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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

KENMORE MERCY HOSPITAL

Kenmore, NY · CCN 330102 · Rates published

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You selected 45378 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

3,860 distinct procedures filed
101 distinct payers
6,927,778 rate rows
2025-02-25 last MRF observed · ⚠ 20 mo old
Data quality

2,315,753 of 6,927,778 rate rows are consumer-grade (33.4%)

4,612,025 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
professional (physician) fee — not the facility price 4,393,201
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 175,464
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 23,835
placeholder amount (≤ $0.02) — excluded from medians 6,329
percent-of-charges filed in the dollar field — excluded from medians 5,727
per-diem day rate — not a per-procedure price 3,280
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,291
exceeds 10× this hospital's gross charge — excluded from medians 1,173
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1,170
exceeds 3× this hospital's gross charge for a DRG stay — excluded 555

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 20 months old.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.chsbuffalo.org/wp-content/uploads/2026/09/16-0762843_Kenmore-Mercy-Hospital_StandardCharges.csv
Found on page https://www.chsbuffalo.org/billing-insurance/price-transparency/
Discovered viaCMS hospital list
Last fetch success · 2026-10-05
Content fingerprint 4fc2a7966ea7aa2a… · 4,111,849,140 bytes · first seen 2026-10-05

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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 88 $45,358.41 $394,276.31 $158,959.30 nat. median
$145,435
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 77 $35,941.08 $320,338.85 $109,599.85 nat. median
$97,418
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 78 $25,329.31 $195,715.57 $76,159.22 nat. median
$73,023
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With McC 62 $25,329.31 $519,209.18 $75,959.63 nat. median
$186,516
outlier · 0.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 78 $19,085.16 $185,953.55 $65,786.38 nat. median
$69,822
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 67 $7,848.35 $206,366.61 $65,510.76 nat. median
$74,509
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With McC 78 $24,819.48 $155,487.23 $60,505.08 nat. median
$60,505
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 77 $18,952.66 $149,440.34 $58,152.04 nat. median
$55,935
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 78 $18,664.73 $161,507.30 $58,017.54 nat. median
$59,651
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 78 $15,305.61 $147,746.59 $52,758.30 nat. median
$55,923
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And McC 78 $25,329.31 $134,805.93 $52,457.32 nat. median
$51,518
1.0× median
33249
CPT 		Ep Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr 88 $800.00 $67,261.00 $52,010.95 nat. median
$32,069
1.6× median
33270
CPT 		Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd 90 $521.80 $67,261.00 $51,558.99 nat. median
$32,475
1.6× median
33264
CPT 		Hc Remove & Replace Impltbl Dfbplse Gen Mult Lead 90 $376.47 $67,261.00 $51,558.99 nat. median
$32,779
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 78 $21,643.77 $132,357.28 $51,504.47 nat. median
$47,121
1.1× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 54 $14,217.16 $131,336.05 $51,107.08 nat. median
$49,569
1.0× median
31
MS_DRG 		Ventricular Shunt Procedures With McC 77 $20,698.89 $78,874.06 $49,786.50 nat. median
$30,700
1.6× median
459
MS_DRG 		Spinal Fusion Except Cervical With McC 78 $18,823.55 $127,074.87 $49,448.92 nat. median
$2,106
outlier · 23.5×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 77 $21,845.05 $211,357.07 $47,458.23 nat. median
$47,458
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 55 $11,819.43 $119,675.28 $46,569.50 nat. median
$44,036
1.1× median
276
MS_DRG 		Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 78 $17,433.18 $118,987.43 $46,301.84 nat. median
$43,533
1.1× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 78 $18,823.55 $117,188.31 $45,601.74 nat. median
$2,106
outlier · 21.7×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 78 $27,134.26 $116,402.75 $45,296.05 nat. median
$42,674
1.1× median
232
MS_DRG 		Coronary Bypass With Ptca Without McC 78 $24,819.48 $113,975.18 $44,351.41 nat. median
$43,803
1.0× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With McC 78 $24,819.48 $112,672.30 $43,844.41 nat. median
$43,023
1.0× median
52
MS_DRG 		Spinal Disorders And Injuries With Cc/McC 21 $14,497.75 $43,307.08 $43,307.08 nat. median
$12,739
outlier · 3.4×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 78 $25,329.31 $115,948.04 $42,473.30 nat. median
$45,446
0.9× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 78 $11,951.34 $108,614.21 $41,196.14 nat. median
$40,301
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 78 $11,951.34 $161,947.98 $41,196.14 nat. median
$56,428
0.7× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 78 $11,951.34 $117,669.22 $41,196.14 nat. median
$38,173
1.1× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With McC 63 $9,564.96 $105,479.63 $41,045.52 nat. median
$38,859
1.1× median
653
MS_DRG 		Major Bladder Procedures With McC 55 $10,257.28 $103,724.58 $40,362.57 nat. median
$36,547
1.1× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 77 $24,819.48 $99,591.76 $38,754.36 nat. median
$39,159
1.0× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With McC 54 $9,281.54 $97,313.64 $37,867.87 nat. median
$35,986
