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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 CHAMBERSBURG HOSPITAL

Chambersburg, PA · CCN 390151 · Rates published

3,949 distinct procedures filed
30 distinct payers
150,351 rate rows
2026-01-01 last MRF observed
Data quality

144,473 of 150,351 rate rows are consumer-grade (96.1%)

5,878 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 3,221
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,035
per-diem day rate — not a per-procedure price 427
exceeds 10× this hospital's gross charge — excluded from medians 174
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 12
placeholder amount (≤ $0.02) — excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://edge.sitecorecloud.io/269a6006063e-wellspanxmcef9f-production4406-c241/media/Project/Wellspan-Site-Tenant/wellspan-site/data/media/files/Patient-Resources/Cost/230465970_chambersburg-hospital_standardcharges.csv
Found on page https://www.wellspan.org/Patient-Resources/Billing-and-Insurance/Cost-Estimates
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-03
Content fingerprint ca2c486327ca2f9f… · 37,747,102 bytes · first seen 2026-05-06

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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $143,675.50 $492,818.00 $152,655.22 nat. median
$145,435
1.0× median
APR004 SOI 4
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $150,251.07 $343,431.01 $150,251.07 —
APR589 SOI 3
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $126,646.63 $289,478.01 $126,646.63 —
APR005 SOI 4
OTHER 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $104,670.73 $239,247.38 $104,670.73 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $93,761.51 $314,962.05 $99,621.61 nat. median
$97,418
1.0× median
33264
CPT 		Removal And Replacement Of Multiple Lead Defibrillator 26 $395.83 $147,454.34 $89,770.73 nat. median
$32,779
outlier · 2.7×
33249
CPT 		Insertion Of Implantable Defibrillator System 26 $1,049.63 $147,454.34 $85,691.46 nat. median
$32,069
outlier · 2.7×
33270
CPT 		Insertion Or Replacement Of Defibrillator With Electrode 26 $13,939.00 $147,454.34 $85,691.46 nat. median
$32,475
outlier · 2.6×
APR005 SOI 3
OTHER 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $72,145.38 $164,903.73 $72,145.38 —
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With McC 18 $60,986.88 $308,384.00 $65,560.90 nat. median
$2,596
outlier · 25.3×
APR178 SOI 4
OTHER 		External Heart Assist Devices 7 $60,803.24 $138,978.83 $60,803.24 —
33263
CPT 		Removal And Replacement Of Dual Lead Defibrillator 26 $381.23 $103,232.23 $59,869.82 nat. median
$23,924
outlier · 2.5×
APR633 SOI 4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Anomaly 7 $59,605.39 $136,240.90 $59,605.39 —
33262
CPT 		Removal And Replacement Of Single Lead Defibrillator 26 $366.64 $103,232.23 $58,694.78 nat. median
$23,514
outlier · 2.5×
APR167 SOI 4
OTHER 		Other Cardiothoracic And Thoracic Circulatory Procedures 7 $56,285.07 $128,651.60 $56,285.07 —
APR680 SOI 4
OTHER 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 $53,035.22 $121,223.35 $53,035.22 —
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 $48,863.42 $262,485.00 $52,772.49 nat. median
$9,905
outlier · 5.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And McC 18 $48,266.39 $260,162.00 $51,645.04 nat. median
$51,518
1.0× median
APR304 SOI 4
OTHER 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 $51,285.18 $117,223.28 $51,285.18 —
APR179 SOI 4
OTHER 		Defibrillator Implants 7 $50,543.90 $115,528.91 $50,543.90 —
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 19 $46,786.66 $217,044.00 $50,529.59 nat. median
$48,611
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 19 $46,557.19 $232,241.00 $50,281.77 nat. median
$49,569
1.0× median
APR299 SOI 3
OTHER 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 $48,990.87 $111,979.13 $48,990.87 —
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomicall… 19 $45,228.42 $247,897.00 $48,846.69 nat. median
$2,958
outlier · 16.5×
93656
CPT 		Insert Catheters For Recording, Pacing, And Destruct Tissue 26 $1,093.13 $112,826.41 $47,416.60 nat. median
$26,469
1.8× median
APR690 SOI 4
OTHER 		Acute Leukemia 7 $47,406.93 $108,358.69 $47,406.93 —
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 19 $43,557.13 $197,546.00 $47,041.70 nat. median
$47,121
1.0× median
33229
CPT 		Removal And Replacement Of Multiple Lead Permanent Pacemaker 26 $366.28 $87,710.11 $46,641.25 nat. median
$19,415
outlier · 2.4×
APR220 SOI 4
OTHER 		Major Stomach, Esophageal And Duodenal Procedures 7 $46,091.34 $105,351.63 $46,091.34 —
93653
CPT 		Insert Catheters For Recording And Pacing Of Right Heart Chambers Rhythm 26 $818.88 $112,826.41 $45,342.87 nat. median
$25,502
1.8× median
APR120 SOI 4
OTHER 		Major Respiratory And Chest Procedures 7 $44,442.51 $101,582.88 $44,442.51 —
APR130 SOI 4
OTHER 		Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 $43,919.80 $100,388.12 $43,919.80 —
276
MS_DRG 		Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 18 $40,659.28 $229,633.00 $43,505.43 nat. median
