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Hospital

LOURDES MEDICAL CENTER

Pasco, WA · CCN 501337 · Rates published

2,048 distinct procedures filed
90 distinct payers
40,101 rate rows
2026-04-01 last MRF observed
Data quality

24,423 of 40,101 rate rows are consumer-grade (60.9%)

15,678 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 15,669
exceeds 10× this hospital's gross charge — excluded from medians 8
placeholder amount (≤ $0.02) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.yourlourdes.com/docs/ahlourdeshealthlibraries/hcl/mrf3q25/364850536_lourdes-health_standardcharges.csv
Found on page https://www.yourlourdes.com/hospital-charges-listing
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint ca7719adedacd60c… · 118,690 bytes · first seen 2026-05-17

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $197,692.07 $212,060.67 $200,544.61 nat. median
$265,286
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $149,731.25 $160,613.98 $151,981.05 nat. median
$202,986
0.7× median
22558
HCPCS 		Lumbar Spine Fusion 1 $133,905.51 $133,905.51 $133,905.51 nat. median
$8,451
outlier · 15.8×
518
MS_DRG 		B/n X Sp Fus Mcc Dxc Nestm 2 $58,063.62 $140,808.25 $99,435.93 nat. median
$36,123
outlier · 2.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $97,713.45 $104,815.43 $99,309.53 nat. median
$133,176
0.7× median
454
MS_DRG 		Ant/pos Spinal Fusn W Cc 3 $90,145.32 $98,063.49 $91,570.59 nat. median
$62,270
1.5× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 $46,332.09 $107,305.38 $87,700.32 nat. median
$59,793
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $79,939.16 $85,749.28 $81,311.86 nat. median
$108,660
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $77,748.06 $83,398.92 $79,093.23 nat. median
$98,905
0.8× median
455
MS_DRG 		Ant/pos Spnal Fusn Wo Cc 5 $73,229.04 $172,695.80 $77,086.80 nat. median
$48,483
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 11 $70,240.76 $75,345.98 $71,491.57 nat. median
$99,019
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $69,011.88 $74,027.78 $70,247.25 nat. median
$93,672
0.7× median
460
MS_DRG 		Spnal Fusn X Cervcal Womcc 3 $58,244.98 $87,981.22 $60,632.60 nat. median
$39,075
1.6× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $59,467.97 $63,790.20 $60,583.40 nat. median
$79,312
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $54,165.88 $58,102.74 $55,214.67 nat. median
$74,915
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $53,932.37 $57,852.27 $54,978.24 nat. median
$73,807
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 $50,300.76 $116,788.82 $52,327.01 nat. median
$68,887
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 21 $48,758.67 $113,208.37 $50,734.32 nat. median
$66,526
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 $47,134.75 $109,437.93 $49,057.07 nat. median
$63,738
0.8× median
999
MS_DRG 		Ungroupable 15 $1,212.94 $49,402.36 $48,433.69 nat. median
$9,134
outlier · 5.3×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $46,384.86 $49,756.19 $47,335.86 nat. median
$64,510
0.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $46,384.86 $49,756.19 $47,335.86 nat. median
$61,920
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 21 $45,393.01 $105,393.95 $47,258.20 nat. median
$62,134
0.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 21 $43,182.15 $100,260.77 $44,974.79 nat. median
$60,185
0.7× median
64568
CPT 		Open Implantation Cranial Nerve Nea & Pulse Gen 3 $43,785.49 $44,661.20 $44,223.35 nat. median
$27,541
1.6× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 $43,232.25 $46,374.44 $44,143.64 nat. median
$60,726
0.7× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 11 $42,768.06 $45,876.52 $43,673.63 nat. median
$59,899
0.7× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 $42,373.02 $45,452.77 $43,273.62 nat. median
$59,099
0.7× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 20 $41,399.51 $96,121.80 $43,133.63 nat. median
$57,424
0.8× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 $41,372.70 $96,059.56 $43,105.94 nat. median
$56,697
0.8× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 $4,129.00 $76,540.39 $42,822.89 nat. median
$52,278
0.8× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 22 $40,206.61 $93,352.11 $41,901.58 nat. median
$52,753
0.8× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $39,659.89 $221,488.36 $41,336.92 nat. median
$54,211
0.8× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 $40,423.89 $43,361.96 $41,299.99 nat. median
$55,929
0.7× median
834
MS_DRG 		Acute Leukemia With Mcc 22 $38,728.01 $89,919.07 $40,374.45 nat. median
$53,173
0.8× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 $38,536.13 $89,473.56 $40,176.27 nat. median
