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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

BAY AREA HOSPITAL

Coos Bay, OR · CCN 380090 · Rates published

4,431 distinct procedures filed
22 distinct payers
88,826 rate rows
2026-02-23 last MRF observed
Data quality

84,538 of 88,826 rate rows are consumer-grade (95.2%)

4,288 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,032
exceeds 10× this hospital's gross charge — excluded from medians 76
per-diem day rate — not a per-procedure price 57
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 52
percent-of-charges filed in the dollar field — excluded from medians 41
exceeds 3× this hospital's gross charge for a DRG stay — excluded 29
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbBayAreaHospital&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/BayArea.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-13
Content fingerprint f6cdf22b0f4ee8e7… · 34,597,033 bytes · first seen 2026-05-08

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
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $92,901.06 $249,325.20 $169,761.78 nat. median
$97,418
1.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $47,823.45 $189,915.29 $121,216.80 nat. median
$51,518
outlier · 2.4×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 $40,286.15 $164,457.30 $106,292.01 nat. median
$43,533
outlier · 2.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $103,617.50 $195,740.70 $103,617.50 nat. median
$145,435
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $46,357.30 $179,507.43 $103,127.86 nat. median
$48,611
outlier · 2.1×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 10 $43,157.40 $189,014.85 $96,050.99 nat. median
$47,121
outlier · 2.0×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 10 $33,673.73 $135,580.08 $90,372.60 nat. median
$2,024
outlier · 44.7×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 10 $38,226.43 $102,591.00 $86,608.17 nat. median
$38,795
outlier · 2.2×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 10 $34,912.51 $110,036.33 $84,605.45 nat. median
$36,541
outlier · 2.3×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 10 $33,182.11 $106,344.25 $84,105.80 nat. median
$35,725
outlier · 2.4×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 10 $30,976.19 $149,275.73 $83,133.00 nat. median
$33,459
outlier · 2.5×
245
MS_DRG 		Aicd Generator Procedures 10 $30,599.93 $483,580.05 $82,123.20 nat. median
$32,088
outlier · 2.6×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 $36,580.54 $116,933.00 $81,534.38 nat. median
$37,371
outlier · 2.2×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 $39,335.10 $105,566.40 $78,911.60 nat. median
$40,726
1.9× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 10 $35,388.04 $130,358.37 $78,827.49 nat. median
$37,725
outlier · 2.1×
653
MS_DRG 		Major Bladder Procedures With Mcc 10 $34,852.15 $161,982.81 $77,679.90 nat. median
$36,547
outlier · 2.1×
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 $28,324.92 $155,251.03 $76,017.60 nat. median
$30,768
outlier · 2.5×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 $33,123.09 $98,278.14 $74,410.90 nat. median
$34,733
outlier · 2.1×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 $33,009.74 $121,077.61 $73,601.61 nat. median
$34,615
outlier · 2.1×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 $31,467.81 $94,616.35 $71,022.51 nat. median
$33,546
outlier · 2.1×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 $35,953.44 $96,490.80 $70,691.11 nat. median
$38,844
1.8× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 9 $33,450.39 $95,783.65 $69,686.80 nat. median
$35,986
1.9× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 $28,792.39 $124,165.66 $68,959.01 nat. median
$29,481
outlier · 2.3×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 10 $30,828.63 $117,349.41 $68,811.55 nat. median
$33,435
outlier · 2.1×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 $30,508.04 $91,122.54 $67,969.50 nat. median
$31,991
outlier · 2.1×
163
MS_DRG 		Major Chest Procedures With Mcc 10 $30,059.34 $89,187.82 $67,066.89 nat. median
$31,995
outlier · 2.1×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $51,106.52 $137,158.20 $66,398.45 nat. median
$52,327
1.3× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 $29,023.79 $86,115.26 $64,920.05 nat. median
$30,435
outlier · 2.1×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 $28,276.63 $78,962.69 $63,273.57 nat. median
$28,888
outlier · 2.2×
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 10 $28,180.05 $83,611.84 $62,704.22 nat. median
$29,327
outlier · 2.1×
901
MS_DRG 		Wound Debridements For Injuries With Mcc 10 $28,146.51 $81,634.03 $62,646.46 nat. median
$28,755
outlier · 2.2×
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 10 $23,652.84 $77,126.99 $62,230.67 nat. median
$25,622
outlier · 2.4×
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 $24,625.35 $109,497.65 $61,416.05 nat. median
$25,953
outlier · 2.4×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 $25,238.37 $82,863.49 $60,156.93 nat. median
$27,340
outlier · 2.2×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 10 $25,750.11 $71,518.76 $58,044.28 nat. median
$27,194
outlier · 2.1×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 9 $36,690.53 $98,469.00 $56,790.40 nat. median
$38,859
1.5× median
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 10 $21,123.63 $102,131.38 $56,691.00 nat. median
$22,934
outlier · 2.5×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 10 $25,068.68 $170,150.41 $56,130.52 nat. median
$26,952
outlier · 2.1×
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 $25,128.37 $116,010.07 $55,913.77 nat. median
$24,795
outlier · 2.3×
260
MS_DRG 		Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 $21,816.46 $95,478.75 $55,297.60 nat. median
