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

MONUMENT HEALTH RAPID CITY HOSPITAL

Rapid City, SD · CCN 430077 · Rates published

6,269 distinct procedures filed
43 distinct payers
837,218 rate rows
2025-07-01 last MRF observed · ⚠ 12 mo old
Data quality

829,491 of 837,218 rate rows are consumer-grade (99.1%)

7,727 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
exceeds 10× this hospital's gross charge — excluded from medians 3,206
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,980
placeholder amount (≤ $0.02) — excluded from medians 587
template filing: same amount across many unrelated codes — excluded 552
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 209
per-diem day rate — not a per-procedure price 140
percent-of-charges filed in the dollar field — excluded from medians 32
exceeds 3× this hospital's gross charge for a DRG stay — excluded 18
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 3

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://monument.health/wp-content/uploads/2025/07/460319070_Monument-Health-Rapid-City-Hospital_standardcharges.csv
Found on page https://monument.health/price-transparency-cost-estimate/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 43107e83dd91b329… · 215,505,519 bytes · first seen 2026-05-09

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
589
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $323,060.00 $323,060.00 $323,060.00 nat. median
$79,557
outlier · 4.1×
593
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $286,685.00 $527,799.10 $286,685.00 nat. median
$13,182
outlier · 21.7×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With McC 9 $183,031.13 $377,249.89 $252,721.83 nat. median
$265,286
1.0× median
179
APR_DRG 		Defibrillator Implants 2 $209,301.94 $211,749.01 $209,301.94 nat. median
$43,874
outlier · 4.8×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $139,257.61 $453,625.91 $198,833.36 nat. median
$202,976
1.0× median
178
APR_DRG 		External Heart Assist Devices 2 $160,612.00 $166,293.00 $166,293.00 nat. median
$49,651
outlier · 3.3×
591
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $159,144.00 $159,144.00 $159,144.00 nat. median
$6,529
outlier · 24.4×
22842
CPT 		Posterior Segmental Instrumentation 3-6 Vrt Seg 26 $154,525.77 $154,525.77 $154,525.77 nat. median
$2,528
outlier · 61.1×
22633
CPT 		Arthrodesis Combined Tq 1ntrspc Lumbar 31 $5,479.00 $154,525.77 $154,525.77 nat. median
$17,658
outlier · 8.8×
22614
CPT 		Arthrodesis Pst/Pstlat Tq 1ntrspc Ea Addl Ntrspc 26 $154,525.77 $154,525.77 $154,525.77 nat. median
$2,234
outlier · 69.2×
61783
CPT 		Stereotactic Comp Assist Proc,Spinal 32 $9,088.00 $154,525.77 $154,525.77 nat. median
$1,778
outlier · 86.9×
5
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 $148,332.00 $478,879.89 $148,332.00 nat. median
$95,473
1.6× median
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $141,114.00 $145,985.00 $145,985.00 nat. median
$123,597
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $91,813.49 $390,255.69 $137,092.36 nat. median
$133,161
1.0× median
9
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 2 $131,179.00 $135,818.00 $135,818.00 nat. median
$167,999
0.8× median
162
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 $135,358.00 $135,408.00 $135,408.00 nat. median
$72,907
1.9× median
163
APR_DRG 		Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 $116,100.15 $134,232.78 $134,232.78 nat. median
$58,634
outlier · 2.3×
303
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 $132,656.23 $132,656.23 $132,656.23 nat. median
$27,905
outlier · 4.8×
183
APR_DRG 		Percutaneous Structural Cardiac Procedures 2 $124,648.00 $164,621.50 $124,648.00 nat. median
$44,821
outlier · 2.8×
49
APR_DRG 		Bacterial And Tuberculous Infections Of Nervous System 2 $32,484.00 $117,451.61 $117,451.61 nat. median
$27,955
outlier · 4.2×
130
APR_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 $104,059.00 $107,739.00 $107,739.00 nat. median
$60,050
1.8× median
910
APR_DRG 		Craniotomy For Multiple Significant Trauma 2 $102,599.00 $102,599.00 $102,599.00 nat. median
$39,934
outlier · 2.6×
64569
CPT 		Revise/Replace Cranial Nerve Stim Electrode/Connect Pulse Gen 34 $5,851.00 $102,050.46 $102,050.46 nat. median
$11,777
outlier · 8.7×
64568
CPT 		Open Implantation Cranial Nerve Nea & Pulse Gen 43 $5,853.00 $134,781.99 $97,396.82 nat. median
$27,591
outlier · 3.5×
603
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $96,669.00 $107,168.00 $96,669.00 nat. median
$48,761
2.0× median
35216
CPT 		Rebl Ves Direct Chest 29 $28,308.00 $106,245.86 $92,825.30 nat. median
$3,824
outlier · 24.3×
622
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 $51,815.65 $91,966.72 $91,966.72 nat. median
$27,586
outlier · 3.3×
33249
CPT 		Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr 43 $5,603.00 $134,961.73 $91,842.40 nat. median
$31,833
outlier · 2.9×
22840
CPT 		Posterior Non-segmental Instrumentation 29 $25,383.00 $107,029.46 $91,560.35 nat. median
$2,405
outlier · 38.1×
304
APR_DRG 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 $90,091.00 $90,986.14 $90,091.00 nat. median
$37,088
outlier · 2.4×
165
APR_DRG 		Coronary Bypass With Ami Or Complex Principal Diagnosis 2 $89,636.00 $108,239.16 $89,636.00 nat. median
$50,671
1.8× median
33276
CPT 		Insertion Phrenic Nerve Stimulator System 43 $1,692.00 $128,690.39 $89,332.15 nat. median
$43,787
outlier · 2.0×
169
APR_DRG 		Major Abdominal Vascular Procedures 2 $89,124.00 $93,483.00 $89,124.00 nat. median
$39,932
outlier · 2.2×
447
