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

PALO PINTO GENERAL HOSPITAL

Mineral Wells, TX · CCN 450565 · Rates published

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You selected 93306 (CPT)

ECHOCARDIOGRAM COMPLETE

This hospital’s price: $505 across 9 payers · range $96-$808

Source: https://res.cloudinary.com/dpmykpsih/raw/upload/palo-pinto-site-485/media/r/64e3b805d588478eb05a4918d9375497/751256948_palo-pinto-general-hospital_standardcharges.csv · observed 2026-07-31

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.

2,715 distinct procedures filed
19 distinct payers
53,974 rate rows
2026-07-31 last MRF observed
Data quality

53,137 of 53,974 rate rows are consumer-grade (98.4%)

837 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
per-diem day rate — not a per-procedure price 763
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 22
percent-of-charges filed in the dollar field — excluded from medians 17
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 14
exceeds 10× this hospital's gross charge — excluded from medians 11
placeholder amount (≤ $0.02) — excluded from medians 8
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://res.cloudinary.com/dpmykpsih/raw/upload/palo-pinto-site-485/media/r/64e3b805d588478eb05a4918d9375497/751256948_palo-pinto-general-hospital_standardcharges.csv
Found on page https://ppgh.com/patients-visitors/billing-insurance/price-transparency/
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-11
Content fingerprint 95e0afd374cd9a44… · 3,582,021 bytes · first seen 2026-05-17

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 3 $39,278.52 $309,205.63 $158,218.96 nat. median
$359,358
outlier · 0.4×
3
MS_DRG 		Ecmo Or Trach W Mv >96 Hrs Or Principal Diag Except Face, Mouth, Neck W Major O.… 3 $78,433.66 $228,163.23 $129,923.49 nat. median
$190,557
0.7× median
4
MS_DRG 		Tracheostomy W Mv >96 Hrs Or Principal Diag Except Face, Mouth, Neck Without Maj… 3 $48,990.06 $118,133.27 $63,870.28 nat. median
$126,722
0.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $42,622.01 $105,857.28 $56,911.68 nat. median
$74,460
0.8× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $51,815.21 $51,815.21 $51,815.21 nat. median
$50,905
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 3 $32,183.85 $66,979.29 $48,274.31 nat. median
$71,758
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 3 $8,019.00 $89,490.41 $47,292.76 nat. median
$93,917
0.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $43,076.31 $81,844.36 $45,339.64 nat. median
$90,581
0.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $35,064.53 $72,306.46 $44,607.94 nat. median
$77,043
0.6× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $37,969.57 $67,558.86 $39,742.29 nat. median
$71,201
0.6× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 $31,105.51 $48,432.55 $38,406.39 nat. median
$51,590
0.7× median
793
MS_DRG 		Full Term Neonate With Major Problems 1 $37,439.50 $37,439.50 $37,439.50 nat. median
$33,753
1.1× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 3 $24,359.98 $53,143.17 $36,914.62 nat. median
$57,804
0.6× median
791
MS_DRG 		Prematurity With Major Problems 1 $36,543.40 $36,543.40 $36,543.40 nat. median
$34,598
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical W Spinal Curvature, Malignancy, Infection Or Exten… 3 $29,120.00 $72,268.40 $36,443.04 nat. median
$77,696
outlier · 0.5×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 3 $25,669.19 $85,817.88 $35,521.44 nat. median
$47,451
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $33,267.56 $66,340.02 $35,015.52 nat. median
$72,473
outlier · 0.5×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $6,569.10 $36,606.52 $34,779.14 nat. median
$47,579
0.7× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 $20,717.73 $173,595.96 $34,587.11 nat. median
$50,083
0.7× median
23
MS_DRG 		Craniotomy W Maj Device Imp Or Acute Complex Cns Pdx W Mcc Or Chemother Imp Or E… 3 $23,385.30 $49,873.12 $34,160.40 nat. median
$53,532
0.6× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 3 $25,185.15 $44,311.05 $33,014.22 nat. median
$49,639
0.7× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Without Mcc 3 $21,960.86 $46,754.59 $33,009.00 nat. median
$51,613
0.6× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 3 $24,904.73 $51,324.23 $31,706.67 nat. median
$55,491
0.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $15,016.59 $64,125.69 $31,453.06 nat. median
$68,004
outlier · 0.5×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $7,336.98 $32,003.48 $30,405.89 nat. median
$39,629
0.8× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 3 $21,400.01 $45,237.85 $30,316.24 nat. median
$49,396
0.6× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 $21,725.01 $52,187.92 $30,081.49 nat. median
