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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

HANCOCK REGIONAL HOSPITAL

Greenfield, IN · CCN 150037 · Rates published

3,957 distinct procedures filed
54 distinct payers
297,431 rate rows
2026-04-28 last MRF observed
Data quality

296,789 of 297,431 rate rows are consumer-grade (99.8%)

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

Excluded — reasonRows
percent-of-charges filed in the dollar field — excluded from medians 429
exceeds 3× this hospital's gross charge for a DRG stay — excluded 85
exceeds 10× this hospital's gross charge — excluded from medians 75
placeholder amount (≤ $0.02) — excluded from medians 50
per-diem day rate — not a per-procedure price 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbHancockRegional&type=CDMWithoutLabel
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 1f72699bba087c0b… · 187,315,676 bytes · first seen 2026-05-04

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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 53 $36,630.90 $372,523.49 $122,656.67 nat. median
$202,986
0.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 54 $41,441.42 $321,167.43 $120,696.14 nat. median
$133,176
0.9× median
163
MS_DRG 		Major Chest Procedures With Mcc 54 $34,639.29 $146,663.44 $99,587.97 nat. median
$44,938
outlier · 2.2×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 54 $33,851.79 $115,712.42 $89,145.79 nat. median
$44,810
2.0× median
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 54 $59.60 $316,390.65 $84,370.84 nat. median
$712
outlier · 118.5×
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 54 $27,486.22 $114,838.71 $79,022.87 nat. median
$35,597
outlier · 2.2×
252
MS_DRG 		Other Vascular Procedures With Mcc 54 $26,960.65 $114,957.32 $77,511.88 nat. median
$34,043
outlier · 2.3×
834
MS_DRG 		Acute Leukemia With Mcc 54 $26,395.85 $127,292.33 $75,495.62 nat. median
$53,173
1.4× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 54 $26,164.78 $114,713.58 $74,834.75 nat. median
$50,673
1.5× median
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 54 $24,941.87 $95,986.19 $71,024.48 nat. median
$32,031
outlier · 2.2×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 54 $24,544.39 $124,294.30 $70,200.21 nat. median
$55,736
1.3× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 54 $23,505.97 $149,199.07 $68,460.01 nat. median
$62,134
1.1× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 $22,916.59 $108,787.08 $65,544.49 nat. median
$46,084
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 54 $22,320.50 $160,261.42 $65,007.37 nat. median
$66,526
1.0× median
PM.63685
CDM 		Operating Room Services - General Classification 35 $26,974.15 $75,527.62 $63,196.58 nat. median
$63,197
1.0× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 54 $22,589.58 $86,411.97 $62,896.34 nat. median
$37,237
1.7× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 54 $21,826.89 $106,306.11 $62,427.81 nat. median
$45,113
1.4× median
61
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 54 $21,309.30 $99,155.17 $61,264.22 nat. median
$27,312
outlier · 2.2×
414
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 54 $22,201.89 $82,604.72 $60,972.88 nat. median
$34,948
1.7× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 54 $22,627.37 $81,770.00 $60,938.62 nat. median
$34,721
1.8× median
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 54 $21,028.74 $99,364.71 $60,457.62 nat. median
$28,170
outlier · 2.1×
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 54 $21,238.96 $79,239.19 $59,524.69 nat. median
$27,218
outlier · 2.2×
J9043
HCPCS 		Injection, Cabazitaxel, 1 Mg 54 $231.05 $215,447.55 $57,452.68 nat. median
$739
outlier · 77.8×
96
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 54 $19,934.33 $77,094.02 $56,909.96 nat. median
$24,796
outlier · 2.3×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 54 $19,440.27 $114,509.54 $56,618.85 nat. median
$48,170
1.2× median
462
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 54 $20,300.51 $69,391.34 $53,459.65 nat. median
$28,254
1.9× median
397
MS_DRG 		Appendix Procedures With Mcc 54 $18,509.89 $71,593.42 $52,846.54 nat. median
$24,166
outlier · 2.2×
J9042
HCPCS 		Injection, Brentuximab Vedotin, 1 Mg 54 $266.19 $197,499.27 $52,666.47 nat. median
$1,050
outlier · 50.1×
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 54 $18,257.32 $82,797.17 $52,218.36 nat. median
$35,058
1.5× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 54 $19,601.21 $67,592.57 $52,073.86 nat. median
$24,757
outlier · 2.1×
408
MS_DRG 		Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 54 $18,206.71 $82,674.28 $52,073.59 nat. median
$34,943
1.5× median
674
MS_DRG 		Other Kidney And Urinary Tract Procedures With Cc 54 $18,074.76 $97,353.12 $51,964.93 nat. median
$23,466
outlier · 2.2×
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 54 $17,973.51 $82,099.11 $51,673.84 nat. median
$22,941
outlier · 2.3×
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 54 $19,199.19 $67,287.63 $50,913.63 nat. median
$28,775
1.8× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 54 $18,527.67 $64,936.50 $50,027.61 nat. median
$24,346
outlier · 2.1×
J9272
HCPCS 		Injection, Dostarlimab-gxly, 10 Mg 54 $247.08 $187,215.69 $49,924.18 nat. median
$742
outlier · 67.3×
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 54 $18,375.35 $66,550.29 $49,542.63 nat. median
$28,962
1.7× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 54 $17,746.94 $72,219.43 $49,520.58 nat. median
$30,264
1.6× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 54 $17,859.52 $64,271.05 $47,996.30 nat. median
$26,699
1.8× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 54 $18,118.46 $61,932.65 $47,713.42 nat. median
