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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

NEMAHA VALLEY COMMUNITY HOSPITAL

Seneca, KS · CCN 171315 · Rates published

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You selected 470 (MS_DRG)

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

This hospital’s price: $22,152 across 1 payer

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbNVCHSENECAKS&type=CDMWithoutLabel · observed 2026-03-05

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.

2,912 distinct procedures filed
15 distinct payers
33,608 rate rows
2026-03-05 last MRF observed
Data quality

32,402 of 33,608 rate rows are consumer-grade (96.4%)

1,206 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
template filing: same amount across many unrelated codes — excluded 465
per-diem day rate — not a per-procedure price 321
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 268
percent-of-charges filed in the dollar field — excluded from medians 64
exceeds 10× this hospital's gross charge — excluded from medians 51
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 30
exceeds 3× this hospital's gross charge for a DRG stay — excluded 3
placeholder amount (≤ $0.02) — excluded from medians 3
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; 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=dbNVCHSENECAKS&type=CDMWithoutLabel
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Nemaha_Valley_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-18
Content fingerprint 878ef3fafb194fef… · 13,569,765 bytes · first seen 2026-05-04

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
552
MS_DRG 		Medical Back Problems Without Mcc 6 $8,373.14 $104,660.42 $47,124.33 nat. median
$10,356
outlier · 4.6×
940
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 6 $19,711.61 $121,219.19 $46,914.14 nat. median
$22,336
outlier · 2.1×
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 5 $22,152.04 $46,674.50 $44,217.95 nat. median
$19,883
outlier · 2.2×
554
MS_DRG 		Bone Diseases And Arthropathies Without Mcc 6 $7,449.23 $98,618.66 $38,430.29 nat. median
$9,200
outlier · 4.2×
102
MS_DRG 		Headaches With Mcc 6 $10,234.35 $73,209.67 $33,559.43 nat. median
$12,009
outlier · 2.8×
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 6 $16,555.48 $73,281.81 $30,520.75 nat. median
$18,860
1.6× median
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 6 $9,647.67 $71,747.39 $29,101.42 nat. median
$12,112
outlier · 2.4×
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 10 $72.30 $47,870.46 $25,295.76 nat. median
$331
outlier · 76.5×
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 5 $18,910.58 $26,399.86 $25,010.39 nat. median
$16,167
1.5× median
950
MS_DRG 		Aftercare Without Cc/mcc 6 $6,461.52 $57,362.06 $22,005.81 nat. median
$7,484
outlier · 2.9×
444
MS_DRG 		Disorders Of The Biliary Tract With Mcc 6 $14,836.28 $60,471.81 $21,776.92 nat. median
$16,694
1.3× median
602
MS_DRG 		Cellulitis With Mcc 5 $12,869.48 $22,750.21 $21,552.83 nat. median
$14,706
1.5× median
65
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 6 $11,282.45 $46,110.18 $20,914.04 nat. median
$11,101
1.9× median
445
MS_DRG 		Disorders Of The Biliary Tract With Cc 6 $9,563.35 $58,284.34 $19,753.51 nat. median
$11,531
1.7× median
291
MS_DRG 		Heart Failure And Shock With Mcc 5 $13,791.55 $20,210.29 $19,146.59 nat. median
$13,359
1.4× median
192
MS_DRG 		Chronic Obstructive Pulmonary Disease Without Cc/mcc 6 $7,223.86 $40,003.18 $18,370.48 nat. median
$7,511
outlier · 2.4×
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 5 $9,085.55 $17,176.99 $16,272.94 nat. median
$9,038
1.8× median
309
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Cc 6 $7,370.72 $37,572.22 $16,121.85 nat. median
$8,373
