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

PROVIDENCE MEDICAL CENTER

Kansas City, KS · CCN 170146 · Rates published

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You selected G0121 (HCPCS)

HC COLORECTAL CANCER SCRN, COLONOSCOPY NOT HIGH RISK

This hospital’s price: $1,054 across 27 payers · range $567-$3,162

Source: https://providencekc.com/wp-content/uploads/2024/12/462162669_ProvidenceMedicalCenter_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.

4,238 distinct procedures filed
32 distinct payers
401,308 rate rows
2026-03-17 last MRF observed
Data quality

399,698 of 401,308 rate rows are consumer-grade (99.6%)

1,610 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 1,370
per-diem day rate — not a per-procedure price 87
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 80
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 36
exceeds 10× this hospital's gross charge — excluded from medians 36
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://providencekc.com/wp-content/uploads/2024/12/462162669_ProvidenceMedicalCenter_standardcharges.json
Found on page https://providencekc.com/financial-assistance/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-03
Content fingerprint 74b6f96d2bbb5ac7… · 36,671,244 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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 $129,318.00 $529,205.21 $286,297.00 nat. median
$168,055
1.7× median
C1785
HCPCS 		Hc (Sup Shell C1785) Pacemkr Dual Chamb Rate-responsive 1 $254,004.00 $254,004.00 $254,004.00 nat. median
$7,020
outlier · 36.2×
612
OTHER 		UnGrouped 1 $219,612.00 $219,612.00 $219,612.00 nat. median
$6,246
outlier · 35.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 23 $90,116.46 $363,994.00 $202,162.00 nat. median
$186,516
1.1× median
636
OTHER 		UnGrouped 1 $201,523.00 $201,523.00 $201,523.00 nat. median
$6,011
outlier · 33.5×
633
OTHER 		UnGrouped 1 $181,056.00 $181,056.00 $181,056.00 nat. median
$1,441
outlier · 125.7×
631
OTHER 		UnGrouped 1 $176,379.00 $176,379.00 $176,379.00 nat. median
$5,475
outlier · 32.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 $91,082.96 $280,225.31 $162,364.00 nat. median
$131,925
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 $64,252.92 $276,942.00 $149,187.90 nat. median
$145,435
1.0× median
359
OTHER 		UnGrouped 1 $113,556.00 $113,556.00 $113,556.00 nat. median
$13,185
outlier · 8.6×
681
OTHER 		UnGrouped 1 $103,920.00 $103,920.00 $103,920.00 nat. median
$220,794
outlier · 0.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 $47,706.44 $182,590.00 $101,230.09 nat. median
$97,418
1.0× median
7
MS_DRG 		Lung Transplant 23 $41,636.82 $168,876.00 $91,419.74 nat. median
$70,649
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 23 $40,206.40 $169,303.00 $90,280.30 nat. median
$72,715
1.2× median
635
OTHER 		UnGrouped 1 $85,883.80 $85,883.80 $85,883.80 nat. median
$91
outlier · 947.0×
634
OTHER 		UnGrouped 1 $81,518.40 $81,518.40 $81,518.40 nat. median
$55,344
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 $36,456.38 $138,871.21 $80,221.37 nat. median
$65,418
1.2× median
613
OTHER 		UnGrouped 1 $77,892.00 $77,892.00 $77,892.00 nat. median
$45,113
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 23 $33,170.28 $137,612.00 $77,317.80 nat. median
$69,922
1.1× median
426
MS_DRG 		UnGrouped 17 $12,034.00 $135,454.00 $76,077.90 nat. median
$2,736
outlier · 27.8×
212
MS_DRG 		Concomitant Aortic And Mitral Valveâ Procedures 21 $7,267.93 $140,772.00 $75,295.40 nat. median
$74,509
1.0× median
850
MS_DRG 		UnGrouped 16 $60,685.80 $119,038.00 $75,058.80 nat. median
$2,633
outlier · 28.5×
215
MS_DRG 		Other Heart Assist System Implant 23 $43,415.18 $136,909.00 $73,908.80 nat. median
$73,023
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 $42,680.64 $124,712.00 $70,203.70 nat. median
$69,822
1.0× median
429
MS_DRG 		UnGrouped 16 $55,068.10 $107,778.00 $68,110.50 nat. median
$2,596
outlier · 26.2×
632
OTHER 		UnGrouped 1 $65,466.00 $65,466.00 $65,466.00 nat. median
$127
outlier · 515.5×
993
MS_DRG 		UnGrouped 5 $60,773.50 $61,989.00 $61,381.25 —
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 23 $36,765.66 $109,502.00 $61,011.30 nat. median
$60,505
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 $38,698.66 $109,440.00 $60,200.00 nat. median
$59,651
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 23 $34,832.66 $111,935.00 $58,872.90 nat. median
$56,428
1.0× median
222
MS_DRG 		UnGrouped 2 $55,657.00 $69,571.30 $58,190.20 nat. median
$2,024
outlier · 28.8×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 $33,479.56 $99,985.30 $56,435.51 nat. median
$55,923
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 $29,536.24 $101,004.00 $56,192.22 nat. median
$55,935
1.0× median
10
MS_DRG 		Pancreas Transplant 23 $18,943.40 $103,030.00 $55,471.50 nat. median
$23,080
