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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

ARKANSAS CHILDREN'S NORTHWEST, INC

Springdale, AR · CCN 043301 · Rates published

9,865 distinct procedures filed
22 distinct payers
288,606 rate rows
2026-11-06 last MRF observed
Data quality

218,428 of 288,606 rate rows are consumer-grade (75.7%)

70,178 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
exceeds 10× this hospital's gross charge — excluded from medians 25,062
per-diem day rate — not a per-procedure price 20,983
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 12,443
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 11,610
placeholder amount (≤ $0.02) — excluded from medians 68
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://apim.services.craneware.com/api-pricing-transparency/api/public/eb18b2f68dd86a27732870abb762237f/charges/mrf
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-11-10
Content fingerprint ce150b37bd4f1787… · 58,140,789 bytes · first seen 2026-11-06

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
919
MS_DRG 		Complications Of Treatment With Comorbity 1 $61,462.91 $61,462.91 $61,462.91 nat. median
$17,446
outlier · 3.5×
982
MS_DRG 		Extensive O.r. Procedure Unrelated To Principal Diagnosis With Complication 1 $40,414.31 $40,414.31 $40,414.31 nat. median
$23,126
1.7× median
357
MS_DRG 		Other Digestive System O.r. Procedures With Complication 1 $38,371.07 $38,371.07 $38,371.07 nat. median
$21,746
1.8× median
J9226
HCPCS 		Supprelin La 22 $4,171.80 $86,927.59 $37,491.97 nat. median
$55,159
0.7× median
547
MS_DRG 		Connective Tissue Disorders Without Complication/comorbity 1 $36,141.69 $36,141.69 $36,141.69 nat. median
$8,675
outlier · 4.2×
336
MS_DRG 		Peritoneal Adhesiolysis With Complication 1 $35,210.16 $35,210.16 $35,210.16 nat. median
$20,257
1.7× median
481
MS_DRG 		Hip & Femur Procedures Except Major Joint With Complication 1 $32,837.57 $32,837.57 $32,837.57 nat. median
$20,298
1.6× median
330
MS_DRG 		Major Small & Large Bowel Procedures With Complication 1 $31,591.08 $31,591.08 $31,591.08 nat. median
$22,930
1.4× median
854
MS_DRG 		Infectious & Parasitic Diseases With O.r. Procedure With Complication 1 $31,326.21 $31,326.21 $31,326.21 nat. median
$19,149
1.6× median
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Comorbity 1 $30,522.77 $30,522.77 $30,522.77 nat. median
$10,374
outlier · 2.9×
0571T
CPT 		Insj/rplcmt Icds Ss Eltrd 22 $29,296.07 $29,496.28 $29,396.17 nat. median
$32,392
0.9× median
L5856
HCPCS 		Elec Knee-shin Swing/stance 22 $28,851.23 $28,851.23 $28,851.23 nat. median
$30,151
1.0× median
L6880
HCPCS 		Elec Hand Ind Art Digits 22 $28,715.00 $28,715.00 $28,715.00 nat. median
$30,019
1.0× median
496
MS_DRG 		Local Excision & Removal Int Fix Devices Exc Hip & Femur With Complication 1 $28,281.54 $28,281.54 $28,281.54 nat. median
$18,258
1.5× median
144
MS_DRG 		Other Ear; Nose; Mouth And Throat O.r. Procedures With Cc 1 $27,541.54 $27,541.54 $27,541.54 nat. median
$16,847
1.6× median
546
MS_DRG 		Connective Tissue Disorders With Complication 1 $26,987.44 $26,987.44 $26,987.44 nat. median
$11,764
outlier · 2.3×
33289
CPT 		Tcat Impl Wrls P-art Prs Snr 8 $947.50 $26,953.91 $26,770.94 nat. median
$27,774
1.0× median
100
MS_DRG 		Seizures With Comorbity 1 $26,700.31 $26,700.31 $26,700.31 nat. median
$18,308
1.5× median
394
MS_DRG 		Other Digestive System Diagnoses With Complication 1 $25,216.27 $25,216.27 $25,216.27 nat. median
$9,665
outlier · 2.6×
482
MS_DRG 		Hip & Femur Procedures Except Major Joint Without Complication/comorbity 1 $25,121.50 $25,121.50 $25,121.50 nat. median
$15,976
1.6× median
493
MS_DRG 		Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication 1 $24,898.99 $24,898.99 $24,898.99 nat. median
$23,545
1.1× median
847
MS_DRG 		Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Complication 1 $24,250.36 $24,250.36 $24,250.36 nat. median
$12,876
1.9× median
813
MS_DRG 		Coagulation Disorders 1 $23,913.65 $23,913.65 $23,913.65 nat. median
$14,858
1.6× median
865
MS_DRG 		Viral Illness With Comorbity 1 $23,490.35 $23,490.35 $23,490.35 nat. median
$14,494
1.6× median
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Comorbity 1 $23,240.28 $23,240.28 $23,240.28 nat. median
$15,924
1.5× median
329
MS_DRG 		Major Small & Large Bowel Procedures With Comorbity 1 $22,898.69 $22,898.69 $22,898.69 nat. median
$42,583
0.5× median
505
MS_DRG 		Foot Procedures Without Complication/comorbity 1 $22,568.25 $22,568.25 $22,568.25 nat. median
$17,206
1.3× median
345
MS_DRG 		Minor Small & Large Bowel Procedures With Complication 1 $22,440.15 $22,440.15 $22,440.15 nat. median
$14,820
1.5× median
L5858
HCPCS 		Stance Phase Only 22 $22,336.47 $22,336.47 $22,336.47 nat. median
$23,239
1.0× median
498
MS_DRG 		Local Excision & Removal Int Fix Devices Of Hip & Femur With Complication/comorb… 1 $22,227.47 $22,227.47 $22,227.47 nat. median
$26,319
0.8× median
398
