Price Transparencybeta Hospital negotiated rates

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

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Hospital

MITCHELL COUNTY REGIONAL HEALTH

Osage, IA · CCN 161323 · Rates published

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You selected 27447 (HCPCS)

Replacement of knee joint, both sides of knee

This hospital’s price: $1,401 across 11 payers · range $22-$7,387

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMCRHOSAGEIA&type=CDMWithoutLabel&fileType=CSV · observed 2026-01-03

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

4,028 distinct procedures filed
19 distinct payers
55,209 rate rows
2026-07-30 last MRF observed
Data quality

53,698 of 55,209 rate rows are consumer-grade (97.3%)

1,511 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 905
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 500
exceeds 10× this hospital's gross charge — excluded from medians 84
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 21
placeholder amount (≤ $0.02) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMCRHOSAGEIA&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Mitchell_County.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-18
Content fingerprint 6e5dc7bcabbfc761… · 19,240,405 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
592
MS_DRG 		Skin Ulcers With Mcc 5 $64,661.93 $212,669.19 $87,755.48 nat. median
$19,351
outlier · 4.5×
299
MS_DRG 		Peripheral Vascular Disorders With Mcc 4 $32,296.29 $44,753.43 $41,800.63 nat. median
$16,228
outlier · 2.6×
920
MS_DRG 		Complications Of Treatment With Cc 4 $32,095.46 $44,475.14 $41,540.70 nat. median
$10,854
outlier · 3.8×
302
MS_DRG 		Atherosclerosis With Mcc 5 $28,832.86 $92,744.80 $39,130.31 nat. median
$12,306
outlier · 3.2×
557
MS_DRG 		Tendonitis, Myositis And Bursitis With Mcc 4 $26,167.37 $36,260.49 $33,868.04 nat. median
$15,170
outlier · 2.2×
291
MS_DRG 		Heart Failure And Shock With Mcc 4 $23,511.96 $32,580.85 $30,431.19 nat. median
$13,359
outlier · 2.3×
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 4 $23,322.58 $32,318.43 $30,186.08 nat. median
$18,860
1.6× median
199
MS_DRG 		Pneumothorax With Mcc 4 $21,987.80 $30,468.81 $28,458.49 nat. median
$17,466
1.6× median
542
MS_DRG 		Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 5 $20,707.52 $76,227.17 $28,103.06 nat. median
$17,869
1.6× median
394
MS_DRG 		Other Digestive System Diagnoses With Cc 4 $18,839.22 $26,105.77 $24,383.33 nat. median
$10,183
outlier · 2.4×
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 4 $18,123.67 $25,114.22 $23,457.20 nat. median
$13,243
1.8× median
699
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Cc 4 $17,258.97 $23,916.00 $22,338.04 nat. median
$10,827
outlier · 2.1×
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 4 $16,671.22 $23,101.55 $21,577.32 nat. median
$10,806
2.0× median
607
MS_DRG 		Minor Skin Disorders Without Mcc 4 $16,635.47 $23,052.00 $21,531.04 nat. median
$9,529
outlier · 2.3×
949
MS_DRG 		Aftercare With Cc/mcc 4 $16,030.05 $22,213.08 $20,747.47 nat. median
$12,344
1.7× median
153
MS_DRG 		Otitis Media And Uri Without Mcc 4 $15,915.52 $22,054.36 $20,599.22 nat. median
$8,052
outlier · 2.6×
281
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Cc 4 $15,413.44 $21,358.62 $19,949.40 nat. median
$10,300
1.9× median
151
MS_DRG 		Epistaxis Without Mcc 4 $14,882.95 $20,623.51 $19,262.78 nat. median
$8,299
outlier · 2.3×
683
MS_DRG 		Renal Failure With Cc 4 $14,552.54 $20,165.66 $18,835.15 nat. median
$9,596
2.0× median
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 4 $14,545.41 $20,155.78 $18,825.91 nat. median
$11,661
1.6× median
604
MS_DRG 		Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 4 $14,298.26 $19,813.30 $18,506.03 nat. median
$14,960
1.2× median
381
MS_DRG 		Complicated Peptic Ulcer With Cc 4 $14,094.68 $19,531.19 $18,242.54 nat. median
$11,541
1.6× median
593
MS_DRG 		Skin Ulcers With Cc 4 $13,740.03 $19,039.75 $17,783.52 nat. median
$12,396
1.4× median
812
MS_DRG 		Red Blood Cell Disorders Without Mcc 4 $13,702.09 $18,987.19 $17,734.43 nat. median
$9,785
1.8× median
939
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 $13,467.73 $18,662.42 $17,431.08 nat. median
$33,258
0.5× median
66
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 4 $13,456.46 $18,646.81 $17,416.50 nat. median
$8,021
outlier · 2.2×
947
MS_DRG 		Signs And Symptoms With Mcc 4 $13,431.75 $18,612.56 $17,384.52 nat. median
$12,594
1.4× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 4 $13,243.94 $18,352.32 $17,141.44 nat. median
$18,041
1.0× median
74
MS_DRG 		Cranial And Peripheral Nerve Disorders Without Mcc 4 $12,990.46 $18,001.07 $16,813.36 nat. median
$11,005
1.5× median
191
MS_DRG 		Chronic Obstructive Pulmonary Disease With Cc 4 $12,799.27 $17,736.13 $16,565.92 nat. median
$9,352
1.8× median
195
MS_DRG 		Simple Pneumonia And Pleurisy Without Cc/mcc 4 $12,494.03 $17,313.15 $16,170.84 nat. median
$7,228
outlier · 2.2×
152
MS_DRG 		Otitis Media And Uri With Mcc 4 $11,992.91 $16,618.75 $15,522.25 nat. median
$12,033
1.3× median
605
MS_DRG 		Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 4 $11,456.12 $15,874.90 $14,827.49 nat. median
$9,845
1.5× median
862
MS_DRG 		Postoperative And Post-traumatic Infections With Mcc 4 $11,413.29 $15,815.56 $14,772.06 nat. median
$18,015
0.8× median
206
MS_DRG 		Other Respiratory System Diagnoses Without Mcc 4 $11,363.42 $15,746.45 $14,707.51 nat. median
$9,948
1.5× median
637
MS_DRG 		Diabetes With Mcc 4 $11,007.90 $15,253.80 $14,247.37 nat. median
$14,602
1.0× median
95
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Cc 4 $10,950.28 $15,173.95 $14,172.78 nat. median
$24,774
0.6× median
65
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 4 $10,906.39 $15,113.14 $14,115.98 nat. median
$11,101
1.3× median
204
MS_DRG 		Respiratory Signs And Symptoms 4 $10,831.04 $15,008.73 $14,018.46 nat. median
$8,908
1.6× median
534
MS_DRG 		Fractures Of Femur Without Mcc 5 $10,260.86 $29,388.37 $13,925.45 nat. median
$8,911
1.6× median
564
MS_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 4 $10,516.82 $14,573.31 $13,611.77 nat. median
$15,664
0.9× median
433
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Cc 4 $10,449.29 $14,479.72 $13,524.36 nat. median
$11,345
1.2× median
392
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 4 $10,207.76 $14,145.03 $13,211.75 nat. median
$8,659
1.5× median
603
MS_DRG 		Cellulitis Without Mcc 4 $9,793.68 $13,571.24 $12,675.81 nat. median
$9,525
1.3× median
435
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas With Mcc 4 $9,779.39 $13,551.43 $12,657.32 nat. median
$18,185
0.7× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 4 $9,744.91 $13,503.66 $12,612.69 nat. median
$19,136
0.7× median
638
MS_DRG 		Diabetes With Cc 4 $9,613.01 $13,320.88 $12,441.97 nat. median
$9,750
1.3× median
307
MS_DRG 		Cardiac Congenital And Valvular Disorders Without Mcc 4 $9,548.63 $13,231.67 $12,358.66 nat. median
$10,027
1.2× median
558
MS_DRG 		Tendonitis, Myositis And Bursitis Without Mcc 4 $9,475.41 $13,130.21 $12,263.89 nat. median
$9,502
1.3× median
72
MS_DRG 		Other Cerebrovascular Disorders Without Cc/mcc 4 $9,449.24 $13,093.94 $12,230.01 nat. median
$8,545
1.4× median

