Price Transparencybeta Hospital negotiated rates

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

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Hospital

MOUNT ST. MARY'S HOSPITAL & HEALTH CENTER

Lewiston, NY · CCN 330188 · Rates published

Your selected procedure

You selected 482 (MS_DRG)

Hip And Femur Procedures Except Major Joint Without Cc/McC

This hospital’s price: $11,843 across 69 payers · range $8,897-$36,186

Source: https://www.chsbuffalo.org/wp-content/uploads/2025/03/16-1523353_Mount-St-Marys-Hospital_StandardCharges.csv · observed 2025-02-25

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.

3,948 distinct procedures filed
95 distinct payers
3,145,366 rate rows
2025-02-25 last MRF observed · ⚠ 21 mo old
Data quality

1,757,999 of 3,145,366 rate rows are consumer-grade (55.9%)

1,387,367 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 1,153,916
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 195,215
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 23,676
placeholder amount (≤ $0.02) — excluded from medians 5,431
percent-of-charges filed in the dollar field — excluded from medians 2,937
per-diem day rate — not a per-procedure price 2,357
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,796
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 910
exceeds 10× this hospital's gross charge — excluded from medians 812
exceeds 3× this hospital's gross charge for a DRG stay — excluded 317

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 21 months old.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/2025/03/16-1523353_Mount-St-Marys-Hospital_StandardCharges.csv
Found on page https://www.chsbuffalo.org/billing-insurance/price-transparency/
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-22
Content fingerprint 60028c3bc2ad0ee3… · 2,468,432,127 bytes · first seen 2026-09-21

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… 86 $45,358.41 $394,276.31 $158,959.30 nat. median
$190,359
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 77 $35,941.08 $320,338.85 $109,524.61 nat. median
$126,461
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With McC 78 $25,329.31 $501,134.41 $79,465.08 nat. median
$248,541
outlier · 0.3×
215
MS_DRG 		Other Heart Assist System Implant 78 $25,329.31 $188,902.30 $76,159.22 nat. median
$93,787
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 66 $7,848.35 $199,182.56 $65,510.76 nat. median
$97,137
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 78 $18,664.73 $155,884.89 $62,847.69 nat. median
$77,487
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With McC 78 $24,819.48 $150,074.39 $60,505.08 nat. median
$76,979
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 78 $19,085.16 $184,900.29 $59,875.45 nat. median
$90,512
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 77 $18,952.66 $144,238.00 $57,755.14 nat. median
$71,737
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And McC 78 $25,329.31 $130,113.05 $52,457.32 nat. median
$66,584
0.8× median
33249
CPT 		Ep Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr 90 $800.00 $67,261.00 $51,558.99 nat. median
$31,620
1.6× median
33270
CPT 		Hc Ep Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd 90 $521.80 $67,261.00 $51,558.99 nat. median
$32,114
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 78 $21,643.77 $127,749.64 $51,504.47 nat. median
$59,324
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 55 $14,217.16 $126,763.97 $51,107.08 nat. median
$63,829
0.8× median
33264
CPT 		Hc Remove & Replace Impltbl Dfbplse Gen Mult Lead 90 $376.47 $67,261.00 $51,002.37 nat. median
$31,574
1.6× median
459
MS_DRG 		Spinal Fusion Except Cervical With McC 78 $18,823.55 $122,651.12 $49,448.92 nat. median
$52,917
0.9× median
31
MS_DRG 		Ventricular Shunt Procedures With McC 77 $20,698.89 $76,128.28 $48,413.58 nat. median
