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

ASCENSION ST VINCENT FISHERS

Fishers, IN · CCN 150181 · Rates published

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You selected 93306 (CPT)

ECHO 2D CMPL W/D/CF WO/CON

This hospital’s price: $156 across 19 payers · range $78-$558

Source: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/in-csv/454243702_st-vincent-fishers-hospital-inc_standardcharges.csv · observed 2026-01-01

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.

27,322 distinct procedures filed
128 distinct payers
3,373,468 rate rows
2026-01-01 last MRF observed
Data quality

3,360,452 of 3,373,468 rate rows are consumer-grade (99.6%)

13,016 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
placeholder amount (≤ $0.02) — excluded from medians 9,598
per-diem day rate — not a per-procedure price 1,182
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,172
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 827
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 237
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/in-csv/454243702_st-vincent-fishers-hospital-inc_standardcharges.csv
Found on page https://healthcare.ascension.org/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-30
Content fingerprint a1d9a87ba78d54ba… · 50,234,754 bytes · first seen 2026-07-31

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
717086094
CDM 		Vutrisiran 25mg/0.5ml Inj 99 $40.00 $417,728.50 $232,734.45 nat. median
$232,734
1.0× median
717020303
CDM 		Histrelin Acetate 50mg Kit 98 $40.00 $175,635.67 $97,854.16 nat. median
$97,854
1.0× median
717026023
CDM 		Glucarpidase 1000 U/vl Pwdi 99 $40.00 $144,109.00 $80,289.30 nat. median
$80,289
1.0× median
717013604
CDM 		Corticotropin 400un Inj 99 $40.00 $139,524.00 $77,734.80 nat. median
$77,735
1.0× median
702193890
CDM 		000000000002436620-implant 108 $40.00 $107,024.40 $58,098.96 nat. median
$58,099
1.0× median
702193889
CDM 		000000000002436631-implant 108 $40.00 $107,024.40 $58,098.96 nat. median
$58,099
1.0× median
702193904
CDM 		000000000002436624-implant 108 $40.00 $107,024.40 $57,334.50 nat. median
$57,334
1.0× median
702193905
CDM 		000000000002436626-implant 108 $40.00 $107,024.40 $57,334.50 nat. median
$57,334
1.0× median
702168241
CDM 		000000000001013207-generator 108 $40.00 $103,679.80 $56,283.32 nat. median
$57,339
1.0× median
702192495
CDM 		000000000002436272-generator 108 $40.00 $104,647.20 $56,061.00 nat. median
$56,808
1.0× median
717038996
CDM 		Ustekinumab 90mg/ml Syr 98 $40.00 $98,459.06 $54,855.76 nat. median
$54,856
1.0× median
717037801
CDM 		Pegloticase 8mg Inj 98 $40.00 $97,861.96 $54,523.09 nat. median
$55,222
1.0× median
717013828
CDM 		Pegaspargase 3750 Units Inj 100 $40.00 $92,820.63 $51,714.35 nat. median
$51,714
1.0× median
J9226
HCPCS 		Histrelin Acetate 50mg Kit 40 $27,404.62 $113,720.28 $49,762.62 nat. median
$55,159
0.9× median
702193891
CDM 		000000000002436621-implant 108 $40.00 $90,377.00 $49,061.80 nat. median
$49,062
1.0× median
702179671
CDM 		000000000001181327-kit 108 $40.00 $91,252.00 $48,885.00 nat. median
$49,537
1.0× median
702193906
CDM 		000000000002436611-implant 108 $40.00 $90,377.00 $48,416.25 nat. median
$48,416
1.0× median
702193907
CDM 		000000000002436615-implant 108 $40.00 $85,621.20 $46,480.08 nat. median
$46,480
1.0× median
702193892
CDM 		000000000002436610-generator 108 $40.00 $85,621.20 $46,480.08 nat. median
