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

ALEXIAN BROTHERS MEDICAL CENTER 1

Elk Grove Village, IL · CCN 140258 · Rates published

5,401 distinct procedures filed
41 distinct payers
56,817 rate rows
2026-01-01 last MRF observed
Data quality

55,845 of 56,817 rate rows are consumer-grade (98.3%)

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

Excluded — reasonRows
per-diem day rate — not a per-procedure price 510
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 345
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 112
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 3
placeholder amount (≤ $0.02) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/il-csv/362596381_alexian-brothers-medical-center_standardcharges.csv
Found on page https://healthcare.ascension.org/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-13
Content fingerprint 891677648bcbee74… · 133,059,996 bytes · first seen 2026-05-15

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
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $64,698.00 $101,893.00 $83,295.50 nat. median
$45,446
1.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $64,698.00 $101,893.00 $83,295.50 nat. median
$69,822
1.2× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $64,698.00 $101,893.00 $83,295.50 nat. median
$47,458
1.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 2 $64,698.00 $93,616.00 $79,157.00 nat. median
$43,803
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 1 $1,920.00 $152,082.00 $77,001.00 nat. median
$73,023
1.1× median
69930
CPT 		Implant Cochlear Device 1 $71,638.00 $71,638.00 $71,638.00 nat. median
$23,645
outlier · 3.0×
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $59,256.00 $72,601.00 $65,928.50 nat. median
$35,297
1.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $59,256.00 $72,601.00 $65,928.50 nat. median
$55,923
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 $59,256.00 $72,117.00 $65,686.50 nat. median
$55,935
1.2× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $64,898.00 $64,898.00 $64,898.00 nat. median
$51,518
1.3× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 1 $62,077.00 $62,077.00 $62,077.00 nat. median
$33,459
1.9× median
583
MS_DRG 		Mastectomy For Malignancy Without Cc/mcc 7 $59,412.39 $117,715.01 $59,412.39 nat. median
$12,217
outlier · 4.9×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $59,256.00 $59,256.00 $59,256.00 nat. median
$43,533
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $1,920.00 $247,010.00 $55,093.52 nat. median
$65,418
0.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 2 $53,548.00 $53,633.00 $53,590.50 nat. median
$43,023
1.2× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 2 $47,276.00 $53,633.00 $50,454.50 nat. median
$30,358
1.7× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 2 $44,188.00 $50,784.00 $47,486.00 nat. median
$37,725
1.3× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $44,188.00 $50,784.00 $47,486.00 nat. median
$49,569
1.0× median
272
MS_DRG 		Other Major Cardiovascular Procedures Without Cc/mcc 2 $44,188.00 $44,693.00 $44,440.50 nat. median
$18,784
outlier · 2.4×
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 $44,188.00 $44,693.00 $44,440.50 nat. median
$30,768
1.4× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 2 $44,188.00 $44,693.00 $44,440.50 nat. median
$25,964
1.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $16,849.76 $93,616.00 $40,773.88 nat. median
$60,505
0.7× median
593
MS_DRG 		Skin Ulcers With Cc 8 $594.37 $62,974.22 $40,496.64 nat. median
$8,571
outlier · 4.7×
61798
CPT 		Srs Cranial Lesion Complex 3 $25,254.00 $43,290.00 $35,802.00 nat. median
$3,708
outlier · 9.7×
61797
CPT 		Srs Cran Les Simple Addl 3 $25,254.00 $43,290.00 $35,802.00 nat. median
$945
outlier · 37.9×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 $10,411.72 $67,762.00 $34,833.86 nat. median
$39,159
0.9× median
7
MS_DRG 		Lung Transplant 8 $1,920.00 $58,407.76 $34,421.25 nat. median
$70,649
outlier · 0.5×
6
MS_DRG 		Liver Transplant Without Mcc 8 $1,920.00 $50,296.53 $33,033.53 nat. median
$31,278
