Price Transparency Hospital negotiated rates

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

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Hospital

ACADIAN MEDICAL CENTER

Eunice, LA · CCN 190318 · Rates published

5,580 distinct procedures filed
26 distinct payers
801,701 rate rows
2026-02-02 last MRF observed
Data quality

792,712 of 801,701 rate rows are consumer-grade (98.9%)

8,989 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 7,215
template filing: same amount across many unrelated codes — excluded 960
placeholder amount (≤ $0.02) — excluded from medians 642
per-diem day rate — not a per-procedure price 128
exceeds 10× this hospital's gross charge — excluded from medians 44
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://acadianmedicalcenter.com/825359949_ACADIAN-MEDICAL-CENTER_standardcharges.csv
Found on page https://acadianmedicalcenter.com
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 41f5fd7de272f237… · 542,169,286 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 7 $192,012.15 $660,041.77 $237,615.03 nat. median
$370,174
0.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System 7 $143,416.98 $492,995.88 $177,478.51 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >9 7 $120,783.01 $415,191.61 $149,468.98 nat. median
$206,368
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principa 7 $109,117.52 $375,091.50 $135,032.94 nat. median
$202,986
0.7× median
4500466
CDM 		Atherect Tib Per Add Ves Uni 22 $18,899.99 $99,999.99 $99,999.99 nat. median
$71,500
1.4× median
4500568
CDM 		Ather/stnt Tib Per Add Ves 22 $18,899.99 $99,999.99 $99,999.99 nat. median
$77,000
1.3× median
4500395
CDM 		Atherc/stnt Tib Per Single 22 $18,899.99 $99,999.99 $99,999.99 nat. median
$63,600
1.6× median
C9765
CPT 		Ivl+stent W/angio (atk) 24 $3,005.00 $99,999.00 $99,999.00 nat. median
$18,809
outlier · 5.3×
4500339
CDM 		Pta Iliac Atherectomy 22 $18,899.81 $99,999.00 $99,999.00 nat. median
$99,999
1.0× median
4501486
CDM 		Ivl+stent W/angio (btk) 22 $18,899.81 $99,999.00 $99,999.00 nat. median
$99,999
1.0× median
4501550
CDM 		Pta Fem/pop/stent/athrec-complex 22 $18,899.81 $99,999.00 $99,999.00 nat. median
$99,999
1.0× median
4501558
CDM 		Pta Tib/per W/stent-simple 22 $18,899.81 $99,999.00 $99,999.00 nat. median
$99,999
1.0× median
4501559
CDM 		Pta Tib/per W/stent-complex 22 $18,899.81 $99,999.00 $99,999.00 nat. median
$99,999
1.0× median
C9766
CPT 		Ivl+ather W/angio (atk) 24 $3,500.00 $99,999.00 $99,999.00 nat. median
$19,548
outlier · 5.1×
4501575
CDM 		Coronary Stent >/=2 (2 Of 2) 22 $18,899.81 $99,999.00 $99,999.00 nat. median
$99,999
1.0× median
4501487
CDM 		Ivl+ather W/angio (btk) 22 $18,899.81 $99,999.00 $99,999.00 nat. median
$99,999
1.0× median
4501574
CDM 		Coronary Stent >/= 2 (1 Of 2) 22 $18,899.81 $99,999.00 $99,999.00 nat. median
$99,999
1.0× median
4501563
CDM 		Pta Tib/per /athrectomy-complex 22 $18,899.81 $99,999.00 $99,999.00 nat. median
$99,999
1.0× median
4501488
CDM 		Ivl+stent+ather W/angio (btk) 22 $18,899.81 $99,999.00 $99,999.00 nat. median
$99,999
1.0× median
4501567
CDM 		Pta Tib/per/stent/ath-complex 22 $18,899.81 $99,999.00 $99,999.00 nat. median
$99,999
1.0× median
C9767
CPT 		Ivl+stent+ather W/angio (atk) 24 $3,500.00 $99,999.00 $99,999.00 nat. median
$20,605
outlier · 4.9×
4501546
CDM 		Pta Fem/pop/bln/ather-complex 22 $18,899.81 $99,999.00 $99,999.00 nat. median
$99,999
1.0× median
4501545
CDM 		Pta Fem/pop/bln/ather-simple 22 $18,899.81 $99,999.00 $99,999.00 nat. median
$99,999
1.0× median
4501566
CDM 		Pta Tib/per/stent/ath-simple 22 $18,899.81 $99,999.00 $99,999.00 nat. median
$99,999
1.0× median
4501562
CDM 		Pta Tib/per /athrectomy-simple 22 $18,899.81 $99,999.00 $99,999.00 nat. median
$99,999
1.0× median
4501549
CDM 		Pta Fem/pop/stent/athrec-simple 22 $18,899.81 $99,999.00 $99,999.00 nat. median
$99,999
1.0× median
4500569
CDM 		Atherect Tib Per Single Uni 22 $17,693.89 $93,618.50 $93,618.50 nat. median
$63,473
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagno 7 $71,941.92 $247,300.37 $89,028.13 nat. median
$133,176
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $66,706.92 $229,305.03 $82,549.81 nat. median
$117,303
0.7× median
7
MS_DRG 		Lung Transplant 7 $66,538.90 $228,727.48 $82,341.89 nat. median
$122,708
0.7× median
01903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 6 $64,837.59 $222,879.22 $81,046.99 nat. median
$84,819
1.0× median
01904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 6 $64,837.59 $222,879.22 $81,046.99 nat. median
$82,736
1.0× median
01585
OTHER 		New Technology - Level 48 ($90,001-$100,000) 6 $64,837.59 $222,879.22 $81,046.99 nat. median
$83,741
1.0× median
01908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 6 $64,837.59 $222,879.22 $81,046.99 nat. median
$82,736
1.0× median
01599
OTHER 		New Technology - Level 48 ($90,001-$100,000) 6 $64,837.59 $222,879.22 $81,046.99 nat. median
$83,741
1.0× median
