Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

THOMAS MEMORIAL HOSPITAL

South Charleston, WV · CCN 510029 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY

This hospital’s price: $5,336 across 12 payers · range $2,282-$15,281

Source: https://wvumedicine.org/wp-content/uploads/2026/03/550404900_Herbert-J-Thomas-Memorial-Hospital-Association_standardcharges.csv · observed 2026-07-18

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

4,973 distinct procedures filed
21 distinct payers
207,604 rate rows
2026-07-18 last MRF observed
Data quality

173,130 of 207,604 rate rows are consumer-grade (83.4%)

34,474 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 28,912
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,680
per-diem day rate — not a per-procedure price 658
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 154
exceeds 10× this hospital's gross charge — excluded from medians 66
placeholder amount (≤ $0.02) — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://wvumedicine.org/wp-content/uploads/2026/03/550404900_Herbert-J-Thomas-Memorial-Hospital-Association_standardcharges.csv
Found on page https://wvumedicine.org/billing-and-insurance/costs-and-charges/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-17
Content fingerprint 3d678084d666a6b8… · 42,241,386 bytes · first seen 2026-05-14

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 Systemwithcomorbity 11 $138,345.87 $632,887.80 $201,077.10 nat. median
$261,939
0.8× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 21 $64,274.79 $297,470.16 $180,872.48 nat. median
$69,291
outlier · 2.6×
3
MS_DRG 		Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 12 $98,662.12 $497,935.61 $153,145.43 nat. median
$199,832
0.8× median
454
MS_DRG 		Combined Anterior/posterior Spinal Fusion With Complication 1 $142,846.19 $142,846.19 $142,846.19 nat. median
$57,648
outlier · 2.5×
J9226
HCPCS 		Supprelin La Implant 21 $43,185.34 $199,866.07 $121,525.71 nat. median
$55,200
outlier · 2.2×
0620T
CPT 		Evasc Ven Artlz Tibl/prnl Vn 18 $42,251.87 $195,545.88 $118,898.88 nat. median
$32,810
outlier · 3.6×
455
MS_DRG 		Combined Anterior/posterior Spinal Fusion Without Complication/comorbity 1 $107,563.79 $107,563.79 $107,563.79 nat. median
$46,399
outlier · 2.3×
4
MS_DRG 		Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 12 $63,751.69 $343,318.50 $100,110.74 nat. median
$132,706
0.8× median
0571T
CPT 		Insj/rplcmt Icds Ss Eltrd 18 $29,962.43 $138,669.12 $84,315.77 nat. median
$32,069
outlier · 2.6×
0408T
CPT 		Insj/rplc Cardiac Modulj Sys 18 $29,962.43 $138,669.12 $84,315.77 nat. median
$32,062
outlier · 2.6×
0915T
CPT 		Insj Perm Ccm-d Sys Pg&eltrd 18 $29,962.43 $138,669.12 $84,315.77 nat. median
$32,635
outlier · 2.6×
426
MS_DRG 		Non-hypovolemic Sodium Disorders 11 $54,408.47 $83,819.91 $80,136.62 nat. median
$96,835
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 12 $49,154.82 $238,566.65 $72,100.99 nat. median
$98,002
0.7× median
216
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 12 $48,294.85 $226,667.28 $70,848.09 nat. median
$92,900
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Comorbity 12 $41,615.97 $189,530.50 $61,117.61 nat. median
$79,040
0.8× median
456
MS_DRG 		Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity 12 $41,039.86 $196,868.64 $60,927.00 nat. median
$80,459
0.8× median
0923T
CPT 		Rmvl&rplcmt Perm Ccm-d Pg 18 $21,232.75 $98,267.29 $59,750.02 nat. median
$22,725
outlier · 2.6×
0916T
CPT 		Insj Perm Ccm-d Sys Pg Only 18 $21,232.75 $98,267.29 $59,750.02 nat. median
$23,439
outlier · 2.5×
0614T
CPT 		Rmvl&rplcmt Ss Impl Dfb Pg 18 $21,232.75 $98,267.29 $59,750.02 nat. median
$23,432
outlier · 2.5×
0414T
CPT 		Rmvl & Rpl Car Modulj Pls Gn 18 $21,232.75 $98,267.29 $59,750.02 nat. median
$23,105
outlier · 2.6×
0409T
CPT 		Insj/rplc Car Modulj Pls Gn 18 $21,232.75 $98,267.29 $59,750.02 nat. median
$23,132
outlier · 2.6×
219
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 12 $37,905.54 $180,095.08 $55,711.85 nat. median
$74,472
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Cath With Comorbity 12 $37,742.14 $182,159.66 $55,473.79 nat. median
$73,475
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Comorbity 12 $37,023.35 $168,915.04 $55,291.83 nat. median
$71,485
0.8× median
33229
CPT 		Removal And Replacement Of Multiple Lead Permanent Pacemaker 21 $205.80 $85,093.91 $51,740.14 nat. median
$18,565
outlier · 2.8×
0825T
CPT 		Tcat Rmv&rpl1chmb Ldls Pm Ra 18 $18,386.36 $85,093.91 $51,740.14 nat. median
$19,864
outlier · 2.6×
0823T
CPT 		Tcat Ins 1chmbr Ldls Pm Ra 18 $18,386.36 $85,093.91 $51,740.14 nat. median
$21,679
outlier · 2.4×
0803T
CPT 		Tcat Rmv&rpl2chmb Ldls Pm Rv 18 $18,386.36 $85,093.91 $51,740.14 nat. median
$19,429
outlier · 2.7×
0802T
CPT 		Tcat Rmv&rpl2chmb Ldls Pm Ra 18 $18,386.36 $85,093.91 $51,740.14 nat. median
$19,166
outlier · 2.7×
0801T
CPT 		Tcat Rmv&rpl 2chmbr Ldls Pm 18 $18,386.36 $85,093.91 $51,740.14 nat. median
$19,264
outlier · 2.7×
0797T
CPT 		Tcat Ins 2chmbr Ldls Pm Rv 18 $18,386.36 $85,093.91 $51,740.14 nat. median
$19,703
outlier · 2.6×
0795T
CPT 		Tcat Ins 2chmbr Ldls Pm Cmpl 18 $18,386.36 $85,093.91 $51,740.14 nat. median
$21,490
outlier · 2.4×
33274
CPT 		Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance 21 $361.84 $85,093.91 $51,740.14 nat. median
$19,468
outlier · 2.7×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $34,121.55 $162,665.24 $50,198.94 nat. median
$65,958
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 12 $33,096.20 $160,091.52 $49,955.12 nat. median
$65,792
0.8× median
0238T
CPT 		Trluml Perip Athrc Iliac Art 18 $17,498.57 $80,985.13 $49,241.85 nat. median
$17,473
outlier · 2.8×
37275
CPT 		Rvsc Evsc Fpvt St Athrc Sf 1 21 $17,498.57 $80,985.13 $49,241.85 nat. median