APR_DRG 		Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 2 $47,276.00 $88,502.97 $88,502.97 nat. median
$20,573
outlier · 4.3×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With McC 7 $82,641.51 $126,465.35 $86,436.27 nat. median
$87,428
1.0× median
59
APR_DRG 		Anoxic And Other Severe Brain Damage 2 $16,367.00 $83,966.84 $83,966.84 nat. median
$10,083
outlier · 8.3×
33271
CPT 		Insj Of Subq Implantable Defibrillator Electrode 43 $1,599.00 $114,040.74 $83,467.99 nat. median
$8,455
outlier · 9.9×
29
APR_DRG 		Other Percutaneous Intracranial Procedures 2 $63,775.00 $83,460.00 $83,460.00 nat. median
$34,807
outlier · 2.4×
166
APR_DRG 		Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 $82,515.00 $91,762.64 $82,515.00 nat. median
$43,807
1.9× median
33241
CPT 		Removal Implantable Defib Pulse Generator Only 34 $5,592.00 $79,228.87 $79,228.87 nat. median
$4,426
outlier · 17.9×
61885
CPT 		Imp Stim,Cranial,Subq,1 Array 43 $5,852.00 $92,995.20 $78,065.79 nat. median
$20,011
outlier · 3.9×
160
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 2 $78,046.38 $78,046.38 $78,046.38 nat. median
$71,750
1.1× median
612
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 $75,964.00 $110,782.66 $75,964.00 nat. median
$53,038
1.4× median
33270
CPT 		Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd 38 $33,572.00 $112,182.66 $75,522.45 nat. median
$32,221
outlier · 2.3×
607
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 $75,141.00 $245,977.92 $75,141.00 nat. median
$73,068
1.0× median
29897
CPT 		Ankle Scope Part Debridement 38 $3,303.00 $111,809.83 $74,444.88 nat. median
$3,955
outlier · 18.8×
182
APR_DRG 		Other Peripheral Vascular And Related Procedures 2 $71,833.00 $77,758.28 $71,833.00 nat. median
$32,244
outlier · 2.2×
63052
CPT 		Lam Facetec/Foramot DRG Arthrd Lumbar 1 Vrt Sgm 32 $13,969.00 $122,335.13 $71,797.41 nat. median
$2,572
outlier · 27.9×
20939
CPT 		Bone Marrow Aspiration Bone Grfg Spi Surg Only 32 $13,969.00 $122,335.13 $71,797.41 nat. median
$1,860
outlier · 38.6×
30
APR_DRG 		Percutaneous Intracranial And Extracranial Vascular Procedures 2 $46,366.47 $71,447.00 $71,447.00 nat. median
$28,822
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 6,269 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 $227,488.07 $227,488.07 $132,656.23 $132,656.23 $132,656.23 2024-12-15
35216 CPT Rebl Ves Direct Chest 42 29 $111,837.73 $111,837.73 $28,308.00 $106,245.86 $92,825.30 2024-12-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With McC 10 7 $168,620.46 $168,620.46 $82,641.51 $126,465.35 $86,436.27 2024-12-15
160 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 $179,192.65 $179,192.65 $78,046.38 $78,046.38 $78,046.38 2024-12-15
29897 CPT Ankle Scope Part Debridement 61 38 $117,694.31 $117,694.31 $3,303.00 $111,809.83 $74,444.88 2024-12-15
631 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 $772,143.62 $772,143.62 $70,535.00 $70,535.00 $70,535.00 2024-12-15
459 MS_DRG Spinal Fusion Except Cervical With McC 10 7 $241,013.21 $241,013.21 $61,852.91 $180,759.91 $64,693.09 2024-12-15
518 APR_DRG Other Female Reproductive System And Related Procedures 2 2 $93,176.56 $93,176.56 $61,882.32 $61,882.32 $61,882.32 2024-12-15
625 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 2 2 $45,364.53 $45,364.53 $60,375.00 $60,375.00 $60,375.00 2024-12-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 8 6 $336,729.02 $336,729.02 $57,040.68 $252,546.77 $58,466.70 2024-12-15
50548 CPT Nephrectomy W/Part. Uretectomy 42 29 $66,987.10 $66,987.10 $15,016.00 $63,637.74 $55,599.30 2024-12-15
27637 CPT Excis Benign Lesn Tib/Fib+Autogrft 61 38 $81,814.35 $81,814.35 $7,301.00 $77,723.67 $50,889.66 2024-12-15
27871 CPT Fusion Of Tibiofibular Joint 61 38 $81,814.35 $81,814.35 $10,346.00 $77,723.67 $50,889.66 2024-12-15
913 MS_DRG Traumatic Injury With McC 10 7 $346,638.77 $346,638.77 $47,255.70 $259,979.08 $49,425.60 2024-12-15
57280 CPT Suspension Of Vagina Abd Apprch 42 29 $54,387.32 $54,387.32 $13,030.00 $52,211.85 $45,141.48 2024-12-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/McC 10 7 $190,649.44 $190,649.44 $42,951.88 $142,987.08 $44,924.16 2024-12-15
25695 CPT Open Repair Lunate Dislocation 61 38 $68,312.27 $68,312.27 $7,301.00 $64,896.72 $43,349.96 2024-12-15
58662 CPT Lap Fulgurate/Excise Lesions 61 38 $52,109.72 $52,109.72 $5,888.00 $49,977.33 $43,251.08 2024-12-15
740 APR_DRG Mental Illness Diagnosis With O.r. Procedure 2 2 $70,407.23 $70,407.23 $41,800.78 $41,800.78 $41,800.78 2024-12-15
25650 CPT Closed Rx Ulna Styloid Fx 61 38 $67,471.70 $67,471.70 $241.00 $64,098.14 $41,784.64 2024-12-15
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 78 30 $65,152.27 $65,152.27 $165.00 $65,152.27 $41,371.70 2024-12-15
58545 CPT Lap Myomectomy 1-4 Tot Wt 250 Gms 61 38 $62,620.59 $62,620.59 $5,888.00 $59,489.61 $39,399.66 2024-12-15
650 APR_DRG Splenic Procedures 2 2 $99,309.82 $99,309.82 $39,089.00 $39,089.00 $39,089.00 2024-12-15
24545 CPT Open Tx Humeral Supracondylar Fracture Without Xtn 61 38 $57,885.86 $57,885.86 $10,803.00 $55,522.42 $37,336.06 2024-12-15
60540 CPT Excise Adrenal Gland 42 29 $44,624.65 $44,624.65 $7,730.00 $42,791.65 $37,038.47 2024-12-15
33221 CPT Ins Pacemaker Pulse Gen Only W/Exist Mult Leads 61 38 $56,408.55 $56,408.55 $17,091.81 $54,104.21 $36,930.42 2024-12-15
312 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 2 2 $91,017.00 $91,017.00 $36,713.00 $36,713.00 $36,713.00 2024-12-15
589 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 2 $910,529.30 $910,529.30 $323,060.00 $323,060.00 $323,060.00 2025-07-01
