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

LABETTE HEALTH

Parsons, KS · CCN 170120 · Rates published

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You selected 27447 (HCPCS)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $11,899 across 9 payers · range $572-$21,776

Source: https://labettehealth.pt.panaceainc.com/MRFDownload/labettehealth/labettehealth · observed 2025-06-28

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.

16,093 distinct procedures filed
16 distinct payers
401,796 rate rows
2025-06-28 last MRF observed · ⚠ 14 mo old
Data quality

291,656 of 401,796 rate rows are consumer-grade (72.6%)

110,140 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 75,478
professional (physician) fee — not the facility price 32,640
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,542
placeholder amount (≤ $0.02) — excluded from medians 262
exceeds 10× this hospital's gross charge — excluded from medians 162
percent-of-charges filed in the dollar field — excluded from medians 48
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://labettehealth.pt.panaceainc.com/MRFDownload/labettehealth/labettehealth
Found on page https://www.labettehealth.com/patients-visitors/financial-services/pricing-and-charging/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint 32efaf47b6c5171b… · 111,425,816 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,672,900.00 $4,375,000.00 $3,672,900.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $3,605,000.00 $4,145,750.00 $3,605,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,325,454.76 $4,000,000.00 $3,325,454.76 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,286,000.00 $3,778,900.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,968,000.00 $4,989,616.97 $2,968,000.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $2,222,890.60 $4,100,957.21 $2,388,614.23 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,332,000.00 $3,946,724.84 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $1,304,213.16 $1,304,213.16 $1,304,213.16 nat. median
$809,151
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 12 $399,110.00 $979,524.17 $545,068.65 nat. median
$691,418
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 12 $474,810.00 $936,195.12 $535,030.28 nat. median
$631,793
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 12 $457,255.00 $892,959.12 $530,091.57 nat. median
$610,161
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $447,227.00 $874,037.57 $516,726.08 nat. median
$624,417
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $424,000.00 $851,018.01 $491,934.14 nat. median
$588,565
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 12 $424,000.00 $828,269.22 $474,578.16 nat. median
$577,541
0.8× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $470,916.03 $470,916.03 $470,916.03 nat. median
$459,112
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $108,916.60 $426,668.40 $338,524.90 nat. median
$370,165
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $89,878.20 $303,783.35 $252,849.72 nat. median
$261,939
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $97,474.00 $254,451.23 $212,945.16 nat. median
$205,166
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $70,709.40 $229,875.77 $192,378.45 nat. median
$199,832
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $48,737.00 $185,196.90 $126,836.42 nat. median
$132,706
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $33,871.40 $140,530.17 $117,606.90 nat. median
$114,305
1.0× median
7
MS_DRG 		Lung Transplant 12 $40,684.80 $140,176.21 $117,310.68 nat. median
$122,690
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $40,619.60 $150,903.77 $98,917.15 nat. median
$108,240
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 12 $43,455.80 $116,848.19 $97,787.92 nat. median
$100,978
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $34,327.80 $115,142.67 $95,593.19 nat. median
$99,646
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 12 $41,239.00 $113,640.04 $95,103.08 nat. median
$98,002
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $43,423.20 $112,359.35 $94,031.30 nat. median
$96,835
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $39,152.60 $103,517.89 $86,632.06 nat. median
$92,900
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $34,067.00 $98,807.02 $82,689.63 nat. median
$81,364
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $18,072.95 $81,599.95 $80,799.95 nat. median
$111,503
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $32,763.00 $90,891.22 $76,065.05 nat. median
$79,040
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $34,947.20 $90,840.81 $76,022.86 nat. median
