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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

ADAMS MEMORIAL HOSPITAL

Decatur, IN · CCN 151330 · Rates published

4,617 distinct procedures filed
66 distinct payers
256,677 rate rows
2026-02-25 last MRF observed
Data quality

242,933 of 256,677 rate rows are consumer-grade (94.6%)

13,744 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
per-diem day rate — not a per-procedure price 7,121
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5,933
percent-of-charges filed in the dollar field — excluded from medians 455
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 123
exceeds 3× this hospital's gross charge for a DRG stay — excluded 89
exceeds 10× this hospital's gross charge — excluded from medians 20
placeholder amount (≤ $0.02) — excluded from medians 2
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbAMHDECATURIN&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/AdamsMemorial.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint 8ebbcd9f6e666804… · 92,890,961 bytes · first seen 2026-05-05

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
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 12 $12,121.85 $132,905.75 $116,530.25 nat. median
$13,403
outlier · 8.7×
949
MS_DRG 		Aftercare With Cc/mcc 12 $7,733.05 $86,267.53 $75,350.53 nat. median
$8,367
outlier · 9.0×
570
MS_DRG 		Skin Debridement With Mcc 3 $19,117.15 $87,804.79 $65,654.95 nat. median
$20,813
outlier · 3.2×
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 7 $13,553.80 $64,975.74 $64,975.74 nat. median
$15,450
outlier · 4.2×
945
MS_DRG 		Rehabilitation With Cc/mcc 12 $10,065.90 $71,386.60 $62,289.10 nat. median
$10,273
outlier · 6.1×
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 12 $5,225.35 $61,624.94 $53,437.19 nat. median
$5,841
outlier · 9.1×
947
MS_DRG 		Signs And Symptoms With Mcc 12 $8,251.10 $58,633.90 $51,355.90 nat. median
$8,698
outlier · 5.9×
85
MS_DRG 		Traumatic Stupor And Coma <1 Hour With Mcc 11 $14,767.35 $56,253.70 $49,885.45 nat. median
$15,978
outlier · 3.1×
565
MS_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 11 $6,333.60 $55,487.60 $49,119.35 nat. median
$7,411
outlier · 6.6×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 2 $29,877.25 $60,135.15 $45,006.20 nat. median
$33,435
1.3× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 2 $18,929.95 $70,487.31 $44,708.63 nat. median
$21,963
outlier · 2.0×
948
MS_DRG 		Signs And Symptoms Without Mcc 11 $5,203.25 $40,513.69 $40,513.69 nat. median
$5,562
outlier · 7.3×
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 55 $12,609.00 $65,910.66 $37,253.85 nat. median
$25,172
1.5× median
638
MS_DRG 		Diabetes With Cc 12 $5,825.30 $38,833.31 $34,284.56 nat. median
$6,741
outlier · 5.1×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 1 $33,835.10 $33,835.10 $33,835.10 nat. median
$36,541
0.9× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 $18,656.30 $47,185.20 $32,920.75 nat. median
$21,753
1.5× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $32,634.55 $32,634.55 $32,634.55 nat. median
$2,024
outlier · 16.1×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 $31,991.05 $31,991.05 $31,991.05 nat. median
$34,615
0.9× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 2 $13,765.05 $49,306.63 $31,535.84 nat. median
$15,839
2.0× median
414
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 $23,156.90 $39,780.38 $31,468.64 nat. median
$25,056
1.3× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 $29,566.55 $32,976.40 $31,271.47 nat. median
$31,991
1.0× median
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 55 $2,082.42 $79,093.42 $30,949.35 nat. median
$21,100
1.5× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 2 $13,706.55 $45,977.33 $29,841.94 nat. median
$15,633
1.9× median
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 2 $18,863.00 $40,720.50 $29,791.75 nat. median
$20,717
1.4× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 $26,366.82 $32,100.90 $29,233.86 nat. median
$34,733
0.8× median
603
MS_DRG 		Cellulitis Without Mcc 11 $5,660.85 $31,942.11 $28,303.11 nat. median
$6,621
outlier · 4.3×
159
MS_DRG 		Dental And Oral Diseases Without Cc/mcc 11 $4,605.25 $31,623.67 $27,984.67 nat. median
$5,008
outlier · 5.6×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 1 $27,724.45 $27,724.45 $27,724.45 nat. median
$28,105
1.0× median
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 12 $5,238.35 $31,085.92 $27,446.92 nat. median
$6,156
outlier · 4.5×
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 1 $27,310.40 $27,310.40 $27,310.40 nat. median
$29,327
0.9× median
913
MS_DRG 		Traumatic Injury With Mcc 12 $10,624.90 $30,925.67 $27,286.67 nat. median
$11,391
outlier · 2.4×
299
MS_DRG 		Peripheral Vascular Disorders With Mcc 2 $10,612.55 $43,646.71 $27,129.63 nat. median
$11,794
outlier · 2.3×
921
MS_DRG 		Complications Of Treatment Without Cc/mcc 12 $4,474.60 $30,736.71 $27,097.71 nat. median
$5,122
outlier · 5.3×
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 12 $6,651.45 $29,710.07 $26,071.07 nat. median
$7,744
outlier · 3.4×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 2 $15,581.80 $35,819.99 $25,700.89 nat. median
$17,741
1.4× median
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 57 $65.71 $54,332.83 $25,372.41 nat. median
$133
