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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

WELLMONT BRISTOL REGIONAL MEDICAL CENTER

Bristol, TN · CCN 440012 · Rates published

37,231 distinct procedures filed
28 distinct payers
2,262,174 rate rows
2026-03-23 last MRF observed
Data quality

2,242,193 of 2,262,174 rate rows are consumer-grade (99.1%)

19,981 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,291
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6,923
per-diem day rate — not a per-procedure price 1,918
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 439
percent-of-charges filed in the dollar field — excluded from medians 200
exceeds 10× this hospital's gross charge — excluded from medians 161
exceeds 3× this hospital's gross charge for a DRG stay — excluded 33
placeholder amount (≤ $0.02) — excluded from medians 12
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.balladhealth.org/sites/default/files/2026-03/621636465_bristol-regional-medical-center_standardcharges.zip
Found on page https://www.balladhealth.org/patients-visitors/price-estimator-standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint 69e98b95ed6f2bdd… · 6,491,750 bytes · first seen 2026-05-14

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
49
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System 9 $87,319.08 $234,225.00 $183,866.62 nat. median
$21,930
outlier · 8.4×
169
MS_DRG 		Major Abdominal Vascular Procedures 9 $39,647.22 $232,968.85 $179,386.01 nat. median
$35,187
outlier · 5.1×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 10 $31,642.67 $333,533.00 $166,082.76 nat. median
$83,623
2.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 $62,589.16 $416,055.00 $161,158.04 nat. median
$199,832
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 24 $45,042.00 $442,902.36 $159,789.30 nat. median
$98,002
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 $36,904.37 $865,916.56 $147,969.09 nat. median
$92,900
1.6× median
C1825
HCPCS 		System Barostim Neo2 8 $23,194.74 $326,686.50 $136,228.27 nat. median
$53,130
outlier · 2.6×
C1823
HCPCS 		Generator Pulse Remede 13 $6,342.08 $367,225.00 $134,037.12 nat. median
$33,398
outlier · 4.0×
5
MS_DRG 		Pancreas Transplant 1 $120,288.66 $120,288.66 $120,288.66 nat. median
$99,646
1.2× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 10 $24,698.49 $229,415.00 $114,237.20 nat. median
$57,648
2.0× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 10 $14,204.73 $226,146.51 $112,609.65 nat. median
$37,051
outlier · 3.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 $40,350.38 $262,117.19 $111,924.04 nat. median
$132,706
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 $45,494.06 $247,813.48 $102,816.57 nat. median
$62,262
1.7× median
121
APR_DRG 		Other Respiratory And Chest Procedures 6 $14,940.12 $98,363.22 $96,489.64 nat. median
$27,889
outlier · 3.5×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 $26,405.36 $333,893.45 $93,674.64 nat. median
$68,581
1.4× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 $93,536.59 $93,536.59 $93,536.59 nat. median
$53,268
1.8× median
27800544
CDM 		Hc Impella Cp Set Intracadiac Pump - Lv Assist 13 $13,527.56 $190,529.00 $90,672.75 nat. median
$95,264
1.0× median
231
MS_DRG 		Major Large Bowel Procedures 24 $22,794.22 $179,979.99 $89,875.88 nat. median
$79,040
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 $23,925.75 $332,118.16 $84,878.08 nat. median
$71,485
1.2× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 $23,660.41 $489,677.74 $83,936.78 nat. median
$63,840
1.3× median
230
MS_DRG 		Major Small Bowel Procedures 9 $39,642.81 $106,338.00 $83,475.33 nat. median
$27,929
outlier · 3.0×
21
MS_DRG 		Open Craniotomy Except Trauma 24 $36,772.97 $210,774.11 $82,173.04 nat. median
$54,267
1.5× median
174
MS_DRG 		Percutaneous Cardiac Intervention With Ami 12 $15,510.33 $195,700.04 $80,429.36 nat. median
$23,358
outlier · 3.4×
952
MS_DRG 		Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 1 $79,147.35 $79,147.35 $79,147.35 nat. median
$15,060
outlier · 5.3×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 $22,808.71 $268,583.39 $77,601.52 nat. median
$47,513
1.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 25 $28,147.12 $192,141.05 $76,194.54 nat. median
$65,958
1.2× median
27202225
CDM 		Set Cardiohelp Disposable 13 $40,136.87 $155,509.00 $74,006.73 nat. median
$74,007
1.0× median
21
APR_DRG 		Open Craniotomy Except Trauma 6 $49,010.00 $72,312.03 $71,003.53 nat. median
$74,854
0.9× median
5
APR_DRG 		Pancreas Transplant 1 $68,988.09 $68,988.09 $68,988.09 nat. median
$94,677
0.7× median
C1875
HCPCS 		Stent Thoracic 40 X 36 X 154 13 $11,239.57 $165,417.45 $68,979.08 nat. median
$4,007
outlier · 17.2×
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 24 $8,342.54 $511,134.29 $68,367.30 nat. median
$34,828
2.0× median
421
APR_DRG 		Malnutrition, Failure To Thrive And Other Nutritional Disorders 6 $14,359.33 $67,445.09 $66,224.66 nat. median
$6,780
outlier · 9.8×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 24 $17,948.35 $271,738.20 $63,672.87 nat. median
$45,772
1.4× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 25 $17,864.66 $206,495.38 $63,375.97 nat. median
$44,841
1.4× median
C1820
HCPCS 		Cap Code Ipg Iq Stimulator 13 $563.56 $191,863.50 $63,322.49 nat. median
$22,838
outlier · 2.8×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 24 $22,807.73 $160,824.30 $60,546.24 nat. median
$46,518
1.3× median
C2622
HCPCS 		Prosthesis Malleable Penile Tactra 9.5 X 14-23cm 8 $10,305.09 $145,142.15 $60,524.28 nat. median
$10,440
outlier · 5.8×
A9543
HCPCS 		Hc Nnm Yt90 Zevalin Tx/dose To 40mci 26 $21,414.06 $123,877.52 $59,381.65 nat. median
