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Hospital

WILSON MEDICAL CENTER

Wilson, NC · CCN 340126 · Rates published

3,016 distinct procedures filed
17 distinct payers
151,084 rate rows
2026-07-31 last MRF observed
Data quality

85,144 of 151,084 rate rows are consumer-grade (56.4%)

65,940 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 59,659
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,232
per-diem day rate — not a per-procedure price 30
exceeds 3× this hospital's gross charge for a DRG stay — excluded 13
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
exceeds 10× this hospital's gross charge — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.wilsonmedical.com/docs/ahwilsonmedicalcenterlibraries/hcl/mrf3q262/464317222_wilson-medical-center_standardcharges.csv
Found on page https://www.wilsonmedical.com/hospital-charges-listing
Discovered viaCMS hospital list
Last fetch success · 2026-08-17
Content fingerprint d34dc52f156e6940… · 18,784,997 bytes · first seen 2026-08-17

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
459
OTHER 		Spinal Fusion Except Cervical 5 $24,978.45 $159,217.30 $159,217.30 nat. median
$50,280
outlier · 3.2×
459
MS_DRG 		Spinal Fusion Except Cervical 5 $24,978.45 $131,474.98 $131,474.98 nat. median
$62,767
outlier · 2.1×
455
MS_DRG 		Combined Anterior And Posterio 5 $24,978.45 $107,842.68 $107,842.68 nat. median
$46,399
outlier · 2.3×
4
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $24,978.45 $144,242.26 $103,154.09 nat. median
$141,447
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $24,978.45 $144,242.26 $103,154.09 nat. median
$132,706
0.8× median
455
OTHER 		Combined Anterior And Posterio 5 $24,978.45 $101,654.86 $101,654.86 nat. median
$44,329
outlier · 2.3×
27486
CPT 		Revision Of Total Knee Arthroplasty, With Or Without Allograft; 1 Component 8 $84,968.55 $86,330.16 $85,649.36 nat. median
$8,769
outlier · 9.8×
460
MS_DRG 		Spinal Fusion Except Cervical 5 $24,978.45 $81,823.58 $81,823.58 nat. median
$37,051
outlier · 2.2×
50545
CPT 		Laparoscopy, Surgical; Radical Nephrectomy (includes Removal Of Gerota's Fascia… 8 $81,378.66 $81,950.66 $81,664.66 nat. median
$3,686
outlier · 22.2×
23615
CPT 		Open Treatment Of Proximal Humeral (surgical Or Anatomical Neck) Fracture, Inclu… 14 $73,524.46 $73,524.46 $73,524.46 nat. median
$11,071
outlier · 6.6×
27447
CPT 		Arthroplasty, Knee, Condyle And Plateau; Medial And Lateral Compartments With Or… 14 $64,901.49 $70,456.46 $67,678.98 nat. median
$12,699
outlier · 5.3×
27488
CPT 		Removal Of Prosthesis, Including Total Knee Prosthesis, Methylmethacrylate With… 8 $62,623.60 $65,026.65 $63,825.12 nat. median
$5,347
outlier · 11.9×
43281
CPT 		Laparoscopy, Surgical, Repair Of Paraesophageal Hernia, Includes Fundoplasty, Wh… 14 $62,009.36 $63,113.36 $62,561.36 nat. median
$10,128
outlier · 6.2×
27759
CPT 		Treatment Of Tibial Shaft Fracture (with Or Without Fibular Fracture) By Intrame… 14 $57,223.96 $57,223.96 $57,223.96 nat. median
$10,667
outlier · 5.4×
27130
CPT 		Arthroplasty, Acetabular And Proximal Femoral Prosthetic Replacement (total Hip… 14 $45,738.46 $66,661.46 $56,199.96 nat. median
$13,040
outlier · 4.3×
23472
CPT 		Arthroplasty, Glenohumeral Joint; Total Shoulder (glenoid And Proximal Humeral R… 14 $43,287.18 $69,024.68 $56,155.93 nat. median
$16,588
outlier · 3.4×
C9773
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(i… 14 $55,101.79 $55,101.79 $55,101.79 nat. median
$19,347
outlier · 2.8×
C9774
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 14 $55,101.79 $55,101.79 $55,101.79 nat. median
$19,523
outlier · 2.8×
50080
CPT 		Percutaneous Nephrolithotomy Or Pyelolithotomy, Lithotripsy, Stone Extraction, A… 14 $52,533.42 $52,533.42 $52,533.42 nat. median
$8,950
outlier · 5.9×
870
OTHER 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $15,609.30 $128,317.65 $51,292.78 nat. median
$4,272
outlier · 12.0×
870
MS_DRG 		Septicemia Or Severe Sepsis Wi 14 $15,609.30 $160,375.15 $51,292.78 nat. median
$65,958
0.8× median
58552
CPT 		Laparoscopy, Surgical, With Vaginal Hysterectomy, For Uterus 250 G Or Less; With… 14 $47,495.04 $48,612.36 $48,053.70 nat. median
$9,808
outlier · 4.9×
49618
CPT 		Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral, Umb… 8 $43,861.35 $51,868.05 $47,864.70 nat. median
$4,604
outlier · 10.4×
207
MS_DRG 		Respiratory System Diagnosis W 14 $15,609.30 $139,856.02 $47,684.99 nat. median
$62,218
0.8× median
207
OTHER 		Respiratory System Diagnosis With Ventilator Support >96 Hours 14 $15,609.30 $106,754.82 $47,684.99 nat. median
$64,908
0.7× median
0816T
CPT 		Open Insertion Or Replacement Of Integrated Neurostimulation System For Bladder… 14 $47,257.96 $47,536.46 $47,397.21 nat. median
$21,551
outlier · 2.2×
969
OTHER 		HIV With Extensive O.r. Procedures With Mcc 14 $24,978.45 $73,255.53 $46,631.34 nat. median
$256
outlier · 182.4×
969
MS_DRG 		HIV With Extensive O.r. Proced 14 $24,978.45 $73,004.93 $46,631.34 nat. median
$60,294
0.8× median
58571
CPT 		Laparoscopy, Surgical, With Total Hysterectomy, For Uterus 250 G Or Less; With R… 14 $46,285.61 $46,285.61 $46,285.61 nat. median
$9,785
outlier · 4.7×
27814
CPT 		Open Treatment Of Bimalleolar Ankle Fracture (eg, Lateral And Medial Malleoli, O… 14 $43,383.77 $48,489.56 $45,936.66 nat. median
$7,076
outlier · 6.5×
276
OTHER 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 $260.12 $129,029.73 $45,221.35 nat. median
$2,042
outlier · 22.1×
27385
CPT 		Suture Of Quadriceps Or Hamstring Muscle Rupture; Primary 14 $43,129.89 $46,965.56 $45,047.72 nat. median
$6,740
outlier · 6.7×
19307
CPT 		Mastectomy, Modified Radical, Including Axillary Lymph Nodes, With Or Without Pe… 14 $44,498.17 $44,498.17 $44,498.17 nat. median
$6,808
outlier · 6.5×
27457
CPT 		Osteotomy, Proximal Tibia, Including Fibular Excision Or Osteotomy (includes Cor… 8 $43,070.62 $43,710.88 $43,390.75 nat. median
$5,369
outlier · 8.1×
J3590
HCPCS 		Unclassified Biologics 7 $1.58 $41,372.64 $41,372.64 nat. median
$759
outlier · 54.5×
57288
CPT 		Sling Operation For Stress Incontinence (eg, Fascia Or Synthetic) 14 $40,917.73 $40,943.73 $40,930.73 nat. median
$5,134
outlier · 8.0×
19303
CPT 		Mastectomy, Simple, Complete 14 $31,950.88 $49,587.67 $40,769.28 nat. median
$6,213
outlier · 6.6×
834
MS_DRG 		Acute Leukemia With Mcc 14 $15,609.30 $79,181.43 $40,754.77 nat. median
$52,155
0.8× median
27428
