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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

TRIOS HEALTH

Kennewick, WA · CCN 500053 · Rates published

2,103 distinct procedures filed
76 distinct payers
172,597 rate rows
2026-09-21 last MRF observed
Data quality

172,097 of 172,597 rate rows are consumer-grade (99.7%)

500 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 456
exceeds 10× this hospital's gross charge — excluded from medians 32
exceeds 3× this hospital's gross charge for a DRG stay — excluded 10
placeholder amount (≤ $0.02) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.trioshealth.org/docs/ahtrioshealthlibraries/hcl/mrf3q26/82-3962056_trios-health_standardcharges.csv
Found on page https://www.trioshealth.org/hospital-charges-listing
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-02
Content fingerprint dcbe0fa6f4752cdf… · 11,477,316 bytes · first seen 2026-07-27

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
1503F
CPT 		Pt Queried Symp Resp Insuff 12 $149,908.58 $149,908.58 $149,908.58 nat. median
$27,100
outlier · 5.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $109,160.12 $244,754.24 $109,160.12 nat. median
$97,418
1.1× median
4169F
CPT 		No Pt Care Icu/vent In 24hrs 12 $85,762.46 $85,762.46 $85,762.46 nat. median
$85,762
1.0× median
95940
CPT 		Ionm In Operatng Room 15 Min 12 $68,971.49 $68,971.49 $68,971.49 nat. median
$142
outlier · 485.8×
2000F
CPT 		Blood Pressure Measure 12 $59,201.26 $59,201.26 $59,201.26 nat. median
$59,201
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $54,968.53 $57,716.96 $54,968.53 nat. median
$9,905
outlier · 5.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 16 $53,841.10 $122,131.51 $53,841.10 nat. median
$48,611
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 16 $50,067.82 $113,701.15 $50,067.82 nat. median
$47,121
1.1× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 $46,039.29 $105,021.65 $46,039.29 nat. median
$40,584
1.1× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $44,455.34 $105,367.98 $44,455.34 nat. median
$42,674
1.0× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $42,640.80 $44,772.84 $42,640.80 nat. median
$10,799
outlier · 3.9×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 $42,381.69 $44,500.78 $42,381.69 nat. median
$2,596
outlier · 16.3×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 16 $41,845.74 $100,710.17 $41,845.74 nat. median
$38,795
1.1× median
4168F
CPT 		Pt Care Icu&vent W/in 24hrs 12 $41,617.41 $41,617.41 $41,617.41 nat. median
$41,617
1.0× median
33249
CPT 		Insj/rplcmt Defib W/lead(s) 23 $33,191.75 $49,837.00 $41,514.38 nat. median
$32,069
1.3× median
33231
CPT 		Insrt Pulse Gen W/mult Leads 23 $33,191.75 $49,837.00 $41,514.38 nat. median
$31,377
1.3× median
33270
CPT 		Ins/rep Subq Defibrillator 23 $33,191.75 $49,837.00 $41,514.38 nat. median
$32,475
1.3× median
33264
CPT 		Rmvl & Rplcmt Dfb Gen Mlt Ld 23 $33,191.75 $49,837.00 $41,514.38 nat. median
$32,779
1.3× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 16 $39,779.03 $93,232.22 $39,779.03 nat. median
$37,725
1.1× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 16 $39,362.61 $88,127.36 $39,362.61 nat. median
$35,986
1.1× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 $39,037.95 $86,966.44 $39,037.95 nat. median
$34,615
1.1× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 $38,763.42 $87,265.06 $38,763.42 nat. median
$34,733
1.1× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 16 $38,624.61 $87,420.56 $38,624.61 nat. median
$35,725
1.1× median
C1822
HCPCS 		Defib Card 40j Unify Asr Rf Telem 12 $38,577.21 $38,577.21 $38,577.21 nat. median
$30,046
1.3× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 $36,855.57 $82,904.11 $36,855.57 nat. median
$33,546
1.1× median
33230
CPT 		Insrt Pulse Gen W/dual Leads 23 $23,237.42 $49,837.00 $36,537.21 nat. median
$23,060
1.6× median
33263
CPT 		Rmvl & Rplcmt Dfb Gen 2 Lead 23 $23,237.42 $49,837.00 $36,537.21 nat. median
$23,924
1.5× median
33240
CPT 		Insrt Pulse Gen W/singl Lead 23 $23,237.42 $49,837.00 $36,537.21 nat. median
$23,398
1.6× median
33262
CPT 		Rmvl& Replc Pulse Gen 1 Lead 23 $23,237.42 $49,837.00 $36,537.21 nat. median
$23,514
1.6× median
163
MS_DRG 		Major Chest Procedures With Mcc 16 $35,739.71 $79,193.41 $35,739.71 nat. median
$31,995
1.1× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $35,611.69 $89,060.33 $35,611.69 nat. median
$35,297
1.0× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 16 $35,606.30 $81,220.16 $35,606.30 nat. median
$33,435
1.1× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 $34,987.06 $80,375.53 $34,987.06 nat. median
$31,991
1.1× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 $34,779.62 $75,855.54 $34,779.62 nat. median
$29,481
1.2× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $33,494.09 $73,729.84 $33,494.09 nat. median
$30,649
