Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

CASA COLINA HOSPITAL

Pomona, CA · CCN 050782 · 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: $188 across 60 payers · range $115-$1,811

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbCCHPOMONACA&type=CDMWithoutLabel&fileType=CSV · observed 2026-10-05

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.

3,766 distinct procedures filed
65 distinct payers
225,594 rate rows
2026-10-05 last MRF observed
Data quality

219,592 of 225,594 rate rows are consumer-grade (97.3%)

6,002 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 3,986
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,520
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 244
exceeds 10× this hospital's gross charge — excluded from medians 85
exceeds 3× this hospital's gross charge for a DRG stay — excluded 62
percent-of-charges filed in the dollar field — excluded from medians 54
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 50
placeholder amount (≤ $0.02) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbCCHPOMONACA&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/CasaColina.aspx
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-21
Content fingerprint 43799b1fab383f44… · 130,936,117 bytes · first seen 2026-10-06

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
C1823
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable, With Transvenous Sen… 48 $1,591.00 $203,250.00 $81,300.00 nat. median
$31,620
outlier · 2.6×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 $61,729.79 $180,109.15 $68,588.61 nat. median
$63,648
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 31 $59,106.19 $89,972.70 $65,673.50 nat. median
$62,721
1.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 31 $57,137.64 $154,141.57 $63,486.22 nat. median
$60,543
1.0× median
L8687
HCPCS 		Implantable Neurostimulator Pulse Generator, Dual Array, Rechargeable, Includes… 48 $1,591.00 $86,145.12 $63,342.00 nat. median
$14,605
outlier · 4.3×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 33 $55,026.27 $83,762.16 $61,140.27 nat. median
$59,384
1.0× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 $50,993.39 $109,727.27 $56,659.29 nat. median
$55,188
1.0× median
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 48 $1,119.00 $147,000.00 $55,575.00 nat. median
$22,969
outlier · 2.4×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 30 $48,739.22 $74,191.87 $54,154.65 nat. median
$49,960
1.1× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 $48,076.48 $124,168.52 $53,418.28 nat. median
$50,590
1.1× median
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 31 $45,576.02 $116,836.41 $50,639.99 nat. median
$48,243
1.0× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 30 $42,649.70 $64,922.28 $47,388.53 nat. median
$46,224
1.0× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 $42,232.39 $64,287.04 $46,924.85 nat. median
$45,474
1.0× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 $42,087.87 $64,067.05 $46,764.27 nat. median
$45,264
1.0× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 31 $41,292.58 $100,540.46 $45,880.62 nat. median
$44,860
1.0× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 $40,121.88 $61,074.38 $44,579.84 nat. median
$43,741
1.0× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 30 $39,306.92 $59,833.84 $43,674.33 nat. median
$42,662
1.0× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 31 $38,881.06 $64,176.29 $43,201.15 nat. median
$42,902
1.0× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 31 $36,265.16 $119,411.40 $40,294.60 nat. median
$39,085
1.0× median
C1889
HCPCS 		Implantable/insertable Device, Not Otherwise Classified 48 $1,591.00 $99,765.00 $39,906.00 nat. median
$2,362
outlier · 16.9×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 $35,681.95 $111,592.86 $39,646.58 nat. median
$40,320
1.0× median
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 31 $34,381.27 $92,449.59 $38,201.38 nat. median
$36,896
1.0× median
278C177818
CDM 		Proclaim 5 Penta Sys 29 $1,500.00 $78,750.00 $37,500.00 nat. median
$37,500
1.0× median
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 31 $31,959.48 $82,273.98 $35,510.52 nat. median
$34,464
1.0× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 31 $31,869.69 $48,512.72 $35,410.75 nat. median
$35,287
1.0× median
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 48 $1,591.00 $145,125.00 $35,040.00 nat. median
$23,881
1.5× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 31 $31,280.50 $59,149.48 $34,756.09 nat. median
$31,618
1.1× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 31 $30,536.52 $46,483.33 $33,929.44 nat. median
$33,175
1.0× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 31 $30,157.68 $177,256.78 $33,508.52 nat. median
$32,654
1.0× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 $33,440.11 $40,128.13 $33,440.11 nat. median
$33,427
1.0× median
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 31 $29,541.98 $44,969.43 $32,824.40 nat. median
$31,965
1.0× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 30 $11,211.65 $43,485.46 $31,741.21 nat. median
$31,243
1.0× median
37
MS_DRG 		Extracranial Procedures With Mcc 30 $28,152.36 $42,854.12 $31,280.38 nat. median
$31,308
1.0× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 31 $27,694.00 $42,156.40 $30,771.09 nat. median
$30,215
1.0× median
451
MS_DRG 		Single Level Spinal Fusion Except Cervical Without Mcc 31 $27,624.73 $73,320.93 $30,694.13 nat. median
