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

Ascension NE Wisconsin - Mercy Campus

Oshkosh, WI · CCN 520048 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $4,919 across 17 payers · range $4,192-$9,250

Source: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/wi-csv/390816818-1912527193_ascension-ne-wisconsin-inc-fka-st-elizabeth-hospital-inc_standardcharges.csv · observed 2026-01-01

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.

50,652 distinct procedures filed
37 distinct payers
1,302,984 rate rows
2026-01-01 last MRF observed
Data quality

1,298,507 of 1,302,984 rate rows are consumer-grade (99.7%)

4,477 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
per-diem day rate — not a per-procedure price 3,790
placeholder amount (≤ $0.02) — excluded from medians 574
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 58
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 28
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 27
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/wi-csv/390816818-1912527193_ascension-ne-wisconsin-inc-fka-st-elizabeth-hospital-inc_standardcharges.csv
Found on page https://healthcare.ascension.org/price-transparency
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-08-17
Content fingerprint 6afb4cfd877b6a82… · 358,646,342 bytes · first seen 2026-05-15

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 7 $282,111.94 $674,295.10 $394,956.72 nat. median
$370,165
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $183,079.30 $495,958.58 $384,466.53 nat. median
$261,939
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $138,663.59 $390,204.13 $291,193.54 nat. median
$199,832
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $139,482.18 $482,416.93 $244,093.82 nat. median
$205,166
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $90,490.78 $269,039.40 $190,030.64 nat. median
$132,706
1.4× median
7
MS_DRG 		Lung Transplant 9 $84,603.27 $224,499.65 $177,666.87 nat. median
$122,690
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $78,512.58 $209,757.39 $164,876.42 nat. median
$114,305
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $74,030.31 $237,099.61 $155,463.65 nat. median
$108,240
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $67,358.19 $200,740.39 $141,452.20 nat. median
$99,646
1.4× median
48133999
CDM 		Hc Tavi-tavr Prost Val Open Crtd 30 $73,041.36 $173,908.00 $123,474.68 nat. median
$72,832
1.7× median
36033249
CDM 		Hc Ins Sng/dual Icd Gen/lead 24 $75,074.50 $141,650.00 $113,320.00 nat. median
$38,288
outlier · 3.0×
48133995
CDM 		Hc Insj Perq Vad W/rs&i R Heart Venous Access Only 24 $70,732.74 $133,458.00 $106,766.40 nat. median
$4,658
outlier · 22.9×
48133990
CDM 		Hc Insert Heart Assist Dev, Left Heart 24 $70,732.74 $133,458.00 $106,766.40 nat. median
$4,374
outlier · 24.4×
36033270
CDM 		Hc Insert/replace Subcutaneous Defibrillator 24 $66,194.88 $124,896.00 $99,916.80 nat. median
$50,520
2.0× median
36033264
CDM 		Hc Remove/replace Icd Mult 24 $65,254.13 $123,121.00 $98,496.80 nat. median
$38,288
outlier · 2.6×
36037231
CDM 		Hc Stent/ather Tib/per Init 24 $60,452.33 $114,061.00 $91,248.80 nat. median
$24,329
outlier · 3.8×
215
MS_DRG 		Other Heart Assist System Implant 7 $65,048.78 $186,951.27 $91,068.29 nat. median
$98,002
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $63,910.74 $177,626.40 $89,475.04 nat. median
$92,900
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 6 $71,040.17 $197,125.35 $87,024.21 nat. median
$100,978
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 8 $46,859.03 $126,644.35 $82,003.30 nat. median
$62,911
1.3× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 9 $38,738.55 $113,051.45 $81,350.96 nat. median
$55,867
1.5× median
36033262
CDM 		Hc Remove/replace Icd Sngl 24 $53,744.12 $101,404.00 $81,123.20 nat. median
$25,116
outlier · 3.2×
36033263
CDM 		Hc Remove/replace Icd Dual 24 $53,744.12 $101,404.00 $81,123.20 nat. median
$29,252
outlier · 2.8×
48033289
CDM 		Hc Tcat Impl Wrls P-art Prs Snr 24 $53,327.54 $100,618.00 $80,494.40 nat. median
$95,686
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 5 $73,945.38 $155,285.30 $77,642.65 nat. median
$96,134
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $55,072.28 $148,524.39 $77,101.19 nat. median
$79,040
1.0× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 9 $36,614.68 $98,392.18 $76,890.83 nat. median
$53,073
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $54,899.16 $154,274.88 $76,858.82 nat. median
$80,459
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $72,001.17 $151,202.46 $75,601.23 nat. median
$96,835
0.8× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 9 $35,489.05 $113,051.45 $74,527.01 nat. median
$52,535
1.4× median
10
MS_DRG 		Pancreas Transplant 9 $46,878.63 $98,445.12 $72,975.39 nat. median
$67,750
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $51,406.63 $163,719.47 $71,969.28 nat. median
