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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

SUMMIT MEDICAL CENTER

Casper, WY · CCN 530034 · Rates published

7,052 distinct procedures filed
67 distinct payers
382,068 rate rows
2026-01-21 last MRF observed
Data quality

376,782 of 382,068 rate rows are consumer-grade (98.6%)

5,286 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 5,248
placeholder amount (≤ $0.02) — excluded from medians 38
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://s3.amazonaws.com/ycubaa-production-marlin-1-charge-management-public/facilities/966271d9-392f-4763-af53-b6f343c6e2f9/461413732_SUMMIT-MEDICAL-LLC_standardcharges.zip
Found on page https://www.yourcareeverywhere.com/content/medhost/your-care-everywhere/pricing-estimator-page.html?facility_id=966271d9-392f-4763-af53-b6f343c6e2f9
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 94d5bfcdc1921d27… · 40,042,455 bytes · first seen 2026-05-08

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 I 23 $287,344.13 $306,599.17 $306,599.17 nat. median
$370,174
0.8× median
09194
OTHER 		Tisagenlecleucel Car-pos T 3 $280,820.68 $280,820.68 $280,820.68 nat. median
$538,205
0.5× median
09498
OTHER 		Ciltacabtagene Car-pos T 3 $279,722.52 $279,722.52 $279,722.52 nat. median
$554,552
0.5× median
09422
OTHER 		Idecabtagene Vicleucel Car 3 $279,438.18 $279,438.18 $279,438.18 nat. median
$530,178
0.5× median
09413
OTHER 		Lisocabtagene Car Pos T 3 $274,205.08 $274,205.08 $274,205.08 nat. median
$534,091
0.5× median
09035
OTHER 		Axicabtagene Ciloleucel Car+ 3 $259,733.96 $259,733.96 $259,733.96 nat. median
$505,583
0.5× median
09391
OTHER 		Brexucabtagene Car Pos T 3 $244,384.37 $244,384.37 $244,384.37 nat. median
$464,978
0.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System 26 $56,910.35 $221,842.89 $198,970.53 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >9 23 $151,589.19 $161,827.64 $151,589.19 nat. median
$206,474
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principa 26 $39,450.62 $150,699.55 $150,699.55 nat. median
$202,976
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagno 26 $56,225.65 $98,345.35 $98,345.35 nat. median
$133,161
0.7× median
7
MS_DRG 		Lung Transplant 23 $88,850.10 $91,946.80 $91,946.80 nat. median
$122,708
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 23 $81,921.63 $85,327.45 $85,327.45 nat. median
$117,357
0.7× median
01903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 23 $84,818.99 $84,818.99 $84,818.99 nat. median
$84,819
1.0× median
01902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 23 $84,818.99 $84,818.99 $84,818.99 nat. median
$82,736
1.0× median
01906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 23 $84,818.99 $84,818.99 $84,818.99 nat. median
$82,736
1.0× median
01901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 23 $84,818.99 $84,818.99 $84,818.99 nat. median
$84,819
1.0× median
01585
OTHER 		New Technology - Level 48 ($90,001-$100,000) 23 $84,818.99 $84,818.99 $84,818.99 nat. median
$83,741
1.0× median
01599
OTHER 		New Technology - Level 48 ($90,001-$100,000) 23 $84,818.99 $84,818.99 $84,818.99 nat. median
$83,741
1.0× median
01907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 23 $84,818.99 $84,818.99 $84,818.99 nat. median
$84,819
1.0× median
01905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 23 $84,818.99 $84,818.99 $84,818.99 nat. median
$82,736
1.0× median
01904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 23 $84,818.99 $84,818.99 $84,818.99 nat. median
$82,736
1.0× median
01908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 23 $84,818.99 $84,818.99 $84,818.99 nat. median
$82,736
1.0× median
01598
OTHER 		New Technology - Level 47 ($80,001-$90,000) 23 $80,853.86 $80,853.86 $80,853.86 nat. median
$79,660
1.0× median
01584
OTHER 		New Technology - Level 47 ($80,001-$90,000) 23 $80,853.86 $80,853.86 $80,853.86 nat. median
$79,660
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System 26 $77,198.91 $114,861.39 $80,456.11 nat. median
$108,660
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 23 $80,363.81 $80,363.81 $80,363.81 nat. median
$98,047
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spi 23 $78,250.85 $78,250.85 $78,250.85 nat. median
$98,894
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 23 $77,206.43 $77,206.43 $77,206.43 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 26 $41,527.64 $78,530.29 $73,204.85 nat. median
$100,136
0.7× median
01583
OTHER 		New Technology - Level 46 ($70,001-$80,000) 23 $71,341.69 $71,341.69 $71,341.69 nat. median
$70,289
1.0× median
01597
OTHER 		New Technology - Level 46 ($70,001-$80,000) 23 $71,341.69 $71,341.69 $71,341.69 nat. median
$70,289
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 23 $70,694.99 $81,011.65 $70,694.99 nat. median
$99,019
