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

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Hospital

CONCORD HOSPITAL

Concord, NH · CCN 300001 · Rates published

10,480 distinct procedures filed
16 distinct payers
732,090 rate rows
2026-07-15 last MRF observed
Data quality

723,291 of 732,090 rate rows are consumer-grade (98.8%)

8,799 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,878
template filing: same amount across many unrelated codes — excluded 792
exceeds 10× this hospital's gross charge — excluded from medians 696
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 351
placeholder amount (≤ $0.02) — excluded from medians 52
per-diem day rate — not a per-procedure price 30
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.concordhospital.org/app/files/public/7596681e-a594-49fb-8bd7-e41379e5fb2c/222594672_concord-hospital_standardcharges.csv
Found on page https://www.concordhospital.org/patients-visitors/cost-of-care-estimates/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint 2cf2275ac823a8fc… · 199,646,035 bytes · first seen 2026-05-06

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 15 $302,348.69 $1,523,268.49 $912,808.59 nat. median
$370,165
outlier · 2.5×
7
MS_DRG 		Lung Transplant 14 $90,672.12 $1,151,932.42 $621,302.27 nat. median
$122,690
outlier · 5.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $196,212.14 $713,740.71 $454,976.42 nat. median
$261,939
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $96,981.96 $1,399,040.35 $301,265.95 nat. median
$132,706
outlier · 2.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $149,487.66 $436,468.27 $292,977.97 nat. median
$205,166
1.4× median
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $286,760.56 $286,760.56 $286,760.56 nat. median
$1
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 1 $271,269.18 $271,269.18 $271,269.18 nat. median
$38,932
outlier · 7.0×
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $258,198.45 $258,198.45 $258,198.45 nat. median
$380,401
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $79,340.73 $400,987.57 $240,164.15 nat. median
$108,240
outlier · 2.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $69,364.78 $1,561,573.78 $230,611.79 nat. median
$199,832
1.2× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 15 $42,858.89 $394,595.69 $218,727.29 nat. median
$60,294
outlier · 3.6×
6
MS_DRG 		Liver Transplant Without Mcc 14 $32,466.42 $326,487.24 $179,476.83 nat. median
$46,106
outlier · 3.9×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 14 $39,241.17 $315,267.46 $177,254.32 nat. median
$53,073
outlier · 3.3×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 $48,156.30 $288,005.66 $168,080.98 nat. median
$65,792
outlier · 2.6×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $72,190.00 $262,598.12 $167,394.06 nat. median
$99,646
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 15 $69,714.93 $253,594.84 $161,654.89 nat. median
$98,002
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 15 $45,053.20 $502,548.64 $160,629.42 nat. median
$62,218
outlier · 2.6×
570
MS_DRG 		Skin Debridement With Mcc 15 $20,592.41 $299,198.11 $159,895.26 nat. median
$29,069
outlier · 5.5×
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 $33,637.79 $249,423.18 $141,530.48 nat. median
$46,754
outlier · 3.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $59,022.79 $214,701.12 $136,861.95 nat. median
$79,040
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $58,837.25 $214,026.20 $136,431.73 nat. median
$80,459
1.7× median
653
MS_DRG 		Major Bladder Procedures With Mcc 15 $36,383.11 $230,417.55 $133,400.33 nat. median
$51,176
outlier · 2.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $55,094.19 $527,127.11 $130,654.12 nat. median
$77,385
1.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $53,760.39 $195,558.62 $124,659.51 nat. median
$74,472
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $53,528.63 $221,066.86 $124,122.12 nat. median
$73,475
1.7× median
10
MS_DRG 		Pancreas Transplant 14 $50,241.38 $193,817.59 $122,029.49 nat. median
$67,750
1.8× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 15 $34,919.78 $202,964.47 $118,942.12 nat. median
$48,124
outlier · 2.5×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 $38,669.84 $199,182.50 $118,926.17 nat. median
$55,446
outlier · 2.1×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 $37,065.07 $196,766.30 $116,915.68 nat. median
$54,267
outlier · 2.2×
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 15 $76,136.10 $148,868.05 $112,502.07 nat. median
$100,978
