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

UNITED REGIONAL HEALTH CARE SYSTEM

Wichita Falls, TX · CCN 450010 · Rates published

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You selected 29806 (CPT)

SHO ARTHRS SRG CAPSULORRAPHY

This hospital’s price: $7,784 across 3 payers · range $7,784-$8,155

Source: https://unitedregional.org/getContentAsset/a128db8c-8ea3-461b-9531-3197f7c0b635/c204d644-0ccb-43d4-a505-69664b0a9bc3/751912147-united-regional-health-care-system-standardcharges.csv?language=en · observed 2026-11-07

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

4,352 distinct procedures filed
91 distinct payers
890,253 rate rows
2026-07-15 last MRF observed
Data quality

395,517 of 890,253 rate rows are consumer-grade (44.4%)

494,736 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 426,527
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 67,408
placeholder amount (≤ $0.02) — excluded from medians 792
exceeds 10× this hospital's gross charge — excluded from medians 6
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://unitedregional.org/getContentAsset/a128db8c-8ea3-461b-9531-3197f7c0b635/c204d644-0ccb-43d4-a505-69664b0a9bc3/751912147-united-regional-health-care-system-standardcharges.csv?language=en
Found on page https://unitedregional.org/patients-and-visitors/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-07
Content fingerprint 337f5936e4c7502e… · 5,717,377 bytes · first seen 2026-10-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $250,666.03 $262,602.67 $250,666.03 nat. median
$247,805
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $190,717.42 $199,799.33 $190,717.42 nat. median
$190,274
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $125,741.50 $131,729.27 $125,741.50 nat. median
$126,240
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 3 $94,282.77 $98,772.48 $94,282.77 nat. median
$93,531
1.0× median
23474
CPT 		Revis Reconst Shoulder Joint 20 $58,011.46 $110,221.76 $92,818.33 nat. median
$9,166
outlier · 10.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $85,883.45 $89,973.19 $85,883.45 nat. median
$90,525
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $75,408.77 $78,999.71 $75,408.77 nat. median
$76,979
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $74,221.58 $77,755.99 $74,221.58 nat. median
$77,933
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $69,556.48 $72,868.74 $69,556.48 nat. median
$71,672
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $68,855.20 $72,134.06 $68,855.20 nat. median
$72,153
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $66,422.97 $69,586.02 $66,422.97 nat. median
$67,850
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $63,174.67 $66,183.03 $63,174.67 nat. median
$63,446
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $62,888.10 $65,882.82 $62,888.10 nat. median
$66,553
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $61,909.16 $64,857.26 $61,909.16 nat. median
$62,605
1.0× median
50548
CPT 		Laparo Remove W/ureter 20 $37,627.85 $71,492.92 $60,204.56 nat. median
$3,691
outlier · 16.3×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc 3 $59,663.83 $62,505.00 $59,663.83 nat. median
$60,364
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $59,334.55 $62,160.04 $59,334.55 nat. median
$63,874
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 3 $57,559.10 $60,300.05 $57,559.10 nat. median
$59,289
1.0× median
C1767
HCPCS 		20 $34,828.88 $66,174.88 $55,726.22 nat. median
$23,834
outlier · 2.3×
C1820
HCPCS 		20 $34,685.56 $65,902.56 $55,496.90 nat. median
$22,950
outlier · 2.4×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 $55,052.12 $57,673.69 $55,052.12 nat. median
$57,570
1.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 3 $54,360.63 $56,949.27 $54,360.63 nat. median
$57,665
0.9× median
28
MS_DRG 		Spinal Procedures With Mcc 3 $54,100.77 $56,677.03 $54,100.77 nat. median
$54,301
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 $53,311.39 $55,850.06 $53,311.39 nat. median
$58,153
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $52,943.84 $55,465.01 $52,943.84 nat. median
$59,554
0.9× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 3 $52,362.70 $54,856.20 $52,362.70 nat. median
$55,354
0.9× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 $50,768.81 $53,186.40 $50,768.81 nat. median
$53,315
1.0× median
27702
CPT 		Reconstruct Ankle Joint 21 $17,951.70 $63,965.55 $50,499.12 nat. median
$15,294
outlier · 3.3×
834
MS_DRG 		Acute Leukemia Without Major O.r. Procedures With Mcc 3 $49,186.48 $51,528.73 $49,186.48 nat. median
$50,311
1.0× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 $48,680.99 $50,999.16 $48,680.99 nat. median
$51,145
1.0× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 3 $48,063.37 $50,352.13 $48,063.37 nat. median
$49,857
1.0× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 $48,017.98 $50,304.58 $48,017.98 nat. median
$49,925
1.0× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 $47,344.29 $49,598.81 $47,344.29 nat. median
$51,524