1.9× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 5 $12,323.75 $16,784.40 $15,901.01 nat. median
$13,455
1.2× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 5 $14,071.95 $17,657.09 $15,727.47 nat. median
$19,136
0.8× median
683
MS_DRG 		Renal Failure With Cc 5 $9,957.33 $16,178.31 $15,326.82 nat. median
$9,596
1.6× median
784
MS_DRG 		Cesarean Section With Sterilization With Cc 6 $7,955.00 $16,088.62 $14,818.47 nat. median
$11,063
1.3× median
378
MS_DRG 		Gastrointestinal Hemorrhage With Cc 5 $9,390.95 $15,131.06 $14,334.69 nat. median
$10,606
1.4× median
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 5 $9,990.19 $14,331.02 $13,576.76 nat. median
$12,008
1.1× median
603
MS_DRG 		Cellulitis Without Mcc 5 $8,234.03 $13,923.92 $13,191.09 nat. median
$9,525
1.4× median
195
MS_DRG 		Simple Pneumonia And Pleurisy Without Cc/mcc 5 $6,943.18 $13,212.74 $12,517.33 nat. median
$7,228
1.7× median
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 5 $11,491.77 $12,977.23 $12,294.22 nat. median
$11,661
1.1× median
392
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 5 $7,364.91 $12,744.01 $12,073.28 nat. median
$8,659
1.4× median
787
MS_DRG 		Cesarean Section Without Sterilization With Cc 6 $7,955.00 $12,911.84 $11,892.49 nat. median
$11,354
1.0× median
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 5 $10,016.62 $12,411.21 $11,757.99 nat. median
$11,029
1.1× median
788
MS_DRG 		Cesarean Section Without Sterilization Without Cc/mcc 6 $7,955.00 $12,712.22 $11,708.62 nat. median
$10,065
1.2× median
446
MS_DRG 		Disorders Of The Biliary Tract Without Cc/mcc 6 $7,247.72 $26,037.25 $11,662.82 nat. median
$9,057
1.3× median
315
MS_DRG 		Other Circulatory System Diagnoses With Cc 6 $8,639.40 $25,837.17 $11,477.74 nat. median
$10,430
1.1× median
690
MS_DRG 		Kidney And Urinary Tract Infections Without Mcc 5 $7,701.76 $12,068.96 $11,433.75 nat. median
$8,869
1.3× median
372
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Cc 6 $10,097.34 $29,062.00 $11,355.30 nat. median
$11,013
1.0× median
593
MS_DRG 		Skin Ulcers With Cc 6 $10,226.89 $25,462.99 $11,131.62 nat. median
$12,396
0.9× median
785
MS_DRG 		Cesarean Section With Sterilization Without Cc/mcc 6 $7,703.66 $11,674.71 $10,753.02 nat. median
$9,922
1.1× median
806
MS_DRG 		Vaginal Delivery Without Sterilization Or D&c With Cc 6 $6,085.00 $11,350.50 $10,454.40 nat. median
$7,911
1.3× median
J9217
HCPCS 		Leuprolide Acetate (for Depot Suspension), 7.5 Mg 10 $221.63 $19,487.09 $10,297.39 nat. median
$1,518
outlier · 6.8×
282
MS_DRG 		Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 5 $7,857.68 $10,597.79 $10,040.01 nat. median
$8,425
1.2× median
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 5 $8,810.24 $13,247.56 $9,846.74 nat. median
$12,892
0.8× median
682
MS_DRG 		Renal Failure With Mcc 5 $8,592.96 $14,420.48 $9,603.89 nat. median
$15,088
0.6× median
641
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 5 $7,250.72 $9,979.67 $9,454.43 nat. median
$8,588
1.1× median
867
MS_DRG 		Other Infectious And Parasitic Diseases Diagnoses With Mcc 5 $8,448.35 $19,855.38 $9,442.28 nat. median
$21,017
outlier · 0.4×
202
MS_DRG 		Bronchitis And Asthma With Cc/mcc 5 $8,640.82 $9,657.38 $9,149.10 nat. median
$10,254
0.9× median
897
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 6 $7,899.49 $19,365.12 $8,825.09 nat. median
$8,661
1.0× median
389
MS_DRG 		Gastrointestinal Obstruction With Cc 6 $8,033.14 $19,522.35 $8,741.94 nat. median
$8,854
1.0× median
74
MS_DRG 		Cranial And Peripheral Nerve Disorders Without Mcc 6 $7,821.44 $19,273.29 $8,741.61 nat. median
$11,005
0.8× median
191
MS_DRG 		Chronic Obstructive Pulmonary Disease With Cc 6 $7,558.20 $18,963.60 $8,447.40 nat. median
$9,352
0.9× median
536
MS_DRG 		Fractures Of Hip And Pelvis Without Mcc 5 $7,048.58 $8,725.52 $8,266.28 nat. median
$8,921
0.9× median