$43,533
1.0× median
APR950 SOI 4
OTHER 		Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 $42,857.13 $97,959.15 $42,857.13 —
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 $6,897.00 $71,448.93 $42,243.76 nat. median
$40,584
1.0× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 19 $38,580.48 $197,250.00 $41,666.92 nat. median
$38,795
1.1× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 $38,055.88 $203,563.00 $40,719.79 nat. median
$10,799
outlier · 3.8×
APR179 SOI 3
OTHER 		Defibrillator Implants 7 $40,527.88 $92,635.17 $40,527.88 —
834
MS_DRG 		Acute Leukemia With McC 19 $37,161.68 $215,925.95 $40,134.61 nat. median
$37,487
1.1× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 19 $36,919.35 $175,196.00 $39,872.90 nat. median
$37,371
1.1× median
APR181 SOI 4
OTHER 		Lower Extremity Vascular Procedures 7 $39,564.94 $90,434.14 $39,564.94 —
APR230 SOI 4
OTHER 		Major Small Bowel Procedures 7 $38,988.07 $89,115.60 $38,988.07 —
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomically… 18 $36,076.59 $190,417.00 $38,650.97 nat. median
$2,736
outlier · 14.1×
APR321 SOI 4
OTHER 		Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 7 $38,633.03 $88,304.07 $38,633.03 —
270
MS_DRG 		Other Major Cardiovascular Procedures With McC 19 $35,715.80 $175,081.00 $38,573.06 nat. median
$37,725
1.0× median
APR792 SOI 4
OTHER 		Extensive O.r. Procedures For Other Complications Of Treatment 7 $38,492.83 $87,983.61 $38,492.83 —
APR710 SOI 4
OTHER 		Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 $38,337.02 $87,627.48 $38,337.02 —
466
MS_DRG 		Revision Of Hip Or Knee Replacement With McC 19 $35,235.87 $190,477.00 $38,054.74 nat. median
$36,541
1.0× median
APR304 SOI 3
OTHER 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 $37,806.91 $86,415.79 $37,806.91 —
APR711 SOI 4
OTHER 		Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 7 $37,376.35 $85,431.65 $37,376.35 —

Other procedures at this hospital

Browse this hospital's 3,949 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
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 18 — — $143,675.50 $492,818.00 $152,655.22 2026-01-01
APR004 SOI 4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $150,251.07 $343,431.01 $150,251.07 2026-01-01
APR589 SOI 3 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $126,646.63 $289,478.01 $126,646.63 2026-01-01
APR005 SOI 4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $104,670.73 $239,247.38 $104,670.73 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 18 — — $93,761.51 $314,962.05 $99,621.61 2026-01-01
33264 CPT Removal And Replacement Of Multiple Lead Defibrillator 40 26 $141,260.00 $113,008.00 20% off $395.83 $147,454.34 $89,770.73 2026-01-01
33249 CPT Insertion Of Implantable Defibrillator System 40 26 $134,841.00 $107,872.80 20% off $1,049.63 $147,454.34 $85,691.46 2026-01-01
33270 CPT Insertion Or Replacement Of Defibrillator With Electrode 40 26 $134,841.00 $107,872.80 20% off $13,939.00 $147,454.34 $85,691.46 2026-01-01
APR005 SOI 3 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $72,145.38 $164,903.73 $72,145.38 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With McC 26 18 — — $60,986.88 $308,384.00 $65,560.90 2026-01-01
APR178 SOI 4 OTHER External Heart Assist Devices 7 7 — — $60,803.24 $138,978.83 $60,803.24 2026-01-01
33263 CPT Removal And Replacement Of Dual Lead Defibrillator 40 26 $94,209.00 $75,367.20 20% off $381.23 $103,232.23 $59,869.82 2026-01-01
APR633 SOI 4 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $59,605.39 $136,240.90 $59,605.39 2026-01-01
33262 CPT Removal And Replacement Of Single Lead Defibrillator 40 26 $92,360.00 $73,888.00 20% off $366.64 $103,232.23 $58,694.78 2026-01-01
APR167 SOI 4 OTHER Other Cardiothoracic And Thoracic Circulatory Procedures 7 7 — — $56,285.07 $128,651.60 $56,285.07 2026-01-01
APR680 SOI 4 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $53,035.22 $121,223.35 $53,035.22 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 19 — — $48,863.42 $262,485.00 $52,772.49 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 25 18 — — $48,266.39 $260,162.00 $51,645.04 2026-01-01
APR304 SOI 4 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $51,285.18 $117,223.28 $51,285.18 2026-01-01
APR179 SOI 4 OTHER Defibrillator Implants 7 7 — — $50,543.90 $115,528.91 $50,543.90 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 19 — — $46,786.66 $217,044.00 $50,529.59 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 27 19 — — $46,557.19 $232,241.00 $50,281.77 2026-01-01
APR299 SOI 3 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $48,990.87 $111,979.13 $48,990.87 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomicall… 27 19 — — $45,228.42 $247,897.00 $48,846.69 2026-01-01
93656 CPT Insert Catheters For Recording, Pacing, And Destruct Tissue 42 26 $71,835.00 $57,468.00 20% off $1,093.13 $112,826.41 $47,416.60 2026-01-01
APR690 SOI 4 OTHER Acute Leukemia 7 7 — — $47,406.93 $108,358.69 $47,406.93 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 27 19 — — $43,557.13 $197,546.00 $47,041.70 2026-01-01