1.1× median
270
MS_DRG 		Other Major Cardiovascular Procedures With McC 70 $15,305.61 $96,890.20 $37,703.09 nat. median
$37,725
1.0× median
93654
CPT 		Ep Ephys Eval W/Ablation Ventricular Tachycardia 88 $800.00 $47,909.19 $37,611.43 nat. median
$26,477
1.4× median
228
MS_DRG 		Other Cardiothoracic Procedures With McC 78 $15,305.61 $96,541.49 $37,567.40 nat. median
$35,725
1.1× median
93653
CPT 		Ep Ephys Eval W/Ablation Supravent Arrhythmia 89 $787.62 $47,909.19 $37,285.15 nat. median
$25,502
1.5× median
93656
CPT 		Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 89 $800.00 $47,909.19 $37,221.30 nat. median
$26,469
1.4× median
33263
CPT 		Remove & Replace Impltbl Dfb Plse Gen Dual Lead 90 $361.04 $47,548.13 $36,940.79 nat. median
$23,924
1.5× median
33262
CPT 		Remove & Replace Impltbl Dfb Plse Gen 1 Lead 89 $354.45 $47,548.13 $36,940.79 nat. median
$23,514
1.6× median
277
MS_DRG 		Cardiac Defibrillator Implant Without McC 78 $25,329.31 $91,630.78 $35,656.48 nat. median
$33,459
1.1× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With McC 78 $10,295.65 $169,784.42 $35,489.02 nat. median
$2,106
outlier · 16.9×
471
MS_DRG 		Cervical Spinal Fusion With McC 78 $10,295.65 $94,248.04 $35,489.02 nat. median
$34,932
1.0× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With McC 77 $11,233.78 $99,375.26 $35,483.35 nat. median
$36,541
1.0× median
34
MS_DRG 		Carotid Artery Stent Procedures With McC 1 $35,324.96 $35,324.96 $35,324.96 nat. median
$27,223
1.3× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 78 $19,085.16 $116,303.97 $34,658.90 nat. median
$35,297
1.0× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/McC 78 $11,281.29 $88,243.30 $34,338.30 nat. median
$2,106
outlier · 16.3×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 78 $18,823.55 $86,813.96 $33,782.10 nat. median
$30,649
1.1× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 66 $5,962.59 $114,961.92 $32,967.03 nat. median
$40,584
0.8× median

Other procedures at this hospital

Browse this hospital's 3,860 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
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 225 88 $628,664.45 $614,687.32 $45,358.41 $394,276.31 $158,959.30 2025-02-25
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 209 77 $580,328.77 $571,022.88 $35,941.08 $320,338.85 $109,599.85 2025-02-25
215 MS_DRG Other Heart Assist System Implant 210 78 $278,290.44 $276,638.02 $25,329.31 $195,715.57 $76,159.22 2025-02-25
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With McC 177 62 $519,142.95 $512,076.63 $25,329.31 $519,209.18 $75,959.63 2025-02-25
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 210 78 $200,972.92 $197,958.54 $19,085.16 $185,953.55 $65,786.38 2025-02-25
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 192 67 $337,600.43 $327,201.68 $7,848.35 $206,366.61 $65,510.76 2025-02-25
231 MS_DRG Coronary Bypass With Ptca With McC 210 78 $168,856.14 $161,850.86 $24,819.48 $155,487.23 $60,505.08 2025-02-25
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 209 77 $168,805.69 $162,442.18 $18,952.66 $149,440.34 $58,152.04 2025-02-25
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 210 78 $85,431.64 $83,986.56 $18,664.73 $161,507.30 $58,017.54 2025-02-25
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 210 78 $108,626.66 $106,866.98 $15,305.61 $147,746.59 $52,758.30 2025-02-25
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 210 78 $287,511.37 $281,239.74 $25,329.31 $134,805.93 $52,457.32 2025-02-25
33249 CPT Ep Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr 222 88 $67,261.00 $67,261.00 $800.00 $67,261.00 $52,010.95 2025-02-25
33270 CPT Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd 231 90 $67,261.00 $67,261.00 $521.80 $67,261.00 $51,558.99 2025-02-25
33264 CPT Hc Remove & Replace Impltbl Dfbplse Gen Mult Lead 229 90 $67,261.00 $67,261.00 $376.47 $67,261.00 $51,558.99 2025-02-25
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 210 78 $176,200.06 $173,851.15 $21,643.77 $132,357.28 $51,504.47 2025-02-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 143 54 $191,344.51 $191,023.14 $14,217.16 $131,336.05 $51,107.08 2025-02-25
31 MS_DRG Ventricular Shunt Procedures With McC 209 77 $28,684.94 $46,783.86 $20,698.89 $78,874.06 $49,786.50 2025-02-25
459 MS_DRG Spinal Fusion Except Cervical With McC 210 78 $77,926.93 $75,296.96 $18,823.55 $127,074.87 $49,448.92 2025-02-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 209 77 $232,707.19 $225,569.39 $21,845.05 $211,357.07 $47,458.23 2025-02-25
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 146 55 $149,605.09 $144,999.10 $11,819.43 $119,675.28 $46,569.50 2025-02-25
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 210 78 $359,263.89 $356,028.11 $17,433.18 $118,987.43 $46,301.84 2025-02-25
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 210 78 $80,019.09 $78,944.44 $18,823.55 $117,188.31 $45,601.74 2025-02-25
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 210 78 $61,038.82 $60,812.82 $27,134.26 $116,402.75 $45,296.05 2025-02-25
232 MS_DRG Coronary Bypass With Ptca Without McC 210 78 $166,414.89 $160,352.06 $24,819.48 $113,975.18 $44,351.41 2025-02-25
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With McC 210 78 $149,184.95 $142,606.62 $24,819.48 $112,672.30 $43,844.41 2025-02-25
52 MS_DRG Spinal Disorders And Injuries With Cc/McC 42 21 $129,794.29 $128,951.78 $14,497.75 $43,307.08 $43,307.08 2025-02-25
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 210 78 $147,546.72 $137,066.21 $25,329.31 $115,948.04 $42,473.30 2025-02-25
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 210 78 $398,528.69 $392,082.47 $11,951.34 $161,947.98 $41,196.14 2025-02-25
