Price Transparencybeta Hospital negotiated rates

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

Guthrie Towanda Memorial Hospital

Towanda, PA · CCN 390236 · Rates published

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You selected 93350 (CPT)

Stress Tte Only

This hospital’s price: $602 across 25 payers · range $256-$3,742

Source: https://rca.centaurihs.com/ptapp/api/cdm/export/oneclick?recno=5f18c87d01bcf272d83845fb56c87e940cac8fc35b7f44c4f03ebbdc5d095adf · observed 2026-07-15

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.

5,420 distinct procedures filed
28 distinct payers
378,636 rate rows
2026-07-15 last MRF observed
Data quality

369,432 of 378,636 rate rows are consumer-grade (97.6%)

9,204 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 4,414
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,716
per-diem day rate — not a per-procedure price 1,079
exceeds 10× this hospital's gross charge — excluded from medians 477
placeholder amount (≤ $0.02) — excluded from medians 266
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 132
exceeds 3× this hospital's gross charge for a DRG stay — excluded 60
percent-of-charges filed in the dollar field — excluded from medians 50
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://rca.centaurihs.com/ptapp/api/cdm/export/oneclick?recno=5f18c87d01bcf272d83845fb56c87e940cac8fc35b7f44c4f03ebbdc5d095adf
Found on page https://www.guthrie.org/about-us/hospital-price-transparency
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-22
Content fingerprint b2f11e9f798c1cd1… · 100,645,626 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
0845
RC 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 $4,505,000.00 $4,730,250.00 $4,640,150.00 nat. median
$968
outlier · 4793.5×
9138
OTHER 		Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 14 $3,685,266.67 $3,869,530.00 $3,795,824.67 nat. median
$3,758,972
1.0× median
0714
OTHER 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 $3,316,462.59 $3,482,285.72 $3,415,956.47 nat. median
$3,316,463
1.0× median
0748
OTHER 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 $3,248,445.71 $3,410,868.00 $3,345,899.09 nat. median
$3,248,446
1.0× median
0746
OTHER 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 $2,945,740.00 $3,410,868.00 $3,034,112.20 nat. median
$2,945,740
1.0× median
9141
OTHER 		Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 14 $2,455,110.60 $2,577,866.13 $2,528,763.92 nat. median
$2,588,981
1.0× median
0824
RC 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 $2,332,000.00 $3,093,027.00 $2,401,960.00 nat. median
$1,200
outlier · 2001.6×
2067
OTHER 		Medicine, Laboratory, Or Ancillary Diagnostic Service Under Opps 14 $770,620.00 $2,668,502.94 $803,371.35 nat. median
$793,739
1.0× median
9194
OTHER 		Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 14 $591,726.20 $2,049,029.49 $616,874.56 nat. median
$577,163
1.1× median
9498
OTHER 		Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn… 14 $565,868.94 $1,959,490.98 $589,918.38 nat. median
$587,650
1.0× median
9413
OTHER 		Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn… 14 $562,538.19 $1,947,957.23 $586,446.05 nat. median
$562,201
1.0× median
9422
OTHER 		Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn… 14 $557,317.93 $1,929,880.54 $581,003.95 nat. median
$563,449
1.0× median
9035
OTHER 		Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 14 $533,230.17 $1,846,469.44 $555,892.46 nat. median
$533,230
1.0× median
9391
OTHER 		Cardiac Catheterization / Electrophysiology / Vascular Diagnostic Study 14 $489,304.61 $1,694,364.00 $510,100.06 nat. median
$492,768
1.0× median
0831
RC 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 $278,250.00 $963,524.10 $292,162.50 nat. median
$1,028
outlier · 284.2×
0897
OTHER 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 $257,500.00 $891,671.00 $270,375.00 nat. median
$260,075
1.0× median
0886
OTHER 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 $205,640.00 $712,090.19 $215,922.00 nat. median
$208,725
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $207,272.18 $321,224.84 $207,272.18 nat. median
$249,036
0.8× median
J1628
HCPCS 		Guselkumab 200 Mg/20ml IV Soln 6 $60,944.37 $458,918.44 $203,963.75 nat. median
$228
outlier · 893.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $142,434.00 $239,994.27 $159,141.74 nat. median
$190,559
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $107,605.04 $204,097.21 $155,851.12 nat. median
$104,013
1.5× median
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 6 $105,660.64 $321,990.61 $138,719.93 nat. median
$117,543
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $88,965.00 $192,565.41 $103,854.66 nat. median
$126,695
0.8× median
5
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 6 $80,768.28 $245,687.52 $101,345.45 nat. median
$87,627
1.2× median
J2329
HCPCS 		Ublituximab-xiiy 150 Mg/6ml IV Soln 26 $10,785.60 $350,197.31 $98,911.29 nat. median
$177
outlier · 558.5×
37231
CPT 		Tib/per Revasc Stent & Ather 26 $14,494.29 $96,116.00 $96,116.00 nat. median
$18,389
outlier · 5.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $80,161.12 $173,649.82 $80,161.12 nat. median
$97,323
0.8× median
J3101
HCPCS 		Tenecteplase 50 Mg IV Kit 27 $2,392.49 $113,303.50 $79,367.25 nat. median
$3,820
outlier · 20.8×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $6,738.74 $77,081.65 $77,081.65 nat. median
$93,276
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 16 $74,655.33 $116,120.27 $74,655.33 nat. median
$93,901
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $73,349.22 $110,247.22 $73,349.22 nat. median
$90,551
0.8× median
61623
CPT 		Endovasc Temp B Vessel Occl 27 $4,186.00 $67,860.00 $67,860.00 nat. median
$11,341
outlier · 6.0×
