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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

SARAH BUSH LINCOLN HEALTH CENTER

Mattoon, IL · CCN 140189 · Rates published

7,865 distinct procedures filed
49 distinct payers
447,354 rate rows
2026-02-13 last MRF observed
Data quality

445,954 of 447,354 rate rows are consumer-grade (99.7%)

1,400 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-charges filed in the dollar field — excluded from medians 526
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 361
exceeds 10× this hospital's gross charge — excluded from medians 260
per-diem day rate — not a per-procedure price 162
exceeds 3× this hospital's gross charge for a DRG stay — excluded 91
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSarahBush&type=CDMWithoutLabel
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-15

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
J0225
HCPCS 		Injection, Vutrisiran, 1 Mg 46 $5,003.64 $580,311.44 $466,772.24 nat. median
$8,223
outlier · 56.8×
28
MS_DRG 		Spinal Procedures With Mcc 41 $46,930.77 $291,081.01 $253,113.92 nat. median
$57,822
outlier · 4.4×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 41 $46,577.71 $288,311.72 $250,705.84 nat. median
$58,020
outlier · 4.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 41 $80,535.21 $272,162.91 $236,663.40 nat. median
$100,136
outlier · 2.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 41 $117,082.90 $269,290.68 $234,165.81 nat. median
$202,976
1.2× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 41 $27,490.00 $249,801.12 $217,218.37 nat. median
$35,264
outlier · 6.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 41 $65,638.87 $237,327.53 $206,371.77 nat. median
$81,118
outlier · 2.5×
80
MS_DRG 		Nontraumatic Stupor And Coma With Mcc 41 $14,137.89 $225,960.40 $196,487.30 nat. median
$18,931
outlier · 10.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 41 $94,852.00 $218,159.59 $189,703.99 nat. median
$133,161
1.4× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 41 $35,974.30 $211,397.62 $183,824.02 nat. median
$48,483
outlier · 3.8×
96
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 41 $20,146.11 $210,336.09 $182,900.95 nat. median
$24,796
outlier · 7.4×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 41 $42,601.92 $200,363.14 $174,228.82 nat. median
$52,857
outlier · 3.3×
274
MS_DRG 		Percutaneous And Other Intracardiac Procedures Without Mcc 41 $25,711.44 $196,314.58 $170,708.33 nat. median
$32,270
outlier · 5.3×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 41 $47,774.36 $180,432.78 $156,898.07 nat. median
$62,372
outlier · 2.5×
163
MS_DRG 		Major Chest Procedures With Mcc 41 $35,007.30 $173,843.97 $151,168.67 nat. median
$44,937
outlier · 3.4×
273
MS_DRG 		Percutaneous And Other Intracardiac Procedures With Mcc 41 $32,224.24 $168,740.38 $146,730.77 nat. median
$40,005
outlier · 3.7×
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 41 $26,647.97 $160,504.73 $139,569.33 nat. median
$33,835
outlier · 4.1×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 41 $42,730.02 $153,590.84 $133,557.25 nat. median
$52,836
outlier · 2.5×
95
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Cc 41 $20,146.11 $151,986.45 $132,162.13 nat. median
$24,991
outlier · 5.3×
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 41 $29,192.01 $136,493.54 $118,690.03 nat. median
$36,123
outlier · 3.3×
304
MS_DRG 		Hypertension With Mcc 41 $9,295.08 $134,673.74 $117,107.60 nat. median
$12,521
outlier · 9.4×
30
MS_DRG 		Spinal Procedures Without Cc/mcc 41 $17,146.69 $132,542.33 $115,254.20 nat. median
$22,643
outlier · 5.1×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 41 $29,988.73 $131,822.99 $114,628.69 nat. median
$38,112
outlier · 3.0×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 41 $53,723.21 $125,827.21 $109,414.97 nat. median
$65,950
1.7× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 41 $33,801.28 $123,863.29 $107,707.21 nat. median
$41,311
outlier · 2.6×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 41 $38,443.35 $122,364.81 $106,404.18 nat. median
$47,740
outlier · 2.2×
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 41 $35,811.83 $121,765.12 $105,882.71 nat. median
$45,112
outlier · 2.3×
786
MS_DRG 		Cesarean Section Without Sterilization With Mcc 41 $12,884.23 $121,638.98 $105,773.03 nat. median
$15,316
outlier · 6.9×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 41 $51,633.62 $118,757.32 $103,267.24 nat. median
$66,526
1.6× median
288
MS_DRG 		Acute And Subacute Endocarditis With Mcc 41 $21,138.10 $115,633.76 $100,551.10 nat. median
$26,895
outlier · 3.7×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 41 $41,213.13 $115,234.75 $100,204.13 nat. median
$51,307
2.0× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 41 $26,779.20 $112,711.74 $98,010.20 nat. median
$33,845
outlier · 2.9×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 41 $45,809.89 $112,243.79 $97,603.30 nat. median
$56,696
1.7× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 41 $28,571.82 $109,978.72 $95,633.67 nat. median
$39,075
outlier · 2.4×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 41 $32,592.14 $108,034.47 $93,943.02 nat. median
$42,730
outlier · 2.2×
496
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 41 $14,090.24 $107,125.50 $93,152.61 nat. median
$19,434
outlier · 4.8×
472
MS_DRG 		Cervical Spinal Fusion With Cc 41 $23,011.96 $106,781.72 $92,853.67 nat. median
$29,858
outlier · 3.1×
J2507
HCPCS 		Injection, Pegloticase, 1 Mg 46 $3,660.83 $113,239.69 $91,084.10 nat. median
