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 Sacred Heart Rehabilitation Hospital

Mequon, WI · CCN 523025 · Rates published

Your selected procedure

You selected 93306 (CPT)

HC PBB TTE W/DOPPLER COMPLETE

This hospital’s price: $477 across 6 payers · range $113-$747

Source: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/wi-csv/390902199_sacred-heart-rehabilitation-institute-inc_standardcharges · 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.

15,736 distinct procedures filed
31 distinct payers
198,350 rate rows
2026-01-01 last MRF observed
Data quality

182,838 of 198,350 rate rows are consumer-grade (92.2%)

15,512 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 10,930
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,318
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,568
template filing: same amount across many unrelated codes — excluded 551
placeholder amount (≤ $0.02) — excluded from medians 93
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 42
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/wi-csv/390902199_sacred-heart-rehabilitation-institute-inc_standardcharges.csv
Found on page https://healthcare.ascension.org/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-22
Content fingerprint 04626518cc6974bc… · 47,634,634 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
0323T
OTHER 		Rmvl & Replc Subq Pls Gen 1 $101,106.00 $101,106.00 $101,106.00 nat. median
$7,306
outlier · 13.8×
0319T
OTHER 		Insert Subq Defib W/eltrd 1 $101,106.00 $101,106.00 $101,106.00 nat. median
$8,713
outlier · 11.6×
0321T
OTHER 		Insert Subq Defib Pls Gen 1 $101,106.00 $101,106.00 $101,106.00 nat. median
$8,713
outlier · 11.6×
90288
CPT 		Botulism Ig IV 7 $51.56 $148,550.25 $68,760.00 nat. median
$51,570
1.3× median
37227
CPT 		Fem/popl Revasc Stnt & Ather 6 $1,071.48 $57,766.01 $57,766.01 nat. median
$18,411
outlier · 3.1×
27278
CPT 		Arthrd Si Jt Prq Wo Tfxj Dev 4 $51,175.59 $51,175.59 $51,175.59 nat. median
$17,332
outlier · 3.0×
37231
CPT 		Hc Pbb Tib/per Revasc Stent & Ather 7 $1,113.65 $56,153.56 $50,317.80 nat. median
$18,375
outlier · 2.7×
Q2043
HCPCS 		Hc Pbb Sipuleucel-t Auto Cd54+ 3 $46,311.93 $62,078.68 $46,311.93 nat. median
$65,720
0.7× median
63692043
CDM 		Hc Pbb Sipuleucel-t Auto Cd54+ 21 $26,122.20 $66,980.00 $46,216.20 nat. median
$45,546
1.0× median
51037231
CDM 		Hc Pbb Tib/per Revasc Stent & Ather 19 $25,158.90 $64,510.00 $45,157.00 nat. median
$44,834
1.0× median
37229
CPT 		Hc Pbb Tib/per Revasc W/ather 6 $1,042.49 $45,077.29 $45,077.29 nat. median
$17,132
outlier · 2.6×
37225
CPT 		Fem/popl Revas W/ather 6 $894.15 $44,920.67 $44,920.67 nat. median
$16,454
outlier · 2.7×
36837
CPT 		Prq Av Fstl Crt Uxtr Sep Acs 5 $33,951.29 $41,936.52 $41,936.52 nat. median
$17,349
outlier · 2.4×
37230
CPT 		Tib/per Revasc W/stent 6 $1,034.64 $40,521.12 $40,521.12 nat. median
$16,909
outlier · 2.4×
0750
RC 		1 $40,109.00 $40,109.00 $40,109.00 nat. median
$1,873
outlier · 21.4×
0360
RC 		1 $40,109.00 $40,109.00 $40,109.00 nat. median
$1,999
outlier · 20.1×
0790