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 15 $48,393.66 $278,305.94 $112,215.15 nat. median
$65,958
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $5,824.00 $249,158.13 $106,290.12 nat. median
$92,900
1.1× median
63052
CPT 		Lam Facetc/frmt Arthrd Lum 1 12 $13,348.11 $145,246.00 $104,482.71 nat. median
$2,375
outlier · 44.0×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 $22,246.88 $190,459.71 $104,248.36 nat. median
$34,270
outlier · 3.0×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 $42,908.61 $262,823.04 $99,496.41 nat. median
$60,162
1.7× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 15 $42,447.90 $154,408.36 $98,428.13 nat. median
$59,257
1.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 $49,924.21 $145,766.77 $97,845.49 nat. median
$68,581
1.4× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $46,037.62 $324,642.29 $97,195.25 nat. median
$63,840
1.5× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 $40,121.27 $152,810.16 $96,465.71 nat. median
$55,685
1.7× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 14 $41,517.39 $151,023.53 $96,270.46 nat. median
$55,867
1.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 $47,128.47 $171,434.39 $95,401.67 nat. median
$64,357
1.5× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 13 $44,195.39 $145,748.98 $94,972.18 nat. median
$83,623
1.1× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 $41,062.98 $146,169.44 $93,616.21 nat. median
$56,397
1.7× median
266
OTHER 		Acute Leukemia Without Major O.r. Procedures Age 0-17 1 $93,036.99 $93,036.99 $93,036.99 nat. median
$60,180
1.5× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 15 $38,302.25 $139,328.16 $88,815.21 nat. median
$52,517
1.7× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 $38,187.43 $138,910.48 $88,548.96 nat. median
$52,447
1.7× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 $38,247.64 $225,387.30 $88,410.22 nat. median
$53,013
1.7× median
347
MS_DRG 		Anal And Stomal Procedures With Mcc 15 $16,072.87 $157,113.39 $86,593.13 nat. median
$22,956
outlier · 3.8×
970
MS_DRG 		HIV With Extensive O.r. Procedures Without Mcc 15 $18,466.02 $154,625.02 $86,545.52 nat. median
$26,166
outlier · 3.3×
835
OTHER 		Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 1 $85,626.02 $85,626.02 $85,626.02 nat. median
$4,366
outlier · 19.6×

Other procedures at this hospital

Browse this hospital's 10,480 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 15 — — $302,348.69 $1,523,268.49 $912,808.59 2026-07-15
7 MS_DRG Lung Transplant 22 14 — — $90,672.12 $1,151,932.42 $621,302.27 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 14 — — $196,212.14 $713,740.71 $454,976.42 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 15 — — $96,981.96 $1,399,040.35 $301,265.95 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 15 — — $149,487.66 $436,468.27 $292,977.97 2026-07-15
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 1 — — $286,760.56 $286,760.56 $286,760.56 2026-07-15
166 OTHER Other Respiratory System O.r. Procedures With Mcc 1 1 — — $271,269.18 $271,269.18 $271,269.18 2026-07-15
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $258,198.45 $258,198.45 $258,198.45 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 14 — — $79,340.73 $400,987.57 $240,164.15 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 15 — — $69,364.78 $1,561,573.78 $230,611.79 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 15 — — $42,858.89 $394,595.69 $218,727.29 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 22 14 — — $32,466.42 $326,487.24 $179,476.83 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 22 14 — — $39,241.17 $315,267.46 $177,254.32 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 15 — — $48,156.30 $288,005.66 $168,080.98 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 22 14 — — $72,190.00 $262,598.12 $167,394.06 2026-07-15
215 MS_DRG Other Heart Assist System Implant 23 15 — — $69,714.93 $253,594.84 $161,654.89 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 15 — — $45,053.20 $502,548.64 $160,629.42 2026-07-15
570 MS_DRG Skin Debridement With Mcc 23 15 — — $20,592.41 $299,198.11 $159,895.26 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 15 — — $33,637.79 $249,423.18 $141,530.48 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 23 15 — — $59,022.79 $214,701.12 $136,861.95 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 15 — — $58,837.25 $214,026.20 $136,431.73 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 23 15 — — $36,383.11 $230,417.55 $133,400.33 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 23 15 — — $55,094.19 $527,127.11 $130,654.12 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 15 — — $53,760.39 $195,558.62 $124,659.51 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 15 — — $53,528.63 $221,066.86 $124,122.12 2026-07-15
