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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

LMH

Lawrence, KS · CCN 170137 · Rates published

3,881 distinct procedures filed
12 distinct payers
184,868 rate rows
2026-03-23 last MRF observed
Data quality

173,783 of 184,868 rate rows are consumer-grade (94.0%)

11,085 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 7,150
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,287
per-diem day rate — not a per-procedure price 1,509
placeholder amount (≤ $0.02) — excluded from medians 99
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 24
exceeds 10× this hospital's gross charge — excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.lmh.org/wp-content/uploads/2026/03/48-6033703_The-Lawrence-Memorial-Hospital_standardcharges.csv
Found on page https://www.lmh.org/patients-visitors/understanding-hospital-costs/
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-03
Content fingerprint 484169846a9b733b… · 88,709,621 bytes · first seen 2026-05-15

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
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $109,671.04 $109,671.04 $109,671.04 nat. median
$2,596
outlier · 42.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $108,831.46 $108,831.46 $108,831.46 nat. median
$97,418
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $85,189.41 $125,989.61 $105,589.51 nat. median
$2,736
outlier · 38.6×
95
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Cc 2 $27,738.41 $160,446.17 $94,092.29 nat. median
$17,673
outlier · 5.3×
J7330
HCPCS 		Graft Maci1 Membrane 81073 6 $67,643.52 $110,172.45 $89,441.07 nat. median
$92,809
1.0× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 $79,563.70 $79,563.70 $79,563.70 nat. median
$30,768
outlier · 2.6×
360
MS_DRG 		Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 $78,309.50 $78,309.50 $78,309.50 nat. median
$2,223
outlier · 35.2×
215
MS_DRG 		Other Heart Assist System Implant 1 $78,199.96 $78,199.96 $78,199.96 nat. median
$73,023
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $25,443.08 $152,299.16 $68,037.35 nat. median
$48,611
1.4× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 2 $57,384.09 $76,626.18 $67,005.13 nat. median
$37,725
1.8× median
Q2043
HCPCS 		Sipuleucel-t Inj 11 $54,404.11 $323,942.16 $66,649.40 nat. median
$63,499
1.0× median
A9543
HCPCS 		Y-90 Zevalin Rad Pharm Tx 3.2 Mg/2 Ml Kit 10 $53,814.50 $171,707.76 $57,961.04 nat. median
$65,477
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $32,386.76 $183,349.91 $57,390.75 nat. median
$9,905
outlier · 5.8×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $56,273.11 $56,273.11 $56,273.11 nat. median
$51,518
1.1× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 1 $53,694.10 $53,694.10 $53,694.10 nat. median
$29,826
1.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $51,823.35 $51,823.35 $51,823.35 nat. median
$49,569
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 $48,839.25 $74,691.10 $50,325.25 nat. median
$40,584
1.2× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 $34,025.44 $55,044.17 $44,534.81 nat. median
$30,435
1.5× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 $43,878.29 $43,878.29 $43,878.29 nat. median
$25,616
1.7× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 $27,169.77 $135,217.42 $43,872.91 nat. median
$25,953
1.7× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $23,589.76 $75,350.68 $43,828.05 nat. median
$10,799
outlier · 4.1×
817
MS_DRG 		Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 $43,282.41 $43,282.41 $43,282.41 nat. median
$15,634
outlier · 2.8×
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 $41,601.53 $41,601.53 $41,601.53 nat. median
$24,748
1.7× median
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 1 $41,351.83 $41,351.83 $41,351.83 nat. median
$2,736
outlier · 15.1×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 2 $40,039.44 $40,940.28 $40,489.86 nat. median
$36,541
1.1× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 $39,591.09 $39,591.09 $39,591.09 nat. median
$37,371
1.1× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 3 $38,882.34 $40,434.48 $39,228.00 nat. median
$35,986
1.1× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 $39,151.54 $39,151.54 $39,151.54 nat. median
$34,615
1.1× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 $20,430.23 $168,161.23 $38,860.90 nat. median
$34,733
1.1× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 1 $38,728.36 $58,541.72 $38,859.21 nat. median
$35,725
1.1× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 $36,402.86 $37,255.14 $36,829.00 nat. median
$32,245
1.1× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 1 $36,175.98 $36,175.98 $36,175.98 nat. median
$33,459
1.1× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 $20,789.28 $58,343.42 $36,131.62 nat. median
$33,546
1.1× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 2 $20,861.10 $164,532.66 $36,130.22 nat. median