CPT 		Ligamentous Reconstruction (augmentation), Knee; Intra-articular (open) 14 $39,259.71 $39,752.21 $39,505.96 nat. median
$11,589
outlier · 3.4×
47605
CPT 		Cholecystectomy; With Cholangiography 8 $36,912.20 $41,953.76 $39,432.98 nat. median
$2,720
outlier · 14.5×
35011
CPT 		Direct Repair Of Aneurysm, Pseudoaneurysm, Or Excision (partial Or Total) And Gr… 14 $38,920.74 $38,920.74 $38,920.74 nat. median
$5,832
outlier · 6.7×
60240
CPT 		Thyroidectomy, Total Or Complete 14 $38,818.40 $38,818.40 $38,818.40 nat. median
$6,065
outlier · 6.4×
C9766
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 14 $38,699.79 $38,699.79 $38,699.79 nat. median
$19,257
outlier · 2.0×
37224
CPT 		Revascularization, Endovascular, Open Or Percutaneous, Femoral, Popliteal Artery… 14 $31,339.74 $44,204.64 $37,772.19 nat. median
$7,267
outlier · 5.2×
270
MS_DRG 		Other Major Cardiovascular Pro 12 $3,175.40 $46,593.68 $37,472.75 nat. median
$50,808
0.7× median
326
MS_DRG 		Stomach, Esophageal And Duoden 14 $24,978.45 $90,496.48 $37,449.30 nat. median
$48,124
0.8× median
326
OTHER 		Stomach, Esophageal And Duodenal Procedures With Mcc 14 $24,978.45 $99,750.20 $37,449.30 nat. median
$41,032
0.9× median
239
MS_DRG 		Amputation For Circulatory Sys 14 $24,978.45 $111,225.73 $36,955.03 nat. median
$47,513
0.8× median
239
OTHER 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 $24,978.45 $111,771.98 $36,955.03 nat. median
$46,725
0.8× median
853
MS_DRG 		Infectious And Parasitic Disea 14 $24,978.45 $100,632.23 $36,876.39 nat. median
$47,707
0.8× median

Other procedures at this hospital

Browse this hospital's 3,016 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
             
11626 CPT Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitali… 38 14 $32,737.20 $13,094.88 60% off $17,544.40 $17,919.19 $17,731.79 2026-07-31
417 OTHER Laparoscopic Cholecystectomy Without C.d.e. With Mcc 18 14 $109,649.00 $43,859.60 60% off $17,349.31 $63,499.15 $17,889.79 2026-05-23
417 MS_DRG Laparoscopic Cholecystectomy W 18 14 $91,650.00 $36,660.00 60% off $17,349.31 $54,499.65 $17,889.79 2026-07-31
21556 CPT Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subfascial (eg, Intramu… 38 14 $33,066.75 $13,226.70 60% off $17,843.19 $17,949.94 $17,896.57 2026-07-31
52332 CPT Cystourethroscopy, With Insertion Of Indwelling Ureteral Stent (eg, Gibbons Or D… 38 14 $32,657.00 $13,062.80 60% off $17,971.24 $17,971.24 $17,971.24 2026-07-31
11426 CPT Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed Elsewh… 38 14 $33,508.00 $13,403.20 60% off $13,240.69 $22,993.69 $18,117.19 2026-07-31
42820 CPT Tonsillectomy And Adenoidectomy; Younger Than Age 12 38 14 $30,655.00 $12,262.00 60% off $17,780.63 $18,509.63 $18,145.13 2026-07-31
272 OTHER Other Major Cardiovascular Procedures Without Cc/mcc 25 14 $203,500.00 $81,400.00 60% off $3,237.51 $110,883.48 $18,266.96 2026-05-23
674 OTHER Other Kidney And Urinary Tract Procedures With Cc 18 14 $89,573.47 $35,829.39 60% off $16,852.15 $53,212.81 $18,358.67 2026-05-23
674 MS_DRG Other Kidney And Urinary Tract 18 14 $94,920.45 $37,968.18 60% off $16,852.15 $55,886.30 $18,358.67 2026-07-31
59820 CPT Treatment Of Missed Abortion, Completed Surgically; First Trimester 38 14 $33,883.00 $13,553.20 60% off $18,227.91 $18,683.91 $18,455.91 2026-07-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 18 14 $49,302.00 $19,720.80 60% off $15,609.30 $32,455.65 $18,463.63 2026-07-31
56 OTHER Degenerative Nervous System Disorders With Mcc 18 14 $50,722.23 $20,288.89 60% off $15,609.30 $33,165.76 $18,463.63 2026-05-23
27301 CPT Incision And Drainage, Deep Abscess, Bursa, Or Hematoma, Thigh Or Knee Region 38 14 $34,464.00 $13,785.60 60% off $18,297.19 $18,893.19 $18,595.19 2026-07-31
55520 CPT Excision Of Lesion Of Spermatic Cord (separate Procedure) 38 14 $33,925.88 $13,570.35 60% off $16,579.12 $20,632.24 $18,605.68 2026-07-31
49521 CPT Repair Recurrent Inguinal Hernia, Any Age; Incarcerated Or Strangulated 38 14 $31,267.50 $12,507.00 60% off $18,236.24 $18,975.24 $18,605.74 2026-07-31
50590 CPT Lithotripsy, Extracorporeal Shock Wave 38 14 $34,193.50 $13,677.40 60% off $18,458.24 $19,020.74 $18,739.49 2026-07-31
49322 CPT Laparoscopy, Surgical; With Aspiration Of Cavity Or Cyst (eg, Ovarian Cyst) (sin… 38 14 $31,959.00 $12,783.60 60% off $18,205.90 $19,310.90 $18,758.40 2026-07-31
330 MS_DRG Major Small And Large Bowel Pr 18 14 $141,787.25 $56,714.90 60% off $17,255.86 $79,521.55 $18,788.61 2026-07-31
330 OTHER Major Small And Large Bowel Procedures With Cc 18 14 $144,761.42 $57,904.57 60% off $17,255.86 $81,008.64 $18,788.61 2026-05-23
58558 CPT Hysteroscopy, Surgical; With Sampling (biopsy) Of Endometrium And/or Polypectomy… 38 14 $34,588.00 $13,835.20 60% off $18,793.41 $18,823.41 $18,808.41 2026-07-31
58120 CPT Dilation And Curettage, Diagnostic And/or Therapeutic (nonobstetrical) 38 14 $34,625.32 $13,850.12 60% off $18,640.48 $19,013.66 $18,827.07 2026-07-31
49616 CPT Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral, Umb… 20 8 $28,969.56 $11,587.83 60% off $12,273.30 $25,387.13 $18,830.22 2026-07-31
19120 CPT Excision Of Cyst, Fibroadenoma, Or Other Benign Or Malignant Tumor, Aberrant Bre… 38 14 $34,212.49 $13,684.99 60% off $13,702.87 $24,157.38 $18,930.13 2026-07-31
27792 CPT Open Treatment Of Distal Fibular Fracture (lateral Malleolus), Includes Internal… 38 14 $31,079.25 $12,431.70 60% off $17,315.06 $20,569.31 $18,942.19 2026-07-31
51040 CPT Cystostomy, Cystotomy With Drainage 38 14 $36,067.50 $14,427.00 60% off $18,991.21 $19,027.71 $19,009.46 2026-07-31
30117 CPT Excision Or Destruction (eg, Laser), Intranasal Lesion; Internal Approach 19 14 $35,033.00 $14,013.20 60% off $19,061.17 $19,061.17 $19,061.17 2026-05-23
59160 CPT Curettage, Postpartum 19 14 $35,139.00 $14,055.60 60% off $19,083.91 $19,083.91 $19,083.91 2026-05-23
749 OTHER Other Female Reproductive System O.r. Procedures With Cc/mcc 18 14 $135,806.00 $54,322.40 60% off $15,316.15 $75,561.07 $19,086.68 2026-05-23
749 MS_DRG Other Female Reproductive Syst 18 14 $135,806.00 $54,322.40 60% off $15,316.15 $75,561.07 $19,086.68 2026-07-31
29888 CPT Arthroscopically Aided Anterior Cruciate Ligament Repair/augmentation Or Reconst… 38 14 $31,374.67 $12,549.86 60% off $18,980.56 $19,199.22 $19,089.89 2026-07-31
31254 CPT Nasal/sinus Endoscopy, Surgical With Ethmoidectomy; Partial (anterior) 38 14 $31,633.83 $12,653.53 60% off $18,919.83 $19,308.33 $19,114.08 2026-07-31