$23,175
outlier · 2.4×
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 $23,169.93 $77,400.19 $54,591.82 nat. median
$23,671
outlier · 2.3×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 10 $29,462.42 $79,070.40 $54,581.49 nat. median
$30,674
1.8× median
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 10 $21,414.05 $74,224.74 $53,701.79 nat. median
$23,970
outlier · 2.2×
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 10 $23,949.95 $82,272.24 $53,401.89 nat. median
$25,494
outlier · 2.1×
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 $24,995.57 $67,082.40 $53,056.09 nat. median
$26,211
outlier · 2.0×
252
MS_DRG 		Other Vascular Procedures With Mcc 10 $23,395.96 $64,814.13 $52,068.50 nat. median
$25,156
outlier · 2.1×
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 10 $20,343.61 $58,003.73 $50,961.89 nat. median
$22,918
outlier · 2.2×
799
MS_DRG 		Splenic Procedures With Mcc 9 $30,375.24 $81,520.20 $50,886.19 nat. median
$32,381
1.6× median
904
MS_DRG 		Skin Grafts For Injuries With Cc/mcc 9 $24,635.41 $71,242.56 $50,688.78 nat. median
$25,168
outlier · 2.0×
264
MS_DRG 		Other Circulatory System O.r. Procedures 10 $22,405.34 $106,279.67 $49,996.06 nat. median
$23,998
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 4,431 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
             
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 10 $179,627.67 $134,720.75 25% off $92,901.06 $249,325.20 $169,761.78 2026-02-23
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 10 $205,574.14 $154,180.61 25% off $47,823.45 $189,915.29 $121,216.80 2026-02-23
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 10 $176,381.67 $132,286.25 25% off $40,286.15 $164,457.30 $106,292.01 2026-02-23
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 7 $103,617.50 $77,713.13 25% off $103,617.50 $195,740.70 $103,617.50 2026-02-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 10 $201,645.11 $151,233.83 25% off $46,357.30 $179,507.43 $103,127.86 2026-02-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 10 $212,316.66 $159,237.50 25% off $43,157.40 $189,014.85 $96,050.99 2026-02-23
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 10 10 $144,009.98 $108,007.48 25% off $33,673.73 $135,580.08 $90,372.60 2026-02-23
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 10 $96,349.21 $72,261.90 25% off $38,226.43 $102,591.00 $86,608.17 2026-02-23
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 10 $121,223.92 $90,917.94 25% off $34,912.51 $110,036.33 $84,605.45 2026-02-23
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 10 $114,082.35 $85,561.76 25% off $33,182.11 $106,344.25 $84,105.80 2026-02-23
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 10 $159,775.26 $119,831.44 25% off $30,976.19 $149,275.73 $83,133.00 2026-02-23
245 MS_DRG Aicd Generator Procedures 10 10 $533,268.48 $399,951.36 25% off $30,599.93 $483,580.05 $82,123.20 2026-02-23
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 10 $131,293.52 $98,470.14 25% off $36,580.54 $116,933.00 $81,534.38 2026-02-23
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 10 $85,376.51 $64,032.38 25% off $39,335.10 $105,566.40 $78,911.60 2026-02-23
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 10 $146,397.96 $109,798.47 25% off $35,388.04 $130,358.37 $78,827.49 2026-02-23
653 MS_DRG Major Bladder Procedures With Mcc 10 10 $181,916.34 $136,437.26 25% off $34,852.15 $161,982.81 $77,679.90 2026-02-23
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 10 $96,933.48 $72,700.11 25% off $28,324.92 $155,251.03 $76,017.60 2026-02-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 10 $98,881.30 $74,160.98 25% off $33,123.09 $98,278.14 $74,410.90 2026-02-23
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 10 $135,950.39 $101,962.79 25% off $33,009.74 $121,077.61 $73,601.61 2026-02-23
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 10 $105,928.80 $79,446.60 25% off $31,467.81 $94,616.35 $71,022.51 2026-02-23
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 10 $70,691.11 $53,018.33 25% off $35,953.44 $96,490.80 $70,691.11 2026-02-23
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 9 9 $107,474.72 $80,606.04 25% off $33,450.39 $95,783.65 $69,686.80 2026-02-23
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 10 $137,801.61 $103,351.21 25% off $28,792.39 $124,165.66 $68,959.01 2026-02-23
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 10 $131,742.43 $98,806.82 25% off $30,828.63 $117,349.41 $68,811.55 2026-02-23
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 10 $102,318.49 $76,738.87 25% off $30,508.04 $91,122.54 $67,969.50 2026-02-23
163 MS_DRG Major Chest Procedures With Mcc 10 10 $94,667.04 $71,000.28 25% off $30,059.34 $89,187.82 $67,066.89 2026-02-23
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 9 $66,398.45 $49,798.84 25% off $51,106.52 $137,158.20 $66,398.45 2026-02-23
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 10 $94,178.71 $70,634.03 25% off $29,023.79 $86,115.26 $64,920.05 2026-02-23
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 10 $78,962.69 $59,222.02 25% off $28,276.63 $78,962.69 $63,273.57 2026-02-23
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 10 $88,588.53 $66,441.40 25% off $28,180.05 $83,611.84 $62,704.22 2026-02-23
901 MS_DRG Wound Debridements For Injuries With Mcc 10 10 $81,634.03 $61,225.52 25% off $28,146.51 $81,634.03 $62,646.46 2026-02-23
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 10 $78,193.50 $58,645.12 25% off $23,652.84 $77,126.99 $62,230.67 2026-02-23
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 10 $120,733.64 $90,550.23 25% off $24,625.35 $109,497.65 $61,416.05 2026-02-23
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 10 $91,705.11 $68,778.83 25% off $25,238.37 $82,863.49 $60,156.93 2026-02-23
