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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

JOHNSTON MEMORIAL HOSPITAL

Abingdon, VA · CCN 490053 · Rates published

3,882 distinct procedures filed
20 distinct payers
556,138 rate rows
2026-03-23 last MRF observed
Data quality

546,350 of 556,138 rate rows are consumer-grade (98.2%)

9,788 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 5,714
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,000
per-diem day rate — not a per-procedure price 506
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 484
exceeds 10× this hospital's gross charge — excluded from medians 60
placeholder amount (≤ $0.02) — excluded from medians 24
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.balladhealth.org/sites/default/files/2026-03/540544705_johnston-memorial-hospital_standardcharges.zip
Found on page https://www.balladhealth.org/patients-visitors/price-estimator-standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint 1a07edb9cf78b7ca… · 5,007,456 bytes · first seen 2026-05-09

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
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 1 $123,943.86 $123,943.86 $123,943.86 nat. median
$22,934
outlier · 5.4×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 2 $36,183.65 $198,104.00 $117,143.83 nat. median
$36,541
outlier · 3.2×
C1825
HCPCS 		System Barostim Neo2 8 $52,269.84 $326,686.50 $114,666.96 nat. median
$35,000
outlier · 3.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $74,254.27 $100,685.87 $94,848.94 nat. median
$97,418
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $47,995.98 $154,525.98 $83,529.57 nat. median
$48,611
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 1 $72,936.71 $72,936.71 $72,936.71 nat. median
$73,023
1.0× median
C2624
HCPCS 		Delivery Sys & Sensor Cardiomems Pa 8 $31,527.84 $197,049.00 $69,164.20 nat. median
$26,491
outlier · 2.6×
C1822
HCPCS 		Kit Nevro Stim Hf10c 8 $27,379.44 $171,121.50 $60,063.65 nat. median
$30,046
2.0× median
C1875
HCPCS 		Stent Thoracic 40 X 36 X 154 8 $26,466.79 $165,417.45 $58,061.53 nat. median
$3,632
outlier · 16.0×
710
MS_DRG 		Infections And Parasitic Diseases Including HIV With O.r. Procedure 2 $56,804.02 $56,804.02 $56,804.02 nat. median
$10,412
outlier · 5.5×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 1 $35,138.78 $74,921.00 $55,029.89 nat. median
$35,986
1.5× median
C1882
HCPCS 		Aicd, Other Than Sing/dual 8 $19,041.16 $174,449.87 $54,603.32 nat. median
$24,131
outlier · 2.3×
C2622
HCPCS 		Prosthesis Malleable Penile Tactra 9.5 X 14-23cm 8 $23,222.74 $145,142.15 $50,944.89 nat. median
$8,606
outlier · 5.9×
C1767
HCPCS 		Pulse Generator 8 $290.39 $189,011.48 $49,587.91 nat. median
$25,172
2.0× median
130
APR_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 $49,407.34 $49,407.34 $49,407.34 nat. median
$79,167
0.6× median
C1820
HCPCS 		Cap Code Ipg Iq Stimulator 8 $365.06 $191,863.50 $45,839.04 nat. median
$21,100
outlier · 2.2×
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 $44,549.05 $44,549.05 $44,549.05 nat. median
$30,435
1.5× median
252
APR_DRG 		Malfunction, Reaction And Complication Of Gi Device Or Procedure 1 $43,388.48 $43,388.48 $43,388.48 nat. median
$14,412
outlier · 3.0×
33276
CPT 		Hc Insertion Phrenic Nerve Stimulator System 20 $19,879.00 $93,686.54 $42,975.48 nat. median
$44,163
1.0× median
C1772
HCPCS 		Infusion Pump, Programmable 8 $174.23 $126,567.68 $40,340.98 nat. median
$18,271
outlier · 2.2×
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 3 $23,813.37 $260,660.04 $40,320.10 nat. median
$25,622
1.6× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 2 $27,389.35 $52,684.92 $40,037.13 nat. median
$27,194
1.5× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 $38,422.78 $38,422.78 $38,422.78 nat. median
$37,371
1.0× median
C1721
HCPCS 		Aicd, Dual Chamber 8 $12,984.43 $128,081.85 $37,979.45 nat. median
$19,958
1.9× median
436
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas With Cc 16 $8,061.86 $36,883.67 $36,883.67 nat. median
$8,433
outlier · 4.4×
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 16 $8,511.12 $36,794.96 $36,794.96 nat. median
$13,124
outlier · 2.8×
351
MS_DRG 		Inguinal And Femoral Hernia Procedures With Cc 17 $13,594.67 $83,303.09 $36,617.28 nat. median
$11,088
outlier · 3.3×
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 16 $12,823.54 $36,474.69 $36,474.69 nat. median
$12,760
outlier · 2.9×
C1722
HCPCS 		Aicd, Single Chamber 8 $11,361.37 $197,049.00 $36,437.54 nat. median
$19,800
1.8× median
517
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 17 $6,703.09 $36,272.22 $36,272.22 nat. median
$11,266
outlier · 3.2×
915
MS_DRG 		Allergic Reactions With Mcc 16 $12,241.17 $35,958.18 $35,958.18 nat. median
$12,132
outlier · 3.0×
70
MS_DRG 		Other Cerebrovascular Disorders With Mcc 16 $12,249.52 $35,937.89 $35,937.89 nat. median
$12,172
outlier · 3.0×
489