0717
OTHER 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 $63,342.28 $219,341.65 $66,034.33 nat. median
$64,134
1.0× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $64,939.31 $64,939.31 $64,939.31 nat. median
$58,135
1.1× median
312
APR_DRG 		Skin Graft For Musculoskeletal And Connective Tissue Diagnoses,extreme 6 $52,942.97 $86,692.87 $64,397.48 nat. median
$24,667
outlier · 2.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $16,111.72 $113,848.18 $63,205.48 nat. median
$77,028
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $63,006.79 $100,490.54 $63,006.79 nat. median
$77,632
0.8× median
5244
OTHER 		Level 4 Gastrointestinal / Hepatobiliary Procedure Û Includes Upper/lower Gi End… 14 $59,142.33 $204,798.06 $61,655.88 nat. median
$63,725
1.0× median
37227
CPT 		Fem/Popl Revasc Stnt & Ather 26 $14,494.29 $96,116.00 $60,649.20 nat. median
$18,437
outlier · 3.3×
1643
OTHER 		New Technology Apc Û Mid Cost Band (Temporary Payment Classification For Emergin… 14 $56,824.55 $196,772.05 $59,239.60 nat. median
$60,802
1.0× median
181
APR_DRG 		Lower Vascular Procedures,extreme 5 $8,958.49 $97,992.24 $58,867.78 nat. median
$20,736
outlier · 2.8×
9273
OTHER 		Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 14 $55,272.32 $191,397.00 $57,621.40 nat. median
$56,116
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $57,515.80 $81,098.63 $57,515.80 nat. median
$71,748
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $56,935.23 $83,829.43 $56,935.23 nat. median
$72,398
0.8× median
37229
CPT 		Tib/per Revasc With Ather 27 $4,730.00 $55,498.00 $55,498.00 nat. median
$17,146
outlier · 3.2×
169
APR_DRG 		Major Abdominal Vascular Procedures,extreme 6 $42,367.82 $127,977.73 $55,255.25 nat. median
$38,322
1.4× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 $54,924.19 $92,226.35 $54,924.19 nat. median
$67,976
0.8× median
912
APR_DRG 		Musculoskeletal And Other Procedures For Multiple Significant Trauma,extreme 6 $44,656.17 $70,118.80 $54,301.35 nat. median
$21,764
outlier · 2.5×
177
APR_DRG 		Cardiac Pacemaker And Defibrillator Revision Except Device Replacement,minor 6 $37,437.12 $112,863.57 $53,314.61 nat. median
$20,404
outlier · 2.6×
305
APR_DRG 		Amputation Of Lower Limb Except Toes,extreme 6 $37,246.47 $93,397.55 $53,151.89 nat. median
$19,720
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 5,420 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
             
0845 RC Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 15 14 $4,505,000.00 $3,604,000.00 20% off $4,505,000.00 $4,730,250.00 $4,640,150.00 2026-07-15
9138 OTHER Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 14 14 $3,685,266.67 $2,948,213.33 20% off $3,685,266.67 $3,869,530.00 $3,795,824.67 2026-07-15
0714 OTHER Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 14 $3,316,462.59 $2,653,170.07 20% off $3,316,462.59 $3,482,285.72 $3,415,956.47 2026-07-15
0748 OTHER Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 14 $3,248,445.71 $2,598,756.57 $3,248,445.71 $3,410,868.00 $3,345,899.09 2026-07-15
0746 OTHER Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 14 $2,945,740.00 $2,356,592.00 20% off $2,945,740.00 $3,410,868.00 $3,034,112.20 2026-07-15
9141 OTHER Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 14 14 $2,455,110.60 $1,964,088.48 20% off $2,455,110.60 $2,577,866.13 $2,528,763.92 2026-07-15
0824 RC Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 14 $2,332,000.00 $1,865,600.00 20% off $2,332,000.00 $3,093,027.00 $2,401,960.00 2026-07-15
2067 OTHER Medicine, Laboratory, Or Ancillary Diagnostic Service Under Opps 20 14 $770,620.00 $616,496.00 20% off $770,620.00 $2,668,502.94 $803,371.35 2026-07-15
9194 OTHER Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 20 14 $591,726.20 $473,380.96 $591,726.20 $2,049,029.49 $616,874.56 2026-07-15
9498 OTHER Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn… 20 14 $565,868.94 $452,695.16 $565,868.94 $1,959,490.98 $589,918.38 2026-07-15
9413 OTHER Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn… 20 14 $562,538.19 $450,030.55 20% off $562,538.19 $1,947,957.23 $586,446.05 2026-07-15
9422 OTHER Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn… 20 14 $557,317.93 $445,854.35 $557,317.93 $1,929,880.54 $581,003.95 2026-07-15
9035 OTHER Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 20 14 $533,230.17 $426,584.14 $533,230.17 $1,846,469.44 $555,892.46 2026-07-15
9391 OTHER Cardiac Catheterization / Electrophysiology / Vascular Diagnostic Study 20 14 $489,304.61 $391,443.69 $489,304.61 $1,694,364.00 $510,100.06 2026-07-15
0831 RC Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 20 14 $278,250.00 $222,600.00 20% off $278,250.00 $963,524.10 $292,162.50 2026-07-15
0897 OTHER Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 20 14 $257,500.00 $206,000.00 20% off $257,500.00 $891,671.00 $270,375.00 2026-07-15
0886 OTHER Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 20 14 $205,640.00 $164,512.00 20% off $205,640.00 $712,090.19 $215,922.00 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 26 16 $606,157.35 $484,925.88 $207,272.18 $321,224.84 $207,272.18 2026-07-15
J1628 HCPCS Guselkumab 200 Mg/20ml IV Soln 7 6 $203,963.75 $163,171.00 20% off $60,944.37 $458,918.44 $203,963.75 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 16 $389,301.76 $311,441.41 $142,434.00 $239,994.27 $159,141.74 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 $509,022.61 $407,218.09 $107,605.04 $204,097.21 $155,851.12 2026-07-15
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 7 6 $755,491.64 $604,393.31 20% off $105,660.64 $321,990.61 $138,719.93 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 29 16 $231,829.97 $185,463.98 $88,965.00 $192,565.41 $103,854.66 2026-07-15