$40,565
1.2× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 78 $15,305.61 $142,603.22 $48,017.94 nat. median
$72,247
0.7× median
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
$61,995
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 65 $10,358.30 $115,509.13 $46,569.50 nat. median
$58,220
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 78 $17,433.18 $114,845.23 $46,301.84 nat. median
$56,633
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 78 $18,823.55 $113,108.74 $45,601.74 nat. median
$49,522
0.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 78 $27,134.26 $112,350.52 $45,296.05 nat. median
$55,110
0.8× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With McC 78 $8,425.03 $111,821.62 $45,082.82 nat. median
$53,768
0.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without McC 78 $24,819.48 $110,007.46 $44,351.41 nat. median
$57,798
0.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With McC 78 $24,819.48 $108,749.94 $43,844.41 nat. median
$55,425
0.8× median
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
$59,493
0.7× median
653
MS_DRG 		Major Bladder Procedures With McC 57 $10,257.28 $100,113.70 $40,362.57 nat. median
$49,995
0.8× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 76 $19,085.16 $96,988.39 $39,102.54 nat. median
$50,558
0.8× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 77 $24,819.48 $96,124.76 $38,754.36 nat. median
$51,559
0.8× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With McC 77 $11,233.78 $95,915.79 $38,670.11 nat. median
$46,347
0.8× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With McC 56 $9,281.54 $93,925.95 $37,867.87 nat. median
$46,201
0.8× median
270
MS_DRG 		Other Major Cardiovascular Procedures With McC 71 $15,305.61 $93,517.25 $37,703.09 nat. median
$49,305
0.8× median
228
MS_DRG 		Other Cardiothoracic Procedures With McC 78 $15,305.61 $93,180.68 $37,567.40 nat. median
$47,347
0.8× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 78 $11,951.34 $113,572.91 $37,494.65 nat. median
$51,462
0.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 78 $11,951.34 $156,310.23 $37,494.65 nat. median
$74,298
0.5× median
52
MS_DRG 		Spinal Disorders And Injuries With Cc/McC 23 $51.32 $43,307.08 $36,951.49 nat. median
$18,077
outlier · 2.0×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 65 $5,962.59 $104,600.82 $36,658.09 nat. median
$50,808
0.7× median
28
MS_DRG 		Spinal Procedures With McC 77 $10,074.51 $111,440.67 $36,453.75 nat. median
$54,377
0.7× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 78 $11,951.34 $104,833.12 $36,343.99 nat. median
$53,419
0.7× median
33262
CPT 		Remove & Replace Impltbl Dfb Plse Gen 1 Lead 90 $347.50 $47,548.13 $36,177.52 nat. median
$23,285
1.6× median
33263
CPT 		Remove & Replace Impltbl Dfb Plse Gen Dual Lead 90 $361.04 $47,548.13 $36,177.52 nat. median
$23,376
1.5× median
277
MS_DRG 		Cardiac Defibrillator Implant Without McC 78 $25,329.31 $88,440.92 $35,656.48 nat. median
$44,088
0.8× median
34
MS_DRG 		Carotid Artery Stent Procedures With McC 1 $35,324.96 $35,324.96 $35,324.96 nat. median
$36,335
1.0× median
93656
CPT 		Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 90 $800.00 $47,909.19 $35,088.15 nat. median
$27,253
1.3× median
93653
CPT 		Ep Ephys Eval W/Ablation Supravent Arrhythmia 90 $772.18 $47,909.19 $35,088.15 nat. median
$26,661
1.3× median
93654
CPT 		Ep Ephys Eval W/Ablation Ventricular Tachycardia 90 $800.00 $47,909.19 $35,088.15 nat. median
$27,040
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
$46,440
0.7× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/McC 78 $19,346.39 $85,171.36 $34,338.30 nat. median
$38,810
0.9× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 78 $18,823.55 $83,791.78 $33,782.10 nat. median
$40,320
0.8× median

