Price Transparencybeta Hospital negotiated rates

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

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Hospital

BAPTIST HEALTH LOUISVILLE

Louisville, KY · CCN 180130 · Rates published

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You selected 482 (MS_DRG)

HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC

This hospital’s price: $12,590 across 26 payers · range $8,534-$31,438

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

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

12,096 distinct procedures filed
35 distinct payers
533,578 rate rows
2026-04-01 last MRF observed
Data quality

526,947 of 533,578 rate rows are consumer-grade (98.8%)

6,631 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
per-diem day rate — not a per-procedure price 3,537
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,835
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 115
exceeds 10× this hospital's gross charge — excluded from medians 69
percent-of-charges filed in the dollar field — excluded from medians 36
exceeds 3× this hospital's gross charge for a DRG stay — excluded 21
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=dbBHELOUISVILLEKY&type=CDMWithoutLabel&fileType=CSV
Found on page https://www.baptisthealth.com/patients-visitors/before-your-visit/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-11-02
Content fingerprint 62c08aa6600b5508… · 254,670,606 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 19 $151,518.62 $450,344.07 $188,510.61 nat. median
$248,541
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $115,281.83 $341,088.96 $142,777.25 nat. median
$190,359
0.8× median
SUP_164145
CDM 		Cap Sys Imp Pascal-precision 28 $39,474.97 $358,863.40 $109,255.96 nat. median
$132,564
0.8× median
SUP_126495
CDM 		Bundle Repr Mitraclip-g4 Nt-ntw-xt-xtw 3clip W-cath-sgc0701 28 $38,700.95 $351,826.86 $107,113.69 nat. median
$129,965
0.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 20 $59,608.69 $170,803.49 $103,359.37 nat. median
$70,795
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 $76,006.22 $222,592.00 $93,175.32 nat. median
$126,461
0.7× median
C1824
HCPCS 		Generator, Cardiac Contractility Modulation (implantable) 27 $33,540.83 $304,916.61 $92,359.24 nat. median
$35,360
outlier · 2.6×
C1604
HCPCS 		Graft, Transmural Transvenous Arterial Bypass (implantable), With All Delivery S… 27 $32,250.80 $293,189.05 $88,806.96 nat. median
$27,775
outlier · 3.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 26 $58,598.45 $209,598.28 $83,938.48 nat. median
$97,137
0.9× median
NDC00074106501
CDM 		Skyrizi 180 Mg-1.2ml Sc Soct 28 $34,076.58 $309,787.09 $82,620.21 nat. median
$106,567
0.8× median
C1826
HCPCS 		Generator, Neurostimulator (implantable), Includes Closed Feedback Loop Leads An… 27 $22,898.07 $304,916.61 $82,511.90 nat. median
$28,776
outlier · 2.9×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 20 $44,614.02 $127,837.58 $77,359.15 nat. median
$52,917
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 26 $56,990.55 $191,921.18 $76,859.28 nat. median
$93,787
0.8× median
C1822
HCPCS 		Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 27 $27,864.69 $253,315.34 $76,729.22 nat. median
$31,530
outlier · 2.4×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 20 $41,143.00 $117,891.68 $71,340.52 nat. median
$49,522
1.4× median
HB_36033287000
CDM 		Operating Room Services - General Classification 28 $25,278.51 $229,804.67 $69,964.03 nat. median
$83,810
0.8× median
HB_36033278000
CDM 		Operating Room Services - General Classification 28 $25,278.51 $229,804.67 $69,964.03 nat. median
$83,810
0.8× median
C2624
HCPCS 		Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 27 $25,155.62 $228,687.46 $69,269.43 nat. median
$32,435
outlier · 2.1×
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 27 $13,520.82 $459,075.41 $66,401.46 nat. median
$23,793
outlier · 2.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 $51,582.00 $188,563.47 $66,300.29 nat. median
$90,512
0.7× median
J9600
HCPCS 		Injection, Porfimer Sodium, 75 Mg 27 $3,188.99 $282,709.27 $66,153.97 nat. median
$30,234
outlier · 2.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 $45,556.07 $161,975.54 $64,866.85 nat. median
$77,487
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 $43,360.74 $151,671.12 $60,740.21 nat. median
$74,298
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 $40,150.30 $146,873.57 $58,818.92 nat. median
$67,908
0.9× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 22 $35,105.05 $100,590.44 $58,214.21 nat. median
$32,619
1.8× median
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 27 $117.36 $335,027.13 $58,115.93 nat. median
$22,953
outlier · 2.5×
C1882
HCPCS 		Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 27 $14,190.35 $233,378.48 $56,010.84 nat. median
$27,303
outlier · 2.1×
HB_48193653000
CDM 		Hc Ep Eval W/ablat Svt Arrhythm/imag/rec 28 $20,180.93 $183,462.99 $55,855.31 nat. median
$64,249
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 $32,002.65 $126,738.91 $54,210.07 nat. median
$59,493
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 $34,737.00 $126,738.91 $54,210.07 nat. median
$61,995
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 $38,013.60 $137,438.46 $53,723.65 nat. median
$66,584
0.8× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 20 $30,980.86 $88,772.94 $53,719.72 nat. median
$38,810
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 26 $37,421.87 $133,224.95 $53,353.01 nat. median
$62,577
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 $41,620.50 $147,999.23 $53,125.88 nat. median
$72,247
0.7× median
HB_48193656000
CDM 		Hc Ep Evl Trnsptl Pulm Vein Ablat Imag/rec 28 $18,941.13 $172,192.07 $52,423.88 nat. median
$60,302
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 26 $36,730.07 $129,741.95 $51,958.17 nat. median
$61,660