10 MS_DRG Pancreas Transplant 22 14 — — $50,241.38 $193,817.59 $122,029.49 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 23 15 — — $34,919.78 $202,964.47 $118,942.12 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 15 — — $38,669.84 $199,182.50 $118,926.17 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 23 15 — — $37,065.07 $196,766.30 $116,915.68 2026-07-15
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 23 15 — — $76,136.10 $148,868.05 $112,502.07 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 23 15 — — $48,393.66 $278,305.94 $112,215.15 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 15 — — $5,824.00 $249,158.13 $106,290.12 2026-07-15
63052 CPT Lam Facetc/frmt Arthrd Lum 1 18 12 $145,246.00 $43,573.80 70% off $13,348.11 $145,246.00 $104,482.71 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 23 15 — — $22,246.88 $190,459.71 $104,248.36 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 23 15 — — $42,908.61 $262,823.04 $99,496.41 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 23 15 — — $42,447.90 $154,408.36 $98,428.13 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 23 15 — — $49,924.21 $145,766.77 $97,845.49 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 15 — — $46,037.62 $324,642.29 $97,195.25 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 15 — — $40,121.27 $152,810.16 $96,465.71 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 22 14 — — $41,517.39 $151,023.53 $96,270.46 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 23 15 — — $47,128.47 $171,434.39 $95,401.67 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 19 13 — — $44,195.39 $145,748.98 $94,972.18 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 23 15 — — $41,062.98 $146,169.44 $93,616.21 2026-07-15
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 1 1 — — $93,036.99 $93,036.99 $93,036.99 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 15 — — $38,302.25 $139,328.16 $88,815.21 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 15 — — $38,187.43 $138,910.48 $88,548.96 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 23 15 — — $38,247.64 $225,387.30 $88,410.22 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 23 15 — — $16,072.87 $157,113.39 $86,593.13 2026-07-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 23 15 — — $18,466.02 $154,625.02 $86,545.52 2026-07-15
835 OTHER Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 1 1 — — $85,626.02 $85,626.02 $85,626.02 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 15 — — $37,941.82 $440,875.91 $82,790.21 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 23 15 — — $41,089.59 $189,903.87 $80,530.69 2026-07-15
849 MS_DRG Radiotherapy 23 15 — — $18,970.84 $141,729.12 $80,349.98 2026-07-15
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 23 15 — — $9,911.46 $150,526.21 $80,218.84 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 15 — — $34,459.77 $125,350.78 $79,905.27 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 23 15 — — $32,917.32 $126,038.46 $79,477.89 2026-07-15
277 MS_DRG Cellulitis Age >17 W Cc 23 15 — — $32,336.89 $124,048.93 $78,192.91 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 22 14 — — $34,573.91 $120,774.37 $77,674.14 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 23 15 — — $31,379.77 $244,998.31 $77,540.48 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 23 15 — — $33,333.22 $169,030.85 $77,293.02 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 15 — — $35,289.46 $118,899.24 $77,094.35 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 15 — — $32,752.08 $119,138.89 $75,945.49 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 23 15 — — $27,895.07 $122,577.40 $75,236.24 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 23 15 — — $33,808.63 $207,360.86 $74,749.76 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 23 15 — — $32,182.85 $270,564.31 $74,625.55 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 23 15 — — $32,100.94 $116,770.27 $74,435.60 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 15 — — $37,338.13 $208,324.17 $73,178.28 2026-07-15
215 OTHER Other Heart Assist System Implant 1 1 — — $72,679.45 $72,679.45 $72,679.45 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 23 15 — — $31,247.44 $113,619.83 $72,433.63 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 23 15 — — $31,370.67 $112,847.54 $72,109.10 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 23 15 — — $25,946.53 $116,717.82 $71,332.18 2026-07-15