RC 		1 $40,109.00 $40,109.00 $40,109.00 nat. median
$209
outlier · 191.6×
0481
RC 		1 $40,109.00 $40,109.00 $40,109.00 nat. median
$3,521
outlier · 11.4×
0499
RC 		1 $40,109.00 $40,109.00 $40,109.00 nat. median
$182
outlier · 219.9×
0361
RC 		1 $40,109.00 $40,109.00 $40,109.00 nat. median
$1,381
outlier · 29.0×
0490
RC 		1 $40,109.00 $40,109.00 $40,109.00 nat. median
$1,459
outlier · 27.5×
0369
RC 		1 $40,109.00 $40,109.00 $40,109.00 nat. median
$219
outlier · 183.2×
37226
CPT 		Fem/popl Revasc W/stent 6 $771.80 $39,893.16 $39,893.16 nat. median
$12,723
outlier · 3.1×
0888T
OTHER 		Histotripsy Mal Renal Tissue 5 $39,376.13 $39,376.13 $39,376.13 nat. median
$18,255
outlier · 2.2×
0505T
OTHER 		Ev Fempop Artl Revsc 5 $1,030.49 $39,147.78 $39,147.78 nat. median
$12,658
outlier · 3.1×
0620T
OTHER 		Evasc Ven Artlz Tibl/prnl Vn 5 $15,290.33 $38,772.43 $38,772.43 nat. median
$25,520
1.5× median
37243
CPT 		Hc Pbb Vasc Embolize/occlude Organ 6 $882.45 $38,408.47 $38,408.47 nat. median
$12,450
outlier · 3.1×
55882
CPT 		Ablt Trurl Prst8 Tis Trnsdcr 1 $38,168.83 $38,168.83 $38,168.83 nat. median
$13,452
outlier · 2.8×
55881
CPT 		Ablt Trurl Prst8 Tis Thrm US 1 $36,903.16 $36,903.16 $36,903.16 nat. median
$4,281
outlier · 8.6×
51037243
CDM 		Hc Pbb Vasc Embolize/occlude Organ 19 $20,248.80 $51,920.00 $36,344.00 nat. median
$36,344
1.0× median
51037229
CDM 		Hc Pbb Tib/per Revasc W/ather 19 $20,100.60 $51,540.00 $36,078.00 nat. median
$36,078
1.0× median
37242
CPT 		Hc Pbb Vasc Embolize/occlude Artery 6 $731.99 $30,388.26 $30,388.26 nat. median
$16,874
1.8× median
36836
CPT 		Prq Av Fstl Crtj Uxtr 1 Acs 5 $23,863.55 $29,475.23 $29,475.23 nat. median
$17,513
1.7× median
51036566
CDM 		Hc Pbb Insert Tunneled Cv Cath 16 $15,676.83 $40,197.00 $28,740.86 nat. median
$28,138
1.0× median
51037242
CDM 		Hc Pbb Vasc Embolize/occlude Artery 19 $15,998.19 $41,021.00 $28,714.70 nat. median
$28,715
1.0× median
37244
CPT 		Hc Pbb Vasc Embolize/occlude Bleed 6 $1,041.08 $28,180.12 $28,180.12 nat. median
$12,394
outlier · 2.3×
0686T
OTHER 		Histotripsy Mal Hepatcel Tis 5 $28,126.13 $28,126.13 $28,126.13 nat. median
$17,501
1.6× median
47383
CPT 		Perq Abltj Lvr Cryoablation 6 $713.54 $27,384.31 $27,384.31 nat. median
$9,708
outlier · 2.8×
51037230
CDM 		Hc Pbb Tib/per Revasc W/stent 19 $4,812.00 $39,012.00 $27,308.40 nat. median
$27,113
1.0× median
51037244
CDM 		Hc Pbb Vasc Embolize/occlude Bleed 19 $4,812.00 $38,008.00 $26,605.60 nat. median
$26,416
1.0× median
22513
CPT 		Perq Vertebral Augmentation 6 $795.41 $26,488.62 $26,488.62 nat. median
$8,377
outlier · 3.2×
22514
CPT 		Perq Vertebral Augmentation 6 $742.10 $26,379.15 $26,379.15 nat. median
$8,399
outlier · 3.1×
92981
CPT 		Insert Intracoronary Stent 1 $26,086.00 $26,086.00 $26,086.00 nat. median
$7,689
outlier · 3.4×
92980
CPT 		Insert Intracoronary Stent 1 $26,086.00 $26,086.00 $26,086.00 nat. median
$8,264
outlier · 3.2×
36906
CPT 		Thrmbc/nfs Dialysis Circuit 6 $789.60 $25,459.48 $25,459.48 nat. median
$18,561
1.4× median
37183
CPT 		Revision Tips 6 $590.43 $24,724.85 $24,724.85 nat. median
$7,191