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $1,920.00 $247,010.00 $32,926.60 nat. median
$186,516
outlier · 0.2×
620
MS_DRG 		O.r. Procedures For Obesity With Cc 2 $17,113.00 $31,052.00 $28,162.00 nat. median
$11,967
outlier · 2.4×
619
MS_DRG 		O.r. Procedures For Obesity With Mcc 2 $17,113.00 $31,052.00 $28,162.00 nat. median
$19,944
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $1,920.00 $38,126.31 $28,075.66 nat. median
$69,922
outlier · 0.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $1,920.00 $57,853.07 $27,218.63 nat. median
$97,418
outlier · 0.3×
602
MS_DRG 		Cellulitis With Mcc 8 $1,920.00 $45,140.07 $27,159.51 nat. median
$10,595
outlier · 2.6×
61800
CPT 		Apply Srs Headframe Add-on 1 $25,254.00 $25,254.00 $25,254.00 nat. median
$1,473
outlier · 17.1×
61799
CPT 		Srs Cran Les Complex Addl 1 $25,254.00 $25,254.00 $25,254.00 nat. median
$1,265
outlier · 20.0×
63620
CPT 		Srs Spinal Lesion 1 $25,254.00 $25,254.00 $25,254.00 nat. median
$4,316
outlier · 5.9×
63621
CPT 		Srs Spinal Lesion Addl 1 $25,254.00 $25,254.00 $25,254.00 nat. median
$3,086
outlier · 8.2×
603
MS_DRG 		Cellulitis Without Mcc 8 $590.00 $50,620.70 $24,633.65 nat. median
$6,621
outlier · 3.7×
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 8 $1,920.00 $31,120.89 $23,023.15 nat. median
$7,418
outlier · 3.1×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 8 $1,920.00 $60,734.04 $22,865.03 nat. median
$37,371
0.6× median
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 3 $8,134.24 $23,177.00 $22,855.00 nat. median
$23,970
1.0× median
265
MS_DRG 		Aicd Lead Procedures 2 $1,920.00 $28,382.00 $22,855.00 nat. median
$25,096
0.9× median
33249
CPT 		Insj/rplcmt Defib W/lead(s) 1 $22,794.00 $22,794.00 $22,794.00 nat. median
$32,069
0.7× median
33262
CPT 		Rmvl& Replc Pulse Gen 1 Lead 1 $22,794.00 $22,794.00 $22,794.00 nat. median
$23,514
1.0× median
33231
CPT 		Insrt Pulse Gen W/mult Leads 1 $22,794.00 $22,794.00 $22,794.00 nat. median
$31,377
0.7× median
33230
CPT 		Insrt Pulse Gen W/dual Leads 1 $22,794.00 $22,794.00 $22,794.00 nat. median
$23,060
1.0× median
33240
CPT 		Insrt Pulse Gen W/singl Lead 1 $22,794.00 $22,794.00 $22,794.00 nat. median
$23,398
1.0× median
33271
CPT 		Insj Subq Impltbl Dfb Elctrd 1 $22,794.00 $22,794.00 $22,794.00 nat. median
$8,690
outlier · 2.6×
33263
CPT 		Rmvl & Rplcmt Dfb Gen 2 Lead 1 $22,794.00 $22,794.00 $22,794.00 nat. median
$23,924
1.0× median

Other procedures at this hospital

Browse this hospital's 5,401 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $64,698.00 $101,893.00 $83,295.50 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $64,698.00 $101,893.00 $83,295.50 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $64,698.00 $101,893.00 $83,295.50 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 2 — — $64,698.00 $93,616.00 $79,157.00 2026-01-01
215 MS_DRG Other Heart Assist System Implant 2 1 — — $1,920.00 $152,082.00 $77,001.00 2026-01-01
69930 CPT Implant Cochlear Device 1 1 — — $71,638.00 $71,638.00 $71,638.00 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $59,256.00 $72,601.00 $65,928.50 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $59,256.00 $72,601.00 $65,928.50 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 2 — — $59,256.00 $72,117.00 $65,686.50 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $64,898.00 $64,898.00 $64,898.00 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $62,077.00 $62,077.00 $62,077.00 2026-01-01
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 7 7 — — $59,412.39 $117,715.01 $59,412.39 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $59,256.00 $59,256.00 $59,256.00 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 8 — — $1,920.00 $247,010.00 $55,093.52 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 2 2 — — $53,548.00 $53,633.00 $53,590.50 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 2 2 — — $47,276.00 $53,633.00 $50,454.50 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 2 — — $44,188.00 $50,784.00 $47,486.00 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 — — $44,188.00 $50,784.00 $47,486.00 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 2 2 — — $44,188.00 $44,693.00 $44,440.50 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 2 2 — — $44,188.00 $44,693.00 $44,440.50 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 2 — — $44,188.00 $44,693.00 $44,440.50 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 4 — — $16,849.76 $93,616.00 $40,773.88 2026-01-01
