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 →

Export CSV
Hospital

THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS

El Paso, TX · CCN 450002 · Rates published

Your selected procedure

You selected 93306 (CPT)

ECHO2D SPECTR/COLOR FLO

This hospital’s price: $250 across 6 payers · range $138-$451

Source: https://mrfs.hyvehealthcare.com/TenetHealth/954537720_the-hospitals-of-providence-memorial-campus_standardcharges.json · observed 2026-09-01

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.

20,082 distinct procedures filed
26 distinct payers
453,562 rate rows
2026-09-01 last MRF observed
Data quality

400,714 of 453,562 rate rows are consumer-grade (88.3%)

52,848 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 46,712
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4,043
per-diem day rate — not a per-procedure price 1,814
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 189
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 61
placeholder amount (≤ $0.02) — excluded from medians 19
exceeds 10× this hospital's gross charge — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/TenetHealth/954537720_the-hospitals-of-providence-memorial-campus_standardcharges.json
Discovered viaPublic MRF directory
Last fetch not_modified · 2026-10-05
Content fingerprint 816b16f25ba58e72… · 98,349,382 bytes · first seen 2026-09-05

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
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,296,000.00 $3,296,000.00 $3,296,000.00 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 2 $3,286,000.00 $3,286,000.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 2 $2,968,000.00 $2,968,000.00 $2,968,000.00 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,222,890.60 $2,222,890.60 $2,222,890.60 nat. median
$2,466,282
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $527,123.43 $527,123.43 $527,123.43 nat. median
$646,415
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $516,726.08 $516,726.08 $516,726.08 nat. median
$640,950
0.8× median
C9098
HCPCS 		Ciltacabtagene Car Pos T 2 $478,950.00 $478,950.00 $478,950.00 nat. median
$31,873
outlier · 15.0×
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $469,754.01 $469,754.01 $469,754.01 nat. median
$591,650
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $9,477.22 $1,536,357.66 $316,334.97 nat. median
$359,358
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $27,543.30 $997,034.31 $226,529.47 nat. median
$249,124
0.9× median
Q0480
HCPCS 		Dme Pos 3 $1.00 $364,699.85 $203,081.08 nat. median
$111,503
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $76,849.19 $759,608.09 $198,986.85 nat. median
$198,433
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $89,188.29 $755,150.17 $181,525.65 nat. median
$190,557
1.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 3 $36,447.53 $270,331.80 $146,522.57 nat. median
$63,643
outlier · 2.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $18,186.92 $492,805.11 $118,522.44 nat. median
$126,722
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $35,880.08 $194,847.01 $110,718.18 nat. median
$65,720
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $11,216.77 $427,572.85 $109,897.90 nat. median
$110,192
1.0× median
7
MS_DRG 		Lung Transplant 4 $22,359.18 $460,742.22 $109,621.09 nat. median
$117,894
0.9× median
L7180
HCPCS 		Dme Pos 3 $47,877.56 $174,609.46 $91,087.18 nat. median
$46,980
1.9× median
L7181
HCPCS 		Dme Pos 3 $47,488.54 $173,190.71 $90,347.09 nat. median
$50,453
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 3 $38,783.06 $354,250.15 $89,737.95 nat. median
$93,917
1.0× median
J9226
HCPCS 		Supprelin La Implant 3 $21,173.64 $162,568.43 $89,458.68 nat. median
$55,159
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $28,962.83 $403,162.78 $88,620.43 nat. median
$103,967
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $12,746.51 $366,826.97 $85,642.48 nat. median
$94,964
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $33,782.92 $386,878.73 $84,754.29 nat. median
$97,414
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $28,134.84 $308,087.69 $78,024.79 nat. median
$78,262
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $20,951.61 $348,052.46 $75,992.50 nat. median
$90,581
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $1.00 $121,833.98 $74,496.78 nat. median
$75,037
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $34,713.01 $299,918.98 $71,738.54 nat. median
$77,043
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $22,239.69 $298,976.17 $71,734.12 nat. median
$77,696
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $5,128.35 $166,195.56 $69,384.76 nat. median
$71,201
1.0× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $43,383.46 $94,615.17 $68,999.32 nat. median
$47,579
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $27,106.42 $279,956.17 $67,616.51 nat. median
$74,460
0.9× median
10
MS_DRG 		Pancreas Transplant 4 $11,349.56 $255,297.05 $66,877.52 nat. median
$64,903
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 $6,315.49 $253,834.80 $66,494.19 nat. median
$66,660
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $19,640.97 $272,000.93 $65,563.96 nat. median
$71,758
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $32,136.47 $273,178.56 $65,536.62 nat. median
$72,473
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 $34,800.14 $253,685.37 $63,933.27 nat. median
$66,649
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $25,469.42 $271,100.80 $63,221.77 nat. median
$68,004
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $24,412.43 $245,908.02 $58,921.56 nat. median
$62,721
0.9× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 $27,689.53 $213,702.81 $58,673.89 nat. median
$56,686
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 3 $23,454.86 $239,479.08 $57,835.70 nat. median
$61,711
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 $18,627.81 $244,701.93 $57,021.32 nat. median
$63,896
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 $17,510.59 $255,190.32 $56,022.61 nat. median
$61,329
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $25,354.92 $233,936.02 $55,227.96 nat. median
$62,038
0.9× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 4 $29,428.95 $215,695.18 $54,493.77 nat. median
$57,804
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $9,794.59 $228,933.76 $54,246.87 nat. median
$59,384
0.9× median
L5856
HCPCS 		Dme Pos 3 $29,028.47 $103,763.24 $54,129.37 nat. median
$30,017
1.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 3 $37,137.20 $217,783.61 $53,948.93 nat. median
$58,216
0.9× median
L6880
HCPCS 		Dme Pos 3 $28,891.37 $103,273.16 $53,873.72 nat. median
$30,016
1.8× median