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 10 $71,518.76 $53,639.07 25% off $25,750.11 $71,518.76 $58,044.28 2026-02-23
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 9 9 $56,790.40 $42,592.80 25% off $36,690.53 $98,469.00 $56,790.40 2026-02-23
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 10 $109,062.74 $81,797.06 25% off $21,123.63 $102,131.38 $56,691.00 2026-02-23
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 10 $191,029.98 $143,272.49 25% off $25,068.68 $170,150.41 $56,130.52 2026-02-23
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 10 $130,317.77 $97,738.32 25% off $25,128.37 $116,010.07 $55,913.77 2026-02-23
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 10 $104,886.13 $78,664.60 25% off $21,816.46 $95,478.75 $55,297.60 2026-02-23
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 10 $85,898.72 $64,424.04 25% off $23,169.93 $77,400.19 $54,591.82 2026-02-23
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 10 $57,740.10 $43,305.08 25% off $29,462.42 $79,070.40 $54,581.49 2026-02-23
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 10 $81,299.81 $60,974.86 25% off $21,414.05 $74,224.74 $53,701.79 2026-02-23
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 10 $92,373.78 $69,280.34 25% off $23,949.95 $82,272.24 $53,401.89 2026-02-23
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 10 $59,605.06 $44,703.80 25% off $24,995.57 $67,082.40 $53,056.09 2026-02-23
252 MS_DRG Other Vascular Procedures With Mcc 10 10 $64,814.13 $48,610.60 25% off $23,395.96 $64,814.13 $52,068.50 2026-02-23
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 10 10 $58,003.73 $43,502.80 25% off $20,343.61 $58,003.73 $50,961.89 2026-02-23
799 MS_DRG Splenic Procedures With Mcc 9 9 $50,886.19 $38,164.64 25% off $30,375.24 $81,520.20 $50,886.19 2026-02-23
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 9 9 $71,242.56 $53,431.92 25% off $24,635.41 $71,242.56 $50,688.78 2026-02-23
264 MS_DRG Other Circulatory System O.r. Procedures 10 10 $119,339.65 $89,504.74 25% off $22,405.34 $106,279.67 $49,996.06 2026-02-23
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 10 $72,499.34 $54,374.50 25% off $22,155.17 $65,735.67 $49,932.12 2026-02-23
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 10 10 $142,693.64 $107,020.23 25% off $18,591.08 $135,805.99 $49,894.20 2026-02-23
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 10 10 $76,292.93 $57,219.70 25% off $21,644.10 $68,240.52 $49,198.79 2026-02-23
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 10 $64,202.53 $48,151.89 25% off $20,890.23 $61,982.53 $48,633.32 2026-02-23
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 8 8 $67,049.63 $50,287.22 25% off $28,262.54 $75,850.20 $48,506.40 2026-02-23
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 10 $125,601.57 $94,201.18 25% off $21,696.41 $111,854.76 $48,427.60 2026-02-23
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 9 9 $87,788.05 $65,841.04 25% off $23,389.92 $69,399.26 $48,126.12 2026-02-23
500 MS_DRG Soft Tissue Procedures With Mcc 10 10 $197,139.70 $147,854.77 25% off $21,226.25 $175,681.61 $47,901.28 2026-02-23
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 10 10 $109,250.97 $81,938.23 25% off $17,840.57 $105,455.28 $47,880.00 2026-02-23
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 10 $58,303.53 $43,727.65 25% off $21,374.47 $58,303.53 $47,699.01 2026-02-23
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 10 10 $83,835.70 $62,876.78 25% off $21,353.68 $74,691.04 $47,692.17 2026-02-23
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 10 10 $90,870.64 $68,152.98 25% off $19,532.74 $82,180.12 $47,676.11 2026-02-23
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 10 $80,680.78 $60,510.59 25% off $21,133.69 $71,993.33 $47,564.94 2026-02-23
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 10 $56,592.55 $42,444.41 25% off $21,532.09 $57,787.20 $47,408.65 2026-02-23
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 9 $58,752.18 $44,064.14 25% off $22,994.21 $61,711.20 $47,311.92 2026-02-23
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 9 9 $47,116.94 $35,337.71 25% off $30,750.16 $82,526.40 $47,116.94 2026-02-23
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 10 $76,333.91 $57,250.43 25% off $19,250.37 $69,163.30 $46,789.19 2026-02-23
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 10 10 $54,382.86 $40,787.15 25% off $18,430.78 $54,382.86 $46,716.00 2026-02-23
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 10 $80,317.81 $60,238.36 25% off $16,226.57 $71,852.61 $46,141.40 2026-02-23
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 10 10 $78,956.07 $59,217.05 25% off $20,090.09 $70,631.61 $45,815.03 2026-02-23
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 10 10 $59,788.79 $44,841.59 25% off $19,962.66 $59,230.36 $44,437.79 2026-02-23
C9767 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 17 17 $48,192.00 $36,144.00 25% off $18,112.92 $172,561.09 $44,336.64 2026-02-23
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 10 $52,181.07 $39,135.80 25% off $19,463.66 $52,236.00 $43,928.07 2026-02-23
668 MS_DRG Transurethral Procedures With Mcc 10 10 $59,184.39 $44,388.29 25% off $19,584.38 $58,108.00 $43,571.38 2026-02-23
665 MS_DRG Prostatectomy With Mcc 9 9 $43,054.40 $32,290.80 25% off $20,933.83 $56,181.60 $43,054.40 2026-02-23
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 10 10 $71,147.88 $53,360.91 25% off $17,009.57 $64,924.84 $43,048.47 2026-02-23
662 MS_DRG Minor Bladder Procedures With Mcc 10 10 $47,728.03 $35,796.02 25% off $20,533.42 $55,107.00 $42,504.60 2026-02-23
654 MS_DRG Major Bladder Procedures With Cc 10 10 $118,183.06 $88,637.30 25% off $18,774.85 $105,272.20 $42,002.52 2026-02-23