Other procedures at this hospital

Browse this hospital's 4,028 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
             
592 MS_DRG Skin Ulcers With Mcc 5 5 $92,374.19 $83,136.77 $64,661.93 $212,669.19 $87,755.48 2026-01-03
299 MS_DRG Peripheral Vascular Disorders With Mcc 4 4 $46,137.56 $41,523.80 $32,296.29 $44,753.43 $41,800.63 2026-01-03
920 MS_DRG Complications Of Treatment With Cc 4 4 $45,850.66 $41,265.59 $32,095.46 $44,475.14 $41,540.70 2026-01-03
302 MS_DRG Atherosclerosis With Mcc 5 5 $41,189.80 $37,070.82 $28,832.86 $92,744.80 $39,130.31 2026-01-03
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 4 4 $37,381.95 $33,643.76 $26,167.37 $36,260.49 $33,868.04 2026-01-03
291 MS_DRG Heart Failure And Shock With Mcc 4 4 $33,588.51 $30,229.66 $23,511.96 $32,580.85 $30,431.19 2026-01-03
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 4 4 $33,317.97 $29,986.17 $23,322.58 $32,318.43 $30,186.08 2026-01-03
199 MS_DRG Pneumothorax With Mcc 4 4 $31,411.14 $28,270.03 $21,987.80 $30,468.81 $28,458.49 2026-01-03
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 5 5 $29,582.17 $26,623.95 $20,707.52 $76,227.17 $28,103.06 2026-01-03
394 MS_DRG Other Digestive System Diagnoses With Cc 4 4 $26,913.17 $24,221.85 $18,839.22 $26,105.77 $24,383.33 2026-01-03
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 4 4 $25,890.95 $23,301.86 $18,123.67 $25,114.22 $23,457.20 2026-01-03
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 4 4 $24,655.67 $22,190.10 $17,258.97 $23,916.00 $22,338.04 2026-01-03
178 MS_DRG Respiratory Infections And Inflammations With Cc 4 4 $23,816.03 $21,434.43 $16,671.22 $23,101.55 $21,577.32 2026-01-03
607 MS_DRG Minor Skin Disorders Without Mcc 4 4 $23,764.95 $21,388.46 $16,635.47 $23,052.00 $21,531.04 2026-01-03
949 MS_DRG Aftercare With Cc/mcc 4 4 $22,900.08 $20,610.07 $16,030.05 $22,213.08 $20,747.47 2026-01-03
153 MS_DRG Otitis Media And Uri Without Mcc 4 4 $22,736.45 $20,462.81 $15,915.52 $22,054.36 $20,599.22 2026-01-03
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 4 4 $22,019.20 $19,817.28 $15,413.44 $21,358.62 $19,949.40 2026-01-03
151 MS_DRG Epistaxis Without Mcc 4 4 $21,261.35 $19,135.22 $14,882.95 $20,623.51 $19,262.78 2026-01-03
683 MS_DRG Renal Failure With Cc 4 4 $20,789.34 $18,710.41 $14,552.54 $20,165.66 $18,835.15 2026-01-03
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 4 4 $20,779.15 $18,701.24 $14,545.41 $20,155.78 $18,825.91 2026-01-03
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 4 4 $20,426.08 $18,383.47 $14,298.26 $19,813.30 $18,506.03 2026-01-03
381 MS_DRG Complicated Peptic Ulcer With Cc 4 4 $20,135.25 $18,121.73 $14,094.68 $19,531.19 $18,242.54 2026-01-03
593 MS_DRG Skin Ulcers With Cc 4 4 $19,628.61 $17,665.75 $13,740.03 $19,039.75 $17,783.52 2026-01-03
812 MS_DRG Red Blood Cell Disorders Without Mcc 4 4 $19,574.42 $17,616.98 $13,702.09 $18,987.19 $17,734.43 2026-01-03
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 4 $19,239.61 $17,315.65 $13,467.73 $18,662.42 $17,431.08 2026-01-03
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 4 4 $19,223.52 $17,301.17 $13,456.46 $18,646.81 $17,416.50 2026-01-03
947 MS_DRG Signs And Symptoms With Mcc 4 4 $19,188.21 $17,269.39 $13,431.75 $18,612.56 $17,384.52 2026-01-03
205 MS_DRG Other Respiratory System Diagnoses With Mcc 4 4 $18,919.92 $17,027.93 $13,243.94 $18,352.32 $17,141.44 2026-01-03
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 4 4 $18,557.80 $16,702.02 $12,990.46 $18,001.07 $16,813.36 2026-01-03
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 4 4 $18,284.67 $16,456.21 $12,799.27 $17,736.13 $16,565.92 2026-01-03
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 4 4 $17,848.61 $16,063.75 $12,494.03 $17,313.15 $16,170.84 2026-01-03
152 MS_DRG Otitis Media And Uri With Mcc 4 4 $17,132.73 $15,419.46 $11,992.91 $16,618.75 $15,522.25 2026-01-03
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 4 4 $16,365.88 $14,729.29 $11,456.12 $15,874.90 $14,827.49 2026-01-03
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 4 4 $16,304.70 $14,674.23 $11,413.29 $15,815.56 $14,772.06 2026-01-03
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 4 4 $16,233.45 $14,610.11 $11,363.42 $15,746.45 $14,707.51 2026-01-03
637 MS_DRG Diabetes With Mcc 4 4 $15,725.57 $14,153.01 $11,007.90 $15,253.80 $14,247.37 2026-01-03
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 4 4 $15,643.25 $14,078.93 $10,950.28 $15,173.95 $14,172.78 2026-01-03
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 4 4 $15,580.55 $14,022.50 $10,906.39 $15,113.14 $14,115.98 2026-01-03
204 MS_DRG Respiratory Signs And Symptoms 4 4 $15,472.92 $13,925.63 $10,831.04 $15,008.73 $14,018.46 2026-01-03
534 MS_DRG Fractures Of Femur Without Mcc 5 5 $14,658.37 $13,192.53 $10,260.86 $29,388.37 $13,925.45 2026-01-03
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 4 4 $15,024.03 $13,521.63 $10,516.82 $14,573.31 $13,611.77 2026-01-03
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 4 4 $14,927.55 $13,434.80 $10,449.29 $14,479.72 $13,524.36 2026-01-03
