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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

WELLSPAN EVANGELICAL COMMUNITY HOSPITAL

Lewisburg, PA · CCN 390013 · Rates published

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You selected 93306 (CPT)

Ultrasound of Heart With Blood Flow, Rate, Direction and Valve Function

This hospital’s price: $530 across 27 payers · range $155-$3,858

Source: https://edge.sitecorecloud.io/269a6006063e-wellspanxmcef9f-production4406-c241/media/Project/Wellspan-Site-Tenant/wellspan-site/data/media/files/Patient-Resources/Cost/240795411_evangelical-community-hospital_standardcharges.csv · observed 2026-01-01

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.

1,453 distinct procedures filed
27 distinct payers
37,696 rate rows
2026-01-01 last MRF observed
Data quality

37,536 of 37,696 rate rows are consumer-grade (99.6%)

160 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
per-diem day rate — not a per-procedure price 61
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 44
exceeds 10× this hospital's gross charge — excluded from medians 30
placeholder amount (≤ $0.02) — excluded from medians 17
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://edge.sitecorecloud.io/269a6006063e-wellspanxmcef9f-production4406-c241/media/Project/Wellspan-Site-Tenant/wellspan-site/data/media/files/Patient-Resources/Cost/240795411_evangelical-community-hospital_standardcharges.csv
Found on page https://www.wellspan.org/Patient-Resources/Billing-and-Insurance/Cost-Estimates
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-03
Content fingerprint 404598efccffe934… · 7,005,673 bytes · first seen 2026-05-17

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
APR005 SOI 4
OTHER 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $94,677.17 $109,744.36 $99,185.60 nat. median
$108,202
0.9× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $36,645.09 $117,213.00 $41,042.50 nat. median
$50,590
0.8× median
APR00304 SOI 3
OTHER 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 $36,006.55 $41,736.73 $37,721.15 nat. median
$37,721
1.0× median
APR00710 SOI 4
OTHER 		Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 $34,676.75 $40,195.31 $36,328.03 nat. median
$36,328
1.0× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With McC 21 $32,190.58 $108,791.00 $36,053.45 nat. median
$45,474
0.8× median
APR00299 SOI 2
OTHER 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 $34,315.88 $39,777.01 $35,949.97 nat. median
$35,950
1.0× median
APR00175 SOI 4
OTHER 		Percutaneous Cardiac Intervention Without Ami 7 $33,013.48 $38,267.34 $34,585.55 nat. median
$34,586
1.0× median
329
MS_DRG 		Major Small And Large Bowel Procedures With McC 21 $29,960.72 $105,628.00 $33,556.01 nat. median
$42,662
0.8× median
APR00300 SOI 3
OTHER 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 $31,827.48 $36,892.60 $33,343.07 nat. median
$33,343
1.0× median
APR00174 SOI 4
OTHER 		Percutaneous Cardiac Intervention With Ami 7 $29,342.50 $34,012.15 $30,739.76 nat. median
$30,740
1.0× median
APR00171 SOI 4
OTHER 		Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 7 $29,167.20 $33,808.95 $30,556.12 nat. median
$30,556
1.0× median
APR00299 SOI 1
OTHER 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 $28,543.39 $33,085.86 $29,902.60 nat. median
$29,903
1.0× median
APR0024 SOI 4
OTHER 		Open Extracranial Vascular Procedures 7 $28,526.27 $33,066.02 $29,884.66 nat. median
$29,885
1.0× median
C9606
HCPCS 		Percutaneous Transluminal Revascularization 2 $25,823.26 $40,741.00 $28,518.70 nat. median
$17,833
1.6× median
APR00304 SOI 2
OTHER 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 $25,867.36 $29,983.97 $27,099.14 nat. median
$27,099
1.0× median
APR00181 SOI 3
OTHER 		Lower Extremity Vascular Procedures 7 $24,590.29 $28,503.66 $25,761.26 nat. median
$25,761
1.0× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 21 $22,986.94 $74,019.81 $25,745.37 nat. median
$32,654
0.8× median
APR00950 SOI 3
OTHER 		Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 $24,520.44 $28,422.70 $25,688.08 nat. median
$25,688
1.0× median
APR00300 SOI 2
OTHER 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 $24,392.39 $28,274.27 $25,553.94 nat. median
$25,554
1.0× median
APR00169 SOI 2
OTHER 		Major Abdominal Vascular Procedures 7 $24,076.72 $27,908.36 $25,223.23 nat. median
$25,223
1.0× median
APR00308 SOI 4
OTHER 		Hip And Femur Fracture Repair 7 $23,777.48 $27,561.50 $24,909.74 nat. median
$24,910
1.0× median
C1778
HCPCS 		Lead, Neurostimulator (Implantable) 2 $20,693.95 $37,164.78 $24,090.55 nat. median
$4,400
outlier · 5.5×
C1764
HCPCS 		Device Cardiac 9.4mmx46.5mm Assert-iq Thk3.1mm 3+ Icm 2 $19,004.70 $28,528.86 $23,766.78 nat. median
$7,735
outlier · 3.1×
APR00710 SOI 3
OTHER 		Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 $22,555.88 $26,145.48 $23,629.97 nat. median
$23,630
1.0× median
C1821
HCPCS 		Cage Spinal Modulus L50 Mm X W18 Mm X H10 Mm 10 D Xl 1 $15,364.25 $25,533.87 $23,502.48 nat. median
$3,532
outlier · 6.7×
C1785
HCPCS 		Pacemaker Cardiac Assurity MRI Thk6mm 2 Chamber Pulse Generator Is-1 Connector R… 2 $12,132.61 $33,780.96 $22,956.78 nat. median
$6,717
outlier · 3.4×
APR00300 SOI 1
OTHER 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 $21,474.65 $24,892.18 $22,497.25 nat. median
