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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

CONWAY MEDICAL CENTER

Conway, SC · CCN 420049 · Rates published

5,382 distinct procedures filed
19 distinct payers
92,335 rate rows
2026-05-13 last MRF observed
Data quality

67,417 of 92,335 rate rows are consumer-grade (73.0%)

24,918 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 23,826
exceeds 10× this hospital's gross charge — excluded from medians 617
per-diem day rate — not a per-procedure price 475
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.conwaymedicalcenter.com/uploads/570314381_conway-medical-center_standardcharges.csv
Found on page https://www.conwaymedicalcenter.com/billing-insurance/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-15
Content fingerprint c6399f4c525765e3… · 9,630,615 bytes · first seen 2026-05-05

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
CPT 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $156,517.76 $315,044.52 $164,343.72 —
9378
OTHER 		Daratumumab, Hyaluronidase 1 $134,045.86 $134,045.86 $134,045.86 nat. median
$56
outlier · 2413.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $109,529.04 $109,529.04 $109,529.04 nat. median
$133,176
0.8× median
4
CPT 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $103,193.23 $207,711.00 $108,352.94 —
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 2 $106,181.49 $106,181.49 $106,181.49 nat. median
$46,109
outlier · 2.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $103,621.46 $103,621.46 $103,621.46 nat. median
$68,887
1.5× median
488
MS_DRG 		Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 1 $101,804.39 $101,804.39 $101,804.39 nat. median
$19,302
outlier · 5.3×
9272
OTHER 		Inj, Denosumab 1 $98,231.95 $98,231.95 $98,231.95 nat. median
$29
outlier · 3334.4×
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 1 $93,385.35 $93,385.35 $93,385.35 nat. median
$33,835
outlier · 2.8×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $89,438.65 $89,438.65 $89,438.65 nat. median
$66,526
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $89,412.71 $89,412.71 $89,412.71 nat. median
$202,986
outlier · 0.4×
426
CPT 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $76,503.21 $153,988.38 $83,164.19 —
33249
CPT 		Insertion Or Replacement Of Permanent Implantable Defibrillator System, With Tra… 9 $72,786.46 $150,130.01 $81,823.77 nat. median
$31,833
outlier · 2.6×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $79,474.95 $79,474.95 $79,474.95 nat. median
$68,090
1.2× median
5231
OTHER 		Level 1 Icd And Similar Procedures 3 $78,021.26 $78,021.26 $78,021.26 nat. median
$23,015
outlier · 3.4×
33264
CPT 		Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 9 $54,465.93 $112,341.90 $69,462.77 nat. median
$31,873
outlier · 2.2×
429
CPT 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $60,912.49 $122,606.82 $67,473.41 —
33270
CPT 		Insertion Or Replacement Of Permanent Subcutaneous Implantable Defibrillator Sys… 9 $52,624.09 $112,341.90 $66,366.27 nat. median
$32,221
outlier · 2.1×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $65,394.65 $65,394.65 $65,394.65 nat. median
$54,211
1.2× median
33263
CPT 		Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 9 $54,465.93 $112,341.90 $65,070.75 nat. median
$23,504
outlier · 2.8×
33240
CPT 		Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing Singl… 9 $54,465.93 $112,341.90 $65,070.75 nat. median
$22,134
outlier · 2.9×
33230
CPT 		Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing Dual… 9 $54,465.93 $112,341.90 $65,070.75 nat. median
$22,359
outlier · 2.9×
957
CPT 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $54,512.02 $109,723.74 $62,574.37 —
10
CPT 		Pancreas Transplant 9 $58,227.86 $117,203.10 $61,139.28 —
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 $60,278.22 $60,278.22 $60,278.22 nat. median
$48,170
1.3× median
870
CPT 		Septicemia Or Severe Sepsis With Mv >96 Hours 9 $50,804.22 $102,260.55 $59,567.64 —
275
CPT 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $51,611.22 $103,884.90 $58,430.07 —
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 5 $56,740.02 $56,740.02 $56,740.02 nat. median
$48,483
1.2× median
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 5 $55,997.50 $55,997.50 $55,997.50 nat. median
$31,444
1.8× median
427
CPT 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $51,871.94 $104,409.69 $55,289.85 —
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 $53,076.56 $53,076.56 $53,076.56 nat. median
$35,325
1.5× median
243
MS_DRG 		Permanent Cardiac Pacemaker Implant With Cc 5 $51,992.83 $51,992.83 $51,992.83 nat. median
$22,669
outlier · 2.3×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 2 $51,423.88 $51,423.88 $51,423.88 nat. median
$51,319
1.0× median
276
CPT 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 $45,238.51 $91,057.68 $51,215.40 —
207
CPT 		Respiratory System Diagnosis With Ventilator Support >96 Hours 9 $47,230.80 $95,067.84 $49,120.04 —
11
CPT 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 9 $39,406.96 $79,319.73 $47,849.44 —
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/Mcc 4 $47,369.61 $47,369.61 $47,369.61 nat. median
$27,218
1.7× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 $46,495.07 $46,495.07 $46,495.07 nat. median
$26,699
1.7× median
33262
CPT 		Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 9 $46,109.75 $112,341.90 $46,109.75 nat. median
$23,398