1.1× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 16 $32,503.93 $74,242.27 $32,503.93 nat. median
$29,327
1.1× median
793
MS_DRG 		Full Term Neonate With Major Problems 16 $32,356.64 $73,676.83 $32,356.64 nat. median
$15,882
outlier · 2.0×
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 11 $31,685.73 $33,270.02 $31,685.73 nat. median
$29,826
1.1× median
3112F
CPT 		Ct/mri Brain Done 24 Hrs 12 $31,632.03 $31,632.03 $31,632.03 nat. median
$4,481
outlier · 7.1×
3111F
CPT 		Ct/mri Brain Done W/in 24hrs 12 $31,632.03 $31,632.03 $31,632.03 nat. median
$4,481
outlier · 7.1×
791
MS_DRG 		Prematurity With Major Problems 16 $31,503.74 $71,722.53 $31,503.74 nat. median
$27,149
1.2× median
59525
CPT 		Remove Uterus After Cesarean 12 $30,878.32 $30,878.32 $30,878.32 nat. median
$2,295
outlier · 13.5×
C9776
HCPCS 		Fluo Bile Duct Imaging W/icg 12 $6,292.93 $30,525.79 $30,525.79 nat. median
$965
outlier · 31.6×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 11 $30,364.74 $31,882.97 $30,364.74 nat. median
$12,698
outlier · 2.4×
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 $30,000.75 $61,622.36 $30,000.75 nat. median
$25,616
1.2× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 16 $29,887.39 $66,045.16 $29,887.39 nat. median
$26,952
1.1× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 $29,052.22 $62,891.06 $29,052.22 nat. median
$24,822
1.2× median
C2596
HCPCS 		Probe Robotic Water-jet 12 $29,035.25 $29,035.25 $29,035.25 nat. median
$5,112
outlier · 5.7×
4190F
CPT 		Approp Diuretic Tstng Done 12 $28,330.09 $28,330.09 $28,330.09 nat. median
$28,297
1.0× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 $27,580.85 $64,877.17 $27,580.85 nat. median
$25,953
1.1× median

Other procedures at this hospital

Browse this hospital's 2,103 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
             
1503F CPT Pt Queried Symp Resp Insuff 28 12 $228,868.06 — $149,908.58 $149,908.58 $149,908.58 2026-09-21
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 16 $594,400.87 — $109,160.12 $244,754.24 $109,160.12 2026-09-21
4169F CPT No Pt Care Icu/vent In 24hrs 28 12 $130,935.06 — $85,762.46 $85,762.46 $85,762.46 2026-09-21
95940 CPT Ionm In Operatng Room 15 Min 28 12 $105,299.99 — $68,971.49 $68,971.49 $68,971.49 2026-09-21
2000F CPT Blood Pressure Measure 28 12 $90,383.61 — $59,201.26 $59,201.26 $59,201.26 2026-09-21
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 11 $371,394.53 — $54,968.53 $57,716.96 $54,968.53 2026-09-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 16 $199,009.81 — $53,841.10 $122,131.51 $53,841.10 2026-09-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 16 $212,304.20 — $50,067.82 $113,701.15 $50,067.82 2026-09-21
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 16 $194,813.86 — $46,039.29 $105,021.65 $46,039.29 2026-09-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 16 $188,880.25 — $44,455.34 $105,367.98 $44,455.34 2026-09-21
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 11 $325,381.44 — $42,640.80 $44,772.84 $42,640.80 2026-09-21
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 11 $218,416.60 — $42,381.69 $44,500.78 $42,381.69 2026-09-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 16 $99,633.43 — $41,845.74 $100,710.17 $41,845.74 2026-09-21
4168F CPT Pt Care Icu&vent W/in 24hrs 28 12 $63,538.03 — $41,617.41 $41,617.41 $41,617.41 2026-09-21
33249 CPT Insj/rplcmt Defib W/lead(s) 41 23 $192,282.49 — $33,191.75 $49,837.00 $41,514.38 2026-09-21
33231 CPT Insrt Pulse Gen W/mult Leads 41 23 $237,324.70 — $33,191.75 $49,837.00 $41,514.38 2026-09-21
33270 CPT Ins/rep Subq Defibrillator 41 23 $237,324.70 — $33,191.75 $49,837.00 $41,514.38 2026-09-21
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 41 23 $237,324.70 — $33,191.75 $49,837.00 $41,514.38 2026-09-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 16 $183,681.24 — $39,779.03 $93,232.22 $39,779.03 2026-09-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 16 $456,225.14 — $39,362.61 $88,127.36 $39,362.61 2026-09-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 16 $47,566.61 — $39,037.95 $86,966.44 $39,037.95 2026-09-21
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 16 $192,196.60 — $38,763.42 $87,265.06 $38,763.42 2026-09-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 16 $165,908.99 — $38,624.61 $87,420.56 $38,624.61 2026-09-21
C1822 HCPCS Defib Card 40j Unify Asr Rf Telem 28 12 $58,896.50 — $38,577.21 $38,577.21 $38,577.21 2026-09-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 16 $155,074.69 — $36,855.57 $82,904.11 $36,855.57 2026-09-21
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 41 23 $237,324.70 — $23,237.42 $49,837.00 $36,537.21 2026-09-21
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 41 23 $237,324.70 — $23,237.42 $49,837.00 $36,537.21 2026-09-21
33230 CPT Insrt Pulse Gen W/dual Leads 41 23 $237,324.70 — $23,237.42 $49,837.00 $36,537.21 2026-09-21
