Price Transparencybeta Hospital negotiated rates

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 →

Export CSV
Hospital

WELLSPAN GOOD SAMARITAN HOSPITAL

Lebanon, PA · CCN 390066 · Rates published

3,033 distinct procedures filed
30 distinct payers
246,664 rate rows
2026-01-01 last MRF observed
Data quality

245,484 of 246,664 rate rows are consumer-grade (99.5%)

1,180 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 954
exceeds 10× this hospital's gross charge — excluded from medians 180
placeholder amount (≤ $0.02) — excluded from medians 42
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4
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/230794160_good-samaritan-hospital_standard-charges.csv
Found on page https://www.wellspan.org/Patient-Resources/Billing-and-Insurance/Cost-Estimates
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-19
Content fingerprint acc8eef3bacf8767… · 30,215,432 bytes · first seen 2026-05-15

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
009 SOI 4
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $185,685.45 $424,423.89 $185,685.45 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $141,232.44 $456,110.13 $178,455.32 nat. median
$202,976
0.9× median
004 SOI 4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $142,701.06 $326,173.86 $142,701.06 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $92,167.19 $303,442.01 $129,188.27 nat. median
$133,161
1.0× median
009 SOI 3
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $124,792.34 $285,239.64 $124,792.34 —
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 $65,094.74 $309,241.00 $99,614.67 nat. median
$93,672
1.1× median
005 SOI 4
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $99,411.10 $227,225.38 $99,411.10 —
231
MS_DRG 		Coronary Bypass With Ptca With McC 22 $56,092.54 $252,862.00 $79,644.15 nat. median
$79,312
1.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without McC 22 $52,823.43 $252,862.00 $77,070.58 nat. median
$59,898
1.3× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 $51,091.40 $241,424.00 $72,543.18 nat. median
$74,915
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 22 $50,871.15 $239,231.00 $72,230.46 nat. median
$73,807
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 23 $45,991.10 $158,870.16 $70,380.32 nat. median
$66,526
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And McC 22 $47,445.67 $239,970.00 $67,366.71 nat. median
$68,886
1.0× median
009 SOI 2
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $62,633.08 $143,161.32 $62,633.08 —
276
MS_DRG 		Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 22 $39,967.90 $205,938.00 $56,749.26 nat. median
$59,099
1.0× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With McC 22 $39,049.66 $181,208.00 $55,445.46 nat. median
$57,424
1.0× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With McC 22 $39,024.36 $145,427.30 $55,409.55 nat. median
$56,696
1.0× median
33225
CPT 		Insertion Of Left Lower Heart Electrode For Pacemaker Or Defibrillator 10 $6,420.00 $84,485.66 $54,042.00 nat. median
$8,283
outlier · 6.5×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 22 $37,924.46 $111,484.08 $53,847.83 nat. median
$52,746
1.0× median
270
MS_DRG 		Other Major Cardiovascular Procedures With McC 23 $35,108.49 $109,968.64 $53,726.63 nat. median
$51,307
1.0× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 22 $36,348.80 $160,321.00 $51,610.60 nat. median
$53,268
1.0× median
166 SOI 4
APR_DRG 		Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 $51,211.85 $117,055.65 $51,211.85 —
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 $35,484.44 $163,387.00 $50,383.32 nat. median
$52,879
1.0× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 23 $32,748.98 $102,578.07 $50,115.87 nat. median
$47,740
1.0× median
329
MS_DRG 		Major Small And Large Bowel Procedures With McC 23 $30,585.10 $95,704.38 $46,804.47 nat. median
$44,810
1.0× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 23 $30,267.04 $94,804.01 $46,317.75 nat. median
$43,963
1.1× median
799
MS_DRG 		Splenic Procedures With McC 23 $30,135.29 $94,391.33 $46,116.13 nat. median
$45,376
1.0× median
220 SOI 4
APR_DRG 		Major Stomach, Esophageal And Duodenal Procedures 7 $43,775.28 $100,057.79 $43,775.28 —
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 23 $28,564.95 $89,472.62 $43,713.02 nat. median
$42,295
1.0× median
165 SOI 3
APR_DRG 		Coronary Bypass With Ami Or Complex Principal Diagnosis 7 $42,688.16 $97,572.94 $42,688.16 —
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With McC 23 $16,854.31 $111,667.39 $40,410.00 nat. median
$48,178
0.8× median
653
MS_DRG 		Major Bladder Procedures With McC 22 $17,549.65 $167,363.61 $40,261.06 nat. median
$51,418
0.8× median
228
MS_DRG 		Other Cardiothoracic Procedures With McC 23 $16,721.23 $193,578.00 $40,085.91 nat. median
$50,672
