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

COMMUNITY HOSPITAL

Munster, IN · CCN 150125 · Rates published

Your selected procedure

You selected 470 (MS_DRG)

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

This hospital’s price: $29,205 across 32 payers · range $14,955-$53,965

Source: https://www.powershealth.org/-/media/files/pricetransparency/351107009_community-hospital_standardcharges.ashx · observed 2026-04-01

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.

15,170 distinct procedures filed
58 distinct payers
962,362 rate rows
2026-04-01 last MRF observed
Data quality

954,067 of 962,362 rate rows are consumer-grade (99.1%)

8,295 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 6,629
exceeds 10× this hospital's gross charge — excluded from medians 1,210
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 178
percent-of-charges filed in the dollar field — excluded from medians 153
placeholder amount (≤ $0.02) — excluded from medians 58
exceeds 3× this hospital's gross charge for a DRG stay — excluded 50
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 17
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.powershealth.org/-/media/Files/PriceTransparency/351107009_Community-Hospital_standardcharges.zip
Found on page https://www.powershealth.org/patients-and-visitors/patient-resources/standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint 1408a37a20a95daa… · 59,879,308 bytes · first seen 2026-05-18

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
161
APR_DRG 		Implantable Heart Assist Systems,extreme 14 $467,047.80 $467,047.80 $467,047.80 nat. median
$157,885
outlier · 3.0×
591
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme 14 $327,254.58 $327,254.58 $327,254.58 nat. median
$6,509
outlier · 50.3×
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 14 $197,493.80 $389,623.25 $293,558.53 nat. median
$126,291
outlier · 2.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 25 $213,703.70 $540,356.84 $259,221.08 nat. median
$261,939
1.0× median
593
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure,extreme 14 $188,120.65 $310,783.63 $249,452.14 nat. median
$13,186
outlier · 18.9×
5
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 14 $225,930.03 $225,930.03 $225,930.03 nat. median
$94,677
outlier · 2.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 $161,448.34 $409,264.31 $196,333.10 nat. median
$199,832
1.0× median
602
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 $168,888.73 $168,888.73 $168,888.73 nat. median
$98,904
1.7× median
162
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,extreme 14 $88,582.61 $179,289.41 $133,936.01 nat. median
$72,587
1.8× median
589
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational,… 14 $132,058.64 $132,058.64 $132,058.64 nat. median
$66,644
2.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 $105,760.96 $267,082.69 $128,125.45 nat. median
$132,706
1.0× median
910
APR_DRG 		Craniotomy For Multiple Significant Trauma,extreme 14 $126,377.51 $126,377.51 $126,377.51 nat. median
$43,744
outlier · 2.9×
J0225
HCPCS 		Vutrisiran Sodium 25 Mg/0.5ml Sc Sosy 56 $5,009.56 $545,730.06 $125,318.50 nat. median
$8,133
outlier · 15.4×
SUP-EVQ1A2US52
CDM 		Evoque Tricuspid Valve Repl System 52mm 42 $524.16 $220,000.00 $124,500.00 nat. median
$108,199
1.2× median
SUP-EVQ1A2US56
CDM 		Evoque Tricuspid Valve Repl System 56mm 42 $524.16 $220,000.00 $124,500.00 nat. median
$108,199
1.2× median
SUP-EVQ1A2US48
CDM 		Evoque Tricuspid Valve Repl System 48mm 42 $524.16 $220,000.00 $124,500.00 nat. median
$108,199
1.2× median
SUP-EVQ1A2US44
CDM 		Evoque Tricuspid Valve Repl System 44mm 42 $524.16 $220,000.00 $124,500.00 nat. median
$108,199
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 $84,205.17 $212,510.78 $101,946.10 nat. median
$96,835
1.1× median
C9293
HCPCS 		Glucarpidase 1000 Units IV Solr 34 $448.69 $179,569.33 $101,823.98 nat. median
$24,377
outlier · 4.2×
130
APR_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 14 $100,906.47 $100,906.47 $100,906.47 nat. median
$57,475
1.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 25 $83,084.80 $209,674.40 $100,585.43 nat. median
$100,978
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 $50,343.63 $183,957.17 $99,556.62 nat. median
$63,840
1.6× median
607
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 $65,028.33 $131,518.35 $98,273.34 nat. median
$75,501
1.3× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 32 $49,272.76 $180,023.60 $97,427.79 nat. median
$62,218
1.6× median
321
APR_DRG 		Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures,majo… 14 $96,130.65 $96,130.65 $96,130.65 nat. median
$28,285
outlier · 3.4×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 $46,939.87 $171,454.25 $92,790.10 nat. median
$60,162
1.5× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 32 $46,885.80 $171,255.61 $92,682.60 nat. median
$60,294
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 25 $76,099.84 $191,990.87 $92,102.25 nat. median
$98,002
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $74,773.07 $188,631.95 $90,490.90 nat. median
$92,900
1.0× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 32 $44,961.14 $164,185.82 $88,856.47 nat. median
$57,082
1.6× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 $44,188.08 $161,346.16 $87,319.66 nat. median
$53,268
1.6× median
612
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 14 $67,305.29 $107,139.16 $87,222.23 nat. median
$57,871
1.5× median
863
APR_DRG 		Neonatal Aftercare,major 14 $62,384.74 $111,943.92 $87,164.33 nat. median
$32,833
outlier · 2.7×
165
APR_DRG 		Coronary Bypass With Ami Or Complex Principal Diagnosis,major 14 $87,058.20 $87,058.20 $87,058.20 nat. median
$50,671
1.7× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 32 $43,673.22 $159,454.91 $86,296.13 nat. median
$51,984
1.7× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 $43,082.96 $157,286.69 $85,122.70 nat. median
$53,080
1.6× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 32 $42,657.96 $155,725.58 $84,277.83 nat. median
$49,784
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 $68,884.11 $173,723.11 $83,338.80 nat. median
$81,124
1.0× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 $41,804.17 $152,589.36 $82,580.53 nat. median
$52,447
1.6× median
792
APR_DRG 		Extensive O.r. Procedures For Other Complications Of Treatment,extreme 14 $82,530.02 $82,530.02 $82,530.02 nat. median
$24,798
outlier · 3.3×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 $40,880.30 $149,195.75 $80,743.92 nat. median
$52,372
1.5× median
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 32 $40,855.94 $149,106.22 $80,695.47 nat. median
$50,178
1.6× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 $40,583.28 $148,104.64 $80,153.43 nat. median
$54,267
1.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 25 $66,217.63 $166,972.48 $80,100.38 nat. median
$81,364
1.0× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 32 $40,449.99 $147,615.05 $79,888.46 nat. median
$50,808
1.6× median
653
MS_DRG 		Major Bladder Procedures With Mcc 32 $39,841.45 $145,379.68 $78,678.69 nat. median
$51,176
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 25 $64,468.92 $162,545.33 $77,976.58 nat. median
$79,040
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 $64,267.07 $162,034.36 $77,731.45 nat. median
$80,459
1.0× median
163
APR_DRG 		Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,major 14 $76,425.97 $76,425.97 $76,425.97 nat. median
$58,634
1.3× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 $38,651.77 $141,009.68 $76,313.67 nat. median
$48,280
1.6× median