$46,480
1.0× median
702168433
CDM 		000000000001012103-kit 108 $40.00 $85,544.20 $46,438.28 nat. median
$41,550
1.1× median
702111161
CDM 		Surgery Level 10 1st Min 101 $40.00 $82,517.40 $45,384.57 nat. median
$28,781
1.6× median
717013647
CDM 		Ravulizumab-cwvz 1100mg Inj 101 $40.00 $82,184.66 $44,614.53 nat. median
$44,615
1.0× median
702151661
CDM 		000000000000563161-stimulator 108 $40.00 $77,159.60 $41,886.64 nat. median
$42,907
1.0× median
0266T
OTHER 		Implt/rpl Crtd Sns Dev Total 21 $232.94 $41,907.87 $41,701.32 nat. median
$39,035
1.1× median
717038956
CDM 		Ocrelizumab 300mg/10ml Vial 98 $40.00 $71,448.69 $39,807.13 nat. median
$39,807
1.0× median
33276
CPT 		Insj Phrnc Nrv Stim Sys 31 $508.10 $39,721.84 $39,721.84 nat. median
$43,278
0.9× median
702178910
CDM 		000000000001220692-implant 108 $40.00 $73,353.00 $39,296.25 nat. median
$43,488
0.9× median
702152927
CDM 		000000000000576933-generator 108 $40.00 $72,546.60 $38,864.25 nat. median
$39,856
1.0× median
702183103
CDM 		000000000001884159-generator 108 $40.00 $71,331.40 $38,722.76 nat. median
$38,723
1.0× median
702167887
CDM 		000000000001012797-generator 108 $40.00 $71,089.20 $38,591.28 nat. median
$39,607
1.0× median
702118334
CDM 		000000000000593425-generator 108 $40.00 $69,421.80 $37,686.12 nat. median
$36,863
1.0× median
702117738
CDM 		000000000000088197-generator 108 $40.00 $61,686.80 $33,046.50 nat. median
$33,046
1.0× median
717013073
CDM 		Tildrakizumab 100mg Inj 98 $40.00 $57,314.60 $32,137.11 nat. median
$31,932
1.0× median
J9266
HCPCS 		Pegaspargase 3750 Units Inj 38 $13,716.31 $60,908.69 $31,585.89 nat. median
$33,233
1.0× median
702180778
CDM 		000000000001220691-kit 108 $40.00 $58,501.80 $31,340.25 nat. median
$31,340
1.0× median
717038294
CDM 		Dinutuximab 17.5mg/5ml Inj 99 $40.00 $55,335.74 $30,829.91 nat. median
$30,830
1.0× median
702191744
CDM 		000000000000714757-matrix 99 $40.00 $54,212.20 $30,203.94 nat. median
$30,204
1.0× median
702111164
CDM 		Surgery Level 9 1st Min 101 $40.00 $55,385.40 $30,066.36 nat. median
$11,776
outlier · 2.6×
702153257
CDM 		000000000000367919-generator 108 $40.00 $54,226.20 $29,437.08 nat. median
$29,437
1.0× median
702154408
CDM 		000000000000135016-generator 108 $40.00 $54,780.60 $29,346.75 nat. median
$29,272
1.0× median
717086029
CDM 		Nivolumab/relatlimab-rmbw 240/80mg 101 $40.00 $51,880.92 $28,534.51 nat. median
$28,905
1.0× median
717013567
CDM 		Fluocinolone Acetonide Implant 98 $40.00 $48,740.87 $27,155.63 nat. median
$27,156
1.0× median
702130820
CDM 		000000000000013781-generator 108 $40.00 $50,393.00 $26,996.25 nat. median
$27,285
1.0× median
702166522
CDM 		000000000001064155-implant 108 $40.00 $48,745.20 $26,461.68 nat. median
$26,462
1.0× median
0408T
OTHER 		Insj/rplc Cardiac Modulj Sys 32 $661.61 $26,229.13 $26,229.13 nat. median
$31,346
0.8× median
0268T
OTHER 		Implt/rpl Crtd Sns Dev Gen 21 $682.10 $26,328.62 $25,736.11 nat. median
$28,039
0.9× median
0915T
OTHER 		Insj Perm Ccm-d Sys Pg&eltrd 1 $24,946.53 $24,946.53 $24,946.53 nat. median
$33,762
0.7× median
64582
CPT 		Opn Mpltj Hpglsl Nstm Ary Pg 31 $887.65 $25,648.86 $24,328.66 nat. median
$28,157
0.9× median
33289
CPT 		Tcat Impl Wrls P-art Prs Snr 32 $97.03 $24,175.89 $24,175.89 nat. median
$27,731
0.9× median
0620T
OTHER 		Evasc Ven Artlz Tibl/prnl Vn 31 $1,125.78 $31,489.31 $24,104.09 nat. median
$25,487
0.9× median