25900 HCPCS Amputation Of Arm Through Forearm Bones 17 17 $49,256.00 $36,942.00 25% off $7,169.63 $176,370.96 $41,867.60 2026-02-23
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 9 9 $41,786.60 $31,339.95 25% off $20,258.43 $54,369.00 $41,682.90 2026-02-23
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 10 10 $75,649.76 $56,737.32 25% off $18,248.35 $67,554.16 $41,281.07 2026-02-23
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 10 $114,634.83 $85,976.12 25% off $18,491.81 $102,060.69 $41,197.90 2026-02-23
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 10 10 $64,731.76 $48,548.82 25% off $18,435.48 $57,657.60 $41,107.66 2026-02-23
963 MS_DRG Other Multiple Significant Trauma With Mcc 10 10 $76,077.88 $57,058.41 25% off $18,335.54 $67,736.57 $40,823.05 2026-02-23
974 MS_DRG HIV With Major Related Condition With Mcc 9 9 $52,431.46 $39,323.60 25% off $19,356.34 $52,431.46 $39,826.80 2026-02-23
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 9 9 $65,424.02 $49,068.02 25% off $19,118.25 $56,724.95 $39,336.90 2026-02-23
164 MS_DRG Major Chest Procedures With Cc 10 10 $57,518.80 $43,139.10 25% off $16,928.42 $51,413.17 $38,334.19 2026-02-23
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 10 10 $56,814.12 $42,610.59 25% off $17,041.77 $50,634.65 $38,089.40 2026-02-23
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 10 10 $45,595.92 $34,196.94 25% off $16,489.11 $45,595.92 $37,523.40 2026-02-23
33264 HCPCS Removal And Replacement Of Multiple Lead Defibrillator 31 18 $81,368.00 $61,026.00 25% off $374.55 $291,354.40 $37,366.70 2026-02-23
33249 HCPCS Insertion Of Implantable Defibrillator System 31 18 $89,166.00 $66,874.50 25% off $839.44 $319,276.70 $37,366.70 2026-02-23
33270 HCPCS Insertion Or Replacement Of Defibrillator With Electrode 31 18 $83,594.00 $62,695.50 25% off $519.04 $299,325.04 $37,366.70 2026-02-23
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 9 9 $44,877.94 $33,658.46 25% off $18,091.41 $48,553.20 $37,224.12 2026-02-23
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 9 9 $61,871.93 $46,403.95 25% off $17,778.19 $52,748.93 $36,579.66 2026-02-23
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 10 10 $64,999.51 $48,749.63 25% off $16,393.20 $57,867.12 $36,476.18 2026-02-23
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 10 10 $59,891.51 $44,918.63 25% off $14,291.90 $54,661.90 $36,207.83 2026-02-23
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 10 10 $70,546.29 $52,909.71 25% off $14,203.37 $64,348.62 $36,000.90 2026-02-23
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 9 9 $35,917.36 $26,938.02 25% off $20,233.62 $54,302.40 $35,917.36 2026-02-23
330 MS_DRG Major Small And Large Bowel Procedures With Cc 10 10 $66,824.75 $50,118.56 25% off $16,077.97 $59,522.99 $35,878.96 2026-02-23
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 9 9 $57,566.01 $43,174.51 25% off $17,387.85 $51,590.75 $35,776.50 2026-02-23
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 10 10 $61,110.82 $45,833.11 25% off $16,005.54 $54,415.88 $35,646.79 2026-02-23
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 9 9 $47,479.98 $35,609.99 25% off $17,322.79 $47,479.98 $35,642.64 2026-02-23
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 10 10 $69,661.54 $52,246.16 25% off $14,047.77 $63,423.94 $35,606.50 2026-02-23
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 9 9 $123,457.47 $92,593.10 25% off $17,298.64 $51,326.08 $35,592.96 2026-02-23
834 MS_DRG Acute Leukemia With Mcc 9 9 $35,116.46 $26,337.35 25% off $35,116.46 $98,818.20 $35,116.46 2026-02-23
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 10 10 $59,118.42 $44,338.82 25% off $15,684.94 $52,674.32 $35,038.49 2026-02-23
357 MS_DRG Other Digestive System O.r. Procedures With Cc 10 10 $51,481.98 $38,611.49 25% off $9,344.76 $46,277.45 $34,711.29 2026-02-23
56 MS_DRG Degenerative Nervous System Disorders With Mcc 10 10 $116,445.70 $87,334.27 25% off $15,580.99 $103,647.07 $34,648.32 2026-02-23
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 10 10 $53,597.44 $40,198.08 25% off $12,937.09 $50,198.43 $34,446.67 2026-02-23
C9765 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 17 17 $37,419.00 $28,064.25 25% off $18,112.92 $133,986.21 $34,425.48 2026-02-23
619 MS_DRG O.r. Procedures For Obesity With Mcc 10 10 $136,127.94 $102,095.96 25% off $18,000.00 $121,306.78 $34,240.46 2026-02-23
C1822 HCPCS Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 12 12 $36,349.83 $27,262.37 25% off $21,809.90 $130,157.84 $34,168.84 2026-02-23
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 10 10 $74,453.89 $55,840.42 25% off $15,237.59 $66,345.73 $34,119.60 2026-02-23
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 8 8 $67,975.22 $50,981.42 25% off $19,746.02 $52,993.80 $33,889.67 2026-02-23
783 MS_DRG Cesarean Section With Sterilization With Mcc 9 9 $44,345.29 $33,258.96 25% off $16,466.31 $44,345.29 $33,880.38 2026-02-23
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 10 10 $48,061.17 $36,045.88 25% off $13,457.56 $43,887.16 $33,547.95 2026-02-23
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 10 10 $49,434.52 $37,075.89 25% off $13,937.78 $44,780.27 $33,534.71 2026-02-23
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 10 10 $46,626.86 $34,970.15 25% off $14,841.21 $44,034.72 $33,255.28 2026-02-23
397 MS_DRG Appendix Procedures With Mcc 9 9 $76,376.36 $57,282.27 25% off $16,062.55 $47,658.51 $33,049.62 2026-02-23
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 10 10 $67,414.79 $50,561.09 25% off $14,637.98 $60,061.41 $32,723.49 2026-02-23
333 MS_DRG Rectal Resection With Cc 9 9 $55,836.68 $41,877.51 25% off $15,709.09 $46,609.78 $32,322.36 2026-02-23
709 MS_DRG Penis Procedures With Cc/mcc 9 9 $49,063.23 $36,797.42 25% off $15,607.81 $46,309.29 $32,113.98 2026-02-23
