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

Tyler Continuecare Hospital (at Mother Frances)

Longview, TX · CCN 452091 · Rates published

5,181 distinct procedures filed
19 distinct payers
42,112 rate rows
2026-11-06 last MRF observed
Data quality

34,714 of 42,112 rate rows are consumer-grade (82.4%)

7,398 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 4,585
exceeds 10× this hospital's gross charge — excluded from medians 2,186
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 611
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/HOVA-1730315852880/machine-readable/200991990_tyler-continuecare-hospital_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/continuecare-tyler-tx
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-06
Content fingerprint de0daa7fdcbc2dbf… · 2,260,314 bytes · first seen 2026-11-06

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
DRG-003
CDM 		Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r. 2 $545,062.00 $654,074.00 $599,568.00 nat. median
$194,378
outlier · 3.1×
CPK84830EC9AB
CDM 		Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc 2 $498,871.00 $598,645.00 $548,758.00 nat. median
$149,175
outlier · 3.7×
CPKF0A43B08DC
CDM 		Other Resp System O.r. Procedures W Mcc 2 $492,251.00 $590,702.00 $541,476.50 nat. median
$356,269
1.5× median
DRG-094
CDM 		Bacterial & Tuberculous Infections Of Nervous System W Mcc 2 $476,924.00 $572,309.00 $524,616.50 nat. median
$26,324
outlier · 19.9×
DRG-004
CDM 		Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 2 $457,933.00 $549,519.00 $503,726.00 nat. median
$137,208
outlier · 3.7×
CPKDEFAA653E8
CDM 		Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 2 $436,685.00 $524,021.00 $480,353.00 nat. median
$372,155
1.3× median
CPK29C395EFF5
CDM 		Other Endocrine, Nutrit & Metab O.r. Proc W Mcc 2 $421,277.00 $505,532.00 $463,404.50 nat. median
$463,404
1.0× median
DRG-776
CDM 		Postpartum & Post Abortion Diagnoses Without O.r. Procedure 2 $415,275.00 $498,330.00 $456,802.50 nat. median
$456,802
1.0× median
CPK1B6E01DD5A
CDM 		Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 2 $382,186.00 $458,623.00 $420,404.50 nat. median
$284,145
1.5× median
CPK4EFB012E2C
CDM 		Soft Tissue Procedures W Mcc 2 $311,867.00 $374,240.00 $343,053.50 nat. median
$347,312
1.0× median
DRG-163
CDM 		Major Chest Procedures W Mcc 2 $293,410.00 $352,092.00 $322,751.00 nat. median
$320,176
1.0× median
DRG-629
CDM 		Other Endocrine, Nutrit & Metab O.r. Proc W Cc 2 $260,715.00 $312,858.00 $286,786.50 nat. median
$286,786
1.0× median
CPK86DBC3FF27
CDM 		Amputat Of Lower Limb For Endocrine,nutrit,& Metabol Dis W Mcc 2 $242,594.00 $291,113.00 $266,853.50 nat. median
$266,854
1.0× median
CPK954610985B
CDM 		Renal Failure W Mcc 2 $242,053.00 $290,463.00 $266,258.00 nat. median
$93,996
outlier · 2.8×
CPKA0BE6EA03A
CDM 		Nonspecific Cerebrovascular Disorders W Mcc 2 $238,976.00 $286,772.00 $262,874.00 nat. median
$54,522
outlier · 4.8×
CPKA35EF194B7
CDM 		Respiratory System Diagnosis W Ventilator Support 96+ Hours 2 $236,434.00 $283,721.00 $260,077.50 nat. median
$227,510
1.1× median
CPKDF5B5CD9B2
CDM 		Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Mcc 2 $233,373.00 $280,048.00 $256,710.50 nat. median
$166,688
1.5× median
DRG-974
CDM 		HIV W Major Related Condition W Mcc 2 $225,149.00 $270,178.00 $247,663.50 nat. median
$109,169
outlier · 2.3×
CPK8208D7DCEC
CDM 		O.r. Proc W Diagnoses Of Other Contact W Health Services W Mcc 2 $222,413.00 $266,895.00 $244,654.00 nat. median
$179,483
1.4× median
DRG-982
CDM 		Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc 2 $222,323.00 $266,788.00 $244,555.50 nat. median
$164,764
1.5× median
CPK4810D8714C
CDM 		Amputation For Musculoskeletal Sys & Conn Tissue Dis W Mcc 2 $212,913.00 $255,496.00 $234,204.50 nat. median
$192,875
1.2× median
CPK07B4ECEC12
CDM 		Infectious & Parasitic Diseases W O.r. Procedure W Mcc 2 $205,646.00 $246,776.00 $226,211.00 nat. median
$368,240
0.6× median
CPK270D11BCDF
CDM 		Septicemia Without Mv 96+ Hours W Mcc 2 $189,427.00 $227,312.00 $208,369.50 nat. median
$83,005
outlier · 2.5×
CPK5A7D6F4E6F
CDM 		Osteomyelitis W Mcc 2 $186,700.00 $224,040.00 $205,370.00 nat. median
$162,181
1.3× median
CPK821C1E9EC3
CDM 		Other Circulatory System O.r. Procedures 2 $185,749.00 $222,899.00 $204,324.00 nat. median
$48,633
outlier · 4.2×
CPK7435BB8C6E
CDM 		Kidney & Ureter Procedures For Non-neoplasm W Mcc 2 $185,019.00 $222,023.00 $203,521.00 nat. median
$203,521
1.0× median
CPKBB3FAB0AE5
CDM 		Traumatic Stupor & Coma, Coma >1 Hr W Mcc 2 $175,767.00 $210,920.00 $193,343.50 nat. median
$193,344
1.0× median
DRG-854
CDM 		Infectious & Parasitic Diseases W O.r. Procedure W Cc 2 $174,358.00 $209,229.00 $191,793.50 nat. median
$161,787
1.2× median
CPK17E13CFDAE
CDM 		Disorders Of Liver Except Malig,cirr,alc Hepa W Mcc 2 $172,721.00 $207,265.00 $189,993.00 nat. median
$101,762
1.9× median
CPK5D142C7946
CDM 		Other Digestive System Diagnoses W Mcc 2 $166,433.00 $199,720.00 $183,076.50 nat. median
$99,426
1.8× median
CPK0E905F9B48
CDM 		Diabetes W Mcc 2 $162,995.00 $195,594.00 $179,294.50 nat. median
$96,977
1.8× median
CPK86319DD2B2
CDM 		Respiratory System Diagnosis W Ventilator Support <96 Hours 2 $161,760.00 $194,112.00 $177,936.00 nat. median
$124,700
1.4× median
DRG-552
CDM 		Medical Back Problems Without Mcc 2 $159,178.00 $191,013.00 $175,095.50 nat. median
$175,096
1.0× median
DRG-056
CDM 		Degenerative Nervous System Disorders W Mcc 2 $158,734.00 $190,481.00 $174,607.50 nat. median
$22,181
outlier · 7.9×
CPKFC06979D78
CDM 		Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc 2 $154,871.00 $185,845.00 $170,358.00 nat. median
$170,358
1.0× median
CPKD164B4D7F6
