Price Transparency 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

ASCENSION PROVIDENCE

Waco, TX · CCN 450042 · Rates published

44,985 distinct procedures filed
46 distinct payers
3,375,748 rate rows
2026-01-01 last MRF observed
Data quality

3,301,466 of 3,375,748 rate rows are consumer-grade (97.8%)

74,282 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
template filing: same amount across many unrelated codes — excluded 62,880
per-diem day rate — not a per-procedure price 10,534
placeholder amount (≤ $0.02) — excluded from medians 692
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 176
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tx-csv/741109636_ascension-providence_standardcharges.csv
Found on page https://healthcare.ascension.org/price-transparency
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 730e7a23ec5dd488… · 16,410,122 bytes · first seen 2026-05-18

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $6,439.43 $405,699.60 $270,466.40 nat. median
$370,174
0.7× median
0100T
HCPCS 		Prosth Retina Receive&gen 4 $122,004.98 $288,225.95 $205,875.67 nat. median
$11,210
outlier · 18.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $6,439.43 $263,282.71 $172,390.40 nat. median
$265,286
0.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $6,439.43 $200,586.55 $133,724.37 nat. median
$206,368
0.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $6,439.43 $199,409.37 $132,939.58 nat. median
$202,986
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $6,439.43 $130,133.01 $86,755.34 nat. median
$133,176
0.7× median
7
MS_DRG 		Lung Transplant 14 $6,439.43 $121,666.29 $81,110.86 nat. median
$122,708
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $6,439.43 $112,907.38 $75,271.59 nat. median
$117,303
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 $6,439.43 $119,179.00 $72,393.84 nat. median
$108,660
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $6,439.43 $106,339.39 $70,892.93 nat. median
$98,017
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $6,439.43 $103,543.46 $69,028.97 nat. median
$98,905
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $6,439.43 $102,161.46 $68,107.64 nat. median
$102,358
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $6,439.43 $96,866.48 $64,577.65 nat. median
$100,136
0.6× median
215
MS_DRG 		Other Heart Assist System Implant 23 $2,000.00 $101,952.00 $63,610.85 nat. median
$99,019
0.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 $6,439.43 $91,908.76 $61,272.51 nat. median
$93,672
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $6,439.43 $84,644.61 $56,429.74 nat. median
$82,712
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $6,439.43 $81,355.44 $54,236.96 nat. median
$83,442
0.6× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 23 $6,439.43 $79,198.37 $52,798.91 nat. median
$79,312
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $6,439.43 $78,949.40 $52,632.93 nat. median
$81,118
0.6× median
38240
CPT 		Transplt Allo Hct/donor 4 $29,949.83 $70,753.81 $50,538.44 nat. median
$15,912
outlier · 3.2×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $6,439.43 $73,926.87 $49,284.58 nat. median
$77,576
0.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 $6,439.43 $72,137.13 $48,091.42 nat. median
$74,915
0.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 $6,439.43 $71,826.15 $47,884.10 nat. median
$73,807
0.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $6,439.43 $71,588.46 $47,725.64 nat. median
$72,138
0.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $6,439.43 $67,818.29 $45,212.19 nat. median
$68,090
0.7× median
10
MS_DRG 		Pancreas Transplant 18 $6,439.43 $67,415.24 $44,943.49 nat. median
$68,882
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 $6,439.43 $67,387.05 $44,924.70 nat. median
$64,027
0.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 $6,439.43 $67,029.10 $44,686.07 nat. median
$71,240
0.6× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 $6,439.43 $66,989.64 $44,659.76 nat. median
$68,887
0.6× median
33289
CPT 		Tcat Impl Wrls P-art Prs Snr 5 $22,818.08 $53,905.69 $44,046.10 nat. median
$28,318
1.6× median
0571T
HCPCS 		Insj/rplcmt Icds Ss Eltrd 4 $25,827.08 $61,014.19 $43,581.57 nat. median
$32,221
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 15 $1,155.00 $64,935.92 $43,290.61 nat. median
$66,526
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 $6,439.43 $64,617.42 $43,078.28 nat. median
$65,950
0.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $6,439.43 $63,238.25 $42,158.83 nat. median
$64,732
