Hospital

MITCHELL COUNTY REGIONAL HEALTH

Osage, IA · CCN 161323 · Rates published

3,922 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 — reason	Rows
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 via	Discovered by HANK
Last fetch	not_modified · 2026-10-12
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	1	$212,669.19	$212,669.19	$212,669.19	nat. median $13,680 outlier · 15.5×
302 MS_DRG	Atherosclerosis With Mcc	1	$92,744.80	$92,744.80	$92,744.80	nat. median $8,437 outlier · 11.0×
542 MS_DRG	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…	1	$76,227.17	$76,227.17	$76,227.17	nat. median $12,976 outlier · 5.9×
534 MS_DRG	Fractures Of Femur Without Mcc	1	$29,388.37	$29,388.37	$29,388.37	nat. median $5,924 outlier · 5.0×
561 MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc	1	$27,571.57	$27,571.57	$27,571.57	nat. median $5,841 outlier · 4.7×
950 MS_DRG	Aftercare Without Cc/mcc	1	$27,022.73	$27,022.73	$27,022.73	nat. median $4,481 outlier · 6.0×
815 MS_DRG	Reticuloendothelial And Immunity Disorders With Cc	1	$26,250.85	$26,250.85	$26,250.85	nat. median $7,481 outlier · 3.5×
835 MS_DRG	Acute Leukemia With Cc	1	$23,751.65	$23,751.65	$23,751.65	nat. median $15,118 1.6× median
682 MS_DRG	Renal Failure With Mcc	1	$23,076.65	$23,076.65	$23,076.65	nat. median $11,096 outlier · 2.1×
884 MS_DRG	Organic Disturbances And Intellectual Disability	1	$19,595.78	$19,595.78	$19,595.78	nat. median $7,732 outlier · 2.5×
196 MS_DRG	Interstitial Lung Disease With Mcc	1	$18,849.01	$18,849.01	$18,849.01	nat. median $13,273 1.4× median
92 MS_DRG	Other Disorders Of Nervous System With Cc	1	$18,634.66	$18,634.66	$18,634.66	nat. median $7,741 outlier · 2.4×
543 MS_DRG	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…	1	$18,585.16	$18,585.16	$18,585.16	nat. median $7,898 outlier · 2.4×
951 MS_DRG	Other Factors Influencing Health Status	1	$17,786.80	$17,786.80	$17,786.80	nat. median $4,231 outlier · 4.2×
844 MS_DRG	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…	1	$16,671.95	$16,671.95	$16,671.95	nat. median $8,649 1.9× median
184 MS_DRG	Major Chest Trauma With Cc	1	$14,460.51	$14,460.51	$14,460.51	nat. median $7,947 1.8× median
536 MS_DRG	Fractures Of Hip And Pelvis Without Mcc	1	$13,927.61	$13,927.61	$13,927.61	nat. median $6,111 outlier · 2.3×
842 MS_DRG	Lymphoma And Non-acute Leukemia Without Cc/mcc	1	$4,290.95	$4,290.95	$4,290.95	nat. median $7,505 0.6× median
393 MS_DRG	Other Digestive System Diagnoses With Mcc	1	$4,135.60	$4,135.60	$4,135.60	nat. median $11,985 outlier · 0.3×
4050888 CDM	Speedbrg Peek	11	$2,437.02	$6,566.42	$2,510.13	—
L8612 HCPCS	Aqueous Shunt	11	$2,064.22	$5,561.93	$2,126.15	nat. median $950 outlier · 2.2×
74174 HCPCS	CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast	11	$1,965.35	$5,295.53	$2,024.31	nat. median $549 outlier · 3.7×
4059903 CDM	Achilles Speedbridge	11	$1,955.23	$5,268.26	$2,013.89	—
74178 HCPCS	CT Scan Of Abdomen And Pelvis Before And After Contrast	11	$1,953.88	$5,264.63	$2,012.50	nat. median $539 outlier · 3.7×
3010034 CDM	Room & Board - Semi-private (two Beds) - Medical/surgical/gyn	4	$1,545.01	$2,140.94	$1,999.67	—
740 OTHER	Polysomnography W/cpap	2	$66.25	$2,718.03	$1,999.41	nat. median $5 outlier · 378.7×
72158 HCPCS	MRI Scan Of Lower Spinal Canal Before And After Contrast	11	$1,934.87	$5,213.41	$1,992.92	nat. median $616 outlier · 3.2×