$24,493
1.9× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 54 $15,742.85 $101,854.27 $45,850.30 nat. median
$42,444
1.1× median
415
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 54 $15,973.28 $62,085.79 $45,720.57 nat. median
$20,601
outlier · 2.2×
J9228
HCPCS 		Injection, Ipilimumab, 1 Mg 54 $187.17 $572,730.75 $45,004.87 nat. median
$9,906
outlier · 4.5×
95
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Cc 54 $16,730.60 $59,802.98 $44,808.96 nat. median
$24,991
1.8× median
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 54 $15,420.66 $132,943.88 $44,334.40 nat. median
$20,397
outlier · 2.2×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 54 $13,171.66 $135,985.01 $44,334.33 nat. median
$56,697
0.8× median
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 40 $25,312.28 $171,000.00 $44,175.00 nat. median
$22,013
outlier · 2.0×
PM.64575
CDM 		Operating Room Services - General Classification 35 $18,773.65 $52,566.22 $43,983.98 nat. median
$43,984
1.0× median
PM.64580
CDM 		Operating Room Services - General Classification 35 $18,773.65 $52,566.22 $43,983.98 nat. median
$43,984
1.0× median
374
MS_DRG 		Digestive Malignancy With Mcc 54 $16,445.83 $56,215.27 $43,308.71 nat. median
$21,277
outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 3,957 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
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 53 53 $127,767.36 $102,213.89 $36,630.90 $372,523.49 $122,656.67 2026-04-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 54 54 $144,546.27 $115,637.02 $41,441.42 $321,167.43 $120,696.14 2026-04-28
163 MS_DRG Major Chest Procedures With Mcc 54 54 $149,656.57 $119,725.26 $34,639.29 $146,663.44 $99,587.97 2026-04-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 54 54 $118,073.90 $94,459.12 20% off $33,851.79 $115,712.42 $89,145.79 2026-04-28
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 54 54 $105,463.55 $84,370.84 20% off $59.60 $316,390.65 $84,370.84 2026-04-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 54 54 $117,182.36 $93,745.89 $27,486.22 $114,838.71 $79,022.87 2026-04-28
252 MS_DRG Other Vascular Procedures With Mcc 54 54 $117,303.39 $93,842.71 20% off $26,960.65 $114,957.32 $77,511.88 2026-04-28
834 MS_DRG Acute Leukemia With Mcc 54 54 $92,067.83 $73,654.26 20% off $26,395.85 $127,292.33 $75,495.62 2026-04-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 54 $91,261.89 $73,009.51 20% off $26,164.78 $114,713.58 $74,834.75 2026-04-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 54 54 $97,945.09 $78,356.07 20% off $24,941.87 $95,986.19 $71,024.48 2026-04-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 54 54 $85,610.01 $68,488.01 $24,544.39 $124,294.30 $70,200.21 2026-04-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 54 54 $81,988.04 $65,590.43 20% off $23,505.97 $149,199.07 $68,460.01 2026-04-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 54 $79,932.31 $63,945.85 $22,916.59 $108,787.08 $65,544.49 2026-04-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 54 54 $77,853.14 $62,282.51 20% off $22,320.50 $160,261.42 $65,007.37 2026-04-28
PM.63685 CDM Operating Room Services - General Classification 35 35 $77,069.00 $61,655.20 20% off $26,974.15 $75,527.62 $63,196.58 2026-04-28
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 54 54 $78,791.71 $63,033.37 $22,589.58 $86,411.97 $62,896.34 2026-04-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 54 54 $76,131.47 $60,905.18 $21,826.89 $106,306.11 $62,427.81 2026-04-28
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 54 54 $101,178.75 $80,943.00 20% off $21,309.30 $99,155.17 $61,264.22 2026-04-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 54 54 $77,439.46 $61,951.57 $22,201.89 $82,604.72 $60,972.88 2026-04-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 54 54 $78,923.51 $63,138.81 $22,627.37 $81,770.00 $60,938.62 2026-04-28
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 54 54 $101,392.56 $81,114.05 $21,028.74 $99,364.71 $60,457.62 2026-04-28
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 54 54 $80,856.32 $64,685.06 $21,238.96 $79,239.19 $59,524.69 2026-04-28
J9043 HCPCS Injection, Cabazitaxel, 1 Mg 54 54 $71,815.85 $57,452.68 20% off $231.05 $215,447.55 $57,452.68 2026-04-28
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 54 54 $78,667.37 $62,933.90 $19,934.33 $77,094.02 $56,909.96 2026-04-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 54 54 $67,807.01 $54,245.61 $19,440.27 $114,509.54 $56,618.85 2026-04-28
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 54 54 $70,807.49 $56,645.99 20% off $20,300.51 $69,391.34 $53,459.65 2026-04-28
397 MS_DRG Appendix Procedures With Mcc 54 54 $73,054.51 $58,443.61 $18,509.89 $71,593.42 $52,846.54 2026-04-28
J9042 HCPCS Injection, Brentuximab Vedotin, 1 Mg 54 54 $65,833.09 $52,666.47 20% off $266.19 $197,499.27 $52,666.47 2026-04-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 54 54 $63,680.93 $50,944.75 $18,257.32 $82,797.17 $52,218.36 2026-04-28
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 54 54 $68,972.01 $55,177.60 20% off $19,601.21 $67,592.57 $52,073.86 2026-04-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 54 54 $63,504.38 $50,803.50 20% off $18,206.71 $82,674.28 $52,073.59 2026-04-28
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 54 54 $99,339.92 $79,471.94 $18,074.76 $97,353.12 $51,964.93 2026-04-28
357 MS_DRG Other Digestive System O.r. Procedures With Cc 54 54 $83,774.61 $67,019.68 20% off $17,973.51 $82,099.11 $51,673.84 2026-04-28
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 54 54 $66,966.13 $53,572.90 20% off $19,199.19 $67,287.63 $50,913.63 2026-04-28
