Price Transparencybeta Hospital negotiated rates

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

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Hospital

OCHSNER ST MARTIN HOSPITAL

Breaux Bridge, LA · CCN 191302 · Rates published

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You selected 29916 (CPT)

HIP ARTHRO W/LABRAL REPAIR

This hospital’s price: $662 across 11 payers · range $662-$8,487

Source: https://ochsner-craft.s3.amazonaws.com/core/264626264_st-martin-hospital-inc-_standardcharges.csv.csv · observed 2026-10-19

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

9,852 distinct procedures filed
31 distinct payers
802,276 rate rows
2026-10-19 last MRF observed
Data quality

784,369 of 802,276 rate rows are consumer-grade (97.8%)

17,907 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 10,533
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,029
placeholder amount (≤ $0.02) — excluded from medians 814
exceeds 10× this hospital's gross charge — excluded from medians 205
percent-of-charges filed in the dollar field — excluded from medians 141
per-diem day rate — not a per-procedure price 131
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 50
exceeds 3× this hospital's gross charge for a DRG stay — excluded 3
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ochsner-craft.s3.amazonaws.com/core/264626264_st-martin-hospital-inc_standardcharges.csv.csv
Found on page https://www.ochsner.org/patients-visitors/billing-and-financial-services/estimates
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-22
Content fingerprint bfbf93dd7982ad33… · 390,092,724 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $267,987.16 $335,342.00 $301,664.58 nat. median
$360,195
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $152,292.95 $160,558.00 $156,425.48 nat. median
$190,274
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $141,535.00 $168,574.22 $155,054.61 nat. median
$197,664
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 2 $75,286.65 $140,488.00 $107,887.32 nat. median
$93,531
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $98,787.00 $100,407.78 $99,597.39 nat. median
$126,240
0.8× median
0571T
CPT 		Insj/rplcmt Icds W/substernal Electrode 20 $25,698.00 $167,500.69 $96,599.35 nat. median
$32,392
outlier · 3.0×
33270
CPT 		Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 20 $25,698.00 $167,500.69 $96,599.35 nat. median
$32,114
outlier · 3.0×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $77,412.05 $99,156.00 $88,284.02 nat. median
$97,029
0.9× median
C9760
HCPCS 		Nonrnd Nonblinded Proc Nyha Class Ii Iii IV Hf; 20 $25,698.00 $149,467.42 $87,582.71 nat. median
$27,827
outlier · 3.1×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $74,438.19 $95,347.00 $84,892.60 nat. median
$93,094
0.9× median
33264
CPT 		Rem Pac Cvdfb Pls Gen &repl Plse Gen Multi Lead 20 $25,698.00 $129,987.98 $77,842.99 nat. median
$31,574
outlier · 2.5×
33231
CPT 		Ins Pacng Cvdfb Pls Gen Only W/exist Multi Leads 20 $25,698.00 $129,987.98 $77,842.99 nat. median
$30,088
outlier · 2.6×
33230
CPT 		Ins Pacng Cvdfb Pls Gen Only W/exist Dual Leads 20 $25,698.00 $129,987.98 $77,842.99 nat. median
$22,483
outlier · 3.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $68,580.72 $86,686.00 $77,633.36 nat. median
$90,525
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 2 $65,459.76 $83,847.00 $74,653.38 nat. median
$78,028
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $60,182.14 $85,594.00 $72,888.07 nat. median
$77,595
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $57,282.18 $85,944.00 $71,613.09 nat. median
$74,260
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $59,268.30 $75,916.00 $67,592.15 nat. median
$77,933
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $60,215.53 $70,310.00 $65,262.76 nat. median
$76,979
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $54,982.68 $70,146.00 $62,564.34 nat. median
$72,153
0.9× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 $42,570.62 $81,845.00 $62,207.81 nat. median
$58,153
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 $55,543.34 $66,893.00 $61,218.17 nat. median
$71,672
0.9× median
33240
CPT 		Insert Pulse Generator 20 $25,698.00 $92,673.85 $59,185.93 nat. median
$22,164
outlier · 2.7×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $53,040.61 $62,306.00 $57,673.31 nat. median
$67,850
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $50,471.79 $64,649.00 $57,560.40 nat. median
$63,446
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $50,218.10 $64,324.00 $57,271.05 nat. median
$66,553
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $47,379.97 $62,391.00 $54,885.49 nat. median
$63,874
0.9× median
C9782
HCPCS 		Bld Proc Nyha Cls Ii/iii Hf/ccs Cls Iii/iv Cra; 20 $13,902.00 $95,116.62 $54,509.31 nat. median
