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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

PUTNAM COUNTY HOSPITAL

Greencastle, IN · CCN 151333 · 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: $2,136 across 24 payers · range $850-$2,575

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbPCHGREENCASTLEIN&type=CDMWithoutLabel&fileType=CSV · observed 2025-11-08

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

7,920 distinct procedures filed
34 distinct payers
197,590 rate rows
2025-11-08 last MRF observed
Data quality

195,200 of 197,590 rate rows are consumer-grade (98.8%)

2,390 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,161
per-diem day rate — not a per-procedure price 757
percent-of-charges filed in the dollar field — excluded from medians 198
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 188
exceeds 3× this hospital's gross charge for a DRG stay — excluded 50
exceeds 10× this hospital's gross charge — excluded from medians 36
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbPCHGREENCASTLEIN&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Putnam_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-19
Content fingerprint a82268e908ffdf1e… · 71,155,431 bytes · first seen 2026-05-08

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
63685
HCPCS 		Insertion Or Replacement Of Spinal Neurostimulator Generator Or Receiver 24 $24,434.11 $74,042.75 $61,407.36 nat. median
$21,040
outlier · 2.9×
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 24 $69.00 $72,078.28 $60,891.28 nat. median
$414
outlier · 146.9×
J3245
HCPCS 		Injection, Tildrakizumab, 1 Mg 24 $180.99 $62,722.14 $52,987.28 nat. median
$256
outlier · 206.8×
J3590
HCPCS 		Unclassified Biologics 24 $17,820.00 $54,000.00 $44,784.90 nat. median
$775
outlier · 57.8×
J9298
HCPCS 		Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg 24 $194.55 $50,747.37 $42,871.07 nat. median
$559
outlier · 76.6×
62362
HCPCS 		Insertion Of Programmable Spinal Canal Drug Infusion Pump 24 $14,033.33 $42,525.25 $35,268.32 nat. median
$16,426
outlier · 2.1×
J9042
HCPCS 		Injection, Brentuximab Vedotin, 1 Mg 24 $246.58 $39,467.36 $33,341.79 nat. median
$962
outlier · 34.6×
J9144
HCPCS 		Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 24 $58.47 $36,917.23 $31,187.44 nat. median
$211
outlier · 147.5×
J9228
HCPCS 		Injection, Ipilimumab, 1 Mg 24 $182.77 $123,996.46 $30,679.68 nat. median
$8,966
outlier · 3.4×
J9119
HCPCS 		Injection, Cemiplimab-rwlc, 1 Mg 24 $31.82 $34,912.61 $29,493.96 nat. median
$91
outlier · 323.9×
J9311
HCPCS 		Injection, Rituximab 10 Mg And Hyaluronidase 24 $49.32 $34,448.19 $29,101.62 nat. median
$2,428
outlier · 12.0×
J2327
HCPCS 		Injection, Risankizumab-rzaa, Intravenous, 1 Mg 24 $17.71 $34,241.97 $28,927.40 nat. median
$1,767
outlier · 16.4×
J1930
HCPCS 		Injection, Lanreotide, 1 Mg 24 $27.54 $33,390.31 $28,207.92 nat. median
$5,088
outlier · 5.5×
J3380
HCPCS 		Injection, Vedolizumab, Intravenous, 1 Mg 24 $30.33 $30,263.71 $25,566.60 nat. median
$155
outlier · 165.4×
J9301
HCPCS 		Injection, Obinutuzumab, 10 Mg 24 $86.54 $30,075.82 $25,407.86 nat. median
$286
outlier · 88.7×
J9223
HCPCS 		Injection, Lurbinectedin, 0.1 Mg 24 $210.79 $27,761.40 $23,452.66 nat. median
$617
outlier · 38.0×
J9022
HCPCS 		Injection, Atezolizumab, 10 Mg 24 $95.59 $37,035.83 $22,540.22 nat. median
$6,720
outlier · 3.4×
J9306
HCPCS 		Injection, Pertuzumab, 1 Mg 24 $16.32 $22,791.53 $19,254.14 nat. median
$75
outlier · 256.4×
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 24 $164.38 $21,776.50 $18,396.65 nat. median
$3,787
outlier · 4.9×
J9271
HCPCS 		Injection, Pembrolizumab, 1 Mg 24 $60.71 $20,594.94 $17,398.48 nat. median
$275
outlier · 63.4×
J2783
HCPCS 		Injection, Rasburicase, 0.5 Mg 24 $376.08 $18,761.00 $15,849.18 nat. median
$1,590
outlier · 10.0×
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 11 $8,194.09 $18,656.19 $15,723.51 nat. median
$27,846
0.6× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 9 $14,075.46 $18,386.50 $15,496.21 nat. median
$27,642
0.6× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 11 $13,479.62 $17,608.17 $14,840.23 nat. median
$25,409
0.6× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 9 $13,476.19 $17,603.69 $14,836.45 nat. median
$25,679
0.6× median
J0896
HCPCS 		Injection, Luspatercept-aamt, 0.25 Mg 24 $41.51 $42,244.47 $13,936.32 nat. median
$4,569
outlier · 3.0×
63650
HCPCS 		Insertion Of Spinal Neurostimulator Electrode Array Through Skin 24 $5,381.56 $16,307.75 $13,524.83 nat. median
$7,298
1.9× median
63663
HCPCS 		Revision Of Spinal Neurostimulator Electrode Array Using Fluoroscopic Guidance 24 $5,381.56 $16,307.75 $13,524.83 nat. median
$6,658
outlier · 2.0×
J2353
HCPCS 		Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 24 $209.04 $23,201.43 $13,470.83 nat. median
$5,623
outlier · 2.4×
350
MS_DRG 		Inguinal And Femoral Hernia Procedures With Mcc 11 $4,828.12 $15,963.11 $13,453.77 nat. median
$23,383
0.6× median
J0480
HCPCS 		Injection, Basiliximab, 20 Mg 24 $4,693.26 $15,875.36 $13,411.40 nat. median
$6,695
outlier · 2.0×
07862005_1
CDM 		Nf-animas Insulin Pump R1000 22 $5,362.50 $15,762.50 $13,411.13 nat. median
$13,411
1.0× median
07863180_1
CDM 		Nf-animas Insulin Pump R1000 22 $5,362.50 $15,762.50 $13,411.13 nat. median
$13,411
1.0× median
478
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Cc 11 $8,281.74 $15,753.64 $13,277.22 nat. median
$22,804
0.6× median
62350
