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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

ALASKA NATIVE MEDICAL CENTER

Anchorage, AK · CCN 020026 · Rates published

Your selected procedure

You selected 93350 (HCPCS)

Ultrasound of heart during rest, exercise and/or drug-induced stress with report

This hospital’s price: $823 across 13 payers · range $158-$2,885

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbAlaskaNative&type=CDMWithoutLabel&fileType=CSV · observed 2026-03-04

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.

14,186 distinct procedures filed
13 distinct payers
296,798 rate rows
2026-03-04 last MRF observed
Data quality

289,476 of 296,798 rate rows are consumer-grade (97.5%)

7,322 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5,501
per-diem day rate — not a per-procedure price 1,085
exceeds 10× this hospital's gross charge — excluded from medians 575
percent-of-charges filed in the dollar field — excluded from medians 149
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbAlaskaNative&type=CDMWithoutLabel&fileType=CSV
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-18
Content fingerprint d2e88ee249612ebd… · 142,503,475 bytes · first seen 2026-05-05

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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $294,774.73 $294,774.73 $294,774.73 nat. median
$190,557
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $255,957.88 $255,957.88 $255,957.88 nat. median
$198,433
1.3× median
23413441_1
CDM 		61755-0050-01 - Aflibercept Ophthalmic 114.3 mg/mL Sol 12 $5,500.00 $196,726.36 $196,726.36 nat. median
$196,726
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $192,367.69 $192,367.69 $192,367.69 nat. median
$126,722
1.5× median
1468051_1
CDM 		Operating Room Services - General Classification 12 $5,500.00 $173,046.48 $173,046.48 nat. median
$173,046
1.0× median
J9347
HCPCS 		Injection, Tremelimumab-actl, 1 Mg 13 $1,233.00 $172,242.40 $172,242.40 nat. median
$2,840
outlier · 60.7×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $116,706.08 $116,706.08 $116,706.08 nat. median
$77,696
1.5× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $105,824.87 $105,824.87 $105,824.87 nat. median
$68,004
1.6× median
J9359
HCPCS 		Injection, Loncastuximab Tesirine-lpyl, 0.075 Mg 13 $1,233.00 $104,987.64 $104,987.64 nat. median
$739
outlier · 142.1×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 $99,614.17 $99,614.17 $99,614.17 nat. median
$61,329
1.6× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $98,454.53 $98,454.53 $98,454.53 nat. median
$39,629
outlier · 2.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $95,990.80 $95,990.80 $95,990.80 nat. median
$62,721
1.5× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $95,520.00 $95,520.00 $95,520.00 nat. median
$63,896
1.5× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $93,481.25 $93,481.25 $93,481.25 nat. median
$61,711
1.5× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $89,364.86 $89,364.86 $89,364.86 nat. median
$59,384
1.5× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 1 $85,012.37 $85,012.37 $85,012.37 nat. median
$58,216
1.5× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $84,942.93 $84,942.93 $84,942.93 nat. median
$49,639
1.7× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $82,543.09 $82,543.09 $82,543.09 nat. median
$50,905
1.6× median
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 13 $1,233.00 $82,400.93 $82,400.93 nat. median
$414
outlier · 198.8×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $81,450.11 $81,450.11 $81,450.11 nat. median
$53,879
1.5× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $79,154.43 $79,154.43 $79,154.43 nat. median
$49,960
1.6× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 1 $75,974.09 $75,974.09 $75,974.09 nat. median
$50,825
1.5× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 $75,746.32 $75,746.32 $75,746.32 nat. median
$50,083
1.5× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 1 $73,277.04 $73,277.04 $73,277.04 nat. median
$49,396
1.5× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $69,998.10 $69,998.10 $69,998.10 nat. median
$46,557
1.5× median
L8614
HCPCS 		Cochlear Device, Includes All Internal And External Components 13 $1,233.00 $80,593.84 $69,940.80 nat. median
$22,385
outlier · 3.1×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $69,727.28 $69,727.28 $69,727.28 nat. median
$31,634
outlier · 2.2×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 1 $69,264.81 $69,264.81 $69,264.81 nat. median
$46,224
1.5× median
18095217_1
CDM 		Implant Cochlear Nucleus C1422 w/Slim Str Electrode Z1905074 12 $5,500.00 $68,654.08 $68,654.08 nat. median
$68,654
1.0× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 $68,587.08 $68,587.08 $68,587.08 nat. median
$45,474
1.5× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 $68,352.37 $68,352.37 $68,352.37 nat. median
$45,264
1.5× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 $68,067.67 $68,067.67 $68,067.67 nat. median
$46,668
1.5× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 1 $67,060.79 $67,060.79 $67,060.79 nat. median
$44,860
1.5× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 $65,159.53 $65,159.53 $65,159.53 nat. median
$43,741
1.5× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 1 $64,965.10 $64,965.10 $64,965.10 nat. median
$43,916
1.5× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 $63,962.39 $63,962.39 $63,962.39 nat. median
$38,944