0.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 $6,439.43 $62,819.24 $41,879.49 nat. median
$60,691
0.7× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 $6,439.43 $62,773.20 $41,848.80 nat. median
$63,738
0.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $6,439.43 $73,165.00 $41,183.01 nat. median
$61,920
0.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 $6,439.43 $73,165.00 $41,183.01 nat. median
$64,510
0.6× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 $6,439.43 $61,549.98 $41,033.32 nat. median
$59,793
0.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 15 $1,155.00 $60,453.58 $40,302.39 nat. median
$62,134
0.6× median
0431T
HCPCS 		Rmvl/rplc Nstim Apnea Pls Gn 4 $23,295.87 $55,034.42 $39,310.30 nat. median
$18,872
outlier · 2.1×
0268T
HCPCS 		Implt/rpl Crtd Sns Dev Gen 4 $23,295.87 $55,034.42 $39,310.30 nat. median
$30,333
1.3× median
0427T
HCPCS 		Insj/rplc Nstim Apnea Pls Gn 4 $23,295.87 $55,034.42 $39,310.30 nat. median
$15,886
outlier · 2.5×
0266T
HCPCS 		Implt/rpl Crtd Sns Dev Total 4 $23,295.87 $55,034.42 $39,310.30 nat. median
$42,941
0.9× median
0424T
HCPCS 		Insj/rplc Nstim Apnea Compl 4 $23,295.87 $55,034.42 $39,310.30 nat. median
$24,752
1.6× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 $6,439.43 $71,442.00 $38,383.95 nat. median
$60,726
0.6× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 14 $6,439.43 $57,509.22 $38,339.48 nat. median
$60,185
0.6× median
81416
CPT 		Exome Sequence Analysis 4 $22,440.16 $52,920.00 $38,220.00 nat. median
$12,000
outlier · 3.2×
93654
CPT 		93654 Comp Eps W/vt Ablation 6 $7,649.00 $50,475.12 $38,213.54 nat. median
$26,704
1.4× median
93653
CPT 		Compre Ep Eval Tx Svt 6 $7,649.00 $50,475.12 $38,213.54 nat. median
$26,156
1.5× median

Other procedures at this hospital

Browse this hospital's 44,985 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
             
0100T HCPCS Prosth Retina Receive&gen 8 4 — — $122,004.98 $288,225.95 $205,875.67 2026-01-01
33276 CPT Insj Phrnc Nrv Stim Sys 22 11 — — $32,454.62 $32,454.62 $32,454.62 2026-01-01
38240 CPT Transplt Allo Hct/donor 8 4 — — $29,949.83 $70,753.81 $50,538.44 2026-01-01
1313231 CDM Sapien 3 Transcath Valve 29mm 94 34 $331,531.25 $119,351.25 64% off $29,837.81 $331,531.25 $33,153.13 2026-01-01
1313207 CDM Sapien 3 Transcath Valve 20mm 94 34 $331,531.25 $119,351.25 64% off $29,837.81 $331,531.25 $33,153.13 2026-01-01
1313215 CDM Sapien 3 Transcath Valve 23mm 94 34 $331,531.25 $119,351.25 64% off $29,837.81 $331,531.25 $33,153.13 2026-01-01
1313223 CDM Sapien 3 Transcath Valve 26mm 94 34 $331,531.25 $119,351.25 64% off $29,837.81 $331,531.25 $33,153.13 2026-01-01
1310089 CDM Wireless Pressure Sensor 94 34 $330,511.00 $118,983.96 64% off $29,745.99 $330,511.00 $33,051.10 2026-01-01
1334409 CDM C1882 Unify Quadra Crtd Cnctr 94 34 $320,228.50 $115,282.26 64% off $28,820.56 $320,228.50 $32,022.85 2026-01-01
1334387 CDM C1882 Quadr Assur Crt-d40cnctr 94 34 $320,228.50 $115,282.26 64% off $28,820.56 $320,228.50 $32,022.85 2026-01-01
1334379 CDM C1882 Quadra Assura Crt-d-40 94 34 $312,884.25 $112,638.33 64% off $28,159.58 $312,884.25 $31,288.42 2026-01-01
1334395 CDM C1882 Unify Quadra Crt-d-40 94 34 $312,884.25 $112,638.33 64% off $28,159.58 $312,884.25 $31,288.42 2026-01-01
1316443 CDM Sapien 3 Tavr Valve Kit 23mm 94 34 $296,010.00 $106,563.60 64% off $26,640.90 $296,010.00 $29,601.00 2026-01-01
1316451 CDM Sapien 3 Tavr Valve Kit 26mm 94 34 $296,010.00 $106,563.60 64% off $26,640.90 $296,010.00 $29,601.00 2026-01-01
1370944 CDM Sapien3 Ultra Resilia Tavr23mm 94 34 $296,010.00 $106,563.60 64% off $26,640.90 $296,010.00 $29,601.00 2026-01-01
1370952 CDM Sapien3 Ultra Resilia Tavr26mm 94 34 $296,010.00 $106,563.60 64% off $26,640.90 $296,010.00 $29,601.00 2026-01-01
1316435 CDM Sapien 3 Tavr Valve Kit 20mm 94 34 $296,010.00 $106,563.60 64% off $26,640.90 $296,010.00 $29,601.00 2026-01-01
1370960 CDM Sapien3 Ultra Resilia Tavr29mm 94 34 $296,010.00 $106,563.60 64% off $26,640.90 $296,010.00 $29,601.00 2026-01-01
1370936 CDM Sapien3 Ultra Resilia Tavr20mm 94 34 $296,010.00 $106,563.60 64% off $26,640.90 $296,010.00 $29,601.00 2026-01-01
69930 CPT Implant Cochlear Device 30 15 — — $25,960.08 $62,574.72 $25,960.08 2026-01-01
1335499 CDM C1882-quadassura Mp Cd3369-40c 94 34 $288,205.75 $103,754.07 64% off $25,938.52 $288,205.75 $28,820.58 2026-01-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 8 4 — — $25,827.08 $61,014.19 $43,581.57 2026-01-01
1332368 CDM C1721-icd Secura Dr 94 34 $280,567.50 $101,004.30 64% off $25,251.08 $280,567.50 $28,056.75 2026-01-01
0793T HCPCS Prq Tcat Thrm Ablt Nrv P-art 8 4 — — $24,908.34 $32,809.22 $29,803.14 2026-01-01