593 MS_DRG Skin Ulcers With Cc 8 8 — — $594.37 $62,974.22 $40,496.64 2026-01-01
61797 CPT Srs Cran Les Simple Addl 3 3 — — $25,254.00 $43,290.00 $35,802.00 2026-01-01
61798 CPT Srs Cranial Lesion Complex 3 3 — — $25,254.00 $43,290.00 $35,802.00 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 4 — — $10,411.72 $67,762.00 $34,833.86 2026-01-01
7 MS_DRG Lung Transplant 8 8 — — $1,920.00 $58,407.76 $34,421.25 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 8 8 — — $1,920.00 $50,296.53 $33,033.53 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 8 — — $1,920.00 $247,010.00 $32,926.60 2026-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 3 2 — — $17,113.00 $31,052.00 $28,162.00 2026-01-01
620 MS_DRG O.r. Procedures For Obesity With Cc 3 2 — — $17,113.00 $31,052.00 $28,162.00 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 8 8 — — $1,920.00 $38,126.31 $28,075.66 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 8 — — $1,920.00 $57,853.07 $27,218.63 2026-01-01
602 MS_DRG Cellulitis With Mcc 8 8 — — $1,920.00 $45,140.07 $27,159.51 2026-01-01
63620 CPT Srs Spinal Lesion 1 1 — — $25,254.00 $25,254.00 $25,254.00 2026-01-01
63621 CPT Srs Spinal Lesion Addl 1 1 — — $25,254.00 $25,254.00 $25,254.00 2026-01-01
61799 CPT Srs Cran Les Complex Addl 1 1 — — $25,254.00 $25,254.00 $25,254.00 2026-01-01
61800 CPT Apply Srs Headframe Add-on 1 1 — — $25,254.00 $25,254.00 $25,254.00 2026-01-01
603 MS_DRG Cellulitis Without Mcc 8 8 — — $590.00 $50,620.70 $24,633.65 2026-01-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 8 8 — — $1,920.00 $31,120.89 $23,023.15 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 8 8 — — $1,920.00 $60,734.04 $22,865.03 2026-01-01
265 MS_DRG Aicd Lead Procedures 3 2 — — $1,920.00 $28,382.00 $22,855.00 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 3 — — $8,134.24 $23,177.00 $22,855.00 2026-01-01
33240 CPT Insrt Pulse Gen W/singl Lead 1 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33270 CPT Ins/rep Subq Defibrillator 1 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33249 CPT Insj/rplcmt Defib W/lead(s) 1 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 1 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33272 CPT Rmvl Of Subq Defibrillator 1 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 1 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33271 CPT Insj Subq Impltbl Dfb Elctrd 1 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 1 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33231 CPT Insrt Pulse Gen W/mult Leads 1 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33230 CPT Insrt Pulse Gen W/dual Leads 1 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 8 8 — — $1,920.00 $70,085.59 $21,485.26 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $11,962.71 $72,601.00 $21,366.23 2026-01-01
89 MS_DRG Concussion With Cc 8 8 — — $1,920.00 $21,221.80 $21,221.80 2026-01-01
607 MS_DRG Minor Skin Disorders Without Mcc 8 8 — — $1,920.00 $34,671.61 $20,885.73 2026-01-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 8 7 — — $5,102.10 $31,052.00 $20,670.29 2026-01-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 8 8 — — $1,920.00 $33,463.04 $20,487.57 2026-01-01
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 — — $1,920.00 $38,902.00 $20,411.00 2026-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 — — $1,920.00 $38,902.00 $20,411.00 2026-01-01
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc 2 2 — — $1,920.00 $38,902.00 $20,411.00 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $1,920.00 $38,902.00 $20,411.00 2026-01-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 2 2 — — $1,920.00 $38,902.00 $20,411.00 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 2 2 — — $7,361.33 $33,403.00 $20,382.17 2026-01-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 8 8 — — $1,920.00 $23,872.64 $19,554.96 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 1 — — $1,920.00 $36,518.00 $19,219.00 2026-01-01
