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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

Hazel Hawkins Memorial Hospital

Hollister, CA · CCN 050296 · Rates published

6,369 distinct procedures filed
41 distinct payers
330,095 rate rows
2026-05-11 last MRF observed
Data quality

316,100 of 330,095 rate rows are consumer-grade (95.8%)

13,995 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 9,536
per-diem day rate — not a per-procedure price 3,839
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 262
exceeds 3× this hospital's gross charge for a DRG stay — excluded 124
percent-of-charges filed in the dollar field — excluded from medians 118
exceeds 10× this hospital's gross charge — excluded from medians 116
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbHHMHHOLLISTERCA&type=CDMWithoutLabel
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Hazel_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-31
Content fingerprint ab58b2b10c226f3d… · 160,672,526 bytes · first seen 2026-05-14

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
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $1,239,170.94 $1,239,170.94 $1,239,170.94 nat. median
$126,461
outlier · 9.8×
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 1 $178,121.28 $178,121.28 $178,121.28 nat. median
$27,794
outlier · 6.4×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 $170,843.77 $170,843.77 $170,843.77 nat. median
$43,609
outlier · 3.9×
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 $131,080.71 $132,765.51 $131,923.11 nat. median
$19,223
outlier · 6.9×
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 $116,876.46 $116,876.46 $116,876.46 nat. median
$33,619
outlier · 3.5×
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 $108,743.11 $108,743.11 $108,743.11 nat. median
$27,591
outlier · 3.9×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 $105,911.00 $105,911.00 $105,911.00 nat. median
$45,362
outlier · 2.3×
309
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Cc 1 $103,312.78 $103,312.78 $103,312.78 nat. median
$7,899
outlier · 13.1×
682
MS_DRG 		Renal Failure With Mcc 1 $103,101.76 $103,101.76 $103,101.76 nat. median
$14,433
outlier · 7.1×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 $98,543.21 $98,543.21 $98,543.21 nat. median
$35,435
outlier · 2.8×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 $98,250.73 $98,250.73 $98,250.73 nat. median
$25,366
outlier · 3.9×
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 1 $93,726.12 $93,726.12 $93,726.12 nat. median
$20,537
outlier · 4.6×
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 1 $93,544.33 $93,544.33 $93,544.33 nat. median
$20,298
outlier · 4.6×
71
MS_DRG 		Other Cerebrovascular Disorders With Cc 2 $83,557.87 $99,239.47 $91,398.67 nat. median
$10,544
outlier · 8.7×
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 2 $30,319.00 $150,852.96 $90,585.98 nat. median
$32,585
outlier · 2.8×
372
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Cc 1 $88,869.40 $88,869.40 $88,869.40 nat. median
$10,404
outlier · 8.5×
292
MS_DRG 		Heart Failure And Shock With Cc 3 $82,619.80 $96,875.80 $83,555.80 nat. median
$8,945
outlier · 9.3×
683
MS_DRG 		Renal Failure With Cc 2 $82,587.52 $83,617.12 $83,102.32 nat. median
$9,102
outlier · 9.1×
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 $83,087.59 $83,087.59 $83,087.59 nat. median
$23,523
outlier · 3.5×
811
MS_DRG 		Red Blood Cell Disorders With Mcc 1 $83,082.61 $83,082.61 $83,082.61 nat. median
$13,623
outlier · 6.1×
812
MS_DRG 		Red Blood Cell Disorders Without Mcc 3 $78,607.46 $92,863.46 $79,543.46 nat. median
$9,304
outlier · 8.5×
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 1 $79,223.32 $79,223.32 $79,223.32 nat. median
$23,552
outlier · 3.4×
282
MS_DRG 		Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 1 $78,330.45 $78,330.45 $78,330.45 nat. median
$7,941
outlier · 9.9×
482
MS_DRG 		Hip And Femur Procedures Except Major Joint Without Cc/mcc 1 $75,414.73 $75,414.73 $75,414.73 nat. median
$15,979
outlier · 4.7×
350
MS_DRG 		Inguinal And Femoral Hernia Procedures With Mcc 1 $73,490.56 $73,490.56 $73,490.56 nat. median
$23,344
outlier · 3.1×
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 1 $72,339.24 $72,339.24 $72,339.24 nat. median
$18,751
outlier · 3.9×
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 $69,660.81 $69,660.81 $69,660.81 nat. median
$19,195
outlier · 3.6×
512
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 1 $69,563.16 $69,563.16 $69,563.16 nat. median
$16,057
outlier · 4.3×
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 2 $30,319.00 $107,183.85 $68,751.43 nat. median
$29,441
outlier · 2.3×
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 2 $68,028.07 $68,870.47 $68,449.27 nat. median
$11,506
outlier · 5.9×
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 $67,369.95 $67,369.95 $67,369.95 nat. median
$18,267
outlier · 3.7×
906
MS_DRG 		Hand Procedures For Injuries 1 $67,264.23 $67,264.23 $67,264.23 nat. median
$19,207
outlier · 3.5×
337
MS_DRG 		Peritoneal Adhesiolysis Without Cc/mcc 1 $65,998.02 $65,998.02 $65,998.02 nat. median
$15,115
outlier · 4.4×
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 1 $61,053.32 $61,053.32 $61,053.32 nat. median
$16,522
outlier · 3.7×
434
MS_DRG 		Cirrhosis And Alcoholic Hepatitis Without Cc/mcc 3 $58,886.08 $68,865.28 $59,541.28 nat. median