1.6× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 1 $63,836.01 $63,836.01 $63,836.01 nat. median
$42,662
1.5× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 $63,673.52 $63,673.52 $63,673.52 nat. median
$42,894
1.5× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 $63,172.16 $63,172.16 $63,172.16 nat. median
$41,690
1.5× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 1 $63,144.39 $63,144.39 $63,144.39 nat. median
$42,902
1.5× median
163
MS_DRG 		Major Chest Procedures With Mcc 1 $62,243.06 $62,243.06 $62,243.06 nat. median
$42,735
1.5× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 1 $61,007.03 $61,007.03 $61,007.03 nat. median
$40,230
1.5× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 $59,619.62 $59,619.62 $59,619.62 nat. median
$40,003
1.5× median
140
MS_DRG 		Major Head And Neck Procedures With Mcc 1 $59,236.32 $59,236.32 $59,236.32 nat. median
$38,387
1.5× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 $58,651.63 $58,651.63 $58,651.63 nat. median
$40,092
1.5× median
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 $58,551.64 $58,551.64 $58,551.64 nat. median
$38,719
1.5× median
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 1 $58,522.47 $58,522.47 $58,522.47 nat. median
$38,949
1.5× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 1 $58,351.65 $58,351.65 $58,351.65 nat. median
$38,049
1.5× median
901
MS_DRG 		Wound Debridements For Injuries With Mcc 1 $58,282.21 $58,282.21 $58,282.21 nat. median
$39,679
1.5× median
793
MS_DRG 		Full Term Neonate With Major Problems 1 $57,907.24 $57,907.24 $57,907.24 nat. median
$33,753
1.7× median

Other procedures at this hospital

Browse this hospital's 14,186 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
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 $1,059,511.66 $1,059,511.66 $294,774.73 $294,774.73 $294,774.73 2026-03-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 $736,762.14 $736,762.14 $255,957.88 $255,957.88 $255,957.88 2026-03-04
23413441_1 CDM 61755-0050-01 - Aflibercept Ophthalmic 114.3 mg/mL Sol 12 12 $213,833.00 $213,833.00 $5,500.00 $196,726.36 $196,726.36 2026-03-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 $1,150,760.80 $1,150,760.80 $192,367.69 $192,367.69 $192,367.69 2026-03-04
1468051_1 CDM Operating Room Services - General Classification 12 12 $188,094.00 $188,094.00 $5,500.00 $173,046.48 $173,046.48 2026-03-04
J9347 HCPCS Injection, Tremelimumab-actl, 1 Mg 13 13 $187,220.00 $187,220.00 $1,233.00 $172,242.40 $172,242.40 2026-03-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 $437,061.50 $437,061.50 $116,706.08 $116,706.08 $116,706.08 2026-03-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 $295,033.56 $295,033.56 $105,824.87 $105,824.87 $105,824.87 2026-03-04
J9359 HCPCS Injection, Loncastuximab Tesirine-lpyl, 0.075 Mg 13 13 $114,117.00 $114,117.00 $1,233.00 $104,987.64 $104,987.64 2026-03-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 $355,417.13 $355,417.13 $99,614.17 $99,614.17 $99,614.17 2026-03-04
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 $398,481.55 $398,481.55 $98,454.53 $98,454.53 $98,454.53 2026-03-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 $335,118.47 $335,118.47 $95,990.80 $95,990.80 $95,990.80 2026-03-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 $256,816.31 $256,816.31 $95,520.00 $95,520.00 $95,520.00 2026-03-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 $420,996.97 $420,996.97 $93,481.25 $93,481.25 $93,481.25 2026-03-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 $477,832.51 $477,832.51 $89,364.86 $89,364.86 $89,364.86 2026-03-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 $179,696.13 $179,696.13 $85,012.37 $85,012.37 $85,012.37 2026-03-04
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 $118,373.85 $118,373.85 $84,942.93 $84,942.93 $84,942.93 2026-03-04
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 $141,692.62 $141,692.62 $82,543.09 $82,543.09 $82,543.09 2026-03-04
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 13 13 $89,566.23 $89,566.23 $1,233.00 $82,400.93 $82,400.93 2026-03-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 $261,804.86 $261,804.86 $81,450.11 $81,450.11 $81,450.11 2026-03-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 $312,142.80 $312,142.80 $79,154.43 $79,154.43 $79,154.43 2026-03-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 $578,725.82 $578,725.82 $75,974.09 $75,974.09 $75,974.09 2026-03-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 $282,108.55 $282,108.55 $75,746.32 $75,746.32 $75,746.32 2026-03-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 $190,582.51 $190,582.51 $73,277.04 $73,277.04 $73,277.04 2026-03-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 $184,445.50 $184,445.50 $69,998.10 $69,998.10 $69,998.10 2026-03-04
L8614 HCPCS Cochlear Device, Includes All Internal And External Components 123 13 $78,023.00 $78,023.00 $1,233.00 $80,593.84 $69,940.80 2026-03-04
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 $147,380.66 $147,380.66 $69,727.28 $69,727.28 $69,727.28 2026-03-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 $232,003.62 $232,003.62 $69,264.81 $69,264.81 $69,264.81 2026-03-04
18095217_1 CDM Implant Cochlear Nucleus C1422 w/Slim Str Electrode Z1905074 12 12 $74,624.00 $74,624.00 $5,500.00 $68,654.08 $68,654.08 2026-03-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 $330,527.61 $330,527.61 $68,587.08 $68,587.08 $68,587.08 2026-03-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 $293,726.30 $293,726.30 $68,352.37 $68,352.37 $68,352.37 2026-03-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 $173,395.65 $173,395.65 $68,067.67 $68,067.67 $68,067.67 2026-03-04