CDM 		Nasal Trauma & Deformity W Mcc 2 $152,305.00 $182,766.00 $167,535.50 nat. median
$167,536
1.0× median
DRG-273
CDM 		Percutaneous Intracardiac Procedures W Mcc 2 $148,441.00 $178,129.00 $163,285.00 nat. median
$163,285
1.0× median
CPK69BD646687
CDM 		Skin Debridement W Mcc 2 $147,373.00 $176,847.00 $162,110.00 nat. median
$116,744
1.4× median
CPKD314366092
CDM 		Cardiac Congenital & Valvular Disorders W Mcc 2 $147,359.00 $176,831.00 $162,095.00 nat. median
$162,095
1.0× median
CPKFACCB22A7B
CDM 		Aftercare, Musculoskeletal System & Connective Tissue W Mcc 2 $146,630.00 $175,955.00 $161,292.50 nat. median
$103,301
1.6× median
CPKF2846CC5B2
CDM 		Postoperative & Post-traumatic Infections W Mcc 2 $145,885.00 $175,062.00 $160,473.50 nat. median
$33,460
outlier · 4.8×
CPK99499CD964
CDM 		Aftercare W Cc/mcc 2 $143,503.00 $172,203.00 $157,853.00 nat. median
$106,736
1.5× median
DRG-308
CDM 		Cardiac Arrhythmia & Conduction Disorders W Mcc 2 $143,438.00 $172,125.00 $157,781.50 nat. median
$157,782
1.0× median
CPK1913AED747
CDM 		Dental & Oral Diseases W Cc 2 $141,971.00 $170,365.00 $156,168.00 nat. median
$156,168
1.0× median
CPK89B4E20267
CDM 		Other Circulatory System Diagnoses W Mcc 2 $141,058.00 $169,269.00 $155,163.50 nat. median
$41,999
outlier · 3.7×
3
MS_DRG 		Cardiac Arrhythmia & Conduction Disorders W Mcc 7 $152,076.95 $190,811.73 $152,649.38 nat. median
$190,274
0.8× median
CPKEED00E242E
CDM 		Dental & Oral Diseases W Mcc 2 $137,370.00 $164,844.00 $151,107.00 nat. median
$151,107
1.0× median
CPKC618DC88A4
CDM 		Simple Pneumonia & Pleurisy W Mcc 2 $133,439.00 $160,127.00 $146,783.00 nat. median
$102,532
1.4× median
CPKF375BC865A
CDM 		Respiratory Infections & Inflammations W Mcc 2 $131,873.00 $158,247.00 $145,060.00 nat. median
$78,248
1.9× median
DRG-388
CDM 		G.i. Obstruction W Mcc 2 $130,964.00 $157,156.00 $144,060.00 nat. median
$144,060
1.0× median

Other procedures at this hospital

Browse this hospital's 5,181 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
L8699 HCPCS Hc L8699 Pipeline Embolization Device 15 6 $39,000.00 $39,000.00 $1,240.50 $35,100.00 $30,420.00 2026-07-30
J7330 HCPCS Hc Med: Autologous Cultured Chondrocytes, Implant 1 1 $35,727.30 $35,727.30 $30,368.21 $30,368.21 $30,368.21 2026-07-30
DRG-982 CDM Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc 2 2 $296,431.00 $296,431.00 $222,323.00 $266,788.00 $244,555.50 2026-11-06
DRG-974 CDM HIV W Major Related Condition W Mcc 2 2 $300,198.00 $300,198.00 $225,149.00 $270,178.00 $247,663.50 2026-11-06
DRG-901 CDM Wound Debridements For Injuries W Mcc 2 2 $96,220.00 $96,220.00 $72,165.00 $86,598.00 $79,381.50 2026-11-06
DRG-868 CDM Other Infectious & Parasitic Diseases Diagnoses W Cc 2 2 $46,967.00 $46,967.00 $35,225.00 $42,270.00 $38,747.50 2026-11-06
DRG-854 CDM Infectious & Parasitic Diseases W O.r. Procedure W Cc 2 2 $232,477.00 $232,477.00 $174,358.00 $209,229.00 $191,793.50 2026-11-06
DRG-776 CDM Postpartum & Post Abortion Diagnoses Without O.r. Procedure 2 2 $553,700.00 $553,700.00 $415,275.00 $498,330.00 $456,802.50 2026-11-06
DRG-757 CDM Infections, Female Reproductive System W Mcc 2 2 $122,968.00 $122,968.00 $92,226.00 $110,671.00 $101,448.50 2026-11-06
DRG-727 CDM Inflammation Of The Male Reproductive System W Mcc 2 2 $76,702.00 $76,702.00 $57,527.00 $69,032.00 $63,279.50 2026-11-06
DRG-689 CDM Kidney & Urinary Tract Infections W Mcc 2 2 $132,665.00 $132,665.00 $99,499.00 $119,399.00 $109,449.00 2026-11-06
DRG-638 CDM Diabetes W Cc 2 2 $159,420.00 $159,420.00 $119,565.00 $143,478.00 $131,521.50 2026-11-06
DRG-629 CDM Other Endocrine, Nutrit & Metab O.r. Proc W Cc 2 2 $347,620.00 $347,620.00 $260,715.00 $312,858.00 $286,786.50 2026-11-06
DRG-579 CDM Other Skin, Subcut Tiss & Breast Proc W Mcc 2 2 $105,785.00 $105,785.00 $79,339.00 $95,207.00 $87,273.00 2026-11-06
DRG-560 CDM Aftercare, Musculoskeletal System & Connective Tissue W Cc 2 2 $134,177.00 $134,177.00 $100,633.00 $120,759.00 $110,696.00 2026-11-06
DRG-552 CDM Medical Back Problems Without Mcc 2 2 $212,237.00 $212,237.00 $159,178.00 $191,013.00 $175,095.50 2026-11-06
DRG-540 CDM Osteomyelitis W Cc 2 2 $159,545.00 $159,545.00 $119,659.00 $143,591.00 $131,625.00 2026-11-06
DRG-432 CDM Cirrhosis & Alcoholic Hepatitis W Mcc 2 2 $154,976.00 $154,976.00 $116,232.00 $139,478.00 $127,855.00 2026-11-06
DRG-388 CDM G.i. Obstruction W Mcc 2 2 $174,618.00 $174,618.00 $130,964.00 $157,156.00 $144,060.00 2026-11-06
DRG-308 CDM Cardiac Arrhythmia & Conduction Disorders W Mcc 2 2 $191,250.00 $191,250.00 $143,438.00 $172,125.00 $157,781.50 2026-11-06
DRG-286 CDM Circulatory Disorders Except Ami, W Card Cath W Mcc 2 2 $162,307.00 $162,307.00 $121,730.00 $146,076.00 $133,903.00 2026-11-06
DRG-273 CDM Percutaneous Intracardiac Procedures W Mcc 2 2 $197,921.00 $197,921.00 $148,441.00 $178,129.00 $163,285.00 2026-11-06
DRG-190 CDM Chronic Obstructive Pulmonary Disease W Mcc 2 2 $164,116.00 $164,116.00 $123,087.00 $147,704.00 $135,395.50 2026-11-06
DRG-163 CDM Major Chest Procedures W Mcc 2 2 $391,213.00 $391,213.00 $293,410.00 $352,092.00 $322,751.00 2026-11-06
DRG-094 CDM Bacterial & Tuberculous Infections Of Nervous System W Mcc 2 2 $635,899.00 $635,899.00 $476,924.00 $572,309.00 $524,616.50 2026-11-06
DRG-070 CDM Nonspecific Cerebrovascular Disorders W Mcc 2 2 $108,425.00 $108,425.00 $81,319.00 $97,583.00 $89,451.00 2026-11-06
DRG-065 CDM Intracranial Hemorrhage Or Cerebral Infarction W Cc 2 2 $108,111.00 $108,111.00 $81,083.00 $97,300.00 $89,191.50 2026-11-06
DRG-064 CDM Intracranial Hemorrhage Or Cerebral Infarction W Mcc 2 2 $161,367.00 $161,367.00 $121,025.00 $145,230.00 $133,127.50 2026-11-06
DRG-056 CDM Degenerative Nervous System Disorders W Mcc 2 2 $211,645.00 $211,645.00 $158,734.00 $190,481.00 $174,607.50 2026-11-06