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 10 10 $33,498.56 $25,123.92 25% off $13,946.49 $38,638.42 $31,933.67 2026-02-23
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 9 $110,436.49 $82,827.37 25% off $15,501.17 $45,992.88 $31,894.56 2026-02-23
374 MS_DRG Digestive Malignancy With Mcc 10 10 $38,286.47 $28,714.86 25% off $14,344.22 $38,496.60 $31,849.57 2026-02-23
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 10 10 $46,173.56 $34,630.17 25% off $12,679.55 $42,196.58 $31,784.78 2026-02-23
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 17 17 $34,491.00 $25,868.25 25% off $11,406.44 $123,501.92 $31,731.72 2026-02-23
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 10 10 $36,125.59 $27,094.19 25% off $15,005.53 $40,271.40 $31,641.03 2026-02-23
336 MS_DRG Peritoneal Adhesiolysis With Cc 10 10 $49,071.23 $36,803.42 25% off $14,143.01 $43,701.05 $31,510.36 2026-02-23
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 10 10 $41,440.97 $31,080.73 25% off $14,039.05 $41,440.97 $31,427.59 2026-02-23
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 9 9 $54,353.45 $40,765.08 25% off $15,263.07 $45,286.43 $31,404.66 2026-02-23
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 10 10 $35,609.26 $26,706.94 25% off $14,808.34 $39,742.20 $31,172.40 2026-02-23
314 MS_DRG Other Circulatory System Diagnoses With Mcc 10 10 $41,113.13 $30,834.85 25% off $13,985.39 $41,113.13 $31,127.92 2026-02-23
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 12 12 $33,008.58 $24,756.44 25% off $19,805.15 $118,193.82 $31,028.07 2026-02-23
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 9 9 $30,944.97 $23,208.73 25% off $22,851.35 $61,327.80 $30,944.97 2026-02-23
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 9 9 $45,286.72 $33,965.04 25% off $15,014.25 $44,548.14 $30,892.68 2026-02-23
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 10 10 $67,745.88 $50,809.41 25% off $12,122.87 $62,149.73 $30,727.50 2026-02-23
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 10 10 $34,846.61 $26,134.96 25% off $14,186.60 $38,073.60 $30,371.55 2026-02-23
288 MS_DRG Acute And Subacute Endocarditis With Mcc 9 9 $30,336.60 $22,752.45 25% off $18,150.43 $48,711.60 $30,336.60 2026-02-23
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 10 10 $60,321.66 $45,241.25 25% off $13,599.74 $53,700.80 $30,260.38 2026-02-23
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 9 9 $50,947.70 $38,210.77 25% off $14,700.36 $43,616.82 $30,246.84 2026-02-23
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary … 17 17 $32,805.00 $24,603.75 25% off $18,112.92 $117,464.86 $30,180.60 2026-02-23
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 9 9 $53,941.42 $40,456.07 25% off $14,613.17 $43,358.12 $30,067.44 2026-02-23
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 10 10 $50,033.76 $37,525.32 25% off $13,487.74 $44,539.49 $29,994.89 2026-02-23
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 10 10 $55,706.42 $41,779.82 25% off $13,401.22 $49,610.40 $29,875.65 2026-02-23
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 10 10 $68,631.72 $51,473.79 25% off $13,285.19 $61,117.42 $29,629.38 2026-02-23
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 10 10 $67,165.12 $50,373.84 25% off $12,806.98 $60,114.45 $29,558.95 2026-02-23
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 9 9 $39,059.08 $29,294.31 25% off $14,357.63 $39,059.08 $29,541.66 2026-02-23
165 MS_DRG Major Chest Procedures Without Cc/mcc 10 10 $51,830.44 $38,872.83 25% off $12,838.50 $46,425.76 $29,495.02 2026-02-23
539 MS_DRG Osteomyelitis With Mcc 10 10 $56,236.13 $42,177.09 25% off $13,210.74 $50,074.42 $29,428.17 2026-02-23
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 9 9 $67,509.82 $50,632.37 25% off $14,263.73 $42,321.33 $29,348.46 2026-02-23
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 10 10 $45,659.36 $34,244.52 25% off $10,931.71 $42,962.43 $29,338.20 2026-02-23
883 MS_DRG Disorders Of Personality And Impulse Control 8 8 $82,247.91 $61,685.93 25% off $13,682.48 $35,393.40 $29,297.87 2026-02-23
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 10 10 $48,749.57 $36,562.17 25% off $13,028.31 $43,403.68 $28,997.60 2026-02-23
548 MS_DRG Septic Arthritis With Mcc 10 10 $62,310.12 $46,732.59 25% off $12,950.51 $55,510.52 $28,949.26 2026-02-23
100 MS_DRG Seizures With Mcc 10 10 $36,404.53 $27,303.40 25% off $12,990.08 $36,404.53 $28,940.32 2026-02-23
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 9 9 $37,383.25 $28,037.44 25% off $14,024.97 $37,639.80 $28,857.18 2026-02-23
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 10 $28,850.77 $21,638.07 25% off $23,852.03 $64,013.40 $28,850.77 2026-02-23
902 MS_DRG Wound Debridements For Injuries With Cc 10 10 $66,432.04 $49,824.03 25% off $12,840.51 $59,197.33 $28,764.96 2026-02-23
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 9 9 $49,432.30 $37,074.23 25% off $13,861.32 $41,127.33 $28,520.46 2026-02-23
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 10 10 $53,465.52 $40,099.14 25% off $12,679.55 $47,593.40 $28,198.26 2026-02-23
504 MS_DRG Foot Procedures With Cc 10 10 $60,332.37 $45,249.28 25% off $12,536.69 $53,725.18 $27,947.45 2026-02-23
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 10 $47,650.95 $35,738.21 25% off $12,544.06 $42,433.62 $27,947.10 2026-02-23
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 10 10 $32,083.53 $24,062.64 25% off $13,200.68 $35,427.60 $27,886.73 2026-02-23
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 10 10 $37,368.55 $28,026.41 25% off $12,507.85 $37,111.51 $27,826.83 2026-02-23
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 10 10 $49,297.20 $36,972.90 25% off $10,939.08 $45,035.40 $27,727.00 2026-02-23