$8,536
outlier · 10.7×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 41 $35,529.85 $104,298.76 $90,694.57 nat. median
$43,963
outlier · 2.1×
A9607
HCPCS 		Lutetium Lu 177 Vipivotide Tetraxetan, Therapeutic, 1 Millicurie 46 $255.84 $109,547.90 $88,114.61 nat. median
$415
outlier · 212.4×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 41 $35,903.22 $99,875.49 $86,848.25 nat. median
$44,810
1.9× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 41 $29,110.00 $99,276.73 $86,327.59 nat. median
$37,234
outlier · 2.3×
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 41 $21,252.14 $97,598.83 $84,868.54 nat. median
$28,170
outlier · 3.0×
711
MS_DRG 		Testes Procedures With Cc/mcc 41 $16,276.54 $97,538.83 $84,816.38 nat. median
$20,443
outlier · 4.1×
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 41 $28,211.73 $97,110.91 $84,444.27 nat. median
$35,069
outlier · 2.4×
73
MS_DRG 		Cranial And Peripheral Nerve Disorders With Mcc 41 $12,531.17 $95,856.67 $83,353.62 nat. median
$16,028
outlier · 5.2×
857
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 41 $16,727.24 $94,881.94 $82,506.04 nat. median
$21,522
outlier · 3.8×
252
MS_DRG 		Other Vascular Procedures With Mcc 41 $27,247.08 $94,448.23 $82,128.90 nat. median
$34,043
outlier · 2.4×
503
MS_DRG 		Foot Procedures With Mcc 41 $21,801.25 $94,393.91 $82,081.66 nat. median
$26,999
outlier · 3.0×
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 41 $28,678.83 $94,251.09 $81,957.47 nat. median
$35,489
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 7,865 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
             
J0225 HCPCS Injection, Vutrisiran, 1 Mg 46 46 $630,773.30 $630,773.30 $5,003.64 $580,311.44 $466,772.24 2026-02-13
28 MS_DRG Spinal Procedures With Mcc 41 41 $316,392.41 $316,392.41 $46,930.77 $291,081.01 $253,113.92 2026-02-13
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 41 41 $313,382.31 $313,382.31 $46,577.71 $288,311.72 $250,705.84 2026-02-13
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 41 41 $295,829.25 $295,829.25 $80,535.21 $272,162.91 $236,663.40 2026-02-13
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 41 41 $292,707.26 $292,707.26 $117,082.90 $269,290.68 $234,165.81 2026-02-13
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 41 41 $271,522.96 $271,522.96 $27,490.00 $249,801.12 $217,218.37 2026-02-13
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 41 41 $257,964.71 $257,964.71 $65,638.87 $237,327.53 $206,371.77 2026-02-13
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 41 41 $245,609.13 $245,609.13 $14,137.89 $225,960.40 $196,487.30 2026-02-13
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 41 41 $237,129.99 $237,129.99 $94,852.00 $218,159.59 $189,703.99 2026-02-13
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 41 41 $229,780.02 $229,780.02 $35,974.30 $211,397.62 $183,824.02 2026-02-13
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 41 41 $228,626.19 $228,626.19 $20,146.11 $210,336.09 $182,900.95 2026-02-13
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 41 41 $217,786.02 $217,786.02 $42,601.92 $200,363.14 $174,228.82 2026-02-13
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 41 41 $213,385.41 $213,385.41 $25,711.44 $196,314.58 $170,708.33 2026-02-13
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 41 41 $196,122.59 $196,122.59 $47,774.36 $180,432.78 $156,898.07 2026-02-13
163 MS_DRG Major Chest Procedures With Mcc 41 41 $188,960.84 $188,960.84 $35,007.30 $173,843.97 $151,168.67 2026-02-13
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 41 41 $183,413.46 $183,413.46 $32,224.24 $168,740.38 $146,730.77 2026-02-13
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 41 41 $174,461.66 $174,461.66 $26,647.97 $160,504.73 $139,569.33 2026-02-13
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 41 41 $166,946.57 $166,946.57 $42,730.02 $153,590.84 $133,557.25 2026-02-13
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 41 41 $165,202.66 $165,202.66 $20,146.11 $151,986.45 $132,162.13 2026-02-13
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 41 41 $148,362.54 $148,362.54 $29,192.01 $136,493.54 $118,690.03 2026-02-13
304 MS_DRG Hypertension With Mcc 41 41 $146,384.50 $146,384.50 $9,295.08 $134,673.74 $117,107.60 2026-02-13
30 MS_DRG Spinal Procedures Without Cc/mcc 41 41 $144,067.75 $144,067.75 $17,146.69 $132,542.33 $115,254.20 2026-02-13
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 41 41 $143,285.86 $143,285.86 $29,988.73 $131,822.99 $114,628.69 2026-02-13
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 41 41 $136,768.71 $136,768.71 $53,723.21 $125,827.21 $109,414.97 2026-02-13
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 41 41 $134,634.01 $134,634.01 $33,801.28 $123,863.29 $107,707.21 2026-02-13
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 41 41 $133,005.23 $133,005.23 $38,443.35 $122,364.81 $106,404.18 2026-02-13
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 41 41 $132,353.39 $132,353.39 $35,811.83 $121,765.12 $105,882.71 2026-02-13
786 MS_DRG Cesarean Section Without Sterilization With Mcc 41 41 $132,216.29 $132,216.29 $12,884.23 $121,638.98 $105,773.03 2026-02-13
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 41 41 $129,084.05 $129,084.05 $51,633.62 $118,757.32 $103,267.24 2026-02-13
288 MS_DRG Acute And Subacute Endocarditis With Mcc 41 41 $125,688.87 $125,688.87 $21,138.10 $115,633.76 $100,551.10 2026-02-13
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 41 41 $125,255.16 $125,255.16 $41,213.13 $115,234.75 $100,204.13 2026-02-13
