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

FRANKLIN WOODS COMMUNITY HOSPITAL

Johnson City, TN · CCN 440184 · Rates published

3,719 distinct procedures filed
19 distinct payers
271,065 rate rows
2026-03-23 last MRF observed
Data quality

266,868 of 271,065 rate rows are consumer-grade (98.5%)

4,197 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 2,691
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,146
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 248
per-diem day rate — not a per-procedure price 75
exceeds 10× this hospital's gross charge — excluded from medians 25
placeholder amount (≤ $0.02) — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.balladhealth.org/sites/default/files/2026-10/620476282_franklin-woods-community-hospital_standardcharges.csv
Found on page https://www.balladhealth.org/patients-visitors/price-estimator-standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-20

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
C1825
HCPCS 		System Barostim Neo2 8 $52,269.84 $326,686.50 $130,674.60 nat. median
$53,125
outlier · 2.5×
333
MS_DRG 		Rectal Resection With Cc 1 $101,886.11 $101,886.11 $101,886.11 nat. median
$21,886
outlier · 4.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $61,237.48 $163,202.40 $84,320.12 nat. median
$126,722
0.7× median
C2624
HCPCS 		Delivery Sys & Sensor Cardiomems Pa 8 $31,527.84 $197,049.00 $78,819.60 nat. median
$32,662
outlier · 2.4×
C1822
HCPCS 		Kit Nevro Stim Hf10c 8 $27,379.44 $171,121.50 $68,448.60 nat. median
$31,540
outlier · 2.2×
C1875
HCPCS 		Stent Thoracic 40 X 36 X 154 8 $26,466.79 $165,417.45 $66,166.98 nat. median
$3,888
outlier · 17.0×
C1882
HCPCS 		Aicd, Other Than Sing/dual 8 $19,041.16 $174,449.87 $59,312.04 nat. median
$27,370
outlier · 2.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $43,556.12 $74,957.83 $59,256.98 nat. median
$62,721
0.9× median
C2622
HCPCS 		Prosthesis Malleable Penile Tactra 9.5 X 14-23cm 8 $23,222.74 $145,142.15 $58,056.86 nat. median
$10,597
outlier · 5.5×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 1 $52,773.11 $62,318.05 $57,545.58 nat. median
$35,721
1.6× median
653
MS_DRG 		Major Bladder Procedures With Mcc 2 $32,276.08 $81,683.77 $56,979.93 nat. median
$49,999
1.1× median
140
MS_DRG 		Major Head And Neck Procedures With Mcc 1 $56,582.54 $56,582.54 $56,582.54 nat. median
$38,387
1.5× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 1 $29,159.10 $77,305.79 $53,232.44 nat. median
$43,916
1.2× median
C1767
HCPCS 		Pulse Generator 8 $290.39 $189,011.48 $50,923.66 nat. median
$23,881
outlier · 2.1×
C1820
HCPCS 		Cap Code Ipg Iq Stimulator 8 $365.06 $191,863.50 $48,663.96 nat. median
$22,969
outlier · 2.1×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 4 $24,584.90 $91,841.68 $41,341.95 nat. median
$46,224
0.9× median
C1721
HCPCS 		Aicd, Dual Chamber 8 $12,984.43 $128,081.85 $40,239.48 nat. median
$22,368
1.8× median
33276
CPT 		Hc Insertion Phrenic Nerve Stimulator System 19 $14,303.00 $93,168.00 $39,991.94 nat. median
$43,332
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $39,698.63 $39,698.63 $39,698.63 nat. median
$59,384
0.7× median
C1722
HCPCS 		Aicd, Single Chamber 8 $11,361.37 $197,049.00 $38,645.88 nat. median
$20,902
1.8× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 2 $15,985.78 $60,559.83 $38,272.81 nat. median
$33,175
1.2× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 16 $15,373.23 $39,567.75 $37,319.83 nat. median
$22,587
1.7× median
666
MS_DRG 		Prostatectomy With Cc 16 $11,517.83 $36,690.94 $36,690.94 nat. median
$16,770
outlier · 2.2×
663
MS_DRG 		Minor Bladder Procedures With Cc 16 $10,119.33 $35,947.95 $35,947.95 nat. median
$14,956
outlier · 2.4×
743
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 16 $8,094.93 $35,886.92 $35,886.92 nat. median
$12,370
outlier · 2.9×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 16 $6,147.00 $35,823.75 $35,807.00 nat. median
$18,659
1.9× median
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 $35,795.82 $35,795.82 $35,795.82 nat. median
$33,188
1.1× median
C1772
HCPCS 		Infusion Pump, Programmable 8 $174.23 $126,567.68 $34,833.92 nat. median
$10,849
outlier · 3.2×
623
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 $12,470.88 $34,405.04 $34,405.04 nat. median
$17,691
1.9× median
504
MS_DRG 		Foot Procedures With Cc 16 $11,521.07 $34,348.89 $34,348.89 nat. median
$17,730
1.9× median
13
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 16 $17,002.67 $34,307.18 $34,307.18 nat. median
$26,422
1.3× median
585
MS_DRG 		Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 1 $34,181.44 $34,181.44 $34,181.44 nat. median
$18,696
1.8× median
411
MS_DRG 		Cholecystectomy With C.d.e. With Mcc 16 $33,956.14 $37,209.81 $33,956.14 nat. median
$29,357
1.2× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 $4,958.00 $33,882.48 $33,882.48 nat. median
$50,083
0.7× median
