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 WOOD RIVER MEDICAL CENTER

Ketchum, ID · CCN 131323 · Rates published

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You selected 93306 (CPT)

HC Echoc 2d, Doppler, Color Flow, Complete

This hospital’s price: $2,236 across 20 payers · range $1,367-$2,485

Source: https://stlukesonline.file.core.windows.net/stlukesonline-files/841421665_St-Lukes-Wood-River-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.

7,534 distinct procedures filed
28 distinct payers
2,487,843 rate rows
2026-07-15 last MRF observed
Data quality

2,415,378 of 2,487,843 rate rows are consumer-grade (97.1%)

72,465 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 50,478
per-diem day rate — not a per-procedure price 20,811
percent-of-charges filed in the dollar field — excluded from medians 794
exceeds 10× this hospital's gross charge — excluded from medians 198
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 149
placeholder amount (≤ $0.02) — excluded from medians 24
template filing: same amount across many unrelated codes — excluded 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stlukesonline.file.core.windows.net/stlukesonline-files/841421665_St-Lukes-Wood-River-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 3e844694a420529e… · 531,644,589 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
215
MS_DRG 		Other Heart Assist System Implant 3 $348,385.15 $348,385.15 $348,385.15 nat. median
$93,901
outlier · 3.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $319,830.30 $319,830.30 $319,830.30 nat. median
$190,559
1.7× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With McC 3 $275,347.15 $275,347.15 $275,347.15 nat. median
$70,732
outlier · 3.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $262,769.95 $262,769.95 $262,769.95 nat. median
$126,695
outlier · 2.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 3 $215,732.35 $215,732.35 $215,732.35 nat. median
$74,370
outlier · 2.9×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $199,298.80 $199,298.80 $199,298.80 nat. median
$77,632
outlier · 2.6×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 3 $195,491.80 $195,491.80 $195,491.80 nat. median
$58,280
outlier · 3.4×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/McC 3 $190,096.20 $190,096.20 $190,096.20 nat. median
$53,927
outlier · 3.5×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $188,535.80 $188,535.80 $188,535.80 nat. median
$47,543
outlier · 4.0×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 3 $176,893.90 $176,893.90 $176,893.90 nat. median
$49,540
outlier · 3.6×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 3 $175,596.70 $175,596.70 $175,596.70 nat. median
$59,371
outlier · 3.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $174,795.35 $174,795.35 $174,795.35 nat. median
$90,551
1.9× median
231
MS_DRG 		Coronary Bypass With Ptca With McC 3 $166,509.25 $166,509.25 $166,509.25 nat. median
$77,028
outlier · 2.2×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 $161,405.05 $161,405.05 $161,405.05 nat. median
$51,514
outlier · 3.1×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 $160,067.90 $160,067.90 $160,067.90 nat. median
$39,452
outlier · 4.1×
834
MS_DRG 		Acute Leukemia With McC 3 $157,612.15 $157,612.15 $157,612.15 nat. median
$50,371
outlier · 3.1×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With McC 3 $156,775.55 $156,775.55 $156,775.55 nat. median
$38,225
outlier · 4.1×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $153,520.80 $153,520.80 $153,520.80 nat. median
$55,167
outlier · 2.8×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 3 $153,412.70 $153,412.70 $153,412.70 nat. median
$63,873
outlier · 2.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 3 $151,793.55 $151,793.55 $151,793.55 nat. median
$71,748
outlier · 2.1×
459
MS_DRG 		Spinal Fusion Except Cervical With McC 3 $151,751.25 $151,751.25 $151,751.25 nat. median
$52,712
outlier · 2.9×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $148,874.85 $148,874.85 $148,874.85 nat. median
$72,398
outlier · 2.1×
901
MS_DRG 		Wound Debridements For Injuries With McC 3 $146,550.70 $146,550.70 $146,550.70 nat. median
$39,652
outlier · 3.7×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $146,155.90 $146,155.90 $146,155.90 nat. median
$32,619
outlier · 4.5×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $143,185.50 $143,185.50 $143,185.50 nat. median
$62,031
outlier · 2.3×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With McC 3 $142,090.40 $142,090.40 $142,090.40 nat. median
$53,856
outlier · 2.6×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/McC 3 $142,050.45 $142,050.45 $142,050.45 nat. median
$38,810
outlier · 3.7×
228
MS_DRG 		Other Cardiothoracic Procedures With McC 3 $139,192.85 $139,192.85 $139,192.85 nat. median
$47,429
outlier · 2.9×
38240
CPT 		Bone Marrow/stem Transplant 20 $80,181.75 $145,785.00 $138,495.75 nat. median
$12,842
outlier · 10.8×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC 3 $136,579.65 $136,579.65 $136,579.65 nat. median
$45,868
outlier · 3.0×
653
MS_DRG 		Major Bladder Procedures With McC 3 $135,881.70 $135,881.70 $135,881.70 nat. median
$49,999
outlier · 2.7×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With McC 3 $135,705.45 $135,705.45 $135,705.45 nat. median
$67,976
2.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $135,348.25 $135,348.25 $135,348.25 nat. median
$62,655
