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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

14,357 distinct procedures filed
49 distinct payers
1,133,867 rate rows
2026-06-03 last MRF observed
Data quality

1,099,764 of 1,133,867 rate rows are consumer-grade (97.0%)

34,103 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 30,520
percent-of-charges filed in the dollar field — excluded from medians 1,401
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,083
exceeds 10× this hospital's gross charge — excluded from medians 546
per-diem day rate — not a per-procedure price 325
exceeds 3× this hospital's gross charge for a DRG stay — excluded 169
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 59
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 not_modified · 2026-10-14
Content fingerprint cb865e13c23f42c7… · 543,678,522 bytes · first seen 2026-10-09

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
$6,067
outlier · 76.9×
J9347
HCPCS 		Injection, Tremelimumab-actl, 1 Mg 46 $143.23 $230,780.16 $185,627.52 nat. median
$355
outlier · 523.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $165,789.82 $170,763.53 $165,789.82 nat. median
$145,435
1.1× median
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 46 $45,156.22 $142,873.24 $114,919.78 nat. median
$65,477
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $108,193.15 $111,438.95 $108,193.15 nat. median
$97,418
1.1× median
J2507
HCPCS 		Injection, Pegloticase, 1 Mg 46 $3,660.83 $113,239.69 $91,084.10 nat. median
$4,390
outlier · 20.7×
A9607
HCPCS 		Lutetium Lu 177 Vipivotide Tetraxetan, Therapeutic, 1 Millicurie 46 $255.84 $109,547.90 $88,114.61 nat. median
$396
outlier · 222.6×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $80,535.21 $82,951.27 $80,535.21 nat. median
$69,922
1.2× median
J9298
HCPCS 		Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg 46 $201.76 $84,308.85 $67,813.64 nat. median
$446
outlier · 151.9×
J9334
HCPCS 		Injection, Efgartigimod Alfa, 2 Mg And Hyaluronidase-qvfc 41 $33.89 $78,099.43 $67,557.99 nat. median
$45
outlier · 1491.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $65,845.86 $67,821.24 $65,845.86 nat. median
$60,505
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $65,638.87 $67,608.04 $65,638.87 nat. median
$59,651
1.1× median
J3245
HCPCS 		Injection, Tildrakizumab, 1 Mg 46 $118.20 $80,297.51 $64,587.13 nat. median
$217
outlier · 297.8×
J9277
HCPCS 		Injection, Pembrolizumab, 1 Mg And Berahyaluronidase Alfa-pmph 41 $32.13 $71,194.84 $61,908.56 nat. median
$40
outlier · 1550.8×
J9024
HCPCS 		Injection, Atezolizumab, 5 Mg And Hyaluronidase-tqjs 41 $31.95 $68,579.47 $59,634.32 nat. median
$47
outlier · 1281.1×
A9604
HCPCS 		Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri… 46 $3,159.80 $71,638.56 $57,622.32 nat. median
$11,059
outlier · 5.2×
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 46 $59.41 $71,593.35 $57,585.96 nat. median
$133
outlier · 433.1×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 $55,695.48 $57,366.35 $55,695.48 nat. median
$51,518
1.1× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 13 $55,373.67 $57,034.88 $55,373.67 nat. median
$2,024
outlier · 27.4×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 13 $53,988.00 $55,607.64 $53,988.00 nat. median
$48,611
1.1× median
J9272
HCPCS 		Injection, Dostarlimab-gxly, 10 Mg 46 $247.08 $67,082.41 $53,957.59 nat. median
$567
outlier · 95.2×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 $53,723.21 $55,334.91 $53,723.21 nat. median
$49,569
1.1× median
J0638
HCPCS 		Injection, Canakinumab, 1 Mg 46 $149.57 $66,569.32 $53,544.89 nat. median
$235
outlier · 228.0×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 13 $51,804.83 $53,358.98 $51,804.83 nat. median
$2,106
outlier · 24.6×
J9042
HCPCS 		Injection, Brentuximab Vedotin, 1 Mg 46 $268.73 $63,361.13 $50,964.39 nat. median
$555
outlier · 91.8×
J3055
HCPCS 		Injection, Talquetamab-tgvs, 0.25 Mg 41 $74.88 $58,407.66 $50,789.27 nat. median
$139
outlier · 365.8×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 13 $50,261.38 $51,769.22 $50,261.38 nat. median
$47,121
1.1× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 13 $49,997.37 $51,497.29 $49,997.37 nat. median
$2,024
outlier · 24.7×
J3263
HCPCS 		Injection, Toripalimab-tpzi, 1 Mg 41 $39.99 $54,993.38 $47,820.33 nat. median
$51
outlier · 935.5×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 13 $47,774.36 $49,207.59 $47,774.36 nat. median
$2,106
outlier · 22.7×
J9316
HCPCS 		Injection, Pertuzumab, Trastuzumab, And Hyaluronidase-zzxf, Per 10 Mg 46 $60.23 $77,448.73 $47,421.44 nat. median
$221
outlier · 214.8×
28
MS_DRG 		Spinal Procedures With Mcc 13 $46,930.77 $48,338.70 $46,930.77 nat. median
$41,895
1.1× median
J9119
HCPCS 		Injection, Cemiplimab-rwlc, 1 Mg 46 $29.29 $58,001.80 $46,653.62 nat. median
$53
outlier · 876.0×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $46,577.71 $47,975.05 $46,577.71 nat. median
$42,674
1.1× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 $45,809.89 $47,184.19 $45,809.89 nat. median
$40,726
1.1× median
J2327
HCPCS 		Injection, Risankizumab-rzaa, Intravenous, 1 Mg 46 $14.60 $56,226.69 $45,225.81 nat. median
$48
outlier · 942.7×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 13 $44,518.74 $45,854.30 $44,518.74 nat. median
$38,795
1.1× median
J1628
HCPCS 		Injection, Guselkumab, 1 Mg 46 $67.81 $55,260.07 $44,448.31 nat. median
$127
outlier · 350.0×
J1744
HCPCS 		Injection, Icatibant, 1 Mg 33 $5,563.94 $50,825.45 $44,196.04 nat. median
$312
outlier · 141.6×
33264
HCPCS 		Removal And Replacement Of Multiple Lead Defibrillator 46 $23,536.00 $54,132.80 $43,541.60 nat. median