$53,268
0.8× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 $37,619.75 $87,345.93 $39,229.83 nat. median
$52,879
0.7× median
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 21 $36,500.00 $87,293.52 $38,822.14 nat. median
$51,319
0.8× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 22 $37,221.18 $86,420.52 $38,818.17 nat. median
$51,307
0.8× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 20 $36,721.03 $85,259.25 $38,301.59 nat. median
$49,191
0.8× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 $35,555.64 $82,553.44 $37,097.97 nat. median
$48,732
0.8× median
22856
HCPCS 		Cerv Artific Diskectomy 2 $31,318.96 $42,809.87 $37,064.42 nat. median
$16,926
outlier · 2.2×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 $34,838.90 $80,889.33 $36,834.43 nat. median
$48,170
0.8× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 22 $35,183.16 $81,688.62 $36,713.28 nat. median
$48,178
0.8× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 $34,719.69 $80,612.52 $36,234.57 nat. median
$47,740
0.8× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 11 $34,900.99 $37,437.65 $35,707.68 nat. median
$50,673
0.7× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 21 $34,063.63 $79,089.28 $35,557.00 nat. median
$46,647
0.8× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 $33,097.88 $76,846.99 $34,559.54 nat. median
$46,084
0.7× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 $33,584.64 $36,025.63 $34,374.78 nat. median
$47,651
0.7× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 20 $32,580.79 $75,646.41 $34,025.50 nat. median
$46,109
0.7× median

Other procedures at this hospital

Browse this hospital's 2,048 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 11 — — $197,692.07 $212,060.67 $200,544.61 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 11 — — $149,731.25 $160,613.98 $151,981.05 2026-04-01
22558 HCPCS Lumbar Spine Fusion 1 1 $24,476.77 $9,790.71 60% off $133,905.51 $133,905.51 $133,905.51 2025-09-24
518 MS_DRG B/n X Sp Fus Mcc Dxc Nestm 2 2 $128,535.82 $51,414.33 60% off $58,063.62 $140,808.25 $99,435.93 2025-09-24
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 11 — — $97,713.45 $104,815.43 $99,309.53 2026-04-01
454 MS_DRG Ant/pos Spinal Fusn W Cc 3 3 $251,557.29 $100,622.91 60% off $90,145.32 $98,063.49 $91,570.59 2025-09-24
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 8 — — $46,332.09 $107,305.38 $87,700.32 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 11 — — $79,939.16 $85,749.28 $81,311.86 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 11 — — $77,748.06 $83,398.92 $79,093.23 2026-04-01
455 MS_DRG Ant/pos Spnal Fusn Wo Cc 5 5 $238,693.44 $95,477.38 60% off $73,229.04 $172,695.80 $77,086.80 2025-09-24
215 MS_DRG Other Heart Assist System Implant 17 11 — — $70,240.76 $75,345.98 $71,491.57 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 11 — — $69,011.88 $74,027.78 $70,247.25 2026-04-01
460 MS_DRG Spnal Fusn X Cervcal Womcc 3 3 $220,827.28 $88,330.91 60% off $58,244.98 $87,981.22 $60,632.60 2025-09-24
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 11 — — $59,467.97 $63,790.20 $60,583.40 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 11 — — $54,165.88 $58,102.74 $55,214.67 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 11 — — $53,932.37 $57,852.27 $54,978.24 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 20 — — $50,300.76 $116,788.82 $52,327.01 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 21 $90,315.83 $36,126.33 60% off $48,758.67 $113,208.37 $50,734.32 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 20 — — $47,134.75 $109,437.93 $49,057.07 2026-04-01
999 MS_DRG Ungroupable 22 15 — — $1,212.94 $49,402.36 $48,433.69 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 11 — — $46,384.86 $49,756.19 $47,335.86 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 11 — — $46,384.86 $49,756.19 $47,335.86 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 21 — — $45,393.01 $105,393.95 $47,258.20 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 21 — — $43,182.15 $100,260.77 $44,974.79 2026-04-01