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 210 78 $328,421.55 $320,085.52 $11,951.34 $117,669.22 $41,196.14 2025-02-25
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 210 78 $131,923.51 $126,999.80 $11,951.34 $108,614.21 $41,196.14 2025-02-25
405 MS_DRG Pancreas, Liver And Shunt Procedures With McC 168 63 $84,088.36 $79,760.68 $9,564.96 $105,479.63 $41,045.52 2025-02-25
653 MS_DRG Major Bladder Procedures With McC 145 55 $72,152.50 $72,037.18 $10,257.28 $103,724.58 $40,362.57 2025-02-25
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 209 77 $129,059.16 $124,258.77 $24,819.48 $99,591.76 $38,754.36 2025-02-25
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 144 54 $54,979.67 $53,231.83 $9,281.54 $97,313.64 $37,867.87 2025-02-25
270 MS_DRG Other Major Cardiovascular Procedures With McC 197 70 $89,327.83 $83,881.35 $15,305.61 $96,890.20 $37,703.09 2025-02-25
93654 CPT Ep Ephys Eval W/Ablation Ventricular Tachycardia 222 88 $43,940.00 $43,940.00 $800.00 $47,909.19 $37,611.43 2025-02-25
228 MS_DRG Other Cardiothoracic Procedures With McC 210 78 $63,238.41 $56,415.54 $15,305.61 $96,541.49 $37,567.40 2025-02-25
93653 CPT Ep Ephys Eval W/Ablation Supravent Arrhythmia 224 89 $43,940.00 $43,940.00 $787.62 $47,909.19 $37,285.15 2025-02-25
93656 CPT Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 230 89 $43,940.00 $43,940.00 $800.00 $47,909.19 $37,221.30 2025-02-25
33262 CPT Remove & Replace Impltbl Dfb Plse Gen 1 Lead 225 89 $47,219.00 $47,219.00 $354.45 $47,548.13 $36,940.79 2025-02-25
33263 CPT Remove & Replace Impltbl Dfb Plse Gen Dual Lead 226 90 $47,219.00 $47,219.00 $361.04 $47,548.13 $36,940.79 2025-02-25
277 MS_DRG Cardiac Defibrillator Implant Without McC 210 78 $237,505.10 $230,717.45 $25,329.31 $91,630.78 $35,656.48 2025-02-25
471 MS_DRG Cervical Spinal Fusion With McC 210 78 $63,301.21 $63,076.80 $10,295.65 $94,248.04 $35,489.02 2025-02-25
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With McC 210 78 $73,804.34 $73,556.39 $10,295.65 $169,784.42 $35,489.02 2025-02-25
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 209 77 $88,039.10 $86,332.73 $11,233.78 $99,375.26 $35,483.35 2025-02-25
34 MS_DRG Carotid Artery Stent Procedures With McC 1 1 $29,035.19 $26,998.11 $35,324.96 $35,324.96 $35,324.96 2025-02-25
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 210 78 $108,562.51 $108,405.23 $19,085.16 $116,303.97 $34,658.90 2025-02-25
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/McC 210 78 $74,271.19 $74,045.19 $11,281.29 $88,243.30 $34,338.30 2025-02-25
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 210 78 $66,809.63 $66,083.72 $18,823.55 $86,813.96 $33,782.10 2025-02-25
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 195 66 $208,494.85 $208,428.45 $5,962.59 $114,961.92 $32,967.03 2025-02-25
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With McC 210 78 $94,676.61 $90,064.29 $11,628.35 $84,610.56 $32,924.69 2025-02-25
37231 CPT Hc Vasc Revascularize Tibial/Peron Artery,Angioplasty/Stent/Atherectomy Init 237 90 $32,886.00 $32,886.00 $680.12 $32,886.00 $32,886.00 2025-02-25
C9775 HCPCS Revasc Lith-sten-ath Tib/Per 238 90 $32,886.00 $32,886.00 $18,745.02 $32,886.00 $32,886.00 2025-02-25
319 MS_DRG Other Endovascular Cardiac Valve Procedures With McC 210 78 $87,759.50 $86,395.02 $9,309.43 $83,574.00 $32,089.54 2025-02-25
28 MS_DRG Spinal Procedures With McC 209 77 $48,549.01 $47,377.66 $10,074.51 $115,460.08 $31,553.15 2025-02-25
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 210 78 $177,288.02 $174,845.54 $9,054.52 $85,461.26 $31,210.85 2025-02-25
33274 CPT Tcat Insj/Rpl Perm Ldls Pm 236 90 $32,886.00 $32,886.00 $445.24 $39,305.45 $31,072.32 2025-02-25
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With McC 210 78 $91,502.59 $87,050.22 $9,309.43 $79,322.40 $30,866.90 2025-02-25
791 MS_DRG Prematurity With Major Problems 195 66 $101,373.91 $101,342.76 $2,586.19 $78,511.93 $30,551.52 2025-02-25
33229 CPT Remove & Replace Pm Gen Mult Leads 228 90 $38,136.00 $38,136.00 $348.10 $39,305.45 $30,536.95 2025-02-25
166 MS_DRG Other Respiratory System O.r. Procedures With McC 143 54 $29,246.59 $28,757.51 $7,776.34 $77,747.45 $30,254.03 2025-02-25
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without McC 210 78 $109,137.34 $108,954.17 $18,952.66 $90,138.47 $30,130.27 2025-02-25
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 210 78 $70,271.95 $64,474.11 $8,732.72 $194,579.52 $30,101.61 2025-02-25
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 208 76 $126,249.57 $125,989.75 $19,085.16 $100,486.54 $29,967.00 2025-02-25
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 210 78 $77,908.87 $72,672.87 $8,596.43 $111,184.78 $29,631.82 2025-02-25
163 MS_DRG Major Chest Procedures With McC 210 78 $99,476.60 $97,791.16 $8,596.43 $90,312.58 $29,631.82 2025-02-25
799 MS_DRG Splenic Procedures With McC 210 78 $101,627.33 $98,805.40 $8,596.43 $94,930.14 $29,631.82 2025-02-25
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 209 77 $49,618.84 $49,127.87 $8,588.86 $75,829.53 $29,507.71 2025-02-25
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 210 78 $160,437.40 $159,428.80 $9,475.38 $75,158.93 $29,246.76 2025-02-25
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With McC 210 78 $42,436.01 $40,422.52 $8,822.95 $74,932.84 $29,158.78 2025-02-25
273 MS_DRG Percutaneous And Other Intracardiac Procedures With McC 210 78 $127,180.05 $127,008.47 $9,309.43 $96,638.40 $29,055.14 2025-02-25
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 208 76 $67,566.88 $65,162.33 $11,329.37 $74,676.10 $28,914.98 2025-02-25
329 MS_DRG Major Small And Large Bowel Procedures With McC 210 78 $53,498.39 $50,139.41 $9,126.61 $86,541.89 $28,465.42 2025-02-25