$32,779
1.3× median
C1824
HCPCS 		Generator, Cardiac Contractility Modulation (implantable) 28 $20,834.80 $47,920.04 $43,492.65 nat. median
$32,119
1.4× median
J9144
HCPCS 		Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 46 $55.03 $53,958.78 $43,401.63 nat. median
$114
outlier · 379.1×
33270
HCPCS 		Insertion Or Replacement Of Defibrillator With Electrode 46 $23,395.20 $53,808.96 $43,281.12 nat. median
$32,475
1.3× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 13 $42,730.02 $44,011.92 $42,730.02 nat. median
$38,859
1.1× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 $42,669.10 $43,949.17 $42,669.10 nat. median
$39,159
1.1× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 $42,601.92 $43,879.98 $42,601.92 nat. median
$37,371
1.1× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $41,654.45 $42,904.08 $41,654.45 nat. median
$38,832
1.1× median
J2329
HCPCS 		Injection, Ublituximab-xiiy, 1mg 46 $68.75 $51,423.22 $41,362.15 nat. median
$116
outlier · 357.2×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 13 $41,213.13 $42,449.52 $41,213.13 nat. median
$37,725
1.1× median
J9256
HCPCS 		Injection, Nipocalimab-aahu, 3 Mg 41 $32.67 $47,373.79 $41,194.60 nat. median
$36
outlier · 1150.0×

Other procedures at this hospital

Browse this hospital's 14,357 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 92 46 $628,983.04 $628,983.04 $5,003.64 $580,311.44 $466,772.24 2026-06-03
J9347 HCPCS Injection, Tremelimumab-actl, 1 Mg 46 46 $250,848.00 $250,848.00 $143.23 $230,780.16 $185,627.52 2026-06-03
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 13 $292,707.26 $292,707.26 $165,789.82 $170,763.53 $165,789.82 2026-06-03
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 46 46 $155,297.00 $155,297.00 $45,156.22 $142,873.24 $114,919.78 2026-06-03
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 13 $237,129.99 $237,129.99 $108,193.15 $111,438.95 $108,193.15 2026-06-03
J2507 HCPCS Injection, Pegloticase, 1 Mg 92 46 $122,005.81 $122,005.81 $3,660.83 $113,239.69 $91,084.10 2026-06-03
A9607 HCPCS Lutetium Lu 177 Vipivotide Tetraxetan, Therapeutic, 1 Millicurie 92 46 $119,073.80 $119,073.80 $255.84 $109,547.90 $88,114.61 2026-06-03
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 13 $295,829.25 $295,829.25 $80,535.21 $82,951.27 $80,535.21 2026-06-03
J9298 HCPCS Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg 46 46 $91,640.05 $91,640.05 $201.76 $84,308.85 $67,813.64 2026-06-03
J9334 HCPCS Injection, Efgartigimod Alfa, 2 Mg And Hyaluronidase-qvfc 82 41 $84,669.09 $84,669.09 $33.89 $78,099.43 $67,557.99 2026-06-03
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 13 $39,884.62 $39,884.62 $65,845.86 $67,821.24 $65,845.86 2026-06-03
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 13 $257,964.71 $257,964.71 $65,638.87 $67,608.04 $65,638.87 2026-06-03
J3245 HCPCS Injection, Tildrakizumab, 1 Mg 92 46 $87,033.65 $87,033.65 $118.20 $80,297.51 $64,587.13 2026-06-03
J9277 HCPCS Injection, Pembrolizumab, 1 Mg And Berahyaluronidase Alfa-pmph 41 41 $77,385.70 $77,385.70 $32.13 $71,194.84 $61,908.56 2026-06-03
J9024 HCPCS Injection, Atezolizumab, 5 Mg And Hyaluronidase-tqjs 41 41 $74,542.90 $74,542.90 $31.95 $68,579.47 $59,634.32 2026-06-03
A9604 HCPCS Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri… 46 46 $77,868.00 $77,868.00 $3,159.80 $71,638.56 $57,622.32 2026-06-03
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 92 46 $77,207.12 $77,207.12 $59.41 $71,593.35 $57,585.96 2026-06-03
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 13 $100,786.07 $100,786.07 $55,695.48 $57,366.35 $55,695.48 2026-06-03
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 26 13 $75,075.47 $75,075.47 $55,373.67 $57,034.88 $55,373.67 2026-06-03
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 13 $129,084.05 $129,084.05 $53,988.00 $55,607.64 $53,988.00 2026-06-03
J9272 HCPCS Injection, Dostarlimab-gxly, 10 Mg 46 46 $72,915.66 $72,915.66 $247.08 $67,082.41 $53,957.59 2026-06-03
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 13 $136,768.71 $136,768.71 $53,723.21 $55,334.91 $53,723.21 2026-06-03
J0638 HCPCS Injection, Canakinumab, 1 Mg 46 46 $72,357.96 $72,357.96 $149.57 $66,569.32 $53,544.89 2026-06-03
459 MS_DRG Spinal Fusion Except Cervical With Mcc 26 13 $96,773.56 $96,773.56 $51,804.83 $53,358.98 $51,804.83 2026-06-03
J9042 HCPCS Injection, Brentuximab Vedotin, 1 Mg 46 46 $68,870.79 $68,870.79 $268.73 $63,361.13 $50,964.39 2026-06-03
J3055 HCPCS Injection, Talquetamab-tgvs, 0.25 Mg 41 41 $63,486.59 $63,486.59 $74.88 $58,407.66 $50,789.27 2026-06-03
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 13 $74,384.73 $74,384.73 $50,261.38 $51,769.22 $50,261.38 2026-06-03
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 26 13 $28,299.57 $28,299.57 $49,997.37 $51,497.29 $49,997.37 2026-06-03
J3263 HCPCS Injection, Toripalimab-tpzi, 1 Mg 41 41 $59,775.41 $59,775.41 $39.99 $54,993.38 $47,820.33 2026-06-03
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 26 13 $196,122.59 $196,122.59 $47,774.36 $49,207.59 $47,774.36 2026-06-03
J9316 HCPCS Injection, Pertuzumab, Trastuzumab, And Hyaluronidase-zzxf, Per 10 Mg 74 46 $56,120.05 $56,120.05 $60.23 $77,448.73 $47,421.44 2026-06-03
28 MS_DRG Spinal Procedures With Mcc 26 13 $323,692.91 $323,692.91 $46,930.77 $48,338.70 $46,930.77 2026-06-03
J9119 HCPCS Injection, Cemiplimab-rwlc, 1 Mg 92 46 $63,045.43 $63,045.43 $29.29 $58,001.80 $46,653.62 2026-06-03
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 13 $324,093.31 $324,093.31 $46,577.71 $47,975.05 $46,577.71 2026-06-03
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 13 $122,004.12 $122,004.12 $45,809.89 $47,184.19 $45,809.89 2026-06-03
