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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

St Anthony Regional Hospital & Nursing Home

Carroll, IA · CCN 160005 · 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: $156 across 19 payers · range $134-$457

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSARHCARROLLIA&type=CDMWithoutLabel · observed 2026-02-09

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.

5,199 distinct procedures filed
20 distinct payers
134,877 rate rows
2026-02-09 last MRF observed
Data quality

130,582 of 134,877 rate rows are consumer-grade (96.8%)

4,295 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 1,849
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,302
template filing: same amount across many unrelated codes — excluded 808
percent-of-charges filed in the dollar field — excluded from medians 236
exceeds 10× this hospital's gross charge — excluded from medians 61
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 20
exceeds 3× this hospital's gross charge for a DRG stay — excluded 16
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=dbSARHCARROLLIA&type=CDMWithoutLabel
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-18
Content fingerprint bf764a138ab3771d… · 55,436,746 bytes · first seen 2026-05-07

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
02109405
CDM 		Operating Room Services - General Classification 17 $48,470.12 $126,560.86 $55,202.08 nat. median
$55,202
1.0× median
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 3 $50,952.70 $53,040.76 $52,000.75 nat. median
$30,994
1.7× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 $49,431.89 $50,420.52 $49,431.89 nat. median
$43,741
1.1× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 $47,858.02 $48,815.18 $47,858.02 nat. median
$45,474
1.1× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 $43,026.14 $43,886.66 $43,026.14 nat. median
$27,642
1.6× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 3 $42,712.42 $43,566.66 $42,712.42 nat. median
$32,654
1.3× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 3 $41,008.59 $41,828.76 $41,008.59 nat. median
$42,662
1.0× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 3 $21,821.64 $39,132.21 $38,364.91 nat. median
$33,175
1.2× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 3 $32,120.62 $32,763.03 $32,120.62 nat. median
$36,018
0.9× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 $20,728.10 $32,591.65 $31,952.60 nat. median
$30,215
1.1× median
243
MS_DRG 		Permanent Cardiac Pacemaker Implant With Cc 3 $31,398.66 $32,026.63 $31,398.66 nat. median
$21,251
1.5× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 3 $30,110.95 $30,713.17 $30,110.95 nat. median
$25,679
1.2× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 3 $29,605.58 $30,197.69 $29,605.58 nat. median
$20,545
1.4× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 3 $29,268.22 $29,853.59 $29,268.22 nat. median
$27,846
1.1× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 3 $28,506.89 $29,077.02 $28,506.89 nat. median
$20,312
1.4× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 3 $27,043.28 $27,584.14 $27,043.28 nat. median
$18,831
1.4× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 3 $25,738.50 $26,253.27 $25,738.50 nat. median
$22,965
1.1× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 3 $15,628.78 $25,436.54 $24,937.78 nat. median
$19,970
1.2× median
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 3 $24,761.89 $25,257.12 $24,761.89 nat. median
$19,340
1.3× median
465
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 3 $24,358.90 $24,846.08 $24,358.90 nat. median
$17,569
1.4× median
350
MS_DRG 		Inguinal And Femoral Hernia Procedures With Mcc 3 $23,285.15 $23,750.85 $23,285.15 nat. median
$23,383
1.0× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 3 $23,131.57 $23,594.20 $23,131.57 nat. median
$19,268
1.2× median
922
MS_DRG 		Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 3 $12,377.52 $23,422.82 $22,963.55 nat. median
$16,622
1.4× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 3 $22,414.86 $22,863.16 $22,414.86 nat. median
$20,323
1.1× median
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 3 $22,110.33 $22,552.53 $22,110.33 nat. median
$21,232
1.0× median
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 $20,691.26 $22,208.43 $21,772.98 nat. median
$21,030
1.0× median
244
MS_DRG 		Permanent Cardiac Pacemaker Implant Without Cc/mcc 3 $21,142.90 $21,565.76 $21,142.90 nat. median
$18,005
1.2× median
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 5 $16,885.16 $39,493.16 $20,593.71 nat. median
$11,478
1.8× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 $20,486.58 $20,896.31 $20,486.58 nat. median
$23,195
0.9× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 3 $20,481.32 $20,890.95 $20,481.32 nat. median
$19,254
1.1× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 $20,440.63 $20,849.45 $20,440.63 nat. median
$18,303
1.1× median
261
MS_DRG 		Cardiac Pacemaker Revision Except Device Replacement With Cc 3 $20,402.57 $20,810.62 $20,402.57 nat. median
$18,586
1.1× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 3 $20,336.93 $20,743.67 $20,336.93 nat. median
$23,584
0.9× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 3 $20,311.99 $20,718.23 $20,311.99 nat. median
$18,659
1.1× median
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 3 $20,284.43 $20,690.12 $20,284.43 nat. median
