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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

NORTHERN LOUISIANA MEDICAL CENTER

Ruston, LA · CCN 190086 · Rates published

10,819 distinct procedures filed
92 distinct payers
1,817,469 rate rows
2026-05-04 last MRF observed
Data quality

1,815,733 of 1,817,469 rate rows are consumer-grade (99.9%)

1,736 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
placeholder amount (≤ $0.02) — excluded from medians 999
template filing: same amount across many unrelated codes — excluded 541
per-diem day rate — not a per-procedure price 150
exceeds 10× this hospital's gross charge — excluded from medians 46
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://s3.amazonaws.com/ycubaa-production-marlin-1-charge-management-public/facilities/d191002b-0c8e-4cf4-9961-812ba9c00557/844422249_NORTHERN-LOUISIANA-MEDICAL-CENTER_standardcharges.zip
Found on page https://www.yourcareeverywhere.com/content/medhost/your-care-everywhere/pricing-estimator-page.html?facility_id=d191002b-0c8e-4cf4-9961-812ba9c00557
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 825c304fb8be2a9b… · 68,065,753 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 I 20 $227,964.41 $541,415.48 $284,955.52 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System 20 $147,939.73 $351,356.87 $184,924.67 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >9 20 $112,710.48 $267,687.39 $140,888.10 nat. median
$206,474
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principa 20 $112,049.01 $266,116.41 $140,061.27 nat. median
$202,976
0.7× median
33264
CPT 		Rep Multi Lead Icd 77 $1,600.00 $99,999.99 $99,999.99 nat. median
$31,873
outlier · 3.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagno 20 $73,122.31 $174,448.98 $91,402.89 nat. median
$133,161
0.7× median
4470581
CDM 		Cath Intra Aortic 75 $1,600.00 $88,000.00 $88,000.00 nat. median
$3,892
outlier · 22.6×
7
MS_DRG 		Lung Transplant 20 $68,364.82 $162,366.45 $85,456.03 nat. median
$122,708
0.7× median
01906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 16 $65,467.19 $163,667.98 $81,833.99 nat. median
$82,736
1.0× median
01902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 16 $65,467.19 $163,667.98 $81,833.99 nat. median
$82,736
1.0× median
01907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 16 $65,467.19 $163,667.98 $81,833.99 nat. median
$84,819
1.0× median
01901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 16 $65,467.19 $163,667.98 $81,833.99 nat. median
$84,819
1.0× median
01908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 16 $65,467.19 $163,667.98 $81,833.99 nat. median
$82,736
1.0× median
01903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 16 $65,467.19 $163,667.98 $81,833.99 nat. median
$84,819
1.0× median
01904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 16 $65,467.19 $163,667.98 $81,833.99 nat. median
$82,736
1.0× median
01585
OTHER 		New Technology - Level 48 ($90,001-$100,000) 16 $65,467.19 $163,667.98 $81,833.99 nat. median
$83,741
1.0× median
01599
OTHER 		New Technology - Level 48 ($90,001-$100,000) 16 $65,467.19 $163,667.98 $81,833.99 nat. median
$83,741
1.0× median
01905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 16 $65,467.19 $163,667.98 $81,833.99 nat. median
$82,736
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $63,443.16 $161,754.82 $79,303.95 nat. median
$117,357
0.7× median
01584
OTHER 		New Technology - Level 47 ($80,001-$90,000) 16 $62,406.72 $156,016.80 $78,008.40 nat. median
$79,660
1.0× median
01598
OTHER 		New Technology - Level 47 ($80,001-$90,000) 16 $62,406.72 $156,016.80 $78,008.40 nat. median
$79,660
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System 20 $59,821.20 $142,075.35 $74,776.50 nat. median
$108,660
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 19 $59,752.57 $141,912.36 $74,690.72 nat. median
$98,047
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spi 20 $58,181.52 $138,181.12 $72,726.91 nat. median
$98,894
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 20 $57,404.97 $136,336.81 $71,756.22 nat. median
$102,358
0.7× median
01583
OTHER 		New Technology - Level 46 ($70,001-$80,000) 16 $55,064.79 $137,661.98 $68,830.99 nat. median
$70,289
1.0× median
01597
OTHER 		New Technology - Level 46 ($70,001-$80,000) 16 $55,064.79 $137,661.98 $68,830.99 nat. median
$70,289
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 20 $54,429.70 $131,477.49 $68,037.13 nat. median
$100,136
0.7× median
L8614
CPT 		Cochlear Implant 77 $1,600.00 $99,999.00 $67,236.40 nat. median
$23,403
outlier · 2.9×
215
MS_DRG 		Other Heart Assist System Implant 20 $52,563.56 $130,803.40 $65,704.45 nat. median
$99,019
0.7× median
37236
CPT 		Renal Art Stent Placement 77 $1,600.00 $65,511.68 $65,511.68 nat. median
$12,371
outlier · 5.3×
33249
CPT 		S-ins-rep Pace-defib 77 $1,600.00 $65,000.00 $65,000.00 nat. median
$31,833
outlier · 2.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 20 $51,643.94 $122,654.36 $64,554.93 nat. median
