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

CENTRAL MAINE MEDICAL CENTER

Lewiston, ME · CCN 200024 · Rates published

3,576 distinct procedures filed
15 distinct payers
50,968 rate rows
2026-04-29 last MRF observed
Data quality

50,899 of 50,968 rate rows are consumer-grade (99.9%)

69 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
template filing: same amount across many unrelated codes — excluded 64
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.cmhc.org/wp-content/uploads/2026/04/40000_CentralMaineMedicalCenter_StandardCharges.json
Found on page https://www.cmhc.org/patients-and-visitors/billing-financial-information/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 418dd50cfe7186ae… · 14,181,273 bytes · first seen 2026-05-05

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 11 $261,022.73 $780,306.29 $329,469.00 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $194,962.10 $653,645.00 $214,180.00 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $139,203.87 $461,741.00 $163,426.00 nat. median
$206,474
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $148,335.18 $460,702.15 $162,474.00 nat. median
$202,976
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $97,798.39 $359,772.00 $106,393.00 nat. median
$133,161
0.8× median
7
MS_DRG 		Lung Transplant 11 $90,453.48 $276,509.36 $99,539.10 nat. median
$122,708
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $88,751.40 $236,027.00 $92,448.60 nat. median
$117,357
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $65,091.65 $245,069.00 $87,230.60 nat. median
$108,660
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valveâ Procedures 11 $14,608.70 $196,493.25 $80,404.30 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $73,708.01 $233,541.00 $79,463.20 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 11 $73,330.11 $179,921.40 $76,774.70 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $66,798.45 $203,123.00 $75,449.90 nat. median
$93,672
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $58,650.66 $191,352.93 $65,160.60 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $58,618.13 $151,848.09 $64,959.00 nat. median
$81,118
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $55,793.53 $192,604.00 $60,893.20 nat. median
$77,570
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $53,553.79 $138,745.65 $59,444.30 nat. median
$74,915
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $54,099.88 $162,973.35 $59,192.60 nat. median
$73,807
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $51,662.19 $165,138.00 $59,000.20 nat. median
$72,135
0.8× median
10
MS_DRG 		Pancreas Transplant 11 $53,414.40 $155,186.00 $55,621.90 nat. median
$68,884
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 11 $46,226.87 $129,609.54 $55,599.10 nat. median
$64,023
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $53,114.40 $154,297.37 $55,309.30 nat. median
$71,271
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $48,913.04 $211,353.37 $55,277.40 nat. median
$68,886
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $48,148.23 $167,742.86 $53,614.80 nat. median
$66,526
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $47,260.92 $131,321.00 $52,240.60 nat. median
$64,732
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $34,848.10 $124,282.55 $51,241.10 nat. median
$65,950
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $44,697.26 $154,165.00 $51,055.60 nat. median
$64,508
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $41,177.07 $142,202.03 $51,055.60 nat. median
$61,920
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 $42,622.93 $141,686.00 $50,873.90 nat. median
$59,793
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 12 $44,761.63 $127,757.00 $49,986.30 nat. median
$62,134
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 $41,464.30 $110,739.21 $47,656.80 nat. median
$60,726
0.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 11 $43,772.57 $132,382.36 $47,602.80 nat. median
$60,185
0.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 11 $42,280.33 $131,114.00 $47,156.40 nat. median
$59,898
0.8× median
28
MS_DRG 		Spinal Procedures With Mcc 11 $42,078.23 $108,569.02 $46,743.40 nat. median
$57,822
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc 11 $42,873.49 $108,538.30 $46,730.50 nat. median
$59,099
0.8× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $39,724.28 $107,752.26 $46,399.60 nat. median
$58,020
0.8× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Ccmcc 11 $41,776.46 $118,791.00 $46,145.60 nat. median
$56,918
0.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 12 $40,726.49 $122,563.00 $45,680.90 nat. median
$57,424
0.8× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 $40,298.06 $105,976.00 $45,652.00 nat. median
$56,696
0.8× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 $39,486.88 $133,242.00 $44,629.10 nat. median
$55,916
0.8× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 $14,598.97 $107,398.09 $44,422.10 nat. median
$52,303
0.8× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 11 $37,382.10 $102,989.05 $44,394.80 nat. median
$52,746
0.8× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 11 $37,659.65 $121,209.00 $43,673.10 nat. median