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 4 4 $14,582.51 $13,124.26 $10,207.76 $14,145.03 $13,211.75 2026-01-03
603 MS_DRG Cellulitis Without Mcc 4 4 $13,990.97 $12,591.87 $9,793.68 $13,571.24 $12,675.81 2026-01-03
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 4 4 $13,970.55 $12,573.50 $9,779.39 $13,551.43 $12,657.32 2026-01-03
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 4 4 $13,921.30 $12,529.17 $9,744.91 $13,503.66 $12,612.69 2026-01-03
638 MS_DRG Diabetes With Cc 4 4 $13,732.87 $12,359.58 $9,613.01 $13,320.88 $12,441.97 2026-01-03
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 4 4 $13,640.90 $12,276.81 $9,548.63 $13,231.67 $12,358.66 2026-01-03
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 4 4 $13,536.30 $12,182.67 $9,475.41 $13,130.21 $12,263.89 2026-01-03
72 MS_DRG Other Cerebrovascular Disorders Without Cc/mcc 4 4 $13,498.91 $12,149.02 $9,449.24 $13,093.94 $12,230.01 2026-01-03
305 MS_DRG Hypertension Without Mcc 4 4 $13,325.48 $11,992.93 $9,327.84 $12,925.72 $12,072.88 2026-01-03
189 MS_DRG Pulmonary Edema And Respiratory Failure 4 4 $13,153.63 $11,838.26 $9,207.54 $12,759.02 $11,917.19 2026-01-03
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 4 4 $13,095.64 $11,786.08 $9,166.95 $12,702.77 $11,864.66 2026-01-03
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 4 4 $12,915.20 $11,623.68 $9,040.64 $12,527.75 $11,701.17 2026-01-03
549 MS_DRG Septic Arthritis With Cc 4 4 $12,879.08 $11,591.17 $9,015.36 $12,492.71 $11,668.45 2026-01-03
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 4 4 $12,835.28 $11,551.75 $8,984.70 $12,450.22 $11,628.76 2026-01-03
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 4 4 $12,825.59 $11,543.03 $8,977.91 $12,440.82 $11,619.99 2026-01-03
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 4 4 $12,781.73 $11,503.55 $8,947.21 $12,398.27 $11,580.24 2026-01-03
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 4 4 $12,363.60 $11,127.24 $8,654.52 $11,992.69 $11,201.42 2026-01-03
312 MS_DRG Syncope And Collapse 4 4 $12,327.82 $11,095.04 $8,629.47 $11,957.99 $11,169.01 2026-01-03
866 MS_DRG Viral Illness Without Mcc 4 4 $12,236.88 $11,013.19 $8,565.82 $11,869.77 $11,086.62 2026-01-03
811 MS_DRG Red Blood Cell Disorders With Mcc 4 4 $12,229.95 $11,006.96 $8,560.97 $11,863.05 $11,080.33 2026-01-03
948 MS_DRG Signs And Symptoms Without Mcc 4 4 $12,112.10 $10,900.89 $8,478.47 $11,748.73 $10,973.56 2026-01-03
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 5 5 $11,520.85 $10,368.77 $8,064.60 $26,250.85 $10,944.81 2026-01-03
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 4 4 $12,056.33 $10,850.69 $8,439.43 $11,694.64 $10,923.03 2026-01-03
292 MS_DRG Heart Failure And Shock With Cc 4 4 $12,034.80 $10,831.32 $8,424.36 $11,673.75 $10,903.52 2026-01-03
835 MS_DRG Acute Leukemia With Cc 5 5 $11,476.65 $10,328.99 $8,033.66 $23,751.65 $10,902.82 2026-01-03
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 4 4 $12,013.80 $10,812.42 $8,409.66 $11,653.38 $10,884.50 2026-01-03
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 4 4 $11,943.64 $10,749.28 $8,360.55 $11,585.33 $10,820.94 2026-01-03
69 MS_DRG Transient Ischemia Without Thrombolytic 4 4 $11,711.28 $10,540.15 $8,197.89 $11,359.94 $10,610.42 2026-01-03
177 MS_DRG Respiratory Infections And Inflammations With Mcc 4 4 $11,629.73 $10,466.75 $8,140.81 $11,280.83 $10,536.53 2026-01-03
375 MS_DRG Digestive Malignancy With Cc 4 4 $11,593.82 $10,434.44 $8,115.67 $11,246.00 $10,504.00 2026-01-03
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 4 4 $11,552.85 $10,397.56 $8,086.99 $11,206.26 $10,466.88 2026-01-03
682 MS_DRG Renal Failure With Mcc 5 5 $10,801.65 $9,721.49 $7,561.16 $23,076.65 $10,261.57 2026-01-03
71 MS_DRG Other Cerebrovascular Disorders With Cc 4 4 $11,128.13 $10,015.31 $7,789.69 $10,794.28 $10,082.08 2026-01-03
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 4 4 $11,014.74 $9,913.26 $7,710.32 $10,684.30 $9,979.35 2026-01-03
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 4 4 $10,952.10 $9,856.89 $7,666.47 $10,623.54 $9,922.60 2026-01-03
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 5 5 $10,386.57 $9,347.91 $7,270.60 $27,571.57 $9,867.24 2026-01-03
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 4 4 $10,872.03 $9,784.83 $7,610.42 $10,545.87 $9,850.06 2026-01-03
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 4 4 $10,856.35 $9,770.72 $7,599.45 $10,530.66 $9,835.85 2026-01-03
999 MS_DRG Ungroupable 4 4 $10,822.26 $9,740.03 $7,575.58 $10,497.59 $9,804.96 2026-01-03
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 4 4 $10,723.12 $9,650.81 $7,506.18 $10,401.42 $9,715.15 2026-01-03
950 MS_DRG Aftercare Without Cc/mcc 5 5 $9,837.73 $8,853.96 $6,886.41 $27,022.73 $9,345.85 2026-01-03
552 MS_DRG Medical Back Problems Without Mcc 4 4 $10,279.39 $9,251.45 $7,195.57 $9,971.00 $9,313.12 2026-01-03
884 MS_DRG Organic Disturbances And Intellectual Disability 5 5 $9,775.78 $8,798.20 $6,843.05 $19,595.78 $9,286.99 2026-01-03
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 4 4 $10,043.50 $9,039.15 $7,030.45 $9,742.20 $9,099.42 2026-01-03
