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

BAPTIST HEALTH HARDIN

Elizabethtown, KY · CCN 180012 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $4,708 across 20 payers · range $3,704-$10,915

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbHMHELIZABETHTOWNKY&type=CDMWithoutLabel&fileType=CSV · observed 2026-04-01

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.

11,936 distinct procedures filed
24 distinct payers
371,441 rate rows
2026-04-01 last MRF observed
Data quality

369,130 of 371,441 rate rows are consumer-grade (99.4%)

2,311 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,997
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 133
per-diem day rate — not a per-procedure price 118
percent-of-charges filed in the dollar field — excluded from medians 33
placeholder amount (≤ $0.02) — excluded from medians 21
exceeds 10× this hospital's gross charge — excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbHMHELIZABETHTOWNKY&type=CDMWithoutLabel&fileType=CSV
Found on page https://www.baptisthealth.com/patients-visitors/planning/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-18
Content fingerprint cd384a7e890d5447… · 180,656,178 bytes · first seen 2026-05-14

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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 $116,424.75 $385,193.55 $148,436.42 nat. median
$199,832
0.7× median
SUP_164145
CDM 		Cap Sys Imp Pascal-precision 20 $32,297.71 $287,090.72 $98,687.43 nat. median
$132,564
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 $82,121.67 $309,074.20 $97,110.23 nat. median
$132,706
0.7× median
SUP_126495
CDM 		Bundle Repr Mitraclip-g4 Nt-ntw-xt-xtw 3clip W-cath-sgc0701 20 $31,664.42 $281,461.49 $96,752.39 nat. median
$129,965
0.7× median
NDC00074106501
CDM 		Skyrizi 180 Mg-1.2ml Sc Soct 20 $27,880.84 $247,829.67 $85,191.45 nat. median
$106,567
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 $56,090.40 $614,905.78 $69,886.96 nat. median
$92,900
0.8× median
C1824
HCPCS 		Generator, Cardiac Contractility Modulation (implantable) 19 $27,442.49 $304,916.61 $63,483.64 nat. median
$35,282
1.8× median
HB_36033287000
CDM 		Operating Room Services - General Classification 20 $20,682.42 $183,843.74 $63,196.29 nat. median
$83,810
0.8× median
HB_36033278000
CDM 		Operating Room Services - General Classification 20 $20,682.42 $183,843.74 $63,196.29 nat. median
$83,810
0.8× median
C1604
HCPCS 		Graft, Transmural Transvenous Arterial Bypass (implantable), With All Delivery S… 18 $26,387.01 $293,189.05 $61,041.96 nat. median
$28,475
outlier · 2.1×
C1822
HCPCS 		Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 19 $22,798.38 $253,315.34 $52,740.25 nat. median
$32,176
1.6× median
C1882
HCPCS 		Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 19 $11,610.29 $233,378.48 $51,138.04 nat. median
$27,675
1.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 $41,072.17 $405,960.25 $50,938.58 nat. median
$68,581
0.7× median
HB_48193653000
CDM 		Hc Ep Eval W/ablat Svt Arrhythm/imag/rec 20 $16,511.67 $146,770.39 $50,452.32 nat. median
$64,249
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 24 $40,432.82 $174,974.01 $49,376.93 nat. median
$65,958
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 $38,751.34 $331,192.23 $49,134.76 nat. median
$65,792
0.7× median
C1826
HCPCS 		Generator, Neurostimulator (implantable), Includes Closed Feedback Loop Leads An… 18 $18,734.78 $304,916.61 $48,410.21 nat. median
$28,828
1.7× median
C2624
HCPCS 		Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 19 $20,581.87 $228,687.46 $47,612.73 nat. median
$32,499
1.5× median
HB_48193656000
CDM 		Hc Ep Evl Trnsptl Pulm Vein Ablat Imag/rec 20 $15,497.29 $137,753.66 $47,352.82 nat. median
$60,302
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 24 $37,591.80 $162,340.75 $45,968.60 nat. median
$62,218
0.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 $35,170.11 $116,360.98 $45,816.60 nat. median
$59,159
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 24 $36,000.99 $235,377.98 $42,910.31 nat. median
$58,419
0.7× median
28
MS_DRG 		Spinal Procedures With Mcc 24 $35,333.17 $141,150.79 $42,413.70 nat. median
$56,970
0.7× median
SUP_16402
CDM 		Kt Cann W-20d Dil Circt Pump Hd Bubl Trap 20 $13,721.25 $121,966.65 $41,926.04 nat. median
$56,318
0.7× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 23 $3,081.00 $98,376.60 $41,502.33 nat. median
$51,433
0.8× median
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 19 $11,062.49 $459,075.41 $41,316.79 nat. median
$23,668
1.7× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 $33,157.06 $226,703.01 $40,936.46 nat. median
$55,685
0.7× median
SUP_137662
CDM 		St Sup Heart-lung Beqhls-7050 Adv 7.0l 1p-u 20 $13,077.40 $116,243.59 $39,958.74 nat. median
$53,675
0.7× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 24 $27,077.92 $89,587.83 $39,858.92 nat. median
$51,984
0.8× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 $35,667.95 $173,899.24 $38,837.54 nat. median
$55,446
0.7× median
834
MS_DRG 		Acute Leukemia With Mcc 24 $28,872.43 $95,524.98 $38,393.10 nat. median
$52,155
0.7× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 $31,360.50 $120,219.69 $38,237.93 nat. median
$52,447
0.7× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 24 $29,833.05 $204,190.24 $37,693.15 nat. median
$50,808
0.7× median
HB_48193654000
CDM 		Hc Ep Eval W/ablat V Tach Imag/rec 20 $12,322.59 $109,534.16 $37,652.37 nat. median
$47,949
0.8× median
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 19 $96.02 $335,027.13 $37,361.67 nat. median
$22,838
1.6× median
SUP_41503
CDM 		Dev Coag Episense Guided 6130 W-visitrax 3cm Sgl 20 $12,138.03 $107,893.57 $37,088.42 nat. median
$49,820
0.7× median
C1721
HCPCS 		Cardioverter-defibrillator, Dual Chamber (implantable) 19 $8,338.30 $172,395.16 $36,547.77 nat. median
$22,566
1.6× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 24 $29,518.60 $123,747.06 $35,629.29 nat. median
$48,124