0.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With McC 23 $16,691.96 $103,632.23 $40,014.61 nat. median
$48,170
0.8× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With McC 23 $25,692.42 $80,475.13 $39,317.19 nat. median
$37,698
1.0× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With McC 23 $27,957.44 $87,569.75 $38,705.10 nat. median
$40,454
1.0× median
179 SOI 3
APR_DRG 		Defibrillator Implants 7 $38,491.39 $87,980.32 $38,491.39 —
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 23 $15,870.84 $119,763.66 $38,014.92 nat. median
$46,084
0.8× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 23 $24,798.12 $77,673.97 $37,948.64 nat. median
$37,234
1.0× median
181 SOI 4
APR_DRG 		Lower Extremity Vascular Procedures 7 $37,576.83 $85,889.89 $37,576.83 —
166 SOI 3
APR_DRG 		Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 $37,571.79 $85,878.39 $37,571.79 —
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With McC 23 $15,514.86 $109,498.21 $37,147.98 nat. median
$45,112
0.8× median
230 SOI 4
APR_DRG 		Major Small Bowel Procedures 7 $37,028.95 $84,637.61 $37,028.95 —
710 SOI 4
APR_DRG 		Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 $36,410.62 $83,224.27 $36,410.62 —
33270
CPT 		Insertion Or Replacement Of Defibrillator With Electrode 25 $6,420.00 $115,418.88 $36,134.88 nat. median
$32,221
1.1× median
33264
CPT 		Removal And Replacement Of Multiple Lead Defibrillator 25 $6,420.00 $115,418.88 $36,134.88 nat. median
$31,873
1.1× median
33249
CPT 		Insertion Of Implantable Defibrillator System 25 $6,420.00 $115,418.88 $36,134.88 nat. median
$31,833
1.1× median
711 SOI 4
APR_DRG 		Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 7 $35,498.21 $81,138.77 $35,498.21 —
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With McC 23 $14,658.50 $119,274.83 $35,062.41 nat. median
$41,311
0.8× median
939
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With McC 20 $974.80 $98,346.74 $34,870.31 nat. median
$33,731
1.0× median

Other procedures at this hospital

Browse this hospital's 3,033 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
009 SOI 4 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 7 — — $185,685.45 $424,423.89 $185,685.45 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 56 22 — — $141,232.44 $456,110.13 $178,455.32 2026-01-01
004 SOI 4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 7 — — $142,701.06 $326,173.86 $142,701.06 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 60 22 — — $92,167.19 $303,442.01 $129,188.27 2026-01-01
009 SOI 3 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 7 — — $124,792.34 $285,239.64 $124,792.34 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 23 — — $65,094.74 $309,241.00 $99,614.67 2026-01-01
005 SOI 4 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 7 — — $99,411.10 $227,225.38 $99,411.10 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With McC 60 22 — — $56,092.54 $252,862.00 $79,644.15 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without McC 60 22 — — $52,823.43 $252,862.00 $77,070.58 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 60 22 — — $51,091.40 $241,424.00 $72,543.18 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 60 22 — — $50,871.15 $239,231.00 $72,230.46 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 62 23 — — $45,991.10 $158,870.16 $70,380.32 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 60 22 — — $47,445.67 $239,970.00 $67,366.71 2026-01-01
009 SOI 2 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 7 — — $62,633.08 $143,161.32 $62,633.08 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 60 22 — — $39,967.90 $205,938.00 $56,749.26 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With McC 60 22 — — $39,049.66 $181,208.00 $55,445.46 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With McC 60 22 — — $39,024.36 $145,427.30 $55,409.55 2026-01-01
33225 CPT Insertion Of Left Lower Heart Electrode For Pacemaker Or Defibrillator 26 10 $90,070.00 $72,056.00 20% off $6,420.00 $84,485.66 $54,042.00 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 60 22 — — $37,924.46 $111,484.08 $53,847.83 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With McC 62 23 — — $35,108.49 $109,968.64 $53,726.63 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 60 22 — — $36,348.80 $160,321.00 $51,610.60 2026-01-01
166 SOI 4 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 14 7 — — $51,211.85 $117,055.65 $51,211.85 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 60 22 — — $35,484.44 $163,387.00 $50,383.32 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 62 23 — — $32,748.98 $102,578.07 $50,115.87 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With McC 62 23 — — $30,585.10 $95,704.38 $46,804.47 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 62 23 — — $30,267.04 $94,804.01 $46,317.75 2026-01-01
799 MS_DRG Splenic Procedures With McC 62 23 — — $30,135.29 $94,391.33 $46,116.13 2026-01-01
