Hospital

GETTYSBURG HOSPITAL

Gettysburg, PA · CCN 390065 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

Vaginal Delivery Without Sterilization Or D&C Without Cc/McC

This hospital’s price: $5,718 across 21 payers · range $4,743-$19,742

Source: https://www.wellspan.org/-/media/Project/Wellspan-Site-Tenant/wellspan-site/data/media/files/Patient-Resources/Cost/231352220_gettysburg-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.

3,176 distinct procedures filed

32 distinct payers

297,338 rate rows

2026-01-01 last MRF observed

Data quality

282,090 of 297,338 rate rows are consumer-grade (94.9%)

15,248 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	7,636
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	7,254
exceeds 10× this hospital's gross charge — excluded from medians	270
per-diem day rate — not a per-procedure price	54
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	20
placeholder amount (≤ $0.02) — excluded from medians	14

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 $68,581 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 $65,958 outlier · 2.3×
207 MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	26	$45,272.05	$247,105.35	$138,313.07	nat. median $62,218 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 $58,419 outlier · 2.3×
969 MS_DRG	HIV With Extensive O.r. Procedures With McC	25	$43,067.09	$195,990.91	$119,529.00	nat. median $60,294 2.0× median
270 MS_DRG	Other Major Cardiovascular Procedures With McC	26	$37,122.00	$202,620.47	$109,765.15	nat. median $50,808 outlier · 2.2×
326 MS_DRG	Stomach, Esophageal And Duodenal Procedures With McC	26	$35,089.41	$191,526.13	$108,610.40	nat. median $48,124 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 $47,707 outlier · 2.2×
228 MS_DRG	Other Cardiothoracic Procedures With McC	26	$34,807.99	$189,990.05	$106,557.52	nat. median $50,071 outlier · 2.1×
005 SOI 4 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	7	$104,670.73	$239,247.38	$104,670.73	nat. median $114,559 0.9× median
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 $45,808 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 $44,650 outlier · 2.2×
277 MS_DRG	Cardiac Defibrillator Implant Without McC	26	$32,493.97	$177,359.64	$99,479.34	nat. median $45,772 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 $44,514 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 $43,549 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 $48,652 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 $41,045 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 $39,775 outlier · 2.3×
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 $37,383 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 $34,945 outlier · 2.3×
335 MS_DRG	Peritoneal Adhesiolysis With McC	26	$25,123.47	$137,129.70	$77,496.38	nat. median $34,738 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 $34,828 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 $35,279 outlier · 2.2×
264 MS_DRG	Other Circulatory System O.r. Procedures	26	$23,503.16	$128,285.72	$74,737.81	nat. median $32,666 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 $34,366 outlier · 2.1×
242 MS_DRG	Permanent Cardiac Pacemaker Implant With McC	26	$22,463.30	$122,609.91	$72,535.24	nat. median $32,539 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 $40,579 1.8× 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 $31,836 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 $30,485 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 $31,014 outlier · 2.2×
662 MS_DRG	Minor Bladder Procedures With McC	26	$21,539.53	$117,567.72	$66,697.35	nat. median $29,427 outlier · 2.3×
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 $28,656 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 $29,103 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 $28,835 outlier · 2.2×
472 MS_DRG	Cervical Spinal Fusion With Cc	26	$20,727.62	$113,136.13	$61,950.06	nat. median $29,471 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 $27,918 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 $27,182 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 $26,590 outlier · 2.2×
229 MS_DRG	Other Cardiothoracic Procedures Without McC	25	$24,399.42	$89,611.99	$57,005.71	nat. median $32,689 1.7× median
500 MS_DRG	Soft Tissue Procedures With McC	25	$22,266.30	$91,429.62	$56,847.96	nat. median $30,787 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 $27,037 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 $25,230 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 $26,451 outlier · 2.1×
179 SOI 4 OTHER	Defibrillator Implants	7	$53,218.07	$121,641.30	$53,218.07	nat. median $58,246 0.9× median
654 MS_DRG	Major Bladder Procedures With Cc	25	$19,694.79	$81,418.24	$50,556.51	nat. median $27,626 1.8× median
56 MS_DRG	Degenerative Nervous System Disorders With McC	26	$16,344.43	$89,211.69	$49,848.03	nat. median $21,951 outlier · 2.3×
397 MS_DRG	Appendix Procedures With McC	26	$16,849.59	$91,968.95	$49,330.44	nat. median $23,887 outlier · 2.1×
327 MS_DRG	Stomach, Esophageal And Duodenal Procedures With Cc	26	$17,196.44	$93,862.17	$48,335.07	nat. median $24,507 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 $24,545 1.9× median

Other procedures at this hospital

Browse this hospital's 3,176 published procedures. Use the slice to choose what to show, then sort or filter any column.

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	OTHER	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	OTHER	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	OTHER	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
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
100	MS_DRG	Seizures With McC	72	26	—	—	$13,626.57	$74,376.99	$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	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	Other Cardiothoracic And Thoracic Circulatory Procedures	14	7	—	—	$27,590.91	$63,064.93	$27,590.91	2026-01-01
220 SOI 3	OTHER	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	OTHER	Elective Knee Joint Replacement	14	7	—	—	$27,376.67	$62,575.24	$27,376.67	2026-01-01
192 SOI 4	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	Other Nervous System And Related Procedures	14	7	—	—	$23,552.88	$53,835.16	$23,552.88	2026-01-01
681 SOI 3	OTHER	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	OTHER	Other Significant Hip And Femur Surgery	14	7	—	—	$23,253.85	$53,151.66	$23,253.85	2026-01-01
175 SOI 2	OTHER	Percutaneous Cardiac Intervention Without Ami	14	7	—	—	$23,209.95	$53,051.30	$23,209.95	2026-01-01
231 SOI 3	OTHER	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	OTHER	Percutaneous Cardiac Intervention With Ami	14	7	—	—	$22,869.28	$52,272.64	$22,869.28	2026-01-01
720 SOI 4	OTHER	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	OTHER	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	OTHER	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	OTHER	Disorders Of Pancreas Except Malignancy	14	7	—	—	$22,232.61	$50,817.40	$22,232.61	2026-01-01
322 SOI 3	OTHER	Shoulder And Elbow Joint Replacement	14	7	—	—	$22,222.77	$50,794.91	$22,222.77	2026-01-01
711 SOI 3	OTHER	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	OTHER	Alcoholic Liver Disease	14	7	—	—	$21,901.03	$50,059.50	$21,901.03	2026-01-01
690 SOI 2	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	Peritoneal Adhesiolysis	14	7	—	—	$20,931.27	$47,842.90	$20,931.27	2026-01-01
279 SOI 4	OTHER	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	OTHER	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	OTHER	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	OTHER	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	OTHER	Peptic Ulcer And Gastritis	14	7	—	—	$20,181.05	$46,128.11	$20,181.05	2026-01-01
252 SOI 4	OTHER	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	OTHER	Other Stomach, Esophageal And Duodenal Procedures	14	7	—	—	$20,107.61	$45,960.26	$20,107.61	2026-01-01

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