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 2 1 — — $1,920.00 $36,518.00 $19,219.00 2026-01-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 2 1 — — $1,920.00 $36,518.00 $19,219.00 2026-01-01
183 MS_DRG Major Chest Trauma With Mcc 8 8 — — $1,920.00 $26,556.81 $18,655.08 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $18,287.00 $18,287.00 $18,287.00 2026-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 3 2 — — $1,920.00 $26,748.00 $18,287.00 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $18,287.00 $18,287.00 $18,287.00 2026-01-01
303 MS_DRG Atherosclerosis Without Mcc 8 8 — — $1,920.00 $35,199.32 $17,742.69 2026-01-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 8 8 — — $1,920.00 $28,650.58 $17,599.26 2026-01-01
55875 CPT Transperi Needle Place Pros 1 1 — — $17,486.00 $17,486.00 $17,486.00 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 2 — — $17,199.32 $17,199.32 $17,199.32 2026-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 8 8 — — $1,920.00 $29,546.10 $17,085.44 2026-01-01
92937 CPT Prq Revasc Byp Graft 1 Vsl 3 3 — — $7,607.00 $17,154.00 $16,990.00 2026-01-01
92934 CPT Prq Card Stent/ath/angio 3 3 — — $7,607.00 $17,154.00 $16,990.00 2026-01-01
92929 CPT Prq Card Stent W/angio Addl 3 3 — — $7,607.00 $17,154.00 $16,990.00 2026-01-01
92944 CPT Prq Card Revasc Chronic Addl 3 3 — — $7,607.00 $17,154.00 $16,990.00 2026-01-01
92933 CPT Prq Card Stent/ath/angio 3 3 — — $7,607.00 $17,154.00 $16,990.00 2026-01-01
92938 CPT Prq Revasc Byp Graft Addl 3 3 — — $7,607.00 $17,154.00 $16,990.00 2026-01-01
92928 CPT Prq Card Stent W/angio 1 Vsl 3 3 — — $7,607.00 $17,154.00 $16,990.00 2026-01-01
92943 CPT Prq Card Revasc Chronic 1vsl 3 3 — — $7,607.00 $17,154.00 $16,990.00 2026-01-01
92941 CPT Prq Card Revasc Mi 1 Vsl 3 3 — — $7,607.00 $17,154.00 $16,990.00 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $16,656.13 $16,656.13 $16,656.13 2026-01-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 8 8 — — $1,920.00 $25,830.32 $16,573.60 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 8 8 — — $1,920.00 $31,329.99 $16,506.55 2026-01-01
92981 CPT Insert Intracoronary Stent 1 1 — — $15,528.00 $15,528.00 $15,528.00 2026-01-01
92980 CPT Insert Intracoronary Stent 1 1 — — $15,528.00 $15,528.00 $15,528.00 2026-01-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 7 7 — — $8,372.70 $19,864.84 $15,239.26 2026-01-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 8 8 — — $1,920.00 $25,354.99 $15,063.09 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 7 7 — — $13,304.59 $25,825.95 $14,814.31 2026-01-01
43770 CPT Lap Place Gastr Adj Device 5 5 — — $4,414.00 $16,933.00 $14,231.00 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 4 — — $7,706.52 $14,133.85 $14,133.85 2026-01-01
92924 CPT Prq Card Angio/athrect 1 Art 4 4 — — $6,903.00 $17,154.00 $13,322.00 2026-01-01
92925 CPT Prq Card Angio/athrect Addl 4 4 — — $6,903.00 $17,154.00 $13,322.00 2026-01-01
92921 CPT Prq Cardiac Angio Addl Art 4 4 — — $6,903.00 $17,154.00 $13,322.00 2026-01-01
92920 CPT Prq Cardiac Angioplast 1 Art 4 4 — — $6,903.00 $17,154.00 $13,322.00 2026-01-01
81416 CPT Exome Sequence Analysis 10 7 — — $950.00 $53,160.00 $13,200.00 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 5 5 — — $7,201.43 $12,996.30 $12,996.30 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 8 8 — — $6,791.56 $26,261.00 $12,983.80 2026-01-01
304 MS_DRG Hypertension With Mcc 8 8 — — $1,920.00 $18,258.30 $12,944.32 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 8 8 — — $1,920.00 $17,387.78 $12,784.42 2026-01-01
33824 CPT Repair Pda Div 18 Yrs&older 1 1 — — $12,760.20 $12,760.20 $12,760.20 2026-01-01
43774 CPT Lap Rmvl Gastr Adj All Parts 3 3 — — $4,414.00 $14,231.00 $12,663.00 2026-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 7 7 — — $8,075.92 $17,273.51 $12,408.68 2026-01-01