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 $40,963.00 $147,361.23 $51,813.28 nat. median
$71,737
0.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 $33,125.33 $91,719.60 $50,571.04 nat. median
$58,052
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 26 $34,792.41 $124,028.84 $49,670.22 nat. median
$59,324
0.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 28 $32,859.05 $116,856.62 $48,139.13 nat. median
$57,798
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 $24,517.00 $132,571.52 $46,613.11 nat. median
$63,829
0.7× median
SUP_16402
CDM 		Kt Cann W-20d Dil Circt Pump Hd Bubl Trap 28 $16,770.41 $152,458.31 $46,415.93 nat. median
$56,318
0.8× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 $30,872.43 $114,938.75 $46,029.88 nat. median
$55,110
0.8× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 $31,318.39 $113,044.02 $45,271.10 nat. median
$53,768
0.8× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 $28,490.97 $102,789.72 $44,682.37 nat. median
$50,558
0.9× median
SUP_137662
CDM 		St Sup Heart-lung Beqhls-7050 Adv 7.0l 1p-u 28 $15,983.49 $145,304.49 $44,237.95 nat. median
$53,675
0.8× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 $28,617.92 $105,293.54 $44,091.81 nat. median
$51,559
0.9× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 26 $29,052.58 $109,857.86 $43,995.12 nat. median
$49,873
0.9× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 $33,320.07 $115,777.22 $43,913.57 nat. median
$56,633
0.8× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 $24,703.87 $97,149.86 $43,417.72 nat. median
$46,440
0.9× median

Other procedures at this hospital

Browse this hospital's 12,096 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 19 19 $1,296,609.76 $972,457.32 25% off $151,518.62 $450,344.07 $188,510.61 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 19 $726,815.36 $545,111.52 25% off $115,281.83 $341,088.96 $142,777.25 2026-04-01
SUP_164145 CDM Cap Sys Imp Pascal-precision 28 28 $358,863.40 $269,147.55 25% off $39,474.97 $358,863.40 $109,255.96 2026-04-01
SUP_126495 CDM Bundle Repr Mitraclip-g4 Nt-ntw-xt-xtw 3clip W-cath-sgc0701 28 28 $351,826.86 $263,870.15 25% off $38,700.95 $351,826.86 $107,113.69 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 20 20 $675,344.66 $506,508.50 25% off $59,608.69 $170,803.49 $103,359.37 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 19 $388,776.14 $291,582.11 25% off $76,006.22 $222,592.00 $93,175.32 2026-04-01
C1824 HCPCS Generator, Cardiac Contractility Modulation (implantable) 27 27 $304,916.61 $228,687.46 25% off $33,540.83 $304,916.61 $92,359.24 2026-04-01
C1604 HCPCS Graft, Transmural Transvenous Arterial Bypass (implantable), With All Delivery S… 27 27 $293,189.05 $219,891.79 25% off $32,250.80 $293,189.05 $88,806.96 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 26 26 $453,945.90 $340,459.43 25% off $58,598.45 $209,598.28 $83,938.48 2026-04-01
NDC00074106501 CDM Skyrizi 180 Mg-1.2ml Sc Soct 28 28 $309,787.09 $232,340.32 25% off $34,076.58 $309,787.09 $82,620.21 2026-04-01
C1826 HCPCS Generator, Neurostimulator (implantable), Includes Closed Feedback Loop Leads An… 54 27 $256,540.42 $192,405.32 25% off $22,898.07 $304,916.61 $82,511.90 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 20 20 $309,063.50 $231,797.62 25% off $44,614.02 $127,837.58 $77,359.15 2026-04-01
215 MS_DRG Other Heart Assist System Implant 26 26 $540,811.22 $405,608.42 25% off $56,990.55 $191,921.18 $76,859.28 2026-04-01
C1822 HCPCS Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 27 27 $253,315.34 $189,986.51 25% off $27,864.69 $253,315.34 $76,729.22 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 20 20 $508,531.80 $381,398.85 25% off $41,143.00 $117,891.68 $71,340.52 2026-04-01
HB_36033287000 CDM Operating Room Services - General Classification 28 28 $229,804.67 $172,353.50 25% off $25,278.51 $229,804.67 $69,964.03 2026-04-01
HB_36033278000 CDM Operating Room Services - General Classification 28 28 $229,804.67 $172,353.50 25% off $25,278.51 $229,804.67 $69,964.03 2026-04-01
C2624 HCPCS Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 27 27 $228,687.46 $171,515.60 25% off $25,155.62 $228,687.46 $69,269.43 2026-04-01
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 324 27 $223,937.80 $167,953.35 25% off $13,520.82 $459,075.41 $66,401.46 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 28 $434,580.47 $325,935.35 25% off $51,582.00 $188,563.47 $66,300.29 2026-04-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 27 27 $282,709.27 $212,031.95 25% off $3,188.99 $282,709.27 $66,153.97 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 26 $380,587.74 $285,440.81 25% off $45,556.07 $161,975.54 $64,866.85 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 26 $569,145.98 $426,859.49 25% off $43,360.74 $151,671.12 $60,740.21 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 26 $375,233.25 $281,424.93 25% off $40,150.30 $146,873.57 $58,818.92 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 22 22 $556,010.40 $417,007.80 25% off $35,105.05 $100,590.44 $58,214.21 2026-04-01
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 297 27 $202,886.82 $152,165.12 25% off $117.36 $335,027.13 $58,115.93 2026-04-01
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 351 27 $180,604.45 $135,453.34 25% off $14,190.35 $233,378.48 $56,010.84 2026-04-01
HB_48193653000 CDM Hc Ep Eval W/ablat Svt Arrhythm/imag/rec 28 28 $183,462.99 $137,597.24 25% off $20,180.93 $183,462.99 $55,855.31 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 28 $369,368.21 $277,026.16 25% off $32,002.65 $126,738.91 $54,210.07 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 28 $456,327.95 $342,245.96 25% off $34,737.00 $126,738.91 $54,210.07 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 28 $440,845.97 $330,634.48 25% off $38,013.60 $137,438.46 $53,723.65 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 20 20 $276,016.78 $207,012.58 25% off $30,980.86 $88,772.94 $53,719.72 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 26 $217,854.25 $163,390.69 25% off $37,421.87 $133,224.95 $53,353.01 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 28 $355,989.00 $266,991.75 25% off $41,620.50 $147,999.23 $53,125.88 2026-04-01