220 SOI 4 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 14 7 — — $43,775.28 $100,057.79 $43,775.28 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 62 23 — — $28,564.95 $89,472.62 $43,713.02 2026-01-01
165 SOI 3 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 14 7 — — $42,688.16 $97,572.94 $42,688.16 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 62 23 — — $16,854.31 $111,667.39 $40,410.00 2026-01-01
653 MS_DRG Major Bladder Procedures With McC 60 22 — — $17,549.65 $167,363.61 $40,261.06 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With McC 62 23 — — $16,721.23 $193,578.00 $40,085.91 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 62 23 — — $16,691.96 $103,632.23 $40,014.61 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With McC 62 23 — — $25,692.42 $80,475.13 $39,317.19 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With McC 62 23 — — $27,957.44 $87,569.75 $38,705.10 2026-01-01
179 SOI 3 APR_DRG Defibrillator Implants 14 7 — — $38,491.39 $87,980.32 $38,491.39 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 62 23 — — $15,870.84 $119,763.66 $38,014.92 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 62 23 — — $24,798.12 $77,673.97 $37,948.64 2026-01-01
181 SOI 4 APR_DRG Lower Extremity Vascular Procedures 14 7 — — $37,576.83 $85,889.89 $37,576.83 2026-01-01
166 SOI 3 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 14 7 — — $37,571.79 $85,878.39 $37,571.79 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 62 23 — — $15,514.86 $109,498.21 $37,147.98 2026-01-01
230 SOI 4 APR_DRG Major Small Bowel Procedures 14 7 — — $37,028.95 $84,637.61 $37,028.95 2026-01-01
710 SOI 4 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 14 7 — — $36,410.62 $83,224.27 $36,410.62 2026-01-01
33270 CPT Insertion Or Replacement Of Defibrillator With Electrode 68 25 $91,012.00 $72,809.60 $6,420.00 $115,418.88 $36,134.88 2026-01-01
33264 CPT Removal And Replacement Of Multiple Lead Defibrillator 68 25 $81,010.00 $64,808.00 20% off $6,420.00 $115,418.88 $36,134.88 2026-01-01
33249 CPT Insertion Of Implantable Defibrillator System 68 25 $89,311.00 $71,448.80 $6,420.00 $115,418.88 $36,134.88 2026-01-01
711 SOI 4 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 14 7 — — $35,498.21 $81,138.77 $35,498.21 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With McC 62 23 — — $14,658.50 $119,274.83 $35,062.41 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With McC 52 20 — — $974.80 $98,346.74 $34,870.31 2026-01-01
175 SOI 4 APR_DRG Percutaneous Cardiac Intervention Without Ami 14 7 — — $34,664.18 $79,232.41 $34,664.18 2026-01-01
165 SOI 2 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 14 7 — — $34,420.44 $78,675.29 $34,420.44 2026-01-01
442 SOI 4 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 14 7 — — $34,226.31 $78,231.57 $34,226.31 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 62 23 — — $14,311.82 $89,395.02 $34,218.14 2026-01-01
901 MS_DRG Wound Debridements For Injuries With McC 62 23 — — $14,223.32 $97,980.12 $34,002.61 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without McC 62 23 — — $14,197.37 $124,070.00 $33,939.42 2026-01-01
163 SOI 2 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 14 7 — — $33,925.77 $77,544.62 $33,925.77 2026-01-01
650 SOI 4 APR_DRG Splenic Procedures 14 7 — — $33,909.95 $77,508.47 $33,909.95 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 62 23 — — $22,228.35 $69,624.79 $33,747.70 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With McC 62 23 — — $13,986.77 $112,034.02 $33,426.53 2026-01-01
130 SOI 3 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 14 7 — — $33,133.44 $75,733.58 $33,133.44 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With McC 62 23 — — $21,548.97 $67,496.82 $32,976.46 2026-01-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With McC 36 17 — — $738.41 $54,684.51 $32,810.70 2026-01-01
231 SOI 4 APR_DRG Major Large Bowel Procedures 14 7 — — $32,687.66 $74,714.66 $32,687.66 2026-01-01
163 MS_DRG Major Chest Procedures With McC 54 21 — — $2,655.74 $100,302.07 $32,532.97 2026-01-01
182 SOI 4 APR_DRG Other Peripheral Vascular And Related Procedures 14 7 — — $32,510.07 $74,308.73 $32,510.07 2026-01-01
33263 CPT Removal And Replacement Of Dual Lead Defibrillator 68 25 $61,300.00 $49,040.00 20% off $6,420.00 $80,804.34 $32,390.00 2026-01-01
500 MS_DRG Soft Tissue Procedures With McC 62 23 — — $21,058.58 $65,960.76 $32,226.00 2026-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 62 23 — — $21,026.63 $65,860.72 $32,177.12 2026-01-01
313 SOI 4 APR_DRG Knee And Lower Leg Procedures Except Foot 14 7 — — $31,827.75 $72,749.13 $31,827.75 2026-01-01
179 SOI 2 APR_DRG Defibrillator Implants 14 7 — — $31,824.15 $72,740.91 $31,824.15 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 62 23 — — $20,725.20 $64,916.58 $31,715.84 2026-01-01