outlier · 2.4×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 $22,925.38 $102,437.00 $55,161.30 nat. median
$45,605
1.2× median
447
MS_DRG 		UnGrouped 16 $44,520.50 $86,638.40 $55,064.75 nat. median
$2,958
outlier · 18.6×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 $17,010.40 $96,453.40 $54,619.20 nat. median
$52,327
1.0× median
224
MS_DRG 		UnGrouped 2 $52,633.70 $65,792.10 $53,877.90 nat. median
$2,024
outlier · 26.6×
G0299
HCPCS 		Hc Insertrplacmnt Aicd W Lead Singdual 10 $3,424.00 $99,413.10 $53,794.90 nat. median
$65
outlier · 830.2×
361
OTHER 		UnGrouped 1 $53,035.20 $53,035.20 $53,035.20 nat. median
$15,334
outlier · 3.5×
647
OTHER 		UnGrouped 1 $52,653.50 $52,653.50 $52,653.50 nat. median
$4,111
outlier · 12.8×
427
MS_DRG 		UnGrouped 17 $11,583.40 $91,736.50 $52,043.10 nat. median
$9,905
outlier · 5.3×
360
OTHER 		UnGrouped 1 $51,291.30 $51,291.30 $51,291.30 nat. median
$16,601
outlier · 3.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 23 $23,737.24 $89,898.90 $50,062.51 nat. median
$48,611
1.0× median
G0339
HCPCS 		Hc Robot Lin-radsurg Com, First 12 $7,600.00 $91,929.30 $49,745.30 nat. median
$12,710
outlier · 3.9×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 23 $15,000.08 $99,616.60 $49,473.59 nat. median
$47,340
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 $31,082.64 $91,320.40 $49,322.50 nat. median
$51,518
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 23 $29,569.40 $94,141.69 $48,993.10 nat. median
$37,013
1.3× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 $12,968.60 $86,160.20 $48,942.40 nat. median
$49,569
1.0× median
226
MS_DRG 		UnGrouped 2 $45,955.00 $57,443.80 $48,646.80 nat. median
$2,024
outlier · 24.0×

Other procedures at this hospital

Browse this hospital's 4,238 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 99 23 — $334,507.00 $129,318.00 $529,205.21 $286,297.00 2026-03-17
C1785 HCPCS Hc (Sup Shell C1785) Pacemkr Dual Chamb Rate-responsive 1 1 — — $254,004.00 $254,004.00 $254,004.00 2026-03-17
612 OTHER UnGrouped 2 1 — — $219,612.00 $219,612.00 $219,612.00 2024-12-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 99 23 — $250,296.00 $90,116.46 $363,994.00 $202,162.00 2026-03-17
636 OTHER UnGrouped 2 1 — — $201,523.00 $201,523.00 $201,523.00 2024-12-19
633 OTHER UnGrouped 2 1 — — $181,056.00 $181,056.00 $181,056.00 2024-12-19
631 OTHER UnGrouped 2 1 — — $176,379.00 $176,379.00 $176,379.00 2024-12-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 99 23 — $211,073.00 $91,082.96 $280,225.31 $162,364.00 2026-03-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 99 23 — $190,858.00 $64,252.92 $276,942.00 $149,187.90 2026-03-17
359 OTHER UnGrouped 2 1 — — $113,556.00 $113,556.00 $113,556.00 2024-12-19
681 OTHER UnGrouped 2 1 — — $103,920.00 $103,920.00 $103,920.00 2024-12-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 99 23 — $126,436.00 $47,706.44 $182,590.00 $101,230.09 2026-03-17
7 MS_DRG Lung Transplant 99 23 — $117,073.00 $41,636.82 $168,876.00 $91,419.74 2026-03-17
14 MS_DRG Allogeneic Bone Marrow Transplant 99 23 — $117,364.00 $40,206.40 $169,303.00 $90,280.30 2026-03-17
635 OTHER UnGrouped 2 1 — — $85,883.80 $85,883.80 $85,883.80 2024-12-19
634 OTHER UnGrouped 2 1 — — $81,518.40 $81,518.40 $81,518.40 2024-12-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 99 23 — $98,993.00 $36,456.38 $138,871.21 $80,221.37 2026-03-17
613 OTHER UnGrouped 2 1 — — $77,892.00 $77,892.00 $77,892.00 2024-12-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 99 23 — $95,726.00 $33,170.28 $137,612.00 $77,317.80 2026-03-17
426 MS_DRG UnGrouped 50 17 — $94,191.00 $12,034.00 $135,454.00 $76,077.90 2024-12-19
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 90 21 — $97,884.00 $7,267.93 $140,772.00 $75,295.40 2026-03-17
850 MS_DRG UnGrouped 48 16 — $83,043.00 $60,685.80 $119,038.00 $75,058.80 2024-12-19
215 MS_DRG Other Heart Assist System Implant 99 23 — $95,245.00 $43,415.18 $136,909.00 $73,908.80 2026-03-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 99 23 — $86,918.00 $42,680.64 $124,712.00 $70,203.70 2026-03-17
429 MS_DRG UnGrouped 48 16 — $75,356.00 $55,068.10 $107,778.00 $68,110.50 2024-12-19
632 OTHER UnGrouped 2 1 — — $65,466.00 $65,466.00 $65,466.00 2024-12-19
993 MS_DRG UnGrouped 12 5 — — $60,773.50 $61,989.00 $61,381.25 2024-12-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 99 23 — $76,532.00 $36,765.66 $109,502.00 $61,011.30 2026-03-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 99 23 — $76,490.00 $38,698.66 $109,440.00 $60,200.00 2026-03-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 99 23 — $72,890.00 $34,832.66 $111,935.00 $58,872.90 2026-03-17
222 MS_DRG UnGrouped 6 2 — — $55,657.00 $69,571.30 $58,190.20 2024-12-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 99 23 — $70,035.00 $33,479.56 $99,985.30 $56,435.51 2026-03-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 99 23 — $70,731.00 $29,536.24 $101,004.00 $56,192.22 2026-03-17
