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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

SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE

Lawrenceburg, TN · CCN 440175 · Rates published

2,514 distinct procedures filed
14 distinct payers
81,371 rate rows
2026-07-14 last MRF observed
Data quality

34,718 of 81,371 rate rows are consumer-grade (42.7%)

46,653 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 44,748
per-diem day rate — not a per-procedure price 1,658
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 236
exceeds 10× this hospital's gross charge — excluded from medians 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.southerntnlawrenceburg.com/docs/ahstrhslawrenceburglibraries/hcl/mrf3q26/621762364_strhs-lawrenceburg_standardcharges.csv
Found on page https://www.southerntnlawrenceburg.com/hospital-charges-listing
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-16
Content fingerprint 0a8b3cb6d86ecf3a… · 12,383,215 bytes · first seen 2026-08-17

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
459
MS_DRG 		Spinal Fusion Except Cervical 1 $100,022.04 $100,022.04 $100,022.04 nat. median
$52,841
1.9× median
459
OTHER 		Spinal Fusion Except Cervical 1 $100,022.04 $100,022.04 $100,022.04 nat. median
$50,492
2.0× median
455
OTHER 		Combined Anterior And Posterio 2 $54,884.64 $95,294.63 $75,089.64 nat. median
$44,798
1.7× median
C1787
HCPCS 		Patient Programmer, Neurostimulator 5 $65,050.00 $65,050.00 $65,050.00 nat. median
$2,051
outlier · 31.7×
870
MS_DRG 		Septicemia Or Severe Sepsis Wi 10 $55,767.90 $72,186.54 $57,440.93 nat. median
$62,721
0.9× median
455
MS_DRG 		Combined Anterior And Posterio 1 $54,884.64 $54,884.64 $54,884.64 nat. median
$38,944
1.4× median
207
OTHER 		Respiratory System Diagnosis With Ventilator Support >96 Hours 10 $51,845.34 $57,920.74 $53,400.71 nat. median
$64,908
0.8× median
207
MS_DRG 		Respiratory System Diagnosis W 10 $51,845.34 $57,920.74 $53,400.71 nat. median
$59,384
0.9× median
C1891
HCPCS 		Infusion Pump, Non-programmable, Permanent (implantable) 5 $51,496.21 $51,496.21 $51,496.21 nat. median
$9,976
outlier · 5.2×
461
OTHER 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 $36,907.06 $64,456.43 $49,226.85 nat. median
$51,043
1.0× median
461
MS_DRG 		Bilateral Or Multiple Major Jo 10 $36,907.06 $58,667.47 $48,986.71 nat. median
$53,342
0.9× median
275
OTHER 		Defib Dual G14 6 $43,840.04 $43,840.04 $43,840.04 nat. median
$20,009
outlier · 2.2×
853
OTHER 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 $40,093.72 $90,572.62 $41,096.06 nat. median
$17,401
outlier · 2.4×
853
MS_DRG 		Infectious And Parasitic Disea 10 $40,093.72 $50,427.30 $40,895.58 nat. median
$45,474
0.9× median
981
MS_DRG 		Extensive O.r. Procedures Unre 10 $38,110.40 $48,212.45 $38,872.59 nat. median
$43,741
0.9× median
981
OTHER 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 $185.64 $48,212.45 $38,110.40 nat. median
$435
outlier · 87.6×
329
MS_DRG 		Major Small And Large Bowel Pr 10 $33,617.29 $39,020.40 $37,547.92 nat. median
$42,662
0.9× median
460
MS_DRG 		Spinal Fusion Except Cervical 1 $36,429.66 $36,429.66 $36,429.66 nat. median
$31,618
1.2× median
C1762
HCPCS 		Connective Tissue, Human (includes Fascia Lata) 5 $34,734.56 $34,734.56 $34,734.56 nat. median
$2,930
outlier · 11.9×
C1889
HCPCS 		Implantable/insertable Device, Not Otherwise Classified 6 $1,168.22 $34,116.29 $34,116.29 nat. median
$2,362
outlier · 14.4×
956
OTHER 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 11 $30,642.88 $81,969.39 $31,562.17 nat. median
$39,193
0.8× median
956
MS_DRG 		Limb Reattachment, Hip And Fem 10 $30,642.88 $81,969.39 $31,562.17 nat. median
$35,512
0.9× median
J1162
HCPCS 		Injection, Digoxin Immune Fab (ovine), Per Vial 12 $30,119.84 $30,119.84 $30,119.84 nat. median
$7,165
outlier · 4.2×
94
OTHER 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 $28,420.35 $39,244.01 $29,835.38 nat. median
$37,782
0.8× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 $28,420.35 $39,244.01 $29,835.38 nat. median
$33,427
0.9× median
A6196
HCPCS 		Alginate Or Other Fiber Gelling Dressing, Wound Cover, Sterile, Pad Size 16 Sq.… 5 $28,559.53 $28,559.53 $28,559.53 nat. median
$8
outlier · 3694.6×
467
OTHER 		Revision Of Hip Or Knee Replacement With Cc 11 $27,458.66 $30,111.04 $28,282.42 nat. median
$30,665
0.9× median
467
MS_DRG 		Revision Of Hip Or Knee Replac 10 $27,458.66 $30,111.04 $28,282.42 nat. median
$32,654
0.9× median
260
MS_DRG 		Cardiac Pacemaker Revision Exc 10 $27,306.35 $53,792.20 $28,125.54 nat. median
$30,907
0.9× median
469
OTHER 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 11 $26,204.06 $88,415.62 $26,990.18 nat. median
$25,775
1.0× median
469
MS_DRG 		Major Hip And Knee Joint Repla 10 $26,204.06 $30,585.36 $26,990.18 nat. median
$29,492
0.9× median
C9354
HCPCS 		Acellular Pericardial Tissue Matrix Of Non-human Origin (veritas), Per Square Ce… 5 $26,688.78 $26,688.78 $26,688.78 nat. median
$1,425
outlier · 18.7×
480
MS_DRG 		Hip And Femur Procedures Excep 10 $23,577.00 $36,456.91 $24,284.31 nat. median
$27,846
0.9× median
464
OTHER 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 11 $23,637.92 $62,357.53 $24,261.10 nat. median
$23,782
1.0× median
521
OTHER 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 $23,366.16 $29,485.22 $24,067.14 nat. median
$394
outlier · 61.0×
521
MS_DRG 		Hip Replacement With Principal 10 $23,366.16 $29,485.22 $24,067.14 nat. median
$27,642
0.9× median
480
OTHER 		Hip And Femur Procedures Except Major Joint With Mcc 12 $316.38 $56,929.83 $23,812.76 nat. median
$1,155
outlier · 20.6×
462
