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Hospital

MCLAREN FLINT

Flint, MI · CCN 230141 · Rates published

36,769 distinct procedures filed
61 distinct payers
847,439 rate rows
2026-05-06 last MRF observed
Data quality

846,928 of 847,439 rate rows are consumer-grade (99.9%)

511 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
placeholder amount (≤ $0.02) — excluded from medians 291
exceeds 10× this hospital's gross charge — excluded from medians 120
exceeds 3× this hospital's gross charge for a DRG stay — excluded 78
per-diem day rate — not a per-procedure price 22
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 not_modified · 2026-05-17
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
$265,286
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $146,081.75 $331,597.38 $184,644.14 nat. median
$202,986
0.9× median
MS-DRG 003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $95,270.73 $296,516.42 $168,806.80 nat. median
$186,772
0.9× median
MS-DRG 020
OTHER 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 $72,735.83 $325,508.12 $139,252.37 nat. median
$126,525
1.1× median
MS-DRG 215
OTHER 		Other Heart Assist System Implant 21 $76,983.90 $239,601.30 $136,405.02 nat. median
$109,090
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $87,740.97 $190,173.43 $118,858.39 nat. median
$133,176
0.9× median
MS-DRG 826
OTHER 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 21 $38,629.87 $246,091.02 $105,277.74 nat. median
$48,989
outlier · 2.1×
MS-DRG 216
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $73,509.36 $245,633.26 $105,081.91 nat. median
$100,343
1.0× median
44
APR_DRG 		Tracheostomy With Mv > 96 Hrs With Extensive Procedure 6 $103,517.52 $106,623.05 $103,517.52 nat. median
$105,658
1.0× median
MS-DRG 319
OTHER 		Other Endovascular Cardiac Valve Procedures With Mcc 21 $36,452.35 $240,330.10 $102,813.22 nat. median
$47,185
outlier · 2.2×
MS-DRG 004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $56,139.30 $174,725.50 $99,471.23 nat. median
$142,253
0.7× median
MS-DRG 021
OTHER 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 $53,126.70 $231,548.05 $99,056.26 nat. median
$115,333
0.9× median
MS-DRG 231
OTHER 		Coronary Bypass With Ptca With Mcc 21 $59,867.72 $220,223.27 $94,211.51 nat. median
$87,235
1.1× median
60302081
OTHER 		Zevalin Yttrium 90/dose 20 $275.00 $185,996.49 $91,138.28 nat. median
$91,138
1.0× median
MS-DRG 266
OTHER 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 $50,071.94 $159,553.55 $90,833.84 nat. median
$68,830
1.3× median
APR-DRG 162-4
OTHER 		Cardiac Valve Procedures W Ami Or Complex Pdx 3 $84,444.14 $89,797.98 $89,797.98 nat. median
$2,503
outlier · 35.9×
MS-DRG 734
OTHER 		Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 21 $26,933.91 $208,830.95 $89,337.88 nat. median
$21,285
outlier · 4.2×
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
215
MS_DRG 		Other Heart Assist System Implant 11 $68,528.73 $198,019.14 $88,122.11 nat. median
$99,019
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $67,329.80 $144,673.54 $85,326.76 nat. median
$93,672
0.9× median
APR-DRG 004-4
OTHER 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 3 $82,433.26 $82,917.26 $82,917.26 nat. median
$59,861
1.4× median
MS-DRG 267
OTHER 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 $39,549.72 $144,520.34 $80,935.44 nat. median
$54,812
1.5× median
55100075
OTHER 		Zevalin Yttrium 90/dose 20 $275.00 $164,420.90 $80,566.24 nat. median
$80,566
1.0× median
MS-DRG 223
OTHER 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 21 $43,847.77 $140,015.89 $79,711.05 nat. median
$72,237
1.1× median
MS-DRG 453
OTHER 		Combined Anterior And Posterior Spinal Fusion With Mcc 21 $44,911.41 $139,780.31 $79,576.93 nat. median
$74,939
1.1× median
MS-DRG 222
OTHER 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 21 $44,711.61 $139,158.45 $79,222.91 nat. median
$77,983
1.0× 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
$82,712
1.0× median
MS-DRG 224
OTHER 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 21 $44,358.56 $138,059.64 $78,475.80 nat. median
$53,397
1.5× median
MS-DRG 228
OTHER 		Other Cardiothoracic Procedures With Mcc 21 $43,870.31 $175,899.76 $75,249.92 nat. median
$54,835
1.4× median
MS-DRG 219
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 $56,222.65 $174,984.91 $74,858.55 nat. median
$84,433
0.9× median
MS-DRG 233
OTHER 		Coronary Bypass With Cardiac Catheterization With Mcc 21 $54,962.80 $172,771.75 $73,911.75 nat. median
$74,933
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $54,156.76 $233,941.65 $73,791.05 nat. median
$77,576
1.0× median
MS-DRG 226
OTHER 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 21 $41,241.24 $128,357.41 $73,073.87 nat. median
$64,760
1.1× median
MS-DRG 022
OTHER 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 21 $34,336.82 $170,291.28 $72,850.61 nat. median
$96,947
0.8× median
MS-DRG 232
OTHER 		Coronary Bypass With Ptca Without Mcc 21 $41,641.09 $169,722.35 $72,607.22 nat. median
$60,452
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $51,668.41 $115,994.34 $72,496.46 nat. median
$79,312
0.9× 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
$81,118
0.9× median
MS-DRG 245
OTHER 		Aicd Generator Procedures 21 $38,235.45 $167,086.55 $71,479.63 nat. median
$48,262
1.5× median
MS-DRG 023
OTHER 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 $39,981.51 $167,069.59 $71,472.37 nat. median
