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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

WELLSPAN GOOD SAMARITAN HOSPITAL

Lebanon, PA · CCN 390066 · Rates published

Your selected procedure

You selected 470 (MS_DRG)

Major joint replacement or reattachment of lower extremity

This hospital’s price: $16,218 across 20 payers · range $12,835-$40,202

Source: https://edge.sitecorecloud.io/269a6006063e-wellspanxmcef9f-production4406-c241/media/Project/Wellspan-Site-Tenant/wellspan-site/data/media/files/Patient-Resources/Cost/230794160_good-samaritan-hospital_standard-charges.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.

3,032 distinct procedures filed
30 distinct payers
123,332 rate rows
2026-01-01 last MRF observed
Data quality

121,583 of 123,332 rate rows are consumer-grade (98.6%)

1,749 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,150
per-diem day rate — not a per-procedure price 477
exceeds 10× this hospital's gross charge — excluded from medians 90
placeholder amount (≤ $0.02) — excluded from medians 21
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 11
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 Latest re-check couldn't be parsed — showing last good data · 2026-08-14
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
APR009 SOI 4
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 7 $185,685.45 $424,423.89 $185,685.45 nat. median
$185,685
1.0× median
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
$199,832
0.9× median
APR004 SOI 4
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $142,701.06 $326,173.86 $142,701.06 nat. median
$150,251
0.9× median
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
$132,706
1.0× median
APR009 SOI 3
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 7 $124,792.34 $285,239.64 $124,792.34 nat. median
$124,792
1.0× median
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
$92,900
1.1× median
APR005 SOI 4
OTHER 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $99,411.10 $227,225.38 $99,411.10 nat. median
$104,671
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With McC 22 $56,092.54 $252,862.00 $79,644.15 nat. median
$79,040
1.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without McC 22 $52,823.43 $252,862.00 $77,070.58 nat. median
$59,257
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
$74,472
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
$73,475
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
$65,958
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
$68,581
1.0× median
APR009 SOI 2
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 7 $62,633.08 $143,161.32 $62,633.08 nat. median
$62,633
1.0× median
276
MS_DRG 		Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 22 $39,967.90 $205,938.00 $56,749.26 nat. median
$58,419
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
$57,082
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
$56,397
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
$8,059
outlier · 6.7×
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
$51,984
1.0× median
270
MS_DRG 		Other Major Cardiovascular Procedures With McC 23 $35,108.49 $109,968.64 $53,726.63 nat. median
$50,808
1.1× 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
$53,013
1.0× median
APR166 SOI 4
OTHER 		Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 $51,211.85 $117,055.65 $51,211.85 nat. median
$51,212
1.0× median
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
$52,372
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
$47,513
1.1× median
329
MS_DRG 		Major Small And Large Bowel Procedures With McC 23 $30,585.10 $95,704.38 $46,804.47 nat. median
$44,514
1.1× 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
$43,549
1.1× median
799
MS_DRG 		Splenic Procedures With McC 23 $30,135.29 $94,391.33 $46,116.13 nat. median
$44,811
1.0× median
APR220 SOI 4
OTHER 		Major Stomach, Esophageal And Duodenal Procedures 7 $43,775.28 $100,057.79 $43,775.28 nat. median
$46,091
0.9× median
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
$41,643
1.0× median
APR165 SOI 3
OTHER 		Coronary Bypass With Ami Or Complex Principal Diagnosis 7 $42,688.16 $97,572.94 $42,688.16 nat. median
$42,688
1.0× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With McC 23 $16,854.31 $111,667.39 $40,410.00 nat. median
$48,124
0.8× median
653
MS_DRG 		Major Bladder Procedures With McC 22 $17,549.65 $167,363.61 $40,261.06 nat. median
