Price Transparency 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

WELLMONT BRISTOL REGIONAL MEDICAL CENTER

Bristol, TN · CCN 440012 · Rates published

4,913 distinct procedures filed
21 distinct payers
688,222 rate rows
2026-03-23 last MRF observed
Data quality

671,186 of 688,222 rate rows are consumer-grade (97.5%)

17,036 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 15,376
per-diem day rate — not a per-procedure price 1,528
exceeds 10× this hospital's gross charge — excluded from medians 124
placeholder amount (≤ $0.02) — excluded from medians 8
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 · 2026-05-19
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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $93,613.09 $155,010.35 $142,147.76 nat. median
$202,986
0.7× median
C1825
HCPCS 		System Barostim Neo2 8 $23,194.74 $326,686.50 $136,228.27 nat. median
$52,021
outlier · 2.6×
5
MS_DRG 		Pancreas Transplant 1 $120,288.66 $120,288.66 $120,288.66 nat. median
$100,136
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $64,895.85 $189,737.64 $97,076.95 nat. median
$133,176
0.7× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $94,431.88 $94,431.88 $94,431.88 nat. median
$56,697
1.7× 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
$54,596
1.7× median
231
MS_DRG 		Major Large Bowel Procedures 1 $81,762.96 $81,762.96 $81,762.96 nat. median
$79,312
1.0× median
952
MS_DRG 		Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 1 $79,147.35 $79,147.35 $79,147.35 nat. median
$15,953
outlier · 5.0×
C1822
HCPCS 		Kit Nevro Stim Hf10c 8 $12,149.63 $171,121.50 $71,357.67 nat. median
$31,540
outlier · 2.3×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $52,606.96 $89,436.28 $71,021.62 nat. median
$72,138
1.0× median
5
APR_DRG 		Pancreas Transplant 1 $68,988.09 $68,988.09 $68,988.09 nat. median
$95,473
0.7× median
C1875
HCPCS 		Stent Thoracic 40 X 36 X 154 8 $11,744.64 $165,417.45 $68,979.08 nat. median
$4,477
outlier · 15.4×
421
MS_DRG 		Malnutrition, Failure To Thrive And Other Nutritional Disorders 1 $66,224.66 $66,224.66 $66,224.66 nat. median
$17,334
outlier · 3.8×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 8 $32,668.21 $120,033.22 $65,472.45 nat. median
$66,526
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 2 $50,496.76 $73,347.59 $61,922.18 nat. median
$99,019
0.6× median
C2622
HCPCS 		Prosthesis Malleable Penile Tactra 9.5 X 14-23cm 8 $10,305.09 $145,142.15 $60,524.28 nat. median
$10,427
outlier · 5.8×
A9543
HCPCS 		Hc Nnm Yt90 Zevalin Tx/dose To 40mci 20 $21,414.06 $123,877.52 $59,381.65 nat. median
$62,507
0.9× 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
$39,420
1.5× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 3 $27,356.54 $76,321.68 $57,287.42 nat. median
$41,169
1.4× median
49
APR_DRG 		Bacterial And Tuberculous Infections Of Nervous System 1 $55,383.25 $55,383.25 $55,383.25 nat. median
$27,955
2.0× median
C1767
HCPCS 		Pulse Generator 8 $468.43 $189,011.48 $52,558.77 nat. median
$22,478
outlier · 2.3×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 6 $39,276.91 $139,406.99 $52,101.02 nat. median
$62,134
0.8× median
163
MS_DRG 		Major Chest Procedures With Mcc 6 $22,789.81 $95,063.77 $51,428.66 nat. median
$44,938
1.1× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 6 $29,905.74 $82,348.21 $49,593.54 nat. median
$45,125
1.1× median
21
APR_DRG 		Open Craniotomy Except Trauma 1 $49,010.00 $49,010.00 $49,010.00 nat. median
$65,130
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $48,594.61 $48,594.61 $48,594.61 nat. median
$64,510
0.8× median
131
APR_DRG 		Cystic Fibrosis - Pulmonary Disease 1 $48,417.63 $48,417.63 $48,417.63 nat. median
$22,282
outlier · 2.2×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 2 $32,437.17 $62,555.81 $47,496.49 nat. median
$46,647
1.0× median
C1820
HCPCS 		Cap Code Ipg Iq Stimulator 8 $588.89 $191,863.50 $46,053.81 nat. median
$22,013
outlier · 2.1×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 $21,201.67 $73,700.78 $42,729.56 nat. median
$46,084
0.9× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 $25,301.79 $58,867.39 $42,084.59 nat. median
$37,698
1.1× median
33276
CPT 		Hc Insertion Phrenic Nerve Stimulator System 20 $8,463.00 $93,168.00 $41,784.76 nat. median
$43,787
1.0× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 5 $30,114.46 $76,812.47 $41,303.44 nat. median
$44,810
0.9× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 $40,858.59 $41,266.86 $41,062.72 nat. median
$59,099
0.7× median
675
MS_DRG 		Other Kidney And Urinary Tract Procedures Without Cc/mcc 1 $41,032.88 $41,032.88 $41,032.88 nat. median
$16,802
outlier · 2.4×
364
APR_DRG 		Other Skin, Subcutaneous Tissue And Related Procedures 1 $40,698.00 $40,698.00 $40,698.00 nat. median