outlier · 2.2×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 $133,202.70 $133,202.70 $133,202.70 nat. median
$34,024
outlier · 3.9×
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 $129,529.65 $129,529.65 $129,529.65 nat. median
$33,627
outlier · 3.9×
232
MS_DRG 		Coronary Bypass With Ptca Without McC 3 $128,140.80 $128,140.80 $128,140.80 nat. median
$57,801
outlier · 2.2×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With McC 3 $126,890.60 $126,890.60 $126,890.60 nat. median
$55,477
outlier · 2.3×
163
MS_DRG 		Major Chest Procedures With McC 3 $126,458.20 $126,458.20 $126,458.20 nat. median
$42,680
outlier · 3.0×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $122,216.45 $122,216.45 $122,216.45 nat. median
$59,546
outlier · 2.1×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $121,791.10 $121,791.10 $121,791.10 nat. median
$40,320
outlier · 3.0×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without McC 3 $120,423.40 $120,423.40 $120,423.40 nat. median
$31,634
outlier · 3.8×
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With McC 3 $120,350.55 $120,350.55 $120,350.55 nat. median
$38,555
outlier · 3.1×
33276
CPT 		Hc Insertion Phrenic Nerve Stimulator System 20 $69,300.55 $126,001.00 $119,700.95 nat. median
$43,278
outlier · 2.8×
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 3 $118,461.15 $118,461.15 $118,461.15 nat. median
$43,895
outlier · 2.7×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 $115,909.05 $115,909.05 $115,909.05 nat. median
$53,523
outlier · 2.2×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With McC 3 $112,767.10 $112,767.10 $112,767.10 nat. median
$45,430
outlier · 2.5×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With McC 3 $112,750.65 $112,750.65 $112,750.65 nat. median
$50,787
outlier · 2.2×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 3 $112,179.60 $112,179.60 $112,179.60 nat. median
$45,237
outlier · 2.5×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $111,942.25 $111,942.25 $111,942.25 nat. median
$50,627
outlier · 2.2×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 $110,964.65 $110,964.65 $110,964.65 nat. median
$32,336
outlier · 3.4×

Other procedures at this hospital

Browse this hospital's 7,534 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
             
215 MS_DRG Other Heart Assist System Implant 5 3 $237,673.12 $237,673.12 $348,385.15 $348,385.15 $348,385.15 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 3 $772,951.43 $772,951.43 $319,830.30 $319,830.30 $319,830.30 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With McC 5 3 $663,672.82 $663,672.82 $275,347.15 $275,347.15 $275,347.15 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 3 $330,363.45 $330,363.45 $262,769.95 $262,769.95 $262,769.95 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 5 3 $189,069.97 $189,069.97 $215,732.35 $215,732.35 $215,732.35 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 3 $367,471.41 $367,471.41 $199,298.80 $199,298.80 $199,298.80 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 5 3 $125,151.08 $125,151.08 $195,491.80 $195,491.80 $195,491.80 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/McC 5 3 $323,257.72 $323,257.72 $190,096.20 $190,096.20 $190,096.20 2026-07-15
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 3 $126,596.57 $126,596.57 $188,535.80 $188,535.80 $188,535.80 2026-07-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 3 $197,675.95 $197,675.95 $176,893.90 $176,893.90 $176,893.90 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 3 $188,315.22 $188,315.22 $175,596.70 $175,596.70 $175,596.70 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 3 $305,778.99 $305,778.99 $174,795.35 $174,795.35 $174,795.35 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With McC 5 3 $377,096.12 $377,096.12 $166,509.25 $166,509.25 $166,509.25 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 3 $294,121.84 $294,121.84 $161,405.05 $161,405.05 $161,405.05 2026-07-15
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 3 $139,713.81 $139,713.81 $160,067.90 $160,067.90 $160,067.90 2026-07-15
834 MS_DRG Acute Leukemia With McC 5 3 $177,370.57 $177,370.57 $157,612.15 $157,612.15 $157,612.15 2026-07-15
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With McC 5 3 $92,196.60 $92,196.60 $156,775.55 $156,775.55 $156,775.55 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 3 $208,264.03 $208,264.03 $153,520.80 $153,520.80 $153,520.80 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 5 3 $216,966.39 $216,966.39 $153,412.70 $153,412.70 $153,412.70 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 5 3 $288,034.53 $288,034.53 $151,793.55 $151,793.55 $151,793.55 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With McC 5 3 $226,119.60 $226,119.60 $151,751.25 $151,751.25 $151,751.25 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 3 $276,782.15 $276,782.15 $148,874.85 $148,874.85 $148,874.85 2026-07-15
901 MS_DRG Wound Debridements For Injuries With McC 5 3 $85,839.38 $85,839.38 $146,550.70 $146,550.70 $146,550.70 2026-07-15
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 3 $118,163.59 $118,163.59 $146,155.90 $146,155.90 $146,155.90 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 3 $194,220.98 $194,220.98 $143,185.50 $143,185.50 $143,185.50 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With McC 5 3 $175,690.76 $175,690.76 $142,090.40 $142,090.40 $142,090.40 2026-07-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/McC 5 3 $151,416.35 $151,416.35 $142,050.45 $142,050.45 $142,050.45 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With McC 5 3 $141,936.52 $141,936.52 $139,192.85 $139,192.85 $139,192.85 2026-07-15
