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

SKAGIT VALLEY HOSPITAL

Mount Vernon, WA · CCN 500003 · Rates published

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You selected 93350 (HCPCS)

HC ECHOCARDIOGRAPHY W/IMAGE R/TIM

This hospital’s price: $877 across 16 payers · range $70-$2,498

Source: https://www.skagitregionalhealth.org/docs/default-source/finance-and-billing/chargemasters/562392010_skagit-valley-hospital_standardcharges.zip?sfvrsn=7670bf22_4 · observed 2026-03-26

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.

12,656 distinct procedures filed
18 distinct payers
884,490 rate rows
2026-03-26 last MRF observed
Data quality

854,623 of 884,490 rate rows are consumer-grade (96.6%)

29,867 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 9,873
exceeds 10× this hospital's gross charge — excluded from medians 8,305
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 7,646
placeholder amount (≤ $0.02) — excluded from medians 3,139
per-diem day rate — not a per-procedure price 652
percent-of-charges filed in the dollar field — excluded from medians 230
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 12
exceeds 3× this hospital's gross charge for a DRG stay — excluded 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.skagitregionalhealth.org/docs/default-source/finance-and-billing/chargemasters/562392010_skagit-valley-hospital_standardcharges.zip?sfvrsn=7670bf22_4
Found on page https://www.skagitregionalhealth.org/for-patients/finance-and-billing-information/patient-price-information
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-20
Content fingerprint a7251a9a787a2323… · 18,151,666 bytes · first seen 2026-05-05

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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $175,252.87 $468,280.46 $319,529.25 nat. median
$190,559
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $114,607.21 $308,740.50 $214,787.25 nat. median
$126,695
1.7× median
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $178,839.39 $205,665.30 $178,839.39 nat. median
$117,543
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 6 $83,965.66 $231,496.38 $133,882.92 nat. median
$93,901
1.4× median
5
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 $117,374.92 $155,228.34 $129,112.42 nat. median
$87,627
1.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $69,289.67 $185,052.02 $127,170.85 nat. median
$77,632
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 6 $49,667.53 $141,308.32 $108,494.88 nat. median
$59,371
1.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 6 $55,871.50 $151,999.53 $104,625.51 nat. median
$62,655
1.7× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 $39,511.90 $110,056.27 $104,396.37 nat. median
$45,237
outlier · 2.3×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc 6 $103,464.20 $146,497.70 $103,464.20 nat. median
$60,596
1.7× median
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 6 $29,895.32 $101,750.84 $101,750.84 nat. median
$33,167
outlier · 3.1×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 6 $52,980.00 $134,586.94 $93,783.47 nat. median
$70,732
1.3× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $51,047.84 $135,347.64 $93,197.74 nat. median
$56,687
1.6× median
33264
HCPCS 		Hc Replace Icd Generator Mult Ld 16 $32,061.58 $148,988.63 $90,525.10 nat. median
$31,574
outlier · 2.9×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $24,014.31 $120,264.59 $84,983.88 nat. median
$50,573
1.7× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 $84,466.68 $119,530.43 $84,466.68 nat. median
$51,241
1.6× median
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 6 $33,848.00 $84,425.15 $84,425.15 nat. median
$31,897
outlier · 2.6×
33270
HCPCS 		Hc Icd S Inser/replace System 16 $32,061.58 $148,988.63 $84,151.64 nat. median
$32,114
outlier · 2.6×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 6 $46,555.61 $118,011.85 $79,472.47 nat. median
$49,929
1.6× median
834
MS_DRG 		Acute Leukemia Without Major O.r. Procedures With Mcc 6 $46,023.78 $120,771.51 $79,065.67 nat. median
$50,371
1.6× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 6 $30,446.70 $108,885.11 $76,527.78 nat. median
$47,429
1.6× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 6 $41,328.85 $110,976.15 $76,362.76 nat. median
$46,239
1.7× median
773
APR_DRG 		Opioid Abuse And Dependence 3 $51,925.06 $75,665.62 $75,665.62 nat. median
$6,741
outlier · 11.2×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 6 $39,211.39 $112,156.05 $75,008.65 nat. median
$49,364
1.5× median
163
MS_DRG 		Major Chest Procedures With Mcc 6 $38,548.39 $100,711.02 $74,893.37 nat. median
$42,680
1.8× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 $39,099.25 $109,407.32 $74,253.29 nat. median
$45,429
1.6× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 6 $36,664.49 $109,322.11 $72,993.30 nat. median
$48,018
1.5× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 6 $52,980.00 $92,894.36 $72,937.18 nat. median
$49,540
1.5× median
246
MS_DRG 		Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 6 $40,782.37 $72,684.71 $72,684.71 nat. median
$20,454
outlier · 3.6×
799
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 $40,726.81 $103,892.38 $72,309.60 nat. median
$43,255
1.7× median
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 6 $23,091.62 $105,589.89 $71,979.96 nat. median
$26,749
outlier · 2.7×
89
MS_DRG 		Concussion With Cc 3 $71,838.92 $71,838.92 $71,838.92 nat. median
$11,101
outlier · 6.5×
49
APR_DRG 		Bacterial And Tuberculous Infections Of Nervous System 4 $45,585.60 $71,597.16 $71,597.16 nat. median
$27,092
outlier · 2.6×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 6 $37,820.83 $101,644.02 $70,477.68 nat. median