HB_48193656000 CDM Hc Ep Evl Trnsptl Pulm Vein Ablat Imag/rec 28 28 $172,192.07 $129,144.05 25% off $18,941.13 $172,192.07 $52,423.88 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 26 $214,740.17 $161,055.13 25% off $36,730.07 $129,741.95 $51,958.17 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 28 $313,213.62 $234,910.22 25% off $40,963.00 $147,361.23 $51,813.28 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 26 $87,636.94 $65,727.71 25% off $33,125.33 $91,719.60 $50,571.04 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 26 $192,207.18 $144,155.38 25% off $34,792.41 $124,028.84 $49,670.22 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 28 $178,518.78 $133,889.09 25% off $32,859.05 $116,856.62 $48,139.13 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 28 $383,241.09 $287,430.82 25% off $24,517.00 $132,571.52 $46,613.11 2026-04-01
SUP_16402 CDM Kt Cann W-20d Dil Circt Pump Hd Bubl Trap 28 28 $152,458.31 $114,343.73 25% off $16,770.41 $152,458.31 $46,415.93 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 26 $415,045.63 $311,284.22 25% off $30,872.43 $114,938.75 $46,029.88 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 26 $462,045.15 $346,533.86 25% off $31,318.39 $113,044.02 $45,271.10 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 28 $294,969.01 $221,226.76 25% off $28,490.97 $102,789.72 $44,682.37 2026-04-01
SUP_137662 CDM St Sup Heart-lung Beqhls-7050 Adv 7.0l 1p-u 28 28 $145,304.49 $108,978.37 25% off $15,983.49 $145,304.49 $44,237.95 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 28 $259,938.26 $194,953.69 25% off $28,617.92 $105,293.54 $44,091.81 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 26 $180,980.89 $135,735.66 25% off $29,052.58 $109,857.86 $43,995.12 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 28 $518,156.39 $388,617.29 25% off $33,320.07 $115,777.22 $43,913.57 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 28 $266,958.06 $200,218.55 25% off $24,703.87 $97,149.86 $43,417.72 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 26 $295,682.55 $221,761.91 25% off $26,912.65 $107,288.51 $42,966.17 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 28 $362,546.80 $271,910.10 25% off $26,805.06 $95,361.14 $42,676.13 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 20 20 $277,125.27 $207,843.95 25% off $24,605.89 $70,506.02 $42,665.75 2026-04-01
C1772 HCPCS Infusion Pump, Programmable (implantable) 27 27 $140,144.37 $105,108.28 25% off $15,415.88 $140,144.37 $42,449.73 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 26 26 $88,489.80 $66,367.35 25% off $29,731.46 $88,489.80 $42,377.20 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 26 26 $595,728.99 $446,796.74 25% off $29,201.59 $105,443.89 $42,227.44 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 26 26 $129,628.70 $97,221.53 25% off $33,011.83 $103,325.57 $42,141.33 2026-04-01
HB_48193654000 CDM Hc Ep Eval W/ablat V Tach Imag/rec 28 28 $136,917.70 $102,688.28 25% off $15,060.95 $136,917.70 $41,684.60 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 25 $515,806.61 $386,854.96 25% off $32,224.82 $118,124.91 $41,636.66 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 28 $261,449.70 $196,087.27 25% off $31,651.37 $113,117.27 $41,504.28 2026-04-01
SUP_41503 CDM Dev Coag Episense Guided 6130 W-visitrax 3cm Sgl 28 28 $134,866.96 $101,150.22 25% off $14,835.37 $134,866.96 $41,060.24 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 26 26 $408,252.15 $306,189.11 25% off $29,733.61 $102,038.00 $40,863.47 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 25 25 $267,835.92 $200,876.94 25% off $32,701.97 $115,809.98 $40,820.69 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 28 28 $389,911.82 $292,433.87 25% off $25,026.09 $89,021.59 $40,462.10 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 26 26 $348,961.73 $261,721.30 25% off $27,404.33 $100,334.09 $40,181.11 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 26 26 $108,059.46 $81,044.59 25% off $29,985.91 $100,160.61 $40,111.63 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 19 $203,712.57 $152,784.43 25% off $31,980.59 $95,512.05 $39,980.62 2026-04-01
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 189 27 $123,139.40 $92,354.55 25% off $10,191.25 $172,395.16 $39,961.67 2026-04-01
SUP_166068 CDM Guide Face-feminization Vsp 28 28 $128,534.43 $96,400.82 25% off $14,138.79 $128,534.43 $39,132.31 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 25 $330,891.92 $248,168.94 25% off $30,687.92 $110,451.53 $38,931.94 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 26 $156,675.26 $117,506.45 25% off $26,905.12 $95,191.52 $38,121.65 2026-04-01
HB_36037224001 CDM Operating Room Services - General Classification 28 28 $125,022.67 $93,767.00 25% off $13,752.49 $125,022.67 $38,063.15 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 26 26 $209,931.67 $157,448.75 25% off $27,093.40 $94,865.77 $37,991.19 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 26 26 $109,128.02 $81,846.02 25% off $29,021.38 $94,470.63 $37,862.40 2026-04-01
HB_36107950000 CDM Operating Room Services - Minor Surgery 28 28 $124,092.26 $93,069.20 25% off $13,650.15 $124,092.26 $37,779.89 2026-04-01
HB_36108230000 CDM Operating Room Services - Minor Surgery 28 28 $123,963.26 $92,972.45 25% off $13,635.96 $123,963.26 $37,740.62 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 26 26 $187,786.97 $140,840.22 25% off $26,127.79 $93,073.19 $37,273.32 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 25 $64,010.29 $48,007.72 25% off $29,025.15 $76,357.40 $37,055.43 2026-04-01