Other procedures at this hospital

Browse this hospital's 2,912 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
             
552 MS_DRG Medical Back Problems Without Mcc 6 6 $50,945.22 $45,850.70 $8,373.14 $104,660.42 $47,124.33 2026-03-05
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 6 6 $50,717.99 $45,646.19 $19,711.61 $121,219.19 $46,914.14 2026-03-05
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 5 5 $49,131.05 $44,217.95 $22,152.04 $46,674.50 $44,217.95 2026-03-05
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 6 6 $41,546.26 $37,391.63 $7,449.23 $98,618.66 $38,430.29 2026-03-05
102 MS_DRG Headaches With Mcc 6 6 $36,280.47 $32,652.42 $10,234.35 $73,209.67 $33,559.43 2026-03-05
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 6 6 $32,995.41 $29,695.87 $16,555.48 $73,281.81 $30,520.75 2026-03-05
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 6 6 $31,460.99 $28,314.89 $9,647.67 $71,747.39 $29,101.42 2026-03-05
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 10 10 $50,389.96 $45,350.96 $72.30 $47,870.46 $25,295.76 2026-03-05
177 MS_DRG Respiratory Infections And Inflammations With Mcc 5 5 $27,789.33 $25,010.39 $18,910.58 $26,399.86 $25,010.39 2026-03-05
950 MS_DRG Aftercare Without Cc/mcc 6 6 $23,790.06 $21,411.05 $6,461.52 $57,362.06 $22,005.81 2026-03-05
444 MS_DRG Disorders Of The Biliary Tract With Mcc 6 6 $23,542.61 $21,188.35 $14,836.28 $60,471.81 $21,776.92 2026-03-05
602 MS_DRG Cellulitis With Mcc 5 5 $23,947.59 $21,552.83 $12,869.48 $22,750.21 $21,552.83 2026-03-05
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 6 6 $22,609.78 $20,348.80 $11,282.45 $46,110.18 $20,914.04 2026-03-05
445 MS_DRG Disorders Of The Biliary Tract With Cc 6 6 $21,355.14 $19,219.63 $9,563.35 $58,284.34 $19,753.51 2026-03-05
291 MS_DRG Heart Failure And Shock With Mcc 5 5 $21,273.99 $19,146.59 $13,791.55 $20,210.29 $19,146.59 2026-03-05
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 6 6 $19,859.98 $17,873.98 $7,223.86 $40,003.18 $18,370.48 2026-03-05
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 5 5 $18,081.04 $16,272.94 $9,085.55 $17,176.99 $16,272.94 2026-03-05
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 6 6 $17,429.02 $15,686.12 $7,370.72 $37,572.22 $16,121.85 2026-03-05
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 5 5 $17,667.78 $15,901.01 $12,323.75 $16,784.40 $15,901.01 2026-03-05
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 5 5 $16,555.23 $14,899.71 $14,071.95 $17,657.09 $15,727.47 2026-03-05
683 MS_DRG Renal Failure With Cc 5 5 $17,029.80 $15,326.82 $9,957.33 $16,178.31 $15,326.82 2026-03-05
784 MS_DRG Cesarean Section With Sterilization With Cc 6 6 $16,935.39 $15,241.85 $7,955.00 $16,088.62 $14,818.47 2026-03-05
378 MS_DRG Gastrointestinal Hemorrhage With Cc 5 5 $15,927.43 $14,334.69 $9,390.95 $15,131.06 $14,334.69 2026-03-05
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 5 5 $15,085.29 $13,576.76 $9,990.19 $14,331.02 $13,576.76 2026-03-05
603 MS_DRG Cellulitis Without Mcc 5 5 $14,656.76 $13,191.09 $8,234.03 $13,923.92 $13,191.09 2026-03-05
