Price Transparencybeta Hospital negotiated rates

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

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Hospital

JEFFERSON COUNTY HOSPITAL

Waurika, OK · CCN 371311 · Rates published

Your selected procedure

You selected 93350 (CPT)

STRESS TTE ONLY

This hospital’s price: $1,036 across 1 payer · range $984-$1,545

Source: https://mrfs.hyvehealthcare.com/DuncanRegionalHealth/731008550_jefferson-county-hospital-ok_standardcharges.json · observed 2026-03-14

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

20,188 distinct procedures filed
15 distinct payers
752,768 rate rows
2026-03-14 last MRF observed
Data quality

491,246 of 752,768 rate rows are consumer-grade (65.3%)

261,522 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 232,114
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 17,006
template filing: same amount across many unrelated codes — excluded 7,592
per-diem day rate — not a per-procedure price 4,638
exceeds 10× this hospital's gross charge — excluded from medians 104
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 68
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/DuncanRegionalHealth/731008550_jefferson-county-hospital-ok_standardcharges.json
Found on page https://www.duncanregional.com/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint 359b46ead6e439f1… · 88,326,428 bytes · first seen 2026-05-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $588,827.65 $863,979.71 $619,810.72 nat. median
$359,454
1.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $456,895.49 $670,397.24 $480,936.52 nat. median
$249,036
1.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $331,741.42 $486,760.18 $349,197.06 nat. median
$198,418
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $299,565.61 $439,549.01 $315,328.22 nat. median
$190,559
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $251,295.59 $368,723.00 $264,518.32 nat. median
$104,013
outlier · 2.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $201,572.79 $295,765.33 $212,179.20 nat. median
$110,307
1.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $187,111.19 $274,545.99 $196,956.65 nat. median
$126,695
1.6× median
7
MS_DRG 		Lung Transplant 1 $182,573.01 $267,887.17 $192,179.68 nat. median
$117,974
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 1 $176,004.71 $258,249.60 $185,265.77 nat. median
$93,901
2.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $164,524.40 $241,404.66 $173,181.38 nat. median
$90,551
1.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $162,789.26 $238,858.71 $171,354.94 nat. median
$74,370
outlier · 2.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $161,262.33 $236,618.28 $169,747.67 nat. median
$95,038
1.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $145,019.85 $212,785.87 $152,650.53 nat. median
$70,732
outlier · 2.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $135,626.43 $199,003.02 $142,762.85 nat. median
$77,632
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $133,924.41 $196,505.68 $140,971.28 nat. median
$77,028
1.8× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $132,834.43 $194,906.36 $139,823.94 nat. median
$47,543
outlier · 2.9×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $127,061.15 $186,435.29 $133,746.88 nat. median
$72,398
1.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $122,922.05 $180,362.04 $129,389.99 nat. median
$71,748
1.8× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 $118,803.46 $174,318.88 $125,054.69 nat. median
$51,514
outlier · 2.4×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $117,055.70 $171,754.42 $123,214.96 nat. median
$67,976
1.8× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $116,131.34 $170,398.12 $122,241.97 nat. median
$39,452
outlier · 3.1×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $111,951.23 $164,264.69 $117,841.91 nat. median
$58,280
outlier · 2.0×
614T
OTHER 		Rmvl&rplcmt Ss Impl Dfb Pg 15 $90,739.60 $142,467.64 $116,603.62 nat. median
$23,577
outlier · 4.9×
571T
OTHER 		Insj/rplcmt Icds Ss Eltrd 15 $90,739.60 $142,467.64 $116,603.62 nat. median
$32,422
outlier · 3.6×
33270
CPT 		Ins/rep Subq Defibrillator 15 $90,739.60 $142,467.64 $116,603.62 nat. median
$32,114
outlier · 3.6×
33264
CPT 		Rmvl & Rplcmt Dfb Gen Mlt Ld 15 $90,739.60 $142,467.64 $116,603.62 nat. median
$31,574
outlier · 3.7×
33262
CPT 		Rmvl& Replc Pulse Gen 1 Lead 15 $90,739.60 $142,467.64 $116,603.62 nat. median
$23,311
outlier · 5.0×
33224
CPT 		Insert Pacing Lead & Connect 15 $90,739.60 $142,467.64 $116,603.62 nat. median
$11,136
outlier · 10.5×
33231
CPT 		Insrt Pulse Gen W/mult Leads 15 $90,739.60 $142,467.64 $116,603.62 nat. median
$30,121
outlier · 3.9×
33263
CPT 		Rmvl & Rplcmt Dfb Gen 2 Lead 15 $90,739.60 $142,467.64 $116,603.62 nat. median
$23,376
outlier · 5.0×
33249
CPT 		Insj/rplcmt Defib W/lead(s) 15 $90,739.60 $142,467.64 $116,603.62 nat. median
$31,620
outlier · 3.7×
33230
CPT 		Insrt Pulse Gen W/dual Leads 15 $90,739.60 $142,467.64 $116,603.62 nat. median
$22,483
outlier · 5.2×
33240
CPT 		Insrt Pulse Gen W/singl Lead 15 $90,739.60 $142,467.64 $116,603.62 nat. median
$22,117
outlier · 5.3×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $109,701.86 $160,964.22 $115,474.18 nat. median
$63,873
1.8× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $106,187.41 $155,807.51 $111,774.81 nat. median
$52,712
outlier · 2.1×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 1 $106,099.08 $155,677.90 $111,681.82 nat. median
$53,927
outlier · 2.1×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $105,084.81 $154,189.68 $110,614.19 nat. median
$66,715
1.7× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $104,294.53 $153,030.11 $109,782.33 nat. median
$38,225
outlier · 2.9×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 $102,944.28 $151,048.90 $108,361.02 nat. median
$61,308
1.8× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $102,562.55 $150,488.79 $107,959.21 nat. median
$55,167
2.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $102,417.43 $150,275.86 $107,806.45 nat. median
$62,031
1.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $101,344.80 $148,702.00 $106,677.38 nat. median
$62,655
1.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $99,186.91 $145,535.76 $104,405.95 nat. median
$61,728
1.7× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 1 $98,040.14 $143,853.12 $103,198.84 nat. median
$47,429
outlier · 2.2×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $97,989.67 $143,779.05 $103,145.71 nat. median
$32,619
outlier · 3.2×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $96,191.43 $141,140.52 $101,252.85 nat. median
$49,540
outlier · 2.0×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 $95,845.98 $140,633.65 $100,889.22 nat. median
$53,342
1.9× median
834
MS_DRG 		Acute Leukemia With Mcc 1 $95,434.28 $140,029.56 $100,455.86 nat. median
$50,371
2.0× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 1 $95,120.37 $139,568.98 $100,125.44 nat. median
$55,477
1.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $93,039.78 $136,516.15 $97,935.37 nat. median
$57,801
1.7× median

