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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

MCLAREN FLINT

Flint, MI · CCN 230141 · Rates published

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You selected 27447 (CPT)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $7,038 across 21 payers · range $828-$21,707

Source: https://www.mclaren.org/Uploads/Public/Documents/corporate/ChargeMasterFile/2026/38-2383119_McLarenFlint_standardcharges.csv · observed 2025-12-31

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

35,788 distinct procedures filed
61 distinct payers
731,845 rate rows
2026-07-05 last MRF observed
Data quality

730,968 of 731,845 rate rows are consumer-grade (99.9%)

877 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 297
placeholder amount (≤ $0.02) — excluded from medians 274
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 181
exceeds 10× this hospital's gross charge — excluded from medians 60
exceeds 3× this hospital's gross charge for a DRG stay — excluded 50
per-diem day rate — not a per-procedure price 11
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mclaren.org/Uploads/Public/Documents/corporate/ChargeMasterFile/2026/38-2383119_McLarenFlint_standardcharges.csv
Found on page https://www.mclaren.org/main/mclaren-charge-master-files
Discovered viaCMS hospital list
Last fetch success · 2026-08-12
Content fingerprint d00df250c44cac66… · 63,393,358 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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $192,873.58 $432,058.41 $243,655.27 nat. median
$261,939
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 $95,270.73 $331,597.38 $171,349.04 nat. median
$199,832
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 $54,156.76 $325,508.12 $119,884.64 nat. median
$77,385
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 31 $68,528.73 $239,601.30 $111,785.99 nat. median
$98,002
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 $56,139.30 $190,173.43 $111,614.65 nat. median
$132,706
0.8× median
44
APR_DRG 		Tracheostomy With Mv > 96 Hrs With Extensive Procedure 8 $82,433.26 $106,623.05 $103,517.52 nat. median
$127,600
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 $67,329.80 $245,633.26 $96,675.65 nat. median
$92,900
1.0× median
60302081
OTHER 		Zevalin Yttrium 90/dose 20 $275.00 $185,996.49 $91,138.28 nat. median
$91,138
1.0× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 $36,434.40 $235,722.51 $90,483.52 nat. median
$54,267
1.7× median
1624
APR_DRG 		Cardiac Valve Procedures W Ami Or Complex Pdx 3 $84,444.14 $89,797.98 $89,797.98 nat. median
$82,636
1.1× median
80036775
OTHER 		Stem Altivate Rev Smal Revis Hum Sz8 220 20 $275.00 $166,685.43 $88,421.72 nat. median
$88,422
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 30 $51,668.41 $220,223.27 $81,108.23 nat. median
$79,040
1.0× median
55100075
OTHER 		Zevalin Yttrium 90/dose 20 $275.00 $164,420.90 $80,566.24 nat. median
$80,566
1.0× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 21 $43,847.77 $140,015.89 $79,711.05 nat. median
$40,712
2.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 21 $44,911.41 $139,780.31 $79,576.93 nat. median
$83,623
1.0× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 21 $44,711.61 $139,158.45 $79,222.91 nat. median
$58,534
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $62,008.28 $123,926.02 $78,615.57 nat. median
$81,124
1.0× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 21 $44,358.56 $138,059.64 $78,475.80 nat. median
$51,048
1.5× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 21 $41,241.24 $128,357.41 $73,073.87 nat. median
$46,826
1.6× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 21 $41,641.09 $169,722.35 $72,607.22 nat. median
$59,257
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $57,836.12 $115,631.76 $72,269.85 nat. median
$80,459
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 30 $52,617.84 $172,771.75 $68,441.48 nat. median
$73,475
0.9× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 30 $36,634.40 $159,553.55 $68,257.01 nat. median
$60,162
1.1× median
55200075
OTHER 		Zevalin Yttrium 90/dose 20 $275.00 $139,218.60 $68,217.11 nat. median
$68,217
1.0× median
55300075
OTHER 		Zevalin Yttrium 90/dose 20 $275.00 $139,218.60 $68,217.11 nat. median
$68,217
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 $52,845.65 $174,984.91 $68,051.23 nat. median
$74,472
0.9× median
54
APR_DRG 		Tracheostomy With Mv > 96 Hrs Without Extensive Procedure 8 $50,233.51 $69,957.31 $67,919.72 nat. median
$88,000
0.8× median
80028640
OTHER 		Sensor Implatable Carido Mems 17 $275.00 $121,251.23 $67,130.38 nat. median
$67,130
1.0× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 $40,157.31 $152,418.58 $65,927.48 nat. median
$56,397
1.2× median
3054
APR_DRG 		Amputation Of Lower Limb Except Toes 3 $64,909.28 $65,393.28 $65,393.28 nat. median
$35,043
1.9× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 30 $34,050.32 $175,899.76 $64,783.88 nat. median
$50,071
1.3× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 21 $36,516.34 $113,651.85 $64,702.00 nat. median
$45,104
1.4× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 30 $32,194.80 $246,091.02 $64,656.64 nat. median
$45,588
1.4× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 $39,438.60 $167,069.59 $64,060.89 nat. median
$55,685
1.2× median
495
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 21 $25,719.61 $148,593.79 $63,568.42 nat. median
$34,989
1.8× median
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 30 $21,868.35 $170,291.28 $62,718.28 nat. median
$34,270
1.8× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 $35,439.45 $146,110.27 $62,505.97 nat. median
$52,447
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $13,276.64 $99,420.86 $62,138.04 nat. median