$93,672
0.7× median
33214
CPT 		Upgrd Sng Ppm To Dual Ppm 77 $1,600.00 $61,937.00 $61,937.00 nat. median
$11,386
outlier · 5.4×
C1820
CPT 		Imp Gen Chrg G09 75 $1,600.00 $98,000.00 $60,500.00 nat. median
$22,013
outlier · 2.7×
37227
CPT 		Pta Fem/pop Revas W/stent& At 77 $1,600.00 $60,193.50 $60,193.50 nat. median
$18,025
outlier · 3.3×
37234
CPT 		Pta Revasc Opn/prq Tib/per St 75 $1,300.00 $60,193.50 $60,193.50 nat. median
$8,515
outlier · 7.1×
01582
OTHER 		New Technology - Level 45 ($60,001-$70,000) 16 $47,722.87 $119,307.18 $59,653.59 nat. median
$60,917
1.0× median
01596
OTHER 		New Technology - Level 45 ($60,001-$70,000) 16 $47,722.87 $119,307.18 $59,653.59 nat. median
$60,917
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fu 20 $47,562.17 $112,960.16 $59,452.72 nat. median
$82,711
0.7× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With 16 $46,779.82 $111,102.08 $58,474.78 nat. median
$87,428
0.7× median
33228
CPT 		Remove/replace Pul Gen Dul Ld 77 $1,600.00 $58,386.50 $58,386.50 nat. median
$11,435
outlier · 5.1×
33208
CPT 		Perm Pace Ins Dual 77 $1,600.00 $58,202.50 $58,202.50 nat. median
$11,773
outlier · 4.9×
850
MS_DRG 		Acute Leukemia With Other Procedures 20 $45,713.98 $113,730.12 $57,142.48 nat. median
$83,470
0.7× median
37231
CPT 		Pta Tib/per Revas W/stent & At 77 $1,600.00 $56,786.50 $56,786.50 nat. median
$18,087
outlier · 3.1×
C1886
CPT 		Kit Bvn Optablate 75 $1,600.00 $56,000.00 $56,000.00 nat. median
$2,850
outlier · 19.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 20 $44,501.91 $105,692.04 $55,627.39 nat. median
$79,312
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvatur 20 $44,362.01 $105,359.78 $55,452.52 nat. median
$81,118
0.7× median
C9607
CPT 		Percutaneous Transluminal Revascu 77 $1,600.00 $55,000.00 $55,000.00 nat. median
$20,002
outlier · 2.7×
4500424
CDM 		Plc Coro Stn Des Sgl 75 $1,600.00 $54,717.50 $54,717.50 nat. median
$46,510
1.2× median

Other procedures at this hospital

Browse this hospital's 10,819 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
             
01577 OTHER New Technology - Level 40 ($20,001-$25,000) 41 16 — — $16,519.69 $41,299.24 $20,649.62 2026-05-04
01578 OTHER New Technology - Level 41 ($25,001-$30,000) 41 16 — — $20,190.66 $50,476.66 $25,238.33 2026-05-04
01579 OTHER New Technology - Level 42 ($30,001-$40,000) 41 16 — — $25,697.10 $64,242.76 $32,121.38 2026-05-04
01580 OTHER New Technology - Level 43 ($40,001-$50,000) 41 16 — — $33,039.02 $82,597.56 $41,298.78 2026-05-04
01581 OTHER New Technology - Level 44 ($50,001-$60,000) 41 16 — — $40,380.95 $100,952.38 $50,476.19 2026-05-04
01582 OTHER New Technology - Level 45 ($60,001-$70,000) 41 16 — — $47,722.87 $119,307.18 $59,653.59 2026-05-04
01583 OTHER New Technology - Level 46 ($70,001-$80,000) 41 16 — — $55,064.79 $137,661.98 $68,830.99 2026-05-04
01584 OTHER New Technology - Level 47 ($80,001-$90,000) 41 16 — — $62,406.72 $156,016.80 $78,008.40 2026-05-04
01585 OTHER New Technology - Level 48 ($90,001-$100,000) 41 16 — — $65,467.19 $163,667.98 $81,833.99 2026-05-04
01591 OTHER New Technology - Level 40 ($20,001-$25,000) 41 16 — — $16,519.69 $41,299.24 $20,649.62 2026-05-04
01592 OTHER New Technology - Level 41 ($25,001-$30,000) 41 16 — — $20,190.66 $50,476.66 $25,238.33 2026-05-04
01593 OTHER New Technology - Level 42 ($30,001-$40,000) 41 16 — — $25,697.10 $64,242.76 $32,121.38 2026-05-04
01594 OTHER New Technology - Level 43 ($40,001-$50,000) 41 16 — — $33,039.02 $82,597.56 $41,298.78 2026-05-04
01595 OTHER New Technology - Level 44 ($50,001-$60,000) 41 16 — — $40,380.95 $100,952.38 $50,476.19 2026-05-04
01596 OTHER New Technology - Level 45 ($60,001-$70,000) 41 16 — — $47,722.87 $119,307.18 $59,653.59 2026-05-04
01597 OTHER New Technology - Level 46 ($70,001-$80,000) 41 16 — — $55,064.79 $137,661.98 $68,830.99 2026-05-04
01598 OTHER New Technology - Level 47 ($80,001-$90,000) 41 16 — — $62,406.72 $156,016.80 $78,008.40 2026-05-04
01599 OTHER New Technology - Level 48 ($90,001-$100,000) 41 16 — — $65,467.19 $163,667.98 $81,833.99 2026-05-04
01901 OTHER New Technology - Level 49 ($100,001-$115,000) 41 16 — — $65,467.19 $163,667.98 $81,833.99 2026-05-04
01902 OTHER New Technology - Level 49 ($100,001-$115,000) 41 16 — — $65,467.19 $163,667.98 $81,833.99 2026-05-04
01903 OTHER New Technology - Level 50 ($115,001-$130,000) 41 16 — — $65,467.19 $163,667.98 $81,833.99 2026-05-04
01904 OTHER New Technology - Level 50 ($115,001-$130,000) 41 16 — — $65,467.19 $163,667.98 $81,833.99 2026-05-04
01905 OTHER New Technology - Level 51 ($130,001-$145,000) 41 16 — — $65,467.19 $163,667.98 $81,833.99 2026-05-04
01906 OTHER New Technology - Level 51 ($130,001-$145,000) 41 16 — — $65,467.19 $163,667.98 $81,833.99 2026-05-04
01907 OTHER New Technology - Level 52 ($145,001-$160,000) 41 16 — — $65,467.19 $163,667.98 $81,833.99 2026-05-04
01908 OTHER New Technology - Level 52 ($145,001-$160,000) 41 16 — — $65,467.19 $163,667.98 $81,833.99 2026-05-04