$18,778
1.1× median
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 3 $11,250.58 $20,593.71 $20,189.92 nat. median
$8,661
outlier · 2.3×
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 4 $15,949.75 $32,905.75 $20,108.10 nat. median
$12,550
1.6× median
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 3 $19,154.23 $19,537.32 $19,154.23 nat. median
$16,459
1.2× median
988
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 $19,017.72 $19,398.07 $19,017.72 nat. median
$16,264
1.2× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 3 $18,902.20 $19,280.25 $18,902.20 nat. median
$15,405
1.2× median
571
MS_DRG 		Skin Debridement With Cc 3 $18,899.58 $19,277.57 $18,899.58 nat. median
$16,367
1.2× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 3 $18,524.16 $18,894.64 $18,524.16 nat. median
$16,542
1.1× median
88
MS_DRG 		Concussion With Mcc 3 $18,518.91 $18,889.29 $18,518.91 nat. median
$13,757
1.3× median
542
MS_DRG 		Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 3 $18,471.65 $18,841.09 $18,471.65 nat. median
$17,182
1.1× median
380
MS_DRG 		Complicated Peptic Ulcer With Mcc 3 $18,144.80 $18,507.70 $18,144.80 nat. median
$18,519
1.0× median
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 3 $16,431.68 $18,474.23 $18,111.99 nat. median
$15,670
1.2× median
C1882
HCPCS 		Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 17 $15,872.40 $41,444.60 $18,076.90 nat. median
$27,370
0.7× median
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc 3 $17,953.16 $18,312.22 $17,953.16 nat. median
$15,979
1.1× median
441
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 3 $10,834.35 $18,284.10 $17,925.59 nat. median
$17,437
1.0× median
562
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 3 $17,882.27 $18,239.92 $17,882.27 nat. median
$13,965
1.3× median

Other procedures at this hospital

Browse this hospital's 5,199 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
             
02109405 CDM Operating Room Services - General Classification 17 17 $134,639.21 $134,639.21 $48,470.12 $126,560.86 $55,202.08 2026-02-09
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 3 $50,952.70 $50,952.70 $50,952.70 $53,040.76 $52,000.75 2026-02-09
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 $77,989.35 $77,989.35 $49,431.89 $50,420.52 $49,431.89 2026-02-09
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 $69,251.48 $69,251.48 $47,858.02 $48,815.18 $47,858.02 2026-02-09
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 3 $51,909.14 $51,909.14 $43,026.14 $43,886.66 $43,026.14 2026-02-09
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 3 $71,990.42 $71,990.42 $42,712.42 $43,566.66 $42,712.42 2026-02-09
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 $66,044.68 $66,044.68 $41,008.59 $41,828.76 $41,008.59 2026-02-09
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 3 $21,821.64 $21,821.64 $21,821.64 $39,132.21 $38,364.91 2026-02-09
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 3 3 $122,906.72 $122,906.72 $32,120.62 $32,763.03 $32,120.62 2026-02-09
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 3 $20,728.10 $20,728.10 $20,728.10 $32,591.65 $31,952.60 2026-02-09
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 3 3 $59,213.49 $59,213.49 $31,398.66 $32,026.63 $31,398.66 2026-02-09
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 3 3 $78,184.15 $78,184.15 $30,110.95 $30,713.17 $30,110.95 2026-02-09
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 3 3 $46,758.78 $46,758.78 $29,605.58 $30,197.69 $29,605.58 2026-02-09
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 3 $88,046.79 $88,046.79 $29,268.22 $29,853.59 $29,268.22 2026-02-09
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 3 3 $59,700.87 $59,700.87 $28,506.89 $29,077.02 $28,506.89 2026-02-09
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 3 3 $71,063.30 $71,063.30 $27,043.28 $27,584.14 $27,043.28 2026-02-09
330 MS_DRG Major Small And Large Bowel Procedures With Cc 3 3 $57,779.89 $57,779.89 $25,738.50 $26,253.27 $25,738.50 2026-02-09
314 MS_DRG Other Circulatory System Diagnoses With Mcc 3 3 $15,628.78 $15,628.78 $15,628.78 $25,436.54 $24,937.78 2026-02-09
908 MS_DRG Other O.r. Procedures For Injuries With Cc 3 3 $51,345.24 $51,345.24 $24,761.89 $25,257.12 $24,761.89 2026-02-09
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 $52,800.14 $52,800.14 $24,358.90 $24,846.08 $24,358.90 2026-02-09
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 3 3 $72,108.79 $72,108.79 $23,285.15 $23,750.85 $23,285.15 2026-02-09
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 3 3 $27,049.00 $27,049.00 $23,131.57 $23,594.20 $23,131.57 2026-02-09
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 3 3 $12,377.52 $12,377.52 $12,377.52 $23,422.82 $22,963.55 2026-02-09
336 MS_DRG Peritoneal Adhesiolysis With Cc 3 3 $45,361.82 $45,361.82 $22,414.86 $22,863.16 $22,414.86 2026-02-09
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 3 3 $25,250.38 $25,250.38 $22,110.33 $22,552.53 $22,110.33 2026-02-09
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 3 $20,691.26 $20,691.26 $20,691.26 $22,208.43 $21,772.98 2026-02-09
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 3 3 $36,288.73 $36,288.73 $21,142.90 $21,565.76 $21,142.90 2026-02-09
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 5 5 $16,885.16 $16,885.16 $16,885.16 $39,493.16 $20,593.71 2026-02-09