OTHER 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 11 $20,466.48 $37,455.75 $23,532.06 nat. median
$24,323
1.0× median
27447
CPT 		Arthroplasty, Knee, Condyle And Plateau; Medial And Lateral Compartments With Or… 14 $3,602.00 $23,369.64 $23,369.64 nat. median
$12,739
1.8× median
58571
CPT 		Laparoscopy, Surgical, With Total Hysterectomy, For Uterus 250 G Or Less; With R… 14 $3,602.00 $23,219.32 $23,219.32 nat. median
$9,885
outlier · 2.3×
22515
CPT 		Percutaneous Vertebral Augmentation, Including Cavity Creation (fracture Reducti… 4 $22,643.15 $22,643.15 $22,643.15 nat. median
$5,281
outlier · 4.3×
208
OTHER 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 11 $19,452.76 $56,400.71 $22,052.99 nat. median
$25,481
0.9× median
208
MS_DRG 		Respiratory System Diagnosis W 10 $19,452.76 $24,704.49 $21,945.41 nat. median
$25,409
0.9× median
483
OTHER 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 11 $20,428.05 $51,898.07 $21,040.90 nat. median
$2,649
outlier · 7.9×
483
MS_DRG 		Major Joint Or Limb Reattachme 10 $20,428.05 $23,297.31 $21,040.90 nat. median
$25,358
0.8× median
27445
CPT 		Arthroplasty, Knee, Hinge Prosthesis (eg, Walldius Type) 6 $2,594.00 $20,661.47 $20,661.47 nat. median
$6,057
outlier · 3.4×
56
OTHER 		Degenerative Nervous System Disorders With Mcc 11 $10,291.05 $35,877.68 $20,576.38 nat. median
$24,850
0.8× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 10 $10,291.05 $21,278.99 $20,476.00 nat. median
$21,152
1.0× median
397
OTHER 		Appendix Procedures With Mcc 11 $19,863.68 $53,458.08 $20,459.59 nat. median
$22,601
0.9× median
C1763
HCPCS 		Connective Tissue, Non-human (includes Synthetic) 5 $20,235.67 $20,235.67 $20,235.67 nat. median
$2,296
outlier · 8.8×

Other procedures at this hospital

Browse this hospital's 2,514 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
             
459 OTHER Spinal Fusion Except Cervical 1 1 $293,456.15 $73,070.58 75% off $100,022.04 $100,022.04 $100,022.04 2026-05-22
459 MS_DRG Spinal Fusion Except Cervical 1 1 — — $100,022.04 $100,022.04 $100,022.04 2026-07-14
455 OTHER Combined Anterior And Posterio 2 2 $178,331.27 $44,404.49 75% off $54,884.64 $95,294.63 $75,089.64 2026-05-22
C1787 HCPCS Patient Programmer, Neurostimulator 6 5 $99,999.99 $24,900.00 75% off $65,050.00 $65,050.00 $65,050.00 2026-07-14
870 MS_DRG Septicemia Or Severe Sepsis Wi 11 10 — — $55,767.90 $72,186.54 $57,440.93 2026-07-14
455 MS_DRG Combined Anterior And Posterio 1 1 — — $54,884.64 $54,884.64 $54,884.64 2026-07-14
207 MS_DRG Respiratory System Diagnosis W 11 10 — — $51,845.34 $57,920.74 $53,400.71 2026-07-14
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 11 10 $396,670.07 $98,770.85 75% off $51,845.34 $57,920.74 $53,400.71 2026-05-22
C1891 HCPCS Infusion Pump, Non-programmable, Permanent (implantable) 6 5 $79,164.04 $19,711.85 75% off $51,496.21 $51,496.21 $51,496.21 2026-07-14
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 11 $116,654.87 $29,047.06 75% off $36,907.06 $64,456.43 $49,226.85 2026-05-22
461 MS_DRG Bilateral Or Multiple Major Jo 11 10 — — $36,907.06 $58,667.47 $48,986.71 2026-07-14
275 OTHER Defib Dual G14 7 6 $84,307.75 $20,992.63 75% off $43,840.04 $43,840.04 $43,840.04 2026-05-22
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 11 $170,930.25 $42,561.63 75% off $40,093.72 $90,572.62 $41,096.06 2026-05-22
853 MS_DRG Infectious And Parasitic Disea 11 10 — — $40,093.72 $50,427.30 $40,895.58 2026-07-14
981 MS_DRG Extensive O.r. Procedures Unre 11 10 — — $38,110.40 $48,212.45 $38,872.59 2026-07-14
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 12 $176,779.74 $44,018.16 75% off $185.64 $48,212.45 $38,110.40 2026-05-22
329 MS_DRG Major Small And Large Bowel Pr 11 10 — — $33,617.29 $39,020.40 $37,547.92 2026-07-14
460 MS_DRG Spinal Fusion Except Cervical 1 1 — — $36,429.66 $36,429.66 $36,429.66 2026-07-14
C1762 HCPCS Connective Tissue, Human (includes Fascia Lata) 6 5 $53,396.71 $13,295.78 75% off $34,734.56 $34,734.56 $34,734.56 2026-07-14
C1889 HCPCS Implantable/insertable Device, Not Otherwise Classified 8 6 $52,446.26 $13,059.12 75% off $1,168.22 $34,116.29 $34,116.29 2026-07-14
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 11 $122,800.28 $30,577.27 75% off $30,642.88 $81,969.39 $31,562.17 2026-05-22
956 MS_DRG Limb Reattachment, Hip And Fem 11 10 — — $30,642.88 $81,969.39 $31,562.17 2026-07-14
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 16 12 $55,271.10 $13,762.50 75% off $30,119.84 $30,119.84 $30,119.84 2026-07-14
94 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 11 10 $166,470.96 $41,451.27 75% off $28,420.35 $39,244.01 $29,835.38 2026-05-22
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 11 10 — — $28,420.35 $39,244.01 $29,835.38 2026-07-14
A6196 HCPCS Alginate Or Other Fiber Gelling Dressing, Wound Cover, Sterile, Pad Size 16 Sq. … 6 5 $43,903.96 $10,932.09 75% off $28,559.53 $28,559.53 $28,559.53 2026-07-14
467 MS_DRG Revision Of Hip Or Knee Replac 11 10 — — $27,458.66 $30,111.04 $28,282.42 2026-07-14
467 OTHER Revision Of Hip Or Knee Replacement With Cc 12 11 $55,988.75 $13,941.20 75% off $27,458.66 $30,111.04 $28,282.42 2026-05-22
260 MS_DRG Cardiac Pacemaker Revision Exc 11 10 — — $27,306.35 $53,792.20 $28,125.54 2026-07-14
469 MS_DRG Major Hip And Knee Joint Repla 11 10 — — $26,204.06 $30,585.36 $26,990.18 2026-07-14
469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 12 11 $160,487.23 $39,961.32 75% off $26,204.06 $88,415.62 $26,990.18 2026-05-22
C9354 HCPCS Acellular Pericardial Tissue Matrix Of Non-human Origin (veritas), Per Square Ce… 6 5 $41,028.09 $10,215.99 75% off $26,688.78 $26,688.78 $26,688.78 2026-07-14
480 MS_DRG Hip And Femur Procedures Excep 11 10 — — $23,577.00 $36,456.91 $24,284.31 2026-07-14