Other procedures at this hospital

Browse this hospital's 20,082 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
             
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 2 — — $3,296,000.00 $3,296,000.00 $3,296,000.00 2026-09-01
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 2 2 — — $3,286,000.00 $3,286,000.00 $3,286,000.00 2026-09-01
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 2 2 — — $2,968,000.00 $2,968,000.00 $2,968,000.00 2026-09-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 2 — — $2,222,890.60 $2,222,890.60 $2,222,890.60 2026-09-01
Q2056 HCPCS Ciltacabtagene Car-pos T 2 2 — — $527,123.43 $527,123.43 $527,123.43 2026-09-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 2 2 — — $516,726.08 $516,726.08 $516,726.08 2026-09-01
C9098 HCPCS Ciltacabtagene Car Pos T 2 2 — — $478,950.00 $478,950.00 $478,950.00 2026-09-01
Q2053 HCPCS Brexucabtagene Car Pos T 2 2 — — $469,754.01 $469,754.01 $469,754.01 2026-09-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 4 — — $9,477.22 $1,536,357.66 $316,334.97 2026-09-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 4 — — $27,543.30 $997,034.31 $226,529.47 2026-09-01
Q0480 HCPCS Dme Pos 5 3 — — $1.00 $364,699.85 $203,081.08 2026-09-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 3 — — $76,849.19 $759,608.09 $198,986.85 2026-09-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 3 — — $89,188.29 $755,150.17 $181,525.65 2026-09-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 3 — — $36,447.53 $270,331.80 $146,522.57 2026-09-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 4 — — $18,186.92 $492,805.11 $118,522.44 2026-09-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 3 — — $35,880.08 $194,847.01 $110,718.18 2026-09-01
14 MS_DRG Allogeneic Bone Marrow Transplant 11 4 — — $11,216.77 $427,572.85 $109,897.90 2026-09-01
7 MS_DRG Lung Transplant 11 4 — — $22,359.18 $460,742.22 $109,621.09 2026-09-01
L7180 HCPCS Dme Pos 5 3 — — $47,877.56 $174,609.46 $91,087.18 2026-09-01
L7181 HCPCS Dme Pos 5 3 — — $47,488.54 $173,190.71 $90,347.09 2026-09-01
215 MS_DRG Other Heart Assist System Implant 16 3 — — $38,783.06 $354,250.15 $89,737.95 2026-09-01
J9226 HCPCS Supprelin La Implant 5 3 — — $21,173.64 $162,568.43 $89,458.68 2026-09-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 4 — — $28,962.83 $403,162.78 $88,620.43 2026-09-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 4 — — $12,746.51 $366,826.97 $85,642.48 2026-09-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 4 — — $33,782.92 $386,878.73 $84,754.29 2026-09-01
850 MS_DRG Acute Leukemia With Other Procedures 10 3 — — $28,134.84 $308,087.69 $78,024.79 2026-09-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 4 — — $20,951.61 $348,052.46 $75,992.50 2026-09-01
J7330 HCPCS Cultured Chondrocytes Implnt 5 3 — — $1.00 $121,833.98 $74,496.78 2026-09-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 4 — — $34,713.01 $299,918.98 $71,738.54 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 4 — — $22,239.69 $298,976.17 $71,734.12 2026-09-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 7 3 — — $5,128.35 $166,195.56 $69,384.76 2026-09-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 2 — — $43,383.46 $94,615.17 $68,999.32 2026-09-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 4 — — $27,106.42 $279,956.17 $67,616.51 2026-09-01
10 MS_DRG Pancreas Transplant 11 4 — — $11,349.56 $255,297.05 $66,877.52 2026-09-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 4 — — $6,315.49 $253,834.80 $66,494.19 2026-09-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 4 — — $19,640.97 $272,000.93 $65,563.96 2026-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 4 — — $32,136.47 $273,178.56 $65,536.62 2026-09-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 4 — — $34,800.14 $253,685.37 $63,933.27 2026-09-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 3 — — $25,469.42 $271,100.80 $63,221.77 2026-09-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 16 3 — — $24,412.43 $245,908.02 $58,921.56 2026-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 4 — — $27,689.53 $213,702.81 $58,673.89 2026-09-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 3 — — $23,454.86 $239,479.08 $57,835.70 2026-09-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 4 — — $18,627.81 $244,701.93 $57,021.32 2026-09-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 3 — — $17,510.59 $255,190.32 $56,022.61 2026-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 4 — — $25,354.92 $233,936.02 $55,227.96 2026-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 4 — — $29,428.95 $215,695.18 $54,493.77 2026-09-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 17 4 — — $9,794.59 $228,933.76 $54,246.87 2026-09-01
