Hospital

LAKE CHARLES MEMORIAL HOSPITAL

Lake Charles, LA · CCN 190060 · Rates published

3,548 distinct procedures filed

37 distinct payers

173,990 rate rows

2026-07-15 last MRF observed

Data quality

156,630 of 173,990 rate rows are consumer-grade (90.0%)

17,360 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 — reason	Rows
per-diem day rate — not a per-procedure price	10,723
placeholder amount (≤ $0.02) — excluded from medians	5,507
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	567
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	387
percent-of-charges filed in the dollar field — excluded from medians	110
exceeds 10× this hospital's gross charge — excluded from medians	60
template filing: same amount across many unrelated codes — excluded	6

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://lakecharlesmemorialhospital.pg.revenuemasters.com/cdm-files/720551963_lake-charles-memorial-hospital_standardcharges.csv
Found on page	https://lakecharlesmemorialhospital.pg.revenuemasters.com/disclaimer?
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-13
Content fingerprint	3fb2ace95180ef2e… · 83,175,626 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	Inpatient	18	$245,652.84	$525,446.15	$245,652.84	nat. median $168,055 1.5× median
1 MS_DRG	Inpatient	18	$180,947.78	$387,046.33	$180,947.78	nat. median $186,516 1.0× median
927 MS_DRG	Inpatient	18	$176,034.51	$376,537.17	$176,034.51	nat. median $131,925 1.3× median
3 MS_DRG	Inpatient	18	$142,577.36	$304,974.56	$142,577.36	nat. median $145,435 1.0× median
4 MS_DRG	Inpatient	18	$98,615.68	$210,943.45	$98,615.68	nat. median $97,418 1.0× median
7 MS_DRG	Inpatient	18	$82,455.52	$176,377.95	$82,455.52	nat. median $70,649 1.2× median
2 MS_DRG	Inpatient	18	$82,307.43	$179,416.65	$82,307.43	nat. median $65,418 1.3× median
14 MS_DRG	Inpatient	18	$77,106.64	$164,937.05	$77,106.64	nat. median $72,715 1.1× median
212 MS_DRG	Inpatient	17	$72,523.42	$155,133.85	$72,523.42	nat. median $74,509 1.0× median
5 MS_DRG	Inpatient	18	$69,729.80	$149,158.48	$69,729.80	nat. median $69,922 1.0× median
215 MS_DRG	Inpatient	18	$68,832.00	$147,238.15	$68,832.00	nat. median $73,023 0.9× median
216 MS_DRG	Inpatient	18	$65,448.70	$140,001.49	$65,448.70	nat. median $69,822 0.9× median
453 MS_DRG	Inpatient	18	$59,844.84	$128,015.21	$59,844.84	nat. median $2,106 outlier · 28.4×
20 MS_DRG	Inpatient	18	$57,128.90	$123,888.95	$57,128.90	nat. median $56,428 1.0× median
456 MS_DRG	Inpatient	18	$56,976.17	$121,879.31	$56,976.17	nat. median $59,651 1.0× median
231 MS_DRG	Inpatient	18	$54,889.76	$117,416.62	$54,889.76	nat. median $60,505 0.9× median
19 MS_DRG	Inpatient	18	$54,081.61	$115,688.04	$54,081.61	nat. median $45,605 1.2× median
233 MS_DRG	Inpatient	18	$52,794.02	$112,933.97	$52,794.02	nat. median $55,935 0.9× median
219 MS_DRG	Inpatient	18	$52,207.00	$111,678.38	$52,207.00	nat. median $55,923 0.9× median
957 MS_DRG	Inpatient	18	$49,028.24	$104,879.22	$49,028.24	nat. median $52,327 0.9× median
275 MS_DRG	Inpatient	17	$47,722.07	$102,085.41	$47,722.07	nat. median $51,518 0.9× median
870 MS_DRG	Inpatient	18	$47,251.26	$101,078.38	$47,251.26	nat. median $48,611 1.0× median
928 MS_DRG	Inpatient	18	$46,951.11	$100,436.38	$46,951.11	nat. median $37,013 1.3× median
207 MS_DRG	Inpatient	18	$46,873.42	$100,270.21	$46,873.42	nat. median $47,121 1.0× median
969 MS_DRG	Inpatient	18	$46,638.35	$99,767.40	$46,638.35	nat. median $41,943 1.1× median
268 MS_DRG	Inpatient	18	$46,519.48	$99,513.15	$46,519.48	nat. median $49,569 0.9× median
461 MS_DRG	Inpatient	18	$46,279.10	$98,998.99	$46,279.10	nat. median $38,844 1.2× median
459 MS_DRG	Inpatient	18	$45,042.64	$96,354.29	$45,042.64	nat. median $2,106 outlier · 21.4×