$66,521
1.1× median
MS-DRG 347
OTHER 		Anal And Stomal Procedures With Mcc 21 $17,473.75 $160,713.59 $68,753.27 nat. median
$37,563
1.8× median
55300075
OTHER 		Zevalin Yttrium 90/dose 20 $275.00 $139,218.60 $68,217.11 nat. median
$68,217
1.0× median
55200075
OTHER 		Zevalin Yttrium 90/dose 20 $275.00 $139,218.60 $68,217.11 nat. median
$68,217
1.0× median
54
APR_DRG 		Tracheostomy With Mv > 96 Hrs Without Extensive Procedure 6 $67,919.72 $69,957.31 $67,919.72 nat. median
$68,217
1.0× median
80028640
OTHER 		Sensor Implatable Carido Mems 17 $275.00 $121,251.23 $67,130.38 nat. median
$67,130
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $52,617.84 $105,257.77 $66,772.90 nat. median
$73,807
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $52,845.65 $105,710.66 $66,206.13 nat. median
$74,915
0.9× median
MS-DRG 820
OTHER 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 $40,157.31 $152,418.58 $65,927.48 nat. median
$57,811
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $52,443.71 $112,925.43 $65,569.75 nat. median
$72,138
0.9× median
APR-DRG 305-4
OTHER 		Amputation Of Lower Limb Except Toes 3 $64,909.28 $65,393.28 $65,393.28 nat. median
$3,079
outlier · 21.2×
MS-DRG 225
OTHER 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 21 $36,516.34 $113,651.85 $64,702.00 nat. median
$55,911
1.2× median

Other procedures at this hospital

Browse this hospital's 36,769 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
             
1784 APR_DRG External Heart Assist Systems 12 6 $631,631.80 $315,815.90 50% off $39,162.30 $40,337.17 $39,162.30 2025-12-31
1794 APR_DRG Defibrillator Implants 12 6 $609,405.97 $304,702.98 50% off $32,657.58 $33,637.31 $32,657.58 2025-12-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 10 $579,324.16 $289,662.08 50% off $192,873.58 $432,058.41 $243,655.27 2025-12-31
APR-DRG 162-4 OTHER 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 2026-05-06
APR-DRG 004-4 OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 3 3 $462,458.18 $231,229.09 50% off $82,433.26 $82,917.26 $82,917.26 2026-05-06
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 10 $427,954.33 $213,977.16 50% off $31,786.67 $79,766.93 $40,501.84 2025-12-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 10 $426,663.00 $213,331.50 50% off $38,011.86 $78,183.76 $48,352.69 2025-12-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 10 $417,876.25 $208,938.12 50% off $32,858.01 $102,661.25 $51,773.62 2025-12-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 10 $417,162.80 $208,581.40 50% off $49,074.74 $106,122.02 $61,383.79 2025-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 10 $415,315.84 $207,657.92 50% off $146,081.75 $331,597.38 $184,644.14 2025-12-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 10 $414,441.50 $207,220.75 50% off $26,639.96 $53,613.58 $34,011.11 2025-12-31
APR-DRG 305-4 OTHER 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 2026-05-06
54 APR_DRG Tracheostomy With Mv > 96 Hrs Without Extensive Procedure 12 6 $386,249.81 $193,124.90 50% off $67,919.72 $69,957.31 $67,919.72 2025-12-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 12 $366,972.12 $183,486.06 50% off $54,156.76 $233,941.65 $73,791.05 2025-12-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 10 $364,962.38 $182,481.19 50% off $36,634.40 $86,979.36 $52,815.20 2025-12-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 $354,544.60 $177,272.30 50% off $67,329.80 $144,673.54 $85,326.76 2025-12-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 11 $354,123.42 $177,061.71 50% off $45,254.28 $246,978.90 $56,636.86 2025-12-31
44 APR_DRG Tracheostomy With Mv > 96 Hrs With Extensive Procedure 12 6 $348,302.02 $174,151.01 50% off $103,517.52 $106,623.05 $103,517.52 2025-12-31
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 6 $343,521.70 $171,760.85 50% off $40,696.26 $41,917.15 $40,696.26 2025-12-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 12 $342,669.60 $171,334.80 50% off $36,434.40 $235,722.51 $47,266.16 2025-12-31
215 MS_DRG Other Heart Assist System Implant 22 11 $337,778.71 $168,889.35 50% off $68,528.73 $198,019.14 $88,122.11 2025-12-31
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 12 6 $330,879.18 $165,439.59 50% off $36,714.15 $37,815.58 $36,714.15 2025-12-31
MS-DRG 020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 21 $325,508.12 $162,754.06 50% off $72,735.83 $325,508.12 $139,252.37 2026-05-06
1694 APR_DRG Major Abdominal Vascular Procedures 12 6 $324,739.95 $162,369.97 50% off $33,698.93 $34,709.90 $33,698.93 2025-12-31
APR-DRG 005-4 OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 3 3 $323,696.05 $161,848.02 50% off $50,233.51 $50,717.51 $50,717.51 2026-05-06
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 10 $314,510.27 $157,255.13 50% off $3,529.56 $72,995.25 $41,120.17 2025-12-31
APR-DRG 021-4 OTHER Craniotomy Except For Trauma 3 3 $311,843.07 $155,921.53 50% off $47,483.02 $47,967.02 $47,967.02 2026-05-06
MS-DRG 003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 21 $296,516.42 $148,258.21 50% off $95,270.73 $296,516.42 $168,806.80 2026-05-06
APR-DRG 091-4 OTHER Other Major Head & Neck Procedures 3 3 $288,881.70 $144,440.85 50% off $42,154.84 $42,638.84 $42,638.84 2026-05-06