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 3 $30,573.02 $30,573.02 $20,486.58 $20,896.31 $20,486.58 2026-02-09
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 3 3 $25,708.96 $25,708.96 $20,481.32 $20,890.95 $20,481.32 2026-02-09
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 $35,610.97 $35,610.97 $20,440.63 $20,849.45 $20,440.63 2026-02-09
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 3 3 $106,335.93 $106,335.93 $20,402.57 $20,810.62 $20,402.57 2026-02-09
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 3 3 $128,362.67 $128,362.67 $20,336.93 $20,743.67 $20,336.93 2026-02-09
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 3 3 $24,692.20 $24,692.20 $20,311.99 $20,718.23 $20,311.99 2026-02-09
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 3 3 $53,214.05 $53,214.05 $20,284.43 $20,690.12 $20,284.43 2026-02-09
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 3 3 $11,250.58 $11,250.58 $11,250.58 $20,593.71 $20,189.92 2026-02-09
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 4 4 $15,949.75 $15,949.75 $15,949.75 $32,905.75 $20,108.10 2026-02-09
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 3 3 $34,826.98 $34,826.98 $19,154.23 $19,537.32 $19,154.23 2026-02-09
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 3 $84,848.83 $84,848.83 $19,017.72 $19,398.07 $19,017.72 2026-02-09
177 MS_DRG Respiratory Infections And Inflammations With Mcc 3 3 $32,934.83 $32,934.83 $18,902.20 $19,280.25 $18,902.20 2026-02-09
571 MS_DRG Skin Debridement With Cc 3 3 $30,131.80 $30,131.80 $18,899.58 $19,277.57 $18,899.58 2026-02-09
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 3 3 $43,505.58 $43,505.58 $18,524.16 $18,894.64 $18,524.16 2026-02-09
88 MS_DRG Concussion With Mcc 3 3 $46,816.34 $46,816.34 $18,518.91 $18,889.29 $18,518.91 2026-02-09
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 3 3 $38,404.60 $38,404.60 $18,471.65 $18,841.09 $18,471.65 2026-02-09
380 MS_DRG Complicated Peptic Ulcer With Mcc 3 3 $22,141.55 $22,141.55 $18,144.80 $18,507.70 $18,144.80 2026-02-09
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 3 3 $16,431.68 $16,431.68 $16,431.68 $18,474.23 $18,111.99 2026-02-09
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 17 17 $44,090.00 $44,090.00 $15,872.40 $41,444.60 $18,076.90 2026-02-09
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 3 3 $35,567.66 $35,567.66 $17,953.16 $18,312.22 $17,953.16 2026-02-09
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 3 3 $10,834.35 $10,834.35 $10,834.35 $18,284.10 $17,925.59 2026-02-09
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 3 3 $27,335.81 $27,335.81 $17,882.27 $18,239.92 $17,882.27 2026-02-09
811 MS_DRG Red Blood Cell Disorders With Mcc 3 3 $22,398.24 $22,398.24 $17,764.13 $18,119.42 $17,764.13 2026-02-09
393 MS_DRG Other Digestive System Diagnoses With Mcc 5 5 $36,190.77 $36,190.77 $17,333.58 $72,928.77 $17,680.25 2026-02-09
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 3 3 $51,442.54 $51,442.54 $17,525.23 $17,875.73 $17,525.23 2026-02-09
682 MS_DRG Renal Failure With Mcc 3 3 $24,644.89 $24,644.89 $17,312.58 $17,658.83 $17,312.58 2026-02-09
186 MS_DRG Pleural Effusion With Mcc 3 3 $18,195.21 $18,195.21 $17,089.43 $17,431.22 $17,089.43 2026-02-09
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 3 3 $29,007.75 $29,007.75 $16,738.95 $17,073.73 $16,738.95 2026-02-09
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 3 3 $24,686.35 $24,686.35 $16,736.33 $17,071.05 $16,736.33 2026-02-09
602 MS_DRG Cellulitis With Mcc 3 3 $18,945.67 $18,945.67 $16,665.44 $16,998.75 $16,665.44 2026-02-09
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 3 3 $24,887.69 $24,887.69 $16,549.93 $16,880.93 $16,549.93 2026-02-09
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 3 3 $27,127.83 $27,127.83 $16,527.61 $16,858.17 $16,527.61 2026-02-09
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 3 3 $20,804.37 $20,804.37 $16,355.66 $16,682.77 $16,355.66 2026-02-09
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 3 3 $23,394.49 $23,394.49 $16,144.32 $16,467.21 $16,144.32 2026-02-09
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 3 3 $58,826.20 $58,826.20 $16,103.63 $16,425.70 $16,103.63 2026-02-09
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 3 3 $23,235.35 $23,235.35 $16,039.31 $16,360.09 $16,039.31 2026-02-09
J9228 HCPCS Injection, Ipilimumab, 1 Mg 36 19 $17,406.28 $17,406.28 $175.73 $56,410.45 $16,013.77 2026-02-09
887 MS_DRG Other Mental Disorder Diagnoses 4 4 $36,123.83 $36,123.83 $15,684.89 $86,991.83 $15,841.74 2026-02-09
551 MS_DRG Medical Back Problems With Mcc 3 3 $47,646.88 $47,646.88 $15,816.16 $16,132.48 $15,816.16 2026-02-09
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 3 3 $16,709.50 $16,709.50 $15,796.47 $16,112.40 $15,796.47 2026-02-09
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 3 3 $67,816.02 $67,816.02 $15,736.08 $16,050.81 $15,736.08 2026-02-09
546 MS_DRG Connective Tissue Disorders With Cc 3 3 $18,440.91 $18,440.91 $15,623.20 $15,935.66 $15,623.20 2026-02-09
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 3 3 $34,028.46 $34,028.46 $15,607.44 $15,919.59 $15,607.44 2026-02-09
71 MS_DRG Other Cerebrovascular Disorders With Cc 3 3 $38,718.79 $38,718.79 $15,442.05 $15,750.89 $15,442.05 2026-02-09
504 MS_DRG Foot Procedures With Cc 3 3 $181,764.58 $181,764.58 $15,333.10 $15,639.76 $15,333.10 2026-02-09