217 MS_DRG	Inpatient	18	$43,269.66	$92,562.00	$43,269.66	nat. median $47,458 0.9× median
266 MS_DRG	Inpatient	18	$42,478.11	$90,868.93	$42,478.11	nat. median $44,036 1.0× median
573 MS_DRG	Inpatient	18	$42,292.18	$90,471.24	$42,292.18	nat. median $43,299 1.0× median
276 MS_DRG	Inpatient	17	$42,239.71	$90,359.01	$42,239.71	nat. median $43,533 1.0× median
16 MS_DRG	Inpatient	18	$42,019.26	$89,887.48	$42,019.26	nat. median $38,932 1.1× median
17 MS_DRG	Inpatient	18	$42,019.26	$89,887.48	$42,019.26	nat. median $29,295 1.4× median
21 MS_DRG	Inpatient	18	$41,782.86	$90,408.85	$41,782.86	nat. median $38,173 1.1× median
454 MS_DRG	Inpatient	18	$41,616.18	$89,025.32	$41,616.18	nat. median $2,106 outlier · 19.8×
955 MS_DRG	Inpatient	18	$41,442.85	$88,654.58	$41,442.85	nat. median $47,340 0.9× median
457 MS_DRG	Inpatient	18	$41,343.93	$88,442.99	$41,343.93	nat. median $42,674 1.0× median
820 MS_DRG	Inpatient	18	$41,154.01	$88,036.77	$41,154.01	nat. median $40,726 1.0× median
28 MS_DRG	Inpatient	18	$41,017.22	$87,744.18	$41,017.22	nat. median $41,895 1.0× median
790 MS_DRG	Inpatient	18	$40,844.57	$87,374.90	$40,844.57	nat. median $40,584 1.0× median
232 MS_DRG	Inpatient	18	$40,502.58	$86,643.40	$40,502.58	nat. median $43,803 0.9× median
235 MS_DRG	Inpatient	18	$40,051.03	$85,677.57	$40,051.03	nat. median $43,023 0.9× median
218 MS_DRG	Inpatient	18	$38,829.85	$83,065.54	$38,829.85	nat. median $45,446 0.9× median
576 MS_DRG	Inpatient	18	$38,739.54	$82,872.38	$38,739.54	nat. median $33,583 1.2× median
23 MS_DRG	Inpatient	18	$38,644.58	$82,669.26	$38,644.58	nat. median $40,301 1.0× median
463 MS_DRG	Inpatient	18	$38,610.72	$82,596.84	$38,610.72	nat. median $38,795 1.0× median
834 MS_DRG	Inpatient	18	$38,181.09	$81,677.89	$38,181.09	nat. median $37,487 1.0× median
405 MS_DRG	Inpatient	18	$37,558.22	$80,345.61	$37,558.22	nat. median $38,859 1.0× median
653 MS_DRG	Inpatient	18	$36,949.96	$79,044.58	$36,949.96	nat. median $36,547 1.0× median

Other procedures at this hospital

Browse this hospital's 3,548 published procedures. Use the slice to choose what to show, then sort or filter any column.

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	Inpatient	18	18	—	—	$245,652.84	$525,446.15	$245,652.84	2026-07-15
1	MS_DRG	Inpatient	18	18	—	—	$180,947.78	$387,046.33	$180,947.78	2026-07-15
927	MS_DRG	Inpatient	18	18	—	—	$176,034.51	$376,537.17	$176,034.51	2026-07-15
3	MS_DRG	Inpatient	18	18	—	—	$142,577.36	$304,974.56	$142,577.36	2026-07-15
4	MS_DRG	Inpatient	18	18	—	—	$98,615.68	$210,943.45	$98,615.68	2026-07-15
7	MS_DRG	Inpatient	18	18	—	—	$82,455.52	$176,377.95	$82,455.52	2026-07-15
2	MS_DRG	Inpatient	18	18	—	—	$82,307.43	$179,416.65	$82,307.43	2026-07-15
14	MS_DRG	Inpatient	18	18	—	—	$77,106.64	$164,937.05	$77,106.64	2026-07-15
212	MS_DRG	Inpatient	17	17	—	—	$72,523.42	$155,133.85	$72,523.42	2026-07-15
5	MS_DRG	Inpatient	18	18	—	—	$69,729.80	$149,158.48	$69,729.80	2026-07-15
215	MS_DRG	Inpatient	18	18	—	—	$68,832.00	$147,238.15	$68,832.00	2026-07-15
216	MS_DRG	Inpatient	18	18	—	—	$65,448.70	$140,001.49	$65,448.70	2026-07-15
453	MS_DRG	Inpatient	18	18	—	—	$59,844.84	$128,015.21	$59,844.84	2026-07-15
20	MS_DRG	Inpatient	18	18	—	—	$57,128.90	$123,888.95	$57,128.90	2026-07-15
456	MS_DRG	Inpatient	18	18	—	—	$56,976.17	$121,879.31	$56,976.17	2026-07-15
231	MS_DRG	Inpatient	18	18	—	—	$54,889.76	$117,416.62	$54,889.76	2026-07-15
19	MS_DRG	Inpatient	18	18	—	—	$54,081.61	$115,688.04	$54,081.61	2026-07-15
233	MS_DRG	Inpatient	18	18	—	—	$52,794.02	$112,933.97	$52,794.02	2026-07-15
219	MS_DRG	Inpatient	18	18	—	—	$52,207.00	$111,678.38	$52,207.00	2026-07-15
957	MS_DRG	Inpatient	18	18	—	—	$49,028.24	$104,879.22	$49,028.24	2026-07-15