outlier · 190.8×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 1 $24,955.45 $24,955.45 $24,955.45 nat. median
$27,194
0.9× median
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 7 $8,421.40 $28,145.32 $24,506.32 nat. median
$8,924
outlier · 2.7×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 1 $24,295.05 $24,295.05 $24,295.05 nat. median
$26,952
0.9× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 $24,224.20 $24,224.20 $24,224.20 nat. median
$26,211
0.9× median
J0638
HCPCS 		Injection, Canakinumab, 1 Mg 57 $122.26 $53,587.28 $23,431.80 nat. median
$235
outlier · 99.8×
639
MS_DRG 		Diabetes Without Cc/mcc 11 $4,037.80 $23,374.84 $23,374.84 nat. median
$4,752
outlier · 4.9×
354
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Cc 2 $10,935.60 $35,758.25 $23,346.93 nat. median
$12,732
1.8× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 $23,134.80 $23,134.80 $23,134.80 nat. median
$24,822
0.9× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 2 $10,938.85 $34,746.22 $22,842.54 nat. median
$12,648
1.8× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 $22,668.10 $22,668.10 $22,668.10 nat. median
$25,616
0.9× median
482
MS_DRG 		Hip And Femur Procedures Except Major Joint Without Cc/mcc 2 $10,601.50 $34,647.90 $22,624.70 nat. median
$12,280
1.8× median
420
MS_DRG 		Hepatobiliary Diagnostic Procedures With Mcc 1 $22,146.15 $22,146.15 $22,146.15 nat. median
$23,398
0.9× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 2 $13,614.25 $30,221.28 $21,917.76 nat. median
$15,706
1.4× median
656
MS_DRG 		Kidney And Ureter Procedures For Neoplasm With Mcc 2 $20,694.70 $23,108.01 $21,901.35 nat. median
$23,036
1.0× median

Other procedures at this hospital

Browse this hospital's 4,617 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
             
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 12 12 $51,028.25 $51,028.25 $12,121.85 $132,905.75 $116,530.25 2026-02-25
949 MS_DRG Aftercare With Cc/mcc 12 12 $31,682.53 $31,682.53 $7,733.05 $86,267.53 $75,350.53 2026-02-25
570 MS_DRG Skin Debridement With Mcc 3 3 $42,317.29 $42,317.29 $19,117.15 $87,804.79 $65,654.95 2026-02-25
314 MS_DRG Other Circulatory System Diagnoses With Mcc 7 7 $24,946.74 $24,946.74 $13,553.80 $64,975.74 $64,975.74 2026-02-25
945 MS_DRG Rehabilitation With Cc/mcc 12 12 $25,899.10 $25,899.10 $10,065.90 $71,386.60 $62,289.10 2026-02-25
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 12 12 $20,686.19 $20,686.19 $5,225.35 $61,624.94 $53,437.19 2026-02-25
947 MS_DRG Signs And Symptoms With Mcc 12 12 $22,243.90 $22,243.90 $8,251.10 $58,633.90 $51,355.90 2026-02-25
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 11 11 $24,412.45 $24,412.45 $14,767.35 $56,253.70 $49,885.45 2026-02-25
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 11 11 $23,646.35 $23,646.35 $6,333.60 $55,487.60 $49,119.35 2026-02-25
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 2 $70,291.35 $70,291.35 $29,877.25 $60,135.15 $45,006.20 2026-02-25
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 2 2 $73,354.40 $73,354.40 $18,929.95 $70,487.31 $44,708.63 2026-02-25
948 MS_DRG Signs And Symptoms Without Mcc 11 11 $15,040.69 $15,040.69 $5,203.25 $40,513.69 $40,513.69 2026-02-25
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 55 55 $57,313.62 $57,313.62 $12,609.00 $65,910.66 $37,253.85 2026-02-25
638 MS_DRG Diabetes With Cc 12 12 $16,089.56 $16,089.56 $5,825.30 $38,833.31 $34,284.56 2026-02-25
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 $19,078.62 $19,078.62 $33,835.10 $33,835.10 $33,835.10 2026-02-25
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 2 $36,661.30 $36,661.30 $18,656.30 $47,185.20 $32,920.75 2026-02-25
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 $22,485.84 $22,485.84 $32,634.55 $32,634.55 $32,634.55 2026-02-25
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 $61,525.20 $61,525.20 $31,991.05 $31,991.05 $31,991.05 2026-02-25
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 2 2 $46,417.32 $46,417.32 $13,765.05 $49,306.63 $31,535.84 2026-02-25
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 $43,152.16 $43,152.16 $23,156.90 $39,780.38 $31,468.64 2026-02-25
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 $55,873.63 $55,873.63 $29,566.55 $32,976.40 $31,271.47 2026-02-25
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 165 55 $57,313.62 $57,313.62 $2,082.42 $79,093.42 $30,949.35 2026-02-25
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 2 $53,372.85 $53,372.85 $13,706.55 $45,977.33 $29,841.94 2026-02-25
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 2 2 $61,871.06 $61,871.06 $18,863.00 $40,720.50 $29,791.75 2026-02-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 $29,592.13 $29,592.13 $26,366.82 $32,100.90 $29,233.86 2026-02-25
603 MS_DRG Cellulitis Without Mcc 11 11 $13,747.11 $13,747.11 $5,660.85 $31,942.11 $28,303.11 2026-02-25
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 11 11 $13,428.67 $13,428.67 $4,605.25 $31,623.67 $27,984.67 2026-02-25
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 $27,551.49 $27,551.49 $27,724.45 $27,724.45 $27,724.45 2026-02-25
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 12 12 $12,890.92 $12,890.92 $5,238.35 $31,085.92 $27,446.92 2026-02-25
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 $34,873.38 $34,873.38 $27,310.40 $27,310.40 $27,310.40 2026-02-25
