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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

GETTYSBURG HOSPITAL

Gettysburg, PA · CCN 390065 · Rates published

3,177 distinct procedures filed
32 distinct payers
297,338 rate rows
2026-01-01 last MRF observed
Data quality

289,282 of 297,338 rate rows are consumer-grade (97.3%)

8,056 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 7,718
exceeds 10× this hospital's gross charge — excluded from medians 270
per-diem day rate — not a per-procedure price 54
placeholder amount (≤ $0.02) — excluded from medians 14
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.wellspan.org/-/media/Project/Wellspan-Site-Tenant/wellspan-site/data/media/files/Patient-Resources/Cost/231352220_gettysburg-hospital_standardcharges.csv
Found on page https://www.wellspan.org/Patient-Resources/Billing-and-Insurance/Cost-Estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint d199e96e38e9dad4… · 40,620,383 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
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And McC 26 $50,166.73 $273,821.62 $151,122.21 nat. median
$68,886
outlier · 2.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 26 $48,628.74 $265,426.94 $148,769.95 nat. median
$66,526
outlier · 2.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 26 $45,272.05 $247,105.35 $138,313.07 nat. median
$62,134
outlier · 2.2×
276
MS_DRG 		Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 26 $42,260.11 $230,665.45 $132,453.80 nat. median
$59,099
outlier · 2.2×
969
MS_DRG 		HIV With Extensive O.r. Procedures With McC 25 $43,067.09 $195,990.91 $119,529.00 nat. median
$60,185
2.0× median
270
MS_DRG 		Other Major Cardiovascular Procedures With McC 26 $37,122.00 $202,620.47 $109,765.15 nat. median
$51,307
outlier · 2.1×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With McC 26 $35,089.41 $191,526.13 $108,610.40 nat. median
$48,178
outlier · 2.3×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With McC 26 $34,746.07 $189,652.12 $106,963.82 nat. median
$48,170
outlier · 2.2×
228
MS_DRG 		Other Cardiothoracic Procedures With McC 26 $34,807.99 $189,990.05 $106,557.52 nat. median
$50,672
outlier · 2.1×
005 SOI 4
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $104,670.73 $239,247.38 $104,670.73 —
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 26 $33,009.68 $180,174.50 $101,660.53 nat. median
$46,084
outlier · 2.2×
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With McC 26 $32,256.87 $176,065.49 $100,056.72 nat. median
$45,112
outlier · 2.2×
277
MS_DRG 		Cardiac Defibrillator Implant Without McC 26 $32,493.97 $177,359.64 $99,479.34 nat. median
$46,109
outlier · 2.2×
329
MS_DRG 		Major Small And Large Bowel Procedures With McC 26 $32,339.19 $176,514.79 $98,196.29 nat. median
$44,810
outlier · 2.2×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 26 $32,002.89 $174,679.18 $96,464.17 nat. median
$43,963
outlier · 2.2×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With McC 25 $36,623.17 $146,968.29 $91,795.73 nat. median
$49,191
1.9× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With McC 26 $30,445.91 $166,180.81 $91,075.35 nat. median
$41,311
outlier · 2.2×
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With McC 26 $29,560.83 $161,349.84 $89,599.84 nat. median
$40,454
outlier · 2.2×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 $26,475.01 $144,506.73 $81,730.45 nat. median
$37,662
outlier · 2.2×
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 $25,041.15 $136,680.40 $80,062.48 nat. median
$35,324
outlier · 2.3×
335
MS_DRG 		Peritoneal Adhesiolysis With McC 26 $25,123.47 $137,129.70 $77,496.38 nat. median
$35,058
outlier · 2.2×
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC 26 $25,411.22 $138,700.34 $76,662.39 nat. median
$35,069
outlier · 2.2×
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 26 $25,831.95 $140,996.78 $75,935.33 nat. median
$35,489
outlier · 2.1×
264
MS_DRG 		Other Circulatory System O.r. Procedures 26 $23,503.16 $128,285.72 $74,737.81 nat. median
$33,061
outlier · 2.3×
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 26 $24,811.79 $135,428.49 $73,240.92 nat. median
$34,720
outlier · 2.1×
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With McC 26 $22,463.30 $122,609.91 $72,535.24 nat. median
$32,825
outlier · 2.2×
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without McC 26 $29,836.62 $162,855.20 $71,155.86 nat. median
$41,164
1.7× median
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With McC 26 $22,704.62 $123,927.09 $68,942.69 nat. median
$32,024
outlier · 2.2×
324
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device Without McC 26 $22,169.21 $121,004.70 $68,322.55 nat. median
$30,812
outlier · 2.2×
840
MS_DRG 		Lymphoma And Non-acute Leukemia With McC 26 $22,759.50 $124,226.63 $68,194.25 nat. median
$31,382
outlier · 2.2×
662
MS_DRG 		Minor Bladder Procedures With McC 26 $21,539.53 $117,567.72 $66,697.35 nat. median