$30,029
1.0× median
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 31 $13,791.40 $48,134.16 $30,662.77 nat. median
$30,601
1.0× median
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 31 $27,252.74 $41,484.71 $30,280.81 nat. median
$30,223
1.0× median
472
MS_DRG 		Cervical Spinal Fusion With Cc 31 $25,193.54 $76,940.12 $27,992.81 nat. median
$28,262
1.0× median
570
MS_DRG 		Skin Debridement With Mcc 31 $25,150.79 $38,285.06 $27,945.30 nat. median
$28,050
1.0× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 31 $24,904.50 $91,050.10 $27,671.66 nat. median
$27,846
1.0× median
C1827
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable, With Implantable Sti… 48 $1,591.00 $68,750.00 $27,500.00 nat. median
$26,828
1.0× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 31 $24,544.49 $37,362.14 $27,271.64 nat. median
$27,642
1.0× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 31 $23,703.88 $52,011.05 $26,337.62 nat. median
$25,358
1.0× median
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 31 $23,266.89 $38,091.53 $25,852.09 nat. median
$26,592
1.0× median
288
MS_DRG 		Acute And Subacute Endocarditis With Mcc 31 $23,142.04 $35,227.31 $25,713.37 nat. median
$25,719
1.0× median
278C183163
CDM 		Coroent Xlf 10x18x50 10 29 $1,500.00 $51,861.60 $24,696.00 nat. median
$24,696
1.0× median
253
MS_DRG 		Other Vascular Procedures With Cc 31 $22,196.25 $33,787.60 $24,662.48 nat. median
$24,944
1.0× median
95
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Cc 16 $24,506.66 $29,407.99 $24,506.66 nat. median
$23,643
1.0× median
96
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 16 $24,506.66 $29,407.99 $24,506.66 nat. median
$23,530
1.0× median
33285
HCPCS 		Insertion Of Heart Rhythm Monitor Under Skin 52 $1,208.95 $33,265.60 $24,460.00 nat. median
$8,994
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 3,766 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
             
C1823 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable, With Transvenous Sen… 48 48 $81,300.00 $105,690.00 $1,591.00 $203,250.00 $81,300.00 2026-10-05
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 31 $196,128.28 $202,012.12 $61,729.79 $180,109.15 $68,588.61 2026-10-05
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 31 31 $287,481.93 $296,106.39 $59,106.19 $89,972.70 $65,673.50 2026-10-05
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 31 31 $164,367.35 $169,298.37 $57,137.64 $154,141.57 $63,486.22 2026-10-05
L8687 HCPCS Implantable Neurostimulator Pulse Generator, Dual Array, Rechargeable, Includes … 48 48 $63,342.00 $82,344.60 $1,591.00 $86,145.12 $63,342.00 2026-10-05
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 33 33 $64,324.26 $66,253.99 $55,026.27 $83,762.16 $61,140.27 2026-10-05
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 31 $100,503.43 $103,518.53 $50,993.39 $109,727.27 $56,659.29 2026-10-05
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 143 48 $58,500.00 $76,050.00 $1,119.00 $147,000.00 $55,575.00 2026-10-05
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 30 $56,676.52 $58,376.82 $48,739.22 $74,191.87 $54,154.65 2026-10-05
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 31 $141,220.59 $145,457.21 $48,076.48 $124,168.52 $53,418.28 2026-10-05
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 31 31 $153,524.27 $158,130.00 $45,576.02 $116,836.41 $50,639.99 2026-10-05
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 30 30 $226,313.99 $233,103.41 $42,649.70 $64,922.28 $47,388.53 2026-10-05
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 31 $131,013.71 $134,944.12 $42,232.39 $64,287.04 $46,924.85 2026-10-05
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 31 $29,595.90 $30,483.78 $42,087.87 $64,067.05 $46,764.27 2026-10-05
471 MS_DRG Cervical Spinal Fusion With Mcc 31 31 $129,973.84 $133,873.05 $41,292.58 $100,540.46 $45,880.62 2026-10-05
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 31 $68,081.92 $70,124.38 $40,121.88 $61,074.38 $44,579.84 2026-10-05
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 30 30 $115,132.41 $118,586.38 $39,306.92 $59,833.84 $43,674.33 2026-10-05
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 31 $82,865.77 $85,351.74 $38,881.06 $64,176.29 $43,201.15 2026-10-05
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 31 31 $145,208.00 $149,564.24 $36,265.16 $119,411.40 $40,294.60 2026-10-05
C1889 HCPCS Implantable/insertable Device, Not Otherwise Classified 48 48 $39,906.00 $51,877.80 $1,591.00 $99,765.00 $39,906.00 2026-10-05
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 31 $120,645.85 $124,265.23 $35,681.95 $111,592.86 $39,646.58 2026-10-05
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 31 31 $102,408.35 $105,480.60 $34,381.27 $92,449.59 $38,201.38 2026-10-05
278C177818 CDM Proclaim 5 Penta Sys 29 29 $75,000.00 — $1,500.00 $78,750.00 $37,500.00 2026-10-05
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 31 31 $118,758.23 $122,320.98 $31,959.48 $82,273.98 $35,510.52 2026-10-05
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 31 31 $173,621.04 $178,829.67 $31,869.69 $48,512.72 $35,410.75 2026-10-05
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 189 48 $57,300.00 $74,490.00 $1,591.00 $145,125.00 $35,040.00 2026-10-05
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 31 31 $60,576.68 $62,393.98 $31,280.50 $59,149.48 $34,756.09 2026-10-05