Other procedures at this hospital

Browse this hospital's 3,948 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 223 86 $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 $109,524.61 2025-02-25
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With McC 210 78 $519,142.95 $512,076.63 $25,329.31 $501,134.41 $79,465.08 2025-02-25
215 MS_DRG Other Heart Assist System Implant 210 78 $278,290.44 $276,638.02 $25,329.31 $188,902.30 $76,159.22 2025-02-25
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 190 66 $337,600.43 $327,201.68 $7,848.35 $199,182.56 $65,510.76 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 $155,884.89 $62,847.69 2025-02-25
231 MS_DRG Coronary Bypass With Ptca With McC 210 78 $168,856.14 $161,850.86 $24,819.48 $150,074.39 $60,505.08 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 $184,900.29 $59,875.45 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 $144,238.00 $57,755.14 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 $130,113.05 $52,457.32 2025-02-25
33249 CPT Ep Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr 235 90 $67,261.00 $67,261.00 $800.00 $67,261.00 $51,558.99 2025-02-25
33270 CPT Hc Ep Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd 235 90 $67,261.00 $67,261.00 $521.80 $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 $127,749.64 $51,504.47 2025-02-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 144 55 $191,344.51 $191,023.14 $14,217.16 $126,763.97 $51,107.08 2025-02-25
33264 CPT Hc Remove & Replace Impltbl Dfbplse Gen Mult Lead 238 90 $67,261.00 $67,261.00 $376.47 $67,261.00 $51,002.37 2025-02-25
459 MS_DRG Spinal Fusion Except Cervical With McC 210 78 $77,926.93 $75,296.96 $18,823.55 $122,651.12 $49,448.92 2025-02-25
31 MS_DRG Ventricular Shunt Procedures With McC 209 77 $28,684.94 $46,783.86 $20,698.89 $76,128.28 $48,413.58 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 $142,603.22 $48,017.94 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 171 65 $149,605.09 $144,999.10 $10,358.30 $115,509.13 $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 $114,845.23 $46,301.84 2025-02-25
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 210 78 $82,246.16 $81,971.00 $18,823.55 $113,108.74 $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 $112,350.52 $45,296.05 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 $111,821.62 $45,082.82 2025-02-25
232 MS_DRG Coronary Bypass With Ptca Without McC 210 78 $166,414.89 $160,352.06 $24,819.48 $110,007.46 $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 $108,749.94 $43,844.41 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
653 MS_DRG Major Bladder Procedures With McC 150 57 $72,152.50 $72,037.18 $10,257.28 $100,113.70 $40,362.57 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 $96,988.39 $39,102.54 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 $96,124.76 $38,754.36 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 $95,915.79 $38,670.11 2025-02-25
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 149 56 $54,979.67 $53,231.83 $9,281.54 $93,925.95 $37,867.87 2025-02-25
270 MS_DRG Other Major Cardiovascular Procedures With McC 199 71 $89,327.83 $83,881.35 $15,305.61 $93,517.25 $37,703.09 2025-02-25
228 MS_DRG Other Cardiothoracic Procedures With McC 210 78 $63,238.41 $56,415.54 $15,305.61 $93,180.68 $37,567.40 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 $113,572.91 $37,494.65 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 $156,310.23 $37,494.65 2025-02-25
52 MS_DRG Spinal Disorders And Injuries With Cc/McC 51 23 $129,794.29 $128,951.78 $51.32 $43,307.08 $36,951.49 2025-02-25
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 193 65 $208,494.85 $208,428.45 $5,962.59 $104,600.82 $36,658.09 2025-02-25
28 MS_DRG Spinal Procedures With McC 209 77 $48,549.01 $47,377.66 $10,074.51 $111,440.67 $36,453.75 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 $104,833.12 $36,343.99 2025-02-25
33262 CPT Remove & Replace Impltbl Dfb Plse Gen 1 Lead 238 90 $47,219.00 $47,219.00 $347.50 $47,548.13 $36,177.52 2025-02-25
33263 CPT Remove & Replace Impltbl Dfb Plse Gen Dual Lead 238 90 $47,219.00 $47,219.00 $361.04 $47,548.13 $36,177.52 2025-02-25
277 MS_DRG Cardiac Defibrillator Implant Without McC 210 78 $237,505.10 $230,717.45 $25,329.31 $88,440.92 $35,656.48 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
93656 CPT Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 238 90 $43,940.00 $43,940.00 $800.00 $47,909.19 $35,088.15 2025-02-25
93653 CPT Ep Ephys Eval W/Ablation Supravent Arrhythmia 238 90 $43,940.00 $43,940.00 $772.18 $47,909.19 $35,088.15 2025-02-25
93654 CPT Ep Ephys Eval W/Ablation Ventricular Tachycardia 238 90 $43,940.00 $43,940.00 $800.00 $47,909.19 $35,088.15 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 $73,547.90 $73,297.32 $19,346.39 $85,171.36 $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 $83,791.78 $33,782.10 2025-02-25