outlier · 3.4×
55873
CPT 		Cryoablate Prostate 6 $1,214.84 $24,807.43 $24,605.99 nat. median
$9,651
outlier · 2.5×
92925
CPT 		Prq Card Angio/athrect Addl 7 $16,034.00 $48,843.00 $24,300.00 nat. median
$9,907
outlier · 2.5×
92944
CPT 		Prq Card Revasc Chronic Addl 7 $16,034.00 $48,843.00 $24,300.00 nat. median
$9,858
outlier · 2.5×
92921
CPT 		Prq Cardiac Angio Addl Art 7 $16,034.00 $48,843.00 $24,300.00 nat. median
$6,540
outlier · 3.7×

Other procedures at this hospital

Browse this hospital's 15,736 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0323T OTHER Rmvl & Replc Subq Pls Gen 1 1 — — $101,106.00 $101,106.00 $101,106.00 2026-01-01
0319T OTHER Insert Subq Defib W/eltrd 1 1 — — $101,106.00 $101,106.00 $101,106.00 2026-01-01
0321T OTHER Insert Subq Defib Pls Gen 1 1 — — $101,106.00 $101,106.00 $101,106.00 2026-01-01
90288 CPT Botulism Ig IV 7 7 — — $51.56 $148,550.25 $68,760.00 2026-01-01
37227 CPT Fem/popl Revasc Stnt & Ather 6 6 — — $1,071.48 $57,766.01 $57,766.01 2026-01-01
27278 CPT Arthrd Si Jt Prq Wo Tfxj Dev 4 4 — — $51,175.59 $51,175.59 $51,175.59 2026-01-01
37231 CPT Hc Pbb Tib/per Revasc Stent & Ather 7 7 $64,510.00 $34,190.30 47% off $1,113.65 $56,153.56 $50,317.80 2026-01-01
Q2043 HCPCS Hc Pbb Sipuleucel-t Auto Cd54+ 3 3 $66,980.00 $35,499.40 47% off $46,311.93 $62,078.68 $46,311.93 2026-01-01
63692043 CDM Hc Pbb Sipuleucel-t Auto Cd54+ 23 21 $66,980.00 $35,499.40 47% off $26,122.20 $66,980.00 $46,216.20 2026-01-01
51037231 CDM Hc Pbb Tib/per Revasc Stent & Ather 21 19 $64,510.00 $34,190.30 47% off $25,158.90 $64,510.00 $45,157.00 2026-01-01
37229 CPT Hc Pbb Tib/per Revasc W/ather 6 6 $51,540.00 $27,316.20 47% off $1,042.49 $45,077.29 $45,077.29 2026-01-01
37225 CPT Fem/popl Revas W/ather 6 6 — — $894.15 $44,920.67 $44,920.67 2026-01-01
36837 CPT Prq Av Fstl Crt Uxtr Sep Acs 5 5 — — $33,951.29 $41,936.52 $41,936.52 2026-01-01
37230 CPT Tib/per Revasc W/stent 6 6 $39,012.00 $20,676.36 47% off $1,034.64 $40,521.12 $40,521.12 2026-01-01
0750 RC — 1 1 — — $40,109.00 $40,109.00 $40,109.00 2026-01-01
0481 RC — 1 1 — — $40,109.00 $40,109.00 $40,109.00 2026-01-01
0360 RC — 1 1 — — $40,109.00 $40,109.00 $40,109.00 2026-01-01
0369 RC — 1 1 — — $40,109.00 $40,109.00 $40,109.00 2026-01-01
0790 RC — 1 1 — — $40,109.00 $40,109.00 $40,109.00 2026-01-01
0490 RC — 1 1 — — $40,109.00 $40,109.00 $40,109.00 2026-01-01
0499 RC — 1 1 — — $40,109.00 $40,109.00 $40,109.00 2026-01-01
0361 RC — 1 1 — — $40,109.00 $40,109.00 $40,109.00 2026-01-01
37226 CPT Fem/popl Revasc W/stent 6 6 — — $771.80 $39,893.16 $39,893.16 2026-01-01
0888T OTHER Histotripsy Mal Renal Tissue 5 5 — — $39,376.13 $39,376.13 $39,376.13 2026-01-01
0505T OTHER Ev Fempop Artl Revsc 5 5 — — $1,030.49 $39,147.78 $39,147.78 2026-01-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 5 5 — — $15,290.33 $38,772.43 $38,772.43 2026-01-01
37243 CPT Hc Pbb Vasc Embolize/occlude Organ 6 6 $51,920.00 $27,517.60 47% off $882.45 $38,408.47 $38,408.47 2026-01-01
55882 CPT Ablt Trurl Prst8 Tis Trnsdcr 1 1 — — $38,168.83 $38,168.83 $38,168.83 2026-01-01
