Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

WELLMONT BRISTOL REGIONAL MEDICAL CENTER

Bristol, TN · CCN 440012 · Rates published

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You selected 93350 (CPT)

HC ECHO STRESS ECHOCARDIOGRAM

This hospital’s price: $606 across 26 payers · range $83-$2,989

Source: https://www.balladhealth.org/sites/default/files/2026-03/621636465_bristol-regional-medical-center_standardcharges.zip · observed 2026-03-23

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

37,328 distinct procedures filed
28 distinct payers
2,603,958 rate rows
2026-03-23 last MRF observed
Data quality

2,573,738 of 2,603,958 rate rows are consumer-grade (98.8%)

30,220 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 14,856
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 12,044
per-diem day rate — not a per-procedure price 2,133
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 719
exceeds 10× this hospital's gross charge — excluded from medians 215
percent-of-charges filed in the dollar field — excluded from medians 200
exceeds 3× this hospital's gross charge for a DRG stay — excluded 33
placeholder amount (≤ $0.02) — excluded from medians 16
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/2026-10/621636465_bristol-regional-medical-center_standardcharges.csv
Found on page https://www.balladhealth.org/patients-visitors/price-estimator-standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-20

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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $158,733.98 $520,588.30 $277,930.00 nat. median
$249,036
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $62,589.16 $416,055.00 $151,517.47 nat. median
$190,559
0.8× 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
$90,551
1.6× median
C1825
HCPCS 		System Barostim Neo2 8 $23,194.74 $326,686.50 $136,228.27 nat. median
$53,185
outlier · 2.6×
C1823
HCPCS 		Generator Pulse Remede 13 $6,342.08 $367,225.00 $134,037.12 nat. median
$31,620
outlier · 4.2×
5
MS_DRG 		Pancreas Transplant 1 $120,288.66 $120,288.66 $120,288.66 nat. median
$95,038
1.3× 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
$126,695
0.8× 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
$60,596
1.6× median
162
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Pdx 1 $92,575.10 $92,575.10 $92,575.10 nat. median
$68,742
1.3× median
27800544
CDM 		Hc Impella Cp Set Intracadiac Pump - Lv Assist 13 $13,527.56 $190,529.00 $90,672.75 nat. median
$95,264
1.0× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 6 $77,896.86 $89,655.92 $83,776.39 nat. median
$48,463
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $51,499.71 $131,581.28 $83,130.49 nat. median
$71,748
1.2× median
231
MS_DRG 		Major Large Bowel Procedures 18 $22,794.22 $186,480.40 $80,863.91 nat. median
$77,028
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $31,642.67 $224,401.00 $79,839.07 nat. median
$70,732
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 6 $79,279.80 $79,279.80 $79,279.80 nat. median
$97,323
0.8× 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
$15,060
outlier · 5.3×
215
MS_DRG 		Other Heart Assist System Implant 18 $45,042.00 $304,274.32 $79,110.57 nat. median
$93,901
0.8× median
27202225
CDM 		Set Cardiohelp Disposable 13 $40,136.87 $155,509.00 $74,006.73 nat. median
$74,007
1.0× median
21
APR_DRG 		Open Craniotomy Except Trauma 6 $49,010.00 $72,312.03 $71,003.53 nat. median
$73,922
1.0× median
5
APR_DRG 		Pancreas Transplant 1 $68,988.09 $68,988.09 $68,988.09 nat. median
$87,627
0.8× median
C1875
HCPCS 		Stent Thoracic 40 X 36 X 154 13 $11,239.57 $165,417.45 $68,979.08 nat. median
$3,898
outlier · 17.7×
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 $7,478.36 $343,891.15 $67,077.35 nat. median
$33,167
outlier · 2.0×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $23,660.41 $329,455.18 $66,012.81 nat. median
$62,031
1.1× median
C2622
HCPCS 		Prosthesis Malleable Penile Tactra 9.5 X 14-23cm 8 $10,305.09 $145,142.15 $60,524.28 nat. median
$10,597
outlier · 5.7×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $24,698.49 $154,350.41 $59,685.42 nat. median
$49,540
1.2× median
A9543
HCPCS 		Hc Nnm Yt90 Zevalin Tx/dose To 40mci 26 $21,414.06 $123,877.52 $59,097.53 nat. median
$63,528
0.9× median
121
APR_DRG 		Other Respiratory And Chest Procedures 6 $14,940.12 $98,363.22 $58,220.00 nat. median
$27,611
outlier · 2.1×
163
APR_DRG 		Cardiac Valve Procedures Without Ami Or Complex Pdx 3 $37,278.62 $82,271.07 $57,747.16 nat. median
