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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 HOLSTON VALLEY MEDICAL CENTER

Kingsport, TN · CCN 440017 · Rates published

4,801 distinct procedures filed
20 distinct payers
341,472 rate rows
2026-03-23 last MRF observed
Data quality

331,256 of 341,472 rate rows are consumer-grade (97.0%)

10,216 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 7,940
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,753
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 250
per-diem day rate — not a per-procedure price 215
exceeds 10× this hospital's gross charge — excluded from medians 54
placeholder amount (≤ $0.02) — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.balladhealth.org/sites/default/files/2026-03/621636465_holston-valley-medical-center_standardcharges.zip
Found on page https://www.balladhealth.org/patients-visitors/price-estimator-standard-charges
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-11
Content fingerprint b5a8a3b2ffa47a7c… · 6,365,129 bytes · first seen 2026-05-15

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
$186,516
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $79,500.35 $144,196.28 $141,019.25 nat. median
$145,435
1.0× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 $140,951.76 $140,951.76 $140,951.76 nat. median
$32,245
outlier · 4.4×
C1825
HCPCS 		System Barostim Neo2 8 $23,194.74 $326,686.50 $136,228.27 nat. median
$35,000
outlier · 3.9×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $95,770.31 $176,342.88 $136,056.60 nat. median
$2,736
outlier · 49.7×
215
MS_DRG 		Other Heart Assist System Implant 5 $69,492.05 $242,509.80 $117,104.85 nat. median
$73,023
1.6× median
96
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 1 $17,144.00 $185,992.20 $101,568.10 nat. median
$17,612
outlier · 5.8×
162
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Pdx 1 $92,575.10 $92,575.10 $92,575.10 nat. median
$85,583
1.1× 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
$55,935
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $44,284.94 $187,729.27 $81,090.96 nat. median
$97,418
0.8× median
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 $74,170.82 $74,170.82 $74,170.82 nat. median
$16,005
outlier · 4.6×
C1822
HCPCS 		Kit Nevro Stim Hf10c 8 $12,149.63 $171,121.50 $71,357.67 nat. median
$30,046
outlier · 2.4×
C1875
HCPCS 		Stent Thoracic 40 X 36 X 154 8 $11,744.64 $165,417.45 $68,979.08 nat. median
$3,632
outlier · 19.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $66,579.04 $68,275.43 $67,252.52 nat. median
$69,822
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $56,018.13 $186,480.40 $65,134.00 nat. median
$60,505
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 9 $45,931.17 $124,391.66 $64,261.44 nat. median
$48,611
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 $46,646.74 $206,662.50 $61,978.18 nat. median
$51,518
1.2× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 $35,277.27 $87,867.25 $61,572.26 nat. median
$24,752
outlier · 2.5×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $35,170.60 $189,166.84 $60,779.63 nat. median
$38,832
1.6× median
C2622
HCPCS 		Prosthesis Malleable Penile Tactra 9.5 X 14-23cm 8 $10,305.09 $145,142.15 $60,524.28 nat. median
$8,606
outlier · 7.0×
A9543
HCPCS 		Hc Nnm Yt90 Zevalin Tx/dose To 40mci 20 $21,414.06 $123,877.52 $59,097.53 nat. median
$65,477
0.9× median
163
APR_DRG 		Cardiac Valve Procedures Without Ami Or Complex Pdx 3 $37,278.62 $82,271.07 $57,747.16 nat. median
$76,682
0.8× 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
$49,569
1.2× median
619
MS_DRG 		O.r. Procedures For Obesity With Mcc 1 $54,442.83 $54,442.83 $54,442.83 nat. median
$19,944
outlier · 2.7×
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
$55,923
1.0× median
178
APR_DRG 		External Heart Assist Systems 2 $33,207.29 $73,847.11 $53,527.20 nat. median
$84,914
0.6× median
408
MS_DRG 		Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 $53,140.60 $53,140.60 $53,140.60 nat. median
$25,077
outlier · 2.1×
C1767
HCPCS 		Pulse Generator 8 $468.43 $189,011.48 $52,558.77 nat. median
$25,172
outlier · 2.1×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 4 $39,663.43 $90,734.42 $52,511.25 nat. median
$43,023
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $52,415.39 $52,415.39 $52,415.39 nat. median
$52,327
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
$79,167
0.6× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 $29,924.28 $68,772.87 $49,348.57 nat. median