Other procedures at this hospital

Browse this hospital's 27,322 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
             
717086094 CDM Vutrisiran 25mg/0.5ml Inj 204 99 $298,377.50 $179,026.50 40% off $40.00 $417,728.50 $232,734.45 2026-01-01
717020303 CDM Histrelin Acetate 50mg Kit 202 98 $125,454.05 $75,272.43 40% off $40.00 $175,635.67 $97,854.16 2026-01-01
717026023 CDM Glucarpidase 1000 U/vl Pwdi 206 99 $102,935.00 $61,761.00 40% off $40.00 $144,109.00 $80,289.30 2026-01-01
717013604 CDM Corticotropin 400un Inj 205 99 $99,660.00 $59,796.00 40% off $40.00 $139,524.00 $77,734.80 2026-01-01
702193890 CDM 000000000002436620-implant 229 108 $76,446.00 $45,867.60 40% off $40.00 $107,024.40 $58,098.96 2026-01-01
702193889 CDM 000000000002436631-implant 229 108 $76,446.00 $45,867.60 40% off $40.00 $107,024.40 $58,098.96 2026-01-01
702193904 CDM 000000000002436624-implant 229 108 $76,446.00 $45,867.60 40% off $40.00 $107,024.40 $57,334.50 2026-01-01
702193905 CDM 000000000002436626-implant 229 108 $76,446.00 $45,867.60 40% off $40.00 $107,024.40 $57,334.50 2026-01-01
702168241 CDM 000000000001013207-generator 229 108 $74,057.00 $44,434.20 40% off $40.00 $103,679.80 $56,283.32 2026-01-01
702192495 CDM 000000000002436272-generator 229 108 $74,748.00 $44,848.80 40% off $40.00 $104,647.20 $56,061.00 2026-01-01
717038996 CDM Ustekinumab 90mg/ml Syr 201 98 $70,327.90 $42,196.74 40% off $40.00 $98,459.06 $54,855.76 2026-01-01
717037801 CDM Pegloticase 8mg Inj 201 98 $69,901.40 $41,940.84 40% off $40.00 $97,861.96 $54,523.09 2026-01-01
717013828 CDM Pegaspargase 3750 Units Inj 206 100 $66,300.45 $39,780.27 40% off $40.00 $92,820.63 $51,714.35 2026-01-01
J9226 HCPCS Histrelin Acetate 50mg Kit 46 40 $125,454.05 $75,272.43 40% off $27,404.62 $113,720.28 $49,762.62 2026-01-01
702193891 CDM 000000000002436621-implant 229 108 $64,555.00 $38,733.00 40% off $40.00 $90,377.00 $49,061.80 2026-01-01
702179671 CDM 000000000001181327-kit 229 108 $65,180.00 $39,108.00 40% off $40.00 $91,252.00 $48,885.00 2026-01-01
702193906 CDM 000000000002436611-implant 229 108 $64,555.00 $38,733.00 40% off $40.00 $90,377.00 $48,416.25 2026-01-01
702193907 CDM 000000000002436615-implant 229 108 $61,158.00 $36,694.80 40% off $40.00 $85,621.20 $46,480.08 2026-01-01
702193892 CDM 000000000002436610-generator 229 108 $61,158.00 $36,694.80 40% off $40.00 $85,621.20 $46,480.08 2026-01-01
702168433 CDM 000000000001012103-kit 229 108 $61,103.00 $36,661.80 40% off $40.00 $85,544.20 $46,438.28 2026-01-01
702111161 CDM Surgery Level 10 1st Min 219 101 $58,941.00 $35,364.60 40% off $40.00 $82,517.40 $45,384.57 2026-01-01
717013647 CDM Ravulizumab-cwvz 1100mg Inj 219 101 $58,703.33 $35,222.00 40% off $40.00 $82,184.66 $44,614.53 2026-01-01
702151661 CDM 000000000000563161-stimulator 229 108 $55,114.00 $33,068.40 40% off $40.00 $77,159.60 $41,886.64 2026-01-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 22 21 — — $232.94 $41,907.87 $41,701.32 2026-01-01
717038956 CDM Ocrelizumab 300mg/10ml Vial 201 98 $51,034.78 $30,620.87 40% off $40.00 $71,448.69 $39,807.13 2026-01-01
33276 CPT Insj Phrnc Nrv Stim Sys 33 31 — — $508.10 $39,721.84 $39,721.84 2026-01-01
702178910 CDM 000000000001220692-implant 229 108 $52,395.00 $31,437.00 40% off $40.00 $73,353.00 $39,296.25 2026-01-01
702152927 CDM 000000000000576933-generator 229 108 $51,819.00 $31,091.40 40% off $40.00 $72,546.60 $38,864.25 2026-01-01
702183103 CDM 000000000001884159-generator 229 108 $50,951.00 $30,570.60 40% off $40.00 $71,331.40 $38,722.76 2026-01-01
702167887 CDM 000000000001012797-generator 229 108 $50,778.00 $30,466.80 40% off $40.00 $71,089.20 $38,591.28 2026-01-01