0.9× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $47,134.26 $49,378.78 $47,134.26 nat. median
$50,491
0.9× median
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc 3 $45,829.60 $48,011.99 $45,829.60 nat. median
$48,240
1.0× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 3 $45,679.20 $47,854.43 $45,679.20 nat. median
$49,269
0.9× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 3 $45,336.57 $47,495.48 $45,336.57 nat. median
$46,310
1.0× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 3 $45,197.74 $47,350.04 $45,197.74 nat. median
$46,321
1.0× median
42420
CPT 		Excise Parotid Gland/lesion 21 $5,774.65 $57,022.91 $45,018.09 nat. median
$6,078
outlier · 7.4×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 $44,822.18 $46,956.60 $44,822.18 nat. median
$45,076
1.0× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 $44,510.70 $46,630.28 $44,510.70 nat. median
$45,281
1.0× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 3 $44,345.17 $46,456.87 $44,345.17 nat. median
$47,242
0.9× median
C1882
HCPCS 		20 $27,710.22 $52,649.43 $44,336.36 nat. median
$27,307
1.6× median
27759
CPT 		Treatment Of Tibia Fracture 21 $12,560.13 $56,087.97 $44,279.98 nat. median
$10,481
outlier · 4.2×
L8614
HCPCS 		20 $27,214.21 $51,707.00 $43,542.74 nat. median
$22,134
2.0× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 3 $43,224.73 $45,283.07 $43,224.73 nat. median
$44,805
1.0× median
64555
CPT 		Hc Prq Impltj Neurostimulator Eltrd Peripheral Nrv 21 $6,406.47 $53,919.56 $42,568.07 nat. median
$6,824
outlier · 6.2×
799
MS_DRG 		Splenectomy With Mcc 3 $42,312.53 $44,327.44 $42,312.53 nat. median
$43,208
1.0× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 $42,310.75 $44,325.58 $42,310.75 nat. median
$43,542
1.0× median
60271
CPT 		Removal Of Thyroid 21 $5,774.65 $53,364.01 $42,129.48 nat. median
$6,153
outlier · 6.8×

Other procedures at this hospital

Browse this hospital's 4,352 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 3 $442,001.86 $419,901.77 $250,666.03 $262,602.67 $250,666.03 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 3 $528,026.90 $501,625.56 $190,717.42 $199,799.33 $190,717.42 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 3 $261,129.10 $248,072.64 $125,741.50 $131,729.27 $125,741.50 2026-07-15
215 MS_DRG Other Heart Assist System Implant 3 3 $266,417.48 $253,096.61 $94,282.77 $98,772.48 $94,282.77 2026-07-15
23474 CPT Revis Reconst Shoulder Joint 84 20 $116,022.91 $110,221.76 $58,011.46 $110,221.76 $92,818.33 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 $691,838.97 $657,247.02 $85,883.45 $89,973.19 $85,883.45 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 3 $491,853.56 $467,260.88 $75,408.77 $78,999.71 $75,408.77 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 3 $152,274.91 $144,661.16 $74,221.58 $77,755.99 $74,221.58 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 3 $301,786.01 $286,696.70 $69,556.48 $72,868.74 $69,556.48 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 $514,888.41 $489,143.99 $68,855.20 $72,134.06 $68,855.20 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 3 $378,902.50 $359,957.37 $66,422.97 $69,586.02 $66,422.97 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 $123,782.21 $117,593.10 $63,174.67 $66,183.03 $63,174.67 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 3 $146,428.83 $139,107.39 $62,888.10 $65,882.82 $62,888.10 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 3 $228,253.84 $216,841.15 $61,909.16 $64,857.26 $61,909.16 2026-07-15
50548 CPT Laparo Remove W/ureter 84 20 $75,255.70 $71,492.92 $37,627.85 $71,492.92 $60,204.56 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc 3 3 $94,059.69 $89,356.71 $59,663.83 $62,505.00 $59,663.83 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 3 $84,721.61 $80,485.53 $59,334.55 $62,160.04 $59,334.55 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 3 $185,596.00 $176,316.20 $57,559.10 $60,300.05 $57,559.10 2026-07-15
C1767 HCPCS — 84 20 $69,657.77 $66,174.88 $34,828.88 $66,174.88 $55,726.22 2026-07-15
C1820 HCPCS — 84 20 $69,371.12 $65,902.56 $34,685.56 $65,902.56 $55,496.90 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 3 $237,307.25 $225,441.89 $55,052.12 $57,673.69 $55,052.12 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 3 $386,520.42 $367,194.39 $54,360.63 $56,949.27 $54,360.63 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 3 3 $170,064.69 $161,561.46 $54,100.77 $56,677.03 $54,100.77 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 3 $224,439.94 $213,217.94 $53,311.39 $55,850.06 $53,311.39 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 $91,266.02 $86,702.72 $52,943.84 $55,465.01 $52,943.84 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 3 $262,201.33 $249,091.26 $52,362.70 $54,856.20 $52,362.70 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 $577,237.26 $548,375.40 $50,768.81 $53,186.40 $50,768.81 2026-07-15