593 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 2 $1,148,293.30 $1,148,293.30 $286,685.00 $527,799.10 $286,685.00 2025-07-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With McC 26 9 $618,291.03 $618,291.03 $183,031.13 $377,249.89 $252,721.83 2025-07-01
179 APR_DRG Defibrillator Implants 6 2 $160,755.89 $160,755.89 $209,301.94 $211,749.01 $209,301.94 2025-07-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 9 $711,459.69 $711,459.69 $139,257.61 $453,625.91 $198,833.36 2025-07-01
178 APR_DRG External Heart Assist Devices 6 2 $627,396.10 $336,422.30 46% off $160,612.00 $166,293.00 $166,293.00 2025-07-01
591 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 2 $683,443.15 $683,443.15 $159,144.00 $159,144.00 $159,144.00 2025-07-01
22633 CPT Arthrodesis Combined Tq 1ntrspc Lumbar 88 31 $231,948.67 $231,948.67 $5,479.00 $154,525.77 $154,525.77 2025-07-01
61783 CPT Stereotactic Comp Assist Proc,Spinal 118 32 $231,948.67 $231,948.67 $9,088.00 $154,525.77 $154,525.77 2025-07-01
22614 CPT Arthrodesis Pst/Pstlat Tq 1ntrspc Ea Addl Ntrspc 76 26 $231,948.67 $231,948.67 $154,525.77 $154,525.77 $154,525.77 2025-07-01
22842 CPT Posterior Segmental Instrumentation 3-6 Vrt Seg 76 26 $231,948.67 $231,948.67 $154,525.77 $154,525.77 $154,525.77 2025-07-01
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 2 $2,585,775.94 $637,242.64 75% off $148,332.00 $478,879.89 $148,332.00 2025-07-01
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 2 $1,044,179.56 $856,007.38 $141,114.00 $145,985.00 $145,985.00 2025-07-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 9 $492,842.36 $492,842.36 $91,813.49 $390,255.69 $137,092.36 2025-07-01
9 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 6 2 $361,407.31 $361,407.31 $131,179.00 $135,818.00 $135,818.00 2025-07-01
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 2 $435,976.69 $333,194.09 24% off $135,358.00 $135,408.00 $135,408.00 2025-07-01
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 2 $263,602.03 $263,602.03 $116,100.15 $134,232.78 $134,232.78 2025-07-01
183 APR_DRG Percutaneous Structural Cardiac Procedures 6 2 $223,106.81 $204,009.62 $124,648.00 $164,621.50 $124,648.00 2025-07-01
49 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 6 2 $40,916.18 $40,916.18 $32,484.00 $117,451.61 $117,451.61 2025-07-01
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 2 $140,387.65 $238,007.33 $104,059.00 $107,739.00 $107,739.00 2025-07-01
910 APR_DRG Craniotomy For Multiple Significant Trauma 4 2 $345,813.67 $345,813.67 $102,599.00 $102,599.00 $102,599.00 2025-07-01
64569 CPT Revise/Replace Cranial Nerve Stim Electrode/Connect Pulse Gen 96 34 $155,394.01 $155,394.01 $5,851.00 $102,050.46 $102,050.46 2025-07-01
64568 CPT Open Implantation Cranial Nerve Nea & Pulse Gen 157 43 $145,234.95 $145,234.95 $5,853.00 $134,781.99 $97,396.82 2025-07-01
603 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 2 $673,207.09 $673,207.09 $96,669.00 $107,168.00 $96,669.00 2025-07-01
622 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 2 $88,068.83 $88,068.83 $51,815.65 $91,966.72 $91,966.72 2025-07-01
33249 CPT Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr 157 43 $136,237.86 $136,237.86 $5,603.00 $134,961.73 $91,842.40 2025-07-01
22840 CPT Posterior Non-segmental Instrumentation 46 29 $112,344.01 $112,344.01 $25,383.00 $107,029.46 $91,560.35 2025-07-01
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 2 $169,194.16 $196,447.85 $90,091.00 $90,986.14 $90,091.00 2025-07-01
165 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 2 $253,946.46 $253,946.46 $89,636.00 $108,239.16 $89,636.00 2025-07-01
33276 CPT Insertion Phrenic Nerve Stimulator System 153 43 $131,386.47 $131,386.47 $1,692.00 $128,690.39 $89,332.15 2025-07-01
169 APR_DRG Major Abdominal Vascular Procedures 6 2 $264,471.12 $168,038.24 36% off $89,124.00 $93,483.00 $89,124.00 2025-07-01
447 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 6 2 $198,157.66 $198,157.66 $47,276.00 $88,502.97 $88,502.97 2025-07-01
59 APR_DRG Anoxic And Other Severe Brain Damage 6 2 $37,393.65 $37,393.65 $16,367.00 $83,966.84 $83,966.84 2025-07-01
33271 CPT Insj Of Subq Implantable Defibrillator Electrode 153 43 $122,747.02 $122,747.02 $1,599.00 $114,040.74 $83,467.99 2025-07-01
29 APR_DRG Other Percutaneous Intracranial Procedures 6 2 $214,402.58 $214,402.58 $63,775.00 $83,460.00 $83,460.00 2025-07-01
166 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 2 $220,674.78 $220,674.78 $82,515.00 $91,762.64 $82,515.00 2025-07-01
33241 CPT Removal Implantable Defib Pulse Generator Only 96 34 $146,187.07 $146,187.07 $5,592.00 $79,228.87 $79,228.87 2025-07-01
61885 CPT Imp Stim,Cranial,Subq,1 Array 157 43 $113,964.65 $113,964.65 $5,852.00 $92,995.20 $78,065.79 2025-07-01
612 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 2 $346,457.08 $177,685.37 49% off $75,964.00 $110,782.66 $75,964.00 2025-07-01
33270 CPT Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd 65 38 $116,906.92 $116,906.92 $33,572.00 $112,182.66 $75,522.45 2025-07-01
607 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 2 $200,035.34 $200,035.34 $75,141.00 $245,977.92 $75,141.00 2025-07-01
182 APR_DRG Other Peripheral Vascular And Related Procedures 6 2 $106,232.96 $106,232.96 $71,833.00 $77,758.28 $71,833.00 2025-07-01
20939 CPT Bone Marrow Aspiration Bone Grfg Spi Surg Only 122 32 $131,387.20 $131,387.20 $13,969.00 $122,335.13 $71,797.41 2025-07-01
63052 CPT Lam Facetec/Foramot DRG Arthrd Lumbar 1 Vrt Sgm 122 32 $131,387.20 $131,387.20 $13,969.00 $122,335.13 $71,797.41 2025-07-01
30 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 6 2 $74,572.70 $115,575.11 $46,366.47 $71,447.00 $71,447.00 2025-07-01