913 MS_DRG Traumatic Injury With Mcc 12 12 $12,730.67 $12,730.67 $10,624.90 $30,925.67 $27,286.67 2026-02-25
299 MS_DRG Peripheral Vascular Disorders With Mcc 2 2 $20,902.96 $20,902.96 $10,612.55 $43,646.71 $27,129.63 2026-02-25
921 MS_DRG Complications Of Treatment Without Cc/mcc 12 12 $12,541.71 $12,541.71 $4,474.60 $30,736.71 $27,097.71 2026-02-25
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 12 12 $11,515.07 $11,515.07 $6,651.45 $29,710.07 $26,071.07 2026-02-25
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 2 $53,286.79 $53,286.79 $15,581.80 $35,819.99 $25,700.89 2026-02-25
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 57 57 $51,257.39 $51,257.39 $65.71 $54,332.83 $25,372.41 2026-02-25
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 $99,643.68 $99,643.68 $24,955.45 $24,955.45 $24,955.45 2026-02-25
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 7 7 $9,950.32 $9,950.32 $8,421.40 $28,145.32 $24,506.32 2026-02-25
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 $52,233.66 $52,233.66 $24,295.05 $24,295.05 $24,295.05 2026-02-25
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 $33,118.80 $33,118.80 $24,224.20 $24,224.20 $24,224.20 2026-02-25
J0638 HCPCS Injection, Canakinumab, 1 Mg 57 57 $50,554.04 $50,554.04 $122.26 $53,587.28 $23,431.80 2026-02-25
639 MS_DRG Diabetes Without Cc/mcc 11 11 $8,818.84 $8,818.84 $4,037.80 $23,374.84 $23,374.84 2026-02-25
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 2 2 $34,275.36 $34,275.36 $10,935.60 $35,758.25 $23,346.93 2026-02-25
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 $15,238.40 $15,238.40 $23,134.80 $23,134.80 $23,134.80 2026-02-25
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 2 2 $40,556.47 $40,556.47 $10,938.85 $34,746.22 $22,842.54 2026-02-25
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 $55,357.92 $55,357.92 $22,668.10 $22,668.10 $22,668.10 2026-02-25
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 2 2 $32,640.21 $32,640.21 $10,601.50 $34,647.90 $22,624.70 2026-02-25
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 $13,376.80 $13,376.80 $22,146.15 $22,146.15 $22,146.15 2026-02-25
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 2 2 $36,326.52 $36,326.52 $13,614.25 $30,221.28 $21,917.76 2026-02-25
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 2 $68,816.13 $68,816.13 $20,694.70 $23,108.01 $21,901.35 2026-02-25
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 11 11 $10,721.57 $10,721.57 $5,261.75 $24,361.34 $21,632.09 2026-02-25
694 MS_DRG Urinary Stones Without Mcc 11 11 $10,567.47 $10,567.47 $5,081.05 $24,213.72 $21,484.47 2026-02-25
683 MS_DRG Renal Failure With Cc 11 11 $10,458.62 $10,458.62 $5,692.70 $24,104.87 $21,375.62 2026-02-25
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 $32,414.66 $32,414.66 $12,156.95 $30,391.86 $21,274.40 2026-02-25
811 MS_DRG Red Blood Cell Disorders With Mcc 11 11 $10,189.13 $10,189.13 $9,127.95 $23,835.38 $21,106.13 2026-02-25
101 MS_DRG Seizures Without Mcc 11 11 $10,105.17 $10,105.17 $5,866.90 $23,751.42 $21,022.17 2026-02-25
300 MS_DRG Peripheral Vascular Disorders With Cc 11 11 $9,933.63 $9,933.63 $6,938.75 $23,579.88 $20,850.63 2026-02-25
J9334 HCPCS Injection, Efgartigimod Alfa, 2 Mg And Hyaluronidase-qvfc 54 54 $41,830.00 $41,830.00 $35.14 $44,339.80 $20,810.42 2026-02-25
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 $46,479.38 $46,479.38 $20,714.85 $20,714.85 $20,714.85 2026-02-25
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 13 13 $10,148.24 $10,148.24 $7,319.65 $23,413.33 $20,684.08 2026-02-25
312 MS_DRG Syncope And Collapse 2 2 $16,790.15 $16,790.15 $5,665.40 $34,985.15 $20,325.28 2026-02-25
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 2 2 $15,778.73 $15,778.73 $6,615.05 $33,973.73 $20,294.39 2026-02-25
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 $43,986.22 $43,986.22 $20,245.55 $20,245.55 $20,245.55 2026-02-25
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 2 2 $17,580.52 $17,580.52 $4,548.05 $35,775.52 $20,161.78 2026-02-25
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 2 2 $17,505.25 $17,505.25 $4,085.25 $35,700.25 $19,892.75 2026-02-25
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 12 12 $8,780.42 $8,780.42 $5,954.00 $22,426.67 $19,697.42 2026-02-25
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 $12,086.65 $12,086.65 $19,563.70 $19,563.70 $19,563.70 2026-02-25
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 2 $18,696.49 $18,696.49 $12,626.25 $26,228.52 $19,427.39 2026-02-25
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 12 12 $8,352.38 $8,352.38 $5,805.80 $21,998.63 $19,269.38 2026-02-25
381 MS_DRG Complicated Peptic Ulcer With Cc 12 12 $8,171.99 $8,171.99 $7,042.75 $21,818.24 $19,088.99 2026-02-25
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 $37,941.52 $37,941.52 $11,660.35 $26,281.30 $18,970.83 2026-02-25
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 2 2 $42,943.23 $42,943.23 $11,926.20 $26,000.54 $18,963.37 2026-02-25
998 MS_DRG Principal Diagnosis Invalid As Discharge Diagnosis 11 11 $7,992.44 $7,992.44 $17,817.74 $21,638.69 $18,909.44 2026-02-25
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 12 12 $7,952.99 $7,952.99 $5,395.65 $21,599.24 $18,869.99 2026-02-25
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 9 9 $6,949.79 $6,949.79 $4,904.90 $17,866.79 $17,866.79 2026-02-25