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $71,018.00 $71,018.00 $71,018.00 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 15 — — $29,569.16 $115,092.55 $70,446.15 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 23 15 — — $29,863.92 $108,632.93 $69,248.43 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 23 15 — — $27,034.58 $111,279.18 $69,156.88 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 23 15 — — $29,518.75 $107,377.31 $68,448.03 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 23 15 — — $29,417.92 $107,010.55 $68,214.24 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 23 15 — — $29,077.64 $109,180.67 $67,425.20 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 15 — — $36,942.54 $285,801.75 $67,363.23 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 23 15 — — $34,639.72 $188,682.47 $67,299.13 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 23 15 — — $28,885.10 $150,691.55 $66,978.73 2026-07-15
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $66,178.68 $66,178.68 $66,178.68 2026-07-15
333 MS_DRG Rectal Resection With Cc 23 15 — — $16,399.15 $115,380.38 $65,889.76 2026-07-15
37227 CPT Fem/popl Revasc Stnt & Ather 24 16 $105,864.00 $31,759.20 70% off $9,728.90 $125,437.73 $65,206.93 2026-07-15
503 MS_DRG Foot Procedures With Mcc 23 15 — — $19,542.17 $108,750.23 $64,146.20 2026-07-15
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 23 15 — — $13,780.55 $127,685.80 $63,881.48 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 15 — — $29,214.88 $199,673.98 $63,673.81 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 23 15 — — $27,265.63 $99,181.38 $63,223.50 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 15 — — $39,905.62 $116,514.88 $63,167.34 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 23 15 — — $20,613.41 $104,966.78 $62,687.35 2026-07-15
245 MS_DRG Aicd Generator Procedures 23 15 — — $31,944.10 $93,269.14 $62,606.62 2026-07-15
974 OTHER HIV With Major Related Condition With Mcc 1 1 — — $62,393.67 $62,393.67 $62,393.67 2026-07-15
799 MS_DRG Splenectomy With Mcc 23 15 — — $31,709.55 $92,960.47 $62,335.01 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 23 15 — — $31,834.17 $171,841.08 $61,724.65 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 19 13 — — $28,581.28 $94,256.28 $61,418.78 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 23 15 — — $50,220.38 $72,082.33 $61,151.36 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 15 — — $26,232.19 $95,422.16 $60,827.18 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 15 — — $32,850.11 $220,421.32 $60,592.50 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 23 15 — — $26,347.02 $940,928.77 $60,575.59 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 23 15 — — $29,328.30 $240,738.10 $60,298.32 2026-07-15
908 MS_DRG Other O.r. Procedures For Injuries With Cc 23 15 — — $13,969.59 $131,643.33 $59,983.90 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 23 15 — — $25,717.58 $93,550.18 $59,633.88 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 15 — — $34,578.10 $156,782.38 $59,596.62 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 23 15 — — $42,067.71 $76,934.47 $59,501.09 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 23 15 — — $25,405.31 $92,414.27 $58,909.79 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 15 — — $25,385.70 $92,342.95 $58,864.32 2026-07-15
37230 CPT Tib/per Revasc W/stent 24 16 $95,288.00 $28,586.40 70% off $8,756.97 $114,861.73 $58,692.64 2026-07-15
652 MS_DRG Kidney Transplant 22 14 — — $22,611.67 $94,344.24 $58,477.96 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 23 15 — — $22,158.66 $94,237.97 $58,198.32 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 23 15 — — $25,085.33 $91,250.33 $58,167.83 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 23 15 — — $25,027.22 $91,038.94 $58,033.08 2026-07-15
332 MS_DRG Rectal Resection With Mcc 23 15 — — $25,350.69 $90,491.72 $57,921.21 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 23 15 — — $26,167.08 $111,444.13 $57,900.46 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 15 — — $41,751.24 $239,262.55 $57,779.55 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 23 15 — — $24,899.79 $128,166.06 $57,737.60 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 23 15 — — $29,382.91 $85,791.09 $57,587.00 2026-07-15
265 MS_DRG Aicd Lead Procedures 23 15 — — $25,333.19 $89,147.76 $57,240.47 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 23 15 — — $27,101.09 $86,869.34 $56,985.21 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 23 15 — — $24,423.68 $279,504.36 $56,633.60 2026-07-15
