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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

WEIRTON MEDICAL CENTER, INC

Weirton, WV · CCN 510023 · Rates published

3,261 distinct procedures filed
45 distinct payers
161,136 rate rows
2026-07-15 last MRF observed
Data quality

141,928 of 161,136 rate rows are consumer-grade (88.1%)

19,208 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 9,567
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,948
per-diem day rate — not a per-procedure price 2,384
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 207
exceeds 10× this hospital's gross charge — excluded from medians 84
placeholder amount (≤ $0.02) — excluded from medians 18
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.weirtonmedical.com/files/55-0387249_Weirton-Medical-Center_standardcharges.xlsx
Found on page https://www.weirtonmedical.com/patients-visitors/financial.php
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-17

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 $291,037.53 $462,224.41 $307,044.59 nat. median
$359,358
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 25 $158,954.92 $204,183.81 $194,713.14 nat. median
$249,124
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 $144,165.12 $221,361.92 $152,094.21 nat. median
$198,433
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 $113,359.59 $156,221.19 $145,472.02 nat. median
$190,557
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 $54,389.96 $102,150.91 $93,716.43 nat. median
$126,722
0.7× median
7
MS_DRG 		Lung Transplant 28 $51,085.82 $95,542.63 $89,979.41 nat. median
$117,894
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 28 $47,667.65 $88,706.31 $83,501.69 nat. median
$110,192
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 28 $63,892.64 $121,156.28 $80,512.81 nat. median
$92,655
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 $44,768.32 $82,907.65 $78,734.59 nat. median
$103,967
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 $62,300.13 $117,971.26 $78,410.67 nat. median
$93,270
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 28 $61,512.91 $116,396.82 $77,371.61 nat. median
$97,414
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 28 $41,407.68 $76,186.36 $71,638.49 nat. median
$94,964
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 28 $50,790.24 $94,951.48 $70,893.52 nat. median
$93,917
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 $44,372.27 $82,115.54 $69,663.03 nat. median
$90,581
0.8× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 40 $64,274.79 $70,059.52 $67,167.15 nat. median
$68,423
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 $51,533.34 $96,437.68 $64,201.41 nat. median
$78,037
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 28 $49,660.13 $92,691.26 $61,728.42 nat. median
$78,262
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 28 $38,431.99 $70,234.97 $60,106.59 nat. median
$77,043
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 $34,415.52 $62,202.04 $57,761.03 nat. median
$77,696
0.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 $42,164.86 $77,700.71 $56,143.17 nat. median
$74,460
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 $37,350.17 $68,071.33 $54,797.56 nat. median
$72,473
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 $34,146.04 $61,663.09 $54,563.76 nat. median
$71,758
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 $31,542.93 $56,456.86 $52,108.05 nat. median
$68,004
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 28 $30,042.83 $53,456.67 $51,226.16 nat. median
$61,329
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 $31,148.28 $55,667.56 $50,927.37 nat. median
$66,649
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 $30,071.60 $53,514.21 $50,570.50 nat. median
$63,648
0.8× median
10
MS_DRG 		Pancreas Transplant 28 $29,914.32 $53,199.64 $49,857.55 nat. median
$64,903
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 $29,763.63 $52,898.27 $49,571.99 nat. median
$66,660
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 28 $28,946.76 $51,264.52 $48,677.78 nat. median
$62,721
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 28 $35,758.00 $64,887.01 $48,106.85 nat. median
$61,711
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 $36,204.07 $65,779.15 $47,791.81 nat. median
$57,560
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 $39,074.34 $71,519.68 $47,757.20 nat. median
$60,543
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 $31,754.15 $56,879.31 $47,006.34 nat. median
$62,038