27702 CPT Reconstruct Ankle Joint 87 21 $67,332.16 $63,965.55 $17,951.70 $63,965.55 $50,499.12 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 3 3 $245,874.18 $233,580.47 $49,186.48 $51,528.73 $49,186.48 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 3 $76,951.76 $73,104.17 $48,680.99 $50,999.16 $48,680.99 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 $70,444.11 $66,921.90 $48,063.37 $50,352.13 $48,063.37 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 3 $414,630.15 $393,898.64 $48,017.98 $50,304.58 $48,017.98 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 3 $366,583.72 $348,254.53 $47,344.29 $49,598.81 $47,344.29 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 $333,568.49 $316,890.06 $47,134.26 $49,378.78 $47,134.26 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc 3 3 $52,218.19 $49,607.28 $45,829.60 $48,011.99 $45,829.60 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 3 $132,521.66 $125,895.58 $45,679.20 $47,854.43 $45,679.20 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 $97,683.02 $92,798.86 $45,336.57 $47,495.48 $45,336.57 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 $103,631.26 $98,449.70 $45,197.74 $47,350.04 $45,197.74 2026-07-15
42420 CPT Excise Parotid Gland/lesion 87 21 $60,024.12 $57,022.91 $5,774.65 $57,022.91 $45,018.09 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 3 $72,798.22 $69,158.31 $44,822.18 $46,956.60 $44,822.18 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 $159,094.57 $151,139.84 $44,510.70 $46,630.28 $44,510.70 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 3 $67,788.08 $64,398.68 $44,345.17 $46,456.87 $44,345.17 2026-07-15
C1882 HCPCS — 84 20 $55,420.45 $52,649.43 $27,710.22 $52,649.43 $44,336.36 2026-07-15
27759 CPT Treatment Of Tibia Fracture 87 21 $59,039.97 $56,087.97 $12,560.13 $56,087.97 $44,279.98 2026-07-15
L8614 HCPCS — 84 20 $54,428.42 $51,707.00 $27,214.21 $51,707.00 $43,542.74 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 $61,769.92 $58,681.42 $43,224.73 $45,283.07 $43,224.73 2026-07-15
64555 CPT Hc Prq Impltj Neurostimulator Eltrd Peripheral Nrv 87 21 $56,757.43 $53,919.56 $6,406.47 $53,919.56 $42,568.07 2026-07-15
799 MS_DRG Splenectomy With Mcc 3 3 $99,426.68 $94,455.35 $42,312.53 $44,327.44 $42,312.53 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 $98,721.58 $93,785.50 $42,310.75 $44,325.58 $42,310.75 2026-07-15
60271 CPT Removal Of Thyroid 87 21 $56,172.65 $53,364.01 $5,774.65 $53,364.01 $42,129.48 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 3 $50,323.14 $47,806.98 $41,866.67 $43,860.34 $41,866.67 2026-07-15
277 MS_DRG Cellulitis Age >17 W Cc 3 3 $77,461.42 $73,588.35 $41,402.11 $43,373.67 $41,402.11 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 3 3 $192,801.14 $183,161.08 $41,016.77 $42,969.97 $41,016.77 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 $136,620.09 $129,789.09 $40,869.04 $42,815.21 $40,869.04 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 $130,316.30 $123,800.48 $40,863.70 $42,809.61 $40,863.70 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 3 $162,954.67 $154,806.93 $40,148.18 $42,060.02 $40,148.18 2026-07-15
C1772 HCPCS — 84 20 $50,168.88 $47,660.44 $25,084.44 $47,660.44 $40,135.10 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 3 $118,949.40 $113,001.93 $39,908.78 $41,809.23 $39,908.78 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 3 $170,837.66 $162,295.78 $39,798.43 $41,693.62 $39,798.43 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 3 3 $47,441.79 $45,069.70 $39,426.43 $41,303.91 $39,426.43 2026-07-15
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 87 21 $51,981.90 $49,382.80 $18,616.58 $49,382.80 $38,986.42 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 3 $113,702.17 $108,017.06 $37,959.80 $39,767.43 $37,959.80 2026-07-15
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 3 3 $132,154.45 $125,546.72 $37,904.62 $39,709.63 $37,904.62 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 3 3 $186,141.10 $176,834.04 $37,635.86 $39,428.07 $37,635.86 2026-07-15
33999 CPT Unlisted Px Cardiac Surgery 87 21 $49,950.87 $47,453.33 $603.52 $47,453.33 $37,463.15 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 3 $204,151.36 $193,943.79 $37,288.78 $39,064.46 $37,288.78 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 3 $79,694.64 $75,709.91 $37,025.35 $38,788.49 $37,025.35 2026-07-15
60650 CPT Laparoscopy Adrenalectomy 84 20 $46,160.12 $43,852.11 $23,080.06 $43,852.11 $36,928.09 2026-07-15
0796T CPT Hc Tcat Insj Perm 2chmbr Ldls Pm R Atr Pm Compnt 87 21 $49,126.43 $46,670.11 $18,616.58 $46,670.11 $36,844.82 2026-07-15
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 87 21 $49,126.43 $46,670.11 $18,616.58 $46,670.11 $36,844.82 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 3 $212,952.00 $202,304.40 $36,592.84 $38,335.38 $36,592.84 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 3 $71,258.26 $67,695.35 $36,572.37 $38,313.94 $36,572.37 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 3 $63,788.62 $60,599.19 $36,518.09 $38,257.07 $36,518.09 2026-07-15
