Hospital

PRAIRIE LAKES HEALTHCARE SYSTEM, INC

Watertown, SD · CCN 430005 · Rates published

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This hospital’s price: $587 across 49 payers · range $587-$716

Source: https://cdn.accureg.net/trans/prairielakes/460391067_Prairie-Lakes-Health-Care-System-Inc._standardcharges.json · observed 2026-07-17

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

3,800 distinct procedures filed

83 distinct payers

399,017 rate rows

2026-07-17 last MRF observed

Data quality

389,106 of 399,017 rate rows are consumer-grade (97.5%)

9,911 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	8,824
exceeds 3× this hospital's gross charge for a DRG stay — excluded	469
exceeds 10× this hospital's gross charge — excluded from medians	436
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	144
placeholder amount (≤ $0.02) — excluded from medians	38

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://cdn.accureg.net/trans/prairielakes/460391067_Prairie-Lakes-Health-Care-System-Inc._standardcharges.json
Found on page	https://pricetransparency.accureg.net/prairielakes
Discovered via	Discovered by HANK (automated)
Last fetch	success · 2026-10-11
Content fingerprint	132ef6d360910052… · 249,906,640 bytes · first seen 2026-10-11

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
50526 CPT	Close Nephrovisceral Fistula	53	$70,512.69	$70,512.69	$70,512.69	nat. median $3,284 outlier · 21.5×
870 MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	76	$51,644.45	$98,894.03	$58,750.30	nat. median $62,655 0.9× median
27486 CPT	Revise/replace Knee Joint	53	$58,053.13	$58,053.13	$58,053.13	nat. median $8,917 outlier · 6.5×
27488 CPT	Removal Of Knee Prosthesis	53	$58,053.13	$58,053.13	$58,053.13	nat. median $5,370 outlier · 10.8×
207 MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	76	$48,044.13	$92,067.69	$54,694.95	nat. median $59,371 0.9× median
27519 CPT	Treat Thigh Fx Growth Plate	53	$52,298.50	$52,298.50	$52,298.50	nat. median $5,084 outlier · 10.3×
27511 CPT	Treatment Of Thigh Fracture	53	$52,298.50	$52,298.50	$52,298.50	nat. median $4,764 outlier · 11.0×
27514 CPT	Treatment Of Thigh Fracture	53	$52,298.50	$52,298.50	$52,298.50	nat. median $5,101 outlier · 10.3×
27450 CPT	Incision Of Thigh	53	$52,298.50	$52,298.50	$52,298.50	nat. median $5,443 outlier · 9.6×
27513 CPT	Treatment Of Thigh Fracture	53	$52,298.50	$52,298.50	$52,298.50	nat. median $5,156 outlier · 10.1×
50300 CPT	Remove Cadaver Donor Kidney	53	$49,664.82	$49,664.82	$49,664.82	nat. median $4,334 outlier · 11.5×
A9543 HCPCS	Nms Zevalin Yttrium 90	83	$41,379.22	$56,824.55	$49,101.89	nat. median $63,528 0.8× median
463 MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective…	76	$40,198.91	$81,548.45	$48,445.75	nat. median $49,929 1.0× median
270 MS_DRG	Other Major Cardiovascular Procedures With Mcc	76	$38,226.94	$75,493.30	$44,848.55	nat. median $49,364 0.9× median
23472 CPT	Reconstruct Shoulder Joint	83	$19,695.74	$44,043.33	$44,043.33	nat. median $16,660 outlier · 2.6×
326 MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	76	$37,829.60	$71,359.72	$42,392.90	nat. median $46,239 0.9× median
27091 CPT	Removal Of Hip Prosthesis	53	$42,068.56	$42,068.56	$42,068.56	nat. median $4,500 outlier · 9.3×
27090 CPT	Removal Of Hip Prosthesis	53	$42,068.56	$42,068.56	$42,068.56	nat. median $3,802 outlier · 11.1×
853 MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	76	$37,257.88	$70,661.49	$41,978.10	nat. median $45,430 0.9× median
Q2043 HCPCS	Sipuleucel-t (provenge)	83	$25,788.02	$57,017.10	$41,402.56	nat. median $65,720 0.6× median
27134 CPT	Revise Hip Joint Replacement	53	$39,883.40	$39,883.40	$39,883.40	nat. median $9,321 outlier · 4.3×
981 MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	76	$35,437.48	$67,130.27	$39,880.30	nat. median $43,696 0.9× median
C1725 HCPCS	Cath Translumin Non-laser	53	$39,875.00	$39,875.00	$39,875.00	nat. median $688 outlier · 58.0×
27487 CPT	Revise/replace Knee Joint	53	$39,762.79	$39,762.79	$39,762.79	nat. median $11,926 outlier · 3.3×
27138 CPT	Revise Hip Joint Replacement	53	$39,737.52	$39,737.52	$39,737.52	nat. median $9,872 outlier · 4.0×
27465 CPT	Shortening Of Thigh Bone	53	$39,491.34	$39,491.34	$39,491.34	nat. median $6,112 outlier · 6.5×
329 MS_DRG	Major Small And Large Bowel Procedures With Mcc	76	$34,245.47	$65,766.72	$39,070.25	nat. median $42,641 0.9× median
856 MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	76	$33,654.61	$65,082.80	$38,663.95	nat. median $41,685 0.9× median
33264 CPT	Rmvl & Rplcmt Dfb Gen Mlt Ld	83	$34,337.95	$42,031.14	$38,184.54	nat. median $31,574 1.2× median
33249 CPT	Insj/rplcmt Defib W/lead(s)	83	$34,337.95	$42,031.14	$38,184.54	nat. median $31,620 1.2× median
33270 CPT	Ins/rep Subq Defibrillator	83	$34,337.95	$42,031.14	$38,184.54	nat. median $32,114 1.2× median
356 MS_DRG	Other Digestive System O.r. Procedures With Mcc	76	$31,845.25	$62,852.18	$37,338.80	nat. median $40,223 0.9× median
27132 CPT	Total Hip Arthroplasty	53	$37,251.28	$37,251.28	$37,251.28	nat. median $9,823 outlier · 3.8×
C1882 HCPCS	Aicd Other Than Sing/dual	53	$36,812.60	$36,812.60	$36,812.60	nat. median $27,360 1.3× median
323 MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	76	$31,798.90	$61,916.44	$36,782.90	nat. median $39,057 0.9× median
27125 CPT	Partial Hip Replacement	53	$36,293.19	$36,293.19	$36,293.19	nat. median $6,455 outlier · 5.6×
33289 CPT	Tcat Impl Wrls P-art Prs Snr	83	$30,446.74	$42,031.14	$36,238.94	nat. median $27,731 1.3× median
269 MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	76	$31,072.65	$60,425.55	$35,897.20	nat. median $40,055 0.9× median
673 MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	76	$31,285.30	$60,116.49	$35,713.60	nat. median $38,022 0.9× median
34847 CPT	Visc & Infraren Abd 3 Prosth	53	$35,496.36	$35,496.36	$35,496.36	nat. median $5,572 outlier · 6.4×
34707 CPT	Endoluminal Llioliac W/out Aorta	53	$35,496.36	$35,496.36	$35,496.36	nat. median $4,869 outlier · 7.3×
34703 CPT	Endo Aorta Repair Uniiliac Femoral	53	$35,496.36	$35,496.36	$35,496.36	nat. median $4,817 outlier · 7.4×
34808 CPT	Endovas Iliac A Device Addon	53	$35,496.36	$35,496.36	$35,496.36	nat. median $1,950 outlier · 18.2×
34845 CPT	Visc & Infraren Abd 1 Prosth	53	$35,496.36	$35,496.36	$35,496.36	nat. median $5,144 outlier · 6.9×
34846 CPT	Visc & Infraren Abd 2 Prosth	53	$35,496.36	$35,496.36	$35,496.36	nat. median $5,608 outlier · 6.3×
34848 CPT	Visc & Infraren Abd 4+ Prost	53	$35,496.36	$35,496.36	$35,496.36	nat. median $5,782 outlier · 6.1×
34701 CPT	Endo Aorta Repair Aorta Only	53	$35,496.36	$35,496.36	$35,496.36	nat. median $4,957 outlier · 7.2×
34705 CPT	Endo Aorta Repair Bifurcates One Limb	53	$35,496.36	$35,496.36	$35,496.36	nat. median $5,225 outlier · 6.8×
27455 CPT	Realignment Of Knee	53	$35,117.58	$35,117.58	$35,117.58	nat. median $5,573 outlier · 6.3×
23470 CPT	Reconstruct Shoulder Joint	83	$13,780.36	$34,129.68	$34,129.68	nat. median $12,409 outlier · 2.8×