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 $38,377.44 $70,125.88 $46,837.52 nat. median
$58,118
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 $28,822.47 $51,015.95 $46,803.62 nat. median
$63,896
0.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 28 $27,197.53 $47,766.07 $45,355.85 nat. median
$59,384
0.8× median
J9226
HCPCS 		Supprelin La Implant 40 $43,185.34 $47,072.02 $45,128.68 nat. median
$55,159
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 $27,713.03 $48,797.05 $44,767.94 nat. median
$59,558
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 $39,514.50 $72,400.00 $43,849.57 nat. median
$58,331
0.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 28 $36,075.88 $65,522.76 $43,799.44 nat. median
$58,216
0.8× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 $29,983.78 $53,338.56 $42,681.95 nat. median
$55,188
0.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 28 $27,896.92 $49,164.83 $42,014.44 nat. median
$55,491
0.8× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 $34,702.93 $62,776.87 $41,987.59 nat. median
$53,879
0.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 28 $25,833.28 $45,037.57 $41,643.50 nat. median
$57,804
0.7× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 28 $28,096.67 $49,564.34 $41,297.48 nat. median
$51,243
0.8× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 28 $25,346.01 $44,063.02 $41,200.21 nat. median
$53,907
0.8× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 $26,633.05 $46,637.10 $41,037.53 nat. median
$53,532
0.8× median
28
MS_DRG 		Spinal Procedures With Mcc 28 $25,634.19 $44,639.37 $40,953.55 nat. median
$54,505
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 $25,627.95 $44,626.90 $40,942.11 nat. median
$56,686
0.7× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 28 $33,857.69 $61,086.39 $40,872.24 nat. median
$48,456
0.8× median

Other procedures at this hospital

Browse this hospital's 3,261 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0238T CPT Trluml Perip Athrc Iliac Art 37 37 $18,424.00 $9,212.00 50% off $17,498.57 $19,073.44 $18,286.01 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 25 — — $158,954.92 $204,183.81 $194,713.14 2026-07-15
10 MS_DRG Pancreas Transplant 28 28 — — $29,914.32 $53,199.64 $49,857.55 2026-07-15
11 MS_DRG Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Comorbity 28 28 — — $34,560.50 $62,492.00 $39,086.54 2026-07-15
113 MS_DRG Orbital Procedures With Cc/mcc 28 28 — — $15,897.88 $25,166.75 $17,167.99 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 28 — — $24,371.10 $42,113.19 $30,341.03 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 28 28 — — $18,737.56 $30,846.13 $20,916.68 2026-07-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 28 28 — — $14,928.61 $23,228.23 $15,888.77 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 28 28 — — $47,667.65 $88,706.31 $83,501.69 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 28 28 — — $22,652.48 $38,675.96 $30,689.27 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 28 28 — — $14,392.92 $22,156.83 $15,967.18 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 28 28 — — $17,341.94 $28,054.89 $26,590.80 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 28 — — $25,346.01 $44,063.02 $41,200.21 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 28 28 — — $20,037.46 $33,445.92 $30,684.33 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 28 28 — — $14,587.81 $22,546.62 $18,389.30 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 28 — — $17,309.31 $27,989.62 $25,678.55 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 28 28 — — $23,522.36 $40,415.72 $37,744.22 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 28 28 — — $19,244.78 $31,860.56 $21,584.91 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 26 — — $291,037.53 $462,224.41 $307,044.59 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 28 — — $29,763.63 $52,898.27 $49,571.99 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 27 — — $44,768.32 $82,907.65 $78,734.59 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 28 — — $42,164.86 $77,700.71 $56,143.17 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 28 — — $27,197.53 $47,766.07 $45,355.85 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 28 28 — — $13,683.26 $20,737.53 $19,025.26 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 28 28 — — $63,892.64 $121,156.28 $80,512.81 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 28 — — $31,647.15 $56,665.31 $37,954.26 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 28 28 — — $61,512.91 $116,396.82 $77,371.61 2026-07-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 28 28 — — $33,857.69 $61,086.39 $40,872.24 2026-07-15
