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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

3,951 distinct procedures filed
54 distinct payers
316,008 rate rows
2026-09-25 last MRF observed
Data quality

302,997 of 316,008 rate rows are consumer-grade (95.9%)

13,011 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 12,268
percent-of-charges filed in the dollar field — excluded from medians 400
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 216
exceeds 10× this hospital's gross charge — excluded from medians 86
exceeds 3× this hospital's gross charge for a DRG stay — excluded 38
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 · 2026-10-09
Content fingerprint d76d51a91e29eb45… · 202,388,466 bytes · first seen 2026-09-26

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… 24 $127,767.36 $334,296.90 $164,047.02 nat. median
$145,435
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 $107,055.81 $321,167.43 $112,408.54 nat. median
$97,418
1.2× median
J9228
HCPCS 		Injection, Ipilimumab, 1 Mg 49 $190.15 $572,730.75 $108,002.22 nat. median
$6,073
outlier · 17.8×
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 54 $60.97 $316,390.65 $98,608.42 nat. median
$133
outlier · 741.6×
J9043
HCPCS 		Injection, Cabazitaxel, 1 Mg 49 $233.73 $215,447.55 $68,225.06 nat. median
$509
outlier · 134.0×
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
J9042
HCPCS 		Injection, Brentuximab Vedotin, 1 Mg 49 $266.19 $197,499.27 $62,541.44 nat. median
$555
outlier · 112.6×
J9272
HCPCS 		Injection, Dostarlimab-gxly, 10 Mg 54 $251.30 $187,215.69 $58,348.89 nat. median
$567
outlier · 102.9×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 25 $53,420.47 $160,261.42 $56,091.47 nat. median
$48,611
1.2× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 25 $49,733.02 $149,199.07 $52,219.65 nat. median
$47,121
1.1× median
J9119
HCPCS 		Injection, Cemiplimab-rwlc, 1 Mg 54 $29.67 $161,630.46 $50,374.82 nat. median
$53
outlier · 945.9×
J2327
HCPCS 		Injection, Risankizumab-rzaa, Intravenous, 1 Mg 54 $14.53 $159,372.27 $49,671.02 nat. median
$48
outlier · 1035.4×
J9347
HCPCS 		Injection, Tremelimumab-actl, 1 Mg 54 $144.85 $656,610.00 $48,887.53 nat. median
$355
outlier · 137.9×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 $45,936.60 $137,809.79 $48,233.40 nat. median
$40,584
1.2× median
J9144
HCPCS 		Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 54 $57.05 $151,299.87 $47,155.12 nat. median
$114
outlier · 411.9×
J9309
HCPCS 		Injection, Polatuzumab Vedotin-piiq, 1 Mg 54 $139.59 $295,090.83 $46,722.71 nat. median
$399
outlier · 117.2×
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 48 $33,131.25 $171,000.00 $46,432.68 nat. median
$21,100
outlier · 2.2×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 25 $44,050.75 $132,152.25 $46,253.27 nat. median
$38,795
1.2× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 $45,328.34 $135,985.01 $45,942.31 nat. median
$40,726
1.1× median
J2323
HCPCS 		Injection, Natalizumab, 1 Mg 49 $24.41 $143,929.77 $45,577.76 nat. median
$50
outlier · 903.6×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 25 $43,020.49 $129,061.48 $45,171.49 nat. median
$35,985
1.3× median
834
MS_DRG 		Acute Leukemia With Mcc 25 $42,430.78 $127,292.33 $44,552.30 nat. median
$37,487
1.2× 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
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
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 $41,431.43 $124,294.30 $43,502.98 nat. median
$38,844
1.1× median
J9022
HCPCS 		Injection, Atezolizumab, 10 Mg 54 $96.55 $181,785.93 $42,770.96 nat. median
$1,229
outlier · 34.8×
92937
HCPCS 		Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary… 54 $5,514.02 $145,008.00 $42,535.68 nat. median
$13,745
outlier · 3.1×
J9301
HCPCS 		Injection, Obinutuzumab, 10 Mg 54 $84.46 $136,346.16 $42,494.56 nat. median
$170
outlier · 250.2×
PV.C9765
CDM 		Operating Room Services - General Classification 35 $18,083.10 $50,632.68 $42,366.12 nat. median
$42,366
1.0× median
PV.C9767
CDM 		Operating Room Services - General Classification 35 $18,083.10 $50,632.68 $42,366.12 nat. median
$42,366
1.0× median
PV.C9766
CDM 		Operating Room Services - General Classification 35 $18,083.10 $50,632.68 $42,366.12 nat. median
$42,366
1.0× median
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 48 $22,800.71 $136,567.50 $40,960.24 nat. median
$25,172
1.6× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 24 $36,523.15 $83,101.73 $40,779.89 nat. median
$37,725
1.1× median
J9223
HCPCS 		Injection, Lurbinectedin, 0.1 Mg 54 $215.95 $130,825.80 $40,774.04 nat. median
$452
outlier · 90.3×
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 49 $174.24 $128,239.77 $40,609.26 nat. median
$498
outlier · 81.6×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 25 $38,237.86 $114,713.58 $40,149.73 nat. median
$35,725
1.1× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 $38,169.85 $114,509.54 $40,078.32 nat. median
$34,733
1.2× median
J3380
HCPCS 		Injection, Vedolizumab, Intravenous, 1 Mg 54 $21.62 $127,242.42 $39,657.22 nat. median
$59
outlier · 674.4×
L8679
HCPCS 		Implantable Neurostimulator, Pulse Generator, Any Type 54 $10,551.00 $139,365.00 $38,093.10 nat. median
$11,526
outlier · 3.3×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 $36,262.36 $108,787.08 $38,075.46 nat. median
$33,546
1.1× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 $24,530.48 $69,971.81 $38,039.23 nat. median
$34,615