33240 CPT Insrt Pulse Gen W/singl Lead 41 23 $237,324.70 — $23,237.42 $49,837.00 $36,537.21 2026-09-21
163 MS_DRG Major Chest Procedures With Mcc 18 16 $123,230.16 — $35,739.71 $79,193.41 $35,739.71 2026-09-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 16 $205,035.44 — $35,611.69 $89,060.33 $35,611.69 2026-09-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 16 $221,302.52 — $35,606.30 $81,220.16 $35,606.30 2026-09-21
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 16 $105,156.73 — $34,987.06 $80,375.53 $34,987.06 2026-09-21
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 16 $104,782.67 — $34,779.62 $75,855.54 $34,779.62 2026-09-21
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 16 $208,102.86 — $33,494.09 $73,729.84 $33,494.09 2026-09-21
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 16 $176,347.27 — $32,503.93 $74,242.27 $32,503.93 2026-09-21
793 MS_DRG Full Term Neonate With Major Problems 18 16 $80,250.39 — $32,356.64 $73,676.83 $32,356.64 2026-09-21
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 11 $395,019.03 — $31,685.73 $33,270.02 $31,685.73 2026-09-21
3111F CPT Ct/mri Brain Done W/in 24hrs 28 12 $48,293.18 — $31,632.03 $31,632.03 $31,632.03 2026-09-21
3112F CPT Ct/mri Brain Done 24 Hrs 28 12 $48,293.18 — $31,632.03 $31,632.03 $31,632.03 2026-09-21
791 MS_DRG Prematurity With Major Problems 18 16 $155,577.48 — $31,503.74 $71,722.53 $31,503.74 2026-09-21
59525 CPT Remove Uterus After Cesarean 28 12 $47,142.47 — $30,878.32 $30,878.32 $30,878.32 2026-09-21
C9776 HCPCS Fluo Bile Duct Imaging W/icg 28 12 $46,604.26 — $6,292.93 $30,525.79 $30,525.79 2026-09-21
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 13 11 $242,804.56 — $30,364.74 $31,882.97 $30,364.74 2026-09-21
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 16 $84,407.74 — $30,000.75 $61,622.36 $30,000.75 2026-09-21
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 16 $400,933.66 — $29,887.39 $66,045.16 $29,887.39 2026-09-21
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 16 $68,009.24 — $29,052.22 $62,891.06 $29,052.22 2026-09-21
C2596 HCPCS Probe Robotic Water-jet 28 12 $44,328.63 — $29,035.25 $29,035.25 $29,035.25 2026-09-21
4190F CPT Approp Diuretic Tstng Done 28 12 $43,252.04 — $28,330.09 $28,330.09 $28,330.09 2026-09-21
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 16 $163,609.19 — $27,580.85 $64,877.17 $27,580.85 2026-09-21
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 16 $43,619.79 — $27,206.84 $60,579.83 $27,206.84 2026-09-21
264 MS_DRG Other Circulatory System O.r. Procedures 18 16 $84,984.27 — $27,148.24 $59,028.40 $27,148.24 2026-09-21
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 16 $198,467.87 — $26,757.26 $62,839.82 $26,757.26 2026-09-21
252 MS_DRG Other Vascular Procedures With Mcc 18 16 $119,281.50 — $26,649.30 $61,638.26 $26,649.30 2026-09-21
3130F CPT Upper Gi Endoscopy Performed 28 12 $39,489.73 — $25,865.77 $25,865.77 $25,865.77 2026-09-21
33967 CPT Insert I-aort Percut Device 28 12 $114,274.41 — $25,743.00 $25,743.00 $25,743.00 2026-09-21
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 18 16 $98,153.51 — $25,330.62 $57,224.30 $25,330.62 2026-09-21
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 13 11 $275,735.51 — $23,993.43 $25,193.10 $23,993.43 2026-09-21
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 18 16 $127,480.42 — $22,875.25 $51,460.34 $22,875.25 2026-09-21
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 18 16 $100,235.67 — $22,813.56 $51,278.34 $22,813.56 2026-09-21
33274 CPT Tcat Insj/rpl Perm Ldls Pm 41 23 $158,952.04 — $19,743.42 $25,743.00 $22,743.21 2026-09-21
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 18 16 $108,817.03 — $22,672.43 $50,716.43 $22,672.43 2026-09-21
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 18 16 $113,543.57 — $22,653.15 $50,368.34 $22,653.15 2026-09-21
472 MS_DRG Cervical Spinal Fusion With Cc 18 16 $115,866.78 — $22,537.48 $52,057.59 $22,537.48 2026-09-21
36906 CPT Thrmbc/nfs Dialysis Circuit 41 23 $85,259.44 — $18,589.69 $25,743.00 $22,166.35 2026-09-21
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 13 11 $153,309.20 — $22,148.82 $23,256.26 $22,148.82 2026-09-21
59618 CPT Attempted Vbac Delivery 28 12 $33,708.70 — $22,079.20 $22,079.20 $22,079.20 2026-09-21
59510 CPT Cesarean Delivery 28 12 $33,708.70 — $22,079.20 $22,079.20 $22,079.20 2026-09-21
59620 CPT Attempted Vbac Delivery Only 28 12 $33,708.70 — $22,079.20 $22,079.20 $22,079.20 2026-09-21
59622 CPT Attempted Vbac After Care 28 12 $33,708.70 — $22,079.20 $22,079.20 $22,079.20 2026-09-21
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 18 16 $99,323.58 — $20,891.83 $48,569.53 $20,891.83 2026-09-21
54411 CPT Remov/replc Penis Pros Comp 15 13 $133,049.76 — $666.00 $21,880.00 $20,838.09 2026-09-21
