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

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Hospital

Lowell General Hospital - Saints Campus

Lowell, MA · CCN 220082 · Rates published

8,912 distinct procedures filed
203 distinct payers
1,854,414 rate rows
2026-04-01 last MRF observed
Data quality

1,816,531 of 1,854,414 rate rows are consumer-grade (98.0%)

37,883 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 26,565
percent-of-charges filed in the dollar field — excluded from medians 6,105
per-diem day rate — not a per-procedure price 3,960
placeholder amount (≤ $0.02) — excluded from medians 680
exceeds 3× this hospital's gross charge for a DRG stay — excluded 364
exceeds 10× this hospital's gross charge — excluded from medians 209
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.tuftsmedicine.org/sites/default/files/2026-03/042103590_lowellgeneralhospital_standardcharges.csv.zip
Found on page https://www.tuftsmedicine.org/get-care/cost-estimate
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 15688355b5ccf8a3… · 110,625,468 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
588
MS_DRG 		Neonate Bwt <1500g W Major Procedure Extreme 14 $8,640.95 $635,489.92 $420,854.25 nat. median
$313,714
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other I 40 $6,358.87 $386,105.60 $378,769.59 nat. median
$370,174
1.0× median
161
MS_DRG 		Cardiac Defibrillator & Heart Assist Implant Major 14 $8,640.95 $530,038.49 $268,915.38 nat. median
$289,356
0.9× median
7
MS_DRG 		Allogeneic Bone Marrow Transplant Extreme 11 $8,640.95 $405,040.10 $268,238.48 nat. median
$122,708
outlier · 2.2×
609
MS_DRG 		Neonate Bwt 1500-2499g W Major Procedure Extreme 17 $2,022.72 $439,071.90 $263,509.93 nat. median
$224,255
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System 43 $6,358.87 $427,420.52 $245,945.74 nat. median
$265,286
0.9× median
9
MS_DRG 		Extracorporeal Membrane Oxygenation (ecmo) Extreme 14 $8,640.95 $356,049.54 $210,501.05 nat. median
$186,776
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principa 42 $6,358.87 $296,375.88 $186,374.83 nat. median
$202,976
0.9× median
591
MS_DRG 		Neonate Birthwt 500-749g Without Major Procedure Major 11 $2,022.72 $326,765.19 $177,530.50 nat. median
$204,175
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagno 61 $6,358.87 $545,009.41 $124,123.18 nat. median
$133,161
0.9× median
611
MS_DRG 		Neonate Birthwt 1500-1999g W Major Anomaly Minor 17 $8,640.95 $173,362.18 $107,879.14 nat. median
$52,639
outlier · 2.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 40 $6,358.87 $107,746.72 $105,699.53 nat. median
$117,357
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 43 $6,358.87 $172,634.34 $99,573.93 nat. median
$98,047
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 44 $6,358.87 $165,851.77 $95,677.43 nat. median
$102,358
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 57 $6,358.87 $239,670.17 $92,496.53 nat. median
$100,136
0.9× median
162
MS_DRG 		Cardiac Valve Procedures W Ami Or Complex Pdx Majo 17 $8,640.95 $231,446.79 $91,068.16 nat. median
$100,457
0.9× median
910
MS_DRG 		Craniotomy For Multiple Significant Trauma Extreme 12 $8,640.95 $135,333.01 $89,624.51 nat. median
$52,917
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 45 $6,358.87 $151,864.16 $87,641.71 nat. median
$99,019
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 43 $6,358.87 $149,207.27 $86,115.33 nat. median
$93,672
0.9× median
631
MS_DRG 		Neonate Birthwt >2499g W Other Major Procedure Maj 12 $8,640.95 $129,407.51 $85,700.34 nat. median
$65,780
1.3× median
589
MS_DRG 		Neonate Bwt <500g Or Ga <24 Weeks Minor 17 $1,614.05 $192,434.87 $84,150.50 nat. median
$76,787
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fu 43 $6,358.87 $137,414.42 $79,340.47 nat. median
$82,711
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 62 $6,358.87 $132,074.69 $76,272.87 nat. median
$83,470
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvatur 44 $6,358.87 $128,168.66 $74,028.89 nat. median
$81,118
0.9× median
612
MS_DRG 		Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Re 17 $2,022.72 $132,053.11 $69,537.92 nat. median
$50,031
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Di 58 $6,358.87 $120,014.94 $69,344.68 nat. median
$77,570
0.9× median
911
MS_DRG 		Extensive Abdominal/thoracic Procedures For Mult S 18 $8,640.95 $132,402.12 $69,285.44 nat. median
$67,356
1.0× median
169
MS_DRG 		Major Abdominal Vascular Procedures Major 18 $8,640.95 $151,951.65 $67,710.06 nat. median
$40,794
1.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 43 $6,358.87 $117,109.43 $67,675.48 nat. median
$74,915
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Tra 43 $6,358.87 $116,218.71 $67,163.79 nat. median
$72,135
0.9× median
130
MS_DRG 		Respiratory System Diagnosis W Ventilator Support 15 $8,640.95 $123,575.14 $64,048.63 nat. median
$12,594
outlier · 5.1×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation 43 $6,358.87 $100,573.70 $63,245.38 nat. median
$64,023
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Cathete 44 $6,358.87 $108,752.86 $62,874.73 nat. median
$68,886
0.9× median
912
MS_DRG 		Musculoskeletal & Other Procedures For Multiple Si 18 $8,640.95 $154,562.64 $62,272.68 nat. median
$41,682
1.5× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 43 $6,358.87 $96,938.40 $60,959.34 nat. median
$66,526
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsatio 43 $6,358.87 $104,901.73 $60,662.30 nat. median
$65,950
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 42 $6,358.87 $94,420.59 $59,376.03 nat. median
$64,732
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With 62 $6,358.87 $101,907.76 $58,744.18 nat. median
$63,724
