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

SAINT JOHN HOSPITAL

Leavenworth, KS · CCN 170009 · Rates published

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You selected 93350 (CPT)

ECHO FOLLOW UP OR LIMITED

This hospital’s price: $515 across 29 payers · range $179-$2,365

Source: https://stjohnleavenworth.com/wp-content/uploads/2024/12/462171791_SaintJohnHospital_standardcharges.json · observed 2026-03-17

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.

3,657 distinct procedures filed
32 distinct payers
284,774 rate rows
2026-03-17 last MRF observed
Data quality

284,430 of 284,774 rate rows are consumer-grade (99.9%)

344 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
template filing: same amount across many unrelated codes — excluded 274
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 57
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 11
per-diem day rate — not a per-procedure price 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stjohnleavenworth.com/wp-content/uploads/2026/09/H052002_SaintJohnHospital_standardcharges.json
Found on page https://stjohnleavenworth.com/financial-assistance/
Discovered viaCMS hospital list
Last fetch success · 2026-10-22
Content fingerprint 1773e0862aaa16eb… · 24,682,558 bytes · first seen 2026-09-21

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 $118,714.00 $487,329.00 $287,799.98 nat. median
$359,454
0.8× median
612
OTHER 		UnGrouped 1 $221,094.00 $221,094.00 $221,094.00 nat. median
$1,883
outlier · 117.4×
636
OTHER 		UnGrouped 1 $202,882.00 $202,882.00 $202,882.00 nat. median
$76
outlier · 2652.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 24 $82,727.19 $363,994.00 $187,410.50 nat. median
$249,036
0.8× median
633
OTHER 		UnGrouped 1 $182,277.00 $182,277.00 $182,277.00 nat. median
$6,194
outlier · 29.4×
631
OTHER 		UnGrouped 1 $177,569.00 $177,569.00 $177,569.00 nat. median
$5,376
outlier · 33.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 $57,175.50 $259,893.00 $155,267.00 nat. median
$198,418
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 $58,984.38 $276,942.00 $142,267.69 nat. median
$190,559
0.7× median
359
OTHER 		UnGrouped 1 $114,322.00 $114,322.00 $114,322.00 nat. median
$1,751
outlier · 65.3×
681
OTHER 		UnGrouped 1 $104,621.00 $104,621.00 $104,621.00 nat. median
$1
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 $43,794.66 $182,590.00 $93,321.51 nat. median
$126,695
0.7× median
7
MS_DRG 		Lung Transplant 24 $38,222.73 $168,876.00 $86,777.80 nat. median
$117,974
0.7× median
635
OTHER 		UnGrouped 1 $86,463.10 $86,463.10 $86,463.10 nat. median
$200
outlier · 432.7×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 24 $36,909.60 $169,303.00 $85,751.80 nat. median
$110,307
0.8× median
634
OTHER 		UnGrouped 1 $82,068.30 $82,068.30 $82,068.30 nat. median
$190
outlier · 431.3×
613
OTHER 		UnGrouped 1 $78,417.40 $78,417.40 $78,417.40 nat. median
$41,290
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 $33,467.07 $201,205.03 $76,381.98 nat. median
$104,013
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valveâ Procedures 22 $7,316.95 $140,772.00 $72,472.50 nat. median
$97,323
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 24 $30,450.42 $137,612.00 $69,895.67 nat. median
$95,038
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 24 $39,855.27 $136,909.00 $69,343.40 nat. median
$93,901
0.7× median
426
MS_DRG 		UnGrouped 18 $12,115.20 $135,454.00 $68,561.90 nat. median
$93,276
0.7× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 9 $37,441.90 $88,871.00 $67,489.19 nat. median
$70,732
1.0× median
632
OTHER 		UnGrouped 1 $65,907.60 $65,907.60 $65,907.60 nat. median
$4,380
outlier · 15.0×
222
MS_DRG 		UnGrouped 2 $38,459.00 $76,918.00 $65,631.15 nat. median
$47,543
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 $39,180.96 $124,712.00 $65,199.33 nat. median
$90,551
0.7× median
850
MS_DRG 		UnGrouped 17 $57,277.60 $119,038.00 $60,895.15 nat. median
$78,268
0.8× median
224
MS_DRG 		UnGrouped 2 $32,247.20 $64,494.50 $57,573.80 nat. median
$39,452
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 24 $33,750.99 $109,502.00 $56,182.70 nat. median
$77,028
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 $35,525.49 $109,440.00 $56,006.10 nat. median
$77,632
0.7× median
993
MS_DRG 		UnGrouped 5 $55,790.30 $56,906.10 $55,790.30 nat. median
$56,378
1.0× median
429
MS_DRG 		UnGrouped 17 $51,860.10 $107,778.00 $55,135.40 nat. median
$78,049
0.7× median
361
OTHER 		UnGrouped 1 $53,392.90 $53,392.90 $53,392.90 nat. median
$1,157
outlier · 46.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 $31,976.49 $110,843.00 $53,126.08 nat. median
$74,370
0.7× median
647
OTHER 		UnGrouped 1 $53,008.60 $53,008.60 $53,008.60 nat. median
$4,249
outlier · 12.5×
226
MS_DRG 		UnGrouped 2 $29,044.00 $58,087.90 $51,915.15 nat. median
$38,225
