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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

OTTUMWA REGIONAL HEALTH CENTER

Ottumwa, IA · CCN 160089 · Rates published

3,183 distinct procedures filed
55 distinct payers
50,745 rate rows
2026-10-17 last MRF observed
Data quality

47,033 of 50,745 rate rows are consumer-grade (92.7%)

3,712 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 3,657
exceeds 3× this hospital's gross charge for a DRG stay — excluded 51
exceeds 10× this hospital's gross charge — excluded from medians 2
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
placeholder amount (≤ $0.02) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.ottumwaregionalhealth.com/docs/ahottumwaregionalhealthcenterlibraries/hcl/mrf3q25/272200283_ottumwa-regional-health-center_standardcharges.csv
Found on page https://www.ottumwaregionalhealth.com/hospital-charges-listing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint 526a99d768a430a8… · 63,810 bytes · first seen 2026-05-09

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
33225
CPT 		L Ventric Pacing Lead Add-on 4 $203,982.55 $203,982.55 $203,982.55 nat. median
$8,084
outlier · 25.2×
55842
CPT 		Extensive Prostate Surgery 4 $196,601.95 $196,601.95 $196,601.95 nat. median
$3,315
outlier · 59.3×
55810
CPT 		Extensive Prostate Surgery 4 $196,601.95 $196,601.95 $196,601.95 nat. median
$3,305
outlier · 59.5×
55840
CPT 		Extensive Prostate Surgery 4 $196,601.95 $196,601.95 $196,601.95 nat. median
$3,242
outlier · 60.6×
55845
CPT 		Extensive Prostate Surgery 4 $196,601.95 $196,601.95 $196,601.95 nat. median
$3,713
outlier · 53.0×
55801
CPT 		Removal Of Prostate 4 $196,601.95 $196,601.95 $196,601.95 nat. median
$3,210
outlier · 61.3×
55831
CPT 		Removal Of Prostate 4 $196,601.95 $196,601.95 $196,601.95 nat. median
$3,196
outlier · 61.5×
55815
CPT 		Extensive Prostate Surgery 4 $196,601.95 $196,601.95 $196,601.95 nat. median
$3,723
outlier · 52.8×
55821
CPT 		Removal Of Prostate 4 $196,601.95 $196,601.95 $196,601.95 nat. median
$3,130
outlier · 62.8×
55812
CPT 		Extensive Prostate Surgery 4 $196,601.95 $196,601.95 $196,601.95 nat. median
$3,646
outlier · 53.9×
C1882
HCPCS 		Aicd Other Than Sing/dual 4 $130,549.82 $130,549.82 $130,549.82 nat. median
$27,303
outlier · 4.8×
C9605
HCPCS 		Perc D-e Cor Revasc T Cabg B 4 $130,444.71 $130,444.71 $130,444.71 nat. median
$11,230
outlier · 11.6×
43605
CPT 		Biopsy Of Stomach 4 $130,057.12 $130,057.12 $130,057.12 nat. median
$2,675
outlier · 48.6×
4169F
CPT 		No Pt Care Icu/vent In 24hrs 4 $129,481.95 $129,481.95 $129,481.95 nat. median
$7,460
outlier · 17.4×
31390
CPT 		Removal Of Larynx & Pharynx 4 $121,982.37 $121,982.37 $121,982.37 nat. median
$4,107
outlier · 29.7×
31365
CPT 		Removal Of Larynx 4 $121,982.37 $121,982.37 $121,982.37 nat. median
$4,041
outlier · 30.2×
31367
CPT 		Partial Removal Of Larynx 4 $121,982.37 $121,982.37 $121,982.37 nat. median
$3,921
outlier · 31.1×
31360
CPT 		Removal Of Larynx 4 $121,982.37 $121,982.37 $121,982.37 nat. median
$3,947
outlier · 30.9×
31368
CPT 		Partial Removal Of Larynx 4 $121,982.37 $121,982.37 $121,982.37 nat. median
$4,050
outlier · 30.1×
36510
CPT 		Insertion Of Catheter Vein 4 $108,921.00 $108,921.00 $108,921.00 nat. median
$297
outlier · 367.2×
64462
CPT 		Pvb Thoracic 2nd+ Inj Site 4 $100,036.31 $100,036.31 $100,036.31 nat. median
$644
outlier · 155.2×
60505
CPT 		Explore Parathyroid Glands 4 $96,103.36 $96,103.36 $96,103.36 nat. median
$3,435
outlier · 28.0×
36500
CPT 		Insertion Of Catheter Vein 4 $88,735.28 $88,735.28 $88,735.28 nat. median
$936
outlier · 94.8×
46748
CPT 		Repair Of Cloacal Anomaly 4 $78,513.93 $78,513.93 $78,513.93 nat. median
$4,632
outlier · 17.0×
57305
CPT 		Repair Rectum-vagina Fistula 4 $78,513.93 $78,513.93 $78,513.93 nat. median
$2,953
outlier · 26.6×
46710
CPT 		Repr Per/vag Pouch Sngl Proc 4 $78,513.93 $78,513.93 $78,513.93 nat. median
$2,886
outlier · 27.2×
57307
CPT 		Fistula Repair & Colostomy 4 $78,513.93 $78,513.93 $78,513.93 nat. median
$3,215
outlier · 24.4×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 6 $44,928.36 $85,867.07 $78,484.54 nat. median
$49,873
1.6× median
37185
CPT 		Prim Art M-thrmbc Sbsq Vsl 4 $76,925.25 $76,925.25 $76,925.25 nat. median
$3,177
outlier · 24.2×
C1721
HCPCS 		Aicd Dual Chamber 4 $76,032.64 $76,032.64 $76,032.64 nat. median
$22,298
outlier · 3.4×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 $44,885.94 $82,169.94 $75,105.27 nat. median
$49,944
1.5× median
C1722
HCPCS 		Aicd Single Chamber 4 $69,786.64 $69,786.64 $69,786.64 nat. median
$20,868
outlier · 3.3×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 6 $42,249.80 $75,138.77 $68,678.62 nat. median
$46,201
1.5× median
C2624