10 MS_DRG Pancreas Transplant 99 23 — $72,112.00 $18,943.40 $103,030.00 $55,471.50 2026-03-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 99 23 — $71,709.00 $22,925.38 $102,437.00 $55,161.30 2026-03-17
447 MS_DRG UnGrouped 48 16 — $60,922.00 $44,520.50 $86,638.40 $55,064.75 2024-12-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 99 23 — $67,623.00 $17,010.40 $96,453.40 $54,619.20 2026-03-17
224 MS_DRG UnGrouped 6 2 — — $52,633.70 $65,792.10 $53,877.90 2024-12-19
G0299 HCPCS Hc Insertrplacmnt Aicd W Lead Singdual 26 10 $107,590.00 — $3,424.00 $99,413.10 $53,794.90 2024-12-19
361 OTHER UnGrouped 2 1 — — $53,035.20 $53,035.20 $53,035.20 2024-12-19
647 OTHER UnGrouped 2 1 — — $52,653.50 $52,653.50 $52,653.50 2024-12-19
427 MS_DRG UnGrouped 50 17 — $64,434.00 $11,583.40 $91,736.50 $52,043.10 2024-12-19
360 OTHER UnGrouped 2 1 — — $51,291.30 $51,291.30 $51,291.30 2024-12-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 99 23 — $63,144.00 $23,737.24 $89,898.90 $50,062.51 2026-03-17
G0339 HCPCS Hc Robot Lin-radsurg Com, First 30 12 $99,490.60 — $7,600.00 $91,929.30 $49,745.30 2026-03-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 99 23 — $62,013.00 $15,000.08 $99,616.60 $49,473.59 2026-03-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 90 21 — $64,119.00 $31,082.64 $91,320.40 $49,322.50 2026-03-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 99 23 — $60,695.00 $29,569.40 $94,141.69 $48,993.10 2026-03-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 99 23 — $60,595.00 $12,968.60 $86,160.20 $48,942.40 2026-03-17
226 MS_DRG UnGrouped 6 2 — — $45,955.00 $57,443.80 $48,646.80 2024-12-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 99 23 — $58,745.00 $30,812.00 $83,449.00 $47,309.01 2026-03-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 99 23 — $58,827.00 $29,497.58 $83,582.10 $47,295.05 2026-03-17
646 OTHER UnGrouped 2 1 — — $47,219.70 $47,219.70 $47,219.70 2024-12-19
790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 54 18 — $54,218.00 $5,521.63 $76,827.20 $45,760.40 2024-12-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 19 — $40,892.00 $6,312.86 $78,008.44 $45,760.36 2026-03-17
317 MS_DRG UnGrouped 50 17 — $56,349.00 $41,178.70 $79,941.70 $45,513.30 2024-12-19
430 OTHER UnGrouped 48 16 — $50,033.00 $36,562.90 $70,690.10 $45,222.50 2024-12-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 99 23 — $54,257.00 $27,564.60 $80,580.30 $45,056.24 2026-03-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 99 23 — $57,566.00 $26,095.50 $81,723.80 $44,991.56 2026-03-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 99 23 — $56,100.00 $26,018.18 $80,287.41 $44,898.74 2026-03-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 99 23 — $54,623.00 $26,714.06 $77,413.90 $44,119.40 2026-03-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 99 23 — $55,664.00 $26,443.44 $78,937.60 $43,761.48 2026-03-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc 90 21 — $56,420.00 $26,211.48 $80,045.10 $43,400.30 2026-03-17
28 MS_DRG Spinal Procedures With Mcc 99 23 — $55,406.00 $26,598.08 $78,560.20 $43,328.93 2026-03-17
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 99 23 — $55,021.00 $21,688.30 $88,413.90 $43,170.70 2026-03-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 99 23 — $53,683.00 $18,092.88 $76,036.40 $43,134.21 2026-03-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 99 23 — $52,405.00 $24,665.08 $74,165.10 $43,073.00 2026-03-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 99 23 — $55,911.00 $25,438.28 $77,413.90 $43,008.70 2026-03-17
450 MS_DRG UnGrouped 48 16 — $47,206.00 $34,497.10 $66,549.60 $42,667.40 2024-12-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 99 23 — $53,137.00 $25,013.02 $76,975.50 $42,392.81 2026-03-17
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 99 23 — $55,021.00 $20,644.40 $77,996.80 $42,324.60 2026-03-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 99 23 — $52,103.00 $24,239.82 $73,721.80 $42,083.40 2026-03-17
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 22 9 — — $40,786.30 $120,593.00 $41,602.00 2026-03-17
653 MS_DRG Major Bladder Procedures With Mcc 99 23 — $50,951.00 $21,301.66 $72,035.40 $41,153.40 2026-03-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 99 23 — $50,534.00 $23,427.96 $72,040.10 $40,816.30 2026-03-17
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 99 23 — $50,534.00 $19,020.70 $78,269.10 $40,816.30 2026-03-17
428 MS_DRG UnGrouped 50 17 — $50,329.00 $9,163.91 $71,143.70 $40,651.00 2024-12-19
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 99 23 — $49,773.00 $18,015.56 $73,560.38 $40,592.37 2026-03-17
223 MS_DRG UnGrouped 6 2 — — $39,662.10 $50,737.80 $40,590.20 2024-12-19