$14,368
outlier · 2.8×
28
MS_DRG 		Spinal Procedures With Mcc 1 $40,473.37 $40,473.37 $40,473.37 nat. median
$57,823
0.7× median
C1772
HCPCS 		Infusion Pump, Programmable 8 $281.06 $126,567.68 $40,381.83 nat. median
$8,320
outlier · 4.9×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 $38,021.75 $172,460.28 $40,303.05 nat. median
$55,929
0.7× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 $22,110.77 $84,191.88 $40,198.54 nat. median
$48,170
0.8× median
710
MS_DRG 		Infections And Parasitic Diseases Including HIV With O.r. Procedure 5 $13,803.64 $88,927.68 $40,150.84 nat. median
$15,115
outlier · 2.7×
169
MS_DRG 		Major Abdominal Vascular Procedures 1 $39,647.22 $39,647.22 $39,647.22 nat. median
$40,794
1.0× median
242
APR_DRG 		Major Esophageal Disorders 1 $39,545.36 $39,545.36 $39,545.36 nat. median
$10,699
outlier · 3.7×
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 $24,071.36 $54,960.64 $39,516.00 nat. median
$36,123
1.1× median
317
MS_DRG 		Tendon, Muscle And Other Soft Tissue Procedures 1 $38,608.09 $38,608.09 $38,608.09 nat. median
$60,691
0.6× median
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 2 $23,495.57 $51,474.99 $37,485.28 nat. median
$33,835
1.1× median
834
MS_DRG 		Acute Leukemia With Mcc 2 $36,852.36 $36,869.86 $36,861.11 nat. median
$53,173
0.7× median
110
APR_DRG 		Ear, Nose, Mouth, Throat And Cranial/facial Malignancies 1 $36,784.08 $36,784.08 $36,784.08 nat. median
$13,002
outlier · 2.8×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $36,717.47 $36,717.47 $36,717.47 nat. median
$54,211
0.7× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 2 $17,363.22 $55,787.72 $36,575.47 nat. median
$35,058
1.0× median

Other procedures at this hospital

Browse this hospital's 4,913 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 4 — — $93,613.09 $155,010.35 $142,147.76 2026-03-23
C1825 HCPCS System Barostim Neo2 26 8 $326,686.50 $49,002.98 85% off $23,194.74 $326,686.50 $136,228.27 2026-03-23
5 MS_DRG Pancreas Transplant 2 1 — — $120,288.66 $120,288.66 $120,288.66 2026-03-23
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 6 — — $64,895.85 $189,737.64 $97,076.95 2026-03-23
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 1 — — $94,431.88 $94,431.88 $94,431.88 2026-03-23
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 1 — — $93,536.59 $93,536.59 $93,536.59 2026-03-23
231 MS_DRG Major Large Bowel Procedures 2 1 — — $81,762.96 $81,762.96 $81,762.96 2026-03-23
952 MS_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 2 1 — — $79,147.35 $79,147.35 $79,147.35 2026-03-23
C1822 HCPCS Kit Nevro Stim Hf10c 26 8 $171,121.50 $25,668.23 85% off $12,149.63 $171,121.50 $71,357.67 2026-03-23
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 1 — — $52,606.96 $89,436.28 $71,021.62 2026-03-23
5 APR_DRG Pancreas Transplant 2 1 — — $68,988.09 $68,988.09 $68,988.09 2026-03-23
C1875 HCPCS Stent Thoracic 40 X 36 X 154 26 8 $165,417.45 $24,812.62 85% off $11,744.64 $165,417.45 $68,979.08 2026-03-23
421 MS_DRG Malnutrition, Failure To Thrive And Other Nutritional Disorders 2 1 — — $66,224.66 $66,224.66 $66,224.66 2026-03-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 8 — — $32,668.21 $120,033.22 $65,472.45 2026-03-23
215 MS_DRG Other Heart Assist System Implant 4 2 — — $50,496.76 $73,347.59 $61,922.18 2026-03-23
C2622 HCPCS Prosthesis Malleable Penile Tactra 9.5 X 14-23cm 26 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 92 20 $94,430.00 $14,164.50 85% off $21,414.06 $123,877.52 $59,381.65 2026-03-23
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 4 — — $26,229.93 $97,652.54 $57,951.42 2026-03-23
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 6 3 — — $27,356.54 $76,321.68 $57,287.42 2026-03-23
49 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 2 1 — — $55,383.25 $55,383.25 $55,383.25 2026-03-23
C1767 HCPCS Pulse Generator 274 8 $134,823.00 $20,223.45 85% off $468.43 $189,011.48 $52,558.77 2026-03-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 6 — — $39,276.91 $139,406.99 $52,101.02 2026-03-23
163 MS_DRG Major Chest Procedures With Mcc 26 6 — — $22,789.81 $95,063.77 $51,428.66 2026-03-23
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 6 — — $29,905.74 $82,348.21 $49,593.54 2026-03-23
21 APR_DRG Open Craniotomy Except Trauma 2 1 — — $49,010.00 $49,010.00 $49,010.00 2026-03-23
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $48,594.61 $48,594.61 $48,594.61 2026-03-23
131 APR_DRG Cystic Fibrosis - Pulmonary Disease 2 1 — — $48,417.63 $48,417.63 $48,417.63 2026-03-23
471 MS_DRG Cervical Spinal Fusion With Mcc 4 2 — — $32,437.17 $62,555.81 $47,496.49 2026-03-23
C1820 HCPCS Cap Code Ipg Iq Stimulator 254 8 $158,676.30 $23,801.45 85% off $588.89 $191,863.50 $46,053.81 2026-03-23