38240 CPT Bone Marrow/stem Transplant 135 20 $145,785.00 $145,785.00 $80,181.75 $145,785.00 $138,495.75 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC 5 3 $89,493.85 $89,493.85 $136,579.65 $136,579.65 $136,579.65 2026-07-15
653 MS_DRG Major Bladder Procedures With McC 5 3 $207,217.09 $207,217.09 $135,881.70 $135,881.70 $135,881.70 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With McC 5 3 $167,631.82 $167,631.82 $135,705.45 $135,705.45 $135,705.45 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 3 $248,773.61 $248,773.61 $135,348.25 $135,348.25 $135,348.25 2026-07-15
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 3 $141,771.18 $141,771.18 $133,202.70 $133,202.70 $133,202.70 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 3 $129,227.53 $129,227.53 $129,529.65 $129,529.65 $129,529.65 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without McC 5 3 $279,086.18 $279,086.18 $128,140.80 $128,140.80 $128,140.80 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With McC 5 3 $200,304.90 $200,304.90 $126,890.60 $126,890.60 $126,890.60 2026-07-15
163 MS_DRG Major Chest Procedures With McC 5 3 $146,105.35 $146,105.35 $126,458.20 $126,458.20 $126,458.20 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 3 $237,244.10 $237,244.10 $122,216.45 $122,216.45 $122,216.45 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 3 $172,352.77 $172,352.77 $121,791.10 $121,791.10 $121,791.10 2026-07-15
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without McC 5 3 $121,120.48 $121,120.48 $120,423.40 $120,423.40 $120,423.40 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With McC 5 3 $132,200.81 $132,200.81 $120,350.55 $120,350.55 $120,350.55 2026-07-15
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 135 20 $126,001.00 $126,001.00 $69,300.55 $126,001.00 $119,700.95 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 3 $195,392.57 $195,392.57 $118,461.15 $118,461.15 $118,461.15 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 3 $156,964.89 $156,964.89 $115,909.05 $115,909.05 $115,909.05 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 5 3 $57,207.16 $57,207.16 $112,767.10 $112,767.10 $112,767.10 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With McC 5 3 $134,653.33 $134,653.33 $112,750.65 $112,750.65 $112,750.65 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 5 3 $116,013.52 $116,013.52 $112,179.60 $112,179.60 $112,179.60 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 3 $245,355.75 $245,355.75 $111,942.25 $111,942.25 $111,942.25 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 5 3 $88,863.68 $88,863.68 $110,964.65 $110,964.65 $110,964.65 2026-07-15
28 MS_DRG Spinal Procedures With McC 5 3 $192,274.25 $192,274.25 $110,541.65 $110,541.65 $110,541.65 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With McC 5 3 $134,876.38 $134,876.38 $110,189.15 $110,189.15 $110,189.15 2026-07-15
A9513 HCPCS Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 360 20 $120,207.90 $120,207.90 $65,284.00 $120,239.40 $108,759.64 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 5 3 $101,558.10 $101,558.10 $108,128.20 $108,128.20 $108,128.20 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 3 $182,001.56 $182,001.56 $106,953.20 $106,953.20 $106,953.20 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 5 3 $223,855.63 $223,855.63 $106,553.70 $106,553.70 $106,553.70 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With McC 5 3 $151,442.54 $151,442.54 $106,024.95 $106,024.95 $106,024.95 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 5 3 $92,816.64 $92,816.64 $105,768.80 $105,768.80 $105,768.80 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 5 3 $141,597.42 $141,597.42 $105,766.45 $105,766.45 $105,766.45 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 5 3 $111,936.16 $111,936.16 $103,935.80 $103,935.80 $103,935.80 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With McC 5 3 $101,262.92 $101,262.92 $103,846.50 $103,846.50 $103,846.50 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With McC 5 3 $158,497.75 $158,497.75 $103,747.80 $103,747.80 $103,747.80 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 5 3 $137,067.92 $137,067.92 $102,471.75 $102,471.75 $102,471.75 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With McC 5 3 $123,446.91 $123,446.91 $99,726.95 $99,726.95 $99,726.95 2026-07-15
799 MS_DRG Splenic Procedures With McC 5 3 $119,524.14 $119,524.14 $99,259.30 $99,259.30 $99,259.30 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 5 3 $108,545.89 $108,545.89 $97,590.80 $97,590.80 $97,590.80 2026-07-15
570 MS_DRG Skin Debridement With McC 5 3 $69,801.92 $69,801.92 $96,575.60 $96,575.60 $96,575.60 2026-07-15
245 MS_DRG Aicd Generator Procedures 5 3 $42,899.58 $42,899.58 $96,493.35 $96,493.35 $96,493.35 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With McC 5 3 $82,001.77 $82,001.77 $95,708.45 $95,708.45 $95,708.45 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 3 $93,360.48 $93,360.48 $95,097.45 $95,097.45 $95,097.45 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 5 3 $111,397.71 $111,397.71 $95,064.55 $95,064.55 $95,064.55 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without McC 5 3 $67,387.09 $67,387.09 $93,983.55 $93,983.55 $93,983.55 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With McC 5 3 $108,039.53 $108,039.53 $92,933.10 $92,933.10 $92,933.10 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 5 3 $155,540.44 $155,540.44 $91,565.40 $91,565.40 $91,565.40 2026-07-15