$29,481
1.7× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 5 $33,772.84 $95,988.33 $49,142.28 nat. median
$35,986
1.4× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $25,945.17 $122,328.55 $46,877.92 nat. median
$9,905
outlier · 4.7×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 $31,344.97 $61,917.95 $46,631.46 nat. median
$37,371
1.2× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 $31,685.05 $74,824.83 $46,348.05 nat. median
$33,546
1.4× median
C1820
HCPCS 		Cap Code Ipg Iq Stimulator 8 $588.89 $191,863.50 $46,053.81 nat. median
$21,100
outlier · 2.2×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $42,900.93 $60,174.56 $45,880.52 nat. median
$47,458
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 8 $26,732.82 $99,174.51 $44,986.17 nat. median
$47,121
1.0× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 5 $31,007.04 $116,866.73 $44,759.59 nat. median
$33,459
1.3× median
411
MS_DRG 		Cholecystectomy With C.d.e. With Mcc 1 $44,676.96 $44,676.96 $44,676.96 nat. median
$20,798
outlier · 2.1×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 3 $40,628.84 $109,108.61 $42,429.34 nat. median
$43,803
1.0× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $4,044.00 $72,054.17 $42,328.85 nat. median
$10,799
outlier · 3.9×
163
MS_DRG 		Major Chest Procedures With Mcc 3 $30,510.34 $112,501.42 $42,254.68 nat. median
$31,995
1.3× median
890
APR_DRG 		HIV With Multiple Major HIV Related Conditions 1 $41,989.55 $41,989.55 $41,989.55 nat. median
$20,071
outlier · 2.1×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 6 $27,511.39 $98,571.93 $41,916.07 nat. median
$30,358
1.4× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 $6,842.85 $95,747.64 $41,885.05 nat. median
$39,159
1.1× median
33276
CPT 		Hc Insertion Phrenic Nerve Stimulator System 20 $9,039.00 $93,168.00 $41,784.76 nat. median
$44,163
0.9× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 $39,677.49 $43,865.13 $41,555.17 nat. median
$44,036
0.9× median
171
MS_DRG 		Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 1 $41,481.09 $41,481.09 $41,481.09 nat. median
$24,538
1.7× median

Other procedures at this hospital

Browse this hospital's 4,801 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… 3 3 — — $79,500.35 $144,196.28 $141,019.25 2026-03-23
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $140,951.76 $140,951.76 $140,951.76 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
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $95,770.31 $176,342.88 $136,056.60 2026-03-23
215 MS_DRG Other Heart Assist System Implant 7 5 — — $69,492.05 $242,509.80 $117,104.85 2026-03-23
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 2 1 — — $17,144.00 $185,992.20 $101,568.10 2026-03-23
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
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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 5 — — $44,284.94 $187,729.27 $81,090.96 2026-03-23
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 — — $74,170.82 $74,170.82 $74,170.82 2026-03-23
C1822 HCPCS Kit Nevro Stim Hf10c 13 8 $171,121.50 $25,668.23 85% off $12,149.63 $171,121.50 $71,357.67 2026-03-23
C1875 HCPCS Stent Thoracic 40 X 36 X 154 13 8 $165,417.45 $24,812.62 85% off $11,744.64 $165,417.45 $68,979.08 2026-03-23
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $66,579.04 $68,275.43 $67,252.52 2026-03-23
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 5 — — $56,018.13 $186,480.40 $65,134.00 2026-03-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 14 9 — — $45,931.17 $124,391.66 $64,261.44 2026-03-23
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 4 — — $46,646.74 $206,662.50 $61,978.18 2026-03-23
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 2 — — $35,277.27 $87,867.25 $61,572.26 2026-03-23
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 8 — — $35,170.60 $189,166.84 $60,779.63 2026-03-23
C2622 HCPCS Prosthesis Malleable Penile Tactra 9.5 X 14-23cm 13 8 $145,142.15 $21,771.32 85% off $10,305.09 $145,142.15 $60,524.28 2026-03-23
A9543 HCPCS Hc Nnm Yt90 Zevalin Tx/dose To 40mci 46 20 $94,430.00 $14,164.50 85% off $21,414.06 $123,877.52 $59,097.53 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
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $54,442.83 $54,442.83 $54,442.83 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
178 APR_DRG External Heart Assist Systems 2 2 — — $33,207.29 $73,847.11 $53,527.20 2026-03-23