275	MS_DRG	Inpatient	17	17	—	—	$47,722.07	$102,085.41	$47,722.07	2026-07-15
870	MS_DRG	Inpatient	18	18	—	—	$47,251.26	$101,078.38	$47,251.26	2026-07-15
928	MS_DRG	Inpatient	18	18	—	—	$46,951.11	$100,436.38	$46,951.11	2026-07-15
207	MS_DRG	Inpatient	18	18	—	—	$46,873.42	$100,270.21	$46,873.42	2026-07-15
969	MS_DRG	Inpatient	18	18	—	—	$46,638.35	$99,767.40	$46,638.35	2026-07-15
268	MS_DRG	Inpatient	18	18	—	—	$46,519.48	$99,513.15	$46,519.48	2026-07-15
461	MS_DRG	Inpatient	18	18	—	—	$46,279.10	$98,998.99	$46,279.10	2026-07-15
459	MS_DRG	Inpatient	18	18	—	—	$45,042.64	$96,354.29	$45,042.64	2026-07-15
217	MS_DRG	Inpatient	18	18	—	—	$43,269.66	$92,562.00	$43,269.66	2026-07-15
266	MS_DRG	Inpatient	18	18	—	—	$42,478.11	$90,868.93	$42,478.11	2026-07-15
573	MS_DRG	Inpatient	18	18	—	—	$42,292.18	$90,471.24	$42,292.18	2026-07-15
276	MS_DRG	Inpatient	17	17	—	—	$42,239.71	$90,359.01	$42,239.71	2026-07-15
17	MS_DRG	Inpatient	18	18	—	—	$42,019.26	$89,887.48	$42,019.26	2026-07-15
16	MS_DRG	Inpatient	18	18	—	—	$42,019.26	$89,887.48	$42,019.26	2026-07-15
21	MS_DRG	Inpatient	18	18	—	—	$41,782.86	$90,408.85	$41,782.86	2026-07-15
454	MS_DRG	Inpatient	18	18	—	—	$41,616.18	$89,025.32	$41,616.18	2026-07-15
955	MS_DRG	Inpatient	18	18	—	—	$41,442.85	$88,654.58	$41,442.85	2026-07-15
457	MS_DRG	Inpatient	18	18	—	—	$41,343.93	$88,442.99	$41,343.93	2026-07-15
820	MS_DRG	Inpatient	18	18	—	—	$41,154.01	$88,036.77	$41,154.01	2026-07-15
28	MS_DRG	Inpatient	18	18	—	—	$41,017.22	$87,744.18	$41,017.22	2026-07-15
790	MS_DRG	Inpatient	18	18	—	—	$40,844.57	$87,374.90	$40,844.57	2026-07-15
232	MS_DRG	Inpatient	18	18	—	—	$40,502.58	$86,643.40	$40,502.58	2026-07-15
235	MS_DRG	Inpatient	18	18	—	—	$40,051.03	$85,677.57	$40,051.03	2026-07-15
218	MS_DRG	Inpatient	18	18	—	—	$38,829.85	$83,065.54	$38,829.85	2026-07-15
576	MS_DRG	Inpatient	18	18	—	—	$38,739.54	$82,872.38	$38,739.54	2026-07-15
23	MS_DRG	Inpatient	18	18	—	—	$38,644.58	$82,669.26	$38,644.58	2026-07-15
463	MS_DRG	Inpatient	18	18	—	—	$38,610.72	$82,596.84	$38,610.72	2026-07-15
834	MS_DRG	Inpatient	18	18	—	—	$38,181.09	$81,677.89	$38,181.09	2026-07-15
405	MS_DRG	Inpatient	18	18	—	—	$37,558.22	$80,345.61	$37,558.22	2026-07-15
653	MS_DRG	Inpatient	18	18	—	—	$36,949.96	$79,044.58	$36,949.96	2026-07-15
8	MS_DRG	Inpatient	18	18	—	—	$35,941.25	$76,887.02	$35,941.25	2026-07-15
220	MS_DRG	Inpatient	18	18	—	—	$35,827.71	$76,644.17	$35,827.71	2026-07-15
234	MS_DRG	Inpatient	18	18	—	—	$35,517.60	$75,980.86	$35,517.60	2026-07-15
466	MS_DRG	Inpatient	18	18	—	—	$35,442.57	$75,820.38	$35,442.57	2026-07-15
11	MS_DRG	Inpatient	18	18	—	—	$35,241.38	$75,390.05	$35,241.38	2026-07-15
326	MS_DRG	Inpatient	18	18	—	—	$34,728.05	$74,292.07	$34,728.05	2026-07-15
270	MS_DRG	Inpatient	18	18	—	—	$34,581.30	$73,978.18	$34,581.30	2026-07-15
228	MS_DRG	Inpatient	18	18	—	—	$34,460.45	$73,719.69	$34,460.45	2026-07-15
853	MS_DRG	Inpatient	18	18	—	—	$34,198.81	$73,160.06	$34,198.81	2026-07-15
799	MS_DRG	Inpatient	18	18	—	—	$33,901.99	$72,525.18	$33,901.99	2026-07-15
471	MS_DRG	Inpatient	18	18	—	—	$33,665.58	$72,019.51	$33,665.58	2026-07-15
267	MS_DRG	Inpatient	18	18	—	—	$33,407.95	$71,468.46	$33,407.95	2026-07-15
837	MS_DRG	Inpatient	18	18	—	—	$33,167.55	$70,954.26	$33,167.55	2026-07-15
6	MS_DRG	Inpatient	18	18	—	—	$33,120.40	$70,853.41	$33,120.40	2026-07-15
10	MS_DRG	Inpatient	18	18	—	—	$32,965.69	$70,522.50	$32,965.69	2026-07-15
239	MS_DRG	Inpatient	18	18	—	—	$32,920.53	$70,425.90	$32,920.53	2026-07-15
277	MS_DRG	Inpatient	17	17	—	—	$32,758.50	$70,079.33	$32,758.50	2026-07-15
981	MS_DRG	Inpatient	18	18	—	—	$32,479.61	$69,482.80	$32,479.61	2026-07-15
163	MS_DRG	Inpatient	18	18	—	—	$32,301.64	$69,102.14	$32,301.64	2026-07-15
221	MS_DRG	Inpatient	18	18	—	—	$31,870.02	$68,178.93	$31,870.02	2026-07-15
