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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

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You selected 93350 (CPT)

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This hospital’s price: $262 across 16 payers · range $78-$817

Source: https://www.concordhospital.org/app/files/public/7596681e-a594-49fb-8bd7-e41379e5fb2c/222594672_concord-hospital_standardcharges.csv · observed 2026-07-15

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

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

723,084 of 732,090 rate rows are consumer-grade (98.8%)

9,006 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 558
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 Latest re-check couldn't be parsed — showing last good data · 2026-10-22
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 8 $302,348.69 $1,523,268.49 $572,622.42 nat. median
$359,454
1.6× median
7
MS_DRG 		Lung Transplant 7 $90,672.12 $1,151,932.42 $397,715.99 nat. median
$117,974
outlier · 3.4×
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
$39,056
outlier · 6.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $196,212.14 $713,740.71 $259,357.44 nat. median
$249,036
1.0× median
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
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $149,487.66 $436,468.27 $185,256.52 nat. median
$198,418
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $148,610.36 $540,584.62 $184,174.50 nat. median
$190,559
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $96,981.96 $505,549.93 $167,079.41 nat. median
$126,695
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $79,340.73 $400,987.57 $127,655.33 nat. median
$104,013
1.2× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 8 $42,858.89 $394,595.69 $118,408.03 nat. median
$58,251
outlier · 2.0×
63052
CPT 		Lam Facetc/frmt Arthrd Lum 1 12 $13,348.11 $145,246.00 $104,482.71 nat. median
$2,350
outlier · 44.5×
6
MS_DRG 		Liver Transplant Without Mcc 7 $32,466.42 $326,487.24 $99,000.54 nat. median
$44,153
outlier · 2.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $72,190.00 $262,598.12 $96,024.82 nat. median
$95,038
1.0× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 7 $39,241.17 $315,267.46 $95,598.37 nat. median
$50,831
1.9× median
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 8 $76,136.10 $148,868.05 $94,787.06 nat. median
$97,323
1.0× 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
215
MS_DRG 		Other Heart Assist System Implant 8 $69,714.93 $253,594.84 $86,867.40 nat. median
$93,901
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 8 $45,053.20 $297,180.28 $86,534.35 nat. median
$59,371
1.5× median
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
$188
outlier · 454.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $68,495.25 $249,158.13 $85,363.07 nat. median
$90,551
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $34,573.91 $120,774.37 $84,986.02 nat. median
$110,307
0.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 6 $44,195.39 $145,748.98 $84,621.26 nat. median
$70,732
1.2× median
570
MS_DRG 		Skin Debridement With Mcc 8 $20,592.41 $299,198.11 $84,481.79 nat. median
$28,022
outlier · 3.0×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 $48,156.30 $288,005.66 $83,858.61 nat. median
$63,873
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $59,022.79 $214,701.12 $73,680.05 nat. median
$77,028
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $58,837.25 $214,026.20 $73,451.20 nat. median
$77,632
0.9× median
895
MS_DRG 		Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 8 $9,911.46 $150,526.21 $73,022.96 nat. median
$13,091
outlier · 5.6×
215
OTHER 		Other Heart Assist System Implant 1 $72,679.45 $72,679.45 $72,679.45 nat. median
$75,018
1.0× median
955
OTHER 		Craniotomy For Multiple Significant Trauma 1 $71,018.00 $71,018.00 $71,018.00 nat. median
$61,896
1.1× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 8 $33,637.79 $249,423.18 $68,934.48 nat. median
$45,429
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $55,094.19 $206,214.06 $68,834.64 nat. median
$74,370
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $53,760.39 $195,558.62 $67,189.57 nat. median
$72,398
0.9× median
10
MS_DRG 		Pancreas Transplant 7 $50,241.38 $193,817.59 $67,119.32 nat. median
$64,933
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $53,528.63 $194,715.60 $66,903.74 nat. median
$71,748
0.9× median
163
MS_DRG 		Major Chest Procedures With Mcc 8 $31,379.77 $244,998.31 $66,718.38 nat. median
$42,680
1.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $53,351.49 $164,318.83 $66,685.26 nat. median
$67,976
1.0× median
414
OTHER 		Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 $66,178.68 $66,178.68 $66,178.68 nat. median