C1722 HCPCS — 84 20 $45,482.99 $43,208.84 $22,741.50 $43,208.84 $36,386.39 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 3 $70,124.87 $66,618.63 $36,338.32 $38,068.74 $36,338.32 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 3 $89,455.61 $84,982.83 $36,195.03 $37,918.63 $36,195.03 2026-07-15
93656 CPT Compre Ep Eval Abltj Atr Fib 87 21 $47,853.65 $45,460.97 $23,926.82 $45,460.97 $35,890.24 2026-07-15
33249 CPT Insj/rplcmt Defib W/lead(s) 87 21 $47,331.50 $44,964.92 $23,665.75 $44,964.92 $35,498.62 2026-07-15
33231 CPT Insrt Pulse Gen W/mult Leads 87 21 $47,331.50 $44,964.92 $23,665.75 $44,964.92 $35,498.62 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 3 3 $116,752.87 $110,915.23 $35,451.04 $37,139.21 $35,451.04 2026-07-15
33366 CPT Trcath Replace Aortic Valve 84 20 $44,149.10 $41,941.64 $22,074.55 $41,941.64 $35,319.28 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 3 3 $155,764.08 $147,975.88 $35,119.98 $36,792.38 $35,119.98 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 $87,446.64 $83,074.30 $34,967.80 $36,632.95 $34,967.80 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 $89,327.41 $84,861.03 $34,395.56 $36,033.47 $34,395.56 2026-07-15
51050 CPT Removal Of Bladder Stone 87 21 $45,855.20 $43,562.44 $4,962.45 $43,562.44 $34,391.40 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 3 $108,987.82 $103,538.43 $34,271.86 $35,903.87 $34,271.86 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 3 $100,167.70 $95,159.32 $34,015.55 $35,635.36 $34,015.55 2026-07-15
27870 CPT Fusion Of Ankle Joint Open 87 21 $45,319.58 $43,053.60 $12,560.13 $43,053.60 $33,989.68 2026-07-15
63655 CPT Implant Neuroelectrodes 87 21 $45,287.24 $43,022.88 $20,933.24 $43,022.88 $33,965.43 2026-07-15
C9767 HCPCS — 87 21 $44,905.50 $42,660.22 $17,528.70 $42,660.22 $33,679.12 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 3 $43,046.24 $40,893.93 $33,567.02 $35,165.47 $33,567.02 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 3 $40,298.33 $38,283.41 $33,319.62 $34,906.29 $33,319.62 2026-07-15
33365 CPT Replace Aortic Valve Open 84 20 $40,752.25 $38,714.64 $20,376.12 $38,714.64 $32,601.80 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 3 $375,119.45 $356,363.47 $32,468.83 $34,014.98 $32,468.83 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 3 $69,965.01 $66,466.76 $32,250.79 $33,786.56 $32,250.79 2026-07-15
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 87 21 $42,929.31 $40,782.84 $18,616.58 $40,782.84 $32,196.98 2026-07-15
0275 RC — 4,116 20 $40,739.76 $38,702.77 $4,162.27 $129,408.66 $31,985.90 2026-07-15
29846 CPT Wrist Arthroscopy/surgery 87 21 $42,610.50 $40,479.98 $3,167.27 $40,479.98 $31,957.88 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 3 $510,666.80 $485,133.46 $31,902.82 $33,422.02 $31,902.82 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 3 $86,083.68 $81,779.50 $31,893.92 $33,412.70 $31,893.92 2026-07-15
265 MS_DRG Aicd Lead Procedures 3 3 $33,980.60 $32,281.57 $31,743.52 $33,255.14 $31,743.52 2026-07-15
60200 CPT Remove Thyroid Lesion 87 21 $42,316.82 $40,200.98 $5,695.29 $40,200.98 $31,737.62 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 3 $66,510.93 $63,185.38 $31,602.02 $33,106.90 $31,602.02 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 3 $45,836.86 $43,545.02 $31,408.01 $32,903.65 $31,408.01 2026-07-15
33364 CPT Replace Aortic Valve Open 84 20 $39,053.80 $37,101.11 $19,526.90 $37,101.11 $31,243.04 2026-07-15
33363 CPT Replace Aortic Valve Open 84 20 $39,053.80 $37,101.11 $19,526.90 $37,101.11 $31,243.04 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 $31,554.82 $29,977.08 $31,174.84 $32,659.38 $31,174.84 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 3 3 $71,800.94 $68,210.89 $31,102.76 $32,583.86 $31,102.76 2026-07-15
C1721 HCPCS — 84 20 $38,603.21 $36,673.05 $19,301.60 $36,673.05 $30,882.57 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 3 $73,695.26 $70,010.50 $30,653.33 $32,113.04 $30,653.33 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 3 $156,666.08 $148,832.78 $30,603.50 $32,060.83 $30,603.50 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 3 3 $41,141.45 $39,084.38 $30,526.96 $31,980.65 $30,526.96 2026-07-15
31276 CPT Nsl/sins Ndsc Frnt Tiss Rmvl 87 21 $40,698.90 $38,663.96 $6,757.47 $38,663.96 $30,524.18 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 3 $108,195.59 $102,785.81 $30,479.79 $31,931.23 $30,479.79 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 3 $70,244.99 $66,732.74 $30,318.71 $31,762.48 $30,318.71 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 3 $35,966.09 $34,167.79 $30,187.00 $31,624.50 $30,187.00 2026-07-15
33362 CPT Hc Replace Aortic Valve Open Femoral Artery Approach 84 20 $37,355.40 $35,487.63 $18,677.70 $35,487.63 $29,884.32 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 3 $139,566.81 $132,588.47 $29,871.07 $31,293.52 $29,871.07 2026-07-15
33274 CPT Hc Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 87 21 $39,785.00 $37,795.75 $18,616.58 $37,795.75 $29,838.75 2026-07-15
