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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 EPHRATA COMMUNITY HOSPITAL

Ephrata, PA · CCN 390225 · Rates published

3,482 distinct procedures filed
32 distinct payers
321,898 rate rows
2026-01-01 last MRF observed
Data quality

315,318 of 321,898 rate rows are consumer-grade (98.0%)

6,580 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 5,314
per-diem day rate — not a per-procedure price 1,146
exceeds 10× this hospital's gross charge — excluded from medians 80
placeholder amount (≤ $0.02) — excluded from medians 40
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/231370484_ephrata-community-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 eff5b3f612a0499b… · 42,092,280 bytes · first seen 2026-05-08

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… 19 $20,388.90 $506,225.57 $155,498.34 nat. median
$202,976
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 $20,388.90 $330,358.86 $125,798.90 nat. median
$133,161
0.9× median
602 SOI 3
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $78,029.37 $178,352.84 $78,029.37 —
005 SOI 3
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $68,709.83 $157,051.04 $68,709.83 —
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $20,388.90 $156,822.30 $68,611.14 nat. median
$61,920
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 25 $20,388.90 $153,468.97 $67,144.03 nat. median
$62,134
1.1× median
276
MS_DRG 		Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 25 $20,388.90 $143,258.69 $62,676.94 nat. median
$59,099
1.1× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 24 $20,388.90 $164,039.38 $62,465.33 nat. median
$65,950
0.9× median
602 SOI 2
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $62,349.81 $142,513.86 $62,349.81 —
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 25 $20,388.90 $135,934.31 $59,472.46 nat. median
$52,746
1.1× median
270
MS_DRG 		Other Major Cardiovascular Procedures With McC 25 $20,388.90 $125,840.88 $55,056.49 nat. median
$51,307
1.1× median
33270
CPT 		Insertion Or Replacement Of Defibrillator With Electrode 28 $2,854.98 $141,996.52 $54,798.49 nat. median
$32,221
1.7× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 $20,388.90 $142,221.22 $54,157.09 nat. median
$58,020
0.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With McC 25 $20,388.90 $117,786.67 $51,532.71 nat. median
$48,170
1.1× median
834
MS_DRG 		Acute Leukemia With McC 24 $20,388.90 $179,343.53 $49,859.46 nat. median
$53,172
0.9× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 25 $20,388.90 $111,900.42 $48,957.42 nat. median
$46,084
1.1× median
329
MS_DRG 		Major Small And Large Bowel Procedures With McC 25 $20,388.90 $109,627.50 $47,963.00 nat. median
$44,810
1.1× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With McC 25 $20,388.90 $109,348.48 $47,840.92 nat. median
$45,112
1.1× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 25 $20,388.90 $108,487.47 $47,464.23 nat. median
$43,963
1.1× median
33264
CPT 		Removal And Replacement Of Multiple Lead Defibrillator 28 $395.83 $141,996.52 $47,441.54 nat. median
$31,873
1.5× median
33249
CPT 		Insertion Of Implantable Defibrillator System 28 $1,049.63 $141,996.52 $47,441.54 nat. median
$31,833
1.5× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With McC 24 $20,388.90 $124,149.91 $47,275.63 nat. median
$49,191
1.0× median
33289
CPT 		Insert Wireless Pressure Sensor Lung Artery Through Tube With Radiology 27 $12,935.47 $125,905.35 $46,905.79 nat. median
$28,318
1.7× median
163
MS_DRG 		Major Chest Procedures With McC 25 $20,388.90 $106,891.89 $46,766.14 nat. median
$44,937
1.0× median
299 SOI 3
APR_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 $46,657.93 $106,646.71 $46,657.93 —
356
MS_DRG 		Other Digestive System O.r. Procedures With McC 25 $20,388.90 $104,769.21 $45,837.45 nat. median
$42,444
1.1× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With McC 24 $20,388.90 $118,950.55 $45,295.74 nat. median
$48,178
0.9× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With McC 25 $20,388.90 $103,209.44 $45,155.04 nat. median
$41,311
1.1× median
228
MS_DRG 		Other Cardiothoracic Procedures With McC 24 $20,388.90 $134,935.66 $44,932.47 nat. median
$50,672
0.9× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 24 $20,388.90 $117,383.60 $44,699.06 nat. median
$47,740
0.9× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without McC 25 $20,388.90 $101,144.00 $44,251.39 nat. median
$41,164
1.1× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 25 $20,388.90 $100,724.24 $44,067.74 nat. median
$41,524
1.1× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 $6,897.00 $171,863.20 $43,143.31 nat. median
$52,303
0.8× median
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 25 $20,388.90 $95,889.80 $41,952.63 nat. median
$39,414
1.1× median
130 SOI 4