0.7× median
SUP_166068
CDM 		Guide Face-feminization Vsp 20 $11,568.10 $102,827.54 $35,346.96 nat. median
$47,481
0.7× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 $29,273.33 $122,205.06 $35,159.93 nat. median
$47,513
0.7× median
876
MS_DRG 		O.r. Procedures With Principal Diagnosis Of Mental Illness 17 $26,987.86 $98,929.25 $35,128.08 nat. median
$33,858
1.0× median
C9606
HCPCS 		Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 19 $10,739.57 $119,328.60 $34,724.62 nat. median
$17,594
2.0× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 $29,069.90 $110,315.71 $34,623.83 nat. median
$47,707
0.7× median
HB_36037224001
CDM 		Operating Room Services - General Classification 20 $11,252.04 $100,018.14 $34,381.24 nat. median
$45,596
0.8× median
HB_36107950000
CDM 		Operating Room Services - Minor Surgery 20 $11,168.30 $99,273.81 $34,125.38 nat. median
$43,780
0.8× median
HB_36108230000
CDM 		Operating Room Services - Minor Surgery 20 $11,156.69 $99,170.61 $34,089.90 nat. median
$43,734
0.8× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 $27,633.11 $131,232.59 $33,517.57 nat. median
$45,808
0.7× median
HB_36009774000
CDM 		Operating Room Services - General Classification 20 $10,948.29 $97,318.17 $33,453.12 nat. median
$44,365
0.8× median
HB_36036837000
CDM 		Operating Room Services - General Classification 20 $10,948.29 $97,318.17 $33,453.12 nat. median
$44,365
0.8× median
HB_36036836000
CDM 		Operating Room Services - General Classification 20 $10,948.29 $97,318.17 $33,453.12 nat. median
$44,365
0.8× median

Other procedures at this hospital

Browse this hospital's 11,936 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
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 24 $481,491.94 $361,118.95 25% off $116,424.75 $385,193.55 $148,436.42 2026-04-01
SUP_164145 CDM Cap Sys Imp Pascal-precision 20 20 $358,863.40 $269,147.55 25% off $32,297.71 $287,090.72 $98,687.43 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 24 $386,342.75 $289,757.07 25% off $82,121.67 $309,074.20 $97,110.23 2026-04-01
SUP_126495 CDM Bundle Repr Mitraclip-g4 Nt-ntw-xt-xtw 3clip W-cath-sgc0701 20 20 $351,826.86 $263,870.15 25% off $31,664.42 $281,461.49 $96,752.39 2026-04-01
NDC00074106501 CDM Skyrizi 180 Mg-1.2ml Sc Soct 20 20 $309,787.09 $232,340.32 25% off $27,880.84 $247,829.67 $85,191.45 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 24 $768,632.23 $576,474.17 25% off $56,090.40 $614,905.78 $69,886.96 2026-04-01
C1824 HCPCS Generator, Cardiac Contractility Modulation (implantable) 19 19 $304,916.61 $228,687.46 25% off $27,442.49 $304,916.61 $63,483.64 2026-04-01
HB_36033287000 CDM Operating Room Services - General Classification 20 20 $229,804.67 $172,353.50 25% off $20,682.42 $183,843.74 $63,196.29 2026-04-01
HB_36033278000 CDM Operating Room Services - General Classification 20 20 $229,804.67 $172,353.50 25% off $20,682.42 $183,843.74 $63,196.29 2026-04-01
C1604 HCPCS Graft, Transmural Transvenous Arterial Bypass (implantable), With All Delivery S… 18 18 $293,189.05 $219,891.79 25% off $26,387.01 $293,189.05 $61,041.96 2026-04-01
C1822 HCPCS Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 19 19 $253,315.34 $189,986.51 25% off $22,798.38 $253,315.34 $52,740.25 2026-04-01
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 247 19 $180,604.45 $135,453.34 25% off $11,610.29 $233,378.48 $51,138.04 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 24 $507,450.31 $380,587.73 25% off $41,072.17 $405,960.25 $50,938.58 2026-04-01
HB_48193653000 CDM Hc Ep Eval W/ablat Svt Arrhythm/imag/rec 20 20 $183,462.99 $137,597.24 25% off $16,511.67 $146,770.39 $50,452.32 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 24 $218,717.52 $164,038.14 25% off $40,432.82 $174,974.01 $49,376.93 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 24 $413,990.29 $310,492.72 25% off $38,751.34 $331,192.23 $49,134.76 2026-04-01
C1826 HCPCS Generator, Neurostimulator (implantable), Includes Closed Feedback Loop Leads An… 36 18 $256,540.42 $192,405.32 25% off $18,734.78 $304,916.61 $48,410.21 2026-04-01
C2624 HCPCS Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 19 19 $228,687.46 $171,515.60 25% off $20,581.87 $228,687.46 $47,612.73 2026-04-01
HB_48193656000 CDM Hc Ep Evl Trnsptl Pulm Vein Ablat Imag/rec 20 20 $172,192.07 $129,144.05 25% off $15,497.29 $137,753.66 $47,352.82 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 24 $202,925.94 $152,194.46 25% off $37,591.80 $162,340.75 $45,968.60 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 24 $145,451.23 $109,088.42 25% off $35,170.11 $116,360.98 $45,816.60 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 24 24 $294,222.48 $220,666.86 25% off $36,000.99 $235,377.98 $42,910.31 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 24 24 $176,438.49 $132,328.87 25% off $35,333.17 $141,150.79 $42,413.70 2026-04-01
SUP_16402 CDM Kt Cann W-20d Dil Circt Pump Hd Bubl Trap 20 20 $152,458.31 $114,343.73 25% off $13,721.25 $121,966.65 $41,926.04 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 23 23 $122,970.75 $92,228.06 25% off $3,081.00 $98,376.60 $41,502.33 2026-04-01
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 228 19 $223,937.80 $167,953.35 25% off $11,062.49 $459,075.41 $41,316.79 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 24 $283,378.77 $212,534.07 25% off $33,157.06 $226,703.01 $40,936.46 2026-04-01
SUP_137662 CDM St Sup Heart-lung Beqhls-7050 Adv 7.0l 1p-u 20 20 $145,304.49 $108,978.37 25% off $13,077.40 $116,243.59 $39,958.74 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 24 $111,984.79 $83,988.59 25% off $27,077.92 $89,587.83 $39,858.92 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 24 $217,374.05 $163,030.54 25% off $35,667.95 $173,899.24 $38,837.54 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 24 24 $119,406.23 $89,554.67 25% off $28,872.43 $95,524.98 $38,393.10 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 24 $150,274.61 $112,705.96 25% off $31,360.50 $120,219.69 $38,237.93 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 24 24 $255,237.80 $191,428.35 25% off $29,833.05 $204,190.24 $37,693.15 2026-04-01