276 MS_DRG Non-maligant Breast Disorders 23 15 — — $42,055.81 $70,317.29 $56,186.55 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 15 — — $46,037.62 $66,078.74 $56,058.18 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 15 — — $45,870.28 $65,838.55 $55,854.42 2026-07-15
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $55,510.65 $55,510.65 $55,510.65 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 23 15 — — $22,354.71 $88,087.07 $55,220.89 2026-07-15
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $54,820.48 $54,820.48 $54,820.48 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 23 15 — — $25,002.01 $83,870.07 $54,436.04 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 23 15 — — $22,550.75 $86,286.73 $54,418.74 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 15 — — $27,389.56 $79,970.97 $53,680.26 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 15 — — $36,446.13 $70,708.36 $53,577.25 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 15 — — $30,756.63 $175,938.84 $53,349.84 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 23 15 — — $24,187.73 $114,197.40 $53,043.67 2026-07-15
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 23 15 — — $12,218.49 $93,718.71 $52,968.60 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 23 15 — — $22,774.80 $112,097.28 $52,810.18 2026-07-15
598 MS_DRG Malignant Breast Disorders With Cc 23 15 — — $7,920.91 $96,452.26 $52,186.58 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 23 15 — — $22,291.69 $81,088.20 $51,689.94 2026-07-15
37225 CPT Fem/popl Revas W/ather 24 16 $83,813.00 $25,143.90 70% off $7,702.41 $103,386.73 $51,624.62 2026-07-15
37221 CPT Iliac Revasc W/stent 24 16 $83,562.00 $25,068.60 70% off $7,679.35 $95,888.39 $51,470.01 2026-07-15
37226 CPT Fem/popl Revasc W/stent 24 16 $83,058.00 $24,917.40 70% off $7,633.03 $95,384.39 $51,159.57 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 23 15 — — $22,051.54 $249,378.89 $51,133.08 2026-07-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 19 13 — — $23,604.57 $95,368.54 $50,724.25 2026-07-15
665 MS_DRG Prostatectomy With Mcc 23 15 — — $21,853.39 $79,493.84 $50,673.61 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 23 15 — — $26,169.88 $74,854.15 $50,512.01 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 23 15 — — $18,947.73 $99,981.58 $50,160.81 2026-07-15
263 MS_DRG Vein Ligation And Stripping 23 15 — — $21,406.69 $148,513.58 $49,637.81 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 23 15 — — $21,237.25 $77,252.57 $49,244.91 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 15 — — $31,848.18 $167,239.04 $49,213.53 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 23 15 — — $25,288.38 $72,623.85 $48,956.11 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 23 15 — — $30,057.17 $67,395.91 $48,726.54 2026-07-15
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml IV Soln 1.2 Ml 42 15 $58,961.00 $17,688.30 70% off $2,429.89 $147,402.00 $48,123.97 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 23 15 — — $29,504.04 $196,904.80 $48,101.20 2026-07-15
800 MS_DRG Splenectomy With Cc 23 15 — — $19,670.30 $76,291.16 $47,980.73 2026-07-15
37229 CPT Tib/per Revasc W/ather 24 16 $77,872.00 $23,361.60 70% off $7,156.44 $97,445.73 $47,965.26 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 23 15 — — $20,444.67 $74,369.48 $47,407.07 2026-07-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 23 15 — — $17,113.31 $114,724.87 $47,373.34 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 23 15 — — $20,306.04 $73,865.20 $47,085.62 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 23 15 — — $20,177.21 $73,396.56 $46,786.89 2026-07-15
213 OTHER Splenic Procedures Age 0-17 1 1 — — $46,627.70 $46,627.70 $46,627.70 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 23 15 — — $25,707.07 $207,603.65 $46,563.88 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 23 15 — — $26,881.24 $76,056.11 $45,703.55 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 23 15 — — $19,599.58 $143,935.01 $45,447.47 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 23 15 — — $23,128.39 $67,529.36 $45,328.88 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 23 15 — — $35,404.03 $55,170.98 $45,287.50 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 23 15 — — $23,047.17 $112,790.73 $45,169.69 2026-07-15
745 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 23 15 — — $7,964.32 $129,546.59 $45,045.80 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 23 15 — — $19,304.11 $128,895.16 $44,762.35 2026-07-15