Other procedures at this hospital

Browse this hospital's 20,188 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 1 — $2,486.25 $588,827.65 $863,979.71 $619,810.72 2026-03-14
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 1 — $2,486.25 $456,895.49 $670,397.24 $480,936.52 2026-03-14
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 1 — $2,486.25 $331,741.42 $486,760.18 $349,197.06 2026-03-14
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 1 — $2,486.25 $299,565.61 $439,549.01 $315,328.22 2026-03-14
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 1 — $2,486.25 $251,295.59 $368,723.00 $264,518.32 2026-03-14
14 MS_DRG Allogeneic Bone Marrow Transplant 10 1 — $2,486.25 $201,572.79 $295,765.33 $212,179.20 2026-03-14
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 1 — $2,486.25 $187,111.19 $274,545.99 $196,956.65 2026-03-14
7 MS_DRG Lung Transplant 10 1 — $2,486.25 $182,573.01 $267,887.17 $192,179.68 2026-03-14
215 MS_DRG Other Heart Assist System Implant 10 1 — $2,486.25 $176,004.71 $258,249.60 $185,265.77 2026-03-14
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 1 — $2,486.25 $164,524.40 $241,404.66 $173,181.38 2026-03-14
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 1 — $2,486.25 $162,789.26 $238,858.71 $171,354.94 2026-03-14
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 1 — $2,486.25 $161,262.33 $236,618.28 $169,747.67 2026-03-14
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 10 1 — — $145,019.85 $212,785.87 $152,650.53 2026-03-14
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 1 — $2,486.25 $135,626.43 $199,003.02 $142,762.85 2026-03-14
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 1 — $2,486.25 $133,924.41 $196,505.68 $140,971.28 2026-03-14
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 1 — — $132,834.43 $194,906.36 $139,823.94 2026-03-14
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 1 — $2,486.25 $127,061.15 $186,435.29 $133,746.88 2026-03-14
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 1 — $2,486.25 $122,922.05 $180,362.04 $129,389.99 2026-03-14
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 1 — $2,486.25 $118,803.46 $174,318.88 $125,054.69 2026-03-14
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 1 — $2,486.25 $117,055.70 $171,754.42 $123,214.96 2026-03-14
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 1 — — $116,131.34 $170,398.12 $122,241.97 2026-03-14
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 1 — $2,486.25 $111,951.23 $164,264.69 $117,841.91 2026-03-14
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 40 15 — — $90,739.60 $142,467.64 $116,603.62 2026-03-14
33231 CPT Insrt Pulse Gen W/mult Leads 40 15 — — $90,739.60 $142,467.64 $116,603.62 2026-03-14
33270 CPT Ins/rep Subq Defibrillator 40 15 — — $90,739.60 $142,467.64 $116,603.62 2026-03-14
614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 40 15 — — $90,739.60 $142,467.64 $116,603.62 2026-03-14
571T OTHER Insj/rplcmt Icds Ss Eltrd 40 15 — — $90,739.60 $142,467.64 $116,603.62 2026-03-14
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 40 15 — — $90,739.60 $142,467.64 $116,603.62 2026-03-14
33230 CPT Insrt Pulse Gen W/dual Leads 40 15 — — $90,739.60 $142,467.64 $116,603.62 2026-03-14
33224 CPT Insert Pacing Lead & Connect 40 15 — — $90,739.60 $142,467.64 $116,603.62 2026-03-14
33240 CPT Insrt Pulse Gen W/singl Lead 40 15 — — $90,739.60 $142,467.64 $116,603.62 2026-03-14
33249 CPT Insj/rplcmt Defib W/lead(s) 40 15 — — $90,739.60 $142,467.64 $116,603.62 2026-03-14
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 40 15 — — $90,739.60 $142,467.64 $116,603.62 2026-03-14
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 1 — $2,486.25 $109,701.86 $160,964.22 $115,474.18 2026-03-14
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 1 — — $106,187.41 $155,807.51 $111,774.81 2026-03-14
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 10 1 — $2,486.25 $106,099.08 $155,677.90 $111,681.82 2026-03-14
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 1 — $2,486.25 $105,084.81 $154,189.68 $110,614.19 2026-03-14
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 10 1 — — $104,294.53 $153,030.11 $109,782.33 2026-03-14
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 1 — $2,486.25 $102,944.28 $151,048.90 $108,361.02 2026-03-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 1 — $2,486.25 $102,562.55 $150,488.79 $107,959.21 2026-03-14