826	MS_DRG	Inpatient	18	18	—	—	$31,731.23	$67,882.07	$31,731.23	2026-07-15
455	MS_DRG	Inpatient	18	18	—	—	$31,584.48	$67,568.18	$31,584.48	2026-07-15
245	MS_DRG	Inpatient	18	18	—	—	$31,091.75	$66,514.26	$31,091.75	2026-07-15
458	MS_DRG	Inpatient	18	18	—	—	$31,089.11	$66,508.62	$31,089.11	2026-07-15
329	MS_DRG	Inpatient	18	18	—	—	$30,994.80	$66,306.89	$30,994.80	2026-07-15
823	MS_DRG	Inpatient	18	18	—	—	$30,895.86	$66,095.27	$30,895.86	2026-07-15
650	MS_DRG	Inpatient	18	18	—	—	$30,866.65	$66,032.79	$30,866.65	2026-07-15
278	MS_DRG	Inpatient	17	17	—	—	$30,620.28	$65,505.82	$30,620.28	2026-07-15
856	MS_DRG	Inpatient	18	18	—	—	$30,407.80	$65,051.34	$30,407.80	2026-07-15
25	MS_DRG	Inpatient	18	18	—	—	$30,325.46	$64,875.22	$30,325.46	2026-07-15
319	MS_DRG	Inpatient	18	18	—	—	$29,966.21	$64,106.81	$29,966.21	2026-07-15
901	MS_DRG	Inpatient	18	18	—	—	$29,739.77	$63,622.47	$29,739.77	2026-07-15
474	MS_DRG	Inpatient	18	18	—	—	$29,573.76	$63,267.39	$29,573.76	2026-07-15
356	MS_DRG	Inpatient	18	18	—	—	$29,413.73	$62,925.09	$29,413.73	2026-07-15
33274	HCPCS	Insert/replace Pacer Leadless Single	37	37	$48,896.00	$29,337.60 40% off	$4,185.00	$55,281.18	$29,337.60	2026-07-15
33270	HCPCS	Insert/replace Sq S-icd & Evaluation	37	37	$72,731.52	$43,638.91 40% off	$4,577.00	$103,228.48	$29,160.59	2026-07-15
33249	HCPCS	Icd Gen/lead Implant Dual	37	37	$87,381.00	$52,428.60 40% off	$4,577.00	$103,228.48	$29,160.59	2026-07-15
793	MS_DRG	Inpatient	18	18	—	—	$28,952.88	$61,939.36	$28,952.88	2026-07-15
269	MS_DRG	Inpatient	18	18	—	—	$28,616.21	$61,219.25	$28,616.21	2026-07-15
323	MS_DRG	Inpatient	17	17	—	—	$28,492.69	$60,955.05	$28,492.69	2026-07-15
31	MS_DRG	Inpatient	18	18	—	—	$28,337.30	$60,622.68	$28,337.30	2026-07-15
791	MS_DRG	Inpatient	18	18	—	—	$28,211.80	$60,354.24	$28,211.80	2026-07-15
166	MS_DRG	Inpatient	18	18	—	—	$27,946.85	$59,787.53	$27,946.85	2026-07-15
958	MS_DRG	Inpatient	18	18	—	—	$27,860.52	$59,602.88	$27,860.52	2026-07-15
236	MS_DRG	Inpatient	18	18	—	—	$27,836.61	$59,551.74	$27,836.61	2026-07-15
628	MS_DRG	Inpatient	18	18	—	—	$27,659.32	$59,172.52	$27,659.32	2026-07-15
12	MS_DRG	Inpatient	18	18	—	—	$27,595.57	$59,036.17	$27,595.57	2026-07-15
616	MS_DRG	Inpatient	18	18	—	—	$27,282.14	$58,365.76	$27,282.14	2026-07-15
22	MS_DRG	Inpatient	18	18	—	—	$27,049.73	$58,040.96	$27,049.73	2026-07-15
423	MS_DRG	Inpatient	18	18	—	—	$26,971.38	$57,701.07	$26,971.38	2026-07-15
34	MS_DRG	Inpatient	18	18	—	—	$26,908.29	$57,566.12	$26,908.29	2026-07-15
273	MS_DRG	Inpatient	18	18	—	—	$26,879.06	$57,503.60	$26,879.06	2026-07-15
736	MS_DRG	Inpatient	18	18	—	—	$26,813.99	$57,364.42	$26,813.99	2026-07-15
956	MS_DRG	Inpatient	18	18	—	—	$26,754.23	$57,236.60	$26,754.23	2026-07-15
40	MS_DRG	Inpatient	18	18	—	—	$26,570.28	$56,843.14	$26,570.28	2026-07-15
622	MS_DRG	Inpatient	18	18	—	—	$26,404.94	$56,489.49	$26,404.94	2026-07-15
24	MS_DRG	Inpatient	18	18	—	—	$26,160.58	$55,966.82	$26,160.58	2026-07-15
140	MS_DRG	Inpatient	18	18	—	—	$26,089.51	$55,814.81	$26,089.51	2026-07-15
J9266	HCPCS	Pegasparagase 3750iu/5ml Inj	15	15	$0.01	—	$25,781.46	$91,266.36	$25,781.46	2026-07-15
876	MS_DRG	Inpatient	18	18	—	—	$25,780.08	$55,152.96	$25,780.08	2026-07-15
408	MS_DRG	Inpatient	18	18	—	—	$25,718.33	$55,020.87	$25,718.33	2026-07-15
907	MS_DRG	Inpatient	18	18	—	—	$25,700.40	$54,982.53	$25,700.40	2026-07-15
673	MS_DRG	Inpatient	18	18	—	—	$25,557.60	$54,677.09	$25,557.60	2026-07-15
460	MS_DRG	Inpatient	18	18	—	—	$25,291.34	$54,107.57	$25,291.34	2026-07-15
332	MS_DRG	Inpatient	18	18	—	—	$25,267.43	$54,056.43	$25,267.43	2026-07-15
518	MS_DRG	Inpatient	18	18	—	—	$25,250.83	$54,020.93	$25,250.83	2026-07-15
97	MS_DRG	Inpatient	18	18	—	—	$25,151.89	$53,809.30	$25,151.89	2026-07-15