HCPCS 		Insertion, Revision, Or Repositioning Of Spinal Canal Tube For Medication Admini… 24 $5,241.72 $15,884.00 $13,173.40 nat. median
$6,404
outlier · 2.1×
62365
HCPCS 		Removal Of Spinal Canal Drug Infusion Pump Or Device 24 $5,241.72 $15,884.00 $13,173.40 nat. median
$5,668
outlier · 2.3×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 9 $11,755.87 $15,356.46 $12,942.48 nat. median
$22,965
0.6× median
Q5111
HCPCS 		Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 24 $365.31 $14,579.10 $12,316.33 nat. median
$1,984
outlier · 6.2×
J0222
HCPCS 		Injection, Patisiran, 0.1 Mg 24 $102.74 $14,157.15 $11,959.87 nat. median
$157
outlier · 76.2×
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 11 $4,776.40 $14,143.81 $11,920.45 nat. median
$21,030
0.6× median
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 11 $6,591.72 $13,957.39 $11,763.34 nat. median
$20,982
0.6× median
374
MS_DRG 		Digestive Malignancy With Mcc 11 $5,170.15 $13,700.51 $11,546.84 nat. median
$20,165
0.6× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 9 $10,385.20 $13,565.99 $11,433.46 nat. median
$20,545
0.6× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 11 $7,235.80 $13,508.33 $11,384.87 nat. median
$20,323
0.6× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 11 $8,194.09 $13,417.37 $11,308.21 nat. median
$20,312
0.6× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 11 $3,795.07 $13,357.79 $11,257.99 nat. median
$19,970
0.6× median
J1459
HCPCS 		Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 24 $95.05 $24,575.92 $10,915.38 nat. median
$1,371
outlier · 8.0×
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 11 $5,841.02 $12,882.47 $10,857.39 nat. median
$19,268
0.6× median
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 11 $8,508.89 $12,853.64 $10,833.09 nat. median
$18,778
0.6× median
283
MS_DRG 		Acute Myocardial Infarction, Expired With Mcc 11 $4,971.24 $12,689.00 $10,694.34 nat. median
$18,846
0.6× median

Other procedures at this hospital

Browse this hospital's 7,920 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
             
63685 HCPCS Insertion Or Replacement Of Spinal Neurostimulator Generator Or Receiver 24 24 $74,042.75 $62,936.34 $24,434.11 $74,042.75 $61,407.36 2025-11-08
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 24 24 $74,307.50 $63,161.38 $69.00 $72,078.28 $60,891.28 2025-11-08
J3245 HCPCS Injection, Tildrakizumab, 1 Mg 24 24 $64,662.00 $54,962.70 $180.99 $62,722.14 $52,987.28 2025-11-08
J3590 HCPCS Unclassified Biologics 24 24 $54,000.00 $45,900.00 $17,820.00 $54,000.00 $44,784.90 2025-11-08
J9298 HCPCS Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg 24 24 $52,316.88 $44,469.35 $194.55 $50,747.37 $42,871.07 2025-11-08
62362 HCPCS Insertion Of Programmable Spinal Canal Drug Infusion Pump 24 24 $42,525.25 $36,146.46 $14,033.33 $42,525.25 $35,268.32 2025-11-08
J9042 HCPCS Injection, Brentuximab Vedotin, 1 Mg 24 24 $40,688.00 $34,584.80 $246.58 $39,467.36 $33,341.79 2025-11-08
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 24 24 $38,059.00 $32,350.15 $58.47 $36,917.23 $31,187.44 2025-11-08
J9228 HCPCS Injection, Ipilimumab, 1 Mg 46 24 $31,958.00 $27,164.30 $182.77 $123,996.46 $30,679.68 2025-11-08
J9119 HCPCS Injection, Cemiplimab-rwlc, 1 Mg 24 24 $35,992.38 $30,593.52 $31.82 $34,912.61 $29,493.96 2025-11-08
J9311 HCPCS Injection, Rituximab 10 Mg And Hyaluronidase 24 24 $35,513.60 $30,186.56 $49.32 $34,448.19 $29,101.62 2025-11-08
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 24 24 $35,301.00 $30,005.85 $17.71 $34,241.97 $28,927.40 2025-11-08
J1930 HCPCS Injection, Lanreotide, 1 Mg 24 24 $34,423.00 $29,259.55 $27.54 $33,390.31 $28,207.92 2025-11-08
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 24 24 $31,199.70 $26,519.75 $30.33 $30,263.71 $25,566.60 2025-11-08
J9301 HCPCS Injection, Obinutuzumab, 10 Mg 24 24 $31,006.00 $26,355.10 $86.54 $30,075.82 $25,407.86 2025-11-08
J9223 HCPCS Injection, Lurbinectedin, 0.1 Mg 24 24 $28,620.00 $24,327.00 $210.79 $27,761.40 $23,452.66 2025-11-08
J9022 HCPCS Injection, Atezolizumab, 10 Mg 46 24 $38,181.27 $32,454.08 $95.59 $37,035.83 $22,540.22 2025-11-08
J9306 HCPCS Injection, Pertuzumab, 1 Mg 24 24 $23,496.42 $19,971.96 $16.32 $22,791.53 $19,254.14 2025-11-08
J3101 HCPCS Injection, Tenecteplase, 1 Mg 24 24 $22,450.00 $19,082.50 $164.38 $21,776.50 $18,396.65 2025-11-08
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 24 24 $21,231.90 $18,047.12 $60.71 $20,594.94 $17,398.48 2025-11-08
J2783 HCPCS Injection, Rasburicase, 0.5 Mg 24 24 $19,341.24 $16,440.05 $376.08 $18,761.00 $15,849.18 2025-11-08
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 11 11 $24,301.21 $20,656.03 $8,194.09 $18,656.19 $15,723.51 2025-11-08
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 9 9 $27,960.61 $23,766.52 $14,075.46 $18,386.50 $15,496.21 2025-11-08
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 11 11 $19,970.08 $16,974.57 $13,479.62 $17,608.17 $14,840.23 2025-11-08
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 9 9 $47,553.15 $40,420.18 $13,476.19 $17,603.69 $14,836.45 2025-11-08
J0896 HCPCS Injection, Luspatercept-aamt, 0.25 Mg 46 24 $14,517.00 $12,339.45 $41.51 $42,244.47 $13,936.32 2025-11-08
63650 HCPCS Insertion Of Spinal Neurostimulator Electrode Array Through Skin 24 24 $16,307.75 $13,861.59 $5,381.56 $16,307.75 $13,524.83 2025-11-08
63663 HCPCS Revision Of Spinal Neurostimulator Electrode Array Using Fluoroscopic Guidance 24 24 $16,307.75 $13,861.59 $5,381.56 $16,307.75 $13,524.83 2025-11-08