81545 CPT Oncology Thyroid 4 4 — — $8,424.00 $15,948.00 $12,132.00 2026-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 6 6 — — $5,435.79 $13,793.81 $11,812.33 2026-01-01
33225 CPT L Ventric Pacing Lead Add-on 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33214 CPT Upgrade Of Pacemaker System 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33213 CPT Insert Pulse Gen Dual Leads 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33206 CPT Insert Heart Pm Atrial 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33208 CPT Insrt Heart Pm Atrial & Vent 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33229 CPT Remv&replc Pm Gen Mult Leads 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33228 CPT Remv&replc Pm Gen Dual Lead 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33207 CPT Insert Heart Pm Ventricular 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33227 CPT Remove&replace Pm Gen Singl 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33212 CPT Insert Pulse Gen Sngl Lead 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33224 CPT Insert Pacing Lead & Connect 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33221 CPT Insert Pulse Gen Mult Leads 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
27487 CPT Revise/replace Knee Joint 1 1 — — $11,494.80 $11,494.80 $11,494.80 2026-01-01
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 2 1 — — $1,920.00 $20,504.00 $11,212.00 2026-01-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 7 7 — — $11,185.43 $17,552.84 $11,185.43 2026-01-01
33968 CPT Remove Aortic Assist Device 1 1 — — $11,119.73 $11,119.73 $11,119.73 2026-01-01
33967 CPT Insert I-aort Percut Device 1 1 — — $11,119.73 $11,119.73 $11,119.73 2026-01-01
33820 CPT Repair Pda By Ligation 1 1 — — $10,844.10 $10,844.10 $10,844.10 2026-01-01
77424 CPT Io Rad Tx Delivery By X-ray 3 3 — — $9,376.47 $12,230.53 $10,803.50 2026-01-01
77425 CPT Io Rad Tx Deliver By Elctrns 3 3 — — $9,376.47 $12,230.53 $10,803.50 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 7 7 — — $6,491.21 $22,929.51 $10,792.62 2026-01-01
181 MS_DRG Respiratory Neoplasms With Cc 8 8 — — $1,920.00 $19,985.85 $10,533.73 2026-01-01
33822 CPT Repair Pda Div<18 Years 1 1 — — $10,143.90 $10,143.90 $10,143.90 2026-01-01
92984 CPT Coronary Artery Dilation 2 2 — — $9,654.00 $10,534.00 $10,094.00 2026-01-01
92982 CPT Coronary Artery Dilation 2 2 — — $9,654.00 $10,534.00 $10,094.00 2026-01-01
92995 CPT Coronary Atherectomy 2 2 — — $9,654.00 $10,534.00 $10,094.00 2026-01-01
43775 CPT Lap Sleeve Gastrectomy 4 4 — — $4,414.00 $14,231.00 $9,864.00 2026-01-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 2 1 — — $1,920.00 $17,597.00 $9,758.50 2026-01-01
30 MS_DRG Spinal Procedures Without Cc/mcc 8 8 — — $1,920.00 $17,600.06 $9,730.06 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 8 8 — — $6,499.54 $26,261.00 $9,713.40 2026-01-01
55540 CPT Revise Hernia & Sperm Veins 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58951 CPT Resect Ovarian Malignancy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49566 CPT Rerepair Ventrl Hern Block 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
27429 CPT Reconstruction Knee 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
27428 CPT Reconstruction Knee 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49501 CPT Rpr Ing Hernia Init Blocked 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
27427 CPT Reconstruction Knee 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49650 CPT Lap Ing Hernia Repair Init 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
27409 CPT Repair Of Knee Ligaments 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58560 CPT Hysteroscopy Resect Septum 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
0404T OTHER Trnscrv Uterin Fibroid Abltj 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49561 CPT Rpr Ventral Hern Init Block 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49525 CPT Repair Ing Hernia Sliding 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
27407 CPT Repair Of Knee Ligament 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