MS_DRG 		Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 16 $8,267.68 $35,529.68 $35,529.68 nat. median
$8,891
outlier · 4.0×
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 16 $6,159.77 $35,506.50 $35,506.50 nat. median
$24,748
1.4× median
580
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 16 $12,481.65 $35,045.39 $35,045.39 nat. median
$12,953
outlier · 2.7×
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 $26,002.00 $34,699.61 $34,699.61 nat. median
$24,822
1.4× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 17 $8,010.81 $34,650.39 $34,650.39 nat. median
$15,450
outlier · 2.2×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 $19,713.00 $72,671.00 $34,600.10 nat. median
$34,733
1.0× median
328
MS_DRG 		Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 16 $34,548.97 $34,548.97 $34,548.97 nat. median
$11,909
outlier · 2.9×
674
MS_DRG 		Other Kidney And Urinary Tract Procedures With Cc 3 $16,149.91 $79,052.00 $34,313.01 nat. median
$16,612
outlier · 2.1×
252
MS_DRG 		Other Vascular Procedures With Mcc 16 $23,837.21 $34,053.29 $34,053.29 nat. median
$25,156
1.4× median
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 16 $18,040.22 $34,049.58 $34,049.58 nat. median
$18,590
1.8× median
286
MS_DRG 		Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 16 $15,498.34 $33,992.12 $33,992.12 nat. median
$16,072
outlier · 2.1×
940
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 16 $14,799.09 $33,710.54 $33,710.54 nat. median
$16,012
outlier · 2.1×
416
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 16 $16,708.00 $33,448.27 $33,448.27 nat. median
$9,985
outlier · 3.3×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 $32,938.48 $376,930.02 $33,376.95 nat. median
$33,546
1.0× median
397
MS_DRG 		Appendix Procedures With Mcc 16 $33,350.71 $33,350.71 $33,350.71 nat. median
$17,303
1.9× median
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 16 $8,856.00 $47,266.00 $33,154.29 nat. median
$11,829
outlier · 2.8×
988
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 16 $9,081.72 $32,967.95 $32,967.95 nat. median
$12,191
outlier · 2.7×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 $26,853.44 $39,029.00 $32,941.22 nat. median
$27,340
1.2× median

Other procedures at this hospital

Browse this hospital's 3,882 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
             
0238T CPT Hc Ptra Iliac Each Vessel 86 20 $27,977.00 $4,196.55 85% off $948.00 $38,991.26 $17,885.90 2026-03-23
0646T CPT Hc Ttvi/rplcmt Prostc Vlv Perq W/r Hrt Cath&angrph 48 10 $25,556.00 $3,833.40 85% off $1,279.00 $25,556.00 $18,221.49 2026-03-23
0823T CPT Hc Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 86 20 $26,834.00 $4,025.10 85% off $1,279.00 $40,969.48 $18,793.34 2026-03-23
0825T CPT Hc Tcat Rmvl&rplcmt Perm 1chmbr Ldls Pm R Atrial 86 20 $26,834.00 $4,025.10 85% off $1,279.00 $40,969.48 $18,793.34 2026-03-23
100 MS_DRG Seizures With Mcc 62 16 — — $14,027.02 $21,823.50 $21,823.50 2026-03-23
101 MS_DRG Seizures Without Mcc 62 16 — — $6,650.20 $19,914.32 $19,914.32 2026-03-23
102 MS_DRG Headaches With Mcc 62 16 — — $20,828.00 $23,233.00 $23,233.00 2026-03-23
103 MS_DRG Headaches Without Mcc 62 16 — — $6,159.17 $19,451.20 $19,451.20 2026-03-23
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 1 — — $38,422.78 $38,422.78 $38,422.78 2026-03-23
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 62 16 — — $9,298.79 $31,189.76 $31,189.76 2026-03-23
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 1 — — $49,407.34 $49,407.34 $49,407.34 2026-03-23
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 62 16 — — $31,623.85 $31,623.85 $31,623.85 2026-03-23
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 62 16 — — $25,237.00 $25,237.00 $25,237.00 2026-03-23
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 62 16 — — $22,131.90 $22,131.90 $22,131.90 2026-03-23
149 MS_DRG Dysequilibrium 62 16 — — $5,455.55 $27,514.83 $27,514.83 2026-03-23
163 MS_DRG Major Chest Procedures With Mcc 2 1 — — $31,913.66 $31,913.66 $31,913.66 2026-03-23
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 2 — — $26,675.76 $26,693.26 $26,684.51 2026-03-23
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 62 16 — — $27,201.15 $27,201.15 $27,201.15 2026-03-23
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 62 16 — — $4,958.00 $23,588.77 $23,588.77 2026-03-23
177 MS_DRG Respiratory Infections And Inflammations With Mcc 62 16 — — $11,399.50 $29,834.38 $29,834.38 2026-03-23
178 MS_DRG Respiratory Infections And Inflammations With Cc 62 16 — — $7,131.40 $19,921.28 $19,921.28 2026-03-23
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 62 16 — — $5,726.57 $24,378.00 $17,967.67 2026-03-23
180 MS_DRG Respiratory Neoplasms With Mcc 62 16 — — $12,309.01 $25,652.99 $25,652.99 2026-03-23
184 MS_DRG Major Chest Trauma With Cc 62 16 — — $7,681.60 $19,932.50 $19,932.50 2026-03-23
186 MS_DRG Pleural Effusion With Mcc 62 16 — — $7,648.30 $30,199.56 $30,199.56 2026-03-23