Other procedures at this hospital

Browse this hospital's 15,170 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
             
161 APR_DRG Implantable Heart Assist Systems,extreme 14 14 $253,618.30 — $467,047.80 $467,047.80 $467,047.80 2026-04-01
591 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme 14 14 $916,999.49 — $327,254.58 $327,254.58 $327,254.58 2026-04-01
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 28 14 $659,663.82 — $197,493.80 $389,623.25 $293,558.53 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 31 25 $413,407.96 $248,044.78 40% off $213,703.70 $540,356.84 $259,221.08 2026-04-01
593 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure,extreme 28 14 $807,937.04 — $188,120.65 $310,783.63 $249,452.14 2026-04-01
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 14 14 $549,976.10 — $225,930.03 $225,930.03 $225,930.03 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 25 $406,724.84 $244,034.90 40% off $161,448.34 $409,264.31 $196,333.10 2026-04-01
602 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 14 $291,592.11 — $168,888.73 $168,888.73 $168,888.73 2026-04-01
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,extreme 28 14 $351,263.71 — $88,582.61 $179,289.41 $133,936.01 2026-04-01
589 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational,… 15 14 $343,703.30 — $132,058.64 $132,058.64 $132,058.64 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 31 25 $253,902.11 $152,341.27 40% off $105,760.96 $267,082.69 $128,125.45 2026-04-01
910 APR_DRG Craniotomy For Multiple Significant Trauma,extreme 14 14 $242,116.98 — $126,377.51 $126,377.51 $126,377.51 2026-04-01
J0225 HCPCS Vutrisiran Sodium 25 Mg/0.5ml Sc Sosy 65 56 $620,147.80 $372,088.68 40% off $5,009.56 $545,730.06 $125,318.50 2026-04-01
SUP-EVQ1A2US44 CDM Evoque Tricuspid Valve Repl System 44mm 50 42 $250,000.00 $150,000.00 40% off $524.16 $220,000.00 $124,500.00 2026-04-01
SUP-EVQ1A2US52 CDM Evoque Tricuspid Valve Repl System 52mm 50 42 $250,000.00 $150,000.00 40% off $524.16 $220,000.00 $124,500.00 2026-04-01
SUP-EVQ1A2US48 CDM Evoque Tricuspid Valve Repl System 48mm 50 42 $250,000.00 $150,000.00 40% off $524.16 $220,000.00 $124,500.00 2026-04-01
SUP-EVQ1A2US56 CDM Evoque Tricuspid Valve Repl System 56mm 50 42 $250,000.00 $150,000.00 40% off $524.16 $220,000.00 $124,500.00 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 25 $122,670.59 $73,602.35 40% off $84,205.17 $212,510.78 $101,946.10 2026-04-01
C9293 HCPCS Glucarpidase 1000 Units IV Solr 42 34 $204,056.06 $122,433.64 40% off $448.69 $179,569.33 $101,823.98 2026-04-01
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 14 14 $152,040.06 — $100,906.47 $100,906.47 $100,906.47 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 31 25 $314,842.66 $188,905.60 40% off $83,084.80 $209,674.40 $100,585.43 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 32 $137,365.36 $82,419.22 40% off $50,343.63 $183,957.17 $99,556.62 2026-04-01
607 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 28 14 $346,608.58 — $65,028.33 $131,518.35 $98,273.34 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 40 32 $92,636.66 $55,582.00 40% off $49,272.76 $180,023.60 $97,427.79 2026-04-01
321 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures,majo… 14 14 $116,460.29 — $96,130.65 $96,130.65 $96,130.65 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 40 32 $168,059.71 $100,835.83 40% off $46,939.87 $171,454.25 $92,790.10 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 40 32 $111,813.48 $67,088.09 40% off $46,885.80 $171,255.61 $92,682.60 2026-04-01
215 MS_DRG Other Heart Assist System Implant 31 25 $371,290.09 $222,774.05 40% off $76,099.84 $191,990.87 $92,102.25 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 25 $282,706.52 $169,623.91 40% off $74,773.07 $188,631.95 $90,490.90 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 40 32 $162,245.08 $97,347.05 40% off $44,961.14 $164,185.82 $88,856.47 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 40 32 $124,345.99 $74,607.59 40% off $44,188.08 $161,346.16 $87,319.66 2026-04-01
612 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 28 14 $247,096.63 — $67,305.29 $107,139.16 $87,222.23 2026-04-01
863 APR_DRG Neonatal Aftercare,major 28 14 $274,300.52 — $62,384.74 $111,943.92 $87,164.33 2026-04-01
165 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis,major 14 14 $261,541.32 — $87,058.20 $87,058.20 $87,058.20 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 32 $97,150.85 $58,290.51 40% off $43,673.22 $159,454.91 $86,296.13 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 32 $124,598.66 $74,759.20 40% off $43,082.96 $157,286.69 $85,122.70 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 32 $101,372.45 $60,823.47 40% off $42,657.96 $155,725.58 $84,277.83 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 31 25 $374,683.24 $224,809.94 40% off $68,884.11 $173,723.11 $83,338.80 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 40 32 $164,610.40 $98,766.24 40% off $41,804.17 $152,589.36 $82,580.53 2026-04-01