L5856 HCPCS Dme Pos 5 3 — — $29,028.47 $103,763.24 $54,129.37 2026-09-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 3 — — $37,137.20 $217,783.61 $53,948.93 2026-09-01
L6880 HCPCS Dme Pos 5 3 — — $28,891.37 $103,273.16 $53,873.72 2026-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 4 — — $17,605.62 $212,155.17 $52,448.99 2026-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 4 — — $20,074.26 $164,316.99 $52,177.58 2026-09-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 7 3 — — $15,510.78 $124,388.79 $51,930.91 2026-09-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 4 — — $23,295.35 $196,497.29 $51,695.28 2026-09-01
28 MS_DRG Spinal Procedures With Mcc 17 4 — — $11,470.40 $213,763.30 $50,994.85 2026-09-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 4 — — $13,690.65 $233,936.02 $50,878.41 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 3 — — $33,802.51 $218,036.22 $50,742.07 2026-09-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 11 4 — — $11,986.95 $210,966.87 $50,629.13 2026-09-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 11 4 — — $8,325.93 $193,270.37 $50,629.13 2026-09-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 4 — — $11,770.51 $208,793.05 $50,321.68 2026-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 3 — — $21,754.91 $233,085.71 $50,171.35 2026-09-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 3 — — $21,029.49 $208,657.85 $49,314.88 2026-09-01
J9600 HCPCS Porfimer Sodium Injection 5 3 — — $19,534.15 $80,931.49 $48,326.78 2026-09-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 4 — — $19,980.69 $237,717.96 $48,254.68 2026-09-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 7 3 — — $6,962.18 $114,711.21 $47,890.63 2026-09-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 4 — — $7,259.63 $203,872.61 $47,854.38 2026-09-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 4 — — $23,303.11 $189,730.36 $47,606.19 2026-09-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 4 — — $13,186.05 $188,342.82 $47,269.47 2026-09-01
653 MS_DRG Major Bladder Procedures With Mcc 16 3 — — $19,340.66 $184,877.52 $47,216.86 2026-09-01
834 MS_DRG Acute Leukemia With Mcc 16 3 — — $26,586.64 $195,319.66 $46,816.23 2026-09-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 4 — — $9,321.86 $176,018.60 $46,307.66 2026-09-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 11 4 — — $13,135.59 $199,400.46 $45,639.95 2026-09-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 3 — — $26,750.08 $174,374.89 $45,565.51 2026-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 4 — — $12,150.28 $194,351.94 $45,498.35 2026-09-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 4 — — $8,660.56 $202,776.81 $45,303.59 2026-09-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 3 — — $13,504.57 $194,629.45 $45,245.60 2026-09-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 4 — — $9,810.53 $194,045.97 $45,195.95 2026-09-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 4 — — $7,223.78 $392,112.25 $44,910.00 2026-09-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 4 — — $9,130.64 $320,543.55 $44,910.00 2026-09-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 4 — — $5,251.84 $256,823.35 $44,910.00 2026-09-01
J9266 HCPCS Pegaspargase Per 5ml Ij 5 3 $233,881.00 $175,410.75 25% off $6,218.44 $94,024.98 $43,969.94 2026-09-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 4 — — $29,073.12 $187,720.20 $43,897.42 2026-09-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 4 — — $17,529.01 $179,320.24 $43,897.13 2026-09-01
A9604 HCPCS Sm 153 Lexidronam 5 3 — — $7,665.00 $71,260.41 $43,573.00 2026-09-01