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 92 46 $61,115.96 $61,115.96 $14.60 $56,226.69 $45,225.81 2026-06-03
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 13 $31,538.77 $31,538.77 $44,518.74 $45,854.30 $44,518.74 2026-06-03
J1628 HCPCS Injection, Guselkumab, 1 Mg 92 46 $58,963.62 $58,963.62 $67.81 $55,260.07 $44,448.31 2026-06-03
J1744 HCPCS Injection, Icatibant, 1 Mg 33 33 $55,245.05 $55,245.05 $5,563.94 $50,825.45 $44,196.04 2026-06-03
33264 HCPCS Removal And Replacement Of Multiple Lead Defibrillator 92 46 $58,840.00 $58,840.00 $23,536.00 $54,132.80 $43,541.60 2026-06-03
C1824 HCPCS Generator, Cardiac Contractility Modulation (implantable) 28 28 $52,087.00 $52,087.00 $20,834.80 $47,920.04 $43,492.65 2026-06-03
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 92 46 $58,650.85 $58,650.85 $55.03 $53,958.78 $43,401.63 2026-06-03
33270 HCPCS Insertion Or Replacement Of Defibrillator With Electrode 46 46 $58,488.00 $58,488.00 $23,395.20 $53,808.96 $43,281.12 2026-06-03
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 13 $166,946.57 $166,946.57 $42,730.02 $44,011.92 $42,730.02 2026-02-13
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 13 $40,543.71 $40,543.71 $42,669.10 $43,949.17 $42,669.10 2026-06-03
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 13 $217,786.02 $217,786.02 $42,601.92 $43,879.98 $42,601.92 2026-02-13
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 13 $78,066.71 $78,066.71 $41,654.45 $42,904.08 $41,654.45 2026-06-03
J2329 HCPCS Injection, Ublituximab-xiiy, 1mg 92 46 $55,761.46 $55,761.46 $68.75 $51,423.22 $41,362.15 2026-06-03
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 26 13 $125,255.16 $125,255.16 $41,213.13 $42,449.52 $41,213.13 2026-06-03
J9256 HCPCS Injection, Nipocalimab-aahu, 3 Mg 41 41 $51,493.25 $51,493.25 $32.67 $47,373.79 $41,194.60 2026-06-03
33249 HCPCS Insertion Of Implantable Defibrillator System 92 46 $55,108.00 $55,108.00 $22,043.20 $50,699.36 $40,779.92 2026-06-03
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 26 13 $78,614.05 $78,614.05 $40,659.33 $41,879.11 $40,659.33 2026-06-03
93654 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 92 46 $54,707.00 $54,707.00 $21,882.80 $50,330.44 $40,483.18 2026-06-03
C1822 HCPCS Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 168 28 $49,879.00 $49,879.00 $18,655.20 $46,077.28 $40,108.68 2026-06-03
J9289 HCPCS Injection, Nivolumab, 2 Mg And Hyaluronidase-nvhy 41 41 $50,088.15 $50,088.15 $27.73 $46,081.10 $40,070.52 2026-06-03
J9022 HCPCS Injection, Atezolizumab, 10 Mg 120 46 $66,553.38 $66,553.38 $91.34 $61,229.11 $40,065.13 2026-06-03
33263 HCPCS Removal And Replacement Of Dual Lead Defibrillator 92 46 $54,130.00 $54,130.00 $21,652.00 $49,799.60 $40,056.20 2026-06-03
33262 HCPCS Removal And Replacement Of Single Lead Defibrillator 46 46 $53,593.00 $53,593.00 $21,437.20 $49,305.56 $39,658.82 2026-06-03
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 13 $75,358.92 $75,358.92 $38,956.53 $40,125.23 $38,956.53 2026-06-03
228 MS_DRG Other Cardiothoracic Procedures With Mcc 26 13 $83,946.05 $83,946.05 $38,644.09 $39,803.42 $38,644.09 2026-06-03
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 13 $90,539.45 $90,539.45 $38,575.36 $39,732.62 $38,575.36 2026-06-03
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 26 13 $133,005.23 $133,005.23 $38,443.35 $39,596.65 $38,443.35 2026-06-03
471 MS_DRG Cervical Spinal Fusion With Mcc 26 13 $89,320.47 $89,320.47 $37,716.93 $38,848.44 $37,716.93 2026-06-03
J9228 HCPCS Injection, Ipilimumab, 1 Mg 92 46 $50,476.76 $50,476.76 $183.48 $49,500.51 $37,691.16 2026-06-03
93656 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 92 46 $50,616.00 $50,616.00 $20,246.40 $46,566.72 $37,455.84 2026-06-03
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 13 $81,618.76 $81,618.76 $36,647.60 $37,747.03 $36,647.60 2026-06-03
9801793_1 CDM #9 4 In 1 Tri Ctg Blck 56 28 $43,223.00 $43,223.00 $17,289.20 $39,765.16 $36,307.32 2026-06-03
9801581_1 CDM #9 Ps Bx Ctg Gd Tri Inst 56 28 $43,223.00 $43,223.00 $17,289.20 $39,765.16 $36,307.32 2026-06-03
9801581_14 CDM #9 Ps Bx Ctg Gd Tri Inst 28 28 $43,223.00 $43,223.00 $17,289.20 $39,765.16 $36,091.21 2026-06-03
9801793_14 CDM #9 4 In 1 Tri Ctg Blck 28 28 $43,223.00 $43,223.00 $17,289.20 $39,765.16 $36,091.21 2026-06-03
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 13 $77,407.18 $77,407.18 $36,075.06 $37,157.31 $36,075.06 2026-06-03
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 26 13 $229,780.02 $229,780.02 $35,974.30 $37,053.53 $35,974.30 2026-06-03
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 13 $108,560.31 $108,560.31 $35,903.22 $36,980.31 $35,903.22 2026-06-03
A9600 HCPCS Strontium Sr-89 Chloride, Therapeutic, Per Millicurie 46 46 $48,461.00 $48,461.00 $4,146.34 $44,584.12 $35,861.14 2026-06-03
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 13 $132,353.39 $132,353.39 $35,811.83 $36,886.18 $35,811.83 2026-06-03
0823T OTHER Insertion Of Permanent Single-chamber Leadless Pacemaker For Pacing The Right Up… 82 41 $44,706.00 $44,706.00 $17,882.40 $41,129.52 $35,764.80 2026-06-03
245 MS_DRG Aicd Generator Procedures 26 13 $50,739.47 $50,739.47 $35,636.86 $36,705.97 $35,636.86 2026-06-03
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 13 $113,368.21 $113,368.21 $35,529.85 $36,595.75 $35,529.85 2026-06-03
J1930 HCPCS Injection, Lanreotide, 1 Mg 46 46 $47,402.98 $47,402.98 $35.72 $43,610.74 $35,078.21 2026-06-03
163 MS_DRG Major Chest Procedures With Mcc 26 13 $188,960.84 $188,960.84 $35,007.30 $36,057.52 $35,007.30 2026-06-03