HB_36009774000 CDM Operating Room Services - General Classification 28 28 $121,647.71 $91,235.78 25% off $13,381.25 $121,647.71 $37,035.64 2026-04-01
HB_36036837000 CDM Operating Room Services - General Classification 28 28 $121,647.71 $91,235.78 25% off $13,381.25 $121,647.71 $37,035.64 2026-04-01
HB_36036836000 CDM Operating Room Services - General Classification 28 28 $121,647.71 $91,235.78 25% off $13,381.25 $121,647.71 $37,035.64 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 26 $478,123.26 $358,592.45 25% off $25,306.90 $91,764.42 $36,749.18 2026-04-01
HB_36033276000 CDM Operating Room Services - General Classification 28 28 $120,434.63 $90,325.97 25% off $13,247.81 $120,434.63 $36,666.32 2026-04-01
HB_36033277000 CDM Operating Room Services - General Classification 28 28 $120,434.63 $90,325.97 25% off $13,247.81 $120,434.63 $36,666.32 2026-04-01
HB_48133264000 CDM Hc Remove/replace Aicd Gen Multi Sys 28 28 $119,328.60 $89,496.45 25% off $13,126.15 $119,328.60 $36,329.59 2026-04-01
HB_48133249001 CDM Hc Insert Aicd Gen Dual W Leads 28 28 $119,328.60 $89,496.45 25% off $13,126.15 $119,328.60 $36,329.59 2026-04-01
HB_48193583000 CDM Hc Alcohol Septal Ablation 28 28 $119,328.60 $89,496.45 25% off $13,126.15 $119,328.60 $36,329.59 2026-04-01
HB_48192941000 CDM Hc Ptca/stent/atherec Ami Init Ves 28 28 $119,328.60 $89,496.45 25% off $13,126.15 $119,328.60 $36,329.59 2026-04-01
HB_48033249000 CDM Hc Insert Aicd Gen Sngl W Leads 28 28 $119,328.60 $89,496.45 25% off $13,126.15 $119,328.60 $36,329.59 2026-04-01
HB_48033249001 CDM Hc Insert Aicd Gen Dual W Leads 28 28 $119,328.60 $89,496.45 25% off $13,126.15 $119,328.60 $36,329.59 2026-04-01
HB_48192937000 CDM Hc Ptca/stent/atherec Byp Grft Init Ves 28 28 $119,328.60 $89,496.45 25% off $13,126.15 $119,328.60 $36,329.59 2026-04-01
HB_48192943000 CDM Hc Ptca/stent/atherec Cto Initial Ves 28 28 $119,328.60 $89,496.45 25% off $13,126.15 $119,328.60 $36,329.59 2026-04-01
HB_48133249000 CDM Hc Insert Aicd Gen Sngl W Leads 28 28 $119,328.60 $89,496.45 25% off $13,126.15 $119,328.60 $36,329.59 2026-04-01
HB_48133231000 CDM Hc Insert Aicd Generator Multi 28 28 $119,328.60 $89,496.45 25% off $13,126.15 $119,328.60 $36,329.59 2026-04-01
HB_36037221000 CDM Operating Room Services - General Classification 28 28 $119,002.66 $89,252.00 25% off $13,090.29 $119,002.66 $36,230.36 2026-04-01
HB_36000000777 CDM Operating Room Services - General Classification 28 28 $119,002.66 $89,252.00 25% off $13,090.29 $119,002.66 $36,230.36 2026-04-01
HB_36133270000 CDM Operating Room Services - Minor Surgery 28 28 $119,002.66 $89,252.00 25% off $13,090.29 $119,002.66 $36,230.36 2026-04-01
HB_36133999009 CDM Operating Room Services - Minor Surgery 28 28 $119,002.66 $89,252.00 25% off $13,090.29 $119,002.66 $36,230.36 2026-04-01
HB_36100414000 CDM Operating Room Services - Minor Surgery 28 28 $119,002.66 $89,252.00 25% off $13,090.29 $119,002.66 $36,230.36 2026-04-01
HB_36133274000 CDM Operating Room Services - Minor Surgery 28 28 $119,002.66 $89,252.00 25% off $13,090.29 $119,002.66 $36,230.36 2026-04-01
HB_36102680000 CDM Operating Room Services - Minor Surgery 28 28 $119,002.66 $89,252.00 25% off $13,090.29 $119,002.66 $36,230.36 2026-04-01
HB_36137231000 CDM Operating Room Services - Minor Surgery 28 28 $119,002.66 $89,252.00 25% off $13,090.29 $119,002.66 $36,230.36 2026-04-01
HB_36000000779 CDM Operating Room Services - General Classification 28 28 $119,002.66 $89,252.00 25% off $13,090.29 $119,002.66 $36,230.36 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 26 $237,871.61 $178,403.71 25% off $25,575.33 $90,434.45 $36,216.57 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 26 $133,075.18 $99,806.38 25% off $25,687.76 $90,164.60 $36,108.50 2026-04-01
HB_48133230000 CDM Hc Insert Aicd Generator Dual 28 28 $118,241.59 $88,681.19 25% off $13,006.57 $118,241.59 $35,998.65 2026-04-01
HB_48133263000 CDM Hc Remove/replace Aicd Gen Dual Sys 28 28 $118,241.59 $88,681.19 25% off $13,006.57 $118,241.59 $35,998.65 2026-04-01
HB_33377372000 CDM Hc Stereotac Radios Cranial Cmplt Sessn 28 28 $117,746.65 $88,309.99 25% off $12,952.13 $117,746.65 $35,847.96 2026-04-01
HB_48133240000 CDM Hc Insert Aicd Generator Single 28 28 $117,495.19 $88,121.39 25% off $12,924.47 $117,495.19 $35,771.41 2026-04-01
HB_48133262000 CDM Hc Remove/replace Aicd Gen Singl Sys 28 28 $117,495.19 $88,121.39 25% off $12,924.47 $117,495.19 $35,771.41 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 28 $257,214.50 $192,910.88 25% off $24,517.00 $101,700.68 $35,758.70 2026-04-01
HB_36009773000 CDM Operating Room Services - General Classification 28 28 $116,856.59 $87,642.44 25% off $12,854.22 $116,856.59 $35,576.99 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 26 $177,086.33 $132,814.75 25% off $24,700.64 $88,597.54 $35,480.93 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 26 $202,382.75 $151,787.06 25% off $25,171.34 $88,372.02 $35,390.62 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 28 $222,657.91 $166,993.44 25% off $22,119.06 $80,739.12 $35,359.39 2026-04-01
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 27 27 $116,619.14 $87,464.36 25% off $12,828.11 $116,619.14 $35,323.94 2026-04-01
245 MS_DRG Aicd Generator Procedures 26 26 $250,593.27 $187,944.95 25% off $26,286.49 $87,940.26 $35,217.71 2026-04-01
C2622 HCPCS Prosthesis, Penile, Non-inflatable 54 27 $116,936.11 $87,702.08 25% off $11,492.89 $129,391.37 $35,168.57 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 26 $141,491.64 $106,118.73 25% off $24,268.13 $87,676.19 $35,111.96 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 26 26 $106,402.39 $79,801.79 25% off $25,576.41 $87,294.55 $34,959.12 2026-04-01
