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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

37,222 distinct procedures filed
26 distinct payers
2,262,174 rate rows
2026-03-23 last MRF observed
Data quality

2,242,163 of 2,262,174 rate rows are consumer-grade (99.1%)

20,011 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 469
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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $62,589.16 $416,055.00 $152,238.98 nat. median
$145,435
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $36,904.37 $582,588.66 $142,753.56 nat. median
$69,822
outlier · 2.0×
C1825
HCPCS 		System Barostim Neo2 8 $23,194.74 $326,686.50 $136,228.27 nat. median
$35,000
outlier · 3.9×
C1823
HCPCS 		Generator Pulse Remede 13 $6,342.08 $367,225.00 $134,037.12 nat. median
$86,625
1.5× median
5
MS_DRG 		Pancreas Transplant 1 $120,288.66 $120,288.66 $120,288.66 nat. median
$69,922
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $40,350.38 $262,117.19 $100,078.84 nat. median
$97,418
1.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 $45,494.06 $144,613.88 $98,745.80 nat. median
$2,958
outlier · 33.4×
121
APR_DRG 		Other Respiratory And Chest Procedures 6 $14,940.12 $98,363.22 $96,489.64 nat. median
$32,490
outlier · 3.0×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 $93,536.59 $93,536.59 $93,536.59 nat. median
$2,596
outlier · 36.0×
27800544
CDM 		Hc Impella Cp Set Intracadiac Pump - Lv Assist 13 $13,527.56 $190,529.00 $90,672.75 —
231
MS_DRG 		Major Large Bowel Procedures 18 $22,794.22 $142,649.63 $81,762.96 nat. median
$60,505
1.4× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $31,642.67 $224,401.00 $79,839.07 nat. median
$2,106
outlier · 37.9×
952
MS_DRG 		Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 1 $79,147.35 $79,147.35 $79,147.35 nat. median
$12,818
outlier · 6.2×
215
MS_DRG 		Other Heart Assist System Implant 18 $45,042.00 $304,274.32 $75,889.84 nat. median
$73,023
1.0× median
27202225
CDM 		Set Cardiohelp Disposable 13 $40,136.87 $155,509.00 $74,006.73 —
21
APR_DRG 		Open Craniotomy Except Trauma 6 $49,010.00 $72,312.03 $71,003.53 nat. median
$77,825
0.9× median
5
APR_DRG 		Pancreas Transplant 1 $68,988.09 $68,988.09 $68,988.09 nat. median
$153,542
outlier · 0.4×
C1875
HCPCS 		Stent Thoracic 40 X 36 X 154 13 $11,239.57 $165,417.45 $68,979.08 nat. median
$3,632
outlier · 19.0×
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 $8,342.54 $343,891.15 $67,722.33 nat. median
$24,748
outlier · 2.7×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $23,660.41 $329,455.18 $66,327.15 nat. median
$47,458
1.4× median
421
APR_DRG 		Malnutrition, Failure To Thrive And Other Nutritional Disorders 6 $14,359.33 $67,445.09 $66,224.66 nat. median
$5,907
outlier · 11.2×
C1820
HCPCS 		Cap Code Ipg Iq Stimulator 13 $563.56 $191,863.50 $63,322.49 nat. median
$21,100
outlier · 3.0×
C2622
HCPCS 		Prosthesis Malleable Penile Tactra 9.5 X 14-23cm 8 $10,305.09 $145,142.15 $60,524.28 nat. median
$8,606
outlier · 7.0×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $24,698.49 $154,350.41 $59,685.42 nat. median
$2,106
outlier · 28.3×
A9543
HCPCS 		Hc Nnm Yt90 Zevalin Tx/dose To 40mci 26 $21,414.06 $123,877.52 $59,381.65 nat. median
$65,477
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
$12,698
outlier · 4.6×
169
APR_DRG 		Major Abdominal Vascular Procedures 6 $57,304.57 $58,417.28 $57,360.20 nat. median
$52,618
1.1× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 3 $27,356.54 $76,321.68 $57,287.42 nat. median
$29,826
1.9× median
C1767
HCPCS 		Pulse Generator 13 $448.29 $189,011.48 $55,089.94 nat. median
$25,172
outlier · 2.2×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 $23,925.75 $223,449.10 $54,637.01 nat. median
$52,327
1.0× median
98
APR_DRG 		Other Ear, Nose, Mouth And Throat Procedures 6 $15,200.70 $53,432.97 $52,466.08 nat. median
$17,993
outlier · 2.9×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 $26,405.36 $224,643.51 $51,758.85 nat. median
$51,518
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 19 $28,147.12 $129,272.50 $50,958.17 nat. median
$48,611
1.0× median
220
MS_DRG 		Major Stomach, Esophageal And Duodenal Procedures 18 $21,287.77 $82,660.30 $49,359.94 nat. median
$38,832
1.3× median
96