$66,640
0.9× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 30 $3,529.56 $144,520.34 $61,825.80 nat. median
$47,266
1.3× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 21 $34,882.47 $108,566.66 $61,807.00 nat. median
$64,357
1.0× median
J9029
HCPCS 		Lens Iol Cnwtt0.230 Clareon Panoptix Cnwtt0.230 16 $34,648.23 $207,313.52 $61,776.46 nat. median
$69,291
0.9× median
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 30 $30,715.76 $240,330.10 $61,716.29 nat. median
$43,221
1.4× median
245
MS_DRG 		Aicd Generator Procedures 30 $31,400.57 $167,086.55 $61,537.98 nat. median
$44,699
1.4× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $49,074.74 $106,122.02 $61,383.79 nat. median
$68,581
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 $13,159.77 $128,049.26 $61,200.50 nat. median
$65,792
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 31 $33,124.50 $103,095.25 $60,407.15 nat. median
$65,958
0.9× median
53
APR_DRG 		Tracheostomy With Mv > 96 Hrs Without Extensive Procedure 6 $60,079.81 $61,882.20 $60,079.81 nat. median
$52,271
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 $29,706.48 $112,925.43 $59,061.62 nat. median
$71,485
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 $46,019.61 $92,140.46 $58,451.60 nat. median
$59,832
1.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 $45,985.89 $93,452.82 $58,409.07 nat. median
$62,262
0.9× median

Other procedures at this hospital

Browse this hospital's 35,788 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 10 $579,324.16 $289,662.08 50% off $192,873.58 $432,058.41 $243,655.27 2025-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 30 $296,516.42 $148,258.21 50% off $95,270.73 $331,597.38 $171,349.04 2026-07-05
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 33 31 $325,508.12 $162,754.06 50% off $54,156.76 $325,508.12 $119,884.64 2026-07-05
215 MS_DRG Other Heart Assist System Implant 32 31 $239,601.30 $119,800.65 50% off $68,528.73 $239,601.30 $111,785.99 2026-07-05
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 30 $174,725.50 $87,362.75 50% off $56,139.30 $190,173.43 $111,614.65 2026-07-05
44 APR_DRG Tracheostomy With Mv > 96 Hrs With Extensive Procedure 9 8 $348,302.02 $174,151.01 50% off $82,433.26 $106,623.05 $103,517.52 2026-07-05
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 30 $245,633.26 $122,816.63 50% off $67,329.80 $245,633.26 $96,675.65 2026-07-05
60302081 OTHER Zevalin Yttrium 90/dose 20 20 $193,436.30 $96,718.15 50% off $275.00 $185,996.49 $91,138.28 2026-07-05
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 33 31 $231,548.05 $115,774.03 50% off $36,434.40 $235,722.51 $90,483.52 2026-07-05
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 3 3 $492,110.07 $246,055.04 50% off $84,444.14 $89,797.98 $89,797.98 2026-07-05
80036775 OTHER Stem Altivate Rev Smal Revis Hum Sz8 220 20 20 $203,944.50 $101,972.25 50% off $275.00 $166,685.43 $88,421.72 2026-07-05
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 30 $220,223.27 $110,111.63 50% off $51,668.41 $220,223.27 $81,108.23 2026-07-05
55100075 OTHER Zevalin Yttrium 90/dose 20 20 $170,997.70 $85,498.85 50% off $275.00 $164,420.90 $80,566.24 2026-07-05
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 21 21 $140,015.89 $70,007.95 50% off $43,847.77 $140,015.89 $79,711.05 2026-07-05
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 21 21 $139,780.31 $69,890.16 50% off $44,911.41 $139,780.31 $79,576.93 2026-07-05
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 21 21 $139,158.45 $69,579.23 50% off $44,711.61 $139,158.45 $79,222.91 2026-07-05
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 10 $275,646.50 $137,823.25 50% off $62,008.28 $123,926.02 $78,615.57 2025-12-31
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 21 21 $138,059.64 $69,029.82 50% off $44,358.56 $138,059.64 $78,475.80 2026-07-05
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 21 21 $128,357.41 $64,178.70 50% off $41,241.24 $128,357.41 $73,073.87 2026-07-05
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 21 $169,722.35 $84,861.18 50% off $41,641.09 $169,722.35 $72,607.22 2026-07-05
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 10 $246,042.66 $123,021.33 50% off $57,836.12 $115,631.76 $72,269.85 2025-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 31 30 $172,771.75 $86,385.87 50% off $52,617.84 $172,771.75 $68,441.48 2026-07-05
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 31 30 $159,553.55 $79,776.77 50% off $36,634.40 $159,553.55 $68,257.01 2026-07-05
55300075 OTHER Zevalin Yttrium 90/dose 20 20 $144,787.30 $72,393.65 50% off $275.00 $139,218.60 $68,217.11 2026-07-05
55200075 OTHER Zevalin Yttrium 90/dose 20 20 $144,787.30 $72,393.65 50% off $275.00 $139,218.60 $68,217.11 2026-07-05
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 30 $174,984.91 $87,492.46 50% off $52,845.65 $174,984.91 $68,051.23 2026-07-05
54 APR_DRG Tracheostomy With Mv > 96 Hrs Without Extensive Procedure 9 8 $386,249.81 $193,124.90 50% off $50,233.51 $69,957.31 $67,919.72 2026-07-05
80028640 OTHER Sensor Implatable Carido Mems 17 17 $148,354.40 $74,177.20 50% off $275.00 $121,251.23 $67,130.38 2026-07-05
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 21 $152,418.58 $76,209.29 50% off $40,157.31 $152,418.58 $65,927.48 2026-07-05
3054 APR_DRG Amputation Of Lower Limb Except Toes 3 3 $386,940.04 $193,470.02 50% off $64,909.28 $65,393.28 $65,393.28 2026-07-05
228 MS_DRG Other Cardiothoracic Procedures With Mcc 31 30 $175,899.76 $87,949.88 50% off $34,050.32 $175,899.76 $64,783.88 2026-07-05
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 21 21 $113,651.85 $56,825.92 50% off $36,516.34 $113,651.85 $64,702.00 2026-07-05
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 30 $246,091.03 $123,045.51 50% off $32,194.80 $246,091.02 $64,656.64 2026-07-05