1335286 CDM C1722-emblem S-icd A209 94 34 $271,753.75 $97,831.35 64% off $24,457.84 $271,753.75 $27,175.38 2026-01-01
1334417 CDM C1882 Unify Assura Crt-d-40 94 34 $266,612.00 $95,980.32 64% off $23,995.08 $266,612.00 $26,661.20 2026-01-01
1334425 CDM C1882 Unify Assura Crtd40 Cnct 94 34 $266,612.00 $95,980.32 64% off $23,995.08 $266,612.00 $26,661.20 2026-01-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 8 4 — — $23,295.87 $55,034.42 $39,310.30 2026-01-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 8 4 — — $23,295.87 $55,034.42 $39,310.30 2026-01-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 8 4 — — $23,295.87 $55,034.42 $39,310.30 2026-01-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 8 4 — — $23,295.87 $55,034.42 $39,310.30 2026-01-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 8 4 — — $23,295.87 $55,034.42 $39,310.30 2026-01-01
20645539 CDM Dvce Ventrclr Asst Impella Cp 94 34 $255,024.00 $91,808.64 64% off $22,952.16 $255,024.00 $25,502.40 2026-01-01
1311948 CDM Impella Cp Pump Set 0048-0003 94 34 $255,024.00 $91,808.64 64% off $22,952.16 $255,024.00 $25,502.40 2026-01-01
33289 CPT Tcat Impl Wrls P-art Prs Snr 10 5 $62,923.00 $22,652.28 64% off $22,818.08 $53,905.69 $44,046.10 2026-01-01
1333828 CDM C1882d-biv Icd Prot Crtd334trg 94 34 $251,635.50 $90,588.78 64% off $22,647.19 $251,635.50 $25,163.55 2026-01-01
1333836 CDM C1882d-biv Icd Prot Crtd334trm 94 34 $251,635.50 $90,588.78 64% off $22,647.19 $251,635.50 $25,163.55 2026-01-01
1335693 CDM C1882-dynagen X4 Crtd G156 94 34 $251,335.25 $90,480.69 64% off $22,620.17 $251,335.25 $25,133.53 2026-01-01
1352474 CDM C1882-dynagen Lv-1 Crtd G154 94 34 $251,335.25 $90,480.69 64% off $22,620.17 $251,335.25 $25,133.53 2026-01-01
1335650 CDM C1882-dynagen Crtd G151 94 34 $251,335.25 $90,480.69 64% off $22,620.17 $251,335.25 $25,133.53 2026-01-01
81416 CPT Exome Sequence Analysis 8 4 — — $22,440.16 $52,920.00 $38,220.00 2026-01-01
33270 CPT Ins/rep Subq Defibrillator 32 16 $100,042.25 $36,015.21 64% off $21,943.90 $70,029.57 $21,943.90 2026-01-01
1332392 CDM C1882-biv Icd Consulta Crt-d 94 34 $243,426.50 $87,633.54 64% off $21,908.38 $243,426.50 $24,342.65 2026-01-01
1332384 CDM C1882-bivicd Maximo Ii Crt-d 94 34 $243,426.50 $87,633.54 64% off $21,908.38 $243,426.50 $24,342.65 2026-01-01
1336258 CDM Momentum Is1 Df1 94 34 $236,254.25 $85,051.53 64% off $21,262.88 $236,254.25 $23,625.42 2026-01-01
1336223 CDM Momentum X4 Is4 Df1 94 34 $236,254.25 $85,051.53 64% off $21,262.88 $236,254.25 $23,625.42 2026-01-01
1336266 CDM Momentum Lv-1 94 34 $236,254.25 $85,051.53 64% off $21,262.88 $236,254.25 $23,625.42 2026-01-01
1336215 CDM Vigilant X4 Is4 Df1 Icd 94 34 $236,254.25 $85,051.53 64% off $21,262.88 $236,254.25 $23,625.42 2026-01-01
1336231 CDM Momentum Is1 Df4 94 34 $236,254.25 $85,051.53 64% off $21,262.88 $236,254.25 $23,625.42 2026-01-01
0398T HCPCS Mrgfus Strtctc Les Abltj 8 4 — — $21,251.97 $29,626.19 $26,688.57 2026-01-01
1335847 CDM Viva Quad Xt Crt-d Df4 94 34 $229,154.75 $82,495.71 64% off $20,623.93 $229,154.75 $22,915.47 2026-01-01
1335820 CDM Viva Xt Crt-d Df4 94 34 $229,154.75 $82,495.71 64% off $20,623.93 $229,154.75 $22,915.47 2026-01-01
37235 CPT 37235-stent Ather Tib/pero Add 2 1 $29,256.75 $10,532.43 64% off $20,479.72 $20,479.72 $20,479.72 2026-01-01
20431032 CDM Generator Nonrechargeable 94 34 $223,490.00 $80,456.40 64% off $20,114.10 $223,490.00 $22,349.00 2026-01-01
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 30 15 — — $19,861.72 $56,819.98 $19,861.72 2026-01-01
64568 CPT Opn Impltj Crnl Nrv Nea&pg 30 15 — — $19,861.72 $55,034.42 $19,861.72 2026-01-01
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 22 11 — — $19,328.56 $19,328.56 $19,328.56 2026-01-01
1333755 CDM C1721d-icd Prot Xt Drd314drm 94 34 $214,412.00 $77,188.32 64% off $19,297.08 $214,412.00 $21,441.20 2026-01-01
1333747 CDM C1721d-icd Prot Xt Dr D314drg 94 34 $214,412.00 $77,188.32 64% off $19,297.08 $214,412.00 $21,441.20 2026-01-01
20548282 CDM Kit Implntbl Plse Gen Prc Spct 94 34 $211,772.00 $76,237.92 64% off $19,059.48 $211,772.00 $21,177.20 2026-01-01
1330071 CDM C1882 Biv Icd Quat Assurant 94 34 $208,099.50 $74,915.82 64% off $18,728.96 $208,099.50 $20,809.95 2026-01-01
1334816 CDM C1882-unifyassura Cd3357-40c 94 34 $208,099.50 $74,915.82 64% off $18,728.96 $208,099.50 $20,809.95 2026-01-01
1334859 CDM C1882-unify Assura Cd3357-40q 94 34 $208,099.50 $74,915.82 64% off $18,728.96 $208,099.50 $20,809.95 2026-01-01
1351354 CDM C1785-endurity Dr Pm2160 94 34 $208,075.00 $74,907.00 64% off $18,726.75 $208,075.00 $20,807.50 2026-01-01