C9766 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 17 17 $30,129.00 $22,596.75 25% off $18,077.40 $107,882.91 $27,718.68 2026-02-23
254 MS_DRG Other Vascular Procedures Without Cc/mcc 10 10 $146,229.95 $109,672.46 25% off $11,949.83 $130,488.59 $27,675.85 2026-02-23
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 10 10 $63,415.91 $47,561.93 25% off $10,306.62 $58,763.19 $27,660.60 2026-02-23
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 10 10 $43,586.78 $32,690.08 25% off $12,095.37 $39,029.56 $27,649.42 2026-02-23
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 10 10 $46,525.85 $34,894.39 25% off $10,774.09 $43,157.66 $27,605.85 2026-02-23
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 9 9 $46,036.39 $34,527.29 25% off $13,415.97 $39,805.97 $27,604.14 2026-02-23
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 9 9 $27,556.66 $20,667.50 25% off $14,674.20 $39,382.20 $27,556.66 2026-02-23
908 MS_DRG Other O.r. Procedures For Injuries With Cc 9 9 $30,599.59 $22,949.69 25% off $13,381.77 $35,913.60 $27,533.76 2026-02-23
754 MS_DRG Malignancy, Female Reproductive System With Mcc 10 10 $36,771.25 $27,578.44 25% off $12,352.25 $36,649.83 $27,520.97 2026-02-23
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 10 10 $54,337.31 $40,752.98 25% off $12,273.77 $48,436.89 $27,518.61 2026-02-23
919 MS_DRG Complications Of Treatment With Mcc 10 10 $33,981.43 $25,486.07 25% off $12,279.14 $33,981.43 $27,342.32 2026-02-23
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 10 10 $45,240.13 $33,930.10 25% off $12,260.36 $40,284.73 $27,306.15 2026-02-23
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 9 9 $27,302.44 $20,476.83 25% off $23,871.48 $64,065.60 $27,302.44 2026-02-23
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 10 10 $43,392.47 $32,544.36 25% off $12,231.52 $38,639.16 $27,238.29 2026-02-23
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 10 10 $44,237.76 $33,178.32 25% off $11,023.59 $40,176.81 $27,131.71 2026-02-23
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 10 10 $35,878.77 $26,909.08 25% off $12,037.02 $35,714.53 $26,798.52 2026-02-23
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 10 10 $51,861.86 $38,896.40 25% off $11,824.41 $46,306.95 $26,760.53 2026-02-23
592 MS_DRG Skin Ulcers With Mcc 9 9 $34,659.89 $25,994.92 25% off $12,980.02 $34,835.40 $26,707.14 2026-02-23
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 9 9 $34,064.32 $25,548.24 25% off $12,938.44 $34,723.80 $26,621.58 2026-02-23
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 10 10 $50,937.30 $38,202.98 25% off $11,102.73 $45,927.55 $26,612.40 2026-02-23
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 9 9 $30,152.95 $22,614.71 25% off $12,921.67 $34,678.80 $26,587.08 2026-02-23
33262 HCPCS Removal And Replacement Of Single Lead Defibrillator 31 18 $84,894.00 $63,670.50 25% off $347.34 $303,979.95 $26,479.70 2026-02-23
33263 HCPCS Removal And Replacement Of Dual Lead Defibrillator 31 18 $79,065.00 $59,298.75 25% off $360.89 $283,108.05 $26,479.70 2026-02-23
75 MS_DRG Viral Meningitis With Cc/mcc 9 9 $46,263.10 $34,697.33 25% off $12,860.63 $38,158.25 $26,461.50 2026-02-23
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 10 $64,880.51 $48,660.38 25% off $11,785.51 $57,825.42 $26,450.57 2026-02-23
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 12 12 $27,956.61 $20,967.46 25% off $16,773.97 $100,104.23 $26,279.22 2026-02-23
180 MS_DRG Respiratory Neoplasms With Mcc 10 10 $31,546.85 $23,660.14 25% off $11,844.53 $31,788.00 $26,258.71 2026-02-23
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 10 10 $106,913.37 $80,185.03 25% off $11,733.19 $95,197.58 $26,212.67 2026-02-23
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 10 10 $67,082.75 $50,312.06 25% off $11,704.35 $59,725.66 $26,074.22 2026-02-23
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 10 10 $42,719.94 $32,039.96 25% off $11,283.82 $38,309.63 $26,015.64 2026-02-23
545 MS_DRG Connective Tissue Disorders With Mcc 9 9 $25,941.51 $19,456.13 25% off $16,644.71 $44,670.60 $25,941.51 2026-02-23
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 10 10 $63,460.25 $47,595.19 25% off $11,622.53 $56,497.83 $25,879.94 2026-02-23
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 9 9 $96,930.63 $72,697.97 25% off $12,467.61 $36,992.11 $25,652.82 2026-02-23
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 10 10 $53,851.75 $40,388.81 25% off $10,504.47 $48,580.78 $25,478.14 2026-02-23
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 9 9 $32,915.87 $24,686.90 25% off $12,318.71 $33,060.60 $25,346.46 2026-02-23
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 9 9 $54,275.61 $40,706.70 25% off $12,305.97 $36,512.52 $25,320.24 2026-02-23
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 10 10 $58,730.40 $44,047.80 25% off $11,333.45 $52,305.75 $25,295.14 2026-02-23
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 9 9 $25,157.01 $18,867.76 25% off $14,746.64 $39,576.60 $25,157.01 2026-02-23
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 10 10 $48,401.50 $36,301.13 25% off $10,218.75 $43,818.94 $25,135.01 2026-02-23
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 10 10 $56,010.16 $42,007.62 25% off $11,287.18 $49,865.84 $25,130.33 2026-02-23
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 10 10 $26,523.17 $19,892.38 25% off $16,713.12 $44,854.20 $25,073.11 2026-02-23
551 MS_DRG Medical Back Problems With Mcc 10 10 $29,715.99 $22,286.99 25% off $11,241.57 $30,169.80 $24,850.54 2026-02-23
70 MS_DRG Other Cerebrovascular Disorders With Mcc 10 10 $45,287.79 $33,965.84 25% off $11,165.78 $40,313.16 $24,828.57 2026-02-23
671 MS_DRG Urethral Procedures With Cc/mcc 9 9 $151,975.57 $113,981.68 25% off $12,039.03 $35,720.50 $24,771.00 2026-02-23
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 9 9 $62,910.25 $47,182.69 25% off $12,031.65 $35,698.61 $24,755.82 2026-02-23