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 23 15 — — $10,218.84 $78,878.97 $44,548.90 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 23 15 — — $24,691.84 $124,722.36 $44,497.77 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 23 15 — — $22,674.68 $66,204.66 $44,439.67 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 23 15 — — $19,140.97 $237,696.79 $44,384.06 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 23 15 — — $24,305.35 $64,056.51 $44,180.93 2026-07-15
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 23 15 — — $9,984.98 $77,853.98 $43,919.48 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 8 — — $5,125.05 $59,729.43 $43,872.28 2026-07-15
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $43,734.27 $43,734.27 $43,734.27 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 23 15 — — $24,943.90 $61,982.45 $43,463.18 2026-07-15
509 MS_DRG Arthroscopy 19 13 — — $14,084.49 $72,568.18 $43,326.33 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 23 15 — — $20,390.76 $167,656.23 $43,195.14 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 23 15 — — $18,624.26 $67,747.54 $43,185.90 2026-07-15
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — — $43,136.29 $43,136.29 $43,136.29 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 15 — — $14,555.23 $71,699.46 $43,127.35 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 23 15 — — $21,145.53 $65,097.48 $43,121.50 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 23 15 — — $21,999.73 $64,233.95 $43,116.84 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 23 15 — — $21,769.37 $64,421.58 $43,095.47 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 23 15 — — $22,477.94 $63,016.40 $42,747.17 2026-07-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 23 15 — — $15,318.80 $69,922.92 $42,620.86 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 23 15 — — $20,627.41 $141,736.62 $42,373.50 2026-07-15
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 23 15 — — $5,014.55 $79,289.23 $42,151.89 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 23 15 — — $18,173.35 $136,117.16 $42,140.35 2026-07-15
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 23 15 — — $11,492.43 $72,580.17 $42,036.30 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 23 15 — — $18,083.73 $65,781.33 $41,932.53 2026-07-15
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 23 15 — — $14,106.82 $69,728.86 $41,917.84 2026-07-15
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 23 15 — — $30,298.72 $241,190.53 $41,730.07 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 23 15 — — $23,886.66 $83,232.70 $41,602.97 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 23 15 — — $17,875.08 $115,002.34 $41,448.72 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 23 15 — — $21,148.33 $61,412.99 $41,280.66 2026-07-15
J9600 HCPCS Porfimer Sodium 75 Mg Inj 2.5 Mg/ml 30 Ml 26 15 $52,600.00 $15,780.00 70% off $4,833.94 $52,600.00 $41,214.73 2026-07-15
114 MS_DRG Orbital Procedures Without Cc/mcc 23 15 — — $9,473.16 $72,399.97 $40,936.57 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 23 15 — — $20,318.64 $147,186.05 $40,852.81 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 23 15 — — $19,407.74 $82,043.36 $40,796.11 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 23 15 — — $15,280.99 $66,194.11 $40,737.55 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 23 15 — — $26,093.56 $54,815.89 $40,454.72 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 23 15 — — $22,313.40 $102,907.60 $40,217.49 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 23 15 — — $18,058.53 $61,475.81 $39,767.17 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 23 15 — — $19,240.40 $97,367.03 $39,184.57 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 23 15 — — $16,840.95 $61,260.59 $39,050.77 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 23 15 — — $16,784.24 $124,563.51 $38,919.26 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 23 15 — — $20,095.99 $57,374.18 $38,735.08 2026-07-15
L8614 HCPCS Impl Coclr Coclr Ncl Prfl + Slim Modiolar Eltrd Ci 22 12 $51,129.00 $15,338.70 70% off $4,698.76 $51,129.00 $38,704.65 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 23 15 — — $16,002.86 $162,779.97 $38,440.86 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 23 15 — — $22,594.86 $124,569.65 $38,437.53 2026-07-15