$51,176
0.8× median
228
MS_DRG 		Other Cardiothoracic Procedures With McC 23 $16,721.23 $193,578.00 $40,085.91 nat. median
$50,071
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
$47,707
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
$37,498
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
$39,775
1.0× median
APR179 SOI 3
OTHER 		Defibrillator Implants 7 $38,491.39 $87,980.32 $38,491.39 nat. median
$40,528
0.9× median
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
$45,808
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
$36,547
1.0× median
APR181 SOI 4
OTHER 		Lower Extremity Vascular Procedures 7 $37,576.83 $85,889.89 $37,576.83 nat. median
$39,565
0.9× median
APR166 SOI 3
OTHER 		Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 $37,571.79 $85,878.39 $37,571.79 nat. median
$37,572
1.0× median
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
$44,650
0.8× median
APR230 SOI 4
OTHER 		Major Small Bowel Procedures 7 $37,028.95 $84,637.61 $37,028.95 nat. median
$38,988
0.9× median
APR710 SOI 4
OTHER 		Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 $36,410.62 $83,224.27 $36,410.62 nat. median
$38,337
0.9× median
33270
CPT 		Insertion Or Replacement Of Defibrillator With Electrode 25 $6,420.00 $115,418.88 $36,134.88 nat. median
$31,963
1.1× median
33264
CPT 		Removal And Replacement Of Multiple Lead Defibrillator 25 $6,420.00 $115,418.88 $36,134.88 nat. median
$31,464
1.1× median
33249
CPT 		Insertion Of Implantable Defibrillator System 25 $6,420.00 $115,418.88 $36,134.88 nat. median
$31,420
1.2× median
APR711 SOI 4
OTHER 		Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 7 $35,498.21 $81,138.77 $35,498.21 nat. median
$37,376
0.9× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With McC 23 $14,658.50 $119,274.83 $35,062.41 nat. median
$41,045
0.9× 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
$33,258
1.0× median

Other procedures at this hospital

Browse this hospital's 3,032 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
             
APR009 SOI 4 OTHER Extracorporeal Membrane Oxygenation (ecmo) 7 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… 28 22 — — $141,232.44 $456,110.13 $178,455.32 2026-01-01
APR004 SOI 4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 7 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… 30 22 — — $92,167.19 $303,442.01 $129,188.27 2026-01-01
APR009 SOI 3 OTHER Extracorporeal Membrane Oxygenation (ecmo) 7 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… 31 23 — — $65,094.74 $309,241.00 $99,614.67 2026-01-01
APR005 SOI 4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $99,411.10 $227,225.38 $99,411.10 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With McC 30 22 — — $56,092.54 $252,862.00 $79,644.15 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without McC 30 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… 30 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 30 22 — — $50,871.15 $239,231.00 $72,230.46 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 31 23 — — $45,991.10 $158,870.16 $70,380.32 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 30 22 — — $47,445.67 $239,970.00 $67,366.71 2026-01-01
APR009 SOI 2 OTHER Extracorporeal Membrane Oxygenation (ecmo) 7 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 30 22 — — $39,967.90 $205,938.00 $56,749.26 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With McC 30 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 30 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 13 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 … 30 22 — — $37,924.46 $111,484.08 $53,847.83 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With McC 31 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 30 22 — — $36,348.80 $160,321.00 $51,610.60 2026-01-01
APR166 SOI 4 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 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… 30 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 31 23 — — $32,748.98 $102,578.07 $50,115.87 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With McC 31 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 31 23 — — $30,267.04 $94,804.01 $46,317.75 2026-01-01
799 MS_DRG Splenic Procedures With McC 31 23 — — $30,135.29 $94,391.33 $46,116.13 2026-01-01