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 10 $284,795.80 $142,397.90 50% off $13,159.77 $94,759.27 $59,224.54 2025-12-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 $284,590.80 $142,295.40 50% off $10,088.08 $77,575.55 $48,484.72 2025-12-31
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 6 $281,381.81 $140,690.90 50% off $33,661.70 $34,671.55 $33,661.70 2025-12-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 10 $275,646.50 $137,823.25 50% off $62,008.28 $123,926.02 $78,615.57 2025-12-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 10 $274,267.00 $137,133.50 50% off $45,985.89 $93,452.82 $58,409.07 2025-12-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 $274,255.90 $137,127.95 50% off $52,845.65 $105,710.66 $66,206.13 2025-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 10 $270,670.66 $135,335.33 50% off $51,668.41 $115,994.34 $72,496.46 2025-12-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 $262,855.33 $131,427.66 50% off $13,276.64 $99,420.86 $62,138.04 2025-12-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 10 $259,678.66 $129,839.33 50% off $46,019.61 $92,140.46 $58,451.60 2025-12-31
APR-DRG 171-4 OTHER 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 2026-05-06
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 $251,543.25 $125,771.62 50% off $45,254.28 $90,618.98 $57,115.31 2025-12-31
53 APR_DRG Tracheostomy With Mv > 96 Hrs Without Extensive Procedure 12 6 $249,059.25 $124,529.62 50% off $60,079.81 $61,882.20 $60,079.81 2025-12-31
MS-DRG 826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 21 $246,091.03 $123,045.51 50% off $38,629.87 $246,091.02 $105,277.74 2026-05-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 $246,042.66 $123,021.33 50% off $57,836.12 $115,631.76 $72,269.85 2025-12-31
MS-DRG 216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 21 $245,633.26 $122,816.63 50% off $73,509.36 $245,633.26 $105,081.91 2026-05-06
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 11 $244,047.16 $122,023.58 50% off $87,740.97 $190,173.43 $118,858.39 2025-12-31
APR-DRG 181-4 OTHER Lower Extremity Arterial Procedures # 3 3 $243,273.02 $121,636.51 50% off $31,571.34 $32,055.34 $32,055.34 2026-05-06
MS-DRG 319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 21 21 $240,330.10 $120,165.05 50% off $36,452.35 $240,330.10 $102,813.22 2026-05-06
MS-DRG 215 OTHER Other Heart Assist System Implant 21 21 $239,601.30 $119,800.65 50% off $76,983.90 $239,601.30 $136,405.02 2026-05-06
245 MS_DRG Aicd Generator Procedures 20 10 $237,682.00 $118,841.00 50% off $31,400.57 $64,548.71 $40,014.90 2025-12-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 11 $235,906.27 $117,953.13 50% off $39,438.60 $155,400.72 $50,893.17 2025-12-31
MS-DRG 021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 21 $231,548.05 $115,774.03 50% off $53,126.70 $231,548.05 $99,056.26 2026-05-06
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 $229,747.00 $114,873.50 50% off $41,040.84 $82,242.62 $52,172.65 2025-12-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 10 $227,140.38 $113,570.19 50% off $34,050.32 $87,273.78 $43,356.62 2025-12-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 10 $223,116.00 $111,558.00 50% off $26,600.04 $53,534.22 $33,458.89 2025-12-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 12 $221,123.84 $110,561.92 50% off $36,702.82 $123,420.96 $46,701.81 2025-12-31
MS-DRG 231 OTHER Coronary Bypass With Ptca With Mcc 21 21 $220,223.27 $110,111.63 50% off $59,867.72 $220,223.27 $94,211.51 2026-05-06
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 10 $219,812.00 $109,906.00 50% off $21,569.86 $69,850.06 $38,723.19 2025-12-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 11 $214,979.02 $107,489.51 50% off $5,982.03 $157,278.07 $36,522.89 2025-12-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 22 11 $214,250.87 $107,125.43 50% off $31,292.51 $108,262.19 $39,289.30 2025-12-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 10 $211,578.40 $105,789.20 50% off $35,825.99 $71,875.47 $44,922.17 2025-12-31
471 MS_DRG Cervical Spinal Fusion With Mcc 20 10 $211,242.80 $105,621.40 50% off $33,233.37 $66,721.31 $41,700.82 2025-12-31
MS-DRG 734 OTHER Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 21 21 $208,830.95 $104,415.47 50% off $26,933.91 $208,830.95 $89,337.88 2026-05-06
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 6 $208,642.75 $104,321.37 50% off $35,865.26 $36,941.22 $35,865.26 2025-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 10 $207,529.87 $103,764.93 50% off $52,617.84 $105,257.77 $66,772.90 2025-12-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 22 11 $205,683.25 $102,841.62 50% off $39,691.87 $94,478.53 $49,725.54 2025-12-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 24 12 $204,787.05 $102,393.52 50% off $29,187.16 $147,796.32 $37,659.26 2025-12-31
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 2026-05-06
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 $201,632.10 $100,816.05 50% off $26,923.52 $61,696.18 $33,929.35 2025-12-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 10 $200,569.50 $100,284.75 50% off $30,715.76 $61,716.29 $39,151.27 2025-12-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 10 $196,495.00 $98,247.50 50% off $28,582.88 $57,486.14 $36,461.41 2025-12-31
653 MS_DRG Major Bladder Procedures With Mcc 20 10 $194,421.50 $97,210.75 50% off $31,861.15 $71,752.33 $44,845.20 2025-12-31