$44,126
1.6× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 $49,320.82 $91,129.52 $70,225.17 nat. median
$50,870
1.4× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 $37,005.62 $102,247.08 $69,626.35 nat. median
$42,823
1.6× median
320
APR_DRG 		Other Musculoskeletal System And Connective Tissue Procedures 4 $41,152.28 $69,470.41 $69,470.41 nat. median
$17,538
outlier · 4.0×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 6 $24,917.81 $153,895.65 $68,601.16 nat. median
$42,641
1.6× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 6 $33,848.00 $100,731.37 $67,289.68 nat. median
$52,712
1.3× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 $28,330.15 $98,578.46 $67,258.54 nat. median
$41,685
1.6× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 $285.00 $145,204.93 $66,727.12 nat. median
$45,430
1.5× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 6 $22,100.00 $111,317.01 $66,708.51 nat. median
$46,376
1.4× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 $35,369.02 $97,990.70 $66,679.86 nat. median
$39,984
1.7× median
901
MS_DRG 		Wound Debridements For Injuries With Mcc 6 $35,574.52 $96,806.43 $66,190.48 nat. median
$39,652
1.7× median
95
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Cc 6 $19,598.12 $66,189.38 $66,189.38 nat. median
$23,602
outlier · 2.8×
93654
HCPCS 		Hc Ep Ablate Ventric Tachy 16 $24,532.30 $107,557.43 $66,044.87 nat. median
$27,016
outlier · 2.4×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 6 $33,778.30 $104,482.43 $64,188.23 nat. median
$40,223
1.6× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 6 $54,805.21 $89,224.48 $63,117.20 nat. median
$39,085
1.6× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 6 $33,355.12 $151,803.41 $62,928.74 nat. median
$35,717
1.8× median
93656
HCPCS 		Hc Tx Atrial Fib Pulm Vein Isol 16 $11,904.26 $107,557.43 $61,974.21 nat. median
$27,236
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 12,656 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
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 6 $501,002.16 $400,801.72 20% off $175,252.87 $468,280.46 $319,529.25 2026-03-26
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 6 $366,241.63 $292,993.30 20% off $114,607.21 $308,740.50 $214,787.25 2026-03-26
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 $574,651.73 $459,721.38 20% off $178,839.39 $205,665.30 $178,839.39 2026-03-26
215 MS_DRG Other Heart Assist System Implant 18 6 $128,283.00 $102,626.40 20% off $83,965.66 $231,496.38 $133,882.92 2026-03-26
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 5 $292,706.18 $234,164.94 20% off $117,374.92 $155,228.34 $129,112.42 2026-03-26
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 6 $228,660.77 $182,928.62 $69,289.67 $185,052.02 $127,170.85 2026-03-26
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 6 $203,307.10 $162,645.68 20% off $49,667.53 $141,308.32 $108,494.88 2026-03-26
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 6 $187,170.93 $149,736.75 $55,871.50 $151,999.53 $104,625.51 2026-03-26
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 6 $214,823.39 $171,858.71 20% off $39,511.90 $110,056.27 $104,396.37 2026-03-26
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc 18 6 $315,938.19 $252,750.55 20% off $103,464.20 $146,497.70 $103,464.20 2026-03-26
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 6 $220,312.63 $176,250.10 20% off $29,895.32 $101,750.84 $101,750.84 2026-03-26
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 18 6 $164,782.52 $131,826.02 $52,980.00 $134,586.94 $93,783.47 2026-03-26
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 6 $264,866.23 $211,892.98 20% off $51,047.84 $135,347.64 $93,197.74 2026-03-26
33264 HCPCS Hc Replace Icd Generator Mult Ld 40 16 $135,100.00 $108,080.00 20% off $32,061.58 $148,988.63 $90,525.10 2026-03-26
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 6 $228,376.06 $182,700.85 $24,014.31 $120,264.59 $84,983.88 2026-03-26
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 6 $346,923.02 $277,538.42 $84,466.68 $119,530.43 $84,466.68 2026-03-26
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 6 $175,603.36 $140,482.69 $33,848.00 $84,425.15 $84,425.15 2026-03-26
33270 HCPCS Hc Icd S Inser/replace System 40 16 $91,969.00 $73,575.20 20% off $32,061.58 $148,988.63 $84,151.64 2026-03-26
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 6 $120,536.55 $96,429.24 20% off $46,555.61 $118,011.85 $79,472.47 2026-03-26
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 18 6 $125,297.97 $100,238.38 $46,023.78 $120,771.51 $79,065.67 2026-03-26
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 6 $157,245.84 $125,796.67 20% off $30,446.70 $108,885.11 $76,527.78 2026-03-26
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 6 $266,474.28 $213,179.42 20% off $41,328.85 $110,976.15 $76,362.76 2026-03-26
773 APR_DRG Opioid Abuse And Dependence 3 3 $84,072.92 $67,258.33 20% off $51,925.06 $75,665.62 $75,665.62 2026-03-26
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 6 $158,217.34 $126,573.87 20% off $39,211.39 $112,156.05 $75,008.65 2026-03-26
163 MS_DRG Major Chest Procedures With Mcc 18 6 $140,914.91 $112,731.93 $38,548.39 $100,711.02 $74,893.37 2026-03-26
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 6 $51,524.76 $41,219.81 $39,099.25 $109,407.32 $74,253.29 2026-03-26
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 6 $160,966.35 $128,773.08 20% off $36,664.49 $109,322.11 $72,993.30 2026-03-26
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 18 6 $202,942.43 $162,353.94 20% off $52,980.00 $92,894.36 $72,937.18 2026-03-26
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 18 6 $132,724.68 $106,179.74 20% off $40,782.37 $72,684.71 $72,684.71 2026-03-26