1.4× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 $21,045.57 $102,437.00 $51,884.50 nat. median
$66,715
0.8× median
360
OTHER 		UnGrouped 1 $51,637.20 $51,637.20 $51,637.20 nat. median
$3,247
outlier · 15.9×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 $27,114.36 $101,004.00 $51,565.28 nat. median
$71,748
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 $30,734.34 $99,985.30 $51,414.30 nat. median
$72,398
0.7× median
10
MS_DRG 		Pancreas Transplant 24 $17,390.10 $103,030.00 $51,199.29 nat. median
$64,933
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 $15,615.60 $96,453.40 $50,784.30 nat. median
$67,976
0.7× median
G0339
HCPCS 		Hc Robot Lin-radsurg Com, First 11 $29,847.20 $84,567.00 $49,745.30 nat. median
$7,985
outlier · 6.2×
223
MS_DRG 		UnGrouped 2 $30,577.20 $61,154.40 $48,879.40 nat. median
$32,619
1.5× median
646
OTHER 		UnGrouped 1 $47,538.30 $47,538.30 $47,538.30 nat. median
$3,336
outlier · 14.2×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 $28,533.96 $91,320.40 $47,521.90 nat. median
$66,649
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 24 $19,789.10 $86,306.30 $47,053.89 nat. median
$61,308
0.8× median
427
MS_DRG 		UnGrouped 18 $11,661.50 $91,736.50 $46,487.40 nat. median
$63,648
0.7× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 3 $27,606.71 $55,213.42 $46,290.84 nat. median
$49,540
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 24 $21,790.86 $89,898.90 $46,253.10 nat. median
$62,655
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 $12,842.10 $86,160.20 $45,839.10 nat. median
$63,873
0.7× median

Other procedures at this hospital

Browse this hospital's 3,657 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 66 24 — $320,881.00 $118,714.00 $487,329.00 $287,799.98 2026-03-17
612 OTHER UnGrouped 1 1 — — $221,094.00 $221,094.00 $221,094.00 2024-12-19
636 OTHER UnGrouped 1 1 — — $202,882.00 $202,882.00 $202,882.00 2024-12-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 66 24 — $239,671.00 $82,727.19 $363,994.00 $187,410.50 2026-03-17
633 OTHER UnGrouped 1 1 — — $182,277.00 $182,277.00 $182,277.00 2024-12-19
631 OTHER UnGrouped 1 1 — — $177,569.00 $177,569.00 $177,569.00 2024-12-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 66 24 — $201,846.00 $57,175.50 $259,893.00 $155,267.00 2026-03-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 66 24 — $182,351.00 $58,984.38 $276,942.00 $142,267.69 2026-03-17
359 OTHER UnGrouped 1 1 — — $114,322.00 $114,322.00 $114,322.00 2024-12-19
681 OTHER UnGrouped 1 1 — — $104,621.00 $104,621.00 $104,621.00 2024-12-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 66 24 — $120,225.00 $43,794.66 $182,590.00 $93,321.51 2026-03-17
7 MS_DRG Lung Transplant 66 24 — $111,196.00 $38,222.73 $168,876.00 $86,777.80 2026-03-17
635 OTHER UnGrouped 1 1 — — $86,463.10 $86,463.10 $86,463.10 2024-12-19
14 MS_DRG Allogeneic Bone Marrow Transplant 66 24 — $111,477.00 $36,909.60 $169,303.00 $85,751.80 2026-03-17
634 OTHER UnGrouped 1 1 — — $82,068.30 $82,068.30 $82,068.30 2024-12-19
613 OTHER UnGrouped 1 1 — — $78,417.40 $78,417.40 $78,417.40 2024-12-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 66 24 — $93,761.00 $33,467.07 $201,205.03 $76,381.98 2026-03-17
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 57 22 — $92,691.00 $7,316.95 $140,772.00 $72,472.50 2026-03-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 66 24 — $90,610.00 $30,450.42 $137,612.00 $69,895.67 2026-03-17
215 MS_DRG Other Heart Assist System Implant 66 24 — $90,146.00 $39,855.27 $136,909.00 $69,343.40 2026-03-17
426 MS_DRG UnGrouped 25 18 — $89,130.00 $12,115.20 $135,454.00 $68,561.90 2024-12-19
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 15 9 — — $37,441.90 $88,871.00 $67,489.19 2026-03-17
632 OTHER UnGrouped 1 1 — — $65,907.60 $65,907.60 $65,907.60 2024-12-19
222 MS_DRG UnGrouped 4 2 — — $38,459.00 $76,918.00 $65,631.15 2024-12-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 66 24 — $82,116.00 $39,180.96 $124,712.00 $65,199.33 2026-03-17
850 MS_DRG UnGrouped 24 17 — $78,379.00 $57,277.60 $119,038.00 $60,895.15 2024-12-19
224 MS_DRG UnGrouped 4 2 — — $32,247.20 $64,494.50 $57,573.80 2024-12-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 66 24 — $72,100.00 $33,750.99 $109,502.00 $56,182.70 2026-03-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 66 24 — $72,060.00 $35,525.49 $109,440.00 $56,006.10 2026-03-17
993 MS_DRG UnGrouped 5 5 — — $55,790.30 $56,906.10 $55,790.30 2024-12-19
429 MS_DRG UnGrouped 24 17 — $70,966.00 $51,860.10 $107,778.00 $55,135.40 2024-12-19
361 OTHER UnGrouped 1 1 — — $53,392.90 $53,392.90 $53,392.90 2024-12-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 66 24 — $68,588.00 $31,976.49 $110,843.00 $53,126.08 2026-03-17
647 OTHER UnGrouped 1 1 — — $53,008.60 $53,008.60 $53,008.60 2024-12-19