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 1 — $2,486.25 $102,417.43 $150,275.86 $107,806.45 2026-03-14
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 1 — $2,486.25 $101,344.80 $148,702.00 $106,677.38 2026-03-14
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 1 — $2,486.25 $99,186.91 $145,535.76 $104,405.95 2026-03-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 1 — $2,486.25 $98,040.14 $143,853.12 $103,198.84 2026-03-14
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 1 — — $97,989.67 $143,779.05 $103,145.71 2026-03-14
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 10 1 — — $96,191.43 $141,140.52 $101,252.85 2026-03-14
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 1 — $2,486.25 $95,845.98 $140,633.65 $100,889.22 2026-03-14
834 MS_DRG Acute Leukemia With Mcc 10 1 — $2,486.25 $95,434.28 $140,029.56 $100,455.86 2026-03-14
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 1 — $2,486.25 $95,120.37 $139,568.98 $100,125.44 2026-03-14
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 1 — $2,486.25 $93,039.78 $136,516.15 $97,935.37 2026-03-14
69930 CPT Implant Cochlear Device 40 15 — — $75,468.35 $118,490.69 $96,979.52 2026-03-14
28 MS_DRG Spinal Procedures With Mcc 10 1 — $2,486.25 $91,804.68 $134,703.90 $96,635.28 2026-03-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 1 — $2,486.25 $91,290.45 $133,949.37 $96,093.99 2026-03-14
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 1 — $2,486.25 $90,392.91 $132,632.42 $95,149.22 2026-03-14
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 1 — $2,486.25 $90,328.23 $132,537.53 $95,081.15 2026-03-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 1 — $2,486.25 $89,897.60 $131,905.67 $94,627.86 2026-03-14
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 1 — $2,486.25 $89,711.47 $131,632.56 $94,431.93 2026-03-14
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 1 — $2,486.25 $89,392.84 $131,165.03 $94,096.53 2026-03-14
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 1 — $2,486.25 $89,317.12 $131,053.93 $94,016.83 2026-03-14
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 1 — — $88,757.14 $130,232.29 $93,427.39 2026-03-14
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 1 — $2,486.25 $88,348.60 $129,632.83 $92,997.34 2026-03-14
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 1 — $2,486.25 $87,345.37 $128,160.81 $91,941.33 2026-03-14
653 MS_DRG Major Bladder Procedures With Mcc 10 1 — $2,486.25 $85,955.68 $126,121.73 $90,478.52 2026-03-14
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 10 1 — $2,486.25 $85,602.34 $125,603.29 $90,106.59 2026-03-14
245 MS_DRG Aicd Generator Procedures 10 1 — $2,486.25 $85,400.44 $125,307.03 $89,894.06 2026-03-14
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 1 — $2,486.25 $85,178.02 $124,980.69 $89,659.94 2026-03-14
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 1 — $2,486.25 $84,827.84 $124,466.87 $89,291.33 2026-03-14
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 1 — $2,486.25 $84,633.82 $124,182.18 $89,087.10 2026-03-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 1 — $2,486.25 $84,312.03 $123,710.03 $88,748.38 2026-03-14
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 1 — $2,486.25 $83,876.67 $123,071.22 $88,290.11 2026-03-14
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 10 1 — — $82,843.47 $121,555.23 $87,202.55 2026-03-14
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 1 — $2,486.25 $81,734.56 $119,928.13 $86,035.29 2026-03-14
799 MS_DRG Splenic Procedures With Mcc 10 1 — $2,486.25 $81,139.88 $119,055.57 $85,409.32 2026-03-14
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 1 — $2,486.25 $81,128.84 $119,039.36 $85,397.69 2026-03-14
69717 CPT Rplcmt Oi Implt Skl Prq Esp 40 15 — — $65,908.71 $103,481.37 $84,695.04 2026-03-14
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 40 15 — — $65,908.71 $103,481.37 $84,695.04 2026-03-14
61736 CPT Litt Icr 1 Traj 1 Smpl Les 40 15 — — $65,908.71 $103,481.37 $84,695.04 2026-03-14
69714 CPT Impl Oi Implt Skull Perq Esp 40 15 — — $65,908.71 $103,481.37 $84,695.04 2026-03-14
61886 CPT Implant Neurostim Arrays 40 15 — — $65,908.71 $103,481.37 $84,695.04 2026-03-14
61737 CPT Litt Icr Mlt Trj Mlt/cplx Ls 40 15 — — $65,908.71 $103,481.37 $84,695.04 2026-03-14
64568 CPT Opn Impltj Crnl Nrv Nea&pg 40 15 — — $65,908.71 $103,481.37 $84,695.04 2026-03-14