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 $266,800.62 $266,800.62 $67,060.79 $67,060.79 $67,060.79 2026-03-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 $408,379.24 $408,379.24 $65,159.53 $65,159.53 $65,159.53 2026-03-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 $72,123.50 $72,123.50 $64,965.10 $64,965.10 $64,965.10 2026-03-04
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 $131,913.27 $131,913.27 $63,962.39 $63,962.39 $63,962.39 2026-03-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 $252,683.37 $252,683.37 $63,836.01 $63,836.01 $63,836.01 2026-03-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 $285,549.45 $285,549.45 $63,673.52 $63,673.52 $63,673.52 2026-03-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 $218,978.61 $218,978.61 $63,172.16 $63,172.16 $63,172.16 2026-03-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 $146,029.48 $146,029.48 $63,144.39 $63,144.39 $63,144.39 2026-03-04
163 MS_DRG Major Chest Procedures With Mcc 1 1 $236,337.96 $236,337.96 $62,243.06 $62,243.06 $62,243.06 2026-03-04
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 $156,802.59 $156,802.59 $61,007.03 $61,007.03 $61,007.03 2026-03-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 $104,875.60 $104,875.60 $59,619.62 $59,619.62 $59,619.62 2026-03-04
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 $102,342.20 $102,342.20 $59,236.32 $59,236.32 $59,236.32 2026-03-04
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 $142,555.85 $142,555.85 $58,651.63 $58,651.63 $58,651.63 2026-03-04
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 $95,928.40 $95,928.40 $58,551.64 $58,551.64 $58,551.64 2026-03-04
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 $138,427.32 $138,427.32 $58,522.47 $58,522.47 $58,522.47 2026-03-04
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 $163,401.02 $163,401.02 $58,351.65 $58,351.65 $58,351.65 2026-03-04
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 $76,810.10 $76,810.10 $58,282.21 $58,282.21 $58,282.21 2026-03-04
793 MS_DRG Full Term Neonate With Major Problems 1 1 $37,338.49 $37,338.49 $57,907.24 $57,907.24 $57,907.24 2026-03-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 $202,381.60 $202,381.60 $57,676.70 $57,676.70 $57,676.70 2026-03-04
791 MS_DRG Prematurity With Major Problems 1 1 $81,158.86 $81,158.86 $56,371.23 $56,371.23 $56,371.23 2026-03-04
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 $95,657.20 $95,657.20 $53,756.13 $53,756.13 $53,756.13 2026-03-04
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 $56,247.70 $56,247.70 $53,624.19 $53,624.19 $53,624.19 2026-03-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 $195,013.09 $195,013.09 $53,320.04 $53,320.04 $53,320.04 2026-03-04
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 $196,517.75 $196,517.75 $53,006.18 $53,006.18 $53,006.18 2026-03-04
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 13 13 $57,165.00 $57,165.00 $1,233.00 $52,591.80 $52,591.80 2026-03-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 $276,978.77 $276,978.77 $52,260.39 $52,260.39 $52,260.39 2026-03-04
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 $142,257.70 $142,257.70 $52,032.63 $52,032.63 $52,032.63 2026-03-04
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 $76,264.03 $76,264.03 $51,909.03 $51,909.03 $51,909.03 2026-03-04
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 $89,104.88 $89,104.88 $51,903.47 $51,903.47 $51,903.47 2026-03-04
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 $198,655.65 $198,655.65 $51,757.65 $51,757.65 $51,757.65 2026-03-04
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 1 1 $151,036.63 $151,036.63 $51,011.87 $51,011.87 $51,011.87 2026-03-04
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 $131,468.12 $131,468.12 $50,991.03 $50,991.03 $50,991.03 2026-03-04
121 MS_DRG Acute Major Eye Infections With Cc/mcc 2 2 $40,603.60 $40,603.60 $16,155.86 $85,603.60 $50,879.73 2026-03-04
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 $128,720.14 $128,720.14 $50,800.77 $50,800.77 $50,800.77 2026-03-04
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 $81,740.85 $81,740.85 $50,353.58 $50,353.58 $50,353.58 2026-03-04
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 $74,067.85 $74,067.85 $50,160.53 $50,160.53 $50,160.53 2026-03-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 $152,001.95 $152,001.95 $49,642.51 $49,642.51 $49,642.51 2026-03-04
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 $127,425.80 $127,425.80 $49,592.52 $49,592.52 $49,592.52 2026-03-04
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 $22,742.55 $22,742.55 $49,518.91 $49,518.91 $49,518.91 2026-03-04
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 $90,812.35 $90,812.35 $49,477.25 $49,477.25 $49,477.25 2026-03-04
C1722 HCPCS Cardioverter-defibrillator, Single Chamber (implantable) 46 13 $57,545.00 $57,545.00 $1,233.00 $74,529.20 $49,464.72 2026-03-04
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 $161,471.50 $161,471.50 $49,430.03 $49,430.03 $49,430.03 2026-03-04
0268T OTHER Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device Pulse … 13 13 $53,716.00 $53,716.00 $1,233.00 $49,418.72 $49,418.72 2026-03-04
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 $177,432.45 $177,432.45 $49,389.75 $49,389.75 $49,389.75 2026-03-04
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 $157,447.40 $157,447.40 $48,977.28 $48,977.28 $48,977.28 2026-03-04