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 41 41 $122,512.76 $122,512.76 $26,779.20 $112,711.74 $98,010.20 2026-02-13
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 41 41 $122,004.12 $122,004.12 $45,809.89 $112,243.79 $97,603.30 2026-02-13
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 41 41 $119,542.09 $119,542.09 $28,571.82 $109,978.72 $95,633.67 2026-02-13
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 41 41 $117,428.77 $117,428.77 $32,592.14 $108,034.47 $93,943.02 2026-02-13
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 41 41 $116,440.76 $116,440.76 $14,090.24 $107,125.50 $93,152.61 2026-02-13
472 MS_DRG Cervical Spinal Fusion With Cc 41 41 $116,067.09 $116,067.09 $23,011.96 $106,781.72 $92,853.67 2026-02-13
J2507 HCPCS Injection, Pegloticase, 1 Mg 46 46 $123,086.62 $123,086.62 $3,660.83 $113,239.69 $91,084.10 2026-02-13
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 41 41 $113,368.21 $113,368.21 $35,529.85 $104,298.76 $90,694.57 2026-02-13
A9607 HCPCS Lutetium Lu 177 Vipivotide Tetraxetan, Therapeutic, 1 Millicurie 46 46 $119,073.80 $119,073.80 $255.84 $109,547.90 $88,114.61 2026-02-13
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 41 41 $108,560.31 $108,560.31 $35,903.22 $99,875.49 $86,848.25 2026-02-13
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 41 41 $107,909.49 $107,909.49 $29,110.00 $99,276.73 $86,327.59 2026-02-13
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 41 41 $106,085.68 $106,085.68 $21,252.14 $97,598.83 $84,868.54 2026-02-13
711 MS_DRG Testes Procedures With Cc/mcc 41 41 $106,020.47 $106,020.47 $16,276.54 $97,538.83 $84,816.38 2026-02-13
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 41 41 $105,555.34 $105,555.34 $28,211.73 $97,110.91 $84,444.27 2026-02-13
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 41 41 $104,192.03 $104,192.03 $12,531.17 $95,856.67 $83,353.62 2026-02-13
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 41 41 $103,132.55 $103,132.55 $16,727.24 $94,881.94 $82,506.04 2026-02-13
252 MS_DRG Other Vascular Procedures With Mcc 41 41 $102,661.12 $102,661.12 $27,247.08 $94,448.23 $82,128.90 2026-02-13
503 MS_DRG Foot Procedures With Mcc 41 41 $102,602.08 $102,602.08 $21,801.25 $94,393.91 $82,081.66 2026-02-13
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 41 41 $102,446.83 $102,446.83 $28,678.83 $94,251.09 $81,957.47 2026-02-13
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 41 41 $102,082.40 $102,082.40 $22,419.10 $93,915.81 $81,665.92 2026-02-13
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 41 41 $101,431.44 $101,431.44 $32,931.13 $93,316.92 $81,145.15 2026-02-13
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 41 41 $100,080.86 $100,080.86 $22,747.95 $92,074.39 $80,064.69 2026-02-13
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 41 41 $99,789.48 $99,789.48 $8,995.92 $91,806.32 $79,831.58 2026-02-13
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 41 41 $99,185.98 $99,185.98 $5,327.88 $91,251.10 $79,348.78 2026-02-13
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 41 41 $99,179.51 $99,179.51 $29,195.14 $91,245.14 $79,343.60 2026-02-13
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 41 41 $98,086.55 $98,086.55 $20,777.23 $90,239.63 $78,469.24 2026-02-13
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 41 41 $97,023.30 $97,023.30 $32,818.66 $89,261.43 $77,618.64 2026-02-13
459 MS_DRG Spinal Fusion Except Cervical With Mcc 41 41 $96,773.56 $96,773.56 $38,709.42 $89,031.67 $77,418.84 2026-02-13
332 MS_DRG Rectal Resection With Mcc 41 41 $96,226.58 $96,226.58 $28,281.25 $88,528.45 $76,981.26 2026-02-13
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 41 41 $96,160.22 $96,160.22 $27,240.05 $88,467.40 $76,928.18 2026-02-13
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 41 41 $94,822.35 $94,822.35 $14,331.60 $87,236.56 $75,857.88 2026-02-13
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 41 41 $93,858.24 $93,858.24 $15,737.58 $86,349.58 $75,086.59 2026-02-13
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 41 41 $90,853.08 $90,853.08 $23,564.19 $83,584.83 $72,682.46 2026-02-13
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 41 41 $90,539.45 $90,539.45 $36,215.78 $83,296.29 $72,431.56 2026-02-13
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 41 41 $90,538.03 $90,538.03 $13,770.78 $83,294.99 $72,430.42 2026-02-13
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 41 41 $89,443.25 $89,443.25 $19,809.45 $82,287.79 $71,554.60 2026-02-13
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 41 41 $89,187.62 $89,187.62 $27,546.24 $82,052.61 $71,350.10 2026-02-13
164 MS_DRG Major Chest Procedures With Cc 41 41 $87,378.41 $87,378.41 $19,714.94 $80,388.14 $69,902.73 2026-02-13
654 MS_DRG Major Bladder Procedures With Cc 41 41 $86,740.35 $86,740.35 $21,865.30 $79,801.12 $69,392.28 2026-02-13
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 41 41 $86,277.49 $86,277.49 $28,690.55 $79,375.29 $69,021.99 2026-02-13
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 41 41 $85,445.99 $85,445.99 $19,068.97 $78,610.31 $68,356.79 2026-02-13
J9334 HCPCS Injection, Efgartigimod Alfa, 2 Mg And Hyaluronidase-qvfc 41 41 $84,890.69 $84,890.69 $33.89 $78,099.43 $67,912.55 2026-02-13
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 41 41 $84,496.58 $84,496.58 $24,938.93 $77,736.85 $67,597.26 2026-02-13
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 41 41 $84,044.58 $84,044.58 $14,018.38 $77,321.02 $67,235.67 2026-02-13