Other procedures at this hospital

Browse this hospital's 3,800 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

50526	CPT	Close Nephrovisceral Fistula	83	53	$121,573.60	—	$70,512.69	$70,512.69	$70,512.69	2026-07-17
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	99	76	$68,386.00	—	$51,644.45	$98,894.03	$58,750.30	2026-07-17
27486	CPT	Revise/replace Knee Joint	83	53	$100,091.60	—	$58,053.13	$58,053.13	$58,053.13	2026-07-17
27488	CPT	Removal Of Knee Prosthesis	83	53	$100,091.60	—	$58,053.13	$58,053.13	$58,053.13	2026-07-17
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	99	76	$101,811.00	—	$48,044.13	$92,067.69	$54,694.95	2026-07-17
27513	CPT	Treatment Of Thigh Fracture	83	53	$90,169.83	—	$52,298.50	$52,298.50	$52,298.50	2026-07-17
27514	CPT	Treatment Of Thigh Fracture	83	53	$90,169.83	—	$52,298.50	$52,298.50	$52,298.50	2026-07-17
27519	CPT	Treat Thigh Fx Growth Plate	83	53	$90,169.83	—	$52,298.50	$52,298.50	$52,298.50	2026-07-17
27511	CPT	Treatment Of Thigh Fracture	83	53	$90,169.83	—	$52,298.50	$52,298.50	$52,298.50	2026-07-17
27450	CPT	Incision Of Thigh	83	53	$90,169.83	—	$52,298.50	$52,298.50	$52,298.50	2026-07-17
50300	CPT	Remove Cadaver Donor Kidney	83	53	$85,629.00	—	$49,664.82	$49,664.82	$49,664.82	2026-07-17
A9543	HCPCS	Nms Zevalin Yttrium 90	121	83	$52,901.00	—	$41,379.22	$56,824.55	$49,101.89	2026-07-17
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	99	76	$34,823.38	—	$40,198.91	$81,548.45	$48,445.75	2026-07-17
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	99	76	$42,644.75	—	$38,226.94	$75,493.30	$44,848.55	2026-07-17
23472	CPT	Reconstruct Shoulder Joint	121	83	$117,915.40	—	$19,695.74	$44,043.33	$44,043.33	2026-07-17
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	99	76	$112,881.88	—	$37,829.60	$71,359.72	$42,392.90	2026-07-17
27091	CPT	Removal Of Hip Prosthesis	83	53	$72,532.00	—	$42,068.56	$42,068.56	$42,068.56	2026-07-17
27090	CPT	Removal Of Hip Prosthesis	83	53	$72,532.00	—	$42,068.56	$42,068.56	$42,068.56	2026-07-17
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	99	76	$64,735.50	—	$37,257.88	$70,661.49	$41,978.10	2026-07-17
Q2043	HCPCS	Sipuleucel-t (provenge)	121	83	$66,607.00	—	$25,788.02	$57,017.10	$41,402.56	2026-07-17
27134	CPT	Revise Hip Joint Replacement	83	53	$68,764.48	—	$39,883.40	$39,883.40	$39,883.40	2026-07-17
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	99	76	$64,730.44	—	$35,437.48	$67,130.27	$39,880.30	2026-07-17
C1725	HCPCS	Cath Translumin Non-laser	83	53	$68,750.00	—	$39,875.00	$39,875.00	$39,875.00	2026-07-17
27487	CPT	Revise/replace Knee Joint	83	53	$68,556.54	—	$39,762.79	$39,762.79	$39,762.79	2026-07-17
27138	CPT	Revise Hip Joint Replacement	83	53	$68,512.97	—	$39,737.52	$39,737.52	$39,737.52	2026-07-17
27465	CPT	Shortening Of Thigh Bone	83	53	$68,088.52	—	$39,491.34	$39,491.34	$39,491.34	2026-07-17
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	99	76	$88,231.80	—	$34,245.47	$65,766.72	$39,070.25	2026-07-17
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	99	76	$42,876.29	—	$33,654.61	$65,082.80	$38,663.95	2026-07-17
33249	CPT	Insj/rplcmt Defib W/lead(s)	121	83	$98,806.00	—	$34,337.95	$42,031.14	$38,184.54	2026-07-17
33264	CPT	Rmvl & Rplcmt Dfb Gen Mlt Ld	121	83	$104,606.00	—	$34,337.95	$42,031.14	$38,184.54	2026-07-17
33270	CPT	Ins/rep Subq Defibrillator	121	83	$140,407.00	—	$34,337.95	$42,031.14	$38,184.54	2026-07-17
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	99	76	$62,373.00	—	$31,845.25	$62,852.18	$37,338.80	2026-07-17
27132	CPT	Total Hip Arthroplasty	83	53	$64,226.35	—	$37,251.28	$37,251.28	$37,251.28	2026-07-17
C1882	HCPCS	Aicd Other Than Sing/dual	83	53	$63,470.00	—	$36,812.60	$36,812.60	$36,812.60	2026-07-17
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	99	76	$91,884.00	—	$31,798.90	$61,916.44	$36,782.90	2026-07-17
27125	CPT	Partial Hip Replacement	83	53	$62,574.46	—	$36,293.19	$36,293.19	$36,293.19	2026-07-17
33289	CPT	Tcat Impl Wrls P-art Prs Snr	121	83	$97,223.70	—	$30,446.74	$42,031.14	$36,238.94	2026-07-17
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	99	76	$63,158.00	—	$31,072.65	$60,425.55	$35,897.20	2026-07-17
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	99	76	$25,810.50	—	$31,285.30	$60,116.49	$35,713.60	2026-07-17
34847	CPT	Visc & Infraren Abd 3 Prosth	83	53	$63,158.00	—	$35,496.36	$35,496.36	$35,496.36	2026-07-17
34848	CPT	Visc & Infraren Abd 4+ Prost	83	53	$63,158.00	—	$35,496.36	$35,496.36	$35,496.36	2026-07-17
34846	CPT	Visc & Infraren Abd 2 Prosth	83	53	$63,158.00	—	$35,496.36	$35,496.36	$35,496.36	2026-07-17
