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

ASCENSION CALUMET HOSPITAL

Chilton, WI · CCN 521317 · Rates published

50,562 distinct procedures filed
42 distinct payers
5,012,272 rate rows
2026-01-01 last MRF observed
Data quality

4,998,460 of 5,012,272 rate rows are consumer-grade (99.7%)

13,812 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 11,876
placeholder amount (≤ $0.02) — excluded from medians 1,904
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 32
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/wi-csv/390905385_ascension-calumet-hospital-inc_standardcharges.csv
Found on page https://healthcare.ascension.org/price-transparency
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 32ae160cd2945f6e… · 19,279,042 bytes · first seen 2026-05-18

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 2 $636,083.23 $674,295.10 $655,189.17 nat. median
$370,174
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $495,315.07 $495,958.58 $495,636.83 nat. median
$265,286
1.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $334,048.76 $482,416.93 $408,232.84 nat. median
$206,368
2.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $356,132.49 $390,204.13 $373,168.31 nat. median
$202,986
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $241,650.46 $269,039.40 $255,344.93 nat. median
$133,176
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $224,091.52 $237,099.61 $230,595.57 nat. median
$108,660
outlier · 2.1×
7
MS_DRG 		Lung Transplant 4 $214,824.07 $224,499.65 $219,661.86 nat. median
$122,708
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $196,974.41 $209,757.39 $203,365.90 nat. median
$117,303
1.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $197,125.35 $197,125.35 $197,125.35 nat. median
$102,358
1.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $189,425.70 $200,740.39 $195,083.05 nat. median
$100,136
1.9× median
215
MS_DRG 		Other Heart Assist System Implant 2 $181,315.71 $186,951.27 $184,133.49 nat. median
$99,019
1.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $171,437.96 $177,626.40 $174,532.18 nat. median
$93,672
1.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $154,695.82 $163,719.47 $159,207.65 nat. median
$77,576
outlier · 2.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $148,689.02 $154,274.88 $151,481.95 nat. median
$81,118
1.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $147,703.53 $148,524.39 $148,113.96 nat. median
$79,312
1.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $141,130.38 $143,041.82 $142,086.10 nat. median
$74,915
1.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 $136,294.75 $142,748.28 $139,521.52 nat. median
$73,807
1.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $125,554.69 $146,297.04 $135,925.86 nat. median
$71,240
1.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $130,409.98 $132,369.22 $131,389.60 nat. median
$72,138
1.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $128,769.21 $128,769.21 $128,769.21 nat. median
$68,887
1.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $125,782.33 $127,543.26 $126,662.79 nat. median
$60,185
outlier · 2.1×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $121,792.24 $125,454.72 $123,623.48 nat. median
$65,950
1.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $119,506.26 $127,471.60 $123,488.93 nat. median
$66,526
1.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $115,546.71 $126,430.22 $120,988.46 nat. median
$62,134
1.9× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 $112,894.69 $124,792.19 $118,843.44 nat. median
$55,736
outlier · 2.1×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 $108,954.50 $126,644.35 $117,799.43 nat. median
$64,027
1.8× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 $112,399.90 $119,476.34 $115,938.12 nat. median
$54,066
outlier · 2.1×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 $114,316.12 $116,159.12 $115,237.62 nat. median
$60,726
1.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $111,462.84 $118,540.13 $115,001.49 nat. median
$64,732
1.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $111,726.18 $116,497.72 $114,111.95 nat. median
$64,510
1.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $113,659.08 $113,659.08 $113,659.08 nat. median
$59,099
1.9× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 4 $107,073.27 $113,051.45 $110,062.36 nat. median
$56,920
1.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $106,235.61 $111,190.14 $108,712.88 nat. median
$58,024