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $53,140.60 $53,140.60 $53,140.60 2026-03-23
C1767 HCPCS Pulse Generator 137 8 $134,823.00 $20,223.45 85% off $468.43 $189,011.48 $52,558.77 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
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $52,415.39 $52,415.39 $52,415.39 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
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $29,924.28 $68,772.87 $49,348.57 2026-03-23
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 5 — — $33,772.84 $95,988.33 $49,142.28 2026-03-23
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $25,945.17 $122,328.55 $46,877.92 2026-03-23
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $31,344.97 $61,917.95 $46,631.46 2026-03-23
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 5 — — $31,685.05 $74,824.83 $46,348.05 2026-03-23
C1820 HCPCS Cap Code Ipg Iq Stimulator 127 8 $158,676.30 $23,801.45 85% off $588.89 $191,863.50 $46,053.81 2026-03-23
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $42,900.93 $60,174.56 $45,880.52 2026-03-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 8 — — $26,732.82 $99,174.51 $44,986.17 2026-03-23
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 8 5 — — $31,007.04 $116,866.73 $44,759.59 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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 3 — — $40,628.84 $109,108.61 $42,429.34 2026-03-23
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 4 — — $4,044.00 $72,054.17 $42,328.85 2026-03-23
163 MS_DRG Major Chest Procedures With Mcc 4 3 — — $30,510.34 $112,501.42 $42,254.68 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
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 7 — — $6,842.85 $95,747.64 $41,885.05 2026-03-23
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 44 20 $93,168.00 $13,975.20 85% off $9,039.00 $93,168.00 $41,784.76 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
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 2 — — $24,338.45 $58,368.53 $41,353.49 2026-03-23
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 3 — — $32,673.05 $296,748.54 $40,577.10 2026-03-23
C1772 HCPCS Infusion Pump, Programmable 36 8 $120,241.37 $18,036.21 85% off $281.06 $126,567.68 $40,381.83 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
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 6 4 — — $30,618.47 $70,663.15 $40,022.32 2026-03-23
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 3 — — $19,965.99 $45,347.11 $39,316.87 2026-03-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 10 — — $14,881.51 $89,406.06 $39,207.48 2026-03-23
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $39,119.34 $39,119.34 $39,119.34 2026-03-23
169 MS_DRG Major Abdominal Vascular Procedures 3 3 — — $37,676.55 $63,282.26 $38,844.52 2026-03-23
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 2 — — $36,024.14 $107,746.41 $38,009.54 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
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $37,153.70 $37,153.70 $37,153.70 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
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 7 6 — — $28,803.55 $165,172.07 $36,448.52 2026-03-23
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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 3 — — $34,280.40 $86,408.92 $35,905.83 2026-03-23
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 2 — — $25,934.44 $45,652.24 $35,793.34 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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 6 — — $33,141.81 $37,126.76 $34,197.08 2026-03-23
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 6 — — $25,414.31 $78,688.61 $33,685.71 2026-03-23
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 5 — — $7,377.17 $46,352.61 $33,641.28 2026-03-23
252 MS_DRG Other Vascular Procedures With Mcc 7 4 — — $23,981.09 $60,244.83 $33,491.00 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
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 13 7 — — $19,317.55 $71,455.71 $32,667.03 2026-03-23
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $32,486.53 $32,486.53 $32,486.53 2026-03-23
179 APR_DRG Defibrillator Implants 2 2 — — $2,749.44 $61,719.45 $32,234.44 2026-03-23
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 1 1 — — $31,633.33 $31,633.33 $31,633.33 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