330 MS_DRG Major Small And Large Bowel Procedures With Cc 54 54 $66,261.74 $53,009.39 20% off $18,527.67 $64,936.50 $50,027.61 2026-04-28
J9272 HCPCS Injection, Dostarlimab-gxly, 10 Mg 54 54 $62,405.23 $49,924.18 20% off $247.08 $187,215.69 $49,924.18 2026-04-28
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 54 54 $64,092.60 $51,274.08 $18,375.35 $66,550.29 $49,542.63 2026-04-28
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 54 54 $61,900.73 $49,520.58 20% off $17,746.94 $72,219.43 $49,520.58 2026-04-28
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 54 54 $62,293.40 $49,834.72 20% off $17,859.52 $64,271.05 $47,996.30 2026-04-28
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 54 54 $63,196.58 $50,557.26 20% off $18,118.46 $61,932.65 $47,713.42 2026-04-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 54 54 $54,910.54 $43,928.43 20% off $15,742.85 $101,854.27 $45,850.30 2026-04-28
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 54 54 $63,352.85 $50,682.28 20% off $15,973.28 $62,085.79 $45,720.57 2026-04-28
J9228 HCPCS Injection, Ipilimumab, 1 Mg 86 54 $47,373.55 $37,898.84 20% off $187.17 $572,730.75 $45,004.87 2026-04-28
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 54 54 $58,355.78 $46,684.62 20% off $16,730.60 $59,802.98 $44,808.96 2026-04-28
908 MS_DRG Other O.r. Procedures For Injuries With Cc 54 54 $135,657.02 $108,525.62 $15,420.66 $132,943.88 $44,334.40 2026-04-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 54 54 $45,942.31 $36,753.85 $13,171.66 $135,985.01 $44,334.33 2026-04-28
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 120 40 $48,876.50 $39,101.20 20% off $25,312.28 $171,000.00 $44,175.00 2026-04-28
PM.64580 CDM Operating Room Services - General Classification 35 35 $53,639.00 $42,911.20 20% off $18,773.65 $52,566.22 $43,983.98 2026-04-28
PM.64575 CDM Operating Room Services - General Classification 35 35 $53,639.00 $42,911.20 20% off $18,773.65 $52,566.22 $43,983.98 2026-04-28
374 MS_DRG Digestive Malignancy With Mcc 54 54 $57,362.52 $45,890.02 $16,445.83 $56,215.27 $43,308.71 2026-04-28
J9119 HCPCS Injection, Cemiplimab-rwlc, 1 Mg 54 54 $53,876.82 $43,101.46 $29.76 $161,630.46 $43,101.46 2026-04-28
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 54 54 $53,918.55 $43,134.84 20% off $15,458.45 $59,195.49 $43,063.68 2026-04-28
570 MS_DRG Skin Debridement With Mcc 54 54 $52,420.85 $41,936.68 20% off $15,029.06 $68,194.23 $42,985.10 2026-04-28
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 54 54 $53,124.09 $42,499.27 20% off $14.60 $159,372.27 $42,499.27 2026-04-28
PV.C9767 CDM Operating Room Services - General Classification 35 35 $51,666.00 $41,332.80 $18,083.10 $50,632.68 $42,366.12 2026-04-28
PV.C9766 CDM Operating Room Services - General Classification 35 35 $51,666.00 $41,332.80 $18,083.10 $50,632.68 $42,366.12 2026-04-28
PV.C9765 CDM Operating Room Services - General Classification 35 35 $51,666.00 $41,332.80 $18,083.10 $50,632.68 $42,366.12 2026-04-28
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 54 54 $53,047.63 $42,438.10 20% off $15,208.76 $57,020.59 $41,925.51 2026-04-28
783 MS_DRG Cesarean Section With Sterilization With Mcc 54 54 $52,677.56 $42,142.05 $15,102.66 $56,925.52 $41,742.96 2026-04-28
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 54 54 $55,123.09 $44,098.48 $15,803.79 $54,020.63 $41,617.93 2026-04-28
100 MS_DRG Seizures With Mcc 54 54 $54,483.80 $43,587.04 20% off $14,969.29 $53,394.12 $41,014.21 2026-04-28
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 54 54 $54,267.45 $43,413.96 20% off $15,558.48 $53,182.10 $40,971.92 2026-04-28
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 54 54 $51,807.54 $41,446.03 20% off $14,853.22 $55,332.60 $40,816.51 2026-04-28
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 54 54 $50,433.29 $40,346.63 20% off $55.03 $151,299.87 $40,346.63 2026-04-28
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 54 54 $53,260.94 $42,608.75 20% off $14,908.24 $52,195.72 $40,212.01 2026-04-28
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 54 54 $55,046.02 $44,036.82 $14,180.95 $53,945.10 $40,141.06 2026-04-28
545 MS_DRG Connective Tissue Disorders With Mcc 54 54 $50,137.70 $40,110.16 $14,374.48 $57,542.28 $40,110.16 2026-04-28
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 54 54 $48,355.84 $38,684.67 20% off $13,863.62 $63,733.12 $39,651.79 2026-04-28
J9022 HCPCS Injection, Atezolizumab, 10 Mg 86 54 $60,595.31 $48,476.25 $94.00 $181,785.93 $39,448.94 2026-04-28
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 54 54 $52,088.74 $41,670.99 20% off $14,933.84 $51,046.97 $39,327.00 2026-04-28
336 MS_DRG Peritoneal Adhesiolysis With Cc 54 54 $52,023.19 $41,618.55 20% off $14,915.05 $50,982.73 $39,277.51 2026-04-28
180 MS_DRG Respiratory Neoplasms With Mcc 54 54 $55,171.12 $44,136.90 $13,649.20 $54,067.70 $39,241.46 2026-04-28
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 54 54 $77,810.37 $62,248.30 $13,626.02 $76,254.17 $39,174.79 2026-04-28
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 54 54 $71,071.36 $56,857.09 $13,581.19 $69,649.93 $39,045.91 2026-04-28
509 MS_DRG Arthroscopy 54 54 $86,976.58 $69,581.26 20% off $13,575.78 $85,237.05 $39,030.36 2026-04-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 53 53 $40,451.91 $32,361.53 $11,597.56 $104,314.37 $38,833.83 2026-04-28
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 54 54 $50,966.86 $40,773.49 $14,612.20 $49,947.53 $38,479.99 2026-04-28
J2323 HCPCS Injection, Natalizumab, 1 Mg 54 54 $47,976.59 $38,381.27 20% off $24.32 $143,929.77 $38,381.27 2026-04-28
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 54 54 $57,659.07 $46,127.26 $13,327.68 $56,505.89 $38,317.08 2026-04-28
