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

MIDDLESBORO ARH HOSPITAL

Middlesboro, KY · CCN 180020 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

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

This hospital’s price: $5,823 across 19 payers · range $3,789-$9,782

Source: https://www.arh.org/wp-content/uploads/2026/03/520795508_Middlesboro-ARH-Hospital_standardcharges.csv · observed 2026-01-01

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.

4,797 distinct procedures filed
28 distinct payers
144,426 rate rows
2026-07-30 last MRF observed
Data quality

125,477 of 144,426 rate rows are consumer-grade (86.9%)

18,949 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
professional (physician) fee — not the facility price 12,450
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6,260
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 93
exceeds 10× this hospital's gross charge — excluded from medians 38
placeholder amount (≤ $0.02) — excluded from medians 38
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 35
per-diem day rate — not a per-procedure price 30
percent-of-charges filed in the dollar field — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.arh.org/wp-content/uploads/2026/05/520795508_Middlesboro-ARH-Hospital_standardcharges.csv
Found on page https://www.arh.org/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11

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… 9 $123,477.58 $314,111.98 $132,891.14 nat. median
$199,832
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $85,135.79 $216,575.10 $91,626.28 nat. median
$132,706
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $51,325.21 $122,315.52 $72,806.85 nat. median
$79,040
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 19 $40,337.57 $102,613.87 $59,695.42 nat. median
$65,958
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 9 $51,321.24 $130,555.01 $55,786.15 nat. median
$83,623
0.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 19 $40,008.03 $101,775.56 $55,574.83 nat. median
$62,218
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $45,171.77 $114,911.51 $49,101.68 nat. median
$73,475
0.7× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 19 $29,415.28 $74,828.91 $43,074.88 nat. median
$48,124
0.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 $28,953.70 $73,654.69 $42,653.40 nat. median
$47,707
0.9× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 $27,454.26 $69,840.31 $40,521.86 nat. median
$45,808
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $36,864.95 $93,779.96 $40,072.18 nat. median
$63,840
0.6× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 19 $26,159.27 $66,693.94 $39,698.78 nat. median
$44,514
0.9× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 $28,007.76 $66,000.38 $39,285.94 nat. median
$43,549
0.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 $34,749.88 $88,399.47 $36,464.12 nat. median
$51,433
0.7× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 9 $29,287.29 $74,503.31 $31,835.26 nat. median
$50,808
0.6× median
C9168
HCPCS 		Omvoh 300 Mg Vial 7 $31,826.60 $31,826.60 $31,826.60 nat. median
$13,908
outlier · 2.3×
J3357
HCPCS 		Stelara 45mg/0.5ml Pfs 17 $149.40 $159,995.34 $31,586.18 nat. median
$12,959
outlier · 2.4×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 9 $27,838.82 $70,818.58 $30,260.78 nat. median
$47,513
0.6× median
791
MS_DRG 		Prematurity With Major Problems 18 $23,732.03 $60,371.41 $29,735.45 nat. median
$34,510
0.9× median
163
MS_DRG 		Major Chest Procedures With Mcc 9 $27,299.05 $69,445.47 $29,674.05 nat. median
$44,914
0.7× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 $19,556.33 $49,748.92 $29,610.20 nat. median
$33,338
0.9× median
C1767
HCPCS 		Generator Aspire Sr 14cc 7 $29,472.46 $29,472.46 $29,472.46 nat. median
$23,668
1.2× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 9 $26,673.56 $67,854.30 $28,994.14 nat. median
$46,399
0.6× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 9 $24,780.30 $63,038.09 $26,936.17 nat. median
$42,341
0.6× median
793
MS_DRG 		Full Term Neonate With Major Problems 8 $24,378.37 $62,015.62 $25,580.98 nat. median
$33,329
0.8× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 9 $23,500.95 $59,783.57 $25,545.51 nat. median
$37,053
0.7× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 9 $23,404.81 $59,539.00 $25,441.01 nat. median
$41,718
0.6× median
273
MS_DRG 		Percutaneous And Other Intracardiac Procedures With Mcc 9 $22,569.67 $57,414.50 $24,533.22 nat. median
$39,761
0.6× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 9 $22,460.79 $57,137.52 $24,414.86 nat. median
$37,383
0.7× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 9 $22,156.15 $56,362.56 $24,083.72 nat. median