$77,385
0.9× median
48193583
CDM 		Hc Reduction Septal Perq 24 $47,075.66 $88,822.00 $71,057.60 nat. median
$63,327
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $50,162.10 $143,041.82 $70,226.94 nat. median
$74,472
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $49,945.86 $142,748.28 $69,924.20 nat. median
$73,475
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $49,780.58 $132,369.22 $69,692.81 nat. median
$71,485
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 $46,610.13 $146,297.04 $65,254.18 nat. median
$69,153
0.9× median
6
MS_DRG 		Liver Transplant Without Mcc 9 $30,293.38 $88,524.94 $63,616.10 nat. median
$46,106
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $45,154.58 $127,471.60 $63,216.41 nat. median
$65,958
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $44,933.11 $125,454.72 $62,906.35 nat. median
$65,792
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $58,859.45 $123,604.85 $61,802.42 nat. median
$81,124
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 7 $43,974.07 $118,540.13 $61,563.70 nat. median
$64,357
1.0× median
48100915
CDM 		Hc Insj Perm Ccm-d Sys Pg&eltrd 30 $36,357.72 $86,566.00 $61,461.86 nat. median
$85,172
0.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $42,956.24 $116,497.72 $60,138.74 nat. median
$63,840
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $42,956.24 $104,509.24 $60,138.74 nat. median
$60,895
1.0× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 $42,800.10 $113,803.67 $59,920.14 nat. median
$59,159
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $56,572.25 $118,801.73 $59,400.86 nat. median
$81,364
0.7× median
36033240
CDM 		Hc Ins Sng/dual Icd Gen Only 24 $39,183.43 $73,931.00 $59,144.80 nat. median
$29,404
outlier · 2.0×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 7 $42,037.70 $126,430.22 $58,852.78 nat. median
$62,218
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $46,582.69 $128,769.21 $57,063.79 nat. median
$68,581
0.8× median

Other procedures at this hospital

Browse this hospital's 50,652 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $282,111.94 $674,295.10 $394,956.72 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 9 — — $183,079.30 $495,958.58 $384,466.53 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 9 — — $138,663.59 $390,204.13 $291,193.54 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 8 — — $139,482.18 $482,416.93 $244,093.82 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 9 — — $90,490.78 $269,039.40 $190,030.64 2026-01-01
7 MS_DRG Lung Transplant 9 9 — — $84,603.27 $224,499.65 $177,666.87 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 9 9 — — $78,512.58 $209,757.39 $164,876.42 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 9 — — $74,030.31 $237,099.61 $155,463.65 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 9 — — $67,358.19 $200,740.39 $141,452.20 2026-01-01
48133999 CDM Hc Tavi-tavr Prost Val Open Crtd 30 30 $173,908.00 $99,127.56 43% off $73,041.36 $173,908.00 $123,474.68 2026-01-01
36033249 CDM Hc Ins Sng/dual Icd Gen/lead 24 24 $141,650.00 $80,740.50 43% off $75,074.50 $141,650.00 $113,320.00 2026-01-01
48133995 CDM Hc Insj Perq Vad W/rs&i R Heart Venous Access Only 24 24 $133,458.00 $76,071.06 43% off $70,732.74 $133,458.00 $106,766.40 2026-01-01
48133990 CDM Hc Insert Heart Assist Dev, Left Heart 24 24 $133,458.00 $76,071.06 43% off $70,732.74 $133,458.00 $106,766.40 2026-01-01
36033270 CDM Hc Insert/replace Subcutaneous Defibrillator 24 24 $124,896.00 $71,190.72 43% off $66,194.88 $124,896.00 $99,916.80 2026-01-01
36033264 CDM Hc Remove/replace Icd Mult 24 24 $123,121.00 $70,178.97 43% off $65,254.13 $123,121.00 $98,496.80 2026-01-01
36037231 CDM Hc Stent/ather Tib/per Init 24 24 $114,061.00 $65,014.77 43% off $60,452.33 $114,061.00 $91,248.80 2026-01-01
215 MS_DRG Other Heart Assist System Implant 7 7 — — $65,048.78 $186,951.27 $91,068.29 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 7 — — $63,910.74 $177,626.40 $89,475.04 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 6 — — $71,040.17 $197,125.35 $87,024.21 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 8 8 — — $46,859.03 $126,644.35 $82,003.30 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 9 9 — — $38,738.55 $113,051.45 $81,350.96 2026-01-01
36033263 CDM Hc Remove/replace Icd Dual 24 24 $101,404.00 $57,800.28 43% off $53,744.12 $101,404.00 $81,123.20 2026-01-01
36033262 CDM Hc Remove/replace Icd Sngl 24 24 $101,404.00 $57,800.28 43% off $53,744.12 $101,404.00 $81,123.20 2026-01-01
48033289 CDM Hc Tcat Impl Wrls P-art Prs Snr 24 24 $100,618.00 $57,352.26 43% off $53,327.54 $100,618.00 $80,494.40 2026-01-01