317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $38,255.72 $38,255.72 $38,255.72 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 23 15 — — $13,405.18 $89,635.60 $38,238.28 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 23 15 — — $24,964.90 $51,389.25 $38,177.07 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 15 — — $24,920.09 $51,124.11 $38,022.10 2026-07-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 19 13 — — $14,469.85 $61,466.01 $37,967.93 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 23 15 — — $24,417.38 $221,770.00 $37,890.60 2026-07-15
709 MS_DRG Penis Procedures With Cc/mcc 23 15 — — $16,293.42 $59,268.91 $37,781.17 2026-07-15
C1820 HCPCS Kit Alpha Ipg Charge System Rc 228 12 $56,250.00 $16,875.00 70% off $3,605.51 $68,750.00 $37,613.71 2026-07-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 15 — — $16,182.10 $58,863.95 $37,523.03 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 23 15 — — $23,049.97 $54,638.26 $37,514.46 2026-07-15
618 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 23 15 — — $9,930.37 $64,912.36 $37,421.36 2026-07-15
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 23 15 — — $10,386.17 $63,964.12 $37,175.14 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 23 15 — — $15,933.54 $101,048.04 $36,946.67 2026-07-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 23 15 — — $15,906.94 $57,863.02 $36,884.98 2026-07-15
613 OTHER Neonate, Birth Weight <750 Grams, Died 1 1 — — $36,495.39 $36,495.39 $36,495.39 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 23 15 — — $23,389.54 $49,580.14 $36,484.84 2026-07-15
113 MS_DRG Orbital Procedures With Cc/mcc 23 15 — — $16,461.46 $56,464.49 $36,462.97 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 23 15 — — $15,673.78 $57,014.90 $36,344.34 2026-07-15
S2900 HCPCS Robotic Surgical System 20 13 $54,916.00 $16,474.80 70% off $1,407.16 $54,916.00 $36,296.73 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 23 15 — — $17,977.31 $54,575.85 $36,276.58 2026-07-15
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $36,081.10 $36,081.10 $36,081.10 2026-07-15
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 23 15 — — $15,540.75 $56,530.99 $36,035.87 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 23 15 — — $15,493.14 $112,316.53 $35,925.47 2026-07-15
C1882 HCPCS Dfbr Crd .99cm 5.37x8.08cm Mmnt Hartlgic Rt Atr Rv 1,102 12 $51,017.00 $15,305.10 70% off $2,186.12 $133,441.00 $35,905.33 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 22 14 — — $16,804.22 $54,592.11 $35,698.17 2026-07-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 23 15 — — $15,394.42 $55,998.69 $35,696.56 2026-07-15
30 MS_DRG Spinal Procedures Without Cc/mcc 23 15 — — $15,369.91 $134,433.42 $35,639.73 2026-07-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 23 15 — — $15,346.11 $55,822.95 $35,584.53 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 23 15 — — $19,958.06 $51,095.05 $35,526.56 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 23 15 — — $17,664.34 $53,257.87 $35,461.11 2026-07-15
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 23 15 — — $10,537.41 $60,348.37 $35,442.89 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 23 15 — — $15,271.19 $55,550.44 $35,410.82 2026-07-15
324 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $35,281.38 $35,281.38 $35,281.38 2026-07-15
595 OTHER Major Skin Disorders With Mcc 1 1 — — $35,175.94 $35,175.94 $35,175.94 2026-07-15
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $35,160.52 $35,160.52 $35,160.52 2026-07-15
397 MS_DRG Coagulation Disorders 23 15 — — $16,768.13 $53,268.17 $35,018.15 2026-07-15
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 23 15 — — $14,988.33 $54,521.49 $34,754.91 2026-07-15
50549 CPT Laparoscope Proc, Renal 20 14 $56,314.00 $16,894.20 70% off $7,606.44 $54,061.44 $34,686.61 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 23 15 — — $17,672.04 $141,982.52 $34,635.08 2026-07-15
32 MS_DRG Ventricular Shunt Procedures With Cc 23 15 — — $14,920.41 $54,274.44 $34,597.43 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 23 15 — — $14,919.71 $86,290.83 $34,595.80 2026-07-15
278 MS_DRG Cellulitis Age >17 Without Cc 23 15 — — $12,831.99 $55,937.75 $34,384.87 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 23 15 — — $14,827.29 $76,636.14 $34,381.50 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 23 15 — — $22,125.06 $52,275.90 $34,376.97 2026-07-15
655 MS_DRG Major Bladder Procedures Without Cc/mcc 23 15 — — $14,819.59 $53,907.69 $34,363.64 2026-07-15
624 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 15 — — $8,765.30 $59,791.96 $34,278.63 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 23 15 — — $14,764.27 $77,077.78 $34,235.38 2026-07-15
