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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

BAPTIST HEALTH PADUCAH

Paducah, KY · CCN 180104 · Rates published

11,969 distinct procedures filed
30 distinct payers
441,032 rate rows
2026-04-01 last MRF observed
Data quality

438,244 of 441,032 rate rows are consumer-grade (99.4%)

2,788 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 2,458
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 171
exceeds 10× this hospital's gross charge — excluded from medians 60
percent-of-charges filed in the dollar field — excluded from medians 35
exceeds 3× this hospital's gross charge for a DRG stay — excluded 24
per-diem day rate — not a per-procedure price 22
placeholder amount (≤ $0.02) — excluded from medians 18
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbBHPPADUCAHKY&type=CDMWithoutLabel&fileType=CSV
Found on page https://www.baptisthealth.com/patients-visitors/planning/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-28
Content fingerprint 118aac915f7b8fe4… · 213,310,100 bytes · first seen 2026-05-08

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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $173,796.75 $392,334.60 $202,251.57 nat. median
$249,036
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $132,231.99 $297,152.80 $153,184.60 nat. median
$190,559
0.8× median
SUP_164145
CDM 		Cap Sys Imp Pascal-precision 23 $28,709.07 $251,204.38 $132,564.14 nat. median
$132,564
1.0× median
SUP_126495
CDM 		Bundle Repr Mitraclip-g4 Nt-ntw-xt-xtw 3clip W-cath-sgc0701 23 $28,146.15 $246,278.80 $129,964.84 nat. median
$129,965
1.0× median
NDC00074106501
CDM 		Skyrizi 180 Mg-1.2ml Sc Soct 23 $24,782.97 $216,850.96 $114,435.35 nat. median
$106,567
1.1× median
C1824
HCPCS 		Generator, Cardiac Contractility Modulation (implantable) 22 $24,393.33 $213,441.63 $109,510.80 nat. median
$35,360
outlier · 3.1×
C1604
HCPCS 		Graft, Transmural Transvenous Arterial Bypass (implantable), With All Delivery S… 22 $23,455.12 $205,232.34 $105,298.85 nat. median
$28,000
outlier · 3.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 $87,181.60 $193,919.60 $99,967.08 nat. median
$126,695
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 25 $67,214.32 $178,607.09 $97,105.71 nat. median
$97,323
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 17 $63,953.70 $145,548.50 $95,930.59 nat. median
$70,732
1.4× median
C1822
HCPCS 		Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 22 $20,265.23 $177,320.74 $90,978.21 nat. median
$31,540
outlier · 2.9×
215
MS_DRG 		Other Heart Assist System Implant 25 $65,370.00 $163,543.73 $88,916.01 nat. median
$93,901
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $59,546.42 $160,682.49 $87,360.40 nat. median
$90,551
1.0× median
HB_36033278000
CDM 		Operating Room Services - General Classification 23 $18,384.37 $160,863.27 $84,889.85 nat. median
$83,810
1.0× median
HB_36033287000
CDM 		Operating Room Services - General Classification 23 $18,384.37 $160,863.27 $84,889.85 nat. median
$83,810
1.0× median
C2624
HCPCS 		Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 22 $18,295.00 $160,081.22 $82,133.11 nat. median
$32,662
outlier · 2.5×
J9600
HCPCS 		Injection, Porfimer Sodium, 75 Mg 22 $3,004.74 $197,896.49 $80,049.13 nat. median
$30,131
outlier · 2.7×
C1826
HCPCS 		Generator, Neurostimulator (implantable), Includes Closed Feedback Loop Leads An… 22 $16,653.14 $213,441.63 $77,437.09 nat. median
$28,756
outlier · 2.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 25 $52,283.91 $138,461.11 $75,279.01 nat. median
$77,028
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 17 $47,866.04 $108,935.53 $71,799.09 nat. median
$52,712
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 $47,740.06 $126,116.08 $68,567.22 nat. median
$72,398
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 $48,226.28 $125,572.41 $68,271.64 nat. median
$71,748
1.0× median
HB_48193653000
CDM 		Hc Ep Eval W/ablat Svt Arrhythm/imag/rec 23 $14,677.04 $128,424.09 $67,771.23 nat. median
$64,249
1.1× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 17 $44,142.01 $100,460.23 $66,213.05 nat. median
$49,540
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 $43,602.83 $117,116.82 $63,674.47 nat. median
$66,649
1.0× median
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 22 $85.35 $234,518.99 $63,608.51 nat. median
$22,986
outlier · 2.8×
HB_48193656000
CDM 		Hc Ep Evl Trnsptl Pulm Vein Ablat Imag/rec 23 $13,775.37 $120,534.45 $63,607.75 nat. median
$60,302
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 26 $42,924.09 $113,526.32 $61,722.37 nat. median
$62,655
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 $41,139.01 $112,969.51 $61,419.65 nat. median
$63,873
1.0× median
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 22 $9,833.33 $321,352.79 $60,140.35 nat. median
$23,896
outlier · 2.5×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $39,844.47 $107,999.30 $58,717.43 nat. median
$62,031
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $36,708.07 $107,999.30 $58,717.43 nat. median
$59,546
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 25 $39,908.02 $105,689.95 $57,461.87 nat. median
$59,371
1.0× median
C1882
HCPCS 		Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 22 $10,320.25 $163,364.94 $57,438.08 nat. median
$27,360
outlier · 2.1×
SUP_16402
CDM 		Kt Cann W-20d Dil Circt Pump Hd Bubl Trap 23 $12,196.66 $106,720.82 $56,318.10 nat. median
$56,318
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 $36,962.91 $100,658.97 $54,726.61 nat. median
$58,280
0.9× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 25 $37,690.39 $99,578.21 $54,139.02 nat. median
$57,801
0.9× median
SUP_137662
CDM 		St Sup Heart-lung Beqhls-7050 Adv 7.0l 1p-u 23 $11,624.36 $101,713.14 $53,675.48 nat. median
$53,675
1.0× median
28
MS_DRG 		Spinal Procedures With Mcc 25 $37,510.22 $98,686.33 $53,654.12 nat. median