72156 HCPCS	MRI Scan Of Upper Spinal Canal Before And After Contrast	11	$1,919.95	$5,173.20	$1,977.55	nat. median $625 outlier · 3.2×
72157 HCPCS	MRI Scan Of Middle Spinal Canal Before And After Contrast	11	$1,914.97	$5,159.77	$1,972.42	nat. median $624 outlier · 3.2×
4050334 CDM	Ventralight Mesh 8"x10"	11	$1,860.52	$5,013.06	$1,916.33	—
95811 HCPCS	Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)	11	$1,857.08	$5,003.79	$1,912.79	nat. median $1,412 1.4× median
74177 HCPCS	CT Scan Of Abdomen And Pelvis With Contrast	11	$1,812.89	$4,884.73	$1,867.27	nat. median $501 outlier · 3.7×
71552 HCPCS	MRI Scan Of Chest Before And After Contrast	11	$1,762.31	$4,748.44	$1,815.18	nat. median $691 outlier · 2.6×
70546 HCPCS	MRI Scan Of Blood Vessels Of Head Before And After Contrast	11	$1,760.31	$4,743.06	$1,813.12	nat. median $625 outlier · 2.9×
70549 HCPCS	MRI Scan Of Blood Vessels Of Neck Before And After Contrast	11	$1,760.31	$4,743.06	$1,813.12	nat. median $606 outlier · 3.0×
70543 HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast	11	$1,760.31	$4,743.06	$1,813.12	nat. median $605 outlier · 3.0×
70553 HCPCS	MRI Scan Of Brain Before And After Contrast	11	$1,760.31	$4,743.06	$1,813.12	nat. median $616 outlier · 2.9×
4050713 CDM	Speedbrg Biocomposite	11	$1,749.31	$4,713.42	$1,801.79	—
72197 HCPCS	MRI Scan Of Pelvis Before And After Contrast	11	$1,734.19	$4,672.68	$1,786.22	nat. median $606 outlier · 2.9×
74185 HCPCS	MRI Scan Of Blood Vessels Of Abdomen	11	$1,553.63	$4,737.09	$1,775.68	nat. median $853 outlier · 2.1×
74183 HCPCS	MRI Scan Of Abdomen Before And After Contrast	11	$1,709.03	$4,604.88	$1,760.30	nat. median $611 outlier · 2.9×
74176 HCPCS	CT Scan Of Abdomen And Pelvis Without Contrast	11	$1,701.47	$4,584.51	$1,752.51	nat. median $333 outlier · 5.3×
4058031 CDM	Bio Graft 6 X 65	11	$1,692.04	$4,559.10	$1,742.80	—
73220 HCPCS	MRI Scan Of Arm Before And After Contrast	11	$1,658.65	$4,469.13	$1,708.41	nat. median $737 outlier · 2.3×
73720 HCPCS	MRI Scan Of Leg Before And After Contrast	11	$1,658.65	$4,469.13	$1,708.41	nat. median $754 outlier · 2.3×
64633 HCPCS	Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,…	11	$1,620.20	$4,365.53	$1,668.80	nat. median $2,156 0.8× median
3010038 CDM	Room & Board - Other - Sterile Environment	4	$1,241.94	$1,720.97	$1,607.42	nat. median $4 outlier · 401.9×
360 OTHER	Removal Of Skin Lesion	3	$263.95	$21,397.32	$1,572.46	nat. median $16,601 outlier · 0.1×
95810 HCPCS	Sleep Study In Sleep Lab (6 Years Or Older)	11	$1,487.54	$4,008.09	$1,532.16	nat. median $1,446 1.1× median
72149 HCPCS	MRI Scan Of Lower Spinal Canal With Contrast	11	$1,457.51	$3,927.19	$1,501.24	nat. median $549 outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 3,922 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

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
184	MS_DRG	Major Chest Trauma With Cc	1	1	$7,095.51	$6,385.96	$14,460.51	$14,460.51	$14,460.51	2026-01-03
19120	HCPCS	Removal Of Growth And Tissue Of Breast, Duct, Or Nipple	11	11	$1,581.05	$1,422.95	$569.18	$1,533.62	$586.25	2026-01-03
19281	HCPCS	Placement Of Locating Device In Breast Using Imaging Guidance, First Growth	22	11	$1,185.08	$1,066.57	$331.90	$1,404.75	$523.96	2026-01-03
19285	HCPCS	Placement Of Locating Device In Breast Using Ultrasound Guidance, First Growth	22	11	$1,185.08	$1,066.57	$331.90	$1,404.75	$523.96	2026-01-03