19300 CPT Mastectomy For Gynecomastia 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49507 CPT Prp I/hern Init Block >5 Yr 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49505 CPT Prp I/hern Init Reduc >5 Yr 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
27405 CPT Repair Of Knee Ligament 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49500 CPT Rpr Ing Hernia Init Reduce 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49496 CPT Rpr Ing Hernia Baby Blocked 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49495 CPT Rpr Ing Hernia Baby Reduc 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49492 CPT Rpr Ing Hern Premie Blocked 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49491 CPT Rpr Hern Preemie Reduc 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
23420 CPT Repair Of Shoulder 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
47620 CPT Removal Of Gallbladder 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
47612 CPT Removal Of Gallbladder 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
47610 CPT Removal Of Gallbladder 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
47605 CPT Cholecystectomy W/cholang 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
47600 CPT Cholecystectomy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
47564 CPT Laparo Cholecystectomy/explr 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
93511 CPT Left Heart Catheterization 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
47563 CPT Laparo Cholecystectomy/graph 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
47562 CPT Laparoscopic Cholecystectomy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49651 CPT Lap Ing Hernia Repair Recur 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58200 CPT Extensive Hysterectomy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49521 CPT Rerepair Ing Hernia Blocked 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49568 CPT Hernia Repair W/mesh 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
59525 CPT Remove Uterus After Cesarean 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
36013 CPT Place Catheter In Artery 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58145 CPT Myomectomy Vag Method 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
93526 CPT Rt & Lt Heart Catheters 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
93510 CPT Left Heart Catheterization 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49520 CPT Rerepair Ing Hernia Reduce 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
59140 CPT Treat Ectopic Pregnancy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
93501 CPT Right Heart Catheterization 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
59135 CPT Treat Ectopic Pregnancy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58956 CPT Bso Omentectomy W/tah 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
59136 CPT Treat Ectopic Pregnancy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
23412 CPT Repair Rotator Cuff Chronic 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49560 CPT Rpr Ventral Hern Init Reduc 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
23410 CPT Repair Rotator Cuff Acute 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58561 CPT Hysteroscopy Remove Myoma 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58559 CPT Hysteroscopy Lysis 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58558 CPT Hysteroscopy Biopsy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58545 CPT Laparoscopic Myomectomy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58540 CPT Revision Of Uterus 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
29889 CPT Knee Arthroscopy/surgery 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58152 CPT Total Hysterectomy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58150 CPT Total Hysterectomy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58546 CPT Laparo-myomectomy Complex 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
93527 CPT Rt & Lt Heart Catheters 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