64568 CPT Open Implantation Cranial Nerve Nea & Pulse Gen 6 3 — — $43,785.49 $44,661.20 $44,223.35 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 11 — — $43,232.25 $46,374.44 $44,143.64 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 11 — — $42,768.06 $45,876.52 $43,673.63 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 11 — — $42,373.02 $45,452.77 $43,273.62 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 20 — — $41,399.51 $96,121.80 $43,133.63 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 30 22 — — $41,372.70 $96,059.56 $43,105.94 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 15 — — $4,129.00 $76,540.39 $42,822.89 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 22 — — $40,206.61 $93,352.11 $41,901.58 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 22 $272,970.62 $109,188.25 60% off $39,659.89 $221,488.36 $41,336.92 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 11 — — $40,423.89 $43,361.96 $41,299.99 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 30 22 — — $38,728.01 $89,919.07 $40,374.45 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 20 — — $38,536.13 $89,473.56 $40,176.27 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 20 — — $37,619.75 $87,345.93 $39,229.83 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 21 — — $36,500.00 $87,293.52 $38,822.14 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 22 — — $37,221.18 $86,420.52 $38,818.17 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 27 20 — — $36,721.03 $85,259.25 $38,301.59 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 20 — — $35,555.64 $82,553.44 $37,097.97 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 2 2 $14,817.78 $5,927.11 60% off $31,318.96 $42,809.87 $37,064.42 2025-09-24
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 24 $136,709.61 $54,683.85 60% off $34,838.90 $80,889.33 $36,834.43 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 30 22 — — $35,183.16 $81,688.62 $36,713.28 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 22 — — $34,719.69 $80,612.52 $36,234.57 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 17 11 — — $34,900.99 $37,437.65 $35,707.68 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 28 21 — — $34,063.63 $79,089.28 $35,557.00 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 23 $132,983.04 $53,193.22 60% off $33,097.88 $76,846.99 $34,559.54 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 11 — — $33,584.64 $36,025.63 $34,374.78 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 27 20 — — $32,580.79 $75,646.41 $34,025.50 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 29 22 $217,254.54 $86,901.82 60% off $32,425.59 $75,286.07 $33,865.20 2026-04-01
245 MS_DRG Aicd Generator Procedures 30 22 — — $32,185.04 $74,727.55 $33,616.75 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 23 $52,282.72 $20,913.09 60% off $1,632.00 $74,503.16 $33,516.93 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 14 — — $32,154.67 $65,054.18 $33,173.92 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 28 21 — — $31,616.45 $73,407.40 $33,029.51 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 21 — — $30,527.25 $70,878.48 $31,904.56 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 27 20 — — $29,916.34 $69,460.06 $31,273.59 2026-04-01
00534 CPT Anesth,Cardioverter/Defib 2 2 — — $31,202.87 $31,202.87 $31,202.87 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 21 — — $29,792.18 $69,171.79 $31,145.36 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 30 22 — — $29,639.80 $68,818.01 $30,987.98 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 21 — — $29,549.51 $68,608.36 $30,894.72 2026-04-01
63655 CPT Surg Implnt Neuroelect,Epidural 11 3 — — $30,674.86 $31,288.35 $30,674.86 2026-04-01
63663 CPT Revj Incl Rplcmt Nstim Eltrd Prq Ra Incl Fluor 6 3 — — $30,674.86 $31,288.35 $30,674.86 2026-04-01
63685 CPT Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj 14 3 — — $30,674.86 $31,288.35 $30,674.86 2026-04-01
00620 CPT Anesth,Thor Spine,Cord Surgery 3 3 — — $30,674.86 $31,288.35 $30,674.86 2026-04-01
61885 CPT Imp Stim,Cranial,Subq,1 Array 7 3 — — $30,674.86 $31,288.35 $30,674.86 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 30 22 — — $29,296.96 $68,021.99 $30,633.89 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 30 22 — — $29,102.97 $67,571.56 $30,433.54 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 22 15 — — $2,949.00 $53,696.11 $30,151.80 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 31 24 $261,971.13 $104,788.45 60% off $9,070.88 $72,042.06 $29,668.52 2026-04-01
791 MS_DRG Prematurity With Major Problems 22 15 — — $2,949.00 $52,271.80 $29,361.78 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 30 22 — — $27,305.51 $63,398.20 $28,577.09 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 30 22 — — $27,084.00 $62,883.89 $28,348.30 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 28 21 — — $2,075.26 $63,303.20 $28,255.06 2026-04-01
941 MS_DRG Or Px W Pdx Oth Svcs Womcc 1 1 $227,864.13 $91,145.65 60% off $27,933.52 $27,933.52 $27,933.52 2025-09-24
