Price Transparency 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

BECKLEY ARH HOSPITAL

Beckley, WV · CCN 510062 · Rates published

4,345 distinct procedures filed
19 distinct payers
163,686 rate rows
2026-01-01 last MRF observed
Data quality

149,360 of 163,686 rate rows are consumer-grade (91.2%)

14,326 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 9,883
professional (physician) fee — not the facility price 4,152
exceeds 10× this hospital's gross charge — excluded from medians 188
placeholder amount (≤ $0.02) — excluded from medians 53
per-diem day rate — not a per-procedure price 38
percent-of-charges filed in the dollar field — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.arh.org/wp-content/uploads/2026/04/520795508_Beckley-ARH-Hospital_standardcharges.csv
Found on page https://www.arh.org/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 31b5d434cde5f048… · 23,640,559 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $245,648.26 $381,349.23 $313,498.74 nat. median
$265,286
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $68,081.75 $441,244.93 $186,053.10 nat. median
$202,986
0.9× median
7
MS_DRG 		Lung Transplant 2 $113,517.18 $176,226.32 $144,871.75 nat. median
$122,708
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $99,330.82 $154,203.13 $126,766.98 nat. median
$108,660
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $43,580.38 $304,231.20 $121,416.80 nat. median
$133,176
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $90,378.44 $140,305.28 $115,341.86 nat. median
$100,136
1.2× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 2 $49,128.07 $76,267.40 $62,697.74 nat. median
$53,171
1.2× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $39,552.44 $147,570.76 $62,502.73 nat. median
$68,887
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 16 $27,555.65 $144,145.57 $60,586.56 nat. median
$66,526
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 16 $29,988.43 $142,967.97 $56,404.46 nat. median
$62,134
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 12 $46,554.67 $126,686.42 $53,657.30 nat. median
$60,185
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 10 $38,468.37 $183,395.53 $51,878.18 nat. median
$87,411
0.6× median
6
MS_DRG 		Liver Transplant Without Mcc 2 $40,646.41 $63,100.30 $51,873.36 nat. median
$46,260
1.1× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 12 $27,167.71 $117,956.85 $49,959.94 nat. median
$52,753
0.9× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 $42,004.01 $114,304.01 $48,412.80 nat. median
$55,736
0.9× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 16 $21,952.59 $109,198.30 $46,250.30 nat. median
$51,307
0.9× median
C1882
HCPCS 		Icd Bi Vent Quadra Cd3369-40q. 16 $19,774.74 $50,269.30 $45,699.36 nat. median
$27,112
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $33,858.97 $161,420.52 $45,661.98 nat. median
$73,807
0.6× median
C1767
HCPCS 		Generator Implantable Pulse 16 $28,905.67 $103,806.23 $44,740.56 nat. median
$22,478
2.0× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 16 $19,657.94 $105,114.98 $43,717.90 nat. median
$48,178
0.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 $21,702.54 $103,465.51 $43,290.14 nat. median
$48,170
0.9× median
C1721
HCPCS 		Defib Cardiac Momentum El 16 $12,587.31 $76,104.74 $41,418.72 nat. median
$22,210
1.9× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 $20,578.63 $98,107.32 $41,126.77 nat. median
$46,084
0.9× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 16 $19,607.96 $95,129.16 $40,291.40 nat. median
$44,810
0.9× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 12 $27,148.45 $94,098.50 $39,854.87 nat. median
$45,125
0.9× median
C1722
HCPCS 		Defib Ellipse Dual 51x70 16 $11,106.27 $42,713.12 $38,830.11 nat. median
$20,768
1.9× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 $34,846.77 $89,559.87 $37,932.56 nat. median
$41,311
0.9× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 $21,666.73 $88,845.86 $37,630.14 nat. median
$42,295
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $27,632.51 $131,736.25 $37,265.01 nat. median
$64,510
0.6× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 16 $13,374.56 $86,956.31 $36,829.84 nat. median
$40,457
0.9× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 $31,584.59 $85,950.49 $36,403.83 nat. median
$40,166
0.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 $5,924.03 $124,178.07 $35,126.99 nat. median
$52,278
0.7× median
34
MS_DRG 		Carotid Artery Stent Procedures With Mcc 12 $17,514.96 $80,108.01 $33,929.28 nat. median
$38,285
0.9× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 12 $16,191.92 $79,458.15 $33,654.04 nat. median
$38,112