$63,643
0.9× median
28
MS_DRG 		Spinal Procedures With Mcc 24 $11,625.29 $169,251.47 $59,354.16 nat. median
$56,970
1.0× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 $19,662.72 $203,223.56 $59,013.50 nat. median
$47,707
1.2× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 $20,934.61 $176,594.68 $58,329.97 nat. median
$44,650
1.3× median
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 $26,229.93 $97,652.54 $57,951.42 nat. median
$38,854
1.5× median
224
MS_DRG 		Peritoneal Adhesiolysis 10 $27,814.61 $74,610.00 $57,449.70 nat. median
$51,048
1.1× median
169
APR_DRG 		Major Abdominal Vascular Procedures 6 $57,304.57 $58,417.28 $57,360.20 nat. median
$41,431
1.4× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 3 $27,356.54 $76,321.68 $57,287.42 nat. median
$40,579
1.4× median
401
MS_DRG 		Adrenal Procedures 9 $26,907.07 $72,175.62 $56,657.87 nat. median
$15,458
outlier · 3.7×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 24 $11,053.87 $235,795.56 $56,191.81 nat. median
$50,808
1.1× median
220
MS_DRG 		Major Stomach, Esophageal And Duodenal Procedures 24 $21,287.77 $82,660.30 $55,718.39 nat. median
$52,372
1.1× median
C1767
HCPCS 		Pulse Generator 13 $448.29 $189,011.48 $55,089.94 nat. median
$23,668
outlier · 2.3×
163
MS_DRG 		Major Chest Procedures With Mcc 24 $15,233.43 $184,436.86 $54,041.53 nat. median
$44,914
1.2× median

Other procedures at this hospital

Browse this hospital's 37,231 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
             
49 MS_DRG Bacterial And Tuberculous Infections Of Nervous System 10 9 $234,225.00 $35,133.75 85% off $87,319.08 $234,225.00 $183,866.62 2025-01-17
169 MS_DRG Major Abdominal Vascular Procedures 11 9 $232,968.85 $34,945.33 85% off $39,647.22 $232,968.85 $179,386.01 2026-03-23
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 16 10 $333,533.00 $50,029.95 85% off $31,642.67 $333,533.00 $166,082.76 2025-01-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 52 24 $372,873.11 $55,930.97 85% off $62,589.16 $416,055.00 $161,158.04 2026-03-23
215 MS_DRG Other Heart Assist System Implant 51 24 $442,902.36 $66,435.35 85% off $45,042.00 $442,902.36 $159,789.30 2026-03-23
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 49 24 $865,916.56 $129,887.48 85% off $36,904.37 $865,916.56 $147,969.09 2026-03-23
C1825 HCPCS System Barostim Neo2 13 8 $326,686.50 $49,002.98 85% off $23,194.74 $326,686.50 $136,228.27 2026-03-23
C1823 HCPCS Generator Pulse Remede 168 13 $307,675.00 $46,151.25 85% off $6,342.08 $367,225.00 $134,037.12 2025-01-17
5 MS_DRG Pancreas Transplant 1 1 — — $120,288.66 $120,288.66 $120,288.66 2026-03-23
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 16 10 $229,415.00 $34,412.25 85% off $24,698.49 $229,415.00 $114,237.20 2025-01-17
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 16 10 $226,146.51 $33,921.98 85% off $14,204.73 $226,146.51 $112,609.65 2025-01-17
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 55 24 $262,117.19 $39,317.58 85% off $40,350.38 $262,117.19 $111,924.04 2026-03-23
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 63 24 $247,813.48 $37,172.02 85% off $45,494.06 $247,813.48 $102,816.57 2025-01-17
121 APR_DRG Other Respiratory And Chest Procedures 9 6 $58,220.00 $8,733.00 85% off $14,940.12 $98,363.22 $96,489.64 2026-03-23
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 49 24 $333,893.45 $50,084.02 85% off $26,405.36 $333,893.45 $93,674.64 2025-01-17
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $93,536.59 $93,536.59 $93,536.59 2026-03-23
27800544 CDM Hc Impella Cp Set Intracadiac Pump - Lv Assist 21 13 $190,529.00 $28,579.35 85% off $13,527.56 $190,529.00 $90,672.75 2025-01-17
231 MS_DRG Major Large Bowel Procedures 69 24 $179,979.99 $26,997.00 85% off $22,794.22 $179,979.99 $89,875.88 2026-03-23
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 51 24 $332,118.16 $49,817.72 85% off $23,925.75 $332,118.16 $84,878.08 2026-03-23
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 24 $489,677.74 $73,451.66 85% off $23,660.41 $489,677.74 $83,936.78 2026-03-23
230 MS_DRG Major Small Bowel Procedures 10 9 $106,338.00 $15,950.70 85% off $39,642.81 $106,338.00 $83,475.33 2026-03-23
21 MS_DRG Open Craniotomy Except Trauma 45 24 $210,774.11 $31,616.12 85% off $36,772.97 $210,774.11 $82,173.04 2025-01-17
174 MS_DRG Percutaneous Cardiac Intervention With Ami 44 12 $100,925.94 $15,138.89 85% off $15,510.33 $195,700.04 $80,429.36 2026-03-23
952 MS_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $79,147.35 $79,147.35 $79,147.35 2026-03-23
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 52 24 $268,583.39 $40,287.51 85% off $22,808.71 $268,583.39 $77,601.52 2026-03-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 62 25 $192,141.05 $28,821.16 85% off $28,147.12 $192,141.05 $76,194.54 2026-03-23
27202225 CDM Set Cardiohelp Disposable 21 13 $155,509.00 $23,326.35 85% off $40,136.87 $155,509.00 $74,006.73 2025-01-17
21 APR_DRG Open Craniotomy Except Trauma 7 6 $210,774.11 $31,616.12 85% off $49,010.00 $72,312.03 $71,003.53 2026-03-23
5 APR_DRG Pancreas Transplant 1 1 — — $68,988.09 $68,988.09 $68,988.09 2026-03-23
C1875 HCPCS Stent Thoracic 40 X 36 X 154 34 13 $158,303.75 $23,745.56 85% off $11,239.57 $165,417.45 $68,979.08 2026-03-23
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 49 24 $511,134.29 $76,670.14 85% off $8,342.54 $511,134.29 $68,367.30 2026-03-23
421 APR_DRG Malnutrition, Failure To Thrive And Other Nutritional Disorders 7 6 $151,065.00 $22,659.75 85% off $14,359.33 $67,445.09 $66,224.66 2026-03-23
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 51 24 $271,738.20 $40,760.73 85% off $17,948.35 $271,738.20 $63,672.87 2026-03-23