APR220 SOI 4 OTHER Major Stomach, Esophageal And Duodenal Procedures 7 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 31 23 — — $28,564.95 $89,472.62 $43,713.02 2026-01-01
APR165 SOI 3 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $42,688.16 $97,572.94 $42,688.16 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 31 23 — — $16,854.31 $111,667.39 $40,410.00 2026-01-01
653 MS_DRG Major Bladder Procedures With McC 30 22 — — $17,549.65 $167,363.61 $40,261.06 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With McC 31 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 31 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 31 23 — — $25,692.42 $80,475.13 $39,317.19 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With McC 31 23 — — $27,957.44 $87,569.75 $38,705.10 2026-01-01
APR179 SOI 3 OTHER Defibrillator Implants 7 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 31 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 31 23 — — $24,798.12 $77,673.97 $37,948.64 2026-01-01
APR181 SOI 4 OTHER Lower Extremity Vascular Procedures 7 7 — — $37,576.83 $85,889.89 $37,576.83 2026-01-01
APR166 SOI 3 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 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 31 23 — — $15,514.86 $109,498.21 $37,147.98 2026-01-01
APR230 SOI 4 OTHER Major Small Bowel Procedures 7 7 — — $37,028.95 $84,637.61 $37,028.95 2026-01-01
APR710 SOI 4 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $36,410.62 $83,224.27 $36,410.62 2026-01-01
33249 CPT Insertion Of Implantable Defibrillator System 34 25 $89,311.00 $71,448.80 $6,420.00 $115,418.88 $36,134.88 2026-01-01
33270 CPT Insertion Or Replacement Of Defibrillator With Electrode 34 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 34 25 $81,010.00 $64,808.00 20% off $6,420.00 $115,418.88 $36,134.88 2026-01-01
APR711 SOI 4 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 7 7 — — $35,498.21 $81,138.77 $35,498.21 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With McC 31 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 26 20 — — $974.80 $98,346.74 $34,870.31 2026-01-01
APR175 SOI 4 OTHER Percutaneous Cardiac Intervention Without Ami 7 7 — — $34,664.18 $79,232.41 $34,664.18 2026-01-01
APR165 SOI 2 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $34,420.44 $78,675.29 $34,420.44 2026-01-01
APR442 SOI 4 OTHER Kidney And Urinary Tract Procedures For Malignancy 7 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 31 23 — — $14,311.82 $89,395.02 $34,218.14 2026-01-01
901 MS_DRG Wound Debridements For Injuries With McC 31 23 — — $14,223.32 $97,980.12 $34,002.61 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without McC 31 23 — — $14,197.37 $124,070.00 $33,939.42 2026-01-01
APR163 SOI 2 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $33,925.77 $77,544.62 $33,925.77 2026-01-01
APR650 SOI 4 OTHER Splenic Procedures 7 7 — — $33,909.95 $77,508.47 $33,909.95 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 31 23 — — $22,228.35 $69,624.79 $33,747.70 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With McC 31 23 — — $13,986.77 $112,034.02 $33,426.53 2026-01-01
APR130 SOI 3 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 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 31 23 — — $21,548.97 $67,496.82 $32,976.46 2026-01-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With McC 18 17 — — $738.41 $54,684.51 $32,810.70 2026-01-01
APR231 SOI 4 OTHER Major Large Bowel Procedures 7 7 — — $32,687.66 $74,714.66 $32,687.66 2026-01-01
163 MS_DRG Major Chest Procedures With McC 27 21 — — $2,655.74 $100,302.07 $32,532.97 2026-01-01
APR182 SOI 4 OTHER Other Peripheral Vascular And Related Procedures 7 7 — — $32,510.07 $74,308.73 $32,510.07 2026-01-01
33263 CPT Removal And Replacement Of Dual Lead Defibrillator 34 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 31 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… 31 23 — — $21,026.63 $65,860.72 $32,177.12 2026-01-01
APR313 SOI 4 OTHER Knee And Lower Leg Procedures Except Foot 7 7 — — $31,827.75 $72,749.13 $31,827.75 2026-01-01
APR179 SOI 2 OTHER Defibrillator Implants 7 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 … 31 23 — — $20,725.20 $64,916.58 $31,715.84 2026-01-01
APR325 SOI 4 OTHER Non-elective Or Complex Knee Joint Replacement 7 7 — — $31,218.76 $71,357.16 $31,218.76 2026-01-01
APR223 SOI 4 OTHER Other Small And Large Bowel Procedures 7 7 — — $31,020.31 $70,903.57 $31,020.31 2026-01-01