0.9× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 16 $13,079.39 $83,980.23 $32,763.44 nat. median
$37,476
0.9× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 $17,800.30 $75,987.43 $32,184.03 nat. median
$35,489
0.9× median
939
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 $13,957.99 $75,095.44 $31,806.23 nat. median
$33,732
0.9× median
265
MS_DRG 		Aicd Lead Procedures 12 $27,516.74 $74,882.27 $31,715.95 nat. median
$35,445
0.9× median
279
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 12 $17,955.31 $74,638.05 $31,612.51 nat. median
$33,736
0.9× median
C9168
HCPCS 		Omvoh 300 Mg Vial 4 $31,214.55 $31,214.55 $31,214.55 nat. median
$7,112
outlier · 4.4×
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 $12,223.03 $79,174.62 $31,198.77 nat. median
$35,325
0.9× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 16 $15,003.77 $73,601.18 $31,173.35 nat. median
$35,597
0.9× median
252
MS_DRG 		Other Vascular Procedures With Mcc 16 $14,201.78 $72,193.86 $30,577.29 nat. median
$34,043
0.9× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 $17,068.19 $72,175.23 $30,569.40 nat. median
$35,856
0.9× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 $13,383.43 $70,954.17 $30,052.22 nat. median
$33,847
0.9× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 16 $11,255.61 $69,137.06 $29,282.60 nat. median
$33,061
0.9× median
37
MS_DRG 		Extracranial Procedures With Mcc 16 $11,402.13 $69,861.42 $28,857.46 nat. median
$32,921
0.9× median
260
MS_DRG 		Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 $14,391.67 $68,611.38 $28,512.97 nat. median
$32,663
0.9× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 $11,085.85 $69,170.17 $28,387.62 nat. median
$31,572
0.9× median
33249
CPT 		Ins/rpl Defib W/lead 9 $196.00 $177,951.41 $28,371.90 nat. median
$31,833
0.9× median

Other procedures at this hospital

Browse this hospital's 4,345 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
36906 CPT Perq Thrombo Dialy Circ 50 18 $43,664.00 $26,198.40 40% off $386.03 $97,118.16 $15,484.15 2026-01-01
37184 CPT Prim Art Mech Thrmbctmy 49 18 $12,548.00 $7,528.80 40% off $196.00 $97,118.16 $15,122.14 2026-01-01
C9604 HCPCS Rev Bp Grf W/des Ld 46 18 $30,962.00 $18,577.20 40% off $9,487.31 $61,334.99 $9,779.02 2026-01-01
37187 CPT Venous Mech Thrmbctmy 49 18 $12,548.00 $7,528.80 40% off $196.00 $61,334.99 $9,779.02 2026-01-01
C9600 HCPCS Prc Des+plst 1 Vsl Lc 174 18 $30,962.00 $18,577.20 40% off $9,487.31 $61,334.99 $9,779.02 2026-01-01
36903 CPT Shunt Stdy W/angio+stnt 49 18 $28,806.00 $17,283.60 40% off $196.00 $61,334.99 $9,779.02 2026-01-01
C9765 HCPCS Revasc Intra Lithotrip Stent 41 17 $24,092.00 $14,455.20 40% off $15,122.14 $97,118.16 $15,484.15 2026-01-01
J9299 HCPCS Opdivo 100mg/10ml 67 17 $14,571.00 $8,742.60 40% off $30.43 $30,772.72 $11,511.09 2026-01-01
C9764 HCPCS Revasc Intravasc Lithotripsy 41 17 $12,053.00 $7,231.80 40% off $9,487.31 $61,334.99 $9,779.02 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 42 16 — — $68,081.75 $441,244.93 $186,053.10 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 42 16 — — $43,580.38 $304,231.20 $121,416.80 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 42 16 — — $27,555.65 $144,145.57 $60,586.56 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 42 16 — — $29,988.43 $142,967.97 $56,404.46 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 42 16 — — $21,952.59 $109,198.30 $46,250.30 2026-01-01
C1882 HCPCS Icd Bi Vent Quadra Cd3369-40q. 54 16 $57,124.20 $34,274.52 40% off $19,774.74 $50,269.30 $45,699.36 2026-01-01
C1767 HCPCS Generator Implantable Pulse 54 16 $53,581.50 $32,148.90 40% off $28,905.67 $103,806.23 $44,740.56 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 42 16 — — $19,657.94 $105,114.98 $43,717.90 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 42 16 — — $21,702.54 $103,465.51 $43,290.14 2026-01-01
C1721 HCPCS Defib Cardiac Momentum El 82 16 $51,773.40 $31,064.04 40% off $12,587.31 $76,104.74 $41,418.72 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 16 — — $20,578.63 $98,107.32 $41,126.77 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 42 16 — — $19,607.96 $95,129.16 $40,291.40 2026-01-01