$58,331
0.5× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $28,722.50 $57,671.48 $29,562.99 nat. median
$63,896
outlier · 0.5×
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 $16,820.66 $68,600.52 $28,844.83 nat. median
$40,003
0.7× median
457
MS_DRG 		Spinal Fusion Except Cervical W Spinal Curvature, Malignancy, Infection Or Exten… 3 $26,853.26 $50,151.04 $28,692.10 nat. median
$55,188
0.5× median
245
MS_DRG 		Aicd Generator Procedures 3 $22,359.82 $43,243.09 $28,421.33 nat. median
$42,929
0.7× median
31
MS_DRG 		Ventricular Shunt Procedures With Mcc 3 $18,031.99 $65,294.91 $28,290.90 nat. median
$40,625
0.7× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 $17,819.30 $48,525.48 $28,057.84 nat. median
$40,092
0.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $14,298.93 $55,972.44 $27,519.73 nat. median
$62,038
outlier · 0.4×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 3 $16,853.70 $40,364.73 $27,352.79 nat. median
$40,341
0.7× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 $21,738.78 $28,741.49 $27,306.73 nat. median
$38,225
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $11,100.24 $60,012.20 $27,231.51 nat. median
$62,721
outlier · 0.4×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $9,134.37 $29,263.13 $26,901.17 nat. median
$52,841
0.5× median
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 $15,825.75 $114,453.00 $26,777.77 nat. median
$38,719
0.7× median
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 $20,070.15 $64,581.30 $26,688.99 nat. median
$32,364
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 3 $7,404.21 $58,973.51 $26,651.69 nat. median
$61,711
outlier · 0.4×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 $23,131.72 $41,767.70 $26,328.71 nat. median
$45,888
0.6× median
34
MS_DRG 		Carotid Artery Stent Procedures With Mcc 3 $16,415.10 $46,211.31 $26,216.94 nat. median
$36,390
0.7× median
273
MS_DRG 		Percutaneous And Other Intracardiac Procedures With Mcc 3 $15,847.64 $41,577.30 $26,005.82 nat. median
$38,116
0.7× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 $13,475.97 $53,370.03 $25,753.97 nat. median
$53,342
outlier · 0.5×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $15,291.18 $27,004.00 $25,655.97 nat. median
$32,619
0.8× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 $19,030.21 $42,166.31 $25,652.51 nat. median
$43,741
0.6× median
834
MS_DRG 		Acute Leukemia Without Major O.r. Procedures With Mcc 3 $10,031.85 $48,432.55 $25,643.35 nat. median
$50,391
0.5× median
28
MS_DRG 		Spinal Procedures With Mcc 4 $20,800.00 $52,906.59 $25,299.54 nat. median
$54,505
outlier · 0.5×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 $16,241.23 $34,451.41 $25,167.28 nat. median
$36,642
0.7× median

Other procedures at this hospital

Browse this hospital's 2,715 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 4 3 — — $39,278.52 $309,205.63 $158,218.96 2026-07-31
3 MS_DRG Ecmo Or Trach W Mv >96 Hrs Or Principal Diag Except Face, Mouth, Neck W Major O.… 4 3 — — $78,433.66 $228,163.23 $129,923.49 2026-07-31
4 MS_DRG Tracheostomy W Mv >96 Hrs Or Principal Diag Except Face, Mouth, Neck Without Maj… 4 3 — — $48,990.06 $118,133.27 $63,870.28 2026-07-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 3 — — $42,622.01 $105,857.28 $56,911.68 2026-07-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $51,815.21 $51,815.21 $51,815.21 2026-07-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 4 3 — — $32,183.85 $66,979.29 $48,274.31 2026-07-31
215 MS_DRG Other Heart Assist System Implant 4 3 — — $8,019.00 $89,490.41 $47,292.76 2026-07-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $43,076.31 $81,844.36 $45,339.64 2026-07-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 3 — — $35,064.53 $72,306.46 $44,607.94 2026-07-31
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 4 3 — — $37,969.57 $67,558.86 $39,742.29 2026-07-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 3 — — $31,105.51 $48,432.55 $38,406.39 2026-07-31
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $37,439.50 $37,439.50 $37,439.50 2026-07-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 3 — — $24,359.98 $53,143.17 $36,914.62 2026-07-31
791 MS_DRG Prematurity With Major Problems 1 1 — — $36,543.40 $36,543.40 $36,543.40 2026-07-31
456 MS_DRG Spinal Fusion Except Cervical W Spinal Curvature, Malignancy, Infection Or Exten… 4 3 — — $29,120.00 $72,268.40 $36,443.04 2026-07-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 3 — — $25,669.19 $85,817.88 $35,521.44 2026-07-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 2 — — $33,267.56 $66,340.02 $35,015.52 2026-07-31
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 2 — — $6,569.10 $36,606.52 $34,779.14 2026-07-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 3 — — $20,717.73 $173,595.96 $34,587.11 2026-07-31
