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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

FAIRCHILD MEDICAL CENTER

Yreka, CA · CCN 051316 · Rates published

6,735 distinct procedures filed
5 distinct payers
32,157 rate rows
2025-12-03 last MRF observed
Data quality

30,968 of 32,157 rate rows are consumer-grade (96.3%)

1,189 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 1,048
template filing: same amount across many unrelated codes — excluded 107
percent-of-charges filed in the dollar field — excluded from medians 33
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=dbFMCYREKACA&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/FairChild.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-18
Content fingerprint 0fd6d1c01f17bae0… · 11,316,770 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
988
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 $292,601.15 $345,864.24 $318,195.10 nat. median
$17,137
outlier · 18.6×
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 4 $252,422.81 $298,372.11 $274,502.34 nat. median
$40,773
outlier · 6.7×
500
MS_DRG 		Soft Tissue Procedures With Mcc 4 $219,788.25 $259,796.99 $239,013.23 nat. median
$30,787
outlier · 7.8×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $215,701.06 $254,965.79 $234,568.53 nat. median
$65,958
outlier · 3.6×
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 $204,377.11 $241,580.51 $222,254.07 nat. median
$31,313
outlier · 7.1×
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 4 $186,222.43 $220,121.08 $202,511.40 nat. median
$34,738
outlier · 5.8×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $183,732.41 $217,177.79 $199,803.57 nat. median
$62,218
outlier · 3.2×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 4 $175,978.28 $208,012.15 $191,371.18 nat. median
$44,514
outlier · 4.3×
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 $173,769.08 $205,400.80 $188,968.73 nat. median
$31,836
outlier · 5.9×
800
MS_DRG 		Splenic Procedures With Cc 4 $131,506.13 $155,444.60 $143,009.03 nat. median
$27,862
outlier · 5.1×
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 $131,109.92 $154,976.26 $142,578.15 nat. median
$34,805
outlier · 4.1×
164
MS_DRG 		Major Chest Procedures With Cc 4 $130,977.23 $154,819.43 $142,433.87 nat. median
$25,372
outlier · 5.6×
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 4 $126,309.41 $149,301.90 $137,357.75 nat. median
$27,037
outlier · 5.1×
354
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Cc 4 $124,871.00 $147,601.66 $135,793.52 nat. median
$17,345
outlier · 7.8×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 $123,137.59 $145,552.71 $133,908.49 nat. median
$47,707
outlier · 2.8×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 4 $116,129.51 $137,268.92 $126,287.41 nat. median
$24,077
outlier · 5.2×
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 4 $116,110.34 $137,246.27 $126,266.57 nat. median
$21,326
outlier · 5.9×
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 4 $115,586.47 $136,627.04 $125,696.87 nat. median
$30,061
outlier · 4.2×
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 $113,154.34 $133,752.17 $123,052.00 nat. median
$21,659
outlier · 5.7×
643
MS_DRG 		Endocrine Disorders With Mcc 4 $111,872.93 $132,237.50 $121,658.50 nat. median
$16,558
outlier · 7.3×
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 $104,734.01 $123,799.07 $113,895.14 nat. median
$24,545
outlier · 4.6×
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 4 $101,464.22 $119,934.08 $110,339.35 nat. median
$21,951
outlier · 5.0×
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 4 $100,157.85 $118,389.89 $108,918.70 nat. median
$16,012
outlier · 6.8×
735
MS_DRG 		Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 4 $99,869.54 $118,049.10 $108,605.17 nat. median
$13,735
outlier · 7.9×
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 4 $97,900.70 $115,721.87 $106,464.12 nat. median
$21,418
outlier · 5.0×
511
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 4 $97,467.15 $115,209.40 $105,992.65 nat. median
$20,373
outlier · 5.2×
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 4 $97,439.35 $115,176.53 $105,962.41 nat. median
$16,167
outlier · 6.6×
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 4 $97,266.84 $114,972.63 $105,774.82 nat. median
$19,883
outlier · 5.3×
913
MS_DRG 		Traumatic Injury With Mcc 4 $91,462.28 $108,111.44 $99,462.52 nat. median
$16,222
outlier · 6.1×
742
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 4 $91,095.73 $107,678.17 $99,063.92 nat. median
$18,578
outlier · 5.3×
497
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 $89,134.65 $105,360.11 $96,931.30 nat. median
$13,582
outlier · 7.1×
328
MS_DRG 		Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 4 $88,817.94 $104,985.75 $96,586.89 nat. median
$16,512
outlier · 5.8×
442
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 4 $88,368.75 $104,454.79 $96,098.40 nat. median
$10,419
outlier · 9.2×
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 $88,345.87 $104,427.74 $96,073.52 nat. median
$26,451
outlier · 3.6×
80
MS_DRG 		Nontraumatic Stupor And Coma With Mcc 4 $86,501.14 $102,247.21 $94,067.43 nat. median
$18,593
outlier · 5.1×
747
MS_DRG 		Vagina, Cervix And Vulva Procedures Without Cc/mcc 4 $83,117.06 $98,247.12 $90,387.35 nat. median
$9,932
outlier · 9.1×
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 4 $79,152.35 $93,560.70 $86,075.85 nat. median