05166 OTHER Cochlear Implant Procedure 41 16 — — $23,353.06 $58,382.66 $29,191.33 2026-05-04
05200 OTHER Implantation Wireless Pa Pressure Monitor 41 16 — — $20,871.85 $52,179.64 $26,089.82 2026-05-04
05213 OTHER Level 3 Electrophysiologic Procedures 41 16 — — $18,011.42 $45,028.56 $22,514.28 2026-05-04
05231 OTHER Level 1 Icd And Similar Procedures 41 16 — — $16,479.82 $41,199.56 $20,599.78 2026-05-04
05232 OTHER Level 2 Icd And Similar Procedures 41 16 — — $23,539.36 $58,848.42 $29,424.21 2026-05-04
05244 OTHER Level 4 Blood Product Exchange And Related Service 41 16 — — $43,421.84 $108,554.62 $54,277.31 2026-05-04
05465 OTHER Level 5 Neurostimulator And Related Procedures 41 16 — — $22,373.47 $55,933.68 $27,966.84 2026-05-04
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System 57 20 — — $147,939.73 $351,356.87 $184,924.67 2026-05-04
10 MS_DRG Pancreas Transplant 57 20 — — $19,340.37 $98,434.66 $47,351.15 2026-05-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or 57 20 — — $28,792.49 $68,382.17 $35,990.62 2026-05-04
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or 57 20 — — $22,256.49 $52,859.17 $27,820.62 2026-05-04
14 MS_DRG Allogeneic Bone Marrow Transplant 57 20 — — $63,443.16 $161,754.82 $79,303.95 2026-05-04
140 MS_DRG Major Head And Neck Procedures With Mcc 57 20 — — $22,516.75 $53,477.28 $28,145.94 2026-05-04
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures 57 20 — — $19,778.50 $46,973.94 $24,723.13 2026-05-04
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 57 20 — — $31,303.21 $74,519.22 $39,129.02 2026-05-04
163 MS_DRG Major Chest Procedures With Mcc 57 20 — — $23,659.67 $56,905.18 $29,574.59 2026-05-04
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 57 20 — — $19,731.52 $47,535.80 $24,664.40 2026-05-04
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 57 20 — — $28,677.40 $74,519.22 $35,846.76 2026-05-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other I 57 20 — — $227,964.41 $541,415.48 $284,955.52 2026-05-04
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With H 57 20 — — $37,663.95 $97,870.45 $47,079.94 2026-05-04
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System 57 20 — — $59,821.20 $142,075.35 $74,776.50 2026-05-04
20 MS_DRG Intracranial Vascular Procedures With Principal Di 57 20 — — $41,539.83 $99,522.34 $51,924.79 2026-05-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Suppo 57 20 — — $33,969.13 $80,676.69 $42,461.42 2026-05-04
209 MS_DRG Complex Aortic Arch Procedures 49 19 — — $59,752.57 $141,912.36 $74,690.72 2026-05-04
21 MS_DRG Intracranial Vascular Procedures With Principal Di 57 20 — — $27,946.26 $66,372.37 $34,932.83 2026-05-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 57 20 — — $57,404.97 $136,336.81 $71,756.22 2026-05-04
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Pro 49 19 — — $30,127.04 $71,551.72 $37,658.80 2026-05-04
215 MS_DRG Other Heart Assist System Implant 57 20 — — $52,563.56 $130,803.40 $65,704.45 2026-05-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 57 20 — — $51,643.94 $122,654.36 $64,554.93 2026-05-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 57 20 — — $34,711.37 $82,439.51 $43,389.22 2026-05-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 57 20 — — $34,711.37 $82,439.51 $43,389.22 2026-05-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 57 20 — — $40,534.16 $96,268.64 $50,667.71 2026-05-04
22 MS_DRG Intracranial Vascular Procedures With Principal Di 57 20 — — $16,773.67 $39,837.47 $20,967.09 2026-05-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 57 20 — — $28,152.14 $66,861.34 $35,190.18 2026-05-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 57 20 — — $26,607.49 $63,192.80 $33,259.37 2026-05-04
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 41 16 — — $40,419.61 $95,996.58 $50,524.52 2026-05-04
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 41 16 — — $27,549.80 $65,430.79 $34,437.26 2026-05-04
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 41 16 — — $37,424.28 $88,882.66 $46,780.35 2026-05-04
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 41 16 — — $26,699.88 $63,412.21 $33,374.85 2026-05-04
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath 41 16 — — $33,790.70 $80,252.92 $42,238.38 2026-05-04
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath 41 16 — — $26,504.55 $62,948.31 $33,130.69 2026-05-04
228 MS_DRG Other Cardiothoracic Procedures With Mcc 57 20 — — $26,117.60 $62,029.30 $32,647.00 2026-05-04
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 57 20 — — $16,626.38 $39,487.66 $20,782.98 2026-05-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Comp 57 20 — — $30,250.56 $71,845.09 $37,813.21 2026-05-04
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 41 16 — — $22,709.44 $53,934.92 $28,386.80 2026-05-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 57 20 — — $44,501.91 $105,692.04 $55,627.39 2026-05-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 57 20 — — $32,004.80 $76,011.40 $40,006.00 2026-05-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Op 57 20 — — $40,359.43 $96,501.27 $50,449.29 2026-05-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Op 57 20 — — $28,837.89 $68,490.00 $36,047.37 2026-05-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization Wi 57 20 — — $30,980.66 $73,579.07 $38,725.83 2026-05-04