23 MS_DRG Craniotomy W Maj Device Imp Or Acute Complex Cns Pdx W Mcc Or Chemother Imp Or E… 4 3 — — $23,385.30 $49,873.12 $34,160.40 2026-07-31
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 4 3 — — $25,185.15 $44,311.05 $33,014.22 2026-07-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 4 3 — — $21,960.86 $46,754.59 $33,009.00 2026-07-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 3 — — $24,904.73 $51,324.23 $31,706.67 2026-07-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 3 — — $15,016.59 $64,125.69 $31,453.06 2026-07-31
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 2 — — $7,336.98 $32,003.48 $30,405.89 2026-07-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 3 — — $21,400.01 $45,237.85 $30,316.24 2026-07-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 3 — — $21,725.01 $52,187.92 $30,081.49 2026-07-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 3 — — $28,722.50 $57,671.48 $29,562.99 2026-07-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 3 — — $16,820.66 $68,600.52 $28,844.83 2026-07-31
457 MS_DRG Spinal Fusion Except Cervical W Spinal Curvature, Malignancy, Infection Or Exten… 4 3 — — $26,853.26 $50,151.04 $28,692.10 2026-07-31
245 MS_DRG Aicd Generator Procedures 4 3 — — $22,359.82 $43,243.09 $28,421.33 2026-07-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 3 — — $18,031.99 $65,294.91 $28,290.90 2026-07-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 3 — — $17,819.30 $48,525.48 $28,057.84 2026-07-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $14,298.93 $55,972.44 $27,519.73 2026-07-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 3 — — $16,853.70 $40,364.73 $27,352.79 2026-07-31
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 2 — — $21,738.78 $28,741.49 $27,306.73 2026-07-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 3 — — $11,100.24 $60,012.20 $27,231.51 2026-07-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 3 — — $9,134.37 $29,263.13 $26,901.17 2026-07-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 3 — — $15,825.75 $114,453.00 $26,777.77 2026-07-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 3 — — $20,070.15 $64,581.30 $26,688.99 2026-07-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 3 — — $7,404.21 $58,973.51 $26,651.69 2026-07-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 3 — — $23,131.72 $41,767.70 $26,328.71 2026-07-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 3 — — $16,415.10 $46,211.31 $26,216.94 2026-07-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 3 — — $15,847.64 $41,577.30 $26,005.82 2026-07-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 3 — — $13,475.97 $53,370.03 $25,753.97 2026-07-31
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 2 — — $15,291.18 $27,004.00 $25,655.97 2026-07-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $19,030.21 $42,166.31 $25,652.51 2026-07-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 4 3 — — $10,031.85 $48,432.55 $25,643.35 2026-07-31
28 MS_DRG Spinal Procedures With Mcc 5 4 — — $20,800.00 $52,906.59 $25,299.54 2026-07-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 3 — — $16,241.23 $34,451.41 $25,167.28 2026-07-31
332 MS_DRG Rectal Resection With Mcc 4 3 — — $17,179.56 $50,109.84 $24,917.81 2026-07-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 3 — — $11,366.73 $54,889.99 $24,529.90 2026-07-31
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 2 — — $23,238.68 $52,384.32 $24,459.70 2026-07-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 3 — — $11,906.19 $47,633.68 $24,288.72 2026-07-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 3 — — $5,043.87 $56,047.80 $24,271.35 2026-07-31
837 MS_DRG Chemotherapy W Acute Leukemia As Secondary Diag Or W High Dose Chemotherapy Agen… 4 3 — — $7,475.49 $44,218.61 $24,156.06 2026-07-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 3 — — $1,618.38 $50,822.69 $24,105.62 2026-07-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 2 — — $22,869.05 $53,544.22 $24,070.64 2026-07-31
653 MS_DRG Major Bladder Procedures With Mcc 3 2 — — $22,505.20 $48,815.78 $23,687.67 2026-07-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 3 — — $15,373.93 $63,312.84 $23,656.82 2026-07-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 3 — — $14,721.80 $54,007.56 $23,525.91 2026-07-31
792 MS_DRG Prematurity Without Major Problems 1 1 — — $23,497.25 $23,497.25 $23,497.25 2026-07-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 2 — — $22,301.59 $46,564.19 $23,473.37 2026-07-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 2 — — $22,209.90 $44,800.35 $23,376.86 2026-07-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $13,472.47 $32,267.97 $23,104.61 2026-07-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 3 — — $16,470.44 $78,173.91 $23,076.49 2026-07-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 3 — — $13,864.00 $48,525.48 $23,052.60 2026-07-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 3 — — $19,859.93 $44,459.24 $23,032.22 2026-07-31