$57,147
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $44,922.73 $112,242.38 $57,471.29 nat. median
$63,873
0.9× median
169
APR_DRG 		Major Abdominal Vascular Procedures 6 $26,827.64 $58,417.28 $57,360.20 nat. median
$38,322
1.5× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 6 $54,652.20 $54,652.20 $54,652.20 nat. median
$58,251
0.9× median
415
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 6 $14,499.21 $54,652.20 $54,652.20 nat. median
$19,770
outlier · 2.8×
619
MS_DRG 		O.r. Procedures For Obesity With Mcc 1 $54,442.83 $54,442.83 $54,442.83 nat. median
$26,760
outlier · 2.0×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 $23,925.75 $223,449.10 $54,131.11 nat. median
$67,976
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $51,226.71 $320,223.23 $53,986.16 nat. median
$72,398
0.7× median
C1767
HCPCS 		Pulse Generator 13 $448.29 $189,011.48 $53,929.20 nat. median
$23,896
outlier · 2.3×
178
APR_DRG 		External Heart Assist Systems 2 $33,207.29 $73,847.11 $53,527.20 nat. median
$50,844
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 $26,405.36 $224,643.51 $52,949.51 nat. median
$66,649
0.8× median
C1820
HCPCS 		Cap Code Ipg Iq Stimulator 13 $563.56 $191,863.50 $52,897.29 nat. median
$22,986
outlier · 2.3×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 4 $39,663.43 $90,734.42 $52,511.25 nat. median
$55,477
0.9× median
98
APR_DRG 		Other Ear, Nose, Mouth And Throat Procedures 6 $15,200.70 $53,432.97 $52,466.08 nat. median
$16,004
outlier · 3.3×
220
MS_DRG 		Major Stomach, Esophageal And Duodenal Procedures 18 $21,287.77 $189,166.84 $51,711.68 nat. median
$50,627
1.0× median
130
APR_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 $47,592.58 $73,602.33 $51,382.64 nat. median
$53,626
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
$62,655
0.8× 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
$23,502
outlier · 2.1×
131
APR_DRG 		Cystic Fibrosis - Pulmonary Disease 1 $48,417.63 $48,417.63 $48,417.63 nat. median
$21,402
outlier · 2.3×
C1772
HCPCS 		Synchromed 13 $268.97 $126,567.68 $47,984.38 nat. median
$10,870
outlier · 4.4×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 $45,823.25 $45,823.25 $45,823.25 nat. median
$58,135
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $9,556.96 $122,328.55 $45,239.54 nat. median
$63,648
0.7× median
411
MS_DRG 		Cholecystectomy With C.d.e. With Mcc 1 $44,676.96 $44,676.96 $44,676.96 nat. median
$29,357
1.5× median

Other procedures at this hospital

Browse this hospital's 37,328 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 5 3 — — $158,733.98 $520,588.30 $277,930.00 2026-03-23
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 45 18 $372,873.11 $55,930.97 85% off $62,589.16 $416,055.00 $151,517.47 2026-03-23
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 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 26 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… 50 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
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Pdx 1 1 — — $92,575.10 $92,575.10 $92,575.10 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
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 6 6 — — $77,896.86 $89,655.92 $83,776.39 2026-03-23
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 5 — — $51,499.71 $131,581.28 $83,130.49 2026-03-23
231 MS_DRG Major Large Bowel Procedures 55 18 $179,979.99 $26,997.00 85% off $22,794.22 $186,480.40 $80,863.91 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 6 — — $79,279.80 $79,279.80 $79,279.80 2026-03-23
952 MS_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $79,147.35 $79,147.35 $79,147.35 2026-03-23
215 MS_DRG Other Heart Assist System Implant 48 18 $442,902.36 $66,435.35 85% off $45,042.00 $304,274.32 $79,110.57 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 47 13 $165,417.45 $24,812.62 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 41 18 $511,134.29 $76,670.14 85% off $7,478.36 $343,891.15 $67,077.35 2026-03-23
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 18 $489,677.74 $73,451.66 85% off $23,660.41 $329,455.18 $66,012.81 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
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 148 26 $94,430.00 $14,164.50 85% off $21,414.06 $123,877.52 $59,097.53 2026-03-23
121 APR_DRG Other Respiratory And Chest Procedures 11 6 $58,220.00 $8,733.00 85% off $14,940.12 $98,363.22 $58,220.00 2026-03-23