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 5 — — $21,201.67 $73,700.78 $42,729.56 2026-03-23
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 2 — — $25,301.79 $58,867.39 $42,084.59 2026-03-23
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 88 20 $93,168.00 $13,975.20 85% off $8,463.00 $93,168.00 $41,784.76 2026-03-23
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 5 — — $30,114.46 $76,812.47 $41,303.44 2026-03-23
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 2 — — $40,858.59 $41,266.86 $41,062.72 2026-03-23
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 2 1 — — $41,032.88 $41,032.88 $41,032.88 2026-03-23
364 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 2 1 — — $40,698.00 $40,698.00 $40,698.00 2026-03-23
28 MS_DRG Spinal Procedures With Mcc 2 1 — — $40,473.37 $40,473.37 $40,473.37 2026-03-23
C1772 HCPCS Infusion Pump, Programmable 72 8 $120,241.37 $18,036.21 85% off $281.06 $126,567.68 $40,381.83 2026-03-23
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 2 — — $38,021.75 $172,460.28 $40,303.05 2026-03-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 8 — — $22,110.77 $84,191.88 $40,198.54 2026-03-23
710 MS_DRG Infections And Parasitic Diseases Including HIV With O.r. Procedure 22 5 — — $13,803.64 $88,927.68 $40,150.84 2026-03-23
169 MS_DRG Major Abdominal Vascular Procedures 2 1 — — $39,647.22 $39,647.22 $39,647.22 2026-03-23
242 APR_DRG Major Esophageal Disorders 2 1 — — $39,545.36 $39,545.36 $39,545.36 2026-03-23
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 2 — — $24,071.36 $54,960.64 $39,516.00 2026-03-23
317 MS_DRG Tendon, Muscle And Other Soft Tissue Procedures 2 1 — — $38,608.09 $38,608.09 $38,608.09 2026-03-23
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 2 — — $23,495.57 $51,474.99 $37,485.28 2026-03-23
834 MS_DRG Acute Leukemia With Mcc 4 2 — — $36,852.36 $36,869.86 $36,861.11 2026-03-23
110 APR_DRG Ear, Nose, Mouth, Throat And Cranial/facial Malignancies 2 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… 2 1 — — $36,717.47 $36,717.47 $36,717.47 2026-03-23
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 2 — — $17,363.22 $55,787.72 $36,575.47 2026-03-23
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 1 — — $36,326.88 $36,326.88 $36,326.88 2026-03-23
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 5 — — $11,053.87 $66,425.91 $35,981.28 2026-03-23
182 APR_DRG Other Peripheral Vascular And Related Procedures 2 1 — — $35,749.28 $35,749.28 $35,749.28 2026-03-23
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 12 4 — — $20,800.52 $100,237.86 $34,818.35 2026-03-23
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 4 — — $23,147.09 $339,407.38 $34,313.88 2026-03-23
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 3 — — $20,023.39 $82,376.30 $33,921.42 2026-03-23
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 3 — — $33,618.08 $78,605.86 $33,627.01 2026-03-23
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 3 — — $33,265.64 $33,786.47 $33,274.49 2026-03-23
249 APR_DRG Other Gastroenteritis, Nausa And Vomiting 2 1 — — $32,749.30 $32,749.30 $32,749.30 2026-03-23
52 APR_DRG Alteration In Consciousness 4 1 — — $16,889.14 $48,343.40 $32,616.27 2026-03-23
227 MS_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 2 1 — — $32,419.02 $32,419.02 $32,419.02 2026-03-23
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 8 4 — — $10,487.83 $80,874.09 $32,398.40 2026-03-23
164 MS_DRG Major Chest Procedures With Cc 18 5 — — $17,053.72 $75,499.49 $32,240.49 2026-03-23
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 16 5 — — $21,513.58 $67,045.67 $32,104.90 2026-03-23
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 3 — — $30,164.13 $55,476.28 $32,080.39 2026-03-23
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 4 2 — — $31,111.38 $32,976.18 $32,043.78 2026-03-23
774 APR_DRG Cocaine Abuse And Dependence 2 1 — — $31,811.18 $31,811.18 $31,811.18 2026-03-23
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 10 4 — — $8,484.28 $39,381.35 $31,664.61 2026-03-23
305 APR_DRG Amputation Of Lower Limb Except Toes 6 3 — — $1,558.25 $70,068.06 $31,480.61 2026-03-23
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 2 — — $31,276.42 $31,372.70 $31,324.56 2026-03-23
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 2 — — $22,357.16 $41,313.50 $31,044.77 2026-03-23
33264 CPT Hc Remv & Replc Cvd Gen Mult Lea 88 20 $80,544.00 $12,081.60 85% off $8,463.00 $80,544.00 $30,819.29 2026-03-23
0571T CPT Hc Insj/rplcmt Icds W/substernal Electrode 88 20 $99,184.00 $14,877.60 85% off $8,463.00 $99,184.00 $30,819.29 2026-03-23
33270 CPT Hc Insertion/replcmt Sq Icd W Sq Electrode 88 20 $97,969.00 $14,695.35 85% off $1,571.00 $97,969.00 $30,819.29 2026-03-23