335 MS_DRG Peritoneal Adhesiolysis With Mcc 41 41 $83,690.08 $83,690.08 $27,892.26 $76,994.88 $66,952.07 2026-02-13
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 41 41 $83,647.94 $83,647.94 $16,242.17 $76,956.11 $66,918.35 2026-02-13
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 41 41 $83,640.32 $83,640.32 $32,987.37 $76,949.09 $66,912.26 2026-02-13
121 MS_DRG Acute Major Eye Infections With Cc/mcc 41 41 $82,962.95 $82,962.95 $9,086.52 $76,325.91 $66,370.36 2026-02-13
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 41 41 $82,354.72 $82,354.72 $19,091.62 $75,766.34 $65,883.78 2026-02-13
471 MS_DRG Cervical Spinal Fusion With Mcc 41 41 $81,935.30 $81,935.30 $32,774.12 $75,380.48 $65,548.24 2026-02-13
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 41 41 $81,711.36 $81,711.36 $19,941.46 $75,174.45 $65,369.09 2026-02-13
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 41 41 $81,618.76 $81,618.76 $32,647.50 $75,089.26 $65,295.01 2026-02-13
J3245 HCPCS Injection, Tildrakizumab, 1 Mg 46 46 $87,279.90 $87,279.90 $127.45 $80,297.51 $64,587.13 2026-02-13
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 41 41 $80,583.17 $80,583.17 $24,892.84 $74,136.52 $64,466.54 2026-02-13
570 MS_DRG Skin Debridement With Mcc 41 41 $80,404.32 $80,404.32 $22,972.90 $73,971.97 $64,323.46 2026-02-13
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 41 41 $79,021.28 $79,021.28 $16,360.12 $72,699.57 $63,217.02 2026-02-13
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 41 41 $78,752.52 $78,752.52 $21,470.07 $72,452.31 $63,002.01 2026-02-13
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 41 41 $78,614.05 $78,614.05 $31,445.62 $72,324.92 $62,891.24 2026-02-13
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 41 41 $78,445.66 $78,445.66 $16,644.44 $72,170.01 $62,756.53 2026-02-13
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 41 $78,066.71 $78,066.71 $31,226.68 $71,821.37 $62,453.37 2026-02-13
374 MS_DRG Digestive Malignancy With Mcc 41 41 $78,041.83 $78,041.83 $16,705.36 $71,798.48 $62,433.46 2026-02-13
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 41 41 $77,753.45 $77,753.45 $19,203.32 $71,533.17 $62,202.76 2026-02-13
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 41 41 $76,900.63 $76,900.63 $16,541.33 $70,748.58 $61,520.51 2026-02-13
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 41 41 $76,785.40 $76,785.40 $13,352.89 $70,642.57 $61,428.32 2026-02-13
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 41 41 $76,515.91 $76,515.91 $11,673.52 $70,394.63 $61,212.72 2026-02-13
263 MS_DRG Vein Ligation And Stripping 41 41 $75,729.18 $75,729.18 $23,881.32 $69,670.84 $60,583.34 2026-02-13
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 41 41 $75,637.86 $75,637.86 $15,623.54 $69,586.83 $60,510.29 2026-02-13
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 41 41 $75,620.24 $75,620.24 $18,787.77 $69,570.62 $60,496.19 2026-02-13
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 41 41 $75,486.28 $75,486.28 $13,568.47 $69,447.38 $60,389.02 2026-02-13
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 41 41 $75,358.92 $75,358.92 $30,143.57 $69,330.21 $60,287.14 2026-02-13
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 41 41 $75,137.56 $75,137.56 $20,055.50 $69,126.56 $60,110.05 2026-02-13
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 41 41 $75,075.47 $75,075.47 $30,030.19 $69,069.43 $60,060.38 2026-02-13
56 MS_DRG Degenerative Nervous System Disorders With Mcc 41 41 $74,790.82 $74,790.82 $18,145.71 $68,807.55 $59,832.66 2026-02-13
710 MS_DRG Penis Procedures Without Cc/mcc 41 41 $74,537.00 $74,537.00 $10,944.76 $68,574.04 $59,629.60 2026-02-13
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 41 41 $74,515.35 $74,515.35 $17,006.87 $68,554.12 $59,612.28 2026-02-13
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 41 41 $74,384.73 $74,384.73 $29,753.89 $68,433.95 $59,507.78 2026-02-13
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 41 41 $74,316.68 $74,316.68 $14,519.85 $68,371.35 $59,453.34 2026-02-13
915 MS_DRG Allergic Reactions With Mcc 41 41 $74,276.78 $74,276.78 $13,134.96 $68,334.63 $59,421.42 2026-02-13
91 MS_DRG Other Disorders Of Nervous System With Mcc 41 41 $74,107.70 $74,107.70 $13,717.66 $68,179.08 $59,286.16 2026-02-13
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 41 41 $73,865.07 $73,865.07 $17,852.80 $67,955.86 $59,092.06 2026-02-13
100 MS_DRG Seizures With Mcc 41 41 $73,662.62 $73,662.62 $15,128.33 $67,769.61 $58,930.10 2026-02-13
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 46 46 $77,818.86 $77,818.86 $59.41 $71,593.35 $57,585.96 2026-02-13
916 MS_DRG Allergic Reactions Without Mcc 41 41 $71,719.73 $71,719.73 $5,204.46 $65,982.15 $57,375.78 2026-02-13
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 41 41 $71,680.55 $71,680.55 $15,472.01 $65,946.10 $57,344.44 2026-02-13
253 MS_DRG Other Vascular Procedures With Cc 41 41 $71,521.88 $71,521.88 $20,274.21 $65,800.13 $57,217.50 2026-02-13
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 41 41 $70,235.40 $70,235.40 $13,535.66 $64,616.56 $56,188.32 2026-02-13
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 41 41 $70,198.44 $70,198.44 $16,232.02 $64,582.56 $56,158.75 2026-02-13
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 41 41 $70,167.74 $70,167.74 $23,397.04 $64,554.32 $56,134.19 2026-02-13
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 41 41 $69,772.20 $69,772.20 $18,253.50 $64,190.42 $55,817.76 2026-02-13