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Wi 57 20 — — $22,112.90 $52,518.14 $27,641.13 2026-05-04
239 MS_DRG Amputation For Circulatory System Disorders Except 57 20 — — $25,981.92 $62,185.57 $32,477.41 2026-05-04
24 MS_DRG Craniotomy With Major Device Implant Or Acute Comp 57 20 — — $20,651.13 $49,046.44 $25,813.92 2026-05-04
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 57 20 — — $16,854.96 $41,877.63 $21,068.71 2026-05-04
245 MS_DRG Aicd Generator Procedures 57 20 — — $24,085.16 $60,332.43 $30,106.45 2026-05-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedure 57 20 — — $24,002.28 $57,005.41 $30,002.85 2026-05-04
252 MS_DRG Other Vascular Procedures With Mcc 57 20 — — $18,414.92 $43,735.45 $23,018.66 2026-05-04
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 57 20 — — $16,587.32 $39,394.88 $20,734.15 2026-05-04
260 MS_DRG Cardiac Pacemaker Revision Except Device Replaceme 57 20 — — $17,171.71 $42,052.95 $21,464.64 2026-05-04
264 MS_DRG Other Circulatory System O.r. Procedures 57 20 — — $17,635.20 $43,150.50 $22,044.01 2026-05-04
265 MS_DRG Aicd Lead Procedures 57 20 — — $19,100.68 $45,364.11 $23,875.85 2026-05-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplem 57 20 — — $32,352.16 $76,836.38 $40,440.20 2026-05-04
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplem 57 20 — — $25,132.52 $59,689.75 $31,415.66 2026-05-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsatio 57 20 — — $36,308.81 $86,233.43 $45,386.02 2026-05-04
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsatio 57 20 — — $22,294.50 $52,949.44 $27,868.13 2026-05-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 57 20 — — $27,853.88 $66,152.96 $34,817.35 2026-05-04
271 MS_DRG Other Major Cardiovascular Procedures With Cc 57 20 — — $18,773.90 $44,588.02 $23,467.38 2026-05-04
273 MS_DRG Percutaneous And Other Intracardiac Procedures Wit 57 20 — — $21,778.74 $51,724.51 $27,223.43 2026-05-04
274 MS_DRG Percutaneous And Other Intracardiac Procedures Wit 57 20 — — $17,377.06 $41,270.52 $21,721.33 2026-05-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 57 20 — — $37,641.77 $89,399.21 $47,052.22 2026-05-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid 57 20 — — $31,709.17 $76,476.06 $39,636.47 2026-05-04
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 57 20 — — $24,381.32 $57,905.63 $30,476.65 2026-05-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of P 57 20 — — $29,384.28 $69,787.66 $36,730.35 2026-05-04
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of P 57 20 — — $19,038.38 $45,216.16 $23,797.98 2026-05-04
28 MS_DRG Spinal Procedures With Mcc 57 20 — — $31,718.15 $75,330.61 $39,647.69 2026-05-04
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulato 57 20 — — $18,010.02 $42,773.80 $22,512.53 2026-05-04
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principa 57 20 — — $112,049.01 $266,116.41 $140,061.27 2026-05-04
31 MS_DRG Ventricular Shunt Procedures With Mcc 57 20 — — $23,652.80 $56,175.41 $29,566.01 2026-05-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Card 57 20 — — $35,298.40 $83,833.70 $44,123.00 2026-05-04
319 MS_DRG Other Endovascular Cardiac Valve Procedures With M 57 20 — — $23,559.89 $55,954.75 $29,449.87 2026-05-04
323 MS_DRG Coronary Intravascular Lithotripsy With Intralumin 57 20 — — $22,844.58 $54,255.88 $28,555.73 2026-05-04
324 MS_DRG Coronary Intravascular Lithotripsy With Intralumin 57 20 — — $16,634.30 $39,506.47 $20,792.88 2026-05-04
325 MS_DRG Coronary Intravascular Lithotripsy Without Intralu 57 20 — — $16,947.88 $40,251.21 $21,184.85 2026-05-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With M 57 20 — — $26,328.76 $62,705.33 $32,910.95 2026-05-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 57 20 — — $24,265.17 $57,629.79 $30,331.47 2026-05-04
332 MS_DRG Rectal Resection With Mcc 57 20 — — $19,113.87 $45,395.44 $23,892.34 2026-05-04
33206 CPT P-ins Gen-lead Atr 199 77 $50,494.50 $27,771.97 45% off $1,600.00 $50,494.50 $50,494.50 2026-05-04
33207 CPT Perm Pace Ins Vent 199 77 $47,390.50 $26,064.77 45% off $1,600.00 $47,390.50 $47,390.50 2026-05-04
33208 CPT Perm Pace Ins Dual 199 77 $58,202.50 $32,011.37 45% off $1,600.00 $58,202.50 $58,202.50 2026-05-04
33210 CPT Temporary Pacemaker 199 77 $26,074.50 $14,340.97 45% off $1,600.00 $26,074.50 $26,074.50 2026-05-04
33213 CPT P-ins-rpl Gen Dual 204 77 $27,100.00 $14,905.00 45% off $1,400.00 $27,100.00 $26,422.50 2026-05-04
33214 CPT Upgrd Sng Ppm To Dual Ppm 199 77 $61,937.00 $34,065.35 45% off $1,600.00 $61,937.00 $61,937.00 2026-05-04
33216 CPT P-ins Lead Sngl 199 77 $26,074.50 $14,340.97 45% off $1,600.00 $26,074.50 $26,074.50 2026-05-04