$18,356
outlier · 3.0×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 $47,643.60 $61,026.00 $54,334.80 nat. median
$60,364
0.9× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 $39,276.99 $65,129.00 $52,202.99 nat. median
$51,294
1.0× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $40,784.18 $62,871.00 $51,827.59 nat. median
$55,148
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $45,889.84 $57,607.00 $51,748.42 nat. median
$61,992
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $49,432.89 $53,427.00 $51,429.94 nat. median
$62,605
0.8× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 2 $35,411.33 $66,547.00 $50,979.17 nat. median
$47,242
1.1× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 $44,017.41 $56,381.00 $50,199.21 nat. median
$56,565
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $44,940.48 $55,354.00 $50,147.24 nat. median
$58,315
0.9× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 $43,960.56 $56,309.00 $50,134.78 nat. median
$57,570
0.9× median
0915T
CPT 		Insj Perm Ccm-d Sys Pg&dual Transvns Eltrds/lds 20 $25,698.00 $73,837.82 $49,767.91 nat. median
$32,945
1.5× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $48,521.90 $50,723.00 $49,622.45 nat. median
$61,601
0.8× median
0268T
CPT 		Impltj/rplcmt Crtd Sns Brorflx Actv Dev Pls Gen 20 $13,902.00 $82,552.23 $48,227.11 nat. median
$29,754
1.6× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 $47,460.26 $48,987.00 $48,223.63 nat. median
$61,444
0.8× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 $33,431.60 $61,454.00 $47,442.80 nat. median
$45,788
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $45,955.92 $48,627.00 $47,291.46 nat. median
$59,289
0.8× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 $35,581.16 $58,827.00 $47,204.08 nat. median
$45,402
1.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 2 $43,408.42 $50,949.00 $47,178.71 nat. median
$57,665
0.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 2 $41,813.13 $51,962.00 $46,887.57 nat. median
$55,354
0.8× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $46,664.00 $46,664.00 $46,664.00 nat. median
$50,769
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $42,275.73 $50,692.00 $46,483.87 nat. median
$59,554
0.8× median
653
MS_DRG 		Major Bladder Procedures With Mcc 2 $39,613.11 $52,753.00 $46,183.06 nat. median
$49,933
0.9× median
28
MS_DRG 		Spinal Procedures With Mcc 2 $43,200.93 $49,122.00 $46,161.46 nat. median
$54,301
0.9× median

Other procedures at this hospital

Browse this hospital's 9,852 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $267,987.16 $335,342.00 $301,664.58 2026-10-19
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $152,292.95 $160,558.00 $156,425.48 2026-10-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 — — $141,535.00 $168,574.22 $155,054.61 2026-10-19
215 MS_DRG Other Heart Assist System Implant 2 2 — — $75,286.65 $140,488.00 $107,887.32 2026-10-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $98,787.00 $100,407.78 $99,597.39 2026-10-19
0571T CPT Insj/rplcmt Icds W/substernal Electrode 20 20 — — $25,698.00 $167,500.69 $96,599.35 2026-10-19
33270 CPT Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 20 20 — — $25,698.00 $167,500.69 $96,599.35 2026-10-19
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 2 — — $77,412.05 $99,156.00 $88,284.02 2026-10-19
C9760 HCPCS Nonrnd Nonblinded Proc Nyha Class Ii Iii IV Hf; 20 20 — — $25,698.00 $149,467.42 $87,582.71 2026-10-19
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $74,438.19 $95,347.00 $84,892.60 2026-10-19
33264 CPT Rem Pac Cvdfb Pls Gen &repl Plse Gen Multi Lead 20 20 — — $25,698.00 $129,987.98 $77,842.99 2026-10-19
33231 CPT Ins Pacng Cvdfb Pls Gen Only W/exist Multi Leads 20 20 — — $25,698.00 $129,987.98 $77,842.99 2026-10-19
33230 CPT Ins Pacng Cvdfb Pls Gen Only W/exist Dual Leads 20 20 — — $25,698.00 $129,987.98 $77,842.99 2026-10-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $68,580.72 $86,686.00 $77,633.36 2026-10-19
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $65,459.76 $83,847.00 $74,653.38 2026-10-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $60,182.14 $85,594.00 $72,888.07 2026-10-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $57,282.18 $85,944.00 $71,613.09 2026-10-19
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $59,268.30 $75,916.00 $67,592.15 2026-10-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 2 2 — — $60,215.53 $70,310.00 $65,262.76 2026-10-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $54,982.68 $70,146.00 $62,564.34 2026-10-19
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 2 — — $42,570.62 $81,845.00 $62,207.81 2026-10-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 2 — — $55,543.34 $66,893.00 $61,218.17 2026-10-19