$20,624
outlier · 2.4×
37286
CPT 		Revsc Evasc Tpvt St Cplx 1st 21 $17,498.57 $80,985.13 $49,241.85 nat. median
$22,017
outlier · 2.2×
C9797
HCPCS 		Vasc Emb/occ W/prs Cath 21 $17,498.57 $80,985.13 $49,241.85 nat. median
$18,495
outlier · 2.7×
37273
CPT 		Revsc Evsc Fpvt Athrc Cplx 1 21 $17,498.57 $80,985.13 $49,241.85 nat. median
$22,446
outlier · 2.2×
37284
CPT 		Revsc Evasc Tpvt St Sf 1st 21 $17,498.57 $80,985.13 $49,241.85 nat. median
$20,292
outlier · 2.4×
C9607
HCPCS 		Perc D-e Cor Revasc Chro Sin 21 $17,498.57 $80,985.13 $49,241.85 nat. median
$19,903
outlier · 2.5×
C9765
HCPCS 		Revascularization; Endovascular; Open Or Percutaneous; Lower Extremity Artery(ie… 21 $17,498.57 $80,985.13 $49,241.85 nat. median
$19,024
outlier · 2.6×
C9773
HCPCS 		Revasc Lithotr-stent Tib/per 21 $17,498.57 $80,985.13 $49,241.85 nat. median
$19,347
outlier · 2.5×
37271
CPT 		Revsc Evsc Fpvt Athrc Sf 1st 21 $17,498.57 $80,985.13 $49,241.85 nat. median
$20,609
outlier · 2.4×
C9774
HCPCS 		Revasc Lithotr-ather Tib/per 21 $17,498.57 $80,985.13 $49,241.85 nat. median
$19,523
outlier · 2.5×
37292
CPT 		Rvsc Evsc Tpvt St Athrc Sf 1 21 $17,498.57 $80,985.13 $49,241.85 nat. median
$21,823
outlier · 2.3×
37294
CPT 		Rvsc Evsc Tpvt St Athr Cpx 1 21 $17,498.57 $80,985.13 $49,241.85 nat. median
$26,272
1.9× median
92930
CPT 		Prq Tcat Plmt Ntrac St 2+les 21 $17,498.57 $80,985.13 $49,241.85 nat. median
$27,421
1.8× median
37290
CPT 		Revsc Evsc Tpvt Athrc Cplx 1 21 $17,498.57 $80,985.13 $49,241.85 nat. median
$23,220
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 4,973 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist Systemwithcomorbity 11 11 — — $138,345.87 $632,887.80 $201,077.10 2026-07-18
J9029 HCPCS Instill Adstiladrin, Tx Dose 23 21 $161,490.00 $80,745.00 50% off $64,274.79 $297,470.16 $180,872.48 2026-07-18
3 MS_DRG Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 12 12 — — $98,662.12 $497,935.61 $153,145.43 2026-07-18
454 MS_DRG Combined Anterior/posterior Spinal Fusion With Complication 1 1 — — $142,846.19 $142,846.19 $142,846.19 2026-07-18
J9226 HCPCS Supprelin La Implant 23 21 $150,543.00 $75,271.50 50% off $43,185.34 $199,866.07 $121,525.71 2026-07-18
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 19 18 $71,780.00 $35,890.00 50% off $42,251.87 $195,545.88 $118,898.88 2026-07-18
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Complication/comorbity 1 1 — — $107,563.79 $107,563.79 $107,563.79 2026-07-18
4 MS_DRG Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 12 12 — — $63,751.69 $343,318.50 $100,110.74 2026-07-18
0571T CPT Insj/rplcmt Icds Ss Eltrd 19 18 $22,536.00 $11,268.00 50% off $29,962.43 $138,669.12 $84,315.77 2026-07-18
0408T CPT Insj/rplc Cardiac Modulj Sys 19 18 $22,536.00 $11,268.00 50% off $29,962.43 $138,669.12 $84,315.77 2026-07-18
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 19 18 $22,537.00 $11,268.50 50% off $29,962.43 $138,669.12 $84,315.77 2026-07-18
426 MS_DRG Non-hypovolemic Sodium Disorders 11 11 — — $54,408.47 $83,819.91 $80,136.62 2026-07-18
215 MS_DRG Other Heart Assist System Implant 12 12 — — $49,154.82 $238,566.65 $72,100.99 2026-07-18
216 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 12 12 — — $48,294.85 $226,667.28 $70,848.09 2026-07-18
231 MS_DRG Coronary Bypass With Ptca With Comorbity 12 12 — — $41,615.97 $189,530.50 $61,117.61 2026-07-18
456 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity 12 12 — — $41,039.86 $196,868.64 $60,927.00 2026-07-18
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 19 18 $16,977.00 $8,488.50 50% off $21,232.75 $98,267.29 $59,750.02 2026-07-18
0409T CPT Insj/rplc Car Modulj Pls Gn 19 18 $16,978.00 $8,489.00 50% off $21,232.75 $98,267.29 $59,750.02 2026-07-18
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 19 18 $16,978.00 $8,489.00 50% off $21,232.75 $98,267.29 $59,750.02 2026-07-18
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 19 18 $16,978.00 $8,489.00 50% off $21,232.75 $98,267.29 $59,750.02 2026-07-18
0916T CPT Insj Perm Ccm-d Sys Pg Only 19 18 $16,977.00 $8,488.50 50% off $21,232.75 $98,267.29 $59,750.02 2026-07-18
219 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 12 12 — — $37,905.54 $180,095.08 $55,711.85 2026-07-18
233 MS_DRG Coronary Bypass With Cardiac Cath With Comorbity 12 12 — — $37,742.14 $182,159.66 $55,473.79 2026-07-18
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Comorbity 12 12 — — $37,023.35 $168,915.04 $55,291.83 2026-07-18
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 19 18 $17,073.00 $8,536.50 50% off $18,386.36 $85,093.91 $51,740.14 2026-07-18
33229 CPT Removal And Replacement Of Multiple Lead Permanent Pacemaker 60 21 $17,072.00 $8,536.00 50% off $205.80 $85,093.91 $51,740.14 2026-07-18
0825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 19 18 $17,073.00 $8,536.50 50% off $18,386.36 $85,093.91 $51,740.14 2026-07-18
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 19 18 $17,073.00 $8,536.50 50% off $18,386.36 $85,093.91 $51,740.14 2026-07-18
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 19 18 $17,073.00 $8,536.50 50% off $18,386.36 $85,093.91 $51,740.14 2026-07-18
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 19 18 $17,073.00 $8,536.50 50% off $18,386.36 $85,093.91 $51,740.14 2026-07-18
33274 CPT Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance 60 21 $15,881.00 $7,940.50 50% off $361.84 $85,093.91 $51,740.14 2026-07-18
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 19 18 $17,073.00 $8,536.50 50% off $18,386.36 $85,093.91 $51,740.14 2026-07-18
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 19 18 $17,073.00 $8,536.50 50% off $18,386.36 $85,093.91 $51,740.14 2026-07-18
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 12 — — $34,121.55 $162,665.24 $50,198.94 2026-07-18