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 18 16 $99,896.55 — $20,425.28 $48,557.16 $20,425.28 2026-09-21
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 18 16 $136,157.49 — $20,157.69 $45,369.49 $20,157.69 2026-09-21
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 18 16 $76,437.18 — $20,124.53 $44,897.70 $20,124.53 2026-09-21
253 MS_DRG Other Vascular Procedures With Cc 18 16 $223,351.38 — $19,883.16 $45,864.25 $19,883.16 2026-09-21
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 18 16 $61,908.49 — $19,745.12 $29,826.96 $19,745.12 2026-09-21
164 MS_DRG Major Chest Procedures With Cc 18 16 $65,577.49 — $19,605.54 $44,599.08 $19,605.54 2026-09-21
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 18 16 $55,504.15 — $19,491.41 $45,111.51 $19,491.41 2026-09-21
397 MS_DRG Appendix Procedures With Mcc 13 11 $147,550.04 — $19,303.24 $20,268.41 $19,303.24 2026-09-21
792 MS_DRG Prematurity Without Major Problems 18 16 $72,624.18 — $19,086.55 $43,277.36 $19,086.55 2026-09-21
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 18 16 $137,952.11 — $19,075.75 $43,441.70 $19,075.75 2026-09-21
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 18 16 $96,048.60 — $18,919.98 $43,189.01 $18,919.98 2026-09-21
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 18 16 $124,944.53 — $18,847.49 $44,031.87 $18,847.49 2026-09-21
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 18 16 $114,831.62 — $18,710.99 $44,812.89 $18,710.99 2026-09-21
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 18 16 $55,780.21 — $18,681.69 $45,574.46 $18,681.69 2026-09-21
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 18 16 $75,992.43 — $18,522.06 $42,167.69 $18,522.06 2026-09-21
330 MS_DRG Major Small And Large Bowel Procedures With Cc 18 16 $144,663.70 — $18,423.35 $42,358.52 $18,423.35 2026-09-21
22633 CPT Lumbar Spine Fusion Combined 41 23 $272,847.23 — $16,613.00 $19,990.21 $18,301.60 2026-09-21
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 18 16 $104,740.62 — $17,996.90 $41,323.06 $17,996.90 2026-09-21
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 18 16 $143,974.64 — $17,568.14 $37,653.00 $17,568.14 2026-09-21
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 18 16 $146,294.88 — $17,539.61 $38,499.40 $17,539.61 2026-09-21
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 18 16 $132,180.38 — $17,263.53 $39,100.18 $17,263.53 2026-09-21
935 MS_DRG Non-extensive Burns 18 16 $33,930.01 — $17,133.21 $36,400.20 $17,133.21 2026-09-21
33229 CPT Remv&replc Pm Gen Mult Leads 41 23 $140,655.68 — $13,441.00 $20,730.59 $17,085.79 2026-09-21
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 18 16 $44,760.08 — $16,998.25 $37,840.31 $16,998.25 2026-09-21
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 18 16 $64,219.21 — $16,831.68 $40,211.62 $16,831.68 2026-09-21
314 MS_DRG Other Circulatory System Diagnoses With Mcc 18 16 $55,722.08 — $16,802.38 $36,845.48 $16,802.38 2026-09-21
24363 CPT Replace Elbow Joint 82 23 $72,452.66 — $13,441.00 $19,990.21 $16,715.60 2026-09-21
23472 CPT Reconstruct Shoulder Joint 82 23 $109,289.60 — $13,441.00 $19,990.21 $16,715.60 2026-09-21
22630 CPT Lumbar Spine Fusion 41 23 $272,847.23 — $13,441.00 $19,990.21 $16,715.60 2026-09-21
412 MS_DRG Cholecystectomy With C.d.e. With Cc 18 16 $84,200.45 — $16,633.50 $37,151.18 $16,633.50 2026-09-21
33225 CPT L Ventric Pacing Lead Add-on 28 12 $214,431.74 — $16,613.00 $16,613.00 $16,613.00 2026-09-21
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 18 16 $74,037.80 — $16,550.98 $36,949.74 $16,550.98 2026-09-21
37242 CPT Vasc Embolize/occlude Artery 41 23 $198,467.87 — $13,441.00 $19,519.18 $16,480.09 2026-09-21
36836 CPT Prq Av Fstl Crtj Uxtr 1 Acs 41 23 $20,417.68 — $13,441.00 $19,519.18 $16,480.09 2026-09-21
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 18 16 $96,945.25 — $16,452.27 $37,419.76 $16,452.27 2026-09-21
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 18 16 $103,203.61 — $16,196.25 $37,009.82 $16,196.25 2026-09-21
539 MS_DRG Osteomyelitis With Mcc 18 16 $52,922.82 — $15,791.39 $34,804.60 $15,791.39 2026-09-21
22867 CPT Insj Stablj Dev W/dcmprn 41 23 $238,104.02 — $11,540.00 $19,990.21 $15,765.10 2026-09-21
22856 CPT Cerv Artific Diskectomy 41 23 $109,972.34 — $11,540.00 $19,990.21 $15,765.10 2026-09-21
22612 CPT Lumbar Spine Fusion 41 23 $377,076.86 — $11,540.00 $19,990.21 $15,765.10 2026-09-21
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 18 16 $74,213.70 — $15,604.00 $35,306.43 $15,604.00 2026-09-21
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 18 16 $124,114.38 — $15,535.37 $35,534.37 $15,535.37 2026-09-21
37184 CPT Prim Art M-thrmbc 1st Vsl 41 23 $96,775.70 — $11,540.00 $19,519.18 $15,529.59 2026-09-21
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 18 16 $39,530.72 — $15,503.75 $34,087.20 $15,503.75 2026-09-21
