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

WEST FELICIANA PARISH HOSPITAL

Saint Francisville, LA · CCN 191306 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $1,700 across 3 payers · range $1,600-$3,333

Source: https://mrfs.hyvehealthcare.com/WestFelicianaParish/720683078_the-hospital-service-district-of-west-feliciana-parish-louisiana_standardcharges.csv · observed 2026-05-11

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.

21,191 distinct procedures filed
33 distinct payers
626,980 rate rows
2026-05-11 last MRF observed
Data quality

399,103 of 626,980 rate rows are consumer-grade (63.7%)

227,877 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 202,665
per-diem day rate — not a per-procedure price 13,121
placeholder amount (≤ $0.02) — excluded from medians 6,195
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,559
template filing: same amount across many unrelated codes — excluded 868
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 288
exceeds 10× this hospital's gross charge — excluded from medians 177
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.wfph.org/wp-content/uploads/720683078_the-hospital-service-district-of-west-feliciana-parish-louisiana_standardcharges.csv
Found on page https://www.wfph.org/patients-visitors/standard-price/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-11
Content fingerprint fe9c24e646324054… · 18,825,871 bytes · first seen 2026-05-06

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 1 $277,951.73 $277,951.73 $277,951.73 nat. median
$370,165
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $189,489.00 $189,489.00 $189,489.00 nat. median
$261,939
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $131,232.00 $131,232.00 $131,232.00 nat. median
$199,832
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $126,119.00 $126,119.00 $126,119.00 nat. median
$205,166
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $113,523.00 $113,523.00 $113,523.00 nat. median
$108,240
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 1 $95,950.00 $95,950.00 $95,950.00 nat. median
$98,002
1.0× median
33270
CPT 		Ins/rep Subq Defibrillator 12 $36,806.12 $103,242.39 $92,234.48 nat. median
$31,963
outlier · 2.9×
571T
OTHER 		Insj/rplcmt Icds Ss Eltrd 12 $81,226.56 $103,242.39 $92,234.48 nat. median
$32,663
outlier · 2.8×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $86,636.00 $86,636.00 $86,636.00 nat. median
$114,305
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $82,400.00 $82,400.00 $82,400.00 nat. median
$132,706
0.6× median
C9760
HCPCS 		Non-blind Interatrial Shunt 12 $72,481.64 $92,127.23 $82,304.43 nat. median
$27,848
outlier · 3.0×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $81,115.98 $81,115.98 $81,115.98 nat. median
$100,978
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $77,999.83 $77,999.83 $77,999.83 nat. median
$96,835
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $77,729.00 $77,729.00 $77,729.00 nat. median
$99,646
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $74,453.00 $74,453.00 $74,453.00 nat. median
$77,385
1.0× median
7
MS_DRG 		Lung Transplant 1 $72,912.00 $72,912.00 $72,912.00 nat. median
$122,690
0.6× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $72,532.00 $72,532.00 $72,532.00 nat. median
$83,623
0.9× median
C1722
HCPCS 		Aicd, Single Chamber 11 $72,098.00 $72,098.00 $72,098.00 nat. median
$21,054
outlier · 3.4×
33264
CPT 		Rmvl & Rplcmt Dfb Gen Mlt Ld 12 $36,977.27 $80,120.68 $71,578.05 nat. median
$31,464
outlier · 2.3×
33231
CPT 		Insrt Pulse Gen W/mult Leads 12 $37,553.69 $80,120.68 $71,578.05 nat. median
$29,955
outlier · 2.4×
33263
CPT 		Rmvl & Rplcmt Dfb Gen 2 Lead 12 $26,343.74 $80,120.68 $71,578.05 nat. median
$23,228
outlier · 3.1×
33230
CPT 		Insrt Pulse Gen W/dual Leads 12 $26,616.13 $80,120.68 $71,578.05 nat. median
$22,374
outlier · 3.2×
33262
CPT 		Rmvl& Replc Pulse Gen 1 Lead 12 $26,172.61 $80,120.68 $71,578.05 nat. median
$23,104
outlier · 3.1×
A9543
HCPCS 		Y90 Ibritumomab, Rx 12 $31,677.42 $72,149.02 $71,098.30 nat. median
$63,643
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $70,734.00 $70,734.00 $70,734.00 nat. median
$92,900
0.8× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 12 $69,559.17 $69,690.25 $69,624.71 nat. median
$69,291
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $68,591.81 $68,591.81 $68,591.81 nat. median
$81,364
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $68,536.00 $68,536.00 $68,536.00 nat. median
$80,459