$33,435
1.1× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 $34,509.88 $52,830.84 $35,918.44 nat. median
$31,991
1.1× median
C1772
HCPCS 		Neuro Pump Infusion Synchromed Ii 8637-40 6 $25,838.75 $43,168.28 $35,507.26 nat. median
$18,271
1.9× median
C1882
HCPCS 		Aicd, Other Than Sing/dual 6 $12,268.36 $53,407.58 $35,057.62 nat. median
$24,131
1.5× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 $34,852.96 $34,852.96 $34,852.96 nat. median
$29,481
1.2× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $34,521.83 $34,521.83 $34,521.83 nat. median
$21,906
1.6× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 1 $33,960.74 $33,960.74 $33,960.74 nat. median
$30,674
1.1× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 1 $33,663.01 $33,663.01 $33,663.01 nat. median
$18,223
1.8× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $33,574.09 $33,574.09 $33,574.09 nat. median
$30,649
1.1× median
C1767
HCPCS 		Generator Proclaim Plus 5 3670 6 $14,667.28 $76,542.26 $33,388.23 nat. median
$25,172
1.3× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 1 $33,071.85 $33,071.85 $33,071.85 nat. median
$25,964
1.3× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 2 $32,565.51 $38,370.01 $33,044.94 nat. median
$29,327
1.1× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 1 $32,506.78 $32,506.78 $32,506.78 nat. median
$19,904
1.6× median
33249
CPT 		Cv Insert/Replace Icd Gen W/a/v Leads 11 $4,983.00 $91,458.29 $32,117.82 nat. median
$32,069
1.0× median
33264
CPT 		Cv Insert/Remvl Icd Gen, Multiple Leads 11 $2,539.00 $103,238.37 $32,117.82 nat. median
$32,779
1.0× median
33231
CPT 		Cv Insert Icd Gen Only W/existing Multiple Leads 11 $2,539.00 $103,238.37 $32,117.82 nat. median
$31,377
1.0× median
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 $29,514.52 $58,635.65 $32,033.08 nat. median
$12,698
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 3,881 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
             
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $109,671.04 $109,671.04 $109,671.04 2026-03-23
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $108,831.46 $108,831.46 $108,831.46 2026-03-23
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $85,189.41 $125,989.61 $105,589.51 2026-03-23
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 2 2 — — $27,738.41 $160,446.17 $94,092.29 2026-03-23
J7330 HCPCS Graft Maci1 Membrane 81073 10 6 $118,465.00 $29,616.25 75% off $67,643.52 $110,172.45 $89,441.07 2026-03-23
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $79,563.70 $79,563.70 $79,563.70 2026-03-23
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $78,309.50 $78,309.50 $78,309.50 2026-03-23
215 MS_DRG Other Heart Assist System Implant 1 1 — — $78,199.96 $78,199.96 $78,199.96 2026-03-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 3 — — $25,443.08 $152,299.16 $68,037.35 2026-03-23
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 2 — — $57,384.09 $76,626.18 $67,005.13 2026-03-23
Q2043 HCPCS Sipuleucel-t Inj 23 11 $348,324.90 $87,081.23 75% off $54,404.11 $323,942.16 $66,649.40 2026-03-23
A9543 HCPCS Y-90 Zevalin Rad Pharm Tx 3.2 Mg/2 Ml Kit 21 10 $184,632.00 $46,158.00 75% off $53,814.50 $171,707.76 $57,961.04 2026-03-23
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 3 — — $32,386.76 $183,349.91 $57,390.75 2026-03-23
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $56,273.11 $56,273.11 $56,273.11 2026-03-23
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $53,694.10 $53,694.10 $53,694.10 2026-03-23
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $51,823.35 $51,823.35 $51,823.35 2026-03-23
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 3 — — $48,839.25 $74,691.10 $50,325.25 2026-03-23
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 2 — — $34,025.44 $55,044.17 $44,534.81 2026-03-23
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $43,878.29 $43,878.29 $43,878.29 2026-03-23
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 3 — — $27,169.77 $135,217.42 $43,872.91 2026-03-23
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 2 — — $23,589.76 $75,350.68 $43,828.05 2026-03-23
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 — — $43,282.41 $43,282.41 $43,282.41 2026-03-23
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $41,601.53 $41,601.53 $41,601.53 2026-03-23
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $41,351.83 $41,351.83 $41,351.83 2026-03-23
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 2 — — $40,039.44 $40,940.28 $40,489.86 2026-03-23
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $39,591.09 $39,591.09 $39,591.09 2026-03-23
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 — — $38,882.34 $40,434.48 $39,228.00 2026-03-23
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $39,151.54 $39,151.54 $39,151.54 2026-03-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 6 — — $20,430.23 $168,161.23 $38,860.90 2026-03-23