$33,951
1.9× median
37227
CPT 		Fem/popl Revasc Stnt & Ather 16 $9,728.90 $125,437.73 $65,206.93 nat. median
$18,437
outlier · 3.5×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 6 $28,581.28 $94,256.28 $63,577.26 nat. median
$52,712
1.2× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $49,924.21 $145,766.77 $62,458.15 nat. median
$66,649
0.9× median
974
OTHER 		HIV With Major Related Condition With Mcc 1 $62,393.67 $62,393.67 $62,393.67 nat. median
$28,618
outlier · 2.2×
653
MS_DRG 		Major Bladder Procedures With Mcc 8 $36,383.11 $230,417.55 $61,966.96 nat. median
$49,999
1.2× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 8 $48,393.66 $176,036.63 $60,570.42 nat. median
$62,655
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 8 $47,128.47 $171,434.39 $59,009.99 nat. median
$61,728
1.0× median
37230
CPT 		Tib/per Revasc W/stent 16 $8,756.97 $114,861.73 $58,692.64 nat. median
$16,936
outlier · 3.5×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $46,037.62 $148,352.88 $57,664.54 nat. median
$62,031
0.9× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 7 $41,517.39 $151,023.53 $55,630.12 nat. median
$53,927
1.0× median
622
OTHER 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 $55,510.65 $55,510.65 $55,510.65 nat. median
$35,346
1.6× median
318
OTHER 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 $54,820.48 $54,820.48 $54,820.48 nat. median
$21,506
outlier · 2.5×

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 14 8 — — $302,348.69 $1,523,268.49 $572,622.42 2026-07-15
7 MS_DRG Lung Transplant 13 7 — — $90,672.12 $1,151,932.42 $397,715.99 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
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 7 — — $196,212.14 $713,740.71 $259,357.44 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
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 8 — — $149,487.66 $436,468.27 $185,256.52 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 8 — — $148,610.36 $540,584.62 $184,174.50 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 8 — — $96,981.96 $505,549.93 $167,079.41 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 7 — — $79,340.73 $400,987.57 $127,655.33 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 8 — — $42,858.89 $394,595.69 $118,408.03 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
6 MS_DRG Liver Transplant Without Mcc 13 7 — — $32,466.42 $326,487.24 $99,000.54 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 7 — — $72,190.00 $262,598.12 $96,024.82 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 7 — — $39,241.17 $315,267.46 $95,598.37 2026-07-15
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 14 8 — — $76,136.10 $148,868.05 $94,787.06 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
215 MS_DRG Other Heart Assist System Implant 14 8 — — $69,714.93 $253,594.84 $86,867.40 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 14 8 — — $45,053.20 $297,180.28 $86,534.35 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
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 8 — — $68,495.25 $249,158.13 $85,363.07 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 13 7 — — $34,573.91 $120,774.37 $84,986.02 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 10 6 — — $44,195.39 $145,748.98 $84,621.26 2026-07-15
570 MS_DRG Skin Debridement With Mcc 14 8 — — $20,592.41 $299,198.11 $84,481.79 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 8 — — $48,156.30 $288,005.66 $83,858.61 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 8 — — $59,022.79 $214,701.12 $73,680.05 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 8 — — $58,837.25 $214,026.20 $73,451.20 2026-07-15
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 14 8 — — $9,911.46 $150,526.21 $73,022.96 2026-07-15
215 OTHER Other Heart Assist System Implant 1 1 — — $72,679.45 $72,679.45 $72,679.45 2026-07-15
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $71,018.00 $71,018.00 $71,018.00 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 8 — — $33,637.79 $249,423.18 $68,934.48 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 8 — — $55,094.19 $206,214.06 $68,834.64 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 8 — — $53,760.39 $195,558.62 $67,189.57 2026-07-15
10 MS_DRG Pancreas Transplant 13 7 — — $50,241.38 $193,817.59 $67,119.32 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 8 — — $53,528.63 $194,715.60 $66,903.74 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 14 8 — — $31,379.77 $244,998.31 $66,718.38 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 8 — — $53,351.49 $164,318.83 $66,685.26 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
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