APR180 SOI 4 OTHER Other Circulatory System Procedures 7 7 — — $30,892.33 $70,611.05 $30,892.33 2026-01-01
APR165 SOI 1 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $30,843.44 $70,499.29 $30,843.44 2026-01-01
APR174 SOI 4 OTHER Percutaneous Cardiac Intervention With Ami 7 7 — — $30,809.65 $70,422.05 $30,809.65 2026-01-01
APR305 SOI 4 OTHER Amputation Of Lower Limb Except Toes 7 7 — — $30,635.65 $70,024.35 $30,635.65 2026-01-01
APR171 SOI 4 OTHER Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 7 7 — — $30,625.59 $70,001.34 $30,625.59 2026-01-01
APR050 SOI 4 OTHER Non-bacterial Infections Of Nervous System Except Viral Meningitis 7 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 31 23 — — $12,780.73 $145,366.20 $30,489.40 2026-01-01
APR793 SOI 4 OTHER Moderately Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $30,377.53 $69,434.36 $30,377.53 2026-01-01
APR166 SOI 2 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $30,084.90 $68,765.49 $30,084.90 2026-01-01
570 MS_DRG Skin Debridement With McC 31 23 — — $19,570.07 $61,298.41 $29,948.14 2026-01-01
APR691 SOI 4 OTHER Lymphoma, Myeloma And Non-acute Leukemia 7 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 18 17 — — $738.41 $49,622.63 $29,490.02 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 28 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 31 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 31 23 — — $18,967.22 $59,410.12 $29,025.60 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With McC 31 23 — — $12,141.61 $77,979.00 $28,932.93 2026-01-01
791 MS_DRG Prematurity With Major Problems 28 20 — — $1,752.73 $61,195.00 $28,645.46 2026-01-01
APR323 SOI 4 OTHER Non-elective Or Complex Hip Joint Replacement 7 7 — — $28,621.75 $65,421.14 $28,621.75 2026-01-01
APR163 SOI 1 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $28,432.65 $64,988.92 $28,432.65 2026-01-01
APR317 SOI 4 OTHER Tendon, Muscle And Other Soft Tissue Procedures 7 7 — — $28,351.40 $64,803.21 $28,351.40 2026-01-01
252 MS_DRG Other Vascular Procedures With McC 31 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 31 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 31 23 — — $11,754.68 $74,546.77 $27,990.61 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 31 23 — — $18,289.84 $57,288.41 $27,989.00 2026-01-01
APR850 SOI 3 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $27,891.25 $63,751.42 $27,891.25 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With McC 27 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 31 23 — — $11,667.52 $78,915.70 $27,778.34 2026-01-01
APR263 SOI 4 OTHER Cholecystectomy 7 7 — — $27,744.57 $63,416.17 $27,744.57 2026-01-01
APR441 SOI 3 OTHER Major Bladder Procedures 7 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… 30 22 — — $12,102.69 $67,108.72 $27,576.24 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 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 31 23 — — $17,948.49 $56,219.21 $27,466.63 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With McC 31 23 — — $11,243.86 $109,883.00 $26,746.57 2026-01-01
37 MS_DRG Extracranial Procedures With McC 31 23 — — $11,214.05 $86,431.48 $26,673.98 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without McC 31 23 — — $11,212.72 $78,029.69 $26,670.74 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With McC 31 23 — — $11,083.30 $113,924.00 $26,355.55 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With McC 31 23 — — $11,023.75 $95,658.17 $26,210.51 2026-01-01
947 MS_DRG Signs And Symptoms With McC 18 17 — — $738.41 $43,928.45 $26,106.05 2026-01-01
APR220 SOI 3 OTHER Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $26,075.79 $59,601.80 $26,075.79 2026-01-01
APR166 SOI 1 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $25,904.67 $59,210.66 $25,904.67 2026-01-01
APR181 SOI 3 OTHER Lower Extremity Vascular Procedures 7 7 — — $25,819.82 $59,016.74 $25,819.82 2026-01-01
APR192 SOI 4 OTHER Cardiac Catheterization For Other Non-coronary Conditions 7 7 — — $25,806.88 $58,987.16 $25,806.88 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With McC 31 23 — — $10,853.74 $73,874.63 $25,796.48 2026-01-01
APR176 SOI 3 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 7 7 — — $25,722.76 $58,794.88 $25,722.76 2026-01-01
APR170 SOI 3 OTHER Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 7 7 — — $25,550.20 $58,400.46 $25,550.20 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without McC 31 23 — — $10,739.62 $126,405.00 $25,518.57 2026-01-01