33240 CPT Insj Implntbl Defib Pulse Gen W/1 Existing Ld 234 90 $28,442.00 $28,442.00 $343.94 $47,548.13 $28,442.00 2025-02-25
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC 196 69 $153,493.16 $153,408.59 $9,309.43 $96,638.40 $28,368.99 2025-02-25
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 209 77 $73,715.53 $69,860.13 $9,475.38 $84,276.16 $28,248.43 2025-02-25
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 210 78 $339,564.34 $331,530.34 $8,822.95 $106,666.17 $27,751.87 2025-02-25
37229 CPT Hc Revascularize Tibial/Peron Artery,Angioplasty/Atherectomy Initial 222 88 $32,886.00 $32,886.00 $652.61 $35,371.72 $27,721.67 2025-02-25
37227 CPT Revascularize Fem/Pop Artery,Angioplasty/Stent/Atherectomy 229 90 $32,886.00 $32,886.00 $660.03 $35,371.72 $27,480.78 2025-02-25
92933 CPT Perq Trluml C Athrc St Angiop 1 Maj C Art&/Brnch 230 90 $32,886.00 $32,886.00 $609.76 $35,371.72 $27,480.78 2025-02-25
36906 CPT Hc Perq Thrmbc/Nfs Dial Circuit Tcat Plmt IV Stent 227 89 $32,886.00 $32,886.00 $485.73 $35,371.72 $27,480.78 2025-02-25
37230 CPT Hc Revascularize Tibial/Peron Artery,Angioplasty/Stent Initial 225 90 $32,886.00 $32,886.00 $638.47 $35,371.72 $27,480.78 2025-02-25
460 MS_DRG Spinal Fusion Except Cervical Without McC 210 78 $67,271.27 $66,794.69 $18,823.55 $70,085.36 $27,272.47 2025-02-25
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurost… 210 78 $47,702.06 $45,437.74 $10,017.41 $69,968.49 $27,226.99 2025-02-25
245 MS_DRG Aicd Generator Procedures 175 61 $65,479.88 $64,491.08 $8,426.50 $86,821.62 $27,113.71 2025-02-25
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With McC 210 78 $63,850.83 $59,886.80 $8,425.03 $115,854.77 $26,611.55 2025-02-25
947 MS_DRG Signs And Symptoms With McC 62 33 $23,897.70 $23,642.68 $2,763.89 $43,752.00 $26,515.99 2025-02-25
265 MS_DRG Aicd Lead Procedures 210 78 $82,377.97 $80,722.80 $8,797.08 $67,713.36 $26,349.44 2025-02-25
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 210 78 $247,153.94 $245,165.39 $8,286.24 $82,441.65 $26,173.15 2025-02-25
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 209 77 $43,900.65 $43,783.10 $8,356.75 $106,399.94 $26,173.15 2025-02-25
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 208 76 $73,274.84 $73,225.68 $11,329.37 $66,797.51 $25,993.06 2025-02-25
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 210 78 $58,916.09 $56,240.80 $7,548.38 $110,122.11 $25,812.63 2025-02-25
271 MS_DRG Other Major Cardiovascular Procedures With Cc 205 76 $81,780.53 $80,813.27 $9,054.52 $88,063.04 $25,768.64 2025-02-25
242 MS_DRG Permanent Cardiac Pacemaker Implant With McC 210 78 $77,154.72 $76,753.98 $10,977.74 $66,199.72 $25,760.44 2025-02-25
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 210 78 $71,355.48 $60,455.26 $10,074.51 $82,267.47 $25,559.88 2025-02-25
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With McC 210 78 $27,856.24 $26,641.94 $8,065.13 $67,542.83 $25,259.82 2025-02-25
901 MS_DRG Wound Debridements For Injuries With McC 209 77 $67,219.56 $65,272.95 $7,308.61 $82,920.65 $25,192.70 2025-02-25
37 MS_DRG Extracranial Procedures With McC 210 78 $232,230.96 $228,385.39 $9,141.52 $64,676.50 $25,167.70 2025-02-25
252 MS_DRG Other Vascular Procedures With McC 210 78 $71,155.54 $69,487.01 $9,467.18 $64,258.81 $25,005.17 2025-02-25
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With McC 145 54 $42,347.34 $40,603.48 $6,164.46 $64,036.55 $24,918.68 2025-02-25
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC… 210 78 $59,545.16 $58,521.92 $11,233.78 $63,798.97 $24,826.23 2025-02-25
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With McC 96 31 $21,320.06 $21,208.85 $6,516.85 $63,718.50 $24,794.92 2025-02-25
56 MS_DRG Degenerative Nervous System Disorders With McC 62 33 $63,380.05 $63,069.49 $3,305.99 $77,572.00 $24,736.43 2025-02-25
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With McC 210 78 $165,833.95 $164,073.95 $10,977.74 $63,519.23 $24,717.38 2025-02-25
0409T CPT Nsj/Rplc Cardiac Modulj Sys Pls Generator Only 238 90 $24,700.00 $24,700.00 $14,079.00 $24,700.00 $24,700.00 2025-02-25
0414T CPT Removal & Replace Cardiac Pulse Generator Only 238 90 $24,700.00 $24,700.00 $14,079.00 $24,700.00 $24,700.00 2025-02-25
0408T CPT Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd 238 90 $24,700.00 $24,700.00 $800.00 $66,363.85 $24,700.00 2025-02-25
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC 210 78 $60,258.37 $51,399.13 $7,797.41 $74,478.75 $24,629.15 2025-02-25
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 201 73 $102,713.32 $102,355.41 $9,133.61 $79,678.78 $24,419.40 2025-02-25
264 MS_DRG Other Circulatory System O.r. Procedures 126 52 $46,525.90 $45,921.64 $5,940.87 $62,576.56 $24,350.55 2025-02-25
949 MS_DRG Aftercare With Cc/McC 61 32 $26,458.64 $26,006.99 $3,143.91 $25,577.05 $24,171.90 2025-02-25
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without McC 210 78 $84,972.22 $84,677.35 $9,309.43 $62,093.73 $24,162.67 2025-02-25
J3101 HCPCS Tenecteplase 50 Mg Intravenous Solution 238 90 $23,917.23 $23,917.23 $8,222.40 $23,917.23 $23,917.23 2025-02-25
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 210 78 $45,290.28 $45,036.14 $9,054.52 $61,323.50 $23,862.94 2025-02-25
229 MS_DRG Other Cardiothoracic Procedures Without McC 210 78 $79,459.79 $79,269.25 $19,851.80 $68,428.97 $23,706.37 2025-02-25
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With McC 210 78 $102,789.90 $99,471.43 $10,295.65 $60,574.34 $23,571.42 2025-02-25
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With McC 47 24 $55,095.99 $54,789.04 $3,143.91 $33,346.95 $23,507.43 2025-02-25
57 MS_DRG Degenerative Nervous System Disorders Without McC 63 34 $66,912.15 $66,133.31 $3,305.99 $42,923.76 $23,413.82 2025-02-25