464 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 11 $108,371.05 $26,984.39 75% off $23,637.92 $62,357.53 $24,261.10 2026-05-22
521 OTHER Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 11 10 $134,295.47 $33,439.57 75% off $23,366.16 $29,485.22 $24,067.14 2026-05-22
521 MS_DRG Hip Replacement With Principal 11 10 — — $23,366.16 $29,485.22 $24,067.14 2026-07-14
480 OTHER Hip And Femur Procedures Except Major Joint With Mcc 18 12 $105,687.66 $26,316.23 75% off $316.38 $56,929.83 $23,812.76 2026-05-22
462 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 12 11 $66,739.51 $16,618.14 75% off $20,466.48 $37,455.75 $23,532.06 2026-05-22
27447 CPT Arthroplasty, Knee, Condyle And Plateau; Medial And Lateral Compartments With Or… 18 14 $43,137.28 $10,741.18 75% off $3,602.00 $23,369.64 $23,369.64 2026-07-14
58571 CPT Laparoscopy, Surgical, With Total Hysterectomy, For Uterus 250 G Or Less; With R… 18 14 $42,836.64 $10,666.32 75% off $3,602.00 $23,219.32 $23,219.32 2026-07-14
22515 CPT Percutaneous Vertebral Augmentation, Including Cavity Creation (fracture Reducti… 5 4 $34,808.83 $8,667.40 75% off $22,643.15 $22,643.15 $22,643.15 2026-07-14
208 OTHER Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 11 $105,801.42 $26,344.55 75% off $19,452.76 $56,400.71 $22,052.99 2026-05-22
208 MS_DRG Respiratory System Diagnosis W 11 10 — — $19,452.76 $24,704.49 $21,945.41 2026-07-14
483 MS_DRG Major Joint Or Limb Reattachme 11 10 — — $20,428.05 $23,297.31 $21,040.90 2026-07-14
483 OTHER Major Joint Or Limb Reattachment Procedures Of Upper Extremities 12 11 $97,667.15 $24,319.12 75% off $20,428.05 $51,898.07 $21,040.90 2026-05-22
27445 CPT Arthroplasty, Knee, Hinge Prosthesis (eg, Walldius Type) 7 6 $38,728.94 $9,643.51 75% off $2,594.00 $20,661.47 $20,661.47 2026-05-22
56 OTHER Degenerative Nervous System Disorders With Mcc 12 11 $61,955.37 $15,426.89 75% off $10,291.05 $35,877.68 $20,576.38 2026-05-22
56 MS_DRG Degenerative Nervous System Disorders With Mcc 11 10 — — $10,291.05 $21,278.99 $20,476.00 2026-07-14
397 OTHER Appendix Procedures With Mcc 12 11 $100,787.16 $25,096.00 75% off $19,863.68 $53,458.08 $20,459.59 2026-05-22
C1763 HCPCS Connective Tissue, Non-human (includes Synthetic) 6 5 $31,107.88 $7,745.86 75% off $20,235.67 $20,235.67 $20,235.67 2026-07-14
982 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 12 11 $79,992.34 $19,918.09 75% off $17,302.86 $42,039.17 $20,117.86 2026-05-22
982 MS_DRG Extensive O.r. Procedures Unre 11 10 — — $17,302.86 $20,804.82 $20,019.72 2026-07-14
493 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 12 11 $71,718.88 $17,858.00 75% off $19,248.00 $38,923.94 $19,825.44 2026-05-22
493 MS_DRG Lower Extremity And Humerus Pr 11 10 — — $19,248.00 $24,533.42 $19,825.44 2026-07-14
95 OTHER Bacterial And Tuberculous Infections Of Nervous System With Cc 12 11 $119,821.77 $29,835.62 75% off $19,217.54 $69,519.65 $19,731.86 2026-05-22
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 11 10 — — $19,217.54 $21,937.54 $19,669.65 2026-07-14
330 MS_DRG Major Small And Large Bowel Pr 11 10 — — $18,948.98 $20,085.92 $19,327.95 2026-07-14
330 OTHER Major Small And Large Bowel Procedures With Cc 11 10 $166,614.27 $41,486.95 75% off $18,948.98 $20,085.92 $19,327.95 2026-05-22
L8699 HCPCS Prosthetic Implant, Not Otherwise Specified 6 5 $29,664.83 $7,386.54 75% off $19,296.97 $19,296.97 $19,296.97 2026-07-14
19307 CPT Mastectomy, Modified Radical, Including Axillary Lymph Nodes, With Or Without Pe… 16 12 $35,594.88 $8,863.13 75% off $2,278.00 $18,936.44 $18,936.44 2026-05-22
29888 CPT Arthroscopically Aided Anterior Cruciate Ligament Repair/augmentation Or Reconst… 18 14 $34,907.63 $8,692.00 75% off $2,278.00 $18,592.81 $18,592.81 2026-07-14
23585 CPT Open Treatment Of Scapular Fracture (body, Glenoid Or Acromion) Includes Interna… 18 14 $34,865.53 $8,681.52 75% off $1,845.00 $18,355.26 $18,355.26 2026-07-14
22513 CPT Percutaneous Vertebral Augmentation, Including Cavity Creation (fracture Reducti… 17 13 $34,808.83 $8,667.40 75% off $1,845.00 $18,326.92 $18,326.92 2026-07-14
817 OTHER Other Antepartum Diagnoses With O.r. Procedures With Mcc 12 11 $35,749.59 $8,901.65 75% off $12,156.04 $24,367.61 $17,961.71 2026-05-22
29871 CPT Arthroscopy, Knee, Surgical; For Infection, Lavage And Drainage 18 14 $33,948.82 $8,453.26 75% off $1,845.00 $17,896.91 $17,896.91 2026-07-14
817 MS_DRG Other Antepartum Diagnoses Wit 11 10 — — $12,156.04 $24,367.61 $17,874.08 2026-07-14
314 OTHER Other Circulatory System Diagnoses With Mcc 12 11 $55,434.88 $13,803.29 75% off $13,411.48 $29,117.44 $17,609.15 2026-05-22
314 MS_DRG Other Circulatory System Diagn 11 10 — — $13,411.48 $18,299.71 $17,609.15 2026-07-14
522 MS_DRG Hip Replacement With Principal 11 10 — — $16,899.92 $21,070.09 $17,406.92 2026-07-14
522 OTHER Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 12 11 $54,137.01 $13,480.12 75% off $16,899.92 $29,111.51 $17,406.92 2026-05-22
481 MS_DRG Hip And Femur Procedures Excep 11 10 — — $16,633.77 $24,113.12 $17,132.78 2026-07-14
592 MS_DRG Skin Ulcers With Mcc 11 10 — — $10,206.35 $19,658.60 $16,814.34 2026-07-14
481 OTHER Hip And Femur Procedures Except Major Joint With Cc 18 12 $62,034.97 $15,446.71 75% off $194.87 $35,103.49 $16,800.10 2026-05-22
908 MS_DRG Other O.r. Procedures For Inju 11 10 — — $16,170.40 $20,276.99 $16,655.52 2026-07-14
908 OTHER Other O.r. Procedures For Injuries With Cc 12 11 $32,151.92 $8,005.83 75% off $16,170.40 $20,276.99 $16,655.52 2026-05-22
J2993 HCPCS Injection, Reteplase, 18.1 Mg 16 12 $30,524.50 $7,600.60 75% off $16,650.82 $16,650.82 $16,650.82 2026-07-14