33264 CPT Hc Remv & Replc Cvd Gen Mult Lea 44 20 $80,544.00 $12,081.60 85% off $9,039.00 $80,544.00 $30,670.41 2026-03-23
0571T CPT Hc Insj/rplcmt Icds W/substernal Electrode 44 20 $99,184.00 $14,877.60 85% off $9,039.00 $99,184.00 $30,670.41 2026-03-23
33270 CPT Hc Insertion/replcmt Sq Icd W Sq Electrode 44 20 $97,969.00 $14,695.35 85% off $1,571.00 $97,969.00 $30,670.41 2026-03-23
33231 CPT Hc Insrt Pulse Gen W/mult Leads 44 20 $88,432.00 $13,264.80 85% off $9,039.00 $88,432.00 $30,670.41 2026-03-23
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $30,387.60 $30,387.60 $30,387.60 2026-03-23
33287 CPT Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 44 20 $93,168.00 $13,975.20 85% off $8,178.00 $93,168.00 $30,151.40 2026-03-23
33249 CPT Hc Insert/repl Lead/gen Icd Sgl/dual 44 20 $104,585.00 $15,687.75 85% off $1,017.92 $104,585.00 $30,074.87 2026-03-23
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 3 — — $28,660.98 $45,684.97 $29,893.64 2026-03-23
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 4 — — $28,465.28 $56,339.22 $29,714.25 2026-03-23
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 4 3 — — $27,964.34 $76,321.68 $29,374.60 2026-03-23
180 APR_DRG Other Circulatory System Procedures 2 2 — — $6,182.02 $52,351.69 $29,266.85 2026-03-23
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 4 — — $20,027.56 $70,327.45 $28,982.24 2026-03-23
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 34 17 — — $8,414.26 $28,959.67 $28,959.67 2026-03-23
500 MS_DRG Soft Tissue Procedures With Mcc 4 4 — — $14,295.30 $39,723.33 $28,881.48 2026-03-23
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 34 17 — — $14,644.24 $69,467.27 $28,870.58 2026-03-23
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 34 17 — — $11,435.63 $28,802.20 $28,802.20 2026-03-23
177 MS_DRG Respiratory Infections And Inflammations With Mcc 34 17 — — $9,251.94 $28,757.17 $28,757.17 2026-03-23
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 9 4 — — $13,318.66 $34,763.01 $28,691.99 2026-03-23
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 34 17 — — $6,965.91 $28,598.28 $28,598.28 2026-03-23
333 MS_DRG Rectal Resection With Cc 34 17 — — $15,009.04 $28,410.17 $28,410.17 2026-03-23
33289 CPT Hc Transcath Impl Wrls Pa Prs Snr L-t Hemdyn Mntr 44 20 $111,361.00 $16,704.15 85% off $7,778.00 $111,361.00 $28,298.93 2026-03-23
357 MS_DRG Other Digestive System O.r. Procedures With Cc 34 17 — — $10,111.37 $28,252.85 $28,252.85 2026-03-23
C1815 HCPCS Ams S.t. Cuff Belt Fgs 4.5cm Iz 78 8 $76,563.91 $11,484.59 85% off $2,536.70 $81,930.90 $28,209.39 2026-03-23
963 MS_DRG Other Multiple Significant Trauma With Mcc 34 17 — — $19,672.10 $28,167.65 $28,167.65 2026-03-23
393 MS_DRG Other Digestive System Diagnoses With Mcc 34 17 — — $11,507.41 $28,132.62 $28,132.62 2026-03-23
643 MS_DRG Endocrine Disorders With Mcc 34 17 — — $11,665.55 $28,036.94 $28,036.94 2026-03-23
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 3 — — $26,442.64 $28,657.18 $28,020.63 2026-03-23
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 34 17 — — $11,163.91 $28,006.99 $28,006.99 2026-03-23
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 34 17 — — $20,937.13 $46,932.91 $27,649.00 2026-03-23
444 MS_DRG Disorders Of The Biliary Tract With Mcc 34 17 — — $2,956.00 $27,643.26 $27,643.26 2026-03-23
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 6 — — $26,216.89 $74,796.10 $27,625.25 2026-03-23
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 34 17 — — $13,093.67 $27,610.84 $27,610.84 2026-03-23
755 MS_DRG Malignancy, Female Reproductive System With Cc 34 17 — — $27,492.37 $27,492.37 $27,492.37 2026-03-23
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $26,679.91 $28,280.70 $27,480.31 2026-03-23
835 MS_DRG Acute Leukemia With Cc 34 17 — — $15,386.51 $32,754.03 $27,377.24 2026-03-23
288 MS_DRG Acute And Subacute Endocarditis With Mcc 34 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
364 MS_DRG Other Skin, Subcutaneous Tissue And Related Procedures 2 2 — — $11,163.35 $43,405.45 $27,284.40 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
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 34 17 — — $9,131.53 $27,239.65 $27,239.65 2026-03-23
710 APR_DRG Infections And Parasitic Diseases Including HIV With O.r. Procedure 7 4 — — $25,940.23 $57,354.40 $27,216.69 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
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 34 17 — — $11,874.42 $27,117.33 $27,117.33 2026-03-23