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With McC 143 54 $33,764.20 $31,910.28 $6,781.64 $60,116.42 $23,393.23 2025-02-25
335 MS_DRG Peritoneal Adhesiolysis With McC 209 77 $42,317.56 $40,851.95 $7,378.15 $68,497.00 $23,012.07 2025-02-25
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 210 78 $56,209.46 $55,394.13 $7,626.62 $58,917.00 $22,926.50 2025-02-25
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With McC 210 78 $245,909.04 $238,657.88 $6,570.36 $65,734.13 $22,647.98 2025-02-25
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 210 78 $93,950.51 $92,531.98 $7,157.14 $76,917.82 $22,416.00 2025-02-25
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With McC 210 78 $110,187.11 $103,926.94 $7,151.00 $69,410.93 $22,396.77 2025-02-25
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With McC 209 77 $46,550.88 $45,493.78 $11,644.05 $57,368.87 $22,324.07 2025-02-25
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 210 78 $28,853.84 $28,770.74 $6,470.04 $68,615.79 $22,302.16 2025-02-25
356 MS_DRG Other Digestive System O.r. Procedures With McC 209 77 $69,173.14 $66,814.36 $6,444.17 $81,979.89 $22,212.99 2025-02-25
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 210 78 $94,604.80 $89,158.78 $7,111.09 $84,848.14 $22,179.13 2025-02-25
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without McC 210 78 $84,372.41 $84,224.70 $11,136.74 $56,878.38 $22,133.20 2025-02-25
472 MS_DRG Cervical Spinal Fusion With Cc 210 78 $46,403.97 $46,136.52 $10,017.41 $56,625.46 $22,034.79 2025-02-25
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 210 78 $63,310.40 $62,697.40 $9,475.38 $56,581.40 $22,017.64 2025-02-25
480 MS_DRG Hip And Femur Procedures Except Major Joint With McC 210 78 $58,142.01 $55,349.85 $8,427.33 $56,500.92 $21,986.33 2025-02-25
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With McC 210 78 $43,211.05 $43,112.73 $6,558.37 $56,029.59 $21,802.91 2025-02-25
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ A… 210 78 $65,534.76 $58,985.13 $11,136.74 $55,079.25 $21,433.11 2025-02-25
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 210 78 $387,540.37 $380,983.65 $6,666.37 $109,494.91 $21,056.58 2025-02-25
668 MS_DRG Transurethral Procedures With McC 145 55 $36,155.98 $35,252.40 $5,483.53 $53,992.88 $21,010.37 2025-02-25
0620T OTHER Endovascular Venous Arterialization Tibl/Prnl Vn 484 95 $32,886.00 $32,886.00 $800.00 $51,997.89 $20,981.75 2025-02-25
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC 49 26 $25,125.92 $25,001.27 $5,980.64 $22,893.25 $20,975.98 2025-02-25
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 209 77 $59,025.32 $58,573.83 $8,809.82 $53,824.27 $20,944.75 2025-02-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 210 78 $96,195.70 $94,638.37 $6,654.33 $107,554.25 $20,754.52 2025-02-25
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 210 78 $428,565.22 $422,935.80 $5,982.92 $281,838.30 $20,623.08 2025-02-25
37242 CPT Hc Vascular Embolization Or Occlusion Arterial Rs&I 228 90 $20,568.00 $20,568.00 $442.72 $35,371.72 $20,568.00 2025-02-25
37243 CPT Hc Vascular Embolize/Occlude Organ Tumor Infarct 236 89 $20,568.00 $20,568.00 $11,723.76 $20,568.00 $20,568.00 2025-02-25
37184 CPT Hc Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st 226 89 $20,568.00 $20,568.00 $407.38 $35,371.72 $20,568.00 2025-02-25
37225 CPT Revascularize Fem/Pop Artery,Angioplasty/Atherectomy 226 89 $20,568.00 $20,568.00 $562.61 $35,371.72 $20,568.00 2025-02-25
92943 CPT Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd 228 90 $20,568.00 $20,568.00 $610.43 $35,371.72 $20,568.00 2025-02-25
37244 CPT Vascular Embolization Or Occlusion Hemorrhage 236 89 $20,568.00 $20,568.00 $11,723.76 $20,568.00 $20,568.00 2025-02-25
344 MS_DRG Minor Small And Large Bowel Procedures With McC 210 78 $39,743.07 $38,671.67 $7,425.97 $52,506.06 $20,431.80 2025-02-25
654 MS_DRG Major Bladder Procedures With Cc 210 78 $37,697.79 $37,558.39 $8,079.03 $52,450.50 $20,410.18 2025-02-25
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With McC 210 78 $30,596.93 $29,106.58 $6,442.96 $52,640.18 $20,350.92 2025-02-25
J0139 HCPCS Adalimumab 80 Mg/0.8 Ml Subcutaneous Pen Kit 238 90 $20,262.05 $20,262.05 $11,549.37 $20,262.05 $20,262.05 2025-02-25
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 210 78 $78,454.44 $75,724.96 $5,811.93 $68,462.36 $20,033.67 2025-02-25
503 MS_DRG Foot Procedures With McC 210 78 $56,092.74 $54,812.22 $6,678.26 $51,385.20 $19,995.64 2025-02-25
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/McC 210 78 $65,246.42 $65,181.79 $10,885.50 $51,149.54 $19,903.93 2025-02-25
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 210 78 $84,625.54 $76,554.67 $9,309.43 $50,664.79 $19,715.30 2025-02-25
840 MS_DRG Lymphoma And Non-acute Leukemia With McC 210 78 $66,431.35 $51,152.58 23% off $6,225.64 $59,878.83 $19,664.48 2025-02-25
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 209 77 $74,069.68 $73,984.83 $6,295.19 $57,506.82 $19,634.36 2025-02-25
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 210 78 $42,951.80 $41,861.82 $7,581.31 $57,181.18 $19,467.02 2025-02-25
619 MS_DRG O.r. Procedures For Obesity With McC 210 78 $33,331.93 $33,292.13 $6,939.69 $49,863.90 $19,403.65 2025-02-25
963 MS_DRG Other Multiple Significant Trauma With McC 210 78 $23,619.26 $21,292.25 $5,564.59 $52,389.19 $19,181.08 2025-02-25
253 MS_DRG Other Vascular Procedures With Cc 210 78 $63,046.75 $63,022.17 $9,054.52 $48,879.08 $19,020.42 2025-02-25
164 MS_DRG Major Chest Procedures With Cc 210 78 $77,154.24 $76,725.14 $10,932.94 $48,865.66 $19,015.20 2025-02-25
347 MS_DRG Anal And Stomal Procedures With McC 210 78 $46,080.95 $44,234.67 $7,425.97 $48,840.76 $19,005.51 2025-02-25