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 12 $25,579.28 $71,087.76 $68,302.98 nat. median
$75,807
0.9× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $63,181.00 $63,181.00 $63,181.00 nat. median
$58,534
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $62,104.11 $62,104.11 $62,104.11 nat. median
$81,124
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 12 $39,839.00 $62,718.81 $61,617.78 nat. median
$65,655
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $60,404.00 $60,404.00 $60,404.00 nat. median
$79,040
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $57,725.00 $57,725.00 $57,725.00 nat. median
$60,162
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $56,645.00 $56,645.00 $56,645.00 nat. median
$74,472
0.8× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 $56,115.00 $56,115.00 $56,115.00 nat. median
$54,267
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $54,680.00 $54,680.00 $54,680.00 nat. median
$73,475
0.7× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $54,662.00 $54,662.00 $54,662.00 nat. median
$51,048
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $54,380.00 $54,380.00 $54,380.00 nat. median
$71,485
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $52,886.70 $52,886.70 $52,886.70 nat. median
$66,640
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $52,620.88 $52,620.88 $52,620.88 nat. median
$68,581
0.8× median
C9782
HCPCS 		Blind Myocar Trpl Bon Marrow 12 $46,125.16 $58,627.03 $52,376.10 nat. median
$18,376
outlier · 2.9×
888T
OTHER 		Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 12 $46,125.16 $58,627.03 $52,376.10 nat. median
$19,261
outlier · 2.7×
33240
CPT 		Insrt Pulse Gen W/singl Lead 12 $27,002.59 $57,121.38 $51,030.98 nat. median
$21,987
outlier · 2.3×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $50,679.00 $50,679.00 $50,679.00 nat. median
$57,394
0.9× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $50,613.00 $50,613.00 $50,613.00 nat. median
$46,826
1.1× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $49,923.20 $49,923.20 $49,923.20 nat. median
$62,262
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $49,604.51 $49,604.51 $49,604.51 nat. median
$69,153
0.7× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 1 $49,117.00 $49,117.00 $49,117.00 nat. median
$50,071
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $48,599.00 $48,599.00 $48,599.00 nat. median
$65,792
0.7× median

Other procedures at this hospital

Browse this hospital's 21,191 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $277,951.73 $277,951.73 $277,951.73 2026-05-11
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $189,489.00 $189,489.00 $189,489.00 2026-05-11
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $131,232.00 $131,232.00 $131,232.00 2026-05-11
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $126,119.00 $126,119.00 $126,119.00 2026-05-11
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $113,523.00 $113,523.00 $113,523.00 2026-05-11
215 MS_DRG Other Heart Assist System Implant 1 1 — — $95,950.00 $95,950.00 $95,950.00 2026-05-11
33270 CPT Ins/rep Subq Defibrillator 24 12 — — $36,806.12 $103,242.39 $92,234.48 2026-05-11
571T OTHER Insj/rplcmt Icds Ss Eltrd 24 12 — — $81,226.56 $103,242.39 $92,234.48 2026-05-11
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $86,636.00 $86,636.00 $86,636.00 2026-05-11
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $82,400.00 $82,400.00 $82,400.00 2026-05-11
C9760 HCPCS Non-blind Interatrial Shunt 24 12 — — $72,481.64 $92,127.23 $82,304.43 2026-05-11
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $81,115.98 $81,115.98 $81,115.98 2026-05-11
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $77,999.83 $77,999.83 $77,999.83 2026-05-11
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $77,729.00 $77,729.00 $77,729.00 2026-05-11
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $74,453.00 $74,453.00 $74,453.00 2026-05-11
7 MS_DRG Lung Transplant 1 1 — — $72,912.00 $72,912.00 $72,912.00 2026-05-11
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $72,532.00 $72,532.00 $72,532.00 2026-05-11
C1722 HCPCS Aicd, Single Chamber 23 11 — — $72,098.00 $72,098.00 $72,098.00 2026-05-11
33230 CPT Insrt Pulse Gen W/dual Leads 24 12 — — $26,616.13 $80,120.68 $71,578.05 2026-05-11
33231 CPT Insrt Pulse Gen W/mult Leads 24 12 — — $37,553.69 $80,120.68 $71,578.05 2026-05-11
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 24 12 — — $26,343.74 $80,120.68 $71,578.05 2026-05-11