DRG-004 CDM Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 2 2 $610,577.00 $610,577.00 $457,933.00 $549,519.00 $503,726.00 2026-11-06
DRG-003 CDM Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r. 2 2 $726,749.00 $726,749.00 $545,062.00 $654,074.00 $599,568.00 2026-11-06
CPKFD3E1BEE27 CDM Disorders Of Pancreas Except Malignancy W Mcc 2 2 $114,242.00 $114,242.00 $85,682.00 $102,818.00 $94,250.00 2026-11-06
CPKFC06979D78 CDM Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc 2 2 $206,494.00 $206,494.00 $154,871.00 $185,845.00 $170,358.00 2026-11-06
CPKFACCB22A7B CDM Aftercare, Musculoskeletal System & Connective Tissue W Mcc 2 2 $195,506.00 $195,506.00 $146,630.00 $175,955.00 $161,292.50 2026-11-06
CPKF375BC865A CDM Respiratory Infections & Inflammations W Mcc 2 2 $175,830.00 $175,830.00 $131,873.00 $158,247.00 $145,060.00 2026-11-06
CPKF2E44F242A CDM Aftercare, Musculoskeletal System & Connective Tissue Without Cc/mcc 2 2 $91,489.00 $91,489.00 $68,617.00 $82,340.00 $75,478.50 2026-11-06
CPKF2846CC5B2 CDM Postoperative & Post-traumatic Infections W Mcc 2 2 $194,513.00 $194,513.00 $145,885.00 $175,062.00 $160,473.50 2026-11-06
CPKF0A43B08DC CDM Other Resp System O.r. Procedures W Mcc 2 2 $656,335.00 $656,335.00 $492,251.00 $590,702.00 $541,476.50 2026-11-06
CPKEED00E242E CDM Dental & Oral Diseases W Mcc 2 2 $183,160.00 $183,160.00 $137,370.00 $164,844.00 $151,107.00 2026-11-06
CPKDF5B5CD9B2 CDM Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Mcc 2 2 $311,164.00 $311,164.00 $233,373.00 $280,048.00 $256,710.50 2026-11-06
CPKDEFAA653E8 CDM Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 2 2 $582,246.00 $582,246.00 $436,685.00 $524,021.00 $480,353.00 2026-11-06
CPKD36CC23B7A CDM Cellulitis Without Mcc 2 2 $88,942.00 $88,942.00 $66,707.00 $80,048.00 $73,377.50 2026-11-06
CPKD314366092 CDM Cardiac Congenital & Valvular Disorders W Mcc 2 2 $196,479.00 $196,479.00 $147,359.00 $176,831.00 $162,095.00 2026-11-06
CPKD164B4D7F6 CDM Nasal Trauma & Deformity W Mcc 2 2 $203,073.00 $203,073.00 $152,305.00 $182,766.00 $167,535.50 2026-11-06
CPKC618DC88A4 CDM Simple Pneumonia & Pleurisy W Mcc 2 2 $177,919.00 $177,919.00 $133,439.00 $160,127.00 $146,783.00 2026-11-06
CPKC4BC00A12A CDM Septicemia Without Mv 96+ Hours Without Mcc 2 2 $57,007.00 $57,007.00 $42,755.00 $51,306.00 $47,030.50 2026-11-06
CPKBB3FAB0AE5 CDM Traumatic Stupor & Coma, Coma >1 Hr W Mcc 2 2 $234,356.00 $234,356.00 $175,767.00 $210,920.00 $193,343.50 2026-11-06
CPKBA2B2BA4E1 CDM Acute & Subacute Endocarditis W Mcc 2 2 $38,253.00 $38,253.00 $28,690.00 $34,428.00 $31,559.00 2026-11-06
CPKB8F711232F CDM Major Gastrointestinal Disorders & Peritoneal Infections W Mcc 2 2 $162,468.00 $162,468.00 $121,851.00 $146,221.00 $134,036.00 2026-11-06
CPKB23F27168B CDM Other Kidney & Urinary Tract Diagnoses W Mcc 2 2 $96,703.00 $96,703.00 $72,527.00 $87,033.00 $79,780.00 2026-11-06
CPKB18BC5C44F CDM Cellulitis W Mcc 2 2 $110,347.00 $110,347.00 $82,760.00 $99,312.00 $91,036.00 2026-11-06
CPKA35EF194B7 CDM Respiratory System Diagnosis W Ventilator Support 96+ Hours 2 2 $315,245.00 $315,245.00 $236,434.00 $283,721.00 $260,077.50 2026-11-06
CPKA0BE6EA03A CDM Nonspecific Cerebrovascular Disorders W Mcc 2 2 $318,635.00 $318,635.00 $238,976.00 $286,772.00 $262,874.00 2026-11-06
CPK9D873CF1EE CDM Intracranial Hemorrhage Or Cerebral Infarction W Mcc 2 2 $132,847.00 $132,847.00 $99,635.00 $119,562.00 $109,598.50 2026-11-06
CPK99499CD964 CDM Aftercare W Cc/mcc 2 2 $191,337.00 $191,337.00 $143,503.00 $172,203.00 $157,853.00 2026-11-06
CPK954610985B CDM Renal Failure W Mcc 2 2 $322,737.00 $322,737.00 $242,053.00 $290,463.00 $266,258.00 2026-11-06
CPK93EAB865D5 CDM Septicemia W Mv 96+ Hours 2 2 $165,746.00 $165,746.00 $124,310.00 $149,171.00 $136,740.50 2026-11-06
CPK8DAD215844 CDM Other Kidney & Urinary Tract Procedures W Mcc 2 2 $162,139.00 $162,139.00 $121,604.00 $145,925.00 $133,764.50 2026-11-06
CPK89B4E20267 CDM Other Circulatory System Diagnoses W Mcc 2 2 $188,077.00 $188,077.00 $141,058.00 $169,269.00 $155,163.50 2026-11-06
CPK86DBC3FF27 CDM Amputat Of Lower Limb For Endocrine,nutrit,& Metabol Dis W Mcc 2 2 $323,459.00 $323,459.00 $242,594.00 $291,113.00 $266,853.50 2026-11-06
CPK86319DD2B2 CDM Respiratory System Diagnosis W Ventilator Support <96 Hours 2 2 $215,680.00 $215,680.00 $161,760.00 $194,112.00 $177,936.00 2026-11-06
CPK84830EC9AB CDM Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc 2 2 $665,161.00 $665,161.00 $498,871.00 $598,645.00 $548,758.00 2026-11-06
CPK821C1E9EC3 CDM Other Circulatory System O.r. Procedures 2 2 $247,665.00 $247,665.00 $185,749.00 $222,899.00 $204,324.00 2026-11-06
CPK8208D7DCEC CDM O.r. Proc W Diagnoses Of Other Contact W Health Services W Mcc 2 2 $296,550.00 $296,550.00 $222,413.00 $266,895.00 $244,654.00 2026-11-06
CPK7A58857187 CDM Postoperative & Post-traumatic Infections Without Mcc 2 2 $117,648.00 $117,648.00 $88,236.00 $105,883.00 $97,059.50 2026-11-06
CPK7435BB8C6E CDM Kidney & Ureter Procedures For Non-neoplasm W Mcc 2 2 $246,692.00 $246,692.00 $185,019.00 $222,023.00 $203,521.00 2026-11-06
CPK6B426CA1A0 CDM Medical Back Problems W Mcc 2 2 $122,573.00 $122,573.00 $91,930.00 $110,316.00 $101,123.00 2026-11-06
CPK69BD646687 CDM Skin Debridement W Mcc 2 2 $196,497.00 $196,497.00 $147,373.00 $176,847.00 $162,110.00 2026-11-06
CPK67CC56D83E CDM Bacterial & Tuberculous Infections Of Nervous System W Mcc 2 2 $72,862.00 $72,862.00 $54,647.00 $65,576.00 $60,111.50 2026-11-06
CPK66EAD14E34 CDM Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Mcc 2 2 $113,443.00 $113,443.00 $85,082.00 $102,099.00 $93,590.50 2026-11-06