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 54 54 $45,256.89 $36,205.51 20% off $12,975.15 $80,861.09 $37,789.51 2026-04-28
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 54 54 $81,287.77 $65,030.22 $13,122.87 $79,662.01 $37,728.24 2026-04-28
PM.62362 CDM Operating Room Services - General Classification 35 35 $45,952.00 $36,761.60 20% off $16,083.20 $45,032.96 $37,680.64 2026-04-28
592 MS_DRG Skin Ulcers With Mcc 54 54 $49,881.50 $39,905.20 20% off $14,301.03 $48,883.87 $37,660.54 2026-04-28
L8679 HCPCS Implantable Neurostimulator, Pulse Generator, Any Type 130 54 $42,875.00 $34,300.00 20% off $10,344.16 $139,365.00 $37,596.87 2026-04-28
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 54 54 $58,949.77 $47,159.81 20% off $13,006.93 $57,770.77 $37,394.93 2026-04-28
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 54 54 $52,946.11 $42,356.89 $13,003.07 $51,887.19 $37,383.82 2026-04-28
PV.37235 CDM Operating Room Services - General Classification 35 35 $45,324.00 $36,259.20 20% off $15,863.40 $44,417.52 $37,165.68 2026-04-28
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 54 54 $43,952.57 $35,162.06 $12,601.20 $75,006.46 $36,700.40 2026-04-28
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 120 40 $45,500.25 $36,400.20 20% off $17,419.74 $136,567.50 $36,418.00 2026-04-28
J9301 HCPCS Injection, Obinutuzumab, 10 Mg 54 54 $45,448.72 $36,358.98 $81.81 $136,346.16 $36,358.98 2026-04-28
500 MS_DRG Soft Tissue Procedures With Mcc 54 54 $43,516.23 $34,812.98 20% off $12,476.10 $73,381.08 $36,336.06 2026-04-28
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 54 54 $68,723.73 $54,978.98 20% off $12,608.89 $67,349.25 $36,250.57 2026-04-28
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 54 54 $46,867.10 $37,493.68 $13,436.80 $48,564.42 $36,189.78 2026-04-28
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 54 54 $43,444.51 $34,755.60 20% off $12,455.54 $58,914.93 $35,624.49 2026-04-28
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 54 54 $66,203.73 $52,962.98 20% off $12,383.98 $64,879.65 $35,603.96 2026-04-28
393 MS_DRG Other Digestive System Diagnoses With Mcc 54 54 $50,555.07 $40,444.05 20% off $12,360.80 $49,543.96 $35,537.29 2026-04-28
974 MS_DRG HIV With Major Related Condition With Mcc 54 54 $42,483.02 $33,986.42 $12,179.88 $66,916.64 $35,473.32 2026-04-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 54 54 $42,111.56 $33,689.25 $12,073.38 $86,664.70 $35,163.15 2026-04-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 53 53 $36,523.15 $29,218.52 20% off $10,471.19 $92,604.34 $35,062.22 2026-04-28
J9223 HCPCS Injection, Lurbinectedin, 0.1 Mg 54 54 $43,608.60 $34,886.88 20% off $212.10 $130,825.80 $34,886.88 2026-04-28
505 MS_DRG Foot Procedures Without Cc/mcc 54 54 $46,127.01 $36,901.61 $13,224.61 $45,204.47 $34,825.90 2026-04-28
504 MS_DRG Foot Procedures With Cc 54 54 $45,694.04 $36,555.23 20% off $13,100.48 $44,780.16 $34,499.00 2026-04-28
J3101 HCPCS Injection, Tenecteplase, 1 Mg 54 54 $42,746.59 $34,197.27 20% off $174.24 $128,239.77 $34,197.27 2026-04-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 54 54 $38,908.81 $31,127.05 $11,155.16 $97,706.18 $34,197.15 2026-04-28
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 54 54 $43,254.95 $34,603.96 $12,401.20 $46,329.23 $34,125.98 2026-04-28
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 54 54 $42,414.14 $33,931.31 20% off $20.98 $127,242.42 $33,931.31 2026-04-28
92937 HCPCS Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary… 344 54 $48,336.00 $38,668.80 $5,514.02 $145,008.00 $33,914.73 2026-04-28
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 54 54 $45,940.40 $36,752.32 20% off $11,782.68 $45,021.59 $33,428.83 2026-04-28
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 54 54 $39,800.65 $31,840.52 20% off $11,410.85 $75,089.93 $33,233.54 2026-04-28
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 54 54 $69,011.42 $55,209.14 $11,550.81 $67,631.19 $33,208.58 2026-04-28
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 54 54 $45,787.47 $36,629.98 $11,588.68 $44,871.72 $33,104.74 2026-04-28
PV.37231 CDM Operating Room Services - General Classification 35 35 $39,886.00 $31,908.80 20% off $13,960.10 $39,088.28 $32,706.52 2026-04-28
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 54 54 $38,901.47 $31,121.17 20% off $11,153.05 $67,526.45 $32,482.72 2026-04-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 54 $38,687.50 $30,950.00 20% off $11,091.70 $79,493.08 $32,304.06 2026-04-28
93461 HCPCS Insertion Of Tube In Right And Left Heart Chambers, Coronary Artery, And Bypass … 54 54 $39,627.00 $31,701.60 20% off $3,430.00 $118,881.00 $32,296.00 2026-04-28
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 54 54 $38,528.18 $30,822.54 20% off $11,046.03 $87,251.33 $32,171.03 2026-04-28
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 54 54 $39,212.98 $31,370.38 20% off $11,242.36 $50,519.05 $32,154.64 2026-04-28
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 54 54 $38,923.13 $31,138.50 20% off $11,159.26 $50,484.27 $31,916.97 2026-04-28
54 MS_DRG Nervous System Neoplasms With Mcc 54 54 $42,125.94 $33,700.75 20% off $11,801.23 $41,283.42 $31,805.08 2026-04-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 54 54 $37,983.82 $30,387.05 20% off $10,889.96 $81,603.06 $31,716.49 2026-04-28
92943 HCPCS Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary… 270 54 $39,340.00 $31,472.00 20% off $5,514.02 $118,020.00 $31,472.00 2026-04-28
669 MS_DRG Transurethral Procedures With Cc 54 54 $41,559.21 $33,247.37 $11,915.03 $40,728.03 $31,377.21 2026-04-28
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 54 54 $38,861.58 $31,089.27 $11,141.62 $46,628.33 $31,283.58 2026-04-28
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 54 54 $61,640.67 $49,312.54 $10,849.80 $60,407.86 $31,193.18 2026-04-28