94	MS_DRG	Inpatient	18	18	—	—	$25,057.60	$53,607.62	$25,057.60	2026-07-15
739	MS_DRG	Inpatient	18	18	—	—	$25,015.09	$53,516.69	$25,015.09	2026-07-15
495	MS_DRG	Inpatient	18	18	—	—	$24,782.02	$53,018.17	$24,782.02	2026-07-15
335	MS_DRG	Inpatient	18	18	—	—	$24,740.84	$52,930.09	$24,740.84	2026-07-15
265	MS_DRG	Inpatient	18	18	—	—	$24,469.25	$52,349.18	$24,469.25	2026-07-15
414	MS_DRG	Inpatient	18	18	—	—	$24,410.15	$52,222.76	$24,410.15	2026-07-15
467	MS_DRG	Inpatient	18	18	—	—	$24,151.85	$51,670.28	$24,151.85	2026-07-15
492	MS_DRG	Inpatient	18	18	—	—	$23,991.15	$51,326.55	$23,991.15	2026-07-15
651	MS_DRG	Inpatient	18	18	—	—	$23,966.58	$51,274.00	$23,966.58	2026-07-15
271	MS_DRG	Inpatient	18	18	—	—	$23,951.96	$51,242.73	$23,951.96	2026-07-15
242	MS_DRG	Inpatient	18	18	—	—	$23,944.66	$51,227.11	$23,944.66	2026-07-15
802	MS_DRG	Inpatient	18	18	—	—	$23,783.29	$50,881.96	$23,783.29	2026-07-15
29	MS_DRG	Inpatient	18	18	—	—	$23,766.03	$50,845.04	$23,766.03	2026-07-15
574	MS_DRG	Inpatient	18	18	—	—	$23,617.30	$50,526.91	$23,617.30	2026-07-15
987	MS_DRG	Inpatient	18	18	—	—	$23,424.05	$50,113.56	$23,424.05	2026-07-15
37	MS_DRG	Inpatient	18	18	—	—	$23,416.74	$50,097.93	$23,416.74	2026-07-15
477	MS_DRG	Inpatient	18	18	—	—	$23,372.91	$50,004.18	$23,372.91	2026-07-15
252	MS_DRG	Inpatient	18	18	—	—	$23,271.98	$49,788.30	$23,271.98	2026-07-15
579	MS_DRG	Inpatient	18	18	—	—	$23,194.95	$49,623.53	$23,194.95	2026-07-15
469	MS_DRG	Inpatient	18	18	—	—	$23,112.60	$49,447.39	$23,112.60	2026-07-15
33264	HCPCS	Rem & Repl Icd Gen Mult	37	37	$23,100.00	$13,860.00 40% off	$1,196.00	$103,228.48	$23,100.00	2026-07-15
143	MS_DRG	Inpatient	18	18	—	—	$23,084.72	$49,387.76	$23,084.72	2026-07-15
260	MS_DRG	Inpatient	18	18	—	—	$23,015.66	$49,240.05	$23,015.66	2026-07-15
33990	HCPCS	Lv Assist Insert Arterial	37	37	$25,446.00	$15,267.60 40% off	$1,571.00	$25,446.00	$22,901.40	2026-07-15
485	MS_DRG	Inpatient	18	18	—	—	$22,874.89	$48,938.95	$22,874.89	2026-07-15
264	MS_DRG	Inpatient	18	18	—	—	$22,688.96	$48,541.26	$22,688.96	2026-07-15
904	MS_DRG	Inpatient	18	18	—	—	$22,623.88	$48,402.05	$22,623.88	2026-07-15
500	MS_DRG	Inpatient	18	18	—	—	$22,534.89	$48,211.71	$22,534.89	2026-07-15
274	MS_DRG	Inpatient	18	18	—	—	$22,521.62	$48,183.33	$22,521.62	2026-07-15
929	MS_DRG	Inpatient	18	18	—	—	$22,353.61	$47,823.96	$22,353.61	2026-07-15
939	MS_DRG	Inpatient	18	18	—	—	$22,352.29	$47,821.14	$22,352.29	2026-07-15
420	MS_DRG	Inpatient	18	18	—	—	$22,256.00	$47,615.18	$22,256.00	2026-07-15
279	MS_DRG	Inpatient	17	17	—	—	$22,254.67	$47,612.34	$22,254.67	2026-07-15
229	MS_DRG	Inpatient	18	18	—	—	$22,115.23	$47,314.09	$22,115.23	2026-07-15
515	MS_DRG	Inpatient	18	18	—	—	$21,995.02	$47,056.96	$21,995.02	2026-07-15
829	MS_DRG	Inpatient	18	18	—	—	$21,943.90	$46,947.62	$21,943.90	2026-07-15
656	MS_DRG	Inpatient	18	18	—	—	$21,836.32	$46,717.52	$21,836.32	2026-07-15
840	MS_DRG	Inpatient	18	18	—	—	$21,753.98	$46,541.40	$21,753.98	2026-07-15
665	MS_DRG	Inpatient	18	18	—	—	$21,514.26	$46,028.65	$21,514.26	2026-07-15
173	MS_DRG	Inpatient	17	17	—	—	$21,420.63	$45,828.38	$21,420.63	2026-07-15
93653	HCPCS	Ablation Svt Avnrt Ap At W Ep	37	37	$30,734.00	$18,440.40 40% off	$3,793.00	$75,567.81	$21,346.84	2026-07-15
411	MS_DRG	Inpatient	18	18	—	—	$21,190.87	$45,336.94	$21,190.87	2026-07-15
933	MS_DRG	Inpatient	18	18	—	—	$21,135.10	$45,217.65	$21,135.10	2026-07-15
652	MS_DRG	Inpatient	18	18	—	—	$20,951.80	$44,825.59	$20,951.80	2026-07-15
464	MS_DRG	Inpatient	18	18	—	—	$20,931.89	$44,783.00	$20,931.89	2026-07-15
662	MS_DRG	Inpatient	18	18	—	—	$20,900.68	$44,716.24	$20,900.68	2026-07-15
521	MS_DRG	Inpatient	18	18	—	—	$20,884.09	$44,680.76	$20,884.09	2026-07-15
33263	HCPCS	Rem & Repl Icd Gen Dual	37	37	$22,000.00	$13,200.00 40% off	$1,196.00	$73,434.23	$20,744.13	2026-07-15
