Price Transparency Hospital negotiated rates

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

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Hospital

OZARKS HEALTHCARE

West Plains, MO · CCN 260078 · Rates published

19,539 distinct procedures filed
23 distinct payers
507,235 rate rows
2025-01-29 last MRF observed · ⚠ 17 mo old
Data quality

487,906 of 507,235 rate rows are consumer-grade (96.2%)

19,329 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 18,812
percent-of-charges filed in the dollar field — excluded from medians 287
placeholder amount (≤ $0.02) — excluded from medians 226
per-diem day rate — not a per-procedure price 4

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.ozarkshealthcare.com/app/files/public/b5c4bc68-9382-4718-b559-cf768eb352c4/OZH-Price-Transparency-2025-v2.csv
Found on page https://www.ozarkshealthcare.com/patient-financial-services/billing--insurance/cost-of-care/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 37ab3d421cd9b73f… · 105,944,312 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $243,251.15 $291,901.38 $243,251.15 nat. median
$370,174
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $181,688.49 $218,026.19 $181,688.49 nat. median
$265,286
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Excep 12 $138,236.36 $165,883.63 $138,236.36 nat. median
$202,986
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin 12 $129,726.16 $155,671.39 $129,726.16 nat. median
$206,368
0.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, 12 $91,140.32 $109,368.38 $91,140.32 nat. median
$133,176
0.7× median
27008511
CDM 		Ab Pump Set 00551032ha 11 $80,722.40 $93,839.79 $88,794.64 nat. median
$88,795
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $84,507.88 $101,409.46 $84,507.88 nat. median
$117,303
0.7× median
7
MS_DRG 		Lung Transplant 12 $84,295.01 $101,154.01 $84,295.01 nat. median
$122,708
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $70,266.38 $84,319.66 $70,266.38 nat. median
$102,358
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $68,689.22 $82,427.06 $68,689.22 nat. median
$100,136
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 12 $68,338.31 $82,005.97 $68,338.31 nat. median
$99,019
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except 12 $67,611.98 $81,134.38 $67,611.98 nat. median
$98,905
0.7× median
27818792
CDM 		Generator Sentiva Duo 1000-d 11 $57,676.00 $67,048.35 $63,443.60 nat. median
$63,444
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 12 $62,250.29 $74,700.35 $62,250.29 nat. median
$93,672
0.7× median
27800946
CDM 		Generator Model 1000 11 $55,997.60 $65,097.21 $61,597.36 nat. median
$61,597
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $60,659.59 $72,791.51 $60,659.59 nat. median
$108,660
0.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $59,417.86 $71,301.43 $59,417.86 nat. median
$83,442
0.7× median
27011721
CDM 		Impella 5.0 11 $50,296.80 $58,470.03 $55,326.48 nat. median
$50,297
1.1× median
27805381
CDM 		Aspire Sr 106 11 $50,295.20 $58,468.17 $55,324.72 nat. median
$822
outlier · 67.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $54,658.01 $65,589.61 $54,658.01 nat. median
$79,312
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, In 12 $54,627.04 $65,552.45 $54,627.04 nat. median
$81,118
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $53,797.50 $64,557.00 $53,797.50 nat. median
$82,712
0.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 12 $51,994.58 $62,393.50 $51,994.58 nat. median
$77,576
0.7× median
10
MS_DRG 		Pancreas Transplant 12 $51,427.58 $61,713.10 $51,427.58 nat. median
$68,882
0.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $51,131.50 $61,357.80 $51,131.50 nat. median
$71,240
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With M 12 $50,416.13 $60,499.36 $50,416.13 nat. median
$73,807
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 12 $49,907.83 $59,889.40 $49,907.83 nat. median
$74,915
0.7× median
27011716
CDM 		Impella 2.5 11 $44,908.00 $52,205.55 $49,398.80 nat. median
$49,399
1.0× median
27900011
CDM 		Impella Cp 11 $44,908.00 $52,205.55 $49,398.80 nat. median
$49,399
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $48,144.90 $57,773.88 $48,144.90 nat. median
$72,138
0.7× median
27805241
CDM 		Pulse Generator 104 11 $43,176.00 $50,192.10 $47,493.60 nat. median
$47,494
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except 12 $45,790.45 $54,948.54 $45,790.45 nat. median
$68,090
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $45,582.74 $54,699.29 $45,582.74 nat. median
$68,887