CPK6224F45A94 CDM Other Disorders Of Nervous System W Mcc 2 2 $36,562.00 $36,562.00 $27,422.00 $32,906.00 $30,164.00 2026-11-06
CPK5E8B999444 CDM Nutritional & Misc Metabolic Disorders W Mcc 2 2 $110,681.00 $110,681.00 $83,011.00 $99,613.00 $91,312.00 2026-11-06
CPK5D142C7946 CDM Other Digestive System Diagnoses W Mcc 2 2 $221,911.00 $221,911.00 $166,433.00 $199,720.00 $183,076.50 2026-11-06
CPK5AD60F2EB3 CDM Heart Failure & Shock W Mcc 2 2 $64,510.00 $64,510.00 $48,383.00 $58,059.00 $53,221.00 2026-11-06
CPK5A7D6F4E6F CDM Osteomyelitis W Mcc 2 2 $248,933.00 $248,933.00 $186,700.00 $224,040.00 $205,370.00 2026-11-06
CPK5655A30219 CDM Complications Of Treatment W Mcc 2 2 $138,899.00 $138,899.00 $104,174.00 $125,009.00 $114,591.50 2026-11-06
CPK4F8D4BB9D2 CDM Pulmonary Edema & Respiratory Failure 2 2 $163,559.00 $163,559.00 $122,669.00 $147,203.00 $134,936.00 2026-11-06
CPK4EFB012E2C CDM Soft Tissue Procedures W Mcc 2 2 $415,822.00 $415,822.00 $311,867.00 $374,240.00 $343,053.50 2026-11-06
CPK4810D8714C CDM Amputation For Musculoskeletal Sys & Conn Tissue Dis W Mcc 2 2 $283,884.00 $283,884.00 $212,913.00 $255,496.00 $234,204.50 2026-11-06
CPK44EA601D5C CDM Pleural Effusion W Mcc 2 2 $166,776.00 $166,776.00 $125,082.00 $150,098.00 $137,590.00 2026-11-06
CPK3E08C905E1 CDM Esophagitis, Gastroent & Misc Digest Disorders W Mcc 2 2 $52,865.00 $52,865.00 $39,649.00 $47,579.00 $43,614.00 2026-11-06
CPK3BD3FC3589 CDM Complications Of Treatment W Cc 2 2 $36,807.00 $36,807.00 $27,605.00 $33,126.00 $30,365.50 2026-11-06
CPK34AE8A04D8 CDM Septic Arthritis W Mcc 2 2 $143,000.00 $143,000.00 $107,250.00 $128,700.00 $117,975.00 2026-11-06
CPK3284C85C69 CDM Digestive Malignancy W Mcc 2 2 $74,204.00 $74,204.00 $55,653.00 $66,784.00 $61,218.50 2026-11-06
CPK2D2DCB5E86 CDM Skin Ulcers W Mcc 2 2 $81,536.00 $81,536.00 $61,152.00 $73,382.00 $67,267.00 2026-11-06
CPK2BBB44A847 CDM Other Disorders Of Nervous System W Cc 2 2 $158,210.00 $158,210.00 $118,658.00 $142,389.00 $130,523.50 2026-11-06
CPK29C395EFF5 CDM Other Endocrine, Nutrit & Metab O.r. Proc W Mcc 2 2 $561,702.00 $561,702.00 $421,277.00 $505,532.00 $463,404.50 2026-11-06
CPK270D11BCDF CDM Septicemia Without Mv 96+ Hours W Mcc 2 2 $252,569.00 $252,569.00 $189,427.00 $227,312.00 $208,369.50 2026-11-06
CPK1C435C8636 CDM Other Digestive System Diagnoses W Cc 2 2 $114,499.00 $114,499.00 $85,874.00 $103,049.00 $94,461.50 2026-11-06
CPK1B6E01DD5A CDM Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 2 2 $509,581.00 $509,581.00 $382,186.00 $458,623.00 $420,404.50 2026-11-06
CPK1913AED747 CDM Dental & Oral Diseases W Cc 2 2 $189,294.00 $189,294.00 $141,971.00 $170,365.00 $156,168.00 2026-11-06
CPK18014FC0E3 CDM Peripheral Vascular Disorders W Cc 2 2 $89,266.00 $89,266.00 $66,950.00 $80,339.00 $73,644.50 2026-11-06
CPK17E13CFDAE CDM Disorders Of Liver Except Malig,cirr,alc Hepa W Mcc 2 2 $230,294.00 $230,294.00 $172,721.00 $207,265.00 $189,993.00 2026-11-06
CPK0F597D0C80 CDM Degenerative Nervous System Disorders W Mcc 2 2 $74,176.00 $74,176.00 $55,632.00 $66,758.00 $61,195.00 2026-11-06
CPK0E905F9B48 CDM Diabetes W Mcc 2 2 $217,327.00 $217,327.00 $162,995.00 $195,594.00 $179,294.50 2026-11-06
CPK07B4ECEC12 CDM Infectious & Parasitic Diseases W O.r. Procedure W Mcc 2 2 $274,195.00 $274,195.00 $205,646.00 $246,776.00 $226,211.00 2026-11-06
C9775 HCPCS Hc C9775 Revasc Lith-sten-ath Tib/per 8 5 $32,128.00 $32,128.00 $24,096.00 $28,915.20 $26,505.60 2026-07-15
C9774 HCPCS Hc C9774 Revasc Lithotr-ather Tib/per 8 5 $32,128.00 $32,128.00 $24,096.00 $28,915.20 $26,505.60 2026-07-15
C9773 HCPCS Hc C9773 Revasc Lithotr-stent Tib/per 8 5 $32,128.00 $32,128.00 $24,096.00 $28,915.20 $26,505.60 2026-07-15
C9767 HCPCS Hc C9767 Revasc Lithotrip-stent-ather 8 5 $31,880.00 $31,880.00 $23,910.00 $28,692.00 $26,301.00 2026-07-15
C2621 HCPCS Hc C2621 Valitude Biv Ppm Gen 33 6 $29,175.00 $29,175.00 $16,065.00 $33,705.00 $23,211.90 2026-07-30
C1882 HCPCS Hc C1882 Icd Gen,promote Biv 67 6 $71,965.00 $71,965.00 $28,937.47 $104,683.50 $61,170.25 2026-07-30
C1824 HCPCS Hc C1824 Optimizer Smart Ipg 8 5 $113,160.00 $113,160.00 $84,870.00 $101,844.00 $93,357.00 2026-07-15
C1817 HCPCS Hc C1817 Amplatzer Pfo Occluder 9 6 $35,683.00 $35,683.00 $26,762.25 $32,114.70 $29,438.47 2026-07-30
C1722 HCPCS Hc C1722 Sicd Generator 51 6 $54,849.00 $54,849.00 $28,216.50 $69,336.00 $46,621.65 2026-07-30
C1721 HCPCS Hc C1721 Aicd, Dual Chamber 51 6 $52,515.00 $52,515.00 $18,536.17 $73,188.00 $41,202.00 2026-07-30
988 OTHER Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Cc 2 2 $67,772.25 $67,772.25 $51,797.65 $69,761.14 $60,779.40 2026-07-30
987 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc 9 7 $312,269.44 $312,269.44 $89,653.57 $112,488.79 $89,991.03 2026-07-15
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 9 7 $341,293.00 $341,293.00 $98,141.96 $123,139.23 $98,511.38 2026-07-15
981 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 2 2 $361,114.84 $361,114.84 $67,361.83 $90,723.00 $79,042.42 2026-07-30
974 MS_DRG HIV W Major Related Condition W Mcc 9 7 $232,941.73 $232,941.73 $58,154.55 $72,966.81 $58,373.45 2026-07-15
97 MS_DRG Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis W Mcc 9 7 $141,417.70 $141,417.70 $37,413.80 $46,943.29 $37,554.63 2026-07-15
97 OTHER Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis W Mcc 2 2 $98,485.73 $98,485.73 $28,446.93 $38,312.36 $33,379.65 2026-07-30
963 OTHER Other Multiple Significant Trauma W Mcc 2 2 $149,056.93 $149,056.93 $30,079.49 $40,511.10 $35,295.29 2026-07-30
949 MS_DRG Aftercare W Cc/Mcc 9 7 $110,047.68 $110,047.68 $29,417.96 $36,910.86 $29,528.69 2026-07-15
949 OTHER Aftercare W Cc/Mcc 2 2 $132,522.45 $132,522.45 $22,393.70 $30,159.86 $26,276.78 2026-07-30