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 24 12 — — $26,172.61 $80,120.68 $71,578.05 2026-05-11
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 24 12 — — $36,977.27 $80,120.68 $71,578.05 2026-05-11
A9543 HCPCS Y90 Ibritumomab, Rx 24 12 — — $31,677.42 $72,149.02 $71,098.30 2026-05-11
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $70,734.00 $70,734.00 $70,734.00 2026-05-11
J9029 HCPCS Instill Adstiladrin, Tx Dose 24 12 — — $69,559.17 $69,690.25 $69,624.71 2026-05-11
850 MS_DRG Acute Leukemia With Other Procedures 1 1 — — $68,591.81 $68,591.81 $68,591.81 2026-05-11
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $68,536.00 $68,536.00 $68,536.00 2026-05-11
J7330 HCPCS Cultured Chondrocytes Implnt 24 12 — — $25,579.28 $71,087.76 $68,302.98 2026-05-11
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $63,181.00 $63,181.00 $63,181.00 2026-05-11
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $62,104.11 $62,104.11 $62,104.11 2026-05-11
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 24 12 — — $39,839.00 $62,718.81 $61,617.78 2026-05-11
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $60,404.00 $60,404.00 $60,404.00 2026-05-11
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $57,725.00 $57,725.00 $57,725.00 2026-05-11
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $56,645.00 $56,645.00 $56,645.00 2026-05-11
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $56,115.00 $56,115.00 $56,115.00 2026-05-11
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $54,680.00 $54,680.00 $54,680.00 2026-05-11
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $54,662.00 $54,662.00 $54,662.00 2026-05-11
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $54,380.00 $54,380.00 $54,380.00 2026-05-11
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $52,886.70 $52,886.70 $52,886.70 2026-05-11
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $52,620.88 $52,620.88 $52,620.88 2026-05-11
C9782 HCPCS Blind Myocar Trpl Bon Marrow 24 12 — — $46,125.16 $58,627.03 $52,376.10 2026-05-11
888T OTHER Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 24 12 — — $46,125.16 $58,627.03 $52,376.10 2026-05-11
33240 CPT Insrt Pulse Gen W/singl Lead 24 12 — — $27,002.59 $57,121.38 $51,030.98 2026-05-11
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $50,679.00 $50,679.00 $50,679.00 2026-05-11
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $50,613.00 $50,613.00 $50,613.00 2026-05-11
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $49,923.20 $49,923.20 $49,923.20 2026-05-11
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $49,604.51 $49,604.51 $49,604.51 2026-05-11
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $49,117.00 $49,117.00 $49,117.00 2026-05-11
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $48,599.00 $48,599.00 $48,599.00 2026-05-11
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $48,375.00 $48,375.00 $48,375.00 2026-05-11
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $47,983.00 $47,983.00 $47,983.00 2026-05-11
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $47,967.00 $47,967.00 $47,967.00 2026-05-11
J9226 HCPCS Supprelin La Implant 24 12 — — $29,150.56 $47,109.28 $47,109.28 2026-05-11
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $46,782.00 $46,782.00 $46,782.00 2026-05-11
C2616 HCPCS Brachytx, Non-str,yttrium-90 24 12 — — $22,568.75 $52,202.28 $46,636.36 2026-05-11
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $46,123.50 $46,123.50 $46,123.50 2026-05-11
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $46,063.93 $46,063.93 $46,063.93 2026-05-11
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $45,470.00 $45,470.00 $45,470.00 2026-05-11
268T OTHER Implt/rpl Crtd Sns Dev Gen 23 11 — — $40,032.28 $50,882.72 $45,457.50 2026-05-11
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $45,343.00 $45,343.00 $45,343.00 2026-05-11
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $44,960.00 $44,960.00 $44,960.00 2026-05-11
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $44,901.00 $44,901.00 $44,901.00 2026-05-11
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $43,488.00 $43,488.00 $43,488.00 2026-05-11
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $43,027.00 $43,027.00 $43,027.00 2026-05-11
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $42,570.00 $42,570.00 $42,570.00 2026-05-11
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $42,470.00 $42,470.00 $42,470.00 2026-05-11
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $42,468.00 $42,468.00 $42,468.00 2026-05-11