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 23 $69,458.17 $77,028.74 $69,458.17 nat. median
$93,672
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fu 23 $63,968.43 $63,968.43 $63,968.43 nat. median
$82,711
0.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With 23 $62,916.20 $70,496.95 $62,916.20 nat. median
$87,428
0.7× median
01596
OTHER 		New Technology - Level 45 ($60,001-$70,000) 23 $61,829.53 $61,829.53 $61,829.53 nat. median
$60,917
1.0× median
01582
OTHER 		New Technology - Level 45 ($60,001-$70,000) 23 $61,829.53 $61,829.53 $61,829.53 nat. median
$60,917
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 26 $11,555.65 $61,482.70 $61,482.70 nat. median
$83,470
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 23 $59,852.54 $66,874.66 $59,852.54 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvatur 23 $59,664.39 $65,985.39 $59,664.39 nat. median
$81,118
0.7× median
05244
OTHER 		Level 4 Blood Product Exchange And Related Service 26 $27,629.36 $56,257.14 $56,257.14 nat. median
$56,957
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Di 26 $15,615.40 $79,312.91 $55,868.71 nat. median
$77,570
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 23 $54,516.16 $61,823.71 $54,516.16 nat. median
$74,915
0.7× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Cathete 26 $6,959.87 $61,005.80 $54,362.08 nat. median
$63,570
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Op 23 $54,281.14 $60,785.59 $54,281.14 nat. median
$73,807
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Tra 23 $54,101.51 $56,938.49 $54,101.51 nat. median
$72,135
0.8× median
01581
OTHER 		New Technology - Level 44 ($50,001-$60,000) 23 $52,317.37 $52,317.37 $52,317.37 nat. median
$51,545
1.0× median
01595
OTHER 		New Technology - Level 44 ($50,001-$60,000) 23 $52,317.37 $52,317.37 $52,317.37 nat. median
$51,545
1.0× median
C1820
CPT 		Eterna Battery 45 $24,907.50 $60,750.00 $51,637.50 nat. median
$22,013
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 7,052 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other I 30 23 — — $287,344.13 $306,599.17 $306,599.17 2026-01-21
09194 OTHER Tisagenlecleucel Car-pos T 3 3 — — $280,820.68 $280,820.68 $280,820.68 2026-01-21
09498 OTHER Ciltacabtagene Car-pos T 3 3 — — $279,722.52 $279,722.52 $279,722.52 2026-01-21
09422 OTHER Idecabtagene Vicleucel Car 3 3 — — $279,438.18 $279,438.18 $279,438.18 2026-01-21
09413 OTHER Lisocabtagene Car Pos T 3 3 — — $274,205.08 $274,205.08 $274,205.08 2026-01-21
09035 OTHER Axicabtagene Ciloleucel Car+ 3 3 — — $259,733.96 $259,733.96 $259,733.96 2026-01-21
09391 OTHER Brexucabtagene Car Pos T 3 3 — — $244,384.37 $244,384.37 $244,384.37 2026-01-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System 33 26 — — $56,910.35 $221,842.89 $198,970.53 2026-01-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >9 30 23 — — $151,589.19 $161,827.64 $151,589.19 2026-01-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principa 33 26 — — $39,450.62 $150,699.55 $150,699.55 2026-01-21
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagno 33 26 — — $56,225.65 $98,345.35 $98,345.35 2026-01-21
7 MS_DRG Lung Transplant 30 23 — — $88,850.10 $91,946.80 $91,946.80 2026-01-21
14 MS_DRG Allogeneic Bone Marrow Transplant 30 23 — — $81,921.63 $85,327.45 $85,327.45 2026-01-21
01599 OTHER New Technology - Level 48 ($90,001-$100,000) 29 23 — — $84,818.99 $84,818.99 $84,818.99 2026-01-21
01902 OTHER New Technology - Level 49 ($100,001-$115,000) 29 23 — — $84,818.99 $84,818.99 $84,818.99 2026-01-21
01901 OTHER New Technology - Level 49 ($100,001-$115,000) 29 23 — — $84,818.99 $84,818.99 $84,818.99 2026-01-21
01905 OTHER New Technology - Level 51 ($130,001-$145,000) 29 23 — — $84,818.99 $84,818.99 $84,818.99 2026-01-21
01906 OTHER New Technology - Level 51 ($130,001-$145,000) 29 23 — — $84,818.99 $84,818.99 $84,818.99 2026-01-21
01903 OTHER New Technology - Level 50 ($115,001-$130,000) 29 23 — — $84,818.99 $84,818.99 $84,818.99 2026-01-21
01585 OTHER New Technology - Level 48 ($90,001-$100,000) 29 23 — — $84,818.99 $84,818.99 $84,818.99 2026-01-21
01904 OTHER New Technology - Level 50 ($115,001-$130,000) 29 23 — — $84,818.99 $84,818.99 $84,818.99 2026-01-21
01908 OTHER New Technology - Level 52 ($145,001-$160,000) 29 23 — — $84,818.99 $84,818.99 $84,818.99 2026-01-21
01907 OTHER New Technology - Level 52 ($145,001-$160,000) 29 23 — — $84,818.99 $84,818.99 $84,818.99 2026-01-21
01584 OTHER New Technology - Level 47 ($80,001-$90,000) 29 23 — — $80,853.86 $80,853.86 $80,853.86 2026-01-21
01598 OTHER New Technology - Level 47 ($80,001-$90,000) 29 23 — — $80,853.86 $80,853.86 $80,853.86 2026-01-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System 33 26 — — $77,198.91 $114,861.39 $80,456.11 2026-01-21
209 MS_DRG Complex Aortic Arch Procedures 29 23 — — $80,363.81 $80,363.81 $80,363.81 2026-01-21
426 MS_DRG Multiple Level Combined Anterior And Posterior Spi 29 23 — — $78,250.85 $78,250.85 $78,250.85 2026-01-21