52260 CPT Cystourethroscopy, With Dilation Of Bladder For Interstitial Cystitis; General O… 38 14 $36,469.50 $14,587.80 60% off $19,030.21 $19,390.71 $19,210.46 2026-07-31
59840 CPT Induced Abortion, By Dilation And Curettage 38 14 $35,400.50 $14,160.20 60% off $18,951.91 $19,477.41 $19,214.66 2026-07-31
31541 CPT Laryngoscopy, Direct, Operative, With Excision Of Tumor And/or Stripping Of Voca… 38 14 $35,045.28 $14,018.11 60% off $19,196.88 $19,360.60 $19,278.74 2026-07-31
37235 CPT Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery, U… 9 7 $28,922.00 $11,568.80 60% off $19,299.65 $19,299.65 $19,299.65 2026-07-31
11446 CPT Excision, Other Benign Lesion Including Margins, Except Skin Tag (unless Listed … 19 14 $35,983.00 $14,393.20 60% off $19,354.69 $19,354.69 $19,354.69 2026-07-31
57410 CPT Pelvic Examination Under Anesthesia (other Than Local) 38 14 $35,682.00 $14,272.80 60% off $19,120.91 $19,589.91 $19,355.41 2026-07-31
982 MS_DRG Extensive O.r. Procedures Unre 18 14 $93,969.50 $37,587.80 60% off $17,873.47 $55,921.49 $19,360.05 2026-07-31
982 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 18 14 $98,018.00 $39,207.20 60% off $17,873.47 $57,945.74 $19,360.05 2026-05-23
11772 CPT Excision Of Pilonidal Cyst Or Sinus; Complicated 38 14 $36,009.00 $14,403.60 60% off $16,280.69 $22,454.69 $19,367.69 2026-07-31
93458 CPT Catheter Placement In Coronary Artery(s) For Coronary Angiography, Including Int… 38 14 $35,718.25 $14,287.30 60% off $17,787.22 $20,994.97 $19,391.10 2026-07-31
493 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 18 14 $172,115.00 $68,846.00 60% off $17,528.16 $94,821.58 $19,597.39 2026-05-23
493 MS_DRG Lower Extremity And Humerus Pr 18 14 $173,681.50 $69,472.60 60% off $17,528.16 $95,604.83 $19,597.39 2026-07-31
93452 CPT Left Heart Catheterization Including Intraprocedural Injection(s) For Left Ventr… 38 14 $36,221.00 $14,488.40 60% off $18,847.97 $20,436.97 $19,642.47 2026-07-31
52284 CPT Cystourethroscopy, With Mechanical Urethral Dilation And Urethral Therapeutic Dr… 38 14 $34,551.63 $13,820.66 60% off $18,078.96 $21,315.33 $19,697.15 2026-07-31
29806 CPT Arthroscopy, Shoulder, Surgical; Capsulorrhaphy 38 14 $32,590.00 $13,036.00 60% off $16,142.06 $23,253.06 $19,697.56 2026-07-31
208 MS_DRG Respiratory System Diagnosis W 18 14 $106,298.00 $42,519.20 60% off $15,609.30 $60,953.65 $19,713.51 2026-07-31
208 OTHER Respiratory System Diagnosis With Ventilator Support <=96 Hours 18 14 $107,962.45 $43,184.98 60% off $15,609.30 $61,785.88 $19,713.51 2026-05-23
59812 CPT Treatment Of Incomplete Abortion, Any Trimester, Completed Surgically 38 14 $36,536.69 $14,614.68 60% off $19,432.35 $20,133.16 $19,782.76 2026-07-31
327 OTHER Stomach, Esophageal And Duodenal Procedures With Cc 18 14 $133,181.50 $53,272.60 60% off $17,726.00 $75,453.75 $19,818.59 2026-05-23
327 MS_DRG Stomach, Esophageal And Duoden 18 14 $133,181.50 $53,272.60 60% off $17,726.00 $75,453.75 $19,818.59 2026-07-31
659 OTHER Kidney And Ureter Procedures For Non-neoplasm With Mcc 18 14 $172,147.00 $68,858.80 60% off $18,866.32 $95,506.66 $19,912.30 2026-05-23
659 MS_DRG Kidney And Ureter Procedures F 18 14 $171,779.50 $68,711.80 60% off $18,866.32 $95,322.91 $19,912.30 2026-07-31
61 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 14 $148,509.00 $59,403.60 60% off $15,609.30 $82,059.15 $19,933.14 2026-05-23
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 14 $148,509.00 $59,403.60 60% off $15,609.30 $82,059.15 $19,933.14 2026-07-31
35045 CPT Direct Repair Of Aneurysm, Pseudoaneurysm, Or Excision (partial Or Total) And Gr… 19 14 $34,723.50 $13,889.40 60% off $19,936.49 $19,936.49 $19,936.49 2026-05-23
28308 CPT Osteotomy, With Or Without Lengthening, Shortening Or Angular Correction, Metata… 38 14 $36,784.00 $14,713.60 60% off $19,937.41 $19,937.41 $19,937.41 2026-07-31
C9764 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 19 14 $30,148.00 $12,059.20 60% off $20,117.76 $20,117.76 $20,117.76 2026-05-23
288 OTHER Acute And Subacute Endocarditis With Mcc 18 14 $93,842.00 $37,536.80 60% off $15,609.30 $54,725.65 $20,140.33 2026-05-23
288 MS_DRG Acute And Subacute Endocarditi 18 14 $64,630.00 $25,852.00 60% off $15,609.30 $40,119.65 $20,140.33 2026-07-31
52235 CPT Cystourethroscopy, With Fulguration (including Cryosurgery Or Laser Surgery) And… 38 14 $36,996.53 $14,798.61 60% off $20,097.74 $20,184.27 $20,141.01 2026-07-31
397 OTHER Appendix Procedures With Mcc 18 14 $112,080.27 $44,832.11 60% off $18,088.83 $65,084.55 $20,224.25 2026-05-23
397 MS_DRG Appendix Procedures With Mcc 18 14 $104,473.50 $41,789.40 60% off $18,088.83 $61,281.17 $20,224.25 2026-07-31
46280 CPT Surgical Treatment Of Anal Fistula (fistulectomy/fistulotomy); Transsphincteric,… 19 14 $38,007.00 $15,202.80 60% off $20,309.70 $20,309.70 $20,309.70 2026-07-31
37191 CPT Insertion Of Intravascular Vena Cava Filter, Endovascular Approach Including Vas… 38 14 $35,507.50 $14,203.00 60% off $18,248.74 $22,408.24 $20,328.49 2026-07-31
272 MS_DRG Other Major Cardiovascular Pro 18 14 $203,500.00 $81,400.00 60% off $18,266.96 $110,883.48 $20,423.40 2026-07-31
41112 CPT Excision Of Lesion Of Tongue With Closure; Anterior Two-thirds 19 14 $37,854.00 $15,141.60 60% off $20,471.67 $20,471.67 $20,471.67 2026-07-31
164 MS_DRG Major Chest Procedures With Cc 18 14 $151,364.50 $60,545.80 60% off $18,375.01 $84,869.76 $20,544.21 2026-07-31
29805 CPT Arthroscopy, Shoulder, Diagnostic, With Or Without Synovial Biopsy (separate Pro… 38 14 $38,389.50 $15,355.80 60% off $19,681.16 $21,799.16 $20,740.16 2026-07-31
49507 CPT Repair Initial Inguinal Hernia, Age 5 Years Or Older; Incarcerated Or Strangulat… 19 14 $68,059.38 $27,223.75 60% off $20,766.26 $20,766.26 $20,766.26 2026-07-31
253 OTHER Other Vascular Procedures With Cc 18 14 $150,512.00 $60,204.80 60% off $18,637.82 $84,574.91 $20,838.04 2026-05-23
253 MS_DRG Other Vascular Procedures With 18 14 $206,027.09 $82,410.84 60% off $18,637.82 $112,332.46 $20,838.04 2026-07-31
60699 CPT Unlisted Procedure, Endocrine System 38 14 $36,166.00 $14,466.40 60% off $20,861.90 $20,861.90 $20,861.90 2026-07-31
38900 CPT Intraoperative Identification (eg, Mapping) Of Sentinel Lymph Node(s) Includes I… 18 7 $31,372.19 $12,548.88 60% off $19,271.43 $22,597.90 $20,934.66 2026-07-31
38510 CPT Biopsy Or Excision Of Lymph Node(s); Open, Deep Cervical Node(s) 38 14 $38,304.00 $15,321.60 60% off $20,577.38 $21,374.38 $20,975.88 2026-07-31