APR_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 $41,828.35 $95,607.65 $41,828.35 —
220 SOI 4
APR_DRG 		Major Stomach, Esophageal And Duodenal Procedures 7 $41,690.71 $95,293.06 $41,690.71 —
950 SOI 4
APR_DRG 		Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 $40,816.28 $93,294.35 $40,816.28 —
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With McC 17 $35,296.37 $124,009.07 $40,188.93 nat. median
$37,698
1.1× median
907
MS_DRG 		Other O.r. Procedures For Injuries With McC 25 $20,388.90 $91,568.12 $40,061.86 nat. median
$38,112
1.1× median
612 SOI 3
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 $39,413.90 $90,088.91 $39,413.90 —
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With McC 25 $20,388.90 $89,357.23 $39,094.57 nat. median
$34,132
1.1× median
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurost… 25 $20,388.90 $89,135.41 $38,997.53 nat. median
$36,123
1.1× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 25 $20,388.90 $88,884.99 $38,887.97 nat. median
$37,234
1.0× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 25 $20,388.90 $87,568.46 $38,311.97 nat. median
$35,489
1.1× median
93653
CPT 		Insert Catheters For Recording And Pacing Of Right Heart Chambers Rhythm 28 $818.88 $108,650.37 $38,006.00 nat. median
$26,156
1.5× median
939
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With McC 25 $20,388.90 $86,540.50 $37,862.23 nat. median
$33,731
1.1× median
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC 25 $20,388.90 $86,142.21 $37,687.98 nat. median
$35,069
1.1× median
335
MS_DRG 		Peritoneal Adhesiolysis With McC 25 $20,388.90 $85,166.73 $37,261.20 nat. median
$35,058
1.1× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 25 $20,388.90 $84,818.52 $37,108.85 nat. median
$35,597
1.0× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 25 $20,388.90 $84,110.17 $36,798.94 nat. median
$34,720
1.1× median

Other procedures at this hospital

Browse this hospital's 3,482 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
             
005 SOI 3 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 7 — — $68,709.83 $157,051.04 $68,709.83 2026-01-01
026 SOI 3 APR_DRG Other Nervous System And Related Procedures 14 7 — — $21,304.14 $48,695.18 $21,304.14 2026-01-01
043 SOI 4 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 14 7 — — $31,512.49 $72,028.55 $31,512.49 2026-01-01
0816T CPT Open Insert/Replace Neurostimulator Post Tib Nrve Subcutaneous 86 27 $38,084.00 $30,467.20 20% off $6,702.78 $94,974.39 $24,518.48 2026-01-01
100 MS_DRG Seizures With McC 70 25 — — $13,147.82 $46,193.10 $22,780.87 2026-01-01
121 SOI 3 APR_DRG Other Respiratory And Chest Procedures 14 7 — — $22,466.17 $51,351.26 $22,466.17 2026-01-01
121 SOI 4 APR_DRG Other Respiratory And Chest Procedures 14 7 — — $35,478.60 $81,093.95 $35,478.60 2026-01-01
130 SOI 2 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 14 7 — — $25,867.36 $59,125.39 $25,867.36 2026-01-01
130 SOI 4 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 14 7 — — $41,828.35 $95,607.65 $41,828.35 2026-01-01
142 MS_DRG Major Head And Neck Procedures Without Cc/McC 70 25 — — $10,837.04 $41,431.54 $20,946.00 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With McC 70 25 — — $20,388.90 $89,357.23 $39,094.57 2026-01-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 70 25 — — $11,763.66 $41,330.05 $20,946.00 2026-01-01
157 MS_DRG Dental And Oral Diseases With McC 70 25 — — $11,654.36 $40,946.04 $20,946.00 2026-01-01
163 MS_DRG Major Chest Procedures With McC 70 25 — — $20,388.90 $106,891.89 $46,766.14 2026-01-01
164 MS_DRG Major Chest Procedures With Cc 70 25 — — $17,133.97 $60,197.93 $29,127.00 2026-01-01
165 MS_DRG Major Chest Procedures Without Cc/McC 70 25 — — $12,994.40 $45,654.08 $22,515.04 2026-01-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 70 25 — — $12,242.24 $43,011.47 $21,211.80 2026-01-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/McC 70 25 — — $9,275.70 $32,588.93 $20,946.00 2026-01-01
169 SOI 2 APR_DRG Major Abdominal Vascular Procedures 14 7 — — $24,076.72 $55,032.51 $24,076.72 2026-01-01
169 SOI 3 APR_DRG Major Abdominal Vascular Procedures 14 7 — — $30,396.34 $69,477.35 $30,396.34 2026-01-01
174 SOI 3 APR_DRG Percutaneous Cardiac Intervention With Ami 14 7 — — $20,685.81 $47,281.85 $20,685.81 2026-01-01
174 SOI 4 APR_DRG Percutaneous Cardiac Intervention With Ami 14 7 — — $29,342.50 $67,068.57 $29,342.50 2026-01-01
175 MS_DRG Pulmonary Embolism With McC Or Acute Cor Pulmonale 70 25 — — $9,324.57 $32,760.64 $20,776.35 2026-01-01
175 SOI 2 APR_DRG Percutaneous Cardiac Intervention Without Ami 14 7 — — $20,993.95 $47,986.17 $20,993.95 2026-01-01
175 SOI 3 APR_DRG Percutaneous Cardiac Intervention Without Ami 14 7 — — $24,084.25 $55,049.72 $24,084.25 2026-01-01
177 MS_DRG Respiratory Infections And Inflammations With McC 70 25 — — $10,608.27 $37,270.75 $20,946.00 2026-01-01
179 SOI 2 APR_DRG Defibrillator Implants 14 7 — — $30,308.69 $69,277.01 $30,308.69 2026-01-01