378 MS_DRG Gastrointestinal Hemorrhage With Cc 4 4 $9,927.24 $8,934.51 $6,949.06 $9,629.42 $8,994.08 2026-01-03
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 4 4 $9,912.82 $8,921.54 $6,938.98 $9,615.44 $8,981.01 2026-01-03
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 4 4 $9,888.90 $8,900.01 $6,922.23 $9,592.24 $8,959.34 2026-01-03
293 MS_DRG Heart Failure And Shock Without Cc/mcc 4 4 $9,885.46 $8,896.91 $6,919.82 $9,588.90 $8,956.23 2026-01-03
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 4 4 $9,840.13 $8,856.11 $6,888.09 $9,544.92 $8,915.16 2026-01-03
196 MS_DRG Interstitial Lung Disease With Mcc 5 5 $9,029.01 $8,126.11 $6,320.31 $18,849.01 $8,577.56 2026-01-03
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 4 4 $9,266.30 $8,339.67 $6,486.41 $8,988.31 $8,395.27 2026-01-03
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 5 5 $8,765.16 $7,888.65 $6,135.61 $18,585.16 $8,326.90 2026-01-03
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 4 4 $9,180.88 $8,262.79 $6,426.61 $8,905.45 $8,317.88 2026-01-03
951 MS_DRG Other Factors Influencing Health Status 5 5 $7,966.80 $7,170.12 $5,576.76 $17,786.80 $7,568.46 2026-01-03
186 MS_DRG Pleural Effusion With Mcc 4 4 $8,312.61 $7,481.35 $5,818.83 $8,063.23 $7,531.23 2026-01-03
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 4 4 $7,942.70 $7,148.43 $5,559.89 $7,704.42 $7,196.09 2026-01-03
547 MS_DRG Connective Tissue Disorders Without Cc/mcc 4 4 $7,915.51 $7,123.96 $5,540.86 $7,678.04 $7,171.45 2026-01-03
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 4 4 $7,867.23 $7,080.50 $5,507.06 $7,631.21 $7,127.70 2026-01-03
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 4 4 $7,663.07 $6,896.76 $5,364.15 $7,433.17 $6,942.74 2026-01-03
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 4 4 $7,481.65 $6,733.49 $5,237.16 $7,257.20 $6,778.38 2026-01-03
184 MS_DRG Major Chest Trauma With Cc 5 5 $7,095.51 $6,385.96 $4,966.86 $14,460.51 $6,740.73 2026-01-03
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 5 5 $6,851.95 $6,166.76 $4,796.37 $16,671.95 $6,509.35 2026-01-03
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 4 4 $7,134.12 $6,420.70 $4,993.88 $6,920.09 $6,463.51 2026-01-03
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 4 4 $7,044.50 $6,340.05 $4,931.15 $6,833.16 $6,382.31 2026-01-03
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 4 4 $6,975.96 $6,278.37 $4,883.17 $6,766.68 $6,320.22 2026-01-03
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 4 4 $6,894.16 $6,204.74 $4,825.91 $6,687.34 $6,246.11 2026-01-03
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 5 5 $6,562.61 $5,906.35 $4,593.83 $13,927.61 $6,234.48 2026-01-03
602 MS_DRG Cellulitis With Mcc 4 4 $6,749.41 $6,074.47 $4,724.59 $6,546.93 $6,114.97 2026-01-03
92 MS_DRG Other Disorders Of Nervous System With Cc 5 5 $6,359.66 $5,723.69 $4,451.76 $18,634.66 $6,041.68 2026-01-03
864 MS_DRG Fever And Inflammatory Conditions 4 4 $6,582.10 $5,923.89 $4,607.47 $6,384.64 $5,963.39 2026-01-03
389 MS_DRG Gastrointestinal Obstruction With Cc 4 4 $6,248.65 $5,623.79 $4,374.06 $6,061.19 $5,661.28 2026-01-03
70 MS_DRG Other Cerebrovascular Disorders With Mcc 4 4 $5,744.29 $5,169.86 $4,021.00 $5,571.96 $5,204.33 2026-01-03
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 4 4 $5,720.80 $5,148.72 $4,004.56 $5,549.17 $5,183.05 2026-01-03
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 4 4 $4,832.27 $4,349.04 $3,382.59 $4,687.30 $4,378.04 2026-01-03
185 MS_DRG Major Chest Trauma Without Cc/mcc 4 4 $4,611.61 $4,150.45 $3,228.13 $4,473.26 $4,178.12 2026-01-03
300 MS_DRG Peripheral Vascular Disorders With Cc 4 4 $4,209.70 $3,788.73 $2,946.79 $4,083.41 $3,813.99 2026-01-03
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 4 4 $3,977.53 $3,579.78 $2,784.27 $3,858.20 $3,603.64 2026-01-03
639 MS_DRG Diabetes Without Cc/mcc 4 4 $3,730.15 $3,357.14 $2,611.11 $3,618.25 $3,379.51 2026-01-03
4050888 CDM Speedbrg Peek 11 11 $6,769.50 $6,092.55 $2,437.02 $6,566.42 $2,510.13 2026-01-03
694 MS_DRG Urinary Stones Without Mcc 4 4 $2,535.60 $2,282.04 $1,774.92 $2,459.53 $2,297.26 2026-01-03
L8612 HCPCS Aqueous Shunt 11 11 $5,733.95 $5,160.56 $2,064.22 $5,561.93 $2,126.15 2026-01-03
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 11 11 $5,459.31 $4,913.38 $1,965.35 $5,295.53 $2,024.31 2026-01-03
4059903 CDM Achilles Speedbridge 11 11 $5,431.20 $4,888.08 $1,955.23 $5,268.26 $2,013.89 2026-01-03
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 11 11 $5,427.45 $4,884.71 $1,953.88 $5,264.63 $2,012.50 2026-01-03
3010034 CDM Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 4 4 $2,207.15 $1,986.44 $1,545.01 $2,140.94 $1,999.67 2026-01-03
740 OTHER Polysomnography W/cpap 5 2 $3,481.60 $3,133.44 $66.25 $2,718.03 $1,999.41 2026-07-30
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 11 11 $5,374.65 $4,837.19 $1,934.87 $5,213.41 $1,992.92 2026-01-03
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 11 11 $5,333.20 $4,799.88 $1,919.95 $5,173.20 $1,977.55 2026-01-03