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 43 $6,358.87 $100,286.48 $58,010.90 nat. median
$64,508
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 43 $6,358.87 $100,286.48 $58,010.90 nat. median
$61,920
0.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 44 $6,358.87 $99,921.95 $57,801.48 nat. median
$59,793
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplem 43 $6,358.87 $93,470.36 $54,095.11 nat. median
$60,726
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 44 $6,358.87 $93,362.07 $54,032.89 nat. median
$60,185
0.9× median
636
MS_DRG 		Neonate Birthwt >2499g W Congenital/perinatal Infe 12 $8,640.95 $81,184.05 $53,764.27 nat. median
$7,503
outlier · 7.2×
33231
CPT 		Hc Ep Insj Implntbl Defib Pulse Gen W/Exist Multil 134 $12,414.54 $114,225.00 $53,548.68 nat. median
$30,121
1.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 56 $6,358.87 $92,466.78 $53,518.55 nat. median
$59,898
0.9× median
28
MS_DRG 		Spinal Procedures With Mcc 42 $6,358.87 $84,349.37 $53,042.78 nat. median
$57,822
0.9× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid 45 $6,358.87 $91,612.66 $53,027.90 nat. median
$59,099
0.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvatur 44 $6,358.87 $90,949.20 $52,646.74 nat. median
$58,020
0.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrom 42 $6,358.87 $74,121.39 $52,475.00 nat. median
$52,303
1.0× median

Other procedures at this hospital

Browse this hospital's 8,912 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
             
027 OTHER Craniotomy And Endovascular Intracranial Procedure 2 2 $45,860.75 $32,102.53 30% off $23,180.74 $23,180.74 $23,180.74 2026-04-01
0646T CPT Hc Ttvi/Rplcmt W/Prstc Vlv Perq 136 132 $51,318.00 $35,922.60 30% off $3,592.00 $51,318.00 $24,057.88 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System 47 43 $720,425.70 $504,297.99 30% off $6,358.87 $427,420.52 $245,945.74 2026-04-01
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or 47 43 $140,585.33 $98,409.73 30% off $6,358.87 $83,185.93 $48,186.83 2026-04-01
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or 47 43 $150,658.59 $105,461.01 30% off $6,358.87 $64,302.43 $37,338.46 2026-04-01
120 MS_DRG Major Respiratory & Chest Procedures Minor 69 18 $65,566.25 $45,896.38 30% off $8,640.95 $124,252.32 $35,728.21 2026-04-01
13 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or 48 44 $95,471.03 $66,829.72 30% off $6,358.87 $43,953.21 $25,648.07 2026-04-01
130 MS_DRG Respiratory System Diagnosis W Ventilator Support 34 15 $68,548.99 $47,984.29 30% off $8,640.95 $123,575.14 $64,048.63 2026-04-01
132 MS_DRG Bpd & Oth Chronic Respiratory Diseases Arising In 34 15 $70,182.01 $49,127.41 30% off $8,640.95 $43,367.62 $27,362.28 2026-04-01
133 MS_DRG Respiratory Failure Moderate 63 17 $28,548.11 $19,983.68 30% off $2,022.72 $43,950.30 $20,000.66 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 44 40 $256,724.50 $179,707.15 30% off $6,358.87 $107,746.72 $105,699.53 2026-04-01
143 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures 102 62 $49,299.30 $34,509.51 30% off $5,518.61 $57,143.14 $26,450.58 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 47 43 $134,441.71 $94,109.20 30% off $6,358.87 $90,439.78 $52,354.08 2026-04-01
160 MS_DRG Major Cardiothoracic Repair Of Heart Anomaly Moder 15 12 $116,460.48 $81,522.34 30% off $8,640.95 $71,742.00 $47,511.26 2026-04-01
161 MS_DRG Cardiac Defibrillator & Heart Assist Implant Major 45 14 $761,733.65 $533,213.56 30% off $8,640.95 $530,038.49 $268,915.38 2026-04-01
162 MS_DRG Cardiac Valve Procedures W Ami Or Complex Pdx Majo 35 17 $323,649.93 $226,554.95 30% off $8,640.95 $231,446.79 $91,068.16 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 114 62 $73,944.05 $51,760.84 30% off $6,358.87 $196,947.02 $49,084.44 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 168 164 $58,022.75 $40,615.93 30% off $6,358.87 $38,496.05 $20,233.53 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 115 62 $82,201.87 $57,541.31 30% off $6,358.87 $162,347.48 $37,475.85 2026-04-01
169 MS_DRG Major Abdominal Vascular Procedures Major 64 18 $72,088.27 $50,461.79 30% off $8,640.95 $151,951.65 $67,710.06 2026-04-01
171 MS_DRG Perm Cardiac Pacemaker Implant Without Ami Heart Fail 49 15 $61,146.67 $42,802.67 30% off $8,640.95 $57,533.71 $22,766.12 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With 48 44 $67,449.22 $47,214.45 30% off $6,358.87 $45,396.05 $26,476.96 2026-04-01
174 MS_DRG Percutaneous Coronary Intervention W Ami Minor 90 18 $55,062.50 $38,543.74 30% off $8,640.95 $90,721.54 $33,195.36 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other I 44 40 $2,048,011.14 $1,433,607.80 30% off $6,358.87 $386,105.60 $378,769.59 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Di 80 58 $282,206.11 $197,544.28 30% off $6,358.87 $120,014.94 $69,344.68 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Suppo 130 63 $87,144.50 $61,001.15 30% off $4,962.32 $98,142.04 $21,637.67 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Suppo 48 44 $45,660.60 $31,962.42 30% off $6,358.87 $41,923.17 $24,481.82 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 47 43 $309,671.18 $216,769.83 30% off $6,358.87 $172,634.34 $99,573.93 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Di 116 60 $208,625.86 $146,038.10 30% off $2,022.72 $147,724.56 $46,782.25 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 48 44 $188,801.91 $132,161.34 30% off $6,358.87 $165,851.77 $95,677.43 2026-04-01