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/McC 210 78 $58,274.42 $57,439.44 $14,916.30 $51,416.34 $18,881.00 2025-02-25
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 139 52 $36,131.77 $36,068.11 $4,694.36 $47,850.18 $18,620.05 2025-02-25
420 MS_DRG Hepatobiliary Diagnostic Procedures With McC 209 78 $35,435.91 $34,042.34 $8,189.15 $29,011.95 $18,600.58 2025-02-25
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 210 78 $90,159.96 $90,114.16 $9,971.33 $47,597.27 $18,521.63 2025-02-25
907 MS_DRG Other O.r. Procedures For Injuries With McC 210 78 $101,205.60 $97,983.85 $5,350.68 $119,702.71 $18,443.76 2025-02-25
473 MS_DRG Cervical Spinal Fusion Without Cc/McC 210 78 $50,195.71 $50,024.71 $10,017.41 $47,145.10 $18,345.67 2025-02-25
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/McC 209 77 $48,181.51 $48,101.11 $10,855.75 $46,740.82 $18,188.36 2025-02-25
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/McC 210 78 $81,639.16 $78,457.49 $11,951.34 $46,614.36 $18,139.15 2025-02-25
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With McC 210 78 $47,318.02 $45,156.91 $5,235.22 $64,550.04 $18,045.74 2025-02-25
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 210 78 $48,814.53 $47,772.90 $7,548.38 $46,016.57 $17,906.53 2025-02-25
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 61 32 $32,060.94 $31,940.29 $3,143.91 $25,303.27 $17,903.15 2025-02-25
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 210 78 $40,967.48 $40,254.74 $7,349.62 $45,681.27 $17,776.05 2025-02-25
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 209 77 $36,680.19 $36,494.12 $9,932.89 $45,671.69 $17,772.32 2025-02-25
330 MS_DRG Major Small And Large Bowel Procedures With Cc 209 77 $47,366.68 $47,268.36 $9,126.61 $45,449.44 $17,685.84 2025-02-25
288 MS_DRG Acute And Subacute Endocarditis With McC 188 64 $111,620.62 $110,104.01 $6,334.48 $49,681.88 $17,558.14 2025-02-25
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC 210 78 $41,199.72 $36,577.72 $9,309.43 $45,041.33 $17,527.03 2025-02-25
37187 CPT Prq Transluminal Mechanical Thrombectomy Vein 233 90 $20,568.00 $20,568.00 $365.74 $22,191.47 $17,482.80 2025-02-25
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 210 78 $59,577.40 $58,489.59 $5,657.32 $51,804.81 $17,436.86 2025-02-25
37236 CPT Hc Open/Perq Placement Intravascular Stent Initial 222 88 $20,568.00 $20,568.00 $414.80 $22,191.47 $17,391.99 2025-02-25
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With McC 209 77 $58,218.13 $55,419.48 $5,030.78 $73,775.58 $17,341.05 2025-02-25
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 210 78 $74,694.52 $72,909.43 $5,030.78 $53,701.65 $17,341.05 2025-02-25
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 209 77 $34,848.05 $31,491.04 $5,677.53 $47,631.76 $17,301.35 2025-02-25
30 MS_DRG Spinal Procedures Without Cc/McC 209 77 $29,655.75 $29,593.01 $9,989.51 $44,432.04 $17,289.94 2025-02-25
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With McC 210 78 $51,815.11 $50,462.82 $5,581.62 $44,409.05 $17,280.99 2025-02-25
500 MS_DRG Soft Tissue Procedures With McC 208 76 $32,521.44 $31,364.73 $5,524.10 $62,132.05 $17,265.36 2025-02-25
37228 CPT Revsc Opn/Prq Tib/Pero W/Angioplasty Uni 235 90 $20,568.00 $20,568.00 $497.97 $22,191.47 $17,240.86 2025-02-25
36905 CPT Hc Perq Thrmbc/Nfs Dial Circuit Trluml Balo Angiop 227 89 $20,568.00 $20,568.00 $421.14 $22,191.47 $17,240.86 2025-02-25
92937 CPT Perq Trluml Revsc Of/-cab Grf 1 Maj C Art&/Brnch 225 90 $20,568.00 $20,568.00 $543.63 $22,191.47 $17,240.86 2025-02-25
92928 CPT Perq Tcat Plmt Ntrac St 1 Les 1+c Segments 232 90 $20,568.00 $20,568.00 $543.72 $22,191.47 $17,240.86 2025-02-25
37221 CPT Hc Revascularize Iliac Artery,Angioplasty/Stent, Initial Vessel 231 90 $20,568.00 $20,568.00 $453.59 $22,191.47 $17,240.86 2025-02-25
92924 CPT Perq Trluml C Athrc Angiop 1 Maj C Art&/Branches 236 90 $20,568.00 $20,568.00 $582.84 $22,191.47 $17,240.86 2025-02-25
36903 CPT Intro Cath Dialysis Circuit W/Tcat Plmt IV Stent 224 90 $20,568.00 $20,568.00 $65.58 $22,191.47 $17,240.86 2025-02-25
37238 CPT Hc Open/Perq Placement Intravascular Stent Same 1st 227 89 $20,568.00 $20,568.00 $289.68 $22,191.47 $17,240.86 2025-02-25
37241 CPT Hc Vascular Embolization Or Occlusion Venous Rs&I 230 90 $20,568.00 $20,568.00 $398.20 $22,191.47 $17,240.86 2025-02-25
37226 CPT Hc Revascularize Fem/Pop Artery,Angioplasty/Stent 231 90 $20,568.00 $20,568.00 $477.24 $22,191.47 $17,240.86 2025-02-25
35 MS_DRG Carotid Artery Stent Procedures With Cc 210 78 $60,743.13 $60,718.55 $776.77 $44,058.42 $17,144.55 2025-02-25
33224 CPT Ep Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen 231 90 $21,291.00 $21,291.00 $474.07 $21,540.12 $17,028.21 2025-02-25
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 210 78 $85,193.16 $84,447.68 $10,977.74 $43,638.82 $16,981.27 2025-02-25
33206 CPT Ep Inser Hart Pacer Xvenous Atrial 222 88 $21,291.00 $21,291.00 $432.59 $21,540.12 $16,881.51 2025-02-25
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 209 77 $53,221.34 $52,749.13 $6,678.26 $43,355.25 $16,870.92 2025-02-25
614 MS_DRG Adrenal And Pituitary Procedures With Cc/McC 209 77 $57,829.57 $56,968.85 $7,530.78 $43,155.98 $16,793.38 2025-02-25
570 MS_DRG Skin Debridement With McC 209 77 $43,955.16 $43,571.27 $4,855.37 $55,989.35 $16,736.41 2025-02-25
33208 CPT Ep Inser Hart Pacer Xvenous Atr/Ventr 229 89 $21,291.00 $21,291.00 $491.92 $21,540.12 $16,734.82 2025-02-25
33207 CPT Ep Inser Hart Pacer Xvenous Ventr 231 90 $21,291.00 $21,291.00 $445.56 $21,540.12 $16,734.82 2025-02-25
33228 CPT Remove & Replace Pm Gen Dual Lead 230 90 $21,291.00 $21,291.00 $331.02 $21,540.12 $16,734.82 2025-02-25
