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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

WASHINGTON HOSPITAL, THE

Washington, PA · CCN 390042 · Rates published

12,457 distinct procedures filed
15 distinct payers
244,958 rate rows
2025-08-06 last MRF observed
Data quality

231,523 of 244,958 rate rows are consumer-grade (94.5%)

13,435 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 12,677
exceeds 10× this hospital's gross charge — excluded from medians 688
per-diem day rate — not a per-procedure price 52
placeholder amount (≤ $0.02) — excluded from medians 18
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://whs.org/wp-content/uploads/2025/09/250965600_upmc-washington_standardcharges.csv
Found on page https://whs.org/patient-guests/#_tab-985f3f5e473efded214
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint f7b4b91517505045… · 77,393,869 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $246,808.33 $420,099.28 $267,813.29 nat. median
$370,174
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $176,678.81 $300,729.89 $230,571.67 nat. median
$206,474
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $181,628.15 $309,154.30 $199,984.19 nat. median
$265,286
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $142,975.99 $243,363.39 $182,889.51 nat. median
$202,976
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $97,672.34 $167,985.52 $124,441.83 nat. median
$133,161
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $82,263.52 $140,023.01 $90,577.39 nat. median
$108,660
0.8× median
7
MS_DRG 		Lung Transplant 9 $82,412.67 $140,276.88 $89,426.51 nat. median
$122,708
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $65,280.99 $111,116.58 $86,209.56 nat. median
$93,672
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $77,024.51 $131,105.55 $83,579.79 nat. median
$117,357
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $72,407.65 $123,247.06 $78,570.00 nat. median
$102,358
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 11 $61,339.41 $116,917.65 $78,150.97 nat. median
$99,019
0.8× median
40503384
CDM 		Impella 5.5 Pump Set 7 $49,499.92 $104,823.36 $77,161.64 nat. median
$77,671
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $69,593.51 $118,457.04 $75,516.36 nat. median
$100,136
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $56,900.08 $106,679.76 $73,937.03 nat. median
$77,570
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $54,644.49 $93,011.90 $72,085.13 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $12,715.00 $102,931.52 $71,607.30 nat. median
$81,118
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 12 $12,715.00 $101,508.03 $69,640.34 nat. median
$87,428
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $49,610.88 $88,412.00 $64,677.93 nat. median
$74,915
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $48,739.93 $87,531.74 $64,244.34 nat. median
$72,135
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $48,198.75 $89,418.53 $62,836.93 nat. median
$73,807
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 11 $46,332.50 $94,853.90 $61,977.11 nat. median
$60,185
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $46,949.91 $79,914.74 $60,925.18 nat. median
$66,526
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 $46,212.77 $80,848.82 $60,888.44 nat. median
$65,950
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $46,569.28 $80,485.62 $60,427.45 nat. median
$62,134
1.0× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 $45,970.62 $88,955.50 $60,044.95 nat. median
$55,736
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $53,830.41 $91,626.22 $59,270.71 nat. median
$71,271
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $42,939.07 $73,087.78 $56,189.35 nat. median
$64,508
0.9× median
40503311
CDM 		Sapien 3 Thv 26mm 7 $35,750.32 $75,706.56 $55,728.44 nat. median
$56,096
1.0× median
40503442
CDM 		Evolut 29mm 7 $35,750.32 $75,706.56 $55,728.44 nat. median
$56,096
1.0× median
40503312
CDM 		Sapien 3 Thv 29mm 7 $35,750.32 $75,706.56 $55,728.44 nat. median
$56,096
1.0× median
40503371
CDM 		Sapien 3 Ultra Thv 26mm 7 $35,750.32 $75,706.56 $55,728.44 nat. median
$56,096
1.0× median
40503441
CDM 		Evolut Fx 26mm 7 $35,750.32 $75,706.56 $55,728.44 nat. median
$56,096
1.0× median
40503310
CDM 		Sapien 3 Thv 23mm 7 $35,750.32 $75,706.56 $55,728.44 nat. median
$56,096
1.0× median
40503372
CDM 		Sapien 3 Ultra Thv 20mm 7 $35,750.32 $75,706.56 $55,728.44 nat. median
$56,096
1.0× median
40503309
CDM 		Sapien 3 Thv 20mm 7 $35,750.32 $75,706.56 $55,728.44 nat. median
$56,096
1.0× median
40503373
CDM 		Sapien 3 Ultra Thv 23mm 7 $35,750.32 $75,706.56 $55,728.44 nat. median
$56,096
1.0× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 $41,441.36 $89,246.06 $55,383.15 nat. median
$54,045