180 MS_DRG Respiratory Neoplasms With McC 70 25 — — $11,988.36 $42,119.49 $20,946.00 2026-01-01
181 SOI 3 APR_DRG Lower Extremity Vascular Procedures 14 7 — — $24,590.29 $56,206.37 $24,590.29 2026-01-01
181 SOI 4 APR_DRG Lower Extremity Vascular Procedures 14 7 — — $35,787.43 $81,799.83 $35,787.43 2026-01-01
183 MS_DRG Major Chest Trauma With McC 70 25 — — $10,385.61 $36,488.44 $20,946.00 2026-01-01
186 MS_DRG Pleural Effusion With McC 70 25 — — $10,579.76 $37,170.57 $20,946.00 2026-01-01
192 SOI 4 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 14 7 — — $24,577.96 $56,178.20 $24,577.96 2026-01-01
196 MS_DRG Interstitial Lung Disease With McC 70 25 — — $12,811.11 $45,010.13 $22,197.47 2026-01-01
199 MS_DRG Pneumothorax With McC 70 25 — — $11,975.46 $42,074.17 $20,946.00 2026-01-01
205 MS_DRG Other Respiratory System Diagnoses With McC 70 25 — — $12,429.61 $43,669.76 $21,536.44 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 70 25 — — $20,388.90 $153,468.97 $67,144.03 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 70 25 — — $18,659.34 $65,557.08 $29,127.00 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 70 25 — — $20,388.90 $156,822.30 $68,611.14 2026-01-01
220 SOI 3 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 14 7 — — $24,834.06 $56,763.57 $24,834.06 2026-01-01
220 SOI 4 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 14 7 — — $41,690.71 $95,293.06 $41,690.71 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With McC 68 24 — — $20,388.90 $134,935.66 $44,932.47 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without McC 70 25 — — $20,388.90 $75,116.24 $32,864.02 2026-01-01
229 SOI 4 APR_DRG Other Digestive System And Abdominal Procedures 14 7 — — $30,698.32 $70,167.58 $30,698.32 2026-01-01
230 SOI 3 APR_DRG Major Small Bowel Procedures 14 7 — — $22,219.66 $50,787.80 $22,219.66 2026-01-01
230 SOI 4 APR_DRG Major Small Bowel Procedures 14 7 — — $35,265.64 $80,607.18 $35,265.64 2026-01-01
231 SOI 3 APR_DRG Major Large Bowel Procedures 14 7 — — $20,966.56 $47,923.56 $20,966.56 2026-01-01
231 SOI 4 APR_DRG Major Large Bowel Procedures 14 7 — — $31,131.08 $71,156.76 $31,131.08 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 68 24 — — $20,388.90 $117,383.60 $44,699.06 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 70 25 — — $19,350.40 $67,985.04 $29,744.05 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With McC 68 24 — — $20,388.90 $76,148.96 $31,221.42 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 70 25 — — $14,465.45 $51,335.08 $25,063.90 2026-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/McC 70 25 — — $12,270.08 $44,881.97 $21,260.03 2026-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC 70 25 — — $14,815.73 $52,053.09 $25,670.82 2026-01-01
252 MS_DRG Other Vascular Procedures With McC 70 25 — — $20,388.90 $83,196.71 $36,399.29 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 70 25 — — $17,620.03 $61,905.61 $29,127.00 2026-01-01
254 MS_DRG Other Vascular Procedures Without Cc/McC 70 25 — — $12,094.93 $42,493.93 $20,956.56 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 70 25 — — $20,388.90 $74,155.10 $32,443.51 2026-01-01
263 SOI 4 APR_DRG Cholecystectomy 14 7 — — $26,423.38 $60,396.30 $26,423.38 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 70 25 — — $20,388.90 $79,674.04 $34,858.10 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 68 24 — — $20,388.90 $164,039.38 $62,465.33 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 70 25 — — $20,388.90 $100,724.24 $44,067.74 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With McC 70 25 — — $20,388.90 $125,840.88 $55,056.49 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 70 25 — — $20,388.90 $84,818.52 $37,108.85 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/McC 70 25 — — $17,330.84 $60,889.60 $29,127.00 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 70 25 — — $20,388.90 $143,258.69 $62,676.94 2026-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 68 24 — — $20,388.90 $86,013.40 $33,379.31 2026-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With McC 70 25 — — $10,889.30 $38,258.12 $20,946.00 2026-01-01
283 MS_DRG Acute Myocardial Infarction, Expired With McC 70 25 — — $13,446.50 $47,242.49 $23,298.40 2026-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With McC 70 25 — — $15,021.42 $52,775.74 $26,027.21 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 70 25 — — $20,388.90 $81,367.39 $35,598.95 2026-01-01
299 SOI 2 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 7 — — $34,315.88 $78,436.31 $34,315.88 2026-01-01
299 SOI 3 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 7 — — $46,657.93 $106,646.71 $46,657.93 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 56 19 — — $20,388.90 $506,225.57 $155,498.34 2026-01-01