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 18 16 $117,756.58 — $15,401.96 $35,343.53 $15,401.96 2026-09-21
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 18 16 $94,306.62 — $15,326.38 $34,323.98 $15,326.38 2026-09-21
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 18 16 $54,018.64 — $15,303.25 $34,778.09 $15,303.25 2026-09-21
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 18 16 $189,026.05 — $15,274.71 $35,000.74 $15,274.71 2026-09-21
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 18 16 $86,648.84 — $15,263.92 $36,207.60 $15,263.92 2026-09-21
C1713 HCPCS Anchor/screw Bn/bntis/bn 28 12 $23,242.68 — $73.27 $15,223.96 $15,223.96 2026-09-21
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 16 $69,240.55 — $15,091.18 $33,048.20 $15,091.18 2026-09-21
380 MS_DRG Complicated Peptic Ulcer With Mcc 18 16 $39,876.21 — $15,034.88 $34,672.07 $15,034.88 2026-09-21
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 16 $73,307.75 — $14,946.20 $31,698.21 $14,946.20 2026-09-21
902 MS_DRG Wound Debridements For Injuries With Cc 18 16 $40,132.64 — $14,828.99 $33,829.22 $14,828.99 2026-09-21
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 18 16 $143,778.55 — $14,773.46 $31,712.35 $14,773.46 2026-09-21
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 18 16 $94,668.68 — $14,735.68 $34,083.66 $14,735.68 2026-09-21
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 18 16 $127,217.30 — $14,734.90 $35,454.86 $14,734.90 2026-09-21
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 18 16 $52,388.72 — $14,578.36 $31,214.06 $14,578.36 2026-09-21
783 MS_DRG Cesarean Section With Sterilization With Mcc 18 16 $40,686.47 — $14,400.99 $43,381.62 $14,400.99 2026-09-21
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 18 16 $145,889.77 — $14,374.77 $32,224.78 $14,374.77 2026-09-21
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 18 16 $84,251.39 — $14,286.09 $31,866.08 $14,286.09 2026-09-21
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 18 16 $53,544.27 — $14,282.23 $32,420.92 $14,282.23 2026-09-21
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 18 16 $38,194.20 — $14,266.04 $32,454.49 $14,266.04 2026-09-21
919 MS_DRG Complications Of Treatment With Mcc 18 16 $65,028.77 — $14,258.33 $32,350.24 $14,258.33 2026-09-21
91 MS_DRG Other Disorders Of Nervous System With Mcc 18 16 $85,085.04 — $14,252.93 $31,032.05 $14,252.93 2026-09-21
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 18 16 $66,763.42 — $14,216.69 $32,300.76 $14,216.69 2026-09-21
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 13 11 $125,582.03 — $14,147.28 $14,854.65 $14,147.28 2026-09-21
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 18 16 $240,356.55 — $14,112.58 $31,938.53 $14,112.58 2026-09-21
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 18 16 $118,665.30 — $14,096.39 $31,844.87 $14,096.39 2026-09-21
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 16 $100,409.40 — $13,929.04 $31,049.72 $13,929.04 2026-09-21
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 18 16 $79,017.90 — $12,500.00 $30,835.92 $13,928.27 2026-09-21
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 18 16 $73,583.95 — $13,868.12 $30,533.76 $13,868.12 2026-09-21
504 MS_DRG Foot Procedures With Cc 18 16 $79,917.65 — $13,729.31 $33,028.76 $13,729.31 2026-09-21
33208 CPT Insrt Heart Pm Atrial & Vent 41 23 $140,655.68 — $10,834.23 $16,613.00 $13,723.61 2026-09-21
33214 CPT Upgrade Of Pacemaker System 41 23 $140,655.68 — $10,834.23 $16,613.00 $13,723.61 2026-09-21
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 18 16 $32,416.64 — $13,675.33 $31,330.68 $13,675.33 2026-09-21
27447 CPT Total Knee Arthroplasty 123 23 $84,776.35 — $13,320.38 $13,986.39 $13,653.39 2026-09-21
27446 CPT Revision Of Knee Joint 123 23 $162,465.85 — $13,320.38 $13,986.39 $13,653.39 2026-09-21
27130 CPT Total Hip Arthroplasty 123 23 $81,683.80 — $13,320.38 $27,728.56 $13,653.39 2026-09-21
915 MS_DRG Allergic Reactions With Mcc 18 16 $123,262.52 — $13,597.45 $29,713.87 $13,597.45 2026-09-21
27591 CPT Amputate Leg At Thigh 28 12 $128,738.61 — $13,441.00 $13,441.00 $13,441.00 2026-09-21
27592 CPT Amputate Leg At Thigh 28 12 $128,738.61 — $13,441.00 $13,441.00 $13,441.00 2026-09-21
22812 CPT Ant Fusion 8/> Vert Seg 28 12 $197,612.42 — $13,441.00 $13,441.00 $13,441.00 2026-09-21
22810 CPT Ant Fusion 4-7 Vert Seg 28 12 $182,744.27 — $13,441.00 $13,441.00 $13,441.00 2026-09-21
22808 CPT Ant Fusion 2-3 Vert Seg 28 12 $182,744.27 — $13,441.00 $13,441.00 $13,441.00 2026-09-21
22802 CPT Post Fusion 7-12 Vert Seg 28 12 $197,612.42 — $13,441.00 $13,441.00 $13,441.00 2026-09-21
22800 CPT Post Fusion </6 Vert Seg 28 12 $377,076.86 — $13,441.00 $13,441.00 $13,441.00 2026-09-21
27590 CPT Amputate Leg At Thigh 28 12 $128,738.61 — $13,441.00 $13,441.00 $13,441.00 2026-09-21
22586 CPT Prescrl Fuse With Instr L5-s1 28 12 $277,310.90 — $13,441.00 $13,441.00 $13,441.00 2026-09-21