33229 CPT Removal And Replacement Of Multiple Lead Permanent Pacemaker 40 26 $73,393.00 $58,714.40 20% off $366.28 $87,710.11 $46,641.25 2026-01-01
APR220 SOI 4 OTHER Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $46,091.34 $105,351.63 $46,091.34 2026-01-01
93653 CPT Insert Catheters For Recording And Pacing Of Right Heart Chambers Rhythm 42 26 $65,654.00 $52,523.20 20% off $818.88 $112,826.41 $45,342.87 2026-01-01
APR120 SOI 4 OTHER Major Respiratory And Chest Procedures 7 7 — — $44,442.51 $101,582.88 $44,442.51 2026-01-01
APR130 SOI 4 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $43,919.80 $100,388.12 $43,919.80 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 25 18 — — $40,659.28 $229,633.00 $43,505.43 2026-01-01
APR950 SOI 4 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $42,857.13 $97,959.15 $42,857.13 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 23 17 — — $6,897.00 $71,448.93 $42,243.76 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 19 — — $38,580.48 $197,250.00 $41,666.92 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 19 — — $38,055.88 $203,563.00 $40,719.79 2026-01-01
APR179 SOI 3 OTHER Defibrillator Implants 7 7 — — $40,527.88 $92,635.17 $40,527.88 2026-01-01
834 MS_DRG Acute Leukemia With McC 27 19 — — $37,161.68 $215,925.95 $40,134.61 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 27 19 — — $36,919.35 $175,196.00 $39,872.90 2026-01-01
APR181 SOI 4 OTHER Lower Extremity Vascular Procedures 7 7 — — $39,564.94 $90,434.14 $39,564.94 2026-01-01
APR230 SOI 4 OTHER Major Small Bowel Procedures 7 7 — — $38,988.07 $89,115.60 $38,988.07 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomically … 26 18 — — $36,076.59 $190,417.00 $38,650.97 2026-01-01
APR321 SOI 4 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 7 7 — — $38,633.03 $88,304.07 $38,633.03 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With McC 27 19 — — $35,715.80 $175,081.00 $38,573.06 2026-01-01
APR792 SOI 4 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $38,492.83 $87,983.61 $38,492.83 2026-01-01
APR710 SOI 4 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $38,337.02 $87,627.48 $38,337.02 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 27 19 — — $35,235.87 $190,477.00 $38,054.74 2026-01-01
APR304 SOI 3 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $37,806.91 $86,415.79 $37,806.91 2026-01-01
APR711 SOI 4 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 7 7 — — $37,376.35 $85,431.65 $37,376.35 2026-01-01
APR121 SOI 4 OTHER Other Respiratory And Chest Procedures 7 7 — — $37,252.56 $85,148.71 $37,252.56 2026-01-01
APR175 SOI 4 OTHER Percutaneous Cardiac Intervention Without Ami 7 7 — — $36,498.19 $83,424.42 $36,498.19 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With McC 27 19 — — $33,489.44 $270,348.00 $36,168.60 2026-01-01
APR634 SOI 4 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 7 7 — — $36,154.66 $82,639.21 $36,154.66 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 27 19 — — $33,429.88 $192,529.00 $36,104.27 2026-01-01
APR442 SOI 4 OTHER Kidney And Urinary Tract Procedures For Malignancy 7 7 — — $36,037.15 $82,370.63 $36,037.15 2026-01-01
APR299 SOI 2 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $36,031.71 $82,358.19 $36,031.71 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 27 19 — — $33,315.48 $175,974.00 $35,980.72 2026-01-01
APR167 SOI 3 OTHER Other Cardiothoracic And Thoracic Circulatory Procedures 7 7 — — $35,726.85 $81,661.38 $35,726.85 2026-01-01
APR029 SOI 4 OTHER Other Percutaneous Intracranial Procedures 7 7 — — $35,260.23 $80,594.80 $35,260.23 2026-01-01
471 MS_DRG Cervical Spinal Fusion With McC 26 18 — — $32,685.95 $180,213.00 $35,137.40 2026-01-01
APR026 SOI 4 OTHER Other Nervous System And Related Procedures 7 7 — — $35,041.65 $80,095.20 $35,041.65 2026-01-01
33274 CPT Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance 40 26 $62,355.00 $49,884.00 20% off $11,223.90 $87,710.11 $34,973.58 2026-01-01
APR130 SOI 3 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $34,886.46 $79,740.47 $34,886.46 2026-01-01
APR231 SOI 4 OTHER Major Large Bowel Procedures 7 7 — — $34,417.10 $78,667.65 $34,417.10 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 27 19 — — $31,759.26 $184,762.00 $34,300.00 2026-01-01
APR448 SOI 4 OTHER Other Kidney, Urinary Tract And Related Percutaneous Procedures 7 7 — — $34,045.84 $77,819.07 $34,045.84 2026-01-01
APR951 SOI 4 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $33,604.38 $76,810.01 $33,604.38 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With McC 27 19 — — $31,114.17 $187,751.00 $33,603.30 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 27 19 — — $31,034.97 $164,998.00 $33,517.77 2026-01-01
APR179 SOI 2 OTHER Defibrillator Implants 7 7 — — $33,507.90 $76,589.48 $33,507.90 2026-01-01
63655 CPT Removal Of Spine Bone For Insertion Of Neurostimulator Electrode Plate In Spine 32 23 — — $970.00 $140,150.99 $33,475.81 2026-01-01