$80,459
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $34,556.00 $89,461.44 $74,868.50 nat. median
$81,124
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $32,893.40 $86,463.52 $72,359.59 nat. median
$77,385
0.9× median
10
MS_DRG 		Pancreas Transplant 12 $15,974.00 $85,518.56 $71,568.77 nat. median
$67,750
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $26,503.80 $85,028.38 $71,158.55 nat. median
$69,153
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $31,491.60 $83,838.86 $70,163.07 nat. median
$73,475
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $31,133.00 $82,992.58 $69,454.83 nat. median
$74,472
0.9× median
90288
HCPCS 		Botulism Ig IV 1 $68,817.00 $68,817.00 $68,817.00 nat. median
$52,716
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $24,287.00 $80,061.16 $67,001.59 nat. median
$71,485
0.9× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 11 $63,354.77 $107,021.25 $64,036.06 nat. median
$69,291
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $29,405.20 $76,183.70 $63,756.62 nat. median
$66,640
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $28,394.60 $75,800.78 $63,436.16 nat. median
$68,581
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $26,895.00 $93,072.60 $62,444.27 nat. median
$65,958
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $20,440.20 $73,240.48 $61,293.50 nat. median
$64,357
1.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 $27,775.20 $71,914.75 $60,184.02 nat. median
$62,262
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 $25,591.00 $71,638.01 $59,952.42 nat. median
$62,911
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 $27,677.40 $71,516.81 $59,850.99 nat. median
$65,792
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 12 $28,199.00 $69,367.32 $58,052.12 nat. median
$62,218
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $25,688.80 $69,267.56 $57,968.64 nat. median
$63,840
0.9× median

Other procedures at this hospital

Browse this hospital's 16,093 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 16 7 — — $3,672,900.00 $4,375,000.00 $3,672,900.00 2025-06-28
J1414 HCPCS Inj, Beqvez, Per Tx Dose 14 7 — — $3,605,000.00 $4,145,750.00 $3,605,000.00 2025-06-28
J1413 HCPCS Inj Delandistrogene Mox Rokl 16 7 — — $3,325,454.76 $4,000,000.00 $3,325,454.76 2025-06-28
J3394 HCPCS Inj, Lovotibeglogene Autotem 14 7 — — $3,286,000.00 $3,778,900.00 $3,286,000.00 2025-06-28
J3393 HCPCS Inj, Betibeglogene Autotemce 16 8 — — $2,968,000.00 $4,989,616.97 $2,968,000.00 2025-06-28
J3399 HCPCS Inj Onase Abepar-xioi Treat 20 9 — — $2,222,890.60 $4,100,957.21 $2,388,614.23 2025-06-28
J3392 HCPCS Inj, Exagamglogene Autotem 16 8 — — $2,332,000.00 $3,946,724.84 $2,332,000.00 2025-06-28
Q2057 HCPCS Afamitresgene Autoleucel 2 1 — — $1,304,213.16 $1,304,213.16 $1,304,213.16 2025-06-28
Q2042 HCPCS Tisagenlecleucel Car-pos T 26 12 — — $399,110.00 $979,524.17 $545,068.65 2025-06-28
Q2056 HCPCS Ciltacabtagene Car-pos T 28 12 — — $474,810.00 $936,195.12 $535,030.28 2025-06-28
Q2055 HCPCS Idecabtagene Vicleucel Car 28 12 — — $457,255.00 $892,959.12 $530,091.57 2025-06-28
Q2054 HCPCS Lisocabtagene Mara Car Pos T 20 9 — — $447,227.00 $874,037.57 $516,726.08 2025-06-28
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 28 12 — — $424,000.00 $851,018.01 $491,934.14 2025-06-28
Q2053 HCPCS Brexucabtagene Car Pos T 28 12 — — $424,000.00 $828,269.22 $474,578.16 2025-06-28
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $470,916.03 $470,916.03 $470,916.03 2025-06-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 12 — — $108,916.60 $426,668.40 $338,524.90 2025-06-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 26 12 — — $89,878.20 $303,783.35 $252,849.72 2025-06-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 12 — — $97,474.00 $254,451.23 $212,945.16 2025-06-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 12 — — $70,709.40 $229,875.77 $192,378.45 2025-06-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 12 — — $48,737.00 $185,196.90 $126,836.42 2025-06-28
14 MS_DRG Allogeneic Bone Marrow Transplant 26 12 — — $33,871.40 $140,530.17 $117,606.90 2025-06-28
7 MS_DRG Lung Transplant 26 12 — — $40,684.80 $140,176.21 $117,310.68 2025-06-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 12 — — $40,619.60 $150,903.77 $98,917.15 2025-06-28
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 26 12 — — $43,455.80 $116,848.19 $97,787.92 2025-06-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 12 — — $34,327.80 $115,142.67 $95,593.19 2025-06-28