C1822 HCPCS — 84 20 $37,265.48 $35,402.20 $18,632.74 $35,402.20 $29,812.38 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 3 3 $141,712.94 $134,627.29 $29,552.47 $30,959.75 $29,552.47 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 3 $122,956.40 $116,808.58 $29,087.92 $30,473.08 $29,087.92 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 3 3 $60,645.87 $57,613.58 $28,991.80 $30,372.38 $28,991.80 2026-07-15
43775 CPT Lap Sleeve Gastrectomy 84 20 $36,107.74 $34,302.35 $18,053.87 $34,302.35 $28,886.19 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 3 3 $103,680.12 $98,496.11 $28,688.33 $30,054.46 $28,688.33 2026-07-15
50545 CPT Laparo Radical Nephrectomy 84 20 $35,705.45 $33,920.18 $17,852.72 $33,920.18 $28,564.36 2026-07-15
279 MS_DRG Cellulitis Age 0-17 3 3 $119,315.08 $113,349.33 $28,515.68 $29,873.59 $28,515.68 2026-07-15
24430 CPT Rpr Non/mal Humerus Wo Graft 87 21 $37,983.03 $36,083.87 $12,560.13 $36,083.87 $28,487.27 2026-07-15
324 MS_DRG Urinary Stones Without Cc 3 3 $106,844.35 $101,502.13 $28,433.81 $29,787.82 $28,433.81 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 3 3 $108,598.77 $103,168.83 $28,383.97 $29,735.61 $28,383.97 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 3 3 $171,946.87 $163,349.53 $28,197.97 $29,540.75 $28,197.97 2026-07-15
69643 CPT Revise Middle Ear & Mastoid 87 21 $37,106.83 $35,251.49 $5,774.65 $35,251.49 $27,830.12 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 3 3 $45,288.90 $43,024.46 $27,773.47 $29,096.03 $27,773.47 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 3 3 $134,900.30 $128,155.28 $27,642.64 $28,958.98 $27,642.64 2026-07-15
C9766 HCPCS Hc Revasc Intra Lithotrip-ather 87 21 $36,809.86 $34,969.37 $17,528.70 $34,969.37 $27,607.40 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 3 $64,872.93 $61,629.28 $27,518.94 $28,829.38 $27,518.94 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 3 $80,574.20 $76,545.49 $27,461.98 $28,769.72 $27,461.98 2026-07-15
63001 CPT Remove Spine Lamina 1/2 Crvl 87 21 $36,606.05 $34,775.75 $6,973.45 $34,775.75 $27,454.54 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 3 $81,727.15 $77,640.79 $27,442.41 $28,749.20 $27,442.41 2026-07-15
27380 CPT Repair Of Kneecap Tendon 87 21 $36,394.08 $34,574.37 $6,973.45 $34,574.37 $27,295.56 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 3 3 $150,934.24 $143,387.53 $27,218.14 $28,514.26 $27,218.14 2026-07-15
33361 CPT Hc Replace Aortic Valve Perq Fem Artry Approach 84 20 $33,958.50 $32,260.58 $16,979.25 $32,260.58 $27,166.80 2026-07-15
42305 CPT Drainage Of Salivary Gland 87 21 $36,209.47 $34,399.00 $3,165.77 $34,399.00 $27,157.10 2026-07-15
25390 CPT Shorten Radius Or Ulna 87 21 $36,030.39 $34,228.87 $6,973.45 $34,228.87 $27,022.79 2026-07-15
69641 CPT Revise Middle Ear & Mastoid 87 21 $35,788.90 $33,999.46 $5,774.65 $33,999.46 $26,841.68 2026-07-15
28735 CPT Fusion Of Foot Bones 87 21 $35,587.66 $33,808.28 $12,560.13 $33,808.28 $26,690.74 2026-07-15
55866 CPT Laps Surg Prst8ect Rpbic Rad 87 21 $35,578.79 $33,799.85 $10,163.06 $33,799.85 $26,684.09 2026-07-15
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 87 21 $35,514.24 $33,738.53 $17,528.70 $33,738.53 $26,635.68 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 3 3 $39,912.80 $37,917.16 $26,573.82 $27,839.25 $26,573.82 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 $61,466.69 $58,393.36 $26,240.98 $27,490.56 $26,240.98 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 3 $156,465.95 $148,642.65 $26,173.34 $27,419.71 $26,173.34 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 $74,031.19 $70,329.63 $26,100.37 $27,343.26 $26,100.37 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 3 $100,081.94 $95,077.84 $25,938.40 $27,173.57 $25,938.40 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 3 $40,361.77 $38,343.68 $25,915.26 $27,149.33 $25,915.26 2026-07-15
C1733 HCPCS — 84 20 $32,296.75 $30,681.91 $16,148.38 $30,681.91 $25,837.40 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 3 3 $74,344.75 $70,627.51 $25,781.76 $27,009.48 $25,781.76 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 3 3 $74,111.61 $70,406.03 $25,434.69 $26,645.88 $25,434.69 2026-07-15
321 MS_DRG Kidney & Urinary Tract Infections Age >17 Without Cc 3 3 $70,983.18 $67,434.02 $25,334.12 $26,540.52 $25,334.12 2026-07-15
33533 CPT Hc Cabg W/arterial Graft Single Arterial Graft 84 20 $31,462.00 $29,888.90 $15,731.00 $29,888.90 $25,169.60 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 3 3 $35,676.70 $33,892.86 $25,113.41 $26,309.31 $25,113.41 2026-07-15
43632 CPT Removal Of Stomach Partial 84 20 $31,361.13 $29,793.07 $15,680.56 $29,793.07 $25,088.90 2026-07-15
C9774 HCPCS Hc Revasc Lithotr-ather Tib/per 87 21 $33,401.40 $31,731.33 $16,700.70 $31,731.33 $25,051.05 2026-07-15
50543 CPT Laparo Partial Nephrectomy 87 21 $33,233.60 $31,571.92 $10,163.06 $31,571.92 $24,925.20 2026-07-15
22857 CPT Tot Disc Arthrp 1ntrspc Lmbr 84 20 $31,065.55 $29,512.27 $15,532.77 $29,512.27 $24,852.44 2026-07-15