799 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 6 $134,273.95 $107,419.16 20% off $40,726.81 $103,892.38 $72,309.60 2026-03-26
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 21 6 $153,386.17 $122,708.93 20% off $23,091.62 $105,589.89 $71,979.96 2026-03-26
89 MS_DRG Concussion With Cc 3 3 $71,838.92 $57,471.14 $71,838.92 $71,838.92 $71,838.92 2026-03-26
49 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 4 4 $79,552.40 $63,641.92 $45,585.60 $71,597.16 $71,597.16 2026-03-26
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 6 $165,675.18 $132,540.14 20% off $37,820.83 $101,644.02 $70,477.68 2026-03-26
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 6 $68,889.75 $55,111.80 $49,320.82 $91,129.52 $70,225.17 2026-03-26
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 6 $106,828.33 $85,462.66 20% off $37,005.62 $102,247.08 $69,626.35 2026-03-26
320 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 4 4 $77,189.35 $61,751.48 20% off $41,152.28 $69,470.41 $69,470.41 2026-03-26
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 6 $137,549.48 $110,039.58 20% off $24,917.81 $153,895.65 $68,601.16 2026-03-26
459 MS_DRG Spinal Fusion Except Cervical With Mcc 18 6 $198,296.88 $158,637.50 20% off $33,848.00 $100,731.37 $67,289.68 2026-03-26
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 6 $117,785.95 $94,228.76 20% off $28,330.15 $98,578.46 $67,258.54 2026-03-26
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 6 $177,264.51 $141,811.61 $285.00 $145,204.93 $66,727.12 2026-03-26
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 6 $146,546.00 $117,236.80 20% off $22,100.00 $111,317.01 $66,708.51 2026-03-26
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 6 $415,572.70 $332,458.16 20% off $35,369.02 $97,990.70 $66,679.86 2026-03-26
901 MS_DRG Wound Debridements For Injuries With Mcc 18 6 $281,684.64 $225,347.71 20% off $35,574.52 $96,806.43 $66,190.48 2026-03-26
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 18 6 $143,122.65 $114,498.12 20% off $19,598.12 $66,189.38 $66,189.38 2026-03-26
93654 HCPCS Hc Ep Ablate Ventric Tachy 40 16 $74,375.00 $59,500.00 20% off $24,532.30 $107,557.43 $66,044.87 2026-03-26
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 6 $160,509.93 $128,407.94 20% off $33,778.30 $104,482.43 $64,188.23 2026-03-26
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 6 $233,870.98 $187,096.78 20% off $54,805.21 $89,224.48 $63,117.20 2026-03-26
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 6 $117,388.77 $93,911.01 20% off $33,355.12 $151,803.41 $62,928.74 2026-03-26
93656 HCPCS Hc Tx Atrial Fib Pulm Vein Isol 40 16 $73,310.00 $58,648.00 20% off $11,904.26 $107,557.43 $61,974.21 2026-03-26
572 MS_DRG Skin Debridement Without Cc/mcc 3 3 $61,418.03 $49,134.42 20% off $61,418.03 $61,418.03 $61,418.03 2026-03-26
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 6 $74,288.32 $59,430.66 $32,920.28 $89,665.85 $61,293.07 2026-03-26
230 APR_DRG Major Small Bowel Procedures 15 5 $277,860.03 $222,288.02 20% off $0.50 $74,683.48 $60,989.16 2026-03-26
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 6 $210,199.71 $168,159.77 $17,059.85 $85,481.57 $60,480.45 2026-03-26
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 3 3 $60,207.29 $48,165.83 20% off $60,207.29 $60,207.29 $60,207.29 2026-03-26
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 6 $124,027.19 $99,221.75 20% off $32,999.19 $86,213.55 $59,606.37 2026-03-26
42 MS_DRG Peripheral 3 3 $59,527.20 $47,621.76 $59,527.20 $59,527.20 $59,527.20 2026-03-26
612 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 5 $107,238.10 $85,790.48 20% off $54,106.76 $71,556.19 $59,517.44 2026-03-26
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 6 $125,684.43 $100,547.54 20% off $30,574.29 $87,043.85 $58,809.07 2026-03-26
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 6 $214,741.29 $171,793.03 20% off $17,663.58 $85,440.06 $58,736.70 2026-03-26
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 21 6 $203,470.42 $162,776.34 $29,940.26 $84,450.25 $58,491.27 2026-03-26
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 6 $108,085.65 $86,468.52 $29,778.59 $79,724.10 $57,475.04 2026-03-26
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 18 6 $217,682.95 $174,146.36 20% off $52,980.00 $69,949.85 $57,402.32 2026-03-26
40 MS_DRG Peripheral 21 6 $97,819.24 $78,255.39 20% off $31,651.11 $88,992.60 $57,035.75 2026-03-26
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 21 6 $109,527.02 $87,621.62 $20,691.38 $82,555.84 $56,560.91 2026-03-26
182 APR_DRG Other Peripheral Vascular Procedures 10 5 $121,461.11 $97,168.89 $51,417.21 $67,999.27 $56,558.94 2026-03-26
33249 HCPCS Hc Electrode/insert Pace-defib 40 16 $122,716.00 $98,172.80 20% off $18,285.44 $148,988.63 $56,070.46 2026-03-26
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 18 6 $97,136.61 $77,709.29 $26,765.96 $84,365.04 $55,565.50 2026-03-26
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/mcc 3 3 $55,139.17 $44,111.34 $55,139.17 $55,139.17 $55,139.17 2026-03-26
173 MS_DRG Ultrasound Accelerated And Oth Thrombolysis With Pdx Pulmonary Embolism 18 6 $106,346.18 $85,076.94 20% off $25,276.50 $67,048.91 $54,538.64 2026-03-26
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 3 3 $54,484.65 $43,587.72 20% off $54,484.65 $54,484.65 $54,484.65 2026-03-26
335 MS_DRG Peritoneal Adhesiolysis With Mcc 21 6 $134,708.63 $107,766.90 20% off $28,556.95 $187,886.94 $54,278.89 2026-03-26
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 6 $139,309.38 $111,447.50 20% off $30,080.28 $103,872.72 $54,276.00 2026-03-26
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine 18 6 $277,782.58 $222,226.06 20% off $31,446.43 $81,762.70 $53,868.16 2026-03-26