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 56 18 — $38,406.00 $24,278.48 $68,213.78 $40,326.62 2026-03-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 99 23 — $49,664.00 $21,185.70 $70,151.20 $40,113.70 2026-03-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 130 23 — $49,420.00 $26,056.80 $69,847.37 $39,916.30 2026-03-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 99 23 — $48,707.00 $24,665.08 $68,749.10 $39,340.50 2026-03-17
225 MS_DRG UnGrouped 6 2 — — $38,438.50 $49,155.80 $39,324.60 2024-12-19
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 99 23 — $49,375.00 $17,551.64 $69,727.30 $39,255.52 2026-03-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 99 23 — $48,499.00 $25,361.00 $68,444.10 $39,173.00 2026-03-17
227 MS_DRG UnGrouped 6 2 — — $36,484.70 $45,605.90 $38,157.30 2024-12-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 96 22 — $47,055.00 $23,002.70 $66,331.20 $38,006.50 2026-03-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 99 23 — $49,369.00 $19,445.98 $69,718.30 $37,976.80 2026-03-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 99 23 — $46,716.00 $23,853.20 $65,833.60 $37,732.80 2026-03-17
608 OTHER UnGrouped 2 1 — — $37,472.90 $37,472.90 $37,472.90 2024-12-19
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 99 23 — $45,945.00 $9,896.96 $74,803.30 $37,110.00 2026-03-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 99 23 — $45,734.00 $21,572.28 $64,394.00 $36,939.70 2026-03-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 99 23 — $46,579.00 $22,964.00 $65,632.00 $36,657.39 2026-03-17
245 MS_DRG Aicd Generator Procedures 99 23 — $44,883.00 $19,909.90 $63,148.20 $36,252.00 2026-03-17
648 OTHER UnGrouped 2 1 — — $36,201.00 $36,201.00 $36,201.00 2024-12-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 99 23 — $45,893.00 $21,997.50 $64,634.40 $36,130.17 2026-03-17
6 MS_DRG Liver Transplant Without Mcc 99 23 — $44,551.00 $14,922.76 $62,662.30 $35,984.00 2026-03-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 99 23 — $46,207.00 $21,456.30 $65,086.70 $35,544.40 2026-03-17
994 MS_DRG UnGrouped 12 5 — — $35,026.00 $35,726.50 $35,376.25 2024-12-19
278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 62 19 — $45,911.00 $21,572.30 $64,652.50 $35,316.40 2024-12-19
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 99 23 — $43,901.00 $19,948.56 $61,709.90 $35,311.50 2026-03-17
799 MS_DRG Splenic Procedures With Mcc 99 23 — $43,718.00 $19,330.00 $61,442.40 $35,311.30 2026-03-17
471 MS_DRG Cervical Spinal Fusion With Mcc 99 23 — $44,623.00 $13,531.00 $62,767.00 $35,223.62 2026-03-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 96 22 — $43,276.00 $23,621.30 $60,795.00 $34,954.30 2026-03-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 99 23 — $42,287.00 $21,997.54 $61,767.65 $34,940.03 2026-03-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 20 — $32,644.00 $20,683.10 $57,498.01 $34,276.31 2026-03-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 99 23 — $42,417.00 $16,925.20 $59,536.30 $34,234.83 2026-03-17
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 68 20 — $43,710.00 $22,461.50 $61,439.80 $34,217.35 2024-12-19
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 99 23 — $42,281.00 $22,654.80 $59,338.50 $34,082.97 2026-03-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 90 21 — $42,810.00 $19,871.24 $60,120.40 $33,769.14 2026-03-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 99 23 — $43,054.00 $19,561.96 $60,469.30 $33,535.95 2026-03-17
318 OTHER UnGrouped 2 1 — — $33,438.60 $33,438.60 $33,438.60 2024-12-19
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 99 23 — $41,226.00 $21,263.00 $57,791.70 $33,298.10 2026-03-17
677 OTHER UnGrouped 2 1 — — $32,966.60 $32,966.60 $32,966.60 2024-12-19
163 MS_DRG Major Chest Procedures With Mcc 99 23 — $42,434.00 $17,281.00 $59,560.80 $32,941.23 2026-03-17
691 OTHER UnGrouped 2 1 — — $32,930.20 $32,930.20 $32,930.20 2024-12-19
362 OTHER UnGrouped 2 1 — — $32,744.90 $32,744.90 $32,744.90 2024-12-19
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 99 23 — $40,524.00 $19,445.98 $56,764.30 $32,692.49 2026-03-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 99 23 — $41,573.00 $20,451.10 $58,299.50 $32,647.30 2026-03-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 99 23 — $39,864.00 $19,716.60 $55,797.60 $32,198.50 2026-03-17
396 OTHER UnGrouped 2 1 — — $31,888.80 $31,888.80 $31,888.80 2024-12-19
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 99 23 — $41,335.00 $19,793.90 $57,951.90 $31,796.70 2026-03-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 90 21 — $39,347.00 $14,922.76 $55,041.60 $31,754.84 2026-03-17
C1722 HCPCS Hc (Sup Shell C1722) Aicd, Single Chamber 1 1 — — $31,721.83 $31,721.83 $31,721.83 2026-03-17
901 MS_DRG Wound Debridements For Injuries With Mcc 130 23 — $40,857.00 $17,899.58 $57,251.50 $31,428.80 2026-03-17
