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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

LAKE CUMBERLAND REGIONAL HOSPITAL

Somerset, KY · CCN 180132 · Rates published

3,907 distinct procedures filed
36 distinct payers
207,032 rate rows
2026-10-05 last MRF observed
Data quality

173,154 of 207,032 rate rows are consumer-grade (83.6%)

33,878 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 20,766
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 9,459
per-diem day rate — not a per-procedure price 3,201
exceeds 10× this hospital's gross charge — excluded from medians 220
placeholder amount (≤ $0.02) — excluded from medians 216
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 10
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.lakecumberlandhospital.com/docs/ahlakecumberlandregionalhospitallibraries/hcl/mrf2q25/621757920_lake-cumberland-regional_standardcharges.csv
Found on page https://www.lakecumberlandhospital.com/hospital-charges-listing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint 121b98e422a52889… · 10,103,467 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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $295,555.78 $593,374.86 $314,011.41 nat. median
$359,454
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $191,803.81 $274,620.10 $200,898.88 nat. median
$249,036
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 $145,271.51 $257,528.96 $168,160.26 nat. median
$190,559
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $121,518.61 $209,224.17 $152,373.87 nat. median
$198,418
0.8× median
C1882
HCPCS 		Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 7 $64,480.02 $212,961.53 $150,551.97 nat. median
$27,360
outlier · 5.5×
7
MS_DRG 		Lung Transplant 7 $81,520.66 $158,371.61 $140,332.15 nat. median
$117,974
1.2× median
33270
CPT 		Insertion Or Replacement Of Permanent Subcutaneous Implantable Defibrillator Sys… 18 $31,132.44 $269,952.25 $122,126.74 nat. median
$32,114
outlier · 3.8×
33249
CPT 		Insertion Or Replacement Of Permanent Implantable Defibrillator System, With Tra… 18 $31,132.44 $172,429.80 $120,858.74 nat. median
$31,620
outlier · 3.8×
33225
CPT 		Insertion Of Pacing Electrode, Cardiac Venous System, For Left Ventricular Pacin… 7 $51,711.14 $170,789.07 $120,738.39 nat. median
$8,017
outlier · 15.1×
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 7 $48,325.65 $159,607.64 $112,833.74 nat. median
$23,896
outlier · 4.7×
33264
CPT 		Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 18 $31,132.44 $171,649.30 $110,926.94 nat. median
$31,574
outlier · 3.5×
33263
CPT 		Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 18 $21,795.70 $171,304.44 $110,908.98 nat. median
$23,376
outlier · 4.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $91,885.14 $165,240.71 $110,869.21 nat. median
$126,695
0.9× median
33262
CPT 		Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 18 $21,795.70 $171,392.72 $106,116.03 nat. median
$23,311
outlier · 4.6×
33289
CPT 		Transcatheter Implantation Of Wireless Pulmonary Artery Pressure Sensor For Long… 18 $27,604.48 $136,979.77 $89,902.11 nat. median
$27,731
outlier · 3.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $82,254.04 $117,769.35 $86,247.10 nat. median
$110,307
0.8× median
C1721
HCPCS 		Cardioverter-defibrillator, Dual Chamber (implantable) 7 $42,503.91 $140,379.88 $82,084.56 nat. median
$22,344
outlier · 3.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $77,558.17 $135,862.71 $81,332.55 nat. median
$104,013
0.8× median
C1722
HCPCS 		Cardioverter-defibrillator, Single Chamber (implantable) 7 $34,779.36 $114,867.61 $81,205.02 nat. median
$20,901
outlier · 3.9×
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 9 $74,425.54 $149,421.01 $79,316.98 nat. median
$97,323
0.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 10 $63,431.75 $273,655.62 $76,085.99 nat. median
$70,732
1.1× median
27132
CPT 		Conversion Of Previous Hip Surgery To Total Hip Arthroplasty, With Or Without Au… 9 $32,504.78 $107,355.24 $75,894.19 nat. median
$9,823
outlier · 7.7×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $70,568.09 $101,037.71 $74,016.92 nat. median
$95,038
0.8× median
60254
CPT 		Thyroidectomy, Total Or Subtotal For Malignancy; With Radical Neck Dissection 9 $73,367.15 $73,367.15 $73,367.15 nat. median
$4,039
outlier · 18.2×
215
MS_DRG 		Other Heart Assist System Implant 11 $68,148.64 $136,819.14 $72,658.85 nat. median
$93,901
0.8× median
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 7 $31,027.31 $102,475.51 $72,444.49 nat. median
$22,986
outlier · 3.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $65,518.00 $134,425.45 $71,386.59 nat. median
$90,551
0.8× median
33967
CPT 		Insertion Of Intra-aortic Balloon Assist Device, Percutaneous 9 $39,830.39 $131,549.92 $66,585.91 nat. median
$2,942
outlier · 22.6×
43644
CPT 		Laparoscopy, Surgical, Gastric Restrictive Procedure; With Gastric Bypass And Ro… 9 $27,001.42 $89,179.01 $62,638.61 nat. median
$6,470
outlier · 9.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $57,696.71 $115,835.26 $61,555.17 nat. median
$77,028
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $57,515.34 $115,471.12 $61,368.04 nat. median
$77,632
0.8× median
C1891
HCPCS 		Infusion Pump, Non-programmable, Permanent (implantable) 7 $25,874.55 $85,457.21 $60,413.50 nat. median
$9,883
outlier · 6.1×
27487
CPT 		Revision Of Total Knee Arthroplasty, With Or Without Allograft; Femoral And Enti… 9 $25,013.03 $82,611.86 $58,401.99 nat. median
$11,926
outlier · 4.9×
93656
CPT 		Comprehensive Electrophysiologic Evaluation Including Transseptal Catheterizatio… 18 $23,821.35 $83,644.33 $58,379.75 nat. median
$27,236
outlier · 2.1×
93653
CPT 		Comprehensive Electrophysiologic Evaluation With Insertion And Repositioning Of… 18 $23,821.35 $83,644.33 $58,379.75 nat. median
$26,652
outlier · 2.2×
93654
CPT 		Comprehensive Electrophysiologic Evaluation With Insertion And Repositioning Of… 18 $23,821.35 $83,644.33 $58,379.75 nat. median
$27,016
outlier · 2.2×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 11 $41,146.43 $176,973.88 $57,489.99 nat. median