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 7 6 $231,829.97 $185,463.98 $80,768.28 $245,687.52 $101,345.45 2026-07-15
J2329 HCPCS Ublituximab-xiiy 150 Mg/6ml IV Soln 52 26 $155,643.25 $124,514.60 $10,785.60 $350,197.31 $98,911.29 2026-07-15
37231 CPT Tib/per Revasc Stent & Ather 49 26 $96,116.00 $76,892.80 20% off $14,494.29 $96,116.00 $96,116.00 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 23 15 $312,842.95 $250,274.36 20% off $80,161.12 $173,649.82 $80,161.12 2026-07-15
J3101 HCPCS Tenecteplase 50 Mg IV Kit 107 27 $79,367.25 $63,493.80 $2,392.49 $113,303.50 $79,367.25 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 15 $200,328.10 $160,262.48 20% off $6,738.74 $77,081.65 $77,081.65 2026-07-15
215 MS_DRG Other Heart Assist System Implant 26 16 $819,075.73 $655,260.58 20% off $74,655.33 $116,120.27 $74,655.33 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 16 $249,591.32 $199,673.06 $73,349.22 $110,247.22 $73,349.22 2026-07-15
61623 CPT Endovasc Temp B Vessel Occl 54 27 $67,860.00 $54,288.00 20% off $4,186.00 $67,860.00 $67,860.00 2026-07-15
0717 OTHER Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 20 14 $63,342.28 $50,673.83 $63,342.28 $219,341.65 $66,034.33 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 $150,206.15 $120,164.92 20% off $64,939.31 $64,939.31 $64,939.31 2026-07-15
312 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses,extreme 7 6 $73,289.45 $58,631.56 20% off $52,942.97 $86,692.87 $64,397.48 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 16 $275,943.79 $220,755.03 20% off $16,111.72 $113,848.18 $63,205.48 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 16 $197,290.31 $157,832.25 $63,006.79 $100,490.54 $63,006.79 2026-07-15
5244 OTHER Level 4 Gastrointestinal / Hepatobiliary Procedure Û Includes Upper/lower Gi End… 20 14 $59,142.33 $47,313.86 20% off $59,142.33 $204,798.06 $61,655.88 2026-07-15
37227 CPT Fem/Popl Revasc Stnt & Ather 47 26 $96,116.00 $76,892.80 20% off $14,494.29 $96,116.00 $60,649.20 2026-07-15
1643 OTHER New Technology Apc Û Mid Cost Band (Temporary Payment Classification For Emergin… 20 14 $56,824.55 $45,459.64 20% off $56,824.55 $196,772.05 $59,239.60 2026-07-15
181 APR_DRG Lower Vascular Procedures,extreme 6 5 $357,866.88 $286,293.50 20% off $8,958.49 $97,992.24 $58,867.78 2026-07-15
9273 OTHER Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 20 14 $55,272.32 $44,217.86 $55,272.32 $191,397.00 $57,621.40 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 16 $259,436.65 $207,549.32 $57,515.80 $81,098.63 $57,515.80 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 16 $257,148.49 $205,718.79 20% off $56,935.23 $83,829.43 $56,935.23 2026-07-15
37229 CPT Tib/per Revasc With Ather 50 27 $55,498.00 $44,398.40 20% off $4,730.00 $55,498.00 $55,498.00 2026-07-15
169 APR_DRG Major Abdominal Vascular Procedures,extreme 7 6 $134,389.89 $107,511.91 20% off $42,367.82 $127,977.73 $55,255.25 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 16 $250,535.28 $200,428.22 20% off $54,924.19 $92,226.35 $54,924.19 2026-07-15
912 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma,extreme 7 6 $214,404.87 $171,523.90 $44,656.17 $70,118.80 $54,301.35 2026-07-15
177 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement,minor 7 6 $75,534.97 $60,427.98 $37,437.12 $112,863.57 $53,314.61 2026-07-15
305 APR_DRG Amputation Of Lower Limb Except Toes,extreme 7 6 $136,368.53 $109,094.82 20% off $37,246.47 $93,397.55 $53,151.89 2026-07-15
321 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures,mode… 7 6 $129,598.44 $103,678.75 20% off $41,677.88 $65,969.22 $52,662.08 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 15 $311,619.59 $249,295.67 20% off $21,806.97 $69,458.20 $52,264.15 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 23 15 $129,152.03 $103,321.62 20% off $52,001.45 $99,540.80 $52,001.45 2026-07-15
910 APR_DRG Craniotomy For Multiple Significant Trauma,extreme 7 6 $272,701.39 $218,161.11 20% off $42,365.49 $127,970.60 $51,897.94 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 16 $436,916.22 $349,532.98 $48,186.00 $83,593.69 $51,188.35 2026-07-15
710 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme 7 6 $119,496.00 $95,596.80 20% off $37,354.59 $93,669.11 $50,427.53 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 16 $272,701.39 $218,161.11 20% off $47,160.00 $96,164.90 $50,245.01 2026-07-15
447 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures,extreme 7 6 $245,355.08 $196,284.06 20% off $41,690.46 $52,400.27 $50,132.60 2026-07-15
182 APR_DRG Other Upper Vascular Procedures,extreme 6 5 $185,844.91 $148,675.93 $9,338.62 $92,962.46 $49,999.08 2026-07-15
911 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,extre… 7 6 $189,341.31 $151,473.05 $38,342.12 $115,637.68 $49,518.42 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 15 $137,006.62 $109,605.30 $49,335.52 $67,839.50 $49,335.52 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 26 16 $60,091.79 $48,073.43 20% off $35,693.03 $67,844.27 $49,145.68 2026-07-15
120 APR_DRG Major Respiratory And Chest Procedures,moderate 7 6 $141,619.07 $113,295.26 $36,020.05 $90,316.89 $49,102.67 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 16 $274,467.43 $219,573.94 20% off $49,062.53 $88,528.93 $49,062.53 2026-07-15
221 APR_DRG Major Small & Large Bowel Procedures,extreme 7 6 $248,466.13 $198,772.90 20% off $9,258.41 $97,872.52 $48,813.81 2026-07-15
36906 CPT Thrmbc/Nfs Dialysis Circuit W/Stenting 52 26 $99,033.00 $79,226.40 20% off $14,934.18 $99,033.00 $48,773.76 2026-07-15
161 APR_DRG Implantable Heart Assist Systems,moderate 7 6 $112,536.90 $90,029.52 $36,233.95 $90,854.18 $48,584.67 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 16 $254,238.04 $203,390.43 20% off $10,892.28 $86,089.42 $48,245.92 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 16 $178,833.90 $143,067.12 20% off $47,519.48 $72,324.62 $47,519.48 2026-07-15