505 MS_DRG Foot Procedures Without Cc/mcc 9 9 $30,347.89 $22,760.92 25% off $12,024.27 $32,270.40 $24,740.64 2026-02-23
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 10 10 $37,618.31 $28,213.73 25% off $11,096.03 $33,497.62 $24,707.39 2026-02-23
33208 HCPCS Insertion Of Pacemaker And Upper And Lower Heart Chamber Electrode 48 18 $33,851.00 $25,388.25 25% off $479.74 $121,210.28 $24,541.97 2026-02-23
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 9 9 $35,017.13 $26,262.84 25% off $11,892.15 $35,017.13 $24,468.78 2026-02-23
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 10 10 $37,264.11 $27,948.08 25% off $10,933.72 $33,179.93 $24,338.76 2026-02-23
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc 10 10 $66,877.82 $50,158.37 25% off $9,050.40 $61,490.57 $24,289.20 2026-02-23
91 MS_DRG Other Disorders Of Nervous System With Mcc 9 9 $41,009.59 $30,757.19 25% off $11,778.80 $34,948.38 $24,235.56 2026-02-23
196 MS_DRG Interstitial Lung Disease With Mcc 9 9 $24,189.50 $18,142.13 25% off $12,657.41 $33,969.60 $24,189.50 2026-02-23
666 MS_DRG Prostatectomy With Cc 9 9 $31,054.81 $23,291.11 25% off $11,732.52 $31,487.40 $24,140.34 2026-02-23
501 MS_DRG Soft Tissue Procedures With Cc 9 9 $54,709.53 $41,032.15 25% off $11,724.47 $34,787.19 $24,123.78 2026-02-23
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 10 10 $48,738.71 $36,554.03 25% off $10,746.59 $43,425.11 $24,030.65 2026-02-23
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 10 10 $58,524.64 $43,893.48 25% off $10,760.01 $52,119.64 $24,011.39 2026-02-23
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 10 10 $39,535.27 $29,651.45 25% off $10,758.67 $35,215.40 $23,996.28 2026-02-23
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 9 9 $25,396.33 $19,047.25 25% off $11,650.70 $31,267.80 $23,971.98 2026-02-23
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 10 10 $200,883.39 $150,662.54 25% off $10,486.36 $178,955.34 $23,851.09 2026-02-23
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 9 9 $39,302.30 $29,476.72 25% off $11,589.66 $34,387.20 $23,846.40 2026-02-23
748 MS_DRG Female Reproductive System Reconstructive Procedures 10 10 $44,254.46 $33,190.85 25% off $9,304.59 $40,884.67 $23,798.57 2026-02-23
157 MS_DRG Dental And Oral Diseases With Mcc 9 9 $27,832.93 $20,874.69 25% off $11,514.54 $30,902.40 $23,691.84 2026-02-23
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 9 9 $45,250.04 $33,937.53 25% off $11,345.53 $33,662.84 $23,344.08 2026-02-23
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 10 10 $68,873.59 $51,655.20 25% off $10,475.63 $61,311.13 $23,317.03 2026-02-23
571 MS_DRG Skin Debridement With Cc 9 9 $40,472.01 $30,354.01 25% off $11,331.44 $33,621.05 $23,315.10 2026-02-23
177 MS_DRG Respiratory Infections And Inflammations With Mcc 10 10 $41,819.76 $31,364.82 25% off $10,481.00 $37,225.89 $23,304.90 2026-02-23
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 9 9 $48,081.05 $36,060.79 25% off $11,321.38 $33,591.20 $23,294.40 2026-02-23
915 MS_DRG Allergic Reactions With Mcc 9 9 $23,531.64 $17,648.73 25% off $11,278.46 $30,268.80 $23,206.08 2026-02-23
115 MS_DRG Extraocular Procedures Except Orbit 10 10 $43,459.20 $32,594.40 25% off $10,294.54 $38,760.45 $23,138.29 2026-02-23
444 MS_DRG Disorders Of The Biliary Tract With Mcc 9 9 $24,017.71 $18,013.29 25% off $11,206.69 $30,076.20 $23,058.42 2026-02-23
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 10 10 $36,014.79 $27,011.09 25% off $10,224.79 $32,146.79 $23,022.25 2026-02-23
597 MS_DRG Malignant Breast Disorders With Mcc 9 9 $81,886.64 $61,414.98 25% off $11,181.21 $33,175.29 $23,005.98 2026-02-23
33274 HCPCS Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance 31 18 $59,110.00 $44,332.50 25% off $441.68 $211,655.18 $22,929.90 2026-02-23
786 MS_DRG Cesarean Section Without Sterilization With Mcc 9 9 $43,881.07 $32,910.81 25% off $11,063.16 $32,825.05 $22,763.10 2026-02-23
663 MS_DRG Minor Bladder Procedures With Cc 10 10 $33,977.93 $25,483.44 25% off $10,195.95 $30,251.98 $22,675.50 2026-02-23
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 9 9 $39,096.06 $29,322.05 25% off $11,008.84 $32,663.86 $22,651.32 2026-02-23
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 6 $22,648.40 $16,986.30 25% off $22,648.40 $35,642.46 $22,648.40 2026-02-23
334 MS_DRG Rectal Resection Without Cc/mcc 9 9 $71,381.44 $53,536.08 25% off $10,985.36 $32,594.21 $22,603.02 2026-02-23
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 10 10 $58,563.93 $43,922.95 25% off $10,056.45 $52,194.71 $22,579.97 2026-02-23
913 MS_DRG Traumatic Injury With Mcc 9 9 $40,232.75 $30,174.56 25% off $10,963.23 $32,528.54 $22,557.48 2026-02-23
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 10 10 $30,314.55 $22,735.91 25% off $10,091.99 $29,943.53 $22,545.83 2026-02-23
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 10 10 $28,942.61 $21,706.96 25% off $10,041.69 $28,942.61 $22,542.51 2026-02-23
299 MS_DRG Peripheral Vascular Disorders With Mcc 9 9 $23,967.60 $17,975.70 25% off $10,950.49 $29,388.60 $22,531.26 2026-02-23
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 10 10 $55,520.51 $41,640.38 25% off $9,478.83 $49,452.37 $22,529.03 2026-02-23
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 9 9 $22,454.69 $16,841.02 25% off $11,847.88 $31,797.00 $22,454.69 2026-02-23
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 10 10 $57,419.63 $43,064.72 25% off $10,023.58 $51,115.91 $22,308.89 2026-02-23
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 10 10 $45,954.76 $34,466.07 25% off $9,972.61 $40,940.61 $22,288.96 2026-02-23
33207 HCPCS Insertion Of Pacemaker And Lower Heart Chamber Electrode 48 18 $30,696.00 $23,022.00 25% off $444.51 $109,913.17 $22,254.60 2026-02-23