215 MS_DRG Other Heart Assist System Implant 26 12 — — $41,239.00 $113,640.04 $95,103.08 2025-06-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 12 — — $43,423.20 $112,359.35 $94,031.30 2025-06-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 12 — — $39,152.60 $103,517.89 $86,632.06 2025-06-28
850 MS_DRG Acute Leukemia With Other Procedures 24 12 — — $34,067.00 $98,807.02 $82,689.63 2025-06-28
Q0480 HCPCS Driver Pneumatic Vad, Rep 10 4 — — $18,072.95 $81,599.95 $80,799.95 2025-06-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 12 — — $32,763.00 $90,891.22 $76,065.05 2025-06-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 12 — — $34,947.20 $90,840.81 $76,022.86 2025-06-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 12 — — $34,556.00 $89,461.44 $74,868.50 2025-06-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 12 — — $32,893.40 $86,463.52 $72,359.59 2025-06-28
10 MS_DRG Pancreas Transplant 26 12 — — $15,974.00 $85,518.56 $71,568.77 2025-06-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 12 — — $26,503.80 $85,028.38 $71,158.55 2025-06-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 12 — — $31,491.60 $83,838.86 $70,163.07 2025-06-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 12 — — $31,133.00 $82,992.58 $69,454.83 2025-06-28
90288 HCPCS Botulism Ig IV 2 1 — — $68,817.00 $68,817.00 $68,817.00 2025-06-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 12 — — $24,287.00 $80,061.16 $67,001.59 2025-06-28
J9029 HCPCS Instill Adstiladrin, Tx Dose 24 11 — — $63,354.77 $107,021.25 $64,036.06 2025-06-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 12 — — $29,405.20 $76,183.70 $63,756.62 2025-06-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 12 — — $28,394.60 $75,800.78 $63,436.16 2025-06-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 12 — — $26,895.00 $93,072.60 $62,444.27 2025-06-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 12 — — $20,440.20 $73,240.48 $61,293.50 2025-06-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 12 — — $27,775.20 $71,914.75 $60,184.02 2025-06-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 26 12 — — $25,591.00 $71,638.01 $59,952.42 2025-06-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 12 — — $27,677.40 $71,516.81 $59,850.99 2025-06-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 12 — — $28,199.00 $69,367.32 $58,052.12 2025-06-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 12 — — $25,688.80 $69,267.56 $57,968.64 2025-06-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 26 12 — — $25,428.00 $67,834.57 $56,769.40 2025-06-28
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 28 12 — — $53,981.46 $96,496.91 $56,091.87 2025-06-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc 26 12 — — $25,069.40 $66,441.26 $55,603.36 2025-06-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 12 — — $24,971.60 $66,355.45 $55,531.55 2025-06-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 12 — — $22,983.00 $66,052.98 $55,278.42 2025-06-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 26 12 — — $28,264.20 $65,822.37 $55,085.42 2025-06-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 12 — — $23,993.60 $65,522.04 $54,834.09 2025-06-28
38240 HCPCS Transplt Allo Hct/donor 16 8 — — $54,696.01 $100,093.70 $54,696.01 2025-06-28
28 MS_DRG Spinal Procedures With Mcc 26 12 — — $23,439.40 $65,208.84 $54,571.97 2025-06-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 26 12 — — $17,408.40 $64,741.18 $54,180.60 2025-06-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 26 12 — — $18,256.00 $74,325.34 $54,180.60 2025-06-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 12 — — $30,089.80 $64,257.44 $53,775.77 2025-06-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 12 — — $22,983.00 $63,812.31 $53,403.25 2025-06-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 8 — — $10,318.20 $63,764.04 $53,362.85 2025-06-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 26 12 — — $23,732.80 $63,114.05 $52,818.89 2025-06-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 12 — — $22,363.60 $62,450.11 $52,263.25 2025-06-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 12 — — $25,167.20 $61,560.92 $51,519.10 2025-06-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 12 — — $21,190.00 $61,193.02 $51,211.21 2025-06-28
653 MS_DRG Major Bladder Procedures With Mcc 26 12 — — $21,353.00 $59,793.27 $50,039.79 2025-06-28
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 26 12 — — $16,006.60 $59,285.93 $49,615.21 2025-06-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 26 12 — — $23,895.80 $59,285.93 $49,615.21 2025-06-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 12 — — $22,820.00 $59,037.09 $49,406.96 2025-06-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 12 — — $22,657.00 $58,676.69 $49,105.35 2025-06-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 26 12 — — $17,441.00 $61,498.50 $48,841.45 2025-06-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 26 12 — — $17,832.20 $58,228.34 $48,730.14 2025-06-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 12 — — $23,472.00 $57,931.23 $48,481.49 2025-06-28