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 31 $167,069.59 $83,534.80 50% off $39,438.60 $167,069.59 $64,060.89 2026-07-05
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 21 21 $148,593.79 $74,296.90 50% off $25,719.61 $148,593.79 $63,568.42 2026-07-05
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 31 30 $170,291.28 $85,145.64 50% off $21,868.35 $170,291.28 $62,718.28 2026-07-05
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 21 $146,110.27 $73,055.14 50% off $35,439.45 $146,110.27 $62,505.97 2026-07-05
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 10 $262,855.33 $131,427.66 50% off $13,276.64 $99,420.86 $62,138.04 2025-12-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 31 30 $144,520.34 $72,260.17 50% off $3,529.56 $144,520.34 $61,825.80 2026-07-05
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 21 $108,566.67 $54,283.33 50% off $34,882.47 $108,566.66 $61,807.00 2026-07-05
J9029 HCPCS Lens Iol Cnwtt0.230 Clareon Panoptix Cnwtt0.230 16 16 $127,890.00 $63,945.00 50% off $34,648.23 $207,313.52 $61,776.46 2025-12-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 31 30 $240,330.10 $120,165.05 50% off $30,715.76 $240,330.10 $61,716.29 2026-07-05
245 MS_DRG Aicd Generator Procedures 31 30 $167,086.55 $83,543.27 50% off $31,400.57 $167,086.55 $61,537.98 2026-07-05
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 10 $417,162.80 $208,581.40 50% off $49,074.74 $106,122.02 $61,383.79 2025-12-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 31 30 $128,049.26 $64,024.63 50% off $13,159.77 $128,049.26 $61,200.50 2026-07-05
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 32 31 $103,095.25 $51,547.62 50% off $33,124.50 $103,095.25 $60,407.15 2026-07-05
53 APR_DRG Tracheostomy With Mv > 96 Hrs Without Extensive Procedure 6 6 $249,059.25 $124,529.62 50% off $60,079.81 $61,882.20 $60,079.81 2025-12-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 31 $92,457.15 $46,228.58 50% off $29,706.48 $112,925.43 $59,061.62 2026-07-05
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 10 $259,678.66 $129,839.33 50% off $46,019.61 $92,140.46 $58,451.60 2025-12-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 10 $274,267.00 $137,133.50 50% off $45,985.89 $93,452.82 $58,409.07 2025-12-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 10 $251,543.25 $125,771.62 50% off $45,254.28 $90,618.98 $57,115.31 2025-12-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 11 $354,123.42 $177,061.71 50% off $45,254.28 $246,978.90 $56,636.86 2025-12-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 21 $132,206.72 $66,103.36 50% off $26,243.53 $132,206.72 $56,558.03 2026-07-05
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 21 21 $99,125.90 $49,562.95 50% off $31,849.15 $99,125.90 $56,432.37 2026-07-05
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 31 30 $96,477.02 $48,238.51 50% off $30,998.07 $97,254.13 $55,434.52 2026-07-05
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 32 30 $133,919.19 $66,959.59 50% off $37,556.13 $133,919.19 $54,548.85 2026-07-05
Q2043 HCPCS Nf - Naproxen 125 Mg/5 Ml Oral Susp 16 16 $153,472.20 $76,736.10 50% off $30,233.96 $208,317.66 $53,905.99 2025-12-31
40802454 OTHER Insert/repl Icd W Elecrode 26 26 $133,804.30 $66,902.15 50% off $275.00 $128,658.00 $53,894.83 2026-07-05
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 30 $146,245.71 $73,122.85 50% off $31,292.51 $146,245.71 $53,862.29 2026-07-05
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 30 $143,867.37 $71,933.68 50% off $26,923.52 $143,867.37 $52,986.35 2026-07-05
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 31 $131,864.42 $65,932.21 50% off $36,702.82 $131,864.42 $52,913.37 2026-07-05
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 30 $140,045.59 $70,022.80 50% off $40,390.44 $140,045.59 $52,742.02 2026-07-05
459 MS_DRG Spinal Fusion Except Cervical With Mcc 21 21 $121,174.46 $60,587.23 50% off $38,933.35 $121,174.46 $52,533.27 2026-07-05
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 21 21 $91,841.22 $45,920.61 50% off $29,508.58 $91,841.22 $52,285.20 2026-07-05
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 34 32 $140,144.48 $70,072.24 50% off $3,185.06 $143,531.82 $52,253.87 2026-07-05
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 10 $229,747.00 $114,873.50 50% off $41,040.84 $82,242.62 $52,172.65 2025-12-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 31 30 $147,336.72 $73,668.36 50% off $27,147.16 $147,336.72 $51,941.50 2026-07-05
28 MS_DRG Spinal Procedures With Mcc 10 10 $170,446.00 $85,223.00 50% off $38,770.28 $82,861.06 $51,788.16 2025-12-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 10 $417,876.25 $208,938.12 50% off $32,858.01 $102,661.25 $51,773.62 2025-12-31
799 MS_DRG Splenectomy With Mcc 31 30 $127,948.63 $63,974.32 50% off $31,170.00 $127,948.63 $51,730.42 2026-07-05
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 21 21 $110,722.27 $55,361.14 50% off $33,854.40 $110,722.27 $51,244.95 2026-07-05
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 32 $94,687.73 $47,343.87 50% off $30,423.17 $153,676.54 $49,989.36 2026-07-05
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 21 21 $116,846.88 $58,423.44 50% off $22,143.78 $116,846.88 $49,987.10 2026-07-05
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 11 $205,683.25 $102,841.62 50% off $39,691.87 $94,478.53 $49,725.54 2025-12-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 31 30 $98,003.83 $49,001.91 50% off $31,488.63 $98,003.83 $49,521.33 2026-07-05
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 30 $92,304.40 $46,152.20 50% off $29,657.40 $92,304.40 $49,147.46 2026-07-05
55100077 OTHER Tositumomab-h2 20 20 $113,317.60 $56,658.80 50% off $275.00 $92,615.35 $49,129.72 2026-07-05