33262	HCPCS	Rem & Repl Icd Gen Single	37	37	$61,478.00	$36,886.80 40% off	$1,196.00	$73,434.23	$20,744.13	2026-07-15
324	MS_DRG	Inpatient	17	17	—	—	$20,714.09	$44,317.14	$20,714.09	2026-07-15
472	MS_DRG	Inpatient	18	18	—	—	$20,626.43	$44,129.64	$20,626.43	2026-07-15
26	MS_DRG	Inpatient	18	18	—	—	$20,611.15	$44,096.96	$20,611.15	2026-07-15
480	MS_DRG	Inpatient	18	18	—	—	$20,583.27	$44,037.32	$20,583.27	2026-07-15
353	MS_DRG	Inpatient	18	18	—	—	$20,419.92	$43,687.93	$20,419.92	2026-07-15
570	MS_DRG	Inpatient	18	18	—	—	$20,405.98	$43,658.11	$20,405.98	2026-07-15
625	MS_DRG	Inpatient	18	18	—	—	$20,399.32	$43,643.87	$20,399.32	2026-07-15
974	MS_DRG	Inpatient	18	18	—	—	$20,368.12	$43,577.13	$20,368.12	2026-07-15
406	MS_DRG	Inpatient	18	18	—	—	$20,174.88	$43,163.81	$20,174.88	2026-07-15
321	MS_DRG	Inpatient	17	17	—	—	$20,090.55	$42,983.43	$20,090.55	2026-07-15
93654	HCPCS	Ablation Vt W Ep 3d Map	37	37	$20,000.00	$12,000.00 40% off	$3,134.00	$75,567.81	$20,000.00	2026-07-15
462	MS_DRG	Inpatient	18	18	—	—	$19,901.96	$42,580.05	$19,901.96	2026-07-15
263	MS_DRG	Inpatient	18	18	—	—	$19,761.85	$42,280.36	$19,761.85	2026-07-15
668	MS_DRG	Inpatient	18	18	—	—	$19,714.04	$42,178.10	$19,714.04	2026-07-15
800	MS_DRG	Inpatient	18	18	—	—	$19,712.05	$42,173.84	$19,712.05	2026-07-15
817	MS_DRG	Inpatient	18	18	—	—	$18,265.50	$42,161.05	$19,706.07	2026-07-15
240	MS_DRG	Inpatient	18	18	—	—	$19,655.60	$42,053.10	$19,655.60	2026-07-15
61	MS_DRG	Inpatient	18	18	—	—	$19,613.10	$41,962.20	$19,613.10	2026-07-15
970	MS_DRG	Inpatient	18	18	—	—	$19,459.04	$41,632.67	$19,459.04	2026-07-15
255	MS_DRG	Inpatient	18	18	—	—	$19,245.22	$41,175.33	$19,245.22	2026-07-15
344	MS_DRG	Inpatient	18	18	—	—	$19,198.73	$41,075.88	$19,198.73	2026-07-15
654	MS_DRG	Inpatient	18	18	—	—	$19,179.48	$41,034.71	$19,179.48	2026-07-15
963	MS_DRG	Inpatient	18	18	—	—	$19,158.24	$40,989.28	$19,158.24	2026-07-15
510	MS_DRG	Inpatient	18	18	—	—	$19,067.25	$40,794.66	$19,067.25	2026-07-15
258	MS_DRG	Inpatient	18	18	—	—	$18,987.58	$40,624.25	$18,987.58	2026-07-15
208	MS_DRG	Inpatient	18	18	—	—	$18,955.70	$40,556.06	$18,955.70	2026-07-15
849	MS_DRG	Inpatient	18	18	—	—	$18,873.35	$40,379.92	$18,873.35	2026-07-15
13	MS_DRG	Inpatient	18	18	—	—	$18,835.51	$40,298.98	$18,835.51	2026-07-15
503	MS_DRG	Inpatient	18	18	—	—	$18,810.27	$40,244.99	$18,810.27	2026-07-15
468	MS_DRG	Inpatient	18	18	—	—	$18,728.60	$40,070.31	$18,728.60	2026-07-15
135	MS_DRG	Inpatient	18	18	—	—	$18,612.39	$39,821.74	$18,612.39	2026-07-15
577	MS_DRG	Inpatient	18	18	—	—	$18,592.46	$39,779.12	$18,592.46	2026-07-15
325	MS_DRG	Inpatient	17	17	—	—	$18,560.59	$39,710.95	$18,560.59	2026-07-15
498	MS_DRG	Inpatient	18	18	—	—	$18,339.46	$39,237.96	$18,339.46	2026-07-15
619	MS_DRG	Inpatient	18	18	—	—	$18,283.02	$39,117.24	$18,283.02	2026-07-15
288	MS_DRG	Inpatient	18	18	—	—	$18,219.94	$38,982.32	$18,219.94	2026-07-15
659	MS_DRG	Inpatient	18	18	—	—	$18,192.72	$38,924.10	$18,192.72	2026-07-15
253	MS_DRG	Inpatient	18	18	—	—	$17,941.70	$38,387.18	$17,941.70	2026-07-15
164	MS_DRG	Inpatient	18	18	—	—	$17,937.06	$38,377.26	$17,937.06	2026-07-15
347	MS_DRG	Inpatient	18	18	—	—	$17,928.43	$38,358.80	$17,928.43	2026-07-15
959	MS_DRG	Inpatient	18	18	—	—	$17,817.53	$38,121.59	$17,817.53	2026-07-15
749	MS_DRG	Inpatient	18	18	—	—	$17,716.60	$37,905.71	$17,716.60	2026-07-15
113	MS_DRG	Inpatient	18	18	—	—	$17,650.86	$37,765.10	$17,650.86	2026-07-15
327	MS_DRG	Inpatient	18	18	—	—	$17,585.12	$37,624.48	$17,585.12	2026-07-15
545	MS_DRG	Inpatient	18	18	—	—	$17,557.23	$37,564.83	$17,557.23	2026-07-15
982	MS_DRG	Inpatient	18	18	—	—	$17,509.42	$37,462.56	$17,509.42	2026-07-15
483	MS_DRG	Inpatient	18	18	—	—	$17,497.46	$37,436.98	$17,497.46	2026-07-15