MS_DRG 		Appendix Procedures With Cc 1 $22,032.57 $22,032.57 $22,032.57 nat. median
$15,000
1.5× median
909
MS_DRG 		Other O.r. Procedures For Injuries Without Complication/comorbity 1 $20,580.51 $20,580.51 $20,580.51 nat. median
$13,081
1.6× median
386
MS_DRG 		Inflammatory Bowel Disease With Complication 1 $20,499.79 $20,499.79 $20,499.79 nat. median
$10,158
outlier · 2.0×
809
MS_DRG 		Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul With Complication 1 $19,846.78 $19,846.78 $19,846.78 nat. median
$12,501
1.6× median
399
MS_DRG 		Appendix Procedures Without Cc/mcc 1 $17,946.61 $17,946.61 $17,946.61 nat. median
$11,659
1.5× median
920
MS_DRG 		Complications Of Treatment With Complication 1 $17,860.37 $17,860.37 $17,860.37 nat. median
$10,303
1.7× median
33902
CPT 		Perq P-art Revsc 1 Abnor Uni 18 $17,109.41 $17,226.34 $17,167.88 nat. median
$17,410
1.0× median
61624
CPT 		Tcat Perm Occls/embolj Cns 17 $17,109.41 $17,109.41 $17,109.41 nat. median
$7,859
outlier · 2.2×
300
MS_DRG 		Peripheral Vascular Disorders With Complication 1 $16,736.27 $16,736.27 $16,736.27 nat. median
$10,828
1.5× median
543
MS_DRG 		Pathological Fractures & Musculoskelet & Conn Tiss Malig With Complication 1 $16,632.79 $16,632.79 $16,632.79 nat. median
$10,616
1.6× median
391
MS_DRG 		Esophagitis; Gastroent & Misc Digest Disorders With Comorbity 1 $16,586.69 $16,586.69 $16,586.69 nat. median
$12,510
1.3× median
837
MS_DRG 		Chemo With Acute Leukemia As Sdx Or With High Dose Chemo Agent With Comorbity 1 $16,293.84 $16,293.84 $16,293.84 nat. median
$45,402
outlier · 0.4×
372
MS_DRG 		Major Gastrointestinal Disorders & Peritoneal Infections With Complication 1 $16,007.24 $16,007.24 $16,007.24 nat. median
$10,399
1.5× median
640
MS_DRG 		Misc Disorders Of Nutrition; Metabolism; Fluids/electrolytes With Comorbity 1 $15,837.99 $15,837.99 $15,837.99 nat. median
$12,804
1.2× median
33231
CPT 		Insrt Pulse Gen W/mult Leads 8 $1,375.77 $29,496.28 $15,711.62 nat. median
$30,088
0.5× median
33264
CPT 		Rmvl & Rplcmt Dfb Gen Mlt Ld 8 $1,375.77 $29,496.28 $15,711.62 nat. median
$31,574
outlier · 0.5×
33270
CPT 		Ins/rep Subq Defibrillator 8 $1,125.63 $29,496.28 $15,518.25 nat. median
$32,114
outlier · 0.5×
33249
CPT 		Insj/rplcmt Defib W/lead(s) 8 $1,125.63 $29,496.28 $15,518.25 nat. median
$31,638
outlier · 0.5×
178
MS_DRG 		Respiratory Infections & Inflammations With Complication 1 $15,301.73 $15,301.73 $15,301.73 nat. median
$10,168
1.5× median
206
MS_DRG 		Other Respiratory System Diagnoses Without Comorbity 1 $14,754.57 $14,754.57 $14,754.57 nat. median
$9,486
1.6× median

Other procedures at this hospital

Browse this hospital's 9,865 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
             
20982 CPT Ablate Bone Tumor(s) Perq 23 22 $4,716.04 $4,244.44 $1,125.63 $16,476.62 $8,801.12 2026-11-06
L6500 HCPCS Above Elbow Prosth Tiss Shap 23 22 $6,627.64 $5,964.88 $4,197.24 $4,197.24 $4,197.24 2026-11-06
J1120 HCPCS acetaZOLAMIDE 15 15 $180.47 $162.42 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0132 HCPCS Acetylcysteine 25 22 $295.72 $266.15 $6.56 $4,171.80 $4,171.80 2026-11-06
J0800 HCPCS Acthar 16 16 $57,410.96 $51,669.86 $4,171.80 $4,171.80 $4,171.80 2026-11-06
834 MS_DRG Acute Leukemia Without Major O.r. Procedure With Comorbity 1 1 — — $12,692.52 $12,692.52 $12,692.52 2026-11-06
J0133 HCPCS Acyclovir Sodium 25 22 $41.20 $37.08 $0.08 $4,171.80 $4,171.80 2026-11-06
L5321 HCPCS Ak Open End Sach 23 22 $6,308.21 $5,677.39 $5,364.98 $5,364.98 $5,364.98 2026-11-06
J0278 HCPCS Amikacin Sulfate 15 15 $72.31 $65.08 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0281 HCPCS Aminocaproic Acid Novaplus 15 15 $38.59 $34.73 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0280 HCPCS Aminophylline 15 15 $41.64 $37.48 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0282 HCPCS Amiodarone HCl 25 22 $18.55 $16.70 $20.80 $4,171.80 $4,171.80 2026-11-06
J0295 HCPCS Ampicillin-sulbactam 27 22 $40.20 $36.18 $32.97 $4,171.80 $4,171.80 2026-11-06
398 MS_DRG Appendix Procedures With Cc 1 1 — — $22,032.57 $22,032.57 $22,032.57 2026-11-06
399 MS_DRG Appendix Procedures Without Cc/mcc 1 1 — — $17,946.61 $17,946.61 $17,946.61 2026-11-06
J0739 HCPCS Apretude 15 15 $5,948.03 $5,353.23 $4,171.80 $4,171.80 $4,171.80 2026-11-06
75726 CPT Artery X-rays Abdomen 23 22 $6,207.31 $5,586.58 $5,193.48 $5,228.98 $5,211.23 2026-11-06
75736 CPT Artery X-rays Pelvis 23 22 $6,207.31 $5,586.58 $5,193.48 $5,228.98 $5,211.23 2026-11-06
J0597 HCPCS Berinert 15 15 $5,865.20 $5,278.68 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0702 HCPCS Betamethasone Sodium Phosphate-betamethasone Ace 25 22 $36.23 $32.61 $13.11 $4,171.80 $4,171.80 2026-11-06
J0583 HCPCS Bivalirudin 15 15 $3,659.27 $3,293.34 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0567 HCPCS Brineura 16 16 $140,520.31 $126,468.28 $4,171.80 $4,171.80 $4,171.80 2026-11-06
202 MS_DRG Bronchitis & Asthma With Complication/comorbity 1 1 — — $10,809.70 $10,809.70 $10,809.70 2026-11-06