335 MS_DRG Peritoneal Adhesiolysis With Mcc 31 31 $57,859.77 $59,595.56 $30,536.52 $46,483.33 $33,929.44 2026-10-05
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 31 31 $116,677.18 $120,177.50 $30,157.68 $177,256.78 $33,508.52 2026-10-05
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 16 $38,248.51 $39,395.97 $33,440.11 $40,128.13 $33,440.11 2026-10-05
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 31 31 $67,441.51 $69,464.75 $29,541.98 $44,969.43 $32,824.40 2026-10-05
264 MS_DRG Other Circulatory System O.r. Procedures 30 30 $83,635.84 $86,144.92 $11,211.65 $43,485.46 $31,741.21 2026-10-05
37 MS_DRG Extracranial Procedures With Mcc 30 30 $103,604.55 $106,712.69 $28,152.36 $42,854.12 $31,280.38 2026-10-05
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 31 31 $51,878.28 $53,434.63 $27,694.00 $42,156.40 $30,771.09 2026-10-05
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 31 31 $98,824.03 $101,788.75 $27,624.73 $73,320.93 $30,694.13 2026-10-05
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 31 31 $68,077.30 $70,119.62 $13,791.40 $48,134.16 $30,662.77 2026-10-05
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 31 31 $31,296.31 $32,235.20 $27,252.74 $41,484.71 $30,280.81 2026-10-05
472 MS_DRG Cervical Spinal Fusion With Cc 31 31 $106,153.79 $109,338.41 $25,193.54 $76,940.12 $27,992.81 2026-10-05
570 MS_DRG Skin Debridement With Mcc 31 31 $30,616.98 $31,535.49 $25,150.79 $38,285.06 $27,945.30 2026-10-05
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 31 31 $107,873.14 $111,109.33 $24,904.50 $91,050.10 $27,671.66 2026-10-05
C1827 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable, With Implantable Sti… 48 48 $27,500.00 $35,750.00 $1,591.00 $68,750.00 $27,500.00 2026-10-05
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 31 31 $55,667.52 $57,337.55 $24,544.49 $37,362.14 $27,271.64 2026-10-05
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 31 31 $74,367.28 $76,598.30 $23,703.88 $52,011.05 $26,337.62 2026-10-05
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 31 31 $53,721.11 $55,332.74 $23,266.89 $38,091.53 $25,852.09 2026-10-05
288 MS_DRG Acute And Subacute Endocarditis With Mcc 31 31 $27,696.20 $28,527.09 $23,142.04 $35,227.31 $25,713.37 2026-10-05
278C183163 CDM Coroent Xlf 10x18x50 10 29 29 $49,392.00 — $1,500.00 $51,861.60 $24,696.00 2026-10-05
253 MS_DRG Other Vascular Procedures With Cc 31 31 $132,475.04 $136,449.29 $22,196.25 $33,787.60 $24,662.48 2026-10-05
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 16 16 $168,122.94 $173,166.63 $24,506.66 $29,407.99 $24,506.66 2026-10-05
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 16 16 $14,214.00 $14,640.42 $24,506.66 $29,407.99 $24,506.66 2026-10-05
33285 HCPCS Insertion Of Heart Rhythm Monitor Under Skin 52 52 $24,460.00 $31,798.00 $1,208.95 $33,265.60 $24,460.00 2026-10-05
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 31 31 $101,116.39 $104,149.88 $14,418.40 $92,696.30 $24,142.74 2026-10-05
545 MS_DRG Connective Tissue Disorders With Mcc 16 16 $54,668.60 $56,308.66 $23,580.24 $28,296.29 $23,580.24 2026-10-05
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 31 31 $45,483.16 $46,847.65 $21,023.84 $32,002.93 $23,359.81 2026-10-05
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 31 31 $35,643.59 $36,712.90 $20,901.55 $31,816.79 $23,223.93 2026-10-05
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 31 31 $61,642.78 $63,492.06 $20,876.75 $42,862.34 $23,196.38 2026-10-05
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 31 31 $55,913.98 $57,591.40 $20,568.90 $31,310.42 $22,854.32 2026-10-05
330 MS_DRG Major Small And Large Bowel Procedures With Cc 31 31 $66,232.83 $68,219.81 $20,499.63 $31,204.98 $22,777.36 2026-10-05
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 16 16 $72,815.69 $75,000.16 $22,220.56 $26,664.67 $22,220.56 2026-10-05
56 MS_DRG Degenerative Nervous System Disorders With Mcc 16 16 $110,744.32 $114,066.65 $22,073.28 $26,487.94 $22,073.28 2026-10-05
30 MS_DRG Spinal Procedures Without Cc/mcc 31 31 $75,826.11 $78,100.89 $18,772.23 $51,331.78 $20,858.02 2026-10-05
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 31 31 $88,222.67 $90,869.35 $18,743.16 $57,551.55 $20,825.72 2026-10-05
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 31 31 $62,244.90 $64,112.24 $18,631.99 $51,230.35 $20,702.20 2026-10-05
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 31 31 $39,316.50 $40,495.99 $18,313.02 $27,876.46 $20,347.78 2026-10-05
32 MS_DRG Ventricular Shunt Procedures With Cc 31 31 $35,236.27 $36,293.36 $18,223.23 $27,739.78 $20,248.02 2026-10-05
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 31 31 $70,172.54 $72,277.72 $18,109.49 $51,957.85 $20,121.64 2026-10-05
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 31 31 $75,997.29 $78,277.20 $17,911.10 $60,696.02 $19,901.21 2026-10-05
314 MS_DRG Other Circulatory System Diagnoses With Mcc 30 30 $51,501.31 $53,046.35 $17,831.57 $27,143.59 $19,812.84 2026-10-05
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 31 31 $43,956.41 $45,275.10 $17,781.97 $27,068.09 $19,757.73 2026-10-05
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 31 31 $85,929.95 $88,507.85 $17,770.85 $55,386.87 $19,745.38 2026-10-05
278C1776GP CDM ZimBio Delta Fem Cer 36/-3.5 S 29 29 $38,832.00 — $1,500.00 $40,773.60 $19,416.00 2026-10-05
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 31 31 $30,298.66 $31,207.62 $17,339.86 $26,395.10 $19,266.50 2026-10-05