1.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 $103,309.06 $113,803.67 $108,556.36 nat. median
$59,793
1.8× median
28
MS_DRG 		Spinal Procedures With Mcc 2 $103,432.25 $110,289.68 $106,860.96 nat. median
$57,823
1.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 2 $105,412.02 $107,626.74 $106,519.38 nat. median
$57,424
1.9× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 2 $103,085.56 $108,871.28 $105,978.42 nat. median
$59,899
1.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $104,261.00 $104,509.24 $104,385.12 nat. median
$61,920
1.7× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 $100,861.18 $103,750.38 $102,305.78 nat. median
$55,929
1.8× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 $93,579.12 $110,666.70 $102,122.91 nat. median
$56,697
1.8× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 $99,411.10 $104,012.10 $101,711.60 nat. median
$49,171
outlier · 2.1×
834
MS_DRG 		Acute Leukemia With Mcc 2 $97,316.94 $102,472.90 $99,894.92 nat. median
$53,173
1.9× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 2 $97,526.36 $100,756.17 $99,141.26 nat. median
$52,836
1.9× median
653
MS_DRG 		Major Bladder Procedures With Mcc 2 $97,786.81 $99,079.71 $98,433.26 nat. median
$51,418
1.9× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 2 $92,241.68 $103,657.04 $97,949.36 nat. median
$52,753
1.9× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 4 $96,299.63 $98,392.18 $97,345.90 nat. median
$53,171
1.8× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $95,646.89 $95,986.67 $95,816.78 nat. median
$52,879
1.8× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 4 $76,905.02 $113,051.45 $94,978.24 nat. median
$53,805
1.8× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 2 $92,303.27 $94,925.15 $93,614.21 nat. median
$49,191
1.9× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 2 $91,268.51 $95,131.97 $93,200.24 nat. median
$53,268
1.7× median

Other procedures at this hospital

Browse this hospital's 50,562 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 4 2 — — $636,083.23 $674,295.10 $655,189.17 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 8 4 — — $495,315.07 $495,958.58 $495,636.83 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 3 — — $334,048.76 $482,416.93 $408,232.84 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 4 — — $356,132.49 $390,204.13 $373,168.31 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 4 — — $241,650.46 $269,039.40 $255,344.93 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 4 — — $224,091.52 $237,099.61 $230,595.57 2026-01-01
7 MS_DRG Lung Transplant 8 4 — — $214,824.07 $224,499.65 $219,661.86 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 8 4 — — $196,974.41 $209,757.39 $203,365.90 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 1 — — $197,125.35 $197,125.35 $197,125.35 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 8 4 — — $189,425.70 $200,740.39 $195,083.05 2026-01-01
215 MS_DRG Other Heart Assist System Implant 4 2 — — $181,315.71 $186,951.27 $184,133.49 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 2 — — $171,437.96 $177,626.40 $174,532.18 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 2 — — $154,695.82 $163,719.47 $159,207.65 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 2 — — $148,689.02 $154,274.88 $151,481.95 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 2 — — $147,703.53 $148,524.39 $148,113.96 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 2 — — $141,130.38 $143,041.82 $142,086.10 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 2 — — $136,294.75 $142,748.28 $139,521.52 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 2 — — $125,554.69 $146,297.04 $135,925.86 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 2 — — $130,409.98 $132,369.22 $131,389.60 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 1 — — $128,769.21 $128,769.21 $128,769.21 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 2 — — $125,782.33 $127,543.26 $126,662.79 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 2 — — $121,792.24 $125,454.72 $123,623.48 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 2 — — $119,506.26 $127,471.60 $123,488.93 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 2 — — $115,546.71 $126,430.22 $120,988.46 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 2 — — $112,894.69 $124,792.19 $118,843.44 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 3 — — $108,954.50 $126,644.35 $117,799.43 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 2 — — $112,399.90 $119,476.34 $115,938.12 