C1722 HCPCS Defib Ellipse Dual 51x70 54 16 $48,537.64 $29,122.58 40% off $11,106.27 $42,713.12 $38,830.11 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 42 16 — — $13,374.56 $86,956.31 $36,829.84 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 42 16 — — $13,079.39 $83,980.23 $32,763.44 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 42 16 — — $13,957.99 $75,095.44 $31,806.23 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 42 16 — — $12,223.03 $79,174.62 $31,198.77 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 42 16 — — $15,003.77 $73,601.18 $31,173.35 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 42 16 — — $14,201.78 $72,193.86 $30,577.29 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 16 — — $13,383.43 $70,954.17 $30,052.22 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 42 16 — — $11,255.61 $69,137.06 $29,282.60 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 42 16 — — $11,402.13 $69,861.42 $28,857.46 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 42 16 — — $14,391.67 $68,611.38 $28,512.97 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 42 16 — — $11,085.85 $69,170.17 $28,387.62 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 42 16 — — $14,998.99 $71,506.75 $27,987.03 2026-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 42 16 — — $14,337.33 $68,913.54 $26,588.03 2026-01-01
C9605 HCPCS Rev Bp Grf W/des Ld 101 16 $30,962.00 $18,577.20 40% off $15,038.88 $35,557.00 $25,853.27 2026-01-01
C9606 HCPCS Rev Mi W/des 1 Vsl Lc 165 16 $30,962.00 $18,577.20 40% off $15,038.88 $27,246.56 $25,853.27 2026-01-01
C9601 HCPCS Perc Des+plsty Add Lc 133 16 $30,962.00 $18,577.20 40% off $15,038.88 $27,246.56 $25,853.27 2026-01-01
570 MS_DRG Skin Debridement With Mcc 42 16 — — $8,195.42 $60,869.01 $25,780.71 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 42 16 — — $11,229.85 $61,030.43 $25,528.26 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 42 16 — — $12,998.17 $61,967.96 $25,159.23 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 42 16 — — $7,572.57 $58,993.95 $24,986.54 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 42 16 — — $10,300.43 $56,887.10 $24,094.20 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 42 16 — — $11,074.62 $53,718.54 $22,752.17 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 42 16 — — $10,388.26 $52,487.13 $22,230.62 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 42 16 — — $10,580.40 $51,450.26 $21,550.40 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 42 16 — — $10,297.56 $49,612.45 $21,013.06 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 42 16 — — $10,061.84 $49,388.93 $20,918.39 2026-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 42 16 — — $9,405.46 $48,364.48 $20,484.49 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 42 16 — — $10,392.63 $49,546.22 $20,363.53 2026-01-01
92941 CPT Prq Card Revasc Mi 1 Vsl Rc 41 16 $24,374.00 $14,624.40 40% off $506.22 $21,449.12 $20,352.29 2026-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 42 16 — — $9,357.71 $45,796.11 $19,396.67 2026-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 42 16 — — $8,110.54 $45,694.70 $19,353.72 2026-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 42 16 — — $10,205.10 $48,652.16 $19,131.07 2026-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 42 16 — — $8,595.73 $46,830.91 $19,098.64 2026-01-01
374 MS_DRG Digestive Malignancy With Mcc 42 16 — — $9,112.00 $44,262.54 $18,747.14 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 42 16 — — $9,887.33 $47,137.21 $18,678.77 2026-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 42 16 — — $9,169.31 $43,827.92 $18,563.06 2026-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 42 16 — — $9,139.35 $43,641.66 $18,484.17 2026-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 42 16 — — $9,007.38 $43,347.77 $18,359.70 2026-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 42 16 — — $9,088.13 $43,327.08 $18,278.18 2026-01-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 42 16 — — $8,577.18 $42,772.42 $18,116.01 2026-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 42 16 — — $8,695.26 $41,619.66 $17,627.76 2026-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 42 16 — — $8,848.06 $42,182.59 $17,514.69 2026-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 42 16 — — $8,700.03 $41,476.85 $17,489.26 2026-01-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 42 16 — — $8,291.27 $40,994.64 $17,363.04 2026-01-01
539 MS_DRG Osteomyelitis With Mcc 42 16 — — $8,043.82 $41,069.14 $17,265.74 2026-01-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 42 16 — — $8,140.52 $40,733.87 $17,252.59 2026-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 42 16 — — $8,606.70 $41,031.89 $17,027.31 2026-01-01
100 MS_DRG Seizures With Mcc 42 16 — — $7,344.54 $41,029.82 $16,977.35 2026-01-01
592 MS_DRG Skin Ulcers With Mcc 42 16 — — $6,955.63 $43,256.71 $16,964.20 2026-01-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 42 16 — — $8,168.68 $39,920.51 $16,908.10 2026-01-01