835 MS_DRG Acute Leukemia With Cc 203 73 $11,012.30 $10,748.68 $8,206.34 $29,072.85 $16,667.38 2025-02-25
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 209 77 $33,263.96 $31,285.48 $5,982.92 $68,541.67 $16,647.99 2025-02-25
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 210 78 $38,449.98 $38,449.98 $8,732.72 $42,767.04 $16,642.03 2025-02-25
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 210 78 $69,129.83 $66,776.41 $5,030.78 $42,740.21 $16,631.59 2025-02-25
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC 209 77 $22,617.43 $21,267.62 $4,735.48 $67,257.19 $16,323.16 2025-02-25
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 210 78 $46,410.44 $45,833.80 $7,326.27 $41,512.06 $16,153.68 2025-02-25
32 MS_DRG Ventricular Shunt Procedures With Cc 210 78 $41,960.49 $41,454.91 $8,043.69 $41,266.81 $16,058.24 2025-02-25
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/McC 180 65 $12,106.73 $10,905.33 $9,211.00 $31,750.24 $16,037.37 2025-02-25
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 209 77 $28,990.57 $28,918.44 $8,356.75 $41,092.45 $15,990.39 2025-02-25
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 210 78 $42,595.38 $39,575.95 $7,308.61 $40,920.01 $15,923.29 2025-02-25
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 174 60 $73,556.38 $67,545.65 $7,844.31 $40,843.37 $15,893.47 2025-02-25
662 MS_DRG Minor Bladder Procedures With McC 209 78 $44,914.53 $44,369.87 $5,371.54 $57,416.77 $15,793.88 2025-02-25
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC 208 76 $50,106.75 $48,511.54 $11,329.37 $43,799.49 $15,748.08 2025-02-25
655 MS_DRG Major Bladder Procedures Without Cc/McC 209 77 $55,028.15 $54,833.38 $7,860.70 $40,385.45 $15,715.28 2025-02-25
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC 210 78 $76,390.09 $74,700.08 $7,548.38 $40,362.46 $15,706.33 2025-02-25
336 MS_DRG Peritoneal Adhesiolysis With Cc 209 77 $39,208.85 $38,108.29 $6,558.37 $40,337.55 $15,696.64 2025-02-25
397 MS_DRG Appendix Procedures With McC 210 78 $24,437.53 $23,330.04 $4,543.03 $43,044.86 $15,659.80 2025-02-25
314 MS_DRG Other Circulatory System Diagnoses With McC 144 54 $21,331.75 $19,916.97 $4,015.04 $48,780.60 $15,608.66 2025-02-25
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC 203 73 $34,204.42 $33,473.38 $5,386.82 $52,126.70 $15,549.68 2025-02-25
333 MS_DRG Rectal Resection With Cc 210 78 $32,770.68 $31,615.80 $9,126.61 $39,843.22 $15,504.28 2025-02-25
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 210 78 $42,558.63 $41,819.04 $8,199.58 $41,993.06 $15,469.98 2025-02-25
113 MS_DRG Orbital Procedures With Cc/McC 210 78 $57,860.23 $57,761.91 $4,895.53 $48,039.87 $15,463.16 2025-02-25
0527T CPT Ins/Repl Iims Monitor Only 238 90 $16,706.00 $16,706.00 $800.00 $17,137.42 $15,305.27 2025-02-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With McC 184 63 $157,042.54 $152,461.74 $5,477.49 $138,574.70 $15,295.70 2025-02-25
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 210 78 $40,512.58 $39,585.49 $6,470.04 $39,101.73 $15,215.74 2025-02-25
350 MS_DRG Inguinal And Femoral Hernia Procedures With McC 210 78 $46,352.04 $45,230.46 $4,399.17 $45,984.00 $15,163.90 2025-02-25
665 MS_DRG Prostatectomy With McC 210 78 $81,280.27 $79,311.65 $4,818.70 $59,187.16 $15,092.06 2025-02-25
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 209 77 $27,466.95 $26,368.26 $7,344.38 $38,479.03 $14,973.43 2025-02-25
908 MS_DRG Other O.r. Procedures For Injuries With Cc 210 78 $39,613.33 $38,419.54 $5,350.68 $38,398.56 $14,942.11 2025-02-25
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With McC 210 78 $40,888.90 $36,856.24 $4,894.82 $43,077.93 $14,933.91 2025-02-25
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 187 63 $38,821.04 $38,389.02 $4,922.92 $38,201.21 $14,865.32 2025-02-25
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 208 76 $25,231.09 $23,897.89 $6,470.04 $38,080.50 $14,818.35 2025-02-25
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 210 78 $51,662.04 $51,419.07 $8,356.75 $38,023.02 $14,795.98 2025-02-25
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 209 77 $61,470.39 $59,800.32 $4,724.15 $73,298.50 $14,795.95 2025-02-25
539 MS_DRG Osteomyelitis With McC 209 77 $58,154.25 $56,927.09 $5,073.69 $65,003.66 $14,795.23 2025-02-25
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 210 78 $103,355.96 $99,677.60 $8,065.13 $37,856.33 $14,731.11 2025-02-25
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 209 77 $38,785.57 $38,693.83 $7,797.41 $37,818.01 $14,716.20 2025-02-25
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 209 77 $45,041.60 $42,456.65 $5,291.42 $37,718.38 $14,677.43 2025-02-25
707 MS_DRG Major Male Pelvic Procedures With Cc/McC 210 78 $107,137.19 $106,106.73 $5,542.50 $37,590.00 $14,627.48 2025-02-25
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 210 78 $36,364.52 $35,163.07 $5,384.96 $37,501.87 $14,593.18 2025-02-25
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/McC 209 77 $89,995.40 $86,880.32 $4,601.50 $51,331.33 $14,534.45 2025-02-25
380 MS_DRG Complicated Peptic Ulcer With McC 146 55 $47,533.60 $46,905.52 $3,481.58 $37,333.26 $14,527.57 2025-02-25
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 210 78 $39,247.00 $34,284.57 $4,607.51 $41,280.22 $14,430.61 2025-02-25
948 MS_DRG Signs And Symptoms Without McC 63 34 $54,256.46 $53,880.07 $2,763.89 $32,981.40 $14,394.29 2025-02-25
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 203 73 $15,000.76 $10,295.88 31% off $4,546.72 $32,486.76 $14,301.64 2025-02-25
545 MS_DRG Connective Tissue Disorders With McC 209 77 $43,431.07 $39,541.71 $4,490.86 $47,769.71 $14,065.28 2025-02-25