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 29 23 — — $77,206.43 $77,206.43 $77,206.43 2026-01-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 33 26 — — $41,527.64 $78,530.29 $73,204.85 2026-01-21
01597 OTHER New Technology - Level 46 ($70,001-$80,000) 29 23 — — $71,341.69 $71,341.69 $71,341.69 2026-01-21
01583 OTHER New Technology - Level 46 ($70,001-$80,000) 29 23 — — $71,341.69 $71,341.69 $71,341.69 2026-01-21
215 MS_DRG Other Heart Assist System Implant 30 23 — — $70,694.99 $81,011.65 $70,694.99 2026-01-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 30 23 — — $69,458.17 $77,028.74 $69,458.17 2026-01-21
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fu 29 23 — — $63,968.43 $63,968.43 $63,968.43 2026-01-21
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With 30 23 — — $62,916.20 $70,496.95 $62,916.20 2026-01-21
01582 OTHER New Technology - Level 45 ($60,001-$70,000) 29 23 — — $61,829.53 $61,829.53 $61,829.53 2026-01-21
01596 OTHER New Technology - Level 45 ($60,001-$70,000) 29 23 — — $61,829.53 $61,829.53 $61,829.53 2026-01-21
850 MS_DRG Acute Leukemia With Other Procedures 32 26 — — $11,555.65 $61,482.70 $61,482.70 2026-01-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 23 — — $59,852.54 $66,874.66 $59,852.54 2026-01-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 30 23 — — $59,664.39 $65,985.39 $59,664.39 2026-01-21
05244 OTHER Level 4 Blood Product Exchange And Related Service 32 26 — — $27,629.36 $56,257.14 $56,257.14 2026-01-21
20 MS_DRG Intracranial Vascular Procedures With Principal Di 33 26 — — $15,615.40 $79,312.91 $55,868.71 2026-01-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 30 23 — — $54,516.16 $61,823.71 $54,516.16 2026-01-21
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 33 26 — — $6,959.87 $61,005.80 $54,362.08 2026-01-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Op 30 23 — — $54,281.14 $60,785.59 $54,281.14 2026-01-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Tra 30 23 — — $54,101.51 $56,938.49 $54,101.51 2026-01-21
01581 OTHER New Technology - Level 44 ($50,001-$60,000) 29 23 — — $52,317.37 $52,317.37 $52,317.37 2026-01-21
01595 OTHER New Technology - Level 44 ($50,001-$60,000) 29 23 — — $52,317.37 $52,317.37 $52,317.37 2026-01-21
C1820 CPT Eterna Battery 52 45 $60,750.00 $24,907.50 59% off $24,907.50 $60,750.00 $51,637.50 2026-01-21
427 MS_DRG Multiple Level Combined Anterior And Posterior Spi 29 23 — — $51,252.27 $51,252.27 $51,252.27 2026-01-21
10 MS_DRG Pancreas Transplant 30 23 — — $27,775.25 $50,947.68 $50,947.68 2026-01-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation 30 23 — — $50,115.14 $50,926.38 $50,926.38 2026-01-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With H 30 23 — — $50,655.87 $51,251.47 $50,655.87 2026-01-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 29 23 — — $50,626.05 $50,626.05 $50,626.05 2026-01-21
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 33 26 — — $9,642.58 $57,691.95 $50,333.53 2026-01-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 30 23 — — $49,073.98 $49,404.64 $49,073.98 2026-01-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsatio 30 23 — — $48,833.29 $53,427.45 $48,833.29 2026-01-21
3100017 CDM Bi-lat Or Level 7 52 45 $56,752.80 $23,268.64 59% off $23,268.64 $56,752.80 $48,239.88 2026-01-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 30 23 — — $47,791.01 $48,256.04 $47,791.01 2026-01-21
317 MS_DRG Concomitant Left Atrial Appendage Closure And Card 32 26 — — $6,984.50 $47,474.35 $47,474.35 2026-01-21
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With 32 26 — — $9,655.32 $47,439.56 $47,439.56 2026-01-21
459 MS_DRG Spinal Fusion Except Cervical With Mcc 30 23 — — $47,089.52 $51,664.26 $47,089.52 2026-01-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 30 23 — — $46,684.82 $46,874.95 $46,684.82 2026-01-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 30 23 — — $46,684.82 $49,746.08 $46,684.82 2026-01-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 23 — — $42,499.96 $46,515.13 $46,515.13 2026-01-21
C1767 CPT Proclaim 7 208 45 $55,890.00 $22,914.90 59% off $20,009.02 $60,750.00 $46,072.12 2026-01-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Suppo 33 26 — — $4,390.14 $45,686.56 $45,686.56 2026-01-21
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath 33 26 — — $5,472.40 $50,371.41 $45,446.58 2026-01-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplem 30 23 — — $43,511.82 $54,076.56 $43,511.82 2026-01-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 30 23 — — $43,461.41 $44,899.99 $43,461.41 2026-01-21
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With 30 23 — — $43,425.91 $46,750.65 $43,425.91 2026-01-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 23 — — $43,044.64 $45,681.84 $43,044.64 2026-01-21