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 2 — — $114,316.12 $116,159.12 $115,237.62 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 2 — — $111,462.84 $118,540.13 $115,001.49 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 2 — — $111,726.18 $116,497.72 $114,111.95 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 1 — — $113,659.08 $113,659.08 $113,659.08 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 8 4 — — $107,073.27 $113,051.45 $110,062.36 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 2 — — $106,235.61 $111,190.14 $108,712.88 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 2 — — $103,309.06 $113,803.67 $108,556.36 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 4 2 — — $103,432.25 $110,289.68 $106,860.96 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 2 — — $105,412.02 $107,626.74 $106,519.38 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 2 — — $103,085.56 $108,871.28 $105,978.42 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 2 — — $104,261.00 $104,509.24 $104,385.12 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 2 — — $100,861.18 $103,750.38 $102,305.78 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 2 — — $93,579.12 $110,666.70 $102,122.91 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 2 — — $99,411.10 $104,012.10 $101,711.60 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 4 2 — — $97,316.94 $102,472.90 $99,894.92 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 2 — — $97,526.36 $100,756.17 $99,141.26 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 4 2 — — $97,786.81 $99,079.71 $98,433.26 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 2 — — $92,241.68 $103,657.04 $97,949.36 2026-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 8 4 — — $96,299.63 $98,392.18 $97,345.90 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 2 — — $95,646.89 $95,986.67 $95,816.78 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 8 4 — — $76,905.02 $113,051.45 $94,978.24 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 2 — — $92,303.27 $94,925.15 $93,614.21 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 2 — — $91,268.51 $95,131.97 $93,200.24 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 2 — — $90,897.19 $94,370.60 $92,633.90 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 2 — — $88,654.89 $94,715.96 $91,685.43 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 2 — — $90,080.64 $92,955.86 $91,518.25 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 2 — — $89,971.53 $92,551.38 $91,261.46 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 4 2 — — $90,679.09 $91,645.10 $91,162.10 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 2 — — $89,317.42 $90,816.24 $90,066.83 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 2 — — $86,728.22 $92,218.29 $89,473.26 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 4 2 — — $88,641.13 $90,027.54 $89,334.33 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 2 — — $86,247.80 $91,497.19 $88,872.49 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 2 — — $84,696.17 $90,487.16 $87,591.67 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 1 — — $87,527.48 $87,527.48 $87,527.48 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 8 4 — — $84,634.06 $88,524.94 $86,579.50 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 4 2 — — $85,239.43 $86,268.31 $85,753.87 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 2 — — $81,832.46 $87,974.05 $84,903.26 2026-01-01
245 MS_DRG Aicd Generator Procedures 4 2 — — $82,933.68 $85,807.85 $84,370.76 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 2 — — $83,266.70 $85,078.68 $84,172.69 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 2 — — $82,926.36 $84,700.93 $83,813.64 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 2 — — $80,605.88 $86,758.80 $83,682.34 2026-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 2 — — $81,723.35 $82,313.25 $82,018.30 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 2 — — $81,360.83 $82,666.47 $82,013.65 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 1 — — $81,634.24 $81,634.24 $81,634.24 2026-01-01