215 MS_DRG Other Heart Assist System Implant 28 28 — — $50,790.24 $94,951.48 $70,893.52 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 28 — — $44,372.27 $82,115.54 $69,663.03 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 28 — — $31,754.15 $56,879.31 $47,006.34 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 28 — — $27,713.03 $48,797.05 $44,767.94 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 28 — — $37,350.17 $68,071.33 $54,797.56 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 28 — — $19,786.38 $32,943.77 $23,004.70 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 28 — — $31,199.35 $55,769.70 $38,229.74 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 28 — — $23,314.98 $40,000.96 $36,162.90 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 28 — — $23,663.43 $40,697.86 $35,507.39 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 28 28 — — $21,721.55 $44,180.25 $23,024.84 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 28 — — $26,633.05 $46,637.10 $41,037.53 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 28 — — $38,431.99 $70,234.97 $60,106.59 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 28 — — $25,833.28 $45,037.57 $41,643.50 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 28 — — $34,146.04 $61,663.09 $54,563.76 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 28 — — $31,646.46 $56,663.92 $39,147.30 2026-07-15
23472 CPT Prosthetic Repair Of Shoulder Joint; Total Shoulder 74 37 $58,079.00 $29,039.50 50% off $16,737.01 $18,243.34 $17,490.17 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 28 — — $27,896.92 $49,164.83 $42,014.44 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 28 — — $25,735.71 $44,842.41 $30,148.90 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 28 — — $21,650.30 $36,671.60 $34,821.20 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 28 — — $17,947.99 $29,266.98 $27,701.61 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 28 28 — — $14,056.50 $21,484.01 $20,399.95 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 28 28 — — $16,774.72 $26,920.45 $23,113.48 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Complication 28 28 — — $12,966.12 $19,303.24 $15,612.58 2026-07-15
245 MS_DRG Aicd Generator Procedures 28 28 — — $27,732.24 $48,835.49 $32,787.87 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 28 — — $22,419.37 $38,209.74 $32,676.99 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 28 28 — — $12,220.24 $17,811.48 $15,977.07 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 28 28 — — $20,121.28 $33,613.57 $25,200.81 2026-07-15
253 MS_DRG Other Vascular Procedures With Complication 28 28 — — $14,406.11 $22,183.23 $18,895.08 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 28 28 — — $13,495.17 $20,361.35 $19,333.94 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 28 28 — — $19,603.30 $32,577.60 $22,755.36 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 28 28 — — $17,734.96 $28,840.91 $22,522.96 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 28 28 — — $22,416.48 $38,637.74 $23,537.30 2026-07-15
263 MS_DRG Vein Ligation And Stripping 28 28 — — $17,019.65 $27,410.29 $22,157.07 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 28 28 — — $15,482.62 $25,077.77 $23,007.13 2026-07-15
265 MS_DRG Aicd Lead Procedures 28 28 — — $22,678.53 $38,728.07 $26,118.37 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 28 — — $39,514.50 $72,400.00 $43,849.57 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 28 — — $21,060.38 $35,491.76 $32,561.25 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 28 — — $28,822.47 $51,015.95 $46,803.62 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity 28 28 — — $19,444.53 $32,260.07 $30,391.88 2026-07-15