01901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 6 $64,837.59 $222,879.22 $81,046.99 nat. median
$84,819
1.0× median
01907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 6 $64,837.59 $222,879.22 $81,046.99 nat. median
$84,819
1.0× median
01905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 6 $64,837.59 $222,879.22 $81,046.99 nat. median
$82,736
1.0× median
01902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 6 $64,837.59 $222,879.22 $81,046.99 nat. median
$82,736
1.0× median
01906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 6 $64,837.59 $222,879.22 $81,046.99 nat. median
$82,736
1.0× median
01584
OTHER 		New Technology - Level 47 ($80,001-$90,000) 6 $61,806.55 $212,460.02 $77,258.19 nat. median
$79,660
1.0× median
01598
OTHER 		New Technology - Level 47 ($80,001-$90,000) 6 $61,806.55 $212,460.02 $77,258.19 nat. median
$79,660
1.0× median
4501422
CDM 		Pta Shockwave (atk) 22 $13,464.73 $71,242.00 $71,242.00 nat. median
$71,242
1.0× median
4501485
CDM 		4501485 Ivl W/angioplasty (btk) $70,764 22 $13,374.39 $70,764.00 $70,764.00 nat. median
$70,764
1.0× median
4501570
CDM 		Pta Inframalleolar-simple 22 $13,374.39 $70,764.00 $70,764.00 nat. median
$70,764
1.0× median
4501555
CDM 		Pta Tib/per Baloon-complex 22 $13,374.39 $70,764.00 $70,764.00 nat. median
$70,764
1.0× median
4501532
CDM 		Pta Iliac With Stent-simple 22 $13,374.39 $70,764.00 $70,764.00 nat. median
$70,764
1.0× median
4501554
CDM 		Pta Tib/per Baloon-simple 22 $13,374.39 $70,764.00 $70,764.00 nat. median
$70,764
1.0× median
4501437
CDM 		Coronary Bare Metal Stent Initial 22 $13,374.39 $70,764.00 $70,764.00 nat. median
$70,764
1.0× median
4501533
CDM 		Pta Iliac With Stent-complex 22 $13,374.39 $70,764.00 $70,764.00 nat. median
$70,764
1.0× median

Other procedures at this hospital

Browse this hospital's 5,580 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
             
0104 OTHER Stroke M >=41.50 And M <50.50 47 6 — — $30,048.30 $82,632.82 $30,048.30 2026-02-02
0105 OTHER Stroke M <41.50 And A >=84.50 47 6 — — $36,969.63 $103,328.41 $37,573.97 2026-02-02
0106 OTHER Stroke M <41.50 And A <84.50 47 6 — — $42,227.89 $117,525.81 $42,736.66 2026-02-02
0107 OTHER Stroke M>26.15 And M<30.05 47 6 — — $27,427.99 $75,426.97 $27,427.99 2026-02-02
0108 OTHER Stroke M<26.15 And A>84.5 47 6 — — $33,902.30 $93,231.32 $33,902.30 2026-02-02
0109 OTHER Stroke M>22.35 And M<26.15 And A<84.5 47 6 — — $30,668.82 $84,339.25 $30,668.82 2026-02-02
0110 OTHER Stroke M<22.35 And A<84.5 47 6 — — $40,664.82 $111,828.25 $40,664.82 2026-02-02
01578 OTHER New Technology - Level 41 ($25,001-$30,000) 46 6 — — $19,996.48 $68,737.92 $24,995.61 2026-02-02
01579 OTHER New Technology - Level 42 ($30,001-$40,000) 46 6 — — $25,449.96 $87,484.26 $31,812.46 2026-02-02
01580 OTHER New Technology - Level 43 ($40,001-$50,000) 46 6 — — $32,721.28 $112,479.42 $40,901.61 2026-02-02
01581 OTHER New Technology - Level 44 ($50,001-$60,000) 46 6 — — $39,992.60 $137,474.56 $49,990.75 2026-02-02
01582 OTHER New Technology - Level 45 ($60,001-$70,000) 46 6 — — $47,263.92 $162,469.72 $59,079.90 2026-02-02
01583 OTHER New Technology - Level 46 ($70,001-$80,000) 46 6 — — $54,535.24 $187,464.88 $68,169.05 2026-02-02
01584 OTHER New Technology - Level 47 ($80,001-$90,000) 46 6 — — $61,806.55 $212,460.02 $77,258.19 2026-02-02
01585 OTHER New Technology - Level 48 ($90,001-$100,000) 46 6 — — $64,837.59 $222,879.22 $81,046.99 2026-02-02
01592 OTHER New Technology - Level 41 ($25,001-$30,000) 46 6 — — $19,996.48 $68,737.92 $24,995.61 2026-02-02
01593 OTHER New Technology - Level 42 ($30,001-$40,000) 46 6 — — $25,449.96 $87,484.26 $31,812.46 2026-02-02
01594 OTHER New Technology - Level 43 ($40,001-$50,000) 46 6 — — $32,721.28 $112,479.42 $40,901.61 2026-02-02
01595 OTHER New Technology - Level 44 ($50,001-$60,000) 46 6 — — $39,992.60 $137,474.56 $49,990.75 2026-02-02
01596 OTHER New Technology - Level 45 ($60,001-$70,000) 46 6 — — $47,263.92 $162,469.72 $59,079.90 2026-02-02
01597 OTHER New Technology - Level 46 ($70,001-$80,000) 46 6 — — $54,535.24 $187,464.88 $68,169.05 2026-02-02
01598 OTHER New Technology - Level 47 ($80,001-$90,000) 46 6 — — $61,806.55 $212,460.02 $77,258.19 2026-02-02
01599 OTHER New Technology - Level 48 ($90,001-$100,000) 46 6 — — $64,837.59 $222,879.22 $81,046.99 2026-02-02
01901 OTHER New Technology - Level 49 ($100,001-$115,000) 46 6 — — $64,837.59 $222,879.22 $81,046.99 2026-02-02
01902 OTHER New Technology - Level 49 ($100,001-$115,000) 46 6 — — $64,837.59 $222,879.22 $81,046.99 2026-02-02
01903 OTHER New Technology - Level 50 ($115,001-$130,000) 46 6 — — $64,837.59 $222,879.22 $81,046.99 2026-02-02
01904 OTHER New Technology - Level 50 ($115,001-$130,000) 46 6 — — $64,837.59 $222,879.22 $81,046.99 2026-02-02
01905 OTHER New Technology - Level 51 ($130,001-$145,000) 46 6 — — $64,837.59 $222,879.22 $81,046.99 2026-02-02
01906 OTHER New Technology - Level 51 ($130,001-$145,000) 46 6 — — $64,837.59 $222,879.22 $81,046.99 2026-02-02