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $44,873.18 $53,847.82 $44,873.18 nat. median
$66,526
0.7× median
27805376
CDM 		Aspire Generator 105 11 $40,320.80 $46,872.93 $44,352.88 nat. median
$44,353
1.0× median
27818607
CDM 		Wavewriter Alpha Sc-1232 11 $40,219.20 $46,754.82 $44,241.12 nat. median
$44,241
1.0× median
27016041
CDM 		Charging System Alpha Sc-1280f 11 $40,219.20 $46,754.82 $44,241.12 nat. median
$44,241
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $44,043.64 $52,852.37 $44,043.64 nat. median
$64,732
0.7× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made 12 $43,245.71 $51,894.85 $43,245.71 nat. median
$63,738
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 $43,079.93 $51,695.92 $43,079.93 nat. median
$64,027
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 $43,007.04 $51,608.45 $43,007.04 nat. median
$65,950
0.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 12 $41,720.16 $50,064.19 $41,720.16 nat. median
$62,134
0.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 12 $41,653.72 $49,984.46 $41,653.72 nat. median
$64,510
0.6× median
27819207
CDM 		Ins Inceptiv 977119 11 $37,756.80 $43,892.28 $41,532.48 nat. median
$41,532
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 12 $40,792.57 $48,951.08 $40,792.57 nat. median
$60,185
0.7× median
27805496
CDM 		Claria MRI US Dtma1D4 11 $36,835.20 $42,820.92 $40,518.72 nat. median
$40,519
1.0× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimula 12 $39,954.64 $47,945.57 $39,954.64 nat. median
$59,099
0.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 $39,903.04 $47,883.65 $39,903.04 nat. median
$60,691
0.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 $39,721.14 $47,665.37 $39,721.14 nat. median
$59,793
0.7× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 12 $39,401.83 $47,282.20 $39,401.83 nat. median
$59,899
0.7× median

Other procedures at this hospital

Browse this hospital's 19,539 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 12 — — $243,251.15 $291,901.38 $243,251.15 2025-01-29
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 12 — — $181,688.49 $218,026.19 $181,688.49 2025-01-29
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Excep 17 12 — — $138,236.36 $165,883.63 $138,236.36 2025-01-29
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin 17 12 — — $129,726.16 $155,671.39 $129,726.16 2025-01-29
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, 17 12 — — $91,140.32 $109,368.38 $91,140.32 2025-01-29
27008511 CDM Ab Pump Set 00551032ha 13 11 — — $80,722.40 $93,839.79 $88,794.64 2025-01-29
14 MS_DRG Allogeneic Bone Marrow Transplant 17 12 — — $84,507.88 $101,409.46 $84,507.88 2025-01-29
7 MS_DRG Lung Transplant 17 12 — — $84,295.01 $101,154.01 $84,295.01 2025-01-29
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 12 — — $70,266.38 $84,319.66 $70,266.38 2025-01-29
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 12 — — $68,689.22 $82,427.06 $68,689.22 2025-01-29
215 MS_DRG Other Heart Assist System Implant 17 12 — — $68,338.31 $82,005.97 $68,338.31 2025-01-29
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except 17 12 — — $67,611.98 $81,134.38 $67,611.98 2025-01-29
27818792 CDM Generator Sentiva Duo 1000-d 13 11 — — $57,676.00 $67,048.35 $63,443.60 2025-01-29
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 17 12 — — $62,250.29 $74,700.35 $62,250.29 2025-01-29
27800946 CDM Generator Model 1000 13 11 — — $55,997.60 $65,097.21 $61,597.36 2025-01-29
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 12 — — $60,659.59 $72,791.51 $60,659.59 2025-01-29
850 MS_DRG Acute Leukemia With Other Procedures 17 12 — — $59,417.86 $71,301.43 $59,417.86 2025-01-29
27011721 CDM Impella 5.0 13 11 — — $50,296.80 $58,470.03 $55,326.48 2025-01-29
27805381 CDM Aspire Sr 106 13 11 — — $50,295.20 $58,468.17 $55,324.72 2025-01-29
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 12 — — $54,658.01 $65,589.61 $54,658.01 2025-01-29
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, In 17 12 — — $54,627.04 $65,552.45 $54,627.04 2025-01-29
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 12 — — $53,797.50 $64,557.00 $53,797.50 2025-01-29
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 17 12 — — $51,994.58 $62,393.50 $51,994.58 2025-01-29
10 MS_DRG Pancreas Transplant 17 12 — — $51,427.58 $61,713.10 $51,427.58 2025-01-29
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 12 — — $51,131.50 $61,357.80 $51,131.50 2025-01-29
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With M 17 12 — — $50,416.13 $60,499.36 $50,416.13 2025-01-29
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 17 12 — — $49,907.83 $59,889.40 $49,907.83 2025-01-29