29888 CPT Knee Arthroscopy/surgery 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
29827 CPT Sho Arthrs Srg Rt8tr Cuf Rpr 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
19318 CPT Breast Reduction 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49565 CPT Rerepair Ventrl Hern Reduce 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
93532 CPT R & L Heart Cath Congenital 16 16 — — $541.42 $10,271.00 $9,543.42 2026-01-01
93528 CPT Rt & Lt Heart Catheters 12 12 — — $8,948.07 $9,654.00 $9,481.50 2026-01-01
93524 CPT Left Heart Catheterization 12 12 — — $8,926.16 $9,654.00 $9,458.28 2026-01-01
312 MS_DRG Syncope And Collapse 8 8 — — $1,920.00 $23,998.42 $9,419.59 2026-01-01
710 MS_DRG Penis Procedures Without Cc/mcc 7 7 — — $3,964.95 $17,331.84 $9,397.97 2026-01-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 7 7 — — $6,370.98 $17,281.05 $9,382.89 2026-01-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 7 7 — — $2,341.36 $9,359.48 $9,359.48 2026-01-01
93531 CPT R & L Heart Cath Congenital 16 16 — — $470.58 $10,271.00 $9,269.94 2026-01-01
93533 CPT R & L Heart Cath Congenital 16 16 — — $685.63 $10,271.00 $9,262.20 2026-01-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 2 2 — — $9,207.12 $9,207.12 $9,207.12 2026-01-01
27486 CPT Revise/replace Knee Joint 1 1 — — $9,156.60 $9,156.60 $9,156.60 2026-01-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 6 6 — — $6,319.00 $15,007.00 $9,098.50 2026-01-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 8 8 — — $1,920.00 $20,609.58 $9,095.83 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 9 8 — — $1,920.00 $78,232.00 $9,090.86 2026-01-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 7 6 — — $1,920.00 $15,007.00 $8,981.00 2026-01-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 7 6 — — $1,920.00 $15,007.00 $8,981.00 2026-01-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 7 6 — — $1,920.00 $15,007.00 $8,981.00 2026-01-01
784 MS_DRG Cesarean Section With Sterilization With Cc 7 6 — — $1,920.00 $15,007.00 $8,981.00 2026-01-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 7 6 — — $1,920.00 $15,007.00 $8,981.00 2026-01-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 7 7 — — $4,810.48 $15,345.20 $8,956.75 2026-01-01
22510 CPT Perq Cervicothoracic Inject 12 12 — — $8,407.54 $8,908.74 $8,908.74 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $8,812.33 $8,812.33 $8,812.33 2026-01-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 8 8 — — $1,920.00 $22,553.37 $8,754.80 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 5 5 — — $8,722.26 $11,430.24 $8,722.26 2026-01-01
711 MS_DRG Testes Procedures With Cc/mcc 7 7 — — $5,268.75 $16,349.43 $8,706.39 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 7 7 — — $5,059.25 $14,242.17 $8,671.47 2026-01-01
182 MS_DRG Respiratory Neoplasms Without Cc/mcc 8 8 — — $1,920.00 $16,979.90 $8,656.40 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 8 — — $1,920.00 $22,557.34 $8,627.83 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 9 8 — — $1,920.00 $17,597.00 $8,606.40 2026-01-01
93529 CPT Rt, Lt Heart Catheterization 12 12 — — $8,086.14 $9,654.00 $8,568.18 2026-01-01
0315U OTHER Onc Cutan Sq Cll Ca Mrna 40 1 1 — — $8,500.00 $8,500.00 $8,500.00 2026-01-01
792 MS_DRG Prematurity Without Major Problems 8 8 — — $1,920.00 $18,793.95 $8,365.76 2026-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 8 8 — — $1,920.00 $15,946.70 $8,320.93 2026-01-01
0497 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0499 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0367 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0368 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0498 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0494 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0363 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0364 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0360 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0362 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0365 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0361 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0490 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0495 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0481 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0496 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0369 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0790 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0366 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0493 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0491 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0492 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