196 MS_DRG Interstitial Lung Disease With Mcc 42 16 — — $7,465.29 $39,227.20 $16,542.57 2026-01-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 42 16 — — $8,614.95 $41,071.21 $16,394.43 2026-01-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 42 16 — — $7,639.93 $38,012.34 $16,099.91 2026-01-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 42 16 — — $6,967.46 $37,894.38 $16,049.94 2026-01-01
919 MS_DRG Complications Of Treatment With Mcc 42 16 — — $7,028.68 $37,890.24 $16,048.19 2026-01-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 42 16 — — $6,880.47 $37,832.29 $16,023.64 2026-01-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 42 16 — — $6,471.29 $38,122.03 $15,985.95 2026-01-01
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 42 16 — — $8,441.30 $40,243.37 $15,877.26 2026-01-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 42 16 — — $7,659.56 $37,836.43 $15,731.75 2026-01-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 42 16 — — $8,066.62 $38,523.53 $15,724.74 2026-01-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 42 16 — — $7,532.27 $36,874.06 $15,617.79 2026-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 42 16 — — $6,517.74 $36,696.08 $15,542.41 2026-01-01
180 MS_DRG Respiratory Neoplasms With Mcc 42 16 — — $7,545.73 $36,549.14 $15,480.17 2026-01-01
199 MS_DRG Pneumothorax With Mcc 42 16 — — $6,356.85 $36,716.77 $15,463.52 2026-01-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 42 16 — — $7,767.13 $37,029.28 $15,394.27 2026-01-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 41 16 — — $6,493.67 $36,799.56 $15,296.97 2026-01-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 42 16 — — $7,582.19 $36,147.63 $15,147.08 2026-01-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 42 16 — — $7,096.42 $35,009.35 $14,828.01 2026-01-01
571 MS_DRG Skin Debridement With Cc 42 16 — — $7,073.87 $35,015.56 $14,809.60 2026-01-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 42 16 — — $7,258.35 $34,829.30 $14,751.75 2026-01-01
551 MS_DRG Medical Back Problems With Mcc 42 16 — — $7,388.15 $35,222.52 $14,692.14 2026-01-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 42 16 — — $6,751.94 $34,580.95 $14,646.56 2026-01-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 42 16 — — $7,768.43 $37,035.49 $14,593.09 2026-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 42 16 — — $6,327.29 $34,239.46 $14,501.92 2026-01-01
643 MS_DRG Endocrine Disorders With Mcc 42 16 — — $5,494.58 $34,067.69 $14,429.17 2026-01-01
913 MS_DRG Traumatic Injury With Mcc 42 16 — — $6,487.80 $33,829.68 $14,328.36 2026-01-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 42 16 — — $6,842.47 $33,790.36 $14,311.71 2026-01-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 42 16 — — $6,895.43 $33,755.18 $14,296.81 2026-01-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 42 16 — — $6,897.08 $34,537.48 $14,289.80 2026-01-01
38 MS_DRG Extracranial Procedures With Cc 42 16 — — $6,945.35 $33,581.33 $14,223.18 2026-01-01
884 MS_DRG Organic Disturbances And Intellectual Disability 41 16 — — $2,602.03 $36,360.80 $14,103.09 2026-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 42 16 — — $6,887.18 $33,198.45 $14,061.01 2026-01-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 42 16 — — $7,030.87 $33,519.24 $14,018.94 2026-01-01
368 MS_DRG Major Esophageal Disorders With Mcc 42 16 — — $7,171.52 $34,189.79 $13,954.07 2026-01-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 42 16 — — $6,393.59 $32,747.28 $13,869.92 2026-01-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 42 16 — — $6,407.52 $33,028.75 $13,748.08 2026-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 42 16 — — $7,364.27 $35,108.69 $13,698.11 2026-01-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 42 16 — — $6,494.09 $33,179.83 $13,691.10 2026-01-01
186 MS_DRG Pleural Effusion With Mcc 42 16 — — $6,737.85 $32,254.72 $13,661.30 2026-01-01
813 MS_DRG Coagulation Disorders 42 16 — — $6,772.14 $32,285.76 $13,370.28 2026-01-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 42 16 — — $6,888.92 $32,842.48 $13,100.29 2026-01-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 42 16 — — $5,528.63 $32,219.53 $13,033.67 2026-01-01
682 MS_DRG Renal Failure With Mcc 42 16 — — $6,515.15 $31,060.56 $12,981.96 2026-01-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 42 16 — — $6,309.81 $30,563.85 $12,945.14 2026-01-01
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 42 16 — — $6,150.93 $30,396.22 $12,874.14 2026-01-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 42 16 — — $5,714.58 $29,866.40 $12,649.74 2026-01-01
637 MS_DRG Diabetes With Mcc 42 16 — — $5,584.52 $29,994.71 $12,593.64 2026-01-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 42 16 — — $6,601.54 $31,472.41 $12,489.33 2026-01-01