196	MS_DRG	Interstitial Lung Disease With Mcc	1	1	$9,029.01	$8,126.11	$18,849.01	$18,849.01	$18,849.01	2026-01-03
20924	HCPCS	Tendon Graft	11	11	$1,916.30	$1,724.67	$689.87	$1,858.81	$710.56	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
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
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
24505	HCPCS	Closed Treatment Of Broken Middle Part Of Upper Arm Bone With Manipulation	22	11	$1,609.25	$1,448.33	$427.71	$1,642.55	$612.65	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
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
25608	HCPCS	Treatment Of 2 Broken Lower Forearm Bone Pieces On Thumb Side Inside Wrist Joint…	22	11	$1,101.63	$991.47	$18.34	$2,087.73	$412.13	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
27096	HCPCS	Injection Of Anesthetic Or Steroid Into Joint Between Lower Spine And Hip Bone U…	33	11	$1,230.80	$1,107.72	$69.21	$2,387.66	$456.38	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
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
27252	HCPCS	Closed Treatment Of Dislocated Hip Under Anesthesia	33	11	$2,101.75	$1,891.58	$191.38	$2,038.70	$653.54	2026-01-03
27265	HCPCS	Closed Treatment Of Dislocated Hip Prosthesis	30	11	$940.65	$846.59	$162.29	$1,303.58	$432.77	2026-01-03
27266	HCPCS	Closed Treatment Of Dislocated Hip Prosthesis Under Anesthesia	30	11	$2,015.10	$1,813.59	$191.38	$4,307.04	$510.34	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
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
27691	HCPCS	Transfer Of Deep Tendon Of Foot With Muscle Rerouting	19	11	$1,802.30	$1,622.07	$233.43	$2,412.78	$655.32	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
27760	HCPCS	Closed Treatment Of Inside Portion Of Shin Bone At Ankle	11	8	$1,092.80	$983.52	$233.43	$1,060.02	$567.95	2026-01-03
278	OTHER	Attune Solo Pinning	6	2	$959.45	$863.50	$274.81	$2,134.33	$971.67	2026-07-30
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
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
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
28470	HCPCS	Closed Treatment Of Broken Bone In Forefoot Or Midfoot	11	8	$864.65	$778.19	$233.43	$838.71	$450.80	2026-01-03
29807	HCPCS	Repair Of Shoulder Socket Using An Endoscope	11	11	$1,916.30	$1,724.67	$689.87	$1,858.81	$710.56	2026-01-03
3010000	CDM	Room & Board - Semi-private (two Beds) - General Classification	4	4	$661.15	$595.04	$462.81	$641.32	$599.00	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
3010026	CDM	Room & Board - Semi-private (two Beds) - General Classification	4	4	$661.15	$595.04	$462.81	$641.32	$599.00	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
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
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
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
302	MS_DRG	Atherosclerosis With Mcc	1	1	$41,189.80	$37,070.82	$92,744.80	$92,744.80	$92,744.80	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
350	OTHER	Abdomen & Pelvis W Cont	44	4	$2,234.05	$2,010.65	$228.59	$3,942.01	$992.99	2026-07-30
360	OTHER	Removal Of Skin Lesion	80	3	$628.30	$565.47	$263.95	$21,397.32	$1,572.46	2026-07-30
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
36569	HCPCS	Insertion Of Tube For Infusion (5 Years Or Older)	11	11	$1,155.85	$1,040.27	$416.11	$1,121.17	$428.59	2026-01-03
36573	HCPCS	Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, …	11	11	$1,155.85	$1,040.27	$416.11	$1,121.17	$428.59	2026-01-03