1.1× median
PM.62362
CDM 		Operating Room Services - General Classification 35 $16,083.20 $45,032.96 $37,680.64 nat. median
$37,681
1.0× median
93461
HCPCS 		Insertion Of Tube In Right And Left Heart Chambers, Coronary Artery, And Bypass… 54 $3,430.00 $118,881.00 $37,447.51 nat. median
$4,149
outlier · 9.0×
92943
HCPCS 		Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary… 54 $5,514.02 $118,020.00 $37,373.00 nat. median
$13,827
outlier · 2.7×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 25 $35,525.80 $106,577.39 $37,302.07 nat. median
$33,435
1.1× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 $35,435.37 $106,306.11 $37,207.12 nat. median
$32,245
1.2× median
PV.37235
CDM 		Operating Room Services - General Classification 35 $15,863.40 $44,417.52 $37,165.68 nat. median
$37,166
1.0× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 25 $33,951.42 $101,854.27 $35,648.98 nat. median
$30,674
1.2× median
93458
HCPCS 		Insertion Of Tube In Left Lower Heart Chamber And Coronary Artery For Diagnosis… 54 $3,430.00 $111,519.00 $35,128.49 nat. median
$4,063
outlier · 8.6×
J9303
HCPCS 		Injection, Panitumumab, 10 Mg 49 $182.19 $108,986.79 $34,512.48 nat. median
$869
outlier · 39.7×

Other procedures at this hospital

Browse this hospital's 3,951 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… 24 24 $127,767.36 $102,213.89 $127,767.36 $334,296.90 $164,047.02 2026-09-25
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 25 $144,546.27 $115,637.02 $107,055.81 $321,167.43 $112,408.54 2026-09-25
J9228 HCPCS Injection, Ipilimumab, 1 Mg 94 49 $47,373.55 $37,898.84 20% off $190.15 $572,730.75 $108,002.22 2026-09-25
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 54 54 $105,463.55 $84,370.84 20% off $60.97 $316,390.65 $98,608.42 2026-09-25
J9043 HCPCS Injection, Cabazitaxel, 1 Mg 49 49 $71,815.85 $57,452.68 20% off $233.73 $215,447.55 $68,225.06 2026-09-25
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 2026-09-25
J9042 HCPCS Injection, Brentuximab Vedotin, 1 Mg 49 49 $65,833.09 $52,666.47 20% off $266.19 $197,499.27 $62,541.44 2026-09-25
J9272 HCPCS Injection, Dostarlimab-gxly, 10 Mg 54 54 $62,405.23 $49,924.18 20% off $251.30 $187,215.69 $58,348.89 2026-09-25
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 25 $77,853.14 $62,282.51 20% off $53,420.47 $160,261.42 $56,091.47 2026-09-25
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 25 $70,296.04 $56,236.83 20% off $49,733.02 $149,199.07 $52,219.65 2026-09-25
J9119 HCPCS Injection, Cemiplimab-rwlc, 1 Mg 54 54 $53,876.82 $43,101.46 $29.67 $161,630.46 $50,374.82 2026-09-25
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 54 54 $53,124.09 $42,499.27 20% off $14.53 $159,372.27 $49,671.02 2026-09-25
J9347 HCPCS Injection, Tremelimumab-actl, 1 Mg 104 54 $18,623.82 $14,899.06 $144.85 $656,610.00 $48,887.53 2026-09-25
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 25 $55,539.48 $44,431.59 $45,936.60 $137,809.79 $48,233.40 2026-09-25
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 54 54 $50,433.29 $40,346.63 20% off $57.05 $151,299.87 $47,155.12 2026-09-25
J9309 HCPCS Injection, Polatuzumab Vedotin-piiq, 1 Mg 104 54 $21,373.67 $17,098.94 $139.59 $295,090.83 $46,722.71 2026-09-25
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 144 48 $48,876.50 $39,101.20 20% off $33,131.25 $171,000.00 $46,432.68 2026-09-25
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 25 $94,748.45 $75,798.76 20% off $44,050.75 $132,152.25 $46,253.27 2026-09-25
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 25 $45,942.31 $36,753.85 $45,328.34 $135,985.01 $45,942.31 2026-09-25
J2323 HCPCS Injection, Natalizumab, 1 Mg 49 49 $47,976.59 $38,381.27 20% off $24.41 $143,929.77 $45,577.76 2026-09-25
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 25 $67,332.47 $53,865.98 $43,020.49 $129,061.48 $45,171.49 2026-09-25
834 MS_DRG Acute Leukemia With Mcc 25 25 $92,067.83 $73,654.26 20% off $42,430.78 $127,292.33 $44,552.30 2026-09-25
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 2026-09-25
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 2026-09-25
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 25 $85,610.01 $68,488.01 $41,431.43 $124,294.30 $43,502.98 2026-09-25
J9022 HCPCS Injection, Atezolizumab, 10 Mg 104 54 $60,595.31 $48,476.25 $96.55 $181,785.93 $42,770.96 2026-09-25
92937 HCPCS Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary… 358 54 $48,336.00 $38,668.80 $5,514.02 $145,008.00 $42,535.68 2026-09-25
J9301 HCPCS Injection, Obinutuzumab, 10 Mg 54 54 $45,448.72 $36,358.98 $84.46 $136,346.16 $42,494.56 2026-09-25
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 2026-09-25
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 2026-09-25
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 2026-09-25
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 144 48 $45,500.25 $36,400.20 20% off $22,800.71 $136,567.50 $40,960.24 2026-09-25
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 24 24 $36,523.15 $29,218.52 20% off $36,523.15 $83,101.73 $40,779.89 2026-09-25
J9223 HCPCS Injection, Lurbinectedin, 0.1 Mg 54 54 $43,608.60 $34,886.88 20% off $215.95 $130,825.80 $40,774.04 2026-09-25
J3101 HCPCS Injection, Tenecteplase, 1 Mg 49 49 $42,746.59 $34,197.27 20% off $174.24 $128,239.77 $40,609.26 2026-09-25
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 25 $91,261.89 $73,009.51 20% off $38,237.86 $114,713.58 $40,149.73 2026-09-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 25 $86,247.81 $68,998.25 $38,169.85 $114,509.54 $40,078.32 2026-09-25