441 APR_DRG Major Bladder Procedures,major 7 6 $244,758.63 $195,806.90 20% off $39,928.92 $96,194.42 $47,346.90 2026-07-15
1142 OTHER Medicine, Laboratory, Or Ancillary Diagnostic Service Under Opps 20 14 $45,020.65 $36,016.52 20% off $45,020.65 $155,897.51 $46,934.03 2026-07-15
1580 OTHER New Technology Apc Û Low Cost Band (Temporary Payment Classification For Emergin… 20 14 $45,000.50 $36,000.40 $45,000.50 $155,827.73 $46,913.02 2026-07-15
710 MS_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme 3 3 $272,217.20 $217,773.76 20% off $45,410.04 $49,133.66 $45,729.72 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 15 $123,702.45 $98,961.96 $45,580.56 $85,779.99 $45,580.56 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 15 $233,199.36 $186,559.49 $45,521.69 $99,444.34 $45,521.69 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 16 $143,991.34 $115,193.07 20% off $45,155.98 $97,785.61 $45,155.98 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 16 $158,307.96 $126,646.37 $44,237.25 $76,681.14 $44,949.95 2026-07-15
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 7 6 $141,398.68 $113,118.94 20% off $35,915.43 $90,054.09 $44,796.69 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 26 16 $165,843.26 $132,674.61 $43,650.00 $65,669.28 $44,735.08 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 16 $322,675.71 $258,140.57 $44,082.40 $73,860.56 $44,082.40 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 26 16 $231,584.85 $185,267.88 20% off $43,298.00 $62,756.29 $43,298.00 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 16 $111,889.11 $89,511.29 $42,654.75 $76,520.38 $42,842.52 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 16 $145,359.83 $116,287.86 20% off $42,232.51 $74,483.89 $42,232.51 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 16 $164,270.71 $131,416.57 $41,980.12 $68,804.04 $41,980.12 2026-07-15
C2616 HCPCS Bs Therasphere Yttrium Y90 97 26 $70,822.50 $56,658.00 20% off $10,680.03 $75,936.26 $41,658.63 2026-07-15
690 APR_DRG Acute Leukemia,major 7 6 $111,889.11 $89,511.29 $35,857.88 $108,022.69 $41,158.59 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 26 16 $160,946.69 $128,757.35 20% off $40,869.00 $88,062.74 $41,019.85 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 26 16 $120,098.57 $96,078.86 $40,671.80 $109,459.51 $40,671.80 2026-07-15
301 APR_DRG Hip Joint Replacement,extreme 7 6 $175,801.57 $140,641.26 $34,171.22 $89,775.22 $40,669.10 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 15 $162,295.85 $129,836.68 20% off $40,501.09 $53,889.77 $40,501.09 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 15 $85,351.90 $68,281.52 $40,253.85 $53,562.54 $40,253.85 2026-07-15
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,minor 7 6 $162,295.85 $129,836.68 20% off $31,584.00 $94,921.85 $40,063.02 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 16 $269,638.99 $215,711.19 20% off $39,946.27 $65,250.85 $39,946.27 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 16 $99,014.09 $79,211.27 20% off $9,086.31 $58,660.27 $39,742.44 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 16 $180,685.34 $144,548.27 20% off $37,623.00 $67,164.32 $39,704.92 2026-07-15
0236T CPT Trluml Perip Athrc Abd Aorta 53 27 $39,615.00 $31,692.00 20% off $5,973.94 $39,615.00 $39,615.00 2026-07-15
0235T CPT Trluml Perip Athrc Visceral 53 27 $39,615.00 $31,692.00 20% off $5,973.94 $39,615.00 $39,615.00 2026-07-15
0238T CPT Trluml Perip Athrc Iliac 53 27 $39,615.00 $31,692.00 20% off $5,973.94 $39,615.00 $39,615.00 2026-07-15
0234T CPT Trluml Perip Athrc Renal Art 53 27 $39,615.00 $31,692.00 20% off $5,973.94 $39,615.00 $39,615.00 2026-07-15
0237T CPT Trluml Perip Athrc Brchiocph 53 27 $39,615.00 $31,692.00 20% off $5,973.94 $39,615.00 $39,615.00 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 16 $200,042.42 $160,033.94 $39,147.89 $61,328.83 $39,147.89 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 16 $185,336.34 $148,269.07 20% off $15,443.95 $59,849.87 $38,974.97 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 15 $136,034.39 $108,827.51 20% off $37,896.23 $57,068.77 $37,896.23 2026-07-15
224 APR_DRG Peritoneal Adhesiolysis,moderate 7 6 $80,053.72 $64,042.98 $9,925.10 $99,215.75 $37,854.85 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 26 16 $190,161.94 $152,129.55 20% off $37,770.41 $57,213.45 $37,770.41 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 16 $175,801.57 $140,641.26 $37,487.84 $61,138.54 $37,487.84 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 16 $197,193.30 $157,754.64 $37,373.05 $58,756.72 $37,373.05 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 26 16 $102,080.79 $81,664.63 20% off $36,065.25 $51,265.44 $37,063.27 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 16 $98,590.56 $78,872.45 $37,028.50 $51,771.52 $37,028.50 2026-07-15
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back,moderate 7 6 $311,414.59 $249,131.67 20% off $31,356.15 $94,223.42 $36,893.06 2026-07-15
37237 CPT Open/Perq Place Stent Ea Add Artery 51 27 $36,857.00 $29,485.60 20% off $3,893.00 $36,857.00 $36,857.00 2026-07-15
37239 CPT Open/Perq Place Stent Ea Add Vein 56 27 $36,857.00 $29,485.60 20% off $1,976.00 $36,857.00 $36,857.00 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 26 16 $44,836.64 $35,869.31 20% off $36,844.72 $59,311.57 $36,844.72 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 15 $171,726.32 $137,381.06 $36,816.03 $73,883.96 $36,816.03 2026-07-15