J0208 HCPCS Injection, Sodium Thiosulfate (pedmark), 100 Mg 92 46 $47,292.04 $47,292.04 $95.11 $43,508.68 $34,996.11 2026-06-03
C1826 HCPCS Generator, Neurostimulator (implantable), Includes Closed Feedback Loop Leads An… 56 28 $41,068.00 $41,068.00 $16,427.20 $37,782.56 $34,497.12 2026-06-03
J3357 HCPCS Ustekinumab, For Subcutaneous Injection, 1 Mg 122 33 $38,130.15 $38,130.15 $8,869.62 $63,819.02 $34,317.14 2026-06-03
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 13 $67,458.32 $67,458.32 $34,312.12 $35,341.48 $34,312.12 2026-06-03
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 26 13 $103,420.34 $103,420.34 $33,801.28 $34,815.32 $33,801.28 2026-06-03
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 13 $44,718.57 $44,718.57 $33,531.80 $34,537.75 $33,531.80 2026-06-03
C2624 HCPCS Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 56 28 $39,720.00 $39,720.00 $15,888.00 $36,542.40 $33,364.80 2026-06-03
140 MS_DRG Major Head And Neck Procedures With Mcc 26 13 $30,098.49 $30,098.49 $33,316.22 $34,315.70 $33,316.22 2026-06-03
C9767 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 92 46 $44,923.00 $44,923.00 $13,425.43 $41,329.16 $33,243.02 2026-06-03
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 13 $83,640.32 $83,640.32 $32,987.37 $33,977.00 $32,987.37 2026-06-03
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 13 $101,431.44 $101,431.44 $32,931.13 $33,919.07 $32,931.13 2026-06-03
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 13 $97,023.30 $97,023.30 $32,818.66 $33,803.22 $32,818.66 2026-06-03
J9223 HCPCS Injection, Lurbinectedin, 0.1 Mg 92 46 $44,334.34 $44,334.34 $207.13 $44,070.58 $32,612.69 2026-06-03
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 13 $117,428.77 $117,428.77 $32,592.14 $33,569.90 $32,592.14 2026-06-03
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 26 13 $143,448.10 $143,448.10 $32,224.24 $33,190.97 $32,224.24 2026-06-03
L8679 HCPCS Implantable Neurostimulator, Pulse Generator, Any Type 82 41 $40,066.00 $40,066.00 $10,344.16 $36,860.72 $32,052.80 2026-06-03
J9043 HCPCS Injection, Cabazitaxel, 1 Mg 46 46 $42,245.04 $42,245.04 $231.05 $38,865.44 $31,261.33 2026-06-03
37226 HCPCS Insertion Of Stent In Arteries Of Leg 66 33 $37,789.00 $37,789.00 $13,425.43 $34,765.88 $30,986.98 2026-06-03
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 13 $31,215.57 $31,215.57 $30,555.81 $31,472.49 $30,555.81 2026-06-03
93653 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 92 46 $38,143.00 $38,143.00 $15,257.20 $35,091.56 $30,514.40 2026-06-03
37230 HCPCS Insertion Of Stent In Artery Of Leg, Initial Vessel 66 33 $36,938.00 $36,938.00 $13,425.43 $33,982.96 $30,289.16 2026-06-03
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 26 13 $25,455.44 $25,455.44 $30,188.70 $31,094.36 $30,188.70 2026-06-03
J9306 HCPCS Injection, Pertuzumab, 1 Mg 92 46 $40,757.53 $40,757.53 $17.02 $37,496.93 $30,160.57 2026-06-03
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 26 13 $68,290.98 $68,290.98 $30,159.79 $31,064.59 $30,159.79 2026-06-03
10213926_1 CDM Vte Price Per Procedure Charge Code 28 28 $36,040.00 $36,040.00 $14,416.00 $33,156.80 $30,093.40 2026-06-03
10213926_14 CDM Vte Price Per Procedure Charge Code 28 28 $36,040.00 $36,040.00 $14,416.00 $33,156.80 $30,093.40 2026-06-03
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 588 28 $36,045.00 $36,045.00 $13,322.00 $39,390.72 $30,020.40 2026-06-03
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 13 $143,285.86 $143,285.86 $29,988.73 $30,888.40 $29,988.73 2026-06-03
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 66 33 $36,246.00 $36,246.00 $10,292.35 $33,346.32 $29,721.72 2026-06-03
J0741 HCPCS Injection, Cabotegravir And Rilpivirine, 2mg/3mg 117 46 $36,743.00 $36,743.00 $23.65 $33,803.56 $29,394.40 2026-06-03
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 13 $32,524.42 $32,524.42 $29,392.76 $30,274.54 $29,392.76 2026-06-03
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 26 13 $29,340.39 $29,340.39 $29,264.66 $30,142.60 $29,264.66 2026-06-03
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 13 $99,179.51 $99,179.51 $29,195.14 $30,070.99 $29,195.14 2026-06-03
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 26 13 $117,344.15 $117,344.15 $29,192.01 $30,067.77 $29,192.01 2026-06-03
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 26 13 $107,909.49 $107,909.49 $29,110.00 $29,983.30 $29,110.00 2026-06-03
C9774 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 92 46 $38,825.00 $38,825.00 $13,425.43 $35,719.00 $28,730.50 2026-06-03
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 26 13 $66,948.37 $66,948.37 $28,690.55 $29,551.26 $28,690.55 2026-06-03
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 26 13 $102,446.83 $102,446.83 $28,678.83 $29,539.20 $28,678.83 2026-06-03
C9765 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 92 46 $38,629.00 $38,629.00 $7,754.24 $35,538.68 $28,585.46 2026-06-03
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 26 13 $119,542.09 $119,542.09 $28,571.82 $29,428.98 $28,571.82 2026-06-03
332 MS_DRG Rectal Resection With Mcc 26 13 $96,226.58 $96,226.58 $28,281.25 $29,129.69 $28,281.25 2026-06-03
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 13 $105,555.34 $105,555.34 $28,211.73 $29,058.09 $28,211.73 2026-06-03
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 13 $55,111.28 $55,111.28 $28,169.55 $29,014.64 $28,169.55 2026-06-03
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 13 $83,690.08 $83,690.08 $27,892.26 $28,729.03 $27,892.26 2026-06-03
271 MS_DRG Other Major Cardiovascular Procedures With Cc 26 13 $41,431.23 $41,431.23 $27,778.22 $28,611.57 $27,778.22 2026-06-03