$54,460
1.0× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 $38,219.19 $98,658.41 $53,638.94 nat. median
$56,687
0.9× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 25 $36,305.15 $96,391.76 $52,406.60 nat. median
$55,477
0.9× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 $35,923.20 $96,329.34 $52,372.66 nat. median
$53,856
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 $41,208.73 $100,417.80 $51,766.16 nat. median
$61,308
0.8× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 $35,200.04 $94,120.18 $51,171.58 nat. median
$53,523
1.0× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 25 $33,324.25 $93,614.29 $50,896.54 nat. median
$49,929
1.0× median
HB_48193654000
CDM 		Hc Ep Eval W/ablat V Tach Imag/rec 23 $10,953.42 $95,842.39 $50,577.40 nat. median
$47,949
1.1× median
C1772
HCPCS 		Infusion Pump, Programmable (implantable) 22 $11,211.55 $98,101.06 $50,332.85 nat. median
$10,870
outlier · 4.6×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 17 $33,239.12 $75,646.98 $49,858.71 nat. median
$38,810
1.3× median
SUP_41503
CDM 		Dev Coag Episense Guided 6130 W-visitrax 3cm Sgl 23 $10,789.36 $94,406.87 $49,819.86 nat. median
$49,820
1.0× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 $32,825.68 $89,724.85 $48,781.91 nat. median
$51,598
0.9× median

Other procedures at this hospital

Browse this hospital's 11,969 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 17 $1,212,403.43 $909,302.57 25% off $173,796.75 $392,334.60 $202,251.57 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 19 $316,920.16 $237,690.12 25% off $132,231.99 $297,152.80 $153,184.60 2026-04-01
SUP_164145 CDM Cap Sys Imp Pascal-precision 23 23 $358,863.40 $269,147.55 25% off $28,709.07 $251,204.38 $132,564.14 2026-04-01
SUP_126495 CDM Bundle Repr Mitraclip-g4 Nt-ntw-xt-xtw 3clip W-cath-sgc0701 23 23 $351,826.86 $263,870.15 25% off $28,146.15 $246,278.80 $129,964.84 2026-04-01
NDC00074106501 CDM Skyrizi 180 Mg-1.2ml Sc Soct 23 23 $309,787.09 $232,340.32 25% off $24,782.97 $216,850.96 $114,435.35 2026-04-01
C1824 HCPCS Generator, Cardiac Contractility Modulation (implantable) 22 22 $304,916.61 $228,687.46 25% off $24,393.33 $213,441.63 $109,510.80 2026-04-01
C1604 HCPCS Graft, Transmural Transvenous Arterial Bypass (implantable), With All Delivery S… 22 22 $293,189.05 $219,891.79 25% off $23,455.12 $205,232.34 $105,298.85 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 19 $463,616.20 $347,712.15 25% off $87,181.60 $193,919.60 $99,967.08 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 25 25 $772,594.26 $579,445.70 25% off $67,214.32 $178,607.09 $97,105.71 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 17 17 $719,411.69 $539,558.76 25% off $63,953.70 $145,548.50 $95,930.59 2026-04-01
C1822 HCPCS Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 22 22 $253,315.34 $189,986.51 25% off $20,265.23 $177,320.74 $90,978.21 2026-04-01
215 MS_DRG Other Heart Assist System Implant 25 25 $591,781.29 $443,835.97 25% off $65,370.00 $163,543.73 $88,916.01 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 25 $541,106.57 $405,829.92 25% off $59,546.42 $160,682.49 $87,360.40 2026-04-01
HB_36033287000 CDM Operating Room Services - General Classification 23 23 $229,804.67 $172,353.50 25% off $18,384.37 $160,863.27 $84,889.85 2026-04-01
HB_36033278000 CDM Operating Room Services - General Classification 23 23 $229,804.67 $172,353.50 25% off $18,384.37 $160,863.27 $84,889.85 2026-04-01
C2624 HCPCS Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 22 22 $228,687.46 $171,515.60 25% off $18,295.00 $160,081.22 $82,133.11 2026-04-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 22 22 $282,709.27 $212,031.95 25% off $3,004.74 $197,896.49 $80,049.13 2026-04-01
C1826 HCPCS Generator, Neurostimulator (implantable), Includes Closed Feedback Loop Leads An… 44 22 $256,540.42 $192,405.32 25% off $16,653.14 $213,441.63 $77,437.09 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 25 $433,603.58 $325,202.68 25% off $52,283.91 $138,461.11 $75,279.01 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 17 17 $195,486.29 $146,614.72 25% off $47,866.04 $108,935.53 $71,799.09 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 25 $480,725.22 $360,543.92 25% off $47,740.06 $126,116.08 $68,567.22 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 25 $414,710.14 $311,032.61 25% off $48,226.28 $125,572.41 $68,271.64 2026-04-01
HB_48193653000 CDM Hc Ep Eval W/ablat Svt Arrhythm/imag/rec 23 23 $183,462.99 $137,597.24 25% off $14,677.04 $128,424.09 $67,771.23 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 17 17 $497,134.96 $372,851.22 25% off $44,142.01 $100,460.23 $66,213.05 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 25 $495,848.98 $371,886.73 25% off $43,602.83 $117,116.82 $63,674.47 2026-04-01
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 242 22 $202,886.82 $152,165.12 25% off $85.35 $234,518.99 $63,608.51 2026-04-01
HB_48193656000 CDM Hc Ep Evl Trnsptl Pulm Vein Ablat Imag/rec 23 23 $172,192.07 $129,144.05 25% off $13,775.37 $120,534.45 $63,607.75 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 26 $201,785.99 $151,339.49 25% off $42,924.09 $113,526.32 $61,722.37 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 25 $483,780.01 $362,835.00 25% off $41,139.01 $112,969.51 $61,419.65 2026-04-01
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 264 22 $223,937.80 $167,953.35 25% off $9,833.33 $321,352.79 $60,140.35 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 25 $545,293.24 $408,969.93 25% off $39,844.47 $107,999.30 $58,717.43 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 25 $564,202.22 $423,151.66 25% off $36,708.07 $107,999.30 $58,717.43 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 25 $177,661.06 $133,245.79 25% off $39,908.02 $105,689.95 $57,461.87 2026-04-01