63664 CPT Revision Spinal Neurostim Electrode Plate/Paddle, Incl Fluoro 153 43 $105,093.10 $105,093.10 $5,851.00 $99,475.62 $71,279.62 2025-07-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 26 9 $500,109.37 $500,109.37 $70,786.06 $361,360.27 $70,786.06 2025-07-01
28130 CPT Removal Of Talus 153 43 $105,677.22 $105,677.22 $5,477.00 $98,083.56 $69,620.29 2025-07-01
27707 CPT Osteotomy Fibula 153 43 $105,677.22 $105,677.22 $3,303.00 $98,083.56 $69,620.29 2025-07-01
167 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 6 2 $144,453.58 $84,675.10 41% off $69,123.00 $80,438.98 $69,123.00 2025-07-01
305 APR_DRG Amputation Of Lower Limb Except Toes 6 2 $83,687.61 $83,687.61 $44,294.90 $69,008.98 $69,008.98 2025-07-01
170 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 4 2 $146,579.15 $146,579.15 $68,859.00 $68,859.00 $68,859.00 2025-07-01
215 MS_DRG Other Heart Assist System Implant 26 9 $244,934.13 $244,934.13 $68,842.57 $312,086.43 $68,842.57 2025-07-01
37235 CPT Revsc Opn/Prq Tib/Pero W/Stnt/Athr/Angiop Ea Vsl 175 37 $130,787.52 $130,787.52 $344.17 $124,258.79 $68,386.09 2025-07-01
33264 CPT Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld 207 43 $104,357.00 $104,357.00 $651.97 $104,942.03 $68,015.49 2025-07-01
33277 CPT Insj Phrenic Nrv Stimulator Transvns Sensing Ld 80 28 $131,386.47 $131,386.47 $10,594.00 $67,705.59 $67,705.59 2025-07-01
22854 CPT Insj Biomchn Dev Vrt Corpectomy Defect W/Arthrd 80 28 $113,703.43 $113,703.43 $27,201.00 $67,609.64 $67,609.64 2025-07-01
33287 CPT Rmvl&Rplcmt Phrenic Nrv Stimulator Pls Generator 157 43 $97,335.43 $97,335.43 $5,853.00 $92,643.30 $66,639.15 2025-07-01
63044 CPT Redo Excis Cerv Disk, Addn Lumb Interspc 122 32 $119,579.42 $119,579.42 $13,969.00 $111,725.74 $66,188.74 2025-07-01
602 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 2 $456,014.74 $508,775.50 $65,914.00 $350,470.63 $65,914.00 2025-07-01
33225 CPT Hc Insj Eltrd Car Ven Sys Tm Insj Dfb/Pm Pls Gen 175 37 $116,416.25 $116,416.25 $404.13 $115,582.43 $65,706.24 2025-07-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 26 9 $206,901.43 $182,219.50 $45,919.74 $207,444.50 $65,615.94 2025-07-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 24 9 $283,714.34 $283,714.34 $52,379.17 $187,171.49 $65,603.17 2025-07-01
33289 CPT Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 157 43 $95,990.13 $95,990.13 $5,569.00 $85,508.03 $65,262.64 2025-07-01
511 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 6 2 $73,219.90 $73,219.90 $39,989.00 $64,810.92 $64,810.92 2025-07-01
63685 CPT Implant Spinal Neurostim/Receiver 157 43 $95,284.44 $95,284.44 $5,853.00 $84,208.99 $64,755.99 2025-07-01
20937 CPT Autograft Spine Surgery Morselized Sep Incision 122 32 $114,701.89 $114,701.89 $13,969.00 $64,033.08 $64,033.08 2025-07-01
22612 CPT Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar 157 43 $114,701.89 $114,701.89 $5,479.00 $105,988.63 $64,033.08 2025-07-01
20930 CPT Allograft For Spine Surgery Only Morselized 122 32 $113,703.43 $113,703.43 $13,969.00 $105,988.63 $63,397.64 2025-07-01
952 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 6 2 $107,448.12 $107,448.12 $28,657.00 $63,067.96 $63,067.96 2025-07-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 9 $340,499.62 $340,499.62 $62,710.63 $231,930.38 $62,710.63 2025-07-01
53447 CPT Removal & Replace,Inflatable Sphincter 157 43 $120,600.35 $120,600.35 $5,760.00 $114,411.52 $62,314.67 2025-07-01
27610 CPT Explore/Treat Ankle Joint 157 43 $121,750.26 $121,750.26 $3,303.00 $111,809.83 $61,758.93 2025-07-01
912 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 2 $353,355.07 $172,076.50 51% off $61,682.00 $62,050.03 $61,682.00 2025-07-01
325 APR_DRG Non-elective Or Complex Knee Joint Replacement 6 2 $118,616.61 $118,616.61 $61,114.00 $62,032.00 $61,114.00 2025-07-01
69930 CPT Implant Cochlear Device 157 43 $90,145.60 $90,145.60 $5,533.00 $76,471.46 $60,944.99 2025-07-01
33263 CPT Hc Rmvl Impltbl Dfb Plse Gen W/Rplcmt Plse Gen 2 Ld 219 43 $74,524.00 $74,524.00 $345.81 $71,543.04 $60,393.56 2025-07-01
22853 CPT Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd 122 32 $106,006.61 $106,006.61 $13,969.00 $72,704.51 $59,741.64 2025-07-01
21 APR_DRG Open Craniotomy Except Trauma 6 2 $129,649.57 $155,077.38 $59,624.00 $109,260.86 $59,624.00 2025-07-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 9 $314,781.34 $314,781.34 $35,915.12 $136,000.57 $59,199.48 2025-07-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With McC 26 9 $90,969.65 $90,969.65 $37,831.97 $69,537.05 $58,981.00 2025-07-01
54405 CPT Insert,Inflatable Penile Prosthesis 157 43 $85,491.74 $85,491.74 $5,760.00 $73,828.77 $58,561.83 2025-07-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 26 9 $100,731.80 $100,731.26 $38,627.94 $69,001.15 $58,526.44 2025-07-01
33233 CPT Removal Permanent Pacemaker Pulse Generator Only 157 43 $101,936.94 $101,936.94 $5,593.00 $157,869.69 $58,210.07 2025-07-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With McC 26 9 $49,753.79 $49,753.79 $40,014.57 $139,974.60 $57,990.08 2025-07-01
28 MS_DRG Spinal Procedures With McC 22 9 $372,227.12 $372,227.12 $39,503.19 $159,336.77 $57,896.26 2025-07-01
50785 CPT Reimplant Ureter,Vesicopsoas Hitch 122 32 $112,443.12 $112,443.12 $8,352.00 $102,562.61 $57,837.00 2025-07-01
54410 CPT Replace,Inflatable Penile Prosthesis 157 43 $90,671.51 $90,671.51 $5,760.00 $61,241.18 $56,852.80 2025-07-01
175 APR_DRG Percutaneous Cardiac Intervention Without Ami 6 2 $113,550.15 $107,714.14 $36,392.76 $56,479.00 $56,479.00 2025-07-01