01594 OTHER New Technology - Level 43 ($40,001-$50,000) 29 23 — — $42,805.21 $42,805.21 $42,805.21 2026-01-21
01580 OTHER New Technology - Level 43 ($40,001-$50,000) 32 26 — — $23,879.90 $42,805.21 $42,805.21 2026-01-21
28 MS_DRG Spinal Procedures With Mcc 30 23 — — $42,659.11 $44,679.02 $42,659.11 2026-01-21
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid 29 23 — — $42,647.04 $42,647.04 $42,647.04 2026-01-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 30 23 — — $42,338.18 $49,841.22 $42,338.18 2026-01-21
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrom 30 23 — — $42,199.02 $43,520.44 $42,199.02 2026-01-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 30 23 — — $42,101.04 $51,685.74 $42,101.04 2026-01-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization Wi 30 23 — — $41,667.23 $46,835.05 $41,667.23 2026-01-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures W 30 23 — — $41,640.25 $43,670.82 $41,640.25 2026-01-21
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fu 29 23 — — $40,946.58 $40,946.58 $40,946.58 2026-01-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Comp 33 26 — — $12,322.75 $43,518.90 $40,685.30 2026-01-21
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Pro 29 23 — — $40,519.16 $40,519.16 $40,519.16 2026-01-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For M 33 26 — — $3,668.06 $41,204.81 $40,466.62 2026-01-21
4402572 CDM Vanco 1 Gm/200 Bax 52 45 $47,107.50 $19,314.07 59% off $19,314.07 $47,107.50 $40,041.37 2026-01-21
428 MS_DRG Multiple Level Combined Anterior And Posterior Spi 29 23 — — $39,916.36 $39,916.36 $39,916.36 2026-01-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 30 23 — — $39,792.82 $41,688.19 $39,792.82 2026-01-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of P 29 23 — — $39,520.18 $39,520.18 $39,520.18 2026-01-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lo 33 26 — — $4,834.42 $46,663.18 $39,213.46 2026-01-21
834 MS_DRG Acute Leukemia With Mcc 30 23 — — $38,978.45 $46,436.84 $38,978.45 2026-01-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 33 26 — — $11,000.08 $44,023.00 $38,840.71 2026-01-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Op 30 23 — — $38,785.33 $40,941.63 $38,785.33 2026-01-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or 30 23 — — $38,527.80 $38,724.27 $38,724.27 2026-01-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 30 23 — — $37,256.43 $38,569.49 $38,569.49 2026-01-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 33 26 — — $10,868.41 $41,473.35 $37,863.03 2026-01-21
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mc 29 23 — — $37,840.31 $37,840.31 $37,840.31 2026-01-21
21 MS_DRG Intracranial Vascular Procedures With Principal Di 33 26 — — $16,988.19 $57,879.16 $37,586.13 2026-01-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 23 — — $37,461.88 $39,798.40 $37,461.88 2026-01-21
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 33 26 — — $8,926.46 $44,491.03 $37,052.92 2026-01-21
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 33 26 — — $3,724.98 $41,016.06 $36,958.49 2026-01-21
653 MS_DRG Major Bladder Procedures With Mcc 30 23 — — $36,894.59 $41,886.91 $36,894.59 2026-01-21
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 33 26 — — $6,654.90 $43,103.81 $35,909.82 2026-01-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 33 26 — — $11,132.60 $35,785.57 $35,785.57 2026-01-21
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath 33 26 — — $8,357.29 $39,990.98 $35,647.12 2026-01-21
C1882 CPT Momentum Battery Icd 52 45 $41,850.00 $17,158.50 59% off $17,158.50 $41,850.00 $35,572.50 2026-01-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With M 30 23 — — $35,410.68 $40,790.48 $35,410.68 2026-01-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 33 26 — — $6,327.84 $40,897.90 $35,126.68 2026-01-21
853 MS_DRG Infectious And Parasitic Diseases With O.r. Proced 30 23 — — $35,064.20 $38,116.54 $35,064.20 2026-01-21
239 MS_DRG Amputation For Circulatory System Disorders Except 30 23 — — $34,944.21 $36,951.82 $34,944.21 2026-01-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Wit 30 23 — — $34,798.66 $38,852.35 $34,798.66 2026-01-21
01643 OTHER Y90 Ibritumomab, Rx 3 3 — — $34,745.70 $34,745.70 $34,745.70 2026-01-21
471 MS_DRG Cervical Spinal Fusion With Mcc 30 23 — — $34,283.91 $38,514.75 $34,283.91 2026-01-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diag 30 23 — — $34,110.67 $43,729.13 $34,110.67 2026-01-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplem 30 23 — — $33,801.82 $42,951.89 $33,801.82 2026-01-21
00717 OTHER Instill Adstiladrin, Tx Dose 3 3 — — $33,619.75 $33,619.75 $33,619.75 2026-01-21
4600010 CDM Impl Spinal Pump Programmable 52 45 $39,504.40 — $16,196.80 $39,504.40 $33,578.74 2026-01-21
4600009 CDM Impl/repl Nonprogrammable Pump 52 45 $39,504.40 — $16,196.80 $39,504.40 $33,578.74 2026-01-21
