Price Transparencybeta Hospital negotiated rates

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

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Hospital

ADAMS MEMORIAL HOSPITAL

Decatur, IN · CCN 151330 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $1,884 across 56 payers · range $310-$3,488

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbAMHDECATURIN&type=CDMWithoutLabel&fileType=CSV · observed 2026-02-25

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

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 · 2026-10-26
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
$18,115
outlier · 6.4×
949
MS_DRG 		Aftercare With Cc/mcc 12 $7,733.05 $86,267.53 $75,350.53 nat. median
$11,796
outlier · 6.4×
570
MS_DRG 		Skin Debridement With Mcc 3 $19,117.15 $87,804.79 $65,654.95 nat. median
$28,022
outlier · 2.3×
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 7 $13,553.80 $64,975.74 $64,975.74 nat. median
$19,968
outlier · 3.3×
945
MS_DRG 		Rehabilitation With Cc/mcc 12 $10,065.90 $71,386.60 $62,289.10 nat. median
$14,842
outlier · 4.2×
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 12 $5,225.35 $61,624.94 $53,437.19 nat. median
$8,655
outlier · 6.2×
947
MS_DRG 		Signs And Symptoms With Mcc 12 $8,251.10 $58,633.90 $51,355.90 nat. median
$12,117
outlier · 4.2×
85
MS_DRG 		Traumatic Stupor And Coma <1 Hour With Mcc 11 $14,767.35 $56,253.70 $49,885.45 nat. median
$21,321
outlier · 2.3×
565
MS_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 11 $6,333.60 $55,487.60 $49,119.35 nat. median
$10,094
outlier · 4.9×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 2 $29,877.25 $60,135.15 $45,006.20 nat. median
$42,641
1.1× 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
$27,823
1.6× median
948
MS_DRG 		Signs And Symptoms Without Mcc 11 $5,203.25 $40,513.69 $40,513.69 nat. median
$7,969
outlier · 5.1×
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 55 $12,609.00 $65,910.66 $37,253.85 nat. median
$23,896
1.6× median
638
MS_DRG 		Diabetes With Cc 12 $5,825.30 $38,833.31 $34,284.56 nat. median
$9,225
outlier · 3.7×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 1 $33,835.10 $33,835.10 $33,835.10 nat. median
$46,376
0.7× 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
$27,627
1.2× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $32,634.55 $32,634.55 $32,634.55 nat. median
$31,634
1.0× median
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
$45,237
0.7× 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
$20,545
1.5× 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
$33,273
0.9× 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
$41,685
0.8× median
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 55 $2,082.42 $79,093.42 $30,949.35 nat. median
$22,986
1.3× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 2 $13,706.55 $45,977.33 $29,841.94 nat. median
$20,302
1.5× median
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 2 $18,863.00 $40,720.50 $29,791.75 nat. median
$27,394
1.1× 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
$45,430
0.6× median
603
MS_DRG 		Cellulitis Without Mcc 11 $5,660.85 $31,942.11 $28,303.11 nat. median
$8,986
outlier · 3.1×
159
MS_DRG 		Dental And Oral Diseases Without Cc/mcc 11 $4,605.25 $31,623.67 $27,984.67 nat. median
$7,479
outlier · 3.7×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 1 $27,724.45 $27,724.45 $27,724.45 nat. median
$38,372
0.7× median
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 12 $5,238.35 $31,085.92 $27,446.92 nat. median
$8,516
outlier · 3.2×
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 1 $27,310.40 $27,310.40 $27,310.40 nat. median
$38,022
0.7× median
913
MS_DRG 		Traumatic Injury With Mcc 12 $10,624.90 $30,925.67 $27,286.67 nat. median
$15,774
1.7× median
299
MS_DRG 		Peripheral Vascular Disorders With Mcc 2 $10,612.55 $43,646.71 $27,129.63 nat. median
$15,759
1.7× median
921
MS_DRG 		Complications Of Treatment Without Cc/mcc 12 $4,474.60 $30,736.71 $27,097.71 nat. median
$7,448
outlier · 3.6×
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
$10,401
outlier · 2.5×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 2 $15,581.80 $35,819.99 $25,700.89 nat. median
$22,949
1.1× median
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 57 $65.71 $54,332.83 $25,372.41 nat. median
$470
outlier · 54.0×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 1 $24,955.45 $24,955.45 $24,955.45 nat. median
$35,993
0.7× median
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 7 $8,421.40 $28,145.32 $24,506.32 nat. median
$12,554
2.0× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 1 $24,295.05 $24,295.05 $24,295.05 nat. median
$35,717
0.7× 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
$35,249
0.7× median
J0638
HCPCS 		Injection, Canakinumab, 1 Mg 57 $122.26 $53,587.28 $23,431.80 nat. median
$253
outlier · 92.7×
639
MS_DRG 		Diabetes Without Cc/mcc 11 $4,037.80 $23,374.84 $23,374.84 nat. median
$6,791
outlier · 3.4×
354
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Cc 2 $10,935.60 $35,758.25 $23,346.93 nat. median
$16,472
1.4× 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
$33,627
0.7× 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
$16,535
1.4× 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
$33,735
0.7× 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
$15,989
1.4× median
420
MS_DRG 		Hepatobiliary Diagnostic Procedures With Mcc 1 $22,146.15 $22,146.15 $22,146.15 nat. median
$31,405
0.7× 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
$20,302
1.1× median
656
MS_DRG 		Kidney And Ureter Procedures For Neoplasm With Mcc 2 $20,694.70 $23,108.01 $21,901.35 nat. median
$30,365
0.7× 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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