HB_48193654000 CDM Hc Ep Eval W/ablat V Tach Imag/rec 20 20 $136,917.70 $102,688.28 25% off $12,322.59 $109,534.16 $37,652.37 2026-04-01
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 209 19 $202,886.82 $152,165.12 25% off $96.02 $335,027.13 $37,361.67 2026-04-01
SUP_41503 CDM Dev Coag Episense Guided 6130 W-visitrax 3cm Sgl 20 20 $134,866.96 $101,150.22 25% off $12,138.03 $107,893.57 $37,088.42 2026-04-01
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 133 19 $123,139.40 $92,354.55 25% off $8,338.30 $172,395.16 $36,547.77 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 24 $154,683.82 $116,012.87 25% off $29,518.60 $123,747.06 $35,629.29 2026-04-01
SUP_166068 CDM Guide Face-feminization Vsp 20 20 $128,534.43 $96,400.82 25% off $11,568.10 $102,827.54 $35,346.96 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 24 $152,756.33 $114,567.25 25% off $29,273.33 $122,205.06 $35,159.93 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 17 17 $123,661.56 $92,746.17 25% off $26,987.86 $98,929.25 $35,128.08 2026-04-01
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 19 19 $119,328.60 $89,496.45 25% off $10,739.57 $119,328.60 $34,724.62 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 24 $137,894.63 $103,420.97 25% off $29,069.90 $110,315.71 $34,623.83 2026-04-01
HB_36037224001 CDM Operating Room Services - General Classification 20 20 $125,022.67 $93,767.00 25% off $11,252.04 $100,018.14 $34,381.24 2026-04-01
HB_36107950000 CDM Operating Room Services - Minor Surgery 20 20 $124,092.26 $93,069.20 25% off $11,168.30 $99,273.81 $34,125.38 2026-04-01
HB_36108230000 CDM Operating Room Services - Minor Surgery 20 20 $123,963.26 $92,972.45 25% off $11,156.69 $99,170.61 $34,089.90 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 24 $164,040.73 $123,030.55 25% off $27,633.11 $131,232.59 $33,517.57 2026-04-01
HB_36009774000 CDM Operating Room Services - General Classification 20 20 $121,647.71 $91,235.78 25% off $10,948.29 $97,318.17 $33,453.12 2026-04-01
HB_36036837000 CDM Operating Room Services - General Classification 20 20 $121,647.71 $91,235.78 25% off $10,948.29 $97,318.17 $33,453.12 2026-04-01
HB_36036836000 CDM Operating Room Services - General Classification 20 20 $121,647.71 $91,235.78 25% off $10,948.29 $97,318.17 $33,453.12 2026-04-01
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 20 20 $119,328.60 $89,496.45 25% off $10,739.57 $119,328.60 $33,412.01 2026-04-01
HB_36033276000 CDM Operating Room Services - General Classification 20 20 $120,434.63 $90,325.97 25% off $10,839.12 $96,347.70 $33,119.52 2026-04-01
HB_36033277000 CDM Operating Room Services - General Classification 20 20 $120,434.63 $90,325.97 25% off $10,839.12 $96,347.70 $33,119.52 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 24 24 $332,033.72 $249,025.29 25% off $27,039.69 $265,626.98 $32,993.92 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 24 $145,830.76 $109,373.07 25% off $26,688.05 $116,664.61 $32,836.75 2026-04-01
HB_48193583000 CDM Hc Alcohol Septal Ablation 20 20 $119,328.60 $89,496.45 25% off $10,739.57 $95,462.88 $32,815.36 2026-04-01
HB_48033249001 CDM Hc Insert Aicd Gen Dual W Leads 20 20 $119,328.60 $89,496.45 25% off $10,739.57 $95,462.88 $32,815.36 2026-04-01
HB_48192943000 CDM Hc Ptca/stent/atherec Cto Initial Ves 20 20 $119,328.60 $89,496.45 25% off $10,739.57 $95,462.88 $32,815.36 2026-04-01
HB_48033249000 CDM Hc Insert Aicd Gen Sngl W Leads 20 20 $119,328.60 $89,496.45 25% off $10,739.57 $95,462.88 $32,815.36 2026-04-01
HB_48133231000 CDM Hc Insert Aicd Generator Multi 20 20 $119,328.60 $89,496.45 25% off $10,739.57 $95,462.88 $32,815.36 2026-04-01
HB_48133249000 CDM Hc Insert Aicd Gen Sngl W Leads 20 20 $119,328.60 $89,496.45 25% off $10,739.57 $95,462.88 $32,815.36 2026-04-01
HB_48192937000 CDM Hc Ptca/stent/atherec Byp Grft Init Ves 20 20 $119,328.60 $89,496.45 25% off $10,739.57 $95,462.88 $32,815.36 2026-04-01
HB_48133249001 CDM Hc Insert Aicd Gen Dual W Leads 20 20 $119,328.60 $89,496.45 25% off $10,739.57 $95,462.88 $32,815.36 2026-04-01
HB_48133264000 CDM Hc Remove/replace Aicd Gen Multi Sys 20 20 $119,328.60 $89,496.45 25% off $10,739.57 $95,462.88 $32,815.36 2026-04-01
HB_48192941000 CDM Hc Ptca/stent/atherec Ami Init Ves 20 20 $119,328.60 $89,496.45 25% off $10,739.57 $95,462.88 $32,815.36 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 24 $140,925.24 $105,693.93 25% off $27,196.62 $112,740.19 $32,753.17 2026-04-01
HB_36000000779 CDM Operating Room Services - General Classification 20 20 $119,002.66 $89,252.00 25% off $10,710.24 $95,202.13 $32,725.74 2026-04-01
HB_36133270000 CDM Operating Room Services - Minor Surgery 20 20 $119,002.66 $89,252.00 25% off $10,710.24 $95,202.13 $32,725.74 2026-04-01
HB_36133274000 CDM Operating Room Services - Minor Surgery 20 20 $119,002.66 $89,252.00 25% off $10,710.24 $95,202.13 $32,725.74 2026-04-01
HB_36133999009 CDM Operating Room Services - Minor Surgery 20 20 $119,002.66 $89,252.00 25% off $10,710.24 $95,202.13 $32,725.74 2026-04-01
HB_36137231000 CDM Operating Room Services - Minor Surgery 20 20 $119,002.66 $89,252.00 25% off $10,710.24 $95,202.13 $32,725.74 2026-04-01
HB_36102680000 CDM Operating Room Services - Minor Surgery 20 20 $119,002.66 $89,252.00 25% off $10,710.24 $95,202.13 $32,725.74 2026-04-01
HB_36037221000 CDM Operating Room Services - General Classification 20 20 $119,002.66 $89,252.00 25% off $10,710.24 $95,202.13 $32,725.74 2026-04-01
HB_36000000777 CDM Operating Room Services - General Classification 20 20 $119,002.66 $89,252.00 25% off $10,710.24 $95,202.13 $32,725.74 2026-04-01
HB_36100414000 CDM Operating Room Services - Minor Surgery 20 20 $119,002.66 $89,252.00 25% off $10,710.24 $95,202.13 $32,725.74 2026-04-01
HB_48133230000 CDM Hc Insert Aicd Generator Dual 20 20 $118,241.59 $88,681.19 25% off $10,641.74 $94,593.27 $32,516.44 2026-04-01