203 MS_DRG Bronchitis & Asthma Without Complication/comorbity 1 1 — — $7,742.53 $7,742.53 $7,742.53 2026-11-06
J0594 HCPCS Busulfex Novaplus 15 15 $3,935.00 $3,541.50 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0595 HCPCS Butorphanol Tartrate 15 15 $26.20 $23.58 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0741 HCPCS Cabenuva 600mg/900mg Kit 15 15 $8,559.56 $7,703.60 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0706 HCPCS Caffeine Citrate 15 15 $82.87 $74.58 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0636 HCPCS Calcitriol 15 15 $40.88 $36.79 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0612 HCPCS Calcium Gluconate 15 15 $49.34 $44.41 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0637 HCPCS Cancidas 15 15 $1,307.67 $1,176.90 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0688 HCPCS ceFAZolin 15 15 $7.02 $6.32 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0692 HCPCS Cefepime 29 22 $27.89 $25.10 $27.59 $4,171.80 $4,171.80 2026-11-06
J0698 HCPCS Cefotaxime 15 15 $86.25 $77.63 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0694 HCPCS cefOXitin Sodium 27 22 $15.44 $13.90 $41.24 $4,171.80 $4,171.80 2026-11-06
603 MS_DRG Cellulitis Without Comorbity 1 1 — — $13,653.97 $13,653.97 $13,653.97 2026-11-06
837 MS_DRG Chemo With Acute Leukemia As Sdx Or With High Dose Chemo Agent With Comorbity 1 1 — — $16,293.84 $16,293.84 $16,293.84 2026-11-06
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Complication 1 1 — — $24,250.36 $24,250.36 $24,250.36 2026-11-06
J0744 HCPCS Ciprofloxacin In Dextrose 15 15 $28.96 $26.06 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0735 HCPCS cloNIDine HCl 15 15 $172.15 $154.94 $4,171.80 $4,171.80 $4,171.80 2026-11-06
813 MS_DRG Coagulation Disorders 1 1 — — $23,913.65 $23,913.65 $23,913.65 2026-11-06
J0770 HCPCS Colistimethate 15 15 $118.39 $106.55 $4,171.80 $4,171.80 $4,171.80 2026-11-06
93620 CPT Comp Ep Evl R At Ven Pac&rec 23 22 $11,649.93 $10,484.94 $2,001.88 $7,329.39 $4,665.64 2026-11-06
919 MS_DRG Complications Of Treatment With Comorbity 1 1 — — $61,462.91 $61,462.91 $61,462.91 2026-11-06
920 MS_DRG Complications Of Treatment With Complication 1 1 — — $17,860.37 $17,860.37 $17,860.37 2026-11-06
93653 CPT Compre Ep Eval Tx Svt 23 22 $40,630.53 $36,567.48 $1,507.59 $24,561.88 $13,034.74 2026-11-06
93654 CPT Compre Ep Eval Tx Vt 23 22 $40,630.53 $36,567.48 $2,011.32 $24,561.88 $13,286.60 2026-11-06
93619 CPT Comprehensive Ep Evaluation 23 22 $11,649.93 $10,484.94 $1,451.57 $7,329.39 $4,390.48 2026-11-06
546 MS_DRG Connective Tissue Disorders With Complication 1 1 — — $26,987.44 $26,987.44 $26,987.44 2026-11-06
547 MS_DRG Connective Tissue Disorders Without Complication/comorbity 1 1 — — $36,141.69 $36,141.69 $36,141.69 2026-11-06
75605 CPT Contrast Exam Thoracic Aorta 24 22 $4,229.16 $3,806.24 $4,229.16 $5,228.98 $4,711.32 2026-11-06
94660 CPT Cpap Initiation&mgmt 15 15 $220.09 $198.08 $191.48 $4,171.80 $4,171.80 2026-11-06
J0840 HCPCS Crofab 25 22 $12,291.19 $11,062.07 $1,906.91 $4,171.80 $4,171.80 2026-11-06
J0584 HCPCS Crysvita 16 16 $34,198.04 $30,778.24 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0850 HCPCS Cytogam 15 15 $5,699.51 $5,129.56 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0875 HCPCS Dalvance 15 15 $7,070.37 $6,363.33 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2597 HCPCS Ddavp 15 15 $1,189.78 $1,070.80 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0894 HCPCS Decitabine Novaplus 15 15 $3,743.00 $3,368.70 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J1030 HCPCS Depo-medrol 15 15 $54.53 $49.08 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J1050 HCPCS Depo-subq Provera 104 25 22 $71.60 $64.44 $1.78 $4,171.80 $4,171.80 2026-11-06
J1071 HCPCS Depo-testosterone Novaplus 15 15 $87.67 $78.90 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0895 HCPCS Desferal 15 15 $105.31 $94.78 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J1162 HCPCS DigiFab 15 15 $7,869.20 $7,082.28 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J1200 HCPCS diphenhydrAMINE HCl 27 22 $0.65 $0.59 $11.82 $4,171.80 $4,171.80 2026-11-06
438 MS_DRG Disorders Of Pancreas Except Malignancy With Comorbity 1 1 — — $23,240.28 $23,240.28 $23,240.28 2026-11-06
A9575 HCPCS Dotarem 25 22 $42.50 $38.25 $2.05 $4,171.80 $4,171.80 2026-11-06
L6250 HCPCS Elbow Inter Loc Elbow Forarm 23 22 $7,322.57 $6,590.31 $4,383.37 $4,383.37 $4,383.37 2026-11-06
L6880 HCPCS Elec Hand Ind Art Digits 23 22 $42,732.68 $38,459.41 $28,715.00 $28,715.00 $28,715.00 2026-11-06
L5857 HCPCS Elec Knee-shin Swing Only 23 22 $12,403.85 $11,163.47 $10,237.55 $10,237.55 $10,237.55 2026-11-06
L5856 HCPCS Elec Knee-shin Swing/stance 23 22 $39,796.43 $35,816.79 $28,851.23 $28,851.23 $28,851.23 2026-11-06
L5828 HCPCS Endo Knee-shin Fluid Swg/sta 23 22 $4,494.93 $4,045.44 $4,478.35 $4,478.35 $4,478.35 2026-11-06
J0348 HCPCS Eraxis 15 15 $377.40 $339.66 $4,171.80 $4,171.80 $4,171.80 2026-11-06