209 MS_DRG Complex Aortic Arch Procedures 5 5 — — $73,945.38 $155,285.30 $77,642.65 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 7 7 — — $55,072.28 $148,524.39 $77,101.19 2026-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 9 9 — — $36,614.68 $98,392.18 $76,890.83 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 7 — — $54,899.16 $154,274.88 $76,858.82 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $72,001.17 $151,202.46 $75,601.23 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 9 9 — — $35,489.05 $113,051.45 $74,527.01 2026-01-01
10 MS_DRG Pancreas Transplant 9 9 — — $46,878.63 $98,445.12 $72,975.39 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 7 — — $51,406.63 $163,719.47 $71,969.28 2026-01-01
48193583 CDM Hc Reduction Septal Perq 24 24 $88,822.00 $50,628.54 43% off $47,075.66 $88,822.00 $71,057.60 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 7 — — $50,162.10 $143,041.82 $70,226.94 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 7 — — $49,945.86 $142,748.28 $69,924.20 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 7 — — $49,780.58 $132,369.22 $69,692.81 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 7 — — $46,610.13 $146,297.04 $65,254.18 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 9 9 — — $30,293.38 $88,524.94 $63,616.10 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 7 7 — — $45,154.58 $127,471.60 $63,216.41 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 7 — — $44,933.11 $125,454.72 $62,906.35 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 5 — — $58,859.45 $123,604.85 $61,802.42 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $43,974.07 $118,540.13 $61,563.70 2026-01-01
48100915 CDM Hc Insj Perm Ccm-d Sys Pg&eltrd 30 30 $86,566.00 $49,342.62 43% off $36,357.72 $86,566.00 $61,461.86 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 7 — — $42,956.24 $116,497.72 $60,138.74 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 7 — — $42,956.24 $104,509.24 $60,138.74 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 7 — — $42,800.10 $113,803.67 $59,920.14 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 5 5 — — $56,572.25 $118,801.73 $59,400.86 2026-01-01
36033240 CDM Hc Ins Sng/dual Icd Gen Only 24 24 $73,931.00 $42,140.67 43% off $39,183.43 $73,931.00 $59,144.80 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 7 7 — — $42,037.70 $126,430.22 $58,852.78 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 6 — — $46,582.69 $128,769.21 $57,063.79 2026-01-01
36037230 CDM Hc Stent/pta Tib/per Init 24 24 $71,011.00 $40,476.27 43% off $37,635.83 $71,011.00 $56,808.80 2026-01-01
36033229 CDM Hc Remove/replace Pace Mult 24 24 $70,792.00 $40,351.44 43% off $37,519.76 $70,792.00 $56,633.60 2026-01-01
36033221 CDM Hc Ins Pace Only Mult Lead 24 24 $70,792.00 $40,351.44 43% off $37,519.76 $70,792.00 $56,633.60 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 7 — — $40,036.65 $116,159.12 $56,051.31 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 7 7 — — $39,990.27 $127,543.26 $55,986.38 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 7 7 — — $39,606.78 $108,871.28 $55,449.49 2026-01-01
48193656 CDM Hc Ablate Af W Ep/ar Induct 24 24 $68,979.00 $39,318.03 43% off $36,558.87 $68,979.00 $55,183.20 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 7 7 — — $39,252.04 $110,289.68 $54,952.86 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 7 — — $38,956.75 $111,190.14 $54,539.45 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 7 7 — — $38,339.39 $107,626.74 $53,675.15 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 7 — — $38,314.56 $110,666.70 $53,640.38 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 7 — — $37,435.88 $103,750.38 $52,410.23 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 7 — — $37,234.66 $103,657.04 $52,128.52 2026-01-01
48133992 CDM Hc Remove Vad Different Session 24 24 $64,300.00 $36,651.00 43% off $34,079.00 $64,300.00 $51,440.00 2026-01-01
48133997 CDM Hc Removal Perq R Heart Vad Venous Cannula Sep Ins 24 24 $64,300.00 $36,651.00 43% off $34,079.00 $64,300.00 $51,440.00 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 7 7 — — $36,081.59 $124,792.19 $50,514.23 2026-01-01
36993654 CDM Hc Ablate Vt W Ep/ar Induct 24 24 $63,001.00 $35,910.57 43% off $33,390.53 $63,001.00 $50,400.80 2026-01-01
48192933 CDM Hc Ather/stent 1st Art 24 24 $62,799.00 $35,795.43 43% off $33,283.47 $62,799.00 $50,239.20 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 7 7 — — $35,865.35 $102,472.90 $50,211.49 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 7 7 — — $35,738.61 $100,756.17 $50,034.05 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 7 — — $35,687.66 $95,131.97 $49,962.72 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 7 — — $35,631.47 $94,370.60 $49,884.06 2026-01-01
SX113393 CDM Kit Catheter Cardiovascular With Purge Cassette Ax 31 31 $71,210.70 $40,590.10 43% off $29,908.49 $71,210.70 $49,847.49 2026-01-01
36002380 CDM Hc Ather Iliac Open/perc 28 28 $66,926.00 $38,147.82 43% off $28,108.92 $66,926.00 $49,525.24 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $47,158.90 $99,033.69 $49,516.85 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 7 — — $34,839.02 $95,986.67 $48,774.63 2026-01-01