APR175 SOI 3 OTHER Percutaneous Cardiac Intervention Without Ami 7 7 — — $25,288.49 $57,802.26 $25,288.49 2026-01-01
APR169 SOI 2 OTHER Major Abdominal Vascular Procedures 7 7 — — $25,280.58 $57,784.18 $25,280.58 2026-01-01
APR314 SOI 4 OTHER Foot And Toe Procedures 7 7 — — $25,143.25 $57,470.29 $25,143.25 2026-01-01
33229 CPT Removal And Replacement Of Multiple Lead Permanent Pacemaker 34 25 $41,823.00 $33,458.40 $6,420.00 $68,654.49 $25,093.80 2026-01-01
APR308 SOI 4 OTHER Hip And Femur Fracture Repair 7 7 — — $24,966.38 $57,066.00 $24,966.38 2026-01-01
APR445 SOI 4 OTHER Other Bladder Procedures 7 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… 31 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 31 23 — — $16,875.20 $52,857.40 $24,432.80 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 31 23 — — $15,950.97 $49,962.44 $24,409.82 2026-01-01
397 MS_DRG Appendix Procedures With McC 31 23 — — $15,935.66 $49,914.51 $24,386.39 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With McC 31 23 — — $15,879.10 $49,737.35 $24,299.84 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without McC 30 22 — — $10,606.34 $92,389.11 $24,091.56 2026-01-01
APR446 SOI 4 OTHER Urethral And Transurethral Procedures 7 7 — — $23,859.84 $54,536.79 $23,859.84 2026-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 31 23 — — $15,561.04 $48,741.10 $23,813.10 2026-01-01
APR710 SOI 3 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $23,683.69 $54,134.15 $23,683.69 2026-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 31 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 31 23 — — $9,950.45 $77,876.93 $23,596.67 2026-01-01
APR121 SOI 3 OTHER Other Respiratory And Chest Procedures 7 7 — — $23,589.50 $53,918.86 $23,589.50 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With McC 31 23 — — $9,916.18 $69,475.14 $23,513.22 2026-01-01
974 MS_DRG HIV With Major Related Condition With McC 31 23 — — $9,862.95 $78,487.97 $23,383.58 2026-01-01
APR230 SOI 3 OTHER Major Small Bowel Procedures 7 7 — — $23,330.66 $53,327.23 $23,330.66 2026-01-01
33262 CPT Removal And Replacement Of Single Lead Defibrillator 34 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 31 23 — — $9,810.39 $81,634.82 $23,255.57 2026-01-01
948 MS_DRG Signs And Symptoms Without McC 18 17 — — $738.41 $38,985.57 $23,168.57 2026-01-01
APR539 SOI 4 OTHER Cesarean Section With Sterilization 7 7 — — $22,841.03 $52,208.06 $22,841.03 2026-01-01
654 MS_DRG Major Bladder Procedures With Cc 31 23 — — $9,574.50 $65,717.25 $22,681.10 2026-01-01
APR792 SOI 3 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $22,679.97 $51,839.94 $22,679.97 2026-01-01
503 MS_DRG Foot Procedures With McC 31 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 31 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… 31 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… 31 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 31 23 — — $14,497.73 $45,410.55 $22,185.92 2026-01-01
APR309 SOI 3 OTHER Other Significant Hip And Femur Surgery 7 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… 31 23 — — $9,313.33 $97,646.00 $22,045.06 2026-01-01
APR175 SOI 2 OTHER Percutaneous Cardiac Intervention Without Ami 7 7 — — $22,043.66 $50,385.52 $22,043.66 2026-01-01
APR231 SOI 3 OTHER Major Large Bowel Procedures 7 7 — — $22,014.90 $50,319.78 $22,014.90 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With McC 31 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 31 23 — — $14,249.54 $44,633.14 $21,806.11 2026-01-01
374 MS_DRG Digestive Malignancy With McC 31 23 — — $14,230.90 $44,574.79 $21,777.59 2026-01-01
APR174 SOI 3 OTHER Percutaneous Cardiac Intervention With Ami 7 7 — — $21,720.12 $49,645.98 $21,720.12 2026-01-01
APR720 SOI 4 OTHER Septicemia And Disseminated Infections 7 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 31 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… 25 19 — — $974.80 $34,912.96 $21,546.28 2026-01-01
APR313 SOI 3 OTHER Knee And Lower Leg Procedures Except Foot 7 7 — — $21,515.92 $49,179.25 $21,515.92 2026-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 31 23 — — $14,031.29 $43,949.53 $21,472.13 2026-01-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 18 17 — — $738.41 $35,773.03 $21,348.22 2026-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 31 23 — — $13,914.17 $43,582.71 $21,292.90 2026-01-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With McC 31 23 — — $14,151.06 $44,324.68 $21,249.20 2026-01-01
