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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

3,950 distinct procedures filed
30 distinct payers
300,702 rate rows
2026-01-01 last MRF observed
Data quality

295,304 of 300,702 rate rows are consumer-grade (98.2%)

5,398 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,178
per-diem day rate — not a per-procedure price 854
exceeds 10× this hospital's gross charge — excluded from medians 348
placeholder amount (≤ $0.02) — excluded from medians 18
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/230465970_chambersburg-hospital_standardcharges.csv
Found on page https://www.wellspan.org/Patient-Resources/Billing-and-Insurance/Cost-Estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 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… 22 $143,675.50 $492,818.00 $187,855.71 nat. median
$202,986
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With McC 23 $60,986.88 $308,384.00 $158,992.41 nat. median
$82,712
1.9× median
004 SOI 4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $150,251.07 $343,431.01 $150,251.07 —
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 24 $46,786.66 $217,044.00 $126,943.93 nat. median
$66,526
1.9× median
589 SOI 3
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $126,646.63 $289,478.01 $126,646.63 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $93,761.51 $314,962.05 $122,593.18 nat. median
$133,176
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 23 $46,557.19 $232,241.00 $121,374.30 nat. median
$65,950
1.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomicall… 24 $45,228.42 $247,897.00 $117,095.98 nat. median
$63,738
1.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 23 $43,557.13 $197,546.00 $113,553.15 nat. median
$62,134
1.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 $48,863.42 $262,485.00 $111,712.90 nat. median
$68,090
1.6× median
834
MS_DRG 		Acute Leukemia With McC 24 $37,161.68 $215,925.95 $111,712.04 nat. median
$53,173
outlier · 2.1×
005 SOI 4
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $104,670.73 $239,247.38 $104,670.73 —
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 24 $38,580.48 $197,250.00 $100,915.51 nat. median
$52,753
1.9× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 23 $36,919.35 $175,196.00 $96,248.50 nat. median
$52,857
1.8× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 24 $31,759.26 $184,762.00 $95,528.41 nat. median
$46,084
outlier · 2.1×
270
MS_DRG 		Other Major Cardiovascular Procedures With McC 23 $35,715.80 $175,081.00 $93,110.87 nat. median
$51,307
1.8× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 $28,244.75 $194,634.00 $92,536.62 nat. median
$42,730
outlier · 2.2×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With McC 24 $33,429.88 $192,529.00 $90,636.11 nat. median
$48,170
1.9× median
33264
CPT 		Removal And Replacement Of Multiple Lead Defibrillator 26 $395.83 $147,454.34 $89,770.73 nat. median
$31,873
outlier · 2.8×
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With McC 24 $31,034.97 $164,998.00 $89,462.23 nat. median
$45,113
2.0× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With McC 24 $35,235.87 $190,477.00 $89,431.36 nat. median
$49,191
1.8× median
228
MS_DRG 		Other Cardiothoracic Procedures With McC 23 $33,489.44 $270,348.00 $87,306.77 nat. median
$50,673
1.7× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 23 $33,315.48 $175,974.00 $86,853.24 nat. median
$47,740
1.8× median
33270
CPT 		Insertion Or Replacement Of Defibrillator With Electrode 26 $13,939.00 $147,454.34 $85,691.46 nat. median
$32,221
outlier · 2.7×
33249
CPT 		Insertion Of Implantable Defibrillator System 26 $1,049.63 $147,454.34 $85,691.46 nat. median
$31,833
outlier · 2.7×
471
MS_DRG 		Cervical Spinal Fusion With McC 23 $32,685.95 $180,213.00 $83,021.61 nat. median
$46,647
1.8× median
245
MS_DRG 		Aicd Generator Procedures 23 $30,883.34 $171,885.00 $80,512.67 nat. median
$45,271
1.8× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With McC 23 $30,777.07 $160,382.00 $80,235.61 nat. median
$45,125
1.8× median
329
MS_DRG 		Major Small And Large Bowel Procedures With McC 23 $31,114.17 $187,751.00 $79,913.85 nat. median
$44,810
1.8× median
163
MS_DRG 		Major Chest Procedures With McC 23 $30,337.75 $186,110.00 $79,090.32 nat. median
$44,938
1.8× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 $38,055.88 $203,563.00 $77,954.92 nat. median
$54,211
1.4× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 24 $29,059.07 $132,905.00 $77,543.98 nat. median
$42,295
1.8× median
356
MS_DRG 		Other Digestive System O.r. Procedures With McC 23 $29,735.30 $142,630.00 $77,444.29 nat. median
$42,444
1.8× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 $25,472.12 $150,884.96 $77,292.10 nat. median
$37,664