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 3 3 $22,486.62 $22,486.62 $15,301.60 $15,607.63 $15,301.60 2026-02-09
291 MS_DRG Heart Failure And Shock With Mcc 3 3 $18,387.21 $18,387.21 $15,069.26 $15,370.64 $15,069.26 2026-02-09
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 17 17 $36,734.00 $36,734.00 $13,224.24 $34,529.96 $15,060.94 2026-02-09
637 MS_DRG Diabetes With Mcc 3 3 $16,355.31 $16,355.31 $15,024.63 $15,325.12 $15,024.63 2026-02-09
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 3 3 $27,889.53 $27,889.53 $14,914.36 $15,212.65 $14,914.36 2026-02-09
949 MS_DRG Aftercare With Cc/mcc 5 5 $21,721.14 $21,721.14 $14,546.82 $58,459.14 $14,837.76 2026-02-09
540 MS_DRG Osteomyelitis With Cc 3 3 $13,007.88 $13,007.88 $13,007.88 $15,128.30 $14,831.67 2026-02-09
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 3 3 $35,319.95 $35,319.95 $14,748.97 $15,043.95 $14,748.97 2026-02-09
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 3 3 $31,435.12 $31,435.12 $14,710.90 $15,005.12 $14,710.90 2026-02-09
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 3 3 $45,493.83 $45,493.83 $14,675.46 $14,968.97 $14,675.46 2026-02-09
444 MS_DRG Disorders Of The Biliary Tract With Mcc 3 3 $16,359.52 $16,359.52 $14,577.01 $14,868.55 $14,577.01 2026-02-09
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 3 3 $20,540.47 $20,540.47 $14,386.68 $14,674.41 $14,386.68 2026-02-09
315 MS_DRG Other Circulatory System Diagnoses With Cc 3 3 $15,546.10 $15,546.10 $14,366.99 $14,654.33 $14,366.99 2026-02-09
964 MS_DRG Other Multiple Significant Trauma With Cc 3 3 $29,736.09 $29,736.09 $14,306.61 $14,592.74 $14,306.61 2026-02-09
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 3 3 $12,652.66 $12,652.66 $12,652.66 $14,512.40 $14,227.85 2026-02-09
786 MS_DRG Cesarean Section Without Sterilization With Mcc 3 3 $30,242.31 $30,242.31 $14,197.65 $14,481.61 $14,197.65 2026-02-09
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 3 3 $36,167.59 $36,167.59 $13,967.94 $14,247.30 $13,967.94 2026-02-09
606 MS_DRG Minor Skin Disorders With Mcc 4 4 $21,623.50 $21,623.50 $13,717.22 $55,535.50 $13,854.40 2026-02-09
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 3 3 $26,111.52 $26,111.52 $13,832.74 $14,109.39 $13,832.74 2026-02-09
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 4 4 $8,296.07 $8,296.07 $8,296.07 $16,774.07 $13,713.86 2026-02-09
300 MS_DRG Peripheral Vascular Disorders With Cc 3 3 $32,045.17 $32,045.17 $13,503.26 $13,773.33 $13,503.26 2026-02-09
J9229 HCPCS Injection, Inotuzumab Ozogamicin, 0.1 Mg 19 19 $32,702.51 $32,702.51 $2,573.85 $30,740.36 $13,408.03 2026-02-09
378 MS_DRG Gastrointestinal Hemorrhage With Cc 3 3 $22,712.46 $22,712.46 $13,400.87 $13,668.89 $13,400.87 2026-02-09
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 3 3 $21,195.61 $21,195.61 $13,287.99 $13,553.75 $13,287.99 2026-02-09
572 MS_DRG Skin Debridement Without Cc/mcc 3 3 $25,054.90 $25,054.90 $13,264.36 $13,529.65 $13,264.36 2026-02-09
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 17 17 $32,222.22 $32,222.22 $11,600.00 $30,288.89 $13,211.11 2026-02-09
388 MS_DRG Gastrointestinal Obstruction With Mcc 3 3 $57,612.08 $57,612.08 $13,138.34 $13,401.11 $13,138.34 2026-02-09
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 3 3 $38,796.60 $38,796.60 $13,101.59 $13,363.62 $13,101.59 2026-02-09
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 3 3 $19,010.94 $19,010.94 $13,081.90 $13,343.54 $13,081.90 2026-02-09
386 MS_DRG Inflammatory Bowel Disease With Cc 3 3 $15,107.74 $15,107.74 $13,033.33 $13,294.00 $13,033.33 2026-02-09
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 3 3 $16,911.40 $16,911.40 $13,026.77 $13,287.30 $13,026.77 2026-02-09
787 MS_DRG Cesarean Section Without Sterilization With Cc 3 3 $25,346.42 $25,346.42 $12,663.16 $12,916.43 $12,663.16 2026-02-09
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 3 3 $11,067.45 $11,067.45 $11,067.45 $12,766.47 $12,516.15 2026-02-09
92 MS_DRG Other Disorders Of Nervous System With Cc 4 4 $15,416.74 $15,416.74 $12,384.88 $40,850.74 $12,508.73 2026-02-09
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 5 5 $16,623.82 $16,623.82 $12,094.78 $33,579.82 $12,336.68 2026-02-09
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 3 $14,646.00 $14,646.00 $12,296.93 $12,542.87 $12,296.93 2026-02-09
J9298 HCPCS Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg 17 17 $29,646.24 $29,646.24 $10,672.65 $27,867.47 $12,154.96 2026-02-09
381 MS_DRG Complicated Peptic Ulcer With Cc 3 3 $20,854.58 $20,854.58 $12,147.29 $12,390.24 $12,147.29 2026-02-09
644 MS_DRG Endocrine Disorders With Cc 3 3 $25,917.49 $25,917.49 $11,958.27 $12,197.43 $11,958.27 2026-02-09
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 3 3 $66,866.48 $66,866.48 $11,907.08 $12,145.22 $11,907.08 2026-02-09
189 MS_DRG Pulmonary Edema And Respiratory Failure 3 3 $22,235.06 $22,235.06 $11,765.31 $12,000.62 $11,765.31 2026-02-09
947 MS_DRG Signs And Symptoms With Mcc 3 3 $18,602.40 $18,602.40 $11,732.49 $11,967.14 $11,732.49 2026-02-09
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 19 19 $28,566.14 $28,566.14 $58.50 $26,852.17 $11,712.12 2026-02-09
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 3 3 $25,636.37 $25,636.37 $11,425.33 $11,653.84 $11,425.33 2026-02-09
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 3 3 $24,877.48 $24,877.48 $11,406.95 $11,635.09 $11,406.95 2026-02-09
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 3 3 $25,023.94 $25,023.94 $11,399.08 $11,627.06 $11,399.08 2026-02-09