792 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment,extreme 14 14 $64,181.78 — $82,530.02 $82,530.02 $82,530.02 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 32 $165,978.79 $99,587.27 40% off $40,880.30 $149,195.75 $80,743.92 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 40 32 $115,538.69 $69,323.21 40% off $40,855.94 $149,106.22 $80,695.47 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 40 32 $172,248.08 $103,348.85 40% off $40,583.28 $148,104.64 $80,153.43 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 31 25 $173,017.78 $103,810.67 40% off $66,217.63 $166,972.48 $80,100.38 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 40 32 $151,742.90 $91,045.74 40% off $40,449.99 $147,615.05 $79,888.46 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 40 32 $125,231.15 $75,138.69 40% off $39,841.45 $145,379.68 $78,678.69 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 25 $276,009.47 $165,605.68 40% off $64,468.92 $162,545.33 $77,976.58 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 25 $311,962.56 $187,177.54 40% off $64,267.07 $162,034.36 $77,731.45 2026-04-01
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,major 14 14 $189,714.20 — $76,425.97 $76,425.97 $76,425.97 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 32 $143,383.15 $86,029.89 40% off $38,651.77 $141,009.68 $76,313.67 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 40 32 $103,443.35 $62,066.01 40% off $38,249.62 $139,532.49 $75,514.22 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 40 32 $113,475.34 $68,085.20 40% off $37,877.94 $138,167.21 $74,775.34 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 40 32 $85,200.90 $51,120.54 40% off $37,749.22 $137,694.40 $74,519.46 2026-04-01
710 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme 28 14 $130,448.90 — $47,664.93 $100,194.12 $73,929.52 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 40 32 $120,926.43 $72,555.86 40% off $37,040.90 $135,092.54 $73,111.35 2026-04-01
166 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis,extreme 28 14 $216,093.58 — $49,313.15 $96,756.17 $73,034.66 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 25 $288,377.71 $173,026.63 40% off $60,195.38 $151,726.20 $72,786.40 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 40 32 $158,693.57 $95,216.14 40% off $36,523.77 $133,192.90 $72,083.27 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 40 32 $129,084.30 $77,450.58 40% off $35,998.24 $131,262.49 $71,038.54 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 25 $216,853.40 $130,112.04 40% off $58,744.46 $148,052.98 $71,024.28 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 40 32 $68,937.30 $41,362.38 40% off $35,891.59 $130,870.81 $70,826.57 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 25 $244,652.62 $146,791.57 40% off $58,492.35 $147,414.75 $70,718.10 2026-04-01
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,major 28 14 $130,255.70 — $46,938.10 $93,959.82 $70,448.96 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 40 32 $140,518.17 $84,310.90 40% off $35,439.94 $129,211.77 $69,928.71 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 40 32 $120,139.31 $72,083.59 40% off $35,272.39 $128,596.28 $69,595.61 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 40 32 $73,756.91 $44,254.15 40% off $35,183.28 $128,268.95 $69,418.46 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 40 32 $80,104.64 $48,062.78 40% off $34,908.33 $127,258.98 $68,871.87 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 40 32 $126,717.37 $76,030.42 40% off $34,398.79 $125,387.32 $67,858.93 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 25 $129,850.61 $77,910.37 40% off $55,243.22 $139,189.05 $66,772.05 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 40 32 $114,908.16 $68,944.90 40% off $33,720.95 $122,897.37 $66,511.38 2026-04-01
167 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures,major 14 14 $214,243.33 — $66,083.19 $66,083.19 $66,083.19 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 31 25 $382,552.63 $229,531.58 40% off $54,571.46 $137,488.37 $65,956.20 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 40 32 $168,880.82 $101,328.49 40% off $33,222.83 $121,067.67 $65,521.16 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 40 32 $123,800.65 $74,280.39 40% off $32,563.25 $118,644.86 $64,209.95 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 40 32 $154,347.04 $92,608.22 40% off $32,429.21 $118,152.47 $63,943.47 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 31 25 $188,007.37 $112,804.42 40% off $52,906.53 $133,273.33 $63,934.15 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 31 25 $227,443.60 $136,466.16 40% off $52,648.32 $132,619.67 $63,620.58 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 40 32 $49,504.08 $29,702.45 40% off $32,264.69 $117,548.16 $63,616.43 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 40 32 $104,933.89 $62,960.33 40% off $32,226.62 $117,408.28 $63,540.72 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 40 32 $137,815.18 $82,689.11 40% off $32,167.20 $117,190.06 $63,422.62 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 37 31 $49,920.80 $29,952.48 40% off $41,929.09 $105,482.18 $63,392.15 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 40 32 $112,006.58 $67,203.95 40% off $32,043.81 $116,736.83 $63,177.34 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 40 32 $93,350.52 $56,010.31 40% off $31,894.53 $116,188.48 $62,880.57 2026-04-01