34705	CPT	Endo Aorta Repair Bifurcates One Limb	83	53	$46,329.00	—	$35,496.36	$35,496.36	$35,496.36	2026-07-17
34845	CPT	Visc & Infraren Abd 1 Prosth	83	53	$63,158.00	—	$35,496.36	$35,496.36	$35,496.36	2026-07-17
34707	CPT	Endoluminal Llioliac W/out Aorta	83	53	$34,675.00	—	$35,496.36	$35,496.36	$35,496.36	2026-07-17
34701	CPT	Endo Aorta Repair Aorta Only	83	53	$46,329.00	—	$35,496.36	$35,496.36	$35,496.36	2026-07-17
34808	CPT	Endovas Iliac A Device Addon	83	53	$7,964.00	—	$35,496.36	$35,496.36	$35,496.36	2026-07-17
34703	CPT	Endo Aorta Repair Uniiliac Femoral	83	53	$46,329.00	—	$35,496.36	$35,496.36	$35,496.36	2026-07-17
27455	CPT	Realignment Of Knee	83	53	$60,547.55	—	$35,117.58	$35,117.58	$35,117.58	2026-07-17
23470	CPT	Reconstruct Shoulder Joint	121	83	$93,929.30	—	$13,780.36	$34,129.68	$34,129.68	2026-07-17
33262	CPT	Rmvl& Replc Pulse Gen 1 Lead	121	83	$86,893.30	—	$24,039.87	$42,031.14	$33,035.50	2026-07-17
33263	CPT	Rmvl & Rplcmt Dfb Gen 2 Lead	121	83	$71,977.00	—	$24,039.87	$42,031.14	$33,035.50	2026-07-17
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	99	76	$30,689.00	—	$29,770.27	$54,932.70	$32,634.05	2026-07-17
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	99	76	$81,055.75	—	$28,583.41	$53,841.00	$31,985.50	2026-07-17
37273	CPT	Revsc Evsc Fpvt Athrc Cplx 1	83	53	$54,808.40	—	$31,788.87	$31,788.87	$31,788.87	2026-07-17
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	99	76	$63,410.26	—	$26,587.89	$52,533.25	$31,208.60	2026-07-17
27535	CPT	Treat Knee Fracture	83	53	$53,505.44	—	$31,033.16	$31,033.16	$31,033.16	2026-07-17
27536	CPT	Treat Knee Fracture	83	53	$53,505.44	—	$31,033.16	$31,033.16	$31,033.16	2026-07-17
27540	CPT	Treat Knee Fracture	83	53	$53,505.44	—	$31,033.16	$31,033.16	$31,033.16	2026-07-17
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	99	76	$34,345.75	—	$23,812.41	$51,916.58	$30,842.25	2026-07-17
27236	CPT	Treat Thigh Fracture	83	53	$52,345.47	—	$30,360.37	$30,360.37	$30,360.37	2026-07-17
27244	CPT	Treat Thigh Fracture	83	53	$52,345.47	—	$30,360.37	$30,360.37	$30,360.37	2026-07-17
27254	CPT	Treat Hip Dislocation	83	53	$52,345.47	—	$30,360.37	$30,360.37	$30,360.37	2026-07-17
27248	CPT	Treat Thigh Fracture	83	53	$52,345.47	—	$30,360.37	$30,360.37	$30,360.37	2026-07-17
27245	CPT	Treat Thigh Fracture	83	53	$52,345.47	—	$30,360.37	$30,360.37	$30,360.37	2026-07-17
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	99	76	$65,557.33	—	$27,119.14	$51,092.44	$30,352.65	2026-07-17
23474	CPT	Revis Reconst Shoulder Joint	83	53	$51,688.02	—	$29,979.05	$29,979.05	$29,979.05	2026-07-17
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	99	76	$77,360.11	—	$25,660.77	$50,458.59	$29,976.10	2026-07-17
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	99	76	$24,604.00	—	$27,305.30	$50,355.58	$29,914.90	2026-07-17
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	75	57	$14,611.00	—	$29,372.19	$40,407.53	$29,372.19	2026-07-17
92972	CPT	Perq Trluml Coronry Lithotrp	83	53	$50,438.90	—	$29,254.56	$29,254.56	$29,254.56	2026-07-17
24575	CPT	Treat Humerus Fracture	121	83	$76,637.97	—	$13,780.36	$29,115.19	$29,115.19	2026-07-17
24515	CPT	Treat Humerus Fracture	121	83	$76,637.97	—	$13,780.36	$29,115.19	$29,115.19	2026-07-17
24545	CPT	Treat Humerus Fracture	121	83	$76,637.97	—	$13,780.36	$29,115.19	$29,115.19	2026-07-17
23615	CPT	Treat Humerus Fracture	121	83	$76,637.97	—	$13,780.36	$29,115.19	$29,115.19	2026-07-17
24579	CPT	Treat Humerus Fracture	121	83	$76,637.97	—	$13,780.36	$29,115.19	$29,115.19	2026-07-17
24516	CPT	Treat Humerus Fracture	121	83	$76,637.97	—	$13,780.36	$29,115.19	$29,115.19	2026-07-17
24546	CPT	Treat Humerus Fracture	121	83	$76,637.97	—	$13,780.36	$29,115.19	$29,115.19	2026-07-17
23415	CPT	Release Of Shoulder Ligament	121	83	$84,504.00	—	$7,650.93	$28,331.62	$28,331.62	2026-07-17
C2624	HCPCS	Pa Pressure Sensor	83	53	$47,945.00	—	$27,808.10	$27,808.10	$27,808.10	2026-07-17
579	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	99	76	$25,171.00	—	$24,440.79	$46,336.46	$27,527.25	2026-07-17
840	MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	99	76	$28,390.00	—	$23,922.78	$46,284.95	$27,496.65	2026-07-17
325	MS_DRG	Coronary Intravascular Lithotripsy Without Intraluminal Device	99	76	$42,229.00	—	$21,517.42	$45,934.40	$27,288.40	2026-07-17
324	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	99	76	$80,081.60	—	$23,967.67	$45,084.51	$26,783.50	2026-07-17
27477	CPT	Surgery To Stop Leg Growth	121	83	$78,644.00	—	$7,650.93	$26,632.22	$26,632.22	2026-07-17
27485	CPT	Surgery To Stop Leg Growth	121	83	$78,644.00	—	$7,650.93	$26,632.22	$26,632.22	2026-07-17
