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

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Hospital

WILSON MEDICAL CENTER

Wilson, NC · CCN 340126 · Rates published

3,009 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 not_modified · 2026-10-16
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
$50,492
outlier · 3.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $24,978.45 $144,242.26 $103,154.09 nat. median
$126,722
0.8× median
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
$141,414
0.7× median
455
OTHER 		Combined Anterior And Posterio 5 $24,978.45 $101,654.86 $101,654.86 nat. median
$44,798
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
$8,926
outlier · 9.6×
50545
CPT 		Laparoscopy, Surgical; Radical Nephrectomy (includes Removal Of Gerota's Fascia… 8 $81,378.66 $81,950.66 $81,664.66 nat. median
$3,648
outlier · 22.4×
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
$11,353
outlier · 6.5×
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
$12,739
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
$5,370
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
$13,091
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
$16,677
outlier · 3.4×
C9774
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 14 $55,101.79 $55,101.79 $55,101.79 nat. median
$19,573
outlier · 2.8×
C9773
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(i… 14 $55,101.79 $55,101.79 $55,101.79 nat. median
$19,390
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
$8,985
outlier · 5.8×
870
OTHER 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $15,609.30 $128,317.65 $51,292.78 nat. median
$724
outlier · 70.8×
870
MS_DRG 		Septicemia Or Severe Sepsis Wi 15 $15,609.30 $66,225.96 $50,784.95 nat. median
$62,721
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
$9,804
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
$4,647
outlier · 10.3×
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
$21,655
outlier · 2.2×
207
MS_DRG 		Respiratory System Diagnosis W 15 $15,609.30 $58,704.59 $47,212.89 nat. median
$59,384
0.8× median
969
OTHER 		HIV With Extensive O.r. Procedures With Mcc 14 $24,978.45 $73,255.53 $46,631.34 nat. median
$244
outlier · 190.9×
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
$9,885
outlier · 4.7×
969
MS_DRG 		HIV With Extensive O.r. Proced 15 $24,978.45 $61,038.55 $46,169.67 nat. median
$58,216
0.8× median
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
$7,144
outlier · 6.4×
276
OTHER 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 $260.12 $129,029.73 $45,221.35 nat. median
$1,907
outlier · 23.7×
27385
CPT 		Suture Of Quadriceps Or Hamstring Muscle Rupture; Primary 14 $43,129.89 $46,965.56 $45,047.72 nat. median
$6,717
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
$6,795
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
$5,400
outlier · 8.0×
57288
CPT 		Sling Operation For Stress Incontinence (eg, Fascia Or Synthetic) 14 $40,917.73 $40,943.73 $40,930.73 nat. median
$5,177
outlier · 7.9×
19303
CPT 		Mastectomy, Simple, Complete 14 $31,950.88 $49,587.67 $40,769.28 nat. median
$6,253
outlier · 6.5×
834
MS_DRG 		Acute Leukemia With Mcc 15 $15,609.30 $79,181.43 $40,351.28 nat. median
$50,391
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
$2,734
outlier · 14.4×
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
$5,811
outlier · 6.7×
60240
CPT 		Thyroidectomy, Total Or Complete 14 $38,818.40 $38,818.40 $38,818.40 nat. median
$6,110
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
$19,286
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
$7,274
outlier · 5.2×
270
MS_DRG 		Other Major Cardiovascular Pro 14 $24,978.45 $46,593.68 $37,472.75 nat. median
$49,396
0.8× median
326
OTHER 		Stomach, Esophageal And Duodenal Procedures With Mcc 14 $24,978.45 $99,750.20 $37,449.30 nat. median
$40,057
0.9× median
326
MS_DRG 		Stomach, Esophageal And Duoden 15 $24,978.45 $46,103.51 $37,078.53 nat. median
$46,224
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
$46,573
0.8× median
853
OTHER 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 $24,978.45 $99,094.23 $36,876.39 nat. median
$17,401
outlier · 2.1×
239
MS_DRG 		Amputation For Circulatory Sys 15 $24,978.45 $45,721.35 $36,771.18 nat. median
$45,264
0.8× median
228
OTHER 		Other Cardiothoracic Procedures With Mcc 14 $24,978.45 $80,150.73 $36,743.66 nat. median
$49,085
0.7× median
25609
CPT 		Open Treatment Of Distal Radial Intra-articular Fracture Or Epiphyseal Separatio… 14 $34,270.56 $38,836.56 $36,553.56 nat. median
$7,233
outlier · 5.1×
278
OTHER 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 14 $2,002.17 $136,644.73 $36,525.89 nat. median
$2,257
outlier · 16.2×
278
MS_DRG 		Ultrasound Accelerated And Oth 15 $24,978.45 $45,416.36 $36,525.89 nat. median
$48,086
0.8× median