375 MS_DRG Digestive Malignancy With Cc 3 3 $14,318.02 $14,318.02 $11,292.75 $11,518.61 $11,292.75 2026-02-09
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 3 3 $26,557.99 $26,557.99 $11,292.75 $11,518.61 $11,292.75 2026-02-09
552 MS_DRG Medical Back Problems Without Mcc 3 3 $22,290.95 $22,290.95 $11,189.05 $11,412.84 $11,189.05 2026-02-09
884 MS_DRG Organic Disturbances And Intellectual Disability 3 3 $17,286.87 $17,286.87 $11,168.05 $11,391.41 $11,168.05 2026-02-09
187 MS_DRG Pleural Effusion With Cc 3 3 $81,133.18 $81,133.18 $11,154.93 $11,378.02 $11,154.93 2026-02-09
J3245 HCPCS Injection, Tildrakizumab, 1 Mg 19 19 $27,184.60 $27,184.60 $137.43 $25,553.52 $11,145.69 2026-02-09
178 MS_DRG Respiratory Infections And Inflammations With Cc 3 3 $26,142.03 $26,142.03 $11,051.23 $11,272.25 $11,051.23 2026-02-09
394 MS_DRG Other Digestive System Diagnoses With Cc 3 3 $42,536.19 $42,536.19 $11,031.54 $11,252.17 $11,031.54 2026-02-09
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 3 3 $27,045.09 $27,045.09 $11,023.66 $11,244.13 $11,023.66 2026-02-09
920 MS_DRG Complications Of Treatment With Cc 3 3 $27,121.25 $27,121.25 $10,994.78 $11,214.68 $10,994.78 2026-02-09
182 MS_DRG Respiratory Neoplasms Without Cc/mcc 3 3 $6,236.35 $6,236.35 $6,236.35 $11,213.34 $10,993.47 2026-02-09
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 3 3 $38,720.73 $38,720.73 $10,967.22 $11,186.56 $10,967.22 2026-02-09
J2406 HCPCS Injection, Oritavancin (kimyrsa), 10 Mg 17 17 $26,599.81 $26,599.81 $9,575.93 $25,003.82 $10,905.92 2026-02-09
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 3 3 $39,532.69 $39,532.69 $10,897.65 $11,115.60 $10,897.65 2026-02-09
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 3 3 $23,983.15 $23,983.15 $10,835.95 $11,052.67 $10,835.95 2026-02-09
755 MS_DRG Malignancy, Female Reproductive System With Cc 3 3 $18,374.02 $18,374.02 $10,833.33 $11,049.99 $10,833.33 2026-02-09
603 MS_DRG Cellulitis Without Mcc 3 3 $16,195.07 $16,195.07 $10,650.87 $10,863.88 $10,650.87 2026-02-09
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 3 3 $20,444.80 $20,444.80 $10,615.42 $10,827.73 $10,615.42 2026-02-09
185 MS_DRG Major Chest Trauma Without Cc/mcc 3 3 $14,951.84 $14,951.84 $10,523.54 $10,734.01 $10,523.54 2026-02-09
389 MS_DRG Gastrointestinal Obstruction With Cc 3 3 $71,226.46 $71,226.46 $10,506.47 $10,716.60 $10,506.47 2026-02-09
302 MS_DRG Atherosclerosis With Mcc 3 3 $4,354.00 $4,354.00 $4,354.00 $10,713.93 $10,503.85 2026-02-09
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 3 3 $13,238.37 $13,238.37 $10,455.28 $10,664.39 $10,455.28 2026-02-09
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 3 3 $17,777.42 $17,777.42 $10,397.52 $10,605.47 $10,397.52 2026-02-09
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 3 3 $32,421.58 $32,421.58 $10,257.07 $10,462.21 $10,257.07 2026-02-09
865 MS_DRG Viral Illness With Mcc 3 3 $18,688.02 $18,688.02 $10,219.00 $10,423.38 $10,219.00 2026-02-09
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 3 3 $31,221.27 $31,221.27 $10,173.06 $10,376.52 $10,173.06 2026-02-09
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 3 3 $22,470.13 $22,470.13 $10,173.06 $10,376.52 $10,173.06 2026-02-09
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 3 3 $17,972.64 $17,972.64 $10,128.43 $10,331.00 $10,128.43 2026-02-09
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 3 3 $27,894.19 $27,894.19 $10,028.67 $10,229.24 $10,028.67 2026-02-09
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 3 3 $17,408.53 $17,408.53 $9,921.03 $10,119.45 $9,921.03 2026-02-09
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 3 3 $16,425.85 $16,425.85 $9,859.34 $10,056.52 $9,859.34 2026-02-09
812 MS_DRG Red Blood Cell Disorders Without Mcc 3 3 $17,405.61 $17,405.61 $9,842.27 $10,039.12 $9,842.27 2026-02-09
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 3 3 $18,872.97 $18,872.97 $9,822.58 $10,019.03 $9,822.58 2026-02-09
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 3 3 $49,926.04 $49,926.04 $9,822.58 $10,019.03 $9,822.58 2026-02-09
200 MS_DRG Pneumothorax With Cc 3 3 $44,500.17 $44,500.17 $9,819.96 $10,016.36 $9,819.96 2026-02-09
683 MS_DRG Renal Failure With Cc 3 3 $13,518.92 $13,518.92 $9,781.89 $9,977.53 $9,781.89 2026-02-09
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 19 19 $23,811.97 $23,811.97 $4,044.48 $22,383.25 $9,762.91 2026-02-09
645 MS_DRG Endocrine Disorders Without Cc/mcc 3 3 $13,245.68 $13,245.68 $9,755.64 $9,950.75 $9,755.64 2026-02-09
C2621 HCPCS Pacemaker, Other Than Single Or Dual Chamber (implantable) 17 17 $23,793.00 $23,793.00 $8,565.48 $22,365.42 $9,755.13 2026-02-09
638 MS_DRG Diabetes With Cc 3 3 $17,256.55 $17,256.55 $9,721.51 $9,915.94 $9,721.51 2026-02-09
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 17 17 $23,552.00 $23,552.00 $8,478.72 $22,138.88 $9,656.32 2026-02-09
758 MS_DRG Infections, Female Reproductive System With Cc 3 3 $13,391.55 $13,391.55 $9,624.37 $9,816.86 $9,624.37 2026-02-09
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 3 3 $9,428.54 $9,428.54 $9,428.54 $9,768.66 $9,577.12 2026-02-09
69 MS_DRG Transient Ischemia Without Thrombolytic 3 3 $28,637.68 $28,637.68 $9,489.17 $9,678.95 $9,489.17 2026-02-09
312 MS_DRG Syncope And Collapse 3 3 $20,045.77 $20,045.77 $9,353.97 $9,541.04 $9,353.97 2026-02-09