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 12 — — $17,115.00 $57,876.53 $48,435.71 2025-06-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 26 12 — — $21,027.00 $57,870.10 $48,430.33 2025-06-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 12 — — $20,961.80 $57,064.57 $47,756.20 2025-06-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 12 — — $21,157.40 $56,812.51 $47,545.25 2025-06-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 24 12 — — $21,353.00 $55,240.08 $46,229.32 2025-06-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 26 12 — — $20,407.60 $55,056.66 $46,075.82 2025-06-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 26 12 — — $21,483.40 $54,644.78 $45,731.13 2025-06-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 12 — — $19,234.00 $76,638.30 $45,591.09 2025-06-28
J9226 HCPCS Supprelin La Implant 20 9 — — $43,324.60 $76,517.79 $45,350.22 2025-06-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 26 12 — — $19,397.00 $54,025.89 $45,213.19 2025-06-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 26 12 — — $13,855.00 $53,707.33 $44,946.59 2025-06-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 12 — — $17,995.20 $53,665.50 $44,911.58 2025-06-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 12 — — $18,549.40 $63,031.50 $44,893.63 2025-06-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 26 12 — — $20,342.40 $55,447.55 $44,732.05 2025-06-28
245 MS_DRG Aicd Generator Procedures 26 12 — — $18,288.60 $52,415.91 $43,865.83 2025-06-28
471 MS_DRG Cervical Spinal Fusion With Mcc 28 12 — — $20,375.00 $52,099.50 $43,601.03 2025-06-28
6 MS_DRG Liver Transplant Without Mcc 26 12 — — $16,039.20 $53,910.95 $43,528.32 2025-06-28
27125 HCPCS Partial Hip Replacement 2 1 — — $43,149.01 $43,149.01 $43,149.01 2025-06-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 12 — — $17,115.00 $51,222.11 $42,866.76 2025-06-28
799 MS_DRG Splenic Procedures With Mcc 28 12 — — $18,321.20 $51,000.08 $42,680.95 2025-06-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 12 — — $18,875.40 $50,990.43 $42,672.87 2025-06-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 12 — — $19,690.40 $52,498.09 $42,231.23 2025-06-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 12 — — $16,658.60 $50,192.41 $42,005.02 2025-06-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 26 12 — — $19,299.20 $49,896.37 $41,757.28 2025-06-28
0266T OTHER Implt/rpl Crtd Sns Dev Total 16 8 — — $41,617.36 $76,159.77 $41,617.36 2025-06-28
33276 HCPCS Insj Phrnc Nrv Stim Sys 16 8 — — $41,617.36 $76,159.77 $41,617.36 2025-06-28
163 MS_DRG Major Chest Procedures With Mcc 26 12 — — $14,572.20 $49,438.37 $41,373.98 2025-06-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 26 12 — — $17,734.40 $49,420.20 $41,356.93 2025-06-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 12 — — $18,745.00 $49,260.32 $41,224.98 2025-06-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 12 — — $18,940.60 $59,160.00 $41,218.69 2025-06-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 12 — — $17,245.40 $80,301.00 $40,497.89 2025-06-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 12 — — $17,832.20 $48,102.98 $40,256.42 2025-06-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 12 — — $17,897.40 $47,969.98 $40,145.12 2025-06-28
901 MS_DRG Wound Debridements For Injuries With Mcc 26 12 — — $16,006.60 $47,521.63 $39,769.90 2025-06-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 12 — — $17,604.00 $47,117.26 $39,431.49 2025-06-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 26 12 — — $10,073.40 $46,410.42 $38,839.95 2025-06-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 12 — — $18,777.60 $46,314.95 $38,760.06 2025-06-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 12 — — $16,202.20 $45,753.98 $38,290.59 2025-06-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 26 12 — — $16,723.80 $45,686.41 $38,234.04 2025-06-28
140 MS_DRG Major Head And Neck Procedures With Mcc 26 12 — — $13,985.40 $45,362.48 $37,962.96 2025-06-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 12 — — $16,006.60 $44,948.46 $37,616.47 2025-06-28
C1882 HCPCS Cardio Defib Amplia Dtmb1qq 26 7 $61,600.14 $43,120.10 30% off $11,062.75 $55,440.13 $37,613.35 2025-06-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 12 — — $14,572.20 $44,937.73 $37,607.49 2025-06-28