332 MS_DRG Rectal Resection With McC 5 3 $80,175.82 $80,175.82 $90,331.65 $90,331.65 $90,331.65 2026-07-15
539 MS_DRG Osteomyelitis With McC 5 3 $56,546.02 $56,546.02 $89,046.20 $89,046.20 $89,046.20 2026-07-15
460 MS_DRG Spinal Fusion Except Cervical Without McC 5 3 $145,367.59 $145,367.59 $89,034.45 $89,034.45 $89,034.45 2026-07-15
471 MS_DRG Cervical Spinal Fusion With McC 5 3 $132,075.32 $132,075.32 $87,250.80 $87,250.80 $87,250.80 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With McC 5 3 $109,094.09 $109,094.09 $86,428.30 $86,428.30 $86,428.30 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without McC 5 3 $189,044.48 $189,044.48 $86,207.40 $86,207.40 $86,207.40 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 3 $124,146.15 $124,146.15 $82,334.60 $82,334.60 $82,334.60 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC 5 3 $115,022.09 $115,022.09 $82,106.65 $82,106.65 $82,106.65 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 3 $84,927.94 $84,927.94 $81,838.75 $81,838.75 $81,838.75 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 3 $104,784.50 $104,784.50 $80,997.45 $80,997.45 $80,997.45 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 5 3 $92,461.74 $92,461.74 $79,794.25 $79,794.25 $79,794.25 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With McC 5 3 $84,454.85 $84,454.85 $78,880.10 $78,880.10 $78,880.10 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 5 3 $68,309.91 $68,309.91 $78,153.95 $78,153.95 $78,153.95 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 5 3 $89,376.43 $89,376.43 $78,001.20 $78,001.20 $78,001.20 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With McC 5 3 $70,262.11 $70,262.11 $77,893.10 $77,893.10 $77,893.10 2026-07-15
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 5 3 $42,008.05 $42,008.05 $77,759.15 $77,759.15 $77,759.15 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With McC 5 3 $170,840.30 $170,840.30 $77,540.60 $77,540.60 $77,540.60 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With McC 5 3 $95,649.39 $95,649.39 $77,364.35 $77,364.35 $77,364.35 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 5 3 $107,838.25 $107,838.25 $77,002.45 $77,002.45 $77,002.45 2026-07-15
592 MS_DRG Skin Ulcers With McC 5 3 $45,971.02 $45,971.02 $76,584.15 $76,584.15 $76,584.15 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With McC 5 3 $68,065.66 $68,065.66 $75,430.30 $75,430.30 $75,430.30 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With McC 5 3 $51,834.53 $51,834.53 $75,326.90 $75,326.90 $75,326.90 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With McC 5 3 $86,076.13 $86,076.13 $74,532.60 $74,532.60 $74,532.60 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With McC 5 3 $74,309.69 $74,309.69 $73,992.10 $73,992.10 $73,992.10 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With McC 5 3 $128,411.11 $128,411.11 $73,869.90 $73,869.90 $73,869.90 2026-07-15
500 MS_DRG Soft Tissue Procedures With McC 5 3 $98,595.72 $98,595.72 $73,693.65 $73,693.65 $73,693.65 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With McC 5 3 $106,495.57 $106,495.57 $73,672.50 $73,672.50 $73,672.50 2026-07-15
662 MS_DRG Minor Bladder Procedures With McC 5 3 $72,985.60 $72,985.60 $73,334.10 $73,334.10 $73,334.10 2026-07-15
835 MS_DRG Acute Leukemia With Cc 5 3 $59,059.50 $59,059.50 $73,265.95 $73,265.95 $73,265.95 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC 5 3 $110,833.18 $110,833.18 $73,148.45 $73,148.45 $73,148.45 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With McC 5 3 $101,118.94 $101,118.94 $73,068.55 $73,068.55 $73,068.55 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With McC 5 3 $100,102.40 $100,102.40 $73,054.45 $73,054.45 $73,054.45 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With McC 5 3 $97,569.20 $97,569.20 $72,032.20 $72,032.20 $72,032.20 2026-07-15
665 MS_DRG Prostatectomy With McC 5 3 $146,753.86 $146,753.86 $71,893.55 $71,893.55 $71,893.55 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With McC 5 3 $83,914.96 $83,914.96 $71,863.00 $71,863.00 $71,863.00 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 5 3 $91,012.98 $91,012.98 $71,839.50 $71,839.50 $71,839.50 2026-07-15
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC 5 3 $46,382.89 $46,382.89 $71,388.30 $71,388.30 $71,388.30 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With McC 5 3 $38,959.39 $38,959.39 $70,730.30 $70,730.30 $70,730.30 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With McC 5 3 $82,035.43 $82,035.43 $70,413.05 $70,413.05 $70,413.05 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/McC 5 3 $55,440.36 $55,440.36 $70,319.05 $70,319.05 $70,319.05 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With McC 5 3 $88,496.34 $88,496.34 $69,569.40 $69,569.40 $69,569.40 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With McC 5 3 $58,728.49 $58,728.49 $69,407.25 $69,407.25 $69,407.25 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 5 3 $132,032.57 $132,032.57 $69,014.80 $69,014.80 $69,014.80 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With McC 5 3 $93,629.98 $93,629.98 $68,946.65 $68,946.65 $68,946.65 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 5 3 $105,480.39 $105,480.39 $68,746.90 $68,746.90 $68,746.90 2026-07-15