27134 CPT Revise Hip Joint Replacement 84 20 $31,052.58 $29,499.95 $15,526.29 $29,499.95 $24,842.06 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 3 3 $148,170.12 $140,761.61 $24,263.52 $25,418.94 $24,263.52 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 3 3 $65,027.04 $61,775.69 $24,176.30 $25,327.57 $24,176.30 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 3 $149,568.18 $142,089.77 $24,057.05 $25,202.64 $24,057.05 2026-07-15
60210 CPT Partial Thyroid Excision 87 21 $31,918.91 $30,322.96 $5,695.29 $30,322.96 $23,939.18 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 3 3 $73,900.26 $70,205.25 $23,887.07 $25,024.56 $23,887.07 2026-07-15
60502 CPT Re-explore Parathyroids 87 21 $31,805.64 $30,215.36 $5,774.65 $30,215.36 $23,854.23 2026-07-15
23630 CPT Optx Gr Hmrl Tbrs Fx Int Fix 87 21 $31,660.09 $30,077.08 $6,973.45 $30,077.08 $23,745.07 2026-07-15
38760 CPT Remove Groin Lymph Nodes 87 21 $31,512.64 $29,937.00 $6,366.01 $29,937.00 $23,634.48 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 3 3 $95,042.32 $90,290.20 $23,527.53 $24,647.90 $23,527.53 2026-07-15
C1757 HCPCS Hc Kit Dvt Ppp Catheters C1757 84 20 $29,239.13 $27,777.17 $14,619.56 $27,777.17 $23,391.30 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 3 3 $94,093.03 $89,388.37 $23,345.09 $24,456.78 $23,345.09 2026-07-15
93654 CPT Hc Ep Study W/vent Abl W/3d 87 21 $29,168.60 $27,710.17 $14,584.30 $27,710.17 $23,334.88 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 3 3 $139,619.03 $132,638.08 $23,283.68 $24,392.45 $23,283.68 2026-07-15
57260 CPT Cmbn Ant Pst Colprhy 87 21 $30,859.10 $29,316.14 $4,818.78 $29,316.14 $23,144.32 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 3 3 $372,068.83 $353,465.39 $22,998.01 $24,093.17 $22,998.01 2026-07-15
49520 CPT Rerepair Ing Hernia Reduce 87 21 $30,620.70 $29,089.66 $3,444.94 $29,089.66 $22,965.52 2026-07-15
23585 CPT Optx Scapular Fx W/int Fixj 87 21 $30,421.06 $28,900.01 $6,973.45 $28,900.01 $22,815.80 2026-07-15
61885 CPT Insrt/redo Neurostim 1 Array 87 21 $30,337.46 $28,820.59 $15,168.73 $28,820.59 $22,753.10 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 3 3 $143,981.91 $136,782.81 $22,719.46 $23,801.35 $22,719.46 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 3 3 $103,360.58 $98,192.55 $22,676.74 $23,756.60 $22,676.74 2026-07-15
29888 CPT Arthrs Aid Acl Rpr/agmntj 87 21 $30,075.88 $28,572.09 $6,973.45 $28,572.09 $22,556.91 2026-07-15
69711 CPT Remove/repair Hearing Aid 87 21 $30,038.24 $28,536.33 $3,165.77 $28,536.33 $22,528.68 2026-07-15
54600 CPT Reduce Testis Torsion 87 21 $29,985.56 $28,486.28 $3,366.76 $28,486.28 $22,489.17 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 3 3 $46,150.63 $43,843.10 $22,486.29 $23,557.08 $22,486.29 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 3 3 $66,232.68 $62,921.05 $22,468.49 $23,538.43 $22,468.49 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 3 3 $170,149.54 $161,642.06 $22,398.19 $23,464.78 $22,398.19 2026-07-15
36832 CPT Av Fistula Revision Open 87 21 $29,801.62 $28,311.54 $5,276.85 $28,311.54 $22,351.22 2026-07-15
J7504 HCPCS Lymphocyte Immune Globulin 87 21 $29,760.49 $28,272.47 $5,391.84 $28,272.47 $22,320.37 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 3 3 $103,344.09 $98,176.88 $22,284.27 $23,345.44 $22,284.27 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 3 3 $90,308.18 $85,792.77 $22,266.47 $23,326.80 $22,266.47 2026-07-15
397 MS_DRG Coagulation Disorders 3 3 $63,331.30 $60,164.74 $22,049.33 $23,099.31 $22,049.33 2026-07-15
60260 CPT Repeat Thyroid Surgery 87 21 $29,393.32 $27,923.65 $5,774.65 $27,923.65 $22,044.99 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 3 3 $46,398.55 $44,078.62 $21,960.33 $23,006.08 $21,960.33 2026-07-15
J1162 HCPCS Digoxin Immune Fab (ovine) 87 21 $29,247.12 $27,784.76 $5,426.64 $27,784.76 $21,935.34 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 3 $94,794.61 $90,054.87 $21,790.35 $22,828.00 $21,790.35 2026-07-15
35661 CPT Hc @byp Oth/thn Vein Femoral-femoral 84 20 $27,208.00 $25,847.60 $13,604.00 $25,847.60 $21,766.40 2026-07-15
21501 CPT I&d Dp Absc/hmtma Sft Ts Nck 87 21 $28,910.18 $27,464.67 $2,793.83 $27,464.67 $21,682.64 2026-07-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 3 3 $50,931.95 $48,385.35 $21,608.80 $22,637.81 $21,608.80 2026-07-15
23485 CPT Revision Of Collar Bone 87 21 $28,784.86 $27,345.62 $12,560.13 $27,345.62 $21,588.64 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 3 3 $330,115.70 $313,609.92 $21,534.94 $22,560.42 $21,534.94 2026-07-15
23615 CPT Optx Prox Humrl Fx W/int Fix 87 21 $28,599.86 $27,169.87 $12,560.13 $27,169.87 $21,449.90 2026-07-15
50544 CPT Laparoscopy Pyeloplasty 87 21 $28,598.08 $27,168.18 $10,163.06 $27,168.18 $21,448.56 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 3 $68,639.73 $65,207.74 $21,367.63 $22,385.15 $21,367.63 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 3 3 $259,544.94 $246,567.69 $21,332.03 $22,347.85 $21,332.03 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 3 3 $55,718.51 $52,932.58 $21,149.59 $22,156.73 $21,149.59 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 3 3 $33,232.65 $31,571.02 $21,066.83 $22,070.02 $21,066.83 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 3 3 $104,605.44 $99,375.17 $21,061.49 $22,064.43 $21,061.49 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 3 3 $77,027.63 $73,176.25 $21,035.68 $22,037.39 $21,035.68 2026-07-15