48193653 CDM Hc Ablate Svt W Ep/ar Induct 24 24 $60,751.00 $34,628.07 43% off $32,198.03 $60,751.00 $48,600.80 2026-01-01
36033224 CDM Hc Ins Lv Lead With Exist Gen 24 24 $60,616.00 $34,551.12 43% off $32,126.48 $60,616.00 $48,492.80 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 7 — — $34,584.24 $119,476.34 $48,417.94 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 7 7 — — $34,469.91 $92,551.38 $48,257.87 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 6 — — $39,240.94 $113,659.08 $48,070.15 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 7 7 — — $34,006.72 $94,925.15 $47,609.41 2026-01-01
36033225 CDM Hc Ins Lv Lead New Generator 24 24 $59,426.00 $33,872.82 43% off $31,495.78 $59,426.00 $47,540.80 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 7 7 — — $33,947.93 $99,079.71 $47,527.10 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 7 — — $32,927.48 $85,078.68 $46,098.47 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 5 — — $43,682.70 $91,733.67 $45,866.83 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 5 — — $43,650.69 $91,666.45 $45,833.22 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 7 7 — — $32,582.53 $92,955.86 $45,615.54 2026-01-01
48193580 CDM Hc Pfo Closure Transcath 24 24 $56,643.00 $32,286.51 43% off $30,020.79 $56,643.00 $45,314.40 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 7 7 — — $32,321.22 $92,218.29 $45,249.71 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 7 — — $32,263.73 $91,497.19 $45,169.22 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 7 — — $32,153.32 $87,974.05 $45,014.65 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 7 — — $32,019.39 $104,012.10 $44,827.15 2026-01-01
48109606 CDM Hc Pci W/wo Drug El Stent Mi 1st 30 30 $62,799.00 $35,795.43 43% off $26,375.58 $62,799.00 $44,587.29 2026-01-01
48109607 CDM Hc Perc D-e Cor Revasc Chro Sin 30 30 $62,799.00 $35,795.43 43% off $26,375.58 $62,799.00 $44,587.29 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 6 — — $36,363.82 $81,634.24 $44,545.68 2026-01-01
48133902 CDM Hc Perq P-art Revsc 1 Abnor Uni 24 24 $55,656.00 $31,723.92 43% off $29,497.68 $55,656.00 $44,524.80 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 8 8 — — $25,440.69 $55,491.66 $44,495.85 2026-01-01
652 MS_DRG Kidney Transplant 9 9 — — $21,098.23 $54,986.53 $44,306.28 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 7 7 — — $31,545.75 $90,027.54 $44,164.05 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 7 7 — — $31,386.35 $94,715.96 $43,940.89 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 7 7 — — $31,102.16 $90,816.24 $43,543.02 2026-01-01
36033208 CDM Hc Perm Pace/electrodes Av 24 24 $54,086.00 $30,829.02 43% off $28,665.58 $54,086.00 $43,268.80 2026-01-01
36033214 CDM Hc Pacemaker Upgrade 24 24 $54,084.00 $30,827.88 43% off $28,664.52 $54,084.00 $43,267.20 2026-01-01
48100923 CDM Hc Rmvl&rplcmt Perm Ccm-d Pg 30 30 $60,604.00 $34,544.28 43% off $25,453.68 $60,604.00 $43,028.84 2026-01-01
48100916 CDM Hc Insj Perm Ccm-d Sys Pg Only 30 30 $60,604.00 $34,544.28 43% off $25,453.68 $60,604.00 $43,028.84 2026-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 7 7 — — $30,714.11 $82,313.25 $42,999.75 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 7 — — $30,651.39 $86,758.80 $42,911.95 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 7 — — $30,559.93 $90,487.16 $42,783.90 2026-01-01
36961624 CDM Hc Transcath Occlusion Cns 24 24 $52,999.00 $30,209.43 43% off $30,209.43 $52,999.00 $42,399.20 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 7 7 — — $30,028.80 $82,666.47 $42,040.32 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 7 7 — — $29,952.36 $82,393.77 $41,933.30 2026-01-01
245 MS_DRG Aicd Generator Procedures 7 7 — — $29,806.02 $85,807.85 $41,728.43 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 7 — — $29,716.52 $81,048.58 $41,603.13 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 7 7 — — $29,703.45 $80,821.63 $41,584.83 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 7 7 — — $29,587.17 $91,645.10 $41,422.04 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 7 7 — — $29,279.46 $86,268.31 $40,991.24 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 7 7 — — $29,270.97 $75,342.01 $40,979.36 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 7 7 — — $29,155.99 $79,831.49 $40,818.39 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 5 — — $38,828.71 $81,540.29 $40,770.15 2026-01-01
36937238 CDM Hc Open/perq Place Stent Same 24 24 $50,684.00 $28,889.88 43% off $26,862.52 $50,684.00 $40,547.20 2026-01-01
48137236 CDM Hc Stent Init Art W S&i 24 24 $50,684.00 $28,889.88 43% off $26,862.52 $50,684.00 $40,547.20 2026-01-01
36936906 CDM Hc Thrmbc/nfs Dialysis Circuit W Stent 24 24 $50,279.00 $28,659.03 43% off $28,659.03 $50,279.00 $40,223.20 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 7 7 — — $28,698.03 $78,308.77 $40,177.24 2026-01-01