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 11 11 $5,319.35 $4,787.42 $1,914.97 $5,159.77 $1,972.42 2026-01-03
4050334 CDM Ventralight Mesh 8"x10" 11 11 $5,168.10 $4,651.29 $1,860.52 $5,013.06 $1,916.33 2026-01-03
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 11 11 $5,158.55 $4,642.70 $1,857.08 $5,003.79 $1,912.79 2026-01-03
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 11 11 $5,035.80 $4,532.22 $1,812.89 $4,884.73 $1,867.27 2026-01-03
71552 HCPCS MRI Scan Of Chest Before And After Contrast 11 11 $4,895.30 $4,405.77 $1,762.31 $4,748.44 $1,815.18 2026-01-03
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 11 11 $4,889.75 $4,400.78 $1,760.31 $4,743.06 $1,813.12 2026-01-03
70553 HCPCS MRI Scan Of Brain Before And After Contrast 11 11 $4,889.75 $4,400.78 $1,760.31 $4,743.06 $1,813.12 2026-01-03
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 11 11 $4,889.75 $4,400.78 $1,760.31 $4,743.06 $1,813.12 2026-01-03
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 11 11 $4,889.75 $4,400.78 $1,760.31 $4,743.06 $1,813.12 2026-01-03
4050713 CDM Speedbrg Biocomposite 11 11 $4,859.20 $4,373.28 $1,749.31 $4,713.42 $1,801.79 2026-01-03
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 11 11 $4,817.20 $4,335.48 $1,734.19 $4,672.68 $1,786.22 2026-01-03
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 33 11 $4,713.15 $4,241.84 $1,553.63 $4,737.09 $1,775.68 2026-01-03
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 11 11 $4,747.30 $4,272.57 $1,709.03 $4,604.88 $1,760.30 2026-01-03
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 11 11 $4,726.30 $4,253.67 $1,701.47 $4,584.51 $1,752.51 2026-01-03
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/mcc 5 5 $1,835.95 $1,652.36 $1,285.17 $4,290.95 $1,744.15 2026-01-03
4058031 CDM Bio Graft 6 X 65 11 11 $4,700.10 $4,230.09 $1,692.04 $4,559.10 $1,742.80 2026-01-03
73720 HCPCS MRI Scan Of Leg Before And After Contrast 11 11 $4,607.35 $4,146.62 $1,658.65 $4,469.13 $1,708.41 2026-01-03
73220 HCPCS MRI Scan Of Arm Before And After Contrast 11 11 $4,607.35 $4,146.62 $1,658.65 $4,469.13 $1,708.41 2026-01-03
64633 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 11 11 $4,500.55 $4,050.50 $1,620.20 $4,365.53 $1,668.80 2026-01-03
3010038 CDM Room & Board - Other - Sterile Environment 4 4 $1,774.20 $1,596.78 $1,241.94 $1,720.97 $1,607.42 2026-01-03
393 MS_DRG Other Digestive System Diagnoses With Mcc 5 5 $1,680.60 $1,512.54 $1,176.42 $4,135.60 $1,596.57 2026-01-03
360 OTHER Removal Of Skin Lesion 80 3 $628.30 $565.47 $263.95 $21,397.32 $1,572.46 2026-07-30
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 11 11 $4,132.05 $3,718.85 $1,487.54 $4,008.09 $1,532.16 2026-01-03
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 11 11 $4,048.65 $3,643.79 $1,457.51 $3,927.19 $1,501.24 2026-01-03
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 11 11 $4,040.95 $3,636.86 $1,454.74 $3,919.72 $1,498.38 2026-01-03
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 22 11 $3,953.93 $3,558.53 $1,392.08 $3,919.72 $1,483.84 2026-01-03
4055122 CDM Ortho Acetadular 11 11 $3,822.40 $3,440.16 $1,376.06 $3,707.73 $1,417.35 2026-01-03
27125 HCPCS Partial Replacement Of Thigh Bone At Hip Joint With Prosthesis 22 11 $3,838.65 $3,454.79 $22.16 $7,387.28 $1,400.69 2026-01-03
23472 HCPCS Prosthetic Repair Of Shoulder Joint, Total Shoulder 22 11 $3,838.65 $3,454.79 $22.16 $7,387.28 $1,400.69 2026-01-03
27130 HCPCS Replacement Of Thigh Bone And Hip Joint With Prosthesis 22 11 $3,838.65 $3,454.79 $22.16 $7,387.28 $1,400.69 2026-01-03
27447 HCPCS Replacement Of Knee Joint, Both Sides Of Knee 22 11 $3,838.65 $3,454.79 $22.16 $7,387.28 $1,400.69 2026-01-03
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 11 11 $3,713.65 $3,342.29 $1,336.91 $3,602.24 $1,377.02 2026-01-03
70552 HCPCS MRI Scan Of Brain With Contrast 11 11 $3,713.65 $3,342.29 $1,336.91 $3,602.24 $1,377.02 2026-01-03
70545 HCPCS MRI Scan Of Blood Vessels Of Head With Contrast 11 11 $3,713.65 $3,342.29 $1,336.91 $3,602.24 $1,377.02 2026-01-03
71551 HCPCS MRI Scan Of Chest With Contrast 11 11 $3,630.40 $3,267.36 $1,306.94 $3,521.49 $1,346.15 2026-01-03
3010012 CDM Room & Board - Semi-private (two Beds) - General Classification 4 4 $1,454.55 $1,309.10 $1,018.19 $1,410.91 $1,317.82 2026-01-03
72196 HCPCS MRI Scan Of Pelvis With Contrast 11 11 $3,551.10 $3,195.99 $1,278.40 $3,444.57 $1,316.75 2026-01-03
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 11 11 $3,523.05 $3,170.75 $1,268.30 $3,417.36 $1,306.35 2026-01-03
78071 HCPCS Nuclear Medicine Study Of Parathyroid With Spect 11 11 $3,491.75 $3,142.58 $1,257.03 $3,387.00 $1,294.74 2026-01-03
73219 HCPCS MRI Scan Of Arm With Contrast 11 11 $3,490.65 $3,141.59 $1,256.63 $3,385.93 $1,294.33 2026-01-03
612 OTHER MRI C-spine 15 3 $2,793.30 $2,513.97 $556.78 $3,903.70 $1,282.48 2026-07-30
73719 HCPCS MRI Scan Of Leg With Contrast 11 11 $3,420.65 $3,078.59 $1,231.43 $3,318.03 $1,268.38 2026-01-03
73722 HCPCS MRI Scan Of Leg Joint With Contrast 11 11 $3,414.25 $3,072.83 $1,229.13 $3,311.82 $1,266.00 2026-01-03
