Price Transparencybeta Hospital negotiated rates

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

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Hospital

SARAH BUSH LINCOLN HEALTH CENTER

Mattoon, IL · CCN 140189 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $5,266 across 13 payers · range $5,266-$5,424

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSarahBush&type=CDMWithoutLabel&fileType=CSV · observed 2026-02-13

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

7,864 distinct procedures filed
49 distinct payers
447,354 rate rows
2026-02-13 last MRF observed
Data quality

430,893 of 447,354 rate rows are consumer-grade (96.3%)

16,461 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 15,036
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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 25
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 · 2026-08-18

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
$8,133
outlier · 57.4×
28
MS_DRG 		Spinal Procedures With Mcc 41 $46,930.77 $291,081.01 $253,113.92 nat. median
$56,970
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
$57,394
outlier · 4.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 41 $80,535.21 $272,162.91 $236,663.40 nat. median
$99,646
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
$199,832
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
$34,805
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
$80,459
outlier · 2.6×
80
MS_DRG 		Nontraumatic Stupor And Coma With Mcc 41 $14,137.89 $225,960.40 $196,487.30 nat. median
$18,593
outlier · 10.6×
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
$132,706
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
$46,399
outlier · 4.0×
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
$24,391
outlier · 7.5×
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
$52,447
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
$31,997
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
$57,648
outlier · 2.7×
163
MS_DRG 		Major Chest Procedures With Mcc 41 $35,007.30 $173,843.97 $151,168.67 nat. median
$44,914
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
$39,761
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
$33,440
outlier · 4.2×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 41 $42,730.02 $153,590.84 $133,557.25 nat. median
$52,517
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
$24,774
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
$35,794
outlier · 3.3×
304
MS_DRG 		Hypertension With Mcc 41 $9,295.08 $134,673.74 $117,107.60 nat. median
$12,433
outlier · 9.4×
30
MS_DRG 		Spinal Procedures Without Cc/mcc 41 $17,146.69 $132,542.33 $115,254.20 nat. median
$22,255
outlier · 5.2×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 41 $29,988.73 $131,822.99 $114,628.69 nat. median
$37,685
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
$65,792
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
$41,045
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
$47,513
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
$44,650
outlier · 2.4×
786
MS_DRG 		Cesarean Section Without Sterilization With Mcc 41 $12,884.23 $121,638.98 $105,773.03 nat. median
$15,304
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
$65,958
1.6× median
288
MS_DRG 		Acute And Subacute Endocarditis With Mcc 41 $21,138.10 $115,633.76 $100,551.10 nat. median
$26,771
outlier · 3.8×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 41 $41,213.13 $115,234.75 $100,204.13 nat. median
$50,808
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
$33,338
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
$56,397
1.7× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 41 $28,571.82 $109,978.72 $95,633.67 nat. median
$37,051
outlier · 2.6×
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
$42,100
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
$19,204
outlier · 4.9×
472
MS_DRG 		Cervical Spinal Fusion With Cc 41 $23,011.96 $106,781.72 $92,853.67 nat. median
$29,471
outlier · 3.2×
J2507
HCPCS 		Injection, Pegloticase, 1 Mg 46 $3,660.83 $113,239.69 $91,084.10 nat. median
$8,784
outlier · 10.4×
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
$43,549
outlier · 2.1×
A9607
HCPCS 		Lutetium Lu 177 Vipivotide Tetraxetan, Therapeutic, 1 Millicurie 46 $255.84 $109,547.90 $88,114.61 nat. median
$421
outlier · 209.5×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 41 $35,903.22 $99,875.49 $86,848.25 nat. median
$44,514
2.0× 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
$36,547
outlier · 2.4×
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
$27,918
outlier · 3.0×
711
MS_DRG 		Testes Procedures With Cc/mcc 41 $16,276.54 $97,538.83 $84,816.38 nat. median
$20,178
outlier · 4.2×
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
$34,828
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
$15,878
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
$21,203
outlier · 3.9×
252
MS_DRG 		Other Vascular Procedures With Mcc 41 $27,247.08 $94,448.23 $82,128.90 nat. median
$33,823
outlier · 2.4×
503
MS_DRG 		Foot Procedures With Mcc 41 $21,801.25 $94,393.91 $82,081.66 nat. median
$26,831
outlier · 3.1×
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
$35,279
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 7,864 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 OTHER 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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