793 MS_DRG Full Term Neonate With Major Problems 28 12 — — $3,390.40 $44,732.87 $37,436.04 2025-06-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 12 — — $16,789.00 $44,627.75 $37,348.07 2025-06-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 26 12 — — $16,300.00 $44,106.47 $36,911.82 2025-06-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 12 — — $13,561.60 $44,081.80 $36,891.17 2025-06-28
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 12 — — $13,268.20 $44,016.37 $36,836.42 2025-06-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 24 12 — — $16,919.40 $43,799.70 $36,655.09 2025-06-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 26 12 — — $12,681.40 $43,627.01 $36,510.57 2025-06-28
791 MS_DRG Prematurity With Major Problems 20 8 — — $2,801.40 $43,546.57 $36,443.25 2025-06-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 12 — — $13,757.20 $59,708.10 $35,759.25 2025-06-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 26 12 — — $13,366.00 $42,699.21 $35,734.12 2025-06-28
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 26 12 — — $10,986.20 $42,321.66 $35,418.15 2025-06-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 26 12 — — $14,376.60 $42,234.78 $35,345.44 2025-06-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 26 12 — — $13,789.80 $42,148.97 $35,273.63 2025-06-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 12 — — $16,267.40 $41,962.34 $35,117.44 2025-06-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 26 12 — — $15,713.20 $41,941.96 $35,100.38 2025-06-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 26 12 — — $15,191.60 $41,710.27 $34,906.49 2025-06-28
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 12 — — $10,823.20 $41,456.07 $34,693.75 2025-06-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 26 12 — — $12,029.40 $41,414.24 $34,658.74 2025-06-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 12 — — $12,551.00 $41,298.39 $34,561.80 2025-06-28
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 12 — — $13,007.40 $69,043.20 $34,311.36 2025-06-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 12 — — $14,735.20 $40,777.11 $34,125.55 2025-06-28
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 26 12 — — $14,996.00 $40,459.62 $33,859.85 2025-06-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 12 — — $10,464.60 $40,136.77 $33,589.66 2025-06-28
C1722 HCPCS Icd Cobalt Vr MRI Is Dr1 14 7 $55,282.10 $38,697.47 30% off $13,820.53 $49,753.89 $33,160.57 2025-06-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 26 12 — — $19,136.20 $39,136.03 $32,752.16 2025-06-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 12 — — $13,529.00 $38,864.66 $32,525.06 2025-06-28
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 18 8 — — $5,479.25 $59,235.57 $32,369.16 2025-06-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 26 12 — — $12,681.40 $38,450.64 $32,178.57 2025-06-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 12 — — $19,234.00 $38,448.49 $32,176.77 2025-06-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 26 12 — — $15,126.40 $38,442.06 $32,171.39 2025-06-28
265 MS_DRG Aicd Lead Procedures 26 12 — — $14,278.80 $38,261.86 $32,020.58 2025-06-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 26 12 — — $14,344.00 $38,090.24 $31,876.96 2025-06-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 26 12 — — $15,256.80 $40,178.01 $31,690.25 2025-06-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 26 12 — — $10,366.80 $37,857.49 $31,682.17 2025-06-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 26 12 — — $14,833.00 $37,762.03 $31,602.28 2025-06-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 26 12 — — $11,410.00 $37,581.83 $31,451.48 2025-06-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 12 — — $13,463.80 $37,570.03 $31,441.61 2025-06-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 26 12 — — $12,062.00 $37,555.01 $31,429.04 2025-06-28
264 MS_DRG Other Circulatory System O.r. Procedures 26 12 — — $13,170.40 $37,488.51 $31,373.39 2025-06-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 26 12 — — $13,626.80 $40,449.65 $31,170.52 2025-06-28
332 MS_DRG Rectal Resection With Mcc 26 12 — — $13,855.00 $37,205.35 $31,136.41 2025-06-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 26 12 — — $12,583.60 $37,164.59 $31,102.30 2025-06-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 26 12 — — $13,952.80 $36,944.70 $30,918.28 2025-06-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 26 12 — — $13,952.80 $36,886.78 $30,869.81 2025-06-28
665 MS_DRG Prostatectomy With Mcc 26 12 — — $12,192.40 $36,828.86 $30,821.34 2025-06-28