$53,167
0.8× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 12 $34,629.49 $100,580.34 $43,381.10 nat. median
$50,270
0.9× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 $41,353.40 $119,443.40 $43,052.50 nat. median
$55,736
0.8× median
834
MS_DRG 		Acute Leukemia Without Major O.r. Procedures With Mcc 11 $38,256.27 $134,822.00 $42,800.80 nat. median
$53,172
0.8× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 11 $37,573.82 $103,220.00 $42,653.20 nat. median
$52,836
0.8× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 $36,822.86 $123,946.02 $42,593.90 nat. median
$53,268
0.8× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 $37,346.80 $148,183.45 $42,528.50 nat. median
$52,857
0.8× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Ccmcc 11 $40,691.50 $117,483.35 $42,362.70 nat. median
$53,807
0.8× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $36,660.21 $100,371.03 $41,606.00 nat. median
$52,879
0.8× median

Other procedures at this hospital

Browse this hospital's 3,576 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 13 11 — $329,469.00 $261,022.73 $780,306.29 $329,469.00 2026-04-29
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 11 — $214,180.00 $194,962.10 $653,645.00 $214,180.00 2026-04-29
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 11 — $163,426.00 $139,203.87 $461,741.00 $163,426.00 2026-04-29
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 11 — $162,474.00 $148,335.18 $460,702.15 $162,474.00 2026-04-29
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 11 — $106,393.00 $97,798.39 $359,772.00 $106,393.00 2026-04-29
7 MS_DRG Lung Transplant 13 11 — $99,539.00 $90,453.48 $276,509.36 $99,539.10 2026-04-29
14 MS_DRG Allogeneic Bone Marrow Transplant 13 11 — $92,448.00 $88,751.40 $236,027.00 $92,448.60 2026-04-29
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 11 — $87,230.00 $65,091.65 $245,069.00 $87,230.60 2026-04-29
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 13 11 — $83,749.00 $14,608.70 $196,493.25 $80,404.30 2026-04-29
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 11 — $79,463.00 $73,708.01 $233,541.00 $79,463.20 2026-04-29
215 MS_DRG Other Heart Assist System Implant 13 11 — $76,774.00 $73,330.11 $179,921.40 $76,774.70 2026-04-29
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 11 — $75,449.00 $66,798.45 $203,123.00 $75,449.90 2026-04-29
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 12 — $65,160.00 $58,650.66 $191,352.93 $65,160.60 2026-04-29
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 11 — $64,959.00 $58,618.13 $151,848.09 $64,959.00 2026-04-29
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 11 — $60,893.00 $55,793.53 $192,604.00 $60,893.20 2026-04-29
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 11 — $59,444.00 $53,553.79 $138,745.65 $59,444.30 2026-04-29
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 11 — $59,192.00 $54,099.88 $162,973.35 $59,192.60 2026-04-29
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 11 — $59,000.00 $51,662.19 $165,138.00 $59,000.20 2026-04-29
10 MS_DRG Pancreas Transplant 13 11 — $55,621.00 $53,414.40 $155,186.00 $55,621.90 2026-04-29
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 13 11 — $55,599.00 $46,226.87 $129,609.54 $55,599.10 2026-04-29
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 11 — $55,309.00 $53,114.40 $154,297.37 $55,309.30 2026-04-29
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 12 — $55,277.00 $48,913.04 $211,353.37 $55,277.40 2026-04-29
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 14 11 — $53,614.00 $48,148.23 $167,742.86 $53,614.80 2026-04-29
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 11 — $52,240.00 $47,260.92 $131,321.00 $52,240.60 2026-04-29
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 11 — $53,357.00 $34,848.10 $124,282.55 $51,241.10 2026-04-29
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 11 — $51,055.00 $44,697.26 $154,165.00 $51,055.60 2026-04-29
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 11 — $51,055.00 $41,177.07 $142,202.03 $51,055.60 2026-04-29
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 11 — $50,873.00 $42,622.93 $141,686.00 $50,873.90 2026-04-29
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 12 — $49,986.00 $44,761.63 $127,757.00 $49,986.30 2026-04-29
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 11 — $47,656.00 $41,464.30 $110,739.21 $47,656.80 2026-04-29
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 11 — $47,602.00 $43,772.57 $132,382.36 $47,602.80 2026-04-29
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 11 — $47,156.00 $42,280.33 $131,114.00 $47,156.40 2026-04-29
28 MS_DRG Spinal Procedures With Mcc 13 11 — $46,743.00 $42,078.23 $108,569.02 $46,743.40 2026-04-29
276 MS_DRG Cardiac Defibrillator Implant With Mcc 13 11 — $46,730.00 $42,873.49 $108,538.30 $46,730.50 2026-04-29
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 11 — $46,399.00 $39,724.28 $107,752.26 $46,399.60 2026-04-29
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 13 11 — $46,145.00 $41,776.46 $118,791.00 $46,145.60 2026-04-29