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 $42,141.72 $71,730.59 $55,218.21 nat. median
$60,726
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $41,098.88 $80,078.83 $54,487.32 nat. median
$64,732
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 $41,954.40 $76,868.12 $54,392.58 nat. median
$59,793
0.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 $40,496.19 $89,405.87 $54,108.90 nat. median
$52,303
1.0× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 $40,807.89 $69,460.24 $52,893.27 nat. median
$56,696
0.9× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 12 $40,151.68 $68,616.17 $52,839.81 nat. median
$59,898
0.9× median
C2624
HCPCS 		Cardiomems Hf System 8 $31,500.00 $75,600.00 $52,500.00 nat. median
$32,760
1.6× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $47,424.18 $80,722.00 $52,217.04 nat. median
$68,886
0.8× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $12,715.00 $73,802.70 $51,480.13 nat. median
$58,020
0.9× median
40503452
CDM 		Evolut Fx 23 Mm 7 $33,000.06 $69,882.48 $51,441.27 nat. median
$51,781
1.0× median
40503453
CDM 		Evolut Fx 34 Mm 7 $33,000.06 $69,882.48 $51,441.27 nat. median
$51,781
1.0× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 $38,375.71 $77,216.80 $51,250.20 nat. median
$49,182
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $38,466.67 $65,475.18 $50,602.25 nat. median
$61,920
0.8× median

Other procedures at this hospital

Browse this hospital's 12,457 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 11 — — $246,808.33 $420,099.28 $267,813.29 2025-08-06
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 11 — — $176,678.81 $300,729.89 $230,571.67 2025-08-06
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 10 — — $181,628.15 $309,154.30 $199,984.19 2025-08-06
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 11 — — $142,975.99 $243,363.39 $182,889.51 2025-08-06
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 11 — — $97,672.34 $167,985.52 $124,441.83 2025-08-06
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 10 — — $82,263.52 $140,023.01 $90,577.39 2025-08-06
7 MS_DRG Lung Transplant 15 9 — — $82,412.67 $140,276.88 $89,426.51 2025-08-06
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 12 — — $65,280.99 $111,116.58 $86,209.56 2025-08-06
14 MS_DRG Allogeneic Bone Marrow Transplant 17 11 — — $77,024.51 $131,105.55 $83,579.79 2025-08-06
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 11 — — $72,407.65 $123,247.06 $78,570.00 2025-08-06
215 MS_DRG Other Heart Assist System Implant 23 11 — — $61,339.41 $116,917.65 $78,150.97 2025-08-06
40503384 CDM Impella 5.5 Pump Set 11 7 $145,588.00 $43,676.40 70% off $49,499.92 $104,823.36 $77,161.64 2025-08-06
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 9 — — $69,593.51 $118,457.04 $75,516.36 2025-08-06
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 23 11 — — $56,900.08 $106,679.76 $73,937.03 2025-08-06
231 MS_DRG Coronary Bypass With Ptca With Mcc 24 12 — — $54,644.49 $93,011.90 $72,085.13 2025-08-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 12 — — $12,715.00 $102,931.52 $71,607.30 2025-08-06
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 24 12 — — $12,715.00 $101,508.03 $69,640.34 2025-08-06
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 12 — — $49,610.88 $88,412.00 $64,677.93 2025-08-06
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 12 — — $48,739.93 $87,531.74 $64,244.34 2025-08-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 12 — — $48,198.75 $89,418.53 $62,836.93 2025-08-06
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 11 — — $46,332.50 $94,853.90 $61,977.11 2025-08-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 23 11 — — $46,949.91 $79,914.74 $60,925.18 2025-08-06
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 12 — — $46,212.77 $80,848.82 $60,888.44 2025-08-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 11 — — $46,569.28 $80,485.62 $60,427.45 2025-08-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 11 — — $45,970.62 $88,955.50 $60,044.95 2025-08-06
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 10 — — $53,830.41 $91,626.22 $59,270.71 2025-08-06
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 12 — — $42,939.07 $73,087.78 $56,189.35 2025-08-06
40503442 CDM Evolut 29mm 11 7 $105,148.00 $31,544.40 70% off $35,750.32 $75,706.56 $55,728.44 2025-08-06
40503312 CDM Sapien 3 Thv 29mm 11 7 $105,148.00 $31,544.40 70% off $35,750.32 $75,706.56 $55,728.44 2025-08-06
40503441 CDM Evolut Fx 26mm 11 7 $105,148.00 $31,544.40 70% off $35,750.32 $75,706.56 $55,728.44 2025-08-06
40503311 CDM Sapien 3 Thv 26mm 11 7 $105,148.00 $31,544.40 70% off $35,750.32 $75,706.56 $55,728.44 2025-08-06
40503310 CDM Sapien 3 Thv 23mm 11 7 $105,148.00 $31,544.40 70% off $35,750.32 $75,706.56 $55,728.44 2025-08-06