325 SOI 4 APR_DRG Non-elective Or Complex Knee Joint Replacement 14 7 — — $31,218.76 $71,357.16 $31,218.76 2026-01-01
223 SOI 4 APR_DRG Other Small And Large Bowel Procedures 14 7 — — $31,020.31 $70,903.57 $31,020.31 2026-01-01
180 SOI 4 APR_DRG Other Circulatory System Procedures 14 7 — — $30,892.33 $70,611.05 $30,892.33 2026-01-01
165 SOI 1 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 14 7 — — $30,843.44 $70,499.29 $30,843.44 2026-01-01
174 SOI 4 APR_DRG Percutaneous Cardiac Intervention With Ami 14 7 — — $30,809.65 $70,422.05 $30,809.65 2026-01-01
305 SOI 4 APR_DRG Amputation Of Lower Limb Except Toes 14 7 — — $30,635.65 $70,024.35 $30,635.65 2026-01-01
171 SOI 4 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 14 7 — — $30,625.59 $70,001.34 $30,625.59 2026-01-01
050 SOI 4 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 14 7 — — $30,552.25 $69,833.71 $30,552.25 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 62 23 — — $12,780.73 $145,366.20 $30,489.40 2026-01-01
793 SOI 4 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 14 7 — — $30,377.53 $69,434.36 $30,377.53 2026-01-01
166 SOI 2 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 14 7 — — $30,084.90 $68,765.49 $30,084.90 2026-01-01
570 MS_DRG Skin Debridement With McC 62 23 — — $19,570.07 $61,298.41 $29,948.14 2026-01-01
691 SOI 4 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 14 7 — — $29,848.35 $68,224.81 $29,848.35 2026-01-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC 36 17 — — $738.41 $49,622.63 $29,490.02 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 56 20 — — $1,752.73 $62,867.00 $29,426.00 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC 62 23 — — $12,277.69 $94,344.44 $29,264.32 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 62 23 — — $18,967.22 $59,410.12 $29,025.60 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With McC 62 23 — — $12,141.61 $77,979.00 $28,932.93 2026-01-01
791 MS_DRG Prematurity With Major Problems 56 20 — — $1,752.73 $61,195.00 $28,645.46 2026-01-01
323 SOI 4 APR_DRG Non-elective Or Complex Hip Joint Replacement 14 7 — — $28,621.75 $65,421.14 $28,621.75 2026-01-01
163 SOI 1 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 14 7 — — $28,432.65 $64,988.92 $28,432.65 2026-01-01
317 SOI 4 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 14 7 — — $28,351.40 $64,803.21 $28,351.40 2026-01-01
252 MS_DRG Other Vascular Procedures With McC 62 23 — — $11,866.81 $90,097.71 $28,263.67 2026-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 62 23 — — $11,810.58 $99,446.61 $28,126.74 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With McC 62 23 — — $11,754.68 $74,546.77 $27,990.61 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 62 23 — — $18,289.84 $57,288.41 $27,989.00 2026-01-01
850 SOI 3 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 14 7 — — $27,891.25 $63,751.42 $27,891.25 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With McC 54 21 — — $2,655.74 $83,926.22 $27,869.12 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 62 23 — — $11,667.52 $78,915.70 $27,778.34 2026-01-01
263 SOI 4 APR_DRG Cholecystectomy 14 7 — — $27,744.57 $63,416.17 $27,744.57 2026-01-01
441 SOI 3 APR_DRG Major Bladder Procedures 14 7 — — $27,618.75 $63,128.57 $27,618.75 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 60 22 — — $12,102.69 $67,108.72 $27,576.24 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 60 22 — — $12,093.04 $88,234.04 $27,553.76 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With McC 62 23 — — $17,948.49 $56,219.21 $27,466.63 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With McC 62 23 — — $11,243.86 $109,883.00 $26,746.57 2026-01-01
37 MS_DRG Extracranial Procedures With McC 62 23 — — $11,214.05 $86,431.48 $26,673.98 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without McC 62 23 — — $11,212.72 $78,029.69 $26,670.74 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With McC 62 23 — — $11,083.30 $113,924.00 $26,355.55 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With McC 62 23 — — $11,023.75 $95,658.17 $26,210.51 2026-01-01
947 MS_DRG Signs And Symptoms With McC 36 17 — — $738.41 $43,928.45 $26,106.05 2026-01-01
220 SOI 3 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 14 7 — — $26,075.79 $59,601.80 $26,075.79 2026-01-01
166 SOI 1 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 14 7 — — $25,904.67 $59,210.66 $25,904.67 2026-01-01
181 SOI 3 APR_DRG Lower Extremity Vascular Procedures 14 7 — — $25,819.82 $59,016.74 $25,819.82 2026-01-01
192 SOI 4 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 14 7 — — $25,806.88 $58,987.16 $25,806.88 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With McC 62 23 — — $10,853.74 $73,874.63 $25,796.48 2026-01-01
176 SOI 3 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 14 7 — — $25,722.76 $58,794.88 $25,722.76 2026-01-01