HB_48133263000 CDM Hc Remove/replace Aicd Gen Dual Sys 20 20 $118,241.59 $88,681.19 25% off $10,641.74 $94,593.27 $32,516.44 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 24 $203,934.13 $152,950.60 25% off $26,220.74 $163,147.31 $32,495.28 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 24 24 $143,594.61 $107,695.96 25% off $25,992.32 $114,875.69 $32,480.99 2026-04-01
HB_33377372000 CDM Hc Stereotac Radios Cranial Cmplt Sessn 20 20 $117,746.65 $88,309.99 25% off $10,597.20 $94,197.32 $32,380.33 2026-04-01
HB_48133262000 CDM Hc Remove/replace Aicd Gen Singl Sys 20 20 $117,495.19 $88,121.39 25% off $10,574.57 $93,996.15 $32,311.18 2026-04-01
HB_48133240000 CDM Hc Insert Aicd Generator Single 20 20 $117,495.19 $88,121.39 25% off $10,574.57 $93,996.15 $32,311.18 2026-04-01
HB_36009773000 CDM Operating Room Services - General Classification 20 20 $116,856.59 $87,642.44 25% off $10,517.09 $93,485.27 $32,135.56 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 24 $160,094.86 $120,071.14 25% off $24,791.51 $128,075.88 $31,381.55 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 24 24 $112,563.43 $84,422.58 25% off $26,788.02 $90,050.75 $31,343.04 2026-04-01
HB_48193580000 CDM Hc Repair Perc Atr Sept Def W Imp 20 20 $112,885.69 $84,664.27 25% off $10,159.71 $90,308.55 $31,043.57 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 24 24 $348,236.30 $261,177.22 25% off $24,755.48 $278,589.04 $30,914.34 2026-04-01
C1722 HCPCS Cardioverter-defibrillator, Single Chamber (implantable) 190 19 $104,037.21 $78,027.91 25% off $7,282.82 $222,823.68 $30,882.23 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 24 $325,238.27 $243,928.70 25% off $24,181.23 $260,190.62 $30,169.95 2026-04-01
HB_36009797000 CDM Operating Room Services - General Classification 20 20 $109,535.99 $82,151.99 25% off $9,858.24 $87,628.79 $30,122.40 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 24 $83,189.54 $62,392.15 25% off $20,115.23 $66,551.63 $30,021.99 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 24 24 $133,677.91 $100,258.43 25% off $24,353.27 $106,942.33 $30,015.64 2026-04-01
HB_36036906000 CDM Operating Room Services - General Classification 20 20 $107,746.81 $80,810.11 25% off $9,697.21 $86,197.45 $29,630.37 2026-04-01
HB_48136226000 CDM Hc S/p Cath Vert W/vert Circ Incl Arch 20 20 $107,463.87 $80,597.90 25% off $9,671.75 $85,971.10 $29,552.56 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 24 $106,643.10 $79,982.33 25% off $23,849.93 $85,314.48 $29,523.83 2026-04-01
HB_48192933000 CDM Hc Ptca/stent/atherect Initl Art/brnch 20 20 $107,202.26 $80,401.70 25% off $9,648.20 $85,761.81 $29,480.62 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 24 $85,576.02 $64,182.01 25% off $20,692.28 $68,460.81 $29,469.51 2026-04-01
HB_48192938000 CDM Hc Ptca/stent/atherec Byp Grft Addl Ves 20 20 $107,098.36 $80,323.77 25% off $9,638.85 $85,678.69 $29,452.05 2026-04-01
C1772 HCPCS Infusion Pump, Programmable (implantable) 19 19 $140,144.37 $105,108.28 25% off $12,612.99 $140,144.37 $29,178.06 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 23 23 $52,374.61 $39,280.96 25% off $2,568.00 $52,374.61 $29,115.52 2026-04-01
HB_48193582000 CDM Hc Perc Closure Patent Ductus Arteriosus 20 20 $104,090.08 $78,067.56 25% off $9,368.11 $83,272.06 $28,624.77 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 24 $176,210.67 $132,158.00 25% off $20,834.54 $140,968.53 $28,461.85 2026-04-01
791 MS_DRG Prematurity With Major Problems 23 23 $54,852.11 $41,139.08 25% off $2,568.00 $54,852.11 $28,343.23 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 24 $149,018.92 $111,764.19 25% off $21,922.59 $119,215.14 $27,583.87 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 24 24 $59,315.43 $44,486.57 25% off $14,342.47 $52,859.48 $26,849.78 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 24 $126,209.57 $94,657.18 25% off $19,190.26 $100,967.66 $26,765.18 2026-04-01
HB_48193799011 CDM Hc Repair Perc Post Mi Vsd W Occluder 20 20 $97,315.78 $72,986.84 25% off $8,758.42 $77,852.62 $26,761.83 2026-04-01
HB_48193581000 CDM Hc Repair Perc Vent Sept Def W Imp 20 20 $97,315.78 $72,986.84 25% off $8,758.42 $77,852.62 $26,761.83 2026-04-01
HB_48133214000 CDM Hc Ppm Upgrade 20 20 $97,073.37 $72,805.03 25% off $8,736.60 $77,658.70 $26,695.18 2026-04-01
HB_36000000947 CDM Operating Room Services - General Classification 20 20 $97,062.88 $72,797.16 25% off $8,735.66 $77,650.30 $26,692.29 2026-04-01
HB_36036908000 CDM Operating Room Services - General Classification 20 20 $97,062.88 $72,797.16 25% off $8,735.66 $77,650.30 $26,692.29 2026-04-01
HB_36137238000 CDM Operating Room Services - Minor Surgery 20 20 $97,062.88 $72,797.16 25% off $8,735.66 $77,650.30 $26,692.29 2026-04-01
HB_36000000949 CDM Operating Room Services - General Classification 20 20 $97,062.88 $72,797.16 25% off $8,735.66 $77,650.30 $26,692.29 2026-04-01
HB_36000000041 CDM Operating Room Services - General Classification 20 20 $97,015.11 $72,761.33 25% off $8,731.36 $77,612.09 $26,679.15 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 24 $128,812.18 $96,609.14 25% off $22,936.83 $103,049.75 $26,623.74 2026-04-01
HB_36036903000 CDM Operating Room Services - General Classification 20 20 $96,616.82 $72,462.62 25% off $8,695.51 $77,293.46 $26,569.62 2026-04-01
HB_36133999004 CDM Operating Room Services - Minor Surgery 20 20 $96,453.19 $72,339.89 25% off $8,680.79 $77,162.55 $26,524.63 2026-04-01
HB_36133208000 CDM Operating Room Services - Minor Surgery 20 20 $96,271.86 $72,203.90 25% off $8,664.47 $77,017.49 $26,474.76 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 24 $108,063.69 $81,047.77 25% off $22,215.53 $86,450.95 $26,381.86 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 24 24 $108,739.57 $81,554.68 25% off $22,382.92 $86,991.66 $26,261.68 2026-04-01