L8614 HCPCS Dvc Cochlear Mcd No Charge 5 3 $0.01 — $1.00 $82,737.15 $43,160.85 2026-09-01
L6975 HCPCS Dme Pos 5 3 — — $22,633.97 $82,546.09 $43,061.19 2026-09-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 16 3 — — $15,538.43 $177,441.72 $43,019.13 2026-09-01
L6970 HCPCS Dme Pos 5 3 — — $22,513.14 $82,105.42 $42,831.30 2026-09-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 17 4 — — $8,637.99 $185,197.72 $42,733.50 2026-09-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 3 — — $7,221.12 $89,526.74 $42,718.05 2026-09-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 3 — — $9,494.75 $170,927.39 $42,410.98 2026-09-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 3 — — $19,590.94 $175,705.51 $42,361.01 2026-09-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 4 — — $7,947.48 $200,019.52 $42,359.55 2026-09-01
Q0483 HCPCS Dme Pos 5 3 — — $1.00 $81,042.94 $42,277.05 2026-09-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 17 4 — — $8,730.94 $175,104.24 $42,249.52 2026-09-01
L6965 HCPCS Dme Pos 5 3 — — $22,149.18 $80,778.06 $42,138.88 2026-09-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 4 — — $8,676.50 $205,181.88 $42,100.97 2026-09-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 4 — — $5,295.67 $198,034.26 $41,967.68 2026-09-01
L5858 HCPCS Dme Pos 5 3 — — $22,027.14 $80,332.98 $41,906.70 2026-09-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 3 — — $35,457.78 $167,266.41 $41,815.43 2026-09-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 4 — — $13,567.14 $148,452.76 $41,585.77 2026-09-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 4 — — $17,579.60 $189,616.51 $41,417.10 2026-09-01
245 MS_DRG Aicd Generator Procedures 17 4 — — $9,765.38 $162,321.07 $40,990.48 2026-09-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 3 — — $13,673.28 $166,426.77 $40,448.49 2026-09-01
799 MS_DRG Splenic Procedures With Mcc 16 3 — — $11,957.25 $161,129.20 $40,273.15 2026-09-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 3 — — $14,399.57 $166,924.86 $40,265.53 2026-09-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 3 — — $22,389.10 $169,379.74 $39,848.80 2026-09-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 3 — — $16,698.92 $163,118.01 $39,635.37 2026-09-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 4 — — $10,551.49 $149,029.13 $39,207.17 2026-09-01
652 MS_DRG Kidney Transplant 10 3 — — $23,637.49 $114,899.15 $39,140.07 2026-09-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 4 — — $6,583.73 $158,781.06 $39,092.62 2026-09-01
163 MS_DRG Major Chest Procedures With Mcc 16 3 — — $23,485.85 $159,453.48 $39,039.93 2026-09-01
6 MS_DRG Liver Transplant Without Mcc 12 4 — — $8,981.92 $164,975.19 $38,997.26 2026-09-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 3 — — $13,556.62 $163,534.28 $38,893.40 2026-09-01
L5973 HCPCS Dme Pos 5 3 — — $1.00 $74,365.83 $38,793.86 2026-09-01
471 MS_DRG Cervical Spinal Fusion With Mcc 22 5 — — $9,641.82 $171,795.49 $38,344.88 2026-09-01
Q4244 HCPCS Procenta, Per 200 Mg 1 1 — — $38,221.51 $38,221.51 $38,221.51 2026-09-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 3 — — $15,950.40 $161,833.65 $38,213.25 2026-09-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 3 — — $14,695.18 $152,732.80 $37,985.40 2026-09-01
J7310 HCPCS Ganciclovir Long Act Implant 5 3 — — $16,960.00 $61,853.12 $37,820.80 2026-09-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 4 — — $7,456.50 $150,253.01 $37,555.73 2026-09-01
901 MS_DRG Wound Debridements For Injuries With Mcc 16 3 — — $22,483.84 $149,306.63 $37,526.33 2026-09-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 17 4 — — $5,610.38 $161,762.49 $37,513.65 2026-09-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 3 — — $9,078.85 $75,958.51 $36,949.67 2026-09-01