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 54 54 $42,414.14 $33,931.31 20% off $21.62 $127,242.42 $39,657.22 2026-09-25
L8679 HCPCS Implantable Neurostimulator, Pulse Generator, Any Type 120 54 $42,875.00 $34,300.00 20% off $10,551.00 $139,365.00 $38,093.10 2026-09-25
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 25 $61,987.13 $49,589.70 20% off $36,262.36 $108,787.08 $38,075.46 2026-09-25
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 21 $24,530.48 $19,624.38 20% off $24,530.48 $69,971.81 $38,039.23 2026-09-25
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 2026-09-25
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 $37,447.51 2026-09-25
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 $37,373.00 2026-09-25
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 25 $138,929.96 $111,143.96 20% off $35,525.80 $106,577.39 $37,302.07 2026-09-25
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 25 $76,131.47 $60,905.18 $35,435.37 $106,306.11 $37,207.12 2026-09-25
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 2026-09-25
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 25 $86,263.77 $69,011.02 $33,951.42 $101,854.27 $35,648.98 2026-09-25
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 $35,128.49 2026-09-25
J9303 HCPCS Injection, Panitumumab, 10 Mg 49 49 $36,328.93 $29,063.14 20% off $182.19 $108,986.79 $34,512.48 2026-09-25
J9306 HCPCS Injection, Pertuzumab, 1 Mg 54 54 $36,782.89 $29,426.31 20% off $17.05 $110,348.67 $34,392.00 2026-09-25
92928 HCPCS Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Single A… 456 54 $42,360.00 $33,888.00 20% off $5,514.02 $127,080.00 $34,311.60 2026-09-25
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 25 $38,908.81 $31,127.05 $32,568.73 $97,706.18 $34,197.15 2026-09-25
92933 HCPCS Removal Of Plaque, Insertion Of Stent And Balloon Dilation Of Single Coronary Ar… 358 54 $37,574.00 $30,059.20 20% off $6,955.00 $112,722.00 $34,192.34 2026-09-25
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 $33,452.06 2026-09-25
J0896 HCPCS Injection, Luspatercept-aamt, 0.25 Mg 104 54 $21,709.46 $17,367.57 $43.19 $197,375.94 $32,895.99 2026-09-25
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 2026-09-25
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 24 24 $26,966.85 $21,573.48 20% off $26,966.85 $66,175.20 $32,473.66 2026-09-25
793 MS_DRG Full Term Neonate With Major Problems 20 20 $14,087.19 $11,269.75 20% off $14,087.19 $33,837.64 $32,226.34 2026-09-25
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 $32,118.66 2026-09-25
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 $31,916.43 2026-09-25
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 $31,058.37 2026-09-25
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 $31,030.35 2026-09-25
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 2026-09-25
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 25 $38,528.18 $30,822.54 20% off $29,083.78 $87,251.33 $30,537.95 2026-09-25
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 25 $39,581.49 $31,665.19 20% off $28,888.23 $86,664.70 $30,332.63 2026-09-25
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 25 $47,900.06 $38,320.05 $28,803.99 $86,411.97 $30,244.17 2026-09-25
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 24 $20,823.29 $16,658.63 20% off $20,823.29 $60,813.90 $29,842.75 2026-09-25
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 25 $32,430.95 $25,944.76 20% off $28,377.36 $85,132.07 $29,796.21 2026-09-25
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 25 25 $33,015.20 $26,412.16 $28,044.24 $84,132.72 $29,446.44 2026-09-25
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 54 54 $31,201.66 $24,961.33 $60.65 $93,604.98 $29,173.55 2026-09-25
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 25 $63,680.93 $50,944.75 $27,599.06 $82,797.17 $28,979.00 2026-09-25
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 25 $63,504.38 $50,803.50 20% off $27,558.09 $82,674.28 $28,935.99 2026-09-25
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 25 $34,095.80 $27,276.64 20% off $27,508.63 $82,525.89 $28,884.05 2026-09-25
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 25 $117,182.36 $93,745.89 $27,486.22 $82,458.65 $28,860.51 2026-09-25
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 25 $78,923.51 $63,138.81 $27,256.67 $81,770.00 $28,619.49 2026-09-25
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 25 $37,983.82 $30,387.05 20% off $27,201.02 $81,603.06 $28,561.06 2026-09-25
252 MS_DRG Other Vascular Procedures With Mcc 25 25 $95,353.34 $76,282.67 20% off $26,960.65 $80,881.96 $28,308.67 2026-09-25
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 25 $58,617.34 $46,893.87 20% off $26,953.70 $80,861.09 $28,301.37 2026-09-25
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 $27,895.46 2026-09-25
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 25 $36,761.24 $29,408.99 20% off $26,497.69 $79,493.08 $27,822.56 2026-09-25
77372 HCPCS Complete Single Session Course Of Cranial Lesion Surgery Using Radiation And A M… 54 54 $29,313.00 $23,450.40 $2,250.00 $87,939.00 $27,114.53 2026-09-25
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 2026-09-25
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 25 25 $39,800.65 $31,840.52 20% off $25,029.98 $75,089.93 $26,281.46 2026-09-25