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 $205,020.72 $205,020.72 $48,877.29 $48,877.29 $48,877.29 2026-03-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 $340,855.45 $340,855.45 $48,432.87 $48,432.87 $48,432.87 2026-03-04
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 $219,057.36 $219,057.36 $47,613.48 $47,613.48 $47,613.48 2026-03-04
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 $144,740.34 $144,740.34 $47,380.16 $47,380.16 $47,380.16 2026-03-04
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 $303,353.98 $303,353.98 $47,317.67 $47,317.67 $47,317.67 2026-03-04
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 $112,814.68 $112,814.68 $46,394.12 $46,394.12 $46,394.12 2026-03-04
37 MS_DRG Extracranial Procedures With Mcc 1 1 $109,849.00 $109,849.00 $45,720.55 $45,720.55 $45,720.55 2026-03-04
23434841_1 CDM Cap Endo Mivu Esophageal Mi-eso-cap-3l 12 12 $49,000.00 $49,000.00 $5,500.00 $45,080.00 $45,080.00 2026-03-04
37228 HCPCS Balloon Dilation Of Artery Of Leg, Initial Vessel 13 13 $60,092.00 $60,092.00 $1,900.84 $55,284.64 $45,069.00 2026-03-04
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 $57,700.99 $57,700.99 $44,976.16 $44,976.16 $44,976.16 2026-03-04
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 $158,128.43 $158,128.43 $44,926.16 $44,926.16 $44,926.16 2026-03-04
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 $53,256.28 $53,256.28 $44,817.84 $44,817.84 $44,817.84 2026-03-04
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 1 1 $118,538.99 $118,538.99 $44,730.34 $44,730.34 $44,730.34 2026-03-04
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 $105,097.57 $105,097.57 $44,341.48 $44,341.48 $44,341.48 2026-03-04
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 $142,335.51 $142,335.51 $44,259.54 $44,259.54 $44,259.54 2026-03-04
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 $159,204.05 $159,204.05 $44,216.49 $44,216.49 $44,216.49 2026-03-04
500 MS_DRG Soft Tissue Procedures With Mcc 1 1 $42,489.00 $42,489.00 $43,952.62 $43,952.62 $43,952.62 2026-03-04
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 $158,425.67 $158,425.67 $43,885.95 $43,885.95 $43,885.95 2026-03-04
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 $106,219.24 $106,219.24 $43,256.83 $43,256.83 $43,256.83 2026-03-04
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 $188,118.92 $188,118.92 $43,180.45 $43,180.45 $43,180.45 2026-03-04
263 MS_DRG Vein Ligation And Stripping 1 1 $200,613.35 $200,613.35 $42,461.05 $42,461.05 $42,461.05 2026-03-04
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 13 13 $45,797.19 $45,797.19 $1,233.00 $42,133.41 $42,133.41 2026-03-04
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 $91,918.23 $91,918.23 $42,124.96 $42,124.96 $42,124.96 2026-03-04
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 $207,442.25 $207,442.25 $41,948.58 $41,948.58 $41,948.58 2026-03-04
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 1 1 $56,000.70 $56,000.70 $41,897.20 $41,897.20 $41,897.20 2026-03-04
37221 HCPCS Insertion Of Stent In Groin Artery, Initial Vessel 13 13 $55,167.00 $55,167.00 $1,730.81 $50,753.64 $41,375.25 2026-03-04
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 $112,125.28 $112,125.28 $40,915.32 $40,915.32 $40,915.32 2026-03-04
570 MS_DRG Skin Debridement With Mcc 1 1 $54,707.10 $54,707.10 $40,845.88 $40,845.88 $40,845.88 2026-03-04
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 $150,668.94 $150,668.94 $40,445.91 $40,445.91 $40,445.91 2026-03-04
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 $169,033.93 $169,033.93 $40,302.86 $40,302.86 $40,302.86 2026-03-04
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 $143,982.17 $143,982.17 $40,277.86 $40,277.86 $40,277.86 2026-03-04
2167075_1 CDM Spacer Tl 9 X 25 X 0 48375090 12 12 $43,775.00 $43,775.00 $5,500.00 $40,273.00 $40,273.00 2026-03-04
2188729_1 CDM Fixator External Hinged Elbow 12 12 $43,775.00 $43,775.00 $5,500.00 $40,273.00 $40,273.00 2026-03-04
4010593_1 CDM Screw Stryker Driver Quik Drive Mini 62-50101 12 12 $43,775.00 $43,775.00 $5,500.00 $40,273.00 $40,273.00 2026-03-04
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 $201,786.91 $201,786.91 $40,080.65 $40,080.65 $40,080.65 2026-03-04
37227 HCPCS Removal Of Plaque And Insertion Of Stents In Arteries Of Leg 26 13 $51,075.50 $51,075.50 $1,233.00 $48,911.80 $39,873.75 2026-03-04
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 $135,228.95 $135,228.95 $39,861.22 $39,861.22 $39,861.22 2026-03-04
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 $79,199.65 $79,199.65 $39,587.63 $39,587.63 $39,587.63 2026-03-04
654 MS_DRG Major Bladder Procedures With Cc 1 1 $150,332.03 $150,332.03 $38,876.57 $38,876.57 $38,876.57 2026-03-04
503 MS_DRG Foot Procedures With Mcc 1 1 $39,428.25 $39,428.25 $38,762.69 $38,762.69 $38,762.69 2026-03-04
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 $81,042.14 $81,042.14 $38,496.04 $38,496.04 $38,496.04 2026-03-04
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 $113,061.38 $113,061.38 $38,173.84 $38,173.84 $38,173.84 2026-03-04
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 1 1 $97,821.91 $97,821.91 $38,164.11 $38,164.11 $38,164.11 2026-03-04
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 $223,985.23 $223,985.23 $37,966.91 $37,966.91 $37,966.91 2026-03-04
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 $70,776.03 $70,776.03 $37,583.60 $37,583.60 $37,583.60 2026-03-04