602 MS_DRG Cellulitis With Mcc 42 16 — — $5,380.14 $30,785.30 $12,458.65 2026-01-01
C1764 HCPCS Monitor Assert Iq 3+icm 96 16 $14,994.00 $8,996.40 40% off $4,343.42 $17,132.44 $12,376.01 2026-01-01
811 MS_DRG Red Blood Cell Disorders With Mcc 42 16 — — $6,093.19 $29,063.39 $12,309.63 2026-01-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 42 16 — — $5,561.40 $28,930.94 $12,253.53 2026-01-01
885 MS_DRG Psychoses 41 16 — — $2,691.13 $28,908.17 $12,243.89 2026-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 42 16 — — $6,090.59 $29,036.49 $12,040.52 2026-01-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 42 16 — — $5,700.75 $28,266.60 $11,972.15 2026-01-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 42 16 — — $5,915.21 $28,200.37 $11,789.83 2026-01-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 42 16 — — $5,709.44 $27,641.58 $11,707.43 2026-01-01
150 MS_DRG Epistaxis With Mcc 42 16 — — $5,706.40 $27,556.72 $11,671.49 2026-01-01
C1761 HCPCS Cath C2+ivl 2.5x12mm 40 16 $13,818.00 $8,290.80 40% off $3,184.70 $12,159.84 $11,538.03 2026-01-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 42 16 — — $4,978.99 $27,455.31 $11,521.60 2026-01-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 42 16 — — $4,218.48 $27,258.70 $11,419.04 2026-01-01
540 MS_DRG Osteomyelitis With Cc 42 16 — — $5,635.64 $26,867.55 $11,362.94 2026-01-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 42 16 — — $5,917.81 $28,212.79 $11,356.80 2026-01-01
291 MS_DRG Heart Failure And Shock With Mcc 42 16 — — $5,573.56 $26,571.59 $11,253.37 2026-01-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 42 16 — — $5,629.13 $26,836.50 $11,237.59 2026-01-01
947 MS_DRG Signs And Symptoms With Mcc 42 16 — — $5,433.34 $26,271.50 $11,127.14 2026-01-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 42 16 — — $5,537.96 $26,401.89 $11,117.50 2026-01-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 42 16 — — $5,153.77 $25,681.67 $10,877.32 2026-01-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 42 16 — — $5,006.86 $25,567.84 $10,829.11 2026-01-01
375 MS_DRG Digestive Malignancy With Cc 42 16 — — $5,201.96 $25,033.88 $10,602.95 2026-01-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 42 16 — — $5,218.89 $24,917.98 $10,553.87 2026-01-01
92973 CPT Perq Trnslumin Coron Throm 41 16 $12,548.00 $7,528.80 40% off $79.53 $11,042.24 $10,477.58 2026-01-01
304 MS_DRG Hypertension With Mcc 42 16 — — $4,987.94 $24,628.24 $10,431.15 2026-01-01
C1785 HCPCS Pacemaker .75cm 4.45x5.88cm 82 16 $12,442.08 $7,465.25 40% off $8,510.88 $14,568.52 $10,348.80 2026-01-01
39 MS_DRG Extracranial Procedures Without Cc/mcc 42 16 — — $4,953.21 $24,328.15 $10,304.05 2026-01-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 42 16 — — $5,098.21 $24,305.38 $10,170.81 2026-01-01
572 MS_DRG Skin Debridement Without Cc/mcc 42 16 — — $4,947.14 $23,723.82 $10,048.09 2026-01-01
37237 CPT Trnscth Stent Addl Art 32 15 $29,607.00 $17,764.20 40% off $23,389.53 $26,054.16 $24,721.85 2026-01-01
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 32 15 $38,142.32 $22,885.39 40% off $16,445.14 $103,145.56 $23,288.78 2026-01-01
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 32 15 $38,142.32 $22,885.39 40% off $16,445.14 $103,145.56 $23,288.78 2026-01-01
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 32 15 $38,142.32 $22,885.39 40% off $16,445.14 $103,145.56 $23,288.78 2026-01-01
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 32 15 $38,142.32 $22,885.39 40% off $16,445.14 $103,145.56 $23,288.78 2026-01-01
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 32 15 $38,142.32 $22,885.39 40% off $16,445.14 $103,145.56 $23,288.78 2026-01-01
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 32 15 $38,142.32 $22,885.39 40% off $16,445.14 $103,145.56 $23,288.78 2026-01-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 32 15 $39,052.00 $23,431.20 40% off $15,484.15 $97,118.16 $23,167.62 2026-01-01
C9772 HCPCS Revasc Lithotrip Tibi/perone 32 15 $24,415.00 $14,649.00 40% off $9,779.02 $61,334.99 $14,533.43 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 12 — — $39,552.44 $147,570.76 $62,502.73 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 12 — — $46,554.67 $126,686.42 $53,657.30 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 12 — — $27,167.71 $117,956.85 $49,959.94 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 12 — — $42,004.01 $114,304.01 $48,412.80 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 12 — — $27,148.45 $94,098.50 $39,854.87 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 12 — — $34,846.77 $89,559.87 $37,932.56 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 12 — — $21,666.73 $88,845.86 $37,630.14 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 12 — — $31,584.59 $85,950.49 $36,403.83 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 12 — — $17,514.96 $80,108.01 $33,929.28 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 12 — — $16,191.92 $79,458.15 $33,654.04 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 12 — — $17,800.30 $75,987.43 $32,184.03 2026-01-01