$20,254
outlier · 4.2×
380
MS_DRG 		Complicated Peptic Ulcer With Mcc 4 $79,083.34 $93,479.12 $86,000.79 nat. median
$19,094
outlier · 4.5×
786
MS_DRG 		Cesarean Section Without Sterilization With Mcc 4 $78,660.53 $92,979.35 $85,541.01 nat. median
$15,304
outlier · 5.6×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 4 $77,975.98 $92,170.19 $84,796.57 nat. median
$37,685
outlier · 2.3×
901
MS_DRG 		Wound Debridements For Injuries With Mcc 4 $76,698.11 $90,659.70 $83,406.92 nat. median
$41,186
outlier · 2.0×
J3357
HCPCS 		Ustekinumab, For Subcutaneous Injection, 1 Mg 4 $319.77 $88,612.84 $82,296.82 nat. median
$12,959
outlier · 6.4×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 4 $74,824.92 $88,445.53 $81,369.89 nat. median
$48,124
1.7× median
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 4 $74,553.97 $88,125.26 $81,075.24 nat. median
$12,590
outlier · 6.4×
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 4 $73,942.72 $87,402.74 $80,410.52 nat. median
$13,455
outlier · 6.0×
959
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 4 $73,383.31 $86,741.50 $79,802.18 nat. median
$27,330
outlier · 2.9×
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 4 $73,290.27 $86,631.53 $79,701.01 nat. median
$17,453
outlier · 4.6×
743
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 4 $71,221.43 $84,186.09 $77,451.20 nat. median
$12,945
outlier · 6.0×
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 4 $71,105.56 $84,049.13 $77,325.20 nat. median
$24,507
outlier · 3.2×
503
MS_DRG 		Foot Procedures With Mcc 4 $70,667.59 $83,531.43 $76,848.91 nat. median
$26,831
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 6,735 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 4 $345,864.24 $345,864.24 $292,601.15 $345,864.24 $318,195.10 2025-12-03
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 4 $298,372.11 $298,372.11 $252,422.81 $298,372.11 $274,502.34 2025-12-03
500 MS_DRG Soft Tissue Procedures With Mcc 4 4 $259,796.99 $259,796.99 $219,788.25 $259,796.99 $239,013.23 2025-12-03
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 4 $254,965.79 $254,965.79 $215,701.06 $254,965.79 $234,568.53 2025-12-03
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 4 $241,580.51 $241,580.51 $204,377.11 $241,580.51 $222,254.07 2025-12-03
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 4 $220,121.08 $220,121.08 $186,222.43 $220,121.08 $202,511.40 2025-12-03
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 4 $217,177.79 $217,177.79 $183,732.41 $217,177.79 $199,803.57 2025-12-03
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 4 $208,012.15 $208,012.15 $175,978.28 $208,012.15 $191,371.18 2025-12-03
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 4 $205,400.80 $205,400.80 $173,769.08 $205,400.80 $188,968.73 2025-12-03
800 MS_DRG Splenic Procedures With Cc 4 4 $155,444.60 $155,444.60 $131,506.13 $155,444.60 $143,009.03 2025-12-03
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 4 $154,976.26 $154,976.26 $131,109.92 $154,976.26 $142,578.15 2025-12-03
164 MS_DRG Major Chest Procedures With Cc 4 4 $154,819.43 $154,819.43 $130,977.23 $154,819.43 $142,433.87 2025-12-03
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 4 4 $149,301.90 $149,301.90 $126,309.41 $149,301.90 $137,357.75 2025-12-03
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 4 4 $147,601.66 $147,601.66 $124,871.00 $147,601.66 $135,793.52 2025-12-03
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 4 $145,552.71 $145,552.71 $123,137.59 $145,552.71 $133,908.49 2025-12-03
330 MS_DRG Major Small And Large Bowel Procedures With Cc 4 4 $137,268.92 $137,268.92 $116,129.51 $137,268.92 $126,287.41 2025-12-03
336 MS_DRG Peritoneal Adhesiolysis With Cc 4 4 $137,246.27 $137,246.27 $116,110.34 $137,246.27 $126,266.57 2025-12-03
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 $136,627.04 $136,627.04 $115,586.47 $136,627.04 $125,696.87 2025-12-03
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 4 $133,752.17 $133,752.17 $113,154.34 $133,752.17 $123,052.00 2025-12-03
643 MS_DRG Endocrine Disorders With Mcc 4 4 $132,237.50 $132,237.50 $111,872.93 $132,237.50 $121,658.50 2025-12-03
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 4 $123,799.07 $123,799.07 $104,734.01 $123,799.07 $113,895.14 2025-12-03
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 4 $119,934.08 $119,934.08 $101,464.22 $119,934.08 $110,339.35 2025-12-03
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 4 4 $118,389.89 $118,389.89 $100,157.85 $118,389.89 $108,918.70 2025-12-03
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 4 4 $118,049.10 $118,049.10 $99,869.54 $118,049.10 $108,605.17 2025-12-03
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 4 4 $115,721.87 $115,721.87 $97,900.70 $115,721.87 $106,464.12 2025-12-03
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 4 4 $115,209.40 $115,209.40 $97,467.15 $115,209.40 $105,992.65 2025-12-03
177 MS_DRG Respiratory Infections And Inflammations With Mcc 4 4 $115,176.53 $115,176.53 $97,439.35 $115,176.53 $105,962.41 2025-12-03
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 4 4 $114,972.63 $114,972.63 $97,266.84 $114,972.63 $105,774.82 2025-12-03
913 MS_DRG Traumatic Injury With Mcc 4 4 $108,111.44 $108,111.44 $91,462.28 $108,111.44 $99,462.52 2025-12-03
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 4 4 $107,678.17 $107,678.17 $91,095.73 $107,678.17 $99,063.92 2025-12-03