811
MS_DRG 		Red Blood Cell Disorders With Mcc 16 $9,360.97 $33,489.72 $33,489.72 nat. median
$13,626
outlier · 2.5×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 $19,963.65 $80,961.04 $33,120.15 nat. median
$45,474
0.7× median
352
MS_DRG 		Inguinal And Femoral Hernia Procedures Without Cc/mcc 16 $4,746.28 $32,980.62 $32,980.62 nat. median
$11,576
outlier · 2.8×
580
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 16 $11,611.49 $32,883.50 $32,883.50 nat. median
$16,866
1.9× median
917
MS_DRG 		Poisoning And Toxic Effects Of Drugs With Mcc 16 $8,635.96 $32,847.38 $32,847.38 nat. median
$14,584
outlier · 2.3×
862
MS_DRG 		Postoperative And Post-traumatic Infections With Mcc 16 $12,015.37 $32,762.96 $32,762.96 nat. median
$17,367
1.9× median
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 16 $4,098.00 $32,467.19 $32,467.19 nat. median
$15,915
outlier · 2.0×
397
MS_DRG 		Appendix Procedures With Mcc 2 $24,743.31 $40,146.74 $32,445.03 nat. median
$22,985
1.4× median
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 16 $14,677.58 $57,244.76 $32,427.67 nat. median
$21,232
1.5× median
713
MS_DRG 		Transurethral Prostatectomy With Cc/mcc 16 $9,618.00 $32,338.93 $32,338.93 nat. median
$14,670
outlier · 2.2×
181
MS_DRG 		Respiratory Neoplasms With Cc 16 $7,537.70 $32,236.97 $32,236.97 nat. median
$11,143
outlier · 2.9×
828
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 16 $32,173.83 $32,173.83 $32,173.83 nat. median
$16,546
1.9× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 16 $11,571.12 $70,959.98 $32,172.97 nat. median
$19,254
1.7× median
100
MS_DRG 		Seizures With Mcc 16 $17,344.62 $31,965.10 $31,965.10 nat. median
$18,371
1.7× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 16 $6,932.27 $31,903.92 $31,903.92 nat. median
$12,877
outlier · 2.5×
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 16 $2,049.00 $32,973.72 $31,727.52 nat. median
$16,459
1.9× median

Other procedures at this hospital

Browse this hospital's 3,719 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0238T CPT Hc Ptra Iliac Each Vessel 41 19 $27,977.00 $4,196.55 85% off $948.00 $36,284.33 $16,644.19 2026-03-23
0278 RC — 252 8 $44,024.90 $6,603.73 85% off $154.84 $200,055.00 $16,857.28 2026-03-23
0823T CPT Hc Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 41 19 $26,834.00 $4,025.10 85% off $1,279.00 $38,125.21 $17,488.63 2026-03-23
0825T CPT Hc Tcat Rmvl&rplcmt Perm 1chmbr Ldls Pm R Atrial 41 19 $26,834.00 $4,025.10 85% off $1,279.00 $38,125.21 $17,488.63 2026-03-23
100 MS_DRG Seizures With Mcc 31 16 — — $17,344.62 $31,965.10 $31,965.10 2026-03-23
101 MS_DRG Seizures Without Mcc 31 16 — — $9,356.73 $19,338.00 $19,338.00 2026-03-23
103 MS_DRG Headaches Without Mcc 31 16 — — $3,499.43 $16,575.20 $16,575.20 2026-03-23
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 2 — — $4,958.00 $33,882.48 $33,882.48 2026-03-23
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 2 2 — — $25,973.17 $26,379.02 $26,176.10 2026-03-23
123 MS_DRG Neurological Eye Disorders 31 16 — — $4,098.00 $19,015.55 $19,015.55 2026-03-23
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 31 16 — — $8,742.83 $18,377.00 $18,377.00 2026-03-23
125 MS_DRG Other Disorders Of The Eye Without Mcc 31 16 — — $5,797.69 $15,727.20 $15,727.20 2026-03-23
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 31 16 — — $17,002.67 $34,307.18 $34,307.18 2026-03-23
137 MS_DRG Mouth Procedures With Cc/mcc 31 16 — — $9,359.60 $24,601.50 $24,601.50 2026-03-23
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $56,582.54 $56,582.54 $56,582.54 2026-03-23
141 MS_DRG Major Head And Neck Procedures With Cc 31 16 — — $13,944.57 $30,666.91 $30,666.91 2026-03-23
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 3 3 — — $10,396.48 $28,749.26 $15,941.65 2026-03-23
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 31 16 — — $21,048.14 $27,948.76 $27,948.76 2026-03-23
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 4 3 — — $11,436.66 $31,281.44 $24,411.92 2026-03-23
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 31 16 — — $21,685.25 $29,868.01 $29,868.01 2026-03-23
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 31 16 — — $27,686.57 $27,686.57 $27,686.57 2026-03-23
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 31 16 — — $6,462.22 $21,416.94 $21,416.94 2026-03-23
157 MS_DRG Dental And Oral Diseases With Mcc 31 16 — — $12,144.43 $26,507.85 $20,133.50 2026-03-23
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 1 — — $52,773.11 $62,318.05 $57,545.58 2026-03-23
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 31 16 — — $5,497.92 $23,035.02 $23,035.02 2026-03-23
176 MS_DRG Pulmonary Embolism Without Mcc 31 16 — — $4,557.19 $15,884.34 $15,884.34 2026-03-23
178 MS_DRG Respiratory Infections And Inflammations With Cc 31 16 — — $6,811.09 $18,780.97 $18,780.97 2026-03-23