55881 CPT Ablt Trurl Prst8 Tis Thrm US 1 1 — — $36,903.16 $36,903.16 $36,903.16 2026-01-01
51037243 CDM Hc Pbb Vasc Embolize/occlude Organ 21 19 $51,920.00 $27,517.60 47% off $20,248.80 $51,920.00 $36,344.00 2026-01-01
51037229 CDM Hc Pbb Tib/per Revasc W/ather 21 19 $51,540.00 $27,316.20 47% off $20,100.60 $51,540.00 $36,078.00 2026-01-01
37242 CPT Hc Pbb Vasc Embolize/occlude Artery 6 6 $41,021.00 $21,741.13 47% off $731.99 $30,388.26 $30,388.26 2026-01-01
36836 CPT Prq Av Fstl Crtj Uxtr 1 Acs 5 5 — — $23,863.55 $29,475.23 $29,475.23 2026-01-01
51036566 CDM Hc Pbb Insert Tunneled Cv Cath 18 16 $40,197.00 $21,304.41 47% off $15,676.83 $40,197.00 $28,740.86 2026-01-01
51037242 CDM Hc Pbb Vasc Embolize/occlude Artery 21 19 $41,021.00 $21,741.13 47% off $15,998.19 $41,021.00 $28,714.70 2026-01-01
37244 CPT Hc Pbb Vasc Embolize/occlude Bleed 6 6 $38,008.00 $20,144.24 47% off $1,041.08 $28,180.12 $28,180.12 2026-01-01
0686T OTHER Histotripsy Mal Hepatcel Tis 5 5 — — $28,126.13 $28,126.13 $28,126.13 2026-01-01
47383 CPT Perq Abltj Lvr Cryoablation 6 6 — — $713.54 $27,384.31 $27,384.31 2026-01-01
51037230 CDM Hc Pbb Tib/per Revasc W/stent 21 19 $39,012.00 $20,676.36 47% off $4,812.00 $39,012.00 $27,308.40 2026-01-01
51037244 CDM Hc Pbb Vasc Embolize/occlude Bleed 21 19 $38,008.00 $20,144.24 47% off $4,812.00 $38,008.00 $26,605.60 2026-01-01
22513 CPT Perq Vertebral Augmentation 6 6 — — $795.41 $26,488.62 $26,488.62 2026-01-01
22514 CPT Perq Vertebral Augmentation 6 6 — — $742.10 $26,379.15 $26,379.15 2026-01-01
92980 CPT Insert Intracoronary Stent 1 1 — — $26,086.00 $26,086.00 $26,086.00 2026-01-01
92981 CPT Insert Intracoronary Stent 1 1 — — $26,086.00 $26,086.00 $26,086.00 2026-01-01
36906 CPT Thrmbc/nfs Dialysis Circuit 6 6 — — $789.60 $25,459.48 $25,459.48 2026-01-01
37183 CPT Revision Tips 6 6 — — $590.43 $24,724.85 $24,724.85 2026-01-01
55873 CPT Cryoablate Prostate 6 6 $22,462.00 $11,904.86 47% off $1,214.84 $24,807.43 $24,605.99 2026-01-01
92934 CPT Prq Card Stent/ath/angio 7 7 — — $16,034.00 $48,843.00 $24,300.00 2026-01-01
92925 CPT Prq Card Angio/athrect Addl 7 7 — — $16,034.00 $48,843.00 $24,300.00 2026-01-01
92944 CPT Prq Card Revasc Chronic Addl 7 7 — — $16,034.00 $48,843.00 $24,300.00 2026-01-01
92929 CPT Prq Card Stent W/angio Addl 7 7 — — $16,034.00 $48,843.00 $24,300.00 2026-01-01
92938 CPT Prq Revasc Byp Graft Addl 7 7 — — $16,034.00 $48,843.00 $24,300.00 2026-01-01
92921 CPT Prq Cardiac Angio Addl Art 7 7 — — $16,034.00 $48,843.00 $24,300.00 2026-01-01
27299 CPT Unlisted Px Pelvis/hip Joint 2 2 — — $19,879.00 $28,491.48 $24,185.24 2026-01-01
20983 CPT Ablate Bone Tumor(s) Perq 6 6 — — $542.35 $25,690.92 $22,825.93 2026-01-01
39503 CPT Repair Of Diaphragm Hernia 6 6 — — $8,689.41 $22,436.51 $22,436.51 2026-01-01
92937 CPT Prq Revasc Byp Graft 1 Vsl 10 10 — — $880.17 $48,843.00 $22,406.00 2026-01-01
92933 CPT Prq Card Stent/ath/angio 10 10 — — $987.78 $48,843.00 $22,406.00 2026-01-01
92941 CPT Prq Card Revasc Mi 1 Vsl 10 10 — — $989.67 $48,843.00 $22,406.00 2026-01-01
92943 CPT Prq Card Revasc Chronic 1vsl 10 10 — — $989.67 $48,843.00 $22,406.00 2026-01-01