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 46 24 $15,973.00 $13,577.05 $209.04 $23,201.43 $13,470.83 2025-11-08
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 11 11 $21,229.20 $18,044.82 $4,828.12 $15,963.11 $13,453.77 2025-11-08
J0480 HCPCS Injection, Basiliximab, 20 Mg 24 24 $16,366.35 $13,911.40 $4,693.26 $15,875.36 $13,411.40 2025-11-08
07863180_1 CDM Nf-animas Insulin Pump R1000 22 22 $16,250.00 $13,812.50 $5,362.50 $15,762.50 $13,411.13 2025-11-08
07862005_1 CDM Nf-animas Insulin Pump R1000 22 22 $16,250.00 $13,812.50 $5,362.50 $15,762.50 $13,411.13 2025-11-08
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 11 11 $15,200.80 $12,920.68 $8,281.74 $15,753.64 $13,277.22 2025-11-08
62350 HCPCS Insertion, Revision, Or Repositioning Of Spinal Canal Tube For Medication Admini… 24 24 $15,884.00 $13,501.40 $5,241.72 $15,884.00 $13,173.40 2025-11-08
62365 HCPCS Removal Of Spinal Canal Drug Infusion Pump Or Device 24 24 $15,884.00 $13,501.40 $5,241.72 $15,884.00 $13,173.40 2025-11-08
330 MS_DRG Major Small And Large Bowel Procedures With Cc 9 9 $33,284.72 $28,292.01 $11,755.87 $15,356.46 $12,942.48 2025-11-08
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 48 24 $15,030.00 $12,775.50 $365.31 $14,579.10 $12,316.33 2025-11-08
J0222 HCPCS Injection, Patisiran, 0.1 Mg 24 24 $14,595.00 $12,405.75 $102.74 $14,157.15 $11,959.87 2025-11-08
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 11 11 $11,741.40 $9,980.19 $4,776.40 $14,143.81 $11,920.45 2025-11-08
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 11 11 $23,068.00 $19,607.80 $6,591.72 $13,957.39 $11,763.34 2025-11-08
374 MS_DRG Digestive Malignancy With Mcc 11 11 $26,529.40 $22,549.99 $5,170.15 $13,700.51 $11,546.84 2025-11-08
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 9 9 $38,116.76 $32,399.25 $10,385.20 $13,565.99 $11,433.46 2025-11-08
336 MS_DRG Peritoneal Adhesiolysis With Cc 11 11 $21,689.93 $18,436.44 $7,235.80 $13,508.33 $11,384.87 2025-11-08
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 11 11 $22,889.60 $19,456.16 $8,194.09 $13,417.37 $11,308.21 2025-11-08
314 MS_DRG Other Circulatory System Diagnoses With Mcc 11 11 $20,837.20 $17,711.62 $3,795.07 $13,357.79 $11,257.99 2025-11-08
J1459 HCPCS Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 48 24 $19,002.00 $16,151.70 $95.05 $24,575.92 $10,915.38 2025-11-08
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 11 11 $30,167.50 $25,642.38 $5,841.02 $12,882.47 $10,857.39 2025-11-08
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 11 11 $17,286.16 $14,693.24 $8,508.89 $12,853.64 $10,833.09 2025-11-08
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 11 11 $5,305.64 $4,509.79 $4,971.24 $12,689.00 $10,694.34 2025-11-08
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 11 11 $23,945.38 $20,353.57 $4,357.30 $12,443.66 $10,487.56 2025-11-08
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 9 9 $44,689.71 $37,986.25 $9,459.33 $12,356.53 $10,414.13 2025-11-08
J1306 HCPCS Injection, Inclisiran, 1 Mg 24 24 $12,419.00 $10,556.15 $12.63 $12,046.43 $10,176.75 2025-11-08
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 11 11 $24,183.16 $20,555.69 $8,420.81 $11,946.55 $10,068.60 2025-11-08
J2182 HCPCS Injection, Mepolizumab, 1 Mg 24 24 $12,283.00 $10,440.55 $36.36 $11,914.51 $10,065.31 2025-11-08
J9043 HCPCS Injection, Cabazitaxel, 1 Mg 46 24 $48,474.69 $41,203.49 $247.56 $47,020.45 $9,976.32 2025-11-08
205 MS_DRG Other Respiratory System Diagnoses With Mcc 11 11 $11,658.20 $9,909.47 $4,638.05 $11,729.39 $9,885.57 2025-11-08
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 11 11 $9,997.60 $8,497.96 $4,110.01 $11,496.85 $9,689.59 2025-11-08
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 11 11 $24,370.20 $20,714.67 $4,332.24 $11,358.48 $9,572.97 2025-11-08
J9317 HCPCS Injection, Sacituzumab Govitecan-hziy, 2.5 Mg 24 24 $11,654.00 $9,905.90 $35.93 $11,304.38 $9,549.87 2025-11-08
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 11 11 $25,865.54 $21,985.70 $8,281.74 $11,316.20 $9,537.33 2025-11-08
180 MS_DRG Respiratory Neoplasms With Mcc 11 11 $15,855.77 $13,477.40 $3,533.59 $11,313.00 $9,534.63 2025-11-08
91 MS_DRG Other Disorders Of Nervous System With Mcc 11 11 $17,616.30 $14,973.86 $6,206.52 $11,250.22 $9,481.72 2025-11-08
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 11 11 $13,562.94 $11,528.50 $2,203.86 $11,179.11 $9,421.79 2025-11-08
J9299 HCPCS Injection, Nivolumab, 1 Mg 92 24 $12,622.10 $10,728.78 $33.40 $27,193.37 $9,311.11 2025-11-08
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 9 9 $10,759.70 $9,145.75 $8,326.50 $10,876.75 $9,166.96 2025-11-08
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 11 11 $40,669.90 $34,569.42 $6,278.52 $10,836.39 $9,132.95 2025-11-08
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 9 9 $31,026.20 $26,372.27 $8,252.94 $10,780.66 $9,085.98 2025-11-08
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 11 11 $13,366.91 $11,361.87 $7,042.98 $10,777.45 $9,083.28 2025-11-08
07866495_1 CDM Nf-ninlaro Oral Capsule 4mg 12 12 $10,899.00 $9,264.15 $6,539.40 $10,572.03 $8,994.94 2025-11-08
70 MS_DRG Other Cerebrovascular Disorders With Mcc 11 11 $17,421.92 $14,808.63 $3,340.34 $10,664.71 $8,988.26 2025-11-08
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 11 11 $23,962.05 $20,367.74 $4,001.07 $10,598.09 $8,932.11 2025-11-08
299 MS_DRG Peripheral Vascular Disorders With Mcc 11 11 $7,430.90 $6,316.27 $4,602.85 $10,459.08 $8,814.95 2025-11-08