854 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Cc 12 11 $53,571.52 $13,339.31 75% off $13,358.38 $38,219.91 $16,418.53 2026-05-22
854 MS_DRG Infectious And Parasitic Disea 11 10 — — $13,358.38 $38,219.91 $16,338.44 2026-07-14
64 OTHER Intracranial Hemorrhage Or Cerebral Infarction With Mcc 11 10 $45,427.40 $11,311.42 75% off $15,022.70 $18,491.57 $16,265.67 2026-05-22
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 11 10 — — $15,022.70 $18,491.57 $16,265.67 2026-07-14
100 MS_DRG Seizures With Mcc 11 10 — — $9,342.02 $16,870.40 $16,233.78 2026-07-14
100 OTHER Seizures With Mcc 12 11 $34,111.93 $8,493.87 75% off $9,342.02 $18,455.97 $16,233.78 2026-05-22
488 MS_DRG Knee Procedures Without Princi 11 10 — — $15,755.94 $19,719.75 $16,228.62 2026-07-14
488 OTHER Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 12 11 $120,564.30 $30,020.51 75% off $15,755.94 $68,160.12 $16,228.62 2026-05-22
511 OTHER Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 12 11 $56,230.42 $14,001.37 75% off $11,126.50 $30,158.21 $16,115.33 2026-05-22
432 OTHER Cirrhosis And Alcoholic Hepatitis With Mcc 12 11 $68,884.35 $17,152.20 75% off $10,509.54 $37,242.18 $16,098.07 2026-05-22
871 MS_DRG Septicemia Or Severe Sepsis Wi 11 10 — — $13,089.04 $16,673.26 $16,044.07 2026-07-14
871 OTHER Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 12 11 $59,537.64 $14,824.87 75% off $13,089.04 $31,868.82 $16,044.07 2026-05-22
511 MS_DRG Shoulder, Elbow Or Forearm Pro 11 10 — — $11,126.50 $19,618.98 $16,036.71 2026-07-14
432 MS_DRG Cirrhosis And Alcoholic Hepati 11 10 — — $10,509.54 $17,061.86 $16,019.54 2026-07-14
623 MS_DRG Skin Grafts And Wound Debridem 11 10 — — $15,334.27 $16,385.60 $15,640.95 2026-07-14
470 MS_DRG Major Hip And Knee Joint Repla 11 10 — — $15,115.41 $25,735.32 $15,568.88 2026-07-14
470 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 11 10 $62,941.55 $15,672.45 75% off $15,115.41 $25,735.32 $15,568.88 2026-05-22
494 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 12 11 $57,315.68 $14,271.60 75% off $13,669.42 $30,700.84 $15,492.47 2026-05-22
441 OTHER Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 11 10 $52,362.64 $13,038.30 75% off $10,585.58 $16,063.98 $15,457.78 2026-05-22
441 MS_DRG Disorders Of Liver Except Mali 11 10 — — $10,585.58 $16,063.98 $15,457.78 2026-07-14
205 OTHER Other Respiratory System Diagnoses With Mcc 12 11 $45,503.75 $11,330.43 75% off $9,382.45 $24,851.88 $15,436.52 2026-05-22
205 MS_DRG Other Respiratory System Diagn 11 10 — — $9,382.45 $16,041.88 $15,436.52 2026-07-14
494 MS_DRG Lower Extremity And Humerus Pr 11 10 — — $13,669.42 $17,220.33 $15,416.90 2026-07-14
196 OTHER Interstitial Lung Disease With Mcc 12 11 $168,668.08 $41,998.35 75% off $12,928.30 $89,934.04 $15,406.27 2026-05-22
196 MS_DRG Interstitial Lung Disease With 11 10 — — $12,928.30 $16,010.44 $15,406.27 2026-07-14
542 MS_DRG Pathological Fractures And Mus 11 10 — — $14,951.87 $24,161.35 $15,400.43 2026-07-14
22512 CPT Percutaneous Vertebroplasty (bone Biopsy Included When Performed), 1 Vertebral B… 5 4 $23,652.78 $5,889.54 75% off $15,386.14 $15,386.14 $15,386.14 2026-05-22
47563 CPT Laparoscopy, Surgical; Cholecystectomy With Cholangiography 18 14 $26,554.44 $6,612.05 75% off $4,186.00 $15,370.22 $15,370.22 2026-07-14
19303 CPT Mastectomy, Simple, Complete 18 14 $28,385.33 $7,067.95 75% off $2,278.00 $15,331.67 $15,331.67 2026-07-14
559 MS_DRG Aftercare, Musculoskeletal Sys 11 10 — — $14,881.33 $22,611.05 $15,327.77 2026-07-14
559 OTHER Aftercare, Musculoskeletal System And Connective Tissue With Mcc 12 11 $127,070.75 $31,640.62 75% off $14,881.33 $69,835.37 $15,327.77 2026-05-22
49520 CPT Repair Recurrent Inguinal Hernia, Any Age; Reducible 18 14 $27,064.72 $6,739.12 75% off $3,196.00 $15,130.36 $15,130.36 2026-07-14
783 MS_DRG Cesarean Section With Steriliz 13 10 — — $10,231.00 $16,800.44 $15,062.83 2026-07-14
862 OTHER Postoperative And Post-traumatic Infections With Mcc 11 10 $68,986.47 $17,177.63 75% off $11,380.03 $15,624.65 $15,035.03 2026-05-22
25448 CPT Arthroplasty, Intercarpal Or Carpometacarpal Joints; Suspension, Including Trans… 16 12 $26,997.09 $6,722.28 75% off $15,029.84 $15,029.84 $15,029.84 2026-07-14
91 OTHER Other Disorders Of Nervous System With Mcc 12 11 $51,912.24 $12,926.15 75% off $14,604.01 $30,856.12 $14,978.91 2026-05-22
167 MS_DRG Other Respiratory System O.r. 11 10 — — $14,648.04 $18,717.74 $14,941.00 2026-07-14
742 OTHER Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 11 10 $86,651.93 $21,576.33 75% off $8,726.02 $15,564.10 $14,936.91 2026-05-22
783 OTHER Cesarean Section With Sterilization With Mcc 14 11 $23,557.02 $5,865.70 75% off $10,231.00 $16,800.44 $14,915.16 2026-05-22
91 MS_DRG Other Disorders Of Nervous System With Mcc 11 10 — — $14,604.01 $17,451.15 $14,905.84 2026-07-14
377 OTHER Gastrointestinal Hemorrhage With Mcc 11 10 $45,009.36 $11,207.33 75% off $10,941.70 $15,450.45 $14,867.40 2026-05-22
377 MS_DRG Gastrointestinal Hemorrhage Wi 11 10 — — $10,941.70 $15,450.45 $14,867.40 2026-07-14
10180 CPT Incision And Drainage, Complex, Postoperative Wound Infection 18 14 $27,896.03 $6,946.11 75% off $1,613.00 $14,754.51 $14,754.51 2026-07-14
62 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 11 10 $424,077.26 $105,595.24 75% off $14,276.87 $20,102.78 $14,705.18 2026-05-22
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 16 12 $27,630.70 $6,880.04 75% off $14,693.25 $14,693.25 $14,693.25 2026-07-14
167 OTHER Other Respiratory System O.r. Procedures With Cc 17 12 $63,523.61 $15,817.38 75% off $1,224.10 $18,717.74 $14,648.04 2026-05-22