27011716 CDM Impella 2.5 13 11 — — $44,908.00 $52,205.55 $49,398.80 2025-01-29
27900011 CDM Impella Cp 13 11 — — $44,908.00 $52,205.55 $49,398.80 2025-01-29
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 12 — — $48,144.90 $57,773.88 $48,144.90 2025-01-29
27805241 CDM Pulse Generator 104 13 11 — — $43,176.00 $50,192.10 $47,493.60 2025-01-29
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except 17 12 — — $45,790.45 $54,948.54 $45,790.45 2025-01-29
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 12 — — $45,582.74 $54,699.29 $45,582.74 2025-01-29
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 12 — — $44,873.18 $53,847.82 $44,873.18 2025-01-29
27805376 CDM Aspire Generator 105 13 11 — — $40,320.80 $46,872.93 $44,352.88 2025-01-29
27818607 CDM Wavewriter Alpha Sc-1232 13 11 — — $40,219.20 $46,754.82 $44,241.12 2025-01-29
27016041 CDM Charging System Alpha Sc-1280f 13 11 — — $40,219.20 $46,754.82 $44,241.12 2025-01-29
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 12 — — $44,043.64 $52,852.37 $44,043.64 2025-01-29
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made 17 12 — — $43,245.71 $51,894.85 $43,245.71 2025-01-29
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 17 12 — — $43,079.93 $51,695.92 $43,079.93 2025-01-29
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 12 — — $43,007.04 $51,608.45 $43,007.04 2025-01-29
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 17 12 — — $41,720.16 $50,064.19 $41,720.16 2025-01-29
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 17 12 — — $41,653.72 $49,984.46 $41,653.72 2025-01-29
27819207 CDM Ins Inceptiv 977119 13 11 — — $37,756.80 $43,892.28 $41,532.48 2025-01-29
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 12 — — $40,792.57 $48,951.08 $40,792.57 2025-01-29
27805496 CDM Claria MRI US Dtma1D4 13 11 — — $36,835.20 $42,820.92 $40,518.72 2025-01-29
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimula 17 12 — — $39,954.64 $47,945.57 $39,954.64 2025-01-29
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 12 — — $39,903.04 $47,883.65 $39,903.04 2025-01-29
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 12 — — $39,721.14 $47,665.37 $39,721.14 2025-01-29
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 12 — — $39,401.83 $47,282.20 $39,401.83 2025-01-29
28 MS_DRG Spinal Procedures With Mcc 17 12 — — $39,213.48 $47,056.18 $39,213.48 2025-01-29
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 17 12 — — $38,932.23 $46,718.68 $38,932.23 2025-01-29
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 17 12 — — $38,932.23 $46,718.68 $38,932.23 2025-01-29
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Wit 17 12 — — $38,641.31 $46,369.57 $38,641.31 2025-01-29
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With 17 12 — — $38,641.31 $46,369.57 $38,641.31 2025-01-29
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 17 12 — — $38,374.91 $46,049.89 $38,374.91 2025-01-29
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 12 — — $38,348.46 $46,018.15 $38,348.46 2025-01-29
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 17 12 — — $37,953.69 $45,544.43 $37,953.69 2025-01-29
27806421 CDM Proclaim 5 Elite 3660 13 11 — — $34,493.60 $40,098.81 $37,942.96 2025-01-29
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 12 — — $37,554.40 $45,065.28 $37,554.40 2025-01-29
27808501 CDM Icd Protecta D314drm 13 11 — — $33,892.80 $39,400.38 $37,282.08 2025-01-29
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, In 17 12 — — $37,019.65 $44,423.58 $37,019.65 2025-01-29
27805566 CDM Dtba1D1 13 11 — — $33,542.40 $38,993.04 $36,896.64 2025-01-29
27806431 CDM Pulse Generator 103 13 11 — — $33,464.00 $38,901.90 $36,810.40 2025-01-29
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal 17 12 — — $36,798.40 $44,158.08 $36,798.40 2025-01-29
27817963 CDM Defibrillator Intica 429559 13 11 — — $32,832.00 $38,167.20 $36,115.20 2025-01-29
27806426 CDM Proclaim Elite 3662 13 11 — — $32,832.00 $38,167.20 $36,115.20 2025-01-29
653 MS_DRG Major Bladder Procedures With Mcc 17 12 — — $35,956.60 $43,147.92 $35,956.60 2025-01-29
27015691 CDM Alpha Ipg Chrg System Sc-1280l 13 11 — — $32,668.00 $37,976.55 $35,934.80 2025-01-29
27808506 CDM Icd Protecta D314vrm 13 11 — — $32,608.80 $37,907.73 $35,869.68 2025-01-29
27818852 CDM Cobalt Icd Dtpa2qq 13 11 — — $32,566.40 $37,858.44 $35,823.04 2025-01-29
834 MS_DRG Acute Leukemia With Mcc 17 12 — — $35,651.49 $42,781.79 $35,651.49 2025-01-29
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except 17 12 — — $35,511.51 $42,613.81 $35,511.51 2025-01-29