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $42,323.00 $42,323.00 $42,323.00 2026-05-11
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $42,153.00 $42,153.00 $42,153.00 2026-05-11
37231 CPT Tib/per Revasc Stent & Ather 24 12 — — $13,871.64 $46,560.95 $41,596.53 2026-05-11
37227 CPT Fem/popl Revasc Stnt & Ather 24 12 — — $14,666.83 $46,560.95 $41,596.53 2026-05-11
33249 CPT Insj/rplcmt Defib W/lead(s) 24 12 — — $36,467.38 $46,351.59 $41,409.49 2026-05-11
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $41,389.00 $41,389.00 $41,389.00 2026-05-11
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $41,176.00 $41,176.00 $41,176.00 2026-05-11
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $40,983.53 $40,983.53 $40,983.53 2026-05-11
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $40,915.00 $40,915.00 $40,915.00 2026-05-11
834 MS_DRG Acute Leukemia With Mcc 1 1 — — $40,908.00 $40,908.00 $40,908.00 2026-05-11
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $40,838.00 $40,838.00 $40,838.00 2026-05-11
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $40,733.34 $40,733.34 $40,733.34 2026-05-11
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 24 12 — — $35,806.37 $45,511.41 $40,658.89 2026-05-11
245 MS_DRG Aicd Generator Procedures 1 1 — — $40,599.00 $40,599.00 $40,599.00 2026-05-11
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $40,536.00 $40,536.00 $40,536.00 2026-05-11
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $40,339.00 $40,339.00 $40,339.00 2026-05-11
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $40,298.00 $40,298.00 $40,298.00 2026-05-11
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $40,245.00 $40,245.00 $40,245.00 2026-05-11
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $39,953.00 $39,953.00 $39,953.00 2026-05-11
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $39,370.00 $39,370.00 $39,370.00 2026-05-11
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $38,830.00 $38,830.00 $38,830.00 2026-05-11
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $38,347.64 $38,347.64 $38,347.64 2026-05-11
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $38,275.00 $38,275.00 $38,275.00 2026-05-11
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $38,182.00 $38,182.00 $38,182.00 2026-05-11
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — — $37,812.00 $37,812.00 $37,812.00 2026-05-11
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — — $37,692.00 $37,692.00 $37,692.00 2026-05-11
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $37,651.00 $37,651.00 $37,651.00 2026-05-11
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $37,550.00 $37,550.00 $37,550.00 2026-05-11
686T OTHER Histotripsy Mal Hepatcel Tis 24 12 — — $6,616.04 $41,876.93 $37,411.93 2026-05-11
C9758 HCPCS Blind Interatrial Shunt Ide 24 12 — — $32,946.92 $41,876.93 $37,411.93 2026-05-11
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $37,357.00 $37,357.00 $37,357.00 2026-05-11
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $37,254.57 $37,254.57 $37,254.57 2026-05-11
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $36,800.00 $36,800.00 $36,800.00 2026-05-11
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $36,791.00 $36,791.00 $36,791.00 2026-05-11
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $36,628.00 $36,628.00 $36,628.00 2026-05-11
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $36,625.00 $36,625.00 $36,625.00 2026-05-11
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $36,584.00 $36,584.00 $36,584.00 2026-05-11
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $36,430.00 $36,430.00 $36,430.00 2026-05-11
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $36,313.00 $36,313.00 $36,313.00 2026-05-11
C1768 HCPCS Graft, Vascular 1 1 — — $36,075.00 $36,075.00 $36,075.00 2026-05-11
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $34,638.05 $34,638.05 $34,638.05 2026-05-11
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $34,591.00 $34,591.00 $34,591.00 2026-05-11
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $34,134.00 $34,134.00 $34,134.00 2026-05-11
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $34,131.00 $34,131.00 $34,131.00 2026-05-11
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $33,863.00 $33,863.00 $33,863.00 2026-05-11
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $33,752.00 $33,752.00 $33,752.00 2026-05-11
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $33,715.00 $33,715.00 $33,715.00 2026-05-11