43265 CPT Ercp Lithotripsy Calculi 23 22 $5,591.33 $5,032.20 $5,666.13 $5,704.85 $5,685.49 2026-11-06
J1364 HCPCS Erythrocin Lactobionate 15 15 $279.06 $251.15 $4,171.80 $4,171.80 $4,171.80 2026-11-06
391 MS_DRG Esophagitis; Gastroent & Misc Digest Disorders With Comorbity 1 1 — — $16,586.69 $16,586.69 $16,586.69 2026-11-06
392 MS_DRG Esophagitis; Gastroent & Misc Digest Disorders Without Comorbity 1 1 — — $12,222.57 $12,222.57 $12,222.57 2026-11-06
94664 CPT Evaluation Of Use Of Breathing Device 60 15 $99.49 $89.54 $79.59 $4,171.80 $4,171.80 2026-11-06
61623 CPT Evasc Temp Balo Artl Occ H/n 23 22 $16,219.66 $14,597.69 $1,375.77 $10,848.13 $6,111.95 2026-11-06
81416 CPT Exome Sequence Analysis 55 22 $2,047.08 $1,842.37 $1,089.30 $12,000.00 $7,023.54 2026-11-06
982 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Complication 1 1 — — $40,414.31 $40,414.31 $40,414.31 2026-11-06
L5230 HCPCS Fem Focal Defic Constant Fri 23 22 $6,001.47 $5,401.32 $6,209.65 $6,209.65 $6,209.65 2026-11-06
864 MS_DRG Fever And Inflammatory Conditions 1 1 — — $13,000.56 $13,000.56 $13,000.56 2026-11-06
L5980 HCPCS Flex Foot System 23 22 $7,430.73 $6,687.66 $5,166.71 $5,166.71 $5,166.71 2026-11-06
505 MS_DRG Foot Procedures Without Complication/comorbity 1 1 — — $22,568.25 $22,568.25 $22,568.25 2026-11-06
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $13,601.96 $13,601.96 $13,601.96 2026-11-06
563 MS_DRG Fx; Sprn; Strn & Disl Except Femur; Hip; Pelvis & Thigh Without Comorbity 1 1 — — $14,039.65 $14,039.65 $14,039.65 2026-11-06
379 MS_DRG G.i. Hemorrhage Without Complication/comorbity 1 1 — — $9,883.41 $9,883.41 $9,883.41 2026-11-06
388 MS_DRG G.i. Obstruction With Comorbity 1 1 — — $10,116.16 $10,116.16 $10,116.16 2026-11-06
389 MS_DRG G.i. Obstruction With Complication 1 1 — — $12,382.48 $12,382.48 $12,382.48 2026-11-06
390 MS_DRG G.i. Obstruction Without Complication/comorbity 1 1 — — $8,528.83 $8,528.83 $8,528.83 2026-11-06
J1460 HCPCS Gamastan 15 15 $95.02 $85.52 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J1570 HCPCS Ganciclovir 15 15 $384.39 $345.95 $4,171.80 $4,171.80 $4,171.80 2026-11-06
81425 CPT Genome Sequence Analysis 57 22 $2,437.23 $2,193.51 $633.53 $5,031.20 $4,321.85 2026-11-06
J1580 HCPCS Gentamicin Sulfate 25 22 $26.49 $23.84 $13.25 $4,171.80 $4,171.80 2026-11-06
C9175 HCPCS Grafapex 15 15 $885.20 $796.68 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J1626 HCPCS Granisetron Hydrochloride 27 22 $45.43 $40.89 $69.93 $4,171.80 $4,171.80 2026-11-06
J1631 HCPCS Haloperidol Decanoate 15 15 $206.87 $186.18 $4,171.80 $4,171.80 $4,171.80 2026-11-06
103 MS_DRG Headaches Without Comorbity 1 1 — — $13,111.51 $13,111.51 $13,111.51 2026-11-06
481 MS_DRG Hip & Femur Procedures Except Major Joint With Complication 1 1 — — $32,837.57 $32,837.57 $32,837.57 2026-11-06
482 MS_DRG Hip & Femur Procedures Except Major Joint Without Complication/comorbity 1 1 — — $25,121.50 $25,121.50 $25,121.50 2026-11-06
J0139 HCPCS Humira Prefilled Syringe 15 15 $9,975.37 $8,977.83 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0360 HCPCS hydrALAZINE HCl 25 22 $26.96 $24.26 $26.57 $4,171.80 $4,171.80 2026-11-06
J1171 HCPCS HYDROmorphone HCl 25 22 $53.11 $47.80 $0.34 $4,171.80 $4,171.80 2026-11-06
J1670 HCPCS HyperTET Prefilled Syringe 25 22 $951.01 $855.91 $43.28 $4,171.80 $4,171.80 2026-11-06
93650 CPT Icar Cath Abltj Av Node Func 23 22 $11,201.86 $10,081.67 $1,650.20 $7,329.39 $4,489.80 2026-11-06
J0743 HCPCS Imipenem And Cilastatin 15 15 $126.00 $113.40 $4,171.80 $4,171.80 $4,171.80 2026-11-06
27415 CPT Implantation Of Donor Cartilage Cells Into Knee Joint 23 22 $19,248.12 $17,323.31 $1,125.63 $20,465.89 $10,795.76 2026-11-06
25365 CPT Incision Or Partial Removal Of Both Forearm Bones 46 22 $25,296.30 $22,766.67 $1,125.63 $12,064.58 $6,595.10 2026-11-06
23485 CPT Incision Or Partial Removal Of Collar Bone With Bone Graft 23 22 $19,515.94 $17,564.35 $1,125.63 $12,064.58 $6,595.10 2026-11-06
758 MS_DRG Infections; Female Reproductive System With Complication 1 1 — — $7,472.26 $7,472.26 $7,472.26 2026-11-06
854 MS_DRG Infectious & Parasitic Diseases With O.r. Procedure With Complication 1 1 — — $31,326.21 $31,326.21 $31,326.21 2026-11-06
728 MS_DRG Inflammation Of The Male Reproductive System Without Comorbity 1 1 — — $12,717.99 $12,717.99 $12,717.99 2026-11-06
386 MS_DRG Inflammatory Bowel Disease With Complication 1 1 — — $20,499.79 $20,499.79 $20,499.79 2026-11-06
352 MS_DRG Inguinal & Femoral Hernia Procedures Without Complication/comorbity 1 1 — — $9,723.77 $9,723.77 $9,723.77 2026-11-06
94667 CPT Initial Therapy Service To Facilitate Lung Function 45 15 $218.34 $196.51 $155.50 $4,171.80 $4,171.80 2026-11-06
33270 CPT Ins/rep Subq Defibrillator 8 8 $53,368.12 $48,031.31 $1,125.63 $29,496.28 $15,518.25 2026-11-06
33216 CPT Insert 1 Electrode Pm-defib 23 22 $4,935.43 $4,441.89 $1,125.63 $7,776.42 $4,451.02 2026-11-06
33210 CPT Insert Electrd/pm Cath Sngl 23 22 $13,432.60 $12,089.34 $1,212.80 $7,776.42 $4,494.61 2026-11-06