$34,945
0.7× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 $15,659.19 $39,882.88 $23,739.81 nat. median
$26,590
0.9× median
408
MS_DRG 		Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 9 $21,557.31 $54,839.17 $23,432.78 nat. median
$34,548
0.7× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 9 $21,417.15 $54,482.63 $23,280.43 nat. median
$39,775
0.6× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 9 $21,184.91 $53,891.84 $23,027.98 nat. median
$37,051
0.6× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 9 $20,191.08 $51,363.66 $21,947.69 nat. median
$34,366
0.6× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 9 $20,016.76 $50,920.19 $21,758.20 nat. median
$35,053
0.6× median
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 9 $20,010.38 $50,903.99 $21,751.27 nat. median
$32,539
0.7× median
350
MS_DRG 		Inguinal And Femoral Hernia Procedures With Mcc 19 $13,899.72 $36,156.78 $21,521.89 nat. median
$24,114
0.9× median
C1882
HCPCS 		Defib Momentum Is-1/df-1/lv 7 $21,397.24 $21,397.24 $21,397.24 nat. median
$27,675
0.8× median
37
MS_DRG 		Extracranial Procedures With Mcc 9 $19,549.96 $49,732.71 $21,250.78 nat. median
$32,572
0.7× median
478
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Cc 19 $13,805.32 $35,682.31 $21,239.47 nat. median
$23,808
0.9× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 19 $14,397.79 $36,626.24 $21,233.43 nat. median
$24,391
0.9× median
252
MS_DRG 		Other Vascular Procedures With Mcc 9 $19,423.70 $49,411.54 $21,113.54 nat. median
$33,823
0.6× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 9 $19,356.52 $49,240.63 $21,040.52 nat. median
$31,313
0.7× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 9 $19,284.70 $49,057.94 $20,962.46 nat. median
$30,860
0.7× median
260
MS_DRG 		Cardiac Pacemaker Revision Except Device Replacement With Mcc 9 $19,200.15 $48,842.84 $20,870.54 nat. median
$32,252
0.6× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 19 $13,738.14 $34,948.15 $20,703.99 nat. median
$24,077
0.9× median
397
MS_DRG 		Appendix Procedures With Mcc 14 $14,208.80 $34,749.34 $20,684.13 nat. median
$23,887
0.9× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 19 $13,423.65 $34,626.00 $20,610.72 nat. median
$23,528
0.9× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 9 $18,915.20 $48,117.98 $20,560.81 nat. median
$32,666
0.6× median

Other procedures at this hospital

Browse this hospital's 4,797 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
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 9 — — $123,477.58 $314,111.98 $132,891.14 2025-01-22
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 9 — — $85,135.79 $216,575.10 $91,626.28 2025-01-22
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 14 — — $51,325.21 $122,315.52 $72,806.85 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 19 — — $40,337.57 $102,613.87 $59,695.42 2026-01-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 18 9 — — $51,321.24 $130,555.01 $55,786.15 2025-01-22
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 35 19 — — $40,008.03 $101,775.56 $55,574.83 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 9 — — $45,171.77 $114,911.51 $49,101.68 2025-01-22
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 35 19 — — $29,415.28 $74,828.91 $43,074.88 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 35 19 — — $28,953.70 $73,654.69 $42,653.40 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 19 — — $27,454.26 $69,840.31 $40,521.86 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 9 — — $36,864.95 $93,779.96 $40,072.18 2025-01-22
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 35 19 — — $26,159.27 $66,693.94 $39,698.78 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 17 14 — — $28,007.76 $66,000.38 $39,285.94 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 8 — — $34,749.88 $88,399.47 $36,464.12 2025-01-22
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 9 — — $29,287.29 $74,503.31 $31,835.26 2025-01-22
C9168 HCPCS Omvoh 300 Mg Vial 13 7 $61,205.00 $36,723.00 40% off $31,826.60 $31,826.60 $31,826.60 2025-01-22
J3357 HCPCS Stelara 45mg/0.5ml Pfs 35 17 $86,020.00 $51,612.00 40% off $149.40 $159,995.34 $31,586.18 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 9 — — $27,838.82 $70,818.58 $30,260.78 2025-01-22
791 MS_DRG Prematurity With Major Problems 31 18 — — $23,732.03 $60,371.41 $29,735.45 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 18 9 — — $27,299.05 $69,445.47 $29,674.05 2025-01-22
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 19 — — $19,556.33 $49,748.92 $29,610.20 2026-01-01
C1767 HCPCS Generator Aspire Sr 14cc 13 7 $56,677.80 $34,006.68 40% off $29,472.46 $29,472.46 $29,472.46 2025-01-22