outlier · 2.1×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 24 $30,790.60 $178,143.00 $76,167.88 nat. median
$43,966
1.7× median
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 23 $28,538.53 $123,104.00 $74,399.75 nat. median
$40,916
1.8× median
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 23 $28,524.31 $142,736.00 $74,362.69 nat. median
$41,228
1.8× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without McC 24 $28,706.40 $150,982.00 $73,809.32 nat. median
$41,169
1.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And McC 22 $48,266.39 $260,162.00 $73,123.58 nat. median
$68,887
1.1× median
273
MS_DRG 		Percutaneous And Other Intracardiac Procedures With McC 23 $27,925.92 $131,263.00 $72,802.70 nat. median
$40,005
1.8× median
005 SOI 3
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $72,145.38 $164,903.73 $72,145.38 —
907
MS_DRG 		Other O.r. Procedures For Injuries With McC 24 $25,988.61 $140,042.00 $71,987.76 nat. median
$38,112
1.9× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With McC 23 $26,136.85 $140,361.00 $68,138.60 nat. median
$37,698
1.8× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With McC 24 $28,441.05 $129,503.00 $67,316.32 nat. median
$40,457
1.7× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 24 $23,207.18 $122,054.00 $66,086.85 nat. median
$33,847
2.0× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With McC 23 $25,300.86 $135,371.00 $65,959.19 nat. median
$37,476
1.8× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 24 $24,853.43 $117,853.00 $64,486.03 nat. median
$35,489
1.8× median
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With McC 24 $23,384.53 $116,986.00 $64,334.06 nat. median
$33,771
1.9× median
939
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With McC 24 $24,561.68 $102,230.00 $63,395.84 nat. median
$33,732
1.9× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 24 $25,227.08 $121,784.00 $63,348.37 nat. median
$37,237
1.7× median

Other procedures at this hospital

Browse this hospital's 3,950 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… 60 22 — — $143,675.50 $492,818.00 $187,855.71 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With McC 66 23 — — $60,986.88 $308,384.00 $158,992.41 2026-01-01
004 SOI 4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 7 — — $150,251.07 $343,431.01 $150,251.07 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 68 24 — — $46,786.66 $217,044.00 $126,943.93 2026-01-01
589 SOI 3 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 14 7 — — $126,646.63 $289,478.01 $126,646.63 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 60 22 — — $93,761.51 $314,962.05 $122,593.18 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 66 23 — — $46,557.19 $232,241.00 $121,374.30 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomicall… 68 24 — — $45,228.42 $247,897.00 $117,095.98 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 66 23 — — $43,557.13 $197,546.00 $113,553.15 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 24 — — $48,863.42 $262,485.00 $111,712.90 2026-01-01
834 MS_DRG Acute Leukemia With McC 68 24 — — $37,161.68 $215,925.95 $111,712.04 2026-01-01
005 SOI 4 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 7 — — $104,670.73 $239,247.38 $104,670.73 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 68 24 — — $38,580.48 $197,250.00 $100,915.51 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 66 23 — — $36,919.35 $175,196.00 $96,248.50 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 68 24 — — $31,759.26 $184,762.00 $95,528.41 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With McC 66 23 — — $35,715.80 $175,081.00 $93,110.87 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 24 — — $28,244.75 $194,634.00 $92,536.62 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 68 24 — — $33,429.88 $192,529.00 $90,636.11 2026-01-01
33264 CPT Removal And Replacement Of Multiple Lead Defibrillator 80 26 $141,260.00 $113,008.00 20% off $395.83 $147,454.34 $89,770.73 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 68 24 — — $31,034.97 $164,998.00 $89,462.23 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 68 24 — — $35,235.87 $190,477.00 $89,431.36 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With McC 66 23 — — $33,489.44 $270,348.00 $87,306.77 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 66 23 — — $33,315.48 $175,974.00 $86,853.24 2026-01-01
33249 CPT Insertion Of Implantable Defibrillator System 80 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 80 26 $134,841.00 $107,872.80 20% off $13,939.00 $147,454.34 $85,691.46 2026-01-01
471 MS_DRG Cervical Spinal Fusion With McC 66 23 — — $32,685.95 $180,213.00 $83,021.61 2026-01-01