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 1 — — $38,728.36 $58,541.72 $38,859.21 2026-03-23
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $36,402.86 $37,255.14 $36,829.00 2026-03-23
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $36,175.98 $36,175.98 $36,175.98 2026-03-23
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 2 — — $20,789.28 $58,343.42 $36,131.62 2026-03-23
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 6 2 — — $20,861.10 $164,532.66 $36,130.22 2026-03-23
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 3 — — $34,509.88 $52,830.84 $35,918.44 2026-03-23
C1772 HCPCS Neuro Pump Infusion Synchromed Ii 8637-40 16 6 $45,834.62 $11,458.66 75% off $25,838.75 $43,168.28 $35,507.26 2026-03-23
C1882 HCPCS Aicd, Other Than Sing/dual 56 6 $45,492.50 $11,373.13 75% off $12,268.36 $53,407.58 $35,057.62 2026-03-23
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $34,852.96 $34,852.96 $34,852.96 2026-03-23
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $34,521.83 $34,521.83 $34,521.83 2026-03-23
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $33,960.74 $33,960.74 $33,960.74 2026-03-23
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 — — $33,663.01 $33,663.01 $33,663.01 2026-03-23
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $33,574.09 $33,574.09 $33,574.09 2026-03-23
C1767 HCPCS Generator Proclaim Plus 5 3670 90 6 $41,659.25 $10,414.81 75% off $14,667.28 $76,542.26 $33,388.23 2026-03-23
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $33,071.85 $33,071.85 $33,071.85 2026-03-23
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 2 — — $32,565.51 $38,370.01 $33,044.94 2026-03-23
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 1 1 — — $32,506.78 $32,506.78 $32,506.78 2026-03-23
33231 CPT Cv Insert Icd Gen Only W/existing Multiple Leads 25 11 $111,009.00 $27,752.25 75% off $2,539.00 $103,238.37 $32,117.82 2026-03-23
33249 CPT Cv Insert/Replace Icd Gen W/a/v Leads 25 11 $98,342.25 $24,585.56 75% off $4,983.00 $91,458.29 $32,117.82 2026-03-23
33264 CPT Cv Insert/Remvl Icd Gen, Multiple Leads 25 11 $111,009.00 $27,752.25 75% off $2,539.00 $103,238.37 $32,117.82 2026-03-23
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 3 — — $29,514.52 $58,635.65 $32,033.08 2026-03-23
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 4 2 — — $23,982.93 $43,324.08 $31,851.54 2026-03-23
63685 CPT Implant Neuro Stim Generator 23 11 $86,579.50 $21,644.88 75% off $2,145.00 $80,518.94 $31,699.10 2026-03-23
61886 CPT Insert/Repl Neuro Gen, 2 Arrays 23 11 $100,658.25 $25,164.56 75% off $2,539.00 $93,612.17 $31,699.10 2026-03-23
141 MS_DRG Major Head And Neck Procedures With Cc 2 2 — — $24,998.82 $38,363.62 $31,681.22 2026-03-23
61885 CPT Insert/Repl Neurostim Gen, 1 Array 25 11 $72,596.50 $18,149.13 75% off $2,145.00 $67,514.75 $31,574.32 2026-03-23
C1823 HCPCS Generator Kit Pulse Wavewriter Alpha Prime 16 Sc-1416 10 6 $41,343.75 $10,335.94 75% off $23,607.28 $38,449.69 $31,214.53 2026-03-23
549 MS_DRG Septic Arthritis With Cc 1 1 — — $31,112.36 $31,112.36 $31,112.36 2026-03-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $31,058.26 $31,058.26 $31,058.26 2026-03-23
471 MS_DRG Cervical Spinal Fusion With Mcc 2 2 — — $24,054.34 $37,190.18 $30,622.26 2026-03-23
791 MS_DRG Prematurity With Major Problems 2 2 — — $7,657.25 $53,570.08 $30,613.67 2026-03-23
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $29,548.34 $31,093.76 $30,321.05 2026-03-23
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $30,257.15 $30,257.15 $30,257.15 2026-03-23
505 MS_DRG Foot Procedures Without Cc/mcc 2 2 — — $14,120.48 $45,819.49 $29,969.99 2026-03-23
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $29,957.21 $29,957.21 $29,957.21 2026-03-23
33229 CPT Rem/Repl Pacer Pulse Gen, Mult Le 31 11 $54,876.50 $13,719.13 75% off $2,539.00 $51,035.15 $29,842.17 2026-03-23
C1721 HCPCS Defibrillator Icd Dual Chamber Vigilant El D233 32 6 $37,347.25 $9,336.81 75% off $19,177.18 $43,460.53 $29,773.71 2026-03-23
J9022 HCPCS Atezolizumab 1200 Mg/20 Ml Inj 62 11 $63,314.12 $15,828.53 75% off $93.91 $69,273.05 $29,772.57 2026-03-23
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 2 — — $29,174.09 $30,031.01 $29,602.55 2026-03-23
37227 CPT Cv Atherectomy/PTA/Stent Fem/Pop Uni 14 6 $66,150.50 $16,537.63 75% off $3,154.00 $61,519.97 $29,118.12 2026-03-23
37231 CPT Cv Atherectomy/PTA/Stent Tib/Per Uni 14 6 $66,150.50 $16,537.63 75% off $3,154.00 $61,519.97 $29,118.12 2026-03-23
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 1 1 — — $28,827.10 $28,827.10 $28,827.10 2026-03-23
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 2 — — $28,265.56 $28,732.60 $28,499.08 2026-03-23
472 MS_DRG Cervical Spinal Fusion With Cc 8 4 — — $13,500.47 $35,927.19 $28,134.03 2026-03-23
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 1 1 — — $28,089.10 $28,089.10 $28,089.10 2026-03-23