33240 CPT Insert Pulse Generator 20 20 — — $25,698.00 $92,673.85 $59,185.93 2026-10-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $53,040.61 $62,306.00 $57,673.31 2026-10-19
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $50,471.79 $64,649.00 $57,560.40 2026-10-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 — — $50,218.10 $64,324.00 $57,271.05 2026-10-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 — — $47,379.97 $62,391.00 $54,885.49 2026-10-19
C9782 HCPCS Bld Proc Nyha Cls Ii/iii Hf/ccs Cls Iii/iv Cra; 20 20 — — $13,902.00 $95,116.62 $54,509.31 2026-10-19
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $47,643.60 $61,026.00 $54,334.80 2026-10-19
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 2 — — $39,276.99 $65,129.00 $52,202.99 2026-10-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $40,784.18 $62,871.00 $51,827.59 2026-10-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $45,889.84 $57,607.00 $51,748.42 2026-10-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $49,432.89 $53,427.00 $51,429.94 2026-10-19
228 MS_DRG Other Cardiothoracic Procedures With Mcc 2 2 — — $35,411.33 $66,547.00 $50,979.17 2026-10-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 2 — — $44,017.41 $56,381.00 $50,199.21 2026-10-19
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 2 — — $44,940.48 $55,354.00 $50,147.24 2026-10-19
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 2 — — $43,960.56 $56,309.00 $50,134.78 2026-10-19
0915T CPT Insj Perm Ccm-d Sys Pg&dual Transvns Eltrds/lds 20 20 — — $25,698.00 $73,837.82 $49,767.91 2026-10-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $48,521.90 $50,723.00 $49,622.45 2026-10-19
0268T CPT Impltj/rplcmt Crtd Sns Brorflx Actv Dev Pls Gen 20 20 — — $13,902.00 $82,552.23 $48,227.11 2026-10-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 2 — — $47,460.26 $48,987.00 $48,223.63 2026-10-19
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 2 — — $33,431.60 $61,454.00 $47,442.80 2026-10-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $45,955.92 $48,627.00 $47,291.46 2026-10-19
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 2 — — $35,581.16 $58,827.00 $47,204.08 2026-10-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 2 — — $43,408.42 $50,949.00 $47,178.71 2026-10-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 2 2 — — $41,813.13 $51,962.00 $46,887.57 2026-10-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $46,664.00 $46,664.00 $46,664.00 2026-10-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $42,275.73 $50,692.00 $46,483.87 2026-10-19
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $39,613.11 $52,753.00 $46,183.06 2026-10-19
28 MS_DRG Spinal Procedures With Mcc 2 2 — — $43,200.93 $49,122.00 $46,161.46 2026-10-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 2 — — $41,373.26 $50,267.00 $45,820.13 2026-10-19
37231 CPT Tib/per Revasc Stent & Ather 20 20 — — $13,902.00 $75,540.61 $44,721.31 2026-10-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 2 — — $43,607.39 $45,694.00 $44,650.69 2026-10-19
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $39,112.13 $50,098.00 $44,605.07 2026-10-19
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 2 — — $38,576.34 $50,413.00 $44,494.67 2026-10-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $40,540.44 $48,185.00 $44,362.72 2026-10-19
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 2 — — $38,873.37 $49,792.00 $44,332.68 2026-10-19
834 MS_DRG Acute Leukemia With Mcc 2 2 — — $39,276.99 $47,999.00 $43,637.99 2026-10-19
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $38,379.51 $48,555.00 $43,467.26 2026-10-19
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 — — $36,091.37 $49,012.00 $42,551.68 2026-10-19
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $37,638.35 $47,381.00 $42,509.68 2026-10-19
33276 CPT Hc Insertion, Phrenic Nrv Stim Sys, Pulse Gen & Stim Leads 50 31 $123,752.00 $37,125.60 70% off $700.00 $244,581.36 $42,310.81 2026-10-19
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 2 — — $36,596.61 $46,876.00 $41,736.31 2026-10-19
Q0508 HCPCS Cable Heartmate Iii Mod Vent 357 31 $163,540.00 $49,062.00 70% off $1,591.20 $189,043.40 $41,680.60 2026-10-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 2 — — $36,202.23 $46,887.00 $41,544.62 2026-10-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $35,539.24 $47,392.00 $41,465.62 2026-10-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 2 — — $36,475.10 $46,028.00 $41,251.55 2026-10-19
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 2 2 — — $37,805.34 $44,432.00 $41,118.67 2026-10-19
C9758 HCPCS Bi Proc Nyha Cl Iii/iv Hf;trnscath Impl Ias/pc 20 20 — — $13,902.00 $67,941.22 $40,921.61 2026-10-19
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $38,343.27 $43,125.00 $40,734.13 2026-10-19