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 5 5 $13,908.15 $12,517.33 $6,943.18 $13,212.74 $12,517.33 2026-03-05
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 5 5 $13,660.24 $12,294.22 $11,491.77 $12,977.23 $12,294.22 2026-03-05
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 5 5 $13,414.75 $12,073.28 $7,364.91 $12,744.01 $12,073.28 2026-03-05
787 MS_DRG Cesarean Section Without Sterilization With Cc 6 6 $13,591.41 $12,232.27 $7,955.00 $12,911.84 $11,892.49 2026-03-05
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 5 5 $13,064.43 $11,757.98 $10,016.62 $12,411.21 $11,757.99 2026-03-05
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 6 6 $13,381.29 $12,043.16 $7,955.00 $12,712.22 $11,708.62 2026-03-05
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 6 6 $12,608.45 $11,347.61 $7,247.72 $26,037.25 $11,662.82 2026-03-05
315 MS_DRG Other Circulatory System Diagnoses With Cc 6 6 $12,408.37 $11,167.53 $8,639.40 $25,837.17 $11,477.74 2026-03-05
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 5 5 $12,704.17 $11,433.75 $7,701.76 $12,068.96 $11,433.75 2026-03-05
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 6 6 $12,276.00 $11,048.40 $10,097.34 $29,062.00 $11,355.30 2026-03-05
593 MS_DRG Skin Ulcers With Cc 6 6 $12,034.19 $10,830.77 $10,226.89 $25,462.99 $11,131.62 2026-03-05
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 6 6 $12,289.17 $11,060.25 $7,703.66 $11,674.71 $10,753.02 2026-03-05
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 6 6 $11,947.89 $10,753.10 $6,085.00 $11,350.50 $10,454.40 2026-03-05
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 10 10 $20,512.73 $18,461.46 $221.63 $19,487.09 $10,297.39 2026-03-05
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 5 5 $11,155.57 $10,040.01 $7,857.68 $10,597.79 $10,040.01 2026-03-05
189 MS_DRG Pulmonary Edema And Respiratory Failure 5 5 $10,364.99 $9,328.49 $8,810.24 $13,247.56 $9,846.74 2026-03-05
682 MS_DRG Renal Failure With Mcc 5 5 $10,109.36 $9,098.42 $8,592.96 $14,420.48 $9,603.89 2026-03-05
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 5 5 $10,504.92 $9,454.43 $7,250.72 $9,979.67 $9,454.43 2026-03-05
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 5 5 $9,939.24 $8,945.32 $8,448.35 $19,855.38 $9,442.28 2026-03-05
202 MS_DRG Bronchitis And Asthma With Cc/mcc 5 5 $10,165.67 $9,149.10 $8,640.82 $9,657.38 $9,149.10 2026-03-05
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 6 6 $9,293.52 $8,364.17 $7,899.49 $19,365.12 $8,825.09 2026-03-05
389 MS_DRG Gastrointestinal Obstruction With Cc 6 6 $9,450.75 $8,505.68 $8,033.14 $19,522.35 $8,741.94 2026-03-05
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 6 6 $9,201.69 $8,281.52 $7,821.44 $19,273.29 $8,741.61 2026-03-05
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 6 6 $8,892.00 $8,002.80 $7,558.20 $18,963.60 $8,447.40 2026-03-05
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 5 5 $9,184.76 $8,266.28 $7,048.58 $8,725.52 $8,266.28 2026-03-05