1579 OTHER New Technology Apc Û Low Cost Band (Temporary Payment Classification For Emergin… 20 14 $35,000.50 $28,000.40 $35,000.50 $121,199.73 $36,750.53 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 26 16 $210,591.33 $168,473.06 20% off $36,748.09 $87,982.36 $36,748.09 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 26 16 $115,658.78 $92,527.02 20% off $36,668.86 $82,355.86 $36,668.86 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 25 16 $143,391.50 $114,713.20 20% off $36,204.50 $52,209.84 $36,204.50 2026-07-15
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,major 7 6 $228,219.17 $182,575.34 $27,038.67 $80,988.96 $36,121.28 2026-07-15
245 MS_DRG Aicd Generator Procedures 29 16 $50,190.76 $40,152.61 $5,991.78 $77,404.54 $35,958.78 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 16 $176,093.01 $140,874.41 $35,139.80 $77,661.76 $35,139.80 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 26 16 $207,325.49 $165,860.39 20% off $34,987.48 $53,532.57 $34,987.48 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 16 $229,323.96 $183,459.17 $34,558.50 $63,016.78 $34,980.86 2026-07-15
696 APR_DRG Other Chemotherapy,moderate 6 5 $62,029.03 $49,623.22 20% off $6,455.65 $78,295.02 $34,925.40 2026-07-15
363 APR_DRG Breast Procedures Except Mastectomy,major 3 2 $373,302.10 $298,641.68 $32,646.05 $40,895.36 $34,901.64 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 16 $158,202.20 $126,561.76 20% off $34,618.82 $64,415.37 $34,618.82 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 16 $189,241.75 $151,393.40 20% off $33,728.25 $57,615.34 $34,433.39 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 23 15 $180,709.12 $144,567.30 $34,230.30 $66,199.77 $34,230.30 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 25 16 $112,372.64 $89,898.11 20% off $33,916.10 $51,614.56 $33,916.10 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 16 $144,575.84 $115,660.67 20% off $33,793.95 $47,568.03 $33,793.95 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 16 $114,093.96 $91,275.17 $33,788.80 $50,477.07 $33,788.80 2026-07-15
C9765 HCPCS Ivl W/Stent Fem/Pop 53 27 $33,711.50 $26,969.20 20% off $5,083.69 $33,711.50 $33,711.50 2026-07-15
5232 OTHER Level 2 Gastrointestinal / Hepatobiliary Procedure Û Includes Upper/lower Gi End… 20 14 $32,061.58 $25,649.26 20% off $32,061.58 $111,022.84 $33,664.66 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 16 $113,928.85 $91,143.08 20% off $32,745.75 $45,438.00 $33,593.77 2026-07-15
5166 OTHER Level 6 Urinary And Male Genital System Procedure Û Includes Renal, Ureteral, Bl… 20 14 $31,807.82 $25,446.26 $31,807.82 $110,144.12 $33,398.21 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 16 $169,528.71 $135,622.97 $33,197.93 $47,307.10 $33,197.93 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 16 $86,544.41 $69,235.53 $30,546.00 $45,960.45 $32,999.99 2026-07-15
61635 CPT Intracran Angioplsty W/Stent 51 27 $32,956.00 $26,364.80 20% off $4,186.00 $32,956.00 $32,956.00 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 16 $188,275.55 $150,620.44 $32,908.74 $50,381.28 $32,908.74 2026-07-15
36226 CPT Place Cath Vertebral Art 54 27 $32,437.00 $25,949.60 20% off $3,893.00 $32,437.00 $32,437.00 2026-07-15
47540 CPT Perq Plmt Bile Stent; New Access W/Sep Bil Drain 50 27 $32,406.00 $25,924.80 20% off $4,886.82 $32,406.00 $32,406.00 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 16 $177,531.32 $142,025.06 $32,323.76 $69,784.66 $32,323.76 2026-07-15
47538 CPT Perq Plmt Bile Duct Stent; Each Stent; Existing Access 57 27 $31,949.00 $25,559.20 20% off $1,976.00 $31,949.00 $31,949.00 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 16 $281,849.07 $225,479.26 $31,773.35 $72,035.26 $31,773.35 2026-07-15
5465 OTHER Level 5 Abdominal / Peritoneal / Hernia Procedure Û Includes Laparoscopic And Op… 20 14 $30,473.59 $24,378.87 20% off $6,724.27 $105,523.95 $31,768.72 2026-07-15
166 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis,major 7 6 $213,611.61 $170,889.29 $23,959.24 $71,549.51 $31,605.56 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 26 16 $421,238.34 $336,990.67 20% off $31,465.16 $51,554.80 $31,465.16 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 16 $206,194.10 $164,955.28 20% off $31,388.51 $44,867.31 $31,388.51 2026-07-15
37225 CPT Fem/Popl Revasc With Ather 48 27 $55,498.00 $44,398.40 20% off $4,730.00 $55,498.00 $31,384.12 2026-07-15
37230 CPT Tib/per Revasc With Stent 48 27 $55,498.00 $44,398.40 20% off $4,730.00 $55,498.00 $31,384.12 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 26 15 $93,730.53 $74,984.42 20% off $31,342.15 $62,759.57 $31,342.15 2026-07-15
J3590 HCPCS Idarucizumab 2.5 Gm/50ml IV Soln 51 26 $31,331.50 $25,065.20 20% off $4,724.79 $70,495.88 $31,331.50 2026-07-15
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,moderate 7 6 $164,850.38 $131,880.30 20% off $26,669.58 $79,857.58 $31,168.92 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 29 16 $212,611.50 $170,089.20 $8,962.57 $64,302.84 $31,119.93 2026-07-15
47539 CPT Perq Plmt Bile Stent; New Access Without Sep Bil Drain 50 27 $31,059.00 $24,847.20 20% off $4,683.70 $31,059.00 $31,059.00 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 16 $315,252.58 $252,202.06 20% off $25,973.25 $41,088.11 $30,828.54 2026-07-15
23 APR_DRG Spinal Procedures,major 7 6 $111,861.52 $89,489.22 $25,590.21 $76,548.96 $30,788.25 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 16 $148,184.71 $118,547.77 $30,615.88 $47,037.53 $30,615.88 2026-07-15
32998 CPT Perq Rf Ablate Tx, Pul Tumor 54 27 $30,348.00 $24,278.40 $3,893.00 $30,348.00 $30,348.00 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 26 16 $160,856.47 $128,685.18 $30,258.27 $47,085.75 $30,258.27 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 16 $216,696.83 $173,357.46 20% off $30,241.34 $53,290.98 $30,241.34 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 16 $148,568.16 $118,854.53 $28,739.25 $54,609.19 $30,196.46 2026-07-15