$22,497
1.0× median
APR00231 SOI 3
OTHER 		Major Large Bowel Procedures 7 $20,966.56 $24,303.24 $21,964.97 nat. median
$21,965
1.0× median
APR0030 SOI 2
OTHER 		Percutaneous Intracranial And Extracranial Vascular Procedures 7 $20,785.78 $24,093.69 $21,775.58 nat. median
$21,776
1.0× median
APR00174 SOI 3
OTHER 		Percutaneous Cardiac Intervention With Ami 7 $20,685.81 $23,977.81 $21,670.85 nat. median
$21,671
1.0× median
APR00720 SOI 4
OTHER 		Septicemia And Disseminated Infections 7 $20,645.41 $23,930.98 $21,628.52 nat. median
$21,629
1.0× median
APR00313 SOI 3
OTHER 		Knee And Lower Leg Procedures Except Foot 7 $20,491.34 $23,752.39 $21,467.11 nat. median
$21,467
1.0× median
APR00711 SOI 3
OTHER 		Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 7 $20,085.28 $23,281.70 $21,041.72 nat. median
$21,042
1.0× median
APR00323 SOI 3
OTHER 		Non-elective Or Complex Hip Joint Replacement 7 $19,493.65 $22,595.92 $20,421.92 nat. median
$20,422
1.0× median
APR00951 SOI 3
OTHER 		Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 $19,304.65 $22,376.85 $20,223.92 nat. median
$20,224
1.0× median
APR00304 SOI 1
OTHER 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 $18,986.24 $22,007.77 $19,890.35 nat. median
$19,890
1.0× median
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ A… 21 $17,734.61 $61,204.00 $19,862.76 nat. median
$26,592
0.7× median
C1761
HCPCS 		Catheter Ultrasound Shockwave C2+ 2.5mm .044in 138cm 12mm Coronary Arterial Conn… 1 $19,849.36 $19,849.36 $19,849.36 nat. median
$7,682
outlier · 2.6×
APR00181 SOI 2
OTHER 		Lower Extremity Vascular Procedures 7 $18,409.68 $21,339.45 $19,286.33 nat. median
$19,286
1.0× median
APR0024 SOI 3
OTHER 		Open Extracranial Vascular Procedures 7 $18,240.54 $21,143.39 $19,109.14 nat. median
$19,109
1.0× median
APR00694 SOI 4
OTHER 		Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 7 $18,172.07 $21,064.02 $19,037.40 nat. median
$19,037
1.0× median
APR0045 SOI 4
OTHER 		Cva And Precerebral Occlusion With Infarction 7 $18,015.94 $20,883.05 $18,873.84 nat. median
$18,874
1.0× median
APR00206 SOI 4
OTHER 		Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure 7 $17,857.76 $20,699.70 $18,708.13 nat. median
$18,708
1.0× median
APR00283 SOI 4
OTHER 		Other Disorders Of The Liver 7 $17,839.96 $20,679.06 $18,689.48 nat. median
$18,689
1.0× median
APR00194 SOI 4
OTHER 		Heart Failure 7 $17,813.25 $20,648.11 $18,661.50 nat. median
$18,662
1.0× median
APR00174 SOI 2
OTHER 		Percutaneous Cardiac Intervention With Ami 7 $17,616.04 $20,419.51 $18,454.90 nat. median
$18,455
1.0× median
APR00321 SOI 2
OTHER 		Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 7 $17,599.61 $20,400.46 $18,437.69 nat. median
$18,438
1.0× median
APR00200 SOI 4
OTHER 		Cardiac Structural And Valvular Disorders 7 $17,488.68 $20,271.88 $18,321.47 nat. median
$18,321
1.0× median
23472
CPT 		Prosthetic Repair Of Shoulder Joint, Total Shoulder 26 $853.60 $75,463.52 $18,222.35 nat. median
$16,677
1.1× median
23430
CPT 		Anchoring Of Biceps Tendon 26 $853.60 $75,463.52 $18,222.35 nat. median
$6,937
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 1,453 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
APR005 SOI 4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $94,677.17 $109,744.36 $99,185.60 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 21 — — $36,645.09 $117,213.00 $41,042.50 2026-01-01
APR00304 SOI 3 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $36,006.55 $41,736.73 $37,721.15 2026-01-01
APR00710 SOI 4 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $34,676.75 $40,195.31 $36,328.03 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 23 21 — — $32,190.58 $108,791.00 $36,053.45 2026-01-01
APR00299 SOI 2 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $34,315.88 $39,777.01 $35,949.97 2026-01-01
APR00175 SOI 4 OTHER Percutaneous Cardiac Intervention Without Ami 7 7 — — $33,013.48 $38,267.34 $34,585.55 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With McC 23 21 — — $29,960.72 $105,628.00 $33,556.01 2026-01-01
APR00300 SOI 3 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $31,827.48 $36,892.60 $33,343.07 2026-01-01
APR00174 SOI 4 OTHER Percutaneous Cardiac Intervention With Ami 7 7 — — $29,342.50 $34,012.15 $30,739.76 2026-01-01
APR00171 SOI 4 OTHER Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 7 7 — — $29,167.20 $33,808.95 $30,556.12 2026-01-01
APR00299 SOI 1 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $28,543.39 $33,085.86 $29,902.60 2026-01-01
APR0024 SOI 4 OTHER Open Extracranial Vascular Procedures 7 7 — — $28,526.27 $33,066.02 $29,884.66 2026-01-01
C9606 HCPCS Percutaneous Transluminal Revascularization 3 2 $26,594.50 $21,275.60 20% off $25,823.26 $40,741.00 $28,518.70 2026-01-01
APR00304 SOI 2 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $25,867.36 $29,983.97 $27,099.14 2026-01-01
APR00181 SOI 3 OTHER Lower Extremity Vascular Procedures 7 7 — — $24,590.29 $28,503.66 $25,761.26 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 23 21 — — $22,986.94 $74,019.81 $25,745.37 2026-01-01
APR00950 SOI 3 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $24,520.44 $28,422.70 $25,688.08 2026-01-01
APR00300 SOI 2 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $24,392.39 $28,274.27 $25,553.94 2026-01-01