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 34 17 — — $5,002.94 $27,029.40 $27,029.40 2026-03-23
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 34 17 — — $10,938.77 $26,988.72 $26,988.72 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
551 MS_DRG Medical Back Problems With Mcc 34 17 — — $11,932.55 $26,925.82 $26,925.82 2026-03-23
602 MS_DRG Cellulitis With Mcc 34 17 — — $6,293.00 $26,878.75 $26,878.75 2026-03-23
169 APR_DRG Major Abdominal Vascular Procedures 1 1 — — $26,827.64 $26,827.64 $26,827.64 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
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 34 17 — — $5,796.74 $26,715.56 $26,715.56 2026-03-23
811 APR_DRG Allergic Reactions 1 1 — — $26,604.35 $26,604.35 $26,604.35 2026-03-23
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 34 17 — — $9,416.26 $26,481.29 $26,481.29 2026-03-23
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 34 17 — — $9,160.96 $26,464.00 $26,464.00 2026-03-23
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 3 3 — — $16,090.55 $75,650.27 $26,424.86 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
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 3 — — $22,668.73 $27,194.96 $26,401.44 2026-03-23
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 34 17 — — $12,393.34 $26,350.88 $26,350.88 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
54 MS_DRG Nervous System Neoplasms With Mcc 36 18 — — $4,989.00 $26,281.76 $26,281.76 2026-03-23
711 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 3 3 — — $25,956.58 $26,434.93 $26,183.16 2026-03-23
39 MS_DRG Extracranial Procedures Without Cc/mcc 34 17 — — $4,044.00 $26,047.37 $26,047.37 2026-03-23
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 2 — — $14,555.25 $37,268.88 $25,912.06 2026-03-23
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 4 — — $23,408.32 $27,591.87 $25,911.21 2026-03-23
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 5 4 — — $12,610.51 $29,101.68 $25,897.93 2026-03-23
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 34 17 — — $9,771.27 $25,851.47 $25,851.47 2026-03-23
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 5 — — $21,633.29 $47,447.55 $25,671.14 2026-03-23
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 34 17 — — $6,743.00 $112,159.24 $25,623.14 2026-03-23
388 MS_DRG Gastrointestinal Obstruction With Mcc 34 17 — — $10,401.02 $25,601.29 $25,601.29 2026-03-23
188 MS_DRG Pleural Effusion Without Cc/mcc 34 17 — — $5,906.19 $25,503.87 $25,503.87 2026-03-23
189 MS_DRG Pulmonary Edema And Respiratory Failure 34 17 — — $5,962.02 $25,465.78 $25,465.78 2026-03-23
398 MS_DRG Appendix Procedures With Cc 34 17 — — $7,356.15 $25,315.01 $25,315.01 2026-03-23
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 34 17 — — $25,307.33 $37,637.93 $25,307.33 2026-03-23
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 3 — — $23,879.11 $46,610.96 $25,237.39 2026-03-23
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 34 17 — — $11,116.32 $25,229.01 $25,229.01 2026-03-23
974 MS_DRG HIV With Major Related Condition With Mcc 2 1 — — $22,102.00 $28,174.45 $25,138.22 2026-03-23
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $18,906.35 $31,331.17 $25,118.76 2026-03-23
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 34 17 — — $12,102.67 $25,080.54 $25,080.54 2026-03-23
368 MS_DRG Major Esophageal Disorders With Mcc 34 17 — — $6,540.00 $37,887.74 $24,947.56 2026-03-23
91 MS_DRG Other Disorders Of Nervous System With Mcc 34 17 — — $11,913.94 $24,869.99 $24,869.99 2026-03-23
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 34 17 — — $2,626.00 $27,102.61 $24,773.10 2026-03-23
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 7 6 — — $23,063.16 $40,047.99 $24,747.50 2026-03-23
C2624 HCPCS Delivery Sys & Sensor Cardiomems Pa 26 8 $123,756.50 $18,563.47 85% off $3,582.94 $197,049.00 $24,727.36 2026-03-23
271 MS_DRG Other Major Cardiovascular Procedures With Cc 9 5 — — $4,044.00 $54,983.95 $24,691.04 2026-03-23
186 MS_DRG Pleural Effusion With Mcc 34 17 — — $11,114.03 $28,048.32 $24,422.96 2026-03-23
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 34 17 — — $16,364.89 $42,087.78 $24,238.85 2026-03-23
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 34 17 — — $9,491.42 $24,180.29 $24,180.29 2026-03-23
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 3 — — $8,175.00 $58,964.45 $24,086.40 2026-03-23
187 MS_DRG Pleural Effusion With Cc 34 17 — — $7,414.84 $23,997.46 $23,997.46 2026-03-23