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 5 3 — — $37,278.62 $82,271.07 $57,747.16 2026-03-23
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 3 — — $44,922.73 $112,242.38 $57,471.29 2026-03-23
169 APR_DRG Major Abdominal Vascular Procedures 7 6 $232,968.85 $34,945.33 85% off $26,827.64 $58,417.28 $57,360.20 2026-03-23
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 6 — — $54,652.20 $54,652.20 $54,652.20 2026-03-23
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 8 6 — — $14,499.21 $54,652.20 $54,652.20 2026-03-23
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $54,442.83 $54,442.83 $54,442.83 2026-03-23
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 42 18 $332,118.16 $49,817.72 85% off $23,925.75 $223,449.10 $54,131.11 2026-03-23
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 4 — — $51,226.71 $320,223.23 $53,986.16 2026-03-23
C1767 HCPCS Pulse Generator 457 13 $134,823.00 $20,223.45 85% off $448.29 $189,011.48 $53,929.20 2026-03-23
178 APR_DRG External Heart Assist Systems 2 2 — — $33,207.29 $73,847.11 $53,527.20 2026-03-23
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 44 18 $333,893.45 $50,084.02 85% off $26,405.36 $224,643.51 $52,949.51 2026-03-23
C1820 HCPCS Cap Code Ipg Iq Stimulator 419 13 $158,676.30 $23,801.45 85% off $563.56 $191,863.50 $52,897.29 2026-03-23
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 4 — — $39,663.43 $90,734.42 $52,511.25 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
220 MS_DRG Major Stomach, Esophageal And Duodenal Procedures 63 18 $75,468.11 $11,320.22 85% off $21,287.77 $189,166.84 $51,711.68 2026-03-23
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 4 — — $47,592.58 $73,602.33 $51,382.64 2026-03-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 65 19 $192,141.05 $28,821.16 85% off $28,147.12 $129,272.50 $50,958.17 2026-03-23
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 41 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 131 13 $120,241.37 $18,036.21 85% off $268.97 $126,567.68 $47,984.38 2026-03-23
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 6 — — $45,823.25 $45,823.25 $45,823.25 2026-03-23
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 5 — — $9,556.96 $122,328.55 $45,239.54 2026-03-23
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 1 1 — — $44,676.96 $44,676.96 $44,676.96 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 44 19 $396,587.00 $59,488.05 85% off $2,634.61 $266,823.73 $42,469.55 2026-03-23
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 3 — — $40,628.84 $109,108.61 $42,429.34 2026-03-23
317 MS_DRG Tendon, Muscle And Other Soft Tissue Procedures 70 20 $35,710.00 $5,356.50 85% off $13,864.46 $96,544.96 $42,016.59 2026-03-23
890 APR_DRG HIV With Multiple Major HIV Related Conditions 1 1 — — $41,989.55 $41,989.55 $41,989.55 2026-03-23
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 6 — — $27,511.39 $98,571.93 $41,916.07 2026-03-23
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 140 26 $93,168.00 $13,975.20 85% off $8,269.00 $93,168.00 $41,833.36 2026-03-23
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 6 — — $39,677.49 $43,865.13 $41,555.17 2026-03-23
171 MS_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 1 1 — — $41,481.09 $41,481.09 $41,481.09 2026-03-23
308 APR_DRG Hip And Femur Fracture Repair 22 7 $117,376.66 $17,606.50 85% off $5,202.01 $68,696.15 $41,220.02 2026-03-23
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 5 4 — — $32,673.05 $296,748.54 $40,858.59 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
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 2 2 — — $25,282.17 $55,424.59 $40,353.38 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 22 6 $94,361.63 $14,154.24 85% off $23,401.00 $76,809.03 $40,137.18 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
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 7 6 — — $39,699.40 $93,536.59 $39,699.40 2026-03-23
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 4 — — $4,044.00 $72,054.17 $39,557.27 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 47 19 $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 7 6 $28,471.00 $4,270.65 85% off $26,604.35 $40,009.60 $39,285.62 2026-03-23
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 40 18 $102,507.82 $15,376.17 85% off $15,568.19 $90,834.58 $39,282.73 2026-03-23
169 MS_DRG Major Abdominal Vascular Procedures 4 4 — — $37,676.55 $63,282.26 $39,245.87 2026-03-23
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