180 MS_DRG Respiratory Neoplasms With Mcc 31 16 — — $11,610.08 $25,338.26 $25,338.26 2026-03-23
181 MS_DRG Respiratory Neoplasms With Cc 31 16 — — $7,537.70 $32,236.97 $32,236.97 2026-03-23
186 MS_DRG Pleural Effusion With Mcc 31 16 — — $7,774.56 $24,136.26 $24,136.26 2026-03-23
187 MS_DRG Pleural Effusion With Cc 31 16 — — $6,884.24 $17,974.17 $17,974.17 2026-03-23
189 MS_DRG Pulmonary Edema And Respiratory Failure 31 16 — — $5,962.02 $24,648.67 $24,648.67 2026-03-23
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 31 16 — — $7,615.77 $24,374.60 $24,374.60 2026-03-23
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 31 16 — — $6,003.39 $20,581.49 $20,581.49 2026-03-23
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 31 16 — — $6,932.27 $31,903.92 $31,903.92 2026-03-23
194 APR_DRG Heart Failure 8 6 — — $2,616.90 $15,959.41 $15,959.41 2026-03-23
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 39 17 — — $2,616.90 $15,904.70 $15,904.70 2026-03-23
196 MS_DRG Interstitial Lung Disease With Mcc 31 16 — — $13,032.12 $24,525.00 $24,525.00 2026-03-23
199 MS_DRG Pneumothorax With Mcc 31 16 — — $28,891.00 $28,891.00 $28,891.00 2026-03-23
200 MS_DRG Pneumothorax With Cc 31 16 — — $13,236.00 $18,275.68 $18,275.68 2026-03-23
202 MS_DRG Bronchitis And Asthma With Cc/mcc 31 16 — — $4,365.18 $18,770.56 $18,770.56 2026-03-23
204 MS_DRG Respiratory Signs And Symptoms 31 16 — — $5,697.82 $18,188.25 $18,188.25 2026-03-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $39,698.63 $39,698.63 $39,698.63 2026-03-23
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 3 — — $2,049.00 $18,578.00 $17,248.88 2026-03-23
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 31 16 — — $21,603.04 $24,242.91 $24,242.91 2026-03-23
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 31 16 — — $3,564.00 $25,972.09 $25,972.09 2026-03-23
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 31 16 — — $7,581.28 $16,132.62 $16,132.62 2026-03-23
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 2 2 — — $14,318.14 $30,331.09 $22,324.61 2026-03-23
291 MS_DRG Heart Failure And Shock With Mcc 31 16 — — $7,083.14 $24,113.65 $24,113.65 2026-03-23
299 MS_DRG Peripheral Vascular Disorders With Mcc 31 16 — — $2,049.00 $21,195.30 $21,195.30 2026-03-23
300 MS_DRG Peripheral Vascular Disorders With Cc 31 16 — — $7,336.59 $28,450.02 $28,450.02 2026-03-23
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 31 16 — — $22,198.37 $22,198.37 $22,198.37 2026-03-23
304 MS_DRG Hypertension With Mcc 31 16 — — $7,934.19 $18,804.62 $18,804.62 2026-03-23
305 MS_DRG Hypertension Without Mcc 31 16 — — $3,220.90 $17,158.60 $17,158.60 2026-03-23
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 31 16 — — $4,098.00 $28,678.47 $28,678.47 2026-03-23
314 MS_DRG Other Circulatory System Diagnoses With Mcc 32 16 — — $4,368.00 $24,900.06 $20,173.78 2026-03-23
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 6 4 — — $24,584.90 $91,841.68 $41,341.95 2026-03-23
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 7 4 — — $15,638.59 $58,469.71 $24,247.01 2026-03-23
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 5 4 — — $10,519.85 $26,045.53 $18,285.41 2026-03-23
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 7 5 — — $28,644.87 $79,067.93 $30,686.47 2026-03-23
330 MS_DRG Major Small And Large Bowel Procedures With Cc 10 5 — — $15,269.95 $71,330.50 $23,603.91 2026-03-23
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 12 7 — — $10,861.53 $54,283.58 $17,716.06 2026-03-23
33221 CPT Hc Insert Pulse Gen Mult Leads 41 19 $26,804.00 $4,020.60 85% off $948.00 $38,125.21 $17,488.63 2026-03-23
33229 CPT Hc Remv & Replc Pm Gen Mult Lead 41 19 $26,834.00 $4,025.10 85% off $948.00 $38,125.21 $17,488.63 2026-03-23
33231 CPT Hc Insrt Pulse Gen W/mult Leads 41 19 $88,432.00 $13,264.80 85% off $14,303.00 $88,432.00 $29,405.00 2026-03-23
33240 CPT Hc Insert Icd Pulse Gen 41 19 $98,421.00 $14,763.15 85% off $488.80 $98,421.00 $21,003.87 2026-03-23
33249 CPT Hc Insert/repl Lead/gen Icd Sgl/dual 41 19 $104,585.00 $15,687.75 85% off $1,017.92 $104,585.00 $29,354.46 2026-03-23
33262 CPT Hc Remv & Repl Cvd Gen Sing Lead 41 19 $80,544.00 $12,081.60 85% off $14,605.00 $80,544.00 $21,205.83 2026-03-23
33263 CPT Hc Remv & Repl Cvd Gen Dual Lead 41 19 $80,544.00 $12,081.60 85% off $14,605.00 $80,544.00 $21,205.83 2026-03-23
33264 CPT Hc Remv & Replc Cvd Gen Mult Lea 41 19 $80,544.00 $12,081.60 85% off $14,605.00 $80,544.00 $29,405.00 2026-03-23
33270 CPT Hc Insertion/replcmt Sq Icd W Sq Electrode 41 19 $97,969.00 $14,695.35 85% off $1,279.00 $97,969.00 $29,354.46 2026-03-23
33274 CPT Hc Transcath Insert/replc Perm Leadlass Pm Rv Incl Img Guid 43 19 $46,583.00 $6,987.45 85% off $1,078.00 $46,583.00 $17,488.63 2026-03-23
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 41 19 $93,168.00 $13,975.20 85% off $14,303.00 $93,168.00 $39,991.94 2026-03-23