391	OTHER	Blood Trans Service <1hr	1	1	$1,299.50	$1,169.55	$704.33	$704.33	$704.33	2026-07-30
393	MS_DRG	Other Digestive System Diagnoses With Mcc	1	1	$1,680.60	$1,512.54	$4,135.60	$4,135.60	$4,135.60	2026-01-03
4050319	CDM	Gelport Lap System	11	11	$1,688.60	$1,519.74	$607.90	$1,637.94	$626.13	2026-01-03
4050327	CDM	Ligasure Curved Lg Jaw	11	11	$1,459.05	$1,313.15	$525.26	$1,415.28	$541.02	2026-01-03
4050329	CDM	Ligasure Retract L-hook	11	11	$1,503.55	$1,353.20	$541.28	$1,458.44	$557.52	2026-01-03
4050332	CDM	Ventralight Mesh 4"x6"	11	11	$1,919.15	$1,727.24	$690.89	$1,861.58	$711.62	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
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
4050344	CDM	Reach Tissue Device	11	11	$2,436.60	$2,192.94	$877.18	$2,363.50	$903.49	2026-01-03
4050355	CDM	Ethicon Secure Strap	11	11	$1,539.15	$1,385.24	$554.09	$1,492.98	$570.72	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
4050407	CDM	Mesh Ventralight 15x10cm	11	11	$1,339.00	$1,205.10	$482.04	$1,298.83	$496.50	2026-01-03
4050409	CDM	Stapler 31mm	11	11	$1,545.40	$1,390.86	$556.34	$1,499.04	$573.03	2026-01-03
4050464	CDM	Blunt Tip Lap Sealer Divider	11	11	$1,078.85	$970.97	$388.39	$1,046.48	$400.04	2026-01-03
4050576	CDM	Trach Tray	11	11	$1,242.25	$1,118.03	$447.21	$1,204.98	$460.63	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
4050709	CDM	4.75mm Bc Knotless Swivelock	11	11	$1,195.65	$1,076.09	$430.43	$1,159.78	$443.35	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
4050858	CDM	Navigation Unit	11	11	$3,104.40	$2,793.96	$1,117.58	$3,011.27	$1,151.11	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
4050888	CDM	Speedbrg Peek	11	11	$6,769.50	$6,092.55	$2,437.02	$6,566.42	$2,510.13	2026-01-03
4055054	CDM	Ortho-femoral Head	11	11	$1,565.10	$1,408.59	$563.44	$1,518.15	$580.34	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
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
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
4058013	CDM	Protheses Vascular 14 X 7	11	11	$1,863.95	$1,677.56	$671.02	$1,808.03	$691.15	2026-01-03
4058014	CDM	Protheses Vascular 16 X 8	11	11	$1,863.95	$1,677.56	$671.02	$1,808.03	$691.15	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
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
4059302	CDM	Mesh Patch Hernia 4cm	11	11	$1,723.95	$1,551.56	$620.62	$1,672.23	$639.24	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
4059605	CDM	Mesh Dulex 15x19	11	11	$1,557.55	$1,401.80	$560.72	$1,510.82	$577.54	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
4059809	CDM	Mesh Curasoft Lg	11	11	$1,144.95	$1,030.46	$412.18	$1,110.60	$424.55	2026-01-03
4059811	CDM	Paddle Retractor 12mm	11	11	$1,099.40	$989.46	$395.78	$1,066.42	$407.66	2026-01-03
4059875	CDM	Permafix 36cm Lap Tacker	11	11	$1,147.45	$1,032.71	$413.08	$1,113.03	$425.47	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
4059903	CDM	Achilles Speedbridge	11	11	$5,431.20	$4,888.08	$1,955.23	$5,268.26	$2,013.89	2026-01-03
44180	HCPCS	Release Of Small Bowel Scar Tissue Using An Endoscope	33	11	$1,254.95	$1,129.46	$31.21	$3,011.80	$465.34	2026-01-03
44238	HCPCS	Other Procedure On Bowel Using An Endoscope	19	11	$1,254.95	$1,129.46	$233.43	$3,011.80	$456.30	2026-01-03
45900	HCPCS	Manual Replacement Of Prolapsed Rectum Under Anesthesia	11	11	$1,372.70	$1,235.43	$494.17	$1,331.52	$509.00	2026-01-03