245 MS_DRG Aicd Generator Procedures 66 23 — — $30,883.34 $171,885.00 $80,512.67 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With McC 66 23 — — $30,777.07 $160,382.00 $80,235.61 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With McC 66 23 — — $31,114.17 $187,751.00 $79,913.85 2026-01-01
163 MS_DRG Major Chest Procedures With McC 66 23 — — $30,337.75 $186,110.00 $79,090.32 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 24 — — $38,055.88 $203,563.00 $77,954.92 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 68 24 — — $29,059.07 $132,905.00 $77,543.98 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With McC 66 23 — — $29,735.30 $142,630.00 $77,444.29 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 68 24 — — $25,472.12 $150,884.96 $77,292.10 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 68 24 — — $30,790.60 $178,143.00 $76,167.88 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 66 23 — — $28,538.53 $123,104.00 $74,399.75 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 66 23 — — $28,524.31 $142,736.00 $74,362.69 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without McC 68 24 — — $28,706.40 $150,982.00 $73,809.32 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 62 22 — — $48,266.39 $260,162.00 $73,123.58 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With McC 66 23 — — $27,925.92 $131,263.00 $72,802.70 2026-01-01
005 SOI 3 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 7 — — $72,145.38 $164,903.73 $72,145.38 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With McC 68 24 — — $25,988.61 $140,042.00 $71,987.76 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With McC 66 23 — — $26,136.85 $140,361.00 $68,138.60 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With McC 68 24 — — $28,441.05 $129,503.00 $67,316.32 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 68 24 — — $23,207.18 $122,054.00 $66,086.85 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With McC 66 23 — — $25,300.86 $135,371.00 $65,959.19 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 68 24 — — $24,853.43 $117,853.00 $64,486.03 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With McC 68 24 — — $23,384.53 $116,986.00 $64,334.06 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With McC 68 24 — — $24,561.68 $102,230.00 $63,395.84 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 68 24 — — $25,227.08 $121,784.00 $63,348.37 2026-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With McC 68 24 — — $21,572.44 $119,194.00 $63,151.29 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 66 23 — — $24,072.95 $116,202.00 $62,758.03 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With McC 68 24 — — $21,844.56 $114,441.00 $62,545.71 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With McC 66 23 — — $24,171.78 $158,558.00 $62,404.94 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 68 24 — — $24,092.58 $140,683.00 $62,108.58 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With McC 66 23 — — $23,823.17 $123,342.00 $62,106.85 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With McC 68 24 — — $21,551.46 $127,632.00 $61,639.43 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 62 22 — — $40,659.28 $229,633.00 $61,598.81 2026-01-01
252 MS_DRG Other Vascular Procedures With McC 66 23 — — $23,612.65 $120,714.00 $61,558.03 2026-01-01
178 SOI 4 APR_DRG External Heart Assist Devices 14 7 — — $60,803.24 $138,978.83 $60,803.24 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With McC 64 23 — — $29,292.60 $153,084.00 $60,371.96 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 66 23 — — $23,093.46 $116,745.00 $60,204.51 2026-01-01
662 MS_DRG Minor Bladder Procedures With McC 68 24 — — $20,723.60 $111,085.00 $59,965.29 2026-01-01
33263 CPT Removal And Replacement Of Dual Lead Defibrillator 80 26 $94,209.00 $75,367.20 20% off $381.23 $103,232.23 $59,869.82 2026-01-01
633 SOI 4 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 14 7 — — $59,605.39 $136,240.90 $59,605.39 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 68 24 — — $23,871.91 $126,574.00 $59,075.20 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 64 22 — — $28,587.26 $144,360.00 $58,918.25 2026-01-01
33262 CPT Removal And Replacement Of Single Lead Defibrillator 80 26 $92,360.00 $73,888.00 20% off $366.64 $103,232.23 $58,694.78 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurost… 68 24 — — $25,298.16 $113,252.00 $58,520.24 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With McC 68 24 — — $19,428.67 $113,275.00 $58,501.13 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With McC 68 24 — — $19,713.65 $111,123.00 $58,405.84 2026-01-01