226 MS_DRG UnGrouped 4 2 — — $29,044.00 $58,087.90 $51,915.15 2024-12-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 66 24 — $67,449.00 $21,045.57 $102,437.00 $51,884.50 2026-03-17
360 OTHER UnGrouped 1 1 — — $51,637.20 $51,637.20 $51,637.20 2024-12-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 66 24 — $66,506.00 $27,114.36 $101,004.00 $51,565.28 2026-03-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 24 — $65,834.00 $30,734.34 $99,985.30 $51,414.30 2026-03-17
10 MS_DRG Pancreas Transplant 66 24 — $67,838.00 $17,390.10 $103,030.00 $51,199.29 2026-03-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 66 24 — $63,509.00 $15,615.60 $96,453.40 $50,784.30 2026-03-17
G0339 HCPCS Hc Robot Lin-radsurg Com, First 12 11 $99,490.60 — $29,847.20 $84,567.00 $49,745.30 2024-12-19
223 MS_DRG UnGrouped 4 2 — — $30,577.20 $61,154.40 $48,879.40 2024-12-19
646 OTHER UnGrouped 1 1 — — $47,538.30 $47,538.30 $47,538.30 2024-12-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 57 22 — $60,129.00 $28,533.96 $91,320.40 $47,521.90 2026-03-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 66 24 — $56,827.00 $19,789.10 $86,306.30 $47,053.89 2026-03-17
427 MS_DRG UnGrouped 25 18 — $60,433.00 $11,661.50 $91,736.50 $46,487.40 2024-12-19
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 3 — — $27,606.71 $55,213.42 $46,290.84 2026-03-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 66 24 — $59,189.00 $21,790.86 $89,898.90 $46,253.10 2026-03-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 66 24 — $56,731.00 $12,842.10 $86,160.20 $45,839.10 2026-03-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 66 24 — $58,098.00 $13,770.12 $100,289.00 $45,223.00 2026-03-17
447 MS_DRG UnGrouped 24 17 — $57,047.00 $41,688.40 $86,638.40 $44,321.35 2024-12-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 66 24 — $54,947.00 $27,199.77 $83,449.00 $43,822.34 2026-03-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 66 24 — $50,619.00 $20,477.80 $76,880.20 $43,822.30 2026-03-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 66 24 — $52,397.00 $13,631.76 $79,577.30 $43,663.05 2026-03-17
225 MS_DRG UnGrouped 4 2 — — $25,297.00 $50,593.90 $43,251.40 2024-12-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 66 24 — $55,026.00 $27,078.87 $83,582.10 $43,029.95 2026-03-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 66 24 — $53,810.00 $23,955.75 $81,723.80 $41,502.67 2026-03-17
317 MS_DRG UnGrouped 25 18 — $52,637.00 $38,465.70 $79,941.70 $41,300.00 2024-12-19
227 MS_DRG UnGrouped 4 2 — — $23,062.60 $46,125.20 $40,988.10 2024-12-19
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 66 24 — $51,356.00 $19,909.90 $87,441.60 $40,895.24 2026-03-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 57 22 — $50,581.00 $5,558.87 $76,827.20 $40,854.40 2026-03-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 66 24 — $50,973.00 $24,523.59 $77,413.90 $40,843.90 2026-03-17
459 MS_DRG Spinal Fusion Except Cervical With Mcc 15 9 — — $28,037.10 $56,497.20 $40,667.00 2026-03-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 66 24 — $51,976.00 $24,275.16 $78,937.60 $40,593.32 2026-03-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc 57 22 — $52,705.00 $24,062.22 $80,045.10 $40,542.60 2026-03-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 66 24 — $52,214.00 $23,352.42 $77,413.90 $40,164.90 2026-03-17
28 MS_DRG Spinal Procedures With Mcc 66 24 — $51,727.00 $24,417.12 $78,560.20 $40,043.50 2026-03-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 66 24 — $48,833.00 $22,642.62 $74,165.10 $39,742.21 2026-03-17
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 66 24 — $51,356.00 $18,951.70 $77,996.80 $39,505.20 2026-03-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 66 24 — $50,065.00 $16,609.32 $76,036.40 $39,197.50 2026-03-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 66 24 — $49,539.00 $22,962.03 $75,236.40 $39,087.10 2026-03-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 66 24 — $48,542.00 $22,252.23 $73,721.80 $38,190.70 2026-03-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 66 24 — $45,954.00 $22,529.65 $69,793.30 $37,985.40 2026-03-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 21 — $36,459.00 $19,696.95 $56,511.74 $37,735.27 2026-03-17
608 OTHER UnGrouped 1 1 — — $37,725.70 $37,725.70 $37,725.70 2024-12-19
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 32 21 — $36,407.00 $22,642.62 $56,431.16 $37,681.45 2026-03-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 66 24 — $46,295.00 $16,538.34 $70,311.50 $37,352.92 2026-03-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 57 22 — $42,570.00 $19,803.40 $64,652.50 $37,097.00 2026-03-17
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 66 24 — $47,029.00 $17,461.10 $77,505.50 $36,744.20 2026-03-17
653 MS_DRG Major Bladder Procedures With Mcc 66 24 — $47,431.00 $19,554.99 $72,035.40 $36,486.00 2026-03-17