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 — — $35,553.45 $45,540.00 $40,546.72 2026-10-19
C7534 HCPCS Revascularization Evar Fmrl Pa Unilateral Ath 5 5 — — $916.00 $43,617.88 $40,132.99 2026-10-19
C7535 HCPCS Revasc Evar Fmrl Pa Uni With Tl Stent Placement 5 5 — — $916.00 $43,617.88 $40,132.99 2026-10-19
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $33,934.70 $46,329.00 $40,131.85 2026-10-19
799 MS_DRG Splenic Procedures With Mcc 2 2 — — $33,787.61 $45,629.00 $39,708.31 2026-10-19
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $33,781.21 $45,481.00 $39,631.10 2026-10-19
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $35,792.21 $43,316.00 $39,554.10 2026-10-19
471 MS_DRG Cervical Spinal Fusion With Mcc 2 2 — — $34,515.97 $44,360.00 $39,437.99 2026-10-19
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 2 — — $32,630.04 $46,216.00 $39,423.02 2026-10-19
0614T CPT Rmvl&rplcmt Substernal Impltbl Defibrillator Pg 20 20 — — $25,698.00 $53,061.49 $39,379.75 2026-10-19
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $30,683.71 $47,910.00 $39,296.85 2026-10-19
163 MS_DRG Major Chest Procedures With Mcc 2 2 — — $32,752.98 $45,812.00 $39,282.49 2026-10-19
C9603 HCPCS Perq Tl Cor Atherect; Ea Add Br Maj Coronary Art 5 5 — — $210.00 $42,193.49 $38,822.41 2026-10-19
C9605 HCPCS Pc Tl Rev Of/thru Cabg; Ea Add Br Subtend Bp Gft 5 5 — — $210.00 $42,193.49 $38,822.41 2026-10-19
C9606 HCPCS Perq Tl Rev Ac Total/subtotal Occlusion 1 Ves 5 5 — — $916.00 $42,193.49 $38,822.41 2026-10-19
C9608 HCPCS Pc Tl Rev Chrn Tot Occl; Ea Add Ca Ca Br/bp Gft 5 5 — — $210.00 $42,193.49 $38,822.41 2026-10-19
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $33,745.00 $43,760.17 $38,752.58 2026-10-19
0923T CPT Rmvl&rplcmt Permanent Ccm-d Pulse Generator Only 20 20 — — $25,698.00 $51,693.58 $38,695.79 2026-10-19
0916T CPT Insertion Perm Ccm-d System Pulse Generator Only 20 20 — — $25,698.00 $51,693.58 $38,695.79 2026-10-19
245 MS_DRG Aicd Generator Procedures 2 2 — — $34,725.60 $42,311.00 $38,518.30 2026-10-19
0520T CPT Rmvl&rplcmt Pg Wcs Lv Pacg Battery Compnt Only 20 20 — — $25,698.00 $50,657.85 $38,177.93 2026-10-19
0515T CPT Insertion Wrls Car Stimulator Lv Pacg Compl Sys 20 20 — — $25,698.00 $50,657.85 $38,177.93 2026-10-19
0409T CPT Insj/rplc Cardiac Modulj Sys Pls Generator Only 20 20 — — $25,698.00 $50,504.86 $38,101.43 2026-10-19
0408T CPT Insj/rplc Car Modulj Sys Pls Gen Transvns Eltrd 20 20 — — $25,698.00 $50,504.86 $38,101.43 2026-10-19
0414T CPT Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only 20 20 — — $25,698.00 $50,504.86 $38,101.43 2026-10-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $37,703.00 $38,339.00 $38,021.00 2026-10-19
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 — — $32,059.43 $43,851.00 $37,955.21 2026-10-19
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 2 — — $33,056.40 $42,342.00 $37,699.20 2026-10-19
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $32,635.02 $42,185.00 $37,410.01 2026-10-19
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $33,252.53 $40,615.00 $36,933.76 2026-10-19
C7540 HCPCS Removal Perm Pm P Gen Repl Pm P Gen D Lead Sys 5 5 — — $916.00 $39,325.96 $36,183.98 2026-10-19
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 2 2 — — $31,780.16 $39,479.00 $35,629.58 2026-10-19
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 2 2 — — $31,215.24 $39,702.00 $35,458.62 2026-10-19
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 2 — — $30,267.30 $38,769.00 $34,518.15 2026-10-19
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 2 2 — — $27,980.59 $40,359.00 $34,169.79 2026-10-19
901 MS_DRG Wound Debridements For Injuries With Mcc 2 2 — — $31,483.13 $36,343.00 $33,913.07 2026-10-19
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 2 — — $29,778.40 $37,767.00 $33,772.70 2026-10-19
332 MS_DRG Rectal Resection With Mcc 2 2 — — $24,648.58 $42,823.00 $33,735.79 2026-10-19
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 2 — — $29,565.93 $37,852.00 $33,708.96 2026-10-19
33864 CPT Ascending Aortic Graft 5 5 — — $916.00 $36,588.98 $33,665.68 2026-10-19
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $28,902.94 $38,193.00 $33,547.97 2026-10-19
J7330 HCPCS Tissue Carticel 48 29 $97,357.57 $29,207.27 70% off $19,471.51 $88,595.39 $33,286.55 2026-10-19
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 2 2 — — $29,017.35 $37,168.00 $33,092.68 2026-10-19
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 2 2 — — $25,087.02 $40,899.00 $32,993.01 2026-10-19
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $32,738.00 $32,738.00 $32,738.00 2026-10-19
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $30,312.06 $35,109.00 $32,710.53 2026-10-19
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $27,464.69 $37,874.00 $32,669.35 2026-10-19