974 MS_DRG HIV With Major Related Condition With McC 5 3 $50,353.79 $50,353.79 $67,900.90 $67,900.90 $67,900.90 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 5 3 $28,544.68 $28,544.68 $67,849.20 $67,849.20 $67,849.20 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 5 3 $86,472.09 $86,472.09 $67,736.40 $67,736.40 $67,736.40 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With McC 5 3 $81,990.27 $81,990.27 $66,730.60 $66,730.60 $66,730.60 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 5 3 $78,760.94 $78,760.94 $66,483.85 $66,483.85 $66,483.85 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 5 3 $81,180.03 $81,180.03 $66,387.50 $66,387.50 $66,387.50 2026-07-15
252 MS_DRG Other Vascular Procedures With McC 5 3 $94,296.79 $94,296.79 $66,352.25 $66,352.25 $66,352.25 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With McC 5 3 $54,658.33 $54,658.33 $65,501.55 $65,501.55 $65,501.55 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With McC 5 3 $77,713.23 $77,713.23 $65,435.75 $65,435.75 $65,435.75 2026-07-15
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With McC 5 3 $36,953.24 $36,953.24 $65,179.60 $65,179.60 $65,179.60 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 5 3 $143,855.46 $143,855.46 $64,930.50 $64,930.50 $64,930.50 2026-07-15
548 MS_DRG Septic Arthritis With McC 5 3 $44,578.37 $44,578.37 $64,657.90 $64,657.90 $64,657.90 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 5 3 $119,045.22 $119,045.22 $64,023.40 $64,023.40 $64,023.40 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With McC 5 3 $70,788.92 $70,788.92 $64,011.65 $64,011.65 $64,011.65 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC 5 3 $36,561.50 $36,561.50 $63,205.60 $63,205.60 $63,205.60 2026-07-15
545 MS_DRG Connective Tissue Disorders With McC 5 3 $53,770.27 $53,770.27 $62,897.75 $62,897.75 $62,897.75 2026-07-15
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With McC Or 4+ Ar… 5 3 $120,625.90 $120,625.90 $62,850.75 $62,850.75 $62,850.75 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC… 5 3 $151,686.24 $151,686.24 $62,493.55 $62,493.55 $62,493.55 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 3 $75,583.18 $75,583.18 $62,181.00 $62,181.00 $62,181.00 2026-07-15
265 MS_DRG Aicd Lead Procedures 5 3 $62,476.11 $62,476.11 $61,758.00 $61,758.00 $61,758.00 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/McC 5 3 $54,208.33 $54,208.33 $61,511.25 $61,511.25 $61,511.25 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With McC 5 3 $88,868.01 $88,868.01 $61,473.65 $61,473.65 $61,473.65 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 3 $104,536.76 $104,536.76 $60,063.65 $60,063.65 $60,063.65 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 5 3 $113,850.51 $113,850.51 $60,004.90 $60,004.90 $60,004.90 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 5 3 $55,038.47 $55,038.47 $60,000.20 $60,000.20 $60,000.20 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With McC 5 3 $60,022.33 $60,022.33 $59,690.00 $59,690.00 $59,690.00 2026-07-15
919 MS_DRG Complications Of Treatment With McC 5 3 $41,208.57 $41,208.57 $59,661.80 $59,661.80 $59,661.80 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 5 3 $86,425.79 $86,425.79 $59,572.50 $59,572.50 $59,572.50 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/McC 5 3 $99,051.66 $99,051.66 $59,358.65 $59,358.65 $59,358.65 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With McC 5 3 $42,679.35 $42,679.35 $57,123.80 $57,123.80 $57,123.80 2026-07-15
37 MS_DRG Extracranial Procedures With McC 5 3 $95,236.10 $95,236.10 $56,743.10 $56,743.10 $56,743.10 2026-07-15
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With McC 5 3 $111,028.17 $111,028.17 $56,357.70 $56,357.70 $56,357.70 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 5 3 $76,698.91 $76,698.91 $56,350.65 $56,350.65 $56,350.65 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 5 3 $84,181.38 $84,181.38 $56,331.85 $56,331.85 $56,331.85 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 5 3 $94,459.01 $94,459.01 $55,429.45 $55,429.45 $55,429.45 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 5 3 $115,524.80 $115,524.80 $55,413.00 $55,413.00 $55,413.00 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 5 3 $64,997.93 $64,997.93 $55,250.85 $55,250.85 $55,250.85 2026-07-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 5 3 $119,066.46 $119,066.46 $55,192.10 $55,192.10 $55,192.10 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without McC 5 3 $28,544.40 $28,544.40 $55,170.95 $55,170.95 $55,170.95 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 5 3 $98,198.07 $98,198.07 $54,881.90 $54,881.90 $54,881.90 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC 5 3 $86,695.30 $86,695.30 $54,590.50 $54,590.50 $54,590.50 2026-07-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 5 3 $44,975.49 $44,975.49 $54,285.00 $54,285.00 $54,285.00 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without McC 5 3 $58,178.32 $58,178.32 $53,441.35 $53,441.35 $53,441.35 2026-07-15
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 310 20 $63,041.92 $63,041.92 $31,218.62 $61,156.97 $53,275.91 2026-07-15
93654 CPT Hc Ep & Ablate Ventric Tachy 177 20 $58,406.00 $58,406.00 $28,061.00 $58,406.00 $52,857.43 2026-07-15
93653 CPT Hc Ep & Ablate Supravent Arrhyt 180 20 $58,406.00 $58,406.00 $28,061.00 $58,406.00 $52,565.40 2026-07-15