63685 CPT Insertion Or Replacement Of Spinal Neurostimulator Generator Or Receiver 32 23 — — $970.00 $140,150.99 $33,475.81 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without McC 25 18 — — $31,263.09 $176,839.00 $33,451.51 2026-01-01
APR300 SOI 3 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $33,418.88 $76,386.01 $33,418.88 2026-01-01
245 MS_DRG Aicd Generator Procedures 27 19 — — $30,883.34 $171,885.00 $33,354.01 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 27 19 — — $30,790.60 $178,143.00 $33,253.85 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With McC 27 19 — — $30,777.07 $160,382.00 $33,239.24 2026-01-01
64582 CPT Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat… 30 22 — — $970.00 $140,150.99 $33,160.74 2026-01-01
APR043 SOI 4 OTHER Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 7 7 — — $33,088.14 $75,630.04 $33,088.14 2026-01-01
63650 CPT Insertion Of Spinal Neurostimulator Electrode Array Through Skin 32 23 — — $970.00 $140,150.99 $33,081.97 2026-01-01
APR325 SOI 4 OTHER Non-elective Or Complex Knee Joint Replacement 7 7 — — $32,870.47 $75,132.51 $32,870.47 2026-01-01
163 MS_DRG Major Chest Procedures With McC 27 19 — — $30,337.75 $186,110.00 $32,764.77 2026-01-01
APR223 SOI 4 OTHER Other Small And Large Bowel Procedures 7 7 — — $32,661.53 $74,654.93 $32,661.53 2026-01-01
APR174 SOI 4 OTHER Percutaneous Cardiac Intervention With Ami 7 7 — — $32,439.72 $74,147.93 $32,439.72 2026-01-01
APR171 SOI 4 OTHER Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 7 7 — — $32,245.92 $73,704.96 $32,245.92 2026-01-01
APR229 SOI 4 OTHER Other Digestive System And Abdominal Procedures 7 7 — — $32,233.26 $73,676.02 $32,233.26 2026-01-01
APR050 SOI 4 OTHER Non-bacterial Infections Of Nervous System Except Viral Meningitis 7 7 — — $32,168.70 $73,528.46 $32,168.70 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With McC 27 19 — — $29,735.30 $142,630.00 $32,114.12 2026-01-01
APR690 SOI 3 OTHER Acute Leukemia 7 7 — — $32,023.31 $73,196.14 $32,023.31 2026-01-01
APR793 SOI 4 OTHER Moderately Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $31,984.74 $73,107.98 $31,984.74 2026-01-01
APR169 SOI 3 OTHER Major Abdominal Vascular Procedures 7 7 — — $31,916.18 $72,951.27 $31,916.18 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With McC 26 19 — — $29,292.60 $153,084.00 $31,489.54 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 27 19 — — $29,059.07 $132,905.00 $31,383.80 2026-01-01
C9607 HCPCS Percutaneous Transluminal Revascularization 42 26 $44,562.00 $35,649.60 20% off $674.98 $82,584.69 $31,358.82 2026-01-01
APR315 SOI 4 OTHER Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 7 7 — — $31,262.62 $71,457.41 $31,262.62 2026-01-01
APR023 SOI 3 OTHER Spinal Procedures 7 7 — — $31,028.94 $70,923.30 $31,028.94 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without McC 27 19 — — $28,706.40 $150,982.00 $31,002.91 2026-01-01
92943 CPT Remove Plaque/Insert Stent/Balloon Dilation Coronary Artery, /Bypass Graft 42 26 $44,562.00 $35,649.60 20% off $674.98 $66,617.00 $30,992.87 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 27 19 — — $28,538.53 $123,104.00 $30,821.61 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 26 18 — — $28,587.26 $144,360.00 $30,731.31 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With McC 27 19 — — $28,441.05 $129,503.00 $30,716.33 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 18 — — $28,524.31 $142,736.00 $30,663.63 2026-01-01
APR952 SOI 4 OTHER Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $30,607.61 $69,960.25 $30,607.61 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 19 — — $28,244.75 $194,634.00 $30,504.33 2026-01-01
C1822 HCPCS Kit Neuromuscular Senza Ipg Ipg3000 Sterile Latex Free Disposable 16 8 $41,035.50 $32,828.40 $10,258.88 $38,983.73 $30,464.76 2026-01-01
APR423 SOI 4 OTHER Inborn Errors Of Metabolism 7 7 — — $30,463.09 $69,629.93 $30,463.09 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With McC 27 19 — — $27,925.92 $131,263.00 $30,159.99 2026-01-01
APR323 SOI 4 OTHER Non-elective Or Complex Hip Joint Replacement 7 7 — — $30,136.06 $68,882.43 $30,136.06 2026-01-01
APR299 SOI 1 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $29,970.58 $68,504.19 $29,970.58 2026-01-01
APR024 SOI 4 OTHER Open Extracranial Vascular Procedures 7 7 — — $29,952.61 $68,463.10 $29,952.61 2026-01-01
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 42 28 $49,059.00 $39,247.20 20% off $12,264.75 $77,778.97 $29,925.99 2026-01-01
APR621 SOI 3 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $29,495.33 $67,417.89 $29,495.33 2026-01-01
92972 HCPCS Coronary Lithotripsy 18 9 $39,635.00 $31,708.00 20% off $7,134.30 $37,653.25 $29,425.03 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 27 19 — — $27,215.17 $145,288.00 $29,392.38 2026-01-01
APR850 SOI 3 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $29,366.91 $67,124.37 $29,366.91 2026-01-01
APR263 SOI 4 OTHER Cholecystectomy 7 7 — — $29,212.48 $66,771.38 $29,212.48 2026-01-01