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 4 $105,360.11 $105,360.11 $89,134.65 $105,360.11 $96,931.30 2025-12-03
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 4 4 $104,985.75 $104,985.75 $88,817.94 $104,985.75 $96,586.89 2025-12-03
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 4 4 $104,454.79 $104,454.79 $88,368.75 $104,454.79 $96,098.40 2025-12-03
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 4 $104,427.74 $104,427.74 $88,345.87 $104,427.74 $96,073.52 2025-12-03
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 4 4 $102,247.21 $102,247.21 $86,501.14 $102,247.21 $94,067.43 2025-12-03
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/mcc 4 4 $98,247.12 $98,247.12 $83,117.06 $98,247.12 $90,387.35 2025-12-03
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 4 4 $93,560.70 $93,560.70 $79,152.35 $93,560.70 $86,075.85 2025-12-03
380 MS_DRG Complicated Peptic Ulcer With Mcc 4 4 $93,479.12 $93,479.12 $79,083.34 $93,479.12 $86,000.79 2025-12-03
786 MS_DRG Cesarean Section Without Sterilization With Mcc 4 4 $92,979.35 $92,979.35 $78,660.53 $92,979.35 $85,541.01 2025-12-03
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 4 $92,170.19 $92,170.19 $77,975.98 $92,170.19 $84,796.57 2025-12-03
901 MS_DRG Wound Debridements For Injuries With Mcc 4 4 $90,659.70 $90,659.70 $76,698.11 $90,659.70 $83,406.92 2025-12-03
J3357 HCPCS Ustekinumab, For Subcutaneous Injection, 1 Mg 4 4 $94,268.98 $94,268.98 $319.77 $88,612.84 $82,296.82 2025-12-03
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 4 $88,445.53 $88,445.53 $74,824.92 $88,445.53 $81,369.89 2025-12-03
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 4 4 $88,125.26 $88,125.26 $74,553.97 $88,125.26 $81,075.24 2025-12-03
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 4 4 $87,402.74 $87,402.74 $73,942.72 $87,402.74 $80,410.52 2025-12-03
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 4 4 $86,741.50 $86,741.50 $73,383.31 $86,741.50 $79,802.18 2025-12-03
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 4 4 $86,631.53 $86,631.53 $73,290.27 $86,631.53 $79,701.01 2025-12-03
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 4 4 $84,186.09 $84,186.09 $71,221.43 $84,186.09 $77,451.20 2025-12-03
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 4 $84,049.13 $84,049.13 $71,105.56 $84,049.13 $77,325.20 2025-12-03
503 MS_DRG Foot Procedures With Mcc 4 4 $83,531.43 $83,531.43 $70,667.59 $83,531.43 $76,848.91 2025-12-03
72 MS_DRG Other Cerebrovascular Disorders Without Cc/mcc 4 4 $82,412.63 $82,412.63 $69,721.09 $82,412.63 $75,819.62 2025-12-03
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 4 4 $82,064.72 $82,064.72 $69,426.75 $82,064.72 $75,499.54 2025-12-03
357 MS_DRG Other Digestive System O.r. Procedures With Cc 4 4 $79,776.56 $79,776.56 $67,490.97 $79,776.56 $73,394.43 2025-12-03
289 MS_DRG Acute And Subacute Endocarditis With Cc 4 4 $79,130.48 $79,130.48 $66,944.39 $79,130.48 $72,800.04 2025-12-03
637 MS_DRG Diabetes With Mcc 4 4 $78,735.53 $78,735.53 $66,610.25 $78,735.53 $72,436.68 2025-12-03
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 4 4 $78,568.48 $78,568.48 $66,468.93 $78,568.48 $72,283.00 2025-12-03
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 4 $77,335.61 $77,335.61 $65,425.93 $77,335.61 $71,148.76 2025-12-03
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 4 4 $76,151.55 $76,151.55 $64,424.21 $76,151.55 $70,059.42 2025-12-03
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 4 $75,817.39 $75,817.39 $64,141.51 $75,817.39 $69,752.00 2025-12-03
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 4 4 $75,184.31 $75,184.31 $63,605.93 $75,184.31 $69,169.57 2025-12-03
799 MS_DRG Splenic Procedures With Mcc 4 4 $75,176.56 $75,176.56 $63,599.37 $75,176.56 $69,162.43 2025-12-03
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 4 4 $73,767.58 $73,767.58 $62,407.37 $73,767.58 $67,866.18 2025-12-03
189 MS_DRG Pulmonary Edema And Respiratory Failure 4 4 $72,375.83 $72,375.83 $61,229.95 $72,375.83 $66,585.76 2025-12-03
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 4 $72,005.17 $72,005.17 $60,916.37 $72,005.17 $66,244.76 2025-12-03
866 MS_DRG Viral Illness Without Mcc 4 4 $71,652.14 $71,652.14 $60,617.71 $71,652.14 $65,919.97 2025-12-03
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 4 $70,876.73 $70,876.73 $59,961.71 $70,876.73 $65,206.60 2025-12-03
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 $68,716.34 $68,716.34 $58,134.02 $68,716.34 $63,219.04 2025-12-03
504 MS_DRG Foot Procedures With Cc 4 4 $67,975.53 $67,975.53 $57,507.29 $67,975.53 $62,537.48 2025-12-03
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 4 4 $67,459.61 $67,459.61 $57,070.83 $67,459.61 $62,062.84 2025-12-03
908 MS_DRG Other O.r. Procedures For Injuries With Cc 4 4 $67,061.57 $67,061.57 $56,734.09 $67,061.57 $61,696.65 2025-12-03
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 4 4 $66,582.55 $66,582.55 $56,328.83 $66,582.55 $61,255.94 2025-12-03
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 4 4 $66,210.25 $66,210.25 $56,013.87 $66,210.25 $60,913.43 2025-12-03
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 4 4 $65,951.28 $65,951.28 $55,794.78 $65,951.28 $60,675.18 2025-12-03
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 4 4 $64,603.44 $64,603.44 $54,654.51 $64,603.44 $59,435.17 2025-12-03