93656 CPT Hc Tx Atrial Fib Pulm Vein Isol 180 20 $58,406.00 $58,406.00 $28,061.00 $58,406.00 $52,565.40 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With McC 5 3 $57,001.02 $57,001.02 $52,313.35 $52,313.35 $52,313.35 2026-07-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 5 3 $113,522.21 $113,522.21 $52,132.40 $52,132.40 $52,132.40 2026-07-15
333 MS_DRG Rectal Resection With Cc 5 3 $125,569.08 $125,569.08 $52,073.65 $52,073.65 $52,073.65 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 5 3 $79,288.81 $79,288.81 $52,010.20 $52,010.20 $52,010.20 2026-07-15
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 3 $69,853.02 $69,853.02 $51,836.30 $51,836.30 $51,836.30 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 5 3 $86,679.97 $86,679.97 $51,596.60 $51,596.60 $51,596.60 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC 5 3 $95,366.25 $95,366.25 $51,566.05 $51,566.05 $51,566.05 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 5 3 $74,463.20 $74,463.20 $51,420.35 $51,420.35 $51,420.35 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 5 3 $95,077.65 $95,077.65 $51,363.95 $51,363.95 $51,363.95 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Cc/McC 5 3 $112,292.87 $112,292.87 $51,354.55 $51,354.55 $51,354.55 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 5 3 $101,239.63 $101,239.63 $51,218.25 $51,218.25 $51,218.25 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC 5 3 $77,580.02 $77,580.02 $51,105.45 $51,105.45 $51,105.45 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 5 3 $74,284.72 $74,284.72 $51,049.05 $51,049.05 $51,049.05 2026-07-15
800 MS_DRG Splenic Procedures With Cc 5 3 $57,107.01 $57,107.01 $51,046.70 $51,046.70 $51,046.70 2026-07-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 5 3 $42,686.54 $42,686.54 $50,868.10 $50,868.10 $50,868.10 2026-07-15
503 MS_DRG Foot Procedures With McC 5 3 $76,049.45 $76,049.45 $50,811.70 $50,811.70 $50,811.70 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/McC 5 3 $110,197.88 $110,197.88 $50,294.70 $50,294.70 $50,294.70 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 5 3 $88,128.37 $88,128.37 $49,867.00 $49,867.00 $49,867.00 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 5 3 $80,302.62 $80,302.62 $49,784.75 $49,784.75 $49,784.75 2026-07-15
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/McC 5 3 $50,051.94 $50,051.94 $49,674.30 $49,674.30 $49,674.30 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 5 3 $55,950.84 $55,950.84 $49,486.30 $49,486.30 $49,486.30 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC 5 3 $84,076.28 $84,076.28 $49,328.85 $49,328.85 $49,328.85 2026-07-15
347 MS_DRG Anal And Stomal Procedures With McC 5 3 $39,053.11 $39,053.11 $49,232.50 $49,232.50 $49,232.50 2026-07-15
412 MS_DRG Cholecystectomy With C.d.e. With Cc 5 3 $70,471.27 $70,471.27 $49,185.50 $49,185.50 $49,185.50 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/McC 5 3 $101,651.81 $101,651.81 $49,131.45 $49,131.45 $49,131.45 2026-07-15
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/McC 5 3 $115,285.67 $115,285.67 $48,802.45 $48,802.45 $48,802.45 2026-07-15
668 MS_DRG Transurethral Procedures With McC 5 3 $67,565.26 $67,565.26 $48,527.50 $48,527.50 $48,527.50 2026-07-15
374 MS_DRG Digestive Malignancy With McC 5 3 $57,917.07 $57,917.07 $48,252.55 $48,252.55 $48,252.55 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 5 3 $48,105.31 $48,105.31 $48,240.80 $48,240.80 $48,240.80 2026-07-15
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 3 $62,754.16 $62,754.16 $48,038.70 $48,038.70 $48,038.70 2026-07-15
682 MS_DRG Renal Failure With McC 5 3 $34,536.88 $34,536.88 $47,693.25 $47,693.25 $47,693.25 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 5 3 $99,311.96 $99,311.96 $47,528.75 $47,528.75 $47,528.75 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With McC 5 3 $59,773.03 $59,773.03 $47,493.50 $47,493.50 $47,493.50 2026-07-15
165 MS_DRG Major Chest Procedures Without Cc/McC 5 3 $103,783.81 $103,783.81 $47,352.50 $47,352.50 $47,352.50 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 5 3 $113,082.54 $113,082.54 $47,343.10 $47,343.10 $47,343.10 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With McC 5 3 $86,661.82 $86,661.82 $46,687.45 $46,687.45 $46,687.45 2026-07-15
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 5 3 $108,580.67 $108,580.67 $46,436.00 $46,436.00 $46,436.00 2026-07-15
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 5 3 $106,274.87 $106,274.87 $45,893.15 $45,893.15 $45,893.15 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC 5 3 $108,482.14 $108,482.14 $45,723.95 $45,723.95 $45,723.95 2026-07-15
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without McC 5 3 $83,140.18 $83,140.18 $45,686.35 $45,686.35 $45,686.35 2026-07-15
19367 CPT Breast Reconstruction 135 20 $48,055.00 $48,055.00 $26,430.25 $48,055.00 $45,652.25 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 5 3 $82,355.49 $82,355.49 $45,235.15 $45,235.15 $45,235.15 2026-07-15
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 5 3 $73,001.00 $73,001.00 $45,127.05 $45,127.05 $45,127.05 2026-07-15
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 5 3 $41,813.41 $41,813.41 $44,800.40 $44,800.40 $44,800.40 2026-07-15
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 5 3 $49,455.24 $49,455.24 $44,650.00 $44,650.00 $44,650.00 2026-07-15