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 18 9 — — $26,673.56 $67,854.30 $28,994.14 2025-01-22
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 9 — — $24,780.30 $63,038.09 $26,936.17 2025-01-22
793 MS_DRG Full Term Neonate With Major Problems 14 8 — — $24,378.37 $62,015.62 $25,580.98 2025-01-22
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 9 — — $23,500.95 $59,783.57 $25,545.51 2025-01-22
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 9 — — $23,404.81 $59,539.00 $25,441.01 2025-01-22
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 9 — — $22,569.67 $57,414.50 $24,533.22 2025-01-22
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 9 — — $22,460.79 $57,137.52 $24,414.86 2025-01-22
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 9 — — $22,156.15 $56,362.56 $24,083.72 2025-01-22
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 35 19 — — $15,659.19 $39,882.88 $23,739.81 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 9 — — $21,557.31 $54,839.17 $23,432.78 2025-01-22
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 9 — — $21,417.15 $54,482.63 $23,280.43 2025-01-22
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 18 9 — — $21,184.91 $53,891.84 $23,027.98 2025-01-22
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 9 — — $20,191.08 $51,363.66 $21,947.69 2025-01-22
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 9 — — $20,016.76 $50,920.19 $21,758.20 2025-01-22
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 18 9 — — $20,010.38 $50,903.99 $21,751.27 2025-01-22
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 35 19 — — $13,899.72 $36,156.78 $21,521.89 2026-01-01
C1882 HCPCS Defib Momentum Is-1/df-1/lv 13 7 $41,148.54 $24,689.12 40% off $21,397.24 $21,397.24 $21,397.24 2025-01-22
37 MS_DRG Extracranial Procedures With Mcc 18 9 — — $19,549.96 $49,732.71 $21,250.78 2025-01-22
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 35 19 — — $13,805.32 $35,682.31 $21,239.47 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 35 19 — — $14,397.79 $36,626.24 $21,233.43 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 18 9 — — $19,423.70 $49,411.54 $21,113.54 2025-01-22
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 18 9 — — $19,356.52 $49,240.63 $21,040.52 2025-01-22
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 18 9 — — $19,284.70 $49,057.94 $20,962.46 2025-01-22
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 9 — — $19,200.15 $48,842.84 $20,870.54 2025-01-22
330 MS_DRG Major Small And Large Bowel Procedures With Cc 35 19 — — $13,738.14 $34,948.15 $20,703.99 2026-01-01
397 MS_DRG Appendix Procedures With Mcc 17 14 — — $14,208.80 $34,749.34 $20,684.13 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 35 19 — — $13,423.65 $34,626.00 $20,610.72 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 18 9 — — $18,915.20 $48,117.98 $20,560.81 2025-01-22
J0802 HCPCS Cortrophin 400 Unit/5ml Vial 13 7 $41,862.00 $25,117.20 40% off $4,090.16 $20,464.36 $20,464.36 2025-01-22
A9604 HCPCS Samarium Sm-153 Lexidronam 13 7 $39,352.00 $23,611.20 40% off $20,463.04 $20,463.04 $20,463.04 2025-01-22
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 9 — — $18,621.57 $47,371.01 $20,241.64 2025-01-22
357 MS_DRG Other Digestive System O.r. Procedures With Cc 17 14 — — $13,893.83 $33,742.36 $20,084.74 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 18 9 — — $18,414.81 $46,845.05 $20,016.89 2025-01-22
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 18 9 — — $18,309.99 $46,578.38 $19,902.94 2025-01-22
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 17 14 — — $13,564.32 $33,019.78 $19,654.63 2026-01-01
665 MS_DRG Prostatectomy With Mcc 18 9 — — $17,890.68 $45,511.71 $19,447.15 2025-01-22
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 35 19 — — $12,484.27 $32,107.12 $19,111.38 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 18 9 — — $17,341.06 $44,113.55 $18,849.72 2025-01-22
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 35 19 — — $13,105.12 $33,337.83 $18,817.73 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 18 9 — — $17,078.70 $43,446.14 $18,564.53 2025-01-22
570 MS_DRG Skin Debridement With Mcc 18 9 — — $16,924.07 $43,052.77 $18,396.45 2025-01-22
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 35 19 — — $12,016.89 $30,569.50 $18,089.65 2026-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 35 19 — — $12,124.61 $30,843.54 $18,009.33 2026-01-01
792 MS_DRG Prematurity Without Major Problems 31 18 — — $14,319.61 $36,427.34 $17,941.99 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 18 9 — — $16,269.62 $41,387.94 $17,685.07 2025-01-22