23550 CPT Optx Acromclv Dislc Aqt/chrn 87 21 $27,921.73 $26,525.64 $6,973.45 $26,525.64 $20,941.29 2026-07-15
64584 CPT Rmvl Hpglsl Nstim Ary Pg 87 21 $27,838.81 $26,446.87 $6,251.42 $26,446.87 $20,879.11 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 3 3 $55,477.66 $52,703.78 $20,810.52 $21,801.51 $20,810.52 2026-07-15
69930 CPT Implant Cochlear Device 87 21 $25,997.42 $24,697.55 $12,998.71 $32,528.20 $20,797.94 2026-07-15
22630 CPT Arthrd Pst Tq 1ntrspc Lum 87 21 $27,725.62 $26,339.34 $13,862.81 $26,339.34 $20,794.22 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 3 3 $151,186.81 $143,627.47 $20,647.66 $21,630.90 $20,647.66 2026-07-15
19302 CPT P-mastectomy W/ln Removal 87 21 $27,522.61 $26,146.48 $6,366.01 $26,146.48 $20,641.96 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 3 3 $58,195.41 $55,285.64 $20,581.80 $21,561.90 $20,581.80 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 3 3 $94,383.37 $89,664.20 $20,542.65 $21,520.88 $20,542.65 2026-07-15
58573 CPT Tlh W/t/o Uterus Over 250 G 87 21 $27,375.70 $26,006.92 $10,163.06 $26,006.92 $20,531.78 2026-07-15
36819 CPT Av Fuse Uppr Arm Basilic 87 21 $27,284.34 $25,920.12 $5,276.85 $25,920.12 $20,463.26 2026-07-15
64568 CPT Opn Impltj Crnl Nrv Nea&pg 87 21 $25,557.60 $24,279.72 $12,778.80 $31,163.76 $20,446.08 2026-07-15
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 3 3 $315,756.91 $299,969.06 $20,414.49 $21,386.63 $20,414.49 2026-07-15
58679 CPT Unlisted Laps Px Ovidct Ovry 87 21 $27,199.48 $25,839.50 $5,695.29 $25,839.50 $20,399.61 2026-07-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 3 $64,434.98 $61,213.23 $20,383.35 $21,353.99 $20,383.35 2026-07-15
25405 CPT Repair/graft Radius Or Ulna 87 21 $27,172.20 $25,813.59 $6,973.45 $25,813.59 $20,379.15 2026-07-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 3 3 $83,488.35 $79,313.93 $20,318.38 $21,285.93 $20,318.38 2026-07-15
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 84 20 $25,368.84 $24,100.40 $12,684.42 $24,100.40 $20,295.07 2026-07-15
24516 CPT Tx Humrl Shaft Fx Imed Implt 87 21 $27,051.22 $25,698.66 $12,560.13 $25,698.66 $20,288.42 2026-07-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 3 3 $56,990.02 $54,140.52 $20,280.11 $21,245.84 $20,280.11 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 3 3 $75,598.80 $71,818.86 $20,242.73 $21,206.69 $20,242.73 2026-07-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 3 3 $109,440.70 $103,968.66 $20,165.31 $21,125.57 $20,165.31 2026-07-15
27635 CPT Remove Lower Leg Bone Lesion 87 21 $26,856.82 $25,513.98 $3,167.27 $25,513.98 $20,142.62 2026-07-15
33221 CPT Hc Ins Pcm/gen Only Exc Lead 87 21 $26,836.45 $25,494.63 $13,418.22 $25,494.63 $20,127.34 2026-07-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 3 3 $52,026.78 $49,425.44 $20,100.34 $21,057.52 $20,100.34 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 3 3 $46,310.58 $43,995.05 $20,096.78 $21,053.79 $20,096.78 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 3 3 $50,625.09 $48,093.84 $20,047.84 $21,002.51 $20,047.84 2026-07-15
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 87 21 $25,055.09 $23,802.34 $12,527.54 $31,163.76 $20,044.07 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 3 3 $55,578.53 $52,799.60 $20,040.72 $20,995.05 $20,040.72 2026-07-15
49595 CPT Rpr Aa Hrn 1st > 10 Rdc 87 21 $26,717.68 $25,381.80 $6,091.02 $25,381.80 $20,038.26 2026-07-15
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 3 3 $102,757.81 $97,619.92 $20,024.70 $20,978.27 $20,024.70 2026-07-15
63266 CPT Excise Intrspinl Lesion Thrc 87 21 $26,564.51 $25,236.28 $6,973.45 $25,236.28 $19,923.38 2026-07-15
22514 CPT Perq Vertebral Augmentation 87 21 $26,446.68 $25,124.35 $6,973.45 $25,124.35 $19,835.01 2026-07-15
30 MS_DRG Spinal Procedures Without Cc/mcc 3 3 $60,274.11 $57,260.40 $19,803.10 $20,746.12 $19,803.10 2026-07-15
27487 CPT Revise/replace Knee Joint 84 20 $24,753.78 $23,516.09 $12,376.89 $23,516.09 $19,803.02 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 3 3 $60,497.73 $57,472.84 $19,697.20 $20,635.17 $19,697.20 2026-07-15
49651 CPT Lap Ing Hernia Repair Recur 87 21 $26,233.84 $24,922.15 $5,695.29 $24,922.15 $19,675.38 2026-07-15
33213 CPT Hc Ins Pacemaker Pulse Gen Only W/exist Dual Leads 87 21 $26,168.10 $24,859.70 $10,215.88 $24,859.70 $19,626.08 2026-07-15
C1813 HCPCS — 84 20 $24,455.07 $23,232.32 $12,227.54 $23,232.32 $19,564.06 2026-07-15
935 MS_DRG Non-extensive Burns 3 3 $39,853.26 $37,860.60 $19,545.91 $20,476.68 $19,545.91 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 3 3 $47,944.40 $45,547.18 $19,451.57 $20,377.85 $19,451.57 2026-07-15
C9772 HCPCS Hc Revasc Lithotrip Tibi/perone 87 21 $25,930.55 $24,634.02 $11,070.26 $24,634.02 $19,447.91 2026-07-15
0238T CPT Hc Trluml Peripheral Artahrectomy Iliac Artery Each 87 21 $25,903.00 $24,607.85 $12,951.50 $24,607.85 $19,427.25 2026-07-15