27808046 CDM Defibrillator Viva Xt Dtba1d1 13 11 — — $32,157.60 $37,383.21 $35,373.36 2025-01-29
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 12 — — $35,285.10 $42,342.12 $35,285.10 2025-01-29
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 17 12 — — $35,096.10 $42,115.32 $35,096.10 2025-01-29
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 12 — — $35,016.11 $42,019.33 $35,016.11 2025-01-29
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And 17 12 — — $34,837.43 $41,804.92 $34,837.43 2025-01-29
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wit 17 12 — — $34,804.53 $41,765.44 $34,804.53 2025-01-29
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 12 — — $34,800.02 $41,760.02 $34,800.02 2025-01-29
27802581 CDM Pulse Generator Sc-1160 13 11 — — $31,561.60 $36,690.36 $34,717.76 2025-01-29
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 17 12 — — $34,449.11 $41,338.93 $34,449.11 2025-01-29
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Withou 17 12 — — $34,316.23 $41,179.48 $34,316.23 2025-01-29
48100451 CDM Insert Icd System 37 21 — — $1,244.71 $55,612.14 $34,245.60 2025-01-29
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 17 12 — — $34,164.00 $40,996.80 $34,164.00 2025-01-29
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made A 17 12 — — $33,218.35 $39,862.02 $33,218.35 2025-01-29
27802561 CDM Prodigy MRI 3772 13 11 — — $30,140.00 $35,037.75 $33,154.00 2025-01-29
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 17 12 — — $33,109.33 $39,731.20 $33,109.33 2025-01-29
27810271 CDM Wave Writer Ipg Sc-1060a 13 11 — — $30,041.60 $34,923.36 $33,045.76 2025-01-29
27818859 CDM Defib Gen Cobalt Dtpb2d1 13 11 — — $29,876.80 $34,731.78 $32,864.48 2025-01-29
27818591 CDM Defibillator Claria Dtma1qq 13 11 — — $29,876.80 $34,731.78 $32,864.48 2025-01-29
27818309 CDM Defibillator Generator Dtma1d1 13 11 — — $29,876.80 $34,731.78 $32,864.48 2025-01-29
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 17 12 — — $32,860.99 $39,433.19 $32,860.99 2025-01-29
27802576 CDM Pulse Generator Kit Sc1132 13 11 — — $29,836.80 $34,685.28 $32,820.48 2025-01-29
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 17 12 — — $32,760.36 $39,312.43 $32,760.36 2025-01-29
27818853 CDM Dynagen El Icd Is-1 D153 13 11 — — $29,644.00 $34,461.15 $32,608.40 2025-01-29
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And To 17 12 — — $32,488.14 $38,985.77 $32,488.14 2025-01-29
27807746 CDM Activa Pc 37601 13 11 — — $29,442.40 $34,226.79 $32,386.64 2025-01-29
36000376 CDM Insrt Pulse Gen W/Mult Leads 37 21 — — $557.61 $69,775.11 $32,329.00 2025-01-29
48100211 CDM Remove Multi Icd W Replacement 37 21 — — $558.53 $59,020.59 $32,329.00 2025-01-29
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High 17 12 — — $32,296.56 $38,755.87 $32,296.56 2025-01-29
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular 17 12 — — $32,271.41 $38,725.69 $32,271.41 2025-01-29
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 12 — — $32,262.38 $38,714.86 $32,262.38 2025-01-29
27816611 CDM Amplia Defibrillator Dtmb1qq 13 11 — — $29,220.80 $33,969.18 $32,142.88 2025-01-29
228 MS_DRG Other Cardiothoracic Procedures With Mcc 17 12 — — $32,142.40 $38,570.88 $32,142.40 2025-01-29
27818896 CDM Defib Quad Crt-d MRI Dtpb2qq 13 11 — — $29,047.20 $33,767.37 $31,951.92 2025-01-29
245 MS_DRG Aicd Generator Procedures 17 12 — — $31,520.56 $37,824.67 $31,520.56 2025-01-29
471 MS_DRG Cervical Spinal Fusion With Mcc 17 12 — — $31,330.27 $37,596.32 $31,330.27 2025-01-29
6 MS_DRG Liver Transplant Without Mcc 17 12 — — $31,278.02 $37,533.62 $31,278.02 2025-01-29
27816901 CDM Ipg And Charger Sc-1210a 13 11 — — $28,400.00 $33,015.00 $31,240.00 2025-01-29
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With 17 12 — — $30,802.62 $36,963.14 $30,802.62 2025-01-29
799 MS_DRG Splenic Procedures With Mcc 17 12 — — $30,669.09 $36,802.91 $30,669.09 2025-01-29
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 12 — — $30,667.80 $36,801.36 $30,667.80 2025-01-29
27814161 CDM Amplia Surescan Dtmb1d1 13 11 — — $27,868.00 $32,396.55 $30,654.80 2025-01-29
27818641 CDM Femoral Cem Sz7Lt 1504-40-107 13 11 — — $27,603.20 $32,088.72 $30,363.52 2025-01-29
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Wit 17 12 — — $30,345.92 $36,415.10 $30,345.92 2025-01-29
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 17 12 — — $30,183.37 $36,220.04 $30,183.37 2025-01-29
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 12 — — $30,009.20 $36,011.04 $30,009.20 2025-01-29