314 MS_DRG Other Circulatory System Diagnoses With McC 31 23 — — $13,874.92 $43,459.74 $21,232.83 2026-01-01
APR169 SOI 1 OTHER Major Abdominal Vascular Procedures 7 7 — — $21,201.72 $48,461.07 $21,201.72 2026-01-01
APR282 SOI 4 OTHER Disorders Of Pancreas Except Malignancy 7 7 — — $21,115.44 $48,263.86 $21,115.44 2026-01-01
APR711 SOI 3 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 7 7 — — $21,089.56 $48,204.70 $21,089.56 2026-01-01
APR482 SOI 4 OTHER Transurethral Prostatectomy 7 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 31 23 — — $13,751.82 $43,074.16 $21,044.46 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 31 23 — — $8,896.79 $55,551.01 $21,030.63 2026-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With McC 31 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 31 23 — — $8,842.24 $67,642.03 $20,897.76 2026-01-01
APR042 SOI 4 OTHER Degenerative Nervous System Disorders Except Multiple Sclerosis 7 7 — — $20,890.40 $47,749.48 $20,890.40 2026-01-01
APR661 SOI 4 OTHER Coagulation And Platelet Disorders 7 7 — — $20,845.10 $47,645.94 $20,845.10 2026-01-01
APR182 SOI 3 OTHER Other Peripheral Vascular And Related Procedures 7 7 — — $20,829.28 $47,609.78 $20,829.28 2026-01-01
APR517 SOI 4 OTHER Dilation And Curettage For Non-obstetric Diagnoses 7 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 40 30 — — $746.24 $72,461.04 $20,678.72 2026-01-01
54401 CPT Insertion Of Inflatable Penile Implant 40 30 — — $746.24 $72,461.04 $20,678.72 2026-01-01
54410 CPT Removal And Replacement Of Multicomponent Inflatable Penile Implant During Same … 40 30 — — $746.24 $72,461.04 $20,678.72 2026-01-01
APR690 SOI 2 OTHER Acute Leukemia 7 7 — — $20,660.32 $47,223.58 $20,660.32 2026-01-01
APR325 SOI 2 OTHER Non-elective Or Complex Knee Joint Replacement 7 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 31 23 — — $8,714.81 $63,603.00 $20,587.43 2026-01-01
APR442 SOI 3 OTHER Kidney And Urinary Tract Procedures For Malignancy 7 7 — — $20,569.72 $47,016.51 $20,569.72 2026-01-01
APR721 SOI 4 OTHER Post-operative, Post-traumatic, Other Device Infections 7 7 — — $20,515.80 $46,893.25 $20,515.80 2026-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With McC 31 23 — — $13,381.19 $41,913.26 $20,477.27 2026-01-01
APR323 SOI 3 OTHER Non-elective Or Complex Hip Joint Replacement 7 7 — — $20,468.35 $46,784.79 $20,468.35 2026-01-01
707 MS_DRG Major Male Pelvic Procedures With Cc/McC 31 23 — — $13,310.00 $41,690.25 $20,368.33 2026-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 31 23 — — $13,276.06 $41,583.96 $20,316.39 2026-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With McC 31 23 — — $8,551.78 $73,538.55 $20,190.41 2026-01-01
APR444 SOI 3 OTHER Renal Dialysis Access Device Procedures 7 7 — — $20,172.12 $46,107.70 $20,172.12 2026-01-01
283 MS_DRG Acute Myocardial Infarction, Expired With McC 31 23 — — $13,180.24 $41,283.83 $20,169.76 2026-01-01
APR229 SOI 3 OTHER Other Digestive System And Abdominal Procedures 7 7 — — $20,119.63 $45,987.73 $20,119.63 2026-01-01
545 MS_DRG Connective Tissue Disorders With McC 31 23 — — $8,517.85 $72,988.62 $20,107.78 2026-01-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With McC 31 23 — — $13,096.40 $41,021.22 $20,041.47 2026-01-01
380 MS_DRG Complicated Peptic Ulcer With McC 31 23 — — $13,056.48 $40,896.17 $19,980.37 2026-01-01
APR171 SOI 3 OTHER Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 7 7 — — $19,970.08 $45,645.90 $19,970.08 2026-01-01
APR224 SOI 3 OTHER Peritoneal Adhesiolysis 7 7 — — $19,879.49 $45,438.83 $19,879.49 2026-01-01
33274 CPT Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance 35 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 30 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 31 23 — — $12,925.39 $49,214.91 $19,779.76 2026-01-01
APR044 SOI 4 OTHER Intracranial Hemorrhage 7 7 — — $19,766.61 $45,180.81 $19,766.61 2026-01-01
APR362 SOI 3 OTHER Mastectomy Procedures 7 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 31 23 — — $13,634.71 $42,707.34 $19,703.60 2026-01-01
100 MS_DRG Seizures With McC 31 23 — — $12,887.46 $40,366.79 $19,698.70 2026-01-01
470 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity 31 23 — — $12,834.89 $40,202.13 $19,641.28 2026-01-01