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With McC 209 77 $14,337.06 $14,014.14 $4,076.74 $40,088.47 $14,052.49 2025-02-25
902 MS_DRG Wound Debridements For Injuries With Cc 209 77 $83,810.46 $79,576.94 $7,308.61 $36,110.85 $14,051.89 2025-02-25
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 210 78 $28,192.42 $27,913.31 $8,797.08 $36,055.29 $14,030.27 2025-02-25
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 210 78 $54,907.71 $54,604.83 $11,329.37 $40,136.93 $14,029.53 2025-02-25
165 MS_DRG Major Chest Procedures Without Cc/McC 210 78 $46,340.13 $46,340.13 $10,932.94 $39,570.03 $13,990.01 2025-02-25
722 MS_DRG Malignancy, Male Reproductive System With McC 210 78 $15,665.90 $15,506.59 $5,392.72 $35,921.17 $13,978.08 2025-02-25
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 210 78 $54,957.58 $53,551.23 $5,030.78 $35,861.77 $13,954.97 2025-02-25
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 210 78 $40,700.16 $40,617.06 $6,295.19 $35,844.53 $13,948.26 2025-02-25
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC 210 78 $45,308.05 $45,283.47 $7,344.38 $35,813.87 $13,936.33 2025-02-25
259 MS_DRG Cardiac Pacemaker Device Replacement Without McC 210 78 $67,315.67 $66,491.15 $8,796.93 $35,764.06 $13,916.94 2025-02-25
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC 209 77 $43,815.87 $42,892.04 $8,199.58 $35,714.24 $13,897.56 2025-02-25
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 210 78 $24,336.28 $23,956.73 $4,936.57 $35,664.42 $13,878.17 2025-02-25
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 209 77 $42,966.52 $41,054.54 $6,198.19 $44,665.02 $13,854.32 2025-02-25
974 MS_DRG HIV With Major Related Condition With McC 209 77 $19,568.35 $17,188.16 $4,383.57 $55,880.14 $13,846.08 2025-02-25
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 210 78 $72,162.28 $71,681.45 $7,128.28 $35,560.96 $13,837.91 2025-02-25
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With McC 210 78 $35,800.35 $29,145.41 $4,408.60 $41,301.30 $13,807.63 2025-02-25
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 210 78 $50,166.59 $48,186.55 $7,877.16 $45,279.27 $13,749.93 2025-02-25
711 MS_DRG Testes Procedures With Cc/McC 196 67 $59,131.32 $57,419.66 $3,714.86 $40,674.76 $13,739.30 2025-02-25
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/McC 210 78 $88,241.09 $87,741.50 $10,977.74 $37,840.16 $13,640.34 2025-02-25
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC 209 77 $53,245.89 $48,579.89 $11,136.74 $40,307.68 $13,594.85 2025-02-25
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With McC 210 78 $49,465.33 $49,237.90 $4,365.92 $40,446.76 $13,571.04 2025-02-25
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 209 77 $58,519.68 $58,333.84 $4,952.54 $34,867.37 $13,568.01 2025-02-25
33221 CPT Ins Pacemaker Pulse Gen Only W/Exist Mult Leads 466 93 $23,772.00 $23,772.00 $504.43 $23,772.00 $13,550.04 2025-02-25
33285 CPT Insj Subq Car Rhythm Mntr 237 90 $16,706.00 $16,706.00 $81.26 $17,137.42 $13,547.73 2025-02-25
33233 CPT Hc Pacemaker Explant Without Replacement 225 89 $16,706.00 $16,706.00 $223.10 $17,137.42 $13,547.73 2025-02-25
36 MS_DRG Carotid Artery Stent Procedures Without Cc/McC 209 77 $63,479.37 $63,421.82 $9,141.52 $34,645.11 $13,481.53 2025-02-25
33217 CPT Hc Lead(S) Replace Dual 222 88 $16,706.00 $16,706.00 $351.54 $17,137.42 $13,431.01 2025-02-25
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 210 78 $39,454.79 $38,415.44 $4,280.90 $42,354.52 $13,407.68 2025-02-25
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 210 78 $76,256.31 $74,685.83 $6,666.37 $34,238.92 $13,323.46 2025-02-25
33210 CPT Ep Inser Heart Temp Pacer One Chmbr 227 89 $16,706.00 $16,706.00 $152.72 $17,137.42 $13,314.30 2025-02-25
33216 CPT Hc Icd Lead(S) Replace Single 227 90 $16,706.00 $16,706.00 $347.22 $17,137.42 $13,314.30 2025-02-25
33227 CPT Hc Remove & Replace Pm Gen Single Lead 223 89 $16,706.00 $16,706.00 $323.36 $17,137.42 $13,314.30 2025-02-25
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 180 58 $31,417.35 $30,297.10 $4,894.92 $50,373.59 $13,292.58 2025-02-25
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/McC 210 78 $43,215.63 $43,153.87 $5,312.52 $37,771.06 $13,285.44 2025-02-25
834 MS_DRG Acute Leukemia With McC 142 46 $11,116.76 $9,083.41 $8,434.27 $57,855.64 $13,243.26 2025-02-25
783 MS_DRG Cesarean Section With Sterilization With McC 209 77 $144,545.45 $138,856.26 $4,876.66 $61,292.52 $13,210.14 2025-02-25
592 MS_DRG Skin Ulcers With McC 210 78 $29,440.50 $27,841.33 $4,179.03 $40,046.32 $13,200.02 2025-02-25
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC 210 78 $107,048.85 $106,538.39 $4,168.08 $51,458.01 $13,165.41 2025-02-25
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 210 78 $30,320.80 $27,866.72 $3,813.62 $39,051.91 $13,145.53 2025-02-25
884 MS_DRG Organic Disturbances And Intellectual Disability 173 59 $16,466.68 $14,887.97 $4,745.16 $33,662.20 $13,099.05 2025-02-25
786 MS_DRG Cesarean Section Without Sterilization With McC 205 76 $37,117.01 $36,902.70 $5,054.76 $33,520.42 $13,043.87 2025-02-25
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 209 77 $20,463.56 $20,260.28 $4,724.15 $33,464.86 $13,022.25 2025-02-25
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/McC 210 78 $48,737.82 $47,063.61 $4,894.82 $33,334.57 $12,971.55 2025-02-25
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 188 64 $61,758.63 $60,774.81 $4,168.08 $98,794.71 $12,956.07 2025-02-25
141 MS_DRG Major Head And Neck Procedures With Cc 210 78 $43,292.65 $42,782.88 $3,520.09 $39,693.77 $12,956.07 2025-02-25
254 MS_DRG Other Vascular Procedures Without Cc/McC 210 78 $55,736.19 $55,687.03 $8,735.49 $33,244.52 $12,936.51 2025-02-25
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