27801473 CDM Hc Valve Transfem Novaflex 23mm-29mm 21 13 $82,143.00 $12,321.45 85% off $5,832.15 $82,143.00 $39,091.85 2025-01-17
27801431 CDM Hc Heart Valve 26mm Sap W/delsys Tra 21 13 $82,143.00 $12,321.45 85% off $5,832.15 $82,143.00 $39,091.85 2025-01-17
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
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
234 MS_DRG Appendectomy Without Complex Principal Diagnosis 46 19 $47,463.13 $7,119.47 85% off $6,842.85 $95,747.64 $38,015.18 2026-03-23
C2624 HCPCS Delivery Sys & Sensor Cardiomems Pa 94 13 $119,519.50 $17,927.93 85% off $3,412.33 $197,049.00 $37,727.89 2026-03-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 73 19 $203,223.56 $30,483.53 85% off $14,881.51 $136,728.81 $37,720.69 2026-03-23
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 50 18 $353,417.20 $53,012.58 85% off $15,537.42 $237,779.09 $37,599.01 2026-03-23
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 9 5 — — $31,348.96 $161,524.16 $37,580.58 2026-03-23
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 6 — — $32,470.58 $41,974.23 $37,222.40 2026-03-23
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $37,153.70 $37,153.70 $37,153.70 2026-03-23
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 50 18 $235,795.56 $35,369.33 85% off $11,053.87 $158,643.25 $36,871.13 2026-03-23
165 APR_DRG Coronary Bypass With Ami Or Complex Pdx 4 3 — — $35,836.04 $67,974.05 $36,837.71 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
231 APR_DRG Major Large Bowel Procedures 17 6 $148,350.95 $22,252.65 85% off $14,721.20 $82,549.14 $36,719.43 2026-03-23
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 53 18 $247,620.00 $37,143.00 85% off $14,945.95 $166,598.74 $36,594.72 2026-03-23
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 52 18 $119,014.31 $17,852.15 85% off $18,263.22 $95,988.33 $36,488.90 2026-03-23
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 49 18 $268,583.39 $40,287.51 85% off $22,808.71 $180,702.90 $36,362.41 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
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
27800491 CDM Hc Kit System Mitraclip 2 Clip Msk0102 21 13 $75,825.00 $11,373.75 85% off $5,383.58 $75,825.00 $36,085.12 2025-01-17
27800493 CDM Hc Kit System Mitraclip 4 Clip Msk0104 21 13 $75,825.00 $11,373.75 85% off $5,383.58 $75,825.00 $36,085.12 2025-01-17
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
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
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
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
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $32,464.70 $74,630.24 $36,069.18 2026-03-23
463 MS_DRG Kidney And Urinary Tract Infections 140 19 $38,314.96 $5,747.24 85% off $6,873.55 $289,846.94 $36,022.92 2026-03-23
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
140 MS_DRG Chronic Obstructive Pulmonary Disease 48 19 $35,677.63 $5,351.64 85% off $8,759.81 $66,000.90 $35,677.63 2026-03-23
193 APR_DRG Acute And Subacute Endocarditis 6 6 $58,649.00 $8,797.35 85% off $35,550.25 $36,240.55 $35,584.77 2025-01-17
471 MS_DRG Cervical Spinal Fusion With Mcc 42 18 $160,824.30 $24,123.65 85% off $22,807.73 $108,202.59 $35,416.09 2026-03-23
0424T CPT Hc Sj/rplc Nstim System Sleep Apnea Complete 26 16 $84,506.00 $12,675.90 85% off $659.32 $84,506.00 $35,239.00 2025-01-17
0427T CPT Hc Insj/rplc Nstim System Sleep Apnea Pls Generator 26 16 $84,506.00 $12,675.90 85% off $405.74 $84,506.00 $35,239.00 2025-01-17
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
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
245 MS_DRG Aicd Generator Procedures 68 19 $274,057.64 $41,108.65 85% off $7,593.27 $184,385.98 $34,875.50 2026-03-23
163 MS_DRG Major Chest Procedures With Mcc 56 18 $184,436.86 $27,665.53 85% off $15,233.43 $124,089.12 $34,723.26 2026-03-23
260 APR_DRG Major Pancreas, Liver And Shunt Procedures 1 1 — — $34,529.12 $34,529.12 $34,529.12 2026-03-23
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 49 18 $271,738.20 $40,760.73 85% off $17,948.35 $182,825.46 $34,258.72 2026-03-23
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 42 18 $176,594.68 $26,489.20 85% off $20,934.61 $140,951.76 $34,139.67 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 79 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 55 18 $152,057.57 $22,808.64 85% off $13,641.78 $102,304.33 $33,823.97 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