140 MS_DRG Major Head And Neck Procedures With Mcc 99 23 — $39,081.00 $4,061.23 $55,982.06 $31,325.18 2026-03-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 130 23 — $38,740.00 $19,020.70 $54,908.53 $31,290.70 2026-03-17
791 MS_DRG Prematurity With Major Problems 79 21 — $37,587.00 $2,394.92 $53,274.38 $31,252.00 2026-03-17
448 MS_DRG UnGrouped 76 20 — $37,795.00 $19,175.36 $52,767.20 $31,155.62 2026-03-17
459 MS_DRG Spinal Fusion Except Cervical With Mcc 22 9 — — $30,541.40 $58,918.10 $31,152.20 2026-03-17
793 MS_DRG Full Term Neonate With Major Problems 96 23 — $38,563.00 $3,904.66 $54,726.00 $31,143.37 2026-03-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 99 23 — $39,403.00 $19,330.00 $55,121.80 $31,128.27 2026-03-17
33249 CPT Hc Insertrplacmnt Aicd W Lead Singdual 123 30 $107,590.00 $37,957.00 65% off $1,835.40 $99,413.10 $31,050.42 2026-03-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 96 22 — $38,477.00 $18,402.16 $53,764.80 $31,033.82 2026-03-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 99 23 — $38,048.00 $17,242.36 $53,136.80 $30,731.20 2026-03-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 99 23 — $39,943.00 $11,791.30 $55,913.90 $30,725.70 2026-03-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 99 23 — $38,027.00 $9,394.38 $53,107.10 $30,714.90 2026-03-17
33264 CPT Hc Rem Pac Cvdfb Pls Gen &repl Plse Gen Multi Lead 122 30 $166,709.00 $37,957.00 77% off $809.84 $154,039.00 $30,658.10 2026-03-17
33231 CPT Hc Insj Implntbl Defib Pulse Gen Wexist Multileads 122 30 $106,528.00 $37,957.00 64% off $802.94 $98,431.70 $30,658.10 2026-03-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 99 23 — $37,653.00 $15,038.70 $65,566.60 $30,412.70 2026-03-17
G0340 HCPCS Hc Robt Lin-radsurg Fractx 2-5 30 12 $60,544.70 — $6,189.00 $55,943.30 $30,272.40 2026-03-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 99 23 — $38,732.00 $14,729.46 $55,146.00 $29,793.80 2026-03-17
363 OTHER UnGrouped 2 1 — — $29,755.20 $29,755.20 $29,755.20 2024-12-19
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 99 23 — $37,974.00 $13,569.66 $53,028.20 $29,712.20 2026-03-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 130 23 — $36,508.00 $14,574.82 $50,881.70 $29,487.70 2026-03-17
C1817 HCPCS Hc (Sup Shell C1817) Septal Defect Imp Sys 1 1 — — $29,441.65 $29,441.65 $29,441.65 2026-03-17
402 MS_DRG UnGrouped 50 17 — $36,284.00 $10,369.30 $50,777.10 $29,306.70 2024-12-19
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 99 23 — $36,267.00 $17,976.90 $50,558.00 $29,293.20 2026-03-17
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 22 9 — — $28,144.50 $79,971.90 $28,707.40 2026-03-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 99 23 — $36,077.00 $17,126.38 $50,251.10 $28,594.76 2026-03-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 99 23 — $35,309.00 $17,319.68 $49,125.50 $28,519.30 2026-03-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 99 23 — $36,915.00 $16,314.50 $51,478.80 $28,396.40 2026-03-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 130 23 — $36,890.00 $14,613.48 $51,442.60 $28,377.40 2026-03-17
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 99 23 — $35,048.00 $17,087.72 $48,743.00 $28,308.30 2026-03-17
628 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 68 20 — $36,580.00 $13,028.40 $50,998.00 $28,138.50 2024-12-19
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 96 23 — $36,438.00 $16,391.80 $50,779.60 $28,029.30 2026-03-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 99 23 — $33,395.00 $15,038.70 $48,825.15 $27,980.40 2026-03-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 99 23 — $35,492.00 $8,389.22 $69,153.40 $27,849.57 2026-03-17
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 99 23 — $35,868.00 $12,835.10 $49,946.10 $27,751.89 2026-03-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 99 23 — $35,738.00 $14,884.10 $49,766.50 $27,674.43 2026-03-17
904 OTHER Skin Grafts For Injuries With Ccmcc 68 20 — $35,833.00 $14,304.20 $49,894.40 $27,655.50 2024-12-19
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 31 20 — $26,284.00 $16,198.54 $45,671.93 $27,599.04 2026-03-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 99 23 — $34,782.00 $12,409.90 $48,383.70 $27,520.40 2026-03-17
904 MS_DRG Skin Grafts For Injuries With Ccmcc 31 20 — $25,930.00 $15,657.30 $56,959.20 $27,227.45 2026-03-17
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 99 23 — $33,388.00 $16,817.10 $46,313.40 $26,967.90 2026-03-17
332 MS_DRG Rectal Resection With Mcc 99 23 — $32,371.00 $16,507.80 $54,619.70 $26,864.88 2026-03-17
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 99 23 — $33,394.00 $19,871.24 $46,326.40 $26,803.35 2026-03-17
649 OTHER UnGrouped 2 1 — — $26,598.40 $26,598.40 $26,598.40 2024-12-19
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Ccm… 99 23 — $32,915.00 $14,072.24 $42,374.50 $26,585.90 2026-03-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 99 23 — $33,736.00 $16,159.90 $46,831.70 $26,520.31 2026-03-17