321 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 6 2 $109,489.92 $116,775.84 $41,538.00 $56,243.00 $56,243.00 2025-07-01
176 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 2 $123,746.70 $123,746.70 $54,149.00 $56,063.00 $56,063.00 2025-07-01
22630 CPT Arthrodesis Posterior Interbody Lumbar 153 43 $164,980.26 $164,980.26 $5,479.00 $109,630.57 $55,908.55 2025-07-01
322 APR_DRG Shoulder And Elbow Joint Replacement 6 2 $105,598.28 $105,598.28 $38,331.00 $55,908.00 $55,908.00 2025-07-01
20 APR_DRG Open Craniotomy For Trauma 6 2 $188,954.00 $188,954.00 $55,894.00 $71,540.83 $55,894.00 2025-07-01
63655 CPT Surg Implnt Neuroelect,Epidural 4 2 $51,492.20 $51,492.20 $55,418.00 $55,418.00 $55,418.00 2025-07-01
231 MS_DRG Coronary Bypass With Ptca With McC 26 9 $362,616.67 $362,616.67 $55,061.45 $217,133.11 $55,061.45 2025-07-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 6 $374,163.11 $374,163.11 $55,030.91 $55,030.91 $55,030.91 2025-07-01
27470 CPT Fix Non/Malunion Femur Below Neck 122 32 $104,996.96 $104,996.96 $8,430.00 $98,775.50 $54,362.98 2025-07-01
33262 CPT Rmvl Impltbl Dfb Plse Gen W/Repl Plse Gen 1 Lead 157 43 $77,438.03 $77,438.03 $5,602.00 $66,032.38 $53,009.43 2025-07-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 9 $192,252.31 $192,252.31 $37,070.43 $125,766.54 $52,867.30 2025-07-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 9 $105,620.64 $105,620.64 $35,094.46 $65,132.55 $52,819.72 2025-07-01
361 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 2 $101,160.53 $101,160.53 $45,934.00 $52,596.00 $52,596.00 2025-07-01
47564 CPT Lap,Cholecystectomy/Explore 96 34 $100,130.11 $100,130.11 $5,743.00 $52,542.81 $52,542.81 2025-07-01
33229 CPT Remvl Perm Pm Pls Gen W/Repl Plse Gen Mult Lead 157 43 $88,160.26 $88,160.26 $5,595.00 $78,817.72 $52,284.62 2025-07-01
63650 CPT Prq Impltj Nstim Electrode Array Epidural 157 43 $95,964.03 $95,964.03 $5,850.00 $84,208.99 $52,175.74 2025-07-01
23 APR_DRG Spinal Procedures 6 2 $328,280.25 $170,759.46 48% off $49,710.00 $51,818.00 $51,818.00 2025-07-01
850 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 2 $70,858.94 $70,858.94 $49,361.00 $51,643.00 $51,643.00 2025-07-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 6 $144,453.58 $144,453.58 $40,197.80 $71,143.60 $51,436.74 2025-07-01
614 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 2 $99,262.62 $99,262.62 $49,869.00 $51,230.00 $51,230.00 2025-07-01
120 APR_DRG Major Respiratory And Chest Procedures 6 2 $115,272.58 $115,272.58 $51,167.00 $64,354.82 $51,167.00 2025-07-01
323 APR_DRG Non-elective Or Complex Hip Joint Replacement 6 2 $79,043.67 $74,842.98 $50,945.00 $52,674.46 $50,945.00 2025-07-01
260 APR_DRG Major Pancreas, Liver And Shunt Procedures 6 2 $142,432.33 $142,432.33 $45,589.00 $50,826.00 $50,826.00 2025-07-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 26 9 $301,030.86 $301,030.86 $50,789.17 $206,699.11 $50,789.17 2025-07-01
23472 CPT Reconstr Total Shoulder Implant 157 43 $76,142.56 $76,142.56 $5,479.00 $79,076.12 $50,723.72 2025-07-01
653 MS_DRG Major Bladder Procedures With McC 26 9 $124,576.63 $124,576.63 $36,222.47 $64,107.90 $50,487.29 2025-07-01
792 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 4 2 $130,319.85 $130,319.85 $50,476.54 $50,476.54 $50,476.54 2025-07-01
362 APR_DRG Mastectomy Procedures 6 2 $55,733.96 $55,733.96 $28,188.00 $50,454.00 $50,454.00 2025-07-01
C2624 HCPCS Sensor Cardiomem Del Sys Implantable Patient Home Use 86 27 $63,645.05 $63,645.05 $41,369.28 $59,826.30 $50,279.59 2025-07-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 9 $296,991.38 $296,991.38 $50,276.50 $197,053.23 $50,276.50 2025-07-01
64555 CPT Percut Implant,Neuroelec,Periph Nerve 96 34 $91,846.39 $91,846.39 $5,850.00 $50,199.28 $50,199.28 2025-07-01
43644 CPT Lap Gastric Bypass/roux-en-y 122 32 $92,590.00 $92,590.00 $12,358.00 $54,597.98 $50,159.28 2025-07-01
C1822 HCPCS Kit Ipg Senza Omnia 192 35 $61,770.78 $61,770.78 $13,966.14 $61,770.78 $50,012.14 2025-07-01
54400 CPT Insert Semi-rigid Penile Prosthesis 157 43 $73,894.28 $73,894.28 $5,759.00 $69,068.30 $49,919.28 2025-07-01
54401 CPT Insert Self-contd Penile Prosthesis 157 43 $72,518.79 $72,518.79 $5,760.00 $68,443.01 $49,675.38 2025-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 26 9 $136,207.73 $120,734.90 $33,002.17 $135,066.53 $49,541.82 2025-07-01
22 APR_DRG Ventricular Shunt Procedures 6 2 $64,941.75 $69,237.95 $38,106.00 $49,460.00 $49,460.00 2025-07-01
43659 CPT Lap,Stomach,Other,without Tube 153 43 $74,517.84 $74,517.84 $5,742.00 $49,644.14 $49,383.28 2025-07-01
20936 CPT Autograft Spine Surgery Local From Same Incision 122 32 $83,865.33 $83,865.33 $13,969.00 $105,988.63 $49,224.54 2025-07-01
22552 CPT Arthrodesis Ant Interbody Inc Discectomy, Cervical Below C2 Each Addl 122 32 $83,865.33 $83,865.33 $13,969.00 $60,658.30 $49,224.54 2025-07-01
22551 CPT Arthrodesis Ant Interbody Inc Discectomy, Cervical Below C2 157 43 $83,865.33 $83,865.33 $5,478.00 $68,769.03 $49,224.54 2025-07-01
27472 CPT Fix Non/Malunion Femur,W Graft 118 32 $71,791.60 $71,791.60 $8,751.00 $66,562.69 $48,757.82 2025-07-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With McC 26 9 $218,224.73 $218,224.73 $48,500.65 $165,210.02 $48,500.65 2025-07-01
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 201 43 $70,252.54 $70,252.54 $3,611.00 $73,422.10 $48,122.99 2025-07-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 26 9 $90,494.89 $90,494.89 $35,061.32 $133,760.36 $48,087.70 2025-07-01
680 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 2 $104,949.81 $100,197.42 $43,248.00 $47,988.00 $47,988.00 2025-07-01