$29,682
outlier · 2.2×
570
MS_DRG 		Skin Debridement With McC 26 $20,692.44 $112,944.12 $64,366.47 nat. median
$29,069
outlier · 2.2×
974
MS_DRG 		HIV With Major Related Condition With McC 26 $20,304.78 $110,828.17 $63,853.25 nat. median
$29,015
outlier · 2.2×
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With McC 26 $20,489.81 $111,838.14 $62,890.96 nat. median
$29,218
outlier · 2.2×
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With McC 26 $20,193.61 $110,221.42 $62,334.97 nat. median
$28,961
outlier · 2.2×
472
MS_DRG 		Cervical Spinal Fusion With Cc 26 $20,727.62 $113,136.13 $61,950.06 nat. median
$29,858
outlier · 2.1×
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ A… 26 $19,142.49 $104,484.16 $60,880.85 nat. median
$28,170
outlier · 2.2×
61
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 26 $19,397.89 $105,878.15 $57,801.52 nat. median
$27,312
outlier · 2.1×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 $19,338.79 $105,555.58 $57,395.22 nat. median
$26,748
outlier · 2.1×
229
MS_DRG 		Other Cardiothoracic Procedures Without McC 25 $24,399.42 $89,611.99 $57,005.71 nat. median
$33,143
1.7× median
500
MS_DRG 		Soft Tissue Procedures With McC 25 $22,266.30 $91,429.62 $56,847.96 nat. median
$31,070
1.8× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/McC 26 $19,333.86 $105,528.70 $56,090.78 nat. median
$27,218
outlier · 2.1×
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With McC 26 $17,876.79 $97,575.64 $55,256.80 nat. median
$25,587
outlier · 2.2×
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 26 $19,502.01 $106,446.50 $54,486.97 nat. median
$26,699
outlier · 2.0×
179 SOI 4
APR_DRG 		Defibrillator Implants 7 $53,218.07 $121,641.30 $53,218.07 —
654
MS_DRG 		Major Bladder Procedures With Cc 25 $19,694.79 $81,418.24 $50,556.51 nat. median
$27,844
1.8× median
56
MS_DRG 		Degenerative Nervous System Disorders With McC 26 $16,344.43 $89,211.69 $49,848.03 nat. median
$22,361
outlier · 2.2×
397
MS_DRG 		Appendix Procedures With McC 26 $16,849.59 $91,968.95 $49,330.44 nat. median
$24,164
outlier · 2.0×
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 26 $17,196.44 $93,862.17 $48,335.07 nat. median
$24,638
2.0× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 26 $17,843.01 $97,391.31 $47,797.57 nat. median
$24,757
1.9× median

Other procedures at this hospital

Browse this hospital's 3,177 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
             
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 72 26 — — $50,166.73 $273,821.62 $151,122.21 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 72 26 — — $48,628.74 $265,426.94 $148,769.95 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 72 26 — — $45,272.05 $247,105.35 $138,313.07 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 72 26 — — $42,260.11 $230,665.45 $132,453.80 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With McC 70 25 — — $43,067.09 $195,990.91 $119,529.00 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With McC 72 26 — — $37,122.00 $202,620.47 $109,765.15 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 72 26 — — $35,089.41 $191,526.13 $108,610.40 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 72 26 — — $34,746.07 $189,652.12 $106,963.82 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With McC 72 26 — — $34,807.99 $189,990.05 $106,557.52 2026-01-01
005 SOI 4 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 7 — — $104,670.73 $239,247.38 $104,670.73 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 72 26 — — $33,009.68 $180,174.50 $101,660.53 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 72 26 — — $32,256.87 $176,065.49 $100,056.72 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without McC 72 26 — — $32,493.97 $177,359.64 $99,479.34 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With McC 72 26 — — $32,339.19 $176,514.79 $98,196.29 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 72 26 — — $32,002.89 $174,679.18 $96,464.17 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 70 25 — — $36,623.17 $146,968.29 $91,795.73 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With McC 72 26 — — $30,445.91 $166,180.81 $91,075.35 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With McC 72 26 — — $29,560.83 $161,349.84 $89,599.84 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 72 26 — — $26,475.01 $144,506.73 $81,730.45 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 72 26 — — $25,041.15 $136,680.40 $80,062.48 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With McC 72 26 — — $25,123.47 $137,129.70 $77,496.38 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC 72 26 — — $25,411.22 $138,700.34 $76,662.39 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 72 26 — — $25,831.95 $140,996.78 $75,935.33 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 72 26 — — $23,503.16 $128,285.72 $74,737.81 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 72 26 — — $24,811.79 $135,428.49 $73,240.92 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With McC 72 26 — — $22,463.30 $122,609.91 $72,535.24 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without McC 72 26 — — $29,836.62 $162,855.20 $71,155.86 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With McC 72 26 — — $22,704.62 $123,927.09 $68,942.69 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without McC 72 26 — — $22,169.21 $121,004.70 $68,322.55 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With McC 72 26 — — $22,759.50 $124,226.63 $68,194.25 2026-01-01