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 25 25 $43,952.57 $35,162.06 $25,002.15 $75,006.46 $26,252.25 2026-09-25
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 25 25 $97,945.09 $78,356.07 20% off $24,941.87 $74,825.61 $26,188.95 2026-09-25
500 MS_DRG Soft Tissue Procedures With Mcc 25 25 $43,516.23 $34,812.98 20% off $24,460.36 $73,381.08 $25,683.36 2026-09-25
665 MS_DRG Prostatectomy With Mcc 25 25 $36,852.80 $29,482.24 20% off $24,123.38 $72,370.14 $25,329.54 2026-09-25
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 25 $40,170.02 $32,136.02 $24,073.14 $72,219.43 $25,276.79 2026-09-25
77301 HCPCS High Precision Radiation Therapy Planning 108 54 $26,619.00 $21,295.20 20% off $1,066.66 $79,857.00 $24,888.76 2026-09-25
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 2026-09-25
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 25 25 $41,075.28 $32,860.22 20% off $23,345.08 $70,035.25 $24,512.32 2026-09-25
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 25 25 $33,212.64 $26,570.11 20% off $23,316.49 $69,949.46 $24,482.30 2026-09-25
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 2026-09-25
668 MS_DRG Transurethral Procedures With Mcc 25 25 $35,463.87 $28,371.10 $22,568.33 $67,704.99 $23,696.73 2026-09-25
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 25 25 $41,563.92 $33,251.14 $22,508.82 $67,526.45 $23,634.25 2026-09-25
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 25 25 $66,966.13 $53,572.90 20% off $22,429.21 $67,287.63 $23,550.66 2026-09-25
974 MS_DRG HIV With Major Related Condition With Mcc 25 25 $42,483.02 $33,986.42 $22,305.55 $66,916.64 $23,420.81 2026-09-25
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 25 25 $64,092.60 $51,274.08 $22,183.43 $66,550.29 $23,292.59 2026-09-25
92929 HCPCS Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Each Add… 106 53 $23,563.00 $18,850.40 $17,672.25 $70,689.00 $23,091.74 2026-09-25
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 2026-09-25
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 $22,947.43 2026-09-25
J1459 HCPCS Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 49 49 $24,108.68 $19,286.94 20% off $51.22 $72,326.04 $22,903.25 2026-09-25
503 MS_DRG Foot Procedures With Mcc 25 25 $24,547.17 $19,637.74 $21,572.08 $64,716.23 $22,650.67 2026-09-25
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 25 25 $62,293.40 $49,834.72 20% off $21,423.68 $64,271.05 $22,494.86 2026-09-25
92920 HCPCS Balloon Dilation Of Single Coronary Artery Or Branch 544 54 $27,894.00 $22,315.20 20% off $3,395.01 $83,682.00 $22,454.67 2026-09-25
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 25 25 $80,320.51 $64,256.41 $21,309.30 $63,927.89 $22,374.75 2026-09-25
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 25 25 $60,570.31 $48,456.25 $21,244.37 $63,733.12 $22,306.58 2026-09-25
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 25 25 $80,856.32 $64,685.06 $21,238.96 $63,716.89 $22,300.90 2026-09-25
963 MS_DRG Other Multiple Significant Trauma With Mcc 25 25 $30,172.63 $24,138.10 20% off $21,129.21 $63,387.64 $22,185.66 2026-09-25
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 25 25 $107,328.89 $85,863.11 20% off $21,028.74 $63,086.21 $22,080.16 2026-09-25
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 24 24 $21,092.42 $16,873.94 $21,092.42 $44,895.38 $22,031.17 2026-09-25
J2356 HCPCS Injection, Tezepelumab-ekko, 1 Mg 54 54 $23,422.72 $18,738.18 $17.92 $70,268.16 $21,900.25 2026-09-25
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 25 25 $28,333.75 $22,667.00 20% off $20,847.88 $62,543.64 $21,890.26 2026-09-25
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 2026-09-25
288 MS_DRG Acute And Subacute Endocarditis With Mcc 25 25 $21,799.49 $17,439.59 20% off $20,915.90 $62,747.69 $21,799.49 2026-09-25
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 2026-09-25
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 2026-09-25
93451 HCPCS Insertion Of Tube In Right Heart Chambers For Measurement 54 54 $22,604.00 $18,083.20 $3,430.00 $67,812.00 $21,586.82 2026-09-25
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 25 25 $70,807.49 $56,645.99 20% off $20,558.82 $61,676.46 $21,586.75 2026-09-25
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 25 25 $28,162.31 $22,529.85 $20,531.77 $61,595.31 $21,558.35 2026-09-25
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 2026-09-25
J9354 HCPCS Injection, Ado-trastuzumab Emtansine, 1 Mg 104 54 $20,661.39 $16,529.11 20% off $41.89 $83,518.47 $21,116.31 2026-09-25
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 2026-09-25
253 MS_DRG Other Vascular Procedures With Cc 25 25 $27,214.35 $21,771.48 20% off $20,061.08 $60,183.24 $21,064.12 2026-09-25
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 25 25 $129,178.64 $103,342.91 20% off $19,962.15 $59,886.45 $20,960.25 2026-09-25
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 25 25 $78,667.37 $62,933.90 $19,934.33 $59,802.98 $20,931.03 2026-09-25
J1930 HCPCS Injection, Lanreotide, 1 Mg 49 49 $21,842.79 $17,474.23 20% off $37.43 $65,528.37 $20,750.65 2026-09-25
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 25 25 $53,918.55 $43,134.84 20% off $19,731.83 $59,195.49 $20,718.41 2026-09-25
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 25 25 $31,996.14 $25,596.91 20% off $19,638.31 $58,914.93 $20,620.22 2026-09-25
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 25 25 $68,972.01 $55,177.60 20% off $19,601.21 $58,803.64 $20,581.26 2026-09-25