01907 OTHER New Technology - Level 52 ($145,001-$160,000) 46 6 — — $64,837.59 $222,879.22 $81,046.99 2026-02-02
01908 OTHER New Technology - Level 52 ($145,001-$160,000) 46 6 — — $64,837.59 $222,879.22 $81,046.99 2026-02-02
0203 OTHER Traumatic Brain Injury M >=49.50 And M <61.50 47 6 — — $24,420.95 $67,157.61 $24,420.95 2026-02-02
0204 OTHER Traumatic Brain Injury M >=35.50 And M <49.50 47 6 — — $30,287.98 $83,291.94 $30,287.98 2026-02-02
0205 OTHER Traumatic Brain Injury M <35.50 47 6 — — $38,797.37 $106,692.76 $38,797.37 2026-02-02
0206 OTHER Traumatic Brain Injury M>22.05 And M<28.75 47 6 — — $28,910.18 $79,502.99 $28,910.18 2026-02-02
0207 OTHER Traumatic Brain Injury M<22.05 47 6 — — $36,559.38 $100,538.29 $36,559.38 2026-02-02
0303 OTHER Non-traumatic Brain Injury M >=42.50 And M <52.50 47 6 — — $27,230.95 $75,406.73 $27,420.63 2026-02-02
0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 47 6 — — $31,692.24 $87,428.63 $31,792.23 2026-02-02
0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 47 6 — — $34,568.41 $96,421.79 $35,062.47 2026-02-02
0403 OTHER Traumatic Spinal Cord Injury M >=41.50 And M <47.5 47 6 — — $28,701.38 $78,928.79 $28,701.38 2026-02-02
0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 47 6 — — $44,812.92 $123,235.53 $44,812.92 2026-02-02
0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.5 47 6 — — $35,637.41 $98,002.87 $35,637.41 2026-02-02
0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.5 47 6 — — $45,473.14 $125,051.13 $45,473.14 2026-02-02
0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.5 47 6 — — $62,166.97 $170,959.16 $62,166.97 2026-02-02
0503 OTHER Non-traumatic Spinal Cord Injury M >=48.50 And M < 47 6 — — $26,169.30 $73,841.84 $26,851.58 2026-02-02
0504 OTHER Non-traumatic Spinal Cord Injury M >=39.50 And M < 47 6 — — $31,767.23 $87,776.39 $31,918.69 2026-02-02
0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 47 6 — — $43,645.39 $121,969.84 $44,352.67 2026-02-02
0506 OTHER Non-traumatic Spinal Cord Injury M<23.75 47 6 — — $39,695.81 $109,163.47 $39,695.81 2026-02-02
05166 OTHER Cochlear Implant Procedure 46 6 — — $23,128.47 $79,504.12 $28,910.59 2026-02-02
05200 OTHER Implantation Wireless Pa Pressure Monitor 46 6 — — $20,671.13 $71,057.03 $25,838.92 2026-02-02
05232 OTHER Level 2 Icd And Similar Procedures 46 6 — — $23,312.99 $80,138.41 $29,141.24 2026-02-02
05244 OTHER Level 4 Blood Product Exchange And Related Service 46 6 — — $43,004.25 $147,827.13 $53,755.32 2026-02-02
05465 OTHER Level 5 Neurostimulator And Related Procedures 46 6 — — $22,158.31 $76,169.19 $27,697.89 2026-02-02
0602 OTHER Neurological M >=52.50 And M <64.50 47 6 — — $24,676.81 $68,148.32 $24,781.21 2026-02-02
0603 OTHER Neurological M >=43.50 And M <52.50 47 6 — — $29,199.86 $80,299.61 $29,199.86 2026-02-02
0604 OTHER Neurological M <43.50 47 6 — — $36,525.56 $100,704.06 $36,619.66 2026-02-02
0703 OTHER Fracture Of Lower Extremity M >=41.50 And M <52.50 47 6 — — $27,963.22 $77,036.35 $28,013.22 2026-02-02
0704 OTHER Fracture Of Lower Extremity M <41.50 47 6 — — $33,665.56 $94,108.82 $34,221.39 2026-02-02
0804 OTHER Replacement Of Lower-extremity Joint M >=42.50 And 47 6 — — $24,104.81 $69,498.90 $25,272.33 2026-02-02
0805 OTHER Replacement Of Lower-extremity Joint M <42.50 47 6 — — $28,863.13 $83,352.61 $30,310.04 2026-02-02
0806 OTHER Replacement Of Lower Extremity Joint M<22.05 47 6 — — $27,483.86 $75,580.61 $27,483.86 2026-02-02
0903 OTHER Other Orthopedic M >=44.50 And M <51.50 47 6 — — $26,281.05 $72,272.88 $26,281.05 2026-02-02
0904 OTHER Other Orthopedic M <44.5 47 6 — — $31,012.90 $86,599.67 $31,490.79 2026-02-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System 51 7 — — $143,416.98 $492,995.88 $177,478.51 2026-02-02
10 MS_DRG Pancreas Transplant 51 7 — — $40,593.98 $139,541.82 $50,235.05 2026-02-02
1003 OTHER Amputation Lower Extremity M >=47.50 And M <55.50 47 6 — — $26,413.39 $72,681.29 $26,429.56 2026-02-02
1004 OTHER Amputation Lower Extremity M <47.50 47 6 — — $33,137.68 $93,049.35 $33,836.13 2026-02-02
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or 51 7 — — $27,472.85 $94,437.94 $33,997.65 2026-02-02
1103 OTHER Amputation Non-lower Extremity M <52.50 47 6 — — $29,491.00 $81,100.25 $29,491.00 2026-02-02
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or 51 7 — — $20,893.70 $71,822.10 $25,855.95 2026-02-02
1203 OTHER Osteoarthritis M <49.50 And A >=74.50 47 6 — — $30,620.30 $84,205.82 $30,620.30 2026-02-02
1204 OTHER Osteoarthritis M <49.50 And A <74.50 47 6 — — $31,827.52 $88,302.08 $32,109.85 2026-02-02
1303 OTHER Rheumatoid Other Arthritis M >=44.50 And M <51.50 47 6 — — $24,935.60 $68,572.90 $24,935.60 2026-02-02
1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 47 6 — — $31,490.79 $86,599.67 $31,490.79 2026-02-02
1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 47 6 — — $30,157.11 $82,932.05 $30,157.11 2026-02-02
14 MS_DRG Allogeneic Bone Marrow Transplant 51 7 — — $66,706.92 $229,305.03 $82,549.81 2026-02-02