662 MS_DRG Minor Bladder Procedures With McC 72 26 — — $21,539.53 $117,567.72 $66,697.35 2026-01-01
570 MS_DRG Skin Debridement With McC 72 26 — — $20,692.44 $112,944.12 $64,366.47 2026-01-01
974 MS_DRG HIV With Major Related Condition With McC 72 26 — — $20,304.78 $110,828.17 $63,853.25 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With McC 72 26 — — $20,489.81 $111,838.14 $62,890.96 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With McC 72 26 — — $20,193.61 $110,221.42 $62,334.97 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 72 26 — — $20,727.62 $113,136.13 $61,950.06 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ A… 72 26 — — $19,142.49 $104,484.16 $60,880.85 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 72 26 — — $19,397.89 $105,878.15 $57,801.52 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 72 26 — — $19,338.79 $105,555.58 $57,395.22 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without McC 70 25 — — $24,399.42 $89,611.99 $57,005.71 2026-01-01
500 MS_DRG Soft Tissue Procedures With McC 70 25 — — $22,266.30 $91,429.62 $56,847.96 2026-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/McC 72 26 — — $19,333.86 $105,528.70 $56,090.78 2026-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With McC 72 26 — — $17,876.79 $97,575.64 $55,256.80 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 72 26 — — $19,502.01 $106,446.50 $54,486.97 2026-01-01
179 SOI 4 APR_DRG Defibrillator Implants 14 7 — — $53,218.07 $121,641.30 $53,218.07 2026-01-01
654 MS_DRG Major Bladder Procedures With Cc 70 25 — — $19,694.79 $81,418.24 $50,556.51 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With McC 72 26 — — $16,344.43 $89,211.69 $49,848.03 2026-01-01
397 MS_DRG Appendix Procedures With McC 72 26 — — $16,849.59 $91,968.95 $49,330.44 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 72 26 — — $17,196.44 $93,862.17 $48,335.07 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 72 26 — — $17,843.01 $97,391.31 $47,797.57 2026-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 72 26 — — $18,146.25 $99,046.44 $47,717.94 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With McC 72 26 — — $16,789.78 $91,642.53 $47,319.79 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 72 26 — — $16,865.77 $92,057.27 $47,061.00 2026-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 72 26 — — $17,301.98 $94,438.20 $46,543.41 2026-01-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With McC 72 26 — — $16,080.59 $87,771.61 $46,185.08 2026-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 72 26 — — $16,453.48 $89,806.92 $45,946.19 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 72 26 — — $14,992.19 $81,830.82 $44,851.28 2026-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 72 26 — — $16,361.32 $89,303.85 $44,831.37 2026-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 72 26 — — $15,329.19 $83,670.28 $44,791.56 2026-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With McC 72 26 — — $15,568.40 $84,975.95 $44,054.99 2026-01-01
314 MS_DRG Other Circulatory System Diagnoses With McC 72 26 — — $14,670.66 $80,075.85 $42,860.55 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 72 26 — — $17,297.05 $94,411.32 $42,394.03 2026-01-01
333 MS_DRG Rectal Resection With Cc 72 26 — — $16,478.81 $89,945.16 $42,303.14 2026-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 72 26 — — $14,712.17 $80,302.42 $42,223.51 2026-01-01
374 MS_DRG Digestive Malignancy With McC 72 26 — — $15,047.06 $82,130.36 $42,044.34 2026-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 72 26 — — $14,835.99 $80,978.30 $42,044.34 2026-01-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/McC 72 26 — — $15,740.77 $85,916.79 $41,987.43 2026-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC 72 26 — — $14,899.31 $81,323.92 $41,964.71 2026-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 72 26 — — $14,736.09 $80,432.99 $41,307.77 2026-01-01
592 MS_DRG Skin Ulcers With McC 72 26 — — $13,616.02 $74,319.39 $40,929.53 2026-01-01
179 SOI 3 APR_DRG Defibrillator Implants 14 7 — — $40,527.88 $92,635.17 $40,527.88 2026-01-01