500 MS_DRG Soft Tissue Procedures With McC 68 24 — — $21,422.85 $119,877.00 $57,531.59 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With McC 66 23 — — $22,018.53 $138,500.00 $57,402.16 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 68 24 — — $27,215.17 $145,288.00 $57,187.18 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With McC 66 24 — — $21,897.36 $114,844.00 $57,086.28 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 66 23 — — $22,612.86 $104,614.00 $56,976.66 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 68 24 — — $21,083.72 $111,243.00 $56,701.06 2026-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 66 23 — — $21,731.52 $97,778.00 $56,653.93 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With McC 68 24 — — $21,921.73 $100,808.00 $56,636.60 2026-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 68 24 — — $19,631.74 $103,783.00 $56,443.60 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With McC 66 23 — — $21,612.38 $137,708.00 $56,343.34 2026-01-01
167 SOI 4 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 14 7 — — $56,285.07 $128,651.60 $56,285.07 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without McC 66 23 — — $22,281.85 $90,189.29 $56,235.57 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 68 24 — — $19,942.45 $107,845.00 $55,688.94 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without McC 66 23 — — $21,329.43 $109,769.00 $55,605.70 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without McC 66 23 — — $21,319.28 $164,935.00 $55,579.23 2026-01-01
974 MS_DRG HIV With Major Related Condition With McC 68 24 — — $19,535.62 $99,279.00 $55,168.27 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 66 23 — — $21,046.49 $110,968.00 $54,868.05 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomically … 66 23 — — $36,076.59 $190,417.00 $54,656.03 2026-01-01
668 MS_DRG Transurethral Procedures With McC 68 24 — — $19,765.77 $92,402.00 $53,806.56 2026-01-01
570 MS_DRG Skin Debridement With McC 68 24 — — $19,908.60 $88,567.00 $53,069.69 2026-01-01
680 SOI 4 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 14 7 — — $53,035.22 $121,223.35 $53,035.22 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With McC 64 23 — — $25,361.11 $109,594.00 $52,269.17 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 68 24 — — $16,641.83 $104,090.00 $51,875.53 2026-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 68 24 — — $20,421.02 $82,657.30 $51,539.16 2026-01-01
304 SOI 4 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 14 7 — — $51,285.18 $117,223.28 $51,285.18 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With McC 66 23 — — $19,643.93 $107,518.00 $51,211.59 2026-01-01
503 MS_DRG Foot Procedures With McC 68 24 — — $18,893.23 $86,297.00 $50,924.83 2026-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without McC 68 24 — — $21,866.90 $114,102.00 $50,898.93 2026-01-01
179 SOI 4 APR_DRG Defibrillator Implants 14 7 — — $50,543.90 $115,528.91 $50,543.90 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 66 23 — — $19,295.32 $102,033.00 $50,302.77 2026-01-01
545 MS_DRG Connective Tissue Disorders With McC 68 24 — — $16,798.88 $93,702.00 $49,522.50 2026-01-01
299 SOI 3 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 7 — — $48,990.87 $111,979.13 $48,990.87 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 66 23 — — $18,663.09 $101,948.00 $48,654.54 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 66 23 — — $18,606.22 $84,933.00 $48,506.31 2026-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/McC 66 23 — — $18,601.49 $102,247.00 $48,493.96 2026-01-01
963 MS_DRG Other Multiple Significant Trauma With McC 66 24 — — $18,505.37 $100,099.00 $48,243.37 2026-01-01
665 MS_DRG Prostatectomy With McC 68 24 — — $21,127.71 $116,791.00 $48,135.74 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ A… 66 23 — — $18,417.37 $106,297.00 $48,013.96 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With McC 66 23 — — $18,258.97 $96,327.00 $47,601.02 2026-01-01
93656 CPT Insert Catheters For Recording, Pacing, And Destruct Tissue 84 26 $71,835.00 $57,468.00 20% off $1,093.13 $112,826.41 $47,416.60 2026-01-01
690 SOI 4 APR_DRG Acute Leukemia 14 7 — — $47,406.93 $108,358.69 $47,406.93 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without McC 62 22 — — $31,263.09 $176,839.00 $47,363.58 2026-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With McC 68 24 — — $17,199.61 $125,026.00 $46,997.19 2026-01-01
33229 CPT Removal And Replacement Of Multiple Lead Permanent Pacemaker 80 26 $73,393.00 $58,714.40 20% off $366.28 $87,710.11 $46,641.25 2026-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 68 24 — — $16,646.57 $82,980.00 $46,605.39 2026-01-01
220 SOI 4 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 14 7 — — $46,091.34 $105,351.63 $46,091.34 2026-01-01
37 MS_DRG Extracranial Procedures With McC 64 22 — — $22,284.55 $116,325.00 $45,928.39 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 66 23 — — $17,569.88 $94,409.00 $45,804.55 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 68 24 — — $18,763.27 $89,500.00 $45,661.71 2026-01-01