HCPCS 		Cm Patient Sensor System 4 $68,457.31 $68,457.31 $68,457.31 nat. median
$32,435
outlier · 2.1×
13122
CPT 		Cmplx Rpr S/a/l Addl 5 Cm/> 4 $68,283.62 $68,283.62 $68,283.62 nat. median
$434
outlier · 157.5×
33270
CPT 		Ins/rep Subq Defibrillator 6 $32,960.66 $102,894.26 $67,927.46 nat. median
$32,114
outlier · 2.1×
33249
CPT 		Insj/rplcmt Defib W/lead(s) 6 $32,960.66 $102,894.26 $67,927.46 nat. median
$31,620
outlier · 2.1×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 $41,899.59 $74,148.95 $67,773.90 nat. median
$45,172
1.5× median
44626
CPT 		Repair Bowel Opening 4 $66,296.92 $66,296.92 $66,296.92 nat. median
$3,025
outlier · 21.9×
44141
CPT 		Partial Removal Of Colon 4 $66,296.92 $66,296.92 $66,296.92 nat. median
$3,134
outlier · 21.2×
44145
CPT 		Partial Removal Of Colon 4 $66,296.92 $66,296.92 $66,296.92 nat. median
$3,041
outlier · 21.8×
44160
CPT 		Removal Of Colon 4 $66,296.92 $66,296.92 $66,296.92 nat. median
$2,848
outlier · 23.3×
44147
CPT 		Partial Removal Of Colon 4 $66,296.92 $66,296.92 $66,296.92 nat. median
$3,326
outlier · 19.9×
44111
CPT 		Excision Of Bowel Lesion(s) 4 $66,296.92 $66,296.92 $66,296.92 nat. median
$2,761
outlier · 24.0×
44146
CPT 		Partial Removal Of Colon 4 $66,296.92 $66,296.92 $66,296.92 nat. median
$3,479
outlier · 19.1×
44139
CPT 		Mobilization Of Colon 4 $66,296.92 $66,296.92 $66,296.92 nat. median
$470
outlier · 141.1×
44144
CPT 		Partial Removal Of Colon 4 $66,296.92 $66,296.92 $66,296.92 nat. median
$2,995
outlier · 22.1×
44140
CPT 		Partial Removal Of Colon 4 $66,296.92 $66,296.92 $66,296.92 nat. median
$2,756
outlier · 24.1×
44322
CPT 		Colostomy With Biopsies 4 $66,296.92 $66,296.92 $66,296.92 nat. median
$2,763
outlier · 24.0×
45119
CPT 		Remove Rectum W/reservoir 4 $66,296.92 $66,296.92 $66,296.92 nat. median
$3,644
outlier · 18.2×

Other procedures at this hospital

Browse this hospital's 3,183 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
             
100 MS_DRG Seizures With Mcc 23 9 $78,969.93 $15,601.39 80% off $3,658.96 $29,179.29 $17,261.03 2026-10-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 6 $121,982.37 — $44,885.94 $82,169.94 $75,105.27 2026-10-17
11004 CPT Debride Genitalia & Perineum 12 4 $29,487.04 — $29,487.04 $29,487.04 $29,487.04 2026-10-17
11045 CPT Deb Subq Tissue Add-on 12 4 $53,176.69 — $53,176.69 $53,176.69 $53,176.69 2026-10-17
11103 CPT Tangntl Bx Skin Ea Sep/addl 12 4 $59,034.81 — $59,034.81 $59,034.81 $59,034.81 2026-10-17
11105 CPT Punch Bx Skin Ea Sep/addl 12 4 $59,034.81 — $59,034.81 $59,034.81 $59,034.81 2026-10-17
11107 CPT Incal Bx Skn Ea Sep/addl 12 4 $59,034.81 — $59,034.81 $59,034.81 $59,034.81 2026-10-17
11201 CPT Remove Skin Tags Add-on 12 4 $53,176.69 — $53,176.69 $53,176.69 $53,176.69 2026-10-17
13122 CPT Cmplx Rpr S/a/l Addl 5 Cm/> 12 4 $68,283.62 — $68,283.62 $68,283.62 $68,283.62 2026-10-17
141 MS_DRG Major Head And Neck Procedures With Cc 20 6 $96,732.15 — $17,968.67 $32,859.84 $30,034.67 2026-10-17
15003 CPT Wound Prep Addl 100 Cm 12 4 $62,837.21 — $62,837.21 $62,837.21 $62,837.21 2026-10-17
15005 CPT Wnd Prep F/n/hf/g Addl Cm 12 4 $62,837.21 — $62,837.21 $62,837.21 $62,837.21 2026-10-17
15847 CPT Exc Skin Abd Add-on 12 4 $58,342.21 — $58,342.21 $58,342.21 $58,342.21 2026-10-17
186 MS_DRG Pleural Eff W Mcc 1 1 $73,232.06 $29,292.82 60% off $20,957.86 $20,957.86 $20,957.86 2025-07-01
199 MS_DRG Pneumothorax With Mcc 20 6 $33,674.97 — $14,914.30 $26,577.44 $24,292.41 2026-10-17
205 MS_DRG Other Respiratory System Diagnoses With Mcc 20 6 $57,347.40 — $15,890.71 $27,585.33 $25,213.65 2026-10-17
207 MS_DRG Resp Sys Dx W Vent >96 1 1 $93,262.47 $37,304.99 60% off $15,751.15 $15,751.15 $15,751.15 2025-07-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 23 9 $83,860.23 $18,867.21 78% off $8,425.88 $41,411.14 $23,694.07 2026-10-17
23470 CPT Reconstruct Shoulder Joint 21 6 $44,763.36 — $13,227.63 $42,085.85 $27,656.74 2026-10-17
23472 CPT Reconstruct Shoulder Joint 63 6 $88,537.27 — $18,905.75 $57,476.73 $38,191.24 2026-10-17
23472 HCPCS Reconstruct Shoulder Joint 6 6 $28,579.56 $11,431.82 60% off $16,718.45 $27,359.99 $17,875.68 2025-07-01
23473 CPT Revis Reconst Shoulder Joint 42 6 $60,754.06 — $13,227.63 $42,085.85 $27,656.74 2026-10-17
23474 CPT Revis Reconst Shoulder Joint 12 4 $44,763.36 — $38,960.73 $42,085.85 $42,085.85 2026-10-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 6 $84,744.65 — $41,899.59 $74,148.95 $67,773.90 2026-10-17
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 6 $46,841.74 — $24,225.21 $42,944.83 $39,252.60 2026-10-17
242 MS_DRG Perm Card Pm Imp W Mcc 1 1 $110,044.55 $44,017.82 60% off $19,600.45 $19,600.45 $19,600.45 2025-07-01
24587 CPT Treat Elbow Fracture 21 6 $77,292.80 — $13,227.63 $42,085.85 $27,656.74 2026-10-17