2.0× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 1 $45,967.09 $45,967.09 $45,967.09 nat. median
$46,647
1.0× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 1 $45,867.17 $45,867.17 $45,867.17 nat. median
$38,112
1.2× median
451
MS_DRG 		Single Level Spinal Fusion Except Cervical Without Mcc 2 $45,831.19 $45,831.19 $45,831.19 nat. median
$31,723
1.4× median
5055
OTHER 		Level 5 Skin Procedures 1 $45,219.74 $45,219.74 $45,219.74 nat. median
$3,738
outlier · 12.1×
326
CPT 		Stomach, Esophageal And Duodenal Procedures With Mcc 9 $37,092.60 $74,661.30 $45,039.25 —
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 $44,826.29 $44,826.29 $44,826.29 nat. median
$39,420
1.1× median
853
CPT 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 9 $36,525.14 $73,519.11 $44,350.23 —
463
CPT 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 9 $39,444.21 $79,394.70 $44,236.99 —
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 $44,130.15 $44,130.15 $44,130.15 nat. median
$42,295
1.0× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 4 $44,124.18 $44,124.18 $44,124.18 nat. median
$39,075
1.1× median
428
CPT 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $40,197.16 $80,910.27 $43,540.14 —

Other procedures at this hospital

Browse this hospital's 5,382 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
             
288 CPT Acute And Subacute Endocarditis With Mcc 14 9 $61,511.31 $24,604.52 60% off $19,948.50 $40,153.05 $22,584.08 2026-05-13
288 MS_DRG Acute And Subacute Endocarditis With Mcc 3 3 — — $18,478.51 $18,478.51 $18,478.51 2026-01-01
834 CPT Acute Leukemia With Mcc 10 8 $13,496.00 $5,398.40 60% off $40,366.59 $83,575.07 $41,375.71 2026-05-13
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 7 7 — — $20,598.49 $20,598.49 $20,598.49 2026-01-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 7 4 — — $22,769.41 $22,769.41 $22,769.41 2026-01-01
245 CPT Aicd Generator Procedures 14 9 $88,520.38 $35,408.15 60% off $35,688.94 $71,835.96 $39,009.44 2026-05-13
245 MS_DRG Aicd Generator Procedures 1 1 — — $32,002.45 $32,002.45 $32,002.45 2026-01-01
240 CPT Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 14 9 $72,548.80 $29,019.52 60% off $21,022.71 $42,809.34 $22,118.90 2026-05-13
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 5 5 — — $18,429.26 $18,429.26 $18,429.26 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 4 — — $41,200.16 $41,200.16 $41,200.16 2026-01-01
239 CPT Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 9 $131,773.44 $52,709.37 60% off $36,785.14 $74,042.43 $38,624.41 2026-05-13
475 CPT Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 14 9 $60,003.35 $24,001.34 60% off $15,755.04 $31,712.31 $17,836.59 2026-05-13
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $44,130.15 $44,130.15 $44,130.15 2026-01-01
474 CPT Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 9 $99,261.14 $39,704.46 60% off $32,752.35 $65,925.09 $38,895.71 2026-05-13
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 8 — — $33,749.26 $33,749.26 $33,749.26 2026-01-01
616 CPT Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 9 $68,415.58 $27,366.23 60% off $25,655.45 $56,815.50 $29,355.66 2026-05-13
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $19,869.17 $19,869.17 $19,869.17 2026-01-01
269 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 9 $41,478.20 $16,591.28 60% off $30,386.13 $61,162.29 $36,896.01 2026-05-13
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $34,379.08 $34,379.08 $34,379.08 2026-01-01
25446 CPT Arthroplasty With Prosthetic Replacement; Distal Radius And Partial Or Entire Ca… 1 1 $2,382.00 $952.80 60% off $20,724.44 $20,724.44 $20,724.44 2026-05-13
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 4 4 — — $20,604.92 $20,604.92 $20,604.92 2026-01-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 2 1 — — $28,811.61 $28,811.61 $28,811.61 2026-01-01
95 CPT Bacterial And Tuberculous Infections Of Nervous System With Cc 14 9 $36,452.38 $14,580.95 60% off $17,507.06 $35,238.84 $19,820.08 2026-05-13
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 2 2 — — $19,466.21 $19,466.21 $19,466.21 2026-01-01
94 CPT Bacterial And Tuberculous Infections Of Nervous System With Mcc 14 9 $109,266.15 $43,706.46 60% off $26,646.93 $53,635.89 $27,835.97 2026-05-13
96 CPT Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 13 9 $23,550.70 $9,420.28 60% off $17,507.06 $35,238.84 $18,689.42 2026-05-13
478 CPT Biopsies Of Musculoskeletal System And Connective Tissue With Cc 13 9 $44,776.95 $17,910.78 60% off $17,079.10 $34,377.42 $20,738.10 2026-05-13
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 3 3 — — $18,083.76 $18,083.76 $18,083.76 2026-01-01
477 CPT Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 13 9 $129,467.21 $51,786.88 60% off $25,115.46 $59,101.19 $30,496.16 2026-05-13
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $24,265.80 $24,265.80 $24,265.80 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 2 — — $103,621.46 $103,621.46 $103,621.46 2026-01-01
275 CPT Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 9 $212,161.00 $84,864.40 60% off $51,611.22 $103,884.90 $58,430.07 2026-05-13
276 CPT Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 9 $165,030.05 $66,012.02 60% off $45,238.51 $91,057.68 $51,215.40 2026-05-13
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 2 — — $37,215.43 $37,215.43 $37,215.43 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 3 2 — — $106,181.49 $106,181.49 $106,181.49 2026-01-01