63185 CPT Incise Spine Nrv Half Segmnt 28 12 $52,928.28 — $13,441.00 $13,441.00 $13,441.00 2026-09-21
22558 CPT Lumbar Spine Fusion 28 12 $197,612.42 — $13,441.00 $13,441.00 $13,441.00 2026-09-21
22548 CPT Neck Spine Fusion 28 12 $178,503.41 — $13,441.00 $13,441.00 $13,441.00 2026-09-21
22533 CPT Lat Lumbar Spine Fusion 28 12 $197,612.42 — $13,441.00 $13,441.00 $13,441.00 2026-09-21
27487 CPT Revise/replace Knee Joint 84 12 $91,828.42 — $13,441.00 $13,441.00 $13,441.00 2026-09-21
27486 CPT Revise/replace Knee Joint 84 12 $75,944.66 — $13,441.00 $13,441.00 $13,441.00 2026-09-21
27138 CPT Revise Hip Joint Replacement 28 12 $84,775.81 — $13,441.00 $13,441.00 $13,441.00 2026-09-21
27880 CPT Amputation Of Lower Leg 28 12 $119,177.86 — $13,441.00 $13,441.00 $13,441.00 2026-09-21
27132 CPT Total Hip Arthroplasty 28 12 $88,599.95 — $13,441.00 $13,441.00 $13,441.00 2026-09-21
27134 CPT Revise Hip Joint Replacement 28 12 $88,848.46 — $13,441.00 $13,441.00 $13,441.00 2026-09-21
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 18 16 $42,100.48 — $13,428.56 $29,042.41 $13,428.56 2026-09-21
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 18 16 $125,015.06 — $13,313.66 $29,728.01 $13,313.66 2026-09-21
20696 CPT Comp Multiplane Ext Fixation 41 23 $96,310.99 — $6,594.00 $19,990.21 $13,292.10 2026-09-21
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 18 16 $150,734.47 — $13,157.89 $29,233.25 $13,157.89 2026-09-21
571 MS_DRG Skin Debridement With Cc 18 16 $121,331.66 — $13,106.99 $29,853.47 $13,106.99 2026-09-21
368 MS_DRG Major Esophageal Disorders With Mcc 18 16 $34,913.44 — $13,073.83 $28,128.87 $13,073.83 2026-09-21
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 18 16 $155,517.17 — $13,059.95 $30,286.38 $13,059.95 2026-09-21
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 18 16 $67,797.44 — $13,025.25 $28,805.63 $13,025.25 2026-09-21
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 18 16 $78,964.63 — $12,984.38 $29,890.57 $12,984.38 2026-09-21
643 MS_DRG Endocrine Disorders With Mcc 18 16 $45,299.94 — $12,975.89 $29,086.59 $12,975.89 2026-09-21
393 MS_DRG Other Digestive System Diagnoses With Mcc 18 16 $40,559.57 — $12,965.87 $28,259.63 $12,965.87 2026-09-21
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 18 16 $112,708.61 — $12,927.31 $29,736.84 $12,927.31 2026-09-21
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 18 16 $68,628.26 — $12,853.28 $28,344.45 $12,853.28 2026-09-21
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 18 16 $75,975.86 — $12,840.17 $27,713.63 $12,840.17 2026-09-21
C1889 HCPCS Disc Simplify Size 3 Ht5 5deg 28 12 $19,603.20 — $12,840.10 $12,840.10 $12,840.10 2026-09-21
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 18 16 $211,904.04 — $12,830.14 $27,598.77 $12,830.14 2026-09-21
24546 CPT Treat Humerus Fracture 82 23 $145,953.48 — $11,540.00 $13,986.39 $12,763.19 2026-09-21
24545 CPT Treat Humerus Fracture 41 23 $191,243.68 — $11,540.00 $13,986.39 $12,763.19 2026-09-21
24516 CPT Treat Humerus Fracture 41 23 $191,243.68 — $11,540.00 $13,986.39 $12,763.19 2026-09-21
24515 CPT Treat Humerus Fracture 41 23 $191,243.68 — $11,540.00 $13,986.39 $12,763.19 2026-09-21
28735 CPT Fusion Of Foot Bones 41 23 $52,290.96 — $11,540.00 $13,986.39 $12,763.19 2026-09-21
23680 CPT Treat Dislocation/fracture 41 23 $348,112.68 — $11,540.00 $13,986.39 $12,763.19 2026-09-21
23615 CPT Treat Humerus Fracture 41 23 $191,243.68 — $11,540.00 $13,986.39 $12,763.19 2026-09-21
28737 CPT Revision Of Foot Bones 82 23 $61,650.09 — $11,540.00 $13,986.39 $12,763.19 2026-09-21
28730 CPT Fusion Of Foot Bones 123 23 $73,077.82 — $11,540.00 $13,986.39 $12,763.19 2026-09-21
22554 CPT Neck Spine Fusion 41 23 $167,876.12 — $11,540.00 $13,986.39 $12,763.19 2026-09-21
22551 CPT Neck Spine Fuse&remov Bel C2 41 23 $167,876.12 — $11,540.00 $13,986.39 $12,763.19 2026-09-21
24575 CPT Treat Humerus Fracture 41 23 $191,243.68 — $11,540.00 $13,986.39 $12,763.19 2026-09-21
27828 CPT Treat Lower Leg Fracture 41 23 $110,850.26 — $11,540.00 $13,986.39 $12,763.19 2026-09-21
27827 CPT Treat Lower Leg Fracture 41 23 $92,091.32 — $11,540.00 $13,986.39 $12,763.19 2026-09-21
27758 CPT Treatment Of Tibia Fracture 41 23 $110,850.26 — $11,540.00 $13,986.39 $12,763.19 2026-09-21
27759 CPT Treatment Of Tibia Fracture 41 23 $291,448.66 — $11,540.00 $13,986.39 $12,763.19 2026-09-21
24587 CPT Treat Elbow Fracture 41 23 $71,674.22 — $11,540.00 $13,986.39 $12,763.19 2026-09-21
24579 CPT Treat Humerus Fracture 82 23 $93,005.32 — $11,540.00 $13,986.39 $12,763.19 2026-09-21
385 MS_DRG Inflammatory Bowel Disease With Mcc 18 16 $47,562.41 — $12,725.27 $27,959.24 $12,725.27 2026-09-21
299 MS_DRG Peripheral Vascular Disorders With Mcc 18 16 $57,455.71 — $12,669.74 $28,849.81 $12,669.74 2026-09-21
177 MS_DRG Respiratory Infections And Inflammations With Mcc 18 16 $54,156.63 — $12,661.26 $27,612.91 $12,661.26 2026-09-21