648 OTHER UnGrouped 1 1 — — $36,445.20 $36,445.20 $36,445.20 2024-12-19
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 66 24 — $45,911.00 $16,112.46 $69,727.30 $36,349.90 2026-03-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 66 24 — $47,029.00 $21,506.94 $72,526.10 $36,176.40 2026-03-17
430 MS_DRG UnGrouped 24 17 — $46,546.00 $34,014.40 $70,690.10 $36,162.65 2024-12-19
428 OTHER UnGrouped 25 18 — $46,831.00 $9,225.72 $71,143.70 $36,024.50 2024-12-19
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 24 — $45,067.00 $23,001.00 $68,444.10 $35,541.50 2026-03-17
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 34 21 — $46,190.00 $19,448.50 $70,151.20 $35,531.00 2024-12-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 66 24 — $45,906.00 $15,230.80 $69,718.30 $35,312.40 2026-03-17
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Ccmcc 15 9 — — $19,448.50 $41,188.10 $35,297.14 2026-03-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 64 23 — $43,674.00 $21,116.55 $66,331.20 $35,164.90 2026-03-17
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 34 21 — $45,267.00 $23,104.00 $68,749.10 $34,820.90 2024-12-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 66 24 — $43,347.00 $21,897.30 $65,833.60 $34,692.40 2026-03-17
450 MS_DRG UnGrouped 24 17 — $43,819.00 $32,022.20 $66,549.60 $34,044.70 2024-12-19
318 OTHER UnGrouped 1 1 — — $33,664.20 $33,664.20 $33,664.20 2024-12-19
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 24 — $39,076.00 $20,193.81 $59,346.30 $33,591.40 2026-03-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 66 24 — $43,214.00 $21,081.06 $65,632.00 $33,542.90 2026-03-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 66 24 — $42,856.00 $19,696.95 $65,086.70 $33,212.16 2026-03-17
677 OTHER UnGrouped 1 1 — — $33,189.00 $33,189.00 $33,189.00 2024-12-19
691 OTHER UnGrouped 1 1 — — $33,152.30 $33,152.30 $33,152.30 2024-12-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 66 24 — $42,553.00 $20,193.80 $64,634.40 $33,151.32 2026-03-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 66 24 — $42,400.00 $19,803.42 $64,394.00 $33,120.55 2026-03-17
362 OTHER UnGrouped 1 1 — — $32,965.70 $32,965.70 $32,965.70 2024-12-19
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 66 24 — $42,604.00 $9,085.44 $64,702.90 $32,772.30 2026-03-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 21 — $31,269.00 $18,987.15 $48,467.55 $32,363.83 2026-03-17
471 MS_DRG Cervical Spinal Fusion With Mcc 66 24 — $41,328.00 $12,421.50 $62,767.00 $32,304.40 2026-03-17
994 MS_DRG UnGrouped 5 5 — — $32,153.90 $32,797.00 $32,153.90 2024-12-19
396 OTHER UnGrouped 1 1 — — $32,103.80 $32,103.80 $32,103.80 2024-12-19
245 OTHER Aicd Generator Procedures 34 21 — $41,579.00 $20,122.80 $63,148.20 $31,984.30 2024-12-19
6 MS_DRG Liver Transplant Without Mcc 66 24 — $41,259.00 $13,699.14 $62,662.30 $31,738.20 2026-03-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 64 23 — $40,030.00 $21,684.40 $60,795.00 $31,729.30 2026-03-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 66 24 — $40,632.00 $18,312.84 $61,709.90 $31,527.71 2026-03-17
245 MS_DRG Aicd Generator Procedures 32 21 — $30,406.00 $18,277.35 $48,611.15 $31,471.24 2026-03-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 66 24 — $39,201.00 $17,039.40 $59,536.30 $31,333.40 2026-03-17
799 MS_DRG Splenic Procedures With Mcc 32 21 — $30,183.00 $17,745.00 $46,784.75 $31,240.13 2026-03-17
799 OTHER Splenic Procedures With Mcc 34 21 — $40,456.00 $19,945.40 $61,442.40 $31,120.30 2024-12-19
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 21 — $40,448.00 $19,358.90 $61,439.80 $31,114.40 2024-12-19
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 66 24 — $39,815.00 $17,957.94 $60,469.30 $30,897.47 2026-03-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 57 22 — $39,580.00 $18,241.86 $60,120.40 $30,780.90 2026-03-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 66 24 — $39,070.00 $20,498.70 $59,338.50 $30,644.75 2026-03-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 66 24 — $38,387.00 $18,774.20 $58,299.50 $30,315.70 2026-03-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 66 24 — $38,052.00 $18,867.60 $57,791.70 $30,302.35 2026-03-17
G0340 HCPCS Hc Robt Lin-radsurg Fractx 2-5 12 11 $60,544.70 — $18,163.40 $51,463.00 $30,272.40 2024-12-19
163 MS_DRG Major Chest Procedures With Mcc 66 24 — $39,217.00 $15,864.00 $59,560.80 $30,167.40 2026-03-17
363 OTHER UnGrouped 1 1 — — $29,955.90 $29,955.90 $29,955.90 2024-12-19
31 MS_DRG Ventricular Shunt Procedures With Mcc 66 24 — $35,655.00 $15,256.58 $54,151.30 $29,861.10 2026-03-17
33249 CPT Hc Insert/Rplacmnt Aicd W Lead Sing/Dual 73 30 $135,990.00 $37,957.00 72% off $1,835.40 $108,792.00 $29,782.10 2026-03-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 66 24 — $37,376.00 $17,158.77 $56,764.30 $29,743.84 2026-03-17