252 MS_DRG Other Vascular Procedures With Mcc 26 12 — — $13,529.00 $36,794.54 $30,792.61 2025-06-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 12 — — $14,441.80 $49,189.80 $30,745.94 2025-06-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 26 12 — — $13,366.00 $36,534.97 $30,575.38 2025-06-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 28 12 — — $13,952.80 $48,424.20 $30,447.92 2025-06-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 26 12 — — $13,333.40 $36,004.03 $30,131.05 2025-06-28
37 MS_DRG Extracranial Procedures With Mcc 26 12 — — $13,137.80 $35,620.04 $29,809.70 2025-06-28
0408T OTHER Insj/rplc Cardiac Modulj Sys 16 8 — — $29,651.19 $54,261.68 $29,651.19 2025-06-28
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 16 8 — — $29,651.19 $54,261.68 $29,651.19 2025-06-28
0571T OTHER Insj/rplcmt Icds Ss Eltrd 16 8 — — $29,651.19 $54,261.68 $29,651.19 2025-06-28
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 20 9 — — $16,405.39 $54,261.68 $29,651.19 2025-06-28
33270 HCPCS Ins/rep Subq Defibrillator 18 9 — — $20,825.12 $54,261.68 $29,651.19 2025-06-28
33231 HCPCS Insrt Pulse Gen W/mult Leads 20 9 — — $16,405.39 $54,261.68 $29,651.19 2025-06-28
33249 HCPCS Insj/rplcmt Defib W/lead(s) 20 9 — — $25,086.58 $54,261.68 $29,651.19 2025-06-28
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 26 12 — — $12,290.20 $35,416.25 $29,639.15 2025-06-28
69930 HCPCS Implant Cochlear Device 18 9 — — $1,481.31 $53,832.21 $29,416.51 2025-06-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 26 12 — — $13,789.80 $35,060.14 $29,341.13 2025-06-28
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 26 12 — — $12,355.40 $34,960.39 $29,257.65 2025-06-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 26 12 — — $12,388.00 $34,945.37 $29,245.08 2025-06-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 26 12 — — $13,659.40 $34,530.28 $28,897.70 2025-06-28
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 12 — — $12,909.60 $34,370.46 $28,763.95 2025-06-28
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 26 12 — — $11,996.80 $34,270.71 $28,680.47 2025-06-28
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 26 12 — — $8,932.40 $34,205.28 $28,625.71 2025-06-28
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 26 12 — — $11,899.00 $34,113.03 $28,548.51 2025-06-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 26 12 — — $11,899.00 $34,044.39 $28,491.07 2025-06-28
500 MS_DRG Soft Tissue Procedures With Mcc 26 12 — — $13,431.20 $33,987.54 $28,443.49 2025-06-28
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 20 9 — — $19,541.26 $51,574.13 $28,182.59 2025-06-28
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 20 9 — — $21,840.00 $51,574.13 $28,182.59 2025-06-28
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 18 8 — — $985.88 $51,574.13 $28,182.59 2025-06-28
0268T OTHER Implt/rpl Crtd Sns Dev Gen 16 8 — — $28,182.59 $51,574.13 $28,182.59 2025-06-28
61886 HCPCS Implant Neurostim Arrays 16 8 — — $28,182.59 $51,574.13 $28,182.59 2025-06-28
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 16 8 — — $28,182.59 $51,574.13 $28,182.59 2025-06-28
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 16 8 — — $28,182.59 $51,574.13 $28,182.59 2025-06-28
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 26 12 — — $13,072.60 $33,475.91 $28,015.32 2025-06-28
662 MS_DRG Minor Bladder Procedures With Mcc 26 12 — — $11,833.80 $33,460.89 $28,002.75 2025-06-28
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 26 12 — — $12,844.40 $36,604.85 $27,883.36 2025-06-28
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 26 12 — — $13,105.20 $33,169.14 $27,758.59 2025-06-28
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 24 12 — — $12,779.20 $33,100.50 $27,701.14 2025-06-28
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 26 12 — — $11,670.80 $33,076.90 $27,681.39 2025-06-28
652 MS_DRG Kidney Transplant 26 12 — — $11,866.40 $36,950.22 $27,570.09 2025-06-28
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 26 12 — — $9,486.60 $32,913.86 $27,544.95 2025-06-28
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 26 12 — — $11,507.80 $32,806.60 $27,455.19 2025-06-28
J9266 HCPCS Pegaspargase Injection 28 12 — — $23,577.01 $45,814.72 $27,341.24 2025-06-28
570 MS_DRG Skin Debridement With Mcc 26 12 — — $10,823.20 $32,287.47 $27,020.73 2025-06-28
974 MS_DRG HIV With Major Related Condition With Mcc 26 12 — — $9,682.20 $32,030.04 $26,805.30 2025-06-28
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 12 — — $12,453.20 $31,626.74 $26,467.79 2025-06-28
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 28 12 — — $13,203.00 $31,545.22 $26,399.57 2025-06-28