33231 CPT Hc Insrt Pulse Gen W/mult Leads 88 20 $88,432.00 $13,264.80 85% off $8,463.00 $88,432.00 $30,819.29 2026-03-23
33249 CPT Hc Insert/repl Lead/gen Icd Sgl/dual 88 20 $104,585.00 $15,687.75 85% off $1,017.92 $104,585.00 $30,670.41 2026-03-23
330 MS_DRG Major Small And Large Bowel Procedures With Cc 24 5 — — $16,045.47 $75,191.02 $30,450.43 2026-03-23
33287 CPT Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 88 20 $93,168.00 $13,975.20 85% off $7,657.00 $93,168.00 $30,297.77 2026-03-23
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 4 — — $28,528.93 $58,080.06 $29,931.98 2026-03-23
192 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 4 2 — — $20,017.30 $39,670.91 $29,844.11 2026-03-23
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 5 — — $28,054.36 $70,527.73 $29,644.05 2026-03-23
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 2 1 — — $28,998.25 $28,998.25 $28,998.25 2026-03-23
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 74 19 — — $8,147.13 $28,971.91 $28,971.91 2026-03-23
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 74 19 — — $678.15 $29,489.39 $28,918.75 2026-03-23
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 92 20 — — $5,443.25 $28,866.20 $28,866.20 2026-03-23
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 74 19 — — $10,889.64 $28,834.29 $28,834.29 2026-03-23
915 MS_DRG Allergic Reactions With Mcc 74 19 — — $7,797.04 $28,805.15 $28,805.15 2026-03-23
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 5 — — $13,214.99 $30,963.41 $28,720.29 2026-03-23
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 10 3 — — $16,261.55 $272,535.13 $28,669.66 2026-03-23
801 MS_DRG Splenic Procedures Without Cc/mcc 74 19 — — $13,443.45 $28,624.88 $28,624.88 2026-03-23
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 2 — — $28,584.36 $28,595.16 $28,589.76 2026-03-23
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 74 19 — — $7,213.24 $28,585.65 $28,585.65 2026-03-23
205 MS_DRG Other Respiratory System Diagnoses With Mcc 74 19 — — $9,565.17 $28,525.05 $28,525.05 2026-03-23
33289 CPT Hc Transcath Impl Wrls Pa Prs Snr L-t Hemdyn Mntr 88 20 $111,361.00 $16,704.15 85% off $7,778.00 $111,361.00 $28,434.99 2026-03-23
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 74 19 — — $3,783.00 $33,341.10 $28,373.06 2026-03-23
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 74 19 — — $9,508.83 $28,286.17 $28,286.17 2026-03-23
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 74 19 — — $17,136.29 $28,241.76 $28,241.76 2026-03-23
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 4 — — $21,085.88 $56,055.26 $28,213.81 2026-03-23
C1815 HCPCS Ams S.t. Cuff Belt Fgs 4.5cm Iz 156 8 $76,563.91 $11,484.59 85% off $2,536.70 $81,930.90 $28,209.39 2026-03-23
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 74 19 — — $24,928.58 $28,195.83 $28,195.83 2026-03-23
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 1 — — $28,037.24 $28,037.24 $28,037.24 2026-03-23
951 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 2 1 — — $27,947.32 $27,947.32 $27,947.32 2026-03-23
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 3 — — $27,856.89 $29,249.74 $27,864.28 2026-03-23
711 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 2 1 — — $27,731.49 $27,731.49 $27,731.49 2026-03-23
444 MS_DRG Disorders Of The Biliary Tract With Mcc 74 19 — — $4,044.00 $27,725.88 $27,725.88 2026-03-23
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/mcc 74 19 — — $7,415.96 $27,398.73 $27,398.73 2026-03-23
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 28 7 — — $10,788.75 $62,596.63 $27,266.67 2026-03-23
665 MS_DRG Prostatectomy With Mcc 74 19 — — $27,215.19 $27,215.19 $27,215.19 2026-03-23
835 MS_DRG Acute Leukemia With Cc 74 19 — — $14,626.08 $27,179.31 $27,179.31 2026-03-23
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 4 1 — — $16,305.91 $37,998.87 $27,152.39 2026-03-23
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 80 19 — — $4,044.00 $28,479.64 $27,128.99 2026-03-23
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 74 19 — — $12,519.55 $32,875.12 $26,994.19 2026-03-23
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 74 19 — — $11,785.58 $29,579.87 $26,920.37 2026-03-23
334 MS_DRG Rectal Resection Without Cc/mcc 2 1 — — $26,900.83 $26,900.83 $26,900.83 2026-03-23
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 74 19 — — $9,017.16 $28,694.75 $26,811.69 2026-03-23
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 3 — — $19,017.02 $64,611.63 $26,700.16 2026-03-23
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 5 — — $25,677.16 $55,344.12 $26,593.86 2026-03-23
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 74 19 — — $10,933.21 $27,386.27 $26,586.39 2026-03-23