252 MS_DRG Other Vascular Procedures With Mcc 4 3 — — $13,714.49 $39,583.08 $22,939.07 2026-07-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 2 — — $21,690.35 $88,240.59 $22,830.01 2026-07-31
463 MS_DRG Wound Debridement & Skin Grft Excpt Hand For Musculoskeletal & Connective Tissue… 4 3 — — $4,982.31 $47,409.25 $22,741.24 2026-07-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 3 — — $5,691.87 $44,926.73 $22,654.78 2026-07-31
799 MS_DRG Splenectomy With Mcc 3 2 — — $21,244.31 $42,173.60 $22,360.53 2026-07-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $21,241.42 $51,851.68 $22,357.49 2026-07-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 3 — — $16,345.71 $34,211.59 $22,196.92 2026-07-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 3 — — $14,513.23 $32,246.00 $21,818.16 2026-07-31
458 MS_DRG Spinal Fus Except Cerv W Spinal Curvature, Malignancy, Infection Or Extensive Fu… 5 4 — — $14,779.26 $35,634.57 $21,810.64 2026-07-31
471 MS_DRG Cervical Spinal Fusion With Mcc 5 4 — — $16,640.00 $43,004.09 $21,808.03 2026-07-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $12,552.57 $47,363.07 $21,408.24 2026-07-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 3 — — $13,297.77 $42,341.33 $21,348.47 2026-07-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 4 3 — — $13,568.70 $28,936.24 $21,090.63 2026-07-31
163 MS_DRG Major Chest Procedures With Mcc 4 3 — — $6,054.75 $40,993.94 $21,021.26 2026-07-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 3 — — $9,969.48 $44,170.79 $20,957.69 2026-07-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 3 — — $12,629.54 $106,124.58 $20,861.90 2026-07-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 3 — — $17,443.35 $40,853.77 $20,558.00 2026-07-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 3 — — $18,550.72 $39,884.75 $20,495.21 2026-07-31
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 4 3 — — $15,868.71 $39,520.00 $20,306.65 2026-07-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 3 — — $17,259.27 $36,604.16 $20,072.33 2026-07-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 3 — — $16,067.35 $33,006.80 $19,985.33 2026-07-31
221 MS_DRG Cardiac Valve & Other Major Cardiothoracic Procedures Without Cardiac Catheterizatio… 3 2 — — $18,801.00 $40,859.43 $19,788.85 2026-07-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 3 — — $11,522.70 $68,638.59 $19,686.33 2026-07-31
37 MS_DRG Extracranial Procedures With Mcc 4 3 — — $13,524.51 $30,555.88 $19,504.89 2026-07-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 3 — — $12,983.49 $40,203.15 $19,266.95 2026-07-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 3 — — $7,842.42 $41,563.52 $19,060.96 2026-07-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 3 — — $14,302.60 $37,594.24 $18,956.56 2026-07-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 3 — — $12,491.19 $27,477.86 $18,515.58 2026-07-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 4 3 — — $11,235.67 $86,260.14 $18,473.06 2026-07-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 3 — — $5,988.33 $39,240.60 $18,292.51 2026-07-31
503 MS_DRG Foot Procedures With Mcc 4 3 — — $10,856.53 $26,076.33 $18,259.76 2026-07-31
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 1 1 — — $18,254.32 $18,254.32 $18,254.32 2026-07-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 3 — — $10,197.09 $38,210.81 $18,189.10 2026-07-31
901 MS_DRG Wound Debridements For Injuries With Mcc 4 3 — — $8,520.39 $39,546.08 $18,065.33 2026-07-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 3 — — $15,451.56 $35,552.51 $18,048.39 2026-07-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 3 — — $14,073.39 $29,732.71 $18,030.78 2026-07-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 3 — — $10,502.59 $27,786.24 $17,951.56 2026-07-31
654 MS_DRG Major Bladder Procedures With Cc 4 3 — — $11,977.83 $26,514.50 $17,915.34 2026-07-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 3 — — $13,528.62 $36,947.69 $17,824.58 2026-07-31
C1734 HCPCS Cable/trochanteric Grip 16 8 $34,815.00 $17,407.50 50% off $9,748.20 $26,111.25 $17,807.87 2026-07-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 4 3 — — $11,104.74 $33,701.67 $17,805.41 2026-07-31
263 MS_DRG Vein Ligation And Stripping 4 3 — — $9,520.89 $27,590.22 $17,700.67 2026-07-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 4 3 — — $13,221.37 $26,380.01 $17,554.85 2026-07-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 3 — — $9,855.42 $27,744.12 $17,334.29 2026-07-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 4 3 — — $10,373.73 $48,890.79 $17,281.35 2026-07-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 3 — — $14,323.67 $32,421.81 $17,126.10 2026-07-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 3 — — $6,874.47 $34,964.29 $16,906.53 2026-07-31