Q0489 HCPCS Dme Pos 5 3 — — $19,265.12 $70,259.89 $36,651.95 2026-09-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 11 3 — — $12,203.15 $138,547.85 $36,294.04 2026-09-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 7 3 — — $4,716.70 $86,378.03 $36,061.85 2026-09-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 17 4 — — $6,806.82 $156,287.04 $35,780.69 2026-09-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 4 — — $7,341.96 $153,960.24 $35,727.85 2026-09-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 3 — — $9,165.63 $149,484.52 $35,485.91 2026-09-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 4 — — $14,727.00 $146,777.04 $35,195.74 2026-09-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 11 2 — — $19,554.53 $133,296.53 $35,068.18 2026-09-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 3 — — $19,047.39 $149,922.13 $34,810.01 2026-09-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 3 — — $11,965.71 $71,210.78 $34,792.46 2026-09-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 4 — — $12,055.49 $150,879.18 $34,587.24 2026-09-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 17 4 — — $11,325.66 $149,996.85 $34,421.84 2026-09-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 17 4 — — $16,789.85 $147,755.43 $34,117.35 2026-09-01
140 MS_DRG Major Head And Neck Procedures With Mcc 16 4 — — $4,902.61 $151,750.84 $34,011.22 2026-09-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 17 4 — — $7,436.24 $159,407.23 $33,836.87 2026-09-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 3 — — $13,579.42 $136,594.62 $33,741.94 2026-09-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 3 — — $12,691.44 $132,592.09 $33,420.08 2026-09-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 3 — — $12,299.93 $127,173.56 $33,242.96 2026-09-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 11 3 — — $7,674.63 $137,505.41 $32,961.48 2026-09-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 3 — — $7,746.97 $43,171.45 $32,948.87 2026-09-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 4 — — $10,262.27 $143,041.35 $32,815.53 2026-09-01
Q0481 HCPCS Dme Pos 5 3 — — $1.00 $62,808.45 $32,764.81 2026-09-01
L5859 HCPCS Dme Pos 5 3 — — $17,196.40 $62,715.27 $32,716.17 2026-09-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 16 3 — — $12,041.16 $130,681.55 $32,703.52 2026-09-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 4 — — $5,399.24 $96,800.62 $32,636.17 2026-09-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 17 4 — — $11,257.94 $137,711.76 $32,618.42 2026-09-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 3 — — $15,384.34 $124,074.72 $32,530.84 2026-09-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 3 — — $22,803.82 $133,880.01 $32,375.72 2026-09-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 17 4 — — $10,287.71 $132,979.89 $32,296.32 2026-09-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 3 — — $6,568.23 $127,468.86 $32,014.40 2026-09-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 10 3 — — $26,724.36 $131,844.95 $31,979.59 2026-09-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 4 — — $6,531.94 $237,892.30 $31,896.72 2026-09-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 3 — — $10,008.38 $64,099.27 $31,891.96 2026-09-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 4 — — $8,972.62 $139,177.58 $31,888.66 2026-09-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 3 — — $13,053.71 $126,629.22 $31,694.74 2026-09-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 17 4 — — $8,907.55 $137,373.77 $31,640.37 2026-09-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 4 — — $12,821.55 $126,526.04 $31,371.74 2026-09-01
L5969 HCPCS Ak/ft Power Asst Incl Motors 5 3 — — $13,782.16 $50,263.54 $30,734.22 2026-09-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 17 4 — — $10,883.47 $125,213.21 $30,605.30 2026-09-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 17 4 — — $10,568.76 $127,045.48 $30,393.08 2026-09-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 3 — — $14,481.44 $141,746.31 $30,363.25 2026-09-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 5 — — $7,324.64 $130,628.18 $30,078.67 2026-09-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 17 4 — — $5,085.86 $128,500.62 $30,067.62 2026-09-01
265 MS_DRG Aicd Lead Procedures 17 4 — — $11,029.79 $128,728.32 $29,921.67 2026-09-01