60302081 OTHER Zevalin Yttrium 90/dose 20 20 $193,436.30 $96,718.15 50% off $275.00 $185,996.49 $91,138.28 2026-05-06
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 10 $191,134.58 $95,567.29 50% off $40,390.44 $80,949.63 $51,352.42 2025-12-31
265 MS_DRG Aicd Lead Procedures 20 10 $190,899.33 $95,449.66 50% off $24,902.14 $53,411.84 $31,819.47 2025-12-31
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 6 $189,302.19 $94,651.09 50% off $32,260.06 $33,227.86 $32,260.06 2025-12-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 10 $188,400.22 $94,200.11 50% off $29,783.19 $73,439.52 $37,975.16 2025-12-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 10 $183,850.00 $91,925.00 50% off $36,680.79 $73,574.82 $46,674.03 2025-12-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 10 $177,420.40 $88,710.20 50% off $39,226.62 $78,635.94 $49,884.67 2025-12-31
MS-DRG 228 OTHER Other Cardiothoracic Procedures With Mcc 21 21 $175,899.76 $87,949.88 50% off $43,870.31 $175,899.76 $75,249.92 2026-05-06
MS-DRG 219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 21 $174,984.91 $87,492.46 50% off $56,222.65 $174,984.91 $74,858.55 2026-05-06
MS-DRG 004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 21 $174,725.50 $87,362.75 50% off $56,139.30 $174,725.50 $99,471.23 2026-05-06
J9226 HCPCS Nf - Dexmethylphenidate 5 Mg Tab 32 16 $173,758.91 $86,879.46 50% off $24,626.30 $147,348.49 $43,907.74 2025-12-31
MS-DRG 233 OTHER Coronary Bypass With Cardiac Catheterization With Mcc 21 21 $172,771.75 $86,385.87 50% off $54,962.80 $172,771.75 $73,911.75 2026-05-06
55100075 OTHER Zevalin Yttrium 90/dose 20 20 $170,997.70 $85,498.85 50% off $275.00 $164,420.90 $80,566.24 2026-05-06
28 MS_DRG Spinal Procedures With Mcc 20 10 $170,446.00 $85,223.00 50% off $38,770.28 $82,861.06 $51,788.16 2025-12-31
MS-DRG 022 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 21 21 $170,291.28 $85,145.64 50% off $34,336.82 $170,291.28 $72,850.61 2026-05-06
MS-DRG 232 OTHER 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 2026-05-06
MS-DRG 245 OTHER Aicd Generator Procedures 21 21 $167,086.55 $83,543.27 50% off $38,235.45 $167,086.55 $71,479.63 2026-05-06
MS-DRG 023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 21 $167,069.59 $83,534.80 50% off $39,981.51 $167,069.59 $71,472.37 2026-05-06
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 11 $164,340.03 $82,170.01 50% off $37,596.85 $90,555.00 $48,536.14 2025-12-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 $162,979.00 $81,489.50 50% off $28,717.78 $72,491.03 $36,631.54 2025-12-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 11 $162,299.05 $81,149.52 50% off $47,570.23 $95,223.10 $61,299.87 2025-12-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 26 13 $161,521.14 $80,760.57 50% off $3,185.06 $143,531.82 $45,528.47 2025-12-31
MS-DRG 347 OTHER Anal And Stomal Procedures With Mcc 21 21 $160,713.59 $80,356.79 50% off $17,473.75 $160,713.59 $68,753.27 2026-05-06
MS-DRG 266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 21 $159,553.55 $79,776.77 50% off $50,071.94 $159,553.55 $90,833.84 2026-05-06
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 11 $154,267.75 $77,133.87 50% off $32,291.16 $78,287.77 $41,746.02 2025-12-31
Q2043 HCPCS Nf - Naproxen 125 Mg/5 Ml Oral Susp 32 16 $153,472.20 $76,736.10 50% off $30,233.96 $208,317.66 $53,905.99 2025-12-31
MS-DRG 820 OTHER 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 2026-05-06
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 11 $149,783.50 $74,891.75 50% off $52,443.71 $112,925.43 $65,569.75 2025-12-31
MS-DRG 495 OTHER 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 2026-05-06
80028640 OTHER Sensor Implatable Carido Mems 17 17 $148,354.40 $74,177.20 50% off $275.00 $121,251.23 $67,130.38 2026-05-06
MS-DRG 273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 21 21 $147,336.72 $73,668.36 50% off $27,147.16 $147,336.72 $63,030.65 2026-05-06
MS-DRG 025 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 21 21 $146,245.71 $73,122.85 50% off $31,749.69 $146,245.71 $62,563.91 2026-05-06
MS-DRG 011 OTHER 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 2026-05-06
55300075 OTHER Zevalin Yttrium 90/dose 20 20 $144,787.30 $72,393.65 50% off $275.00 $139,218.60 $68,217.11 2026-05-06
55200075 OTHER Zevalin Yttrium 90/dose 20 20 $144,787.30 $72,393.65 50% off $275.00 $139,218.60 $68,217.11 2026-05-06
MS-DRG 267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 21 $144,520.34 $72,260.17 50% off $39,549.72 $144,520.34 $80,935.44 2026-05-06
MS-DRG 024 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 21 $143,867.37 $71,933.68 50% off $27,817.32 $143,867.37 $61,546.46 2026-05-06
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 11 $141,913.80 $70,956.90 50% off $19,565.37 $53,183.95 $33,239.97 2025-12-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 10 $140,746.72 $70,373.36 50% off $31,306.28 $62,890.24 $39,306.40 2025-12-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 10 $140,293.66 $70,146.83 50% off $28,393.62 $57,099.85 $36,222.72 2025-12-31
MS-DRG 270 OTHER Other Major Cardiovascular Procedures With Mcc 21 21 $140,144.48 $70,072.24 50% off $36,601.16 $140,144.48 $59,953.81 2026-05-06
MS-DRG 094 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 21 $140,098.24 $70,049.12 50% off $25,711.87 $140,098.24 $59,934.03 2026-05-06
MS-DRG 235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 21 21 $140,045.59 $70,022.80 50% off $42,568.65 $140,045.59 $59,911.50 2026-05-06