36037229 CDM Hc Ather/pta Tib/per Init 24 24 $49,721.00 $28,340.97 43% off $26,352.13 $49,721.00 $39,776.80 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 5 — — $37,676.29 $79,120.21 $39,560.10 2026-01-01
36037227 CDM Hc Stent/ather Fem/pop 24 24 $49,345.00 $28,126.65 43% off $26,152.85 $49,345.00 $39,476.00 2026-01-01
36037225 CDM Hc Ather/pta Fem/pop 24 24 $49,262.00 $28,079.34 43% off $26,108.86 $49,262.00 $39,409.60 2026-01-01
36937244 CDM Hc Vasc Embolize/occlude Bleed 24 24 $49,142.00 $28,010.94 43% off $26,045.26 $49,142.00 $39,313.60 2026-01-01
36937242 CDM Hc Emb/occ Art W S&i 24 24 $49,142.00 $28,010.94 43% off $26,045.26 $49,142.00 $39,313.60 2026-01-01
36937241 CDM Hc Vasc Embolize/occlude Venous 24 24 $49,142.00 $28,010.94 43% off $26,045.26 $49,142.00 $39,313.60 2026-01-01
36937243 CDM Hc Emb/occ Organ W S&i 24 24 $49,142.00 $28,010.94 43% off $26,045.26 $49,142.00 $39,313.60 2026-01-01
SX247872 CDM Valve Heart Transcatheter Edwards Sapien 3 Ultra R 31 31 $56,100.00 $31,977.00 43% off $20,196.00 $56,100.00 $39,270.00 2026-01-01
SX247871 CDM Valve Heart Transcatheter Edwards Sapien 3 Ultra R 31 31 $56,100.00 $31,977.00 43% off $20,196.00 $56,100.00 $39,270.00 2026-01-01
SX247870 CDM Valve Heart Transcatheter Edwards Sapien 3 Ultra R 31 31 $56,100.00 $31,977.00 43% off $20,196.00 $56,100.00 $39,270.00 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 7 7 — — $28,045.39 $78,749.85 $39,263.55 2026-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 5 5 — — $37,283.01 $78,294.32 $39,147.16 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 7 7 — — $27,865.08 $73,142.57 $39,011.11 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 7 7 — — $27,590.04 $76,110.70 $38,626.06 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $36,728.36 $77,129.56 $38,564.78 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 7 7 — — $27,543.00 $73,297.68 $38,560.20 2026-01-01
36037228 CDM Hc Pta Tibioperoneal Init 24 24 $48,200.00 $27,474.00 43% off $25,546.00 $48,200.00 $38,560.00 2026-01-01
36009765 CDM Hc Revasc Intra Lithotrip-stent 30 30 $54,298.00 $30,949.86 43% off $22,805.16 $54,298.00 $38,551.58 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 7 7 — — $27,529.28 $74,027.93 $38,540.99 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 7 7 — — $27,448.93 $67,680.80 $38,428.50 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 7 7 — — $27,416.26 $79,207.40 $38,382.76 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 7 7 — — $27,365.30 $73,962.04 $38,311.42 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 7 — — $27,259.47 $84,700.93 $38,163.26 2026-01-01
SX117880 CDM Device Repair Valve Heart For Mitral Regurgitation 31 31 $54,450.00 $31,036.50 43% off $19,602.00 $54,450.00 $38,115.00 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 7 — — $27,131.42 $71,577.29 $37,983.99 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 7 7 — — $26,951.77 $71,322.89 $37,732.48 2026-01-01
SX113129 CDM Valve Heart Aortic Transcatheter Certitude System 31 31 $53,625.00 $30,566.25 43% off $19,305.00 $53,625.00 $37,537.50 2026-01-01
SX112740 CDM Valve Heart Aortic Transcatheter With Commander Sy 31 31 $53,625.00 $30,566.25 43% off $19,305.00 $53,625.00 $37,537.50 2026-01-01
SX112741 CDM Valve Heart Aortic Transcatheter With Commander Sy 31 31 $53,625.00 $30,566.25 43% off $19,305.00 $53,625.00 $37,537.50 2026-01-01
SX112743 CDM Valve Heart Aortic Transcatheter With Commander Sy 31 31 $53,625.00 $30,566.25 43% off $19,305.00 $53,625.00 $37,537.50 2026-01-01
SX112742 CDM Vlv Heart Aortic Transcatheter W/commander Sys Sap 31 31 $53,625.00 $30,566.25 43% off $19,305.00 $53,625.00 $37,537.50 2026-01-01
SX119478 CDM Catheter Transcatheter Heart Valve With Commander 31 31 $53,625.00 $30,566.25 43% off $19,305.00 $53,625.00 $37,537.50 2026-01-01
SX111041 CDM Catheter Transcatheter Heart Valve With Commander 31 31 $53,625.00 $30,566.25 43% off $19,305.00 $53,625.00 $37,537.50 2026-01-01
SX119477 CDM Catheter Transcatheter Heart Valve With Commander 31 31 $53,625.00 $30,566.25 43% off $19,305.00 $53,625.00 $37,537.50 2026-01-01
0315U OTHER Onc Cutan Sq Cll Ca Mrna 40 5 5 — — $32,810.00 $37,485.00 $37,485.00 2026-01-01
36009775 CDM Hc Revasc Lith-sten-ather Tib/peron Art 30 30 $52,182.00 $29,743.74 43% off $21,916.44 $52,182.00 $37,049.22 2026-01-01
36009772 CDM Hc Revasc Lithotrip Tib/peron Art 30 30 $52,182.00 $29,743.74 43% off $21,916.44 $52,182.00 $37,049.22 2026-01-01
36009767 CDM Hc Revasc Lithotrip-stent-ather 30 30 $52,182.00 $29,743.74 43% off $21,916.44 $52,182.00 $37,049.22 2026-01-01
36009774 CDM Hc Revasc Lithotr-ather Tib/peron Art 30 30 $52,182.00 $29,743.74 43% off $21,916.44 $52,182.00 $37,049.22 2026-01-01
36009773 CDM Hc Revasc Lithotr-stent Tib/peron Art 30 30 $52,182.00 $29,743.74 43% off $21,916.44 $52,182.00 $37,049.22 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 6 6 — — $30,172.52 $87,527.48 $36,961.34 2026-01-01