APR443 SOI 4 OTHER Kidney And Urinary Tract Procedures For Non-malignancy 7 7 — — $29,207.73 $66,760.52 $29,207.73 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 23 17 — — $5,748.00 $42,760.03 $29,071.17 2026-01-01
APR612 SOI 2 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $28,981.24 $66,242.84 $28,981.24 2026-01-01
APR321 SOI 3 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 7 7 — — $28,948.89 $66,168.89 $28,948.89 2026-01-01
APR680 SOI 3 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $28,887.78 $66,029.20 $28,887.78 2026-01-01
36909 CPT Permanent Blockage Of Hemodialysis Circuit With Review By Radiologist 15 8 $37,214.00 $29,771.20 20% off $182.08 $35,353.30 $28,319.85 2026-01-01
791 MS_DRG Prematurity With Major Problems 23 17 — — $5,748.00 $41,625.81 $28,300.05 2026-01-01
33228 CPT Removal And Replacement Of Dual Lead Permanent Pacemaker 40 26 $44,517.00 $35,613.60 20% off $351.68 $48,131.05 $28,290.56 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With McC 27 19 — — $26,136.85 $140,361.00 $28,227.80 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With McC 27 19 — — $25,988.61 $140,042.00 $28,067.70 2026-01-01
APR120 SOI 3 OTHER Major Respiratory And Chest Procedures 7 7 — — $28,034.33 $64,078.46 $28,034.33 2026-01-01
36906 CPT Remove/Dissole Bloodclot Hemodialysis Circuit/Balloon Stent, Radiology Revw 43 29 $41,459.00 $33,167.20 20% off $512.80 $82,584.69 $27,818.99 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 27 19 — — $25,472.12 $150,884.96 $27,509.89 2026-01-01
APR890 SOI 4 OTHER HIV With Multiple Major HIV Related Conditions 7 7 — — $27,468.48 $62,785.10 $27,468.48 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With McC 27 19 — — $25,300.86 $135,371.00 $27,324.93 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurost… 27 19 — — $25,298.16 $113,252.00 $27,322.01 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With McC 26 19 — — $25,361.11 $109,594.00 $27,263.19 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 27 19 — — $25,227.08 $121,784.00 $27,245.25 2026-01-01
APR312 SOI 3 OTHER Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $27,195.26 $62,160.60 $27,195.26 2026-01-01
APR181 SOI 3 OTHER Lower Extremity Vascular Procedures 7 7 — — $27,185.89 $62,139.19 $27,185.89 2026-01-01
APR192 SOI 4 OTHER Cardiac Catheterization For Other Non-coronary Conditions 7 7 — — $27,172.27 $62,108.04 $27,172.27 2026-01-01
APR304 SOI 2 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $27,160.75 $62,081.71 $27,160.75 2026-01-01
APR130 SOI 2 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $27,160.75 $62,081.71 $27,160.75 2026-01-01
APR176 SOI 3 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 7 7 — — $27,083.69 $61,905.59 $27,083.69 2026-01-01
APR170 SOI 3 OTHER Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 7 7 — — $26,902.01 $61,490.30 $26,902.01 2026-01-01
APR179 SOI 1 OTHER Defibrillator Implants 7 7 — — $26,901.19 $61,488.44 $26,901.19 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 27 19 — — $24,853.43 $117,853.00 $26,841.70 2026-01-01
APR175 SOI 3 OTHER Percutaneous Cardiac Intervention Without Ami 7 7 — — $26,626.45 $60,860.45 $26,626.45 2026-01-01
APR169 SOI 2 OTHER Major Abdominal Vascular Procedures 7 7 — — $26,618.12 $60,841.41 $26,618.12 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With McC 27 19 — — $24,561.68 $102,230.00 $26,526.61 2026-01-01
APR314 SOI 4 OTHER Foot And Toe Procedures 7 7 — — $26,473.52 $60,510.91 $26,473.52 2026-01-01
APR029 SOI 3 OTHER Other Percutaneous Intracranial Procedures 7 7 — — $26,408.68 $60,362.70 $26,408.68 2026-01-01
APR308 SOI 4 OTHER Hip And Femur Fracture Repair 7 7 — — $26,287.29 $60,085.24 $26,287.29 2026-01-01
APR167 SOI 2 OTHER Other Cardiothoracic And Thoracic Circulatory Procedures 7 7 — — $26,204.49 $59,895.97 $26,204.49 2026-01-01
APR445 SOI 4 OTHER Other Bladder Procedures 7 7 — — $26,194.18 $59,872.41 $26,194.18 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With McC 27 19 — — $24,171.78 $158,558.00 $26,105.52 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 27 19 — — $24,092.58 $140,683.00 $26,019.99 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 27 19 — — $24,072.95 $116,202.00 $25,998.79 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 27 19 — — $23,871.91 $126,574.00 $25,781.66 2026-01-01
APR950 SOI 3 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $25,746.49 $58,849.11 $25,746.49 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With McC 27 19 — — $23,823.17 $123,342.00 $25,729.02 2026-01-01
APR300 SOI 2 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $25,612.03 $58,541.79 $25,612.03 2026-01-01
252 MS_DRG Other Vascular Procedures With McC 27 19 — — $23,612.65 $120,714.00 $25,501.66 2026-01-01
57 MS_DRG Degenerative Nervous System Disorders Without McC 15 14 — — $8,770.05 $35,498.14 $25,389.97 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With McC 27 19 — — $23,384.53 $116,986.00 $25,255.29 2026-01-01
APR446 SOI 4 OTHER Urethral And Transurethral Procedures 7 7 — — $25,122.22 $57,422.21 $25,122.22 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 27 19 — — $23,207.18 $122,054.00 $25,063.75 2026-01-01