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 33 26 — — $10,633.95 $34,686.07 $33,380.08 2026-01-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal D 30 23 — — $33,311.92 $35,405.77 $33,311.92 2026-01-21
01579 OTHER New Technology - Level 42 ($30,001-$40,000) 29 23 — — $33,293.04 $33,293.04 $33,293.04 2026-01-21
01593 OTHER New Technology - Level 42 ($30,001-$40,000) 29 23 — — $33,293.04 $33,293.04 $33,293.04 2026-01-21
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentia 30 23 — — $33,212.52 $38,705.04 $33,212.52 2026-01-21
6 MS_DRG Liver Transplant Without Mcc 33 26 — — $32,922.83 $54,111.25 $32,922.83 2026-01-21
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 29 23 — — $32,791.48 $32,791.48 $32,791.48 2026-01-21
455 MS_DRG Combined Anterior And Posterior Spinal Fusion With 30 23 — — $32,699.89 $36,685.58 $32,699.89 2026-01-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 30 23 — — $32,635.28 $37,490.44 $32,635.28 2026-01-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedu 30 23 — — $32,552.21 $34,541.05 $32,552.21 2026-01-21
245 MS_DRG Aicd Generator Procedures 33 26 — — $5,085.87 $41,569.26 $32,393.17 2026-01-21
856 MS_DRG Postoperative Or Post-traumatic Infections With O. 30 23 — — $32,295.90 $35,784.80 $32,295.90 2026-01-21
25 MS_DRG Craniotomy And Endovascular Intracranial Procedure 30 23 — — $32,281.70 $34,507.29 $32,281.70 2026-01-21
799 MS_DRG Splenic Procedures With Mcc 30 23 — — $32,155.32 $39,494.56 $32,155.32 2026-01-21
163 MS_DRG Major Chest Procedures With Mcc 33 26 — — $31,094.95 $38,415.77 $31,820.91 2026-01-21
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 23 — — $31,811.68 $33,542.83 $31,811.68 2026-01-21
319 MS_DRG Other Endovascular Cardiac Valve Procedures With M 30 23 — — $31,686.72 $33,130.04 $31,686.72 2026-01-21
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 30 23 — — $31,189.01 $33,052.54 $31,189.01 2026-01-21
323 MS_DRG Coronary Intravascular Lithotripsy With Intralumin 29 23 — — $30,724.66 $30,724.66 $30,724.66 2026-01-21
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 30 23 — — $30,542.90 $33,006.51 $30,542.90 2026-01-21
05232 OTHER Level 2 Icd And Similar Procedures 32 26 — — $16,634.01 $30,497.49 $30,497.49 2026-01-21
474 MS_DRG Amputation For Musculoskeletal System And Connecti 30 23 — — $30,479.71 $31,274.77 $30,479.71 2026-01-21
140 MS_DRG Major Head And Neck Procedures With Mcc 33 26 — — $4,308.58 $30,521.31 $30,283.75 2026-01-21
05166 OTHER Cochlear Implant Procedure 32 26 — — $16,955.28 $30,256.12 $30,256.12 2026-01-21
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Witho 29 23 — — $30,109.80 $30,109.80 $30,109.80 2026-01-21
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsatio 30 23 — — $29,984.84 $33,108.55 $29,984.84 2026-01-21
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or 30 23 — — $29,408.00 $29,933.72 $29,933.72 2026-01-21
958 MS_DRG Other O.r. Procedures For Multiple Significant Tra 30 23 — — $29,918.81 $32,269.16 $29,918.81 2026-01-21
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 30 23 — — $26,611.29 $29,831.48 $29,831.48 2026-01-21
901 MS_DRG Wound Debridements For Injuries With Mcc 30 23 — — $29,795.98 $32,752.54 $29,795.98 2026-01-21
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Wi 30 23 — — $29,740.60 $31,435.13 $29,740.60 2026-01-21
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 30 23 — — $29,625.58 $38,421.91 $29,625.58 2026-01-21
793 MS_DRG Full Term Neonate With Major Problems 30 23 — — $29,604.28 $30,531.29 $29,604.28 2026-01-21
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Wi 33 26 — — $4,932.97 $32,117.24 $29,486.42 2026-01-21
3100016 CDM Bi-lat Or Level 6 52 45 $34,496.80 $14,143.68 59% off $14,143.68 $34,496.80 $29,322.28 2026-01-21
273 MS_DRG Percutaneous And Other Intracardiac Procedures Wit 30 23 — — $29,291.17 $29,361.20 $29,291.17 2026-01-21
09273 OTHER Sipuleucel-t Auto Cd54+ 3 3 — — $29,194.30 $29,194.30 $29,194.30 2026-01-21
05465 OTHER Level 5 Neurostimulator And Related Procedures 32 26 — — $15,700.21 $28,986.97 $28,986.97 2026-01-21
791 MS_DRG Prematurity With Major Problems 33 26 — — $7,966.52 $29,722.58 $28,819.02 2026-01-21
402 MS_DRG Single Level Combined Anterior And Posterior Spina 29 23 — — $28,545.67 $28,545.67 $28,545.67 2026-01-21
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Formi 30 23 — — $28,287.22 $28,478.83 $28,287.22 2026-01-21
24 MS_DRG Craniotomy With Major Device Implant Or Acute Comp 33 26 — — $9,111.65 $30,222.84 $27,774.60 2026-01-21
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >9 30 23 — — $17,362.60 $27,648.93 $27,648.93 2026-01-21
34 MS_DRG Carotid Artery Stent Procedures With Mcc 30 23 — — $27,482.08 $30,522.85 $27,482.08 2026-01-21
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental 30 23 — — $25,074.45 $27,440.90 $27,440.90 2026-01-21