265 MS_DRG Aicd Lead Procedures 28 12 — — $27,516.74 $74,882.27 $31,715.95 2026-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 12 — — $17,955.31 $74,638.05 $31,612.51 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 12 — — $17,068.19 $72,175.23 $30,569.40 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 28 12 — — $22,860.43 $65,213.10 $27,620.63 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 12 — — $15,342.32 $64,461.83 $27,302.43 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 28 12 — — $20,491.80 $64,348.00 $27,254.22 2026-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 28 12 — — $18,603.01 $59,728.66 $25,297.72 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 28 12 — — $19,954.68 $56,309.68 $23,849.63 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 28 12 — — $14,048.40 $55,825.39 $23,644.52 2026-01-01
397 MS_DRG Appendix Procedures With Mcc 28 12 — — $14,789.40 $49,564.85 $20,992.90 2026-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 28 12 — — $11,758.26 $48,399.67 $20,499.40 2026-01-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 28 12 — — $14,181.69 $47,097.89 $19,948.04 2026-01-01
835 MS_DRG Acute Leukemia With Cc 28 12 — — $18,283.43 $43,167.72 $18,283.43 2026-01-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 28 12 — — $15,171.01 $41,284.38 $17,485.76 2026-01-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 28 12 — — $10,120.26 $40,208.19 $17,029.94 2026-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 28 12 — — $14,945.40 $36,487.05 $15,453.88 2026-01-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 28 12 — — $9,019.87 $35,472.94 $15,024.36 2026-01-01
915 MS_DRG Allergic Reactions With Mcc 28 12 — — $8,250.72 $34,802.39 $14,740.35 2026-01-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 28 12 — — $7,135.53 $32,358.20 $13,705.13 2026-01-01
964 MS_DRG Other Multiple Significant Trauma With Cc 28 12 — — $8,199.39 $31,718.69 $13,434.27 2026-01-01
398 MS_DRG Appendix Procedures With Cc 28 12 — — $9,206.47 $31,325.47 $13,267.72 2026-01-01
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 28 12 — — $11,278.41 $30,690.10 $12,998.61 2026-01-01
88 MS_DRG Concussion With Mcc 28 12 — — $10,280.70 $27,976.85 $11,849.43 2026-01-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 28 12 — — $6,848.70 $27,167.64 $11,506.70 2026-01-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 28 12 — — $4,342.33 $24,886.94 $10,540.72 2026-01-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 28 12 — — $6,710.97 $24,549.60 $10,397.84 2026-01-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 14 10 — — $38,468.37 $183,395.53 $51,878.18 2025-01-22
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 10 — — $33,858.97 $161,420.52 $45,661.98 2025-01-22
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 10 — — $27,632.51 $131,736.25 $37,265.01 2025-01-22
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 10 — — $16,150.98 $99,481.53 $28,140.93 2025-01-22
163 MS_DRG Major Chest Procedures With Mcc 14 10 — — $16,131.56 $97,552.67 $27,595.30 2025-01-22
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 14 10 — — $19,993.45 $95,317.50 $26,963.02 2025-01-22
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 14 10 — — $11,280.10 $88,551.98 $25,049.22 2025-01-22
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 14 10 — — $17,543.32 $83,636.68 $23,658.80 2025-01-22
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 14 10 — — $16,917.33 $80,652.31 $22,814.60 2025-01-22
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 10 — — $16,835.72 $80,263.23 $22,704.53 2025-01-22
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 10 — — $16,158.50 $77,034.65 $21,791.25 2025-01-22
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 14 10 — — $15,879.37 $75,703.90 $21,414.81 2025-01-22
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 10 — — $15,134.43 $72,152.46 $20,410.19 2025-01-22
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 14 10 — — $13,803.01 $65,805.00 $18,614.65 2025-01-22
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 14 10 — — $13,724.44 $65,430.40 $18,508.69 2025-01-22
665 MS_DRG Prostatectomy With Mcc 14 10 — — $13,410.14 $63,932.01 $18,084.83 2025-01-22
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 14 10 — — $12,167.28 $58,006.75 $16,408.71 2025-01-22