473 MS_DRG Cervical Spinal Fusion 68 24 — — $16,525.40 $83,770.00 $45,530.99 2026-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 66 23 — — $17,458.86 $88,168.00 $45,515.14 2026-01-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC 66 23 — — $17,458.86 $76,637.00 $45,515.14 2026-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 68 24 — — $15,830.22 $83,566.00 $45,428.60 2026-01-01
93653 CPT Insert Catheters For Recording And Pacing Of Right Heart Chambers Rhythm 84 26 $65,654.00 $52,523.20 20% off $818.88 $112,826.41 $45,342.87 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With McC 68 24 — — $16,153.78 $90,049.00 $45,278.44 2026-01-01
164 MS_DRG Major Chest Procedures With Cc 66 23 — — $17,085.21 $96,176.00 $44,541.03 2026-01-01
120 SOI 4 APR_DRG Major Respiratory And Chest Procedures 14 7 — — $44,442.51 $101,582.88 $44,442.51 2026-01-01
709 MS_DRG Penis Procedures With Cc/McC 68 24 — — $15,752.37 $78,912.00 $44,199.26 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 68 24 — — $16,512.64 $71,508.00 $44,010.32 2026-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With McC 68 24 — — $14,169.08 $100,743.00 $44,005.29 2026-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With McC 66 23 — — $16,867.92 $91,200.00 $43,974.56 2026-01-01
130 SOI 4 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 14 7 — — $43,919.80 $100,388.12 $43,919.80 2026-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 68 24 — — $14,945.50 $82,311.00 $43,795.53 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 66 23 — — $16,545.03 $98,106.00 $43,132.80 2026-01-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 68 24 — — $15,404.44 $75,818.00 $42,885.25 2026-01-01
950 SOI 4 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 7 — — $42,857.13 $97,959.15 $42,857.13 2026-01-01
397 MS_DRG Appendix Procedures With McC 68 24 — — $16,211.32 $83,073.00 $42,617.44 2026-01-01
835 MS_DRG Acute Leukemia With Cc 68 24 — — $14,118.99 $82,577.65 $42,578.21 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 66 23 — — $16,226.89 $94,257.00 $42,303.39 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 46 17 — — $6,897.00 $71,448.93 $42,243.76 2026-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 68 24 — — $15,818.71 $67,571.00 $41,467.06 2026-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 66 23 — — $15,741.54 $77,919.00 $41,038.10 2026-01-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 68 24 — — $14,066.87 $75,559.00 $40,742.58 2026-01-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC 68 24 — — $14,490.61 $72,620.13 $40,666.15 2026-01-01
179 SOI 3 APR_DRG Defibrillator Implants 14 7 — — $40,527.88 $92,635.17 $40,527.88 2026-01-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 68 24 — — $13,989.70 $74,941.00 $40,468.20 2026-01-01
595 MS_DRG Major Skin Disorders With McC 68 24 — — $14,355.23 $72,584.00 $40,446.80 2026-01-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With McC 66 23 — — $15,471.45 $70,782.00 $40,333.98 2026-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 68 24 — — $14,177.88 $73,125.00 $40,306.54 2026-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 68 24 — — $14,154.86 $76,377.00 $40,230.56 2026-01-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With McC 66 23 — — $15,378.72 $73,103.00 $40,092.22 2026-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 68 24 — — $14,748.51 $83,089.00 $39,644.11 2026-01-01
181 SOI 4 APR_DRG Lower Extremity Vascular Procedures 14 7 — — $39,564.94 $90,434.14 $39,564.94 2026-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 68 24 — — $13,525.34 $88,288.00 $39,131.74 2026-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 68 24 — — $13,505.71 $72,380.00 $39,076.07 2026-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With McC 66 23 — — $14,978.66 $78,540.00 $39,049.28 2026-01-01
230 SOI 4 APR_DRG Major Small Bowel Procedures 14 7 — — $38,988.07 $89,115.60 $38,988.07 2026-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 68 24 — — $14,496.03 $75,800.00 $38,804.90 2026-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 66 23 — — $14,883.22 $78,639.00 $38,800.46 2026-01-01
321 SOI 4 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 14 7 — — $38,633.03 $88,304.07 $38,633.03 2026-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC 66 23 — — $14,773.56 $110,502.00 $38,514.58 2026-01-01
792 SOI 4 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 14 7 — — $38,492.83 $87,983.61 $38,492.83 2026-01-01
710 SOI 4 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 14 7 — — $38,337.02 $87,627.48 $38,337.02 2026-01-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With McC 68 24 — — $14,395.84 $63,035.00 $38,122.65 2026-01-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 68 24 — — $12,387.45 $74,362.00 $37,834.37 2026-01-01