33264 CPT Hc Rem Pac Cvdfb Pls Gen &Repl Plse Gen Multi Lead 73 30 $73,674.90 $37,957.00 48% off $809.84 $61,924.30 $29,571.83 2026-03-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 66 24 — $38,158.00 $17,100.18 $57,951.90 $29,352.50 2026-03-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 66 24 — $36,294.00 $17,745.00 $55,121.80 $29,276.70 2026-03-17
901 MS_DRG Wound Debridements For Injuries With Mcc 66 24 — $37,697.00 $16,431.87 $57,251.50 $28,997.80 2026-03-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 57 22 — $36,241.00 $13,699.14 $55,041.60 $28,840.80 2026-03-17
140 MS_DRG Major Head And Neck Procedures With Mcc 66 24 — $35,984.00 $4,088.63 $54,651.40 $28,426.90 2026-03-17
791 MS_DRG Prematurity With Major Problems 28 20 — $27,051.00 $2,468.17 $41,930.57 $28,404.60 2026-03-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 66 24 — $36,739.00 $18,099.90 $55,797.60 $28,313.39 2026-03-17
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 51 21 — $28,263.00 $17,603.04 $52,767.20 $28,263.62 2026-03-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 64 23 — $35,401.00 $16,893.24 $53,764.80 $28,146.32 2026-03-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 66 24 — $34,916.00 $12,456.99 $53,028.20 $28,098.33 2026-03-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 66 24 — $34,968.00 $8,624.07 $53,107.10 $28,084.34 2026-03-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 66 24 — $35,647.00 $13,521.69 $54,147.40 $28,002.36 2026-03-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 66 24 — $34,987.00 $15,828.54 $53,136.80 $27,917.05 2026-03-17
246 MS_DRG UnGrouped 4 2 — — $17,346.20 $34,692.40 $27,861.40 2024-12-19
793 MS_DRG Full Term Neonate With Major Problems 66 24 — $35,484.00 $3,584.49 $53,896.70 $27,815.55 2026-03-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 66 24 — $36,815.00 $9,370.15 $55,913.90 $27,785.49 2026-03-17
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 15 9 — — $11,711.70 $36,393.73 $27,762.95 2026-03-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 66 24 — $34,607.00 $13,805.60 $66,008.80 $27,678.50 2026-03-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 66 24 — $33,270.00 $12,219.77 $50,528.90 $27,495.19 2026-03-17
791 OTHER Prematurity With Major Problems 29 19 — $34,543.00 $2,411.08 $52,468.70 $27,103.60 2024-12-19
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 10 8 — — $25,836.70 $55,213.40 $26,980.10 2024-12-19
649 OTHER UnGrouped 1 1 — — $26,777.80 $26,777.80 $26,777.80 2024-12-19
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 66 24 — $30,501.00 $13,805.60 $46,323.80 $26,552.80 2026-03-17
248 MS_DRG UnGrouped 4 2 — — $15,529.00 $31,058.00 $26,189.80 2024-12-19
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 66 24 — $33,895.00 $14,976.80 $51,478.80 $26,086.47 2026-03-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 66 24 — $32,346.00 $15,899.52 $49,125.50 $26,071.60 2026-03-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 66 24 — $33,871.00 $13,415.22 $51,442.60 $26,055.10 2026-03-17
692 OTHER UnGrouped 1 1 — — $25,918.30 $25,918.30 $25,918.30 2024-12-19
34 MS_DRG Carotid Artery Stent Procedures With Mcc 66 24 — $33,087.00 $13,607.49 $50,251.10 $25,825.61 2026-03-17
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 66 24 — $33,572.00 $11,960.10 $50,998.00 $25,824.80 2026-03-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 66 24 — $33,503.00 $13,379.73 $50,881.70 $25,771.70 2026-03-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 66 24 — $33,435.00 $12,329.76 $50,779.60 $25,758.36 2026-03-17
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 66 24 — $32,095.00 $15,686.58 $48,743.00 $25,733.70 2026-03-17
402 MS_DRG UnGrouped 25 18 — $33,287.00 $10,439.20 $50,777.10 $25,605.50 2024-12-19
364 OTHER UnGrouped 1 1 — — $25,506.10 $25,506.10 $25,506.10 2024-12-19
676 OTHER UnGrouped 1 1 — — $25,383.30 $25,383.30 $25,383.30 2024-12-19
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 66 24 — $32,760.00 $13,663.70 $49,766.50 $25,304.56 2026-03-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 66 24 — $32,523.00 $7,701.33 $69,619.90 $25,298.67 2026-03-17
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 66 24 — $32,885.00 $11,782.70 $49,946.10 $25,296.60 2026-03-17
904 MS_DRG Skin Grafts For Injuries With Ccmcc 66 24 — $32,852.00 $13,131.30 $56,403.50 $25,271.00 2026-03-17
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 66 24 — $30,494.00 $15,047.87 $46,313.40 $24,908.00 2026-03-17
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 66 24 — $29,545.00 $13,947.57 $122,530.00 $24,698.01 2026-03-17
93653 CPT Hc Ephys Eval W Ablation Supravent Arrhythmia 71 29 $61,505.20 $27,402.00 55% off $1,441.96 $49,204.20 $24,624.79 2026-03-17