735T OTHER Prep Tum Cav Iort Prim Crnot 40 15 — — $65,908.71 $103,481.37 $84,695.04 2026-03-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 1 — $2,486.25 $79,818.02 $117,116.01 $84,017.90 2026-03-14
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 1 — $2,486.25 $79,450.48 $116,576.74 $83,631.03 2026-03-14
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 1 — $2,486.25 $79,144.47 $116,127.72 $83,308.91 2026-03-14
471 MS_DRG Cervical Spinal Fusion With Mcc 10 1 — $2,486.25 $79,135.00 $116,113.84 $83,298.95 2026-03-14
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 1 — $2,486.25 $79,128.69 $116,104.58 $83,292.31 2026-03-14
163 MS_DRG Major Chest Procedures With Mcc 10 1 — $2,486.25 $78,256.39 $114,824.66 $82,374.10 2026-03-14
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 1 — $2,486.25 $77,996.12 $114,442.77 $82,100.14 2026-03-14
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 1 — $2,486.25 $76,655.33 $112,475.44 $80,688.80 2026-03-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 1 — $2,486.25 $76,508.63 $112,260.19 $80,534.38 2026-03-14
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 10 1 — $2,486.25 $76,191.57 $111,794.98 $80,200.64 2026-03-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 1 — $2,486.25 $75,852.43 $111,297.36 $79,843.65 2026-03-14
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 10 1 — — $75,573.23 $110,887.70 $79,549.76 2026-03-14
6 MS_DRG Liver Transplant Without Mcc 10 1 — $2,486.25 $74,006.88 $108,589.40 $77,900.99 2026-03-14
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 1 — $2,486.25 $72,683.44 $106,647.53 $76,507.91 2026-03-14
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 1 — $2,486.25 $71,807.98 $105,362.98 $75,586.39 2026-03-14
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 1 — $2,486.25 $71,703.87 $105,210.23 $75,476.80 2026-03-14
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 1 — $2,486.25 $71,189.64 $104,455.70 $74,935.51 2026-03-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 1 — $2,486.25 $70,937.26 $104,085.38 $74,669.85 2026-03-14
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 1 — $2,486.25 $70,852.08 $103,960.40 $74,580.19 2026-03-14
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 1 — $2,486.25 $68,870.86 $101,053.38 $72,494.72 2026-03-14
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 1 — $2,486.25 $68,077.43 $99,889.19 $71,659.54 2026-03-14
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 1 — $2,486.25 $68,058.50 $99,861.42 $71,639.62 2026-03-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 1 — $2,486.25 $67,692.54 $99,324.45 $71,254.41 2026-03-14
901 MS_DRG Wound Debridements For Injuries With Mcc 10 1 — $2,486.25 $67,231.94 $98,648.62 $70,769.57 2026-03-14
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 1 — $2,486.25 $67,168.85 $98,556.04 $70,703.15 2026-03-14
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 1 — $2,486.25 $66,335.98 $97,333.98 $69,826.46 2026-03-14
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 1 — $2,486.25 $65,919.55 $96,722.96 $69,388.12 2026-03-14
332 MS_DRG Rectal Resection With Mcc 10 1 — $2,486.25 $65,615.11 $96,276.26 $69,067.66 2026-03-14
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 1 — $2,486.25 $64,370.54 $94,450.12 $67,757.60 2026-03-14
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 1 — $2,486.25 $64,244.35 $94,264.96 $67,624.77 2026-03-14
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 1 — $2,486.25 $62,919.33 $92,320.78 $66,230.04 2026-03-14
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 1 — $2,486.25 $62,906.71 $92,302.26 $66,216.75 2026-03-14
140 MS_DRG Major Head And Neck Procedures With Mcc 10 1 — $2,486.25 $62,789.98 $92,130.99 $66,093.88 2026-03-14
793 MS_DRG Full Term Neonate With Major Problems 10 1 — $2,486.25 $62,712.69 $92,017.58 $66,012.52 2026-03-14
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 1 — $2,486.25 $62,695.34 $91,992.12 $65,994.26 2026-03-14
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 1 — $2,486.25 $62,430.34 $91,603.28 $65,715.31 2026-03-14
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 1 — $2,486.25 $62,419.30 $91,587.08 $65,703.69 2026-03-14
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 10 1 — — $62,034.41 $91,022.34 $65,298.55 2026-03-14
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 1 — $2,486.25 $62,031.26 $91,017.71 $65,295.23 2026-03-14