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 6 — — $28,581.28 $94,256.28 $63,577.26 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 8 — — $49,924.21 $145,766.77 $62,458.15 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
653 MS_DRG Major Bladder Procedures With Mcc 14 8 — — $36,383.11 $230,417.55 $61,966.96 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 14 8 — — $48,393.66 $176,036.63 $60,570.42 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 8 — — $47,128.47 $171,434.39 $59,009.99 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
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 8 — — $46,037.62 $148,352.88 $57,664.54 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 13 7 — — $41,517.39 $151,023.53 $55,630.12 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
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
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 8 — — $50,220.38 $72,082.33 $54,192.80 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 8 — — $42,908.61 $156,084.22 $53,805.32 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 8 — — $45,870.28 $65,838.55 $53,306.32 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 14 8 — — $42,447.90 $154,408.36 $53,237.13 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 14 8 — — $42,067.71 $76,934.47 $52,768.19 2026-07-15
276 MS_DRG Non-maligant Breast Disorders 14 8 — — $42,055.81 $70,317.29 $52,753.52 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 8 — — $41,751.24 $73,807.86 $52,377.87 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 14 8 — — $33,808.63 $207,360.86 $52,303.78 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 8 — — $41,089.59 $119,971.79 $51,561.81 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 8 — — $41,062.98 $146,169.44 $51,529.00 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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 8 — — $34,919.78 $202,964.47 $50,867.04 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 8 — — $38,669.84 $199,182.50 $50,501.94 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 8 — — $14,555.23 $71,699.46 $50,453.18 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 8 — — $40,121.27 $152,810.16 $50,367.52 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 8 — — $39,905.62 $116,514.88 $50,101.54 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 8 — — $46,037.62 $66,078.74 $49,267.18 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 8 — — $37,065.07 $196,766.30 $49,152.07 2026-07-15
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 14 8 — — $12,218.49 $93,718.71 $48,927.76 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 8 — — $38,302.25 $139,328.16 $48,124.01 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
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 14 8 — — $38,247.64 $138,572.80 $48,056.64 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 8 — — $38,187.43 $138,910.48 $47,982.38 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
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 10 6 — — $14,469.85 $61,466.01 $47,831.58 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 8 — — $37,338.13 $109,018.43 $46,934.88 2026-07-15
213 OTHER Splenic Procedures Age 0-17 1 1 — — $46,627.70 $46,627.70 $46,627.70 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 8 — — $36,942.54 $97,783.91 $46,446.97 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 8 — — $36,446.13 $70,708.36 $45,834.73 2026-07-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 10 6 — — $23,604.57 $77,843.94 $44,444.05 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 8 — — $35,289.46 $118,899.24 $44,408.12 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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 14 8 — — $34,639.72 $99,958.54 $43,606.74 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 8 — — $34,578.10 $84,615.14 $43,530.76 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 8 — — $34,459.77 $125,350.78 $43,384.82 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 8 — — $22,246.88 $190,459.71 $43,237.07 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
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 8 — — $33,333.22 $121,252.82 $41,995.35 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 8 — — $32,917.32 $126,038.46 $41,482.40 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 8 — — $32,850.11 $88,334.89 $41,399.50 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 8 — — $32,752.08 $119,138.89 $41,278.61 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
277 MS_DRG Cellulitis Age >17 W Cc 14 8 — — $32,336.89 $124,048.93 $40,766.51 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 14 8 — — $32,182.85 $117,068.26 $40,576.54 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 14 8 — — $32,100.94 $116,770.27 $40,475.50 2026-07-15