MS-DRG 223 OTHER 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 2026-05-06
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 10 $139,787.87 $69,893.93 50% off $37,650.53 $75,502.67 $47,189.17 2025-12-31
MS-DRG 453 OTHER 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 2026-05-06
MS-DRG 222 OTHER 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 2026-05-06
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 13 $138,817.40 $69,408.70 50% off $33,989.75 $153,676.54 $43,919.85 2025-12-31
163 MS_DRG Major Chest Procedures With Mcc 22 11 $138,304.59 $69,152.29 50% off $30,845.84 $128,306.10 $38,734.30 2025-12-31
MS-DRG 224 OTHER 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 2026-05-06
MS-DRG 234 OTHER Coronary Bypass With Cardiac Catheterization Without Mcc 21 21 $133,919.19 $66,959.59 50% off $37,556.13 $133,919.19 $57,290.63 2026-05-06
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 2026-05-06
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 22 11 $133,101.33 $66,550.66 50% off $28,829.28 $117,507.55 $37,315.58 2025-12-31
MS-DRG 802 OTHER 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 2026-05-06
MS-DRG 414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 21 21 $132,093.43 $66,046.72 50% off $23,117.11 $132,093.43 $56,509.57 2026-05-06
MS-DRG 220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 21 $131,864.42 $65,932.21 50% off $38,136.27 $131,864.42 $56,411.60 2026-05-06
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 10 $131,376.37 $65,688.18 50% off $26,574.58 $53,483.60 $33,928.65 2025-12-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 10 $129,457.00 $64,728.50 50% off $22,978.37 $50,071.21 $31,294.50 2025-12-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 11 $128,486.81 $64,243.40 50% off $25,399.47 $68,892.71 $43,057.94 2025-12-31
MS-DRG 226 OTHER 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 2026-05-06
MS-DRG 268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 21 $128,049.26 $64,024.63 50% off $41,142.23 $128,049.26 $61,200.50 2026-05-06
MS-DRG 799 OTHER Splenectomy With Mcc 21 21 $127,948.63 $63,974.32 50% off $36,336.04 $127,948.63 $54,736.42 2026-05-06
J9029 HCPCS Lens Iol Cnwtt0.230 Clareon Panoptix Cnwtt0.230 32 16 $127,890.00 $63,945.00 50% off $34,648.23 $207,313.52 $61,776.46 2025-12-31
MS-DRG 350 OTHER Inguinal And Femoral Hernia Procedures With Mcc 21 21 $125,025.13 $62,512.57 50% off $15,488.06 $125,025.13 $53,485.75 2026-05-06
MS-DRG 269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 21 $124,731.21 $62,365.61 50% off $30,504.31 $124,731.21 $53,360.01 2026-05-06
MS-DRG 736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 21 21 $123,272.99 $61,636.49 50% off $30,107.68 $123,272.99 $52,736.18 2026-05-06
MS-DRG 628 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 21 21 $123,066.24 $61,533.12 50% off $26,168.99 $123,066.24 $52,647.74 2026-05-06
MS-DRG 749 OTHER Other Female Reproductive System O.r. Procedures With Cc/mcc 21 21 $122,689.18 $61,344.59 50% off $19,202.24 $122,689.18 $52,486.43 2026-05-06
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 2026-05-06
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 10 $121,672.33 $60,836.16 50% off $25,721.84 $51,788.35 $32,367.72 2025-12-31
MS-DRG 459 OTHER 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 2026-05-06
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 22 11 $120,820.53 $60,410.26 50% off $25,724.59 $51,793.82 $32,371.14 2025-12-31
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 2026-05-06
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 2026-05-06
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 2026-05-06
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 2026-05-06
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 2026-05-06
MS-DRG 739 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 21 21 $117,191.87 $58,595.93 50% off $27,038.15 $117,191.87 $50,134.68 2026-05-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 10 $117,187.08 $58,593.54 50% off $44,286.61 $97,254.13 $56,266.04 2025-12-31
799 MS_DRG Splenic Procedures With Mcc 20 10 $117,056.00 $58,528.00 50% off $31,170.00 $62,619.33 $39,724.14 2025-12-31
MS-DRG 246 OTHER 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 2026-05-06
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 10 $116,396.50 $58,198.25 50% off $29,545.74 $59,390.29 $37,675.71 2025-12-31
MS-DRG 423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 21 $115,826.92 $57,913.46 50% off $29,550.73 $115,826.92 $49,550.76 2026-05-06
MS-DRG 225 OTHER 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 2026-05-06
55200077 OTHER Tositumomab-h2 20 20 $113,317.60 $56,658.80 50% off $275.00 $92,615.35 $49,129.72 2026-05-06
55300077 OTHER Tositumomab-h2 20 20 $113,317.60 $56,658.80 50% off $275.00 $92,615.35 $49,129.72 2026-05-06
55100077 OTHER Tositumomab-h2 20 20 $113,317.60 $56,658.80 50% off $275.00 $92,615.35 $49,129.72 2026-05-06
MS-DRG 326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 21 21 $111,974.63 $55,987.32 50% off $35,977.45 $111,974.63 $48,259.49 2026-05-06
MS-DRG 485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 21 21 $111,558.65 $55,779.32 50% off $24,126.14 $111,558.65 $47,724.79 2026-05-06
MS-DRG 455 OTHER 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 2026-05-06