611 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly,moderate 14 14 $222,629.04 — $62,733.68 $62,733.68 $62,733.68 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 40 32 $139,777.39 $83,866.43 40% off $31,685.08 $115,419.11 $62,464.20 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 31 25 $211,693.18 $127,015.91 40% off $51,530.26 $129,789.07 $62,262.68 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 31 25 $261,130.48 $156,678.29 40% off $51,190.57 $128,929.09 $61,850.13 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 31 25 $295,441.15 $177,264.69 40% off $51,153.25 $128,834.61 $61,804.80 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 40 32 $113,343.78 $68,006.27 40% off $30,885.37 $112,481.53 $60,874.39 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 25 $240,284.71 $144,170.83 40% off $50,343.63 $126,784.93 $60,821.53 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 40 32 $70,786.60 $42,471.96 40% off $30,608.13 $111,463.17 $60,323.26 2026-04-01
C1826 HCPCS Neurostimulator Inceptiv 50 42 $120,482.00 $72,289.20 40% off $524.16 $106,024.16 $60,000.04 2026-04-01
179 APR_DRG Defibrillator Implants,major 28 14 $124,396.15 — $52,844.36 $67,059.26 $59,951.81 2026-04-01
21 APR_DRG Open Craniotomy Except Trauma,extreme 56 14 $115,299.26 — $28,820.54 $136,525.72 $59,401.06 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 40 32 $137,006.39 $82,203.83 40% off $30,058.24 $109,443.23 $59,230.08 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 40 32 $118,713.51 $71,228.11 40% off $29,744.44 $108,290.57 $58,606.27 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 40 32 $86,795.24 $52,077.14 40% off $29,505.29 $107,412.10 $58,130.84 2026-04-01
30 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures,extreme 42 14 $178,285.40 — $27,776.94 $86,820.22 $57,578.37 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 40 32 $79,817.32 $47,890.39 40% off $28,731.46 $104,569.63 $56,592.52 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 40 32 $92,639.26 $55,583.56 40% off $28,728.41 $104,558.44 $56,586.46 2026-04-01
890 APR_DRG HIV With Multiple Major HIV Related Conditions,extreme 14 14 $62,646.35 — $56,579.79 $56,579.79 $56,579.79 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 31 25 $302,617.62 $181,570.57 40% off $46,438.73 $116,899.05 $56,079.05 2026-04-01
169 APR_DRG Major Abdominal Vascular Procedures,extreme 42 14 $117,645.58 — $41,112.25 $103,981.01 $56,049.15 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 40 32 $61,879.23 $37,127.54 40% off $28,239.44 $102,762.32 $55,614.41 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 40 32 $104,815.01 $62,889.01 40% off $28,228.02 $102,720.35 $55,591.70 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 31 25 $214,810.84 $128,886.50 40% off $46,025.15 $115,852.04 $55,576.78 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 31 25 $252,639.48 $151,583.69 40% off $46,012.20 $115,819.26 $55,561.05 2026-04-01
SUP-1000100 CDM Impella 5.5 Heart Pump W/smartassist 50 42 $110,880.00 $66,528.00 40% off $524.16 $97,574.40 $55,218.24 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 25 $185,587.97 $111,352.78 40% off $45,680.90 $114,980.49 $55,158.68 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 31 26 $164,620.60 $98,772.36 40% off $45,531.63 $166,281.30 $54,977.38 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 40 32 $49,568.92 $29,741.35 40% off $27,899.77 $101,514.54 $54,939.12 2026-04-01
265 MS_DRG Aicd Lead Procedures 40 32 $48,518.75 $29,111.25 40% off $27,821.32 $101,226.38 $54,783.17 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 32 $121,075.14 $72,645.08 40% off $27,731.43 $100,896.25 $54,604.50 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 25 $174,778.50 $104,867.10 40% off $44,932.20 $113,085.07 $54,249.40 2026-04-01
A9543 HCPCS Hc Y-90 Zevalin Per Dose 48 42 $72,468.00 $43,480.80 40% off $36,089.06 $80,165.58 $54,133.60 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 40 32 $75,176.72 $45,106.03 40% off $27,488.47 $100,003.79 $54,121.50 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 40 32 $105,364.02 $63,218.41 40% off $27,461.06 $99,903.07 $54,067.00 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 40 32 $74,947.88 $44,968.73 40% off $27,371.96 $99,575.74 $53,889.85 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 40 32 $133,633.30 $80,179.98 40% off $27,349.86 $99,494.61 $53,845.94 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 40 32 $136,388.17 $81,832.90 40% off $27,123.65 $98,663.69 $53,396.25 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 25 $129,791.04 $77,874.62 40% off $43,907.81 $110,491.64 $53,005.28 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 40 32 $86,837.13 $52,102.28 40% off $26,831.94 $97,592.17 $52,816.35 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 40 32 $88,801.92 $53,281.15 40% off $26,825.08 $97,566.99 $52,802.72 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 40 32 $129,559.63 $77,735.78 40% off $26,375.74 $95,916.35 $51,909.40 2026-04-01
23 APR_DRG Spinal Procedures,major 28 14 $84,913.54 — $37,564.96 $65,872.54 $51,718.75 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 40 32 $116,986.63 $70,191.98 40% off $26,247.77 $95,446.33 $51,655.04 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 40 32 $56,986.29 $34,191.77 40% off $26,213.51 $95,320.44 $51,586.90 2026-04-01