939 MS_DRG O.r. Proc W Diagnoses Of Other Contact W Health Services W Mcc 9 7 $156,426.76 $156,426.76 $55,884.68 $70,118.80 $56,095.04 2026-07-15
939 OTHER O.r. Proc W Diagnoses Of Other Contact W Health Services W Mcc 2 2 $125,142.96 $125,142.96 $38,544.54 $51,911.83 $45,228.18 2026-07-30
93656 CPT Hc 93656 Tx Atrial Fib Pulm Vein Isol 8 5 $57,833.00 $57,833.00 $43,374.75 $52,049.70 $47,712.22 2026-07-15
93654 CPT Hc 93654 Ep & Ablate Ventric Tachy 8 5 $57,833.00 $57,833.00 $43,374.75 $52,049.70 $47,712.22 2026-07-15
93653 CPT Hc 93653 Ep & Ablate Supravent Arrhyt 8 5 $57,833.00 $57,833.00 $43,374.75 $52,049.70 $47,712.22 2026-07-15
93650 CPT Hc 93650 Ep Ablation Procedure Avn 8 5 $28,042.00 $28,042.00 $21,031.50 $25,237.80 $23,134.65 2026-07-15
93622 CPT Hc 93622 Diagnostic Ep With Lv Record 8 5 $24,822.00 $24,822.00 $18,616.50 $22,339.80 $20,478.15 2026-07-15
93621 CPT Hc 93621 Diag Ep W/la Record/cor Sinus 8 5 $24,822.00 $24,822.00 $18,616.50 $22,339.80 $20,478.15 2026-07-15
93620 CPT Hc 93620 Diagnostic Ep W/ra & Rv Pacing 8 5 $24,822.00 $24,822.00 $18,616.50 $22,339.80 $20,478.15 2026-07-15
93619 CPT Hc 93619 Diagnostic Ep 8 5 $24,822.00 $24,822.00 $18,616.50 $22,339.80 $20,478.15 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns W Mv 96+ Hrs Without Skin Graft 9 7 $250,000.00 $250,000.00 $42,786.78 $53,684.79 $42,947.83 2026-07-15
920 MS_DRG Complications Of Treatment W Cc 9 7 $82,118.96 $82,118.96 $31,043.40 $38,950.31 $31,160.25 2026-07-15
920 OTHER Complications Of Treatment W Cc 2 2 $132,688.81 $132,688.81 $24,929.95 $33,575.69 $29,252.82 2026-07-30
919 MS_DRG Complications Of Treatment W Mcc 9 7 $250,000.00 $250,000.00 $46,029.44 $57,753.38 $46,202.70 2026-07-15
91 MS_DRG Other Disorders Of Nervous System W Mcc 9 7 $142,951.62 $142,951.62 $38,086.96 $47,787.91 $38,230.33 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries W Mcc 9 7 $250,000.00 $250,000.00 $55,749.24 $69,948.85 $55,959.08 2026-07-15
872 MS_DRG Septicemia Without Mv 96+ Hours Without Mcc 9 7 $129,105.99 $129,105.99 $25,337.94 $31,791.65 $25,433.32 2026-07-15
871 MS_DRG Septicemia Without Mv 96+ Hours W Mcc 9 7 $137,454.09 $137,454.09 $37,553.36 $47,118.39 $37,694.71 2026-07-15
871 OTHER Septicemia Without Mv 96+ Hours W Mcc 2 2 $153,187.10 $153,187.10 $27,614.35 $37,191.04 $32,402.69 2026-07-30
870 MS_DRG Septicemia W Mv 96+ Hours 9 7 $213,159.47 $213,159.47 $82,667.47 $103,723.30 $82,978.64 2026-07-15
870 OTHER Septicemia W Mv 96+ Hours 2 2 $206,333.41 $206,333.41 $57,690.88 $77,698.16 $67,694.52 2026-07-30
868 OTHER Other Infectious & Parasitic Diseases Diagnoses W Cc 2 2 $449,707.30 $449,707.30 $18,885.61 $25,435.16 $22,160.39 2026-07-30
867 MS_DRG Other Infectious & Parasitic Diseases Diagnoses W Mcc 9 7 $93,775.98 $93,775.98 $46,764.18 $58,675.25 $46,940.20 2026-07-15
863 MS_DRG Postoperative & Post-traumatic Infections Without Mcc 9 7 $112,814.96 $112,814.96 $28,231.72 $35,422.49 $28,337.99 2026-07-15
863 OTHER Postoperative & Post-traumatic Infections Without Mcc 2 2 $62,117.44 $62,117.44 $21,647.04 $29,154.27 $25,400.65 2026-07-30
862 MS_DRG Postoperative & Post-traumatic Infections W Mcc 9 7 $257,588.06 $257,588.06 $41,465.08 $52,026.45 $41,621.16 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections W O.r. Proc W Cc 9 7 $212,242.37 $212,242.37 $42,786.78 $53,684.79 $42,947.83 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc 9 7 $163,528.31 $163,528.31 $60,863.61 $76,365.89 $61,092.71 2026-07-15
856 OTHER Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc 2 2 $130,436.10 $130,436.10 $42,227.44 $56,871.97 $49,549.71 2026-07-30
853 MS_DRG Infectious & Parasitic Diseases W O.r. Procedure W Mcc 9 7 $352,706.13 $352,706.13 $68,892.29 $86,439.51 $69,151.61 2026-07-15
853 OTHER Infectious & Parasitic Diseases W O.r. Procedure W Mcc 2 2 $273,719.39 $273,719.39 $50,888.03 $68,536.07 $59,712.05 2026-07-30
82 MS_DRG Traumatic Stupor & Coma, Coma >1 Hr W Mcc 9 7 $238,699.77 $238,699.77 $38,439.96 $48,230.81 $38,584.65 2026-07-15
808 OTHER Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc 2 2 $202,007.36 $202,007.36 $30,079.49 $40,511.10 $35,295.29 2026-07-30
776 OTHER Postpartum & Post Abortion Diagnoses Without O.r. Procedure 2 2 $200,121.56 $200,121.56 $18,885.61 $25,435.16 $22,160.39 2026-07-30
749 MS_DRG Other Female Reproductive System O.r. Procedures W Cc/Mcc 9 7 $250,000.00 $250,000.00 $42,786.78 $53,684.79 $42,947.83 2026-07-15
717 MS_DRG Other Male Reproductive System O.r. Proc Exc Malignancy W Cc/Mcc 9 7 $250,000.00 $250,000.00 $55,338.77 $69,433.84 $55,547.07 2026-07-15
71 OTHER Nonspecific Cerebrovascular Disorders W Cc 2 2 $117,098.04 $117,098.04 $21,638.16 $29,142.30 $25,390.23 2026-07-30
70 MS_DRG Nonspecific Cerebrovascular Disorders W Mcc 9 7 $122,496.52 $122,496.52 $34,187.56 $42,895.30 $34,316.24 2026-07-15
698 MS_DRG Other Kidney & Urinary Tract Diagnoses W Mcc 9 7 $150,870.76 $150,870.76 $32,804.29 $41,159.71 $32,927.77 2026-07-15
689 MS_DRG Kidney & Urinary Tract Infections W Mcc 9 7 $195,394.45 $195,394.45 $27,152.19 $34,068.00 $27,254.40 2026-07-15
689 OTHER Kidney & Urinary Tract Infections W Mcc 2 2 $68,969.10 $68,969.10 $21,510.75 $28,970.71 $25,240.73 2026-07-30
683 MS_DRG Renal Failure W Cc 9 7 $126,380.40 $126,380.40 $29,183.99 $36,617.31 $29,293.85 2026-07-15
683 OTHER Renal Failure W Cc 2 2 $102,706.57 $102,706.57 $21,629.27 $29,130.32 $25,379.79 2026-07-30
682 MS_DRG Renal Failure W Mcc 9 7 $81,696.33 $81,696.33 $37,413.80 $46,943.29 $37,554.63 2026-07-15
682 OTHER Renal Failure W Mcc 2 2 $133,973.06 $133,973.06 $26,903.25 $36,233.33 $31,568.29 2026-07-30
674 MS_DRG Other Kidney & Urinary Tract Procedures W Cc 9 7 $116,178.13 $116,178.13 $42,786.78 $53,684.79 $42,947.83 2026-07-15