277 CPT Cardiac Defibrillator Implant Without Mcc 13 9 $179,423.86 $71,769.54 60% off $33,973.43 $70,672.88 $41,251.84 2026-05-13
260 CPT Cardiac Pacemaker Revision Except Device Replacement With Mcc 14 9 $46,116.55 $18,446.62 60% off $24,875.92 $50,071.14 $26,348.90 2026-05-13
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $22,732.71 $22,732.71 $22,732.71 2026-01-01
221 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 9 $42,477.24 $16,990.90 60% off $33,540.35 $67,511.22 $40,488.25 2026-05-13
C1882 CPT Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 4 4 $41,416.00 $16,566.40 60% off $21,370.65 $21,370.65 $21,370.65 2026-05-13
472 MS_DRG Cervical Spinal Fusion With Cc 12 6 — — $26,148.40 $26,148.40 $26,148.40 2026-01-01
472 CPT Cervical Spinal Fusion With Cc 13 9 $37,809.34 $15,123.74 60% off $21,158.63 $42,588.84 $22,836.92 2026-05-13
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $45,967.09 $45,967.09 $45,967.09 2026-01-01
471 CPT Cervical Spinal Fusion With Mcc 14 9 $49,876.82 $19,950.73 60% off $35,473.49 $71,402.31 $38,459.59 2026-05-13
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 5 3 — — $31,250.17 $31,250.17 $31,250.17 2026-01-01
473 CPT Cervical Spinal Fusion Without Cc/mcc 13 9 $32,987.23 $13,194.89 60% off $17,289.43 $34,800.78 $18,942.89 2026-05-13
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 8 6 — — $19,895.10 $19,895.10 $19,895.10 2026-01-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 7 4 — — $20,934.96 $20,934.96 $20,934.96 2026-01-01
429 CPT Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 9 $70,756.21 $28,302.48 60% off $60,912.49 $122,606.82 $67,473.41 2026-05-13
430 CPT Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 9 $54,577.78 $21,831.11 60% off $39,951.77 $80,416.35 $42,621.28 2026-05-13
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 4 4 — — $24,589.38 $24,589.38 $24,589.38 2026-01-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 7 5 — — $56,740.02 $56,740.02 $56,740.02 2026-01-01
545 CPT Connective Tissue Disorders With Mcc 14 9 $36,957.86 $14,783.14 60% off $18,454.28 $37,145.43 $20,892.44 2026-05-13
26 CPT Craniotomy And Endovascular Intracranial Procedures With Cc 13 9 $36,152.10 $14,460.84 60% off $22,337.35 $44,961.42 $25,565.71 2026-05-13
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $24,100.32 $24,100.32 $24,100.32 2026-01-01
9378 OTHER Daratumumab, Hyaluronidase 1 1 — — $134,045.86 $134,045.86 $134,045.86 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 — — $25,492.25 $25,492.25 $25,492.25 2026-01-01
56 CPT Degenerative Nervous System Disorders With Mcc 14 9 $50,054.71 $20,021.88 60% off $18,287.77 $36,810.27 $19,019.28 2026-05-13
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 11 6 — — $28,393.62 $28,393.62 $28,393.62 2026-01-01
637 MS_DRG Diabetes With Mcc 7 6 — — $29,649.76 $29,649.76 $29,649.76 2026-01-01
36909 CPT Dialysis Circuit Permanent Vascular Embolization Or Occlusion (including Main Ci… 5 4 $34,587.00 $13,834.80 60% off $15,361.43 $17,846.89 $17,846.89 2026-05-13
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 6 4 — — $33,562.71 $33,562.71 $33,562.71 2026-01-01
3 CPT Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 9 $241,040.27 $96,416.11 60% off $156,517.76 $315,044.52 $164,343.72 2026-05-13
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $89,412.71 $89,412.71 $89,412.71 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 7 6 — — $21,135.29 $21,135.29 $21,135.29 2026-01-01
982 CPT Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 13 9 $64,419.17 $25,767.67 60% off $15,236.55 $35,990.01 $18,774.27 2026-05-13
981 CPT Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 9 $99,828.24 $39,931.30 60% off $15,236.55 $69,882.33 $35,586.27 2026-05-13
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 2 — — $28,566.64 $28,566.64 $28,566.64 2026-01-01
38 MS_DRG Extracranial Procedures With Cc 2 2 — — $24,129.71 $24,129.71 $24,129.71 2026-01-01
503 CPT Foot Procedures With Mcc 13 9 $34,132.13 $13,652.85 60% off $19,328.46 $38,905.02 $23,469.36 2026-05-13
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 8 6 — — $29,230.90 $29,230.90 $29,230.90 2026-01-01
C1822 CPT Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 4 4 $60,000.00 $24,000.00 60% off $30,960.00 $30,960.00 $30,960.00 2026-05-13
C1826 CPT Generator, Neurostimulator (implantable), Includes Closed Feedback Loop Leads An… 7 4 $46,000.00 $18,400.00 60% off $23,736.00 $23,736.00 $23,736.00 2026-05-13
C1820 CPT Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 4 4 $42,319.00 $16,927.60 60% off $21,836.60 $21,836.60 $21,836.60 2026-05-13
420 CPT Hepatobiliary Diagnostic Procedures With Mcc 13 9 $24,636.55 $9,854.62 60% off $22,554.51 $51,883.65 $27,065.23 2026-05-13
481 CPT Hip And Femur Procedures Except Major Joint With Cc 13 9 $49,041.24 $19,616.50 60% off $15,153.26 $30,501.03 $18,399.67 2026-05-13
480 CPT Hip And Femur Procedures Except Major Joint With Mcc 13 9 $49,787.63 $19,915.05 60% off $21,478.51 $43,232.70 $26,080.02 2026-05-13
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 7 5 — — $22,760.08 $22,760.08 $22,760.08 2026-01-01
521 CPT Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 13 9 $64,111.34 $25,644.54 60% off $21,286.43 $42,846.09 $25,846.80 2026-05-13
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 2 — — $19,700.97 $19,700.97 $19,700.97 2026-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 6 5 — — $30,601.62 $30,601.62 $30,601.62 2026-01-01