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 30 22 — — $26,545.74 $61,634.18 $27,792.38 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 31 23 $18,429.36 $7,371.74 60% off $26,367.27 $61,219.79 $27,608.05 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 30 22 — — $26,290.38 $61,041.26 $27,528.63 2026-04-01
22633 CPT Arthrodesis Combined Tq 1ntrspc Lumbar 4 2 — — $26,973.24 $27,512.71 $27,242.97 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 21 — — $25,900.98 $60,137.14 $27,126.45 2026-04-01
63053 CPT Lam Facetec/Foramot DRG Arthrd Lmbr Ea Addl Sgm 2 1 — — $26,973.24 $26,973.24 $26,973.24 2026-04-01
63052 CPT Lam Facetec/Foramot DRG Arthrd Lumbar 1 Vrt Sgm 3 2 — — $26,973.24 $26,973.24 $26,973.24 2026-04-01
949 MS_DRG Aftercare With Cc/mcc 22 15 — — $1,212.94 $27,465.75 $26,927.21 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 22 — — $25,441.03 $59,069.23 $26,651.41 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 30 22 — — $25,190.60 $58,487.77 $26,392.76 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 28 21 — — $25,087.59 $58,248.64 $26,286.39 2026-04-01
00537 CPT Anesth,Card Electrophys Proc 4 3 — — $25,982.98 $26,502.64 $26,242.81 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 20 16 — — $24,368.41 $55,878.60 $26,180.85 2026-04-01
620 MS_DRG Or Px For Obesity W Cc 1 1 $93,613.72 $37,445.49 60% off $26,105.29 $26,105.29 $26,105.29 2025-09-24
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 21 — — $24,878.08 $57,762.18 $26,070.00 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 30 22 — — $24,607.90 $57,134.87 $25,790.93 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 21 — — $24,601.55 $57,120.12 $25,784.38 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 21 — — $24,370.16 $56,582.89 $25,545.41 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 30 22 — — $24,257.29 $56,320.83 $25,428.82 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 21 — — $24,185.34 $56,153.76 $25,354.51 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 31 23 $55,911.65 $22,364.66 60% off $15,431.62 $54,715.69 $24,714.81 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 28 21 — — $23,221.00 $53,914.75 $24,358.53 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 30 22 — — $22,946.58 $53,277.61 $24,075.10 2026-04-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 25 18 $67,622.50 $27,049.00 60% off $1,212.94 $27,258.64 $23,999.49 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 30 22 — — $22,845.70 $53,043.39 $23,970.91 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 30 22 — — $22,820.31 $52,984.43 $23,944.67 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 30 23 $252,221.11 $100,888.45 60% off $22,788.57 $52,910.72 $23,911.90 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 21 — — $22,765.28 $52,856.67 $23,887.86 2026-04-01
945 MS_DRG Rehabilitation With Cc/mcc 26 19 $62,607.70 $25,043.08 60% off $1,212.94 $77,297.90 $23,870.58 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 30 22 — — $22,523.32 $52,294.87 $23,637.95 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 24 17 $87,746.51 $35,098.61 60% off $1,212.94 $35,915.88 $23,611.24 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 30 22 — — $22,481.69 $52,198.24 $23,594.96 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 30 22 — — $22,228.45 $51,610.23 $23,333.40 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 27 20 — — $22,217.87 $51,585.66 $23,322.47 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 22 — — $21,972.37 $51,015.67 $23,068.91 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 30 22 — — $21,933.57 $50,925.59 $23,028.86 2026-04-01
621 MS_DRG Or Px For Obesity Wo Cc 1 1 $91,661.83 $36,664.73 60% off $22,768.56 $22,768.56 $22,768.56 2025-09-24
263 MS_DRG Vein Ligation And Stripping 30 22 — — $21,568.15 $50,077.15 $22,651.43 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 31 23 $78,602.73 $31,441.09 60% off $21,397.43 $49,680.78 $22,475.12 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 22 15 — — $1,212.94 $24,889.51 $22,262.55 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 28 20 $80,371.59 $32,148.64 60% off $1,212.94 $59,869.08 $22,035.60 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 31 23 $68,603.77 $27,441.51 60% off $20,782.99 $48,254.17 $21,840.52 2026-04-01
570 MS_DRG Skin Debridement With Mcc 30 22 — — $20,747.72 $48,172.28 $21,804.08 2026-04-01
950 MS_DRG Aftercare Without Cc/mcc 24 17 $71,152.07 $28,460.83 60% off $1,212.94 $24,169.59 $21,616.08 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 30 22 — — $20,544.56 $47,700.56 $21,594.24 2026-04-01
452 MS_DRG Tx Complications W Cc 1 1 $71,335.71 $28,534.28 60% off $21,302.27 $21,302.27 $21,302.27 2025-09-24