50543 CPT Lap,Partial Nephrectomy 157 43 $80,641.12 $80,641.12 $5,743.00 $70,287.56 $47,881.04 2025-07-01
33207 CPT Ins New/Rplc Prm Pacemaker W/Transv Eltrd Ventr 157 43 $78,447.91 $78,447.91 $5,594.00 $86,131.38 $47,671.28 2025-07-01
24430 CPT Repair Non/Malunion Humerus 153 43 $72,756.81 $72,756.81 $5,478.00 $67,605.62 $47,608.23 2025-07-01
55876 CPT Place Radiother Device/Marker, Prostate 157 43 $70,222.16 $70,222.16 $1,414.00 $105,128.80 $47,578.07 2025-07-01
28080 CPT Excis Interdigital Neuroma,Ea 92 32 $72,077.36 $72,077.36 $5,475.00 $47,444.87 $47,444.87 2025-07-01
324 APR_DRG Elective Hip Joint Replacement 6 2 $83,539.71 $83,539.71 $36,660.00 $47,118.00 $47,118.00 2025-07-01
27 APR_DRG Other Open Craniotomy 6 2 $273,095.63 $273,095.63 $43,251.00 $47,021.00 $47,021.00 2025-07-01
228 MS_DRG Other Cardiothoracic Procedures With McC 26 9 $143,258.56 $143,258.56 $32,380.34 $57,945.05 $46,990.98 2025-07-01
C1882 HCPCS Generator Pulse Eternal 192 35 $60,259.21 $60,259.21 $16,872.58 $70,645.70 $46,988.94 2025-07-01
171 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 6 2 $63,783.81 $76,058.38 $46,955.00 $59,926.33 $46,955.00 2025-07-01
623 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 2 $66,952.01 $66,952.01 $39,122.84 $46,932.00 $46,932.00 2025-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 26 9 $140,611.65 $140,611.65 $32,497.30 $57,514.95 $46,623.53 2025-07-01
27130 CPT Total Hip Arthroplasty 157 43 $68,378.90 $68,378.90 $5,478.00 $56,705.28 $46,476.33 2025-07-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 6 $142,126.05 $142,126.05 $46,151.71 $81,681.05 $46,151.71 2025-07-01
89 APR_DRG Major Cranial Or Facial Bone Procedures 6 2 $364,419.10 $38,475.51 89% off $45,866.00 $57,837.00 $45,866.00 2025-07-01
43775 CPT Lap, Gast Restrict Proc, Longitudinal Gastrectomy 122 32 $84,340.25 $84,340.25 $8,117.00 $68,320.74 $45,465.61 2025-07-01
62362 CPT Insert/ Replace Infusn Pump,Programmable 157 43 $66,283.29 $66,283.29 $5,859.00 $54,798.71 $45,404.07 2025-07-01
33274 CPT Tcat Insj/Rpl Perm Leadless Pacemaker Rv W/Img 157 43 $72,980.17 $72,980.17 $5,595.00 $94,498.54 $45,291.80 2025-07-01
92 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 2 $50,925.77 $50,925.77 $45,217.00 $48,278.90 $45,217.00 2025-07-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 9 $301,532.36 $301,532.36 $45,201.74 $179,220.41 $45,201.74 2025-07-01
50544 CPT Lap,Pyeloplasty 157 43 $74,808.15 $74,808.15 $5,743.00 $55,987.45 $45,110.38 2025-07-01
24145 CPT Partial Removal Radial Head/Neck 96 34 $82,020.35 $82,020.35 $5,477.00 $44,840.17 $44,840.17 2025-07-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 26 9 $133,178.62 $133,178.62 $39,274.34 $57,924.35 $44,828.28 2025-07-01
326 APR_DRG Elective Knee Joint Replacement 6 2 $62,141.96 $62,141.96 $37,099.00 $44,788.00 $44,788.00 2025-07-01
277 MS_DRG Cardiac Defibrillator Implant Without McC 26 9 $128,879.68 $128,879.68 $30,226.98 $54,997.60 $44,600.71 2025-07-01
C1722 HCPCS Defib MRI Sicd Emblem Replaced The A209 300 35 $50,209.40 $50,209.40 $13,170.72 $63,645.52 $44,473.49 2025-07-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 9 $250,407.96 $250,407.96 $44,368.72 $125,305.27 $44,368.72 2025-07-01
43281 CPT Lap, Repair Paraesophageal Hernia, Incl Fundoplasty Without Mesh 157 43 $74,517.84 $74,517.84 $5,743.00 $50,017.36 $44,365.99 2025-07-01
35525 CPT Vein Bypass Graft,brachial-brachial 80 28 $77,481.63 $77,481.63 $14,992.00 $44,299.78 $44,299.78 2025-07-01
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 206 43 $56,045.25 $56,045.25 $238.00 $66,414.48 $44,275.75 2025-07-01
33214 CPT Upg Pacemaker Sys Convert 1chmbr Sys 2chmbr Sys 157 43 $71,273.53 $71,273.53 $5,594.00 $66,269.02 $44,263.44 2025-07-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With McC 26 9 $95,903.31 $95,903.31 $28,543.40 $235,719.53 $44,254.50 2025-07-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 26 9 $119,219.32 $119,219.32 $30,889.75 $54,669.85 $44,209.03 2025-07-01
174 APR_DRG Percutaneous Cardiac Intervention With Ami 6 2 $65,922.52 $83,536.08 $44,070.00 $45,411.63 $44,070.00 2025-07-01
329 MS_DRG Major Small And Large Bowel Procedures With McC 26 9 $114,797.13 $119,841.50 $29,837.11 $52,806.85 $44,057.99 2025-07-01
405 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 6 2 $76,228.13 $76,228.13 $39,917.00 $43,990.00 $43,990.00 2025-07-01
121 APR_DRG Other Respiratory And Chest Procedures 6 2 $81,859.93 $96,837.72 $41,951.69 $43,851.00 $43,851.00 2025-07-01
19357 CPT Tissue Expander Placement Breast Reconstruction 157 43 $79,075.49 $79,075.49 $5,456.00 $101,590.95 $43,632.38 2025-07-01
57107 CPT Remove Vagina Tissue/Partial 157 43 $76,373.56 $76,373.56 $3,191.00 $70,654.10 $43,606.43 2025-07-01
43840 CPT Repair Perf Duod/Gast Ulc-wnd/inj 80 28 $79,266.81 $79,266.81 $11,889.00 $43,596.25 $43,596.25 2025-07-01
55867 CPT Laps Surg Prst8ect Smpl Stot Robotic Assistance 157 43 $80,683.87 $80,683.87 $5,743.00 $58,063.47 $43,422.14 2025-07-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC 24 9 $81,687.46 $81,687.46 $8,927.16 $76,807.35 $43,397.96 2025-07-01
44120 CPT Resect Small Intest,Singl Resec/Anas 80 28 $80,447.15 $80,447.15 $9,483.00 $43,331.18 $43,331.18 2025-07-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 26 9 $278,058.13 $278,058.13 $43,324.53 $78,829.05 $43,324.53 2025-07-01
55866 CPT Lap,Prostatectomy,Radical,W/Nerve Spare,Incl Robotic 157 43 $80,490.62 $80,490.62 $5,743.00 $67,836.38 $43,320.04 2025-07-01
950 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 2 $82,098.38 $183,574.01 $42,706.24 $43,319.00 $43,319.00 2025-07-01