27 MS_DRG Craniotomy & Endovascular Intracranial Procedures Without Complication/comorbity 28 28 — — $14,293.56 $21,958.11 $18,381.55 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 28 — — $27,498.09 $48,367.18 $37,830.64 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 28 28 — — $20,728.55 $34,828.10 $25,681.13 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 28 28 — — $15,669.63 $24,710.26 $18,594.17 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 28 — — $21,050.24 $35,471.49 $29,701.77 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 28 28 — — $19,741.57 $32,854.14 $23,812.08 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 28 — — $31,148.28 $55,667.56 $50,927.37 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 28 — — $25,627.95 $44,626.90 $40,942.11 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 28 28 — — $20,730.98 $34,832.96 $33,184.16 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 28 — — $33,104.87 $59,580.74 $39,878.37 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 28 — — $16,827.92 $27,026.83 $25,270.97 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 28 28 — — $25,634.19 $44,639.37 $40,953.55 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami; With Card Cath With Comorbity 28 28 — — $11,718.45 $16,807.90 $15,979.41 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 28 28 — — $13,527.44 $20,425.88 $19,338.51 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 28 28 — — $16,113.71 $25,598.42 $23,484.79 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 26 — — $113,359.59 $156,221.19 $145,472.02 2026-07-15
30 MS_DRG Spinal Procedures Without Cc/mcc 28 28 — — $11,066.87 $16,678.85 $15,301.70 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 28 — — $18,971.54 $33,436.39 $30,675.59 2026-07-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 28 28 — — $11,255.50 $15,881.99 $15,289.75 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 28 — — $36,204.07 $65,779.15 $47,791.81 2026-07-15
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 28 28 — — $16,277.59 $25,926.18 $17,670.24 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 28 — — $23,630.08 $40,631.16 $32,085.04 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 28 28 — — $16,187.61 $25,746.22 $17,550.85 2026-07-15
321 MS_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 28 28 — — $17,356.98 $28,084.96 $19,779.43 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 28 — — $27,836.81 $49,044.62 $31,127.92 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 28 28 — — $19,401.81 $32,174.61 $22,818.22 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 28 28 — — $20,496.48 $34,363.96 $23,237.79 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 28 — — $21,891.18 $37,153.36 $34,691.91 2026-07-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 28 28 — — $13,823.51 $21,018.03 $17,825.64 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 28 — — $20,458.00 $34,287.00 $31,455.96 2026-07-15
330 MS_DRG Major Small & Large Bowel Procedures With Complication 28 28 — — $14,746.92 $22,864.84 $17,493.65 2026-07-15
332 MS_DRG Rectal Resection With Mcc 28 28 — — $22,692.43 $38,755.86 $26,136.01 2026-07-15
33229 CPT Remv&replc Pm Gen Mult Leads 26 26 $15,881.00 $7,940.50 50% off $205.80 $20,041.13 $18,662.15 2026-07-15
33240 CPT Insrt Pulse Gen W/singl Lead 26 26 $9,977.00 $4,988.50 50% off $205.80 $23,143.70 $21,551.24 2026-07-15
33249 CPT Insj/rplcmt Defib W/lead(s) 26 26 $32,329.00 $16,164.50 50% off $205.80 $32,659.05 $30,411.86 2026-07-15
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 26 26 $15,792.00 $7,896.00 50% off $205.80 $23,143.70 $21,551.24 2026-07-15
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 26 26 $15,792.00 $7,896.00 50% off $205.80 $23,143.70 $21,551.24 2026-07-15
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 26 26 $20,964.00 $10,482.00 50% off $205.80 $32,659.05 $30,411.86 2026-07-15
33270 CPT Ins/rep Subq Defibrillator 23 23 $20,964.00 $10,482.00 50% off $205.80 $32,659.05 $30,861.30 2026-07-15
333 MS_DRG Rectal Resection With Cc 28 28 — — $15,849.93 $25,070.87 $17,105.14 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 28 — — $23,355.97 $40,082.95 $25,784.25 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 28 28 — — $12,224.06 $17,819.12 $15,455.79 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 28 — — $17,796.93 $28,964.86 $26,573.27 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 28 28 — — $17,137.42 $27,645.83 $18,804.66 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 28 28 — — $15,600.84 $24,572.69 $16,775.97 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 28 28 — — $12,455.43 $18,281.87 $17,446.33 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 28 28 — — $16,651.05 $26,673.10 $18,162.57 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 28 28 — — $16,174.06 $25,719.12 $21,059.36 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Comorbity 28 28 — — $19,711.15 $32,793.30 $30,885.04 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 28 28 — — $12,131.66 $17,634.31 $16,953.17 2026-07-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 28 28 — — $20,051.46 $33,473.91 $24,849.74 2026-07-15