245 MS_DRG Aicd Generator Procedures 14 8 — — $31,944.10 $93,269.14 $40,282.04 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 8 — — $31,848.18 $66,578.88 $40,163.74 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 14 8 — — $31,834.17 $91,615.14 $40,146.49 2026-07-15
799 MS_DRG Splenectomy With Mcc 14 8 — — $31,709.55 $92,960.47 $39,992.77 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 14 8 — — $30,756.63 $175,938.84 $39,616.53 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 14 8 — — $31,370.67 $112,847.54 $39,574.81 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 14 8 — — $31,247.44 $113,619.83 $39,422.82 2026-07-15
278 MS_DRG Cellulitis Age >17 Without Cc 14 8 — — $12,831.99 $55,937.75 $39,362.05 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 14 8 — — $35,404.03 $55,170.98 $39,319.04 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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 13 7 — — $16,804.22 $54,592.11 $38,415.16 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
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 14 8 — — $30,298.72 $53,161.41 $38,252.69 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 14 8 — — $30,057.17 $67,395.91 $37,954.76 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 14 8 — — $29,863.92 $108,632.93 $37,716.43 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
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 8 — — $29,569.16 $111,323.13 $37,352.87 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 8 — — $29,518.75 $107,377.31 $37,290.71 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 14 8 — — $29,504.04 $73,140.24 $37,272.57 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 14 8 — — $29,417.92 $107,010.55 $37,166.35 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 14 8 — — $29,382.91 $85,791.09 $37,123.18 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 14 8 — — $29,328.30 $91,268.35 $37,055.80 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 8 — — $29,214.88 $98,132.74 $36,915.91 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 14 8 — — $29,077.64 $105,772.76 $36,746.66 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 14 8 — — $28,885.10 $105,072.36 $36,509.17 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
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
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $36,081.10 $36,081.10 $36,081.10 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
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 14 8 — — $27,895.07 $122,577.40 $35,288.13 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
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
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 8 — — $27,389.56 $79,970.97 $34,664.62 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 8 — — $11,319.91 $49,254.80 $34,659.42 2026-07-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 10 6 — — $12,876.22 $42,463.61 $34,586.46 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 14 8 — — $27,265.63 $99,181.38 $34,511.78 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 14 8 — — $27,101.09 $86,869.34 $34,308.82 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 8 — — $27,034.58 $111,279.18 $34,226.82 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 14 8 — — $26,881.24 $76,056.11 $34,037.70 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 8 — — $26,347.02 $94,804.16 $33,378.79 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 14 8 — — $26,232.19 $95,422.16 $33,237.17 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 14 8 — — $26,169.88 $74,854.15 $33,160.31 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 14 8 — — $26,167.08 $89,633.85 $33,156.87 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 8 — — $26,093.56 $54,815.89 $33,066.19 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 8 — — $25,946.53 $116,717.82 $32,884.84 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 14 8 — — $25,717.58 $93,550.18 $32,602.45 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 8 — — $25,707.07 $67,420.69 $32,589.50 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
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 14 8 — — $25,405.31 $92,414.27 $32,217.31 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 8 — — $25,385.70 $92,342.95 $32,193.13 2026-07-15
332 MS_DRG Rectal Resection With Mcc 14 8 — — $25,350.69 $90,491.72 $32,149.97 2026-07-15