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 18 $4,742.67 $283,210.45 $48,957.87 nat. median
$17,612
outlier · 2.8×
131
APR_DRG 		Cystic Fibrosis - Pulmonary Disease 1 $48,417.63 $48,417.63 $48,417.63 nat. median
$40,307
1.2× median
C1772
HCPCS 		Synchromed 13 $268.97 $126,567.68 $47,984.38 nat. median
$18,271
outlier · 2.6×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 $16,877.24 $94,431.88 $43,719.20 nat. median
$40,726
1.1× median
28
MS_DRG 		Spinal Procedures With Mcc 18 $11,625.29 $113,872.39 $43,364.33 nat. median
$41,895
1.0× median
A9545
HCPCS 		Hc Nnm I 131 Tositumomab Tx Per Dose 13 $22,351.46 $86,600.00 $43,300.00 nat. median
$41,848
1.0× median
99
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc 18 $2,634.61 $266,823.73 $43,294.19 nat. median
$9,795
outlier · 4.4×
317
MS_DRG 		Tendon, Muscle And Other Soft Tissue Procedures 18 $35,710.00 $96,544.96 $42,016.59 nat. median
$2,633
outlier · 16.0×
33276
CPT 		Hc Insertion Phrenic Nerve Stimulator System 26 $8,269.00 $93,168.00 $41,833.36 nat. median
$44,163
0.9× median
308
APR_DRG 		Hip And Femur Fracture Repair 6 $19,957.37 $68,696.15 $41,260.04 nat. median
$19,296
outlier · 2.1×
41
APR_DRG 		Nervous System Malignancy 6 $41,091.25 $41,889.14 $41,131.15 nat. median
$43,550
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
$43,533
0.9× median
21
MS_DRG 		Open Craniotomy Except Trauma 18 $36,772.97 $141,808.82 $40,602.00 nat. median
$38,173
1.1× median
951
APR_DRG 		Moderately Extensive Procedure Unrelated To Principal Diagnosis 6 $24,602.85 $90,377.61 $40,449.57 nat. median
$7,198
outlier · 5.6×
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
$40,301
1.0× median
711
APR_DRG 		Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 6 $23,401.00 $76,809.03 $40,176.15 nat. median
$20,660
1.9× median

Other procedures at this hospital

Browse this hospital's 37,222 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
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 42 18 $372,873.11 $55,930.97 85% off $62,589.16 $416,055.00 $152,238.98 2026-03-23
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 18 $865,916.56 $129,887.48 85% off $36,904.37 $582,588.66 $142,753.56 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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 45 18 $262,117.19 $39,317.58 85% off $40,350.38 $262,117.19 $100,078.84 2026-03-23
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 43 18 $247,813.48 $37,172.02 85% off $45,494.06 $144,613.88 $98,745.80 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
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 49 18 $179,979.99 $26,997.00 85% off $22,794.22 $142,649.63 $81,762.96 2026-03-23
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 2 $333,533.00 $50,029.95 85% off $31,642.67 $224,401.00 $79,839.07 2025-01-17
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
215 MS_DRG Other Heart Assist System Implant 41 18 $442,902.36 $66,435.35 85% off $45,042.00 $304,274.32 $75,889.84 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 39 18 $511,134.29 $76,670.14 85% off $8,342.54 $343,891.15 $67,722.33 2026-03-23
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 18 $489,677.74 $73,451.66 85% off $23,660.41 $329,455.18 $66,327.15 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
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
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
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 2 $229,415.00 $34,412.25 85% off $24,698.49 $154,350.41 $59,685.42 2025-01-17
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
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
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
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
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 41 18 $332,118.16 $49,817.72 85% off $23,925.75 $223,449.10 $54,637.01 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
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 39 18 $333,893.45 $50,084.02 85% off $26,405.36 $224,643.51 $51,758.85 2025-01-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 51 19 $192,141.05 $28,821.16 85% off $28,147.12 $129,272.50 $50,958.17 2026-03-23
220 MS_DRG Major Stomach, Esophageal And Duodenal Procedures 44 18 $75,468.11 $11,320.22 85% off $21,287.77 $82,660.30 $49,359.94 2025-01-17