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $24,033.58 $35,281.53 $33,271.28 2026-03-23
265 MS_DRG Aicd Lead Procedures 1 1 — — $33,093.54 $33,093.54 $33,093.54 2026-03-23
181 APR_DRG Lower Extremity Arterial Procedures 3 3 — — $33,050.09 $33,370.97 $33,082.18 2026-03-23
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 6 — — $32,839.14 $32,839.14 $32,839.14 2026-03-23
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 75 18 $152,855.79 $22,928.37 85% off $10,788.75 $141,553.88 $32,836.32 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 48 18 $57,423.23 $8,613.48 85% off $14,840.86 $70,408.03 $32,318.71 2026-03-23
179 APR_DRG Defibrillator Implants 2 2 — — $2,749.44 $61,719.45 $32,234.44 2026-03-23
774 APR_DRG Cocaine Abuse And Dependence 1 1 — — $31,811.18 $31,811.18 $31,811.18 2026-03-23
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 49 18 $202,621.23 $30,393.18 85% off $14,652.09 $165,172.07 $31,642.46 2026-03-23
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 44 19 $113,251.47 $16,987.72 85% off $12,186.74 $76,195.59 $31,377.96 2026-03-23
166 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 5 3 — — $13,391.23 $39,884.04 $31,249.60 2026-03-23
397 MS_DRG Appendix Procedures With Mcc 41 18 $329,341.27 $49,401.19 85% off $8,431.49 $221,580.81 $31,023.00 2026-03-23
33270 CPT Hc Insertion/replcmt Sq Icd W Sq Electrode 142 26 $97,969.00 $14,695.35 85% off $713.54 $97,969.00 $30,968.18 2026-03-23
33231 CPT Hc Insrt Pulse Gen W/mult Leads 142 26 $88,432.00 $13,264.80 85% off $468.61 $88,432.00 $30,968.18 2026-03-23
0571T CPT Hc Insj/rplcmt Icds W/substernal Electrode 142 26 $99,184.00 $14,877.60 85% off $702.78 $99,184.00 $30,968.18 2026-03-23
33264 CPT Hc Remv & Replc Cvd Gen Mult Lea 142 26 $80,544.00 $12,081.60 85% off $469.44 $80,544.00 $30,968.18 2026-03-23
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 43 18 $154,928.56 $23,239.28 85% off $12,408.17 $104,235.94 $30,877.67 2026-03-23
33249 CPT Hc Insert/repl Lead/gen Icd Sgl/dual 142 26 $104,585.00 $15,687.75 85% off $1,017.92 $104,585.00 $30,833.71 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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $30,387.60 $30,387.60 $30,387.60 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
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 51 18 $128,748.20 $19,312.23 85% off $13,097.22 $86,621.79 $30,083.22 2026-03-23
447 APR_DRG Other Kidney, Urinary Tract And Related Procedures 6 6 $215,636.83 $32,345.52 85% off $30,032.65 $30,615.81 $30,061.81 2025-01-17
317 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 12 6 $43,661.30 $6,549.19 85% off $21,459.70 $38,979.32 $30,056.62 2025-01-17
C1815 HCPCS Ams S.t. Cuff Belt Fgs 4.5cm Iz 303 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 140 26 $93,168.00 $13,975.20 85% off $7,481.00 $93,168.00 $29,943.63 2026-03-23
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 7 3 — — $27,356.54 $76,321.68 $29,829.52 2026-03-23
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 3 — — $15,348.36 $68,772.87 $29,658.80 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
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 40 18 $106,352.00 $15,952.80 85% off $19,433.48 $106,352.00 $29,368.01 2026-03-23
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 59 18 $161,490.38 $24,223.56 85% off $12,882.42 $108,650.73 $29,272.12 2026-03-23
180 APR_DRG Other Circulatory System Procedures 2 2 — — $6,182.02 $52,351.69 $29,266.85 2026-03-23
182 APR_DRG Other Peripheral Vascular And Related Procedures 15 6 $41,291.58 $6,193.74 85% off $17,013.24 $44,893.85 $29,111.74 2026-03-23
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 107 19 $47,492.00 $7,123.80 85% off $5,554.66 $28,971.91 $28,959.67 2026-03-23
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 79 19 $143,069.71 $21,460.46 85% off $8,175.00 $96,257.30 $28,870.58 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
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 46 18 $181,400.41 $27,210.06 85% off $10,173.63 $122,046.20 $28,599.73 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 76 19 $138,451.48 $20,767.72 85% off $3,783.00 $93,150.16 $28,373.06 2026-03-23
313 APR_DRG Knee And Lower Leg Procedures Except Foot 24 7 $114,949.85 $17,242.48 85% off $1,641.98 $43,337.10 $28,268.82 2026-03-23
357 MS_DRG Other Digestive System O.r. Procedures With Cc 77 19 $64,500.09 $9,675.01 85% off $6,632.68 $37,910.17 $28,252.85 2026-03-23
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 36 17 — — $17,136.29 $28,241.76 $28,241.76 2026-03-23