40503309 CDM Sapien 3 Thv 20mm 11 7 $105,148.00 $31,544.40 70% off $35,750.32 $75,706.56 $55,728.44 2025-08-06
40503371 CDM Sapien 3 Ultra Thv 26mm 11 7 $105,148.00 $31,544.40 70% off $35,750.32 $75,706.56 $55,728.44 2025-08-06
40503373 CDM Sapien 3 Ultra Thv 23mm 11 7 $105,148.00 $31,544.40 70% off $35,750.32 $75,706.56 $55,728.44 2025-08-06
40503372 CDM Sapien 3 Ultra Thv 20mm 11 7 $105,148.00 $31,544.40 70% off $35,750.32 $75,706.56 $55,728.44 2025-08-06
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 23 11 — — $41,441.36 $89,246.06 $55,383.15 2025-08-06
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 12 — — $42,141.72 $71,730.59 $55,218.21 2025-08-06
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 12 — — $41,098.88 $80,078.83 $54,487.32 2025-08-06
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 11 — — $41,954.40 $76,868.12 $54,392.58 2025-08-06
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 23 11 — — $40,496.19 $89,405.87 $54,108.90 2025-08-06
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 23 11 — — $40,807.89 $69,460.24 $52,893.27 2025-08-06
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 12 — — $40,151.68 $68,616.17 $52,839.81 2025-08-06
C2624 HCPCS Cardiomems Hf System 13 8 $105,000.00 $31,500.00 70% off $31,500.00 $75,600.00 $52,500.00 2025-08-06
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 12 — — $47,424.18 $80,722.00 $52,217.04 2025-08-06
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 12 — — $12,715.00 $73,802.70 $51,480.13 2025-08-06
40503453 CDM Evolut Fx 34 Mm 11 7 $97,059.00 $29,117.70 70% off $33,000.06 $69,882.48 $51,441.27 2025-08-06
40503452 CDM Evolut Fx 23 Mm 11 7 $97,059.00 $29,117.70 70% off $33,000.06 $69,882.48 $51,441.27 2025-08-06
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 23 11 — — $38,375.71 $77,216.80 $51,250.20 2025-08-06
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 12 — — $38,466.67 $65,475.18 $50,602.25 2025-08-06
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 23 11 — — $37,813.14 $107,929.18 $50,491.78 2025-08-06
459 MS_DRG Spinal Fusion Except Cervical With Mcc 24 12 — — $12,715.00 $76,127.81 $50,461.28 2025-08-06
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 23 11 — — $21,995.89 $79,400.13 $50,121.33 2025-08-06
28 MS_DRG Spinal Procedures With Mcc 23 11 — — $39,029.71 $69,225.73 $49,726.76 2025-08-06
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 11 — — $38,280.04 $65,157.52 $49,587.60 2025-08-06
653 MS_DRG Major Bladder Procedures With Mcc 23 11 — — $36,572.98 $79,584.88 $48,819.84 2025-08-06
40503443 CDM Mitraclip G4 System 13 8 $97,059.00 $29,117.70 70% off $29,117.70 $69,882.48 $48,529.50 2025-08-06
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 11 — — $37,185.69 $63,294.80 $48,156.52 2025-08-06
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 12 — — $36,391.77 $67,569.04 $47,444.12 2025-08-06
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 24 12 — — $12,715.00 $70,252.69 $46,878.03 2025-08-06
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 12 — — $35,442.51 $60,327.68 $46,483.71 2025-08-06
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 24 12 — — $35,130.09 $59,795.90 $46,171.54 2025-08-06
276 MS_DRG Cardiac Defibrillator Implant With Mcc 18 12 — — $41,901.59 $71,321.86 $46,136.32 2025-08-06
40502709 CDM Impella Cp Pump Set 11 7 $85,807.75 $25,742.33 70% off $29,174.63 $61,781.58 $45,478.11 2025-08-06
40502580 CDM Impella 2.5 Pump Set 11 7 $85,807.75 $25,742.33 70% off $29,174.63 $61,781.58 $45,478.11 2025-08-06
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 12 — — $34,065.19 $70,141.62 $45,439.00 2025-08-06
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 17 11 — — $41,679.49 $70,943.81 $45,226.68 2025-08-06
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 17 11 — — $41,679.49 $70,943.81 $45,226.68 2025-08-06
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 11 — — $34,851.83 $61,439.29 $45,104.53 2025-08-06
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 11 — — $35,126.74 $65,099.46 $44,754.08 2025-08-06
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 23 11 — — $34,334.77 $58,442.16 $44,428.35 2025-08-06
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 24 12 — — $34,087.25 $58,190.51 $43,832.36 2025-08-06
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 12 — — $33,004.94 $59,013.10 $43,349.49 2025-08-06
40503275 CDM Impella Rp Pump Set 11 7 $80,882.00 $24,264.60 70% off $27,499.88 $58,235.04 $42,867.46 2025-08-06
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 11 — — $33,489.06 $57,534.70 $42,667.56 2025-08-06
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 11 — — $32,069.80 $55,787.87 $41,466.46 2025-08-06
163 MS_DRG Major Chest Procedures With Mcc 23 11 — — $31,890.53 $54,281.76 $41,232.03 2025-08-06