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With McC 210 78 $94,676.61 $90,064.29 $11,628.35 $82,706.24 $32,924.69 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
37231 CPT Hc Vasc Revascularize Tibial/Peron Artery,Angioplasty/Stent/Atherectomy Init 238 90 $32,886.00 $32,886.00 $680.12 $32,886.00 $32,886.00 2025-02-25
329 MS_DRG Major Small And Large Bowel Procedures With McC 210 78 $65,905.75 $62,461.21 $9,049.60 $83,529.18 $32,333.13 2025-02-25
471 MS_DRG Cervical Spinal Fusion With McC 210 78 $63,301.21 $63,076.80 $10,295.65 $90,967.07 $32,300.32 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 $79,571.68 $32,080.70 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 $163,873.87 $31,374.33 2025-02-25
33274 CPT Tcat Insj/Rpl Perm Ldls Pm 238 90 $32,886.00 $32,886.00 $445.24 $39,305.45 $31,072.32 2025-02-25
791 MS_DRG Prematurity With Major Problems 193 65 $101,373.91 $101,342.76 $2,586.19 $71,435.94 $30,551.52 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 $30,424.08 2025-02-25
166 MS_DRG Other Respiratory System O.r. Procedures With McC 144 55 $29,246.59 $28,757.51 $7,776.34 $75,040.90 $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
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 210 78 $93,950.51 $92,531.98 $7,157.14 $74,240.15 $29,931.20 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 $29,605.72 2025-02-25
33229 CPT Remove & Replace Pm Gen Mult Leads 238 90 $38,136.00 $38,136.00 $348.10 $39,305.45 $29,569.47 2025-02-25
319 MS_DRG Other Endovascular Cardiac Valve Procedures With McC 210 78 $87,759.50 $86,395.02 $9,309.43 $80,664.62 $29,206.28 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 $76,561.02 $29,206.28 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 $71,885.99 $28,982.08 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
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 210 78 $160,437.40 $159,428.80 $9,475.38 $68,385.14 $28,874.69 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 $28,712.07 2025-02-25
405 MS_DRG Pancreas, Liver And Shunt Procedures With McC 204 74 $84,088.36 $79,760.68 $9,327.13 $101,807.66 $28,687.18 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 $70,746.82 $28,522.80 2025-02-25
33240 CPT Insj Implntbl Defib Pulse Gen W/1 Existing Ld 238 90 $28,442.00 $28,442.00 $343.94 $47,548.13 $28,442.00 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 $82,486.18 $28,406.54 2025-02-25
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC 194 68 $153,493.16 $153,408.59 $9,309.43 $96,638.40 $28,250.96 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
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With McC 210 78 $42,436.01 $40,422.52 $8,822.95 $72,324.27 $27,680.04 2025-02-25
37229 CPT Hc Revascularize Tibial/Peron Artery,Angioplasty/Atherectomy Initial 237 89 $32,886.00 $32,886.00 $639.81 $35,371.72 $27,480.78 2025-02-25
37227 CPT Revascularize Fem/Pop Artery,Angioplasty/Stent/Atherectomy 237 89 $32,886.00 $32,886.00 $660.03 $35,371.72 $27,480.78 2025-02-25
37230 CPT Hc Revascularize Tibial/Peron Artery,Angioplasty/Stent Initial 237 89 $32,886.00 $32,886.00 $638.47 $35,371.72 $27,480.78 2025-02-25
92933 CPT Prq Trluml Coronry Stent/Ath/Angio One Art/Brnch 238 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 237 89 $32,886.00 $32,886.00 $476.21 $35,371.72 $27,480.78 2025-02-25
460 MS_DRG Spinal Fusion Except Cervical Without McC 210 78 $61,042.45 $60,371.63 $18,664.73 $67,645.54 $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 $67,532.74 $27,226.99 2025-02-25
245 MS_DRG Aicd Generator Procedures 192 67 $65,479.88 $64,491.08 $8,426.50 $83,799.18 $27,113.71 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 $66,994.59 $27,010.03 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 $26,969.39 2025-02-25
163 MS_DRG Major Chest Procedures With McC 210 78 $99,476.60 $97,791.16 $8,596.43 $87,168.60 $26,969.39 2025-02-25
799 MS_DRG Splenic Procedures With McC 210 78 $101,627.33 $98,805.40 $8,596.43 $91,625.42 $26,969.39 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 $26,962.31 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 $26,886.51 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 $26,611.55 2025-02-25
265 MS_DRG Aicd Lead Procedures 210 78 $82,377.97 $80,722.80 $8,797.08 $65,356.11 $26,349.44 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 $65,191.52 $26,283.09 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 $73,189.75 $26,173.15 2025-02-25
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 209 77 $74,581.48 $74,556.90 $11,233.78 $64,472.15 $25,993.06 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 $63,895.16 $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