54640 CPT Orchiopexy, Inguinal Or Scrotal Approach 38 14 $38,621.38 $15,448.55 60% off $19,893.76 $22,089.39 $20,991.58 2026-07-31
57240 CPT Anterior Colporrhaphy, Repair Of Cystocele With Or Without Repair Of Urethrocele… 19 14 $37,617.33 $15,046.93 60% off $21,159.90 $21,159.90 $21,159.90 2026-07-31
52640 CPT Transurethral Resection; Of Postoperative Bladder Neck Contracture 38 14 $39,140.33 $15,656.13 60% off $20,835.58 $21,590.24 $21,212.91 2026-07-31
255 OTHER Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 18 14 $99,648.00 $39,859.20 60% off $19,101.39 $59,374.69 $21,356.35 2026-05-23
255 MS_DRG Upper Limb And Toe Amputation 18 14 $96,226.80 $38,490.72 60% off $19,101.39 $57,664.10 $21,356.35 2026-07-31
480 OTHER Hip And Femur Procedures Except Major Joint With Mcc 25 14 $189,413.65 $75,765.46 60% off $670.13 $105,442.01 $21,470.36 2026-05-23
240 MS_DRG Amputation For Circulatory Sys 18 14 $140,849.00 $56,339.60 60% off $18,120.28 $79,484.64 $21,472.70 2026-07-31
240 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 18 14 $137,910.52 $55,164.21 60% off $18,120.28 $78,015.40 $21,472.70 2026-05-23
56740 CPT Excision Of Bartholin's Gland Or Cyst 38 14 $39,920.00 $15,968.00 60% off $21,474.41 $21,474.41 $21,474.41 2026-07-31
37607 CPT Ligation Or Banding Of Angioaccess Arteriovenous Fistula 19 14 $40,061.00 $16,024.40 60% off $21,529.65 $21,529.65 $21,529.65 2026-07-31
970 OTHER HIV With Extensive O.r. Procedures Without Mcc 18 14 $77,876.73 $31,150.69 60% off $19,370.05 $48,623.39 $21,656.72 2026-05-23
52234 CPT Cystourethroscopy, With Fulguration (including Cryosurgery Or Laser Surgery) And… 38 14 $40,085.68 $16,034.27 60% off $21,555.42 $21,815.74 $21,685.58 2026-07-31
654 OTHER Major Bladder Procedures With Cc 18 14 $131,105.83 $52,442.33 60% off $20,602.35 $75,854.09 $21,698.92 2026-05-23
654 MS_DRG Major Bladder Procedures With 18 14 $148,650.10 $59,460.04 60% off $20,602.35 $84,626.23 $21,698.92 2026-07-31
59151 CPT Laparoscopic Treatment Of Ectopic Pregnancy; With Salpingectomy And/or Oophorect… 38 14 $37,882.21 $15,152.88 60% off $14,420.11 $29,019.90 $21,720.01 2026-07-31
20680 CPT Removal Of Implant; Deep (eg, Buried Wire, Pin, Screw, Metal Band, Nail, Rod Or … 38 14 $40,876.62 $16,350.65 60% off $21,440.94 $22,162.07 $21,801.51 2026-07-31
55535 CPT Excision Of Varicocele Or Ligation Of Spermatic Veins For Varicocele; Abdominal … 38 14 $37,861.50 $15,144.60 60% off $21,843.99 $21,961.49 $21,902.74 2026-07-31
36831 CPT Thrombectomy, Open, Arteriovenous Fistula Without Revision, Autogenous Or Nonaut… 38 14 $38,739.00 $15,495.60 60% off $21,885.49 $22,002.99 $21,944.24 2026-07-31
24105 CPT Excision, Olecranon Bursa 38 14 $40,874.44 $16,349.77 60% off $21,762.85 $22,202.41 $21,982.63 2026-07-31
974 MS_DRG HIV With Major Related Conditi 18 14 $88,347.51 $35,339.00 60% off $15,609.30 $51,978.40 $22,018.33 2026-07-31
974 OTHER HIV With Major Related Condition With Mcc 18 14 $86,042.63 $34,417.05 60% off $15,609.30 $50,825.96 $22,018.33 2026-05-23
52351 CPT Cystourethroscopy, With Ureteroscopy And/or Pyeloscopy; Diagnostic 38 14 $40,832.00 $16,332.80 60% off $22,058.74 $22,058.74 $22,058.74 2026-07-31
411 OTHER Cholecystectomy With C.d.e. With Mcc 18 14 $124,778.46 $49,911.38 60% off $19,808.80 $72,293.63 $22,147.26 2026-05-23
55500 CPT Excision Of Hydrocele Of Spermatic Cord, Unilateral (separate Procedure) 19 14 $41,016.33 $16,406.53 60% off $22,150.91 $22,150.91 $22,150.91 2026-05-23
36821 CPT Arteriovenous Anastomosis, Open; Direct, Any Site (eg, Cimino Type) (separate Pr… 38 14 $41,347.25 $16,538.90 60% off $21,689.15 $22,656.40 $22,172.78 2026-07-31
27829 CPT Open Treatment Of Distal Tibiofibular Joint (syndesmosis) Disruption, Includes I… 38 14 $37,869.94 $15,147.97 60% off $19,575.25 $25,099.81 $22,337.53 2026-07-31
27822 CPT Open Treatment Of Trimalleolar Ankle Fracture, Includes Internal Fixation, When … 38 14 $37,869.94 $15,147.97 60% off $19,575.25 $25,099.81 $22,337.53 2026-07-31
31536 CPT Laryngoscopy, Direct, Operative, With Biopsy; With Operating Microscope Or Teles… 38 14 $41,339.00 $16,535.60 60% off $21,657.60 $23,193.60 $22,425.60 2026-07-31
52240 CPT Cystourethroscopy, With Fulguration (including Cryosurgery Or Laser Surgery) And… 38 14 $40,130.00 $16,052.00 60% off $20,303.58 $24,669.08 $22,486.33 2026-07-31
23550 CPT Open Treatment Of Acromioclavicular Dislocation, Acute Or Chronic 38 14 $38,389.50 $15,355.80 60% off $21,538.31 $23,656.31 $22,597.31 2026-07-31
49325 CPT Laparoscopy, Surgical; With Revision Of Previously Placed Intraperitoneal Cannul… 38 14 $39,802.00 $15,920.80 60% off $22,379.90 $22,979.90 $22,679.90 2026-07-31
321 MS_DRG Percutaneous Cardiovascular Pr 18 14 $141,407.00 $56,562.80 60% off $20,782.66 $81,094.83 $22,984.47 2026-07-31
321 OTHER Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 18 14 $140,015.50 $56,006.20 60% off $20,782.66 $80,399.08 $22,984.47 2026-05-23
464 MS_DRG Wound Debridement And Skin Gra 18 14 $73,579.00 $29,431.60 60% off $21,525.84 $47,552.42 $23,073.47 2026-07-31
60280 CPT Excision Of Thyroglossal Duct Cyst Or Sinus 19 14 $40,700.00 $16,280.00 60% off $23,128.90 $23,128.90 $23,128.90 2026-05-23
29880 CPT Arthroscopy, Knee, Surgical; With Meniscectomy (medial And Lateral, Including An… 38 14 $43,280.50 $17,312.20 60% off $21,365.41 $25,005.91 $23,185.66 2026-07-31
C9740 HCPCS Cystourethroscopy, With Insertion Of Transprostatic Implant; 4 Or More Implants 38 14 $37,599.00 $15,039.60 60% off $18,124.42 $28,283.42 $23,203.92 2026-07-31
521 OTHER Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 18 14 $141,022.00 $56,408.80 60% off $21,278.36 $81,150.18 $23,234.79 2026-05-23
521 MS_DRG Hip Replacement With Principal 18 14 $154,225.00 $61,690.00 60% off $21,278.36 $87,751.68 $23,234.79 2026-07-31
668 OTHER Transurethral Procedures With Mcc 18 14 $86,834.70 $34,733.88 60% off $21,290.04 $54,062.37 $23,240.69 2026-05-23
668 MS_DRG Transurethral Procedures With 18 14 $86,758.20 $34,703.28 60% off $21,290.04 $54,024.12 $23,240.69 2026-07-31
480 MS_DRG Hip And Femur Procedures Excep 18 14 $176,091.00 $70,436.40 60% off $21,470.36 $98,780.68 $23,331.75 2026-07-31
49324 CPT Laparoscopy, Surgical; With Insertion Of Tunneled Intraperitoneal Catheter 38 14 $41,133.75 $16,453.50 60% off $22,478.40 $24,213.15 $23,345.78 2026-07-31
45990 CPT Anorectal Exam, Surgical, Requiring Anesthesia (general, Spinal, Or Epidural), D… 38 14 $44,079.78 $17,631.92 60% off $21,901.98 $24,790.20 $23,346.09 2026-07-31