26615 CPT Open Treatment Of Metacarpal Fracture, Single, Includes Internal Fixation, When … 18 14 $26,989.52 $6,720.39 75% off $2,278.00 $14,633.76 $14,633.76 2026-07-14
501 MS_DRG Soft Tissue Procedures With Cc 11 10 — — $13,455.75 $15,165.77 $14,593.47 2026-07-14
580 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 12 11 $63,313.43 $15,765.04 75% off $10,655.84 $35,742.71 $14,568.87 2026-05-22
896 MS_DRG Alcohol, Drug Abuse Or Depende 11 10 — — $9,486.40 $15,132.63 $14,561.58 2026-07-14
896 OTHER Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 11 10 $58,387.14 $14,538.40 75% off $9,486.40 $15,132.63 $14,561.58 2026-05-22
199 MS_DRG Pneumothorax With Mcc 11 10 — — $7,201.98 $15,000.92 $14,434.84 2026-07-14
199 OTHER Pneumothorax With Mcc 11 10 $77,811.26 $19,375.00 75% off $7,201.98 $15,000.92 $14,434.84 2026-05-22
180 OTHER Respiratory Neoplasms With Mcc 12 11 $44,650.82 $11,118.05 75% off $14,011.52 $24,425.41 $14,431.86 2026-05-22
180 MS_DRG Respiratory Neoplasms With Mcc 11 10 — — $14,011.52 $20,225.32 $14,431.86 2026-07-14
505 OTHER Foot Procedures Without Cc/mcc 11 10 $90,032.40 $22,418.07 75% off $8,831.90 $14,913.39 $14,350.62 2026-05-22
49615 CPT Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral, Umb… 17 13 $26,325.83 $6,555.13 75% off $2,278.00 $14,301.92 $14,301.92 2026-07-14
371 MS_DRG Major Gastrointestinal Disorde 11 10 — — $13,736.47 $14,853.91 $14,293.38 2026-07-14
371 OTHER Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 12 11 $51,461.97 $12,814.03 75% off $13,736.47 $28,530.99 $14,293.38 2026-05-22
70 OTHER Nonspecific Cerebrovascular Disorders With Mcc 12 11 $113,549.69 $28,273.87 75% off $9,025.36 $61,287.52 $14,287.85 2026-05-22
70 MS_DRG Other Cerebrovascular Disorders With Mcc 11 10 — — $9,025.36 $18,872.26 $14,218.15 2026-07-14
29848 CPT Endoscopy, Wrist, Surgical, With Release Of Transverse Carpal Ligament 18 14 $26,602.56 $6,624.04 75% off $3,196.00 $14,056.59 $14,056.59 2026-07-14
988 MS_DRG Non-extensive O.r. Procedures 11 10 — — $13,129.46 $22,646.36 $14,031.71 2026-07-14
988 OTHER Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 11 10 $48,002.68 $11,952.67 75% off $13,129.46 $22,646.36 $14,031.71 2026-05-22
551 OTHER Medical Back Problems With Mcc 12 11 $101,466.04 $25,265.04 75% off $9,878.82 $53,533.02 $14,021.62 2026-05-22
551 MS_DRG Medical Back Problems With Mcc 11 10 — — $9,878.82 $14,930.30 $13,953.22 2026-07-14
922 OTHER Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 12 11 $45,053.11 $11,218.22 75% off $8,154.30 $23,926.56 $13,881.93 2026-05-22
922 MS_DRG Other Injury, Poisoning And To 11 10 — — $8,154.30 $14,845.80 $13,814.21 2026-07-14
24342 CPT Reinsertion Of Ruptured Biceps Or Triceps Tendon, Distal, With Or Without Tendon… 18 14 $25,712.22 $6,402.34 75% off $1,845.00 $13,778.61 $13,778.61 2026-07-14
698 MS_DRG Other Kidney And Urinary Tract 11 10 — — $10,694.34 $14,283.72 $13,744.70 2026-07-14
698 OTHER Other Kidney And Urinary Tract Diagnoses With Mcc 12 11 $81,822.34 $20,373.76 75% off $10,694.34 $43,011.17 $13,744.70 2026-05-22
47562 CPT Laparoscopy, Surgical; Cholecystectomy 18 14 $23,154.99 $5,765.59 75% off $4,186.00 $13,670.50 $13,670.50 2026-07-14
884 MS_DRG Organic Disturbances And Intel 11 10 — — $6,612.38 $14,192.79 $13,657.21 2026-07-14
884 OTHER Organic Disturbances And Intellectual Disability 12 11 $64,003.33 $15,936.83 75% off $6,612.38 $33,809.17 $13,657.21 2026-05-22
368 MS_DRG Major Esophageal Disorders Wit 11 10 — — $8,797.92 $14,191.09 $13,655.57 2026-07-14
983 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 11 10 $178,351.30 $44,409.47 75% off $10,572.10 $14,175.80 $13,640.85 2026-05-22
983 MS_DRG Extensive O.r. Procedures Unre 11 10 — — $10,572.10 $14,175.80 $13,640.85 2026-07-14
438 OTHER Disorders Of Pancreas Except Malignancy With Mcc 12 11 $24,406.52 $6,077.22 75% off $12,339.25 $14,137.56 $13,604.06 2026-05-22
438 MS_DRG Disorders Of Pancreas Except M 11 10 — — $12,339.25 $14,137.56 $13,604.06 2026-07-14
393 MS_DRG Other Digestive System Diagnos 11 10 — — $12,037.18 $14,072.12 $13,541.10 2026-07-14
393 OTHER Other Digestive System Diagnoses With Mcc 12 11 $74,393.99 $18,524.10 75% off $12,037.18 $39,997.00 $13,541.10 2026-05-22
25447 CPT Arthroplasty, Intercarpal Or Carpometacarpal Joints; Interposition (eg, Tendon) 18 14 $24,431.66 $6,083.48 75% off $2,594.00 $13,512.83 $13,512.83 2026-07-14
280 MS_DRG Acute Myocardial Infarction, D 11 10 — — $13,120.66 $18,890.02 $13,421.71 2026-07-14
280 OTHER Acute Myocardial Infarction, Discharged Alive With Mcc 11 10 $58,825.06 $14,647.44 75% off $13,120.66 $18,890.02 $13,421.71 2026-05-22
917 OTHER Poisoning And Toxic Effects Of Drugs With Mcc 11 10 $42,505.32 $10,583.82 75% off $9,809.80 $13,933.61 $13,407.81 2026-05-22
917 MS_DRG Poisoning And Toxic Effects Of 11 10 — — $9,809.80 $13,933.61 $13,407.81 2026-07-14
36821 CPT Arteriovenous Anastomosis, Open; Direct, Any Site (eg, Cimino Type) (separate Pr… 18 14 $24,896.01 $6,199.11 75% off $1,845.00 $13,370.50 $13,370.50 2026-07-14
24363 CPT Arthroplasty, Elbow; With Distal Humerus And Proximal Ulnar Prosthetic Replaceme… 18 14 $23,126.32 $5,758.45 75% off $3,602.00 $13,364.16 $13,364.16 2026-07-14
154 OTHER Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 11 10 $75,634.67 $18,833.03 75% off $10,597.12 $13,819.74 $13,298.24 2026-05-22
786 OTHER Cesarean Section Without Sterilization With Mcc 14 11 $31,714.97 $7,897.03 75% off $10,231.00 $17,900.49 $13,277.97 2026-05-22
177 MS_DRG Respiratory Infections And Inf 11 10 — — $10,971.78 $15,292.20 $13,218.10 2026-07-14
177 OTHER Respiratory Infections And Inflammations With Mcc 11 10 $84,777.20 $21,109.52 75% off $10,971.78 $15,292.20 $13,218.10 2026-05-22