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 9 9 $22,229.45 $16,672.09 25% off $10,941.77 $29,365.20 $22,229.45 2026-02-23
37236 HCPCS Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra… 45 18 $33,275.00 $24,956.25 25% off $407.46 $132,457.25 $22,195.20 2026-02-23
393 MS_DRG Other Digestive System Diagnoses With Mcc 9 9 $25,705.46 $19,279.10 25% off $10,726.47 $28,787.40 $22,070.34 2026-02-23
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 9 9 $25,328.05 $18,996.04 25% off $10,707.02 $28,735.20 $22,030.32 2026-02-23
368 MS_DRG Major Esophageal Disorders With Mcc 9 9 $36,505.86 $27,379.39 25% off $10,676.84 $31,678.81 $21,968.22 2026-02-23
385 MS_DRG Inflammatory Bowel Disease With Mcc 9 9 $23,553.51 $17,665.13 25% off $10,612.45 $28,481.40 $21,835.74 2026-02-23
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 9 9 $47,569.65 $35,677.24 25% off $10,519.23 $42,356.22 $21,770.17 2026-02-23
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 9 9 $21,742.70 $16,307.03 25% off $17,298.64 $46,425.60 $21,742.70 2026-02-23
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 9 9 $36,227.36 $27,170.52 25% off $10,558.80 $31,328.57 $21,725.34 2026-02-23
533 MS_DRG Fractures Of Femur With Mcc 9 9 $27,963.73 $20,972.80 25% off $10,514.53 $28,218.60 $21,634.26 2026-02-23
506 MS_DRG Major Thumb Or Joint Procedures 10 10 $78,164.00 $58,623.00 25% off $8,045.69 $71,308.06 $21,592.80 2026-02-23
186 MS_DRG Pleural Effusion With Mcc 9 9 $24,518.88 $18,389.16 25% off $10,452.83 $28,053.00 $21,507.30 2026-02-23
637 MS_DRG Diabetes With Mcc 10 10 $47,736.43 $35,802.32 25% off $9,350.10 $42,504.93 $21,470.83 2026-02-23
669 MS_DRG Transurethral Procedures With Cc 9 9 $43,728.44 $32,796.33 25% off $10,409.23 $30,884.80 $21,417.60 2026-02-23
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 9 9 $43,412.35 $32,559.26 25% off $10,407.89 $30,880.82 $21,414.84 2026-02-23
33229 HCPCS Removal And Replacement Of Multiple Lead Permanent Pacemaker 31 18 $35,573.00 $26,679.75 25% off $347.70 $127,376.24 $21,343.80 2026-02-23
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 9 9 $44,518.96 $33,389.22 25% off $10,352.89 $30,717.64 $21,301.68 2026-02-23
117729 CDM Operating Room Services - Minor Surgery 12 12 $23,173.00 $17,379.75 25% off $5,793.25 $22,014.35 $21,203.29 2026-02-23
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 9 9 $42,998.49 $32,248.87 25% off $10,295.21 $30,546.50 $21,183.00 2026-02-23
183 MS_DRG Major Chest Trauma With Mcc 9 9 $34,173.87 $25,630.40 25% off $10,261.01 $30,445.01 $21,112.62 2026-02-23
54 MS_DRG Nervous System Neoplasms With Mcc 9 9 $22,384.08 $16,788.06 25% off $10,240.89 $27,484.20 $21,071.22 2026-02-23
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 10 10 $52,030.09 $39,022.56 25% off $9,361.60 $46,388.54 $21,065.71 2026-02-23
813 MS_DRG Coagulation Disorders 9 9 $45,399.65 $34,049.74 25% off $10,230.16 $30,353.47 $21,049.14 2026-02-23
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 10 10 $40,035.03 $30,026.27 25% off $9,020.89 $35,931.98 $21,027.51 2026-02-23
540 MS_DRG Osteomyelitis With Cc 10 10 $58,576.56 $43,932.42 25% off $8,694.26 $52,651.81 $21,016.75 2026-02-23
811 MS_DRG Red Blood Cell Disorders With Mcc 10 10 $28,897.02 $21,672.77 25% off $9,418.61 $27,945.57 $20,946.42 2026-02-23
398 MS_DRG Appendix Procedures With Cc 9 9 $46,303.57 $34,727.68 25% off $10,151.68 $30,120.64 $20,887.68 2026-02-23
606 MS_DRG Minor Skin Disorders With Mcc 9 9 $21,887.89 $16,415.92 25% off $10,149.00 $27,237.60 $20,882.16 2026-02-23
643 MS_DRG Endocrine Disorders With Mcc 10 10 $41,458.87 $31,094.16 25% off $11,040.36 $36,930.21 $20,863.42 2026-02-23
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 10 10 $51,070.81 $38,303.10 25% off $9,375.69 $45,458.08 $20,845.33 2026-02-23
31603 HCPCS Emergent Incision Of Windpipe Through Neck For Insertion Of Breathing Tube 17 17 $24,450.00 $18,337.50 25% off $1,533.07 $87,548.12 $20,782.50 2026-02-23
31605 HCPCS Emergent Incision Of Windpipe For Insertion Of Breathing Tube 17 17 $24,450.00 $18,337.50 25% off $234.03 $87,548.12 $20,782.50 2026-02-23
C1722 HCPCS Cardioverter-defibrillator, Single Chamber (implantable) 24 12 $21,514.68 $16,136.01 25% off $12,286.89 $80,749.12 $20,747.11 2026-02-23
693 MS_DRG Urinary Stones With Mcc 10 10 $30,739.45 $23,054.59 25% off $9,017.53 $27,575.39 $20,746.00 2026-02-23
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 10 $47,885.85 $35,914.38 25% off $7,724.43 $44,492.81 $20,730.60 2026-02-23
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 17 17 $22,389.00 $16,791.75 25% off $11,406.44 $80,168.29 $20,597.88 2026-02-23
620 MS_DRG O.r. Procedures For Obesity With Cc 10 10 $71,425.71 $53,569.28 25% off $10,733.18 $63,714.79 $20,520.82 2026-02-23
682 MS_DRG Renal Failure With Mcc 9 9 $31,283.55 $23,462.66 25% off $9,933.04 $27,849.05 $20,481.70 2026-02-23
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 10 10 $39,616.14 $29,712.11 25% off $9,212.71 $35,262.46 $20,480.06 2026-02-23
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 10 10 $32,560.25 $24,420.19 25% off $9,160.39 $29,002.09 $20,427.42 2026-02-23
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 9 9 $33,408.84 $25,056.63 25% off $9,898.16 $29,368.42 $20,366.04 2026-02-23
199 MS_DRG Pneumothorax With Mcc 8 8 $57,737.24 $43,302.93 25% off $11,831.78 $31,753.80 $20,306.64 2026-02-23
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 9 9 $43,247.74 $32,435.80 25% off $9,850.54 $29,227.13 $20,268.06 2026-02-23
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 9 9 $48,305.37 $36,229.03 25% off $9,746.58 $28,918.68 $20,054.16 2026-02-23
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 9 9 $20,038.97 $15,029.23 25% off $15,391.85 $41,308.20 $20,038.97 2026-02-23
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