55040 CPT Excision Of Hydrocele; Unilateral 38 14 $43,332.43 $17,332.97 60% off $21,766.06 $24,928.14 $23,347.10 2026-07-31
37765 CPT Stab Phlebectomy Of Varicose Veins, 1 Extremity; 10-20 Stab Incisions 19 14 $43,790.50 $17,516.20 60% off $23,394.40 $23,394.40 $23,394.40 2026-07-31
840 OTHER Lymphoma And Non-acute Leukemia With Mcc 18 14 $66,317.50 $26,527.00 60% off $15,609.30 $40,963.40 $23,513.65 2026-05-23
840 MS_DRG Lymphoma And Non-acute Leukemi 18 14 $66,453.00 $26,581.20 60% off $15,609.30 $41,031.15 $23,513.65 2026-07-31
58660 CPT Laparoscopy, Surgical; With Lysis Of Adhesions (salpingolysis, Ovariolysis) (sep… 38 14 $41,578.12 $16,631.25 60% off $23,448.40 $23,687.53 $23,567.97 2026-07-31
570 OTHER Skin Debridement With Mcc 18 14 $104,844.86 $41,937.94 60% off $21,975.54 $63,410.20 $23,586.87 2026-05-23
570 MS_DRG Skin Debridement With Mcc 18 14 $87,544.00 $35,017.60 60% off $21,975.54 $54,759.77 $23,586.87 2026-07-31
27696 CPT Repair, Primary, Disrupted Ligament, Ankle; Both Collateral Ligaments 38 14 $40,618.50 $16,247.40 60% off $23,439.56 $23,984.06 $23,711.81 2026-07-31
27650 CPT Repair, Primary, Open Or Percutaneous, Ruptured Achilles Tendon 38 14 $41,101.97 $16,440.79 60% off $12,235.94 $35,336.28 $23,786.11 2026-07-31
829 MS_DRG Myeloproliferative Disorders O 18 14 $191,834.00 $76,733.60 60% off $22,512.85 $107,173.43 $23,858.21 2026-07-31
829 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 18 14 $191,834.00 $76,733.60 60% off $22,512.85 $107,173.43 $23,858.21 2026-05-23
515 MS_DRG Other Musculoskeletal System A 18 14 $240,050.00 $96,020.00 60% off $22,575.63 $131,312.82 $23,889.92 2026-07-31
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 18 14 $240,050.00 $96,020.00 60% off $22,575.63 $131,312.82 $23,889.92 2026-05-23
31535 CPT Laryngoscopy, Direct, Operative, With Biopsy 38 14 $44,420.00 $17,768.00 60% off $23,966.10 $23,966.10 $23,966.10 2026-07-31
939 MS_DRG O.r. Procedures With Diagnoses 18 14 $116,917.00 $46,766.80 60% off $23,171.34 $70,044.17 $24,190.75 2026-07-31
324 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 18 14 $182,234.12 $72,893.65 60% off $23,325.38 $102,779.75 $24,268.53 2026-05-23
324 MS_DRG Coronary Intravascular Lithotr 18 14 $190,034.00 $76,013.60 60% off $23,325.38 $106,679.69 $24,268.53 2026-07-31
35903 CPT Excision Of Infected Graft; Extremity 38 14 $45,559.50 $18,223.80 60% off $24,156.65 $24,401.15 $24,278.90 2026-07-31
279 MS_DRG Ultrasound Accelerated And Oth 18 14 $257,446.00 $102,978.40 60% off $23,393.27 $140,419.64 $24,302.82 2026-07-31
279 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 14 $233,416.00 $93,366.40 60% off $23,393.27 $128,404.63 $24,302.82 2026-05-23
485 MS_DRG Knee Procedures With Principal 18 14 $149,771.80 $59,908.72 60% off $23,502.05 $86,636.93 $24,357.76 2026-07-31
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 18 14 $150,507.14 $60,202.86 60% off $23,502.05 $87,004.60 $24,357.76 2026-05-23
38745 CPT Axillary Lymphadenectomy; Complete 38 14 $43,242.00 $17,296.80 60% off $24,399.90 $24,399.90 $24,399.90 2026-07-31
579 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 18 14 $96,534.00 $38,613.60 60% off $23,794.79 $60,164.39 $24,505.59 2026-05-23
579 MS_DRG Other Skin, Subcutaneous Tissu 18 14 $122,106.00 $48,842.40 60% off $23,794.79 $72,950.40 $24,505.59 2026-07-31
469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 18 14 $104,481.92 $41,792.77 60% off $23,862.69 $64,172.31 $24,539.88 2026-05-23
469 MS_DRG Major Hip And Knee Joint Repla 18 14 $114,366.03 $45,746.41 60% off $23,862.69 $69,114.36 $24,539.88 2026-07-31
29874 CPT Arthroscopy, Knee, Surgical; For Removal Of Loose Body Or Foreign Body (eg, Oste… 19 14 $46,326.60 $18,530.64 60% off $24,708.71 $24,708.71 $24,708.71 2026-05-23
C9739 HCPCS Cystourethroscopy, With Insertion Of Transprostatic Implant; 1 To 3 Implants 19 14 $44,824.00 $17,929.60 60% off $24,833.33 $24,833.33 $24,833.33 2026-07-31
270 OTHER Other Major Cardiovascular Procedures With Mcc 23 14 $262,871.04 $105,148.42 60% off $312.82 $46,593.68 $24,978.45 2026-05-23
260 MS_DRG Cardiac Pacemaker Revision Exc 18 14 $173,872.00 $69,548.80 60% off $24,866.49 $99,369.24 $25,115.14 2026-07-31
271 OTHER Other Major Cardiovascular Procedures With Cc 13 12 $97,322.00 $38,928.80 60% off $3,982.29 $31,265.78 $25,145.36 2026-05-23
271 MS_DRG Other Major Cardiovascular Pro 13 12 $97,322.00 $38,928.80 60% off $3,982.29 $31,265.78 $25,145.36 2026-07-31
49505 CPT Repair Initial Inguinal Hernia, Age 5 Years Or Older; Reducible 38 14 $46,939.25 $18,775.70 60% off $24,662.89 $25,638.14 $25,150.51 2026-07-31
56620 CPT Vulvectomy Simple; Partial 19 14 $47,388.52 $18,955.41 60% off $25,208.67 $25,208.67 $25,208.67 2026-05-23
467 OTHER Revision Of Hip Or Knee Replacement With Cc 18 14 $111,035.33 $44,414.13 60% off $24,978.45 $68,006.89 $25,255.23 2026-05-23
467 MS_DRG Revision Of Hip Or Knee Replac 18 14 $120,636.00 $48,254.40 60% off $24,978.45 $72,807.23 $25,255.23 2026-07-31
252 OTHER Other Vascular Procedures With Mcc 18 14 $127,236.50 $50,894.60 60% off $24,978.45 $76,107.48 $25,293.57 2026-05-23
252 MS_DRG Other Vascular Procedures With 18 14 $113,041.00 $45,216.40 60% off $24,978.45 $69,009.73 $25,293.57 2026-07-31
49421 CPT Insertion Of Tunneled Intraperitoneal Catheter For Dialysis, Open 38 14 $47,514.50 $19,005.80 60% off $25,061.39 $25,814.89 $25,438.14 2026-07-31
264 OTHER Other Circulatory System O.r. Procedures 18 14 $174,229.00 $69,691.60 60% off $19,982.73 $97,105.87 $25,643.06 2026-05-23
264 MS_DRG Other Circulatory System O.r. 18 14 $197,962.75 $79,185.10 60% off $19,982.73 $108,972.74 $25,643.06 2026-07-31
52601 CPT Transurethral Electrosurgical Resection Of Prostate, Including Control Of Postop… 38 14 $46,479.25 $18,591.70 60% off $25,583.58 $25,738.33 $25,660.96 2026-07-31
987 OTHER Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 14 $134,245.50 $53,698.20 60% off $24,978.45 $79,611.98 $25,826.67 2026-05-23
987 MS_DRG Non-extensive O.r. Procedures 18 14 $170,260.00 $68,104.00 60% off $24,978.45 $97,619.23 $25,826.67 2026-07-31
42335 CPT Sialolithotomy; Submandibular (submaxillary), Complicated, Intraoral 38 14 $48,666.00 $19,466.40 60% off $25,877.67 $25,877.67 $25,877.67 2026-07-31
49592 CPT Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral, Umb… 38 14 $46,272.50 $18,509.00 60% off $25,829.40 $26,000.90 $25,915.15 2026-07-31