MS-DRG 616 OTHER 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 2026-05-06
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 14 $110,497.75 $55,248.87 50% off $27,059.99 $100,694.11 $40,221.67 2025-12-31
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 2026-05-06
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 2026-05-06
MS-DRG 248 OTHER 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 2026-05-06
MS-DRG 955 OTHER Craniotomy For Multiple Significant Trauma 21 21 $108,566.67 $54,283.33 50% off $34,882.47 $108,566.66 $61,807.00 2026-05-06
MS-DRG 420 OTHER Hepatobiliary Diagnostic Procedures With Mcc 21 21 $105,226.93 $52,613.46 50% off $24,875.07 $105,226.93 $45,016.08 2026-05-06
MS-DRG 901 OTHER Wound Debridements For Injuries With Mcc 21 21 $104,760.62 $52,380.31 50% off $30,135.82 $104,760.62 $44,816.59 2026-05-06
MS-DRG 239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 21 $104,331.05 $52,165.53 50% off $33,521.57 $104,331.05 $59,395.67 2026-05-06
MS-DRG 271 OTHER Other Major Cardiovascular Procedures With Cc 21 21 $103,559.67 $51,779.83 50% off $25,230.18 $103,559.67 $44,302.83 2026-05-06
MS-DRG 870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 21 21 $103,095.25 $51,547.62 50% off $33,124.50 $103,095.25 $58,692.12 2026-05-06
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 10 $102,861.07 $51,430.53 50% off $33,873.44 $67,993.77 $42,496.11 2025-12-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 11 $102,530.33 $51,265.16 50% off $26,054.86 $60,757.16 $37,973.22 2025-12-31
MS-DRG 026 OTHER Craniotomy And Endovascular Intracranial Procedures With Cc 21 21 $101,992.48 $50,996.24 50% off $21,667.72 $101,992.48 $43,632.38 2026-05-06
MS-DRG 466 OTHER Revision Of Hip Or Knee Replacement With Mcc 21 21 $101,800.86 $50,900.43 50% off $32,708.62 $101,800.86 $43,550.41 2026-05-06
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 2026-05-06
MS-DRG 236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 21 21 $100,423.17 $50,211.59 50% off $28,860.17 $100,423.17 $42,961.03 2026-05-06
MS-DRG 737 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 21 21 $100,143.90 $50,071.95 50% off $14,636.98 $100,143.90 $42,841.56 2026-05-06
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 2026-05-06
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 2026-05-06
MS-DRG 227 OTHER 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 2026-05-06
MS-DRG 405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 21 21 $98,003.83 $49,001.91 50% off $31,488.63 $98,003.83 $55,793.58 2026-05-06
MS-DRG 229 OTHER Other Cardiothoracic Procedures Without Mcc 21 21 $97,612.38 $48,806.19 50% off $28,207.59 $97,612.38 $42,275.13 2026-05-06
MS-DRG 247 OTHER 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 2026-05-06
MS-DRG 207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 21 21 $96,477.02 $48,238.51 50% off $30,998.07 $96,477.02 $54,924.37 2026-05-06
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 11 $94,925.80 $47,462.90 50% off $25,898.72 $82,198.11 $33,565.11 2025-12-31
MS-DRG 853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 21 $94,687.73 $47,343.87 50% off $30,423.17 $94,687.73 $51,523.32 2026-05-06
MS-DRG 040 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 21 21 $94,439.92 $47,219.96 50% off $27,995.22 $94,439.92 $40,401.40 2026-05-06
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 2026-05-06
MS-DRG 034 OTHER Carotid Artery Stent Procedures With Mcc 21 21 $93,812.47 $46,906.23 50% off $28,113.36 $93,812.46 $53,407.44 2026-05-06
MS-DRG 037 OTHER Extracranial Procedures With Mcc 21 21 $93,448.72 $46,724.36 50% off $23,191.57 $93,448.72 $39,977.36 2026-05-06
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 11 $93,066.35 $46,533.17 50% off $25,901.79 $58,141.08 $36,338.18 2025-12-31
63655 OTHER Implant Neuroelectrodes 26 26 $92,725.37 $46,362.69 50% off $275.00 $78,816.56 $31,971.71 2026-05-06
MS-DRG 260 OTHER Cardiac Pacemaker Revision Except Device Replacement With Mcc 21 21 $92,716.09 $46,358.05 50% off $25,368.01 $92,716.09 $39,663.94 2026-05-06
MS-DRG 406 OTHER Pancreas, Liver And Shunt Procedures With Cc 21 21 $92,583.34 $46,291.67 50% off $20,394.88 $92,583.34 $39,607.15 2026-05-06
MS-DRG 329 OTHER Major Small And Large Bowel Procedures With Mcc 21 21 $92,460.01 $46,230.00 50% off $29,707.40 $92,460.01 $44,013.96 2026-05-06
MS-DRG 957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 21 $92,457.15 $46,228.58 50% off $29,706.48 $92,457.15 $56,931.14 2026-05-06
MS-DRG 463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 21 $92,304.40 $46,152.20 50% off $29,657.40 $92,304.40 $44,944.56 2026-05-06
MS-DRG 454 OTHER 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 2026-05-06
MS-DRG 717 OTHER 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 2026-05-06
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 10 $91,728.00 $45,864.00 50% off $25,649.58 $51,644.68 $32,762.10 2025-12-31
MS-DRG 521 OTHER Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 21 21 $91,723.43 $45,861.71 50% off $21,705.67 $91,723.43 $39,239.28 2026-05-06
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 2026-05-06
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 2026-05-06
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 2026-05-06
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 2026-05-06
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 2026-05-06