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 21 6 $125,561.21 $100,448.97 $28,458.46 $188,477.82 $53,026.09 2026-03-26
332 MS_DRG Rectal Resection With Mcc 18 6 $231,103.95 $184,883.16 20% off $28,787.02 $75,791.10 $52,804.99 2026-03-26
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 18 6 $100,706.14 $80,564.91 20% off $25,997.84 $52,677.14 $52,677.14 2026-03-26
33263 HCPCS Hc Replace Icd Generator Dual Ld 40 16 $77,375.00 $61,900.00 20% off $18,446.88 $106,746.83 $52,436.15 2026-03-26
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 6 $127,543.29 $102,034.63 20% off $27,176.81 $94,735.78 $52,145.24 2026-03-26
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 18 6 $142,183.68 $113,746.94 20% off $27,995.68 $75,708.07 $51,851.88 2026-03-26
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 6 $115,579.83 $92,463.86 20% off $28,499.65 $83,519.44 $51,794.18 2026-03-26
264 MS_DRG Other Circulatory System O.r. Procedures 21 6 $157,728.45 $126,182.76 20% off $26,846.52 $201,843.05 $51,607.23 2026-03-26
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 6 $127,364.54 $101,891.63 20% off $32,147.60 $88,872.69 $51,497.60 2026-03-26
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 6 $205,232.68 $164,186.14 20% off $27,693.18 $75,142.15 $51,417.67 2026-03-26
252 MS_DRG Other Vascular Procedures With Mcc 18 6 $93,166.89 $74,533.51 20% off $27,561.61 $74,954.24 $50,937.51 2026-03-26
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 6 $89,531.46 $71,625.17 $27,250.94 $74,425.47 $50,838.21 2026-03-26
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 3 $50,821.22 $40,656.98 $50,821.22 $50,821.22 $50,821.22 2026-03-26
505 MS_DRG Foot Procedures Without Cc/mcc 3 3 $50,714.29 $40,571.43 20% off $50,714.29 $50,714.29 $50,714.29 2026-03-26
93653 HCPCS Hc Ep Ablate Supravent Arrhyt 40 16 $76,890.00 $61,512.00 20% off $6,031.12 $107,557.43 $50,666.79 2026-03-26
0408T OTHER Hc Insert Or Replace Cardiac Modulation System 32 13 $55,184.00 $44,147.20 20% off $337.72 $148,988.63 $49,665.60 2026-03-26
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 21 6 $140,932.55 $112,746.04 20% off $18,336.35 $64,695.60 $49,341.67 2026-03-26
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 6 $161,048.97 $128,839.18 $26,623.79 $75,260.14 $49,239.64 2026-03-26
621 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 5 $84,805.45 $67,844.36 $44,523.32 $58,882.10 $48,975.66 2026-03-26
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 18 6 $100,966.58 $80,773.26 20% off $17,917.13 $52,378.82 $48,739.39 2026-03-26
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 18 6 $126,645.38 $101,316.30 20% off $27,076.68 $70,341.71 $48,709.19 2026-03-26
37231 HCPCS Hc Revasc Tibioperon W/stnt/ather 40 16 $58,823.00 $47,058.40 20% off $17,956.72 $79,410.47 $48,683.60 2026-03-26
37227 HCPCS Hc Revasc Fem/pop W/stnt/ather 40 16 $59,627.00 $47,701.60 20% off $17,956.72 $79,410.47 $48,683.60 2026-03-26
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 18 6 $110,450.31 $88,360.25 $10,158.28 $48,596.56 $48,596.56 2026-03-26
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 18 6 $91,684.36 $73,347.49 $24,734.37 $48,490.82 $48,490.82 2026-03-26
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 21 6 $169,965.73 $135,972.58 20% off $22,100.00 $102,886.36 $48,470.31 2026-03-26
36906 HCPCS Hc Thrombectomy With Or Wo Rx/s 40 16 $53,248.00 $42,598.40 20% off $17,956.72 $79,410.47 $48,303.40 2026-03-26
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 18 6 $152,643.02 $122,114.42 $13,211.80 $73,209.51 $48,291.76 2026-03-26
279 MS_DRG US Accelerated/other Thrombolysis Of Peripheral Vasc Structures Without Mcc 18 6 $121,458.90 $97,167.12 20% off $26,308.93 $70,016.14 $48,162.54 2026-03-26
791 MS_DRG Prematurity With Major Problems 18 6 $70,591.25 $56,473.00 20% off $33,683.09 $62,235.87 $47,959.48 2026-03-26
500 MS_DRG Soft Tissue Procedures With Mcc 18 6 $137,177.58 $109,742.06 20% off $26,655.82 $69,236.10 $47,945.96 2026-03-26
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 21 6 $88,270.17 $70,616.14 $26,429.77 $118,997.57 $47,890.83 2026-03-26
451 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical Witho… 18 6 $224,511.03 $179,608.82 20% off $23,220.98 $113,704.07 $47,763.12 2026-03-26
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 6 $154,967.14 $123,973.71 20% off $10,320.43 $91,542.76 $47,570.81 2026-03-26
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 21 6 $81,790.20 $65,432.16 $2,298.57 $69,679.65 $47,475.33 2026-03-26
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 18 6 $150,729.51 $120,583.60 20% off $25,035.19 $68,193.85 $47,416.61 2026-03-26
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 18 6 $100,241.38 $80,193.10 20% off $21,593.26 $74,115.20 $47,291.70 2026-03-26
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 21 6 $105,752.09 $84,601.67 20% off $11,149.61 $236,239.70 $47,241.13 2026-03-26
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 18 6 $202,828.21 $162,262.57 $24,401.89 $69,812.94 $47,107.42 2026-03-26
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 18 6 $174,912.38 $139,929.90 20% off $25,987.53 $67,568.94 $46,778.24 2026-03-26
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 18 6 $94,412.86 $75,530.29 $22,100.00 $71,421.10 $46,760.55 2026-03-26
33262 HCPCS Hc Replace Icd Generator Singl Ld 40 16 $50,847.00 $40,677.60 20% off $22,446.19 $106,746.83 $46,525.01 2026-03-26
37225 HCPCS Hc Revasc Fem/pop With Ather 40 16 $51,302.00 $41,041.60 20% off $17,956.72 $79,410.47 $46,171.80 2026-03-26
33289 HCPCS Hc Tcat Impl Wrls P-art Prs Snr 40 16 $48,873.00 $39,098.40 20% off $28,428.33 $131,623.35 $45,957.34 2026-03-26