266T OTHER Implt/rpl Crtd Sns Dev Total 40 15 — — $50,370.39 $79,085.10 $64,727.75 2026-03-14
680T OTHER Insj/rplcmt Pg Only Isdss 40 15 — — $50,370.39 $79,085.10 $64,727.75 2026-03-14
269T OTHER Rev/remvl Crtd Sns Dev Total 40 15 — — $50,370.39 $79,085.10 $64,727.75 2026-03-14
268T OTHER Implt/rpl Crtd Sns Dev Gen 40 15 — — $50,370.39 $79,085.10 $64,727.75 2026-03-14
61885 CPT Insrt/redo Neurostim 1 Array 40 15 — — $50,370.39 $79,085.10 $64,727.75 2026-03-14
22514 CPT Perq Vertebral Augmentation 40 15 — — $50,370.39 $79,085.10 $64,727.75 2026-03-14
22515 CPT Perq Vertebral Augmentation 40 15 — — $50,370.39 $79,085.10 $64,727.75 2026-03-14
22513 CPT Perq Vertebral Augmentation 40 15 — — $50,370.39 $79,085.10 $64,727.75 2026-03-14
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 40 15 — — $50,370.39 $79,085.10 $64,727.75 2026-03-14
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 40 15 — — $50,370.39 $79,085.10 $64,727.75 2026-03-14
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 40 15 — — $50,370.39 $79,085.10 $64,727.75 2026-03-14
64583 CPT Rev/rplct Hpglsl Nstm Ary Pg 40 15 — — $50,370.39 $79,085.10 $64,727.75 2026-03-14
62361 CPT Implant Spine Infusion Pump 40 15 — — $50,370.39 $79,085.10 $64,727.75 2026-03-14
61770 CPT Incise Skull For Treatment 40 15 — — $50,370.39 $79,085.10 $64,727.75 2026-03-14
62362 CPT Implant Spine Infusion Pump 40 15 — — $50,370.39 $79,085.10 $64,727.75 2026-03-14
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 1 — $2,486.25 $61,367.17 $90,043.31 $64,596.20 2026-03-14
791 MS_DRG Prematurity With Major Problems 10 1 — $2,486.25 $61,051.69 $89,580.41 $64,264.12 2026-03-14
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 1 — $2,486.25 $60,710.97 $89,080.48 $63,905.48 2026-03-14
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 1 — $2,486.25 $60,527.99 $88,811.99 $63,712.87 2026-03-14
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 1 — $2,486.25 $60,444.39 $88,689.33 $63,624.87 2026-03-14
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 1 — $2,486.25 $60,283.50 $88,453.25 $63,455.51 2026-03-14
C2616 HCPCS Brachytx, Non-str,yttrium-90 40 15 — — $49,155.17 $77,177.12 $63,166.14 2026-03-14
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 1 — $2,486.25 $59,803.97 $87,749.64 $62,950.75 2026-03-14
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 1 — $2,486.25 $59,193.51 $86,853.93 $62,308.17 2026-03-14
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 1 — $2,486.25 $59,190.36 $86,849.30 $62,304.85 2026-03-14
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 1 — $2,486.25 $59,144.61 $86,782.18 $62,256.70 2026-03-14
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 1 — $2,486.25 $58,718.72 $86,157.26 $61,808.39 2026-03-14
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 10 1 — $2,486.25 $58,701.36 $86,131.80 $61,790.13 2026-03-14
54410 CPT Remove/replace Penis Prosth 40 15 — — $48,043.31 $75,431.42 $61,737.36 2026-03-14
54405 CPT Insert Multi-comp Penis Pros 40 15 — — $48,043.31 $75,431.42 $61,737.36 2026-03-14
54411 CPT Remov/replc Penis Pros Comp 40 15 — — $48,043.31 $75,431.42 $61,737.36 2026-03-14
54401 CPT Insert Self-contd Prosthesis 40 15 — — $48,043.31 $75,431.42 $61,737.36 2026-03-14
54416 CPT Remv/repl Penis Contain Pros 40 15 — — $48,043.31 $75,431.42 $61,737.36 2026-03-14
54400 CPT Insert Semi-rigid Prosthesis 40 15 — — $48,043.31 $75,431.42 $61,737.36 2026-03-14
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 1 — $2,486.25 $58,501.03 $85,837.86 $61,579.25 2026-03-14
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 1 — $2,486.25 $58,333.83 $85,592.52 $61,403.25 2026-03-14
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 10 1 — $2,486.25 $58,262.85 $85,488.37 $61,328.53 2026-03-14
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 1 — $2,486.25 $57,325.87 $84,113.56 $60,342.26 2026-03-14
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 1 — $2,486.25 $57,308.52 $84,088.10 $60,323.99 2026-03-14
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 1 — $2,486.25 $57,188.64 $83,912.20 $60,197.80 2026-03-14
10 MS_DRG Pancreas Transplant 10 1 — $2,486.25 $57,065.60 $83,731.67 $60,068.29 2026-03-14
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 10 1 — $2,486.25 $56,988.31 $83,618.26 $59,986.93 2026-03-14
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 1 — $2,486.25 $56,538.75 $82,958.62 $59,513.72 2026-03-14