265 MS_DRG Aicd Lead Procedures 14 8 — — $25,333.19 $89,147.76 $32,128.38 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 14 8 — — $25,288.38 $72,623.85 $32,073.11 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 14 8 — — $25,085.33 $91,250.33 $31,822.68 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 14 8 — — $25,027.22 $91,038.94 $31,751.00 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 14 8 — — $25,002.01 $83,870.07 $31,719.91 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 8 — — $24,964.90 $51,389.25 $31,674.15 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 14 8 — — $24,943.90 $61,982.45 $31,648.22 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 14 8 — — $24,920.09 $51,124.11 $31,618.88 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 14 8 — — $24,899.79 $90,575.40 $31,593.82 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
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 8 — — $24,691.84 $64,303.70 $31,337.33 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 14 8 — — $24,641.43 $89,635.60 $31,275.18 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 14 8 — — $24,423.68 $88,843.51 $31,006.63 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 8 — — $24,417.38 $88,820.59 $30,998.85 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
793 MS_DRG Full Term Neonate With Major Problems 12 8 — — $2,237.73 $41,902.56 $30,899.50 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 14 8 — — $24,305.35 $64,056.51 $30,860.68 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
652 MS_DRG Kidney Transplant 13 7 — — $22,611.67 $94,344.24 $30,731.99 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 14 8 — — $24,187.73 $81,899.61 $30,715.60 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 14 8 — — $23,886.66 $59,319.28 $30,344.28 2026-07-15
791 MS_DRG Prematurity With Major Problems 12 8 — — $2,237.73 $40,791.10 $30,090.67 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
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $29,899.78 $29,899.78 $29,899.78 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 14 8 — — $23,389.54 $49,580.14 $29,731.16 2026-07-15
472 OTHER Cervical Spinal Fusion With Cc 1 1 — — $29,463.95 $29,463.95 $29,463.95 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 14 8 — — $23,128.39 $67,529.36 $29,409.03 2026-07-15
52 OTHER Spinal Disorders And Injuries With Cc/mcc 1 1 — — $29,345.51 $29,345.51 $29,345.51 2026-07-15
49205 CPT Exc Abd Tum Over 10 Cm 20 13 $40,793.00 $12,237.90 70% off $3,748.88 $40,793.00 $29,344.44 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 14 8 — — $23,049.97 $54,638.26 $29,312.30 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 14 8 — — $23,047.17 $67,292.22 $29,308.85 2026-07-15
483 OTHER Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $29,067.24 $29,067.24 $29,067.24 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 14 8 — — $22,774.80 $82,845.56 $28,972.95 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 8 — — $22,674.68 $66,204.66 $28,849.46 2026-07-15
61624 CPT Occlusion/embolization Cath 18 12 $40,049.00 $12,014.70 70% off $3,680.50 $40,049.00 $28,809.25 2026-07-15
0275 RC — 308 12 $41,752.50 $12,525.75 70% off $1,165.29 $69,000.00 $28,800.00 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 14 8 — — $16,072.87 $157,113.39 $28,759.08 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 14 8 — — $22,594.86 $124,569.65 $28,751.01 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 14 8 — — $22,550.75 $86,286.73 $28,696.60 2026-07-15
37220 CPT Iliac Revasc 24 16 $46,507.00 $13,952.10 70% off $4,273.99 $52,584.21 $28,645.99 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 14 8 — — $22,477.94 $63,016.40 $28,606.78 2026-07-15
C1721 HCPCS Dfbr Crd 13mm 57sq Cm 51x68mm Evera MRI Xt Dr Surs 946 12 $40,500.00 $12,150.00 70% off $1,654.20 $197,403.00 $28,529.87 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 14 8 — — $22,354.71 $88,087.07 $28,454.81 2026-07-15
37224 CPT Fem/popl Revas W/tla 24 16 $46,175.00 $13,852.50 70% off $4,243.48 $52,252.21 $28,441.49 2026-07-15
362 OTHER Cardiac Defibrillator Implant Without Mcc 1 1 — — $28,440.31 $28,440.31 $28,440.31 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 14 8 — — $22,649.48 $33,758.23 $28,436.39 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 14 8 — — $22,313.40 $58,121.58 $28,403.86 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 14 8 — — $22,291.69 $81,088.20 $28,377.10 2026-07-15
583 OTHER Mastectomy For Malignancy Without Cc/mcc 1 1 — — $28,344.10 $28,344.10 $28,344.10 2026-07-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 14 8 — — $18,466.02 $154,625.02 $28,263.76 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 14 8 — — $22,158.66 $94,237.97 $28,213.01 2026-07-15