702118334 CDM 000000000000593425-generator 229 108 $49,587.00 $29,752.20 40% off $40.00 $69,421.80 $37,686.12 2026-01-01
702117738 CDM 000000000000088197-generator 229 108 $44,062.00 $26,437.20 40% off $40.00 $61,686.80 $33,046.50 2026-01-01
717013073 CDM Tildrakizumab 100mg Inj 202 98 $40,939.00 $24,563.40 40% off $40.00 $57,314.60 $32,137.11 2026-01-01
J9266 HCPCS Pegaspargase 3750 Units Inj 42 38 $66,300.45 $39,780.27 40% off $13,716.31 $60,908.69 $31,585.89 2026-01-01
702180778 CDM 000000000001220691-kit 229 108 $41,787.00 $25,072.20 40% off $40.00 $58,501.80 $31,340.25 2026-01-01
717038294 CDM Dinutuximab 17.5mg/5ml Inj 206 99 $39,525.53 $23,715.32 40% off $40.00 $55,335.74 $30,829.91 2026-01-01
702191744 CDM 000000000000714757-matrix 204 99 $38,723.00 $23,233.80 40% off $40.00 $54,212.20 $30,203.94 2026-01-01
702111164 CDM Surgery Level 9 1st Min 219 101 $39,561.00 $23,736.60 40% off $40.00 $55,385.40 $30,066.36 2026-01-01
702153257 CDM 000000000000367919-generator 229 108 $38,733.00 $23,239.80 40% off $40.00 $54,226.20 $29,437.08 2026-01-01
702154408 CDM 000000000000135016-generator 229 108 $39,129.00 $23,477.40 40% off $40.00 $54,780.60 $29,346.75 2026-01-01
717086029 CDM Nivolumab/relatlimab-rmbw 240/80mg 219 101 $37,057.80 $22,234.68 40% off $40.00 $51,880.92 $28,534.51 2026-01-01
717013567 CDM Fluocinolone Acetonide Implant 202 98 $34,814.91 $20,888.95 40% off $40.00 $48,740.87 $27,155.63 2026-01-01
702130820 CDM 000000000000013781-generator 229 108 $35,995.00 $21,597.00 40% off $40.00 $50,393.00 $26,996.25 2026-01-01
702166522 CDM 000000000001064155-implant 229 108 $34,818.00 $20,890.80 40% off $40.00 $48,745.20 $26,461.68 2026-01-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 34 32 — — $661.61 $26,229.13 $26,229.13 2026-01-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 22 21 — — $682.10 $26,328.62 $25,736.11 2026-01-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 1 1 — — $24,946.53 $24,946.53 $24,946.53 2026-01-01
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 33 31 — — $887.65 $25,648.86 $24,328.66 2026-01-01
33289 CPT Tcat Impl Wrls P-art Prs Snr 36 32 — — $97.03 $24,175.89 $24,175.89 2026-01-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 33 31 — — $1,125.78 $31,489.31 $24,104.09 2026-01-01
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 33 31 — — $340.94 $25,090.42 $23,656.54 2026-01-01
702194527 CDM 000000000001189519-component 229 108 $30,923.00 $18,553.80 40% off $40.00 $43,292.20 $23,501.48 2026-01-01
0505T OTHER Ev Fempop Artl Revsc 15 13 — — $20,739.24 $22,765.08 $22,765.08 2026-01-01
717086125 CDM Dostarlimab-gxly 500mg Inj 219 101 $28,907.80 $17,344.68 40% off $40.00 $40,470.92 $21,969.93 2026-01-01
702167876 CDM 000000000001012487-alloderm 205 99 $28,064.00 $16,838.40 40% off $40.00 $39,289.60 $21,889.92 2026-01-01
717038370 CDM Atezolizumab 1200mg/20ml Inj 219 101 $27,820.10 $16,692.06 40% off $40.00 $38,948.14 $21,421.48 2026-01-01
717031429 CDM Hemin 350mg (panhematin) 201 98 $27,351.23 $16,410.74 40% off $40.00 $38,291.72 $21,333.96 2026-01-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 34 32 — — $534.00 $20,791.50 $20,791.50 2026-01-01
702111168 CDM Surgery Level 8 1st Min 219 101 $26,810.00 $16,086.00 40% off $40.00 $37,534.00 $20,375.60 2026-01-01
701011168 CDM Surgery Level 8 1st Min 219 101 $26,810.00 $16,086.00 40% off $40.00 $37,534.00 $20,375.60 2026-01-01
702164616 CDM 000000000000454834-implant 229 108 $26,660.00 $15,996.00 40% off $40.00 $37,324.00 $20,261.60 2026-01-01
717016489 CDM Daratumumab Hyaluronidase-fihj Inj 219 101 $26,138.95 $15,683.37 40% off $40.00 $36,594.53 $20,126.99 2026-01-01