92928 CPT Prq Card Stent W/angio 1 Vsl 10 10 — — $881.30 $48,843.00 $22,406.00 2026-01-01
92920 CPT Prq Cardiac Angioplast 1 Art 11 11 — — $791.49 $48,843.00 $21,870.00 2026-01-01
92924 CPT Prq Card Angio/athrect 1 Art 11 11 — — $944.26 $48,843.00 $21,870.00 2026-01-01
32994 CPT Ablate Pulm Tumor Perq Crybl 6 6 — — $693.19 $21,868.25 $21,868.25 2026-01-01
47135 CPT Transplantation Of Liver 6 6 — — $8,224.92 $20,686.59 $20,686.59 2026-01-01
36903 CPT Intro Cath Dialysis Circuit 6 6 — — $484.35 $20,509.76 $20,509.76 2026-01-01
81416 CPT Exome Sequence Analysis 11 10 — — $12,600.00 $38,208.23 $20,400.00 2026-01-01
33285 CPT Insj Subq Car Rhythm Mntr 6 6 — — $133.33 $20,054.58 $20,054.58 2026-01-01
37241 CPT Hc Pbb Vasc Embolize/occlude Venous 6 6 $23,752.00 $12,588.56 47% off $661.84 $19,627.32 $19,627.32 2026-01-01
37228 CPT Hc Pbb Tib/per Revasc W/tla 6 6 $24,993.00 $13,246.29 47% off $807.01 $19,606.69 $19,606.69 2026-01-01
47540 CPT Perq Plmt Bile Duct Stent 6 6 — — $691.54 $19,245.15 $19,245.15 2026-01-01
43116 CPT Partial Removal Of Esophagus 6 6 — — $7,427.56 $19,037.57 $19,037.57 2026-01-01
49605 CPT Repair Umbilical Lesion 6 6 — — $7,450.59 $18,938.19 $18,938.19 2026-01-01
33935 CPT Transplantation Heart/lung 6 6 — — $7,387.84 $18,890.79 $18,890.79 2026-01-01
47539 CPT Perq Plmt Bile Duct Stent 6 6 — — $667.74 $18,861.11 $18,861.11 2026-01-01
93651 CPT Ablate Heart Dysrhythm Focus 2 2 — — $18,652.00 $18,652.00 $18,652.00 2026-01-01
93652 CPT Ablate Heart Dysrhythm Focus 2 2 — — $18,652.00 $18,652.00 $18,652.00 2026-01-01
33945 CPT Transplantation Of Heart 6 6 — — $7,289.50 $18,557.26 $18,557.26 2026-01-01
32854 CPT Lung Transplant With Bypass 6 6 — — $7,248.36 $18,547.21 $18,547.21 2026-01-01
36566 CPT Hc Pbb Insert Tunneled Cv Cath 6 6 $40,197.00 $21,304.41 47% off $553.91 $19,215.29 $18,503.10 2026-01-01
0076T OTHER S&i Stent/chest Vert Art 15 5 — — $231.06 $22,836.10 $18,268.86 2026-01-01
0075T OTHER Perq Stent/chest Vert Art 15 5 — — $528.85 $22,836.10 $18,268.86 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 7 — — $17,688.00 $21,788.00 $18,141.00 2026-01-01
47142 CPT Partial Removal Donor Liver 6 6 — — $7,145.97 $18,055.46 $18,055.46 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 11 — — $15,189.00 $21,788.00 $17,737.00 2026-01-01
47382 CPT Percut Ablate Liver Rf 6 6 — — $1,167.90 $17,632.69 $17,587.11 2026-01-01
0947T OTHER Mrgfus Strtctc Bl-br Disrpj 4 4 — — $9,993.00 $18,312.00 $17,523.00 2026-01-01
0749T OTHER B1 Str&fx Rsk Assmt Dxr-bmd 5 5 — — $9,528.00 $18,312.00 $17,523.00 2026-01-01
0750T OTHER B1 Str&fx Rsk Asmt Dxrbmd1vw 5 5 — — $9,528.00 $18,312.00 $17,523.00 2026-01-01
76140 CPT X-ray Consultation 5 5 — — $9,528.00 $18,312.00 $17,523.00 2026-01-01
0876T OTHER Duplex Scan Hemo Fstl Lmtd 5 5 — — $9,528.00 $18,312.00 $17,523.00 2026-01-01
0815T OTHER US Rems B1 Dns Hips Plvs/spi 5 5 — — $9,528.00 $18,312.00 $17,523.00 2026-01-01
0860T OTHER Ncntc Ifr Spctrsc Scr Pad 5 5 — — $9,528.00 $18,312.00 $17,523.00 2026-01-01