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 $11,238.98 $11,238.98 $17,866.55 $17,866.55 $17,866.55 2026-02-25
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 2 $42,254.57 $42,254.57 $15,511.60 $20,154.30 $17,832.95 2026-02-25
149 MS_DRG Dysequilibrium 8 8 $6,872.89 $6,872.89 $4,885.40 $17,789.89 $17,789.89 2026-02-25
540 MS_DRG Osteomyelitis With Cc 2 2 $13,361.40 $13,361.40 $8,425.95 $27,007.65 $17,716.80 2026-02-25
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 2 2 $12,289.94 $12,289.94 $9,261.20 $25,936.19 $17,598.69 2026-02-25
399 MS_DRG Appendix Procedures Without Cc/mcc 2 2 $29,345.13 $29,345.13 $7,440.55 $26,452.65 $16,946.60 2026-02-25
951 MS_DRG Other Factors Influencing Health Status 10 10 $5,853.96 $5,853.96 $3,614.00 $16,770.96 $16,770.96 2026-02-25
71 MS_DRG Other Cerebrovascular Disorders With Cc 2 2 $12,605.87 $12,605.87 $6,669.00 $26,252.12 $16,460.56 2026-02-25
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 2 2 $11,527.48 $11,527.48 $7,541.95 $25,173.73 $16,357.84 2026-02-25
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 2 $33,453.13 $33,453.13 $12,987.65 $19,713.80 $16,350.72 2026-02-25
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 $39,767.30 $39,767.30 $15,887.30 $15,887.30 $15,887.30 2026-02-25
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 2 2 $31,588.98 $31,588.98 $10,983.70 $20,028.38 $15,506.04 2026-02-25
44500537 CDM Hc Prochondrix Cryo 20mm X1.0 Mm Implant 48 48 $29,140.02 $29,140.02 $6,410.80 $33,511.02 $15,211.09 2026-02-25
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 2 2 $11,544.54 $11,544.54 $5,058.30 $25,190.79 $15,124.55 2026-02-25
357 MS_DRG Other Digestive System O.r. Procedures With Cc 1 1 $35,451.40 $35,451.40 $15,115.75 $15,115.75 $15,115.75 2026-02-25
389 MS_DRG Gastrointestinal Obstruction With Cc 2 2 $11,340.50 $11,340.50 $5,133.70 $24,986.75 $15,060.22 2026-02-25
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 2 2 $8,839.11 $8,839.11 $11,748.75 $17,936.61 $14,842.68 2026-02-25
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 $32,123.40 $32,123.40 $14,792.05 $14,792.05 $14,792.05 2026-02-25
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 2 $8,144.37 $8,144.37 $11,665.55 $17,241.87 $14,453.71 2026-02-25
91 MS_DRG Other Disorders Of Nervous System With Mcc 2 2 $7,650.78 $7,650.78 $11,415.30 $16,748.28 $14,081.79 2026-02-25
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 11 11 $6,763.01 $6,763.01 $5,820.75 $15,860.51 $14,041.01 2026-02-25
593 MS_DRG Skin Ulcers With Cc 10 10 $6,732.14 $6,732.14 $7,710.95 $15,829.64 $14,010.14 2026-02-25
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 1 1 $25,753.01 $25,753.01 $13,850.85 $13,850.85 $13,850.85 2026-02-25
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 1 $68,073.91 $68,073.91 $13,507.65 $13,507.65 $13,507.65 2026-02-25
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 1 $17,163.42 $17,163.42 $13,071.50 $13,071.50 $13,071.50 2026-02-25
908 MS_DRG Other O.r. Procedures For Injuries With Cc 1 1 $48,966.86 $48,966.86 $12,968.80 $12,968.80 $12,968.80 2026-02-25
551 MS_DRG Medical Back Problems With Mcc 9 9 $5,688.38 $5,688.38 $10,894.65 $12,966.38 $12,966.38 2026-02-25
44500121 CDM Hc Coretrack Steripack D 40mm 48 48 $24,731.96 $24,731.96 $5,441.03 $24,731.96 $12,910.08 2026-02-25
44500578 CDM Hc Coretrak Steripack D 70mm 48 48 $24,731.96 $24,731.96 $5,441.03 $24,731.96 $12,910.08 2026-02-25
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 1 1 $24,745.36 $24,745.36 $12,875.20 $12,875.20 $12,875.20 2026-02-25
539 MS_DRG Osteomyelitis With Mcc 1 1 $14,001.48 $14,001.48 $12,803.05 $12,803.05 $12,803.05 2026-02-25
546 MS_DRG Connective Tissue Disorders With Cc 12 12 $5,392.49 $5,392.49 $7,497.10 $14,489.99 $12,670.49 2026-02-25
902 MS_DRG Wound Debridements For Injuries With Cc 1 1 $51,484.40 $51,484.40 $12,444.25 $12,444.25 $12,444.25 2026-02-25
695 MS_DRG Kidney And Urinary Tract Signs And Symptoms With Mcc 2 2 $8,331.26 $8,331.26 $7,434.70 $17,428.76 $12,431.73 2026-02-25
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 1 $16,309.39 $16,309.39 $12,411.75 $12,411.75 $12,411.75 2026-02-25
L8680 HCPCS Implantable Neurostimulator Electrode, Each 55 55 $18,966.00 $18,966.00 $312.42 $21,810.90 $12,327.90 2026-02-25
196 MS_DRG Interstitial Lung Disease With Mcc 1 1 $31,669.44 $31,669.44 $12,266.80 $12,266.80 $12,266.80 2026-02-25
92 MS_DRG Other Disorders Of Nervous System With Cc 2 2 $8,314.26 $8,314.26 $6,649.50 $17,411.76 $12,030.63 2026-02-25
205 MS_DRG Other Respiratory System Diagnoses With Mcc 1 1 $29,290.47 $29,290.47 $11,901.50 $11,901.50 $11,901.50 2026-02-25
919 MS_DRG Complications Of Treatment With Mcc 1 1 $15,886.47 $15,886.47 $11,900.20 $11,900.20 $11,900.20 2026-02-25
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 1 1 $18,137.57 $18,137.57 $11,882.00 $11,882.00 $11,882.00 2026-02-25
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 1 1 $28,948.85 $28,948.85 $11,854.05 $11,854.05 $11,854.05 2026-02-25
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 2 2 $29,111.11 $29,111.11 $6,730.10 $16,750.66 $11,740.38 2026-02-25
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 2 2 $7,347.28 $7,347.28 $7,014.80 $16,444.78 $11,729.79 2026-02-25