$7,608
outlier · 7.8×
552
MS_DRG 		Medical Back Problems Without Mcc 1 $58,989.25 $58,989.25 $58,989.25 nat. median
$9,826
outlier · 6.0×
203
MS_DRG 		Bronchitis And Asthma Without Cc/mcc 1 $58,813.76 $58,813.76 $58,813.76 nat. median
$7,240
outlier · 8.1×
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 1 $58,722.66 $58,722.66 $58,722.66 nat. median
$38,930
1.5× median
398
MS_DRG 		Appendix Procedures With Cc 1 $57,351.62 $57,351.62 $57,351.62 nat. median
$15,014
outlier · 3.8×
392
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 1 $56,738.66 $56,738.66 $56,738.66 nat. median
$8,173
outlier · 6.9×
195
MS_DRG 		Simple Pneumonia And Pleurisy Without Cc/mcc 1 $56,103.28 $56,103.28 $56,103.28 nat. median
$6,812
outlier · 8.2×
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 2 $30,319.00 $79,713.56 $55,016.28 nat. median
$18,811
outlier · 2.9×
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 3 $53,985.24 $62,538.84 $54,546.84 nat. median
$17,042
outlier · 3.2×
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 1 $54,425.87 $54,425.87 $54,425.87 nat. median
$12,270
outlier · 4.4×
517
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 1 $52,178.36 $52,178.36 $52,178.36 nat. median
$15,163
outlier · 3.4×
465
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $51,699.89 $51,699.89 $51,699.89 nat. median
$17,563
outlier · 2.9×
351
MS_DRG 		Inguinal And Femoral Hernia Procedures With Cc 1 $50,267.04 $50,267.04 $50,267.04 nat. median
$14,850
outlier · 3.4×
3559149_1
CDM 		Ivig {carimune} 24gm Bottle 33 $5,500.00 $58,829.00 $50,004.65 nat. median
$15,296
outlier · 3.3×
743
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 1 $48,426.19 $48,426.19 $48,426.19 nat. median
$12,360
outlier · 3.9×
354
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Cc 1 $48,163.27 $48,163.27 $48,163.27 nat. median
$16,463
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 6,369 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
             
Q4100 HCPCS Skin Substitute, Not Otherwise Specified 37 37 $33,502.00 — $5,500.00 $53,603.20 $28,476.70 2026-05-11
Q0249 HCPCS Injection, Tocilizumab, For Hospitalized Adults And Pediatric Patients (2 Years … 37 37 $15,252.25 — $2,897.93 $24,403.60 $12,964.41 2026-05-11
J9999 HCPCS Not Otherwise Classified, Antineoplastic Drugs 37 37 $6,812.75 — $1,294.42 $10,900.40 $5,790.84 2026-05-11
J9395 HCPCS Injection, Fulvestrant, 25 Mg 37 37 $12,870.50 — $2,445.40 $20,592.80 $10,939.93 2026-05-11
J9355 HCPCS Injection, Trastuzumab, Excludes Biosimilar, 10 Mg 39 39 $61,454.75 — $69.75 $61,454.75 $46,091.06 2026-05-11
J9312 HCPCS Injection, Rituximab, 10 Mg 39 39 $12,095.00 — $70.45 $12,095.00 $9,071.25 2026-05-11
J9305 HCPCS Injection, Pemetrexed, Not Otherwise Specified, 10 Mg 39 39 $36,184.75 — $3.84 $36,184.75 $27,138.56 2026-05-11
J9264 HCPCS Injection, Paclitaxel Protein-bound Particles, 1 Mg 39 39 $15,543.25 — $5.72 $15,543.25 $11,657.44 2026-05-11
J9263 HCPCS Injection, Oxaliplatin, 0.5 Mg 37 37 $29,858.00 — $5,500.00 $47,772.80 $25,379.30 2026-05-11
J9171 HCPCS Injection, Docetaxel, 1 Mg 37 37 $7,146.75 — $1,357.88 $11,434.80 $6,074.74 2026-05-11
J7168 HCPCS Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 70 39 $8,517.00 — $1.95 $12,491.50 $7,432.48 2026-05-11
J3489 HCPCS Injection, Zoledronic Acid, 1 Mg 73 37 $13,472.50 — $2,559.78 $31,442.40 $12,380.45 2026-05-11
J3101 HCPCS Injection, Tenecteplase, 1 Mg 39 39 $37,791.25 — $187.57 $60,466.00 $32,122.56 2026-05-11
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 102 39 $20,447.25 — $90.34 $119,387.75 $14,108.60 2026-05-11
J2993 HCPCS Injection, Reteplase, 18.1 Mg 39 39 $39,495.50 — $2,759.34 $63,192.80 $33,571.18 2026-05-11
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 39 39 $46,080.75 — $121.01 $46,080.75 $34,560.56 2026-05-11
J2469 HCPCS Injection, Palonosetron Hcl, 25 Mcg 37 37 $7,234.25 — $1,374.51 $11,574.80 $6,149.11 2026-05-11
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 39 39 $31,517.00 — $178.93 $31,517.00 $23,637.75 2026-05-11
J1950 HCPCS Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg 70 39 $11,207.75 — $1,677.29 $13,197.50 $9,526.59 2026-05-11
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 39 39 $9,408.00 — $29.49 $9,408.00 $7,056.00 2026-05-11
J1740 HCPCS Injection, Ibandronate Sodium, 1 Mg 37 37 $6,538.50 — $1,242.32 $10,461.60 $5,557.73 2026-05-11
J1561 HCPCS Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 39 39 $15,437.50 — $47.24 $15,437.50 $11,578.13 2026-05-11
J1451 HCPCS Injection, Fomepizole, 15 Mg 39 39 $22,305.00 — $6.21 $22,305.00 $16,728.75 2026-05-11
J1438 HCPCS Injection, Etanercept, 25 Mg (code May Be Used For Medicare When Drug Administer… 37 37 $8,810.25 — $1,673.95 $14,096.40 $7,488.71 2026-05-11
J1327 HCPCS Injection, Eptifibatide, 5 Mg 39 39 $12,515.50 — $3.10 $20,024.80 $10,638.18 2026-05-11
J0883 HCPCS Injection, Argatroban, 1 Mg (for Non-esrd Use) 39 39 $20,844.00 — $0.96 $20,844.00 $15,633.00 2026-05-11
J0881 HCPCS Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use) 39 39 $14,988.00 — $2.92 $14,988.00 $11,241.00 2026-05-11
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 39 39 $19,386.00 — $1,748.97 $19,386.00 $14,539.50 2026-05-11
J0585 HCPCS Injection, Onabotulinumtoxina, 1 Unit 39 39 $8,178.25 — $6.19 $8,178.25 $6,133.69 2026-05-11