300 SOI 1 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 7 — — $21,474.65 $49,084.91 $21,474.65 2026-01-01
300 SOI 2 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 7 — — $24,392.39 $55,754.04 $24,392.39 2026-01-01
304 SOI 2 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 14 7 — — $25,867.36 $59,125.39 $25,867.36 2026-01-01
304 SOI 3 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 14 7 — — $36,006.55 $82,300.68 $36,006.55 2026-01-01
309 SOI 4 APR_DRG Other Significant Hip And Femur Surgery 14 7 — — $30,234.74 $69,107.97 $30,234.74 2026-01-01
313 SOI 3 APR_DRG Knee And Lower Leg Procedures Except Foot 14 7 — — $20,491.34 $46,837.34 $20,491.34 2026-01-01
314 MS_DRG Other Circulatory System Diagnoses With McC 70 25 — — $14,155.22 $49,732.48 $24,526.37 2026-01-01
314 SOI 4 APR_DRG Foot And Toe Procedures 14 7 — — $23,945.93 $54,733.56 $23,945.93 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ A… 70 25 — — $18,469.94 $64,978.77 $29,127.00 2026-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC 70 25 — — $11,967.98 $48,200.71 $20,946.00 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With McC 70 25 — — $20,388.90 $103,209.44 $45,155.04 2026-01-01
323 SOI 4 APR_DRG Non-elective Or Complex Hip Joint Replacement 14 7 — — $27,258.78 $62,305.79 $27,258.78 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without McC 70 25 — — $20,388.90 $79,649.70 $32,879.67 2026-01-01
325 SOI 3 APR_DRG Non-elective Or Complex Knee Joint Replacement 14 7 — — $23,775.43 $54,343.84 $23,775.43 2026-01-01
325 SOI 4 APR_DRG Non-elective Or Complex Knee Joint Replacement 14 7 — — $29,732.13 $67,959.14 $29,732.13 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 68 24 — — $20,388.90 $118,950.55 $45,295.74 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With McC 70 25 — — $20,388.90 $109,627.50 $47,963.00 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 70 25 — — $16,273.21 $57,173.75 $28,196.16 2026-01-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/McC 70 25 — — $11,424.23 $40,137.51 $20,946.00 2026-01-01
33229 CPT Removal And Replacement Of Multiple Lead Permanent Pacemaker 88 28 $40,595.00 $32,476.00 20% off $366.28 $84,463.69 $26,057.93 2026-01-01
33249 CPT Insertion Of Implantable Defibrillator System 88 28 $73,908.00 $59,126.40 20% off $1,049.63 $141,996.52 $47,441.54 2026-01-01
33262 CPT Removal And Replacement Of Single Lead Defibrillator 88 28 $24,890.00 $19,912.00 20% off $366.64 $99,411.24 $22,112.10 2026-01-01
33263 CPT Removal And Replacement Of Dual Lead Defibrillator 88 28 $53,261.00 $42,608.80 $381.23 $99,411.24 $34,039.10 2026-01-01
33264 CPT Removal And Replacement Of Multiple Lead Defibrillator 88 28 $73,908.00 $59,126.40 20% off $395.83 $141,996.52 $47,441.54 2026-01-01
33270 CPT Insertion Or Replacement Of Defibrillator With Electrode 88 28 $91,012.00 $72,809.60 $2,854.98 $141,996.52 $54,798.49 2026-01-01
33289 CPT Insert Wireless Pressure Sensor Lung Artery Through Tube With Radiology 86 27 $73,497.00 $58,797.60 20% off $12,935.47 $125,905.35 $46,905.79 2026-01-01
333 MS_DRG Rectal Resection With Cc 68 24 — — $15,899.84 $55,861.98 $25,994.68 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With McC 70 25 — — $20,388.90 $85,166.73 $37,261.20 2026-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 70 25 — — $14,314.75 $50,292.96 $24,802.78 2026-01-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/McC 70 25 — — $10,420.23 $36,610.09 $20,946.00 2026-01-01
33990 CPT Insert Blood Flow Assist Device Low Heart Chamber Artery Access, Radiology 60 21 $37,126.00 $29,700.80 20% off $349.10 $35,009.82 $23,831.18 2026-01-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 70 25 — — $10,348.95 $37,796.73 $20,946.00 2026-01-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 70 25 — — $11,420.84 $40,125.59 $20,946.00 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With McC 70 25 — — $20,388.90 $104,769.21 $45,837.45 2026-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 70 25 — — $15,786.47 $55,463.66 $27,352.80 2026-01-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/McC 70 25 — — $9,489.54 $33,340.22 $20,946.00 2026-01-01
36909 CPT Permanent Blockage Of Hemodialysis Circuit With Review By Radiologist 54 19 $37,214.00 $29,771.20 20% off $182.08 $35,092.80 $23,816.96 2026-01-01
37 MS_DRG Extracranial Procedures With McC 70 25 — — $20,388.90 $78,517.30 $34,352.01 2026-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With McC 70 25 — — $12,036.55 $42,288.82 $20,946.00 2026-01-01
37242 CPT Occlusion Of Artery With Review By Radiologist 96 32 $37,041.00 $29,632.80 20% off $511.17 $79,527.96 $23,095.07 2026-01-01
377 MS_DRG Gastrointestinal Hemorrhage With McC 70 25 — — $12,409.23 $43,598.18 $21,501.15 2026-01-01
38 MS_DRG Extracranial Procedures With Cc 70 25 — — $11,014.90 $40,140.92 $20,946.00 2026-01-01
380 MS_DRG Complicated Peptic Ulcer With McC 70 25 — — $13,320.24 $46,798.90 $23,079.63 2026-01-01