264 MS_DRG Other Circulatory System O.r. Procedures 20 6 $69,755.30 — $29,074.08 $50,328.54 $46,001.49 2026-10-17
27125 CPT Partial Hip Replacement 12 4 $84,482.04 — $38,960.73 $42,085.85 $42,085.85 2026-10-17
27130 CPT Total Hip Arthroplasty 63 6 $65,581.37 — $13,227.63 $42,085.85 $27,656.74 2026-10-17
27132 CPT Total Hip Arthroplasty 12 4 $23,062.64 — $38,960.73 $42,085.85 $42,085.85 2026-10-17
27134 CPT Revise Hip Joint Replacement 12 4 $23,062.64 — $38,960.73 $42,085.85 $42,085.85 2026-10-17
27385 CPT Repair Of Thigh Muscle 42 6 $30,926.14 — $7,344.06 $23,786.24 $15,565.15 2026-10-17
27446 CPT Revision Of Knee Joint 63 6 $62,374.64 — $13,227.63 $42,085.85 $27,656.74 2026-10-17
27447 CPT Total Knee Arthroplasty 63 6 $60,694.88 — $13,227.63 $42,085.85 $27,656.74 2026-10-17
27450 CPT Incision Of Thigh 12 4 $43,068.52 — $22,019.97 $23,786.24 $23,786.24 2026-10-17
27455 CPT Realignment Of Knee 12 4 $83,752.49 — $22,019.97 $23,786.24 $23,786.24 2026-10-17
27465 CPT Shortening Of Thigh Bone 12 4 $43,068.52 — $22,019.97 $23,786.24 $23,786.24 2026-10-17
27486 CPT Revise/replace Knee Joint 12 4 $9,212.45 — $38,960.73 $42,085.85 $42,085.85 2026-10-17
27487 CPT Revise/replace Knee Joint 12 4 $59,444.86 — $53,208.75 $57,476.73 $57,476.73 2026-10-17
27488 CPT Removal Of Knee Prosthesis 12 4 $97,470.86 — $38,960.73 $42,085.85 $42,085.85 2026-10-17
27506 CPT Treatment Of Thigh Fracture 12 4 $43,068.52 — $22,019.97 $23,786.24 $23,786.24 2026-10-17
27507 CPT Treatment Of Thigh Fracture 12 4 $43,068.52 — $22,019.97 $23,786.24 $23,786.24 2026-10-17
27509 CPT Treatment Of Thigh Fracture 21 6 $74,577.01 — $7,344.06 $23,786.24 $15,565.15 2026-10-17
27535 CPT Treat Knee Fracture 12 4 $83,752.49 — $22,019.97 $23,786.24 $23,786.24 2026-10-17
27536 CPT Treat Knee Fracture 12 4 $83,752.49 — $22,019.97 $23,786.24 $23,786.24 2026-10-17
27540 CPT Treat Knee Fracture 12 4 $83,752.49 — $22,019.97 $23,786.24 $23,786.24 2026-10-17
27566 CPT Treat Kneecap Dislocation 63 6 $43,113.20 — $7,344.06 $23,786.24 $15,565.15 2026-10-17
27712 CPT Realignment Of Lower Leg 12 4 $81,599.85 — $38,960.73 $42,085.85 $42,085.85 2026-10-17
27724 CPT Repair/graft Of Tibia 12 4 $83,752.49 — $22,019.97 $23,786.24 $23,786.24 2026-10-17
27725 CPT Repair Of Lower Leg 12 4 $83,752.49 — $22,019.97 $23,786.24 $23,786.24 2026-10-17
27758 CPT Treatment Of Tibia Fracture 21 6 $83,752.49 — $13,227.63 $42,085.85 $27,656.74 2026-10-17
27759 CPT Treatment Of Tibia Fracture 42 6 $70,095.92 — $13,227.63 $42,085.85 $27,656.74 2026-10-17
27827 CPT Treat Lower Leg Fracture 21 6 $83,752.49 — $13,227.63 $42,085.85 $27,656.74 2026-10-17
27828 CPT Treat Lower Leg Fracture 21 6 $83,752.49 — $13,227.63 $42,085.85 $27,656.74 2026-10-17
27880 CPT Amputation Of Lower Leg 12 4 $46,841.74 — $22,019.97 $23,786.24 $23,786.24 2026-10-17
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 21 7 $195,741.09 $38,336.18 80% off $16,429.53 $29,842.18 $26,134.68 2026-10-17
28322 CPT Repair Of Metatarsals 42 6 $21,766.86 — $7,344.06 $23,786.24 $15,565.15 2026-10-17
28445 CPT Treat Ankle Fracture 42 6 $37,456.47 — $7,344.06 $23,786.24 $15,565.15 2026-10-17
28465 CPT Treat Midfoot Fracture Each 42 6 $20,961.85 — $7,344.06 $23,786.24 $15,565.15 2026-10-17
28555 CPT Repair Foot Dislocation 42 6 $22,486.34 — $7,344.06 $23,786.24 $15,565.15 2026-10-17
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 22 8 $75,313.09 $23,471.90 69% off $13,842.20 $33,337.43 $25,965.79 2026-10-17
28725 CPT Fusion Of Foot Bones 42 6 $63,551.20 — $13,227.63 $42,085.85 $27,656.74 2026-10-17
28730 CPT Fusion Of Foot Bones 42 6 $34,070.74 — $13,227.63 $42,085.85 $27,656.74 2026-10-17
28735 CPT Fusion Of Foot Bones 42 6 $34,550.20 — $13,227.63 $42,085.85 $27,656.74 2026-10-17
29806 CPT Shoulder Arthroscopy/surgery 21 6 $47,400.24 — $7,344.06 $23,786.24 $15,565.15 2026-10-17
29826 CPT Shoulder Arthroscopy/surgery 36 4 $38,720.39 — $35,758.64 $38,720.39 $38,720.39 2026-10-17
29827 CPT Arthroscop Rotator Cuff Repr 63 6 $39,482.76 — $7,344.06 $23,786.24 $15,565.15 2026-10-17
29828 CPT Arthroscopy Biceps Tenodesis 42 6 $34,935.59 — $7,344.06 $23,786.24 $15,565.15 2026-10-17
3130F CPT Upper Gi Endoscopy Performed 12 4 $44,915.66 — $44,915.66 $44,915.66 $44,915.66 2026-10-17
31360 CPT Removal Of Larynx 12 4 $121,982.37 — $121,982.37 $121,982.37 $121,982.37 2026-10-17
31365 CPT Removal Of Larynx 12 4 $121,982.37 — $121,982.37 $121,982.37 $121,982.37 2026-10-17
31367 CPT Partial Removal Of Larynx 12 4 $121,982.37 — $121,982.37 $121,982.37 $121,982.37 2026-10-17
31368 CPT Partial Removal Of Larynx 12 4 $121,982.37 — $121,982.37 $121,982.37 $121,982.37 2026-10-17
31390 CPT Removal Of Larynx & Pharynx 12 4 $121,982.37 — $121,982.37 $121,982.37 $121,982.37 2026-10-17