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $33,604.54 $33,604.54 $33,604.54 2026-05-11
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $33,520.00 $33,520.00 $33,520.00 2026-05-11
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $33,144.00 $33,144.00 $33,144.00 2026-05-11
10 MS_DRG Pancreas Transplant 1 1 — — $32,555.00 $32,555.00 $32,555.00 2026-05-11
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $32,112.00 $32,112.00 $32,112.00 2026-05-11
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $32,091.00 $32,091.00 $32,091.00 2026-05-11
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $32,065.00 $32,065.00 $32,065.00 2026-05-11
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $31,715.49 $31,715.49 $31,715.49 2026-05-11
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $31,689.00 $31,689.00 $31,689.00 2026-05-11
23474 CPT Revis Reconst Shoulder Joint 23 11 — — $27,837.89 $35,383.14 $31,610.51 2026-05-11
C9601 HCPCS Perc Drug-el Cor Stent Bran 23 11 — — $20,461.00 $42,163.00 $31,312.00 2026-05-11
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $31,065.00 $31,065.00 $31,065.00 2026-05-11
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $30,943.00 $30,943.00 $30,943.00 2026-05-11
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $30,931.00 $30,931.00 $30,931.00 2026-05-11
22856 CPT Tot Disc Arthrp 1ntrspc Crv 24 12 — — $15,137.29 $34,250.60 $30,598.74 2026-05-11
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $30,533.81 $30,533.81 $30,533.81 2026-05-11
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $30,482.00 $30,482.00 $30,482.00 2026-05-11
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $30,405.74 $30,405.74 $30,405.74 2026-05-11
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $30,336.00 $30,336.00 $30,336.00 2026-05-11
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $30,257.00 $30,257.00 $30,257.00 2026-05-11
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $30,218.00 $30,218.00 $30,218.00 2026-05-11
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $30,104.00 $30,104.00 $30,104.00 2026-05-11
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $29,895.00 $29,895.00 $29,895.00 2026-05-11
J9266 HCPCS Pegaspargase Injection 24 12 — — $14,608.99 $29,777.58 $29,777.58 2026-05-11
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $29,723.00 $29,723.00 $29,723.00 2026-05-11
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $29,639.55 $29,639.55 $29,639.55 2026-05-11
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $29,389.00 $29,389.00 $29,389.00 2026-05-11
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $29,246.00 $29,246.00 $29,246.00 2026-05-11
77372 CPT Srs Linear Based 24 12 — — $1,068.24 $32,727.08 $29,237.65 2026-05-11
614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 24 12 — — $20,418.37 $32,705.51 $29,218.38 2026-05-11
C9792 HCPCS Blind/nonblind Trans Atrial 24 12 — — $25,698.89 $32,664.37 $29,181.63 2026-05-11
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $29,130.24 $29,130.24 $29,130.24 2026-05-11
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $29,089.00 $29,089.00 $29,089.00 2026-05-11
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $28,919.00 $28,919.00 $28,919.00 2026-05-11
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $28,764.00 $28,764.00 $28,764.00 2026-05-11
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $28,529.00 $28,529.00 $28,529.00 2026-05-11
916T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 24 12 — — $25,067.90 $31,862.37 $28,465.13 2026-05-11
923T OTHER Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 24 12 — — $25,067.90 $31,862.37 $28,465.13 2026-05-11
332 MS_DRG Rectal Resection With Mcc 1 1 — — $28,454.00 $28,454.00 $28,454.00 2026-05-11
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $28,353.00 $28,353.00 $28,353.00 2026-05-11
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $28,340.00 $28,340.00 $28,340.00 2026-05-11
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $28,272.00 $28,272.00 $28,272.00 2026-05-11
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $28,198.00 $28,198.00 $28,198.00 2026-05-11
520T OTHER Rmv&rplcmt Pg Wcs Lv Battery 24 12 — — $24,565.65 $31,223.97 $27,894.81 2026-05-11
515T OTHER Insj Wcs Lv Compl Sys 24 12 — — $24,565.65 $31,223.97 $27,894.81 2026-05-11
408T OTHER Insj/rplc Cardiac Modulj Sys 24 12 — — $24,491.46 $31,129.68 $27,810.57 2026-05-11
409T OTHER Insj/rplc Car Modulj Pls Gn 24 12 — — $21,354.33 $31,129.68 $27,810.57 2026-05-11