245 MS_DRG Aicd Generator Procedures 24 12 — — $30,671.76 $73,381.38 $40,864.17 2025-08-06
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 11 — — $31,723.90 $55,342.90 $40,418.61 2025-08-06
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 12 — — $12,715.00 $64,809.81 $40,247.65 2025-08-06
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 11 — — $31,315.92 $73,642.89 $39,578.20 2025-08-06
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 23 11 — — $30,474.43 $52,867.72 $39,380.19 2025-08-06
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 12 — — $29,537.93 $62,267.39 $39,335.61 2025-08-06
799 MS_DRG Splenic Procedures With Mcc 23 11 — — $30,841.32 $57,025.74 $39,294.13 2025-08-06
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 23 11 — — $29,899.82 $50,893.31 $38,628.78 2025-08-06
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 9 — — $35,556.86 $60,522.32 $38,582.98 2025-08-06
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 12 — — $14,225.00 $59,667.25 $38,076.17 2025-08-06
901 MS_DRG Wound Debridements For Injuries With Mcc 23 11 — — $29,309.84 $51,095.29 $37,857.26 2025-08-06
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 12 — — $28,938.86 $53,541.68 $37,727.72 2025-08-06
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 23 11 — — $29,142.58 $49,604.40 $37,638.57 2025-08-06
471 MS_DRG Cervical Spinal Fusion With Mcc 24 12 — — $12,715.00 $56,620.40 $37,444.75 2025-08-06
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 23 11 — — $29,331.12 $52,041.01 $37,370.03 2025-08-06
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 24 12 — — $12,715.00 $53,052.10 $37,204.71 2025-08-06
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 11 — — $27,046.22 $55,766.45 $36,061.65 2025-08-06
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 12 — — $27,416.79 $46,666.88 $35,928.87 2025-08-06
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 24 12 — — $27,392.70 $46,625.87 $35,785.40 2025-08-06
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 12 — — $27,448.28 $47,962.61 $35,674.17 2025-08-06
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 12 — — $32,350.74 $55,065.09 $35,620.22 2025-08-06
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 11 — — $27,899.38 $51,034.50 $35,545.89 2025-08-06
6 MS_DRG Liver Transplant Without Mcc 15 9 — — $32,715.31 $55,685.63 $35,499.59 2025-08-06
10 MS_DRG Pancreas Transplant 15 9 — — $32,559.45 $55,420.34 $35,330.46 2025-08-06
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 23 11 — — $26,521.11 $55,599.00 $35,268.50 2025-08-06
34 MS_DRG Carotid Artery Stent Procedures With Mcc 23 11 — — $26,457.57 $57,531.24 $35,182.83 2025-08-06
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 23 11 — — $26,362.57 $61,555.52 $35,054.77 2025-08-06
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 23 11 — — $27,149.90 $48,872.49 $35,032.70 2025-08-06
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 12 — — $26,302.38 $69,168.24 $34,973.61 2025-08-06
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 11 — — $27,418.86 $49,330.05 $34,933.67 2025-08-06
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 24 12 — — $26,428.12 $49,032.30 $34,616.00 2025-08-06
140 MS_DRG Major Head And Neck Procedures With Mcc 23 11 — — $25,632.79 $59,100.27 $34,070.91 2025-08-06
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 10 — — $30,444.98 $51,821.25 $33,521.87 2025-08-06
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 23 11 — — $26,085.18 $44,454.62 $33,234.47 2025-08-06
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 11 — — $25,704.37 $44,630.29 $33,142.38 2025-08-06
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 23 11 — — $25,918.47 $46,814.91 $33,022.06 2025-08-06
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 11 — — $30,196.83 $51,398.86 $32,766.78 2025-08-06
332 MS_DRG Rectal Resection With Mcc 23 11 — — $24,804.66 $58,940.46 $32,713.70 2025-08-06
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 23 11 — — $25,321.06 $47,376.10 $32,641.15 2025-08-06
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 23 11 — — $24,550.49 $55,802.39 $32,611.79 2025-08-06
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 23 11 — — $25,258.85 $43,816.72 $32,559.80 2025-08-06
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 23 11 — — $25,240.80 $42,963.07 $32,536.18 2025-08-06
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 11 — — $24,315.69 $52,417.35 $32,295.26 2025-08-06
265 MS_DRG Aicd Lead Procedures 24 12 — — $24,000.63 $48,625.52 $31,870.51 2025-08-06
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 23 11 — — $24,688.27 $45,763.48 $31,813.64 2025-08-06
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 23 11 — — $23,941.10 $47,550.44 $31,790.25 2025-08-06
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 23 11 — — $24,593.29 $41,860.91 $31,689.42 2025-08-06