6963148_1 CDM Baha 3 Unilateral System Stage One 12 12 $40,814.00 $40,814.00 $5,500.00 $37,548.88 $37,548.88 2026-03-04
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 1 1 $46,988.00 $46,988.00 $37,461.38 $37,461.38 $37,461.38 2026-03-04
J9316 HCPCS Injection, Pertuzumab, Trastuzumab, And Hyaluronidase-zzxf, Per 10 Mg 24 13 $40,680.60 $40,680.60 $1,233.00 $56,132.24 $37,426.15 2026-03-04
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 24 13 $40,560.00 $40,560.00 $1,233.00 $56,262.60 $37,315.20 2026-03-04
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 $99,672.75 $99,672.75 $36,941.97 $36,941.97 $36,941.97 2026-03-04
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 $72,639.53 $72,639.53 $36,812.82 $36,812.82 $36,812.82 2026-03-04
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 1 1 $57,855.53 $57,855.53 $36,628.11 $36,628.11 $36,628.11 2026-03-04
23470526_1 CDM Graft 23mmx14mmx120mm Main Body Cxt231412 12 12 $39,750.00 $39,750.00 $5,500.00 $36,570.00 $36,570.00 2026-03-04
23470528_1 CDM Graft 28mmx14mmx120mm Main Body Cxt281412 12 12 $39,750.00 $39,750.00 $5,500.00 $36,570.00 $36,570.00 2026-03-04
23470527_1 CDM Graft 36mmx14mmx120mm Main Body Cxt361414 12 12 $39,750.00 $39,750.00 $5,500.00 $36,570.00 $36,570.00 2026-03-04
23470525_1 CDM Graft 20mmx14mmx120mm Main Body Cxt201412 12 12 $39,750.00 $39,750.00 $5,500.00 $36,570.00 $36,570.00 2026-03-04
23470530_1 CDM Graft 32mmx14mmx120mm Main Body Cxt321414 12 12 $39,750.00 $39,750.00 $5,500.00 $36,570.00 $36,570.00 2026-03-04
23470529_1 CDM Graft 26mmx14mmx120mm Main Body Cxt261412 12 12 $39,450.00 $39,450.00 $5,500.00 $36,294.00 $36,294.00 2026-03-04
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 13 13 $39,297.49 $39,297.49 $1,233.00 $36,153.69 $36,153.69 2026-03-04
253 MS_DRG Other Vascular Procedures With Cc 1 1 $99,062.64 $99,062.64 $36,047.59 $36,047.59 $36,047.59 2026-03-04
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 1 1 $478,702.61 $478,702.61 $36,004.54 $36,004.54 $36,004.54 2026-03-04
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 1 1 $47,286.13 $47,286.13 $35,819.83 $35,819.83 $35,819.83 2026-03-04
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 $148,852.50 $148,852.50 $35,819.83 $35,819.83 $35,819.83 2026-03-04
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 1 1 $165,976.11 $165,976.11 $35,658.73 $35,658.73 $35,658.73 2026-03-04
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 1 1 $121,733.42 $121,733.42 $35,455.96 $35,455.96 $35,455.96 2026-03-04
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 $74,983.25 $74,983.25 $35,287.92 $35,287.92 $35,287.92 2026-03-04
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 $84,893.80 $84,893.80 $35,221.26 $35,221.26 $35,221.26 2026-03-04
164 MS_DRG Major Chest Procedures With Cc 1 1 $157,809.29 $157,809.29 $35,053.21 $35,053.21 $35,053.21 2026-03-04
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 1 1 $90,214.12 $90,214.12 $35,037.93 $35,037.93 $35,037.93 2026-03-04
34848 HCPCS Repair Of Aorta In Abdomen Between And Below Kidneys With Graft, Including 4 Or … 12 12 $46,668.00 $46,668.00 $4,581.07 $42,934.56 $35,001.00 2026-03-04
J2323 HCPCS Injection, Natalizumab, 1 Mg 13 13 $37,727.90 $37,727.90 $1,233.00 $34,709.67 $34,709.67 2026-03-04
881 MS_DRG Depressive Neuroses 2 2 $26,211.90 $26,211.90 $13,067.18 $56,211.90 $34,639.54 2026-03-04
15072281_1 CDM Implant Cranial Sy Patient Specific Peek 12 12 $37,604.00 $37,604.00 $5,500.00 $34,595.68 $34,595.68 2026-03-04
545 MS_DRG Connective Tissue Disorders With Mcc 1 1 $40,362.38 $40,362.38 $34,465.75 $34,465.75 $34,465.75 2026-03-04
J9228 HCPCS Injection, Ipilimumab, 1 Mg 24 13 $151,357.25 $151,357.25 $1,233.00 $139,248.67 $34,210.11 2026-03-04
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 $95,659.53 $95,659.53 $34,153.27 $34,153.27 $34,153.27 2026-03-04
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 $75,386.53 $75,386.53 $34,143.55 $34,143.55 $34,143.55 2026-03-04
792 MS_DRG Prematurity Without Major Problems 1 1 $67,923.30 $67,923.30 $34,014.39 $34,014.39 $34,014.39 2026-03-04
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 $45,677.32 $45,677.32 $33,944.95 $33,944.95 $33,944.95 2026-03-04
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 1 1 $93,958.17 $93,958.17 $33,904.68 $33,904.68 $33,904.68 2026-03-04
21599729_2 CDM Insertion/replacement Of Permanent Cardiac Contractility Modulation System; Puls… 11 11 $44,656.00 $44,656.00 $33,492.00 $41,083.52 $33,492.00 2026-03-04
0520T OTHER Removal And Replacement Of Pulse Generator Battery Of Wireless Heart Stimulator … 12 12 $44,656.00 $44,656.00 $1,405.50 $41,083.52 $33,492.00 2026-03-04
0515T OTHER Insertion Of Complete Wireless Heart Stimulator System For Pacing Of Lower Left … 12 12 $44,656.00 $44,656.00 $1,405.50 $41,083.52 $33,492.00 2026-03-04
330 MS_DRG Major Small And Large Bowel Procedures With Cc 1 1 $123,538.23 $123,538.23 $33,292.22 $33,292.22 $33,292.22 2026-03-04
113 MS_DRG Orbital Procedures With Cc/mcc 1 1 $75,495.72 $75,495.72 $32,651.98 $32,651.98 $32,651.98 2026-03-04
34847 HCPCS Repair Of Aorta In Abdomen Between And Below Kidneys With Graft, Including 3 Gra… 12 12 $43,530.00 $43,530.00 $4,411.39 $40,047.60 $32,647.50 2026-03-04
J2427 HCPCS Injection, Paliperidone Palmitate Extended Release (invega Hafyera, Or Invega Tr… 24 13 $35,409.80 $35,409.80 $1,233.00 $54,699.24 $32,577.02 2026-03-04
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 $22,348.53 $22,348.53 $32,478.38 $32,478.38 $32,478.38 2026-03-04