SUP-0550-0008 CDM *dnu* (use 1082642) Impella 5.5 Heart Pump W/smartassist 50 42 $103,320.00 $61,992.00 40% off $524.16 $90,921.60 $51,453.36 2026-04-01
305 APR_DRG Amputation Of Lower Limb Except Toes,extreme 28 14 $67,485.77 — $37,838.32 $64,270.95 $51,054.63 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 40 32 $46,458.57 $27,875.14 40% off $25,707.01 $93,459.97 $50,580.02 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 31 25 $197,570.31 $118,542.19 40% off $41,869.67 $105,331.78 $50,529.98 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 40 32 $104,382.52 $62,629.51 40% off $25,422.93 $92,416.42 $50,015.27 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 40 32 $103,543.57 $62,126.14 40% off $25,334.57 $92,091.89 $49,839.63 2026-04-01
20 APR_DRG Open Craniotomy For Trauma,major 14 14 $143,125.18 — $49,573.65 $49,573.65 $49,573.65 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 40 32 $89,698.53 $53,819.12 40% off $25,038.29 $91,003.59 $49,250.64 2026-04-01
181 APR_DRG Lower Extremity Vascular Procedures,extreme 42 14 $135,990.14 — $37,785.25 $102,778.21 $49,081.59 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 40 32 $74,472.22 $44,683.33 40% off $24,929.38 $90,603.51 $49,034.13 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 40 32 $58,790.31 $35,274.19 40% off $24,901.96 $90,502.80 $48,979.62 2026-04-01
680 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,major 14 14 $114,605.59 — $48,833.96 $48,833.96 $48,833.96 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 40 32 $175,089.07 $105,053.44 40% off $24,715.36 $89,817.36 $48,608.67 2026-04-01
183 APR_DRG Percutaneous Structural Cardiac Procedures,moderate 14 14 $224,713.95 — $48,581.50 $48,581.50 $48,581.50 2026-04-01
950 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 42 14 $73,659.05 — $21,835.30 $139,690.31 $48,546.12 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 40 32 $84,872.69 $50,923.61 40% off $24,581.32 $89,324.97 $48,342.18 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 40 32 $67,678.76 $40,607.26 40% off $24,512.77 $89,073.17 $48,205.92 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 40 32 $134,219.96 $80,531.98 40% off $24,368.05 $88,541.61 $47,918.24 2026-04-01
310 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures,major 14 14 $97,014.60 — $47,766.23 $47,766.23 $47,766.23 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 40 32 $120,709.76 $72,425.86 40% off $24,262.95 $88,155.53 $47,709.29 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 40 32 $139,513.66 $83,708.20 40% off $24,251.54 $88,113.56 $47,686.58 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 40 32 $59,878.74 $35,927.24 40% off $24,195.16 $87,906.53 $47,574.54 2026-04-01
665 MS_DRG Prostatectomy With Mcc 40 32 $70,687.72 $42,412.63 40% off $24,035.99 $87,321.81 $47,258.09 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 32 $60,436.38 $36,261.83 40% off $23,986.49 $87,139.96 $47,159.67 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 40 32 $103,815.47 $62,289.28 40% off $23,944.60 $86,986.09 $47,076.40 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 40 32 $77,987.89 $46,792.73 40% off $23,365.75 $84,859.84 $45,925.68 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 31 25 $215,246.91 $129,148.15 40% off $37,944.97 $95,395.77 $45,763.45 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 40 32 $70,647.23 $42,388.34 40% off $23,265.97 $84,493.34 $45,727.33 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 40 32 $171,612.05 $102,967.23 40% off $23,240.84 $84,401.01 $45,677.37 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 40 32 $122,430.63 $73,458.38 40% off $22,933.15 $83,270.74 $45,065.67 2026-04-01
0620T CPT Hc Endovascular Venous Arterialization Tibl/Prnl Vn 42 34 $72,100.00 $43,260.00 40% off $7,600.00 $63,448.00 $45,000.50 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 40 32 $102,397.88 $61,438.73 40% off $22,702.37 $82,423.04 $44,606.90 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 40 32 $72,364.03 $43,418.42 40% off $22,444.95 $81,477.42 $44,095.13 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 40 32 $64,324.20 $38,594.52 40% off $22,366.48 $81,189.25 $43,939.18 2026-04-01
C1827 HCPCS Implantable Pulse Generator Vivistim Paired Vns 50 42 $88,200.00 $52,920.00 40% off $524.16 $77,616.00 $43,923.60 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 40 32 $78,298.61 $46,979.17 40% off $22,352.76 $81,138.90 $43,911.93 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 40 32 $55,131.95 $33,079.17 40% off $22,255.28 $80,780.79 $43,718.12 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 40 32 $46,844.60 $28,106.76 40% off $22,244.62 $80,741.62 $43,696.93 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 40 32 $98,183.10 $58,909.86 40% off $22,212.63 $80,624.12 $43,633.33 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 40 32 $71,726.33 $43,035.80 40% off $22,124.28 $80,299.59 $43,457.70 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 40 32 $89,514.91 $53,708.95 40% off $21,974.24 $79,748.44 $43,159.42 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 28 24 $31,900.27 $19,140.16 40% off $42,076.83 $93,438.10 $43,128.75 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 42 34 $37,834.95 $22,700.97 40% off $24,536.39 $89,159.90 $42,591.32 2026-04-01