33217 CPT P-ins Lead Dual 199 77 $21,888.00 $12,038.40 45% off $1,600.00 $21,888.00 $21,888.00 2026-05-04
33225 CPT Left Ventricular Ld Add-on 191 75 $23,861.50 $13,123.82 45% off $1,600.00 $23,861.50 $23,861.50 2026-05-04
33227 CPT Remove/replace Pul Gen Sgl Ld 199 77 $47,482.50 $26,115.37 45% off $1,600.00 $47,482.50 $47,482.50 2026-05-04
33228 CPT Remove/replace Pul Gen Dul Ld 199 77 $58,386.50 $32,112.57 45% off $1,600.00 $58,386.50 $58,386.50 2026-05-04
33249 CPT S-ins-rep Pace-defib 199 77 $65,000.00 $35,750.00 45% off $1,600.00 $65,000.00 $65,000.00 2026-05-04
33263 CPT Rep Dual Lead Icd 199 77 $50,200.50 $27,610.27 45% off $1,600.00 $50,200.50 $50,200.50 2026-05-04
33264 CPT Rep Multi Lead Icd 199 77 $99,999.99 $54,999.99 45% off $1,600.00 $99,999.99 $99,999.99 2026-05-04
335 MS_DRG Peritoneal Adhesiolysis With Mcc 57 20 — — $18,850.97 $44,771.06 $23,563.72 2026-05-04
33990 CPT Insertion Of Impella Device 197 77 $32,100.00 $17,655.00 45% off $1,600.00 $32,100.00 $32,100.00 2026-05-04
34 MS_DRG Carotid Artery Stent Procedures With Mcc 57 20 — — $20,433.64 $48,529.89 $25,542.05 2026-05-04
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 57 20 — — $23,189.83 $55,075.85 $28,987.29 2026-05-04
359 MS_DRG Percutaneous Coronary Atherectomy With Intralumina 49 19 — — $18,152.56 $43,112.33 $22,690.70 2026-05-04
36903 CPT Ir-cat Dial Tran Stn 199 77 $25,414.00 $13,977.70 45% off $515.13 $25,414.00 $25,414.00 2026-05-04
36906 CPT Ir-thrmbc Tran Stent 199 77 $37,790.50 $20,784.77 45% off $589.05 $37,790.50 $37,790.50 2026-05-04
36907 CPT Central Vessel Angioplasty 191 75 $47,390.50 $26,064.77 45% off $671.00 $47,390.50 $47,390.50 2026-05-04
37 MS_DRG Extracranial Procedures With Mcc 57 20 — — $17,379.17 $41,275.54 $21,723.97 2026-05-04
37221 CPT Athr Fempop Stent 199 77 $38,760.50 $21,318.27 45% off $1,600.00 $38,760.50 $38,760.50 2026-05-04
37223 CPT Athr Teb/per Stent Additional 191 75 $25,667.50 $14,117.12 45% off $1,300.00 $25,667.50 $25,667.50 2026-05-04
37225 CPT Pta Fam/pop Revasc A/athr 199 77 $38,595.50 $21,227.52 45% off $1,600.00 $38,595.50 $38,595.50 2026-05-04
37226 CPT Pta Fem Pop W/arth & Stent 199 77 $38,760.50 $21,318.27 45% off $1,600.00 $38,760.50 $38,760.50 2026-05-04
37227 CPT Pta Fem/pop Revas W/stent& At 199 77 $60,193.50 $33,106.42 45% off $1,600.00 $60,193.50 $60,193.50 2026-05-04
37229 CPT S-tib Per Revas Athr 199 77 $34,350.00 $18,892.50 45% off $1,600.00 $34,350.00 $34,350.00 2026-05-04
37230 CPT Pta Tib/per Revasc W/stent 199 77 $36,010.50 $19,805.77 45% off $1,600.00 $36,010.50 $36,010.50 2026-05-04
37231 CPT Pta Tib/per Revas W/stent & At 199 77 $56,786.50 $31,232.57 45% off $1,600.00 $56,786.50 $56,786.50 2026-05-04
37233 CPT Pta Tib/per Revasc W/ather Add 191 75 $27,497.50 $15,123.62 45% off $1,300.00 $27,497.50 $27,497.50 2026-05-04
37234 CPT Pta Revasc Opn/prq Tib/per St 191 75 $60,193.50 $33,106.42 45% off $1,300.00 $60,193.50 $60,193.50 2026-05-04
37235 CPT Pta Tix/per Revasc W/stent&ath 191 75 $34,900.00 $19,195.00 45% off $1,300.00 $34,900.00 $34,900.00 2026-05-04
37236 CPT Renal Art Stent Placement 199 77 $65,511.68 $36,031.42 45% off $1,600.00 $65,511.68 $65,511.68 2026-05-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagno 57 20 — — $73,122.31 $174,448.98 $91,402.89 2026-05-04
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System 57 20 — — $20,383.48 $48,410.78 $25,479.36 2026-05-04
402 MS_DRG Single Level Combined Anterior And Posterior Spina 57 20 — — $21,224.44 $50,408.04 $26,530.55 2026-05-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 57 20 — — $28,879.07 $68,587.79 $36,098.84 2026-05-04
408 MS_DRG Biliary Tract Procedures Except Only Cholecystecto 57 20 — — $18,823.00 $44,704.62 $23,528.75 2026-05-04
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 57 20 — — $17,438.30 $41,415.97 $21,797.88 2026-05-04
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d. 57 20 — — $18,807.16 $44,667.00 $23,508.95 2026-05-04
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 57 20 — — $17,986.26 $43,575.21 $22,482.83 2026-05-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Wi 57 20 — — $21,923.91 $52,069.29 $27,404.89 2026-05-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spi 57 20 — — $58,181.52 $138,181.12 $72,726.91 2026-05-04
427 MS_DRG Multiple Level Combined Anterior And Posterior Spi 57 20 — — $38,107.39 $90,505.05 $47,634.24 2026-05-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spi 57 20 — — $29,678.84 $70,487.26 $37,098.56 2026-05-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fu 57 20 — — $47,562.17 $112,960.16 $59,452.72 2026-05-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fu 57 20 — — $30,444.84 $72,306.49 $38,056.05 2026-05-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With 57 20 — — $35,272.53 $83,772.27 $44,090.67 2026-05-04
4470011 CDM I-stent Infinite 167 75 $22,800.00 $12,540.00 45% off $1,600.00 $22,800.00 $22,800.00 2026-05-04
4470581 CDM Cath Intra Aortic 167 75 $88,000.00 $48,400.00 45% off $1,600.00 $88,000.00 $88,000.00 2026-05-04