52 MS_DRG Spinal Disorders And Injuries With Cc/McC 72 26 — — $12,743.60 $69,557.54 $40,053.61 2026-01-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 72 26 — — $14,620.70 $79,803.20 $40,053.61 2026-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 72 26 — — $15,533.93 $84,787.78 $39,641.62 2026-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With McC 72 26 — — $14,148.62 $77,226.42 $39,595.74 2026-01-01
100 MS_DRG Seizures With McC 72 26 — — $13,626.57 $74,376.99 $39,516.11 2026-01-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC 72 26 — — $13,572.40 $74,081.30 $39,516.11 2026-01-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 72 26 — — $12,691.54 $69,273.37 $39,277.22 2026-01-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC 72 26 — — $12,445.29 $67,929.30 $39,117.96 2026-01-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With McC 72 26 — — $13,847.49 $75,582.82 $38,998.52 2026-01-01
230 SOI 4 APR_DRG Major Small Bowel Procedures 14 7 — — $38,988.07 $89,115.60 $38,988.07 2026-01-01
283 MS_DRG Acute Myocardial Infarction, Expired With McC 72 26 — — $13,936.14 $76,066.68 $38,918.89 2026-01-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 72 26 — — $15,749.92 $85,966.72 $38,637.60 2026-01-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 72 26 — — $13,158.70 $71,823.26 $38,461.02 2026-01-01
710 SOI 4 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 14 7 — — $38,337.02 $87,627.48 $38,337.02 2026-01-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 72 26 — — $12,621.18 $68,889.35 $38,102.69 2026-01-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 72 26 — — $13,300.82 $72,598.98 $37,764.26 2026-01-01
92972 HCPCS Coronary Lithotripsy 42 10 $41,760.00 $33,408.00 20% off $23,431.54 $39,672.00 $37,751.04 2026-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 72 26 — — $15,066.76 $82,237.88 $37,720.13 2026-01-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC 72 26 — — $12,626.81 $68,920.07 $37,624.91 2026-01-01
205 MS_DRG Other Respiratory System Diagnoses With McC 72 26 — — $12,844.52 $70,314.06 $37,585.10 2026-01-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC 72 26 — — $14,116.95 $77,053.61 $37,545.28 2026-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 72 26 — — $14,037.45 $76,619.67 $37,506.04 2026-01-01
196 MS_DRG Interstitial Lung Disease With McC 72 26 — — $13,277.61 $72,472.25 $37,505.47 2026-01-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 72 26 — — $12,428.41 $67,837.13 $37,127.23 2026-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With McC 72 26 — — $14,726.94 $80,383.07 $37,114.25 2026-01-01
175 SOI 4 APR_DRG Percutaneous Cardiac Intervention Without Ami 14 7 — — $36,498.19 $83,424.42 $36,498.19 2026-01-01
91 MS_DRG Other Disorders Of Nervous System With McC 72 26 — — $12,355.94 $67,441.59 $36,291.12 2026-01-01
377 MS_DRG Gastrointestinal Hemorrhage With McC 72 26 — — $12,861.10 $70,198.86 $36,191.58 2026-01-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With McC 72 26 — — $14,962.64 $81,669.53 $36,179.47 2026-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC 72 26 — — $12,403.78 $67,702.73 $36,012.41 2026-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/McC 72 26 — — $12,716.87 $69,411.62 $35,932.78 2026-01-01
501 MS_DRG Soft Tissue Procedures With Cc 72 26 — — $12,298.95 $67,130.54 $35,534.64 2026-01-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 72 26 — — $12,362.98 $67,479.99 $35,455.01 2026-01-01
951 SOI 4 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 7 — — $35,382.32 $80,873.86 $35,382.32 2026-01-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With McC 70 25 — — $13,120.71 $57,520.42 $35,320.57 2026-01-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 72 26 — — $12,157.54 $66,358.66 $35,295.75 2026-01-01
130 SOI 3 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 14 7 — — $34,886.46 $79,740.47 $34,886.46 2026-01-01
180 MS_DRG Respiratory Neoplasms With McC 72 26 — — $12,424.89 $67,817.93 $34,798.07 2026-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With McC 72 26 — — $12,474.84 $68,090.59 $34,798.07 2026-01-01
0914T CPT Perc Transcath Therapeutic Drug Delivery Separate Target Lesion 42 10 $38,452.00 $30,761.60 20% off $21,575.42 $36,529.40 $34,760.61 2026-01-01
70 MS_DRG Other Cerebrovascular Disorders With McC 72 26 — — $11,712.89 $63,931.65 $34,618.90 2026-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 72 26 — — $14,057.86 $76,731.04 $34,586.88 2026-01-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 72 26 — — $12,830.85 $70,033.73 $34,559.18 2026-01-01
231 SOI 4 APR_DRG Major Large Bowel Procedures 14 7 — — $34,417.10 $78,667.65 $34,417.10 2026-01-01
33990 CPT Insert Blood Flow Assist Device Low Heart Chamber Artery Access, Radiology 22 8 $42,440.00 $33,952.00 20% off $23,813.08 $40,318.00 $34,032.64 2026-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With McC 72 26 — — $13,666.68 $74,595.89 $33,963.70 2026-01-01