10 MS_DRG Pancreas Transplant 8 4 — — $72,975.39 $88,098.51 $80,536.95 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 2 — — $79,903.72 $80,821.63 $80,362.68 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 2 — — $77,654.69 $81,048.58 $79,351.64 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 2 — — $76,135.99 $82,393.77 $79,264.88 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 4 2 — — $77,406.56 $79,207.40 $78,306.98 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 2 — — $75,787.55 $79,831.49 $77,809.52 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 2 — — $74,307.56 $78,308.77 $76,308.17 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 1 — — $75,770.28 $75,770.28 $75,770.28 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 2 — — $75,254.33 $76,110.70 $75,682.51 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 2 — — $72,097.25 $78,749.85 $75,423.55 2026-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 2 — — $71,793.26 $76,700.88 $74,247.07 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 2 — — $72,521.36 $75,342.01 $73,931.68 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 2 — — $73,392.46 $74,027.93 $73,710.20 2026-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 2 — — $71,143.53 $75,058.99 $73,101.26 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 2 — — $71,771.68 $73,962.04 $72,866.86 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 4 2 — — $69,146.79 $73,142.57 $71,144.68 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 2 — — $68,799.38 $73,297.68 $71,048.53 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 2 — — $70,620.77 $71,322.89 $70,971.83 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 2 — — $70,381.44 $71,403.42 $70,892.43 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 2 — — $69,193.58 $71,577.29 $70,385.43 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 2 — — $69,342.62 $69,490.98 $69,416.80 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 2 — — $64,510.75 $74,265.86 $69,388.30 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 2 — — $66,247.67 $72,433.83 $69,340.75 2026-01-01
332 MS_DRG Rectal Resection With Mcc 4 2 — — $66,881.00 $71,453.16 $69,167.08 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 2 — — $66,946.31 $70,978.82 $68,962.57 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 2 — — $64,141.19 $73,473.38 $68,807.29 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 2 — — $66,668.26 $70,471.85 $68,570.05 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 2 — — $68,028.59 $68,074.29 $68,051.44 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 2 — — $66,562.54 $68,424.54 $67,493.54 2026-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 2 — — $66,185.52 $68,672.68 $67,429.10 2026-01-01
36163685 CDM Hc Insj/rplcmt Spinal Npg/rcvr Pocket Crtj&connj 112 41 $85,061.00 $48,484.77 43% off $37,426.84 $85,061.00 $67,198.19 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 2 — — $63,724.12 $70,016.13 $66,870.12 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 2 — — $64,575.86 $68,123.70 $66,349.78 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 2 — — $65,600.06 $66,835.24 $66,217.65 2026-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 2 — — $65,366.01 $65,543.12 $65,454.57 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 2 — — $64,827.51 $65,429.65 $65,128.58 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 2 — — $62,790.50 $67,083.58 $64,937.04 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 2 — — $62,886.45 $66,302.66 $64,594.56 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 2 — — $61,487.41 $67,680.80 $64,584.11 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 2 — — $63,806.26 $63,808.59 $63,807.43 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 2 — — $62,203.65 $64,518.21 $63,360.93 2026-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 2 — — $62,332.95 $63,433.75 $62,883.35 2026-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 2 — — $62,406.03 $63,295.64 $62,850.83 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 2 — — $61,344.87 $63,363.35 $62,354.11 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 2 — — $61,307.91 $63,255.37 $62,281.64 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 2 — — $61,126.65 $63,235.24 $62,180.94 2026-01-01