314 MS_DRG Other Circulatory System Diagnoses With Mcc 22 8 $39,529.74 $16,462.70 58% off $8,162.08 $31,415.04 $23,026.62 2026-10-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 6 $152,108.89 — $42,249.80 $75,138.77 $68,678.62 2026-10-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 6 $66,296.92 — $38,197.84 $69,249.58 $63,295.76 2026-10-17
330 MS_DRG Maj Sm/lg Bowel Px W Cc 1 1 $49,312.69 $19,725.08 60% off $20,531.23 $20,531.23 $20,531.23 2025-07-01
33206 CPT Insert Heart Pm Atrial 21 6 $56,967.81 — $10,758.80 $34,262.16 $22,510.48 2026-10-17
33207 CPT Insert Heart Pm Ventricular 21 6 $58,997.18 — $10,758.80 $34,262.16 $22,510.48 2026-10-17
33208 CPT Insrt Heart Pm Atrial & Vent 42 6 $60,719.43 — $10,758.80 $34,262.16 $22,510.48 2026-10-17
33210 CPT Insert Electrd/pm Cath Sngl 21 6 $53,993.37 — $8,508.06 $27,127.13 $17,817.60 2026-10-17
33225 CPT L Ventric Pacing Lead Add-on 12 4 $203,982.55 — $203,982.55 $203,982.55 $203,982.55 2026-10-17
33228 CPT Remv&replc Pm Gen Dual Lead 21 6 $56,585.77 — $10,758.80 $34,262.16 $22,510.48 2026-10-17
33229 CPT Remv&replc Pm Gen Mult Leads 21 6 $60,328.38 — $19,605.96 $63,140.79 $41,373.38 2026-10-17
33249 CPT Insj/rplcmt Defib W/lead(s) 21 6 $186,058.35 — $32,960.66 $102,894.26 $67,927.46 2026-10-17
33249 HCPCS Insj/rplcmt Defib W/lead(s) 2 1 $99,999.99 $40,000.00 60% off $30,878.43 $90,057.53 $60,467.98 2025-07-01
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 21 6 $154,435.45 — $23,075.63 $72,915.55 $47,995.59 2026-10-17
33263 HCPCS Rmvl &amp; Rplcmt Dfb Gen 2 Lead 1 1 $76,669.56 $30,667.82 60% off $22,344.90 $22,344.90 $22,344.90 2025-07-01
33264 HCPCS Rmvl &amp; Rplcmt Dfb Gen Mlt Ld 1 1 $99,999.99 $40,000.00 60% off $32,422.35 $32,422.35 $32,422.35 2025-07-01
33270 CPT Ins/rep Subq Defibrillator 21 6 $158,463.70 — $32,960.66 $102,894.26 $67,927.46 2026-10-17
33285 CPT Insj Subq Car Rhythm Mntr 21 6 $47,100.92 — $8,508.06 $27,127.13 $17,817.60 2026-10-17
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 2 2 $95,143.22 $38,057.29 60% off $27,279.42 $27,279.42 $27,279.42 2025-07-01
335 MS_DRG Periton Adhes W Mcc 1 1 $81,912.83 $32,765.13 60% off $28,599.94 $28,599.94 $28,599.94 2025-07-01
33951 CPT Ecmo/ecls Insj Prph Cannula 12 4 $58,045.42 — $58,045.42 $58,045.42 $58,045.42 2026-10-17
33952 CPT Ecmo/ecls Insj Prph Cannula 12 4 $58,045.42 — $58,045.42 $58,045.42 $58,045.42 2026-10-17
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 20 6 $58,342.21 — $14,402.58 $25,346.57 $23,167.36 2026-10-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 6 $159,466.25 — $35,484.34 $66,180.69 $60,490.72 2026-10-17
36000 CPT Place Needle In Vein 12 4 $61,474.88 — $61,474.88 $61,474.88 $61,474.88 2026-10-17
36010 CPT Place Catheter In Vein 12 4 $58,738.70 — $58,738.70 $58,738.70 $58,738.70 2026-10-17
36012 CPT Place Catheter In Vein 12 4 $61,743.58 — $61,743.58 $61,743.58 $61,743.58 2026-10-17
36500 CPT Insertion Of Catheter Vein 12 4 $88,735.28 — $88,735.28 $88,735.28 $88,735.28 2026-10-17
36510 CPT Insertion Of Catheter Vein 12 4 $108,921.00 — $108,921.00 $108,921.00 $108,921.00 2026-10-17
371 MS_DRG Maj Gi DIS&amp;PERIT Inf W Mcc 1 1 $37,166.94 $14,866.78 60% off $17,537.78 $17,537.78 $17,537.78 2025-07-01
37184 CPT Prim Art M-thrmbc 1st Vsl 21 6 $76,925.25 — $18,460.27 $60,092.03 $39,276.15 2026-10-17
37185 CPT Prim Art M-thrmbc Sbsq Vsl 12 4 $76,925.25 — $76,925.25 $76,925.25 $76,925.25 2026-10-17
374 MS_DRG Digestive Malignancy With Mcc 20 6 $138,161.96 — $17,672.96 $32,221.06 $29,450.81 2026-10-17
375 MS_DRG Digestive Malignancy With Cc 20 6 $42,426.78 — $10,637.22 $18,223.49 $16,656.71 2026-10-17
377 MS_DRG Gi Hem W Mcc 3 2 $50,706.21 $20,282.48 60% off $8,300.54 $16,261.89 $15,792.98 2025-07-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 20 6 $53,984.16 — $18,843.05 $33,125.00 $30,277.03 2026-10-17
4168F CPT Pt Care Icu&vent W/in 24hrs 12 4 $57,717.73 — $57,717.73 $57,717.73 $57,717.73 2026-10-17
4169F CPT No Pt Care Icu/vent In 24hrs 12 4 $129,481.95 — $129,481.95 $129,481.95 $129,481.95 2026-10-17
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 24 10 $19,461.45 $16,077.43 $1,842.39 $29,652.35 $17,652.33 2026-10-17
43210 CPT Egd Esophagogastrc Fndoplsty 21 6 $40,525.03 — $10,703.17 $34,845.14 $22,774.15 2026-10-17
43360 CPT Gastrointestinal Repair 12 4 $40,525.03 — $40,525.03 $40,525.03 $40,525.03 2026-10-17
436 MS_DRG Malig Hepa Or Pancr W Cc 1 1 $50,971.16 $20,388.46 60% off $17,198.88 $17,198.88 $17,198.88 2025-07-01
43605 CPT Biopsy Of Stomach 12 4 $130,057.12 — $130,057.12 $130,057.12 $130,057.12 2026-10-17
43610 CPT Excision Of Stomach Lesion 12 4 $40,525.03 — $40,525.03 $40,525.03 $40,525.03 2026-10-17
43611 CPT Excision Of Stomach Lesion 12 4 $40,525.03 — $40,525.03 $40,525.03 $40,525.03 2026-10-17