673 MS_DRG Other Kidney & Urinary Tract Procedures W Mcc 9 7 $231,260.04 $231,260.04 $55,092.49 $69,124.82 $55,299.86 2026-07-15
673 OTHER Other Kidney & Urinary Tract Procedures W Mcc 2 2 $111,186.29 $111,186.29 $42,206.70 $56,844.04 $49,525.37 2026-07-30
660 OTHER Kidney & Ureter Procedures For Non-neoplasm W Cc 2 2 $148,163.96 $148,163.96 $25,326.98 $34,110.41 $29,718.69 2026-07-30
659 MS_DRG Kidney & Ureter Procedures For Non-neoplasm W Mcc 9 7 $76,258.12 $76,258.12 $55,338.77 $69,433.84 $55,547.07 2026-07-15
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction W Cc 9 7 $44,551.05 $44,551.05 $19,090.68 $23,953.17 $19,162.54 2026-07-15
643 MS_DRG Endocrine Disorders W Mcc 9 7 $127,893.22 $127,893.22 $32,069.56 $40,237.84 $32,190.27 2026-07-15
641 MS_DRG Nutritional & Misc Metabolic Disorders Without Mcc 9 7 $147,102.81 $147,102.81 $24,049.08 $30,174.51 $24,139.61 2026-07-15
640 MS_DRG Nutritional & Misc Metabolic Disorders W Mcc 9 7 $86,962.80 $86,962.80 $36,412.27 $45,686.66 $36,549.33 2026-07-15
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction W Mcc 9 7 $217,505.95 $217,505.95 $34,097.25 $42,782.00 $34,225.60 2026-07-15
64 OTHER Intracranial Hemorrhage Or Cerebral Infarction W Mcc 2 2 $43,829.04 $43,829.04 $27,383.24 $36,879.79 $32,131.51 2026-07-30
638 MS_DRG Diabetes W Cc 9 7 $210,010.38 $210,010.38 $30,423.60 $38,172.65 $30,538.12 2026-07-15
638 OTHER Diabetes W Cc 2 2 $121,274.12 $121,274.12 $24,295.89 $32,721.73 $28,508.81 2026-07-30
637 MS_DRG Diabetes W Mcc 9 7 $250,000.00 $250,000.00 $41,715.46 $52,340.61 $41,872.49 2026-07-15
637 OTHER Diabetes W Mcc 2 2 $338,840.21 $338,840.21 $29,430.62 $39,637.19 $34,533.90 2026-07-30
623 MS_DRG Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Cc 9 7 $107,287.68 $107,287.68 $38,825.80 $48,714.93 $38,971.94 2026-07-15
622 MS_DRG Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Mcc 9 7 $194,997.85 $194,997.85 $53,085.32 $66,606.43 $53,285.14 2026-07-15
622 OTHER Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Mcc 2 2 $255,911.46 $255,911.46 $40,331.17 $54,318.08 $47,324.62 2026-07-30
616 MS_DRG Amputat Of Lower Limb For Endocrine,nutrit,& Metabol Dis W Mcc 9 7 $135,551.45 $135,551.45 $55,338.77 $69,433.84 $55,547.07 2026-07-15
603 MS_DRG Cellulitis Without Mcc 9 7 $85,832.66 $85,832.66 $22,509.85 $28,243.22 $22,594.58 2026-07-15
603 OTHER Cellulitis Without Mcc 2 2 $89,841.99 $89,841.99 $16,423.43 $22,119.09 $19,271.26 2026-07-30
602 MS_DRG Cellulitis W Mcc 9 7 $133,959.77 $133,959.77 $30,476.96 $38,239.60 $30,591.68 2026-07-15
593 MS_DRG Skin Ulcers W Cc 9 7 $139,285.60 $139,285.60 $31,355.35 $39,341.72 $31,473.38 2026-07-15
592 MS_DRG Skin Ulcers W Mcc 9 7 $107,328.55 $107,328.55 $36,248.08 $45,480.65 $36,384.52 2026-07-15
579 MS_DRG Other Skin, Subcut Tiss & Breast Proc W Mcc 9 7 $202,095.03 $202,095.03 $51,312.11 $64,381.57 $51,505.26 2026-07-15
571 MS_DRG Skin Debridement W Cc 9 7 $93,983.93 $93,983.93 $39,031.04 $48,972.44 $39,177.95 2026-07-15
570 MS_DRG Skin Debridement W Mcc 9 7 $303,712.18 $303,712.18 $53,643.55 $67,306.84 $53,845.47 2026-07-15
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 9 7 $74,982.79 $74,982.79 $26,507.78 $33,259.44 $26,607.55 2026-07-15
566 MS_DRG Other Musculoskeletal Sys & Connective Tissue Diagnoses Without Cc/Mcc 9 7 $100,088.23 $100,088.23 $32,069.56 $40,237.84 $32,190.27 2026-07-15
564 MS_DRG Other Musculoskeletal Sys & Connective Tissue Diagnoses W Mcc 9 7 $56,263.66 $56,263.66 $37,397.39 $46,922.69 $37,538.15 2026-07-15
561 MS_DRG Aftercare, Musculoskeletal System & Connective Tissue Without Cc/Mcc 9 7 $168,674.97 $168,674.97 $26,130.15 $32,785.63 $26,228.50 2026-07-15
561 OTHER Aftercare, Musculoskeletal System & Connective Tissue Without Cc/Mcc 2 2 $58,526.58 $58,526.58 $18,885.61 $25,435.16 $22,160.39 2026-07-30
560 MS_DRG Aftercare, Musculoskeletal System & Connective Tissue W Cc 9 7 $84,644.64 $84,644.64 $28,978.76 $36,359.80 $29,087.84 2026-07-15
560 OTHER Aftercare, Musculoskeletal System & Connective Tissue W Cc 2 2 $85,666.09 $85,666.09 $22,369.99 $30,127.94 $26,248.97 2026-07-30
559 MS_DRG Aftercare, Musculoskeletal System & Connective Tissue W Mcc 9 7 $104,438.58 $104,438.58 $35,168.57 $44,126.18 $35,300.94 2026-07-15
559 OTHER Aftercare, Musculoskeletal System & Connective Tissue W Mcc 2 2 $266,297.51 $266,297.51 $27,030.66 $36,404.92 $31,717.79 2026-07-30
558 MS_DRG Tendonitis, Myositis & Bursitis Without Mcc 9 7 $60,034.09 $60,034.09 $30,382.55 $38,121.14 $30,496.91 2026-07-15
558 OTHER Tendonitis, Myositis & Bursitis Without Mcc 2 2 $113,850.63 $113,850.63 $24,399.59 $32,861.40 $28,630.50 2026-07-30
557 MS_DRG Tendonitis, Myositis & Bursitis W Mcc 9 7 $215,182.07 $215,182.07 $37,380.96 $46,902.09 $37,521.67 2026-07-15
551 MS_DRG Medical Back Problems W Mcc 9 7 $148,172.31 $148,172.31 $42,569.24 $53,411.84 $42,729.47 2026-07-15
551 OTHER Medical Back Problems W Mcc 2 2 $315,148.57 $315,148.57 $34,186.09 $46,041.87 $40,113.98 2026-07-30
550 MS_DRG Septic Arthritis Without Cc/Mcc 9 7 $62,861.97 $62,861.97 $38,033.60 $47,720.95 $38,176.76 2026-07-15
549 MS_DRG Septic Arthritis W Cc 9 7 $150,570.34 $150,570.34 $38,033.60 $47,720.95 $38,176.76 2026-07-15
539 MS_DRG Osteomyelitis W Mcc 9 7 $151,652.80 $151,652.80 $43,689.79 $54,817.81 $43,854.25 2026-07-15
539 OTHER Osteomyelitis W Mcc 2 2 $202,981.86 $202,981.86 $32,197.98 $43,364.28 $37,781.13 2026-07-30
533 MS_DRG Fractures Of Femur W Mcc 9 7 $164,037.69 $164,037.69 $26,130.15 $32,785.63 $26,228.50 2026-07-15
500 MS_DRG Soft Tissue Procedures W Mcc 9 7 $230,650.91 $230,650.91 $49,834.45 $62,527.54 $50,022.03 2026-07-15
465 OTHER Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis Without Cc/Mcc 2 2 $101,018.38 $101,018.38 $18,885.61 $25,435.16 $22,160.39 2026-07-30