522 CPT Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 13 9 $42,229.29 $16,891.72 60% off $15,395.73 $30,989.07 $18,694.08 2026-05-13
974 CPT HIV With Major Related Condition With Mcc 13 9 $97,052.96 $38,821.18 60% off $21,808.61 $43,897.14 $23,848.64 2026-05-13
977 MS_DRG HIV With Or Without Other Related Condition 1 1 — — $24,193.27 $24,193.27 $24,193.27 2026-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 6 4 — — $28,692.83 $28,692.83 $28,692.83 2026-01-01
854 CPT Infectious And Parasitic Diseases With O.r. Procedures With Cc 13 9 $56,470.66 $22,588.26 60% off $14,592.38 $29,372.07 $17,718.63 2026-05-13
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 9 6 — — $60,278.22 $60,278.22 $60,278.22 2026-01-01
853 CPT Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 9 $116,322.33 $46,528.93 60% off $36,525.14 $73,519.11 $44,350.23 2026-05-13
9272 OTHER Inj, Denosumab 1 1 — — $98,231.95 $98,231.95 $98,231.95 2026-01-01
33230 CPT Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing Dual … 15 9 $109,636.00 $43,854.40 60% off $54,465.93 $112,341.90 $65,070.75 2026-05-13
33240 CPT Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing Singl… 15 9 $109,636.00 $43,854.40 60% off $54,465.93 $112,341.90 $65,070.75 2026-05-13
22869 CPT Insertion Of Interlaminar/interspinous Process Stabilization/distraction Device,… 15 9 $38,791.00 $15,516.40 60% off $14,309.17 $30,399.64 $21,076.99 2026-05-13
22870 CPT Insertion Of Interlaminar/interspinous Process Stabilization/distraction Device,… 7 4 $27,425.00 $10,970.00 60% off $14,309.17 $30,399.64 $18,059.36 2026-05-13
33208 CPT Insertion Of New Or Replacement Of Permanent Pacemaker With Transvenous Electrod… 15 9 $43,752.00 $17,500.80 60% off $24,507.78 $50,549.97 $26,656.25 2026-05-13
33206 CPT Insertion Of New Or Replacement Of Permanent Pacemaker With Transvenous Electrod… 15 9 $35,359.00 $14,143.60 60% off $20,039.84 $41,334.35 $22,459.75 2026-05-13
33207 CPT Insertion Of New Or Replacement Of Permanent Pacemaker With Transvenous Electrod… 15 9 $35,359.00 $14,143.60 60% off $20,039.84 $41,334.35 $22,459.75 2026-05-13
33213 CPT Insertion Of Pacemaker Pulse Generator Only; With Existing Dual Leads 15 9 $32,660.00 $13,064.00 60% off $18,549.61 $38,260.61 $21,110.25 2026-05-13
33212 CPT Insertion Of Pacemaker Pulse Generator Only; With Existing Single Lead 15 9 $29,800.00 $11,920.00 60% off $16,389.69 $33,805.52 $18,680.22 2026-05-13
33225 CPT Insertion Of Pacing Electrode, Cardiac Venous System, For Left Ventricular Pacin… 7 4 $43,752.00 $17,500.80 60% off $23,559.53 $48,594.08 $28,810.69 2026-05-13
33224 CPT Insertion Of Pacing Electrode, Cardiac Venous System, For Left Ventricular Pacin… 15 9 $43,752.00 $17,500.80 60% off $23,559.53 $48,594.08 $26,656.25 2026-05-13
64590 CPT Insertion Or Replacement Of Peripheral, Sacral, Or Gastric Neurostimulator Pulse… 15 9 $64,546.00 $25,818.40 60% off $32,322.08 $66,667.81 $42,068.15 2026-05-13
33249 CPT Insertion Or Replacement Of Permanent Implantable Defibrillator System, With Tra… 15 9 $134,358.00 $53,743.20 60% off $72,786.46 $150,130.01 $81,823.77 2026-05-13
33270 CPT Insertion Or Replacement Of Permanent Subcutaneous Implantable Defibrillator Sys… 15 9 $103,443.00 $41,377.20 60% off $52,624.09 $112,341.90 $66,366.27 2026-05-13
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 7 5 — — $21,495.17 $21,495.17 $21,495.17 2026-01-01
61 CPT Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 13 9 $40,336.01 $16,134.40 60% off $19,743.28 $39,739.98 $22,009.99 2026-05-13
659 CPT Kidney And Ureter Procedures For Non-neoplasm With Mcc 13 9 $52,469.58 $20,987.83 60% off $18,873.48 $37,989.21 $22,916.90 2026-05-13
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 1 1 — — $101,804.39 $101,804.39 $101,804.39 2026-01-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 6 3 — — $22,255.14 $22,255.14 $22,255.14 2026-01-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 8 5 — — $27,283.33 $27,283.33 $27,283.33 2026-01-01
417 CPT Laparoscopic Cholecystectomy Without C.d.e. With Mcc 14 9 $89,474.00 $35,789.60 60% off $14,588.98 $39,460.39 $19,636.17 2026-05-13
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 12 6 — — $18,184.81 $18,184.81 $18,184.81 2026-01-01
5231 OTHER Level 1 Icd And Similar Procedures 3 3 — — $78,021.26 $78,021.26 $78,021.26 2026-01-01
5222 OTHER Level 2 Pacemaker And Similar Procedures 9 6 — — $27,061.15 $27,061.15 $27,061.15 2026-01-01
5193 OTHER Level 3 Endovascular Procedures 10 6 — — $31,602.15 $31,602.15 $31,602.15 2026-01-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 9 5 — — $21,961.59 $21,961.59 $21,961.59 2026-01-01
5194 OTHER Level 4 Endovascular Procedures 6 5 — — $32,668.24 $32,668.24 $32,668.24 2026-01-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 9 5 — — $25,469.54 $25,469.54 $25,469.54 2026-01-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 8 5 — — $55,997.50 $55,997.50 $55,997.50 2026-01-01
5055 OTHER Level 5 Skin Procedures 1 1 — — $45,219.74 $45,219.74 $45,219.74 2026-01-01
5377 OTHER Level 7 Urology And Related Services 1 1 — — $33,186.24 $33,186.24 $33,186.24 2026-01-01
956 CPT Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 9 $54,031.10 $21,612.44 60% off $27,915.48 $67,486.06 $33,896.05 2026-05-13
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $24,993.96 $24,993.96 $24,993.96 2026-01-01