202 MS_DRG Bronchitis And Asthma With Cc/mcc 3 3 $21,128.78 $21,128.78 $9,327.71 $9,514.27 $9,327.71 2026-02-09
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 3 3 $7,459.25 $7,459.25 $7,459.25 $9,474.10 $9,288.33 2026-02-09
J9316 HCPCS Injection, Pertuzumab, Trastuzumab, And Hyaluronidase-zzxf, Per 10 Mg 34 17 $21,584.82 $21,584.82 $6,392.03 $23,889.16 $9,286.28 2026-02-09
950 MS_DRG Aftercare Without Cc/mcc 5 5 $26,785.93 $26,785.93 $9,059.93 $77,653.93 $9,241.13 2026-02-09
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 3 $16,725.74 $16,725.74 $9,238.45 $9,423.22 $9,238.45 2026-02-09
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/mcc 3 3 $12,992.94 $12,992.94 $9,092.75 $9,274.60 $9,092.75 2026-02-09
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 3 3 $27,575.26 $27,575.26 $9,073.06 $9,254.52 $9,073.06 2026-02-09
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 3 3 $17,335.09 $17,335.09 $9,008.74 $9,188.91 $9,008.74 2026-02-09
948 MS_DRG Signs And Symptoms Without Mcc 5 5 $19,199.48 $19,199.48 $8,775.09 $41,807.48 $8,950.59 2026-02-09
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 3 3 $15,728.14 $15,728.14 $8,880.10 $9,057.70 $8,880.10 2026-02-09
176 MS_DRG Pulmonary Embolism Without Mcc 3 3 $14,389.07 $14,389.07 $8,780.34 $8,955.94 $8,780.34 2026-02-09
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 3 3 $24,922.51 $24,922.51 $8,722.58 $8,897.03 $8,722.58 2026-02-09
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 4 4 $12,920.25 $12,920.25 $8,601.82 $27,050.25 $8,687.83 2026-02-09
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 3 3 $9,417.34 $9,417.34 $8,624.13 $8,796.61 $8,624.13 2026-02-09
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 3 3 $12,341.45 $12,341.45 $8,596.56 $8,768.50 $8,596.56 2026-02-09
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 3 3 $20,839.83 $20,839.83 $8,591.31 $8,763.14 $8,591.31 2026-02-09
885 MS_DRG Psychoses 4 4 $13,581.50 $13,581.50 $8,500.74 $30,537.50 $8,585.75 2026-02-09
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 3 3 $14,824.25 $14,824.25 $8,537.50 $8,708.25 $8,537.50 2026-02-09
J9043 HCPCS Injection, Cabazitaxel, 1 Mg 19 19 $20,498.32 $20,498.32 $200.08 $19,268.42 $8,404.31 2026-02-09
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 3 3 $27,973.27 $27,973.27 $8,351.10 $8,518.12 $8,351.10 2026-02-09
101 MS_DRG Seizures Without Mcc 3 3 $18,985.65 $18,985.65 $8,263.15 $8,428.41 $8,263.15 2026-02-09
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 5 5 $15,870.63 $15,870.63 $8,092.51 $32,826.63 $8,254.36 2026-02-09
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 17 17 $20,045.26 $20,045.26 $7,216.29 $18,842.54 $8,218.56 2026-02-09
596 MS_DRG Major Skin Disorders Without Mcc 5 5 $7,099.79 $7,099.79 $7,099.79 $15,577.79 $8,178.04 2026-02-09
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 3 3 $8,539.06 $8,539.06 $8,155.51 $8,318.62 $8,155.51 2026-02-09
791 MS_DRG Prematurity With Major Problems 2 2 $5,215.27 $5,215.27 $5,215.27 $10,867.27 $8,041.27 2026-02-09
639 MS_DRG Diabetes Without Cc/mcc 3 3 $10,620.98 $10,620.98 $7,991.43 $8,151.26 $7,991.43 2026-02-09
793 MS_DRG Full Term Neonate With Major Problems 3 3 $5,954.68 $5,954.68 $5,954.68 $8,068.25 $7,910.05 2026-02-09
886 MS_DRG Behavioral And Developmental Disorders 4 4 $3,880.58 $3,880.58 $3,880.58 $9,532.58 $7,887.06 2026-02-09
201 MS_DRG Pneumothorax Without Cc/mcc 3 3 $37,378.20 $37,378.20 $7,871.98 $8,029.42 $7,871.98 2026-02-09
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 3 3 $19,988.85 $19,988.85 $7,843.10 $7,999.96 $7,843.10 2026-02-09
J1930 HCPCS Injection, Lanreotide, 1 Mg 19 19 $19,124.00 $19,124.00 $67.09 $17,976.56 $7,840.84 2026-02-09
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 3 3 $27,579.88 $27,579.88 $7,822.10 $7,978.54 $7,822.10 2026-02-09
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 3 3 $13,662.28 $13,662.28 $7,709.21 $7,863.40 $7,709.21 2026-02-09
J0896 HCPCS Injection, Luspatercept-aamt, 0.25 Mg 34 17 $15,199.58 $15,199.58 $2,735.93 $21,431.40 $7,675.79 2026-02-09
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 3 3 $8,091.84 $8,091.84 $7,654.08 $7,807.16 $7,654.08 2026-02-09
204 MS_DRG Respiratory Signs And Symptoms 3 3 $13,057.30 $13,057.30 $7,375.80 $7,523.31 $7,375.80 2026-02-09
534 MS_DRG Fractures Of Femur Without Mcc 3 3 $17,674.28 $17,674.28 $7,323.29 $7,469.76 $7,323.29 2026-02-09
864 MS_DRG Fever And Inflammatory Conditions 3 3 $43,221.47 $43,221.47 $7,269.47 $7,414.86 $7,269.47 2026-02-09
866 MS_DRG Viral Illness Without Mcc 3 3 $17,467.95 $17,467.95 $7,168.40 $7,311.77 $7,168.40 2026-02-09
914 MS_DRG Traumatic Injury Without Mcc 3 3 $22,303.61 $22,303.61 $7,126.39 $7,268.92 $7,126.39 2026-02-09
883 MS_DRG Disorders Of Personality And Impulse Control 4 4 $8,508.58 $8,508.58 $6,979.38 $19,812.58 $7,049.17 2026-02-09
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 3 3 $34,346.94 $34,346.94 $6,936.06 $7,074.78 $6,936.06 2026-02-09
313 MS_DRG Chest Pain 3 3 $10,056.56 $10,056.56 $6,905.87 $7,043.98 $6,905.87 2026-02-09
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 3 3 $11,480.51 $11,480.51 $6,819.23 $6,955.62 $6,819.23 2026-02-09
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 5 5 $4,864.82 $4,864.82 $4,864.82 $10,516.82 $6,784.24 2026-02-09
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 3 3 $23,246.33 $23,246.33 $6,748.35 $6,883.32 $6,748.35 2026-02-09
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 3 3 $18,837.93 $18,837.93 $6,647.27 $6,780.22 $6,647.27 2026-02-09