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 39 18 $420,943.00 $63,141.45 85% off $4,742.67 $283,210.45 $48,957.87 2026-03-23
131 APR_DRG Cystic Fibrosis - Pulmonary Disease 1 1 — — $48,417.63 $48,417.63 $48,417.63 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
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 40 18 $81,217.00 $12,182.55 85% off $16,877.24 $94,431.88 $43,719.20 2026-03-23
28 MS_DRG Spinal Procedures With Mcc 39 18 $169,251.47 $25,387.72 85% off $11,625.29 $113,872.39 $43,364.33 2026-03-23
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
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc 38 18 $396,587.00 $59,488.05 85% off $2,634.61 $266,823.73 $43,294.19 2025-01-17
317 MS_DRG Tendon, Muscle And Other Soft Tissue Procedures 62 18 $35,710.00 $5,356.50 85% off $35,710.00 $96,544.96 $42,016.59 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
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
21 MS_DRG Open Craniotomy Except Trauma 35 18 $210,774.11 $31,616.12 85% off $36,772.97 $141,808.82 $40,602.00 2025-01-17
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
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
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
169 MS_DRG Major Abdominal Vascular Procedures 1 1 — — $39,647.22 $39,647.22 $39,647.22 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 41 18 $44,503.50 $6,675.53 85% off $21,276.88 $86,259.04 $39,474.16 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
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 38 18 $102,507.82 $15,376.17 85% off $15,568.19 $90,834.58 $39,282.73 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
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
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
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
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
234 MS_DRG Appendectomy Without Complex Principal Diagnosis 34 19 $47,463.13 $7,119.47 85% off $8,299.73 $80,845.88 $38,015.18 2026-03-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 55 18 $203,223.56 $30,483.53 85% off $19,662.72 $136,728.81 $37,720.69 2026-03-23
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 45 18 $353,417.20 $53,012.58 85% off $15,537.42 $237,779.09 $37,599.01 2026-03-23
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 46 18 $235,795.56 $35,369.33 85% off $11,053.87 $158,643.25 $37,395.37 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
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 42 18 $268,583.39 $40,287.51 85% off $22,808.71 $180,702.90 $36,705.45 2026-03-23
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 44 18 $119,014.31 $17,852.15 85% off $18,263.22 $85,499.89 $36,488.90 2026-03-23
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
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
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
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
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
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
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
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
224 MS_DRG Peritoneal Adhesiolysis 1 1 $74,610.00 $11,191.50 85% off $35,830.01 $35,830.01 $35,830.01 2025-01-17
471 MS_DRG Cervical Spinal Fusion With Mcc 41 18 $160,824.30 $24,123.65 85% off $22,807.73 $108,202.59 $35,747.08 2026-03-23
140 MS_DRG Chronic Obstructive Pulmonary Disease 46 18 $35,677.63 $5,351.64 85% off $16,021.92 $66,000.90 $35,677.63 2025-01-17
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
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
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
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
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
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 2 $226,146.51 $33,921.98 85% off $14,204.73 $152,151.37 $35,077.07 2025-01-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 45 18 $247,620.00 $37,143.00 85% off $14,945.95 $166,598.74 $34,997.83 2026-03-23
245 MS_DRG Aicd Generator Procedures 59 19 $274,057.64 $41,108.65 85% off $11,505.72 $184,385.98 $34,875.50 2026-03-23
163 MS_DRG Major Chest Procedures With Mcc 52 18 $184,436.86 $27,665.53 85% off $15,233.43 $124,089.12 $34,723.26 2026-03-23