814 MS_DRG Reticuloendothelial And Immunity Disorders With McC 5 3 $50,730.37 $50,730.37 $44,647.65 $44,647.65 $44,647.65 2026-07-15
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 5 3 $46,406.77 $46,406.77 $44,624.15 $44,624.15 $44,624.15 2026-07-15
116 MS_DRG Intraocular Procedures With Cc/McC 5 3 $72,411.94 $72,411.94 $44,511.35 $44,511.35 $44,511.35 2026-07-15
113 MS_DRG Orbital Procedures With Cc/McC 5 3 $40,510.70 $40,510.70 $43,926.20 $43,926.20 $43,926.20 2026-07-15
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 5 3 $94,567.91 $94,567.91 $43,912.10 $43,912.10 $43,912.10 2026-07-15
595 MS_DRG Major Skin Disorders With McC 5 3 $46,462.44 $46,462.44 $43,874.50 $43,874.50 $43,874.50 2026-07-15
709 MS_DRG Penis Procedures With Cc/McC 5 3 $40,022.25 $40,022.25 $43,418.60 $43,418.60 $43,418.60 2026-07-15
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With McC 5 3 $67,525.81 $67,525.81 $43,416.25 $43,416.25 $43,416.25 2026-07-15
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 5 3 $90,666.68 $90,666.68 $43,371.60 $43,371.60 $43,371.60 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With McC 5 3 $78,357.36 $78,357.36 $43,336.35 $43,336.35 $43,336.35 2026-07-15
754 MS_DRG Malignancy, Female Reproductive System With McC 5 3 $29,204.43 $29,204.43 $42,887.50 $42,887.50 $42,887.50 2026-07-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 5 3 $70,659.31 $70,659.31 $42,852.25 $42,852.25 $42,852.25 2026-07-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 5 3 $96,538.28 $96,538.28 $42,795.85 $42,795.85 $42,795.85 2026-07-15
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 5 3 $42,731.62 $42,731.62 $42,657.20 $42,657.20 $42,657.20 2026-07-15
S2102 HCPCS Hc Process Auto Islet Transcon 135 20 $44,887.00 $44,887.00 $24,687.85 $44,887.00 $42,642.65 2026-07-15
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 5 3 $76,901.44 $76,901.44 $42,438.65 $42,438.65 $42,438.65 2026-07-15
722 MS_DRG Malignancy, Male Reproductive System With McC 5 3 $54,884.06 $54,884.06 $42,332.90 $42,332.90 $42,332.90 2026-07-15
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/McC 5 3 $101,351.14 $101,351.14 $42,292.95 $42,292.95 $42,292.95 2026-07-15
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/McC 5 3 $52,369.22 $52,369.22 $42,027.40 $42,027.40 $42,027.40 2026-07-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With McC 5 3 $48,268.75 $48,268.75 $41,656.10 $41,656.10 $41,656.10 2026-07-15
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 5 3 $51,604.59 $51,604.59 $41,573.85 $41,573.85 $41,573.85 2026-07-15
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 3 $49,346.63 $49,346.63 $41,536.25 $41,536.25 $41,536.25 2026-07-15
438 MS_DRG Disorders Of Pancreas Except Malignancy With McC 5 3 $41,150.51 $41,150.51 $41,414.05 $41,414.05 $41,414.05 2026-07-15
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 5 3 $83,714.15 $83,714.15 $41,193.15 $41,193.15 $41,193.15 2026-07-15
902 MS_DRG Wound Debridements For Injuries With Cc 5 3 $31,578.01 $31,578.01 $41,101.50 $41,101.50 $41,101.50 2026-07-15
177 MS_DRG Respiratory Infections And Inflammations With McC 5 3 $20,780.19 $20,780.19 $40,633.85 $40,633.85 $40,633.85 2026-07-15
36 MS_DRG Carotid Artery Stent Procedures Without Cc/McC 5 3 $67,421.78 $67,421.78 $40,619.75 $40,619.75 $40,619.75 2026-07-15
620 MS_DRG O.r. Procedures For Obesity With Cc 5 3 $57,169.71 $57,169.71 $40,619.75 $40,619.75 $40,619.75 2026-07-15
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 5 3 $52,155.08 $52,155.08 $40,528.10 $40,528.10 $40,528.10 2026-07-15
314 MS_DRG Other Circulatory System Diagnoses With McC 5 3 $54,213.06 $54,213.06 $40,293.10 $40,293.10 $40,293.10 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 5 3 $74,189.57 $74,189.57 $40,133.30 $40,133.30 $40,133.30 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 5 3 $67,008.86 $67,008.86 $40,091.00 $40,091.00 $40,091.00 2026-07-15
180 MS_DRG Respiratory Neoplasms With McC 5 3 $49,774.58 $49,774.58 $39,978.20 $39,978.20 $39,978.20 2026-07-15
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With McC 5 3 $56,689.01 $56,689.01 $39,933.55 $39,933.55 $39,933.55 2026-07-15
30 MS_DRG Spinal Procedures Without Cc/McC 5 3 $98,745.21 $98,745.21 $39,764.35 $39,764.35 $39,764.35 2026-07-15
908 MS_DRG Other O.r. Procedures For Injuries With Cc 5 3 $64,716.33 $64,716.33 $39,559.90 $39,559.90 $39,559.90 2026-07-15
597 MS_DRG Malignant Breast Disorders With McC 5 3 $38,701.25 $38,701.25 $39,320.20 $39,320.20 $39,320.20 2026-07-15
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/McC 5 3 $24,852.43 $24,852.43 $39,214.45 $39,214.45 $39,214.45 2026-07-15
686 MS_DRG Kidney And Urinary Tract Neoplasms With McC 5 3 $49,260.59 $49,260.59 $39,200.35 $39,200.35 $39,200.35 2026-07-15
189 MS_DRG Pulmonary Edema And Respiratory Failure 5 3 $25,291.29 $25,291.29 $39,104.00 $39,104.00 $39,104.00 2026-07-15
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC 5 3 $71,860.00 $71,860.00 $39,031.15 $39,031.15 $39,031.15 2026-07-15
711 MS_DRG Testes Procedures With Cc/McC 5 3 $47,714.57 $47,714.57 $38,847.85 $38,847.85 $38,847.85 2026-07-15
380 MS_DRG Complicated Peptic Ulcer With McC 5 3 $54,229.53 $54,229.53 $38,744.45 $38,744.45 $38,744.45 2026-07-15
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With McC 5 3 $56,199.61 $56,199.61 $38,678.65 $38,678.65 $38,678.65 2026-07-15
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 5 3 $77,925.79 $77,925.79 $38,615.20 $38,615.20 $38,615.20 2026-07-15