HB_36037223000 CDM Operating Room Services - General Classification 20 20 $95,480.13 $71,610.10 25% off $8,593.21 $76,384.10 $26,257.04 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 24 $118,281.78 $88,711.34 25% off $20,639.25 $94,625.43 $26,229.39 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 24 $92,247.30 $69,185.47 25% off $20,829.89 $73,797.84 $26,136.46 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 24 24 $141,846.13 $106,384.60 25% off $18,446.88 $113,476.90 $25,921.50 2026-04-01
HB_48193590000 CDM Hc Perq Transcath Cls Paravalvr Leak 1 Mitral Val 20 20 $94,074.06 $70,555.55 25% off $8,466.67 $75,259.25 $25,870.36 2026-04-01
HB_48193591000 CDM Hc Perq Transcath Cls Paravalvr Leak 1 Aort Val 20 20 $94,074.06 $70,555.55 25% off $8,466.67 $75,259.25 $25,870.36 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 24 24 $131,594.43 $98,695.82 25% off $20,835.70 $105,275.54 $25,802.19 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 24 24 $63,936.42 $47,952.32 25% off $9,916.54 $51,149.14 $25,581.17 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 24 24 $123,315.40 $92,486.55 25% off $21,062.96 $98,652.32 $25,510.01 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 24 24 $307,898.85 $230,924.13 25% off $20,363.75 $246,319.08 $25,450.72 2026-04-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 19 19 $282,709.27 $212,031.95 25% off $3,543.33 $282,709.27 $25,443.83 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 24 24 $136,003.72 $102,002.79 25% off $21,761.01 $108,802.98 $25,426.43 2026-04-01
HB_48192934000 CDM Hc Ptca/stent/atherect Addl Branch 20 20 $92,415.11 $69,311.33 25% off $8,317.36 $73,932.09 $25,414.15 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 24 24 $197,634.81 $148,226.10 25% off $20,019.67 $158,107.84 $25,405.71 2026-04-01
HB_48192944000 CDM Hc Ptca/stent/atherec Cto Addl Ves 20 20 $92,326.73 $69,245.05 25% off $8,309.41 $73,861.38 $25,389.85 2026-04-01
HB_36133999010 CDM Operating Room Services - Minor Surgery 20 20 $92,218.12 $69,163.59 25% off $8,299.63 $73,774.50 $25,359.98 2026-04-01
HB_36104080000 CDM Operating Room Services - Minor Surgery 20 20 $92,218.12 $69,163.59 25% off $8,299.63 $73,774.50 $25,359.98 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 24 $75,096.19 $56,322.14 25% off $18,158.26 $60,076.95 $25,355.99 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 24 24 $252,213.41 $189,160.06 25% off $19,906.33 $201,770.73 $25,193.53 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 24 $88,142.98 $66,107.24 25% off $20,349.22 $70,514.38 $24,935.68 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 24 24 $172,261.96 $129,196.47 25% off $19,937.13 $137,809.57 $24,919.92 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 24 $106,447.05 $79,835.29 25% off $22,463.71 $85,157.64 $24,913.50 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 24 24 $301,647.77 $226,235.83 25% off $19,987.12 $241,318.22 $24,679.18 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 24 $139,893.14 $104,919.86 25% off $20,360.26 $111,914.51 $24,492.01 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 24 24 $108,965.98 $81,724.49 25% off $19,508.77 $87,172.78 $24,371.99 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 24 24 $634,144.56 $475,608.42 25% off $20,512.54 $507,315.65 $24,339.85 2026-04-01
HB_48192924000 CDM Hc Ptca /atherect Initial Art/brnch 20 20 $88,470.27 $66,352.70 25% off $7,962.32 $70,776.22 $24,329.33 2026-04-01
HB_36000000948 CDM Operating Room Services - General Classification 20 20 $88,296.91 $66,222.68 25% off $7,946.72 $70,637.53 $24,281.65 2026-04-01
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 19 19 $116,619.14 $87,464.36 25% off $10,495.72 $116,619.14 $24,280.10 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 24 $70,737.08 $53,052.81 25% off $17,104.23 $56,589.66 $24,276.91 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 24 24 $112,256.15 $84,192.11 25% off $20,313.18 $89,804.92 $23,864.78 2026-04-01
HB_48133289000 CDM Hc Implant Pulm Artery Sensor For Hd Monitoring 20 20 $86,731.67 $65,048.75 25% off $7,805.85 $69,385.34 $23,851.21 2026-04-01
HB_36109330000 CDM Operating Room Services - Minor Surgery 20 20 $86,731.67 $65,048.75 25% off $7,805.85 $69,385.34 $23,851.21 2026-04-01
HB_36033288000 CDM Operating Room Services - General Classification 20 20 $86,662.15 $64,996.61 25% off $7,799.59 $69,329.72 $23,832.09 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 24 24 $110,013.43 $82,510.07 25% off $19,300.69 $88,010.74 $23,518.31 2026-04-01
C2622 HCPCS Prosthesis, Penile, Non-inflatable 38 19 $116,936.11 $87,702.08 25% off $9,403.28 $129,391.37 $23,303.39 2026-04-01
HB_36109150000 CDM Operating Room Services - Minor Surgery 20 20 $84,509.16 $63,381.87 25% off $7,605.82 $67,607.33 $23,240.01 2026-04-01
HB_48133224000 CDM Hc Insert Lv Lead & Connect 20 20 $84,206.77 $63,155.08 25% off $7,578.61 $67,365.42 $23,156.86 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 24 24 $98,447.17 $73,835.37 25% off $18,942.66 $78,757.73 $23,135.40 2026-04-01
SUP_121896 CDM Retrv Trevo-nxt Provue 6x37mm 20 20 $83,860.04 $62,895.03 25% off $7,547.40 $67,088.03 $23,061.51 2026-04-01
SUP_121894 CDM Retrv Trevo-nxt Provue 3x32mm 20 20 $83,860.04 $62,895.03 25% off $7,547.40 $67,088.03 $23,061.51 2026-04-01
SUP_121895 CDM Retrv Trevo-nxt Provue 4x28mm 20 20 $83,860.04 $62,895.03 25% off $7,547.40 $67,088.03 $23,061.51 2026-04-01
SUP_121897 CDM Retrv Trevo-nxt Provue Lng 4x41mm 20 20 $83,860.04 $62,895.03 25% off $7,547.40 $67,088.03 $23,061.51 2026-04-01
HB_36034717000 CDM Operating Room Services - General Classification 20 20 $83,537.25 $62,652.94 25% off $7,518.35 $66,829.80 $22,972.75 2026-04-01
HB_36034718000 CDM Operating Room Services - General Classification 20 20 $83,537.25 $62,652.94 25% off $7,518.35 $66,829.80 $22,972.75 2026-04-01