792	MS_DRG	Inpatient	18	18	—	—	$17,419.77	$37,270.81	$17,419.77	2026-07-15
37221	HCPCS	Stent Iliac Primary Unilateral	37	37	$26,820.00	$16,092.00 40% off	$3,565.00	$34,162.33	$17,370.66	2026-07-15
473	MS_DRG	Inpatient	18	18	—	—	$17,340.75	$37,101.79	$17,340.75	2026-07-15
A9604	HCPCS	Sm 153 Lexidronam	29	29	$9,154.40	$5,492.64 40% off	$3,478.67	$61,099.86	$17,259.84	2026-07-15
846	MS_DRG	Inpatient	18	18	—	—	$17,230.51	$36,865.99	$17,230.51	2026-07-15
272	MS_DRG	Inpatient	18	18	—	—	$17,200.63	$36,802.08	$17,200.63	2026-07-15
27	MS_DRG	Inpatient	18	18	—	—	$17,156.82	$36,708.38	$17,156.82	2026-07-15
493	MS_DRG	Inpatient	18	18	—	—	$16,949.63	$36,265.21	$16,949.63	2026-07-15
350	MS_DRG	Inpatient	18	18	—	—	$16,938.34	$36,241.06	$16,938.34	2026-07-15
56	MS_DRG	Inpatient	18	18	—	—	$16,898.49	$36,155.83	$16,898.49	2026-07-15
95	MS_DRG	Inpatient	18	18	—	—	$16,833.41	$36,016.62	$16,833.41	2026-07-15
478	MS_DRG	Inpatient	18	18	—	—	$16,830.11	$36,009.56	$16,830.11	2026-07-15
674	MS_DRG	Inpatient	18	18	—	—	$16,820.13	$35,988.22	$16,820.13	2026-07-15
330	MS_DRG	Inpatient	18	18	—	—	$16,753.07	$35,844.78	$16,753.07	2026-07-15
250	MS_DRG	Inpatient	18	18	—	—	$16,611.62	$35,542.23	$16,611.62	2026-07-15
30	MS_DRG	Inpatient	18	18	—	—	$16,400.46	$35,090.57	$16,400.46	2026-07-15
417	MS_DRG	Inpatient	18	18	—	—	$16,392.49	$35,073.53	$16,392.49	2026-07-15
827	MS_DRG	Inpatient	18	18	—	—	$16,388.51	$35,065.01	$16,388.51	2026-07-15
35	MS_DRG	Inpatient	18	18	—	—	$16,270.97	$34,813.60	$16,270.97	2026-07-15
82	MS_DRG	Inpatient	18	18	—	—	$16,130.20	$34,512.50	$16,130.20	2026-07-15
243	MS_DRG	Inpatient	18	18	—	—	$16,125.54	$34,502.54	$16,125.54	2026-07-15
85	MS_DRG	Inpatient	18	18	—	—	$16,093.68	$34,434.39	$16,093.68	2026-07-15
92941	HCPCS	Ami Stnt Ather Nat Grft Lad	37	37	$16,046.88	$9,628.13 40% off	$2,514.55	$20,143.99	$16,046.88	2026-07-15
629	MS_DRG	Inpatient	18	18	—	—	$16,027.26	$34,292.32	$16,027.26	2026-07-15
614	MS_DRG	Inpatient	18	18	—	—	$15,958.20	$34,144.61	$15,958.20	2026-07-15
397	MS_DRG	Inpatient	17	17	—	—	$15,919.69	$34,062.24	$15,919.69	2026-07-15
835	MS_DRG	Inpatient	18	18	—	—	$15,845.98	$33,904.58	$15,845.98	2026-07-15
824	MS_DRG	Inpatient	18	18	—	—	$15,828.72	$33,867.66	$15,828.72	2026-07-15
821	MS_DRG	Inpatient	18	18	—	—	$15,823.40	$33,856.28	$15,823.40	2026-07-15
41	MS_DRG	Inpatient	18	18	—	—	$15,814.11	$33,836.41	$15,814.11	2026-07-15
320	MS_DRG	Inpatient	18	18	—	—	$15,782.91	$33,769.67	$15,782.91	2026-07-15
80	MS_DRG	Inpatient	18	18	—	—	$15,668.02	$33,523.93	$15,668.02	2026-07-15
715	MS_DRG	Inpatient	18	18	—	—	$15,660.06	$33,506.91	$15,660.06	2026-07-15
C9765	HCPCS	Intravas Lithotrip Low Ext Not Tp Wstent	37	37	$22,348.58	$13,409.15 40% off	$3,502.02	$55,281.18	$15,616.14	2026-07-15
37229	HCPCS	Artherectomy Tib Pero Prim Unilat	37	37	$43,145.00	$25,887.00 40% off	$3,565.00	$55,281.18	$15,616.14	2026-07-15
36906	HCPCS	Declot Balloon /stent	29	29	$32,369.00	$19,421.40 40% off	$4,185.00	$55,281.18	$15,616.14	2026-07-15
C9766	HCPCS	Intravas Lithotrip Low Ext Not Tp W Athr	37	37	$22,348.58	$13,409.15 40% off	$3,502.02	$55,281.18	$15,616.14	2026-07-15
37227	HCPCS	Atherectomy & Stent Fem Popl Unilat	37	37	$17,858.00	$10,714.80 40% off	$2,798.35	$55,281.18	$15,616.14	2026-07-15
C9774	HCPCS	Intravas Lithotrip Tib/peroneal Wathrec	37	37	$36,367.30	$21,820.38 40% off	$3,565.00	$55,281.18	$15,616.14	2026-07-15
0238T	OTHER	Atherectomy Iliac Unilateral	37	37	$17,007.30	$10,204.38 40% off	$2,665.04	$55,281.18	$15,616.14	2026-07-15
C9773	HCPCS	Intravas Lithotripsy Tib/peroneal Wstent	37	37	$36,367.30	$21,820.38 40% off	$3,565.00	$55,281.18	$15,616.14	2026-07-15
C9775	HCPCS	Intravs Lithotrip Tib/peron Wathrec/stnt	37	37	$36,367.30	$21,820.38 40% off	$3,565.00	$55,281.18	$15,616.14	2026-07-15