551 MS_DRG Medical Back Problems With McC 72 26 — — $11,792.39 $64,365.59 $33,961.96 2026-01-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 72 26 — — $11,836.71 $64,607.52 $33,862.42 2026-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 68 25 — — $15,469.20 $65,174.98 $33,696.60 2026-01-01
754 MS_DRG Malignancy, Female Reproductive System With McC 72 26 — — $12,957.49 $70,724.96 $33,638.29 2026-01-01
444 MS_DRG Disorders Of The Biliary Tract With McC 72 26 — — $11,755.80 $64,165.90 $33,543.90 2026-01-01
179 SOI 2 APR_DRG Defibrillator Implants 14 7 — — $33,507.90 $76,589.48 $33,507.90 2026-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With McC 72 26 — — $11,639.72 $63,532.27 $33,464.27 2026-01-01
571 MS_DRG Skin Debridement With Cc 72 26 — — $11,886.67 $64,880.18 $33,344.83 2026-01-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With McC 72 26 — — $11,469.45 $62,602.94 $33,125.85 2026-01-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 72 26 — — $11,901.44 $64,960.82 $33,026.31 2026-01-01
643 MS_DRG Endocrine Disorders With McC 72 26 — — $11,581.32 $63,213.53 $32,986.50 2026-01-01
393 MS_DRG Other Digestive System Diagnoses With McC 72 26 — — $11,252.05 $61,416.32 $32,966.59 2026-01-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/McC 72 26 — — $11,840.23 $64,626.73 $32,867.05 2026-01-01
666 MS_DRG Prostatectomy With Cc 72 26 — — $12,307.40 $67,176.62 $32,787.42 2026-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With McC 72 26 — — $11,285.82 $61,600.65 $32,687.89 2026-01-01
157 MS_DRG Dental And Oral Diseases With McC 72 26 — — $12,078.74 $65,928.55 $32,588.35 2026-01-01
C1767 HCPCS Neurostimulator Implantable 2inx1.7in Interstim X Thk.3in 10-14hz 0-4v Sacral Ne… 52 15 $40,592.05 $32,473.64 20% off $10,148.01 $38,562.45 $32,473.64 2026-01-01
174 SOI 4 APR_DRG Percutaneous Cardiac Intervention With Ami 14 7 — — $32,439.72 $74,147.93 $32,439.72 2026-01-01
385 MS_DRG Inflammatory Bowel Disease With McC 72 26 — — $11,132.45 $60,763.48 $32,349.46 2026-01-01
952 SOI 4 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 14 7 — — $32,226.99 $73,661.70 $32,226.99 2026-01-01
299 MS_DRG Peripheral Vascular Disorders With McC 72 26 — — $11,487.04 $62,698.95 $32,210.11 2026-01-01
177 MS_DRG Respiratory Infections And Inflammations With McC 72 26 — — $10,994.55 $60,010.81 $32,190.20 2026-01-01
C9607 HCPCS Percutaneous Transluminal Revascularization 94 28 $44,562.00 $35,649.60 20% off $674.98 $107,447.36 $32,180.33 2026-01-01
224 SOI 4 APR_DRG Peritoneal Adhesiolysis 14 7 — — $32,156.59 $73,500.77 $32,156.59 2026-01-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/McC 72 26 — — $13,300.82 $72,598.98 $32,111.45 2026-01-01
33264 CPT Removal And Replacement Of Multiple Lead Defibrillator 94 28 $26,899.00 $21,519.20 20% off $395.83 $191,846.39 $32,061.58 2026-01-01
33249 CPT Insertion Of Implantable Defibrillator System 94 28 $19,564.00 $15,651.20 $1,049.63 $191,846.39 $32,061.58 2026-01-01
862 MS_DRG Postoperative And Post-traumatic Infections With McC 72 26 — — $12,830.85 $70,033.73 $31,834.47 2026-01-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/McC 72 26 — — $11,475.08 $62,633.66 $31,573.07 2026-01-01
919 MS_DRG Complications Of Treatment With McC 72 26 — — $12,880.80 $70,306.38 $31,557.50 2026-01-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC 72 26 — — $11,019.18 $60,145.21 $31,453.63 2026-01-01
691 SOI 4 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 14 7 — — $31,427.56 $71,834.43 $31,427.56 2026-01-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With McC 72 26 — — $10,860.17 $59,277.33 $31,234.65 2026-01-01
597 MS_DRG Malignant Breast Disorders With McC 70 25 — — $11,729.07 $50,691.65 $31,210.36 2026-01-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC 72 26 — — $10,514.72 $57,391.79 $31,115.20 2026-01-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/McC 72 26 — — $12,059.04 $65,821.03 $31,016.40 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 48 18 — — $5,748.00 $129,265.98 $30,941.82 2026-01-01
557 MS_DRG Tendonitis, Myositis And Bursitis With McC 72 26 — — $10,461.25 $57,099.93 $30,856.41 2026-01-01
C9606 HCPCS Percutaneous Transluminal Revascularization 22 8 $38,452.00 $30,761.60 20% off $21,575.42 $36,529.40 $30,834.66 2026-01-01
92941 CPT Remove Plaque/Blood Clot, Insert Stent And/or Balloon Dilation, One Vessel 22 8 $38,452.00 $30,761.60 20% off $21,575.42 $36,529.40 $30,834.66 2026-01-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC 72 26 — — $12,277.85 $67,015.33 $30,830.45 2026-01-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With McC 72 26 — — $11,287.23 $61,608.33 $30,776.78 2026-01-01
470 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity 72 26 — — $13,570.99 $74,073.62 $30,647.25 2026-01-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/McC 72 26 — — $10,799.66 $58,947.07 $30,557.80 2026-01-01
663 MS_DRG Minor Bladder Procedures With Cc 72 26 — — $10,695.54 $58,378.72 $30,398.54 2026-01-01
791 MS_DRG Prematurity With Major Problems 48 18 — — $5,748.00 $125,825.92 $30,121.08 2026-01-01