HB_36034707000 CDM Operating Room Services - General Classification 20 20 $83,464.47 $62,598.35 25% off $7,511.80 $66,771.58 $22,952.73 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 24 24 $187,874.44 $140,905.83 25% off $19,715.11 $150,299.55 $22,808.92 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 24 24 $75,630.75 $56,723.06 25% off $18,287.52 $60,504.60 $22,622.97 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 24 24 $122,037.28 $91,527.96 25% off $18,416.07 $97,629.82 $22,608.89 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 24 24 $300,233.98 $225,175.48 25% off $18,570.09 $240,187.18 $22,510.31 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 24 24 $256,813.73 $192,610.30 25% off $18,053.39 $205,450.98 $22,499.59 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 24 24 $93,337.32 $70,002.99 25% off $18,934.52 $74,669.85 $22,455.99 2026-04-01
HB_36137229000 CDM Operating Room Services - Minor Surgery 20 20 $81,599.94 $61,199.96 25% off $7,343.99 $65,279.95 $22,439.98 2026-04-01
HB_36000000774 CDM Operating Room Services - General Classification 20 20 $81,599.94 $61,199.96 25% off $7,343.99 $65,279.95 $22,439.98 2026-04-01
HB_36000000769 CDM Operating Room Services - General Classification 20 20 $81,599.94 $61,199.96 25% off $7,343.99 $65,279.95 $22,439.98 2026-04-01
HB_36000000771 CDM Operating Room Services - General Classification 20 20 $81,599.94 $61,199.96 25% off $7,343.99 $65,279.95 $22,439.98 2026-04-01
HB_36000000897 CDM Operating Room Services - General Classification 20 20 $81,599.94 $61,199.96 25% off $7,343.99 $65,279.95 $22,439.98 2026-04-01
HB_36000000772 CDM Operating Room Services - General Classification 20 20 $81,599.94 $61,199.96 25% off $7,343.99 $65,279.95 $22,439.98 2026-04-01
HB_36009767000 CDM Operating Room Services - General Classification 20 20 $81,513.13 $61,134.85 25% off $7,336.18 $65,210.50 $22,416.11 2026-04-01
HB_36102350000 CDM Operating Room Services - Minor Surgery 20 20 $81,505.26 $61,128.95 25% off $7,335.47 $65,204.21 $22,413.94 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 24 $467,416.76 $350,562.57 25% off $17,137.96 $373,933.41 $22,250.98 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 24 24 $53,289.72 $39,967.29 25% off $12,885.45 $43,506.88 $22,099.16 2026-04-01
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 20 20 $78,703.22 $59,027.42 25% off $7,083.29 $78,703.22 $22,036.90 2026-04-01
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary … 20 20 $78,703.22 $59,027.42 25% off $7,083.29 $78,703.22 $22,036.90 2026-04-01
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 20 20 $78,703.22 $59,027.42 25% off $7,083.29 $78,703.22 $22,036.90 2026-04-01
HB_33377373003 CDM Hc Sterotactic Radiosurg, Each Fraction 20 20 $79,734.42 $59,800.82 25% off $7,176.10 $63,787.54 $21,926.97 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 24 24 $121,507.46 $91,130.60 25% off $18,130.69 $97,205.97 $21,870.93 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 24 24 $38,481.30 $28,860.98 25% off $9,304.78 $38,481.30 $21,743.90 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 24 24 $160,583.13 $120,437.35 25% off $18,997.29 $128,466.50 $21,668.76 2026-04-01
HB_48193799016 CDM Hc Stent Pseudoaneurysm Coronary Artery 20 20 $78,703.22 $59,027.42 25% off $7,083.29 $62,962.58 $21,643.38 2026-04-01
HB_48192928000 CDM Hc Ptca /stent Initial Art/brnch 20 20 $78,703.22 $59,027.42 25% off $7,083.29 $62,962.58 $21,643.38 2026-04-01
HB_36037228000 CDM Operating Room Services - General Classification 20 20 $78,613.48 $58,960.11 25% off $7,075.21 $62,890.78 $21,618.71 2026-04-01
HB_48133225000 CDM Hc Lead Placement Coronary Sinus 20 20 $78,471.16 $58,853.37 25% off $7,062.40 $62,776.93 $21,579.57 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 24 24 $101,205.00 $75,903.75 25% off $16,611.37 $80,964.00 $21,578.03 2026-04-01
HB_48133227000 CDM Hc Remove/replace Pacemaker Sl System 20 20 $78,135.23 $58,601.42 25% off $7,032.17 $62,508.18 $21,487.19 2026-04-01
HB_36133207000 CDM Operating Room Services - Minor Surgery 20 20 $77,795.60 $58,346.70 25% off $7,001.60 $62,236.48 $21,393.79 2026-04-01
HB_36133206000 CDM Operating Room Services - Minor Surgery 20 20 $77,795.60 $58,346.70 25% off $7,001.60 $62,236.48 $21,393.79 2026-04-01
HB_36000001012 CDM Operating Room Services - General Classification 20 20 $76,746.38 $57,559.79 25% off $6,907.17 $61,397.10 $21,105.25 2026-04-01
HB_36000001010 CDM Operating Room Services - General Classification 20 20 $76,746.38 $57,559.79 25% off $6,907.17 $61,397.10 $21,105.25 2026-04-01
HB_36000001009 CDM Operating Room Services - General Classification 20 20 $76,746.38 $57,559.79 25% off $6,907.17 $61,397.10 $21,105.25 2026-04-01
HB_36037244000 CDM Operating Room Services - General Classification 20 20 $76,746.38 $57,559.79 25% off $6,907.17 $61,397.10 $21,105.25 2026-04-01
HB_36000001011 CDM Operating Room Services - General Classification 20 20 $76,746.38 $57,559.79 25% off $6,907.17 $61,397.10 $21,105.25 2026-04-01
HB_36000000952 CDM Operating Room Services - General Classification 20 20 $76,746.38 $57,559.79 25% off $6,907.17 $61,397.10 $21,105.25 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 24 24 $96,829.40 $72,622.05 25% off $16,838.05 $77,463.52 $21,046.53 2026-04-01
HB_36000000950 CDM Operating Room Services - General Classification 20 20 $76,321.66 $57,241.25 25% off $6,868.95 $61,057.33 $20,988.46 2026-04-01
HB_36137239000 CDM Operating Room Services - Minor Surgery 20 20 $76,321.66 $57,241.25 25% off $6,868.95 $61,057.33 $20,988.46 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 24 24 $167,425.47 $125,569.10 25% off $16,949.06 $133,940.38 $20,860.07 2026-04-01
HB_36000000759 CDM Operating Room Services - General Classification 20 20 $75,849.31 $56,886.98 25% off $6,826.44 $60,679.45 $20,858.56 2026-04-01
HB_48193657000 CDM Hc Ablate Atrial Fib W/pulm Vein 20 20 $75,707.42 $56,780.57 25% off $6,813.67 $60,565.94 $20,819.54 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 24 24 $114,686.11 $86,014.58 25% off $17,093.79 $91,748.89 $20,805.06 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 24 24 $89,394.39 $67,045.79 25% off $17,046.13 $71,515.51 $20,731.48 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 24 24 $89,652.51 $67,239.38 25% off $17,355.34 $71,722.01 $20,617.18 2026-04-01