189 MS_DRG Pulmonary Edema And Respiratory Failure 62 16 — — $8,813.59 $22,369.47 $22,369.47 2026-03-23
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 78 17 — — $2,481.59 $24,898.22 $24,898.22 2026-03-23
199 MS_DRG Pneumothorax With Mcc 78 17 — — $4,654.84 $23,167.60 $23,167.60 2026-03-23
202 MS_DRG Bronchitis And Asthma With Cc/mcc 62 16 — — $6,973.86 $20,812.71 $20,812.71 2026-03-23
204 MS_DRG Respiratory Signs And Symptoms 62 16 — — $5,891.61 $18,044.77 $18,044.77 2026-03-23
205 MS_DRG Other Respiratory System Diagnoses With Mcc 78 17 — — $5,379.51 $26,510.07 $26,510.07 2026-03-23
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 62 16 — — $6,541.25 $16,877.92 $16,877.92 2026-03-23
206 APR_DRG Malfunction, Reaction, Complication Of Cardiac/vascular Device Or Procedure 16 6 — — $16,335.58 $29,753.41 $16,335.58 2026-03-23
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 6 — — $14,450.00 $19,729.44 $19,006.16 2026-03-23
215 MS_DRG Other Heart Assist System Implant 2 1 — — $72,936.71 $72,936.71 $72,936.71 2026-03-23
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 2 1 — — $123,943.86 $123,943.86 $123,943.86 2026-03-23
231 APR_DRG Major Large Bowel Procedures 24 6 — — $13,860.84 $25,429.07 $17,872.01 2026-03-23
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 2 — — $20,286.79 $20,286.79 $20,286.79 2026-03-23
252 APR_DRG Malfunction, Reaction And Complication Of Gi Device Or Procedure 2 1 — — $43,388.48 $43,388.48 $43,388.48 2026-03-23
252 MS_DRG Other Vascular Procedures With Mcc 62 16 — — $23,837.21 $34,053.29 $34,053.29 2026-03-23
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 1 — — $18,260.85 $18,260.85 $18,260.85 2026-03-23
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 2 1 — — $16,708.00 $16,708.00 $16,708.00 2026-03-23
264 MS_DRG Other Circulatory System O.r. Procedures 2 1 — — $23,886.70 $23,886.70 $23,886.70 2026-03-23
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 62 16 — — $8,856.00 $47,266.00 $33,154.29 2026-03-23
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 62 16 — — $6,649.74 $19,212.43 $19,212.43 2026-03-23
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 78 17 — — $1,772.56 $19,234.01 $19,234.01 2026-03-23
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 62 16 — — $13,731.37 $31,061.14 $31,061.14 2026-03-23
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 62 16 — — $4,180.48 $17,917.67 $17,917.67 2026-03-23
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 62 16 — — $15,498.34 $33,992.12 $33,992.12 2026-03-23
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 62 16 — — $7,799.53 $23,941.28 $23,941.28 2026-03-23
291 MS_DRG Heart Failure And Shock With Mcc 62 16 — — $7,198.65 $29,024.00 $22,767.93 2026-03-23
292 MS_DRG Heart Failure And Shock With Cc 62 16 — — $6,234.54 $23,932.58 $23,932.58 2026-03-23
299 MS_DRG Peripheral Vascular Disorders With Mcc 62 16 — — $11,418.97 $25,238.69 $25,238.69 2026-03-23
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 1 — — $25,486.69 $25,486.69 $25,486.69 2026-03-23
300 MS_DRG Peripheral Vascular Disorders With Cc 62 16 — — $7,669.23 $19,269.49 $19,269.49 2026-03-23
302 MS_DRG Atherosclerosis With Mcc 62 16 — — $8,305.81 $16,633.38 $16,633.38 2026-03-23
304 MS_DRG Hypertension With Mcc 62 16 — — $8,414.26 $18,538.65 $18,538.65 2026-03-23
305 APR_DRG Amputation Of Lower Limb Except Toes 10 3 — — $14,175.02 $46,949.41 $20,302.12 2026-03-23
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 78 17 — — $6,313.16 $29,650.47 $29,650.47 2026-03-23
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 62 16 — — $5,399.35 $25,095.00 $16,554.94 2026-03-23
311 MS_DRG Angina Pectoris 62 16 — — $5,118.44 $16,532.26 $16,532.26 2026-03-23
312 MS_DRG Syncope And Collapse 62 16 — — $3,708.94 $16,300.95 $16,300.95 2026-03-23
314 MS_DRG Other Circulatory System Diagnoses With Mcc 86 17 — — $8,010.81 $34,650.39 $34,650.39 2026-03-23
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 16 5 — — $19,551.19 $32,692.65 $20,155.09 2026-03-23
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 1 — — $44,549.05 $44,549.05 $44,549.05 2026-03-23
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 1 — — $35,138.78 $74,921.00 $55,029.89 2026-03-23
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 1 — — $17,277.46 $17,277.46 $17,277.46 2026-03-23
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 62 16 — — $34,548.97 $34,548.97 $34,548.97 2026-03-23
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 4 — — $20,333.00 $79,147.13 $31,806.74 2026-03-23
330 MS_DRG Major Small And Large Bowel Procedures With Cc 16 4 — — $13,864.00 $41,277.39 $16,531.75 2026-03-23
33221 CPT Hc Insert Pulse Gen Mult Leads 86 20 $26,804.00 $4,020.60 85% off $948.00 $40,969.48 $18,793.34 2026-03-23
33229 CPT Hc Remv & Replc Pm Gen Mult Lead 86 20 $26,834.00 $4,025.10 85% off $948.00 $40,969.48 $18,793.34 2026-03-23
33231 CPT Hc Insrt Pulse Gen W/mult Leads 86 20 $88,432.00 $13,264.80 85% off $19,879.00 $88,432.00 $31,544.41 2026-03-23