33287 CPT Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 41 19 $93,168.00 $13,975.20 85% off $14,200.00 $93,168.00 $28,017.21 2026-03-23
33289 CPT Hc Transcath Impl Wrls Pa Prs Snr L-t Hemdyn Mntr 41 19 $111,361.00 $16,704.15 85% off $6,737.00 $111,361.00 $26,043.02 2026-03-23
333 MS_DRG Rectal Resection With Cc 1 1 — — $101,886.11 $101,886.11 $101,886.11 2026-03-23
334 MS_DRG Rectal Resection Without Cc/mcc 3 3 — — $22,961.81 $26,849.42 $24,363.96 2026-03-23
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 2 — — $15,985.78 $60,559.83 $38,272.81 2026-03-23
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 31 16 — — $9,880.99 $25,909.43 $19,448.58 2026-03-23
348 MS_DRG Anal And Stomal Procedures With Cc 31 16 — — $8,877.11 $24,988.25 $24,988.25 2026-03-23
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 31 16 — — $6,471.96 $17,518.83 $17,518.83 2026-03-23
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 31 16 — — $10,157.13 $25,917.07 $25,917.07 2026-03-23
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 31 16 — — $4,746.28 $32,980.62 $32,980.62 2026-03-23
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 — — $18,742.34 $19,910.52 $18,742.34 2026-03-23
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $26,998.00 $27,302.00 $27,150.00 2026-03-23
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 31 16 — — $9,395.47 $27,386.76 $27,386.76 2026-03-23
36836 CPT Hc Perq Av Fistula Creation Uxtr Single Access 40 19 $22,618.00 $3,392.70 85% off $701.00 $36,284.33 $16,644.19 2026-03-23
36837 CPT Hc Perq Av Fistula Creation Uxtr Sep Access Sites 40 19 $22,618.00 $3,392.70 85% off $701.00 $36,284.33 $16,644.19 2026-03-23
36906 CPT Hc Prc Trnslml Thrmbctmy/inf Thrmblss Dysis Crct W Trnscth Plc Intrvs 43 19 $54,084.00 $8,112.60 85% off $1,078.00 $54,084.00 $16,644.19 2026-03-23
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 31 16 — — $5,087.95 $21,858.33 $21,858.33 2026-03-23
37182 CPT Hc Insert Transven Intrahep Portosys Shunt Tips 43 19 $22,791.00 $3,418.65 85% off $948.00 $36,284.33 $16,644.19 2026-03-23
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 31 16 — — $5,390.85 $17,775.15 $17,775.15 2026-03-23
37218 CPT Hc Stent Placemt Ante Carotid 21 10 $39,161.00 $5,874.15 85% off $1,107.00 $39,161.00 $18,170.70 2026-03-23
37227 CPT Hc Place Vasc Stent Fem Popl W/a 21 10 $47,581.00 $7,137.15 85% off $10,792.00 $47,581.00 $16,209.00 2026-03-23
37231 CPT Hc Place Vasc Stent/tib-peron W/athr 21 10 $52,339.00 $7,850.85 85% off $10,792.00 $52,339.00 $16,209.00 2026-03-23
37242 CPT Hc Transcth Ther Embo Art Avm 43 19 $30,126.00 $4,518.90 85% off $939.00 $36,284.33 $16,644.19 2026-03-23
376 MS_DRG Digestive Malignancy Without Cc/mcc 31 16 — — $6,150.59 $30,835.38 $30,835.38 2026-03-23
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 31 16 — — $11,910.30 $23,958.83 $23,958.83 2026-03-23
381 MS_DRG Complicated Peptic Ulcer With Cc 31 16 — — $23,071.38 $23,071.38 $23,071.38 2026-03-23
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 31 16 — — $8,608.55 $20,018.40 $20,018.40 2026-03-23
393 MS_DRG Other Digestive System Diagnoses With Mcc 31 16 — — $7,940.44 $24,931.23 $15,652.83 2026-03-23
394 MS_DRG Other Digestive System Diagnoses With Cc 31 16 — — $6,509.65 $21,393.05 $21,393.05 2026-03-23
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 31 16 — — $4,641.83 $17,929.88 $17,929.88 2026-03-23
397 MS_DRG Appendix Procedures With Mcc 2 2 — — $24,743.31 $40,146.74 $32,445.03 2026-03-23
398 MS_DRG Appendix Procedures With Cc 31 16 — — $10,014.42 $28,325.71 $28,325.71 2026-03-23
399 MS_DRG Appendix Procedures Without Cc/mcc 31 16 — — $5,410.78 $24,566.21 $24,566.21 2026-03-23
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 4 — — $61,237.48 $163,202.40 $84,320.12 2026-03-23
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $28,044.68 $28,044.68 $28,044.68 2026-03-23
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 31 16 — — $14,213.35 $29,864.50 $29,864.50 2026-03-23
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 31 16 — — $33,956.14 $37,209.81 $33,956.14 2026-03-23
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 31 16 — — $15,373.23 $39,567.75 $37,319.83 2026-03-23
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 31 16 — — $2,049.00 $32,973.72 $31,727.52 2026-03-23
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 31 16 — — $6,095.69 $27,733.63 $27,733.63 2026-03-23
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 31 16 — — $12,778.09 $27,869.45 $27,869.45 2026-03-23
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 31 16 — — $7,288.72 $17,815.42 $17,815.42 2026-03-23
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 31 16 — — $12,038.23 $21,431.00 $21,431.00 2026-03-23
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 31 16 — — $6,000.26 $16,498.72 $16,498.72 2026-03-23
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 31 16 — — $2,049.00 $26,719.53 $26,719.53 2026-03-23