786 MS_DRG Cesarean Section Without Steri 13 10 — — $10,231.00 $14,964.95 $13,213.20 2026-07-14
512 OTHER Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 11 10 $42,060.36 $10,473.03 75% off $9,888.72 $13,943.18 $13,146.96 2026-05-22
482 OTHER Hip And Femur Procedures Except Major Joint Without Cc/mcc 12 11 $76,622.48 $19,079.00 75% off $12,717.63 $40,354.24 $13,099.16 2026-05-22
482 MS_DRG Hip And Femur Procedures Excep 11 10 — — $12,717.63 $17,794.70 $13,099.16 2026-07-14
64708 CPT Neuroplasty, Major Peripheral Nerve, Arm Or Leg, Open; Other Than Specified 18 14 $24,546.20 $6,112.00 75% off $1,613.00 $13,079.60 $13,079.60 2026-07-14
564 MS_DRG Other Musculoskeletal System A 11 10 — — $12,579.74 $18,679.24 $12,957.14 2026-07-14
564 OTHER Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 12 11 $66,620.70 $16,588.55 75% off $12,579.74 $36,110.35 $12,957.14 2026-05-22
26540 CPT Repair Of Collateral Ligament, Metacarpophalangeal Or Interphalangeal Joint 18 14 $23,632.03 $5,884.38 75% off $2,260.00 $12,946.01 $12,946.01 2026-07-14
186 MS_DRG Pleural Effusion With Mcc 11 10 — — $10,225.92 $13,426.30 $12,919.64 2026-07-14
186 OTHER Pleural Effusion With Mcc 11 10 $62,438.05 $15,547.07 75% off $10,225.92 $13,426.30 $12,919.64 2026-05-22
289 MS_DRG Acute And Subacute Endocarditi 11 10 — — $6,632.68 $13,398.26 $12,892.66 2026-07-14
24340 CPT Tenodesis Of Biceps Tendon At Elbow (separate Procedure) 16 12 $23,714.75 $5,904.97 75% off $1,845.00 $12,779.87 $12,779.87 2026-05-22
73 OTHER Cranial And Peripheral Nerve Disorders With Mcc 12 11 $79,163.44 $19,711.70 75% off $12,390.55 $43,081.72 $12,722.08 2026-05-22
23430 CPT Tenodesis Of Long Tendon Of Biceps 18 14 $23,155.99 $5,765.84 75% off $2,278.00 $12,716.99 $12,716.99 2026-07-14
77 OTHER Hypertensive Encephalopathy With Mcc 12 11 $108,715.09 $27,070.06 75% off $12,018.74 $59,257.54 $12,706.06 2026-05-22
24006 CPT Arthrotomy Of The Elbow, With Capsular Excision For Capsular Release (separate P… 18 14 $23,126.32 $5,758.45 75% off $2,278.00 $12,702.16 $12,702.16 2026-07-14
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 11 10 — — $12,390.55 $13,133.98 $12,681.90 2026-07-14
813 MS_DRG Coagulation Disorders 11 10 — — $8,128.31 $13,154.38 $12,657.98 2026-07-14
49322 CPT Laparoscopy, Surgical; With Aspiration Of Cavity Or Cyst (eg, Ovarian Cyst) (sin… 16 12 $23,010.98 $5,729.73 75% off $2,278.00 $12,644.49 $12,644.49 2026-05-22
24545 CPT Open Treatment Of Humeral Supracondylar Or Transcondylar Fracture, Includes Inte… 18 14 $22,853.19 $5,690.44 75% off $2,278.00 $12,565.59 $12,565.59 2026-07-14
813 OTHER Coagulation Disorders 12 11 $14,205.97 $3,537.29 75% off $7,802.98 $13,154.38 $12,533.89 2026-05-22
23680 CPT Open Treatment Of Shoulder Dislocation, With Surgical Or Anatomical Neck Fractur… 18 14 $23,155.99 $5,765.84 75% off $1,845.00 $12,500.49 $12,500.49 2026-07-14
54 OTHER Nervous System Neoplasms With Mcc 12 11 $38,361.08 $9,551.91 75% off $12,017.78 $24,080.54 $12,378.31 2026-05-22
306 MS_DRG Cardiac Congenital And Valvula 11 10 — — $12,004.15 $33,394.90 $12,364.27 2026-07-14
S2900 HCPCS Surgical Techniques Requiring Use Of Robotic Surgical System (list Separately In… 9 8 $18,993.69 $4,729.43 75% off $3,818.21 $21,208.50 $12,345.90 2026-07-14
682 OTHER Renal Failure With Mcc 12 11 $22,852.20 $5,690.20 75% off $11,370.55 $13,227.64 $12,341.23 2026-05-22
517 MS_DRG Other Musculoskeletal System A 11 10 — — $11,966.47 $15,456.79 $12,325.46 2026-07-14
517 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 11 10 $57,164.44 $14,233.95 75% off $11,966.47 $15,456.79 $12,325.46 2026-05-22
682 MS_DRG Renal Failure With Mcc 11 10 — — $11,370.55 $13,227.64 $12,281.02 2026-07-14
604 OTHER Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 12 11 $44,806.27 $11,156.76 75% off $11,910.35 $23,803.13 $12,267.66 2026-05-22
388 MS_DRG Gastrointestinal Obstruction W 11 10 — — $10,777.13 $13,505.80 $12,019.36 2026-07-14
388 OTHER Gastrointestinal Obstruction With Mcc 11 10 $48,533.41 $12,084.82 75% off $10,777.13 $13,505.80 $12,019.36 2026-05-22
602 MS_DRG Cellulitis With Mcc 11 10 — — $8,687.52 $12,484.76 $12,013.63 2026-07-14
602 OTHER Cellulitis With Mcc 12 11 $46,242.37 $11,514.35 75% off $8,687.52 $24,521.19 $12,013.63 2026-05-22
637 MS_DRG Diabetes With Mcc 11 10 — — $8,363.16 $12,375.14 $11,908.15 2026-07-14
865 OTHER Viral Illness With Mcc 12 11 $71,557.18 $17,817.74 75% off $6,816.42 $37,878.59 $11,860.72 2026-05-22
865 MS_DRG Viral Illness With Mcc 11 10 — — $6,816.42 $12,325.86 $11,860.72 2026-07-14
25515 CPT Open Treatment Of Radial Shaft Fracture, Includes Internal Fixation, When Perfor… 18 14 $21,698.50 $5,402.93 75% off $1,845.00 $11,771.75 $11,771.75 2026-07-14
44970 CPT Laparoscopy, Surgical, Appendectomy 18 14 $20,875.55 $5,198.01 75% off $2,594.00 $11,734.77 $11,734.77 2026-07-14
49613 CPT Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral, Umb… 17 13 $21,125.79 $5,260.32 75% off $2,278.00 $11,701.90 $11,701.90 2026-07-14
23470 CPT Arthroplasty, Glenohumeral Joint; Hemiarthroplasty 18 14 $20,791.36 $5,177.05 75% off $2,594.00 $11,692.68 $11,692.68 2026-07-14
25825 CPT Arthrodesis, Wrist; With Autograft (includes Obtaining Graft) 18 14 $20,783.03 $5,174.97 75% off $2,594.00 $11,688.51 $11,688.51 2026-07-14
49593 CPT Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral, Umb… 17 13 $21,087.11 $5,250.69 75% off $2,278.00 $11,682.56 $11,682.56 2026-07-14
26735 CPT Open Treatment Of Phalangeal Shaft Fracture, Proximal Or Middle Phalanx, Finger … 18 14 $20,808.48 $5,181.31 75% off $2,278.00 $11,543.24 $11,543.24 2026-07-14
24665 CPT Open Treatment Of Radial Head Or Neck Fracture, Includes Internal Fixation Or Ra… 18 14 $20,795.08 $5,177.97 75% off $2,278.00 $11,536.54 $11,536.54 2026-07-14