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 12 — $45,680.00 $40,726.49 $122,563.00 $45,680.90 2026-04-29
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 11 — $45,652.00 $40,298.06 $105,976.00 $45,652.00 2026-04-29
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 11 — $44,629.00 $39,486.88 $133,242.00 $44,629.10 2026-04-29
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 11 — $46,250.00 $14,598.97 $107,398.09 $44,422.10 2026-04-29
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 11 — $44,394.00 $37,382.10 $102,989.05 $44,394.80 2026-04-29
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 11 — $43,673.00 $37,659.65 $121,209.00 $43,673.10 2026-04-29
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 12 — $43,381.00 $34,629.49 $100,580.34 $43,381.10 2026-04-29
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 11 — $43,052.00 $41,353.40 $119,443.40 $43,052.50 2026-04-29
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 13 11 — $42,800.00 $38,256.27 $134,822.00 $42,800.80 2026-04-29
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 11 — $42,653.00 $37,573.82 $103,220.00 $42,653.20 2026-04-29
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 11 — $42,593.00 $36,822.86 $123,946.02 $42,593.90 2026-04-29
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 11 — $42,528.00 $37,346.80 $148,183.45 $42,528.50 2026-04-29
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 13 11 — $42,362.00 $40,691.50 $117,483.35 $42,362.70 2026-04-29
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 11 — $41,606.00 $36,660.21 $100,371.03 $41,606.00 2026-04-29
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 11 — $41,309.00 $36,966.13 $115,964.00 $41,309.30 2026-04-29
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 11 — $40,637.00 $35,261.41 $94,060.75 $40,637.00 2026-04-29
653 MS_DRG Major Bladder Procedures With Mcc 13 11 — $40,568.00 $38,583.65 $93,898.12 $40,568.60 2026-04-29
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 12 — $41,176.00 $8,738.34 $112,393.93 $39,553.10 2026-04-29
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 12 — $39,380.00 $31,786.90 $98,666.22 $39,380.60 2026-04-29
C1722 HCPCS Hc (sup Shell C1722) Aicd, Single Chamber 1 1 — — $39,252.36 $39,252.36 $39,252.36 2026-04-29
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 12 — $38,979.00 $35,153.44 $116,217.02 $38,979.10 2026-04-29
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 11 — $38,674.00 $34,491.06 $111,369.45 $38,674.80 2026-04-29
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 11 — $38,607.00 $34,615.65 $89,239.71 $38,607.90 2026-04-29
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 11 — $38,479.00 $34,862.05 $96,844.52 $38,479.40 2026-04-29
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 11 — $38,323.00 $36,815.70 $105,996.00 $38,323.50 2026-04-29
471 MS_DRG Cervical Spinal Fusion With Mcc 13 11 — $37,772.00 $33,618.98 $87,253.84 $37,772.10 2026-04-29
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 13 11 — $37,586.00 $34,656.48 $86,812.93 $37,586.50 2026-04-29
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 13 11 — $36,803.00 $31,888.64 $84,953.55 $36,803.90 2026-04-29
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 11 — $36,730.00 $32,903.31 $95,342.40 $36,730.90 2026-04-29
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 11 — $36,624.00 $33,052.81 $96,030.11 $36,624.40 2026-04-29
6 MS_DRG Liver Transplant Without Mcc 13 11 — $36,314.00 $33,562.91 $106,374.00 $36,314.10 2026-04-29
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 11 — $36,173.00 $32,197.34 $112,270.00 $36,173.40 2026-04-29
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 14 12 — $36,006.00 $31,782.06 $95,718.12 $36,006.10 2026-04-29
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 11 — $35,917.00 $32,388.36 $102,093.36 $35,917.10 2026-04-29
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 12 — $37,255.00 $7,411.51 $86,026.89 $35,791.10 2026-04-29
245 MS_DRG Aicd Generator Procedures 13 11 — $35,746.00 $33,823.16 $98,670.12 $35,746.80 2026-04-29
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 13 11 — $35,642.00 $31,226.27 $82,194.28 $35,642.60 2026-04-29
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 11 — $35,627.00 $30,954.26 $82,417.02 $35,627.40 2026-04-29
799 MS_DRG Splenic Procedures With Mcc 14 11 — $35,492.00 $32,909.54 $97,945.33 $35,492.00 2026-04-29
163 MS_DRG Major Chest Procedures With Mcc 13 11 — $35,133.00 $31,901.79 $84,371.21 $35,133.80 2026-04-29
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 11 — $35,123.00 $29,004.53 $80,961.92 $35,123.90 2026-04-29
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 11 — $34,990.00 $30,404.02 $96,517.20 $34,990.10 2026-04-29
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 13 11 — $34,456.00 $29,524.32 $79,377.19 $34,456.90 2026-04-29
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 13 11 — $33,959.00 $29,480.71 $102,411.00 $33,959.50 2026-04-29
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 11 — $33,697.00 $31,040.09 $211,394.00 $33,697.10 2026-04-29
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 11 — $33,300.00 $28,263.25 $90,906.00 $33,300.90 2026-04-29