APR325 SOI 3 OTHER Non-elective Or Complex Knee Joint Replacement 7 7 — — $24,964.22 $57,061.07 $24,964.22 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 27 19 — — $23,093.46 $116,745.00 $24,940.94 2026-01-01
APR710 SOI 3 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $24,936.74 $56,998.27 $24,936.74 2026-01-01
37242 CPT Occlusion Of Artery With Review By Radiologist 43 29 $37,041.00 $29,632.80 20% off $511.17 $82,584.69 $24,854.51 2026-01-01
APR121 SOI 3 OTHER Other Respiratory And Chest Procedures 7 7 — — $24,837.57 $56,771.59 $24,837.57 2026-01-01
APR364 SOI 4 OTHER Other Skin, Subcutaneous Tissue And Related Procedures 7 7 — — $24,718.32 $56,499.03 $24,718.32 2026-01-01
APR230 SOI 3 OTHER Major Small Bowel Procedures 7 7 — — $24,565.04 $56,148.66 $24,565.04 2026-01-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With McC 21 18 — — $23,276.23 $127,149.00 $24,440.04 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 27 19 — — $22,612.86 $104,614.00 $24,421.89 2026-01-01
C1767 HCPCS Generator Neurostimulator 80 8 $33,000.00 $26,400.00 20% off $5,058.68 $62,892.80 $24,156.00 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without McC 27 19 — — $22,281.85 $90,189.29 $24,064.40 2026-01-01
APR539 SOI 4 OTHER Cesarean Section With Sterilization 7 7 — — $24,049.50 $54,970.28 $24,049.50 2026-01-01
37 MS_DRG Extracranial Procedures With McC 26 18 — — $22,284.55 $116,325.00 $23,955.89 2026-01-01
APR792 SOI 3 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $23,879.92 $54,582.68 $23,879.92 2026-01-01
61885 CPT Insertion Of Brain Neurostimulator Pulse Device With Connection To Single Electr… 32 23 — — $970.00 $98,624.82 $23,834.20 2026-01-01
64590 CPT Insertion Or Replacement Of Peripheral, Sacral, Or Gastric Neurostimulator Gener… 32 23 — — $970.00 $98,624.82 $23,834.20 2026-01-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With McC 14 13 — — $12,623.69 $51,839.00 $23,805.84 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With McC 27 19 — — $22,018.53 $138,500.00 $23,780.01 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With McC 27 19 — — $21,921.73 $100,808.00 $23,675.47 2026-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without McC 27 19 — — $21,866.90 $114,102.00 $23,616.25 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With McC 27 19 — — $21,844.56 $114,441.00 $23,592.12 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With McC 26 19 — — $21,897.36 $114,844.00 $23,539.67 2026-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 27 19 — — $21,731.52 $97,778.00 $23,470.04 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With McC 27 19 — — $21,612.38 $137,708.00 $23,341.37 2026-01-01
64561 CPT Insertion Of Sacral Nerve Neurostimulator Electrode Array 32 23 — — $970.00 $98,624.82 $23,335.35 2026-01-01
386 MS_DRG Inflammatory Bowel Disease With Cc 10 5 — — $17,228.77 $28,050.00 $23,332.30 2026-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With McC 27 19 — — $21,572.44 $119,194.00 $23,298.24 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With McC 27 19 — — $21,551.46 $127,632.00 $23,275.58 2026-01-01
APR309 SOI 3 OTHER Other Significant Hip And Femur Surgery 7 7 — — $23,253.85 $53,151.66 $23,253.85 2026-01-01
APR175 SOI 2 OTHER Percutaneous Cardiac Intervention Without Ami 7 7 — — $23,209.95 $53,051.30 $23,209.95 2026-01-01
APR231 SOI 3 OTHER Major Large Bowel Procedures 7 7 — — $23,179.66 $52,982.09 $23,179.66 2026-01-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 45 29 $58,859.25 $47,087.40 20% off $64.46 $79,287.39 $23,171.46 2026-01-01
C9606 HCPCS Percutaneous Transluminal Revascularization 23 11 $28,808.00 $23,046.40 $5,185.44 $66,617.00 $23,152.99 2026-01-01
500 MS_DRG Soft Tissue Procedures With McC 27 19 — — $21,422.85 $119,877.00 $23,136.68 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without McC 27 19 — — $21,329.43 $109,769.00 $23,035.78 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without McC 27 19 — — $21,319.28 $164,935.00 $23,024.82 2026-01-01
APR040 SOI 4 OTHER Spinal Disorders And Injuries 7 7 — — $22,870.51 $52,275.44 $22,870.51 2026-01-01
APR174 SOI 3 OTHER Percutaneous Cardiac Intervention With Ami 7 7 — — $22,869.28 $52,272.64 $22,869.28 2026-01-01
APR720 SOI 4 OTHER Septicemia And Disseminated Infections 7 7 — — $22,824.61 $52,170.55 $22,824.61 2026-01-01
665 MS_DRG Prostatectomy With McC 27 19 — — $21,127.71 $116,791.00 $22,817.93 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 19 — — $21,083.72 $111,243.00 $22,770.42 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 27 19 — — $21,046.49 $110,968.00 $22,730.21 2026-01-01
APR633 SOI 3 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $22,673.50 $51,825.15 $22,673.50 2026-01-01
20982 CPT Destruction Of Growths And Adjacent Soft Tissue 40 26 $34,829.00 $27,863.20 20% off $456.50 $59,175.78 $22,660.11 2026-01-01
APR313 SOI 3 OTHER Knee And Lower Leg Procedures Except Foot 7 7 — — $22,654.28 $51,781.21 $22,654.28 2026-01-01