MS-DRG 035 OTHER Carotid Artery Stent Procedures With Cc 21 21 $90,777.02 $45,388.51 50% off $16,598.25 $90,777.02 $38,834.41 2026-05-06
MS-DRG 252 OTHER Other Vascular Procedures With Mcc 21 21 $90,551.47 $45,275.73 50% off $23,515.05 $90,551.47 $38,737.92 2026-05-06
MS-DRG 031 OTHER Ventricular Shunt Procedures With Mcc 21 21 $89,823.29 $44,911.65 50% off $28,860.22 $89,823.29 $38,426.40 2026-05-06
MS-DRG 515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 21 21 $89,293.52 $44,646.76 50% off $22,223.25 $89,293.52 $40,982.78 2026-05-06
MS-DRG 823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 21 $87,932.01 $43,966.00 50% off $28,252.55 $87,932.01 $50,059.69 2026-05-06
MS-DRG 471 OTHER Cervical Spinal Fusion With Mcc 21 21 $87,876.13 $43,938.06 50% off $28,234.60 $87,876.13 $46,349.88 2026-05-06
80030154 OTHER Valve Aortic Evolut 29mm 20 20 $87,480.00 $43,740.00 50% off $275.00 $71,498.09 $37,927.63 2026-05-06
80027617 OTHER Valve Aortic Transcatheter 20 20 $87,480.00 $43,740.00 50% off $275.00 $71,498.09 $37,927.63 2026-05-06
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 2026-05-06
80030003 OTHER Valvue Aortic Transcthg Evolut 20 20 $87,480.00 $43,740.00 50% off $275.00 $71,498.09 $37,927.63 2026-05-06
MS-DRG 981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 21 $87,279.71 $43,639.85 50% off $28,042.97 $87,279.71 $49,688.34 2026-05-06
MS-DRG 963 OTHER Other Multiple Significant Trauma With Mcc 21 21 $87,129.38 $43,564.69 50% off $19,320.37 $87,129.38 $37,273.95 2026-05-06
MS-DRG 460 OTHER 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 2026-05-06
MS-DRG 163 OTHER Major Chest Procedures With Mcc 21 21 $86,879.29 $43,439.65 50% off $27,914.32 $86,879.29 $45,345.31 2026-05-06
MS-DRG 041 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 21 21 $86,770.89 $43,385.45 50% off $16,696.69 $86,770.89 $37,120.59 2026-05-06
MS-DRG 166 OTHER Other Respiratory System O.r. Procedures With Mcc 21 21 $86,240.08 $43,120.04 50% off $26,824.38 $86,240.08 $40,549.75 2026-05-06
MS-DRG 827 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 21 $86,221.94 $43,110.97 50% off $17,726.90 $86,221.94 $36,885.75 2026-05-06
40802307 OTHER Ep & Ablate Ventric Tachy 26 26 $85,925.90 $42,962.95 50% off $275.00 $70,227.94 $34,609.98 2026-05-06
MS-DRG 274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 21 21 $84,398.57 $42,199.28 50% off $23,266.81 $84,398.57 $36,105.71 2026-05-06
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 11 $84,192.83 $42,096.41 50% off $25,269.66 $52,802.93 $31,805.88 2025-12-31
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 2026-05-06
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 2026-05-06
80034033 OTHER Valve Aortic 26mm Evolutpro 20 20 $84,115.40 $42,057.70 50% off $275.00 $68,748.17 $36,468.88 2026-05-06
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 2026-05-06
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 2026-05-06
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 2026-05-06
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 2026-05-06
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 2026-05-06
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 2026-05-06
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 2026-05-06
MS-DRG 625 OTHER 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 2026-05-06
MS-DRG 939 OTHER 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 2026-05-06
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 2026-05-06
MS-DRG 421 OTHER Hepatobiliary Diagnostic Procedures With Cc 21 21 $82,216.43 $41,108.22 50% off $13,587.05 $82,216.43 $35,172.19 2026-05-06
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 10 $81,900.00 $40,950.00 50% off $22,058.26 $54,670.63 $32,447.25 2025-12-31
MS-DRG 488 OTHER Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 21 21 $81,691.44 $40,845.72 50% off $14,049.08 $81,691.44 $34,947.60 2026-05-06
MS-DRG 249 OTHER 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 2026-05-06
MS-DRG 412 OTHER 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 2026-05-06
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 10 $80,994.00 $40,497.00 50% off $24,519.47 $49,398.03 $31,336.88 2025-12-31
MS-DRG 250 OTHER Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 21 21 $80,743.76 $40,371.88 50% off $17,904.11 $80,743.76 $34,542.18 2026-05-06
MS-DRG 061 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 21 21 $80,522.73 $40,261.37 50% off $20,473.64 $80,522.73 $34,447.62 2026-05-06
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 10 $79,971.00 $39,985.50 50% off $33,732.35 $80,320.51 $42,955.62 2025-12-31
MS-DRG 253 OTHER Other Vascular Procedures With Cc 21 21 $79,769.99 $39,885.00 50% off $18,824.58 $79,769.99 $34,125.60 2026-05-06
MS-DRG 619 OTHER O.r. Procedures For Obesity With Mcc 21 21 $78,785.68 $39,392.84 50% off $21,689.51 $78,785.68 $40,479.82 2026-05-06
MS-DRG 259 OTHER Cardiac Pacemaker Device Replacement Without Mcc 21 21 $78,710.33 $39,355.17 50% off $15,072.96 $78,710.33 $33,672.28 2026-05-06
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 2026-05-06
MS-DRG 027 OTHER Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 21 21 $78,296.37 $39,148.18 50% off $17,826.74 $78,296.37 $33,495.19 2026-05-06
MS-DRG 576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 21 $78,163.02 $39,081.51 50% off $25,113.78 $78,163.02 $38,871.23 2026-05-06