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 1 1 — — $28,048.15 $28,048.15 $28,048.15 2026-03-23
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $27,796.83 $27,796.83 $27,796.83 2026-03-23
22630 CPT Interbody Fusion-transforaminal Lumbar 25 11 $48,941.00 $12,235.25 75% off $4,145.00 $48,097.00 $27,764.17 2026-03-23
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 5 3 — — $26,624.93 $73,358.22 $27,699.59 2026-03-23
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $27,450.83 $27,450.83 $27,450.83 2026-03-23
C1820 HCPCS Device Charging For Incontinence Neuro Stimulator Ea 1401 56 6 $41,071.50 $10,267.88 75% off $1,544.13 $44,278.23 $27,310.82 2026-03-23
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $27,220.52 $27,220.52 $27,220.52 2026-03-23
93653 CPT Cv Svt Ablation Eps Included 25 11 $68,882.75 $17,220.69 75% off $4,983.00 $64,060.96 $26,744.87 2026-03-23
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 3 — — $26,361.02 $124,178.58 $26,686.71 2026-03-23
252 MS_DRG Other Vascular Procedures With Mcc 2 1 — — $26,680.22 $26,682.00 $26,681.11 2026-03-23
33225 CPT Cv Insert Lv Lead W/icd Or Pacer Implant 24 6 $79,796.25 $19,949.06 75% off $506.92 $74,210.51 $26,322.33 2026-03-23
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 2 2 — — $20,620.19 $31,271.87 $25,946.03 2026-03-23
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $25,820.28 $25,820.28 $25,820.28 2026-03-23
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 2 2 — — $25,478.21 $26,023.27 $25,750.74 2026-03-23
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 2 2 — — $9,861.58 $40,803.15 $25,332.36 2026-03-23
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $25,330.16 $25,330.16 $25,330.16 2026-03-23
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 1 1 — — $24,901.50 $24,901.50 $24,901.50 2026-03-23
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 3 2 — — $24,765.95 $39,469.61 $24,866.81 2026-03-23
545 MS_DRG Connective Tissue Disorders With Mcc 1 1 — — $24,809.71 $24,809.71 $24,809.71 2026-03-23
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $24,783.42 $24,783.42 $24,783.42 2026-03-23
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $24,633.81 $24,633.81 $24,633.81 2026-03-23
C1722 HCPCS Generator Cobalt Xt Vr Surescan Ea Dvpa2d4 16 6 $32,126.38 $8,031.60 75% off $15,470.10 $34,558.57 $24,603.21 2026-03-23
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 2 2 — — $24,259.34 $24,851.89 $24,555.61 2026-03-23
C9606 HCPCS Cv Pci During Acute Mi Cor Art DES/any Combo 12 6 $36,950.75 $9,237.69 75% off $3,986.00 $34,364.20 $24,295.12 2026-03-23
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $24,170.20 $24,170.20 $24,170.20 2026-03-23
36906 CPT Cv Perc Thrombectomy With Stent Of Avf 33 11 $48,020.25 $12,005.06 75% off $4,983.00 $44,658.83 $24,116.93 2026-03-23
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $23,945.11 $23,945.11 $23,945.11 2026-03-23
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 3 3 — — $20,485.44 $49,823.08 $23,742.57 2026-03-23
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 1 1 — — $23,731.37 $23,731.37 $23,731.37 2026-03-23
37229 CPT Cv Atherectomy/PTA Tib/Per Uni 14 6 $38,262.50 $9,565.63 75% off $3,154.00 $35,584.13 $23,301.86 2026-03-23
37230 CPT Cv Stent/PTA Perc Tib/Peroneal Uni, Initial Vessel 14 6 $38,262.50 $9,565.63 75% off $3,154.00 $35,584.13 $23,301.86 2026-03-23
37225 CPT Cv Atherectomy/PTA Fem/Pop Uni 14 6 $38,262.50 $9,565.63 75% off $3,154.00 $35,584.13 $23,301.86 2026-03-23
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 3 — — $22,406.21 $34,364.96 $23,138.65 2026-03-23
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 2 2 — — $16,292.77 $29,933.10 $23,112.93 2026-03-23
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 5 3 — — $13,858.01 $62,708.63 $22,924.47 2026-03-23
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 4 4 — — $17,978.46 $27,851.97 $22,848.89 2026-03-23
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $22,834.05 $22,834.05 $22,834.05 2026-03-23
33240 CPT Cv Insert Icd Gen Only W/existing Single Lead 25 11 $111,009.00 $27,752.25 75% off $4,983.00 $103,238.37 $22,760.15 2026-03-23
33230 CPT Cv Insert Icd Gen Only W/existing Dual Leads 25 11 $111,009.00 $27,752.25 75% off $2,539.00 $103,238.37 $22,760.15 2026-03-23
33262 CPT Cv Insert/Remvl Icd Gen, Single Lead 25 11 $111,009.00 $27,752.25 75% off $2,539.00 $103,238.37 $22,760.15 2026-03-23
33263 CPT Cv Insert/Remvl Icd Gen, Dual Leads 25 11 $111,009.00 $27,752.25 75% off $2,539.00 $103,238.37 $22,760.15 2026-03-23
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 2 2 — — $21,683.59 $23,791.93 $22,737.76 2026-03-23
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 5 4 — — $21,992.25 $65,227.12 $22,579.91 2026-03-23
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 4 2 — — $22,141.70 $42,620.93 $22,409.50 2026-03-23