27637	CPT	Remove/graft Leg Bone Lesion	121	83	$78,644.00	—	$7,650.93	$26,632.22	$26,632.22	2026-07-17
27479	CPT	Surgery To Stop Leg Growth	121	83	$78,644.00	—	$7,650.93	$26,632.22	$26,632.22	2026-07-17
464	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	99	76	$131,476.37	—	$22,153.89	$44,565.13	$26,474.95	2026-07-17
33979	CPT	Insert Intracorporeal Device	83	53	$52,389.00	—	$26,127.95	$26,127.95	$26,127.95	2026-07-17
33775	CPT	Repair Great Vessels Defect	83	53	$52,389.00	—	$26,127.95	$26,127.95	$26,127.95	2026-07-17
33977	CPT	Remove Ventricular Device	83	53	$52,389.00	—	$26,127.95	$26,127.95	$26,127.95	2026-07-17
33978	CPT	Remove Ventricular Device	83	53	$52,389.00	—	$26,127.95	$26,127.95	$26,127.95	2026-07-17
33975	CPT	Implant Ventricular Device	83	53	$52,389.00	—	$26,127.95	$26,127.95	$26,127.95	2026-07-17
33777	CPT	Repair Great Vessels Defect	83	53	$52,389.00	—	$26,127.95	$26,127.95	$26,127.95	2026-07-17
33776	CPT	Repair Great Vessels Defect	83	53	$52,389.00	—	$26,127.95	$26,127.95	$26,127.95	2026-07-17
33774	CPT	Repair Great Vessels Defect	83	53	$52,389.00	—	$26,127.95	$26,127.95	$26,127.95	2026-07-17
27447	CPT	Total Knee Arthroplasty	121	83	$66,276.89	—	$13,780.36	$26,110.48	$26,110.48	2026-07-17
24538	CPT	Treat Humerus Fracture	121	83	$76,637.97	—	$7,650.93	$26,050.47	$26,050.47	2026-07-17
24400	CPT	Revision Of Humerus	121	83	$76,637.97	—	$7,650.93	$26,050.47	$26,050.47	2026-07-17
23078	CPT	Resect Shoulder Tumor 5 Cm/>	121	83	$84,504.00	—	$3,065.26	$26,038.79	$26,038.79	2026-07-17
23077	CPT	Resect Shoulder Tumor < 5 Cm	121	83	$84,504.00	—	$3,065.26	$26,038.79	$26,038.79	2026-07-17
50830	CPT	Revise Urine Flow	83	53	$44,852.43	—	$26,014.41	$26,014.41	$26,014.41	2026-07-17
469	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	99	76	$94,372.00	—	$24,509.22	$43,399.03	$25,782.20	2026-07-17
37277	CPT	Revsc Evasc Fpvt St Athrc Cplx Les 1st V	83	53	$44,439.00	—	$25,774.62	$25,774.62	$25,774.62	2026-07-17
27130	CPT	Total Hip Arthroplasty	121	83	$64,226.35	—	$13,780.36	$25,515.82	$25,515.82	2026-07-17
C1722	HCPCS	Aicd Single Chamber	83	53	$43,450.00	—	$25,201.00	$25,201.00	$25,201.00	2026-07-17
37294	CPT	Revsc Evasc Tpvt St Athrc Cplx Les 1st V	83	53	$43,258.00	—	$25,089.64	$25,089.64	$25,089.64	2026-07-17
27350	CPT	Removal Of Kneecap	121	83	$72,540.50	—	$7,650.93	$24,862.21	$24,862.21	2026-07-17
480	MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	99	76	$59,966.96	—	$22,097.97	$41,669.19	$24,754.55	2026-07-17
27635	CPT	Remove Lower Leg Bone Lesion	121	83	$78,644.00	—	$3,474.98	$24,544.25	$24,544.25	2026-07-17
27641	CPT	Partial Removal Of Fibula	121	83	$78,644.00	—	$3,474.98	$24,544.25	$24,544.25	2026-07-17
27360	CPT	Partial Removal Leg Bone(s)	121	83	$78,644.00	—	$3,474.98	$24,544.25	$24,544.25	2026-07-17
521	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	99	76	$67,831.39	—	$21,904.45	$41,066.82	$24,396.70	2026-07-17
4169F	CPT	No Pt Care Icu/vent In 24hrs	83	53	$41,797.90	—	$24,242.78	$24,242.78	$24,242.78	2026-07-17
23335	CPT	Shoulder Prosthesis Removal	83	53	$41,577.00	—	$24,114.66	$24,114.66	$24,114.66	2026-07-17
27418	CPT	Repair Degenerated Kneecap	121	83	$69,925.50	—	$7,650.93	$24,103.86	$24,103.86	2026-07-17
24470	CPT	Revision Of Elbow Joint	121	83	$76,637.97	—	$3,474.98	$23,962.50	$23,962.50	2026-07-17
483	MS_DRG	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	99	76	$74,868.34	—	$19,207.71	$39,660.35	$23,561.15	2026-07-17
24587	CPT	Treat Elbow Fracture	121	83	$57,459.82	—	$13,780.36	$23,553.53	$23,553.53	2026-07-17
37275	CPT	Revsc Evasc Fpvt St Athrc Sf Les 1st Vsl	83	53	$40,439.00	—	$23,454.62	$23,454.62	$23,454.62	2026-07-17
208	MS_DRG	Respiratory System Diagnosis With Ventilator Support <=96 Hours	99	76	$56,668.63	—	$20,205.47	$39,328.40	$23,363.95	2026-07-17
468	MS_DRG	Revision Of Hip Or Knee Replacement Without Cc/mcc	99	76	$91,699.19	—	$19,760.30	$39,318.38	$23,358.00	2026-07-17
27415	CPT	Osteochondral Knee Allograft	121	83	$56,735.70	—	$13,780.36	$23,343.53	$23,343.53	2026-07-17
24666	CPT	Treat Radius Fracture	121	83	$56,364.63	—	$13,780.36	$23,235.92	$23,235.92	2026-07-17
321	MS_DRG	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	99	76	$61,366.39	—	$21,404.84	$38,929.21	$23,126.80	2026-07-17
37290	CPT	Revsc Evasc Tpvt Athrc Cplx Les 1st Vsl	83	53	$39,801.00	—	$23,084.58	$23,084.58	$23,084.58	2026-07-17
37286	CPT	Revsc Evasc Tpvt St Cplx 1st	83	53	$39,801.00	—	$23,084.58	$23,084.58	$23,084.58	2026-07-17
C1781	HCPCS	Mesh (implantable)	83	53	$39,501.00	—	$22,910.58	$22,910.58	$22,910.58	2026-07-17
C1713	HCPCS	Anchor/screw Bn/bntis/bn	83	53	$39,281.00	—	$22,782.98	$22,782.98	$22,782.98	2026-07-17