43644 CPT Lap Gastric Bypass/roux-en-y 12 4 $40,525.03 — $40,525.03 $40,525.03 $40,525.03 2026-10-17
43645 CPT Lap Gastr Bypass Incl Smll I 12 4 $40,525.03 — $40,525.03 $40,525.03 $40,525.03 2026-10-17
43770 CPT Lap Place Gastr Adj Device 21 6 $40,525.03 — $10,703.17 $34,845.14 $22,774.15 2026-10-17
43771 CPT Lap Revise Gastr Adj Device 12 4 $40,525.03 — $4,426.40 $22,475.72 $22,475.72 2026-10-17
43775 CPT Lap Sleeve Gastrectomy 12 4 $40,525.03 — $40,525.03 $40,525.03 $40,525.03 2026-10-17
44110 CPT Excise Intestine Lesion(s) 12 4 $66,296.92 — $66,296.92 $66,296.92 $66,296.92 2026-10-17
44111 CPT Excision Of Bowel Lesion(s) 12 4 $66,296.92 — $66,296.92 $66,296.92 $66,296.92 2026-10-17
44132 CPT Enterectomy Cadaver Donor 12 4 $45,354.24 — $45,354.24 $45,354.24 $45,354.24 2026-10-17
44133 CPT Enterectomy Live Donor 12 4 $45,354.24 — $45,354.24 $45,354.24 $45,354.24 2026-10-17
44137 CPT Remove Intestinal Allograft 12 4 $45,354.24 — $45,354.24 $45,354.24 $45,354.24 2026-10-17
44139 CPT Mobilization Of Colon 12 4 $66,296.92 — $66,296.92 $66,296.92 $66,296.92 2026-10-17
44140 CPT Partial Removal Of Colon 12 4 $66,296.92 — $66,296.92 $66,296.92 $66,296.92 2026-10-17
44141 CPT Partial Removal Of Colon 12 4 $66,296.92 — $66,296.92 $66,296.92 $66,296.92 2026-10-17
44143 CPT Partial Removal Of Colon 12 4 $66,296.92 — $66,296.92 $66,296.92 $66,296.92 2026-10-17
44144 CPT Partial Removal Of Colon 12 4 $66,296.92 — $66,296.92 $66,296.92 $66,296.92 2026-10-17
44145 CPT Partial Removal Of Colon 12 4 $66,296.92 — $66,296.92 $66,296.92 $66,296.92 2026-10-17
44146 CPT Partial Removal Of Colon 12 4 $66,296.92 — $66,296.92 $66,296.92 $66,296.92 2026-10-17
44147 CPT Partial Removal Of Colon 12 4 $66,296.92 — $66,296.92 $66,296.92 $66,296.92 2026-10-17
44160 CPT Removal Of Colon 12 4 $66,296.92 — $66,296.92 $66,296.92 $66,296.92 2026-10-17
44322 CPT Colostomy With Biopsies 12 4 $66,296.92 — $66,296.92 $66,296.92 $66,296.92 2026-10-17
44626 CPT Repair Bowel Opening 12 4 $66,296.92 — $66,296.92 $66,296.92 $66,296.92 2026-10-17
44650 CPT Repair Bowel Fistula 12 4 $24,520.01 — $24,520.01 $24,520.01 $24,520.01 2026-10-17
45119 CPT Remove Rectum W/reservoir 12 4 $66,296.92 — $66,296.92 $66,296.92 $66,296.92 2026-10-17
45121 CPT Removal Of Rectum And Colon 12 4 $66,296.92 — $66,296.92 $66,296.92 $66,296.92 2026-10-17
45126 CPT Pelvic Exenteration 12 4 $40,764.11 — $40,764.11 $40,764.11 $40,764.11 2026-10-17
45400 CPT Laparoscopic Proc 12 4 $49,312.69 — $49,312.69 $49,312.69 $49,312.69 2026-10-17
45563 CPT Exploration/repair Of Rectum 12 4 $49,312.69 — $49,312.69 $49,312.69 $49,312.69 2026-10-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 6 $150,795.16 — $44,928.36 $85,867.07 $78,484.54 2026-10-17
467 MS_DRG Rev Hip/knee Repl W Cc 2 2 $112,660.09 $45,064.03 60% off $28,510.81 $31,256.64 $29,883.72 2025-07-01
46710 CPT Repr Per/vag Pouch Sngl Proc 12 4 $78,513.93 — $78,513.93 $78,513.93 $78,513.93 2026-10-17
46715 CPT Rep Perf Anoper Fistu 12 4 $20,601.64 — $20,601.64 $20,601.64 $20,601.64 2026-10-17
46716 CPT Rep Perf Anoper/vestib Fistu 12 4 $20,601.64 — $20,601.64 $20,601.64 $20,601.64 2026-10-17
46748 CPT Repair Of Cloacal Anomaly 12 4 $78,513.93 — $78,513.93 $78,513.93 $78,513.93 2026-10-17
46751 CPT Repair Of Anal Sphincter 12 4 $20,601.64 — $20,601.64 $20,601.64 $20,601.64 2026-10-17
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 20 6 $14,766.73 — $21,821.99 $41,400.60 $37,841.12 2026-10-17
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 20 6 $34,913.46 — $15,872.37 $29,060.27 $26,561.78 2026-10-17
47564 CPT Laparo Cholecystectomy/explr 21 6 $159,466.25 — $10,703.17 $34,845.14 $22,774.15 2026-10-17
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 23 9 $71,724.67 $28,515.71 60% off $18,923.83 $43,875.90 $26,312.06 2026-10-17
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 26 12 $75,198.77 $23,379.61 69% off $7,008.99 $31,555.15 $18,220.67 2026-10-17
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 21 7 $75,021.89 $9,574.54 87% off $13,122.60 $24,572.19 $21,519.41 2026-10-17
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 20 6 $53,620.23 — $21,197.27 $41,760.67 $38,170.24 2026-10-17
492 MS_DRG Le &amp; Hum Px W Mcc 1 1 $83,752.49 $33,501.00 60% off $31,492.51 $31,492.51 $31,492.51 2025-07-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 22 8 $75,673.95 $27,665.38 63% off $15,314.04 $38,208.17 $26,721.29 2026-10-17
49412 CPT Ins Device For Rt Guide Open 12 4 $58,342.21 — $58,342.21 $58,342.21 $58,342.21 2026-10-17
49605 CPT Repair Umbilical Lesion 12 4 $58,342.21 — $58,342.21 $58,342.21 $58,342.21 2026-10-17
49606 CPT Repair Umbilical Lesion 12 4 $58,342.21 — $58,342.21 $58,342.21 $58,342.21 2026-10-17