51037228 CDM Hc Pbb Tib/per Revasc W/tla 21 19 $24,993.00 $13,246.29 47% off $4,812.00 $24,993.00 $17,495.10 2026-01-01
32853 CPT Lung Transplant Double 6 6 — — $6,840.24 $17,466.74 $17,466.74 2026-01-01
50593 CPT Perc Cryo Ablate Renal Tum 6 6 — — $726.33 $17,309.05 $17,309.05 2026-01-01
43123 CPT Partial Removal Of Esophagus 6 6 — — $6,742.03 $17,238.08 $17,238.08 2026-01-01
61698 CPT Brain Aneurysm Repr Complx 6 6 — — $6,771.05 $17,124.96 $17,124.96 2026-01-01
47538 CPT Perq Plmt Bile Duct Stent 6 6 — — $369.70 $17,110.00 $17,110.00 2026-01-01
43108 CPT Removal Of Esophagus 6 6 — — $6,645.54 $17,018.94 $17,018.94 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 17 — — $13,208.00 $21,788.00 $16,883.00 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 17 — — $13,208.00 $21,788.00 $16,883.00 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 17 — — $13,208.00 $21,788.00 $16,883.00 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 17 — — $13,208.00 $21,788.00 $16,883.00 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 15 — — $13,878.00 $21,788.00 $16,883.00 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 17 — — $13,208.00 $21,788.00 $16,883.00 2026-01-01
61686 CPT Intracranial Vessel Surgery 6 6 — — $6,576.60 $16,636.90 $16,636.90 2026-01-01
43113 CPT Removal Of Esophagus 6 6 — — $6,505.12 $16,626.44 $16,626.44 2026-01-01
51037241 CDM Hc Pbb Vasc Embolize/occlude Venous 21 19 $23,752.00 $12,588.56 47% off $4,812.00 $23,752.00 $16,626.40 2026-01-01
21215 CPT Lower Jaw Bone Graft 6 6 — — $1,272.99 $16,466.26 $16,466.26 2026-01-01
47141 CPT Partial Removal Donor Liver 6 6 — — $6,503.28 $16,381.30 $16,381.30 2026-01-01
37235 CPT Hc Pbb Tib/per Revasc Stnt & Ather 6 6 $21,108.00 $11,187.24 47% off $573.60 $16,247.48 $16,247.48 2026-01-01
46748 CPT Repair Of Cloacal Anomaly 6 6 — — $6,431.92 $16,222.96 $16,222.96 2026-01-01
21127 CPT Augmentation Mndblr B1 Grf 6 6 — — $1,239.66 $16,165.93 $16,165.93 2026-01-01
93653 CPT Compre Ep Eval Tx Svt 11 11 — — $1,272.98 $33,027.00 $16,122.00 2026-01-01
93654 CPT Compre Ep Eval Tx Vt 11 11 — — $1,534.10 $33,027.00 $16,122.00 2026-01-01
93655 CPT Icar Cath Abltj Dscrt Arrhyt 11 11 — — $467.35 $33,027.00 $16,122.00 2026-01-01
93650 CPT Icar Cath Abltj Av Node Func 11 11 — — $887.28 $33,027.00 $16,122.00 2026-01-01
93656 CPT Compre Ep Eval Abltj Atr Fib 11 11 — — $1,443.40 $33,027.00 $16,122.00 2026-01-01
33916 CPT Surgery Of Great Vessel 6 6 — — $6,235.72 $16,085.82 $16,085.82 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 18 — — $11,771.00 $21,788.00 $16,049.00 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 18 — — $11,771.00 $21,788.00 $16,049.00 2026-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 18 — — $11,771.00 $21,788.00 $16,049.00 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 18 — — $11,771.00 $21,788.00 $16,049.00 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 18 — — $11,771.00 $21,788.00 $16,049.00 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 18 — — $11,771.00 $21,788.00 $16,049.00 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 18 — — $11,771.00 $21,788.00 $16,049.00 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 18 — — $11,771.00 $21,788.00 $16,049.00 2026-01-01