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 286 22 $180,604.45 $135,453.34 25% off $10,320.25 $163,364.94 $57,438.08 2026-04-01
SUP_16402 CDM Kt Cann W-20d Dil Circt Pump Hd Bubl Trap 23 23 $152,458.31 $114,343.73 25% off $12,196.66 $106,720.82 $56,318.10 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 25 $466,897.73 $350,173.30 25% off $36,962.91 $100,658.97 $54,726.61 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 25 $436,372.38 $327,279.29 25% off $37,690.39 $99,578.21 $54,139.02 2026-04-01
SUP_137662 CDM St Sup Heart-lung Beqhls-7050 Adv 7.0l 1p-u 23 23 $145,304.49 $108,978.37 25% off $11,624.36 $101,713.14 $53,675.48 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 25 25 $241,762.66 $181,321.99 25% off $37,510.22 $98,686.33 $53,654.12 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 25 $436,718.85 $327,539.13 25% off $38,219.19 $98,658.41 $53,638.94 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 25 $280,876.37 $210,657.28 25% off $36,305.15 $96,391.76 $52,406.60 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 25 $205,158.34 $153,868.76 25% off $35,923.20 $96,329.34 $52,372.66 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 19 $128,628.35 $96,471.26 25% off $41,208.73 $100,417.80 $51,766.16 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 25 $374,198.29 $280,648.72 25% off $35,200.04 $94,120.18 $51,171.58 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 25 $430,826.67 $323,120.00 25% off $33,324.25 $93,614.29 $50,896.54 2026-04-01
HB_48193654000 CDM Hc Ep Eval W/ablat V Tach Imag/rec 23 23 $136,917.70 $102,688.28 25% off $10,953.42 $95,842.39 $50,577.40 2026-04-01
C1772 HCPCS Infusion Pump, Programmable (implantable) 22 22 $140,144.37 $105,108.28 25% off $11,211.55 $98,101.06 $50,332.85 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 17 17 $434,800.04 $326,100.03 25% off $33,239.12 $75,646.98 $49,858.71 2026-04-01
SUP_41503 CDM Dev Coag Episense Guided 6130 W-visitrax 3cm Sgl 23 23 $134,866.96 $101,150.22 25% off $10,789.36 $94,406.87 $49,819.86 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 25 $339,962.93 $254,972.20 25% off $32,825.68 $89,724.85 $48,781.91 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 26 $68,338.49 $51,253.87 25% off $33,292.78 $76,357.40 $48,705.11 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 25 $419,686.71 $314,765.03 25% off $32,680.06 $87,591.24 $47,621.90 2026-04-01
SUP_166068 CDM Guide Face-feminization Vsp 23 23 $128,534.43 $96,400.82 25% off $10,282.75 $89,974.10 $47,480.62 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 25 $404,113.25 $303,084.94 25% off $31,671.21 $86,663.23 $47,117.36 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 25 $274,302.84 $205,727.13 25% off $31,433.65 $85,498.70 $46,484.22 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 25 25 $170,445.34 $127,834.01 25% off $34,394.81 $85,350.87 $46,403.85 2026-04-01
HB_36037224001 CDM Operating Room Services - General Classification 23 23 $125,022.67 $93,767.00 25% off $10,001.81 $87,515.87 $46,183.37 2026-04-01
HB_36107950000 CDM Operating Room Services - Minor Surgery 23 23 $124,092.26 $93,069.20 25% off $9,927.38 $86,864.58 $45,839.68 2026-04-01
HB_36108230000 CDM Operating Room Services - Minor Surgery 23 23 $123,963.26 $92,972.45 25% off $9,917.06 $86,774.28 $45,792.03 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 25 $351,895.68 $263,921.76 25% off $28,336.13 $82,785.29 $45,008.99 2026-04-01
HB_36036836000 CDM Operating Room Services - General Classification 23 23 $121,647.71 $91,235.78 25% off $9,731.82 $85,153.40 $44,936.66 2026-04-01
HB_36036837000 CDM Operating Room Services - General Classification 23 23 $121,647.71 $91,235.78 25% off $9,731.82 $85,153.40 $44,936.66 2026-04-01
HB_36009774000 CDM Operating Room Services - General Classification 23 23 $121,647.71 $91,235.78 25% off $9,731.82 $85,153.40 $44,936.66 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 26 $137,722.62 $103,291.97 25% off $31,337.39 $81,918.05 $44,537.48 2026-04-01
HB_36033276000 CDM Operating Room Services - General Classification 23 23 $120,434.63 $90,325.97 25% off $9,634.77 $84,304.24 $44,488.55 2026-04-01
HB_36033277000 CDM Operating Room Services - General Classification 23 23 $120,434.63 $90,325.97 25% off $9,634.77 $84,304.24 $44,488.55 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 25 $452,474.88 $339,356.16 25% off $30,746.27 $81,261.05 $44,180.28 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 25 $200,244.72 $150,183.54 25% off $30,861.04 $81,116.51 $44,101.70 2026-04-01
HB_48033249001 CDM Hc Insert Aicd Gen Dual W Leads 23 23 $119,328.60 $89,496.45 25% off $9,546.29 $83,530.02 $44,079.98 2026-04-01
HB_48192941000 CDM Hc Ptca/stent/atherec Ami Init Ves 23 23 $119,328.60 $89,496.45 25% off $9,546.29 $83,530.02 $44,079.98 2026-04-01
HB_48133264000 CDM Hc Remove/replace Aicd Gen Multi Sys 23 23 $119,328.60 $89,496.45 25% off $9,546.29 $83,530.02 $44,079.98 2026-04-01
HB_48033249000 CDM Hc Insert Aicd Gen Sngl W Leads 23 23 $119,328.60 $89,496.45 25% off $9,546.29 $83,530.02 $44,079.98 2026-04-01
HB_48192943000 CDM Hc Ptca/stent/atherec Cto Initial Ves 23 23 $119,328.60 $89,496.45 25% off $9,546.29 $83,530.02 $44,079.98 2026-04-01
HB_48133249000 CDM Hc Insert Aicd Gen Sngl W Leads 23 23 $119,328.60 $89,496.45 25% off $9,546.29 $83,530.02 $44,079.98 2026-04-01
HB_48193583000 CDM Hc Alcohol Septal Ablation 23 23 $119,328.60 $89,496.45 25% off $9,546.29 $83,530.02 $44,079.98 2026-04-01
HB_48133231000 CDM Hc Insert Aicd Generator Multi 23 23 $119,328.60 $89,496.45 25% off $9,546.29 $83,530.02 $44,079.98 2026-04-01
HB_48133249001 CDM Hc Insert Aicd Gen Dual W Leads 23 23 $119,328.60 $89,496.45 25% off $9,546.29 $83,530.02 $44,079.98 2026-04-01
HB_48192937000 CDM Hc Ptca/stent/atherec Byp Grft Init Ves 23 23 $119,328.60 $89,496.45 25% off $9,546.29 $83,530.02 $44,079.98 2026-04-01
HB_36102680000 CDM Operating Room Services - Minor Surgery 23 23 $119,002.66 $89,252.00 25% off $9,520.21 $83,301.86 $43,959.58 2026-04-01