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 23 11 — — $26,600.04 $67,119.78 $31,352.88 2025-08-06
271 MS_DRG Other Major Cardiovascular Procedures With Cc 24 12 — — $23,479.53 $40,475.26 $30,700.49 2025-08-06
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 24 12 — — $23,472.18 $40,329.98 $30,690.72 2025-08-06
793 MS_DRG Full Term Neonate With Major Problems 23 11 — — $7,668.65 $48,539.86 $30,640.78 2025-08-06
33249 CPT Insertion Or Replacement Of Permanent Implantable Defibrillator System, With Tra… 21 10 — — $22,396.54 $105,464.71 $30,608.61 2025-08-06
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 23 11 — — $23,309.63 $53,739.40 $30,573.73 2025-08-06
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 17 11 — — $28,053.62 $47,750.85 $30,441.17 2025-08-06
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 23 11 — — $23,143.25 $46,321.92 $30,398.76 2025-08-06
33231 HCPCS Init Impl Of Icd W 3 Exist Lds 26 12 $25,132.70 $7,539.81 70% off $8,545.12 $105,464.71 $30,309.99 2025-08-06
33270 HCPCS Insertion Sicd Gen With Electrod 26 12 $28,185.00 $8,455.50 70% off $9,582.90 $105,464.71 $30,309.99 2025-08-06
33264 HCPCS Remove And Repl Icd W 3 Lds 26 12 $25,132.70 $7,539.81 70% off $8,545.12 $105,464.71 $30,309.99 2025-08-06
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 23 11 — — $23,519.00 $40,032.34 $30,284.58 2025-08-06
31 MS_DRG Ventricular Shunt Procedures With Mcc 23 11 — — $22,025.31 $47,484.40 $30,271.31 2025-08-06
252 MS_DRG Other Vascular Procedures With Mcc 23 11 — — $22,794.56 $45,037.08 $30,244.57 2025-08-06
791 MS_DRG Prematurity With Major Problems 23 11 — — $19,593.31 $47,269.20 $29,838.68 2025-08-06
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 23 11 — — $23,142.40 $43,046.73 $29,792.10 2025-08-06
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 23 11 — — $22,309.70 $45,675.17 $29,746.28 2025-08-06
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 23 11 — — $22,394.55 $48,087.98 $29,705.29 2025-08-06
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 11 — — $22,947.74 $39,632.63 $29,537.55 2025-08-06
37 MS_DRG Extracranial Procedures With Mcc 23 11 — — $22,940.38 $39,047.46 $29,527.93 2025-08-06
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 23 11 — — $22,896.23 $38,972.30 $29,470.19 2025-08-06
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 24 12 — — $22,536.36 $39,559.99 $29,448.03 2025-08-06
335 MS_DRG Peritoneal Adhesiolysis With Mcc 23 11 — — $23,015.76 $41,317.79 $29,323.79 2025-08-06
40503302 CDM Watchman 33mm 11 7 $55,000.00 $16,500.00 70% off $18,700.00 $39,600.00 $29,150.00 2025-08-06
40503379 CDM Watchman Flx Laac 27mm 11 7 $55,000.00 $16,500.00 70% off $18,700.00 $39,600.00 $29,150.00 2025-08-06
40503300 CDM Watchman 27mm 11 7 $55,000.00 $16,500.00 70% off $18,700.00 $39,600.00 $29,150.00 2025-08-06
40503378 CDM Watchman Flx Laac 24mm 11 7 $55,000.00 $16,500.00 70% off $18,700.00 $39,600.00 $29,150.00 2025-08-06
40503299 CDM Watchman 24mm 11 7 $55,000.00 $16,500.00 70% off $18,700.00 $39,600.00 $29,150.00 2025-08-06
40503377 CDM Watchman Flx Laac 20mm 11 7 $55,000.00 $16,500.00 70% off $18,700.00 $39,600.00 $29,150.00 2025-08-06
40503301 CDM Watchman 30mm 11 7 $55,000.00 $16,500.00 70% off $18,700.00 $39,600.00 $29,150.00 2025-08-06
40503298 CDM Watchman 21mm 11 7 $55,000.00 $16,500.00 70% off $18,700.00 $39,600.00 $29,150.00 2025-08-06
40503380 CDM Watchman Flx Laac 31mm 11 7 $55,000.00 $16,500.00 70% off $18,700.00 $39,600.00 $29,150.00 2025-08-06
40503381 CDM Watchman Flx Laac 35mm 11 7 $55,000.00 $16,500.00 70% off $18,700.00 $39,600.00 $29,150.00 2025-08-06
40503472 CDM Watchman Flx Pro Laac 13 8 $58,235.00 $17,470.50 70% off $17,470.50 $41,929.20 $29,117.50 2025-08-06
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 11 — — $22,605.91 $39,400.18 $29,090.55 2025-08-06
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 23 11 — — $21,868.10 $47,245.35 $28,995.58 2025-08-06
61886 CPT Insertion Or Replacement Of Cranial Neurostimulator Pulse Generator Or Receiver,… 21 10 — — $21,139.26 $99,544.17 $28,890.32 2025-08-06
64568 CPT Open Implantation Of Cranial Nerve (eg, Vagus Nerve) Neurostimulator Electrode A… 21 10 — — $21,139.26 $99,544.17 $28,890.32 2025-08-06
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 23 11 — — $22,662.73 $39,646.35 $28,874.00 2025-08-06
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 23 11 — — $21,771.11 $48,799.85 $28,864.81 2025-08-06
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 24 12 — — $22,038.69 $38,339.63 $28,787.15 2025-08-06
63685 CPT Insertion Or Replacement Of Spinal Neurostimulator Pulse Generator Or Receiver, … 22 11 — — $346.15 $99,544.17 $28,749.39 2025-08-06
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 24 12 — — $21,629.31 $42,480.14 $28,673.63 2025-08-06