495 CPT Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 9 $62,278.80 $24,911.52 60% off $25,711.40 $51,752.82 $31,219.77 2026-05-13
498 CPT Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 13 9 $133,501.80 $53,400.72 60% off $18,439.67 $98,333.24 $22,390.16 2026-05-13
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 1 1 — — $27,127.90 $27,127.90 $27,127.90 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 8 7 — — $26,601.47 $26,601.47 $26,601.47 2026-01-01
493 CPT Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 13 9 $51,607.37 $20,642.95 60% off $17,534.82 $35,294.70 $21,291.44 2026-05-13
492 CPT Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 9 $202,945.32 $81,178.13 60% off $25,934.88 $85,926.29 $31,491.12 2026-05-13
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 3 — — $23,888.94 $23,888.94 $23,888.94 2026-01-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 6 5 — — $22,598.51 $22,598.51 $22,598.51 2026-01-01
840 CPT Lymphoma And Non-acute Leukemia With Mcc 13 9 $84,051.81 $33,620.72 60% off $23,289.68 $46,878.30 $26,793.92 2026-05-13
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 3 3 — — $22,843.35 $22,843.35 $22,843.35 2026-01-01
824 CPT Lymphoma And Non-acute Leukemia With Other Procedures With Cc 13 9 $34,504.55 $13,801.82 60% off $16,062.50 $32,331.18 $19,503.71 2026-05-13
654 MS_DRG Major Bladder Procedures With Cc 2 2 — — $33,410.49 $33,410.49 $33,410.49 2026-01-01
654 CPT Major Bladder Procedures With Cc 13 9 $54,620.65 $21,848.26 60% off $20,610.16 $41,484.87 $25,025.65 2026-05-13
164 MS_DRG Major Chest Procedures With Cc 1 1 — — $18,021.24 $18,021.24 $18,021.24 2026-01-01
368 MS_DRG Major Esophageal Disorders With Mcc 1 1 — — $29,091.24 $29,091.24 $29,091.24 2026-01-01
140 CPT Major Head And Neck Procedures With Mcc 13 9 $18,626.75 $7,450.70 60% off $7,476.68 $62,169.24 $31,812.97 2026-05-13
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 1 1 — — $30,783.70 $30,783.70 $30,783.70 2026-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 2 — — $24,464.97 $24,464.97 $24,464.97 2026-01-01
808 CPT Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 13 9 $26,093.60 $10,437.44 60% off $16,726.36 $33,667.41 $20,309.78 2026-05-13
469 CPT Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 9 $76,840.81 $30,736.32 60% off $23,871.74 $48,049.89 $28,985.98 2026-05-13
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $25,587.58 $25,587.58 $25,587.58 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 5 4 — — $46,495.07 $46,495.07 $46,495.07 2026-01-01
483 CPT Major Joint Or Limb Reattachment Procedures Of Upper Extremities 13 9 $42,362.40 $16,944.96 60% off $18,609.84 $37,458.54 $21,814.27 2026-05-13
330 MS_DRG Major Small And Large Bowel Procedures With Cc 11 7 — — $41,592.58 $41,592.58 $41,592.58 2026-01-01
330 CPT Major Small And Large Bowel Procedures With Cc 13 9 $42,065.75 $16,826.30 60% off $17,262.41 $34,746.39 $20,960.68 2026-05-13
329 CPT Major Small And Large Bowel Procedures With Mcc 13 9 $74,811.53 $29,924.61 60% off $33,535.24 $67,500.93 $40,719.78 2026-05-13
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 7 5 — — $39,528.54 $39,528.54 $39,528.54 2026-01-01
506 MS_DRG Major Thumb Or Joint Procedures 1 1 — — $19,597.80 $19,597.80 $19,597.80 2026-01-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 3 3 — — $21,889.22 $21,889.22 $21,889.22 2026-01-01
755 MS_DRG Malignancy, Female Reproductive System With Cc 1 1 — — $26,429.98 $26,429.98 $26,429.98 2026-01-01
606 MS_DRG Minor Skin Disorders With Mcc 1 1 — — $18,674.93 $18,674.93 $18,674.93 2026-01-01
426 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 9 $65,386.21 $26,154.48 60% off $76,503.21 $153,988.38 $83,164.19 2026-05-13
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $79,474.95 $79,474.95 $79,474.95 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 4 — — $65,394.65 $65,394.65 $65,394.65 2026-01-01
427 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 9 $77,777.82 $31,111.13 60% off $51,871.94 $104,409.69 $55,289.85 2026-05-13
428 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 9 $59,933.00 $23,973.20 60% off $40,197.16 $80,910.27 $43,540.14 2026-05-13
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 5 4 — — $39,640.98 $39,640.98 $39,640.98 2026-01-01
448 CPT Multiple Level Spinal Fusion Except Cervical Without Mcc 13 9 $76,798.60 $30,719.44 60% off $29,822.33 $60,027.45 $33,098.72 2026-05-13
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 1 1 — — $19,989.08 $19,989.08 $19,989.08 2026-01-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $27,919.85 $27,919.85 $27,919.85 2026-01-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $25,651.86 $25,651.86 $25,651.86 2026-01-01
827 CPT Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 9 $23,373.85 $9,349.54 60% off $17,234.66 $34,690.53 $18,667.95 2026-05-13
829 CPT Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 13 9 $24,974.00 $9,989.60 60% off $22,521.39 $45,331.86 $24,208.43 2026-05-13
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $23,757.61 $23,757.61 $23,757.61 2026-01-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 2 2 — — $20,132.72 $20,132.72 $20,132.72 2026-01-01
97 CPT Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 13 9 $120,079.58 $48,031.83 60% off $23,662.88 $56,258.01 $27,487.75 2026-05-13
987 CPT Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 9 $65,563.59 $26,225.44 60% off $6,217.60 $51,489.69 $26,603.90 2026-05-13