170 SOI 3 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 14 7 — — $25,550.20 $58,400.46 $25,550.20 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without McC 62 23 — — $10,739.62 $126,405.00 $25,518.57 2026-01-01
175 SOI 3 APR_DRG Percutaneous Cardiac Intervention Without Ami 14 7 — — $25,288.49 $57,802.26 $25,288.49 2026-01-01
169 SOI 2 APR_DRG Major Abdominal Vascular Procedures 14 7 — — $25,280.58 $57,784.18 $25,280.58 2026-01-01
314 SOI 4 APR_DRG Foot And Toe Procedures 14 7 — — $25,143.25 $57,470.29 $25,143.25 2026-01-01
33229 CPT Removal And Replacement Of Multiple Lead Permanent Pacemaker 68 25 $41,823.00 $33,458.40 $6,420.00 $68,654.49 $25,093.80 2026-01-01
308 SOI 4 APR_DRG Hip And Femur Fracture Repair 14 7 — — $24,966.38 $57,066.00 $24,966.38 2026-01-01
445 SOI 4 APR_DRG Other Bladder Procedures 14 7 — — $24,877.94 $56,863.86 $24,877.94 2026-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 62 23 — — $10,298.12 $78,243.56 $24,443.38 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 62 23 — — $16,875.20 $52,857.40 $24,432.80 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 62 23 — — $15,950.97 $49,962.44 $24,409.82 2026-01-01
397 MS_DRG Appendix Procedures With McC 62 23 — — $15,935.66 $49,914.51 $24,386.39 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With McC 62 23 — — $15,879.10 $49,737.35 $24,299.84 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without McC 60 22 — — $10,606.34 $92,389.11 $24,091.56 2026-01-01
446 SOI 4 APR_DRG Urethral And Transurethral Procedures 14 7 — — $23,859.84 $54,536.79 $23,859.84 2026-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 62 23 — — $15,561.04 $48,741.10 $23,813.10 2026-01-01
710 SOI 3 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 14 7 — — $23,683.69 $54,134.15 $23,683.69 2026-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 62 23 — — $15,473.87 $48,468.07 $23,679.71 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With McC 62 23 — — $9,950.45 $77,876.93 $23,596.67 2026-01-01
121 SOI 3 APR_DRG Other Respiratory And Chest Procedures 14 7 — — $23,589.50 $53,918.86 $23,589.50 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With McC 62 23 — — $9,916.18 $69,475.14 $23,513.22 2026-01-01
974 MS_DRG HIV With Major Related Condition With McC 62 23 — — $9,862.95 $78,487.97 $23,383.58 2026-01-01
230 SOI 3 APR_DRG Major Small Bowel Procedures 14 7 — — $23,330.66 $53,327.23 $23,330.66 2026-01-01
33262 CPT Removal And Replacement Of Single Lead Defibrillator 68 25 $24,890.00 $19,912.00 20% off $6,420.00 $80,804.34 $23,314.13 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With McC 62 23 — — $9,810.39 $81,634.82 $23,255.57 2026-01-01
948 MS_DRG Signs And Symptoms Without McC 36 17 — — $738.41 $38,985.57 $23,168.57 2026-01-01
539 SOI 4 APR_DRG Cesarean Section With Sterilization 14 7 — — $22,841.03 $52,208.06 $22,841.03 2026-01-01
654 MS_DRG Major Bladder Procedures With Cc 62 23 — — $9,574.50 $65,717.25 $22,681.10 2026-01-01
792 SOI 3 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 14 7 — — $22,679.97 $51,839.94 $22,679.97 2026-01-01
503 MS_DRG Foot Procedures With McC 62 23 — — $9,547.22 $73,691.31 $22,614.66 2026-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With McC 62 23 — — $14,723.96 $46,119.18 $22,532.13 2026-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 62 23 — — $14,691.36 $46,017.05 $22,482.24 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 62 23 — — $9,434.10 $70,788.88 $22,339.18 2026-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 62 23 — — $14,497.73 $45,410.55 $22,185.92 2026-01-01
309 SOI 3 APR_DRG Other Significant Hip And Femur Surgery 14 7 — — $22,085.36 $50,480.83 $22,085.36 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ A… 62 23 — — $9,313.33 $97,646.00 $22,045.06 2026-01-01
175 SOI 2 APR_DRG Percutaneous Cardiac Intervention Without Ami 14 7 — — $22,043.66 $50,385.52 $22,043.66 2026-01-01
231 SOI 3 APR_DRG Major Large Bowel Procedures 14 7 — — $22,014.90 $50,319.78 $22,014.90 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With McC 62 23 — — $9,264.76 $64,525.73 $21,926.77 2026-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 62 23 — — $14,249.54 $44,633.14 $21,806.11 2026-01-01
374 MS_DRG Digestive Malignancy With McC 62 23 — — $14,230.90 $44,574.79 $21,777.59 2026-01-01
174 SOI 3 APR_DRG Percutaneous Cardiac Intervention With Ami 14 7 — — $21,720.12 $49,645.98 $21,720.12 2026-01-01
720 SOI 4 APR_DRG Septicemia And Disseminated Infections 14 7 — — $21,677.69 $49,549.02 $21,677.69 2026-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC 62 23 — — $14,091.17 $44,137.10 $21,563.77 2026-01-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 50 19 — — $974.80 $34,912.96 $21,546.28 2026-01-01