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System 33 26 — — $7,825.51 $29,653.53 $27,414.63 2026-01-21
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 30 23 — — $27,259.14 $30,293.43 $27,259.14 2026-01-21
05200 OTHER Implantation Wireless Pa Pressure Monitor 32 26 — — $14,695.24 $27,041.48 $27,041.48 2026-01-21
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Mu 30 23 — — $26,717.41 $29,539.97 $26,717.41 2026-01-21
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures 33 26 — — $3,964.54 $26,600.97 $26,600.97 2026-01-21
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 33 26 — — $22,732.50 $28,569.37 $26,537.78 2026-01-21
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With 33 26 — — $6,457.81 $27,521.28 $26,534.94 2026-01-21
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Pr 30 23 — — $26,460.39 $28,231.01 $26,460.39 2026-01-21
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 33 26 — — $8,517.85 $28,376.79 $26,311.29 2026-01-21
01592 OTHER New Technology - Level 41 ($25,001-$30,000) 32 26 — — $14,593.37 $26,158.93 $26,158.93 2026-01-21
01578 OTHER New Technology - Level 41 ($25,001-$30,000) 32 26 — — $14,593.37 $26,158.93 $26,158.93 2026-01-21
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 30 23 — — $26,079.12 $28,596.23 $26,079.12 2026-01-21
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, 30 23 — — $26,068.47 $26,624.34 $26,068.47 2026-01-21
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 33 26 — — $4,757.97 $30,159.16 $25,971.19 2026-01-21
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact Wi 30 23 — — $25,762.45 $25,892.36 $25,762.45 2026-01-21
495 MS_DRG Local Excision And Removal Of Internal Fixation De 30 23 — — $25,742.57 $27,943.28 $25,742.57 2026-01-21
332 MS_DRG Rectal Resection With Mcc 30 23 — — $25,707.07 $31,930.02 $25,707.07 2026-01-21
265 MS_DRG Aicd Lead Procedures 30 23 — — $25,689.32 $25,822.54 $25,689.32 2026-01-21
97 MS_DRG Non-bacterial Infection Of Nervous System Except V 33 26 — — $3,518.55 $28,852.50 $25,643.88 2026-01-21
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of P 32 26 — — $4,396.08 $25,605.54 $25,605.54 2026-01-21
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And 30 23 — — $25,437.98 $29,340.48 $25,437.98 2026-01-21
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnex 30 23 — — $25,379.05 $32,691.16 $25,379.05 2026-01-21
335 MS_DRG Peritoneal Adhesiolysis With Mcc 30 23 — — $25,353.49 $30,027.19 $25,353.49 2026-01-21
408 MS_DRG Biliary Tract Procedures Except Only Cholecystecto 30 23 — — $25,315.86 $28,794.95 $25,315.86 2026-01-21
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d. 30 23 — — $25,294.56 $27,838.93 $25,294.56 2026-01-21
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, N 33 26 — — $13,081.35 $27,736.12 $25,270.42 2026-01-21
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 23 — — $25,249.83 $27,356.32 $25,249.83 2026-01-21
3105662 CDM X-core Core 52 45 $29,700.00 $12,177.00 59% off $12,177.00 $29,700.00 $25,245.00 2026-01-21
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 30 23 — — $25,038.96 $27,449.16 $25,038.96 2026-01-21
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous Sy 30 23 — — $24,987.84 $27,912.59 $24,987.84 2026-01-21
3106164 CDM Zimmer Vrs Glenoid 52 45 $29,241.00 $11,988.81 59% off $11,988.81 $29,241.00 $24,854.85 2026-01-21
0627T CPT Via Disc Procedure 52 45 $29,225.00 — $11,982.25 $29,225.00 $24,841.25 2026-01-21
252 MS_DRG Other Vascular Procedures With Mcc 33 26 — — $4,541.35 $25,517.16 $24,767.03 2026-01-21
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritiona 30 23 — — $24,760.64 $30,431.54 $24,760.64 2026-01-21
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 30 23 — — $24,647.04 $24,909.49 $24,647.04 2026-01-21
477 MS_DRG Biopsies Of Musculoskeletal System And Connective 30 23 — — $24,527.76 $25,771.90 $24,527.76 2026-01-21
359 MS_DRG Percutaneous Coronary Atherectomy With Intralumina 29 23 — — $24,414.16 $24,414.16 $24,414.16 2026-01-21
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Princip 30 23 — — $24,341.74 $25,135.06 $24,341.74 2026-01-21
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulato 30 23 — — $24,222.46 $25,295.42 $24,222.46 2026-01-21
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Di 30 23 — — $24,217.49 $26,170.88 $24,217.49 2026-01-21
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 33 26 — — $3,565.27 $26,981.12 $24,190.51 2026-01-21
4600019 CDM Insert/repl Scs Gen/rec 52 45 $28,376.40 — $11,634.32 $28,376.40 $24,119.94 2026-01-21
4600052 CDM Ins/repl Periph/gstric Scs Gen 52 45 $28,376.40 — $11,634.32 $28,376.40 $24,119.94 2026-01-21
3106088 CDM Omnia Psif Implant 52 45 $28,350.00 $11,623.50 59% off $11,623.50 $28,350.00 $24,097.50 2026-01-21
01142 OTHER Supprelin La Implant 3 3 — — $24,065.48 $24,065.48 $24,065.48 2026-01-21
264 MS_DRG Other Circulatory System O.r. Procedures 33 26 — — $11,694.97 $24,963.96 $23,718.36 2026-01-21