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 41 41 $69,308.74 $69,308.74 $16,333.56 $63,764.04 $55,446.99 2026-02-13
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 41 41 $68,568.03 $68,568.03 $25,267.77 $63,082.59 $54,854.42 2026-02-13
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 41 41 $68,460.17 $68,460.17 $17,047.49 $62,983.35 $54,768.13 2026-02-13
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 41 41 $68,290.98 $68,290.98 $27,316.39 $62,827.70 $54,632.78 2026-02-13
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 41 41 $68,139.79 $68,139.79 $13,909.81 $62,688.61 $54,511.84 2026-02-13
330 MS_DRG Major Small And Large Bowel Procedures With Cc 41 41 $68,043.22 $68,043.22 $18,724.51 $62,599.76 $54,434.57 2026-02-13
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 41 41 $67,779.00 $67,779.00 $24,328.89 $62,356.68 $54,223.20 2026-02-13
228 MS_DRG Other Cardiothoracic Procedures With Mcc 41 41 $67,636.24 $67,636.24 $27,054.50 $62,225.34 $54,108.99 2026-02-13
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 41 41 $67,631.22 $67,631.22 $26,983.85 $62,220.72 $54,104.98 2026-02-13
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 41 41 $67,458.32 $67,458.32 $26,983.33 $62,061.66 $53,966.66 2026-02-13
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 41 41 $67,449.13 $67,449.13 $11,668.84 $62,053.20 $53,959.30 2026-02-13
205 MS_DRG Other Respiratory System Diagnoses With Mcc 41 41 $67,318.76 $67,318.76 $14,301.92 $61,933.26 $53,855.01 2026-02-13
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 41 41 $67,184.76 $67,184.76 $21,651.28 $61,809.98 $53,747.81 2026-02-13
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 41 41 $67,178.54 $67,178.54 $22,265.23 $61,804.26 $53,742.83 2026-02-13
597 MS_DRG Malignant Breast Disorders With Mcc 41 41 $66,852.49 $66,852.49 $13,021.70 $61,504.29 $53,481.99 2026-02-13
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 41 41 $65,719.71 $65,719.71 $14,915.09 $60,462.14 $52,575.77 2026-02-13
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 41 41 $65,480.89 $65,480.89 $14,118.36 $60,242.41 $52,384.71 2026-02-13
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 41 41 $64,697.98 $64,697.98 $11,614.16 $59,522.14 $51,758.39 2026-02-13
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 41 41 $64,118.14 $64,118.14 $10,668.25 $58,988.69 $51,294.51 2026-02-13
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 41 41 $63,320.45 $63,320.45 $17,284.16 $58,254.81 $50,656.36 2026-02-13
974 MS_DRG HIV With Major Related Condition With Mcc 41 41 $63,143.84 $63,143.84 $22,542.52 $58,092.33 $50,515.07 2026-02-13
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 41 41 $63,138.15 $63,138.15 $11,350.93 $58,087.10 $50,510.52 2026-02-13
800 MS_DRG Splenic Procedures With Cc 41 41 $62,848.43 $62,848.43 $21,944.20 $57,820.55 $50,278.74 2026-02-13
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 41 41 $62,094.66 $62,094.66 $15,707.90 $57,127.09 $49,675.73 2026-02-13
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 41 41 $61,913.61 $61,913.61 $22,667.49 $56,960.52 $49,530.89 2026-02-13
539 MS_DRG Osteomyelitis With Mcc 41 41 $61,682.73 $61,682.73 $15,385.31 $56,748.11 $49,346.18 2026-02-13
J9022 HCPCS Injection, Atezolizumab, 10 Mg 46 46 $66,553.38 $66,553.38 $91.34 $61,229.11 $49,249.50 2026-02-13
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 41 41 $61,098.20 $61,098.20 $12,739.72 $56,210.34 $48,878.56 2026-02-13
501 MS_DRG Soft Tissue Procedures With Cc 41 41 $60,905.16 $60,905.16 $13,654.39 $56,032.75 $48,724.13 2026-02-13
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 41 41 $60,702.00 $60,702.00 $17,245.88 $55,845.84 $48,561.60 2026-02-13
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 41 41 $60,552.40 $60,552.40 $23,692.29 $55,708.21 $48,441.92 2026-02-13
504 MS_DRG Foot Procedures With Cc 41 41 $60,333.66 $60,333.66 $14,600.30 $55,506.96 $48,266.92 2026-02-13
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 41 41 $60,272.31 $60,272.31 $12,003.15 $55,450.53 $48,217.85 2026-02-13
334 MS_DRG Rectal Resection Without Cc/mcc 41 41 $60,197.44 $60,197.44 $12,793.62 $55,381.64 $48,157.95 2026-02-13
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 41 41 $59,519.69 $59,519.69 $18,266.78 $54,758.11 $47,615.75 2026-02-13
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 41 41 $58,491.94 $58,491.94 $7,930.50 $53,812.58 $46,793.55 2026-02-13
J9119 HCPCS Injection, Cemiplimab-rwlc, 1 Mg 46 46 $63,045.43 $63,045.43 $29.29 $58,001.80 $46,653.62 2026-02-13
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 41 41 $58,026.68 $58,026.68 $15,672.75 $53,384.55 $46,421.35 2026-02-13
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 41 41 $57,942.50 $57,942.50 $15,607.14 $53,307.10 $46,354.00 2026-02-13
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 41 41 $57,853.58 $57,853.58 $10,323.79 $53,225.29 $46,282.86 2026-02-13
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 41 41 $57,796.09 $57,796.09 $18,640.15 $53,172.40 $46,236.87 2026-02-13
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 41 41 $57,786.01 $57,786.01 $19,208.79 $53,163.13 $46,228.81 2026-02-13
813 MS_DRG Coagulation Disorders 41 41 $57,146.53 $57,146.53 $11,914.10 $52,574.81 $45,717.23 2026-02-13
196 MS_DRG Interstitial Lung Disease With Mcc 41 41 $56,939.91 $56,939.91 $14,740.90 $52,384.71 $45,551.92 2026-02-13
600 MS_DRG Non-malignant Breast Disorders With Cc/mcc 41 41 $56,606.83 $56,606.83 $8,135.93 $52,078.28 $45,285.46 2026-02-13
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 46 46 $61,115.96 $61,115.96 $14.94 $56,226.68 $45,225.81 2026-02-13