313 SOI 3 APR_DRG Knee And Lower Leg Procedures Except Foot 14 7 — — $21,515.92 $49,179.25 $21,515.92 2026-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 62 23 — — $14,031.29 $43,949.53 $21,472.13 2026-01-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 36 17 — — $738.41 $35,773.03 $21,348.22 2026-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 62 23 — — $13,914.17 $43,582.71 $21,292.90 2026-01-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With McC 62 23 — — $14,151.06 $44,324.68 $21,249.20 2026-01-01
314 MS_DRG Other Circulatory System Diagnoses With McC 62 23 — — $13,874.92 $43,459.74 $21,232.83 2026-01-01
169 SOI 1 APR_DRG Major Abdominal Vascular Procedures 14 7 — — $21,201.72 $48,461.07 $21,201.72 2026-01-01
282 SOI 4 APR_DRG Disorders Of Pancreas Except Malignancy 14 7 — — $21,115.44 $48,263.86 $21,115.44 2026-01-01
711 SOI 3 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 14 7 — — $21,089.56 $48,204.70 $21,089.56 2026-01-01
482 SOI 4 APR_DRG Transurethral Prostatectomy 14 7 — — $21,047.86 $48,109.38 $21,047.86 2026-01-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 62 23 — — $13,751.82 $43,074.16 $21,044.46 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 62 23 — — $8,896.79 $55,551.01 $21,030.63 2026-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With McC 62 23 — — $8,854.20 $83,254.08 $20,926.93 2026-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 62 23 — — $8,842.24 $67,642.03 $20,897.76 2026-01-01
042 SOI 4 APR_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis 14 7 — — $20,890.40 $47,749.48 $20,890.40 2026-01-01
661 SOI 4 APR_DRG Coagulation And Platelet Disorders 14 7 — — $20,845.10 $47,645.94 $20,845.10 2026-01-01
182 SOI 3 APR_DRG Other Peripheral Vascular And Related Procedures 14 7 — — $20,829.28 $47,609.78 $20,829.28 2026-01-01
517 SOI 4 APR_DRG Dilation And Curettage For Non-obstetric Diagnoses 14 7 — — $20,768.89 $47,471.74 $20,768.89 2026-01-01
53447 CPT Removal And Replacement Of Inflatable Urethra Or Bladder Neck Sphincter 80 30 — — $746.24 $72,461.04 $20,678.72 2026-01-01
54401 CPT Insertion Of Inflatable Penile Implant 80 30 — — $746.24 $72,461.04 $20,678.72 2026-01-01
54410 CPT Removal And Replacement Of Multicomponent Inflatable Penile Implant During Same … 80 30 — — $746.24 $72,461.04 $20,678.72 2026-01-01
690 SOI 2 APR_DRG Acute Leukemia 14 7 — — $20,660.32 $47,223.58 $20,660.32 2026-01-01
325 SOI 2 APR_DRG Non-elective Or Complex Knee Joint Replacement 14 7 — — $20,607.83 $47,103.61 $20,607.83 2026-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With McC 62 23 — — $8,714.81 $63,603.00 $20,587.43 2026-01-01
442 SOI 3 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 14 7 — — $20,569.72 $47,016.51 $20,569.72 2026-01-01
721 SOI 4 APR_DRG Post-operative, Post-traumatic, Other Device Infections 14 7 — — $20,515.80 $46,893.25 $20,515.80 2026-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With McC 62 23 — — $13,381.19 $41,913.26 $20,477.27 2026-01-01
323 SOI 3 APR_DRG Non-elective Or Complex Hip Joint Replacement 14 7 — — $20,468.35 $46,784.79 $20,468.35 2026-01-01
707 MS_DRG Major Male Pelvic Procedures With Cc/McC 62 23 — — $13,310.00 $41,690.25 $20,368.33 2026-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 62 23 — — $13,276.06 $41,583.96 $20,316.39 2026-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With McC 62 23 — — $8,551.78 $73,538.55 $20,190.41 2026-01-01
444 SOI 3 APR_DRG Renal Dialysis Access Device Procedures 14 7 — — $20,172.12 $46,107.70 $20,172.12 2026-01-01
283 MS_DRG Acute Myocardial Infarction, Expired With McC 62 23 — — $13,180.24 $41,283.83 $20,169.76 2026-01-01
229 SOI 3 APR_DRG Other Digestive System And Abdominal Procedures 14 7 — — $20,119.63 $45,987.73 $20,119.63 2026-01-01
545 MS_DRG Connective Tissue Disorders With McC 62 23 — — $8,517.85 $72,988.62 $20,107.78 2026-01-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With McC 62 23 — — $13,096.40 $41,021.22 $20,041.47 2026-01-01
380 MS_DRG Complicated Peptic Ulcer With McC 62 23 — — $13,056.48 $40,896.17 $19,980.37 2026-01-01
171 SOI 3 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 14 7 — — $19,970.08 $45,645.90 $19,970.08 2026-01-01
224 SOI 3 APR_DRG Peritoneal Adhesiolysis 14 7 — — $19,879.49 $45,438.83 $19,879.49 2026-01-01
33274 CPT Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance 70 25 $7,404.00 $5,923.20 20% off $1,332.72 $68,654.49 $19,780.81 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/McC 60 22 — — $8,755.07 $64,250.76 $19,780.32 2026-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With McC 62 23 — — $12,925.39 $49,214.91 $19,779.76 2026-01-01
044 SOI 4 APR_DRG Intracranial Hemorrhage 14 7 — — $19,766.61 $45,180.81 $19,766.61 2026-01-01
362 SOI 3 APR_DRG Mastectomy Procedures 14 7 — — $19,709.09 $45,049.34 $19,709.09 2026-01-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/McC 62 23 — — $13,634.71 $42,707.34 $19,703.60 2026-01-01
100 MS_DRG Seizures With McC 62 23 — — $12,887.46 $40,366.79 $19,698.70 2026-01-01