10 OTHER Pancreas Transplant 1 1 — — $28,209.75 $28,209.75 $28,209.75 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 14 8 — — $22,125.06 $46,628.89 $28,171.56 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 14 8 — — $22,051.54 $80,214.62 $28,080.89 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 14 8 — — $21,999.73 $64,233.95 $28,017.00 2026-07-15
665 MS_DRG Prostatectomy With Mcc 14 8 — — $21,853.39 $79,493.84 $27,836.51 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 8 — — $21,807.88 $44,462.90 $27,780.38 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 14 8 — — $21,769.37 $64,421.58 $27,732.88 2026-07-15
C2616 HCPCS Yttrium-90 30 16 $51,306.00 $15,391.80 70% off $4,715.02 $49,253.76 $27,659.08 2026-07-15
584 OTHER Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 1 1 — — $27,547.98 $27,547.98 $27,547.98 2026-07-15
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $27,541.49 $27,541.49 $27,541.49 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 14 8 — — $15,610.56 $79,016.67 $27,331.10 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 14 8 — — $21,435.40 $33,134.19 $27,320.96 2026-07-15
364 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $27,311.07 $27,311.07 $27,311.07 2026-07-15
263 MS_DRG Vein Ligation And Stripping 14 8 — — $21,406.69 $77,868.92 $27,285.57 2026-07-15
469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $27,105.37 $27,105.37 $27,105.37 2026-07-15
473 OTHER Cervical Spinal Fusion Without Cc/mcc 1 1 — — $27,105.13 $27,105.13 $27,105.13 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 14 8 — — $21,237.25 $77,252.57 $27,076.58 2026-07-15
197 MS_DRG Interstitial Lung Disease With Cc 14 8 — — $6,645.22 $157,738.49 $27,074.03 2026-07-15
585 OTHER Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 1 1 — — $27,014.94 $27,014.94 $27,014.94 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 14 8 — — $21,148.33 $61,412.99 $26,966.92 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 14 8 — — $21,145.53 $65,097.48 $26,963.43 2026-07-15
582 OTHER Mastectomy For Malignancy With Cc/mcc 1 1 — — $26,934.07 $26,934.07 $26,934.07 2026-07-15
941 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 1 1 — — $26,875.36 $26,875.36 $26,875.36 2026-07-15
413 OTHER Cholecystectomy With C.d.e. Without Cc/mcc 1 1 — — $26,412.62 $26,412.62 $26,412.62 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 14 8 — — $20,627.41 $64,119.58 $26,324.42 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 14 8 — — $20,613.41 $104,966.78 $26,307.15 2026-07-15
C1722 HCPCS Defibrillator Cardioverter Implantable Single Cham 990 12 $37,500.00 $11,250.00 70% off $1,926.68 $256,330.00 $26,223.38 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 14 8 — — $20,444.67 $74,369.48 $26,099.04 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 14 8 — — $20,390.76 $65,999.51 $26,032.54 2026-07-15
27 OTHER Craniotomy And Endovascular Intracranial Procedures Age >17 Without Cc/mcc 1 1 — — $25,975.21 $25,975.21 $25,975.21 2026-07-15
462 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 — — $25,946.07 $25,946.07 $25,946.07 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 14 8 — — $20,318.64 $61,386.97 $25,943.60 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 14 8 — — $20,306.04 $73,865.20 $25,928.04 2026-07-15
581 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 1 1 — — $25,859.04 $25,859.04 $25,859.04 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 14 8 — — $20,216.42 $33,781.57 $25,817.49 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 14 8 — — $20,206.62 $37,394.60 $25,805.41 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 14 8 — — $20,177.21 $73,396.56 $25,769.15 2026-07-15
467 OTHER Revision Of Hip Or Knee Replacement With Cc 1 1 — — $25,728.08 $25,728.08 $25,728.08 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 14 8 — — $20,095.99 $57,374.18 $25,668.98 2026-07-15
279 MS_DRG Cellulitis Age 0-17 14 8 — — $18,792.31 $36,242.66 $25,503.09 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 14 8 — — $19,958.06 $51,095.05 $25,498.86 2026-07-15
707 OTHER Major Male Pelvic Procedures With Cc/mcc 1 1 — — $25,492.17 $25,492.17 $25,492.17 2026-07-15
800 MS_DRG Splenectomy With Cc 14 8 — — $19,670.30 $76,291.16 $25,143.94 2026-07-15
322 OTHER Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 1 1 — — $25,098.13 $25,098.13 $25,098.13 2026-07-15
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $25,088.21 $25,088.21 $25,088.21 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 14 8 — — $19,599.58 $71,295.37 $25,056.71 2026-07-15
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $25,008.43 $25,008.43 $25,008.43 2026-07-15
503 MS_DRG Foot Procedures With Mcc 14 8 — — $19,542.17 $108,750.23 $24,985.90 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 14 8 — — $21,122.43 $30,317.45 $24,974.75 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 14 8 — — $19,407.74 $62,184.48 $24,820.10 2026-07-15