786 MS_DRG Cesarean Section Without Sterilization With Mcc 18 16 $47,588.69 — $12,656.63 $29,146.67 $12,656.63 2026-09-21
38 MS_DRG Extracranial Procedures With Cc 18 16 $87,633.92 — $12,621.16 $28,671.34 $12,621.16 2026-09-21
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 18 16 $68,445.73 — $12,594.17 $29,250.92 $12,594.17 2026-09-21
37238 CPT Open/perq Place Stent Same 82 23 $112,209.96 — $11,740.33 $13,441.00 $12,590.67 2026-09-21
37244 CPT Vasc Embolize/occlude Bleed 41 23 $198,467.87 — $11,740.33 $13,441.00 $12,590.67 2026-09-21
37243 CPT Vasc Embolize/occlude Organ 41 23 $198,467.87 — $11,740.33 $13,441.00 $12,590.67 2026-09-21
37236 CPT Open/perq Place Stent 1st 82 23 $89,429.37 — $11,740.33 $13,441.00 $12,590.67 2026-09-21
36905 CPT Thrmbc/nfs Dialysis Circuit 41 23 $85,259.44 — $11,740.33 $13,441.00 $12,590.67 2026-09-21
36903 CPT Intro Cath Dialysis Circuit 41 23 $39,421.62 — $11,740.33 $13,441.00 $12,590.67 2026-09-21
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 18 16 $62,942.62 — $12,483.89 $28,312.64 $12,483.89 2026-09-21
59410 CPT Obstetrical Care 28 12 $19,020.85 — $12,458.66 $12,458.66 $12,458.66 2026-09-21
59610 CPT Vbac Delivery 28 12 $19,019.67 — $12,457.88 $12,457.88 $12,457.88 2026-09-21
59614 CPT Vbac Care After Delivery 28 12 $19,019.67 — $12,457.88 $12,457.88 $12,457.88 2026-09-21
59400 CPT Obstetrical Care 28 12 $19,006.13 — $12,449.02 $12,449.02 $12,449.02 2026-09-21
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 18 16 $69,408.43 — $12,429.14 $28,819.77 $12,429.14 2026-09-21
186 MS_DRG Pleural Effusion With Mcc 18 16 $61,298.33 — $12,379.79 $27,538.70 $12,379.79 2026-09-21
C1785 HCPCS Generator Azure Ipg Xt Dr MRI 28 12 $18,629.63 — $12,202.41 $12,202.41 $12,202.41 2026-09-21
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 18 16 $148,569.82 — $12,146.13 $26,273.52 $12,146.13 2026-09-21
33228 CPT Remv&replc Pm Gen Dual Lead 41 23 $140,655.68 — $10,834.23 $13,441.00 $12,137.61 2026-09-21
33213 CPT Insert Pulse Gen Dual Leads 41 23 $140,655.68 — $10,834.23 $13,441.00 $12,137.61 2026-09-21
33207 CPT Insert Heart Pm Ventricular 41 23 $61,866.67 — $10,834.23 $13,441.00 $12,137.61 2026-09-21
813 MS_DRG Coagulation Disorders 18 16 $34,630.38 — $12,133.02 $26,952.05 $12,133.02 2026-09-21
55866 CPT Laparo Radical Prostatectomy 41 23 $39,236.97 — $10,778.22 $13,441.00 $12,109.61 2026-09-21
92928 CPT Ir Prq Card Stent W/angio 1 Vsl 41 23 $26,710.94 — $11,540.00 $12,327.34 $11,933.67 2026-09-21
37187 CPT Venous Mech Thrombectomy 82 23 $96,010.99 — $11,540.00 $12,327.34 $11,933.67 2026-09-21
C9764 HCPCS Revasc Intravasc Lithotripsy 41 23 $85,902.78 — $11,540.00 $12,327.34 $11,933.67 2026-09-21
398 MS_DRG Appendix Procedures With Cc 13 11 $51,910.29 — $11,864.65 $12,457.89 $11,864.65 2026-09-21
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 18 16 $32,857.86 — $11,806.05 $27,817.88 $11,806.05 2026-09-21
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 18 16 $87,102.61 — $11,797.56 $26,937.92 $11,797.56 2026-09-21
682 MS_DRG Renal Failure With Mcc 18 16 $84,482.68 — $11,777.51 $26,169.27 $11,777.51 2026-09-21
506 MS_DRG Major Thumb Or Joint Procedures 18 16 $38,475.26 — $11,755.92 $21,196.93 $11,755.92 2026-09-21
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 18 16 $59,737.45 — $11,706.57 $27,153.49 $11,706.57 2026-09-21
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 18 16 $39,710.06 — $11,675.72 $26,588.05 $11,675.72 2026-09-21
794 MS_DRG Neonate With Other Significant Problems 18 16 $22,860.36 — $11,579.33 $26,079.15 $11,579.33 2026-09-21
43775 CPT Lap Sleeve Gastrectomy 28 12 $35,468.71 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27725 CPT Repair Of Lower Leg 28 12 $92,091.32 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27248 CPT Treat Thigh Fracture 28 12 $92,557.53 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
35800 CPT Explore Neck Vessels 28 12 $96,409.11 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27886 CPT Amputation Follow-up Surgery 28 12 $119,177.86 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27712 CPT Realignment Of Lower Leg 28 12 $70,430.37 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27596 CPT Amputation Follow-up Surgery 28 12 $128,738.61 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
22852 CPT Remove Spine Fixation Device 28 12 $24,267.66 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27244 CPT Treat Thigh Fracture 28 12 $92,557.53 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27598 CPT Amputate Lower Leg At Knee 28 12 $95,337.83 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27187 CPT Reinforce Hip Bones 28 12 $79,369.45 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
22585 CPT Additional Spinal Fusion 28 12 $182,744.27 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