464 MS_DRG Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Cc 9 7 $124,380.66 $124,380.66 $43,390.15 $54,441.85 $43,553.48 2026-07-15
463 MS_DRG Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Mcc 9 7 $215,296.58 $215,296.58 $57,386.98 $72,003.74 $57,602.99 2026-07-15
463 OTHER Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Mcc 2 2 $240,927.31 $240,927.31 $46,085.15 $62,067.54 $54,076.35 2026-07-30
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 9 7 $350,000.00 $350,000.00 $32,069.56 $40,237.84 $32,190.27 2026-07-15
444 OTHER Disorders Of The Biliary Tract W Mcc 2 2 $176,184.40 $176,184.40 $24,112.19 $32,474.33 $28,293.26 2026-07-30
438 MS_DRG Disorders Of Pancreas Except Malignancy W Mcc 9 7 $49,378.48 $49,378.48 $45,077.17 $56,558.55 $45,246.84 2026-07-15
421 MS_DRG Hepatobiliary Diagnostic Procedures W Cc 9 7 $139,192.16 $139,192.16 $19,090.68 $23,953.17 $19,162.54 2026-07-15
40 MS_DRG Periph/Cranial Nerve & Other Nerv Syst Proc W Mcc 9 7 $255,384.44 $255,384.44 $56,882.11 $71,370.27 $57,096.22 2026-07-15
4 MS_DRG Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 9 7 $555,609.69 $555,609.69 $120,101.79 $150,692.34 $120,553.87 2026-07-15
4 OTHER Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 2 2 $509,149.07 $509,149.07 $82,875.64 $111,617.03 $97,246.33 2026-07-30
394 MS_DRG Other Digestive System Diagnoses W Cc 9 7 $174,170.82 $174,170.82 $35,184.98 $44,146.78 $35,317.42 2026-07-15
393 MS_DRG Other Digestive System Diagnoses W Mcc 9 7 $240,305.57 $240,305.57 $41,350.15 $51,882.25 $41,505.80 2026-07-15
392 MS_DRG Esophagitis, Gastroent & Misc Digest Disorders Without Mcc 9 7 $78,487.47 $78,487.47 $25,313.32 $31,760.75 $25,408.60 2026-07-15
391 MS_DRG Esophagitis, Gastroent & Misc Digest Disorders W Mcc 9 7 $125,000.00 $125,000.00 $32,861.75 $41,231.81 $32,985.45 2026-07-15
388 MS_DRG G.i. Obstruction W Mcc 9 7 $164,605.69 $164,605.69 $43,817.04 $54,977.46 $43,981.97 2026-07-15
388 OTHER G.i. Obstruction W Mcc 2 2 $125,178.16 $125,178.16 $27,958.05 $37,653.94 $32,806.00 2026-07-30
380 OTHER Complicated Peptic Ulcer W Mcc 2 2 $122,446.45 $122,446.45 $29,984.68 $40,383.41 $35,184.04 2026-07-30
37233 CPT Hc 37233 Tib/per., Unilateral, Ea Addit 9 6 $40,000.00 $40,000.00 $17,595.64 $36,000.00 $33,000.00 2026-07-30
37231 CPT Hc 37231 Tib/per., Unilateral, Initial 9 6 $32,592.00 $32,592.00 $24,444.00 $29,332.80 $26,888.40 2026-07-30
37229 CPT Hc 37229 Tib/per., Unilateral, Initial 9 6 $40,000.00 $40,000.00 $17,595.64 $36,000.00 $33,000.00 2026-07-30
37227 CPT Hc 37227 Stent & Ath W/wo Pta Fem/pop 9 6 $69,972.00 $69,972.00 $27,703.20 $62,974.80 $57,726.90 2026-07-30
37226 CPT Hc 37226 Stent Fem/pop W/wo Pta 9 6 $40,000.00 $40,000.00 $17,595.64 $36,000.00 $33,000.00 2026-07-30
37225 CPT Hc 37225 Fempop Artery(s), Unilateral 9 6 $40,000.00 $40,000.00 $17,595.64 $36,000.00 $33,000.00 2026-07-30
37223 CPT Hc 37223 Iliac Vessel, Additional Vessel 9 6 $34,254.00 $34,254.00 $15,068.97 $30,828.60 $28,259.55 2026-07-30
37221 CPT Hc 37221 Iliac Initial Vessel, Stent 14 6 $34,254.00 $34,254.00 $15,068.97 $35,571.60 $29,115.90 2026-07-30
37218 CPT Hc 37218 Tcat Stent Placemt Ante Carotid 9 6 $30,009.00 $30,009.00 $21,875.60 $27,008.10 $24,757.42 2026-07-30
372 MS_DRG Major Gastrointestinal Disorders & Peritoneal Infections W Cc 9 7 $261,395.10 $261,395.10 $31,351.25 $39,336.57 $31,469.26 2026-07-15
371 MS_DRG Major Gastrointestinal Disorders & Peritoneal Infections W Mcc 9 7 $147,987.45 $147,987.45 $40,237.79 $50,486.56 $40,389.25 2026-07-15
371 OTHER Major Gastrointestinal Disorders & Peritoneal Infections W Mcc 2 2 $111,642.82 $111,642.82 $28,085.45 $37,825.53 $32,955.49 2026-07-30
36906 CPT Hc 36906 Perq Thrmbc/nfs Dial Circuit Tcat Plmt IV Stent 9 6 $33,169.00 $33,169.00 $24,876.75 $29,852.10 $27,364.42 2026-07-30
36905 CPT Hc 36905 Perq Thrmbc/nfs Dial Circuit Trluml Balo Angiop 9 6 $27,317.00 $27,317.00 $20,487.75 $24,585.30 $22,536.53 2026-07-30
36903 CPT Hc 36903 Intro Cath Dialysis Circuit W/tcat Plmt IV Stent 9 6 $27,317.00 $27,317.00 $20,487.75 $24,585.30 $22,536.53 2026-07-30
36000701 LOCAL Hc Or Level 7 Initial 30 Minutes 8 5 $62,237.00 $62,237.00 $46,677.75 $56,013.30 $51,345.53 2026-07-15
36000601 LOCAL Hc Or Level 6 Initial 30 Minutes 8 5 $59,274.00 $59,274.00 $44,455.50 $53,346.60 $48,901.05 2026-07-15
36000501 LOCAL Hc Or Level 5 Initial 30 Minutes 8 5 $55,919.00 $55,919.00 $41,939.25 $50,327.10 $46,133.18 2026-07-15
36000401 LOCAL Hc Or Level 4 Initial 30 Minutes 8 5 $51,776.00 $51,776.00 $38,832.00 $46,598.40 $42,715.20 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures W Mcc 9 7 $250,000.00 $250,000.00 $59,349.00 $74,465.50 $59,572.40 2026-07-15
33990 CPT Hc 33990 Insj Perq Vad W/img Artery Access Only 9 6 $26,710.00 $26,710.00 $20,032.50 $24,039.00 $22,035.75 2026-07-30
33340 CPT Hc 33340 Perq Clsr Tcat L Atr Apndge W Endocard Impl 9 6 $38,754.00 $38,754.00 $29,065.50 $34,878.60 $31,972.05 2026-07-30
33289 CPT Hc 33289 Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 8 5 $69,538.00 $69,538.00 $52,153.50 $62,584.20 $57,368.85 2026-07-15
33274 CPT Hc 33274 Trnscth Insj/rplc Perm Ldls Pm Rt Ventr W/img 8 5 $26,535.00 $26,535.00 $19,901.25 $23,881.50 $21,891.38 2026-07-15
33264 CPT Hc 33264 Rmvl/repl Icd Gen, Multi Lead 9 6 $31,500.00 $31,500.00 $23,625.00 $28,350.00 $25,987.50 2026-07-30
33263 CPT Hc 33263 Rmvl/repl Icd Gen, Dual Lead 9 6 $31,500.00 $31,500.00 $23,625.00 $28,350.00 $25,987.50 2026-07-30
33262 CPT Hc 33262 Rmvl/repl Icd Gen, Single Lead 9 6 $31,500.00 $31,500.00 $23,625.00 $28,350.00 $25,987.50 2026-07-30
33249 CPT Hc 33249 Insj/rpsg Lead 1/2chmbr Cvdfb&insj Pls Gen 9 6 $24,063.90 $24,063.90 $18,047.92 $21,657.51 $19,852.72 2026-07-30