$52,712
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $53,856.38 $108,125.18 $57,483.93 nat. median
$74,370
0.8× median
63272
CPT 		Laminectomy For Excision Of Intraspinal Lesion Other Than Neoplasm, Intradural;… 9 $24,273.11 $80,168.08 $56,674.38 nat. median
$5,838
outlier · 9.7×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $47,134.00 $105,507.52 $56,093.37 nat. median
$72,398
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $47,038.00 $105,052.69 $55,852.83 nat. median
$71,748
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $52,152.84 $104,705.05 $55,675.56 nat. median
$67,976
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 $48,802.55 $97,978.83 $55,450.30 nat. median
$66,649
0.8× median
49594
CPT 		Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral, Umb… 18 $5,665.28 $93,304.01 $54,668.20 nat. median
$5,994
outlier · 9.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 22 $47,306.39 $94,975.04 $54,583.27 nat. median
$62,655
0.9× median
61618
CPT 		Secondary Repair Of Dura For Cerebrospinal Fluid Leak, Anterior, Middle Or Poste… 9 $22,828.03 $75,395.32 $53,300.31 nat. median
$2,910
outlier · 18.3×
0795T
CPT 		Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker, Including… 18 $18,518.48 $79,247.51 $53,285.64 nat. median
$21,629
outlier · 2.5×
33274
CPT 		Transcatheter Insertion Or Replacement Of Permanent Leadless Pacemaker, Right Ve… 18 $18,518.48 $83,737.85 $53,262.92 nat. median
$19,643
outlier · 2.7×
60210
CPT 		Partial Thyroid Lobectomy, Unilateral; With Or Without Isthmusectomy 18 $5,665.28 $90,513.20 $53,117.75 nat. median
$5,903
outlier · 9.0×
33207
CPT 		Insertion Of New Or Replacement Of Permanent Pacemaker With Transvenous Electrod… 18 $10,162.04 $86,280.29 $53,014.51 nat. median
$11,511
outlier · 4.6×

Other procedures at this hospital

Browse this hospital's 3,907 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 9 — — $295,555.78 $593,374.86 $314,011.41 2026-10-05
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 7 — — $191,803.81 $274,620.10 $200,898.88 2026-10-05
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 37 20 $806,808.21 $322,723.28 60% off $145,271.51 $257,528.96 $168,160.26 2026-10-05
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 8 — — $121,518.61 $209,224.17 $152,373.87 2026-10-05
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 16 7 $247,271.99 $98,908.80 60% off $64,480.02 $212,961.53 $150,551.97 2026-07-15
7 MS_DRG Lung Transplant 10 7 — — $81,520.66 $158,371.61 $140,332.15 2026-10-05
33270 CPT Insertion Or Replacement Of Permanent Subcutaneous Implantable Defibrillator Sys… 42 18 $256,533.99 $102,613.60 60% off $31,132.44 $269,952.25 $122,126.74 2026-07-15
33249 CPT Insertion Or Replacement Of Permanent Implantable Defibrillator System, With Tra… 42 18 $201,086.86 $80,434.74 60% off $31,132.44 $172,429.80 $120,858.74 2026-07-15
33225 CPT Insertion Of Pacing Electrode, Cardiac Venous System, For Left Ventricular Pacin… 16 7 $189,765.64 $75,906.25 60% off $51,711.14 $170,789.07 $120,738.39 2026-07-15
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 16 7 $185,322.20 $74,128.88 60% off $48,325.65 $159,607.64 $112,833.74 2026-07-15
33264 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 42 18 $190,721.44 $76,288.58 60% off $31,132.44 $171,649.30 $110,926.94 2026-07-15
33263 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 42 18 $195,180.26 $78,072.10 60% off $21,795.70 $171,304.44 $110,908.98 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 37 20 $625,213.95 $250,085.58 60% off $91,885.14 $165,240.71 $110,869.21 2026-10-05
33262 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 42 18 $190,436.36 $76,174.54 60% off $21,795.70 $171,392.72 $106,116.03 2026-07-15
33289 CPT Transcatheter Implantation Of Wireless Pulmonary Artery Pressure Sensor For Long… 42 18 $152,199.74 $60,879.90 60% off $27,604.48 $136,979.77 $89,902.11 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 10 7 — — $82,254.04 $117,769.35 $86,247.10 2026-10-05
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 16 7 $142,495.35 $56,998.14 60% off $42,503.91 $140,379.88 $82,084.56 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 7 — — $77,558.17 $135,862.71 $81,332.55 2026-10-05
C1722 HCPCS Cardioverter-defibrillator, Single Chamber (implantable) 16 7 $133,374.06 $53,349.62 60% off $34,779.36 $114,867.61 $81,205.02 2026-07-15
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 13 9 — — $74,425.54 $149,421.01 $79,316.98 2026-10-05
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 14 10 — — $63,431.75 $273,655.62 $76,085.99 2026-10-05
27132 CPT Conversion Of Previous Hip Surgery To Total Hip Arthroplasty, With Or Without Au… 20 9 $119,283.60 $47,713.44 60% off $32,504.78 $107,355.24 $75,894.19 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 7 — — $70,568.09 $101,037.71 $74,016.92 2026-10-05
60254 CPT Thyroidectomy, Total Or Subtotal For Malignancy; With Radical Neck Dissection 10 9 $115,311.82 $46,124.73 60% off $73,367.15 $73,367.15 $73,367.15 2026-07-15
215 MS_DRG Other Heart Assist System Implant 15 11 — — $68,148.64 $136,819.14 $72,658.85 2026-10-05
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 16 7 $118,985.45 $47,594.18 60% off $31,027.31 $102,475.51 $72,444.49 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 11 — — $65,518.00 $134,425.45 $71,386.59 2026-10-05
33967 CPT Insertion Of Intra-aortic Balloon Assist Device, Percutaneous 20 9 $125,410.13 $50,164.06 60% off $39,830.39 $131,549.92 $66,585.91 2026-07-15
43644 CPT Laparoscopy, Surgical, Gastric Restrictive Procedure; With Gastric Bypass And Ro… 20 9 $98,768.73 $39,507.50 60% off $27,001.42 $89,179.01 $62,638.61 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 11 — — $57,696.71 $115,835.26 $61,555.17 2026-10-05
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 10 — — $57,515.34 $115,471.12 $61,368.04 2026-10-05
C1891 HCPCS Infusion Pump, Non-programmable, Permanent (implantable) 16 7 $99,225.32 $39,690.12 60% off $25,874.55 $85,457.21 $60,413.50 2026-07-15