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 $81,894.40 $25,192.70 2025-02-25
37 MS_DRG Extracranial Procedures With McC 210 78 $232,230.96 $228,385.39 $9,141.52 $62,424.97 $25,167.70 2025-02-25
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 721 95 $68,259.76 $68,259.76 $800.00 $68,259.76 $25,042.95 2025-02-25
252 MS_DRG Other Vascular Procedures With McC 210 78 $71,155.54 $69,487.01 $9,467.18 $62,021.82 $25,005.17 2025-02-25
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With McC 148 56 $42,347.34 $40,603.48 $6,164.46 $61,807.30 $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 $61,577.99 $24,826.23 2025-02-25
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With McC 86 28 $21,320.06 $21,208.85 $8,222.20 $61,500.32 $24,794.92 2025-02-25
56 MS_DRG Degenerative Nervous System Disorders With McC 76 38 $45,035.31 $44,737.14 $82.20 $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 $61,307.99 $24,717.38 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
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
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
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 205 76 $102,713.32 $102,355.41 $9,133.61 $76,904.99 $24,419.40 2025-02-25
949 MS_DRG Aftercare With Cc/McC 75 37 $26,458.64 $26,006.99 $51.32 $25,577.05 $24,171.90 2025-02-25
335 MS_DRG Peritoneal Adhesiolysis With McC 209 77 $42,317.56 $40,851.95 $7,378.15 $66,112.48 $24,170.23 2025-02-25
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without McC 210 78 $84,972.22 $84,677.35 $9,309.43 $59,932.11 $24,162.67 2025-02-25
J3101 HCPCS Tenecteplase 50 Mg Intravenous Solution 238 90 $23,917.23 $23,917.23 $1,759.81 $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 $59,188.70 $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 $58,465.62 $23,571.42 2025-02-25
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With McC 146 56 $33,764.20 $31,910.28 $5,742.89 $58,023.64 $23,393.23 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 $23,002.46 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 $56,865.98 $22,926.50 2025-02-25
57 MS_DRG Degenerative Nervous System Disorders Without McC 81 41 $55,545.83 $55,302.72 $82.20 $41,782.02 $22,815.00 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 $57,794.32 $22,772.11 2025-02-25
665 MS_DRG Prostatectomy With McC 210 78 $81,280.27 $79,311.65 $4,818.70 $57,126.73 $22,594.61 2025-02-25
662 MS_DRG Minor Bladder Procedures With McC 209 78 $44,914.53 $44,369.87 $5,371.54 $55,417.97 $22,342.71 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 $55,371.74 $22,324.07 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 $55,504.89 $22,302.16 2025-02-25
901 MS_DRG Wound Debridements For Injuries With McC 209 77 $67,219.56 $65,272.95 $7,308.61 $80,034.01 $22,271.79 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 $54,898.32 $22,133.20 2025-02-25
472 MS_DRG Cervical Spinal Fusion With Cc 210 78 $51,084.53 $48,566.72 $10,017.41 $54,654.21 $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 $56,562.69 $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 $54,534.01 $21,986.33 2025-02-25
264 MS_DRG Other Circulatory System O.r. Procedures 210 78 $46,525.90 $45,921.64 $3,597.60 $60,398.14 $21,769.43 2025-02-25
974 MS_DRG HIV With Major Related Condition With McC 209 77 $19,568.35 $17,188.16 $4,383.57 $53,934.83 $21,744.76 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 $53,161.83 $21,433.11 2025-02-25
J9332 HCPCS Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution 484 95 $63,724.50 $63,724.50 $800.00 $64,998.99 $21,028.20 2025-02-25
668 MS_DRG Transurethral Procedures With McC 150 57 $36,155.98 $35,252.40 $5,483.53 $52,113.27 $21,010.37 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 $51,950.54 $20,944.75 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 $63,445.78 $20,613.06 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 $54,079.08 $20,575.44 2025-02-25
37243 CPT Hc Vascular Embolize/Occlude Organ Tumor Infarct 238 90 $20,568.00 $20,568.00 $524.70 $20,568.00 $20,568.00 2025-02-25
37242 CPT Hc Vascular Embolization Or Occlusion Arterial Rs&I 237 89 $20,568.00 $20,568.00 $442.72 $35,371.72 $20,568.00 2025-02-25
37244 CPT Hc Vascular Embolization Or Occlusion Hemorrhage 238 90 $20,568.00 $20,568.00 $618.08 $20,568.00 $20,568.00 2025-02-25
37225 CPT Revascularize Fem/Pop Artery,Angioplasty/Atherectomy 237 89 $20,568.00 $20,568.00 $551.58 $35,371.72 $20,568.00 2025-02-25
37184 CPT Hc Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st 237 89 $20,568.00 $20,568.00 $399.39 $35,371.72 $20,568.00 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 $50,807.67 $20,483.99 2025-02-25