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 31 16 — — $6,680.70 $23,530.24 $23,530.24 2026-03-23
446 APR_DRG Urethral And Transurethral Procedures 8 6 — — $1,456.00 $19,890.49 $19,890.49 2026-03-23
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $28,281.08 $28,281.08 $28,281.08 2026-03-23
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 31 16 — — $14,677.58 $57,244.76 $32,427.67 2026-03-23
504 MS_DRG Foot Procedures With Cc 31 16 — — $11,521.07 $34,348.89 $34,348.89 2026-03-23
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 31 16 — — $16,648.50 $16,648.50 $16,648.50 2026-03-23
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 31 16 — — $17,146.16 $17,146.16 $17,146.16 2026-03-23
539 APR_DRG Cesarean Section With Sterilization 8 6 — — $6,541.42 $17,814.21 $17,814.21 2026-03-23
54 MS_DRG Nervous System Neoplasms With Mcc 31 16 — — $7,623.90 $17,966.00 $17,966.00 2026-03-23
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 31 16 — — $12,177.67 $23,174.55 $23,174.55 2026-03-23
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 31 16 — — $6,316.81 $18,104.33 $18,104.33 2026-03-23
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 31 16 — — $5,679.34 $19,598.90 $19,598.90 2026-03-23
551 MS_DRG Medical Back Problems With Mcc 31 16 — — $9,834.22 $30,117.81 $30,117.81 2026-03-23
552 MS_DRG Medical Back Problems Without Mcc 31 16 — — $4,098.00 $20,076.64 $20,076.64 2026-03-23
553 MS_DRG Bone Diseases And Arthropathies With Mcc 31 16 — — $20,412.50 $20,412.50 $20,412.50 2026-03-23
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 31 16 — — $5,731.63 $16,675.44 $16,675.44 2026-03-23
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 31 16 — — $8,598.89 $24,091.25 $24,091.25 2026-03-23
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 31 16 — — $6,386.51 $16,572.87 $16,572.87 2026-03-23
56 MS_DRG Degenerative Nervous System Disorders With Mcc 31 16 — — $17,079.62 $18,565.00 $18,565.00 2026-03-23
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 31 16 — — $18,933.50 $18,933.50 $18,933.50 2026-03-23
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 31 16 — — $18,096.50 $18,096.50 $18,096.50 2026-03-23
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 31 16 — — $5,015.88 $18,018.50 $18,018.50 2026-03-23
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 31 16 — — $6,980.76 $22,856.62 $22,856.62 2026-03-23
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 31 16 — — $8,780.00 $18,321.55 $18,321.55 2026-03-23
571 MS_DRG Skin Debridement With Cc 1 1 — — $23,312.11 $23,312.11 $23,312.11 2026-03-23
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 — — $17,139.54 $17,139.54 $17,139.54 2026-03-23
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 31 16 — — $29,381.31 $29,381.31 $29,381.31 2026-03-23
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 31 16 — — $11,611.49 $32,883.50 $32,883.50 2026-03-23
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 2 1 — — $9,559.53 $24,848.74 $17,204.14 2026-03-23
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 1 1 — — $19,757.07 $19,757.07 $19,757.07 2026-03-23
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 31 16 — — $17,202.63 $26,872.91 $17,202.63 2026-03-23
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 1 1 — — $34,181.44 $34,181.44 $34,181.44 2026-03-23
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 31 16 — — $8,743.19 $20,204.88 $20,204.88 2026-03-23
598 MS_DRG Malignant Breast Disorders With Cc 31 16 — — $5,160.92 $25,929.00 $25,929.00 2026-03-23
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 31 16 — — $11,333.15 $31,207.00 $31,207.00 2026-03-23
603 MS_DRG Cellulitis Without Mcc 31 16 — — $4,097.34 $17,338.66 $17,338.66 2026-03-23
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 31 16 — — $9,865.01 $16,847.50 $16,847.50 2026-03-23
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 31 16 — — $6,404.06 $20,754.83 $20,754.83 2026-03-23
607 MS_DRG Minor Skin Disorders Without Mcc 31 16 — — $9,916.70 $15,990.37 $15,990.37 2026-03-23
61624 CPT Hc Transcath Permanent Occlusion/embolization Perq Cns 43 19 $16,623.00 $2,493.45 85% off $948.00 $36,284.33 $16,623.00 2026-03-23
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 — — $12,586.45 $26,709.92 $21,461.69 2026-03-23
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 31 16 — — $23,715.50 $30,748.43 $30,748.43 2026-03-23
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 31 16 — — $12,470.88 $34,405.04 $34,405.04 2026-03-23
624 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $28,692.07 $28,692.07 $28,692.07 2026-03-23
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 3 — — $12,703.25 $19,472.50 $18,353.76 2026-03-23
627 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/mcc 31 16 — — $8,976.73 $28,192.53 $28,192.53 2026-03-23
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $24,967.70 $24,967.70 $24,967.70 2026-03-23