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 41 41 $56,248.67 $56,248.67 $19,846.94 $51,748.77 $44,998.93 2026-02-13
835 MS_DRG Acute Leukemia With Cc 41 41 $56,178.72 $56,178.72 $16,292.16 $51,684.42 $44,942.98 2026-02-13
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 41 41 $56,159.23 $56,159.23 $22,463.69 $51,666.49 $44,927.38 2026-02-13
186 MS_DRG Pleural Effusion With Mcc 41 41 $56,021.93 $56,021.93 $12,173.43 $51,540.18 $44,817.55 2026-02-13
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 41 41 $55,194.82 $55,194.82 $8,087.50 $50,779.24 $44,155.86 2026-02-13
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 41 41 $55,163.01 $55,163.01 $11,782.10 $50,749.97 $44,130.41 2026-02-13
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 41 41 $55,111.28 $55,111.28 $22,044.51 $50,702.38 $44,089.02 2026-02-13
33264 HCPCS Removal And Replacement Of Multiple Lead Defibrillator 46 46 $58,840.00 $58,840.00 $23,536.00 $54,132.80 $43,541.60 2026-02-13
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 46 46 $58,650.85 $58,650.85 $55.57 $53,958.78 $43,401.63 2026-02-13
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 41 41 $54,154.35 $54,154.35 $10,505.78 $49,822.00 $43,323.48 2026-02-13
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 41 41 $53,981.80 $53,981.80 $13,725.47 $49,663.26 $43,185.44 2026-02-13
254 MS_DRG Other Vascular Procedures Without Cc/mcc 41 41 $53,633.55 $53,633.55 $13,916.84 $49,342.87 $42,906.84 2026-02-13
548 MS_DRG Septic Arthritis With Mcc 41 41 $53,628.15 $53,628.15 $15,082.24 $49,337.90 $42,902.52 2026-02-13
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 41 41 $53,566.16 $53,566.16 $15,066.62 $49,280.86 $42,852.92 2026-02-13
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 41 41 $53,551.80 $53,551.80 $13,141.21 $49,267.66 $42,841.44 2026-02-13
J1628 HCPCS Injection, Guselkumab, 1 Mg 46 46 $57,861.95 $57,861.95 $75.97 $53,232.99 $42,817.84 2026-02-13
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 41 41 $53,472.65 $53,472.65 $5,681.71 $49,194.84 $42,778.12 2026-02-13
620 MS_DRG O.r. Procedures For Obesity With Cc 41 41 $52,473.86 $52,473.86 $12,499.93 $48,275.95 $41,979.09 2026-02-13
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 41 41 $52,270.81 $52,270.81 $20,908.32 $48,089.15 $41,816.65 2026-02-13
55 MS_DRG Nervous System Neoplasms Without Mcc 41 41 $52,191.47 $52,191.47 $7,964.09 $48,016.15 $41,753.18 2026-02-13
393 MS_DRG Other Digestive System Diagnoses With Mcc 41 41 $51,736.37 $51,736.37 $12,492.12 $47,597.46 $41,389.10 2026-02-13
J2329 HCPCS Injection, Ublituximab-xiiy, 1mg 46 46 $55,894.80 $55,894.80 $70.75 $51,423.22 $41,362.15 2026-02-13
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 41 41 $51,391.64 $51,391.64 $8,358.54 $47,280.31 $41,113.31 2026-02-13
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 41 41 $51,342.52 $51,342.52 $11,907.85 $47,235.12 $41,074.02 2026-02-13
33249 HCPCS Insertion Of Implantable Defibrillator System 46 46 $55,108.00 $55,108.00 $22,043.20 $50,699.36 $40,779.92 2026-02-13
177 MS_DRG Respiratory Infections And Inflammations With Mcc 41 41 $50,842.98 $50,842.98 $12,206.23 $46,775.54 $40,674.39 2026-02-13
245 MS_DRG Aicd Generator Procedures 41 41 $50,739.47 $50,739.47 $20,295.79 $46,680.31 $40,591.58 2026-02-13
93654 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 46 46 $54,707.00 $54,707.00 $21,882.80 $50,330.44 $40,483.18 2026-02-13
70 MS_DRG Other Cerebrovascular Disorders With Mcc 41 41 $50,525.09 $50,525.09 $13,003.74 $46,483.09 $40,420.08 2026-02-13
571 MS_DRG Skin Debridement With Cc 41 41 $50,524.49 $50,524.49 $13,196.67 $46,482.53 $40,419.59 2026-02-13
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 41 41 $50,474.48 $50,474.48 $14,608.89 $46,436.52 $40,379.58 2026-02-13
C1822 HCPCS Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 84 28 $49,879.00 $49,879.00 $18,655.20 $46,077.28 $40,341.87 2026-02-13
33263 HCPCS Removal And Replacement Of Dual Lead Defibrillator 46 46 $54,130.00 $54,130.00 $21,652.00 $49,799.60 $40,056.20 2026-02-13
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 41 41 $49,872.50 $49,872.50 $15,172.85 $45,882.70 $39,898.00 2026-02-13
J9228 HCPCS Injection, Ipilimumab, 1 Mg 46 46 $53,804.90 $53,804.90 $183.48 $49,500.51 $39,815.63 2026-02-13
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 41 41 $49,749.07 $49,749.07 $13,213.07 $45,769.14 $39,799.25 2026-02-13
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 41 41 $49,293.15 $49,293.15 $14,566.72 $45,349.69 $39,434.52 2026-02-13
180 MS_DRG Respiratory Neoplasms With Mcc 41 41 $49,277.07 $49,277.07 $13,794.21 $45,334.90 $39,421.65 2026-02-13
551 MS_DRG Medical Back Problems With Mcc 41 41 $49,036.10 $49,036.10 $13,092.00 $45,113.21 $39,228.88 2026-02-13
199 MS_DRG Pneumothorax With Mcc 41 41 $48,714.02 $48,714.02 $13,779.37 $44,816.90 $38,971.21 2026-02-13
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 41 41 $48,704.58 $48,704.58 $17,174.02 $44,808.21 $38,963.66 2026-02-13
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 41 41 $48,408.45 $48,408.45 $13,145.12 $44,535.77 $38,726.76 2026-02-13
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 41 41 $48,348.74 $48,348.74 $19,339.50 $44,480.84 $38,679.00 2026-02-13
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 41 41 $47,968.65 $47,968.65 $10,965.07 $44,131.16 $38,374.92 2026-02-13
181 MS_DRG Respiratory Neoplasms With Cc 41 41 $47,897.71 $47,897.71 $8,365.57 $44,065.90 $38,318.17 2026-02-13