E0766 HCPCS Dme Pos 5 3 — — $1.00 $57,210.38 $29,844.49 2026-09-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 3 — — $13,808.36 $128,995.15 $29,819.48 2026-09-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 3 — — $8,886.29 $121,975.62 $29,667.87 2026-09-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 17 4 — — $9,028.39 $113,045.54 $29,613.00 2026-09-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 17 4 — — $5,416.50 $121,217.80 $29,605.45 2026-09-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 4 — — $6,019.37 $112,052.91 $29,479.32 2026-09-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 17 4 — — $7,891.71 $126,750.18 $29,389.87 2026-09-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 17 4 — — $13,958.94 $126,856.92 $29,368.90 2026-09-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 16 3 — — $11,557.26 $123,505.47 $29,347.70 2026-09-01
L6955 HCPCS Dme Pos 5 3 — — $15,376.27 $56,077.26 $29,253.41 2026-09-01
332 MS_DRG Rectal Resection With Mcc 17 4 — — $6,554.51 $128,817.26 $29,095.46 2026-09-01
252 MS_DRG Other Vascular Procedures With Mcc 16 3 — — $11,183.88 $124,106.74 $29,055.49 2026-09-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 21 4 — — $10,226.16 $113,593.44 $29,008.38 2026-09-01
665 MS_DRG Prostatectomy With Mcc 16 3 — — $5,700.71 $111,046.05 $29,007.74 2026-09-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 3 3 — — $5,709.97 $32,289.90 $28,933.90 2026-09-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 17 4 — — $10,799.97 $122,907.76 $28,846.33 2026-09-01
L6960 HCPCS Dme Pos 5 3 — — $15,161.77 $55,294.98 $28,845.30 2026-09-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 17 4 — — $5,299.65 $125,469.37 $28,730.58 2026-09-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 7 3 — — $13,158.13 $68,603.91 $28,641.36 2026-09-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 16 3 — — $14,137.87 $93,833.42 $28,362.03 2026-09-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 4 — — $8,955.88 $114,931.17 $28,314.01 2026-09-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 17 4 — — $9,312.56 $121,377.90 $28,156.00 2026-09-01
Q4225 HCPCS Amnio Or Derma Tl, Per Sq Cm 1 1 — — $28,027.20 $28,027.20 $28,027.20 2026-09-01
37 MS_DRG Extracranial Procedures With Mcc 17 4 — — $9,712.87 $117,126.33 $27,855.71 2026-09-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 3 — — $13,625.91 $113,273.24 $27,595.26 2026-09-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 17 4 — — $13,194.93 $114,813.76 $27,531.45 2026-09-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 17 4 — — $17,558.84 $107,915.19 $27,417.86 2026-09-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 19 4 — — $4,039.47 $112,106.28 $27,324.50 2026-09-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 3 — — $8,417.59 $128,308.50 $27,141.27 2026-09-01
L7191 HCPCS Dme Pos 5 3 — — $14,235.66 $51,917.45 $27,083.37 2026-09-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 3 — — $7,855.86 $60,389.25 $27,026.60 2026-09-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 16 3 — — $11,934.44 $115,091.27 $27,010.83 2026-09-01
Q0479 HCPCS Dme Pos 5 3 — — $14,192.24 $51,759.10 $27,000.75 2026-09-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 3 — — $7,807.96 $115,219.35 $26,952.38 2026-09-01
264 MS_DRG Other Circulatory System O.r. Procedures 17 4 — — $8,216.72 $118,851.87 $26,898.29 2026-09-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 3 — — $8,365.54 $129,094.77 $26,883.78 2026-09-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 5 — — $9,234.81 $132,965.66 $26,782.44 2026-09-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 11 3 — — $10,776.29 $114,589.62 $26,677.20 2026-09-01
500 MS_DRG Soft Tissue Procedures With Mcc 17 4 — — $7,026.98 $112,597.25 $26,579.06 2026-09-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 21 4 — — $13,850.76 $113,383.53 $26,446.20 2026-09-01
662 MS_DRG Minor Bladder Procedures With Mcc 16 3 — — $8,653.54 $108,922.05 $26,423.01 2026-09-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 21 4 — — $6,251.75 $115,728.12 $26,214.12 2026-09-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 4 — — $10,716.15 $117,112.10 $26,212.97 2026-09-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 3 — — $7,371.13 $112,426.48 $26,119.78 2026-09-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 3 — — $17,364.23 $110,619.12 $25,906.35 2026-09-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 15 4 — — $7,323.37 $105,894.36 $25,739.42 2026-09-01