398 MS_DRG Appendix Procedures With Cc 72 26 — — $10,649.10 $58,125.27 $30,119.84 2026-01-01
C1882 HCPCS Defibrillator Cardiac Gallant Hf 51x74mm Thk12mm Df4 Is-4 Is-1 Connector 34cc 76… 200 15 $46,112.54 $36,890.03 20% off $253.84 $50,816.03 $30,018.90 2026-01-01
186 MS_DRG Pleural Effusion With McC 70 25 — — $10,965.00 $48,966.74 $29,965.87 2026-01-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 72 26 — — $10,725.79 $58,543.85 $29,960.58 2026-01-01
682 MS_DRG Renal Failure With McC 72 26 — — $10,419.74 $56,873.36 $29,900.85 2026-01-01
54 MS_DRG Nervous System Neoplasms With McC 72 26 — — $10,742.68 $58,636.01 $29,841.13 2026-01-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With McC 72 26 — — $11,086.72 $60,513.87 $29,801.32 2026-01-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 72 26 — — $11,563.73 $63,117.53 $29,705.25 2026-01-01
388 MS_DRG Gastrointestinal Obstruction With McC 72 26 — — $10,390.19 $56,712.07 $29,263.82 2026-01-01
693 MS_DRG Urinary Stones With McC 72 26 — — $9,459.38 $51,631.49 $29,263.82 2026-01-01
602 MS_DRG Cellulitis With McC 72 26 — — $9,999.71 $54,580.76 $29,243.91 2026-01-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With McC 72 26 — — $12,308.10 $67,180.46 $29,237.86 2026-01-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 72 26 — — $10,024.34 $54,715.17 $29,144.38 2026-01-01
441 SOI 3 APR_DRG Major Bladder Procedures 14 7 — — $29,080.00 $66,468.56 $29,080.00 2026-01-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/McC 72 26 — — $12,221.56 $66,708.11 $28,995.51 2026-01-01
637 MS_DRG Diabetes With McC 72 26 — — $10,108.06 $55,172.15 $28,985.12 2026-01-01
884 MS_DRG Organic Disturbances And Intellectual Disability 72 26 — — $11,319.60 $61,784.98 $28,908.96 2026-01-01
813 MS_DRG Coagulation Disorders 72 26 — — $10,731.42 $58,574.57 $28,785.00 2026-01-01
783 MS_DRG Cesarean Section With Sterilization With McC 72 26 — — $17,273.13 $57,086.54 $28,780.50 2026-01-01
322 SOI 4 APR_DRG Shoulder And Elbow Joint Replacement 14 7 — — $28,502.38 $65,148.29 $28,502.38 2026-01-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With McC 72 26 — — $11,034.65 $60,229.70 $28,389.63 2026-01-01
175 MS_DRG Pulmonary Embolism With McC Or Acute Cor Pulmonale 72 26 — — $9,664.12 $52,748.99 $28,049.47 2026-01-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 72 26 — — $9,876.59 $53,908.73 $27,969.84 2026-01-01
C1722 HCPCS Defibrillator Cardiac Momentum Heartlogic 5.37x7.79cm .99cm Right Ventricle Exte… 52 15 $34,910.57 $27,928.46 $8,727.64 $33,165.04 $27,928.46 2026-01-01
049 SOI 4 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 14 7 — — $27,735.50 $63,395.43 $27,735.50 2026-01-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC 72 26 — — $9,585.32 $52,318.88 $27,730.95 2026-01-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 72 26 — — $9,820.31 $53,601.51 $27,671.23 2026-01-01
167 SOI 2 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 14 7 — — $27,590.91 $63,064.93 $27,590.91 2026-01-01
220 SOI 3 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 14 7 — — $27,455.40 $62,755.20 $27,455.40 2026-01-01
865 MS_DRG Viral Illness With McC 72 26 — — $10,541.46 $57,537.72 $27,446.17 2026-01-01
326 SOI 4 APR_DRG Elective Knee Joint Replacement 14 7 — — $27,376.67 $62,575.24 $27,376.67 2026-01-01
192 SOI 4 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 14 7 — — $27,172.27 $62,108.04 $27,172.27 2026-01-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 72 26 — — $11,477.90 $62,649.02 $27,143.26 2026-01-01
950 SOI 3 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 7 — — $27,108.68 $61,962.69 $27,108.68 2026-01-01
0790 RC — 42 10 $29,925.00 $23,940.00 20% off $16,790.92 $28,428.75 $27,052.20 2026-01-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/McC 72 26 — — $9,835.08 $53,682.16 $26,974.47 2026-01-01
300 SOI 2 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 7 — — $26,967.11 $61,639.11 $26,967.11 2026-01-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC 72 26 — — $9,299.67 $50,759.76 $26,815.21 2026-01-01
296 MS_DRG Cardiac Arrest, Unexplained With McC 68 24 — — $12,551.72 $50,764.25 $26,811.75 2026-01-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 72 26 — — $9,298.97 $50,755.92 $26,675.86 2026-01-01
175 SOI 3 APR_DRG Percutaneous Cardiac Intervention Without Ami 14 7 — — $26,626.45 $60,860.45 $26,626.45 2026-01-01
57 MS_DRG Degenerative Nervous System Disorders Without McC 72 26 — — $9,115.34 $49,753.63 $26,576.33 2026-01-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/McC 72 26 — — $9,462.90 $51,650.69 $26,536.51 2026-01-01
535 MS_DRG Fractures Of Hip And Pelvis With McC 72 26 — — $9,019.65 $49,231.36 $26,476.79 2026-01-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 72 26 — — $9,396.76 $51,289.71 $26,436.97 2026-01-01
325 SOI 3 APR_DRG Non-elective Or Complex Knee Joint Replacement 14 7 — — $26,285.02 $60,080.05 $26,285.02 2026-01-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/McC 72 26 — — $9,609.24 $52,449.45 $26,237.90 2026-01-01