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 11 11 $21,112.15 $17,945.33 $7,998.42 $10,448.19 $8,805.77 2025-11-08
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 9 9 $44,624.20 $37,930.57 $7,985.67 $10,431.53 $8,791.73 2025-11-08
08402340_1 CDM Serosafuse Implantable Cartridge Kit 22 22 $10,553.36 $8,970.36 $3,482.61 $10,236.76 $8,709.69 2025-11-08
884 MS_DRG Organic Disturbances And Intellectual Disability 12 12 $6,981.70 $5,934.45 $4,245.03 $16,227.70 $8,686.45 2025-11-08
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 11 11 $12,736.18 $10,825.75 $4,742.93 $10,277.15 $8,661.62 2025-11-08
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 11 11 $15,405.27 $13,094.48 $4,971.24 $10,275.86 $8,660.54 2025-11-08
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 10 10 $3,050.20 $2,592.67 $6,415.13 $8,567.98 $8,441.34 2025-11-08
177 MS_DRG Respiratory Infections And Inflammations With Mcc 11 11 $13,980.05 $11,883.05 $3,623.98 $10,010.66 $8,437.02 2025-11-08
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 24 24 $10,295.00 $8,750.75 $15.01 $9,986.15 $8,436.24 2025-11-08
186 MS_DRG Pleural Effusion With Mcc 11 11 $5,606.20 $4,765.27 $3,503.02 $9,983.75 $8,414.34 2025-11-08
J9177 HCPCS Injection, Enfortumab Vedotin-ejfv, 0.25 Mg 46 24 $9,914.40 $8,427.24 $36.87 $14,425.45 $8,361.31 2025-11-08
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 11 11 $6,709.01 $5,702.66 $3,593.27 $9,888.30 $8,333.90 2025-11-08
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 11 11 $8,168.01 $6,942.81 $7,535.98 $9,844.10 $8,296.64 2025-11-08
J9358 HCPCS Injection, Fam-trastuzumab Deruxtecan-nxki, 1 Mg 24 24 $10,110.00 $8,593.50 $29.49 $9,806.70 $8,284.64 2025-11-08
183 MS_DRG Major Chest Trauma With Mcc 11 11 $14,618.04 $12,425.33 $3,788.12 $9,800.54 $8,259.93 2025-11-08
813 MS_DRG Coagulation Disorders 11 11 $12,668.74 $10,768.43 $4,996.31 $9,771.07 $8,235.09 2025-11-08
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 11 11 $18,797.41 $15,977.80 $4,828.12 $9,765.95 $8,230.78 2025-11-08
23930 HCPCS Drainage Of Deep Abscess Or Blood Accumulation Of Upper Arm Or Elbow 24 24 $9,924.00 $8,435.40 $3,274.92 $9,924.00 $8,230.47 2025-11-08
J1300 HCPCS Injection, Eculizumab, 10 Mg 24 24 $10,041.15 $8,534.98 $228.30 $9,739.92 $8,228.22 2025-11-08
398 MS_DRG Appendix Procedures With Cc 10 10 $21,952.06 $18,659.25 $7,422.69 $46,608.06 $8,171.93 2025-11-08
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 11 11 $18,470.52 $15,699.94 $6,244.77 $9,525.08 $8,027.77 2025-11-08
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 11 11 $18,066.40 $15,356.44 $2,896.17 $9,499.46 $8,006.18 2025-11-08
682 MS_DRG Renal Failure With Mcc 11 11 $15,820.39 $13,447.33 $4,001.07 $9,487.29 $7,995.92 2025-11-08
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 11 11 $20,253.00 $17,215.05 $4,754.38 $9,244.50 $7,791.30 2025-11-08
637 MS_DRG Diabetes With Mcc 11 11 $19,004.24 $16,153.60 $3,200.83 $9,203.50 $7,756.74 2025-11-08
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 11 11 $28,160.10 $23,936.09 $3,564.59 $9,127.27 $7,692.50 2025-11-08
602 MS_DRG Cellulitis With Mcc 11 11 $18,917.80 $16,080.13 $3,296.44 $9,104.85 $7,673.60 2025-11-08
811 MS_DRG Red Blood Cell Disorders With Mcc 11 11 $12,223.64 $10,390.09 $4,996.31 $8,995.95 $7,581.82 2025-11-08
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 11 11 $6,985.50 $5,937.68 $5,719.05 $8,941.49 $7,535.92 2025-11-08
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 11 11 $3,983.50 $3,385.98 $3,766.24 $8,799.28 $7,416.07 2025-11-08
07865039_1 CDM Nf-sylatron Subq Powder For Solution 300 22 22 $8,911.07 $7,574.41 $2,940.65 $8,643.74 $7,354.31 2025-11-08
J7168 HCPCS Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 24 24 $8,864.00 $7,534.40 $2,925.12 $8,864.00 $7,351.36 2025-11-08
J9034 HCPCS Injection, Bendamustine Hcl (bendeka), 1 Mg 24 24 $8,905.68 $7,569.83 $25.97 $8,638.51 $7,297.76 2025-11-08
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 11 11 $4,831.79 $4,107.02 $3,972.82 $8,555.85 $7,210.90 2025-11-08
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 11 11 $21,631.91 $18,387.12 $3,255.44 $8,420.05 $7,096.45 2025-11-08
540 MS_DRG Osteomyelitis With Cc 11 11 $16,318.40 $13,870.64 $4,921.12 $8,304.10 $6,998.72 2025-11-08
553 MS_DRG Bone Diseases And Arthropathies With Mcc 11 11 $21,782.46 $18,515.09 $4,921.12 $8,304.10 $6,998.72 2025-11-08
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 11 11 $17,808.90 $15,137.57 $5,060.05 $8,299.61 $6,994.94 2025-11-08
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 24 24 $8,475.67 $7,204.32 $1,575.00 $8,221.40 $6,945.39 2025-11-08
291 MS_DRG Heart Failure And Shock With Mcc 11 11 $16,005.62 $13,604.78 $4,026.86 $8,224.02 $6,931.24 2025-11-08
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 11 11 $18,079.14 $15,367.27 $2,565.30 $8,212.49 $6,921.52 2025-11-08
J9176 HCPCS Injection, Elotuzumab, 1 Mg 46 24 $10,923.10 $9,284.64 $7.81 $10,595.41 $6,909.06 2025-11-08
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 11 11 $9,673.90 $8,222.82 $4,047.43 $8,145.23 $6,864.83 2025-11-08
947 MS_DRG Signs And Symptoms With Mcc 11 11 $24,009.64 $20,408.19 $3,861.57 $8,131.78 $6,853.49 2025-11-08
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 11 11 $4,346.00 $3,694.10 $4,776.40 $8,109.36 $6,834.59 2025-11-08
63688 HCPCS Removal Or Revision Of Spinal Neurostimulator Generator Or Receiver 24 24 $8,113.25 $6,896.26 $2,677.37 $8,113.25 $6,728.73 2025-11-08