57250 CPT Posterior Colporrhaphy, Repair Of Rectocele With Or Without Perineorrhaphy 19 14 $47,482.50 $18,993.00 60% off $26,092.48 $26,092.48 $26,092.48 2026-07-31
49591 CPT Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral, Umb… 38 14 $48,931.75 $19,572.70 60% off $25,380.14 $26,913.39 $26,146.76 2026-07-31
492 MS_DRG Lower Extremity And Humerus Pr 18 14 $192,478.00 $76,991.20 60% off $24,978.45 $108,728.23 $26,184.28 2026-07-31
492 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 14 $192,478.00 $76,991.20 60% off $24,978.45 $108,728.23 $26,184.28 2026-05-23
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 14 $69,969.02 $27,987.61 60% off $15,609.30 $42,789.16 $26,299.71 2026-07-31
97 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 14 $82,805.56 $33,122.23 60% off $15,609.30 $49,207.43 $26,299.71 2026-05-23
23552 CPT Open Treatment Of Acromioclavicular Dislocation, Acute Or Chronic; With Fascial … 38 14 $46,103.07 $18,441.22 60% off $24,091.12 $28,817.06 $26,454.09 2026-07-31
44970 CPT Laparoscopy, Surgical, Appendectomy 38 14 $47,426.50 $18,970.60 60% off $26,442.90 $26,541.40 $26,492.15 2026-07-31
49320 CPT Laparoscopy, Abdomen, Peritoneum, And Omentum, Diagnostic, With Or Without Colle… 38 14 $47,776.75 $19,110.70 60% off $23,380.90 $29,953.65 $26,667.28 2026-07-31
335 MS_DRG Peritoneal Adhesiolysis With M 18 14 $189,522.65 $75,809.06 60% off $24,978.45 $107,250.55 $26,716.63 2026-07-31
335 OTHER Peritoneal Adhesiolysis With Mcc 18 14 $225,607.63 $90,243.05 60% off $24,978.45 $125,293.04 $26,716.63 2026-05-23
53240 CPT Marsupialization Of Urethral Diverticulum, Male Or Female 19 14 $50,515.50 $20,206.20 60% off $26,900.49 $26,900.49 $26,900.49 2026-07-31
94 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 14 $100,703.00 $40,281.20 60% off $15,609.30 $58,156.15 $26,903.18 2026-05-23
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 14 $100,703.00 $40,281.20 60% off $15,609.30 $58,156.15 $26,903.18 2026-07-31
58563 CPT Hysteroscopy, Surgical; With Endometrial Ablation (eg, Endometrial Resection, El… 38 14 $49,119.62 $19,647.85 60% off $26,836.35 $26,985.73 $26,911.04 2026-07-31
28299 CPT Correction, Hallux Valgus With Bunionectomy, With Sesamoidectomy When Performed;… 19 14 $47,245.00 $18,898.00 60% off $27,025.06 $27,025.06 $27,025.06 2026-07-31
47562 CPT Laparoscopy, Surgical; Cholecystectomy 38 14 $48,867.00 $19,546.80 60% off $26,682.90 $27,741.90 $27,212.40 2026-07-31
42440 CPT Excision Of Submandibular (submaxillary) Gland 38 14 $48,978.00 $19,591.20 60% off $21,549.63 $33,063.63 $27,306.63 2026-07-31
47563 CPT Laparoscopy, Surgical; Cholecystectomy With Cholangiography 38 14 $49,083.57 $19,633.43 60% off $26,948.47 $27,692.90 $27,320.69 2026-07-31
53400 CPT Urethroplasty; First Stage, For Fistula, Diverticulum, Or Stricture (eg, Johanns… 19 14 $50,515.50 $20,206.20 60% off $27,679.08 $27,679.08 $27,679.08 2026-07-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 14 $148,045.00 $59,218.00 60% off $24,978.45 $86,511.73 $27,813.05 2026-07-31
40 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 14 $147,453.15 $58,981.26 60% off $24,978.45 $86,215.80 $27,813.05 2026-05-23
25608 CPT Open Treatment Of Distal Radial Intra-articular Fracture Or Epiphyseal Separatio… 38 14 $49,318.00 $19,727.20 60% off $26,198.06 $29,925.06 $28,061.56 2026-07-31
38500 CPT Biopsy Or Excision Of Lymph Node(s); Open, Superficial 19 14 $52,484.50 $20,993.80 60% off $28,066.13 $28,066.13 $28,066.13 2026-07-31
956 MS_DRG Limb Reattachment, Hip And Fem 18 14 $146,824.00 $58,729.60 60% off $24,978.45 $85,901.23 $28,183.93 2026-07-31
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 14 $150,074.54 $60,029.82 60% off $24,978.45 $87,526.49 $28,183.93 2026-05-23
22514 CPT Percutaneous Vertebral Augmentation, Including Cavity Creation (fracture Reducti… 38 14 $49,692.00 $19,876.80 60% off $28,248.56 $28,248.56 $28,248.56 2026-07-31
616 OTHER Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 14 $127,850.34 $51,140.14 60% off $21,348.71 $74,599.52 $28,356.97 2026-05-23
616 MS_DRG Amputation Of Lower Limb For E 18 14 $153,940.80 $61,576.32 60% off $21,348.71 $87,644.76 $28,356.97 2026-07-31
166 OTHER Other Respiratory System O.r. Procedures With Mcc 18 14 $163,756.32 $65,502.53 60% off $24,978.45 $94,367.38 $28,389.65 2026-05-23
166 MS_DRG Other Respiratory System O.r. 18 14 $223,394.08 $89,357.63 60% off $24,978.45 $124,186.26 $28,389.65 2026-07-31
37242 CPT Vascular Embolization Or Occlusion, Inclusive Of All Radiological Supervision An… 38 14 $42,605.48 $17,042.19 60% off $26,474.60 $30,386.67 $28,430.64 2026-07-31
22513 CPT Percutaneous Vertebral Augmentation, Including Cavity Creation (fracture Reducti… 38 14 $50,429.65 $20,171.86 60% off $28,508.22 $28,726.56 $28,617.39 2026-07-31
52648 CPT Laser Vaporization Of Prostate, Including Control Of Postoperative Bleeding, Com… 19 14 $53,271.00 $21,308.40 60% off $29,056.83 $29,056.83 $29,056.83 2026-05-23
628 MS_DRG Other Endocrine, Nutritional A 18 14 $106,241.61 $42,496.64 60% off $24,978.45 $65,610.03 $29,093.07 2026-07-31
628 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 14 $101,959.35 $40,783.74 60% off $24,978.45 $63,468.90 $29,093.07 2026-05-23
49520 CPT Repair Recurrent Inguinal Hernia, Any Age; Reducible 38 14 $54,842.50 $21,937.00 60% off $27,197.89 $31,006.39 $29,102.14 2026-07-31
907 MS_DRG Other O.r. Procedures For Inju 18 14 $167,164.50 $66,865.80 60% off $24,978.45 $96,071.48 $29,227.85 2026-07-31
907 OTHER Other O.r. Procedures For Injuries With Mcc 18 14 $129,800.00 $51,920.00 60% off $24,978.45 $77,389.23 $29,227.85 2026-05-23
54520 CPT Orchiectomy, Simple (including Subcapsular), With Or Without Testicular Prosthes… 38 14 $55,522.27 $22,208.91 60% off $27,426.01 $31,381.74 $29,403.88 2026-07-31
93460 CPT Catheter Placement In Coronary Artery(s) For Coronary Angiography, Including Int… 19 14 $55,787.00 $22,314.80 60% off $29,425.47 $29,425.47 $29,425.47 2026-05-23
52356 CPT Cystourethroscopy, With Ureteroscopy And/or Pyeloscopy; With Lithotripsy Includi… 38 14 $54,178.33 $21,671.33 60% off $28,582.16 $30,438.83 $29,510.50 2026-07-31
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 9 7 $44,660.00 $17,864.00 60% off $29,801.62 $29,801.62 $29,801.62 2026-05-23
49593 CPT Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral, Umb… 38 14 $54,413.75 $21,765.50 60% off $28,759.74 $31,597.99 $30,178.87 2026-07-31