MS-DRG 082 OTHER Traumatic Stupor And Coma >1 Hour With Mcc 21 21 $78,145.96 $39,072.98 50% off $16,042.69 $78,145.96 $33,430.84 2026-05-06
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 2026-05-06
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 2026-05-06
MS-DRG 469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 21 21 $76,627.85 $38,313.93 50% off $21,853.35 $76,627.85 $32,781.39 2026-05-06
MS-DRG 085 OTHER Traumatic Stupor And Coma <1 Hour With Mcc 21 21 $76,618.35 $38,309.18 50% off $16,382.36 $76,618.35 $32,777.33 2026-05-06
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 2026-05-06
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 2026-05-06
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 2026-05-06
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 2026-05-06
MS-DRG 480 OTHER Hip And Femur Procedures Except Major Joint With Mcc 21 21 $75,381.28 $37,690.64 50% off $21,432.12 $75,381.28 $32,248.11 2026-05-06
MS-DRG 258 OTHER Cardiac Pacemaker Device Replacement With Mcc 21 21 $75,201.21 $37,600.60 50% off $22,675.41 $75,201.21 $32,171.08 2026-05-06
MS-DRG 673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 21 21 $74,866.12 $37,433.06 50% off $24,054.48 $74,866.12 $42,621.28 2026-05-06
MS-DRG 518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 21 21 $74,234.99 $37,117.49 50% off $23,851.70 $74,234.99 $31,847.55 2026-05-06
MS-DRG 407 OTHER Pancreas, Liver And Shunt Procedures Without Cc/mcc 21 21 $74,204.55 $37,102.27 50% off $15,043.44 $74,204.54 $31,744.70 2026-05-06
MS-DRG 320 OTHER 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 2026-05-06
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 2026-05-06
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 2026-05-06
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 2026-05-06
MS-DRG 356 OTHER Other Digestive System O.r. Procedures With Mcc 21 21 $72,807.83 $36,403.92 50% off $23,393.16 $72,807.83 $41,449.50 2026-05-06
80001056 OTHER Catheter Impella Gen 20 20 $72,764.60 $36,382.30 50% off $275.00 $59,471.10 $31,547.67 2026-05-06
MS-DRG 956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 21 $71,120.01 $35,560.01 50% off $22,850.86 $71,120.01 $40,488.62 2026-05-06
MS-DRG 904 OTHER Skin Grafts For Injuries With Cc/mcc 21 21 $68,672.87 $34,336.43 50% off $22,064.59 $68,672.87 $39,095.46 2026-05-06
MS-DRG 492 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 21 21 $68,336.94 $34,168.47 50% off $21,956.66 $68,336.94 $33,563.52 2026-05-06
MS-DRG 907 OTHER Other O.r. Procedures For Injuries With Mcc 21 21 $67,341.93 $33,670.96 50% off $21,636.96 $67,341.93 $38,337.76 2026-05-06
MS-DRG 821 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Cc 21 21 $65,804.26 $32,902.13 50% off $15,318.39 $65,804.26 $32,252.34 2026-05-06
MS-DRG 654 OTHER Major Bladder Procedures With Cc 21 21 $65,652.39 $32,826.20 50% off $20,558.04 $65,652.39 $33,657.65 2026-05-06
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 11 $65,507.83 $32,753.91 50% off $21,060.25 $67,249.63 $39,615.11 2025-12-31
MS-DRG 242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 21 21 $65,317.05 $32,658.52 50% off $20,986.37 $65,317.05 $35,727.30 2026-05-06
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 10 $63,158.50 $31,579.25 50% off $24,658.50 $49,674.42 $31,512.21 2025-12-31
834 MS_DRG Acute Leukemia With Mcc 20 10 $62,783.50 $31,391.75 50% off $37,784.05 $130,093.53 $48,065.40 2025-12-31
MS-DRG 265 OTHER Aicd Lead Procedures 21 21 $62,455.81 $31,227.90 50% off $20,067.05 $62,455.81 $33,024.25 2026-05-06
MS-DRG 097 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 21 21 $60,619.43 $30,309.71 50% off $19,477.02 $60,619.43 $34,510.64 2026-05-06
MS-DRG 500 OTHER Soft Tissue Procedures With Mcc 21 21 $60,102.77 $30,051.38 50% off $19,311.02 $60,102.77 $34,216.51 2026-05-06
MS-DRG 834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 21 21 $59,292.48 $29,646.24 50% off $19,050.67 $59,292.48 $38,160.64 2026-05-06
901 MS_DRG Wound Debridements For Injuries With Mcc 20 10 $58,242.00 $29,121.00 50% off $28,882.96 $58,072.67 $36,295.42 2025-12-31
MS-DRG 974 OTHER HIV With Major Related Condition With Mcc 21 21 $57,618.89 $28,809.45 50% off $18,512.95 $57,618.89 $32,802.43 2026-05-06
MS-DRG 474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 21 $56,793.28 $28,396.64 50% off $18,247.68 $56,793.28 $32,332.42 2026-05-06
MS-DRG 656 OTHER Kidney And Ureter Procedures For Neoplasm With Mcc 21 21 $56,410.90 $28,205.45 50% off $18,124.82 $56,410.90 $32,114.72 2026-05-06
MS-DRG 335 OTHER Peritoneal Adhesiolysis With Mcc 21 21 $55,860.27 $27,930.14 50% off $17,947.91 $55,860.27 $31,801.25 2026-05-06
9114 APR_DRG Extensive Abdominal/Thoracic Procedures For Multiple Significant Trauma 12 6 $54,713.98 $27,356.99 50% off $39,497.96 $40,682.90 $39,497.96 2025-12-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 10 $42,422.00 $21,211.00 50% off $32,194.80 $64,656.64 $41,016.56 2025-12-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 10 $36,447.00 $18,223.50 50% off $33,065.43 $71,360.95 $42,114.54 2025-12-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 22 11 $35,975.00 $17,987.50 50% off $9,134.02 $57,798.71 $31,818.71 2025-12-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 10 $32,815.00 $16,407.50 50% off $24,540.12 $67,917.81 $31,362.92 2025-12-31
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