885 MS_DRG Psychoses 11 10 — — $4,581.98 $11,978.30 $11,526.29 2026-07-14
175 MS_DRG Pulmonary Embolism With Mcc Or 11 10 — — $9,248.37 $12,296.90 $11,522.20 2026-07-14
175 OTHER Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 11 10 $57,075.70 $14,211.85 75% off $9,248.37 $12,296.90 $11,522.20 2026-05-22
811 OTHER Red Blood Cell Disorders With Mcc 11 10 $63,688.90 $15,858.54 75% off $7,586.42 $11,955.36 $11,504.21 2026-05-22
811 MS_DRG Red Blood Cell Disorders With 11 10 — — $7,586.42 $11,955.36 $11,504.21 2026-07-14
25440 CPT Repair Of Nonunion, Scaphoid Carpal (navicular) Bone, With Or Without Radial Sty… 18 14 $20,709.85 $5,156.75 75% off $2,278.00 $11,493.92 $11,493.92 2026-07-14
29822 CPT Arthroscopy, Shoulder, Surgical; Debridement, Limited, 1 Or 2 Discrete Structure… 18 14 $20,948.99 $5,216.30 75% off $1,845.00 $11,397.00 $11,397.00 2026-07-14
25608 CPT Open Treatment Of Distal Radial Intra-articular Fracture Or Epiphyseal Separatio… 18 14 $20,135.22 $5,013.67 75% off $2,594.00 $11,364.61 $11,364.61 2026-07-14
416 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 11 10 $48,042.63 $11,962.61 75% off $10,984.43 $19,568.17 $11,313.96 2026-05-22
416 MS_DRG Cholecystectomy Except By Lapa 11 10 — — $10,984.43 $19,568.17 $11,313.96 2026-07-14
11771 CPT Excision Of Pilonidal Cyst Or Sinus; Extensive 18 14 $20,693.62 $5,152.71 75% off $1,845.00 $11,269.31 $11,269.31 2026-07-14
49594 CPT Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral, Umb… 17 13 $20,232.03 $5,037.78 75% off $2,278.00 $11,255.01 $11,255.01 2026-07-14
741 MS_DRG Uterine And Adnexa Procedures 11 10 — — $7,643.21 $14,341.09 $11,231.91 2026-07-14
741 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 11 10 $40,876.95 $10,178.36 75% off $7,643.21 $14,341.09 $11,231.91 2026-05-22
37607 CPT Ligation Or Banding Of Angioaccess Arteriovenous Fistula 18 14 $20,756.66 $5,168.41 75% off $1,613.00 $11,184.83 $11,184.83 2026-07-14
23485 CPT Osteotomy, Clavicle, With Or Without Internal Fixation; With Bone Graft For Nonu… 18 14 $18,733.97 $4,664.76 75% off $3,602.00 $11,167.99 $11,167.99 2026-07-14
23472 CPT Arthroplasty, Glenohumeral Joint; Total Shoulder (glenoid And Proximal Humeral R… 18 14 $19,691.81 $4,903.26 75% off $2,594.00 $11,142.90 $11,142.90 2026-07-14
36836 CPT Percutaneous Arteriovenous Fistula Creation, Upper Extremity, Single Access Of B… 17 13 $21,073.00 $5,247.18 75% off $1,202.00 $11,137.50 $11,137.50 2026-07-14
20902 CPT Bone Graft, Any Donor Area; Major Or Large 18 14 $19,911.16 $4,957.88 75% off $2,278.00 $11,094.58 $11,094.58 2026-07-14
28725 CPT Arthrodesis; Subtalar 18 14 $19,911.16 $4,957.88 75% off $2,278.00 $11,094.58 $11,094.58 2026-07-14
555 OTHER Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 12 11 $79,444.45 $19,781.67 75% off $9,645.21 $44,544.83 $11,065.11 2026-05-22
555 MS_DRG Signs And Symptoms Of Musculos 11 10 — — $9,645.21 $12,873.48 $11,011.13 2026-07-14
660 OTHER Kidney And Ureter Procedures For Non-neoplasm With Cc 12 11 $78,764.96 $19,612.48 75% off $10,555.79 $42,446.98 $11,010.88 2026-05-22
355 MS_DRG Hernia Procedures Except Ingui 11 10 — — $10,687.81 $12,290.39 $11,008.45 2026-07-14
535 MS_DRG Fractures Of Hip And Pelvis Wi 11 10 — — $10,661.36 $19,337.59 $10,981.20 2026-07-14
535 OTHER Fractures Of Hip And Pelvis With Mcc 12 11 $45,573.67 $11,347.84 75% off $10,661.36 $24,186.83 $10,981.20 2026-05-22
27134 CPT Revision Of Total Hip Arthroplasty; Both Components, With Or Without Autograft O… 9 8 $20,102.28 $5,005.47 75% off $1,845.00 $10,973.64 $10,973.64 2026-07-14
57 OTHER Degenerative Nervous System Disorders Without Mcc 12 11 $107,674.86 $26,811.04 75% off $7,677.86 $57,676.36 $10,964.86 2026-05-22
660 MS_DRG Kidney And Ureter Procedures F 11 10 — — $10,555.79 $12,833.98 $10,957.17 2026-07-14
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 11 10 — — $7,677.86 $13,916.48 $10,911.38 2026-07-14
640 MS_DRG Miscellaneous Disorders Of Nut 11 10 — — $7,060.90 $11,876.98 $10,859.04 2026-07-14
640 OTHER Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 11 10 $56,526.63 $14,075.13 75% off $7,060.90 $11,876.98 $10,859.04 2026-05-22
49591 CPT Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral, Umb… 17 13 $19,349.11 $4,817.93 75% off $2,278.00 $10,813.55 $10,813.55 2026-07-14
193 MS_DRG Simple Pneumonia And Pleurisy 11 10 — — $8,479.25 $11,197.37 $10,774.82 2026-07-14
193 OTHER Simple Pneumonia And Pleurisy With Mcc 12 11 $63,560.59 $15,826.59 75% off $8,479.25 $33,880.29 $10,774.82 2026-05-22
419 MS_DRG Laparoscopic Cholecystectomy W 11 10 — — $10,235.22 $13,473.79 $10,774.00 2026-07-14
20520 CPT Removal Of Foreign Body In Muscle Or Tendon Sheath; Simple 16 13 $19,977.37 $4,974.37 75% off $1,691.00 $10,753.35 $10,753.35 2026-07-14
291 MS_DRG Heart Failure And Shock With M 11 10 — — $9,293.16 $11,087.75 $10,669.34 2026-07-14
291 OTHER Heart Failure And Shock With Mcc 12 11 $50,719.68 $12,629.20 75% off $9,293.16 $26,759.84 $10,669.34 2026-05-22
23515 CPT Open Treatment Of Clavicular Fracture, Includes Internal Fixation, When Performe… 18 14 $19,458.58 $4,845.19 75% off $1,845.00 $10,651.79 $10,651.79 2026-07-14
540 OTHER Osteomyelitis With Cc 12 11 $30,990.00 $7,716.51 75% off $7,793.68 $17,595.00 $10,581.84 2026-05-22
947 OTHER Signs And Symptoms With Mcc 12 11 $73,403.02 $18,277.35 75% off $6,195.61 $39,799.32 $10,568.80 2026-05-22
419 OTHER Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 18 12 $73,868.07 $18,393.15 75% off $72.33 $38,977.04 $10,562.75 2026-05-22
49505 CPT Repair Initial Inguinal Hernia, Age 5 Years Or Older; Reducible 18 14 $18,767.54 $4,673.12 75% off $2,278.00 $10,522.77 $10,522.77 2026-07-14