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 26 13 $89,187.62 $89,187.62 $27,546.24 $28,372.63 $27,546.24 2026-06-03
J9063 HCPCS Injection, Mirvetuximab Soravtansine-gynx, 1 Mg 46 46 $37,182.78 $37,182.78 $71.13 $34,208.16 $27,515.26 2026-06-03
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 26 13 $271,522.96 $271,522.96 $27,490.00 $28,314.70 $27,490.00 2026-06-03
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 120 46 $34,422.82 $34,422.82 $89.34 $31,728.04 $27,368.65 2026-06-03
252 MS_DRG Other Vascular Procedures With Mcc 26 13 $102,661.12 $102,661.12 $27,247.08 $28,064.49 $27,247.08 2026-06-03
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 13 $96,160.22 $96,160.22 $27,240.05 $28,057.25 $27,240.05 2026-06-03
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 252 28 $33,055.00 $33,055.00 $9,546.40 $132,816.72 $27,217.15 2026-06-03
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 26 13 $67,631.22 $67,631.22 $26,983.85 $27,793.36 $26,983.85 2026-06-03
92941 HCPCS Removal Of Plaque And Blood Clot, Insertion Of Stent And/or Balloon Dilation Of … 92 46 $36,246.00 $36,246.00 $637.23 $33,346.32 $26,822.04 2026-06-03
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 13 $122,512.76 $122,512.76 $26,779.20 $27,582.58 $26,779.20 2026-06-03
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 26 13 $174,461.66 $174,461.66 $26,647.97 $27,447.41 $26,647.97 2026-06-03
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 26 13 $21,651.65 $21,651.65 $26,612.82 $27,411.21 $26,612.82 2026-06-03
9564534_1 CDM Kyphpak Express Ii Tray Fst Fx 56 28 $31,586.00 $31,586.00 $12,634.40 $29,059.12 $26,532.24 2026-06-03
9564534_14 CDM Kyphpak Express Ii Tray Fst Fx 28 28 $31,586.00 $31,586.00 $12,634.40 $29,059.12 $26,374.31 2026-06-03
264 MS_DRG Other Circulatory System O.r. Procedures 13 13 $25,290.54 $25,290.54 $26,093.39 $26,876.20 $26,093.39 2026-06-03
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 92 46 $35,045.14 $35,045.14 $60.29 $32,241.53 $25,933.40 2026-06-03
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 364 28 $32,922.00 $32,922.00 $168.40 $37,966.56 $25,927.20 2026-06-03
J2427 HCPCS Injection, Paliperidone Palmitate Extended Release (invega Hafyera, Or Invega Tr… 306 46 $39,833.00 $39,833.00 $12.95 $54,969.08 $25,914.38 2026-06-03
J9011 HCPCS Injection, Datopotamab Deruxtecan-dlnk, 1 Mg 41 41 $32,358.18 $32,358.18 $51.52 $29,769.52 $25,886.54 2026-06-03
37 MS_DRG Extracranial Procedures With Mcc 26 13 $43,984.38 $43,984.38 $25,714.56 $26,486.00 $25,714.56 2026-06-03
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 26 13 $163,648.56 $163,648.56 $25,711.44 $26,482.78 $25,711.44 2026-06-03
7437247_14 CDM Afx Extension Aorta 4605.00 28 28 $30,622.00 $30,622.00 $12,248.80 $28,172.24 $25,569.37 2026-06-03
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 26 13 $36,267.84 $36,267.84 $25,407.59 $26,169.82 $25,407.59 2026-06-03
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 92 46 $34,067.54 $34,067.54 $20.98 $31,550.49 $25,377.57 2026-06-03
33213 HCPCS Insertion Of Pacemaker Pulse Generator With Existing Dual Leads 92 46 $34,200.00 $34,200.00 $9,875.67 $31,464.00 $25,308.00 2026-06-03
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 13 13 $60,129.44 $60,129.44 $25,295.89 $26,054.77 $25,295.89 2026-06-03
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 26 13 $68,568.03 $68,568.03 $25,267.77 $26,025.81 $25,267.77 2026-06-03
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 392 28 $30,415.00 $30,415.00 $10,513.20 $38,697.04 $25,246.14 2026-06-03
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 26 13 $56,159.23 $56,159.23 $25,206.85 $25,963.05 $25,206.85 2026-06-03
C9766 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 92 46 $34,017.00 $34,017.00 $7,754.24 $31,295.64 $25,172.58 2026-06-03
A4336 HCPCS Incontinence Supply, Urethral Insert, Any Type, Each 41 41 $31,387.00 $31,387.00 $2.01 $28,876.04 $25,109.60 2026-06-03
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 26 13 $84,496.58 $84,496.58 $24,938.93 $25,687.10 $24,938.93 2026-06-03
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 26 13 $80,583.17 $80,583.17 $24,892.84 $25,639.63 $24,892.84 2026-06-03
500 MS_DRG Soft Tissue Procedures With Mcc 26 13 $46,286.18 $46,286.18 $24,720.22 $25,461.83 $24,720.22 2026-06-03
A9572 HCPCS Indium In-111 Pentetreotide, Diagnostic, Per Study Dose, Up To 6 Millicuries 82 41 $30,839.00 $30,839.00 $2,000.94 $28,371.88 $24,671.20 2026-06-03
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 13 13 $59,546.87 $59,546.87 $24,600.71 $25,338.74 $24,600.71 2026-06-03
7440560_1 CDM Cl Atherectomy/Stent Femoral Popliteal Artery 28 28 $29,350.00 $29,350.00 $11,740.00 $27,002.00 $24,507.25 2026-06-03
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 13 $67,779.00 $67,779.00 $24,328.89 $25,058.76 $24,328.89 2026-06-03
7440523_1 CDM Cl Drug Eluting Stent Branch Add 28 28 $28,917.00 $28,917.00 $11,566.80 $26,603.64 $24,290.28 2026-02-13
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 92 46 $32,426.00 $32,426.00 $10,292.35 $29,831.92 $23,995.24 2026-06-03
662 MS_DRG Minor Bladder Procedures With Mcc 26 13 $21,967.07 $21,967.07 $23,913.35 $24,630.75 $23,913.35 2026-06-03
0238T OTHER Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open … 74 46 $37,945.00 $37,945.00 $11,317.20 $34,909.40 $23,907.58 2026-06-03
263 MS_DRG Vein Ligation And Stripping 26 13 $75,729.18 $75,729.18 $23,881.32 $24,597.76 $23,881.32 2026-06-03
0795T OTHER Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker Using Fluor… 92 46 $32,261.00 $32,261.00 $9,875.67 $29,680.12 $23,873.14 2026-06-03