570 MS_DRG Skin Debridement With Mcc 16 3 — — $11,272.77 $104,638.46 $25,496.40 2026-09-01
L7186 HCPCS Dme Pos 5 3 — — $13,392.36 $48,841.94 $25,479.00 2026-09-01
974 MS_DRG HIV With Major Related Condition With Mcc 16 3 — — $8,612.61 $102,678.11 $25,293.11 2026-09-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 16 3 — — $12,171.86 $103,613.81 $24,910.27 2026-09-01
L6945 HCPCS Dme Pos 5 3 — — $13,037.57 $47,548.02 $24,804.00 2026-09-01
472 MS_DRG Cervical Spinal Fusion With Cc 21 5 — — $8,244.20 $104,816.35 $24,776.85 2026-09-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 4 — — $11,404.34 $110,814.80 $24,732.86 2026-09-01
668 MS_DRG Transurethral Procedures With Mcc 16 3 — — $5,446.33 $103,887.76 $24,701.06 2026-09-01
800 MS_DRG Splenic Procedures With Cc 16 3 — — $8,774.30 $99,952.83 $24,679.89 2026-09-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 17 4 — — $7,780.47 $103,247.36 $24,602.00 2026-09-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 17 4 — — $9,963.45 $101,415.09 $24,427.53 2026-09-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 16 3 — — $5,486.09 $107,449.12 $24,284.33 2026-09-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 17 4 — — $15,848.49 $94,637.48 $24,021.55 2026-09-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 17 4 — — $9,896.78 $103,183.32 $24,017.44 2026-09-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 4 — — $5,549.29 $114,219.61 $24,007.29 2026-09-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 17 4 — — $5,927.60 $107,463.35 $23,973.74 2026-09-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 4 — — $6,701.91 $102,115.98 $23,946.54 2026-09-01
654 MS_DRG Major Bladder Procedures With Cc 16 3 — — $11,137.10 $99,593.50 $23,903.18 2026-09-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 20 4 — — $7,749.62 $85,575.76 $23,627.68 2026-09-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 13 3 — — $6,466.87 $88,656.82 $23,324.18 2026-09-01
L6950 HCPCS Dme Pos 5 3 — — $12,253.38 $44,688.08 $23,312.09 2026-09-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 18 4 — — $10,721.59 $62,724.01 $23,302.98 2026-09-01
K1014 HCPCS Ak 4 Bar Link Hydl Swg/stanc 1 1 — — $23,128.91 $23,128.91 $23,128.91 2026-09-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 16 3 — — $12,929.73 $97,263.14 $23,010.45 2026-09-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 17 4 — — $6,779.33 $117,524.81 $22,952.92 2026-09-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 17 4 — — $11,932.69 $96,281.18 $22,911.82 2026-09-01
836 MS_DRG Acute Leukemia Without Cc/mcc 16 3 — — $7,040.12 $43,387.37 $22,821.64 2026-09-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 17 4 — — $9,614.00 $98,092.10 $22,676.12 2026-09-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 20 4 — — $8,495.90 $90,830.63 $22,647.44 2026-09-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 17 4 — — $9,155.87 $91,890.86 $22,601.47 2026-09-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 16 3 — — $11,840.00 $94,306.60 $22,553.92 2026-09-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 17 4 — — $5,723.25 $97,793.25 $22,511.71 2026-09-01
L7190 HCPCS Dme Pos 5 3 — — $11,806.22 $43,057.28 $22,461.36 2026-09-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 17 4 — — $14,167.12 $97,768.34 $22,434.46 2026-09-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 16 3 — — $14,563.02 $104,745.19 $22,393.83 2026-09-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 21 4 — — $6,679.34 $111,789.63 $22,378.00 2026-09-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 17 4 — — $7,765.56 $102,528.68 $22,228.20 2026-09-01
503 MS_DRG Foot Procedures With Mcc 17 4 — — $6,385.19 $99,301.76 $22,199.68 2026-09-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 16 3 — — $11,194.11 $95,968.10 $22,161.76 2026-09-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 22 5 — — $6,452.73 $86,856.57 $22,133.78 2026-09-01
263 MS_DRG Vein Ligation And Stripping 17 4 — — $3,625.33 $108,776.18 $22,121.32 2026-09-01
L6940 HCPCS Dme Pos 5 3 — — $11,525.09 $42,032.00 $21,926.50 2026-09-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 16 3 — — $7,242.77 $91,350.07 $21,925.44 2026-09-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 16 3 — — $10,408.17 $90,400.14 $21,889.02 2026-09-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 17 4 — — $7,297.44 $140,766.70 $21,792.21 2026-09-01