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 30 22 — — $20,247.56 $47,011.01 $21,287.50 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 22 15 — — $1,212.94 $21,623.96 $21,199.96 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 30 22 — — $20,108.59 $46,688.34 $21,143.98 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 17 11 — — $20,359.02 $21,838.75 $20,982.98 2026-04-01
502 MS_DRG Soft Tiss Px Wo Cc/mcc 1 1 $44,606.96 $17,842.78 60% off $20,664.23 $20,664.23 $20,664.23 2025-09-24
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 32 25 $144,810.52 $57,924.21 60% off $19,385.51 $93,523.27 $20,579.15 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 30 22 — — $19,554.12 $45,400.95 $20,571.30 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 28 21 — — $19,449.71 $45,158.54 $20,463.47 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 22 15 — — $1,212.94 $20,862.22 $20,453.16 2026-04-01
964 MS_DRG Other Multiple Significant Trauma With Cc 22 15 — — $1,212.94 $20,862.22 $20,453.16 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 22 15 — — $1,212.94 $20,850.86 $20,442.02 2026-04-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 23 16 $24,963.80 $9,985.52 60% off $1,212.94 $20,850.86 $20,442.02 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 30 22 — — $19,390.45 $45,020.96 $20,402.27 2026-04-01
489 MS_DRG Knee Px Wo Inf Pdx Wo Cc 2 2 $47,598.64 $19,039.46 60% off $19,987.70 $20,613.55 $20,300.62 2025-09-24
963 MS_DRG Other Multiple Significant Trauma With Mcc 30 22 — — $19,285.35 $44,776.91 $20,293.71 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 25 19 — — $19,241.74 $44,563.98 $20,199.00 2026-04-01
64590 CPT Implant Neurostim/Receiver 5 3 — — $19,285.16 $19,670.86 $19,670.86 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 30 22 — — $18,310.43 $42,513.33 $19,286.79 2026-04-01
64561 CPT Hc Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging 7 3 — — $19,285.16 $19,670.86 $19,285.16 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 28 21 — — $18,194.73 $42,244.72 $19,167.30 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 27 20 — — $18,194.73 $42,244.72 $19,167.30 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 30 22 — — $17,924.55 $41,617.40 $18,888.27 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 30 22 — — $17,890.69 $41,538.78 $18,853.27 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 30 22 — — $17,805.34 $41,340.60 $18,765.12 2026-04-01
36215 CPT Hc Sel Cath Thor/Brachioceph 1st|UNUSUAL Non-overlapping Service 4 3 — — $18,223.02 $18,587.48 $18,405.25 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 30 22 — — $17,348.20 $40,279.24 $18,293.00 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 31 23 $65,359.36 $26,143.74 60% off $17,343.26 $52,287.49 $18,287.90 2026-04-01
36906 CPT Hc Thrmbc/Nfs Dialysis W Stent 6 3 — — $18,223.02 $18,587.48 $18,223.02 2026-04-01
37184 CPT Hc Thromb Mech 1st Vssl 6 3 — — $18,223.02 $18,587.48 $18,223.02 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 30 22 — — $17,242.39 $40,033.55 $18,183.71 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 30 22 — — $17,221.93 $39,986.05 $18,162.57 2026-04-01
184 MS_DRG Major Chest Trauma With Cc 22 15 — — $1,212.94 $18,383.78 $18,023.31 2026-04-01
C1820 HCPCS Generator Neuro Rechg Bat Sy 1 1 $99,999.99 $40,000.00 60% off $17,982.26 $17,982.26 $17,982.26 2025-09-24
783 MS_DRG Cesarean Section With Sterilization With Mcc 29 21 — — $4,558.00 $40,212.08 $17,905.02 2026-04-01
792 MS_DRG Prematurity Without Major Problems 22 15 — — $1,500.00 $31,540.80 $17,862.87 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 31 23 $122,944.90 $49,177.96 60% off $16,910.83 $39,263.74 $17,841.28 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 30 22 — — $16,863.57 $39,154.00 $17,792.45 2026-04-01
22614 CPT Arthrodesis Pst/Pstlat Tq 1ntrspc Ea Addl Ntrspc 2 1 — — $17,778.52 $17,778.52 $17,778.52 2026-04-01
22600 CPT Arthrd Pst/Pstlat Tq 1ntrspc Crv Belw C2 Segment 3 2 — — $17,429.92 $17,778.52 $17,778.52 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 30 22 — — $16,834.65 $39,086.85 $17,762.59 2026-04-01
24361 CPT Arthroplasty Elbow W/Distal Humrl Prostc Rplcmt 4 2 — — $17,429.92 $17,778.52 $17,604.22 2026-04-01
22842 CPT Posterior Segmental Instrumentation 3-6 Vrt Seg 6 3 — — $17,429.92 $17,778.52 $17,604.22 2026-04-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder 14 3 — — $17,429.92 $17,778.52 $17,429.92 2026-04-01
01638 CPT Anesth,Shoulder Replacement 5 3 — — $17,429.92 $17,778.52 $17,429.92 2026-04-01
22856 CPT Total Disc Arthrp Ant Single Interspace Cervical 4 3 — — $17,429.92 $17,778.52 $17,429.92 2026-04-01