C1820 HCPCS Generator Pulse Wavewriter Alpha 32 78 8 $31,416.00 $25,132.80 20% off $2,574.00 $33,309.38 $22,573.49 2026-01-01
APR300 SOI 1 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $22,548.40 $51,539.19 $22,548.40 2026-01-01
662 MS_DRG Minor Bladder Procedures With McC 27 19 — — $20,723.60 $111,085.00 $22,381.49 2026-01-01
APR026 SOI 3 OTHER Other Nervous System And Related Procedures 7 7 — — $22,369.37 $51,129.98 $22,369.37 2026-01-01
APR131 SOI 4 OTHER Cystic Fibrosis - Pulmonary Disease 7 7 — — $22,332.70 $51,046.17 $22,332.70 2026-01-01
APR169 SOI 1 OTHER Major Abdominal Vascular Procedures 7 7 — — $22,323.46 $51,025.04 $22,323.46 2026-01-01
APR681 SOI 3 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $22,247.86 $50,852.25 $22,247.86 2026-01-01
APR055 SOI 4 OTHER Head Trauma With Coma > 1 Hour Or Hemorrhage 7 7 — — $22,242.82 $50,840.74 $22,242.82 2026-01-01
APR282 SOI 4 OTHER Disorders Of Pancreas Except Malignancy 7 7 — — $22,232.61 $50,817.40 $22,232.61 2026-01-01
APR711 SOI 3 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 7 7 — — $22,205.36 $50,755.11 $22,205.36 2026-01-01
APR462 SOI 4 OTHER Nephritis And Nephrosis 7 7 — — $22,070.98 $50,447.97 $22,070.98 2026-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 27 19 — — $20,421.02 $82,657.30 $22,054.70 2026-01-01
APR042 SOI 4 OTHER Degenerative Nervous System Disorders Except Multiple Sclerosis 7 7 — — $21,995.66 $50,275.80 $21,995.66 2026-01-01
APR661 SOI 4 OTHER Coagulation And Platelet Disorders 7 7 — — $21,947.97 $50,166.78 $21,947.97 2026-01-01
APR182 SOI 3 OTHER Other Peripheral Vascular And Related Procedures 7 7 — — $21,931.31 $50,128.71 $21,931.31 2026-01-01
APR517 SOI 4 OTHER Dilation And Curettage For Non-obstetric Diagnoses 7 7 — — $21,867.72 $49,983.36 $21,867.72 2026-01-01
APR912 SOI 2 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $21,839.47 $49,918.79 $21,839.47 2026-01-01
APR690 SOI 2 OTHER Acute Leukemia 7 7 — — $21,753.41 $49,722.08 $21,753.41 2026-01-01
APR442 SOI 3 OTHER Kidney And Urinary Tract Procedures For Malignancy 7 7 — — $21,658.02 $49,504.05 $21,658.02 2026-01-01
APR721 SOI 4 OTHER Post-operative, Post-traumatic, Other Device Infections 7 7 — — $21,601.25 $49,374.27 $21,601.25 2026-01-01
APR323 SOI 3 OTHER Non-elective Or Complex Hip Joint Replacement 7 7 — — $21,551.28 $49,260.07 $21,551.28 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 27 19 — — $19,942.45 $107,845.00 $21,537.85 2026-01-01
570 MS_DRG Skin Debridement With McC 27 19 — — $19,908.60 $88,567.00 $21,501.29 2026-01-01
37239 CPT Insertion Of Stent In Vein With Review By Radiologist, Each Additional Vein 15 8 $28,060.00 $22,448.00 20% off $13,939.00 $26,657.00 $21,353.66 2026-01-01
APR660 SOI 4 OTHER Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 7 7 — — $21,347.68 $48,794.69 $21,347.68 2026-01-01
668 MS_DRG Transurethral Procedures With McC 27 19 — — $19,765.77 $92,402.00 $21,347.03 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With McC 27 19 — — $19,713.65 $111,123.00 $21,290.74 2026-01-01
APR444 SOI 3 OTHER Renal Dialysis Access Device Procedures 7 7 — — $21,239.38 $48,547.16 $21,239.38 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With McC 27 19 — — $19,643.93 $107,518.00 $21,215.44 2026-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 27 19 — — $19,631.74 $103,783.00 $21,202.28 2026-01-01
APR097 SOI 4 OTHER Tonsil And Adenoid Procedures 7 7 — — $21,192.37 $48,439.71 $21,192.37 2026-01-01
APR229 SOI 3 OTHER Other Digestive System And Abdominal Procedures 7 7 — — $21,184.12 $48,420.84 $21,184.12 2026-01-01
974 MS_DRG HIV With Major Related Condition With McC 27 19 — — $19,535.62 $99,279.00 $21,098.47 2026-01-01
APR171 SOI 3 OTHER Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 7 7 — — $21,026.66 $48,060.93 $21,026.66 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With McC 27 19 — — $19,428.67 $113,275.00 $20,982.96 2026-01-01
APR224 SOI 3 OTHER Peritoneal Adhesiolysis 7 7 — — $20,931.27 $47,842.90 $20,931.27 2026-01-01
APR020 SOI 2 OTHER Open Craniotomy For Trauma 7 7 — — $20,854.45 $47,667.30 $20,854.45 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 27 19 — — $19,295.32 $102,033.00 $20,838.95 2026-01-01
APR044 SOI 4 OTHER Intracranial Hemorrhage 7 7 — — $20,812.41 $47,571.23 $20,812.41 2026-01-01
APR280 SOI 4 OTHER Alcoholic Liver Disease 7 7 — — $20,800.52 $47,544.05 $20,800.52 2026-01-01
APR740 SOI 3 OTHER Mental Illness Diagnosis With O.r. Procedure 7 7 — — $20,685.48 $47,281.10 $20,685.48 2026-01-01
APR167 SOI 1 OTHER Other Cardiothoracic And Thoracic Circulatory Procedures 7 7 — — $20,676.85 $47,261.38 $20,676.85 2026-01-01
APR343 SOI 4 OTHER Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali… 7 7 — — $20,630.84 $47,156.20 $20,630.84 2026-01-01
33227 CPT Removal And Replacement Of Single Lead Permanent Pacemaker 40 26 $32,457.00 $25,965.60 20% off $337.09 $38,062.06 $20,626.43 2026-01-01
APR761 SOI 4 OTHER Schizoaffective Disorders 7 7 — — $20,602.80 $47,092.11 $20,602.80 2026-01-01
APR260 SOI 2 OTHER Major Pancreas, Liver And Shunt Procedures 7 7 — — $20,575.48 $47,029.66 $20,575.48 2026-01-01