APR242 SOI 4 OTHER Major Esophageal Disorders 7 7 — — $19,630.72 $44,870.21 $19,630.72 2026-01-01
APR724 SOI 4 OTHER Other Infectious And Parasitic Diseases 7 7 — — $19,612.74 $44,829.12 $19,612.74 2026-01-01
APR193 SOI 4 OTHER Acute And Subacute Endocarditis 7 7 — — $19,563.85 $44,717.37 $19,563.85 2026-01-01
902 MS_DRG Wound Debridements For Injuries With Cc 31 23 — — $12,739.08 $39,902.01 $19,494.66 2026-01-01
APR320 SOI 3 OTHER Other Musculoskeletal System And Connective Tissue Procedures 7 7 — — $19,397.04 $44,336.10 $19,397.04 2026-01-01
APR181 SOI 2 OTHER Lower Extremity Vascular Procedures 7 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 31 23 — — $8,188.35 $52,241.25 $19,305.32 2026-01-01
196 MS_DRG Interstitial Lung Disease With McC 31 23 — — $12,557.43 $39,333.02 $19,216.67 2026-01-01
APR180 SOI 3 OTHER Other Circulatory System Procedures 7 7 — — $19,179.19 $43,838.14 $19,179.19 2026-01-01
APR241 SOI 4 OTHER Peptic Ulcer And Gastritis 7 7 — — $19,166.96 $43,810.21 $19,166.96 2026-01-01
36906 CPT Remove/Dissole Bloodclot Hemodialysis Circuit/Balloon Stent, Radiology Revw 40 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 39 30 $37,041.00 $29,632.80 20% off $511.18 $64,642.63 $19,157.05 2026-01-01
APR024 SOI 3 OTHER Open Extracranial Vascular Procedures 7 7 — — $19,152.58 $43,777.34 $19,152.58 2026-01-01
APR694 SOI 4 OTHER Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 7 7 — — $19,080.69 $43,613.00 $19,080.69 2026-01-01
APR461 SOI 4 OTHER Kidney And Urinary Tract Malignancy 7 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… 31 23 — — $12,444.97 $38,980.79 $19,044.58 2026-01-01
504 MS_DRG Foot Procedures With Cc 31 23 — — $12,437.66 $38,957.87 $19,033.38 2026-01-01
APR059 SOI 4 OTHER Anoxic And Other Severe Brain Damage 7 7 — — $19,013.10 $43,458.51 $19,013.10 2026-01-01
950 MS_DRG Aftercare Without Cc/McC 26 20 — — $974.80 $32,159.35 $18,928.07 2026-01-01
APR045 SOI 4 OTHER Cva And Precerebral Occlusion With Infarction 7 7 — — $18,916.75 $43,238.30 $18,916.75 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With McC 26 20 — — $15,457.90 $48,418.05 $18,822.73 2026-01-01
APR053 SOI 4 OTHER Seizure 7 7 — — $18,778.71 $42,922.76 $18,778.71 2026-01-01
APR206 SOI 4 OTHER Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure 7 7 — — $18,750.67 $42,858.67 $18,750.67 2026-01-01
APR283 SOI 4 OTHER Other Disorders Of The Liver 7 7 — — $18,731.97 $42,815.94 $18,731.97 2026-01-01
APR194 SOI 4 OTHER Heart Failure 7 7 — — $18,703.93 $42,751.84 $18,703.93 2026-01-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With McC 31 23 — — $12,221.40 $38,280.50 $18,702.45 2026-01-01
APR850 SOI 2 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $18,644.26 $42,615.44 $18,644.26 2026-01-01
919 MS_DRG Complications Of Treatment With McC 31 23 — — $12,182.14 $38,157.53 $18,642.36 2026-01-01
APR043 SOI 3 OTHER Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 7 7 — — $18,639.22 $42,603.94 $18,639.22 2026-01-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 31 23 — — $12,176.81 $38,140.86 $18,634.21 2026-01-01
APR469 SOI 4 OTHER Acute Kidney Injury 7 7 — — $18,620.53 $42,561.21 $18,620.53 2026-01-01
377 MS_DRG Gastrointestinal Hemorrhage With McC 31 23 — — $12,163.51 $38,099.18 $18,613.85 2026-01-01
APR305 SOI 3 OTHER Amputation Of Lower Limb Except Toes 7 7 — — $18,591.05 $42,493.83 $18,591.05 2026-01-01
APR240 SOI 4 OTHER Digestive Malignancy 7 7 — — $18,529.22 $42,352.49 $18,529.22 2026-01-01
592 MS_DRG Skin Ulcers With McC 31 23 — — $12,877.48 $40,335.52 $18,510.80 2026-01-01
APR174 SOI 2 OTHER Percutaneous Cardiac Intervention With Ami 7 7 — — $18,496.86 $42,278.54 $18,496.86 2026-01-01
APR817 SOI 4 OTHER Intentional Self-harm And Attempted Suicide 7 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 35 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… 31 23 — — $11,936.61 $37,388.46 $18,266.63 2026-01-01
APR284 SOI 4 OTHER Disorders Of Gallbladder And Biliary Tract 7 7 — — $18,071.22 $41,305.64 $18,071.22 2026-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With McC 31 23 — — $11,798.21 $36,954.95 $18,054.83 2026-01-01
180 MS_DRG Respiratory Neoplasms With McC 31 23 — — $11,750.96 $36,806.97 $17,982.53 2026-01-01
199 MS_DRG Pneumothorax With McC 31 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 31 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 31 23 — — $12,208.76 $38,240.90 $17,908.80 2026-01-01