55300077 OTHER Tositumomab-h2 20 20 $113,317.60 $56,658.80 50% off $275.00 $92,615.35 $49,129.72 2026-07-05
55200077 OTHER Tositumomab-h2 20 20 $113,317.60 $56,658.80 50% off $275.00 $92,615.35 $49,129.72 2026-07-05
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 31 30 $140,098.24 $70,049.12 50% off $24,222.15 $140,098.24 $48,806.96 2026-07-05
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 10 $284,590.80 $142,295.40 50% off $10,088.08 $77,575.55 $48,484.72 2025-12-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 10 $426,663.00 $213,331.50 50% off $38,011.86 $78,183.76 $48,352.69 2025-12-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 30 $111,974.63 $55,987.32 50% off $25,399.47 $111,974.63 $48,081.12 2026-07-05
347 MS_DRG Anal And Stomal Procedures With Mcc 31 30 $160,713.59 $80,356.79 50% off $15,799.39 $160,713.59 $47,939.49 2026-07-05
40802009 OTHER Remove/replace Icd Gen; Sngle Lead Sys 26 26 $118,329.50 $59,164.75 50% off $275.00 $113,778.40 $47,661.77 2026-07-05
40802007 OTHER Insert Icd Gen W/existing Dual Leads 26 26 $118,329.50 $59,164.75 50% off $275.00 $96,711.64 $47,661.77 2026-07-05
40802011 OTHER Remove/replace Icd Gen; Multi Lead Sys 26 26 $118,329.50 $59,164.75 50% off $275.00 $113,778.40 $47,661.77 2026-07-05
40802010 OTHER Remove/replace Icd Gen; Dual Lead Sys 26 26 $118,329.50 $59,164.75 50% off $275.00 $113,778.40 $47,661.77 2026-07-05
40802008 OTHER Insert Icd Gen W/existing Multi Leads 26 26 $118,329.50 $59,164.75 50% off $275.00 $96,711.64 $47,661.77 2026-07-05
40804524 OTHER Insj Wcs Lv Compl Sys 23 23 $109,801.70 $54,900.85 50% off $275.00 $89,741.81 $47,605.39 2026-07-05
30900443 OTHER Insj Wcs Lv Compl Sys 23 23 $109,801.70 $54,900.85 50% off $275.00 $89,741.81 $47,605.39 2026-07-05
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 31 30 $132,093.43 $66,046.72 50% off $23,117.11 $132,093.43 $47,602.76 2026-07-05
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 21 21 $110,504.55 $55,252.28 50% off $28,213.24 $110,504.55 $47,273.85 2026-07-05
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 21 21 $109,404.44 $54,702.22 50% off $22,482.73 $109,404.44 $46,803.22 2026-07-05
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 31 $87,279.71 $43,639.85 50% off $28,042.97 $87,279.71 $46,783.06 2026-07-05
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 10 10 $183,850.00 $91,925.00 50% off $36,680.79 $73,574.82 $46,674.03 2025-12-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 21 21 $83,041.32 $41,520.66 50% off $23,975.66 $83,041.32 $46,535.46 2026-07-05
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 32 31 $124,731.21 $62,365.61 50% off $5,982.03 $157,278.07 $45,938.50 2026-07-05
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 31 30 $123,272.99 $61,636.49 50% off $24,601.38 $123,272.99 $45,401.44 2026-07-05
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 31 30 $123,066.24 $61,533.12 50% off $25,649.58 $123,066.24 $45,325.30 2026-07-05
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 30 $104,331.05 $52,165.53 50% off $33,521.57 $104,331.05 $45,220.95 2026-07-05
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 32 31 $87,932.01 $43,966.00 50% off $21,060.25 $87,932.01 $44,994.71 2026-07-05
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 31 30 $101,800.86 $50,900.43 50% off $32,708.62 $101,800.86 $44,922.17 2026-07-05
653 MS_DRG Major Bladder Procedures With Mcc 10 10 $194,421.50 $97,210.75 50% off $31,861.15 $71,752.33 $44,845.20 2025-12-31
901 MS_DRG Wound Debridements For Injuries With Mcc 31 30 $104,760.62 $52,380.31 50% off $28,882.96 $104,760.62 $44,467.16 2026-07-05
471 MS_DRG Cervical Spinal Fusion With Mcc 31 30 $87,876.13 $43,938.06 50% off $28,234.60 $87,876.13 $44,403.81 2026-07-05
163 MS_DRG Major Chest Procedures With Mcc 32 30 $86,879.29 $43,439.65 50% off $27,914.32 $128,306.10 $44,222.28 2026-07-05
80001666 OTHER Medtronic Generator Dual 7274 C1721 20 20 $101,664.30 $50,832.15 50% off $275.00 $83,090.99 $44,077.32 2026-07-05
J9226 HCPCS Nf - Dexmethylphenidate 5 Mg Tab 16 16 $173,758.91 $86,879.46 50% off $24,626.30 $147,348.49 $43,907.74 2025-12-31
40804519 OTHER Tcat Impl Wrls Part Prs Snr 23 23 $122,052.30 $61,026.15 50% off $275.00 $99,754.30 $43,222.95 2026-07-05
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 31 30 $117,191.87 $58,595.93 50% off $24,658.50 $117,191.87 $43,161.76 2026-07-05
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 31 30 $59,292.48 $29,646.24 50% off $19,050.67 $130,093.53 $42,708.59 2026-07-05
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 31 30 $115,826.92 $57,913.46 50% off $28,582.88 $115,826.92 $42,659.05 2026-07-05
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 35 33 $92,460.01 $46,230.00 50% off $27,059.99 $100,694.11 $42,643.07 2026-07-05
914 APR_DRG Other Major Head & Neck Procedures 3 3 $288,881.70 $144,440.85 50% off $42,154.84 $42,638.84 $42,638.84 2026-07-05
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 31 30 $78,163.02 $39,081.51 50% off $25,113.78 $80,320.51 $42,320.80 2026-07-05
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 10 $36,447.00 $18,223.50 50% off $33,065.43 $71,360.95 $42,114.54 2025-12-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 31 30 $97,612.38 $48,806.19 50% off $21,676.33 $97,612.38 $41,758.57 2026-07-05
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 21 21 $97,097.34 $48,548.67 50% off $14,144.73 $97,097.34 $41,538.24 2026-07-05
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 31 $100,423.17 $50,211.59 50% off $28,829.28 $117,507.55 $41,418.26 2026-07-05
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 $343,521.70 $171,760.85 50% off $40,696.26 $41,917.15 $40,696.26 2025-12-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 10 $427,954.33 $213,977.16 50% off $31,786.67 $79,766.93 $40,501.84 2025-12-31