963 MS_DRG Other Multiple Significant Trauma With Mcc 74 19 $59,053.20 $8,857.98 85% off $12,782.00 $48,592.11 $28,167.65 2026-03-23
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 107 19 $48,541.63 $7,281.24 85% off $4,312.20 $28,834.29 $28,006.99 2026-03-23
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 47 18 $77,313.07 $11,596.96 85% off $13,087.84 $64,815.95 $27,923.39 2026-03-23
33289 CPT Hc Transcath Impl Wrls Pa Prs Snr L-t Hemdyn Mntr 142 26 $111,361.00 $16,704.15 85% off $363.29 $111,361.00 $27,888.36 2026-03-23
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 43 18 $93,651.82 $14,047.77 85% off $17,420.68 $63,499.53 $27,883.60 2026-03-23
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 11 6 — — $26,216.89 $97,652.54 $27,784.79 2026-03-23
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 45 18 $49,756.00 $7,463.40 85% off $11,802.81 $60,317.19 $27,763.50 2026-03-23
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 6 4 — — $16,261.55 $272,535.13 $27,701.61 2026-03-23
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 75 19 $183,546.80 $27,532.02 85% off $12,000.22 $123,490.29 $27,649.00 2026-03-23
444 MS_DRG Disorders Of The Biliary Tract With Mcc 104 19 $89,435.12 $13,415.27 85% off $2,956.00 $28,355.19 $27,643.26 2026-03-23
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 63 18 $34,648.60 $5,197.29 85% off $11,123.14 $51,529.45 $27,491.75 2026-03-23
288 MS_DRG Acute And Subacute Endocarditis With Mcc 35 17 — — $12,596.94 $27,338.54 $27,338.54 2026-03-23
26 APR_DRG Other Nervous System And Related Procedures 1 1 — — $27,314.24 $27,314.24 $27,314.24 2026-03-23
662 MS_DRG Minor Bladder Procedures With Mcc 34 17 — — $21,981.60 $39,603.32 $27,263.50 2026-03-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 116 18 $27,241.00 $4,086.15 85% off $22,472.00 $139,406.99 $27,241.00 2026-03-23
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 3 — — $16,090.55 $75,650.27 $27,231.05 2026-03-23
710 APR_DRG Infections And Parasitic Diseases Including HIV With O.r. Procedure 19 6 $60,368.71 $9,055.31 85% off $19,959.33 $57,354.40 $27,216.69 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 107 19 $65,581.11 $9,837.17 85% off $10,578.71 $47,158.19 $27,179.31 2026-03-23
325 APR_DRG Non-elective Or Complex Knee Joint Replacement 1 1 — — $27,170.16 $27,170.16 $27,170.16 2026-03-23
27800758 CDM Hc Impella Rp Set Intracardiac Pump 21 13 $56,963.00 $8,544.45 85% off $4,044.37 $56,963.00 $27,108.69 2025-01-17
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 75 19 $62,466.27 $9,369.94 85% off $3,402.47 $32,875.12 $26,994.19 2026-03-23
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 41 18 $88,164.40 $13,224.66 85% off $5,178.00 $87,867.25 $26,989.44 2026-03-23
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 34 17 — — $19,027.98 $26,932.15 $26,932.15 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
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 45 19 $178,515.91 $26,777.39 85% off $15,807.36 $120,105.50 $26,897.00 2026-03-23
335 MS_DRG Peritoneal Adhesiolysis With Mcc 43 18 $77,518.50 $11,627.78 85% off $14,924.18 $60,996.32 $26,806.09 2026-03-23
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $26,784.19 $26,784.19 $26,784.19 2026-03-23
915 MS_DRG Allergic Reactions With Mcc 76 19 $52,726.00 $7,908.90 85% off $2,171.86 $29,255.81 $26,650.70 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
320 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 1 1 — — $26,414.37 $26,414.37 $26,414.37 2026-03-23
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 4 — — $26,324.84 $29,848.22 $26,350.75 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 78 19 $61,375.48 $9,206.32 85% off $5,119.47 $29,579.87 $26,314.86 2026-03-23
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 75 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 74 19 $61,167.00 $9,175.05 85% off $8,945.65 $49,092.99 $26,125.51 2026-03-23
180 MS_DRG Respiratory Neoplasms With Mcc 81 19 $60,496.25 $9,074.44 85% off $6,041.95 $29,422.47 $25,916.58 2026-03-23
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 6 6 — — $24,257.87 $27,470.20 $25,864.03 2026-03-23
974 MS_DRG HIV With Major Related Condition With Mcc 36 17 — — $20,170.23 $28,174.45 $25,847.03 2026-03-23
908 MS_DRG Other O.r. Procedures For Injuries With Cc 79 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
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 76 18 $86,409.95 $12,961.49 85% off $7,393.89 $64,346.28 $25,740.88 2026-03-23