654 MS_DRG Major Bladder Procedures With Cc 14 10 — — $11,883.81 $56,655.30 $16,026.42 2025-01-22
963 MS_DRG Other Multiple Significant Trauma With Mcc 14 10 — — $11,869.91 $56,589.07 $16,007.69 2025-01-22
288 MS_DRG Acute And Subacute Endocarditis With Mcc 14 10 — — $11,256.52 $53,664.73 $15,180.46 2025-01-22
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 14 10 — — $11,238.72 $53,579.87 $15,156.46 2025-01-22
164 MS_DRG Major Chest Procedures With Cc 14 10 — — $11,071.58 $52,783.08 $14,931.06 2025-01-22
347 MS_DRG Anal And Stomal Procedures With Mcc 14 10 — — $11,065.94 $52,756.17 $14,923.45 2025-01-22
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 14 10 — — $10,841.50 $51,686.19 $14,620.78 2025-01-22
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 14 10 — — $10,784.20 $51,413.00 $14,543.50 2025-01-22
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 14 10 — — $10,418.68 $49,670.40 $14,050.56 2025-01-22
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 14 10 — — $8,799.68 $49,333.06 $13,955.13 2025-01-22
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 14 10 — — $9,683.73 $46,166.57 $13,059.41 2025-01-22
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 14 10 — — $9,588.22 $45,711.26 $12,930.61 2025-01-22
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 14 10 — — $8,121.10 $45,111.07 $12,760.84 2025-01-22
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 14 10 — — $8,932.28 $44,200.45 $12,503.24 2025-01-22
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 14 10 — — $8,914.12 $44,043.16 $12,458.75 2025-01-22
711 MS_DRG Testes Procedures With Cc/mcc 14 10 — — $7,479.25 $43,935.54 $12,428.31 2025-01-22
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 14 10 — — $9,145.00 $43,598.19 $12,332.88 2025-01-22
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 14 10 — — $9,082.92 $43,302.24 $12,249.16 2025-01-22
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 14 10 — — $8,718.26 $41,563.78 $11,757.39 2025-01-22
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 14 10 — — $8,655.32 $41,263.68 $11,672.50 2025-01-22
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 10 — — $8,627.97 $41,133.30 $11,635.62 2025-01-22
548 MS_DRG Septic Arthritis With Mcc 14 10 — — $8,464.31 $40,353.06 $11,414.91 2025-01-22
380 MS_DRG Complicated Peptic Ulcer With Mcc 14 10 — — $6,304.49 $40,326.16 $11,407.30 2025-01-22
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 14 10 — — $8,169.11 $38,945.73 $11,016.81 2025-01-22
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 14 10 — — $8,114.41 $38,684.96 $10,943.04 2025-01-22
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 14 10 — — $6,259.31 $38,577.34 $10,912.60 2025-01-22
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 14 10 — — $8,033.24 $38,297.95 $10,833.57 2025-01-22
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 14 10 — — $7,985.05 $38,068.22 $10,768.58 2025-01-22
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 14 10 — — $7,942.07 $37,863.33 $10,710.62 2025-01-22
783 MS_DRG Cesarean Section With Sterilization With Mcc 14 10 — — $4,419.48 $36,669.17 $10,372.83 2025-01-22
786 MS_DRG Cesarean Section Without Sterilization With Mcc 14 10 — — $6,372.48 $36,207.65 $10,242.27 2025-01-22
501 MS_DRG Soft Tissue Procedures With Cc 14 10 — — $7,534.88 $35,922.05 $10,161.48 2025-01-22
505 MS_DRG Foot Procedures Without Cc/mcc 14 10 — — $4,545.74 $35,301.17 $9,985.85 2025-01-22
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 9 — — $5,924.03 $124,178.07 $35,126.99 2025-01-22
33249 CPT Ins/rpl Defib W/lead 11 9 $89,097.00 $53,458.20 40% off $196.00 $177,951.41 $28,371.90 2025-01-22
33264 CPT Rmv+repl Cvd Gen Multi 11 9 $95,394.00 $57,236.40 40% off $196.00 $177,951.41 $28,371.90 2025-01-22
793 MS_DRG Full Term Neonate With Major Problems 13 9 — — $1,727.08 $87,115.67 $24,642.93 2025-01-22
791 MS_DRG Prematurity With Major Problems 13 9 — — $3,717.24 $84,806.00 $23,989.57 2025-01-22
33263 CPT Rmv+repl Cvd Gen Dual 11 9 $95,394.00 $57,236.40 40% off $196.00 $127,498.01 $20,327.80 2025-01-22
61885 CPT Insrt/redo Neurostim 1 Array 15 9 $1,806.00 $1,083.60 40% off $196.00 $118,324.93 $18,865.28 2026-01-01
54401 CPT Insert Self-contd Prosthesis 11 9 — — $196.00 $109,109.33 $17,395.98 2025-01-22
A9604 HCPCS Samarium Sm-153 Lexidronam 14 9 $39,352.00 $23,611.20 40% off $17,259.85 $108,255.52 $17,259.85 2025-01-22
33229 CPT Rmv+repl Pm Gen Mult 11 9 $28,862.00 $17,317.20 40% off $196.00 $105,395.66 $16,803.89 2025-01-22
33221 CPT Ins Pulse Gen Mult Lead 11 9 $28,862.00 $17,317.20 40% off $196.00 $105,395.66 $16,803.89 2025-01-22
23472 CPT Reconstruct Shoulder Joint 11 9 — — $196.00 $100,802.57 $16,071.58 2025-01-22