40800436 OTHER Stent Place, Athrectomy, Fem/pop Incl Pt 26 26 $99,908.70 $49,954.35 50% off $275.00 $81,656.19 $40,242.09 2026-07-05
40800437 OTHER Stent Place, Athrectomy, Tiibio Incl Pta 26 26 $99,908.70 $49,954.35 50% off $275.00 $81,656.19 $40,242.09 2026-07-05
34 MS_DRG Carotid Artery Stent Procedures With Mcc 31 30 $93,812.47 $46,906.23 50% off $26,639.96 $93,812.46 $40,132.97 2026-07-05
80037143 OTHER Valve Commander System Sapien 3 Direct 20 20 $91,125.10 $45,562.55 50% off $275.00 $74,477.26 $39,507.99 2026-07-05
80032454 OTHER Valve Novaflex+ System Sapien Xt 29mm 20 20 $91,125.10 $45,562.55 50% off $275.00 $74,477.26 $39,507.99 2026-07-05
80032455 OTHER Valve Commander System Sapien 3 29mm 20 20 $91,125.10 $45,562.55 50% off $275.00 $74,477.26 $39,507.99 2026-07-05
80037250 OTHER Valve Commander System Sapien3 23mm Cert 20 20 $91,125.10 $45,562.55 50% off $275.00 $74,477.26 $39,507.99 2026-07-05
80032453 OTHER Valve Commander System Sapien 3 20mm 20 20 $91,125.10 $45,562.55 50% off $275.00 $74,477.26 $39,507.99 2026-07-05
9114 APR_DRG Extensive Abdominal/Thoracic Procedures For Multiple Significant Trauma 6 6 $54,713.98 $27,356.99 50% off $39,497.96 $40,682.90 $39,497.96 2025-12-31
64568 OTHER Inc For Vagus N Elect Impl 26 26 $93,814.66 $46,907.33 50% off $275.00 $79,742.46 $39,298.96 2026-07-05
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 21 21 $91,829.70 $45,914.85 50% off $12,810.72 $91,829.70 $39,284.74 2026-07-05
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 31 30 $92,716.09 $46,358.05 50% off $22,387.29 $92,716.09 $39,276.23 2026-07-05
1784 APR_DRG External Heart Assist Systems 6 6 $631,631.80 $315,815.90 50% off $39,162.30 $40,337.17 $39,162.30 2025-12-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 31 30 $105,226.93 $52,613.46 50% off $23,449.25 $105,226.93 $39,058.37 2026-07-05
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 32 31 $74,866.12 $37,433.06 50% off $24,054.48 $74,866.12 $39,053.91 2026-07-05
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 32 31 $86,240.08 $43,120.04 50% off $25,724.59 $86,240.08 $38,888.28 2026-07-05
31 MS_DRG Ventricular Shunt Procedures With Mcc 31 30 $89,823.29 $44,911.65 50% off $21,569.86 $89,823.29 $38,723.19 2026-07-05
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 31 $72,807.83 $36,403.92 50% off $23,393.16 $72,807.83 $38,542.82 2026-07-05
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 31 30 $94,439.92 $47,219.96 50% off $26,574.58 $94,439.92 $38,441.33 2026-07-05
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 31 30 $89,293.52 $44,646.76 50% off $21,933.73 $89,293.52 $38,199.77 2026-07-05
252 MS_DRG Other Vascular Procedures With Mcc 33 31 $90,551.47 $45,275.73 50% off $23,515.05 $93,278.82 $38,173.49 2026-07-05
271 MS_DRG Other Major Cardiovascular Procedures With Cc 32 31 $103,559.67 $51,779.83 50% off $3,994.41 $103,559.67 $38,141.03 2026-07-05
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 10 $188,400.22 $94,200.11 50% off $29,783.19 $73,439.52 $37,975.16 2025-12-31
80030154 OTHER Valve Aortic Evolut 29mm 20 20 $87,480.00 $43,740.00 50% off $275.00 $71,498.09 $37,927.63 2026-07-05
80027617 OTHER Valve Aortic Transcatheter 20 20 $87,480.00 $43,740.00 50% off $275.00 $71,498.09 $37,927.63 2026-07-05
80031391 OTHER Valve Aortic 26mm Corevalve Evolut R Tra 20 20 $87,480.00 $43,740.00 50% off $275.00 $71,498.09 $37,927.63 2026-07-05
80030003 OTHER Valvue Aortic Transcthg Evolut 20 20 $87,480.00 $43,740.00 50% off $275.00 $71,498.09 $37,927.63 2026-07-05
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 12 $204,787.05 $102,393.52 50% off $29,187.16 $147,796.32 $37,659.26 2025-12-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 32 30 $101,992.48 $50,996.24 50% off $21,398.96 $112,810.64 $37,563.83 2026-07-05
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 21 21 $86,886.63 $43,443.32 50% off $27,818.73 $86,886.63 $37,170.10 2026-07-05
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 32 30 $122,689.18 $61,344.59 50% off $15,362.81 $122,689.18 $37,036.57 2026-07-05
37 MS_DRG Extracranial Procedures With Mcc 31 30 $93,448.72 $46,724.36 50% off $22,657.77 $93,448.72 $36,765.49 2026-07-05
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 9 8 $330,879.18 $165,439.59 50% off $5,737.52 $37,815.58 $36,714.15 2026-07-05
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 31 $71,120.01 $35,560.01 50% off $22,850.86 $82,198.11 $36,706.28 2026-07-05
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 10 $162,979.00 $81,489.50 50% off $28,717.78 $72,491.03 $36,631.54 2025-12-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 31 30 $56,793.28 $28,396.64 50% off $18,247.68 $59,390.29 $36,552.16 2026-07-05
80038445 OTHER Vlv Mtrl Mitraclip Bndl Sgc0301 1 20 20 $84,115.40 $42,057.70 50% off $275.00 $68,748.17 $36,468.88 2026-07-05
80038446 OTHER Vlv Mtrl Mitraclip Bndl Sgc0301 2 20 20 $84,115.40 $42,057.70 50% off $275.00 $68,748.17 $36,468.88 2026-07-05
80038447 OTHER Vlv Mtrl Mitraclip Bndl Sgc0301 3 20 20 $84,115.40 $42,057.70 50% off $275.00 $68,748.17 $36,468.88 2026-07-05
80038449 OTHER Vlv Mtrl Mitraclip Bndl Sgc0301 2 20 20 $84,115.40 $42,057.70 50% off $275.00 $68,748.17 $36,468.88 2026-07-05
80038448 OTHER Vlv Mtrl Mitraclip Bndl Sgc0301 1 20 20 $84,115.40 $42,057.70 50% off $275.00 $68,748.17 $36,468.88 2026-07-05
80038450 OTHER Vlv Mtrl Mitraclip Bndl 1 Sgc0301 1 20 20 $84,115.40 $42,057.70 50% off $275.00 $68,748.17 $36,468.88 2026-07-05
80034033 OTHER Valve Aortic 26mm Evolutpro 20 20 $84,115.40 $42,057.70 50% off $275.00 $68,748.17 $36,468.88 2026-07-05
80038443 OTHER Vlv Mtrl Mitraclip Bndl Sgc0301 2 20 20 $84,115.40 $42,057.70 50% off $275.00 $68,748.17 $36,468.88 2026-07-05