215 MS_DRG Other Heart Assist System Implant 49 45 $129,320.00 $90,524.00 30% off $6,358.87 $151,864.16 $87,641.71 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 47 43 $283,871.36 $198,709.95 30% off $6,358.87 $149,207.27 $86,115.33 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 47 43 $182,374.66 $127,662.26 30% off $6,358.87 $100,286.48 $58,010.90 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 47 43 $192,438.81 $134,707.17 30% off $6,358.87 $100,286.48 $58,010.90 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 47 43 $176,341.48 $123,439.04 30% off $6,358.87 $117,109.43 $67,675.48 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Di 97 58 $107,841.29 $75,488.90 30% off $6,358.87 $108,360.52 $28,238.14 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 120 61 $148,397.53 $103,878.27 30% off $6,358.87 $144,589.08 $47,123.98 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 68 46 $57,699.10 $40,389.37 30% off $6,358.87 $70,860.22 $44,560.18 2026-04-01
222 MS_DRG Other Stomach Esophageal & Duodenal Procedures Mo 37 18 $41,045.97 $28,732.18 30% off $8,640.95 $37,859.49 $23,131.56 2026-04-01
223 MS_DRG Other Small & Large Bowel Procedures Minor 59 18 $24,242.03 $16,969.42 30% off $8,640.95 $113,801.40 $24,008.76 2026-04-01
224 MS_DRG Peritoneal Adhesiolysis Minor 48 18 $27,473.78 $19,231.65 30% off $8,640.95 $37,829.53 $22,858.83 2026-04-01
225 MS_DRG Appendectomy Moderate 7 3 $29,205.86 $20,444.10 30% off $20,788.12 $22,529.76 $21,224.36 2026-04-01
227 MS_DRG Hernia Procedures Except Inguinal Femoral & Umbil 65 18 $40,973.19 $28,681.23 30% off $8,640.95 $50,951.52 $21,200.62 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 107 61 $126,114.81 $88,280.37 30% off $6,358.87 $75,457.74 $21,275.91 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 119 62 $89,612.65 $62,728.86 30% off $6,358.87 $118,050.72 $27,993.67 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Comp 125 60 $136,951.00 $95,865.70 30% off $6,358.87 $143,770.68 $50,606.92 2026-04-01
230 MS_DRG Major Small Bowel Procedures Minor 66 15 $37,101.43 $25,971.00 30% off $8,640.95 $120,382.56 $29,030.55 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 113 57 $234,104.47 $163,873.13 30% off $6,358.87 $118,091.02 $45,194.90 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 64 56 $192,694.99 $134,886.49 30% off $6,358.87 $92,466.78 $53,518.55 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Op 96 57 $235,032.09 $164,522.46 30% off $6,358.87 $107,157.32 $45,380.04 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Op 88 58 $159,146.33 $111,402.43 30% off $6,358.87 $83,317.10 $47,183.88 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization Wi 47 43 $164,619.01 $115,233.31 30% off $6,358.87 $89,507.89 $51,818.72 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Wi 47 43 $127,897.39 $89,528.17 30% off $6,358.87 $63,887.58 $37,100.13 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except 48 44 $101,698.67 $71,189.07 30% off $6,358.87 $69,209.09 $43,521.87 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Comp 111 61 $76,794.72 $53,756.30 30% off $6,358.87 $75,282.12 $34,673.92 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except 115 62 $48,119.22 $33,683.45 30% off $6,358.87 $45,120.08 $25,373.81 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 113 62 $55,069.67 $38,548.77 30% off $4,634.94 $51,133.59 $23,989.83 2026-04-01
245 MS_DRG Aicd Generator Procedures 132 62 $114,872.23 $80,410.56 30% off $6,358.87 $69,585.72 $24,505.14 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedure 49 45 $66,748.96 $46,724.27 30% off $6,358.87 $69,346.27 $40,236.09 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 119 63 $80,455.07 $56,318.55 30% off $6,358.87 $95,808.82 $30,962.26 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 127 62 $73,172.18 $51,220.53 30% off $5,586.30 $48,264.36 $22,573.29 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory Syst 48 44 $61,556.31 $43,089.42 30% off $6,358.87 $41,140.74 $24,032.33 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 48 44 $56,550.12 $39,585.08 30% off $6,358.87 $47,923.31 $27,928.83 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedure 97 62 $56,151.60 $39,306.12 30% off $6,358.87 $47,421.52 $27,640.57 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replaceme 140 62 $84,678.55 $59,274.99 30% off $6,358.87 $151,500.60 $29,458.52 2026-04-01
263 MS_DRG Vein Ligation And Stripping 135 62 $63,404.70 $44,383.29 30% off $6,358.87 $52,037.29 $23,704.15 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 100 62 $28,757.57 $20,130.30 30% off $6,358.87 $109,303.33 $29,668.12 2026-04-01
265 MS_DRG Aicd Lead Procedures 48 44 $30,073.23 $21,051.26 30% off $6,358.87 $55,184.79 $32,100.47 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplem 47 43 $154,085.78 $107,860.05 30% off $6,358.87 $93,470.36 $54,095.11 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplem 47 43 $109,164.13 $76,414.89 30% off $6,358.87 $66,967.18 $42,112.05 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsatio 47 43 $153,818.70 $107,673.09 30% off $6,358.87 $104,901.73 $60,662.30 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsatio 47 43 $70,448.25 $49,313.78 30% off $6,358.87 $59,476.47 $37,401.55 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedure 224 179 $36,130.35 $25,291.25 30% off $6,358.87 $102,097.23 $20,225.13 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 48 44 $89,714.49 $62,800.14 30% off $6,358.87 $80,474.13 $46,628.91 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 48 44 $77,695.89 $54,387.12 30% off $6,358.87 $54,240.69 $31,558.10 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/m 168 164 $52,383.67 $36,668.57 30% off $6,358.87 $38,938.36 $20,454.68 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures Wit 48 44 $74,520.72 $52,164.50 30% off $6,358.87 $62,922.13 $36,545.49 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Wit 47 43 $68,127.76 $47,689.43 30% off $6,358.87 $46,497.31 $29,239.66 