800 MS_DRG Splenic Procedures With Cc 40 32 $61,255.77 $36,753.46 40% off $21,661.21 $78,598.58 $42,537.13 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 40 32 $124,459.00 $74,675.40 40% off $21,584.28 $78,316.02 $42,384.20 2026-04-01
503 MS_DRG Foot Procedures With Mcc 40 32 $113,828.69 $68,297.21 40% off $21,521.83 $78,086.60 $42,260.05 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 42 34 $40,520.22 $24,312.13 40% off $24,331.51 $88,407.32 $42,231.82 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 25 $117,910.01 $70,746.01 40% off $34,893.11 $87,669.47 $42,056.98 2026-04-01
34844 CPT Hc Aaa Repr Visceral Arteries-4+ 33 25 $61,033.00 $36,619.80 40% off $7,600.00 $53,709.04 $42,045.63 2026-04-01
34848 CPT Hc Aaa Repr Visceral & Infrarenal Arteries-4+ 33 25 $61,033.00 $36,619.80 40% off $7,600.00 $53,709.04 $42,045.63 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 40 32 $78,730.58 $47,238.35 40% off $21,375.59 $77,549.45 $41,969.34 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 40 32 $91,470.35 $54,882.21 40% off $21,193.57 $76,880.80 $41,607.47 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 31 25 $191,676.88 $115,006.13 40% off $34,388.88 $86,393.00 $41,444.63 2026-04-01
SUP-MCG40100 CDM Mitraclip G4 System 50 42 $83,160.00 $49,896.00 40% off $524.16 $73,180.80 $41,413.68 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 31 25 $349,315.52 $209,589.31 40% off $34,254.84 $86,053.64 $41,281.83 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 40 32 $106,692.27 $64,015.36 40% off $20,986.40 $76,119.82 $41,195.63 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 40 32 $57,211.73 $34,327.04 40% off $20,875.21 $75,711.36 $40,974.57 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 40 32 $46,452.00 $27,871.20 40% off $20,808.18 $75,465.16 $40,841.33 2026-04-01
SUP-9600CT29A CDM Heart Valve Sapien 3 W/certitude Delivery Sys 29mm 50 42 $81,900.00 $49,140.00 40% off $524.16 $72,072.00 $40,786.20 2026-04-01
SUP-S3UCM223A CDM Sapien 3 Ultra Heart Valve 23mm 50 42 $81,900.00 $49,140.00 40% off $524.16 $72,072.00 $40,786.20 2026-04-01
SUP-9600CM26A CDM Sapien 3 Heart Valve 26mm 50 42 $81,900.00 $49,140.00 40% off $524.16 $72,072.00 $40,786.20 2026-04-01
SUP-S3UCM226A CDM Sapien 3 Ultra Heart Valve 26mm 50 42 $81,900.00 $49,140.00 40% off $524.16 $72,072.00 $40,786.20 2026-04-01
SUP-9600CM20A CDM Sapien 3 Heart Valve 20mm 50 42 $81,900.00 $49,140.00 40% off $524.16 $72,072.00 $40,786.20 2026-04-01
SUP-9355ASP23A CDM Sapien Xt Heart Valve 23mm 50 42 $81,900.00 $49,140.00 40% off $524.16 $72,072.00 $40,786.20 2026-04-01
SUP-9600CM29A CDM Sapien 3 Heart Valve 29mm 50 42 $81,900.00 $49,140.00 40% off $524.16 $72,072.00 $40,786.20 2026-04-01
SUP-9600CM23A CDM Sapien 3 Heart Valve 23mm 50 42 $81,900.00 $49,140.00 40% off $524.16 $72,072.00 $40,786.20 2026-04-01
SUP-9355ASP29A CDM Sapien Xt Heart Valve 29mm 50 42 $81,900.00 $49,140.00 40% off $524.16 $72,072.00 $40,786.20 2026-04-01
SUP-S3UCM220A CDM Sapien 3 Ultra Heart Valve 20mm 50 42 $81,900.00 $49,140.00 40% off $524.16 $72,072.00 $40,786.20 2026-04-01
SUP-9355ASP26A CDM Sapien Xt Heart Valve 26mm 50 42 $81,900.00 $49,140.00 40% off $524.16 $72,072.00 $40,786.20 2026-04-01
C1822 HCPCS Ipg Model Ipg2000 Kit 126 25 $66,512.88 $39,907.73 40% off $1,229.76 $78,376.64 $40,746.94 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 42 34 $36,649.85 $21,989.91 40% off $23,269.03 $84,504.53 $40,367.47 2026-04-01
121 APR_DRG Other Respiratory And Chest Procedures,extreme 56 14 $83,414.76 — $27,215.74 $77,551.59 $39,688.35 2026-04-01
570 MS_DRG Skin Debridement With Mcc 42 34 $35,795.16 $21,477.10 40% off $22,664.29 $82,283.15 $39,306.33 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 40 32 $82,351.61 $49,410.97 40% off $20,032.83 $72,617.10 $39,299.98 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 40 32 $95,320.47 $57,192.28 40% off $19,935.34 $72,259.00 $39,106.17 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 40 32 $58,961.03 $35,376.62 40% off $19,819.58 $71,833.75 $38,876.03 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 40 32 $78,806.32 $47,283.79 40% off $19,708.38 $71,425.28 $38,654.97 2026-04-01
34843 CPT Hc Aaa Repr Visceral Arteries-3 33 25 $55,948.00 $33,568.80 40% off $7,600.00 $49,234.24 $38,542.58 2026-04-01
34847 CPT Hc Aaa Repr Visceral & Infrarenal Arteries-3 33 25 $55,948.00 $33,568.80 40% off $7,600.00 $49,234.24 $38,542.58 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 40 32 $75,063.18 $45,037.91 40% off $19,616.21 $71,086.76 $38,471.77 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 40 32 $83,497.56 $50,098.54 40% off $19,487.52 $70,613.95 $38,215.88 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 40 32 $136,348.59 $81,809.15 40% off $19,479.13 $70,583.17 $38,199.23 2026-04-01
443 APR_DRG Kidney And Urinary Tract Procedures For Non- Malignancy,major 14 14 $58,027.20 — $38,093.99 $38,093.99 $38,093.99 2026-04-01
720 APR_DRG Septicemia And Disseminated Infections,extreme 28 14 $64,031.21 — $23,943.42 $51,567.59 $37,755.50 2026-04-01
34704 CPT Hc Aaa Rpr Infrenal Aorto-uni Iliac Rupture 33 25 $50,768.00 $30,460.80 40% off $3,042.18 $109,448.00 $37,720.62 2026-04-01