46040	HCPCS	Drainage Of Deep Abscess In Rectum	30	11	$1,805.40	$1,624.86	$191.38	$1,808.03	$510.34	2026-01-03
46260	HCPCS	Removal Of Multiple Hemorrhoid Groups	22	11	$977.61	$879.85	$191.38	$1,380.90	$512.50	2026-01-03
47544	HCPCS	Removal Of Biliary Duct Or Gallbladder Stone Using Imaging Guidance With Review …	11	11	$1,254.95	$1,129.46	$451.78	$1,217.30	$465.34	2026-01-03
47562	HCPCS	Removal Of Gallbladder Using An Endoscope	19	11	$1,254.95	$1,129.46	$233.43	$2,759.94	$456.30	2026-01-03
47563	HCPCS	Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope	19	11	$1,254.95	$1,129.46	$233.43	$4,197.92	$456.30	2026-01-03
47605	HCPCS	Removal Of Gallbladder With X-ray Study Of Bile Ducts	11	11	$1,254.95	$1,129.46	$451.78	$1,217.30	$465.34	2026-01-03
480	OTHER	Echo 2d Ltd Or F/u	26	3	$894.50	$805.05	$39.11	$1,810.80	$428.68	2026-07-30
49082	HCPCS	Drainage Of Fluid From Abdominal Cavity	41	11	$793.65	$714.29	$233.43	$1,315.08	$488.07	2026-01-03
49322	HCPCS	Aspiration Of Abdominal Cavity Or Cyst Using An Endoscope	11	11	$1,802.30	$1,622.07	$648.83	$1,748.23	$668.29	2026-01-03
51715	HCPCS	Injection Of Implant Material Beneath Lining Of Bladder And/or Urethra Using An …	22	11	$1,018.75	$916.88	$38.48	$1,872.68	$399.35	2026-01-03
52282	HCPCS	Insertion Of A Permanent Urethra Stent Using An Endoscope	11	11	$1,930.60	$1,737.54	$695.02	$1,872.68	$715.87	2026-01-03
534	MS_DRG	Fractures Of Femur Without Mcc	1	1	$14,658.37	$13,192.53	$29,388.37	$29,388.37	$29,388.37	2026-01-03
536	MS_DRG	Fractures Of Hip And Pelvis Without Mcc	1	1	$6,562.61	$5,906.35	$13,927.61	$13,927.61	$13,927.61	2026-01-03
542	MS_DRG	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…	1	1	$29,582.17	$26,623.95	$76,227.17	$76,227.17	$76,227.17	2026-01-03
543	MS_DRG	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…	1	1	$8,765.16	$7,888.65	$18,585.16	$18,585.16	$18,585.16	2026-01-03
561	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc	1	1	$10,386.57	$9,347.91	$27,571.57	$27,571.57	$27,571.57	2026-01-03
57240	HCPCS	Repair Of Bladder Hernia Into Vaginal Wall	11	11	$1,254.95	$1,129.46	$451.78	$1,217.30	$465.34	2026-01-03
57250	HCPCS	Repair Of Herniated Rectum Into Vaginal Wall	11	11	$1,254.95	$1,129.46	$451.78	$1,217.30	$465.34	2026-01-03
57260	HCPCS	Plastic Repair Of Vagina And Tissue Separating Vagina, Rectum, And Bladder	11	11	$1,254.95	$1,129.46	$451.78	$1,217.30	$465.34	2026-01-03
57265	HCPCS	Repair Of Bulging Of Rectum And Bladder Into Vaginal Wall	11	11	$1,254.95	$1,129.46	$451.78	$1,217.30	$465.34	2026-01-03
57284	HCPCS	Repair Of Vaginal Wall Defect Through Abdomen	11	11	$1,254.95	$1,129.46	$451.78	$1,217.30	$465.34	2026-01-03
58260	HCPCS	Removal Of Uterus Through Vagina, 250.0 G Or Less	11	11	$1,254.95	$1,129.46	$451.78	$1,217.30	$465.34	2026-01-03
58262	HCPCS	Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, 250.0 G Or Less	11	11	$1,254.95	$1,129.46	$451.78	$1,217.30	$465.34	2026-01-03
58550	HCPCS	Removal Of Uterus Through Vagina Using An Endoscope, 250.0 G Or Less	11	11	$1,930.60	$1,737.54	$695.02	$1,872.68	$715.87	2026-01-03
58551	HCPCS	Operating Room Services - General Classification	11	11	$1,930.60	$1,737.54	$695.02	$1,872.68	$715.87	2026-01-03
58660	HCPCS	Removal Of Scar Tissue Of Ovaries Or Fallopian Tubes Using An Endoscope	22	11	$1,018.75	$916.88	$38.48	$1,872.68	$399.35	2026-01-03
58661	HCPCS	Removal Of Ovaries And/or Tubes Using An Endoscope	22	11	$1,018.75	$916.88	$38.48	$1,872.68	$399.35	2026-01-03