22515 CPT Cv Kyphoplasty 1 Vert Body Add 12 6 $32,873.25 $8,218.31 75% off $1,629.00 $30,572.12 $22,370.25 2026-03-23
783 MS_DRG Cesarean Section With Sterilization With Mcc 1 1 — — $22,225.82 $22,225.82 $22,225.82 2026-03-23
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 1 1 — — $21,992.14 $21,992.14 $21,992.14 2026-03-23
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $21,804.31 $21,804.31 $21,804.31 2026-03-23
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 2 — — $17,557.97 $25,946.20 $21,752.08 2026-03-23
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 2 2 — — $21,228.35 $21,272.22 $21,250.28 2026-03-23
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 5 4 — — $20,856.60 $38,645.98 $21,249.59 2026-03-23
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 2 2 — — $17,071.52 $25,332.92 $21,202.22 2026-03-23
J9057 HCPCS Copanlisib 60 Mg Inj 12 6 $32,782.50 $8,195.63 75% off $88.44 $30,487.73 $21,046.36 2026-03-23
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 1 — — $20,000.26 $21,033.77 $20,517.01 2026-03-23
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 3 2 — — $13,901.63 $46,272.73 $20,443.58 2026-03-23
253 MS_DRG Other Vascular Procedures With Cc 1 1 — — $20,325.34 $20,325.34 $20,325.34 2026-03-23
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 5 4 — — $11,238.42 $25,472.07 $19,969.23 2026-03-23
63655 CPT Implant Neuro Stim Lead, Laminectomy 23 11 $71,011.75 $17,752.94 75% off $4,145.00 $66,040.93 $19,929.10 2026-03-23
64590 CPT Insertion Of Sacral Nerve Neurostim Generator 25 11 $60,057.50 $15,014.38 75% off $2,145.00 $55,853.48 $19,850.65 2026-03-23
33274 CPT Cv Micra Insert Or Replacement 23 11 $55,047.00 $13,761.75 75% off $3,154.00 $51,193.71 $19,709.01 2026-03-23
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 7 4 — — $12,842.59 $43,671.33 $19,329.69 2026-03-23
397 MS_DRG Appendix Procedures With Mcc 1 1 — — $19,255.70 $19,255.70 $19,255.70 2026-03-23
300 MS_DRG Peripheral Vascular Disorders With Cc 1 1 — — $19,246.00 $19,246.00 $19,246.00 2026-03-23
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 1 1 — — $18,875.78 $18,875.78 $18,875.78 2026-03-23
0238T CPT Cv PTA/Athr Iliac 21 11 $32,394.75 $8,098.69 75% off $9,999.00 $32,394.75 $18,831.83 2026-03-23
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 2 1 — — $18,214.00 $19,315.71 $18,764.85 2026-03-23
C9774 HCPCS Cv Tib/Peron Art. With Ivl, Pta, Athrectomy 21 11 $47,268.75 $11,817.19 75% off $3,154.00 $43,959.94 $18,757.36 2026-03-23
C9775 HCPCS Cv Tib/Peron Art. With Ivl, Pta, Stent, Athrectomy 21 11 $47,268.75 $11,817.19 75% off $3,154.00 $43,959.94 $18,757.36 2026-03-23
C9602 HCPCS Cv Coronary Athrectomy W Des/ptca Initial Vessel 25 11 $48,020.25 $12,005.06 75% off $6,969.00 $44,658.83 $18,757.36 2026-03-23
37242 CPT Cv Vasc Embolize/Occlude Artery - Card 25 11 $40,282.75 $10,070.69 75% off $2,539.00 $37,462.96 $18,757.36 2026-03-23
C9607 HCPCS Cv Pci Cto Cor Art/Graft DES/any Combo 50 11 $36,950.75 $9,237.69 75% off $6,969.00 $34,364.20 $18,757.36 2026-03-23
C9773 HCPCS Cv Tib/Peron Art. With Ivl, Pta, Stent 21 11 $47,268.75 $11,817.19 75% off $3,154.00 $43,959.94 $18,757.36 2026-03-23
27132 CPT Total Hip Arthroplasty 23 11 — — $6,969.00 $18,676.83 $18,676.83 2026-03-23
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 5 3 — — $12,387.40 $71,049.80 $18,659.44 2026-03-23
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 5 3 — — $8,176.50 $57,321.05 $18,632.23 2026-03-23
C9605 HCPCS Cv Pci Of/thru Graft; Des Any Combo Add'l Subtended Vess 12 6 $36,950.75 $9,237.69 75% off $1,713.00 $34,364.20 $18,624.04 2026-03-23
330 MS_DRG Major Small And Large Bowel Procedures With Cc 8 4 — — $9,479.05 $32,001.54 $18,602.92 2026-03-23
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 2 2 — — $15,185.57 $21,983.83 $18,584.70 2026-03-23
C9766 HCPCS Cv Fem/Pop Art. With Ivl, Pta, Athrectomy 25 11 $47,268.75 $11,817.19 75% off $3,569.00 $43,959.94 $18,462.58 2026-03-23
C9765 HCPCS Cv Fem/Pop Art. With Ivl, Pta, Stent 25 11 $47,268.75 $11,817.19 75% off $3,154.00 $43,959.94 $18,462.58 2026-03-23
C9767 HCPCS Cv Fem/Pop Art. With Ivl, Pta, Stent, Athrectomy 25 11 $47,268.75 $11,817.19 75% off $3,569.00 $43,959.94 $18,462.58 2026-03-23
56 MS_DRG Degenerative Nervous System Disorders With Mcc 6 3 — — $12,971.76 $22,625.69 $18,402.55 2026-03-23
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $18,401.46 $18,401.46 $18,401.46 2026-03-23
C9601 HCPCS Cv Des W/wo Ptca Add'l Vessel 60 6 $27,742.25 $6,935.56 75% off $1,713.00 $27,139.90 $18,240.53 2026-03-23
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 4 2 — — $8,976.14 $23,807.65 $18,160.51 2026-03-23
62362 CPT Implant Progr Spinal Infusion Pump 25 11 $59,707.75 $14,926.94 75% off $1,877.01 $55,528.21 $18,152.60 2026-03-23
0236T CPT Cv PTA/Athr Aorta 21 11 $32,394.75 $8,098.69 75% off $9,999.00 $30,127.12 $18,020.76 2026-03-23
C1786 HCPCS Generator Azure Xr Sr W1sr01 40 6 $23,183.75 $5,795.94 75% off $5,423.50 $25,765.65 $18,011.91 2026-03-23