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 99 23 — $32,829.00 $16,469.20 $45,492.80 $26,516.10 2026-03-17
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 99 23 — $33,099.00 $15,927.90 $45,889.60 $26,492.84 2026-03-17
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 99 23 — $32,681.00 $13,569.70 $45,277.00 $26,396.30 2026-03-17
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 99 23 — $32,659.00 $13,956.26 $50,128.10 $26,378.50 2026-03-17
451 MS_DRG UnGrouped 48 16 — $28,994.00 $21,188.60 $39,877.80 $26,206.95 2024-12-19
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 99 23 — $32,405.00 $15,193.38 $121,709.00 $26,173.30 2026-03-17
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 31 20 — $24,918.00 $17,203.70 $43,130.25 $26,164.01 2026-03-17
094 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 68 20 — $33,959.00 $22,848.10 $47,148.30 $26,122.80 2024-12-19
271 MS_DRG Other Major Cardiovascular Procedures With Cc 96 22 — $32,157.00 $15,850.60 $44,512.00 $25,973.00 2026-03-17
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 99 23 — $31,987.00 $16,043.90 $44,260.00 $25,836.20 2026-03-17
692 OTHER UnGrouped 2 1 — — $25,744.60 $25,744.60 $25,744.60 2024-12-19
265 MS_DRG Aicd Lead Procedures 99 23 — $33,240.00 $15,773.28 $46,095.10 $25,704.00 2026-03-17
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 99 23 — $29,771.00 $14,110.90 $44,467.27 $25,637.02 2026-03-17
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 99 23 — $31,694.00 $9,239.74 $43,834.80 $25,599.60 2026-03-17
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 99 23 — $32,337.00 $13,762.96 $44,774.30 $25,514.79 2026-03-17
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 118 21 — $30,039.00 $15,502.70 $44,196.43 $25,491.40 2026-03-17
252 MS_DRG Other Vascular Procedures With Mcc 99 23 — $32,033.00 $15,618.64 $44,328.50 $25,409.10 2026-03-17
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 99 23 — $32,109.00 $15,502.70 $44,439.60 $25,391.31 2026-03-17
364 OTHER UnGrouped 2 1 — — $25,335.20 $25,335.20 $25,335.20 2024-12-19
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 99 23 — $32,907.00 $12,332.50 $49,216.20 $25,313.80 2026-03-17
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 99 23 — $32,671.00 $15,618.64 $45,269.30 $25,219.80 2026-03-17
676 OTHER UnGrouped 2 1 — — $25,213.20 $25,213.20 $25,213.20 2024-12-19
264 MS_DRG Other Circulatory System O.r. Procedures 99 23 — $32,604.00 $15,811.90 $45,164.60 $25,080.30 2026-03-17
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 99 23 — $31,383.00 $15,116.06 $43,376.10 $25,075.26 2026-03-17
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 99 23 — $31,820.00 $14,188.22 $50,780.50 $24,971.10 2026-03-17
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 99 23 — $30,899.00 $8,543.86 $45,914.58 $24,957.60 2026-03-17
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 99 23 — $25,910.00 $11,714.00 $40,481.94 $24,668.67 2026-03-17
665 MS_DRG Prostatectomy With Mcc 99 23 — $32,061.00 $12,796.46 $44,369.80 $24,662.90 2026-03-17
93654 CPT Hc Ephys Eval W Ablation Ventricular Tachycardia 119 29 $61,505.20 $27,402.00 55% off $1,931.51 $56,830.80 $24,602.10 2026-03-17
93656 CPT Hc Ephys Evl Trnsptl Tx Atril Fib Isolat Pulm Vein 119 29 $61,505.20 $27,402.00 55% off $1,936.85 $56,830.80 $24,602.10 2026-03-17
93653 CPT Hc Ephys Eval W Ablation Supravent Arrhythmia 119 29 $61,505.20 $27,402.00 55% off $1,441.96 $56,830.80 $24,602.10 2026-03-17
37 MS_DRG Extracranial Procedures With Mcc 99 23 — $31,067.00 $14,574.82 $42,913.40 $24,591.21 2026-03-17
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 31 20 — $23,417.00 $13,956.26 $40,339.78 $24,588.41 2026-03-17
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 99 23 — $30,171.00 $14,884.10 $41,658.60 $24,141.39 2026-03-17
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 99 23 — $30,512.00 $13,067.08 $42,099.30 $23,841.80 2026-03-17
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 99 23 — $30,524.00 $12,873.78 $42,117.30 $23,802.98 2026-03-17
500 MS_DRG Soft Tissue Procedures With Mcc 31 20 — $22,581.00 $14,574.82 $38,784.62 $23,710.37 2026-03-17
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 99 23 — $29,903.00 $10,631.50 $41,216.60 $23,613.20 2026-03-17
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 99 23 — $29,174.00 $13,724.30 $40,140.10 $23,604.42 2026-03-17
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 99 23 — $30,606.00 $13,956.26 $42,238.80 $23,543.80 2026-03-17
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 99 23 — $29,051.00 $14,536.20 $39,960.50 $23,464.60 2026-03-17
652 MS_DRG Kidney Transplant 99 23 — $28,866.00 $13,260.38 $42,387.19 $23,446.76 2026-03-17
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 90 21 — $29,957.00 $14,226.88 $41,289.00 $23,387.33 2026-03-17