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 11 — $33,112.00 $28,403.06 $83,484.71 $33,112.30 2026-04-29
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 14 11 — $33,096.00 $28,445.28 $85,468.12 $33,096.30 2026-04-29
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 13 11 — $33,002.00 $28,997.60 $77,748.80 $33,002.80 2026-04-29
901 MS_DRG Wound Debridements For Injuries With Mcc 13 11 — $32,964.00 $30,664.95 $90,757.90 $32,964.70 2026-04-29
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 14 11 — $32,905.00 $28,461.20 $91,850.14 $32,905.40 2026-04-29
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 11 — $32,782.00 $29,886.30 $85,532.42 $32,782.20 2026-04-29
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 13 11 — $32,633.00 $28,151.82 $218,868.00 $32,633.10 2026-04-29
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 14 12 — $32,424.00 $27,064.48 $106,997.59 $32,424.00 2026-04-29
140 MS_DRG Major Head And Neck Procedures With Mcc 13 11 — $33,487.00 $9,595.60 $77,073.29 $32,175.00 2026-04-29
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 11 — $33,167.00 $9,459.22 $76,312.55 $31,867.80 2026-04-29
793 MS_DRG Full Term Neonate With Major Problems 15 11 — $32,759.00 $14,961.70 $90,175.33 $31,476.70 2026-04-29
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 13 11 — $31,348.00 $24,811.58 $212,982.00 $31,348.60 2026-04-29
33231 CPT Hc Insj Implntbl Defib Pulse Gen W/exist Multileads 15 11 $118,780.00 $30,971.00 74% off $30,971.47 $118,780.00 $30,971.47 2026-04-29
33270 CPT Hc Insrt/rep Subq Defibrillator And Lead 16 11 $70,027.50 $30,971.00 56% off $30,971.47 $70,027.50 $30,971.47 2026-04-29
33264 CPT Hc Rem Pac Cvdfb Pls Gen &repl Plse Gen Multi Lead 15 11 $118,780.00 $30,971.00 74% off $30,971.47 $118,780.00 $30,971.47 2026-04-29
33249 CPT Hc Insert/rplacmnt Aicd W Lead Sing/dual 15 11 $135,898.00 $30,971.00 77% off $30,971.47 $135,898.00 $30,971.47 2026-04-29
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 11 — $30,799.00 $26,312.82 $84,910.90 $30,799.50 2026-04-29
791 MS_DRG Prematurity With Major Problems 15 11 — $31,918.00 $5,998.96 $73,345.48 $30,669.50 2026-04-29
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 13 11 — $30,664.00 $29,466.90 $84,219.24 $30,664.90 2026-04-29
34 MS_DRG Carotid Artery Stent Procedures With Mcc 13 11 — $30,486.00 $26,914.98 $83,710.72 $30,486.20 2026-04-29
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 13 11 — $30,442.00 $27,198.06 $83,619.14 $30,442.00 2026-04-29
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 11 — $30,413.00 $26,107.95 $69,771.27 $30,413.90 2026-04-29
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 14 12 — $30,247.00 $27,572.50 $73,581.30 $30,247.30 2026-04-29
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 11 — $29,667.00 $26,456.09 $150,749.43 $29,667.00 2026-04-29
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 11 — $29,474.00 $26,649.20 $78,756.10 $29,474.60 2026-04-29
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 11 — $29,471.00 $24,806.05 $67,532.41 $29,471.60 2026-04-29
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 12 — $29,391.00 $27,309.49 $73,924.00 $29,391.70 2026-04-29
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 13 11 — $29,232.00 $24,034.32 $322,430.00 $29,232.00 2026-04-29
904 MS_DRG Skin Grafts For Injuries With Ccmcc 13 11 — $28,983.00 $26,723.95 $66,372.33 $28,983.30 2026-04-29
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 11 — $28,971.00 $24,579.03 $78,541.80 $28,971.90 2026-04-29
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 11 — $28,644.00 $21,968.30 $78,471.61 $28,644.10 2026-04-29
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 11 — $28,622.00 $24,367.23 $78,411.21 $28,622.80 2026-04-29
332 MS_DRG Rectal Resection With Mcc 13 11 — $28,584.00 $24,008.02 $78,304.10 $28,584.80 2026-04-29
265 MS_DRG Aicd Lead Procedures 13 11 — $28,565.00 $24,689.77 $78,249.50 $28,565.80 2026-04-29
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 13 11 — $28,517.00 $24,810.20 $65,264.65 $28,517.10 2026-04-29
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 11 — $28,476.00 $22,178.71 $65,167.07 $28,476.00 2026-04-29
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 13 11 — $29,542.00 $22,853.54 $67,700.46 $28,389.70 2026-04-29
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 13 11 — $28,296.00 $27,194.30 $64,740.62 $28,296.60 2026-04-29
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 13 11 — $28,233.00 $27,133.80 $69,865.80 $28,233.40 2026-04-29
335 MS_DRG Peritoneal Adhesiolysis With Mcc 13 11 — $28,206.00 $25,078.75 $64,525.59 $28,206.10 2026-04-29
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 12 — $28,165.00 $24,233.65 $71,291.73 $28,165.80 2026-04-29
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 13 11 — $28,142.00 $24,250.96 $77,047.40 $28,142.90 2026-04-29
92972 CPT Hc Percutaneous Transluminal Coronary Lithotripsy 1 1 $13,833.80 — $28,117.51 $28,117.51 $28,117.51 2026-04-29
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 11 — $28,117.00 $25,899.62 $98,498.70 $28,117.10 2026-04-29
92941 CPT Hc Prq Drug Eluting Cor Revasc W Ami S - 92941 - 48100198 1 1 $27,935.90 — $27,935.90 $27,935.90 $27,935.90 2026-04-29