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 23 11 — — $22,141.69 $38,964.34 $28,483.48 2025-08-06
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 23 11 — — $22,290.08 $42,718.26 $28,399.23 2025-08-06
C1882 HCPCS Generator Boston Scientific 651 8 $67,365.10 $20,209.53 70% off $2,562.35 $88,668.07 $28,282.40 2025-08-06
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 23 11 — — $21,265.40 $45,560.09 $28,183.05 2025-08-06
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 11 — — $19,730.60 $44,171.10 $28,159.08 2025-08-06
665 MS_DRG Prostatectomy With Mcc 23 11 — — $21,023.93 $44,339.73 $27,857.50 2025-08-06
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 23 11 — — $21,508.22 $36,609.74 $27,655.09 2025-08-06
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 24 12 — — $12,715.00 $42,261.68 $27,535.72 2025-08-06
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 23 11 — — $21,348.35 $37,889.26 $27,446.03 2025-08-06
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 23 11 — — $20,368.02 $42,192.22 $27,157.38 2025-08-06
662 MS_DRG Minor Bladder Procedures With Mcc 23 11 — — $20,405.85 $43,715.02 $27,024.24 2025-08-06
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 23 11 — — $20,389.13 $44,194.45 $27,001.70 2025-08-06
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 23 11 — — $20,641.98 $39,937.72 $26,957.96 2025-08-06
C1721 HCPCS Fortify Assura Dr Icd 497 8 $60,083.00 $18,024.90 70% off $5,000.00 $64,316.52 $26,711.38 2025-08-06
33289 HCPCS Implant Sensor W Angio 25 12 $10,000.00 $3,000.00 70% off $3,400.00 $93,172.33 $26,645.33 2025-08-06
32192151 CDM Impella 11 7 $50,000.00 $15,000.00 70% off $17,000.00 $36,000.00 $26,500.00 2025-08-06
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 23 11 — — $19,900.82 $41,521.28 $26,343.38 2025-08-06
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 24 12 — — $14,225.00 $40,307.87 $26,301.16 2025-08-06
974 MS_DRG HIV With Major Related Condition With Mcc 23 11 — — $19,869.37 $40,286.39 $26,301.00 2025-08-06
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 11 — — $20,437.29 $34,786.88 $26,254.63 2025-08-06
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 23 11 — — $20,698.16 $51,879.81 $25,976.35 2025-08-06
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 10 — — $23,494.25 $39,990.21 $25,868.67 2025-08-06
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 23 11 — — $20,114.20 $34,236.94 $25,832.12 2025-08-06
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 23 11 — — $20,086.11 $36,552.67 $25,795.38 2025-08-06
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 24 12 — — $14,225.00 $38,525.98 $25,654.01 2025-08-06
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 23 11 — — $19,921.57 $33,909.06 $25,580.20 2025-08-06
500 MS_DRG Soft Tissue Procedures With Mcc 23 11 — — $19,995.37 $37,535.44 $25,475.59 2025-08-06
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 23 11 — — $19,044.15 $38,667.17 $25,375.33 2025-08-06
264 MS_DRG Other Circulatory System O.r. Procedures 23 11 — — $19,887.50 $37,799.57 $25,338.16 2025-08-06
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 23 11 — — $19,674.72 $33,488.88 $25,257.42 2025-08-06
263 MS_DRG Vein Ligation And Stripping 23 11 — — $19,258.65 $37,017.57 $24,986.86 2025-08-06
33249 HCPCS Single Chamber Icd 1 Lead 34 11 $8,867.40 $2,660.22 70% off $1,507.42 $68,900.73 $24,849.72 2025-08-06
668 MS_DRG Transurethral Procedures With Mcc 23 11 — — $19,210.50 $36,639.84 $24,731.89 2025-08-06
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 23 11 — — $18,691.40 $39,661.69 $24,712.93 2025-08-06
963 MS_DRG Other Multiple Significant Trauma With Mcc 24 12 — — $18,650.59 $36,683.43 $24,657.92 2025-08-06
800 MS_DRG Splenic Procedures With Cc 23 11 — — $19,208.50 $35,680.99 $24,647.72 2025-08-06
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 23 11 — — $18,558.97 $40,794.88 $24,534.37 2025-08-06
32195543 CDM Implant/valve Category 15 11 7 $46,264.70 $13,879.41 70% off $15,730.00 $33,310.58 $24,520.29 2025-08-06
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 23 11 — — $19,108.81 $36,160.42 $24,517.38 2025-08-06
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 24 12 — — $18,478.69 $43,555.21 $24,426.15 2025-08-06
C1722 HCPCS Vitality 2 El Vr 431 8 $55,603.90 $16,681.17 70% off $512.47 $57,297.67 $24,352.84 2025-08-06
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 23 11 — — $18,985.31 $32,598.51 $24,188.69 2025-08-06
503 MS_DRG Foot Procedures With Mcc 23 11 — — $18,300.10 $37,511.53 $24,185.37 2025-08-06
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 23 11 — — $18,916.66 $33,020.93 $24,101.23 2025-08-06
654 MS_DRG Major Bladder Procedures With Cc 23 11 — — $18,672.01 $32,383.11 $23,946.17 2025-08-06