J0490 HCPCS Injection, Belimumab, 10 Mg 39 39 $13,727.75 — $54.33 $13,727.75 $10,295.81 2026-05-11
J0270 HCPCS Injection, Alprostadil, 1.25 Mcg (code May Be Used For Medicare When Drug Admini… 37 37 $37,978.00 — $5,500.00 $60,764.80 $32,281.30 2026-05-11
J0207 HCPCS Injection, Amifostine, 500 Mg 37 37 $7,938.00 — $1,508.22 $12,700.80 $6,747.30 2026-05-11
J0130 HCPCS Injection Abciximab, 10 Mg 37 37 $8,908.75 — $1,692.66 $14,254.00 $7,572.44 2026-05-11
J0129 HCPCS Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 39 39 $10,505.00 — $42.48 $10,505.00 $7,878.75 2026-05-11
C9781 HCPCS Arthroscopy, Shoulder, Surgical; With Implantation Of Subacromial Spacer (e.g., … 34 34 $9,750.00 — $1,852.50 $12,854.46 $8,287.50 2026-05-11
C1771 HCPCS Repair Device, Urinary, Incontinence, With Sling Graft 108 37 $6,597.75 — $96.38 $35,891.20 $5,623.30 2026-05-11
C1762 HCPCS Connective Tissue, Human (includes Fascia Lata) 37 37 $7,984.25 — $96.38 $12,774.80 $6,786.61 2026-05-11
A4264 HCPCS Permanent Implantable Contraceptive Intratubal Occlusion Device(s) And Delivery … 37 37 $7,826.75 — $96.38 $12,522.80 $6,652.74 2026-05-11
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 $188,726.29 — $170,843.77 $170,843.77 $170,843.77 2026-05-11
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 39 39 $10,412.75 — $278.00 $10,412.75 $6,560.03 2026-05-11
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 39 39 $8,535.50 $550.00 94% off $278.00 $8,535.50 $5,500.00 2026-05-11
95807 HCPCS Sleep Study Including Heart Rate And Breathing Attended By Technician 39 39 $8,046.75 — $278.00 $8,046.75 $5,500.00 2026-05-11
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 $63,046.47 — $58,722.66 $58,722.66 $58,722.66 2026-05-11
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 $107,750.55 — $98,543.21 $98,543.21 $98,543.21 2026-05-11
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 $13,830.25 $3,457,562.50 $37,230.25 $37,230.25 $37,230.25 2026-05-11
91 MS_DRG Other Disorders Of Nervous System With Mcc 3 3 $26,466.84 — $53,985.24 $62,538.84 $54,546.84 2026-05-11
906 MS_DRG Hand Procedures For Injuries 1 1 $74,408.03 — $67,264.23 $67,264.23 $67,264.23 2026-05-11
9005002_1 CDM Ablator Disposable Ns2000 33 33 $6,597.75 — $1,253.57 $6,597.75 $5,608.09 2026-05-11
9003050_1 CDM Esurecoil Catheter 33 33 $8,282.75 — $1,573.72 $8,282.75 $7,040.34 2026-05-11
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 1 $77,378.16 — $69,660.81 $69,660.81 $69,660.81 2026-05-11
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 $117,444.84 — $105,911.00 $105,911.00 $105,911.00 2026-05-11
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 3 3 $11,243.41 $2,810,851.78 $25,002.61 $29,279.41 $25,283.41 2026-05-11
812 MS_DRG Red Blood Cell Disorders Without Mcc 3 3 $32,743.46 — $78,607.46 $92,863.46 $79,543.46 2026-05-11
811 MS_DRG Red Blood Cell Disorders With Mcc 1 1 $40,998.61 — $83,082.61 $83,082.61 $83,082.61 2026-05-11
794 MS_DRG Neonate With Other Significant Problems 3 3 $8,127.24 $2,031,810.78 $21,653.24 $22,167.24 $21,886.44 2026-05-11
793 MS_DRG Full Term Neonate With Major Problems 3 3 $10,470.69 $2,617,673.38 $23,996.69 $24,510.69 $24,229.89 2026-05-11
792 MS_DRG Prematurity Without Major Problems 3 3 $10,885.69 $2,721,421.53 $24,411.69 $24,925.69 $24,644.89 2026-05-11
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 3 3 $9,054.10 $2,263,524.83 $22,813.30 $27,090.10 $23,094.10 2026-05-11
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 1 1 $53,689.86 — $48,426.19 $48,426.19 $48,426.19 2026-05-11
71 MS_DRG Other Cerebrovascular Disorders With Cc 2 2 $33,107.47 — $83,557.87 $99,239.47 $91,398.67 2026-05-11
69552 HCPCS Removal Of Growth Of Outer Ear Through Mastoid Bone 39 39 $12,328.75 — $299.39 $13,100.00 $10,479.44 2026-05-11
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 2 2 $26,750.47 — $68,028.07 $68,870.47 $68,449.27 2026-05-11
683 MS_DRG Renal Failure With Cc 2 2 $32,137.12 — $82,587.52 $83,617.12 $83,102.32 2026-05-11
682 MS_DRG Renal Failure With Mcc 1 1 $48,993.76 — $103,101.76 $103,101.76 $103,101.76 2026-05-11
67228 HCPCS Destruction Of Leaking Blood Vessels Of Retina Using Laser 39 39 $9,427.25 — $299.39 $9,427.25 $5,939.17 2026-05-11
67210 HCPCS Destruction Of Growth Of Retina Using A Laser 39 39 $8,806.50 — $299.39 $8,806.50 $5,548.10 2026-05-11
67105 HCPCS Repair Of Detached Retina Using A Laser 39 39 $15,276.25 — $299.39 $15,276.25 $11,457.19 2026-05-11
67010 HCPCS Partial Removal Of Eye Fluid Between Lens And Retina With Mechanical Removal Of … 39 39 $18,870.50 — $299.39 $18,870.50 $12,548.00 2026-05-11
66984 HCPCS Removal Of Cataract With Insertion Of Prosthetic Lens 39 39 $16,174.50 $80.00 100% off $299.39 $16,174.50 $13,100.00 2026-05-11
66821 HCPCS Removal Of Recurring Cataract In Lens Capsule Using A Laser 39 39 $6,963.75 — $267.01 $6,963.75 $5,900.00 2026-05-11
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 1 1 $42,078.45 — $38,136.73 $38,136.73 $38,136.73 2026-05-11
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 1 1 $45,771.54 — $41,460.51 $41,460.51 $41,460.51 2026-05-11
65855 HCPCS Laser Repair To Improve Eye Fluid Flow 39 39 $9,150.50 — $286.67 $9,150.50 $5,764.82 2026-05-11
65775 HCPCS Removal Of Corneal Tissue To Correct Astigmatism 39 39 $7,139.50 — $299.39 $11,423.20 $6,068.58 2026-05-11