163 MS_DRG Major Chest Procedures With Mcc 17 12 — — $29,729.89 $35,675.87 $29,729.89 2025-01-29
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 17 12 — — $29,717.64 $35,661.17 $29,717.64 2025-01-29
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 17 12 — — $29,622.81 $35,547.37 $29,622.81 2025-01-29
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 17 12 — — $29,618.94 $35,542.73 $29,618.94 2025-01-29
27810261 CDM Protecta Xt Dr D314drg 13 11 — — $26,505.60 $30,812.76 $29,156.16 2025-01-29
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With 17 12 — — $29,100.32 $34,920.38 $29,100.32 2025-01-29
27805611 CDM Evera MRI Xt Vr Dvmb1D4 13 11 — — $26,444.80 $30,742.08 $29,089.28 2025-01-29
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorder 17 12 — — $28,926.80 $34,712.16 $28,926.80 2025-01-29
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 17 12 — — $28,846.81 $34,616.17 $28,846.81 2025-01-29
27810266 CDM Pulse Generator Kit Sc111002 13 11 — — $26,076.00 $30,313.35 $28,683.60 2025-01-29
901 MS_DRG Wound Debridements For Injuries With Mcc 17 12 — — $28,577.18 $34,292.62 $28,577.18 2025-01-29
27806441 CDM Restore Sensor Surescan 97714 13 11 — — $25,869.60 $30,073.41 $28,456.56 2025-01-29
27808171 CDM Evera Xt Icd-dr Ddbb1d4 13 11 — — $25,846.40 $30,046.44 $28,431.04 2025-01-29
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 12 — — $28,334.00 $34,000.80 $28,334.00 2025-01-29
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Sk 17 12 — — $27,909.55 $33,491.46 $27,909.55 2025-01-29
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, In 17 12 — — $27,851.50 $33,421.80 $27,851.50 2025-01-29
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 17 12 — — $27,514.13 $33,016.96 $27,514.13 2025-01-29
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 17 12 — — $27,474.14 $32,968.97 $27,474.14 2025-01-29
140 MS_DRG Major Head And Neck Procedures With Mcc 17 12 — — $27,279.33 $32,735.20 $27,279.33 2025-01-29
27006641 CDM Ddbb1D1 13 11 — — $24,649.60 $28,655.16 $27,114.56 2025-01-29
31 MS_DRG Ventricular Shunt Procedures With Mcc 17 12 — — $27,029.70 $32,435.64 $27,029.70 2025-01-29
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 17 12 — — $27,027.76 $32,433.31 $27,027.76 2025-01-29
793 MS_DRG Full Term Neonate With Major Problems 17 12 — — $26,902.62 $32,283.14 $26,902.62 2025-01-29
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without 17 12 — — $26,836.83 $32,204.20 $26,836.83 2025-01-29
27800266 CDM Battery Adaptive Sensor 97715 13 11 — — $24,363.20 $28,322.22 $26,799.52 2025-01-29
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 12 — — $26,523.33 $31,828.00 $26,523.33 2025-01-29
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 17 12 — — $26,508.49 $31,810.19 $26,508.49 2025-01-29
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wit 17 12 — — $26,469.15 $31,762.98 $26,469.15 2025-01-29
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 17 12 — — $26,338.84 $31,606.61 $26,338.84 2025-01-29
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 17 12 — — $26,234.99 $31,481.99 $26,234.99 2025-01-29
27815206 CDM Ddmb1d1 13 11 — — $23,810.40 $27,679.59 $26,191.44 2025-01-29
791 MS_DRG Prematurity With Major Problems 17 12 — — $26,189.84 $31,427.81 $26,189.84 2025-01-29
27805616 CDM Evera Xt Dvbb1D1 13 11 — — $23,672.80 $27,519.63 $26,040.08 2025-01-29
27818492 CDM Comp Fem SzDLf 00-5994-014-91 13 11 — — $23,639.20 $27,480.57 $26,003.12 2025-01-29
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 17 12 — — $25,695.73 $30,834.88 $25,695.73 2025-01-29
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malign 17 12 — — $25,677.66 $30,813.19 $25,677.66 2025-01-29
27818460 CDM Momentum Icd Is-1/df-1 D121 13 11 — — $23,142.40 $26,903.04 $25,456.64 2025-01-29
27818592 CDM Vigilante El Icd Df4 D233 13 11 — — $23,142.40 $26,903.04 $25,456.64 2025-01-29
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 17 12 — — $25,455.77 $30,546.92 $25,455.77 2025-01-29
27500086 CDM Evera MRI Xt Dr Ddmb1d4 13 11 — — $23,116.80 $26,873.28 $25,428.48 2025-01-29
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With 17 12 — — $25,397.71 $30,477.25 $25,397.71 2025-01-29
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 17 12 — — $25,346.75 $30,416.10 $25,346.75 2025-01-29
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Ce 17 12 — — $25,345.46 $30,414.55 $25,345.46 2025-01-29
27804761 CDM Stent Graft Main Boddy 13 11 — — $23,012.80 $26,752.38 $25,314.08 2025-01-29
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 17 12 — — $25,221.61 $30,265.93 $25,221.61 2025-01-29