849 MS_DRG Radiotherapy 16 3 — — $3,936.73 $96,398.59 $21,739.42 2026-09-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 16 3 — — $5,904.80 $92,235.96 $21,630.68 2026-09-01
253 MS_DRG Other Vascular Procedures With Cc 17 4 — — $6,897.11 $92,346.26 $21,414.56 2026-09-01
545 MS_DRG Connective Tissue Disorders With Mcc 16 3 — — $7,956.20 $88,293.92 $21,402.85 2026-09-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 15 3 — — $3,879.71 $81,174.76 $21,264.42 2026-09-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 17 4 — — $3,689.36 $107,331.71 $21,178.86 2026-09-01
164 MS_DRG Major Chest Procedures With Cc 17 4 — — $12,370.98 $89,798.87 $21,112.60 2026-09-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 17 4 — — $4,220.05 $82,651.25 $21,004.39 2026-09-01
397 MS_DRG Appendix Procedures With Mcc 15 4 — — $6,127.60 $85,205.75 $20,783.79 2026-09-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 13 3 — — $9,531.67 $77,204.26 $20,765.94 2026-09-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 16 3 — — $7,338.09 $87,468.51 $20,737.10 2026-09-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 24 6 — — $9,312.00 $102,727.92 $20,703.57 2026-09-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 17 4 — — $10,222.17 $89,759.74 $20,699.91 2026-09-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 16 3 — — $12,684.13 $86,959.75 $20,566.01 2026-09-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 16 3 — — $6,403.03 $84,903.34 $20,128.96 2026-09-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 17 4 — — $5,692.71 $91,762.78 $20,107.71 2026-09-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 17 4 — — $6,728.47 $91,762.78 $20,107.71 2026-09-01
347 MS_DRG Anal And Stomal Procedures With Mcc 16 3 — — $7,791.58 $81,672.86 $20,100.16 2026-09-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 16 3 — — $11,364.87 $85,287.58 $20,020.54 2026-09-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 18 5 — — $5,103.07 $90,229.37 $20,005.79 2026-09-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 3 — — $13,431.71 $42,489.36 $20,000.34 2026-09-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 3 — — $9,871.64 $82,227.87 $19,988.35 2026-09-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 21 4 — — $6,968.82 $75,813.16 $19,945.22 2026-09-01
0480 RC — 1 1 — — $19,872.00 $19,872.00 $19,872.00 2026-09-01
0489 RC — 1 1 — — $19,872.00 $19,872.00 $19,872.00 2026-09-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 21 4 — — $7,663.31 $77,648.99 $19,777.36 2026-09-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 17 4 — — $7,831.93 $87,493.42 $19,700.72 2026-09-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 3 — — $19,633.92 $20,667.29 $19,633.92 2026-09-01
113 MS_DRG Orbital Procedures With Cc/mcc 17 4 — — $3,860.12 $83,647.44 $19,632.16 2026-09-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 17 4 — — $8,668.46 $75,332.86 $19,619.14 2026-09-01
L8687 HCPCS Imp Nstim Gen Dl Rechrg 5 3 $0.01 — $1.00 $28,970.89 $19,565.75 2026-09-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 16 3 — — $5,744.86 $83,202.71 $19,552.15 2026-09-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 17 4 — — $11,294.69 $77,841.11 $19,526.78 2026-09-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 17 4 — — $12,421.18 $81,317.08 $19,461.84 2026-09-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 21 4 — — $7,478.73 $73,934.64 $19,451.02 2026-09-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 16 3 — — $6,741.03 $78,552.67 $19,398.85 2026-09-01
671 MS_DRG Urethral Procedures With Cc/mcc 12 2 — — $10,065.97 $63,862.51 $19,328.10 2026-09-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 16 3 — — $8,252.68 $77,979.86 $19,303.13 2026-09-01
L6935 HCPCS Dme Pos 5 3 — — $10,349.38 $36,994.18 $19,298.46 2026-09-01
L5857 HCPCS Dme Pos 5 3 — — $10,095.74 $36,819.16 $19,207.17 2026-09-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 16 3 — — $8,706.76 $79,598.66 $19,127.80 2026-09-01
See an error in this hospital's data? Submit a correction