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 13 11 — $27,869.00 $23,706.94 $75,178.91 $27,869.10 2026-04-29
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 13 11 — $27,814.00 $25,253.86 $79,122.40 $27,814.40 2026-04-29
252 MS_DRG Other Vascular Procedures With Mcc 13 11 — $27,577.00 $23,742.93 $83,424.31 $27,577.80 2026-04-29
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 11 — $27,571.00 $26,498.10 $68,324.62 $27,571.00 2026-04-29
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 11 — $27,449.00 $23,981.72 $75,075.64 $27,449.30 2026-04-29
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 13 11 — $27,321.00 $23,802.45 $62,424.07 $27,321.50 2026-04-29
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 11 — $27,122.00 $24,243.34 $72,870.11 $27,122.30 2026-04-29
271 MS_DRG Other Major Cardiovascular Procedures With Cc 14 11 — $28,095.00 $8,884.46 $100,329.89 $27,001.00 2026-04-29
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 13 11 — $26,994.00 $23,232.83 $61,647.07 $26,994.50 2026-04-29
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 13 11 — $26,960.00 $24,428.83 $61,565.75 $26,960.30 2026-04-29
264 MS_DRG Other Circulatory System O.r. Procedures 13 11 — $26,454.00 $24,190.74 $60,364.11 $26,454.50 2026-04-29
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 13 11 — $26,170.00 $18,780.34 $71,440.03 $26,170.90 2026-04-29
37 MS_DRG Extracranial Procedures With Mcc 13 11 — $26,085.00 $22,985.04 $90,868.94 $26,085.70 2026-04-29
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 13 11 — $26,082.00 $21,601.47 $72,379.13 $26,082.60 2026-04-29
93654 CPT Hc Ephys Eval W Ablation Ventricular Tachycardia 15 11 $60,116.90 $25,790.00 57% off $25,790.30 $60,116.90 $25,790.30 2026-04-29
93656 CPT Hc Ephys Evl Trnsptl Tx Atril Fib Isolat Pulm Vein 18 12 $60,116.90 $25,790.00 57% off $25,790.30 $60,116.90 $25,790.30 2026-04-29
93653 CPT Hc Ephys Eval W Ablation Supravent Arrhythmia 15 11 $60,116.90 $25,790.00 57% off $25,790.30 $60,116.90 $25,790.30 2026-04-29
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 13 11 — $25,786.00 $23,575.43 $58,777.58 $25,786.80 2026-04-29
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 13 11 — $25,678.00 $22,559.38 $58,519.18 $25,678.00 2026-04-29
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 13 11 — $25,650.00 $22,072.12 $78,154.03 $25,650.70 2026-04-29
652 MS_DRG Kidney Transplant 13 11 — $25,609.00 $21,258.17 $71,093.22 $25,609.60 2026-04-29
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 11 — $25,591.00 $22,281.84 $69,791.73 $25,591.30 2026-04-29
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Ccmcc 13 11 — $25,543.00 $22,012.60 $58,199.34 $25,543.40 2026-04-29
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 13 11 — $25,464.00 $19,809.54 $69,429.33 $25,464.30 2026-04-29
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 13 11 — $25,330.00 $23,477.15 $69,115.65 $25,330.50 2026-04-29
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 13 11 — $25,285.00 $21,403.52 $63,578.45 $25,285.60 2026-04-29
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 13 11 — $25,262.00 $22,549.69 $86,185.12 $25,262.00 2026-04-29
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Ccm… 13 11 — $25,213.00 $19,116.71 $68,716.24 $25,213.30 2026-04-29
500 MS_DRG Soft Tissue Procedures With Mcc 13 11 — $25,117.00 $21,931.62 $66,072.33 $25,117.50 2026-04-29
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 13 11 — $25,081.00 $21,344.00 $57,100.69 $25,081.00 2026-04-29
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 14 11 — $25,012.00 $22,114.34 $110,733.47 $25,012.60 2026-04-29
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 13 11 — $25,001.00 $21,499.73 $71,227.65 $25,001.20 2026-04-29
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 13 11 — $24,944.00 $19,417.79 $67,952.50 $24,944.90 2026-04-29
665 MS_DRG Prostatectomy With Mcc 13 11 — $24,785.00 $23,765.08 $67,500.50 $24,785.90 2026-04-29
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 11 — $24,736.00 $20,408.23 $104,482.55 $24,736.50 2026-04-29
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 13 11 — $24,694.00 $21,169.58 $64,714.33 $24,694.70 2026-04-29
36907 CPT Hc Trluml Balo Angiop Ctr Dialysis Seg W/img S&i 1 1 $24,531.60 — $24,691.04 $24,691.04 $24,691.04 2026-04-29
662 MS_DRG Minor Bladder Procedures With Mcc 13 11 — $24,331.00 $21,591.78 $66,210.70 $24,331.90 2026-04-29
263 MS_DRG Vein Ligation And Stripping 13 11 — $24,300.00 $18,563.70 $61,505.41 $24,300.70 2026-04-29
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 11 — $24,116.00 $22,623.75 $66,779.60 $24,116.70 2026-04-29
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 13 11 — $24,020.00 $19,781.85 $67,794.70 $24,020.10 2026-04-29
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 13 11 — $24,017.00 $19,844.15 $65,314.42 $24,017.00 2026-04-29
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 13 11 — $23,991.00 $17,475.67 $56,829.40 $23,991.90 2026-04-29
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 13 11 — $23,684.00 $21,238.79 $64,369.50 $23,684.70 2026-04-29
472 MS_DRG Cervical Spinal Fusion With Cc 13 11 — $23,454.00 $20,052.48 $59,105.10 $23,454.20 2026-04-29