254 MS_DRG Other Vascular Procedures Without Cc/mcc 1 1 $33,095.88 $33,095.88 $11,581.05 $11,581.05 $11,581.05 2026-02-25
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 1 1 $40,767.22 $40,767.22 $11,575.20 $11,575.20 $11,575.20 2026-02-25
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 1 $37,391.54 $37,391.54 $11,525.15 $11,525.15 $11,525.15 2026-02-25
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 $11,041.68 $11,041.68 $11,482.25 $11,482.25 $11,482.25 2026-02-25
501 MS_DRG Soft Tissue Procedures With Cc 1 1 $17,036.11 $17,036.11 $11,362.65 $11,362.65 $11,362.65 2026-02-25
791 MS_DRG Prematurity With Major Problems 10 10 $4,068.03 $4,068.03 $10,618.23 $11,346.03 $11,346.03 2026-02-25
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 1 1 $30,946.05 $30,946.05 $11,343.15 $11,343.15 $11,343.15 2026-02-25
C1602 HCPCS Orthopedic/device/drug Matrix/absorbable Bone Void Filler, Antimicrobial-eluting… 108 54 $18,535.99 $18,535.99 $4,757.20 $28,955.85 $11,330.55 2026-02-25
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 1 1 $24,210.35 $24,210.35 $11,232.00 $11,232.00 $11,232.00 2026-02-25
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 1 1 $33,526.76 $33,526.76 $11,141.00 $11,141.00 $11,141.00 2026-02-25
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 2 2 $7,739.29 $7,739.29 $5,249.40 $16,836.79 $11,043.10 2026-02-25
793 MS_DRG Full Term Neonate With Major Problems 10 10 $3,734.88 $3,734.88 $10,285.08 $11,012.88 $11,012.88 2026-02-25
571 MS_DRG Skin Debridement With Cc 1 1 $24,135.06 $24,135.06 $10,981.75 $10,981.75 $10,981.75 2026-02-25
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 $32,283.93 $32,283.93 $10,972.00 $10,972.00 $10,972.00 2026-02-25
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 2 2 $8,077.30 $8,077.30 $4,478.50 $17,174.80 $10,826.65 2026-02-25
70 MS_DRG Other Cerebrovascular Disorders With Mcc 1 1 $19,975.18 $19,975.18 $10,821.20 $10,821.20 $10,821.20 2026-02-25
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 1 1 $19,459.44 $19,459.44 $10,753.60 $10,753.60 $10,753.60 2026-02-25
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 57 57 $22,533.11 $22,533.11 $28.62 $23,885.10 $10,444.10 2026-02-25
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 1 1 $15,611.07 $15,611.07 $10,426.65 $10,426.65 $10,426.65 2026-02-25
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 1 1 $28,055.36 $28,055.36 $10,414.95 $10,414.95 $10,414.95 2026-02-25
393 MS_DRG Other Digestive System Diagnoses With Mcc 1 1 $29,531.74 $29,531.74 $10,395.45 $10,395.45 $10,395.45 2026-02-25
44003410 CDM Items From Trans 13 13 $14,828.20 $14,828.20 $7,414.10 $12,603.97 $10,379.74 2026-02-25
368 MS_DRG Major Esophageal Disorders With Mcc 1 1 $10,637.29 $10,637.29 $10,347.35 $10,347.35 $10,347.35 2026-02-25
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 1 1 $18,748.50 $18,748.50 $10,232.95 $10,232.95 $10,232.95 2026-02-25
177 MS_DRG Respiratory Infections And Inflammations With Mcc 1 1 $23,031.15 $23,031.15 $10,157.55 $10,157.55 $10,157.55 2026-02-25
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 1 1 $34,648.12 $34,648.12 $10,033.40 $10,033.40 $10,033.40 2026-02-25
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 1 1 $42,634.04 $42,634.04 $9,988.55 $9,988.55 $9,988.55 2026-02-25
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 1 1 $23,642.43 $23,642.43 $9,977.50 $9,977.50 $9,977.50 2026-02-25
813 MS_DRG Coagulation Disorders 1 1 $22,874.08 $22,874.08 $9,914.45 $9,914.45 $9,914.45 2026-02-25
C9761 HCPCS Cystourethroscopy, With Ureteroscopy And/or Pyeloscopy, With Lithotripsy, And Ur… 55 55 $18,356.00 $18,356.00 $2,310.00 $18,356.00 $9,912.24 2026-02-25
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 1 1 $30,653.41 $30,653.41 $9,909.25 $9,909.25 $9,909.25 2026-02-25
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 1 1 $35,067.44 $35,067.44 $9,772.10 $9,772.10 $9,772.10 2026-02-25
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 1 1 $12,287.76 $12,287.76 $9,751.95 $9,751.95 $9,751.95 2026-02-25
137 MS_DRG Mouth Procedures With Cc/mcc 1 1 $18,240.93 $18,240.93 $9,705.80 $9,705.80 $9,705.80 2026-02-25
682 MS_DRG Renal Failure With Mcc 1 1 $10,766.35 $10,766.35 $9,626.50 $9,626.50 $9,626.50 2026-02-25
388 MS_DRG Gastrointestinal Obstruction With Mcc 1 1 $11,645.77 $11,645.77 $9,599.20 $9,599.20 $9,599.20 2026-02-25
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 1 1 $26,456.47 $26,456.47 $9,546.55 $9,546.55 $9,546.55 2026-02-25
637 MS_DRG Diabetes With Mcc 1 1 $20,690.61 $20,690.61 $9,338.55 $9,338.55 $9,338.55 2026-02-25
602 MS_DRG Cellulitis With Mcc 1 1 $16,607.64 $16,607.64 $9,238.45 $9,238.45 $9,238.45 2026-02-25
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 2 2 $20,575.58 $20,575.58 $7,407.85 $10,995.40 $9,201.62 2026-02-25
J3101 HCPCS Injection, Tenecteplase, 1 Mg 57 57 $19,741.21 $19,741.21 $154.94 $20,925.68 $9,150.05 2026-02-25
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 1 1 $22,782.46 $22,782.46 $9,086.35 $9,086.35 $9,086.35 2026-02-25
885 MS_DRG Psychoses 1 1 $8,955.61 $8,955.61 $9,079.20 $9,079.20 $9,079.20 2026-02-25
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 1 1 $24,298.27 $24,298.27 $8,928.40 $8,928.40 $8,928.40 2026-02-25
01207200 CDM Operating Room Services - General Classification 48 48 $17,081.00 $17,081.00 $3,757.82 $17,081.00 $8,916.28 2026-02-25