27487 CPT Revision Of Total Knee Arthroplasty, With Or Without Allograft; Femoral And Enti… 20 9 $91,790.95 $36,716.38 60% off $25,013.03 $82,611.86 $58,401.99 2026-07-15
93653 CPT Comprehensive Electrophysiologic Evaluation With Insertion And Repositioning Of … 42 18 $97,120.36 $38,848.15 60% off $23,821.35 $83,644.33 $58,379.75 2026-07-15
93654 CPT Comprehensive Electrophysiologic Evaluation With Insertion And Repositioning Of … 42 18 $97,120.36 $38,848.15 60% off $23,821.35 $83,644.33 $58,379.75 2026-07-15
93656 CPT Comprehensive Electrophysiologic Evaluation Including Transseptal Catheterizatio… 42 18 $97,120.36 $38,848.15 60% off $23,821.35 $83,644.33 $58,379.75 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 16 11 $265,735.40 $106,294.15 60% off $41,146.43 $176,973.88 $57,489.99 2026-10-05
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 10 — — $53,856.38 $108,125.18 $57,483.93 2026-10-05
63272 CPT Laminectomy For Excision Of Intraspinal Lesion Other Than Neoplasm, Intradural; … 20 9 $89,075.65 $35,630.26 60% off $24,273.11 $80,168.08 $56,674.38 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 11 — — $47,134.00 $105,507.52 $56,093.37 2026-10-05
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 11 — — $47,038.00 $105,052.69 $55,852.83 2026-10-05
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 10 — — $52,152.84 $104,705.05 $55,675.56 2026-10-05
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 45 22 $284,882.88 $113,953.15 60% off $48,802.55 $97,978.83 $55,450.30 2026-10-05
49594 CPT Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral, Umb… 42 18 $103,671.12 $41,468.45 60% off $5,665.28 $93,304.01 $54,668.20 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 44 22 $501,401.39 $200,560.55 60% off $47,306.39 $94,975.04 $54,583.27 2026-10-05
61618 CPT Secondary Repair Of Dura For Cerebrospinal Fluid Leak, Anterior, Middle Or Poste… 20 9 $83,772.58 $33,509.03 60% off $22,828.03 $75,395.32 $53,300.31 2026-07-15
0795T CPT Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker, Including … 42 18 $88,052.79 $35,221.12 60% off $18,518.48 $79,247.51 $53,285.64 2026-07-15
33274 CPT Transcatheter Insertion Or Replacement Of Permanent Leadless Pacemaker, Right Ve… 42 18 $90,524.71 $36,209.88 60% off $18,518.48 $83,737.85 $53,262.92 2026-07-15
60210 CPT Partial Thyroid Lobectomy, Unilateral; With Or Without Isthmusectomy 42 18 $100,570.22 $40,228.09 60% off $5,665.28 $90,513.20 $53,117.75 2026-07-15
33207 CPT Insertion Of New Or Replacement Of Permanent Pacemaker With Transvenous Electrod… 42 18 $95,866.99 $38,346.80 60% off $10,162.04 $86,280.29 $53,014.51 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 9 — — $48,831.30 $98,036.54 $52,142.34 2026-10-05
10 MS_DRG Pancreas Transplant 10 7 — — $32,296.92 $70,318.25 $51,426.91 2026-10-05
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 8 — — $43,687.43 $70,288.85 $51,405.54 2026-10-05
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 44 22 $297,655.11 $119,062.04 60% off $44,040.98 $88,419.21 $50,744.04 2026-10-05
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 11 — — $46,847.00 $94,509.22 $50,276.91 2026-10-05
44205 CPT Laparoscopy, Surgical; Colectomy, Partial, With Removal Of Terminal Ileum With I… 20 9 $78,883.25 $31,553.30 60% off $21,495.69 $70,994.92 $50,189.47 2026-07-15
27447 CPT Arthroplasty, Knee, Condyle And Plateau; Medial And Lateral Compartments With Or… 42 18 $84,353.02 $33,741.21 60% off $12,493.94 $73,610.85 $49,705.07 2026-07-15
C1821 HCPCS Interspinous Process Distraction Device (implantable) 16 7 $81,576.58 $32,630.64 60% off $21,272.36 $70,257.35 $49,668.04 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 10 — — $46,069.63 $92,492.05 $48,852.24 2026-10-05
276 MS_DRG Non-maligant Breast Disorders 29 22 $455,449.69 $182,179.88 60% off $37,527.09 $82,536.69 $48,603.55 2026-10-05
C1817 HCPCS Septal Defect Implant System, Intracardiac 16 7 $79,585.67 $31,834.27 60% off $20,753.20 $68,542.69 $48,455.87 2026-07-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 16 11 $184,519.08 $73,807.63 60% off $33,123.74 $146,158.35 $48,312.07 2026-10-05
33208 CPT Insertion Of New Or Replacement Of Permanent Pacemaker With Transvenous Electrod… 42 18 $86,185.66 $34,474.26 60% off $10,162.04 $77,567.09 $48,173.85 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 11 — — $45,003.29 $90,351.20 $48,094.13 2026-10-05
63040 CPT Laminotomy (hemilaminectomy), With Decompression Of Nerve Root(s), Including Par… 42 18 $89,170.69 $35,668.28 60% off $6,936.70 $80,253.62 $48,053.69 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 10 — — $45,003.29 $90,351.20 $47,872.49 2026-10-05
28 MS_DRG Spinal Procedures With Mcc 44 22 $190,619.84 $76,247.94 60% off $41,122.57 $82,560.05 $47,702.01 2026-10-05
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 10 — — $31,009.35 $90,022.79 $47,551.98 2026-10-05
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 44 22 $935,001.45 $374,000.58 60% off $37,801.04 $79,725.57 $47,006.03 2026-10-05
C2624 HCPCS Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 16 7 $75,699.02 $30,279.61 60% off $19,739.70 $65,195.33 $46,089.48 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 44 22 $134,705.99 $53,882.40 60% off $40,140.42 $80,588.22 $45,683.92 2026-10-05
24516 CPT Treatment Of Humeral Shaft Fracture, With Insertion Of Intramedullary Implant, W… 42 18 $77,335.13 $30,934.05 60% off $12,493.94 $69,601.62 $44,914.54 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 11 — — $41,944.57 $84,210.34 $44,847.85 2026-10-05
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 10 — — $41,895.97 $84,112.78 $44,787.51 2026-10-05
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 22 $547,163.98 $218,865.59 60% off $39,219.86 $78,740.05 $44,764.33 2026-10-05
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 14 10 — — $20,831.21 $89,596.60 $44,751.20 2026-10-05
44238 CPT Unlisted Laparoscopy Procedure, Intestine (except Rectum) 42 18 $83,310.40 $33,324.16 60% off $5,665.28 $74,979.36 $44,487.84 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 11 — — $41,494.22 $83,306.19 $44,369.87 2026-10-05