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 30 30 $27,794.04 $28,627.86 $17,197.05 $26,177.71 $19,107.82 2026-10-05
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 20 20 $94,591.42 $97,429.17 $19,065.06 $61,602.51 $19,065.06 2026-10-05
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 31 31 $113,515.56 $116,921.03 $16,600.09 $74,474.74 $19,006.15 2026-10-05
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 30 30 $54,825.12 $56,469.88 $17,104.69 $26,037.12 $19,005.20 2026-10-05
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 31 31 $80,248.68 $82,656.14 $17,086.73 $26,009.79 $18,985.25 2026-10-05
539 MS_DRG Osteomyelitis With Mcc 16 16 $116,408.84 $119,901.10 $18,715.40 $22,458.48 $18,715.40 2026-10-05
380 MS_DRG Complicated Peptic Ulcer With Mcc 31 31 $32,590.98 $33,568.71 $16,779.73 $25,542.47 $18,644.14 2026-10-05
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 16 16 $62,061.40 $63,923.24 $18,456.96 $22,148.35 $18,456.96 2026-10-05
100 MS_DRG Seizures With Mcc 16 16 $74,067.15 $76,289.16 $18,402.80 $22,083.35 $18,402.80 2026-10-05
592 MS_DRG Skin Ulcers With Mcc 16 16 $41,956.46 $43,215.16 $18,388.54 $22,066.25 $18,388.54 2026-10-05
548 MS_DRG Septic Arthritis With Mcc 16 16 $62,489.58 $64,364.27 $18,346.74 $22,016.08 $18,346.74 2026-10-05
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 31 31 $79,069.16 $81,441.23 $16,494.97 $57,987.95 $18,327.73 2026-10-05
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 31 31 $21,334.24 $21,974.27 $15,993.85 $24,346.18 $17,770.94 2026-10-05
31614 HCPCS Revision Of Permanent Opening Of Windpipe For Breathing With Flap Rotation 52 52 $17,746.98 $23,071.07 $316.46 $24,135.89 $17,746.98 2026-10-05
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 16 16 $63,058.10 $64,949.84 $17,719.63 $21,263.55 $17,719.63 2026-10-05
205 MS_DRG Other Respiratory System Diagnoses With Mcc 16 16 $59,645.48 $61,434.84 $17,397.52 $20,877.03 $17,397.52 2026-10-05
919 MS_DRG Complications Of Treatment With Mcc 31 31 $15,938.94 $16,417.11 $15,656.07 $23,832.00 $17,395.62 2026-10-05
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 16 16 $83,390.99 $85,892.72 $17,369.02 $20,842.82 $17,369.02 2026-10-05
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 16 16 $55,972.98 $57,652.17 $17,328.16 $20,793.79 $17,328.16 2026-10-05
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 30 30 $9,122.85 $9,396.54 $15,456.82 $23,528.70 $17,174.23 2026-10-05
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 31 31 $51,295.86 $52,834.74 $15,426.03 $23,481.84 $17,140.03 2026-10-05
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 30 30 $47,051.81 $48,463.36 $15,340.52 $23,351.66 $17,045.01 2026-10-05
254 MS_DRG Other Vascular Procedures Without Cc/mcc 31 31 $18,003.84 $18,543.96 $15,236.19 $23,192.85 $16,929.09 2026-10-05
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 16 16 $97,027.28 $99,938.10 $16,920.54 $20,304.65 $16,920.54 2026-10-05
91 MS_DRG Other Disorders Of Nervous System With Mcc 16 16 $88,741.78 $91,404.04 $16,686.80 $20,024.16 $16,686.80 2026-10-05
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 31 31 $44,961.76 $46,310.61 $14,776.97 $34,297.26 $16,418.85 2026-10-05
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 31 31 $20,407.70 $21,019.93 $14,774.41 $22,489.92 $16,416.00 2026-10-05
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 16 16 $89,036.71 $91,707.81 $16,243.07 $19,491.68 $16,243.07 2026-10-05
571 MS_DRG Skin Debridement With Cc 31 31 $47,001.83 $48,411.88 $14,447.74 $21,992.66 $16,053.04 2026-10-05
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 31 31 $63,724.44 $65,636.17 $14,391.30 $21,906.75 $15,990.33 2026-10-05
551 MS_DRG Medical Back Problems With Mcc 16 16 $95,906.02 $98,783.20 $15,925.72 $19,110.86 $15,925.72 2026-10-05
70 MS_DRG Other Cerebrovascular Disorders With Mcc 16 16 $80,021.82 $82,422.47 $15,818.35 $18,982.02 $15,818.35 2026-10-05
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 31 31 $62,397.87 $64,269.81 $14,220.27 $43,827.36 $15,800.29 2026-10-05
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 31 31 $30,358.43 $31,269.18 $14,147.59 $21,535.75 $15,719.53 2026-10-05
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 31 31 $26,547.43 $27,343.85 $14,055.23 $21,395.17 $15,616.91 2026-10-05
299 MS_DRG Peripheral Vascular Disorders With Mcc 16 16 $44,294.95 $45,623.80 $15,513.34 $18,616.01 $15,513.34 2026-10-05
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 16 16 $43,779.84 $45,093.24 $15,500.99 $18,601.19 $15,500.99 2026-10-05
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 31 31 $55,824.19 $57,498.92 $13,947.48 $41,818.14 $15,497.19 2026-10-05
37191 HCPCS Insertion Of Vena Cava Filter With Review By Radiologist 52 52 $15,419.28 $20,045.06 $196.27 $20,970.22 $15,419.28 2026-10-05
884 MS_DRG Organic Disturbances And Intellectual Disability 31 31 $38,760.18 $39,922.99 $13,758.49 $20,943.47 $15,287.20 2026-10-05
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 16 16 $90,453.33 $93,166.93 $15,243.50 $18,292.20 $15,243.50 2026-10-05
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 31 31 $23,445.91 $24,149.29 $13,717.45 $20,880.99 $15,241.60 2026-10-05
393 MS_DRG Other Digestive System Diagnoses With Mcc 31 31 $47,511.33 $48,936.67 $13,676.40 $20,818.50 $15,195.99 2026-10-05
385 MS_DRG Inflammatory Bowel Disease With Mcc 31 31 $52,074.48 $53,636.71 $13,531.02 $20,597.21 $15,034.46 2026-10-05