64721 HCPCS Release And/or Relocation Of Hand Nerve 39 39 $6,804.00 — $299.39 $6,804.00 $5,783.40 2026-05-11
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 2 $48,525.51 — $131,080.71 $132,765.51 $131,923.11 2026-05-11
61700710_1 CDM Back Brace 33 33 $7,492.75 — $1,423.62 $7,492.75 $6,368.84 2026-05-11
61700486_1 CDM Brace With Cerv Attach Tlso 33 33 $8,328.75 — $1,582.46 $8,328.75 $7,079.44 2026-05-11
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 $74,489.14 — $67,369.95 $67,369.95 $67,369.95 2026-05-11
60240 HCPCS Removal Of Thyroid 39 39 $13,816.25 — $299.39 $13,816.25 $11,500.00 2026-05-11
58925 HCPCS Removal Of Cysts Of Ovaries 39 39 $6,507.75 — $299.39 $11,150.00 $5,531.59 2026-05-11
58671 HCPCS Blockage Of Uterine Tubes By Device Using An Endoscope 39 39 $7,380.50 — $299.39 $7,650.00 $6,273.43 2026-05-11
58660 HCPCS Removal Of Scar Tissue Of Ovaries Or Fallopian Tubes Using An Endoscope 39 39 $7,916.75 — $299.39 $13,100.00 $6,729.24 2026-05-11
58563 HCPCS Exam Of Uterus With Destruction Of Lining Of Uterus Using An Endoscope 39 39 $7,732.25 — $299.39 $10,500.00 $6,572.41 2026-05-11
58353 HCPCS Destruction Of Lining Of Uterus 65 39 $5,941.25 — $299.39 $11,978.75 $5,406.54 2026-05-11
58262 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, 250.0 G Or Less 39 39 $13,850.75 — $299.39 $13,950.00 $11,773.14 2026-05-11
58260 HCPCS Removal Of Uterus Through Vagina, 250.0 G Or Less 39 39 $6,790.25 — $299.39 $13,950.00 $5,771.71 2026-05-11
58180 HCPCS Removal Of Uterus Through Abdomen 39 39 $7,101.75 — $299.39 $10,500.00 $6,036.49 2026-05-11
58152 HCPCS Removal Of Uterus And Cervix Through Abdomen With Repair Of Vagina 39 39 $13,372.50 — $299.39 $13,950.00 $11,366.63 2026-05-11
57284 HCPCS Repair Of Vaginal Wall Defect Through Abdomen 39 39 $11,852.50 — $299.39 $11,852.50 $10,074.63 2026-05-11
55812 HCPCS Removal Of Prostate Gland With Lymph Node Biopsy Through Incision Between Scrotu… 39 39 $18,764.25 — $299.39 $18,764.25 $14,073.19 2026-05-11
552 MS_DRG Medical Back Problems Without Mcc 1 1 $28,929.25 — $58,989.25 $58,989.25 $58,989.25 2026-05-11
54640 HCPCS Repositioning And Suture Of Misplaced Testicle 39 39 $8,607.25 — $299.39 $8,607.25 $7,316.16 2026-05-11
54530 HCPCS Removal Of Growth Of Testicle Through Groin 39 39 $7,547.25 — $299.39 $10,500.00 $6,415.16 2026-05-11
52648 HCPCS Complete Laser Vaporization Of Prostate Including Control Of Bleeding Using An E… 39 39 $29,900.00 — $838.95 $29,900.00 $18,837.00 2026-05-11
52601 HCPCS Removal Of Prostate Gland Using An Electrocautery Knife Through Urethra With Con… 39 39 $13,418.50 — $299.39 $13,418.50 $9,411.00 2026-05-11
52353 HCPCS Crushing Of Stone Of Ureter Using An Endoscope 39 39 $17,524.25 — $299.39 $17,524.25 $11,040.28 2026-05-11
52330 HCPCS Manipulation Of Stone In Ureter Using An Endoscope 39 39 $6,357.75 — $299.39 $6,357.75 $5,404.09 2026-05-11
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 1 1 $102,018.22 — $93,726.12 $93,726.12 $93,726.12 2026-05-11
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 $119,014.45 — $108,743.11 $108,743.11 $108,743.11 2026-05-11
51845 HCPCS Repair Of Bladder Neck In Female 39 39 $11,676.75 — $299.39 $11,676.75 $9,925.24 2026-05-11
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 1 1 $57,466.86 — $52,178.36 $52,178.36 $52,178.36 2026-05-11
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc 1 1 $53,069.59 — $47,779.63 $47,779.63 $47,779.63 2026-05-11
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 1 1 $75,706.72 — $69,563.16 $69,563.16 $69,563.16 2026-05-11
505 MS_DRG Foot Procedures Without Cc/mcc 1 1 $48,221.93 — $43,845.94 $43,845.94 $43,845.94 2026-05-11
50230 HCPCS Removal Of Kidney, Lymph Nodes, And/or Blood Clot From Major Vein With Partial R… 39 39 $25,188.25 — $299.39 $25,188.25 $15,868.60 2026-05-11
49591 HCPCS Initial Repair Of Sliding Hernia Of Abdomen, Less Than 3 Cm In Length 39 39 $7,821.75 — $277.74 $7,821.75 $5,866.31 2026-05-11
49566 HCPCS Repair Recurrent Incisional Or Ventral Hernia; Incarcerated Or Strangulated 39 39 $7,439.00 — $299.39 $11,902.40 $6,323.15 2026-05-11
49565 HCPCS Repair Recurrent Incisional Or Ventral Hernia; Reducible 39 39 $7,159.50 — $299.39 $11,455.20 $6,085.58 2026-05-11
49561 HCPCS Repair Initial Incisional Or Ventral Hernia; Incarcerated Or Strangulated 39 39 $7,057.00 — $299.39 $11,291.20 $5,998.45 2026-05-11
49560 HCPCS Repair Initial Incisional Or Ventral Hernia; Reducible 39 39 $9,027.25 — $299.39 $14,443.60 $7,673.16 2026-05-11
49505 HCPCS Repair Of Groin Hernia (5 Years Or Older) 39 39 $6,408.75 $10,346.00 $299.39 $10,500.00 $5,447.44 2026-05-11
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 1 1 $76,472.89 — $72,339.24 $72,339.24 $72,339.24 2026-05-11
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 $90,088.38 — $83,087.59 $83,087.59 $83,087.59 2026-05-11
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 $128,339.36 — $116,876.46 $116,876.46 $116,876.46 2026-05-11
49020 HCPCS Drainage Of Abdominal Abscess Or Infection 39 39 $10,383.50 — $299.39 $13,950.00 $8,825.98 2026-05-11
49000 HCPCS Exploration Of Abdominal Cavity 39 39 $9,601.50 — $299.39 $10,500.00 $8,161.28 2026-05-11
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 1 1 $82,843.35 — $75,414.73 $75,414.73 $75,414.73 2026-05-11
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 1 1 $102,322.60 — $93,544.33 $93,544.33 $93,544.33 2026-05-11