80038444 OTHER Vlv Mtrl Mitraclip Bndl Sgc0301 3 20 20 $84,115.40 $42,057.70 50% off $275.00 $68,748.17 $36,468.88 2026-07-05
80038442 OTHER Vlv Mtrl Mitraclip Bndl Sgc0301 1 20 20 $84,115.40 $42,057.70 50% off $275.00 $68,748.17 $36,468.88 2026-07-05
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 21 21 $84,101.79 $42,050.89 50% off $20,143.13 $84,101.79 $35,978.74 2026-07-05
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 $208,642.75 $104,321.37 50% off $35,865.26 $36,941.22 $35,865.26 2025-12-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 31 30 $111,558.65 $55,779.32 50% off $22,210.41 $111,558.65 $35,843.79 2026-07-05
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 32 31 $68,672.87 $34,336.43 50% off $9,134.02 $68,672.87 $35,645.96 2026-07-05
1714 APR_DRG Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 3 3 $255,189.74 $127,594.87 50% off $29,466.78 $34,820.62 $34,820.62 2026-07-05
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 31 30 $125,025.13 $62,512.57 50% off $15,488.06 $125,025.13 $34,748.30 2026-07-05
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 21 21 $81,087.51 $40,543.75 50% off $13,378.93 $81,087.51 $34,689.23 2026-07-05
412 MS_DRG Cholecystectomy With C.d.e. With Cc 21 21 $81,028.67 $40,514.34 50% off $16,166.45 $81,028.67 $34,664.07 2026-07-05
40802307 OTHER Ep & Ablate Ventric Tachy 26 26 $85,925.90 $42,962.95 50% off $275.00 $70,227.94 $34,609.98 2026-07-05
500 MS_DRG Soft Tissue Procedures With Mcc 21 21 $60,102.77 $30,051.38 50% off $19,311.02 $60,102.77 $34,216.51 2026-07-05
963 MS_DRG Other Multiple Significant Trauma With Mcc 31 30 $87,129.38 $43,564.69 50% off $18,815.29 $87,129.38 $34,184.82 2026-07-05
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 31 $67,341.93 $33,670.96 50% off $19,565.37 $67,341.93 $34,132.52 2026-07-05
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 32 31 $92,583.34 $46,291.67 50% off $19,960.53 $129,808.02 $34,098.45 2026-07-05
80001554 OTHER Bowed Fluted Stem Distal Sleeve 20 20 $78,326.00 $39,163.00 50% off $275.00 $64,016.48 $33,958.86 2026-07-05
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 32 31 $91,723.43 $45,861.71 50% off $19,754.05 $91,723.43 $33,781.74 2026-07-05
80029161 OTHER Generator Vagal Nerve 106 Battery 20 20 $77,793.10 $38,896.55 50% off $275.00 $63,580.94 $33,727.82 2026-07-05
1694 APR_DRG Major Abdominal Vascular Procedures 9 8 $324,739.95 $162,369.97 50% off $11,486.04 $34,709.90 $33,698.93 2026-07-05
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 8 $281,381.81 $140,690.90 50% off $6,799.19 $34,671.55 $33,661.70 2026-07-05
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 32 31 $68,336.94 $34,168.47 50% off $21,956.66 $68,336.94 $33,563.52 2026-07-05
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 30 $48,222.18 $24,111.09 50% off $15,493.79 $62,890.24 $33,522.31 2026-07-05
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 21 21 $73,434.45 $36,717.23 50% off $17,347.88 $73,434.45 $33,464.00 2026-07-05
80027120 OTHER Strattice Reconstr Matrix 25x40 Firm 20 20 $82,466.60 $41,233.30 50% off $195.66 $67,400.58 $33,216.60 2026-07-05
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 32 31 $84,398.57 $42,199.28 50% off $22,655.01 $84,398.57 $33,072.65 2026-07-05
80040586 OTHER Vlv Aor 23mm Sapien 3 Cmndr Edwrd Transc 20 20 $76,191.50 $38,095.75 50% off $275.00 $62,271.94 $33,033.43 2026-07-05
80040569 OTHER Vlv Aor 23mm Sapien 3 Cmndr Edwrd Transc 20 20 $76,191.50 $38,095.75 50% off $275.00 $62,271.90 $33,033.41 2026-07-05
80040570 OTHER Vlv Aor 26mm Sapien 3 Cmndr Edwrd Transc 20 20 $76,191.50 $38,095.75 50% off $275.00 $62,271.90 $33,033.41 2026-07-05
265 MS_DRG Aicd Lead Procedures 31 30 $62,455.81 $31,227.90 50% off $20,067.05 $62,455.81 $33,024.25 2026-07-05
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 31 30 $65,317.05 $32,658.52 50% off $20,986.37 $65,317.05 $33,004.71 2026-07-05
80034694 OTHER Pump Impella 4.0 Cp Set 20 20 $75,703.80 $37,851.90 50% off $275.00 $61,873.29 $32,821.96 2026-07-05
1794 APR_DRG Defibrillator Implants 6 6 $609,405.97 $304,702.98 50% off $32,657.58 $33,637.31 $32,657.58 2025-12-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 31 30 $78,785.68 $39,392.84 50% off $19,872.43 $78,785.68 $32,475.14 2026-07-05
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 10 $81,900.00 $40,950.00 50% off $22,058.26 $54,670.63 $32,447.25 2025-12-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 31 30 $74,234.99 $37,117.49 50% off $23,851.70 $74,234.99 $32,367.72 2026-07-05
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 8 $189,302.19 $94,651.09 50% off $8,164.16 $33,227.86 $32,260.06 2026-07-05
63655 OTHER Implant Neuroelectrodes 26 26 $92,725.37 $46,362.69 50% off $275.00 $78,816.56 $31,971.71 2026-07-05
253 MS_DRG Other Vascular Procedures With Cc 32 30 $79,769.99 $39,885.00 50% off $17,864.13 $79,769.99 $31,822.00 2026-07-05
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 30 $86,221.94 $43,110.97 50% off $15,906.75 $86,221.94 $31,755.54 2026-07-05
35 MS_DRG Carotid Artery Stent Procedures With Cc 32 31 $90,777.02 $45,388.51 50% off $16,452.53 $92,684.49 $31,746.17 2026-07-05
80039266 OTHER Vlv Aor Evolut Pro+ 26mm 20 20 $73,143.80 $36,571.90 50% off $275.00 $59,781.01 $31,712.07 2026-07-05
80039268 OTHER Vlv Aor Evolut Pro+ 29mm 20 20 $73,143.80 $36,571.90 50% off $275.00 $59,781.01 $31,712.07 2026-07-05
80039267 OTHER Vlv Aor Evolut Pro+ 26mm 20 20 $73,143.80 $36,571.90 50% off $275.00 $59,781.01 $31,712.07 2026-07-05
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 31 30 $208,830.95 $104,415.47 50% off $14,659.65 $208,830.95 $31,663.60 2026-07-05
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 31 30 $76,627.85 $38,313.93 50% off $20,875.90 $76,627.85 $31,663.32 2026-07-05