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 31 16 — — $9,766.06 $27,836.77 $27,836.77 2026-03-23
637 MS_DRG Diabetes With Mcc 31 16 — — $9,664.65 $22,784.34 $22,784.34 2026-03-23
638 MS_DRG Diabetes With Cc 31 16 — — $4,113.86 $18,453.06 $18,453.06 2026-03-23
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 31 16 — — $12,940.54 $27,891.50 $23,326.69 2026-03-23
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 31 16 — — $7,527.84 $25,928.38 $25,928.38 2026-03-23
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 31 16 — — $3,510.13 $17,422.42 $17,422.42 2026-03-23
643 MS_DRG Endocrine Disorders With Mcc 31 16 — — $10,900.26 $19,562.17 $19,562.17 2026-03-23
645 MS_DRG Endocrine Disorders Without Cc/mcc 31 16 — — $5,508.23 $15,987.72 $15,987.72 2026-03-23
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 31 16 — — $6,963.54 $22,949.19 $22,949.19 2026-03-23
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $32,276.08 $81,683.77 $56,979.93 2026-03-23
654 MS_DRG Major Bladder Procedures With Cc 4 4 — — $17,826.78 $18,936.59 $18,405.62 2026-03-23
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 5 5 — — $20,140.07 $22,024.42 $20,740.20 2026-03-23
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 8 5 — — $16,272.16 $54,600.00 $17,282.96 2026-03-23
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 31 16 — — $2,164.00 $22,256.19 $22,256.19 2026-03-23
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 31 16 — — $4,958.00 $24,163.85 $24,163.85 2026-03-23
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 31 16 — — $6,796.16 $21,325.12 $21,325.12 2026-03-23
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $19,889.42 $19,889.42 $19,889.42 2026-03-23
663 MS_DRG Minor Bladder Procedures With Cc 31 16 — — $10,119.33 $35,947.95 $35,947.95 2026-03-23
665 MS_DRG Prostatectomy With Mcc 1 1 — — $21,819.68 $21,819.68 $21,819.68 2026-03-23
666 MS_DRG Prostatectomy With Cc 31 16 — — $11,517.83 $36,690.94 $36,690.94 2026-03-23
669 MS_DRG Transurethral Procedures With Cc 31 16 — — $10,243.13 $24,533.01 $23,574.94 2026-03-23
670 MS_DRG Transurethral Procedures Without Cc/mcc 31 16 — — $6,587.31 $17,201.45 $17,201.45 2026-03-23
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $26,467.02 $26,467.02 $26,467.02 2026-03-23
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 31 16 — — $17,100.22 $17,100.22 $17,100.22 2026-03-23
682 MS_DRG Renal Failure With Mcc 31 16 — — $7,332.82 $24,283.00 $20,752.81 2026-03-23
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 31 16 — — $7,920.03 $22,551.50 $22,551.50 2026-03-23
69 MS_DRG Transient Ischemia Without Thrombolytic 31 16 — — $4,958.00 $16,920.83 $16,920.83 2026-03-23
693 MS_DRG Urinary Stones With Mcc 31 16 — — $9,107.69 $20,589.00 $20,589.00 2026-03-23
697 MS_DRG Urethral Stricture 31 16 — — $6,870.71 $17,409.12 $17,409.12 2026-03-23
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 31 16 — — $4,098.00 $32,467.19 $32,467.19 2026-03-23
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 31 16 — — $6,993.72 $19,725.85 $19,725.85 2026-03-23
709 MS_DRG Penis Procedures With Cc/mcc 31 16 — — $14,525.92 $28,831.46 $18,449.93 2026-03-23
711 MS_DRG Testes Procedures With Cc/mcc 31 16 — — $12,479.38 $23,550.00 $23,550.00 2026-03-23
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 31 16 — — $9,618.00 $32,338.93 $32,338.93 2026-03-23
714 MS_DRG Transurethral Prostatectomy Without Cc/mcc 31 16 — — $6,488.97 $18,044.72 $18,044.72 2026-03-23
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 31 16 — — $12,140.03 $28,027.48 $28,027.48 2026-03-23
720 APR_DRG Septicemia And Disseminated Infections 2 2 — — $13,576.09 $27,691.60 $20,633.85 2026-03-23
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 31 16 — — $9,792.71 $26,276.83 $26,276.83 2026-03-23
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 31 16 — — $5,744.72 $15,733.90 $15,733.90 2026-03-23
729 MS_DRG Other Male Reproductive System Diagnoses With Cc/mcc 31 16 — — $17,415.00 $17,415.00 $17,415.00 2026-03-23
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 2 2 — — $13,020.13 $25,300.35 $19,160.24 2026-03-23
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 3 3 — — $16,200.94 $31,593.42 $18,241.43 2026-03-23
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 31 16 — — $8,094.93 $35,886.92 $35,886.92 2026-03-23
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 31 16 — — $13,858.75 $25,511.30 $16,589.67 2026-03-23
76 MS_DRG Viral Meningitis Without Cc/mcc 31 16 — — $8,166.59 $28,632.46 $28,632.46 2026-03-23
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 31 16 — — $4,143.52 $17,130.42 $17,130.42 2026-03-23
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 31 16 — — $18,864.49 $66,717.88 $18,864.49 2026-03-23
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 31 16 — — $18,527.64 $21,953.61 $21,953.61 2026-03-23