C1722 HCPCS Cardioverter-defibrillator, Single Chamber (implantable) 270 27 $104,037.21 $78,027.91 25% off $8,901.22 $222,823.68 $34,796.38 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 26 26 $250,116.18 $187,587.13 25% off $24,793.16 $86,386.70 $34,595.55 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 26 $142,464.27 $106,848.20 25% off $22,541.34 $86,361.64 $34,585.51 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 26 $255,183.19 $191,387.39 25% off $23,629.06 $86,022.40 $34,449.67 2026-04-01
HB_48193580000 CDM Hc Repair Perc Atr Sept Def W Imp 28 28 $112,885.69 $84,664.27 25% off $12,417.43 $112,885.69 $34,368.05 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 26 $167,540.46 $125,655.35 25% off $22,945.34 $84,671.22 $33,908.55 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 25 $205,071.39 $153,803.54 25% off $27,320.41 $96,132.14 $33,884.65 2026-04-01
HB_36009797000 CDM Operating Room Services - General Classification 28 28 $109,535.99 $82,151.99 25% off $12,048.96 $109,535.99 $33,348.23 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 26 26 $60,646.17 $45,484.63 25% off $22,749.53 $60,646.17 $32,924.36 2026-04-01
HB_36036906000 CDM Operating Room Services - General Classification 28 28 $107,746.81 $80,810.11 25% off $11,852.15 $107,746.81 $32,803.51 2026-04-01
HB_48136226000 CDM Hc S/p Cath Vert W/vert Circ Incl Arch 28 28 $107,463.87 $80,597.90 25% off $11,821.03 $107,463.87 $32,717.38 2026-04-01
HB_48192933000 CDM Hc Ptca/stent/atherect Initl Art/brnch 28 28 $107,202.26 $80,401.70 25% off $11,792.25 $107,202.26 $32,637.72 2026-04-01
HB_48192938000 CDM Hc Ptca/stent/atherec Byp Grft Addl Ves 28 28 $107,098.36 $80,323.77 25% off $11,780.82 $107,098.36 $32,606.10 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 26 $358,099.45 $268,574.59 25% off $22,106.69 $81,222.92 $32,527.60 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 26 26 $610,590.14 $457,942.61 25% off $23,831.86 $80,889.47 $32,394.06 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 26 $162,710.12 $122,032.59 25% off $23,226.68 $80,426.87 $32,208.80 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 22 22 $128,520.65 $96,390.49 25% off $16,849.00 $58,013.90 $32,096.51 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 26 26 $169,173.07 $126,879.80 25% off $21,878.60 $80,049.08 $32,057.50 2026-04-01
HB_48193582000 CDM Hc Perc Closure Patent Ductus Arteriosus 28 28 $104,090.08 $78,067.56 25% off $11,449.91 $104,090.08 $31,690.22 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 25 $259,113.32 $194,334.99 25% off $24,056.72 $87,637.64 $30,890.51 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 26 26 $116,558.57 $87,418.93 25% off $19,283.03 $76,793.53 $30,753.74 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 26 26 $202,614.20 $151,960.65 25% off $20,917.84 $74,607.74 $29,878.40 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 26 26 $251,852.44 $188,889.33 25% off $20,290.06 $74,424.63 $29,805.07 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 28 $338,809.03 $254,106.77 25% off $22,380.50 $81,402.18 $29,669.32 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 26 $147,132.29 $110,349.22 25% off $21,428.88 $74,002.51 $29,636.02 2026-04-01
HB_48193799011 CDM Hc Repair Perc Post Mi Vsd W Occluder 28 28 $97,315.78 $72,986.84 25% off $10,704.74 $97,315.78 $29,627.79 2026-04-01
HB_48193581000 CDM Hc Repair Perc Vent Sept Def W Imp 28 28 $97,315.78 $72,986.84 25% off $10,704.74 $97,315.78 $29,627.79 2026-04-01
HB_48133214000 CDM Hc Ppm Upgrade 28 28 $97,073.37 $72,805.03 25% off $10,678.07 $97,073.37 $29,553.99 2026-04-01
HB_36000000949 CDM Operating Room Services - General Classification 28 28 $97,062.88 $72,797.16 25% off $10,676.92 $97,062.88 $29,550.79 2026-04-01
HB_36000000947 CDM Operating Room Services - General Classification 28 28 $97,062.88 $72,797.16 25% off $10,676.92 $97,062.88 $29,550.79 2026-04-01
HB_36036908000 CDM Operating Room Services - General Classification 28 28 $97,062.88 $72,797.16 25% off $10,676.92 $97,062.88 $29,550.79 2026-04-01
HB_36137238000 CDM Operating Room Services - Minor Surgery 28 28 $97,062.88 $72,797.16 25% off $10,676.92 $97,062.88 $29,550.79 2026-04-01
HB_36000000041 CDM Operating Room Services - General Classification 28 28 $97,015.11 $72,761.33 25% off $10,671.66 $97,015.11 $29,536.25 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 26 $29,797.58 $22,348.19 25% off $24,123.43 $60,100.60 $29,481.88 2026-04-01
HB_36036903000 CDM Operating Room Services - General Classification 28 28 $96,616.82 $72,462.62 25% off $10,627.85 $96,616.82 $29,414.99 2026-04-01
HB_36133999004 CDM Operating Room Services - Minor Surgery 28 28 $96,453.19 $72,339.89 25% off $10,609.85 $96,453.19 $29,365.17 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 28 28 $324,177.73 $243,133.30 25% off $16,708.99 $60,706.61 $29,359.94 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 28 $348,762.35 $261,571.76 25% off $20,103.00 $83,410.64 $29,327.78 2026-04-01
HB_36133208000 CDM Operating Room Services - Minor Surgery 28 28 $96,271.86 $72,203.90 25% off $10,589.90 $96,271.86 $29,309.97 2026-04-01
HB_36037223000 CDM Operating Room Services - General Classification 28 28 $95,480.13 $71,610.10 25% off $10,502.81 $95,480.13 $29,068.92 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 26 $114,131.38 $85,598.53 25% off $20,561.18 $72,531.83 $29,047.05 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 26 26 $41,710.93 $31,283.20 25% off $17,761.20 $52,452.40 $28,920.46 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 26 26 $183,135.63 $137,351.72 25% off $19,278.73 $72,036.46 $28,848.67 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 26 26 $184,620.00 $138,465.00 25% off $21,228.77 $71,834.07 $28,767.62 2026-04-01
HB_48193590000 CDM Hc Perq Transcath Cls Paravalvr Leak 1 Mitral Val 28 28 $94,074.06 $70,555.55 25% off $10,348.15 $94,074.06 $28,640.85 2026-04-01