140 MS_DRG Major Head And Neck Procedures With Mcc 4 3 — — $8,198.82 $37,915.11 $16,871.78 2026-07-31
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 3 — — $10,315.09 $29,036.88 $16,813.38 2026-07-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 3 — — $6,633.09 $35,926.01 $16,772.17 2026-07-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 3 — — $10,009.06 $43,972.47 $16,719.56 2026-07-31
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 3 — — $6,360.12 $20,800.00 $16,668.75 2026-07-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 3 — — $9,603.08 $36,326.07 $16,605.15 2026-07-31
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 4 3 — — $10,459.64 $43,093.62 $16,455.56 2026-07-31
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 4 3 — — $9,734.00 $23,196.78 $16,421.67 2026-07-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 3 — — $7,792.20 $34,619.14 $16,313.14 2026-07-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 3 — — $7,611.57 $35,903.32 $16,198.28 2026-07-31
35 MS_DRG Carotid Artery Stent Procedures With Cc 4 3 — — $9,652.22 $30,793.77 $16,119.78 2026-07-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 3 — — $9,191.88 $34,845.19 $16,062.65 2026-07-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 3 — — $13,985.01 $29,365.66 $16,044.32 2026-07-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 3 — — $10,623.96 $32,692.43 $15,905.40 2026-07-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 3 — — $7,624.53 $25,820.15 $15,904.55 2026-07-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 3 — — $10,404.45 $32,017.51 $15,892.26 2026-07-31
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 4 3 — — $9,757.95 $38,513.88 $15,869.97 2026-07-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 4 3 — — $6,778.08 $34,932.68 $15,773.15 2026-07-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 3 — — $5,134.59 $32,694.06 $15,719.33 2026-07-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 3 — — $13,043.43 $35,618.14 $15,674.40 2026-07-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 4 3 — — $11,567.72 $25,480.66 $15,660.74 2026-07-31
794 MS_DRG Neonate With Other Significant Problems 1 1 — — $15,609.77 $15,609.77 $15,609.77 2026-07-31
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 4 3 — — $9,144.23 $40,526.73 $15,603.30 2026-07-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 3 — — $11,928.27 $25,552.77 $15,423.22 2026-07-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 3 — — $11,262.24 $33,211.77 $15,398.90 2026-07-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 3 — — $12,256.92 $32,037.77 $15,366.68 2026-07-31
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 3 — — $9,059.57 $46,489.14 $15,331.87 2026-07-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 3 — — $7,748.46 $33,967.70 $15,312.85 2026-07-31
32 MS_DRG Ventricular Shunt Procedures With Cc 4 3 — — $9,136.39 $43,261.29 $15,284.39 2026-07-31
500 MS_DRG Soft Tissue Procedures With Mcc 4 3 — — $13,025.61 $29,322.73 $15,258.34 2026-07-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 3 — — $6,420.06 $31,247.01 $15,191.64 2026-07-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 3 — — $13,643.64 $31,400.94 $15,157.72 2026-07-31
253 MS_DRG Other Vascular Procedures With Cc 4 3 — — $10,959.78 $24,334.21 $15,133.85 2026-07-31
333 MS_DRG Rectal Resection With Cc 4 3 — — $8,842.33 $35,581.68 $15,087.92 2026-07-31
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 4 3 — — $8,872.89 $26,476.47 $15,086.17 2026-07-31
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 4 3 — — $8,403.31 $24,978.78 $15,074.01 2026-07-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 4 — — $9,360.00 $32,173.89 $15,009.25 2026-07-31
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 4 3 — — $9,506.43 $24,189.17 $14,924.24 2026-07-31
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 4 3 — — $11,026.69 $24,340.69 $14,844.25 2026-07-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 5 4 — — $9,360.00 $32,687.57 $14,803.16 2026-07-31
595 MS_DRG Major Skin Disorders With Mcc 4 3 — — $8,309.97 $49,881.42 $14,766.42 2026-07-31
264 MS_DRG Other Circulatory System O.r. Procedures 4 3 — — $13,413.41 $31,967.27 $14,744.38 2026-07-31
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 4 3 — — $10,419.16 $22,386.45 $14,607.15 2026-07-31
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 4 3 — — $8,649.87 $38,681.55 $14,471.34 2026-07-31