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 21 6 $95,792.97 $76,634.38 $27,268.41 $81,142.96 $45,912.21 2026-03-26
570 MS_DRG Skin Debridement With Mcc 18 6 $41,064.14 $32,851.31 20% off $24,020.48 $65,772.87 $44,896.68 2026-03-26
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 6 $111,684.08 $89,347.27 $23,582.65 $64,426.91 $44,549.21 2026-03-26
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 6 $82,851.73 $66,281.38 20% off $23,039.02 $59,069.29 $44,163.09 2026-03-26
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 21 6 $118,366.60 $94,693.28 20% off $12,220.79 $97,721.64 $44,149.26 2026-03-26
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 18 6 $192,503.62 $154,002.90 $28,572.83 $55,556.19 $44,041.93 2026-03-26
39 MS_DRG Extracranial Procedures Without Cc/mcc 3 3 $43,634.74 $34,907.79 20% off $43,634.74 $43,634.74 $43,634.74 2026-03-26
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 18 6 $101,312.02 $81,049.62 $7,376.63 $43,605.25 $43,605.25 2026-03-26
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 3 $102,842.04 $82,273.63 20% off $30,672.93 $85,861.76 $43,517.62 2026-03-26
37230 HCPCS Hc Revasc Tibioperoneal W/stent 40 16 $47,107.00 $37,685.60 20% off $17,956.72 $79,410.47 $43,102.90 2026-03-26
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 18 6 $130,256.15 $104,204.92 20% off $11,711.88 $62,202.58 $42,916.31 2026-03-26
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 21 6 $79,304.24 $63,443.39 20% off $20,815.22 $80,472.71 $42,358.49 2026-03-26
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 18 6 $211,642.36 $169,313.89 $21,736.15 $62,536.89 $42,136.52 2026-03-26
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 18 6 $82,077.77 $65,662.22 $19,323.58 $50,530.31 $42,000.43 2026-03-26
472 MS_DRG Cervical Spinal Fusion With Cc 18 6 $135,823.62 $108,658.89 20% off $11,638.33 $63,303.82 $41,811.67 2026-03-26
J1162 HCPCS Digoxin Immune Fab 40 Mg IV Solr [31432] 59 16 $82,650.24 $66,120.19 20% off $2,309.50 $82,650.24 $41,647.58 2026-03-26
63685 HCPCS Hc Instrt/redo Spine N Generator 32 13 $46,193.00 $36,954.40 $631.95 $140,624.76 $41,573.70 2026-03-26
793 MS_DRG Full Term Neonate With Major Problems 17 6 $15,954.60 $12,763.68 20% off $2,865.30 $40,486.93 $40,486.93 2026-03-26
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 25 6 $132,476.20 $105,980.96 20% off $24.16 $132,612.12 $40,382.09 2026-03-26
C9606 HCPCS Hc Heart Des W Ami 40 16 $48,977.00 $39,181.60 20% off $9,492.93 $56,216.48 $40,352.49 2026-03-26
503 MS_DRG Foot Procedures With Mcc 18 6 $100,378.36 $80,302.69 $22,045.22 $57,828.21 $39,936.71 2026-03-26
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 18 6 $67,996.24 $54,396.99 20% off $22,583.63 $57,170.53 $39,877.08 2026-03-26
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 21 6 $120,764.37 $96,611.49 20% off $21,706.11 $57,319.11 $39,709.56 2026-03-26
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml IV Soln [179835] 55 16 $179,752.14 $143,801.71 20% off $220.59 $179,752.14 $39,096.09 2026-03-26
164 MS_DRG Major Chest Procedures With Cc 21 6 $104,864.51 $83,891.61 $14,515.41 $65,678.53 $38,735.48 2026-03-26
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 18 6 $75,556.17 $60,444.94 $17,709.99 $47,399.21 $38,624.12 2026-03-26
253 MS_DRG Other Vascular Procedures With Cc 18 6 $70,088.08 $56,070.47 $20,970.04 $55,783.05 $38,376.54 2026-03-26
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 25 6 $102,701.12 $82,160.89 20% off $20,420.12 $110,118.67 $38,049.14 2026-03-26
100 MS_DRG Seizures With Mcc 21 6 $75,778.00 $60,622.40 20% off $7,390.78 $43,680.95 $38,004.61 2026-03-26
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 18 6 $35,867.59 $28,694.07 20% off $20,089.68 $55,800.53 $37,945.11 2026-03-26
33274 HCPCS Hc Tcat Insj/prl Perm Leadless Pm 40 16 $42,000.00 $33,600.00 20% off $18,446.88 $88,241.80 $37,800.00 2026-03-26
642 MS_DRG Inborn And Other Disorders Of Metabolism 3 3 $37,656.88 $30,125.50 20% off $37,656.88 $37,656.88 $37,656.88 2026-03-26
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 18 6 $71,452.00 $57,161.60 20% off $18,727.63 $50,696.37 $37,515.90 2026-03-26
288 MS_DRG Acute And Subacute Endocarditis With Mcc 21 6 $53,069.12 $42,455.30 $21,314.46 $59,987.74 $37,465.43 2026-03-26
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 18 6 $97,748.65 $78,198.92 20% off $20,049.48 $54,673.07 $37,362.88 2026-03-26
770 APR_DRG Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice 3 3 $41,255.19 $33,004.15 20% off $37,129.67 $37,129.67 $37,129.67 2026-03-26
545 MS_DRG Connective Tissue Disorders With Mcc 18 6 $28,095.30 $22,476.24 $20,494.10 $55,212.77 $37,068.17 2026-03-26
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 21 6 $105,263.11 $84,210.49 $8,700.41 $77,089.16 $36,965.14 2026-03-26
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 18 6 $185,489.29 $148,391.43 20% off $33,848.00 $51,727.69 $36,897.33 2026-03-26
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 18 6 $190,708.08 $152,566.46 20% off $20,528.63 $53,053.99 $36,791.31 2026-03-26
0823T OTHER Hc Tcat Ins 1chmbr Ldls Pm Ra 40 16 $40,692.00 $32,553.60 20% off $5,871.86 $88,241.80 $36,622.80 2026-03-26
884 MS_DRG Organic Disturbances And Intellectual Disability 9 5 $125,418.89 $100,335.11 20% off $14,441.72 $219,256.92 $36,493.87 2026-03-26
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 18 6 $73,293.01 $58,634.41 $14,226.36 $39,924.32 $36,356.82 2026-03-26
347 MS_DRG Anal And Stomal Procedures With Mcc 18 6 $52,418.02 $41,934.42 $20,953.60 $51,714.58 $36,334.09 2026-03-26
397 MS_DRG Appendix Procedures With Mcc 18 6 $191,499.97 $153,199.98 $18,467.05 $54,139.93 $36,303.49 2026-03-26
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 20 5 $167,880.22 $134,304.17 $28,062.93 $46,705.26 $36,214.56 2026-03-26
