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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

Your selected procedure

You selected 93306 (CPT)

Ultrasound of Heart With Blood Flow, Rate, Direction and Valve Function

This hospital’s price: $2,522 across 30 payers · range $123-$3,736

Source: 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 · 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.

3,949 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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