1311921 CDM Impella 2.5 Pump Set 005042 94 34 $204,019.25 $73,446.93 64% off $18,361.73 $204,019.25 $20,401.92 2026-01-01
37239 CPT Cl Stent Vein Ea Add 4 1 $27,369.88 $9,853.16 64% off $18,246.55 $20,071.28 $19,158.92 2026-01-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 8 4 — — $18,171.00 $42,927.36 $30,662.40 2026-01-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 8 4 — — $18,171.00 $42,927.36 $30,662.40 2026-01-01
0515T HCPCS Insj Wcs Lv Compl Sys 8 4 — — $18,171.00 $42,927.36 $30,662.40 2026-01-01
0520T HCPCS Rmv&rplcmt Pg Wcs Lv Battery 8 4 — — $18,171.00 $42,927.36 $30,662.40 2026-01-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 8 4 — — $18,171.00 $42,927.36 $30,662.40 2026-01-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 8 4 — — $18,171.00 $42,927.36 $30,662.40 2026-01-01
1351257 CDM Pm Advantio Dr K063 94 34 $199,640.50 $71,870.58 64% off $17,967.65 $199,640.50 $19,964.05 2026-01-01
1336142 CDM Compia MRI Crt-d Dtmc1d1 94 34 $197,694.50 $71,170.02 64% off $17,792.51 $197,694.50 $19,769.45 2026-01-01
1336207 CDM Vigilant X4 Is4 Df4 Icd 94 34 $196,878.50 $70,876.26 64% off $17,719.06 $196,878.50 $19,687.85 2026-01-01
0809T HCPCS Arthrd Si Jt Prq Tfx&implt 8 4 — — $17,518.77 $41,386.52 $29,561.80 2026-01-01
0775T HCPCS Arthrd Si Jt Prq Iartic Impl 8 4 — — $17,518.77 $41,386.52 $29,561.80 2026-01-01
1338676 CDM Evolut Pro Tavr 34mm 94 34 $189,750.00 $68,310.00 64% off $17,077.50 $189,750.00 $18,975.00 2026-01-01
1338633 CDM Evolut Pro Tavr 23mm 94 34 $189,750.00 $68,310.00 64% off $17,077.50 $189,750.00 $18,975.00 2026-01-01
1338641 CDM Evolut Pro Tavr 26mm 94 34 $189,750.00 $68,310.00 64% off $17,077.50 $189,750.00 $18,975.00 2026-01-01
1338668 CDM Evolut Pro Tavr 29mm 94 34 $189,750.00 $68,310.00 64% off $17,077.50 $189,750.00 $18,975.00 2026-01-01
1337920 CDM Gallant Hf Crt-d System 94 34 $188,232.00 $67,763.52 64% off $16,940.88 $188,232.00 $18,823.20 2026-01-01
33249 CPT 33249-ins/repos Lead Scpc-d 34 16 $23,718.25 $8,538.57 64% off $16,602.78 $61,014.19 $21,852.74 2026-01-01
0308T HCPCS Insj Ocular Telescope Prosth 8 4 — — $16,541.12 $39,076.92 $27,912.08 2026-01-01
20559977 CDM Gen Pulse Implant Wavewrit Ipg 94 34 $183,617.25 $66,102.21 64% off $16,525.55 $183,617.25 $18,361.72 2026-01-01
1351362 CDM C1786-endurity Sr Pm1160 94 34 $183,543.75 $66,075.75 64% off $16,518.94 $183,543.75 $18,354.38 2026-01-01
20563559 CDM Generator Nstim Ipgkit 1500 94 34 $180,955.25 $65,143.89 64% off $16,285.97 $180,955.25 $18,095.53 2026-01-01
1331051 CDM Amplia MRI Quad Crt-d Df-4 94 34 $180,047.00 $64,816.92 64% off $16,204.23 $180,047.00 $18,004.70 2026-01-01
1331086 CDM Amplia MRI Crt-d Df-1 94 34 $180,047.00 $64,816.92 64% off $16,204.23 $180,047.00 $18,004.70 2026-01-01
1331078 CDM Amplia MRI Quad Crt-d Df-1 94 34 $180,047.00 $64,816.92 64% off $16,204.23 $180,047.00 $18,004.70 2026-01-01
20562404 CDM Neurostim Impl Activa 94 34 $179,537.00 $64,633.32 64% off $16,158.33 $179,537.00 $17,953.70 2026-01-01
1335626 CDM C1722-dyangen El Vr Df4 D150 94 34 $177,888.50 $64,039.86 64% off $16,009.97 $177,888.50 $17,788.85 2026-01-01
1335634 CDM C1722-dynagen El Vr D151 94 34 $177,888.50 $64,039.86 64% off $16,009.97 $177,888.50 $17,788.85 2026-01-01
93582 CPT Perq Transcath Closure Pda 10 5 — — $15,690.00 $30,445.34 $26,300.95 2026-01-01
0426T HCPCS Insj/rplc Nstim Apnea Stm Ld 8 4 — — $15,424.11 $36,438.10 $26,027.22 2026-01-01
54417 CPT Remv/replc Penis Pros Compl 8 4 — — $14,059.70 $33,214.78 $23,724.85 2026-01-01
54411 CPT Remov/replc Penis Pros Comp 8 4 — — $14,059.70 $33,214.78 $23,724.85 2026-01-01
0797T HCPCS Tcat Ins 2chmbr Ldls Pm Rv 8 4 — — $13,742.59 $32,465.66 $23,189.76 2026-01-01
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 8 4 — — $13,742.59 $32,465.66 $23,189.76 2026-01-01
81529 CPT Onc Cutan Mlnma Mrna 31 Gene 8 4 — — $13,451.00 $31,721.13 $22,909.71 2026-01-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 8 4 — — $12,851.68 $30,360.96 $21,686.40 2026-01-01
22867 CPT Insj Stablj Dev W/dcmprn 8 4 — — $12,757.34 $30,138.09 $21,527.21 2026-01-01
27279 CPT Arthrd Si Jt Perq/min Nvas 8 4 — — $12,757.34 $30,138.09 $21,527.21 2026-01-01
33274 CPT Tcat Insj/rpl Perm Ldls Pm 12 5 $42,937.12 $15,457.36 64% off $12,752.46 $31,487.22 $27,861.35 2026-01-01
0238T HCPCS Trluml Perip Athrc Iliac Art 8 4 — — $12,752.46 $30,126.54 $21,518.96 2026-01-01
1340751 CDM Ins/rep Subq Defibrillator 62 29 $90,947.50 $32,741.10 64% off $8,185.27 $100,042.25 $19,008.03 2026-01-01
93656 CPT 93656 Comp Eps Transeptl A Fib 12 6 $78,516.00 $28,265.76 64% off $7,649.00 $50,475.12 $38,213.54 2026-01-01