54860 CPT Epididymectomy; Unilateral 19 14 $58,134.00 $23,253.60 60% off $30,709.74 $30,709.74 $30,709.74 2026-07-31
673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 18 14 $116,794.53 $46,717.81 60% off $24,978.45 $70,886.49 $30,738.51 2026-05-23
673 MS_DRG Other Kidney And Urinary Tract 18 14 $155,132.00 $62,052.80 60% off $24,978.45 $90,055.23 $30,738.51 2026-07-31
58662 CPT Laparoscopy, Surgical; With Fulguration Or Excision Of Lesions Of The Ovary, Pel… 38 14 $56,082.57 $22,433.03 60% off $30,344.47 $31,295.90 $30,820.19 2026-07-31
92928 CPT Percutaneous Transcatheter Placement Of Intracoronary Stent(s), With Coronary An… 38 14 $51,033.16 $20,413.26 60% off $26,866.42 $34,969.76 $30,918.10 2026-07-31
323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 25 14 $215,966.13 $86,386.45 60% off $2,446.03 $120,472.29 $31,095.15 2026-05-23
356 OTHER Other Digestive System O.r. Procedures With Mcc 18 14 $167,933.46 $67,173.38 60% off $24,978.45 $96,455.96 $31,296.85 2026-05-23
356 MS_DRG Other Digestive System O.r. Pr 18 14 $167,916.00 $67,166.40 60% off $24,978.45 $96,447.23 $31,296.85 2026-07-31
323 MS_DRG Coronary Intravascular Lithotr 18 14 $194,887.10 $77,954.84 60% off $24,978.45 $109,932.77 $31,406.09 2026-07-31
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 19 14 $52,314.00 $20,925.60 60% off $31,558.51 $31,558.51 $31,558.51 2026-05-23
54530 CPT Orchiectomy, Radical, For Tumor; Inguinal Approach 38 14 $59,766.75 $23,906.70 60% off $30,488.64 $32,639.89 $31,564.26 2026-07-31
26715 CPT Open Treatment Of Metacarpophalangeal Dislocation, Single, Includes Internal Fix… 19 14 $61,437.00 $24,574.80 60% off $32,263.91 $32,263.91 $32,263.91 2026-05-23
36836 CPT Percutaneous Arteriovenous Fistula Creation, Upper Extremity, Single Access Of B… 19 14 $48,908.00 $19,563.20 60% off $32,636.31 $32,636.31 $32,636.31 2026-07-31
S2900 HCPCS Surgical Techniques Requiring Use Of Robotic Surgical System (list Separately In… 20 8 $50,287.75 $20,115.10 60% off $31,483.08 $33,891.00 $32,687.04 2026-07-31
474 MS_DRG Amputation For Musculoskeletal 18 14 $168,767.36 $67,506.94 60% off $24,978.45 $96,872.90 $33,067.31 2026-07-31
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 14 $168,884.08 $67,553.63 60% off $24,978.45 $96,931.26 $33,067.31 2026-05-23
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 14 $323,192.00 $129,276.80 60% off $24,978.45 $174,085.23 $33,100.98 2026-05-23
856 MS_DRG Postoperative Or Post-traumati 18 14 $323,192.00 $129,276.80 60% off $24,978.45 $174,085.23 $33,100.98 2026-07-31
58260 CPT Vaginal Hysterectomy, For Uterus 250 G Or Less 38 14 $61,813.03 $24,725.21 60% off $30,863.26 $35,652.23 $33,257.74 2026-07-31
49596 CPT Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral, Umb… 10 8 $51,654.25 $20,661.70 60% off $33,575.26 $33,575.26 $33,575.26 2026-07-31
49650 CPT Laparoscopy, Surgical; Repair Initial Inguinal Hernia 38 14 $61,732.50 $24,693.00 60% off $27,582.90 $39,707.40 $33,645.15 2026-07-31
55530 CPT Excision Of Varicocele Or Ligation Of Spermatic Veins For Varicocele; (separate … 19 14 $64,302.00 $25,720.80 60% off $33,793.75 $33,793.75 $33,793.75 2026-05-23
329 OTHER Major Small And Large Bowel Procedures With Mcc 18 14 $177,673.00 $71,069.20 60% off $24,978.45 $101,325.73 $33,857.73 2026-05-23
329 MS_DRG Major Small And Large Bowel Pr 18 14 $177,673.00 $71,069.20 60% off $24,978.45 $101,325.73 $33,857.73 2026-07-31
0421T CPT Transurethral Waterjet Ablation Of Prostate, Including Control Of Post-operative… 38 14 $59,101.49 $23,640.60 60% off $31,098.90 $36,811.42 $33,955.16 2026-07-31
163 OTHER Major Chest Procedures With Mcc 18 14 $208,368.00 $83,347.20 60% off $24,978.45 $116,673.23 $33,985.29 2026-05-23
163 MS_DRG Major Chest Procedures With Mc 18 14 $237,619.00 $95,047.60 60% off $24,978.45 $131,298.73 $33,985.29 2026-07-31
36830 CPT Creation Of Arteriovenous Fistula By Other Than Direct Arteriovenous Anastomosis… 38 14 $63,067.75 $25,227.10 60% off $33,857.24 $34,359.99 $34,108.61 2026-07-31
42415 CPT Excision Of Parotid Tumor Or Parotid Gland; Lateral Lobe, With Dissection And Pr… 38 14 $63,022.00 $25,208.80 60% off $34,261.38 $34,395.88 $34,328.63 2026-07-31
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 14 $143,837.63 $57,535.05 60% off $24,978.45 $84,408.04 $35,052.22 2026-05-23
981 MS_DRG Extensive O.r. Procedures Unre 18 14 $139,649.66 $55,859.86 60% off $24,978.45 $82,314.05 $35,052.22 2026-07-31
58578 CPT Unlisted Laparoscopy Procedure, Uterus 38 14 $64,924.75 $25,969.90 60% off $35,180.15 $35,302.40 $35,241.28 2026-07-31
49594 CPT Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral, Umb… 38 14 $65,316.44 $26,126.58 60% off $34,836.10 $36,038.15 $35,437.13 2026-07-31
278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 14 $248,311.00 $99,324.40 60% off $2,002.17 $136,644.73 $36,525.89 2026-05-23
25609 CPT Open Treatment Of Distal Radial Intra-articular Fracture Or Epiphyseal Separatio… 38 14 $66,302.00 $26,520.80 60% off $34,270.56 $38,836.56 $36,553.56 2026-07-31
278 MS_DRG Ultrasound Accelerated And Oth 18 14 $248,311.00 $99,324.40 60% off $24,978.45 $136,644.73 $36,708.51 2026-07-31
228 OTHER Other Cardiothoracic Procedures With Mcc 18 14 $135,323.00 $54,129.20 60% off $24,978.45 $80,150.73 $36,743.66 2026-05-23
228 MS_DRG Other Cardiothoracic Procedure 18 14 $135,323.00 $54,129.20 60% off $24,978.45 $80,150.73 $36,743.66 2026-07-31
853 MS_DRG Infectious And Parasitic Disea 18 14 $176,286.00 $70,514.40 60% off $24,978.45 $100,632.23 $36,876.39 2026-07-31
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 14 $173,210.00 $69,284.00 60% off $24,978.45 $99,094.23 $36,876.39 2026-05-23
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 14 $198,565.50 $79,426.20 60% off $24,978.45 $111,771.98 $36,955.03 2026-05-23
239 MS_DRG Amputation For Circulatory Sys 18 14 $197,473.00 $78,989.20 60% off $24,978.45 $111,225.73 $36,955.03 2026-07-31
326 MS_DRG Stomach, Esophageal And Duoden 18 14 $156,014.50 $62,405.80 60% off $24,978.45 $90,496.48 $37,449.30 2026-07-31
326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 18 14 $174,521.94 $69,808.77 60% off $24,978.45 $99,750.20 $37,449.30 2026-05-23
270 MS_DRG Other Major Cardiovascular Pro 13 12 $252,626.50 $101,050.60 60% off $3,175.40 $46,593.68 $37,472.75 2026-07-31
37224 CPT Revascularization, Endovascular, Open Or Percutaneous, Femoral, Popliteal Artery… 38 14 $70,113.10 $28,045.24 60% off $31,339.74 $44,204.64 $37,772.19 2026-07-31