Other procedures at this hospital

Browse this hospital's 3,009 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
             
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
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
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
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
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
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
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 26 15 $237,619.00 $95,047.60 60% off $24,978.45 $41,839.00 $33,648.82 2026-07-31
164 MS_DRG Major Chest Procedures With Cc 26 15 $151,364.50 $60,545.80 60% off $18,375.01 $24,978.45 $18,375.01 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. 26 15 $223,394.08 $89,357.63 60% off $24,978.45 $34,950.25 $28,108.58 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
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
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
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
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
207 MS_DRG Respiratory System Diagnosis W 26 15 $264,102.74 $105,641.10 60% off $15,609.30 $58,704.59 $47,212.89 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
208 MS_DRG Respiratory System Diagnosis W 26 15 $106,298.00 $42,519.20 60% off $15,609.30 $24,361.60 $19,592.71 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
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
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
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 26 15 $135,323.00 $54,129.20 60% off $24,978.45 $56,183.29 $36,379.88 2026-07-31
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
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
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
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
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 26 15 $197,473.00 $78,989.20 60% off $24,978.45 $45,721.35 $36,771.18 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
240 MS_DRG Amputation For Circulatory Sys 26 15 $140,849.00 $56,339.60 60% off $18,120.28 $26,434.85 $21,260.11 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
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 26 15 $113,041.00 $45,216.40 60% off $24,978.45 $31,138.70 $25,043.15 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 26 15 $206,027.09 $82,410.84 60% off $18,637.82 $25,721.40 $18,637.82 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 26 15 $96,226.80 $38,490.72 60% off $19,101.39 $25,252.74 $19,101.39 2026-07-31
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
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
260 MS_DRG Cardiac Pacemaker Revision Exc 26 15 $173,872.00 $69,548.80 60% off $24,866.49 $51,372.37 $24,866.49 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. 26 15 $197,962.75 $79,185.10 60% off $19,982.73 $31,726.00 $25,515.49 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
270 MS_DRG Other Major Cardiovascular Pro 24 14 $252,626.50 $101,050.60 60% off $24,978.45 $46,593.68 $37,472.75 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
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 24 14 $97,322.00 $38,928.80 60% off $24,978.45 $31,265.78 $25,145.36 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
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
272 MS_DRG Other Major Cardiovascular Pro 26 15 $203,500.00 $81,400.00 60% off $18,266.96 $26,013.55 $18,266.96 2026-07-31
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
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
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
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
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
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
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
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
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
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
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
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
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
278 MS_DRG Ultrasound Accelerated And Oth 26 15 $248,311.00 $99,324.40 60% off $24,978.45 $45,416.36 $36,525.89 2026-07-31
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
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
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
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
279 MS_DRG Ultrasound Accelerated And Oth 26 15 $257,446.00 $102,978.40 60% off $23,393.27 $29,087.24 $23,393.27 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
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
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 26 15 $64,630.00 $25,852.00 60% off $15,609.30 $25,997.90 $19,940.93 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
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
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
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
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
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
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
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
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
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
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
321 MS_DRG Percutaneous Cardiovascular Pr 26 15 $141,407.00 $56,562.80 60% off $20,782.66 $28,121.21 $20,782.66 2026-07-31
323 MS_DRG Coronary Intravascular Lithotr 26 15 $194,887.10 $77,954.84 60% off $24,978.45 $45,987.59 $31,095.15 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