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 57 25 $206,495.38 $30,974.31 85% off $17,864.66 $206,495.38 $63,375.97 2026-03-23
C1820 HCPCS Cap Code Ipg Iq Stimulator 292 13 $158,676.30 $23,801.45 85% off $563.56 $191,863.50 $63,322.49 2026-03-23
471 MS_DRG Cervical Spinal Fusion With Mcc 51 24 $160,824.30 $24,123.65 85% off $22,807.73 $160,824.30 $60,546.24 2026-03-23
C2622 HCPCS Prosthesis Malleable Penile Tactra 9.5 X 14-23cm 13 8 $145,142.15 $21,771.32 85% off $10,305.09 $145,142.15 $60,524.28 2026-03-23
A9543 HCPCS Hc Nnm Yt90 Zevalin Tx/dose To 40mci 102 26 $89,933.00 $13,489.95 85% off $21,414.06 $123,877.52 $59,381.65 2026-03-23
28 MS_DRG Spinal Procedures With Mcc 49 24 $169,251.47 $25,387.72 85% off $11,625.29 $169,251.47 $59,354.16 2026-03-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 65 24 $203,223.56 $30,483.53 85% off $19,662.72 $203,223.56 $59,013.50 2026-03-23
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 51 24 $176,594.68 $26,489.20 85% off $20,934.61 $176,594.68 $58,329.97 2026-03-23
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 4 — — $26,229.93 $97,652.54 $57,951.42 2026-03-23
224 MS_DRG Peritoneal Adhesiolysis 11 10 $74,610.00 $11,191.50 85% off $27,814.61 $74,610.00 $57,449.70 2025-01-17
169 APR_DRG Major Abdominal Vascular Procedures 6 6 $232,968.85 $34,945.33 85% off $57,304.57 $58,417.28 $57,360.20 2026-03-23
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 3 — — $27,356.54 $76,321.68 $57,287.42 2026-03-23
401 MS_DRG Adrenal Procedures 10 9 $72,175.62 $10,826.34 85% off $26,907.07 $72,175.62 $56,657.87 2025-01-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 56 24 $235,795.56 $35,369.33 85% off $11,053.87 $235,795.56 $56,191.81 2026-03-23
220 MS_DRG Major Stomach, Esophageal And Duodenal Procedures 64 24 $75,468.11 $11,320.22 85% off $21,287.77 $82,660.30 $55,718.39 2025-01-17
C1767 HCPCS Pulse Generator 320 13 $134,823.00 $20,223.45 85% off $448.29 $189,011.48 $55,089.94 2026-03-23
163 MS_DRG Major Chest Procedures With Mcc 62 24 $184,436.86 $27,665.53 85% off $15,233.43 $184,436.86 $54,041.53 2026-03-23
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 55 24 $247,620.00 $37,143.00 85% off $14,945.95 $247,620.00 $53,021.67 2026-03-23
98 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 7 6 $96,340.93 $14,451.14 85% off $15,200.70 $53,432.97 $52,466.08 2026-03-23
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 50 24 $202,430.98 $30,364.65 85% off $17,697.31 $202,430.98 $52,187.73 2026-03-23
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 49 24 $420,943.00 $63,141.45 85% off $4,742.67 $420,943.00 $49,424.14 2026-03-23
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 48 24 $102,507.82 $15,376.17 85% off $15,568.19 $102,507.82 $48,783.47 2025-01-17
131 APR_DRG Cystic Fibrosis - Pulmonary Disease 1 1 — — $48,417.63 $48,417.63 $48,417.63 2026-03-23
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 59 24 $152,057.57 $22,808.64 85% off $13,641.78 $152,057.57 $48,395.06 2026-03-23
C1772 HCPCS Synchromed 95 13 $115,070.45 $17,260.57 85% off $268.97 $126,567.68 $47,984.38 2026-03-23
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 52 24 $202,621.23 $30,393.18 85% off $14,652.09 $202,621.23 $47,689.73 2026-03-23
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 54 24 $119,014.31 $17,852.15 85% off $18,263.22 $119,014.31 $45,931.51 2026-03-23
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 50 24 $81,217.00 $12,182.55 85% off $16,877.24 $94,431.88 $45,766.69 2026-03-23
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 92 24 $152,855.79 $22,928.37 85% off $10,788.75 $210,395.19 $45,299.71 2026-03-23
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 55 24 $353,417.20 $53,012.58 85% off $15,537.42 $353,417.20 $44,429.80 2026-03-23
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 51 24 $154,928.56 $23,239.28 85% off $12,408.17 $154,928.56 $44,018.75 2026-03-23
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc 48 24 $396,587.00 $59,488.05 85% off $2,634.61 $396,587.00 $43,876.83 2025-01-17
A9545 HCPCS Hc Nnm I 131 Tositumomab Tx Per Dose 21 13 $86,600.00 $12,990.00 85% off $22,351.46 $86,600.00 $43,300.00 2025-01-17
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 51 24 $145,506.46 $21,825.97 85% off $15,946.12 $145,506.46 $42,867.14 2026-03-23
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 48 24 $113,251.47 $16,987.72 85% off $12,186.74 $113,251.47 $42,512.92 2025-01-17
271 MS_DRG Other Major Cardiovascular Procedures With Cc 57 24 $185,666.74 $27,850.01 85% off $11,794.18 $339,407.38 $41,840.58 2026-03-23
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 96 26 $88,731.00 $13,309.65 85% off $8,269.00 $93,168.00 $41,833.36 2026-03-23
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 49 24 $133,598.20 $20,039.73 85% off $16,052.33 $133,598.20 $41,734.97 2025-01-17
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 49 24 $174,082.04 $26,112.31 85% off $20,800.52 $174,082.04 $41,438.81 2026-03-23
227 MS_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 12 11 $64,233.68 $9,635.05 85% off $23,946.32 $64,233.68 $41,430.72 2026-03-23
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 49 24 $145,136.78 $21,770.52 85% off $11,631.67 $145,136.78 $41,264.08 2025-01-17
308 APR_DRG Hip And Femur Fracture Repair 18 6 $117,376.66 $17,606.50 85% off $19,957.37 $68,696.15 $41,260.04 2025-01-17
41 APR_DRG Nervous System Malignancy 6 6 $110,957.99 $16,643.70 85% off $41,091.25 $41,889.14 $41,131.15 2025-01-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 2 — — $40,858.59 $41,266.86 $41,062.72 2026-03-23