412 MS_DRG Cholecystectomy With C.d.e. With Cc 23 15 — — $14,720.86 $53,548.57 $34,134.71 2026-07-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 23 15 — — $14,664.85 $98,317.02 $34,004.83 2026-07-15
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 23 15 — — $12,682.00 $54,648.06 $33,665.03 2026-07-15
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 23 15 — — $12,096.66 $68,505.20 $33,534.12 2026-07-15
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 23 15 — — $14,427.50 $52,481.42 $33,454.46 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 23 15 — — $16,737.32 $49,985.68 $33,361.50 2026-07-15
595 MS_DRG Major Skin Disorders With Mcc 23 15 — — $14,848.29 $51,873.32 $33,360.81 2026-07-15
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 23 15 — — $14,346.98 $52,188.53 $33,267.75 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 15 — — $21,807.88 $78,865.91 $33,135.39 2026-07-15
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 23 15 — — $14,157.94 $51,500.86 $32,829.40 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 23 15 — — $16,373.94 $49,032.72 $32,703.33 2026-07-15
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 23 15 — — $14,005.30 $73,874.17 $32,475.47 2026-07-15
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 23 15 — — $13,966.79 $50,805.56 $32,386.17 2026-07-15
27299 CPT Pelvis/hip Joint Surgery 20 14 $52,403.00 $15,720.90 70% off $6,374.59 $50,306.88 $32,277.63 2026-07-15
599 MS_DRG Malignant Breast Disorders Without Cc/mcc 23 15 — — $5,387.03 $58,933.39 $32,160.21 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 23 15 — — $19,245.30 $63,156.53 $32,104.91 2026-07-15
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 23 15 — — $11,422.41 $105,728.05 $32,059.86 2026-07-15
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 23 15 — — $15,244.58 $48,254.66 $31,749.62 2026-07-15
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 23 15 — — $14,603.94 $48,687.17 $31,645.56 2026-07-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 23 15 — — $14,599.74 $104,131.05 $31,575.60 2026-07-15
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 23 15 — — $13,602.71 $69,996.14 $31,541.94 2026-07-15
22 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $31,391.48 $31,391.48 $31,391.48 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 23 15 — — $15,974.85 $46,642.75 $31,308.80 2026-07-15
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 23 15 — — $13,989.90 $114,506.33 $31,271.20 2026-07-15
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 23 15 — — $9,545.28 $52,936.21 $31,240.74 2026-07-15
75 MS_DRG Viral Meningitis With Cc/mcc 23 15 — — $13,425.57 $48,836.81 $31,131.19 2026-07-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 23 15 — — $15,193.47 $46,882.48 $31,037.97 2026-07-15
950 MS_DRG Aftercare Without Cc/mcc 23 15 — — $4,394.90 $57,660.87 $31,027.88 2026-07-15
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 15 — — $12,630.19 $49,384.49 $31,007.34 2026-07-15
915 MS_DRG Allergic Reactions With Mcc 23 15 — — $11,773.89 $50,219.22 $30,996.56 2026-07-15
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 23 15 — — $8,863.33 $76,094.21 $30,988.71 2026-07-15
398 OTHER Major Head And Neck Procedures Without Cc/mcc 1 1 — — $30,950.27 $30,950.27 $30,950.27 2026-07-15
460 OTHER Spinal Fusion Except Cervical Without Mcc 1 1 — — $30,814.08 $30,814.08 $30,814.08 2026-07-15
518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $30,750.42 $30,750.42 $30,750.42 2026-07-15
116 MS_DRG Intraocular Procedures With Cc/mcc 23 15 — — $12,659.59 $48,283.75 $30,471.67 2026-07-15
504 MS_DRG Foot Procedures With Cc 23 15 — — $13,087.39 $47,606.65 $30,347.02 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 23 15 — — $11,319.91 $49,254.80 $30,287.35 2026-07-15
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 23 15 — — $13,015.27 $47,581.77 $30,179.79 2026-07-15
783 MS_DRG Cesarean Section With Sterilization With Mcc 23 15 — — $7,014.25 $99,220.85 $30,086.68 2026-07-15
468 OTHER Revision Of Hip Or Knee Replacement Without Cc/mcc 1 1 — — $30,022.65 $30,022.65 $30,022.65 2026-07-15
754 MS_DRG Malignancy, Female Reproductive System With Mcc 23 15 — — $12,894.85 $47,205.55 $29,900.56 2026-07-15
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $29,899.78 $29,899.78 $29,899.78 2026-07-15
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 23 15 — — $14,641.05 $53,258.23 $29,882.71 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 23 15 — — $18,559.14 $41,098.30 $29,828.72 2026-07-15
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