570 MS_DRG Skin Debridement With Mcc 74 19 $71,170.89 $10,675.63 85% off $9,441.80 $50,673.71 $25,715.77 2026-03-23
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 78 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
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 48 18 $170,519.32 $25,577.90 85% off $11,779.92 $114,725.40 $25,552.85 2026-03-23
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 107 19 $306,681.71 $46,002.26 85% off $5,814.52 $206,335.45 $25,453.86 2026-03-23
398 MS_DRG Appendix Procedures With Cc 107 19 $74,365.59 $11,154.84 85% off $5,679.41 $26,392.74 $25,315.01 2026-03-23
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 73 19 $45,854.00 $6,878.10 85% off $10,550.80 $44,507.41 $25,307.33 2026-03-23
264 MS_DRG Other Circulatory System O.r. Procedures 48 18 $118,310.10 $17,746.52 85% off $7,163.49 $79,599.04 $25,277.44 2026-03-23
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 49 18 $117,458.72 $17,618.81 85% off $8,175.00 $79,026.23 $25,211.15 2026-03-23
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 107 19 $64,542.27 $9,681.34 85% off $3,825.06 $112,159.24 $25,144.80 2026-03-23
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 75 19 $80,578.24 $12,086.74 85% off $10,454.31 $74,170.82 $25,108.48 2026-03-23
503 MS_DRG Foot Procedures With Mcc 75 19 $56,479.00 $8,471.85 85% off $6,965.19 $44,552.86 $25,069.62 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
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 61 18 $205,305.08 $30,795.76 85% off $18,089.46 $87,697.82 $24,987.08 2026-03-23
271 MS_DRG Other Major Cardiovascular Procedures With Cc 56 18 $185,666.74 $27,850.01 85% off $4,044.00 $339,407.38 $24,918.55 2026-03-23
254 MS_DRG Other Vascular Procedures Without Cc/mcc 91 20 $61,371.85 $9,205.78 85% off $7,245.00 $113,548.46 $24,887.68 2026-03-23
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 52 18 $130,405.08 $19,560.76 85% off $11,481.18 $87,736.54 $24,823.80 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
177 MS_DRG Respiratory Infections And Inflammations With Mcc 107 19 $64,987.73 $9,748.16 85% off $5,327.05 $28,757.17 $24,789.03 2026-03-23
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 76 19 $45,132.80 $6,769.92 85% off $6,389.11 $32,200.08 $24,782.03 2026-03-23
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 107 19 $84,333.03 $12,649.95 85% off $2,626.00 $56,739.26 $24,773.10 2026-03-23
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 41 18 $202,430.98 $30,364.65 85% off $17,697.31 $136,195.56 $24,764.98 2026-03-23
248 APR_DRG Major Gastrointestinal And Peritoneal Infections 9 6 $48,978.00 $7,346.70 85% off $8,707.64 $25,219.80 $24,739.43 2026-03-23
38 MS_DRG Extracranial Procedures With Cc 78 19 $71,314.47 $10,697.17 85% off $6,174.81 $27,169.27 $24,709.29 2026-03-23
252 MS_DRG Other Vascular Procedures With Mcc 60 20 $68,201.88 $10,230.28 85% off $8,123.18 $72,387.90 $24,701.82 2026-03-23
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 75 19 $70,851.21 $10,627.68 85% off $6,938.55 $35,981.00 $24,614.92 2026-03-23
241 MS_DRG Peptic Ulcer And Gastritis 72 20 $34,232.00 $5,134.80 85% off $7,503.93 $32,897.56 $24,559.99 2026-03-23
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 107 19 $41,240.28 $6,186.04 85% off $4,154.95 $29,846.68 $24,534.37 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
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 35 17 — — $12,951.68 $24,444.90 $24,444.90 2026-03-23
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 68 17 — — $12,901.71 $27,610.84 $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 105 20 $24,334.60 $3,650.19 85% off $5,396.06 $59,415.60 $24,334.60 2026-03-23
374 MS_DRG Digestive Malignancy With Mcc 76 19 $71,645.33 $10,746.80 85% off $4,044.00 $35,543.31 $24,279.26 2026-03-23
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 76 19 $81,595.87 $12,239.38 85% off $6,343.70 $54,897.70 $24,238.85 2026-03-23
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 41 18 $58,399.84 $8,759.98 85% off $11,436.89 $56,506.69 $24,182.62 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
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
C1882 HCPCS Aicd, Other Than Sing/dual 2,171 13 $52,734.00 $7,910.10 85% off $138.60 $174,449.87 $24,023.45 2026-03-23
349 APR_DRG Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure 8 6 $17,733.00 $2,659.95 85% off $17,637.11 $24,456.04 $24,001.86 2026-03-23