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 28 28 — — $15,253.09 $23,877.18 $17,614.43 2026-07-15
36906 CPT Thrmbc/nfs Dialysis Circuit 28 28 $18,424.00 $9,212.00 50% off $386.03 $19,073.44 $17,498.57 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 28 28 — — $16,374.51 $26,120.03 $23,814.90 2026-07-15
37184 CPT Prim Art M-thrmbc 1st Vsl 26 26 $18,791.00 $9,395.50 50% off $205.80 $19,073.44 $17,761.05 2026-07-15
37242 CPT Vasc Embolize/occlude Artery 28 28 $19,030.00 $9,515.00 50% off $205.80 $19,073.44 $17,498.57 2026-07-15
37271 CPT Revsc Evsc Fpvt Athrc Sf 1st 37 37 $19,030.00 $9,515.00 50% off $17,498.57 $19,073.44 $18,286.01 2026-07-15
37273 CPT Revsc Evsc Fpvt Athrc Cplx 1 37 37 $19,030.00 $9,515.00 50% off $17,498.57 $19,073.44 $18,286.01 2026-07-15
37275 CPT Rvsc Evsc Fpvt St Athrc Sf 1 37 37 $74,196.00 $37,098.00 50% off $17,498.57 $19,073.44 $18,286.01 2026-07-15
37284 CPT Revsc Evasc Tpvt St Sf 1st 37 37 $19,030.00 $9,515.00 50% off $17,498.57 $19,073.44 $18,286.01 2026-07-15
37286 CPT Revsc Evasc Tpvt St Cplx 1st 37 37 $19,030.00 $9,515.00 50% off $17,498.57 $19,073.44 $18,286.01 2026-07-15
37288 CPT Revsc Evsc Tpvt Athrc Sf 1st 37 37 $19,030.00 $9,515.00 50% off $17,498.57 $19,073.44 $18,286.01 2026-07-15
37290 CPT Revsc Evsc Tpvt Athrc Cplx 1 37 37 $19,030.00 $9,515.00 50% off $17,498.57 $19,073.44 $18,286.01 2026-07-15
374 MS_DRG Digestive Malignancy With Mcc 28 28 — — $11,688.36 $16,747.72 $15,667.69 2026-07-15
397 MS_DRG Appendix Procedures With Mcc 28 28 — — $13,722.08 $20,815.15 $17,477.40 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 28 — — $54,389.96 $102,150.91 $93,716.43 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 28 — — $17,327.76 $28,895.21 $26,509.37 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 28 28 — — $18,409.27 $30,189.54 $28,960.07 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 28 — — $23,662.42 $40,695.83 $39,202.40 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 28 28 — — $15,923.24 $25,217.47 $21,046.66 2026-07-15
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 28 28 — — $15,194.03 $23,759.06 $16,239.12 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 28 — — $22,397.83 $38,166.66 $25,746.82 2026-07-15
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 28 — — $14,967.52 $23,306.05 $15,940.33 2026-07-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 28 28 — — $12,076.76 $17,524.52 $16,091.50 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 28 28 — — $20,439.16 $34,249.32 $23,894.03 2026-07-15
412 MS_DRG Cholecystectomy With C.d.e. With Cc 28 28 — — $14,566.61 $22,504.23 $15,411.99 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 28 28 — — $22,381.51 $38,134.01 $25,725.63 2026-07-15
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 28 28 — — $13,002.25 $19,375.50 $15,159.10 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 28 28 — — $12,354.93 $18,080.87 $17,009.67 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 28 28 — — $21,549.47 $36,469.93 $24,627.24 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 28 — — $25,541.15 $44,453.31 $29,896.02 2026-07-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 28 28 — — $15,024.15 $23,419.30 $16,015.21 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 28 — — $62,300.13 $117,971.26 $78,410.67 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 28 — — $30,071.60 $53,514.21 $50,570.50 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 28 — — $24,217.87 $41,806.74 $39,254.04 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 28 — — $51,533.34 $96,437.68 $64,201.41 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 28 28 — — $28,096.67 $49,564.34 $41,297.48 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 28 — — $39,074.34 $71,519.68 $47,757.20 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 28 28 — — $19,510.19 $32,391.39 $30,516.20 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 28 — — $31,838.58 $57,048.15 $38,207.13 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 28 28 — — $16,825.79 $27,022.59 $23,379.08 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 28 — — $34,415.52 $62,202.04 $57,761.03 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 28 — — $29,983.78 $53,338.56 $42,681.95 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 28 — — $22,443.69 $38,258.38 $30,034.47 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 28 — — $32,873.50 $59,117.99 $39,573.24 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 28 28 — — $17,550.49 $28,471.97 $19,349.97 