93656 CPT Hc Ephys Evl Trnsptl Tx Atril Fib Isolat Pulm Vein 71 29 $61,505.20 $27,402.00 55% off $1,936.85 $49,204.20 $24,624.79 2026-03-17
93654 CPT Hc Ephys Eval W Ablation Ventricular Tachycardia 71 29 $61,505.20 $27,402.00 55% off $1,931.51 $49,204.20 $24,624.79 2026-03-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 66 24 — $31,839.00 $11,392.30 $48,383.70 $24,491.50 2026-03-17
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 66 24 — $30,215.00 $14,557.40 $45,889.60 $24,470.10 2026-03-17
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 66 24 — $27,006.00 $12,953.90 $41,015.00 $24,182.80 2026-03-17
271 MS_DRG Other Major Cardiovascular Procedures With Cc 31 20 — $23,701.00 $14,550.90 $36,737.54 $24,175.63 2026-03-17
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 66 24 — $29,955.00 $15,118.70 $45,492.80 $24,164.20 2026-03-17
332 MS_DRG Rectal Resection With Mcc 66 24 — $29,513.00 $15,154.20 $44,823.40 $24,130.84 2026-03-17
265 MS_DRG Aicd Lead Procedures 66 24 — $30,351.00 $13,898.28 $46,095.10 $24,114.20 2026-03-17
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 66 24 — $28,094.00 $7,843.29 $42,667.90 $24,111.78 2026-03-17
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 66 24 — $30,499.00 $15,775.70 $46,326.40 $24,071.53 2026-03-17
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 57 22 — $27,264.00 $14,231.50 $41,407.90 $24,035.50 2026-03-17
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 66 24 — $31,045.00 $15,261.80 $47,148.30 $23,902.86 2026-03-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 66 24 — $30,829.00 $14,834.80 $46,831.70 $23,798.94 2026-03-17
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 66 24 — $29,790.00 $12,811.89 $49,639.10 $23,763.62 2026-03-17
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 66 24 — $29,812.00 $12,457.00 $45,277.00 $23,743.62 2026-03-17
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 66 24 — $29,143.00 $14,728.40 $44,260.00 $23,503.70 2026-03-17
252 MS_DRG Other Vascular Procedures With Mcc 66 24 — $29,187.00 $14,337.96 $44,328.50 $23,248.44 2026-03-17
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 66 24 — $29,481.00 $9,669.52 $44,774.30 $23,135.80 2026-03-17
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 66 24 — $30,030.00 $11,321.30 $48,736.10 $23,131.08 2026-03-17
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 66 24 — $29,802.00 $13,743.15 $45,269.30 $23,115.74 2026-03-17
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Ccm… 66 24 — $30,038.00 $12,918.36 $40,178.01 $23,106.60 2026-03-17
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 66 24 — $29,260.00 $11,632.99 $44,439.60 $23,023.84 2026-03-17
264 MS_DRG Other Circulatory System O.r. Procedures 66 24 — $29,738.00 $13,649.60 $45,164.60 $22,875.50 2026-03-17
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 66 24 — $28,560.00 $13,830.80 $43,376.10 $22,737.30 2026-03-17
104 OTHER UnGrouped 1 1 — — $22,631.00 $22,631.00 $22,631.00 2024-12-19
271 OTHER Other Major Cardiovascular Procedures With Cc 34 21 — $29,306.00 $4,142.84 $44,512.00 $22,543.70 2024-12-19
63655 CPT Hc Implant Neuroelectrodes 64 28 $106,384.00 $25,239.00 76% off $1,658.95 $85,106.80 $22,529.73 2026-03-17
665 MS_DRG Prostatectomy With Mcc 66 24 — $29,214.00 $11,613.50 $44,369.80 $22,473.00 2026-03-17
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 32 21 — $21,583.00 $11,818.17 $33,454.58 $22,339.03 2026-03-17
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 66 24 — $28,981.00 $13,024.83 $50,285.00 $22,293.70 2026-03-17
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 66 24 — $28,860.00 $8,482.11 $43,834.80 $22,200.80 2026-03-17
37 MS_DRG Extracranial Procedures With Mcc 66 24 — $28,256.00 $13,379.73 $42,913.40 $22,055.47 2026-03-17
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 66 24 — $23,282.00 $10,753.50 $35,065.30 $22,015.50 2026-03-17
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 66 24 — $26,555.00 $12,811.89 $40,330.10 $21,938.20 2026-03-17
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 66 24 — $27,133.00 $9,759.75 $41,216.60 $21,559.61 2026-03-17
652 MS_DRG Kidney Transplant 66 24 — $26,133.00 $12,173.07 $41,055.80 $21,523.62 2026-03-17
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 66 24 — $27,391.00 $13,663.65 $41,658.60 $21,507.62 2026-03-17
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Ccmcc 66 24 — $27,060.00 $8,583.36 $41,097.70 $21,465.60 2026-03-17
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 57 22 — $24,352.00 $11,747.20 $36,985.60 $21,396.30 2026-03-17
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 66 24 — $27,811.00 $12,811.89 $42,238.80 $21,393.80 2026-03-17
33262 CPT Hc Rem Pac Cvdfb Plse Gen &Repl Plse Gen Sngl Lead 73 30 $73,674.90 $27,195.00 63% off $745.05 $58,939.90 $21,338.20 2026-03-17
33263 CPT Hc Rem Pac Cvdfb Plse Gen &Repl Plse Gen Dual Lead 73 30 $73,674.90 $27,195.00 63% off $777.44 $58,939.90 $21,338.20 2026-03-17