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 23 11 — — $18,446.60 $31,398.46 $23,651.38 2025-08-06
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 11 — — $21,769.78 $37,054.94 $23,622.53 2025-08-06
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 23 11 — — $17,825.82 $36,828.71 $23,546.00 2025-08-06
849 MS_DRG Radiotherapy 23 11 — — $18,363.63 $34,199.12 $23,542.91 2025-08-06
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 23 11 — — $10,728.27 $37,224.61 $23,498.03 2025-08-06
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 23 11 — — $18,325.51 $31,192.35 $23,493.05 2025-08-06
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 23 11 — — $16,445.43 $36,522.06 $23,282.82 2025-08-06
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 23 11 — — $18,100.75 $33,545.36 $23,199.14 2025-08-06
472 MS_DRG Cervical Spinal Fusion With Cc 24 12 — — $12,715.00 $34,263.14 $23,187.01 2025-08-06
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 23 11 — — $18,080.68 $31,395.20 $23,172.90 2025-08-06
347 MS_DRG Anal And Stomal Procedures With Mcc 23 11 — — $17,411.76 $36,494.56 $22,987.78 2025-08-06
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 24 12 — — $17,300.06 $38,194.35 $22,837.18 2025-08-06
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 17 11 — — $20,929.62 $35,624.88 $22,710.86 2025-08-06
288 MS_DRG Acute And Subacute Endocarditis With Mcc 23 11 — — $17,705.44 $30,465.40 $22,682.16 2025-08-06
619 MS_DRG O.r. Procedures For Obesity With Mcc 23 11 — — $17,768.95 $30,245.02 $22,642.80 2025-08-06
545 MS_DRG Connective Tissue Disorders With Mcc 23 11 — — $17,037.84 $37,569.64 $22,483.68 2025-08-06
253 MS_DRG Other Vascular Procedures With Cc 23 11 — — $17,425.13 $30,305.60 $22,315.65 2025-08-06
164 MS_DRG Major Chest Procedures With Cc 23 11 — — $17,420.47 $29,651.86 $22,309.52 2025-08-06
570 MS_DRG Skin Debridement With Mcc 23 11 — — $17,073.05 $33,885.14 $22,237.12 2025-08-06
652 MS_DRG Kidney Transplant 15 9 — — $20,457.35 $34,821.02 $22,198.40 2025-08-06
93653 HCPCS Comprehensive Eps & Svt Abl 26 12 $31,933.10 $9,579.93 70% off $10,857.25 $76,136.77 $21,989.08 2025-08-06
93654 HCPCS Comprehensive Eps & Vt Abl 26 12 $31,933.10 $9,579.93 70% off $10,857.25 $76,136.77 $21,989.08 2025-08-06
32195542 CDM Implant/valve Category 14 11 7 $41,411.75 $12,423.52 70% off $14,080.00 $29,816.46 $21,948.23 2025-08-06
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 17 11 — — $20,217.89 $34,413.42 $21,938.56 2025-08-06
113 MS_DRG Orbital Procedures With Cc/mcc 23 11 — — $17,132.16 $32,208.78 $21,932.51 2025-08-06
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 23 11 — — $17,065.94 $29,048.42 $21,845.91 2025-08-06
93656 HCPCS Comprehensive Eps & Pvi Abl 27 13 $31,933.10 $9,579.93 70% off $892.40 $76,136.77 $21,773.50 2025-08-06
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 23 11 — — $16,989.69 $28,918.62 $21,746.19 2025-08-06
33230 HCPCS Init Impl Of Icd W 2 Exist Lds 26 12 $25,132.70 $7,539.81 70% off $8,545.12 $75,562.97 $21,716.39 2025-08-06
33263 HCPCS Remove And Repl Icd W 2 Lds 26 12 $25,132.70 $7,539.81 70% off $8,545.12 $75,562.97 $21,716.39 2025-08-06
33262 HCPCS Remove And Repl Icd W 1 Ld 26 12 $25,132.70 $7,539.81 70% off $8,545.12 $75,562.97 $21,716.39 2025-08-06
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 23 11 — — $18,953.62 $43,671.44 $21,682.88 2025-08-06
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 24 12 — — $16,678.64 $31,264.45 $21,669.42 2025-08-06
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 23 11 — — $16,414.42 $34,925.53 $21,643.20 2025-08-06
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 23 11 — — $16,308.73 $32,906.12 $21,500.72 2025-08-06
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 23 11 — — $16,634.48 $28,314.02 $21,281.70 2025-08-06
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 17 11 — — $19,589.76 $33,344.27 $21,256.97 2025-08-06
36837 HCPCS Perc Av Fistulla Wavelength 26 12 $51,250.00 $15,375.00 70% off $11,937.29 $56,212.36 $21,208.59 2025-08-06
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 23 11 — — $16,425.79 $27,958.78 $21,008.77 2025-08-06
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 24 12 — — $14,225.00 $31,009.04 $20,988.53 2025-08-06
56 MS_DRG Degenerative Nervous System Disorders With Mcc 23 11 — — $16,374.27 $27,871.10 $20,941.42 2025-08-06
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 23 11 — — $16,092.40 $31,894.86 $20,931.00 2025-08-06
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 24 12 — — $16,085.30 $27,379.23 $20,881.52 2025-08-06
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 23 11 — — $16,305.37 $27,753.82 $20,790.28 2025-08-06
330 MS_DRG Major Small And Large Bowel Procedures With Cc 23 11 — — $16,227.78 $27,621.76 $20,749.85 2025-08-06