33206 CPT Insert Heart Pm Atrial 23 22 $17,159.77 $15,443.79 $1,375.77 $9,821.79 $5,598.78 2026-11-06
33207 CPT Insert Heart Pm Ventricular 23 22 $17,846.16 $16,061.54 $1,212.80 $9,821.79 $5,517.30 2026-11-06
37182 CPT Insert Hepatic Shunt (tips) 22 21 $11,340.03 $10,206.03 $1,375.77 $17,109.41 $9,242.59 2026-11-06
33213 CPT Insert Pulse Gen Dual Leads 23 22 $16,523.91 $14,871.52 $1,375.77 $9,821.79 $5,598.78 2026-11-06
33221 CPT Insert Pulse Gen Mult Leads 23 22 $29,871.37 $26,884.23 $1,375.77 $18,100.31 $9,738.04 2026-11-06
33212 CPT Insert Pulse Gen Sngl Lead 23 22 $4,935.43 $4,441.89 $1,125.63 $7,776.42 $4,451.02 2026-11-06
33285 CPT Insj Subq Car Rhythm Mntr 23 22 $13,432.60 $12,089.34 $1,125.63 $7,776.42 $4,451.02 2026-11-06
33249 CPT Insj/rplcmt Defib W/lead(s) 8 8 $55,502.84 $49,952.56 $1,125.63 $29,496.28 $15,518.25 2026-11-06
0571T CPT Insj/rplcmt Icds Ss Eltrd 23 22 $54,858.53 $49,372.68 $29,296.07 $29,496.28 $29,396.17 2026-11-06
33208 CPT Insrt Heart Pm Atrial & Vent 23 22 $18,019.42 $16,217.48 $1,125.63 $9,821.79 $5,473.71 2026-11-06
33230 CPT Insrt Pulse Gen W/dual Leads 23 22 $4,791.61 $4,312.45 $1,375.77 $20,902.41 $11,139.09 2026-11-06
33231 CPT Insrt Pulse Gen W/mult Leads 8 8 $4,983.33 $4,485.00 $1,375.77 $29,496.28 $15,711.62 2026-11-06
J1335 HCPCS INVanz 15 15 $488.60 $439.74 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2426 HCPCS Invega Sustenna 15 15 $7,943.90 $7,149.51 $4,171.80 $4,171.80 $4,171.80 2026-11-06
L2005 HCPCS Kafo Sng/dbl Mechanical Act 23 22 $8,052.03 $7,246.83 $4,915.21 $4,915.21 $4,915.21 2026-11-06
689 MS_DRG Kidney & Urinary Tract Infections With Comorbity 1 1 — — $12,083.46 $12,083.46 $12,083.46 2026-11-06
690 MS_DRG Kidney & Urinary Tract Infections Without Comorbity 1 1 — — $12,691.34 $12,691.34 $12,691.34 2026-11-06
L5200 HCPCS Kne Sing Axis Fric Shin Sach 23 22 $8,091.18 $7,282.06 $4,913.09 $4,913.09 $4,913.09 2026-11-06
L5312 HCPCS Knee Disart, Sach Ft, Endo 23 22 $6,987.94 $6,289.15 $4,823.95 $4,823.95 $4,823.95 2026-11-06
J1160 HCPCS Lanoxin Pediatric 15 15 $308.75 $277.88 $4,171.80 $4,171.80 $4,171.80 2026-11-06
25391 CPT Lengthening Of One Of The Forearm Bones With Patient-derived Bone Graft 23 22 $13,270.34 $11,943.31 $1,125.63 $12,064.58 $6,595.10 2026-11-06
J0641 HCPCS LEVOleucovorin Calcium 15 15 $711.29 $640.16 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2003 HCPCS Lidocaine HCl 25 22 $38.15 $34.34 $0.04 $4,171.80 $4,171.80 2026-11-06
496 MS_DRG Local Excision & Removal Int Fix Devices Exc Hip & Femur With Complication 1 1 — — $28,281.54 $28,281.54 $28,281.54 2026-11-06
498 MS_DRG Local Excision & Removal Int Fix Devices Of Hip & Femur With Complication/comorb… 1 1 — — $22,227.47 $22,227.47 $22,227.47 2026-11-06
493 MS_DRG Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication 1 1 — — $24,898.99 $24,898.99 $24,898.99 2026-11-06
J0221 HCPCS Lumizyme 15 15 $3,825.37 $3,442.83 $4,171.80 $4,171.80 $4,171.80 2026-11-06
372 MS_DRG Major Gastrointestinal Disorders & Peritoneal Infections With Complication 1 1 — — $16,007.24 $16,007.24 $16,007.24 2026-11-06
373 MS_DRG Major Gastrointestinal Disorders & Peritoneal Infections Without Complication/co… 1 1 — — $11,247.89 $11,247.89 $11,247.89 2026-11-06
808 MS_DRG Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul With Comorbity 1 1 — — $14,524.47 $14,524.47 $14,524.47 2026-11-06
809 MS_DRG Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul With Complication 1 1 — — $19,846.78 $19,846.78 $19,846.78 2026-11-06
596 MS_DRG Major Skin Disorders Without Comorbity 1 1 — — $10,006.11 $10,006.11 $10,006.11 2026-11-06
329 MS_DRG Major Small & Large Bowel Procedures With Comorbity 1 1 — — $22,898.69 $22,898.69 $22,898.69 2026-11-06
330 MS_DRG Major Small & Large Bowel Procedures With Complication 1 1 — — $31,591.08 $31,591.08 $31,591.08 2026-11-06
761 MS_DRG Menstrual & Other Female Reproductive System Disorders Without Complication/como… 1 1 — — $9,938.28 $9,938.28 $9,938.28 2026-11-06
J2185 HCPCS Merrem IV 25 22 $140.40 $126.36 $16.68 $4,171.80 $4,171.80 2026-11-06
J2210 HCPCS Methylergonovine Maleate 15 15 $54.44 $49.00 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2248 HCPCS Micafungin Sodium 15 15 $215.08 $193.57 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2260 HCPCS Milrinone Lactate 25 22 $96.80 $87.12 $78.24 $4,171.80 $4,171.80 2026-11-06
345 MS_DRG Minor Small & Large Bowel Procedures With Complication 1 1 — — $22,440.15 $22,440.15 $22,440.15 2026-11-06
640 MS_DRG Misc Disorders Of Nutrition; Metabolism; Fluids/electrolytes With Comorbity 1 1 — — $15,837.99 $15,837.99 $15,837.99 2026-11-06
641 MS_DRG Misc Disorders Of Nutrition; Metabolism; Fluids/electrolytes Without Comorbity 1 1 — — $11,053.38 $11,053.38 $11,053.38 2026-11-06
J2274 HCPCS Morphine Sulfate 25 22 $100.25 $90.23 $35.17 $4,171.80 $4,171.80 2026-11-06
J2270 HCPCS Morphine Sulfate 15 15 $11.94 $10.75 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2562 HCPCS Mozobil 15 15 $38,288.25 $34,459.43 $4,171.80 $4,171.80 $4,171.80 2026-11-06