947 MS_DRG Signs And Symptoms With McC 80 40 $23,897.70 $23,642.68 $51.32 $43,752.00 $20,477.76 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 $50,678.22 $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 $50,624.59 $20,410.18 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 $66,227.13 $20,298.31 2025-02-25
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC 149 56 $34,204.42 $33,473.38 $6,478.50 $50,312.06 $20,284.17 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 $49,666.65 $20,023.97 2025-02-25
503 MS_DRG Foot Procedures With McC 210 78 $56,092.74 $54,812.22 $6,678.26 $49,596.38 $19,995.64 2025-02-25
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/McC 209 77 $76,846.81 $76,721.53 $10,793.66 $49,368.91 $19,903.93 2025-02-25
92943 CPT Prq Trluml Coronry Chronic Occlus Revasc One Vsl 238 90 $20,568.00 $20,568.00 $610.43 $35,371.72 $19,838.31 2025-02-25
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 210 78 $84,625.54 $76,554.67 $9,309.43 $48,901.04 $19,715.30 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 $79,126.00 $19,637.56 2025-02-25
500 MS_DRG Soft Tissue Procedures With McC 198 70 $32,521.44 $31,364.73 $5,993.65 $59,969.10 $19,570.40 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 $48,128.03 $19,403.65 2025-02-25
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 484 95 $69,000.33 $69,000.33 $800.00 $69,000.33 $19,390.80 2025-02-25
288 MS_DRG Acute And Subacute Endocarditis With McC 174 59 $111,620.62 $110,104.01 $6,334.48 $47,952.35 $19,332.82 2025-02-25
253 MS_DRG Other Vascular Procedures With Cc 210 78 $63,046.75 $63,022.17 $9,054.52 $47,177.49 $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 $47,500.11 $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 $47,140.51 $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
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 210 78 $66,760.79 $59,283.40 $5,657.32 $50,001.37 $18,754.97 2025-02-25
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 146 55 $36,131.77 $36,068.11 $4,694.36 $46,184.42 $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 $18,600.55 2025-02-25
545 MS_DRG Connective Tissue Disorders With McC 209 77 $43,431.07 $39,541.71 $4,490.86 $46,106.75 $18,588.73 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 $45,940.31 $18,521.63 2025-02-25
473 MS_DRG Cervical Spinal Fusion Without Cc/McC 210 78 $54,220.87 $53,932.23 $10,295.65 $45,503.88 $18,345.67 2025-02-25
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 484 95 $57,337.00 $57,337.00 $800.00 $57,337.00 $18,270.75 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 $18,233.64 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 $18,231.99 2025-02-25
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/McC 209 77 $48,181.51 $48,101.11 $10,855.75 $45,113.67 $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 $44,991.62 $18,139.15 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 $44,414.64 $17,906.53 2025-02-25
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 75 37 $32,060.94 $31,940.29 $82.20 $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 $44,091.01 $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 $44,081.76 $17,772.32 2025-02-25
330 MS_DRG Major Small And Large Bowel Procedures With Cc 209 77 $54,213.91 $53,945.40 $9,049.60 $43,867.25 $17,685.84 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 $43,473.34 $17,527.03 2025-02-25
113 MS_DRG Orbital Procedures With Cc/McC 210 78 $57,860.23 $57,761.91 $4,895.53 $46,367.50 $17,491.12 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 $45,973.60 $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 $42,885.27 $17,289.94 2025-02-25
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 210 78 $54,131.86 $45,044.43 $3,822.91 $42,851.98 $17,276.52 2025-02-25
36903 CPT Hc Intro Cath Dialysis Circuit W/Tcat Plmt IV Stent 237 89 $20,568.00 $20,568.00 $154.60 $22,191.47 $17,240.86 2025-02-25
92937 CPT Prq Trluml Coronary Byp Grft Revasc One Vessel 238 90 $20,568.00 $20,568.00 $543.63 $22,191.47 $17,240.86 2025-02-25
37187 CPT Hc Cath Percut Mech Thrombectomy, Venous 243 90 $20,568.00 $20,568.00 $365.74 $22,191.47 $17,240.86 2025-02-25
36905 CPT Hc Perq Thrmbc/Nfs Dial Circuit Trluml Balo Angiop 237 89 $20,568.00 $20,568.00 $412.88 $22,191.47 $17,240.86 2025-02-25
37236 CPT Hc Open/Perq Placement Intravascular Stent Initial 237 89 $20,568.00 $20,568.00 $406.67 $22,191.47 $17,240.86 2025-02-25
92928 CPT Hc Cath Prq Trluml Coronary Stent W/Angio One Art/Brnch 238 90 $20,568.00 $20,568.00 $543.72 $22,191.47 $17,240.86 2025-02-25
37228 CPT Hc Revascularize Tibial/Peron Artery,Angioplasty Ini - Lt 237 89 $20,568.00 $20,568.00 $497.97 $22,191.47 $17,240.86 2025-02-25
37226 CPT Hc Revascularize Fem/Pop Artery,Angioplasty/Stent 237 89 $20,568.00 $20,568.00 $477.24 $22,191.47 $17,240.86 2025-02-25