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 16 16 $42,201.59 $43,467.64 $14,972.70 $19,881.30 $14,972.70 2026-10-05
177 MS_DRG Respiratory Infections And Inflammations With Mcc 16 16 $65,818.05 $67,792.59 $14,848.23 $17,817.87 $14,848.23 2026-10-05
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 31 31 $9,780.66 $10,074.08 $13,356.57 $20,331.66 $14,840.63 2026-10-05
186 MS_DRG Pleural Effusion With Mcc 16 16 $49,419.67 $50,902.26 $14,808.32 $17,769.99 $14,808.32 2026-10-05
669 MS_DRG Transurethral Procedures With Cc 31 31 $35,797.00 $36,870.91 $13,271.91 $20,202.79 $14,746.56 2026-10-05
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 31 31 $39,964.25 $41,163.17 $13,141.07 $20,003.62 $14,601.19 2026-10-05
E0783 HCPCS Infusion Pump System, Implantable, Programmable (includes All Components, E.g., … 65 50 $37,347.00 $15,167.69 59% off $9,333.96 $128,400.00 $14,584.31 2026-10-05
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 31 31 $79,947.50 $82,345.93 $13,119.70 $51,231.85 $14,577.43 2026-10-05
54 MS_DRG Nervous System Neoplasms With Mcc 16 16 $41,227.67 $42,464.50 $14,508.07 $17,409.68 $14,508.07 2026-10-05
813 MS_DRG Coagulation Disorders 31 31 $19,642.58 $20,231.86 $13,043.59 $19,855.23 $14,492.87 2026-10-05
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 30 30 $40,738.41 $41,960.56 $12,775.07 $19,446.48 $14,194.51 2026-10-05
2781776068 CDM Psn Rev Fem Cmt Ccr Pls Sz 3 R 29 29 $28,278.00 — $1,500.00 $29,691.90 $14,139.00 2026-10-05
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 16 16 $69,257.30 $71,335.02 $14,128.00 $16,953.60 $14,128.00 2026-10-05
682 MS_DRG Renal Failure With Mcc 16 16 $36,638.54 $37,737.69 $14,071.94 $16,886.33 $14,071.94 2026-10-05
388 MS_DRG Gastrointestinal Obstruction With Mcc 31 31 $104,003.13 $107,123.22 $12,628.84 $19,223.89 $14,032.04 2026-10-05
57288 HCPCS Creation Of Sling Around Urethra In Female To Control Leakage 52 52 $13,905.33 $18,076.93 $775.25 $18,911.25 $13,905.33 2026-10-05
278C177822 CDM Ins 37603 Activa Sc No Paryln 29 29 $27,480.00 — $1,500.00 $28,854.00 $13,740.00 2026-10-05
278C177811 CDM Ins 37603 Activa Sc Dbs Eman 29 29 $27,480.00 — $1,500.00 $28,854.00 $13,740.00 2026-10-05
637 MS_DRG Diabetes With Mcc 16 16 $19,079.17 $19,651.54 $13,651.02 $16,381.22 $13,651.02 2026-10-05
602 MS_DRG Cellulitis With Mcc 31 31 $15,794.31 $16,268.14 $12,154.23 $18,501.43 $13,504.70 2026-10-05
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 1 1 $4,685.95 $4,826.53 $13,412.16 $13,412.16 $13,412.16 2026-10-05
811 MS_DRG Red Blood Cell Disorders With Mcc 31 31 $95,598.37 $98,466.32 $12,008.86 $18,280.14 $13,343.17 2026-10-05
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 31 31 $66,239.53 $68,226.72 $11,966.10 $42,676.21 $13,295.66 2026-10-05
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 50 50 $13,266.00 $17,245.80 $1,591.00 $18,041.76 $13,266.00 2026-10-05
2781776069 CDM Psn Rev Fem Cem Ccr Pls Sz 9 L 29 29 $26,424.00 — $1,500.00 $27,745.20 $13,212.00 2026-10-05
L8679 HCPCS Implantable Neurostimulator, Pulse Generator, Any Type 65 50 $27,480.00 $13,688.92 50% off $8,423.95 $63,030.00 $13,162.43 2026-10-05
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 16 16 $39,269.91 $40,448.01 $13,118.93 $15,742.71 $13,118.93 2026-10-05
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 16 16 $66,691.27 $68,692.01 $13,051.47 $15,661.76 $13,051.47 2026-10-05
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 31 31 $52,831.25 $54,416.19 $11,679.63 $17,778.97 $12,977.35 2026-10-05
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 31 31 $21,898.44 $22,555.40 $11,421.37 $17,385.85 $12,690.40 2026-10-05
278C1831AJ CDM Roic Lord Coated Cage H6 12x14 29 29 $25,200.00 — $1,500.00 $26,460.00 $12,600.00 2026-10-05
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 16 16 $77,515.49 $79,840.95 $12,559.28 $15,071.14 $12,559.28 2026-10-05
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 30 30 $29,701.87 $30,592.93 $11,302.50 $17,204.91 $12,558.33 2026-10-05
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 16 16 $29,113.83 $29,987.24 $12,488.97 $14,986.76 $12,488.97 2026-10-05
L8692 HCPCS Auditory Osseointegrated Device, External Sound Processor, Used Without Osseoint… 94 48 $12,474.00 $16,216.20 $1,591.00 $18,278.40 $12,474.00 2026-10-05
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 31 31 $105,938.48 $109,116.63 $11,225.54 $82,613.31 $12,472.82 2026-10-05
C1602 HCPCS Orthopedic/device/drug Matrix/absorbable Bone Void Filler, Antimicrobial-eluting… 48 48 $12,366.00 $16,075.80 $1,591.00 $30,915.00 $12,366.00 2026-10-05
540 MS_DRG Osteomyelitis With Cc 31 31 $34,920.06 $35,967.66 $11,085.30 $16,874.27 $12,316.99 2026-10-05
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 16 16 $74,196.56 $76,422.46 $12,310.34 $14,772.41 $12,310.34 2026-10-05
291 MS_DRG Heart Failure And Shock With Mcc 16 16 $44,442.79 $45,776.07 $12,198.22 $14,637.86 $12,198.22 2026-10-05
947 MS_DRG Signs And Symptoms With Mcc 16 16 $50,240.92 $51,748.15 $12,061.39 $14,473.67 $12,061.39 2026-10-05
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 16 16 $62,964.00 $64,852.92 $11,790.60 $14,148.72 $11,790.60 2026-10-05
189 MS_DRG Pulmonary Edema And Respiratory Failure 16 16 $52,106.50 $53,669.69 $11,738.34 $14,086.01 $11,738.34 2026-10-05
375 MS_DRG Digestive Malignancy With Cc 16 16 $46,309.26 $47,698.54 $11,493.20 $13,791.84 $11,493.20 2026-10-05