00604 CPT Anesth,Cerv Spine, Sitting Position 5 3 — — $17,429.92 $17,778.52 $17,429.92 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 30 22 — — $16,497.44 $38,303.93 $17,414.31 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 30 22 — — $16,485.45 $38,276.09 $17,401.92 2026-04-01
709 MS_DRG Penis Procedures With Cc/mcc 30 22 — — $16,416.32 $38,115.57 $17,330.51 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 30 22 — — $16,405.03 $38,089.36 $17,318.87 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 30 22 — — $16,123.56 $37,435.84 $17,028.17 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 30 22 — — $16,053.73 $37,273.69 $16,956.02 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 30 22 — — $16,026.91 $37,211.45 $16,928.33 2026-04-01
946 MS_DRG Rehab Without Cc/mcc 1 1 $46,871.33 $18,748.53 60% off $16,877.17 $16,877.17 $16,877.17 2025-09-24
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 30 22 — — $15,610.00 $36,243.45 $16,497.75 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 30 22 — — $15,575.43 $36,163.19 $16,462.04 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/mcc 30 22 — — $15,485.84 $35,955.18 $16,369.51 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 28 21 — — $15,396.25 $35,747.17 $16,276.98 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 30 22 — — $15,370.15 $35,686.57 $16,250.03 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 30 22 — — $15,359.56 $35,662.00 $16,239.09 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 7 5 — — $15,549.40 $16,395.00 $16,073.53 2026-04-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 24 17 $64,541.98 $25,816.79 60% off $1,212.94 $69,973.61 $16,022.57 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 31 23 $48,334.08 $19,333.63 60% off $15,107.02 $35,075.63 $15,978.25 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 30 22 — — $15,101.37 $35,062.53 $15,972.44 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 30 22 — — $15,087.27 $35,029.77 $15,957.86 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 32 24 $77,064.35 $30,825.74 60% off $14,939.12 $34,685.81 $15,902.03 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 30 22 — — $15,032.25 $34,902.01 $15,901.01 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 28 21 — — $15,002.61 $34,833.22 $15,870.41 2026-04-01
453 MS_DRG Ant/pos Spnal Fusn W Mcc 1 1 $61,573.14 $24,629.26 60% off $15,827.00 $15,827.00 $15,827.00 2025-09-24
595 MS_DRG Major Skin Disorders With Mcc 30 22 — — $14,960.29 $34,734.95 $15,826.71 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 31 23 $83,809.49 $33,523.80 60% off $14,775.46 $34,305.82 $15,635.81 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 28 21 — — $14,751.48 $34,250.13 $15,611.04 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 30 22 — — $14,709.85 $34,153.49 $15,568.06 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 30 22 — — $14,668.94 $34,058.49 $15,525.80 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 30 22 — — $14,659.77 $34,037.20 $15,516.32 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 32 24 $87,840.32 $35,136.13 60% off $14,154.67 $32,864.46 $15,076.88 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 30 22 — — $14,186.42 $32,938.17 $15,027.44 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 30 22 — — $14,110.23 $32,761.28 $14,948.74 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 21 17 $89,908.87 $35,963.55 60% off $14,095.41 $32,726.88 $14,933.46 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 30 22 — — $14,074.95 $32,679.38 $14,912.32 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 31 23 $73,665.99 $29,466.40 60% off $13,973.38 $32,443.52 $14,807.41 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 30 22 — — $13,884.49 $32,237.15 $14,715.60 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 37 28 $45,635.44 $18,254.18 60% off $4,477.37 $31,816.21 $14,699.16 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 30 22 — — $13,842.16 $32,138.87 $14,671.89 2026-04-01
373 MS_DRG Maj Gi DIS&amp;PERIT Inf Wo Cc 2 2 $25,337.82 $10,135.13 60% off $8,654.78 $20,559.11 $14,606.94 2025-09-24
539 MS_DRG Osteomyelitis With Mcc 20 16 — — $13,895.08 $32,261.72 $14,582.16 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 33 25 $118,627.60 $47,451.04 60% off $13,607.25 $78,121.37 $14,572.84 2026-04-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 30 22 — — $13,705.31 $31,821.12 $14,530.53 2026-04-01