73222 HCPCS MRI Scan Of Arm Joint With Contrast 11 11 $3,414.25 $3,072.83 $1,229.13 $3,311.82 $1,266.00 2026-01-03
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 4 4 $1,388.50 $1,249.65 $971.95 $1,346.85 $1,257.99 2026-01-03
181 MS_DRG Respiratory Neoplasms With Cc 4 4 $1,388.50 $1,249.65 $971.95 $1,346.85 $1,257.99 2026-01-03
341 OTHER Myo Perf Spect Mult W/fl 10 3 $2,632.55 $2,369.30 $175.74 $2,085.96 $1,245.38 2026-07-30
3010029 CDM Room & Board - Semi-private (two Beds) - General Classification 4 4 $1,362.30 $1,226.07 $953.61 $1,321.43 $1,234.24 2026-01-03
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 11 11 $3,315.15 $2,983.64 $1,193.45 $3,215.70 $1,229.26 2026-01-03
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 11 11 $3,315.15 $2,983.64 $1,193.45 $3,215.70 $1,229.26 2026-01-03
25075 HCPCS Removal Of Growth Under Skin Of Forearm Or Wrist, Less Than 3.0 Cm 11 8 $1,728.05 $1,555.25 $233.43 $2,290.75 $1,209.64 2026-01-03
611 OTHER MRI Brain W/wo Contrast 5 3 $4,120.00 $3,708.00 $694.12 $3,551.44 $1,194.62 2026-07-30
78451 HCPCS Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect 11 11 $3,219.85 $2,897.87 $1,159.15 $3,123.25 $1,193.92 2026-01-03
610 OTHER Lt MRI Lower Ext Joint 32 3 $2,530.28 $2,277.25 $95.03 $2,479.80 $1,169.92 2026-07-30
4057991 CDM Graft Umbilical Vein 11 11 $3,105.40 $2,794.86 $1,117.94 $3,012.24 $1,151.48 2026-01-03
4050858 CDM Navigation Unit 11 11 $3,104.40 $2,793.96 $1,117.58 $3,011.27 $1,151.11 2026-01-03
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 11 11 $3,085.80 $2,777.22 $1,110.89 $2,993.23 $1,144.21 2026-01-03
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 11 11 $3,085.80 $2,777.22 $1,110.89 $2,993.23 $1,144.21 2026-01-03
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 11 11 $3,074.10 $2,766.69 $1,106.68 $2,981.88 $1,139.88 2026-01-03
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 11 11 $3,074.10 $2,766.69 $1,106.68 $2,981.88 $1,139.88 2026-01-03
70551 HCPCS MRI Scan Of Brain Without Contrast 11 11 $3,074.10 $2,766.69 $1,106.68 $2,981.88 $1,139.88 2026-01-03
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 11 11 $3,074.10 $2,766.69 $1,106.68 $2,981.88 $1,139.88 2026-01-03
70336 HCPCS MRI Scan Of Jaw Joint 11 11 $3,074.10 $2,766.69 $1,106.68 $2,981.88 $1,139.88 2026-01-03
78227 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs 11 11 $3,029.00 $2,726.10 $1,090.44 $2,938.13 $1,123.15 2026-01-03
78226 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System 11 11 $3,029.00 $2,726.10 $1,090.44 $2,938.13 $1,123.15 2026-01-03
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 11 11 $3,003.10 $2,702.79 $1,081.12 $2,913.01 $1,113.55 2026-01-03
71550 HCPCS MRI Scan Of Chest Without Contrast 11 11 $2,999.80 $2,699.82 $1,079.93 $2,909.81 $1,112.33 2026-01-03
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 11 11 $2,931.80 $2,638.62 $1,055.45 $2,843.85 $1,087.11 2026-01-03
73718 HCPCS MRI Scan Of Leg Without Contrast 11 11 $2,931.80 $2,638.62 $1,055.45 $2,843.85 $1,087.11 2026-01-03
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 11 11 $2,931.80 $2,638.62 $1,055.45 $2,843.85 $1,087.11 2026-01-03
73218 HCPCS MRI Scan Of Arm Without Contrast 11 11 $2,931.80 $2,638.62 $1,055.45 $2,843.85 $1,087.11 2026-01-03
4050333 CDM Ventralight Mesh 6"x8" 11 11 $2,927.35 $2,634.62 $1,053.85 $2,839.53 $1,085.46 2026-01-03
64635 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 22 11 $2,936.40 $2,642.77 $162.49 $4,320.62 $1,082.40 2026-01-03
4050375 CDM Novasure Handle 11 11 $2,916.55 $2,624.90 $1,049.96 $2,829.05 $1,081.46 2026-01-03
72195 HCPCS MRI Scan Of Pelvis Without Contrast 11 11 $2,912.70 $2,621.43 $1,048.57 $2,825.32 $1,080.03 2026-01-03
78803 HCPCS Nuclear Medicine Study, Spect Imaging, 1 Area Or Single Acquisition, Single Day … 22 11 $2,617.45 $2,355.70 $827.96 $2,846.95 $1,077.74 2026-01-03
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 11 11 $2,878.40 $2,590.56 $1,036.22 $2,792.05 $1,067.31 2026-01-03
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 11 11 $2,862.50 $2,576.25 $1,030.50 $2,776.63 $1,061.42 2026-01-03
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 11 11 $2,854.95 $2,569.46 $1,027.78 $2,769.30 $1,058.62 2026-01-03
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 11 11 $2,854.95 $2,569.46 $1,027.78 $2,769.30 $1,058.62 2026-01-03
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 11 11 $2,848.45 $2,563.61 $1,025.44 $2,763.00 $1,056.21 2026-01-03
4059884 CDM Mesh Composix Lp 8x10 11 11 $2,837.00 $2,553.30 $1,021.32 $2,751.89 $1,051.96 2026-01-03
25071 HCPCS Removal Of Growth Under Skin Of Forearm Or Wrist, 3.0 Cm Or More 11 8 $1,501.55 $1,351.40 $233.43 $2,179.25 $1,051.09 2026-01-03
28045 HCPCS Removal Of Growth Of Muscle Of Foot Or Toe, Less Than 1.5 Cm 11 11 $2,809.90 $2,528.91 $1,011.56 $2,725.60 $1,041.91 2026-01-03
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 11 11 $2,775.45 $2,497.91 $999.16 $2,692.19 $1,029.14 2026-01-03
C1776 HCPCS Joint Device (implantable) 143 11 $1,884.30 $1,695.87 $32.63 $6,589.31 $1,017.52 2026-01-03