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 12 12 — — $33,096.20 $160,091.52 $49,955.12 2026-07-18
37286 CPT Revsc Evasc Tpvt St Cplx 1st 23 21 $19,030.00 $9,515.00 50% off $17,498.57 $80,985.13 $49,241.85 2026-07-18
92930 CPT Prq Tcat Plmt Ntrac St 2+les 23 21 $19,030.00 $9,515.00 50% off $17,498.57 $80,985.13 $49,241.85 2026-07-18
37292 CPT Rvsc Evsc Tpvt St Athrc Sf 1 23 21 $19,030.00 $9,515.00 50% off $17,498.57 $80,985.13 $49,241.85 2026-07-18
0238T CPT Trluml Perip Athrc Iliac Art 19 18 $19,806.00 $9,903.00 50% off $17,498.57 $80,985.13 $49,241.85 2026-07-18
37288 CPT Revsc Evsc Tpvt Athrc Sf 1st 23 21 $59,220.00 $29,610.00 50% off $17,498.57 $80,985.13 $49,241.85 2026-07-18
37275 CPT Rvsc Evsc Fpvt St Athrc Sf 1 23 21 $59,220.00 $29,610.00 50% off $17,498.57 $80,985.13 $49,241.85 2026-07-18
C9774 HCPCS Revasc Lithotr-ather Tib/per 23 21 $19,030.00 $9,515.00 50% off $17,498.57 $80,985.13 $49,241.85 2026-07-18
C9797 HCPCS Vasc Emb/occ W/prs Cath 23 21 $19,806.00 $9,903.00 50% off $17,498.57 $80,985.13 $49,241.85 2026-07-18
37294 CPT Rvsc Evsc Tpvt St Athr Cpx 1 23 21 $19,030.00 $9,515.00 50% off $17,498.57 $80,985.13 $49,241.85 2026-07-18
37277 CPT Rvsc Evsc Fpvt St Athr Cpx 1 23 21 $59,220.00 $29,610.00 50% off $17,498.57 $80,985.13 $49,241.85 2026-07-18
C9602 HCPCS Perc D-e Cor Stent Ather S 46 21 $19,028.00 $9,514.00 50% off $17,498.57 $80,985.13 $49,241.85 2026-07-18
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 46 21 $67,144.00 $33,572.00 50% off $17,498.57 $80,985.13 $49,241.85 2026-07-18
37284 CPT Revsc Evasc Tpvt St Sf 1st 23 21 $19,030.00 $9,515.00 50% off $17,498.57 $80,985.13 $49,241.85 2026-07-18
37273 CPT Revsc Evsc Fpvt Athrc Cplx 1 23 21 $37,039.00 $18,519.50 50% off $17,498.57 $80,985.13 $49,241.85 2026-07-18
C9765 HCPCS Revascularization; Endovascular; Open Or Percutaneous; Lower Extremity Artery(ie… 92 21 $47,489.50 $23,744.75 50% off $17,498.57 $80,985.13 $49,241.85 2026-07-18
37271 CPT Revsc Evsc Fpvt Athrc Sf 1st 23 21 $37,039.00 $18,519.50 50% off $17,498.57 $80,985.13 $49,241.85 2026-07-18
C9773 HCPCS Revasc Lithotr-stent Tib/per 46 21 $19,009.50 $9,504.75 50% off $17,498.57 $80,985.13 $49,241.85 2026-07-18
37290 CPT Revsc Evsc Tpvt Athrc Cplx 1 23 21 $59,220.00 $29,610.00 50% off $17,498.57 $80,985.13 $49,241.85 2026-07-18
217 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Complication 12 12 — — $32,460.35 $148,661.58 $47,778.73 2026-07-18
23472 CPT Prosthetic Repair Of Shoulder Joint; Total Shoulder 106 21 $38,017.00 $19,008.50 50% off $205.80 $77,460.56 $47,098.79 2026-07-18
22612 CPT Fusion Of Spine In Lower Back 79 21 $9,855.50 $4,927.75 50% off $1,229.64 $77,460.56 $47,098.79 2026-07-18
27279 CPT Fusion Of Pelvic Joint Using Imaging Guidance 83 21 $16,710.00 $8,355.00 50% off $205.80 $77,460.56 $47,098.79 2026-07-18
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 12 — — $31,766.25 $161,336.34 $46,767.47 2026-07-18
28 MS_DRG Spinal Procedures With Comorbity 12 12 — — $27,718.15 $140,739.57 $43,700.68 2026-07-18
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome; Neonate 12 12 — — $5,257.10 $140,132.34 $43,234.62 2026-07-18
235 MS_DRG Coronary Bypass Without Cardiac Cath With Comorbity 12 12 — — $28,971.58 $137,341.41 $42,695.91 2026-07-18
463 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity 12 12 — — $27,167.70 $132,275.71 $41,479.71 2026-07-18
834 MS_DRG Acute Leukemia Without Major O.r. Procedure With Comorbity 12 12 — — $27,102.04 $130,764.64 $39,972.19 2026-07-18
234 MS_DRG Coronary Bypass With Cardiac Cath Without Comorbity 12 12 — — $26,967.77 $121,396.95 $39,966.87 2026-07-18
405 MS_DRG Pancreas; Liver & Shunt Procedures With Comorbity 12 12 — — $27,006.27 $128,573.95 $39,832.67 2026-07-18
220 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Complication 12 12 — — $26,326.49 $122,487.63 $39,028.12 2026-07-18
270 MS_DRG Other Major Cardiovascular Procedures With Comorbity 12 12 — — $26,047.56 $118,103.90 $38,435.93 2026-07-18
466 MS_DRG Revision Of Hip Or Knee Replacement With Comorbity 12 12 — — $25,697.55 $121,133.04 $37,925.98 2026-07-18
19357 CPT Reconstruction Of Breast Using Tissue Expander 83 21 $23,733.75 $11,866.88 50% off $205.80 $60,881.22 $37,017.96 2026-07-18
221 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath Without Complicati… 12 12 — — $24,882.01 $108,568.05 $36,737.81 2026-07-18
326 MS_DRG Stomach; Esophageal & Duodenal Proc With Comorbity 12 12 — — $24,621.35 $118,620.04 $36,358.04 2026-07-18
853 MS_DRG Infectious & Parasitic Diseases With O.r. Procedure With Comorbity 12 12 — — $24,380.44 $116,758.65 $36,007.07 2026-07-18
576 MS_DRG Skin Graft Exc For Skin Ulcer Or Cellulitis With Comorbity 12 12 — — $24,195.80 $132,728.80 $35,909.08 2026-07-18
239 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity 12 12 — — $24,297.01 $112,262.81 $35,885.52 2026-07-18
77 MS_DRG Hypertensive Encephalopathy With Comorbity 1 1 — — $35,287.07 $35,287.07 $35,287.07 2026-07-18
471 MS_DRG Cervical Spinal Fusion With Comorbity 12 12 — — $23,837.89 $114,883.24 $35,216.62 2026-07-18
27446 CPT Replacement Of Knee Joint On Side Of Knee 46 21 $29,792.00 $14,896.00 50% off $12,255.24 $56,718.48 $34,486.86 2026-07-18
27759 CPT Treatment Of Broken Part Of Shin Bone With Rod 23 21 $14,731.34 $7,365.67 50% off $12,255.24 $56,718.48 $34,486.86 2026-07-18
27828 CPT Treatment Of Broken Lower Weight Bearing Joint Of Both Lower Leg Bones 23 21 $8,815.75 $4,407.88 50% off $12,255.24 $56,718.48 $34,486.86 2026-07-18
23474 CPT Revision Of Total Shoulder Repair; Total Shoulder 46 21 $39,542.50 $19,771.25 50% off $12,255.24 $56,718.48 $34,486.86 2026-07-18
23473 CPT Revision Of Total Shoulder Repair 46 21 $52,763.50 $26,381.75 50% off $12,255.24 $56,718.48 $34,486.86 2026-07-18