43645 CPT Lap Gastr Bypass Incl Smll Int Recon 122 32 $78,068.65 $78,068.65 $12,358.00 $74,484.99 $43,261.61 2025-07-01
61886 CPT Imp Stim,Cranial,Subq,>1 Array 157 43 $63,080.49 $63,080.49 $5,853.00 $76,504.32 $43,210.14 2025-07-01
39561 CPT Resect Diaphram,Complx Repr 122 32 $72,030.87 $72,030.87 $17,940.00 $65,945.47 $43,184.66 2025-07-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 9 $51,874.88 $51,874.88 $31,030.10 $54,918.25 $43,157.98 2025-07-01
53440 CPT Sling Operation,Correction,Male Incont 157 43 $95,164.31 $95,164.31 $5,759.00 $51,336.87 $43,027.32 2025-07-01
313 APR_DRG Knee And Lower Leg Procedures Except Foot 6 2 $72,702.13 $68,718.96 $41,496.22 $42,987.00 $42,987.00 2025-07-01
264 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 6 2 $68,279.50 $62,717.01 $39,234.00 $42,673.00 $42,673.00 2025-07-01
441 APR_DRG Major Bladder Procedures 6 2 $241,137.01 $241,137.01 $42,482.00 $57,330.69 $42,482.00 2025-07-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 9 $232,452.95 $237,608.74 $28,057.37 $170,616.05 $42,256.15 2025-07-01
38571 CPT Lap,Pelvic Lymphadenectomy 157 43 $80,490.62 $80,490.62 $5,743.00 $65,722.39 $42,199.04 2025-07-01
263 APR_DRG Cholecystectomy 6 2 $66,963.98 $66,963.98 $33,613.29 $42,160.77 $42,160.77 2025-07-01
58575 CPT Laps Tot Hysterectomy Resj Malignancy W/Omntc 118 32 $63,658.57 $63,658.57 $14,936.00 $58,478.34 $42,158.13 2025-07-01
309 APR_DRG Other Significant Hip And Femur Surgery 6 2 $79,046.05 $77,224.19 $42,100.00 $43,169.00 $42,100.00 2025-07-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 9 $201,990.10 $201,990.10 $42,022.38 $185,926.85 $42,022.38 2025-07-01
91 APR_DRG Other Major Head And Neck Procedures 6 2 $106,401.41 $106,401.41 $41,986.00 $57,464.00 $41,986.00 2025-07-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 9 $284,991.20 $284,991.20 $41,961.95 $206,219.06 $41,961.95 2025-07-01
73 APR_DRG Orbit And Eye Procedures 4 2 $32,227.50 $32,227.50 $41,881.00 $41,881.00 $41,881.00 2025-07-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 26 9 $110,124.22 $110,124.22 $36,487.58 $53,814.25 $41,876.17 2025-07-01
342 APR_DRG Fractures And Dislocations Except Femur, Pelvis And Back 6 2 $38,292.56 $38,292.56 $17,739.00 $41,337.78 $41,337.78 2025-07-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 26 9 $105,153.70 $105,153.70 $29,315.34 $51,883.40 $41,299.31 2025-07-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With McC 26 9 $126,594.86 $126,594.86 $29,059.98 $51,431.45 $41,183.66 2025-07-01
969 MS_DRG HIV With Extensive O.r. Procedures With McC 26 9 $197,791.69 $197,791.69 $41,093.85 $148,455.51 $41,093.85 2025-07-01
43282 CPT Lap, Repair Paraesophageal Hernia, Incl Fundoplasty With Mesh 96 34 $67,354.39 $67,354.39 $5,743.00 $40,963.34 $40,963.34 2025-07-01
110 APR_DRG Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies 6 2 $37,213.77 $37,213.77 $21,098.00 $40,667.20 $40,667.20 2025-07-01
49656 CPT Lap, Recurrent Incisional Hernia Repair,Reducible 118 32 $61,507.64 $61,507.64 $10,114.00 $56,378.92 $40,545.55 2025-07-01
177 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 6 2 $159,961.87 $159,961.87 $37,796.00 $40,434.00 $40,434.00 2025-07-01
27870 CPT Arthrodesis,Ankle,Open 157 43 $69,021.56 $69,021.56 $5,478.00 $66,252.04 $40,341.76 2025-07-01
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 26 9 $347,797.11 $347,797.11 $40,249.79 $176,774.86 $40,249.79 2025-07-01
231 APR_DRG Major Large Bowel Procedures 6 2 $88,182.55 $88,182.55 $40,246.00 $48,970.33 $40,246.00 2025-07-01
20931 CPT Allograft For Spine Surgery Only Structural 122 32 $64,856.77 $64,856.77 $13,969.00 $52,613.10 $40,195.47 2025-07-01
22845 CPT Anterior Instrumentation 2-3 Vertebral Segments 122 32 $64,856.77 $64,856.77 $13,969.00 $72,704.51 $40,195.47 2025-07-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 26 9 $86,907.19 $86,907.19 $32,535.63 $57,582.80 $40,060.15 2025-07-01
356 MS_DRG Other Digestive System O.r. Procedures With McC 26 9 $148,954.01 $148,954.01 $27,717.54 $49,205.05 $39,903.21 2025-07-01
44202 CPT Lap,Surg,Enterectomy,Resect & Anast 122 32 $73,974.40 $73,974.40 $9,483.00 $68,320.74 $39,879.36 2025-07-01
28740 CPT Fusion Foot Bone,Midtarsal,1 Jt 92 32 $59,906.05 $59,906.05 $5,477.00 $39,782.33 $39,782.33 2025-07-01
28298 CPT Corrj Hallux Valgus W/Sesmdc W/Prox Phlnx Osteot 92 32 $59,906.05 $59,906.05 $5,477.00 $39,782.33 $39,782.33 2025-07-01
50948 CPT Lap,Reimplant Ureter Without Cysto,Stent 157 43 $76,238.07 $76,238.07 $5,743.00 $51,758.49 $39,726.11 2025-07-01
27447 CPT Total Knee Arthroplasty 157 43 $59,349.01 $59,349.01 $5,478.00 $54,976.76 $39,717.74 2025-07-01
232 MS_DRG Coronary Bypass With Ptca Without McC 26 9 $291,753.16 $291,753.16 $39,692.93 $179,060.57 $39,692.93 2025-07-01
C1721 HCPCS Icd Dual Chamber El Dr Momentum 290 35 $50,103.55 $50,103.55 $8,583.16 $51,638.52 $39,581.81 2025-07-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 9 $217,873.80 $217,873.80 $39,475.90 $69,865.95 $39,475.90 2025-07-01
64590 CPT Implant Periph/Gastric Neurostim/Receiver 157 43 $57,132.91 $57,132.91 $5,852.00 $55,418.00 $39,421.25 2025-07-01
611 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 2 $379,436.95 $379,436.95 $39,401.00 $44,908.00 $39,401.00 2025-07-01
37231 CPT Revsc Opn/Prq Tib/Pero W/Stnt/Athr/Angiop Sm Vsl 227 43 $57,280.00 $57,280.00 $677.10 $128,184.01 $39,236.80 2025-07-01
3046F CPT Most Recent Hemoglobin A1c Level > 9.0% 116 30 $57,217.17 $57,217.17 $3,737.06 $51,989.04 $39,193.76 2025-07-01