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 111 20 $32,378.40 $4,856.76 85% off $6,634.25 $98,710.46 $23,965.95 2026-03-23
37 MS_DRG Extracranial Procedures With Mcc 42 18 $78,226.43 $11,733.96 85% off $8,477.65 $55,904.03 $23,930.41 2026-03-23
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 51 18 $152,881.00 $22,932.15 85% off $13,665.07 $102,858.34 $23,913.69 2026-03-23
606 MS_DRG Minor Skin Disorders With Mcc 107 19 $30,654.00 $4,598.10 85% off $2,595.57 $27,153.17 $23,896.15 2026-03-23
405 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 1 1 — — $23,878.90 $23,878.90 $23,878.90 2026-03-23
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 68 17 — — $10,606.30 $24,804.84 $23,829.83 2026-03-23
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 41 18 $193,177.25 $28,976.59 85% off $9,764.93 $129,969.65 $23,720.95 2026-03-23
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 74 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 48 18 $86,734.63 $13,010.19 85% off $9,479.33 $58,355.06 $23,656.83 2026-03-23
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 107 19 $35,115.00 $5,267.25 85% off $7,323.28 $35,115.00 $23,651.50 2026-03-23
C1813 HCPCS Reservoir Conceal 100ml 529 13 $57,766.47 $8,664.97 85% off $1,753.58 $150,016.52 $23,605.52 2026-03-23
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 58 19 $188,600.31 $28,290.05 85% off $11,141.16 $126,890.29 $23,483.12 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
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 34 17 — — $23,398.83 $37,934.15 $23,398.83 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 3 3 — — $21,926.92 $23,902.92 $23,283.93 2026-03-23
965 MS_DRG Other Multiple Significant Trauma Without Cc/mcc 40 17 — — $5,901.45 $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
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 75 19 $87,605.63 $13,140.84 85% off $4,035.98 $58,941.07 $23,264.26 2026-03-23
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 77 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 107 19 $63,365.74 $9,504.86 85% off $5,821.65 $28,725.54 $23,215.19 2026-03-23
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 47 18 $49,537.07 $7,430.56 85% off $6,904.00 $49,767.53 $23,143.27 2026-03-23
39 MS_DRG Extracranial Procedures Without Cc/mcc 106 19 $49,093.68 $7,364.05 85% off $4,044.00 $26,047.37 $23,077.31 2026-03-23
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 74 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 75 19 $58,568.01 $8,785.20 85% off $6,875.87 $37,861.35 $23,019.81 2026-03-23
54 MS_DRG Nervous System Neoplasms With Mcc 114 20 $50,037.70 $7,505.66 85% off $4,989.00 $26,281.76 $22,971.49 2026-03-23
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 81 19 $47,503.21 $7,125.48 85% off $5,072.18 $30,952.68 $22,919.40 2026-03-23
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 73 19 $128,855.94 $19,328.39 85% off $9,133.30 $86,694.28 $22,910.65 2026-03-23
602 MS_DRG Cellulitis With Mcc 107 19 $63,287.13 $9,493.07 85% off $3,387.46 $26,878.75 $22,891.10 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
323 APR_DRG Non-elective Or Complex Hip Joint Replacement 5 3 — — $16,892.19 $26,930.47 $22,845.64 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
205 MS_DRG Other Respiratory System Diagnoses With Mcc 104 19 $38,394.52 $5,759.18 85% off $3,658.42 $31,779.23 $22,808.78 2026-03-23
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 47 18 $175,445.82 $26,316.87 85% off $8,747.49 $118,039.95 $22,782.74 2026-03-23
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 12 5 — — $21,189.20 $98,683.30 $22,641.32 2026-03-23
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 74 19 $55,432.58 $8,314.89 85% off $8,966.29 $40,716.40 $22,618.63 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
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 42 18 $174,082.04 $26,112.31 85% off $20,800.52 $100,237.86 $22,541.86 2026-03-23
388 MS_DRG Gastrointestinal Obstruction With Mcc 77 19 $45,636.33 $6,845.45 85% off $5,266.21 $25,601.29 $22,540.92 2026-03-23
93654 CPT Hc Eps/vt Ablation 148 26 $26,884.00 $4,032.60 85% off $1,037.09 $54,054.68 $22,533.90 2026-03-23
93653 CPT Hc Eps/svt Ablation 148 26 $26,884.00 $4,032.60 85% off $774.47 $54,054.68 $22,533.90 2026-03-23
93656 CPT Hc Eps/afib Ablation 148 26 $26,884.00 $4,032.60 85% off $1,040.63 $54,054.68 $22,533.90 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
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