52353 HCPCS Crushing Of Stone Of Ureter Using An Endoscope 55 55 $16,383.00 $16,383.00 $2,310.00 $16,383.00 $8,846.82 2026-02-25
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 1 $3,900.91 $3,900.91 $8,681.40 $8,681.40 $8,681.40 2026-02-25
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 1 1 $28,476.31 $28,476.31 $8,591.70 $8,591.70 $8,591.70 2026-02-25
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 1 1 $23,665.96 $23,665.96 $8,543.60 $8,543.60 $8,543.60 2026-02-25
291 MS_DRG Heart Failure And Shock With Mcc 1 1 $19,427.20 $19,427.20 $8,344.70 $8,344.70 $8,344.70 2026-02-25
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 1 1 $21,757.37 $21,757.37 $8,243.95 $8,243.95 $8,243.95 2026-02-25
J1303 HCPCS Injection, Ravulizumab-cwvz, 10 Mg 57 57 $16,650.41 $16,650.41 $224.14 $17,649.43 $8,241.95 2026-02-25
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 1 1 $19,389.81 $19,389.81 $8,065.85 $8,065.85 $8,065.85 2026-02-25
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 1 1 $17,814.74 $17,814.74 $8,064.55 $8,064.55 $8,064.55 2026-02-25
189 MS_DRG Pulmonary Edema And Respiratory Failure 1 1 $25,866.82 $25,866.82 $8,030.10 $8,030.10 $8,030.10 2026-02-25
J9332 HCPCS Injection, Efgartigimod Alfa-fcab, 2mg 54 54 $16,094.99 $16,094.99 $33.15 $17,060.69 $8,007.26 2026-02-25
22515 HCPCS Treatment Of Broken Spine Bone With Stabilizing Device, Each Additional Segment 55 55 $14,190.00 $14,190.00 $1,280.00 $14,190.00 $7,981.88 2026-02-25
375 MS_DRG Digestive Malignancy With Cc 1 1 $28,986.86 $28,986.86 $7,862.40 $7,862.40 $7,862.40 2026-02-25
139 MS_DRG Salivary Gland Procedures 1 1 $19,206.80 $19,206.80 $7,855.90 $7,855.90 $7,855.90 2026-02-25
44500604 CDM Hc Intracept Bone Probe 48 48 $15,042.00 $15,042.00 $3,309.24 $17,298.30 $7,851.93 2026-02-25
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 2 2 $29,623.73 $29,623.73 $6,789.65 $8,877.70 $7,833.68 2026-02-25
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 1 1 $20,618.87 $20,618.87 $7,826.00 $7,826.00 $7,826.00 2026-02-25
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 1 1 $17,445.32 $17,445.32 $7,816.25 $7,816.25 $7,816.25 2026-02-25
304 MS_DRG Hypertension With Mcc 1 1 $18,359.87 $18,359.87 $7,735.00 $7,735.00 $7,735.00 2026-02-25
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 1 1 $32,604.98 $32,604.98 $7,710.30 $7,710.30 $7,710.30 2026-02-25
152 MS_DRG Otitis Media And Uri With Mcc 1 1 $8,650.49 $8,650.49 $7,684.30 $7,684.30 $7,684.30 2026-02-25
22514 HCPCS Treatment Of Broken Lower Spine Bone With Placement Of Stabilizing Device 55 55 $14,190.00 $14,190.00 $2,246.23 $14,190.00 $7,662.60 2026-02-25
22513 HCPCS Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using… 55 55 $14,190.00 $14,190.00 $2,246.23 $14,190.00 $7,662.60 2026-02-25
22511 HCPCS Stabilization Of Lower Spine Bone 55 55 $14,190.00 $14,190.00 $1,854.00 $14,190.00 $7,662.60 2026-02-25
44500122 CDM Hc Tm Prim Fem St 13mm Exoff 48 48 $13,979.25 $13,979.25 $3,075.44 $16,076.14 $7,297.17 2026-02-25
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 1 1 $17,335.69 $17,335.69 $7,200.05 $7,200.05 $7,200.05 2026-02-25
200 MS_DRG Pneumothorax With Cc 1 1 $5,181.83 $5,181.83 $7,145.45 $7,145.45 $7,145.45 2026-02-25
792 MS_DRG Prematurity Without Major Problems 10 10 $3,405.42 $3,405.42 $7,044.42 $7,954.17 $7,044.42 2026-02-25
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 11 11 $3,323.76 $3,323.76 $6,962.76 $9,380.15 $6,962.76 2026-02-25
181 MS_DRG Respiratory Neoplasms With Cc 1 1 $11,121.78 $11,121.78 $6,961.50 $6,961.50 $6,961.50 2026-02-25
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 9 9 $3,302.18 $3,302.18 $4,448.60 $7,850.93 $6,941.18 2026-02-25
44500216 CDM Hc Amh New Supply 48 48 $13,202.76 $13,202.76 $2,904.61 $13,202.76 $6,891.84 2026-02-25
786 MS_DRG Cesarean Section Without Sterilization With Mcc 2 2 $19,237.52 $19,237.52 $3,000.00 $10,721.75 $6,860.88 2026-02-25
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 11 11 $3,169.98 $3,169.98 $6,445.08 $7,718.73 $6,808.98 2026-02-25
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 11 11 $3,044.33 $3,044.33 $6,319.43 $7,593.08 $6,683.33 2026-02-25
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 $7,678.51 $7,678.51 $6,682.00 $6,682.00 $6,682.00 2026-02-25
Q4107 HCPCS Graftjacket, Per Square Centimeter 104 57 $15,323.45 $15,323.45 $37.56 $16,242.86 $6,665.16 2026-02-25
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 1 1 $15,371.14 $15,371.14 $6,636.50 $6,636.50 $6,636.50 2026-02-25
44500117 CDM Hc Easyfuse Staple 20x15nitinol 2-leg 48 48 $12,660.69 $12,660.69 $2,785.35 $14,559.79 $6,608.88 2026-02-25
44500116 CDM Hc Easyfuse Staple 20x15nitinol 2-leg 48 48 $12,660.69 $12,660.69 $2,785.35 $14,559.79 $6,608.88 2026-02-25
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 1 1 $8,161.42 $8,161.42 $6,597.50 $6,597.50 $6,597.50 2026-02-25
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 1 1 $12,491.86 $12,491.86 $6,566.95 $6,566.95 $6,566.95 2026-02-25
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 5 5 $2,908.30 $2,908.30 $6,547.30 $8,333.00 $6,547.30 2026-02-25
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 1 1 $15,646.24 $15,646.24 $6,517.55 $6,517.55 $6,517.55 2026-02-25
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 1 1 $15,200.34 $15,200.34 $6,486.35 $6,486.35 $6,486.35 2026-02-25