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 2 — — $25,747.88 $39,030.00 $32,388.94 2026-10-19
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $31,868.28 $32,715.00 $32,291.64 2026-10-19
140 MS_DRG Major Head And Neck Procedures With Mcc 2 2 — — $30,052.70 $34,388.00 $32,220.35 2026-10-19
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 2 2 — — $29,204.24 $35,136.00 $32,170.12 2026-10-19
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 2 2 — — $29,220.58 $34,544.00 $31,882.29 2026-10-19
791 MS_DRG Prematurity With Major Problems 1 1 — — $31,871.00 $31,871.00 $31,871.00 2026-10-19
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 2 — — $27,800.09 $35,609.00 $31,704.54 2026-10-19
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 2 2 — — $27,786.59 $35,470.00 $31,628.29 2026-10-19
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $28,308.17 $34,472.00 $31,390.08 2026-10-19
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 2 2 — — $22,073.37 $40,600.00 $31,336.68 2026-10-19
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 2 — — $29,771.30 $31,878.00 $30,824.65 2026-10-19
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 2 — — $26,804.54 $34,551.00 $30,677.77 2026-10-19
34 MS_DRG Carotid Artery Stent Procedures With Mcc 2 2 — — $27,633.10 $33,685.00 $30,659.05 2026-10-19
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $26,590.65 $34,630.00 $30,610.33 2026-10-19
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $27,014.88 $34,097.00 $30,555.94 2026-10-19
23474 CPT Revis Shoulder Arthrplsty Humeral&glenoid Compnt 20 20 — — $3,320.00 $57,405.68 $30,362.84 2026-10-19
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 2 — — $27,360.23 $33,322.00 $30,341.11 2026-10-19
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 2 — — $27,161.97 $33,397.00 $30,279.49 2026-10-19
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 — — $24,880.24 $35,468.00 $30,174.12 2026-10-19
C9792 HCPCS Blind/nonblnd Proc Sym Nyha Class Ii Iii Iva Hf; 20 20 — — $7,305.00 $52,994.75 $30,149.88 2026-10-19
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 2 2 — — $29,160.89 $30,303.00 $29,731.94 2026-10-19
33858 CPT As-aort Grf W/card Byp F/aortic Dissection 5 5 — — $916.00 $32,024.30 $29,465.69 2026-10-19
93656 CPT Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation 20 20 — — $9,924.00 $48,770.33 $29,347.17 2026-10-19
93653 CPT Compre Ep Eval Abltj 3d Mapg Tx Svt 20 20 — — $9,924.00 $48,770.33 $29,347.17 2026-10-19
93654 CPT Compre Ep Eval Abltj 3d Mapg Tx Vt 20 20 — — $9,924.00 $48,770.33 $29,347.17 2026-10-19
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 2 2 — — $28,288.28 $30,158.00 $29,223.14 2026-10-19
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 2 — — $27,923.74 $30,522.00 $29,222.87 2026-10-19
33440 CPT Rplcmt Aortic Valve By Tlcj Autol Pulm Valve 5 5 — — $916.00 $31,760.37 $29,222.85 2026-10-19
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 2 2 — — $24,204.46 $34,092.00 $29,148.23 2026-10-19
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 2 2 — — $27,436.98 $30,616.00 $29,026.49 2026-10-19
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 2 — — $28,038.14 $29,977.00 $29,007.57 2026-10-19
242 MS_DRG Permanent Cardiac Pacemaker Implant With McC 4 4 $65,505.63 $20,961.80 68% off $22,444.33 $33,898.00 $29,000.61 2026-10-19
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 — — $24,898.00 $32,353.00 $28,625.50 2026-10-19
37227 CPT Hc Fem/popl Revasc Stnt & Ather 50 31 $83,095.00 $24,928.50 70% off $13,432.00 $75,616.45 $28,410.18 2026-10-19
33871 CPT Transvrs A-arch Grf W/card Byp Prfd Hypothermia 5 5 — — $916.00 $30,799.56 $28,338.81 2026-10-19
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 2 — — $25,080.63 $31,512.00 $28,296.32 2026-10-19
33249 CPT Hc Icd Insert Sngl/dual W/leads 50 31 $82,722.00 $24,816.60 70% off $16,544.40 $75,277.02 $28,282.65 2026-10-19
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 2 — — $25,927.66 $30,362.00 $28,144.83 2026-10-19
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 2 2 — — $25,473.59 $30,584.00 $28,028.79 2026-10-19
271 MS_DRG Other Major Cardiovascular Procedures With Cc 2 2 — — $24,475.91 $31,458.00 $27,966.96 2026-10-19
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 2 2 — — $25,082.00 $30,746.95 $27,914.47 2026-10-19
33287 CPT Hc Removal/replcmt, Phrenic Nrv Stim, Pulse Gen 50 31 $81,447.00 $24,434.10 70% off $700.00 $74,116.77 $27,846.73 2026-10-19
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 2 2 — — $24,339.47 $31,157.00 $27,748.24 2026-10-19
0816T CPT Open Insj/rplcmt Integrated Nstimj Sys Ptn Subq 20 20 — — $7,305.00 $48,001.06 $27,653.03 2026-10-19
0817T CPT Open Insj/rplcmt Integrated Nstimj Sys Ptn Subf 20 20 — — $7,305.00 $48,001.06 $27,653.03 2026-10-19