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 28 — — $24,502.01 $42,375.03 $38,876.17 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 28 — — $15,025.16 $23,421.32 $21,593.34 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 28 — — $22,937.35 $39,245.70 $37,329.82 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 28 — — $18,061.87 $29,494.73 $25,471.34 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 28 28 — — $14,532.92 $22,436.84 $19,971.57 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 28 — — $14,726.35 $22,823.70 $21,487.03 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 28 28 — — $21,309.33 $35,989.65 $34,035.84 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 28 28 — — $16,461.02 $26,293.04 $21,370.88 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 28 28 — — $13,627.92 $20,626.85 $17,805.13 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 28 — — $19,344.88 $32,060.76 $30,395.26 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 28 28 — — $13,294.42 $19,959.84 $16,635.41 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 28 — — $16,271.36 $25,913.73 $23,774.06 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 28 28 — — $12,621.85 $18,614.70 $17,077.71 2026-07-15
480 MS_DRG Hip & Femur Procedures Except Major Joint With Comorbity 28 28 — — $15,334.03 $24,039.07 $21,132.13 2026-07-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 28 28 — — $12,877.18 $19,125.37 $15,355.47 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 28 28 — — $13,768.33 $20,907.66 $19,181.34 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 28 — — $20,585.76 $34,542.53 $23,355.77 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 28 — — $17,066.96 $27,504.92 $25,233.87 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 28 28 — — $13,271.14 $19,913.28 $18,474.79 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 28 — — $22,719.18 $38,809.36 $26,171.34 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 28 28 — — $15,233.64 $23,838.27 $21,870.28 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 28 — — $41,407.68 $76,186.36 $71,638.49 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 28 28 — — $16,960.94 $27,292.87 $22,915.71 2026-07-15
503 MS_DRG Foot Procedures With Comorbity 28 28 — — $18,252.24 $29,875.48 $20,276.00 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 28 28 — — $19,480.32 $32,331.64 $21,896.42 2026-07-15
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 28 28 — — $12,816.74 $19,004.47 $15,248.81 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 28 28 — — $20,213.00 $33,797.00 $23,071.82 2026-07-15
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 28 28 — — $13,268.01 $19,907.03 $15,239.62 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 28 — — $23,316.03 $40,003.05 $26,959.65 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 28 28 — — $14,764.99 $22,900.97 $20,834.75 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 28 28 — — $13,529.96 $20,430.92 $15,519.35 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 28 28 — — $16,596.85 $26,564.71 $18,090.52 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 28 28 — — $14,056.28 $21,483.56 $16,970.24 2026-07-15
570 MS_DRG Skin Debridement With Mcc 28 28 — — $14,179.73 $22,148.34 $20,319.58 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 28 — — $38,377.44 $70,125.88 $46,837.52 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 28 — — $16,332.97 $26,036.93 $23,887.09 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 28 — — $29,545.70 $52,462.40 $35,181.06 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 28 28 — — $17,310.78 $27,992.55 $19,284.28 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 28 — — $15,479.06 $24,329.11 $22,936.41 2026-07-15
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 28 28 — — $14,935.06 $29,605.20 $15,831.16 2026-07-15
595 MS_DRG Major Skin Disorders With Mcc 28 28 — — $14,664.58 $22,700.17 $15,540.54 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 28 28 — — $20,606.49 $34,583.97 $32,218.39 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 28 28 — — $17,687.71 $28,746.42 $20,035.84 2026-07-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 28 28 — — $15,278.82 $30,475.80 $16,195.55 2026-07-15
616 MS_DRG Amputat Of Lower Limb For Endocrine; Nutrit; & Metabol Dis With Comorbity 28 28 — — $16,391.61 $26,154.22 $24,022.40 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 28 28 — — $18,767.44 $30,905.89 $20,956.23 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 28 — — $16,299.97 $26,680.73 $24,477.73 2026-07-15