37292	CPT	Revsc Evasc Tpvt St Athrc Sf Les 1st Vsl	83	53	$39,258.00	—	$22,769.64	$22,769.64	$22,769.64	2026-07-17
24410	CPT	Revision Of Humerus	121	83	$54,219.21	—	$13,780.36	$22,613.75	$22,613.75	2026-07-17
462	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	99	76	$89,715.38	—	$21,529.92	$38,059.28	$22,610.00	2026-07-17
27427	CPT	Reconstruction Knee	121	83	$64,714.60	—	$7,650.93	$22,592.70	$22,592.70	2026-07-17
577	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	99	76	$29,904.25	—	$20,050.95	$37,926.22	$22,530.95	2026-07-17
35363	CPT	Rechanneling Of Artery	83	53	$43,916.00	—	$22,508.15	$22,508.15	$22,508.15	2026-07-17
33322	CPT	Repair Major Blood Vessel(s)	83	53	$63,158.00	—	$22,508.15	$22,508.15	$22,508.15	2026-07-17
33970	CPT	Aortic Circulation Assist	83	53	$26,456.75	—	$22,508.15	$22,508.15	$22,508.15	2026-07-17
33973	CPT	Insert Balloon Device	83	53	$26,456.75	—	$22,508.15	$22,508.15	$22,508.15	2026-07-17
33320	CPT	Repair Major Blood Vessel(s)	83	53	$63,158.00	—	$22,508.15	$22,508.15	$22,508.15	2026-07-17
33321	CPT	Repair Major Vessel	83	53	$63,158.00	—	$22,508.15	$22,508.15	$22,508.15	2026-07-17
35221	CPT	Repair Blood Vessel Lesion	83	53	$63,158.00	—	$22,508.15	$22,508.15	$22,508.15	2026-07-17
24685	CPT	Treat Ulnar Fracture	121	83	$64,031.00	—	$7,650.93	$22,394.46	$22,394.46	2026-07-17
25652	CPT	Treat Fracture Ulnar Styloid	121	83	$64,031.00	—	$7,650.93	$22,394.46	$22,394.46	2026-07-17
25545	CPT	Treat Fracture Of Ulna	121	83	$64,031.00	—	$7,650.93	$22,394.46	$22,394.46	2026-07-17
27430	CPT	Revision Of Thigh Muscles	121	83	$62,900.13	—	$7,650.93	$22,066.51	$22,066.51	2026-07-17
27385	CPT	Repair Of Thigh Muscle	121	83	$62,900.13	—	$7,650.93	$22,066.51	$22,066.51	2026-07-17
27386	CPT	Repair/graft Of Thigh Muscle	121	83	$62,900.13	—	$7,650.93	$22,066.51	$22,066.51	2026-07-17
253	MS_DRG	Other Vascular Procedures With Cc	99	76	$48,010.00	—	$19,243.03	$37,137.84	$22,062.60	2026-07-17
344	MS_DRG	Minor Small And Large Bowel Procedures With Mcc	99	76	$172,547.00	—	$20,284.20	$36,954.70	$21,953.80	2026-07-17
23473	CPT	Revis Reconst Shoulder Joint	121	83	$51,688.02	—	$13,780.36	$21,879.71	$21,879.71	2026-07-17
272	MS_DRG	Other Major Cardiovascular Procedures Without Cc/mcc	99	76	$54,392.50	—	$18,869.23	$36,528.32	$21,700.50	2026-07-17
493	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	99	76	$67,882.33	—	$18,124.59	$36,286.52	$21,556.85	2026-07-17
27495	CPT	Reinforce Thigh	83	53	$36,557.00	—	$21,203.06	$21,203.06	$21,203.06	2026-07-17
27380	CPT	Repair Of Kneecap Tendon	121	83	$59,737.40	—	$7,650.93	$21,149.31	$21,149.31	2026-07-17
982	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	99	76	$53,862.28	—	$18,472.63	$35,176.22	$20,897.25	2026-07-17
C1776	HCPCS	Joint Device (implantable)	83	53	$36,002.20	—	$20,881.28	$20,881.28	$20,881.28	2026-07-17
C1876	HCPCS	Stent Graft Etuf3614	83	53	$35,910.00	—	$20,827.80	$20,827.80	$20,827.80	2026-07-17
37284	CPT	Revsc Evasc Tpvt St Plmt Sf Les 1st Vsl	83	53	$35,801.00	—	$20,764.58	$20,764.58	$20,764.58	2026-07-17
37288	CPT	Revsc Evasc Tpvt Athrc Sf Les 1st Vsl	83	53	$35,801.00	—	$20,764.58	$20,764.58	$20,764.58	2026-07-17
24635	CPT	Treat Elbow Fracture	121	83	$57,459.82	—	$7,650.93	$20,488.81	$20,488.81	2026-07-17
25420	CPT	Repair/graft Radius & Ulna	121	83	$57,459.82	—	$7,650.93	$20,488.81	$20,488.81	2026-07-17
25415	CPT	Repair Radius & Ulna	121	83	$57,459.82	—	$7,650.93	$20,488.81	$20,488.81	2026-07-17
25609	CPT	Treat Fx Radial 3+ Frag	121	83	$57,459.82	—	$7,650.93	$20,488.81	$20,488.81	2026-07-17
25574	CPT	Treat Fracture Radius & Ulna	121	83	$57,459.82	—	$7,650.93	$20,488.81	$20,488.81	2026-07-17
25575	CPT	Treat Fracture Radius/ulna	121	83	$57,459.82	—	$7,650.93	$20,488.81	$20,488.81	2026-07-17
25526	CPT	Treat Fracture Of Radius	121	83	$57,459.82	—	$7,650.93	$20,488.81	$20,488.81	2026-07-17
25525	CPT	Treat Fracture Of Radius	121	83	$57,459.82	—	$7,650.93	$20,488.81	$20,488.81	2026-07-17
25400	CPT	Repair Radius Or Ulna	121	83	$57,459.82	—	$7,650.93	$20,488.81	$20,488.81	2026-07-17
330	MS_DRG	Major Small And Large Bowel Procedures With Cc	99	76	$50,129.52	—	$17,850.14	$34,299.14	$20,376.20	2026-07-17
417	MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	99	76	$46,750.79	—	$17,944.32	$34,144.61	$20,284.40	2026-07-17
24665	CPT	Treat Radius Fracture	121	83	$56,364.63	—	$7,650.93	$20,171.21	$20,171.21	2026-07-17
25607	CPT	Treat Fx Rad Extra-articul	121	83	$56,364.63	—	$7,650.93	$20,171.21	$20,171.21	2026-07-17
25608	CPT	Treat Fx Rad Intra-articul	121	83	$56,364.63	—	$7,650.93	$20,171.21	$20,171.21	2026-07-17
25515	CPT	Treat Fracture Of Radius	121	83	$56,364.63	—	$7,650.93	$20,171.21	$20,171.21	2026-07-17