33231 CPT Hc 33231 Ins Icd Gen W/exist Mult Leads 9 6 $31,500.00 $31,500.00 $23,625.00 $28,350.00 $25,987.50 2026-07-30
33230 CPT Hc 33230 Ins Icd Gen W/exist Dual Leads 9 6 $31,500.00 $31,500.00 $23,625.00 $28,350.00 $25,987.50 2026-07-30
33213 CPT Hc 33213 Ins Ppm Gen W/exist Dual Lead 9 6 $28,108.00 $28,108.00 $4,973.01 $25,297.20 $23,189.10 2026-07-30
329 MS_DRG Major Small & Large Bowel Procedures W Mcc 9 7 $480,185.05 $480,185.05 $42,786.78 $53,684.79 $42,947.83 2026-07-15
315 OTHER Other Circulatory System Diagnoses W Cc 2 2 $67,089.46 $67,089.46 $18,728.57 $25,223.67 $21,976.12 2026-07-30
314 MS_DRG Other Circulatory System Diagnoses W Mcc 9 7 $105,265.40 $105,265.40 $40,594.90 $50,934.63 $40,747.70 2026-07-15
314 OTHER Other Circulatory System Diagnoses W Mcc 2 2 $104,365.66 $104,365.66 $31,599.47 $42,558.21 $37,078.84 2026-07-30
312 MS_DRG Syncope & Collapse 9 7 $147,186.55 $147,186.55 $42,786.78 $53,684.79 $42,947.83 2026-07-15
308 MS_DRG Cardiac Arrhythmia & Conduction Disorders W Mcc 9 7 $79,923.98 $79,923.98 $32,069.56 $40,237.84 $32,190.27 2026-07-15
3 MS_DRG Cardiac Arrhythmia & Conduction Disorders W Mcc 9 7 $763,248.66 $763,248.66 $152,076.95 $190,811.73 $152,649.38 2026-07-15
3 OTHER Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r. 2 2 $564,805.86 $564,805.86 $109,076.68 $146,904.62 $127,990.65 2026-07-30
299 MS_DRG Peripheral Vascular Disorders W Mcc 9 7 $145,876.04 $145,876.04 $32,775.56 $41,123.66 $32,898.93 2026-07-15
291 MS_DRG Heart Failure & Shock W Mcc 9 7 $116,599.14 $116,599.14 $32,738.62 $41,077.31 $32,861.85 2026-07-15
291 OTHER Heart Failure & Shock W Mcc 2 2 $117,765.14 $117,765.14 $25,359.57 $34,154.31 $29,756.94 2026-07-30
289 OTHER Acute & Subacute Endocarditis W Cc 2 2 $145,997.75 $145,997.75 $23,113.69 $31,129.54 $27,121.61 2026-07-30
288 MS_DRG Acute & Subacute Endocarditis W Mcc 9 7 $295,257.07 $295,257.07 $42,532.28 $53,365.47 $42,692.38 2026-07-15
288 OTHER Acute & Subacute Endocarditis W Mcc 2 2 $142,452.76 $142,452.76 $33,874.99 $45,622.88 $39,748.93 2026-07-30
280 OTHER Acute Myocardial Infarction, Discharged Alive W Mcc 2 2 $326,382.64 $326,382.64 $26,657.33 $35,902.13 $31,279.73 2026-07-30
264 OTHER Other Circulatory System O.r. Procedures 2 2 $476,238.19 $476,238.19 $40,017.10 $53,895.09 $46,956.10 2026-07-30
239 OTHER Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc 2 2 $332,349.98 $332,349.98 $55,842.02 $75,208.11 $65,525.07 2026-07-30
208 MS_DRG Respiratory System Diagnosis W Ventilator Support <96 Hours 9 7 $135,110.55 $135,110.55 $45,549.19 $57,150.81 $45,720.65 2026-07-15
208 OTHER Respiratory System Diagnosis W Ventilator Support <96 Hours 2 2 $149,143.18 $149,143.18 $33,783.14 $45,499.17 $39,641.15 2026-07-30
207 MS_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 9 7 $332,616.98 $332,616.98 $77,257.55 $96,935.45 $77,548.36 2026-07-15
207 OTHER Respiratory System Diagnosis W Ventilator Support 96+ Hours 2 2 $261,430.39 $261,430.39 $55,702.77 $75,020.56 $65,361.66 2026-07-30
205 OTHER Other Respiratory System Diagnoses W Mcc 2 2 $198,654.03 $198,654.03 $26,962.51 $36,313.14 $31,637.82 2026-07-30
204 MS_DRG Respiratory Signs & Symptoms 9 7 $267,098.24 $267,098.24 $32,069.56 $40,237.84 $32,190.27 2026-07-15
202 OTHER Bronchitis & Asthma W Cc/Mcc 2 2 $48,288.70 $48,288.70 $30,079.49 $40,511.10 $35,295.29 2026-07-30
193 MS_DRG Simple Pneumonia & Pleurisy W Mcc 9 7 $171,748.45 $171,748.45 $35,472.31 $44,507.29 $35,605.83 2026-07-15
193 OTHER Simple Pneumonia & Pleurisy W Mcc 2 2 $219,163.67 $219,163.67 $20,938.91 $28,200.55 $24,569.73 2026-07-30
189 MS_DRG Pulmonary Edema & Respiratory Failure 9 7 $129,548.41 $129,548.41 $39,429.18 $49,472.00 $39,577.60 2026-07-15
189 OTHER Pulmonary Edema & Respiratory Failure 2 2 $129,315.93 $129,315.93 $27,993.60 $37,701.82 $32,847.71 2026-07-30
177 MS_DRG Respiratory Infections & Inflammations W Mcc 9 7 $113,522.04 $113,522.04 $32,566.22 $40,861.00 $32,688.80 2026-07-15
177 OTHER Respiratory Infections & Inflammations W Mcc 2 2 $109,513.69 $109,513.69 $24,675.14 $33,232.51 $28,953.83 2026-07-30
167 OTHER Other Resp System O.r. Procedures W Cc 2 2 $56,379.13 $56,379.13 $42,248.18 $56,899.90 $49,574.04 2026-07-30
166 MS_DRG Other Resp System O.r. Procedures W Mcc 9 7 $435,337.71 $435,337.71 $100,875.65 $126,569.20 $101,255.36 2026-07-15
166 OTHER Other Resp System O.r. Procedures W Mcc 2 2 $335,296.04 $335,296.04 $69,572.16 $93,699.88 $81,636.02 2026-07-30
163 MS_DRG Major Chest Procedures W Mcc 9 7 $417,022.66 $417,022.66 $120,988.40 $151,804.76 $121,443.81 2026-07-15
157 MS_DRG Dental & Oral Diseases W Mcc 9 7 $164,647.98 $164,647.98 $42,786.78 $53,684.79 $42,947.83 2026-07-15
100 MS_DRG Seizures W Mcc 9 7 $137,034.98 $137,034.98 $32,069.56 $40,237.84 $32,190.27 2026-07-15
100 OTHER Seizures W Mcc 2 2 $155,053.74 $155,053.74 $21,433.71 $28,866.95 $25,150.33 2026-07-30
0409T CPT Hc Insj/rplc Cardiac Modulj Sys Pls Generator Only 1 1 $39,491.00 $39,491.00 $33,567.35 $33,567.35 $33,567.35 2026-07-30
0409T OTHER Hc 0409t Insj/rplc Cardiac Modulj Sys Pls Generator Only 8 5 $39,491.00 $39,491.00 $29,618.25 $35,541.90 $32,580.08 2026-07-15
0408T CPT Hc Insj/rplc Car Modulj Sys Pls Gen Transvns Eltrd 1 1 $39,491.00 $39,491.00 $33,567.35 $33,567.35 $33,567.35 2026-07-30
0408T OTHER Hc 0408t Insj/rplc Car Modulj Sys Pls Gen Transvns Eltrd 8 5 $39,491.00 $39,491.00 $29,618.25 $35,541.90 $32,580.08 2026-07-15
0387T CPT Hc Transcath Insrt/rplc Perm Leadless Pm Ventr 1 1 $26,535.00 $26,535.00 $22,554.75 $22,554.75 $22,554.75 2026-07-30
0238T OTHER Hc 0238t Atherectomy, Iliac Artery (each Ves) 8 5 $22,838.00 $22,838.00 $17,128.50 $20,554.20 $18,841.35 2026-07-15
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