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 62 18 $152,855.79 $22,928.37 85% off $10,788.75 $141,553.88 $34,160.84 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 73 18 $264,504.57 $39,675.69 85% off $27,482.47 $177,958.67 $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
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 49 18 $152,057.57 $22,808.64 85% off $13,641.78 $102,304.33 $33,823.97 2026-03-23
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 41 18 $176,594.68 $26,489.20 85% off $20,934.61 $118,812.90 $33,820.60 2026-03-23
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 41 18 $271,738.20 $40,760.73 85% off $17,948.35 $182,825.46 $33,624.30 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
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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 46 19 $206,495.38 $30,974.31 85% off $17,864.66 $138,930.09 $32,652.18 2026-03-23
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 42 18 $57,423.23 $8,613.48 85% off $14,840.86 $70,408.03 $32,472.60 2026-03-23
774 APR_DRG Cocaine Abuse And Dependence 1 1 — — $31,811.18 $31,811.18 $31,811.18 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
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
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
397 MS_DRG Appendix Procedures With Mcc 40 18 $329,341.27 $49,401.19 85% off $8,431.49 $221,580.81 $31,023.00 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
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 41 18 $154,928.56 $23,239.28 85% off $12,408.17 $104,235.94 $30,877.67 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
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 47 18 $128,748.20 $19,312.23 85% off $13,097.22 $86,621.79 $30,336.47 2026-03-23
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 39 18 $101,741.39 $15,261.21 85% off $16,135.27 $69,184.37 $30,330.61 2025-01-17
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
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
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 38 18 $113,251.47 $16,987.72 85% off $12,186.74 $76,195.59 $30,005.99 2025-01-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 42 18 $202,621.23 $30,393.18 85% off $14,652.09 $136,323.56 $29,988.79 2026-03-23
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
227 MS_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 2 2 $64,233.68 $9,635.05 85% off $26,476.71 $32,419.02 $29,447.86 2026-03-23
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 54 18 $161,490.38 $24,223.56 85% off $12,882.42 $108,650.73 $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
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 58 18 $74,290.06 $11,143.51 85% off $9,581.51 $39,058.25 $29,031.65 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
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 44 18 $181,400.41 $27,210.06 85% off $10,173.63 $122,046.20 $28,735.92 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 34 17 — — $13,443.45 $28,624.88 $28,624.88 2026-03-23
205 MS_DRG Other Respiratory System Diagnoses With Mcc 70 19 $38,394.52 $5,759.18 85% off $3,658.42 $31,779.23 $28,525.05 2026-03-23
793 MS_DRG Full Term Neonate With Major Problems 79 17 $29,411.00 $4,411.65 85% off $1,322.00 $65,084.82 $28,491.16 2026-03-23
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 73 19 $138,451.48 $20,767.72 85% off $3,783.00 $93,150.16 $28,373.06 2026-03-23
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 34 17 — — $17,136.29 $28,241.76 $28,241.76 2026-03-23
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 39 18 $106,352.00 $15,952.80 85% off $19,433.48 $106,352.00 $28,164.46 2025-01-17
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
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 45 18 $77,313.07 $11,596.96 85% off $13,087.84 $64,815.95 $27,923.39 2026-03-23
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 41 18 $49,756.00 $7,463.40 85% off $11,802.81 $60,317.19 $27,763.50 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
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 40 18 $93,651.82 $14,047.77 85% off $17,420.68 $63,499.53 $27,625.42 2026-03-23
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 55 18 $205,305.08 $30,795.76 85% off $18,089.46 $87,697.82 $27,568.41 2026-03-23