549 MS_DRG Septic Arthritis With Cc 16 16 $32,876.24 $33,862.53 $11,470.39 $13,764.47 $11,470.39 2026-10-05
2781776048 CDM Wag Sl Rev 135 Nk Ang 21x225mm 29 29 $22,932.00 — $1,500.00 $24,078.60 $11,466.00 2026-10-05
C1831 HCPCS Interbody Cage, Anterior, Lateral Or Posterior, Personalized (implantable) 2,169 48 $13,197.00 $17,156.10 $496.80 $132,168.75 $11,463.00 2026-10-05
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 16 16 $54,196.21 $55,822.10 $11,439.99 $13,727.98 $11,439.99 2026-10-05
302 MS_DRG Atherosclerosis With Mcc 16 16 $47,783.09 $49,216.58 $11,369.67 $13,643.61 $11,369.67 2026-10-05
304 MS_DRG Hypertension With Mcc 31 31 $94,778.76 $97,622.12 $10,176.27 $75,613.38 $11,306.96 2026-10-05
949 MS_DRG Aftercare With Cc/mcc 16 16 $87,645.05 $90,274.40 $11,304.11 $13,564.94 $11,304.11 2026-10-05
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 48 48 $11,275.56 $14,658.23 $1,591.00 $15,334.76 $11,275.56 2026-10-05
593 MS_DRG Skin Ulcers With Cc 30 30 $18,223.67 $18,770.38 $10,144.63 $15,442.38 $11,271.81 2026-10-05
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 31 31 $26,083.35 $26,865.85 $10,001.82 $15,224.99 $11,113.13 2026-10-05
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 16 16 $33,175.01 $34,170.26 $11,024.76 $13,229.72 $11,024.76 2026-10-05
399 MS_DRG Appendix Procedures Without Cc/mcc 31 31 $26,433.91 $27,226.93 $9,788.89 $14,900.86 $10,876.54 2026-10-05
49654 HCPCS Laparoscopy, Surgical, Repair, Incisional Hernia (includes Mesh Insertion, When … 48 48 $10,785.00 $14,020.50 $1,591.00 $26,962.50 $10,785.00 2026-10-05
49653 HCPCS Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 48 48 $10,785.00 $14,020.50 $1,591.00 $26,962.50 $10,785.00 2026-10-05
49652 HCPCS Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 48 48 $10,785.00 $14,020.50 $1,591.00 $26,962.50 $10,785.00 2026-10-05
2781776049 CDM Radial Hd 19 Hd 5.5 Stm 9 +3 S 29 29 $21,468.00 — $1,500.00 $22,541.40 $10,734.00 2026-10-05
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 16 16 $65,726.19 $67,697.98 $10,699.81 $12,839.77 $10,699.81 2026-10-05
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 31 31 $56,890.61 $58,597.33 $9,550.30 $37,069.24 $10,611.44 2026-10-05
278C177807 CDM Cyber Perennial Flex Vns Lead 29 29 $21,099.00 — $1,500.00 $22,153.95 $10,549.50 2026-10-05
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 16 16 $36,505.36 $37,600.52 $10,524.98 $12,629.97 $10,524.98 2026-10-05
C1778 HCPCS Lead, Neurostimulator (implantable) 1,231 48 $10,500.00 $13,650.00 $48.00 $195,000.00 $10,500.00 2026-10-05
445 MS_DRG Disorders Of The Biliary Tract With Cc 26 26 $29,847.13 $30,742.54 $9,358.75 $12,998.25 $10,398.61 2026-10-05
381 MS_DRG Complicated Peptic Ulcer With Cc 31 31 $29,896.39 $30,793.28 $9,265.54 $14,104.20 $10,295.04 2026-10-05
300 MS_DRG Peripheral Vascular Disorders With Cc 16 16 $55,987.58 $57,667.21 $10,143.01 $12,171.61 $10,143.01 2026-10-05
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 31 31 $15,318.89 $15,778.46 $9,032.08 $13,748.83 $10,035.64 2026-10-05
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 16 16 $53,946.98 $55,565.39 $9,955.83 $11,946.99 $9,955.83 2026-10-05
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 16 16 $68,476.23 $70,530.51 $9,794.30 $11,753.16 $9,794.30 2026-10-05
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 16 16 $54,689.41 $56,330.09 $9,767.70 $11,721.24 $9,767.70 2026-10-05
71 MS_DRG Other Cerebrovascular Disorders With Cc 16 16 $63,859.48 $65,775.27 $9,748.69 $11,698.43 $9,748.69 2026-10-05
644 MS_DRG Endocrine Disorders With Cc 31 31 $50,395.60 $51,907.47 $8,765.28 $13,342.69 $9,739.19 2026-10-05
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 31 31 $22,904.62 $23,591.76 $8,750.74 $13,320.56 $9,723.04 2026-10-05
92 MS_DRG Other Disorders Of Nervous System With Cc 16 16 $59,757.03 $61,549.74 $9,720.19 $11,664.23 $9,720.19 2026-10-05
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 16 16 $32,202.14 $33,168.20 $9,701.18 $11,641.42 $9,701.18 2026-10-05
278C183164 CDM Coroent Xlf 12x18x55 10 29 29 $19,392.00 — $1,500.00 $20,361.60 $9,696.00 2026-10-05
55 MS_DRG Nervous System Neoplasms Without Mcc 16 16 $66,274.97 $68,263.22 $9,687.88 $11,625.46 $9,687.88 2026-10-05
278C183198 CDM Jts Xp 10x27x8mm 5-10a-¦expca 29 29 $19,200.00 — $1,500.00 $20,160.00 $9,600.00 2026-10-05
920 MS_DRG Complications Of Treatment With Cc 16 16 $101,235.24 $104,272.30 $9,523.50 $11,428.20 $9,523.50 2026-10-05
C1876 HCPCS Stent, Non-coated/non-covered, With Delivery System 48 48 $9,523.35 $12,380.36 $1,591.00 $23,808.38 $9,523.35 2026-10-05
2781776132 CDM Psn Rev Tm Tib Cntrl Cone Sm 29 29 $19,008.00 — $1,500.00 $19,958.40 $9,504.00 2026-10-05
2781776133 CDM Psn Rev Tm Tib Cntrl Cone M 29 29 $19,008.00 — $1,500.00 $19,958.40 $9,504.00 2026-10-05
2781776131 CDM Psn Rev Tm Tib Cntrl Cone Fix 29 29 $19,008.00 — $1,500.00 $19,958.40 $9,504.00 2026-10-05
378 MS_DRG Gastrointestinal Hemorrhage With Cc 16 16 $26,319.08 $27,108.65 $9,318.27 $11,181.92 $9,318.27 2026-10-05
J0139 HCPCS Injection, Adalimumab, 1 Mg 48 48 $9,313.36 $12,107.37 $1,591.00 $12,666.17 $9,313.36 2026-10-05
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 16 16 $87,024.81 $89,635.55 $9,304.02 $11,164.82 $9,304.02 2026-10-05
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 16 16 $58,229.53 $59,976.42 $9,258.41 $11,110.09 $9,258.41 2026-10-05
278C1831AD CDM Stalif Mid Cage 42x13x12 29 29 $18,450.00 — $1,500.00 $19,372.50 $9,225.00 2026-10-05