37226 CPT Cv Stent/PTA Perc Fem/Pop 14 6 $38,262.50 $9,565.63 75% off $3,154.00 $35,584.13 $17,910.07 2026-03-23
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 1 1 — — $17,840.08 $17,840.08 $17,840.08 2026-03-23
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $17,835.12 $17,835.12 $17,835.12 2026-03-23
199 MS_DRG Pneumothorax With Mcc 2 2 — — $14,194.52 $21,254.03 $17,724.28 2026-03-23
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 4 2 — — $9,550.86 $25,994.87 $17,620.56 2026-03-23
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 4 2 — — $17,145.89 $23,550.90 $17,516.56 2026-03-23
92929 CPT Cv Bms W/wo Ptca Add'l Vessel 12 6 $28,252.50 $7,063.13 75% off $4,171.97 $26,274.83 $17,205.78 2026-03-23
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 6 5 — — $9,330.28 $26,704.53 $16,951.28 2026-03-23
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 3 2 — — $9,357.01 $23,258.96 $16,829.44 2026-03-23
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 — — $16,765.52 $16,765.52 $16,765.52 2026-03-23
336 MS_DRG Peritoneal Adhesiolysis With Cc 4 2 — — $8,796.85 $25,348.78 $16,765.00 2026-03-23
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 7 4 — — $9,263.62 $25,435.25 $16,633.42 2026-03-23
374 MS_DRG Digestive Malignancy With Mcc 5 4 — — $16,192.90 $24,889.11 $16,533.82 2026-03-23
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 1 1 — — $16,521.56 $16,521.56 $16,521.56 2026-03-23
34704 CPT Cv Evar, Aorto-uniiliac Rupture 10 6 $22,471.25 $5,617.81 75% off $3,986.00 $20,898.26 $16,493.90 2026-03-23
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 2 2 — — $13,220.14 $19,745.34 $16,482.74 2026-03-23
34706 CPT Cv Evar, Aorto-biiliac (Rupture) 10 6 $22,453.75 $5,613.44 75% off $3,986.00 $20,881.99 $16,481.06 2026-03-23
C9603 HCPCS Cv Coronary Athrectomy W Des/ptca Add Vessel 12 6 $29,406.75 $7,351.69 75% off $1,713.00 $27,348.28 $16,470.23 2026-03-23
C9608 HCPCS Cv Pci Cto Cor Art/ Graft DES/any Combo Ea Add'l Branch 12 6 $29,406.75 $7,351.69 75% off $1,713.00 $27,348.28 $16,470.23 2026-03-23
949 MS_DRG Aftercare With Cc/mcc 6 3 — — $3,602.88 $42,976.08 $16,465.69 2026-03-23
314 MS_DRG Other Circulatory System Diagnoses With Mcc 3 2 — — $12,358.22 $25,428.63 $16,378.14 2026-03-23
915 MS_DRG Allergic Reactions With Mcc 2 1 — — $13,838.54 $18,801.66 $16,320.10 2026-03-23
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 6 4 — — $15,908.97 $71,011.65 $16,285.70 2026-03-23
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 2 2 — — $13,020.01 $19,398.87 $16,209.44 2026-03-23
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 2 2 — — $13,483.74 $18,685.50 $16,084.62 2026-03-23
908 MS_DRG Other O.r. Procedures For Injuries With Cc 2 2 — — $16,054.02 $16,058.85 $16,056.44 2026-03-23
27702 CPT Reconstruct Ankle Joint 25 11 — — $6,724.00 $20,673.64 $16,009.70 2026-03-23
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 3 3 — — $11,781.20 $18,217.83 $15,819.39 2026-03-23
183 MS_DRG Major Chest Trauma With Mcc 2 2 — — $12,364.87 $19,151.54 $15,758.21 2026-03-23
539 MS_DRG Osteomyelitis With Mcc 1 1 — — $15,752.55 $15,752.55 $15,752.55 2026-03-23
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 46 11 — — $6,969.00 $27,208.89 $15,733.79 2026-03-23
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 1 1 — — $15,652.93 $15,652.93 $15,652.93 2026-03-23
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 3 2 — — $15,520.54 $28,227.82 $15,642.72 2026-03-23
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 3 3 — — $10,822.30 $16,085.71 $15,611.78 2026-03-23
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 8 5 — — $10,951.18 $114,664.49 $15,572.24 2026-03-23
43282 CPT Lap Paraesoph Her Rpr W/mesh 23 11 — — $10,417.69 $15,516.76 $15,516.76 2026-03-23
42425 CPT Excise Parotid Gland/lesion 23 11 — — $4,983.00 $15,502.99 $15,502.99 2026-03-23
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 8 5 — — $15,218.45 $21,636.25 $15,500.44 2026-03-23
380 MS_DRG Complicated Peptic Ulcer With Mcc 3 1 — — $14,987.75 $23,218.38 $15,412.05 2026-03-23
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 23 11 — — $2,931.82 $27,321.84 $15,403.11 2026-03-23
919 MS_DRG Complications Of Treatment With Mcc 4 2 — — $6,391.18 $17,055.20 $15,361.03 2026-03-23
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 15 8 — — $7,899.21 $24,984.42 $15,317.45 2026-03-23
100 MS_DRG Seizures With Mcc 3 3 — — $14,980.17 $15,805.68 $15,312.64 2026-03-23
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 7 4 — — $8,581.41 $23,637.48 $15,291.25 2026-03-23
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 3 — — $8,837.36 $31,649.69 $15,218.88 2026-03-23
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 6 3 — — $14,663.18 $28,357.38 $15,091.03 2026-03-23
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 4 3 — — $10,491.78 $15,897.48 $15,072.96 2026-03-23
J9309 HCPCS Polatuzumab Vedotin 30 Mg Inj 93 11 $26,379.40 $6,594.85 75% off $136.77 $114,486.07 $15,062.64 2026-03-23