34708 CPT Hc Aaa Rpr Iliac Ilio-iliac Tube Rupture Unilat 33 25 $50,768.00 $30,460.80 40% off $2,456.76 $109,448.00 $37,720.62 2026-04-01
34707 CPT Hc Aaa Rpr Iliac Ilio-iliac Tube Nonruptr Unilat 33 25 $50,768.00 $30,460.80 40% off $1,538.10 $109,448.00 $37,720.62 2026-04-01
34705 CPT Hc Aaa Rpr Infrenal Aorto-bi Iliac Nonruptr 33 25 $50,768.00 $30,460.80 40% off $2,032.70 $109,448.00 $37,720.62 2026-04-01
34706 CPT Hc Aaa Rpr Infrenal Aorto-bi Iliac Rupture 33 25 $50,768.00 $30,460.80 40% off $3,069.00 $109,448.00 $37,720.62 2026-04-01
34702 CPT Hc Aaa Rpr Infrenal Aorto-aortic Tube Rupture 33 25 $50,768.00 $30,460.80 40% off $2,467.28 $109,448.00 $37,720.62 2026-04-01
34703 CPT Hc Aaa Rpr Infrenal Aorto-uni Iliac Nonruptr 33 25 $50,768.00 $30,460.80 40% off $1,821.36 $109,448.00 $37,720.62 2026-04-01
34701 CPT Hc Aaa Rpr Infrenal Aorto-aortic Tube Nonruptr 33 25 $50,768.00 $30,460.80 40% off $1,649.10 $109,448.00 $37,720.62 2026-04-01
SUP-EVFXPLUS-26 CDM Valve Evolut Fx+ Tavr 26mm 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-EVFXPLUS-34 CDM Valve Evolut Fx+ Tavr 34mm 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-EVOLUTPRO-29-US CDM Aortic Valve 29mm Evolut Pro R Transcatheter 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-MBR0303 CDM Mitraclip Bundle 1 Sgc0301 & 1 Cds0601-ntr & 2 Cds0601-xtr 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-EVOLUTR-34-US CDM Valve Evolut R Tarv 34mm 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-MBR0301 CDM Mitraclip Bundle 1 Sgc0301 & 1 Cds0601-ntr & 1 Cds0601-xtr 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-EVOLUTPRO-23-US CDM Aortic Valve 23mm Evolut Pro R Transcatheter 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-EVOLUTR-29-US CDM Valve Evolut R Tavr 29mm 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-EVPROPLUS-34US CDM Valve Evolut Pro+ Tavr 34mm 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-MBR0203 CDM Mitraclip Bundle 1 Sgc0301 & 3 Cds0601-xtr 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-NTMSK0100 CDM Mitraclip Nt System Kit 1 Sgc & 0 Cds Fda 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-MBR0302 CDM Mitraclip Bundle 1 Sgc0301 & 2 Cds0601-ntr & 1 Cds0601-xtr 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-EVPROPLUS-23US CDM Valve Evolut Pro+ Tavr 23mm 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-EVOLUTFX-23 CDM Valve Evolut Fx Tavr 23mm 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-EVPROPLUS-26US CDM Valve Evolut Pro+ Tavr 26mm 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-MBR0102 CDM Mitraclip Bundle 1 Sgc0301 & 2 Cds0601-ntr 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-EVFXPLUS-29 CDM Valve Evolut Fx+ Tavr 29mm 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-EVOLUTR-26-US CDM Valve Evolut R Tavr 26mm 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-MBR0202 CDM Mitraclip Bundle 1 Sgc0301 & 2 Cds0601-xtr 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-EVOLUTPRO-26-US CDM Aortic Valve 26m Evolut Pro R Transcatheter 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-EVOLUTFX-29 CDM Valve Evolut Fx Tavr 29mm 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-EVOLUTFX-34 CDM Valve Evolut Fx Tavr 34mm 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-EVOLUTR-23-US CDM Valve Evolut R Tavr 23mm 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-EVFXPLUS-23 CDM Valve Evolut Fx+ Tavr 23mm 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-EVPROPLUS-29US CDM Valve Evolut Pro+ Tavr 29mm 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-MBR0201 CDM Mitraclip Bundle 1 Sgc0301 & 1 Cds0601-xtr 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-EVOLUTFX-26 CDM Valve Evolut Fx Tavr 26mm 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-MBR0101 CDM Mitraclip Bundle 1 Sgc0301 & 1 Cds0601-ntr 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
SUP-MBR0103 CDM Mitraclip Bundle 1 Sgc0301 & 3 Cds0601-ntr 50 42 $75,600.00 $45,360.00 40% off $524.16 $66,528.00 $37,648.80 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 40 32 $76,156.77 $45,694.06 40% off $19,165.33 $69,430.52 $37,575.42 2026-04-01
791 MS_DRG Prematurity With Major Problems 31 26 $59,734.72 $35,840.83 40% off $31,178.59 $113,558.64 $37,545.75 2026-04-01
230 APR_DRG Major Small Bowel Procedures,extreme 56 14 $105,735.22 — $20,023.07 $99,390.11 $37,344.65 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 40 32 $68,058.67 $40,835.20 40% off $18,988.64 $68,781.45 $37,224.15 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 40 32 $71,009.84 $42,605.90 40% off $18,879.72 $68,381.38 $37,007.63 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 40 32 $87,167.39 $52,300.43 40% off $18,857.63 $68,300.25 $36,963.72 2026-04-01
J3357 HCPCS Ustekinumab 45 Mg/0.5ml Sc Soln 100 42 $107,871.15 $64,722.69 40% off $3,826.35 $121,248.45 $36,693.90 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 40 32 $150,767.99 $90,460.79 40% off $18,712.15 $67,765.89 $36,674.53 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 40 32 $99,388.09 $59,632.85 40% off $18,652.00 $67,544.87 $36,554.92 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 40 32 $80,092.42 $48,055.45 40% off $18,583.44 $67,293.08 $36,418.65 2026-04-01