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 41 41 $47,797.80 $47,797.80 $13,495.05 $43,973.98 $38,238.24 2026-02-13
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 41 41 $47,408.02 $47,408.02 $13,849.67 $43,615.38 $37,926.41 2026-02-13
864 MS_DRG Fever And Inflammatory Conditions 41 41 $47,087.19 $47,087.19 $6,933.82 $43,320.21 $37,669.75 2026-02-13
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 41 41 $47,073.03 $47,073.03 $18,052.76 $43,307.19 $37,658.42 2026-02-13
93656 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 46 46 $50,616.00 $50,616.00 $20,246.40 $46,566.72 $37,455.84 2026-02-13
670 MS_DRG Transurethral Procedures Without Cc/mcc 41 41 $46,442.40 $46,442.40 $7,633.68 $42,727.01 $37,153.92 2026-02-13
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 41 41 $46,360.72 $46,360.72 $9,135.73 $42,651.86 $37,088.58 2026-02-13
500 MS_DRG Soft Tissue Procedures With Mcc 41 41 $46,286.18 $46,286.18 $18,514.47 $42,583.28 $37,028.94 2026-02-13
314 MS_DRG Other Circulatory System Diagnoses With Mcc 41 41 $46,247.97 $46,247.97 $16,287.48 $42,548.13 $36,998.37 2026-02-13
375 MS_DRG Digestive Malignancy With Cc 41 41 $46,200.97 $46,200.97 $9,448.17 $42,504.89 $36,960.77 2026-02-13
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 41 41 $46,149.52 $46,149.52 $10,253.49 $42,457.55 $36,919.61 2026-02-13
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 41 41 $46,084.59 $46,084.59 $11,472.00 $42,397.82 $36,867.67 2026-02-13
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 41 41 $45,960.12 $45,960.12 $18,384.05 $42,283.31 $36,768.09 2026-02-13
947 MS_DRG Signs And Symptoms With Mcc 41 41 $45,864.19 $45,864.19 $9,915.27 $42,195.05 $36,691.35 2026-02-13
347 MS_DRG Anal And Stomal Procedures With Mcc 41 41 $45,711.28 $45,711.28 $17,930.91 $42,054.38 $36,569.02 2026-02-13
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 41 41 $45,612.04 $45,612.04 $11,900.82 $41,963.08 $36,489.63 2026-02-13
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 41 41 $45,438.33 $45,438.33 $7,891.44 $41,803.26 $36,350.66 2026-02-13
9801793_1 CDM #9 4 In 1 Tri Ctg Blck 28 28 $43,223.00 $43,223.00 $17,289.20 $39,765.16 $36,307.32 2026-02-13
9801581_1 CDM #9 Ps Bx Ctg Gd Tri Inst 28 28 $43,223.00 $43,223.00 $17,289.20 $39,765.16 $36,307.32 2026-02-13
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 41 41 $45,356.04 $45,356.04 $17,775.47 $41,727.56 $36,284.83 2026-02-13
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 41 41 $45,349.75 $45,349.75 $7,648.52 $41,721.77 $36,279.80 2026-02-13
370 MS_DRG Major Esophageal Disorders Without Cc/mcc 41 41 $45,313.07 $45,313.07 $5,473.94 $41,688.02 $36,250.46 2026-02-13
637 MS_DRG Diabetes With Mcc 41 41 $45,235.82 $45,235.82 $11,222.05 $41,616.95 $36,188.65 2026-02-13
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 41 41 $45,016.60 $45,016.60 $12,296.84 $41,415.27 $36,013.28 2026-02-13
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 41 41 $44,718.57 $44,718.57 $17,887.43 $41,141.08 $35,774.85 2026-02-13
0823T HCPCS Insertion Of Permanent Single-chamber Leadless Pacemaker For Pacing The Right Up… 41 41 $44,706.00 $44,706.00 $17,882.40 $41,129.52 $35,764.80 2026-02-13
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 41 41 $44,638.94 $44,638.94 $12,922.50 $41,067.82 $35,711.15 2026-02-13
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 41 41 $44,627.88 $44,627.88 $17,851.15 $41,057.65 $35,702.30 2026-02-13
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 41 41 $44,432.99 $44,432.99 $15,373.59 $40,878.35 $35,546.39 2026-02-13
J9223 HCPCS Injection, Lurbinectedin, 0.1 Mg 46 46 $47,902.80 $47,902.80 $207.13 $44,070.58 $35,448.07 2026-02-13
37 MS_DRG Extracranial Procedures With Mcc 41 41 $43,984.38 $43,984.38 $17,593.75 $40,465.63 $35,187.50 2026-02-13
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 41 41 $43,949.40 $43,949.40 $11,129.10 $40,433.45 $35,159.52 2026-02-13
J0208 HCPCS Injection, Sodium Thiosulfate (pedmark), 100 Mg 46 46 $47,292.04 $47,292.04 $95.11 $43,508.68 $34,996.11 2026-02-13
884 MS_DRG Organic Disturbances And Intellectual Disability 41 41 $43,718.19 $43,718.19 $12,567.10 $40,220.73 $34,974.55 2026-02-13
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 41 41 $40,543.71 $40,543.71 $16,217.48 $43,949.17 $34,867.59 2026-02-13
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 41 41 $43,409.69 $43,409.69 $6,336.28 $39,936.91 $34,727.75 2026-02-13
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 41 41 $43,377.30 $43,377.30 $11,989.87 $39,907.12 $34,701.84 2026-02-13
682 MS_DRG Renal Failure With Mcc 41 41 $43,215.72 $43,215.72 $11,568.08 $39,758.47 $34,572.58 2026-02-13
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/mcc 41 41 $43,152.53 $43,152.53 $7,892.22 $39,700.33 $34,522.02 2026-02-13
C1826 HCPCS Generator, Neurostimulator (implantable), Includes Closed Feedback Loop Leads An… 28 28 $41,068.00 $41,068.00 $16,427.20 $37,782.56 $34,497.12 2026-02-13
437 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc 41 41 $43,076.71 $43,076.71 $6,665.12 $39,630.57 $34,461.37 2026-02-13
183 MS_DRG Major Chest Trauma With Mcc 41 41 $43,046.74 $43,046.74 $11,950.03 $39,603.00 $34,437.39 2026-02-13
313 MS_DRG Chest Pain 41 41 $43,031.99 $43,031.99 $5,623.91 $39,589.43 $34,425.59 2026-02-13
619 MS_DRG O.r. Procedures For Obesity With Mcc 41 41 $42,959.59 $42,959.59 $17,183.84 $39,522.82 $34,367.67 2026-02-13
385 MS_DRG Inflammatory Bowel Disease With Mcc 41 41 $42,898.17 $42,898.17 $12,359.33 $39,466.32 $34,318.54 2026-02-13