49610 CPT Repair Umbilical Lesion 12 4 $58,342.21 — $58,342.21 $58,342.21 $58,342.21 2026-10-17
49611 CPT Repair Umbilical Lesion 12 4 $58,342.21 — $58,342.21 $58,342.21 $58,342.21 2026-10-17
49905 CPT Omental Flap Intra-abdom 12 4 $58,342.21 — $58,342.21 $58,342.21 $58,342.21 2026-10-17
50706 CPT Balloon Dilate Urtrl Strix 12 4 $62,755.06 — $62,755.06 $62,755.06 $62,755.06 2026-10-17
50830 CPT Revise Urine Flow 12 4 $58,342.21 — $58,342.21 $58,342.21 $58,342.21 2026-10-17
51597 CPT Removal Of Pelvic Structures 12 4 $40,764.11 — $40,764.11 $40,764.11 $40,764.11 2026-10-17
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 20 6 $44,763.36 — $12,741.48 $23,151.49 $21,161.01 2026-10-17
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 20 6 $90,257.54 — $24,246.01 $43,241.63 $39,523.88 2026-10-17
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 24 10 $79,320.37 $41,606.67 48% off $17,022.63 $31,904.68 $18,716.03 2026-10-17
52441 CPT Cystourethro W/implant 12 4 $40,082.84 — $40,082.84 $40,082.84 $40,082.84 2026-10-17
52442 CPT Cystourethro W/addl Implant 12 4 $42,334.76 — $42,334.76 $42,334.76 $42,334.76 2026-10-17
543 MS_DRG Path Fx/con Tis Malig W Cc 1 1 $72,722.51 $29,089.00 60% off $37,379.38 $37,379.38 $37,379.38 2025-07-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 21 7 $52,441.35 $21,870.49 58% off $13,195.81 $22,401.22 $19,618.16 2026-10-17
55801 CPT Removal Of Prostate 12 4 $196,601.95 — $196,601.95 $196,601.95 $196,601.95 2026-10-17
55810 CPT Extensive Prostate Surgery 12 4 $196,601.95 — $196,601.95 $196,601.95 $196,601.95 2026-10-17
55812 CPT Extensive Prostate Surgery 12 4 $196,601.95 — $196,601.95 $196,601.95 $196,601.95 2026-10-17
55815 CPT Extensive Prostate Surgery 12 4 $196,601.95 — $196,601.95 $196,601.95 $196,601.95 2026-10-17
55821 CPT Removal Of Prostate 12 4 $196,601.95 — $196,601.95 $196,601.95 $196,601.95 2026-10-17
55831 CPT Removal Of Prostate 12 4 $196,601.95 — $196,601.95 $196,601.95 $196,601.95 2026-10-17
55840 CPT Extensive Prostate Surgery 12 4 $196,601.95 — $196,601.95 $196,601.95 $196,601.95 2026-10-17
55842 CPT Extensive Prostate Surgery 12 4 $196,601.95 — $196,601.95 $196,601.95 $196,601.95 2026-10-17
55845 CPT Extensive Prostate Surgery 12 4 $196,601.95 — $196,601.95 $196,601.95 $196,601.95 2026-10-17
55866 CPT Laparo Radical Prostatectomy 21 6 $192,726.34 — $10,703.17 $34,845.14 $22,774.15 2026-10-17
55880 CPT Abltj Mal Prst8 Tiss Hifu 21 6 $53,685.47 — $9,506.46 $31,031.52 $20,268.99 2026-10-17
56 MS_DRG Degenerative Nervous System Disorders With Mcc 23 9 $80,031.77 $25,746.69 68% off $5,642.48 $34,999.17 $20,830.42 2026-10-17
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 20 6 $54,799.35 — $12,508.74 $21,465.64 $19,620.10 2026-10-17
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 23 9 $116,185.66 $35,006.74 70% off $11,479.72 $19,519.15 $17,166.44 2026-10-17
570 MS_DRG Skin Debridemnt W Mcc 2 2 $67,461.87 $26,984.75 60% off $23,924.93 $30,421.50 $27,173.22 2025-07-01
571 MS_DRG Skin Debridement With Cc 22 8 $48,490.29 $24,086.60 50% off $9,093.58 $25,453.53 $18,240.11 2026-10-17
57289 CPT Repair Bladder & Vagina 21 6 $78,513.93 — $7,602.18 $24,308.18 $15,955.18 2026-10-17
57305 CPT Repair Rectum-vagina Fistula 12 4 $78,513.93 — $78,513.93 $78,513.93 $78,513.93 2026-10-17
57307 CPT Fistula Repair & Colostomy 12 4 $78,513.93 — $78,513.93 $78,513.93 $78,513.93 2026-10-17
57310 CPT Repair Urethrovaginal Lesion 21 6 $78,513.93 — $7,602.18 $24,308.18 $15,955.18 2026-10-17
57330 CPT Repair Bladder-vagina Lesion 21 6 $78,513.93 — $7,602.18 $24,308.18 $15,955.18 2026-10-17
57545 CPT Remove Cervix/repair Pelvis 12 4 $18,183.94 — $18,183.94 $18,183.94 $18,183.94 2026-10-17
58150 CPT Total Hysterectomy 12 4 $40,764.11 — $40,764.11 $40,764.11 $40,764.11 2026-10-17
58152 CPT Total Hysterectomy 12 4 $40,764.11 — $40,764.11 $40,764.11 $40,764.11 2026-10-17
58180 CPT Partial Hysterectomy 12 4 $40,764.11 — $40,764.11 $40,764.11 $40,764.11 2026-10-17
58200 CPT Extensive Hysterectomy 12 4 $40,764.11 — $40,764.11 $40,764.11 $40,764.11 2026-10-17
58210 CPT Extensive Hysterectomy 12 4 $40,764.11 — $40,764.11 $40,764.11 $40,764.11 2026-10-17
58240 CPT Removal Of Pelvis Contents 12 4 $40,764.11 — $40,764.11 $40,764.11 $40,764.11 2026-10-17
584 MS_DRG Bx Breas &amp; Ot Bres Px Wcc 1 1 $127,770.51 $51,108.20 60% off $30,470.00 $30,470.00 $30,470.00 2025-07-01
58552 CPT Laparo-vag Hyst Incl T/o 21 6 $46,718.70 — $10,703.17 $34,845.14 $22,774.15 2026-10-17
58571 CPT Tlh W/t/o 250 G Or Less 21 6 $50,931.74 — $10,703.17 $34,845.14 $22,774.15 2026-10-17
58662 HCPCS Laparoscopy Excise Lesions 1 1 $16,778.58 $6,711.43 60% off $15,794.66 $15,794.66 $15,794.66 2025-07-01