J9272 HCPCS Injection, Dostarlimab-gxly, 10 Mg 17 17 $16,104.35 $16,104.35 $5,797.57 $15,138.09 $6,602.78 2026-02-09
L8690 HCPCS Auditory Osseointegrated Device, Includes All Internal And External Components 17 17 $16,091.71 $16,091.71 $5,793.02 $15,126.21 $6,597.60 2026-02-09
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 3 3 $16,374.81 $16,374.81 $6,555.39 $6,686.50 $6,555.39 2026-02-09
J9223 HCPCS Injection, Lurbinectedin, 0.1 Mg 17 17 $15,660.00 $15,660.00 $5,637.60 $14,720.40 $6,420.60 2026-02-09
A9604 HCPCS Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri… 17 17 $15,455.00 $15,455.00 $5,563.80 $14,527.70 $6,336.55 2026-02-09
792 MS_DRG Prematurity Without Major Problems 5 5 $5,394.26 $5,394.26 $5,394.26 $11,046.26 $6,330.35 2026-02-09
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 3 3 $11,748.12 $11,748.12 $6,296.80 $6,422.73 $6,296.80 2026-02-09
J9309 HCPCS Injection, Polatuzumab Vedotin-piiq, 1 Mg 34 17 $13,362.06 $13,362.06 $1,796.08 $20,430.90 $6,257.19 2026-02-09
J3101 HCPCS Injection, Tenecteplase, 1 Mg 19 19 $15,132.32 $15,132.32 $127.92 $14,224.38 $6,204.25 2026-02-09
951 MS_DRG Other Factors Influencing Health Status 5 5 $4,152.66 $4,152.66 $4,152.66 $9,804.66 $6,126.83 2026-02-09
J9119 HCPCS Injection, Cemiplimab-rwlc, 1 Mg 17 17 $14,921.54 $14,921.54 $5,371.75 $14,026.25 $6,117.83 2026-02-09
882 MS_DRG Neuroses Except Depressive 4 4 $9,540.06 $9,540.06 $6,051.33 $20,844.06 $6,111.84 2026-02-09
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 4 4 $3,973.83 $3,973.83 $3,973.83 $9,625.83 $6,060.14 2026-02-09
881 MS_DRG Depressive Neuroses 4 4 $7,417.02 $7,417.02 $5,997.51 $15,895.02 $6,057.49 2026-02-09
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 3 3 $10,696.54 $10,696.54 $5,849.18 $5,966.17 $5,849.18 2026-02-09
J9042 HCPCS Injection, Brentuximab Vedotin, 1 Mg 19 19 $14,057.00 $14,057.00 $191.20 $13,213.58 $5,763.37 2026-02-09
J9022 HCPCS Injection, Atezolizumab, 10 Mg 36 19 $15,829.01 $15,829.01 $87.63 $14,879.27 $5,698.44 2026-02-09
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 17 17 $13,778.27 $13,778.27 $4,960.18 $12,951.57 $5,649.09 2026-02-09
02109782 CDM Operating Room Services - General Classification 17 17 $13,585.00 $13,585.00 $4,890.60 $12,769.90 $5,569.85 2026-02-09
78608 HCPCS Nuclear Medicine Study Of Brain With Metabolic Evaluation 19 19 $13,583.00 $13,583.00 $2,927.02 $12,768.02 $5,569.03 2026-02-09
78816 HCPCS Nuclear Medicine Study Whole Body With CT Scan 19 19 $13,583.00 $13,583.00 $2,927.02 $12,768.02 $5,569.03 2026-02-09
78815 HCPCS Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan 19 19 $13,583.00 $13,583.00 $2,927.02 $12,768.02 $5,569.03 2026-02-09
153 MS_DRG Otitis Media And Uri Without Mcc 3 3 $21,177.34 $21,177.34 $5,450.14 $5,559.14 $5,450.14 2026-02-09
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 3 3 $18,078.00 $18,078.00 $5,447.51 $5,556.46 $5,447.51 2026-02-09
601 MS_DRG Non-malignant Breast Disorders Without Cc/mcc 3 3 $33,763.53 $33,763.53 $5,404.19 $5,512.28 $5,404.19 2026-02-09
J9311 HCPCS Injection, Rituximab 10 Mg And Hyaluronidase 19 19 $13,153.16 $13,153.16 $43.23 $12,363.97 $5,392.80 2026-02-09
J9063 HCPCS Injection, Mirvetuximab Soravtansine-gynx, 1 Mg 17 17 $12,974.30 $12,974.30 $4,670.75 $12,195.84 $5,319.46 2026-02-09
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 19 19 $12,557.87 $12,557.87 $20.55 $11,804.40 $5,148.73 2026-02-09
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 3 3 $11,908.72 $11,908.72 $5,116.72 $5,219.06 $5,116.72 2026-02-09
J2323 HCPCS Injection, Natalizumab, 1 Mg 19 19 $12,371.16 $12,371.16 $21.28 $11,628.89 $5,072.18 2026-02-09
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 53 19 $8,395.16 $8,395.16 $209.96 $12,435.94 $4,762.70 2026-02-09
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 19 19 $11,340.00 $11,340.00 $4,082.40 $18,350.46 $4,742.39 2026-02-09
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 19 19 $11,564.16 $11,564.16 $56.63 $10,870.31 $4,741.31 2026-02-09
17028700 CDM Ryanodex 250 Mg Vial 17 17 $11,335.86 $11,335.86 $4,080.91 $10,655.71 $4,647.70 2026-02-09
J9308 HCPCS Injection, Ramucirumab, 5 Mg 19 19 $10,554.44 $10,554.44 $67.39 $9,921.17 $4,327.32 2026-02-09
794 MS_DRG Neonate With Other Significant Problems 3 3 $4,996.34 $4,996.34 $4,317.32 $4,403.66 $4,317.32 2026-02-09
C1764 HCPCS Event Recorder, Cardiac (implantable) 17 17 $10,290.00 $10,290.00 $3,704.40 $9,672.60 $4,218.90 2026-02-09
445 MS_DRG Disorders Of The Biliary Tract With Cc 2 2 $2,729.00 $2,729.00 $2,729.00 $5,555.00 $4,142.00 2026-02-09
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 1 1 $4,112.00 $4,112.00 $4,112.00 $4,112.00 $4,112.00 2026-02-09
293 MS_DRG Heart Failure And Shock Without Cc/mcc 3 3 $17,374.72 $17,374.72 $3,983.90 $4,063.58 $3,983.90 2026-02-09
A9600 HCPCS Strontium Sr-89 Chloride, Therapeutic, Per Millicurie 17 17 $9,497.00 $9,497.00 $3,418.92 $8,927.18 $3,893.77 2026-02-09
J9306 HCPCS Injection, Pertuzumab, 1 Mg 19 19 $9,457.30 $9,457.30 $14.30 $8,889.86 $3,877.49 2026-02-09
J1300 HCPCS Injection, Eculizumab, 10 Mg 19 19 $9,451.83 $9,451.83 $234.83 $8,884.72 $3,875.25 2026-02-09
C1785 HCPCS Pacemaker, Dual Chamber, Rate-responsive (implantable) 17 17 $9,208.00 $9,208.00 $3,314.88 $8,655.52 $3,775.28 2026-02-09
Q5122 HCPCS Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg 17 17 $9,141.67 $9,141.67 $3,291.00 $8,593.17 $3,748.08 2026-02-09