92929 HCPCS Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Each Add… 66 33 $28,917.00 $28,917.00 $10,292.35 $26,603.64 $23,711.94 2026-06-03
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 26 13 $60,552.40 $60,552.40 $23,692.29 $24,403.06 $23,692.29 2026-06-03
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 26 13 $52,270.81 $52,270.81 $23,593.10 $24,300.89 $23,593.10 2026-06-03
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 26 13 $80,087.77 $80,087.77 $23,564.19 $24,271.12 $23,564.19 2026-06-03
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 26 13 $70,167.74 $70,167.74 $23,397.04 $24,098.95 $23,397.04 2026-06-03
C1722 HCPCS Cardioverter-defibrillator, Single Chamber (implantable) 392 28 $27,621.00 $27,621.00 $9,376.00 $45,708.36 $23,201.64 2026-06-03
472 MS_DRG Cervical Spinal Fusion With Cc 26 13 $116,067.09 $116,067.09 $23,011.96 $23,702.32 $23,011.96 2026-06-03
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 92 46 $31,085.00 $31,085.00 $10,292.35 $28,598.20 $23,002.90 2026-06-03
570 MS_DRG Skin Debridement With Mcc 26 13 $80,404.32 $80,404.32 $22,972.90 $23,662.09 $22,972.90 2026-06-03
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 26 13 $100,080.86 $100,080.86 $22,747.95 $23,430.39 $22,747.95 2026-06-03
33221 HCPCS Insertion Of Pacemaker Pulse Generator With Existing Multiple Leads 92 46 $30,599.00 $30,599.00 $9,875.67 $28,151.08 $22,706.58 2026-06-03
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 26 13 $61,913.61 $61,913.61 $22,667.49 $23,347.52 $22,667.49 2026-06-03
33229 HCPCS Removal And Replacement Of Multiple Lead Permanent Pacemaker 92 46 $28,420.00 $28,420.00 $9,875.67 $26,146.40 $22,642.42 2026-06-03
C9605 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 33 33 $28,259.00 $28,259.00 $10,292.35 $25,998.28 $22,607.20 2026-06-03
619 MS_DRG O.r. Procedures For Obesity With Mcc 26 13 $45,430.84 $45,430.84 $22,553.45 $23,230.06 $22,553.45 2026-06-03
974 MS_DRG HIV With Major Related Condition With Mcc 26 13 $49,919.38 $49,919.38 $22,542.52 $23,218.79 $22,542.52 2026-06-03
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 26 13 $102,082.40 $102,082.40 $22,419.10 $23,091.68 $22,419.10 2026-06-03
C1772 HCPCS Infusion Pump, Programmable (implantable) 112 28 $26,586.00 $26,586.00 $9,230.80 $68,518.84 $22,332.24 2026-06-03
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 26 13 $67,178.54 $67,178.54 $22,265.23 $22,933.18 $22,265.23 2026-06-03
33206 HCPCS Insertion Of Pacemaker And Upper Heart Chamber Electrode 46 46 $30,040.00 $30,040.00 $9,875.67 $27,636.80 $22,229.60 2026-06-03
7437121_14 CDM Afx Stent Bifurcated Graft 28 28 $26,586.00 $26,586.00 $10,634.40 $24,459.12 $22,199.31 2026-06-03
C2621 HCPCS Pacemaker, Other Than Single Or Dual Chamber (implantable) 56 28 $26,406.00 $26,406.00 $10,562.40 $24,293.52 $22,181.04 2026-06-03
C8000 HCPCS Support Device, Extravascular, For Arteriovenous Fistula (implantable) 56 28 $26,406.00 $26,406.00 $10,562.40 $24,293.52 $22,181.04 2026-06-03
C1605 HCPCS Pacemaker, Leadless, Dual Chamber (right Atrial And Right Ventricular Implantabl… 56 28 $26,406.00 $26,406.00 $10,562.40 $24,293.52 $22,181.04 2026-06-03
C9363 HCPCS Skin Substitute, Integra Meshed Bilayer Wound Matrix, Per Square Centimeter 56 28 $26,283.00 $26,283.00 $10,513.20 $24,180.36 $22,077.72 2026-06-03
C1896 HCPCS Lead, Cardioverter-defibrillator, Other Than Endocardial Single Or Dual Coil (im… 28 28 $26,406.00 $26,406.00 $10,562.40 $24,293.52 $22,049.01 2026-06-03
33212 HCPCS Insertion Of Pacemaker Pulse Generator With Existing Single Lead 92 46 $29,707.00 $29,707.00 $9,497.69 $27,330.44 $21,983.18 2026-06-03
800 MS_DRG Splenic Procedures With Cc 26 13 $62,848.43 $62,848.43 $21,944.20 $22,602.52 $21,944.20 2026-06-03
93657 HCPCS Destruction Of Tissue Of Upper Heart Chamber Through Tube To Treat Abnormal Hear… 92 46 $28,085.00 $28,085.00 $281.31 $25,838.20 $21,935.79 2026-06-03
654 MS_DRG Major Bladder Procedures With Cc 26 13 $86,740.35 $86,740.35 $21,865.30 $22,521.26 $21,865.30 2026-06-03
503 MS_DRG Foot Procedures With Mcc 26 13 $102,602.08 $102,602.08 $21,801.25 $22,455.29 $21,801.25 2026-06-03
J0517 HCPCS Injection, Benralizumab, 1 Mg 92 46 $29,380.32 $29,380.32 $163.36 $27,047.39 $21,755.51 2026-06-03
C9807 HCPCS Nerve Stimulator, Percutaneous, Peripheral (e.g., Sprint Peripheral Nerve Stimul… 56 28 $25,877.00 $25,877.00 $10,350.80 $23,806.84 $21,736.68 2026-06-03
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 26 13 $67,184.76 $67,184.76 $21,651.28 $22,300.82 $21,651.28 2026-06-03
7436659_14 CDM Graft Chondrofix Oc 15mm 3880. 28 28 $25,801.00 $25,801.00 $10,320.40 $23,736.92 $21,543.83 2026-06-03
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 13 $78,752.52 $78,752.52 $21,470.07 $22,114.17 $21,470.07 2026-06-03
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 26 13 $48,348.74 $48,348.74 $21,464.60 $22,108.54 $21,464.60 2026-06-03
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 26 13 $106,085.68 $106,085.68 $21,252.14 $21,889.71 $21,252.14 2026-06-03
J9312 HCPCS Injection, Rituximab, 10 Mg 92 46 $28,078.03 $28,078.03 $74.16 $26,387.16 $21,224.45 2026-06-03
J9380 HCPCS Injection, Teclistamab-cqyv, 0.5 Mg 46 46 $28,652.62 $28,652.62 $34.50 $26,360.41 $21,202.94 2026-06-03
C1785 HCPCS Pacemaker, Dual Chamber, Rate-responsive (implantable) 644 28 $25,269.00 $25,269.00 $8,047.20 $36,022.60 $21,162.96 2026-06-03
288 MS_DRG Acute And Subacute Endocarditis With Mcc 26 13 $125,688.87 $125,688.87 $21,138.10 $21,772.25 $21,138.10 2026-06-03
37238 HCPCS Insertion Of Stent In Vein With Review By Radiologist, Initial Vein 46 46 $28,538.00 $28,538.00 $11,415.20 $26,254.96 $21,118.12 2026-06-03