414T OTHER Rmvl & Rpl Car Modulj Pls Gn 24 12 — — $21,354.33 $31,129.68 $27,810.57 2026-05-11
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $27,591.00 $27,591.00 $27,591.00 2026-05-11
791 MS_DRG Prematurity With Major Problems 1 1 — — $27,523.00 $27,523.00 $27,523.00 2026-05-11
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $27,502.55 $27,502.55 $27,502.55 2026-05-11
37236 CPT Open/perq Place Stent 1st 24 12 — — $6,048.07 $30,551.17 $27,293.74 2026-05-11
37238 CPT Open/perq Place Stent Same 24 12 — — $8,799.02 $30,551.17 $27,293.74 2026-05-11
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $26,891.00 $26,891.00 $26,891.00 2026-05-11
93656 CPT Compre Ep Eval Abltj Atr Fib 24 12 — — $16,246.78 $30,060.57 $26,855.45 2026-05-11
93653 CPT Compre Ep Eval Tx Svt 24 12 — — $16,246.78 $30,060.57 $26,855.45 2026-05-11
93654 CPT Compre Ep Eval Tx Vt 24 12 — — $16,246.78 $30,060.57 $26,855.45 2026-05-11
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $26,713.00 $26,713.00 $26,713.00 2026-05-11
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $26,650.00 $26,650.00 $26,650.00 2026-05-11
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $26,629.00 $26,629.00 $26,629.00 2026-05-11
816T OTHER Opn Insj/rplcmt Ins Ptn Subq 24 12 — — $23,277.28 $29,586.41 $26,431.85 2026-05-11
817T OTHER Opn Insj/rplcmt Ins Ptn Subf 24 12 — — $23,277.28 $29,586.41 $26,431.85 2026-05-11
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $26,411.00 $26,411.00 $26,411.00 2026-05-11
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $26,409.00 $26,409.00 $26,409.00 2026-05-11
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $26,369.00 $26,369.00 $26,369.00 2026-05-11
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $26,241.00 $26,241.00 $26,241.00 2026-05-11
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $26,237.00 $26,237.00 $26,237.00 2026-05-11
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $26,131.00 $26,131.00 $26,131.00 2026-05-11
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 — — $25,928.00 $25,928.00 $25,928.00 2026-05-11
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $25,896.00 $25,896.00 $25,896.00 2026-05-11
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $25,414.00 $25,414.00 $25,414.00 2026-05-11
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 — — $25,412.00 $25,412.00 $25,412.00 2026-05-11
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $25,347.00 $25,347.00 $25,347.00 2026-05-11
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $25,194.00 $25,194.00 $25,194.00 2026-05-11
J9600 HCPCS Porfimer Sodium Injection 24 12 — — $12,897.68 $25,188.84 $25,188.84 2026-05-11
265 MS_DRG Aicd Lead Procedures 1 1 — — $24,853.00 $24,853.00 $24,853.00 2026-05-11
652 MS_DRG Kidney Transplant 1 1 — — $24,718.00 $24,718.00 $24,718.00 2026-05-11
C9751 HCPCS Microwave Bronch, 3d, Ebus 24 12 — — $21,745.41 $27,639.34 $24,692.38 2026-05-11
C9780 HCPCS Insert Cv Cath Inf & Sup App 24 12 — — $21,745.41 $27,639.34 $24,692.38 2026-05-11
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $24,578.00 $24,578.00 $24,578.00 2026-05-11
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 1 1 — — $24,560.00 $24,560.00 $24,560.00 2026-05-11
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $24,376.00 $24,376.00 $24,376.00 2026-05-11
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 — — $24,304.00 $24,304.00 $24,304.00 2026-05-11
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $24,242.00 $24,242.00 $24,242.00 2026-05-11
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $24,234.00 $24,234.00 $24,234.00 2026-05-11
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $24,229.00 $24,229.00 $24,229.00 2026-05-11
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $24,225.00 $24,225.00 $24,225.00 2026-05-11
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 1 1 — — $24,206.00 $24,206.00 $24,206.00 2026-05-11
421T OTHER Waterjet Prostate Abltj Cmpl 24 12 — — $2,371.92 $27,027.72 $24,145.97 2026-05-11
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $24,097.00 $24,097.00 $24,097.00 2026-05-11
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $24,076.00 $24,076.00 $24,076.00 2026-05-11
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $24,074.00 $24,074.00 $24,074.00 2026-05-11
37230 CPT Tib/per Revasc W/stent 24 12 — — $13,779.65 $26,884.75 $24,018.24 2026-05-11
37233 CPT Tibper Revasc W/ather Add-on 23 11 — — $21,151.73 $26,884.75 $24,018.24 2026-05-11