71270 HCPCS CT Scan Of Chest Before And After Contrast 11 11 $2,731.90 $2,458.71 $983.48 $2,649.94 $1,012.99 2026-01-03
72191 HCPCS CT Scan Of Blood Vessels Of Pelvis With Contrast 11 11 $2,729.70 $2,456.73 $982.69 $2,647.81 $1,012.17 2026-01-03
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 11 11 $2,729.70 $2,456.73 $982.69 $2,647.81 $1,012.17 2026-01-03
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 11 11 $2,729.70 $2,456.73 $982.69 $2,647.81 $1,012.17 2026-01-03
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 11 11 $2,722.75 $2,450.48 $980.19 $2,641.07 $1,009.60 2026-01-03
70487 HCPCS CT Scan Of Face With Contrast 11 11 $2,703.55 $2,433.20 $973.28 $2,622.44 $1,002.48 2026-01-03
74160 HCPCS CT Scan Of Abdomen With Contrast 11 11 $2,687.65 $2,418.89 $967.55 $2,607.02 $996.58 2026-01-03
350 OTHER Abdomen & Pelvis W Cont 44 4 $2,234.05 $2,010.65 $228.59 $3,942.01 $992.99 2026-07-30
64624 HCPCS Destruction Of Nerve Branches Of Knee Using Imaging Guidance 22 11 $2,959.55 $2,663.60 $125.06 $4,365.53 $992.05 2026-01-03
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 11 11 $2,658.40 $2,392.56 $957.02 $2,578.65 $985.73 2026-01-03
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 11 11 $2,658.40 $2,392.56 $957.02 $2,578.65 $985.73 2026-01-03
L8606 HCPCS Injectable Bulking Agent, Synthetic Implant, Urinary Tract, 1 Ml Syringe, Includ… 11 11 $2,647.25 $2,382.53 $953.01 $2,567.83 $981.60 2026-01-03
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 11 11 $2,644.50 $2,380.05 $952.02 $2,565.17 $980.58 2026-01-03
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 11 11 $2,644.50 $2,380.05 $952.02 $2,565.17 $980.58 2026-01-03
278 OTHER Attune Solo Pinning 6 2 $959.45 $863.50 $274.81 $2,134.33 $971.67 2026-07-30
72132 HCPCS CT Scan Of Lower Spine With Contrast 11 11 $2,617.81 $2,356.03 $942.41 $2,539.28 $970.68 2026-01-03
73706 HCPCS CT Scan Of Blood Vessels Of Lower Leg With Contrast 11 11 $2,611.00 $2,349.90 $939.96 $2,532.67 $968.16 2026-01-03
73206 HCPCS CT Scan Of Blood Vessels Of Arm With Contrast 11 11 $2,611.00 $2,349.90 $939.96 $2,532.67 $968.16 2026-01-03
4050671 CDM Mesh 6" Circle 11 11 $2,599.20 $2,339.28 $935.71 $2,521.22 $963.78 2026-01-03
24071 HCPCS Removal Of Growth Under Skin Of Upper Arm Or Elbow, 3.0 Cm Or More 11 8 $1,374.35 $1,236.92 $233.43 $1,762.30 $962.05 2026-01-03
4050859 CDM Plue Navigation Unit 11 11 $2,584.85 $2,326.37 $930.55 $2,507.30 $958.46 2026-01-03
71260 HCPCS CT Scan Of Chest With Contrast 11 11 $2,560.60 $2,304.54 $921.82 $2,483.78 $949.47 2026-01-03
73202 HCPCS CT Scan Of Arm Before And After Contrast 11 11 $2,538.90 $2,285.01 $914.00 $2,462.73 $941.42 2026-01-03
73702 HCPCS CT Scan Of Leg Before And After Contrast 11 11 $2,529.35 $2,276.42 $910.57 $2,453.47 $937.88 2026-01-03
72129 HCPCS CT Scan Of Middle Spine With Contrast 11 11 $2,529.35 $2,276.42 $910.57 $2,453.47 $937.88 2026-01-03
93303 HCPCS Ultrasound Of Heart For Congenital Defect 11 11 $2,514.30 $2,262.87 $905.15 $2,438.87 $932.30 2026-01-03
C8928 HCPCS Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi… 11 11 $2,493.25 $2,243.93 $897.57 $2,418.45 $924.50 2026-01-03
78707 HCPCS Nuclear Medicine Study Of Kidney, Blood Flow, And Function 11 11 $2,490.35 $2,241.32 $896.53 $2,415.64 $923.42 2026-01-03
27093 HCPCS Injection Of Contrast For Imaging Of Hip Joint 11 11 $2,481.40 $2,233.26 $893.30 $2,406.96 $920.10 2026-01-03
36430 HCPCS Transfusion Of Blood Or Blood Products 33 11 $1,875.30 $1,687.77 $555.26 $2,468.89 $916.29 2026-01-03
74150 HCPCS CT Scan Of Abdomen Without Contrast 11 11 $2,469.65 $2,222.69 $889.07 $2,395.56 $915.75 2026-01-03
78700 HCPCS Nuclear Medicine Study Of Kidney 11 11 $2,464.65 $2,218.19 $887.27 $2,390.71 $913.89 2026-01-03
72193 HCPCS CT Scan Of Pelvis With Contrast 11 11 $2,443.70 $2,199.33 $879.73 $2,370.39 $906.12 2026-01-03
78266 HCPCS Nuclear Medicine Study Of Stomach To Assess Emptying And Small And Large Bowel M… 11 11 $2,440.45 $2,196.41 $878.56 $2,367.24 $904.92 2026-01-03
4050344 CDM Reach Tissue Device 11 11 $2,436.60 $2,192.94 $877.18 $2,363.50 $903.49 2026-01-03
27825 HCPCS Closed Treatment Of Broken Shin Bone At Lower Weight Bearing Joint With Manipula… 11 11 $2,423.35 $2,181.02 $872.41 $2,350.65 $898.58 2026-01-03
73201 HCPCS CT Scan Of Arm With Contrast 11 11 $2,408.65 $2,167.79 $867.11 $2,336.39 $893.13 2026-01-03
72131 HCPCS CT Scan Of Lower Spine Without Contrast 11 11 $2,408.65 $2,167.79 $867.11 $2,336.39 $893.13 2026-01-03
72128 HCPCS CT Scan Of Middle Spine Without Contrast 11 11 $2,408.65 $2,167.79 $867.11 $2,336.39 $893.13 2026-01-03
71250 HCPCS CT Scan Of Chest Without Contrast 11 11 $2,408.65 $2,167.79 $867.11 $2,336.39 $893.13 2026-01-03
72125 HCPCS CT Scan Of Upper Spine Without Contrast 11 11 $2,408.65 $2,167.79 $867.11 $2,336.39 $893.13 2026-01-03
73701 HCPCS CT Scan Of Leg With Contrast Material 22 11 $2,356.78 $2,121.10 $829.76 $2,336.39 $884.46 2026-01-03
27752 HCPCS Closed Treatment Of Middle Part Of Broken Shin Bone With Manipulation 19 11 $2,419.95 $2,177.96 $233.43 $2,347.35 $879.89 2026-01-03