7437095_14 CDM Afx Extension Aorta 3795.00 28 28 $25,237.00 $25,237.00 $10,094.80 $23,218.04 $21,072.90 2026-06-03
7438173_14 CDM Diamondback Micro 1.25 60cm 28 28 $25,237.00 $25,237.00 $10,094.80 $23,218.04 $21,072.90 2026-06-03
7438171_14 CDM Stealth Shortshaft Solid 60 28 28 $25,225.00 $25,225.00 $10,090.00 $23,207.00 $21,062.88 2026-06-03
37288 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 112 46 $35,232.00 $35,232.00 $657.42 $40,516.80 $21,039.30 2026-06-03
37271 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 196 46 $28,432.00 $28,432.00 $445.27 $28,431.68 $21,039.30 2026-06-03
37284 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 112 46 $36,938.00 $36,938.00 $500.43 $36,049.28 $21,039.30 2026-06-03
92928 HCPCS Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Single A… 92 46 $28,418.00 $28,418.00 $10,292.35 $26,144.56 $21,029.32 2026-06-03
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 92 46 $28,418.00 $28,418.00 $10,292.35 $26,144.56 $21,029.32 2026-06-03
J0896 HCPCS Injection, Luspatercept-aamt, 0.25 Mg 74 46 $65,066.34 $65,066.34 $42.75 $59,861.03 $20,857.54 2026-06-03
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 26 13 $98,086.55 $98,086.55 $20,777.23 $21,400.55 $20,777.23 2026-06-03
33208 HCPCS Insertion Of Pacemaker And Upper And Lower Heart Chamber Electrode 92 46 $28,074.00 $28,074.00 $9,875.67 $25,828.08 $20,774.76 2026-06-03
C1764 HCPCS Event Recorder, Cardiac (implantable) 364 28 $24,531.00 $24,531.00 $9,316.00 $24,293.52 $20,756.15 2026-06-03
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 26 13 $25,361.93 $25,361.93 $20,749.89 $21,372.39 $20,749.89 2026-06-03
10104115_1 CDM Lightning Bolt 7 Indigo Catheter Torq 7fr 130cm 56 28 $24,357.00 $24,357.00 $9,742.80 $22,408.44 $20,459.88 2026-06-03
7433032_14 CDM Ebi External Ang Hinge 3677.10 28 28 $24,452.00 $24,452.00 $9,780.80 $22,495.84 $20,417.42 2026-06-03
10104115_14 CDM Lightning Bolt 7 Indigo Catheter Torq 7fr 130cm 28 28 $24,357.00 $24,357.00 $9,742.80 $22,408.44 $20,338.10 2026-06-03
253 MS_DRG Other Vascular Procedures With Cc 26 13 $71,521.88 $71,521.88 $20,274.21 $20,882.43 $20,274.21 2026-06-03
10003910_1 CDM Triever16 Curve Catheter Iso 56 28 $24,027.00 $24,027.00 $9,610.80 $22,104.84 $20,182.68 2026-06-03
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 74 46 $35,158.83 $35,158.83 $188.35 $32,346.12 $20,174.78 2026-06-03
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 26 13 $45,960.12 $45,960.12 $20,174.23 $20,779.45 $20,174.23 2026-06-03
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 26 13 $174,257.52 $174,257.52 $20,146.11 $20,750.49 $20,146.11 2026-06-03
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 26 13 $165,202.66 $165,202.66 $20,146.11 $20,750.49 $20,146.11 2026-06-03
10003910_14 CDM Triever16 Curve Catheter Iso 28 28 $24,027.00 $24,027.00 $9,610.80 $22,104.84 $20,062.54 2026-06-03
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 26 13 $75,137.56 $75,137.56 $20,055.50 $20,657.16 $20,055.50 2026-06-03
Q4104 HCPCS Integra Bilayer Matrix Wound Dressing (bmwd), Per Square Centimeter 138 41 $26,406.00 $26,406.00 $116.19 $24,293.52 $20,039.04 2026-06-03
77372 HCPCS Complete Single Session Course Of Cranial Lesion Surgery Using Radiation And A M… 92 46 $27,043.00 $27,043.00 $6,822.00 $24,879.56 $20,011.82 2026-06-03
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 26 13 $81,711.36 $81,711.36 $19,941.46 $20,539.70 $19,941.46 2026-06-03
7436658_14 CDM Graft Chondrofix Oc 11mm 3575. 28 28 $23,774.00 $23,774.00 $9,509.60 $21,872.08 $19,851.29 2026-06-03
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 26 13 $56,248.67 $56,248.67 $19,846.94 $20,442.35 $19,846.94 2026-06-03
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 26 13 $89,443.25 $89,443.25 $19,809.45 $20,403.74 $19,809.45 2026-06-03
164 MS_DRG Major Chest Procedures With Cc 26 13 $87,378.41 $87,378.41 $19,714.94 $20,306.39 $19,714.94 2026-06-03
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 26 13 $44,627.88 $44,627.88 $19,706.35 $20,297.54 $19,706.35 2026-06-03
10065851_1 CDM Ion Fully Articulating Catheter, If1000 (v1.1) 56 28 $23,426.00 $23,426.00 $9,370.40 $21,551.92 $19,677.84 2026-06-03
J9173 HCPCS Injection, Durvalumab, 10 Mg 92 46 $25,941.90 $25,941.90 $85.12 $25,045.70 $19,604.88 2026-06-03
10065851_14 CDM Ion Fully Articulating Catheter, If1000 (v1.1) 28 28 $23,426.00 $23,426.00 $9,370.40 $21,551.92 $19,560.71 2026-06-03
7438394_14 CDM Afx Prox R Limb Ext 3380.00 28 28 $23,406.00 $23,406.00 $9,362.40 $21,533.52 $19,544.01 2026-06-03
7437289_14 CDM Afx Extension Illiac 2765.00 28 28 $23,406.00 $23,406.00 $9,362.40 $21,533.52 $19,544.01 2026-06-03
7438395_14 CDM Afx Distal R Limb Ext 3275.00 28 28 $23,406.00 $23,406.00 $9,362.40 $21,533.52 $19,544.01 2026-06-03
7437112_14 CDM Tissue Natural Denovo 4440.00 28 28 $23,341.00 $23,341.00 $9,336.40 $21,473.72 $19,489.74 2026-06-03
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 26 13 $38,745.16 $38,745.16 $19,464.21 $20,048.13 $19,464.21 2026-06-03
545 MS_DRG Connective Tissue Disorders With Mcc 26 13 $41,160.00 $41,160.00 $19,384.53 $19,966.07 $19,384.53 2026-06-03
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 26 13 $57,786.01 $57,786.01 $19,208.79 $19,785.05 $19,208.79 2026-06-03
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 26 13 $77,753.45 $77,753.45 $19,203.32 $19,779.42 $19,203.32 2026-06-03
783 MS_DRG Cesarean Section With Sterilization With Mcc 26 13 $29,389.37 $29,389.37 $19,176.76 $19,752.07 $19,176.76 2026-06-03
792 MS_DRG Prematurity Without Major Problems 26 13 $19,373.62 $19,373.62 $19,130.68 $19,704.60 $19,130.68 2026-06-03