33240 CPT Hc Insert Icd Pulse Gen 86 20 $98,421.00 $14,763.15 85% off $488.80 $98,421.00 $23,004.88 2026-03-23
33249 CPT Hc Insert/repl Lead/gen Icd Sgl/dual 86 20 $104,585.00 $15,687.75 85% off $1,017.92 $104,585.00 $31,544.41 2026-03-23
33262 CPT Hc Remv & Repl Cvd Gen Sing Lead 86 20 $80,544.00 $12,081.60 85% off $19,879.00 $80,544.00 $27,022.51 2026-03-23
33263 CPT Hc Remv & Repl Cvd Gen Dual Lead 86 20 $80,544.00 $12,081.60 85% off $19,879.00 $80,544.00 $27,022.51 2026-03-23
33264 CPT Hc Remv & Replc Cvd Gen Mult Lea 86 20 $80,544.00 $12,081.60 85% off $19,879.00 $80,544.00 $31,251.07 2026-03-23
33270 CPT Hc Insertion/replcmt Sq Icd W Sq Electrode 86 20 $97,969.00 $14,695.35 85% off $1,279.00 $97,969.00 $31,850.66 2026-03-23
33274 CPT Hc Transcath Insert/replc Perm Leadlass Pm Rv Incl Img Guid 90 20 $46,583.00 $6,987.45 85% off $890.00 $46,583.00 $18,793.34 2026-03-23
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 86 20 $93,168.00 $13,975.20 85% off $19,879.00 $93,686.54 $42,975.48 2026-03-23
33287 CPT Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 86 20 $93,168.00 $13,975.20 85% off $14,200.00 $93,168.00 $31,257.86 2026-03-23
33289 CPT Hc Transcath Impl Wrls Pa Prs Snr L-t Hemdyn Mntr 86 20 $111,361.00 $16,704.15 85% off $6,737.00 $111,361.00 $29,105.35 2026-03-23
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 3 — — $20,308.65 $25,164.04 $23,161.08 2026-03-23
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 62 16 — — $10,853.64 $24,810.78 $24,810.78 2026-03-23
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 62 16 — — $20,370.00 $37,890.00 $25,965.49 2026-03-23
348 MS_DRG Anal And Stomal Procedures With Cc 62 16 — — $29,523.00 $29,523.00 $29,523.00 2026-03-23
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 78 17 — — $13,594.67 $83,303.09 $36,617.28 2026-03-23
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 62 16 — — $20,806.15 $28,708.47 $28,708.47 2026-03-23
368 MS_DRG Major Esophageal Disorders With Mcc 62 16 — — $8,675.91 $30,161.01 $30,161.01 2026-03-23
36836 CPT Hc Perq Av Fistula Creation Uxtr Single Access 90 20 $22,618.00 $3,392.70 85% off $578.00 $38,991.26 $17,885.90 2026-03-23
36837 CPT Hc Perq Av Fistula Creation Uxtr Sep Access Sites 90 20 $22,618.00 $3,392.70 85% off $578.00 $38,991.26 $17,885.90 2026-03-23
369 MS_DRG Major Esophageal Disorders With Cc 62 16 — — $10,161.75 $24,054.57 $24,054.57 2026-03-23
36906 CPT Hc Prc Trnslml Thrmbctmy/inf Thrmblss Dysis Crct W Trnscth Plc Intrvs 90 20 $54,084.00 $8,112.60 85% off $890.00 $54,084.00 $17,885.90 2026-03-23
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 62 16 — — $12,312.56 $31,021.46 $31,021.46 2026-03-23
37182 CPT Hc Insert Transven Intrahep Portosys Shunt Tips 90 20 $22,791.00 $3,418.65 85% off $948.00 $38,991.26 $17,885.90 2026-03-23
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 62 16 — — $7,386.26 $16,822.53 $16,822.53 2026-03-23
37227 CPT Hc Place Vasc Stent Fem Popl W/a 38 10 $47,581.00 $7,137.15 85% off $13,730.88 $47,581.00 $16,419.00 2026-03-23
37231 CPT Hc Place Vasc Stent/tib-peron W/athr 38 10 $52,339.00 $7,850.85 85% off $12,697.12 $52,339.00 $17,559.73 2026-03-23
37242 CPT Hc Transcth Ther Embo Art Avm 90 20 $30,126.00 $4,518.90 85% off $775.00 $38,991.26 $17,885.90 2026-03-23
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 62 16 — — $25,952.97 $36,402.00 $25,952.97 2026-03-23
374 MS_DRG Digestive Malignancy With Mcc 62 16 — — $14,800.18 $22,561.37 $22,561.37 2026-03-23
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 62 16 — — $8,511.12 $36,794.96 $36,794.96 2026-03-23
378 MS_DRG Gastrointestinal Hemorrhage With Cc 62 16 — — $7,088.92 $19,740.09 $19,740.09 2026-03-23
380 MS_DRG Complicated Peptic Ulcer With Mcc 62 16 — — $13,518.28 $30,500.61 $30,500.61 2026-03-23
385 MS_DRG Inflammatory Bowel Disease With Mcc 62 16 — — $11,312.38 $34,200.00 $20,039.92 2026-03-23
386 MS_DRG Inflammatory Bowel Disease With Cc 62 16 — — $7,134.15 $25,095.00 $22,191.83 2026-03-23
388 MS_DRG Gastrointestinal Obstruction With Mcc 62 16 — — $10,405.00 $20,384.88 $20,384.88 2026-03-23
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 62 16 — — $9,136.35 $19,149.69 $19,149.69 2026-03-23
393 MS_DRG Other Digestive System Diagnoses With Mcc 62 16 — — $11,656.56 $24,248.60 $24,248.60 2026-03-23
397 MS_DRG Appendix Procedures With Mcc 62 16 — — $33,350.71 $33,350.71 $33,350.71 2026-03-23
398 MS_DRG Appendix Procedures With Cc 62 16 — — $10,703.56 $29,360.71 $29,360.71 2026-03-23
399 MS_DRG Appendix Procedures Without Cc/mcc 62 16 — — $5,410.78 $25,878.03 $25,878.03 2026-03-23
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 3 — — $74,254.27 $100,685.87 $94,848.94 2026-03-23
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 62 16 — — $16,708.00 $33,448.27 $33,448.27 2026-03-23
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 8 4 — — $16,616.49 $24,501.00 $16,900.65 2026-03-23