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 26 15 $190,034.00 $76,013.60 60% off $23,325.38 $34,665.03 $23,325.38 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
326 MS_DRG Stomach, Esophageal And Duoden 26 15 $156,014.50 $62,405.80 60% off $24,978.45 $46,103.51 $37,078.53 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 26 15 $133,181.50 $53,272.60 60% off $17,726.00 $24,978.45 $17,726.00 2026-07-31
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 26 15 $177,673.00 $71,069.20 60% off $24,978.45 $41,681.96 $33,522.52 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
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
335 MS_DRG Peritoneal Adhesiolysis With M 26 15 $189,522.65 $75,809.06 60% off $24,978.45 $32,890.62 $26,452.12 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
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
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 26 15 $167,916.00 $67,166.40 60% off $24,978.45 $38,720.95 $31,141.15 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
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
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
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
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
36902 CPT Introduction Of Needle(s) And/or Catheter(s), Dialysis Circuit, With Diagnostic … 38 14 $29,751.00 $11,900.40 60% off $17,387.63 $17,794.63 $17,591.13 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
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
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
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
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
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
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
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
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
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
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 26 15 $104,473.50 $41,789.40 60% off $18,088.83 $25,289.26 $18,088.83 2026-07-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 15 $1,053,524.00 $421,409.60 60% off $24,978.45 $144,242.26 $103,154.09 2026-07-31
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
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
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 26 15 $148,045.00 $59,218.00 60% off $24,978.45 $43,504.31 $27,537.69 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
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
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
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
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
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
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
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
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
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
455 MS_DRG Combined Anterior And Posterio 2 1 $190,706.90 $76,282.76 60% off $24,978.45 $24,978.45 $24,978.45 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
459 MS_DRG Spinal Fusion Except Cervical 2 1 $237,971.52 $95,188.61 60% off $24,978.45 $24,978.45 $24,978.45 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
460 MS_DRG Spinal Fusion Except Cervical 2 1 $138,668.71 $55,467.48 60% off $24,978.45 $24,978.45 $24,978.45 2026-07-31
46260 CPT Hemorrhoidectomy, Internal And External, 2 Or More Columns/groups 38 14 $32,710.40 $13,084.15 60% off $17,476.10 $17,846.70 $17,661.40 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
464 MS_DRG Wound Debridement And Skin Gra 26 15 $73,579.00 $29,431.60 60% off $21,525.84 $26,765.27 $21,525.84 2026-07-31
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 26 15 $120,636.00 $48,254.40 60% off $24,978.45 $31,091.50 $25,005.19 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 26 15 $114,366.03 $45,746.41 60% off $23,862.69 $29,670.91 $23,862.69 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
474 MS_DRG Amputation For Musculoskeletal 26 15 $168,767.36 $67,506.94 60% off $24,978.45 $50,155.95 $32,739.92 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
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
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
480 MS_DRG Hip And Femur Procedures Excep 26 15 $176,091.00 $70,436.40 60% off $21,470.36 $36,804.85 $21,470.36 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
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
485 MS_DRG Knee Procedures With Principal 26 15 $149,771.80 $59,908.72 60% off $23,502.05 $31,070.53 $23,502.05 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
492 MS_DRG Lower Extremity And Humerus Pr 26 15 $192,478.00 $76,991.20 60% off $24,978.45 $32,235.24 $25,925.04 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
515 MS_DRG Other Musculoskeletal System A 26 15 $240,050.00 $96,020.00 60% off $22,575.63 $35,679.73 $22,575.63 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 26 15 $154,225.00 $61,690.00 60% off $21,278.36 $28,130.77 $21,278.36 2026-07-31
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
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
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
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
52276 CPT Cystourethroscopy With Direct Vision Internal Urethrotomy 19 14 $33,232.50 $13,293.00 60% off $17,591.96 $17,591.96 $17,591.96 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
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
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
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
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
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
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