33228 HCPCS Removal And Replacement Of Dual Lead Permanent Pacemaker 92 46 $25,836.00 $25,836.00 $9,875.67 $23,769.12 $19,118.64 2026-06-03
Q5117 HCPCS Injection, Trastuzumab-anns, Biosimilar, (kanjinti), 10 Mg 92 46 $26,610.68 $26,610.68 $47.55 $26,979.83 $19,116.37 2026-06-03
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 26 13 $82,354.72 $82,354.72 $19,091.62 $19,664.37 $19,091.62 2026-06-03
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 26 13 $85,445.99 $85,445.99 $19,068.97 $19,641.04 $19,068.97 2026-06-03
Q5115 HCPCS Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg 92 46 $24,809.36 $24,809.36 $29.38 $23,786.76 $19,010.85 2026-06-03
92943 HCPCS Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary… 92 46 $25,663.00 $25,663.00 $10,265.20 $23,609.96 $18,990.62 2026-06-03
10115261_1 CDM Artix Price Per Procedure Charge Code 56 28 $22,525.00 $22,525.00 $9,010.00 $20,723.00 $18,921.00 2026-06-03
10115261_14 CDM Artix Price Per Procedure Charge Code 28 28 $22,525.00 $22,525.00 $9,010.00 $20,723.00 $18,808.38 2026-06-03
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 26 13 $75,620.24 $75,620.24 $18,787.77 $19,351.41 $18,787.77 2026-06-03
330 MS_DRG Major Small And Large Bowel Procedures With Cc 26 13 $68,043.22 $68,043.22 $18,724.51 $19,286.24 $18,724.51 2026-06-03
33224 HCPCS Insertion Of Left Lower Heart Electrode And Attachment To Pacemaker Or Defibrill… 92 46 $25,230.00 $25,230.00 $9,875.67 $23,211.60 $18,670.20 2026-06-03
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 26 13 $57,796.09 $57,796.09 $18,640.15 $19,199.35 $18,640.15 2026-06-03
37286 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 173 46 $46,173.00 $46,173.00 $670.84 $42,479.16 $18,469.20 2026-06-03
7512431_14 CDM Dbm Sponge Strip 46x20x7mm 28 28 $22,078.00 $22,078.00 $8,831.20 $20,311.76 $18,435.13 2026-06-03
C1821 HCPCS Interspinous Process Distraction Device (implantable) 672 28 $22,757.50 $22,757.50 $1,056.40 $24,293.52 $18,392.64 2026-06-03
9834309_1 CDM Frcps Mrylnd Bipolr 8mm Is5000 56 28 $21,878.00 $21,878.00 $8,751.20 $20,127.76 $18,377.52 2026-06-03
113 MS_DRG Orbital Procedures With Cc/mcc 26 13 $39,753.81 $39,753.81 $18,364.42 $18,915.35 $18,364.42 2026-06-03
C9772 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 92 46 $24,787.00 $24,787.00 $7,754.24 $22,804.04 $18,342.38 2026-06-03
9834309_14 CDM Frcps Mrylnd Bipolr 8mm Is5000 28 28 $21,878.00 $21,878.00 $8,751.20 $20,127.76 $18,268.13 2026-06-03
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 26 13 $59,519.69 $59,519.69 $18,266.78 $18,814.79 $18,266.78 2026-06-03
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 26 13 $69,772.20 $69,772.20 $18,253.50 $18,801.11 $18,253.50 2026-06-03
357 MS_DRG Other Digestive System O.r. Procedures With Cc 13 13 $121,040.47 $121,040.47 $18,164.46 $18,709.39 $18,164.46 2026-06-03
56 MS_DRG Degenerative Nervous System Disorders With Mcc 26 13 $74,790.82 $74,790.82 $18,145.71 $18,690.08 $18,145.71 2026-06-03
7482456_14 CDM Stealth Solid Crown 2.00m 28 28 $21,698.00 $21,698.00 $8,679.20 $19,962.16 $18,117.83 2026-06-03
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 13 $47,073.03 $47,073.03 $18,052.76 $18,594.34 $18,052.76 2026-06-03
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 120 46 $22,561.31 $22,561.31 $106.33 $20,832.48 $18,033.84 2026-06-03
C1881 HCPCS Dialysis Access System (implantable) 56 28 $21,404.00 $21,404.00 $8,561.60 $19,691.68 $17,979.36 2026-06-03
22630 HCPCS Fusion Of Lower Spine Bone And Partial Removal Of Spine Bone Or Disc Through Bac… 92 46 $21,147.00 $21,147.00 $8,458.80 $32,076.05 $17,974.95 2026-06-03
347 MS_DRG Anal And Stomal Procedures With Mcc 26 13 $45,711.28 $45,711.28 $17,930.91 $18,468.84 $17,930.91 2026-06-03
9834310_1 CDM Scissrs Monoplr Curv 8mm Assy 56 28 $21,279.00 $21,279.00 $8,511.60 $19,576.68 $17,874.36 2026-06-03
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 26 13 $73,865.07 $73,865.07 $17,852.80 $18,388.38 $17,852.80 2026-06-03
33227 HCPCS Removal And Replacement Of Single Lead Permanent Pacemaker 92 46 $24,113.00 $24,113.00 $9,497.69 $22,183.96 $17,843.62 2026-06-03
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 26 13 $45,356.04 $45,356.04 $17,775.47 $18,308.73 $17,775.47 2026-06-03
9834310_14 CDM Scissrs Monoplr Curv 8mm Assy 28 28 $21,279.00 $21,279.00 $8,511.60 $19,576.68 $17,767.97 2026-06-03
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 26 13 $40,837.99 $40,837.99 $17,745.79 $18,278.16 $17,745.79 2026-06-03
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 13 13 $18,999.64 $18,999.64 $17,696.58 $18,227.48 $17,696.58 2026-06-03
C1895 HCPCS Lead, Cardioverter-defibrillator, Endocardial Dual Coil (implantable) 28 28 $21,124.00 $21,124.00 $8,449.60 $19,434.08 $17,638.54 2026-06-03
92938 HCPCS Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Coronary Vessel… 33 33 $22,032.00 $22,032.00 $8,812.80 $20,269.44 $17,625.60 2026-06-03
C1875 HCPCS Stent, Coated/covered, Without Delivery System 56 28 $20,908.00 $20,908.00 $8,363.20 $19,235.36 $17,562.72 2026-06-03
37184 HCPCS Primary Removal And Dissolving Of Blood Clot From Artery Or Artery Graft Using F… 92 46 $20,649.00 $20,649.00 $7,754.24 $21,670.48 $17,551.65 2026-06-03
10065895_1 CDM Arcos Con Sz B Hi 60mm Type 1 Taper 56 28 $20,625.00 $20,625.00 $8,250.00 $18,975.00 $17,325.00 2026-06-03
J9038 HCPCS Injection, Axatilimab-csfr, 0.1 Mg 41 41 $21,611.09 $21,611.09 $55.65 $19,882.21 $17,288.88 2026-06-03
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 26 13 $63,320.45 $63,320.45 $17,284.16 $17,802.68 $17,284.16 2026-06-03
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