HB_36000000777 CDM Operating Room Services - General Classification 23 23 $119,002.66 $89,252.00 25% off $9,520.21 $83,301.86 $43,959.58 2026-04-01
HB_36100414000 CDM Operating Room Services - Minor Surgery 23 23 $119,002.66 $89,252.00 25% off $9,520.21 $83,301.86 $43,959.58 2026-04-01
HB_36133274000 CDM Operating Room Services - Minor Surgery 23 23 $119,002.66 $89,252.00 25% off $9,520.21 $83,301.86 $43,959.58 2026-04-01
HB_36000000779 CDM Operating Room Services - General Classification 23 23 $119,002.66 $89,252.00 25% off $9,520.21 $83,301.86 $43,959.58 2026-04-01
HB_36137231000 CDM Operating Room Services - Minor Surgery 23 23 $119,002.66 $89,252.00 25% off $9,520.21 $83,301.86 $43,959.58 2026-04-01
HB_36037221000 CDM Operating Room Services - General Classification 23 23 $119,002.66 $89,252.00 25% off $9,520.21 $83,301.86 $43,959.58 2026-04-01
HB_36133270000 CDM Operating Room Services - Minor Surgery 23 23 $119,002.66 $89,252.00 25% off $9,520.21 $83,301.86 $43,959.58 2026-04-01
HB_36133999009 CDM Operating Room Services - Minor Surgery 23 23 $119,002.66 $89,252.00 25% off $9,520.21 $83,301.86 $43,959.58 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 25 $150,254.50 $112,690.88 25% off $31,077.01 $80,838.92 $43,950.78 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 23 $310,200.12 $232,650.09 25% off $35,411.68 $97,943.92 $43,897.06 2026-04-01
HB_48133230000 CDM Hc Insert Aicd Generator Dual 23 23 $118,241.59 $88,681.19 25% off $9,459.33 $82,769.11 $43,678.44 2026-04-01
HB_48133263000 CDM Hc Remove/replace Aicd Gen Dual Sys 23 23 $118,241.59 $88,681.19 25% off $9,459.33 $82,769.11 $43,678.44 2026-04-01
HB_33377372000 CDM Hc Stereotac Radios Cranial Cmplt Sessn 23 23 $117,746.65 $88,309.99 25% off $9,419.73 $82,422.66 $43,495.61 2026-04-01
HB_48133262000 CDM Hc Remove/replace Aicd Gen Singl Sys 23 23 $117,495.19 $88,121.39 25% off $9,399.62 $82,246.63 $43,402.72 2026-04-01
HB_48133240000 CDM Hc Insert Aicd Generator Single 23 23 $117,495.19 $88,121.39 25% off $9,399.62 $82,246.63 $43,402.72 2026-04-01
HB_36009773000 CDM Operating Room Services - General Classification 23 23 $116,856.59 $87,642.44 25% off $9,348.53 $81,799.61 $43,166.82 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 20 $168,441.18 $126,330.89 25% off $36,682.77 $168,441.18 $43,002.14 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 25 $439,597.57 $329,698.17 25% off $29,027.83 $78,196.14 $42,513.94 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 26 26 $41,965.43 $31,474.07 25% off $33,288.46 $68,616.80 $41,965.43 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 25 $227,919.87 $170,939.91 25% off $29,335.73 $77,062.82 $41,897.77 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 25 $506,620.69 $379,965.52 25% off $29,464.69 $76,832.87 $41,772.75 2026-04-01
HB_48193580000 CDM Hc Repair Perc Atr Sept Def W Imp 23 23 $112,885.69 $84,664.27 25% off $9,030.86 $79,019.98 $41,699.97 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 25 25 $398,627.18 $298,970.38 25% off $28,705.74 $75,858.86 $41,243.21 2026-04-01
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 154 22 $123,139.40 $92,354.55 25% off $7,411.82 $120,676.61 $41,161.75 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 25 $172,781.92 $129,586.44 25% off $28,332.43 $75,497.51 $41,046.75 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 25 $105,639.58 $79,229.69 25% off $28,872.34 $75,305.34 $40,942.26 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 26 $103,777.63 $77,833.22 25% off $27,836.33 $74,712.40 $40,619.89 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 25 $192,541.45 $144,406.09 25% off $27,593.84 $74,679.55 $40,602.03 2026-04-01
HB_36009797000 CDM Operating Room Services - General Classification 23 23 $109,535.99 $82,151.99 25% off $8,762.88 $76,675.19 $40,462.59 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 25 25 $181,636.47 $136,227.35 25% off $29,336.96 $74,387.18 $40,443.08 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 25 25 $159,402.21 $119,551.66 25% off $28,438.56 $73,613.57 $40,022.47 2026-04-01
HB_36036906000 CDM Operating Room Services - General Classification 23 23 $107,746.81 $80,810.11 25% off $8,619.74 $75,422.77 $39,801.67 2026-04-01
HB_48136226000 CDM Hc S/p Cath Vert W/vert Circ Incl Arch 23 23 $107,463.87 $80,597.90 25% off $8,597.11 $75,224.71 $39,697.15 2026-04-01
HB_48192933000 CDM Hc Ptca/stent/atherect Initl Art/brnch 23 23 $107,202.26 $80,401.70 25% off $8,576.18 $75,041.58 $39,600.51 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 17 17 $263,076.54 $197,307.41 25% off $26,399.47 $60,081.01 $39,599.22 2026-04-01
HB_48192938000 CDM Hc Ptca/stent/atherec Byp Grft Addl Ves 23 23 $107,098.36 $80,323.77 25% off $8,567.87 $74,968.85 $39,562.13 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 25 $154,264.15 $115,698.11 25% off $26,319.04 $72,151.74 $39,227.70 2026-04-01
C2622 HCPCS Prosthesis, Penile, Non-inflatable 44 22 $116,936.11 $87,702.08 25% off $8,358.47 $90,573.96 $38,866.88 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 25 25 $251,059.96 $188,294.97 25% off $26,280.79 $71,077.55 $38,643.68 2026-04-01
HB_48193582000 CDM Hc Perc Closure Patent Ductus Arteriosus 23 23 $104,090.08 $78,067.56 25% off $8,327.21 $72,863.06 $38,450.88 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 26 $104,302.65 $78,226.99 25% off $27,670.35 $70,510.88 $38,335.60 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 25 $324,677.82 $243,508.36 25% off $25,671.15 $69,366.06 $37,713.18 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 26 $74,630.25 $55,972.68 25% off $25,319.44 $69,247.80 $37,648.88 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 26 $112,602.19 $84,451.64 25% off $25,853.80 $69,011.28 $37,520.29 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 25 25 $256,387.84 $192,290.88 25% off $25,371.28 $68,801.04 $37,405.98 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 25 25 $292,651.80 $219,488.85 25% off $24,126.10 $67,761.34 $36,840.72 2026-04-01