4472646 CDM Lapiplasty System 1 167 75 $30,400.00 $16,720.00 45% off $1,600.00 $30,400.00 $30,400.00 2026-05-04
4474067 CDM Insert Legion Fem 9mm Sz 3-4 167 75 $24,376.00 $13,406.80 45% off $1,600.00 $24,376.00 $24,376.00 2026-05-04
4474180 CDM Trunion 49mm Eclipse 167 75 $37,800.00 $20,790.00 45% off $1,600.00 $37,800.00 $37,800.00 2026-05-04
4475685 CDM Femur Porocoat Rt Sz 3 167 75 $25,740.00 $14,157.00 45% off $1,600.00 $25,740.00 $25,740.00 2026-05-04
4475688 CDM Stem Calcar 9in 1573-06-000 167 75 $31,577.50 $17,367.62 45% off $1,600.00 $31,577.50 $31,577.50 2026-05-04
4475693 CDM Femur Sz 2.5 94-0028 167 75 $25,740.00 $14,157.00 45% off $1,600.00 $25,740.00 $25,740.00 2026-05-04
4475703 CDM Femur Porocoat Sz 4 94-0024 167 75 $25,740.00 $14,157.00 45% off $1,600.00 $25,740.00 $25,740.00 2026-05-04
4476395 CDM Hip Stem Calcar 18mm 167 75 $22,320.00 $12,276.00 45% off $1,600.00 $22,320.00 $22,320.00 2026-05-04
4476507 CDM Hip Implant Porous Shell 167 75 $20,900.00 $11,495.00 45% off $1,563.32 $20,900.00 $20,900.00 2026-05-04
4476656 CDM Graft Allomax 13x15cm 167 75 $27,262.50 $14,994.37 45% off $1,600.00 $27,262.50 $27,262.50 2026-05-04
4476681 CDM Femoral Component Sz 6 Right 167 75 $24,640.00 $13,552.00 45% off $1,600.00 $24,640.00 $24,640.00 2026-05-04
4476756 CDM Femoral Component Sz 12 167 75 $24,205.50 $13,313.02 45% off $1,600.00 $24,205.50 $24,205.50 2026-05-04
4476817 CDM Femoral Component Sz 14 167 75 $24,205.50 $13,313.02 45% off $1,600.00 $24,205.50 $24,205.50 2026-05-04
4477188 CDM Femoral Component Sz 19 Right 167 75 $28,677.00 $15,772.35 45% off $1,600.00 $28,677.00 $28,677.00 2026-05-04
4477378 CDM Humeral Stem 10mmx145mm 167 75 $22,198.00 $12,208.90 45% off $1,600.00 $22,198.00 $22,198.00 2026-05-04
4477459 CDM Femoral Ox Constrained Sz 6 Lt 167 75 $44,338.00 $24,385.90 45% off $1,600.00 $44,338.00 $44,338.00 2026-05-04
4478223 CDM Stem Hum 122mm Cmprh Shldr 167 75 $22,800.00 $12,540.00 45% off $1,600.00 $22,800.00 $22,800.00 2026-05-04
4478861 CDM Femoral Component Bowed Sz14 167 75 $28,677.00 $15,772.35 45% off $1,600.00 $28,677.00 $28,677.00 2026-05-04
4479091 CDM Esl Spacer 14x25 60474 167 75 $21,956.00 $12,075.80 45% off $1,600.00 $21,956.00 $21,956.00 2026-05-04
4479197 CDM Femoral Component Sz 6 Right 167 75 $23,925.00 $13,158.75 45% off $1,600.00 $23,925.00 $23,925.00 2026-05-04
4479288 CDM Vitoss 10cc 167 75 $23,175.00 $12,746.25 45% off $1,600.00 $23,175.00 $23,175.00 2026-05-04
4479374 CDM Accord Troch Grip 14x190mm 167 75 $37,444.00 $20,594.20 45% off $1,600.00 $37,444.00 $37,444.00 2026-05-04
4479618 CDM Ech Por 190mm Str Sz 12 167 75 $25,591.50 $14,075.32 45% off $1,600.00 $25,591.50 $25,591.50 2026-05-04
4479637 CDM Femoral Head Sz 7 Lt 167 75 $23,925.00 $13,158.75 45% off $1,600.00 $23,925.00 $23,925.00 2026-05-04
4479741 CDM Stent Resolute 2.75x14mm 167 75 $37,224.00 $20,473.20 45% off $1,600.00 $37,224.00 $37,224.00 2026-05-04
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Witho 57 20 — — $22,387.41 $53,170.11 $27,984.27 2026-05-04
4481015 CDM Optablate Probe Kit 167 75 $34,992.00 $19,245.60 45% off $1,600.00 $34,992.00 $34,992.00 2026-05-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mc 57 20 — — $28,135.25 $66,821.23 $35,169.07 2026-05-04
4500423 CDM Plc Coro Stn Des Add 167 75 $26,822.50 $14,752.37 45% off $1,600.00 $26,822.50 $26,822.50 2026-05-04
4500424 CDM Plc Coro Stn Des Sgl 167 75 $54,717.50 $30,094.62 45% off $1,600.00 $54,717.50 $54,717.50 2026-05-04
4500425 CDM Ppm Gen Chg Dual 167 75 $54,314.00 $29,872.70 45% off $1,600.00 $54,314.00 $54,314.00 2026-05-04
4500426 CDM Ppm Gen Chg Single 167 75 $50,251.50 $27,638.32 45% off $1,600.00 $50,251.50 $50,251.50 2026-05-04
4500432 CDM R & I Hrt Art/ventricle Angio 167 75 $27,012.50 $14,856.87 45% off $1,600.00 $27,012.50 $27,012.50 2026-05-04
4500438 CDM Ventrculr Pcekr Insert 167 75 $52,764.00 $29,020.20 45% off $1,600.00 $52,764.00 $52,764.00 2026-05-04
4500439 CDM Re/edov Iliac Ea Ad 167 75 $26,810.00 $14,745.50 45% off $1,600.00 $26,810.00 $26,810.00 2026-05-04
451 MS_DRG Single Level Spinal Fusion Except Cervical Without 57 20 — — $17,053.45 $40,501.95 $21,316.82 2026-05-04
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With 41 16 — — $46,779.82 $111,102.08 $58,474.78 2026-05-04
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With 41 16 — — $32,288.28 $76,684.68 $40,360.36 2026-05-04
455 MS_DRG Combined Anterior And Posterior Spinal Fusion With 41 16 — — $24,313.21 $57,743.88 $30,391.52 2026-05-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 57 20 — — $44,362.01 $105,359.78 $55,452.52 2026-05-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 57 20 — — $31,479.53 $74,763.89 $39,349.42 2026-05-04
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 57 20 — — $22,027.38 $53,310.03 $27,534.23 2026-05-04
459 MS_DRG Spinal Fusion Except Cervical With Mcc 41 16 — — $35,012.28 $83,154.16 $43,765.35 2026-05-04