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 9 — — $16,232.56 $41,293.65 $17,644.78 2025-01-22
L8679 HCPCS Neurostimulator Sacral 22 17 $31,607.94 $18,964.76 40% off $5,803.22 $29,395.38 $17,599.30 2026-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 35 19 — — $11,600.47 $29,510.20 $17,368.48 2026-01-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 35 19 — — $10,825.57 $29,113.76 $17,329.62 2026-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 35 19 — — $11,804.34 $30,028.80 $17,257.07 2026-01-01
654 MS_DRG Major Bladder Procedures With Cc 18 9 — — $15,854.37 $40,331.59 $17,233.69 2025-01-22
963 MS_DRG Other Multiple Significant Trauma With Mcc 18 9 — — $15,835.84 $40,284.44 $17,213.54 2025-01-22
539 MS_DRG Osteomyelitis With Mcc 35 19 — — $11,492.75 $29,236.17 $17,011.79 2026-01-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 35 19 — — $11,096.61 $28,558.04 $16,998.83 2026-01-01
J1628 HCPCS Guselkumab 200 Mg/20 Ml 22 17 $92,255.00 $55,353.00 40% off $75.97 $85,797.15 $16,938.02 2026-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 35 19 — — $11,482.33 $29,209.65 $16,776.87 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 18 9 — — $15,017.49 $38,202.67 $16,324.00 2025-01-22
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 18 9 — — $14,993.74 $38,142.26 $16,298.19 2025-01-22
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 35 19 — — $11,493.33 $29,237.64 $16,153.29 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 18 9 — — $14,774.82 $37,585.36 $16,060.22 2025-01-22
164 MS_DRG Major Chest Procedures With Cc 18 9 — — $14,770.77 $37,575.04 $16,055.82 2025-01-22
347 MS_DRG Anal And Stomal Procedures With Mcc 18 9 — — $14,763.24 $37,555.89 $16,047.63 2025-01-22
754 MS_DRG Malignancy, Female Reproductive System With Mcc 17 14 — — $11,716.28 $26,722.56 $15,906.28 2026-01-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 17 14 — — $11,269.76 $26,622.44 $15,846.69 2026-01-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 35 19 — — $10,484.44 $26,671.15 $15,813.87 2026-01-01
919 MS_DRG Complications Of Treatment With Mcc 35 19 — — $10,567.84 $26,883.31 $15,812.14 2026-01-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 35 19 — — $10,368.61 $26,523.77 $15,787.96 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 18 9 — — $14,463.82 $36,794.19 $15,722.15 2025-01-22
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 18 9 — — $14,387.37 $36,599.72 $15,639.06 2025-01-22
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 35 19 — — $12,791.80 $32,540.78 $15,632.50 2026-01-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 35 19 — — $10,588.11 $26,934.87 $15,500.36 2026-01-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 35 19 — — $10,780.39 $27,424.01 $15,493.45 2026-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 35 19 — — $10,121.89 $25,748.86 $15,313.80 2026-01-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 17 14 — — $11,534.13 $25,631.43 $15,256.80 2026-01-01
180 MS_DRG Respiratory Neoplasms With Mcc 35 19 — — $10,066.87 $25,624.17 $15,252.48 2026-01-01
199 MS_DRG Pneumothorax With Mcc 35 19 — — $10,274.79 $26,137.82 $15,236.07 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 18 9 — — $13,909.57 $35,384.25 $15,119.69 2025-01-22
56 MS_DRG Degenerative Nervous System Disorders With Mcc 18 9 — — $13,864.97 $35,270.80 $15,071.21 2025-01-22
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 17 14 — — $10,600.62 $25,204.84 $15,002.88 2026-01-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 35 19 — — $10,115.52 $25,732.66 $14,924.29 2026-01-01
C1722 HCPCS Icd Gallant Vr 13 7 $28,531.03 $17,118.62 40% off $14,836.14 $14,836.14 $14,836.14 2025-01-22
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 18 9 — — $13,614.78 $34,634.34 $14,799.25 2025-01-22
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 35 19 — — $9,467.45 $24,544.65 $14,609.91 2026-01-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 17 14 — — $9,764.52 $24,518.53 $14,594.36 2026-01-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 35 19 — — $9,683.47 $24,633.58 $14,534.77 2026-01-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 17 14 — — $10,864.36 $24,411.16 $14,530.45 2026-01-01
915 MS_DRG Allergic Reactions With Mcc 17 14 — — $11,219.80 $24,399.55 $14,523.54 2026-01-01
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 35 19 — — $10,363.98 $26,364.70 $14,378.44 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 18 9 — — $13,190.83 $33,555.88 $14,338.42 2025-01-22
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 35 19 — — $9,581.54 $24,374.28 $14,288.62 2026-01-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 35 19 — — $10,132.32 $25,775.38 $14,246.30 2026-01-01