34 MS_DRG Carotid Artery Stent Procedures With Mcc 17 12 — — $25,082.92 $30,099.50 $25,082.92 2025-01-29
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic D 17 12 — — $24,930.69 $29,916.83 $24,930.69 2025-01-29
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 17 12 — — $24,904.89 $29,885.87 $24,904.89 2025-01-29
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 17 12 — — $24,841.03 $29,809.24 $24,841.03 2025-01-29
27807721 CDM 16 Channel Rechargeable 3789 13 11 — — $22,580.00 $26,249.25 $24,838.00 2025-01-29
27818849 CDM Icd Cobalt Df1 Ddpb3d1 13 11 — — $22,572.00 $26,239.95 $24,829.20 2025-01-29
27800711 CDM Evera MRI Xt Dr Ddmb1D4 13 11 — — $22,572.00 $26,239.95 $24,829.20 2025-01-29
27817090 CDM Icd Cobalt Dr MRI Df4 Ddpb3d4 13 11 — — $22,572.00 $26,239.95 $24,829.20 2025-01-29
27817022 CDM Cobalt Surescan Dvpb3d4 13 11 — — $22,572.00 $26,239.95 $24,829.20 2025-01-29
27800706 CDM Evera MRI Xt Ddmb1D1 13 11 — — $22,572.00 $26,239.95 $24,829.20 2025-01-29
27805861 CDM Icd Evera Xt Dvbb1D4 13 11 — — $22,481.60 $26,134.86 $24,729.76 2025-01-29
48100361 CDM Remove Single Icd W/Replacemnt 37 21 — — $517.58 $43,719.30 $24,704.52 2025-01-29
48100446 CDM Insert Icd Generator 37 21 — — $516.66 $41,614.71 $24,704.52 2025-01-29
48100356 CDM Remove Dual Icd W/Replacement 37 21 — — $538.27 $43,719.30 $24,704.52 2025-01-29
36000371 CDM Insrt Pulse Gen W/Dual Leads 37 21 — — $537.36 $51,884.70 $24,704.52 2025-01-29
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significan 17 12 — — $24,655.25 $29,586.30 $24,655.25 2025-01-29
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal 17 12 — — $24,521.08 $29,425.30 $24,521.08 2025-01-29
27808166 CDM Evera Xt Dr Device Ddbb1d1 13 11 — — $22,204.80 $25,813.08 $24,425.28 2025-01-29
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With 17 12 — — $24,330.15 $29,196.18 $24,330.15 2025-01-29
27818675 CDM Femoral RevisSz4Rt 1504-40-204 13 11 — — $22,083.20 $25,671.72 $24,291.52 2025-01-29
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Me 17 12 — — $24,150.82 $28,980.98 $24,150.82 2025-01-29
27818680 CDM Femoral Hinge SzXSmLt 62-3421l 13 11 — — $21,908.00 $25,468.05 $24,098.80 2025-01-29
27818061 CDM Micra Av Device Mc1avr1 13 11 — — $21,751.20 $25,285.77 $23,926.32 2025-01-29
27808156 CDM Eon Mini Stimulator 3788 13 11 — — $21,504.80 $24,999.33 $23,655.28 2025-01-29
27805576 CDM Dynagen El Icd Vr D151 13 11 — — $21,473.60 $24,963.06 $23,620.96 2025-01-29
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 17 12 — — $23,534.15 $28,240.98 $23,534.15 2025-01-29
335 MS_DRG Peritoneal Adhesiolysis With Mcc 17 12 — — $23,376.11 $28,051.33 $23,376.11 2025-01-29
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Wi 17 12 — — $23,123.90 $27,748.68 $23,123.90 2025-01-29
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 17 12 — — $23,122.61 $27,747.13 $23,122.61 2025-01-29
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Devic 17 12 — — $23,117.45 $27,740.94 $23,117.45 2025-01-29
27009206 CDM D153 13 11 — — $21,002.40 $24,415.29 $23,102.64 2025-01-29
265 MS_DRG Aicd Lead Procedures 17 12 — — $23,008.43 $27,610.12 $23,008.43 2025-01-29
27805391 CDM Battery Prime 97702 13 11 — — $20,899.20 $24,295.32 $22,989.12 2025-01-29
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur W 17 12 — — $22,905.87 $27,487.04 $22,905.87 2025-01-29
27818008 CDM Cage Corpectomy7512-21628l0-g3 13 11 — — $20,716.00 $24,082.35 $22,787.60 2025-01-29
27818089 CDM Cage Corp13x16 7512-21624l0-g3 13 11 — — $20,716.00 $24,082.35 $22,787.60 2025-01-29
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 17 12 — — $22,765.25 $27,318.30 $22,765.25 2025-01-29
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip A 17 12 — — $22,707.84 $27,249.41 $22,707.84 2025-01-29
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 17 12 — — $22,600.11 $27,120.13 $22,600.11 2025-01-29
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With 17 12 — — $22,596.24 $27,115.49 $22,596.24 2025-01-29
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without 17 12 — — $22,583.99 $27,100.79 $22,583.99 2025-01-29
27819203 CDM Hf Nail 10.5x210 Ar-9090-02s 13 11 — — $20,520.00 $23,854.50 $22,572.00 2025-01-29
27819009 CDM Hindfoot Nail Ar-9090-05s 13 11 — — $20,520.00 $23,854.50 $22,572.00 2025-01-29
27819084 CDM Hndft Nail12.5x180 Ar-9090-09s 13 11 — — $20,520.00 $23,854.50 $22,572.00 2025-01-29
27500031 CDM E161 C1785 Cathlab 13 11 — — $20,512.80 $23,846.13 $22,564.08 2025-01-29
264 MS_DRG Other Circulatory System O.r. Procedures 17 12 — — $22,543.99 $27,052.79 $22,543.99 2025-01-29
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 17 12 — — $22,397.56 $26,877.07 $22,397.56 2025-01-29