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 4 $64,547.03 $64,547.03 $54,606.79 $64,547.03 $59,383.27 2025-12-03
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 4 4 $64,520.54 $64,520.54 $54,584.38 $64,520.54 $59,358.90 2025-12-03
787 MS_DRG Cesarean Section Without Sterilization With Cc 4 4 $64,273.84 $64,273.84 $54,375.67 $64,273.84 $59,131.93 2025-12-03
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 4 $64,271.15 $64,271.15 $54,373.39 $64,271.15 $59,129.46 2025-12-03
378 MS_DRG Gastrointestinal Hemorrhage With Cc 4 4 $63,219.70 $63,219.70 $53,483.87 $63,219.70 $58,162.12 2025-12-03
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 4 4 $62,440.23 $62,440.23 $52,824.43 $62,440.23 $57,445.01 2025-12-03
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 4 4 $61,881.34 $61,881.34 $52,351.61 $61,881.34 $56,930.83 2025-12-03
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 4 $61,638.35 $61,638.35 $52,146.04 $61,638.35 $56,707.28 2025-12-03
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 4 $61,570.15 $61,570.15 $52,088.35 $61,570.15 $56,644.54 2025-12-03
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 4 $60,630.12 $60,630.12 $51,293.08 $60,630.12 $55,779.71 2025-12-03
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 4 4 $60,372.61 $60,372.61 $51,075.23 $60,372.61 $55,542.80 2025-12-03
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 4 4 $60,206.02 $60,206.02 $50,934.30 $60,206.02 $55,389.54 2025-12-03
393 MS_DRG Other Digestive System Diagnoses With Mcc 4 4 $59,208.93 $59,208.93 $50,090.76 $59,208.93 $54,472.22 2025-12-03
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 4 4 $58,550.92 $58,550.92 $49,534.08 $58,550.92 $53,866.85 2025-12-03
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 4 4 $58,337.61 $58,337.61 $49,353.62 $58,337.61 $53,670.60 2025-12-03
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 4 4 $58,296.21 $58,296.21 $49,318.59 $58,296.21 $53,632.51 2025-12-03
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 4 $58,061.73 $58,061.73 $49,120.22 $58,061.73 $53,416.79 2025-12-03
297 MS_DRG Cardiac Arrest, Unexplained With Cc 4 4 $58,053.99 $58,053.99 $49,113.68 $58,053.99 $53,409.67 2025-12-03
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 4 $57,775.42 $57,775.42 $48,878.01 $57,775.42 $53,153.38 2025-12-03
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 4 4 $56,660.88 $56,660.88 $47,935.10 $56,660.88 $52,128.01 2025-12-03
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 4 $56,193.27 $56,193.27 $47,539.51 $56,193.27 $51,697.82 2025-12-03
571 MS_DRG Skin Debridement With Cc 4 4 $55,477.51 $55,477.51 $46,933.97 $55,477.51 $51,039.30 2025-12-03
784 MS_DRG Cesarean Section With Sterilization With Cc 4 4 $54,121.94 $54,121.94 $45,787.16 $54,121.94 $49,792.18 2025-12-03
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 4 4 $53,885.76 $53,885.76 $45,587.35 $53,885.76 $49,574.90 2025-12-03
199 MS_DRG Pneumothorax With Mcc 4 4 $53,459.55 $53,459.55 $45,226.78 $53,459.55 $49,182.79 2025-12-03
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 4 4 $53,071.14 $53,071.14 $44,898.18 $53,071.14 $48,825.45 2025-12-03
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 4 4 $52,354.93 $52,354.93 $44,292.27 $52,354.93 $48,166.54 2025-12-03
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 4 4 $51,922.26 $51,922.26 $43,926.23 $51,922.26 $47,768.47 2025-12-03
811 MS_DRG Red Blood Cell Disorders With Mcc 4 4 $51,192.21 $51,192.21 $43,308.61 $51,192.21 $47,096.83 2025-12-03
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 4 4 $51,169.95 $51,169.95 $43,289.77 $51,169.95 $47,076.35 2025-12-03
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 4 4 $50,841.22 $50,841.22 $43,011.67 $50,841.22 $46,773.93 2025-12-03
202 MS_DRG Bronchitis And Asthma With Cc/mcc 4 4 $50,564.14 $50,564.14 $42,777.26 $50,564.14 $46,519.01 2025-12-03
915 MS_DRG Allergic Reactions With Mcc 4 4 $49,666.54 $49,666.54 $42,017.89 $49,666.54 $45,693.22 2025-12-03
183 MS_DRG Major Chest Trauma With Mcc 4 4 $49,391.00 $49,391.00 $41,784.79 $49,391.00 $45,439.72 2025-12-03
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 4 4 $51,755.16 $51,755.16 $88.63 $48,649.85 $45,182.26 2025-12-03
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 4 4 $47,802.25 $47,802.25 $40,440.70 $47,802.25 $43,978.07 2025-12-03
864 MS_DRG Fever And Inflammatory Conditions 4 4 $47,227.65 $47,227.65 $39,954.59 $47,227.65 $43,449.43 2025-12-03
184 MS_DRG Major Chest Trauma With Cc 4 4 $47,139.67 $47,139.67 $39,880.16 $47,139.67 $43,368.49 2025-12-03
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 4 4 $46,588.43 $46,588.43 $39,413.81 $46,588.43 $42,861.35 2025-12-03
314 MS_DRG Other Circulatory System Diagnoses With Mcc 4 4 $45,483.24 $45,483.24 $38,478.82 $45,483.24 $41,844.58 2025-12-03
101 MS_DRG Seizures Without Mcc 4 4 $45,123.56 $45,123.56 $38,174.53 $45,123.56 $41,513.68 2025-12-03
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 4 4 $45,059.01 $45,059.01 $38,119.92 $45,059.01 $41,454.28 2025-12-03
J1628 HCPCS Injection, Guselkumab, 1 Mg 4 4 $47,104.45 $47,104.45 $169.80 $44,278.18 $41,122.18 2025-12-03
375 MS_DRG Digestive Malignancy With Cc 4 4 $44,455.41 $44,455.41 $37,609.27 $44,455.41 $40,898.97 2025-12-03
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 4 4 $44,399.97 $44,399.97 $37,562.37 $44,399.97 $40,847.97 2025-12-03
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 4 4 $44,339.79 $44,339.79 $37,511.46 $44,339.79 $40,792.60 2025-12-03