36906 CPT Perq Thrombo Dialy Circ 19 9 $27,314.00 $16,388.40 40% off $14,203.28 $14,965.60 $14,203.28 2025-01-22
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 17 14 — — $10,732.81 $23,848.18 $14,195.35 2026-01-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 35 19 — — $9,664.94 $24,586.43 $14,079.61 2026-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 18 9 — — $12,919.21 $32,864.90 $14,043.17 2025-01-22
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 35 19 — — $9,188.29 $23,373.90 $13,854.19 2026-01-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 35 19 — — $9,379.99 $23,861.57 $13,812.74 2026-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 18 9 — — $12,684.07 $32,266.74 $13,787.58 2025-01-22
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 18 9 — — $12,623.84 $32,113.52 $13,722.10 2025-01-22
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 18 9 — — $12,547.97 $31,920.52 $13,639.64 2025-01-22
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 35 19 — — $9,242.73 $23,512.39 $13,545.86 2026-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 35 19 — — $9,824.79 $24,993.06 $13,496.63 2026-01-01
186 MS_DRG Pleural Effusion With Mcc 35 19 — — $8,989.06 $22,867.09 $13,460.36 2026-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 18 9 — — $12,369.01 $31,465.27 $13,445.11 2025-01-22
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 18 9 — — $12,325.00 $31,353.30 $13,397.26 2025-01-22
711 MS_DRG Testes Procedures With Cc/mcc 18 9 — — $12,294.88 $31,276.69 $13,364.53 2025-01-22
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 18 9 — — $12,232.91 $31,119.04 $13,297.17 2025-01-22
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 18 9 — — $12,200.48 $31,036.54 $13,261.92 2025-01-22
336 MS_DRG Peritoneal Adhesiolysis With Cc 18 9 — — $12,192.95 $31,017.38 $13,253.73 2025-01-22
374 MS_DRG Digestive Malignancy With Mcc 18 9 — — $12,156.46 $30,924.57 $13,214.06 2025-01-22
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 31 18 — — $10,537.15 $26,805.22 $13,202.70 2026-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 18 9 — — $12,117.66 $30,825.86 $13,171.88 2025-01-22
592 MS_DRG Skin Ulcers With Mcc 18 9 — — $12,104.92 $30,793.44 $13,158.04 2025-01-22
398 MS_DRG Appendix Procedures With Cc 17 14 — — $9,570.98 $21,961.92 $13,072.57 2026-01-01
C1721 HCPCS Icd Fortify Cd2357-40c 13 7 $24,681.00 $14,808.60 40% off $12,834.12 $12,834.12 $12,834.12 2025-01-22
682 MS_DRG Renal Failure With Mcc 35 19 — — $8,691.96 $22,111.29 $12,791.01 2026-01-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 35 19 — — $8,418.02 $21,427.96 $12,754.74 2026-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 18 9 — — $11,631.17 $29,588.28 $12,643.07 2025-01-22
908 MS_DRG Other O.r. Procedures For Injuries With Cc 18 9 — — $11,606.85 $29,526.41 $12,616.63 2025-01-22
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 18 9 — — $11,547.19 $29,374.66 $12,551.79 2025-01-22
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 9 — — $11,510.71 $29,281.84 $12,512.13 2025-01-22
100 MS_DRG Seizures With Mcc 18 9 — — $11,481.75 $29,208.17 $12,480.65 2025-01-22
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 18 9 — — $11,442.94 $29,109.46 $12,438.47 2025-01-22
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 18 9 — — $11,417.46 $29,044.64 $12,410.77 2025-01-22
637 MS_DRG Diabetes With Mcc 35 19 — — $8,393.69 $21,352.54 $12,408.40 2026-01-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 35 19 — — $7,548.13 $20,634.28 $12,282.31 2026-01-01
548 MS_DRG Septic Arthritis With Mcc 18 9 — — $11,292.36 $28,726.40 $12,274.79 2025-01-22
380 MS_DRG Complicated Peptic Ulcer With Mcc 18 9 — — $11,284.84 $28,707.25 $12,266.61 2025-01-22
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 18 9 — — $11,261.67 $28,648.32 $12,241.42 2025-01-22
811 MS_DRG Red Blood Cell Disorders With Mcc 35 19 — — $8,129.02 $20,679.24 $12,128.57 2026-01-01
884 MS_DRG Organic Disturbances And Intellectual Disability 29 17 — — $10,175.17 $23,907.90 $11,936.48 2026-01-01
196 MS_DRG Interstitial Lung Disease With Mcc 18 9 — — $10,977.30 $27,924.93 $11,932.32 2025-01-22
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 35 19 — — $8,125.54 $20,670.40 $11,863.43 2026-01-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 18 9 — — $10,898.54 $27,724.56 $11,846.70 2025-01-22
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 18 9 — — $10,897.96 $27,723.09 $11,846.08 2025-01-22
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 35 19 — — $7,605.46 $19,817.38 $11,796.06 2026-01-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 18 9 — — $10,795.45 $27,462.31 $11,734.65 2025-01-22