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 $196,101.02 — $178,121.28 $178,121.28 $178,121.28 2026-05-11
47610 HCPCS Removal Of Gallbladder With Exploration Of Common Bile Duct 39 39 $12,380.50 — $299.39 $13,950.00 $10,523.43 2026-05-11
47605 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts 39 39 $13,800.50 — $299.39 $13,800.50 $11,730.43 2026-05-11
47600 HCPCS Removal Of Gallbladder 39 39 $12,939.50 — $299.39 $13,100.00 $10,998.58 2026-05-11
47563 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope 39 39 $13,117.25 — $299.39 $19,350.00 $11,149.66 2026-05-11
47562 HCPCS Removal Of Gallbladder Using An Endoscope 72 39 $11,713.25 $19,806.00 $299.39 $19,350.00 $6,675.00 2026-05-11
47100 HCPCS Partial Removal Of Liver Tissue 39 39 $7,090.25 — $299.39 $10,500.00 $6,026.71 2026-05-11
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 2 2 $84,535.60 — $30,319.00 $79,713.56 $55,016.28 2026-05-11
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 2 2 $115,170.65 — $30,319.00 $107,183.85 $68,751.43 2026-05-11
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 2 2 $154,849.96 — $30,319.00 $150,852.96 $90,585.98 2026-05-11
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 $56,700.99 — $51,699.89 $51,699.89 $51,699.89 2026-05-11
44960 HCPCS Removal Of Ruptured Infected Appendix 39 39 $7,530.25 — $299.39 $11,150.00 $6,400.71 2026-05-11
44950 HCPCS Removal Of Appendix 39 39 $6,863.25 — $299.39 $11,150.00 $5,833.76 2026-05-11
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 1 1 $20,028.21 — $44,076.21 $44,076.21 $44,076.21 2026-05-11
44160 HCPCS Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe… 34 34 $7,556.75 — $299.39 $11,500.00 $6,423.24 2026-05-11
44145 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum 39 39 $7,880.00 — $299.39 $11,500.00 $6,698.00 2026-05-11
44140 HCPCS Partial Removal Of Large Bowel With Connection 39 39 $15,641.25 — $299.39 $15,641.25 $11,730.94 2026-05-11
44120 HCPCS Partial Removal Of Small Bowel With Reconnection 39 39 $13,706.75 — $299.39 $13,706.75 $11,500.00 2026-05-11
44050 HCPCS Repair Of Twisted Or Herniated Small Bowel 39 39 $10,980.25 — $299.39 $11,150.00 $9,333.21 2026-05-11
44005 HCPCS Release Of Intestinal Scar Tissue 39 39 $7,971.00 — $299.39 $10,500.00 $6,775.35 2026-05-11
43830 HCPCS Insertion Of Stomach Feeding Tube 39 39 $9,684.25 — $299.39 $9,684.25 $7,650.00 2026-05-11
434 MS_DRG Cirrhosis And Alcoholic Hepatitis Without Cc/mcc 3 3 $26,781.28 — $58,886.08 $68,865.28 $59,541.28 2026-05-11
43280 HCPCS Strengthening Of Muscle Between Esophagus And Stomach By Wrapping Part Of Stomac… 39 39 $12,205.50 — $299.39 $13,100.00 $10,374.68 2026-05-11
43268 HCPCS Rev - Fs-rural/clinic 39 39 $8,073.50 — $299.39 $12,917.60 $6,862.48 2026-05-11
43262 HCPCS Incision Of Pancreatic Outlet Using A Flexible Endoscope 39 39 $9,495.25 — $299.39 $9,495.25 $7,121.44 2026-05-11
43246 HCPCS Insertion Of Stomach Tube Using A Flexible Endoscope 39 39 $7,207.00 — $242.00 $7,207.00 $5,900.00 2026-05-11
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 $1,376,850.68 — $1,239,170.94 $1,239,170.94 $1,239,170.94 2026-05-11
398 MS_DRG Appendix Procedures With Cc 1 1 $63,668.12 — $57,351.62 $57,351.62 $57,351.62 2026-05-11
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 1 1 $26,678.66 — $56,738.66 $56,738.66 $56,738.66 2026-05-11
38100 HCPCS Removal Of Spleen 39 39 $11,181.50 — $299.39 $11,500.00 $9,504.28 2026-05-11
37617 HCPCS Tying Of Major Artery Of The Abdomen 39 39 $9,886.50 — $299.39 $10,500.00 $8,403.53 2026-05-11
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 1 1 $40,773.40 — $88,869.40 $88,869.40 $88,869.40 2026-05-11
3559989_1 CDM Survanta 25 Mg/ml Vial 33 33 $15,642.00 — $2,971.98 $15,642.00 $13,295.70 2026-05-11
35599770_1 CDM Gammagard Liquid 10% Vial 33 33 $29,340.25 — $5,500.00 $29,340.25 $24,939.21 2026-05-11
3559966_1 CDM Beractant {survanta} 4ml Vial 33 33 $8,823.75 — $1,676.51 $8,823.75 $7,500.19 2026-05-11
35599617_1 CDM Lupron 22.5mg Kit 33 33 $50,536.25 — $5,500.00 $50,536.25 $42,955.81 2026-05-11
3559791_1 CDM Drotrecogin Alfa Vial :20mg 33 33 $16,944.00 — $3,219.36 $16,944.00 $14,402.40 2026-05-11
3559684_1 CDM Palivizumab (synagis) Sdv 50mg 33 33 $12,502.50 — $2,375.48 $12,502.50 $10,627.13 2026-05-11
3559199_1 CDM Palivizumab (synagis)vl:100mg 33 33 $23,606.75 — $4,485.28 $23,606.75 $20,065.74 2026-05-11
3559149_1 CDM Ivig {carimune} 24gm Bottle 33 33 $58,829.00 — $5,500.00 $58,829.00 $50,004.65 2026-05-11
3559121_1 CDM Adalimumab {humira} 40mg Pfs 33 33 $10,690.00 — $2,031.10 $10,690.00 $9,086.50 2026-05-11
3551789_1 CDM Lupron Depot 7.5 Mg Kit 33 33 $13,481.75 — $2,561.53 $13,481.75 $11,459.49 2026-05-11
3550910_1 CDM Digifab 40 Mg Vial 33 33 $10,009.50 — $1,901.81 $10,009.50 $8,508.08 2026-05-11
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 1 1 $47,548.43 — $43,200.73 $43,200.73 $43,200.73 2026-05-11
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 1 1 $53,093.01 — $48,163.27 $48,163.27 $48,163.27 2026-05-11
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 1 1 $44,292.36 — $39,983.07 $39,983.07 $39,983.07 2026-05-11
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 1 1 $54,651.43 — $50,267.04 $50,267.04 $50,267.04 2026-05-11
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 1 1 $79,739.01 — $73,490.56 $73,490.56 $73,490.56 2026-05-11