C1721	HCPCS	Aicd Dual Chamber	83	53	$34,747.00	—	$20,153.26	$20,153.26	$20,153.26	2026-07-17
27187	CPT	Reinforce Hip Bones	83	53	$34,275.89	—	$19,880.02	$19,880.02	$19,880.02	2026-07-17
357	MS_DRG	Other Digestive System O.r. Procedures With Cc	99	76	$22,768.00	—	$17,028.24	$33,273.25	$19,766.75	2026-07-17
827	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	99	76	$66,680.95	—	$17,822.17	$33,068.65	$19,645.20	2026-07-17
27177	CPT	Treat Slipped Epiphysis	83	53	$33,515.52	—	$19,439.00	$19,439.00	$19,439.00	2026-07-17
23515	CPT	Treat Clavicle Fracture	121	83	$53,624.50	—	$7,650.93	$19,376.57	$19,376.57	2026-07-17
475	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	99	76	$24,503.00	—	$16,331.42	$32,560.72	$19,343.45	2026-07-17
85	MS_DRG	Traumatic Stupor And Coma <1 Hour With Mcc	99	76	$59,426.00	—	$17,131.25	$32,506.35	$19,311.15	2026-07-17
817	MS_DRG	Other Antepartum Diagnoses With O.r. Procedures With Mcc	99	76	$26,804.00	—	$14,348.00	$24,151.90	$19,111.32	2026-07-17
23630	CPT	Treat Humerus Fracture	121	83	$51,698.60	—	$7,650.93	$18,818.06	$18,818.06	2026-07-17
286	MS_DRG	Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc	99	76	$21,410.33	—	$16,743.48	$31,660.74	$18,808.80	2026-07-17
33221	CPT	Insert Pulse Gen Mult Leads	121	83	$22,346.00	—	$16,511.15	$20,425.21	$18,468.18	2026-07-17
33274	CPT	Tcat Insj/rpl Perm Ldls Pm	121	83	$140,407.00	—	$16,511.15	$20,425.21	$18,468.18	2026-07-17
33229	CPT	Remv&replc Pm Gen Mult Leads	121	83	$62,113.95	—	$16,511.15	$20,425.21	$18,468.18	2026-07-17
37269	CPT	Revsc Evasc Fpvt St Cplx 1st	83	53	$31,476.00	—	$18,256.08	$18,256.08	$18,256.08	2026-07-17
814	MS_DRG	Reticuloendothelial And Immunity Disorders With Mcc	99	76	$10,787.00	—	$15,839.90	$30,428.82	$18,076.95	2026-07-17
522	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc	99	76	$54,525.67	—	$15,969.40	$30,300.05	$18,000.45	2026-07-17
336	MS_DRG	Peritoneal Adhesiolysis With Cc	99	76	$51,339.75	—	$16,000.31	$30,171.28	$17,923.95	2026-07-17
21502	CPT	Drain Chest Lesion	121	83	$55,457.08	—	$3,474.98	$17,820.04	$17,820.04	2026-07-17
481	MS_DRG	Hip And Femur Procedures Except Major Joint With Cc	99	76	$52,413.77	—	$15,725.11	$29,968.11	$17,803.25	2026-07-17
486	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Cc	99	76	$52,258.50	—	$16,063.59	$29,919.46	$17,774.35	2026-07-17
314	MS_DRG	Other Circulatory System Diagnoses With Mcc	99	76	$28,669.88	—	$16,303.46	$29,835.04	$17,724.20	2026-07-17
511	MS_DRG	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc	99	76	$48,916.50	—	$14,888.50	$29,752.06	$17,674.90	2026-07-17
21501	CPT	Drain Neck/chest Lesion	121	83	$55,457.08	—	$3,065.26	$17,615.19	$17,615.19	2026-07-17
27409	CPT	Repair Of Knee Ligaments	121	83	$46,840.60	—	$7,650.93	$17,409.24	$17,409.24	2026-07-17
27654	CPT	Repair Of Achilles Tendon	121	83	$46,742.90	—	$7,650.93	$17,380.90	$17,380.90	2026-07-17
23550	CPT	Treat Clavicle Dislocation	121	83	$46,677.90	—	$7,650.93	$17,362.06	$17,362.06	2026-07-17
27407	CPT	Repair Of Knee Ligament	121	83	$46,662.00	—	$7,650.93	$17,357.44	$17,357.44	2026-07-17
27509	CPT	Treatment Of Thigh Fracture	121	83	$46,321.39	—	$7,650.93	$17,258.67	$17,258.67	2026-07-17
941	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…	99	76	$48,199.00	—	$14,837.73	$29,012.33	$17,235.45	2026-07-17
64	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	99	76	$49,954.00	—	$15,094.52	$28,773.39	$17,093.50	2026-07-17
27566	CPT	Treat Kneecap Dislocation	121	83	$45,642.60	—	$7,650.93	$17,061.82	$17,061.82	2026-07-17
494	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc	99	76	$48,491.00	—	$14,330.75	$28,709.00	$17,055.25	2026-07-17
854	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Cc	99	76	$39,339.31	—	$15,160.01	$28,588.81	$16,983.85	2026-07-17
908	MS_DRG	Other O.r. Procedures For Injuries With Cc	99	76	$39,522.58	—	$15,299.82	$28,547.32	$16,959.20	2026-07-17
37260	CPT	Revsc Evasc Ivt St Cplx 1st	83	53	$29,239.00	—	$16,958.62	$16,958.62	$16,958.62	2026-07-17
283	MS_DRG	Acute Myocardial Infarction, Expired With Mcc	99	76	$17,457.50	—	$14,845.82	$28,341.29	$16,836.80	2026-07-17
27235	CPT	Treat Thigh Fracture	121	83	$44,794.86	—	$7,650.93	$16,815.97	$16,815.97	2026-07-17
26861	CPT	Fusion Of Finger Jnt Add-on	83	53	$28,821.80	—	$16,716.64	$16,716.64	$16,716.64	2026-07-17
871	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	99	76	$31,850.56	—	$14,895.12	$27,793.29	$16,511.25	2026-07-17
33990	CPT	Impella Insertion	83	53	$2,272.00	—	$16,511.15	$16,511.15	$16,511.15	2026-07-17
33967	CPT	Insert I-aort Percut Device	83	53	$26,456.75	—	$16,511.15	$16,511.15	$16,511.15	2026-07-17