783 MS_DRG Cesarean Section With Sterilization With Mcc 31 16 — — $25,373.46 $31,192.09 $27,144.74 2026-03-23
784 MS_DRG Cesarean Section With Sterilization With Cc 31 16 — — $4,834.00 $22,223.99 $22,223.99 2026-03-23
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 31 16 — — $4,834.00 $21,710.60 $21,710.60 2026-03-23
786 MS_DRG Cesarean Section Without Sterilization With Mcc 31 16 — — $4,834.00 $27,784.28 $25,134.62 2026-03-23
787 MS_DRG Cesarean Section Without Sterilization With Cc 31 16 — — $4,834.00 $22,092.24 $22,092.24 2026-03-23
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 31 16 — — $4,834.00 $21,414.28 $21,414.28 2026-03-23
797 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Cc 30 16 — — $15,134.10 $22,252.50 $22,252.50 2026-03-23
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 30 16 — — $6,898.00 $22,590.48 $22,590.48 2026-03-23
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 31 16 — — $17,652.30 $17,652.30 $17,652.30 2026-03-23
811 MS_DRG Red Blood Cell Disorders With Mcc 31 16 — — $9,360.97 $33,489.72 $33,489.72 2026-03-23
816 MS_DRG Reticuloendothelial And Immunity Disorders Without Cc/mcc 31 16 — — $11,261.67 $17,617.99 $17,617.99 2026-03-23
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 31 16 — — $28,283.71 $45,241.48 $28,283.71 2026-03-23
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 31 16 — — $31,239.88 $31,239.88 $31,239.88 2026-03-23
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 2 2 — — $22,292.75 $39,106.71 $30,699.73 2026-03-23
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 1 — — $29,159.10 $77,305.79 $53,232.44 2026-03-23
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 16 — — $32,173.83 $32,173.83 $32,173.83 2026-03-23
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 31 16 — — $2,049.00 $15,891.59 $15,891.59 2026-03-23
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 31 16 — — $11,013.03 $26,162.00 $26,162.00 2026-03-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 9 6 — — $19,963.65 $80,961.04 $33,120.15 2026-03-23
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 31 16 — — $11,571.12 $70,959.98 $32,172.97 2026-03-23
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 — — $22,035.58 $30,221.25 $26,128.42 2026-03-23
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 31 16 — — $14,131.80 $31,677.00 $30,301.06 2026-03-23
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 31 16 — — $18,466.50 $21,597.68 $18,466.50 2026-03-23
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 31 16 — — $12,015.37 $32,762.96 $32,762.96 2026-03-23
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 31 16 — — $6,859.03 $18,594.43 $18,594.43 2026-03-23
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 31 16 — — $23,920.50 $23,920.50 $23,920.50 2026-03-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $43,556.12 $74,957.83 $59,256.98 2026-03-23
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 31 16 — — $6,147.00 $35,823.75 $35,807.00 2026-03-23
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 31 16 — — $5,068.56 $22,303.38 $22,303.38 2026-03-23
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 31 16 — — $6,633.70 $17,915.40 $17,915.40 2026-03-23
884 MS_DRG Organic Disturbances And Intellectual Disability 31 16 — — $9,402.69 $16,330.26 $16,330.26 2026-03-23
89 MS_DRG Concussion With Cc 31 16 — — $7,754.13 $18,305.00 $18,305.00 2026-03-23
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 31 16 — — $4,165.27 $22,676.98 $22,676.98 2026-03-23
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 31 16 — — $17,612.67 $22,640.83 $22,640.83 2026-03-23
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 31 16 — — $6,296.44 $18,037.06 $18,037.06 2026-03-23
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 4 — — $24,083.79 $64,488.14 $25,154.93 2026-03-23
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 31 16 — — $13,566.75 $25,812.06 $25,812.06 2026-03-23
91 MS_DRG Other Disorders Of Nervous System With Mcc 31 16 — — $10,673.28 $17,360.50 $17,360.50 2026-03-23
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 31 16 — — $8,635.96 $32,847.38 $32,847.38 2026-03-23
919 MS_DRG Complications Of Treatment With Mcc 31 16 — — $11,953.15 $18,921.32 $17,518.87 2026-03-23
92 MS_DRG Other Disorders Of Nervous System With Cc 31 16 — — $7,232.69 $21,022.44 $21,022.44 2026-03-23
920 MS_DRG Complications Of Treatment With Cc 31 16 — — $4,856.63 $18,596.46 $18,596.46 2026-03-23
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 31 16 — — $11,117.05 $23,006.00 $23,006.00 2026-03-23
92933 CPT Hc Stent Plcmnt Intra W Ather&angio 43 19 $22,265.00 $3,339.75 85% off $774.95 $36,284.33 $16,644.19 2026-03-23
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 31 16 — — $5,898.28 $19,564.67 $19,564.67 2026-03-23
93580 CPT Hc Congenital Interatl Clos W/implan 43 19 $20,513.00 $3,076.95 85% off $992.08 $36,284.33 $16,644.19 2026-03-23