100 MS_DRG Seizures With Mcc 30 22 — — $13,662.98 $31,722.85 $14,486.84 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 30 22 — — $13,505.67 $31,357.60 $14,324.33 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 30 22 — — $13,503.55 $31,352.68 $14,322.16 2026-04-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 30 22 — — $13,336.37 $30,964.50 $14,149.47 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 30 22 — — $13,336.37 $30,964.50 $14,149.47 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 31 23 $31,886.34 $12,754.54 60% off $9,086.68 $30,910.45 $14,125.44 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 18 $70,102.21 $28,040.88 60% off $13,193.86 $50,080.73 $14,002.29 2026-04-01
504 MS_DRG Foot Procedures With Cc 30 22 — — $13,186.10 $30,615.63 $13,994.30 2026-04-01
19357 CPT Tissue Expander Placement Breast Reconstruction|BILATERAL Procedure 11 3 — — $13,699.30 $13,973.28 $13,973.28 2026-04-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 30 22 — — $13,113.44 $30,446.92 $13,919.26 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 32 24 $35,353.53 $14,141.41 60% off $12,943.43 $30,052.19 $13,802.78 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 30 22 — — $12,956.84 $30,083.31 $13,757.49 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 30 22 — — $12,916.63 $29,989.95 $13,715.97 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 31 23 $20,303.57 $8,121.43 60% off $5,092.14 $29,986.67 $13,714.51 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 30 22 — — $12,909.57 $29,973.57 $13,708.68 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 30 22 — — $12,895.46 $29,940.81 $13,694.11 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 22 — — $12,865.13 $29,870.38 $13,662.78 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 30 22 — — $12,865.13 $29,870.38 $13,662.78 2026-04-01
63030 HCPCS Low Back Disk Surgery 1 1 $17,541.63 $7,016.65 60% off $13,585.99 $13,585.99 $13,585.99 2025-09-24
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 27 20 — — $12,777.66 $29,667.28 $13,572.44 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 30 22 — — $12,768.48 $29,645.99 $13,562.96 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 22 — — $12,725.45 $29,546.08 $13,518.52 2026-04-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 30 22 — — $12,724.04 $29,542.80 $13,517.07 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 30 22 — — $12,721.93 $29,537.89 $13,514.89 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 22 — — $12,654.90 $29,382.29 $13,499.28 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 31 23 $48,570.90 $19,428.36 60% off $12,660.55 $29,395.39 $13,451.48 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 28 21 — — $12,568.84 $29,182.46 $13,356.78 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 27 21 — — $12,396.01 $28,781.18 $13,296.98 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 30 22 — — $12,508.17 $29,041.60 $13,294.11 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 30 22 — — $12,478.55 $28,972.81 $13,263.51 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 30 22 — — $12,461.62 $28,933.50 $13,246.03 2026-04-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 22 15 — — $1,500.00 $23,208.73 $13,241.31 2026-04-01
199 MS_DRG Pneumothorax With Mcc 31 23 $36,135.38 $14,454.15 60% off $12,444.68 $28,894.19 $13,228.54 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 30 22 — — $12,436.92 $28,876.18 $13,220.53 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 31 23 $161,523.81 $64,609.52 60% off $12,388.95 $29,392.99 $13,170.98 2026-04-01
666 MS_DRG Prostatectomy With Cc 30 22 — — $12,340.28 $28,651.78 $13,120.71 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 31 23 $75,444.85 $30,177.94 60% off $12,331.81 $37,405.55 $13,111.96 2026-04-01
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 30 22 — — $12,257.04 $28,458.51 $13,034.75 2026-04-01
23474 CPT Revis Shoulder Arthrplsty Humeral&Glenoid Compnt|RIGHT Side 5 3 — — $12,762.61 $13,017.86 $13,017.86 2026-04-01
22853 CPT Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd 5 3 — — $12,762.61 $13,017.86 $13,017.86 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 30 22 — — $12,190.02 $28,302.91 $12,965.52 2026-04-01
01402 CPT Anesth,Total Knee Arthroplasty 4 3 — — $12,762.61 $13,017.86 $12,890.24 2026-04-01
27447 CPT Arthrp Kne Condyle&Platu Medial&Lat Compartments|LEFT Side 12 2 — — $12,762.61 $13,017.86 $12,890.24 2026-04-01
22552 CPT Arthrd Ant Interdy Cervcl Belw C2 Ea Addl Ntrspc 4 3 — — $12,762.61 $13,017.86 $12,890.24 2026-04-01
22551 CPT Arthrd Ant Interbody Decompress Cervical Belw C2 6 3 — — $12,762.61 $13,017.86 $12,890.24 2026-04-01
00600 CPT Anesth,Cerv Spine,Cord Surgery 4 3 — — $12,762.61 $13,017.86 $12,890.24 2026-04-01
20900 CPT Bone Graft Any Donor Area Minor/Small 4 2 — — $12,762.61 $13,017.86 $12,890.24 2026-04-01
0054T CPT Bone Surgery Using Computer 6 3 — — $12,762.61 $13,017.86 $12,890.24 2026-04-01