702167353 CDM 000000000000537271-body 229 108 $26,661.00 $15,996.60 40% off $40.00 $37,325.40 $19,995.75 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 10 — — $17,561.53 $24,983.00 $19,607.18 2026-01-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 1 1 — — $18,680.26 $18,680.26 $18,680.26 2026-01-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 1 1 — — $18,680.26 $18,680.26 $18,680.26 2026-01-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 33 31 — — $468.23 $18,739.11 $18,653.18 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 23 16 — — $15,311.00 $24,983.00 $18,509.00 2026-01-01
717038312 CDM Lanreotide Acetate 120mg Inj 219 101 $23,905.00 $14,343.00 40% off $40.00 $33,467.00 $18,406.85 2026-01-01
702153271 CDM 000000000000489568-spacer 216 106 $23,730.00 $14,238.00 40% off $40.00 $33,222.00 $18,390.75 2026-01-01
702194534 CDM 000000000001189487-baseplate 229 108 $23,696.00 $14,217.60 40% off $40.00 $33,174.40 $18,008.96 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 18 — — $13,965.00 $24,983.00 $17,900.50 2026-01-01
702121631 CDM 000000000000166120-kit 229 108 $23,376.00 $14,025.60 40% off $40.00 $32,726.40 $17,765.76 2026-01-01
702121024 CDM 000000000000072436-kit 229 108 $23,376.00 $14,025.60 40% off $40.00 $32,726.40 $17,765.76 2026-01-01
702172582 CDM 000000000001024942-implant 229 108 $22,075.00 $13,245.00 40% off $40.00 $30,905.00 $16,777.00 2026-01-01
702193314 CDM 000000000001177336-implant 229 108 $21,931.00 $13,158.60 40% off $40.00 $30,703.40 $16,667.56 2026-01-01
702196304 CDM 000000000002065916-component 229 108 $22,188.00 $13,312.80 40% off $40.00 $31,063.20 $16,641.00 2026-01-01
702193953 CDM 000000000002065908-component 229 108 $22,188.00 $13,312.80 40% off $40.00 $31,063.20 $16,641.00 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 34 23 — — $12,200.00 $24,983.00 $16,535.00 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 23 — — $12,200.00 $24,983.00 $16,535.00 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 22 — — $13,400.00 $24,983.00 $16,535.00 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 23 — — $12,200.00 $24,983.00 $16,535.00 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 22 — — $13,400.00 $24,983.00 $16,535.00 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 33 22 — — $13,400.00 $24,983.00 $16,535.00 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 33 22 — — $13,400.00 $24,983.00 $16,535.00 2026-01-01
54401 CPT Insert Self-contd Prosthesis 37 32 — — $144.90 $17,074.99 $16,285.40 2026-01-01
717019153 CDM Interfer B-1a 30mcg/0.5ml Psyr 201 98 $20,838.70 $12,503.22 40% off $40.00 $29,174.18 $16,254.19 2026-01-01
54405 CPT Insert Multi-comp Penis Pros 35 32 — — $993.17 $17,153.93 $16,248.64 2026-01-01
702179042 CDM 000000000001003930-component 229 108 $21,167.00 $12,700.20 40% off $40.00 $29,633.80 $16,086.92 2026-01-01
54416 CPT Remv/repl Penis Contain Pros 37 32 — — $156.03 $16,673.92 $15,980.29 2026-01-01
54410 CPT Remove/replace Penis Prosth 37 32 — — $206.95 $16,836.37 $15,940.11 2026-01-01
702121630 CDM 000000000000032065-graft 229 108 $21,150.00 $12,690.00 40% off $40.00 $29,610.00 $15,862.50 2026-01-01
701011166 CDM Surgery Level 7 1st Min 219 101 $20,541.00 $12,324.60 40% off $40.00 $28,757.40 $15,816.57 2026-01-01
702111166 CDM Surgery Level 7 1st Min 219 101 $20,541.00 $12,324.60 40% off $40.00 $28,757.40 $15,816.57 2026-01-01
717086187 CDM Lanreotide Cipla 120mg/0.5ml Inj 204 99 $20,266.75 $12,160.05 40% off $40.00 $28,373.45 $15,808.07 2026-01-01
702146657 CDM 000000000000202290-femoral 229 108 $20,994.00 $12,596.40 40% off $40.00 $29,391.60 $15,745.50 2026-01-01