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 11 11 $6,800.00 $5,780.00 $6,055.72 $7,949.21 $6,699.62 2025-11-08
189 MS_DRG Pulmonary Edema And Respiratory Failure 11 11 $14,389.64 $12,231.19 $3,503.02 $7,913.97 $6,669.92 2025-11-08
375 MS_DRG Digestive Malignancy With Cc 11 11 $45,444.19 $38,627.56 $5,170.15 $7,748.70 $6,530.63 2025-11-08
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 11 11 $14,837.10 $12,611.54 $3,566.18 $7,712.82 $6,500.40 2025-11-08
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/mcc 9 9 $24,529.60 $20,850.16 $5,884.31 $7,686.56 $6,478.26 2025-11-08
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 11 11 $20,856.90 $17,728.37 $5,817.12 $7,598.80 $6,404.29 2025-11-08
J3247 HCPCS Injection, Secukinumab, Intravenous, 1 Mg 24 24 $7,767.10 $6,602.04 $17.94 $7,534.09 $6,364.75 2025-11-08
725 MS_DRG Benign Prostatic Hypertrophy With Mcc 11 11 $25,372.42 $21,566.56 $2,896.17 $7,496.30 $6,317.91 2025-11-08
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 11 11 $9,279.18 $7,887.30 $2,933.69 $7,432.88 $6,264.46 2025-11-08
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 46 24 $23,104.77 $19,639.05 $561.57 $22,411.63 $6,221.38 2025-11-08
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 12 12 $9,171.35 $7,795.65 $5,522.39 $18,417.35 $6,125.42 2025-11-08
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 11 11 $25,731.40 $21,871.69 $4,601.54 $7,245.83 $6,106.81 2025-11-08
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 11 11 $16,192.99 $13,764.04 $3,247.91 $7,095.93 $5,980.47 2025-11-08
C1762 HCPCS Connective Tissue, Human (includes Fascia Lata) 72 24 $7,188.87 $6,110.54 $1,354.20 $20,013.97 $5,962.09 2025-11-08
45385 HCPCS Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S… 24 24 $7,035.00 $5,979.75 $2,321.55 $7,035.00 $5,834.48 2025-11-08
45380 HCPCS Biopsy Of Large Bowel Using A Flexible Endoscope 24 24 $7,035.00 $5,979.75 $2,321.55 $7,035.00 $5,834.48 2025-11-08
45384 HCPCS Removal Of Polyps Or Growths Of Large Bowel Using A Flexible Endoscope With Elec… 24 24 $7,035.00 $5,979.75 $2,321.55 $7,035.00 $5,834.48 2025-11-08
181 MS_DRG Respiratory Neoplasms With Cc 11 11 $9,642.20 $8,195.87 $5,252.18 $9,040.55 $5,782.33 2025-11-08
300 MS_DRG Peripheral Vascular Disorders With Cc 11 11 $19,823.16 $16,849.69 $4,602.85 $6,838.41 $5,763.43 2025-11-08
184 MS_DRG Major Chest Trauma With Cc 11 11 $7,296.71 $6,202.20 $3,788.12 $6,816.62 $5,745.08 2025-11-08
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 11 11 $12,118.19 $10,300.46 $4,629.65 $6,766.02 $5,702.42 2025-11-08
J3358 HCPCS Ustekinumab, For Intravenous Injection, 1 Mg 24 24 $6,941.00 $5,899.85 $16.35 $6,732.77 $5,687.81 2025-11-08
J3032 HCPCS Injection, Eptinezumab-jjmr, 1 Mg 24 24 $6,798.00 $5,778.30 $19.19 $6,594.06 $5,570.62 2025-11-08
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 12 12 $18,092.08 $15,378.27 $3,745.67 $45,830.08 $5,566.91 2025-11-08
J1568 HCPCS Injection, Immune Globulin, (octagam), Intravenous, Non-lyophilized (e.g., Liqui… 112 24 $6,993.00 $5,944.05 $77.84 $15,385.46 $5,551.46 2025-11-08
71 MS_DRG Other Cerebrovascular Disorders With Cc 11 11 $18,320.28 $15,572.24 $3,340.34 $6,572.56 $5,539.37 2025-11-08
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 11 11 $20,126.84 $17,107.81 $4,357.30 $6,555.26 $5,524.80 2025-11-08
92 MS_DRG Other Disorders Of Nervous System With Cc 11 11 $10,132.09 $8,612.27 $5,016.79 $6,553.34 $5,523.18 2025-11-08
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 11 11 $9,616.35 $8,173.90 $4,332.24 $6,540.53 $5,512.38 2025-11-08
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 11 11 $14,987.21 $12,739.13 $4,001.07 $6,502.09 $5,479.99 2025-11-08
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 11 11 $20,393.46 $17,334.44 $4,954.51 $6,471.98 $5,454.61 2025-11-08
369 MS_DRG Major Esophageal Disorders With Cc 11 11 $12,852.00 $10,924.20 $3,930.38 $6,407.28 $5,400.08 2025-11-08
24341 HCPCS Repair Of Tendon Or Muscle Of Upper Arm Or Elbow 24 24 $6,497.00 $5,522.45 $2,144.01 $6,497.00 $5,388.28 2025-11-08
78 MS_DRG Hypertensive Encephalopathy With Cc 11 11 $28,870.61 $24,540.02 $3,357.72 $6,391.91 $5,387.12 2025-11-08
23675 HCPCS Closed Treatment Of Dislocated Shoulder And Broken Neck Of Upper Arm Bone With M… 24 24 $6,482.00 $5,509.70 $2,139.06 $6,482.00 $5,375.85 2025-11-08
J9354 HCPCS Injection, Ado-trastuzumab Emtansine, 1 Mg 46 24 $6,287.00 $5,343.95 $41.27 $7,592.92 $5,302.15 2025-11-08
378 MS_DRG Gastrointestinal Hemorrhage With Cc 11 11 $13,532.46 $11,502.59 $3,956.31 $6,282.36 $5,294.80 2025-11-08
386 MS_DRG Inflammatory Bowel Disease With Cc 11 11 $6,994.70 $5,945.50 $3,586.17 $6,254.18 $5,271.04 2025-11-08
178 MS_DRG Respiratory Infections And Inflammations With Cc 12 12 $11,235.71 $9,550.35 $3,623.98 $23,549.93 $5,269.42 2025-11-08
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 11 11 $6,535.40 $5,555.09 $3,593.27 $6,242.01 $5,260.79 2025-11-08
202 MS_DRG Bronchitis And Asthma With Cc/mcc 11 11 $10,999.95 $9,349.95 $2,647.87 $6,221.51 $5,243.51 2025-11-08
41899 HCPCS Other Procedure On Teeth And Gums 24 24 $6,300.00 $5,355.00 $2,079.00 $6,300.00 $5,224.91 2025-11-08
04550126_1 CDM Ethicon Phy 2025v Mesh Oval 22 22 $6,321.84 $5,373.56 $2,086.21 $6,132.18 $5,217.41 2025-11-08
552 MS_DRG Medical Back Problems Without Mcc 11 11 $10,436.66 $8,871.16 $4,714.22 $6,158.09 $5,190.06 2025-11-08
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 178 24 $7,009.00 $5,957.65 $474.27 $42,828.51 $5,130.45 2025-11-08