28297 CPT Correction Of Bunion With Midfoot And Hindfoot Bone Fusion 23 21 $23,691.50 $11,845.75 50% off $12,255.24 $56,718.48 $34,486.86 2026-07-18
24575 CPT Treatment Of Broken Outer Part Of Upper Arm Bone At Elbow 23 21 $22,635.00 $11,317.50 50% off $12,255.24 $56,718.48 $34,486.86 2026-07-18
24516 CPT Treatment Of Broken Middle Part Of Upper Arm Bone With Placement Of Stabilizing … 46 21 $35,278.00 $17,639.00 50% off $12,255.24 $56,718.48 $34,486.86 2026-07-18
23470 CPT Partial Replacement Of Shoulder Joint 23 21 $35,983.00 $17,991.50 50% off $12,255.24 $56,718.48 $34,486.86 2026-07-18
28715 CPT Fusion Of 3 Bones Of Ankle 23 21 $60,295.00 $30,147.50 50% off $12,255.24 $56,718.48 $34,486.86 2026-07-18
24666 CPT Treatment Of Broken Forearm Bone On Thumb Side At Elbow With Prosthesis 46 21 $22,078.67 $11,039.33 50% off $12,255.24 $56,718.48 $34,486.86 2026-07-18
27486 CPT Revision Of Component Of Total Knee Joint Prosthesis 46 21 $30,220.00 $15,110.00 50% off $12,255.24 $56,718.48 $34,486.86 2026-07-18
25810 CPT Fusion Of Wrist Joint With Graft From Hip Or Other Bone 23 21 $67,558.00 $33,779.00 50% off $12,255.24 $56,718.48 $34,486.86 2026-07-18
23615 CPT Treatment Of Broken Top Of Upper Arm Bone 23 21 $30,974.00 $15,487.00 50% off $12,255.24 $56,718.48 $34,486.86 2026-07-18
28730 CPT Fusion Of Multiple Foot Joints 46 21 $42,758.67 $21,379.33 50% off $12,255.24 $56,718.48 $34,486.86 2026-07-18
0627T CPT Perq Njx Algc Fluor Lmbr 1st 19 18 $16,390.00 $8,195.00 50% off $12,255.24 $56,718.48 $34,486.86 2026-07-18
C9781 HCPCS Arthroscopy; Shoulder; Surgical; With Implantation Of Subacromial Spacer (e.g.; … 67 21 $9,507.66 $4,753.83 50% off $12,255.24 $56,718.48 $34,486.86 2026-07-18
27447 CPT Replacement Of Knee Joint; Both Sides Of Knee 83 21 $25,685.67 $12,842.83 50% off $205.80 $56,718.48 $34,486.86 2026-07-18
27827 CPT Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 83 21 $18,302.00 $9,151.00 50% off $205.80 $56,718.48 $34,486.86 2026-07-18
24435 CPT Repair Of Nonhealed Broken Upper Arm Bone With Self Bone Graft 23 21 $54,915.00 $27,457.50 50% off $12,255.24 $56,718.48 $34,486.86 2026-07-18
28735 CPT Fusion Of Multiple Foot Joints With Bone Incision To Correct A Foot Deformity 46 21 $49,092.83 $24,546.42 50% off $12,255.24 $56,718.48 $34,486.86 2026-07-18
826 MS_DRG Myeloprolif Disord Or Poorly Diff Neopl With Maj O.r. Proc With Comorbity 12 12 — — $23,092.94 $102,500.42 $34,294.63 2026-07-18
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity 12 12 — — $23,162.06 $110,712.04 $34,232.01 2026-07-18
823 MS_DRG Lymphoma & Non-acute Leukemia With Other Proc With Comorbity 12 12 — — $22,633.83 $105,141.87 $33,622.52 2026-07-18
329 MS_DRG Major Small & Large Bowel Procedures With Comorbity 12 12 — — $21,706.71 $105,489.86 $33,546.57 2026-07-18
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity 12 12 — — $18,920.93 $103,425.28 $33,202.79 2026-07-18
25 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Comorbity 12 12 — — $22,445.74 $103,135.68 $33,188.42 2026-07-18
163 MS_DRG Major Chest Procedures With Comorbity 12 12 — — $21,639.08 $110,086.13 $32,721.60 2026-07-18
356 MS_DRG Other Digestive System O.r. Procedures With Comorbity 12 12 — — $21,685.98 $99,929.04 $32,081.50 2026-07-18
474 MS_DRG Amputation For Musculoskeletal Sys & Conn Tissue Dis With Comorbity 12 12 — — $21,192.80 $100,491.89 $31,362.98 2026-07-18
33270 CPT Insertion Or Replacement Of Defibrillator With Electrode 14 14 $20,964.00 $10,482.00 50% off $205.80 $138,669.12 $31,310.74 2026-07-18
33249 CPT Insj/rplcmt Defib W/lead(s) 14 14 $22,535.00 $11,267.50 50% off $205.80 $138,669.12 $31,310.74 2026-07-18
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 14 14 $22,535.00 $11,267.50 50% off $205.80 $138,669.12 $31,310.74 2026-07-18
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 35 21 $27,686.00 $13,843.00 50% off $205.80 $136,322.58 $31,222.73 2026-07-18
37267 CPT Revsc Evsc Fpvt Stent Sf 1st 23 21 $37,040.00 $18,520.00 50% off $11,019.58 $50,999.72 $31,009.65 2026-07-18
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s); Wit… 138 21 $42,459.00 $21,229.50 50% off $11,019.58 $50,999.72 $31,009.65 2026-07-18
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 115 21 $45,858.00 $22,929.00 50% off $11,019.58 $50,999.72 $31,009.65 2026-07-18
0913T CPT Prq Tcat Ther Rx Ntrac Balo1 19 18 $9,275.00 $4,637.50 50% off $11,019.58 $50,999.72 $31,009.65 2026-07-18
37260 CPT Revsc Evasc Ivt St Cplx 1st 23 21 $37,412.00 $18,706.00 50% off $11,019.58 $50,999.72 $31,009.65 2026-07-18
37258 CPT Revsc Evasc Ivt Stent Sf 1st 23 21 $37,412.00 $18,706.00 50% off $11,019.58 $50,999.72 $31,009.65 2026-07-18
37296 CPT Revsc Evasc Imvt Angio Sf 1 23 21 $15,930.00 $7,965.00 50% off $11,019.58 $50,999.72 $31,009.65 2026-07-18
C9764 HCPCS Revascularization; Endovascular; Open Or Percutaneous; Lower Extremity Artery (i… 92 21 $15,921.50 $7,960.75 50% off $11,019.58 $50,999.72 $31,009.65 2026-07-18
37298 CPT Revsc Evsc Imvt Angio Cplx 1 23 21 $15,930.00 $7,965.00 50% off $11,019.58 $50,999.72 $31,009.65 2026-07-18
37282 CPT Rvsc Evsc Tpvt Angio Cplx 1 23 21 $37,042.00 $18,521.00 50% off $11,019.58 $50,999.72 $31,009.65 2026-07-18
37280 CPT Revsc Evsc Tpvt Angio Sf 1st 23 21 $37,042.00 $18,521.00 50% off $11,019.58 $50,999.72 $31,009.65 2026-07-18
37236 CPT Insertion Of Stent In Artery (except Lower Extremity; Chest; Heart; Neck And Bra… 60 21 $37,040.00 $18,520.00 50% off $205.80 $50,999.72 $31,009.65 2026-07-18
37269 CPT Revsc Evasc Fpvt St Cplx 1st 23 21 $37,040.00 $18,520.00 50% off $11,019.58 $50,999.72 $31,009.65 2026-07-18
37238 CPT Insertion Of Stent In Vein With Review By Radiologist; Initial Vein 83 21 $37,040.00 $18,520.00 50% off $205.80 $50,999.72 $31,009.65 2026-07-18