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 54 54 $89,284.83 $71,427.86 20% off $10,787.97 $87,499.13 $31,015.42 2026-04-28
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 54 54 $38,319.42 $30,655.54 $10,986.18 $45,928.10 $30,847.14 2026-04-28
PV.37227 CDM Operating Room Services - General Classification 35 35 $37,321.00 $29,856.80 20% off $13,062.35 $36,574.58 $30,603.22 2026-04-28
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 54 54 $43,888.91 $35,111.13 $10,556.10 $43,011.13 $30,348.80 2026-04-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 54 54 $36,333.57 $29,066.86 $10,416.83 $80,490.10 $30,338.53 2026-04-28
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 54 54 $36,962.37 $29,569.89 20% off $10,597.11 $48,485.58 $30,309.14 2026-04-28
93458 HCPCS Insertion Of Tube In Left Lower Heart Chamber And Coronary Artery For Diagnosis … 54 54 $37,173.00 $29,738.40 $3,430.00 $111,519.00 $30,296.00 2026-04-28
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 54 54 $39,913.82 $31,931.06 $11,443.29 $39,222.52 $30,134.93 2026-04-28
804 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs Without Cc/mcc 54 54 $47,117.55 $37,694.04 20% off $10,480.36 $46,175.20 $30,131.04 2026-04-28
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 54 54 $39,868.46 $31,894.77 $11,430.29 $39,071.09 $30,100.69 2026-04-28
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 54 54 $38,652.44 $30,921.95 20% off $11,081.65 $40,562.71 $30,081.81 2026-04-28
J9306 HCPCS Injection, Pertuzumab, 1 Mg 54 54 $36,782.89 $29,426.31 20% off $17.02 $110,348.67 $29,426.31 2026-04-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 54 54 $32,430.95 $25,944.76 20% off $9,297.95 $85,132.07 $29,066.39 2026-04-28
J9303 HCPCS Injection, Panitumumab, 10 Mg 54 54 $36,328.93 $29,063.14 20% off $174.39 $108,986.79 $29,063.14 2026-04-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 54 54 $33,015.20 $26,412.16 $9,465.46 $84,132.72 $29,053.38 2026-04-28
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 54 54 $35,379.88 $28,303.91 $10,143.41 $49,654.19 $29,011.50 2026-04-28
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 54 54 $35,196.51 $28,157.21 $10,090.84 $45,040.05 $28,861.14 2026-04-28
93456 HCPCS Insertion Of Tube In Right Heart Chambers And Coronary Artery For Diagnosis With… 54 54 $35,399.00 $28,319.20 20% off $3,430.00 $106,197.00 $28,850.18 2026-04-28
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 54 54 $36,009.41 $28,807.53 $10,323.90 $41,967.82 $28,807.53 2026-04-28
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 54 54 $37,842.87 $30,274.29 20% off $10,849.55 $37,193.69 $28,571.37 2026-04-28
92933 HCPCS Removal Of Plaque, Insertion Of Stent And Balloon Dilation Of Single Coronary Ar… 344 54 $37,574.00 $30,059.20 20% off $6,955.00 $112,722.00 $28,556.24 2026-04-28
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 54 54 $38,836.48 $31,069.18 20% off $10,145.70 $38,059.75 $28,514.02 2026-04-28
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 54 54 $37,722.69 $30,178.16 $10,815.10 $36,968.24 $28,480.64 2026-04-28
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 54 54 $37,141.66 $29,713.33 $10,648.51 $37,817.41 $28,426.67 2026-04-28
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 54 54 $34,549.68 $27,639.74 20% off $9,905.39 $43,365.97 $28,330.74 2026-04-28
398 MS_DRG Appendix Procedures With Cc 54 54 $37,514.20 $30,011.36 $10,755.32 $36,763.91 $28,323.22 2026-04-28
196 MS_DRG Interstitial Lung Disease With Mcc 54 54 $34,508.51 $27,606.80 20% off $9,893.59 $43,757.83 $28,296.97 2026-04-28
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 54 54 $34,561.51 $27,649.21 $9,908.78 $42,385.18 $28,256.79 2026-04-28
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 54 54 $35,135.92 $28,108.74 $10,073.47 $41,814.79 $28,256.15 2026-04-28
786 MS_DRG Cesarean Section Without Sterilization With Mcc 54 54 $35,654.03 $28,523.22 20% off $10,222.01 $38,246.36 $28,150.40 2026-04-28
637 MS_DRG Diabetes With Mcc 54 54 $37,265.86 $29,812.69 $10,684.12 $36,520.54 $28,135.72 2026-04-28
722 MS_DRG Malignancy, Male Reproductive System With Mcc 54 54 $34,866.89 $27,893.51 20% off $9,996.34 $41,960.86 $28,108.04 2026-04-28
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 54 54 $33,212.64 $26,570.11 20% off $9,522.06 $69,949.46 $27,732.55 2026-04-28
93459 HCPCS Insertion Of Tube In Left Lower Heart Chamber, Coronary Artery And Bypass Graft … 54 54 $33,988.00 $27,190.40 $3,430.00 $101,964.00 $27,700.22 2026-04-28
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 54 54 $33,712.08 $26,969.66 20% off $9,665.25 $45,635.94 $27,643.91 2026-04-28
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 54 54 $50,357.37 $40,285.89 20% off $9,589.22 $49,350.22 $27,569.01 2026-04-28
93460 HCPCS Insertion Of Tube In Right And Left Heart Chambers And Coronary Artery For Diagn… 54 54 $33,774.00 $27,019.20 20% off $3,430.00 $101,322.00 $27,525.81 2026-04-28
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 54 54 $33,924.59 $27,139.67 20% off $9,726.18 $40,959.20 $27,392.53 2026-04-28
294 MS_DRG Deep Vein Thrombophlebitis With Cc/mcc 54 54 $50,098.76 $40,079.01 $9,490.29 $49,096.78 $27,284.59 2026-04-28
289 MS_DRG Acute And Subacute Endocarditis With Cc 54 54 $33,759.76 $27,007.81 $9,678.92 $39,577.28 $27,007.81 2026-04-28
177 MS_DRG Respiratory Infections And Inflammations With Mcc 54 54 $34,888.98 $27,911.19 $10,002.67 $36,233.76 $26,971.29 2026-04-28
92928 HCPCS Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Single A… 435 54 $42,360.00 $33,888.00 20% off $5,514.02 $127,080.00 $26,970.61 2026-04-28
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 54 54 $35,664.22 $28,531.37 20% off $10,224.93 $34,950.93 $26,926.48 2026-04-28