37241 CPT Hc Vascular Embolization Or Occlusion Venous Rs&I 237 89 $20,568.00 $20,568.00 $398.20 $22,191.47 $17,240.86 2025-02-25
37221 CPT Hc Revascularize Iliac Artery,Angioplasty/Stent, Initial Vessel 237 89 $20,568.00 $20,568.00 $453.59 $22,191.47 $17,240.86 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 $42,863.08 $17,145.04 2025-02-25
35 MS_DRG Carotid Artery Stent Procedures With Cc 210 78 $60,743.13 $60,718.55 $776.77 $42,524.65 $17,144.55 2025-02-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With McC 170 58 $157,042.54 $152,461.74 $5,477.49 $133,750.62 $17,026.25 2025-02-25
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 209 77 $53,905.59 $53,047.21 $3,205.04 $44,054.02 $17,002.30 2025-02-25
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 210 78 $85,193.16 $84,447.68 $10,977.74 $42,192.10 $16,981.27 2025-02-25
963 MS_DRG Other Multiple Significant Trauma With McC 210 78 $23,619.26 $21,292.25 $5,564.59 $50,565.41 $16,957.17 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 $41,845.96 $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 $41,653.63 $16,793.38 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 $16,786.58 2025-02-25
33208 CPT Ep Inser Hart Pacer Xvenous Atr/Ventr 237 90 $21,291.00 $21,291.00 $482.27 $21,540.12 $16,734.82 2025-02-25
33206 CPT Ep Inser Hart Pacer Xvenous Atrial 234 90 $21,291.00 $21,291.00 $424.11 $21,540.12 $16,734.82 2025-02-25
33224 CPT Ep Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen 238 90 $21,291.00 $21,291.00 $474.07 $21,540.12 $16,734.82 2025-02-25
33207 CPT Ep Inser Hart Pacer Xvenous Ventr 236 90 $21,291.00 $21,291.00 $445.56 $21,540.12 $16,734.82 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 $38,912.60 $16,642.03 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 $16,440.61 2025-02-25
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With McC 210 78 $44,554.14 $42,117.93 $5,811.93 $82,215.14 $16,435.62 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 $62,302.92 $16,424.33 2025-02-25
33228 CPT Remove & Replace Pm Gen Dual Lead 238 90 $21,291.00 $21,291.00 $331.02 $21,540.12 $16,351.53 2025-02-25
37238 CPT Hc Open/Perq Placement Intravascular Stent Same 1st 238 90 $20,568.00 $20,568.00 $284.00 $22,191.47 $16,333.43 2025-02-25
92924 CPT Prq Trluml Coronary Angio/Atherect One Art/Brnch 238 90 $20,568.00 $20,568.00 $582.84 $22,191.47 $16,333.43 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 $16,328.89 2025-02-25
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC 62 30 $25,125.92 $25,001.27 $51.32 $22,893.25 $16,251.35 2025-02-25
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 204 74 $15,000.76 $10,295.88 31% off $4,546.72 $31,434.97 $16,244.87 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 $40,066.93 $16,153.68 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 $39,843.17 $16,063.46 2025-02-25
32 MS_DRG Ventricular Shunt Procedures With Cc 210 78 $41,960.49 $41,454.91 $8,043.69 $39,830.22 $16,058.24 2025-02-25
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/McC 189 66 $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 $39,661.94 $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 $39,495.50 $15,923.29 2025-02-25
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 191 66 $73,556.38 $67,545.65 $7,844.31 $39,421.53 $15,893.47 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 $51,832.18 $15,782.95 2025-02-25
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC 209 77 $53,363.76 $52,899.20 $11,644.05 $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 $38,979.55 $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 $38,957.35 $15,706.33 2025-02-25
336 MS_DRG Peritoneal Adhesiolysis With Cc 209 77 $39,208.85 $38,108.29 $6,558.37 $38,933.31 $15,696.64 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 $39,038.72 $15,598.90 2025-02-25
592 MS_DRG Skin Ulcers With McC 210 78 $29,440.50 $27,841.33 $4,179.03 $38,652.22 $15,583.31 2025-02-25
333 MS_DRG Rectal Resection With Cc 210 78 $32,770.68 $31,615.80 $9,126.61 $38,456.19 $15,504.28 2025-02-25
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 209 77 $44,090.52 $42,424.70 $8,199.58 $41,993.06 $15,469.98 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 $41,252.34 $15,330.48 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 $71,207.30 $15,330.48 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
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 $37,740.51 $15,215.74 2025-02-25
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 163 52 $31,417.35 $30,297.10 $4,894.92 $50,373.59 $15,215.39 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 $37,139.49 $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 $37,061.82 $14,942.11 2025-02-25