37229 CPT Tib/per Revasc W/ather 24 12 — — $13,807.17 $26,884.75 $24,018.24 2026-05-11
37225 CPT Fem/popl Revas W/ather 24 12 — — $9,482.02 $26,884.75 $24,018.24 2026-05-11
C7535 HCPCS Fem/pop Revasc W/stent & US 24 12 — — $1,515.83 $26,884.75 $24,018.24 2026-05-11
C7534 HCPCS Fem/pop Revasc W/arthr & US 24 12 — — $10,253.76 $26,884.75 $24,018.24 2026-05-11
37226 CPT Fem/popl Revasc W/stent 24 12 — — $9,110.48 $26,884.75 $24,018.24 2026-05-11
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $23,959.00 $23,959.00 $23,959.00 2026-05-11
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $23,904.00 $23,904.00 $23,904.00 2026-05-11
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $23,859.96 $23,859.96 $23,859.96 2026-05-11
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $23,835.00 $23,835.00 $23,835.00 2026-05-11
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $23,790.71 $23,790.71 $23,790.71 2026-05-11
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $23,596.00 $23,596.00 $23,596.00 2026-05-11
823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 24 12 — — $20,733.78 $26,353.51 $23,543.65 2026-05-11
825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 24 12 — — $20,733.78 $26,353.51 $23,543.65 2026-05-11
803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 24 12 — — $9,943.36 $26,353.51 $23,543.65 2026-05-11
801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 24 12 — — $20,733.78 $26,353.51 $23,543.65 2026-05-11
797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 24 12 — — $9,943.36 $26,353.51 $23,543.65 2026-05-11
795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 24 12 — — $20,733.78 $26,353.51 $23,543.65 2026-05-11
796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 24 12 — — $20,733.78 $26,353.51 $23,543.65 2026-05-11
802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 24 12 — — $20,733.78 $26,353.51 $23,543.65 2026-05-11
C8003 HCPCS Implantation Of Medial Knee Extraarticular Implantable Shock Absorber Spanning T… 24 12 — — $20,538.01 $26,104.68 $23,321.35 2026-05-11
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $23,312.00 $23,312.00 $23,312.00 2026-05-11
665 MS_DRG Prostatectomy With Mcc 1 1 — — $23,256.00 $23,256.00 $23,256.00 2026-05-11
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 24 12 — — $12,965.40 $26,006.80 $23,233.90 2026-05-11
C9603 HCPCS Perc D-e Cor Stent Ather Br 23 11 — — $20,461.00 $26,006.80 $23,233.90 2026-05-11
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 23 11 — — $20,461.00 $26,006.80 $23,233.90 2026-05-11
C9604 HCPCS Perc D-e Cor Revasc T Cabg S 24 12 — — $8,553.60 $26,006.80 $23,233.90 2026-05-11
C9602 HCPCS Perc D-e Cor Stent Ather S 24 12 — — $12,965.40 $26,006.80 $23,233.90 2026-05-11
C9608 HCPCS Perc D-e Cor Revasc Chro Add 23 11 — — $20,461.00 $26,006.80 $23,233.90 2026-05-11
C9606 HCPCS Perc D-e Cor Revasc W Ami S 24 12 — — $12,965.40 $26,006.80 $23,233.90 2026-05-11
C9600 HCPCS Perc Drug-el Cor Stent Sing 24 12 — — $8,553.60 $26,006.80 $23,233.90 2026-05-11
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $23,208.00 $23,208.00 $23,208.00 2026-05-11
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $22,978.36 $22,978.36 $22,978.36 2026-05-11
92924 CPT Prq Card Angio/athrect 1 Art 24 12 — — $8,553.87 $25,698.60 $22,958.56 2026-05-11
92925 CPT Prq Card Angio/athrect Addl 23 11 — — $20,218.52 $25,698.60 $22,958.56 2026-05-11
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 1 1 — — $22,944.00 $22,944.00 $22,944.00 2026-05-11
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $22,928.00 $22,928.00 $22,928.00 2026-05-11
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 1 1 — — $22,848.80 $22,848.80 $22,848.80 2026-05-11
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $22,810.08 $22,810.08 $22,810.08 2026-05-11
C9797 HCPCS Vasc Emb/occ W/prs Cath 24 12 — — $20,054.06 $25,489.56 $22,771.81 2026-05-11
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $22,692.00 $22,692.00 $22,692.00 2026-05-11
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $22,678.00 $22,678.00 $22,678.00 2026-05-11
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $22,486.00 $22,486.00 $22,486.00 2026-05-11
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $22,428.00 $22,428.00 $22,428.00 2026-05-11
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $22,412.00 $22,412.00 $22,412.00 2026-05-11
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $22,316.00 $22,316.00 $22,316.00 2026-05-11
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $22,068.45 $22,068.45 $22,068.45 2026-05-11