92928 CPT Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch; Single A… 129 21 $42,459.00 $21,229.50 50% off $450.63 $50,999.72 $31,009.65 2026-07-18
92937 CPT Removal Of Plaque; Insertion Of Stent And/or Balloon Dilation Of Single Coronary… 83 21 $30,894.00 $15,447.00 50% off $450.38 $50,999.72 $31,009.65 2026-07-18
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity 12 12 — — $20,848.71 $97,124.10 $30,861.67 2026-07-18
901 MS_DRG Wound Debridements For Injuries With Comorbity 12 12 — — $20,717.40 $101,075.77 $30,817.11 2026-07-18
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Complication 12 12 — — $20,639.40 $94,466.30 $30,794.81 2026-07-18
236 MS_DRG Coronary Bypass Without Cardiac Cath Without Comorbity 12 12 — — $20,678.89 $94,382.23 $30,760.74 2026-07-18
673 MS_DRG Other Kidney & Urinary Tract Procedures With Comorbity 12 12 — — $20,528.81 $86,366.79 $30,706.33 2026-07-18
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Comorbity 12 12 — — $20,502.16 $91,339.07 $30,502.04 2026-07-18
793 MS_DRG Full Term Neonate With Major Problems 12 12 — — $2,074.90 $98,308.20 $30,476.17 2026-07-18
273 MS_DRG Percutaneous Intracardiac Procedures With Comorbity 12 12 — — $20,366.40 $91,014.44 $30,158.99 2026-07-18
791 MS_DRG Prematurity With Major Problems 12 12 — — $2,688.53 $95,701.78 $29,680.71 2026-07-18
802 MS_DRG Other O.r. Proc Of The Blood & Blood Forming Organs With Comorbity 12 12 — — $19,668.35 $79,180.46 $29,281.43 2026-07-18
58571 CPT Removal Of Uterus; Tubes; And/or Ovaries Through Abdomen Using An Endoscope; 250… 60 21 $20,649.34 $10,324.67 50% off $205.80 $46,960.31 $28,553.54 2026-07-18
50543 CPT Partial Removal Of Kidney Using An Endoscope 46 21 $30,839.50 $15,419.75 50% off $10,146.78 $46,960.31 $28,553.54 2026-07-18
43889 CPT Gstr Rstcv Px Trnsorl Esg 23 21 $21,044.00 $10,522.00 50% off $10,146.78 $46,960.31 $28,553.54 2026-07-18
34 MS_DRG Carotid Artery Stent Procedure With Comorbity 12 12 — — $17,514.95 $91,117.20 $28,326.40 2026-07-18
40 MS_DRG Periph/cranial Nerve & Other Nerv Syst Proc With Comorbity 12 12 — — $15,081.16 $89,928.43 $28,258.07 2026-07-18
907 MS_DRG Other O.r. Procedures For Injuries With Comorbity 12 12 — — $16,191.92 $86,868.92 $28,100.55 2026-07-18
33228 CPT Removal And Replacement Of Dual Lead Permanent Pacemaker 60 21 $11,237.00 $5,618.50 50% off $205.80 $46,174.60 $28,075.81 2026-07-18
33208 CPT Insertion Of Pacemaker And Upper And Lower Heart Chamber Electrode 60 21 $10,725.00 $5,362.50 50% off $205.80 $46,174.60 $28,075.81 2026-07-18
956 MS_DRG Limb Reattachment; Hip & Femur Proc For Multiple Significant Trauma 12 12 — — $18,576.84 $90,575.36 $27,683.60 2026-07-18
518 MS_DRG Back & Neck Proc Exc Spinal Fusion With Comorbity Or Disc Device/neurostim 12 12 — — $18,449.97 $85,287.79 $27,497.88 2026-07-18
166 MS_DRG Other Resp System O.r. Procedures With Comorbity 12 12 — — $17,166.92 $94,769.92 $27,369.81 2026-07-18
22630 CPT Fusion Of Lower Spine Bone And Partial Removal Of Spine Bone Or Disc Through Bac… 14 14 $50,027.00 $25,013.50 50% off $1,232.47 $119,872.19 $27,066.50 2026-07-18
22633 CPT Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc 14 14 $26,458.33 $13,229.17 50% off $205.80 $119,872.19 $27,066.50 2026-07-18
492 MS_DRG Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity 12 12 — — $17,800.30 $80,857.35 $26,894.39 2026-07-18
939 MS_DRG O.r. Proc With Diagnoses Of Other Contact With Health Services With Comorbity 12 12 — — $17,912.85 $75,093.33 $26,711.61 2026-07-18
279 MS_DRG Hepatic Coma And Other Major Acute Liver Disorders 12 12 — — $17,803.75 $74,750.01 $26,425.47 2026-07-18
335 MS_DRG Peritoneal Adhesiolysis With Comorbity 12 12 — — $17,628.50 $83,494.12 $26,295.35 2026-07-18
408 MS_DRG Biliary Tract Proc Except Only Cholecyst With Or Without C.d.e. With Comorbity 12 12 — — $17,602.33 $86,931.98 $26,257.06 2026-07-18
622 MS_DRG Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity 12 12 — — $14,186.62 $89,346.89 $26,085.98 2026-07-18
93654 CPT Compre Ep Eval Tx Vt 14 14 $35,699.00 $17,849.50 50% off $767.69 $115,471.33 $26,072.80 2026-07-18
93653 CPT Compre Ep Eval Tx Svt 14 14 $36,898.00 $18,449.00 50% off $636.95 $115,471.33 $26,072.80 2026-07-18
93656 CPT Compre Ep Eval Abltj Atr Fib 14 14 $37,813.00 $18,906.50 50% off $721.62 $115,471.33 $26,072.80 2026-07-18
271 MS_DRG Other Major Cardiovascular Procedures With Complication 12 12 — — $17,556.42 $80,719.55 $26,065.12 2026-07-18
467 MS_DRG Revision Of Hip Or Knee Replacement With Complication 12 12 — — $17,409.80 $81,422.54 $25,851.51 2026-07-18
94 MS_DRG Bacterial & Tuberculous Infections Of Nervous System With Comorbity 12 12 — — $17,374.26 $84,608.16 $25,799.74 2026-07-18
252 MS_DRG Other Vascular Procedures With Comorbity 12 12 — — $17,220.73 $78,328.00 $25,576.05 2026-07-18
616 MS_DRG Amputat Of Lower Limb For Endocrine; Nutrit; & Metabol Dis With Comorbity 12 12 — — $17,068.18 $92,432.08 $25,569.57 2026-07-18
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Complication 12 12 — — $14,987.36 $79,542.46 $25,454.51 2026-07-18
C9740 HCPCS Cystourethroscopy; With Insertion Of Transprostatic Implant; 4 Or More Implants 23 21 $6,181.00 $3,090.50 50% off $9,036.26 $41,820.71 $25,428.49 2026-07-18
50081 CPT Removal Or Crushing Kidney Stone Or Insertion Of Kidney Stent Using An Endoscope… 83 21 $17,155.42 $8,577.71 50% off $205.80 $41,820.71 $25,428.49 2026-07-18
50080 CPT Removal Or Crushing Kidney Stone Or Insertion Of Kidney Stent Using An Endoscope… 23 21 $19,781.00 $9,890.50 50% off $9,036.26 $41,820.71 $25,428.49 2026-07-18
477 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue With Comorbity 12 12 — — $16,408.64 $78,683.00 $25,333.67 2026-07-18