27535 CPT Open Treatment Of Tibial Fracture, Proximal (plateau); Unicondylar, Includes Int… 20 9 $69,403.86 $27,761.54 60% off $18,912.55 $62,463.47 $44,158.21 2026-07-15
44204 CPT Laparoscopy, Surgical; Colectomy, Partial, With Anastomosis 20 9 $68,769.87 $27,507.95 60% off $18,739.79 $61,892.88 $43,754.83 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 10 — — $40,813.21 $81,938.96 $43,638.12 2026-10-05
92928 CPT Percutaneous Transcatheter Placement Of Intracoronary Stent(s), With Coronary An… 42 18 $75,744.30 $30,297.72 60% off $11,011.92 $68,169.87 $43,378.11 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 44 22 $94,372.13 $37,748.85 60% off $37,574.49 $90,708.47 $43,369.24 2026-10-05
19307 CPT Mastectomy, Modified Radical, Including Axillary Lymph Nodes, With Or Without Pe… 42 18 $80,132.44 $32,052.98 60% off $6,332.47 $72,119.20 $43,232.46 2026-07-15
428 MS_DRG Multiple Level Combined Anteri 30 13 $124,726.93 $49,890.77 60% off $11,521.59 $73,248.56 $43,187.21 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 11 — — $34,484.00 $80,640.43 $42,942.41 2026-10-05
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 13 $187,097.59 $74,839.04 60% off $40,769.61 $72,801.41 $42,923.57 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 8 — — $40,679.06 $58,243.31 $42,820.06 2026-10-05
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 10 7 — — $40,584.61 $58,108.08 $42,637.03 2026-10-05
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 44 22 $197,288.11 $78,915.24 60% off $39,009.05 $78,316.83 $42,378.24 2026-10-05
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 44 22 $111,815.37 $44,726.15 60% off $37,329.46 $74,944.79 $42,338.23 2026-10-05
24515 CPT Open Treatment Of Humeral Shaft Fracture With Plate/screws, With Or Without Cerc… 42 18 $71,031.92 $28,412.77 60% off $12,493.94 $63,928.72 $41,762.93 2026-07-15
27441 CPT Arthroplasty, Knee, Tibial Plateau; With Debridement And Partial Synovectomy 42 18 $70,529.99 $28,212.00 60% off $12,493.94 $63,476.99 $41,511.96 2026-07-15
42420 CPT Excision Of Parotid Tumor Or Parotid Gland; Total, With Dissection And Preservat… 42 18 $76,598.34 $30,639.34 60% off $5,744.22 $68,938.51 $41,171.28 2026-07-15
33229 CPT Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pul… 42 18 $64,440.11 $25,776.04 60% off $17,559.93 $57,996.10 $41,000.02 2026-07-15
43282 CPT Laparoscopy, Surgical, Repair Of Paraesophageal Hernia, Includes Fundoplasty, Wh… 42 18 $70,914.62 $28,365.85 60% off $10,109.50 $63,823.16 $40,512.06 2026-07-15
278 MS_DRG Cellulitis Age >17 Without Cc 14 10 — — $19,391.00 $76,485.15 $40,423.36 2026-10-05
450 MS_DRG Single Level Spinal Fusion Exc 30 13 $351,736.08 $140,694.43 60% off $38,381.79 $68,537.53 $40,409.59 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 10 7 — — $38,359.53 $54,922.25 $40,308.32 2026-10-05
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 45 22 $223,623.91 $89,449.57 60% off $34,180.00 $72,501.64 $40,275.42 2026-10-05
25575 CPT Open Treatment Of Radial And Ulnar Shaft Fractures, With Internal Fixation, When… 42 18 $73,505.47 $29,402.19 60% off $6,936.70 $66,154.92 $40,221.08 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 10 — — $37,441.71 $75,170.14 $40,059.15 2026-10-05
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 11 — — $37,388.32 $75,062.96 $40,012.20 2026-10-05
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 44 22 $281,856.78 $112,742.71 60% off $35,627.29 $71,527.40 $39,974.12 2026-10-05
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 44 22 $229,113.24 $91,645.30 60% off $34,135.23 $68,531.87 $39,851.71 2026-10-05
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 44 22 $190,684.23 $76,273.69 60% off $33,685.56 $67,629.08 $39,521.38 2026-10-05
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 44 22 $171,843.36 $68,737.35 60% off $33,801.23 $67,861.30 $39,242.05 2026-10-05
228 MS_DRG Other Cardiothoracic Procedures With Mcc 47 23 $138,571.96 $55,428.78 60% off $33,861.46 $67,982.22 $39,100.82 2026-10-05
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 11 — — $36,499.25 $73,278.00 $39,068.61 2026-10-05
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 10 7 — — $34,229.54 $53,233.81 $39,011.15 2026-10-05
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 10 — — $36,232.32 $72,742.10 $38,775.35 2026-10-05
43848 CPT Revision, Open, Of Gastric Restrictive Procedure For Morbid Obesity, Other Than … 10 9 $60,470.46 $24,188.18 60% off $38,474.33 $38,474.33 $38,474.33 2026-07-15
245 MS_DRG Aicd Generator Procedures 29 22 $440,790.72 $176,316.29 60% off $31,226.41 $65,033.53 $38,343.64 2026-10-05
471 MS_DRG Cervical Spinal Fusion With Mcc 44 22 $215,715.12 $86,286.05 60% off $33,049.04 $66,351.16 $38,112.17 2026-10-05
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 42 18 $65,168.51 $26,067.40 60% off $11,011.92 $58,651.66 $38,090.21 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 14 10 — — $35,565.69 $71,403.74 $38,067.69 2026-10-05
27422 CPT Reconstruction Of Dislocating Patella; With Extensor Realignment And/or Muscle A… 42 18 $69,068.70 $27,627.48 60% off $6,936.70 $62,161.83 $38,002.70 2026-07-15
24635 CPT Open Treatment Of Monteggia Type Of Fracture Dislocation At Elbow (fracture Prox… 42 18 $68,615.82 $27,446.33 60% off $6,936.70 $61,754.24 $37,776.26 2026-07-15
27130 CPT Arthroplasty, Acetabular And Proximal Femoral Prosthetic Replacement (total Hip … 42 18 $55,519.15 $22,207.67 60% off $9,373.25 $44,567.50 $37,762.51 2026-07-15
27524 CPT Open Treatment Of Patellar Fracture, With Internal Fixation And/or Partial Or Co… 42 18 $68,212.09 $27,284.83 60% off $6,936.70 $61,390.88 $37,574.39 2026-07-15
33228 CPT Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pul… 42 18 $64,588.47 $25,835.39 60% off $10,162.04 $58,041.02 $37,424.49 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 44 22 $178,425.03 $71,370.01 60% off $32,112.06 $64,470.02 $37,300.86 2026-10-05
63046 CPT Laminectomy, Facetectomy And Foraminotomy (unilateral Or Bilateral With Decompre… 42 18 $67,599.32 $27,039.73 60% off $6,936.70 $60,839.39 $37,268.01 2026-07-15
