $23,315.00 $23,315.00 $17,486.25 $42,944.00 $22,149.25 2026-07-15
93581 CPT Hc Close Vsd W/implant-transcath 95 10 $23,315.00 $23,315.00 $17,486.25 $42,944.00 $22,149.25 2026-07-15
34808 CPT Hc Evasc Placement Iliac Artery Occlusion Device 95 10 $23,315.00 $23,315.00 $17,486.25 $23,315.00 $22,149.25 2026-07-15
548 MS_DRG Septic Arthritis With McC 85 18 $50,443.04 $50,443.04 $12,552.00 $79,515.46 $22,114.86 2026-07-15
92998 CPT Hc Prq Trluml Pulmonary Art Balloon Angiop Ea Vsl Add-on 54 7 $25,999.00 $25,999.00 $18,523.00 $24,699.05 $22,099.15 2026-07-15
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 85 18 $54,903.24 $54,903.24 $11,796.24 $54,910.00 $22,086.36 2026-07-15
582 MS_DRG Mastectomy For Malignancy With Cc/McC 85 18 $44,356.29 $44,356.29 $10,910.88 $44,920.32 $22,056.72 2026-07-15
100 MS_DRG Seizures With McC 85 18 $37,438.37 $37,438.37 $12,369.45 $51,142.55 $21,899.40 2026-07-15
283 MS_DRG Acute Myocardial Infarction, Expired With McC 85 18 $42,325.97 $42,325.97 $12,183.15 $50,856.21 $21,872.04 2026-07-15
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 85 18 $67,916.19 $67,916.19 $11,095.93 $48,284.24 $21,856.08 2026-07-15
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 85 18 $55,521.08 $55,521.08 $11,823.03 $49,840.94 $21,783.12 2026-07-15
37229 CPT Tib/per Revasc W/ather 137 21 $23,315.00 $23,315.00 $17,019.95 $52,869.22 $21,682.95 2026-07-15
37227 CPT Fem/popl Revasc Stnt & Ather 137 21 $23,315.00 $23,315.00 $17,019.95 $52,869.22 $21,682.95 2026-07-15
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/McC 85 18 $56,369.62 $56,369.62 $11,244.21 $61,088.82 $21,672.54 2026-07-15
C9607 HCPCS Hc Perc D-e Cor Revasc Chro Sing 190 21 $33,308.00 $33,308.00 $16,454.00 $32,671.80 $21,650.20 2026-07-15
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/McC 85 18 $73,637.81 $73,637.81 $12,174.43 $48,560.27 $21,640.62 2026-07-15
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC 85 18 $52,933.90 $52,933.90 $11,778.17 $87,792.42 $21,600.72 2026-07-15
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With McC 85 18 $47,363.92 $47,363.92 $12,206.21 $49,427.05 $21,525.48 2026-07-15
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 85 18 $68,292.95 $68,292.95 $12,176.30 $47,879.23 $21,516.36 2026-07-15
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 85 18 $75,855.16 $75,855.16 $11,917.73 $59,077.38 $21,484.44 2026-07-15
64590 CPT Insrt/redo Pn/gastr Stimul 137 21 $10,464.00 $10,464.00 $7,638.72 $66,219.98 $21,426.65 2026-07-15
61885 CPT Insrt/redo Neurostim 1 Array 137 21 $10,464.00 $10,464.00 $7,638.72 $66,219.98 $21,426.65 2026-07-15
814 MS_DRG Reticuloendothelial And Immunity Disorders With McC 85 18 $55,830.37 $55,830.37 $13,024.90 $54,907.11 $21,421.74 2026-07-15
665 MS_DRG Prostatectomy With McC 44 15 $174,632.11 $174,632.11 $21,393.10 $88,413.77 $21,393.10 2026-07-15
252 MS_DRG Other Vascular Procedures With McC 44 15 $192,934.55 $192,934.55 $21,373.17 $86,517.98 $21,373.17 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 44 15 $170,271.00 $170,271.00 $21,340.77 $89,936.08 $21,340.77 2026-07-15
33533 CPT Hc Cabg Arterial Single 149 15 $25,043.00 $25,043.00 $16,277.95 $25,043.00 $21,286.55 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With McC 44 15 $42,396.39 $42,396.39 $21,222.39 $86,983.22 $21,222.39 2026-07-15
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/McC 85 18 $34,443.62 $34,443.62 $12,075.99 $54,991.46 $21,144.72 2026-07-15
58954 CPT Hc Bso W/Omentectomy Tah Debulking W/Lmphadectomy 95 10 $22,235.00 $22,235.00 $16,676.25 $22,235.00 $21,123.25 2026-07-15
785 MS_DRG Cesarean Section With Sterilization Without Cc/McC 85 18 $45,960.67 $45,960.67 $5,442.36 $22,929.00 $21,100.00 2026-07-15
671 MS_DRG Urethral Procedures With Cc/McC 85 18 $68,226.98 $68,226.98 $10,739.54 $44,161.88 $20,879.10 2026-07-15
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