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 18 9 — — $10,717.26 $27,263.42 $11,649.65 2025-01-22
693 MS_DRG Urinary Stones With Mcc 35 19 — — $8,202.57 $20,866.35 $11,612.10 2026-01-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 18 9 — — $10,668.04 $27,138.19 $11,596.15 2025-01-22
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 18 9 — — $10,652.98 $27,099.88 $11,579.78 2025-01-22
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 35 19 — — $7,617.05 $19,379.19 $11,535.23 2026-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 18 9 — — $10,595.64 $26,954.02 $11,517.45 2025-01-22
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 35 19 — — $7,683.07 $19,544.80 $11,352.13 2026-01-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 17 14 — — $8,578.02 $19,046.91 $11,337.45 2026-01-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 18 9 — — $10,362.24 $26,360.28 $11,263.75 2025-01-22
24586 CPT Opn Tx Periarticular Fx Elb Bi 38 9 $19,385.00 $11,631.00 40% off $6,719.96 $13,440.44 $11,232.56 2025-01-22
27870 CPT Arthrodesis Ankle Opn 6 6 — — $11,232.56 $11,232.56 $11,232.56 2025-01-22
69714 CPT Implantation Osseo Implant 6 6 — — $11,232.56 $11,232.56 $11,232.56 2025-01-22
540 MS_DRG Osteomyelitis With Cc 35 19 — — $7,518.59 $19,126.38 $11,195.81 2026-01-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 35 19 — — $7,895.04 $20,084.03 $11,189.76 2026-01-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 18 9 — — $10,261.47 $26,103.93 $11,125.39 2025-01-22
291 MS_DRG Heart Failure And Shock With Mcc 35 19 — — $7,435.77 $18,915.70 $11,087.85 2026-01-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 18 9 — — $10,192.55 $25,928.61 $11,079.30 2025-01-22
J9043 HCPCS Jevtana 60mg/6ml Injection 22 17 $60,085.00 $36,051.00 40% off $227.28 $55,879.05 $11,031.61 2026-01-01
947 MS_DRG Signs And Symptoms With Mcc 35 19 — — $7,248.70 $18,439.82 $10,963.48 2026-01-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 35 19 — — $7,388.28 $18,794.89 $10,953.98 2026-01-01
501 MS_DRG Soft Tissue Procedures With Cc 18 9 — — $10,052.39 $25,572.07 $10,926.94 2025-01-22
254 MS_DRG Other Vascular Procedures Without Cc/mcc 18 9 — — $10,048.92 $25,563.23 $10,923.17 2025-01-22
794 MS_DRG Neonate With Other Significant Problems 31 18 — — $8,628.83 $21,950.70 $10,811.64 2026-01-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 14 9 — — $10,297.96 $24,196.38 $10,805.97 2025-01-22
505 MS_DRG Foot Procedures Without Cc/mcc 18 9 — — $9,878.65 $25,130.08 $10,738.08 2025-01-22
551 MS_DRG Medical Back Problems With Mcc 18 9 — — $9,856.64 $25,074.09 $10,714.16 2025-01-22
189 MS_DRG Pulmonary Edema And Respiratory Failure 35 19 — — $7,135.19 $18,151.06 $10,669.83 2026-01-01
571 MS_DRG Skin Debridement With Cc 18 9 — — $9,798.72 $24,926.76 $10,651.20 2025-01-22
368 MS_DRG Major Esophageal Disorders With Mcc 18 9 — — $9,567.64 $24,338.92 $10,400.02 2025-01-22
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 35 19 — — $6,962.60 $17,712.01 $10,398.63 2026-01-01
643 MS_DRG Endocrine Disorders With Mcc 18 9 — — $9,527.68 $24,237.26 $10,356.58 2025-01-22
865 MS_DRG Viral Illness With Mcc 18 9 — — $9,497.56 $24,160.65 $10,323.84 2025-01-22
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 18 9 — — $9,496.40 $24,157.70 $10,322.58 2025-01-22
444 MS_DRG Disorders Of The Biliary Tract With Mcc 18 9 — — $9,458.76 $24,061.94 $10,281.67 2025-01-22
533 MS_DRG Fractures Of Femur With Mcc 18 9 — — $9,448.33 $24,035.42 $10,270.33 2025-01-22
620 MS_DRG O.r. Procedures For Obesity With Cc 18 9 — — $9,395.05 $23,899.87 $10,212.42 2025-01-22
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 18 9 — — $9,285.01 $23,619.95 $10,092.80 2025-01-22
38 MS_DRG Extracranial Procedures With Cc 18 9 — — $9,265.90 $23,571.33 $10,072.02 2025-01-22
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 35 19 — — $6,801.60 $17,302.44 $10,021.21 2026-01-01
J1162 HCPCS Digifab 35 21 $20,222.00 $12,133.20 40% off $3,712.76 $18,806.46 $10,014.68 2026-01-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 18 9 — — $9,199.30 $23,401.90 $9,999.63 2025-01-22
251 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent Without Mcc 18 9 — — $9,190.61 $23,379.80 $9,990.19 2025-01-22
299 MS_DRG Peripheral Vascular Disorders With Mcc 18 9 — — $9,128.64 $23,222.15 $9,922.83 2025-01-22
183 MS_DRG Major Chest Trauma With Mcc 18 9 — — $9,118.80 $23,197.11 $9,912.12 2025-01-22
572 MS_DRG Skin Debridement Without Cc/mcc 35 19 — — $6,600.05 $16,789.73 $9,900.30 2026-01-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 18 9 — — $9,074.78 $23,085.14 $9,864.28 2025-01-22
813 MS_DRG Coagulation Disorders 18 9 — — $9,034.82 $22,983.48 $9,820.84 2025-01-22