A9578 HCPCS Multihance 15 15 $404.84 $364.36 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2300 HCPCS Nalbuphine HCl 15 15 $34.64 $31.18 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2310 HCPCS Naloxone HCl 25 22 $86.79 $78.11 $18.34 $4,171.80 $4,171.80 2026-11-06
J2312 HCPCS Naloxone HCl 15 15 $71.66 $64.49 $4,171.80 $4,171.80 $4,171.80 2026-11-06
794 MS_DRG Neonate With Other Significant Problems 1 1 — — $13,377.19 $13,377.19 $13,377.19 2026-11-06
J2400 HCPCS Nesacaine 15 15 $32.80 $29.52 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0283 HCPCS Nexterone 15 15 $81.18 $73.06 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J0219 HCPCS Nexviazyme 15 15 $2,924.90 $2,632.41 $4,171.80 $4,171.80 $4,171.80 2026-11-06
95012 CPT Nitric Oxide Exp Gas Deter 15 15 $151.39 $136.25 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2354 HCPCS Octreotide Acetate 25 22 $28.15 $25.34 $14.44 $4,171.80 $4,171.80 2026-11-06
81529 CPT Onc Cutan Mlnma Mrna 31 Gene 23 22 $1,605.72 $1,445.15 $1,605.72 $7,193.00 $4,399.36 2026-11-06
37236 CPT Open/perq Place Stent 1st 23 22 $15,187.47 $13,668.72 $1,375.77 $10,848.13 $6,111.95 2026-11-06
37238 CPT Open/perq Place Stent Same 23 22 $17,248.44 $15,523.60 $1,375.77 $10,848.13 $6,111.95 2026-11-06
394 MS_DRG Other Digestive System Diagnoses With Complication 1 1 — — $25,216.27 $25,216.27 $25,216.27 2026-11-06
395 MS_DRG Other Digestive System Diagnoses Without Complication/comorbity 1 1 — — $9,977.48 $9,977.48 $9,977.48 2026-11-06
357 MS_DRG Other Digestive System O.r. Procedures With Complication 1 1 — — $38,371.07 $38,371.07 $38,371.07 2026-11-06
93 MS_DRG Other Disorders Of Nervous System Without Complication/comorbity 1 1 — — $8,835.78 $8,835.78 $8,835.78 2026-11-06
155 MS_DRG Other Ear; Nose; Mouth & Throat Diagnoses With Complication 1 1 — — $14,636.98 $14,636.98 $14,636.98 2026-11-06
144 MS_DRG Other Ear; Nose; Mouth And Throat O.r. Procedures With Cc 1 1 — — $27,541.54 $27,541.54 $27,541.54 2026-11-06
145 MS_DRG Other Ear; Nose; Mouth And Throat O.r. Procedures Without Cc/mcc 1 1 — — $9,485.57 $9,485.57 $9,485.57 2026-11-06
951 MS_DRG Other Factors Influencing Health Status 1 1 — — $8,716.97 $8,716.97 $8,716.97 2026-11-06
923 MS_DRG Other Injury; Poisoning & Toxic Effect Diag Without Comorbity 1 1 — — $4,952.56 $4,952.56 $4,952.56 2026-11-06
566 MS_DRG Other Musculoskeletal Sys & Connective Tissue Diagnoses Without Complication/com… 1 1 — — $6,729.45 $6,729.45 $6,729.45 2026-11-06
909 MS_DRG Other O.r. Procedures For Injuries Without Complication/comorbity 1 1 — — $20,580.51 $20,580.51 $20,580.51 2026-11-06
58679 CPT Other Procedure On Fallopian Tube Or Ovary Using An Endoscope 19 18 $6,970.52 $6,273.47 $5,576.42 $5,681.02 $5,661.73 2026-11-06
43659 CPT Other Procedure On Stomach Using An Endoscope 19 18 $3,660.11 $3,294.10 $5,642.45 $5,681.02 $5,661.73 2026-11-06
206 MS_DRG Other Respiratory System Diagnoses Without Comorbity 1 1 — — $14,754.57 $14,754.57 $14,754.57 2026-11-06
153 MS_DRG Otitis Media & Uri Without Comorbity 1 1 — — $11,158.03 $11,158.03 $11,158.03 2026-11-06
J2469 HCPCS Palonosetron Hcl 25 22 $32.72 $29.45 $68.26 $4,171.80 $4,171.80 2026-11-06
J2430 HCPCS Pamidronate Disodium 15 15 $218.23 $196.41 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2470 HCPCS Pantoprazole Sodium 15 15 $30.04 $27.04 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2440 HCPCS Papaverine HCl 15 15 $169.89 $152.90 $4,171.80 $4,171.80 $4,171.80 2026-11-06
543 MS_DRG Pathological Fractures & Musculoskelet & Conn Tiss Malig With Complication 1 1 — — $16,632.79 $16,632.79 $16,632.79 2026-11-06
J0208 HCPCS Pedmark 16 16 $18,132.56 $16,319.30 $4,171.80 $4,171.80 $4,171.80 2026-11-06
710 MS_DRG Penis Procedures Without Complication/comorbity 1 1 — — $10,585.46 $10,585.46 $10,585.46 2026-11-06
J2545 HCPCS Pentam 15 15 $39.13 $35.22 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2516 HCPCS Pentamidine Isethionate 15 15 $241.60 $217.44 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2515 HCPCS PENTobarbital Sodium 15 15 $3,274.87 $2,947.38 $4,171.80 $4,171.80 $4,171.80 2026-11-06
300 MS_DRG Peripheral Vascular Disorders With Complication 1 1 — — $16,736.27 $16,736.27 $16,736.27 2026-11-06
336 MS_DRG Peritoneal Adhesiolysis With Complication 1 1 — — $35,210.16 $35,210.16 $35,210.16 2026-11-06
33903 CPT Perq P-art Revsc 1 Abnor Bi 19 18 $11,961.47 $10,765.32 $10,774.50 $10,848.13 $10,811.32 2026-11-06
33902 CPT Perq P-art Revsc 1 Abnor Uni 19 18 $28,579.83 $25,721.85 $17,109.41 $17,226.34 $17,167.88 2026-11-06
33901 CPT Perq P-art Revsc 1 Nm Nt Bi 19 18 $11,280.22 $10,152.20 $10,774.50 $10,848.13 $10,811.32 2026-11-06
33900 CPT Perq P-art Revsc 1 Nm Nt Uni 19 18 $11,731.43 $10,558.29 $10,774.50 $10,848.13 $10,811.32 2026-11-06
93582 CPT Perq Transcath Closure Pda 23 22 $25,102.47 $22,592.22 $3,451.14 $17,226.34 $10,338.74 2026-11-06