19296 CPT Place Po Breast Cath For Rad 6 6 — — $320.26 $15,989.75 $15,989.75 2026-01-01
51055873 CDM Hc Pbb Cryoablate Prostate 19 17 $22,462.00 $11,904.86 47% off $8,760.18 $22,462.00 $15,723.40 2026-01-01
33305 CPT Repair Of Heart Wound 6 6 — — $6,109.95 $15,637.32 $15,637.32 2026-01-01
51037238 CDM Hc Pbb Open/perq Place Stent Same 21 19 $22,333.00 $11,836.49 47% off $4,812.00 $22,333.00 $15,633.10 2026-01-01
61576 CPT Skull Base/brainstem Surgery 6 6 — — $6,227.20 $15,510.14 $15,510.14 2026-01-01
37221 CPT Hc Pbb Iliac Revasc W/stent 6 6 $21,198.00 $11,234.94 47% off $733.57 $16,352.01 $15,491.19 2026-01-01
61697 CPT Brain Aneurysm Repr Complx 6 6 — — $6,196.93 $15,462.41 $15,462.41 2026-01-01
93657 CPT Tx L/r Atrial Fib Addl 12 11 — — $467.35 $33,027.00 $15,455.00 2026-01-01
0806T OTHER Tcat S&ivc Prstc Vl Impl Opn 4 4 — — $15,443.10 $15,443.10 $15,443.10 2026-01-01
37234 CPT Hc Pbb Revsc Opn/prq Tib/pero Stent 6 6 $18,303.00 $9,700.59 47% off $421.02 $15,438.71 $15,438.71 2026-01-01
61682 CPT Intracranial Vessel Surgery 6 6 — — $6,084.81 $15,410.96 $15,410.96 2026-01-01
20808 CPT Replantation Hand Complete 6 6 — — $6,123.21 $15,389.06 $15,389.06 2026-01-01
90689 CPT Vacc Iiv4 No Prsrv 0.25ml IM 5 5 — — $10,515.00 $16,047.00 $15,356.00 2026-01-01
20982 CPT Ablate Bone Tumor(s) Perq 6 6 — — $574.09 $15,299.64 $15,299.64 2026-01-01
55980 CPT Sex Transformation F To M 6 6 — — $6,418.88 $15,291.93 $15,291.93 2026-01-01
215 MS_DRG Other Heart Assist System Implant 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
101 MS_DRG Seizures Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
293 MS_DRG Heart Failure And Shock Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
184 MS_DRG Major Chest Trauma With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
121 MS_DRG Acute Major Eye Infections With Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
305 MS_DRG Hypertension Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
187 MS_DRG Pleural Effusion With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
113 MS_DRG Orbital Procedures With Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
149 MS_DRG Dysequilibrium 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
200 MS_DRG Pneumothorax With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
196 MS_DRG Interstitial Lung Disease With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
303 MS_DRG Atherosclerosis Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
116 MS_DRG Intraocular Procedures With Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
137 MS_DRG Mouth Procedures With Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
302 MS_DRG Atherosclerosis With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
313 MS_DRG Chest Pain 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
209 MS_DRG Complex Aortic Arch Procedures 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
164 MS_DRG Major Chest Procedures With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