55881 CPT Ablation Transurethral Prst8 Tissue W/thermal US 5 5 — — $916.00 $29,921.54 $27,530.94 2026-10-19
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $24,890.19 $30,044.00 $27,467.10 2026-10-19
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 2 — — $23,151.35 $31,417.00 $27,284.17 2026-10-19
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 2 — — $25,472.17 $28,785.00 $27,128.58 2026-10-19
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 2 2 — — $25,234.83 $29,011.00 $27,122.92 2026-10-19
252 MS_DRG Other Vascular Procedures With Mcc 2 2 — — $24,376.42 $29,714.00 $27,045.21 2026-10-19
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 2 2 — — $23,227.38 $30,860.00 $27,043.69 2026-10-19
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 2 2 — — $23,463.30 $30,270.00 $26,866.65 2026-10-19
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 2 — — $25,467.90 $27,878.00 $26,672.95 2026-10-19
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 2 2 — — $24,437.53 $28,797.00 $26,617.26 2026-10-19
665 MS_DRG Prostatectomy With Mcc 2 2 — — $24,399.16 $28,749.00 $26,574.08 2026-10-19
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 — — $21,913.48 $31,157.00 $26,535.24 2026-10-19
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 2 — — $25,017.38 $27,739.00 $26,378.19 2026-10-19
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 2 2 — — $23,852.71 $28,738.00 $26,295.35 2026-10-19
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 2 2 — — $19,444.86 $33,005.00 $26,224.93 2026-10-19
37 MS_DRG Extracranial Procedures With Mcc 2 2 — — $23,598.32 $28,634.00 $26,116.16 2026-10-19
C9780 HCPCS Ins Cvc Thru Cvo Via Inf & Sup Aprch Inc Img Gd 20 20 — — $7,305.00 $44,842.13 $26,073.56 2026-10-19
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 2 2 — — $20,350.16 $31,771.00 $26,060.58 2026-10-19
500 MS_DRG Soft Tissue Procedures With Mcc 2 2 — — $22,516.78 $29,509.00 $26,012.89 2026-10-19
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 — — $22,770.47 $29,166.00 $25,968.24 2026-10-19
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 2 2 — — $22,704.38 $29,082.00 $25,893.19 2026-10-19
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 2 2 — — $22,177.83 $29,498.00 $25,837.92 2026-10-19
265 MS_DRG Aicd Lead Procedures 2 2 — — $25,348.52 $26,069.00 $25,708.76 2026-10-19
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 2 — — $21,974.59 $29,340.00 $25,657.29 2026-10-19
43325 CPT Revise Esophagus & Stomach 5 5 — — $916.00 $27,835.16 $25,611.25 2026-10-19
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 2 — — $22,876.35 $28,170.00 $25,523.17 2026-10-19
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 2 $49,224.63 $14,767.39 70% off $22,661.03 $28,269.00 $25,465.01 2026-10-19
37230 CPT Tib/per Revasc W/stent 20 20 — — $7,305.00 $43,617.88 $25,461.44 2026-10-19
37233 CPT Tibper Revasc W/ather Add-on 20 20 — — $7,305.00 $43,617.88 $25,461.44 2026-10-19
264 MS_DRG Other Circulatory System O.r. Procedures 2 2 — — $24,836.18 $25,751.00 $25,293.59 2026-10-19
0825T CPT Tcat Rmvl&rplcmt Perm 1chmbr Ldls Pm R Atrial 20 20 — — $7,305.00 $42,756.00 $25,030.50 2026-10-19
0823T CPT Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 20 20 — — $7,305.00 $42,756.00 $25,030.50 2026-10-19
0803T CPT Tcat Rmvl&rplcmt Prm 2chmbr Ldls Pm R Vntr Cmpnt 20 20 — — $7,305.00 $42,756.00 $25,030.50 2026-10-19
0801T CPT Tcat Rmvl&rplcmt Perm 2chmbr Ldls Pm 2chmbr Sys 20 20 — — $7,305.00 $42,756.00 $25,030.50 2026-10-19
0797T CPT Tcat Insj Perm 2chmbr Ldls Pm R Ventr Pm Compnt 20 20 — — $7,305.00 $42,756.00 $25,030.50 2026-10-19
0796T CPT Tcat Insj Perm 2chmbr Ldls Pm R Atr Pm Compnt 20 20 — — $7,305.00 $42,756.00 $25,030.50 2026-10-19
0795T CPT Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys 20 20 — — $7,305.00 $42,756.00 $25,030.50 2026-10-19
0802T CPT Tcat Rmvl&rplcmt Perm 2chmbr Ldls Pm R Atr Cmpnt 20 20 — — $7,305.00 $42,756.00 $25,030.50 2026-10-19
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 2 2 — — $21,929.12 $28,089.00 $25,009.06 2026-10-19
C7539 HCPCS Insertion New/replc Ppm Atrial & Vent Tv Electrd 5 5 — — $916.00 $27,049.98 $24,888.80 2026-10-19
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 2 2 — — $21,805.47 $27,930.00 $24,867.74 2026-10-19
C8003 HCPCS Implant Medial Knee Extraart Implant Shock Abs 20 20 — — $7,305.00 $42,352.29 $24,828.65 2026-10-19
662 MS_DRG Minor Bladder Procedures With Mcc 2 2 — — $22,167.88 $27,344.00 $24,755.94 2026-10-19
C9607 HCPCS Pc Tl Rev Chrn Tot Occl Ca Ca Br/cabg; 1 Ves 20 20 — — $7,305.00 $42,193.49 $24,749.24 2026-10-19
619 MS_DRG O.r. Procedures For Obesity With Mcc 2 2 — — $19,374.51 $29,936.00 $24,655.25 2026-10-19
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 2 2 — — $19,147.12 $30,109.00 $24,628.06 2026-10-19