33221 CPT Insertion Of Pacemaker Pulse Generator Only; With Existing Multiple Leads 42 18 $58,492.94 $23,397.18 60% off $15,939.33 $52,643.65 $37,216.14 2026-07-15
43775 CPT Laparoscopy, Surgical, Gastric Restrictive Procedure; Longitudinal Gastrectomy (… 20 9 $57,897.18 $23,158.88 60% off $15,636.77 $51,644.38 $37,164.46 2026-07-15
58570 CPT Laparoscopy, Surgical, With Total Hysterectomy, For Uterus 250 G Or Less 42 18 $64,196.27 $25,678.51 60% off $10,109.50 $57,776.64 $37,152.89 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 10 — — $34,496.61 $69,257.39 $36,932.84 2026-10-05
23615 CPT Open Treatment Of Proximal Humeral (surgical Or Anatomical Neck) Fracture, Inclu… 42 18 $61,359.76 $24,543.90 60% off $12,493.94 $55,223.78 $36,926.85 2026-07-15
277 MS_DRG Cellulitis Age >17 W Cc 45 22 $249,502.31 $99,800.92 60% off $31,610.37 $63,462.81 $36,500.53 2026-10-05
63077 CPT Discectomy, Anterior, With Decompression Of Spinal Cord And/or Nerve Root(s), In… 20 9 $56,905.72 $22,762.29 60% off $15,506.81 $51,215.15 $36,206.26 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 44 22 $83,424.24 $33,369.69 60% off $30,674.76 $61,584.41 $36,165.49 2026-10-05
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 44 22 $207,036.89 $82,814.76 60% off $31,459.80 $63,160.51 $36,029.75 2026-10-05
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 10 — — $33,545.25 $67,347.39 $35,922.93 2026-10-05
29888 CPT Arthroscopically Aided Anterior Cruciate Ligament Repair/augmentation Or Reconst… 42 18 $63,440.84 $25,376.34 60% off $6,936.70 $56,102.80 $35,740.97 2026-07-15
57425 CPT Laparoscopy, Surgical, Colpopexy (suspension Of Vaginal Apex) 42 18 $61,029.57 $24,411.83 60% off $10,109.50 $54,926.61 $35,569.54 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 44 22 $278,904.76 $111,561.90 60% off $31,132.64 $62,503.69 $35,399.68 2026-10-05
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 10 — — $32,882.04 $66,015.88 $35,218.92 2026-10-05
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 44 22 $262,280.07 $104,912.03 60% off $29,381.87 $59,682.39 $35,188.62 2026-10-05
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 44 22 $292,121.43 $116,848.57 60% off $31,118.95 $62,476.20 $35,091.32 2026-10-05
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 11 — — $32,584.31 $65,418.15 $34,913.58 2026-10-05
27814 CPT Open Treatment Of Bimalleolar Ankle Fracture (eg, Lateral And Medial Malleoli, O… 42 18 $62,608.05 $25,043.22 60% off $6,936.70 $56,347.24 $34,772.38 2026-07-15
63005 CPT Laminectomy With Exploration And/or Decompression Of Spinal Cord And/or Cauda Eq… 42 18 $62,335.56 $24,934.22 60% off $6,936.70 $56,102.00 $34,636.13 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 13 9 — — $32,177.76 $64,601.94 $34,460.48 2026-10-05
63020 CPT Laminotomy (hemilaminectomy), With Decompression Of Nerve Root(s), Including Par… 42 18 $61,802.11 $24,720.84 60% off $6,936.70 $55,621.90 $34,369.40 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 10 — — $32,016.24 $64,277.65 $34,299.83 2026-10-05
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 44 22 $205,287.45 $82,114.98 60% off $28,558.50 $57,463.94 $33,880.63 2026-10-05
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 14 10 — — $31,379.72 $62,999.74 $33,624.14 2026-10-05
63075 CPT Discectomy, Anterior, With Decompression Of Spinal Cord And/or Nerve Root(s), In… 42 18 $70,107.35 $28,042.94 60% off $6,936.70 $72,037.02 $33,555.14 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 44 22 $125,806.72 $50,322.69 60% off $30,065.61 $60,361.46 $33,470.26 2026-10-05
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 43 21 $218,335.02 $87,334.01 60% off $29,618.00 $59,462.80 $33,420.83 2026-10-05
6 MS_DRG Liver Transplant Without Mcc 10 7 — — $31,736.99 $45,440.25 $33,377.36 2026-10-05
58571 CPT Laparoscopy, Surgical, With Total Hysterectomy, For Uterus 250 G Or Less; With R… 42 18 $57,052.01 $22,820.80 60% off $10,109.50 $51,813.57 $33,321.44 2026-07-15
58661 CPT Laparoscopy, Surgical; With Removal Of Adnexal Structures (partial Or Total Ooph… 42 18 $57,657.94 $23,063.18 60% off $5,665.28 $49,024.67 $33,254.65 2026-07-15
799 MS_DRG Splenectomy With Mcc 14 10 — — $30,997.12 $62,231.61 $33,217.99 2026-10-05
140 MS_DRG Major Head And Neck Procedures With Mcc 43 21 $25,255.34 $10,102.14 60% off $5,192.53 $58,609.49 $33,183.87 2026-10-05
C1815 HCPCS Prosthesis, Urinary Sphincter (implantable) 16 7 $51,925.37 $20,770.15 60% off $14,149.66 $46,732.83 $33,037.51 2026-07-15
61700 CPT Surgery Of Simple Intracranial Aneurysm, Intracranial Approach; Carotid Circulat… 20 9 $51,799.06 $20,719.62 60% off $14,115.24 $46,619.15 $32,957.15 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 44 22 $298,196.93 $119,278.77 60% off $24,634.90 $61,566.55 $32,881.00 2026-10-05
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 44 22 $155,521.08 $62,208.43 60% off $27,359.04 $57,734.19 $32,873.15 2026-10-05
24575 CPT Open Treatment Of Humeral Epicondylar Fracture, Medial Or Lateral, Includes Inte… 42 18 $53,182.43 $21,272.97 60% off $12,493.94 $47,864.19 $32,838.18 2026-07-15
29825 CPT Arthroscopy, Shoulder, Surgical; With Lysis And Resection Of Adhesions, With Or … 42 18 $62,425.38 $24,970.15 60% off $3,150.58 $56,182.84 $32,787.98 2026-07-15
27822 CPT Open Treatment Of Trimalleolar Ankle Fracture, Includes Internal Fixation, When … 42 18 $59,168.23 $23,667.29 60% off $6,936.70 $53,800.34 $32,747.49 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 14 10 — — $30,545.40 $61,324.71 $32,731.65 2026-10-05
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 45 22 $185,189.02 $74,075.61 60% off $28,182.00 $58,030.99 $32,646.39 2026-10-05
57260 CPT Combined Anteroposterior Colporrhaphy, Including Cystourethroscopy, When Perform… 42 18 $59,820.39 $23,928.16 60% off $4,793.39 $53,838.35 $32,306.89 2026-07-15
27596 CPT Amputation, Thigh, Through Femur, Any Level; Re-amputation 20 9 $50,590.59 $20,236.24 60% off $13,785.94 $45,531.53 $32,188.26 2026-07-15
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 42 18 $53,107.58 $21,243.03 60% off $11,011.92 $47,796.82 $32,059.75 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion E 30 13 $235,899.23 $94,359.69 60% off $30,432.81 $54,343.22 $32,040.65 2026-07-15