93654 CPT 93654 Comp Eps W/vt Ablation 12 6 $73,190.25 $26,348.49 64% off $7,649.00 $50,475.12 $38,213.54 2026-01-01
93653 CPT Compre Ep Eval Tx Svt 12 6 $38,583.00 $13,889.88 64% off $7,649.00 $50,475.12 $38,213.54 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 13 — — $6,439.43 $405,699.60 $270,466.40 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 40 20 — — $6,439.43 $263,282.71 $172,390.40 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 14 — — $6,439.43 $200,586.55 $133,724.37 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 14 — — $6,439.43 $199,409.37 $132,939.58 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 14 — — $6,439.43 $130,133.01 $86,755.34 2026-01-01
7 MS_DRG Lung Transplant 28 14 — — $6,439.43 $121,666.29 $81,110.86 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 36 18 — — $6,439.43 $112,907.38 $75,271.59 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 40 20 — — $6,439.43 $119,179.00 $72,393.84 2026-01-01
209 MS_DRG Complex Aortic Arch Procedures 26 13 — — $6,439.43 $106,339.39 $70,892.93 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 13 — — $6,439.43 $103,543.46 $69,028.97 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 26 13 — — $6,439.43 $102,161.46 $68,107.64 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 14 — — $6,439.43 $96,866.48 $64,577.65 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 23 — — $6,439.43 $91,908.76 $61,272.51 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 13 — — $6,439.43 $84,644.61 $56,429.74 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 26 13 — — $6,439.43 $81,355.44 $54,236.96 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 46 23 — — $6,439.43 $79,198.37 $52,798.91 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 14 — — $6,439.43 $78,949.40 $52,632.93 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 14 — — $6,439.43 $73,926.87 $49,284.58 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 23 — — $6,439.43 $72,137.13 $48,091.42 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 44 22 — — $6,439.43 $71,826.15 $47,884.10 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 14 — — $6,439.43 $71,588.46 $47,725.64 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 13 — — $6,439.43 $67,818.29 $45,212.19 2026-01-01
10 MS_DRG Pancreas Transplant 36 18 — — $6,439.43 $67,415.24 $44,943.49 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 38 19 — — $6,439.43 $67,387.05 $44,924.70 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 13 — — $6,439.43 $67,029.10 $44,686.07 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 13 — — $6,439.43 $66,989.64 $44,659.76 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 14 — — $6,439.43 $64,617.42 $43,078.28 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 14 — — $6,439.43 $63,238.25 $42,158.83 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 26 13 — — $6,439.43 $62,819.24 $41,879.49 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 13 — — $6,439.43 $62,773.20 $41,848.80 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 22 — — $6,439.43 $73,165.00 $41,183.01 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 23 — — $6,439.43 $73,165.00 $41,183.01 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 14 — — $6,439.43 $61,549.98 $41,033.32 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 14 — — $6,439.43 $71,442.00 $38,383.95 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 14 — — $6,439.43 $57,509.22 $38,339.48 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 46 23 — — $6,439.43 $59,931.00 $37,971.82 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 28 14 — — $6,439.43 $56,447.60 $37,631.73 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 26 13 — — $6,439.43 $56,431.62 $37,621.08 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 14 — — $6,439.43 $56,022.93 $37,348.62 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 34 17 — — $6,439.43 $55,709.15 $37,139.43 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 14 — — $6,439.43 $55,099.41 $36,732.94 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 13 — — $6,439.43 $54,181.53 $36,121.02 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 14 — — $6,439.43 $53,835.79 $35,890.53 2026-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 26 13 — — $6,439.43 $53,615.96 $35,743.97 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 14 — — $6,439.43 $53,546.43 $35,697.62 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 13 — — $6,439.43 $52,818.33 $35,212.22 2026-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 14 — — $6,439.43 $52,654.86 $35,103.24 