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip 21 6 $139,059.16 $111,247.33 $9,973.27 $133,973.24 $36,101.91 2026-03-26
0795T OTHER Hc Tcat Ins 2chmbr Ldls Pm Cmpl 40 16 $40,042.00 $32,033.60 20% off $5,778.06 $88,241.80 $36,037.80 2026-03-26
47 APR_DRG Transient Ischemia 3 3 $39,666.30 $31,733.04 20% off $35,699.67 $35,699.67 $35,699.67 2026-03-26
330 MS_DRG Major Small And Large Bowel Procedures With Cc 23 6 $166,028.48 $132,822.78 20% off $11,925.02 $122,304.46 $35,572.75 2026-03-26
33229 HCPCS Hc Replace Mult Chamber Pm 40 16 $38,358.00 $30,686.40 $19,071.16 $88,241.80 $35,545.01 2026-03-26
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 22 6 $130,129.06 $104,103.25 $14,728.44 $265,299.40 $35,489.43 2026-03-26
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 22 6 $90,340.29 $72,272.23 20% off $19,594.01 $109,107.45 $35,346.21 2026-03-26
C9602 HCPCS Hc Heart Des Arth First 40 16 $38,465.00 $30,772.00 20% off $17,956.72 $79,410.47 $35,195.47 2026-03-26
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 18 6 $54,815.39 $43,852.31 20% off $15,935.49 $56,466.96 $35,084.49 2026-03-26
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 18 6 $116,081.15 $92,864.92 20% off $17,688.28 $50,438.54 $35,010.11 2026-03-26
C9766 HCPCS Hc Revasc Intravasc Lithotrip-ather 40 16 $38,000.00 $30,400.00 20% off $17,956.72 $79,410.47 $34,770.00 2026-03-26
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 21 6 $68,564.13 $54,851.30 20% off $12,907.23 $62,449.04 $34,706.95 2026-03-26
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 21 6 $72,170.39 $57,736.31 20% off $9,193.07 $85,107.43 $34,653.57 2026-03-26
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 18 6 $86,540.16 $69,232.12 20% off $17,575.94 $49,223.68 $34,592.19 2026-03-26
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 6 $71,522.76 $57,218.21 $12,221.50 $34,290.71 $34,290.71 2026-03-26
37229 HCPCS Hc Revasc Tibioperoneal W/ather 40 16 $38,086.00 $30,468.80 20% off $4,350.13 $79,410.47 $34,277.40 2026-03-26
93580 HCPCS Hc Transcath Closure Of Asd 40 16 $37,456.00 $29,964.80 20% off $17,956.72 $79,410.47 $34,272.24 2026-03-26
C9774 HCPCS Hc Revasc Lithotr Artery Tib/per 40 16 $37,278.00 $29,822.40 $17,956.72 $79,410.47 $34,109.37 2026-03-26
C9773 HCPCS Hc Revasc Lithotr Stent Tib/per 40 16 $37,278.00 $29,822.40 $17,956.72 $79,410.47 $34,109.37 2026-03-26
C9775 HCPCS Hc Revasc Lith Stent Ath Tib/per 40 16 $37,278.00 $29,822.40 $17,956.72 $79,410.47 $34,109.37 2026-03-26
C9765 HCPCS Hc Revasc Intra Lithotripsy Stent 40 16 $37,278.00 $29,822.40 $17,956.72 $79,410.47 $34,109.37 2026-03-26
C9767 HCPCS Hc Revasc Lithotr Stent Artery Lwer Extrm 40 16 $37,278.00 $29,822.40 $17,956.72 $79,410.47 $34,109.37 2026-03-26
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 18 6 $46,751.46 $37,401.17 $18,682.42 $49,512.10 $34,097.26 2026-03-26
78 MS_DRG Hypertensive Encephalopathy With Cc 18 6 $75,761.69 $60,609.35 20% off $8,358.92 $34,029.57 $34,029.57 2026-03-26
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 21 6 $54,635.72 $43,708.58 $18,002.62 $76,755.26 $34,022.84 2026-03-26
37182 HCPCS Hc Insert Hepatic Shunt (tips) 40 16 $22,608.00 $18,086.40 $17,995.97 $49,820.45 $33,908.21 2026-03-26
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 22 6 $67,979.07 $54,383.26 $18,600.22 $83,398.88 $33,871.53 2026-03-26
0238T OTHER Hc Atherectomy Iliac 40 16 $37,002.00 $29,601.60 20% off $17,956.72 $79,410.47 $33,856.83 2026-03-26
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 18 6 $47,258.80 $37,807.04 20% off $17,352.42 $50,126.09 $33,739.25 2026-03-26
357 MS_DRG Other Digestive System O.r. Procedures With Cc 21 6 $129,029.22 $103,223.37 20% off $16,670.89 $49,206.20 $33,631.95 2026-03-26
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 18 6 $68,788.35 $55,030.68 20% off $17,157.61 $49,890.11 $33,523.86 2026-03-26
C9607 HCPCS Hc Heart Des Cto First 40 16 $36,345.00 $29,076.00 20% off $17,956.72 $79,410.47 $33,255.68 2026-03-26
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 18 6 $61,506.98 $49,205.58 20% off $18,354.44 $48,056.89 $33,205.67 2026-03-26
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 21 6 $40,294.25 $32,235.40 $18,536.10 $47,761.92 $33,149.01 2026-03-26
C1767 HCPCS Implant, Sentiva 131 16 $39,366.00 $31,492.80 20% off $2,476.86 $93,749.29 $33,073.90 2026-03-26
911 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 20 5 $103,930.85 $83,144.68 20% off $23,927.20 $44,998.64 $32,834.57 2026-03-26
622 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 20 5 $72,387.89 $57,910.31 20% off $24,383.85 $44,147.92 $32,814.90 2026-03-26
54 MS_DRG Nervous System Neoplasms With Mcc 18 6 $70,771.52 $56,617.22 $8,879.28 $33,940.07 $32,755.34 2026-03-26
C1882 HCPCS System, Maximo Ii Crt Premium 781 16 $38,733.00 $30,986.40 $23.93 $167,414.36 $32,700.15 2026-03-26
710 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 35 5 $131,856.31 $105,485.05 $2.31 $246,701.58 $32,671.11 2026-03-26
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 21 6 $158,057.69 $126,446.15 20% off $16,732.52 $62,049.75 $32,437.01 2026-03-26
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 21 6 $90,468.77 $72,375.02 $17,629.43 $71,605.44 $32,383.22 2026-03-26
309 APR_DRG Other Significant Hip And Femur Surgery 10 5 $253,974.34 $203,179.47 20% off $29,306.58 $38,757.95 $32,237.24 2026-03-26
321 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 40 5 $153,384.07 $122,707.26 20% off $17,765.08 $77,485.76 $32,191.98 2026-03-26
595 MS_DRG Major Skin Disorders With Mcc 18 6 $56,036.00 $44,828.80 $17,878.50 $46,214.94 $32,046.72 2026-03-26