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 2 2 — — $19,156.28 $19,156.28 $19,156.28 2026-01-01
619 CPT O.r. Procedures For Obesity With Mcc 14 9 $38,290.34 $15,316.14 60% off $19,911.98 $40,079.55 $22,016.18 2026-05-13
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $18,622.16 $18,622.16 $18,622.16 2026-01-01
939 CPT O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 9 $79,205.45 $31,682.18 60% off $23,180.13 $46,657.80 $28,146.21 2026-05-13
24546 CPT Open Treatment Of Humeral Supracondylar Or Transcondylar Fracture, Includes Inte… 15 9 $49,752.95 $19,901.18 60% off $10,649.13 $23,111.24 $23,111.24 2026-05-13
113 CPT Orbital Procedures With Cc/mcc 14 9 $17,522.45 $7,008.98 60% off $16,338.56 $32,886.84 $18,188.11 2026-05-13
539 CPT Osteomyelitis With Mcc 13 9 $77,437.33 $30,974.93 60% off $14,769.85 $35,223.64 $17,934.12 2026-05-13
314 MS_DRG Other Circulatory System Diagnoses With Mcc 6 6 — — $17,948.74 $17,948.74 $17,948.74 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 4 4 — — $36,135.50 $36,135.50 $36,135.50 2026-01-01
264 CPT Other Circulatory System O.r. Procedures 13 9 $85,309.17 $34,123.67 60% off $25,525.17 $51,377.97 $26,801.44 2026-05-13
395 MS_DRG Other Digestive System Diagnoses Without Cc/Mcc 7 5 — — $19,517.93 $19,517.93 $19,517.93 2026-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 2 — — $18,983.08 $18,983.08 $18,983.08 2026-01-01
356 CPT Other Digestive System O.r. Procedures With Mcc 14 9 $71,781.35 $28,712.54 60% off $31,152.96 $62,705.79 $32,424.08 2026-05-13
91 MS_DRG Other Disorders Of Nervous System With Mcc 5 4 — — $18,823.51 $18,823.51 $18,823.51 2026-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 10 7 — — $22,808.06 $22,808.06 $22,808.06 2026-01-01
628 CPT Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 13 9 $103,127.56 $41,251.02 60% off $28,815.96 $58,001.79 $34,989.44 2026-05-13
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 4 3 — — $24,998.13 $24,998.13 $24,998.13 2026-01-01
674 CPT Other Kidney And Urinary Tract Procedures With Cc 13 9 $72,366.90 $28,946.76 60% off $16,858.55 $34,445.18 $20,470.29 2026-05-13
673 CPT Other Kidney And Urinary Tract Procedures With Mcc 14 9 $68,899.80 $27,559.92 60% off $24,372.73 $61,587.12 $31,821.08 2026-05-13
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 2 — — $30,183.79 $30,183.79 $30,183.79 2026-01-01
271 CPT Other Major Cardiovascular Procedures With Cc 14 9 $67,642.36 $27,056.94 60% off $25,154.90 $50,632.68 $31,073.04 2026-05-13
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 2 — — $26,639.98 $26,639.98 $26,639.98 2026-01-01
270 CPT Other Major Cardiovascular Procedures With Mcc 14 9 $119,956.54 $47,982.61 60% off $37,486.97 $75,455.10 $40,087.76 2026-05-13
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 3 — — $22,225.76 $22,225.76 $22,225.76 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 1 1 — — $36,553.28 $36,553.28 $36,553.28 2026-01-01
515 CPT Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 14 9 $58,522.48 $23,408.99 60% off $22,584.20 $45,458.28 $25,568.01 2026-05-13
908 MS_DRG Other O.r. Procedures For Injuries With Cc 4 4 — — $28,525.38 $28,525.38 $28,525.38 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $45,867.17 $45,867.17 $45,867.17 2026-01-01
907 CPT Other O.r. Procedures For Injuries With Mcc 10 8 $163,374.03 $65,349.61 60% off $29,093.48 $58,560.39 $29,820.78 2026-05-13
957 CPT Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 9 $135,911.63 $54,364.65 60% off $54,512.02 $109,723.74 $62,574.37 2026-05-13
959 CPT Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 13 9 $82,429.84 $32,971.94 60% off $19,308.75 $38,865.33 $22,159.11 2026-05-13
802 CPT Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 13 9 $84,753.80 $33,901.52 60% off $26,180.26 $52,696.56 $31,789.07 2026-05-13
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 1 1 — — $19,265.48 $19,265.48 $19,265.48 2026-01-01
166 CPT Other Respiratory System O.r. Procedures With Mcc 14 9 $63,277.40 $25,310.96 60% off $17,666.95 $56,599.41 $28,822.19 2026-05-13
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 4 3 — — $22,456.37 $22,456.37 $22,456.37 2026-01-01
579 CPT Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 13 9 $97,421.15 $38,968.46 60% off $23,803.82 $47,913.18 $25,566.20 2026-05-13
253 CPT Other Vascular Procedures With Cc 13 9 $37,177.39 $14,870.96 60% off $18,644.89 $37,529.10 $22,639.34 2026-05-13
252 CPT Other Vascular Procedures With Mcc 13 9 $54,433.20 $21,773.28 60% off $25,052.66 $50,426.88 $28,298.44 2026-05-13
10 CPT Pancreas Transplant 13 9 $26,713.25 $10,685.30 60% off $58,227.86 $117,203.10 $61,139.28 2026-05-13
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 7 4 — — $34,574.40 $34,574.40 $34,574.40 2026-01-01
321 CPT Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 14 9 $84,601.88 $33,840.75 60% off $20,790.55 $41,847.96 $23,537.39 2026-05-13
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 13 7 — — $33,333.03 $33,333.03 $33,333.03 2026-01-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 7 4 — — $24,121.60 $24,121.60 $24,121.60 2026-01-01
C9600 CPT Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 15 9 $31,208.00 $12,483.20 60% off $19,759.01 $40,755.12 $20,550.47 2026-05-13
92928 CPT Percutaneous Transcatheter Placement Of Intracoronary Stent(s), With Coronary An… 15 9 $31,208.00 $12,483.20 60% off $14,526.45 $29,962.37 $19,927.65 2026-05-13