231 APR_DRG Major Large Bowel Procedures 1 1 — — $23,930.39 $23,930.39 $23,930.39 2026-03-23
264 MS_DRG Other Circulatory System O.r. Procedures 3 3 — — $17,398.54 $25,411.18 $23,897.39 2026-03-23
606 MS_DRG Minor Skin Disorders With Mcc 34 17 — — $12,340.33 $23,896.15 $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 34 17 — — $11,519.58 $23,829.83 $23,829.83 2026-03-23
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 42 18 — — $3,673.46 $65,375.53 $23,803.29 2026-03-23
546 MS_DRG Connective Tissue Disorders With Cc 34 17 — — $8,542.40 $23,793.72 $23,793.72 2026-03-23
93653 CPT Hc Eps/svt Ablation 46 20 $26,884.00 $4,032.60 85% off $802.13 $54,054.68 $23,748.36 2026-03-23
93654 CPT Hc Eps/vt Ablation 46 20 $26,884.00 $4,032.60 85% off $1,074.13 $54,054.68 $23,748.36 2026-03-23
93656 CPT Hc Eps/afib Ablation 46 20 $26,884.00 $4,032.60 85% off $1,077.79 $54,054.68 $23,748.36 2026-03-23
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 6 — — $21,729.79 $49,757.69 $23,743.66 2026-03-23
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 34 17 — — $23,651.50 $23,651.50 $23,651.50 2026-03-23
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 34 17 — — $4,044.00 $23,548.10 $23,548.10 2026-03-23
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
164 MS_DRG Major Chest Procedures With Cc 8 6 — — $17,259.26 $45,298.45 $23,372.76 2026-03-23
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 34 17 — — $10,743.54 $23,264.26 $23,264.26 2026-03-23
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 34 17 — — $13,732.47 $23,125.88 $23,125.88 2026-03-23
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $23,078.13 $23,078.13 $23,078.13 2026-03-23
37 MS_DRG Extracranial Procedures With Mcc 4 4 — — $22,387.74 $23,839.24 $22,998.49 2026-03-23
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 17 — — $13,141.45 $29,305.51 $22,956.69 2026-03-23
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $22,940.13 $22,940.13 $22,940.13 2026-03-23
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 15 9 — — $13,821.57 $56,595.78 $22,928.20 2026-03-23
120 APR_DRG Major Respiratory And Chest Procedures 2 2 — — $21,926.92 $23,902.92 $22,914.92 2026-03-23
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 34 17 — — $16,939.13 $39,006.56 $22,910.65 2026-03-23
C1882 HCPCS Aicd, Other Than Sing/dual 595 8 $54,341.00 $8,151.15 85% off $145.57 $174,449.87 $22,909.56 2026-03-23
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 11 6 — — $15,943.38 $92,652.52 $22,871.77 2026-03-23
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 5 3 — — $6,904.00 $40,484.36 $22,825.59 2026-03-23
205 MS_DRG Other Respiratory System Diagnoses With Mcc 34 17 — — $13,014.67 $22,808.78 $22,808.78 2026-03-23
302 MS_DRG Atherosclerosis With Mcc 34 17 — — $8,412.91 $22,666.72 $22,666.72 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
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $22,619.58 $22,619.58 $22,619.58 2026-03-23
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 34 17 — — $9,480.95 $23,316.91 $22,615.54 2026-03-23
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 34 17 — — $16,044.33 $22,475.31 $22,475.31 2026-03-23
292 MS_DRG Heart Failure And Shock With Cc 34 17 — — $6,457.25 $22,452.13 $22,452.13 2026-03-23
349 APR_DRG Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure 1 1 — — $22,380.53 $22,380.53 $22,380.53 2026-03-23
977 MS_DRG HIV With Or Without Other Related Condition 34 17 — — $10,264.05 $22,244.49 $22,244.49 2026-03-23
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 11 6 — — $2,956.00 $30,037.63 $22,224.59 2026-03-23
33230 CPT Hc Insrt Pulse Gen W/dual Leads 44 20 $88,432.00 $13,264.80 85% off $9,039.00 $88,432.00 $22,156.48 2026-03-23
33240 CPT Hc Insert Icd Pulse Gen 44 20 $98,421.00 $14,763.15 85% off $488.80 $98,421.00 $22,156.48 2026-03-23
33262 CPT Hc Remv & Repl Cvd Gen Sing Lead 44 20 $80,544.00 $12,081.60 85% off $9,039.00 $80,544.00 $22,156.48 2026-03-23
0614T CPT Hc Rmvl&rplcmt Substernal Impltbl Defibrillator Pg 44 20 $71,063.00 $10,659.45 85% off $9,039.00 $71,063.00 $22,156.48 2026-03-23
33263 CPT Hc Remv & Repl Cvd Gen Dual Lead 44 20 $80,544.00 $12,081.60 85% off $9,039.00 $80,544.00 $22,156.48 2026-03-23
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 3 — — $20,866.58 $22,596.00 $22,122.88 2026-03-23
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 — — $20,878.69 $23,308.84 $22,093.76 2026-03-23
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 6 4 — — $20,998.03 $63,098.62 $22,062.68 2026-03-23