140 MS_DRG Major Head And Neck Procedures With Mcc 51 7 — — $21,532.68 $74,018.58 $26,646.69 2026-02-02
1403 OTHER Cardiac M >=45.50 And M <55.50 47 6 — — $25,750.22 $70,813.10 $25,750.22 2026-02-02
1404 OTHER Cardiac M <45.50 47 6 — — $31,552.55 $86,769.51 $31,552.55 2026-02-02
1503 OTHER Pulmonary M >=45.50 And M <56.50 47 6 — — $27,005.97 $74,266.41 $27,005.97 2026-02-02
1504 OTHER Pulmonary M <45.50 47 6 — — $32,871.53 $91,969.70 $33,443.53 2026-02-02
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 51 7 — — $30,731.36 $105,639.07 $38,030.06 2026-02-02
1603 OTHER Pain Syndrome M >=43.50 And M <58.50 47 6 — — $23,782.78 $76,615.79 $27,860.29 2026-02-02
1604 OTHER Pain Syndrome M <43.50 47 6 — — $29,436.60 $94,925.62 $34,518.41 2026-02-02
163 MS_DRG Major Chest Procedures With Mcc 51 7 — — $23,467.42 $80,669.27 $29,040.93 2026-02-02
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 51 7 — — $19,603.53 $67,387.15 $24,259.37 2026-02-02
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 51 7 — — $30,731.36 $105,639.07 $38,030.06 2026-02-02
1702 OTHER Major Multiple Trauma Without Brain Or Spinal Cord 47 6 — — $23,863.66 $67,173.78 $24,426.83 2026-02-02
1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord 47 6 — — $28,158.79 $79,822.46 $29,026.35 2026-02-02
1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord 47 6 — — $31,911.34 $90,348.17 $32,853.88 2026-02-02
1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord 47 6 — — $36,502.03 $106,025.56 $38,554.75 2026-02-02
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other I 51 7 — — $192,012.15 $660,041.77 $237,615.03 2026-02-02
1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord In 47 6 — — $26,873.63 $73,902.48 $26,873.63 2026-02-02
1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord In 47 6 — — $29,388.07 $80,817.19 $29,388.07 2026-02-02
1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord In 47 6 — — $35,630.06 $97,982.66 $35,630.06 2026-02-02
1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord In 47 6 — — $50,600.54 $139,151.48 $50,600.54 2026-02-02
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With H 51 7 — — $40,361.30 $138,741.98 $49,947.11 2026-02-02
1902 OTHER Guillain-barr� M >=51.50 And M <66.50 47 6 — — $20,780.16 $67,307.24 $24,475.36 2026-02-02
1903 OTHER Guillain-barr� M >=38.50 And M <51.50 47 6 — — $30,662.94 $101,553.23 $36,928.45 2026-02-02
1904 OTHER Guillain-barr� M <38.50 47 6 — — $47,314.12 $147,930.33 $53,792.85 2026-02-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System 51 7 — — $56,106.04 $192,864.54 $69,431.23 2026-02-02
20 MS_DRG Intracranial Vascular Procedures With Principal Di 51 7 — — $41,042.53 $141,083.71 $50,790.13 2026-02-02
2003 OTHER Miscellaneous M >=46.50 And M <55.50 47 6 — — $25,916.38 $71,270.04 $25,916.38 2026-02-02
2004 OTHER Miscellaneous M <46.50 And A >=77.50 47 6 — — $30,573.24 $85,212.68 $30,986.43 2026-02-02
2005 OTHER Miscellaneous M <46.50 And A <77.50 47 6 — — $32,661.26 $89,818.46 $32,661.26 2026-02-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Suppo 51 7 — — $32,927.30 $113,187.60 $40,747.53 2026-02-02
21 MS_DRG Intracranial Vascular Procedures With Principal Di 51 7 — — $28,141.87 $96,737.68 $34,825.56 2026-02-02
2102 OTHER Burns M <52.50 47 6 — — $34,078.76 $93,716.59 $34,078.76 2026-02-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 51 7 — — $55,465.54 $190,662.80 $68,638.61 2026-02-02
215 MS_DRG Other Heart Assist System Implant 51 7 — — $53,942.69 $185,428.01 $66,754.08 2026-02-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 51 7 — — $49,137.91 $168,911.57 $60,808.16 2026-02-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 51 7 — — $32,879.95 $113,024.83 $40,688.94 2026-02-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 51 7 — — $30,290.45 $104,123.44 $37,484.43 2026-02-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 51 7 — — $39,394.95 $135,420.14 $48,751.25 2026-02-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 51 7 — — $26,967.78 $92,701.75 $33,372.63 2026-02-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 51 7 — — $23,382.90 $80,378.73 $28,936.34 2026-02-02
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 46 6 — — $38,983.05 $134,004.25 $48,241.53 2026-02-02
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 46 6 — — $26,570.65 $91,336.63 $32,881.18 2026-02-02
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 46 6 — — $36,094.17 $124,073.73 $44,666.54 2026-02-02
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 46 6 — — $25,750.92 $88,518.81 $31,866.77 2026-02-02
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath 46 6 — — $32,589.74 $112,027.24 $40,329.80 2026-02-02
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath 46 6 — — $25,562.55 $87,871.27 $31,633.65 2026-02-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 51 7 — — $25,372.12 $87,216.69 $31,398.00 2026-02-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Comp 51 7 — — $29,047.12 $99,849.50 $35,945.82 2026-02-02