C9766 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 19 14 $60,294.00 $24,117.60 60% off $38,699.79 $38,699.79 $38,699.79 2026-05-23
60240 CPT Thyroidectomy, Total Or Complete 19 14 $72,079.00 $28,831.60 60% off $38,818.40 $38,818.40 $38,818.40 2026-07-31
35011 CPT Direct Repair Of Aneurysm, Pseudoaneurysm, Or Excision (partial Or Total) And Gr… 38 14 $72,692.00 $29,076.80 60% off $38,920.74 $38,920.74 $38,920.74 2026-07-31
47605 CPT Cholecystectomy; With Cholangiography 20 8 $60,666.12 $24,266.45 60% off $36,912.20 $41,953.76 $39,432.98 2026-07-31
27428 CPT Ligamentous Reconstruction (augmentation), Knee; Intra-articular (open) 38 14 $66,755.00 $26,702.00 60% off $39,259.71 $39,752.21 $39,505.96 2026-07-31
834 MS_DRG Acute Leukemia With Mcc 18 14 $131,679.56 $52,671.82 60% off $15,609.30 $79,181.43 $40,754.77 2026-07-31
19303 CPT Mastectomy, Simple, Complete 38 14 $75,326.21 $30,130.49 60% off $31,950.88 $49,587.67 $40,769.28 2026-07-31
57288 CPT Sling Operation For Stress Incontinence (eg, Fascia Or Synthetic) 38 14 $77,159.00 $30,863.60 60% off $40,917.73 $40,943.73 $40,930.73 2026-07-31
J3590 HCPCS Unclassified Biologics 17 7 $62,000.06 $24,800.02 60% off $1.58 $41,372.64 $41,372.64 2026-07-31
27457 CPT Osteotomy, Proximal Tibia, Including Fibular Excision Or Osteotomy (includes Cor… 20 8 $66,755.00 $26,702.00 60% off $43,070.62 $43,710.88 $43,390.75 2026-07-31
19307 CPT Mastectomy, Modified Radical, Including Axillary Lymph Nodes, With Or Without Pe… 19 14 $82,784.00 $33,113.60 60% off $44,498.17 $44,498.17 $44,498.17 2026-05-23
27385 CPT Suture Of Quadriceps Or Hamstring Muscle Rupture; Primary 38 14 $83,290.32 $33,316.13 60% off $43,129.89 $46,965.56 $45,047.72 2026-07-31
276 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 14 $233,081.00 $93,232.40 60% off $260.12 $129,029.73 $45,221.35 2026-05-23
27814 CPT Open Treatment Of Bimalleolar Ankle Fracture (eg, Lateral And Medial Malleoli, O… 38 14 $85,068.21 $34,027.29 60% off $43,383.77 $48,489.56 $45,936.66 2026-07-31
58571 CPT Laparoscopy, Surgical, With Total Hysterectomy, For Uterus 250 G Or Less; With R… 38 14 $82,653.50 $33,061.40 60% off $46,285.61 $46,285.61 $46,285.61 2026-07-31
969 OTHER HIV With Extensive O.r. Procedures With Mcc 18 14 $121,532.61 $48,613.05 60% off $24,978.45 $73,255.53 $46,631.34 2026-05-23
969 MS_DRG HIV With Extensive O.r. Proced 18 14 $121,031.40 $48,412.56 60% off $24,978.45 $73,004.93 $46,631.34 2026-07-31
0816T CPT Open Insertion Or Replacement Of Integrated Neurostimulation System For Bladder … 38 14 $74,366.50 $29,746.60 60% off $47,257.96 $47,536.46 $47,397.21 2026-07-31
207 MS_DRG Respiratory System Diagnosis W 18 14 $264,102.74 $105,641.10 60% off $15,609.30 $139,856.02 $47,684.99 2026-07-31
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 18 14 $197,900.35 $79,160.14 60% off $15,609.30 $106,754.82 $47,684.99 2026-05-23
49618 CPT Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral, Umb… 20 8 $73,638.00 $29,455.20 60% off $43,861.35 $51,868.05 $47,864.70 2026-07-31
58552 CPT Laparoscopy, Surgical, With Vaginal Hysterectomy, For Uterus 250 G Or Less; With… 38 14 $86,189.68 $34,475.87 60% off $47,495.04 $48,612.36 $48,053.70 2026-07-31
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 18 14 $241,026.00 $96,410.40 60% off $15,609.30 $128,317.65 $51,292.78 2026-05-23
870 MS_DRG Septicemia Or Severe Sepsis Wi 18 14 $305,141.00 $122,056.40 60% off $15,609.30 $160,375.15 $51,292.78 2026-07-31
50080 CPT Percutaneous Nephrolithotomy Or Pyelolithotomy, Lithotripsy, Stone Extraction, A… 38 14 $96,258.00 $38,503.20 60% off $52,533.42 $52,533.42 $52,533.42 2026-07-31
C9774 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 19 14 $93,098.00 $37,239.20 60% off $55,101.79 $55,101.79 $55,101.79 2026-05-23
C9773 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(i… 19 14 $93,098.00 $37,239.20 60% off $55,101.79 $55,101.79 $55,101.79 2026-05-23
23472 CPT Arthroplasty, Glenohumeral Joint; Total Shoulder (glenoid And Proximal Humeral R… 38 14 $94,793.50 $37,917.40 60% off $43,287.18 $69,024.68 $56,155.93 2026-07-31
27130 CPT Arthroplasty, Acetabular And Proximal Femoral Prosthetic Replacement (total Hip … 38 14 $100,143.00 $40,057.20 60% off $45,738.46 $66,661.46 $56,199.96 2026-07-31
27759 CPT Treatment Of Tibial Shaft Fracture (with Or Without Fibular Fracture) By Intrame… 19 14 $102,191.00 $40,876.40 60% off $57,223.96 $57,223.96 $57,223.96 2026-07-31
43281 CPT Laparoscopy, Surgical, Repair Of Paraesophageal Hernia, Includes Fundoplasty, Wh… 38 14 $115,205.00 $46,082.00 60% off $62,009.36 $63,113.36 $62,561.36 2026-07-31
27488 CPT Removal Of Prosthesis, Including Total Knee Prosthesis, Methylmethacrylate With … 20 8 $98,192.50 $39,277.00 60% off $62,623.60 $65,026.65 $63,825.12 2026-07-31
27447 CPT Arthroplasty, Knee, Condyle And Plateau; Medial And Lateral Compartments With Or… 38 14 $123,101.02 $49,240.41 60% off $64,901.49 $70,456.46 $67,678.98 2026-07-31
23615 CPT Open Treatment Of Proximal Humeral (surgical Or Anatomical Neck) Fracture, Inclu… 19 14 $134,792.00 $53,916.80 60% off $73,524.46 $73,524.46 $73,524.46 2026-05-23
50545 CPT Laparoscopy, Surgical; Radical Nephrectomy (includes Removal Of Gerota's Fascia … 20 8 $131,593.00 $52,637.20 60% off $81,378.66 $81,950.66 $81,664.66 2026-07-31
460 MS_DRG Spinal Fusion Except Cervical 6 5 $138,668.71 $55,467.48 60% off $24,978.45 $81,823.58 $81,823.58 2026-07-31
27486 CPT Revision Of Total Knee Arthroplasty, With Or Without Allograft; 1 Component 20 8 $139,562.40 $55,824.96 60% off $84,968.55 $86,330.16 $85,649.36 2026-07-31
455 OTHER Combined Anterior And Posterio 6 5 $178,331.27 $71,332.51 60% off $24,978.45 $101,654.86 $101,654.86 2026-05-23
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 12 $1,053,524.00 $421,409.60 60% off $24,978.45 $144,242.26 $103,154.09 2026-05-23
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 12 $1,053,524.00 $421,409.60 60% off $24,978.45 $144,242.26 $103,154.09 2026-07-31
455 MS_DRG Combined Anterior And Posterio 6 5 $190,706.90 $76,282.76 60% off $24,978.45 $107,842.68 $107,842.68 2026-07-31
459 MS_DRG Spinal Fusion Except Cervical 6 5 $237,971.52 $95,188.61 60% off $24,978.45 $131,474.98 $131,474.98 2026-07-31
459 OTHER Spinal Fusion Except Cervical 6 5 $293,456.15 $117,382.46 60% off $24,978.45 $159,217.30 $159,217.30 2026-05-23
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