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 41 16 — — $19,310.25 $45,861.85 $24,137.82 2026-05-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lo 57 20 — — $29,156.22 $73,962.42 $36,445.28 2026-05-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For M 57 20 — — $30,087.97 $71,458.94 $37,609.97 2026-05-04
464 MS_DRG Wound Debridement And Skin Graft Except Hand For M 57 20 — — $16,442.67 $39,051.34 $20,553.34 2026-05-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 57 20 — — $27,479.59 $65,264.03 $34,349.49 2026-05-04
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 57 20 — — $18,617.11 $44,215.64 $23,271.39 2026-05-04
471 MS_DRG Cervical Spinal Fusion With Mcc 57 20 — — $25,490.97 $60,541.06 $31,863.72 2026-05-04
474 MS_DRG Amputation For Musculoskeletal System And Connecti 57 20 — — $22,662.45 $55,368.11 $28,328.07 2026-05-04
477 MS_DRG Biopsies Of Musculoskeletal System And Connective 57 20 — — $18,237.02 $43,312.93 $22,796.28 2026-05-04
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infect 57 20 — — $17,036.04 $40,460.59 $21,295.05 2026-05-04
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, 57 20 — — $19,382.57 $46,033.61 $24,228.22 2026-05-04
495 MS_DRG Local Excision And Removal Of Internal Fixation De 57 20 — — $19,140.27 $45,458.14 $23,925.34 2026-05-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 57 20 — — $54,429.70 $131,477.49 $68,037.13 2026-05-04
500 MS_DRG Soft Tissue Procedures With Mcc 57 20 — — $16,707.15 $39,679.48 $20,883.94 2026-05-04
515 MS_DRG Other Musculoskeletal System And Connective Tissue 57 20 — — $16,823.81 $39,956.56 $21,029.77 2026-05-04
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With 57 20 — — $19,729.40 $46,857.34 $24,661.76 2026-05-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 57 20 — — $34,585.20 $82,139.85 $43,231.50 2026-05-04
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 57 20 — — $18,325.71 $43,523.56 $22,907.14 2026-05-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Wit 57 20 — — $25,873.70 $66,610.37 $32,342.13 2026-05-04
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedu 57 20 — — $17,096.21 $40,603.51 $21,370.27 2026-05-04
6 MS_DRG Liver Transplant Without Mcc 57 20 — — $24,478.97 $59,868.22 $30,598.72 2026-05-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritiona 57 20 — — $18,410.17 $47,717.29 $23,012.72 2026-05-04
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, N 57 20 — — $18,789.21 $46,198.73 $23,486.52 2026-05-04
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Pr 57 20 — — $19,673.98 $48,713.61 $24,592.48 2026-05-04
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 57 20 — — $24,818.95 $58,945.01 $31,023.69 2026-05-04
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 57 20 — — $19,563.12 $46,462.41 $24,453.90 2026-05-04
652 MS_DRG Kidney Transplant 57 20 — — $17,048.70 $40,490.67 $21,310.88 2026-05-04
653 MS_DRG Major Bladder Procedures With Mcc 57 20 — — $27,432.08 $68,824.01 $34,290.10 2026-05-04
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 57 20 — — $16,807.45 $40,223.27 $21,009.32 2026-05-04
665 MS_DRG Prostatectomy With Mcc 57 20 — — $16,476.98 $42,391.23 $20,596.23 2026-05-04
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 57 20 — — $22,180.48 $52,678.64 $27,725.60 2026-05-04
7 MS_DRG Lung Transplant 57 20 — — $68,364.82 $162,366.45 $85,456.03 2026-05-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnex 57 20 — — $18,869.98 $48,613.61 $23,587.48 2026-05-04
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And 57 20 — — $18,913.80 $49,148.19 $23,642.25 2026-05-04
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrom 57 20 — — $31,376.06 $74,518.15 $39,220.08 2026-05-04
791 MS_DRG Prematurity With Major Problems 57 20 — — $21,427.68 $50,890.75 $26,784.61 2026-05-04
793 MS_DRG Full Term Neonate With Major Problems 57 20 — — $22,011.54 $52,277.41 $27,514.43 2026-05-04
799 MS_DRG Splenic Procedures With Mcc 57 20 — — $23,908.31 $58,702.76 $29,885.39 2026-05-04
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 57 20 — — $29,586.99 $70,269.10 $36,983.74 2026-05-04
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Formi 57 20 — — $21,032.28 $49,951.66 $26,290.35 2026-05-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures W 57 20 — — $30,960.60 $73,531.42 $38,700.75 2026-05-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedu 57 20 — — $24,203.40 $57,773.11 $30,254.26 2026-05-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentia 57 20 — — $24,694.36 $58,958.32 $30,867.96 2026-05-04
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentia 57 20 — — $16,681.81 $39,619.31 $20,852.27 2026-05-04
834 MS_DRG Acute Leukemia With Mcc 57 20 — — $28,981.48 $68,831.03 $36,226.86 2026-05-04
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diag 57 20 — — $25,362.16 $61,818.89 $31,702.71 2026-05-04
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 57 20 — — $17,077.21 $40,558.38 $21,346.52 2026-05-04