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 2 — — $18,364.04 $30,777.00 $24,570.52 2026-10-19
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 2 2 — — $21,734.41 $27,316.00 $24,525.21 2026-10-19
92925 CPT Prq Trluml Coronary Angio/atherec Addl Art/brnch 20 20 — — $7,305.00 $41,693.47 $24,499.24 2026-10-19
92924 CPT Prq Trluml Coronary Angio/atherect One Art/brnch 20 20 — — $7,305.00 $41,693.47 $24,499.24 2026-10-19
C9797 HCPCS Vascular Emb/occl Proc Use Of Press-gen Cath 20 20 — — $7,305.00 $41,354.33 $24,329.67 2026-10-19
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 2 — — $23,936.00 $24,621.58 $24,278.79 2026-10-19
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml IV Soln 47 26 $34,581.60 $10,374.48 70% off $216.46 $115,387.27 $24,207.12 2026-10-19
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $20,952.75 $27,383.00 $24,167.88 2026-10-19
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 2 2 — — $20,898.75 $27,353.00 $24,125.88 2026-10-19
654 MS_DRG Major Bladder Procedures With Cc 2 2 — — $20,053.84 $28,192.00 $24,122.92 2026-10-19
36908 CPT Tcat Plmt IV Stent Ctr Dialysis Seg W/img S&i 5 5 — — $210.00 $26,111.64 $24,025.43 2026-10-19
54405 CPT Insert Multi-comp Penis Pros 6 6 — — $798.00 $26,093.57 $24,008.80 2026-10-19
54401 CPT Insert Self-contd Prosthesis 6 6 — — $798.00 $26,093.57 $24,008.80 2026-10-19
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 — — $23,161.30 $24,815.00 $23,988.15 2026-10-19
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 2 — — $20,711.86 $27,253.00 $23,982.43 2026-10-19
93591 CPT Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 20 20 — — $13,902.00 $34,043.27 $23,972.63 2026-10-19
93590 CPT Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 20 20 — — $13,902.00 $34,043.27 $23,972.63 2026-10-19
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 2 2 — — $22,554.44 $25,164.00 $23,859.22 2026-10-19
C9751 HCPCS Bronchoscopy Rigid/flexible Transbron Abl Lesion 20 20 — — $2,807.00 $44,842.13 $23,824.56 2026-10-19
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 2 2 — — $20,841.90 $26,466.00 $23,653.95 2026-10-19
472 MS_DRG Cervical Spinal Fusion With Cc 2 2 — — $20,587.50 $26,547.00 $23,567.25 2026-10-19
44300 CPT Open Bowel To Skin 5 5 — — $916.00 $25,394.42 $23,365.51 2026-10-19
0421T CPT Transurethral Waterjet Ablation Prostate Compl 20 20 — — $2,807.00 $43,849.83 $23,328.42 2026-10-19
33221 CPT Ins Pacemaker Pulse Gen Only W/exist Mult Leads 20 20 — — $7,305.00 $39,325.96 $23,315.48 2026-10-19
33229 CPT Remvl Perm Pm Pls Gen W/repl Plse Gen Mult Lead 20 20 — — $7,305.00 $39,325.96 $23,315.48 2026-10-19
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 2 2 — — $20,338.08 $26,051.00 $23,194.54 2026-10-19
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 2 2 — — $20,229.36 $25,912.00 $23,070.68 2026-10-19
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 2 2 — — $20,694.09 $25,116.00 $22,905.04 2026-10-19
0793T CPT Perq Tcat Thrm Abltj Nerves Innervating P-art 20 20 — — $7,305.00 $38,476.93 $22,890.97 2026-10-19
974 MS_DRG HIV With Major Related Condition With Mcc 2 2 — — $21,219.94 $24,438.00 $22,828.97 2026-10-19
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 2 — — $19,956.49 $25,547.00 $22,751.75 2026-10-19
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 2 2 — — $19,935.88 $25,133.00 $22,534.44 2026-10-19
33263 CPT Hc Icd Rmvl W/repl Dual Lead Sys 26 26 $61,762.00 $18,528.60 70% off $13,587.64 $129,987.98 $22,388.72 2026-10-19
33262 CPT Hc Icd Rmvl W/repl Sngl Lead Sys 26 26 $61,762.00 $18,528.60 70% off $13,587.64 $129,987.98 $22,388.72 2026-10-19
800 MS_DRG Splenic Procedures With Cc 2 2 — — $20,705.46 $24,032.00 $22,368.73 2026-10-19
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $19,210.36 $25,095.00 $22,152.68 2026-10-19
C9773 HCPCS Rvsc Evar Open/pc Tibial/pa;ivasc Lith & Tl Sp 20 20 — — $7,305.00 $36,995.39 $22,150.19 2026-10-19
C9775 HCPCS Rvsc Evar Opn/p Tib/pa;ivasc Lith&tl Stnt Pl&ath 20 20 — — $7,305.00 $36,995.39 $22,150.19 2026-10-19
C9774 HCPCS Rvsc Evar Opn/perq Tib/per Art;ivasc Lith&athrec 20 20 — — $7,305.00 $36,995.39 $22,150.19 2026-10-19
0620T CPT Endovascular Venous Arterialization Tibl/prnl Vn 20 20 — — $7,305.00 $36,995.39 $22,150.19 2026-10-19
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 2 — — $19,410.04 $24,701.00 $22,055.52 2026-10-19
963 MS_DRG Other Multiple Significant Trauma With McC 4 4 $90,687.75 $29,020.08 68% off $17,762.01 $24,640.02 $21,972.43 2026-10-19
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 2 2 — — $21,248.00 $22,599.92 $21,923.96 2026-10-19
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 2 2 — — $18,641.17 $25,169.00 $21,905.08 2026-10-19
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 2 2 — — $18,014.42 $25,639.00 $21,826.71 2026-10-19