43847 CPT Gastric Restrictive Procedure, With Gastric Bypass For Morbid Obesity; With Smal… 20 9 $50,332.58 $20,133.03 60% off $13,715.63 $45,299.32 $32,024.10 2026-07-15
27062 CPT Excision; Trochanteric Bursa Or Calcification 42 18 $60,776.50 $24,310.60 60% off $3,150.58 $54,698.85 $31,963.54 2026-07-15
60500 CPT Parathyroidectomy Or Exploration Of Parathyroid(s) 42 18 $57,953.15 $23,181.26 60% off $5,744.22 $52,157.84 $31,848.69 2026-07-15
C9601 HCPCS Percutaneous Transcatheter Placement Of Drug-eluting Intracoronary Stent(s), Wit… 16 7 $43,879.97 $17,551.99 60% off $10,335.03 $34,134.05 $31,706.38 2026-07-15
33227 CPT Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pul… 42 18 $55,194.78 $22,077.91 60% off $8,036.14 $49,675.30 $31,615.46 2026-07-15
60240 CPT Thyroidectomy, Total Or Complete 42 18 $56,852.48 $22,740.99 60% off $5,665.28 $50,963.48 $31,372.08 2026-07-15
27278 CPT Arthrodesis, Sacroiliac Joint, Percutaneous Or Minimally Invasive, With Image Gu… 42 18 $49,142.11 $19,656.84 60% off $13,391.22 $44,227.90 $31,266.67 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 44 22 $56,407.79 $22,563.12 60% off $26,277.30 $53,015.08 $31,257.58 2026-10-05
63056 CPT Transpedicular Approach With Decompression Of Spinal Cord, Equina And/or Nerve R… 42 18 $52,483.38 $20,993.35 60% off $6,936.70 $44,727.08 $31,103.35 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 44 22 $76,944.65 $30,777.86 60% off $25,507.31 $52,509.38 $30,959.42 2026-10-05
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 14 10 — — $28,841.17 $57,903.20 $30,929.39 2026-10-05
C9603 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug-eluting Intracoronary … 16 7 $48,580.05 $19,432.02 60% off $13,238.06 $43,722.05 $30,909.06 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 37 22 $26,328.50 $10,531.40 60% off $1,823.64 $37,874.08 $30,833.10 2026-10-05
0790 RC — 30 9 $49,320.49 $19,728.20 60% off $11,546.25 $66,586.58 $30,811.09 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 14 10 — — $28,722.76 $57,665.48 $30,803.70 2026-10-05
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 11 — — $28,669.38 $57,558.30 $30,758.58 2026-10-05
402 MS_DRG Single Level Combined Anterior 15 13 $102,339.02 $40,935.61 60% off $12,286.57 $52,063.56 $30,696.57 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 10 — — $28,855.54 $57,932.06 $30,653.68 2026-10-05
27652 CPT Repair, Primary, Open Or Percutaneous, Ruptured Achilles Tendon; With Graft (inc… 42 18 $54,148.35 $21,659.34 60% off $6,936.70 $48,733.52 $30,542.53 2026-07-15
27280 CPT Arthrodesis, Sacroiliac Joint, Open, Includes Obtaining Bone Graft, Including In… 20 9 $47,961.17 $19,184.47 60% off $13,069.42 $43,165.05 $30,515.29 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 14 10 — — $28,424.35 $57,066.37 $30,486.90 2026-10-05
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 44 22 $162,631.42 $65,052.57 60% off $23,868.79 $51,435.42 $30,326.22 2026-10-05
C2622 HCPCS Prosthesis, Penile, Non-inflatable 16 7 $49,792.86 $19,917.15 60% off $12,984.26 $42,883.80 $30,316.47 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 11 — — $28,236.13 $56,688.50 $30,298.77 2026-10-05
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 44 22 $180,220.53 $72,088.21 60% off $25,581.92 $51,359.74 $30,210.88 2026-10-05
793 MS_DRG Full Term Neonate With Major Problems 11 8 — — $28,537.97 $40,860.00 $30,039.97 2026-10-05
C1772 HCPCS Infusion Pump, Programmable (implantable) 16 7 $49,308.64 $19,723.46 60% off $12,857.99 $42,466.77 $30,021.65 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 44 22 $195,236.66 $78,094.66 60% off $25,755.08 $70,780.02 $29,991.96 2026-10-05
58262 CPT Vaginal Hysterectomy, For Uterus 250 G Or Less; With Removal Of Tube(s), And/or … 21 18 $54,477.36 $21,790.94 60% off $29,635.38 $29,635.38 $29,635.38 2026-07-15
49650 CPT Laparoscopy, Surgical; Repair Initial Inguinal Hernia 42 18 $49,948.59 $19,979.43 60% off $5,665.28 $36,331.57 $29,609.39 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 44 22 $202,694.11 $81,077.64 60% off $26,427.19 $53,056.75 $29,597.29 2026-10-05
791 MS_DRG Prematurity With Major Problems 11 8 — — $27,780.99 $39,776.15 $29,243.15 2026-10-05
37216 CPT Transcatheter Placement Of Intravascular Stent(s), Cervical Carotid Artery, Open… 10 9 $45,932.79 $18,373.12 60% off $29,224.74 $29,224.74 $29,224.74 2026-07-15
33206 CPT Insertion Of New Or Replacement Of Permanent Pacemaker With Transvenous Electrod… 42 18 $45,633.65 $18,253.46 60% off $10,162.04 $38,789.26 $29,165.08 2026-07-15
26546 CPT Repair Non-union, Metacarpal Or Phalanx (includes Obtaining Bone Graft With Or W… 42 18 $51,153.09 $20,461.24 60% off $6,936.70 $46,037.78 $29,044.90 2026-07-15
63042 CPT Laminotomy (hemilaminectomy), With Decompression Of Nerve Root(s), Including Par… 42 18 $51,044.99 $20,418.00 60% off $6,936.70 $45,863.80 $29,033.46 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 14 10 — — $26,599.99 $54,745.52 $28,975.72 2026-10-05
63047 CPT Laminectomy, Facetectomy And Foraminotomy (unilateral Or Bilateral With Decompre… 42 18 $50,212.56 $20,085.02 60% off $6,936.70 $44,554.24 $28,928.56 2026-07-15
23412 CPT Repair Of Ruptured Musculotendinous Cuff (eg, Rotator Cuff) Open; Chronic 42 18 $50,915.98 $20,366.39 60% off $6,936.70 $45,824.38 $28,926.34 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 10 — — $26,774.19 $53,753.42 $28,735.21 2026-10-05
50590 CPT Lithotripsy, Extracorporeal Shock Wave 42 18 $52,913.10 $21,165.25 60% off $3,349.02 $46,640.33 $28,676.32 2026-07-15
92941 CPT Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 20 9 $44,211.15 $17,684.46 60% off $11,831.68 $39,077.12 $28,633.33 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 44 22 $127,665.93 $51,066.37 60% off $24,087.81 $48,556.90 $28,629.05 2026-10-05
C9608 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 16 7 $44,729.12 $17,891.65 60% off $12,188.68 $40,256.20 $28,458.90 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 14 10 — — $26,492.21 $53,187.29 $28,435.86 2026-10-05