181 MS_DRG Respiratory Neoplasms With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
117 MS_DRG Intraocular Procedures Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
150 MS_DRG Epistaxis With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
204 MS_DRG Respiratory Signs And Symptoms 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
263 MS_DRG Vein Ligation And Stripping 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
185 MS_DRG Major Chest Trauma Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
245 MS_DRG Aicd Generator Procedures 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
291 MS_DRG Heart Failure And Shock With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
197 MS_DRG Interstitial Lung Disease With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
188 MS_DRG Pleural Effusion Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
153 MS_DRG Otitis Media And Uri Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
123 MS_DRG Neurological Eye Disorders 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
300 MS_DRG Peripheral Vascular Disorders With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
157 MS_DRG Dental And Oral Diseases With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
103 MS_DRG Headaches Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
176 MS_DRG Pulmonary Embolism Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
141 MS_DRG Major Head And Neck Procedures With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
114 MS_DRG Orbital Procedures Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
182 MS_DRG Respiratory Neoplasms Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
152 MS_DRG Otitis Media And Uri With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
183 MS_DRG Major Chest Trauma With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
30 MS_DRG Spinal Procedures Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
115 MS_DRG Extraocular Procedures Except Orbit 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
138 MS_DRG Mouth Procedures Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
312 MS_DRG Syncope And Collapse 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
297 MS_DRG Cardiac Arrest, Unexplained With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
199 MS_DRG Pneumothorax With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
32 MS_DRG Ventricular Shunt Procedures With Cc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
151 MS_DRG Epistaxis Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
125 MS_DRG Other Disorders Of The Eye Without Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
186 MS_DRG Pleural Effusion With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
180 MS_DRG Respiratory Neoplasms With Mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
202 MS_DRG Bronchitis And Asthma With Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 19 19 — — $10,022.00 $21,788.00 $15,215.00 2026-01-01
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