L8614 HCPCS Hc (sup Shell L8614) Cochlear Device 15 11 — $23,439.00 $22,778.57 $39,641.00 $23,439.57 2026-04-29
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Ccmcc 13 11 — $23,439.00 $18,299.30 $53,199.42 $23,439.00 2026-04-29
570 MS_DRG Skin Debridement With Mcc 13 11 — $23,416.00 $20,834.59 $53,145.21 $23,416.20 2026-04-29
668 MS_DRG Transurethral Procedures With Mcc 13 11 — $23,255.00 $20,184.67 $63,149.81 $23,255.70 2026-04-29
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 14 12 — $23,197.00 $20,355.63 $77,425.40 $23,197.20 2026-04-29
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 13 11 — $23,118.00 $20,300.26 $52,438.68 $23,118.80 2026-04-29
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 13 11 — $23,105.00 $19,437.86 $60,620.90 $23,105.10 2026-04-29
619 MS_DRG O.r. Procedures For Obesity With Mcc 13 11 — $23,007.00 $18,871.01 $84,264.04 $23,007.80 2026-04-29
974 MS_DRG HIV With Major Related Condition With Mcc 13 11 — $22,997.00 $20,668.48 $52,149.56 $22,997.10 2026-04-29
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Ccmcc 13 11 — $22,965.00 $18,341.52 $57,591.20 $22,965.20 2026-04-29
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 13 11 — $22,877.00 $20,173.60 $62,072.40 $22,877.00 2026-04-29
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 13 11 — $22,727.00 $20,156.30 $95,394.95 $22,727.20 2026-04-29
800 MS_DRG Splenic Procedures With Cc 13 11 — $22,414.00 $20,167.37 $50,765.41 $22,414.60 2026-04-29
43771 CPT Hc Laps Gastric Restrictive Px Revision Device 1 1 $22,340.30 — $22,340.30 $22,340.30 $22,340.30 2026-04-29
654 MS_DRG Major Bladder Procedures With Cc 13 11 — $22,337.00 $19,532.69 $54,818.70 $22,337.80 2026-04-29
503 MS_DRG Foot Procedures With Mcc 13 11 — $22,275.00 $18,317.99 $60,361.73 $22,275.40 2026-04-29
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 13 11 — $22,129.00 $17,636.93 $52,993.10 $22,129.40 2026-04-29
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 13 11 — $22,016.00 $18,711.12 $49,820.36 $22,016.80 2026-04-29
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 11 — $21,952.00 $18,575.47 $49,668.57 $21,952.90 2026-04-29
0823T HCPCS Hc Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 15 11 $71,516.90 $21,947.00 69% off $21,947.80 $71,516.90 $21,947.80 2026-04-29
33230 CPT Hc Insj Implntbl Defib Pulse Gen W/exist Dual Leads 15 11 $118,780.00 $21,947.00 82% off $21,947.80 $105,035.59 $21,947.80 2026-04-29
33262 CPT Hc Rem Pac Cvdfb Plse Gen &repl Plse Gen Sngl Lead 15 11 $118,780.00 $21,947.00 82% off $21,947.80 $105,035.59 $21,947.80 2026-04-29
33240 CPT Hc Insert Pulse Gen,sngl/dual 15 11 $118,780.00 $21,947.00 82% off $21,947.80 $105,035.59 $21,947.80 2026-04-29
33263 CPT Hc Rem Pac Cvdfb Plse Gen &repl Plse Gen Dual Lead 15 11 $118,780.00 $21,947.00 82% off $21,947.80 $105,035.59 $21,947.80 2026-04-29
468 MS_DRG Revision Of Hip Or Knee Replacement Without Ccmcc 13 11 — $21,947.00 $18,156.72 $54,734.90 $21,947.60 2026-04-29
963 MS_DRG Other Multiple Significant Trauma With Mcc 13 11 — $21,839.00 $18,803.18 $55,981.85 $21,839.60 2026-04-29
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 14 11 — $21,740.00 $19,703.64 $77,312.29 $21,740.70 2026-04-29
849 MS_DRG Radiotherapy 13 11 — $21,654.00 $18,487.56 $58,596.52 $21,654.80 2026-04-29
288 MS_DRG Acute And Subacute Endocarditis With Mcc 13 11 — $21,629.00 $18,905.61 $58,526.40 $21,629.70 2026-04-29
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 13 11 — $21,562.00 $18,109.66 $58,335.45 $21,562.80 2026-04-29
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 13 11 — $21,278.00 $19,821.30 $52,048.13 $21,278.30 2026-04-29
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 13 11 — $21,207.00 $18,430.12 $67,449.81 $21,207.60 2026-04-29
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 13 11 — $21,106.00 $18,364.36 $57,037.85 $21,106.40 2026-04-29
253 MS_DRG Other Vascular Procedures With Cc 13 11 — $20,788.00 $17,670.16 $51,989.70 $20,788.50 2026-04-29
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 13 11 — $20,765.00 $17,675.69 $46,846.06 $20,765.00 2026-04-29
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 13 11 — $20,691.00 $18,649.52 $55,857.20 $20,691.20 2026-04-29
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 13 11 — $20,663.00 $16,591.81 $50,844.10 $20,663.80 2026-04-29
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Ccmcc 13 11 — $20,663.00 $16,591.81 $50,943.42 $20,663.80 2026-04-29
749 MS_DRG Other Female Reproductive System O.r. Procedures With Ccmcc 13 11 — $20,575.00 $17,916.55 $46,396.12 $20,575.60 2026-04-29
272 MS_DRG Other Major Cardiovascular Procedures Without Ccmcc 13 11 — $20,464.00 $17,318.55 $47,794.90 $20,464.50 2026-04-29
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 14 11 — $20,372.00 $17,886.79 $51,123.84 $20,372.50 2026-04-29
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 14 11 — $20,336.00 $16,618.11 $70,848.66 $20,336.00 2026-04-29
164 MS_DRG Major Chest Procedures With Cc 14 12 — $20,244.00 $17,420.99 $61,458.04 $20,244.00 2026-04-29
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Ccmcc 13 11 — $20,235.00 $17,080.46 $52,106.60 $20,235.60 2026-04-29