APR00169 SOI 2 OTHER Major Abdominal Vascular Procedures 7 7 — — $24,076.72 $27,908.36 $25,223.23 2026-01-01
APR00308 SOI 4 OTHER Hip And Femur Fracture Repair 7 7 — — $23,777.48 $27,561.50 $24,909.74 2026-01-01
C1778 HCPCS Lead, Neurostimulator (Implantable) 3 2 $21,312.00 $17,049.60 20% off $20,693.95 $37,164.78 $24,090.55 2026-01-01
C1764 HCPCS Device Cardiac 9.4mmx46.5mm Assert-iq Thk3.1mm 3+ Icm 2 2 $19,572.30 $15,657.84 $19,004.70 $28,528.86 $23,766.78 2026-01-01
APR00710 SOI 3 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $22,555.88 $26,145.48 $23,629.97 2026-01-01
C1821 HCPCS Cage Spinal Modulus L50 Mm X W18 Mm X H10 Mm 10 D Xl 3 1 $21,913.06 $17,530.45 $15,364.25 $25,533.87 $23,502.48 2026-01-01
C1785 HCPCS Pacemaker Cardiac Assurity MRI Thk6mm 2 Chamber Pulse Generator Is-1 Connector R… 2 2 $12,494.96 $9,995.97 $12,132.61 $33,780.96 $22,956.78 2026-01-01
APR00300 SOI 1 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $21,474.65 $24,892.18 $22,497.25 2026-01-01
APR00231 SOI 3 OTHER Major Large Bowel Procedures 7 7 — — $20,966.56 $24,303.24 $21,964.97 2026-01-01
APR0030 SOI 2 OTHER Percutaneous Intracranial And Extracranial Vascular Procedures 7 7 — — $20,785.78 $24,093.69 $21,775.58 2026-01-01
APR00174 SOI 3 OTHER Percutaneous Cardiac Intervention With Ami 7 7 — — $20,685.81 $23,977.81 $21,670.85 2026-01-01
APR00720 SOI 4 OTHER Septicemia And Disseminated Infections 7 7 — — $20,645.41 $23,930.98 $21,628.52 2026-01-01
APR00313 SOI 3 OTHER Knee And Lower Leg Procedures Except Foot 7 7 — — $20,491.34 $23,752.39 $21,467.11 2026-01-01
APR00711 SOI 3 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 7 7 — — $20,085.28 $23,281.70 $21,041.72 2026-01-01
APR00323 SOI 3 OTHER Non-elective Or Complex Hip Joint Replacement 7 7 — — $19,493.65 $22,595.92 $20,421.92 2026-01-01
APR00951 SOI 3 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $19,304.65 $22,376.85 $20,223.92 2026-01-01
APR00304 SOI 1 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $18,986.24 $22,007.77 $19,890.35 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ A… 23 21 — — $17,734.61 $61,204.00 $19,862.76 2026-01-01
C1761 HCPCS Catheter Ultrasound Shockwave C2+ 2.5mm .044in 138cm 12mm Coronary Arterial Conn… 1 1 $20,442.18 $16,353.74 20% off $19,849.36 $19,849.36 $19,849.36 2026-01-01
APR00181 SOI 2 OTHER Lower Extremity Vascular Procedures 7 7 — — $18,409.68 $21,339.45 $19,286.33 2026-01-01
APR0024 SOI 3 OTHER Open Extracranial Vascular Procedures 7 7 — — $18,240.54 $21,143.39 $19,109.14 2026-01-01
APR00694 SOI 4 OTHER Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 7 7 — — $18,172.07 $21,064.02 $19,037.40 2026-01-01
APR0045 SOI 4 OTHER Cva And Precerebral Occlusion With Infarction 7 7 — — $18,015.94 $20,883.05 $18,873.84 2026-01-01
APR00206 SOI 4 OTHER Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure 7 7 — — $17,857.76 $20,699.70 $18,708.13 2026-01-01
APR00283 SOI 4 OTHER Other Disorders Of The Liver 7 7 — — $17,839.96 $20,679.06 $18,689.48 2026-01-01
APR00194 SOI 4 OTHER Heart Failure 7 7 — — $17,813.25 $20,648.11 $18,661.50 2026-01-01
APR00174 SOI 2 OTHER Percutaneous Cardiac Intervention With Ami 7 7 — — $17,616.04 $20,419.51 $18,454.90 2026-01-01
APR00321 SOI 2 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 7 7 — — $17,599.61 $20,400.46 $18,437.69 2026-01-01
APR00200 SOI 4 OTHER Cardiac Structural And Valvular Disorders 7 7 — — $17,488.68 $20,271.88 $18,321.47 2026-01-01
23430 CPT Anchoring Of Biceps Tendon 29 26 — — $853.60 $75,463.52 $18,222.35 2026-01-01
27702 CPT Reconstruction Of Ankle Joint With Prosthesis 29 26 — — $853.60 $75,463.52 $18,222.35 2026-01-01
23472 CPT Prosthetic Repair Of Shoulder Joint, Total Shoulder 29 26 — — $853.60 $75,463.52 $18,222.35 2026-01-01
APR0050 SOI 3 OTHER Non-bacterial Infections Of Nervous System Except Viral Meningitis 7 7 — — $16,997.02 $19,701.98 $17,806.41 2026-01-01
APR00227 SOI 3 OTHER Hernia Procedures Except Inguinal, Femoral And Umbilical 7 7 — — $16,873.77 $19,559.11 $17,677.28 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 23 21 — — $15,625.33 $54,087.00 $17,500.37 2026-01-01
APR00308 SOI 3 OTHER Hip And Femur Fracture Repair 7 7 — — $16,501.26 $19,127.32 $17,287.04 2026-01-01
APR00190 SOI 4 OTHER Acute Myocardial Infarction 7 7 — — $16,332.81 $18,932.06 $17,110.56 2026-01-01
APR0052 SOI 4 OTHER Alteration In Consciousness 7 7 — — $15,991.12 $18,535.99 $16,752.60 2026-01-01
APR00175 SOI 1 OTHER Percutaneous Cardiac Intervention Without Ami 7 7 — — $15,885.66 $18,413.75 $16,642.13 2026-01-01
APR00325 SOI 1 OTHER Non-elective Or Complex Knee Joint Replacement 7 7 — — $15,845.95 $18,367.72 $16,600.52 2026-01-01
APR00136 SOI 4 OTHER Respiratory Malignancy 7 7 — — $15,835.68 $18,355.81 $16,589.76 2026-01-01
APR00326 SOI 3 OTHER Elective Knee Joint Replacement 7 7 — — $15,728.17 $18,231.20 $16,477.13 2026-01-01
APR00263 SOI 3 OTHER Cholecystectomy 7 7 — — $15,696.67 $18,194.69 $16,444.13 2026-01-01
APR00253 SOI 4 OTHER Other And Unspecified Gastrointestinal Hemorrhage 7 7 — — $15,652.85 $18,143.89 $16,398.22 2026-01-01
APR00421 SOI 4 OTHER Malnutrition, Failure To Thrive And Other Nutritional Disorders 7 7 — — $15,556.30 $18,031.97 $16,297.07 2026-01-01
APR00710 SOI 2 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $15,213.92 $17,635.11 $15,938.39 2026-01-01