908 MS_DRG Other O.r. Procedures For Injuries With Cc 4 3 — — $8,426.85 $21,635.91 $14,430.93 2026-07-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 5 4 — — $9,880.00 $305,473.68 $14,323.37 2026-07-31
849 MS_DRG Radiotherapy 4 3 — — $10,273.38 $25,291.07 $14,314.15 2026-07-31
265 MS_DRG Aicd Lead Procedures 4 3 — — $12,294.18 $32,551.45 $14,252.81 2026-07-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 4 3 — — $9,629.10 $23,071.89 $14,244.81 2026-07-31
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 4 3 — — $8,099.34 $25,666.47 $14,236.70 2026-07-31
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 4 3 — — $8,396.70 $22,236.55 $14,183.90 2026-07-31
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 3 — — $8,200.53 $27,855.90 $14,133.17 2026-07-31
41 MS_DRG Peripheral, Cranial Nerve & Other Nervous System Procedures W Cc Or Peripheral N… 4 3 — — $9,708.80 $21,945.68 $14,122.34 2026-07-31
464 MS_DRG Wound Debridement & Skin Grft Excpt Hand For Musculoskeletal & Connective Tissue… 4 3 — — $12,284.69 $27,539.42 $14,121.19 2026-07-31
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 4 3 — — $8,155.10 $39,344.13 $14,078.48 2026-07-31
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 4 3 — — $8,085.30 $21,437.46 $14,068.08 2026-07-31
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 4 3 — — $8,129.91 $28,516.86 $14,048.19 2026-07-31
347 MS_DRG Anal And Stomal Procedures With Mcc 4 3 — — $10,166.41 $22,825.59 $13,957.76 2026-07-31
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 4 3 — — $9,180.16 $20,686.60 $13,932.01 2026-07-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 3 — — $10,261.89 $30,046.25 $13,909.49 2026-07-31
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 4 3 — — $10,128.41 $23,246.07 $13,885.10 2026-07-31
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 4 3 — — $7,932.08 $33,935.76 $13,860.65 2026-07-31
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 4 3 — — $7,773.07 $28,380.78 $13,851.91 2026-07-31
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 4 3 — — $8,224.07 $22,724.55 $13,840.11 2026-07-31
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 4 3 — — $7,715.67 $25,830.90 $13,833.84 2026-07-31
592 MS_DRG Skin Ulcers With Mcc 4 3 — — $6,966.07 $24,382.62 $13,820.96 2026-07-31
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 4 3 — — $7,700.80 $57,242.70 $13,798.88 2026-07-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 4 3 — — $12,642.34 $25,739.93 $13,767.94 2026-07-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 3 — — $10,907.46 $31,722.60 $13,767.92 2026-07-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 3 — — $12,651.84 $27,264.77 $13,766.05 2026-07-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 3 — — $8,230.41 $29,487.20 $13,629.74 2026-07-31
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 4 3 — — $8,531.34 $47,662.02 $13,625.46 2026-07-31
374 MS_DRG Digestive Malignancy With Mcc 4 3 — — $8,540.43 $20,756.28 $13,615.18 2026-07-31
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 4 3 — — $12,163.26 $25,146.85 $13,613.42 2026-07-31
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 4 3 — — $7,846.59 $54,308.07 $13,592.44 2026-07-31
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 4 3 — — $9,423.01 $22,149.05 $13,592.04 2026-07-31
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 2 — — $12,909.14 $40,798.89 $13,587.42 2026-07-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 3 — — $8,955.36 $28,634.85 $13,587.36 2026-07-31
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 4 3 — — $9,831.05 $22,352.41 $13,586.87 2026-07-31
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 4 3 — — $7,779.68 $32,945.94 $13,577.07 2026-07-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 4 3 — — $11,277.79 $26,806.17 $13,571.05 2026-07-31
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 4 3 — — $9,857.48 $22,114.21 $13,515.72 2026-07-31
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 4 3 — — $7,987.83 $31,960.17 $13,434.22 2026-07-31
545 MS_DRG Connective Tissue Disorders With Mcc 4 3 — — $10,322.94 $24,122.73 $13,418.86 2026-07-31
469 MS_DRG Major Hip & Knee Joint Replacement Or Reattachment Of Lower Extremity W Mcc Or T… 5 4 — — $6,458.13 $30,132.95 $13,407.89 2026-07-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 4 3 — — $6,967.62 $26,852.37 $13,326.69 2026-07-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 3 — — $8,899.47 $28,704.53 $13,296.17 2026-07-31
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 4 3 — — $7,645.46 $36,225.63 $13,274.31 2026-07-31
472 MS_DRG Cervical Spinal Fusion With Cc 5 4 — — $12,480.00 $41,715.81 $13,272.26 2026-07-31
C1767 HCPCS Pm Implant Battery Rechargable 30 8 $24,914.00 $12,457.00 50% off $8,643.20 $19,851.00 $13,234.00 2026-07-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 4 3 — — $11,250.95 $25,660.53 $13,196.88 2026-07-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 3 — — $10,499.70 $25,393.97 $13,156.29 2026-07-31