93591 CPT Perq Transcath Cls Aortic 23 22 $29,723.02 $26,750.72 $3,412.25 $17,226.34 $10,319.30 2026-11-06
J2540 HCPCS Pfizerpen Novaplus 15 15 $59.48 $53.53 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2560 HCPCS PHENobarbital Sodium 15 15 $87.67 $78.90 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2371 HCPCS Phenylephrine HCl 15 15 $12.56 $11.30 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2543 HCPCS Piperacillin And Tazobactam 25 22 $85.94 $77.35 $16.52 $4,171.80 $4,171.80 2026-11-06
918 MS_DRG Poisoning & Toxic Effects Of Drugs Without Comorbity 1 1 — — $12,425.88 $12,425.88 $12,425.88 2026-11-06
J1410 HCPCS Premarin Intravenous 15 15 $564.17 $507.75 $4,171.80 $4,171.80 $4,171.80 2026-11-06
791 MS_DRG Prematurity With Major Problems 1 1 — — $6,762.41 $6,762.41 $6,762.41 2026-11-06
37184 CPT Prim Art M-thrmbc 1st Vsl 23 22 $15,901.62 $14,311.46 $1,375.77 $17,226.34 $9,301.06 2026-11-06
40700 CPT Primary Plastic Repair Of Deformity Present At Birth On 1 Side Of Nose And/or Li… 4 4 $0.01 — $5,525.14 $5,562.90 $5,525.14 2026-11-06
J2471 HCPCS Protonix 29 22 $32.20 $28.98 $28.08 $4,171.80 $4,171.80 2026-11-06
J2730 HCPCS Protopam Chloride 15 15 $288.31 $259.48 $4,171.80 $4,171.80 $4,171.80 2026-11-06
92928 CPT Prq Tcat Plmt Ntrac St 1 Les 23 22 $19,157.49 $17,241.74 $1,212.80 $10,848.13 $6,030.47 2026-11-06
92997 CPT Pul Art Balloon Repr Percut 23 22 $15,635.61 $14,072.05 $10,774.50 $10,848.13 $10,811.32 2026-11-06
189 MS_DRG Pulmonary Edema & Respiratory Failure 1 1 — — $12,138.74 $12,138.74 $12,138.74 2026-11-06
J0330 HCPCS Quelicin 15 15 $84.54 $76.09 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2547 HCPCS Rapivab 15 15 $462.80 $416.52 $4,171.80 $4,171.80 $4,171.80 2026-11-06
0212U CPT Rare Ds Gen DNA Alys Proband 22 21 $3,125.00 $2,812.50 $5,475.20 $5,475.20 $5,475.20 2026-11-06
0214U CPT Rare Ds Xom DNA Alys Proband 22 21 $1,876.25 $1,688.63 $5,224.60 $5,224.60 $5,224.60 2026-11-06
27428 CPT Reconstruction Ligaments Inside Knee Joint 46 22 $17,288.85 $15,559.97 $1,125.63 $12,064.58 $6,657.64 2026-11-06
812 MS_DRG Red Blood Cell Disorders Without Comorbity 1 1 — — $14,469.23 $14,469.23 $14,469.23 2026-11-06
J2212 HCPCS Relistor 15 15 $302.35 $272.12 $4,171.80 $4,171.80 $4,171.80 2026-11-06
33233 CPT Removal Of Pm Generator 23 22 $4,983.35 $4,485.02 $947.50 $7,776.42 $4,361.96 2026-11-06
33227 CPT Remove&replace Pm Gen Singl 23 22 $12,667.57 $11,400.81 $1,375.77 $7,776.42 $4,576.10 2026-11-06
33228 CPT Remv&replc Pm Gen Dual Lead 23 22 $18,019.42 $16,217.48 $1,375.77 $9,821.79 $5,598.78 2026-11-06
33229 CPT Remv&replc Pm Gen Mult Leads 23 22 $4,885.57 $4,397.01 $1,375.77 $18,100.31 $9,738.04 2026-11-06
683 MS_DRG Renal Failure With Complication 1 1 — — $13,730.79 $13,730.79 $13,730.79 2026-11-06
42260 CPT Repair Of Abnormal Connection From Nasal Sinus To Skin 4 4 $0.01 — $5,525.14 $5,562.90 $5,525.14 2026-11-06
64910 CPT Repair Of Nerve With Graft 23 22 $11,957.46 $10,761.71 $1,212.80 $8,246.71 $4,729.76 2026-11-06
L5701 HCPCS Replace Socket Above Knee 23 22 $7,626.21 $6,863.59 $5,550.13 $5,550.13 $5,550.13 2026-11-06
L5700 HCPCS Replace Socket Below Knee 23 22 $6,350.33 $5,715.30 $4,470.21 $4,470.21 $4,470.21 2026-11-06
178 MS_DRG Respiratory Infections & Inflammations With Complication 1 1 — — $15,301.73 $15,301.73 $15,301.73 2026-11-06
815 MS_DRG Reticuloendothelial & Immunity Disorders With Complication 1 1 — — $12,624.39 $12,624.39 $12,624.39 2026-11-06
816 MS_DRG Reticuloendothelial & Immunity Disorders Without Complication/comorbity 1 1 — — $9,908.50 $9,908.50 $9,908.50 2026-11-06
92986 CPT Revision Of Aortic Valve 23 22 $8,707.05 $7,836.35 $3,121.33 $5,348.39 $4,234.86 2026-11-06
92990 CPT Revision Of Pulmonary Valve 23 22 $15,635.61 $14,072.05 $2,449.29 $10,848.13 $6,648.71 2026-11-06
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 23 22 $39,483.37 $35,535.03 $1,375.77 $20,902.41 $11,139.09 2026-11-06
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 8 8 $5,081.04 $4,572.94 $1,375.77 $29,496.28 $15,711.62 2026-11-06
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 23 22 $7,851.12 $7,066.01 $1,375.77 $20,902.41 $11,139.09 2026-11-06
100 MS_DRG Seizures With Comorbity 1 1 — — $26,700.31 $26,700.31 $26,700.31 2026-11-06
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Comorbity 1 1 — — $13,788.32 $13,788.32 $13,788.32 2026-11-06
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Comorbity 1 1 — — $30,522.77 $30,522.77 $30,522.77 2026-11-06
L5987 HCPCS Shank Ft W Vert Load Pylon 23 22 $15,831.48 $14,248.33 $8,645.73 $8,645.73 $8,645.73 2026-11-06
L6300 HCPCS Shlder Disart Int Lock Elbow 23 22 $8,817.86 $7,936.07 $6,081.45 $6,081.45 $6,081.45 2026-11-06
556 MS_DRG Signs & Symptoms Of Musculoskeletal System & Conn Tissue Without Comorbity 1 1 — — $13,022.15 $13,022.15 $13,022.15 2026-11-06
948 MS_DRG Signs & Symptoms Without Comorbity 1 1 — — $12,456.17 $12,456.17 $12,456.17 2026-11-06
193 MS_DRG Simple Pneumonia & Pleurisy With Comorbity 1 1 — — $11,944.72 $11,944.72 $11,944.72 2026-11-06