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 48 44 $125,025.23 $87,517.66 30% off $6,358.87 $108,752.86 $62,874.73 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid 49 45 $68,235.40 $47,764.78 30% off $6,358.87 $91,612.66 $53,027.90 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 48 44 $58,888.98 $41,222.29 30% off $6,358.87 $70,441.36 $40,865.20 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of P 47 43 $108,092.77 $75,664.94 30% off $6,358.87 $78,189.34 $49,169.06 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of P 111 62 $70,836.29 $49,585.40 30% off $6,358.87 $75,582.00 $31,249.78 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 46 42 $160,882.82 $112,617.97 30% off $6,358.87 $84,349.37 $53,042.78 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 49 45 $54,811.46 $38,368.02 30% off $6,358.87 $41,274.96 $24,109.43 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulato 94 59 $63,934.38 $44,754.07 30% off $6,358.87 $61,349.84 $30,290.24 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principa 46 42 $389,092.94 $272,365.06 30% off $6,358.87 $296,375.88 $186,374.83 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 48 44 $51,970.14 $36,379.10 30% off $6,358.87 $68,336.59 $39,656.04 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Card 114 61 $184,750.29 $129,325.20 30% off $6,358.87 $93,799.17 $48,146.69 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intralum 168 164 $54,223.23 $37,956.26 30% off $6,358.87 $36,943.39 $19,457.19 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With M 47 43 $162,635.36 $113,844.75 30% off $6,358.87 $62,816.36 $39,501.83 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intral 114 64 $64,518.31 $45,162.82 30% off $6,358.87 $88,737.76 $24,706.80 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intralumin 86 59 $75,962.80 $53,173.96 30% off $6,358.87 $85,164.46 $38,314.55 2026-04-01
324 OTHER Coronary Intravascular Lithotripsy With Intralumin 2 2 $59,974.93 $41,982.45 30% off $28,847.43 $28,847.43 $28,847.43 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intralumin 94 59 $61,414.21 $42,989.95 30% off $6,358.87 $53,712.60 $28,006.82 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intralu 93 58 $50,104.90 $35,073.43 30% off $6,358.87 $59,097.57 $29,079.80 2026-04-01
326 MS_DRG Stomach Esophageal And Duodenal Procedures With M 93 59 $54,008.53 $37,805.97 30% off $6,358.87 $76,067.82 $44,097.55 2026-04-01
327 MS_DRG Stomach Esophageal And Duodenal Procedures With C 168 164 $34,853.34 $24,397.34 30% off $6,358.87 $37,278.94 $19,624.97 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 48 44 $57,326.07 $40,128.25 30% off $6,358.87 $70,105.82 $40,672.46 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 168 164 $49,489.77 $34,642.84 30% off $6,358.87 $36,562.09 $19,266.54 2026-04-01
332 MS_DRG Rectal Resection With Mcc 48 44 $39,731.41 $27,811.99 30% off $6,358.87 $55,222.92 $32,122.38 2026-04-01
33231 CPT Hc Ep Insj Implntbl Defib Pulse Gen W/Exist Multil 144 134 $114,225.00 $79,957.50 30% off $12,414.54 $114,225.00 $53,548.68 2026-04-01
33264 CPT Hc Ep Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Ml 149 138 $51,209.00 $35,846.30 30% off $12,414.54 $51,209.00 $24,006.78 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 48 44 $51,393.69 $35,975.58 30% off $6,358.87 $54,463.37 $31,686.03 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 48 44 $64,037.48 $44,826.24 30% off $6,358.87 $59,035.92 $34,312.91 2026-04-01
343 MS_DRG Musculoskeletal Malignancy & Pathol Fracture D/t M 52 18 $42,409.53 $29,686.67 30% off $8,640.95 $43,790.64 $21,507.08 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 241 180 $37,275.79 $26,093.05 30% off $2,022.72 $47,314.97 $20,681.94 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 168 164 $52,169.05 $36,518.34 30% off $6,358.87 $38,006.46 $19,988.73 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With 48 44 $56,522.77 $39,565.94 30% off $6,358.87 $44,261.30 $25,825.06 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 48 44 $91,053.73 $63,737.61 30% off $6,358.87 $66,998.99 $38,887.61 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 49 45 $23,108.97 $16,176.28 30% off $6,358.87 $40,435.98 $20,773.71 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intralumina 47 43 $127,048.58 $88,934.01 30% off $6,358.87 $52,445.53 $30,526.81 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intralumina 168 164 $55,192.16 $38,634.51 30% off $6,358.87 $36,822.90 $19,396.95 2026-04-01
362 MS_DRG Mastectomy Procedures Moderate 4 3 $48,469.17 $33,928.42 30% off $43,322.49 $44,586.32 $43,322.49 2026-04-01
363 MS_DRG Breast Procedures Except Mastectomy Moderate 27 15 $84,931.52 $59,452.06 30% off $8,640.95 $59,693.69 $24,826.33 2026-04-01
364 MS_DRG Other Skin Subcutaneous Tissue & Related Procedur 68 18 $16,559.14 $11,591.40 30% off $7,688.40 $46,097.82 $19,189.60 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 48 44 $60,235.56 $42,164.89 30% off $6,358.87 $50,211.11 $29,243.16 2026-04-01
37260 CPT Hc Revsc Evasc Iliac Vasc Stent Cmplx Initl Vsl 143 134 $41,505.00 $29,053.50 30% off $13,040.18 $41,505.00 $19,457.54 2026-04-01
37267 CPT Hc Revsc Evsc Fem Pop Vasc Stent Sf Initl Vsl 143 134 $41,505.00 $29,053.50 30% off $13,040.18 $41,505.00 $19,457.54 2026-04-01
37269 CPT Hc Revsc Evsc Fem Pop Vasc Stent Cmplx Initl Vsl 143 134 $41,505.00 $29,053.50 30% off $13,040.18 $41,505.00 $19,457.54 2026-04-01
37273 CPT Hc Revsc Evsc Fem Pop Athrc Cmplx Initl Vsl 143 134 $65,909.00 $46,136.30 30% off $18,728.69 $65,909.00 $30,898.14 2026-04-01
37277 CPT Hc Rvsc Evsc Fem Pop Vasc Stnt Athrc Cmplx Initl V 143 134 $65,909.00 $46,136.30 30% off $18,728.69 $65,909.00 $30,898.14 2026-04-01