654 MS_DRG Major Bladder Procedures With Cc 74 19 — — $26,570.13 $44,041.69 $26,570.13 2026-03-23
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 74 19 — — $11,471.21 $26,423.97 $26,423.97 2026-03-23
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 3 — — $18,279.67 $36,675.33 $26,393.29 2026-03-23
398 MS_DRG Appendix Procedures With Cc 74 19 — — $10,483.27 $26,392.74 $26,392.74 2026-03-23
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 74 19 — — $26,349.30 $26,349.30 $26,349.30 2026-03-23
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 74 19 — — $10,771.86 $26,325.32 $26,325.32 2026-03-23
548 MS_DRG Septic Arthritis With Mcc 78 19 — — $10,216.65 $26,262.60 $26,262.60 2026-03-23
38 MS_DRG Extracranial Procedures With Cc 74 19 — — $11,094.12 $26,257.92 $26,257.92 2026-03-23
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 74 19 — — $12,516.94 $27,282.20 $26,132.82 2026-03-23
668 MS_DRG Transurethral Procedures With Mcc 74 19 — — $20,733.23 $26,125.51 $26,125.51 2026-03-23
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 74 19 — — $9,644.13 $26,024.15 $26,024.15 2026-03-23
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 74 19 — — $8,421.00 $25,969.90 $25,969.90 2026-03-23
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 74 19 — — $9,946.56 $58,144.33 $25,967.17 2026-03-23
58 APR_DRG Other Disorders Of Nervous System 2 1 — — $25,921.27 $25,921.27 $25,921.27 2026-03-23
180 MS_DRG Respiratory Neoplasms With Mcc 74 19 — — $11,994.72 $29,422.47 $25,916.58 2026-03-23
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 74 19 — — $11,441.61 $26,532.69 $25,853.96 2026-03-23
974 MS_DRG HIV With Major Related Condition With Mcc 74 19 — — $20,170.23 $25,847.03 $25,847.03 2026-03-23
908 MS_DRG Other O.r. Procedures For Injuries With Cc 74 19 — — $9,675.33 $25,838.95 $25,838.95 2026-03-23
570 MS_DRG Skin Debridement With Mcc 74 19 — — $20,313.01 $25,715.77 $25,715.77 2026-03-23
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 74 19 — — $9,412.41 $25,640.49 $25,640.49 2026-03-23
177 MS_DRG Respiratory Infections And Inflammations With Mcc 74 19 — — $5,327.05 $25,615.81 $25,615.81 2026-03-23
152 MS_DRG Otitis Media And Uri With Mcc 74 19 — — $8,581.56 $25,595.98 $25,595.98 2026-03-23
223 MS_DRG Other Small And Large Bowel Procedures 2 1 — — $25,593.46 $25,593.46 $25,593.46 2026-03-23
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 76 19 — — $11,023.07 $25,536.33 $25,536.33 2026-03-23
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 74 19 — — $11,188.29 $30,249.49 $25,502.10 2026-03-23
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 74 19 — — $25,453.86 $30,094.35 $25,453.86 2026-03-23
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 2 — — $24,027.86 $26,736.54 $25,382.20 2026-03-23
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 74 19 — — $12,499.85 $25,357.40 $25,357.40 2026-03-23
595 MS_DRG Major Skin Disorders With Mcc 2 1 — — $25,354.17 $25,354.17 $25,354.17 2026-03-23
693 MS_DRG Urinary Stones With Mcc 74 19 — — $9,684.53 $25,340.72 $25,340.72 2026-03-23
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 10 5 — — $15,807.36 $28,512.69 $25,140.71 2026-03-23
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 74 19 — — $10,454.31 $25,108.48 $25,108.48 2026-03-23
503 MS_DRG Foot Procedures With Mcc 74 19 — — $17,933.61 $30,369.74 $25,069.62 2026-03-23
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 74 19 — — $452.10 $25,028.58 $25,028.58 2026-03-23
313 APR_DRG Knee And Lower Leg Procedures Except Foot 16 5 — — $19,427.68 $42,552.91 $25,025.93 2026-03-23
304 MS_DRG Hypertension With Mcc 82 19 — — $3,571.73 $54,695.12 $25,020.82 2026-03-23
323 APR_DRG Non-elective Or Complex Hip Joint Replacement 4 2 — — $22,845.64 $26,930.47 $24,888.06 2026-03-23
254 MS_DRG Other Vascular Procedures Without Cc/mcc 76 19 — — $12,010.96 $32,802.75 $24,887.68 2026-03-23
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 74 19 — — $10,606.30 $24,804.84 $24,804.84 2026-03-23
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 74 19 — — $12,147.72 $24,782.03 $24,782.03 2026-03-23
C2624 HCPCS Delivery Sys & Sensor Cardiomems Pa 52 8 $123,756.50 $18,563.47 85% off $3,582.94 $197,049.00 $24,727.36 2026-03-23
189 MS_DRG Pulmonary Edema And Respiratory Failure 74 19 — — $8,635.64 $24,547.66 $24,547.66 2026-03-23
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 74 19 — — $12,160.46 $25,033.00 $24,534.37 2026-03-23
682 MS_DRG Renal Failure With Mcc 74 19 — — $7,332.82 $24,479.78 $24,479.78 2026-03-23
884 MS_DRG Organic Disturbances And Intellectual Disability 74 19 — — $10,032.08 $24,471.87 $24,471.87 2026-03-23
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 74 19 — — $12,951.68 $24,444.90 $24,444.90 2026-03-23