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 34 17 — — $8,347.22 $22,041.50 $22,041.50 2026-03-23
133 MS_DRG Respiratory Failure 1 1 — — $21,984.35 $21,984.35 $21,984.35 2026-03-23
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc 34 17 — — $21,867.35 $21,867.35 $21,867.35 2026-03-23
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 34 17 — — $7,357.10 $21,815.46 $21,815.46 2026-03-23
669 MS_DRG Transurethral Procedures With Cc 34 17 — — $10,903.55 $21,788.49 $21,788.49 2026-03-23
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 35 17 — — $9,564.82 $37,537.23 $21,785.39 2026-03-23
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 34 17 — — $21,758.50 $21,758.50 $21,758.50 2026-03-23
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 4 4 — — $19,436.90 $22,206.32 $21,717.91 2026-03-23
399 MS_DRG Appendix Procedures Without Cc/mcc 34 17 — — $5,410.78 $21,658.03 $21,658.03 2026-03-23
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 34 17 — — $7,357.41 $21,598.92 $21,598.92 2026-03-23
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 34 17 — — $7,664.70 $21,572.90 $21,572.90 2026-03-23
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 3 — — $20,753.90 $156,282.46 $21,554.90 2026-03-23
539 MS_DRG Osteomyelitis With Mcc 34 17 — — $14,041.12 $21,492.21 $21,492.21 2026-03-23
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 2 2 — — $12,714.84 $30,111.56 $21,413.20 2026-03-23
183 MS_DRG Major Chest Trauma With Mcc 34 17 — — $11,027.37 $21,372.79 $21,372.79 2026-03-23
722 MS_DRG Malignancy, Male Reproductive System With Mcc 34 17 — — $21,350.46 $26,512.68 $21,350.46 2026-03-23
157 MS_DRG Dental And Oral Diseases With Mcc 34 17 — — $11,486.38 $21,309.33 $21,309.33 2026-03-23
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 34 17 — — $8,901.91 $21,291.28 $21,291.28 2026-03-23
182 APR_DRG Other Peripheral Vascular And Related Procedures 8 3 — — $17,013.24 $44,893.85 $21,206.15 2026-03-23
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $21,144.34 $21,144.34 $21,144.34 2026-03-23
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 34 17 — — $8,792.95 $21,165.09 $21,104.10 2026-03-23
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 34 17 — — $4,044.00 $22,621.01 $21,096.01 2026-03-23
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 5 4 — — $19,757.26 $40,102.97 $21,081.26 2026-03-23
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 34 17 — — $8,012.99 $21,070.24 $21,070.24 2026-03-23
304 MS_DRG Hypertension With Mcc 34 17 — — $8,490.02 $21,000.01 $21,000.01 2026-03-23
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 8 6 — — $17,186.79 $36,021.20 $20,994.85 2026-03-23
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 34 17 — — $12,201.95 $22,075.10 $20,952.54 2026-03-23
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $19,153.17 $22,695.00 $20,924.08 2026-03-23
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 2 1 — — $13,533.84 $28,242.61 $20,888.22 2026-03-23
299 MS_DRG Peripheral Vascular Disorders With Mcc 34 17 — — $11,407.25 $26,038.30 $20,799.90 2026-03-23
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 34 17 — — $20,767.79 $33,417.17 $20,767.79 2026-03-23
181 MS_DRG Respiratory Neoplasms With Cc 37 18 — — $8,069.82 $20,713.67 $20,713.67 2026-03-23
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 7 — — $18,344.52 $49,468.35 $20,668.98 2026-03-23
230 MS_DRG Major Small Bowel Procedures 1 1 — — $20,656.85 $20,656.85 $20,656.85 2026-03-23
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 34 17 — — $7,810.06 $20,639.26 $20,639.26 2026-03-23
70 MS_DRG Other Cerebrovascular Disorders With Mcc 34 17 — — $5,801.40 $20,626.10 $20,626.10 2026-03-23
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 1 1 — — $20,591.97 $20,591.97 $20,591.97 2026-03-23
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 7 5 — — $8,662.03 $29,979.76 $20,435.83 2026-03-23
570 MS_DRG Skin Debridement With Mcc 1 1 — — $20,368.88 $20,368.88 $20,368.88 2026-03-23
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 7 4 — — $13,946.80 $34,152.64 $20,331.63 2026-03-23
386 MS_DRG Inflammatory Bowel Disease With Cc 34 17 — — $4,859.06 $20,328.60 $20,328.60 2026-03-23
C1761 HCPCS Cath, Trans Intra Litho/coro 13 8 $48,743.70 $7,311.56 85% off $3,460.80 $48,743.70 $20,326.12 2026-03-23
472 MS_DRG Cervical Spinal Fusion With Cc 4 3 — — $19,643.93 $28,285.36 $20,325.03 2026-03-23