49596 CPT Rpr Aa Hrn 1st > 10 Ncr/strn 28 12 $33,250.21 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27488 CPT Removal Of Knee Prosthesis 56 12 $73,648.76 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
22224 CPT Incis W/discectomy Lumbar 28 12 $117,756.58 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27465 CPT Shortening Of Thigh Bone 28 12 $99,223.55 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27450 CPT Incision Of Thigh 28 12 $105,077.11 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
20957 CPT Mt Bone Graft Microvasc 28 12 $52,290.96 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27455 CPT Realignment Of Knee 28 12 $110,850.26 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
43645 CPT Lap Gastr Bypass Incl Smll I 28 12 $35,468.71 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27178 CPT Treat Slipped Epiphysis 28 12 $77,681.72 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27177 CPT Treat Slipped Epiphysis 28 12 $78,103.65 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27161 CPT Incision Of Neck Of Femur 28 12 $77,681.72 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27125 CPT Partial Hip Replacement 28 12 $97,598.44 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27882 CPT Amputation Of Lower Leg 28 12 $119,177.86 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27236 CPT Treat Thigh Fracture 28 12 $92,557.53 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27724 CPT Repair/graft Of Tibia 28 12 $92,091.32 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27881 CPT Amputation Of Lower Leg 28 12 $119,177.86 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
43644 CPT Lap Gastric Bypass/roux-en-y 28 12 $35,468.71 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
27181 CPT Treat Slipped Epiphysis 28 12 $77,681.72 — $11,540.00 $11,540.00 $11,540.00 2026-09-21
388 MS_DRG Gastrointestinal Obstruction With Mcc 18 16 $106,565.83 — $11,530.74 $26,095.06 $11,530.74 2026-09-21
602 MS_DRG Cellulitis With Mcc 18 16 $129,528.99 — $11,525.34 $25,114.37 $11,525.34 2026-09-21
637 MS_DRG Diabetes With Mcc 18 16 $60,883.69 — $11,425.86 $25,386.49 $11,425.86 2026-09-21
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 18 16 $39,307.08 — $11,294.00 $25,499.58 $11,294.00 2026-09-21
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 18 16 $76,813.18 — $11,247.73 $26,397.21 $11,247.73 2026-09-21
58552 CPT Laparo-vag Hyst Incl T/o 82 23 $36,618.96 — $10,778.22 $11,540.00 $11,159.11 2026-09-21
58554 CPT Laparo-vag Hyst W/t/o Compl 41 23 $31,774.51 — $10,778.22 $24,244.13 $11,159.11 2026-09-21
58553 CPT Laparo-vag Hyst Complex 41 23 $39,469.35 — $10,778.22 $11,540.00 $11,159.11 2026-09-21
58571 CPT Tlh W/t/o 250 G Or Less 41 23 $46,949.72 — $10,778.22 $11,540.00 $11,159.11 2026-09-21
47564 CPT Laparo Cholecystectomy/explr 41 23 $81,217.30 — $10,778.22 $11,540.00 $11,159.11 2026-09-21
58570 CPT Tlh Uterus 250 G Or Less 41 23 $40,063.96 — $10,778.22 $11,540.00 $11,159.11 2026-09-21
43770 CPT Lap Place Gastr Adj Device 41 23 $35,468.71 — $10,778.22 $11,540.00 $11,159.11 2026-09-21
57425 CPT Laparoscopy Surg Colpopexy 41 23 $40,063.96 — $10,778.22 $11,540.00 $11,159.11 2026-09-21
43281 CPT Lap Paraesophag Hern Repair 41 23 $72,814.45 — $10,778.22 $11,540.00 $11,159.11 2026-09-21
58573 CPT Tlh W/t/o Uterus Over 250 G 41 23 $46,355.21 — $10,778.22 $11,540.00 $11,159.11 2026-09-21
811 MS_DRG Red Blood Cell Disorders With Mcc 18 16 $47,673.67 — $11,044.91 $24,813.98 $11,044.91 2026-09-21
33285 CPT Insj Subq Car Rhythm Mntr 41 23 $104,455.41 — $8,567.71 $13,441.00 $11,004.35 2026-09-21
33227 CPT Remove&replace Pm Gen Singl 41 23 $44,204.17 — $8,567.71 $13,441.00 $11,004.35 2026-09-21
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 13 11 $7,160.33 — $10,910.73 $11,456.27 $10,910.73 2026-09-21
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 18 16 $43,691.45 — $10,761.90 $24,089.51 $10,761.90 2026-09-21
99188 CPT App Topical Fluoride Varnish 28 12 $16,360.50 — $10,716.13 $10,716.13 $10,716.13 2026-09-21
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 18 16 $46,286.22 — $10,579.90 $23,356.21 $10,579.90 2026-09-21
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 18 16 $33,905.59 — $10,529.01 $23,354.44 $10,529.01 2026-09-21
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 18 16 $78,628.23 — $10,476.57 $23,766.15 $10,476.57 2026-09-21
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 18 16 $85,696.87 — $10,436.47 $23,600.05 $10,436.47 2026-09-21
C1761 HCPCS Cath Trans Intra Litho/coro 28 12 $15,885.35 — $10,404.90 $10,404.90 $10,404.90 2026-09-21
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 18 16 $75,677.30 — $10,357.04 $23,225.45 $10,357.04 2026-09-21
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 18 16 $56,176.07 — $10,356.27 $24,133.69 $10,356.27 2026-09-21
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