393 MS_DRG Other Digestive System Diagnoses With McC 70 25 — — $10,856.72 $38,143.64 $20,946.00 2026-01-01
397 MS_DRG Appendix Procedures With McC 70 25 — — $16,257.60 $57,118.89 $28,169.10 2026-01-01
398 MS_DRG Appendix Procedures With Cc 70 25 — — $10,274.95 $36,099.67 $20,946.00 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 68 24 — — $20,388.90 $330,358.86 $125,798.90 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With McC 48 17 — — $35,296.37 $124,009.07 $40,188.93 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 70 25 — — $20,388.90 $95,889.80 $41,952.63 2026-01-01
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 70 25 — — $10,777.98 $38,744.94 $20,946.00 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With McC 70 25 — — $16,199.90 $56,916.17 $28,069.13 2026-01-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 70 25 — — $11,483.30 $40,345.03 $20,946.00 2026-01-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/McC 70 25 — — $9,271.63 $32,574.63 $20,946.00 2026-01-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With McC 70 25 — — $13,360.98 $46,942.01 $23,150.21 2026-01-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With McC 70 25 — — $12,468.30 $43,805.70 $21,603.49 2026-01-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With McC 70 25 — — $11,066.49 $38,880.63 $20,946.00 2026-01-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC 70 25 — — $12,183.19 $42,803.99 $21,109.48 2026-01-01
444 MS_DRG Disorders Of The Biliary Tract With McC 70 25 — — $11,342.77 $39,851.32 $20,946.00 2026-01-01
446 SOI 4 APR_DRG Urethral And Transurethral Procedures 14 7 — — $22,723.64 $51,939.75 $22,723.64 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without McC 70 25 — — $20,388.90 $101,144.00 $44,251.39 2026-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without McC 70 25 — — $20,388.90 $77,045.74 $33,708.19 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 24 — — $20,388.90 $142,221.22 $54,157.09 2026-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC 70 25 — — $18,057.20 $63,441.57 $29,127.00 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 70 25 — — $20,388.90 $135,934.31 $59,472.46 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 70 25 — — $20,388.90 $74,286.25 $32,500.89 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 68 24 — — $20,388.90 $124,149.91 $47,275.63 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 70 25 — — $20,388.90 $84,110.17 $36,798.94 2026-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/McC 70 25 — — $18,654.59 $65,540.40 $29,127.00 2026-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC… 70 25 — — $20,388.90 $72,342.49 $31,650.48 2026-01-01
470 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity 70 25 — — $13,094.19 $46,004.67 $22,687.94 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 70 25 — — $19,999.37 $70,265.13 $30,741.61 2026-01-01
473 MS_DRG Cervical Spinal Fusion 70 25 — — $16,572.57 $58,225.53 $28,714.86 2026-01-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 70 25 — — $15,448.41 $54,275.94 $26,767.06 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With McC 70 25 — — $20,388.90 $82,392.94 $36,047.64 2026-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 70 25 — — $16,694.09 $58,652.45 $28,925.40 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With McC 70 25 — — $19,769.92 $69,458.98 $30,388.91 2026-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 70 25 — — $14,218.36 $49,954.29 $24,635.76 2026-01-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/McC 70 25 — — $11,071.91 $38,899.69 $20,946.00 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 70 25 — — $18,816.83 $66,110.40 $29,127.00 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With McC 70 25 — — $20,388.90 $86,471.55 $33,673.76 2026-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 70 25 — — $14,195.27 $49,873.17 $24,595.76 2026-01-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC 70 25 — — $12,008.04 $48,780.17 $20,946.00 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 70 25 — — $20,388.90 $87,568.46 $38,311.97 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 70 25 — — $17,216.12 $60,486.52 $29,127.00 2026-01-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC 70 25 — — $13,620.97 $47,855.46 $23,600.69 2026-01-01
501 MS_DRG Soft Tissue Procedures With Cc 70 25 — — $11,866.84 $41,692.57 $20,946.00 2026-01-01
504 MS_DRG Foot Procedures With Cc 70 25 — — $12,688.92 $44,580.83 $21,985.76 2026-01-01
505 MS_DRG Foot Procedures Without Cc/McC 70 25 — — $12,170.29 $42,758.68 $21,087.13 2026-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With McC 70 25 — — $20,388.90 $76,008.27 $33,254.29 2026-01-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 70 25 — — $14,107.02 $49,563.14 $24,442.86 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurost… 70 25 — — $20,388.90 $89,135.41 $38,997.53 2026-01-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 70 25 — — $13,578.20 $47,705.18 $23,526.58 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With McC 70 25 — — $19,484.13 $70,378.31 $29,949.62 2026-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC 70 25 — — $14,375.85 $50,507.61 $24,908.64 2026-01-01