33225	CPT	L Ventric Pacing Lead Add-on	83	53	$72,330.10	—	$16,511.15	$16,511.15	$16,511.15	2026-07-17
24342	CPT	Repair Of Ruptured Tendon	121	83	$43,680.00	—	$7,650.93	$16,492.67	$16,492.67	2026-07-17
25290	CPT	Incise Wrist/forearm Tendon	121	83	$50,561.00	—	$3,474.98	$16,400.18	$16,400.18	2026-07-17
470	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …	99	76	$60,134.17	—	$14,331.49	$27,598.70	$16,395.65	2026-07-17
23430	CPT	Repair Biceps Tendon	121	83	$43,266.90	—	$7,650.93	$16,372.86	$16,372.86	2026-07-17
75	MS_DRG	Viral Meningitis With Cc/mcc	99	76	$25,054.00	—	$13,131.38	$27,435.59	$16,298.75	2026-07-17
43335	CPT	Transthor Diaphrag Hern Rpr	83	53	$41,916.00	—	$16,190.09	$16,190.09	$16,190.09	2026-07-17
43283	CPT	Lap Esoph Lengthening	83	53	$41,916.00	—	$16,190.09	$16,190.09	$16,190.09	2026-07-17
23410	CPT	Repair Rotator Cuff Acute	121	83	$42,626.20	—	$7,650.93	$16,187.07	$16,187.07	2026-07-17
27441	CPT	Revision Of Knee Joint	121	83	$31,287.00	—	$13,780.36	$15,963.41	$15,963.41	2026-07-17
C9602	HCPCS	Perc D-e Cor Stent Ather S	121	83	$73,147.00	—	$12,688.27	$19,231.65	$15,959.96	2026-07-17
C9607	HCPCS	Cto Des/bms + Any Combo Of Tx	121	83	$14,613.00	—	$12,688.27	$19,231.65	$15,959.96	2026-07-17
92933	CPT	Atherectomy W Bm Stent Includes Ptca	121	83	$45,102.00	—	$12,688.27	$19,231.65	$15,959.96	2026-07-17
37267	CPT	Revsc Evasc Fpvt St Plmnt Sf 1st Vsl	83	53	$27,476.00	—	$15,936.08	$15,936.08	$15,936.08	2026-07-17
617	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	99	76	$35,877.03	—	$14,670.70	$26,760.25	$15,897.55	2026-07-17
27065	CPT	Remove Hip Bone Les Super	121	83	$41,476.90	—	$7,650.93	$15,853.76	$15,853.76	2026-07-17
559	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Mcc	99	76	$18,638.00	—	$14,116.63	$26,682.99	$15,851.65	2026-07-17
37295	CPT	Revsc Evsc Tpvt St Athrc Cplx Ea Add Vsl	83	53	$27,206.00	—	$15,779.48	$15,779.48	$15,779.48	2026-07-17
754	MS_DRG	Malignancy, Female Reproductive System With Mcc	99	76	$11,956.00	—	$13,770.80	$26,351.04	$15,654.45	2026-07-17
435	MS_DRG	Malignancy Of Hepatobiliary System Or Pancreas With Mcc	99	76	$37,751.00	—	$13,883.38	$26,279.50	$15,611.95	2026-07-17
742	MS_DRG	Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc	99	76	$33,643.00	—	$13,898.83	$26,252.32	$15,595.80	2026-07-17
377	MS_DRG	Gastrointestinal Hemorrhage With Mcc	99	76	$47,645.50	—	$13,836.29	$26,155.02	$15,538.00	2026-07-17
27675	CPT	Repair Lower Leg Tendons	121	83	$47,134.50	—	$3,474.98	$15,406.50	$15,406.50	2026-07-17
496	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	99	76	$34,175.00	—	$14,975.32	$25,810.20	$15,333.15	2026-07-17
37242	CPT	Arterial Coil Embolization	121	83	$17,409.00	—	$11,350.02	$19,231.65	$15,290.83	2026-07-17
0238T	CPT	Atherectomy Iliac	121	83	$42,235.00	—	$11,350.02	$19,231.65	$15,290.83	2026-07-17
548	MS_DRG	Septic Arthritis With Mcc	46	38	$5,276.00	—	$15,281.42	$15,281.42	$15,281.42	2026-07-17
441	MS_DRG	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc	99	76	$21,233.00	—	$14,367.54	$25,678.57	$15,254.95	2026-07-17
623	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	99	76	$33,666.11	—	$14,532.37	$25,667.12	$15,248.15	2026-07-17
505	MS_DRG	Foot Procedures Without Cc/mcc	99	76	$51,497.00	—	$13,371.26	$25,651.38	$15,238.80	2026-07-17
25448	CPT	Arthrp Ntrcrpl/crp/mtcrp Ssp	121	83	$46,261.00	—	$3,474.98	$15,153.18	$15,153.18	2026-07-17
254	MS_DRG	Other Vascular Procedures Without Cc/mcc	99	76	$43,916.00	—	$13,330.05	$25,492.56	$15,144.45	2026-07-17
62360	CPT	Insert Spine Infusion Device	121	83	$24,500.50	—	$11,107.21	$18,928.98	$15,018.09	2026-07-17
322	MS_DRG	Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc	99	76	$46,318.76	—	$13,770.07	$25,225.00	$14,985.50	2026-07-17
27665	CPT	Repair Of Leg Tendon Each	121	83	$38,158.80	—	$7,650.93	$14,891.51	$14,891.51	2026-07-17
432	MS_DRG	Cirrhosis And Alcoholic Hepatitis With Mcc	75	57	$8,749.00	—	$14,873.05	$20,577.53	$14,873.05	2026-07-17
501	MS_DRG	Soft Tissue Procedures With Cc	99	76	$42,674.05	—	$13,589.79	$25,011.81	$14,858.85	2026-07-17
23412	CPT	Repair Rotator Cuff Chronic	121	83	$38,037.90	—	$7,650.93	$14,856.45	$14,856.45	2026-07-17
896	MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc	93	73	$19,661.00	—	$13,561.10	$24,968.89	$14,833.35	2026-07-17
24340	CPT	Repair Of Biceps Tendon	121	83	$37,820.10	—	$7,650.93	$14,793.30	$14,793.30	2026-07-17
C9765	HCPCS	Revasc Intra Lithotrip-stent	121	83	$42,236.00	—	$10,201.79	$19,231.65	$14,716.72	2026-07-17
37184	CPT	Prim Art M-thrmbc 1st Vsl	121	83	$31,526.12	—	$10,201.79	$19,231.65	$14,716.72	2026-07-17