987 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity 12 12 — — $16,020.12 $78,862.83 $25,145.24 2026-07-18
420 MS_DRG Hepatobiliary Diagnostic Procedures With Comorbity 12 12 — — $16,819.86 $74,754.68 $25,111.62 2026-07-18
29 MS_DRG Spinal Procedures With Complication Or Spinal Neurostimulators 12 12 — — $15,603.95 $80,065.61 $25,024.40 2026-07-18
264 MS_DRG Other Circulatory System O.r. Procedures 12 12 — — $13,475.24 $76,277.43 $24,513.75 2026-07-18
37 MS_DRG Extracranial Procedures With Comorbity 12 12 — — $16,252.14 $78,837.14 $24,164.92 2026-07-18
274 MS_DRG Percutaneous Intracardiac Procedures Without Comorbity 12 12 — — $16,250.17 $75,688.88 $24,162.03 2026-07-18
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Comorbity 12 12 — — $16,058.13 $77,426.50 $23,996.52 2026-07-18
485 MS_DRG Knee Procedures With Pdx Of Infection With Comorbity 12 12 — — $15,931.26 $76,931.37 $23,810.81 2026-07-18
579 MS_DRG Other Skin; Subcut Tiss & Breast Proc With Comorbity 12 12 — — $15,987.54 $78,057.08 $23,779.43 2026-07-18
840 MS_DRG Lymphoma & Non-acute Leukemia With Comorbity 12 12 — — $15,969.76 $72,989.05 $23,753.52 2026-07-18
27487 CPT Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis 83 21 $44,288.50 $22,144.25 50% off $205.80 $77,460.56 $23,549.38 2026-07-18
515 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc With Comorbity 12 12 — — $15,732.80 $73,836.83 $23,520.28 2026-07-18
242 MS_DRG Permanent Cardiac Pacemaker Implant With Comorbity 12 12 — — $15,761.93 $80,693.86 $23,450.72 2026-07-18
656 MS_DRG Kidney & Ureter Procedures For Neoplasm With Comorbity 12 12 — — $15,717.50 $73,278.65 $23,385.99 2026-07-18
229 MS_DRG Other Cardiothoracic Procedures Without Comorbity 12 12 — — $15,548.17 $74,259.56 $23,250.00 2026-07-18
500 MS_DRG Soft Tissue Procedures With Comorbity 12 12 — — $15,623.70 $75,735.59 $23,249.35 2026-07-18
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 12 — — $15,600.00 $73,657.00 $23,214.82 2026-07-18
324 MS_DRG Non-elective Or Complex Hip Joint Replacement 12 12 — — $15,555.57 $69,331.65 $23,150.08 2026-07-18
464 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication 12 12 — — $15,342.31 $70,097.70 $22,889.00 2026-07-18
26 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Complication 12 12 — — $15,349.22 $68,969.65 $22,849.45 2026-07-18
662 MS_DRG Minor Bladder Procedures With Comorbity 12 12 — — $15,113.74 $69,987.93 $22,614.06 2026-07-18
510 MS_DRG Shoulder; Elbow Or Forearm Proc; Exc Major Joint Proc With Comorbity 12 12 — — $14,911.33 $63,539.61 $22,317.76 2026-07-18
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com… 12 12 — — $14,974.03 $77,767.48 $22,302.83 2026-07-18
0918T CPT Insj Perm Ccm-d Sys Dual Ld 19 18 $6,457.00 $3,228.50 50% off $7,899.32 $36,558.84 $22,229.08 2026-07-18
0917T CPT Insj Perm Ccm-d Sys 1 Lead 19 18 $6,457.00 $3,228.50 50% off $7,899.32 $36,558.84 $22,229.08 2026-07-18
0411T CPT Insj/rplc Car Modulj Vnt Elt 19 18 $6,456.00 $3,228.00 50% off $7,899.32 $36,558.84 $22,229.08 2026-07-18
0410T CPT Insj/rplc Car Modulj Atr Elt 19 18 $6,456.00 $3,228.00 50% off $7,899.32 $36,558.84 $22,229.08 2026-07-18
0572T CPT Insertion Ss Dfb Electrode 19 18 $6,456.00 $3,228.00 50% off $7,899.32 $36,558.84 $22,229.08 2026-07-18
33240 CPT Insrt Pulse Gen W/singl Lead 14 14 $16,978.00 $8,489.00 50% off $205.80 $98,267.29 $22,188.22 2026-07-18
33262 CPT Removal And Replacement Of Single Lead Defibrillator 14 14 $15,793.00 $7,896.50 50% off $205.80 $98,267.29 $22,188.22 2026-07-18
33230 CPT Insrt Pulse Gen W/dual Leads 14 14 $16,978.00 $8,489.00 50% off $205.80 $98,267.29 $22,188.22 2026-07-18
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 14 14 $16,977.00 $8,488.50 50% off $205.80 $98,267.29 $22,188.22 2026-07-18
19325 CPT Insertion Of Breast Implant 23 21 $16,208.00 $8,104.00 50% off $7,801.96 $36,108.25 $21,955.10 2026-07-18
19342 CPT Placement Of Implant On Separate Day Of Breast Reconstruction 23 21 $31,376.67 $15,688.34 50% off $7,801.96 $36,108.25 $21,955.10 2026-07-18
472 MS_DRG Cervical Spinal Fusion With Complication 12 12 — — $14,544.04 $69,023.37 $21,676.38 2026-07-18
570 MS_DRG Skin Debridement With Comorbity 12 12 — — $12,341.28 $68,247.98 $21,640.43 2026-07-18
668 MS_DRG Transurethral Procedures With Comorbity 12 12 — — $14,415.19 $65,814.39 $21,591.48 2026-07-18
480 MS_DRG Hip & Femur Procedures Except Major Joint With Comorbity 12 12 — — $14,377.18 $68,871.56 $21,433.28 2026-07-18
353 MS_DRG Hernia Procedures Except Inguinal & Femoral With Comorbity 12 12 — — $14,326.33 $68,297.03 $21,359.19 2026-07-18
974 MS_DRG HIV With Major Related Condition With Comorbity 12 12 — — $14,247.35 $68,114.86 $21,244.11 2026-07-18
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 12 12 — — $14,169.35 $69,929.54 $21,130.47 2026-07-18
240 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication 12 12 — — $14,072.09 $65,608.87 $20,988.78 2026-07-18
654 MS_DRG Major Bladder Procedures With Complication 12 12 — — $13,819.33 $63,934.31 $20,719.21 2026-07-18
54405 CPT Insertion Of Multicomponent Inflatable Penile Implant 14 14 $31,902.00 $15,951.00 50% off $205.80 $91,563.49 $20,674.54 2026-07-18
503 MS_DRG Foot Procedures With Comorbity 12 12 — — $13,778.85 $62,635.77 $20,659.95 2026-07-18
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 12 12 — — $12,034.71 $58,018.49 $20,423.48 2026-07-18
61 MS_DRG Ischemic Stroke; Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 12 — — $13,611.00 $65,459.39 $20,414.24 2026-07-18
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 12 — — $12,688.83 $63,147.25 $20,256.61 2026-07-18
468 MS_DRG Revision Of Hip Or Knee Replacement Without Complication/comorbity 12 12 — — $13,566.08 $62,348.51 $20,251.59 2026-07-18
849 MS_DRG Radiotherapy 12 12 — — $13,376.02 $62,857.65 $20,070.24 2026-07-18