36961635 CDM Hc Intracranial Angioplasty W/stent 24 24 $46,140.00 $26,299.80 43% off $26,299.80 $46,140.00 $36,912.00 2026-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 8 8 — — $21,041.39 $58,850.08 $36,822.43 2026-01-01
36037226 CDM Hc Stent/pta Fem/pop 24 24 $45,890.00 $26,157.30 43% off $24,321.70 $45,890.00 $36,712.00 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 5 — — $34,818.12 $73,118.05 $36,559.03 2026-01-01
36961626 CDM Hc Transcath Occlusion Non-cns 24 24 $45,631.00 $26,009.67 43% off $26,009.67 $45,631.00 $36,504.80 2026-01-01
SX94780 CDM Generator Implantable Sentiva Single Pin 8ml 31 31 $52,057.50 $29,672.78 43% off $18,740.70 $52,057.50 $36,440.25 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 7 7 — — $26,028.01 $67,083.58 $36,439.21 2026-01-01
36009764 CDM Hc Revasc Intravasc Lithotripsy 30 30 $51,060.00 $29,104.20 43% off $21,445.20 $51,060.00 $36,252.60 2026-01-01
36950593 CDM Hc Perc Cryo Ablation Renal Tum 24 24 $45,153.00 $25,737.21 43% off $25,737.21 $45,153.00 $36,122.40 2026-01-01
48033274 CDM Hc Tcat Insj/rpl Perm Ldls Pm 24 24 $45,087.00 $25,699.59 43% off $23,896.11 $45,087.00 $36,069.60 2026-01-01
0505T OTHER Ev Fempop Artl Revsc 2 2 — — $35,805.90 $35,805.90 $35,805.90 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 7 — — $25,556.33 $69,490.98 $35,778.86 2026-01-01
36033207 CDM Hc Perm Pace/electrodes Vent 24 24 $44,548.00 $25,392.36 43% off $23,610.44 $44,548.00 $35,638.40 2026-01-01
36033206 CDM Hc Perm Pace/electrodes Atrl 24 24 $44,548.00 $25,392.36 43% off $23,610.44 $44,548.00 $35,638.40 2026-01-01
36009766 CDM Hc Revasc Intra Lithotrip-ather 30 30 $50,182.00 $28,603.74 43% off $21,076.44 $50,182.00 $35,629.22 2026-01-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 2 2 — — $35,462.59 $35,462.59 $35,462.59 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 7 7 — — $25,287.17 $71,403.42 $35,402.04 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 7 7 — — $25,225.10 $70,471.85 $35,315.14 2026-01-01
36947382 CDM Hc Percutaneous Ablation Liver Rf 24 24 $44,044.00 $25,105.08 43% off $25,105.08 $44,044.00 $35,235.20 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 7 7 — — $25,082.03 $68,074.29 $35,114.84 2026-01-01
SX113282 CDM Bundle Mitraclip Transcatheter Mitral Valve Repair 31 31 $49,500.00 $28,215.00 43% off $17,820.00 $49,500.00 $34,650.00 2026-01-01
SX116944 CDM System Valve Aortic Transcatheter Evolut Pro Plus 31 31 $49,500.00 $28,215.00 43% off $17,820.00 $49,500.00 $34,650.00 2026-01-01
SX116948 CDM System Valve Aortic Transcatheter Evolut Pro Plus 31 31 $49,500.00 $28,215.00 43% off $17,820.00 $49,500.00 $34,650.00 2026-01-01
SX116949 CDM System Valve Aortic Transcatheter Evolut Pro Plus 31 31 $49,500.00 $28,215.00 43% off $17,820.00 $49,500.00 $34,650.00 2026-01-01
SX113283 CDM Bundle Mitraclip Transcatheter Mitral Valve Repair 31 31 $49,500.00 $28,215.00 43% off $17,820.00 $49,500.00 $34,650.00 2026-01-01
SX116943 CDM System Valve Aortic Transcatheter Evolut Pro Plus 31 31 $49,500.00 $28,215.00 43% off $17,820.00 $49,500.00 $34,650.00 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 6 — — $28,270.77 $75,770.28 $34,631.69 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 7 — — $24,583.57 $70,978.82 $34,417.00 2026-01-01
36037221 CDM Hc Stent/pta Iliac Init 24 24 $42,851.00 $24,425.07 43% off $22,711.03 $42,851.00 $34,280.80 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 7 7 — — $24,476.43 $60,865.13 $34,267.00 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 7 7 — — $24,418.28 $74,265.86 $34,185.59 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 7 7 — — $24,415.67 $66,835.24 $34,181.94 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 7 7 — — $24,347.07 $73,473.38 $34,085.90 2026-01-01
36033213 CDM Hc Perm Pace Dual 24 24 $42,458.00 $24,201.06 43% off $22,502.74 $42,458.00 $33,966.40 2026-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 7 7 — — $24,209.88 $63,295.64 $33,893.83 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 7 7 — — $23,996.25 $62,506.34 $33,594.75 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 7 — — $23,986.45 $63,363.35 $33,581.03 2026-01-01
36937246 CDM Hc Trluml Balo Angiop 1st Art 24 24 $41,800.00 $23,826.00 43% off $22,154.00 $41,800.00 $33,440.00 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 7 7 — — $23,704.88 $58,846.42 $33,186.83 2026-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 7 7 — — $23,686.59 $65,543.12 $33,161.23 2026-01-01
332 MS_DRG Rectal Resection With Mcc 7 7 — — $23,653.92 $71,453.16 $33,115.49 2026-01-01
265 MS_DRG Aicd Lead Procedures 7 7 — — $23,637.59 $64,681.10 $33,092.63 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 7 7 — — $23,595.78 $68,424.54 $33,034.09 2026-01-01