APR058 SOI 4 OTHER Other Disorders Of Nervous System 7 7 — — $17,851.20 $40,802.75 $17,851.20 2026-01-01
APR050 SOI 3 OTHER Non-bacterial Infections Of Nervous System Except Viral Meningitis 7 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… 31 23 — — $7,576.31 $48,322.49 $17,814.79 2026-01-01
501 MS_DRG Soft Tissue Procedures With Cc 31 23 — — $11,631.86 $36,433.90 $17,800.27 2026-01-01
APR220 SOI 2 OTHER Major Stomach, Esophageal And Duodenal Procedures 7 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 31 23 — — $11,611.89 $36,371.37 $17,769.71 2026-01-01
APR443 SOI 3 OTHER Kidney And Urinary Tract Procedures For Non-malignancy 7 7 — — $17,742.64 $40,554.60 $17,742.64 2026-01-01
APR227 SOI 3 OTHER Hernia Procedures Except Inguinal, Femoral And Umbilical 7 7 — — $17,717.47 $40,497.08 $17,717.47 2026-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC 31 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 31 23 — — $13,351.25 $41,819.47 $17,633.00 2026-01-01
783 MS_DRG Cesarean Section With Sterilization With McC 31 23 — — $14,111.37 $29,179.00 $17,632.80 2026-01-01
APR361 SOI 2 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 7 7 — — $17,608.90 $40,248.92 $17,608.90 2026-01-01
APR691 SOI 3 OTHER Lymphoma, Myeloma And Non-acute Leukemia 7 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 31 23 — — $11,498.11 $36,014.98 $17,595.59 2026-01-01
APR197 SOI 4 OTHER Peripheral And Other Vascular Disorders 7 7 — — $17,590.93 $40,207.84 $17,590.93 2026-01-01
33228 CPT Removal And Replacement Of Dual Lead Permanent Pacemaker 34 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 34 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 34 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 31 23 — — $12,183.47 $38,161.70 $17,470.60 2026-01-01
APR793 SOI 3 OTHER Moderately Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $17,426.28 $39,831.49 $17,426.28 2026-01-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 31 23 — — $11,357.71 $35,575.21 $17,380.73 2026-01-01
APR243 SOI 4 OTHER Other Esophageal Disorders 7 7 — — $17,350.78 $39,658.93 $17,350.78 2026-01-01
APR308 SOI 3 OTHER Hip And Femur Fracture Repair 7 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 31 23 — — $11,297.82 $35,387.63 $17,289.09 2026-01-01
792 MS_DRG Prematurity Without Major Problems 28 20 — — $1,752.73 $36,925.00 $17,284.67 2026-01-01
APR223 SOI 3 OTHER Other Small And Large Bowel Procedures 7 7 — — $17,277.45 $39,491.31 $17,277.45 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 31 23 — — $7,350.74 $77,890.00 $17,265.45 2026-01-01
APR347 SOI 4 OTHER Other Back And Neck Disorders, Fractures And Injuries 7 7 — — $17,255.16 $39,440.36 $17,255.16 2026-01-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 31 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 31 23 — — $11,243.92 $35,218.81 $17,206.61 2026-01-01
571 MS_DRG Skin Debridement With Cc 31 23 — — $11,241.93 $35,212.56 $17,203.55 2026-01-01
APR245 SOI 4 OTHER Inflammatory Bowel Disease 7 7 — — $17,187.57 $39,285.88 $17,187.57 2026-01-01
595 MS_DRG Major Skin Disorders With McC 31 23 — — $7,316.80 $64,922.90 $17,182.80 2026-01-01
APR501 SOI 4 OTHER Male Reproductive System Diagnoses Except Malignancy 7 7 — — $17,166.72 $39,238.22 $17,166.72 2026-01-01
APR441 SOI 1 OTHER Major Bladder Procedures 7 7 — — $17,158.81 $39,220.14 $17,158.81 2026-01-01
655 MS_DRG Major Bladder Procedures Without Cc/McC 31 23 — — $7,303.16 $46,892.68 $17,149.58 2026-01-01
APR190 SOI 4 OTHER Acute Myocardial Infarction 7 7 — — $17,149.47 $39,198.78 $17,149.47 2026-01-01
915 MS_DRG Allergic Reactions With McC 31 23 — — $11,189.37 $35,047.91 $17,123.12 2026-01-01
23430 CPT Anchoring Of Biceps Tendon 40 30 — — $746.24 $66,202.57 $17,100.53 2026-01-01
APR811 SOI 4 OTHER Allergic Reactions 7 7 — — $17,038.02 $38,944.05 $17,038.02 2026-01-01
444 MS_DRG Disorders Of The Biliary Tract With McC 31 23 — — $11,118.17 $34,824.90 $17,014.16 2026-01-01
APR349 SOI 4 OTHER Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure 7 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 31 23 — — $7,229.64 $47,342.81 $16,970.52 2026-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With McC 31 23 — — $11,008.37 $34,481.00 $16,846.15 2026-01-01
APR026 SOI 2 OTHER Other Nervous System And Related Procedures 7 7 — — $16,825.92 $38,459.24 $16,825.92 2026-01-01
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