533 MS_DRG Fractures Of Femur With McC 70 25 — — $10,642.21 $40,246.28 $20,946.00 2026-01-01
535 MS_DRG Fractures Of Hip And Pelvis With McC 70 25 — — $8,702.76 $30,575.97 $20,610.71 2026-01-01
547 SOI 4 APR_DRG Antepartum With O.r. Procedure 14 7 — — $24,458.13 $55,904.30 $24,458.13 2026-01-01
551 MS_DRG Medical Back Problems With McC 70 25 — — $11,378.07 $39,975.34 $20,946.00 2026-01-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC 48 17 — — $21,250.58 $107,402.45 $31,780.35 2026-01-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With McC 32 15 — — $25,168.35 $86,708.63 $26,390.11 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With McC 48 17 — — $27,636.02 $97,095.48 $31,466.76 2026-01-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 32 15 — — $18,104.31 $79,235.02 $23,836.38 2026-01-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 70 25 — — $9,672.14 $33,981.78 $20,946.00 2026-01-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With McC 70 25 — — $10,478.61 $37,796.73 $20,946.00 2026-01-01
570 MS_DRG Skin Debridement With McC 70 25 — — $19,965.43 $70,145.86 $30,689.43 2026-01-01
571 MS_DRG Skin Debridement With Cc 70 25 — — $11,469.03 $40,294.92 $20,946.00 2026-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 70 25 — — $17,994.07 $63,219.76 $29,127.00 2026-01-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 70 25 — — $11,730.39 $41,213.17 $20,946.00 2026-01-01
597 MS_DRG Malignant Breast Disorders With McC 70 25 — — $11,316.98 $43,486.00 $20,946.00 2026-01-01
602 MS_DRG Cellulitis With McC 70 25 — — $9,648.39 $33,898.32 $20,946.00 2026-01-01
602 SOI 2 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 7 — — $62,349.81 $142,513.86 $62,349.81 2026-01-01
602 SOI 3 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 7 — — $78,029.37 $178,352.84 $78,029.37 2026-01-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With McC 70 25 — — $9,993.23 $38,560.57 $20,946.00 2026-01-01
606 MS_DRG Minor Skin Disorders With McC 70 25 — — $10,272.25 $37,533.34 $20,946.00 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 70 25 — — $18,716.36 $65,757.43 $29,127.00 2026-01-01
612 SOI 3 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 14 7 — — $39,413.90 $90,088.91 $39,413.90 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 70 25 — — $20,388.90 $83,175.24 $36,389.90 2026-01-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 70 25 — — $12,696.39 $44,607.06 $21,998.69 2026-01-01
61885 CPT Insertion Of Brain Neurostimulator Pulse Device With Connection To Single Electr… 58 21 — — $970.00 $134,963.53 $30,902.96 2026-01-01
619 MS_DRG O.r. Procedures For Obesity With McC 70 25 — — $19,600.89 $68,865.10 $30,129.09 2026-01-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 70 25 — — $11,928.62 $45,382.42 $20,946.00 2026-01-01
620 MS_DRG O.r. Procedures For Obesity With Cc 70 25 — — $10,863.51 $38,167.49 $20,946.00 2026-01-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/McC 70 25 — — $10,239.65 $35,975.65 $20,946.00 2026-01-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 70 25 — — $12,177.75 $42,784.90 $21,100.06 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 70 25 — — $20,388.90 $88,884.99 $38,887.97 2026-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 70 25 — — $14,790.61 $51,964.84 $25,627.30 2026-01-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 70 25 — — $9,529.59 $42,537.79 $20,946.00 2026-01-01
63655 CPT Removal Of Spine Bone For Insertion Of Neurostimulator Electrode Plate In Spine 58 21 — — $970.00 $134,963.53 $30,902.96 2026-01-01
63664 CPT Revision Of Spinal Neurostimulator Electrode Plate Using Fluoroscopic Guidance 58 21 — — $970.00 $134,963.53 $30,902.96 2026-01-01
63685 CPT Insertion Or Replacement Of Spinal Neurostimulator Generator Or Receiver 58 21 — — $970.00 $134,963.53 $30,902.96 2026-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With McC 70 25 — — $13,651.51 $47,962.77 $23,653.61 2026-01-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 70 25 — — $9,066.62 $31,854.35 $20,354.92 2026-01-01
643 MS_DRG Endocrine Disorders With McC 70 25 — — $11,174.42 $39,259.82 $20,946.00 2026-01-01
64582 CPT Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat… 58 21 — — $970.00 $134,963.53 $30,902.96 2026-01-01
64590 CPT Insertion Or Replacement Of Peripheral, Sacral, Or Gastric Neurostimulator Gener… 58 21 — — $970.00 $94,974.39 $21,746.54 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With McC 70 25 — — $20,388.90 $75,934.32 $33,221.93 2026-01-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 70 25 — — $12,422.81 $43,645.88 $21,524.67 2026-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With McC 70 25 — — $17,248.70 $60,601.00 $29,127.00 2026-01-01