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 68 20 — $29,303.00 $15,696.00 $40,330.10 $23,337.30 2024-12-19
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 99 23 — $28,975.00 $13,492.34 $39,849.40 $23,330.17 2026-03-17
662 MS_DRG Minor Bladder Procedures With Mcc 99 23 — $29,291.00 $12,564.50 $40,312.00 $22,995.53 2026-03-17
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 99 23 — $28,753.00 $12,796.46 $39,523.70 $22,978.60 2026-03-17
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Ccmcc 99 23 — $29,827.00 $13,724.30 $42,273.00 $22,950.30 2026-03-17
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 90 21 — $27,019.00 $12,796.50 $39,343.45 $22,881.77 2026-03-17
248 MS_DRG UnGrouped 6 2 — — $22,135.40 $27,669.30 $22,874.50 2024-12-19
500 OTHER Soft Tissue Procedures With Mcc 68 20 — $29,724.00 $14,922.80 $40,946.50 $22,865.10 2024-12-19
246 MS_DRG UnGrouped 6 2 — — $21,870.10 $27,337.60 $22,765.00 2024-12-19
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 130 23 — $27,782.00 $11,366.04 $38,170.65 $22,702.70 2026-03-17
104 OTHER UnGrouped 2 1 — — $22,479.30 $22,479.30 $22,479.30 2024-12-19
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 99 23 — $26,520.00 $13,105.70 $38,506.44 $22,431.68 2026-03-17
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 56 18 — $21,339.00 $12,680.48 $36,475.78 $22,406.69 2026-03-17
173 OTHER Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 62 19 — $28,841.00 $11,288.70 $39,652.90 $22,185.70 2024-12-19
570 MS_DRG Skin Debridement With Mcc 100 24 — $28,326.00 $11,675.32 $38,903.40 $22,162.46 2026-03-17
472 MS_DRG Cervical Spinal Fusion With Cc 99 23 — $27,329.00 $12,912.44 $37,437.90 $22,073.50 2026-03-17
668 MS_DRG Transurethral Procedures With Mcc 31 20 — $20,968.00 $11,984.60 $38,325.00 $22,016.40 2026-03-17
33240 CPT Hc Insert Pulse Gen,sngldual 122 30 $76,831.80 $27,195.00 65% off $731.26 $70,992.60 $22,003.74 2026-03-17
33230 CPT Hc Insj Implntbl Defib Pulse Gen Wexist Dual Leads 122 30 $76,831.80 $27,195.00 65% off $764.34 $70,992.60 $21,965.80 2026-03-17
33263 CPT Hc Rem Pac Cvdfb Plse Gen &repl Plse Gen Dual Lead 122 30 $76,435.20 $27,195.00 64% off $777.44 $70,626.10 $21,965.80 2026-03-17
33262 CPT Hc Rem Pac Cvdfb Plse Gen &repl Plse Gen Sngl Lead 122 30 $76,435.20 $27,195.00 64% off $745.05 $70,626.10 $21,965.80 2026-03-17
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 31 20 — $20,917.00 $17,319.68 $36,380.80 $21,963.17 2026-03-17
263 MS_DRG Vein Ligation And Stripping 130 23 — $25,431.00 $13,337.70 $37,468.44 $21,873.51 2026-03-17
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 99 23 — $27,063.00 $9,471.70 $39,638.81 $21,859.10 2026-03-17
480 OTHER Hip And Femur Procedures Except Major Joint With Mcc 68 20 — $27,715.00 $15,657.30 $38,006.50 $21,852.70 2024-12-19
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 99 23 — $27,034.00 $12,255.22 $37,006.30 $21,835.50 2026-03-17
668 OTHER Transurethral Procedures With Mcc 68 20 — $27,497.00 $13,183.10 $37,684.80 $21,831.85 2024-12-19
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 99 23 — $27,645.00 $13,221.70 $37,900.60 $21,795.30 2026-03-17
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 99 23 — $26,984.00 $12,525.80 $37,016.23 $21,794.90 2026-03-17
C9602 HCPCS Hc Prq Drug Eluting Cor Stent Ather S 124 26 $53,355.70 $20,231.00 62% off $3,131.44 $81,741.30 $21,787.50 2026-03-17
974 MS_DRG HIV With Major Related Condition With Mcc 99 23 — $28,114.00 $11,250.06 $39,778.30 $21,781.20 2026-03-17
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 99 23 — $27,483.00 $13,221.72 $37,665.40 $21,671.90 2026-03-17
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Ccmcc 22 9 — — $21,185.70 $41,836.40 $21,609.40 2026-03-17
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 99 23 — $24,044.00 $12,023.30 $39,595.50 $21,605.96 2026-03-17
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 99 23 — $26,545.00 $11,134.10 $36,290.40 $21,440.70 2026-03-17
619 MS_DRG O.r. Procedures For Obesity With Mcc 99 23 — $25,823.00 $8,427.88 $35,385.09 $21,317.61 2026-03-17
654 MS_DRG Major Bladder Procedures With Cc 99 23 — $26,666.00 $11,482.02 $38,099.30 $21,181.34 2026-03-17
800 MS_DRG Splenic Procedures With Cc 99 23 — $27,475.00 $11,984.60 $37,652.40 $21,135.10 2026-03-17
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Ccmcc 99 23 — $25,094.00 $6,572.20 $36,079.95 $21,126.87 2026-03-17
240 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 68 20 — $27,461.00 $13,608.30 $37,631.80 $21,124.20 2024-12-19
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 31 20 — $20,510.00 $12,448.52 $34,932.88 $20,951.18 2026-03-17
C9607 HCPCS Hc Perc D-e Cor Revasc Chro Sin 126 26 $86,042.60 $20,231.00 76% off $3,131.44 $79,503.40 $20,785.00 2026-03-17
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Ccmcc 99 23 — $25,148.00 $9,278.40 $35,316.46 $20,716.32 2026-03-17