93653 CPT Hc Eps/svt Ablation 43 19 $26,884.00 $4,032.60 85% off $975.00 $51,735.40 $23,731.84 2026-03-23
93654 CPT Hc Eps/vt Ablation 43 19 $26,884.00 $4,032.60 85% off $1,279.00 $51,735.40 $23,731.84 2026-03-23
93656 CPT Hc Eps/afib Ablation 43 19 $26,884.00 $4,032.60 85% off $1,279.00 $51,735.40 $23,731.84 2026-03-23
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 31 16 — — $16,735.94 $40,652.98 $27,137.50 2026-03-23
947 MS_DRG Signs And Symptoms With Mcc 31 16 — — $8,622.35 $26,262.01 $26,262.01 2026-03-23
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $35,795.82 $35,795.82 $35,795.82 2026-03-23
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $25,729.91 $29,935.94 $29,212.73 2026-03-23
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 5 — — $15,790.98 $39,633.08 $21,058.56 2026-03-23
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 16 — — $25,819.47 $35,432.51 $25,819.47 2026-03-23
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 31 16 — — $10,873.68 $31,432.33 $31,432.33 2026-03-23
C1714 HCPCS Device Atherectomy Hawkone 7fr 52 8 $37,931.93 $5,689.79 85% off $9,614.33 $38,759.02 $16,724.69 2026-03-23
C1721 HCPCS Aicd, Dual Chamber 143 8 $98,366.86 $14,755.03 85% off $12,984.43 $128,081.85 $40,239.48 2026-03-23
C1722 HCPCS Aicd, Single Chamber 143 8 $95,413.20 $14,311.98 85% off $11,361.37 $197,049.00 $38,645.88 2026-03-23
C1761 HCPCS Cath, Trans Intra Litho/coro 13 8 $48,743.70 $7,311.56 85% off $7,798.99 $48,743.70 $19,497.48 2026-03-23
C1764 HCPCS Biomonitor 2-af Loop Recorder 117 8 $45,290.16 $6,793.52 85% off $5,475.89 $48,743.70 $17,112.15 2026-03-23
C1767 HCPCS Pulse Generator 143 8 $134,823.00 $20,223.45 85% off $290.39 $189,011.48 $50,923.66 2026-03-23
C1772 HCPCS Infusion Pump, Programmable 39 8 $120,241.37 $18,036.21 85% off $174.23 $126,567.68 $34,833.92 2026-03-23
C1786 HCPCS Pmkr, Single, Rate-resp 130 8 $52,369.40 $7,855.41 85% off $3,197.47 $126,733.62 $20,129.75 2026-03-23
C1813 HCPCS Prosthesis, Penile, Inflatab 143 8 $57,766.47 $8,664.97 85% off $1,239.54 $150,016.52 $24,002.64 2026-03-23
C1815 HCPCS Ams S.t. Cuff Belt Fgs 4.5cm Iz 78 8 $76,563.91 $11,484.59 85% off $5,716.50 $81,930.90 $27,374.46 2026-03-23
C1817 HCPCS Septal Defect Imp Sys 104 8 $65,586.21 $9,837.93 85% off $1,294.30 $103,658.15 $18,255.79 2026-03-23
C1820 HCPCS Cap Code Ipg Iq Stimulator 130 8 $134,558.54 $20,183.78 85% off $365.06 $191,863.50 $48,663.96 2026-03-23
C1822 HCPCS Kit Nevro Stim Hf10c 13 8 $171,121.50 $25,668.23 85% off $27,379.44 $171,121.50 $68,448.60 2026-03-23
C1825 HCPCS System Barostim Neo2 13 8 $326,686.50 $49,002.98 85% off $52,269.84 $326,686.50 $130,674.60 2026-03-23
C1875 HCPCS Stent Thoracic 40 X 36 X 154 13 8 $165,417.45 $24,812.62 85% off $26,466.79 $165,417.45 $66,166.98 2026-03-23
C1877 HCPCS Implant Right Frontal Sphenoid Parietal Temporal 39 8 $47,706.60 $7,155.99 85% off $1,899.14 $129,637.50 $19,082.64 2026-03-23
C1882 HCPCS Aicd, Other Than Sing/dual 182 8 $149,964.66 $22,494.70 85% off $19,041.16 $174,449.87 $59,312.04 2026-03-23
C1896 HCPCS Electrode Sub-q Emblem 45cm 13 8 $41,484.00 $6,222.60 85% off $6,637.44 $41,484.00 $16,593.60 2026-03-23
C2616 HCPCS Hc Brachytherapy Source Nonstranded Yttrium 90 Per Source 38 19 $137,008.00 $20,551.20 85% off $14,144.65 $137,008.00 $18,481.85 2026-03-23
C2621 HCPCS Pmkr, Other Than Sing/dual 65 8 $52,564.89 $7,884.73 85% off $7,716.02 $56,277.19 $21,025.96 2026-03-23
C2622 HCPCS Prosthesis Malleable Penile Tactra 9.5 X 14-23cm 13 8 $145,142.15 $21,771.32 85% off $23,222.74 $145,142.15 $58,056.86 2026-03-23
C2624 HCPCS Delivery Sys & Sensor Cardiomems Pa 13 8 $197,049.00 $29,557.35 85% off $31,527.84 $197,049.00 $78,819.60 2026-03-23
C9602 HCPCS Hc Stent Des Px Ather 43 19 $32,844.00 $4,926.60 85% off $948.00 $36,284.33 $16,644.19 2026-03-23
C9607 HCPCS Hc Revascular Px Chronic 43 19 $32,844.00 $4,926.60 85% off $948.00 $36,284.33 $16,644.19 2026-03-23
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 39 19 $57,488.00 $8,623.20 85% off $948.00 $57,488.00 $16,644.19 2026-03-23
C9766 HCPCS Hc Revasc Intra Lithotrip-ather 38 19 $57,488.00 $8,623.20 85% off $948.00 $57,488.00 $16,644.19 2026-03-23
C9767 HCPCS Hc Revasc Lithotrip-stent-ather 38 19 $92,482.00 $13,872.30 85% off $948.00 $92,482.00 $16,644.19 2026-03-23
C9773 HCPCS Hc Revasc Lithotr-stent Tib/per 41 19 $50,829.00 $7,624.35 85% off $948.00 $50,829.00 $16,644.19 2026-03-23
C9774 HCPCS Hc Revasc Lithotr-ather Tib/per 41 19 $50,829.00 $7,624.35 85% off $948.00 $50,829.00 $16,644.19 2026-03-23
C9775 HCPCS Hc Revasc Lith-sten-ath Tib/per 41 19 $50,829.00 $7,624.35 85% off $948.00 $50,829.00 $16,644.19 2026-03-23
C9797 HCPCS Hc Vascular Embolization With Use Of Pressure Generating Catheter 36 19 $48,409.00 $7,261.35 85% off $948.00 $48,409.00 $16,644.19 2026-03-23
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