194 MS_DRG Simple Pneumonia & Pleurisy With Complication 1 1 — — $12,457.20 $12,457.20 $12,457.20 2026-11-06
J2327 HCPCS Skyrizi 600mg/10ml 16 16 $42,904.70 $38,614.23 $4,171.80 $4,171.80 $4,171.80 2026-11-06
81455 CPT So/hl 51/>gsap Dna/dna&rna 37 22 $6,983.75 $6,285.38 $2,455.16 $6,983.75 $4,951.68 2026-11-06
J1720 HCPCS Solu-cortef 100mg Vial 25 22 $50.47 $774.86 $18.72 $4,171.80 $4,171.80 2026-11-06
C9482 HCPCS Sotalol HCl 15 15 $15,301.75 $13,771.58 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2326 HCPCS Spinraza 26 22 $182,149.01 $163,934.11 $1,333.45 $6,958.75 $4,171.80 2026-11-06
L5858 HCPCS Stance Phase Only 23 22 $27,063.01 $24,356.71 $22,336.47 $22,336.47 $22,336.47 2026-11-06
J9226 HCPCS Supprelin La 49 22 $187,277.56 $168,549.80 $4,171.80 $86,927.59 $37,491.97 2026-11-06
33289 CPT Tcat Impl Wrls P-art Prs Snr 12 8 $47,737.51 $42,963.76 $947.50 $26,953.91 $26,770.94 2026-11-06
33274 CPT Tcat Insj/rpl Perm Ldls Pm 23 22 $7,260.32 $6,534.29 $947.50 $18,100.31 $9,523.91 2026-11-06
61626 CPT Tcat Perm Occls/embol Noncns 23 22 $16,754.07 $15,078.66 $1,125.63 $10,848.13 $5,986.88 2026-11-06
61624 CPT Tcat Perm Occls/embolj Cns 18 17 $2,525.50 $2,272.95 $17,109.41 $17,109.41 $17,109.41 2026-11-06
558 MS_DRG Tendonitis; Myositis & Bursitis Without Comorbity 1 1 — — $14,003.59 $14,003.59 $14,003.59 2026-11-06
L6881 HCPCS Term Dev Auto Grasp Feature 23 22 $8,997.13 $8,097.42 $4,913.43 $4,913.43 $4,913.43 2026-11-06
93580 CPT Transcath Closure Of Asd 23 22 $25,102.47 $22,592.22 $3,763.77 $17,226.34 $10,495.06 2026-11-06
93581 CPT Transcath Closure Of Vsd 23 22 $5,209.15 $4,688.24 $5,033.04 $17,226.34 $11,129.69 2026-11-06
38240 CPT Transplt Allo Hct/donor 15 15 $1,701.94 $1,531.75 $4,171.80 $4,171.80 $4,171.80 2026-11-06
87 MS_DRG Traumatic Stupor & Coma; Coma <1 Hr Without Complication/comorbity 1 1 — — $6,055.75 $6,055.75 $6,055.75 2026-11-06
27758 CPT Treatment Broken Middle Part Of Shin Bone With Plate Or Screws 23 22 $16,686.49 $15,017.84 $1,125.63 $12,064.58 $6,595.10 2026-11-06
24579 CPT Treatment Of Broken Elbow 92 22 $8,248.67 $7,423.81 $1,125.63 $12,064.58 $6,595.10 2026-11-06
27828 CPT Treatment Of Broken Lower Weight Bearing Joint Of Both Lower Leg Bones 46 22 $14,385.55 $12,946.99 $1,125.63 $12,064.58 $6,595.10 2026-11-06
24515 CPT Treatment Of Broken Middle Part Of Upper Arm Bone With Placement Of Stabilizing … 23 22 $26,856.77 $24,171.09 $1,375.77 $12,064.58 $6,720.18 2026-11-06
24575 CPT Treatment Of Broken Outer Part Of Upper Arm Bone At Elbow 69 22 $9,560.20 $8,604.18 $1,125.63 $12,064.58 $6,595.10 2026-11-06
27759 CPT Treatment Of Broken Part Of Shin Bone With Rod 68 22 $16,578.88 $14,920.99 $1,125.63 $12,064.58 $6,595.10 2026-11-06
27827 CPT Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 69 22 $16,051.06 $14,445.95 $1,125.63 $12,064.58 $6,595.10 2026-11-06
27514 CPT Treatment Of Broken Side Of Lower End Of Thigh Bone 22 21 $12,727.33 $11,454.60 $1,125.63 $11,982.68 $6,554.15 2026-11-06
24545 CPT Treatment Of Upper Arm Bone Broken At Elbow 46 22 $9,900.53 $8,910.48 $1,125.63 $12,064.58 $6,595.10 2026-11-06
384 MS_DRG Uncomplicated Peptic Ulcer Without Comorbity 1 1 — — $13,633.59 $13,633.59 $13,633.59 2026-11-06
33214 CPT Upgrade Of Pacemaker System 19 18 $4,935.43 $4,441.89 $9,755.13 $9,821.79 $9,788.46 2026-11-06
90396 CPT Varizig 15 15 $3,345.46 $3,010.91 $4,171.80 $4,171.80 $4,171.80 2026-11-06
37242 CPT Vasc Embolize/occlude Artery 23 22 $15,336.37 $13,802.73 $1,125.63 $17,226.34 $9,175.99 2026-11-06
37244 CPT Vasc Embolize/occlude Bleed 23 22 $16,754.07 $15,078.66 $1,125.63 $10,848.13 $5,986.88 2026-11-06
37243 CPT Vasc Embolize/occlude Organ 23 22 $7,794.86 $7,015.37 $1,125.63 $10,848.13 $5,986.88 2026-11-06
37241 CPT Vasc Embolize/occlude Venous 23 22 $17,082.59 $15,374.33 $1,125.63 $10,848.13 $5,986.88 2026-11-06
37187 CPT Venous Mech Thrombectomy 23 22 $17,491.79 $15,742.61 $1,375.77 $10,848.13 $6,111.95 2026-11-06
75893 CPT Venous Sampling By Catheter 23 22 $6,207.31 $5,586.58 $5,193.48 $5,228.98 $5,211.23 2026-11-06
C9254 HCPCS Vimpat 15 15 $85.61 $77.05 $4,171.80 $4,171.80 $4,171.80 2026-11-06
865 MS_DRG Viral Illness With Comorbity 1 1 — — $23,490.35 $23,490.35 $23,490.35 2026-11-06
866 MS_DRG Viral Illness Without Comorbity 1 1 — — $12,478.03 $12,478.03 $12,478.03 2026-11-06
L6925 HCPCS Wrist Disart Myoelectronic C 23 22 $18,871.18 $16,984.06 $10,417.12 $10,417.12 $10,417.12 2026-11-06
J0897 HCPCS Xgeva 15 15 $12,711.20 $11,440.08 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2357 HCPCS Xolair 15 15 $4,474.27 $4,026.84 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2501 HCPCS Zemplar 15 15 $34.15 $30.74 $4,171.80 $4,171.80 $4,171.80 2026-11-06
J2359 HCPCS ZyPREXA IntraMuscular 25 22 $187.51 $168.76 $3.37 $4,171.80 $4,171.80 2026-11-06
J2020 HCPCS Zyvox Novaplus 15 15 $212.11 $190.90 $4,171.80 $4,171.80 $4,171.80 2026-11-06
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