44500548 CDM Hc Spaceoar Hydrogel Application System 48 48 $12,360.60 $12,360.60 $2,719.33 $12,360.60 $6,452.23 2026-02-25
C1778 HCPCS Lead, Neurostimulator (implantable) 55 55 $9,875.40 $9,875.40 $2,172.59 $11,356.71 $6,419.01 2026-02-25
44500476 CDM Hc Ha+ Nerve Protector 3cm X 6cm 48 48 $12,216.72 $12,216.72 $2,687.68 $14,049.23 $6,377.13 2026-02-25
378 MS_DRG Gastrointestinal Hemorrhage With Cc 1 1 $7,506.89 $7,506.89 $6,374.55 $6,374.55 $6,374.55 2026-02-25
386 MS_DRG Inflammatory Bowel Disease With Cc 1 1 $10,566.71 $10,566.71 $6,345.95 $6,345.95 $6,345.95 2026-02-25
178 MS_DRG Respiratory Infections And Inflammations With Cc 1 1 $15,575.98 $15,575.98 $6,344.00 $6,344.00 $6,344.00 2026-02-25
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 2 2 $3,736.30 $3,736.30 $4,355.00 $8,285.05 $6,320.02 2026-02-25
202 MS_DRG Bronchitis And Asthma With Cc/mcc 1 1 $26,321.50 $26,321.50 $6,312.80 $6,312.80 $6,312.80 2026-02-25
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 1 1 $15,335.14 $15,335.14 $6,274.45 $6,274.45 $6,274.45 2026-02-25
315 MS_DRG Other Circulatory System Diagnoses With Cc 1 1 $11,726.02 $11,726.02 $6,261.45 $6,261.45 $6,261.45 2026-02-25
44070054 CDM Items From Trans 13 13 $8,938.00 $8,938.00 $4,469.00 $7,597.30 $6,256.60 2026-02-25
552 MS_DRG Medical Back Problems Without Mcc 1 1 $15,657.03 $15,657.03 $6,248.45 $6,248.45 $6,248.45 2026-02-25
596 MS_DRG Major Skin Disorders Without Mcc 12 12 $2,604.29 $2,604.29 $5,879.39 $7,153.04 $6,243.29 2026-02-25
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 3 3 $12,034.44 $12,034.44 $3,000.00 $25,680.69 $6,232.20 2026-02-25
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 1 1 $9,973.80 $9,973.80 $6,117.15 $6,117.15 $6,117.15 2026-02-25
394 MS_DRG Other Digestive System Diagnoses With Cc 1 1 $18,814.68 $18,814.68 $6,082.05 $6,082.05 $6,082.05 2026-02-25
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 1 1 $15,454.05 $15,454.05 $5,974.15 $5,974.15 $5,974.15 2026-02-25
812 MS_DRG Red Blood Cell Disorders Without Mcc 1 1 $11,865.02 $11,865.02 $5,968.30 $5,968.30 $5,968.30 2026-02-25
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 1 1 $31,424.12 $31,424.12 $5,738.20 $5,738.20 $5,738.20 2026-02-25
866 MS_DRG Viral Illness Without Mcc 1 1 $13,362.47 $13,362.47 $5,652.40 $5,652.40 $5,652.40 2026-02-25
C1734 HCPCS Orthopedic/device/drug Matrix For Opposing Bone-to-bone Or Soft Tissue-to Bone (… 55 55 $8,610.37 $8,610.37 $1,894.28 $9,901.93 $5,596.74 2026-02-25
44500430 CDM Hc Amh New Supply 48 48 $10,688.10 $10,688.10 $2,351.38 $10,688.10 $5,579.18 2026-02-25
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 1 1 $8,413.65 $8,413.65 $5,571.15 $5,571.15 $5,571.15 2026-02-25
292 MS_DRG Heart Failure And Shock With Cc 1 1 $7,192.72 $7,192.72 $5,518.50 $5,518.50 $5,518.50 2026-02-25
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 1 1 $12,948.38 $12,948.38 $5,479.50 $5,479.50 $5,479.50 2026-02-25
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 1 1 $18,689.41 $18,689.41 $5,467.80 $5,467.80 $5,467.80 2026-02-25
44500605 CDM Hc Intracept Access Instruments - 2vb Boston Science 48 48 $10,464.00 $10,464.00 $2,302.08 $10,464.00 $5,462.21 2026-02-25
44500013 CDM Hc Tm Primary Stem, 11mm Standard 48 48 $10,301.00 $10,301.00 $2,266.22 $11,846.15 $5,377.12 2026-02-25
176 MS_DRG Pulmonary Embolism Without Mcc 1 1 $41,553.24 $41,553.24 $5,232.50 $5,232.50 $5,232.50 2026-02-25
69 MS_DRG Transient Ischemia Without Thrombolytic 1 1 $50,764.30 $50,764.30 $5,192.20 $5,192.20 $5,192.20 2026-02-25
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 1 1 $9,323.13 $9,323.13 $5,175.95 $5,175.95 $5,175.95 2026-02-25
44500007 CDM Hc Clav Ant Plt 11h 120mm Ns 48 48 $9,857.96 $9,857.96 $2,168.75 $11,336.65 $5,145.85 2026-02-25
787 MS_DRG Cesarean Section Without Sterilization With Cc 2 2 $13,512.46 $13,512.46 $3,000.00 $7,259.20 $5,129.60 2026-02-25
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 1 1 $10,637.91 $10,637.91 $5,067.40 $5,067.40 $5,067.40 2026-02-25
445 MS_DRG Disorders Of The Biliary Tract With Cc 1 1 $1,779.70 $1,779.70 $5,054.80 $5,054.80 $5,054.80 2026-02-25
44070788 CDM Hc Robotic Endowrist Force Bipolar 48 48 $9,682.47 $9,682.47 $2,130.14 $9,682.47 $5,054.24 2026-02-25
784 MS_DRG Cesarean Section With Sterilization With Cc 2 2 $12,283.84 $12,283.84 $3,000.00 $6,890.65 $4,945.32 2026-02-25
44070489 CDM Hc Spyglass Discover Catheter 48 48 $9,442.13 $9,442.13 $2,077.27 $9,442.13 $4,928.79 2026-02-25
305 MS_DRG Hypertension Without Mcc 1 1 $17,816.57 $17,816.57 $4,908.15 $4,908.15 $4,908.15 2026-02-25
44003264 CDM Hc Dvr Lock Narrow L 48 48 $9,374.00 $9,374.00 $2,062.28 $10,780.10 $4,893.23 2026-02-25
44500636 CDM Hc Taper Stand Offset Red Neck 10 48 48 $9,374.00 $9,374.00 $2,062.28 $9,374.00 $4,893.23 2026-02-25
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 1 1 $30,225.85 $30,225.85 $4,870.45 $4,870.45 $4,870.45 2026-02-25
44070794 CDM Hc Robotic Endowrist 8mm Prograsp Forceps 48 48 $9,270.45 $9,270.45 $2,039.50 $9,270.45 $4,839.18 2026-02-25
153 MS_DRG Otitis Media And Uri Without Mcc 1 1 $4,795.84 $4,795.84 $4,798.30 $4,798.30 $4,798.30 2026-02-25
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 1 1 $10,198.08 $10,198.08 $4,782.05 $4,782.05 $4,782.05 2026-02-25
44500474 CDM Hc Axogen Nerve Cap 2mm X 15mm 48 48 $9,121.12 $9,121.12 $2,006.65 $10,489.29 $4,761.22 2026-02-25