58700 CPT Removal Of Fallopian Tube 12 4 $35,197.44 — $3,360.50 $19,278.97 $19,278.97 2026-10-17
58951 CPT Resect Ovarian Malignancy 12 4 $40,764.11 — $40,764.11 $40,764.11 $40,764.11 2026-10-17
58952 CPT Resect Ovarian Malignancy 12 4 $40,764.11 — $40,764.11 $40,764.11 $40,764.11 2026-10-17
58953 CPT Tah Rad Dissect For Debulk 12 4 $40,764.11 — $40,764.11 $40,764.11 $40,764.11 2026-10-17
58954 CPT Tah Rad Debulk/lymph Remove 12 4 $40,764.11 — $40,764.11 $40,764.11 $40,764.11 2026-10-17
58956 CPT Bso Omentectomy W/tah 12 4 $40,764.11 — $40,764.11 $40,764.11 $40,764.11 2026-10-17
58958 CPT Resect Recur GYN Mal W/lym 12 4 $40,764.11 — $40,764.11 $40,764.11 $40,764.11 2026-10-17
59140 CPT Treat Ectopic Pregnancy 12 4 $40,764.11 — $40,764.11 $40,764.11 $40,764.11 2026-10-17
59400 CPT Obstetrical Care 12 4 $18,644.60 — $18,644.60 $18,644.60 $18,644.60 2026-10-17
59410 CPT Obstetrical Care 12 4 $18,644.60 — $18,644.60 $18,644.60 $18,644.60 2026-10-17
59510 CPT Cesarean Delivery 12 4 $35,935.00 — $35,935.00 $35,935.00 $35,935.00 2026-10-17
59514 CPT Cesarean Delivery Only 12 4 $35,935.00 — $35,935.00 $35,935.00 $35,935.00 2026-10-17
59515 CPT Cesarean Delivery 12 4 $35,935.00 — $35,935.00 $35,935.00 $35,935.00 2026-10-17
59525 CPT Remove Uterus After Cesarean 12 4 $40,764.11 — $40,764.11 $40,764.11 $40,764.11 2026-10-17
59610 CPT Vbac Delivery 12 4 $18,644.60 — $18,644.60 $18,644.60 $18,644.60 2026-10-17
59614 CPT Vbac Care After Delivery 12 4 $18,644.60 — $18,644.60 $18,644.60 $18,644.60 2026-10-17
59618 CPT Attempted Vbac Delivery 12 4 $35,935.00 — $35,935.00 $35,935.00 $35,935.00 2026-10-17
59620 CPT Attempted Vbac Delivery Only 12 4 $35,935.00 — $35,935.00 $35,935.00 $35,935.00 2026-10-17
59622 CPT Attempted Vbac After Care 12 4 $35,935.00 — $35,935.00 $35,935.00 $35,935.00 2026-10-17
60254 CPT Extensive Thyroid Surgery 12 4 $38,858.26 — $2,871.00 $20,864.63 $20,864.63 2026-10-17
60505 CPT Explore Parathyroid Glands 12 4 $96,103.36 — $96,103.36 $96,103.36 $96,103.36 2026-10-17
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 6 $83,639.81 — $22,488.31 $41,537.70 $37,966.44 2026-10-17
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 21 7 $67,348.05 $44,820.23 33% off $16,239.82 $28,177.42 $24,676.74 2026-10-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 6 $196,966.00 — $31,127.93 $53,621.91 $49,011.69 2026-10-17
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 6 $47,335.84 — $16,089.97 $27,026.40 $24,702.76 2026-10-17
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 20 6 $96,103.36 — $12,873.80 $22,589.54 $20,647.38 2026-10-17
64 MS_DRG Ic Hem Or Cereb Inf W Mcc 4 4 $73,006.28 $29,202.51 60% off $12,919.49 $17,831.63 $17,467.85 2025-07-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 20 6 $61,080.25 — $11,428.71 $20,121.78 $18,391.78 2026-10-17
643 MS_DRG Endocrine Disorders With Mcc 21 7 $288,862.14 $12,114.27 96% off $13,450.56 $24,799.68 $21,718.64 2026-10-17
64462 CPT Pvb Thoracic 2nd+ Inj Site 12 4 $100,036.31 — $100,036.31 $100,036.31 $100,036.31 2026-10-17
64590 CPT Insrt/redo Pn/gastr Stimul 21 6 $87,626.85 — $22,045.74 $63,594.54 $42,820.14 2026-10-17
64590 HCPCS Insrt/redo Pn/gastr Stimul 9 7 $11,251.59 $4,500.64 60% off $20,531.95 $52,083.33 $21,147.92 2025-07-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 21 7 $49,747.69 $31,682.46 36% off $11,524.36 $19,912.36 $17,438.51 2026-10-17
663 MS_DRG Minor Bladder Procedures With Cc 21 7 $28,250.97 $35,360.51 $12,270.92 $22,902.91 $20,057.52 2026-10-17
668 MS_DRG Transurethral Procedures With Mcc 20 6 $76,553.85 — $24,259.32 $43,991.90 $40,209.64 2026-10-17
669 MS_DRG Transurethral Procedures With Cc 20 6 $30,888.71 — $13,178.28 $23,382.00 $21,371.70 2026-10-17
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 21 7 $223,890.10 $72,078.82 68% off $16,311.56 $30,135.96 $26,391.96 2026-10-17
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 20 6 $184,503.49 — $12,660.18 $23,113.83 $21,126.58 2026-10-17
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 20 6 $60,333.92 — $12,369.25 $22,649.80 $20,702.46 2026-10-17
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 20 6 $119,495.14 — $18,843.85 $33,706.54 $30,808.57 2026-10-17
718 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy Without Cc/mcc 20 6 $62,354.58 — $10,662.72 $20,234.77 $18,495.06 2026-10-17
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 20 6 $34,612.05 — $15,403.70 $27,642.58 $25,265.97 2026-10-17
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 20 6 $45,001.24 — $10,715.33 $19,071.69 $17,431.98 2026-10-17
811 MS_DRG Red Blood Cell Disorders With Mcc 21 7 $58,228.39 $15,388.83 74% off $11,617.07 $21,156.79 $18,528.33 2026-10-17