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
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
53450 CPT Urethromeatoplasty, With Mucosal Advancement 38 14 $32,114.88 $12,845.95 60% off $17,446.62 $17,953.74 $17,700.18 2026-07-31
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
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
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
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
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
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
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
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
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
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
56 MS_DRG Degenerative Nervous System Disorders With Mcc 26 15 $49,302.00 $19,720.80 60% off $15,609.30 $22,730.42 $18,280.83 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
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
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 26 15 $87,544.00 $35,017.60 60% off $21,975.54 $29,052.44 $21,975.54 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
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
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
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
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 26 15 $122,106.00 $48,842.40 60% off $23,794.79 $29,586.49 $23,794.79 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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… 26 15 $148,509.00 $59,403.60 60% off $15,609.30 $24,539.52 $19,735.79 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 26 15 $153,940.80 $61,576.32 60% off $21,348.71 $35,083.69 $28,215.89 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
628 MS_DRG Other Endocrine, Nutritional A 26 15 $106,241.61 $42,496.64 60% off $24,978.45 $45,753.70 $28,805.03 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 26 15 $148,650.10 $59,460.04 60% off $20,602.35 $25,616.99 $20,602.35 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 26 15 $171,779.50 $68,711.80 60% off $18,866.32 $24,978.45 $18,866.32 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 26 15 $86,758.20 $34,703.28 60% off $21,290.04 $28,146.42 $21,290.04 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 26 15 $155,132.00 $62,052.80 60% off $24,978.45 $38,030.17 $30,585.59 2026-07-31
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
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 26 15 $135,806.00 $54,322.40 60% off $15,316.15 $24,978.45 $18,897.71 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
829 MS_DRG Myeloproliferative Disorders O 26 15 $191,834.00 $76,733.60 60% off $22,512.85 $27,992.52 $22,512.85 2026-07-31
834 MS_DRG Acute Leukemia With Mcc 26 15 $131,679.56 $52,671.82 60% off $15,609.30 $79,181.43 $40,351.28 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 26 15 $66,453.00 $26,581.20 60% off $15,609.30 $33,867.70 $23,280.85 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
853 MS_DRG Infectious And Parasitic Disea 26 15 $176,286.00 $70,514.40 60% off $24,978.45 $45,398.20 $36,511.29 2026-07-31
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 26 15 $323,192.00 $129,276.80 60% off $24,978.45 $40,953.06 $32,936.30 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 26 15 $305,141.00 $122,056.40 60% off $15,609.30 $66,225.96 $50,784.95 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
907 MS_DRG Other O.r. Procedures For Inju 26 15 $167,164.50 $66,865.80 60% off $24,978.45 $36,161.16 $29,082.44 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
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
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
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
939 MS_DRG O.r. Procedures With Diagnoses 26 15 $116,917.00 $46,766.80 60% off $23,171.34 $28,811.29 $23,171.34 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 26 15 $100,703.00 $40,281.20 60% off $15,609.30 $33,120.27 $26,636.82 2026-07-31
95 OTHER Bacterial And Tuberculous Infections Of Nervous System With Cc 18 14 $26,427.21 $10,570.88 60% off $15,609.30 $22,146.91 $17,675.42 2026-05-23
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
956 MS_DRG Limb Reattachment, Hip And Fem 26 15 $146,824.00 $58,729.60 60% off $24,978.45 $61,785.45 $27,904.90 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 26 15 $121,031.40 $48,412.56 60% off $24,978.45 $61,038.55 $46,169.67 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
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 15 $69,969.02 $27,987.61 60% off $15,609.30 $32,538.42 $26,168.87 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
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
974 MS_DRG HIV With Major Related Conditi 26 15 $88,347.51 $35,339.00 60% off $15,609.30 $40,241.97 $21,800.34 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 26 15 $139,649.66 $55,859.86 60% off $24,978.45 $48,672.59 $34,705.18 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
982 MS_DRG Extensive O.r. Procedures Unre 26 15 $93,969.50 $37,587.80 60% off $17,873.47 $24,978.45 $17,873.47 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 26 15 $170,260.00 $68,104.00 60% off $24,978.45 $31,794.99 $25,570.97 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
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
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
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
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
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
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
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
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
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