666 MS_DRG Prostatectomy With Cc 70 25 — — $10,631.99 $44,934.65 $20,946.00 2026-01-01
668 MS_DRG Transurethral Procedures With McC 68 24 — — $19,822.19 $69,642.61 $29,798.13 2026-01-01
669 MS_DRG Transurethral Procedures With Cc 70 25 — — $10,535.63 $37,015.54 $20,923.85 2026-01-01
67 MS_DRG Precerebral Occlusion Without Infarction With McC 70 25 — — $9,970.15 $37,638.70 $20,946.00 2026-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 70 25 — — $15,875.40 $55,776.10 $27,506.88 2026-01-01
681 SOI 3 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 14 7 — — $21,188.42 $48,430.67 $21,188.42 2026-01-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With McC 70 25 — — $12,244.28 $43,018.64 $21,215.34 2026-01-01
690 SOI 3 APR_DRG Acute Leukemia 14 7 — — $30,498.37 $69,710.55 $30,498.37 2026-01-01
691 SOI 4 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 14 7 — — $28,426.98 $64,975.95 $28,426.98 2026-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With McC 70 25 — — $11,230.77 $39,457.79 $20,946.00 2026-01-01
70 MS_DRG Other Cerebrovascular Disorders With McC 70 25 — — $11,301.36 $41,036.45 $20,946.00 2026-01-01
710 SOI 3 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 14 7 — — $22,555.88 $51,556.29 $22,555.88 2026-01-01
710 SOI 4 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 14 7 — — $34,676.75 $79,261.15 $34,676.75 2026-01-01
711 MS_DRG Testes Procedures With Cc/McC 70 25 — — $14,145.72 $54,179.71 $24,509.90 2026-01-01
711 SOI 4 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 14 7 — — $33,807.80 $77,274.96 $33,807.80 2026-01-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/McC 70 25 — — $12,833.51 $45,088.84 $22,236.29 2026-01-01
720 SOI 4 APR_DRG Septicemia And Disseminated Infections 14 7 — — $20,645.41 $47,189.50 $20,645.41 2026-01-01
727 MS_DRG Inflammation Of The Male Reproductive System With McC 70 25 — — $10,066.55 $39,798.51 $20,946.00 2026-01-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With McC 70 25 — — $10,890.67 $38,262.91 $20,946.00 2026-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 68 24 — — $20,388.90 $99,878.20 $33,256.18 2026-01-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 70 25 — — $12,284.33 $43,159.34 $21,284.72 2026-01-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/McC 68 24 — — $12,455.40 $43,760.39 $21,263.57 2026-01-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/McC 70 25 — — $11,792.16 $41,430.19 $20,946.00 2026-01-01
748 MS_DRG Female Reproductive System Reconstructive Procedures 70 25 — — $9,417.58 $35,505.22 $20,946.00 2026-01-01
754 MS_DRG Malignancy, Female Reproductive System With McC 70 25 — — $12,502.23 $43,924.93 $21,662.29 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 54 18 — — $6,897.00 $171,863.20 $43,143.31 2026-01-01
791 MS_DRG Prematurity With Major Problems 54 18 — — $5,748.00 $96,808.01 $29,463.90 2026-01-01
792 MS_DRG Prematurity Without Major Problems 64 22 — — $5,172.00 $58,413.95 $20,667.45 2026-01-01
792 SOI 3 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 14 7 — — $21,599.96 $49,371.33 $21,599.96 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 54 18 — — $5,748.00 $99,445.86 $30,266.74 2026-01-01
793 SOI 4 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 14 7 — — $28,930.96 $66,127.91 $28,930.96 2026-01-01
800 MS_DRG Splenic Procedures With Cc 70 25 — — $19,071.40 $67,004.80 $29,315.19 2026-01-01
811 MS_DRG Red Blood Cell Disorders With McC 70 25 — — $9,532.99 $33,492.87 $20,946.00 2026-01-01
813 MS_DRG Coagulation Disorders 70 25 — — $10,354.38 $36,378.73 $20,946.00 2026-01-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With McC 70 25 — — $14,436.94 $50,722.26 $25,014.50 2026-01-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With McC 68 24 — — $10,434.00 $54,416.64 $24,430.79 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 70 25 — — $20,388.90 $109,348.48 $47,840.92 2026-01-01
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/McC 70 25 — — $9,160.30 $32,183.48 $20,946.00 2026-01-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 70 25 — — $15,689.40 $55,206.94 $27,184.60 2026-01-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 70 25 — — $11,566.12 $40,636.00 $20,946.00 2026-01-01
834 MS_DRG Acute Leukemia With McC 68 24 — — $20,388.90 $179,343.53 $49,859.46 2026-01-01
836 MS_DRG Acute Leukemia Without Cc/McC 70 25 — — $8,278.49 $42,300.73 $20,388.90 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With McC 70 25 — — $20,388.90 $82,467.99 $33,755.14 2026-01-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 70 25 — — $11,074.63 $41,431.54 $20,946.00 2026-01-01