92924 CPT Percutaneous Transluminal Coronary Atherectomy, With Coronary Angioplasty When P… 15 9 $31,445.00 $12,578.00 60% off $15,361.43 $31,684.62 $20,706.53 2026-05-13
C9606 CPT Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 7 4 $31,395.00 $12,558.00 60% off $19,759.01 $40,755.12 $20,673.61 2026-05-13
92943 CPT Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 15 9 $31,635.00 $12,654.00 60% off $14,526.45 $29,962.37 $19,995.33 2026-05-13
92944 CPT Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 7 4 $31,635.00 $12,654.00 60% off $14,526.45 $29,962.37 $19,995.33 2026-05-13
C9604 CPT Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 15 9 $31,208.00 $12,483.20 60% off $19,759.01 $40,755.12 $20,550.47 2026-05-13
92937 CPT Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 15 9 $31,846.00 $12,738.40 60% off $14,526.45 $29,962.37 $20,028.78 2026-05-13
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 3 2 — — $22,500.02 $22,500.02 $22,500.02 2026-01-01
41 CPT Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 14 9 $66,771.90 $26,708.76 60% off $16,491.93 $33,195.54 $18,670.83 2026-05-13
40 CPT Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 9 $47,238.73 $18,895.49 60% off $27,548.14 $55,449.87 $33,450.00 2026-05-13
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 — — $19,767.95 $19,767.95 $19,767.95 2026-01-01
336 CPT Peritoneal Adhesiolysis With Cc 13 9 $55,939.14 $22,375.66 60% off $15,426.40 $31,050.81 $18,731.33 2026-05-13
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 5 5 — — $51,992.83 $51,992.83 $51,992.83 2026-01-01
243 CPT Permanent Cardiac Pacemaker Implant With Cc 15 9 $76,088.85 $30,435.54 60% off $16,452.49 $35,580.18 $19,977.24 2026-05-13
242 CPT Permanent Cardiac Pacemaker Implant With Mcc 13 9 $92,772.20 $37,108.88 60% off $24,772.22 $49,862.40 $30,079.37 2026-05-13
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 3 — — $17,786.90 $17,786.90 $17,786.90 2026-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 5 4 — — $32,591.79 $32,591.79 $32,591.79 2026-01-01
9390 OTHER Pertuzu, Trastuzu, 10 Mg 1 1 — — $23,287.85 $23,287.85 $23,287.85 2026-01-01
856 CPT Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 9 $119,002.63 $47,601.05 60% off $28,659.88 $66,320.52 $34,266.76 2026-05-13
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $27,604.03 $27,604.03 $27,604.03 2026-01-01
37184 CPT Primary Percutaneous Transluminal Mechanical Thrombectomy, Noncoronary, Non-intr… 15 9 $50,122.00 $20,048.80 60% off $6,860.97 $21,349.10 $21,349.10 2026-05-13
33264 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 15 9 $109,636.00 $43,854.40 60% off $54,465.93 $112,341.90 $69,462.77 2026-05-13
33263 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 15 9 $109,636.00 $43,854.40 60% off $54,465.93 $112,341.90 $65,070.75 2026-05-13
33262 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 15 9 $71,714.00 $28,685.60 60% off $46,109.75 $112,341.90 $46,109.75 2026-05-13
33229 CPT Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pul… 15 9 $58,625.00 $23,450.00 60% off $18,549.61 $38,260.61 $29,669.58 2026-05-13
33228 CPT Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pul… 15 9 $32,660.00 $13,064.00 60% off $18,549.61 $38,260.61 $21,110.25 2026-05-13
33227 CPT Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pul… 15 9 $29,800.00 $11,920.00 60% off $16,389.69 $33,805.52 $18,680.22 2026-05-13
24430 CPT Repair Of Nonunion Or Malunion, Humerus; Without Graft (eg, Compression Techniqu… 15 9 $27,048.54 $10,819.42 60% off $14,738.44 $30,399.64 $17,811.47 2026-05-13
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 10 6 — — $28,831.01 $28,831.01 $28,831.01 2026-01-01
208 CPT Respiratory System Diagnosis With Ventilator Support <=96 Hours 14 9 $59,842.70 $23,937.08 60% off $19,600.14 $39,451.86 $20,384.15 2026-05-13
207 CPT Respiratory System Diagnosis With Ventilator Support >96 Hours 14 9 $148,862.25 $59,544.90 60% off $47,230.80 $95,067.84 $49,120.04 2026-05-13
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 1 1 — — $27,607.30 $27,607.30 $27,607.30 2026-01-01
37227 CPT Revascularization, Endovascular, Open Or Percutaneous, Femoral, Popliteal Artery… 15 9 $46,064.00 $18,425.60 60% off $23,769.03 $23,769.03 $23,769.03 2026-05-13
37226 CPT Revascularization, Endovascular, Open Or Percutaneous, Femoral, Popliteal Artery… 15 9 $30,129.00 $12,051.60 60% off $15,700.88 $32,384.77 $19,839.94 2026-05-13
37225 CPT Revascularization, Endovascular, Open Or Percutaneous, Femoral, Popliteal Artery… 15 9 $29,722.00 $11,888.80 60% off $15,700.88 $32,384.77 $19,571.94 2026-05-13
37229 CPT Revascularization, Endovascular, Open Or Percutaneous, Tibial, Peroneal Artery, … 15 9 $49,207.00 $19,682.80 60% off $15,700.88 $32,384.77 $25,390.81 2026-05-13
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 5 4 — — $39,453.51 $39,453.51 $39,453.51 2026-01-01
467 CPT Revision Of Hip Or Knee Replacement With Cc 13 9 $39,249.13 $15,699.65 60% off $25,014.68 $50,350.44 $28,260.22 2026-05-13
466 CPT Revision Of Hip Or Knee Replacement With Mcc 14 9 $77,575.10 $31,030.04 60% off $37,206.53 $74,890.62 $40,569.84 2026-05-13
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 2 — — $26,872.35 $26,872.35 $26,872.35 2026-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 8 4 — — $47,369.61 $47,369.61 $47,369.61 2026-01-01
468 CPT Revision Of Hip Or Knee Replacement Without Cc/mcc 14 9 $32,337.35 $12,934.94 60% off $19,158.30 $38,562.51 $20,469.99 2026-05-13
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 3 — — $89,438.65 $89,438.65 $89,438.65 2026-01-01