357 MS_DRG Other Digestive System O.r. Procedures With Cc 1 1 $47,424.92 $47,424.92 $32,296.45 $32,296.45 $32,296.45 2026-03-04
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 $122,740.94 $122,740.94 $32,263.12 $32,263.12 $32,263.12 2026-03-04
22123984_1 CDM Excluder Implant Endoprosthesis 23x14.5mm 12cm 12 12 $34,840.00 $34,840.00 $5,500.00 $32,052.80 $32,052.80 2026-03-04
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 $26,493.98 $26,493.98 $31,881.20 $31,881.20 $31,881.20 2026-03-04
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 $42,504.00 $42,504.00 $31,871.48 $31,871.48 $31,871.48 2026-03-04
23408240_1 CDM Catheter 80cm 6fr X 105cm Lightening Ber Litngfht80ber 12 12 $34,510.00 $34,510.00 $5,500.00 $31,749.20 $31,749.20 2026-03-04
23408241_1 CDM Catheter 100cm 6fr X 135cm H1 Lightening Litngfxt100h1 12 12 $34,510.00 $34,510.00 $5,500.00 $31,749.20 $31,749.20 2026-03-04
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 1 1 $61,765.09 $61,765.09 $31,742.32 $31,742.32 $31,742.32 2026-03-04
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 $69,725.97 $69,725.97 $31,604.83 $31,604.83 $31,604.83 2026-03-04
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 1 1 $51,280.33 $51,280.33 $31,552.06 $31,552.06 $31,552.06 2026-03-04
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 1 1 $29,978.05 $29,978.05 $31,464.56 $31,464.56 $31,464.56 2026-03-04
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 1 $271,705.55 $271,705.55 $31,089.59 $31,089.59 $31,089.59 2026-03-04
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 1 1 $108,886.15 $108,886.15 $30,825.72 $30,825.72 $30,825.72 2026-03-04
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 1 1 $211,349.00 $211,349.00 $30,731.28 $30,731.28 $30,731.28 2026-03-04
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 1 1 $56,310.83 $56,310.83 $30,700.72 $30,700.72 $30,700.72 2026-03-04
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 $430,821.72 $430,821.72 $30,663.23 $30,663.23 $30,663.23 2026-03-04
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 1 $65,267.61 $65,267.61 $30,535.46 $30,535.46 $30,535.46 2026-03-04
0266T OTHER Insertion Or Replacement Of Carotid Sinus Baroreflex Activation Device 13 13 $33,149.00 $33,149.00 $1,233.00 $30,497.08 $30,497.08 2026-03-04
30 MS_DRG Spinal Procedures Without Cc/mcc 1 1 $232,514.28 $232,514.28 $30,486.85 $30,486.85 $30,486.85 2026-03-04
J9022 HCPCS Injection, Atezolizumab, 10 Mg 24 13 $47,293.30 $47,293.30 $1,233.00 $43,509.84 $30,453.20 2026-03-04
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 1 1 $52,917.25 $52,917.25 $30,385.47 $30,385.47 $30,385.47 2026-03-04
141 MS_DRG Major Head And Neck Procedures With Cc 1 1 $104,751.92 $104,751.92 $30,291.03 $30,291.03 $30,291.03 2026-03-04
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 $154,359.00 $154,359.00 $30,238.26 $30,238.26 $30,238.26 2026-03-04
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 1 $80,291.15 $80,291.15 $29,741.07 $29,741.07 $29,741.07 2026-03-04
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 1 1 $234,436.99 $234,436.99 $29,729.96 $29,729.96 $29,729.96 2026-03-04
374 MS_DRG Digestive Malignancy With Mcc 1 1 $80,415.27 $80,415.27 $29,702.18 $29,702.18 $29,702.18 2026-03-04
32 MS_DRG Ventricular Shunt Procedures With Cc 1 1 $136,232.52 $136,232.52 $29,595.24 $29,595.24 $29,595.24 2026-03-04
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 1 1 $57,250.03 $57,250.03 $29,593.85 $29,593.85 $29,593.85 2026-03-04
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 1 1 $67,694.48 $67,694.48 $29,581.35 $29,581.35 $29,581.35 2026-03-04
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 1 1 $76,494.80 $76,494.80 $29,535.52 $29,535.52 $29,535.52 2026-03-04
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 1 1 $53,467.33 $53,467.33 $29,410.53 $29,410.53 $29,410.53 2026-03-04
655 MS_DRG Major Bladder Procedures Without Cc/mcc 1 1 $166,604.61 $166,604.61 $29,395.26 $29,395.26 $29,395.26 2026-03-04
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 1 1 $33,325.55 $33,325.55 $29,375.81 $29,375.81 $29,375.81 2026-03-04
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 $97,657.27 $97,657.27 $29,285.54 $29,285.54 $29,285.54 2026-03-04
412 MS_DRG Cholecystectomy With C.d.e. With Cc 1 1 $34,877.86 $34,877.86 $29,199.44 $29,199.44 $29,199.44 2026-03-04
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 1 1 $114,413.13 $114,413.13 $29,088.33 $29,088.33 $29,088.33 2026-03-04
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 $264,931.90 $264,931.90 $29,070.28 $29,070.28 $29,070.28 2026-03-04
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 $93,110.72 $93,110.72 $29,041.11 $29,041.11 $29,041.11 2026-03-04
835 MS_DRG Acute Leukemia With Cc 1 1 $24,250.75 $24,250.75 $28,967.51 $28,967.51 $28,967.51 2026-03-04
314 MS_DRG Other Circulatory System Diagnoses With Mcc 1 1 $97,085.11 $97,085.11 $28,959.17 $28,959.17 $28,959.17 2026-03-04
711 MS_DRG Testes Procedures With Cc/mcc 1 1 $58,156.90 $58,156.90 $28,939.73 $28,939.73 $28,939.73 2026-03-04
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 1 1 $75,926.28 $75,926.28 $28,878.62 $28,878.62 $28,878.62 2026-03-04
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 1 $125,574.70 $125,574.70 $28,860.57 $28,860.57 $28,860.57 2026-03-04
886 MS_DRG Behavioral And Developmental Disorders 1 1 $27,172.60 $27,172.60 $28,821.68 $28,821.68 $28,821.68 2026-03-04
J1300 HCPCS Injection, Eculizumab, 10 Mg 13 13 $31,315.25 $31,315.25 $1,233.00 $28,810.03 $28,810.03 2026-03-04