579 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 34 21 — $27,732.00 $13,193.60 $42,117.30 $21,332.90 2024-12-19
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 66 24 — $27,720.00 $11,995.62 $42,099.30 $21,323.70 2026-03-17
338 MS_DRG UnGrouped 4 2 — — $11,735.30 $23,470.60 $21,243.25 2024-12-19
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 66 24 — $26,311.00 $13,344.20 $39,960.50 $21,239.70 2026-03-17
500 MS_DRG Soft Tissue Procedures With Mcc 66 24 — $26,961.00 $13,379.73 $40,946.50 $21,123.21 2026-03-17
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 66 24 — $26,238.00 $12,386.01 $39,849.40 $21,060.42 2026-03-17
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 57 22 — $27,185.00 $13,060.32 $41,289.00 $21,000.44 2026-03-17
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 66 24 — $26,430.00 $12,598.95 $40,672.10 $20,990.44 2026-03-17
33240 CPT Hc Insert Pulse Gen,Sngl/Dual 73 30 $45,158.00 $27,195.00 40% off $731.26 $44,221.04 $20,961.50 2026-03-17
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 66 24 — $23,870.00 $11,946.36 $36,254.20 $20,941.12 2026-03-17
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 66 24 — $25,088.00 $10,434.06 $38,104.80 $20,758.51 2026-03-17
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 66 24 — $26,024.00 $11,747.19 $39,523.70 $20,721.85 2026-03-17
662 MS_DRG Minor Bladder Procedures With Mcc 66 24 — $26,543.00 $11,046.16 $40,312.00 $20,614.99 2026-03-17
33231 CPT Hc Insj Implntbl Defib Pulse Gen W/Exist Multileads 73 30 $20,418.70 $37,957.00 $802.94 $22,942.50 $20,418.70 2026-03-17
33230 CPT Hc Insj Implntbl Defib Pulse Gen W/Exist Dual Leads - 33230 - 48133230 73 30 $20,418.70 $27,195.00 $764.34 $22,942.50 $20,418.70 2026-03-17
451 MS_DRG UnGrouped 24 17 — $26,257.00 $19,188.10 $39,877.80 $20,399.95 2024-12-19
263 MS_DRG Vein Ligation And Stripping 66 24 — $22,820.00 $6,862.56 $34,658.20 $20,376.60 2026-03-17
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 66 24 — $24,318.00 $8,404.30 $36,933.90 $20,130.70 2026-03-17
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 66 24 — $24,394.00 $8,695.05 $37,048.90 $20,128.00 2026-03-17
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 57 22 — $26,109.00 $10,363.10 $39,652.90 $20,084.10 2026-03-17
974 MS_DRG HIV With Major Related Condition With Mcc 32 21 — $19,234.00 $10,327.59 $39,390.20 $19,907.51 2026-03-17
570 MS_DRG Skin Debridement With Mcc 66 24 — $25,612.00 $10,717.98 $38,903.40 $19,847.72 2026-03-17
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 66 24 — $21,483.00 $7,891.10 $32,626.70 $19,792.80 2026-03-17
609 OTHER UnGrouped 1 1 — — $19,691.30 $19,691.30 $19,691.30 2024-12-19
472 MS_DRG Cervical Spinal Fusion With Cc 66 24 — $24,650.00 $11,853.66 $37,437.90 $19,634.84 2026-03-17
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Ccmcc 66 24 — $22,495.00 $6,033.30 $34,164.50 $19,621.50 2026-03-17
974 OTHER HIV With Major Related Condition With Mcc 34 21 — $25,408.00 $10,434.10 $38,588.10 $19,544.80 2024-12-19
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 66 24 — $25,023.00 $13,587.59 $38,006.50 $19,521.75 2026-03-17
668 MS_DRG Transurethral Procedures With Mcc 66 24 — $24,813.00 $9,188.20 $37,684.80 $19,460.90 2026-03-17
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 66 24 — $24,955.00 $12,137.60 $37,900.60 $19,460.72 2026-03-17
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 66 24 — $23,895.00 $10,221.10 $36,290.40 $19,328.93 2026-03-17
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 66 24 — $24,799.00 $12,137.58 $37,665.40 $19,293.65 2026-03-17
619 MS_DRG O.r. Procedures For Obesity With Mcc 66 24 — $23,198.00 $7,736.82 $35,233.30 $19,243.63 2026-03-17
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Ccmcc 66 24 — $22,547.00 $8,517.60 $34,243.40 $19,206.30 2026-03-17
800 MS_DRG Splenic Procedures With Cc 66 24 — $24,792.00 $11,001.90 $37,652.40 $19,084.59 2026-03-17
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 66 24 — $24,778.00 $11,427.78 $37,631.80 $19,060.50 2026-03-17
678 OTHER UnGrouped 1 1 — — $18,962.50 $18,962.50 $18,962.50 2024-12-19
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 66 24 — $24,366.00 $11,250.33 $37,006.30 $18,743.70 2026-03-17
654 MS_DRG Major Bladder Procedures With Cc 66 24 — $24,011.00 $10,540.53 $36,467.40 $18,656.50 2026-03-17
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 57 22 — $24,222.00 $10,895.40 $36,787.90 $18,632.40 2026-03-17
503 MS_DRG Foot Procedures With Mcc 66 24 — $22,518.00 $8,553.09 $34,200.70 $18,601.80 2026-03-17
37231 CPT Hc Revasc Tibial/Peron Art Angiopl/Stnt/Atherc Ini 68 30 $84,432.80 $20,231.00 76% off $4,080.96 $67,546.30 $18,561.61 2026-03-17
37227 CPT Hc Revasc Fem/Pop Art Angiopl/Stnt/Atherectomy 68 30 $84,432.80 $20,231.00 76% off $4,080.96 $67,546.30 $18,561.61 2026-03-17