184 MS_DRG Major Chest Trauma With Cc 6 6 $8,292.65 $7,463.39 $7,048.75 $18,364.25 $7,878.02 2026-03-05
69 MS_DRG Transient Ischemia Without Thrombolytic 5 5 $8,674.44 $7,807.00 $6,985.91 $8,240.72 $7,807.00 2026-03-05
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 6 6 $8,187.40 $7,368.66 $6,959.29 $18,259.00 $7,778.03 2026-03-05
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 5 5 $8,565.93 $7,709.34 $5,658.14 $8,137.63 $7,709.34 2026-03-05
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 5 5 $7,430.53 $6,687.48 $6,315.95 $8,022.56 $7,059.00 2026-03-05
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 6 6 $7,828.63 $7,045.76 $5,594.39 $7,437.19 $6,850.05 2026-03-05
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 5 5 $7,201.26 $6,481.13 $6,121.07 $14,392.52 $6,841.20 2026-03-05
J0896 HCPCS Injection, Luspatercept-aamt, 0.25 Mg 10 10 $13,591.94 $12,232.75 $50.79 $12,912.34 $6,823.16 2026-03-05
23142266_1 CDM Ps Open Femoral-right 9 9 $13,005.00 $11,704.50 $5,722.20 $12,354.75 $6,762.60 2026-03-05
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 5 5 $7,382.63 $6,644.37 $6,275.24 $7,013.50 $6,709.00 2026-03-05
J0517 HCPCS Injection, Benralizumab, 1 Mg 10 10 $12,146.39 $10,931.75 $200.93 $11,539.07 $6,097.49 2026-03-05
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 5 5 $5,821.16 $5,239.04 $4,947.99 $8,031.16 $5,530.10 2026-03-05
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 3 3 $10,671.30 $9,604.17 $191.42 $10,778.01 $5,335.65 2026-03-05
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 6 6 $5,275.90 $4,748.31 $4,484.52 $11,990.30 $5,012.11 2026-03-05
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 6 6 $5,200.54 $4,680.49 $4,420.46 $11,914.94 $4,940.51 2026-03-05
J0565 HCPCS Injection, Bezlotoxumab, 10 Mg 10 10 $9,712.80 $8,741.52 $49.22 $9,227.16 $4,875.83 2026-03-05
393 MS_DRG Other Digestive System Diagnoses With Mcc 5 5 $5,034.40 $4,530.96 $4,279.24 $14,743.98 $4,782.68 2026-03-05
J2356 HCPCS Injection, Tezepelumab-ekko, 1 Mg 10 10 $9,285.95 $8,357.36 $22.90 $8,821.65 $4,661.55 2026-03-05
951 MS_DRG Other Factors Influencing Health Status 6 6 $4,184.84 $3,766.36 $3,557.12 $10,899.24 $3,975.60 2026-03-05
795 MS_DRG Normal Newborn 6 6 $4,221.12 $3,799.01 $1,709.86 $10,935.52 $3,904.54 2026-03-05
44145 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum 8 8 $5,638.00 $5,074.20 $328.52 $5,356.10 $3,862.03 2026-03-05
794 MS_DRG Neonate With Other Significant Problems 4 4 $4,089.03 $3,680.12 $3,475.67 $3,884.58 $3,782.35 2026-03-05
90377 HCPCS Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle 18 10 $7,248.90 $6,524.01 $328.52 $6,886.46 $3,769.19 2026-03-05
J2182 HCPCS Injection, Mepolizumab, 1 Mg 10 10 $7,332.32 $6,599.09 $38.95 $6,965.70 $3,680.82 2026-03-05
64625 HCPCS Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui… 18 10 $7,069.50 $6,362.55 $165.93 $8,954.70 $3,487.62 2026-03-05
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 4 4 $3,401.58 $3,061.42 $2,891.34 $3,231.50 $3,146.46 2026-03-05