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 2 — — $12,230.19 $13,796.94 $13,108.21 2026-07-31
570 MS_DRG Skin Debridement With Mcc 4 3 — — $11,713.92 $23,038.52 $13,075.62 2026-07-31
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 4 3 — — $7,434.00 $18,381.52 $13,058.42 2026-07-31
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 4 3 — — $7,784.64 $33,943.86 $13,041.69 2026-07-31
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 4 3 — — $7,239.06 $19,249.65 $13,025.99 2026-07-31
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 3 — — $8,400.83 $19,299.50 $12,987.27 2026-07-31
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 4 3 — — $7,472.41 $43,748.10 $12,951.11 2026-07-31
548 MS_DRG Septic Arthritis With Mcc 4 3 — — $8,382.25 $19,971.99 $12,949.14 2026-07-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 2 — — $12,240.49 $30,401.93 $12,883.64 2026-07-31
665 MS_DRG Prostatectomy With Mcc 4 3 — — $10,052.91 $31,469.00 $12,871.05 2026-07-31
800 MS_DRG Splenectomy With Cc 3 2 — — $12,189.28 $27,257.47 $12,829.74 2026-07-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 4 3 — — $10,673.16 $24,106.53 $12,808.97 2026-07-31
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 4 3 — — $7,648.35 $18,925.18 $12,762.17 2026-07-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 3 — — $12,058.47 $27,413.03 $12,750.68 2026-07-31
662 MS_DRG Minor Bladder Procedures With Mcc 3 2 — — $12,100.07 $28,924.91 $12,735.84 2026-07-31
180 MS_DRG Respiratory Neoplasms With Mcc 4 3 — — $7,177.11 $37,334.52 $12,682.27 2026-07-31
671 MS_DRG Urethral Procedures With Cc/mcc 4 3 — — $7,337.77 $24,878.34 $12,669.18 2026-07-31
116 MS_DRG Intraocular Procedures With Cc/mcc 4 3 — — $7,752.84 $19,417.32 $12,664.40 2026-07-31
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 4 3 — — $7,620.26 $19,954.98 $12,659.51 2026-07-31
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 4 3 — — $7,883.76 $16,981.65 $12,607.72 2026-07-31
509 MS_DRG Arthroscopy 4 3 — — $6,912.79 $19,448.10 $12,579.22 2026-07-31
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 5 4 — — $10,491.03 $24,996.60 $12,480.00 2026-07-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 4 3 — — $11,072.53 $25,780.46 $12,474.83 2026-07-31
J3262 HCPCS Acterma 400mg/20ml Sol Sdv 16 9 $20,752.20 $10,376.10 50% off $5.86 $15,564.15 $12,451.32 2026-07-31
504 MS_DRG Foot Procedures With Cc 4 3 — — $7,326.21 $17,868.67 $12,445.22 2026-07-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 3 — — $9,223.47 $30,057.60 $12,409.48 2026-07-31
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/mcc 4 3 — — $7,150.68 $20,070.18 $12,322.81 2026-07-31
336 MS_DRG Peritoneal Adhesiolysis With Cc 4 3 — — $9,428.38 $20,763.58 $12,289.15 2026-07-31
444 MS_DRG Disorders Of The Biliary Tract With Mcc 4 3 — — $6,892.14 $84,850.74 $12,275.46 2026-07-31
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 4 3 — — $6,786.00 $20,679.30 $12,257.28 2026-07-31
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 3 — — $6,971.85 $22,748.04 $12,212.08 2026-07-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 3 — — $10,495.98 $23,485.90 $12,198.94 2026-07-31
808 MS_DRG Maj Hematological & Immunological Diag Excpt Sickle Cell Crisis & Coagulation Di… 4 3 — — $8,994.73 $22,205.77 $12,194.17 2026-07-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 4 3 — — $6,492.96 $26,403.52 $12,194.17 2026-07-31
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 4 3 — — $6,834.32 $17,678.25 $12,179.90 2026-07-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 3 — — $9,033.55 $23,938.01 $12,178.15 2026-07-31
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 3 2 — — $11,559.04 $25,880.31 $12,166.38 2026-07-31
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 4 3 — — $7,455.89 $18,760.70 $12,071.21 2026-07-31
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 4 3 — — $6,781.05 $20,685.78 $12,070.34 2026-07-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 3 — — $7,134.48 $26,879.10 $12,042.43 2026-07-31
334 MS_DRG Rectal Resection Without Cc/mcc 4 3 — — $6,646.00 $18,749.88 $12,041.40 2026-07-31
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 4 3 — — $6,592.72 $28,588.95 $12,034.02 2026-07-31
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 4 3 — — $7,106.49 $22,372.20 $12,028.11 2026-07-31
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 4 3 — — $6,716.21 $20,267.82 $12,008.67 2026-07-31
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 4 3 — — $7,235.76 $26,389.80 $11,973.81 2026-07-31
38 MS_DRG Extracranial Procedures With Cc 4 3 — — $6,844.65 $19,989.18 $11,954.32 2026-07-31