37280 CPT Hc Revsc Evsc Tib Pernl Vasc Angio Sf Initl 143 134 $41,505.00 $29,053.50 30% off $13,040.18 $41,505.00 $19,457.54 2026-04-01
37282 CPT Hc Revsc Evsc Tib Pernl Vasc Angio Cmplx Initl 143 134 $41,505.00 $29,053.50 30% off $13,040.18 $41,505.00 $19,457.54 2026-04-01
37286 CPT Hc Revsc Evasc Tib Pernl Vasc Stnt Cmplx Initl Vsl 144 134 $65,909.00 $46,136.30 30% off $18,728.69 $65,909.00 $30,898.14 2026-04-01
37298 CPT Hc Revsc Evsc Infrml Vasc Angio Cplx Initl Vsl 143 134 $41,505.00 $29,053.50 30% off $13,040.18 $41,505.00 $19,457.54 2026-04-01
38240 CPT Hc Transplt Allo Hct/Donor 142 134 $69,204.00 $48,442.80 30% off $5,118.00 $69,204.00 $32,442.84 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 168 164 $30,192.32 $21,134.62 30% off $6,358.87 $36,527.01 $19,249.01 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagno 84 61 $239,233.83 $167,463.68 30% off $6,358.87 $545,009.41 $124,123.18 2026-04-01
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System 85 62 $64,503.90 $45,152.73 30% off $6,358.87 $58,891.02 $34,229.68 2026-04-01
401 MS_DRG Pituitary & Adrenal Procedures Minor 48 18 $46,595.00 $32,616.50 30% off $8,640.95 $70,219.21 $31,808.61 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spina 50 46 $97,224.49 $68,057.14 30% off $6,358.87 $61,320.67 $35,625.48 2026-04-01
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 85 62 $73,448.28 $51,413.80 30% off $6,358.87 $108,118.58 $48,330.53 2026-04-01
406 MS_DRG Pancreas Liver And Shunt Procedures With Cc 48 44 $64,450.29 $45,115.20 30% off $6,358.87 $44,233.85 $25,809.29 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystecto 48 44 $70,697.62 $49,488.33 30% off $6,358.87 $54,382.53 $31,639.59 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 48 44 $37,481.20 $26,236.84 30% off $6,358.87 $50,381.93 $29,341.29 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d. 48 44 $60,275.84 $42,193.09 30% off $6,358.87 $54,336.78 $31,613.30 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With M 168 164 $44,023.50 $30,816.45 30% off $6,358.87 $36,397.37 $19,184.19 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 128 62 $79,423.95 $55,596.77 30% off $5,422.61 $51,965.09 $19,380.37 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Wi 67 59 $108,519.94 $75,963.96 30% off $6,358.87 $63,341.56 $36,786.45 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spi 103 59 $117,774.68 $82,442.28 30% off $4,390.03 $168,095.34 $25,832.82 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spi 94 59 $116,038.87 $81,227.21 30% off $4,689.10 $110,098.09 $36,044.52 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spi 49 45 $109,955.76 $76,969.03 30% off $6,358.87 $127,078.15 $49,657.97 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fu 47 43 $188,231.76 $131,762.23 30% off $6,358.87 $137,414.42 $79,340.47 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fu 47 43 $134,053.70 $93,837.59 30% off $6,358.87 $87,959.81 $50,929.36 2026-04-01
44 MS_DRG Intracranial Hemorrhage Extreme 75 18 $42,257.82 $29,580.47 30% off $7,513.63 $326,339.69 $24,969.44 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With 97 62 $119,344.18 $83,540.93 30% off $6,358.87 $101,907.76 $58,744.18 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Witho 48 44 $99,112.91 $69,379.04 30% off $6,358.87 $64,680.68 $37,555.77 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mc 48 44 $111,675.20 $78,172.64 30% off $6,358.87 $81,287.06 $47,095.95 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without 48 44 $80,666.54 $56,466.58 30% off $6,358.87 $49,270.06 $28,702.54 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 48 44 $102,614.93 $71,830.45 30% off $6,358.87 $128,168.66 $74,028.89 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 48 44 $99,236.79 $69,465.75 30% off $6,358.87 $90,949.20 $52,646.74 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 48 44 $36,411.07 $25,487.75 30% off $6,358.87 $63,640.50 $36,958.19 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lo 65 57 $231,290.40 $161,903.28 30% off $6,358.87 $77,587.41 $48,790.55 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lo 78 59 $59,988.28 $41,991.80 30% off $6,358.87 $40,570.32 $23,704.63 2026-04-01
464 OTHER Wound Debridement And Skin Graft Except Hand For M 3 3 $20,280.86 $14,196.60 30% off $31,700.44 $31,700.44 $31,700.44 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For M 48 44 $43,232.23 $30,262.56 30% off $6,358.87 $47,505.40 $27,688.75 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 107 62 $100,955.73 $70,669.01 30% off $5,880.45 $79,392.76 $38,925.98 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 48 44 $49,254.61 $34,478.23 30% off $6,358.87 $53,787.70 $31,297.87 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 218 179 $49,508.87 $34,656.21 30% off $5,049.70 $38,921.61 $20,446.31 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachme 109 59 $40,783.96 $28,548.77 30% off $4,414.64 $46,262.37 $23,589.39 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 48 44 $89,931.07 $62,951.75 30% off $6,358.87 $73,647.33 $42,707.01 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 49 45 $66,661.02 $46,662.71 30% off $6,358.87 $44,933.92 $26,211.48 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 168 164 $55,642.87 $38,950.01 30% off $6,358.87 $37,234.71 $19,602.85 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connecti 47 43 $68,406.27 $47,884.39 30% off $6,358.87 $60,447.63 $38,012.26 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective 48 44 $47,804.56 $33,463.19 30% off $6,358.87 $52,689.56 $30,666.98 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective 168 164 $40,397.58 $28,278.31 30% off $6,358.87 $37,507.72 $19,739.36 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With M 85 62 $49,207.17 $34,445.02 30% off $6,358.87 $44,418.40 $25,915.30 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upp 67 59 $44,165.43 $30,915.80 30% off $6,358.87 $42,277.02 $24,685.11 2026-04-01