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 17 17 $8,478.56 $8,478.56 $3,052.28 $7,969.85 $3,476.21 2026-02-09
C1786 HCPCS Pacemaker, Single Chamber, Rate-responsive (implantable) 17 17 $8,400.00 $8,400.00 $3,024.00 $7,896.00 $3,444.00 2026-02-09
J9204 HCPCS Injection, Mogamulizumab-kpkc, 1 Mg 17 17 $8,329.14 $8,329.14 $2,998.49 $7,829.39 $3,414.95 2026-02-09
47531 HCPCS Injection Of Bile Duct For X-ray Through Already Existing Skin Access Using Imag… 17 17 $8,272.00 $8,272.00 $2,977.92 $7,775.68 $3,391.52 2026-02-09
L8693 HCPCS Auditory Osseointegrated Device Abutment, Any Length, Replacement Only 17 17 $7,942.00 $7,942.00 $2,859.12 $7,465.48 $3,256.22 2026-02-09
795 MS_DRG Normal Newborn 3 3 $4,515.22 $4,515.22 $3,214.69 $3,278.98 $3,214.69 2026-02-09
Q5120 HCPCS Injection, Pegfilgrastim-bmez (ziextenzo), Biosimilar, 0.5 Mg 17 17 $7,694.04 $7,694.04 $2,769.85 $7,232.40 $3,154.56 2026-02-09
J9299 HCPCS Injection, Nivolumab, 1 Mg 53 19 $7,634.62 $7,634.62 $31.88 $14,353.12 $3,130.19 2026-02-09
J9039 HCPCS Injection, Blinatumomab, 1 Microgram 19 19 $7,455.34 $7,455.34 $128.24 $7,008.02 $3,056.69 2026-02-09
J9225 HCPCS Histrelin Implant (vantas), 50 Mg 19 19 $7,089.00 $7,089.00 $2,552.04 $6,663.66 $2,964.62 2026-02-09
C1777 HCPCS Lead, Cardioverter-defibrillator, Endocardial Single Coil (implantable) 17 17 $7,000.00 $7,000.00 $2,520.00 $6,580.00 $2,870.00 2026-02-09
02104405 CDM Operating Room Services - General Classification 17 17 $6,868.00 $6,868.00 $2,472.48 $6,455.92 $2,815.88 2026-02-09
J9354 HCPCS Injection, Ado-trastuzumab Emtansine, 1 Mg 19 19 $6,592.88 $6,592.88 $36.29 $6,197.31 $2,703.08 2026-02-09
C1778 HCPCS Lead, Neurostimulator (implantable) 17 17 $6,512.00 $6,512.00 $2,344.32 $6,121.28 $2,669.92 2026-02-09
J1569 HCPCS Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 36 19 $2,894.65 $2,894.65 $40.50 $16,325.85 $2,663.08 2026-02-09
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 19 19 $6,382.74 $6,382.74 $327.92 $5,999.78 $2,616.92 2026-02-09
J0897 HCPCS Injection, Denosumab, 1 Mg 53 19 $6,350.84 $6,350.84 $10.44 $8,909.62 $2,603.84 2026-02-09
05555557 CDM Specialty Services - Treatment Room 17 17 $6,305.00 $6,305.00 $2,269.80 $5,926.70 $2,585.05 2026-02-09
59510 HCPCS Cesarean Delivery With Care Before And After Delivery 19 19 $4,725.00 $4,725.00 $76.98 $4,819.50 $2,572.92 2026-02-09
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 3 3 $3,452.50 $3,452.50 $2,568.86 $2,620.24 $2,568.86 2026-02-09
81443 HCPCS Genomic Sequence Analysis Panel For Severe Inherited Conditions With Sequencing … 15 15 $6,121.00 $6,121.00 $2,203.56 $5,753.74 $2,559.80 2026-02-09
07598005 CDM Femoral Stem/bipolar-implants 17 17 $6,181.00 $6,181.00 $2,225.16 $5,810.14 $2,534.21 2026-02-09
90371 HCPCS Hepatitis B Immune Globulin For Injection Into Muscle 19 19 $6,140.29 $6,140.29 $120.05 $5,771.87 $2,517.52 2026-02-09
J2182 HCPCS Injection, Mepolizumab, 1 Mg 19 19 $5,990.86 $5,990.86 $29.31 $5,631.41 $2,456.25 2026-02-09
02108115 CDM Stimulan 20cc 17 17 $5,909.00 $5,909.00 $2,127.24 $5,554.46 $2,422.69 2026-02-09
J3262 HCPCS Injection, Tocilizumab, 1 Mg 36 19 $12,774.13 $12,774.13 $5.18 $12,007.68 $2,350.44 2026-02-09
59610 HCPCS Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli… 19 19 $4,474.00 $4,474.00 $76.98 $4,563.48 $2,331.36 2026-02-09
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 19 19 $5,611.00 $5,611.00 $1,042.22 $5,274.34 $2,300.51 2026-02-09
27487 HCPCS Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis 19 19 $4,978.00 $4,978.00 $76.98 $5,077.56 $2,255.94 2026-02-09
59400 HCPCS Vaginal Delivery With Care Before And After Delivery 19 19 $4,278.00 $4,278.00 $76.98 $4,363.56 $2,241.28 2026-02-09
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 19 19 $5,462.71 $5,462.71 $8.14 $5,134.95 $2,239.71 2026-02-09
J9177 HCPCS Injection, Enfortumab Vedotin-ejfv, 0.25 Mg 34 17 $5,087.80 $5,087.80 $1,465.29 $5,739.04 $2,230.90 2026-02-09
L8641 HCPCS Metatarsal Joint Implant 34 17 $5,357.50 $5,357.50 $1,794.24 $5,387.14 $2,228.78 2026-02-09
0152U OTHER Cell-free DNA Sequencing Of Disease-causing Organisms In Plasma Specimen, With R… 15 15 $5,316.00 $5,316.00 $1,913.76 $4,997.04 $2,223.15 2026-02-09
J9303 HCPCS Injection, Panitumumab, 10 Mg 36 19 $9,616.33 $9,616.33 $134.24 $9,039.35 $2,223.03 2026-02-09
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 19 19 $5,281.12 $5,281.12 $1.12 $4,964.25 $2,165.26 2026-02-09
27132 HCPCS Total Hip Replacement After Previous Hip Surgery 19 19 $4,661.00 $4,661.00 $76.98 $4,754.22 $2,155.17 2026-02-09
22630 HCPCS Fusion Of Lower Spine Bone And Partial Removal Of Spine Bone Or Disc Through Bac… 19 19 $4,518.00 $4,518.00 $76.98 $4,608.36 $2,078.34 2026-02-09
J1561 HCPCS Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 36 19 $8,952.80 $8,952.80 $41.59 $8,415.63 $2,059.14 2026-02-09
22612 HCPCS Fusion Of Spine In Lower Back 19 19 $4,526.00 $4,526.00 $76.98 $4,616.52 $2,056.63 2026-02-09
55815 HCPCS Removal Of Prostate Gland Through Incision Between Scrotum And Anus And Removal … 19 19 $5,026.00 $5,026.00 $76.98 $5,126.52 $2,054.05 2026-02-09
22633 HCPCS Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc 19 19 $5,282.00 $5,282.00 $76.98 $5,387.64 $2,043.22 2026-02-09
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 19 19 $4,936.00 $4,936.00 $1,042.22 $4,639.84 $2,023.76 2026-02-09
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