870 CPT Septicemia Or Severe Sepsis With Mv >96 Hours 13 9 $188,430.66 $75,372.26 60% off $50,804.22 $102,260.55 $59,567.64 2026-05-13
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 19 10 — — $35,272.36 $35,272.36 $35,272.36 2026-01-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 12 7 — — $18,141.63 $18,141.63 $18,141.63 2026-01-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 4 4 — — $34,539.11 $34,539.11 $34,539.11 2026-01-01
947 MS_DRG Signs And Symptoms With Mcc 5 3 — — $19,185.75 $19,185.75 $19,185.75 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 11 6 — — $44,826.29 $44,826.29 $44,826.29 2026-01-01
402 CPT Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 13 9 $54,698.65 $21,879.46 60% off $28,571.31 $57,509.34 $31,839.67 2026-05-13
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 2 — — $51,423.88 $51,423.88 $51,423.88 2026-01-01
450 CPT Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 9 $109,944.13 $43,977.65 60% off $37,611.85 $75,706.47 $41,822.44 2026-05-13
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 2 — — $45,831.19 $45,831.19 $45,831.19 2026-01-01
451 CPT Single Level Spinal Fusion Except Cervical Without Mcc 13 9 $47,397.07 $18,958.83 60% off $22,537.46 $45,364.20 $25,767.10 2026-05-13
571 MS_DRG Skin Debridement With Cc 6 5 — — $28,408.22 $28,408.22 $28,408.22 2026-01-01
570 CPT Skin Debridement With Mcc 13 9 $142,532.75 $57,013.10 60% off $21,983.88 $62,232.46 $23,083.09 2026-05-13
577 CPT Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 14 9 $88,265.01 $35,306.00 60% off $19,446.77 $41,454.65 $22,016.07 2026-05-13
574 CPT Skin Graft For Skin Ulcer Or Cellulitis With Cc 14 9 $46,979.40 $18,791.76 60% off $25,304.62 $50,934.03 $28,647.85 2026-05-13
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $53,076.56 $53,076.56 $53,076.56 2026-01-01
622 CPT Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 14 9 $99,469.05 $39,787.62 60% off $27,328.31 $55,007.40 $30,938.91 2026-05-13
592 CPT Skin Ulcers With Mcc 13 9 $80,439.71 $32,175.88 60% off $15,017.43 $36,426.79 $18,234.73 2026-05-13
500 CPT Soft Tissue Procedures With Mcc 13 9 $70,686.45 $28,274.58 60% off $23,141.43 $46,579.89 $28,099.21 2026-05-13
500 MS_DRG Soft Tissue Procedures With Mcc 1 1 — — $22,090.02 $22,090.02 $22,090.02 2026-01-01
502 MS_DRG Soft Tissue Procedures Without Cc/Mcc 2 1 — — $23,308.58 $23,308.58 $23,308.58 2026-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $29,387.24 $29,387.24 $29,387.24 2026-01-01
458 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 9 $65,611.00 $26,244.40 60% off $31,534.92 $63,474.60 $36,364.80 2026-05-13
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 4 — — $44,124.18 $44,124.18 $44,124.18 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $93,385.35 $93,385.35 $93,385.35 2026-01-01
29 CPT Spinal Procedures With Cc Or Spinal Neurostimulators 13 9 $84,911.57 $33,964.63 60% off $24,514.42 $49,343.49 $27,099.03 2026-05-13
800 CPT Splenic Procedures With Cc 13 9 $65,644.45 $26,257.78 60% off $21,279.86 $42,832.86 $25,838.82 2026-05-13
800 MS_DRG Splenic Procedures With Cc 1 1 — — $24,532.31 $24,532.31 $24,532.31 2026-01-01
327 CPT Stomach, Esophageal And Duodenal Procedures With Cc 13 9 $66,564.29 $26,625.72 60% off $17,732.73 $35,693.07 $21,531.76 2026-05-13
326 CPT Stomach, Esophageal And Duodenal Procedures With Mcc 13 9 $81,329.97 $32,531.99 60% off $37,092.60 $74,661.30 $45,039.25 2026-05-13
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 — — $33,217.33 $33,217.33 $33,217.33 2026-01-01
99070 CPT Supplies And Materials (except Spectacles), Provided By The Physician Or Other Q… 4 4 $50,369.00 $20,147.60 60% off $25,990.40 $25,990.40 $25,990.40 2026-05-13
12 CPT Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 9 $78,229.74 $31,291.89 60% off $29,969.85 $60,324.39 $36,332.19 2026-05-13
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 2 2 — — $20,651.89 $20,651.89 $20,651.89 2026-01-01
11 CPT Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 9 $110,736.90 $44,294.76 60% off $39,406.96 $79,319.73 $47,849.44 2026-05-13
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 1 — — $109,529.04 $109,529.04 $109,529.04 2026-01-01
4 CPT Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 9 $245,415.69 $98,166.28 60% off $103,193.23 $207,711.00 $108,352.94 2026-05-13
33274 CPT Transcatheter Insertion Or Replacement Of Permanent Leadless Pacemaker, Right Ve… 15 9 $50,602.00 $20,240.80 60% off $26,110.63 $26,110.63 $26,110.63 2026-05-13
668 CPT Transurethral Procedures With Mcc 13 9 $13,812.00 $5,524.80 60% off $21,298.12 $42,869.61 $23,624.01 2026-05-13
33214 CPT Upgrade Of Implanted Pacemaker System, Conversion Of Single Chamber System To Du… 15 9 $43,752.00 $17,500.80 60% off $24,507.78 $50,549.97 $26,656.25 2026-05-13
255 CPT Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 14 9 $94,839.93 $37,935.97 60% off $19,108.64 $43,649.28 $21,633.26 2026-05-13
37244 CPT Vascular Embolization Or Occlusion, Inclusive Of All Radiological Supervision An… 13 9 $36,177.00 $14,470.80 60% off $15,361.43 $18,113.31 $18,113.31 2026-05-13
463 CPT Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 9 $28,641.26 $11,456.50 60% off $39,444.21 $79,394.70 $44,236.99 2026-05-13
464 CPT Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 9 $64,124.95 $25,649.98 60% off $21,534.01 $43,344.42 $24,379.07 2026-05-13
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