157 MS_DRG Dental And Oral Diseases With Mcc 30 22 — — $12,111.01 $28,119.47 $12,883.92 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 26 19 — — $989.00 $28,582.99 $12,833.45 2026-04-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 30 22 — — $12,041.17 $27,957.32 $12,811.78 2026-04-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 22 — — $12,019.31 $27,906.54 $12,789.20 2026-04-01
28730 CPT Arthrd Midtarsl/Tarsometatarsal Mult/Transvrs|RIGHT Side|unusual Non-overlapping… 3 3 — — $12,762.61 $13,017.86 $12,762.61 2026-04-01
28297 CPT Corrj Hallux Valgus W/Sesmdc W/1metar Medial Cnf|RIGHT Side 5 3 — — $12,762.61 $13,017.86 $12,762.61 2026-04-01
01214 CPT Anesth,Total Hip Arthroplasty 6 3 — — $12,762.61 $13,017.86 $12,762.61 2026-04-01
27446 CPT Arthrp Knee Condyle&Plateau Medial/Lat Cmprt|RIGHT Side 7 3 — — $12,762.61 $13,017.86 $12,762.61 2026-04-01
27130 CPT Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|RIGHT Side 8 3 — — $12,762.61 $13,017.86 $12,762.61 2026-04-01
24575 CPT Open Tx Humeral Epicondylar Fracture 7 3 — — $12,762.61 $13,017.86 $12,762.61 2026-04-01
23473 CPT Revis Shoulder Arthrplsty Humeral/Glenoid Compnt 1 1 — — $12,762.61 $12,762.61 $12,762.61 2026-04-01
22845 CPT Anterior Instrumentation 2-3 Vertebral Segments|UNUSUAL Non-overlapping Service 5 3 — — $12,762.61 $13,017.86 $12,762.61 2026-04-01
20985 CPT Cptr-asst Surgical Navigation Image-less|right Side 5 3 — — $12,762.61 $13,017.86 $12,762.61 2026-04-01
20936 CPT Autograft Spine Surgery Local From Same Incision 5 3 — — $12,762.61 $13,017.86 $12,762.61 2026-04-01
20930 CPT Allograft For Spine Surgery Only Morselized 3 3 — — $12,762.61 $13,017.86 $12,762.61 2026-04-01
43644 HCPCS Lap Gastric Bypass/roux-en-y 1 1 $25,522.42 $10,208.97 60% off $12,725.88 $12,725.88 $12,725.88 2025-09-24
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 26 20 — — $11,933.24 $27,706.72 $12,700.31 2026-04-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 31 23 $45,284.03 $18,113.61 60% off $11,920.54 $27,677.23 $12,687.21 2026-04-01
571 MS_DRG Skin Debridement With Cc 31 23 $23,289.98 $9,315.99 60% off $11,918.43 $27,672.32 $12,685.02 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 30 22 — — $11,871.87 $27,564.22 $12,636.92 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 30 22 — — $11,868.33 $27,556.03 $12,633.28 2026-04-01
582 MS_DRG Mast For Malig W Cc/mcc 1 1 $42,291.39 $16,916.56 60% off $12,629.05 $12,629.05 $12,629.05 2025-09-24
551 MS_DRG Medical Back Problems With Mcc 30 22 — — $11,823.90 $27,452.84 $12,587.39 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 30 22 — — $11,787.22 $27,367.67 $12,549.50 2026-04-01
597 MS_DRG Malignant Breast Disorders With Mcc 30 22 — — $11,760.41 $27,305.43 $12,521.82 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 30 22 — — $11,730.78 $27,236.64 $12,491.21 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 32 24 $49,829.03 $19,931.61 60% off $8,904.21 $45,400.40 $12,429.27 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 30 22 — — $11,612.27 $26,961.47 $12,368.81 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 30 22 — — $11,594.63 $26,920.52 $12,350.59 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 32 24 $60,830.26 $24,332.10 60% off $11,505.74 $26,714.15 $12,290.50 2026-04-01
913 MS_DRG Traumatic Injury With Mcc 30 22 — — $11,531.14 $26,773.11 $12,285.01 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 30 22 — — $11,517.73 $26,741.99 $12,271.16 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 28 21 — — $11,508.57 $26,720.70 $12,261.72 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 31 23 $45,796.46 $18,318.58 60% off $11,500.10 $26,701.05 $12,252.97 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 30 22 — — $11,446.48 $26,576.57 $12,197.58 2026-04-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 29 21 — — $4,558.00 $27,017.16 $12,150.58 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 30 22 — — $11,317.39 $26,276.83 $12,064.25 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 32 24 $17,923.07 $7,169.23 60% off $8,169.94 $26,273.55 $12,062.80 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 30 22 — — $11,282.11 $26,194.93 $12,027.82 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 30 22 — — $11,229.91 $26,073.73 $11,973.90 2026-04-01
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 30 22 — — $11,200.29 $26,004.94 $11,943.30 2026-04-01
884 MS_DRG Organic Disturbances And Intellectual Disability 31 23 $21,424.28 $8,569.71 60% off $989.00 $26,352.17 $11,860.56 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 30 22 — — $11,105.76 $25,785.46 $11,845.68 2026-04-01
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