53445 CPT Insert,Inflatable Sphincter 157 43 $72,413.33 $72,413.33 $5,760.00 $67,407.95 $39,184.90 2025-07-01
50545 CPT Lap, Radical Nephrectomy 118 32 $58,853.76 $58,853.76 $15,016.00 $54,102.49 $39,140.60 2025-07-01
911 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 2 $61,403.96 $184,795.89 $38,985.00 $51,765.00 $38,985.00 2025-07-01
50949 CPT Unlisted Laparoscopy Proc, Ureter 81 40 $112,443.12 $112,443.12 $2,685.00 $102,562.61 $38,967.70 2025-07-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 26 9 $203,885.27 $203,885.27 $38,926.84 $183,308.84 $38,926.84 2025-07-01
230 APR_DRG Major Small Bowel Procedures 6 2 $73,808.14 $92,839.84 $38,919.00 $69,703.50 $38,919.00 2025-07-01
50546 CPT Nephrectomy 122 32 $61,117.67 $61,117.67 $15,016.00 $71,924.52 $38,888.03 2025-07-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 26 9 $149,129.32 $149,129.32 $27,035.27 $47,848.05 $38,783.15 2025-07-01
43887 CPT Remove Gastric Port, Open 96 34 $69,438.86 $69,438.86 $5,413.00 $38,709.69 $38,709.69 2025-07-01
793 MS_DRG Full Term Neonate With Major Problems 26 9 $29,745.31 $29,745.31 $27,098.95 $47,960.75 $38,658.27 2025-07-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With McC 26 9 $142,991.75 $142,991.75 $33,211.92 $48,983.10 $38,609.69 2025-07-01
140 MS_DRG Major Head And Neck Procedures With McC 26 9 $91,524.87 $91,524.87 $27,480.37 $48,635.80 $38,445.94 2025-07-01
31 MS_DRG Ventricular Shunt Procedures With McC 26 9 $134,947.34 $134,947.34 $32,675.47 $48,191.90 $38,391.46 2025-07-01
43860 CPT Revise,Gastrojejun Anast,without Vagotomy 80 28 $68,025.99 $68,025.99 $11,889.00 $38,256.85 $38,256.85 2025-07-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With McC 24 9 $251,195.77 $251,195.77 $38,234.18 $162,857.63 $38,234.18 2025-07-01
791 MS_DRG Prematurity With Major Problems 26 9 $73,911.28 $73,911.28 $26,380.30 $47,123.55 $38,215.19 2025-07-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 206 43 $48,299.85 $48,299.85 $64.00 $48,802.05 $38,156.89 2025-07-01
245 MS_DRG Aicd Generator Procedures 26 9 $332,297.90 $332,297.90 $38,103.96 $134,230.07 $38,103.96 2025-07-01
224 APR_DRG Peritoneal Adhesiolysis 6 2 $53,829.32 $66,918.20 $35,149.81 $38,101.00 $38,101.00 2025-07-01
363 APR_DRG Breast Procedures Except Mastectomy 6 2 $93,946.44 $93,946.44 $38,065.00 $59,619.02 $38,065.00 2025-07-01
57425 CPT Laparoscopy, Surg, Colpopexy 157 43 $64,461.96 $64,461.96 $5,743.00 $54,648.76 $37,952.25 2025-07-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC 26 9 $92,125.35 $52,292.72 43% off $25,585.62 $45,282.40 $37,916.71 2025-07-01
47600 CPT Removal Gallbladder 122 32 $64,463.47 $64,463.47 $5,970.93 $37,846.17 $37,846.17 2025-07-01
166 MS_DRG Other Respiratory System O.r. Procedures With McC 26 9 $93,443.63 $93,443.63 $25,018.36 $46,664.70 $37,843.08 2025-07-01
37230 CPT Revsc Opn/Prq Tib/Pero W/Stnt/Angiop Sm Vsl 227 43 $55,076.00 $55,076.00 $630.23 $225,507.10 $37,727.06 2025-07-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 9 $126,957.57 $126,957.57 $26,704.54 $47,262.70 $37,721.84 2025-07-01
38572 CPT Lap,Pelvic Lymphadenectomy/Bx 157 43 $70,608.27 $70,608.27 $5,743.00 $49,890.10 $37,504.93 2025-07-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 26 9 $124,551.97 $124,551.97 $25,638.25 $46,166.75 $37,439.28 2025-07-01
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 122 33 $47,318.57 $47,318.57 $1,404.00 $44,479.86 $37,381.67 2025-07-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 9 $55,470.86 $55,470.86 $26,664.90 $132,021.96 $37,349.74 2025-07-01
220 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 6 2 $103,483.54 $105,581.19 $35,901.61 $37,237.00 $37,237.00 2025-07-01
163 MS_DRG Major Chest Procedures With McC 24 9 $142,127.37 $142,127.37 $29,949.52 $54,206.40 $36,954.31 2025-07-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 9 $103,167.97 $103,167.97 $25,113.88 $45,513.55 $36,909.56 2025-07-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 26 9 $70,407.23 $72,478.70 $25,533.64 $45,190.40 $36,901.44 2025-07-01
25405 CPT Repair Nonunion Radius Or Ulnaw/Graft 92 32 $53,884.92 $53,884.92 $5,477.00 $36,855.49 $36,855.49 2025-07-01
180 APR_DRG Other Circulatory System Procedures 6 2 $137,002.09 $137,002.09 $36,791.00 $52,018.89 $36,791.00 2025-07-01
951 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 2 $19,597.44 $100,180.20 $36,774.00 $44,572.02 $36,774.00 2025-07-01
27715 CPT Lengthening Tibia/Fibula 122 32 $61,180.34 $61,180.34 $10,346.00 $56,820.58 $36,617.18 2025-07-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 26 9 $101,103.98 $101,103.98 $22,939.73 $45,111.05 $36,583.15 2025-07-01
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/McC 26 9 $83,517.88 $83,517.88 $26,429.03 $46,775.10 $36,473.10 2025-07-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With McC 26 9 $66,801.15 $66,801.15 $26,429.03 $46,775.10 $36,473.10 2025-07-01
34 MS_DRG Carotid Artery Stent Procedures With McC 26 9 $88,630.97 $88,630.97 $25,267.88 $44,866.10 $36,384.50 2025-07-01
61500 CPT Craniect Excis Skull Bone Lesn 122 32 $64,707.68 $64,707.68 $8,696.00 $45,826.67 $36,281.22 2025-07-01
691 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 6 2 $43,015.88 $44,967.62 $36,275.00 $42,543.00 $36,275.00 2025-07-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 9 $153,709.82 $153,709.82 $24,837.08 $121,695.68 $36,168.13 2025-07-01
51992 CPT Lap,Sling Operation 157 43 $67,352.82 $67,352.82 $5,742.00 $62,458.98 $36,134.35 2025-07-01
834 MS_DRG Acute Leukemia With McC 16 6 $88,943.28 $88,943.28 $35,915.12 $63,563.95 $35,915.12 2025-07-01
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