627 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/mcc 34 17 — — $9,125.39 $20,420.89 $20,299.99 2026-03-23
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 19 8 — — $12,565.85 $62,372.19 $20,230.43 2026-03-23
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 39 18 — — $904.20 $20,190.01 $20,190.01 2026-03-23
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 34 17 — — $15,506.55 $20,090.00 $20,090.00 2026-03-23
445 MS_DRG Disorders Of The Biliary Tract With Cc 34 17 — — $7,905.26 $30,105.14 $20,058.15 2026-03-23
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 8 5 — — $12,569.13 $206,414.33 $20,027.74 2026-03-23
710 MS_DRG Penis Procedures Without Cc/mcc 44 18 — — $8,107.27 $19,975.63 $19,975.63 2026-03-23
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 7 5 — — $18,552.60 $43,825.10 $19,835.10 2026-03-23
793 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $19,833.38 $19,833.38 $19,833.38 2026-03-23
220 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 1 1 — — $19,798.98 $19,798.98 $19,798.98 2026-03-23
668 MS_DRG Transurethral Procedures With Mcc 1 1 — — $19,767.63 $19,767.63 $19,767.63 2026-03-23
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 34 17 — — $4,926.14 $19,763.10 $19,763.10 2026-03-23
369 MS_DRG Major Esophageal Disorders With Cc 34 17 — — $7,503.34 $19,732.82 $19,732.82 2026-03-23
504 MS_DRG Foot Procedures With Cc 5 3 — — $12,982.12 $75,571.26 $19,474.17 2026-03-23
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 1 1 — — $19,435.21 $19,435.21 $19,435.21 2026-03-23
121 APR_DRG Other Respiratory And Chest Procedures 2 2 — — $18,922.92 $19,854.07 $19,388.49 2026-03-23
174 APR_DRG Percutaneous Cardiac Intervention With Ami 6 5 — — $13,025.35 $87,097.00 $19,368.83 2026-03-23
137 MS_DRG Mouth Procedures With Cc/mcc 1 1 — — $19,340.64 $19,340.64 $19,340.64 2026-03-23
505 MS_DRG Foot Procedures Without Cc/mcc 1 1 — — $19,313.80 $19,313.80 $19,313.80 2026-03-23
317 MS_DRG Tendon, Muscle And Other Soft Tissue Procedures 2 2 — — $13,864.46 $24,727.65 $19,296.06 2026-03-23
178 MS_DRG Respiratory Infections And Inflammations With Cc 34 17 — — $7,337.41 $19,285.96 $19,285.96 2026-03-23
908 MS_DRG Other O.r. Procedures For Injuries With Cc 6 5 — — $12,248.27 $30,932.23 $19,243.85 2026-03-23
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 34 17 — — $9,302.43 $19,142.70 $19,142.70 2026-03-23
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 35 17 — — $8,239.07 $32,777.92 $19,116.96 2026-03-23
197 MS_DRG Interstitial Lung Disease With Cc 34 17 — — $19,097.51 $19,097.51 $19,097.51 2026-03-23
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 2 2 — — $17,310.65 $20,841.12 $19,075.89 2026-03-23
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 34 17 — — $10,579.13 $19,075.00 $19,075.00 2026-03-23
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 34 17 — — $5,620.29 $19,007.54 $19,007.54 2026-03-23
503 MS_DRG Foot Procedures With Mcc 2 2 — — $18,880.42 $19,112.37 $18,996.39 2026-03-23
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 12 6 — — $11,621.71 $55,418.59 $18,947.43 2026-03-23
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 34 17 — — $6,932.27 $23,655.26 $18,946.51 2026-03-23
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 5 3 — — $17,617.67 $39,998.24 $18,758.97 2026-03-23
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 34 17 — — $10,359.58 $18,748.26 $18,748.26 2026-03-23
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 34 17 — — $9,576.66 $18,714.43 $18,714.43 2026-03-23
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 34 17 — — $10,303.89 $18,671.77 $18,671.77 2026-03-23
C2616 HCPCS Hc Brachytherapy Source Nonstranded Yttrium 90 Per Source 41 20 $137,008.00 $20,551.20 85% off $9,429.77 $137,008.00 $18,659.56 2026-03-23
644 MS_DRG Endocrine Disorders With Cc 34 17 — — $4,920.79 $18,637.10 $18,637.10 2026-03-23
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 34 17 — — $12,264.11 $18,578.14 $18,578.14 2026-03-23
397 MS_DRG Appendix Procedures With Mcc 1 1 — — $18,461.81 $18,461.81 $18,461.81 2026-03-23
100 MS_DRG Seizures With Mcc 10 7 — — $9,848.63 $34,856.59 $18,391.01 2026-03-23
30 APR_DRG Percutaneous Intra And Extracranial Vascular Procedures 1 1 — — $18,378.37 $18,378.37 $18,378.37 2026-03-23
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 9 6 — — $452.10 $37,270.08 $18,375.19 2026-03-23
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 34 17 — — $18,348.61 $18,348.61 $18,348.61 2026-03-23
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