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 61 18 $34,648.60 $5,197.29 85% off $11,123.14 $51,529.45 $27,491.75 2026-03-23
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 73 19 $35,115.00 $5,267.25 85% off $7,323.28 $35,115.00 $27,365.35 2026-03-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 106 18 $27,241.00 $4,086.15 85% off $22,472.00 $139,406.99 $27,241.00 2026-03-23
665 MS_DRG Prostatectomy With Mcc 34 17 — — $27,215.19 $27,215.19 $27,215.19 2026-03-23
835 MS_DRG Acute Leukemia With Cc 73 19 $65,581.11 $9,837.17 85% off $10,578.71 $47,158.19 $27,179.31 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
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 44 19 $178,515.91 $26,777.39 85% off $15,807.36 $120,105.50 $27,025.08 2026-03-23
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 73 19 $62,466.27 $9,369.94 85% off $3,402.47 $32,875.12 $26,994.19 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
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 73 19 $47,503.21 $7,125.48 85% off $5,072.18 $30,952.68 $26,811.69 2026-03-23
335 MS_DRG Peritoneal Adhesiolysis With Mcc 41 18 $77,518.50 $11,627.78 85% off $14,924.18 $60,996.32 $26,806.09 2026-03-23
915 MS_DRG Allergic Reactions With Mcc 73 19 $52,726.00 $7,908.90 85% off $2,171.86 $29,255.81 $26,650.70 2026-03-23
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 70 19 $70,851.21 $10,627.68 85% off $6,938.55 $35,981.00 $26,586.39 2026-03-23
654 MS_DRG Major Bladder Procedures With Cc 34 17 — — $26,570.13 $44,041.69 $26,570.13 2026-03-23
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 39 18 $88,164.40 $13,224.66 85% off $5,178.00 $61,422.22 $26,489.63 2026-03-23
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 73 19 $61,036.00 $9,155.40 85% off $12,253.17 $48,264.76 $26,349.30 2026-03-23
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 73 19 $61,375.48 $9,206.32 85% off $5,119.47 $29,579.87 $26,314.86 2026-03-23
548 MS_DRG Septic Arthritis With Mcc 80 19 $41,842.00 $6,276.30 85% off $5,606.83 $33,913.78 $26,262.60 2026-03-23
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 73 19 $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 73 19 $61,167.00 $9,175.05 85% off $8,945.65 $49,092.99 $26,125.51 2026-03-23
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 73 19 $53,992.24 $8,098.84 85% off $5,525.54 $29,425.83 $25,969.90 2026-03-23
180 MS_DRG Respiratory Neoplasms With Mcc 73 19 $60,496.25 $9,074.44 85% off $6,041.95 $29,422.47 $25,916.58 2026-03-23
974 MS_DRG HIV With Major Related Condition With Mcc 34 17 — — $20,170.23 $25,847.03 $25,847.03 2026-03-23
908 MS_DRG Other O.r. Procedures For Injuries With Cc 73 19 $62,275.75 $9,341.36 85% off $7,906.45 $33,955.86 $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
570 MS_DRG Skin Debridement With Mcc 73 19 $71,170.89 $10,675.63 85% off $9,441.80 $50,673.71 $25,715.77 2026-03-23
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 44 18 $170,519.32 $25,577.90 85% off $11,779.92 $114,725.40 $25,674.53 2026-03-23
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 73 19 $115,755.97 $17,363.40 85% off $7,424.56 $77,880.62 $25,640.49 2026-03-23
223 MS_DRG Other Small And Large Bowel Procedures 3 2 $79,977.48 $11,996.62 85% off $19,471.00 $31,486.69 $25,593.46 2026-03-23
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 73 19 $78,576.04 $11,786.41 85% off $4,811.35 $52,865.96 $25,512.84 2026-03-23
271 MS_DRG Other Major Cardiovascular Procedures With Cc 47 18 $185,666.74 $27,850.01 85% off $11,794.18 $339,407.38 $25,509.04 2026-03-23
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 73 19 $306,681.71 $46,002.26 85% off $5,814.52 $206,335.45 $25,453.86 2026-03-23
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 18 $117,458.72 $17,618.81 85% off $9,249.64 $79,026.23 $25,451.26 2026-03-23
264 MS_DRG Other Circulatory System O.r. Procedures 45 18 $118,310.10 $17,746.52 85% off $7,163.49 $79,599.04 $25,397.24 2026-03-23
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 73 19 $84,333.03 $12,649.95 85% off $4,801.21 $56,739.26 $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
344 MS_DRG Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 50 18 $152,881.00 $22,932.15 85% off $13,665.07 $102,858.34 $25,110.04 2026-03-23