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 23 11 — — $11,610.85 $32,685.07 $20,428.17 2025-08-06
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 11 — — $15,860.54 $30,174.84 $20,368.02 2025-08-06
61885 CPT Insertion Or Replacement Of Cranial Neurostimulator Pulse Generator Or Receiver,… 21 10 — — $14,892.10 $70,126.50 $20,352.54 2025-08-06
63655 CPT Laminectomy For Implantation Of Neurostimulator Electrodes, Plate/paddle, Epidur… 21 10 — — $14,892.10 $70,126.50 $20,352.54 2025-08-06
64590 CPT Insertion Or Replacement Of Peripheral, Sacral, Or Gastric Neurostimulator Pulse… 21 10 — — $14,892.10 $70,126.50 $20,352.54 2025-08-06
40539256 CDM Iliac Branch Extension 11 7 $38,387.00 $11,516.10 70% off $13,051.58 $27,638.64 $20,345.11 2025-08-06
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 24 12 — — $15,595.65 $29,709.94 $20,296.81 2025-08-06
37227 HCPCS Fem Pop Ather Then Stent 26 12 $43,000.00 $12,900.00 70% off $11,937.29 $56,212.36 $20,283.95 2025-08-06
37229 HCPCS Trnlminal Athr Tibioperoneal-e 26 12 $43,000.00 $12,900.00 70% off $11,937.29 $56,212.36 $20,283.95 2025-08-06
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 23 11 — — $15,314.03 $39,414.71 $20,159.74 2025-08-06
35 MS_DRG Carotid Artery Stent Procedures With Cc 23 11 — — $15,742.15 $26,795.15 $20,114.78 2025-08-06
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 24 12 — — $15,250.48 $35,390.43 $20,074.07 2025-08-06
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 23 11 — — $15,600.34 $28,794.67 $19,929.34 2025-08-06
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 23 11 — — $15,126.75 $31,133.70 $19,907.24 2025-08-06
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 23 11 — — $15,134.76 $29,448.44 $19,877.69 2025-08-06
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 23 11 — — $15,572.66 $29,273.86 $19,840.73 2025-08-06
L8690 HCPCS System Baha 102 9 $45,552.94 $13,665.88 70% off $2,748.58 $45,814.87 $19,758.58 2025-08-06
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 23 11 — — $15,427.08 $27,196.58 $19,702.78 2025-08-06
595 MS_DRG Major Skin Disorders With Mcc 23 11 — — $14,909.34 $30,218.43 $19,614.15 2025-08-06
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 17 11 — — $18,048.58 $30,720.99 $19,584.63 2025-08-06
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 23 11 — — $15,366.72 $27,736.77 $19,578.35 2025-08-06
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 23 11 — — $15,296.65 $28,518.64 $19,532.20 2025-08-06
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 23 11 — — $15,291.29 $27,792.24 $19,525.21 2025-08-06
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 23 11 — — $15,281.94 $26,011.81 $19,512.96 2025-08-06
40439396 CDM Gore Excl Endovas Main Body 11 7 $36,707.64 $11,012.29 70% off $12,480.60 $26,429.50 $19,455.05 2025-08-06
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 23 11 — — $14,572.40 $30,090.21 $19,429.88 2025-08-06
32195541 CDM Implant/valve Category 13 11 7 $36,558.80 $10,967.64 70% off $12,429.99 $26,322.34 $19,376.17 2025-08-06
40539045 CDM Excluder Ipsi Trunk Endo 11 7 $36,478.00 $10,943.40 70% off $12,402.52 $26,264.16 $19,333.34 2025-08-06
40539230 CDM Excluder Ipsi Trunk Endo 28.5m 11 7 $36,478.00 $10,943.40 70% off $12,402.52 $26,264.16 $19,333.34 2025-08-06
40539039 CDM Excluder Ipsi Trunk Endo 11 7 $36,478.00 $10,943.40 70% off $12,402.52 $26,264.16 $19,333.34 2025-08-06
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 23 11 — — $15,010.34 $25,549.52 $19,157.81 2025-08-06
711 MS_DRG Testes Procedures With Cc/mcc 23 11 — — $14,560.83 $30,305.60 $19,144.31 2025-08-06
709 MS_DRG Penis Procedures With Cc/mcc 23 11 — — $14,881.24 $34,242.71 $19,118.16 2025-08-06
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 23 11 — — $15,003.88 $27,003.52 $19,116.06 2025-08-06
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 23 11 — — $14,619.69 $28,300.72 $19,102.98 2025-08-06
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 23 11 — — $14,940.79 $27,763.18 $19,066.84 2025-08-06
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 24 12 — — $12,715.00 $28,629.39 $19,039.51 2025-08-06
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 23 11 — — $14,481.23 $29,056.18 $19,037.00 2025-08-06
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 23 11 — — $14,748.92 $28,898.13 $18,964.40 2025-08-06
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 23 11 — — $14,853.15 $25,281.95 $18,952.25 2025-08-06
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 23 11 — — $14,772.19 $25,144.16 $18,846.40 2025-08-06
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 23 11 — — $14,619.69 $33,748.75 $18,823.27 2025-08-06
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 23 11 — — $14,748.81 $25,104.35 $18,815.79 2025-08-06
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