91 MS_DRG Other Disorders Of Nervous System With Mcc 4 4 $44,160.63 $44,160.63 $37,359.89 $44,160.63 $40,627.78 2025-12-03
819 MS_DRG Other Antepartum Diagnoses With O.r. Procedures Without Cc/mcc 4 4 $44,139.99 $44,139.99 $37,342.43 $44,139.99 $40,608.79 2025-12-03
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 4 4 $43,965.82 $43,965.82 $37,195.08 $43,965.82 $40,448.56 2025-12-03
501 MS_DRG Soft Tissue Procedures With Cc 4 4 $43,943.11 $43,943.11 $37,175.87 $43,943.11 $40,427.66 2025-12-03
398 MS_DRG Appendix Procedures With Cc 4 4 $43,595.99 $43,595.99 $36,882.21 $43,595.99 $40,108.31 2025-12-03
540 MS_DRG Osteomyelitis With Cc 4 4 $43,206.27 $43,206.27 $36,552.50 $43,206.27 $39,749.75 2025-12-03
103 MS_DRG Headaches Without Mcc 4 4 $42,247.83 $42,247.83 $35,741.66 $42,247.83 $38,868.01 2025-12-03
J7189 HCPCS Factor Viia (antihemophilic Factor, Recombinant), (novoseven Rt), 1 Microgram 6 3 $43,154.76 $43,154.76 $35,994.31 $41,137.29 $38,839.29 2025-12-03
916 MS_DRG Allergic Reactions Without Mcc 4 4 $42,068.93 $42,068.93 $35,590.31 $42,068.93 $38,703.42 2025-12-03
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 4 $41,512.12 $41,512.12 $35,119.25 $41,512.12 $38,191.15 2025-12-03
100 MS_DRG Seizures With Mcc 4 4 $41,458.10 $41,458.10 $35,073.55 $41,458.10 $38,141.45 2025-12-03
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 4 4 $41,184.33 $41,184.33 $34,841.94 $41,184.33 $37,889.58 2025-12-03
70 MS_DRG Other Cerebrovascular Disorders With Mcc 4 4 $40,912.79 $40,912.79 $34,612.22 $40,912.79 $37,639.76 2025-12-03
92 MS_DRG Other Disorders Of Nervous System With Cc 4 4 $40,738.73 $40,738.73 $34,464.97 $40,738.73 $37,479.64 2025-12-03
655 MS_DRG Major Bladder Procedures Without Cc/mcc 4 4 $40,609.84 $40,609.84 $34,355.92 $40,609.84 $37,361.06 2025-12-03
948 MS_DRG Signs And Symptoms Without Mcc 4 4 $39,832.37 $39,832.37 $33,698.18 $39,832.37 $36,645.77 2025-12-03
200 MS_DRG Pneumothorax With Cc 4 4 $39,474.99 $39,474.99 $33,395.84 $39,474.99 $36,316.99 2025-12-03
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 4 4 $37,575.06 $37,575.06 $31,788.50 $37,575.06 $34,569.06 2025-12-03
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 4 4 $37,362.32 $37,362.32 $31,608.52 $37,362.32 $34,373.33 2025-12-03
812 MS_DRG Red Blood Cell Disorders Without Mcc 4 4 $37,078.41 $37,078.41 $31,368.33 $37,078.41 $34,112.13 2025-12-03
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 4 4 $36,928.80 $36,928.80 $31,241.76 $36,928.80 $33,974.49 2025-12-03
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 4 4 $36,854.37 $36,854.37 $31,178.80 $36,854.37 $33,906.02 2025-12-03
368 MS_DRG Major Esophageal Disorders With Mcc 4 4 $36,728.60 $36,728.60 $31,072.39 $36,728.60 $33,790.31 2025-12-03
505 MS_DRG Foot Procedures Without Cc/mcc 4 4 $36,602.47 $36,602.47 $30,965.69 $36,602.47 $33,674.27 2025-12-03
386 MS_DRG Inflammatory Bowel Disease With Cc 4 4 $36,396.02 $36,396.02 $30,791.03 $36,396.02 $33,484.34 2025-12-03
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 4 4 $35,914.01 $35,914.01 $30,383.26 $35,914.01 $33,040.89 2025-12-03
204 MS_DRG Respiratory Signs And Symptoms 4 4 $35,663.72 $35,663.72 $30,171.51 $35,663.72 $32,810.62 2025-12-03
90396 HCPCS Varicella (chicken Pox) Zoster Immune Globulin For Injection Into Muscle 4 4 $37,403.33 $37,403.33 $2,594.26 $35,159.13 $32,653.11 2025-12-03
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 4 4 $35,481.81 $35,481.81 $30,017.61 $35,481.81 $32,643.26 2025-12-03
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 4 4 $35,411.37 $35,411.37 $29,958.02 $35,411.37 $32,578.46 2025-12-03
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 4 4 $34,886.12 $34,886.12 $29,513.65 $34,886.12 $32,095.22 2025-12-03
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 4 4 $34,769.73 $34,769.73 $29,415.20 $34,769.73 $31,988.15 2025-12-03
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 4 4 $34,635.52 $34,635.52 $29,301.65 $34,635.52 $31,864.68 2025-12-03
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 4 4 $34,060.25 $34,060.25 $28,814.97 $34,060.25 $31,335.43 2025-12-03
71 MS_DRG Other Cerebrovascular Disorders With Cc 4 4 $34,044.79 $34,044.79 $28,801.90 $34,044.79 $31,321.21 2025-12-03
292 MS_DRG Heart Failure And Shock With Cc 4 4 $34,036.61 $34,036.61 $28,794.97 $34,036.61 $31,313.68 2025-12-03
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 4 4 $34,008.93 $34,008.93 $28,771.55 $34,008.93 $31,288.22 2025-12-03
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 4 4 $33,907.94 $33,907.94 $28,686.12 $33,907.94 $31,195.31 2025-12-03
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 4 4 $33,556.18 $33,556.18 $28,388.53 $33,556.18 $30,871.69 2025-12-03
J7169 HCPCS Injection, Coagulation Factor Xa (recombinant), Inactivated-zhzo (andexxa), 10 M… 4 4 $34,928.09 $34,928.09 $400.86 $32,832.40 $30,492.22 2025-12-03
300 MS_DRG Peripheral Vascular Disorders With Cc 4 4 $32,936.58 $32,936.58 $27,864.35 $32,936.58 $30,301.65 2025-12-03
J2182 HCPCS Injection, Mepolizumab, 1 Mg 7 4 $32,176.00 $32,176.00 $47.79 $37,611.95 $30,245.44 2025-12-03
178 MS_DRG Respiratory Infections And Inflammations With Cc 4 4 $32,409.79 $32,409.79 $27,418.68 $32,409.79 $29,817.01 2025-12-03
49421 HCPCS Insertion Of Abdominal Cavity Tube For Drainage Or Dialysis 4 4 $33,958.00 $33,958.00 $261.73 $31,920.52 $29,645.33 2025-12-03