HB_48193591000 CDM Hc Perq Transcath Cls Paravalvr Leak 1 Aort Val 28 28 $94,074.06 $70,555.55 25% off $10,348.15 $94,074.06 $28,640.85 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 25 $131,221.21 $98,415.90 25% off $22,539.73 $80,985.84 $28,545.88 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 26 26 $100,840.10 $75,630.08 25% off $20,769.36 $70,799.00 $28,353.10 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 26 26 $117,689.70 $88,267.28 25% off $19,102.29 $70,770.09 $28,341.52 2026-04-01
HB_48192934000 CDM Hc Ptca/stent/atherect Addl Branch 28 28 $92,415.11 $69,311.33 25% off $10,165.66 $92,415.11 $28,135.78 2026-04-01
HB_48192944000 CDM Hc Ptca/stent/atherec Cto Addl Ves 28 28 $92,326.73 $69,245.05 25% off $10,155.94 $92,326.73 $28,108.88 2026-04-01
HB_36133999010 CDM Operating Room Services - Minor Surgery 28 28 $92,218.12 $69,163.59 25% off $10,143.99 $92,218.12 $28,075.81 2026-04-01
HB_36104080000 CDM Operating Room Services - Minor Surgery 28 28 $92,218.12 $69,163.59 25% off $10,143.99 $92,218.12 $28,075.81 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 19 19 $39,862.57 $29,896.93 25% off $22,435.37 $58,374.40 $28,047.98 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 26 26 $80,968.81 $60,726.61 25% off $18,937.14 $69,885.37 $27,987.22 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 28 $264,537.77 $198,403.33 25% off $18,334.00 $79,519.01 $27,959.46 2026-04-01
332 MS_DRG Rectal Resection With Mcc 26 26 $137,407.02 $103,055.27 25% off $18,658.48 $69,788.99 $27,948.62 2026-04-01
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 27 27 $119,328.60 $89,496.45 25% off $13,126.15 $119,328.60 $27,922.89 2026-04-01
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 27 27 $119,328.60 $89,496.45 25% off $13,126.15 $119,328.60 $27,922.89 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 26 $287,877.89 $215,908.42 25% off $17,236.71 $69,513.36 $27,838.24 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 28 28 $265,687.97 $199,265.98 25% off $18,528.84 $68,547.68 $27,581.50 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 26 $75,322.91 $56,492.19 25% off $19,494.44 $68,829.10 $27,564.21 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 26 26 $94,784.42 $71,088.31 25% off $18,833.85 $68,726.94 $27,523.29 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 26 26 $110,300.18 $82,725.13 25% off $18,847.30 $68,669.12 $27,500.14 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 26 $122,778.42 $92,083.82 25% off $20,140.51 $68,603.58 $27,473.89 2026-04-01
791 MS_DRG Prematurity With Major Problems 19 19 $124,947.34 $93,710.50 25% off $21,840.94 $65,228.13 $27,304.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 26 26 $274,967.26 $206,225.44 25% off $18,423.94 $67,975.22 $27,222.25 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 26 26 $126,479.42 $94,859.56 25% off $19,626.24 $67,836.44 $27,166.67 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 26 $154,556.87 $115,917.65 25% off $20,790.88 $67,219.64 $27,021.66 2026-04-01
HB_48192924000 CDM Hc Ptca /atherect Initial Art/brnch 28 28 $88,470.27 $66,352.70 25% off $9,731.73 $88,470.27 $26,934.77 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 26 26 $181,360.16 $136,020.12 25% off $18,452.45 $67,236.98 $26,926.60 2026-04-01
HB_36000000948 CDM Operating Room Services - General Classification 28 28 $88,296.91 $66,222.68 25% off $9,712.66 $88,296.91 $26,881.99 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 26 26 $199,668.38 $149,751.29 25% off $18,498.72 $66,587.42 $26,666.47 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 25 $255,175.18 $191,381.38 25% off $20,449.29 $75,401.87 $26,577.64 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 26 $121,239.24 $90,929.43 25% off $18,844.07 $66,082.41 $26,464.23 2026-04-01
HB_48133289000 CDM Hc Implant Pulm Artery Sensor For Hd Monitoring 28 28 $86,731.67 $65,048.75 25% off $9,540.48 $86,731.67 $26,405.46 2026-04-01
HB_36109330000 CDM Operating Room Services - Minor Surgery 28 28 $86,731.67 $65,048.75 25% off $9,540.48 $86,731.67 $26,405.46 2026-04-01
HB_36033288000 CDM Operating Room Services - General Classification 28 28 $86,662.15 $64,996.61 25% off $9,532.84 $86,662.15 $26,384.29 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 26 26 $38,449.43 $28,837.07 25% off $18,985.01 $47,699.40 $26,299.81 2026-04-01
HB_36109150000 CDM Operating Room Services - Minor Surgery 28 28 $84,509.16 $63,381.87 25% off $9,296.01 $84,509.16 $25,728.81 2026-04-01
HB_48133224000 CDM Hc Insert Lv Lead & Connect 28 28 $84,206.77 $63,155.08 25% off $9,262.74 $84,206.77 $25,636.75 2026-04-01
SUP_121894 CDM Retrv Trevo-nxt Provue 3x32mm 28 28 $83,860.04 $62,895.03 25% off $9,224.60 $83,860.04 $25,531.19 2026-04-01
SUP_121895 CDM Retrv Trevo-nxt Provue 4x28mm 28 28 $83,860.04 $62,895.03 25% off $9,224.60 $83,860.04 $25,531.19 2026-04-01
SUP_121897 CDM Retrv Trevo-nxt Provue Lng 4x41mm 28 28 $83,860.04 $62,895.03 25% off $9,224.60 $83,860.04 $25,531.19 2026-04-01
SUP_121896 CDM Retrv Trevo-nxt Provue 6x37mm 28 28 $83,860.04 $62,895.03 25% off $9,224.60 $83,860.04 $25,531.19 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 26 26 $130,546.85 $97,910.14 25% off $14,720.22 $63,671.11 $25,498.57 2026-04-01
HB_36034718000 CDM Operating Room Services - General Classification 28 28 $83,537.25 $62,652.94 25% off $9,189.10 $83,537.25 $25,432.92 2026-04-01
HB_36034717000 CDM Operating Room Services - General Classification 28 28 $83,537.25 $62,652.94 25% off $9,189.10 $83,537.25 $25,432.92 2026-04-01
HB_36034707000 CDM Operating Room Services - General Classification 28 28 $83,464.47 $62,598.35 25% off $9,181.09 $83,464.47 $25,410.76 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 25 $126,455.15 $94,841.36 25% off $20,716.11 $72,044.17 $25,394.12 2026-04-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 27 27 $57,376.83 $43,032.62 25% off $6,311.45 $100,409.00 $25,389.25 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 26 26 $171,766.38 $128,824.79 25% off $18,326.57 $62,697.72 $25,108.75 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 28 28 $261,884.54 $196,413.40 25% off $18,246.96 $61,541.22 $25,105.58 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 26 26 $114,961.39 $86,221.04 25% off $17,532.04 $62,422.09 $24,998.37 2026-04-01