913 MS_DRG Traumatic Injury With Mcc 4 3 — — $6,758.33 $40,510.53 $11,937.26 2026-07-31
902 MS_DRG Wound Debridements For Injuries With Cc 4 3 — — $8,104.71 $19,024.04 $11,933.14 2026-07-31
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 4 3 — — $6,586.52 $22,125.15 $11,928.27 2026-07-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 4 3 — — $8,784.45 $24,903.79 $11,884.76 2026-07-31
157 MS_DRG Dental And Oral Diseases With Mcc 4 3 — — $6,494.01 $18,582.21 $11,875.94 2026-07-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 4 3 — — $11,181.56 $24,622.64 $11,835.60 2026-07-31
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 4 3 — — $6,801.28 $41,266.26 $11,830.64 2026-07-31
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 3 — — $6,941.29 $17,552.68 $11,822.26 2026-07-31
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 4 3 — — $6,370.53 $26,745.39 $11,765.58 2026-07-31
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 4 3 — — $6,102.08 $17,649.09 $11,678.58 2026-07-31
668 MS_DRG Transurethral Procedures With Mcc 4 3 — — $6,307.47 $27,277.72 $11,677.49 2026-07-31
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 4 3 — — $6,174.35 $19,115.19 $11,659.50 2026-07-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 4 3 — — $11,292.25 $25,070.70 $11,651.67 2026-07-31
597 MS_DRG Malignant Breast Disorders With Mcc 4 3 — — $6,759.57 $17,882.43 $11,644.00 2026-07-31
183 MS_DRG Major Chest Trauma With Mcc 4 3 — — $6,424.63 $31,187.43 $11,636.06 2026-07-31
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 4 3 — — $6,742.64 $34,501.14 $11,591.94 2026-07-31
75 MS_DRG Viral Meningitis With Cc/mcc 4 3 — — $6,715.38 $17,604.52 $11,590.37 2026-07-31
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 4 3 — — $8,654.42 $20,460.55 $11,585.77 2026-07-31
186 MS_DRG Pleural Effusion With Mcc 4 3 — — $6,373.42 $24,855.66 $11,579.53 2026-07-31
606 MS_DRG Minor Skin Disorders With Mcc 4 3 — — $6,240.43 $16,696.28 $11,576.13 2026-07-31
91 MS_DRG Other Disorders Of Nervous System With Mcc 4 3 — — $6,809.96 $18,418.79 $11,558.33 2026-07-31
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 4 3 — — $8,756.43 $17,890.54 $11,467.74 2026-07-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 3 — — $11,005.62 $24,587.81 $11,467.21 2026-07-31
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 4 3 — — $6,251.99 $16,363.27 $11,449.38 2026-07-31
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 3 — — $8,207.14 $18,078.51 $11,437.46 2026-07-31
919 MS_DRG Complications Of Treatment With Mcc 4 3 — — $7,576.07 $18,424.47 $11,433.81 2026-07-31
669 MS_DRG Transurethral Procedures With Cc 4 3 — — $6,326.75 $37,319.13 $11,423.31 2026-07-31
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 4 3 — — $7,809.00 $20,586.95 $11,410.18 2026-07-31
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 4 3 — — $6,572.48 $49,480.47 $11,400.32 2026-07-31
974 MS_DRG HIV With Major Related Condition With Mcc 4 3 — — $7,145.82 $27,844.08 $11,383.34 2026-07-31
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 4 3 — — $6,427.11 $16,676.02 $11,373.05 2026-07-31
709 MS_DRG Penis Procedures With Cc/mcc 4 3 — — $9,548.15 $21,855.74 $11,364.38 2026-07-31
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 4 3 — — $6,521.68 $18,217.71 $11,349.67 2026-07-31
164 MS_DRG Major Chest Procedures With Cc 4 3 — — $10,885.85 $24,042.53 $11,326.82 2026-07-31
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 4 3 — — $7,091.21 $18,449.59 $11,246.67 2026-07-31
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia W Thrombolytic Agen… 4 3 — — $7,061.89 $16,301.25 $11,232.10 2026-07-31
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 4 3 — — $6,774.44 $16,452.40 $11,201.47 2026-07-31
115 MS_DRG Extraocular Procedures Except Orbit 4 3 — — $6,002.13 $19,417.32 $11,185.64 2026-07-31
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 4 3 — — $9,328.84 $20,082.17 $11,178.90 2026-07-31
506 MS_DRG Major Thumb Or Joint Procedures 4 3 — — $6,094.64 $15,919.74 $11,105.09 2026-07-31
C1772 HCPCS Pm Implant Pain Pump Kit 15 8 $21,210.00 $10,605.00 50% off $7,847.70 $15,907.50 $11,092.83 2026-07-31
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 4 3 — — $6,159.48 $18,698.04 $11,071.97 2026-07-31
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 4 3 — — $6,734.79 $17,345.26 $11,062.34 2026-07-31
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 3 — — $7,057.53 $23,322.23 $11,060.79 2026-07-31
865 MS_DRG Viral Illness With Mcc 4 3 — — $6,107.86 $44,771.13 $11,018.06 2026-07-31
533 MS_DRG Fractures Of Femur With Mcc 4 3 — — $5,834.04 $16,004.34 $10,919.99 2026-07-31
251 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent Without Mcc 4 3 — — $6,854.97 $16,309.79 $10,916.61 2026-07-31
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