14544304_1 CDM Processor Sound Cochlear Nucleus 6 12 12 $31,132.00 $31,132.00 $5,500.00 $28,641.44 $28,641.44 2026-03-04
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 1 1 $134,178.09 $134,178.09 $28,617.53 $28,617.53 $28,617.53 2026-03-04
935 MS_DRG Non-extensive Burns 1 1 $56,764.11 $56,764.11 $28,609.20 $28,609.20 $28,609.20 2026-03-04
J1303 HCPCS Injection, Ravulizumab-cwvz, 10 Mg 24 13 $112,717.00 $112,717.00 $1,233.00 $103,699.64 $28,282.12 2026-03-04
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 1 1 $59,000.23 $59,000.23 $28,160.62 $28,160.62 $28,160.62 2026-03-04
J0517 HCPCS Injection, Benralizumab, 1 Mg 13 13 $30,583.00 $30,583.00 $1,233.00 $28,136.36 $28,136.36 2026-03-04
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 1 1 $145,573.60 $145,573.60 $27,981.46 $27,981.46 $27,981.46 2026-03-04
6563804_1 CDM Device Sy Mini Lenthening 110mm 394.071 12 12 $30,375.00 $30,375.00 $5,500.00 $27,945.00 $27,945.00 2026-03-04
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 1 $100,533.67 $100,533.67 $27,928.69 $27,928.69 $27,928.69 2026-03-04
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 1 1 $74,017.83 $74,017.83 $27,866.19 $27,866.19 $27,866.19 2026-03-04
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 1 1 $107,789.72 $107,789.72 $27,780.09 $27,780.09 $27,780.09 2026-03-04
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 1 1 $81,356.29 $81,356.29 $27,778.70 $27,778.70 $27,778.70 2026-03-04
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 1 $93,401.33 $93,401.33 $27,749.53 $27,749.53 $27,749.53 2026-03-04
908 MS_DRG Other O.r. Procedures For Injuries With Cc 1 1 $63,067.23 $63,067.23 $27,709.26 $27,709.26 $27,709.26 2026-03-04
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 1 1 $130,038.10 $130,038.10 $27,509.27 $27,509.27 $27,509.27 2026-03-04
122 MS_DRG Acute Major Eye Infections Without Cc/mcc 2 2 $18,965.25 $18,965.25 $10,913.16 $43,911.25 $27,412.20 2026-03-04
539 MS_DRG Osteomyelitis With Mcc 1 1 $36,060.63 $36,060.63 $27,355.11 $27,355.11 $27,355.11 2026-03-04
J9063 HCPCS Injection, Mirvetuximab Soravtansine-gynx, 1 Mg 13 13 $29,713.50 $29,713.50 $1,233.00 $27,336.42 $27,336.42 2026-03-04
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 1 1 $146,174.24 $146,174.24 $27,334.28 $27,334.28 $27,334.28 2026-03-04
883 MS_DRG Disorders Of Personality And Impulse Control 1 1 $17,105.98 $17,105.98 $27,307.90 $27,307.90 $27,307.90 2026-03-04
C9047 HCPCS Injection, Caplacizumab-yhdp, 1 Mg 13 13 $29,671.20 $29,671.20 $1,233.00 $27,297.50 $27,297.50 2026-03-04
380 MS_DRG Complicated Peptic Ulcer With Mcc 1 1 $453,818.88 $453,818.88 $27,250.96 $27,250.96 $27,250.96 2026-03-04
L8686 HCPCS Implantable Neurostimulator Pulse Generator, Single Array, Non-rechargeable, Inc… 13 13 $29,541.00 $29,541.00 $1,233.00 $27,177.72 $27,177.72 2026-03-04
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 1 1 $48,315.06 $48,315.06 $26,981.53 $26,981.53 $26,981.53 2026-03-04
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 1 $81,057.58 $81,057.58 $26,977.36 $26,977.36 $26,977.36 2026-03-04
100 MS_DRG Seizures With Mcc 1 1 $110,649.54 $110,649.54 $26,898.20 $26,898.20 $26,898.20 2026-03-04
592 MS_DRG Skin Ulcers With Mcc 1 1 — — $26,877.37 $26,877.37 $26,877.37 2026-03-04
548 MS_DRG Septic Arthritis With Mcc 1 1 $29,996.30 $29,996.30 $26,816.26 $26,816.26 $26,816.26 2026-03-04
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 1 1 $123,744.53 $123,744.53 $26,791.26 $26,791.26 $26,791.26 2026-03-04
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 1 1 $62,781.70 $62,781.70 $26,788.49 $26,788.49 $26,788.49 2026-03-04
Q4104 HCPCS Integra Bilayer Matrix Wound Dressing (bmwd), Per Square Centimeter 13 13 $29,111.00 $29,111.00 $1,233.00 $26,782.12 $26,782.12 2026-03-04
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 1 1 $35,100.84 $35,100.84 $26,756.54 $26,756.54 $26,756.54 2026-03-04
23395890_1 CDM Catheter 7fr X 130cm Lightening Ber Litngbt7tq130 12 12 $29,057.00 $29,057.00 $5,500.00 $26,732.44 $26,732.44 2026-03-04
75 MS_DRG Viral Meningitis With Cc/mcc 1 1 $15,528.45 $15,528.45 $26,630.16 $26,630.16 $26,630.16 2026-03-04
902 MS_DRG Wound Debridements For Injuries With Cc 1 1 $103,586.91 $103,586.91 $26,588.50 $26,588.50 $26,588.50 2026-03-04
165 MS_DRG Major Chest Procedures Without Cc/mcc 1 1 $55,702.97 $55,702.97 $26,584.33 $26,584.33 $26,584.33 2026-03-04
0308T OTHER Insertion Of Prosthetic Telescope In Eye For The Treatment Of Central Vision 11 11 $35,403.00 $35,403.00 $26,552.25 $32,570.76 $26,552.25 2026-03-04
801 MS_DRG Splenic Procedures Without Cc/mcc 1 1 $55,763.65 $55,763.65 $26,510.73 $26,510.73 $26,510.73 2026-03-04
21639662_1 CDM Pacemaker Viva Biventricular 3 Lead Crt-p C6tr01 12 12 $28,645.00 $28,645.00 $5,500.00 $26,353.40 $26,353.40 2026-03-04
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 1 1 $119,565.50 $119,565.50 $26,255.19 $26,255.19 $26,255.19 2026-03-04
196 MS_DRG Interstitial Lung Disease With Mcc 1 1 $62,532.53 $62,532.53 $26,209.36 $26,209.36 $26,209.36 2026-03-04
3141228_1 CDM Bone Tamp Inflatable Fracture Management Inflate Fx El153b 12 12 $28,454.00 $28,454.00 $5,500.00 $26,177.68 $26,177.68 2026-03-04
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 $47,963.19 $47,963.19 $25,974.65 $25,974.65 $25,974.65 2026-03-04
504 MS_DRG Foot Procedures With Cc 1 1 $77,541.85 $77,541.85 $25,959.37 $25,959.37 $25,959.37 2026-03-04
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 1 $45,729.73 $45,729.73 $25,899.66 $25,899.66 $25,899.66 2026-03-04
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 1 1 $89,583.50 $89,583.50 $25,816.33 $25,816.33 $25,816.33 2026-03-04