702146660 CDM 000000000000148254-femoral 229 108 $20,994.00 $12,596.40 40% off $40.00 $29,391.60 $15,745.50 2026-01-01
702131295 CDM 000000000000193285-component 229 108 $20,994.00 $12,596.40 40% off $40.00 $29,391.60 $15,745.50 2026-01-01
702193842 CDM 000000000001197084-component 229 108 $20,705.00 $12,423.00 40% off $40.00 $28,987.00 $15,735.80 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 39 25 — — $11,231.00 $24,983.00 $15,614.00 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 39 25 — — $11,231.00 $24,983.00 $15,614.00 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 39 25 — — $11,231.00 $24,983.00 $15,614.00 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 39 25 — — $11,231.00 $24,983.00 $15,614.00 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 39 25 — — $11,231.00 $24,983.00 $15,614.00 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 39 25 — — $11,231.00 $24,983.00 $15,614.00 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 39 25 — — $11,231.00 $24,983.00 $15,614.00 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 25 — — $11,231.00 $24,983.00 $15,614.00 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 39 25 — — $11,231.00 $24,983.00 $15,614.00 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 39 25 — — $11,231.00 $24,983.00 $15,614.00 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 25 — — $11,231.00 $24,983.00 $15,614.00 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 39 25 — — $11,231.00 $24,983.00 $15,614.00 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 39 25 — — $11,231.00 $24,983.00 $15,614.00 2026-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 39 25 — — $11,231.00 $24,983.00 $15,614.00 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 39 25 — — $11,231.00 $24,983.00 $15,614.00 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 25 — — $11,231.00 $24,983.00 $15,614.00 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 39 25 — — $11,231.00 $24,983.00 $15,614.00 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 39 25 — — $11,231.00 $24,983.00 $15,614.00 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 39 25 — — $11,231.00 $24,983.00 $15,614.00 2026-01-01
717038350 CDM Lanreotide Acetate 90mg Inj 219 101 $20,270.00 $12,162.00 40% off $40.00 $28,378.00 $15,607.90 2026-01-01
702194990 CDM 000000000001196878-component 229 108 $20,705.00 $12,423.00 40% off $40.00 $28,987.00 $15,528.75 2026-01-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
311 MS_DRG Angina Pectoris 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
386 MS_DRG Inflammatory Bowel Disease With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
297 MS_DRG Cardiac Arrest, Unexplained With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
398 MS_DRG Appendix Procedures With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
332 MS_DRG Rectal Resection With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
302 MS_DRG Atherosclerosis With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
376 MS_DRG Digestive Malignancy Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
303 MS_DRG Atherosclerosis Without Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
293 MS_DRG Heart Failure And Shock Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
375 MS_DRG Digestive Malignancy With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
348 MS_DRG Anal And Stomal Procedures With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
369 MS_DRG Major Esophageal Disorders With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
334 MS_DRG Rectal Resection Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
265 MS_DRG Aicd Lead Procedures 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