36033228 CDM Hc Remove/replace Pace Dual 24 24 $40,968.00 $23,351.76 43% off $21,713.04 $40,968.00 $32,774.40 2026-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 7 7 — — $23,406.32 $68,672.68 $32,768.85 2026-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 7 7 — — $23,352.10 $75,058.99 $32,692.94 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 7 7 — — $23,328.58 $65,429.65 $32,660.01 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 7 7 — — $23,293.96 $68,123.70 $32,611.54 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 7 7 — — $23,274.36 $64,518.21 $32,584.10 2026-01-01
48192941 CDM Hc Intervention Acute Mi 24 24 $40,726.00 $23,213.82 43% off $21,584.78 $40,726.00 $32,580.80 2026-01-01
48192943 CDM Hc Intervention Cto-primary 24 24 $40,726.00 $23,213.82 43% off $21,584.78 $40,726.00 $32,580.80 2026-01-01
48192937 CDM Hc Pci Cabg 1st Art 24 24 $40,726.00 $23,213.82 43% off $21,584.78 $40,726.00 $32,580.80 2026-01-01
48192928 CDM Hc Stent 1st Art/branch 24 24 $40,726.00 $23,213.82 43% off $21,584.78 $40,726.00 $32,580.80 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 7 — — $23,252.15 $70,016.13 $32,553.01 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 7 7 — — $23,233.20 $63,255.37 $32,526.48 2026-01-01
SX133802 CDM Generator Implantable Aspiresr Single Pin 14ml 31 31 $46,447.50 $26,475.08 43% off $16,721.10 $46,447.50 $32,513.25 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 7 7 — — $23,039.17 $63,808.59 $32,254.84 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 7 7 — — $22,992.13 $66,302.66 $32,188.98 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 7 7 — — $22,788.96 $61,381.25 $31,904.54 2026-01-01
36936903 CDM Hc Intro Cath Dialysis Circuit For Stent 24 24 $39,871.00 $22,726.47 43% off $22,726.47 $39,871.00 $31,896.80 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 7 — — $22,783.08 $72,433.83 $31,896.31 2026-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 7 7 — — $22,678.55 $63,433.75 $31,749.97 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 7 7 — — $22,568.80 $61,659.44 $31,596.32 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 7 — — $22,397.63 $61,800.36 $31,356.68 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 7 7 — — $22,287.88 $62,742.92 $31,203.03 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 7 7 — — $22,258.48 $58,581.04 $31,161.87 2026-01-01
36937218 CDM Hc Stent Placement Ante Carotid 24 24 $38,848.00 $22,143.36 43% off $20,589.44 $38,848.00 $31,078.40 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 8 8 — — $9,162.00 $68,293.91 $30,930.36 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 7 7 — — $21,824.04 $59,774.33 $30,553.66 2026-01-01
SX938 CDM Device Ventricular Assist Controller Impella Cp 9. 31 31 $43,421.40 $24,750.20 43% off $15,631.70 $43,421.40 $30,394.98 2026-01-01
34302616 CDM Hc Yttrium-90 Microspheres 31 31 $43,391.00 $24,732.87 43% off $15,620.76 $43,391.00 $30,373.70 2026-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 7 7 — — $21,580.36 $59,449.56 $30,212.50 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 7 7 — — $21,507.19 $61,780.23 $30,110.07 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 7 7 — — $21,504.58 $59,313.12 $30,106.41 2026-01-01
48133212 CDM Hc Insert Pulse Gen Single Lead 24 24 $37,545.00 $21,400.65 43% off $19,898.85 $37,545.00 $30,036.00 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 7 7 — — $21,250.44 $61,568.36 $29,750.62 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 7 7 — — $21,157.02 $61,168.94 $29,619.83 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 7 7 — — $21,133.50 $57,197.41 $29,586.90 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 7 7 — — $21,082.55 $60,286.79 $29,515.57 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 7 7 — — $20,858.47 $63,235.24 $29,201.86 2026-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 7 7 — — $20,819.92 $57,861.77 $29,147.89 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 7 7 — — $20,799.67 $58,166.67 $29,119.54 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 5 5 — — $27,705.02 $58,180.54 $29,090.27 2026-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 7 7 — — $20,757.86 $76,700.88 $29,061.00 2026-01-01
33300372 CDM Hc Radiation Delivery Stereotactic Cranial Linear 23 23 $36,305.00 $20,693.85 43% off $2,157.00 $36,305.00 $29,044.00 2026-01-01
33377372 CDM Hc Radiation Delivery Stereotactic Cranial Linear 23 23 $36,305.00 $20,693.85 43% off $2,157.00 $36,305.00 $29,044.00 2026-01-01
33307372 CDM Hc Radiation Delivery Stereotactic Cranial Linear 23 23 $36,305.00 $20,693.85 43% off $2,157.00 $36,305.00 $29,044.00 2026-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 7 7 — — $20,675.54 $59,349.73 $28,945.76 2026-01-01
48109600 CDM Hc Drug Eluting Stent 1st Art/branch 30 30 $40,726.00 $23,213.82 43% off $17,104.92 $40,726.00 $28,915.46 2026-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 7 — — $20,644.19 $57,720.85 $28,901.87 2026-01-01