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 5 3 $38,016.55 $38,016.55 $38,366.10 $38,366.10 $38,366.10 2026-07-15
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With McC 5 3 $49,575.69 $49,575.69 $38,349.65 $38,349.65 $38,349.65 2026-07-15
666 MS_DRG Prostatectomy With Cc 5 3 $78,092.73 $78,092.73 $38,300.30 $38,300.30 $38,300.30 2026-07-15
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 5 3 $68,747.98 $68,747.98 $38,175.75 $38,175.75 $38,175.75 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/McC 5 3 $66,968.32 $66,968.32 $38,126.40 $38,126.40 $38,126.40 2026-07-15
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With McC 5 3 $47,421.81 $47,421.81 $37,999.50 $37,999.50 $37,999.50 2026-07-15
836 MS_DRG Acute Leukemia Without Cc/McC 5 3 $18,266.24 $18,266.24 $37,992.45 $37,992.45 $37,992.45 2026-07-15
196 MS_DRG Interstitial Lung Disease With McC 5 3 $56,918.96 $56,918.96 $37,910.20 $37,910.20 $37,910.20 2026-07-15
178 MS_DRG Respiratory Infections And Inflammations With Cc 5 3 $19,162.56 $19,162.56 $37,907.85 $37,907.85 $37,907.85 2026-07-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/McC 5 3 $70,704.97 $70,704.97 $37,879.65 $37,879.65 $37,879.65 2026-07-15
393 MS_DRG Other Digestive System Diagnoses With McC 5 3 $41,783.75 $41,783.75 $37,846.75 $37,846.75 $37,846.75 2026-07-15
142 MS_DRG Major Head And Neck Procedures Without Cc/McC 5 3 $58,787.68 $58,787.68 $37,839.70 $37,839.70 $37,839.70 2026-07-15
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With McC 5 3 $43,399.38 $43,399.38 $37,818.55 $37,818.55 $37,818.55 2026-07-15
306 MS_DRG Cardiac Congenital And Valvular Disorders With McC 5 3 $34,125.78 $34,125.78 $37,661.10 $37,661.10 $37,661.10 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With McC 5 3 $49,398.87 $49,398.87 $37,463.70 $37,463.70 $37,463.70 2026-07-15
621 MS_DRG O.r. Procedures For Obesity Without Cc/McC 5 3 $51,723.86 $51,723.86 $37,226.35 $37,226.35 $37,226.35 2026-07-15
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With McC 5 3 $52,965.78 $52,965.78 $37,221.65 $37,221.65 $37,221.65 2026-07-15
259 MS_DRG Cardiac Pacemaker Device Replacement Without McC 5 3 $36,113.86 $36,113.86 $37,179.35 $37,179.35 $37,179.35 2026-07-15
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 5 3 $63,273.41 $63,273.41 $37,137.05 $37,137.05 $37,137.05 2026-07-15
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC 5 3 $80,162.69 $80,162.69 $37,104.15 $37,104.15 $37,104.15 2026-07-15
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 5 3 $28,248.73 $28,248.73 $37,090.05 $37,090.05 $37,090.05 2026-07-15
32 MS_DRG Ventricular Shunt Procedures With Cc 5 3 $71,110.22 $71,110.22 $36,793.95 $36,793.95 $36,793.95 2026-07-15
67027 CPT Implant Eye Drug System 135 20 $38,558.00 $38,558.00 $21,206.90 $38,558.00 $36,630.10 2026-07-15
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 3 $69,661.63 $69,661.63 $36,568.35 $36,568.35 $36,568.35 2026-07-15
186 MS_DRG Pleural Effusion With McC 5 3 $54,179.28 $54,179.28 $36,281.65 $36,281.65 $36,281.65 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With McC 5 3 $65,002.31 $65,002.31 $36,011.40 $36,011.40 $36,011.40 2026-07-15
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 310 20 $42,413.92 $42,413.92 $20,462.40 $41,168.66 $35,863.42 2026-07-15
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/McC 5 3 $61,064.98 $61,064.98 $35,809.30 $35,809.30 $35,809.30 2026-07-15
975 MS_DRG HIV With Major Related Condition With Cc 5 3 $27,588.37 $27,588.37 $35,781.10 $35,781.10 $35,781.10 2026-07-15
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 3 $71,679.05 $71,679.05 $35,755.25 $35,755.25 $35,755.25 2026-07-15
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 5 3 $44,915.50 $44,915.50 $35,644.80 $35,644.80 $35,644.80 2026-07-15
C1831 HCPCS Hc Aprevo Kit Implant Level 1 Patient Specific 570 18 $45,500.00 $45,500.00 $11,440.00 $65,000.00 $35,568.00 2026-07-15
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 3 $67,065.05 $67,065.05 $35,553.15 $35,553.15 $35,553.15 2026-07-15
337 MS_DRG Peritoneal Adhesiolysis Without Cc/McC 5 3 $47,646.68 $47,646.68 $35,374.55 $35,374.55 $35,374.55 2026-07-15
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/McC 5 3 $87,194.02 $87,194.02 $35,318.15 $35,318.15 $35,318.15 2026-07-15
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 5 3 $70,881.86 $70,881.86 $35,261.75 $35,261.75 $35,261.75 2026-07-15
91 MS_DRG Other Disorders Of Nervous System With McC 5 3 $48,067.95 $48,067.95 $35,148.95 $35,148.95 $35,148.95 2026-07-15
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 5 3 $62,848.70 $62,848.70 $35,111.35 $35,111.35 $35,111.35 2026-07-15
33 MS_DRG Ventricular Shunt Procedures Without Cc/McC 5 3 $57,400.42 $57,400.42 $35,097.25 $35,097.25 $35,097.25 2026-07-15
368 MS_DRG Major Esophageal Disorders With McC 5 3 $41,424.44 $41,424.44 $35,083.15 $35,083.15 $35,083.15 2026-07-15
501 MS_DRG Soft Tissue Procedures With Cc 5 3 $50,564.93 $50,564.93 $34,885.75 $34,885.75 $34,885.75 2026-07-15
811 MS_DRG Red Blood Cell Disorders With McC 5 3 $37,779.09 $37,779.09 $34,876.35 $34,876.35 $34,876.35 2026-07-15
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 5 3 $61,003.93 $61,003.93 $34,796.45 $34,796.45 $34,796.45 2026-07-15
289 MS_DRG Acute And Subacute Endocarditis With Cc 5 3 $37,191.65 $37,191.65 $34,700.10 $34,700.10 $34,700.10 2026-07-15
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