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 18 6 $122,519.58 $98,015.66 20% off $16,979.90 $46,852.96 $32,025.83 2026-03-26
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 18 6 $116,978.86 $93,583.09 $17,809.45 $46,134.09 $31,971.77 2026-03-26
950 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 20 5 $221,464.10 $177,171.28 20% off $22,562.65 $44,733.69 $31,832.10 2026-03-26
333 MS_DRG Rectal Resection With Cc 18 6 $190,930.76 $152,744.61 $17,093.49 $46,437.81 $31,765.65 2026-03-26
336 MS_DRG Peritoneal Adhesiolysis With Cc 21 6 $135,563.30 $108,450.64 $17,305.57 $70,966.96 $31,729.67 2026-03-26
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 21 6 $104,078.44 $83,262.76 $15,940.25 $68,418.99 $31,712.13 2026-03-26
374 MS_DRG Digestive Malignancy With Mcc 18 6 $89,829.63 $71,863.70 20% off $1,542.93 $46,134.09 $31,693.94 2026-03-26
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 18 6 $55,961.88 $44,769.50 20% off $17,492.98 $45,677.43 $31,585.21 2026-03-26
935 MS_DRG Non-extensive Burns 18 6 $16,034.09 $12,827.27 20% off $16,777.84 $47,991.34 $31,476.42 2026-03-26
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 21 6 $119,967.57 $95,974.06 $16,435.04 $46,341.67 $31,424.95 2026-03-26
175 APR_DRG Percutaneous Cardiac Intervention Without Ami 20 5 $161,818.73 $129,454.98 20% off $24,511.96 $39,823.69 $31,264.75 2026-03-26
651 APR_DRG Other Procedures Of Blood And Blood-forming Organs 10 5 $135,203.99 $108,163.19 20% off $28,237.34 $37,343.89 $31,061.08 2026-03-26
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 6 $56,753.24 $45,402.59 20% off $16,089.01 $45,808.53 $30,948.77 2026-03-26
C1824 HCPCS Generator,optimizer Smart Mini 85 16 $56,160.00 $44,928.00 20% off $1,112.83 $56,160.00 $30,727.94 2026-03-26
26 APR_DRG Other Nervous System And Related Procedures 10 5 $170,916.37 $136,733.10 $27,835.24 $36,812.11 $30,618.77 2026-03-26
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 18 6 $161,950.82 $129,560.66 $14,374.14 $43,086.02 $30,614.26 2026-03-26
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 18 6 $44,935.39 $35,948.31 20% off $18,155.51 $43,022.65 $30,589.08 2026-03-26
37236 HCPCS Hc Open/perq Place Stent 1st 40 16 $34,751.00 $27,800.80 20% off $11,340.57 $49,820.45 $30,580.51 2026-03-26
37221 HCPCS Hc Revasc Iliac W/stent 40 16 $34,353.00 $27,482.40 $11,340.57 $49,820.45 $30,580.51 2026-03-26
92928 HCPCS Hc Prq Card Stent W/angio 1 Vsl 40 16 $35,200.00 $28,160.00 20% off $11,340.57 $49,820.45 $30,580.51 2026-03-26
36903 HCPCS Hc Cath Dialy W/tcat Plmt IV Stent 40 16 $39,753.00 $31,802.40 $11,340.57 $49,820.45 $30,580.51 2026-03-26
37226 HCPCS Hc Revasc Fem/pop With Stent 40 16 $44,622.00 $35,697.60 20% off $11,340.57 $49,820.45 $30,580.51 2026-03-26
36905 HCPCS Hc Thrmbectmy W/pta Dial Circuit 40 16 $39,753.00 $31,802.40 $11,340.57 $49,820.45 $30,580.51 2026-03-26
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 18 6 $92,580.50 $74,064.40 20% off $16,775.38 $43,955.65 $30,365.51 2026-03-26
199 MS_DRG Pneumothorax With Mcc 21 6 $58,357.58 $46,686.06 20% off $13,207.49 $40,864.36 $30,284.44 2026-03-26
908 MS_DRG Other O.r. Procedures For Injuries With Cc 18 6 $104,359.16 $83,487.32 20% off $16,473.70 $44,073.64 $30,273.67 2026-03-26
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 21 6 $65,572.54 $52,458.03 20% off $3,587.94 $77,217.44 $30,206.24 2026-03-26
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 18 6 $62,862.43 $50,289.94 20% off $16,048.73 $44,316.17 $30,182.45 2026-03-26
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 18 6 $99,720.99 $79,776.79 20% off $15,630.26 $42,943.99 $30,130.12 2026-03-26
37242 HCPCS Hc Embolization Of A Bleed 40 16 $32,689.00 $26,151.20 20% off $17,956.72 $79,410.47 $29,910.43 2026-03-26
614 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 10 5 $34,155.33 $27,324.26 20% off $27,099.38 $35,838.92 $29,809.31 2026-03-26
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 18 6 $107,378.66 $85,902.92 20% off $16,389.04 $42,852.22 $29,620.63 2026-03-26
223 APR_DRG Other Small And Large Bowel Procedures 20 5 $150,729.24 $120,583.40 20% off $10,990.00 $59,104.79 $29,612.99 2026-03-26
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 3 3 $29,576.09 $23,660.87 20% off $29,576.09 $29,576.09 $29,576.09 2026-03-26
951 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 35 5 $101,649.91 $81,319.93 $1.85 $79,056.51 $29,569.58 2026-03-26
33228 HCPCS Hc Replace Dual Chamber Pm 40 16 $45,688.00 $36,550.40 $5,917.19 $48,358.16 $29,411.74 2026-03-26
33224 HCPCS Hc Lead Repositioning Cs 40 16 $44,227.00 $35,381.60 20% off $10,465.33 $48,358.16 $29,411.74 2026-03-26
C1820 HCPCS Charge, Neuromodulation 299 16 $38,869.50 $31,095.60 20% off $296.23 $54,546.50 $29,367.60 2026-03-26
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 21 6 $94,560.24 $75,648.19 20% off $7,373.61 $127,736.42 $29,277.93 2026-03-26
617 MS_DRG Amputation Of Lower Limb For Endocrine 22 6 $82,561.72 $66,049.38 $7,841.65 $74,902.97 $29,259.03 2026-03-26
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 21 6 $104,557.39 $83,645.91 20% off $13,877.16 $66,946.33 $29,087.10 2026-03-26
37228 HCPCS Hc Revasc Tibioperoneal (angiopl) 40 16 $31,788.00 $25,430.40 $11,340.57 $49,820.45 $29,086.02 2026-03-26
380 MS_DRG Complicated Peptic Ulcer With Mcc 21 6 $93,504.05 $74,803.24 $14,295.71 $42,045.96 $29,031.31 2026-03-26
C9604 HCPCS Hc Heart Des Graft First 40 16 $31,723.00 $25,378.40 $11,340.57 $49,820.45 $29,026.54 2026-03-26
792 MS_DRG Prematurity Without Major Problems 18 6 $27,882.93 $22,306.34 20% off $20,323.95 $37,552.33 $28,938.14 2026-03-26
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 18 6 $72,944.98 $58,355.98 20% off $16,584.49 $48,360.61 $28,877.42 2026-03-26