153 MS_DRG Otitis Media And Uri Without Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
183 MS_DRG Major Chest Trauma With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
141 MS_DRG Major Head And Neck Procedures With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
180 MS_DRG Respiratory Neoplasms With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
121 MS_DRG Acute Major Eye Infections With Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
113 MS_DRG Orbital Procedures With Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
117 MS_DRG Intraocular Procedures Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
200 MS_DRG Pneumothorax With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
39 MS_DRG Extracranial Procedures Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
291 MS_DRG Heart Failure And Shock With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
101 MS_DRG Seizures Without Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
176 MS_DRG Pulmonary Embolism Without Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
157 MS_DRG Dental And Oral Diseases With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
215 MS_DRG Other Heart Assist System Implant 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
103 MS_DRG Headaches Without Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
199 MS_DRG Pneumothorax With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
292 MS_DRG Heart Failure And Shock With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
188 MS_DRG Pleural Effusion Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
186 MS_DRG Pleural Effusion With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
184 MS_DRG Major Chest Trauma With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
114 MS_DRG Orbital Procedures Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
185 MS_DRG Major Chest Trauma Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
100 MS_DRG Seizures With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
201 MS_DRG Pneumothorax Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
300 MS_DRG Peripheral Vascular Disorders With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
374 MS_DRG Digestive Malignancy With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
202 MS_DRG Bronchitis And Asthma With Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
245 MS_DRG Aicd Generator Procedures 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
196 MS_DRG Interstitial Lung Disease With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
125 MS_DRG Other Disorders Of The Eye Without Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
347 MS_DRG Anal And Stomal Procedures With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
181 MS_DRG Respiratory Neoplasms With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
137 MS_DRG Mouth Procedures With Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
370 MS_DRG Major Esophageal Disorders Without Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
389 MS_DRG Gastrointestinal Obstruction With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
333 MS_DRG Rectal Resection With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
312 MS_DRG Syncope And Collapse 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
102 MS_DRG Headaches With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
116 MS_DRG Intraocular Procedures With Cc/mcc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
187 MS_DRG Pleural Effusion With Cc 44 27 — — $7,939.93 $24,983.00 $15,462.50 2026-01-01
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