APR00134 SOI 4 OTHER Pulmonary Embolism 7 7 — — $15,165.30 $17,578.75 $15,887.46 2026-01-01
APR00137 SOI 4 OTHER Major Respiratory Infections And Inflammations 7 7 — — $15,122.85 $17,529.54 $15,842.98 2026-01-01
APR00230 SOI 2 OTHER Major Small Bowel Procedures 7 7 — — $15,112.57 $17,517.63 $15,832.22 2026-01-01
APR00466 SOI 4 OTHER Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure 7 7 — — $15,043.41 $17,437.47 $15,759.77 2026-01-01
APR00192 SOI 3 OTHER Cardiac Catheterization For Other Non-coronary Conditions 7 7 — — $15,039.99 $17,433.50 $15,756.18 2026-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC 23 21 — — $13,803.51 $46,608.00 $15,459.93 2026-01-01
APR00231 SOI 2 OTHER Major Large Bowel Procedures 7 7 — — $14,579.15 $16,899.32 $15,273.39 2026-01-01
APR00323 SOI 2 OTHER Non-elective Or Complex Hip Joint Replacement 7 7 — — $14,494.92 $16,801.69 $15,185.16 2026-01-01
APR00313 SOI 2 OTHER Knee And Lower Leg Procedures Except Foot 7 7 — — $14,427.13 $16,723.11 $15,114.14 2026-01-01
C1732 HCPCS Catheter Electrophysiology Carto 3 Thermocool Sf D-d Curve 7.5fr Bidirectional D… 2 2 $13,248.27 $10,598.62 $12,864.07 $16,618.12 $14,741.09 2026-01-01
APR00171 SOI 2 OTHER Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 7 7 — — $14,031.34 $16,264.33 $14,699.50 2026-01-01
APR00426 SOI 4 OTHER Non-hypovolemic Sodium Disorders 7 7 — — $13,928.63 $16,145.27 $14,591.90 2026-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 23 21 — — $13,023.93 $50,364.00 $14,586.80 2026-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 23 21 — — $13,005.03 $43,826.00 $14,565.63 2026-01-01
APR00174 SOI 1 OTHER Percutaneous Cardiac Intervention With Ami 7 7 — — $13,901.93 $16,114.32 $14,563.92 2026-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With McC 23 21 — — $12,661.52 $40,771.13 $14,180.90 2026-01-01
100 MS_DRG Seizures With McC 23 21 — — $12,624.37 $40,651.50 $14,139.29 2026-01-01
470 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity 23 21 — — $12,572.88 $44,010.00 $14,081.63 2026-01-01
APR00181 SOI 1 OTHER Lower Extremity Vascular Procedures 7 7 — — $13,399.31 $15,531.72 $14,037.38 2026-01-01
APR00201 SOI 4 OTHER Cardiac Arrhythmia And Conduction Disorders 7 7 — — $13,338.37 $15,461.08 $13,973.53 2026-01-01
APR00226 SOI 3 OTHER Anal And Perineal Procedures 7 7 — — $13,152.80 $15,245.98 $13,779.13 2026-01-01
APR00951 SOI 2 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $13,149.38 $15,242.01 $13,775.54 2026-01-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 23 21 — — $12,190.91 $42,778.00 $13,653.82 2026-01-01
APR00308 SOI 2 OTHER Hip And Femur Fracture Repair 7 7 — — $12,996.68 $15,065.01 $13,615.57 2026-01-01
APR00224 SOI 2 OTHER Peritoneal Adhesiolysis 7 7 — — $12,646.08 $14,658.62 $13,248.28 2026-01-01
APR0058 SOI 3 OTHER Other Disorders Of Nervous System 7 7 — — $12,624.85 $14,634.01 $13,226.04 2026-01-01
APR00139 SOI 4 OTHER Other Pneumonia 7 7 — — $12,496.81 $14,485.58 $13,091.89 2026-01-01
APR00661 SOI 3 OTHER Coagulation And Platelet Disorders 7 7 — — $12,465.99 $14,449.86 $13,059.61 2026-01-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC 23 21 — — $11,529.97 $37,263.00 $12,913.57 2026-01-01
27447 CPT Replacement Of Knee Joint, Both Sides Of Knee 29 26 — — $853.60 $52,798.96 $12,873.27 2026-01-01
APR00770 SOI 4 OTHER Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice 7 7 — — $12,282.48 $14,237.14 $12,867.36 2026-01-01
27130 CPT Replacement Of Thigh Bone And Hip Joint With Prosthesis 28 26 — — $853.60 $52,798.96 $12,811.38 2026-01-01
C1714 HCPCS System Internal Fixation 4 Leg Low Profile Broad Bridge Dynaclip Forte L30 Mm X … 2 2 $11,939.10 $9,551.28 20% off $11,592.87 $13,997.91 $12,795.39 2026-01-01
22551 CPT Fusion Of Upper Spine Bone With Removal Of Disc And Release Of Spinal Cord Or Ne… 29 26 — — $853.60 $52,798.96 $12,749.48 2026-01-01
28715 CPT Fusion Of 3 Bones Of Ankle 29 26 — — $853.60 $52,798.96 $12,749.48 2026-01-01
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 27 25 $91,300.50 $73,040.40 20% off $9,678.90 $40,396.80 $12,745.30 2026-01-01
APR00140 SOI 4 OTHER Chronic Obstructive Pulmonary Disease 7 7 — — $12,132.51 $14,063.32 $12,710.25 2026-01-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 19 18 — — $11,747.03 $31,129.40 $12,686.79 2026-01-01
APR0030 SOI 1 OTHER Percutaneous Intracranial And Extracranial Vascular Procedures 7 7 — — $12,103.07 $14,029.19 $12,679.41 2026-01-01
92979 CPT Ultrasound Of Heart Blood Vessel Or Graft, Ea Addl Vessel 3 2 $4,164.00 $3,331.20 20% off $4,043.24 $18,076.00 $12,653.20 2026-01-01
APR0043 SOI 2 OTHER Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 7 7 — — $12,057.19 $13,976.01 $12,631.34 2026-01-01
APR00323 SOI 1 OTHER Non-elective Or Complex Hip Joint Replacement 7 7 — — $12,002.41 $13,912.51 $12,573.95 2026-01-01
APR00220 SOI 1 OTHER Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $11,793.56 $13,670.42 $12,355.16 2026-01-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 23 21 — — $11,026.12 $35,504.99 $12,349.25 2026-01-01
APR00462 SOI 3 OTHER Nephritis And Nephrosis 7 7 — — $11,784.66 $13,660.10 $12,345.83 2026-01-01
C1874 HCPCS System Coronary Stent 38mm 2.75mm Xience Skypoint Multi-link Pebax Everolimus Co… 7 2 $12,178.32 $9,742.66 $3,988.84 $42,190.45 $12,247.48 2026-01-01