332 MS_DRG Rectal Resection With Mcc 17 12 — — $22,373.70 $26,848.44 $22,373.70 2025-01-29
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 17 12 — — $22,349.19 $26,819.03 $22,349.19 2025-01-29
271 MS_DRG Other Major Cardiovascular Procedures With Cc 17 12 — — $22,218.24 $26,661.89 $22,218.24 2025-01-29
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 17 12 — — $22,182.12 $26,618.54 $22,182.12 2025-01-29
665 MS_DRG Prostatectomy With Mcc 17 12 — — $22,147.28 $26,576.74 $22,147.28 2025-01-29
252 MS_DRG Other Vascular Procedures With Mcc 17 12 — — $22,126.64 $26,551.97 $22,126.64 2025-01-29
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 17 12 — — $22,092.45 $26,510.94 $22,092.45 2025-01-29
27817194 CDM Pacemaker Generator Cd2357-40q 13 11 — — $20,068.80 $23,329.98 $22,075.68 2025-01-29
27817109 CDM Wound Matrix Bmw8101 16 12 — — $17.46 $24,130.71 $22,054.95 2025-01-29
27818644 CDM Base Tibial Sz7 1506-60-007 13 11 — — $20,036.00 $23,291.85 $22,039.60 2025-01-29
48100926 CDM Des Revasc, Ami, Single Vessel 13 11 — — $20,000.00 $23,250.00 $22,000.00 2025-01-29
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 17 12 — — $21,975.70 $26,370.84 $21,975.70 2025-01-29
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 17 12 — — $21,880.23 $26,256.28 $21,880.23 2025-01-29
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 17 12 — — $21,651.24 $25,981.49 $21,651.24 2025-01-29
27801646 CDM Medial Fem Hemi Graft 32247001 13 11 — — $19,540.80 $22,716.18 $21,494.88 2025-01-29
27818194 CDM Defibillator Visia Dvfb1d1 13 11 — — $19,494.40 $22,662.24 $21,443.84 2025-01-29
27805261 CDM Visia Af Vr Surescan Dvfb1D4 13 11 — — $19,494.40 $22,662.24 $21,443.84 2025-01-29
37 MS_DRG Extracranial Procedures With Mcc 17 12 — — $21,420.31 $25,704.37 $21,420.31 2025-01-29
27817070 CDM SureScan Defibillator Dvpb3d1 13 11 — — $19,464.80 $22,627.83 $21,411.28 2025-01-29
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 17 12 — — $21,297.75 $25,557.30 $21,297.75 2025-01-29
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extrem 17 12 — — $21,083.59 $25,300.31 $21,083.59 2025-01-29
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 17 12 — — $21,022.95 $25,227.54 $21,022.95 2025-01-29
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 17 12 — — $21,013.92 $25,216.70 $21,013.92 2025-01-29
48100061 CDM Coronary Des Add Vessel 13 11 — — $18,945.60 $22,024.26 $20,840.16 2025-01-29
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 17 12 — — $20,793.96 $24,952.75 $20,793.96 2025-01-29
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular 17 12 — — $20,668.82 $24,802.58 $20,668.82 2025-01-29
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without 17 12 — — $20,609.48 $24,731.38 $20,609.48 2025-01-29
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 17 12 — — $20,573.35 $24,688.02 $20,573.35 2025-01-29
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/ 17 12 — — $20,514.01 $24,616.81 $20,514.01 2025-01-29
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services 17 12 — — $20,472.72 $24,567.26 $20,472.72 2025-01-29
500 MS_DRG Soft Tissue Procedures With Mcc 17 12 — — $20,438.54 $24,526.25 $20,438.54 2025-01-29
48100901 CDM Coronary Des, Add'L Vessel 13 11 — — $18,573.60 $21,591.81 $20,430.96 2025-01-29
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 17 12 — — $20,130.85 $24,157.02 $20,130.85 2025-01-29
662 MS_DRG Minor Bladder Procedures With Mcc 17 12 — — $20,121.81 $24,146.17 $20,121.81 2025-01-29
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 17 12 — — $20,036.02 $24,043.22 $20,036.02 2025-01-29
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures W 17 12 — — $19,946.36 $23,935.63 $19,946.36 2025-01-29
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 17 12 — — $19,905.08 $23,886.10 $19,905.08 2025-01-29
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With 17 12 — — $19,890.89 $23,869.07 $19,890.89 2025-01-29
27807956 CDM Cartiform Abs-1102-25 13 11 — — $18,057.60 $20,991.96 $19,863.36 2025-01-29
652 MS_DRG Kidney Transplant 17 12 — — $19,810.90 $23,773.08 $19,810.90 2025-01-29
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnos 17 12 — — $19,792.84 $23,751.41 $19,792.84 2025-01-29
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 17 12 — — $19,728.33 $23,674.00 $19,728.33 2025-01-29
27817695 CDM Defibrillator SureScan Dvfc3d4 13 11 — — $17,852.80 $20,753.88 $19,638.08 2025-01-29
570 MS_DRG Skin Debridement With Mcc 17 12 — — $19,418.71 $23,302.45 $19,418.71 2025-01-29
27818073 CDM Micra Pacing Mc1vr01us 13 11 — — $17,647.20 $20,514.87 $19,411.92 2025-01-29