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 62 16 — — $8,534.00 $47,880.00 $30,568.61 2026-03-23
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 62 16 — — $9,361.54 $31,764.47 $31,764.47 2026-03-23
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 62 16 — — $7,665.08 $23,431.06 $23,431.06 2026-03-23
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 62 16 — — $8,061.86 $36,883.67 $36,883.67 2026-03-23
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 62 16 — — $11,732.80 $97,961.00 $31,419.72 2026-03-23
444 MS_DRG Disorders Of The Biliary Tract With Mcc 62 16 — — $10,612.29 $17,485.54 $17,485.54 2026-03-23
445 MS_DRG Disorders Of The Biliary Tract With Cc 62 16 — — $7,763.91 $20,822.12 $20,822.12 2026-03-23
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 1 — — $22,342.07 $22,342.07 $22,342.07 2026-03-23
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 2 — — $36,183.65 $198,104.00 $117,143.83 2026-03-23
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 12 3 — — $23,813.37 $260,660.04 $40,320.10 2026-03-23
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 6 2 — — $18,310.70 $47,317.81 $19,724.52 2026-03-23
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 1 — — $31,060.66 $31,060.66 $31,060.66 2026-03-23
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 8 4 — — $15,206.84 $20,517.64 $20,513.37 2026-03-23
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 62 16 — — $22,392.87 $31,672.15 $31,672.15 2026-03-23
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 62 16 — — $14,897.44 $30,059.90 $30,059.90 2026-03-23
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 62 16 — — $8,267.68 $35,529.68 $35,529.68 2026-03-23
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 6 3 — — $24,663.04 $26,686.65 $24,669.29 2026-03-23
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 6 2 — — $18,236.24 $43,669.11 $18,236.24 2026-03-23
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 2 1 — — $16,708.00 $16,708.00 $16,708.00 2026-03-23
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 1 — — $24,455.20 $24,455.20 $24,455.20 2026-03-23
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 2 1 — — $17,636.39 $17,636.39 $17,636.39 2026-03-23
500 MS_DRG Soft Tissue Procedures With Mcc 62 16 — — $22,051.56 $31,500.56 $31,500.56 2026-03-23
501 MS_DRG Soft Tissue Procedures With Cc 62 16 — — $12,578.33 $20,357.75 $20,357.75 2026-03-23
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 78 17 — — $6,703.09 $36,272.22 $36,272.22 2026-03-23
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 8 4 — — $18,394.44 $20,582.80 $19,444.77 2026-03-23
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 62 16 — — $5,007.44 $19,918.62 $19,918.62 2026-03-23
539 MS_DRG Osteomyelitis With Mcc 78 17 — — $4,889.31 $20,209.47 $20,209.47 2026-03-23
540 MS_DRG Osteomyelitis With Cc 62 16 — — $8,892.92 $23,877.98 $23,877.98 2026-03-23
541 MS_DRG Osteomyelitis Without Cc/mcc 62 16 — — $17,631.06 $17,631.06 $17,631.06 2026-03-23
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 62 16 — — $25,580.62 $25,580.62 $25,580.62 2026-03-23
545 MS_DRG Connective Tissue Disorders With Mcc 62 16 — — $6,303.58 $24,876.96 $24,876.96 2026-03-23
548 MS_DRG Septic Arthritis With Mcc 78 17 — — $3,943.16 $19,855.76 $19,855.76 2026-03-23
551 MS_DRG Medical Back Problems With Mcc 62 16 — — $12,027.49 $19,879.38 $19,879.38 2026-03-23
552 MS_DRG Medical Back Problems Without Mcc 62 16 — — $6,961.10 $23,826.00 $16,503.56 2026-03-23
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 62 16 — — $10,979.25 $32,394.00 $27,154.50 2026-03-23
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 62 16 — — $13,054.70 $19,254.09 $19,254.09 2026-03-23
56 MS_DRG Degenerative Nervous System Disorders With Mcc 62 16 — — $16,742.71 $30,904.50 $30,904.50 2026-03-23
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 62 16 — — $18,974.00 $18,974.00 $18,974.00 2026-03-23
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 62 16 — — $6,087.55 $17,692.72 $17,692.72 2026-03-23
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 62 16 — — $10,149.88 $23,731.50 $23,731.50 2026-03-23
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 62 16 — — $11,096.96 $23,352.12 $23,352.12 2026-03-23
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 62 16 — — $7,278.53 $19,821.14 $19,821.14 2026-03-23
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 62 16 — — $9,496.01 $17,386.67 $17,386.67 2026-03-23
570 MS_DRG Skin Debridement With Mcc 4 2 — — $16,029.24 $23,826.00 $19,927.62 2026-03-23
572 MS_DRG Skin Debridement Without Cc/mcc 62 16 — — $30,902.77 $30,902.77 $30,902.77 2026-03-23
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 1 — — $19,713.00 $19,713.00 $19,713.00 2026-03-23
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 62 16 — — $12,981.14 $17,837.43 $17,837.43 2026-03-23
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 62 16 — — $12,481.65 $35,045.39 $35,045.39 2026-03-23