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 57 24 $128,748.20 $19,312.23 85% off $13,097.22 $128,748.20 $40,903.06 2026-03-23
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 51 24 $183,546.80 $27,532.02 85% off $12,000.22 $183,546.80 $40,782.05 2026-03-23
951 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 19 6 $79,522.00 $11,928.30 85% off $24,602.85 $90,377.61 $40,449.57 2026-03-23
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 75 24 $143,069.71 $21,460.46 85% off $8,175.00 $143,069.71 $40,315.81 2026-03-23
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 2 — — $38,021.75 $172,460.28 $40,303.05 2026-03-23
711 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 19 6 $94,361.63 $14,154.24 85% off $23,401.00 $76,809.03 $40,176.15 2026-03-23
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 49 24 $101,741.39 $15,261.21 85% off $16,135.27 $101,741.39 $40,123.98 2025-01-17
49 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 7 6 $234,225.00 $35,133.75 85% off $39,903.07 $55,383.25 $39,941.81 2026-03-23
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 52 24 $148,854.34 $22,328.15 85% off $11,540.48 $148,854.34 $39,595.32 2026-03-23
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 57 24 $188,600.31 $28,290.05 85% off $11,141.16 $188,600.31 $39,523.94 2026-03-23
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 2 — — $24,071.36 $54,960.64 $39,516.00 2026-03-23
834 MS_DRG Acute Leukemia With Mcc 51 24 $44,503.50 $6,675.53 85% off $16,590.90 $86,259.04 $39,474.16 2026-03-23
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 54 24 $170,519.32 $25,577.90 85% off $11,779.92 $170,519.32 $39,416.28 2026-03-23
811 APR_DRG Allergic Reactions 6 6 $28,471.00 $4,270.65 85% off $28,471.00 $40,009.60 $39,285.62 2025-01-17
27800531 CDM Hc Valve Sapien 3 Transapical Delivery System 23mm To 29 Mm 21 13 $82,241.00 $12,336.15 85% off $5,839.11 $82,241.00 $39,138.49 2025-01-17
27800068 CDM Hc 23mm Edw Sap Heart Valve W/delsys 21 13 $82,143.00 $12,321.45 85% off $5,832.15 $82,143.00 $39,091.85 2025-01-17
27801475 CDM Hc Valve Transapical Ascendra 23-29mm 21 13 $82,143.00 $12,321.45 85% off $5,832.15 $82,143.00 $39,091.85 2025-01-17
27801473 CDM Hc Valve Transfem Novaflex 23mm-29mm 21 13 $82,143.00 $12,321.45 85% off $5,832.15 $82,143.00 $39,091.85 2025-01-17
27801431 CDM Hc Heart Valve 26mm Sap W/delsys Tra 21 13 $82,143.00 $12,321.45 85% off $5,832.15 $82,143.00 $39,091.85 2025-01-17
C2624 HCPCS Delivery Sys & Sensor Cardiomems Pa 68 13 $119,519.50 $17,927.93 85% off $3,412.33 $197,049.00 $38,653.04 2026-03-23
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 50 24 $93,651.82 $14,047.77 85% off $17,420.68 $93,651.82 $38,086.90 2026-03-23
234 MS_DRG Appendectomy Without Complex Principal Diagnosis 44 25 $47,463.13 $7,119.47 85% off $8,299.73 $80,845.88 $38,015.18 2026-03-23
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 54 25 $178,515.91 $26,777.39 85% off $15,807.36 $178,515.91 $37,782.98 2026-03-23
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 54 24 $181,400.41 $27,210.06 85% off $10,173.63 $181,400.41 $37,492.22 2026-03-23
231 APR_DRG Major Large Bowel Procedures 16 6 $148,350.95 $22,252.65 85% off $14,721.20 $82,549.14 $37,057.78 2026-03-23
110 APR_DRG Ear, Nose, Mouth, Throat And Cranial/facial Malignancies 1 1 — — $36,784.08 $36,784.08 $36,784.08 2026-03-23
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $36,717.47 $36,717.47 $36,717.47 2026-03-23
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 49 24 $106,352.00 $15,952.80 85% off $19,433.48 $106,352.00 $36,522.06 2025-01-17
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $36,326.88 $36,326.88 $36,326.88 2026-03-23
27800492 CDM Hc Kit System Mitraclip 3 Clip Msk0103 21 13 $75,825.00 $11,373.75 85% off $5,383.58 $75,825.00 $36,085.12 2025-01-17
27800490 CDM Hc Kit System Mitraclip 1 Clip Msk0101 21 13 $75,825.00 $11,373.75 85% off $5,383.58 $75,825.00 $36,085.12 2025-01-17
27800532 CDM Hc Valve Evolut R Transcatheter Aortic Valve 23mm To 29mm 21 13 $75,825.00 $11,373.75 85% off $5,383.58 $75,825.00 $36,085.12 2025-01-17
27800491 CDM Hc Kit System Mitraclip 2 Clip Msk0102 21 13 $75,825.00 $11,373.75 85% off $5,383.58 $75,825.00 $36,085.12 2025-01-17
27800493 CDM Hc Kit System Mitraclip 4 Clip Msk0104 21 13 $75,825.00 $11,373.75 85% off $5,383.58 $75,825.00 $36,085.12 2025-01-17
27800494 CDM Hc Kit System Mitraclip 5 Clip Msk0105 21 13 $75,825.00 $11,373.75 85% off $5,383.58 $75,825.00 $36,085.12 2025-01-17
27800636 CDM Hc Evolut Pro/r Tavr Valves 21 13 $75,825.00 $11,373.75 85% off $5,383.58 $75,825.00 $36,085.12 2025-01-17
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 55 24 $130,405.08 $19,560.76 85% off $11,481.18 $130,405.08 $35,728.26 2026-03-23
317 MS_DRG Tendon, Muscle And Other Soft Tissue Procedures 82 24 $35,710.00 $5,356.50 85% off $13,312.69 $96,544.96 $35,710.00 2026-03-23
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 49 24 $88,164.40 $13,224.66 85% off $5,178.00 $88,164.40 $35,622.26 2026-03-23
193 APR_DRG Acute And Subacute Endocarditis 6 6 $58,649.00 $8,797.35 85% off $35,550.25 $36,240.55 $35,584.77 2025-01-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 51 24 $77,518.50 $11,627.78 85% off $14,924.18 $77,518.50 $35,375.25 2026-03-23
0431T CPT Hc Rmvl/rplc Nstim System Sleep Apnea Pls Generator 26 16 $84,506.00 $12,675.90 85% off $427.17 $84,506.00 $35,239.00 2025-01-17
0424T CPT Hc Sj/rplc Nstim System Sleep Apnea Complete 26 16 $84,506.00 $12,675.90 85% off $659.32 $84,506.00 $35,239.00 2025-01-17
0427T CPT Hc Insj/rplc Nstim System Sleep Apnea Pls Generator 26 16 $84,506.00 $12,675.90 85% off $405.74 $84,506.00 $35,239.00 2025-01-17