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 13 11 — $19,999.00 $16,740.62 $53,891.30 $19,999.90 2026-04-29
545 MS_DRG Connective Tissue Disorders With Mcc 13 11 — $19,922.00 $17,489.51 $65,579.40 $19,922.30 2026-04-29
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 13 11 — $19,751.00 $16,186.22 $44,437.35 $19,751.20 2026-04-29
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 15 13 — $19,745.00 $16,945.49 $63,857.34 $19,745.80 2026-04-29
783 MS_DRG Cesarean Section With Sterilization With Mcc 13 11 — $19,720.00 $12,749.78 $44,363.26 $19,720.00 2026-04-29
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 13 11 — $19,637.00 $16,805.68 $58,565.35 $19,637.10 2026-04-29
33361 CPT Hc Replace Aortic Valve Perq Femoral Artry Approach 1 1 $19,628.80 — $19,628.80 $19,628.80 $19,628.80 2026-04-29
473 MS_DRG Cervical Spinal Fusion Without Ccmcc 13 11 — $19,615.00 $16,385.56 $49,415.92 $19,615.00 2026-04-29
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 13 11 — $19,341.00 $16,021.49 $52,018.91 $19,341.20 2026-04-29
792 MS_DRG Prematurity Without Major Problems 16 12 — $19,675.00 $4,315.59 $44,256.65 $19,298.35 2026-04-29
330 MS_DRG Major Small And Large Bowel Procedures With Cc 17 14 — $19,279.00 $16,359.95 $62,614.25 $19,279.60 2026-04-29
397 MS_DRG Appendix Procedures With Mcc 13 11 — $19,262.00 $17,149.67 $49,445.14 $19,262.10 2026-04-29
35 MS_DRG Carotid Artery Stent Procedures With Cc 13 11 — $19,228.00 $15,744.64 $44,067.70 $19,228.70 2026-04-29
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 14 12 — $19,197.00 $16,448.54 $43,285.09 $19,197.50 2026-04-29
0795T HCPCS Hc Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys 15 11 $71,516.90 $19,005.00 73% off $19,005.55 $71,516.90 $19,005.55 2026-04-29
33229 CPT Hc Remvl Perm Pm Pls Gen W/repl Plse Gen Mult Ld Sys 15 11 $35,935.90 $19,005.00 47% off $19,005.55 $35,935.90 $19,005.55 2026-04-29
33221 CPT Hc Insert Pm Pulse Gen Only (existing Leads) 15 11 $35,935.90 $19,005.00 47% off $19,005.55 $35,935.90 $19,005.55 2026-04-29
33274 CPT Hc Tcat Ins/rpl Perm Ldls Pm W/ig 15 11 $88,901.30 $19,005.00 79% off $19,005.55 $88,901.30 $19,005.55 2026-04-29
113 MS_DRG Orbital Procedures With Ccmcc 13 11 — $18,929.00 $15,484.40 $58,109.44 $18,929.00 2026-04-29
333 MS_DRG Rectal Resection With Cc 13 11 — $18,861.00 $14,709.90 $50,294.62 $18,861.30 2026-04-29
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 13 11 — $18,834.00 $15,977.20 $43,913.80 $18,834.00 2026-04-29
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 13 11 — $18,821.00 $14,613.70 $42,227.41 $18,821.00 2026-04-29
709 MS_DRG Penis Procedures With Ccmcc 13 11 — $18,746.00 $15,552.92 $50,327.74 $18,746.50 2026-04-29
357 MS_DRG Other Digestive System O.r. Procedures With Cc 13 11 — $18,734.00 $15,586.84 $42,021.41 $18,734.30 2026-04-29
56 MS_DRG Degenerative Nervous System Disorders With Mcc 14 11 — $18,716.00 $17,331.70 $72,464.46 $18,716.10 2026-04-29
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 11 — $18,625.00 $16,333.65 $47,792.95 $18,625.60 2026-04-29
347 MS_DRG Anal And Stomal Procedures With Mcc 13 11 — $18,506.00 $16,381.40 $49,645.82 $18,506.90 2026-04-29
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 13 11 — $18,501.00 $15,014.44 $41,468.48 $18,501.60 2026-04-29
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 13 11 — $18,430.00 $16,058.87 $41,300.43 $18,430.90 2026-04-29
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 13 11 — $18,400.00 $15,129.34 $41,228.15 $18,400.50 2026-04-29
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 14 12 — $18,355.00 $14,931.39 $65,423.21 $18,355.60 2026-04-29
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 13 11 — $18,326.00 $15,683.73 $41,052.87 $18,326.70 2026-04-29
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 13 11 — $18,278.00 $15,222.77 $44,661.95 $18,278.80 2026-04-29
37294 CPT Hc Revsc Evasc Tpvt St Athrc Uni Cplx Les 1st Vsl 15 11 $88,727.20 $18,087.00 80% off $18,087.87 $86,563.12 $18,087.87 2026-04-29
37292 CPT Hc Revsc Evasc Tpvt St Athrc Uni Sf Les 1st Vsl 15 11 $88,727.20 $18,087.00 80% off $18,087.87 $86,563.12 $18,087.87 2026-04-29
37242 CPT Hc Vascular Embolization Or Occlusion Arterial S&i 15 11 $34,679.10 $18,087.00 48% off $18,087.87 $34,679.10 $18,087.87 2026-04-29
36906 CPT Hc Perq Thrmbc/nfs Dial Circ Tcat Plmt IV Stent S&i 15 11 $67,841.30 $18,087.00 73% off $18,087.87 $67,841.30 $18,087.87 2026-04-29
37182 CPT Hc Insert Transven Intrahep Portosys Shunt 15 11 $66,127.20 $18,087.00 73% off $18,087.87 $66,127.20 $18,087.87 2026-04-29
C9767 HCPCS Hc Revasc Lithotrip-stent-ather 15 11 $71,019.10 $18,087.00 75% off $18,087.87 $71,019.10 $18,087.87 2026-04-29
92933 CPT Hc Prq Drug Eluting Cor Stent Ather S - 92933 - 48100194 15 11 $27,935.90 $18,087.00 35% off $18,087.87 $27,935.90 $18,087.87 2026-04-29
37290 CPT Hc Revsc Evasc Tpvt Athrc Uni Cplx Les 1st Vsl 15 11 $88,727.20 $18,087.00 80% off $18,087.87 $86,563.12 $18,087.87 2026-04-29
37286 CPT Hc Revsc Evasc Tpvt St Plmt Uni Cplx Les 1st Vsl 15 11 $88,727.20 $18,087.00 80% off $18,087.87 $86,563.12 $18,087.87 2026-04-29
37284 CPT Hc Revsc Evasc Tpvt St Plmt Uni Sf Les 1st Vsl 15 11 $88,727.20 $18,087.00 80% off $18,087.87 $86,563.12 $18,087.87 2026-04-29