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 4 4 $32,208.76 $32,208.76 $27,248.61 $32,208.76 $29,632.06 2025-12-03
33300 HCPCS Repair Of Wound To Heart 4 4 $33,504.00 $33,504.00 $1,011.91 $31,493.76 $29,248.99 2025-12-03
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 4 4 $31,247.95 $31,247.95 $26,435.76 $31,247.95 $28,748.11 2025-12-03
188 MS_DRG Pleural Effusion Without Cc/mcc 4 4 $31,196.81 $31,196.81 $26,392.50 $31,196.81 $28,701.07 2025-12-03
603 MS_DRG Cellulitis Without Mcc 4 4 $31,192.69 $31,192.69 $26,389.02 $31,192.69 $28,697.28 2025-12-03
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 4 4 $30,978.04 $30,978.04 $26,207.42 $30,978.04 $28,499.79 2025-12-03
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 4 4 $30,729.53 $30,729.53 $25,997.18 $30,729.53 $28,271.17 2025-12-03
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 4 4 $30,092.42 $30,092.42 $25,458.19 $30,092.42 $27,685.03 2025-12-03
291 MS_DRG Heart Failure And Shock With Mcc 4 4 $29,944.73 $29,944.73 $25,333.25 $29,944.73 $27,549.15 2025-12-03
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 4 4 $29,565.96 $29,565.96 $25,012.80 $29,565.96 $27,200.68 2025-12-03
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 4 4 $28,929.51 $28,929.51 $24,474.36 $28,929.51 $26,615.15 2025-12-03
J1640 HCPCS Injection, Hemin, 1 Mg 4 4 $30,387.76 $30,387.76 $41.44 $28,564.49 $26,528.51 2025-12-03
445 MS_DRG Disorders Of The Biliary Tract With Cc 4 4 $28,129.50 $28,129.50 $23,797.56 $28,129.50 $25,879.14 2025-12-03
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 4 4 $29,487.03 $29,487.03 $20.27 $27,717.81 $25,742.18 2025-12-03
682 MS_DRG Renal Failure With Mcc 4 4 $27,853.93 $27,853.93 $23,564.42 $27,853.93 $25,625.61 2025-12-03
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 4 4 $27,672.30 $27,672.30 $23,410.77 $27,672.30 $25,458.51 2025-12-03
J2323 HCPCS Injection, Natalizumab, 1 Mg 4 4 $28,962.59 $28,962.59 $38.51 $27,224.83 $25,284.34 2025-12-03
638 MS_DRG Diabetes With Cc 4 4 $27,380.85 $27,380.85 $23,164.20 $27,380.85 $25,190.39 2025-12-03
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 4 4 $26,510.69 $26,510.69 $22,428.04 $26,510.69 $24,389.83 2025-12-03
683 MS_DRG Renal Failure With Cc 4 4 $26,508.91 $26,508.91 $22,426.54 $26,508.91 $24,388.19 2025-12-03
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 4 4 $26,457.33 $26,457.33 $22,382.90 $26,457.33 $24,340.74 2025-12-03
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 4 4 $26,400.52 $26,400.52 $22,334.84 $26,400.52 $24,288.48 2025-12-03
81 MS_DRG Nontraumatic Stupor And Coma Without Mcc 4 4 $26,124.15 $26,124.15 $22,101.03 $26,124.15 $24,034.22 2025-12-03
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 4 4 $26,001.64 $26,001.64 $21,997.39 $26,001.64 $23,921.51 2025-12-03
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 4 4 $25,959.13 $25,959.13 $21,961.43 $25,959.13 $23,882.40 2025-12-03
694 MS_DRG Urinary Stones Without Mcc 4 4 $25,777.88 $25,777.88 $21,808.09 $25,777.88 $23,715.65 2025-12-03
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 4 4 $25,443.51 $25,443.51 $21,525.21 $25,443.51 $23,408.03 2025-12-03
76 MS_DRG Viral Meningitis Without Cc/mcc 4 4 $25,382.20 $25,382.20 $21,473.34 $25,382.20 $23,351.62 2025-12-03
305 MS_DRG Hypertension Without Mcc 4 4 $25,325.27 $25,325.27 $21,425.18 $25,325.27 $23,299.25 2025-12-03
813 MS_DRG Coagulation Disorders 4 4 $25,256.34 $25,256.34 $21,366.86 $25,256.34 $23,235.83 2025-12-03
303 MS_DRG Atherosclerosis Without Mcc 4 4 $25,082.76 $25,082.76 $21,220.02 $25,082.76 $23,076.14 2025-12-03
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 4 4 $25,048.63 $25,048.63 $21,191.14 $25,048.63 $23,044.74 2025-12-03
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 4 4 $24,994.94 $24,994.94 $21,145.72 $24,994.94 $22,995.35 2025-12-03
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 4 4 $24,507.58 $24,507.58 $20,733.41 $24,507.58 $22,546.97 2025-12-03
311 MS_DRG Angina Pectoris 4 4 $24,346.33 $24,346.33 $20,596.99 $24,346.33 $22,398.62 2025-12-03
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 4 4 $23,810.02 $23,810.02 $20,143.28 $23,810.02 $21,905.22 2025-12-03
20822 HCPCS Reattachment Of Part Of Cutoff Finger 4 4 $24,511.00 $24,511.00 $2,737.95 $23,040.34 $21,398.11 2025-12-03
J1303 HCPCS Injection, Ravulizumab-cwvz, 10 Mg 7 4 $22,480.35 $22,480.35 $330.83 $77,482.25 $21,131.53 2025-12-03
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 4 4 $22,844.18 $22,844.18 $19,326.18 $22,844.18 $21,016.64 2025-12-03
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 4 4 $22,661.95 $22,661.95 $19,172.01 $22,661.95 $20,848.99 2025-12-03
293 MS_DRG Heart Failure And Shock Without Cc/mcc 4 4 $22,589.87 $22,589.87 $19,111.03 $22,589.87 $20,782.68 2025-12-03
201 MS_DRG Pneumothorax Without Cc/mcc 4 4 $22,587.68 $22,587.68 $19,109.18 $22,587.68 $20,780.67 2025-12-03
312 MS_DRG Syncope And Collapse 4 4 $22,313.54 $22,313.54 $18,877.26 $22,313.54 $20,528.46 2025-12-03
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 4 4 $23,469.04 $23,469.04 $35.59 $22,060.90 $20,488.47 2025-12-03
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 4 4 $21,903.20 $21,903.20 $18,530.11 $21,903.20 $20,150.94 2025-12-03
J1299 HCPCS Injection, Eculizumab, 2 Mg 4 4 $22,898.07 $22,898.07 $44.81 $21,524.19 $19,990.01 2025-12-03
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 4 4 $21,528.44 $21,528.44 $18,213.06 $21,528.44 $19,806.16 2025-12-03