850 SOI 3 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 14 7 — — $26,563.07 $60,715.59 $26,563.07 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 70 25 — — $20,388.90 $117,786.67 $51,532.71 2026-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 70 25 — — $13,563.95 $47,655.11 $23,501.89 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 70 25 — — $20,388.90 $108,487.47 $47,464.23 2026-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 70 25 — — $14,537.40 $51,075.23 $25,188.57 2026-01-01
862 MS_DRG Postoperative And Post-traumatic Infections With McC 70 25 — — $12,380.04 $43,495.63 $21,029.20 2026-01-01
863 SOI 3 APR_DRG Neonatal Aftercare 14 7 — — $36,149.66 $82,627.80 $36,149.66 2026-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With McC 70 25 — — $14,209.53 $49,923.28 $24,620.47 2026-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With McC 70 25 — — $13,186.51 $46,329.04 $22,847.91 2026-01-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC 70 25 — — $11,846.47 $41,621.00 $20,946.00 2026-01-01
902 MS_DRG Wound Debridements For Injuries With Cc 70 25 — — $12,996.44 $45,661.25 $22,518.58 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With McC 70 25 — — $20,388.90 $91,568.12 $40,061.86 2026-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 70 25 — — $13,544.26 $47,585.95 $23,467.78 2026-01-01
91 MS_DRG Other Disorders Of Nervous System With McC 70 25 — — $11,921.83 $41,885.75 $20,946.00 2026-01-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With McC 70 25 — — $10,646.97 $37,406.69 $20,902.78 2026-01-01
919 MS_DRG Complications Of Treatment With McC 70 25 — — $12,428.24 $43,664.97 $21,534.08 2026-01-01
92943 CPT Remove Plaque/Insert Stent/Balloon Dilation Coronary Artery, /Bypass Graft 88 28 $43,717.00 $34,973.60 20% off $674.98 $50,225.89 $27,939.53 2026-01-01
92972 HCPCS Coronary Lithotripsy 40 12 $43,016.00 $34,412.80 $5,627.00 $40,564.09 $27,960.40 2026-01-01
93653 CPT Insert Catheters For Recording And Pacing Of Right Heart Chambers Rhythm 88 28 $59,468.00 $47,574.40 20% off $818.88 $108,650.37 $38,006.00 2026-01-01
93655 CPT Insert Catheters And Destruction Of Tissue To Treat Abnormal Heart Rhythm 44 14 $31,592.00 $25,273.60 20% off $409.40 $29,791.26 $20,436.86 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With McC 70 25 — — $20,388.90 $86,540.50 $37,862.23 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With McC 50 18 — — $23,891.18 $83,938.45 $27,202.82 2026-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 70 25 — — $15,863.87 $55,735.58 $27,486.90 2026-01-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 70 25 — — $13,764.89 $48,361.09 $23,850.05 2026-01-01
947 MS_DRG Signs And Symptoms With McC 38 16 — — $1,367.43 $77,643.20 $23,073.06 2026-01-01
949 MS_DRG Aftercare With Cc/McC 32 15 — — $19,126.81 $96,861.95 $28,791.08 2026-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 70 25 — — $17,508.70 $61,514.49 $29,127.00 2026-01-01
950 MS_DRG Aftercare Without Cc/McC 48 17 — — $10,091.53 $69,954.49 $20,699.51 2026-01-01
950 SOI 3 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 7 — — $24,520.44 $56,046.73 $24,520.44 2026-01-01
950 SOI 4 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 7 — — $40,816.28 $93,294.35 $40,816.28 2026-01-01
951 SOI 4 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 7 — — $32,004.15 $73,152.34 $32,004.15 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC 70 25 — — $20,388.90 $86,142.21 $37,687.98 2026-01-01
974 MS_DRG HIV With Major Related Condition With McC 70 25 — — $19,591.38 $68,831.71 $30,114.48 2026-01-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 70 25 — — $15,578.76 $54,733.87 $26,992.89 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 70 25 — — $20,388.90 $111,900.42 $48,957.42 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 70 25 — — $16,689.34 $58,635.77 $28,917.17 2026-01-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 70 25 — — $11,157.45 $39,200.21 $20,946.00 2026-01-01
C1767 HCPCS Ecoin Neurostimulator Kit 240 21 $37,710.38 $30,168.30 20% off $4,899.50 $51,374.64 $20,376.54 2026-01-01
C1822 HCPCS Kit Neuromuscular Senza Ipg Ipg3000 Sterile Latex Free Disposable 60 21 $56,454.90 $45,163.92 20% off $9,936.06 $53,236.97 $36,080.33 2026-01-01
C1882 HCPCS Defibrillator Cardiac Cobalt Surescan 51x71mm 13mm 57sq Cm Titanium Polyurethane… 232 20 $34,675.16 $27,740.13 $5,622.84 $36,007.05 $20,766.19 2026-01-01
C2624 HCPCS Sensor Pressure Delivery System 60 21 $45,400.00 $36,320.00 20% off $7,990.40 $42,812.20 $29,015.14 2026-01-01
C9600 HCPCS Percutaneous Transcatheter 88 28 $34,237.00 $27,389.60 20% off $602.38 $50,225.89 $21,880.86 2026-01-01
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy 88 28 $35,239.00 $28,191.20 20% off $673.61 $79,527.96 $22,796.11 2026-01-01
C9606 HCPCS Percutaneous Transluminal Revascularization 42 13 $34,237.00 $27,389.60 20% off $6,025.71 $32,285.49 $22,254.05 2026-01-01
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