37288 CPT Hc Revsc Evasc Tpvt Athrc Uni Sf Les 1st Vsl 15 11 $88,727.20 $18,087.00 80% off $18,087.87 $86,563.12 $18,087.87 2026-04-29
C9774 HCPCS Hc Revasc Lithotr-ather Tib/per 15 11 $71,019.10 $18,087.00 75% off $18,087.87 $71,019.10 $18,087.87 2026-04-29
93580 CPT Hc Perc Clos,cong Interatrial Commun W/impl 15 11 $67,787.80 $18,087.00 73% off $18,087.87 $67,787.80 $18,087.87 2026-04-29
93581 CPT Hc Prq Tcat Clsr Cgen Ventr Septal Dfct W/implt 15 11 $67,787.80 $18,087.00 73% off $18,087.87 $67,787.80 $18,087.87 2026-04-29
37277 CPT Hc Revsc Evasc Fpvt St Athrc Uni Cplx Les 1st Vsl 15 11 $88,727.20 $18,087.00 80% off $18,087.87 $86,563.12 $18,087.87 2026-04-29
0238T HCPCS Hc Translum Peripheral Atherectomy Iliac Artery Ea 15 11 $49,946.30 $18,087.00 64% off $18,087.87 $49,946.30 $18,087.87 2026-04-29
37275 CPT Hc Revsc Evasc Fpvt St Athrc Uni Sf Les 1st Vsl 15 11 $88,727.20 $18,087.00 80% off $18,087.87 $86,563.12 $18,087.87 2026-04-29
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 15 11 $71,019.10 $18,087.00 75% off $18,087.87 $71,019.10 $18,087.87 2026-04-29
37273 CPT Hc Revsc Evasc Fpvt Athrc Uni Cplx Les 1st Vsl 15 11 $88,727.20 $18,087.00 80% off $18,087.87 $86,563.12 $18,087.87 2026-04-29
92930 CPT Hc Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments 15 11 $88,727.20 $18,087.00 80% off $18,087.87 $86,563.12 $18,087.87 2026-04-29
C9797 HCPCS Hc Vasc Emb/occ W/prs Cath 15 11 $55,798.10 $18,087.00 68% off $18,087.87 $55,798.10 $18,087.87 2026-04-29
C9775 HCPCS Hc Revasc Lith-sten-ath Tib/per 15 11 $71,019.10 $18,087.00 75% off $18,087.87 $71,019.10 $18,087.87 2026-04-29
C9773 HCPCS Hc Revasc Lithotr-stent Tib/per 15 11 $71,019.10 $18,087.00 75% off $18,087.87 $71,019.10 $18,087.87 2026-04-29
C9602 HCPCS Hc Prq Drug Eluting Cor Stent Ather S - C9602 - 48100194 15 11 $27,935.90 $18,087.00 35% off $18,087.87 $27,935.90 $18,087.87 2026-04-29
C9766 HCPCS Hc Revasc Intra Lithotrip-ather 15 11 $71,019.10 $18,087.00 75% off $18,087.87 $71,019.10 $18,087.87 2026-04-29
C9607 HCPCS Hc Prq Drug Eluting Cor Revasc Chro Sin - C9607 - 48100199 15 11 $27,935.90 $18,087.00 35% off $18,087.87 $27,935.90 $18,087.87 2026-04-29
37271 CPT Hc Revsc Evasc Fpvt Athrc Uni Sf Les 1st Vsl 15 11 $88,727.20 $18,087.00 80% off $18,087.87 $86,563.12 $18,087.87 2026-04-29
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 13 11 — $18,073.00 $15,451.18 $40,847.10 $18,073.40 2026-04-29
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Ccmcc 13 11 — $18,063.00 $15,630.44 $48,385.24 $18,063.50 2026-04-29
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Ccmcc 14 12 — $17,928.00 $14,782.58 $46,592.80 $17,928.90 2026-04-29
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 17 13 — $17,877.00 $15,318.98 $70,355.60 $17,877.20 2026-04-29
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 13 11 — $17,839.00 $15,851.92 $49,817.30 $17,839.90 2026-04-29
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 13 11 — $17,770.00 $15,629.75 $46,495.35 $17,770.00 2026-04-29
30 MS_DRG Spinal Procedures Without Ccmcc 13 11 — $17,743.00 $15,402.73 $39,666.91 $17,743.30 2026-04-29
614 MS_DRG Adrenal And Pituitary Procedures With Ccmcc 13 11 — $17,717.00 $15,773.71 $45,751.10 $17,717.50 2026-04-29
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 13 11 — $17,687.00 $15,803.47 $48,032.60 $17,687.80 2026-04-29
C2616 HCPCS Hc (sup Shell C2616) Y90 Brachytherapy 16 12 — $17,683.00 $17,683.93 $84,629.98 $17,683.93 2026-04-29
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 13 11 — $17,646.00 $16,006.27 $45,741.33 $17,646.80 2026-04-29
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 14 12 — $17,618.00 $15,566.76 $42,416.61 $17,618.60 2026-04-29
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 13 11 — $17,607.00 $14,510.57 $57,445.10 $17,607.20 2026-04-29
135 MS_DRG Sinus And Mastoid Procedures With Ccmcc 13 11 — $17,551.00 $16,688.02 $46,929.83 $17,551.70 2026-04-29
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 13 11 — $17,334.00 $15,080.89 $38,696.56 $17,334.90 2026-04-29
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Ccmcc 13 11 — $17,328.00 $14,170.73 $75,443.90 $17,328.90 2026-04-29
374 MS_DRG Digestive Malignancy With Mcc 13 11 — $17,313.00 $14,613.70 $38,645.97 $17,313.60 2026-04-29
32 MS_DRG Ventricular Shunt Procedures With Cc 13 11 — $17,255.00 $14,781.19 $40,833.45 $17,255.10 2026-04-29
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 13 11 — $17,254.00 $15,592.37 $46,230.40 $17,254.30 2026-04-29
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Ccmcc 13 11 — $17,247.00 $14,554.17 $46,064.80 $17,247.50 2026-04-29
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 13 11 — $17,222.00 $14,469.04 $38,429.13 $17,222.40 2026-04-29
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 13 11 — $17,860.00 $13,305.26 $39,945.19 $17,180.40 2026-04-29
595 MS_DRG Major Skin Disorders With Mcc 13 11 — $17,176.00 $14,639.31 $38,320.71 $17,176.80 2026-04-29
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 13 11 — $17,153.00 $14,590.86 $51,185.01 $17,153.90 2026-04-29
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