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 46 6 — — $21,902.32 $75,289.22 $27,104.12 2026-02-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 51 7 — — $43,144.28 $148,308.46 $53,391.04 2026-02-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 51 7 — — $31,102.02 $106,913.20 $38,488.75 2026-02-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Op 51 7 — — $39,796.66 $136,801.03 $49,248.37 2026-02-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Op 51 7 — — $27,087.43 $93,113.04 $33,520.69 2026-02-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization Wi 51 7 — — $29,959.00 $102,984.06 $37,074.26 2026-02-02
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Wi 51 7 — — $20,936.47 $71,969.12 $25,908.88 2026-02-02
239 MS_DRG Amputation For Circulatory System Disorders Except 51 7 — — $25,645.03 $88,154.79 $31,735.72 2026-02-02
245 MS_DRG Aicd Generator Procedures 51 7 — — $24,880.80 $85,527.77 $30,789.99 2026-02-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedure 51 7 — — $22,770.40 $78,273.27 $28,178.37 2026-02-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplem 51 7 — — $30,501.74 $104,849.74 $37,745.90 2026-02-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplem 51 7 — — $23,953.65 $82,340.69 $29,642.64 2026-02-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsatio 51 7 — — $33,947.63 $116,694.98 $42,010.19 2026-02-02
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsatio 51 7 — — $21,183.92 $72,819.72 $26,215.10 2026-02-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 51 7 — — $26,134.32 $89,836.72 $32,341.22 2026-02-02
273 MS_DRG Percutaneous And Other Intracardiac Procedures Wit 51 7 — — $19,909.02 $68,437.27 $24,637.41 2026-02-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 51 7 — — $35,981.14 $123,685.18 $44,526.66 2026-02-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid 51 7 — — $31,538.36 $108,413.11 $39,028.72 2026-02-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 51 7 — — $23,684.83 $81,416.61 $29,309.97 2026-02-02
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of P 51 7 — — $25,473.96 $87,566.73 $31,524.02 2026-02-02
28 MS_DRG Spinal Procedures With Mcc 51 7 — — $30,953.36 $106,402.17 $38,304.78 2026-02-02
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principa 51 7 — — $109,117.52 $375,091.50 $135,032.94 2026-02-02
31 MS_DRG Ventricular Shunt Procedures With Mcc 51 7 — — $21,336.15 $73,343.02 $26,403.48 2026-02-02
317 MS_DRG Concomitant Left Atrial Appendage Closure And Card 51 7 — — $31,497.63 $108,273.11 $38,978.31 2026-02-02
319 MS_DRG Other Endovascular Cardiac Valve Procedures With M 51 7 — — $22,365.64 $76,881.88 $27,677.47 2026-02-02
323 MS_DRG Coronary Intravascular Lithotripsy With Intralumin 51 7 — — $21,686.44 $74,547.13 $26,836.96 2026-02-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With M 51 7 — — $25,859.37 $88,891.60 $32,000.97 2026-02-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 51 7 — — $23,379.34 $80,366.49 $28,931.93 2026-02-02
34 MS_DRG Carotid Artery Stent Procedures With Mcc 51 7 — — $19,799.04 $68,059.22 $24,501.32 2026-02-02
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 51 7 — — $21,718.52 $74,657.41 $26,876.66 2026-02-02
37248 CPT Pta Venous Initial 171 24 $42,500.00 $12,750.00 70% off $359.35 $42,500.00 $38,250.00 2026-02-02
37249 CPT Pta Venous Add'l 171 24 $42,500.00 $12,750.00 70% off $263.26 $42,500.00 $38,250.00 2026-02-02
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagno 51 7 — — $71,941.92 $247,300.37 $89,028.13 2026-02-02
402 MS_DRG Single Level Combined Anterior And Posterior Spina 51 7 — — $19,918.69 $68,470.51 $24,649.38 2026-02-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 51 7 — — $27,639.85 $95,012.00 $34,204.32 2026-02-02
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Wi 51 7 — — $20,708.88 $71,186.80 $25,627.24 2026-02-02
426 MS_DRG Multiple Level Combined Anterior And Posterior Spi 51 7 — — $53,334.78 $183,338.32 $66,001.79 2026-02-02
427 MS_DRG Multiple Level Combined Anterior And Posterior Spi 51 7 — — $36,162.91 $124,310.01 $44,751.60 2026-02-02
4270001 CDM Litho Renal Eswl Uni 132 22 $28,582.50 $8,574.75 70% off $5,402.09 $28,582.50 $28,582.50 2026-02-02
4270002 CDM Litho Eswl Uni Repe 132 22 $27,818.00 $8,345.40 70% off $5,257.60 $27,818.00 $27,818.00 2026-02-02
428 MS_DRG Multiple Level Combined Anterior And Posterior Spi 51 7 — — $28,023.74 $96,331.62 $34,679.38 2026-02-02
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fu 51 7 — — $42,465.59 $145,975.47 $52,551.17 2026-02-02
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fu 51 7 — — $27,852.67 $95,743.56 $34,467.68 2026-02-02
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With 51 7 — — $34,136.52 $117,344.28 $42,243.94 2026-02-02
4470879 CDM Icd D152 Dynagen 132 22 $34,477.50 $10,343.25 70% off $6,516.24 $34,477.50 $34,477.50 2026-02-02