61645 CPT Perq Art M-thrombect &/Nfs 50 27 $30,164.00 $24,131.20 20% off $4,548.73 $30,164.00 $30,164.00 2026-07-15
36903 CPT Intro Cath Dialysis Circuit W/Stenting 52 26 $61,124.00 $48,899.20 20% off $9,217.50 $61,124.00 $30,103.57 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 21 15 $208,906.57 $167,125.26 $30,047.82 $40,054.83 $30,047.82 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 26 16 $142,133.57 $113,706.86 $29,929.35 $56,281.06 $29,929.35 2026-07-15
174 APR_DRG Percutaneous Cardiac Intervention With Ami,extreme 7 6 $98,189.98 $78,551.98 20% off $22,872.31 $68,217.73 $29,894.81 2026-07-15
5200 OTHER Level 0 Gastrointestinal / Hepatobiliary Procedure Û Includes Upper/lower Gi End… 20 14 $28,428.33 $22,742.66 20% off $28,428.33 $98,441.62 $29,849.75 2026-07-15
0843 RC Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 20 14 $28,424.06 $22,739.25 $28,424.06 $98,426.83 $29,845.26 2026-07-15
91 MS_DRG Other Disorders Of Nervous System With Mcc 14 12 $54,582.53 $43,666.02 20% off $13,413.53 $29,782.83 $29,782.83 2026-07-15
546 APR_DRG Other O.r. Proc For Obstetric Diagnoses Except Delivery Diagnoses,extreme 7 6 $195,589.53 $156,471.62 20% off $14,094.27 $76,750.29 $29,427.41 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 16 $114,696.66 $91,757.33 $29,313.45 $44,159.98 $29,313.45 2026-07-15
36830 CPT Create Av Fistula; Not Autogenous Graft 49 26 $29,111.00 $23,288.80 20% off $4,186.00 $29,111.00 $29,111.00 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 22 15 $117,723.28 $94,178.62 20% off $28,915.37 $52,844.43 $28,915.37 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 21 15 $121,791.52 $97,433.22 $28,787.33 $38,386.57 $28,787.33 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 26 16 $86,239.87 $68,991.90 $28,773.35 $58,949.63 $28,773.35 2026-07-15
35372 CPT Teaec W/wo Patch Graft Deep Profund Femoral 51 27 $28,693.00 $22,954.40 $4,186.00 $28,693.00 $28,693.00 2026-07-15
1592 OTHER New Technology Apc Û Low Cost Band (Temporary Payment Classification For Emergin… 20 14 $27,500.50 $22,000.40 $8,663.02 $95,228.73 $28,669.28 2026-07-15
165 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis,moderate 7 6 $157,631.15 $126,104.92 20% off $23,559.34 $70,323.70 $28,629.66 2026-07-15
694 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior,major 7 6 $43,124.24 $34,499.39 20% off $20,271.82 $60,246.40 $28,624.44 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 26 16 $343,341.95 $274,673.56 20% off $28,614.41 $63,032.86 $28,614.41 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 16 $102,190.42 $81,752.34 $28,440.02 $41,511.44 $28,440.02 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 26 16 $89,065.00 $71,252.00 20% off $27,910.50 $46,973.22 $28,411.32 2026-07-15
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 14 12 $30,543.60 $24,434.88 $14,437.82 $28,359.22 $28,359.22 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 16 $136,511.66 $109,209.33 $28,331.85 $40,332.22 $28,331.85 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 16 $111,758.70 $89,406.96 $28,126.55 $76,488.23 $28,126.55 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 16 $120,362.11 $96,289.69 $27,974.24 $48,902.31 $27,974.24 2026-07-15
20983 CPT Ablate Bone Tumor(S) Perq 54 27 $27,945.00 $22,356.00 20% off $3,893.00 $27,945.00 $27,945.00 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 26 16 $246,904.29 $197,523.43 20% off $27,735.75 $38,712.82 $27,942.70 2026-07-15
C9797 HCPCS Vascular Emb Or Occlusion W/Use Of Press -gen Cath; Rad S/i 54 26 $53,184.00 $42,547.20 20% off $8,020.15 $53,184.00 $27,884.37 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 16 $217,983.46 $174,386.77 $14,717.62 $41,188.82 $27,756.43 2026-07-15
37233 CPT Tib/per Revasc With Ather Add-on 50 27 $27,749.00 $22,199.20 20% off $4,184.55 $27,749.00 $27,749.00 2026-07-15
V2785 HCPCS Supplies With HCPCS Code V2785 58 27 $27,530.74 $22,024.59 20% off $1,485.00 $27,530.74 $27,530.74 2026-07-15
361 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses,major 7 6 $113,053.89 $90,443.11 20% off $20,030.03 $59,505.22 $27,342.87 2026-07-15
20982 CPT Ablate,Bone Tumor(S)Perq 54 27 $27,271.00 $21,816.80 20% off $3,893.00 $27,271.00 $27,271.00 2026-07-15
32994 CPT Ablate Pulm Tumor Perq Crybl 53 27 $27,175.00 $21,740.00 20% off $4,097.99 $27,175.00 $27,175.00 2026-07-15
37226 CPT Fem/Popl Revasc With Stent 51 27 $55,498.00 $44,398.40 20% off $4,730.00 $55,498.00 $26,916.53 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 17 13 $126,144.90 $100,915.92 20% off $26,848.41 $45,735.39 $26,848.41 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 16 $113,317.24 $90,653.79 20% off $26,686.08 $37,598.41 $26,686.08 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 16 $110,632.43 $88,505.94 20% off $26,662.24 $40,487.39 $26,662.24 2026-07-15
61626 CPT Occlusion/Embolization Noncentral Ns 54 27 $26,424.00 $21,139.20 20% off $3,984.74 $26,424.00 $26,424.00 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 16 $81,722.34 $65,377.87 20% off $26,378.21 $57,390.28 $26,378.21 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 16 $74,374.57 $59,499.66 $26,376.74 $49,943.04 $26,376.74 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 26 16 $123,808.98 $99,047.18 20% off $26,372.32 $37,301.81 $26,372.32 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 25 16 $50,447.07 $40,357.66 $20,142.75 $41,903.80 $26,368.20 2026-07-15
265 MS_DRG Aicd Lead Procedures 26 16 $126,280.02 $101,024.02 $25,220.25 $55,830.94 $26,248.70 2026-07-15
681 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,major 7 6 $37,466.88 $29,973.50 20% off $22,817.09 $68,048.47 $26,163.11 2026-07-15