80001056 OTHER Catheter Impella Gen 20 20 $72,764.60 $36,382.30 50% off $275.00 $59,471.10 $31,547.67 2026-07-05
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 10 $32,815.00 $16,407.50 50% off $24,540.12 $67,917.81 $31,362.92 2025-12-31
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 32 31 $86,770.89 $43,385.45 50% off $15,132.48 $87,697.32 $31,347.17 2026-07-05
40800207 OTHER Insrt Pulse Gen W/singl Lead 26 26 $77,776.20 $38,888.10 50% off $275.00 $63,567.08 $31,327.35 2026-07-05
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 31 30 $60,619.43 $30,309.71 50% off $19,477.02 $60,619.43 $31,294.50 2026-07-05
0571T CPT Nail 10mm 360mm Femoral Greater Trochanter Right T2 Alpha Intramedullary Sterile… 16 16 $129,902.00 $64,951.00 50% off $17,537.68 $50,030.43 $31,269.02 2025-12-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 10 $153,310.33 $76,655.16 50% off $24,820.93 $49,997.32 $31,248.33 2025-12-31
214 APR_DRG Open Craniotomy Except Trauma 9 8 $157,410.25 $78,705.12 50% off $31,168.88 $47,967.02 $31,168.88 2026-07-05
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 21 21 $72,343.88 $36,171.94 50% off $14,126.44 $72,343.88 $30,948.71 2026-07-05
335 MS_DRG Peritoneal Adhesiolysis With Mcc 31 30 $55,860.27 $27,930.14 50% off $17,947.91 $55,860.27 $30,944.75 2026-07-05
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 31 30 $58,147.58 $29,073.79 50% off $18,682.82 $58,147.58 $30,844.69 2026-07-05
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 31 30 $70,484.67 $35,242.33 50% off $22,646.72 $70,484.67 $30,565.92 2026-07-05
80001511 OTHER I_coch Cochlear Am Nucleus Freedom 20 20 $70,290.70 $35,145.35 50% off $275.00 $57,449.12 $30,475.07 2026-07-05
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 6 $75,648.45 $37,824.22 50% off $30,411.63 $31,323.98 $30,411.63 2025-12-31
80000935 OTHER Imp Icd Bi-v 17 17 $66,943.40 $33,471.70 50% off $275.00 $54,713.40 $30,291.91 2026-07-05
80027121 OTHER Strattice Reconstr Matrix 30x30cm Firm 20 20 $74,199.60 $37,099.80 50% off $195.66 $60,643.93 $29,886.75 2026-07-05
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 21 21 $55,067.93 $27,533.97 50% off $16,778.27 $55,067.93 $29,833.04 2026-07-05
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 31 30 $80,743.76 $40,371.88 50% off $15,020.98 $80,743.76 $29,737.93 2026-07-05
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 30 $49,512.29 $24,756.15 50% off $15,908.30 $58,417.00 $29,726.16 2026-07-05
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 9 8 $87,530.50 $43,765.25 50% off $10,122.28 $30,615.41 $29,723.70 2026-07-05
1814 APR_DRG Lower Extremity Arterial Procedures 9 8 $279,703.10 $139,851.55 50% off $29,702.51 $32,055.34 $29,702.51 2026-07-05
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 31 30 $80,522.73 $40,261.37 50% off $18,975.65 $80,522.73 $29,656.52 2026-07-05
6903 APR_DRG Acute Leukemia 9 8 $47,266.66 $23,633.33 50% off $493.68 $30,241.36 $29,360.55 2026-07-05
2304 APR_DRG Major Small Bowel Procedures 6 6 $139,551.50 $69,775.75 50% off $29,278.64 $30,156.99 $29,278.64 2025-12-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 21 21 $68,101.35 $34,050.67 50% off $21,880.96 $68,101.35 $29,133.76 2026-07-05
974 MS_DRG HIV With Major Related Condition With Mcc 31 30 $57,618.89 $28,809.45 50% off $18,512.95 $57,618.89 $29,114.83 2026-07-05
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 31 30 $75,381.28 $37,690.64 50% off $20,043.81 $75,381.28 $29,109.64 2026-07-05
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 9 8 $243,583.28 $121,791.64 50% off $5,353.84 $29,872.62 $29,002.55 2026-07-05
264 MS_DRG Other Circulatory System O.r. Procedures 31 30 $55,592.04 $27,796.02 50% off $17,861.72 $55,592.04 $28,975.34 2026-07-05
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 11 11 $149,897.93 $74,948.96 50% off $22,233.12 $87,199.59 $28,873.95 2025-12-31
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 31 30 $100,143.90 $50,071.95 50% off $14,182.01 $100,143.90 $28,847.08 2026-07-05
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 31 30 $78,296.37 $39,148.18 50% off $17,363.77 $78,296.37 $28,836.55 2026-07-05
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 21 21 $65,326.83 $32,663.42 50% off $19,844.98 $65,326.83 $28,802.93 2026-07-05
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 10 $141,005.00 $70,502.50 50% off $22,734.85 $45,850.19 $28,656.37 2025-12-31
213 APR_DRG Open Craniotomy Except Trauma 9 8 $227,445.12 $113,722.56 50% off $5,353.84 $29,508.60 $28,649.13 2026-07-05
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hrs 9 8 $54,996.16 $27,498.08 50% off $5,353.84 $29,504.47 $28,645.12 2026-07-05
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 32 31 $78,145.96 $39,072.98 50% off $15,730.56 $78,145.96 $28,635.44 2026-07-05
5134 APR_DRG Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma 6 6 $84,799.63 $42,399.81 50% off $28,614.76 $29,473.20 $28,614.76 2025-12-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 31 30 $50,543.07 $25,271.53 50% off $16,239.49 $50,543.07 $28,548.76 2026-07-05
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 31 30 $56,410.90 $28,205.45 50% off $18,124.82 $56,410.90 $28,504.43 2026-07-05
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 21 21 $66,160.63 $33,080.32 50% off $12,263.63 $66,160.63 $28,303.52 2026-07-05
5194 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 3 3 $228,887.71 $114,443.86 50% off $23,847.39 $28,717.23 $28,233.23 2026-07-05
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 31 30 $76,618.35 $38,309.18 50% off $15,636.27 $76,618.35 $28,218.54 2026-07-05
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 11 11 $164,688.29 $82,344.14 50% off $21,686.65 $89,742.00 $28,174.59 2025-12-31
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 31 30 $65,804.26 $32,902.13 50% off $15,318.39 $65,804.26 $28,151.06 2026-07-05