HB_48193799011 CDM Hc Repair Perc Post Mi Vsd W Occluder 23 23 $97,315.78 $72,986.84 25% off $7,785.26 $68,121.05 $35,948.45 2026-04-01
HB_48193581000 CDM Hc Repair Perc Vent Sept Def W Imp 23 23 $97,315.78 $72,986.84 25% off $7,785.26 $68,121.05 $35,948.45 2026-04-01
HB_48133214000 CDM Hc Ppm Upgrade 23 23 $97,073.37 $72,805.03 25% off $7,765.87 $67,951.36 $35,858.90 2026-04-01
HB_36000000947 CDM Operating Room Services - General Classification 23 23 $97,062.88 $72,797.16 25% off $7,765.03 $67,944.02 $35,855.03 2026-04-01
HB_36000000949 CDM Operating Room Services - General Classification 23 23 $97,062.88 $72,797.16 25% off $7,765.03 $67,944.02 $35,855.03 2026-04-01
HB_36036908000 CDM Operating Room Services - General Classification 23 23 $97,062.88 $72,797.16 25% off $7,765.03 $67,944.02 $35,855.03 2026-04-01
HB_36137238000 CDM Operating Room Services - Minor Surgery 23 23 $97,062.88 $72,797.16 25% off $7,765.03 $67,944.02 $35,855.03 2026-04-01
HB_36000000041 CDM Operating Room Services - General Classification 23 23 $97,015.11 $72,761.33 25% off $7,761.21 $67,910.58 $35,837.38 2026-04-01
HB_36036903000 CDM Operating Room Services - General Classification 23 23 $96,616.82 $72,462.62 25% off $7,729.35 $67,631.77 $35,690.25 2026-04-01
HB_36133999004 CDM Operating Room Services - Minor Surgery 23 23 $96,453.19 $72,339.89 25% off $7,716.26 $67,517.23 $35,629.81 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 26 26 $56,565.64 $42,424.23 25% off $22,118.26 $56,565.64 $35,578.01 2026-04-01
HB_36133208000 CDM Operating Room Services - Minor Surgery 23 23 $96,271.86 $72,203.90 25% off $7,701.75 $67,390.30 $35,562.83 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 23 23 $246,911.34 $185,183.51 25% off $29,969.43 $79,311.40 $35,546.23 2026-04-01
HB_36037223000 CDM Operating Room Services - General Classification 23 23 $95,480.13 $71,610.10 25% off $7,638.41 $66,836.09 $35,270.36 2026-04-01
C1722 HCPCS Cardioverter-defibrillator, Single Chamber (implantable) 220 22 $104,037.21 $78,027.91 25% off $6,473.61 $155,976.58 $35,250.26 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 25 $335,629.69 $251,722.27 25% off $23,456.00 $64,252.96 $34,933.27 2026-04-01
HB_48193591000 CDM Hc Perq Transcath Cls Paravalvr Leak 1 Aort Val 23 23 $94,074.06 $70,555.55 25% off $7,525.92 $65,851.84 $34,750.96 2026-04-01
HB_48193590000 CDM Hc Perq Transcath Cls Paravalvr Leak 1 Mitral Val 23 23 $94,074.06 $70,555.55 25% off $7,525.92 $65,851.84 $34,750.96 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 25 25 $161,496.23 $121,122.17 25% off $23,993.43 $63,576.25 $34,565.35 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 26 $98,347.47 $73,760.60 25% off $24,579.62 $63,060.50 $34,284.95 2026-04-01
HB_48192934000 CDM Hc Ptca/stent/atherect Addl Branch 23 23 $92,415.11 $69,311.33 25% off $7,393.21 $64,690.58 $34,138.14 2026-04-01
HB_48192944000 CDM Hc Ptca/stent/atherec Cto Addl Ves 23 23 $92,326.73 $69,245.05 25% off $7,386.14 $64,628.71 $34,105.49 2026-04-01
HB_36133999010 CDM Operating Room Services - Minor Surgery 23 23 $92,218.12 $69,163.59 25% off $7,377.45 $64,552.68 $34,065.37 2026-04-01
HB_36104080000 CDM Operating Room Services - Minor Surgery 23 23 $92,218.12 $69,163.59 25% off $7,377.45 $64,552.68 $34,065.37 2026-04-01
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 22 22 $119,328.60 $89,496.45 25% off $9,546.29 $83,530.02 $33,917.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 25 $305,146.45 $228,859.84 25% off $23,584.34 $61,807.28 $33,603.59 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 26 $98,361.30 $73,770.98 25% off $23,762.05 $61,391.72 $33,377.66 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 25 25 $189,663.40 $142,247.55 25% off $22,113.33 $61,385.15 $33,374.09 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 26 26 $56,968.19 $42,726.14 25% off $24,350.08 $56,968.19 $33,280.32 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 25 $147,615.07 $110,711.30 25% off $21,910.94 $60,306.03 $32,787.39 2026-04-01
HB_48192924000 CDM Hc Ptca /atherect Initial Art/brnch 23 23 $88,470.27 $66,352.70 25% off $7,077.62 $61,929.19 $32,680.92 2026-04-01
HB_36000000948 CDM Operating Room Services - General Classification 23 23 $88,296.91 $66,222.68 25% off $7,063.75 $61,807.84 $32,616.88 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 26 $97,433.01 $73,074.75 25% off $22,119.50 $59,323.82 $32,253.37 2026-04-01
HB_48133289000 CDM Hc Implant Pulm Artery Sensor For Hd Monitoring 23 23 $86,731.67 $65,048.75 25% off $6,938.53 $60,712.17 $32,038.68 2026-04-01
HB_36109330000 CDM Operating Room Services - Minor Surgery 23 23 $86,731.67 $65,048.75 25% off $6,938.53 $60,712.17 $32,038.68 2026-04-01
HB_36033288000 CDM Operating Room Services - General Classification 23 23 $86,662.15 $64,996.61 25% off $6,932.97 $60,663.51 $32,013.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 26 $206,150.47 $154,612.85 25% off $22,360.76 $58,652.03 $31,888.14 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 26 $68,636.84 $51,477.63 25% off $23,101.82 $58,459.86 $31,783.66 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 25 $197,828.15 $148,371.11 25% off $21,253.18 $58,412.23 $31,757.76 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 25 $481,457.55 $361,093.16 25% off $21,132.86 $57,924.41 $31,492.54 2026-04-01
HB_36109150000 CDM Operating Room Services - Minor Surgery 23 23 $84,509.16 $63,381.87 25% off $6,760.73 $59,156.41 $31,217.68 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 25 25 $192,065.41 $144,049.05 25% off $21,165.56 $57,295.33 $31,150.52 2026-04-01
HB_48133224000 CDM Hc Insert Lv Lead & Connect 23 23 $84,206.77 $63,155.08 25% off $6,736.54 $58,944.74 $31,105.98 2026-04-01