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 1 1 $73,113.91 — $65,998.02 $65,998.02 $65,998.02 2026-05-11
33210 HCPCS Insertion Of Temporary Pacemaker Lead In Single Heart Chamber 39 39 $18,500.00 — $260.61 $18,500.00 $11,655.00 2026-05-11
33208 HCPCS Insertion Of Pacemaker And Upper And Lower Heart Chamber Electrode 39 39 $8,638.75 — $299.39 $11,150.00 $7,342.94 2026-05-11
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 1 1 $67,696.59 — $61,053.32 $61,053.32 $61,053.32 2026-05-11
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 $87,618.50 — $79,223.32 $79,223.32 $79,223.32 2026-05-11
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 1 1 $34,516.78 — $103,312.78 $103,312.78 $103,312.78 2026-05-11
29894 HCPCS Removal Of Loose Or Foreign Body In Ankle Using An Endoscope 39 39 $9,947.50 — $299.39 $9,947.50 $7,650.00 2026-05-11
29888 HCPCS Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope 39 39 $20,796.25 — $299.39 $20,796.25 $15,597.19 2026-05-11
29882 HCPCS Repair Of Inside Or Outside Knee Joint Cartilage Using An Endoscope 39 39 $8,898.50 — $299.39 $10,500.00 $7,563.73 2026-05-11
29881 HCPCS Removal Of Knee Cartilage Using An Endoscope 39 39 $12,105.50 $10,346.00 $299.39 $12,105.50 $10,289.68 2026-05-11
29880 HCPCS Removal Of Both Knee Cartilages Using An Endoscope 39 39 $9,937.00 — $299.39 $11,150.00 $8,446.45 2026-05-11
29876 HCPCS Removal Of Joint Lining From Multiple Knee Joint Compartments Using An Endoscope 39 39 $11,906.00 — $299.39 $11,906.00 $10,120.10 2026-05-11
29875 HCPCS Partial Removal Of Knee Joint Lining Using An Endoscope 39 39 $9,979.50 — $299.39 $11,150.00 $8,482.58 2026-05-11
29826 HCPCS Shaving Of Part Of Shoulder Bone And Repair Of Ligament Using An Endoscope 39 39 $13,240.50 $11,200.00 $299.39 $13,240.50 $11,150.00 2026-05-11
292 MS_DRG Heart Failure And Shock With Cc 3 3 $36,755.80 — $82,619.80 $96,875.80 $83,555.80 2026-05-11
28805 HCPCS Amputation Of Foot Across Instep 39 39 $6,704.25 — $299.39 $7,650.00 $5,698.61 2026-05-11
28725 HCPCS Fusion Of Foot Below Ankle 39 39 $10,792.50 — $299.39 $10,792.50 $9,173.63 2026-05-11
28300 HCPCS Incision Or Partial Removal Of Heel Bone 39 39 $7,386.75 — $299.39 $7,386.75 $5,900.00 2026-05-11
28296 HCPCS Correction Of Bunion With Alignment Correction Of Midfoot Bone Toward Toe Area 39 39 $9,478.75 — $299.39 $9,478.75 $7,650.00 2026-05-11
28292 HCPCS Correction Of Bunion 39 39 $7,523.25 — $299.39 $7,523.25 $5,900.00 2026-05-11
28291 HCPCS Correction Of Rigid Deformity Of First Joint Of Big Toe Using Implant 39 39 $7,485.50 — $299.39 $7,650.00 $6,362.68 2026-05-11
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 1 1 $32,466.45 — $78,330.45 $78,330.45 $78,330.45 2026-05-11
27888 HCPCS Amputation Of Foot At Ankle With Reconstruction Of Skin And Tissue 39 39 $10,673.25 — $299.39 $13,100.00 $9,072.26 2026-05-11
27880 HCPCS Amputation Of Both Lower Leg Bones 39 39 $10,291.75 — $299.39 $11,500.00 $8,747.99 2026-05-11
27870 HCPCS Fusion Of Ankle Joint, Open Procedure 39 39 $14,484.50 — $299.39 $14,484.50 $10,863.38 2026-05-11
27822 HCPCS Treatment Of 3 Broken Lower Leg Bones At Ankle 39 39 $9,792.75 — $299.39 $9,792.75 $7,650.00 2026-05-11
27814 HCPCS Treatment Of Both Broken Lower Leg Bones At Ankle 39 39 $8,729.75 — $299.39 $8,729.75 $7,420.29 2026-05-11
27759 HCPCS Treatment Of Broken Part Of Shin Bone With Rod 39 39 $8,441.00 — $299.39 $10,500.00 $7,174.85 2026-05-11
27540 HCPCS Treatment Of Broken Shin Bone At Knee 39 39 $6,919.25 — $299.39 $7,650.00 $5,881.36 2026-05-11
27535 HCPCS Treatment Of Broken Side Of Upper End Of Shin Bone 39 39 $7,022.25 — $299.39 $7,650.00 $5,968.91 2026-05-11
27447 HCPCS Replacement Of Knee Joint, Both Sides Of Knee 39 39 $23,139.50 — $299.39 $23,139.50 $19,350.00 2026-05-11
27418 HCPCS Repair Of Upper End Of Shin Bone At Knee Joint 39 39 $6,917.00 — $299.39 $7,650.00 $5,879.45 2026-05-11
27130 HCPCS Replacement Of Thigh Bone And Hip Joint With Prosthesis 39 39 $26,282.75 — $299.39 $26,282.75 $16,558.13 2026-05-11
26746 HCPCS Treatment Of Broken Finger Or Hand At Base Of Finger 39 39 $7,361.75 — $299.39 $10,500.00 $6,257.49 2026-05-11
26358 HCPCS Secondary Repair Of Finger Tendon On Underside Of Hand With A Graft In Zone 2 39 39 $12,417.75 — $299.39 $12,417.75 $10,500.00 2026-05-11
25440 HCPCS Repair Of Non-healed Wrist Bone, Scaphoid Or Navicular At The Base Of The Thumb 39 39 $11,034.00 — $299.39 $11,034.00 $9,378.90 2026-05-11
24685 HCPCS Treatment Of Broken Forearm Bone On Small Finger Side At Elbow 39 39 $7,692.50 — $299.39 $7,692.50 $6,538.63 2026-05-11
24579 HCPCS Treatment Of Broken Elbow 39 39 $7,795.75 — $299.39 $7,795.75 $6,626.39 2026-05-11
24116 HCPCS Removal Of Cyst Or Growth Of Upper Arm Bone And Donor Bone Graft 39 39 $8,611.25 — $299.39 $8,611.25 $7,319.56 2026-05-11
23616 HCPCS Treatment Of Broken Upper Arm Bone With Replacement 39 39 $19,925.25 — $299.39 $19,925.25 $13,583.00 2026-05-11
23615 HCPCS Treatment Of Broken Top Of Upper Arm Bone 39 39 $11,068.00 — $299.39 $11,068.00 $9,407.80 2026-05-11
23466 HCPCS Repair And Tightening Of Shoulder Joint Capsule 39 39 $15,653.00 — $299.39 $15,653.00 $13,100.00 2026-05-11
23420 HCPCS Repair Of Complete Tear Of Shoulder Rotator Cuff With Release Of Pressure On Col… 39 39 $16,147.75 — $299.39 $16,147.75 $13,100.00 2026-05-11
23412 HCPCS Repair Of Chronic Torn Shoulder Rotator Cuff 39 39 $8,134.00 — $299.39 $13,100.00 $6,913.90 2026-05-11