625 MS_DRG Thyroid; Parathyroid & Thyroglossal Procedures With Comorbity 28 28 — — $19,477.54 $32,326.08 $21,893.60 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 28 — — $16,011.83 $27,909.68 $25,605.21 2026-07-15
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 28 28 — — $11,593.79 $16,558.58 $15,950.93 2026-07-15
64590 CPT Insertion Of Peripheral Or Gastric Neurostimulator Generator 26 26 $9,005.66 $4,502.83 50% off $205.80 $20,185.16 $18,796.28 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 28 — — $20,842.59 $35,056.18 $32,665.84 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 28 28 — — $17,192.36 $27,755.72 $25,748.31 2026-07-15
652 MS_DRG Kidney Transplant 28 28 — — $15,446.06 $24,263.11 $22,438.92 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 28 28 — — $31,125.35 $55,621.70 $37,266.23 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 28 28 — — $19,365.66 $32,435.86 $20,333.94 2026-07-15
655 MS_DRG Major Bladder Procedures Without Cc/mcc 28 28 — — $14,772.93 $23,263.66 $15,511.58 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 28 28 — — $17,128.03 $27,627.07 $23,049.92 2026-07-15
659 MS_DRG Kidney & Ureter Procedures For Non-neoplasm With Comorbity 28 28 — — $12,921.39 $19,213.78 $18,244.28 2026-07-15
662 MS_DRG Minor Bladder Procedures With Comorbity 28 28 — — $19,699.53 $32,770.07 $22,186.03 2026-07-15
665 MS_DRG Prostatectomy With Mcc 28 28 — — $20,019.49 $33,409.99 $22,607.73 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 28 28 — — $18,942.19 $31,255.38 $21,186.52 2026-07-15
673 MS_DRG Other Kidney & Urinary Tract Procedures With Comorbity 28 28 — — $19,010.14 $31,391.28 $28,893.02 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 28 28 — — $12,179.67 $17,730.35 $16,549.01 2026-07-15
7 MS_DRG Lung Transplant 28 28 — — $51,085.82 $95,542.63 $89,979.41 2026-07-15
709 MS_DRG Penis Procedures With Cc/mcc 28 28 — — $15,768.99 $24,908.97 $16,998.45 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 28 28 — — $14,912.64 $23,196.27 $16,364.16 2026-07-15
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 28 28 — — $14,713.92 $22,798.83 $15,606.23 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 28 28 — — $17,006.10 $27,383.20 $25,809.69 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 28 28 — — $22,489.20 $38,349.40 $25,868.32 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 28 28 — — $13,575.12 $20,521.24 $18,697.29 2026-07-15
783 MS_DRG Cesarean Section With Sterilization With Mcc 28 28 — — $6,586.47 $18,584.63 $17,050.12 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 28 28 — — $6,040.24 $44,164.23 $40,517.64 2026-07-15
791 MS_DRG Prematurity With Major Problems 28 28 — — $3,089.04 $30,345.64 $27,840.04 2026-07-15
792 MS_DRG Prematurity Without Major Problems 28 28 — — $1,891.65 $18,541.37 $17,010.43 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 28 28 — — $2,383.99 $31,156.64 $28,584.07 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 28 28 — — $20,210.15 $33,791.31 $31,001.20 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 28 — — $24,154.07 $41,679.14 $38,941.38 2026-07-15
800 MS_DRG Splenic Procedures With Cc 28 28 — — $13,905.81 $21,182.62 $20,232.57 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 28 28 — — $24,637.56 $42,646.11 $28,702.98 2026-07-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 28 28 — — $12,236.57 $17,844.14 $16,156.49 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedure With Comorbity 28 28 — — $11,671.52 $17,312.39 $15,882.93 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 28 28 — — $12,996.00 $19,362.99 $16,705.32 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 28 — — $34,702.93 $62,776.87 $41,987.59 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 28 28 — — $15,295.48 $23,961.95 $16,373.35 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 28 — — $27,852.10 $49,075.20 $32,946.11 2026-07-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 28 28 — — $11,912.04 $17,195.08 $15,814.59 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 28 — — $28,350.28 $50,071.55 $33,603.02 2026-07-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 28 — — $14,605.18 $22,581.36 $16,886.15 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 28 28 — — $15,325.70 $24,022.40 $22,881.80 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 28 28 — — $24,250.89 $41,872.78 $39,339.43 2026-07-15