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 73 19 $80,578.24 $12,086.74 85% off $10,454.31 $54,213.04 $25,108.48 2026-03-23
503 MS_DRG Foot Procedures With Mcc 73 19 $56,479.00 $8,471.85 85% off $6,965.19 $44,552.86 $25,069.62 2026-03-23
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 40 18 $202,430.98 $30,364.65 85% off $17,697.31 $136,195.56 $24,998.61 2026-03-23
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 41 18 $145,506.46 $21,825.97 85% off $15,946.12 $97,896.75 $24,998.25 2026-03-23
38 MS_DRG Extracranial Procedures With Cc 72 19 $71,314.47 $10,697.17 85% off $6,174.81 $27,169.27 $24,927.62 2026-03-23
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 45 18 $130,405.08 $19,560.76 85% off $11,481.18 $87,736.54 $24,900.10 2026-03-23
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 82 19 $61,371.85 $9,205.78 85% off $7,245.00 $113,548.46 $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 34 17 — — $10,606.30 $24,804.84 $24,804.84 2026-03-23
463 MS_DRG Kidney And Urinary Tract Infections 137 19 $38,314.96 $5,747.24 85% off $6,873.55 $289,846.94 $24,804.71 2026-03-23
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 73 19 $45,132.80 $6,769.92 85% off $6,389.11 $32,200.08 $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
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 73 19 $48,541.63 $7,281.24 85% off $4,312.20 $28,834.29 $24,660.60 2026-03-23
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 73 19 $41,240.28 $6,186.04 85% off $4,154.95 $29,846.68 $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 72 19 $45,437.32 $6,815.60 85% off $2,578.31 $28,117.70 $24,471.87 2026-03-23
252 MS_DRG Other Vascular Procedures With Mcc 53 20 $68,201.88 $10,230.28 85% off $8,123.18 $72,387.90 $24,466.56 2026-03-23
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 34 17 — — $12,951.68 $24,444.90 $24,444.90 2026-03-23
242 MS_DRG Major Esophageal Disorders 95 18 $32,378.40 $4,856.76 85% off $10,258.67 $98,710.46 $24,431.31 2026-03-23
606 MS_DRG Minor Skin Disorders With Mcc 73 19 $30,654.00 $4,598.10 85% off $2,595.57 $27,153.17 $24,406.01 2026-03-23
37 MS_DRG Extracranial Procedures With Mcc 38 18 $78,226.43 $11,733.96 85% off $8,477.65 $55,904.03 $24,386.23 2025-01-17
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 34 17 — — $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 99 19 $24,334.60 $3,650.19 85% off $5,396.06 $59,415.60 $24,334.60 2026-03-23
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 40 18 $58,399.84 $8,759.98 85% off $11,436.89 $56,506.69 $24,297.78 2026-03-23
374 MS_DRG Digestive Malignancy With Mcc 73 19 $71,645.33 $10,746.80 85% off $4,044.00 $35,543.31 $24,279.26 2026-03-23
786 MS_DRG Cesarean Section Without Sterilization With Mcc 73 19 $45,491.93 $6,823.79 85% off $2,936.35 $27,243.36 $24,173.93 2026-03-23
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 39 18 $193,177.25 $28,976.59 85% off $9,764.93 $129,969.65 $24,168.51 2025-01-17
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 39 18 $133,598.20 $20,039.73 85% off $16,052.33 $89,884.87 $24,158.36 2025-01-17
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
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 47 18 $188,600.31 $28,290.05 85% off $11,141.16 $126,890.29 $23,702.59 2026-03-23
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 73 19 $60,808.80 $9,121.32 85% off $7,894.75 $37,634.68 $23,664.31 2026-03-23
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 42 18 $86,734.63 $13,010.19 85% off $9,479.33 $58,355.06 $23,656.83 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
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 42 18 $49,537.07 $7,430.56 85% off $8,305.01 $49,767.53 $23,439.32 2026-03-23
783 MS_DRG Cesarean Section With Sterilization With Mcc 74 19 $35,477.25 $5,321.59 85% off $1,467.00 $30,885.72 $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 34 17 — — $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 73 19 $33,330.00 $4,999.50 85% off $4,800.84 $26,472.02 $23,259.68 2026-03-23
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 34 17 — — $23,238.76 $23,238.76 $23,238.76 2026-03-23
551 MS_DRG Medical Back Problems With Mcc 73 19 $63,365.74 $9,504.86 85% off $5,821.65 $28,725.54 $23,215.19 2026-03-23