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 1 — $2,486.25 $56,537.17 $82,956.31 $59,512.06 2026-03-14
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 1 — $2,486.25 $56,410.98 $82,771.15 $59,379.22 2026-03-14
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 1 — $2,486.25 $56,228.00 $82,502.67 $59,186.62 2026-03-14
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 1 — $2,486.25 $55,431.41 $81,333.84 $58,348.12 2026-03-14
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 1 — $2,486.25 $54,707.39 $80,271.49 $57,585.99 2026-03-14
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 1 — $2,486.25 $54,626.94 $80,153.45 $57,501.31 2026-03-14
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 10 1 — $2,486.25 $53,751.48 $78,868.90 $56,579.79 2026-03-14
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 1 — $2,486.25 $53,413.92 $78,373.60 $56,224.46 2026-03-14
265 MS_DRG Aicd Lead Procedures 10 1 — $2,486.25 $53,043.23 $77,829.69 $55,834.27 2026-03-14
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 1 — $2,486.25 $52,951.74 $77,695.45 $55,737.97 2026-03-14
252 MS_DRG Other Vascular Procedures With Mcc 10 1 — $2,486.25 $52,380.72 $76,857.60 $55,136.90 2026-03-14
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 1 — $2,486.25 $51,975.33 $76,262.78 $54,710.18 2026-03-14
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 10 1 — $2,486.25 $51,823.90 $76,040.58 $54,550.78 2026-03-14
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 10 1 — $2,486.25 $51,765.54 $75,954.95 $54,489.35 2026-03-14
37 MS_DRG Extracranial Procedures With Mcc 10 1 — $2,486.25 $51,655.12 $75,792.93 $54,373.12 2026-03-14
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 1 — $2,486.25 $51,456.37 $75,501.30 $54,163.91 2026-03-14
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 1 — $2,486.25 $51,443.75 $75,482.79 $54,150.63 2026-03-14
264 MS_DRG Other Circulatory System O.r. Procedures 10 1 — $2,486.25 $51,230.80 $75,170.33 $53,926.47 2026-03-14
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 1 — $2,486.25 $51,210.29 $75,140.24 $53,904.89 2026-03-14
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 1 — $2,486.25 $50,724.45 $74,427.38 $53,393.48 2026-03-14
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 1 — $2,486.25 $50,566.71 $74,195.93 $53,227.44 2026-03-14
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 10 1 — $2,486.25 $50,497.31 $74,094.09 $53,154.39 2026-03-14
652 MS_DRG Kidney Transplant 10 1 — $2,486.25 $50,191.29 $73,645.08 $52,832.27 2026-03-14
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 10 1 — — $50,065.10 $73,459.92 $52,699.44 2026-03-14
500 MS_DRG Soft Tissue Procedures With Mcc 10 1 — $2,486.25 $49,749.62 $72,997.02 $52,367.36 2026-03-14
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 10 1 — $2,486.25 $49,596.61 $72,772.51 $52,206.30 2026-03-14
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 1 — $2,486.25 $49,483.04 $72,605.87 $52,086.75 2026-03-14
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 10 1 — — $49,304.79 $72,344.33 $51,899.12 2026-03-14
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 10 1 — $2,486.25 $48,653.33 $71,388.44 $51,213.38 2026-03-14
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 1 — $2,486.25 $48,322.07 $70,902.39 $50,864.69 2026-03-14
619 MS_DRG O.r. Procedures For Obesity With Mcc 10 1 — $2,486.25 $48,285.79 $70,849.16 $50,826.50 2026-03-14
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 1 — $2,486.25 $48,236.89 $70,777.41 $50,775.03 2026-03-14
472 MS_DRG Cervical Spinal Fusion With Cc 10 1 — $2,486.25 $48,161.18 $70,666.31 $50,695.33 2026-03-14
665 MS_DRG Prostatectomy With Mcc 10 1 — $2,486.25 $47,900.91 $70,284.42 $50,421.37 2026-03-14
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 10 1 — $2,486.25 $47,708.46 $70,002.05 $50,218.80 2026-03-14
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 10 1 — $2,486.25 $47,462.39 $69,640.99 $49,959.78 2026-03-14
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 1 — $2,486.25 $47,452.92 $69,627.10 $49,949.81 2026-03-14
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 1 — $2,486.25 $46,919.76 $68,844.80 $49,388.60 2026-03-14
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 1 — $2,486.25 $46,750.98 $68,597.15 $49,210.94 2026-03-14
800 MS_DRG Splenic Procedures With Cc 10 1 — $2,486.25 $46,555.38 $68,310.15 $49,005.05 2026-03-14