C1767 HCPCS Gntr Nrstm 132 12 $37,381.50 $11,214.45 70% off $2,522.47 $62,500.00 $24,703.20 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 14 8 — — $19,304.11 $70,220.58 $24,692.31 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 14 8 — — $19,245.30 $63,156.53 $24,619.75 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 14 8 — — $19,240.40 $69,988.81 $24,613.72 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 14 8 — — $19,140.97 $69,627.15 $24,491.11 2026-07-15
321 MS_DRG Kidney & Urinary Tract Infections Age >17 Without Cc 14 8 — — $19,049.95 $39,010.92 $24,378.83 2026-07-15
37228 CPT Tib/per Revasc W/tla 24 16 $39,495.00 $11,848.50 70% off $3,629.59 $51,821.39 $24,326.94 2026-07-15
849 MS_DRG Radiotherapy 14 8 — — $18,970.84 $141,729.12 $24,281.24 2026-07-15
619 OTHER O.r. Procedures For Obesity With Mcc 1 1 — — $24,262.91 $24,262.91 $24,262.91 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 14 8 — — $18,947.73 $99,981.58 $24,252.76 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 8 — — $17,325.75 $34,453.83 $24,244.34 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 14 8 — — $18,886.12 $37,721.69 $24,176.75 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 14 8 — — $19,414.07 $34,239.79 $24,093.72 2026-07-15
276 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $23,876.85 $23,876.85 $23,876.85 2026-07-15
334 OTHER Rectal Resection Without Cc/mcc 1 1 — — $23,873.42 $23,873.42 $23,873.42 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 14 8 — — $18,624.26 $67,747.54 $23,853.80 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 14 8 — — $18,559.14 $41,098.30 $23,773.47 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 14 8 — — $18,173.35 $66,107.34 $23,297.65 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 14 8 — — $18,083.73 $65,781.33 $23,187.10 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 14 8 — — $18,058.53 $61,475.81 $23,156.04 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 14 8 — — $17,977.31 $54,575.85 $23,055.86 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 14 8 — — $17,875.08 $65,022.36 $22,929.79 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 14 8 — — $17,790.37 $38,402.27 $22,825.30 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 14 8 — — $17,756.76 $27,615.92 $22,783.83 2026-07-15
708 OTHER Major Male Pelvic Procedures Without Cc/mcc 1 1 — — $22,756.64 $22,756.64 $22,756.64 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 14 8 — — $17,672.04 $51,598.13 $22,679.35 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 14 8 — — $17,664.34 $53,257.87 $22,669.86 2026-07-15
748 OTHER Female Reproductive System Reconstructive Procedures 1 1 — — $22,616.64 $22,616.64 $22,616.64 2026-07-15
499 OTHER Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 1 1 — — $22,443.51 $22,443.51 $22,443.51 2026-07-15
324 MS_DRG Urinary Stones Without Cc 14 8 — — $18,727.33 $31,666.10 $22,282.67 2026-07-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 14 8 — — $18,058.53 $25,919.78 $22,161.25 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 14 8 — — $17,218.33 $35,593.66 $22,119.77 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 14 8 — — $17,213.43 $62,615.54 $22,113.72 2026-07-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 14 8 — — $17,113.31 $114,724.87 $21,990.24 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 14 8 — — $17,093.01 $34,258.62 $21,965.19 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 14 8 — — $16,840.95 $61,260.59 $21,654.32 2026-07-15
783 MS_DRG Cesarean Section With Sterilization With Mcc 15 9 — — $7,014.25 $99,220.85 $21,604.05 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 14 8 — — $16,784.24 $61,054.29 $21,584.38 2026-07-15
397 MS_DRG Coagulation Disorders 14 8 — — $16,768.13 $53,268.17 $21,564.51 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 14 8 — — $16,737.32 $49,985.68 $21,526.50 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 14 8 — — $16,708.62 $34,070.91 $21,491.12 2026-07-15
862 OTHER Postoperative And Post-traumatic Infections With Mcc 1 1 — — $21,310.27 $21,310.27 $21,310.27 2026-07-15
113 MS_DRG Orbital Procedures With Cc/mcc 14 8 — — $16,461.46 $56,464.49 $21,186.25 2026-07-15
352 OTHER Inguinal And Femoral Hernia Procedures Age >17 Without Cc/mcc 1 1 — — $21,113.00 $21,113.00 $21,113.00 2026-07-15
333 MS_DRG Rectal Resection With Cc 14 8 — — $16,399.15 $115,380.38 $21,109.40 2026-07-15
328 OTHER Stomach, Esophageal And Duodenal Procedures Age >17 Without Cc/mcc 1 1 — — $21,098.03 $21,098.03 $21,098.03 2026-07-15
620 OTHER O.r. Procedures For Obesity With Cc 1 1 — — $21,086.28 $21,086.28 $21,086.28 2026-07-15
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