197 MS_DRG Interstitial Lung Disease With Cc 11 11 $3,976.00 $3,379.60 $3,503.02 $6,079.93 $5,124.19 2025-11-08
26350 HCPCS Repair Of Finger Tendon Of Under Side Of Hand Other Than Upper Most Part Of Palm… 24 24 $6,172.85 $5,246.92 $2,037.04 $6,172.85 $5,119.45 2025-11-08
05116356_1 CDM Repair Finger/hand Tendon 22 22 $6,189.00 $5,260.65 $2,042.37 $6,003.33 $5,107.78 2025-11-08
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 11 11 $9,390.15 $7,981.63 $4,615.15 $6,028.69 $5,081.00 2025-11-08
394 MS_DRG Other Digestive System Diagnoses With Cc 11 11 $12,339.44 $10,488.52 $4,073.07 $5,994.09 $5,051.84 2025-11-08
J9308 HCPCS Injection, Ramucirumab, 5 Mg 46 24 $5,245.00 $4,458.25 $76.48 $25,436.31 $5,035.20 2025-11-08
04550536_1 CDM Kit Percutanesus Assess 22 22 $6,095.90 $5,181.52 $2,011.65 $5,913.02 $5,030.95 2025-11-08
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 11 11 $8,492.15 $7,218.33 $4,507.27 $5,887.75 $4,962.22 2025-11-08
812 MS_DRG Red Blood Cell Disorders Without Mcc 11 11 $7,922.02 $6,733.71 $4,502.85 $5,881.99 $4,957.36 2025-11-08
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 11 11 $19,103.14 $16,237.67 $3,741.76 $5,867.90 $4,945.48 2025-11-08
101 MS_DRG Seizures Without Mcc 12 12 $7,085.22 $6,022.44 $3,609.21 $19,413.22 $4,873.14 2025-11-08
638 MS_DRG Diabetes With Cc 11 11 $19,241.46 $16,355.24 $3,200.83 $5,741.06 $4,838.58 2025-11-08
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 11 11 $12,891.26 $10,957.57 $3,564.59 $5,736.57 $4,834.80 2025-11-08
27825 HCPCS Closed Treatment Of Broken Shin Bone At Lower Weight Bearing Joint With Manipula… 24 24 $5,823.00 $4,949.55 $1,921.59 $5,823.00 $4,829.31 2025-11-08
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 11 11 $14,748.67 $12,536.37 $4,380.25 $6,244.77 $4,822.39 2025-11-08
04552050_1 CDM Operating Room Services - General Classification 22 22 $5,819.73 $4,946.77 $1,920.51 $5,645.14 $4,803.02 2025-11-08
914 MS_DRG Traumatic Injury Without Mcc 11 11 $17,189.38 $14,610.97 $4,342.49 $5,672.51 $4,780.81 2025-11-08
95805 HCPCS Sleep Study, Multiple Trials 24 24 $5,819.45 $4,946.53 $142.03 $5,644.87 $4,768.74 2025-11-08
42182 HCPCS Repair Of Lacerated Roof Of Mouth, More Than 2.0 Cm 24 24 $5,747.00 $4,884.95 $1,896.51 $5,747.00 $4,766.27 2025-11-08
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 11 11 $8,790.97 $7,472.32 $2,203.86 $5,655.22 $4,766.24 2025-11-08
J9303 HCPCS Injection, Panitumumab, 10 Mg 46 24 $5,650.00 $4,802.50 $181.16 $8,127.63 $4,764.93 2025-11-08
683 MS_DRG Renal Failure With Cc 11 11 $9,735.17 $8,274.89 $4,001.07 $5,610.37 $4,728.44 2025-11-08
312 MS_DRG Syncope And Collapse 11 11 $15,127.83 $12,858.66 $3,489.69 $5,583.47 $4,705.77 2025-11-08
603 MS_DRG Cellulitis Without Mcc 11 11 $21,924.91 $18,636.18 $3,296.44 $5,578.99 $4,701.99 2025-11-08
866 MS_DRG Viral Illness Without Mcc 11 11 $12,562.90 $10,678.47 $2,612.53 $5,570.66 $4,694.97 2025-11-08
J9264 HCPCS Injection, Paclitaxel Protein-bound Particles, 1 Mg 24 24 $5,688.21 $4,834.98 $14.93 $5,517.56 $4,661.20 2025-11-08
07866879_1 CDM Xgeva 120 Mg/1.7 Ml Vial 12 12 $5,637.00 $4,791.45 $3,382.20 $5,467.89 $4,652.22 2025-11-08
Q5117 HCPCS Injection, Trastuzumab-anns, Biosimilar, (kanjinti), 10 Mg 48 24 $9,303.12 $7,907.65 $95.20 $13,298.70 $4,651.43 2025-11-08
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 11 11 $3,396.96 $2,887.42 $2,730.16 $5,490.58 $4,627.48 2025-11-08
24535 HCPCS Closed Treatment Of Upper Arm Bone Broken At Elbow With Manipulation 24 24 $5,572.80 $4,736.88 $1,839.02 $5,572.80 $4,621.80 2025-11-08
G0104 HCPCS Colorectal Cancer Screening; Flexible Sigmoidoscopy 24 24 $5,565.00 $4,730.25 $1,836.45 $5,565.00 $4,615.33 2025-11-08
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 11 11 $15,660.50 $13,311.43 $4,173.75 $5,475.85 $4,615.07 2025-11-08
J9355 HCPCS Injection, Trastuzumab, Excludes Biosimilar, 10 Mg 24 24 $5,610.30 $4,768.76 $109.09 $5,441.99 $4,597.36 2025-11-08
26490 HCPCS Transfer Of Tendon From Ring Finger To Thumb 24 24 $5,543.00 $4,711.55 $1,829.19 $5,543.00 $4,597.09 2025-11-08
292 MS_DRG Heart Failure And Shock With Cc 11 11 $7,867.93 $6,687.74 $4,026.86 $5,438.69 $4,583.75 2025-11-08
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 11 11 $11,601.60 $9,861.36 $3,247.91 $5,400.26 $4,551.36 2025-11-08
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 11 11 $3,804.16 $3,233.54 $3,832.88 $5,388.73 $4,541.64 2025-11-08
G0105 HCPCS Colorectal Cancer Screening; Colonoscopy On Individual At High Risk 24 24 $5,460.00 $4,641.00 $1,801.80 $5,460.00 $4,528.25 2025-11-08
G0121 HCPCS Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For … 24 24 $5,460.00 $4,641.00 $1,801.80 $5,460.00 $4,528.25 2025-11-08
J1448 HCPCS Injection, Trilaciclib, 1mg 24 24 $5,479.20 $4,657.32 $5.47 $5,314.82 $4,489.93 2025-11-08
04550875_1 CDM Wristfix Kit 22 22 $5,437.01 $4,621.46 $1,794.21 $5,273.90 $4,487.16 2025-11-08
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 11 11 $8,986.20 $7,638.27 $3,593.27 $5,320.82 $4,484.41 2025-11-08
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 11 11 $4,866.21 $4,136.28 $4,070.81 $5,317.62 $4,481.71 2025-11-08
07865150_1 CDM Eligard 30 Mg Syringe Kit 12 12 $5,420.00 $4,607.00 $3,252.00 $5,257.40 $4,473.13 2025-11-08
78608 HCPCS Nuclear Medicine Study Of Brain With Metabolic Evaluation 24 24 $5,400.00 $4,590.00 $777.75 $5,238.00 $4,425.03 2025-11-08
25111 HCPCS Removal Of First Cyst Of Wrist 24 24 $5,316.30 $4,518.86 $1,754.38 $5,316.30 $4,409.07 2025-11-08