22548 CPT Arthrd Ant Toral/xoral C1-c2 1 1 — — $8,121.60 $8,121.60 $8,121.60 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 8 — — $1,920.00 $20,810.74 $8,098.53 2026-01-01
92 MS_DRG Other Disorders Of Nervous System With Cc 8 8 — — $1,920.00 $18,885.60 $8,041.40 2026-01-01
27138 CPT Revise Hip Joint Replacement 1 1 — — $7,968.60 $7,968.60 $7,968.60 2026-01-01
27137 CPT Revise Hip Joint Replacement 1 1 — — $7,968.60 $7,968.60 $7,968.60 2026-01-01
27134 CPT Revise Hip Joint Replacement 1 1 — — $7,968.60 $7,968.60 $7,968.60 2026-01-01
27132 CPT Total Hip Arthroplasty 1 1 — — $7,968.60 $7,968.60 $7,968.60 2026-01-01
93657 CPT Tx L/r Atrial Fib Addl 1 1 — — $7,947.00 $7,947.00 $7,947.00 2026-01-01
93655 CPT Icar Cath Abltj Dscrt Arrhyt 1 1 — — $7,947.00 $7,947.00 $7,947.00 2026-01-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 7 7 — — $3,562.62 $13,393.87 $7,837.85 2026-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 8 8 — — $1,920.00 $12,367.41 $7,817.22 2026-01-01
180 MS_DRG Respiratory Neoplasms With Mcc 8 8 — — $1,920.00 $14,382.62 $7,814.05 2026-01-01
81552 CPT Onc Uveal Mlnma Mrna 15 Gene 8 5 — — $5,832.00 $34,447.68 $7,776.00 2026-01-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 8 8 — — $1,920.00 $15,905.04 $7,663.67 2026-01-01
176 MS_DRG Pulmonary Embolism Without Mcc 8 8 — — $1,920.00 $19,633.92 $7,651.77 2026-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 8 8 — — $7,038.75 $26,261.00 $7,642.64 2026-01-01
950 MS_DRG Aftercare Without Cc/mcc 8 8 — — $1,920.00 $21,012.70 $7,606.54 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 8 — — $1,920.00 $16,119.70 $7,584.71 2026-01-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 3 3 — — $7,574.00 $7,574.00 $7,574.00 2026-01-01
93451 CPT Right Heart Cath 6 6 — — $5,623.00 $10,271.00 $7,517.50 2026-01-01
93461 CPT R&l Hrt Art/ventricle Angio 6 6 — — $5,623.00 $10,271.00 $7,517.50 2026-01-01
93459 CPT L Hrt Art/grft Angio 6 6 — — $5,623.00 $10,271.00 $7,517.50 2026-01-01
93458 CPT L Hrt Artery/ventricle Angio 6 6 — — $5,623.00 $10,271.00 $7,517.50 2026-01-01
93460 CPT R&l Hrt Art/ventricle Angio 6 6 — — $5,623.00 $10,271.00 $7,517.50 2026-01-01
93452 CPT Left Hrt Cath W/ventrclgrphy 6 6 — — $5,623.00 $10,271.00 $7,517.50 2026-01-01
93453 CPT R&l Hrt Cath W/ventriclgrphy 6 6 — — $5,623.00 $10,271.00 $7,517.50 2026-01-01
93456 CPT R Hrt Coronary Artery Angio 6 6 — — $5,623.00 $10,271.00 $7,517.50 2026-01-01
93457 CPT R Hrt Art/grft Angio 6 6 — — $5,623.00 $10,271.00 $7,517.50 2026-01-01
27445 CPT Revision Of Knee Joint 1 1 — — $7,497.00 $7,497.00 $7,497.00 2026-01-01
95965 CPT Meg Spontaneous 12 12 — — $197.34 $7,438.14 $7,438.14 2026-01-01
77301 CPT Radiotherapy Dose Plan Imrt 16 16 — — $1,273.90 $7,582.62 $7,435.67 2026-01-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 9 8 — — $1,920.00 $17,597.00 $7,417.67 2026-01-01
313 MS_DRG Chest Pain 8 8 — — $1,920.00 $15,188.47 $7,416.28 2026-01-01
93654 CPT Compre Ep Eval Tx Vt 13 13 — — $65.78 $7,947.00 $7,368.48 2026-01-01
93514 CPT Left Heart Catheterization 12 12 — — $3,564.77 $9,654.00 $7,283.34 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 8 8 — — $1,920.00 $7,247.85 $7,247.85 2026-01-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 7 7 — — $4,466.87 $13,811.67 $7,220.48 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 8 — — $1,920.00 $22,870.79 $7,213.93 2026-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 3 3 — — $7,197.07 $7,197.07 $7,197.07 2026-01-01
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