J3357 HCPCS Ustekinumab, For Subcutaneous Injection, 1 Mg 61 33 $38,130.15 $38,130.15 $8,869.62 $63,819.02 $34,317.14 2026-02-13
231 MS_DRG Coronary Bypass With Ptca With Mcc 41 41 $39,884.62 $39,884.62 $15,953.85 $67,821.24 $34,300.77 2026-02-13
J2427 HCPCS Injection, Paliperidone Palmitate Extended Release (invega Hafyera, Or Invega Tr… 120 46 $39,833.00 $39,833.00 $13.00 $54,969.08 $34,256.38 2026-02-13
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 41 41 $42,504.09 $42,504.09 $9,404.43 $39,103.76 $34,003.27 2026-02-13
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 41 41 $42,238.61 $42,238.61 $11,718.83 $38,859.52 $33,790.88 2026-02-13
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 41 41 $42,083.86 $42,083.86 $12,057.04 $38,717.15 $33,667.08 2026-02-13
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 41 41 $41,974.54 $41,974.54 $13,630.96 $38,616.58 $33,579.63 2026-02-13
C2624 HCPCS Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 28 28 $39,720.00 $39,720.00 $15,888.00 $36,542.40 $33,364.80 2026-02-13
C9767 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 46 46 $44,923.00 $44,923.00 $13,425.43 $41,329.16 $33,243.02 2026-02-13
271 MS_DRG Other Major Cardiovascular Procedures With Cc 41 41 $41,431.23 $41,431.23 $16,572.49 $38,116.73 $33,144.98 2026-02-13
964 MS_DRG Other Multiple Significant Trauma With Cc 41 41 $41,263.80 $41,263.80 $11,971.12 $37,962.69 $33,011.04 2026-02-13
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 41 41 $41,192.25 $41,192.25 $9,887.93 $37,896.87 $32,953.80 2026-02-13
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 41 41 $41,169.83 $41,169.83 $5,345.84 $37,876.25 $32,935.87 2026-02-13
545 MS_DRG Connective Tissue Disorders With Mcc 41 41 $41,160.00 $41,160.00 $16,464.00 $37,867.20 $32,928.00 2026-02-13
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 41 41 $40,837.99 $40,837.99 $16,335.20 $37,570.95 $32,670.39 2026-02-13
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 41 41 $40,778.54 $40,778.54 $12,529.61 $37,516.25 $32,622.83 2026-02-13
69 MS_DRG Transient Ischemia Without Thrombolytic 41 41 $40,721.11 $40,721.11 $6,239.42 $37,463.42 $32,576.89 2026-02-13
811 MS_DRG Red Blood Cell Disorders With Mcc 41 41 $40,643.27 $40,643.27 $10,968.97 $37,391.81 $32,514.61 2026-02-13
336 MS_DRG Peritoneal Adhesiolysis With Cc 41 41 $40,638.57 $40,638.57 $16,255.43 $37,387.48 $32,510.85 2026-02-13
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 41 41 $40,207.14 $40,207.14 $8,029.70 $36,990.57 $32,165.71 2026-02-13
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 41 41 $40,169.14 $40,169.14 $11,743.04 $36,955.60 $32,135.31 2026-02-13
L8679 HCPCS Implantable Neurostimulator, Pulse Generator, Any Type 41 41 $40,066.00 $40,066.00 $10,551.04 $36,860.72 $32,052.80 2026-02-13
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 41 41 $40,022.89 $40,022.89 $10,729.18 $36,821.06 $32,018.31 2026-02-13
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 41 41 $39,864.39 $39,864.39 $7,179.08 $36,675.24 $31,891.51 2026-02-13
113 MS_DRG Orbital Procedures With Cc/mcc 41 41 $39,753.81 $39,753.81 $15,901.53 $36,573.51 $31,803.05 2026-02-13
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 41 41 $39,730.33 $39,730.33 $15,838.34 $36,551.90 $31,784.26 2026-02-13
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 41 41 $39,588.54 $39,588.54 $5,465.35 $36,421.46 $31,670.83 2026-02-13
123 MS_DRG Neurological Eye Disorders 41 41 $39,420.01 $39,420.01 $6,237.86 $36,266.41 $31,536.01 2026-02-13
37226 HCPCS Insertion Of Stent In Arteries Of Leg 33 33 $37,789.00 $37,789.00 $13,425.43 $34,765.88 $31,364.87 2026-02-13
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 41 41 $39,043.18 $39,043.18 $13,262.28 $35,919.72 $31,234.54 2026-02-13
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 41 41 $38,745.16 $38,745.16 $15,498.06 $35,645.55 $30,996.13 2026-02-13
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 41 41 $38,679.00 $38,679.00 $10,266.77 $35,584.68 $30,943.20 2026-02-13
729 MS_DRG Other Male Reproductive System Diagnoses With Cc/mcc 41 41 $38,670.02 $38,670.02 $8,269.50 $35,576.41 $30,936.01 2026-02-13
380 MS_DRG Complicated Peptic Ulcer With Mcc 41 41 $38,580.45 $38,580.45 $15,326.72 $35,494.02 $30,864.36 2026-02-13
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 41 41 $38,362.82 $38,362.82 $9,906.68 $35,293.79 $30,690.25 2026-02-13
37230 HCPCS Insertion Of Stent In Artery Of Leg, Initial Vessel 33 33 $36,938.00 $36,938.00 $13,425.43 $33,982.96 $30,658.54 2026-02-13
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 41 41 $38,248.00 $38,248.00 $14,278.49 $35,188.16 $30,598.40 2026-02-13
315 MS_DRG Other Circulatory System Diagnoses With Cc 41 41 $38,223.13 $38,223.13 $7,524.33 $35,165.28 $30,578.51 2026-02-13
292 MS_DRG Heart Failure And Shock With Cc 41 41 $38,203.92 $38,203.92 $6,631.53 $35,147.61 $30,563.14 2026-02-13
178 MS_DRG Respiratory Infections And Inflammations With Cc 41 41 $38,185.93 $38,185.93 $7,623.53 $35,131.06 $30,548.75 2026-02-13
93653 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 46 46 $38,143.00 $38,143.00 $15,257.20 $35,091.56 $30,514.40 2026-02-13
J9306 HCPCS Injection, Pertuzumab, 1 Mg 46 46 $40,757.53 $40,757.53 $17.02 $37,496.93 $30,160.57 2026-02-13
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 41 41 $37,697.45 $37,697.45 $10,879.93 $34,681.65 $30,157.96 2026-02-13
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 33 33 $36,246.00 $36,246.00 $10,292.35 $33,346.32 $30,084.18 2026-02-13
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