C9767	HCPCS	Intrvs Litho Low Ext Not Tp W Athre/stnt	37	37	$35,952.50	$21,571.50 40% off	$3,565.00	$55,281.18	$15,616.14	2026-07-15
357	MS_DRG	Inpatient	18	18	—	—	$15,589.01	$33,354.93	$15,589.01	2026-07-15
808	MS_DRG	Inpatient	18	18	—	—	$15,544.51	$33,259.75	$15,544.51	2026-07-15
96	MS_DRG	Inpatient	18	18	—	—	$15,475.45	$33,112.04	$15,475.45	2026-07-15
595	MS_DRG	Inpatient	18	18	—	—	$15,444.24	$33,045.28	$15,444.24	2026-07-15
734	MS_DRG	Inpatient	18	18	—	—	$15,434.94	$33,025.39	$15,434.94	2026-07-15
709	MS_DRG	Inpatient	18	18	—	—	$15,416.35	$32,985.63	$15,416.35	2026-07-15
940	MS_DRG	Inpatient	18	18	—	—	$15,388.45	$32,925.95	$15,388.45	2026-07-15
286	MS_DRG	Inpatient	18	18	—	—	$15,315.41	$32,769.72	$15,315.41	2026-07-15
98	MS_DRG	Inpatient	18	18	—	—	$15,308.11	$32,754.11	$15,308.11	2026-07-15
32	MS_DRG	Inpatient	18	18	—	—	$15,303.47	$32,744.18	$15,303.47	2026-07-15
407	MS_DRG	Inpatient	18	18	—	—	$15,284.86	$32,704.38	$15,284.86	2026-07-15
475	MS_DRG	Inpatient	18	18	—	—	$15,243.04	$32,614.93	$15,243.04	2026-07-15
857	MS_DRG	Inpatient	18	18	—	—	$15,183.26	$32,487.06	$15,183.26	2026-07-15
507	MS_DRG	Inpatient	18	18	—	—	$15,156.70	$32,430.25	$15,156.70	2026-07-15
424	MS_DRG	Inpatient	18	18	—	—	$15,156.70	$32,430.25	$15,156.70	2026-07-15
814	MS_DRG	Inpatient	18	18	—	—	$15,132.80	$32,379.13	$15,132.80	2026-07-15
711	MS_DRG	Inpatient	18	18	—	—	$15,098.27	$32,305.27	$15,098.27	2026-07-15
33271	HCPCS	Insert Sq S-icd Lead	37	37	$26,553.39	$15,932.03 40% off	$3,565.00	$26,553.39	$15,028.71	2026-07-15
522	MS_DRG	Inpatient	18	18	—	—	$15,027.22	$32,153.30	$15,027.22	2026-07-15
146	MS_DRG	Inpatient	18	18	—	—	$15,019.25	$32,136.26	$15,019.25	2026-07-15
655	MS_DRG	Inpatient	18	18	—	—	$14,998.01	$32,090.82	$14,998.01	2026-07-15
488	MS_DRG	Inpatient	18	18	—	—	$14,990.03	$32,073.76	$14,990.03	2026-07-15
336	MS_DRG	Inpatient	18	18	—	—	$14,981.40	$32,055.30	$14,981.40	2026-07-15
374	MS_DRG	Inpatient	18	18	—	—	$14,939.57	$31,965.83	$14,939.57	2026-07-15
314	MS_DRG	Inpatient	18	18	—	—	$14,903.04	$31,887.69	$14,903.04	2026-07-15
934	MS_DRG	Inpatient	18	18	—	—	$14,896.40	$31,873.49	$14,896.40	2026-07-15
867	MS_DRG	Inpatient	18	18	—	—	$14,895.07	$31,870.64	$14,895.07	2026-07-15
592	MS_DRG	Inpatient	18	18	—	—	$14,880.45	$31,839.37	$14,880.45	2026-07-15
333	MS_DRG	Inpatient	18	18	—	—	$14,810.07	$31,688.83	$14,810.07	2026-07-15
481	MS_DRG	Inpatient	18	18	—	—	$14,779.53	$31,623.51	$14,779.53	2026-07-15
141	MS_DRG	Inpatient	18	18	—	—	$14,758.28	$31,578.06	$14,758.28	2026-07-15
412	MS_DRG	Inpatient	18	18	—	—	$14,721.08	$31,498.49	$14,721.08	2026-07-15
575	MS_DRG	Inpatient	18	18	—	—	$14,587.63	$31,213.05	$14,587.63	2026-07-15
935	MS_DRG	Inpatient	18	18	—	—	$14,555.09	$31,143.45	$14,555.09	2026-07-15
516	MS_DRG	Inpatient	18	18	—	—	$14,553.09	$31,139.17	$14,553.09	2026-07-15
854	MS_DRG	Inpatient	18	18	—	—	$14,535.82	$31,102.23	$14,535.82	2026-07-15
33991	HCPCS	Lv Assist Device Insertion With Transeptal	37	37	$15,982.50	$9,589.50 40% off	$1,571.00	$15,982.50	$14,384.25	2026-07-15
486	MS_DRG	Inpatient	18	18	—	—	$14,337.28	$30,677.57	$14,337.28	2026-07-15
908	MS_DRG	Inpatient	18	18	—	—	$14,309.39	$30,617.91	$14,309.39	2026-07-15
64	MS_DRG	Inpatient	18	18	—	—	$14,302.08	$30,602.28	$14,302.08	2026-07-15
838	MS_DRG	Inpatient	18	18	—	—	$14,293.45	$30,583.82	$14,293.45	2026-07-15
C9602	HCPCS	Coro Atherec Stnt Drug Lad	37	37	$14,253.54	$8,552.12 40% off	$2,233.53	$55,281.18	$14,253.54	2026-07-15
C9606	HCPCS	Ami Stnt Drug Ather Nat Grft Lad	72	37	$14,966.00	$8,979.60 40% off	$1,571.00	$30,704.14	$14,253.54	2026-07-15
511	MS_DRG	Inpatient	18	18	—	—	$14,240.99	$30,471.61	$14,240.99	2026-07-15

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