APR00223 SOI 2 OTHER Other Small And Large Bowel Procedures 7 7 — — $11,687.42 $13,547.39 $12,243.97 2026-01-01
APR00792 SOI 1 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $11,611.42 $13,459.29 $12,164.34 2026-01-01
APR00171 SOI 1 OTHER Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 7 7 — — $11,586.08 $13,429.92 $12,137.80 2026-01-01
APR00463 SOI 4 OTHER Kidney And Urinary Tract Infections 7 7 — — $11,552.53 $13,391.03 $12,102.65 2026-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With McC 23 21 — — $10,783.64 $34,724.20 $12,077.68 2026-01-01
APR00721 SOI 3 OTHER Post-operative, Post-traumatic, Other Device Infections 7 7 — — $11,453.24 $13,275.94 $11,998.63 2026-01-01
APR00263 SOI 2 OTHER Cholecystectomy 7 7 — — $11,404.62 $13,219.58 $11,947.70 2026-01-01
APR00231 SOI 1 OTHER Major Large Bowel Procedures 7 7 — — $11,371.07 $13,180.69 $11,912.54 2026-01-01
C1889 HCPCS Substitute Bone Graft I Factor Allograft Putty Syringe 5cc 1 1 $12,178.32 $9,742.66 $11,825.15 $11,825.15 $11,825.15 2026-01-01
APR00344 SOI 3 OTHER Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 7 7 — — $11,221.79 $13,007.66 $11,756.16 2026-01-01
0360 RC — 5 1 $12,093.25 $9,674.60 20% off $3,671.11 $17,120.67 $11,742.55 2026-01-01
APR00720 SOI 3 OTHER Septicemia And Disseminated Infections 7 7 — — $11,195.77 $12,977.49 $11,728.90 2026-01-01
620 MS_DRG O.r. Procedures For Obesity With Cc 23 21 — — $10,431.01 $38,048.00 $11,682.73 2026-01-01
368 MS_DRG Major Esophageal Disorders With McC 23 21 — — $10,376.26 $39,928.00 $11,621.41 2026-01-01
APR00694 SOI 3 OTHER Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 7 7 — — $11,010.20 $12,762.39 $11,534.49 2026-01-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With McC 23 21 — — $10,271.32 $33,074.47 $11,503.88 2026-01-01
177 MS_DRG Respiratory Infections And Inflammations With McC 23 21 — — $10,185.93 $39,755.00 $11,408.24 2026-01-01
APR0045 SOI 3 OTHER Cva And Precerebral Occlusion With Infarction 7 7 — — $10,867.08 $12,596.50 $11,384.57 2026-01-01
APR00313 SOI 1 OTHER Knee And Lower Leg Procedures Except Foot 7 7 — — $10,828.74 $12,552.05 $11,344.39 2026-01-01
APR00660 SOI 3 OTHER Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 7 7 — — $10,735.61 $12,444.11 $11,246.83 2026-01-01
APR00422 SOI 4 OTHER Hypovolemia And Related Electrolyte Disorders 7 7 — — $10,712.33 $12,417.12 $11,222.44 2026-01-01
APR00403 SOI 2 OTHER Procedures For Obesity 7 7 — — $10,489.78 $12,159.16 $10,989.30 2026-01-01
92973 CPT Removal Of Blood Clot In Heart Artery 4 3 $9,499.25 $7,599.40 20% off $209.20 $18,076.00 $10,938.49 2026-01-01
37228 CPT Balloon Dilation Of Artery Of Leg, Initial Vessel 30 27 $6,122.00 $4,897.60 $518.43 $33,310.51 $10,909.86 2026-01-01
37226 CPT Insertion Of Stent In Arteries Of Leg 30 27 $11,342.50 $9,074.00 20% off $468.11 $37,768.17 $10,909.86 2026-01-01
0481 RC — 26 23 $23,965.00 $19,172.00 20% off $331.35 $40,741.00 $10,909.86 2026-01-01
727 MS_DRG Inflammation Of The Male Reproductive System With McC 23 21 — — $9,665.78 $31,124.59 $10,825.67 2026-01-01
APR00710 SOI 1 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $10,315.17 $11,956.76 $10,806.37 2026-01-01
APR00192 SOI 2 OTHER Cardiac Catheterization For Other Non-coronary Conditions 7 7 — — $10,310.38 $11,951.20 $10,801.35 2026-01-01
APR00324 SOI 1 OTHER Elective Hip Joint Replacement 7 7 — — $10,276.82 $11,912.31 $10,766.20 2026-01-01
APR00206 SOI 3 OTHER Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure 7 7 — — $10,251.49 $11,882.94 $10,739.65 2026-01-01
APR0024 SOI 2 OTHER Open Extracranial Vascular Procedures 7 7 — — $10,241.22 $11,871.03 $10,728.89 2026-01-01
APR00308 SOI 1 OTHER Hip And Femur Fracture Repair 7 7 — — $10,078.25 $11,682.13 $10,558.16 2026-01-01
APR00224 SOI 1 OTHER Peritoneal Adhesiolysis 7 7 — — $10,057.02 $11,657.52 $10,535.92 2026-01-01
58571 CPT Remove Uterus/Tubes/Ovaries Through Abdomen With Endoscope, 250.0g Or Less 29 26 — — $853.60 $42,722.39 $10,416.43 2026-01-01
APR00314 SOI 2 OTHER Foot And Toe Procedures 7 7 — — $9,921.44 $11,500.36 $10,393.89 2026-01-01
602 MS_DRG Cellulitis With McC 23 21 — — $9,264.26 $30,994.00 $10,375.97 2026-01-01
APR00228 SOI 2 OTHER Inguinal, Femoral And Umbilical Hernia Procedures 7 7 — — $9,853.65 $11,421.78 $10,322.87 2026-01-01
58542 CPT Partial Removal Of Uterus, Tubes, And/or Ovaries With Retention Of Cervix Using … 29 26 — — $853.60 $42,722.39 $10,316.27 2026-01-01
43281 CPT Repair Of Hernia Of Muscle At Esophagus And Stomach Using An Endoscope 29 26 — — $853.60 $42,722.39 $10,316.27 2026-01-01
APR00310 SOI 1 OTHER Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 7 7 — — $9,787.91 $11,345.58 $10,254.00 2026-01-01
C1876 HCPCS Stent Nitinol Od10 Mm Odsec6 Fr L60 Mm L80 Cm Delivery System Radiopaque Cathete… 7 2 $9,855.74 $7,884.59 20% off $4,458.11 $14,139.50 $10,252.33 2026-01-01
811 MS_DRG Red Blood Cell Disorders With McC 23 21 — — $9,153.45 $29,474.85 $10,251.86 2026-01-01
APR00315 SOI 1 OTHER Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 7 7 — — $9,668.76 $11,207.48 $10,129.18 2026-01-01
794 MS_DRG Neonate With Other Significant Problems 19 18 — — $6,762.57 $25,493.22 $10,101.16 2026-01-01
APR00242 SOI 3 OTHER Major Esophageal Disorders 7 7 — — $9,613.98 $11,143.98 $10,071.79 2026-01-01