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 24 24 $5,376.80 $4,570.28 $280.83 $5,215.50 $4,406.02 2025-11-08
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 12 12 $6,620.65 $5,627.55 $3,942.33 $18,948.65 $4,372.82 2025-11-08
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 11 11 $9,603.04 $8,162.58 $2,933.69 $5,185.66 $4,370.49 2025-11-08
26418 HCPCS Repair Of Tendon On Top Side Of Finger 24 24 $5,267.59 $4,477.45 $1,738.30 $5,267.59 $4,368.68 2025-11-08
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 11 11 $6,742.31 $5,730.96 $2,565.30 $5,173.49 $4,360.23 2025-11-08
204 MS_DRG Respiratory Signs And Symptoms 11 11 $15,901.63 $13,516.39 $3,707.57 $5,172.20 $4,359.15 2025-11-08
534 MS_DRG Fractures Of Femur Without Mcc 11 11 $7,525.95 $6,397.06 $3,564.59 $5,163.88 $4,352.13 2025-11-08
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 11 11 $15,576.67 $13,240.17 $3,255.44 $5,162.60 $4,351.05 2025-11-08
J0897 HCPCS Injection, Denosumab, 1 Mg 46 24 $12,419.10 $10,556.24 $28.75 $12,046.53 $4,346.69 2025-11-08
176 MS_DRG Pulmonary Embolism Without Mcc 11 11 $10,542.65 $8,961.25 $3,766.24 $5,156.83 $4,346.20 2025-11-08
948 MS_DRG Signs And Symptoms Without Mcc 11 11 $9,850.75 $8,373.14 $3,861.57 $5,128.00 $4,321.90 2025-11-08
A9569 HCPCS Technetium Tc-99m Exametazime Labeled Autologous White Blood Cells, Diagnostic, … 24 24 $5,196.00 $4,416.60 $1,714.68 $5,196.00 $4,309.31 2025-11-08
04550030_1 CDM Perm Birth Control System 22 22 $5,213.29 $4,431.30 $1,720.39 $5,056.89 $4,302.53 2025-11-08
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 11 11 $3,687.62 $3,134.48 $3,905.06 $6,206.52 $4,299.22 2025-11-08
129JA OTHER Orencia 250 Mg Vial 24 24 $5,142.00 $4,370.70 $1,696.86 $5,142.00 $4,264.51 2025-11-08
389 MS_DRG Gastrointestinal Obstruction With Cc 11 11 $11,261.37 $9,572.16 $3,281.52 $5,059.46 $4,264.13 2025-11-08
07866887_1 CDM Tymlos 80 Mcg Dose Pen Injectr 22 22 $5,128.85 $4,359.52 $1,692.52 $4,974.98 $4,232.84 2025-11-08
694 MS_DRG Urinary Stones Without Mcc 11 11 $6,188.34 $5,260.09 $3,025.97 $5,007.57 $4,220.40 2025-11-08
Q0249 HCPCS Injection, Tocilizumab, For Hospitalized Adults And Pediatric Patients (2 Years … 46 24 $4,781.00 $4,063.85 $6.97 $9,274.17 $4,214.21 2025-11-08
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 11 11 $8,140.98 $6,919.84 $3,823.16 $4,994.12 $4,209.06 2025-11-08
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 11 11 $10,177.10 $8,650.54 $3,816.29 $4,985.15 $4,201.50 2025-11-08
27220 HCPCS Closed Treatment Of Broken Hip Socket 24 24 $5,042.00 $4,285.70 $1,663.86 $5,042.00 $4,181.58 2025-11-08
64633 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 48 24 $6,905.62 $5,869.78 $1,519.24 $9,207.50 $4,173.07 2025-11-08
64635 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 48 24 $6,905.62 $5,869.78 $1,519.24 $9,207.50 $4,173.07 2025-11-08
541 MS_DRG Osteomyelitis Without Cc/mcc 11 11 $12,542.35 $10,661.00 $3,783.44 $4,942.23 $4,165.33 2025-11-08
645 MS_DRG Endocrine Disorders Without Cc/mcc 12 12 $2,870.13 $2,439.61 $3,417.98 $5,952.13 $4,148.05 2025-11-08
07866948_1 CDM Dupixent 200 Mg/1.14 Ml Pen 22 22 $5,004.21 $4,253.58 $1,651.39 $4,854.08 $4,129.97 2025-11-08
04552082_1 CDM Operating Room Services - General Classification 22 22 $4,970.36 $4,224.81 $1,640.22 $4,821.25 $4,102.04 2025-11-08
305 MS_DRG Hypertension Without Mcc 11 11 $6,227.49 $5,293.37 $3,357.72 $4,837.17 $4,076.78 2025-11-08
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 11 11 $6,642.85 $5,646.42 $3,623.98 $4,836.53 $4,076.25 2025-11-08
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 2 2 $1,635.00 $1,389.75 $4,073.07 $4,073.07 $4,073.07 2025-11-08
149 MS_DRG Dysequilibrium 11 11 $2,423.10 $2,059.64 $3,685.85 $4,814.75 $4,057.89 2025-11-08
04552079_1 CDM Operating Room Services - General Classification 22 22 $4,858.01 $4,129.31 $1,603.14 $4,712.27 $4,009.32 2025-11-08
04550630_1 CDM Uphold Lite With Capio Slim 22 22 $4,813.73 $4,091.67 $1,588.53 $4,669.32 $3,972.77 2025-11-08
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 11 11 $11,285.19 $9,592.41 $3,566.18 $4,712.89 $3,972.04 2025-11-08
04552076_1 CDM Operating Room Services - General Classification 22 22 $4,791.73 $4,072.97 $1,581.27 $4,647.98 $3,954.61 2025-11-08
24565 HCPCS Closed Treatment Of Broken Outer Part Of Upper Arm Bone At Elbow With Manipulati… 24 24 $4,759.00 $4,045.15 $1,570.47 $4,759.00 $3,946.88 2025-11-08
J9047 HCPCS Injection, Carfilzomib, 1 Mg 68 24 $5,363.00 $4,558.55 $57.32 $10,923.56 $3,941.49 2025-11-08
869 MS_DRG Other Infectious And Parasitic Diseases Diagnoses Without Cc/mcc 11 11 $6,555.72 $5,572.36 $3,578.45 $4,674.46 $3,939.65 2025-11-08
11012 HCPCS Removal Of Foreign Material From Skin, Tissue, Muscle, And Bone At Open Broken A… 24 24 $4,749.62 $4,037.18 $1,567.37 $4,749.62 $3,939.10 2025-11-08
43247 HCPCS Removal Of Foreign Bodies Of Esophagus, Stomach, And/or Upper Small Bowel Using … 24 24 $4,725.00 $4,016.25 $1,559.25 $4,725.00 $3,918.68 2025-11-08
43239 HCPCS Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endoscop… 24 24 $4,725.00 $4,016.25 $1,559.25 $4,725.00 $3,918.68 2025-11-08
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 11 11 $3,515.43 $2,988.12 $3,546.08 $4,971.24 $3,904.02 2025-11-08
313 MS_DRG Chest Pain 11 11 $11,000.19 $9,350.16 $2,429.99 $4,612.32 $3,887.28 2025-11-08
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 24 24 $4,733.00 $4,023.05 $12.52 $4,591.01 $3,878.45 2025-11-08
434 MS_DRG Cirrhosis And Alcoholic Hepatitis Without Cc/mcc 11 11 $1,858.40 $1,579.64 $3,494.10 $4,629.65 $3,846.79 2025-11-08