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 4 4 $21,191.24 $21,191.24 $17,927.79 $21,191.24 $19,495.94 2025-12-03
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 4 4 $20,823.40 $20,823.40 $17,616.60 $20,823.40 $19,157.53 2025-12-03
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 4 4 $20,475.73 $20,475.73 $17,322.47 $20,475.73 $18,837.67 2025-12-03
389 MS_DRG Gastrointestinal Obstruction With Cc 4 4 $20,453.88 $20,453.88 $17,303.98 $20,453.88 $18,817.57 2025-12-03
J7168 HCPCS Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 7 4 $20,373.69 $20,373.69 $7.44 $20,771.44 $18,694.30 2025-12-03
J1930 HCPCS Injection, Lanreotide, 1 Mg 4 4 $21,371.08 $21,371.08 $104.60 $20,088.82 $18,656.95 2025-12-03
884 MS_DRG Organic Disturbances And Intellectual Disability 4 4 $20,191.12 $20,191.12 $17,081.69 $20,191.12 $18,575.83 2025-12-03
684 MS_DRG Renal Failure Without Cc/mcc 4 4 $20,181.12 $20,181.12 $17,073.23 $20,181.12 $18,566.63 2025-12-03
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 4 4 $20,111.47 $20,111.47 $17,014.30 $20,111.47 $18,502.55 2025-12-03
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 4 4 $20,071.22 $20,071.22 $16,980.26 $20,071.22 $18,465.53 2025-12-03
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 4 4 $20,036.98 $20,036.98 $16,951.28 $20,036.98 $18,434.02 2025-12-03
644 MS_DRG Endocrine Disorders With Cc 4 4 $19,781.35 $19,781.35 $16,735.02 $19,781.35 $18,198.83 2025-12-03
394 MS_DRG Other Digestive System Diagnoses With Cc 4 4 $19,668.44 $19,668.44 $16,639.50 $19,668.44 $18,094.97 2025-12-03
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 4 4 $19,343.40 $19,343.40 $16,364.52 $19,343.40 $17,795.93 2025-12-03
791 MS_DRG Prematurity With Major Problems 4 4 $19,300.83 $19,300.83 $16,328.50 $19,300.83 $17,756.76 2025-12-03
69 MS_DRG Transient Ischemia Without Thrombolytic 4 4 $19,290.46 $19,290.46 $16,319.73 $19,290.46 $17,747.22 2025-12-03
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 4 4 $19,061.96 $19,061.96 $16,126.42 $19,061.96 $17,537.00 2025-12-03
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 4 4 $19,018.90 $19,018.90 $16,089.99 $19,018.90 $17,497.39 2025-12-03
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 4 4 $19,007.52 $19,007.52 $16,080.36 $19,007.52 $17,486.92 2025-12-03
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 4 4 $18,635.17 $18,635.17 $15,765.35 $18,635.17 $17,144.36 2025-12-03
723 MS_DRG Malignancy, Male Reproductive System With Cc 4 4 $18,538.34 $18,538.34 $15,683.44 $18,538.34 $17,055.28 2025-12-03
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 4 4 $18,430.38 $18,430.38 $15,592.10 $18,430.38 $16,955.95 2025-12-03
552 MS_DRG Medical Back Problems Without Mcc 4 4 $18,148.67 $18,148.67 $15,353.77 $18,148.67 $16,696.78 2025-12-03
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 4 4 $17,953.36 $17,953.36 $15,188.54 $17,953.36 $16,517.09 2025-12-03
304 MS_DRG Hypertension With Mcc 4 4 $17,888.00 $17,888.00 $15,133.25 $17,888.00 $16,456.96 2025-12-03
27810690 CDM Supply Shell Code 3 3 $18,231.00 $18,231.00 $15,423.43 $17,137.14 $16,407.90 2025-12-03
J0491 HCPCS Injection, Anifrolumab-fnia, 1 Mg 4 4 $18,724.12 $18,724.12 $21.64 $17,600.67 $16,346.16 2025-12-03
639 MS_DRG Diabetes Without Cc/mcc 4 4 $17,738.98 $17,738.98 $15,007.17 $17,738.98 $16,319.86 2025-12-03
602 MS_DRG Cellulitis With Mcc 4 4 $17,737.08 $17,737.08 $15,005.57 $17,737.08 $16,318.12 2025-12-03
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 4 4 $17,619.05 $17,619.05 $14,905.71 $17,619.05 $16,209.52 2025-12-03
36010208 CDM Operating Room Services - General Classification 3 3 $17,530.00 $17,530.00 $14,830.38 $16,478.20 $15,777.00 2025-12-03
434 MS_DRG Cirrhosis And Alcoholic Hepatitis Without Cc/mcc 4 4 $17,015.15 $17,015.15 $14,394.82 $17,015.15 $15,653.94 2025-12-03
176 MS_DRG Pulmonary Embolism Without Mcc 4 4 $16,946.06 $16,946.06 $14,336.37 $16,946.06 $15,590.38 2025-12-03
35188 HCPCS Repair Of Abnormal Artery-vein Connection Of Head And Neck 4 4 $17,812.00 $17,812.00 $785.55 $16,743.28 $15,549.88 2025-12-03
61154 HCPCS Burr Hole With Removal And/or Drainage Of Blood Accumulation Outside Or Below Br… 4 4 $17,783.00 $17,783.00 $1,388.47 $16,716.02 $15,524.56 2025-12-03
J9312 HCPCS Injection, Rituximab, 10 Mg 7 4 $20,654.01 $20,654.01 $137.30 $19,414.77 $15,500.82 2025-12-03
15738 HCPCS Creation Of Muscle Graft To Leg 4 4 $17,619.00 $17,619.00 $1,349.48 $16,561.86 $15,381.39 2025-12-03
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 4 4 $16,683.63 $16,683.63 $14,114.35 $16,683.63 $15,348.94 2025-12-03
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 4 4 $16,595.09 $16,595.09 $14,039.45 $16,595.09 $15,267.48 2025-12-03
551 MS_DRG Medical Back Problems With Mcc 4 4 $16,542.15 $16,542.15 $13,994.66 $16,542.15 $15,218.78 2025-12-03
313 MS_DRG Chest Pain 4 4 $16,439.81 $16,439.81 $13,908.08 $16,439.81 $15,124.62 2025-12-03
315 MS_DRG Other Circulatory System Diagnoses With Cc 4 4 $16,360.36 $16,360.36 $13,840.86 $16,360.36 $15,051.53 2025-12-03
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 4 4 $16,282.09 $16,282.09 $13,774.65 $16,282.09 $14,979.52 2025-12-03
645 MS_DRG Endocrine Disorders Without Cc/mcc 4 4 $16,217.98 $16,217.98 $13,720.41 $16,217.98 $14,920.54 2025-12-03
36010207 CDM Operating Room Services - General Classification 3 3 $16,362.00 $16,362.00 $13,842.25 $15,380.28 $14,725.80 2025-12-03