315 MS_DRG Other Circulatory System Diagnoses With Cc 16 16 $71,696.43 $73,847.32 $9,152.94 $10,983.53 $9,152.94 2026-10-05
2781776241 CDM Psn Tm Fm/tm Tb/ve/tm Pt 29 29 $18,300.00 — $1,500.00 $19,215.00 $9,150.00 2026-10-05
552 MS_DRG Medical Back Problems Without Mcc 16 16 $60,226.03 $62,032.81 $9,133.94 $10,960.72 $9,133.94 2026-10-05
2781776050 CDM Tria Cr Fem Comp - Cem 801 29 29 $18,130.20 — $1,500.00 $19,036.71 $9,065.10 2026-10-05
2781776051 CDM Tria Cr Fem Comp - Cem 802 29 29 $18,130.20 — $1,500.00 $19,036.71 $9,065.10 2026-10-05
37193 HCPCS Removal Of Vena Cava Filter With Review By Radiologist 52 52 $8,936.91 $11,617.98 $303.15 $12,154.20 $8,936.91 2026-10-05
36558 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 52 52 $8,936.91 $11,617.98 $135.63 $12,154.20 $8,936.91 2026-10-05
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 58 52 $8,936.91 $11,617.98 $74.21 $12,154.20 $8,936.91 2026-10-05
28124 HCPCS Partial Removal Of Toe Bone 52 52 $8,929.98 $11,608.97 $299.59 $12,144.77 $8,929.98 2026-10-05
394 MS_DRG Other Digestive System Diagnoses With Cc 16 16 $55,902.11 $57,579.17 $8,890.69 $10,668.83 $8,890.69 2026-10-05
278C173466 CDM 8- Hole Plate Synthes 29 29 $17,697.00 — $1,500.00 $18,581.85 $8,848.50 2026-10-05
376 MS_DRG Digestive Malignancy Without Cc/mcc 31 31 $16,938.09 $17,446.23 $7,904.14 $12,031.85 $8,782.38 2026-10-05
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 16 16 $64,080.28 $66,002.69 $8,739.62 $10,487.54 $8,739.62 2026-10-05
812 MS_DRG Red Blood Cell Disorders Without Mcc 31 31 $11,931.91 $12,289.87 $7,851.98 $11,952.45 $8,724.42 2026-10-05
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 16 16 $81,540.25 $83,986.46 $8,676.91 $10,412.29 $8,676.91 2026-10-05
101 MS_DRG Seizures Without Mcc 16 16 $35,586.68 $36,654.28 $8,576.19 $10,291.43 $8,576.19 2026-10-05
638 MS_DRG Diabetes With Cc 16 16 $33,333.36 $34,333.36 $8,515.38 $10,218.45 $8,515.38 2026-10-05
81 MS_DRG Nontraumatic Stupor And Coma Without Mcc 16 16 $87,458.06 $90,081.80 $8,509.68 $10,211.61 $8,509.68 2026-10-05
C1787 HCPCS Patient Programmer, Neurostimulator 48 48 $8,427.00 $10,955.10 $1,591.00 $21,067.50 $8,427.00 2026-10-05
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 31 31 $13,003.66 $13,393.77 $7,549.26 $11,491.64 $8,388.06 2026-10-05
683 MS_DRG Renal Failure With Cc 16 16 $27,095.70 $27,908.57 $8,321.55 $9,985.85 $8,321.55 2026-10-05
312 MS_DRG Syncope And Collapse 16 16 $89,824.26 $92,518.99 $8,281.64 $9,937.97 $8,281.64 2026-10-05
603 MS_DRG Cellulitis Without Mcc 16 16 $23,034.26 $23,725.29 $8,274.99 $9,929.98 $8,274.99 2026-10-05
278C1831AP CDM Cohere Xl, 8x18x55mm 10a-¦ 29 29 $16,464.00 — $1,500.00 $17,287.20 $8,232.00 2026-10-05
437 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc 16 16 $75,934.48 $78,212.51 $8,107.76 $9,729.31 $8,107.76 2026-10-05
292 MS_DRG Heart Failure And Shock With Cc 31 31 $43,346.76 $44,647.16 $7,260.22 $11,051.65 $8,066.90 2026-10-05
V5130 HCPCS Binaural, In The Ear 48 48 $8,000.00 $10,400.00 $1,591.00 $20,000.00 $8,000.00 2026-10-05
V5140 HCPCS Binaural, Behind The Ear 48 48 $8,000.00 $10,400.00 $1,591.00 $20,000.00 $8,000.00 2026-10-05
V5221 HCPCS Hearing Aid, Contralateral Routing System, Binaural, Bte/bte 48 48 $8,000.00 $10,400.00 $1,591.00 $20,000.00 $8,000.00 2026-10-05
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 16 16 $40,268.14 $41,476.19 $7,992.79 $9,591.35 $7,992.79 2026-10-05
278C1776CZ CDM Zim NexGen Pat All Poly 38mm 29 29 $15,876.00 — $1,500.00 $16,669.80 $7,938.00 2026-10-05
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 16 16 $62,756.80 $64,639.50 $7,892.07 $9,470.48 $7,892.07 2026-10-05
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 16 16 $38,842.62 $40,007.89 $7,887.32 $9,464.78 $7,887.32 2026-10-05
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 31 31 $5,306.47 $5,465.66 $7,074.65 $10,769.18 $7,860.72 2026-10-05
49585 HCPCS Repair Umbilical Hernia, Age 5 Years Or Older; Reducible 48 48 $7,840.00 $10,192.00 $1,591.00 $19,600.00 $7,840.00 2026-10-05
20240 HCPCS Biopsy Of Surface Bone 52 52 $7,749.75 $10,074.68 $126.58 $10,539.66 $7,749.75 2026-10-05
10180 HCPCS Complex Drainage Of Wound Infection After Surgery 52 52 $7,749.75 $10,074.68 $168.76 $10,539.66 $7,749.75 2026-10-05
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 16 16 $22,591.44 $23,269.18 $7,691.59 $9,229.90 $7,691.59 2026-10-05
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 31 31 $32,091.67 $33,054.42 $6,906.18 $10,512.74 $7,673.53 2026-10-05
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 31 31 $11,253.20 $11,590.80 $6,891.65 $10,490.61 $7,657.38 2026-10-05
2781776273 CDM Osc357816 Attune Fb With Dom 29 29 $15,300.00 — $1,500.00 $16,065.00 $7,650.00 2026-10-05
176 MS_DRG Pulmonary Embolism Without Mcc 31 31 $5,120.89 $5,274.52 $6,883.95 $10,478.89 $7,648.83 2026-10-05
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 16 16 $57,384.36 $59,105.89 $7,638.38 $9,166.05 $7,638.38 2026-10-05
948 MS_DRG Signs And Symptoms Without Mcc 16 16 $49,305.14 $50,784.30 $7,606.07 $9,127.29 $7,606.07 2026-10-05
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 16 16 $78,007.47 $80,347.69 $7,566.16 $9,079.40 $7,566.16 2026-10-05
389 MS_DRG Gastrointestinal Obstruction With Cc 31 31 $17,555.83 $18,082.50 $6,753.97 $10,281.03 $7,504.40 2026-10-05
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 16 16 $33,646.81 $34,656.21 $7,407.49 $8,888.98 $7,407.49 2026-10-05