24430 CPT Rpr Non/mal Humerus Wo Graft 25 11 — — $14,975.02 $14,975.02 $14,975.02 2026-03-23
757 MS_DRG Infections, Female Reproductive System With Mcc 1 1 — — $14,929.21 $14,929.21 $14,929.21 2026-03-23
299 MS_DRG Peripheral Vascular Disorders With Mcc 2 2 — — $12,856.99 $16,955.23 $14,906.11 2026-03-23
Q4116 HCPCS Graft Alloderm Perforated Large 16 X 20 (320 Sq Cm) 1518320p 29 11 $26,069.75 $6,517.44 75% off $45.52 $24,244.87 $14,885.83 2026-03-23
37233 CPT Cv Atherectomy Pta Tib/ Per Ea Add'l Vessel 12 6 $38,262.50 $9,565.63 75% off $1,629.00 $35,584.13 $14,862.15 2026-03-23
J9354 HCPCS Ado-trastuz Emtansine 160 Mg Inj 155 11 $41,425.75 $10,356.44 75% off $42.19 $38,525.95 $14,783.85 2026-03-23
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 1 1 — — $14,772.30 $14,772.30 $14,772.30 2026-03-23
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 1 1 — — $14,763.41 $14,763.41 $14,763.41 2026-03-23
883 MS_DRG Disorders Of Personality And Impulse Control 1 1 — — $14,759.54 $14,759.54 $14,759.54 2026-03-23
205 MS_DRG Other Respiratory System Diagnoses With Mcc 1 1 — — $14,718.29 $14,718.29 $14,718.29 2026-03-23
24545 CPT Optx Hum Fx Wo Ntrcndylr Xtn 25 11 — — $4,914.41 $14,703.49 $14,703.49 2026-03-23
196 MS_DRG Interstitial Lung Disease With Mcc 1 1 — — $14,654.13 $14,654.13 $14,654.13 2026-03-23
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 3 3 — — $14,221.51 $14,724.77 $14,553.71 2026-03-23
950 MS_DRG Aftercare Without Cc/mcc 1 1 — — $14,475.42 $14,475.42 $14,475.42 2026-03-23
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 5 2 — — $8,617.32 $20,793.01 $14,440.73 2026-03-23
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 4 3 — — $13,877.44 $14,848.72 $14,371.96 2026-03-23
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 2 2 — — $14,027.82 $14,543.73 $14,285.77 2026-03-23
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 1 1 — — $14,227.32 $14,227.32 $14,227.32 2026-03-23
91 MS_DRG Other Disorders Of Nervous System With Mcc 5 3 — — $13,977.15 $14,515.40 $14,187.00 2026-03-23
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 9 5 — — $10,247.41 $26,441.35 $14,185.67 2026-03-23
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 6 3 — — $6,857.95 $19,926.77 $14,151.15 2026-03-23
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 3 2 — — $8,062.77 $21,579.54 $14,097.57 2026-03-23
37221 CPT Cv Stent/PTA Perc Iliac, Initial Vessel 42 6 $21,610.75 $5,402.69 75% off $2,051.64 $20,098.00 $13,982.16 2026-03-23
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 8 5 — — $13,657.61 $23,670.33 $13,971.88 2026-03-23
546 MS_DRG Connective Tissue Disorders With Cc 1 1 — — $13,968.21 $13,968.21 $13,968.21 2026-03-23
180 MS_DRG Respiratory Neoplasms With Mcc 3 2 — — $13,615.05 $20,896.79 $13,914.84 2026-03-23
34831 CPT Cv Open Repair (aortobiiliac), Failed Evar 10 6 $18,929.50 $4,732.38 75% off $3,569.00 $17,604.44 $13,894.26 2026-03-23
43281 CPT Lap Paraesophag Hern Repair 69 11 — — $10,288.02 $14,476.51 $13,704.34 2026-03-23
504 MS_DRG Foot Procedures With Cc 1 1 — — $13,675.04 $13,675.04 $13,675.04 2026-03-23
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $13,608.18 $13,608.18 $13,608.18 2026-03-23
Q4122 HCPCS Dermis Decellularized 16x20cm (320 Sq Cm) Dcell217m 29 11 $20,960.75 $5,240.19 75% off $45.52 $26,531.51 $13,561.61 2026-03-23
34708 CPT Cv Evar, Ilio-iliac Rupture 10 6 $18,244.75 $4,561.19 75% off $3,154.00 $16,967.62 $13,391.65 2026-03-23
34702 CPT Cv Evar, Aorto-aortic Rupture 10 6 $18,210.00 $4,552.50 75% off $3,986.00 $16,935.30 $13,366.14 2026-03-23
70 MS_DRG Other Cerebrovascular Disorders With Mcc 6 3 — — $12,973.91 $19,982.19 $13,365.92 2026-03-23
49617 CPT Rpr Aa Hrn Rcr > 10 Rdc 10 6 — — $5,741.89 $13,297.67 $13,297.67 2026-03-23
571 MS_DRG Skin Debridement With Cc 1 1 — — $13,297.43 $13,297.43 $13,297.43 2026-03-23
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 9 5 — — $5,278.11 $24,534.70 $13,247.71 2026-03-23
92941 CPT Cv Pci During Acute Mi Cor Art BMS/any Combo 12 6 $26,651.25 $6,662.81 75% off $3,569.00 $24,785.66 $13,220.42 2026-03-23
92938 CPT Cv Pci Of/thru Graft; Bms Any Combo Add'l Subtended Vess 12 6 $26,651.25 $6,662.81 75% off $3,569.00 $24,785.66 $13,220.42 2026-03-23
92944 CPT Cv Pci Cto Cor Art/Graft BMS/any Combo, Ea Add'l Branch 12 6 $26,651.25 $6,662.81 75% off $3,569.00 $24,785.66 $13,220.42 2026-03-23
37228 CPT Cv Pta Tibio/Peroneal Uni 14 6 $21,656.00 $5,414.00 75% off $2,051.64 $20,140.08 $13,188.51 2026-03-23
37237 CPT Cv Open/Perq Place Stent Ea Add - Card 12 6 $20,045.75 $5,011.44 75% off $1,629.00 $18,642.55 $13,180.08 2026-03-23
37239 CPT Cv Open/Perq Place Stent Same Ea Add - Card 12 6 $20,045.75 $5,011.44 75% off $1,629.00 $18,642.55 $13,180.08 2026-03-23
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 2 2 — — $9,699.79 $16,603.99 $13,151.89 2026-03-23