906 MS_DRG Hand Procedures For Injuries 3 3 $30,168.15 $28,659.74 $19,422.20 $20,347.08 $19,422.20 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 3 3 $54,090.38 $51,385.86 $19,391.06 $20,314.45 $19,391.06 2026-07-15
58552 CPT Laparo-vag Hyst Incl T/o 87 21 $25,814.50 $24,523.78 $10,163.06 $24,523.78 $19,360.88 2026-07-15
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 3 3 $133,816.68 $127,125.85 $19,303.84 $20,223.08 $19,303.84 2026-07-15
24582 CPT Prq Skel Fix Humrl Cndylr Fx 87 21 $25,637.97 $24,356.07 $6,973.45 $24,356.07 $19,228.48 2026-07-15
61750 CPT Incise Skull/brain Biopsy 84 20 $24,017.39 $22,816.52 $12,008.70 $22,816.52 $19,213.91 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 3 3 $60,181.42 $57,172.34 $19,197.05 $20,111.20 $19,197.05 2026-07-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 3 3 $32,630.72 $30,999.18 $19,164.12 $20,076.71 $19,164.12 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 3 3 $35,102.55 $33,347.42 $19,118.73 $20,029.16 $19,118.73 2026-07-15
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 3 3 $91,152.98 $86,595.33 $19,095.59 $20,004.92 $19,095.59 2026-07-15
58720 CPT Removal Of Ovary/tube(s) 84 20 $23,784.67 $22,595.44 $11,892.34 $22,595.44 $19,027.74 2026-07-15
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 3 3 $108,491.88 $103,067.29 $19,007.49 $19,912.62 $19,007.49 2026-07-15
412 MS_DRG Cholecystectomy With C.d.e. With Cc 3 3 $65,267.43 $62,004.06 $18,969.22 $19,872.53 $18,969.22 2026-07-15
21750 CPT Hc Close Median Sternotomy Sep W/wo Debridement Spx 84 20 $23,600.00 $22,420.00 $11,800.00 $22,420.00 $18,880.00 2026-07-15
595 MS_DRG Major Skin Disorders With Mcc 3 3 $37,069.41 $35,215.94 $18,822.38 $19,718.69 $18,822.38 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 3 3 $73,839.27 $70,147.31 $18,799.24 $19,694.45 $18,799.24 2026-07-15
374 MS_DRG Digestive Malignancy With Mcc 3 3 $37,761.87 $35,873.78 $18,791.23 $19,686.06 $18,791.23 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 3 3 $70,523.34 $66,997.17 $18,789.45 $19,684.20 $18,789.45 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 3 3 $53,650.41 $50,967.89 $18,761.86 $19,655.30 $18,761.86 2026-07-15
27447 CPT Total Knee Arthroplasty 87 21 $24,828.68 $23,587.25 $12,414.34 $23,587.25 $18,621.51 2026-07-15
33340 CPT Hc Perq Clsr Tcat L Atr Apndge W/endocardial Implnt 84 20 $23,258.20 $22,095.29 $11,629.10 $22,095.29 $18,606.56 2026-07-15
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 3 3 $34,442.70 $32,720.56 $18,602.56 $19,488.41 $18,602.56 2026-07-15
34703 CPT Hc Evasc Rpr Dplmnt Aorto-un-iliac Ndgft 84 20 $23,217.75 $22,056.86 $11,608.88 $22,056.86 $18,574.20 2026-07-15
27828 CPT Treat Lower Leg Fracture 87 21 $24,706.88 $23,471.54 $12,353.44 $23,471.54 $18,530.16 2026-07-15
69631 CPT Repair Eardrum Structures 87 21 $24,706.61 $23,471.28 $5,774.65 $23,471.28 $18,529.96 2026-07-15
27422 CPT Revision Of Unstable Kneecap 87 21 $24,658.52 $23,425.59 $6,973.45 $23,425.59 $18,493.89 2026-07-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 3 3 $65,133.94 $61,877.24 $18,465.51 $19,344.83 $18,465.51 2026-07-15
27279 CPT Arthrd Si Jt Plmt Tartclr Dv 87 21 $22,958.47 $21,810.54 $11,479.23 $21,810.54 $18,366.77 2026-07-15
69660 CPT Revise Middle Ear Bone 87 21 $24,456.52 $23,233.69 $5,774.65 $23,233.69 $18,342.39 2026-07-15
23472 CPT Reconstruct Shoulder Joint 87 21 $22,916.59 $21,770.76 $11,458.29 $21,770.76 $18,333.27 2026-07-15
69637 CPT Rebuild Eardrum Structures 87 21 $24,409.39 $23,188.92 $5,774.65 $23,188.92 $18,307.04 2026-07-15
592 MS_DRG Skin Ulcers With Mcc 3 3 $65,812.17 $62,521.56 $18,299.09 $19,170.49 $18,299.09 2026-07-15
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 3 3 $26,840.91 $25,498.86 $18,219.88 $19,087.51 $18,219.88 2026-07-15
21601 CPT Exc Chest Wall Tumor W/ribs 87 21 $24,092.80 $22,888.16 $2,793.83 $22,888.16 $18,069.60 2026-07-15
539 MS_DRG Osteomyelitis With Mcc 3 3 $104,041.49 $98,839.41 $18,000.96 $18,858.16 $18,000.96 2026-07-15
93653 CPT Hc Compre Ep Eval Abltj 3d Mapg Tx Svt 87 21 $22,467.90 $21,344.50 $11,233.95 $25,087.91 $17,974.32 2026-07-15
908 MS_DRG Other O.r. Procedures For Injuries With Cc 3 3 $46,887.64 $44,543.26 $17,950.23 $18,805.02 $17,950.23 2026-07-15
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 3 3 $47,615.08 $45,234.33 $17,909.29 $18,762.13 $17,909.29 2026-07-15
58571 CPT Tlh W/t/o 250 G Or Less 87 21 $23,876.61 $22,682.78 $10,163.06 $22,682.78 $17,907.46 2026-07-15
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 3 3 $81,828.67 $77,737.24 $17,902.17 $18,754.67 $17,902.17 2026-07-15
69645 CPT Revise Middle Ear & Mastoid 87 21 $23,744.74 $22,557.50 $5,774.65 $22,557.50 $17,808.56 2026-07-15
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 3 3 $44,882.23 $42,638.11 $17,782.92 $18,629.74 $17,782.92 2026-07-15
60240 CPT Removal Of Thyroid 87 21 $23,699.06 $22,514.11 $5,695.29 $22,514.11 $17,774.30 2026-07-15
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 87 21 $22,147.46 $21,040.09 $11,073.73 $31,163.76 $17,717.97 2026-07-15
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