335 MS_DRG Peritoneal Adhesiolysis With Mcc 44 22 $102,343.12 $40,937.25 60% off $24,440.29 $49,067.74 $28,430.54 2026-10-05
92937 CPT Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 42 18 $45,824.86 $18,329.94 60% off $11,011.92 $41,242.37 $28,418.39 2026-07-15
63055 CPT Transpedicular Approach With Decompression Of Spinal Cord, Equina And/or Nerve R… 42 18 $49,898.87 $19,959.55 60% off $6,936.70 $44,908.98 $28,417.78 2026-07-15
60271 CPT Thyroidectomy, Including Substernal Thyroid; Cervical Approach 42 18 $51,090.35 $20,436.14 60% off $5,744.22 $45,981.32 $28,417.28 2026-07-15
25609 CPT Open Treatment Of Distal Radial Intra-articular Fracture Or Epiphyseal Separatio… 42 18 $49,889.60 $19,955.84 60% off $6,936.70 $44,900.64 $28,413.15 2026-07-15
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 20 9 $43,463.21 $17,385.28 60% off $11,630.08 $38,411.28 $28,152.28 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 29 22 $176,400.20 $70,560.08 60% off $24,720.22 $49,629.74 $28,126.10 2026-10-05
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 44 22 $211,645.66 $84,658.26 60% off $24,331.81 $51,354.24 $28,121.39 2026-10-05
33233 CPT Removal Of Permanent Pacemaker Pulse Generator Only 42 18 $78,404.04 $31,361.62 60% off $8,036.14 $97,775.97 $28,102.13 2026-07-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 16 11 $137,575.18 $55,030.07 60% off $18,536.97 $79,728.89 $28,088.49 2026-10-05
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 11 8 — — $26,282.94 $38,161.20 $28,057.44 2026-10-05
27486 CPT Revision Of Total Knee Arthroplasty, With Or Without Allograft; 1 Component 20 9 $43,897.74 $17,559.10 60% off $11,962.13 $39,507.97 $27,929.94 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 44 22 $228,891.07 $91,556.43 60% off $25,129.51 $50,451.46 $27,864.03 2026-10-05
63076 CPT Discectomy, Anterior, With Decompression Of Spinal Cord And/or Nerve Root(s), In… 8 7 $40,994.08 $16,397.63 60% off $11,170.89 $36,894.67 $27,671.01 2026-07-15
25607 CPT Open Treatment Of Distal Radial Extra-articular Fracture Or Epiphyseal Separatio… 42 18 $46,754.26 $18,701.70 60% off $6,936.70 $40,642.11 $27,643.65 2026-07-15
28485 CPT Open Treatment Of Metatarsal Fracture, Includes Internal Fixation, When Performe… 42 18 $45,905.74 $18,362.29 60% off $6,936.70 $39,122.22 $27,639.52 2026-07-15
33285 CPT Insertion, Subcutaneous Cardiac Rhythm Monitor, Including Programming 42 18 $44,992.38 $17,996.95 60% off $8,036.14 $38,747.38 $27,484.12 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 44 22 $164,517.91 $65,807.16 60% off $23,464.98 $47,109.64 $27,483.48 2026-10-05
92943 CPT Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 42 18 $41,358.85 $16,543.54 60% off $10,566.22 $34,897.60 $27,477.26 2026-07-15
42415 CPT Excision Of Parotid Tumor Or Parotid Gland; Lateral Lobe, With Dissection And Pr… 42 18 $49,203.24 $19,681.30 60% off $5,744.22 $44,282.92 $27,473.73 2026-07-15
60220 CPT Total Thyroid Lobectomy, Unilateral; With Or Without Isthmusectomy 42 18 $50,075.47 $20,030.18 60% off $5,665.28 $45,858.90 $27,430.94 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 44 22 $91,577.94 $36,631.18 60% off $22,864.05 $46,512.79 $27,423.85 2026-10-05
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 13 9 — — $25,363.58 $50,921.40 $27,225.54 2026-10-05
58662 CPT Laparoscopy, Surgical; With Fulguration Or Excision Of Lesions Of The Ovary, Pel… 42 18 $48,688.52 $19,475.41 60% off $5,665.28 $43,819.67 $27,176.90 2026-07-15
24366 CPT Arthroplasty, Radial Head; With Implant 42 18 $42,699.46 $17,079.78 60% off $11,635.60 $38,429.51 $27,167.53 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 45 22 $129,561.23 $51,824.49 60% off $22,685.00 $48,867.12 $27,026.04 2026-10-05
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 14 10 — — $25,139.78 $50,472.07 $27,000.21 2026-10-05
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 44 22 $186,897.91 $74,759.16 60% off $23,644.30 $47,469.66 $26,983.67 2026-10-05
0275 RC — 20 9 $52,856.47 $21,142.59 60% off $11,954.38 $55,659.28 $26,963.83 2026-07-15
665 MS_DRG Prostatectomy With Mcc 44 22 $109,401.26 $43,760.51 60% off $21,362.41 $45,694.35 $26,941.30 2026-10-05
63030 CPT Laminotomy (hemilaminectomy), With Decompression Of Nerve Root(s), Including Par… 42 18 $46,858.54 $18,743.42 60% off $6,936.70 $42,119.26 $26,927.29 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 47 23 $122,633.18 $49,053.27 60% off $18,735.00 $47,932.73 $26,916.19 2026-10-05
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 44 22 $130,319.84 $52,127.93 60% off $24,137.09 $48,459.01 $26,875.39 2026-10-05
27279 CPT Arthrodesis, Sacroiliac Joint, Percutaneous Or Minimally Invasive (indirect Visu… 42 18 $42,239.36 $16,895.74 60% off $11,510.23 $38,015.42 $26,874.79 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 31 23 $91,967.17 $36,786.87 60% off $11,517.00 $58,851.04 $26,726.31 2026-10-05
35302 CPT Thromboendarterectomy, Including Patch Graft, If Performed; Superficial Femoral … 20 9 $41,893.93 $16,757.57 60% off $11,416.10 $37,704.54 $26,655.01 2026-07-15
27827 CPT Open Treatment Of Fracture Of Weight Bearing Articular Surface/portion Of Distal… 42 18 $54,198.37 $21,679.35 60% off $12,493.94 $59,879.56 $26,635.90 2026-07-15
63685 CPT Insertion Or Replacement Of Spinal Neurostimulator Pulse Generator Or Receiver, … 42 18 $42,220.32 $16,888.12 60% off $11,607.04 $38,335.19 $26,624.50 2026-07-15
332 MS_DRG Rectal Resection With Mcc 14 10 — — $24,781.14 $49,752.04 $26,619.50 2026-10-05
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 47 23 $172,689.85 $69,075.94 60% off $21,852.46 $45,140.74 $26,614.89 2026-10-05
265 MS_DRG Aicd Lead Procedures 14 10 — — $24,764.02 $49,717.69 $26,601.33 2026-10-05
64582 CPT Open Implantation Of Hypoglossal Nerve Neurostimulator Array, Pulse Generator, A… 42 18 $41,945.85 $16,778.33 60% off $11,531.41 $38,085.39 $26,451.83 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 43 21 $99,884.58 $39,953.83 60% off $24,607.84 $51,482.03 $26,426.10 2026-10-05
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 10 — — $24,815.36 $49,820.74 $26,394.38 2026-10-05