SUP_121896 CDM Retrv Trevo-nxt Provue 6x37mm 23 23 $83,860.04 $62,895.03 25% off $6,708.80 $58,702.03 $30,977.90 2026-04-01
SUP_121895 CDM Retrv Trevo-nxt Provue 4x28mm 23 23 $83,860.04 $62,895.03 25% off $6,708.80 $58,702.03 $30,977.90 2026-04-01
SUP_121894 CDM Retrv Trevo-nxt Provue 3x32mm 23 23 $83,860.04 $62,895.03 25% off $6,708.80 $58,702.03 $30,977.90 2026-04-01
SUP_121897 CDM Retrv Trevo-nxt Provue Lng 4x41mm 23 23 $83,860.04 $62,895.03 25% off $6,708.80 $58,702.03 $30,977.90 2026-04-01
HB_36034718000 CDM Operating Room Services - General Classification 23 23 $83,537.25 $62,652.94 25% off $6,682.98 $58,476.08 $30,858.66 2026-04-01
HB_36034717000 CDM Operating Room Services - General Classification 23 23 $83,537.25 $62,652.94 25% off $6,682.98 $58,476.08 $30,858.66 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 25 25 $242,913.48 $182,185.11 25% off $21,218.63 $56,741.81 $30,849.58 2026-04-01
HB_36034707000 CDM Operating Room Services - General Classification 23 23 $83,464.47 $62,598.35 25% off $6,677.16 $58,425.13 $30,831.78 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 23 $397,238.71 $297,929.03 25% off $26,641.75 $68,534.96 $30,716.39 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 26 $100,561.35 $75,421.01 25% off $21,614.76 $56,311.47 $30,615.61 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 25 25 $90,306.44 $67,729.83 25% off $20,710.80 $56,035.53 $30,465.59 2026-04-01
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 30 30 $116,619.14 $87,464.36 25% off $9,329.53 $81,633.40 $30,355.54 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 20 20 $46,803.72 $35,102.79 25% off $25,734.09 $58,374.40 $30,167.70 2026-04-01
HB_36000000897 CDM Operating Room Services - General Classification 23 23 $81,599.94 $61,199.96 25% off $6,528.00 $57,119.96 $30,143.02 2026-04-01
HB_36000000769 CDM Operating Room Services - General Classification 23 23 $81,599.94 $61,199.96 25% off $6,528.00 $57,119.96 $30,143.02 2026-04-01
HB_36137229000 CDM Operating Room Services - Minor Surgery 23 23 $81,599.94 $61,199.96 25% off $6,528.00 $57,119.96 $30,143.02 2026-04-01
HB_36000000771 CDM Operating Room Services - General Classification 23 23 $81,599.94 $61,199.96 25% off $6,528.00 $57,119.96 $30,143.02 2026-04-01
HB_36000000774 CDM Operating Room Services - General Classification 23 23 $81,599.94 $61,199.96 25% off $6,528.00 $57,119.96 $30,143.02 2026-04-01
HB_36000000772 CDM Operating Room Services - General Classification 23 23 $81,599.94 $61,199.96 25% off $6,528.00 $57,119.96 $30,143.02 2026-04-01
HB_36009767000 CDM Operating Room Services - General Classification 23 23 $81,513.13 $61,134.85 25% off $6,521.05 $57,059.19 $30,110.95 2026-04-01
HB_36102350000 CDM Operating Room Services - Minor Surgery 23 23 $81,505.26 $61,128.95 25% off $6,520.42 $57,053.68 $30,108.04 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 26 26 $68,447.49 $51,335.62 25% off $21,564.78 $54,869.36 $29,831.56 2026-04-01
HB_33377373003 CDM Hc Sterotactic Radiosurg, Each Fraction 23 23 $79,734.42 $59,800.82 25% off $6,378.75 $55,814.09 $29,453.89 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 26 26 $113,988.55 $85,491.41 25% off $20,489.91 $54,072.74 $29,398.45 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 25 25 $275,736.28 $206,802.21 25% off $19,256.45 $54,066.17 $29,394.88 2026-04-01
791 MS_DRG Prematurity With Major Problems 20 20 $140,344.27 $105,258.20 25% off $25,052.27 $118,905.36 $29,367.50 2026-04-01
HB_48192928000 CDM Hc Ptca /stent Initial Art/brnch 23 23 $78,703.22 $59,027.42 25% off $6,296.26 $55,092.25 $29,072.97 2026-04-01
HB_48193799016 CDM Hc Stent Pseudoaneurysm Coronary Artery 23 23 $78,703.22 $59,027.42 25% off $6,296.26 $55,092.25 $29,072.97 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 25 25 $268,835.33 $201,626.50 25% off $21,021.17 $53,427.24 $29,047.50 2026-04-01
HB_36037228000 CDM Operating Room Services - General Classification 23 23 $78,613.48 $58,960.11 25% off $6,289.08 $55,029.44 $29,039.82 2026-04-01
HB_48133225000 CDM Hc Lead Placement Coronary Sinus 23 23 $78,471.16 $58,853.37 25% off $6,277.69 $54,929.81 $28,987.25 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 26 26 $77,444.10 $58,083.07 25% off $20,109.81 $53,192.36 $28,919.81 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 26 26 $213,626.11 $160,219.58 25% off $19,679.74 $53,133.23 $28,887.66 2026-04-01
HB_48133227000 CDM Hc Remove/replace Pacemaker Sl System 23 23 $78,135.23 $58,601.42 25% off $6,250.82 $54,694.66 $28,863.15 2026-04-01
HB_36133207000 CDM Operating Room Services - Minor Surgery 23 23 $77,795.60 $58,346.70 25% off $6,223.65 $54,456.92 $28,737.69 2026-04-01
HB_36133206000 CDM Operating Room Services - Minor Surgery 23 23 $77,795.60 $58,346.70 25% off $6,223.65 $54,456.92 $28,737.69 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 25 25 $212,748.19 $159,561.14 25% off $17,659.56 $52,730.82 $28,668.87 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 25 25 $322,348.77 $241,761.58 25% off $20,929.85 $52,441.74 $28,511.70 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 25 25 $177,201.20 $132,900.90 25% off $19,079.98 $52,344.83 $28,459.02 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 25 25 $310,367.99 $232,775.99 25% off $20,101.17 $52,293.92 $28,431.33 2026-04-01
HB_36000000952 CDM Operating Room Services - General Classification 23 23 $76,746.38 $57,559.79 25% off $6,139.71 $53,722.47 $28,350.11 2026-04-01
HB_36000001012 CDM Operating Room Services - General Classification 23 23 $76,746.38 $57,559.79 25% off $6,139.71 $53,722.47 $28,350.11 2026-04-01
HB_36000001011 CDM Operating Room Services - General Classification 23 23 $76,746.38 $57,559.79 25% off $6,139.71 $53,722.47 $28,350.11 2026-04-01
HB_36037244000 CDM Operating Room Services - General Classification 23 23 $76,746.38 $57,559.79 25% off $6,139.71 $53,722.47 $28,350.11 2026-04-01