4470885 CDM Icd-d Vfbid4 Single 132 22 $42,360.00 $12,708.00 70% off $8,006.04 $42,360.00 $42,360.00 2026-02-02
4474315 CDM Cath Flash Lgntng 132 22 $58,380.00 $17,514.00 70% off $11,033.82 $58,380.00 $58,380.00 2026-02-02
4474411 CDM Mesh Surg G4 132 22 $30,000.00 $9,000.00 70% off $5,670.00 $30,000.00 $30,000.00 2026-02-02
4474412 CDM Mesh Surg G5 132 22 $54,000.00 $16,200.00 70% off $10,206.00 $54,000.00 $54,000.00 2026-02-02
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Witho 51 7 — — $20,790.85 $71,468.56 $25,728.68 2026-02-02
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mc 51 7 — — $26,221.37 $90,135.98 $32,448.95 2026-02-02
4500339 CDM Pta Iliac Atherectomy 132 22 $99,999.00 $29,999.70 70% off $18,899.81 $99,999.00 $99,999.00 2026-02-02
4500383 CDM Pta Tib Per Single Uni 132 22 $24,640.00 $7,392.00 70% off $4,656.96 $24,640.00 $24,640.00 2026-02-02
4500395 CDM Atherc/stnt Tib Per Single 132 22 $99,999.99 $29,999.99 70% off $18,899.99 $99,999.99 $99,999.99 2026-02-02
4500398 CDM Pta Tib Per Add Ves Uni 132 22 $42,888.50 $12,866.55 70% off $8,105.92 $42,888.50 $42,888.50 2026-02-02
4500415 CDM Lead Repostion Icd/pm 132 22 $24,640.00 $7,392.00 70% off $4,656.96 $24,640.00 $24,640.00 2026-02-02
4500429 CDM Ptca Coronary Single 132 22 $41,199.50 $12,359.85 70% off $7,786.70 $41,199.50 $41,199.50 2026-02-02
4500430 CDM Ptca Coronary Additional 132 22 $41,199.50 $12,359.85 70% off $7,786.70 $41,199.50 $41,199.50 2026-02-02
4500439 CDM Pta Iliac Additional Vessel 132 22 $26,810.00 $8,043.00 70% off $5,067.09 $26,810.00 $26,810.00 2026-02-02
4500441 CDM Pta/stent Iliac Prim Unilateral 132 22 $35,397.00 $10,619.10 70% off $6,690.03 $35,397.00 $35,397.00 2026-02-02
4500442 CDM Pta/stent Tibial Per Pr Uni 132 22 $59,401.00 $17,820.30 70% off $11,226.78 $59,401.00 $59,401.00 2026-02-02
4500466 CDM Atherect Tib Per Add Ves Uni 132 22 $99,999.99 $29,999.99 70% off $18,899.99 $99,999.99 $99,999.99 2026-02-02
4500468 CDM Pm New/rep Arti/vent 132 22 $62,792.00 $18,837.60 70% off $11,867.68 $62,792.00 $62,792.00 2026-02-02
4500479 CDM Lhc W/grafts 132 22 $41,312.50 $12,393.75 70% off $7,808.06 $41,312.50 $41,312.50 2026-02-02
4500480 CDM Cath Inject Nat Cor W/graft 132 22 $26,530.50 $7,959.15 70% off $5,014.26 $26,530.50 $26,530.50 2026-02-02
4500481 CDM Cath Inj Nat Cor W/rt Heart 132 22 $24,396.00 $7,318.80 70% off $4,610.84 $24,396.00 $24,396.00 2026-02-02
4500482 CDM Rt/lt Heart Cath 132 22 $35,531.50 $10,659.45 70% off $6,715.45 $35,531.50 $35,531.50 2026-02-02
4500483 CDM Rt/lt Heart Cath W/graft 132 22 $41,883.50 $12,565.05 70% off $7,915.98 $41,883.50 $41,883.50 2026-02-02
4500501 CDM Left Heart Cath 132 22 $32,515.50 $9,754.65 70% off $6,145.42 $32,515.50 $32,515.50 2026-02-02
4500518 CDM Renal Angio Select Bilater 132 22 $29,266.00 $8,779.80 70% off $5,531.27 $29,266.00 $29,266.00 2026-02-02
4500519 CDM Renal Angio Selec Unilat 132 22 $34,587.00 $10,376.10 70% off $6,536.94 $34,587.00 $34,587.00 2026-02-02
4500521 CDM New/repl Icd Syst Sin/dual 132 22 $30,800.00 $9,240.00 70% off $5,821.20 $30,800.00 $30,800.00 2026-02-02
4500522 CDM Ins Pmkr Gen Mult Leads 132 22 $26,400.00 $7,920.00 70% off $4,989.60 $26,400.00 $26,400.00 2026-02-02
4500545 CDM Pta Arthrec W/stent Coronary Adtl 132 22 $33,456.50 $10,036.95 70% off $6,323.27 $33,456.50 $33,456.50 2026-02-02
4500550 CDM Coro Arthrect Single Vessell 132 22 $49,506.00 $14,851.80 70% off $9,356.63 $49,506.00 $49,506.00 2026-02-02
4500551 CDM Coro Arthrec W/stent Single 132 22 $33,456.50 $10,036.95 70% off $6,323.27 $33,456.50 $33,456.50 2026-02-02
4500554 CDM Cor Stent Singlr Vessell 132 22 $33,456.50 $10,036.95 70% off $6,323.27 $33,456.50 $33,456.50 2026-02-02
4500555 CDM Coro Stent Additionl Vessell 132 22 $33,456.50 $10,036.95 70% off $6,323.27 $33,456.50 $33,456.50 2026-02-02
4500568 CDM Ather/stnt Tib Per Add Ves 132 22 $99,999.99 $29,999.99 70% off $18,899.99 $99,999.99 $99,999.99 2026-02-02
4500569 CDM Atherect Tib Per Single Uni 132 22 $93,618.50 $28,085.55 70% off $17,693.89 $93,618.50 $93,618.50 2026-02-02
4500574 CDM Remove/replace Icd Gene Multi 132 22 $30,800.00 $9,240.00 70% off $5,821.20 $30,800.00 $30,800.00 2026-02-02
4500583 CDM Ami Stnt/ather Nat/graft 132 22 $70,285.00 $21,085.50 70% off $13,283.86 $70,285.00 $70,285.00 2026-02-02
4500584 CDM Cto Des Ptca Arthrect Single 132 22 $70,285.00 $21,085.50 70% off $13,283.86 $70,285.00 $70,285.00 2026-02-02
4500585 CDM Cto Des Ptca Arthrectomy Additional 132 22 $70,285.00 $21,085.50 70% off $13,283.86 $70,285.00 $70,285.00 2026-02-02
4500586 CDM Ptca Coro Graft Additional 132 22 $70,285.00 $21,085.50 70% off $13,283.86 $70,285.00 $70,285.00 2026-02-02
4500587 CDM Ptca Coro Graft Single 132 22 $70,285.00 $21,085.50 70% off $13,283.86 $70,285.00 $70,285.00 2026-02-02
4500637 CDM Atherect/stnt Fempop Uni 132 22 $38,279.00 $11,483.70 70% off $7,234.73 $38,279.00 $38,279.00 2026-02-02