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 30 23 — — $23,453.52 $28,799.55 $23,453.52 2026-01-21
37 MS_DRG Extracranial Procedures With Mcc 30 23 — — $23,374.00 $25,148.11 $23,374.00 2026-01-21
274 MS_DRG Percutaneous And Other Intracardiac Procedures Wit 30 23 — — $23,371.16 $25,217.16 $23,371.16 2026-01-21
05213 OTHER Level 3 Electrophysiologic Procedures 32 26 — — $12,008.37 $23,335.52 $23,335.52 2026-01-21
260 MS_DRG Cardiac Pacemaker Revision Except Device Replaceme 33 26 — — $14,137.28 $27,370.89 $23,094.97 2026-01-21
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedu 30 23 — — $22,993.44 $24,129.94 $22,993.44 2026-01-21
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 30 23 — — $22,967.88 $24,709.99 $22,967.88 2026-01-21
451 MS_DRG Single Level Spinal Fusion Except Cervical Without 29 23 — — $22,935.93 $22,935.93 $22,935.93 2026-01-21
652 MS_DRG Kidney Transplant 30 23 — — $22,929.54 $24,438.38 $22,929.54 2026-01-21
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infect 30 23 — — $22,912.50 $26,160.91 $22,912.50 2026-01-21
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation 30 23 — — $22,867.77 $23,124.81 $22,867.77 2026-01-21
4402071 CDM Dantrolene 250 Mg 52 45 $26,885.40 $11,023.01 59% off $11,023.01 $26,885.40 $22,852.59 2026-01-21
325 MS_DRG Coronary Intravascular Lithotripsy Without Intralu 29 23 — — $22,793.93 $22,793.93 $22,793.93 2026-01-21
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 33 26 — — $4,562.58 $28,600.83 $22,668.97 2026-01-21
515 MS_DRG Other Musculoskeletal System And Connective Tissue 30 23 — — $22,627.08 $24,096.94 $22,627.08 2026-01-21
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 30 23 — — $22,605.07 $25,204.89 $22,605.07 2026-01-21
22 MS_DRG Intracranial Vascular Procedures With Principal Di 33 26 — — $10,336.62 $37,157.45 $22,559.63 2026-01-21
500 MS_DRG Soft Tissue Procedures With Mcc 33 26 — — $4,691.71 $24,472.14 $22,470.17 2026-01-21
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentia 30 23 — — $22,436.09 $24,617.15 $22,436.09 2026-01-21
324 MS_DRG Coronary Intravascular Lithotripsy With Intralumin 29 23 — — $22,372.19 $22,372.19 $22,372.19 2026-01-21
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 33 26 — — $9,188.10 $26,403.36 $22,361.54 2026-01-21
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 30 23 — — $22,309.00 $24,307.94 $22,309.00 2026-01-21
665 MS_DRG Prostatectomy With Mcc 30 23 — — $22,160.61 $23,338.11 $22,160.61 2026-01-21
464 MS_DRG Wound Debridement And Skin Graft Except Hand For M 30 23 — — $22,114.46 $22,833.25 $22,114.46 2026-01-21
26 MS_DRG Craniotomy And Endovascular Intracranial Procedure 33 26 — — $10,945.71 $23,493.87 $22,075.41 2026-01-21
3100015 CDM Bi-lat Or Level 5 52 45 $25,594.40 $10,493.70 59% off $10,493.70 $25,594.40 $21,755.24 2026-01-21
662 MS_DRG Minor Bladder Procedures With Mcc 33 26 — — $4,776.66 $22,537.08 $21,736.74 2026-01-21
263 MS_DRG Vein Ligation And Stripping 33 26 — — $7,913.85 $21,707.63 $21,707.63 2026-01-21
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachme 30 23 — — $21,535.81 $23,677.25 $21,535.81 2026-01-21
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Majo 33 26 — — $9,921.22 $21,445.64 $21,445.64 2026-01-21
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures W 33 26 — — $12,254.79 $21,792.06 $21,442.80 2026-01-21
498 MS_DRG Local Excision And Removal Of Internal Fixation De 30 23 — — $19,824.01 $21,419.37 $21,419.37 2026-01-21
01591 OTHER New Technology - Level 40 ($20,001-$25,000) 29 23 — — $21,402.84 $21,402.84 $21,402.84 2026-01-21
01577 OTHER New Technology - Level 40 ($20,001-$25,000) 29 23 — — $21,402.84 $21,402.84 $21,402.84 2026-01-21
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-dr 33 26 — — $4,410.52 $24,262.68 $21,369.67 2026-01-21
05231 OTHER Level 1 Icd And Similar Procedures 32 26 — — $11,917.87 $21,351.18 $21,351.18 2026-01-21
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-e 33 26 — — $5,431.62 $23,971.88 $21,267.42 2026-01-21
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With 32 26 — — $14,810.08 $21,132.52 $21,132.52 2026-01-21
C1821 CPT Vertiflex 52 45 $24,840.00 $10,184.40 59% off $10,184.40 $24,840.00 $21,114.00 2026-01-21
472 MS_DRG Cervical Spinal Fusion With Cc 30 23 — — $20,917.39 $23,430.19 $20,917.39 2026-01-21
959 MS_DRG Other O.r. Procedures For Multiple Significant Tra 30 23 — — $20,903.19 $20,993.33 $20,903.19 2026-01-21
570 MS_DRG Skin Debridement With Mcc 30 23 — — $20,881.89 $21,803.57 $20,881.89 2026-01-21
668 MS_DRG Transurethral Procedures With Mcc 30 23 — — $20,732.08 $21,531.95 $20,732.08 2026-01-21
480 MS_DRG Hip And Femur Procedures Except Major Joint With M 33 26 — — $9,910.17 $23,216.12 $20,677.41 2026-01-21
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With 30 23 — — $20,604.28 $23,209.21 $20,604.28 2026-01-21