265 MS_DRG Aicd Lead Procedures 4 2 — — $59,518.20 $64,681.10 $62,099.65 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 2 — — $60,142.92 $62,742.92 $61,442.92 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 2 — — $60,674.79 $61,568.36 $61,121.57 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 4 2 — — $59,594.97 $62,506.34 $61,050.65 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 2 — — $59,882.47 $61,659.44 $60,770.96 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 4 2 — — $59,358.05 $61,780.23 $60,569.14 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 4 2 — — $58,835.39 $61,381.25 $60,108.32 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 2 — — $58,397.20 $61,800.36 $60,098.78 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 4 2 — — $59,120.48 $59,313.12 $59,216.80 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 4 2 — — $58,244.10 $59,774.33 $59,009.21 2026-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 4 2 — — $56,866.18 $60,942.00 $58,904.09 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 2 — — $57,211.10 $60,286.79 $58,748.94 2026-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 1 — — $58,577.38 $58,577.38 $58,577.38 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 2 — — $55,831.41 $60,865.13 $58,348.27 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 2 — — $55,463.62 $61,168.94 $58,316.28 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 2 — — $58,089.24 $58,193.04 $58,141.14 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 2 — — $57,390.60 $58,581.04 $57,985.82 2026-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 4 2 — — $56,392.79 $59,349.73 $57,871.26 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 2 — — $57,424.36 $58,166.67 $57,795.51 2026-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 2 — — $55,645.40 $59,449.56 $57,547.48 2026-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 2 — — $55,692.39 $57,720.85 $56,706.62 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 2 — — $54,502.77 $58,846.42 $56,674.60 2026-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 2 — — $54,867.04 $57,861.77 $56,364.40 2026-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 2 1 — — $56,278.65 $56,278.65 $56,278.65 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 3 — — $9,162.00 $68,293.91 $56,248.49 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 2 — — $54,676.99 $57,197.41 $55,937.20 2026-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 6 3 — — $51,717.00 $58,850.08 $55,283.54 2026-01-01
665 MS_DRG Prostatectomy With Mcc 4 2 — — $53,855.16 $56,536.71 $55,195.93 2026-01-01
652 MS_DRG Kidney Transplant 8 4 — — $54,291.59 $54,986.53 $54,639.06 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 3 — — $53,374.73 $55,491.66 $54,433.19 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 2 1 — — $54,331.32 $54,331.32 $54,331.32 2026-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 4 2 — — $53,475.04 $54,845.60 $54,160.32 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 4 2 — — $54,043.46 $54,089.73 $54,066.60 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 2 — — $53,131.88 $54,799.85 $53,965.86 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 2 — — $52,568.75 $54,931.62 $53,750.18 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 2 — — $53,207.55 $54,047.64 $53,627.60 2026-01-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 4 2 — — $51,553.07 $55,078.22 $53,315.65 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 2 — — $52,195.67 $53,970.77 $53,083.22 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 2 1 — — $52,612.76 $52,612.76 $52,612.76 2026-01-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 4 2 — — $50,872.24 $54,349.66 $52,610.95 2026-01-01
570 MS_DRG Skin Debridement With Mcc 4 2 — — $51,335.13 $53,482.10 $52,408.61 2026-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 4 2 — — $52,092.98 $52,540.59 $52,316.79 2026-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 4 2 — — $51,556.86 $52,845.19 $52,201.03 2026-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 2 — — $50,632.97 $53,463.80 $52,048.39 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 2 — — $50,467.54 $53,520.54 $51,994.04 2026-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 4 2 — — $50,559.05 $53,377.78 $51,968.42 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 2 — — $51,296.85 $51,607.89 $51,452.37 2026-01-01
SX113393 CDM Kit Catheter Cardiovascular With Purge Cassette Ax 126 41 $71,210.70 $40,590.10 43% off $29,908.49 $71,210.70 $51,271.70 2026-01-01
668 MS_DRG Transurethral Procedures With Mcc 4 2 — — $49,677.39 $51,575.04 $50,626.21 2026-01-01
263 MS_DRG Vein Ligation And Stripping 4 2 — — $49,028.03 $51,706.81 $50,367.42 2026-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 4 2 — — $49,792.42 $50,824.78 $50,308.60 2026-01-01