APR00241 SOI 3 OTHER Peptic Ulcer And Gastritis 7 7 — — $9,594.81 $11,121.75 $10,051.70 2026-01-01
APR00143 SOI 3 OTHER Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses 7 7 — — $9,583.85 $11,109.05 $10,040.23 2026-01-01
APR00283 SOI 3 OTHER Other Disorders Of The Liver 7 7 — — $9,528.39 $11,044.76 $9,982.12 2026-01-01
APR0053 SOI 3 OTHER Seizure 7 7 — — $9,480.45 $10,989.20 $9,931.90 2026-01-01
APR00384 SOI 3 OTHER Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue 7 7 — — $9,446.90 $10,950.31 $9,896.75 2026-01-01
APR00197 SOI 3 OTHER Peripheral And Other Vascular Disorders 7 7 — — $9,425.67 $10,925.70 $9,874.51 2026-01-01
92978 CPT Ultrasound Of Heart Blood Vessel Or Graft Initial Vessel 4 3 $7,134.00 $5,707.20 20% off $300.06 $18,076.00 $9,790.16 2026-01-01
APR00230 SOI 1 OTHER Major Small Bowel Procedures 7 7 — — $9,321.59 $10,805.05 $9,765.47 2026-01-01
APR00134 SOI 3 OTHER Pulmonary Embolism 7 7 — — $9,290.09 $10,768.54 $9,732.48 2026-01-01
APR00194 SOI 3 OTHER Heart Failure 7 7 — — $9,248.32 $10,720.12 $9,688.72 2026-01-01
APR00469 SOI 3 OTHER Acute Kidney Injury 7 7 — — $9,216.82 $10,683.61 $9,655.72 2026-01-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 23 21 — — $8,615.05 $40,163.00 $9,648.86 2026-01-01
APR00191 SOI 2 OTHER Cardiac Catheterization For Coronary Artery Disease 7 7 — — $9,151.09 $10,607.42 $9,586.85 2026-01-01
APR0052 SOI 3 OTHER Alteration In Consciousness 7 7 — — $9,143.55 $10,598.68 $9,578.96 2026-01-01
APR0058 SOI 2 OTHER Other Disorders Of Nervous System 7 7 — — $9,099.04 $10,547.09 $9,532.33 2026-01-01
APR00951 SOI 1 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $9,073.71 $10,517.72 $9,505.79 2026-01-01
APR00421 SOI 3 OTHER Malnutrition, Failure To Thrive And Other Nutritional Disorders 7 7 — — $9,073.71 $10,517.72 $9,505.79 2026-01-01
APR00254 SOI 3 OTHER Other Digestive System Diagnoses 7 7 — — $8,997.70 $10,429.62 $9,426.16 2026-01-01
APR00133 SOI 3 OTHER Respiratory Failure 7 7 — — $8,994.96 $10,426.44 $9,423.29 2026-01-01
291 MS_DRG Heart Failure And Shock With McC 23 21 — — $8,368.01 $31,502.00 $9,372.17 2026-01-01
APR00466 SOI 3 OTHER Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure 7 7 — — $8,917.58 $10,336.75 $9,342.23 2026-01-01
APR00248 SOI 3 OTHER Major Gastrointestinal And Peritoneal Infections 7 7 — — $8,892.93 $10,308.18 $9,316.40 2026-01-01
APR00244 SOI 3 OTHER Diverticulitis And Diverticulosis 7 7 — — $8,707.36 $10,093.08 $9,122.00 2026-01-01
APR00860 SOI 1 OTHER Rehabilitation 7 7 — — $8,653.95 $10,031.17 $9,066.04 2026-01-01
APR00862 SOI 3 OTHER Other Aftercare And Convalescence 7 7 — — $8,625.19 $9,997.83 $9,035.92 2026-01-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 23 21 — — $8,052.53 $25,929.81 $9,018.83 2026-01-01
APR00661 SOI 2 OTHER Coagulation And Platelet Disorders 7 7 — — $8,600.54 $9,969.26 $9,010.09 2026-01-01
APR00468 SOI 3 OTHER Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms 7 7 — — $8,575.89 $9,940.68 $8,984.27 2026-01-01
C1762 HCPCS Graft Soft Tissue Anterior Tibialis Tendon Allograft Frozen 2 2 $9,807.90 $7,846.32 20% off $8,397.15 $9,523.47 $8,960.31 2026-01-01
APR00540 SOI 3 OTHER Cesarean Section Without Sterilization 7 7 — — $8,534.80 $9,893.06 $8,941.22 2026-01-01
APR00403 SOI 1 OTHER Procedures For Obesity 7 7 — — $8,484.82 $9,835.12 $8,888.86 2026-01-01
APR00663 SOI 3 OTHER Other Anemia And Disorders Of Blood And Blood-forming Organs 7 7 — — $8,383.47 $9,717.64 $8,782.69 2026-01-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With McC 23 21 — — $7,838.09 $25,239.27 $8,778.66 2026-01-01
C2623 HCPCS Balloon Dilatation Lutonix 035 9mm 60mm 75cm Paclitaxel Latex Free Accepts .035i… 3 1 $9,007.61 $7,206.09 $8,150.90 $14,739.21 $8,746.39 2026-01-01
J3101 HCPCS Tenecteplase IV Push For Acute Ischemic Stroke 27 25 $58,729.50 $46,983.60 20% off $6,539.40 $27,510.40 $8,611.05 2026-01-01
APR00233 SOI 1 OTHER Appendectomy With Complex Principal Diagnosis 7 7 — — $8,145.86 $9,442.22 $8,533.76 2026-01-01
APR0047 SOI 3 OTHER Transient Ischemia 7 7 — — $8,135.59 $9,430.31 $8,523.00 2026-01-01
APR00192 SOI 1 OTHER Cardiac Catheterization For Other Non-coronary Conditions 7 7 — — $8,042.46 $9,322.37 $8,425.44 2026-01-01
APR00137 SOI 3 OTHER Major Respiratory Infections And Inflammations 7 7 — — $8,036.30 $9,315.22 $8,418.98 2026-01-01
APR00247 SOI 3 OTHER Intestinal Obstruction 7 7 — — $7,961.66 $9,228.71 $8,340.79 2026-01-01
APR00501 SOI 3 OTHER Male Reproductive System Diagnoses Except Malignancy 7 7 — — $7,939.75 $9,203.31 $8,317.83 2026-01-01
APR00426 SOI 3 OTHER Non-hypovolemic Sodium Disorders 7 7 — — $7,887.71 $9,142.98 $8,263.31 2026-01-01
APR00228 SOI 1 OTHER Inguinal, Femoral And Umbilical Hernia Procedures 7 7 — — $7,874.70 $9,127.90 $8,249.68 2026-01-01
APR00861 SOI 3 OTHER Signs, Symptoms And Other Factors Influencing Health Status 7 7 — — $7,808.28 $9,050.91 $8,180.10 2026-01-01
APR0045 SOI 2 OTHER Cva And Precerebral Occlusion With Infarction 7 7 — — $7,798.01 $9,039.00 $8,169.34 2026-01-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 23 21 — — $7,279.48 $29,385.00 $8,153.02 2026-01-01
APR00420 SOI 3 OTHER Diabetes 7 7 — — $7,771.30 $9,008.05 $8,141.36 2026-01-01