37220 CPT Iliac Revasc 50 27 $26,142.00 $20,913.60 20% off $3,942.21 $26,142.00 $26,142.00 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 16 $130,027.57 $104,022.06 $26,011.50 $36,093.56 $26,130.97 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 26 16 $84,070.64 $67,256.51 20% off $25,905.80 $57,486.74 $25,905.80 2026-07-15
49419 CPT Insert Tun Ip Cath W/Port 51 27 $25,815.00 $20,652.00 20% off $3,892.90 $25,815.00 $25,815.00 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 26 16 $88,284.05 $70,627.24 $25,782.18 $49,866.85 $25,782.18 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 16 $113,231.37 $90,585.10 $24,465.75 $38,654.86 $25,774.09 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 26 16 $150,414.15 $120,331.32 $25,763.79 $54,689.57 $25,763.79 2026-07-15
5213 OTHER Level 3 Gastrointestinal / Hepatobiliary Procedure Û Includes Upper/lower Gi End… 20 14 $24,532.30 $19,625.84 20% off $24,532.30 $84,950.45 $25,758.92 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 25 16 $81,664.18 $65,331.34 20% off $24,358.50 $34,324.53 $25,718.17 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 29 16 $217,829.58 $174,263.66 20% off $6,723.49 $53,725.02 $25,545.66 2026-07-15
332 MS_DRG Rectal Resection With Mcc 26 16 $120,551.62 $96,441.30 $25,523.91 $60,428.59 $25,523.91 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 26 16 $71,349.08 $57,079.26 20% off $24,362.25 $52,326.44 $25,495.94 2026-07-15
0856 OTHER Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 20 14 $24,228.42 $19,382.74 $24,228.42 $83,898.17 $25,439.84 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 26 16 $120,268.42 $96,214.74 $25,345.10 $46,426.65 $25,345.10 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 26 16 $108,840.49 $87,072.39 20% off $25,176.75 $39,224.73 $25,305.36 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 26 16 $110,966.01 $88,772.81 $23,581.50 $33,316.01 $25,287.41 2026-07-15
665 MS_DRG Prostatectomy With Mcc 25 16 $50,174.04 $40,139.23 20% off $22,775.25 $46,406.99 $25,265.63 2026-07-15
36516 CPT Therapeutic Leukopheresis Or White Blood Cell Depletion 46 24 $25,255.00 $20,204.00 20% off $3,808.45 $25,255.00 $25,255.00 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 29 16 $92,374.25 $73,899.40 20% off $12,864.13 $47,407.27 $25,242.08 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 26 16 $122,710.98 $98,168.78 20% off $25,203.82 $37,217.51 $25,203.82 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 25 16 $157,841.49 $126,273.19 20% off $25,064.01 $41,148.23 $25,064.01 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 26 16 $84,471.71 $67,577.37 $24,959.52 $42,391.65 $24,959.52 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 25 16 $105,321.65 $84,257.32 $24,699.77 $35,949.93 $24,699.77 2026-07-15
260 APR_DRG Major Pancreas, Liver And Shunt Procedures,major 7 6 $210,216.64 $168,173.31 20% off $9,102.64 $56,038.03 $24,690.91 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 25 16 $195,036.77 $156,029.42 $24,560.25 $40,271.77 $24,683.42 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 26 16 $69,915.60 $55,932.48 20% off $22,228.50 $38,662.08 $24,296.53 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 16 $190,000.98 $152,000.78 20% off $7,040.93 $32,852.10 $24,052.24 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 26 16 $91,929.89 $73,543.91 20% off $21,958.50 $32,029.10 $23,983.80 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 26 16 $128,690.06 $102,952.05 $23,973.50 $38,871.07 $23,973.50 2026-07-15
45 MS_DRG Cva And Precerebral Occlusion With Infarction,extreme 3 3 $96,566.94 $77,253.55 20% off $23,592.31 $25,526.88 $23,758.40 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 26 16 $189,607.93 $151,686.34 20% off $23,688.73 $52,776.56 $23,688.73 2026-07-15
1577 OTHER New Technology Apc Û Low Cost Band (Temporary Payment Classification For Emergin… 20 14 $22,500.50 $18,000.40 $22,500.50 $77,914.73 $23,625.53 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 15 $82,031.59 $65,625.27 20% off $7,533.22 $51,474.42 $23,579.09 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 23 15 $68,468.15 $54,774.52 20% off $23,510.66 $48,612.95 $23,510.66 2026-07-15
C9772 HCPCS Ivl Tibial Artery W/Angio 53 27 $23,468.04 $18,774.43 20% off $3,538.98 $23,468.04 $23,468.04 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 26 16 $103,959.38 $83,167.50 20% off $23,465.77 $50,333.05 $23,465.77 2026-07-15
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/mcc 26 16 $27,576.64 $22,061.31 20% off $23,465.77 $50,333.05 $23,465.77 2026-07-15
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 14 12 $60,139.04 $48,111.23 20% off $7,482.71 $23,450.17 $23,450.17 2026-07-15
5231 OTHER Level 1 Gastrointestinal / Hepatobiliary Procedure Û Includes Upper/lower Gi End… 20 14 $22,446.19 $17,956.95 20% off $8,689.78 $77,726.67 $23,400.15 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 26 16 $82,814.80 $66,251.84 20% off $23,355.40 $51,747.71 $23,355.40 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 25 16 $81,986.92 $65,589.54 $23,316.40 $32,822.64 $23,316.40 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 26 16 $87,297.15 $69,837.72 $22,965.41 $41,057.36 $22,965.41 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 25 16 $55,854.00 $44,683.20 20% off $21,973.50 $45,379.41 $22,955.11 2026-07-15
37211 CPT Thrombolytic Art Therapy 51 27 $22,896.00 $18,316.80 20% off $3,452.72 $22,896.00 $22,896.00 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 29 16 $114,999.68 $91,999.74 20% off $16,911.86 $43,967.07 $22,857.24 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 26 16 $173,203.15 $138,562.52 20% off $22,754.96 $40,591.17 $22,754.96 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 21 15 $195,796.76 $156,637.41 $22,707.86 $30,340.37 $22,707.86 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 26 16 $109,663.71 $87,730.97 $22,691.68 $33,361.72 $22,691.68 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 26 16 $156,373.93 $125,099.14 20% off $19,382.25 $41,169.89 $22,619.28 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 23 15 $95,100.02 $76,080.02 $22,579.83 $42,745.31 $22,579.83 2026-07-15