707 MS_DRG Major Male Pelvic Procedures With Cc/McC 68 24 — — $13,540.23 $67,131.00 $37,817.45 2026-01-01
304 SOI 3 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 14 7 — — $37,806.91 $86,415.79 $37,806.91 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With McC 64 23 — — $18,318.54 $100,349.00 $37,754.45 2026-01-01
374 MS_DRG Digestive Malignancy With McC 66 23 — — $14,477.07 $74,626.00 $37,741.64 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 66 23 — — $14,424.27 $98,708.00 $37,603.99 2026-01-01
711 SOI 4 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 14 7 — — $37,376.35 $85,431.65 $37,376.35 2026-01-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With McC 66 23 — — $14,332.89 $73,028.00 $37,365.76 2026-01-01
121 SOI 4 APR_DRG Other Respiratory And Chest Procedures 14 7 — — $37,252.56 $85,148.71 $37,252.56 2026-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 66 23 — — $14,274.00 $87,040.00 $37,212.23 2026-01-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 68 24 — — $12,344.81 $71,967.00 $37,169.37 2026-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With McC 68 24 — — $13,148.98 $66,825.00 $37,133.15 2026-01-01
314 MS_DRG Other Circulatory System Diagnoses With McC 66 23 — — $14,810.49 $70,976.00 $36,797.52 2026-01-01
711 MS_DRG Testes Procedures With Cc/McC 66 23 — — $14,105.45 $83,371.00 $36,772.82 2026-01-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With McC 68 24 — — $15,444.38 $93,613.00 $36,758.14 2026-01-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 68 24 — — $12,583.08 $68,187.00 $36,594.53 2026-01-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 68 24 — — $11,957.61 $72,000.00 $36,576.12 2026-01-01
175 SOI 4 APR_DRG Percutaneous Cardiac Intervention Without Ami 14 7 — — $36,498.19 $83,424.42 $36,498.19 2026-01-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC 68 24 — — $12,148.50 $69,647.00 $36,284.41 2026-01-01
634 SOI 4 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 14 7 — — $36,154.66 $82,639.21 $36,154.66 2026-01-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With McC 68 24 — — $13,322.94 $61,788.00 $36,144.15 2026-01-01
754 MS_DRG Malignancy, Female Reproductive System With McC 68 24 — — $12,466.65 $72,568.00 $36,097.78 2026-01-01
442 SOI 4 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 14 7 — — $36,037.15 $82,370.63 $36,037.15 2026-01-01
299 SOI 2 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 7 — — $36,031.71 $82,358.19 $36,031.71 2026-01-01
167 SOI 3 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 14 7 — — $35,726.85 $81,661.38 $35,726.85 2026-01-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without McC 66 23 — — $13,687.80 $73,672.00 $35,684.00 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/McC 64 23 — — $17,281.51 $83,227.00 $35,617.14 2026-01-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC 68 24 — — $12,583.08 $64,016.00 $35,551.78 2026-01-01
539 MS_DRG Osteomyelitis With McC 68 24 — — $13,333.10 $67,576.00 $35,526.86 2026-01-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With McC 68 24 — — $12,432.81 $64,799.00 $35,514.07 2026-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With McC 66 23 — — $13,612.66 $64,269.00 $35,488.12 2026-01-01
902 MS_DRG Wound Debridements For Injuries With Cc 68 24 — — $12,959.44 $64,460.00 $35,333.49 2026-01-01
029 SOI 4 APR_DRG Other Percutaneous Intracranial Procedures 14 7 — — $35,260.23 $80,594.80 $35,260.23 2026-01-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC 66 24 — — $13,582.20 $56,933.00 $35,257.60 2026-01-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 66 24 — — $13,503.00 $66,196.00 $35,202.24 2026-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/McC 64 22 — — $17,077.76 $84,396.00 $35,197.22 2026-01-01
026 SOI 4 APR_DRG Other Nervous System And Related Procedures 14 7 — — $35,041.65 $80,095.20 $35,041.65 2026-01-01
33274 CPT Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance 80 26 $62,355.00 $49,884.00 20% off $11,223.90 $87,710.11 $34,973.58 2026-01-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC 68 24 — — $11,973.86 $65,434.17 $34,959.90 2026-01-01
283 MS_DRG Acute Myocardial Infarction, Expired With McC 66 23 — — $13,408.23 $61,947.00 $34,955.18 2026-01-01
130 SOI 3 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 14 7 — — $34,886.46 $79,740.47 $34,886.46 2026-01-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 68 24 — — $12,660.25 $73,790.00 $34,417.93 2026-01-01
231 SOI 4 APR_DRG Major Large Bowel Procedures 14 7 — — $34,417.10 $78,667.65 $34,417.10 2026-01-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/McC 68 24 — — $12,796.98 $65,512.00 $34,410.68 2026-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC 68 24 — — $14,334.92 $80,948.00 $34,375.13 2026-01-01