92924 HCPCS Removal Of Plaque With Balloon Dilation Of Single Coronary Artery Or Branch 490 54 $25,995.00 $20,796.00 20% off $5,514.02 $77,985.00 $20,550.80 2026-09-25
545 MS_DRG Connective Tissue Disorders With Mcc 25 25 $50,137.70 $40,110.16 $19,180.76 $57,542.28 $20,139.79 2026-09-25
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 25 25 $53,977.42 $43,181.94 $19,006.86 $57,020.59 $19,957.19 2026-09-25
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 25 25 $62,161.48 $49,729.19 $19,001.45 $57,004.35 $19,951.51 2026-09-25
783 MS_DRG Cesarean Section With Sterilization With Mcc 25 25 $68,762.19 $55,009.75 20% off $18,975.17 $56,925.52 $19,923.92 2026-09-25
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 25 25 $63,452.31 $50,761.85 $18,890.93 $56,672.79 $19,835.47 2026-09-25
J1950 HCPCS Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg 94 49 $9,338.78 $7,471.02 20% off $1,126.81 $79,206.54 $19,517.90 2026-09-25
330 MS_DRG Major Small And Large Bowel Procedures With Cc 25 25 $69,895.90 $55,916.72 $18,527.67 $55,583.01 $19,454.05 2026-09-25
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 2026-09-25
397 MS_DRG Appendix Procedures With Mcc 25 25 $65,324.71 $52,259.77 $18,509.89 $55,529.68 $19,435.38 2026-09-25
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 25 25 $56,171.60 $44,937.28 20% off $18,444.20 $55,332.60 $19,366.40 2026-09-25
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 2026-09-25
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 104 54 $20,369.55 $16,295.64 20% off $143.23 $61,176.00 $19,157.93 2026-09-25
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 139 49 $19,950.37 $15,960.30 $208.10 $86,923.50 $19,152.36 2026-09-25
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 25 25 $99,339.92 $79,471.94 $18,074.76 $54,224.28 $18,978.49 2026-09-25
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 25 25 $23,115.31 $18,492.25 $18,061.62 $54,184.86 $18,964.69 2026-09-25
792 MS_DRG Prematurity Without Major Problems 24 24 $15,030.09 $12,024.07 20% off $15,030.09 $38,574.90 $18,929.57 2026-09-25
709 MS_DRG Penis Procedures With Cc/mcc 25 25 $24,797.22 $19,837.78 $17,985.88 $53,957.63 $18,885.16 2026-09-25
357 MS_DRG Other Digestive System O.r. Procedures With Cc 25 25 $83,774.61 $67,019.68 20% off $17,973.51 $53,920.53 $18,872.18 2026-09-25
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 25 25 $30,733.58 $24,586.86 20% off $17,588.61 $52,765.84 $18,468.03 2026-09-25
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 25 25 $27,187.66 $21,750.13 $17,559.24 $52,677.73 $18,437.20 2026-09-25
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 25 25 $18,436.57 $14,749.26 $17,510.55 $52,531.65 $18,386.07 2026-09-25
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 25 25 $24,148.17 $19,318.54 $17,459.54 $52,378.62 $18,332.51 2026-09-25
93455 HCPCS Insertion Of Tube In Bypass Graft For Diagnosis With Review By Radiologist 54 54 $18,730.00 $14,984.00 20% off $3,430.00 $56,190.00 $18,074.45 2026-09-25
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 25 25 $64,055.94 $51,244.75 20% off $17,102.47 $51,307.40 $17,957.58 2026-09-25
56 MS_DRG Degenerative Nervous System Disorders With Mcc 24 24 $16,972.42 $13,577.94 $16,972.42 $36,588.83 $17,954.96 2026-09-25
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 25 25 $30,907.41 $24,725.93 $17,064.59 $51,193.78 $17,917.82 2026-09-25
J9308 HCPCS Injection, Ramucirumab, 5 Mg 104 54 $7,534.69 $6,027.75 20% off $76.57 $112,371.63 $17,792.18 2026-09-25
93454 HCPCS Insertion Of Tube In Coronary Artery For Diagnosis With Review By Radiologist 54 54 $18,406.00 $14,724.80 20% off $3,430.00 $55,218.00 $17,761.79 2026-09-25
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 25 25 $88,119.87 $70,495.90 $16,868.28 $50,604.84 $17,711.69 2026-09-25
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 25 25 $36,899.58 $29,519.66 20% off $16,839.68 $50,519.05 $17,681.66 2026-09-25
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 25 $93,695.46 $74,956.37 $16,828.09 $50,484.27 $17,669.49 2026-09-25
PM.41028 CDM Operating Room Services - General Classification 35 35 $21,420.00 $17,136.00 20% off $7,497.00 $20,991.60 $17,564.40 2026-09-25
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 25 25 $17,531.94 $14,025.55 20% off $17,085.46 $51,256.39 $17,531.94 2026-09-25
J9299 HCPCS Injection, Nivolumab, 1 Mg 204 54 $17,500.76 $14,000.61 $34.22 $125,226.12 $17,500.76 2026-09-25
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 25 25 $38,451.61 $30,761.28 20% off $16,551.40 $49,654.19 $17,378.96 2026-09-25
PV.37225 CDM Operating Room Services - General Classification 35 35 $21,013.00 $16,810.40 $7,354.55 $20,592.74 $17,230.66 2026-09-25
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 25 25 $52,422.60 $41,938.08 $16,367.45 $49,102.35 $17,185.81 2026-09-25
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 25 25 $37,540.74 $30,032.59 20% off $16,365.13 $49,095.39 $17,183.38 2026-09-25
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 25 25 $20,223.12 $16,178.50 $16,348.13 $49,044.38 $17,165.52 2026-09-25
336 MS_DRG Peritoneal Adhesiolysis With Cc 25 25 $48,254.13 $38,603.30 20% off $16,297.89 $48,893.67 $17,112.78 2026-09-25
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 25 25 $40,604.64 $32,483.71 20% off $16,188.14 $48,564.42 $16,997.54 2026-09-25
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 25 25 $31,522.89 $25,218.31 20% off $16,178.09 $48,534.27 $16,986.99 2026-09-25