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 10 1 — $2,486.25 $46,456.01 $68,164.34 $48,900.44 2026-03-14
662 MS_DRG Minor Bladder Procedures With Mcc 10 1 — $2,486.25 $46,214.67 $67,810.22 $48,646.40 2026-03-14
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 1 — $2,486.25 $46,183.12 $67,763.93 $48,613.19 2026-03-14
654 MS_DRG Major Bladder Procedures With Cc 10 1 — $2,486.25 $45,747.75 $67,125.13 $48,154.92 2026-03-14
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 1 — $2,486.25 $45,558.47 $66,847.39 $47,955.67 2026-03-14
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 10 1 — $2,486.25 $45,381.80 $66,588.17 $47,769.71 2026-03-14
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 10 1 — $2,486.25 $44,817.09 $65,759.57 $47,175.28 2026-03-14
570 MS_DRG Skin Debridement With Mcc 10 1 — $2,486.25 $44,739.80 $65,646.16 $47,093.93 2026-03-14
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 10 1 — $2,486.25 $44,230.30 $64,898.58 $46,557.62 2026-03-14
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 10 1 — $2,486.25 $44,181.40 $64,826.83 $46,506.14 2026-03-14
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 10 1 — — $44,148.27 $64,778.23 $46,471.28 2026-03-14
92925 CPT Prq Card Angio/athrect Addl 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
92941 CPT Prq Card Revasc Mi 1 Vsl 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
92921 CPT Prq Cardiac Angio Addl Art 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
92998 CPT Pul Art Balloon Repr Percut 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
C9603 HCPCS Perc D-e Cor Stent Ather Br 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
92997 CPT Pul Art Balloon Repr Percut 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
C9782 HCPCS Blind Myocar Trpl Bon Marrow 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
33897 CPT Perq Trluml Angp Nt/recr Coa 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
C9606 HCPCS Perc D-e Cor Revasc W Ami S 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
793T OTHER Prq Tcat Thrm Ablt Nrv P-art 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
659T OTHER Tcat Intra-c Nfs Supersat O2 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
632T OTHER Perq Tcat US Abltj Nrv P-art 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
644T OTHER Tcat Rmvl/dblk Icar Mas Perq 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
33900 CPT Perq P-art Revsc 1 Nm Nt Uni 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
645T OTHER Tcat Impltj C Sins Rdctj Dev 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
33901 CPT Perq P-art Revsc 1 Nm Nt Bi 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
33902 CPT Perq P-art Revsc 1 Abnor Uni 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
33903 CPT Perq P-art Revsc 1 Abnor Bi 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
C9758 HCPCS Blind Interatrial Shunt Ide 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
C9783 HCPCS Blind Cor Sinus Reducer Impl 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
C9602 HCPCS Perc D-e Cor Stent Ather S 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
C9604 HCPCS Perc D-e Cor Revasc T Cabg S 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
C9608 HCPCS Perc D-e Cor Revasc Chro Add 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
C7533 HCPCS Ptca With Plcmt Brachytx Dev 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
93580 CPT Transcath Closure Of Asd 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
C9600 HCPCS Perc Drug-el Cor Stent Sing 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
92987 CPT Revision Of Mitral Valve 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
92938 CPT Prq Revasc Byp Graft Addl 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
92943 CPT Prq Card Revasc Chronic 1vsl 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
92990 CPT Revision Of Pulmonary Valve 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
C9601 HCPCS Perc Drug-el Cor Stent Bran 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
C7532 HCPCS Angio With US Non-coronary 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
92929 CPT Prq Card Stent W/angio Addl 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
92986 CPT Revision Of Aortic Valve 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
92944 CPT Prq Card Revasc Chronic Addl 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