974 MS_DRG HIV With Major Related Condition With Mcc 17 12 — — $19,261.31 $23,113.57 $19,261.31 2025-01-29
48000096 CDM Implant Leadless Pacemaker Ccl 37 21 — — $574.09 $27,194.13 $19,032.70 2025-01-29
48100441 CDM Remove Multi Ppm W/Replacement 37 21 — — $514.94 $33,480.00 $19,032.70 2025-01-29
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And 17 12 — — $19,020.06 $22,824.07 $19,020.06 2025-01-29
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 17 12 — — $18,971.04 $22,765.25 $18,971.04 2025-01-29
27804886 CDM Synchromed Ii Pump 8637-40 13 11 — — $17,236.80 $20,037.78 $18,960.48 2025-01-29
27819195 CDM Si Screw 11.5x45 Sh1245 13 11 — — $17,236.80 $20,037.78 $18,960.48 2025-01-29
27818632 CDM Screw Si 9.5x35mm 900.095.35 13 11 — — $17,236.80 $20,037.78 $18,960.48 2025-01-29
27819306 CDM Si Screw 8.5x40mm S3h0840 13 11 — — $17,236.80 $20,037.78 $18,960.48 2025-01-29
27818722 CDM Screw Si 40mm Headless 13 11 — — $17,236.80 $20,037.78 $18,960.48 2025-01-29
27818717 CDM Screw Si 9.5x45mm 900.095.45 13 11 — — $17,236.80 $20,037.78 $18,960.48 2025-01-29
27818888 CDM Screw Si 9.5x40mm 900.095.40 13 11 — — $17,236.80 $20,037.78 $18,960.48 2025-01-29
27807486 CDM Synchromed 117Cc Pump 8637-20 13 11 — — $17,236.80 $20,037.78 $18,960.48 2025-01-29
27819198 CDM Si Screw 10x40 Sh1040 13 11 — — $17,236.80 $20,037.78 $18,960.48 2025-01-29
27819024 CDM Screw Si 9.5x50 900.095.50 13 11 — — $17,236.80 $20,037.78 $18,960.48 2025-01-29
27819311 CDM Si Screw 8.5x45 S3h0845 13 11 — — $17,236.80 $20,037.78 $18,960.48 2025-01-29
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 17 12 — — $18,918.14 $22,701.77 $18,918.14 2025-01-29
27808361 CDM Generator Active 37602 13 11 — — $17,148.80 $19,935.48 $18,863.68 2025-01-29
668 MS_DRG Transurethral Procedures With Mcc 17 12 — — $18,810.42 $22,572.50 $18,810.42 2025-01-29
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 17 12 — — $18,800.74 $22,560.89 $18,800.74 2025-01-29
800 MS_DRG Splenic Procedures With Cc 17 12 — — $18,794.29 $22,553.15 $18,794.29 2025-01-29
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And To 17 12 — — $18,783.97 $22,540.76 $18,783.97 2025-01-29
472 MS_DRG Cervical Spinal Fusion With Cc 17 12 — — $18,687.21 $22,424.65 $18,687.21 2025-01-29
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 17 12 — — $18,493.05 $22,191.66 $18,493.05 2025-01-29
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With 17 12 — — $18,471.77 $22,166.12 $18,471.77 2025-01-29
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 17 12 — — $18,461.45 $22,153.74 $18,461.45 2025-01-29
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedure 17 12 — — $18,435.64 $22,122.77 $18,435.64 2025-01-29
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With 17 12 — — $18,362.75 $22,035.30 $18,362.75 2025-01-29
654 MS_DRG Major Bladder Procedures With Cc 17 12 — — $18,202.78 $21,843.34 $18,202.78 2025-01-29
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 17 12 — — $18,114.41 $21,737.29 $18,114.41 2025-01-29
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 17 12 — — $18,096.34 $21,715.61 $18,096.34 2025-01-29
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 17 12 — — $17,815.10 $21,378.12 $17,815.10 2025-01-29
48100906 CDM Cor Ather/Des, Single Vessel 34 21 — — $14,986.90 $29,760.00 $17,793.28 2025-01-29
48100976 CDM Revasc Lithotr-stent Tib/Per 34 21 — — $14,986.90 $25,161.15 $17,793.28 2025-01-29
48100956 CDM Revasc Intra Lithotrip-stent 34 21 — — $14,986.90 $25,161.15 $17,793.28 2025-01-29
48100986 CDM Revasc Lith-sten-ath Tib/Per 34 21 — — $14,986.90 $25,161.15 $17,793.28 2025-01-29
48100961 CDM Revasc Intra Lithotrip-ather 34 21 — — $14,986.90 $25,161.15 $17,793.28 2025-01-29
48100931 CDM Des Revasc, Cto, Single Vessel 34 21 — — $14,986.90 $27,900.00 $17,793.28 2025-01-29
48100966 CDM Revasc Lithotrip-stent-ather 34 21 — — $14,986.90 $25,161.15 $17,793.28 2025-01-29
48100981 CDM Revasc Lithotr-ather Tib/Per 34 21 — — $14,986.90 $25,161.15 $17,793.28 2025-01-29
27818683 CDM Base Tibial Sz4 1506-60-004 13 11 — — $16,028.80 $18,633.48 $17,631.68 2025-01-29
288 MS_DRG Acute And Subacute Endocarditis With Mcc 17 12 — — $17,618.36 $21,142.03 $17,618.36 2025-01-29
619 MS_DRG O.r. Procedures For Obesity With Mcc 17 12 — — $17,586.75 $21,104.10 $17,586.75 2025-01-29
963 MS_DRG Other Multiple Significant Trauma With Mcc 17 12 — — $17,523.54 $21,028.25 $17,523.54 2025-01-29
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 17 12 — — $17,502.90 $21,003.48 $17,502.90 2025-01-29
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