23120 HCPCS Partial Removal Of Collar Bone 39 39 $7,023.50 — $299.39 $10,500.00 $5,969.98 2026-05-11
21601 HCPCS Removal Of Growth Of Chest Wall And Rib 39 39 $8,101.00 — $96.38 $8,101.00 $5,500.00 2026-05-11
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 $109,162.56 — $98,250.73 $98,250.73 $98,250.73 2026-05-11
20525 HCPCS Complicated Removal Of Foreign Body In Deep Muscle Or Tendon 39 39 $7,749.00 — $416.00 $7,749.00 $5,900.00 2026-05-11
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 1 1 $22,122.56 — $58,813.76 $58,813.76 $58,813.76 2026-05-11
20103 HCPCS Exploration Of Wound Of Arm Or Leg 39 39 $8,526.50 — $261.68 $8,526.50 $6,394.88 2026-05-11
20102 HCPCS Exploration Of Wound Of Abdomen, Back, Or Flank 39 39 $9,549.75 — $194.39 $9,549.75 $7,650.00 2026-05-11
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 1 1 $26,043.28 — $56,103.28 $56,103.28 $56,103.28 2026-05-11
19306 HCPCS Extensive Removal Of Breast, Chest Muscle, Underarm Lymph Nodes, And Breast Lymp… 39 39 $11,354.50 — $299.39 $11,354.50 $9,651.33 2026-05-11
19302 HCPCS Partial Removal Of Breast And Underarm Lymph Nodes 39 39 $7,389.00 — $299.39 $10,500.00 $6,280.65 2026-05-11
19089966_1 CDM Ankle Ext Fix Frame Kit 33 33 $13,714.50 — $2,605.76 $13,714.50 $11,657.33 2026-05-11
19050008_1 CDM Graft Hd Matrix 5x8 33 33 $7,788.75 — $1,479.86 $7,788.75 $6,620.44 2026-05-11
1904902_1 CDM Operating Room Services - General Classification 33 33 $7,054.75 — $1,340.40 $7,054.75 $5,996.54 2026-05-11
1904875_1 CDM Operating Room Services - General Classification 33 33 $17,112.00 — $3,251.28 $17,112.00 $14,545.20 2026-05-11
1904855_1 CDM Operating Room Services - General Classification 33 33 $8,297.75 — $1,576.57 $8,297.75 $7,053.09 2026-05-11
1904851_1 CDM Operating Room Services - General Classification 33 33 $9,945.00 — $1,889.55 $9,945.00 $8,453.25 2026-05-11
1904830_1 CDM Operating Room Services - General Classification 33 33 $18,000.00 — $3,420.00 $18,000.00 $15,300.00 2026-05-11
1904748_1 CDM Operating Room Services - General Classification 33 33 $6,668.00 — $1,266.92 $6,668.00 $5,667.80 2026-05-11
1904732_1 CDM Operating Room Services - General Classification 33 33 $6,568.50 — $1,248.02 $6,568.50 $5,583.23 2026-05-11
1904730_1 CDM Operating Room Services - General Classification 33 33 $6,631.25 — $1,259.94 $6,631.25 $5,636.56 2026-05-11
1904713_1 CDM Operating Room Services - General Classification 33 33 $7,653.50 — $1,454.17 $7,653.50 $6,505.48 2026-05-11
1904712_1 CDM Operating Room Services - General Classification 33 33 $7,294.25 — $1,385.91 $7,294.25 $6,200.11 2026-05-11
1904688_1 CDM Operating Room Services - General Classification 33 33 $7,352.50 — $1,396.98 $7,352.50 $6,249.63 2026-05-11
1904680_1 CDM Operating Room Services - General Classification 33 33 $8,048.00 — $1,529.12 $8,048.00 $6,840.80 2026-05-11
1903453_1 CDM Operating Room Services - General Classification 33 33 $11,659.50 — $2,215.31 $11,659.50 $9,910.58 2026-05-11
1903452_1 CDM Operating Room Services - General Classification 33 33 $9,010.25 — $1,711.95 $9,010.25 $7,658.71 2026-05-11
1903451_1 CDM Operating Room Services - General Classification 33 33 $11,659.50 — $2,215.31 $11,659.50 $9,910.58 2026-05-11
1903450_1 CDM Operating Room Services - General Classification 33 33 $23,316.25 — $4,430.09 $23,316.25 $19,818.81 2026-05-11
1903449_1 CDM Operating Room Services - General Classification 33 33 $11,659.50 — $2,215.31 $11,659.50 $9,910.58 2026-05-11
1903448_1 CDM Operating Room Services - General Classification 33 33 $11,659.50 — $2,215.31 $11,659.50 $9,910.58 2026-05-11
1903447_1 CDM Operating Room Services - General Classification 33 33 $11,659.50 — $2,215.31 $11,659.50 $9,910.58 2026-05-11
1903446_1 CDM Operating Room Services - General Classification 33 33 $9,010.25 — $1,711.95 $9,010.25 $7,658.71 2026-05-11
1903445_1 CDM Operating Room Services - General Classification 33 33 $9,010.25 — $1,711.95 $9,010.25 $7,658.71 2026-05-11
1903444_1 CDM Operating Room Services - General Classification 33 33 $11,659.50 — $2,215.31 $11,659.50 $9,910.58 2026-05-11
1903443_1 CDM Operating Room Services - General Classification 33 33 $11,659.50 — $2,215.31 $11,659.50 $9,910.58 2026-05-11
1903442_1 CDM Operating Room Services - General Classification 33 33 $15,368.25 — $2,919.97 $15,368.25 $13,063.01 2026-05-11
1903441_1 CDM Operating Room Services - General Classification 33 33 $11,659.50 — $2,215.31 $11,659.50 $9,910.58 2026-05-11
1903440_1 CDM Operating Room Services - General Classification 33 33 $6,890.00 — $1,309.10 $6,890.00 $5,856.50 2026-05-11
1903439_1 CDM Operating Room Services - General Classification 33 33 $11,659.50 — $2,215.31 $11,659.50 $9,910.58 2026-05-11
1903438_1 CDM Operating Room Services - General Classification 33 33 $15,368.25 — $2,919.97 $15,368.25 $13,063.01 2026-05-11
1903437_1 CDM Operating Room Services - General Classification 33 33 $9,010.25 — $1,711.95 $9,010.25 $7,658.71 2026-05-11
1903436_1 CDM Operating Room Services - General Classification 33 33 $9,010.25 — $1,711.95 $9,010.25 $7,658.71 2026-05-11
1903435_1 CDM Operating Room Services - General Classification 33 33 $15,368.25 — $2,919.97 $15,368.25 $13,063.01 2026-05-11
1903434_1 CDM Operating Room Services - General Classification 33 33 $15,368.25 — $2,919.97 $15,368.25 $13,063.01 2026-05-11