49 APR_DRG Bacterial And Tuberculous Infections Of Nervous System,major 2 2 $62,480.78 $49,984.62 20% off $21,385.68 $23,726.56 $22,556.12 2026-07-15
5464 OTHER Level 4 Abdominal / Peritoneal / Hernia Procedure Û Includes Laparoscopic And Op… 20 14 $21,444.39 $17,155.51 20% off $21,444.39 $74,257.63 $22,516.61 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 26 16 $259,506.16 $207,604.93 $22,506.25 $34,611.00 $22,506.25 2026-07-15
26 APR_DRG Other Nervous System And Related Procedures,major 7 6 $40,435.60 $32,348.48 20% off $16,127.55 $47,542.88 $22,290.49 2026-07-15
J2353 HCPCS Octreotide Acetate 20 Mg IM Kit 114 27 $59,723.75 $47,779.00 20% off $4,243.98 $201,222.00 $22,283.87 2026-07-15
570 MS_DRG Skin Debridement With Mcc 25 16 $74,950.06 $59,960.05 $21,272.25 $29,602.18 $22,150.10 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 4 4 $28,186.60 $22,549.28 20% off $12,225.09 $23,515.58 $21,809.94 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 16 $61,230.10 $48,984.08 $21,696.83 $33,855.45 $21,696.83 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 25 16 $120,752.55 $96,602.04 20% off $21,640.90 $37,763.29 $21,640.90 2026-07-15
21453 CPT Closed Treat Mandibular Fracture W/Interdental Fix 49 26 $21,625.00 $17,300.00 20% off $3,261.05 $21,625.00 $21,625.00 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 26 16 $102,503.04 $82,002.43 20% off $21,582.04 $36,556.16 $21,582.04 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 26 16 $58,212.90 $46,570.32 20% off $20,663.25 $40,253.58 $21,459.15 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 26 16 $99,633.92 $79,707.14 $21,447.38 $42,954.30 $21,447.38 2026-07-15
800 MS_DRG Splenic Procedures With Cc 26 16 $75,356.78 $60,285.42 20% off $21,440.76 $35,704.15 $21,440.76 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 25 16 $122,498.41 $97,998.73 $20,925.00 $29,905.38 $21,428.98 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 25 16 $72,702.93 $58,162.34 20% off $21,318.61 $31,774.65 $21,318.61 2026-07-15
J2327 HCPCS Risankizumab-rzaa 600 Mg/10ml IV Soln 53 27 $43,451.75 $34,761.40 $6,552.52 $97,766.44 $21,182.73 2026-07-15
5378 OTHER Level 8 Vascular Procedure Û Peripheral Or Endovascular Diagnostic/interventiona… 20 14 $20,128.56 $16,102.85 $20,128.56 $69,701.18 $21,134.99 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 26 16 $121,015.95 $96,812.76 20% off $21,097.12 $46,362.35 $21,097.12 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 26 16 $150,325.76 $120,260.61 $20,480.25 $44,819.08 $21,030.90 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 23 15 $74,876.61 $59,901.29 $20,947.75 $39,658.78 $20,947.75 2026-07-15
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 14 12 $36,132.78 $28,906.22 20% off $6,576.89 $20,888.70 $20,888.70 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 25 16 $244,758.63 $195,806.90 20% off $20,766.00 $32,988.10 $20,766.00 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 26 16 $152,094.43 $121,675.54 20% off $20,665.19 $36,491.86 $20,665.19 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 26 16 $33,024.86 $26,419.89 $20,643.85 $45,687.17 $20,643.85 2026-07-15
37248 CPT Trluml Balo Angiop 1st Vein 50 27 $20,398.00 $16,318.40 20% off $3,076.02 $20,398.00 $20,398.00 2026-07-15
36904 CPT Thrmbc/Nfs Dialysis Circuit 50 27 $20,398.00 $16,318.40 20% off $3,076.02 $20,398.00 $20,398.00 2026-07-15
36905 CPT Throbc/Nfs Dialysis Circuit W/Angioplasty 52 26 $41,323.00 $33,058.40 $6,231.51 $41,323.00 $20,351.58 2026-07-15
302 APR_DRG Knee Joint Replacement,moderate 7 6 $117,472.77 $93,978.22 $16,274.03 $47,991.87 $20,172.21 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 26 16 $206,668.92 $165,335.14 $20,135.39 $50,863.55 $20,135.39 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 26 16 $100,422.39 $80,337.91 20% off $20,099.33 $33,951.90 $20,099.33 2026-07-15
5224 OTHER Level 4 Gastrointestinal / Hepatobiliary Procedure Û Includes Upper/lower Gi End… 20 14 $19,071.16 $15,256.93 $19,071.16 $66,039.61 $20,024.72 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 26 16 $236,875.48 $189,500.38 20% off $19,990.43 $38,694.23 $19,990.43 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 26 16 $135,087.95 $108,070.36 20% off $19,892.56 $37,247.42 $19,892.56 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 25 16 $132,961.09 $106,368.87 20% off $19,153.50 $34,725.91 $19,874.35 2026-07-15
36222 CPT Place Cath Carotid/Inom Art W/Ips Extracran Carot 54 27 $19,833.00 $15,866.40 20% off $2,990.82 $19,833.00 $19,833.00 2026-07-15
36225 CPT Place Cath Subclavian Art 54 27 $19,833.00 $15,866.40 20% off $2,990.82 $19,833.00 $19,833.00 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 28 16 $60,602.49 $48,481.99 20% off $9,944.46 $41,329.57 $19,827.07 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 16 $111,361.55 $89,089.24 20% off $19,067.25 $31,428.01 $19,748.34 2026-07-15
263 MS_DRG Vein Ligation And Stripping 28 16 $112,665.85 $90,132.68 20% off $14,934.62 $40,604.22 $19,735.83 2026-07-15
37242 CPT Vasc Embolize/Occlude Artery 53 26 $58,938.00 $47,150.40 20% off $4,186.00 $58,938.00 $19,722.58 2026-07-15
849 MS_DRG Radiotherapy 24 16 $27,959.69 $22,367.75 20% off $18,656.25 $38,125.96 $19,654.89 2026-07-15
773 MS_DRG Opioid Abuse And Dependence,extreme 3 3 $127,226.79 $101,781.43 20% off $19,462.98 $21,058.95 $19,600.00 2026-07-15
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