100 MS_DRG Seizures With McC 66 23 — — $13,110.39 $56,590.00 $34,178.71 2026-01-01
448 SOI 4 APR_DRG Other Kidney, Urinary Tract And Related Percutaneous Procedures 14 7 — — $34,045.84 $77,819.07 $34,045.84 2026-01-01
75 MS_DRG Viral Meningitis With Cc/McC 66 23 — — $12,979.75 $61,363.00 $33,838.12 2026-01-01
165 MS_DRG Major Chest Procedures Without Cc/McC 66 23 — — $12,957.41 $67,373.00 $33,779.89 2026-01-01
501 MS_DRG Soft Tissue Procedures With Cc 68 24 — — $11,833.06 $60,916.00 $33,611.62 2026-01-01
951 SOI 4 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 7 — — $33,604.38 $76,810.01 $33,604.38 2026-01-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/McC 68 24 — — $12,419.94 $57,076.00 $33,563.35 2026-01-01
179 SOI 2 APR_DRG Defibrillator Implants 14 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 64 23 — — $970.00 $140,150.99 $33,475.81 2026-01-01
63685 CPT Insertion Or Replacement Of Spinal Neurostimulator Generator Or Receiver 64 23 — — $970.00 $140,150.99 $33,475.81 2026-01-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 68 24 — — $12,143.09 $67,695.00 $33,465.58 2026-01-01
300 SOI 3 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 7 — — $33,418.88 $76,386.01 $33,418.88 2026-01-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 66 23 — — $12,796.98 $68,599.00 $33,361.65 2026-01-01
196 MS_DRG Interstitial Lung Disease With McC 66 23 — — $12,774.65 $61,511.00 $33,303.42 2026-01-01
919 MS_DRG Complications Of Treatment With McC 68 24 — — $12,392.87 $61,935.00 $33,296.53 2026-01-01
64582 CPT Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat… 60 22 — — $970.00 $140,150.99 $33,160.74 2026-01-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 68 24 — — $11,450.61 $61,381.00 $33,133.74 2026-01-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 68 24 — — $11,125.69 $65,237.00 $33,128.69 2026-01-01
043 SOI 4 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 14 7 — — $33,088.14 $75,630.04 $33,088.14 2026-01-01
63650 CPT Insertion Of Spinal Neurostimulator Electrode Array Through Skin 64 23 — — $970.00 $140,150.99 $33,081.97 2026-01-01
592 MS_DRG Skin Ulcers With McC 68 24 — — $13,100.24 $53,025.28 $33,062.76 2026-01-01
597 MS_DRG Malignant Breast Disorders With McC 68 24 — — $11,284.77 $61,964.00 $33,021.85 2026-01-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With McC 68 24 — — $11,034.99 $62,946.00 $32,879.32 2026-01-01
325 SOI 4 APR_DRG Non-elective Or Complex Knee Joint Replacement 14 7 — — $32,870.47 $75,132.51 $32,870.47 2026-01-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 68 24 — — $11,697.00 $58,154.00 $32,709.76 2026-01-01
223 SOI 4 APR_DRG Other Small And Large Bowel Procedures 14 7 — — $32,661.53 $74,654.93 $32,661.53 2026-01-01
444 MS_DRG Disorders Of The Biliary Tract With McC 68 24 — — $11,310.49 $59,947.00 $32,557.56 2026-01-01
643 MS_DRG Endocrine Disorders With McC 68 24 — — $11,142.62 $60,862.00 $32,525.52 2026-01-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC 68 24 — — $11,812.76 $56,367.00 $32,442.83 2026-01-01
174 SOI 4 APR_DRG Percutaneous Cardiac Intervention With Ami 14 7 — — $32,439.72 $74,147.93 $32,439.72 2026-01-01
393 MS_DRG Other Digestive System Diagnoses With McC 68 24 — — $10,825.82 $62,464.00 $32,433.88 2026-01-01
377 MS_DRG Gastrointestinal Hemorrhage With McC 66 23 — — $12,373.91 $65,725.00 $32,258.72 2026-01-01
171 SOI 4 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 14 7 — — $32,245.92 $73,704.96 $32,245.92 2026-01-01
229 SOI 4 APR_DRG Other Digestive System And Abdominal Procedures 14 7 — — $32,233.26 $73,676.02 $32,233.26 2026-01-01
050 SOI 4 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 14 7 — — $32,168.70 $73,528.46 $32,168.70 2026-01-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/McC 68 24 — — $11,040.40 $60,061.00 $32,166.48 2026-01-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 68 24 — — $11,043.11 $59,999.00 $32,155.19 2026-01-01
205 MS_DRG Other Respiratory System Diagnoses With McC 66 23 — — $12,394.22 $51,764.00 $32,079.11 2026-01-01
690 SOI 3 APR_DRG Acute Leukemia 14 7 — — $32,023.31 $73,196.14 $32,023.31 2026-01-01
551 MS_DRG Medical Back Problems With McC 68 24 — — $11,345.69 $57,519.00 $32,005.24 2026-01-01
793 SOI 4 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 14 7 — — $31,984.74 $73,107.98 $31,984.74 2026-01-01
80 MS_DRG Nontraumatic Stupor And Coma With McC 66 23 — — $12,252.07 $73,701.77 $31,941.07 2026-01-01
169 SOI 3 APR_DRG Major Abdominal Vascular Procedures 14 7 — — $31,916.18 $72,951.27 $31,916.18 2026-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/McC 66 23 — — $12,235.15 $79,702.00 $31,896.95 2026-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With McC 68 24 — — $11,198.80 $57,776.00 $31,841.30 2026-01-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 66 23 — — $12,210.78 $63,930.00 $31,833.42 2026-01-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 66 23 — — $12,207.39 $73,280.00 $31,824.60 2026-01-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/McC 68 24 — — $13,870.56 $64,651.00 $31,502.56 2026-01-01