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 49 24 $172,551.45 $25,882.72 85% off $9,924.06 $172,551.45 $35,206.21 2025-01-17
445 APR_DRG Other Bladder Procedures 6 6 $60,157.21 $9,023.58 85% off $35,099.56 $35,781.10 $35,133.63 2025-01-17
245 MS_DRG Aicd Generator Procedures 79 25 $274,057.64 $41,108.65 85% off $11,505.72 $274,057.64 $34,875.50 2026-03-23
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 49 24 $193,177.25 $28,976.59 85% off $9,764.93 $193,177.25 $34,641.70 2025-01-17
140 MS_DRG Chronic Obstructive Pulmonary Disease 66 24 $35,677.63 $5,351.64 85% off $13,300.62 $66,000.90 $34,491.88 2025-01-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 55 24 $77,313.07 $11,596.96 85% off $13,087.84 $77,313.07 $34,171.41 2026-03-23
264 MS_DRG Other Circulatory System O.r. Procedures 55 24 $118,310.10 $17,746.52 85% off $7,163.49 $118,310.10 $34,122.66 2026-03-23
44 MS_DRG Intracranial Hemorrhage 22 10 $54,896.25 $8,234.44 85% off $14,990.47 $69,582.00 $34,048.60 2026-03-23
44 APR_DRG Intracranial Hemorrhage 12 6 $54,896.25 $8,234.44 85% off $27,269.95 $46,600.95 $34,004.98 2025-01-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 93 24 $264,504.57 $39,675.69 85% off $12,333.72 $264,504.57 $33,944.53 2026-03-23
224 APR_DRG Peritoneal Adhesiolysis 6 6 $74,610.00 $11,191.50 85% off $33,827.47 $34,484.31 $33,860.31 2025-01-17
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 75 24 $205,305.08 $30,795.76 85% off $13,962.74 $205,305.08 $33,708.34 2026-03-23
0387T CPT Hc Transcath Insert/replace Leadless Pm Ventricular 12 11 $46,209.00 $6,931.35 85% off $11,926.54 $46,209.00 $33,593.94 2025-01-17
27800069 CDM Hc 26mm Edw Sap Heart Valve W/delsys 21 13 $70,468.00 $10,570.20 85% off $5,003.23 $70,468.00 $33,535.72 2025-01-17
321 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 14 6 $174,396.16 $26,159.42 85% off $10,788.75 $49,128.89 $33,473.92 2026-03-23
472 MS_DRG Cervical Spinal Fusion With Cc 54 24 $140,264.35 $21,039.65 85% off $13,820.42 $140,264.35 $33,167.14 2026-03-23
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 52 24 $57,423.23 $8,613.48 85% off $14,840.86 $70,408.03 $32,934.30 2026-03-23
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 53 24 $117,458.72 $17,618.81 85% off $9,249.64 $117,458.72 $32,813.68 2026-03-23
52 APR_DRG Alteration In Consciousness 14 6 $89,573.43 $13,436.01 85% off $16,872.76 $49,234.31 $32,748.45 2026-03-23
397 MS_DRG Appendix Procedures With Mcc 50 24 $329,341.27 $49,401.19 85% off $8,431.49 $329,341.27 $32,135.69 2026-03-23
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 52 24 $86,734.63 $13,010.19 85% off $9,479.33 $86,734.63 $31,882.35 2026-03-23
774 APR_DRG Cocaine Abuse And Dependence 1 1 — — $31,811.18 $31,811.18 $31,811.18 2026-03-23
248 MS_DRG Major Gastrointestinal And Peritoneal Infections 12 10 $48,978.00 $7,346.70 85% off $14,921.33 $48,978.00 $31,590.81 2025-01-17
0571T CPT Hc Insj/rplcmt Icds W/substernal Electrode 98 26 $94,461.00 $14,169.15 85% off $702.78 $99,184.00 $31,131.62 2026-03-23
33270 CPT Hc Insertion/replcmt Sq Icd W Sq Electrode 98 26 $93,304.00 $13,995.60 85% off $713.54 $97,969.00 $31,131.62 2026-03-23
33264 CPT Hc Remv & Replc Cvd Gen Mult Lea 98 26 $76,709.00 $11,506.35 85% off $469.44 $80,544.00 $31,131.62 2026-03-23
33231 CPT Hc Insrt Pulse Gen W/mult Leads 98 26 $84,221.00 $12,633.15 85% off $468.61 $88,432.00 $31,131.62 2026-03-23
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 53 24 $175,445.82 $26,316.87 85% off $8,747.49 $175,445.82 $31,032.27 2026-03-23
33249 CPT Hc Insert/repl Lead/gen Icd Sgl/dual 98 26 $99,605.00 $14,940.75 85% off $1,017.92 $104,585.00 $30,968.18 2026-03-23
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 57 24 $102,252.89 $15,337.93 85% off $10,545.18 $102,252.89 $30,756.85 2026-03-23
444 APR_DRG Renal Dialysis Access Device Procedures 6 6 $53,958.68 $8,093.80 85% off $30,699.92 $31,296.04 $30,729.73 2025-01-17
279 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders 12 6 $42,671.06 $6,400.66 85% off $18,718.45 $42,994.99 $30,628.97 2025-01-17
164 MS_DRG Major Chest Procedures With Cc 58 24 $182,882.58 $27,432.39 85% off $8,168.40 $182,882.58 $30,609.21 2026-03-23
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 53 24 $136,778.18 $20,516.73 85% off $11,181.12 $136,778.18 $30,296.56 2026-03-23
710 APR_DRG Infections And Parasitic Diseases Including HIV With O.r. Procedure 12 6 $60,368.71 $9,055.31 85% off $19,959.33 $40,930.47 $30,248.86 2025-01-17
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 58 24 $119,066.01 $17,859.90 85% off $10,326.75 $119,066.01 $30,150.20 2026-03-23
37 MS_DRG Extracranial Procedures With Mcc 48 24 $78,226.43 $11,733.96 85% off $8,477.65 $78,226.43 $30,074.99 2025-01-17
447 APR_DRG Other Kidney, Urinary Tract And Related Procedures 6 6 $215,636.83 $32,345.52 85% off $30,032.65 $30,615.81 $30,061.81 2025-01-17
317 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 12 6 $43,661.30 $6,549.19 85% off $21,459.70 $38,979.32 $30,056.62 2025-01-17
C1815 HCPCS Ams S.t. Cuff Belt Fgs 4.5cm Iz 225 13 $74,636.00 $11,195.40 85% off $2,427.61 $81,930.90 $29,985.06 2026-03-23
33287 CPT Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 96 26 $88,731.00 $13,309.65 85% off $7,481.00 $93,168.00 $29,886.94 2026-03-23
344 MS_DRG Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 90 24 $152,881.00 $22,932.15 85% off $11,080.51 $152,881.00 $29,722.40 2026-03-23
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 51 24 $78,542.75 $11,781.41 85% off $14,470.37 $78,542.75 $29,280.74 2026-03-23
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 84 24 $161,490.38 $24,223.56 85% off $10,912.65 $161,490.38 $29,272.12 2026-03-23