398 MS_DRG Appendix Procedures With Cc 73 19 $74,365.59 $11,154.84 85% off $5,679.41 $26,392.74 $23,204.92 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
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 73 19 $36,963.75 $5,544.56 85% off $4,132.05 $27,410.78 $23,090.05 2026-03-23
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 75 19 $42,419.09 $6,362.86 85% off $4,273.17 $68,680.10 $23,088.38 2026-03-23
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 73 19 $62,139.67 $9,320.95 85% off $6,539.60 $36,097.15 $23,041.83 2026-03-23
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 73 19 $58,568.01 $8,785.20 85% off $6,875.87 $37,861.35 $23,019.81 2026-03-23
330 MS_DRG Major Small And Large Bowel Procedures With Cc 51 18 $115,981.68 $17,397.25 85% off $7,426.06 $78,032.47 $22,949.55 2026-03-23
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 39 18 $174,082.04 $26,112.31 85% off $20,800.52 $100,237.86 $22,912.03 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 73 19 $38,507.62 $5,776.14 85% off $3,592.37 $27,605.66 $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
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 73 19 $77,261.77 $11,589.27 85% off $3,696.71 $51,981.72 $22,744.01 2026-03-23
964 MS_DRG Other Multiple Significant Trauma With Cc 34 17 — — $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
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 34 17 — — $8,171.43 $22,661.33 $22,661.33 2026-03-23
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 73 19 $55,432.58 $8,314.89 85% off $8,966.29 $40,716.40 $22,618.63 2026-03-23
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 42 18 $148,854.34 $22,328.15 85% off $11,540.48 $100,149.20 $22,574.97 2026-03-23
693 MS_DRG Urinary Stones With Mcc 73 19 $47,793.12 $7,168.97 85% off $4,026.97 $25,340.72 $22,548.58 2026-03-23
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 72 18 $86,409.95 $12,961.49 85% off $7,393.89 $64,346.28 $22,542.60 2026-03-23
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 41 18 $78,542.75 $11,781.41 85% off $14,470.37 $62,518.55 $22,533.25 2026-03-23
136 APR_DRG Respiratory Malignancy 1 1 — — $22,451.15 $22,451.15 $22,451.15 2026-03-23
469 MS_DRG Acute Kidney Injury 103 19 $25,059.71 $3,758.96 85% off $6,649.79 $86,390.23 $22,440.64 2026-03-23
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $15,348.36 $29,393.32 $22,370.84 2026-03-23
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 41 18 $183,546.80 $27,532.02 85% off $12,000.22 $123,490.29 $22,292.86 2026-03-23
33230 CPT Hc Insrt Pulse Gen W/dual Leads 98 26 $84,221.00 $12,633.15 85% off $451.44 $88,432.00 $22,261.99 2026-03-23
93653 CPT Hc Eps/svt Ablation 102 26 $25,604.00 $3,840.60 85% off $774.47 $54,054.68 $22,214.62 2026-03-23
93654 CPT Hc Eps/vt Ablation 102 26 $25,604.00 $3,840.60 85% off $1,037.09 $54,054.68 $22,214.62 2026-03-23
93656 CPT Hc Eps/afib Ablation 102 26 $25,604.00 $3,840.60 85% off $1,040.63 $54,054.68 $22,214.62 2026-03-23
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 47 18 $102,252.89 $15,337.93 85% off $10,545.18 $68,795.74 $22,184.62 2026-03-23
33262 CPT Hc Remv & Repl Cvd Gen Sing Lead 98 26 $76,709.00 $11,506.35 85% off $435.09 $80,544.00 $22,156.48 2026-03-23
0614T CPT Hc Rmvl&rplcmt Substernal Impltbl Defibrillator Pg 98 26 $67,679.00 $10,151.85 85% off $956.75 $71,063.00 $22,156.48 2026-03-23
33263 CPT Hc Remv & Repl Cvd Gen Dual Lead 98 26 $76,709.00 $11,506.35 85% off $452.27 $80,544.00 $22,156.48 2026-03-23
33240 CPT Hc Insert Icd Pulse Gen 98 26 $93,734.00 $14,060.10 85% off $488.80 $98,421.00 $22,156.48 2026-03-23
252 APR_DRG Malfunction, Reaction And Complication Of Gi Device Or Procedure 7 6 $107,592.00 $16,138.80 85% off $15,264.99 $22,522.79 $22,115.24 2026-03-23
793 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 12 6 $33,536.43 $5,030.47 85% off $14,437.83 $30,993.71 $22,064.59 2025-01-17
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 80 19 $85,842.00 $12,876.30 85% off $8,157.90 $31,397.09 $22,064.35 2026-03-23
186 MS_DRG Pleural Effusion With Mcc 73 19 $32,835.78 $4,925.37 85% off $5,151.74 $26,665.27 $22,000.28 2026-03-23
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 73 19 $49,880.10 $7,482.02 85% off $4,276.92 $24,301.42 $21,978.12 2026-03-23