APR0024 SOI 1 OTHER Open Extracranial Vascular Procedures 7 7 — — $7,725.42 $8,954.87 $8,093.30 2026-01-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With McC 23 21 — — $7,220.17 $24,444.00 $8,086.59 2026-01-01
APR00191 SOI 1 OTHER Cardiac Catheterization For Coronary Artery Disease 7 7 — — $7,695.29 $8,919.94 $8,061.74 2026-01-01
J0180 HCPCS Agalsidase Beta 35 Mg Intravenous Solution 27 25 $58,784.50 $47,027.60 20% off $6,117.65 $25,789.12 $8,055.39 2026-01-01
APR0046 SOI 2 OTHER Nonspecific Cva And Precerebral Occlusion Without Infarction 7 7 — — $7,662.42 $8,881.84 $8,027.30 2026-01-01
APR00139 SOI 3 OTHER Other Pneumonia 7 7 — — $7,642.57 $8,858.83 $8,006.50 2026-01-01
APR00383 SOI 3 OTHER Cellulitis And Other Skin Infections 7 7 — — $7,630.93 $8,845.33 $7,994.30 2026-01-01
33285 CPT Insertion Of Heart Rhythm Monitor Under Skin 25 23 $29,808.00 $23,846.40 $92.15 $34,157.00 $7,961.66 2026-01-01
33210 CPT Insertion Of Temporary Pacemaker Lead In Single Heart Chamber 30 27 $9,299.00 $7,439.20 20% off $181.39 $18,724.00 $7,961.66 2026-01-01
APR00344 SOI 2 OTHER Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 7 7 — — $7,593.95 $8,802.47 $7,955.57 2026-01-01
APR00196 SOI 3 OTHER Cardiac Arrest And Shock 7 7 — — $7,591.21 $8,799.30 $7,952.70 2026-01-01
APR00812 SOI 3 OTHER Poisoning Of Medicinal Agents 7 7 — — $7,558.34 $8,761.20 $7,918.26 2026-01-01
APR00314 SOI 1 OTHER Foot And Toe Procedures 7 7 — — $7,526.84 $8,724.69 $7,885.26 2026-01-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC 23 21 — — $6,975.08 $24,895.00 $7,812.09 2026-01-01
APR00136 SOI 2 OTHER Respiratory Malignancy 7 7 — — $7,441.25 $8,625.47 $7,795.59 2026-01-01
APR00114 SOI 3 OTHER Dental Diseases And Disorders 7 7 — — $7,411.12 $8,590.55 $7,764.03 2026-01-01
APR00249 SOI 3 OTHER Other Gastroenteritis, Nausea And Vomiting 7 7 — — $7,357.02 $8,527.84 $7,707.36 2026-01-01
APR00190 SOI 2 OTHER Acute Myocardial Infarction 7 7 — — $7,314.57 $8,478.63 $7,662.88 2026-01-01
APR00201 SOI 3 OTHER Cardiac Arrhythmia And Conduction Disorders 7 7 — — $7,296.08 $8,457.20 $7,643.51 2026-01-01
APR00425 SOI 3 OTHER Other Non-hypovolemic Electrolyte Disorders 7 7 — — $7,207.06 $8,354.01 $7,550.26 2026-01-01
644 MS_DRG Endocrine Disorders With Cc 23 21 — — $6,681.11 $21,513.73 $7,482.84 2026-01-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC 23 21 — — $6,670.03 $21,893.00 $7,470.43 2026-01-01
APR00720 SOI 2 OTHER Septicemia And Disseminated Infections 7 7 — — $7,042.04 $8,162.72 $7,377.37 2026-01-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 23 21 — — $6,585.30 $22,209.00 $7,375.54 2026-01-01
APR00347 SOI 2 OTHER Other Back And Neck Disorders, Fractures And Injuries 7 7 — — $7,018.75 $8,135.74 $7,352.98 2026-01-01
APR00721 SOI 2 OTHER Post-operative, Post-traumatic, Other Device Infections 7 7 — — $6,957.13 $8,064.30 $7,288.42 2026-01-01
APR00773 SOI 3 OTHER Opioid Abuse And Dependence 7 7 — — $6,938.64 $8,042.87 $7,269.05 2026-01-01
APR00463 SOI 3 OTHER Kidney And Urinary Tract Infections 7 7 — — $6,938.64 $8,042.87 $7,269.05 2026-01-01
APR00140 SOI 3 OTHER Chronic Obstructive Pulmonary Disease 7 7 — — $6,844.14 $7,933.34 $7,170.05 2026-01-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 23 21 — — $6,392.36 $20,994.00 $7,159.44 2026-01-01
63030 CPT Partial Removal Of Spine Bone With Release Of Lower Spinal Cord Or Nerves And/or… 29 26 — — $853.60 $29,314.26 $7,147.31 2026-01-01
APR00349 SOI 2 OTHER Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure 7 7 — — $6,813.33 $7,897.62 $7,137.77 2026-01-01
APR00660 SOI 2 OTHER Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 7 7 — — $6,786.62 $7,866.66 $7,109.79 2026-01-01
APR00862 SOI 2 OTHER Other Aftercare And Convalescence 7 7 — — $6,774.30 $7,852.38 $7,096.88 2026-01-01
29828 CPT Arthroscopy, Shoulder, Surgical; Biceps Tenodesis 29 26 — — $853.60 $29,314.26 $7,078.58 2026-01-01
29827 CPT Arthroscopy, Shoulder, Surgical; With Rotator Cuff Repair 29 26 — — $853.60 $29,314.26 $7,078.58 2026-01-01
29826 CPT Arthroscopy, Shoulder, Surgical; Decompression Of Subacromial Space With Partial… 29 26 — — $853.60 $29,314.26 $7,078.58 2026-01-01
29824 CPT Arthroscopy, Shoulder, Surgical; Distal Claviculectomy Including Distal Articula… 29 26 — — $853.60 $29,314.26 $7,078.58 2026-01-01
29823 CPT Removal Of Extensive Shoulder Joint Tissue Using An Endoscope 29 26 — — $853.60 $29,314.26 $7,078.58 2026-01-01
28750 CPT Fusion Of Big Toe At Joint With Foot 29 26 — — $853.60 $29,314.26 $7,078.58 2026-01-01
28285 CPT Correction Of Toe Joint Deformity 29 26 — — $853.60 $29,314.26 $7,078.58 2026-01-01
28110 CPT Removal Of Bunion At Fifth Toe Joint 29 26 — — $853.60 $29,314.26 $7,078.58 2026-01-01
27698 CPT Secondary Repair Of Disrupted Collateral Ligament Of Ankle 29 26 — — $853.60 $29,314.26 $7,078.58 2026-01-01
24685 CPT Treatment Of Broken Forearm Bone On Small Finger Side At Elbow 29 26 — — $853.60 $29,314.26 $7,078.58 2026-01-01
APR00200 SOI 2 OTHER Cardiac Structural And Valvular Disorders 7 7 — — $6,750.33 $7,824.60 $7,071.77 2026-01-01
552 MS_DRG Medical Back Problems Without McC 23 21 — — $6,265.91 $20,176.73 $7,017.82 2026-01-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/McC 23 21 — — $6,249.61 $29,385.00 $6,999.56 2026-01-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/McC 23 21 — — $6,243.09 $29,385.00 $6,992.26 2026-01-01