4500644 CDM Pm New/rep V Single 132 22 $24,782.50 $7,434.75 70% off $4,683.89 $24,782.50 $24,782.50 2026-02-02
4501422 CDM Pta Shockwave (atk) 132 22 $71,242.00 $21,372.60 70% off $13,464.73 $71,242.00 $71,242.00 2026-02-02
4501424 CDM Cto Stn/ather/ptac Single Inital 132 22 $33,456.50 $10,036.95 70% off $6,323.27 $33,456.50 $33,456.50 2026-02-02
4501437 CDM Coronary Bare Metal Stent Initial 132 22 $70,764.00 $21,229.20 70% off $13,374.39 $70,764.00 $70,764.00 2026-02-02
4501485 CDM 4501485 Ivl W/angioplasty (btk) $70,764 132 22 $70,764.00 $21,229.20 70% off $13,374.39 $70,764.00 $70,764.00 2026-02-02
4501486 CDM Ivl+stent W/angio (btk) 132 22 $99,999.00 $29,999.70 70% off $18,899.81 $99,999.00 $99,999.00 2026-02-02
4501487 CDM Ivl+ather W/angio (btk) 132 22 $99,999.00 $29,999.70 70% off $18,899.81 $99,999.00 $99,999.00 2026-02-02
4501488 CDM Ivl+stent+ather W/angio (btk) 132 22 $99,999.00 $29,999.70 70% off $18,899.81 $99,999.00 $99,999.00 2026-02-02
4501528 CDM Pta Iliac-simple 132 22 $34,890.00 $10,467.00 70% off $6,594.21 $34,890.00 $34,890.00 2026-02-02
4501529 CDM Pta Iliac-complex 132 22 $34,890.00 $10,467.00 70% off $6,594.21 $34,890.00 $34,890.00 2026-02-02
4501532 CDM Pta Iliac With Stent-simple 132 22 $70,764.00 $21,229.20 70% off $13,374.39 $70,764.00 $70,764.00 2026-02-02
4501533 CDM Pta Iliac With Stent-complex 132 22 $70,764.00 $21,229.20 70% off $13,374.39 $70,764.00 $70,764.00 2026-02-02
4501537 CDM Pta Fem/pop-simple 132 22 $34,890.00 $10,467.00 70% off $6,594.21 $34,890.00 $34,890.00 2026-02-02
4501542 CDM Fem/pop/baloon/stent-complex 132 22 $70,764.00 $21,229.20 70% off $13,374.39 $70,764.00 $70,764.00 2026-02-02
4501545 CDM Pta Fem/pop/bln/ather-simple 132 22 $99,999.00 $29,999.70 70% off $18,899.81 $99,999.00 $99,999.00 2026-02-02
4501546 CDM Pta Fem/pop/bln/ather-complex 132 22 $99,999.00 $29,999.70 70% off $18,899.81 $99,999.00 $99,999.00 2026-02-02
4501549 CDM Pta Fem/pop/stent/athrec-simple 132 22 $99,999.00 $29,999.70 70% off $18,899.81 $99,999.00 $99,999.00 2026-02-02
4501550 CDM Pta Fem/pop/stent/athrec-complex 132 22 $99,999.00 $29,999.70 70% off $18,899.81 $99,999.00 $99,999.00 2026-02-02
4501554 CDM Pta Tib/per Baloon-simple 132 22 $70,764.00 $21,229.20 70% off $13,374.39 $70,764.00 $70,764.00 2026-02-02
4501555 CDM Pta Tib/per Baloon-complex 132 22 $70,764.00 $21,229.20 70% off $13,374.39 $70,764.00 $70,764.00 2026-02-02
4501558 CDM Pta Tib/per W/stent-simple 132 22 $99,999.00 $29,999.70 70% off $18,899.81 $99,999.00 $99,999.00 2026-02-02
4501559 CDM Pta Tib/per W/stent-complex 132 22 $99,999.00 $29,999.70 70% off $18,899.81 $99,999.00 $99,999.00 2026-02-02
4501562 CDM Pta Tib/per /athrectomy-simple 132 22 $99,999.00 $29,999.70 70% off $18,899.81 $99,999.00 $99,999.00 2026-02-02
4501563 CDM Pta Tib/per /athrectomy-complex 132 22 $99,999.00 $29,999.70 70% off $18,899.81 $99,999.00 $99,999.00 2026-02-02
4501566 CDM Pta Tib/per/stent/ath-simple 132 22 $99,999.00 $29,999.70 70% off $18,899.81 $99,999.00 $99,999.00 2026-02-02
4501567 CDM Pta Tib/per/stent/ath-complex 132 22 $99,999.00 $29,999.70 70% off $18,899.81 $99,999.00 $99,999.00 2026-02-02
4501570 CDM Pta Inframalleolar-simple 132 22 $70,764.00 $21,229.20 70% off $13,374.39 $70,764.00 $70,764.00 2026-02-02
4501571 CDM Pta Inframalleolar-complex 132 22 $70,764.00 $21,229.20 70% off $13,374.39 $70,764.00 $70,764.00 2026-02-02
4501574 CDM Coronary Stent >/= 2 (1 Of 2) 132 22 $99,999.00 $29,999.70 70% off $18,899.81 $99,999.00 $99,999.00 2026-02-02
4501575 CDM Coronary Stent >/=2 (2 Of 2) 132 22 $99,999.00 $29,999.70 70% off $18,899.81 $99,999.00 $99,999.00 2026-02-02
4501576 CDM Coronary Ant & Retro Intervention 132 22 $70,764.00 $21,229.20 70% off $13,374.39 $70,764.00 $70,764.00 2026-02-02
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With 46 6 — — $45,117.20 $155,090.40 $55,832.54 2026-02-02
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With 46 6 — — $31,140.72 $107,046.22 $38,536.64 2026-02-02
455 MS_DRG Combined Anterior And Posterior Spinal Fusion With 46 6 — — $23,449.09 $80,606.26 $29,018.25 2026-02-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 51 7 — — $43,120.35 $148,226.21 $53,361.43 2026-02-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 51 7 — — $29,221.76 $100,449.80 $36,161.92 2026-02-02
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 51 7 — — $21,984.80 $75,572.75 $27,206.19 2026-02-02
459 MS_DRG Spinal Fusion Except Cervical With Mcc 46 6 — — $33,767.90 $116,077.17 $41,787.78 2026-02-02
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lo 51 7 — — $31,244.58 $107,403.25 $38,665.17 2026-02-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For M 51 7 — — $27,498.82 $94,527.20 $34,029.79 2026-02-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 51 7 — — $25,938.80 $89,164.65 $32,099.27 2026-02-02
471 MS_DRG Cervical Spinal Fusion With Mcc 51 7 — — $24,730.60 $85,011.46 $30,604.12 2026-02-02
474 MS_DRG Amputation For Musculoskeletal System And Connecti 51 7 — — $22,833.54 $78,490.30 $28,256.51 2026-02-02