835 MS_DRG Acute Leukemia With Cc 28 28 — — $14,565.72 $27,297.04 $15,439.66 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 28 — — $11,282.98 $35,810.74 $32,853.89 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 28 28 — — $17,427.50 $28,226.00 $23,410.87 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 28 28 — — $9,842.83 $19,592.15 $17,974.45 2026-07-15
849 MS_DRG Radiotherapy 28 28 — — $17,815.56 $29,002.11 $19,699.62 2026-07-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 28 28 — — $8,313.63 $17,241.27 $15,817.68 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 28 28 — — $49,660.13 $92,691.26 $61,728.42 2026-07-15
853 MS_DRG Infectious & Parasitic Diseases With O.r. Procedure With Comorbity 28 28 — — $23,360.84 $40,092.68 $35,445.24 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 28 — — $20,282.74 $33,936.47 $31,134.38 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 28 28 — — $11,457.04 $16,285.08 $15,680.72 2026-07-15
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 28 28 — — $14,615.52 $23,782.69 $15,346.30 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 28 — — $28,946.76 $51,264.52 $48,677.78 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 28 28 — — $23,999.37 $41,369.74 $27,860.98 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 28 28 — — $25,774.62 $44,920.23 $30,204.00 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 28 28 — — $22,972.79 $39,316.58 $26,506.15 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 28 — — $17,681.81 $28,734.62 $26,362.04 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 26 — — $144,165.12 $221,361.92 $152,094.21 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 28 28 — — $30,042.83 $53,456.67 $51,226.16 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 28 28 — — $20,552.06 $34,475.13 $23,311.28 2026-07-15
92933 CPT Prq Trlml C Athrc St Angiop1 26 26 $85,206.00 $42,603.00 50% off $505.70 $19,073.44 $17,761.05 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 28 28 — — $24,156.05 $41,683.10 $28,067.95 2026-07-15
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 28 28 — — $15,145.74 $23,662.48 $16,175.56 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 28 28 — — $22,734.47 $38,839.93 $26,191.13 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 28 — — $18,145.94 $29,662.87 $25,420.48 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 28 28 — — $12,937.63 $19,246.26 $17,067.70 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 28 28 — — $13,061.81 $19,494.62 $17,884.97 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 28 — — $35,758.00 $64,887.01 $48,106.85 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 28 — — $23,895.15 $41,161.30 $27,141.19 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 28 — — $31,542.93 $56,456.86 $52,108.05 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 28 — — $19,055.24 $31,481.49 $29,048.66 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 28 28 — — $14,399.67 $22,170.35 $20,835.99 2026-07-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 28 28 — — $9,871.19 $19,494.62 $17,884.97 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 28 28 — — $14,490.19 $22,351.38 $19,871.27 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 28 — — $36,075.88 $65,522.76 $43,799.44 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 28 — — $16,847.72 $27,066.43 $24,831.59 2026-07-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 28 28 — — $17,429.58 $28,230.17 $19,190.34 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 28 28 — — $16,405.78 $26,182.56 $20,946.37 2026-07-15
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 28 28 — — $12,019.46 $17,409.92 $15,972.40 2026-07-15
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity 28 28 — — $22,348.85 $38,068.69 $33,701.92 2026-07-15
982 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Complication 28 28 — — $12,918.87 $19,208.74 $17,926.63 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 28 — — $16,175.31 $25,721.61 $23,597.81 2026-07-15
C2616 HCPCS Brachytx, Non-str,yttrium-90 37 37 $34,019.00 $17,009.50 50% off $17,683.93 $19,275.48 $18,479.71 2026-07-15
C9602 HCPCS Perc D-e Cor Stent Ather S 37 37 $85,206.00 $42,603.00 50% off $17,498.57 $19,073.44 $18,286.01 2026-07-15
C9765 HCPCS Revasc Intra Lithotrip-stent 37 37 $30,432.00 $15,216.00 50% off $17,498.57 $19,073.44 $18,286.01 2026-07-15
J9029 HCPCS Instill Adstiladrin, Tx Dose 40 40 $161,490.00 $80,745.00 50% off $64,274.79 $70,059.52 $67,167.15 2026-07-15
J9226 HCPCS Supprelin La Implant 40 40 $150,543.00 $75,271.50 50% off $43,185.34 $47,072.02 $45,128.68 2026-07-15
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