182 APR_DRG Other Peripheral Vascular And Related Procedures 7 6 $41,291.58 $6,193.74 85% off $29,111.74 $35,749.28 $29,140.01 2026-03-23
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 1 1 — — $28,998.25 $28,998.25 $28,998.25 2026-03-23
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 51 24 $133,645.33 $20,046.80 85% off $12,472.37 $133,645.33 $28,826.56 2026-03-23
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 88 24 $74,290.06 $11,143.51 85% off $9,581.51 $74,290.06 $28,740.22 2026-03-23
775 MS_DRG Alcohol Abuse And Dependence 45 13 $35,876.00 $5,381.40 85% off $3,484.76 $117,928.00 $28,700.80 2026-03-23
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 5 3 — — $16,261.55 $272,535.13 $28,669.66 2026-03-23
313 APR_DRG Knee And Lower Leg Procedures Except Foot 20 6 $114,949.85 $17,242.48 85% off $19,427.68 $43,337.10 $28,664.66 2026-03-23
801 MS_DRG Splenic Procedures Without Cc/mcc 37 19 — — $13,443.45 $28,624.88 $28,624.88 2026-03-23
412 MS_DRG Cholecystectomy With C.d.e. With Cc 49 24 $156,365.21 $23,454.78 85% off $9,901.16 $156,365.21 $28,623.12 2025-01-17
205 MS_DRG Other Respiratory System Diagnoses With Mcc 103 25 $38,394.52 $5,759.18 85% off $3,658.42 $58,213.00 $28,525.05 2026-03-23
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 86 25 $138,451.48 $20,767.72 85% off $3,783.00 $138,451.48 $28,373.06 2026-03-23
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 37 19 — — $17,136.29 $28,241.76 $28,241.76 2026-03-23
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 51 24 $120,381.00 $18,057.15 85% off $9,585.54 $120,381.00 $28,199.17 2026-03-23
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 59 24 $36,445.40 $5,466.81 85% off $10,380.18 $110,957.99 $28,062.96 2026-03-23
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $28,037.24 $28,037.24 $28,037.24 2026-03-23
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 51 24 $49,756.00 $7,463.40 85% off $11,802.81 $60,317.19 $28,027.92 2026-03-23
46 MS_DRG Nonspecific Cva And Precerebral Occlusion Without Infarct 10 9 $35,684.00 $5,352.60 85% off $13,303.00 $35,684.00 $28,011.94 2025-01-17
721 MS_DRG Post-operative, Post-traumatic, Other Device Infections 20 9 $42,181.03 $6,327.16 85% off $12,429.17 $51,022.00 $27,838.95 2025-01-17
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 50 24 $58,399.84 $8,759.98 85% off $11,436.89 $58,399.84 $27,792.48 2026-03-23
330 MS_DRG Major Small And Large Bowel Procedures With Cc 61 24 $115,981.68 $17,397.25 85% off $7,426.06 $115,981.68 $27,759.18 2026-03-23
33289 CPT Hc Transcath Impl Wrls Pa Prs Snr L-t Hemdyn Mntr 98 26 $106,058.00 $15,908.70 85% off $363.29 $111,361.00 $27,756.22 2026-03-23
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 86 25 $35,115.00 $5,267.25 85% off $7,323.28 $35,115.00 $27,745.75 2026-03-23
444 MS_DRG Disorders Of The Biliary Tract With Mcc 93 25 $89,435.12 $13,415.27 85% off $4,044.00 $89,435.12 $27,725.88 2026-03-23
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 61 24 $98,724.95 $14,808.74 85% off $10,034.77 $98,724.95 $27,694.00 2026-03-23
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 91 24 $34,648.60 $5,197.29 85% off $10,248.92 $51,529.45 $27,491.75 2026-03-23
720 MS_DRG Septicemia And Disseminated Infections 50 9 $36,401.43 $5,460.21 85% off $5,552.11 $103,142.27 $27,400.59 2025-01-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 136 24 $27,241.00 $4,086.15 85% off $8,377.56 $165,702.19 $27,241.00 2026-03-23
665 MS_DRG Prostatectomy With Mcc 37 19 — — $27,215.19 $27,215.19 $27,215.19 2026-03-23
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 54 24 $92,152.60 $13,822.89 85% off $8,195.43 $92,152.60 $27,200.64 2026-03-23
835 MS_DRG Acute Leukemia With Cc 86 25 $65,581.11 $9,837.17 85% off $10,578.71 $65,581.11 $27,179.31 2026-03-23
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 122 25 $36,476.33 $5,471.45 85% off $4,044.00 $146,277.69 $27,128.99 2026-03-23
915 MS_DRG Allergic Reactions With Mcc 86 25 $52,726.00 $7,908.90 85% off $2,171.86 $52,726.00 $27,121.66 2026-03-23
27800758 CDM Hc Impella Rp Set Intracardiac Pump 21 13 $56,963.00 $8,544.45 85% off $4,044.37 $56,963.00 $27,108.69 2025-01-17
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 86 25 $62,466.27 $9,369.94 85% off $3,402.47 $62,466.27 $26,994.19 2026-03-23
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 86 25 $61,375.48 $9,206.32 85% off $5,119.47 $61,375.48 $26,920.37 2026-03-23
334 MS_DRG Rectal Resection Without Cc/mcc 1 1 — — $26,900.83 $26,900.83 $26,900.83 2026-03-23
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 86 25 $56,472.91 $8,470.94 85% off $678.15 $56,472.91 $26,875.46 2026-03-23
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 127 25 $373,278.00 $55,991.70 85% off $3,452.00 $373,278.00 $26,833.25 2026-03-23
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 86 25 $47,503.21 $7,125.48 85% off $5,072.18 $47,503.21 $26,811.69 2026-03-23
133 MS_DRG Respiratory Failure 35 13 $46,155.00 $6,923.25 85% off $7,941.92 $65,776.91 $26,789.63 2026-03-23
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 86 25 $48,541.63 $7,281.24 85% off $4,312.20 $48,541.63 $26,634.80 2026-03-23
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 93 25 $70,851.21 $10,627.68 85% off $6,938.55 $70,851.21 $26,586.39 2026-03-23
263 MS_DRG Cholecystectomy 59 24 $51,108.77 $7,666.32 85% off $8,904.51 $65,236.67 $26,576.56 2026-03-23
654 MS_DRG Major Bladder Procedures With Cc 37 19 — — $26,570.13 $44,041.69 $26,570.13 2026-03-23
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 54 24 $233,556.09 $35,033.41 85% off $8,921.19 $233,556.09 $26,536.32 2026-03-23
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 61 24 $88,853.15 $13,327.97 85% off $6,180.44 $88,853.15 $26,478.67 2026-03-23