182 APR_DRG Other Peripheral Vascular And Related Procedures,major 28 14 $63,372.99 — $30,740.52 $41,933.95 $36,337.24 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 40 32 $74,337.63 $44,602.58 40% off $18,521.74 $67,066.46 $36,296.01 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 40 32 $58,069.17 $34,841.50 40% off $18,504.24 $67,002.12 $36,261.18 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 40 32 $73,429.02 $44,057.41 40% off $18,470.72 $66,879.02 $36,194.56 2026-04-01
614 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 28 14 $97,142.98 — $24,477.28 $47,804.83 $36,141.06 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 40 32 $80,786.54 $48,471.92 40% off $18,439.48 $66,764.31 $36,132.48 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 30 27 $37,312.10 $22,387.26 40% off $32,020.97 $77,867.28 $36,095.41 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 31 25 $44,058.96 $26,435.38 40% off $29,700.26 $74,523.00 $35,750.33 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 31 25 $49,834.99 $29,900.99 40% off $29,672.10 $74,451.66 $35,716.10 2026-04-01
315 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement,major 14 14 $86,989.64 — $35,415.03 $35,415.03 $35,415.03 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 40 32 $52,838.04 $31,702.82 40% off $18,075.42 $65,427.01 $35,408.74 2026-04-01
34451 CPT Hc Angiovac Thrombctmy,Vc,Iliac,Fempop 33 25 $51,189.00 $30,713.40 40% off $1,920.03 $45,046.32 $35,264.10 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 40 32 $73,411.32 $44,046.79 40% off $17,975.65 $65,060.51 $35,210.40 2026-04-01
34845 CPT Hc Aaa Repr Visceral & Infrarenal Artery-1 33 25 $50,860.00 $30,516.00 40% off $7,600.00 $44,756.80 $35,037.45 2026-04-01
34846 CPT Hc Aaa Repr Visceral & Infrarenal Arteries-2 33 25 $50,860.00 $30,516.00 40% off $7,600.00 $44,756.80 $35,037.45 2026-04-01
34842 CPT Hc Aaa Repr Visceral Arteries-2 33 25 $50,860.00 $30,516.00 40% off $7,600.00 $44,756.80 $35,037.45 2026-04-01
34841 CPT Hc Aaa Repr Visceral Artery-1 33 25 $50,860.00 $30,516.00 40% off $7,600.00 $44,756.80 $35,037.45 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 40 32 $45,553.49 $27,332.09 40% off $17,866.73 $64,660.44 $34,993.88 2026-04-01
34718 CPT Hc Repair Iliac Artery W Branch Endograft Incl Plasty/Stent & S&i Unilat 33 25 $50,768.00 $30,460.80 40% off $1,649.55 $44,675.84 $34,974.08 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 31 25 $76,927.08 $46,156.25 40% off $28,924.17 $72,558.17 $34,807.75 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 40 32 $43,840.61 $26,304.37 40% off $17,742.59 $64,204.42 $34,747.08 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 31 25 $106,402.18 $63,841.31 40% off $28,799.25 $72,241.94 $34,656.05 2026-04-01
C1882 HCPCS Hc Crt-d C1882 1,064 42 $57,179.00 $34,307.40 40% off $0.49 $113,541.12 $34,627.14 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 31 25 $219,706.74 $131,824.04 40% off $28,648.45 $71,860.16 $34,472.90 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 42 34 $40,591.18 $24,354.71 40% off $19,907.92 $72,158.28 $34,469.72 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 40 32 $84,984.72 $50,990.83 40% off $17,519.43 $63,384.69 $34,303.45 2026-04-01
33883 CPT Hc Insert Endovasc Prosth Taa 33 25 $49,705.00 $29,823.00 40% off $1,470.85 $43,740.40 $34,241.77 2026-04-01
33880 CPT Hc Endovascular Repair Thoracic Aorta Involving Left Subclavian Artery Initial 33 25 $49,705.00 $29,823.00 40% off $2,374.50 $43,740.40 $34,241.77 2026-04-01
33881 CPT Hc Tevar - Repr Thoracic Suprarenal 33 25 $49,705.00 $29,823.00 40% off $2,038.96 $43,740.40 $34,241.77 2026-04-01
24 APR_DRG Open Extracranial Vascular Procedures,major 14 14 $97,464.06 — $34,223.49 $34,223.49 $34,223.49 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 40 32 $72,416.81 $43,450.09 40% off $17,313.80 $62,629.31 $33,894.64 2026-04-01
264 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures,major 14 14 $90,128.58 — $33,541.69 $33,541.69 $33,541.69 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 40 32 $74,245.18 $44,547.11 40% off $17,117.28 $61,907.51 $33,504.00 2026-04-01
44 APR_DRG Intracranial Hemorrhage,extreme 42 14 $40,972.81 — $16,919.59 $55,137.40 $33,464.50 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 31 25 $193,061.58 $115,836.95 40% off $27,772.58 $69,642.73 $33,409.15 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/mcc 40 32 $82,170.74 $49,302.44 40% off $16,983.25 $61,415.11 $33,237.52 2026-04-01
951 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 56 14 $74,890.55 — $17,297.47 $92,054.32 $33,235.36 2026-04-01
33249 CPT Hc Sngl/Dual Icd Lead Reposition 59 53 $43,740.00 $26,244.00 40% off $1,192.41 $64,814.00 $33,209.74 2026-04-01
33270 CPT Hc Insert/Replc Subq Ivf Systm Incl Drt Testng 59 53 $43,658.00 $26,194.80 40% off $734.71 $64,814.00 $33,209.74 2026-04-01
33264 CPT Hc Remove&Replace Icd Gen Multi Leads 59 53 $43,740.00 $26,244.00 40% off $526.34 $64,814.00 $33,209.74 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 40 32 $67,191.36 $40,314.82 40% off $16,957.36 $61,319.99 $33,186.04 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 40 32 $90,380.63 $54,228.38 40% off $16,886.51 $61,059.80 $33,045.23 2026-04-01
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