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 66 24 — $21,681.00 $10,098.97 $32,929.10 $18,473.80 2026-03-17
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 66 24 — $23,002.00 $12,610.35 $34,933.40 $18,375.22 2026-03-17
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 66 24 — $22,835.00 $8,482.11 $34,686.60 $18,319.23 2026-03-17
247 MS_DRG UnGrouped 4 2 — — $11,644.60 $23,289.20 $18,318.50 2024-12-19
468 MS_DRG Revision Of Hip Or Knee Replacement Without Ccmcc 66 24 — $22,320.00 $11,285.80 $33,899.60 $18,314.60 2026-03-17
963 MS_DRG Other Multiple Significant Trauma With Mcc 66 24 — $23,115.00 $9,759.75 $35,106.60 $18,219.93 2026-03-17
288 MS_DRG Acute And Subacute Endocarditis With Mcc 66 24 — $23,241.00 $11,265.87 $35,296.60 $18,135.65 2026-03-17
849 MS_DRG Radiotherapy 66 24 — $22,727.00 $5,834.28 $34,516.00 $18,057.98 2026-03-17
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 66 24 — $22,262.00 $10,636.16 $33,810.40 $17,977.33 2026-03-17
341 MS_DRG UnGrouped 4 2 — — $9,743.00 $19,486.00 $17,840.05 2024-12-19
L8614 HCPCS Hc (sup Shell L8614) Cochlear Device 5 5 — — $17,790.80 $18,146.60 $17,790.80 2024-12-19
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 66 24 — $22,656.00 $7,284.67 $42,229.50 $17,666.10 2026-03-17
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 66 24 — $22,575.00 $10,327.59 $34,287.30 $17,645.40 2026-03-17
33229 CPT Hc Remvl Perm Pm Pls Gen W/Repl Plse Gen Mult Ld Sys 73 30 $20,418.70 $22,481.00 $749.18 $22,942.50 $17,639.10 2026-03-17
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 66 24 — $22,926.00 $10,895.43 $34,819.70 $17,635.60 2026-03-17
93580 CPT Hc Perc Clos,Cong Interatrial Commun W/Impl 57 27 $61,276.80 $20,231.00 67% off $1,684.37 $52,085.30 $17,615.87 2026-03-17
37229 CPT Hc Revasc Tibial/Peron Art Angiopl/Atherect Init 68 30 $48,753.10 $20,231.00 59% off $4,080.96 $39,002.50 $17,386.52 2026-03-17
0238T OTHER Hc Translum Peripheral Atherectomy Iliac Artery Ea 54 25 $38,798.40 $20,231.00 48% off $3,131.44 $32,978.60 $17,364.88 2026-03-17
253 MS_DRG Other Vascular Procedures With Cc 66 24 — $21,722.00 $8,553.09 $32,991.10 $17,298.90 2026-03-17
33221 CPT Hc Insert Pm Pulse Gen Only (Existing Leads) 73 30 $20,418.70 $22,481.00 $720.23 $22,942.50 $17,293.30 2026-03-17
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 66 24 — $21,729.00 $7,630.35 $33,000.20 $17,278.21 2026-03-17
249 MS_DRG UnGrouped 4 2 — — $10,865.10 $21,730.20 $17,225.25 2024-12-19
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 66 24 — $20,396.00 $10,518.70 $30,976.40 $17,189.60 2026-03-17
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Ccmcc 66 24 — $20,396.00 $9,786.21 $30,976.40 $17,189.60 2026-03-17
C2616 HCPCS Hc (sup Shell C2616) Y90 Brachytherapy 20 16 — $22,330.00 $16,318.20 $27,483.20 $17,177.00 2024-12-19
545 MS_DRG Connective Tissue Disorders With Mcc 66 24 — $21,500.00 $9,317.64 $32,652.50 $17,169.71 2026-03-17
749 MS_DRG Other Female Reproductive System O.r. Procedures With Ccmcc 66 24 — $22,025.00 $9,617.79 $33,449.90 $17,112.30 2026-03-17
272 MS_DRG Other Major Cardiovascular Procedures Without Ccmcc 66 24 — $21,290.00 $10,221.12 $32,333.30 $17,015.00 2026-03-17
995 MS_DRG UnGrouped 5 5 — — $16,964.20 $17,303.50 $16,964.20 2024-12-19
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 66 24 — $21,988.00 $9,582.30 $33,395.60 $16,934.31 2026-03-17
401 OTHER UnGrouped 1 1 — — $16,931.80 $16,931.80 $16,931.80 2024-12-19
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 66 24 — $20,429.00 $9,757.26 $31,028.10 $16,902.32 2026-03-17
56 MS_DRG Degenerative Nervous System Disorders With Mcc 66 24 — $21,306.00 $9,209.78 $32,359.20 $16,835.64 2026-03-17
792 MS_DRG Prematurity Without Major Problems 57 22 — $20,843.00 $1,641.67 $31,658.80 $16,835.00 2026-03-17
164 MS_DRG Major Chest Procedures With Cc 66 24 — $21,416.00 $8,588.58 $32,524.60 $16,821.70 2026-03-17
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Ccmcc 66 24 — $20,997.00 $10,256.61 $31,888.80 $16,814.35 2026-03-17
37230 CPT Hc Revasc Tibial/Peron Art Angiopl/Stent Init 68 30 $48,753.10 $20,231.00 59% off $4,080.96 $39,002.50 $16,724.17 2026-03-17
22867 CPT Hc Insj Stablj Dev W/Dcmprn 68 30 $67,247.50 $21,501.00 68% off $1,861.59 $57,160.40 $16,694.40 2026-03-17
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 66 24 — $20,579.00 $9,142.76 $31,271.10 $16,607.74 2026-03-17
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 66 24 — $21,570.00 $8,837.01 $28,245.80 $16,592.30 2026-03-17
0235T OTHER Hc Translum Peripheral Atherectomy Visceral Art Ea 13 11 $33,149.00 — $3,131.00 $28,176.60 $16,574.50 2026-03-17
37225 CPT Hc Revasc Fem/Pop Art Angiopl/Atherectomy 68 30 $48,753.10 $20,231.00 59% off $4,080.96 $39,002.50 $16,558.59 2026-03-17
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