58720	HCPCS	Removal Of Uterine Tubes And Ovaries	11	11	$1,293.75	$1,164.38	$465.75	$1,254.94	$479.72	2026-01-03
592	MS_DRG	Skin Ulcers With Mcc	1	1	$92,374.19	$83,136.77	$212,669.19	$212,669.19	$212,669.19	2026-01-03
60100	HCPCS	Needle Biopsy Of Thyroid Through Skin	11	11	$1,375.70	$1,238.13	$495.25	$1,334.43	$510.11	2026-01-03
60252	HCPCS	Removal Of Thyroid And Surrounding Lymph Nodes With Limited Neck Removal	11	11	$1,375.70	$1,238.13	$495.25	$1,334.43	$510.11	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
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
612	OTHER	MRI C-spine	15	3	$2,793.30	$2,513.97	$556.78	$3,903.70	$1,282.48	2026-07-30
62320	HCPCS	Injection Of Substance Into Middle Or Upper Spine Canal	11	11	$1,492.65	$1,343.39	$537.35	$1,447.87	$553.47	2026-01-03
62321	HCPCS	Injection Of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance	22	11	$1,210.25	$1,089.23	$89.69	$1,447.87	$401.38	2026-01-03
62322	HCPCS	Injection Of Substance Into Lower Spine Canal	11	11	$1,561.85	$1,405.67	$562.27	$1,514.99	$579.13	2026-01-03
64417	HCPCS	Injection Of Anesthetic Agent And/or Steroid Into Upper Arm And Shoulder Nerve (…	22	11	$1,826.55	$1,643.90	$57.62	$1,779.32	$417.86	2026-01-03
64479	HCPCS	Injection Of Anesthetic And/or Steroid Drug Into Upper Or Middle Spine Nerve Roo…	11	11	$1,834.35	$1,650.92	$660.37	$1,779.32	$680.18	2026-01-03
64483	HCPCS	Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I…	33	11	$1,579.75	$1,421.78	$93.39	$3,064.57	$585.77	2026-01-03
64490	HCPCS	Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le…	33	11	$1,513.65	$1,362.29	$88.27	$2,936.48	$561.26	2026-01-03
64492	HCPCS	Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Third And…	22	11	$1,409.65	$1,268.69	$348.32	$1,796.20	$669.96	2026-01-03
64493	HCPCS	Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Le…	33	11	$1,263.70	$1,137.33	$76.35	$2,451.59	$468.58	2026-01-03
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
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
64634	HCPCS	Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,…	11	11	$1,099.25	$989.33	$395.73	$1,066.27	$407.60	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
64640	HCPCS	Destruction Of Peripheral Nerve Or Branch	22	11	$1,137.10	$1,023.39	$103.75	$1,225.79	$434.06	2026-01-03
65222	HCPCS	Removal Of Foreign Body In Cornea Using Slit Lamp	11	8	$644.00	$579.60	$233.43	$908.94	$450.80	2026-01-03
66982	HCPCS	Complex Removal Of Cataract With Insertion Of Prosthetic Lens	22	11	$1,690.08	$1,521.08	$24.35	$3,213.13	$629.06	2026-01-03
66984	HCPCS	Removal Of Cataract With Insertion Of Prosthetic Lens	22	11	$1,690.08	$1,521.08	$24.35	$3,213.13	$629.06	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
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
682	MS_DRG	Renal Failure With Mcc	1	1	$10,801.65	$9,721.49	$23,076.65	$23,076.65	$23,076.65	2026-01-03
69436	HCPCS	Incision Of Eardrum With Placement Of Eardrum Tube Under General Anesthesia	22	11	$1,118.55	$1,006.70	$268.47	$1,446.61	$536.89	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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
740	OTHER	Polysomnography W/cpap	5	2	$3,481.60	$3,133.44	$66.25	$2,718.03	$1,999.41	2026-07-30
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
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