254 MS_DRG Other Vascular Procedures Without Cc/McC 66 23 — — $12,060.51 $63,983.00 $31,441.66 2026-01-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 68 24 — — $11,438.42 $69,995.00 $31,403.19 2026-01-01
C9607 HCPCS Percutaneous Transluminal Revascularization 84 26 $44,562.00 $35,649.60 20% off $674.98 $82,584.69 $31,358.82 2026-01-01
813 MS_DRG Coagulation Disorders 68 24 — — $10,324.91 $61,137.00 $31,323.96 2026-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With McC 66 23 — — $12,002.29 $68,897.00 $31,289.90 2026-01-01
315 SOI 4 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 14 7 — — $31,262.62 $71,457.41 $31,262.62 2026-01-01
180 MS_DRG Respiratory Neoplasms With McC 66 23 — — $11,954.23 $62,373.00 $31,164.60 2026-01-01
199 MS_DRG Pneumothorax With McC 66 23 — — $11,941.37 $67,834.00 $31,131.07 2026-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC 66 23 — — $11,933.92 $67,423.00 $31,111.66 2026-01-01
023 SOI 3 APR_DRG Spinal Procedures 14 7 — — $31,028.94 $70,923.30 $31,028.94 2026-01-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 66 23 — — $11,894.66 $68,610.00 $31,009.31 2026-01-01
915 MS_DRG Allergic Reactions With McC 68 24 — — $11,382.92 $56,873.00 $31,006.24 2026-01-01
92943 CPT Remove Plaque/Insert Stent/Balloon Dilation Coronary Artery, /Bypass Graft 84 26 $44,562.00 $35,649.60 20% off $674.98 $66,617.00 $30,992.87 2026-01-01
91 MS_DRG Other Disorders Of Nervous System With McC 66 23 — — $11,887.89 $59,080.00 $30,991.66 2026-01-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With McC 66 23 — — $11,841.86 $55,290.00 $30,871.66 2026-01-01
666 MS_DRG Prostatectomy With Cc 66 23 — — $11,841.19 $64,754.00 $30,869.90 2026-01-01
862 MS_DRG Postoperative And Post-traumatic Infections With McC 68 24 — — $12,344.81 $68,426.00 $30,853.34 2026-01-01
952 SOI 4 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 14 7 — — $30,607.61 $69,960.25 $30,607.61 2026-01-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 66 23 — — $11,730.17 $64,728.00 $30,580.49 2026-01-01
571 MS_DRG Skin Debridement With Cc 68 24 — — $11,436.39 $54,224.00 $30,504.01 2026-01-01
C1822 HCPCS Kit Neuromuscular Senza Ipg Ipg3000 Sterile Latex Free Disposable 32 8 $41,035.50 $32,828.40 $10,258.88 $38,983.73 $30,464.76 2026-01-01
423 SOI 4 APR_DRG Inborn Errors Of Metabolism 14 7 — — $30,463.09 $69,629.93 $30,463.09 2026-01-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/McC 68 24 — — $10,504.29 $56,569.00 $30,460.63 2026-01-01
385 MS_DRG Inflammatory Bowel Disease With McC 68 24 — — $10,710.75 $65,258.00 $30,392.84 2026-01-01
157 MS_DRG Dental And Oral Diseases With McC 66 23 — — $11,621.19 $58,477.00 $30,296.37 2026-01-01
470 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity 68 24 — — $13,056.92 $52,849.93 $30,273.80 2026-01-01
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/McC 68 24 — — $10,134.70 $63,070.00 $30,213.89 2026-01-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With McC 66 23 — — $11,571.78 $60,406.00 $30,167.55 2026-01-01
323 SOI 4 APR_DRG Non-elective Or Complex Hip Joint Replacement 14 7 — — $30,136.06 $68,882.43 $30,136.06 2026-01-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With McC 68 24 — — $10,448.78 $55,598.00 $30,131.65 2026-01-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 66 23 — — $11,554.18 $62,829.00 $30,121.66 2026-01-01
663 MS_DRG Minor Bladder Procedures With Cc 68 24 — — $10,290.39 $56,519.00 $30,115.83 2026-01-01
533 MS_DRG Fractures Of Femur With McC 68 24 — — $10,611.92 $53,986.73 $29,982.26 2026-01-01
299 SOI 1 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 7 — — $29,970.58 $68,504.19 $29,970.58 2026-01-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 66 23 — — $11,493.25 $62,808.00 $29,962.84 2026-01-01
024 SOI 4 APR_DRG Open Extracranial Vascular Procedures 14 7 — — $29,952.61 $68,463.10 $29,952.61 2026-01-01
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 84 28 $49,059.00 $39,247.20 20% off $12,264.75 $77,778.97 $29,925.99 2026-01-01
398 MS_DRG Appendix Procedures With Cc 68 24 — — $10,245.71 $55,957.00 $29,905.93 2026-01-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 68 24 — — $10,402.08 $63,788.00 $29,804.99 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With McC 64 22 — — $15,725.30 $65,133.00 $29,692.42 2026-01-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 66 23 — — $11,388.33 $62,547.00 $29,689.31 2026-01-01
713 MS_DRG Transurethral Prostatectomy With Cc/McC 68 24 — — $10,176.66 $54,827.00 $29,516.17 2026-01-01
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