484 MS_DRG Other Male Reproductive System & Related Procedure 37 18 $39,547.51 $27,683.26 30% off $8,640.95 $89,175.72 $24,002.64 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infect 48 44 $48,440.98 $33,908.69 30% off $6,358.87 $49,219.73 $28,673.61 2026-04-01
49 MS_DRG Bacterial & Tuberculous Infections Of Nervous Syst 36 17 $39,970.63 $27,979.44 30% off $2,022.72 $65,290.20 $21,508.31 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip 49 45 $53,941.77 $37,759.24 30% off $6,358.87 $55,999.24 $32,568.38 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip 168 164 $36,529.31 $25,570.52 30% off $6,358.87 $38,680.60 $20,325.80 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation De 48 44 $55,071.11 $38,549.78 30% off $6,358.87 $55,299.18 $32,166.20 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation De 48 44 $42,446.31 $29,712.42 30% off $6,358.87 $46,012.23 $26,830.95 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 76 57 $402,938.94 $282,057.26 30% off $6,358.87 $239,670.17 $92,496.53 2026-04-01
50 MS_DRG Non-bacterial Infections Of Nervous System Exc Vir 69 17 $19,547.32 $13,683.12 30% off $2,022.72 $72,338.54 $22,574.12 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 48 44 $42,244.95 $29,571.47 30% off $6,358.87 $48,269.53 $28,127.73 2026-04-01
503 MS_DRG Foot Procedures With Mcc 48 44 $29,231.73 $20,462.21 30% off $6,358.87 $42,569.86 $24,853.35 2026-04-01
510 MS_DRG Shoulder Elbow Or Forearm Procedures Except Majo 63 56 $55,606.79 $38,924.75 30% off $6,358.87 $46,068.67 $26,863.36 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue 48 44 $50,312.27 $35,218.59 30% off $6,358.87 $48,606.60 $28,321.38 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue 48 44 $44,264.52 $30,985.16 30% off $6,358.87 $48,606.60 $28,321.38 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With 101 62 $85,018.80 $59,513.16 30% off $6,358.87 $80,563.86 $33,144.05 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fr 48 44 $52,676.52 $36,873.56 30% off $6,358.87 $43,776.29 $25,546.42 2026-04-01
522 OTHER Hip Replacement With Principal Diagnosis Of Hip Fr 2 2 $41,379.94 $28,965.96 30% off $19,885.58 $19,885.58 $19,885.58 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 175 166 $64,091.09 $44,863.76 30% off $6,358.87 $37,850.89 $19,910.94 2026-04-01
570 MS_DRG Skin Debridement With Mcc 48 44 $23,320.21 $16,324.15 30% off $6,358.87 $44,857.66 $26,167.66 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 48 44 $45,216.11 $31,651.28 30% off $6,358.87 $99,921.95 $57,801.48 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 48 44 $98,685.69 $69,079.98 30% off $6,358.87 $52,945.79 $30,814.20 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Wit 48 44 $96,224.00 $67,356.80 30% off $6,358.87 $74,753.10 $43,342.26 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Wit 48 44 $53,805.14 $37,663.60 30% off $6,358.87 $40,428.48 $23,623.14 2026-04-01
579 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedu 48 44 $38,363.56 $26,854.49 30% off $6,358.87 $49,393.60 $28,773.50 2026-04-01
588 MS_DRG Neonate Bwt <1500g W Major Procedure Extreme 17 14 $1,712,727.05 $1,198,908.94 30% off $8,640.95 $635,489.92 $420,854.25 2026-04-01
589 MS_DRG Neonate Bwt <500g Or Ga <24 Weeks Minor 46 17 $759,970.00 $531,979.00 30% off $1,614.05 $192,434.87 $84,150.50 2026-04-01
591 MS_DRG Neonate Birthwt 500-749g Without Major Procedure Major 25 11 $571,052.35 $399,736.65 30% off $2,022.72 $326,765.19 $177,530.50 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 47 43 $444,239.80 $310,967.86 30% off $6,358.87 $70,723.52 $41,027.30 2026-04-01
608 MS_DRG Neonate Bwt 1250-1499g W Or Without Other Significant 36 17 $59,945.82 $41,962.07 30% off $2,022.72 $139,201.44 $40,203.18 2026-04-01
609 MS_DRG Neonate Bwt 1500-2499g W Major Procedure Extreme 36 17 $273,489.04 $191,442.33 30% off $2,022.72 $439,071.90 $263,509.93 2026-04-01
61 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transien 48 44 $64,104.35 $44,873.05 30% off $6,358.87 $42,051.29 $24,555.43 2026-04-01
611 MS_DRG Neonate Birthwt 1500-1999g W Major Anomaly Minor 53 17 $183,036.01 $128,125.21 30% off $8,640.95 $173,362.18 $107,879.14 2026-04-01
612 MS_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Re 58 17 $82,451.44 $57,716.01 30% off $2,022.72 $132,053.11 $69,537.92 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritiona 48 44 $50,039.54 $35,027.68 30% off $6,358.87 $53,189.82 $30,954.39 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 47 43 $109,370.94 $76,559.66 30% off $6,358.87 $44,038.62 $25,697.13 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine N 97 62 $31,570.51 $22,099.36 30% off $6,358.87 $102,559.01 $32,195.22 2026-04-01
625 MS_DRG Thyroid Parathyroid And Thyroglossal Procedures W 90 62 $76,167.12 $53,316.98 30% off $6,358.87 $46,062.57 $26,859.86 2026-04-01
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Pr 48 44 $41,546.48 $29,082.54 30% off $6,358.87 $56,841.15 $33,052.04 2026-04-01
631 MS_DRG Neonate Birthwt >2499g W Other Major Procedure Maj 15 12 $219,390.97 $153,573.68 30% off $8,640.95 $129,407.51 $85,700.34 2026-04-01
634 MS_DRG Neonate Birthwt >2499g W Resp Dist Synd/oth Maj R 60 18 $8,880.15 $6,216.11 30% off $8,640.95 $45,944.88 $21,181.13 2026-04-01
636 MS_DRG Neonate Birthwt >2499g W Congenital/perinatal Infe 15 12 $286,604.30 $200,623.01 30% off $8,640.95 $81,184.05 $53,764.27 2026-04-01