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 78 17 — — $3,827.75 $27,323.38 $27,323.38 2026-03-23
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 62 16 — — $16,708.00 $25,718.62 $25,718.62 2026-03-23
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 62 16 — — $28,329.53 $28,329.53 $28,329.53 2026-03-23
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 62 16 — — $14,361.68 $26,858.08 $26,858.08 2026-03-23
592 MS_DRG Skin Ulcers With Mcc 62 16 — — $14,422.67 $28,529.00 $28,529.00 2026-03-23
593 MS_DRG Skin Ulcers With Cc 62 16 — — $24,139.17 $24,139.17 $24,139.17 2026-03-23
602 MS_DRG Cellulitis With Mcc 62 16 — — $10,400.20 $32,294.00 $22,758.85 2026-03-23
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 62 16 — — $10,515.11 $22,258.50 $22,258.50 2026-03-23
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 62 16 — — $6,662.75 $16,768.70 $16,768.70 2026-03-23
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 3 — — $17,123.77 $24,917.73 $23,416.59 2026-03-23
61624 CPT Hc Transcath Permanent Occlusion/embolization Perq Cns 90 20 $16,623.00 $2,493.45 85% off $890.00 $38,991.26 $16,623.00 2026-03-23
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 62 16 — — $13,568.29 $37,890.00 $32,397.74 2026-03-23
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 62 16 — — $26,002.00 $34,699.61 $34,699.61 2026-03-23
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 62 16 — — $13,023.34 $26,103.50 $26,103.50 2026-03-23
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 62 16 — — $30,965.85 $30,965.85 $30,965.85 2026-03-23
627 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/mcc 62 16 — — $30,794.54 $30,794.54 $30,794.54 2026-03-23
637 MS_DRG Diabetes With Mcc 62 16 — — $10,311.81 $19,138.00 $18,593.90 2026-03-23
638 MS_DRG Diabetes With Cc 62 16 — — $4,113.86 $29,371.00 $17,725.35 2026-03-23
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 62 16 — — $4,958.00 $33,081.00 $25,878.10 2026-03-23
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 78 17 — — $2,068.33 $146,849.00 $28,267.32 2026-03-23
643 MS_DRG Endocrine Disorders With Mcc 62 16 — — $11,688.95 $21,531.50 $21,531.50 2026-03-23
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 62 16 — — $7,302.57 $29,024.00 $21,969.76 2026-03-23
654 MS_DRG Major Bladder Procedures With Cc 2 1 — — $19,673.01 $19,673.01 $19,673.01 2026-03-23
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 62 16 — — $18,040.22 $34,049.58 $34,049.58 2026-03-23
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 62 16 — — $5,049.93 $17,840.86 $17,840.86 2026-03-23
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 62 16 — — $8,346.00 $16,431.08 $16,431.08 2026-03-23
662 MS_DRG Minor Bladder Procedures With Mcc 62 16 — — $21,707.79 $30,162.51 $30,162.51 2026-03-23
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 62 16 — — $7,732.28 $27,846.71 $27,846.71 2026-03-23
666 MS_DRG Prostatectomy With Cc 62 16 — — $20,681.04 $20,681.04 $20,681.04 2026-03-23
669 MS_DRG Transurethral Procedures With Cc 62 16 — — $10,938.59 $22,587.71 $22,587.71 2026-03-23
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 62 16 — — $11,627.06 $18,760.00 $18,760.00 2026-03-23
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 3 — — $29,044.01 $29,954.56 $29,069.90 2026-03-23
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 8 3 — — $16,149.91 $79,052.00 $34,313.01 2026-03-23
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 62 16 — — $15,219.00 $18,498.53 $18,498.53 2026-03-23
682 MS_DRG Renal Failure With Mcc 62 16 — — $10,281.00 $29,686.32 $29,686.32 2026-03-23
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 62 16 — — $6,863.35 $21,799.70 $21,799.70 2026-03-23
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 62 16 — — $7,531.94 $39,029.00 $24,671.22 2026-03-23
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 62 16 — — $7,321.86 $21,921.74 $21,921.74 2026-03-23
70 MS_DRG Other Cerebrovascular Disorders With Mcc 62 16 — — $12,249.52 $35,937.89 $35,937.89 2026-03-23
71 MS_DRG Other Cerebrovascular Disorders With Cc 62 16 — — $4,711.36 $20,704.69 $20,704.69 2026-03-23
710 MS_DRG Infections And Parasitic Diseases Including HIV With O.r. Procedure 4 2 — — $56,804.02 $56,804.02 $56,804.02 2026-03-23
726 MS_DRG Benign Prostatic Hypertrophy Without Mcc 62 16 — — $24,833.08 $24,833.08 $24,833.08 2026-03-23
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 62 16 — — $10,715.50 $16,693.75 $16,693.75 2026-03-23
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 62 16 — — $10,923.65 $16,878.42 $16,878.42 2026-03-23
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 62 16 — — $4,904.75 $27,187.50 $27,187.50 2026-03-23
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 62 16 — — $11,809.58 $29,283.50 $29,283.50 2026-03-23
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 62 16 — — $7,441.20 $22,396.50 $22,396.50 2026-03-23