93457 HCPCS Insertion Of Tube In Right Heart Chambers, Coronary Artery, And Bypass Graft For… 54 54 $32,866.00 $26,292.80 20% off $3,430.00 $98,598.00 $26,785.79 2026-04-28
506 MS_DRG Major Thumb Or Joint Procedures 54 54 $42,910.23 $34,328.18 20% off $9,271.56 $42,052.03 $26,655.74 2026-04-28
314 MS_DRG Other Circulatory System Diagnoses With Mcc 54 54 $31,908.73 $25,526.98 20% off $9,148.23 $48,348.78 $26,579.03 2026-04-28
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 54 54 $34,693.27 $27,754.62 $9,946.56 $35,327.16 $26,553.79 2026-04-28
PV.C9764 CDM Operating Room Services - General Classification 35 35 $32,313.00 $25,850.40 $11,309.55 $31,666.74 $26,496.66 2026-04-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 53 53 $27,594.15 $22,075.32 20% off $7,911.24 $79,834.23 $26,490.38 2026-04-28
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 54 54 $31,522.89 $25,218.31 20% off $9,037.61 $48,534.27 $26,321.61 2026-04-28
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 54 54 $31,462.25 $25,169.80 20% off $9,020.23 $48,214.30 $26,270.97 2026-04-28
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 54 54 $32,035.85 $25,628.68 $9,184.68 $41,112.23 $26,269.40 2026-04-28
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 54 54 $32,791.63 $26,233.30 20% off $9,401.36 $38,058.55 $26,233.30 2026-04-28
348 MS_DRG Anal And Stomal Procedures With Cc 54 54 $34,725.10 $27,780.08 $9,955.69 $34,030.60 $26,217.46 2026-04-28
663 MS_DRG Minor Bladder Procedures With Cc 54 54 $33,267.48 $26,613.98 20% off $9,537.79 $35,248.33 $26,107.07 2026-04-28
642 MS_DRG Inborn And Other Disorders Of Metabolism 54 54 $34,411.62 $27,529.30 $9,865.81 $33,723.39 $25,980.78 2026-04-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 53 53 $27,051.33 $21,641.06 20% off $7,755.62 $73,742.28 $25,969.28 2026-04-28
92941 HCPCS Removal Of Plaque And Blood Clot, Insertion Of Stent And/or Balloon Dilation Of … 270 54 $31,826.00 $25,460.80 20% off $534.01 $95,478.00 $25,938.19 2026-04-28
205 MS_DRG Other Respiratory System Diagnoses With Mcc 54 54 $31,603.27 $25,282.61 20% off $9,060.66 $42,454.74 $25,914.68 2026-04-28
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 54 54 $30,907.41 $24,725.93 $8,861.15 $51,193.78 $25,807.69 2026-04-28
139 MS_DRG Salivary Gland Procedures 54 54 $34,559.72 $27,647.78 $9,341.12 $33,868.53 $25,803.94 2026-04-28
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 54 54 $35,685.59 $28,548.47 20% off $9,025.79 $34,971.87 $25,792.55 2026-04-28
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 54 54 $34,008.25 $27,206.60 20% off $9,750.17 $33,328.09 $25,676.23 2026-04-28
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 54 54 $30,907.67 $24,726.14 $8,861.23 $38,109.56 $25,344.29 2026-04-28
963 MS_DRG Other Multiple Significant Trauma With Mcc 54 54 $30,172.63 $24,138.10 20% off $8,650.49 $63,387.64 $25,194.15 2026-04-28
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 54 54 $33,357.59 $26,686.07 20% off $9,305.57 $32,690.44 $25,184.98 2026-04-28
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 54 54 $33,127.18 $26,501.74 20% off $9,497.56 $32,464.64 $25,011.02 2026-04-28
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 54 54 $31,201.66 $24,961.33 $61.25 $93,604.98 $24,961.33 2026-04-28
813 MS_DRG Coagulation Disorders 54 54 $31,129.47 $24,903.57 20% off $8,924.82 $35,366.58 $24,903.57 2026-04-28
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 54 54 $29,631.03 $23,704.82 20% off $8,495.22 $46,252.71 $24,741.91 2026-04-28
75 MS_DRG Viral Meningitis With Cc/mcc 54 54 $30,046.20 $24,036.96 20% off $8,614.24 $44,460.38 $24,729.96 2026-04-28
PV.37234 CDM Operating Room Services - General Classification 35 35 $30,117.00 $24,093.60 20% off $10,540.95 $29,514.66 $24,695.94 2026-04-28
791 MS_DRG Prematurity With Major Problems 53 53 $25,710.65 $20,568.52 20% off $7,371.24 $71,239.51 $24,682.22 2026-04-28
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 54 54 $30,429.77 $24,343.81 20% off $8,724.21 $36,215.21 $24,471.87 2026-04-28
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 54 54 $29,761.49 $23,809.19 20% off $8,532.62 $38,383.16 $24,404.42 2026-04-28
PV.37223 CDM Operating Room Services - General Classification 35 35 $29,752.00 $23,801.60 20% off $10,413.20 $29,156.96 $24,396.64 2026-04-28
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 54 54 $30,197.35 $24,157.88 $8,657.58 $36,365.93 $24,351.90 2026-04-28
399 MS_DRG Appendix Procedures Without Cc/mcc 54 54 $31,870.43 $25,496.35 $8,847.25 $31,233.02 $24,062.17 2026-04-28
93453 HCPCS Insertion Of Tube In Right And Left Heart Chambers For Diagnosis With Review By … 54 54 $29,519.00 $23,615.20 20% off $3,430.00 $88,557.00 $24,057.99 2026-04-28
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 54 54 $29,760.21 $23,808.17 $8,532.25 $35,630.91 $23,956.97 2026-04-28
181 MS_DRG Respiratory Neoplasms With Cc 54 54 $43,818.29 $35,054.63 20% off $8,277.63 $42,941.92 $23,798.18 2026-04-28
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 54 54 $43,833.92 $35,067.13 20% off $8,270.67 $42,957.24 $23,778.18 2026-04-28
549 MS_DRG Septic Arthritis With Cc 54 54 $31,318.33 $25,054.66 20% off $8,978.96 $30,691.96 $23,645.33 2026-04-28
787 MS_DRG Cesarean Section Without Sterilization With Cc 54 54 $31,223.76 $24,979.01 $8,631.61 $30,599.28 $23,573.94 2026-04-28
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 54 54 $29,419.95 $23,535.96 20% off $8,434.70 $34,476.22 $23,535.96 2026-04-28
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 54 54 $28,162.31 $22,529.85 $8,074.13 $61,595.31 $23,515.53 2026-04-28