470 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity 62 23 — — $12,834.89 $40,202.13 $19,641.28 2026-01-01
242 SOI 4 APR_DRG Major Esophageal Disorders 14 7 — — $19,630.72 $44,870.21 $19,630.72 2026-01-01
724 SOI 4 APR_DRG Other Infectious And Parasitic Diseases 14 7 — — $19,612.74 $44,829.12 $19,612.74 2026-01-01
193 SOI 4 APR_DRG Acute And Subacute Endocarditis 14 7 — — $19,563.85 $44,717.37 $19,563.85 2026-01-01
902 MS_DRG Wound Debridements For Injuries With Cc 62 23 — — $12,739.08 $39,902.01 $19,494.66 2026-01-01
320 SOI 3 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 14 7 — — $19,397.04 $44,336.10 $19,397.04 2026-01-01
181 SOI 2 APR_DRG Lower Extremity Vascular Procedures 14 7 — — $19,330.18 $44,183.26 $19,330.18 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 62 23 — — $8,188.35 $52,241.25 $19,305.32 2026-01-01
196 MS_DRG Interstitial Lung Disease With McC 62 23 — — $12,557.43 $39,333.02 $19,216.67 2026-01-01
180 SOI 3 APR_DRG Other Circulatory System Procedures 14 7 — — $19,179.19 $43,838.14 $19,179.19 2026-01-01
241 SOI 4 APR_DRG Peptic Ulcer And Gastritis 14 7 — — $19,166.96 $43,810.21 $19,166.96 2026-01-01
36906 CPT Remove/Dissole Bloodclot Hemodialysis Circuit/Balloon Stent, Radiology Revw 80 30 $41,459.00 $33,167.20 20% off $512.80 $64,642.63 $19,157.05 2026-01-01
37242 CPT Occlusion Of Artery With Review By Radiologist 78 30 $37,041.00 $29,632.80 20% off $511.18 $64,642.63 $19,157.05 2026-01-01
024 SOI 3 APR_DRG Open Extracranial Vascular Procedures 14 7 — — $19,152.58 $43,777.34 $19,152.58 2026-01-01
694 SOI 4 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 14 7 — — $19,080.69 $43,613.00 $19,080.69 2026-01-01
461 SOI 4 APR_DRG Kidney And Urinary Tract Malignancy 14 7 — — $19,058.40 $43,562.05 $19,058.40 2026-01-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 62 23 — — $12,444.97 $38,980.79 $19,044.58 2026-01-01
504 MS_DRG Foot Procedures With Cc 62 23 — — $12,437.66 $38,957.87 $19,033.38 2026-01-01
059 SOI 4 APR_DRG Anoxic And Other Severe Brain Damage 14 7 — — $19,013.10 $43,458.51 $19,013.10 2026-01-01
950 MS_DRG Aftercare Without Cc/McC 52 20 — — $974.80 $32,159.35 $18,928.07 2026-01-01
045 SOI 4 APR_DRG Cva And Precerebral Occlusion With Infarction 14 7 — — $18,916.75 $43,238.30 $18,916.75 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With McC 52 20 — — $15,457.90 $48,418.05 $18,822.73 2026-01-01
053 SOI 4 APR_DRG Seizure 14 7 — — $18,778.71 $42,922.76 $18,778.71 2026-01-01
206 SOI 4 APR_DRG Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure 14 7 — — $18,750.67 $42,858.67 $18,750.67 2026-01-01
283 SOI 4 APR_DRG Other Disorders Of The Liver 14 7 — — $18,731.97 $42,815.94 $18,731.97 2026-01-01
194 SOI 4 APR_DRG Heart Failure 14 7 — — $18,703.93 $42,751.84 $18,703.93 2026-01-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With McC 62 23 — — $12,221.40 $38,280.50 $18,702.45 2026-01-01
850 SOI 2 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 14 7 — — $18,644.26 $42,615.44 $18,644.26 2026-01-01
919 MS_DRG Complications Of Treatment With McC 62 23 — — $12,182.14 $38,157.53 $18,642.36 2026-01-01
043 SOI 3 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 14 7 — — $18,639.22 $42,603.94 $18,639.22 2026-01-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 62 23 — — $12,176.81 $38,140.86 $18,634.21 2026-01-01
469 SOI 4 APR_DRG Acute Kidney Injury 14 7 — — $18,620.53 $42,561.21 $18,620.53 2026-01-01
377 MS_DRG Gastrointestinal Hemorrhage With McC 62 23 — — $12,163.51 $38,099.18 $18,613.85 2026-01-01
305 SOI 3 APR_DRG Amputation Of Lower Limb Except Toes 14 7 — — $18,591.05 $42,493.83 $18,591.05 2026-01-01
240 SOI 4 APR_DRG Digestive Malignancy 14 7 — — $18,529.22 $42,352.49 $18,529.22 2026-01-01
592 MS_DRG Skin Ulcers With McC 62 23 — — $12,877.48 $40,335.52 $18,510.80 2026-01-01
174 SOI 2 APR_DRG Percutaneous Cardiac Intervention With Ami 14 7 — — $18,496.86 $42,278.54 $18,496.86 2026-01-01
817 SOI 4 APR_DRG Intentional Self-harm And Attempted Suicide 14 7 — — $18,482.48 $42,245.67 $18,482.48 2026-01-01
37184 CPT Remove/Dissolve Bloodclot Artery/Graft With Fluoroscop Guide, Init Vessel 70 25 $11,437.00 $9,149.60 $6,404.72 $64,642.63 $18,270.15 2026-01-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 62 23 — — $11,936.61 $37,388.46 $18,266.63 2026-01-01
284 SOI 4 APR_DRG Disorders Of Gallbladder And Biliary Tract 14 7 — — $18,071.22 $41,305.64 $18,071.22 2026-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With McC 62 23 — — $11,798.21 $36,954.95 $18,054.83 2026-01-01
180 MS_DRG Respiratory Neoplasms With McC 62 23 — — $11,750.96 $36,806.97 $17,982.53 2026-01-01
199 MS_DRG Pneumothorax With McC 62 23 — — $11,738.32 $36,767.37 $17,963.19 2026-01-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 62 23 — — $7,615.90 $53,459.24 $17,911.21 2026-01-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/McC 62 23 — — $12,208.76 $38,240.90 $17,908.80 2026-01-01