92920 CPT Prq Cardiac Angioplast 1 Art 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
92928 CPT Prq Card Stent W/angio 1 Vsl 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
92924 CPT Prq Card Angio/athrect 1 Art 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
92933 CPT Prq Card Stent/ath/angio 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
92934 CPT Prq Card Stent/ath/angio 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
33904 CPT Perq P-art Revsc Each Addl 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
92937 CPT Prq Revasc Byp Graft 1 Vsl 40 15 — — $36,084.96 $56,655.96 $46,370.46 2026-03-14
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 10 1 — $2,486.25 $44,007.88 $64,572.24 $46,323.50 2026-03-14
668 MS_DRG Transurethral Procedures With Mcc 10 1 — $2,486.25 $43,458.95 $63,766.79 $45,745.68 2026-03-14
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 10 1 — $2,486.25 $43,129.27 $63,283.06 $45,398.66 2026-03-14
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 10 1 — $2,486.25 $43,074.06 $63,202.05 $45,340.54 2026-03-14
33619 CPT Repair Single Ventricle 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
33617 CPT Repair Single Ventricle 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
33641 CPT Repair Heart Septum Defect 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
32141 CPT Remove/treat Lung Lesions 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
33615 CPT Repair Modified Fontan 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
33645 CPT Revision Of Heart Veins 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
33647 CPT Repair Heart Septum Defects 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
32124 CPT Explore Chest Free Adhesions 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
32120 CPT Re-exploration Of Chest 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
33916 CPT Surgery Of Great Vessel 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
32140 CPT Removal Of Lung Lesion(s) 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
32150 CPT Removal Of Lung Lesion(s) 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
33612 CPT Repair Double Ventricle 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
34834 CPT Opn Brach Art Expos 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
34841 CPT Endovasc Visc Aorta 1 Graft 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
32035 CPT Thoracostomy W/rib Resection 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
32036 CPT Thoracostomy W/flap Drainage 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
33660 CPT Repair Of Heart Defects 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
32100 CPT Exploration Of Chest 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
33610 CPT Repair By Enlargement 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
33891 CPT Car-car Bp Grft/endovas Taa 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
33602 CPT Closure Of Valve 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
33606 CPT Anastomosis/artery-aorta 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
33611 CPT Repair Double Ventricle 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
32110 CPT Explore/repair Chest 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
32151 CPT Remove Lung Foreign Body 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
33608 CPT Repair Anomaly W/conduit 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
33917 CPT Repair Pulmonary Artery 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
34842 CPT Endovasc Visc Aorta 2 Graft 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
35271 CPT Repair Blood Vessel Lesion 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
35122 CPT Repair Artery Rupture Belly 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
33545 CPT Repair Of Heart Damage 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
35182 CPT Repair Blood Vessel Lesion 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
33548 CPT Restore/remodel Ventricle 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
33542 CPT Removal Of Heart Lesion 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
33886 CPT Endovasc Prosth Delayed 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
35189 CPT Repair Blood Vessel Lesion 30 14 — — $45,239.97 $45,239.97 $45,239.97 2026-03-14
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