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 26 12 — — $11,084.00 $31,459.42 $26,327.75 2025-06-28
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 26 12 — — $19,071.47 $48,112.69 $26,291.09 2025-06-28
668 MS_DRG Transurethral Procedures With Mcc 26 12 — — $11,116.60 $31,280.29 $26,177.85 2025-06-28
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 28 12 — — $12,420.60 $46,414.50 $26,163.49 2025-06-28
800 MS_DRG Splenic Procedures With Cc 26 12 — — $10,432.00 $31,253.48 $26,155.41 2025-06-28
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 26 12 — — $11,344.80 $31,236.32 $26,141.05 2025-06-28
472 MS_DRG Cervical Spinal Fusion With Cc 28 12 — — $12,257.60 $40,463.70 $26,006.40 2025-06-28
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 26 12 — — $7,987.00 $30,752.57 $25,736.21 2025-06-28
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 26 12 — — $11,801.20 $31,596.32 $25,706.59 2025-06-28
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 26 12 — — $10,660.20 $30,698.94 $25,691.33 2025-06-28
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 28 12 — — $11,279.60 $31,946.40 $25,655.42 2025-06-28
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 26 12 — — $9,747.40 $33,294.35 $25,553.99 2025-06-28
C9760 HCPCS Non-blind Interatrial Shunt 18 9 — — $8,125.33 $46,542.41 $25,433.01 2025-06-28
654 MS_DRG Major Bladder Procedures With Cc 26 12 — — $10,790.60 $30,269.90 $25,332.27 2025-06-28
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 26 12 — — $9,356.20 $30,122.95 $25,209.30 2025-06-28
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 26 12 — — $10,921.00 $30,091.85 $25,183.26 2025-06-28
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 26 12 — — $9,845.20 $29,350.68 $24,563.00 2025-06-28
288 MS_DRG Acute And Subacute Endocarditis With Mcc 26 12 — — $11,540.40 $29,298.12 $24,519.01 2025-06-28
619 MS_DRG O.r. Procedures For Obesity With Mcc 26 12 — — $7,106.80 $29,244.49 $24,474.13 2025-06-28
963 MS_DRG Other Multiple Significant Trauma With Mcc 28 12 — — $9,062.80 $29,139.38 $24,386.16 2025-06-28
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 26 12 — — $14,963.40 $28,996.72 $24,266.78 2025-06-28
L5856 HCPCS Elec Knee-shin Swing/stance 2 1 — — $24,260.77 $24,260.77 $24,260.77 2025-06-28
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 26 12 — — $10,366.80 $28,901.26 $24,186.89 2025-06-28
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 28 12 — — $7,791.40 $48,406.80 $24,090.84 2025-06-28
263 MS_DRG Vein Ligation And Stripping 26 12 — — $11,410.00 $28,768.26 $24,075.58 2025-06-28
849 MS_DRG Radiotherapy 26 12 — — $7,693.60 $28,650.27 $23,976.84 2025-06-28
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 26 12 — — $9,812.60 $28,561.25 $23,902.33 2025-06-28
J9600 HCPCS Porfimer Sodium Injection 28 12 — — $3,004.74 $41,004.68 $23,870.14 2025-06-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 26 12 — — $10,269.00 $28,459.35 $23,817.06 2025-06-28
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 26 12 — — $8,899.80 $28,423.95 $23,787.44 2025-06-28
503 MS_DRG Foot Procedures With Mcc 26 12 — — $8,410.80 $28,387.48 $23,756.92 2025-06-28
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 26 12 — — $8,508.60 $28,358.52 $23,732.68 2025-06-28
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 28 12 — — $11,051.40 $66,981.30 $23,547.77 2025-06-28
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 26 12 — — $11,084.00 $28,064.63 $23,486.73 2025-06-28
C1721 HCPCS Cardio Defib Dual Evera Xt Dr 38 7 $46,920.43 $32,844.30 30% off $6,863.75 $42,228.39 $23,336.75 2025-06-28
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 26 12 — — $9,323.60 $27,765.38 $23,236.29 2025-06-28
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 26 12 — — $10,203.80 $27,719.25 $23,197.69 2025-06-28
C7534 HCPCS Fem/pop Revasc W/arthr & US 2 1 — — $23,023.96 $23,023.96 $23,023.96 2025-06-28
61889 HCPCS Ins Sk-mnt Crnl Nstm Pg/rcvr 2 1 — — $22,957.87 $22,957.87 $22,957.87 2025-06-28
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 26 12 — — $7,009.00 $27,392.11 $22,923.91 2025-06-28
253 MS_DRG Other Vascular Procedures With Cc 26 12 — — $10,301.60 $27,383.53 $22,916.73 2025-06-28
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 28 12 — — $10,301.60 $31,815.90 $22,873.64 2025-06-28
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 26 12 — — $10,236.40 $27,191.53 $22,756.05 2025-06-28
93653 HCPCS Compre Ep Eval Tx Svt 20 9 — — $7,534.51 $41,518.97 $22,687.96 2025-06-28
93654 HCPCS Compre Ep Eval Tx Vt 20 9 — — $7,534.51 $41,518.97 $22,687.96 2025-06-28