385 MS_DRG Inflammatory Bowel Disease With Mcc 78 19 — — $9,907.95 $29,241.53 $24,420.54 2026-03-23
606 MS_DRG Minor Skin Disorders With Mcc 74 19 — — $24,406.01 $24,406.01 $24,406.01 2026-03-23
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 74 19 — — $12,901.71 $24,361.08 $24,361.08 2026-03-23
326 APR_DRG Elective Knee Joint Replacement 2 1 — — $24,358.74 $24,358.74 $24,358.74 2026-03-23
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 3 — — $23,536.64 $34,575.87 $24,290.92 2026-03-23
374 MS_DRG Digestive Malignancy With Mcc 74 19 — — $4,044.00 $24,279.26 $24,279.26 2026-03-23
786 MS_DRG Cesarean Section Without Sterilization With Mcc 74 19 — — $4,834.00 $26,306.23 $24,173.93 2026-03-23
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 1 — — $24,068.94 $24,068.94 $24,068.94 2026-03-23
947 MS_DRG Signs And Symptoms With Mcc 74 19 — — $8,958.80 $24,003.28 $24,003.28 2026-03-23
663 MS_DRG Minor Bladder Procedures With Cc 92 20 — — $7,983.75 $23,995.99 $23,995.99 2026-03-23
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 12 5 — — $23,020.85 $52,525.44 $23,976.56 2026-03-23
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 5 — — $19,254.48 $54,457.65 $23,883.13 2026-03-23
791 MS_DRG Prematurity With Major Problems 6 1 — — $13,868.00 $50,606.65 $23,834.00 2026-03-23
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 2 — — $23,800.73 $23,800.73 $23,800.73 2026-03-23
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 8 2 — — $16,854.71 $69,639.99 $23,711.72 2026-03-23
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 74 19 — — $11,635.90 $27,470.12 $23,664.31 2026-03-23
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 2 1 — — $23,582.81 $23,582.81 $23,582.81 2026-03-23
93656 CPT Hc Eps/afib Ablation 92 20 $26,884.00 $4,032.60 85% off $1,077.79 $54,054.68 $23,581.26 2026-03-23
93654 CPT Hc Eps/vt Ablation 92 20 $26,884.00 $4,032.60 85% off $1,074.13 $54,054.68 $23,581.26 2026-03-23
93653 CPT Hc Eps/svt Ablation 92 20 $26,884.00 $4,032.60 85% off $802.13 $54,054.68 $23,581.26 2026-03-23
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 22 5 — — $11,358.07 $74,711.26 $23,484.87 2026-03-23
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 38 8 — — $12,398.56 $102,877.37 $23,438.19 2026-03-23
783 MS_DRG Cesarean Section With Sterilization With Mcc 74 19 — — $8,453.00 $28,172.27 $23,351.69 2026-03-23
120 APR_DRG Major Respiratory And Chest Procedures 2 1 — — $23,283.93 $23,283.93 $23,283.93 2026-03-23
965 MS_DRG Other Multiple Significant Trauma Without Cc/mcc 74 19 — — $23,282.46 $23,282.46 $23,282.46 2026-03-23
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 74 19 — — $10,822.12 $23,259.68 $23,259.68 2026-03-23
399 MS_DRG Appendix Procedures Without Cc/mcc 74 19 — — $5,410.78 $23,251.21 $23,251.21 2026-03-23
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 74 19 — — $23,238.76 $23,238.76 $23,238.76 2026-03-23
551 MS_DRG Medical Back Problems With Mcc 74 19 — — $11,733.26 $23,215.19 $23,215.19 2026-03-23
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 4 2 — — $14,499.21 $31,768.67 $23,133.94 2026-03-23
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 74 19 — — $3,024.00 $23,106.74 $23,106.74 2026-03-23
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 74 19 — — $11,204.63 $23,090.05 $23,090.05 2026-03-23
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 74 19 — — $8,871.27 $23,080.83 $23,080.83 2026-03-23
39 MS_DRG Extracranial Procedures Without Cc/mcc 74 19 — — $7,985.41 $23,077.31 $23,077.31 2026-03-23
231 APR_DRG Major Large Bowel Procedures 8 3 — — $14,721.20 $36,719.43 $23,054.35 2026-03-23
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 74 19 — — $15,160.44 $23,041.83 $23,041.83 2026-03-23
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 74 19 — — $13,175.25 $25,702.53 $23,019.81 2026-03-23
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 3 — — $22,288.79 $49,367.97 $22,994.59 2026-03-23
54 MS_DRG Nervous System Neoplasms With Mcc 74 19 — — $7,894.16 $24,764.79 $22,971.49 2026-03-23
C1882 HCPCS Aicd, Other Than Sing/dual 1,190 8 $54,341.00 $8,151.15 85% off $145.57 $174,449.87 $22,909.56 2026-03-23
602 MS_DRG Cellulitis With Mcc 74 19 — — $10,159.79 $23,103.08 $22,891.10 2026-03-23
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 74 19 — — $11,792.80 $22,872.43 $22,872.43 2026-03-23
816 APR_DRG Toxic Effects Of Non-medicinal Substances 2 1 — — $22,816.35 $22,816.35 $22,816.35 2026-03-23
964 MS_DRG Other Multiple Significant Trauma With Cc 74 19 — — $5,557.49 $26,997.30 $22,711.96 2026-03-23
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 74 19 — — $9,925.63 $23,245.07 $22,663.88 2026-03-23