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 2 2 — — $16,433.34 $27,201.00 $21,817.17 2026-10-19
668 MS_DRG Transurethral Procedures With Mcc 2 2 — — $20,723.23 $22,745.00 $21,734.11 2026-10-19
33225 CPT L Ventric Pacing Lead Add-on 20 20 — — $9,924.00 $33,475.51 $21,699.76 2026-10-19
33224 CPT Insert Pacing Lead & Connect 20 20 — — $9,924.00 $33,475.51 $21,699.76 2026-10-19
570 MS_DRG Skin Debridement With Mcc 2 2 — — $21,390.48 $21,801.00 $21,595.74 2026-10-19
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 2 2 — — $20,373.61 $22,660.00 $21,516.81 2026-10-19
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 — — $17,397.62 $25,622.00 $21,509.81 2026-10-19
33391 CPT Valvuloplasty Aortic Valve Open Card Byp Complex 5 5 — — $916.00 $23,358.82 $21,492.55 2026-10-19
0572T CPT Insj Substernal Implantable Defibrillator Eltrd 20 20 — — $7,305.00 $35,574.44 $21,439.72 2026-10-19
C7538 HCPCS Insertion New/replc Perm Pcm Vent Tv Electrode 5 5 — — $916.00 $23,136.42 $21,287.92 2026-10-19
C7537 HCPCS Insertion New/replc Perm Pcm Atrial Tv Electrd 5 5 — — $916.00 $23,136.42 $21,287.92 2026-10-19
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 2 — — $18,592.85 $23,712.00 $21,152.42 2026-10-19
33859 CPT As-aort Grf W/card Byp F/aortic Ds Oth/thn Dsj 5 5 — — $916.00 $22,962.06 $21,127.49 2026-10-19
0238T CPT Trluml Perip Athrc Iliac Art 20 20 — — $7,305.00 $34,711.35 $21,008.17 2026-10-19
0237T CPT Trluml Perip Athrc Brchiocph 20 20 — — $7,305.00 $34,711.35 $21,008.17 2026-10-19
0236T CPT Trluml Perip Athrc Abd Aorta 20 20 — — $7,305.00 $34,711.35 $21,008.17 2026-10-19
0234T CPT Trluml Perip Athrc Renal Art 20 20 — — $7,305.00 $34,711.35 $21,008.17 2026-10-19
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 2 2 — — $18,787.55 $23,162.00 $20,974.78 2026-10-19
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 2 2 — — $18,394.59 $23,247.00 $20,820.79 2026-10-19
164 MS_DRG Major Chest Procedures With Cc 2 2 — — $17,885.80 $23,674.00 $20,779.90 2026-10-19
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 2 — — $17,254.08 $24,149.00 $20,701.54 2026-10-19
253 MS_DRG Other Vascular Procedures With Cc 2 2 — — $18,141.62 $23,239.00 $20,690.31 2026-10-19
C7515 HCPCS Dlys Circ Perm Evar Emb/occl Main Circ/any Av 5 5 — — $916.00 $22,459.85 $20,665.40 2026-10-19
54411 CPT Remov/replc Penis Pros Comp 5 5 — — $210.00 $22,389.03 $20,600.24 2026-10-19
54417 CPT Remv/replc Penis Pros Compl 5 5 — — $568.00 $22,389.03 $20,600.24 2026-10-19
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 2 2 — — $20,309.66 $20,804.00 $20,556.83 2026-10-19
545 MS_DRG Connective Tissue Disorders With Mcc 2 2 — — $17,956.15 $23,065.00 $20,510.58 2026-10-19
33213 CPT Insertion Of Pulse Generator 6 6 — — $798.00 $22,144.43 $20,375.18 2026-10-19
347 MS_DRG Anal And Stomal Procedures With Mcc 2 2 — — $16,818.48 $23,871.00 $20,344.74 2026-10-19
66683 CPT Impltj Iris Prosthesis W/sutr Fixj&rpr/rmvl Iris 20 20 — — $2,807.00 $37,807.06 $20,307.03 2026-10-19
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 2 2 — — $16,008.40 $24,298.00 $20,153.20 2026-10-19
C7533 HCPCS Perq Tl Cor Angioplasty Single Major Cor Art/br 5 5 — — $916.00 $21,865.60 $20,118.63 2026-10-19
397 MS_DRG Appendix Procedures With Mcc 2 2 — — $17,607.25 $22,553.00 $20,080.12 2026-10-19
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 2 2 — — $18,107.51 $22,031.00 $20,069.25 2026-10-19
503 MS_DRG Foot Procedures With Mcc 2 2 — — $18,806.74 $21,242.00 $20,024.37 2026-10-19
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With McC 4 4 $360,537.83 $115,372.11 68% off $13,591.58 $24,798.40 $20,017.70 2026-10-19
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 2 — — $16,796.45 $23,202.00 $19,999.22 2026-10-19
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 2 2 — — $17,780.63 $22,204.00 $19,992.32 2026-10-19
208 MS_DRG Ms DRG -respiratory System Diagnosis With Ventilator Support <=96 Hours;apr DRG … 4 4 $12,293.79 $3,780.11 69% off $17,563.88 $20,906.38 $19,988.54 2026-10-19
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 2 2 — — $14,412.39 $25,416.00 $19,914.19 2026-10-19
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 2 2 — — $17,187.28 $22,450.00 $19,818.64 2026-10-19
44208 CPT L Colectomy/coloproctostomy 5 5 — — $916.00 $21,422.97 $19,711.36 2026-10-19
44207 CPT L Colectomy/coloproctostomy 5 5 — — $916.00 $21,422.97 $19,711.36 2026-10-19
44206 CPT Lap Part Colectomy W/stoma 5 5 — — $916.00 $21,422.97 $19,711.36 2026-10-19
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 2 2 — — $18,147.30 $21,175.00 $19,661.15 2026-10-19
C1826 HCPCS Sys Evoke Close Loop Stim 60cm 44 26 $57,128.50 $17,138.55 70% off $11,425.70 $51,986.94 $19,532.23 2026-10-19
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 2 — — $16,887.41 $22,166.00 $19,526.71 2026-10-19
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