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 25 25 $36,962.37 $29,569.89 20% off $16,161.86 $48,485.58 $16,969.95 2026-09-25
314 MS_DRG Other Circulatory System Diagnoses With Mcc 25 25 $29,194.23 $23,355.38 20% off $16,116.26 $48,348.78 $16,922.07 2026-09-25
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 25 25 $31,462.25 $25,169.80 20% off $16,071.43 $48,214.30 $16,875.00 2026-09-25
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 25 25 $63,352.85 $50,682.28 20% off $15,973.28 $47,919.83 $16,771.93 2026-09-25
374 MS_DRG Digestive Malignancy With Mcc 21 21 $10,300.88 $8,240.70 20% off $10,300.88 $30,405.90 $16,529.76 2026-09-25
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 25 25 $18,056.32 $14,445.06 $15,671.85 $47,015.55 $16,455.43 2026-09-25
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 25 25 $60,830.05 $48,664.04 20% off $15,572.15 $46,716.44 $16,350.75 2026-09-25
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 25 25 $37,108.83 $29,687.06 20% off $15,542.78 $46,628.33 $16,319.91 2026-09-25
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 25 25 $46,344.46 $37,075.56 20% off $15,508.00 $46,523.99 $16,283.39 2026-09-25
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 25 25 $46,231.41 $36,985.13 $15,443.08 $46,329.23 $16,215.22 2026-09-25
908 MS_DRG Other O.r. Procedures For Injuries With Cc 25 25 $135,657.02 $108,525.62 $15,420.66 $46,261.98 $16,191.69 2026-09-25
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 25 25 $16,857.53 $13,486.02 20% off $15,417.57 $46,252.71 $16,188.44 2026-09-25
835 MS_DRG Acute Leukemia With Cc 24 24 $15,174.32 $12,139.46 $15,174.32 $32,851.35 $16,120.90 2026-09-25
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 25 25 $29,048.12 $23,238.50 $15,309.37 $45,928.10 $16,074.83 2026-09-25
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 25 25 $33,556.95 $26,845.56 $15,211.98 $45,635.94 $15,972.57 2026-09-25
380 MS_DRG Complicated Peptic Ulcer With Mcc 25 25 $50,036.52 $40,029.22 $15,165.61 $45,496.83 $15,923.88 2026-09-25
J9177 HCPCS Injection, Enfortumab Vedotin-ejfv, 0.25 Mg 104 54 $15,432.34 $12,345.87 20% off $36.66 $69,287.64 $15,895.31 2026-09-25
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 25 25 $36,692.44 $29,353.95 20% off $15,013.35 $45,040.05 $15,764.01 2026-09-25
592 MS_DRG Skin Ulcers With Mcc 25 25 $49,881.50 $39,905.20 20% off $14,957.70 $44,873.10 $15,705.58 2026-09-25
548 MS_DRG Septic Arthritis With Mcc 25 25 $27,932.81 $22,346.25 $14,923.69 $44,771.08 $15,669.87 2026-09-25
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 25 25 $53,260.94 $42,608.75 20% off $14,908.24 $44,724.71 $15,653.64 2026-09-25
75 MS_DRG Viral Meningitis With Cc/mcc 25 25 $30,046.20 $24,036.96 20% off $14,820.13 $44,460.38 $15,561.13 2026-09-25
902 MS_DRG Wound Debridements For Injuries With Cc 25 25 $15,667.90 $12,534.32 20% off $14,796.94 $44,390.82 $15,536.78 2026-09-25
165 MS_DRG Major Chest Procedures Without Cc/mcc 25 25 $24,796.10 $19,836.88 $14,794.62 $44,383.87 $15,534.35 2026-09-25
196 MS_DRG Interstitial Lung Disease With Mcc 25 25 $36,350.79 $29,080.63 20% off $14,585.94 $43,757.83 $15,315.23 2026-09-25
539 MS_DRG Osteomyelitis With Mcc 24 24 $10,895.77 $8,716.62 $10,895.77 $31,022.78 $15,223.57 2026-09-25
PV.37232 CDM Operating Room Services - General Classification 35 35 $18,544.00 $14,835.20 $6,490.40 $18,173.12 $15,206.08 2026-09-25
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 25 $36,046.92 $28,837.54 $14,455.32 $43,365.97 $15,178.08 2026-09-25
504 MS_DRG Foot Procedures With Cc 25 25 $45,694.04 $36,555.23 20% off $14,446.82 $43,340.47 $15,169.16 2026-09-25
PM.63664 CDM Operating Room Services - General Classification 35 35 $18,365.00 $14,692.00 20% off $6,427.75 $17,997.70 $15,059.30 2026-09-25
PV.37222 CDM Operating Room Services - General Classification 35 35 $18,262.00 $14,609.60 20% off $6,391.70 $17,896.76 $14,974.84 2026-09-25
77295 HCPCS 3d Radiation Therapy Planning 54 54 $15,990.00 $12,792.00 20% off $181.00 $47,970.00 $14,950.65 2026-09-25
92934 HCPCS Removal Of Plaque, Insertion Of Stent And Balloon Dilation Of Coronary Artery Or… 106 53 $15,210.00 $12,168.00 20% off $11,407.50 $50,000.00 $14,905.80 2026-09-25
92944 HCPCS Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation, Each Additional C… 265 53 $15,210.00 $12,168.00 20% off $11,407.50 $50,000.00 $14,905.80 2026-09-25
92938 HCPCS Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Coronary Vessel… 159 53 $15,210.00 $12,168.00 20% off $11,407.50 $50,000.00 $14,905.80 2026-09-25
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 25 25 $47,326.62 $37,861.30 $14,180.95 $42,542.85 $14,889.99 2026-09-25
205 MS_DRG Other Respiratory System Diagnoses With Mcc 25 25 $33,177.32 $26,541.85 20% off $14,151.58 $42,454.74 $14,859.15 2026-09-25
L8680 HCPCS Implantable Neurostimulator Electrode, Each 48 48 $15,555.00 $12,444.00 20% off $11,666.25 $46,665.00 $14,855.02 2026-09-25
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 25 25 $29,264.40 $23,411.52 20% off $14,128.39 $42,385.18 $14,834.81 2026-09-25
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 25 25 $28,725.14 $22,980.11 20% off $14,095.16 $42,285.48 $14,799.91 2026-09-25
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 25 25 $36,009.41 $28,807.53 $13,989.27 $41,967.82 $14,688.73 2026-09-25
722 MS_DRG Malignancy, Male Reproductive System With Mcc 25 25 $34,866.89 $27,893.51 20% off $13,986.95 $41,960.86 $14,686.29 2026-09-25