70486 HCPCS CT Scan Of Face Without Contrast 11 11 $2,363.55 $2,127.20 $850.88 $2,292.64 $876.40 2026-01-03
27530 HCPCS Closed Treatment Of Broken Shin Bone 11 8 $1,229.40 $1,106.46 $233.43 $1,679.70 $860.58 2026-01-03
93350 HCPCS Ultrasound Of Heart During Rest, Exercise And/or Drug-induced Stress With Report 11 11 $2,317.70 $2,085.93 $834.37 $2,248.17 $859.40 2026-01-03
3010027 CDM Room & Board - Other - Sterile Environment 4 4 $946.75 $852.08 $662.73 $918.35 $857.75 2026-01-03
78832 HCPCS Nuclear Medicine Study, Spect Imaging With Concurrent CT Scan, At Least 2 Areas … 11 11 $2,299.90 $2,069.91 $827.96 $2,230.90 $852.80 2026-01-03
78830 HCPCS Nuclear Medicine Study, Spect Imaging With Concurrent CT Scan, 1 Area Or Single … 11 11 $2,299.90 $2,069.91 $827.96 $2,230.90 $852.80 2026-01-03
78831 HCPCS Nuclear Medicine Study, Spect Imaging, At Least 2 Areas Or Separate Acquisitions… 11 11 $2,299.90 $2,069.91 $827.96 $2,230.90 $852.80 2026-01-03
78802 HCPCS Nuclear Medicine Study, Whole Body 11 11 $2,299.90 $2,069.91 $827.96 $2,230.90 $852.80 2026-01-03
78800 HCPCS Nuclear Medicine Study, 1 Area 11 11 $2,299.90 $2,069.91 $827.96 $2,230.90 $852.80 2026-01-03
78801 HCPCS Nuclear Medicine Study, Multiple Areas 11 11 $2,299.90 $2,069.91 $827.96 $2,230.90 $852.80 2026-01-03
78070 HCPCS Nuclear Medicine Study Of Parathyroid 11 11 $2,299.90 $2,069.91 $827.96 $2,230.90 $852.80 2026-01-03
4059690 CDM Patch, Mesh Hernia 8cm 11 11 $2,294.75 $2,065.28 $826.11 $2,225.91 $850.89 2026-01-03
66991 HCPCS Extracapsular Removal Of Cataract With Insertion Of Artificial Lens And Insertio… 22 11 $2,261.55 $2,035.40 $42.59 $4,272.66 $850.24 2026-01-03
66989 HCPCS Complex Extracapsular Removal Of Cataract With Insertion Of Artificial Lens And … 22 11 $2,261.55 $2,035.40 $42.59 $4,272.66 $850.24 2026-01-03
C8929 HCPCS Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi… 11 11 $2,289.70 $2,060.73 $824.29 $2,221.01 $849.02 2026-01-03
78472 HCPCS Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit… 11 11 $2,276.85 $2,049.17 $819.67 $2,208.54 $844.26 2026-01-03
73700 HCPCS CT Scan Of Leg Without Contrast 11 11 $2,259.90 $2,033.91 $813.56 $2,192.10 $837.97 2026-01-03
73200 HCPCS CT Scan Of Arm Without Contrast 11 11 $2,259.90 $2,033.91 $813.56 $2,192.10 $837.97 2026-01-03
72192 HCPCS CT Scan Of Pelvis Without Contrast 11 11 $2,259.90 $2,033.91 $813.56 $2,192.10 $837.97 2026-01-03
4058029 CDM Bio Graft 6 X 49 11 11 $2,251.75 $2,026.58 $810.63 $2,184.20 $834.95 2026-01-03
23350 HCPCS Injection Of Contrast For Imaging Of Shoulder Joint 11 11 $2,202.00 $1,981.80 $792.72 $2,135.94 $816.50 2026-01-03
78305 HCPCS Nuclear Medicine Study Of Bone And/or Joint Multiple Areas 11 11 $2,186.75 $1,968.08 $787.23 $2,121.15 $810.85 2026-01-03
78265 HCPCS Nuclear Medicine Study Of Stomach To Assess Emptying And Small Bowel Movement 11 11 $2,151.15 $1,936.04 $774.41 $2,086.62 $797.65 2026-01-03
78264 HCPCS Nuclear Medicine Study Of Stomach To Assess Emptying 11 11 $2,151.15 $1,936.04 $774.41 $2,086.62 $797.65 2026-01-03
78230 HCPCS Nuclear Medicine Study Of Salivary Gland 11 11 $2,151.15 $1,936.04 $774.41 $2,086.62 $797.65 2026-01-03
78290 HCPCS Nuclear Medicine Study Of Intestine 11 11 $2,151.15 $1,936.04 $774.41 $2,086.62 $797.65 2026-01-03
78006 HCPCS Thyroid W Uptake Sgl 11 11 $2,136.60 $1,922.94 $769.18 $2,072.50 $792.25 2026-01-03
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 11 11 $2,108.00 $1,897.20 $758.88 $2,044.76 $781.65 2026-01-03
J7327 HCPCS Hyaluronan Or Derivative, Monovisc, For Intra-articular Injection, Per Dose 11 11 $2,103.90 $1,893.51 $757.40 $2,040.78 $780.13 2026-01-03
4057998 CDM Graft Gore-tex 8mm X 80cm 11 11 $2,102.25 $1,892.03 $756.81 $2,039.18 $779.51 2026-01-03
4057999 CDM Graft Gore-tex 6mm X 80cm 11 11 $2,102.25 $1,892.03 $756.81 $2,039.18 $779.51 2026-01-03
A0433 HCPCS Advanced Life Support, Level 2 (als 2) 11 11 $2,100.30 $1,890.27 $756.11 $2,037.29 $778.79 2026-01-03
70450 HCPCS CT Scan Head Or Brain Without Contrast 11 11 $2,099.75 $1,889.78 $755.91 $2,036.76 $778.59 2026-01-03
78494 HCPCS Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit… 11 11 $2,093.05 $1,883.75 $753.50 $2,030.26 $776.10 2026-01-03
4059303 CDM Mesh Patch Hernia 6cm 11 11 $2,062.05 $1,855.85 $742.34 $2,000.19 $764.61 2026-01-03
78580 HCPCS Nuclear Medicine Study Of Lung Circulation 11 11 $2,027.95 $1,825.16 $730.06 $1,967.11 $751.96 2026-01-03
78597 HCPCS Nuclear Medicine Study Of Lung Ventilation And Blood Flow To Lung 11 11 $2,027.95 $1,825.16 $730.06 $1,967.11 $751.96 2026-01-03
78579 HCPCS Nuclear Medicine Study Of Lung Ventilation 11 11 $2,027.95 $1,825.16 $730.06 $1,967.11 $751.96 2026-01-03
10180 HCPCS Complex Drainage Of Wound Infection After Surgery 19 11 $2,023.80 $1,821.42 $233.43 $1,963.09 $735.85 2026-01-03
78215 HCPCS Nuclear Medicine Study Of Liver And Spleen 11 11 $1,971.30 $1,774.17 $709.67 $1,912.16 $730.96 2026-01-03
28160 HCPCS Partial Removal Of Toe At Joint 22 11 $1,384.95 $1,246.46 $266.45 $1,968.86 $724.33 2026-01-03
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