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 13 — — $6,439.43 $52,294.08 $34,862.72 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 14 — — $6,439.43 $51,888.23 $34,592.15 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 14 — — $6,439.43 $51,395.00 $34,263.33 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 44 22 — — $6,439.43 $51,321.71 $34,214.47 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 14 — — $6,439.43 $51,240.92 $34,160.61 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 34 17 — — $6,439.43 $51,036.10 $34,024.07 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 23 — — $6,439.43 $65,585.00 $33,400.87 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 26 13 — — $6,439.43 $50,071.25 $33,380.83 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 14 — — $6,439.43 $49,734.90 $33,156.60 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 14 — — $6,439.43 $49,570.50 $33,047.00 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 14 — — $6,439.43 $48,904.40 $32,602.93 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 28 14 — — $6,439.43 $48,819.84 $32,546.56 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 14 — — $6,439.43 $46,856.29 $31,237.53 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 14 — — $6,439.43 $46,397.82 $30,931.88 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 14 — — $6,439.43 $46,239.04 $30,826.03 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 14 — — $6,439.43 $46,046.46 $30,697.64 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 30 15 — — $6,439.43 $45,365.32 $30,243.55 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 14 — — $6,439.43 $53,642.00 $29,818.27 2026-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 26 13 — — $6,439.43 $44,169.35 $29,446.23 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 14 — — $6,439.43 $44,079.15 $29,386.10 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 14 — — $6,439.43 $43,947.63 $29,298.42 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 28 14 — — $6,439.43 $43,564.32 $29,042.88 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 26 13 — — $6,439.43 $43,390.50 $28,927.00 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 23 — — $6,439.43 $65,585.00 $28,899.00 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 14 — — $6,439.43 $43,183.82 $28,789.21 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 14 — — $6,439.43 $43,073.90 $28,715.93 2026-01-01
245 MS_DRG Aicd Generator Procedures 40 20 — — $6,439.43 $42,863.44 $28,575.63 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 14 — — $6,439.43 $42,734.75 $28,489.83 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 14 — — $6,439.43 $42,715.95 $28,477.30 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 28 14 — — $6,439.43 $42,548.72 $28,365.81 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 28 14 — — $6,439.43 $42,106.22 $28,070.81 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 14 — — $6,439.43 $42,094.00 $28,062.67 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 14 — — $6,439.43 $41,928.66 $27,952.44 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 14 — — $6,439.43 $41,270.07 $27,513.38 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 26 13 — — $6,439.43 $40,655.64 $27,103.76 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 14 — — $6,439.43 $40,331.52 $26,887.68 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 26 13 — — $6,439.43 $40,072.22 $26,714.81 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 26 13 — — $6,439.43 $39,842.04 $26,561.36 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 14 — — $6,439.43 $39,676.69 $26,451.13 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 14 — — $6,439.43 $39,609.04 $26,406.03 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 14 — — $6,439.43 $39,589.32 $26,392.88 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 28 14 — — $6,439.43 $39,473.76 $26,315.84 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 28 14 — — $6,439.43 $39,426.78 $26,284.52 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 14 — — $6,439.43 $39,201.30 $26,134.20 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 14 — — $6,439.43 $39,017.16 $26,011.44 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 14 — — $6,439.43 $38,758.80 $25,839.20 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 26 13 — — $6,439.43 $37,772.34 $25,181.56 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 28 14 — — $6,439.43 $37,430.35 $24,953.57 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 14 — — $6,439.43 $36,752.04 $24,501.36 