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 25 25 $19,386.97 $15,509.58 $13,961.45 $41,884.35 $14,659.51 2026-09-25
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 25 25 $53,534.28 $42,827.42 20% off $13,942.13 $41,826.38 $14,639.23 2026-09-25
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 25 25 $15,639.66 $12,511.73 $13,871.02 $41,613.06 $14,564.56 2026-09-25
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 25 $41,978.21 $33,582.57 $13,864.84 $41,594.51 $14,558.07 2026-09-25
505 MS_DRG Foot Procedures Without Cc/mcc 25 25 $46,127.01 $36,901.61 $13,856.34 $41,569.01 $14,549.15 2026-09-25
C9603 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug-eluting Intracoronary … 48 48 $15,210.00 $12,168.00 20% off $7,714.02 $45,630.00 $14,449.50 2026-09-25
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 25 25 $30,460.56 $24,368.45 $13,704.08 $41,112.23 $14,389.27 2026-09-25
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 25 25 $33,924.59 $27,139.67 20% off $13,653.07 $40,959.20 $14,335.71 2026-09-25
180 MS_DRG Respiratory Neoplasms With Mcc 25 25 $55,171.12 $44,136.90 $13,649.20 $40,947.61 $14,331.66 2026-09-25
199 MS_DRG Pneumothorax With Mcc 25 25 $20,695.89 $16,556.71 20% off $13,634.52 $40,903.55 $14,316.24 2026-09-25
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 25 25 $84,637.27 $67,709.82 $13,626.02 $40,878.05 $14,307.31 2026-09-25
90375 HCPCS Rabies Immune Globulin For Injection 94 49 $18,301.24 $14,640.99 20% off $281.19 $54,903.72 $14,274.97 2026-09-25
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 25 25 $73,747.26 $58,997.80 20% off $13,581.19 $40,743.56 $14,260.24 2026-09-25
J9358 HCPCS Injection, Fam-trastuzumab Deruxtecan-nxki, 1 Mg 54 54 $15,251.05 $12,200.84 $32.41 $45,753.15 $14,259.74 2026-09-25
509 MS_DRG Arthroscopy 25 25 $86,976.58 $69,581.26 20% off $13,575.78 $40,727.33 $14,254.56 2026-09-25
91 MS_DRG Other Disorders Of Nervous System With Mcc 25 25 $18,617.23 $14,893.78 20% off $13,573.46 $40,720.38 $14,252.13 2026-09-25
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 25 25 $38,652.44 $30,921.95 20% off $13,520.90 $40,562.71 $14,196.94 2026-09-25
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 24 24 $12,868.13 $10,294.50 20% off $12,868.13 $28,928.03 $14,195.63 2026-09-25
501 MS_DRG Soft Tissue Procedures With Cc 25 25 $19,765.28 $15,812.22 20% off $13,510.86 $40,532.57 $14,186.39 2026-09-25
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 25 25 $34,936.29 $27,949.03 20% off $13,487.67 $40,463.01 $14,162.04 2026-09-25
919 MS_DRG Complications Of Treatment With Mcc 24 24 $10,980.35 $8,784.28 $10,980.35 $28,835.10 $14,150.03 2026-09-25
PM.64561 CDM Operating Room Services - General Classification 35 35 $17,214.00 $13,771.20 $6,024.90 $16,869.72 $14,115.48 2026-09-25
PM.63663 CDM Operating Room Services - General Classification 35 35 $17,214.00 $13,771.20 $6,024.90 $16,869.72 $14,115.48 2026-09-25
PM.64555 CDM Operating Room Services - General Classification 35 35 $17,214.00 $13,771.20 $6,024.90 $16,869.72 $14,115.48 2026-09-25
PM.64553 CDM Operating Room Services - General Classification 35 35 $17,214.00 $13,771.20 $6,024.90 $16,869.72 $14,115.48 2026-09-25
PM.63650 CDM Operating Room Services - General Classification 35 35 $17,214.00 $13,771.20 $6,024.90 $16,869.72 $14,115.48 2026-09-25
C1785 HCPCS Pacemaker, Dual Chamber, Rate-responsive (implantable) 288 48 $14,922.25 $11,937.80 20% off $8,420.25 $52,164.00 $14,068.99 2026-09-25
C1602 HCPCS Orthopedic/device/drug Matrix/absorbable Bone Void Filler, Antimicrobial-eluting… 159 53 $15,277.50 $12,222.00 20% off $1,676.34 $62,233.20 $14,055.30 2026-09-25
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 25 25 $28,902.88 $23,122.31 $13,355.50 $40,066.51 $14,023.27 2026-09-25
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 25 25 $57,659.07 $46,127.26 $13,327.68 $39,983.04 $13,994.06 2026-09-25
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 24 24 $12,225.30 $9,780.24 20% off $12,225.30 $28,384.65 $13,928.99 2026-09-25
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 25 25 $25,998.86 $20,799.09 $13,247.30 $39,741.90 $13,909.66 2026-09-25
289 MS_DRG Acute And Subacute Endocarditis With Cc 25 25 $33,759.76 $27,007.81 $13,192.43 $39,577.28 $13,852.04 2026-09-25
C1764 HCPCS Event Recorder, Cardiac (implantable) 96 48 $14,334.40 $11,467.52 $10,374.38 $44,508.90 $13,832.50 2026-09-25
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 25 25 $81,287.77 $65,030.22 $13,122.87 $39,368.60 $13,779.00 2026-09-25
L8699 HCPCS Prosthetic Implant, Not Otherwise Specified 240 48 $14,647.50 $11,718.00 20% off $6,091.20 $57,027.66 $13,768.65 2026-09-25
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 25 25 $52,400.81 $41,920.65 $13,074.17 $39,222.52 $13,727.88 2026-09-25
571 MS_DRG Skin Debridement With Cc 25 25 $23,185.81 $18,548.65 $13,057.94 $39,173.83 $13,710.83 2026-09-25
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 25 25 $24,022.06 $19,217.65 $13,046.35 $39,139.05 $13,698.66 2026-09-25
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 25 25 $63,461.80 $50,769.44 20% off $13,006.93 $39,020.80 $13,657.27 2026-09-25
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 25 25 $41,415.62 $33,132.49 20% off $13,003.07 $39,009.20 $13,653.21 2026-09-25
PM.22514 CDM Operating Room Services - General Classification 35 35 $16,643.00 $13,314.40 20% off $5,825.05 $16,310.14 $13,647.26 2026-09-25