Q4142 HCPCS Xcm Biologic Tissue Matrix, Per Square Centimeter 13 13 $27,918.00 $27,918.00 $1,233.00 $25,684.56 $25,684.56 2026-03-04
J9273 HCPCS Injection, Tisotumab Vedotin-tftv, 1 Mg 13 13 $27,885.06 $27,885.06 $1,233.00 $25,654.26 $25,654.26 2026-03-04
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 1 1 $93,370.66 $93,370.66 $25,508.02 $25,508.02 $25,508.02 2026-03-04
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 1 1 $94,808.28 $94,808.28 $25,481.63 $25,481.63 $25,481.63 2026-03-04
21613656_1 CDM Cage Stry Tl 8-12 X11 X34mm 0Deg 305008 12 12 $27,688.00 $27,688.00 $5,500.00 $25,472.96 $25,472.96 2026-03-04
205 MS_DRG Other Respiratory System Diagnoses With Mcc 1 1 $149,898.73 $149,898.73 $25,428.85 $25,428.85 $25,428.85 2026-03-04
919 MS_DRG Complications Of Treatment With Mcc 1 1 $59,319.87 $59,319.87 $25,426.08 $25,426.08 $25,426.08 2026-03-04
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 1 1 $108,371.38 $108,371.38 $25,414.97 $25,414.97 $25,414.97 2026-03-04
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 1 1 $83,783.06 $83,783.06 $25,387.19 $25,387.19 $25,387.19 2026-03-04
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 1 1 $112,170.74 $112,170.74 $25,327.47 $25,327.47 $25,327.47 2026-03-04
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 $109,661.86 $109,661.86 $25,327.47 $25,327.47 $25,327.47 2026-03-04
0532T OTHER Removal Of Implantable Monitor Of Monitoring System For Deficient Blood Flow In … 12 12 $33,724.00 $33,724.00 $1,561.09 $31,026.08 $25,293.00 2026-03-04
116 MS_DRG Intraocular Procedures With Cc/mcc 1 1 $39,384.03 $39,384.03 $25,110.82 $25,110.82 $25,110.82 2026-03-04
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 1 1 $35,300.43 $35,300.43 $25,102.49 $25,102.49 $25,102.49 2026-03-04
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 $68,569.97 $68,569.97 $25,052.49 $25,052.49 $25,052.49 2026-03-04
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 1 1 $24,767.40 $24,767.40 $25,049.71 $25,049.71 $25,049.71 2026-03-04
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 1 1 $54,354.73 $54,354.73 $25,045.55 $25,045.55 $25,045.55 2026-03-04
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 1 1 $25,470.14 $25,470.14 $25,028.88 $25,028.88 $25,028.88 2026-03-04
794 MS_DRG Neonate With Other Significant Problems 2 2 $14,510.79 $14,510.79 $20,497.24 $29,510.79 $25,004.01 2026-03-04
11980495_1 CDM Charging System Sjm Eon Mini Le 3722 12 12 $27,118.00 $27,118.00 $5,500.00 $24,948.56 $24,948.56 2026-03-04
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 1 1 $75,491.69 $75,491.69 $24,924.72 $24,924.72 $24,924.72 2026-03-04
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 $47,888.00 $47,888.00 $24,913.61 $24,913.61 $24,913.61 2026-03-04
505 MS_DRG Foot Procedures Without Cc/mcc 1 1 $71,584.35 $71,584.35 $24,898.33 $24,898.33 $24,898.33 2026-03-04
254 MS_DRG Other Vascular Procedures Without Cc/mcc 1 1 $67,859.83 $67,859.83 $24,744.18 $24,744.18 $24,744.18 2026-03-04
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 1 1 $50,303.70 $50,303.70 $24,731.68 $24,731.68 $24,731.68 2026-03-04
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 1 $145,785.85 $145,785.85 $24,624.74 $24,624.74 $24,624.74 2026-03-04
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 $150,730.88 $150,730.88 $24,533.08 $24,533.08 $24,533.08 2026-03-04
180 MS_DRG Respiratory Neoplasms With Mcc 1 1 $67,772.06 $67,772.06 $24,526.14 $24,526.14 $24,526.14 2026-03-04
199 MS_DRG Pneumothorax With Mcc 1 1 $54,014.17 $54,014.17 $24,499.75 $24,499.75 $24,499.75 2026-03-04
906 MS_DRG Hand Procedures For Injuries 1 1 $43,924.45 $43,924.45 $24,476.14 $24,476.14 $24,476.14 2026-03-04
21639663_1 CDM Cage Lateral H12mm 22 X 55mm 0 Deg Ir7112p 12 12 $26,547.00 $26,547.00 $5,500.00 $24,423.24 $24,423.24 2026-03-04
21643651_1 CDM Cage Lateral H10mm 22 X 55mm 0 Deg Ir7110p 12 12 $26,547.00 $26,547.00 $5,500.00 $24,423.24 $24,423.24 2026-03-04
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 $135,928.25 $135,928.25 $24,403.92 $24,403.92 $24,403.92 2026-03-04
91 MS_DRG Other Disorders Of Nervous System With Mcc 1 1 $147,335.72 $147,335.72 $24,390.04 $24,390.04 $24,390.04 2026-03-04
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 1 1 $198,000.79 $198,000.79 $24,295.60 $24,295.60 $24,295.60 2026-03-04
501 MS_DRG Soft Tissue Procedures With Cc 1 1 $77,235.85 $77,235.85 $24,277.54 $24,277.54 $24,277.54 2026-03-04
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 1 1 $74,326.20 $74,326.20 $24,235.88 $24,235.88 $24,235.88 2026-03-04
9296039_1 CDM Spacer Obelisc Center 20m/23-31mm Cs 2920-23 12 12 $26,247.00 $26,247.00 $5,500.00 $24,147.24 $24,147.24 2026-03-04
2178603_1 CDM Spacer Obelisc Center 20mm/20-28mm Cs2920-20 12 12 $26,247.00 $26,247.00 $5,500.00 $24,147.24 $24,147.24 2026-03-04
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 1 1 $89,461.60 $89,461.60 $24,130.33 $24,130.33 $24,130.33 2026-03-04
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 1 1 $69,919.85 $69,919.85 $24,066.45 $24,066.45 $24,066.45 2026-03-04
22105952_1 CDM Prosthesis Cervical Disc Mobi-c Mb3555 12 12 $26,111.00 $26,111.00 $5,500.00 $24,022.12 $24,022.12 2026-03-04
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 1 1 $83,057.28 $83,057.28 $23,998.39 $23,998.39 $23,998.39 2026-03-04
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 1 1 $104,977.50 $104,977.50 $23,994.23 $23,994.23 $23,994.23 2026-03-04
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