654 MS_DRG Major Bladder Procedures With Cc 4 2 — — $50,022.32 $50,101.73 $50,062.03 2026-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 4 2 — — $49,572.80 $50,177.18 $49,874.99 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 2 — — $47,764.49 $51,413.98 $49,589.24 2026-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 4 2 — — $49,153.68 $49,772.42 $49,463.05 2026-01-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 4 2 — — $48,802.77 $50,043.16 $49,422.96 2026-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 4 2 — — $47,630.96 $50,888.14 $49,259.55 2026-01-01
800 MS_DRG Splenic Procedures With Cc 4 2 — — $46,784.28 $51,569.55 $49,176.92 2026-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 4 2 — — $48,859.02 $49,086.10 $48,972.56 2026-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 2 1 — — $48,395.98 $48,395.98 $48,395.98 2026-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 4 2 — — $46,326.74 $50,154.80 $48,240.77 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 2 — — $45,149.43 $50,282.91 $47,716.17 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 2 — — $45,756.56 $49,484.95 $47,620.75 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 4 2 — — $47,453.01 $47,457.09 $47,455.05 2026-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 4 2 — — $46,083.88 $48,483.83 $47,283.85 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 4 2 — — $46,690.23 $47,057.05 $46,873.64 2026-01-01
503 MS_DRG Foot Procedures With Mcc 4 2 — — $44,581.01 $49,084.13 $46,832.57 2026-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 4 2 — — $45,105.43 $47,786.52 $46,445.97 2026-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 2 — — $45,348.29 $47,382.05 $46,365.17 2026-01-01
164 MS_DRG Major Chest Procedures With Cc 4 2 — — $45,450.35 $46,677.42 $46,063.88 2026-01-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 4 2 — — $43,127.42 $48,538.73 $45,833.07 2026-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 4 2 — — $45,203.98 $46,347.98 $45,775.98 2026-01-01
347 MS_DRG Anal And Stomal Procedures With Mcc 4 2 — — $44,667.24 $46,653.63 $45,660.43 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 2 — — $45,073.76 $45,707.41 $45,390.59 2026-01-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 4 2 — — $44,456.07 $46,069.79 $45,262.93 2026-01-01
849 MS_DRG Radiotherapy 4 2 — — $41,159.96 $49,258.00 $45,208.98 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 4 2 — — $44,647.73 $45,691.45 $45,169.59 2026-01-01
545 MS_DRG Connective Tissue Disorders With Mcc 4 2 — — $44,146.34 $45,630.55 $44,888.44 2026-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 4 2 — — $44,612.69 $45,033.90 $44,823.29 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 2 — — $44,139.30 $45,498.77 $44,819.04 2026-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 4 2 — — $43,635.63 $44,994.57 $44,315.10 2026-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 4 2 — — $43,914.05 $44,526.94 $44,220.50 2026-01-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 4 2 — — $42,393.58 $44,730.09 $43,561.83 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 2 — — $41,489.04 $45,465.83 $43,477.43 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 4 2 — — $43,210.13 $43,414.17 $43,312.15 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 2 — — $41,809.33 $43,955.91 $42,882.62 2026-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 4 2 — — $42,581.88 $43,024.34 $42,803.11 2026-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 4 2 — — $41,478.49 $43,924.80 $42,701.65 2026-01-01
113 MS_DRG Orbital Procedures With Cc/mcc 4 2 — — $39,512.79 $45,888.60 $42,700.69 2026-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 4 2 — — $41,716.06 $43,599.02 $42,657.54 2026-01-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 2 — — $42,409.39 $42,845.85 $42,627.62 2026-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 4 2 — — $41,335.94 $43,626.48 $42,481.21 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 2 — — $41,842.76 $42,420.38 $42,131.57 2026-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 4 2 — — $40,740.25 $43,491.70 $42,115.97 2026-01-01
30 MS_DRG Spinal Procedures Without Cc/mcc 4 2 — — $41,200.44 $42,442.34 $41,821.39 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 2 — — $39,257.62 $43,814.99 $41,536.31 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 4 2 — — $41,249.71 $41,684.64 $41,467.18 2026-01-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 4 2 — — $41,103.65 $41,596.79 $41,350.22 2026-01-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 4 2 — — $41,223.42 $41,353.54 $41,288.48 2026-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 4 2 — — $40,190.31 $42,085.45 $41,137.88 2026-01-01
397 MS_DRG Appendix Procedures With Mcc 2 1 — — $41,117.27 $41,117.27 $41,117.27 2026-01-01