PM.0275T CDM Operating Room Services - General Classification 35 35 $16,643.00 $13,314.40 20% off $5,825.05 $16,310.14 $13,647.26 2026-09-25
PM.22513 CDM Operating Room Services - General Classification 35 35 $16,643.00 $13,314.40 20% off $5,825.05 $16,310.14 $13,647.26 2026-09-25
J9205 HCPCS Injection, Irinotecan Liposome, 1 Mg 54 54 $14,578.99 $11,663.19 20% off $65.86 $43,736.97 $13,631.35 2026-09-25
551 MS_DRG Medical Back Problems With Mcc 25 25 $33,488.38 $26,790.70 20% off $12,954.38 $38,863.13 $13,602.09 2026-09-25
444 MS_DRG Disorders Of The Biliary Tract With Mcc 25 25 $43,671.59 $34,937.27 20% off $12,914.19 $38,742.56 $13,559.89 2026-09-25
597 MS_DRG Malignant Breast Disorders With Mcc 25 25 $94,233.46 $75,386.77 $12,884.82 $38,654.45 $13,529.05 2026-09-25
70 MS_DRG Other Cerebrovascular Disorders With Mcc 25 25 $24,505.10 $19,604.08 $12,867.04 $38,601.12 $13,510.38 2026-09-25
J3262 HCPCS Injection, Tocilizumab, 1 Mg 49 49 $14,151.85 $11,321.48 20% off $5.41 $42,455.55 $13,444.26 2026-09-25
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 25 25 $29,761.49 $23,809.19 20% off $12,794.39 $38,383.16 $13,434.10 2026-09-25
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 25 25 $19,661.98 $15,729.59 $12,786.66 $38,359.98 $13,425.99 2026-09-25
786 MS_DRG Cesarean Section Without Sterilization With Mcc 25 25 $35,746.86 $28,597.48 20% off $12,748.79 $38,246.36 $13,386.22 2026-09-25
PV.37228 CDM Operating Room Services - General Classification 35 35 $16,318.00 $13,054.40 20% off $5,711.30 $15,991.64 $13,380.76 2026-09-25
J0897 HCPCS Injection, Denosumab, 1 Mg 94 49 $8,963.63 $7,170.90 20% off $30.10 $51,437.85 $13,373.84 2026-09-25
643 MS_DRG Endocrine Disorders With Mcc 25 25 $30,294.65 $24,235.72 20% off $12,722.51 $38,167.53 $13,358.63 2026-09-25
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 25 25 $28,308.99 $22,647.19 20% off $12,703.19 $38,109.56 $13,338.34 2026-09-25
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 25 25 $32,791.63 $26,233.30 20% off $12,686.18 $38,058.55 $13,320.49 2026-09-25
913 MS_DRG Traumatic Injury With Mcc 25 25 $22,318.11 $17,854.49 $12,633.63 $37,900.88 $13,265.30 2026-09-25
299 MS_DRG Peripheral Vascular Disorders With Mcc 25 25 $30,872.41 $24,697.92 20% off $12,618.94 $37,856.83 $13,249.88 2026-09-25
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 25 25 $109,889.22 $87,911.38 $12,608.89 $37,826.68 $13,239.33 2026-09-25
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 25 25 $32,923.77 $26,339.02 $12,605.80 $37,817.41 $13,236.09 2026-09-25
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 25 25 $25,092.01 $20,073.61 $12,599.62 $37,798.86 $13,229.59 2026-09-25
PV.37220 CDM Operating Room Services - General Classification 35 35 $15,997.00 $12,797.60 20% off $5,598.95 $15,677.06 $13,117.54 2026-09-25
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 25 25 $113,349.01 $90,679.21 $12,399.44 $37,198.33 $13,019.41 2026-09-25
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 25 25 $40,956.71 $32,765.37 $12,397.90 $37,193.69 $13,017.78 2026-09-25
PM.22515 CDM Operating Room Services - General Classification 35 35 $15,859.00 $12,687.20 $5,550.65 $15,541.82 $13,004.38 2026-09-25
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 25 25 $66,203.73 $52,962.98 20% off $12,383.98 $37,151.95 $13,003.18 2026-09-25
393 MS_DRG Other Digestive System Diagnoses With Mcc 25 25 $38,623.42 $30,898.74 $12,360.80 $37,082.39 $12,978.83 2026-09-25
368 MS_DRG Major Esophageal Disorders With Mcc 25 25 $22,403.27 $17,922.62 $12,303.60 $36,910.81 $12,918.78 2026-09-25
385 MS_DRG Inflammatory Bowel Disease With Mcc 25 25 $24,529.28 $19,623.43 $12,229.41 $36,688.22 $12,840.87 2026-09-25
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 25 25 $39,868.46 $31,894.77 $12,179.17 $36,537.51 $12,788.12 2026-09-25
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 25 25 $24,993.43 $19,994.74 20% off $12,167.58 $36,502.73 $12,775.95 2026-09-25
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 104 54 $14,334.68 $11,467.74 20% off $149.13 $43,004.04 $12,772.98 2026-09-25
A9582 HCPCS Iodine I-123 Iobenguane, Diagnostic, Per Study Dose, Up To 15 Millicuries 49 49 $13,429.80 $10,743.84 $2,317.50 $40,289.40 $12,758.31 2026-09-25
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 25 25 $23,606.21 $18,884.97 $12,121.98 $36,365.93 $12,728.07 2026-09-25
533 MS_DRG Fractures Of Femur With Mcc 25 25 $14,403.79 $11,523.03 20% off $12,116.57 $36,349.70 $12,722.39 2026-09-25
PV.37224 CDM Operating Room Services - General Classification 35 35 $15,505.00 $12,404.00 20% off $5,426.75 $15,194.90 $12,714.10 2026-09-25
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 25 25 $24,478.47 $19,582.78 $12,104.97 $36,314.92 $12,710.21 2026-09-25
J7169 HCPCS Injection, Coagulation Factor Xa (recombinant), Inactivated-zhzo (andexxa), 10 M… 54 54 $13,571.93 $10,857.54 20% off $131.16 $40,715.79 $12,689.75 2026-09-25
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 25 25 $24,389.49 $19,511.59 20% off $12,084.10 $36,252.31 $12,688.30 2026-09-25
177 MS_DRG Respiratory Infections And Inflammations With Mcc 25 25 $31,150.21 $24,920.17 $12,077.92 $36,233.76 $12,681.81 2026-09-25
186 MS_DRG Pleural Effusion With Mcc 25 25 $27,178.69 $21,742.95 20% off $12,045.46 $36,136.38 $12,647.73 2026-09-25
669 MS_DRG Transurethral Procedures With Cc 25 25 $41,559.21 $33,247.37 $11,995.22 $35,985.67 $12,594.98 2026-09-25
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