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 14 10 — — $24,521.74 $49,231.25 $26,344.15 2026-10-05
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 44 22 $196,563.40 $78,625.36 60% off $23,349.99 $46,878.80 $26,337.91 2026-10-05
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 14 10 — — $24,464.93 $49,117.20 $26,283.83 2026-10-05
279 MS_DRG Cellulitis Age 0-17 14 10 — — $19,261.00 $49,555.54 $26,255.52 2026-10-05
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 10 — — $24,404.01 $48,994.91 $26,219.17 2026-10-05
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 14 10 — — $24,383.48 $48,953.69 $26,197.37 2026-10-05
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 14 10 — — $24,360.21 $48,906.97 $26,172.68 2026-10-05
92973 CPT Percutaneous Transluminal Coronary Mechanical Aspiration Thrombectomy (List Sepa… 16 7 $41,550.54 $16,620.22 60% off $11,461.79 $37,855.44 $26,111.37 2026-07-15
24341 CPT Repair, Tendon Or Muscle, Upper Arm Or Elbow, Each Tendon Or Muscle, Primary Or … 42 18 $45,259.72 $18,103.89 60% off $6,936.70 $40,733.75 $26,098.21 2026-07-15
A9604 HCPCS Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri… 42 18 $50,022.58 $20,009.03 60% off $4,314.91 $43,081.65 $26,091.71 2026-07-15
63045 CPT Laminectomy, Facetectomy And Foraminotomy (unilateral Or Bilateral With Decompre… 42 18 $45,188.03 $18,075.21 60% off $6,936.70 $40,669.23 $26,062.37 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 44 22 $146,391.87 $58,556.74 60% off $22,532.10 $45,392.09 $26,057.01 2026-10-05
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 44 22 $144,175.48 $57,670.19 60% off $20,760.11 $43,499.86 $25,647.43 2026-10-05
43130 CPT Diverticulectomy Of Hypopharynx Or Esophagus, With Or Without Myotomy; Cervical … 42 18 $45,418.55 $18,167.42 60% off $5,744.22 $40,876.70 $25,581.38 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 44 22 $187,393.61 $74,957.44 60% off $22,165.25 $44,500.23 $25,574.46 2026-10-05
27792 CPT Open Treatment Of Distal Fibular Fracture (lateral Malleolus), Includes Internal… 42 18 $44,153.76 $17,661.50 60% off $6,936.70 $39,738.38 $25,545.23 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 44 22 $182,052.85 $72,821.14 60% off $23,654.65 $49,859.22 $25,402.47 2026-10-05
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 14 10 — — $23,759.28 $47,700.51 $25,284.31 2026-10-05
C1785 HCPCS Pacemaker, Dual Chamber, Rate-responsive (implantable) 16 7 $39,462.37 $15,784.95 60% off $10,753.50 $35,516.13 $25,107.94 2026-07-15
C1761 HCPCS Catheter, Transluminal Intravascular Lithotripsy, Coronary 16 7 $41,183.70 $16,473.48 60% off $10,739.29 $35,469.22 $25,074.76 2026-07-15
324 MS_DRG Urinary Stones Without Cc 43 21 $270,597.75 $108,239.10 60% off $21,566.37 $43,297.89 $25,069.94 2026-10-05
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 14 10 — — $23,319.19 $46,816.96 $25,067.60 2026-10-05
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 44 22 $169,625.65 $67,850.26 60% off $22,140.61 $44,450.76 $25,022.07 2026-10-05
28202 CPT Repair, Tendon, Flexor, Foot; Secondary With Free Graft, Each Tendon (includes O… 42 18 $42,841.46 $17,136.58 60% off $6,936.70 $38,557.31 $24,889.08 2026-07-15
27676 CPT Repair, Dislocating Peroneal Tendons; With Fibular Osteotomy 42 18 $42,841.46 $17,136.58 60% off $6,936.70 $38,557.31 $24,889.08 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 29 22 $137,621.88 $55,048.75 60% off $21,660.82 $43,487.52 $24,862.79 2026-10-05
59151 CPT Laparoscopic Treatment Of Ectopic Pregnancy; With Salpingectomy And/or Oophorect… 42 18 $44,790.60 $17,916.24 60% off $5,665.28 $41,038.74 $24,823.94 2026-07-15
24685 CPT Open Treatment Of Ulnar Fracture, Proximal End (eg, Olecranon Or Coronoid Proces… 42 18 $42,699.46 $17,079.78 60% off $6,936.70 $38,429.51 $24,818.08 2026-07-15
58720 CPT Salpingo-oophorectomy, Complete Or Partial, Unilateral Or Bilateral (separate Pr… 20 9 $38,928.38 $15,571.35 60% off $10,607.98 $35,035.54 $24,768.18 2026-07-15
23420 CPT Reconstruction Of Complete Shoulder (rotator) Cuff Avulsion, Chronic (includes A… 42 18 $42,307.75 $16,923.10 60% off $6,936.70 $38,076.98 $24,622.22 2026-07-15
26608 CPT Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone 42 18 $45,891.87 $18,356.75 60% off $3,150.58 $41,302.68 $24,521.22 2026-07-15
47563 CPT Laparoscopy, Surgical; Cholecystectomy With Cholangiography 42 18 $42,942.34 $17,176.93 60% off $5,665.28 $38,272.89 $24,512.26 2026-07-15
92921 CPT Percutaneous Transluminal Coronary Angioplasty; Each Additional Branch Of A Majo… 16 7 $38,607.54 $15,443.02 60% off $10,566.22 $34,897.60 $24,457.44 2026-07-15
27846 CPT Open Treatment Of Ankle Dislocation, With Or Without Percutaneous Skeletal Fixat… 42 18 $41,863.88 $16,745.55 60% off $6,936.70 $37,677.49 $24,400.29 2026-07-15
C1786 HCPCS Pacemaker, Single Chamber, Rate-responsive (implantable) 16 7 $40,043.05 $16,017.22 60% off $10,441.85 $34,486.84 $24,380.28 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 47 23 $105,393.04 $42,157.22 60% off $21,556.10 $44,301.00 $24,373.18 2026-10-05
62362 CPT Implantation Or Replacement Of Device For Intrathecal Or Epidural Drug Infusion;… 42 18 $38,219.71 $15,287.88 60% off $10,414.87 $34,397.74 $24,317.29 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 14 10 — — $22,608.76 $45,390.65 $24,313.44 2026-10-05
63057 CPT Transpedicular Approach With Decompression Of Spinal Cord, Equina And/or Nerve R… 16 7 $38,177.84 $15,271.13 60% off $10,403.46 $34,360.05 $24,290.65 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 44 22 $243,320.44 $97,328.18 60% off $21,812.08 $43,791.19 $24,264.11 2026-10-05
451 MS_DRG Single Level Spinal Fusion Exc 30 13 $162,385.77 $64,954.31 60% off $22,998.82 $41,068.49 $24,213.90 2026-07-15
43180 CPT Esophagoscopy, Rigid, Transoral With Diverticulectomy Of Hypopharynx Or Cervical… 42 18 $42,632.04 $17,052.82 60% off $5,744.22 $38,368.84 $24,188.13 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 43 21 $71,676.20 $28,670.47 60% off $20,371.36 $40,898.71 $24,077.37 2026-10-05
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