570 MS_DRG Skin Debridement With Mcc 24 24 $60,086.01 $45,064.51 25% off $14,528.80 $48,068.81 $20,568.30 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 24 24 $118,075.83 $88,556.87 25% off $16,940.34 $94,460.66 $20,504.31 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 24 24 $97,332.47 $72,999.36 25% off $16,925.23 $77,865.98 $20,363.57 2026-04-01
HB_36032994001 CDM Operating Room Services - General Classification 20 20 $73,822.44 $55,366.83 25% off $6,644.02 $59,057.95 $20,301.18 2026-04-01
HB_48133213000 CDM Hc Ppm Generator Dual 20 20 $73,535.77 $55,151.83 25% off $6,618.22 $58,828.62 $20,222.33 2026-04-01
HB_36105690000 CDM Operating Room Services - Minor Surgery 20 20 $73,212.94 $54,909.71 25% off $6,589.16 $58,570.35 $20,133.56 2026-04-01
HB_36133418001 CDM Operating Room Services - Minor Surgery 20 20 $73,212.94 $54,909.71 25% off $6,589.16 $58,570.35 $20,133.56 2026-04-01
HB_36133419000 CDM Operating Room Services - Minor Surgery 20 20 $73,212.94 $54,909.71 25% off $6,589.16 $58,570.35 $20,133.56 2026-04-01
HB_36105700000 CDM Operating Room Services - Minor Surgery 20 20 $73,212.94 $54,909.71 25% off $6,589.16 $58,570.35 $20,133.56 2026-04-01
HB_36033361000 CDM Operating Room Services - General Classification 20 20 $73,212.94 $54,909.71 25% off $6,589.16 $58,570.35 $20,133.56 2026-04-01
SUP_172623 CDM Mdl Suppl Maxilla-craniips Classc Patnt-spec 20 20 $72,863.34 $54,647.51 25% off $6,557.70 $58,290.67 $20,037.42 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 24 24 $151,870.17 $113,902.63 25% off $14,810.16 $121,496.13 $19,802.06 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 24 24 $138,368.17 $103,776.13 25% off $15,711.64 $110,694.54 $19,696.34 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 24 24 $97,231.17 $72,923.38 25% off $15,600.62 $77,784.94 $19,636.33 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 24 24 $227,093.96 $170,320.47 25% off $15,246.66 $181,675.17 $19,631.32 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 24 24 $42,837.69 $32,128.27 25% off $10,358.15 $38,540.76 $19,576.64 2026-04-01
503 MS_DRG Foot Procedures With Mcc 24 24 $75,149.67 $56,362.25 25% off $15,382.08 $60,119.74 $19,568.01 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 24 24 $230,304.10 $172,728.07 25% off $16,545.69 $184,243.28 $19,437.01 2026-04-01
HB_36122510000 CDM Operating Room Services - Minor Surgery 20 20 $70,410.60 $52,807.95 25% off $6,336.95 $56,328.48 $19,362.92 2026-04-01
HB_36122511000 CDM Operating Room Services - Minor Surgery 20 20 $70,410.60 $52,807.95 25% off $6,336.95 $56,328.48 $19,362.92 2026-04-01
HB_36122513000 CDM Operating Room Services - Minor Surgery 20 20 $70,410.60 $52,807.95 25% off $6,336.95 $56,328.48 $19,362.92 2026-04-01
HB_36122514000 CDM Operating Room Services - Minor Surgery 20 20 $70,410.60 $52,807.95 25% off $6,336.95 $56,328.48 $19,362.92 2026-04-01
HB_36000000898 CDM Operating Room Services - General Classification 20 20 $70,344.43 $52,758.32 25% off $6,331.00 $56,275.54 $19,344.72 2026-04-01
HB_36000000776 CDM Operating Room Services - General Classification 20 20 $70,344.43 $52,758.32 25% off $6,331.00 $56,275.54 $19,344.72 2026-04-01
HB_36137230000 CDM Operating Room Services - Minor Surgery 20 20 $70,344.43 $52,758.32 25% off $6,331.00 $56,275.54 $19,344.72 2026-04-01
HB_48133229000 CDM Hc Remove/replace Ppm Mult System 20 20 $70,072.33 $52,554.25 25% off $6,306.51 $56,057.86 $19,269.89 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 24 24 $189,532.99 $142,149.74 25% off $15,206.55 $151,626.39 $19,269.85 2026-04-01
HB_36009772000 CDM Operating Room Services - General Classification 20 20 $69,988.41 $52,491.31 25% off $6,298.96 $55,990.73 $19,246.81 2026-04-01
HB_36000000070 CDM Operating Room Services - General Classification 20 20 $69,871.33 $52,403.50 25% off $6,288.42 $55,897.06 $19,214.61 2026-04-01
HB_48133221000 CDM Hc Pacemaker Perm Generator Mult 20 20 $69,660.25 $52,245.19 25% off $6,269.42 $55,728.20 $19,156.57 2026-04-01
HB_48133228000 CDM Hc Remove/replace Ppm Dual System 20 20 $69,660.25 $52,245.19 25% off $6,269.42 $55,728.20 $19,156.57 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 24 24 $237,234.98 $177,926.24 25% off $16,643.92 $189,787.98 $19,002.67 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 24 24 $55,421.02 $41,565.77 25% off $13,400.80 $44,336.82 $18,925.55 2026-04-01
HB_36036482001 CDM Operating Room Services - General Classification 20 20 $68,653.47 $51,490.10 25% off $6,178.81 $54,922.78 $18,879.71 2026-04-01
HB_36000000032 CDM Operating Room Services - General Classification 20 20 $68,440.06 $51,330.05 25% off $6,159.61 $54,752.05 $18,821.02 2026-04-01
HB_36000000033 CDM Operating Room Services - General Classification 20 20 $68,440.06 $51,330.05 25% off $6,159.61 $54,752.05 $18,821.02 2026-04-01
HB_48193655000 CDM Hc Cath Ablation Arrhythmia Add On 20 20 $68,340.67 $51,255.50 25% off $6,150.66 $54,672.54 $18,793.68 2026-04-01
C9608 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 19 19 $64,028.70 $48,021.53 25% off $5,762.58 $64,028.70 $18,632.35 2026-04-01
C9605 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 19 19 $64,028.70 $48,021.53 25% off $5,762.58 $64,028.70 $18,632.35 2026-04-01
C9603 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug-eluting Intracoronary … 19 19 $64,028.70 $48,021.53 25% off $5,762.58 $64,028.70 $18,632.35 2026-04-01
C9601 HCPCS Percutaneous Transcatheter Placement Of Drug-eluting Intracoronary Stent(s), Wit… 19 19 $64,028.70 $48,021.53 25% off $5,762.58 $64,028.70 $18,632.35 2026-04-01
HB_36036905000 CDM Operating Room Services - General Classification 20 20 $67,549.70 $50,662.28 25% off $6,079.47 $54,039.76 $18,576.17 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 24 24 $164,640.03 $123,480.02 25% off $14,838.06 $131,712.02 $18,542.60 2026-04-01