321 MS_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 12 12 — — $13,431.80 $67,138.62 $20,055.94 2026-07-18
288 MS_DRG Acute & Subacute Endocarditis With Comorbity 12 12 — — $13,359.72 $60,559.52 $19,950.94 2026-07-18
255 MS_DRG Upper Limb & Toe Amputation For Circ System Disorders With Comorbity 12 12 — — $13,316.28 $64,165.53 $19,887.65 2026-07-18
77424 CPT Io Rad Tx Delivery By X-ray 19 18 $22,732.00 $11,366.00 50% off $7,030.58 $32,538.23 $19,784.40 2026-07-18
77371 CPT Srs Multisource 19 18 $22,732.00 $11,366.00 50% off $7,030.58 $32,538.23 $19,784.40 2026-07-18
27822 CPT Treatment Of 3 Broken Lower Leg Bones At Ankle 46 21 $21,731.83 $10,865.92 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
28415 CPT Treatment Of Broken Heel Bone 23 21 $32,568.50 $16,284.25 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
26850 CPT Fusion Of Joint Between Finger And Hand 46 21 $31,640.00 $15,820.00 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
27814 CPT Treatment Of Both Broken Lower Leg Bones At Ankle 46 21 $24,466.67 $12,233.33 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
27784 CPT Treatment Of Broken Upper Or Middle Part Of Outer Lower Leg Bone 23 21 $7,365.66 $3,682.83 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
27792 CPT Treatment Of Broken Outer Lower Leg Bone At Ankle 46 21 $19,003.50 $9,501.75 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
29861 CPT Removal Of Loose Or Foreign Body In Hip Joint Using An Endoscope 23 21 $23,421.00 $11,710.50 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
27422 CPT Repair Of Dislocating Kneecap With Realignment 23 21 $16,482.00 $8,241.00 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
27427 CPT Reconstruction Of Ligaments Outside Knee Joint 46 21 $29,494.50 $14,747.25 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
27698 CPT Secondary Repair Of Disrupted Collateral Ligament Of Ankle 23 21 $14,940.00 $7,470.00 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
27720 CPT Repair Of Nonhealed Broken Shin Bone 23 21 $35,816.00 $17,908.00 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
27695 CPT Primary Repair Of Disrupted Ankle Ligament 69 21 $21,733.50 $10,866.75 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
27524 CPT Treatment Of Broken Kneecap With Placement Of Stabilizing Device And/or Removal … 23 21 $19,676.00 $9,838.00 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
27506 CPT Treatment Of Broken Shaft Of Thigh Bone With Implant 23 21 $31,243.00 $15,621.50 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
63030 CPT Partial Removal Of Spine Bone With Release Of Lower Spinal Cord Or Nerves And/or… 83 21 $22,314.67 $11,157.33 50% off $205.80 $32,056.35 $19,491.40 2026-07-18
22102 CPT Removal Of Rear Piece Of Lower Spine Bone 23 21 $12,028.33 $6,014.17 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
63042 CPT Partial Removal Of Spine Bone With Re-exploration; Release Of Lower Spinal Cord … 60 21 $33,395.00 $16,697.50 50% off $205.80 $32,056.35 $19,491.40 2026-07-18
63047 CPT Partial Removal Of Spine Bone With Release Of Lower Spinal Cord And/or Nerves; 1… 106 21 $25,971.34 $12,985.67 50% off $205.80 $32,056.35 $19,491.40 2026-07-18
29888 CPT Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope 92 21 $33,545.17 $16,772.58 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
23410 CPT Repair Of Acute Torn Shoulder Rotator Cuff 46 21 $22,338.88 $11,169.44 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
62330 CPT Dcmprn Prq Rmv Lig Flv 1lmbr 23 21 $11,601.00 $5,800.50 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
23412 CPT Repair Of Chronic Torn Shoulder Rotator Cuff 69 21 $8,470.25 $4,235.13 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
23395 CPT Relocation Of One Muscle Of Shoulder Or Upper Arm 23 21 $12,327.66 $6,163.83 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
23430 CPT Anchoring Of Biceps Tendon 92 21 $10,927.42 $5,463.72 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
27650 CPT Repair Of Ruptured Achilles Tendon 46 21 $15,068.50 $7,534.25 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
25628 CPT Treatment Of Broken Wrist Bone Located Near Base Of Thumb 23 21 $10,145.33 $5,072.67 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
27654 CPT Secondary Repair Of Ruptured Achilles Tendon 23 21 $33,187.00 $16,593.50 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
28485 CPT Treatment Of Broken Midportion Of Foot 69 21 $17,677.33 $8,838.67 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
25609 CPT Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri… 60 21 $12,951.00 $6,475.50 50% off $205.80 $32,056.35 $19,491.40 2026-07-18
25035 CPT Incision Of Forearm Or Wrist Bone 23 21 $14,027.00 $7,013.50 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
27829 CPT Treatment Of Ligament Tear At Ankle Joint 60 21 $8,441.66 $4,220.83 50% off $205.80 $32,056.35 $19,491.40 2026-07-18
25320 CPT Reconstruction Of Wrist Joint 23 21 $39,313.00 $19,656.50 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
25400 CPT Repair Non-healed Fracture Of Forearm Bone 23 21 $44,033.00 $22,016.50 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
28750 CPT Fusion Of Big Toe At Joint With Foot 69 21 $27,822.67 $13,911.34 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
27386 CPT Secondary Suture Of Ruptured Muscle Of Thigh 46 21 $19,606.50 $9,803.25 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
24341 CPT Repair Of Tendon Or Muscle Of Upper Arm Or Elbow 46 21 $29,460.50 $14,730.25 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
25607 CPT Treatment Of Broken Forearm Bone On Thumb Side Of Wrist; Above Wrist; With Place… 83 21 $19,676.00 $9,838.00 50% off $205.80 $32,056.35 $19,491.40 2026-07-18