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 74 19 — — $8,171.43 $22,661.33 $22,661.33 2026-03-23
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 74 19 — — $16,429.53 $22,618.63 $22,618.63 2026-03-23
572 MS_DRG Skin Debridement Without Cc/mcc 74 19 — — $8,341.38 $22,614.19 $22,614.19 2026-03-23
627 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/mcc 74 19 — — $4,044.00 $22,455.53 $22,455.53 2026-03-23
136 APR_DRG Respiratory Malignancy 2 1 — — $22,451.15 $22,451.15 $22,451.15 2026-03-23
200 MS_DRG Pneumothorax With Cc 74 19 — — $7,783.52 $22,396.60 $22,396.60 2026-03-23
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 2 — — $15,348.36 $29,393.32 $22,370.84 2026-03-23
33230 CPT Hc Insrt Pulse Gen W/dual Leads 88 20 $88,432.00 $13,264.80 85% off $8,463.00 $88,432.00 $22,156.48 2026-03-23
33240 CPT Hc Insert Icd Pulse Gen 88 20 $98,421.00 $14,763.15 85% off $488.80 $98,421.00 $22,156.48 2026-03-23
33262 CPT Hc Remv & Repl Cvd Gen Sing Lead 88 20 $80,544.00 $12,081.60 85% off $8,463.00 $80,544.00 $22,156.48 2026-03-23
0614T CPT Hc Rmvl&rplcmt Substernal Impltbl Defibrillator Pg 88 20 $71,063.00 $10,659.45 85% off $8,463.00 $71,063.00 $22,156.48 2026-03-23
33263 CPT Hc Remv & Repl Cvd Gen Dual Lead 88 20 $80,544.00 $12,081.60 85% off $8,463.00 $80,544.00 $22,156.48 2026-03-23
348 MS_DRG Anal And Stomal Procedures With Cc 74 19 — — $8,779.25 $22,139.35 $22,139.35 2026-03-23
264 MS_DRG Other Circulatory System O.r. Procedures 12 6 — — $7,163.49 $56,687.03 $22,097.93 2026-03-23
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 3 — — $10,258.67 $22,822.58 $22,069.13 2026-03-23
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 74 19 — — $12,766.21 $22,064.35 $22,064.35 2026-03-23
321 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 4 2 — — $10,788.75 $33,329.80 $22,059.28 2026-03-23
186 MS_DRG Pleural Effusion With Mcc 74 19 — — $10,891.13 $22,000.28 $22,000.28 2026-03-23
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 76 20 — — $8,772.66 $21,941.08 $21,941.08 2026-03-23
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 2 — — $20,610.38 $49,607.43 $21,868.36 2026-03-23
133 APR_DRG Respiratory Failure 12 3 — — $13,950.71 $23,510.43 $21,826.11 2026-03-23
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 12 6 — — $20,924.02 $22,193.91 $21,768.38 2026-03-23
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 92 20 — — $781.00 $23,900.02 $21,702.99 2026-03-23
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 22 6 — — $12,945.56 $33,724.37 $21,634.97 2026-03-23
207 APR_DRG Other Circulatory System Diagnoses 6 2 — — $13,869.78 $24,005.39 $21,612.50 2026-03-23
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 2 — — $21,569.05 $21,592.24 $21,580.65 2026-03-23
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 74 19 — — $21,518.24 $21,518.24 $21,518.24 2026-03-23
196 MS_DRG Interstitial Lung Disease With Mcc 74 19 — — $13,297.45 $21,480.27 $21,480.27 2026-03-23
333 MS_DRG Rectal Resection With Cc 74 19 — — $21,392.33 $21,392.33 $21,392.33 2026-03-23
347 MS_DRG Anal And Stomal Procedures With Mcc 82 20 — — $6,908.57 $21,353.22 $21,353.22 2026-03-23
383 APR_DRG Cellulitis And Other Skin Infections 4 2 — — $6,865.14 $35,782.01 $21,323.58 2026-03-23
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 74 19 — — $6,592.41 $21,228.25 $21,228.25 2026-03-23
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 74 19 — — $7,751.27 $21,223.60 $21,223.60 2026-03-23
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 12 4 — — $15,361.24 $38,208.17 $21,169.67 2026-03-23
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 18 6 — — $16,312.31 $88,040.00 $21,072.91 2026-03-23
291 MS_DRG Heart Failure And Shock With Mcc 74 19 — — $4,969.80 $22,765.00 $21,059.36 2026-03-23
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 74 19 — — $8,028.84 $21,023.33 $21,023.33 2026-03-23
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 76 19 — — $3,452.00 $29,070.41 $21,004.88 2026-03-23
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 74 19 — — $20,975.59 $20,975.59 $20,975.59 2026-03-23
299 MS_DRG Peripheral Vascular Disorders With Mcc 74 19 — — $6,910.40 $20,854.60 $20,854.60 2026-03-23
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 74 19 — — $9,312.66 $22,557.56 $20,822.74 2026-03-23
206 APR_DRG Malfunction, Reaction, Complication Of Cardiac/vascular Device Or Procedure 2 1 — — $20,804.81 $20,804.81 $20,804.81 2026-03-23
539 MS_DRG Osteomyelitis With Mcc 82 20 — — $5,362.66 $20,767.48 $20,767.48 2026-03-23
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 74 19 — — $10,423.45 $20,752.15 $20,752.15 2026-03-23
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 6 3 — — $20,681.59 $44,071.55 $20,699.09 2026-03-23