44500473 CDM Hc Axogen Nerve Cap 3mm X 15mm 48 48 $9,121.12 $9,121.12 $2,006.65 $10,489.29 $4,761.22 2026-02-25
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 1 1 $19,304.55 $19,304.55 $4,700.15 $4,700.15 $4,700.15 2026-02-25
313 MS_DRG Chest Pain 1 1 $25,095.49 $25,095.49 $4,680.00 $4,680.00 $4,680.00 2026-02-25
201 MS_DRG Pneumothorax Without Cc/mcc 1 1 $9,718.58 $9,718.58 $4,648.15 $4,648.15 $4,648.15 2026-02-25
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 2 2 $10,996.20 $10,996.20 $3,000.00 $6,225.70 $4,612.85 2026-02-25
44500370 CDM Hc Robotic Large Needle Driver Size 8mm X 31.5cm Jaw 1cm 48 48 $8,757.06 $8,757.06 $1,926.55 $8,757.06 $4,571.19 2026-02-25
311 MS_DRG Angina Pectoris 1 1 $18,123.03 $18,123.03 $4,562.35 $4,562.35 $4,562.35 2026-02-25
44500475 CDM Hc Ha+ Nerve Protector 48 48 $8,727.63 $8,727.63 $1,920.08 $10,036.77 $4,555.82 2026-02-25
44070640 CDM Hc Tyrx Neuro Absorbable Anti-bacterial Envelope Large 48 48 $8,698.20 $8,698.20 $1,913.60 $10,002.93 $4,540.46 2026-02-25
01208222 CDM Operating Room Services - General Classification 48 48 $8,631.00 $8,631.00 $1,898.82 $8,631.00 $4,505.38 2026-02-25
C1771 HCPCS Repair Device, Urinary, Incontinence, With Sling Graft 55 55 $6,915.00 $6,915.00 $1,521.30 $7,952.25 $4,494.75 2026-02-25
44500600 CDM Hc Augment Injectable Kit 1.5cc Injectable Usa 48 48 $8,610.37 $8,610.37 $1,894.28 $8,610.37 $4,494.61 2026-02-25
44070770 CDM Items From Trans 13 13 $6,409.20 $6,409.20 $3,204.60 $5,447.82 $4,486.44 2026-02-25
L8699 HCPCS Prosthetic Implant, Not Otherwise Specified 55 55 $6,889.89 $6,889.89 $24.65 $7,923.37 $4,478.43 2026-02-25
44500536 CDM Hc Prochondrix Disposable Instrumentation 48 48 $8,567.40 $8,567.40 $1,884.83 $8,567.40 $4,472.18 2026-02-25
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 1 1 $31,550.74 $31,550.74 $4,433.65 $4,433.65 $4,433.65 2026-02-25
44500108 CDM Hc Vitoss Bbtrauma Foam Pack 2.5cc 48 48 $8,484.56 $8,484.56 $1,866.60 $9,757.24 $4,428.94 2026-02-25
63650 HCPCS Insertion Of Spinal Neurostimulator Electrode Array Through Skin 55 55 $7,847.00 $7,847.00 $2,591.00 $10,860.00 $4,413.94 2026-02-25
44500110 CDM Hc Broad Straight Plate 5 Holes (t10) 48 48 $8,440.46 $8,440.46 $1,856.90 $9,706.53 $4,405.92 2026-02-25
303 MS_DRG Atherosclerosis Without Mcc 1 1 $13,700.12 $13,700.12 $4,375.80 $4,375.80 $4,375.80 2026-02-25
J1306 HCPCS Injection, Inclisiran, 1 Mg 54 54 $8,791.70 $8,791.70 $13.26 $9,319.20 $4,373.87 2026-02-25
L8689 HCPCS External Recharging System For Battery (internal) For Use With Implantable Neuro… 57 57 $9,465.56 $9,465.56 $840.86 $10,885.39 $4,344.69 2026-02-25
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 2 2 $7,248.01 $7,248.01 $1,600.00 $6,965.40 $4,282.70 2026-02-25
44500446 CDM Hc Checkpoint Acm Shield 40 X 40mm 48 48 $8,175.00 $8,175.00 $1,798.50 $9,401.25 $4,267.35 2026-02-25
44500562 CDM Hc Orthofix External Bone Growth Stimulator Physio Stim 48 48 $8,175.00 $8,175.00 $1,798.50 $8,175.00 $4,267.35 2026-02-25
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 1 1 $6,911.64 $6,911.64 $4,255.55 $4,255.55 $4,255.55 2026-02-25
44070072 CDM Hc Distal Lateral Fibula Locking Plate 8h 132mm Rt 48 48 $7,935.20 $7,935.20 $1,745.74 $9,125.48 $4,142.18 2026-02-25
950 MS_DRG Aftercare Without Cc/mcc 1 1 $19,874.71 $19,874.71 $4,080.05 $4,080.05 $4,080.05 2026-02-25
797 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Cc 2 2 $11,495.62 $11,495.62 $1,600.00 $6,502.60 $4,051.30 2026-02-25
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 1 1 $11,776.57 $11,776.57 $4,039.10 $4,039.10 $4,039.10 2026-02-25
C1776 HCPCS Joint Device (implantable) 1,705 55 $5,559.00 $5,559.00 $179.85 $18,819.83 $3,917.46 2026-02-25
J7168 HCPCS Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 55 55 $5,564.00 $5,564.00 $546.58 $5,897.84 $3,894.80 2026-02-25
44500540 CDM Hc Cannulated Tap 7.0mm Large Ao Fitting 48 48 $7,405.33 $7,405.33 $1,629.17 $7,405.33 $3,865.59 2026-02-25
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 1 1 $7,971.58 $7,971.58 $3,679.65 $3,679.65 $3,679.65 2026-02-25
44002003 CDM Hc Ligasure Maryland Device 5mm 48 48 $6,986.33 $6,986.33 $1,536.99 $6,986.33 $3,646.86 2026-02-25
J2182 HCPCS Injection, Mepolizumab, 1 Mg 57 57 $7,788.12 $7,788.12 $34.77 $8,255.41 $3,609.79 2026-02-25
44003256 CDM Hc Dvr Lock Standard L 48 48 $6,889.89 $6,889.89 $1,515.78 $7,923.37 $3,596.52 2026-02-25
44003265 CDM Hc Dvr Lock Narrow R 48 48 $6,889.89 $6,889.89 $1,515.78 $7,923.37 $3,596.52 2026-02-25
BMIBM CDM Pr Bone Marrow Inj-back, Multiple Sites 13 13 $5,110.00 $5,110.00 $2,555.00 $4,343.50 $3,577.00 2026-02-25
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 1 1 $12,074.93 $12,074.93 $3,536.00 $3,536.00 $3,536.00 2026-02-25
C1787 HCPCS Patient Programmer, Neurostimulator 55 55 $5,275.60 $5,275.60 $1,160.63 $6,066.94 $3,429.14 2026-02-25
44003258 CDM Hc Dvr Lock Wide L 48 48 $6,561.80 $6,561.80 $1,443.60 $7,546.07 $3,425.26 2026-02-25
44500591 CDM Hc Dornier Hoover Ureteral Access Shealth 12/14fr X 40cm 48 48 $6,540.00 $6,540.00 $1,438.80 $6,540.00 $3,413.88 2026-02-25
C1052 HCPCS Hemostatic Agent, Gastrointestinal, Topical 55 55 $5,232.00 $5,232.00 $1,151.04 $6,016.80 $3,400.80 2026-02-25
44500107 CDM Hc Psn Mc Ve Asf R 13mm 6-7/ef 48 48 $6,409.20 $6,409.20 $1,410.02 $7,370.58 $3,345.60 2026-02-25
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