947 MS_DRG Signs And Symptoms With Mcc 11 10 — — $6,195.61 $10,929.69 $10,517.24 2026-07-14
391 MS_DRG Esophagitis, Gastroenteritis A 11 10 — — $7,037.80 $10,915.24 $10,503.34 2026-07-14
391 OTHER Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 11 10 $58,463.34 $14,557.37 75% off $7,037.80 $10,915.24 $10,503.34 2026-05-22
27509 CPT Percutaneous Skeletal Fixation Of Femoral Fracture, Distal End, Medial Or Latera… 18 14 $19,113.07 $4,759.15 75% off $1,845.00 $10,479.03 $10,479.03 2026-07-14
11772 CPT Excision Of Pilonidal Cyst Or Sinus; Complicated 18 14 $19,070.52 $4,748.56 75% off $1,845.00 $10,457.76 $10,457.76 2026-07-14
637 OTHER Diabetes With Mcc 18 12 $64,888.84 $16,157.32 75% off $3.29 $12,375.14 $10,442.56 2026-05-22
49616 CPT Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral, Umb… 8 7 $18,590.26 $4,628.97 75% off $2,278.00 $10,434.13 $10,434.13 2026-07-14
23615 CPT Open Treatment Of Proximal Humeral (surgical Or Anatomical Neck) Fracture, Inclu… 18 14 $18,573.85 $4,624.89 75% off $2,278.00 $10,425.92 $10,425.92 2026-07-14
725 OTHER Benign Prostatic Hypertrophy With Mcc 12 11 $31,665.56 $7,884.72 75% off $9,662.54 $17,232.78 $10,374.88 2026-05-22
49329 CPT Unlisted Laparoscopy Procedure, Abdomen, Peritoneum And Omentum 17 13 $17,034.36 $4,241.56 75% off $3,647.00 $10,340.68 $10,340.68 2026-07-14
725 MS_DRG Benign Prostatic Hypertrophy W 11 10 — — $9,662.54 $12,070.77 $10,324.27 2026-07-14
642 OTHER Inborn And Other Disorders Of Metabolism 12 11 $85,607.32 $21,316.22 75% off $5,750.94 $45,679.13 $10,198.21 2026-05-22
189 OTHER Pulmonary Edema And Respiratory Failure 12 11 $78,580.02 $19,566.42 75% off $6,737.75 $41,390.01 $10,167.81 2026-05-22
20670 CPT Removal Of Implant; Superficial (eg, Buried Wire, Pin Or Rod) (separate Procedur… 18 14 $19,113.07 $4,759.15 75% off $1,202.00 $10,157.53 $10,157.53 2026-07-14
642 MS_DRG Inborn And Other Disorders Of 11 10 — — $5,750.94 $11,196.58 $10,148.46 2026-07-14
809 MS_DRG Major Hematological And Immuno 11 10 — — $8,504.65 $10,524.35 $10,127.20 2026-07-14
809 OTHER Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 11 10 $35,774.20 $8,907.78 75% off $8,504.65 $10,524.35 $10,127.20 2026-05-22
189 MS_DRG Pulmonary Edema And Respirator 11 10 — — $6,737.75 $12,849.38 $10,118.21 2026-07-14
375 OTHER Digestive Malignancy With Cc 12 11 $58,007.09 $14,443.77 75% off $9,850.07 $31,803.54 $10,096.32 2026-05-22
375 MS_DRG Digestive Malignancy With Cc 11 10 — — $9,850.07 $12,538.49 $10,047.07 2026-07-14
23552 CPT Open Treatment Of Acromioclavicular Dislocation, Acute Or Chronic; With Fascial … 18 14 $17,792.77 $4,430.40 75% off $2,278.00 $10,035.38 $10,035.38 2026-07-14
59 OTHER Multiple Sclerosis And Cerebellar Ataxia With Cc 11 10 $95,824.41 $23,860.28 75% off $7,502.69 $11,440.32 $10,005.36 2026-05-22
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 11 10 — — $7,502.69 $11,440.32 $10,005.36 2026-07-14
308 OTHER Cardiac Arrhythmia And Conduction Disorders With Mcc 12 11 $70,683.58 $17,600.21 75% off $8,260.49 $37,441.79 $9,908.97 2026-05-22
58661 CPT Laparoscopy, Surgical; With Removal Of Adnexal Structures (partial Or Total Ooph… 18 14 $17,450.49 $4,345.17 75% off $2,278.00 $9,864.25 $9,864.25 2026-07-14
308 MS_DRG Cardiac Arrhythmia And Conduct 11 10 — — $8,260.49 $13,371.05 $9,860.63 2026-07-14
549 MS_DRG Septic Arthritis With Cc 11 10 — — $8,042.65 $10,240.53 $9,854.09 2026-07-14
549 OTHER Septic Arthritis With Cc 12 11 $127,271.63 $31,690.64 75% off $8,042.65 $67,657.14 $9,854.09 2026-05-22
743 OTHER Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 11 10 $57,643.36 $14,353.20 75% off $6,824.12 $11,366.25 $9,801.76 2026-05-22
743 MS_DRG Uterine And Adnexa Procedures 11 10 — — $6,824.12 $11,366.25 $9,801.76 2026-07-14
64473 CPT Lower Extremity Fascial Plane Block, Unilateral; By Injection(s), Including Imag… 6 5 $15,052.27 $3,748.01 75% off $9,791.50 $9,791.50 $9,791.50 2026-07-14
21554 CPT Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subfascial (eg, Intramu… 18 14 $17,840.84 $4,442.37 75% off $1,613.00 $9,726.92 $9,726.92 2026-07-14
J0841 HCPCS Injection, Crotalidae Immune F(ab')2 (equine), 120 Mg 16 12 $18,231.80 $4,539.72 75% off $9,637.67 $9,637.67 $9,637.67 2026-07-14
C1883 HCPCS Adapter/extension, Pacing Lead Or Neurostimulator Lead (implantable) 6 5 $14,796.30 $3,684.28 75% off $9,625.00 $9,625.00 $9,625.00 2026-07-14
304 MS_DRG Hypertension With Mcc 11 10 — — $9,160.11 $9,983.05 $9,606.33 2026-07-14
304 OTHER Hypertension With Mcc 11 10 $35,510.85 $8,842.20 75% off $9,160.11 $9,983.05 $9,606.33 2026-05-22
38530 CPT Biopsy Or Excision Of Lymph Node(s); Open, Internal Mammary Node(s) 18 14 $17,583.33 $4,378.25 75% off $1,613.00 $9,598.16 $9,598.16 2026-07-14
689 OTHER Kidney And Urinary Tract Infections With Mcc 12 11 $43,024.26 $10,713.04 75% off $6,889.58 $24,956.92 $9,586.38 2026-05-22
689 MS_DRG Kidney And Urinary Tract Infec 11 10 — — $6,889.58 $9,944.81 $9,569.53 2026-07-14
46260 CPT Hemorrhoidectomy, Internal And External, 2 Or More Columns/groups 18 14 $17,237.67 $4,292.18 75% off $1,845.00 $9,541.33 $9,541.33 2026-07-14
27524 CPT Open Treatment Of Patellar Fracture, With Internal Fixation And/or Partial Or Co… 18 14 $17,222.24 $4,288.34 75% off $1,845.00 $9,533.62 $9,533.62 2026-07-14
64722 CPT Decompression; Unspecified Nerve(s) (specify) 18 14 $17,855.01 $4,445.90 75% off $1,202.00 $9,528.50 $9,528.50 2026-07-14
36475 CPT Endovenous Ablation Therapy Of Incompetent Vein, Extremity, Inclusive Of All Ima… 18 14 $17,397.76 $4,332.04 75% off $1,613.00 $9,505.38 $9,505.38 2026-07-14
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