77372 HCPCS Complete Single Session Course Of Cranial Lesion Surgery Using Radiation And A M… 54 54 $29,313.00 $23,450.40 $5,250.00 $87,939.00 $23,450.40 2026-04-28
548 MS_DRG Septic Arthritis With Mcc 54 54 $27,932.81 $22,346.25 $8,008.34 $44,771.08 $23,323.90 2026-04-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 47 47 $24,530.48 $19,624.38 20% off $7,032.89 $69,973.29 $23,303.96 2026-04-28
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 54 54 $35,693.40 $28,554.72 20% off $8,098.32 $34,979.53 $23,282.67 2026-04-28
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 54 54 $32,476.04 $25,980.83 20% off $8,089.05 $31,826.52 $23,256.01 2026-04-28
PM.63655 CDM Operating Room Services - General Classification 35 35 $28,103.00 $22,482.40 $9,836.05 $27,540.94 $23,044.46 2026-04-28
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 54 54 $30,482.99 $24,386.39 20% off $8,739.47 $29,873.33 $23,014.65 2026-04-28
643 MS_DRG Endocrine Disorders With Mcc 54 54 $28,054.68 $22,443.74 20% off $8,043.28 $38,167.53 $23,004.83 2026-04-28
385 MS_DRG Inflammatory Bowel Disease With Mcc 54 54 $28,037.92 $22,430.34 $8,038.47 $36,688.22 $22,991.09 2026-04-28
183 MS_DRG Major Chest Trauma With Mcc 54 54 $27,991.08 $22,392.86 20% off $8,025.04 $35,473.24 $22,952.69 2026-04-28
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 54 54 $46,030.31 $36,824.25 $7,969.25 $45,109.70 $22,911.58 2026-04-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 53 53 $23,858.52 $19,086.82 $6,840.24 $67,383.55 $22,904.18 2026-04-28
784 MS_DRG Cesarean Section With Sterilization With Cc 54 54 $30,651.96 $24,521.56 20% off $8,193.39 $30,038.92 $22,760.39 2026-04-28
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 54 54 $27,187.66 $21,750.13 $7,794.70 $52,677.73 $22,701.69 2026-04-28
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 54 54 $78,660.20 $62,928.16 $5,349.93 $77,087.00 $22,551.88 2026-04-28
757 MS_DRG Infections, Female Reproductive System With Mcc 54 54 $28,051.57 $22,441.26 $8,042.39 $33,200.95 $22,496.85 2026-04-28
388 MS_DRG Gastrointestinal Obstruction With Mcc 54 54 $27,285.23 $21,828.18 20% off $7,822.67 $34,242.03 $22,373.89 2026-04-28
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 54 54 $27,932.20 $22,345.76 20% off $8,008.16 $30,968.08 $22,345.76 2026-04-28
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 54 54 $27,759.87 $22,207.90 $7,958.75 $31,186.03 $22,207.90 2026-04-28
503 MS_DRG Foot Procedures With Mcc 54 54 $24,547.17 $19,637.74 $7,037.67 $64,716.23 $22,047.99 2026-04-28
540 MS_DRG Osteomyelitis With Cc 54 54 $27,715.71 $22,172.56 20% off $7,946.09 $30,056.84 $22,001.12 2026-04-28
PV.37236 CDM Operating Room Services - General Classification 35 35 $26,660.00 $21,328.00 20% off $9,331.00 $26,126.80 $21,861.20 2026-04-28
264 MS_DRG Other Circulatory System O.r. Procedures 53 53 $22,718.51 $18,174.81 $6,513.40 $58,630.87 $21,809.77 2026-04-28
PV.37230 CDM Operating Room Services - General Classification 35 35 $26,505.00 $21,204.00 20% off $9,276.75 $25,974.90 $21,734.10 2026-04-28
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 54 54 $25,998.86 $20,799.09 $7,453.87 $39,741.90 $21,709.04 2026-04-28
PM.0627T CDM Operating Room Services - General Classification 35 35 $26,445.00 $21,156.00 20% off $9,255.75 $25,916.10 $21,684.90 2026-04-28
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 54 54 $25,779.98 $20,623.98 20% off $7,391.12 $40,463.01 $21,526.28 2026-04-28
551 MS_DRG Medical Back Problems With Mcc 54 54 $25,920.51 $20,736.40 20% off $7,431.41 $38,863.13 $21,475.96 2026-04-28
PV.37221 CDM Operating Room Services - General Classification 35 35 $26,184.00 $20,947.20 20% off $9,164.40 $25,660.32 $21,470.88 2026-04-28
92929 HCPCS Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Each Add… 80 40 $23,563.00 $18,850.40 $13,501.60 $70,689.00 $21,442.33 2026-04-28
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 54 54 $26,598.79 $21,279.03 20% off $7,625.87 $31,849.17 $21,412.03 2026-04-28
315 MS_DRG Other Circulatory System Diagnoses With Cc 54 54 $40,155.67 $32,124.53 20% off $7,445.23 $39,352.55 $21,405.03 2026-04-28
444 MS_DRG Disorders Of The Biliary Tract With Mcc 54 54 $25,773.91 $20,619.13 $7,389.38 $38,742.56 $21,382.21 2026-04-28
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 54 54 $29,670.11 $23,736.09 $7,410.45 $29,076.71 $21,305.04 2026-04-28
77301 HCPCS High Precision Radiation Therapy Planning 108 54 $26,619.00 $21,295.20 20% off $1,066.66 $79,857.00 $21,295.20 2026-04-28
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 54 54 $30,236.71 $24,189.37 $7,402.72 $29,631.98 $21,282.82 2026-04-28
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 54 54 $25,425.54 $20,340.43 20% off $7,289.50 $41,613.06 $21,230.32 2026-04-28
PV.37226 CDM Operating Room Services - General Classification 35 35 $25,690.00 $20,552.00 20% off $8,991.50 $25,176.20 $21,065.80 2026-04-28
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 54 54 $25,679.94 $20,543.95 20% off $7,362.44 $33,460.64 $21,057.55 2026-04-28
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 54 54 $27,888.17 $22,310.54 $7,808.49 $27,330.41 $21,055.57 2026-04-28
288 MS_DRG Acute And Subacute Endocarditis With Mcc 54 54 $21,799.49 $17,439.59 20% off $6,249.91 $62,747.69 $20,915.90 2026-04-28
189 MS_DRG Pulmonary Edema And Respiratory Failure 54 54 $25,994.37 $20,795.50 $7,452.59 $28,644.78 $20,795.50 2026-04-28
709 MS_DRG Penis Procedures With Cc/mcc 54 54 $24,797.22 $19,837.78 $7,109.36 $53,957.63 $20,705.68 2026-04-28
165 MS_DRG Major Chest Procedures Without Cc/mcc 54 54 $24,796.10 $19,836.88 $7,109.04 $44,383.87 $20,704.74 2026-04-28
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 54 54 $24,731.35 $19,785.08 $7,090.48 $52,765.84 $20,650.68 2026-04-28