NDC24338005008 CDM Gliadel Wafer 7.7 Mg Il Wafr 20 20 $67,041.32 $50,280.99 25% off $6,033.72 $53,633.06 $18,436.36 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 24 24 $106,975.61 $80,231.70 25% off $14,542.22 $85,580.48 $18,238.28 2026-04-01
HB_36036909000 CDM Operating Room Services - General Classification 20 20 $66,160.80 $49,620.60 25% off $5,954.47 $52,928.64 $18,194.22 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 24 24 $94,898.62 $71,173.96 25% off $13,955.18 $75,918.90 $18,117.54 2026-04-01
HB_36036227000 CDM Operating Room Services - General Classification 20 20 $65,578.99 $49,184.24 25% off $5,902.11 $52,463.19 $18,034.22 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 24 24 $244,822.89 $183,617.16 25% off $14,628.24 $195,858.31 $18,031.10 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 24 24 $82,655.57 $61,991.68 25% off $14,342.27 $66,124.46 $18,023.24 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 24 24 $18,249.29 $13,686.97 25% off $4,412.68 $18,249.29 $18,010.06 2026-04-01
HB_36106000000 CDM Operating Room Services - Minor Surgery 20 20 $65,487.70 $49,115.78 25% off $5,893.89 $52,390.16 $18,009.11 2026-04-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 19 19 $57,376.83 $43,032.62 25% off $5,163.91 $78,779.06 $17,958.95 2026-04-01
A9604 HCPCS Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri… 19 19 $57,376.83 $43,032.62 25% off $5,163.91 $57,376.83 $17,958.95 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 24 24 $69,712.97 $52,284.72 25% off $15,019.98 $55,770.37 $17,813.89 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 24 24 $106,232.62 $79,674.47 25% off $14,064.45 $84,986.10 $17,801.78 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 24 24 $186,946.29 $140,209.71 25% off $14,685.78 $149,557.03 $17,728.92 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 24 24 $109,198.98 $81,899.23 25% off $13,591.33 $87,359.18 $17,568.18 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 24 24 $141,734.52 $106,300.89 25% off $14,231.26 $113,387.62 $17,563.18 2026-04-01
HB_36036902000 CDM Operating Room Services - General Classification 20 20 $63,613.57 $47,710.18 25% off $5,725.22 $50,890.86 $17,493.73 2026-04-01
HB_36000000068 CDM Operating Room Services - General Classification 20 20 $63,559.36 $47,669.52 25% off $5,720.34 $50,847.49 $17,478.83 2026-04-01
HB_48109130000 CDM Hc Pta Drug Eluting Balln Sgl Cor Artery 20 20 $63,559.36 $47,669.52 25% off $5,720.34 $50,847.49 $17,478.83 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 24 24 $107,236.58 $80,427.44 25% off $14,112.69 $85,789.27 $17,461.02 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 24 24 $92,753.50 $69,565.12 25% off $13,758.73 $74,202.80 $17,440.31 2026-04-01
SUP_147794 CDM Clmp Ablat Isolatorsynergy Trnspolar 20 20 $63,328.83 $47,496.62 25% off $5,699.59 $50,663.06 $17,415.43 2026-04-01
HB_48133212000 CDM Hc Ppm Generator Single 20 20 $63,019.07 $47,264.30 25% off $5,671.72 $50,415.26 $17,330.25 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 24 24 $17,287.29 $12,965.47 25% off $4,180.07 $18,010.06 $17,287.29 2026-04-01
HB_36000000756 CDM Operating Room Services - General Classification 20 20 $62,511.33 $46,883.50 25% off $5,626.02 $50,009.06 $17,190.61 2026-04-01
HB_36161626000 CDM Operating Room Services - Minor Surgery 20 20 $62,493.35 $46,870.01 25% off $5,624.40 $49,994.68 $17,185.67 2026-04-01
HB_36147383000 CDM Operating Room Services - Minor Surgery 20 20 $62,280.26 $46,710.20 25% off $5,605.22 $49,824.21 $17,127.07 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 24 24 $111,954.78 $83,966.09 25% off $13,738.38 $89,563.83 $17,125.26 2026-04-01
792 MS_DRG Prematurity Without Major Problems 23 23 $26,326.71 $19,745.04 25% off $1,834.00 $26,326.71 $17,102.30 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 24 24 $85,717.16 $64,287.87 25% off $13,812.78 $68,573.73 $17,048.11 2026-04-01
HB_36000001006 CDM Operating Room Services - General Classification 20 20 $61,444.61 $46,083.46 25% off $5,530.01 $49,155.69 $16,897.27 2026-04-01
HB_48133244000 CDM Hc Removal Aicd Lead(s) Transvenous 20 20 $61,209.38 $45,907.04 25% off $5,508.84 $48,967.50 $16,832.58 2026-04-01
HB_48133235000 CDM Hc Remove Pm Leads Dual 20 20 $61,209.38 $45,907.04 25% off $5,508.84 $48,967.50 $16,832.58 2026-04-01
HB_36161645000 CDM Operating Room Services - Minor Surgery 20 20 $61,116.89 $45,837.67 25% off $5,500.52 $48,893.51 $16,807.14 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 24 24 $53,494.05 $40,120.54 25% off $12,934.86 $42,795.24 $16,748.51 2026-04-01
333 MS_DRG Rectal Resection With Cc 24 24 $161,309.32 $120,981.99 25% off $12,351.58 $129,047.45 $16,732.35 2026-04-01
C2621 HCPCS Pacemaker, Other Than Single Or Dual Chamber (implantable) 114 19 $57,758.24 $43,318.68 25% off $4,116.37 $73,883.64 $16,712.01 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 24 24 $83,704.94 $62,778.71 25% off $13,416.38 $66,963.95 $16,706.63 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 24 24 $74,284.75 $55,713.56 25% off $12,271.37 $59,427.80 $16,694.49 2026-04-01
HB_36000000770 CDM Operating Room Services - General Classification 20 20 $60,457.94 $45,343.46 25% off $5,441.21 $48,366.35 $16,625.94 2026-04-01
HB_36137233000 CDM Operating Room Services - Minor Surgery 20 20 $60,457.94 $45,343.46 25% off $5,441.21 $48,366.35 $16,625.94 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 24 24 $114,517.21 $85,887.91 25% off $13,088.57 $91,613.77 $16,613.05 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 24 24 $115,710.66 $86,782.99 25% off $14,553.84 $92,568.53 $16,595.90 2026-04-01
HB_36000000066 CDM Operating Room Services - General Classification 20 20 $60,233.68 $45,175.26 25% off $5,421.03 $48,186.94 $16,564.26 2026-04-01
SUP_102012 CDM Ds Anch-endovasc Helifx-86cm W-10-endoanchor-0.5x3x4.5mm 20 20 $59,048.27 $44,286.20 25% off $5,314.34 $47,238.62 $16,238.27 2026-04-01
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