193 MS_DRG Simple Pneumonia And Pleurisy With McC 72 26 — — $9,247.61 $50,475.59 $26,237.90 2026-01-01
545 MS_DRG Connective Tissue Disorders With McC 62 25 — — $17,460.28 $68,896.96 $26,190.42 2026-01-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 72 26 — — $9,165.29 $50,026.29 $26,118.46 2026-01-01
C1721 HCPCS Defibrillator Cardiac Cobalt Xt Hf 51x74mm 57sq Cm 13mm Titanium Titanium Dioxid… 252 15 $35,086.00 $28,068.80 20% off $468.63 $48,487.05 $26,026.29 2026-01-01
553 MS_DRG Bone Diseases And Arthropathies With McC 72 26 — — $9,120.26 $49,780.51 $25,999.01 2026-01-01
291 MS_DRG Heart Failure And Shock With McC 72 26 — — $9,032.32 $49,300.49 $25,979.10 2026-01-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 72 26 — — $11,888.78 $64,891.70 $25,847.00 2026-01-01
540 MS_DRG Osteomyelitis With Cc 72 26 — — $9,120.26 $49,780.51 $25,760.12 2026-01-01
346 SOI 4 APR_DRG Connective Tissue Disorders 14 7 — — $25,661.23 $58,654.23 $25,661.23 2026-01-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC 72 26 — — $8,923.27 $48,705.26 $25,580.96 2026-01-01
727 MS_DRG Inflammation Of The Male Reproductive System With McC 72 26 — — $10,433.11 $56,946.33 $25,429.49 2026-01-01
C9604 HCPCS Percutaneous Transluminal Revascularization 94 28 $38,452.00 $30,761.60 20% off $601.71 $67,858.37 $25,324.49 2026-01-01
C9600 HCPCS Percutaneous Transcatheter 94 28 $38,452.00 $30,761.60 20% off $602.38 $67,858.37 $25,324.49 2026-01-01
786 MS_DRG Cesarean Section Without Sterilization With McC 72 26 — — $11,605.24 $46,623.63 $25,169.00 2026-01-01
348 MS_DRG Anal And Stomal Procedures With Cc 72 26 — — $9,208.21 $50,260.54 $25,063.37 2026-01-01
710 SOI 3 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 14 7 — — $24,936.74 $56,998.27 $24,936.74 2026-01-01
696 SOI 4 APR_DRG Other Chemotherapy 14 7 — — $24,717.96 $56,498.19 $24,717.96 2026-01-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 72 26 — — $10,005.34 $54,611.48 $24,705.03 2026-01-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 72 26 — — $8,691.79 $47,441.83 $24,645.31 2026-01-01
975 MS_DRG HIV With Major Related Condition With Cc 70 25 — — $9,111.12 $40,997.63 $24,598.58 2026-01-01
230 SOI 3 APR_DRG Major Small Bowel Procedures 14 7 — — $24,565.04 $56,148.66 $24,565.04 2026-01-01
375 MS_DRG Digestive Malignancy With Cc 72 26 — — $8,510.28 $46,451.06 $24,466.15 2026-01-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 72 26 — — $8,730.49 $47,653.04 $24,366.61 2026-01-01
811 MS_DRG Red Blood Cell Disorders With McC 72 26 — — $9,880.11 $53,927.93 $24,356.23 2026-01-01
33263 CPT Removal And Replacement Of Dual Lead Defibrillator 94 28 $26,899.00 $21,519.20 20% off $381.23 $134,310.96 $24,316.70 2026-01-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With McC 72 26 — — $8,470.88 $46,236.01 $24,008.28 2026-01-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 72 26 — — $14,175.35 $77,372.35 $23,959.65 2026-01-01
300 SOI 1 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 7 — — $23,741.38 $54,266.02 $23,741.38 2026-01-01
026 SOI 3 APR_DRG Other Nervous System And Related Procedures 14 7 — — $23,552.88 $53,835.16 $23,552.88 2026-01-01
681 SOI 3 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 14 7 — — $23,424.94 $53,542.73 $23,424.94 2026-01-01
304 MS_DRG Hypertension With McC 72 26 — — $8,372.38 $45,698.38 $23,391.15 2026-01-01
689 MS_DRG Kidney And Urinary Tract Infections With McC 72 26 — — $8,163.42 $44,557.84 $23,291.61 2026-01-01
309 SOI 3 APR_DRG Other Significant Hip And Femur Surgery 14 7 — — $23,253.85 $53,151.66 $23,253.85 2026-01-01
175 SOI 2 APR_DRG Percutaneous Cardiac Intervention Without Ami 14 7 — — $23,209.95 $53,051.30 $23,209.95 2026-01-01
231 SOI 3 APR_DRG Major Large Bowel Procedures 14 7 — — $23,179.66 $52,982.09 $23,179.66 2026-01-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 60 26 — — $17,041.66 $93,017.32 $23,053.11 2026-01-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without McC 60 26 — — $16,986.08 $92,713.95 $22,977.92 2026-01-01
174 SOI 3 APR_DRG Percutaneous Cardiac Intervention With Ami 14 7 — — $22,869.28 $52,272.64 $22,869.28 2026-01-01
720 SOI 4 APR_DRG Septicemia And Disseminated Infections 14 7 — — $22,824.61 $52,170.55 $22,824.61 2026-01-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 72 26 — — $7,922.80 $43,244.49 $22,674.48 2026-01-01
313 SOI 3 APR_DRG Knee And Lower Leg Procedures Except Foot 14 7 — — $22,654.28 $51,781.21 $22,654.28 2026-01-01
152 MS_DRG Otitis Media And Uri With McC 72 26 — — $8,317.50 $45,398.84 $22,594.85 2026-01-01
33262 CPT Removal And Replacement Of Single Lead Defibrillator 94 28 $23,705.00 $18,964.00 20% off $366.64 $134,310.96 $22,519.75 2026-01-01
660 SOI 4 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 14 7 — — $22,477.14 $51,376.31 $22,477.14 2026-01-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 72 26 — — $7,957.98 $43,436.50 $22,455.50 2026-01-01