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $22,036.00 $22,036.00 $22,036.00 2026-05-11
500 MS_DRG Soft Tissue Procedures With Mcc 1 1 — — $22,034.00 $22,034.00 $22,034.00 2026-05-11
C1765 HCPCS Adhesion Barrier 23 11 — — $21,929.00 $21,929.00 $21,929.00 2026-05-11
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $21,739.00 $21,739.00 $21,739.00 2026-05-11
33228 CPT Remv&replc Pm Gen Dual Lead 24 12 — — $10,539.68 $24,239.34 $21,654.89 2026-05-11
33229 CPT Remv&replc Pm Gen Mult Leads 24 12 — — $17,253.68 $24,239.34 $21,654.89 2026-05-11
C7540 HCPCS Rmv&rplc Pm Dul W/l Vnt Lead 24 12 — — $1,517.83 $24,239.34 $21,654.89 2026-05-11
33221 CPT Insert Pulse Gen Mult Leads 24 12 — — $17,306.07 $24,239.34 $21,654.89 2026-05-11
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $21,541.00 $21,541.00 $21,541.00 2026-05-11
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 1 1 — — $21,311.20 $21,311.20 $21,311.20 2026-05-11
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 — — $21,246.00 $21,246.00 $21,246.00 2026-05-11
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 1 1 — — $21,197.27 $21,197.27 $21,197.27 2026-05-11
793T OTHER Prq Tcat Thrm Ablt Nrv P-art 24 12 — — $1,493.83 $23,716.03 $21,187.38 2026-05-11
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $21,175.00 $21,175.00 $21,175.00 2026-05-11
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 1 1 — — $20,975.00 $20,975.00 $20,975.00 2026-05-11
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $20,833.00 $20,833.00 $20,833.00 2026-05-11
66683 CPT Implantation Of Iris Prosthesis, Including Suture Fixation And Repair Or Removal… 24 12 — — $18,333.88 $23,303.14 $20,818.51 2026-05-11
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $20,818.00 $20,818.00 $20,818.00 2026-05-11
J3101 HCPCS Alteplase 100 Mg Injection 122 32 $26,401.00 $15,840.60 40% off $107.55 $29,041.10 $20,784.00 2026-05-11
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $20,650.00 $20,650.00 $20,650.00 2026-05-11
654 MS_DRG Major Bladder Procedures With Cc 1 1 — — $20,645.00 $20,645.00 $20,645.00 2026-05-11
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $20,614.00 $20,614.00 $20,614.00 2026-05-11
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $20,580.00 $20,580.00 $20,580.00 2026-05-11
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 1 1 — — $20,497.00 $20,497.00 $20,497.00 2026-05-11
C9775 HCPCS Revasc Lith-sten-ath Tib/per 24 12 — — $11,362.85 $22,802.85 $20,371.56 2026-05-11
C9767 HCPCS Revasc Lithotrip-stent-ather 24 12 — — $1,301.83 $22,802.85 $20,371.56 2026-05-11
C9773 HCPCS Revasc Lithotr-stent Tib/per 24 12 — — $11,171.96 $22,802.85 $20,371.56 2026-05-11
C9774 HCPCS Revasc Lithotr-ather Tib/per 24 12 — — $1,299.83 $22,802.85 $20,371.56 2026-05-11
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 24 12 — — $13,590.01 $22,802.85 $20,371.56 2026-05-11
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $20,165.00 $20,165.00 $20,165.00 2026-05-11
33864 CPT Ascending Aortic Graft 23 11 — — $17,743.19 $22,552.35 $20,147.77 2026-05-11
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 1 1 — — $20,064.00 $20,064.00 $20,064.00 2026-05-11
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 1 1 — — $20,017.00 $20,017.00 $20,017.00 2026-05-11
800 MS_DRG Splenic Procedures With Cc 1 1 — — $20,007.00 $20,007.00 $20,007.00 2026-05-11
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 — — $19,944.00 $19,944.00 $19,944.00 2026-05-11
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 — — $19,858.00 $19,858.00 $19,858.00 2026-05-11
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $19,811.00 $19,811.00 $19,811.00 2026-05-11
33227 CPT Remove&replace Pm Gen Singl 24 12 — — $7,907.14 $22,100.25 $19,743.88 2026-05-11
C1786 HCPCS Pmkr, Single, Rate-resp 23 11 — — $19,648.00 $19,648.00 $19,648.00 2026-05-11
668 MS_DRG Transurethral Procedures With Mcc 1 1 — — $19,620.00 $19,620.00 $19,620.00 2026-05-11
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 1 1 — — $19,619.00 $19,619.00 $19,619.00 2026-05-11
572T OTHER Insertion Ss Dfb Electrode 24 12 — — $17,251.21 $21,927.02 $19,589.12 2026-05-11
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $19,580.00 $19,580.00 $19,580.00 2026-05-11
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 1 1 — — $19,425.00 $19,425.00 $19,425.00 2026-05-11
570 MS_DRG Skin Debridement With Mcc 1 1 — — $19,321.00 $19,321.00 $19,321.00 2026-05-11
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