850 MS_DRG Acute Leukemia With Other Procedures 57 20 — — $45,713.98 $113,730.12 $57,142.48 2026-05-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Proced 57 20 — — $26,071.14 $61,918.96 $32,588.93 2026-05-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O. 57 20 — — $24,012.84 $57,030.49 $30,016.05 2026-05-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 57 20 — — $36,487.77 $86,658.46 $45,609.72 2026-05-04
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental 57 20 — — $20,403.01 $48,514.84 $25,503.77 2026-05-04
901 MS_DRG Wound Debridements For Injuries With Mcc 57 20 — — $22,154.08 $54,698.95 $27,692.60 2026-05-04
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 57 20 — — $19,390.49 $47,669.14 $24,238.12 2026-05-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 57 20 — — $20,267.87 $49,182.76 $25,334.84 2026-05-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >9 57 20 — — $112,710.48 $267,687.39 $140,888.10 2026-05-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation 57 20 — — $37,865.08 $89,929.56 $47,331.35 2026-05-04
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation 57 20 — — $17,002.77 $40,381.59 $21,253.47 2026-05-04
92920 CPT Ic-ptca, Single 181 77 $21,941.50 $12,067.82 45% off $1,600.00 $21,941.50 $21,941.50 2026-05-04
92921 CPT Ic-ptca, Addl 173 75 $24,813.00 $13,647.15 45% off $1,600.00 $24,813.00 $24,813.00 2026-05-04
92925 CPT Ic-atherect Coro Add 173 75 $31,644.50 $17,404.47 45% off $1,600.00 $31,644.50 $31,644.50 2026-05-04
92928 CPT Non-des, Initial 181 77 $33,095.50 $18,202.52 45% off $1,600.00 $33,095.50 $33,095.50 2026-05-04
92929 CPT Ic-prq Stnt W-ang Ea 173 75 $33,095.50 $18,202.52 45% off $1,600.00 $33,095.50 $33,095.50 2026-05-04
92934 CPT Ic-prq St-at-ang Ea 173 75 $33,095.50 $18,202.52 45% off $1,600.00 $33,095.50 $33,095.50 2026-05-04
92937 CPT Ic-prq Rv Byp Grf In 181 77 $33,095.50 $18,202.52 45% off $1,600.00 $33,095.50 $33,095.50 2026-05-04
92938 CPT Ic-prq Rv Byp Grf Ad 173 75 $33,095.50 $18,202.52 45% off $1,600.00 $33,095.50 $33,095.50 2026-05-04
92941 CPT Non-des, Acute Mi 181 77 $33,095.50 $18,202.52 45% off $1,600.00 $33,095.50 $33,095.50 2026-05-04
92944 CPT Ic-prq Revsc Chr Add 173 75 $41,895.50 $23,042.52 45% off $1,600.00 $41,895.50 $41,895.50 2026-05-04
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >9 57 20 — — $20,557.69 $53,419.91 $25,697.12 2026-05-04
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact Wi 57 20 — — $19,155.04 $45,493.23 $23,943.81 2026-05-04
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous Sy 57 20 — — $18,579.10 $45,046.85 $23,223.88 2026-05-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 57 20 — — $35,533.84 $84,392.88 $44,417.31 2026-05-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Mu 57 20 — — $19,865.08 $47,191.35 $24,831.35 2026-05-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Tra 57 20 — — $40,225.87 $95,536.44 $50,282.34 2026-05-04
958 MS_DRG Other O.r. Procedures For Multiple Significant Tra 57 20 — — $22,245.40 $52,832.84 $27,806.76 2026-05-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 57 20 — — $32,314.68 $78,079.81 $40,393.35 2026-05-04
97 MS_DRG Non-bacterial Infection Of Nervous System Except V 57 20 — — $19,066.88 $45,283.85 $23,833.61 2026-05-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal D 57 20 — — $24,768.27 $58,824.64 $30,960.34 2026-05-04
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Di 41 16 — — $18,006.32 $42,765.02 $22,507.91 2026-05-04
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Princip 57 20 — — $18,098.71 $43,244.33 $22,623.39 2026-05-04
C1722 CPT Icd Generator 1.6 Cd2231-40q 167 75 $51,150.00 $28,132.50 45% off $1,600.00 $51,150.00 $51,150.00 2026-05-04
C1764 CPT Recorder Event Reveal Linq 167 75 $32,800.00 $18,040.00 45% off $1,600.00 $32,800.00 $32,800.00 2026-05-04
C1820 CPT Imp Gen Chrg G09 332 75 $60,500.00 $33,275.00 45% off $1,600.00 $98,000.00 $60,500.00 2026-05-04
C1886 CPT Kit Bvn Optablate 167 75 $56,000.00 $30,800.00 45% off $1,600.00 $56,000.00 $56,000.00 2026-05-04
C9600 CPT Pqr 181 77 $40,421.00 $22,231.55 45% off $1,600.00 $40,421.00 $40,421.00 2026-05-04
C9601 CPT Ic-prq De Cor Stnt B 338 75 $42,621.00 $23,441.55 45% off $671.00 $42,621.00 $40,421.00 2026-05-04
C9603 CPT Ic-pr De Cr Stn Ar B 173 75 $40,421.00 $22,231.55 45% off $671.00 $40,421.00 $40,421.00 2026-05-04
C9604 CPT Ic-prq De Cr Rev Cab 181 77 $40,421.00 $22,231.55 45% off $1,600.00 $40,421.00 $40,421.00 2026-05-04
C9605 CPT Ic-pr De Cr Rv Cab B 173 75 $40,421.00 $22,231.55 45% off $671.00 $40,421.00 $40,421.00 2026-05-04
C9606 CPT Ic-prq De Cr Rev Ami 181 77 $40,421.00 $22,231.55 45% off $1,600.00 $40,421.00 $40,421.00 2026-05-04
C9607 CPT Percutaneous Transluminal Revascu 181 77 $55,000.00 $30,250.00 45% off $1,600.00 $55,000.00 $55,000.00 2026-05-04
C9608 CPT Ic-pr De Cr Rv Ch Ea 173 75 $40,421.00 $22,231.55 45% off $671.00 $40,421.00 $40,421.00 2026-05-04
L8614 CPT Cochlear Implant 340 77 $99,999.00 $54,999.45 45% off $1,600.00 $99,999.00 $67,236.40 2026-05-04
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