23472 CPT Prosthetic Repair Of Shoulder Joint, Total Shoulder 33 24 — — $970.00 $84,577.62 $20,534.55 2026-01-01
24363 CPT Prosthetic Repair Of Elbow Joint 32 23 — — $970.00 $84,577.62 $20,439.48 2026-01-01
APR320 SOI 3 OTHER Other Musculoskeletal System And Connective Tissue Procedures 7 7 — — $20,423.30 $46,681.82 $20,423.30 2026-01-01
503 MS_DRG Foot Procedures With McC 27 19 — — $18,893.23 $86,297.00 $20,404.69 2026-01-01
APR181 SOI 2 OTHER Lower Extremity Vascular Procedures 7 7 — — $20,352.89 $46,520.90 $20,352.89 2026-01-01
22856 CPT Total Disc Arthroplasty (artificial Disc), Anterior Approach, Including Discecto… 31 22 — — $970.00 $84,577.62 $20,344.41 2026-01-01
22633 CPT Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc 31 22 — — $970.00 $84,577.62 $20,344.41 2026-01-01
27279 CPT Arthrodesis, Sacroiliac Joint, Percutaneous Or Minimally Invasive (indirect Visu… 31 22 — — $970.00 $84,577.62 $20,344.41 2026-01-01
APR310 SOI 3 OTHER Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 7 7 — — $20,314.48 $46,433.10 $20,314.48 2026-01-01
APR951 SOI 3 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $20,269.90 $46,331.21 $20,269.90 2026-01-01
APR177 SOI 3 OTHER Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 7 7 — — $20,266.31 $46,322.99 $20,266.31 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 27 19 — — $18,763.27 $89,500.00 $20,264.33 2026-01-01
APR180 SOI 3 OTHER Other Circulatory System Procedures 7 7 — — $20,193.92 $46,157.52 $20,193.92 2026-01-01
APR448 SOI 3 OTHER Other Kidney, Urinary Tract And Related Percutaneous Procedures 7 7 — — $20,182.90 $46,132.35 $20,182.90 2026-01-01
APR241 SOI 4 OTHER Peptic Ulcer And Gastritis 7 7 — — $20,181.05 $46,128.11 $20,181.05 2026-01-01
APR775 SOI 4 OTHER Alcohol Abuse And Dependence 7 7 — — $20,172.12 $46,107.70 $20,172.12 2026-01-01
APR024 SOI 3 OTHER Open Extracranial Vascular Procedures 7 7 — — $20,165.91 $46,093.50 $20,165.91 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 27 19 — — $18,663.09 $101,948.00 $20,156.14 2026-01-01
949 MS_DRG Aftercare With Cc/McC 14 13 — — $8,053.20 $29,404.00 $20,114.20 2026-01-01
33285 CPT Insertion Of Heart Rhythm Monitor Under Skin 40 26 $31,650.00 $25,320.00 20% off $92.15 $38,062.06 $20,113.58 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 27 19 — — $18,606.22 $84,933.00 $20,094.72 2026-01-01
APR694 SOI 4 OTHER Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 7 7 — — $20,090.20 $45,920.46 $20,090.20 2026-01-01
C9604 HCPCS Percutaneous Transluminal Revascularization 42 26 $28,808.00 $23,046.40 $601.71 $66,617.00 $20,044.02 2026-01-01
APR059 SOI 4 OTHER Anoxic And Other Severe Brain Damage 7 7 — — $20,019.04 $45,757.81 $20,019.04 2026-01-01
APR612 SOI 1 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $20,003.16 $45,721.50 $20,003.16 2026-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/McC 26 18 — — $18,601.49 $102,247.00 $19,996.60 2026-01-01
23430 CPT Anchoring Of Biceps Tendon 32 23 — — $970.00 $84,577.62 $19,964.14 2026-01-01
22612 CPT Fusion Of Spine In Lower Back 32 23 — — $970.00 $84,577.62 $19,964.14 2026-01-01
APR315 SOI 3 OTHER Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 7 7 — — $19,959.30 $45,621.25 $19,959.30 2026-01-01
37230 CPT Insertion Of Stent In Artery Of Leg, Initial Vessel 32 23 — — $970.00 $82,584.69 $19,957.86 2026-01-01
APR815 SOI 4 OTHER Other Injury, Poisoning And Toxic Effect Diagnoses 7 7 — — $19,939.88 $45,576.88 $19,939.88 2026-01-01
APR304 SOI 1 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $19,935.57 $45,567.02 $19,935.57 2026-01-01
APR045 SOI 4 OTHER Cva And Precerebral Occlusion With Infarction 7 7 — — $19,917.60 $45,525.94 $19,917.60 2026-01-01
963 MS_DRG Other Multiple Significant Trauma With McC 26 19 — — $18,505.37 $100,099.00 $19,893.28 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ A… 27 19 — — $18,417.37 $106,297.00 $19,890.76 2026-01-01
33221 CPT Insertion Of Pacemaker Pulse Generator With Existing Multiple Leads 42 26 $9,433.00 $7,546.40 20% off $353.33 $87,710.11 $19,816.26 2026-01-01
APR053 SOI 4 OTHER Seizure 7 7 — — $19,772.25 $45,193.71 $19,772.25 2026-01-01
APR206 SOI 4 OTHER Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure 7 7 — — $19,742.72 $45,126.23 $19,742.72 2026-01-01
APR283 SOI 4 OTHER Other Disorders Of The Liver 7 7 — — $19,723.04 $45,081.24 $19,723.04 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With McC 27 19 — — $18,258.97 $96,327.00 $19,719.69 2026-01-01
APR279 SOI 4 OTHER Hepatic Coma And Other Major Acute Liver Disorders 7 7 — — $19,714.12 $45,060.85 $19,714.12 2026-01-01
APR194 SOI 4 OTHER Heart Failure 7 7 — — $19,693.52 $45,013.75 $19,693.52 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With McC 26 19 — — $18,318.54 $100,349.00 $19,692.43 2026-01-01
APR023 SOI 2 OTHER Spinal Procedures 7 7 — — $19,686.80 $44,998.40 $19,686.80 2026-01-01
62362 CPT Insertion Of Programmable Spinal Canal Drug Infusion Pump 32 23 — — $970.00 $81,284.99 $19,643.76 2026-01-01
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