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 74 19 — — $8,662.79 $20,848.91 $20,423.96 2026-03-23
C1761 HCPCS Cath, Trans Intra Litho/coro 26 8 $48,743.70 $7,311.56 85% off $3,460.80 $48,743.70 $20,326.12 2026-03-23
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 74 19 — — $10,862.39 $20,292.19 $20,292.19 2026-03-23
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 74 19 — — $12,781.78 $20,769.75 $20,256.83 2026-03-23
472 MS_DRG Cervical Spinal Fusion With Cc 10 4 — — $19,570.78 $47,782.80 $20,178.51 2026-03-23
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 12 4 — — $11,699.38 $27,590.14 $20,152.66 2026-03-23
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 2 — — $18,162.27 $21,992.35 $20,077.31 2026-03-23
550 MS_DRG Septic Arthritis Without Cc/mcc 74 19 — — $18,891.95 $20,072.52 $20,072.52 2026-03-23
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 4 2 — — $15,395.34 $24,737.34 $20,066.34 2026-03-23
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 74 19 — — $5,598.00 $73,800.10 $20,057.03 2026-03-23
220 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 1 — — $20,034.63 $20,034.63 $20,034.63 2026-03-23
637 MS_DRG Diabetes With Mcc 74 19 — — $6,719.36 $24,515.35 $20,033.13 2026-03-23
181 MS_DRG Respiratory Neoplasms With Cc 74 19 — — $7,817.64 $20,026.92 $20,026.92 2026-03-23
150 MS_DRG Epistaxis With Mcc 74 19 — — $9,590.21 $20,020.74 $20,020.74 2026-03-23
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 74 19 — — $10,695.47 $19,957.85 $19,957.85 2026-03-23
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 5 — — $19,664.23 $20,871.07 $19,883.65 2026-03-23
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 10 4 — — $8,175.00 $78,035.71 $19,763.85 2026-03-23
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 74 19 — — $8,203.95 $20,881.92 $19,750.19 2026-03-23
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 74 19 — — $19,683.78 $19,683.78 $19,683.78 2026-03-23
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 74 19 — — $9,686.37 $19,541.28 $19,541.28 2026-03-23
547 APR_DRG Antepartum With O.r. Procedure 2 1 — — $19,530.03 $19,530.03 $19,530.03 2026-03-23
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 74 19 — — $9,265.56 $21,814.56 $19,452.44 2026-03-23
289 MS_DRG Acute And Subacute Endocarditis With Cc 74 19 — — $19,351.60 $19,351.60 $19,351.60 2026-03-23
280 APR_DRG Alcoholic Liver Disease 20 6 — — $7,365.64 $45,849.13 $19,332.34 2026-03-23
865 MS_DRG Viral Illness With Mcc 74 19 — — $9,935.34 $19,255.35 $19,255.35 2026-03-23
537 MS_DRG Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/mcc 74 19 — — $11,455.34 $19,243.42 $19,243.42 2026-03-23
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 14 5 — — $17,264.44 $53,376.90 $19,220.76 2026-03-23
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 74 19 — — $14,900.62 $19,184.84 $19,184.84 2026-03-23
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 74 19 — — $16,580.88 $19,166.63 $19,166.63 2026-03-23
184 MS_DRG Major Chest Trauma With Cc 74 19 — — $7,524.37 $19,140.85 $19,140.85 2026-03-23
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 8 — — $3,378.00 $41,327.82 $19,060.82 2026-03-23
199 MS_DRG Pneumothorax With Mcc 78 20 — — $7,229.22 $18,995.16 $18,995.16 2026-03-23
178 MS_DRG Respiratory Infections And Inflammations With Cc 74 19 — — $6,799.31 $18,971.87 $18,971.87 2026-03-23
963 MS_DRG Other Multiple Significant Trauma With Mcc 2 1 — — $18,961.15 $18,961.15 $18,961.15 2026-03-23
44 MS_DRG Intracranial Hemorrhage 4 2 — — $18,841.29 $19,024.21 $18,932.75 2026-03-23
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 74 19 — — $2,765.00 $20,868.14 $18,874.22 2026-03-23
711 MS_DRG Testes Procedures With Cc/mcc 78 20 — — $16,183.85 $52,108.42 $18,840.81 2026-03-23
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 74 19 — — $12,708.32 $18,781.85 $18,781.85 2026-03-23
C2616 HCPCS Hc Brachytherapy Source Nonstranded Yttrium 90 Per Source 82 20 $137,008.00 $20,551.20 85% off $9,429.77 $137,008.00 $18,659.56 2026-03-23
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 74 19 — — $10,024.07 $22,672.54 $18,640.10 2026-03-23
230 APR_DRG Major Small Bowel Procedures 6 2 — — $18,564.32 $73,448.29 $18,564.32 2026-03-23
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 36 6 — — $3,158.00 $27,917.51 $18,534.01 2026-03-23
906 MS_DRG Hand Procedures For Injuries 74 19 — — $18,507.73 $18,507.73 $18,507.73 2026-03-23
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 1 — — $18,464.48 $18,464.48 $18,464.48 2026-03-23
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 74 19 — — $5,620.29 $19,714.53 $18,344.01 2026-03-23
885 MS_DRG Psychoses 100 17 — — $1,171.00 $22,227.69 $18,296.66 2026-03-23
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