36961630 CDM Hc Intracranial Angioplasty 24 24 $36,123.00 $20,590.11 43% off $20,590.11 $36,123.00 $28,898.40 2026-01-01
48109604 CDM Hc Drug El Stent Cabg 1st Art 30 30 $40,688.00 $23,192.16 43% off $17,088.96 $40,688.00 $28,888.48 2026-01-01
48109602 CDM Hc Ather/drug El Stent 1st Art 30 30 $40,688.00 $23,192.16 43% off $17,088.96 $40,688.00 $28,888.48 2026-01-01
SX99553 CDM Pump Impella 5.0 Catheter Aic 31 31 $41,250.00 $23,512.50 43% off $17,325.00 $41,250.00 $28,875.00 2026-01-01
SX130778 CDM Pump Axial-pump Impella Assist Circulatory Intraca 31 31 $41,250.00 $23,512.50 43% off $14,850.00 $41,250.00 $28,875.00 2026-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 6 — — $23,560.50 $58,577.38 $28,861.61 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 7 7 — — $20,575.59 $58,193.04 $28,805.83 2026-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 7 7 — — $20,527.25 $50,177.18 $28,738.15 2026-01-01
SX103809 CDM System Cobalt Xt Quad Crt-d With Stability Lv Lead 31 31 $40,877.10 $23,299.95 43% off $14,715.76 $40,877.10 $28,613.97 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 5 5 — — $27,239.87 $57,203.73 $28,601.86 2026-01-01
665 MS_DRG Prostatectomy With Mcc 7 7 — — $20,390.71 $56,536.71 $28,546.99 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 7 — — $20,348.24 $54,931.62 $28,487.54 2026-01-01
SX142898 CDM Defibrillator Cardioverter Implantable Cobalt Xt Q 31 31 $40,629.60 $23,158.87 43% off $14,626.66 $40,629.60 $28,440.72 2026-01-01
SX103994 CDM System Cobalt Xt Crt-d With Attain Lv Lead 31 31 $40,629.60 $23,158.87 43% off $14,626.66 $40,629.60 $28,440.72 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 7 7 — — $20,312.31 $54,047.64 $28,437.23 2026-01-01
36037234 CDM Hc Stent/pta Tib/per Addl 24 24 $35,506.00 $20,238.42 43% off $18,818.18 $35,506.00 $28,404.80 2026-01-01
36037215 CDM Hc Tc Cerv Carotid Art W Prt 24 24 $35,432.00 $20,196.24 43% off $18,778.96 $35,432.00 $28,345.60 2026-01-01
0686T OTHER Histotripsy Mal Hepatcel Tis 2 2 — — $28,126.13 $28,126.13 $28,126.13 2026-01-01
C9602 HCPCS Hc Ather/drug El Stent 1st Art 1 1 $40,688.00 $23,192.16 43% off $28,041.00 $28,041.00 $28,041.00 2026-01-01
C9600 HCPCS Hc Drug Eluting Stent 1st Art/branch 1 1 $40,726.00 $23,213.82 43% off $28,041.00 $28,041.00 $28,041.00 2026-01-01
C9606 HCPCS Hc Pci W/wo Drug El Stent Mi 1st 1 1 $62,799.00 $35,795.43 43% off $28,041.00 $28,041.00 $28,041.00 2026-01-01
C9604 HCPCS Hc Drug El Stent Cabg 1st Art 1 1 $40,688.00 $23,192.16 43% off $28,041.00 $28,041.00 $28,041.00 2026-01-01
C9607 HCPCS Hc Perc D-e Cor Revasc Chro Sin 1 1 $62,799.00 $35,795.43 43% off $28,041.00 $28,041.00 $28,041.00 2026-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 7 7 — — $20,000.69 $54,845.60 $28,000.97 2026-01-01
263 MS_DRG Vein Ligation And Stripping 7 7 — — $19,973.90 $51,706.81 $27,963.46 2026-01-01
36037224 CDM Hc Pta Fem/pop 24 24 $34,809.00 $19,841.13 43% off $18,448.77 $34,809.00 $27,847.20 2026-01-01
791 MS_DRG Prematurity With Major Problems 5 5 — — $26,517.33 $55,686.39 $27,843.20 2026-01-01
36937248 CDM Hc Trluml Balo Angiop 1st Vein 24 24 $34,700.00 $19,779.00 43% off $18,391.00 $34,700.00 $27,760.00 2026-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 7 7 — — $19,815.80 $60,942.00 $27,742.12 2026-01-01
36037235 CDM Hc Tibial/peroneal Revasc Stent & Atherectomy 24 24 $34,563.00 $19,700.91 43% off $18,318.39 $34,563.00 $27,650.40 2026-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 7 7 — — $19,732.84 $50,824.78 $27,625.98 2026-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 7 7 — — $19,730.22 $53,463.80 $27,622.31 2026-01-01
SX110609 CDM Generator Vagus Nerve Stimulation Implantable Prog 31 31 $39,435.00 $22,477.95 43% off $14,196.60 $39,435.00 $27,604.50 2026-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 7 7 — — $19,708.66 $47,786.52 $27,592.12 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $26,265.81 $55,158.20 $27,579.10 2026-01-01
48133903 CDM Hc Perq P-art Revsc 1 Abnor Bi 24 24 $34,394.00 $19,604.58 43% off $18,228.82 $34,394.00 $27,515.20 2026-01-01
48133901 CDM Hc Perq P-art Revsc 1 Nm Nt Bi 24 24 $34,394.00 $19,604.58 43% off $18,228.82 $34,394.00 $27,515.20 2026-01-01
48133900 CDM Hc Perq P-art Revsc 1 Nm Nt Uni 24 24 $34,394.00 $19,604.58 43% off $18,228.82 $34,394.00 $27,515.20 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 7 7 — — $19,246.78 $54,089.73 $26,945.49 2026-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 7 7 — — $19,233.72 $46,347.98 $26,927.21 2026-01-01
570 MS_DRG Skin Debridement With Mcc 7 7 — — $19,214.12 $53,482.10 $26,899.77 2026-01-01
SX143681 CDM Graft Tissue Matrix Strattice Reconstructive 25x40 31 31 $38,205.75 $21,777.28 43% off $13,754.07 $38,205.75 $26,744.03 2026-01-01
668 MS_DRG Transurethral Procedures With Mcc 7 7 — — $19,076.27 $51,575.04 $26,706.78 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 7 7 — — $19,025.97 $53,970.77 $26,636.36 2026-01-01
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