206 MS_DRG Other Respiratory System Diagnoses Without McC 23 21 — — $6,134.24 $19,752.75 $6,870.35 2026-01-01
APR00422 SOI 3 OTHER Hypovolemia And Related Electrolyte Disorders 7 7 — — $6,554.49 $7,597.59 $6,866.61 2026-01-01
APR0047 SOI 2 OTHER Transient Ischemia 7 7 — — $6,496.97 $7,530.92 $6,806.35 2026-01-01
APR00241 SOI 2 OTHER Peptic Ulcer And Gastritis 7 7 — — $6,469.58 $7,499.17 $6,777.65 2026-01-01
APR00364 SOI 1 OTHER Other Skin, Subcutaneous Tissue And Related Procedures 7 7 — — $6,436.71 $7,461.07 $6,743.22 2026-01-01
APR00280 SOI 2 OTHER Alcoholic Liver Disease 7 7 — — $6,405.90 $7,425.35 $6,710.94 2026-01-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 23 21 — — $5,990.84 $21,222.00 $6,709.74 2026-01-01
APR00813 SOI 2 OTHER Other Complications Of Treatment 7 7 — — $6,326.46 $7,333.28 $6,627.73 2026-01-01
APR00190 SOI 1 OTHER Acute Myocardial Infarction 7 7 — — $6,325.10 $7,331.69 $6,626.29 2026-01-01
APR00243 SOI 2 OTHER Other Esophageal Disorders 7 7 — — $6,308.66 $7,312.64 $6,609.07 2026-01-01
APR00661 SOI 1 OTHER Coagulation And Platelet Disorders 7 7 — — $6,301.13 $7,303.91 $6,601.18 2026-01-01
APR00283 SOI 2 OTHER Other Disorders Of The Liver 7 7 — — $6,250.46 $7,245.17 $6,548.10 2026-01-01
APR0058 SOI 1 OTHER Other Disorders Of Nervous System 7 7 — — $6,242.92 $7,236.44 $6,540.21 2026-01-01
APR00144 SOI 2 OTHER Respiratory Signs, Symptoms And Miscellaneous Diagnoses 7 7 — — $6,235.39 $7,227.71 $6,532.32 2026-01-01
APR00561 SOI 3 OTHER Postpartum And Post Abortion Diagnoses Without Procedure 7 7 — — $6,227.18 $7,218.19 $6,523.71 2026-01-01
APR00245 SOI 2 OTHER Inflammatory Bowel Disease 7 7 — — $6,179.24 $7,162.62 $6,473.49 2026-01-01
38525 CPT Biopsy Or Removal Of Deep Lymph Nodes Of Underarm 29 26 — — $853.60 $26,760.77 $6,461.98 2026-01-01
APR00133 SOI 2 OTHER Respiratory Failure 7 7 — — $6,112.82 $7,085.63 $6,403.91 2026-01-01
683 MS_DRG Renal Failure With Cc 23 21 — — $5,708.60 $19,569.00 $6,393.63 2026-01-01
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 27 25 $67,694.75 $54,155.80 $4,855.20 $21,177.60 $6,393.30 2026-01-01
APR00254 SOI 2 OTHER Other Digestive System Diagnoses 7 7 — — $6,050.51 $7,013.40 $6,338.63 2026-01-01
APR00246 SOI 2 OTHER Gastrointestinal Vascular Insufficiency 7 7 — — $6,042.29 $7,003.88 $6,330.02 2026-01-01
APR00253 SOI 2 OTHER Other And Unspecified Gastrointestinal Hemorrhage 7 7 — — $6,041.61 $7,003.08 $6,329.30 2026-01-01
64555 CPT Insertion Of Peripheral Nerve Neurostimulator Electrode Through Skin 25 23 $24,831.25 $19,865.00 20% off $157.40 $24,338.00 $6,313.64 2026-01-01
63650 CPT Insertion Of Spinal Neurostimulator Electrode Array Through Skin 30 27 $23,939.00 $19,151.20 20% off $410.25 $24,338.00 $6,313.64 2026-01-01
APR00465 SOI 2 OTHER Urinary Stones And Acquired Upper Urinary Tract Obstruction 7 7 — — $6,025.86 $6,984.83 $6,312.80 2026-01-01
APR0053 SOI 2 OTHER Seizure 7 7 — — $6,000.52 $6,955.46 $6,286.26 2026-01-01
0270 RC — 1 1 $6,458.86 $5,167.09 $6,271.55 $6,271.55 $6,271.55 2026-01-01
APR00197 SOI 2 OTHER Peripheral And Other Vascular Disorders 7 7 — — $5,986.14 $6,938.79 $6,271.20 2026-01-01
APR00663 SOI 2 OTHER Other Anemia And Disorders Of Blood And Blood-forming Organs 7 7 — — $5,973.13 $6,923.71 $6,257.57 2026-01-01
49593 CPT Initial Repair Of Sliding Hernia Of Abdomen, 3-10 Cm In Length 29 26 — — $853.60 $25,604.77 $6,242.87 2026-01-01
APR00281 SOI 1 OTHER Malignancy Of Hepatobiliary System And Pancreas 7 7 — — $5,951.22 $6,898.31 $6,234.61 2026-01-01
APR0042 SOI 1 OTHER Degenerative Nervous System Disorders Except Multiple Sclerosis 7 7 — — $5,950.53 $6,897.52 $6,233.89 2026-01-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 23 21 — — $5,494.81 $19,553.00 $6,154.19 2026-01-01
APR00248 SOI 2 OTHER Major Gastrointestinal And Peritoneal Infections 7 7 — — $5,868.36 $6,802.27 $6,147.81 2026-01-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 23 21 — — $5,483.08 $18,528.00 $6,141.05 2026-01-01
APR00134 SOI 2 OTHER Pulmonary Embolism 7 7 — — $5,855.35 $6,787.19 $6,134.18 2026-01-01
APR00282 SOI 2 OTHER Disorders Of Pancreas Except Malignancy 7 7 — — $5,786.88 $6,707.82 $6,062.44 2026-01-01
APR00539 SOI 2 OTHER Cesarean Section With Sterilization 7 7 — — $5,785.51 $6,706.23 $6,061.01 2026-01-01
APR00204 SOI 2 OTHER Syncope And Collapse 7 7 — — $5,773.18 $6,691.94 $6,048.10 2026-01-01
APR00207 SOI 2 OTHER Other Circulatory System Diagnoses 7 7 — — $5,753.32 $6,668.92 $6,027.29 2026-01-01
C1776 HCPCS Liner Acetabular Pinnacle Neutral 50mm 32mm Altrx Hip Sterile Latex Free 38 2 $6,034.80 $4,827.84 20% off $3,636.88 $31,674.51 $5,971.69 2026-01-01
APR00466 SOI 2 OTHER Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure 7 7 — — $5,687.59 $6,592.73 $5,958.42 2026-01-01
APR00194 SOI 2 OTHER Heart Failure 7 7 — — $5,669.78 $6,572.09 $5,939.77 2026-01-01
42820 CPT Removal Of Tonsils And Adenoid Glands (younger Than 12 Years) 29 26 — — $853.60 $24,274.88 $5,918.62 2026-01-01
APR00540 SOI 2 OTHER Cesarean Section Without Sterilization 7 7 — — $5,645.13 $6,543.51 $5,913.95 2026-01-01
APR00351 SOI 2 OTHER Other Musculoskeletal System And Connective Tissue Diagnoses 7 7 — — $5,640.34 $6,537.96 $5,908.93 2026-01-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 23 21 — — $5,252.98 $20,159.00 $5,883.34 2026-01-01
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