709 MS_DRG Penis Procedures With Cc/mcc 4 2 — — $39,729.98 $42,446.38 $41,088.18 2026-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 4 2 — — $40,826.27 $41,145.88 $40,986.07 2026-01-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 4 2 — — $39,864.75 $41,697.45 $40,781.10 2026-01-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 4 2 — — $40,304.70 $40,866.54 $40,585.62 2026-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 4 2 — — $39,486.39 $41,413.77 $40,450.08 2026-01-01
SX247871 CDM Valve Heart Transcatheter Edwards Sapien 3 Ultra R 126 41 $56,100.00 $31,977.00 43% off $20,196.00 $56,100.00 $40,392.00 2026-01-01
SX247872 CDM Valve Heart Transcatheter Edwards Sapien 3 Ultra R 126 41 $56,100.00 $31,977.00 43% off $20,196.00 $56,100.00 $40,392.00 2026-01-01
SX247870 CDM Valve Heart Transcatheter Edwards Sapien 3 Ultra R 126 41 $56,100.00 $31,977.00 43% off $20,196.00 $56,100.00 $40,392.00 2026-01-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 4 2 — — $39,014.37 $41,682.62 $40,348.50 2026-01-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 4 2 — — $39,892.87 $40,199.11 $40,045.99 2026-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 4 2 — — $39,528.63 $40,205.83 $39,867.23 2026-01-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 4 2 — — $39,299.85 $40,401.67 $39,850.76 2026-01-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 4 2 — — $38,053.92 $40,851.89 $39,452.90 2026-01-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 4 2 — — $39,167.87 $39,367.60 $39,267.74 2026-01-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 4 2 — — $38,554.99 $39,933.38 $39,244.18 2026-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 4 2 — — $38,773.67 $39,653.11 $39,213.39 2026-01-01
SX117880 CDM Device Repair Valve Heart For Mitral Regurgitation 126 41 $54,450.00 $31,036.50 43% off $19,602.00 $54,450.00 $39,204.00 2026-01-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 2 — — $39,088.68 $39,252.30 $39,170.49 2026-01-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 4 2 — — $38,455.15 $39,781.23 $39,118.19 2026-01-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 4 2 — — $37,813.76 $40,399.73 $39,106.75 2026-01-01
835 MS_DRG Acute Leukemia With Cc 4 2 — — $36,904.77 $40,914.12 $38,909.44 2026-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 2 — — $37,677.32 $40,083.21 $38,880.26 2026-01-01
595 MS_DRG Major Skin Disorders With Mcc 4 2 — — $37,684.36 $39,806.85 $38,745.60 2026-01-01
333 MS_DRG Rectal Resection With Cc 4 2 — — $38,059.01 $39,298.09 $38,678.55 2026-01-01
SX112743 CDM Valve Heart Aortic Transcatheter With Commander Sy 126 41 $53,625.00 $30,566.25 43% off $19,305.00 $53,625.00 $38,610.00 2026-01-01
SX112742 CDM Vlv Heart Aortic Transcatheter W/commander Sys Sap 126 41 $53,625.00 $30,566.25 43% off $19,305.00 $53,625.00 $38,610.00 2026-01-01
SX113129 CDM Valve Heart Aortic Transcatheter Certitude System 126 41 $53,625.00 $30,566.25 43% off $19,305.00 $53,625.00 $38,610.00 2026-01-01
SX119478 CDM Catheter Transcatheter Heart Valve With Commander 126 41 $53,625.00 $30,566.25 43% off $19,305.00 $53,625.00 $38,610.00 2026-01-01
SX119477 CDM Catheter Transcatheter Heart Valve With Commander 126 41 $53,625.00 $30,566.25 43% off $19,305.00 $53,625.00 $38,610.00 2026-01-01
SX111041 CDM Catheter Transcatheter Heart Valve With Commander 126 41 $53,625.00 $30,566.25 43% off $19,305.00 $53,625.00 $38,610.00 2026-01-01
SX112740 CDM Valve Heart Aortic Transcatheter With Commander Sy 126 41 $53,625.00 $30,566.25 43% off $19,305.00 $53,625.00 $38,610.00 2026-01-01
SX112741 CDM Valve Heart Aortic Transcatheter With Commander Sy 126 41 $53,625.00 $30,566.25 43% off $19,305.00 $53,625.00 $38,610.00 2026-01-01
141 MS_DRG Major Head And Neck Procedures With Cc 4 2 — — $37,916.25 $39,289.29 $38,602.77 2026-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 2 — — $38,238.69 $38,657.48 $38,448.09 2026-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 4 2 — — $37,325.36 $39,451.79 $38,388.57 2026-01-01
655 MS_DRG Major Bladder Procedures Without Cc/mcc 4 2 — — $37,988.80 $38,576.96 $38,282.88 2026-01-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 4 2 — — $35,896.40 $40,423.63 $38,160.01 2026-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 4 2 — — $37,114.18 $39,087.58 $38,100.88 2026-01-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 4 2 — — $36,677.75 $39,431.66 $38,054.71 2026-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 4 2 — — $37,430.95 $38,531.20 $37,981.07 2026-01-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 4 2 — — $36,635.11 $39,139.71 $37,887.41 2026-01-01