HB_36000001009 CDM Operating Room Services - General Classification 23 23 $76,746.38 $57,559.79 25% off $6,139.71 $53,722.47 $28,350.11 2026-04-01
HB_36000001010 CDM Operating Room Services - General Classification 23 23 $76,746.38 $57,559.79 25% off $6,139.71 $53,722.47 $28,350.11 2026-04-01
HB_36000000950 CDM Operating Room Services - General Classification 23 23 $76,321.66 $57,241.25 25% off $6,105.73 $53,425.16 $28,193.22 2026-04-01
HB_36137239000 CDM Operating Room Services - Minor Surgery 23 23 $76,321.66 $57,241.25 25% off $6,105.73 $53,425.16 $28,193.22 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 25 25 $310,973.79 $233,230.34 25% off $19,714.29 $51,755.18 $28,138.43 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 25 25 $278,530.11 $208,897.59 25% off $19,165.75 $51,730.54 $28,125.04 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 25 25 $428,152.42 $321,114.32 25% off $17,310.32 $51,608.99 $28,058.95 2026-04-01
HB_36000000759 CDM Operating Room Services - General Classification 23 23 $75,849.31 $56,886.98 25% off $6,067.94 $53,094.52 $28,018.74 2026-04-01
HB_48193657000 CDM Hc Ablate Atrial Fib W/pulm Vein 23 23 $75,707.42 $56,780.57 25% off $6,056.59 $52,995.19 $27,966.32 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 25 $65,342.43 $49,006.82 25% off $18,193.92 $51,158.95 $27,814.27 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 25 25 $153,561.19 $115,170.90 25% off $18,871.42 $51,068.61 $27,765.16 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 26 26 $31,208.01 $23,406.01 25% off $19,247.81 $42,861.00 $27,339.20 2026-04-01
HB_36032994001 CDM Operating Room Services - General Classification 23 23 $73,822.44 $55,366.83 25% off $5,905.80 $51,675.71 $27,270.01 2026-04-01
HB_48133213000 CDM Hc Ppm Generator Dual 23 23 $73,535.77 $55,151.83 25% off $5,882.86 $51,475.04 $27,164.11 2026-04-01
HB_36105700000 CDM Operating Room Services - Minor Surgery 23 23 $73,212.94 $54,909.71 25% off $5,857.04 $51,249.06 $27,044.86 2026-04-01
HB_36133418001 CDM Operating Room Services - Minor Surgery 23 23 $73,212.94 $54,909.71 25% off $5,857.04 $51,249.06 $27,044.86 2026-04-01
HB_36133419000 CDM Operating Room Services - Minor Surgery 23 23 $73,212.94 $54,909.71 25% off $5,857.04 $51,249.06 $27,044.86 2026-04-01
HB_36033361000 CDM Operating Room Services - General Classification 23 23 $73,212.94 $54,909.71 25% off $5,857.04 $51,249.06 $27,044.86 2026-04-01
HB_36105690000 CDM Operating Room Services - Minor Surgery 23 23 $73,212.94 $54,909.71 25% off $5,857.04 $51,249.06 $27,044.86 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 25 25 $124,690.16 $93,517.62 25% off $17,634.88 $49,611.71 $26,973.07 2026-04-01
SUP_172623 CDM Mdl Suppl Maxilla-craniips Classc Patnt-spec 23 23 $72,863.34 $54,647.51 25% off $5,829.07 $51,004.34 $26,915.72 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 25 25 $192,705.12 $144,528.84 25% off $18,933.12 $48,887.37 $26,579.25 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 25 25 $72,077.49 $54,058.12 25% off $17,993.38 $47,961.00 $26,075.60 2026-04-01
HB_36122513000 CDM Operating Room Services - Minor Surgery 23 23 $70,410.60 $52,807.95 25% off $5,632.85 $49,287.42 $26,009.68 2026-04-01
HB_36122511000 CDM Operating Room Services - Minor Surgery 23 23 $70,410.60 $52,807.95 25% off $5,632.85 $49,287.42 $26,009.68 2026-04-01
HB_36122510000 CDM Operating Room Services - Minor Surgery 23 23 $70,410.60 $52,807.95 25% off $5,632.85 $49,287.42 $26,009.68 2026-04-01
HB_36122514000 CDM Operating Room Services - Minor Surgery 23 23 $70,410.60 $52,807.95 25% off $5,632.85 $49,287.42 $26,009.68 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 25 25 $132,643.54 $99,482.65 25% off $18,147.02 $47,834.53 $26,006.84 2026-04-01
HB_36137230000 CDM Operating Room Services - Minor Surgery 23 23 $70,344.43 $52,758.32 25% off $5,627.55 $49,241.10 $25,985.23 2026-04-01
HB_36000000898 CDM Operating Room Services - General Classification 23 23 $70,344.43 $52,758.32 25% off $5,627.55 $49,241.10 $25,985.23 2026-04-01
HB_36000000776 CDM Operating Room Services - General Classification 23 23 $70,344.43 $52,758.32 25% off $5,627.55 $49,241.10 $25,985.23 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 25 25 $179,125.08 $134,343.81 25% off $18,096.42 $47,665.35 $25,914.86 2026-04-01
HB_48133229000 CDM Hc Remove/replace Ppm Mult System 23 23 $70,072.33 $52,554.25 25% off $5,605.79 $49,050.63 $25,884.72 2026-04-01
HB_36009772000 CDM Operating Room Services - General Classification 23 23 $69,988.41 $52,491.31 25% off $5,599.07 $48,991.89 $25,853.72 2026-04-01
HB_36000000070 CDM Operating Room Services - General Classification 23 23 $69,871.33 $52,403.50 25% off $5,589.71 $48,909.93 $25,810.47 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 26 26 $113,538.43 $85,153.82 25% off $16,822.86 $47,425.55 $25,784.48 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 26 26 $80,464.23 $60,348.17 25% off $18,424.69 $47,402.55 $25,771.98 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 26 26 $66,126.71 $49,595.03 25% off $16,350.21 $47,333.57 $25,734.47 2026-04-01
HB_48133228000 CDM Hc Remove/replace Ppm Dual System 23 23 $69,660.25 $52,245.19 25% off $5,572.82 $48,762.18 $25,732.50 2026-04-01
HB_48133221000 CDM Hc Pacemaker Perm Generator Mult 23 23 $69,660.25 $52,245.19 25% off $5,572.82 $48,762.18 $25,732.50 2026-04-01
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 30 30 $78,703.22 $59,027.42 25% off $6,296.26 $55,092.25 $25,650.51 2026-04-01
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary … 30 30 $78,703.22 $59,027.42 25% off $6,296.26 $55,092.25 $25,650.51 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 25 25 $129,560.96 $97,170.72 25% off $17,984.12 $47,143.04 $25,630.89 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 25 25 $82,444.26 $61,833.19 25% off $17,968.08 $46,819.46 $25,454.97 2026-04-01