23515 CPT Treatment Of Broken Collar Bone 69 21 $23,173.00 $11,586.50 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
29827 CPT Repair Of Shoulder Rotator Cuff Using An Endoscope 46 21 $12,166.59 $6,083.30 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
24342 CPT Reinsertion Of Torn Upper Arm Tendon 46 21 $22,393.00 $11,196.50 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
23550 CPT Treatment Of Dislocated Joint Between Collar Bone And Shoulder 23 21 $23,779.00 $11,889.50 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
11970 CPT Replacement Of Tissue Expander With Permanent Implant 46 21 $19,429.00 $9,714.50 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
24685 CPT Treatment Of Broken Forearm Bone On Small Finger Side At Elbow 23 21 $6,533.00 $3,266.50 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
27335 CPT Incision Of Knee Joint With Removal Of Cartilage Of Front And Back Of Knee 23 21 $16,230.50 $8,115.25 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
29828 CPT Release Of Tendon Connecting Biceps Muscle And Shoulder Using An Endoscope 46 21 $13,075.75 $6,537.88 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
29806 CPT Repair Of Shoulder Joint Capsule Using An Endoscope 46 21 $15,339.50 $7,669.75 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
24615 CPT Treatment Of Dislocated Elbow 23 21 $6,533.00 $3,266.50 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
24149 CPT Extensive Removal Of Bony Growth And Tissue From Elbow To Increase Elbow Motion 23 21 $60,026.00 $30,013.00 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
24665 CPT Treatment Of Broken Forearm Bone On Thumb Side At Elbow 23 21 $17,255.00 $8,627.50 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
29807 CPT Repair Of Shoulder Socket Using An Endoscope 46 21 $13,059.58 $6,529.80 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
24538 CPT Placement Of Stabilizing Device To Upper Arm Broken At Elbow 46 21 $12,413.00 $6,206.50 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
27248 CPT Treatment Of Broken Head Of Thigh Bone With Placement Of Stabilizing Device 23 21 $12,609.66 $6,304.83 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
26531 CPT Repair Of Joint Between Hand And Finger Bones With Prosthesis 46 21 $17,504.50 $8,752.25 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
25405 CPT Repair Non-healed Fracture Of Forearm Bone With Patient-derived Bone Graft 23 21 $40,927.00 $20,463.50 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
27245 CPT Treatment Of Broken Neck Of Thigh Bone With Bone Implant 23 21 $22,366.00 $11,183.00 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
25440 CPT Repair Of Non-healed Wrist Bone; Scaphoid Or Navicular At The Base Of The Thumb 23 21 $21,559.00 $10,779.50 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
26536 CPT Replacement Of Finger Joint With Prosthesis 138 21 $11,708.00 $5,854.00 50% off $6,926.46 $32,056.35 $19,491.40 2026-07-18
25608 CPT Treatment Of 2 Broken Lower Forearm Bone Pieces On Thumb Side Inside Wrist Joint… 60 21 $15,103.00 $7,551.50 50% off $205.80 $32,056.35 $19,491.40 2026-07-18
63655 CPT Removal Of Spine Bone For Insertion Of Neurostimulator Electrode Plate In Spine 14 14 $18,161.50 $9,080.75 50% off $205.80 $85,705.47 $19,351.83 2026-07-18
253 MS_DRG Other Vascular Procedures With Complication 12 12 — — $12,813.72 $59,580.94 $19,155.47 2026-07-18
344 MS_DRG Minor Small & Large Bowel Procedures With Comorbity 12 12 — — $12,750.53 $64,002.04 $19,154.62 2026-07-18
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Comorbity 12 12 — — $8,566.67 $57,079.62 $19,133.17 2026-07-18
95 MS_DRG Bacterial & Tuberculous Infections Of Nervous System With Complication 12 12 — — $11,977.94 $55,682.99 $19,037.51 2026-07-18
31296 CPT Dilation Of Frontal Nasal Sinus Using An Endoscope 46 21 $12,242.42 $6,121.21 50% off $6,736.74 $31,178.31 $18,957.53 2026-07-18
31267 CPT Removal Of Nasal Sinus Tissue Using An Endoscope 83 21 $8,433.75 $4,216.88 50% off $205.80 $31,178.31 $18,957.53 2026-07-18
31276 CPT Exploration Of Nasal Sinus Using An Endoscope 83 21 $13,341.01 $6,670.51 50% off $205.80 $31,178.31 $18,957.53 2026-07-18
31287 CPT Incision Of Sphenoid Nasal Sinus Using An Endoscope 23 21 $5,120.75 $2,560.38 50% off $6,736.74 $31,178.31 $18,957.53 2026-07-18
31257 CPT Exam Of Nose And Sinus With Removal Of Nasal Sinus Using An Endoscope 46 21 $16,635.17 $8,317.58 50% off $6,736.74 $31,178.31 $18,957.53 2026-07-18
31253 CPT Complete Exam Of Nose And Sinuses Using An Endoscope 83 21 $16,037.25 $8,018.62 50% off $205.80 $31,178.31 $18,957.53 2026-07-18
31254 CPT Partial Removal Of Nasal Sinus Using An Endoscope 60 21 $7,341.50 $3,670.75 50% off $205.80 $31,178.31 $18,957.53 2026-07-18
31255 CPT Removal Of Nasal Sinus Using An Endoscope 83 21 $8,947.75 $4,473.88 50% off $205.80 $31,178.31 $18,957.53 2026-07-18
749 MS_DRG Other Female Reproductive System O.r. Procedures With Complication/comorbity 12 12 — — $12,675.50 $58,789.21 $18,954.11 2026-07-18
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 12 12 $8,065.00 $4,032.50 50% off $205.80 $20,185.16 $18,888.87 2026-07-18
272 MS_DRG Other Major Cardiovascular Procedures Without Complication/comorbity 12 12 — — $12,603.42 $56,974.52 $18,849.08 2026-07-18
659 MS_DRG Kidney & Ureter Procedures For Non-neoplasm With Comorbity 12 12 — — $12,543.69 $60,463.76 $18,762.06 2026-07-18
493 MS_DRG Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication 12 12 — — $12,519.99 $56,091.70 $18,727.53 2026-07-18
164 MS_DRG Major Chest Procedures With Complication 12 12 — — $12,460.26 $59,564.59 $18,640.49 2026-07-18
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