32 MS_DRG Ventricular Shunt Procedures With Cc 4 2 — — $36,155.09 $39,418.85 $37,786.97 2026-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 4 2 — — $37,191.61 $38,293.27 $37,742.44 2026-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 4 2 — — $37,174.02 $37,974.82 $37,574.42 2026-01-01
0315U HCPCS Onc Cutan Sq Cll Ca Mrna 40 10 5 — — $32,810.00 $37,485.00 $37,485.00 2026-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 4 2 — — $36,649.59 $38,315.24 $37,482.41 2026-01-01
SX94780 CDM Generator Implantable Sentiva Single Pin 8ml 126 41 $52,057.50 $29,672.78 43% off $18,740.70 $52,057.50 $37,481.40 2026-01-01
711 MS_DRG Testes Procedures With Cc/mcc 4 2 — — $35,959.75 $38,853.32 $37,406.54 2026-01-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 4 2 — — $35,445.89 $38,635.52 $37,040.71 2026-01-01
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 4 2 — — $36,068.86 $37,445.89 $36,757.38 2026-01-01
374 MS_DRG Digestive Malignancy With Mcc 4 2 — — $35,078.09 $38,415.90 $36,746.99 2026-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 4 2 — — $36,174.45 $37,303.14 $36,738.79 2026-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 4 2 — — $36,709.43 $36,755.91 $36,732.67 2026-01-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 4 2 — — $35,846.30 $37,585.81 $36,716.06 2026-01-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 2 — — $35,822.50 $37,508.38 $36,665.44 2026-01-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 2 — — $36,375.23 $36,950.52 $36,662.88 2026-01-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 4 2 — — $35,790.81 $37,350.72 $36,570.76 2026-01-01
935 MS_DRG Non-extensive Burns 6 3 — — $35,620.11 $37,356.21 $36,488.16 2026-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 4 2 — — $36,190.29 $36,679.04 $36,434.67 2026-01-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 4 2 — — $33,068.40 $38,948.49 $36,008.44 2026-01-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 4 2 — — $35,609.55 $36,124.49 $35,867.02 2026-01-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 4 2 — — $32,640.77 $39,014.37 $35,827.57 2026-01-01
0505T HCPCS Ev Fempop Artl Revsc 4 2 — — $35,805.90 $35,805.90 $35,805.90 2026-01-01
539 MS_DRG Osteomyelitis With Mcc 4 2 — — $35,123.85 $36,318.49 $35,721.17 2026-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 4 2 — — $34,703.26 $36,658.91 $35,681.09 2026-01-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 4 2 — — $35,196.00 $36,161.09 $35,678.54 2026-01-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 4 2 — — $34,826.44 $36,490.53 $35,658.49 2026-01-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 6 3 — — $33,013.85 $38,296.94 $35,655.39 2026-01-01
SX113283 CDM Bundle Mitraclip Transcatheter Mitral Valve Repair 126 41 $49,500.00 $28,215.00 43% off $17,820.00 $49,500.00 $35,640.00 2026-01-01
SX113282 CDM Bundle Mitraclip Transcatheter Mitral Valve Repair 126 41 $49,500.00 $28,215.00 43% off $17,820.00 $49,500.00 $35,640.00 2026-01-01
SX116944 CDM System Valve Aortic Transcatheter Evolut Pro Plus 126 41 $49,500.00 $28,215.00 43% off $17,820.00 $49,500.00 $35,640.00 2026-01-01
SX116948 CDM System Valve Aortic Transcatheter Evolut Pro Plus 126 41 $49,500.00 $28,215.00 43% off $17,820.00 $49,500.00 $35,640.00 2026-01-01
SX116949 CDM System Valve Aortic Transcatheter Evolut Pro Plus 126 41 $49,500.00 $28,215.00 43% off $17,820.00 $49,500.00 $35,640.00 2026-01-01
SX116943 CDM System Valve Aortic Transcatheter Evolut Pro Plus 126 41 $49,500.00 $28,215.00 43% off $17,820.00 $49,500.00 $35,640.00 2026-01-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 4 2 — — $35,183.68 $36,029.32 $35,606.50 2026-01-01
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 4 2 — — $35,113.29 $35,906.69 $35,509.99 2026-01-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 4 2 — — $35,462.59 $35,462.59 $35,462.59 2026-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 4 2 — — $34,442.81 $36,285.55 $35,364.18 2026-01-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 2 — — $34,210.51 $36,320.32 $35,265.42 2026-01-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 4 2 — — $34,008.78 $36,133.97 $35,071.38 2026-01-01
100 MS_DRG Seizures With Mcc 4 2 — — $33,805.76 $36,283.72 $35,044.74 2026-01-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 4 2 — — $33,763.52 $36,080.56 $34,922.04 2026-01-01
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