33210 CPT Temp Pacemaker Insert 25 15 $18,875.00 $11,325.00 40% off $151.50 $9,815.00 $9,815.00 2026-07-30
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 18 9 — — $9,016.29 $22,936.33 $9,800.69 2025-01-22
C1876 HCPCS Stent Endurant Esbf3214c103e 13 7 $18,776.94 $11,266.16 40% off $9,764.01 $9,764.01 $9,764.01 2025-01-22
61885 CPT Insrt/redo Neurostim 1 Array 12 12 $1,806.00 $1,083.60 40% off $128.57 $18,669.99 $9,730.63 2026-07-30
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 35 19 — — $6,556.61 $16,679.23 $9,725.83 2026-01-01
669 MS_DRG Transurethral Procedures With Cc 18 9 — — $8,887.71 $22,609.26 $9,660.94 2025-01-22
787 MS_DRG Cesarean Section Without Sterilization With Cc 35 19 — — $6,087.50 $16,204.46 $9,645.51 2026-01-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 18 9 — — $8,807.21 $22,404.47 $9,573.43 2025-01-22
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 35 19 — — $6,382.29 $16,235.77 $9,566.92 2026-01-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 18 9 — — $8,750.45 $22,260.09 $9,511.74 2025-01-22
200 MS_DRG Pneumothorax With Cc 35 19 — — $6,237.50 $15,950.54 $9,494.37 2026-01-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 18 9 — — $8,723.23 $22,190.84 $9,482.15 2025-01-22
445 MS_DRG Disorders Of The Biliary Tract With Cc 35 19 — — $6,294.26 $16,011.82 $9,452.05 2026-01-01
913 MS_DRG Traumatic Injury With Mcc 18 9 — — $8,655.47 $22,018.47 $9,408.49 2025-01-22
Q4197 HCPCS Puraply Xt 4.91x4.91(25)/sqcm 35 21 $11,305.00 $6,783.00 40% off $2,075.60 $10,513.65 $9,372.22 2026-01-01
602 MS_DRG Cellulitis With Mcc 18 9 — — $8,614.93 $21,915.34 $9,364.42 2025-01-22
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 35 19 — — $5,839.04 $15,658.89 $9,320.77 2026-01-01
885 MS_DRG Psychoses 29 17 — — $7,913.57 $20,267.18 $9,283.40 2026-01-01
54 MS_DRG Nervous System Neoplasms With Mcc 18 9 — — $8,533.85 $21,709.08 $9,276.28 2025-01-22
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 35 19 — — $6,404.00 $17,946.27 $9,255.13 2026-01-01
181 MS_DRG Respiratory Neoplasms With Cc 35 19 — — $6,377.08 $16,222.51 $9,249.95 2026-01-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 35 19 — — $6,264.14 $15,935.21 $9,242.18 2026-01-01
784 MS_DRG Cesarean Section With Sterilization With Cc 35 19 — — $5,931.13 $15,381.76 $9,155.81 2026-01-01
54401 CPT Insert Penile Prosthesis 12 12 $2,077.00 $1,246.20 40% off $611.77 $17,215.90 $9,123.12 2026-07-30
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 35 19 — — $5,971.09 $15,325.17 $9,122.12 2026-01-01
23472 CPT Arthroplasty Total Shoulder 12 12 $5,821.00 $3,492.60 40% off $1,143.49 $15,905.21 $9,086.19 2026-07-30
796 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Mcc 18 9 — — $8,214.73 $20,897.29 $8,929.41 2025-01-22
67 MS_DRG Nonspecific Cva And Precerebral Occlusion Without Infarction With Mcc 18 9 — — $8,206.05 $20,875.19 $8,919.97 2025-01-22
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 35 19 — — $6,149.47 $15,643.50 $8,861.30 2026-01-01
748 MS_DRG Female Reproductive System Reconstructive Procedures 18 9 — — $8,136.55 $20,698.39 $8,844.42 2025-01-22
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 35 19 — — $5,964.72 $15,173.52 $8,837.98 2026-01-01
55866 CPT Lap Radical Prostatectomy 6 6 — — $8,785.32 $8,785.32 $8,785.32 2025-01-22
58554 CPT Lap Hysterectomy 6 6 — — $8,785.32 $8,785.32 $8,785.32 2025-01-22
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 35 19 — — $5,912.01 $15,039.45 $8,766.29 2026-01-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 35 19 — — $5,886.53 $14,974.62 $8,725.70 2026-01-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 18 9 — — $7,891.57 $20,075.19 $8,578.12 2025-01-22
187 MS_DRG Pleural Effusion With Cc 17 14 — — $6,301.18 $14,351.57 $8,542.60 2026-01-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 18 9 — — $7,799.48 $19,840.93 $8,478.03 2025-01-22
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 18 9 — — $7,794.85 $19,829.14 $8,472.99 2025-01-22
378 MS_DRG Gastrointestinal Hemorrhage With Cc 35 19 — — $5,697.73 $14,494.33 $8,470.05 2026-01-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 35 19 — — $5,714.52 $14,537.05 $8,429.46 2026-01-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 35 19 — — $5,788.08 $14,724.16 $8,415.64 2026-01-01
36903 CPT Shunt Stdy W/angio+stnt 12 12 $5,500.00 $3,300.00 40% off $295.34 $9,389.10 $8,408.90 2026-07-30
202 MS_DRG Bronchitis And Asthma With Cc/mcc 35 19 — — $5,545.41 $14,106.85 $8,388.00 2026-01-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 35 19 — — $5,510.66 $14,018.45 $8,337.05 2026-01-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 35 19 — — $5,602.17 $14,251.23 $8,319.77 2026-01-01