444 MS_DRG Disorders Of The Biliary Tract With Mcc 5 3 — — $12,917.74 $13,444.60 $13,124.88 2026-03-23
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 7 4 — — $7,181.10 $17,818.16 $13,065.55 2026-03-23
157 MS_DRG Dental And Oral Diseases With Mcc 1 1 — — $13,036.71 $13,036.71 $13,036.71 2026-03-23
50543 CPT Laparo Partial Nephrectomy 25 11 — — $6,724.00 $16,593.43 $13,014.00 2026-03-23
884 MS_DRG Organic Disturbances And Intellectual Disability 1 1 — — $12,980.00 $12,980.00 $12,980.00 2026-03-23
50544 CPT Laparoscopy Pyeloplasty 25 11 — — $1,730.73 $12,949.09 $12,949.09 2026-03-23
22856 CPT Tot Disc Arthrp 1ntrspc Crv 25 11 — — $12,946.88 $12,946.88 $12,946.88 2026-03-23
71 MS_DRG Other Cerebrovascular Disorders With Cc 4 3 — — $8,094.10 $15,455.94 $12,944.48 2026-03-23
643 MS_DRG Endocrine Disorders With Mcc 5 4 — — $7,921.94 $18,449.87 $12,929.50 2026-03-23
393 MS_DRG Other Digestive System Diagnoses With Mcc 6 3 — — $7,468.34 $19,388.24 $12,868.87 2026-03-23
C2621 HCPCS Generator Percepta Pacer W1tr01 24 6 $16,851.75 $4,212.94 75% off $8,481.92 $17,188.26 $12,788.10 2026-03-23
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 7 5 — — $6,878.97 $19,783.78 $12,745.28 2026-03-23
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 2 2 — — $12,629.87 $12,832.54 $12,731.21 2026-03-23
34830 CPT Cv Open Repair (tube Graft), Failed Evar 10 6 $17,308.00 $4,327.00 75% off $3,569.00 $16,096.44 $12,704.07 2026-03-23
63042 CPT Laminotomy Single Lumbar 50 11 — — $12,386.98 $21,848.19 $12,679.57 2026-03-23
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 5 3 — — $10,623.63 $21,427.91 $12,662.47 2026-03-23
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 7 5 — — $6,032.12 $20,019.55 $12,646.76 2026-03-23
36907 CPT Cv Trilum Bal Angio Ctr Dial Seg W/s andI 10 6 $17,208.50 $4,302.13 75% off $1,629.00 $16,003.91 $12,631.04 2026-03-23
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 2 2 — — $12,186.89 $13,003.89 $12,595.39 2026-03-23
186 MS_DRG Pleural Effusion With Mcc 1 1 — — $12,581.22 $12,581.22 $12,581.22 2026-03-23
913 MS_DRG Traumatic Injury With Mcc 1 1 — — $12,576.66 $12,576.66 $12,576.66 2026-03-23
177 MS_DRG Respiratory Infections And Inflammations With Mcc 5 3 — — $12,312.49 $61,134.84 $12,573.99 2026-03-23
38 MS_DRG Extracranial Procedures With Cc 3 2 — — $12,560.55 $13,055.97 $12,569.66 2026-03-23
37184 CPT Prim Art M-thrmbc 1st Vsl 25 11 $12,526.00 $3,131.50 75% off $2,386.45 $18,831.83 $12,526.00 2026-03-23
27130 CPT Total Hip Arthroplasty 50 11 — — $4,145.00 $22,741.49 $12,510.32 2026-03-23
399 MS_DRG Appendix Procedures Without Cc/mcc 1 1 — — $12,497.54 $12,497.54 $12,497.54 2026-03-23
784 MS_DRG Cesarean Section With Sterilization With Cc 5 3 — — $4,488.19 $13,066.93 $12,391.20 2026-03-23
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 3 3 — — $11,710.43 $12,339.94 $12,337.70 2026-03-23
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 4 2 — — $7,288.82 $20,241.02 $12,288.05 2026-03-23
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 1 1 — — $12,280.48 $12,280.48 $12,280.48 2026-03-23
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 1 1 — — $12,221.47 $12,221.47 $12,221.47 2026-03-23
92925 CPT Cv Atherectomy Ea Add Vess Cor - Card 12 6 $28,807.00 $7,201.75 75% off $3,569.00 $26,790.51 $12,162.61 2026-03-23
813 MS_DRG Coagulation Disorders 5 3 — — $11,791.76 $17,093.53 $12,055.22 2026-03-23
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 1 1 — — $11,973.87 $11,973.87 $11,973.87 2026-03-23
682 MS_DRG Renal Failure With Mcc 8 3 — — $6,750.23 $19,371.52 $11,891.70 2026-03-23
C9600 HCPCS Cv Des W/wo Ptca 150 11 $39,168.00 $9,792.00 75% off $8,998.64 $36,426.24 $11,858.96 2026-03-23
37244 CPT Cv Embolization Artery - Hemorrhage(art/ven) 25 11 $30,033.50 $7,508.38 75% off $2,539.00 $27,931.16 $11,812.28 2026-03-23
C9604 HCPCS Cv Pci Of/thru Graft; Des Any Combo 25 11 $39,168.00 $9,792.00 75% off $6,969.00 $36,426.24 $11,812.28 2026-03-23
37236 CPT Cv Open/Perq Place Stent 1st 25 11 $41,564.00 $10,391.00 75% off $2,539.00 $38,654.52 $11,812.28 2026-03-23
36903 CPT Cv Intr Dial Circ W/tc At Plmt IV Stent 25 11 $33,830.75 $8,457.69 75% off $4,983.00 $31,462.60 $11,812.28 2026-03-23
C9764 HCPCS Cv Fem/Pop Art. With Ivl , Pta 25 11 $29,210.75 $7,302.69 75% off $3,154.00 $27,166.00 $11,812.28 2026-03-23
37241 CPT Cv Vasc Embolize/Occlude Venous - Card 25 11 $40,282.75 $10,070.69 75% off $2,539.00 $37,462.96 $11,812.28 2026-03-23
37238 CPT Cv Open/Perq Place Stent Same - Card 25 11 $41,564.00 $10,391.00 75% off $2,539.00 $38,654.52 $11,812.28 2026-03-23
37187 CPT Venous Mech Thrombectomy 25 11 $23,566.00 $5,891.50 75% off $2,320.55 $21,916.38 $11,812.28 2026-03-23
C9772 HCPCS Cv Tib/Peron Art. With Ivl , Pta 21 11 $29,210.75 $7,302.69 75% off $3,154.00 $27,166.00 $11,812.28 2026-03-23
37243 CPT Cv Embolization Artery - Tumor 25 11 $30,033.50 $7,508.38 75% off $2,539.00 $27,931.16 $11,812.28 2026-03-23
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