J9098 HCPCS Injection, Cytarabine Liposome, 10 Mg 24 24 $4,624.20 $3,930.57 $1,525.99 $4,624.20 $3,835.08 2025-11-08
04552073_1 CDM Operating Room Services - General Classification 22 22 $4,634.44 $3,939.27 $1,529.37 $4,495.41 $3,824.80 2025-11-08
62355 HCPCS Removal Of Implanted Tube In Spinal Canal 24 24 $4,603.75 $3,913.19 $1,519.24 $4,603.75 $3,818.12 2025-11-08
63661 HCPCS Insertion Of Spinal Neurostimulator Electrode Array Using Fluoroscopic Guidance 24 24 $4,603.75 $3,913.19 $1,519.24 $4,603.75 $3,818.12 2025-11-08
27301 HCPCS Drainage Of Deep Abscess Or Blood Accumulation Of Thigh Or Knee 24 24 $4,582.60 $3,895.21 $1,512.26 $4,582.60 $3,800.58 2025-11-08
311 MS_DRG Angina Pectoris 11 11 $11,861.68 $10,082.43 $3,276.16 $4,496.37 $3,789.56 2025-11-08
J9203 HCPCS Injection, Gemtuzumab Ozogamicin, 0.1 Mg 24 24 $4,564.35 $3,879.70 $1,506.24 $4,564.35 $3,785.44 2025-11-08
J2796 HCPCS Injection, Romiplostim, 10 Micrograms 90 24 $8,585.88 $7,298.00 $105.18 $16,656.61 $3,784.06 2025-11-08
72295 HCPCS Review By Radiologist Of Disc Of Lower Spine Image 24 24 $4,603.75 $3,913.19 $39.30 $4,465.64 $3,772.54 2025-11-08
64625 HCPCS Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui… 24 24 $4,603.75 $3,913.19 $354.73 $4,465.64 $3,772.54 2025-11-08
64624 HCPCS Destruction Of Nerve Branches Of Knee Using Imaging Guidance 24 24 $4,603.75 $3,913.19 $289.87 $4,465.64 $3,772.54 2025-11-08
72285 HCPCS Review By Radiologist Of Disc Of Upper Or Middle Spine Image 24 24 $4,603.75 $3,913.19 $37.82 $4,465.64 $3,772.54 2025-11-08
IC_1 CDM Intensive Care Unit - General Classification 9 9 $4,335.00 $3,684.75 $1,242.84 $4,204.95 $3,771.45 2025-11-08
31530 HCPCS Removal Of Foreign Body In Voice Box Using An Endoscope 24 24 $4,541.00 $3,859.85 $1,498.53 $4,541.00 $3,766.08 2025-11-08
J9033 HCPCS Injection, Bendamustine Hydrochloride, 1 Mg 70 24 $5,760.00 $4,896.00 $3.68 $10,378.03 $3,744.65 2025-11-08
01111017_1 CDM Chromasome Study Pa 22 22 $4,532.32 $3,852.47 $1,495.67 $4,396.35 $3,740.52 2025-11-08
04552070_1 CDM Operating Room Services - General Classification 22 22 $4,522.09 $3,843.78 $1,492.29 $4,386.43 $3,732.08 2025-11-08
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 11 11 $11,249.80 $9,562.33 $3,378.86 $4,413.73 $3,719.91 2025-11-08
78815 HCPCS Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan 24 24 $4,536.00 $3,855.60 $777.75 $4,399.92 $3,717.02 2025-11-08
78816 HCPCS Nuclear Medicine Study Whole Body With CT Scan 24 24 $4,536.00 $3,855.60 $777.75 $4,399.92 $3,717.02 2025-11-08
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 11 11 $19,521.46 $16,593.24 $3,356.30 $5,841.02 $3,695.08 2025-11-08
04552024_1 CDM Operating Room Services - General Classification 22 22 $4,451.31 $3,783.61 $1,468.93 $4,317.77 $3,673.67 2025-11-08
303 MS_DRG Atherosclerosis Without Mcc 11 11 $5,569.50 $4,734.08 $3,248.06 $4,312.52 $3,634.61 2025-11-08
04552025_1 CDM Operating Room Services - General Classification 22 22 $4,397.38 $3,737.77 $1,451.14 $4,265.46 $3,629.16 2025-11-08
04552016_1 CDM Operating Room Services - General Classification 22 22 $4,389.51 $3,731.08 $1,448.54 $4,257.82 $3,622.66 2025-11-08
27762 HCPCS Closed Treatment Of Inside Portion Of Shin Bone At Ankle With Manipulation 24 24 $4,356.72 $3,703.21 $1,437.72 $4,356.72 $3,613.24 2025-11-08
04552017_1 CDM Operating Room Services - General Classification 22 22 $4,356.93 $3,703.39 $1,437.79 $4,226.22 $3,595.77 2025-11-08
04550125_1 CDM Ethicon Phy1520v Mesh Oval 22 22 $4,330.68 $3,681.08 $1,429.12 $4,200.76 $3,574.11 2025-11-08
43235 HCPCS Diagnostic Exam Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible… 24 24 $4,200.00 $3,570.00 $1,386.00 $4,200.00 $3,483.27 2025-11-08
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 11 11 $8,012.26 $6,810.42 $3,148.37 $4,112.65 $3,466.16 2025-11-08
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 24 24 $4,204.14 $3,573.52 $49.88 $4,078.02 $3,445.09 2025-11-08
08409082_1 CDM Plate Dhs 95 Degree 16 Hole 22 22 $4,154.00 $3,530.90 $1,370.82 $4,029.38 $3,428.30 2025-11-08
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 11 11 $12,852.70 $10,924.79 $3,091.48 $4,038.34 $3,403.53 2025-11-08
04552015_1 CDM Operating Room Services - General Classification 22 22 $4,118.75 $3,500.94 $1,359.19 $3,995.19 $3,399.20 2025-11-08
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 11 11 $9,601.92 $8,161.63 $3,082.16 $4,026.17 $3,393.27 2025-11-08
950 MS_DRG Aftercare Without Cc/mcc 11 11 $8,735.16 $7,424.89 $3,078.24 $7,273.03 $3,388.95 2025-11-08
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 11 11 $10,805.01 $9,184.26 $3,047.35 $3,980.69 $3,354.94 2025-11-08
639 MS_DRG Diabetes Without Cc/mcc 12 12 $4,522.12 $3,843.80 $3,046.36 $10,650.24 $3,353.86 2025-11-08
04550254_1 CDM Echo 4x8 22 22 $4,060.22 $3,451.19 $1,339.87 $3,938.41 $3,350.90 2025-11-08
J1451 HCPCS Injection, Fomepizole, 15 Mg 24 24 $4,069.00 $3,458.65 $10.34 $3,946.93 $3,334.35 2025-11-08
103 MS_DRG Headaches Without Mcc 2 2 $1,223.25 $1,039.76 $3,328.17 $3,328.17 $3,328.17 2025-11-08
26433 HCPCS Repair Of Tendon On Upper Side Of End Of Finger 24 24 $4,002.90 $3,402.47 $1,320.96 $4,002.90 $3,319.81 2025-11-08
28208 HCPCS Repair Of Tendon Of Top Side Of Foot 24 24 $4,002.90 $3,402.47 $1,320.96 $4,002.90 $3,319.81 2025-11-08
04550186_1 CDM Mesh Knitted 30cm X 30cm 22 22 $4,011.04 $3,409.38 $1,323.64 $3,890.71 $3,310.31 2025-11-08
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