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
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
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
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
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
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
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
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
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
76642	HCPCS	Limited Ultrasound Scan Of 1 Breast	22	11	$893.88	$804.49	$241.47	$1,083.49	$404.13	2026-01-03
78000	HCPCS	Thyroid Ut Sgl	11	11	$1,807.90	$1,627.11	$650.84	$1,753.66	$670.37	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
78010	HCPCS	Thyroid Scan Only	11	11	$1,139.80	$1,025.82	$410.33	$1,105.61	$422.64	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
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
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
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
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
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
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
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
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
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
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
78306	HCPCS	Nuclear Medicine Study Of Bone And/or Joint Whole Body	11	11	$1,658.65	$1,492.79	$597.11	$1,608.89	$615.03	2026-01-03
78315	HCPCS	Nuclear Medicine Study Of Bone Taken At Different Times	11	11	$1,787.65	$1,608.89	$643.55	$1,734.02	$662.86	2026-01-03
78428	HCPCS	Nuclear Medicine Study For Detecting Heart Shunt	11	11	$1,611.55	$1,450.40	$580.16	$1,563.20	$597.56	2026-01-03
78445	HCPCS	Nuclear Medicine Study Of Non-cardiac Blood Flow	11	11	$1,807.90	$1,627.11	$650.84	$1,753.66	$670.37	2026-01-03
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
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
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
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
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
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
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
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
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
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
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
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
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
815	MS_DRG	Reticuloendothelial And Immunity Disorders With Cc	1	1	$11,520.85	$10,368.77	$26,250.85	$26,250.85	$26,250.85	2026-01-03
835	MS_DRG	Acute Leukemia With Cc	1	1	$11,476.65	$10,328.99	$23,751.65	$23,751.65	$23,751.65	2026-01-03
842	MS_DRG	Lymphoma And Non-acute Leukemia Without Cc/mcc	1	1	$1,835.95	$1,652.36	$4,290.95	$4,290.95	$4,290.95	2026-01-03
844	MS_DRG	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…	1	1	$6,851.95	$6,166.76	$16,671.95	$16,671.95	$16,671.95	2026-01-03
88333	HCPCS	Pathology Cytologic Examination Of Specimen During Surgery, Initial Site	11	11	$1,185.00	$1,066.50	$426.60	$1,149.45	$439.40	2026-01-03
884	MS_DRG	Organic Disturbances And Intellectual Disability	1	1	$9,775.78	$8,798.20	$19,595.78	$19,595.78	$19,595.78	2026-01-03