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 86 25 $61,036.00 $9,155.40 85% off $12,253.17 $61,036.00 $26,349.30 2026-03-23
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 86 25 $77,261.77 $11,589.27 85% off $3,696.71 $77,261.77 $26,325.32 2026-03-23
252 MS_DRG Other Vascular Procedures With Mcc 74 26 $68,201.88 $10,230.28 85% off $8,123.18 $107,592.00 $26,296.52 2026-03-23
548 MS_DRG Septic Arthritis With Mcc 103 25 $41,842.00 $6,276.30 85% off $5,606.83 $41,842.00 $26,262.60 2026-03-23
38 MS_DRG Extracranial Procedures With Cc 85 25 $71,314.47 $10,697.17 85% off $6,174.81 $71,314.47 $26,257.92 2026-03-23
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 86 25 $30,552.50 $4,582.88 85% off $7,298.46 $30,552.50 $26,132.82 2026-03-23
668 MS_DRG Transurethral Procedures With Mcc 86 25 $61,167.00 $9,175.05 85% off $8,945.65 $61,167.00 $26,125.51 2026-03-23
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 86 25 $53,992.24 $8,098.84 85% off $5,525.54 $53,992.24 $25,969.90 2026-03-23
180 MS_DRG Respiratory Neoplasms With Mcc 86 25 $60,496.25 $9,074.44 85% off $6,041.95 $60,496.25 $25,916.58 2026-03-23
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 86 25 $78,576.04 $11,786.41 85% off $4,811.35 $78,576.04 $25,853.96 2026-03-23
974 MS_DRG HIV With Major Related Condition With Mcc 37 19 — — $20,170.23 $25,847.03 $25,847.03 2026-03-23
908 MS_DRG Other O.r. Procedures For Injuries With Cc 86 25 $62,275.75 $9,341.36 85% off $7,906.45 $62,275.75 $25,838.95 2026-03-23
57 APR_DRG Concussion, Closed Skull Fracture Nos, And Uncomplicated Intracranial Injury, Co… 12 6 $74,454.50 $11,168.17 85% off $12,752.11 $39,385.06 $25,817.29 2025-01-17
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 49 24 $128,855.94 $19,328.39 85% off $9,133.30 $128,855.94 $25,741.62 2026-03-23
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 56 24 $119,689.54 $17,953.43 85% off $9,084.14 $119,689.54 $25,729.18 2026-03-23
570 MS_DRG Skin Debridement With Mcc 86 25 $71,170.89 $10,675.63 85% off $9,441.80 $71,170.89 $25,715.77 2026-03-23
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 86 25 $115,755.97 $17,363.40 85% off $7,424.56 $115,755.97 $25,640.49 2026-03-23
223 MS_DRG Other Small And Large Bowel Procedures 23 11 $79,977.48 $11,996.62 85% off $7,258.79 $140,483.95 $25,593.46 2026-03-23
314 MS_DRG Other Circulatory System Diagnoses With Mcc 93 24 $95,180.21 $14,277.03 85% off $5,229.43 $95,180.21 $25,551.90 2026-03-23
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 108 25 $42,419.09 $6,362.86 85% off $4,273.17 $102,081.00 $25,536.33 2026-03-23
398 MS_DRG Appendix Procedures With Cc 86 25 $74,365.59 $11,154.84 85% off $5,679.41 $74,365.59 $25,473.21 2026-03-23
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 86 25 $306,681.71 $46,002.26 85% off $5,814.52 $306,681.71 $25,453.86 2026-03-23
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 86 25 $84,333.03 $12,649.95 85% off $4,801.21 $84,333.03 $25,357.40 2026-03-23
595 MS_DRG Major Skin Disorders With Mcc 1 1 — — $25,354.17 $25,354.17 $25,354.17 2026-03-23
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 52 24 $49,537.07 $7,430.56 85% off $8,305.01 $49,767.53 $25,188.44 2026-03-23
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 86 25 $64,542.27 $9,681.34 85% off $3,825.06 $64,542.27 $25,144.80 2026-03-23
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 86 25 $80,578.24 $12,086.74 85% off $10,454.31 $80,578.24 $25,108.48 2026-03-23
503 MS_DRG Foot Procedures With Mcc 86 25 $56,479.00 $8,471.85 85% off $6,965.19 $56,479.00 $25,069.62 2026-03-23
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 49 24 $83,997.30 $12,599.60 85% off $7,053.76 $83,997.30 $25,023.66 2025-01-17
323 APR_DRG Non-elective Or Complex Hip Joint Replacement 2 2 — — $22,845.64 $26,930.47 $24,888.06 2026-03-23
254 MS_DRG Other Vascular Procedures Without Cc/mcc 135 25 $61,371.85 $9,205.78 85% off $6,944.98 $168,770.00 $24,887.68 2026-03-23
614 APR_DRG Neonate Birth Weight 1500-1999g With Or Without Other Significant Condition 6 6 $13,908.00 $2,086.20 85% off $13,908.00 $25,279.47 $24,822.04 2025-01-17
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 37 19 — — $10,606.30 $24,804.84 $24,804.84 2026-03-23
693 MS_DRG Urinary Stones With Mcc 86 25 $47,793.12 $7,168.97 85% off $4,026.97 $47,793.12 $24,802.56 2026-03-23
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 54 24 $110,433.59 $16,565.04 85% off $11,496.94 $110,433.59 $24,799.56 2026-03-23
177 MS_DRG Respiratory Infections And Inflammations With Mcc 86 25 $64,987.73 $9,748.16 85% off $5,327.05 $64,987.73 $24,789.03 2026-03-23
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 86 25 $45,132.80 $6,769.92 85% off $6,389.11 $45,132.80 $24,782.03 2026-03-23
248 APR_DRG Major Gastrointestinal And Peritoneal Infections 7 6 $48,978.00 $7,346.70 85% off $12,858.24 $25,219.80 $24,763.44 2026-03-23
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 49 24 $103,899.72 $15,584.96 85% off $9,501.47 $103,899.72 $24,616.12 2025-01-17
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 86 25 $41,240.28 $6,186.04 85% off $4,154.95 $41,240.28 $24,534.37 2026-03-23
C1882 HCPCS Aicd, Other Than Sing/dual 1,576 13 $52,387.00 $7,858.05 85% off $138.60 $174,449.87 $24,502.99 2026-03-23
192 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 14 6 $61,838.57 $9,275.78 85% off $17,007.38 $39,670.91 $24,480.63 2026-03-23
C1813 HCPCS Reservoir Conceal 100ml 389 13 $57,766.47 $8,664.97 85% off $1,753.58 $150,016.52 $24,473.27 2026-03-23
884 MS_DRG Organic Disturbances And Intellectual Disability 85 25 $45,437.32 $6,815.60 85% off $2,578.31 $45,437.32 $24,471.87 2026-03-23