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 27 27 $78,703.22 $59,027.42 25% off $8,657.35 $78,703.22 $24,956.79 2026-04-01
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary … 27 27 $78,703.22 $59,027.42 25% off $8,657.35 $78,703.22 $24,956.79 2026-04-01
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 27 27 $78,703.22 $59,027.42 25% off $8,657.35 $78,703.22 $24,956.79 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 26 26 $74,349.73 $55,762.30 25% off $17,341.07 $62,202.35 $24,910.38 2026-04-01
HB_36137229000 CDM Operating Room Services - Minor Surgery 28 28 $81,599.94 $61,199.96 25% off $8,975.99 $81,599.94 $24,843.10 2026-04-01
HB_36000000772 CDM Operating Room Services - General Classification 28 28 $81,599.94 $61,199.96 25% off $8,975.99 $81,599.94 $24,843.10 2026-04-01
HB_36000000771 CDM Operating Room Services - General Classification 28 28 $81,599.94 $61,199.96 25% off $8,975.99 $81,599.94 $24,843.10 2026-04-01
HB_36000000774 CDM Operating Room Services - General Classification 28 28 $81,599.94 $61,199.96 25% off $8,975.99 $81,599.94 $24,843.10 2026-04-01
HB_36000000897 CDM Operating Room Services - General Classification 28 28 $81,599.94 $61,199.96 25% off $8,975.99 $81,599.94 $24,843.10 2026-04-01
HB_36000000769 CDM Operating Room Services - General Classification 28 28 $81,599.94 $61,199.96 25% off $8,975.99 $81,599.94 $24,843.10 2026-04-01
HB_36009767000 CDM Operating Room Services - General Classification 28 28 $81,513.13 $61,134.85 25% off $8,966.44 $81,513.13 $24,816.68 2026-04-01
HB_36102350000 CDM Operating Room Services - Minor Surgery 28 28 $81,505.26 $61,128.95 25% off $8,965.58 $81,505.26 $24,814.28 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 26 26 $121,337.37 $91,003.02 25% off $16,634.21 $61,427.50 $24,600.06 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 26 26 $130,976.54 $98,232.40 25% off $17,524.50 $61,367.75 $24,576.14 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 26 26 $108,669.34 $81,502.01 25% off $17,044.66 $61,001.52 $24,429.47 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 26 26 $429,709.31 $322,281.98 25% off $16,587.95 $60,909.00 $24,392.42 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 18 $253,836.37 $190,377.27 25% off $19,284.11 $50,565.20 $24,295.78 2026-04-01
HB_33377373003 CDM Hc Sterotactic Radiosurg, Each Fraction 28 28 $79,734.42 $59,800.82 25% off $8,770.79 $79,734.42 $24,275.15 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 26 $119,336.24 $89,502.18 25% off $15,861.73 $60,035.84 $24,042.75 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 26 26 $301,931.29 $226,448.47 25% off $16,452.39 $59,929.83 $24,000.29 2026-04-01
HB_48193799016 CDM Hc Stent Pseudoaneurysm Coronary Artery 28 28 $78,703.22 $59,027.42 25% off $8,657.35 $78,703.22 $23,961.20 2026-04-01
HB_48192928000 CDM Hc Ptca /stent Initial Art/brnch 28 28 $78,703.22 $59,027.42 25% off $8,657.35 $78,703.22 $23,961.20 2026-04-01
HB_36037228000 CDM Operating Room Services - General Classification 28 28 $78,613.48 $58,960.11 25% off $8,647.48 $78,613.48 $23,933.87 2026-04-01
HB_48133225000 CDM Hc Lead Placement Coronary Sinus 28 28 $78,471.16 $58,853.37 25% off $8,631.83 $78,471.16 $23,890.54 2026-04-01
HB_48133227000 CDM Hc Remove/replace Pacemaker Sl System 28 28 $78,135.23 $58,601.42 25% off $8,594.88 $78,135.23 $23,788.27 2026-04-01
HB_36133206000 CDM Operating Room Services - Minor Surgery 28 28 $77,795.60 $58,346.70 25% off $8,557.52 $77,795.60 $23,684.87 2026-04-01
HB_36133207000 CDM Operating Room Services - Minor Surgery 28 28 $77,795.60 $58,346.70 25% off $8,557.52 $77,795.60 $23,684.87 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 26 26 $43,374.48 $32,530.86 25% off $16,780.53 $43,374.48 $23,632.08 2026-04-01
263 MS_DRG Vein Ligation And Stripping 26 26 $65,409.09 $49,056.82 25% off $14,427.04 $58,931.39 $23,600.44 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 25 25 $84,694.01 $63,520.51 25% off $18,638.04 $66,911.24 $23,584.87 2026-04-01
C1815 HCPCS Prosthesis, Urinary Sphincter (implantable) 108 27 $81,852.52 $61,389.39 25% off $4,202.92 $87,077.15 $23,505.90 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 26 26 $138,323.82 $103,742.87 25% off $17,582.60 $58,464.93 $23,413.64 2026-04-01
HB_36000000952 CDM Operating Room Services - General Classification 28 28 $76,746.38 $57,559.79 25% off $8,442.10 $76,746.38 $23,365.43 2026-04-01
HB_36000001011 CDM Operating Room Services - General Classification 28 28 $76,746.38 $57,559.79 25% off $8,442.10 $76,746.38 $23,365.43 2026-04-01
HB_36000001009 CDM Operating Room Services - General Classification 28 28 $76,746.38 $57,559.79 25% off $8,442.10 $76,746.38 $23,365.43 2026-04-01
HB_36000001010 CDM Operating Room Services - General Classification 28 28 $76,746.38 $57,559.79 25% off $8,442.10 $76,746.38 $23,365.43 2026-04-01
HB_36000001012 CDM Operating Room Services - General Classification 28 28 $76,746.38 $57,559.79 25% off $8,442.10 $76,746.38 $23,365.43 2026-04-01
HB_36037244000 CDM Operating Room Services - General Classification 28 28 $76,746.38 $57,559.79 25% off $8,442.10 $76,746.38 $23,365.43 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 26 26 $195,496.36 $146,622.27 25% off $15,374.35 $58,220.14 $23,315.60 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 26 26 $80,227.15 $60,170.36 25% off $15,422.23 $58,212.43 $23,312.51 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 28 28 $244,971.67 $183,728.75 25% off $13,459.28 $49,209.08 $23,292.81 2026-04-01
HB_36137239000 CDM Operating Room Services - Minor Surgery 28 28 $76,321.66 $57,241.25 25% off $8,395.38 $76,321.66 $23,236.13 2026-04-01