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 51 7 — — $54,220.68 $186,383.61 $67,098.10 2026-02-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 51 7 — — $31,354.05 $107,779.56 $38,800.64 2026-02-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Wit 51 7 — — $27,469.80 $94,427.43 $33,993.87 2026-02-02
6 MS_DRG Liver Transplant Without Mcc 51 7 — — $24,689.36 $84,869.70 $30,553.09 2026-02-02
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritiona 51 7 — — $19,678.38 $67,644.44 $24,352.00 2026-02-02
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Pr 51 7 — — $20,089.25 $69,056.81 $24,860.45 2026-02-02
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 51 7 — — $23,457.75 $80,636.02 $29,028.96 2026-02-02
653 MS_DRG Major Bladder Procedures With Mcc 51 7 — — $28,382.69 $97,565.51 $35,123.58 2026-02-02
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 51 7 — — $21,331.05 $73,325.50 $26,397.18 2026-02-02
7 MS_DRG Lung Transplant 51 7 — — $66,538.90 $228,727.48 $82,341.89 2026-02-02
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnex 51 7 — — $20,048.01 $68,915.05 $24,809.41 2026-02-02
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And 51 7 — — $20,268.48 $69,672.90 $25,082.24 2026-02-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrom 51 7 — — $30,267.54 $104,044.68 $37,456.08 2026-02-02
791 MS_DRG Prematurity With Major Problems 51 7 — — $20,670.70 $71,055.54 $25,579.99 2026-02-02
793 MS_DRG Full Term Neonate With Major Problems 51 7 — — $21,233.81 $72,991.24 $26,276.84 2026-02-02
799 MS_DRG Splenic Procedures With Mcc 51 7 — — $24,208.73 $83,217.53 $29,958.31 2026-02-02
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 51 7 — — $27,702.98 $95,229.00 $34,282.44 2026-02-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures W 51 7 — — $29,643.84 $101,900.70 $36,684.25 2026-02-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedu 51 7 — — $23,825.35 $81,899.64 $29,483.87 2026-02-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentia 51 7 — — $24,314.12 $83,579.81 $30,088.73 2026-02-02
834 MS_DRG Acute Leukemia With Mcc 51 7 — — $28,141.87 $96,737.68 $34,825.56 2026-02-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diag 51 7 — — $25,493.81 $87,634.99 $31,548.59 2026-02-02
850 MS_DRG Acute Leukemia With Other Procedures 51 7 — — $46,901.76 $161,224.80 $58,040.92 2026-02-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Proced 51 7 — — $25,463.77 $87,531.73 $31,511.42 2026-02-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O. 51 7 — — $22,970.50 $78,961.10 $28,425.99 2026-02-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 51 7 — — $35,418.54 $121,751.24 $43,830.44 2026-02-02
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental 51 7 — — $20,007.28 $68,775.05 $24,759.01 2026-02-02
901 MS_DRG Wound Debridements For Injuries With Mcc 51 7 — — $22,557.58 $77,541.69 $27,915.01 2026-02-02
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 51 7 — — $19,658.52 $67,576.19 $24,327.42 2026-02-02
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 51 7 — — $20,282.73 $69,721.90 $25,099.88 2026-02-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >9 51 7 — — $120,783.01 $415,191.61 $149,468.98 2026-02-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation 51 7 — — $34,005.16 $116,892.73 $42,081.38 2026-02-02
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >9 51 7 — — $22,030.11 $75,728.51 $27,262.26 2026-02-02
955 MS_DRG Craniotomy For Multiple Significant Trauma 51 7 — — $34,765.82 $119,507.52 $43,022.70 2026-02-02
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Mu 51 7 — — $19,461.48 $66,898.86 $24,083.59 2026-02-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Tra 51 7 — — $38,003.46 $130,636.90 $47,029.28 2026-02-02
958 MS_DRG Other O.r. Procedures For Multiple Significant Tra 51 7 — — $20,924.76 $71,928.86 $25,894.39 2026-02-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 51 7 — — $32,199.73 $110,686.59 $39,847.17 2026-02-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal D 51 7 — — $24,204.15 $83,201.77 $29,952.63 2026-02-02
C1896 CPT Lead Not Sngl/dual G 137 22 $31,084.50 $9,325.35 70% off $4,080.84 $31,084.50 $31,084.50 2026-02-02
C2622 CPT Imp Penile Non-infl 137 22 $43,376.50 $13,012.95 70% off $4,899.64 $43,376.50 $43,376.50 2026-02-02
C9600 CPT Des Initial 150 24 $29,824.50 $8,947.35 70% off $875.29 $29,824.50 $29,824.50 2026-02-02
C9604 CPT Ptca/des/ath Bypass Graft 153 24 $29,824.50 $8,947.35 70% off $5,636.83 $29,824.50 $29,824.50 2026-02-02
C9765 CPT Ivl+stent W/angio (atk) 150 24 $99,999.00 $29,999.70 70% off $3,005.00 $99,999.00 $99,999.00 2026-02-02
C9766 CPT Ivl+ather W/angio (atk) 150 24 $99,999.00 $29,999.70 70% off $3,500.00 $99,999.00 $99,999.00 2026-02-02
C9767 CPT Ivl+stent+ather W/angio (atk) 150 24 $99,999.00 $29,999.70 70% off $3,500.00 $99,999.00 $99,999.00 2026-02-02
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