37282	CPT	Revsc Evasc Tpvt Angiop Uni Cplx 1st Vsl	83	53	$25,353.00	—	$14,704.74	$14,704.74	$14,704.74	2026-07-17
580	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Cc	99	76	$27,918.13	—	$13,503.70	$24,724.22	$14,688.00	2026-07-17
37258	CPT	Revsc Evasc Ivt St Plmt Sf 1st Vsl	83	53	$25,239.00	—	$14,638.62	$14,638.62	$14,638.62	2026-07-17
19357	CPT	Breast Reconstruction	121	83	$101,077.00	—	$10,524.09	$18,633.63	$14,578.86	2026-07-17
983	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc	99	76	$35,490.50	—	$12,732.57	$24,523.91	$14,569.00	2026-07-17
256	MS_DRG	Upper Limb And Toe Amputation For Circulatory System Disorders With Cc	99	76	$20,955.48	—	$12,920.20	$24,293.55	$14,432.15	2026-07-17
418	MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. With Cc	99	76	$32,605.00	—	$12,660.46	$24,203.41	$14,378.60	2026-07-17
571	MS_DRG	Skin Debridement With Cc	99	76	$56,362.00	—	$12,777.46	$24,173.37	$14,360.75	2026-07-17
331	MS_DRG	Major Small And Large Bowel Procedures Without Cc/mcc	99	76	$32,872.81	—	$12,606.01	$24,078.93	$14,304.65	2026-07-17
551	MS_DRG	Medical Back Problems With Mcc	99	76	$30,002.14	—	$13,013.65	$23,981.64	$14,246.85	2026-07-17
23405	CPT	Incision Of Tendon & Muscle	121	83	$35,584.00	—	$7,650.93	$14,144.83	$14,144.83	2026-07-17
24341	CPT	Repair Arm Tendon/muscle	121	83	$35,584.00	—	$7,650.93	$14,144.83	$14,144.83	2026-07-17
512	MS_DRG	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/…	99	76	$60,425.06	—	$12,288.14	$23,685.46	$14,070.90	2026-07-17
698	MS_DRG	Other Kidney And Urinary Tract Diagnoses With Mcc	99	76	$98,804.00	—	$12,826.02	$23,671.16	$14,062.40	2026-07-17
26352	CPT	Repair/graft Hand Tendon	121	83	$35,245.00	—	$7,650.93	$14,046.51	$14,046.51	2026-07-17
26358	CPT	Repair/graft Hand Tendon	121	83	$35,245.00	—	$7,650.93	$14,046.51	$14,046.51	2026-07-17
26372	CPT	Repair/graft Hand Tendon	121	83	$35,245.00	—	$7,650.93	$14,046.51	$14,046.51	2026-07-17
30469	CPT	Rpr Nsl Vlv Collapse W/rmdlg	121	83	$41,827.10	—	$3,786.86	$14,023.29	$14,023.29	2026-07-17
783	MS_DRG	Cesarean Section With Sterilization With Mcc	99	76	$13,923.50	—	$9,148.00	$35,127.57	$14,012.15	2026-07-17
988	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	99	76	$23,179.00	—	$13,084.29	$23,516.63	$13,970.60	2026-07-17
31242	CPT	Nsl/sinus Ndsc Rf Abltj Pnn	121	83	$36,919.10	—	$6,335.67	$13,874.38	$13,874.38	2026-07-17
482	MS_DRG	Hip And Femur Procedures Except Major Joint Without Cc/mcc	99	76	$33,582.08	—	$12,130.68	$23,336.35	$13,863.50	2026-07-17
33214	CPT	Upgrade From Ssi To Ddd	121	83	$30,279.00	—	$11,208.37	$16,511.15	$13,859.76	2026-07-17
33206	CPT	Insert Heart Pm Atrial	121	83	$24,193.00	—	$11,208.37	$16,511.15	$13,859.76	2026-07-17
33207	CPT	Insert Heart Pm Ventricular	121	83	$42,217.40	—	$11,208.37	$16,511.15	$13,859.76	2026-07-17
33224	CPT	Add Lv Lead Prev Ppm/icd Gen W Revis Pck	121	83	$29,937.00	—	$11,208.37	$16,511.15	$13,859.76	2026-07-17
33228	CPT	Remv&replc Pm Gen Dual Lead	121	83	$62,113.95	—	$11,208.37	$16,511.15	$13,859.76	2026-07-17
33208	CPT	Insrt Heart Pm Atrial & Vent	121	83	$62,113.95	—	$11,208.37	$16,511.15	$13,859.76	2026-07-17
33213	CPT	Insert Pulse Gen Dual Leads	121	83	$62,113.95	—	$11,208.37	$16,511.15	$13,859.76	2026-07-17
C1874	HCPCS	Graft Aaa Gore Repositional Trunk	83	53	$23,667.00	—	$13,726.86	$13,726.86	$13,726.86	2026-07-17
789	MS_DRG	Neonates, Died Or Transferred To Another Acute Care Facility	75	57	$7,010.00	—	$2,300.00	$16,970.40	$13,721.50	2026-07-17
37291	CPT	Revsc Evasc Tpvt Athrc Cplx Les Ea Add V	83	53	$23,611.00	—	$13,694.38	$13,694.38	$13,694.38	2026-07-17
4190F	CPT	Approp Diuretic Tstng Done	83	53	$23,594.74	—	$13,684.95	$13,684.95	$13,684.95	2026-07-17
43282	CPT	Lap Paraesoph Her Rpr W/mesh	121	83	$41,916.00	—	$11,150.42	$16,190.09	$13,670.25	2026-07-17
43281	CPT	Lap Paraesophag Hern Repair	121	83	$51,613.00	—	$11,150.42	$16,190.09	$13,670.25	2026-07-17
578	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc	99	76	$28,548.00	—	$12,895.92	$22,984.37	$13,654.40	2026-07-17
280	MS_DRG	Acute Myocardial Infarction, Discharged Alive With Mcc	99	76	$35,062.71	—	$12,535.38	$22,951.46	$13,634.85	2026-07-17
393	MS_DRG	Other Digestive System Diagnoses With Mcc	99	76	$18,465.00	—	$12,642.80	$22,882.78	$13,594.05	2026-07-17
23334	CPT	Shoulder Prosthesis Removal	121	83	$41,577.00	—	$3,065.26	$13,589.96	$13,589.96	2026-07-17
27043	CPT	Exc Hip Pelvis Les Sc 3 Cm/>	121	83	$41,476.90	—	$3,065.26	$13,560.93	$13,560.93	2026-07-17
27086	CPT	Remove Hip Foreign Body	121	83	$41,476.90	—	$3,065.26	$13,560.93	$13,560.93	2026-07-17

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