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 60 16 — — $13,653.00 $23,995.00 $17,683.06 2026-03-23
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 62 16 — — $32,130.17 $32,130.17 $32,130.17 2026-03-23
784 MS_DRG Cesarean Section With Sterilization With Cc 62 16 — — $22,636.00 $43,952.00 $24,257.77 2026-03-23
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 62 16 — — $25,297.56 $43,952.00 $25,297.56 2026-03-23
786 MS_DRG Cesarean Section Without Sterilization With Mcc 62 16 — — $16,136.38 $17,925.47 $17,925.47 2026-03-23
787 MS_DRG Cesarean Section Without Sterilization With Cc 62 16 — — $4,834.00 $24,367.51 $24,367.51 2026-03-23
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 62 16 — — $4,834.00 $22,490.56 $22,490.56 2026-03-23
792 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $17,200.52 $17,200.52 $17,200.52 2026-03-23
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 62 16 — — $13,953.36 $26,676.50 $26,676.50 2026-03-23
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 62 16 — — $16,024.73 $22,380.94 $22,380.94 2026-03-23
81 MS_DRG Nontraumatic Stupor And Coma Without Mcc 62 16 — — $29,097.50 $29,097.50 $29,097.50 2026-03-23
811 MS_DRG Red Blood Cell Disorders With Mcc 62 16 — — $9,975.11 $18,720.49 $18,720.49 2026-03-23
812 MS_DRG Red Blood Cell Disorders Without Mcc 78 17 — — $4,834.48 $16,283.92 $16,283.92 2026-03-23
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 62 16 — — $7,723.78 $24,792.25 $24,792.25 2026-03-23
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 62 16 — — $9,862.05 $22,360.33 $22,360.33 2026-03-23
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 52 16 — — $13,207.73 $16,838.50 $16,838.50 2026-03-23
835 MS_DRG Acute Leukemia With Cc 62 16 — — $21,267.85 $21,267.85 $21,267.85 2026-03-23
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 1 — — $22,212.77 $22,212.77 $22,212.77 2026-03-23
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 62 16 — — $11,104.12 $23,980.79 $23,980.79 2026-03-23
845 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 62 16 — — $16,278.16 $16,278.16 $16,278.16 2026-03-23
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 62 16 — — $15,870.75 $23,708.00 $23,708.00 2026-03-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 5 — — $19,713.00 $72,671.00 $34,600.10 2026-03-23
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 20 5 — — $14,051.41 $41,339.11 $20,832.00 2026-03-23
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 2 — — $31,250.57 $32,371.86 $31,811.22 2026-03-23
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 62 16 — — $24,364.00 $35,272.03 $25,648.67 2026-03-23
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 62 16 — — $12,684.88 $18,878.52 $18,878.52 2026-03-23
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 62 16 — — $7,432.58 $20,675.56 $20,675.56 2026-03-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 4 — — $47,995.98 $154,525.98 $83,529.57 2026-03-23
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 62 16 — — $5,068.56 $20,157.00 $19,227.83 2026-03-23
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 62 16 — — $6,901.87 $54,723.00 $16,390.65 2026-03-23
883 MS_DRG Disorders Of Personality And Impulse Control 62 16 — — $13,060.19 $20,178.47 $20,178.47 2026-03-23
884 MS_DRG Organic Disturbances And Intellectual Disability 62 16 — — $10,073.45 $19,168.21 $19,168.21 2026-03-23
906 MS_DRG Hand Procedures For Injuries 62 16 — — $14,220.15 $21,794.45 $20,160.23 2026-03-23
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 2 — — $27,389.35 $52,684.92 $40,037.13 2026-03-23
908 MS_DRG Other O.r. Procedures For Injuries With Cc 62 16 — — $20,441.93 $34,355.35 $20,441.93 2026-03-23
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 62 16 — — $16,400.79 $16,400.79 $16,400.79 2026-03-23
91 MS_DRG Other Disorders Of Nervous System With Mcc 62 16 — — $12,823.54 $36,474.69 $36,474.69 2026-03-23
915 MS_DRG Allergic Reactions With Mcc 62 16 — — $12,241.17 $35,958.18 $35,958.18 2026-03-23
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 4 2 — — $11,567.54 $42,087.99 $26,827.76 2026-03-23
919 MS_DRG Complications Of Treatment With Mcc 62 16 — — $8,346.00 $20,944.07 $20,944.07 2026-03-23
92 MS_DRG Other Disorders Of Nervous System With Cc 62 16 — — $7,587.70 $21,071.29 $21,071.29 2026-03-23
920 MS_DRG Complications Of Treatment With Cc 62 16 — — $19,713.00 $22,271.59 $22,271.59 2026-03-23
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 62 16 — — $11,908.87 $18,201.17 $18,201.17 2026-03-23
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 62 16 — — $7,351.36 $20,790.50 $20,790.50 2026-03-23
92933 CPT Hc Stent Plcmnt Intra W Ather&angio 90 20 $22,265.00 $3,339.75 85% off $637.55 $38,991.26 $17,885.90 2026-03-23
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 62 16 — — $5,753.72 $19,036.97 $19,036.97 2026-03-23
93580 CPT Hc Congenital Interatl Clos W/implan 90 20 $20,513.00 $3,076.95 85% off $923.15 $38,991.26 $17,885.90 2026-03-23