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 37 19 — — $12,951.68 $24,444.90 $24,444.90 2026-03-23
242 MS_DRG Major Esophageal Disorders 135 24 $32,378.40 $4,856.76 85% off $7,537.64 $146,715.91 $24,431.31 2026-03-23
606 MS_DRG Minor Skin Disorders With Mcc 86 25 $30,654.00 $4,598.10 85% off $2,595.57 $30,654.00 $24,406.01 2026-03-23
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 50 24 $69,865.80 $10,479.87 85% off $12,517.78 $69,865.80 $24,383.17 2026-03-23
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 37 19 — — $12,901.71 $24,361.08 $24,361.08 2026-03-23
326 APR_DRG Elective Knee Joint Replacement 1 1 — — $24,358.74 $24,358.74 $24,358.74 2026-03-23
420 MS_DRG Diabetes 139 25 $24,334.60 $3,650.19 85% off $5,396.06 $67,780.36 $24,334.60 2026-03-23
374 MS_DRG Digestive Malignancy With Mcc 86 25 $71,645.33 $10,746.80 85% off $4,044.00 $71,645.33 $24,279.26 2026-03-23
786 MS_DRG Cesarean Section Without Sterilization With Mcc 87 25 $45,491.93 $6,823.79 85% off $1,467.00 $45,491.93 $24,173.93 2026-03-23
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 54 24 $80,440.58 $12,066.09 85% off $11,466.92 $80,440.58 $24,083.09 2026-03-23
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 57 24 $84,769.31 $12,715.40 85% off $8,283.25 $84,769.31 $24,077.39 2026-03-23
27800545 CDM Hc Impella 2.5 Set Intracardiac Pump - Lv Assist 21 13 $50,549.00 $7,582.35 85% off $3,588.98 $50,549.00 $24,056.27 2025-01-17
349 APR_DRG Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure 7 6 $17,733.00 $2,659.95 85% off $17,637.11 $24,456.04 $24,013.51 2026-03-23
663 MS_DRG Minor Bladder Procedures With Cc 115 26 $50,636.36 $7,595.45 85% off $5,000.50 $53,112.40 $23,995.99 2026-03-23
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 55 24 $109,818.38 $16,472.76 85% off $6,746.77 $109,818.38 $23,934.58 2026-03-23
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 86 25 $60,808.80 $9,121.32 85% off $7,894.75 $60,808.80 $23,664.31 2026-03-23
27800576 CDM Hc Graft Aaa 3 Piece Endo Cap Code 21 13 $49,286.00 $7,392.90 85% off $3,499.31 $49,286.00 $23,455.21 2025-01-17
783 MS_DRG Cesarean Section With Sterilization With Mcc 87 25 $35,477.25 $5,321.59 85% off $1,467.00 $35,477.25 $23,351.69 2026-03-23
517 APR_DRG Dilation And Curettage For Non-obstetric Diagnoses 12 6 $69,625.50 $10,443.83 85% off $16,254.27 $30,597.90 $23,292.49 2025-01-17
120 APR_DRG Major Respiratory And Chest Procedures 1 1 — — $23,283.93 $23,283.93 $23,283.93 2026-03-23
965 MS_DRG Other Multiple Significant Trauma Without Cc/mcc 37 19 — — $23,282.46 $23,282.46 $23,282.46 2026-03-23
27801450 CDM Hc Cath Fidelity Iab 8fr 40cc 21 13 $48,907.00 $7,336.05 85% off $3,472.40 $48,907.00 $23,274.84 2025-01-17
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 86 25 $33,330.00 $4,999.50 85% off $4,800.84 $33,330.00 $23,259.68 2026-03-23
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 37 19 — — $23,238.76 $23,238.76 $23,238.76 2026-03-23
551 MS_DRG Medical Back Problems With Mcc 86 25 $63,365.74 $9,504.86 85% off $5,821.65 $63,365.74 $23,215.19 2026-03-23
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 57 24 $79,169.22 $11,875.38 85% off $8,309.89 $79,169.22 $23,201.77 2026-03-23
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 86 25 $33,066.88 $4,960.03 85% off $6,485.55 $33,066.88 $23,176.44 2026-03-23
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 2 2 — — $14,499.21 $31,768.67 $23,133.94 2026-03-23
469 MS_DRG Acute Kidney Injury 154 25 $65,353.59 $9,803.04 85% off $5,225.54 $128,404.03 $23,113.86 2026-03-23
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 49 24 $145,796.53 $21,869.48 85% off $9,165.95 $145,796.53 $23,112.93 2026-03-23
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 86 25 $36,963.75 $5,544.56 85% off $4,132.05 $36,963.75 $23,090.05 2026-03-23
39 MS_DRG Extracranial Procedures Without Cc/mcc 85 25 $49,093.68 $7,364.05 85% off $4,187.22 $49,093.68 $23,077.31 2026-03-23
963 MS_DRG Other Multiple Significant Trauma With Mcc 50 24 $59,053.20 $8,857.98 85% off $12,782.00 $59,053.20 $23,062.87 2026-03-23
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 86 25 $62,139.67 $9,320.95 85% off $6,539.60 $62,139.67 $23,041.83 2026-03-23
710 MS_DRG Infections And Parasitic Diseases Including HIV With O.r. Procedure 67 25 $52,406.74 $7,861.01 85% off $5,226.87 $88,927.68 $23,023.97 2026-03-23
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 86 25 $58,568.01 $8,785.20 85% off $6,875.87 $58,568.01 $23,019.81 2026-03-23
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 49 24 $98,233.94 $14,735.09 85% off $6,472.80 $98,233.94 $22,941.94 2025-01-17
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 73 24 $87,959.92 $13,193.99 85% off $6,026.94 $95,247.00 $22,890.55 2026-03-23
174 APR_DRG Percutaneous Cardiac Intervention With Ami 27 6 $100,925.94 $15,138.89 85% off $13,687.80 $53,450.87 $22,884.77 2026-03-23
482 APR_DRG Transurethral Prostatectomy 6 6 $54,598.91 $8,189.84 85% off $22,862.51 $23,306.44 $22,884.70 2025-01-17
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 86 25 $38,507.62 $5,776.14 85% off $3,592.37 $38,507.62 $22,872.43 2026-03-23
816 APR_DRG Toxic Effects Of Non-medicinal Substances 1 1 — — $22,816.35 $22,816.35 $22,816.35 2026-03-23
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 62 24 $120,649.89 $18,097.48 85% off $3,378.00 $120,649.89 $22,748.36 2026-03-23
964 MS_DRG Other Multiple Significant Trauma With Cc 37 19 — — $5,557.49 $26,997.30 $22,711.96 2026-03-23
315 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 14 6 $90,676.82 $13,601.53 85% off $17,311.75 $46,260.85 $22,681.90 2026-03-23
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