64596 CPT Hc Insj/Rplcmt Perq Eltrd Ra Pn W/Int Nstim 1st Ra 144 134 $44,602.00 $31,221.40 30% off $13,997.78 $44,602.00 $20,909.42 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 51 46 $338,736.76 $237,115.73 30% off $6,358.87 $106,317.77 $41,591.58 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 45 41 $346,482.46 $242,537.72 30% off $6,358.87 $56,520.86 $32,868.03 2026-04-01
652 MS_DRG Kidney Transplant 45 41 $261,185.01 $182,829.51 30% off $6,358.87 $49,256.33 $28,694.64 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 48 44 $34,217.88 $23,952.52 30% off $6,358.87 $79,255.49 $45,928.83 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 47 43 $116,334.33 $81,434.03 30% off $6,358.87 $42,694.92 $24,925.19 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 48 44 $66,692.10 $46,684.47 30% off $6,358.87 $48,559.32 $28,294.23 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With 168 164 $32,601.57 $22,821.10 30% off $6,358.87 $38,753.81 $20,362.40 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 101 62 $94,258.39 $65,980.87 30% off $6,358.87 $46,694.00 $22,933.58 2026-04-01
665 MS_DRG Prostatectomy With Mcc 48 44 $54,489.49 $38,142.64 30% off $6,358.87 $47,604.54 $27,745.71 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 48 44 $40,695.93 $28,487.15 30% off $6,358.87 $44,535.84 $25,982.78 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 48 44 $66,526.75 $46,568.73 30% off $6,358.87 $64,082.80 $37,212.29 2026-04-01
680 MS_DRG Major O.r. Procedures For Lymphatic/hematopoietic/ 75 17 $61,896.59 $43,327.61 30% off $8,640.95 $182,504.52 $41,927.91 2026-04-01
681 MS_DRG Other O.r. Procedures For Lymphatic/hematopoietic/ 71 17 $49,193.17 $34,435.22 30% off $8,640.95 $183,012.48 $29,557.31 2026-04-01
691 MS_DRG Lymphoma Myeloma & Non-acute Leukemia Minor 81 18 $30,191.18 $21,133.83 30% off $8,640.95 $76,132.96 $26,542.17 2026-04-01
694 MS_DRG Urinary Stones Without Mcc 188 152 $16,593.95 $11,615.77 30% off $2,022.72 $68,980.56 $19,518.85 2026-04-01
7 MS_DRG Allogeneic Bone Marrow Transplant Extreme 13 11 $2,987,250.10 $2,091,075.07 30% off $8,640.95 $405,040.10 $268,238.48 2026-04-01
736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnex 2 2 $70,262.69 $49,183.88 30% off $36,901.03 $36,901.03 $36,901.03 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnex 47 43 $147,469.00 $103,228.30 30% off $6,358.87 $54,518.27 $31,717.57 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And 48 44 $52,338.59 $36,637.01 30% off $6,358.87 $54,644.87 $31,790.30 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures W 168 164 $74,488.10 $52,141.67 30% off $6,358.87 $39,161.04 $20,566.02 2026-04-01
751 MS_DRG Major Depressive Disorders & Other/unspecified Psy 62 15 $22,751.00 $15,925.70 30% off $954.59 $97,006.92 $23,061.49 2026-04-01
753 MS_DRG Bipolar Disorders Minor 56 14 $21,711.32 $15,197.92 30% off $954.59 $66,958.46 $22,501.14 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrom 46 42 $25,964.75 $18,175.33 30% off $6,358.87 $74,121.39 $52,475.00 2026-04-01
791 MS_DRG Prematurity With Major Problems 62 46 $20,202.51 $14,141.76 30% off $6,358.87 $57,188.57 $35,962.81 2026-04-01
792 MS_DRG Prematurity Without Major Problems 72 56 $8,683.37 $6,078.36 30% off $6,358.87 $118,142.77 $22,280.91 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 59 18 $7,054.00 $4,937.80 30% off $3,768.00 $93,026.18 $23,214.10 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 47 43 $130,345.24 $91,241.67 30% off $6,358.87 $69,074.78 $40,080.13 2026-04-01
800 MS_DRG Splenic Procedures With Cc 48 44 $72,810.11 $50,967.08 30% off $6,358.87 $42,848.97 $25,013.69 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Formi 48 44 $89,325.53 $62,527.87 30% off $6,358.87 $60,765.49 $35,306.53 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures W 48 44 $128,097.93 $89,668.55 30% off $6,358.87 $89,449.93 $51,785.42 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedu 46 42 $137,510.58 $96,257.41 30% off $6,358.87 $64,514.86 $40,569.92 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentia 48 44 $82,473.32 $57,731.32 30% off $6,358.87 $71,345.81 $41,384.80 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentia 48 44 $42,418.27 $29,692.79 30% off $6,358.87 $48,196.32 $28,085.68 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 49 45 $49,112.82 $34,378.97 30% off $6,358.87 $83,731.95 $48,500.49 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diag 48 44 $29,925.77 $20,948.04 30% off $6,358.87 $73,275.18 $42,493.21 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 48 44 $38,102.28 $26,671.60 30% off $6,358.87 $49,338.69 $28,741.96 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary D 48 44 $26,640.64 $18,648.45 30% off $6,358.87 $39,540.81 $23,113.19 2026-04-01
849 MS_DRG Radiotherapy 47 43 $101,459.94 $71,021.96 30% off $6,358.87 $41,325.29 $24,138.36 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 85 62 $98,254.94 $68,778.46 30% off $6,358.87 $132,074.69 $76,272.87 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Proced 49 45 $73,915.04 $51,740.53 30% off $6,358.87 $75,323.53 $43,669.96 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O. 49 45 $46,489.80 $32,542.86 30% off $6,358.87 $69,376.77 $40,253.61 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 47 43 $134,624.29 $94,237.00 30% off $6,358.87 $96,938.40 $60,959.34 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental 48 44 $77,454.76 $54,218.33 30% off $6,358.87 $58,947.45 $34,262.09 2026-04-01
890 MS_DRG HIV W Multiple Major HIV Related Conditions Major 37 18 $42,951.03 $30,065.72 30% off $8,640.95 $77,244.60 $31,730.78 2026-04-01
892 MS_DRG HIV W Major HIV Related Condition Major 30 15 $27,031.13 $18,921.80 30% off $8,640.95 $38,305.92 $24,029.90 2026-04-01