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 6 6 $186,235.81 $93,117.90 50% off $28,149.07 $28,993.55 $28,149.07 2025-12-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 31 30 $75,201.21 $37,600.60 50% off $21,625.40 $75,201.21 $28,096.20 2026-07-05
654 MS_DRG Major Bladder Procedures With Cc 31 30 $65,652.39 $32,826.20 50% off $19,266.09 $65,652.39 $28,086.09 2026-07-05
164 MS_DRG Major Chest Procedures With Cc 33 31 $65,177.05 $32,588.52 50% off $17,371.34 $65,177.05 $27,900.57 2026-07-05
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 10 $94,169.50 $47,084.75 50% off $22,095.47 $44,579.10 $27,861.93 2025-12-31
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 21 21 $64,815.45 $32,407.72 50% off $15,031.47 $64,815.44 $27,728.05 2026-07-05
J9266 HCPCS Nf - Risedronate 5 Mg Tab 16 16 $56,311.82 $28,155.91 50% off $15,547.96 $93,029.36 $27,721.42 2025-12-31
54400 OTHER Insert Semi-rigid Prosthesis 26 26 $80,185.41 $40,092.71 50% off $275.00 $68,157.60 $27,647.93 2026-07-05
1214 APR_DRG Other Respiratory & Chest Procedures 3 3 $223,952.46 $111,976.23 50% off $27,088.01 $27,572.01 $27,572.01 2026-07-05
80039015 OTHER Set Vntrc Ast Impella Rp Rt Hrt Pmp Strl 20 20 $63,391.30 $31,695.65 50% off $275.00 $51,810.22 $27,483.80 2026-07-05
22612 OTHER Lumbar Spine Fusion 26 26 $72,044.10 $36,022.05 50% off $275.00 $61,237.49 $27,467.68 2026-07-05
8503 APR_DRG Procedure With Diag Of Rehab, Aftercare Or Other Contact With Health Service 9 8 $42,531.10 $21,265.55 50% off $5,353.84 $28,208.87 $27,387.25 2026-07-05
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 31 30 $74,204.55 $37,102.27 50% off $15,043.44 $74,204.54 $27,329.53 2026-07-05
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 32 31 $64,693.16 $32,346.58 50% off $16,822.12 $64,693.16 $27,283.30 2026-07-05
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 13 13 $120,698.36 $60,349.18 50% off $18,725.81 $54,035.04 $27,226.39 2025-12-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 30 $50,522.53 $25,261.27 50% off $16,232.89 $50,522.53 $27,181.12 2026-07-05
1693 APR_DRG Major Abdominal Vascular Procedures 6 6 $132,811.88 $66,405.94 50% off $27,051.02 $27,862.55 $27,051.02 2025-12-31
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 31 30 $78,710.33 $39,355.17 50% off $13,917.03 $78,710.33 $26,987.45 2026-07-05
58200435 OTHER Implant/replace Of Progammable Pump 26 26 $66,907.30 $33,453.65 50% off $275.00 $54,683.82 $26,949.47 2026-07-05
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 6 6 $55,718.84 $27,859.42 50% off $26,882.04 $27,688.50 $26,882.04 2025-12-31
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 8 $178,003.15 $89,001.57 50% off $5,353.84 $27,666.67 $26,860.85 2026-07-05
203 APR_DRG Open Craniotomy For Trauma 6 6 $142,452.05 $71,226.02 50% off $26,824.76 $27,629.50 $26,824.76 2025-12-31
52 APR_DRG Tracheostomy With Mv > 96 Hrs Without Extensive Procedure 6 6 $137,705.27 $68,852.63 50% off $26,817.89 $27,622.42 $26,817.89 2025-12-31
77 MS_DRG Hypertensive Encephalopathy With Mcc 21 21 $62,310.95 $31,155.48 50% off $10,935.95 $62,310.95 $26,656.62 2026-07-05
263 MS_DRG Vein Ligation And Stripping 31 30 $51,643.97 $25,821.99 50% off $11,550.49 $51,643.97 $26,553.55 2026-07-05
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 31 30 $82,216.43 $41,108.22 50% off $11,958.28 $82,216.43 $26,416.14 2026-07-05
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 10 10 $94,115.50 $47,057.75 50% off $20,484.97 $41,377.42 $26,248.79 2025-12-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 31 30 $60,465.62 $30,232.81 50% off $17,570.93 $60,465.62 $26,092.79 2026-07-05
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 6 6 $207,139.84 $103,569.92 50% off $26,041.74 $26,822.99 $26,041.74 2025-12-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 31 30 $48,058.58 $24,029.29 50% off $15,441.22 $48,058.58 $25,981.39 2026-07-05
40802261 OTHER Stent Placement Des Add'l Vessel 20 20 $59,913.70 $29,956.85 50% off $275.00 $48,967.91 $25,976.03 2026-07-05
40802296 OTHER Revasc Of Vessel Chronic Addl Vessel 20 20 $59,913.70 $29,956.85 50% off $275.00 $48,967.91 $25,976.03 2026-07-05
40802281 OTHER Revasc Of Cabg With Des Add'l Vessel 20 20 $59,913.70 $29,956.85 50% off $275.00 $48,967.91 $25,976.03 2026-07-05
40802271 OTHER Atherectomy With Des Add'l Vessel 20 20 $59,913.70 $29,956.85 50% off $275.00 $48,967.91 $25,976.03 2026-07-05
40804495 OTHER Placement Of Leadless Pacemaker 20 20 $59,830.10 $29,915.05 50% off $275.00 $48,899.57 $25,939.78 2026-07-05
2314 APR_DRG Major Large Bowel Procedures 6 6 $52,995.08 $26,497.54 50% off $25,916.30 $26,693.79 $25,916.30 2025-12-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 31 30 $56,641.89 $28,320.95 50% off $14,727.89 $56,641.89 $25,869.27 2026-07-05
1824 APR_DRG Other Peripheral Vascular Procedures 6 6 $66,499.02 $33,249.51 50% off $25,779.40 $26,552.78 $25,779.40 2025-12-31
40802206 OTHER Prq Card Angio/athrect Addl 20 20 $59,139.60 $29,569.80 50% off $275.00 $48,335.25 $25,640.43 2026-07-05
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 32 31 $49,828.62 $24,914.31 50% off $16,009.94 $49,828.62 $25,632.42 2026-07-05
472 MS_DRG Cervical Spinal Fusion With Cc 31 30 $52,303.79 $26,151.89 50% off $16,805.21 $52,303.79 $25,601.77 2026-07-05
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 9 8 $317,890.30 $158,945.15 50% off $13,450.21 $26,175.78 $25,413.38 2026-07-05
7114 APR_DRG Post-op, Post-trauma, Other Device Infections With O.r. Procedure 9 8 $103,029.87 $51,514.93 50% off $14,028.47 $26,067.82 $25,308.56 2026-07-05
288 MS_DRG Acute And Subacute Endocarditis With Mcc 31 30 $47,032.96 $23,516.48 50% off $15,111.69 $47,667.99 $25,303.73 2026-07-05
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