399 MS_DRG Appendix Procedures Without Cc/McC 72 26 — — $8,053.66 $43,958.77 $22,375.87 2026-01-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With McC 72 26 — — $7,793.35 $42,537.90 $22,355.97 2026-01-01
947 MS_DRG Signs And Symptoms With McC 72 26 — — $8,931.01 $48,747.50 $22,261.63 2026-01-01
282 SOI 4 APR_DRG Disorders Of Pancreas Except Malignancy 14 7 — — $22,232.61 $50,817.40 $22,232.61 2026-01-01
322 SOI 3 APR_DRG Shoulder And Elbow Joint Replacement 14 7 — — $22,222.77 $50,794.91 $22,222.77 2026-01-01
711 SOI 3 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 14 7 — — $22,205.36 $50,755.11 $22,205.36 2026-01-01
181 MS_DRG Respiratory Neoplasms With Cc 72 26 — — $7,535.14 $41,128.54 $22,097.17 2026-01-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/McC 72 26 — — $8,216.19 $44,845.86 $21,957.82 2026-01-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/McC 70 25 — — $9,235.65 $36,583.39 $21,950.03 2026-01-01
280 SOI 4 APR_DRG Alcoholic Liver Disease 14 7 — — $21,901.03 $50,059.50 $21,901.03 2026-01-01
690 SOI 2 APR_DRG Acute Leukemia 14 7 — — $21,753.41 $49,722.08 $21,753.41 2026-01-01
55 MS_DRG Nervous System Neoplasms Without McC 72 26 — — $7,173.51 $39,154.68 $21,718.93 2026-01-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC 72 26 — — $7,528.81 $41,093.98 $21,699.02 2026-01-01
325 SOI 2 APR_DRG Non-elective Or Complex Knee Joint Replacement 14 7 — — $21,698.15 $49,595.76 $21,698.15 2026-01-01
381 MS_DRG Complicated Peptic Ulcer With Cc 72 26 — — $7,623.09 $41,608.57 $21,679.12 2026-01-01
549 MS_DRG Septic Arthritis With Cc 70 25 — — $8,493.39 $34,765.76 $21,629.58 2026-01-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 72 26 — — $7,699.77 $42,027.15 $21,579.58 2026-01-01
323 SOI 3 APR_DRG Non-elective Or Complex Hip Joint Replacement 14 7 — — $21,551.28 $49,260.07 $21,551.28 2026-01-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 72 26 — — $8,906.38 $48,613.09 $21,448.02 2026-01-01
951 SOI 3 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 7 — — $21,342.34 $48,782.49 $21,342.34 2026-01-01
300 MS_DRG Peripheral Vascular Disorders With Cc 72 26 — — $7,510.52 $40,994.14 $21,320.78 2026-01-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 72 26 — — $7,431.01 $40,560.19 $21,300.88 2026-01-01
184 MS_DRG Major Chest Trauma With Cc 72 26 — — $7,486.59 $40,863.57 $21,261.06 2026-01-01
444 SOI 3 APR_DRG Renal Dialysis Access Device Procedures 14 7 — — $21,239.38 $48,547.16 $21,239.38 2026-01-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 72 26 — — $7,232.61 $39,477.26 $21,121.71 2026-01-01
92 MS_DRG Other Disorders Of Nervous System With Cc 72 26 — — $7,197.43 $39,285.25 $21,081.89 2026-01-01
171 SOI 3 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 14 7 — — $21,026.66 $48,060.93 $21,026.66 2026-01-01
304 SOI 1 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 14 7 — — $20,990.32 $47,977.87 $20,990.32 2026-01-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 72 26 — — $7,218.54 $39,400.45 $20,982.36 2026-01-01
224 SOI 3 APR_DRG Peritoneal Adhesiolysis 14 7 — — $20,931.27 $47,842.90 $20,931.27 2026-01-01
279 SOI 4 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders 14 7 — — $20,757.15 $47,444.92 $20,757.15 2026-01-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without McC 72 26 — — $7,252.31 $39,584.78 $20,743.47 2026-01-01
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 70 25 — — $8,565.15 $34,477.25 $20,686.35 2026-01-01
724 SOI 4 APR_DRG Other Infectious And Parasitic Diseases 14 7 — — $20,650.41 $47,200.93 $20,650.41 2026-01-01
644 MS_DRG Endocrine Disorders With Cc 72 26 — — $7,211.50 $39,362.05 $20,584.21 2026-01-01
816 SOI 4 APR_DRG Toxic Effects Of Non-medicinal Substances 14 7 — — $20,567.14 $47,010.59 $20,567.14 2026-01-01
92920 CPT Balloon Dilation Of Single Coronary Artery Or Branch 94 28 $36,621.00 $29,296.80 20% off $542.24 $34,789.95 $20,555.37 2026-01-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 72 26 — — $7,183.36 $39,208.44 $20,484.67 2026-01-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/McC 72 26 — — $7,284.67 $39,761.43 $20,444.86 2026-01-01
320 SOI 3 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 14 7 — — $20,423.30 $46,681.82 $20,423.30 2026-01-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 72 26 — — $6,855.50 $37,418.91 $20,305.51 2026-01-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 72 26 — — $7,108.08 $38,797.54 $20,245.79 2026-01-01
241 SOI 4 APR_DRG Peptic Ulcer And Gastritis 14 7 — — $20,181.05 $46,128.11 $20,181.05 2026-01-01
252 SOI 4 APR_DRG Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure 14 7 — — $20,174.99 $46,114.26 $20,174.99 2026-01-01
222 SOI 3 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 14 7 — — $20,107.61 $45,960.26 $20,107.61 2026-01-01
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