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With McC 210 78 $31,050.46 $27,381.70 $5,030.78 $43,077.93 $14,933.91 2025-02-25
141 MS_DRG Major Head And Neck Procedures With Cc 210 78 $43,292.65 $42,782.88 $3,520.09 $38,311.95 $14,892.03 2025-02-25
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 169 56 $38,821.04 $38,389.02 $4,922.92 $36,871.34 $14,865.32 2025-02-25
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC 210 78 $22,617.43 $21,267.62 $4,735.48 $67,257.19 $14,856.52 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 $36,754.84 $14,818.35 2025-02-25
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 210 78 $38,715.94 $38,504.03 $8,356.75 $36,699.36 $14,795.98 2025-02-25
570 MS_DRG Skin Debridement With McC 209 77 $43,955.16 $43,571.27 $4,855.37 $54,040.24 $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 $36,538.47 $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 $36,501.48 $14,716.20 2025-02-25
283 MS_DRG Acute Myocardial Infarction, Expired With McC 210 78 $21,259.43 $20,105.62 $3,498.14 $36,457.10 $14,698.31 2025-02-25
350 MS_DRG Inguinal And Femoral Hernia Procedures With McC 204 74 $46,352.04 $45,230.46 $4,773.10 $44,383.20 $14,680.49 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 $37,263.48 $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 $36,281.42 $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 $36,196.35 $14,593.18 2025-02-25
380 MS_DRG Complicated Peptic Ulcer With McC 149 57 $47,533.60 $46,905.52 $3,481.58 $36,033.61 $14,527.57 2025-02-25
948 MS_DRG Signs And Symptoms Without McC 81 41 $52,206.55 $51,355.71 $82.20 $22,384.00 $14,394.29 2025-02-25
196 MS_DRG Interstitial Lung Disease With McC 210 78 $18,787.78 $18,625.33 $4,095.49 $35,051.63 $14,131.67 2025-02-25
902 MS_DRG Wound Debridements For Injuries With Cc 209 77 $83,810.46 $79,576.94 $7,308.61 $32,856.31 $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 $34,800.13 $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
314 MS_DRG Other Circulatory System Diagnoses With McC 210 78 $46,838.99 $44,053.71 $3,919.10 $47,042.78 $14,002.47 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 $34,670.68 $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 $34,613.35 $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 $34,596.70 $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 $34,567.12 $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 $34,519.03 $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 $34,470.95 $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 $34,422.87 $13,878.17 2025-02-25
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 210 78 $27,676.13 $24,799.83 $3,790.66 $34,408.08 $13,872.21 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
397 MS_DRG Appendix Procedures With McC 210 78 $24,437.53 $23,330.04 $4,543.03 $41,546.37 $13,844.16 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 $32,355.98 $13,837.91 2025-02-25
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With McC 56 26 $55,095.99 $54,789.04 $82.20 $33,346.95 $13,796.91 2025-02-25
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With McC 210 78 $34,871.63 $29,172.28 $4,531.05 $39,863.51 $13,778.90 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
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
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 209 77 $58,519.68 $58,333.84 $4,952.54 $33,653.56 $13,568.01 2025-02-25
33285 CPT Insj Subq Car Rhythm Mntr 238 90 $16,706.00 $16,706.00 $81.26 $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 $33,439.04 $13,481.53 2025-02-25
70 MS_DRG Nonspecific Cerebrovascular Disorders With McC 210 78 $19,874.18 $17,331.48 $3,409.13 $88,572.15 $13,342.10 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 $33,046.99 $13,323.46 2025-02-25
33217 CPT Hc Lead(S) Replace Dual 235 90 $16,706.00 $16,706.00 $344.65 $17,137.42 $13,314.30 2025-02-25
33233 CPT Hc Pacemaker Explant Without Replacement 238 90 $16,706.00 $16,706.00 $218.73 $17,137.42 $13,314.30 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
754 MS_DRG Malignancy, Female Reproductive System With McC 210 78 $20,326.47 $18,234.08 $3,714.56 $34,258.28 $13,271.68 2025-02-25
834 MS_DRG Acute Leukemia With McC 143 47 $11,116.76 $9,083.41 $8,434.27 $55,988.29 $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
835 MS_DRG Acute Leukemia With Cc 204 74 $11,012.30 $10,748.68 $8,206.34 $29,072.85 $13,209.26 2025-02-25
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With McC 210 78 $20,818.48 $18,612.24 $4,060.94 $32,545.83 $13,121.41 2025-02-25
884 MS_DRG Organic Disturbances And Intellectual Disability 190 65 $16,466.68 $14,887.97 $4,745.16 $32,490.35 $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 $30,499.35 $13,043.87 2025-02-25
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