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 16 16 $13,997.18 $14,417.10 $7,394.18 $8,873.02 $7,394.18 2026-10-05
541 MS_DRG Osteomyelitis Without Cc/mcc 31 31 $34,506.26 $35,541.45 $6,597.47 $10,042.82 $7,330.52 2026-10-05
2781776240 CDM Psn Cm Fm/cm Tb/ve/ve Psn Pt 29 29 $14,400.00 — $1,500.00 $15,120.00 $7,200.00 2026-10-05
305 MS_DRG Hypertension Without Mcc 31 31 $27,657.13 $28,486.84 $6,457.23 $9,829.33 $7,174.70 2026-10-05
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 16 16 $46,553.96 $47,950.58 $7,169.95 $8,603.93 $7,169.95 2026-10-05
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 31 31 $108,311.72 $111,561.07 $6,291.33 $9,576.80 $6,990.36 2026-10-05
2781776239 CDM Psn Cm Fm/cm Tb/ve/xlpe Pt 29 29 $13,950.00 — $1,500.00 $14,647.50 $6,975.00 2026-10-05
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 31 31 $4,269.89 $4,397.99 $6,220.35 $9,468.75 $6,911.50 2026-10-05
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 16 16 $64,339.30 $66,269.48 $6,870.64 $8,244.77 $6,870.64 2026-10-05
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 16 16 $30,492.84 $31,407.63 $6,838.34 $8,206.01 $6,838.34 2026-10-05
278C177819 CDM Lead Istm Ssmri 4.32mm Eman US 29 29 $13,662.00 — $1,500.00 $14,345.10 $6,831.00 2026-10-05
C9761 HCPCS Cystourethroscopy, With Ureteroscopy And/or Pyeloscopy, With Lithotripsy, And Ur… 87 47 $13,635.00 $17,725.50 $1,591.00 $18,543.60 $6,817.50 2026-10-05
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 31 31 $10,037.10 $10,338.21 $5,983.48 $9,108.18 $6,648.30 2026-10-05
2781776004 CDM Comp Primary Stem 12mm Mini 29 29 $13,257.00 — $1,500.00 $13,919.85 $6,628.50 2026-10-05
2502131100 CDM Activase 50 Mg Vial 28 28 $13,200.54 — $1,500.00 $11,220.46 $6,600.27 2026-10-05
2781776238 CDM Psn Cem Fm/cm Tb/std Sf/std Pt 29 29 $13,200.00 — $1,500.00 $13,860.00 $6,600.00 2026-10-05
2781776236 CDM Fem/cem Tib/flx Prlng Surf/std 29 29 $13,200.00 — $1,500.00 $13,860.00 $6,600.00 2026-10-05
278C173450 CDM 3.5va Prox Tib Plsmall 4/87/lt 29 29 $13,182.00 — $1,500.00 $13,841.10 $6,591.00 2026-10-05
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 31 31 $9,397.20 $9,679.12 $5,899.67 $8,980.61 $6,555.19 2026-10-05
921 MS_DRG Complications Of Treatment Without Cc/mcc 31 31 $5,496.86 $5,661.77 $5,886.85 $8,961.08 $6,540.94 2026-10-05
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 16 16 $26,000.42 $26,780.43 $6,502.93 $7,803.52 $6,502.93 2026-10-05
278C173563 CDM Surgiclose Micro 93sq Cm 29 29 $12,900.00 — $1,500.00 $13,545.00 $6,450.00 2026-10-05
278C173557 CDM Omega3 Surgiclose Micro 29 29 $12,900.00 — $1,500.00 $13,545.00 $6,450.00 2026-10-05
278C173475 CDM Tibial Nail-advanced10 285 St 29 29 $12,840.00 — $1,500.00 $13,482.00 $6,420.00 2026-10-05
303 MS_DRG Atherosclerosis Without Mcc 20 20 $76,704.38 $79,005.51 $6,396.51 $50,755.49 $6,396.51 2026-10-05
3607950800{2} CDM Operating Room Services - General Classification 28 28 $12,675.00 — $1,500.00 $10,773.75 $6,337.50 2026-10-05
3607950800 CDM Operating Room Services - General Classification 28 28 $12,675.00 — $1,500.00 $10,773.75 $6,337.50 2026-10-05
759 MS_DRG Infections, Female Reproductive System Without Cc/mcc 31 31 $14,152.93 $14,577.52 $5,674.77 $8,638.25 $6,305.29 2026-10-05
278C1831AE CDM Zim Peek Optima D14 W17 - H7 29 29 $12,600.00 — $1,500.00 $13,230.00 $6,300.00 2026-10-05
278C1831AH CDM Roi-c Lord Coat IM 12x15.5 H7 29 29 $12,600.00 — $1,500.00 $13,230.00 $6,300.00 2026-10-05
278C1831AL CDM Roi-c Lord Coat IM 14x17 H8 29 29 $12,600.00 — $1,500.00 $13,230.00 $6,300.00 2026-10-05
278C1831AM CDM Roi-c Lord Coat IM 14x17 H5 29 29 $12,600.00 — $1,500.00 $13,230.00 $6,300.00 2026-10-05
278C1831AI CDM Roi-c Lord Coat IM 12x14 H7 29 29 $12,600.00 — $1,500.00 $13,230.00 $6,300.00 2026-10-05
278C1831AK CDM Roi-c Lord Coat IM 12x14 H5 29 29 $12,600.00 — $1,500.00 $13,230.00 $6,300.00 2026-10-05
278C1831AF CDM Zim Peek Optima D14 W15.5 -h7 29 29 $12,600.00 — $1,500.00 $13,230.00 $6,300.00 2026-10-05
278C1831AG CDM Roi-c Lord Coat IM 12x15.5 H8 29 29 $12,600.00 — $1,500.00 $13,230.00 $6,300.00 2026-10-05
278C1831AO CDM Roic Ana Coat Cage H6 14x15.5 29 29 $12,600.00 — $1,500.00 $13,230.00 $6,300.00 2026-10-05
278C1831AN CDM Roic Lord Coat Cage H6 14x15.5 29 29 $12,600.00 — $1,500.00 $13,230.00 $6,300.00 2026-10-05
2781776257 CDM G7 Osseoti Multihole 58mm G 29 29 $12,402.00 — $1,500.00 $13,022.10 $6,201.00 2026-10-05
2781776258 CDM G7 Osseoti Multihole 62mm H 29 29 $12,402.00 — $1,500.00 $13,022.10 $6,201.00 2026-10-05
2781776251 CDM G7 Osseoti Multihole 54mm F 29 29 $12,402.00 — $1,500.00 $13,022.10 $6,201.00 2026-10-05
2781776287 CDM G7 Osseoti Multihole 52mm E 29 29 $12,402.00 — $1,500.00 $13,022.10 $6,201.00 2026-10-05
V2790 HCPCS Amniotic Membrane For Surgical Reconstruction, Per Procedure 48 48 $6,200.00 $8,060.00 $1,591.00 $15,500.00 $6,200.00 2026-10-05
2781776012 CDM Srom Stm St 36+ 6lnk 11x16x150 29 29 $12,103.20 — $1,500.00 $12,708.36 $6,051.60 2026-10-05
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 16 16 $40,311.44 $41,520.78 $5,989.84 $7,187.81 $5,989.84 2026-10-05
2781776014 CDM G7 Freedom Const E1 Lnr 36mm D 29 29 $11,952.00 — $1,500.00 $12,549.60 $5,976.00 2026-10-05
49560 HCPCS Repair Initial Incisional Or Ventral Hernia; Reducible 48 48 $5,975.00 $7,767.50 $1,591.00 $14,937.50 $5,975.00 2026-10-05
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 16 16 $19,667.48 $20,257.50 $5,971.79 $7,166.14 $5,971.79 2026-10-05
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