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 54 54 $27,321.00 $21,856.80 20% off $7,832.93 $26,774.58 $20,627.35 2026-04-28
J0896 HCPCS Injection, Luspatercept-aamt, 0.25 Mg 86 54 $21,709.46 $17,367.57 $42.75 $197,375.94 $20,623.99 2026-04-28
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 54 54 $24,996.18 $19,996.94 20% off $7,166.40 $32,296.67 $20,496.87 2026-04-28
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 54 54 $24,993.43 $19,994.74 20% off $7,165.62 $36,502.73 $20,494.61 2026-04-28
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 54 54 $27,083.33 $21,666.66 20% off $7,764.79 $26,541.66 $20,447.91 2026-04-28
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 54 54 $30,101.32 $24,081.05 20% off $7,103.61 $29,499.29 $20,422.89 2026-04-28
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 54 54 $24,867.80 $19,894.24 $7,129.60 $34,888.94 $20,391.60 2026-04-28
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 54 54 $25,409.32 $20,327.45 20% off $7,284.85 $29,407.62 $20,327.45 2026-04-28
55 MS_DRG Nervous System Neoplasms Without Mcc 54 54 $26,921.31 $21,537.05 $7,718.34 $26,382.88 $20,325.59 2026-04-28
J9309 HCPCS Injection, Polatuzumab Vedotin-piiq, 1 Mg 86 54 $21,373.67 $17,098.94 $137.23 $295,090.83 $20,304.99 2026-04-28
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 54 54 $24,717.54 $19,774.03 20% off $7,086.52 $35,790.90 $20,268.38 2026-04-28
70 MS_DRG Other Cerebrovascular Disorders With Mcc 54 54 $24,251.21 $19,400.97 $6,952.82 $38,601.12 $20,249.76 2026-04-28
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 54 54 $24,478.47 $19,582.78 $7,017.98 $36,314.92 $20,173.40 2026-04-28
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 54 54 $24,148.17 $19,318.54 $6,923.28 $52,378.62 $20,163.72 2026-04-28
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 54 54 $24,389.49 $19,511.59 20% off $6,992.46 $36,252.31 $20,119.44 2026-04-28
186 MS_DRG Pleural Effusion With Mcc 54 54 $24,433.51 $19,546.81 $7,005.09 $36,136.38 $20,105.13 2026-04-28
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 54 54 $24,022.06 $19,217.65 $6,887.12 $39,139.05 $20,058.42 2026-04-28
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 54 54 $24,873.86 $19,899.09 $7,131.34 $27,364.87 $19,886.83 2026-04-28
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 52 52 $20,823.29 $16,658.63 20% off $5,970.04 $60,995.38 $19,886.25 2026-04-28
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 54 54 $24,181.98 $19,345.58 20% off $6,932.97 $30,040.61 $19,829.22 2026-04-28
93452 HCPCS Insertion Of Tube In Left Heart Chambers For Diagnosis With Review By Radiologis… 54 54 $24,283.00 $19,426.40 $3,430.00 $72,849.00 $19,790.65 2026-04-28
864 MS_DRG Fever And Inflammatory Conditions 54 54 $27,807.69 $22,246.15 20% off $6,860.93 $27,251.54 $19,725.17 2026-04-28
368 MS_DRG Major Esophageal Disorders With Mcc 54 54 $23,586.12 $18,868.90 $6,762.14 $36,910.81 $19,694.41 2026-04-28
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 54 54 $23,574.62 $18,859.69 20% off $6,758.84 $38,359.98 $19,684.81 2026-04-28
178 MS_DRG Respiratory Infections And Inflammations With Cc 54 54 $26,013.19 $20,810.55 20% off $7,457.98 $25,492.92 $19,639.96 2026-04-28
J9354 HCPCS Injection, Ado-trastuzumab Emtansine, 1 Mg 86 54 $20,661.39 $16,529.11 20% off $41.89 $83,518.47 $19,628.32 2026-04-28
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 54 54 $25,936.86 $20,749.49 $7,436.10 $25,418.12 $19,582.33 2026-04-28
682 MS_DRG Renal Failure With Mcc 54 54 $23,718.80 $18,975.04 $6,800.18 $34,339.41 $19,449.42 2026-04-28
PV.37233 CDM Operating Room Services - General Classification 35 35 $23,707.00 $18,965.60 20% off $8,297.45 $23,232.86 $19,439.74 2026-04-28
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 54 54 $27,842.67 $22,274.14 $6,728.76 $27,285.82 $19,345.19 2026-04-28
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 54 54 $23,115.31 $18,492.25 $6,627.16 $54,184.86 $19,306.35 2026-04-28
J1459 HCPCS Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 54 54 $24,108.68 $19,286.94 20% off $49.53 $72,326.04 $19,286.94 2026-04-28
PV.37229 CDM Operating Room Services - General Classification 35 35 $23,519.00 $18,815.20 $8,231.65 $23,048.62 $19,285.58 2026-04-28
501 MS_DRG Soft Tissue Procedures With Cc 54 54 $23,067.94 $18,454.35 20% off $6,613.58 $40,532.57 $19,261.73 2026-04-28
291 MS_DRG Heart Failure And Shock With Mcc 55 54 $23,487.11 $18,789.69 $6,733.76 $29,767.01 $19,259.43 2026-04-28
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 54 54 $28,562.91 $22,850.33 $6,680.84 $27,991.65 $19,207.42 2026-04-28
819 MS_DRG Other Antepartum Diagnoses With O.r. Procedures Without Cc/mcc 54 54 $43,962.96 $35,170.37 $6,646.06 $43,083.70 $19,107.43 2026-04-28
92 MS_DRG Other Disorders Of Nervous System With Cc 54 54 $25,296.88 $20,237.50 20% off $7,252.62 $24,790.94 $19,099.15 2026-04-28
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 54 54 $23,109.50 $18,487.60 20% off $6,625.49 $33,066.47 $18,949.79 2026-04-28
845 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 54 54 $31,041.49 $24,833.19 20% off $6,581.91 $30,420.66 $18,923.00 2026-04-28
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 54 54 $23,036.40 $18,429.12 20% off $6,604.54 $32,412.60 $18,889.85 2026-04-28
550 MS_DRG Septic Arthritis Without Cc/mcc 54 54 $25,211.08 $20,168.86 20% off $6,755.81 $24,706.86 $18,743.40 2026-04-28
J2356 HCPCS Injection, Tezepelumab-ekko, 1 Mg 54 54 $23,422.72 $18,738.18 $17.58 $70,268.16 $18,738.18 2026-04-28
103 MS_DRG Headaches Without Mcc 54 54 $39,196.76 $31,357.41 $6,463.66 $38,412.82 $18,583.03 2026-04-28
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 54 54 $22,230.21 $17,784.17 $6,373.40 $37,798.86 $18,562.22 2026-04-28
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