37227 CPT Fem/pop Plsty+ath+ste Lt 11 9 $65,568.00 $39,340.80 40% off $196.00 $94,847.57 $15,122.14 2025-01-22
37229 CPT Tib/per Plasty W/ath Lt 11 9 $44,029.00 $26,417.40 40% off $196.00 $94,847.57 $15,122.14 2025-01-22
37230 CPT Tib/per Plasty W/ste Lt 11 9 $27,400.00 $16,440.00 40% off $196.00 $94,847.57 $15,122.14 2025-01-22
37225 CPT Fem/pop Plasty W/ath Lt 11 9 $44,754.00 $26,852.40 40% off $196.00 $94,847.57 $15,122.14 2025-01-22
37242 CPT Vasc Occlusion Arterial 11 9 $32,607.00 $19,564.20 40% off $196.00 $94,847.57 $15,122.14 2025-01-22
792 MS_DRG Prematurity Without Major Problems 13 9 — — $1,433.61 $51,170.86 $14,475.00 2025-01-22
24545 CPT Opn Tx Humeral Fx Without Ext Bi 20 9 $5,097.00 $3,058.20 40% off $196.00 $11,350.05 $11,350.05 2025-01-22
24546 CPT Opn Tx Humeral Fx W/ext Bi 21 9 $8,335.00 $5,001.00 40% off $196.00 $71,188.67 $11,350.05 2025-01-22
24666 CPT Opn Tx Radial Head W Prsth Bi 22 9 $10,733.00 $6,439.80 40% off $196.00 $71,188.67 $11,350.05 2025-01-22
69714 CPT Impl Oi Implt Skull Perq Esp 15 9 $3,488.00 $2,092.80 40% off $196.00 $71,188.67 $11,350.05 2026-01-01
24515 CPT Opn Tx Humeral Shft Fx Bi 21 9 $6,668.00 $4,000.80 40% off $196.00 $71,188.67 $11,350.05 2025-01-22
24516 CPT Tx Humeral Shft Fx W/imp Bi 21 9 $7,545.00 $4,527.00 40% off $196.00 $71,188.67 $11,350.05 2025-01-22
24586 CPT Opn Tx Periarticular Fx Elb Bi 22 9 $19,385.00 $11,631.00 40% off $196.00 $71,188.67 $11,350.05 2025-01-22
24579 CPT Opn Tx Hum Cond Fx Inc Bi 20 9 $4,784.50 $2,870.70 40% off $196.00 $11,350.05 $11,350.05 2025-01-22
24575 CPT Opn Tx Humeral Epicndyl Fx Bi 20 9 $3,770.50 $2,262.30 40% off $196.00 $11,350.05 $11,350.05 2025-01-22
27447 CPT Total Knee Arthroplasty 11 9 — — $196.00 $71,188.67 $11,350.05 2025-01-22
27870 CPT Fusion Of Ankle Joint Open 11 9 — — $196.00 $71,188.67 $11,350.05 2025-01-22
20982 CPT Ablate Bone Tumor(s) Per 11 9 $7,296.00 $4,377.60 40% off $196.00 $71,188.67 $11,350.05 2025-01-22
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 13 9 — — $899.86 $37,654.30 $10,651.50 2025-01-22
93653 CPT Ep Ablate Suprvnt Arrhy 9 8 $42,341.00 $25,404.60 40% off $20,482.15 $128,466.12 $20,482.15 2025-01-22
93656 CPT Tx Atrl Fib Pul Vein I 9 8 $42,341.00 $25,404.60 40% off $20,482.15 $128,466.12 $20,482.15 2025-01-22
92933 CPT Perc Stnt+ath+plsty 1 Rc 9 8 $23,213.00 $13,927.80 40% off $15,122.14 $94,847.57 $15,122.14 2025-01-22
C9602 HCPCS Perc Des+ath+plsty Lc 9 8 $29,488.00 $17,692.80 40% off $15,122.14 $94,847.57 $15,122.14 2025-01-22
C9607 HCPCS Rev Ch W/des 1 Vsl Rc 9 8 $29,488.00 $17,692.80 40% off $15,122.14 $94,847.57 $15,122.14 2025-01-22
C9766 HCPCS Revasc Intra Lithotrip Ather 9 8 $22,945.00 $13,767.00 40% off $15,122.14 $94,847.57 $15,122.14 2025-01-22
27130 CPT Total Hip Arthroplasty 9 8 — — $11,350.05 $71,188.67 $11,350.05 2025-01-22
C9168 HCPCS Omvoh 300 Mg Vial 5 4 $61,205.00 $36,723.00 40% off $31,214.55 $31,214.55 $31,214.55 2025-01-22
C9603 HCPCS Perc Des+ath+plsty Lc 5 4 $29,488.00 $17,692.80 40% off $15,038.88 $15,038.88 $15,038.88 2025-01-22
34702 CPT Endovasc Rpr A-ao Endgr Rpt 5 4 $29,342.00 $17,605.20 40% off $14,964.42 $14,964.42 $14,964.42 2025-01-22
34705 CPT Endovasc Rpr A-biliac Endgr 5 4 $29,342.00 $17,605.20 40% off $14,964.42 $14,964.42 $14,964.42 2025-01-22
37239 CPT Trnscth Stent Addl Vein 9 4 $28,197.00 $16,918.20 40% off $115.81 $14,380.47 $14,380.47 2026-01-01
37223 CPT Iliac Revas W/stent A Bil 10 4 $26,268.00 $15,760.80 40% off $8,931.12 $17,862.24 $13,396.68 2025-01-22
C1820 HCPCS Neuro Interstim Micro 6 4 $24,671.00 $14,802.60 40% off $12,582.21 $12,582.21 $12,582.21 2025-01-22
92938 CPT Revs Bp Grf W/stnt Ea Rc 5 4 $23,213.00 $13,927.80 40% off $11,838.63 $11,838.63 $11,838.63 2025-01-22
92929 CPT Perc Stnt+plsty Addl Lc 5 4 $23,213.00 $13,927.80 40% off $11,838.63 $11,838.63 $11,838.63 2025-01-22
33225 CPT Ins Elec Time Ins Pcmkr 5 4 $22,883.00 $13,729.80 40% off $11,670.33 $11,670.33 $11,670.33 2025-01-22
C2621 HCPCS Pacmkr Bi Vent Quadra Pm3262 6 4 $20,475.00 $12,285.00 40% off $10,442.25 $10,442.25 $10,442.25 2025-01-22
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 2 — — $245,648.26 $381,349.23 $313,498.74 2026-01-01
7 MS_DRG Lung Transplant 4 2 — — $113,517.18 $176,226.32 $144,871.75 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 2 — — $99,330.82 $154,203.13 $126,766.98 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 2 — — $90,378.44 $140,305.28 $115,341.86 2026-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 2 — — $49,128.07 $76,267.40 $62,697.74 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 4 2 — — $40,646.41 $63,100.30 $51,873.36 2026-01-01
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