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 HOLSTON VALLEY MEDICAL CENTER

Kingsport, TN · CCN 440017 · Rates published

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You selected 93306 (CPT)

HC ECHO ADULT TRANSTHORACIC COMP

This hospital’s price: $606 across 20 payers · range $171-$2,989

Source: https://www.balladhealth.org/sites/default/files/2026-03/621636465_holston-valley-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.

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
$249,036
1.1× 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
$190,559
0.7× 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
$42,823
outlier · 3.3×
C1825
HCPCS 		System Barostim Neo2 8 $23,194.74 $326,686.50 $136,228.27 nat. median
$53,185
outlier · 2.6×
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
$93,276
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 5 $69,492.05 $242,509.80 $117,104.85 nat. median
$93,901
1.2× 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
$23,502
outlier · 4.3×
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
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
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
$126,695
0.6× 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
$21,230
outlier · 3.5×
C1822
HCPCS 		Kit Nevro Stim Hf10c 8 $12,149.63 $171,121.50 $71,357.67 nat. median
$31,540
outlier · 2.3×
C1875
HCPCS 		Stent Thoracic 40 X 36 X 154 8 $11,744.64 $165,417.45 $68,979.08 nat. median
$3,898
outlier · 17.7×
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
$90,551
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $56,018.13 $186,480.40 $65,134.00 nat. median
$77,028
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 9 $45,931.17 $124,391.66 $64,261.44 nat. median
$62,655
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 $46,646.74 $206,662.50 $61,978.18 nat. median
$66,649
0.9× 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
$33,408
1.8× median
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
$50,627
1.2× 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×
A9543
HCPCS 		Hc Nnm Yt90 Zevalin Tx/dose To 40mci 20 $21,414.06 $123,877.52 $59,097.53 nat. median
$63,528
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
$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
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×
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
178
APR_DRG 		External Heart Assist Systems 2 $33,207.29 $73,847.11 $53,527.20 nat. median
$50,844
1.1× 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
$33,285
1.6× median
C1767
HCPCS 		Pulse Generator 8 $468.43 $189,011.48 $52,558.77 nat. median
$23,896
outlier · 2.2×
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
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
$67,976
0.8× 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
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
$39,984
1.2× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 5 $33,772.84 $95,988.33 $49,142.28 nat. median
$46,239
1.1× 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
$63,648
0.7× median
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
$50,018
0.9× 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
$43,696
1.1× median
C1820
HCPCS 		Cap Code Ipg Iq Stimulator 8 $588.89 $191,863.50 $46,053.81 nat. median
$22,986
outlier · 2.0×
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
$62,031
0.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 8 $26,732.82 $99,174.51 $44,986.17 nat. median
$59,371
0.8× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 5 $31,007.04 $116,866.73 $44,759.59 nat. median
$44,126
1.0× 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
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 3 $40,628.84 $109,108.61 $42,429.34 nat. median
$57,801
0.7× 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
$50,573
0.8× median
163
MS_DRG 		Major Chest Procedures With Mcc 3 $30,510.34 $112,501.42 $42,254.68 nat. median
$42,680
1.0× median
890
APR_DRG 		HIV With Multiple Major HIV Related Conditions 1 $41,989.55 $41,989.55 $41,989.55 nat. median
$15,298
outlier · 2.7×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 6 $27,511.39 $98,571.93 $41,916.07 nat. median
$40,324
1.0× 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
$51,598
0.8× median
33276
CPT 		Hc Insertion Phrenic Nerve Stimulator System 20 $9,039.00 $93,168.00 $41,784.76 nat. median
$43,278
1.0× 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
$58,280
0.7× 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
$18,959
outlier · 2.2×

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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