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 30 23 — — $20,591.50 $22,104.34 $20,591.50 2026-01-21
619 MS_DRG O.r. Procedures For Obesity With Mcc 30 23 — — $20,500.62 $23,491.57 $20,500.62 2026-01-21
974 MS_DRG HIV With Major Related Condition With Mcc 30 23 — — $20,490.68 $20,643.45 $20,490.68 2026-01-21
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or 30 23 — — $20,460.86 $20,898.95 $20,460.86 2026-01-21
05464 OTHER Level 4 Neurostimulator And Related Procedures 32 26 — — $11,060.43 $20,398.25 $20,398.25 2026-01-21
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fr 30 23 — — $20,378.50 $23,526.09 $20,378.50 2026-01-21
240 MS_DRG Amputation For Circulatory System Disorders Except 33 26 — — $5,944.72 $21,397.68 $20,238.63 2026-01-21
3105689 CDM Modulus 15 Degree 52 45 $23,625.00 $9,686.25 59% off $9,686.25 $23,625.00 $20,081.25 2026-01-21
800 MS_DRG Splenic Procedures With Cc 30 23 — — $19,946.82 $22,664.45 $19,946.82 2026-01-21
654 MS_DRG Major Bladder Procedures With Cc 30 23 — — $19,875.11 $22,272.37 $19,875.11 2026-01-21
503 MS_DRG Foot Procedures With Mcc 30 23 — — $19,816.89 $20,260.58 $19,816.89 2026-01-21
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upp 33 26 — — $5,616.81 $19,680.57 $19,680.57 2026-01-21
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transien 30 23 — — $19,575.49 $22,183.37 $19,575.49 2026-01-21
208 MS_DRG Respiratory System Diagnosis With Ventilator Suppo 30 23 — — $19,515.85 $19,525.54 $19,515.85 2026-01-21
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 33 26 — — $4,064.78 $21,502.03 $19,510.88 2026-01-21
3106176 CDM Atec Lat Cage 52 45 $22,950.00 $9,409.50 59% off $9,409.50 $22,950.00 $19,507.50 2026-01-21
963 MS_DRG Other Multiple Significant Trauma With Mcc 30 23 — — $19,410.06 $20,945.76 $19,410.06 2026-01-21
321 MS_DRG Percutaneous Cardiovascular Procedures With Intral 32 26 — — $13,934.25 $19,317.76 $19,317.76 2026-01-21
849 MS_DRG Radiotherapy 30 23 — — $19,132.69 $19,237.53 $19,237.53 2026-01-21
288 MS_DRG Acute And Subacute Endocarditis With Mcc 30 23 — — $19,214.10 $20,604.32 $19,214.10 2026-01-21
255 MS_DRG Upper Limb And Toe Amputation For Circulatory Syst 30 23 — — $19,151.62 $19,452.65 $19,151.62 2026-01-21
05378 OTHER Level 8 Urology And Related Services 32 26 — — $10,198.99 $19,146.62 $19,146.62 2026-01-21
131 MS_DRG Cranial/facial Procedures W Cc/mcc 33 26 — — $11,010.27 $20,634.25 $19,094.11 2026-01-21
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lo 33 26 — — $3,753.86 $24,103.08 $18,886.07 2026-01-21
338 MS_DRG Appendectomy With Complicated Principal Diagnosis 30 23 — — $18,861.22 $21,462.90 $18,861.22 2026-01-21
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Wit 30 23 — — $18,820.04 $19,562.37 $18,820.04 2026-01-21
3105656 CDM Modulus 10 Degree 52 45 $22,140.00 $9,077.40 59% off $9,077.40 $22,140.00 $18,819.00 2026-01-21
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 30 23 — — $18,725.61 $22,931.46 $18,725.61 2026-01-21
253 MS_DRG Other Vascular Procedures With Cc 33 26 — — $4,566.83 $20,360.33 $18,428.83 2026-01-21
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary D 30 23 — — $18,406.82 $20,508.41 $18,406.82 2026-01-21
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 33 26 — — $5,776.52 $21,624.79 $18,337.95 2026-01-21
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous Sy 30 23 — — $17,898.15 $18,312.39 $18,312.39 2026-01-21
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous Sy 33 26 — — $5,340.72 $19,237.81 $18,312.39 2026-01-21
749 MS_DRG Other Female Reproductive System O.r. Procedures W 30 23 — — $18,230.03 $20,822.23 $18,230.03 2026-01-21
05224 OTHER Level 4 Pacemaker And Similar Procedures 32 26 — — $9,851.86 $18,140.80 $18,140.80 2026-01-21
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/m 30 23 — — $18,126.37 $20,626.57 $18,126.37 2026-01-21
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With 30 23 — — $18,040.46 $20,458.54 $18,040.46 2026-01-21
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, 30 23 — — $17,845.21 $18,006.38 $18,006.38 2026-01-21
164 MS_DRG Major Chest Procedures With Cc 30 23 — — $17,920.47 $20,375.68 $17,920.47 2026-01-21
27 MS_DRG Craniotomy And Endovascular Intracranial Procedure 30 23 — — $17,912.66 $19,291.52 $17,912.66 2026-01-21
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 30 23 — — $17,692.56 $18,834.99 $17,692.56 2026-01-21
545 MS_DRG Connective Tissue Disorders With Mcc 33 26 — — $9,214.86 $19,205.59 $17,620.14 2026-01-21
05116 OTHER Level 6 Musculoskeletal Procedures 32 26 — — $9,422.52 $17,492.91 $17,492.91 2026-01-21
478 MS_DRG Biopsies Of Musculoskeletal System And Connective 30 23 — — $17,460.39 $18,095.34 $17,460.39 2026-01-21
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal D 30 23 — — $17,455.42 $19,462.62 $17,455.42 2026-01-21
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