HB_36000000950 CDM Operating Room Services - General Classification 28 28 $76,321.66 $57,241.25 25% off $8,395.38 $76,321.66 $23,236.13 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 25 25 $124,788.28 $93,591.21 25% off $18,055.99 $65,758.59 $23,178.58 2026-04-01
HB_36000000759 CDM Operating Room Services - General Classification 28 28 $75,849.31 $56,886.98 25% off $8,343.42 $75,849.31 $23,092.32 2026-04-01
HB_48193657000 CDM Hc Ablate Atrial Fib W/pulm Vein 28 28 $75,707.42 $56,780.57 25% off $8,327.82 $75,707.42 $23,049.12 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 26 26 $198,156.42 $148,617.32 25% off $16,506.18 $57,370.11 $22,975.19 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 26 26 $155,213.52 $116,410.14 25% off $15,584.15 $56,786.08 $22,741.30 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 26 26 $183,006.42 $137,254.82 25% off $14,221.55 $56,747.53 $22,725.86 2026-04-01
570 MS_DRG Skin Debridement With Mcc 26 26 $112,110.30 $84,082.73 25% off $16,194.18 $56,689.70 $22,702.71 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 25 25 $145,028.60 $108,771.45 25% off $18,800.50 $64,390.07 $22,696.20 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 28 28 $278,343.97 $208,757.98 25% off $16,788.06 $63,447.52 $22,640.49 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 26 26 $70,382.84 $52,787.13 25% off $15,686.90 $56,283.00 $22,539.83 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 26 26 $131,548.27 $98,661.20 25% off $15,820.85 $56,134.58 $22,480.39 2026-04-01
HB_36032994001 CDM Operating Room Services - General Classification 28 28 $73,822.44 $55,366.83 25% off $8,120.47 $73,822.44 $22,475.24 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 26 26 $201,846.69 $151,385.01 25% off $15,776.73 $55,936.05 $22,400.89 2026-04-01
HB_48133213000 CDM Hc Ppm Generator Dual 28 28 $73,535.77 $55,151.83 25% off $8,088.93 $73,535.77 $22,387.97 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 26 26 $32,592.54 $24,444.41 25% off $15,106.46 $40,602.80 $22,386.99 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 25 25 $133,314.07 $99,985.55 25% off $17,863.41 $63,455.23 $22,366.69 2026-04-01
HB_36133418001 CDM Operating Room Services - Minor Surgery 28 28 $73,212.94 $54,909.71 25% off $8,053.42 $73,212.94 $22,289.68 2026-04-01
HB_36105690000 CDM Operating Room Services - Minor Surgery 28 28 $73,212.94 $54,909.71 25% off $8,053.42 $73,212.94 $22,289.68 2026-04-01
HB_36133419000 CDM Operating Room Services - Minor Surgery 28 28 $73,212.94 $54,909.71 25% off $8,053.42 $73,212.94 $22,289.68 2026-04-01
HB_36105700000 CDM Operating Room Services - Minor Surgery 28 28 $73,212.94 $54,909.71 25% off $8,053.42 $73,212.94 $22,289.68 2026-04-01
HB_36033361000 CDM Operating Room Services - General Classification 28 28 $73,212.94 $54,909.71 25% off $8,053.42 $73,212.94 $22,289.68 2026-04-01
SUP_172623 CDM Mdl Suppl Maxilla-craniips Classc Patnt-spec 28 28 $72,863.34 $54,647.51 25% off $8,014.97 $72,863.34 $22,183.25 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 26 26 $147,014.16 $110,260.62 25% off $15,678.83 $55,323.11 $22,155.42 2026-04-01
C9608 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 27 27 $64,028.70 $48,021.53 25% off $7,043.16 $64,028.70 $22,025.87 2026-04-01
C9605 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 27 27 $64,028.70 $48,021.53 25% off $7,043.16 $64,028.70 $22,025.87 2026-04-01
C9603 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug-eluting Intracoronary … 27 27 $64,028.70 $48,021.53 25% off $7,043.16 $64,028.70 $22,025.87 2026-04-01
C9601 HCPCS Percutaneous Transcatheter Placement Of Drug-eluting Intracoronary Stent(s), Wit… 27 27 $64,028.70 $48,021.53 25% off $7,043.16 $64,028.70 $22,025.87 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 26 26 $142,683.25 $107,012.44 25% off $15,664.84 $54,943.39 $22,003.35 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 25 25 $98,330.17 $73,747.63 25% off $17,157.09 $62,352.70 $21,978.07 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 25 25 $195,585.94 $146,689.46 25% off $18,991.47 $59,272.55 $21,829.28 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 28 28 $238,392.97 $178,794.73 25% off $15,313.57 $52,443.42 $21,819.06 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 25 25 $298,906.85 $224,180.14 25% off $15,395.87 $61,880.46 $21,811.62 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 26 26 $112,205.62 $84,154.21 25% off $15,180.16 $53,956.51 $21,608.13 2026-04-01
503 MS_DRG Foot Procedures With Mcc 26 26 $194,370.89 $145,778.17 25% off $14,236.61 $53,798.45 $21,544.83 2026-04-01
HB_36122514000 CDM Operating Room Services - Minor Surgery 28 28 $70,410.60 $52,807.95 25% off $7,745.17 $70,410.60 $21,436.50 2026-04-01
HB_36122510000 CDM Operating Room Services - Minor Surgery 28 28 $70,410.60 $52,807.95 25% off $7,745.17 $70,410.60 $21,436.50 2026-04-01
HB_36122511000 CDM Operating Room Services - Minor Surgery 28 28 $70,410.60 $52,807.95 25% off $7,745.17 $70,410.60 $21,436.50 2026-04-01
HB_36122513000 CDM Operating Room Services - Minor Surgery 28 28 $70,410.60 $52,807.95 25% off $7,745.17 $70,410.60 $21,436.50 2026-04-01
HB_36000000776 CDM Operating Room Services - General Classification 28 28 $70,344.43 $52,758.32 25% off $7,737.89 $70,344.43 $21,416.37 2026-04-01
HB_36000000898 CDM Operating Room Services - General Classification 28 28 $70,344.43 $52,758.32 25% off $7,737.89 $70,344.43 $21,416.37 2026-04-01
HB_36137230000 CDM Operating Room Services - Minor Surgery 28 28 $70,344.43 $52,758.32 25% off $7,737.89 $70,344.43 $21,416.37 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 27 27 $300,617.45 $225,463.09 25% off $17,187.22 $60,735.53 $21,408.05 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 26 26 $170,202.36 $127,651.77 25% off $13,707.27 $53,428.37 $21,396.63 2026-04-01
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