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 14 — — $6,439.43 $36,364.98 $24,243.32 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 28 14 — — $6,439.43 $36,310.49 $24,206.99 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 14 — — $6,439.43 $36,275.73 $24,183.82 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 14 — — $6,439.43 $36,069.98 $24,046.65 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 14 — — $6,439.43 $35,353.14 $23,568.76 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 26 13 — — $6,439.43 $35,199.06 $23,466.04 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 14 — — $6,439.43 $35,115.45 $23,410.30 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 26 13 — — $6,439.43 $35,111.68 $23,407.79 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 14 — — $6,439.43 $35,013.04 $23,342.03 2026-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 26 13 — — $6,439.43 $34,815.75 $23,210.50 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 28 14 — — $6,439.43 $34,508.53 $23,005.69 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 14 — — $6,439.43 $34,494.45 $22,996.30 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 28 14 — — $6,439.43 $34,089.52 $22,726.35 2026-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 14 — — $6,439.43 $34,063.22 $22,708.81 2026-01-01
332 MS_DRG Rectal Resection With Mcc 28 14 — — $6,439.43 $34,016.24 $22,677.49 2026-01-01
265 MS_DRG Aicd Lead Procedures 38 19 — — $6,439.43 $33,992.76 $22,661.84 2026-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 13 — — $6,439.43 $33,881.90 $22,587.93 2026-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 28 14 — — $6,439.43 $33,660.18 $22,440.12 2026-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 28 14 — — $6,439.43 $33,582.19 $22,388.13 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 14 — — $6,439.43 $33,548.37 $22,365.58 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 14 — — $6,439.43 $33,498.58 $22,332.39 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 28 14 — — $6,439.43 $33,470.40 $22,313.60 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 14 — — $6,439.43 $33,438.45 $22,292.30 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 42 21 — — $6,439.43 $91,757.00 $22,285.19 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 28 14 — — $6,439.43 $33,411.21 $22,274.14 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 14 — — $6,439.43 $33,132.18 $22,088.12 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 14 — — $6,439.43 $32,763.90 $21,842.60 2026-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 14 — — $6,439.43 $32,613.57 $21,742.38 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 14 — — $6,439.43 $32,455.74 $21,637.16 2026-01-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 26 13 — — $6,439.43 $32,305.43 $21,536.95 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 14 — — $6,439.43 $32,209.59 $21,473.06 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 28 14 — — $6,439.43 $32,051.76 $21,367.84 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 28 14 — — $6,439.43 $32,009.49 $21,339.66 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 28 14 — — $6,439.43 $31,384.73 $20,923.15 2026-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 28 14 — — $6,439.43 $31,034.29 $20,689.53 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 28 14 — — $6,439.43 $30,929.07 $20,619.38 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 28 14 — — $6,439.43 $30,925.31 $20,616.87 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 14 — — $6,439.43 $30,425.49 $20,283.66 2026-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 26 13 — — $6,439.43 $30,349.40 $20,232.93 2026-01-01
652 MS_DRG Kidney Transplant 36 18 — — $6,439.43 $30,340.95 $20,227.30 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 14 — — $6,439.43 $30,318.39 $20,212.26 2026-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 26 13 — — $6,439.43 $30,161.50 $20,107.67 2026-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 28 14 — — $6,439.43 $29,940.72 $19,960.48 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 28 14 — — $6,439.43 $29,911.59 $19,941.06 2026-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 14 — — $6,439.43 $29,851.47 $19,900.98 2026-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 28 14 — — $6,439.43 $29,733.09 $19,822.06 2026-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 28 14 — — $6,439.43 $29,688.00 $19,792.00 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 26 13 — — $6,439.43 $29,603.44 $19,735.63 2026-01-01