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 4 4 $15,728.76 $15,728.76 $13,306.53 $15,728.76 $14,470.45 2025-12-03
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 4 4 $15,306.25 $15,306.25 $12,949.09 $15,306.25 $14,081.75 2025-12-03
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 4 4 $15,246.03 $15,246.03 $12,898.14 $15,246.03 $14,026.34 2025-12-03
885 MS_DRG Psychoses 4 4 $15,172.05 $15,172.05 $12,835.55 $15,172.05 $13,958.29 2025-12-03
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 10 4 $16,052.91 $16,052.91 $334.77 $15,842.63 $13,919.57 2025-12-03
36010206 CDM Operating Room Services - General Classification 3 3 $15,193.00 $15,193.00 $12,853.28 $14,281.42 $13,673.70 2025-12-03
147638_SUP CDM Fixator External Ankle 3 3 $15,188.04 $15,188.04 $12,849.08 $14,276.76 $13,669.24 2025-12-03
J2356 HCPCS Injection, Tezepelumab-ekko, 1 Mg 4 4 $15,335.09 $15,335.09 $23.19 $14,414.98 $13,387.53 2025-12-03
67560 HCPCS Removal Or Revision Of Implant Outside Eye Muscles 4 4 $15,325.00 $15,325.00 $744.23 $14,405.50 $13,378.73 2025-12-03
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 4 4 $14,147.23 $14,147.23 $11,968.56 $14,147.23 $13,015.45 2025-12-03
64857 HCPCS Suture Of Arm Or Leg Peripheral Nerve 4 4 $14,601.00 $14,601.00 $781.46 $13,724.94 $12,746.67 2025-12-03
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 4 4 $13,766.42 $13,766.42 $11,646.39 $13,766.42 $12,665.11 2025-12-03
33320 HCPCS Repair Of Aorta Or Great Vessels With Sutures 4 4 $14,497.00 $14,497.00 $699.92 $13,627.18 $12,655.88 2025-12-03
36010205 CDM Operating Room Services - General Classification 3 3 $14,024.00 $14,024.00 $11,864.30 $13,182.56 $12,621.60 2025-12-03
55 MS_DRG Nervous System Neoplasms Without Mcc 4 4 $13,511.20 $13,511.20 $11,430.48 $13,511.20 $12,430.31 2025-12-03
149 MS_DRG Dysequilibrium 4 4 $13,392.05 $13,392.05 $11,329.67 $13,392.05 $12,320.69 2025-12-03
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 4 4 $13,905.19 $13,905.19 $539.29 $13,070.88 $12,139.23 2025-12-03
J3101 HCPCS Injection, Tenecteplase, 1 Mg 8 4 $13,607.35 $13,607.35 $6,809.81 $19,165.29 $12,131.63 2025-12-03
J9218 HCPCS Leuprolide Acetate, Per 1 Mg 4 4 $13,138.00 $13,138.00 $11,114.75 $13,138.00 $12,086.96 2025-12-03
15731 HCPCS Creation Of Flap Graft To Nose, Forehead, Temple, Or Scalp 4 4 $13,730.00 $13,730.00 $1,286.14 $12,906.20 $11,986.29 2025-12-03
27222 HCPCS Closed Treatment Of Broken Hip Socket With Manipulation 4 4 $13,675.00 $13,675.00 $556.99 $12,854.50 $11,938.27 2025-12-03
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 4 4 $13,567.30 $13,567.30 $390.52 $12,753.26 $11,844.26 2025-12-03
27240 HCPCS Closed Treatment Of Broken Below Neck Of Thigh Bone With Manipulation 4 4 $13,324.00 $13,324.00 $400.59 $12,524.56 $11,631.85 2025-12-03
36010204 CDM Operating Room Services - General Classification 3 3 $12,856.00 $12,856.00 $10,876.18 $12,084.64 $11,570.40 2025-12-03
21453 HCPCS Closed Treatment Of Broken Lower Jaw Bone With Placement Of Stabilizing Device T… 4 4 $13,141.00 $13,141.00 $483.82 $12,352.54 $11,472.10 2025-12-03
45541 HCPCS Suture Of Rectum To Sacrum Through Perineum 4 4 $13,118.00 $13,118.00 $670.14 $12,330.92 $11,452.01 2025-12-03
153 MS_DRG Otitis Media And Uri Without Mcc 4 4 $12,375.32 $12,375.32 $10,469.52 $12,375.32 $11,385.30 2025-12-03
J0875 HCPCS Injection, Dalbavancin, 5 Mg 4 4 $13,020.65 $13,020.65 $28.47 $12,239.41 $11,367.03 2025-12-03
35201 HCPCS Repair Of Blood Vessel Of Neck 4 4 $12,941.00 $12,941.00 $1,495.28 $12,164.54 $11,297.49 2025-12-03
24545 HCPCS Treatment Of Upper Arm Bone Broken At Elbow 4 4 $12,916.00 $12,916.00 $421.82 $12,141.04 $11,275.67 2025-12-03
964 MS_DRG Other Multiple Significant Trauma With Cc 4 4 $12,196.43 $12,196.43 $10,318.18 $12,196.43 $11,220.72 2025-12-03
61108 HCPCS Creation Of Opening In Skull For Removal And/or Drainage Of Blood Accumulation O… 4 4 $12,594.00 $12,594.00 $505.96 $11,838.36 $10,994.56 2025-12-03
J2357 HCPCS Injection, Omalizumab, 5 Mg 4 4 $12,427.74 $12,427.74 $60.07 $11,682.08 $10,849.42 2025-12-03
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 7 4 $11,280.01 $11,280.01 $301.40 $13,892.03 $10,603.21 2025-12-03
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 4 4 $11,442.77 $11,442.77 $9,680.58 $11,442.77 $10,527.35 2025-12-03
36010203 CDM Operating Room Services - General Classification 3 3 $11,687.00 $11,687.00 $9,887.20 $10,985.78 $10,518.30 2025-12-03
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 4 4 $11,354.49 $11,354.49 $9,605.90 $11,354.49 $10,446.13 2025-12-03
14301 HCPCS Repair Of Wound By Transferring Skin, 30.1-60.0 Sq Cm 4 4 $11,906.00 $11,906.00 $888.68 $11,191.64 $10,393.94 2025-12-03
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 4 4 $11,266.67 $11,266.67 $9,531.60 $11,266.67 $10,365.33 2025-12-03
J1306 HCPCS Injection, Inclisiran, 1 Mg 4 4 $11,867.67 $11,867.67 $16.81 $11,155.61 $10,360.47 2025-12-03
72210004 CDM Labor Room/delivery - Delivery Room 3 3 $11,421.00 $11,421.00 $9,662.17 $10,735.74 $10,278.90 2025-12-03
800629_SUP CDM Tissue Arthroflex Acellular Bio-implant Decellularized Dermis 4x7 3 3 $11,416.17 $11,416.17 $9,658.08 $10,731.20 $10,274.55 2025-12-03
593 MS_DRG Skin Ulcers With Cc 4 4 $11,059.60 $11,059.60 $9,356.42 $11,059.60 $10,174.83 2025-12-03
15260 HCPCS Full Thickness Skin Graft To Nose, Ears, Eyelids, Or Lips, 20.0 Sq Cm Or Less 4 4 $11,524.00 $11,524.00 $421.82 $10,832.56 $10,060.45 2025-12-03
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