90375	HCPCS	Rabies Immune Globulin For Injection	21	11	$1,504.11	$1,353.70	$24.05	$1,458.99	$469.72	2026-01-03
90675	HCPCS	Rabies Vaccine For Injection Into Muscle	21	11	$1,327.40	$1,194.66	$197.75	$1,287.58	$477.86	2026-01-03
90677	HCPCS	Pneumococcal Conjugate Vaccine, 20 Valent (pcv20), For Intramuscular Use	11	11	$755.05	$679.55	$271.82	$755.05	$476.29	2026-01-03
92	MS_DRG	Other Disorders Of Nervous System With Cc	1	1	$6,359.66	$5,723.69	$18,634.66	$18,634.66	$18,634.66	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
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
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
93880	HCPCS	Ultrasound Of Both Sides Of Head And Neck Blood Flow	11	11	$1,319.25	$1,187.33	$474.93	$1,279.67	$489.18	2026-01-03
93925	HCPCS	Ultrasound Of Leg Arteries Or Artery Grafts	11	11	$1,380.85	$1,242.77	$497.11	$1,339.42	$512.02	2026-01-03
93970	HCPCS	Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers	11	11	$1,314.75	$1,183.28	$473.31	$1,275.31	$487.51	2026-01-03
93975	HCPCS	Complete Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow	11	11	$1,106.75	$996.08	$398.43	$1,073.55	$410.38	2026-01-03
93978	HCPCS	Complete Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts	11	11	$1,106.30	$995.67	$398.27	$1,073.11	$410.22	2026-01-03
94002	HCPCS	Initial Hospital Inpatient Or Observation Ventilation Assistance And Management	11	11	$1,890.55	$1,701.50	$680.60	$1,833.83	$701.02	2026-01-03
950	MS_DRG	Aftercare Without Cc/mcc	1	1	$9,837.73	$8,853.96	$27,022.73	$27,022.73	$27,022.73	2026-01-03
951	MS_DRG	Other Factors Influencing Health Status	1	1	$7,966.80	$7,170.12	$17,786.80	$17,786.80	$17,786.80	2026-01-03
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
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
99291	HCPCS	Critical Care, First 30-74 Minutes	30	11	$1,237.80	$1,114.02	$186.97	$1,214.29	$420.06	2026-01-03
A0426	HCPCS	Ambulance Service, Advanced Life Support, Non-emergency Transport, Level 1 (als …	11	11	$1,490.15	$1,341.14	$536.45	$1,445.45	$552.55	2026-01-03
A0427	HCPCS	Ambulance Service, Advanced Life Support, Emergency Transport, Level 1 (als 1 - …	11	11	$1,839.11	$1,655.20	$662.08	$1,783.94	$681.94	2026-01-03
A0429	HCPCS	Ambulance Service, Basic Life Support, Emergency Transport (bls-emergency)	11	11	$1,101.05	$990.95	$396.38	$1,068.02	$408.27	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
C1776	HCPCS	Joint Device (implantable)	143	11	$1,884.30	$1,695.87	$32.63	$6,589.31	$1,017.52	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
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
J2506	HCPCS	Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg	11	11	$1,381.40	$1,243.26	$497.30	$1,339.96	$512.22	2026-01-03
J3590	HCPCS	Unclassified Biologics	11	11	$1,070.55	$963.50	$385.40	$1,038.43	$396.96	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
J7336	HCPCS	Capsaicin 8% Patch, Per Square Centimeter	11	11	$1,340.80	$1,206.72	$5.40	$1,300.58	$487.51	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
L8612	HCPCS	Aqueous Shunt	11	11	$5,733.95	$5,160.56	$2,064.22	$5,561.93	$2,126.15	2026-01-03
L8699	HCPCS	Prosthetic Implant, Not Otherwise Specified	66	11	$1,453.80	$1,308.42	$123.82	$3,209.34	$721.87	2026-01-03
P9035	HCPCS	Platelets, Pheresis, Leukocytes Reduced, Each Unit	11	11	$1,590.80	$1,431.72	$572.69	$1,543.08	$589.87	2026-01-03

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