93653 CPT Hc Eps/svt Ablation 90 20 $26,884.00 $4,032.60 85% off $802.13 $55,595.04 $25,502.31 2026-03-23
93654 CPT Hc Eps/vt Ablation 90 20 $26,884.00 $4,032.60 85% off $1,074.13 $55,595.04 $25,502.31 2026-03-23
93656 CPT Hc Eps/afib Ablation 90 20 $26,884.00 $4,032.60 85% off $1,077.79 $55,595.04 $25,502.31 2026-03-23
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 62 16 — — $14,799.09 $33,710.54 $33,710.54 2026-03-23
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 2 — — $26,853.44 $39,029.00 $32,941.22 2026-03-23
963 MS_DRG Other Multiple Significant Trauma With Mcc 62 16 — — $19,654.29 $27,175.14 $27,175.14 2026-03-23
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 62 16 — — $6,159.77 $35,506.50 $35,506.50 2026-03-23
974 MS_DRG HIV With Major Related Condition With Mcc 2 1 — — $20,693.78 $20,693.78 $20,693.78 2026-03-23
976 MS_DRG HIV With Major Related Condition Without Cc/mcc 62 16 — — $20,120.50 $23,667.00 $20,120.50 2026-03-23
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 3 — — $32,938.48 $376,930.02 $33,376.95 2026-03-23
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 62 16 — — $17,108.44 $29,405.80 $29,405.80 2026-03-23
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 3 — — $24,332.56 $24,503.36 $24,336.92 2026-03-23
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 62 16 — — $9,081.72 $32,967.95 $32,967.95 2026-03-23
C1721 HCPCS Aicd, Dual Chamber 286 8 $98,366.86 $14,755.03 85% off $12,984.43 $128,081.85 $37,979.45 2026-03-23
C1722 HCPCS Aicd, Single Chamber 286 8 $95,413.20 $14,311.98 85% off $11,361.37 $197,049.00 $36,437.54 2026-03-23
C1761 HCPCS Cath, Trans Intra Litho/coro 26 8 $48,743.70 $7,311.56 85% off $7,798.99 $48,743.70 $17,109.04 2026-03-23
C1764 HCPCS Biomonitor 2-af Loop Recorder 234 8 $45,290.16 $6,793.52 85% off $5,475.89 $48,743.70 $16,380.99 2026-03-23
C1767 HCPCS Pulse Generator 286 8 $134,823.00 $20,223.45 85% off $290.39 $189,011.48 $49,587.91 2026-03-23
C1772 HCPCS Infusion Pump, Programmable 78 8 $120,241.37 $18,036.21 85% off $174.23 $126,567.68 $40,340.98 2026-03-23
C1786 HCPCS Pmkr, Single, Rate-resp 260 8 $52,369.40 $7,855.41 85% off $3,197.47 $126,733.62 $19,325.99 2026-03-23
C1813 HCPCS Prosthesis, Penile, Inflatab 286 8 $57,766.47 $8,664.97 85% off $1,239.54 $150,016.52 $23,106.59 2026-03-23
C1815 HCPCS Ams S.t. Cuff Belt Fgs 4.5cm Iz 156 8 $76,563.91 $11,484.59 85% off $5,716.50 $81,930.90 $26,426.08 2026-03-23
C1817 HCPCS Septal Defect Imp Sys 208 8 $65,586.21 $9,837.93 85% off $1,294.30 $103,658.15 $18,255.79 2026-03-23
C1820 HCPCS Cap Code Ipg Iq Stimulator 260 8 $134,558.54 $20,183.78 85% off $365.06 $191,863.50 $45,839.04 2026-03-23
C1822 HCPCS Kit Nevro Stim Hf10c 26 8 $171,121.50 $25,668.23 85% off $27,379.44 $171,121.50 $60,063.65 2026-03-23
C1825 HCPCS System Barostim Neo2 26 8 $326,686.50 $49,002.98 85% off $52,269.84 $326,686.50 $114,666.96 2026-03-23
C1875 HCPCS Stent Thoracic 40 X 36 X 154 26 8 $165,417.45 $24,812.62 85% off $26,466.79 $165,417.45 $58,061.53 2026-03-23
C1877 HCPCS Implant Right Frontal Sphenoid Parietal Temporal 78 8 $47,706.60 $7,155.99 85% off $1,899.14 $129,637.50 $16,745.02 2026-03-23
C1882 HCPCS Aicd, Other Than Sing/dual 364 8 $149,964.66 $22,494.70 85% off $19,041.16 $174,449.87 $54,603.32 2026-03-23
C2616 HCPCS Hc Brachytherapy Source Nonstranded Yttrium 90 Per Source 86 20 $137,008.00 $20,551.20 85% off $14,144.65 $137,008.00 $18,659.56 2026-03-23
C2621 HCPCS Pmkr, Other Than Sing/dual 130 8 $52,564.89 $7,884.73 85% off $7,716.02 $56,277.19 $19,290.06 2026-03-23
C2622 HCPCS Prosthesis Malleable Penile Tactra 9.5 X 14-23cm 26 8 $145,142.15 $21,771.32 85% off $23,222.74 $145,142.15 $50,944.89 2026-03-23
C2624 HCPCS Delivery Sys & Sensor Cardiomems Pa 26 8 $197,049.00 $29,557.35 85% off $31,527.84 $197,049.00 $69,164.20 2026-03-23
C9602 HCPCS Hc Stent Des Px Ather 90 20 $32,844.00 $4,926.60 85% off $948.00 $38,991.26 $17,885.90 2026-03-23
C9607 HCPCS Hc Revascular Px Chronic 90 20 $32,844.00 $4,926.60 85% off $948.00 $38,991.26 $17,885.90 2026-03-23
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 82 20 $57,488.00 $8,623.20 85% off $948.00 $57,488.00 $17,885.90 2026-03-23
C9766 HCPCS Hc Revasc Intra Lithotrip-ather 80 20 $57,488.00 $8,623.20 85% off $948.00 $57,488.00 $17,885.90 2026-03-23
C9767 HCPCS Hc Revasc Lithotrip-stent-ather 80 20 $92,482.00 $13,872.30 85% off $948.00 $92,482.00 $17,885.90 2026-03-23
C9773 HCPCS Hc Revasc Lithotr-stent Tib/per 86 20 $50,829.00 $7,624.35 85% off $948.00 $50,829.00 $18,422.48 2026-03-23
C9774 HCPCS Hc Revasc Lithotr-ather Tib/per 86 20 $50,829.00 $7,624.35 85% off $948.00 $50,829.00 $18,422.48 2026-03-23
C9775 HCPCS Hc Revasc Lith-sten-ath Tib/per 86 20 $50,829.00 $7,624.35 85% off $948.00 $50,829.00 $18,422.48 2026-03-23
C9797 HCPCS Hc Vascular Embolization With Use Of Pressure Generating Catheter 76 20 $48,409.00 $7,261.35 85% off $948.00 $48,409.00 $17,885.90 2026-03-23
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