058 SOI 4 APR_DRG Other Disorders Of Nervous System 14 7 — — $17,851.20 $40,802.75 $17,851.20 2026-01-01
050 SOI 3 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 14 7 — — $17,846.89 $40,792.89 $17,846.89 2026-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 62 23 — — $7,576.31 $48,322.49 $17,814.79 2026-01-01
501 MS_DRG Soft Tissue Procedures With Cc 62 23 — — $11,631.86 $36,433.90 $17,800.27 2026-01-01
220 SOI 2 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 14 7 — — $17,781.46 $40,643.34 $17,781.46 2026-01-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC 62 23 — — $11,611.89 $36,371.37 $17,769.71 2026-01-01
443 SOI 3 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 14 7 — — $17,742.64 $40,554.60 $17,742.64 2026-01-01
227 SOI 3 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 14 7 — — $17,717.47 $40,497.08 $17,717.47 2026-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC 62 23 — — $7,522.41 $78,526.00 $17,683.53 2026-01-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC 62 23 — — $13,351.25 $41,819.47 $17,633.00 2026-01-01
783 MS_DRG Cesarean Section With Sterilization With McC 62 23 — — $14,111.37 $29,179.00 $17,632.80 2026-01-01
361 SOI 2 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 14 7 — — $17,608.90 $40,248.92 $17,608.90 2026-01-01
691 SOI 3 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 14 7 — — $17,597.40 $40,222.63 $17,597.40 2026-01-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 62 23 — — $11,498.11 $36,014.98 $17,595.59 2026-01-01
197 SOI 4 APR_DRG Peripheral And Other Vascular Disorders 14 7 — — $17,590.93 $40,207.84 $17,590.93 2026-01-01
33228 CPT Removal And Replacement Of Dual Lead Permanent Pacemaker 68 25 $41,823.00 $33,458.40 $6,420.00 $39,229.97 $17,574.36 2026-01-01
33214 CPT Insertion Of 2 Chamber Pacemaker System 68 25 $68,475.00 $54,780.00 20% off $6,420.00 $64,229.55 $17,574.36 2026-01-01
33206 CPT Insertion Of Pacemaker And Upper Heart Chamber Electrode 68 25 $47,146.00 $37,716.80 $6,420.00 $44,222.95 $17,574.36 2026-01-01
205 MS_DRG Other Respiratory System Diagnoses With McC 62 23 — — $12,183.47 $38,161.70 $17,470.60 2026-01-01
793 SOI 3 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 14 7 — — $17,426.28 $39,831.49 $17,426.28 2026-01-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 62 23 — — $11,357.71 $35,575.21 $17,380.73 2026-01-01
243 SOI 4 APR_DRG Other Esophageal Disorders 14 7 — — $17,350.78 $39,658.93 $17,350.78 2026-01-01
308 SOI 3 APR_DRG Hip And Femur Fracture Repair 14 7 — — $17,326.34 $39,603.06 $17,326.34 2026-01-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 62 23 — — $11,297.82 $35,387.63 $17,289.09 2026-01-01
792 MS_DRG Prematurity Without Major Problems 56 20 — — $1,752.73 $36,925.00 $17,284.67 2026-01-01
223 SOI 3 APR_DRG Other Small And Large Bowel Procedures 14 7 — — $17,277.45 $39,491.31 $17,277.45 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 62 23 — — $7,350.74 $77,890.00 $17,265.45 2026-01-01
347 SOI 4 APR_DRG Other Back And Neck Disorders, Fractures And Injuries 14 7 — — $17,255.16 $39,440.36 $17,255.16 2026-01-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 62 23 — — $11,255.90 $35,256.33 $17,224.94 2026-01-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 62 23 — — $11,243.92 $35,218.81 $17,206.61 2026-01-01
571 MS_DRG Skin Debridement With Cc 62 23 — — $11,241.93 $35,212.56 $17,203.55 2026-01-01
245 SOI 4 APR_DRG Inflammatory Bowel Disease 14 7 — — $17,187.57 $39,285.88 $17,187.57 2026-01-01
595 MS_DRG Major Skin Disorders With McC 62 23 — — $7,316.80 $64,922.90 $17,182.80 2026-01-01
501 SOI 4 APR_DRG Male Reproductive System Diagnoses Except Malignancy 14 7 — — $17,166.72 $39,238.22 $17,166.72 2026-01-01
441 SOI 1 APR_DRG Major Bladder Procedures 14 7 — — $17,158.81 $39,220.14 $17,158.81 2026-01-01
655 MS_DRG Major Bladder Procedures Without Cc/McC 62 23 — — $7,303.16 $46,892.68 $17,149.58 2026-01-01
190 SOI 4 APR_DRG Acute Myocardial Infarction 14 7 — — $17,149.47 $39,198.78 $17,149.47 2026-01-01
915 MS_DRG Allergic Reactions With McC 62 23 — — $11,189.37 $35,047.91 $17,123.12 2026-01-01
23430 CPT Anchoring Of Biceps Tendon 80 30 — — $746.24 $66,202.57 $17,100.53 2026-01-01
811 SOI 4 APR_DRG Allergic Reactions 14 7 — — $17,038.02 $38,944.05 $17,038.02 2026-01-01
444 MS_DRG Disorders Of The Biliary Tract With McC 62 23 — — $11,118.17 $34,824.90 $17,014.16 2026-01-01
349 SOI 4 APR_DRG Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure 14 7 — — $17,012.86 $38,886.53 $17,012.86 2026-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 62 23 — — $7,229.64 $47,342.81 $16,970.52 2026-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With McC 62 23 — — $11,008.37 $34,481.00 $16,846.15 2026-01-01
026 SOI 2 APR_DRG Other Nervous System And Related Procedures 14 7 — — $16,825.92 $38,459.24 $16,825.92 2026-01-01
See an error in this hospital's data? Submit a correction