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 99 23 — $25,619.00 $15,193.38 $34,933.40 $20,692.50 2026-03-17
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 90 21 — $26,884.00 $11,868.60 $36,787.90 $20,680.40 2026-03-17
C1764 HCPCS Hc (Sup Shell C1764) Event Recorder, Cardiac 4 3 — — $15,750.00 $22,495.18 $20,587.50 2026-03-17
288 MS_DRG Acute And Subacute Endocarditis With Mcc 99 23 — $25,867.00 $13,763.00 $35,296.60 $20,493.40 2026-03-17
963 MS_DRG Other Multiple Significant Trauma With Mcc 99 23 — $25,736.00 $10,631.50 $35,106.60 $20,444.03 2026-03-17
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 99 23 — $25,177.00 $11,250.06 $34,287.30 $20,335.50 2026-03-17
503 MS_DRG Foot Procedures With Mcc 100 24 — $25,118.00 $9,317.06 $34,204.93 $20,203.15 2026-03-17
338 MS_DRG UnGrouped 6 2 — — $19,581.10 $24,476.40 $20,189.40 2024-12-19
468 MS_DRG Revision Of Hip Or Knee Replacement Without Ccmcc 99 23 — $24,912.00 $12,293.90 $33,899.60 $20,121.70 2026-03-17
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 99 23 — $24,249.00 $11,443.40 $33,969.63 $19,992.08 2026-03-17
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 99 23 — $25,261.00 $10,515.52 $42,645.50 $19,902.10 2026-03-17
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 99 23 — $25,446.00 $9,239.74 $34,686.60 $19,839.20 2026-03-17
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 130 23 — $24,852.00 $11,752.64 $33,810.40 $19,825.89 2026-03-17
56 MS_DRG Degenerative Nervous System Disorders With Mcc 99 23 — $23,860.00 $15,367.10 $32,359.20 $19,755.30 2026-03-17
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 99 23 — $25,540.00 $11,868.62 $34,819.70 $19,683.20 2026-03-17
253 MS_DRG Other Vascular Procedures With Cc 99 23 — $24,292.00 $9,317.06 $32,991.10 $19,620.70 2026-03-17
849 MS_DRG Radiotherapy 99 23 — $25,334.00 $9,123.76 $34,516.00 $19,580.90 2026-03-17
609 OTHER UnGrouped 2 1 — — $19,559.30 $19,559.30 $19,559.30 2024-12-19
164 MS_DRG Major Chest Procedures With Cc 99 23 — $23,974.00 $9,355.72 $32,524.60 $19,276.32 2026-03-17
272 MS_DRG Other Major Cardiovascular Procedures Without Ccmcc 99 23 — $23,844.00 $11,134.08 $32,333.30 $19,258.70 2026-03-17
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 99 23 — $24,568.00 $10,438.20 $33,395.60 $18,996.91 2026-03-17
749 MS_DRG Other Female Reproductive System O.r. Procedures With Ccmcc 99 23 — $24,606.00 $10,476.86 $33,449.90 $18,996.60 2026-03-17
545 MS_DRG Connective Tissue Disorders With Mcc 99 23 — $24,061.00 $12,525.80 $32,652.50 $18,983.69 2026-03-17
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Ccmcc 99 23 — $23,540.00 $11,172.74 $31,888.80 $18,965.00 2026-03-17
792 MS_DRG Prematurity Without Major Problems 79 21 — $23,380.00 $1,630.67 $32,145.75 $18,884.50 2026-03-17
678 OTHER UnGrouped 2 1 — — $18,835.50 $18,835.50 $18,835.50 2024-12-19
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 99 23 — $23,368.00 $11,752.60 $31,642.00 $18,823.14 2026-03-17
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 99 23 — $24,299.00 $8,311.90 $33,000.20 $18,809.85 2026-03-17
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 99 23 — $23,190.00 $11,250.06 $31,378.30 $18,724.23 2026-03-17
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 99 23 — $22,917.00 $15,038.70 $31,608.10 $18,722.20 2026-03-17
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Ccmcc 99 23 — $22,917.00 $13,763.00 $31,608.10 $18,722.20 2026-03-17
995 MS_DRG UnGrouped 12 5 — — $18,479.50 $18,849.10 $18,664.30 2024-12-19
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 99 23 — $24,134.00 $9,626.34 $28,775.60 $18,564.90 2026-03-17
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 99 23 — $22,951.00 $11,404.70 $31,079.91 $18,438.20 2026-03-17
473 MS_DRG Cervical Spinal Fusion Without Ccmcc 99 23 — $22,654.00 $11,327.40 $30,591.30 $18,298.00 2026-03-17
330 MS_DRG Major Small And Large Bowel Procedures With Cc 100 24 — $22,622.00 $10,051.60 $30,546.10 $18,241.55 2026-03-17
397 MS_DRG Appendix Procedures With Mcc 90 21 — $23,628.00 $10,167.60 $32,018.00 $18,176.00 2026-03-17
33221 CPT Hc Insert Pm Pulse Gen Only (existing Leads) 122 30 $61,745.60 $22,481.00 64% off $720.23 $57,053.00 $18,157.90 2026-03-17
33229 CPT Hc Remvl Perm Pm Pls Gen Wrepl Plse Gen Mult Ld Sys 122 30 $61,433.10 $22,481.00 63% off $749.18 $56,764.20 $18,157.90 2026-03-17
33274 CPT Hc Tcat Insrpl Perm Ldls Pm Wig 116 27 $88,464.60 $22,481.00 75% off $4,080.96 $81,741.30 $18,157.90 2026-03-17
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 99 23 — $23,107.00 $10,863.50 $31,271.10 $18,146.90 2026-03-17
93580 CPT Hc Perc Clos,cong Interatrial Commun Wimpl 103 27 $53,355.70 $20,231.00 62% off $1,684.37 $49,300.70 $18,133.98 2026-03-17
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 31 20 — $17,136.00 $12,255.22 $28,659.54 $17,993.54 2026-03-17
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