665 MS_DRG Prostatectomy With Mcc 28 14 — — $6,439.43 $29,323.47 $19,548.98 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 14 — — $6,439.43 $29,262.40 $19,508.27 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 28 14 — — $6,439.43 $29,210.73 $19,473.82 2026-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 28 14 — — $6,439.43 $28,762.59 $19,175.06 2026-01-01
263 MS_DRG Vein Ligation And Stripping 28 14 — — $6,439.43 $28,724.07 $19,149.38 2026-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 14 — — $6,439.43 $28,496.72 $18,997.81 2026-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 28 14 — — $6,439.43 $28,377.40 $18,918.27 2026-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 28 14 — — $6,439.43 $28,373.64 $18,915.76 2026-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 28 14 — — $6,439.43 $28,342.64 $18,895.09 2026-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 26 13 — — $6,439.43 $27,963.09 $18,642.06 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 28 14 — — $6,439.43 $27,678.42 $18,452.28 2026-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 28 14 — — $6,439.43 $27,659.63 $18,439.75 2026-01-01
570 MS_DRG Skin Debridement With Mcc 26 13 — — $6,439.43 $27,631.44 $18,420.96 2026-01-01
668 MS_DRG Transurethral Procedures With Mcc 28 14 — — $6,439.43 $27,433.22 $18,288.81 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 28 14 — — $6,439.43 $27,360.87 $18,240.58 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 28 14 — — $6,439.43 $27,264.10 $18,176.07 2026-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 28 14 — — $6,439.43 $27,247.19 $18,164.79 2026-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 38 19 — — $6,439.43 $27,126.93 $18,084.62 2026-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 28 14 — — $6,439.43 $27,074.32 $18,049.55 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 26 13 — — $6,439.43 $26,965.33 $17,976.89 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 28 14 — — $6,439.43 $26,780.26 $17,853.51 2026-01-01
800 MS_DRG Splenic Procedures With Cc 28 14 — — $6,439.43 $26,394.14 $17,596.09 2026-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 38 19 — — $5,792.50 $30,259.20 $20,172.80 2026-01-01
92933 CPT Prq Card Stent/ath/angio 12 6 — — $5,510.00 $30,445.34 $24,707.33 2026-01-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 32 16 $4,691.50 $1,688.94 64% off $3,284.05 $61,014.19 $21,766.45 2026-01-01
33231 CPT Insrt Pulse Gen W/mult Leads 32 16 $4,036.75 $1,453.23 64% off $2,825.72 $61,014.19 $21,864.90 2026-01-01
215 MS_DRG Other Heart Assist System Implant 46 23 — — $2,000.00 $101,952.00 $63,610.85 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 46 23 — — $2,000.00 $55,135.11 $36,756.74 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 46 23 — — $2,000.00 $57,093.00 $31,606.74 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 46 23 — — $2,000.00 $39,353.50 $23,649.00 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 46 23 — — $2,000.00 $46,898.00 $20,318.02 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 44 22 — — $2,000.00 $30,586.00 $20,197.40 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 44 22 — — $2,000.00 $30,586.00 $19,145.11 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 30 15 — — $1,155.00 $64,935.92 $43,290.61 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 30 15 — — $1,155.00 $60,453.58 $40,302.39 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 30 15 — — $1,155.00 $51,577.26 $34,384.84 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 30 15 — — $1,155.00 $45,136.08 $30,090.72 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 30 15 — — $1,155.00 $33,932.63 $22,621.75 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 30 15 — — $1,155.00 $33,064.53 $22,043.02 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 30 15 — — $1,155.00 $30,391.68 $20,261.12 2026-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 30 15 — — $1,155.00 $27,113.77 $18,075.85 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 40 20 — — $1,155.00 $36,585.75 $17,741.25 2026-01-01
61886 CPT Implant Neurostim Arrays 32 16 — — $859.35 $55,034.42 $19,631.62 2026-01-01
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 32 16 — — $758.25 $55,034.42 $19,537.92 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 15 — — $330.00 $55,838.79 $37,225.86 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 30 15 — — $330.00 $39,173.11 $26,115.41 2026-01-01
791 MS_DRG Prematurity With Major Problems 30 15 — — $330.00 $38,134.03 $25,422.69 2026-01-01
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