93656 HCPCS Compre Ep Eval Abltj Atr Fib 20 9 — — $7,534.51 $41,518.97 $22,687.96 2025-06-28
545 MS_DRG Connective Tissue Disorders With Mcc 26 12 — — $10,562.40 $27,103.58 $22,682.44 2025-06-28
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 26 12 — — $10,823.20 $27,082.13 $22,664.49 2025-06-28
164 MS_DRG Major Chest Procedures With Cc 26 12 — — $7,889.20 $26,997.39 $22,593.58 2025-06-28
56 MS_DRG Degenerative Nervous System Disorders With Mcc 26 12 — — $16,626.00 $26,859.03 $22,477.78 2025-06-28
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 26 12 — — $9,845.20 $26,838.65 $22,460.72 2025-06-28
397 MS_DRG Appendix Procedures With Mcc 26 12 — — $8,508.60 $26,576.93 $22,241.70 2025-06-28
C9606 HCPCS Perc D-e Cor Revasc W Ami S 2 1 — — $22,153.34 $22,153.34 $22,153.34 2025-06-28
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 26 12 — — $9,454.00 $26,469.67 $22,151.94 2025-06-28
792 MS_DRG Prematurity Without Major Problems 20 8 — — $2,514.30 $26,275.53 $21,989.46 2025-06-28
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 28 12 — — $9,910.40 $26,260.51 $21,976.90 2025-06-28
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 28 12 — — $9,454.00 $28,857.90 $21,795.57 2025-06-28
C9734 HCPCS U/s Trtmt, Not Leiomyomata 2 1 — — $21,776.07 $21,776.07 $21,776.07 2025-06-28
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 26 12 — — $9,095.40 $25,943.02 $21,711.20 2025-06-28
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 26 12 — — $9,812.60 $25,861.51 $21,642.98 2025-06-28
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 28 12 — — $11,247.00 $37,183.80 $21,552.31 2025-06-28
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 26 12 — — $11,507.80 $25,712.42 $21,518.20 2025-06-28
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 26 12 — — $12,616.20 $25,712.42 $21,518.20 2025-06-28
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 26 12 — — $7,498.00 $25,490.39 $21,332.39 2025-06-28
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 28 12 — — $10,203.80 $40,185.30 $21,250.71 2025-06-28
347 MS_DRG Anal And Stomal Procedures With Mcc 26 12 — — $9,649.60 $25,386.34 $21,245.32 2025-06-28
330 MS_DRG Major Small And Large Bowel Procedures With Cc 28 12 — — $8,606.40 $34,591.20 $21,217.49 2025-06-28
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 12 — — $8,573.80 $25,312.33 $21,183.38 2025-06-28
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 28 12 — — $9,877.80 $33,094.80 $20,992.19 2025-06-28
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 28 12 — — $6,133.50 $24,886.51 $20,827.02 2025-06-28
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 26 12 — — $8,997.60 $24,828.59 $20,778.55 2025-06-28
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 26 12 — — $9,486.60 $24,804.99 $20,758.80 2025-06-28
0409T OTHER Insj/rplc Car Modulj Pls Gn 16 8 — — $20,758.69 $37,988.39 $20,758.69 2025-06-28
0515T OTHER Insj Wcs Lv Compl Sys 16 8 — — $20,758.69 $37,988.39 $20,758.69 2025-06-28
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 16 8 — — $20,758.69 $37,988.39 $20,758.69 2025-06-28
0916T OTHER Insj Perm Ccm-d Sys Pg Only 16 8 — — $20,758.69 $37,988.39 $20,758.69 2025-06-28
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 20 9 — — $16,405.39 $40,677.75 $20,758.69 2025-06-28
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 20 9 — — $16,405.39 $40,677.75 $20,758.69 2025-06-28
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 16 8 — — $20,758.69 $37,988.39 $20,758.69 2025-06-28
33230 HCPCS Insrt Pulse Gen W/dual Leads 20 9 — — $16,405.39 $40,677.75 $20,758.69 2025-06-28
33240 HCPCS Insrt Pulse Gen W/singl Lead 20 9 — — $18,682.26 $40,677.75 $20,758.69 2025-06-28
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 16 8 — — $20,758.69 $37,988.39 $20,758.69 2025-06-28
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 26 12 — — $9,388.80 $24,759.94 $20,721.10 2025-06-28
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 26 12 — — $7,009.00 $24,606.56 $20,592.74 2025-06-28
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 26 12 — — $8,182.60 $24,565.80 $20,558.63 2025-06-28
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 26 12 — — $6,911.20 $24,490.72 $20,495.79 2025-06-28
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 26 12 — — $6,161.40 $24,961.55 $20,457.19 2025-06-28
35 MS_DRG Carotid Artery Stent Procedures With Cc 26 12 — — $8,965.00 $24,399.55 $20,419.49 2025-06-28
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 26 12 — — $12,029.40 $24,305.16 $20,340.50 2025-06-28
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 26 12 — — $8,150.00 $24,222.57 $20,271.38 2025-06-28
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