552 MS_DRG Medical Back Problems Without Mcc 35 19 — — $5,596.37 $14,236.50 $8,302.50 2026-01-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 18 9 — — $7,628.05 $19,404.83 $8,291.69 2025-01-22
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 35 19 — — $4,951.78 $13,911.92 $8,280.91 2026-01-01
150 MS_DRG Epistaxis With Mcc 18 9 — — $7,612.99 $19,366.53 $8,275.31 2025-01-22
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 35 19 — — $5,017.22 $13,897.41 $8,272.27 2026-01-01
348 MS_DRG Anal And Stomal Procedures With Cc 18 9 — — $7,537.12 $19,173.53 $8,192.84 2025-01-22
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 18 9 — — $7,509.90 $19,104.28 $8,163.26 2025-01-22
394 MS_DRG Other Digestive System Diagnoses With Cc 35 19 — — $5,426.10 $13,803.35 $8,081.40 2026-01-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 18 9 — — $7,432.88 $18,908.33 $8,079.53 2025-01-22
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 18 9 — — $7,419.55 $18,874.45 $8,065.05 2025-01-22
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 35 19 — — $5,287.69 $13,451.23 $7,938.03 2026-01-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 35 19 — — $5,216.45 $13,322.83 $7,930.25 2026-01-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 35 19 — — $5,263.36 $13,389.35 $7,911.25 2026-01-01
C9740 HCPCS Cysto Impl 4 Or More 6 6 — — $7,862.37 $7,862.37 $7,862.37 2025-01-22
101 MS_DRG Seizures Without Mcc 35 19 — — $5,267.99 $13,401.14 $7,795.52 2026-01-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 18 9 — — $7,168.20 $18,235.03 $7,791.83 2025-01-22
638 MS_DRG Diabetes With Cc 35 19 — — $5,208.92 $13,250.86 $7,740.25 2026-01-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 35 19 — — $5,087.30 $12,960.08 $7,714.34 2026-01-01
864 MS_DRG Fever And Inflammatory Conditions 35 19 — — $5,112.78 $13,006.29 $7,666.83 2026-01-01
593 MS_DRG Skin Ulcers With Cc 18 9 — — $7,007.20 $17,825.46 $7,616.81 2025-01-22
549 MS_DRG Septic Arthritis With Cc 18 9 — — $6,985.77 $17,770.94 $7,593.52 2025-01-22
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 18 9 — — $6,975.34 $17,744.43 $7,582.19 2025-01-22
683 MS_DRG Renal Failure With Cc 35 19 — — $5,217.03 $13,271.49 $7,564.06 2026-01-01
546 MS_DRG Connective Tissue Disorders With Cc 18 9 — — $6,945.81 $17,669.29 $7,550.09 2025-01-22
375 MS_DRG Digestive Malignancy With Cc 18 9 — — $6,940.01 $17,654.55 $7,543.79 2025-01-22
312 MS_DRG Syncope And Collapse 35 19 — — $5,001.00 $12,721.95 $7,527.78 2026-01-01
603 MS_DRG Cellulitis Without Mcc 35 19 — — $5,123.78 $13,034.29 $7,521.74 2026-01-01
866 MS_DRG Viral Illness Without Mcc 35 19 — — $5,314.91 $13,520.47 $7,510.51 2026-01-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 18 9 — — $6,875.73 $17,491.02 $7,473.91 2025-01-22
24666 CPT Opn Tx Radial Head W Prsth Bi 38 9 $10,733.00 $6,439.80 40% off $6,188.76 $11,232.56 $7,441.20 2025-01-22
J0630 HCPCS Calcitonin Inj 200 Unit/ml 13 7 $14,305.00 $8,583.00 40% off $7,438.60 $7,438.60 $7,438.60 2025-01-22
27170 CPT Bone Graft Fem Head/nec 13 7 $14,259.00 $8,555.40 40% off $7,414.68 $7,414.68 $7,414.68 2025-01-22
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 35 19 — — $4,985.95 $12,683.64 $7,402.55 2026-01-01
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 18 9 — — $6,701.98 $17,049.03 $7,285.05 2025-01-22
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 35 19 — — $4,917.03 $12,508.32 $7,280.77 2026-01-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 35 19 — — $4,952.93 $12,599.66 $7,265.23 2026-01-01
33212 CPT Insert Pulse Gen Sngl Lead 6 6 — — $7,250.75 $7,250.75 $7,250.75 2025-01-22
304 MS_DRG Hypertension With Mcc 18 9 — — $6,654.49 $16,928.22 $7,233.43 2025-01-22
39 MS_DRG Extracranial Procedures Without Cc/mcc 18 9 — — $6,608.16 $16,810.35 $7,183.06 2025-01-22
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 35 19 — — $4,641.93 $12,003.89 $7,145.18 2026-01-01
37239 CPT Trnscth Stent Addl Vein 19 13 $13,683.00 $8,209.80 40% off $140.68 $7,115.16 $7,115.16 2026-07-30
302 MS_DRG Atherosclerosis With Mcc 18 9 — — $6,492.91 $16,517.17 $7,057.78 2025-01-22
723 MS_DRG Malignancy, Male Reproductive System With Cc 18 9 — — $6,453.52 $16,416.98 $7,014.98 2025-01-22
37238 CPT Open/perq Place Stent Same 12 12 $6,615.00 $3,969.00 40% off $285.65 $9,389.10 $6,994.30 2026-07-30
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 35 19 — — $4,673.20 $11,888.06 $6,991.44 2026-01-01
204 MS_DRG Respiratory Signs And Symptoms 35 19 — — $4,765.87 $12,123.79 $6,973.30 2026-01-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 35 19 — — $4,761.81 $12,113.47 $6,960.35 2026-01-01
948 MS_DRG Signs And Symptoms Without Mcc 35 19 — — $4,639.03 $11,801.13 $6,913.71 2026-01-01
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