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 26 6 $103,606.58 $82,885.26 20% off $7,733.89 $76,894.34 $28,760.33 2026-03-26
260 APR_DRG Major Pancreas, Liver And Shunt Procedures 14 5 $78,820.39 $63,056.31 20% off $24,994.64 $87,496.36 $28,743.84 2026-03-26
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 22 6 $111,908.21 $89,526.57 $10,443.21 $52,324.17 $28,635.17 2026-03-26
31399 LOCAL System, Crt Concertoii Defib 59 16 $52,200.00 $41,760.00 20% off $4,437.00 $52,200.00 $28,561.23 2026-03-26
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine 21 6 $50,196.63 $40,157.30 20% off $8,643.02 $43,944.18 $28,547.69 2026-03-26
314 MS_DRG Other Circulatory System Diagnoses With Mcc 18 6 $82,106.33 $65,685.06 20% off $2,906.63 $47,053.98 $28,354.60 2026-03-26
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 21 6 $61,034.99 $48,827.99 20% off $15,294.13 $47,286.97 $28,331.37 2026-03-26
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip 22 6 $122,303.69 $97,842.95 20% off $15,364.82 $87,002.72 $28,280.40 2026-03-26
205 MS_DRG Other Respiratory System Diagnoses With Mcc 22 6 $87,798.09 $70,238.47 20% off $13,097.59 $42,032.79 $28,209.51 2026-03-26
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 21 6 $243,009.76 $194,407.81 $14,240.73 $64,918.02 $28,166.52 2026-03-26
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 18 6 $88,470.50 $70,776.40 20% off $15,119.87 $41,202.55 $28,161.21 2026-03-26
305 APR_DRG Amputation Of Lower Limb Except Toes 34 5 $203,693.54 $162,954.83 20% off $15,116.48 $64,476.38 $28,124.53 2026-03-26
C9772 HCPCS Hc Revasc Lithotrip Tibi/peroneal 40 16 $30,683.00 $24,546.40 $11,340.57 $49,820.45 $28,074.94 2026-03-26
539 MS_DRG Osteomyelitis With Mcc 18 6 $27,559.38 $22,047.50 20% off $16,311.77 $44,189.44 $28,051.92 2026-03-26
92924 HCPCS Hc Ptca Antherectomy Single 40 16 $30,609.00 $24,487.20 20% off $11,340.57 $49,820.45 $28,007.24 2026-03-26
0237T OTHER Hc Translum Periph Atherectomy 40 16 $30,501.00 $24,400.80 20% off $11,340.57 $49,820.45 $27,908.42 2026-03-26
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 21 6 $117,575.45 $94,060.36 20% off $14,990.81 $49,295.38 $27,871.62 2026-03-26
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 18 6 $82,834.16 $66,267.32 20% off $14,288.78 $40,155.90 $27,786.45 2026-03-26
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 18 6 $79,912.60 $63,930.08 20% off $14,908.61 $40,542.68 $27,725.65 2026-03-26
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 21 6 $42,903.87 $34,323.10 $14,294.84 $87,566.22 $27,658.42 2026-03-26
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 3 3 $27,611.03 $22,088.82 20% off $27,611.03 $27,611.03 $27,611.03 2026-03-26
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 18 6 $119,610.60 $95,688.48 20% off $15,159.32 $39,943.99 $27,551.65 2026-03-26
783 MS_DRG Cesarean Section With Sterilization With Mcc 18 6 $90,673.62 $72,538.89 20% off $14,564.20 $40,249.89 $27,407.04 2026-03-26
754 MS_DRG Malignancy, Female Reproductive System With Mcc 18 6 $42,737.93 $34,190.34 20% off $15,227.55 $39,533.21 $27,380.38 2026-03-26
196 MS_DRG Interstitial Lung Disease With Mcc 21 6 $37,684.64 $30,147.71 20% off $6,821.83 $41,167.59 $27,377.24 2026-03-26
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 18 6 $103,213.44 $82,570.75 20% off $14,647.22 $39,913.40 $27,280.31 2026-03-26
91 MS_DRG Other Disorders Of Nervous System With Mcc 18 6 $35,445.36 $28,356.29 $181.47 $39,830.37 $27,268.79 2026-03-26
92943 HCPCS Hc Heart Card Revasc Chronic 1vsl 40 16 $29,759.00 $23,807.20 20% off $11,340.57 $49,820.45 $27,229.49 2026-03-26
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 21 6 $75,094.92 $60,075.93 20% off $4,791.23 $73,555.22 $27,191.08 2026-03-26
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 21 6 $134,730.62 $107,784.50 $10,515.60 $72,866.51 $27,178.93 2026-03-26
C2624 HCPCS System, Cardiomems Implant 83 16 $49,572.00 $39,657.60 20% off $1,112.83 $49,572.00 $27,123.32 2026-03-26
171 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 10 5 $201,696.89 $161,357.51 20% off $24,643.58 $32,591.14 $27,107.94 2026-03-26
98 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 10 5 $74,992.73 $59,994.18 20% off $24,641.33 $32,588.16 $27,105.47 2026-03-26
231 APR_DRG Major Large Bowel Procedures 46 5 $207,890.18 $166,312.14 20% off $2.22 $65,572.00 $27,049.08 2026-03-26
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 18 6 $55,424.18 $44,339.34 20% off $10,826.56 $28,658.46 $26,893.31 2026-03-26
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 18 6 $113,868.53 $91,094.82 20% off $9,797.73 $39,867.51 $26,729.36 2026-03-26
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 23 6 $89,511.91 $71,609.53 $181.47 $58,819.56 $26,647.28 2026-03-26
501 MS_DRG Soft Tissue Procedures With Cc 21 6 $86,081.87 $68,865.50 $14,267.45 $38,995.70 $26,631.58 2026-03-26
92937 HCPCS Hc Heart Revasc Byp Graft 1st Vsl 40 16 $29,066.00 $23,252.80 20% off $11,340.57 $49,820.45 $26,595.39 2026-03-26
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 21 6 $61,111.52 $48,889.21 20% off $13,667.60 $56,039.99 $26,548.55 2026-03-26
312 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 10 5 $178,927.71 $143,142.17 $24,056.99 $31,815.36 $26,462.68 2026-03-26
92933 HCPCS Hc Prq Card Stent/ath/angio 40 16 $25,275.00 $20,220.00 20% off $17,956.72 $79,410.47 $26,371.00 2026-03-26
915 MS_DRG Allergic Reactions With Mcc 18 6 $26,702.33 $21,361.86 20% off $14,582.28 $37,973.12 $26,277.70 2026-03-26
504 MS_DRG Foot Procedures With Cc 18 6 $77,411.93 $61,929.55 $14,196.76 $38,346.75 $26,271.76 2026-03-26
254 MS_DRG Other Vascular Procedures Without Cc/mcc 18 6 $101,164.18 $80,931.34 20% off $14,262.52 $38,224.39 $26,243.46 2026-03-26
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