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 20 6 $31,284.34 — $10,017.89 $18,116.53 $16,558.94 2026-10-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 11 $96,217.88 $31,875.67 67% off $8,869.81 $74,403.56 $41,603.45 2026-10-17
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 26 11 $43,741.53 $34,265.51 22% off $2,062.99 $30,102.82 $17,630.94 2026-10-17
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 20 6 $139,407.46 — $15,499.35 $27,475.35 $25,113.12 2026-10-17
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 33 15 $71,121.17 $22,637.49 68% off $4,164.96 $29,265.16 $17,076.10 2026-10-17
884 MS_DRG Organ Dist &amp; Intell Disab 1 1 $58,535.48 $23,414.19 60% off $17,284.34 $17,284.34 $17,284.34 2025-07-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 20 6 $12,998.02 — $16,921.32 $30,059.12 $27,474.75 2026-10-17
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 20 6 $66,062.59 — $13,913.18 $23,629.08 $21,597.53 2026-10-17
92928 CPT Prq Card Stent W/angio 1 Vsl 21 6 $77,079.88 — $11,658.58 $37,842.42 $24,750.50 2026-10-17
92928 HCPCS Prq Card Stent W/angio 1 Vsl 4 3 $48,602.68 $19,441.07 60% off $13,342.10 $35,903.08 $15,728.65 2025-07-01
934 MS_DRG Ft Burn Wo Sg Or Inhal Inj 1 1 $117,482.62 $46,993.05 60% off $17,145.96 $17,145.96 $17,145.96 2025-07-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 20 6 $169,829.10 — $17,672.96 $35,207.08 $32,180.11 2026-10-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 7 $43,418.50 $23,118.49 47% off $31,796.74 $56,692.30 $49,649.02 2026-10-17
958 MS_DRG Or Px Mult Sig Trama Wcc 1 1 $115,528.15 $46,211.26 60% off $54,514.32 $54,514.32 $54,514.32 2025-07-01
974 MS_DRG HIV With Major Related Condition With Mcc 20 6 $34,992.19 — $24,840.79 $43,479.67 $39,741.44 2026-10-17
981 MS_DRG Ext Or Px Unrel Pdx W Mcc 1 1 $150,292.11 $60,116.84 60% off $37,290.58 $37,290.58 $37,290.58 2025-07-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 20 6 $70,606.72 — $14,140.34 $25,822.64 $23,602.51 2026-10-17
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 6 $54,170.85 — $29,137.30 $51,651.31 $47,210.52 2026-10-17
C1713 HCPCS Anchor/screw Bn/bntis/bn 13 5 $21,758.36 $426.92 98% off $581.71 $21,758.36 $21,758.36 2026-10-17
C1721 HCPCS Aicd Dual Chamber 12 4 $76,032.64 — $76,032.64 $76,032.64 $76,032.64 2026-10-17
C1722 HCPCS Aicd Single Chamber 12 4 $69,786.64 — $69,786.64 $69,786.64 $69,786.64 2026-10-17
C1762 HCPCS Conn Tiss Human(inc Fascia) 12 4 $19,780.31 — $19,780.31 $19,780.31 $19,780.31 2026-10-17
C1763 HCPCS Conn Tiss Non-human 12 4 $23,722.37 — $23,722.37 $23,722.37 $23,722.37 2026-10-17
C1764 HCPCS Event Recorder Cardiac 12 4 $25,183.30 — $25,183.30 $25,183.30 $25,183.30 2026-10-17
C1767 HCPCS Generator Neuro Non-recharg 12 4 $48,956.23 — $48,956.23 $48,956.23 $48,956.23 2026-10-17
C1768 HCPCS Graft Vascular 12 4 $37,088.11 — $37,088.11 $37,088.11 $37,088.11 2026-10-17
C1776 HCPCS Imp Hip Joint G56 12 4 $51,676.03 — $51,676.03 $51,676.03 $51,676.03 2026-10-17
C1777 HCPCS Lead Card/defib Sgl G47 12 4 $24,725.35 — $24,725.35 $24,725.35 $24,725.35 2026-10-17
C1779 HCPCS Imp Pm Lead Sgl G53 12 4 $39,560.62 — $39,560.62 $39,560.62 $39,560.62 2026-10-17
C1781 HCPCS Imp Mesh G55 12 4 $41,208.90 — $41,208.90 $41,208.90 $41,208.90 2026-10-17
C1785 HCPCS Imp Pm Dual G54 12 4 $42,033.15 — $7,418.74 $42,033.15 $42,033.15 2026-10-17
C1786 HCPCS Imp Pm Sngl G54 12 4 $42,033.15 — $42,033.15 $42,033.15 $42,033.15 2026-10-17
C1813 HCPCS Imp Penile G53 12 4 $43,516.66 — $43,516.66 $43,516.66 $43,516.66 2026-10-17
C1815 HCPCS Imp Pros Ur Sph G46 12 4 $22,252.90 — $22,252.90 $22,252.90 $22,252.90 2026-10-17
C1874 HCPCS St Ct/cv W/ds G45 12 4 $19,780.31 — $19,780.31 $19,780.31 $19,780.31 2026-10-17
C1876 HCPCS St Nonct/cv W/ds 51 12 4 $34,615.49 — $34,615.49 $34,615.49 $34,615.49 2026-10-17
C1882 HCPCS Aicd Other Than Sing/dual 12 4 $130,549.82 — $130,549.82 $130,549.82 $130,549.82 2026-10-17
C1895 HCPCS Lead Card/def Dual G55 12 4 $44,505.67 — $44,505.67 $44,505.67 $44,505.67 2026-10-17
C1898 HCPCS Imp Pm Lead Oth G54 12 4 $42,033.15 — $42,033.15 $42,033.15 $42,033.15 2026-10-17
C2621 HCPCS Imp Pm Othr G56 12 4 $46,978.25 — $46,978.25 $46,978.25 $46,978.25 2026-10-17
C2622 HCPCS Imp Penile Prosthesis 11mm 12 4 $27,509.71 — $27,509.71 $27,509.71 $27,509.71 2026-10-17
C2624 HCPCS Cm Patient Sensor System 12 4 $68,457.31 — $68,457.31 $68,457.31 $68,457.31 2026-10-17
C9604 HCPCS Perc D-e Cor Revasc T Cabg S 21 6 $130,444.71 — $11,658.58 $37,842.42 $24,750.50 2026-10-17
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 12 4 $130,444.71 — $130,444.71 $130,444.71 $130,444.71 2026-10-17
L8699 HCPCS Prosthetic Implant Nos 13 5 $28,252.22 $1,467.65 95% off $555.87 $28,252.22 $28,252.22 2026-10-17
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