HB_36036482001 CDM Operating Room Services - General Classification 23 23 $68,653.47 $51,490.10 25% off $5,492.28 $48,057.43 $25,360.59 2026-04-01
HB_36000000033 CDM Operating Room Services - General Classification 23 23 $68,440.06 $51,330.05 25% off $5,475.20 $47,908.04 $25,281.76 2026-04-01
HB_36000000032 CDM Operating Room Services - General Classification 23 23 $68,440.06 $51,330.05 25% off $5,475.20 $47,908.04 $25,281.76 2026-04-01
HB_48193655000 CDM Hc Cath Ablation Arrhythmia Add On 23 23 $68,340.67 $51,255.50 25% off $5,467.25 $47,838.47 $25,245.04 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 26 26 $87,147.71 $65,360.78 25% off $17,412.13 $45,978.50 $24,997.75 2026-04-01
HB_36036905000 CDM Operating Room Services - General Classification 23 23 $67,549.70 $50,662.28 25% off $5,403.98 $47,284.79 $24,952.86 2026-04-01
503 MS_DRG Foot Procedures With Mcc 26 26 $64,572.22 $48,429.17 25% off $16,329.85 $45,843.82 $24,924.52 2026-04-01
NDC24338005008 CDM Gliadel Wafer 23 23 $67,041.32 $50,280.99 25% off $5,363.31 $46,928.92 $24,765.06 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 25 25 $119,460.63 $89,595.47 25% off $15,722.69 $45,528.46 $24,753.07 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 25 25 $197,078.43 $147,808.82 25% off $16,679.71 $45,285.37 $24,620.90 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 25 25 $93,358.67 $70,019.00 25% off $16,561.86 $45,147.40 $24,545.89 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 25 25 $66,960.75 $50,220.56 25% off $16,186.08 $45,135.90 $24,539.64 2026-04-01
HB_36036909000 CDM Operating Room Services - General Classification 23 23 $66,160.80 $49,620.60 25% off $5,292.86 $46,312.56 $24,439.80 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 26 26 $35,289.66 $26,467.24 25% off $16,762.39 $38,273.20 $24,412.83 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 25 25 $212,020.95 $159,015.71 25% off $17,565.16 $44,689.14 $24,296.74 2026-04-01
HB_36036227000 CDM Operating Room Services - General Classification 23 23 $65,578.99 $49,184.24 25% off $5,246.32 $45,905.29 $24,224.88 2026-04-01
849 MS_DRG Radiotherapy 26 26 $100,055.91 $75,041.93 25% off $16,480.41 $44,503.54 $24,195.84 2026-04-01
HB_36106000000 CDM Operating Room Services - Minor Surgery 23 23 $65,487.70 $49,115.78 25% off $5,239.02 $45,841.39 $24,191.16 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 26 26 $69,468.35 $52,101.26 25% off $16,853.10 $44,449.34 $24,166.37 2026-04-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 30 30 $57,376.83 $43,032.62 25% off $4,590.15 $102,284.10 $24,158.51 2026-04-01
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 30 30 $119,328.60 $89,496.45 25% off $9,546.29 $83,530.02 $23,911.50 2026-04-01
C9610 HCPCS Catheter, Transluminal Drug Delivery With Or Without Angioplasty, Coronary, Non-… 22 22 $66,260.73 $49,695.55 25% off $5,300.86 $46,382.51 $23,797.54 2026-04-01
C9608 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 22 22 $64,028.70 $48,021.53 25% off $5,122.30 $44,820.09 $23,735.44 2026-04-01
C9605 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 22 22 $64,028.70 $48,021.53 25% off $5,122.30 $44,820.09 $23,735.44 2026-04-01
C9603 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug-eluting Intracoronary … 22 22 $64,028.70 $48,021.53 25% off $5,122.30 $44,820.09 $23,735.44 2026-04-01
C9601 HCPCS Percutaneous Transcatheter Placement Of Drug-eluting Intracoronary Stent(s), Wit… 22 22 $64,028.70 $48,021.53 25% off $5,122.30 $44,820.09 $23,735.44 2026-04-01
HB_36036902000 CDM Operating Room Services - General Classification 23 23 $63,613.57 $47,710.18 25% off $5,089.09 $44,529.50 $23,498.85 2026-04-01
HB_48109130000 CDM Hc Pta Drug Eluting Balln Sgl Cor Artery 23 23 $63,559.36 $47,669.52 25% off $5,084.75 $44,491.55 $23,478.83 2026-04-01
HB_36000000068 CDM Operating Room Services - General Classification 23 23 $63,559.36 $47,669.52 25% off $5,084.75 $44,491.55 $23,478.83 2026-04-01
SUP_147794 CDM Clmp Ablat Isolatorsynergy Trnspolar 23 23 $63,328.83 $47,496.62 25% off $5,066.31 $44,330.18 $23,393.67 2026-04-01
HB_48133212000 CDM Hc Ppm Generator Single 23 23 $63,019.07 $47,264.30 25% off $5,041.53 $44,113.35 $23,279.24 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 25 25 $165,268.19 $123,951.14 25% off $15,752.31 $42,632.73 $23,178.71 2026-04-01
HB_36000000756 CDM Operating Room Services - General Classification 23 23 $62,511.33 $46,883.50 25% off $5,000.91 $43,757.93 $23,091.69 2026-04-01
HB_36161626000 CDM Operating Room Services - Minor Surgery 23 23 $62,493.35 $46,870.01 25% off $4,999.47 $43,745.35 $23,085.04 2026-04-01
HB_36147383000 CDM Operating Room Services - Minor Surgery 23 23 $62,280.26 $46,710.20 25% off $4,982.42 $43,596.18 $23,006.33 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 23 23 $179,936.23 $134,952.17 25% off $20,167.81 $49,820.31 $22,956.98 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 25 25 $116,456.51 $87,342.38 25% off $15,438.23 $41,933.03 $22,798.29 2026-04-01
HB_36000001006 CDM Operating Room Services - General Classification 23 23 $61,444.61 $46,083.46 25% off $4,915.57 $43,011.23 $22,697.64 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 26 26 $86,149.12 $64,611.84 25% off $15,945.44 $41,734.28 $22,690.24 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 25 25 $93,799.95 $70,349.96 25% off $14,815.03 $41,655.44 $22,647.37 2026-04-01
HB_48133235000 CDM Hc Remove Pm Leads Dual 23 23 $61,209.38 $45,907.04 25% off $4,896.75 $42,846.57 $22,610.75 2026-04-01
HB_48133244000 CDM Hc Removal Aicd Lead(s) Transvenous 23 23 $61,209.38 $45,907.04 25% off $4,896.75 $42,846.57 $22,610.75 2026-04-01
HB_36161645000 CDM Operating Room Services - Minor Surgery 23 23 $61,116.89 $45,837.67 25% off $4,889.35 $42,781.82 $22,576.58 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 25 25 $142,378.86 $106,784.15 25% off $15,529.56 $41,456.70 $22,539.32 2026-04-01
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