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 113 20 $62,301.56 $9,345.23 85% off $5,360.41 $205,123.94 $21,941.08 2026-03-23
444 MS_DRG Disorders Of The Biliary Tract With Mcc 70 19 $89,435.12 $13,415.27 85% off $4,044.00 $28,355.19 $21,807.08 2026-03-23
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 43 18 $175,445.82 $26,316.87 85% off $8,747.49 $118,039.95 $21,803.37 2026-03-23
175 APR_DRG Percutaneous Cardiac Intervention Without Ami 6 6 $71,601.43 $10,740.21 85% off $21,773.81 $22,196.60 $21,794.95 2026-03-23
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 48 18 $119,066.01 $17,859.90 85% off $10,326.75 $88,040.00 $21,658.92 2026-03-23
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 45 18 $143,069.71 $21,460.46 85% off $8,175.00 $96,257.30 $21,652.65 2026-03-23
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 73 19 $47,246.31 $7,086.95 85% off $3,802.54 $32,893.64 $21,518.24 2026-03-23
196 MS_DRG Interstitial Lung Disease With Mcc 73 19 $94,292.00 $14,143.80 85% off $5,041.03 $63,439.66 $21,480.27 2026-03-23
333 MS_DRG Rectal Resection With Cc 34 17 — — $21,392.33 $21,392.33 $21,392.33 2026-03-23
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 73 19 $33,066.88 $4,960.03 85% off $6,485.55 $28,286.17 $21,383.34 2026-03-23
347 MS_DRG Other Back And Neck Disorders, Fractures And Injuries 76 20 $47,269.00 $7,090.35 85% off $6,908.57 $39,842.71 $21,353.22 2026-03-23
54 MS_DRG Nervous System Neoplasms With Mcc 78 19 $50,037.70 $7,505.66 85% off $6,596.38 $25,362.55 $21,323.00 2026-03-23
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 72 19 $47,124.42 $7,068.66 85% off $4,609.81 $26,024.15 $21,321.78 2026-03-23
663 MS_DRG Minor Bladder Procedures With Cc 81 20 $50,636.36 $7,595.45 85% off $5,000.50 $25,818.26 $21,314.87 2026-03-23
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 39 18 $145,136.78 $21,770.52 85% off $11,631.67 $97,648.03 $21,301.94 2025-01-17
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 39 18 $172,551.45 $25,882.72 85% off $9,924.06 $116,092.62 $21,289.62 2025-01-17
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 34 17 — — $6,592.41 $21,228.25 $21,228.25 2026-03-23
177 MS_DRG Respiratory Infections And Inflammations With Mcc 73 19 $64,987.73 $9,748.16 85% off $5,327.05 $27,252.98 $21,153.28 2026-03-23
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 44 18 $110,433.59 $16,565.04 85% off $11,496.94 $74,299.72 $21,068.82 2026-03-23
472 MS_DRG Cervical Spinal Fusion With Cc 44 18 $140,264.35 $21,039.65 85% off $13,820.42 $94,369.85 $21,045.25 2026-03-23
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 34 17 — — $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 104 19 $373,278.00 $55,991.70 85% off $3,452.00 $251,141.44 $21,004.88 2026-03-23
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 34 17 — — $20,975.59 $20,975.59 $20,975.59 2026-03-23
299 MS_DRG Peripheral Vascular Disorders With Mcc 73 19 $37,645.61 $5,646.84 85% off $6,077.23 $27,270.72 $20,854.60 2026-03-23
206 APR_DRG Malfunction, Reaction, Complication Of Cardiac/vascular Device Or Procedure 7 6 $38,440.09 $5,766.01 85% off $20,784.63 $21,188.21 $20,804.81 2026-03-23
539 MS_DRG Osteomyelitis With Mcc 85 20 $30,074.96 $4,511.24 85% off $5,362.66 $34,045.08 $20,767.48 2026-03-23
305 APR_DRG Amputation Of Lower Limb Except Toes 21 6 $72,693.29 $10,903.99 85% off $1,558.25 $70,068.06 $20,752.08 2026-03-23
58 APR_DRG Other Disorders Of Nervous System 19 6 $27,729.00 $4,159.35 85% off $11,290.77 $26,170.52 $20,588.02 2026-03-23
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 73 19 $64,542.27 $9,681.34 85% off $3,825.06 $30,249.49 $20,438.86 2026-03-23
314 APR_DRG Foot And Toe Procedures 15 7 $29,996.50 $4,499.48 85% off $9,826.57 $25,003.01 $20,342.91 2026-03-23
C1761 HCPCS Cath Shockwave Coronary Plus 2.5 X 12 34 13 $46,647.50 $6,997.13 85% off $3,311.97 $48,743.70 $20,326.12 2026-03-23
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 73 19 $50,643.33 $7,596.50 85% off $5,444.48 $38,554.91 $20,292.19 2026-03-23
133 APR_DRG Respiratory Failure 24 6 $46,155.00 $6,923.25 85% off $11,552.21 $34,355.03 $20,279.72 2026-03-23
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 72 19 $29,649.00 $4,447.35 85% off $3,158.52 $31,021.61 $20,256.83 2026-03-23
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