1903433_1 CDM Operating Room Services - General Classification 33 33 $7,000.00 — $1,330.00 $7,000.00 $5,950.00 2026-05-11
1903432_1 CDM Operating Room Services - General Classification 33 33 $9,327.25 — $1,772.18 $9,327.25 $7,928.16 2026-05-11
1903431_1 CDM Operating Room Services - General Classification 33 33 $8,268.00 — $1,570.92 $8,268.00 $7,027.80 2026-05-11
1903430_1 CDM Operating Room Services - General Classification 33 33 $7,208.25 — $1,369.57 $7,208.25 $6,127.01 2026-05-11
1903424_1 CDM Operating Room Services - General Classification 33 33 $16,428.25 — $3,121.37 $16,428.25 $13,964.01 2026-05-11
1903423_1 CDM Operating Room Services - General Classification 33 33 $16,958.00 — $3,222.02 $16,958.00 $14,414.30 2026-05-11
1903422_1 CDM Operating Room Services - General Classification 33 33 $29,144.75 — $5,500.00 $29,144.75 $24,773.04 2026-05-11
1903421_1 CDM Operating Room Services - General Classification 33 33 $16,428.25 — $3,121.37 $16,428.25 $13,964.01 2026-05-11
1903420_1 CDM Operating Room Services - General Classification 33 33 $19,607.50 — $3,725.43 $19,607.50 $16,666.38 2026-05-11
1903419_1 CDM Operating Room Services - General Classification 33 33 $15,368.25 — $2,919.97 $15,368.25 $13,063.01 2026-05-11
1903418_1 CDM Operating Room Services - General Classification 33 33 $15,368.25 — $2,919.97 $15,368.25 $13,063.01 2026-05-11
1903417_1 CDM Operating Room Services - General Classification 33 33 $29,144.75 — $5,500.00 $29,144.75 $24,773.04 2026-05-11
1903416_1 CDM Operating Room Services - General Classification 33 33 $9,010.25 — $1,711.95 $9,010.25 $7,658.71 2026-05-11
1903415_1 CDM Operating Room Services - General Classification 33 33 $6,890.00 — $1,309.10 $6,890.00 $5,856.50 2026-05-11
1903410_1 CDM Operating Room Services - General Classification 33 33 $19,607.50 — $3,725.43 $19,607.50 $16,666.38 2026-05-11
1903409_1 CDM Operating Room Services - General Classification 33 33 $16,428.25 — $3,121.37 $16,428.25 $13,964.01 2026-05-11
1903408_1 CDM Operating Room Services - General Classification 33 33 $11,659.50 — $2,215.31 $11,659.50 $9,910.58 2026-05-11
1903407_1 CDM Operating Room Services - General Classification 33 33 $11,659.50 — $2,215.31 $11,659.50 $9,910.58 2026-05-11
1903406_1 CDM Operating Room Services - General Classification 33 33 $6,890.00 — $1,309.10 $6,890.00 $5,856.50 2026-05-11
1903405_1 CDM Operating Room Services - General Classification 33 33 $19,607.50 — $3,725.43 $19,607.50 $16,666.38 2026-05-11
1903404_1 CDM Operating Room Services - General Classification 33 33 $8,500.00 — $1,615.00 $8,500.00 $7,225.00 2026-05-11
1903403_1 CDM Operating Room Services - General Classification 33 33 $6,890.00 — $1,309.10 $6,890.00 $5,856.50 2026-05-11
1903402_1 CDM Operating Room Services - General Classification 33 33 $15,368.25 — $2,919.97 $15,368.25 $13,063.01 2026-05-11
1903401_1 CDM Operating Room Services - General Classification 33 33 $19,607.50 — $3,725.43 $19,607.50 $16,666.38 2026-05-11
1903302_1 CDM Operating Room Services - General Classification 33 33 $12,696.50 — $2,412.34 $12,696.50 $10,792.03 2026-05-11
1903300_1 CDM Operating Room Services - General Classification 33 33 $8,482.25 — $1,611.63 $8,482.25 $7,209.91 2026-05-11
1903199_1 CDM Operating Room Services - General Classification 33 33 $28,037.50 — $5,327.13 $28,037.50 $23,831.88 2026-05-11
1903185_1 CDM Operating Room Services - General Classification 33 33 $9,612.25 — $1,826.33 $9,612.25 $8,170.41 2026-05-11
1903183_1 CDM Operating Room Services - General Classification 33 33 $12,380.50 — $2,352.30 $12,380.50 $10,523.43 2026-05-11
1903167_1 CDM Operating Room Services - General Classification 33 33 $8,500.00 — $1,615.00 $8,500.00 $7,225.00 2026-05-11
19031189_1 CDM 13hole 3.5mm Strgt Broad Plate 33 33 $6,363.50 — $1,209.07 $6,363.50 $5,408.98 2026-05-11
1903050_1 CDM Operating Room Services - General Classification 33 33 $12,206.75 — $2,319.28 $12,206.75 $10,375.74 2026-05-11
19008400_1 CDM Endoloop 0 Pads 33 33 $7,807.25 — $1,483.38 $7,807.25 $6,636.16 2026-05-11
19007246_1 CDM Mini Arc Sling 33 33 $7,640.25 — $1,451.65 $7,640.25 $6,494.21 2026-05-11
19002230_1 CDM Tri Staple Reload 60mm Xtr Thk 33 33 $9,022.50 — $1,714.28 $9,022.50 $7,669.13 2026-05-11
19002079_1 CDM Greenlight Laser Fiber 33 33 $12,934.00 — $2,457.46 $12,934.00 $10,993.90 2026-05-11
19001126_1 CDM Sleeve Set 2.20 Cable Howmedic 33 33 $7,070.75 — $1,343.44 $7,070.75 $6,010.14 2026-05-11
19000729_1 CDM Hydroset 10cc Inj Bone Subst 33 33 $7,996.25 — $1,519.29 $7,996.25 $6,796.81 2026-05-11
189 MS_DRG Pulmonary Edema And Respiratory Failure 1 1 $60,472.90 — $54,425.87 $54,425.87 $54,425.87 2026-05-11
15823 HCPCS Removal Of Excessive Skin And Fat Of Upper Eyelid 39 39 $7,946.75 — $299.39 $7,946.75 $5,960.06 2026-05-11
14040 HCPCS Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Han… 39 39 $7,441.50 — $299.39 $7,441.50 $5,900.00 2026-05-11
10981 HCPCS Operating Room Services - Minor Surgery 37 37 $8,996.50 — $1,709.34 $14,394.40 $7,647.03 2026-05-11
1082172_1 CDM E/r Decontamination Room 33 33 $7,611.75 — $1,446.23 $7,611.75 $6,469.99 2026-05-11
1000115_1 CDM Coronary Care Unit - Intermediate Ccu 28 28 $8,131.00 — $4,268.78 $8,131.00 $6,911.35 2026-05-11
1000100_1 CDM Intensive Care Unit - General Classification 28 28 $14,580.75 — $7,654.89 $14,580.75 $12,393.64 2026-05-11
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