9 MS_DRG Extracorporeal Membrane Oxygenation (ecmo) Extreme 17 14 $423,335.11 $296,334.58 30% off $8,640.95 $356,049.54 $210,501.05 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 48 44 $45,762.43 $32,033.70 30% off $6,358.87 $64,006.54 $37,168.47 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 48 44 $67,753.37 $47,427.36 30% off $6,358.87 $56,022.12 $32,581.51 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 48 44 $60,986.30 $42,690.41 30% off $6,358.87 $58,557.00 $34,037.77 2026-04-01
910 MS_DRG Craniotomy For Multiple Significant Trauma Extreme 15 12 $497,285.55 $348,099.89 30% off $8,640.95 $135,333.01 $89,624.51 2026-04-01
911 MS_DRG Extensive Abdominal/thoracic Procedures For Mult S 26 18 $220,538.79 $154,377.15 30% off $8,640.95 $132,402.12 $69,285.44 2026-04-01
912 MS_DRG Musculoskeletal & Other Procedures For Multiple Si 37 18 $130,054.89 $91,038.42 30% off $8,640.95 $154,562.64 $62,272.68 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation 47 43 $87,888.76 $61,522.13 30% off $6,358.87 $100,573.70 $63,245.38 2026-04-01
92930 CPT Hc Prq Tcat Plmt Ntrac St 2+Les 143 134 $65,909.00 $46,136.30 30% off $11,275.00 $65,909.00 $30,898.14 2026-04-01
930 MS_DRG Multiple Significant Trauma Without O.r. Procedure Mod 52 18 $24,281.83 $16,997.28 30% off $8,640.95 $46,510.39 $22,139.49 2026-04-01
93653 CPT Hc Ep Ephys Eval W/Ablation Supravent Arrhythmia 155 143 $46,216.00 $32,351.20 30% off $5,569.00 $46,916.75 $21,666.06 2026-04-01
93654 CPT Hc Ep Ephys Eval W/Ablation Ventricular Tachycardi 144 134 $46,216.00 $32,351.20 30% off $5,569.00 $46,916.75 $21,666.06 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact Wi 48 44 $30,955.28 $21,668.70 30% off $6,358.87 $55,341.88 $32,190.73 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous Sy 48 44 $40,887.53 $28,621.27 30% off $6,358.87 $53,677.89 $31,234.77 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous Sy 187 179 $63,251.73 $44,276.21 30% off $6,358.87 $39,337.96 $20,654.48 2026-04-01
952 MS_DRG Nonextensive Procedure Unrelated To Principal Diag 67 17 $30,619.92 $21,433.94 30% off $8,640.95 $73,801.11 $22,988.57 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 46 42 $367,966.07 $257,576.25 30% off $6,358.87 $94,420.59 $59,376.03 2026-04-01
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Mu 50 46 $31,880.11 $22,316.08 30% off $6,358.87 $57,393.28 $33,369.23 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Tra 47 43 $177,842.99 $124,490.09 30% off $6,358.87 $116,218.71 $67,163.79 2026-04-01
958 OTHER Other O.r. Procedures For Multiple Significant Tra 2 2 $98,574.03 $69,001.82 30% off $39,393.14 $39,393.14 $39,393.14 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Tra 48 44 $82,434.12 $57,703.88 30% off $6,358.87 $64,270.40 $37,320.07 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Tra 48 44 $96,528.19 $67,569.73 30% off $6,358.87 $44,903.41 $26,193.94 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous Sy 168 164 $18,718.09 $13,102.66 30% off $6,358.87 $36,569.58 $19,270.29 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 48 44 $32,687.20 $22,881.04 30% off $6,358.87 $41,695.92 $24,351.27 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 48 44 $62,352.02 $43,646.41 30% off $6,358.87 $93,362.07 $54,032.89 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except V 59 49 $40,288.53 $28,201.97 30% off $6,358.87 $50,957.45 $32,044.39 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 48 44 $78,027.52 $54,619.26 30% off $6,358.87 $40,225.62 $23,506.60 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 50 46 $44,430.59 $31,101.41 30% off $6,358.87 $44,017.27 $25,684.87 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal D 49 45 $59,185.97 $41,430.18 30% off $6,358.87 $71,559.33 $41,507.46 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal D 168 164 $46,114.96 $32,280.47 30% off $6,358.87 $37,497.04 $19,734.02 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Princip 48 44 $52,261.16 $36,582.81 30% off $6,358.87 $52,289.96 $30,437.43 2026-04-01
C1831 HCPCS Implant Spinal Aprevo1 H.l34.01 136 130 $52,000.00 $36,400.00 30% off $18,200.00 $61,594.00 $24,377.60 2026-04-01
C9774 CPT Hc Revasc Lithotr-ather Tib/Per 143 134 $43,966.00 $30,776.20 30% off $12,414.54 $43,966.00 $20,611.26 2026-04-01
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 145 135 $80,191.31 $56,133.92 30% off $16,340.22 $80,191.31 $37,593.69 2026-04-01
J1305 HCPCS Evinacumab-dgnb 150 Mg/ml Intravenous Solution 290 135 $101,830.95 $71,281.67 30% off $10,904.72 $158,184.00 $41,839.67 2026-04-01
J1628 HCPCS Guselkumab 100 Mg/ml Subcutaneous Syringe 145 135 $52,848.86 $36,994.20 30% off $7,294.00 $52,848.86 $24,775.55 2026-04-01
J1951 HCPCS Leuprolide 45 Mg (pediatric 6 Month) Subcutaneous 144 135 $93,343.80 $65,340.66 30% off $22,149.92 $93,343.80 $43,759.57 2026-04-01
J2502 HCPCS Pasireotide Pamoate 20 Mg IM Suspension 217 135 $71,503.84 $50,052.69 30% off $3,459.25 $71,503.84 $25,026.34 2026-04-01
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 145 135 $46,419.49 $32,493.64 30% off $12,379.00 $46,419.49 $21,761.46 2026-04-01
J3316 HCPCS Triptorelin Pamoate (pediatric) 22.5 Mg IM Suspens 144 135 $86,124.75 $60,287.33 30% off $17,175.49 $86,124.75 $40,375.28 2026-04-01
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 417 135 $57,391.99 $40,174.39 30% off $6,723.67 $111,053.40 $26,905.36 2026-04-01
J7355 HCPCS Travoprost 75 Mcg Intracameral Implant 144 135 $52,312.50 $36,618.75 30% off $14,717.25 $52,312.50 $24,524.10 2026-04-01
PX-2000000520 CDM Hc Tavr Transcarotid Approach 143 134 $50,772.00 $35,540.40 30% off $17,770.20 $50,772.00 $23,801.91 2026-04-01
SUP-1001128 CDM Kit Impella Pump 0048-0003 135 129 $50,000.00 $35,000.00 30% off $17,500.00 $50,000.00 $23,440.00 2026-04-01
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