23142268_1 CDM Fixed Cruciate Tibial Plate 9 9 $6,048.00 $5,443.20 $2,661.12 $5,745.60 $3,144.96 2026-03-05
59400 HCPCS Vaginal Delivery With Care Before And After Delivery 8 8 $4,461.00 $4,014.90 $328.52 $4,237.95 $3,055.78 2026-03-05
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 5 $3,199.03 $2,879.13 $2,719.18 $6,556.23 $3,039.08 2026-03-05
27611334_1 CDM Jada System 9 9 $5,625.00 $5,062.50 $2,475.00 $5,343.75 $2,925.00 2026-03-05
J3262 HCPCS Injection, Tocilizumab, 1 Mg 10 10 $5,722.03 $5,149.83 $7.24 $5,435.93 $2,872.46 2026-03-05
J1306 HCPCS Injection, Inclisiran, 1 Mg 10 10 $5,538.00 $4,984.20 $15.52 $5,261.10 $2,780.07 2026-03-05
72265 HCPCS Review By Radiologist Of Lower Spinal Canal Image 10 10 $5,014.00 $4,512.60 $2,206.16 $4,763.30 $2,713.10 2026-03-05
Q5108 HCPCS Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 10 10 $5,335.65 $4,802.09 $151.55 $5,068.87 $2,678.49 2026-03-05
J3101 HCPCS Injection, Tenecteplase, 1 Mg 10 10 $5,258.90 $4,733.01 $208.95 $4,995.96 $2,639.97 2026-03-05
793 MS_DRG Full Term Neonate With Major Problems 5 5 $2,776.93 $2,499.24 $2,360.39 $6,134.13 $2,638.08 2026-03-05
64624 HCPCS Destruction Of Nerve Branches Of Knee Using Imaging Guidance 36 10 $5,866.00 $5,279.40 $125.36 $11,145.40 $2,581.04 2026-03-05
J0897 HCPCS Injection, Denosumab, 1 Mg 28 10 $4,565.31 $4,108.78 $35.58 $5,383.83 $2,493.56 2026-03-05
J9202 HCPCS Goserelin Acetate Implant, Per 3.6 Mg 10 10 $4,871.10 $4,383.99 $904.41 $4,627.55 $2,445.29 2026-03-05
49657 HCPCS Laparoscopy, Surgical, Repair, Recurrent Incisional Hernia (includes Mesh Insert… 2 2 $4,285.00 $3,856.50 $2,142.50 $2,571.00 $2,356.75 2026-03-05
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 10 10 $4,664.71 $4,198.24 $14.78 $4,431.47 $2,341.68 2026-03-05
23142267_1 CDM Ps Tibial Bearing 9 9 $4,423.00 $3,980.70 $1,946.12 $4,201.85 $2,299.96 2026-03-05
22999471_1 CDM Labor Room/delivery - General Classification 9 9 $4,151.00 $3,735.90 $1,826.44 $3,943.45 $2,158.52 2026-03-05
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 10 10 $4,137.00 $3,723.30 $1,271.74 $3,930.15 $2,076.77 2026-03-05
27959185_1 CDM Paxlovid 150-100 Mg (moderate) 9 9 $3,824.12 $3,441.71 $1,682.61 $3,632.91 $1,988.54 2026-03-05
27941135_1 CDM Paxlovid 300-100 Mg Dose Pack 9 9 $3,712.72 $3,341.45 $1,633.60 $3,527.08 $1,930.61 2026-03-05
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 10 10 $3,840.00 $3,456.00 $1,271.74 $3,648.00 $1,927.68 2026-03-05
J3032 HCPCS Injection, Eptinezumab-jjmr, 1 Mg 10 10 $3,821.22 $3,439.10 $24.86 $3,630.16 $1,918.25 2026-03-05
44140 HCPCS Partial Removal Of Large Bowel With Connection 17 10 $4,372.00 $3,934.80 $328.52 $4,174.30 $1,909.00 2026-03-05
22758978_1 CDM Nursery - Newborn - Level IV 4 4 $2,038.00 $1,834.20 $1,732.30 $1,936.10 $1,885.15 2026-03-05
24119422_1 CDM Reliatack Device W 30 Std Tacker 9 9 $3,592.00 $3,232.80 $1,580.48 $3,412.40 $1,867.84 2026-03-05
45395 HCPCS Removal Of Rectum With Creation Of Opening From Large Bowel To Skin Using An End… 9 9 $6,406.00 $5,765.40 $1,649.60 $3,843.60 $1,814.56 2026-03-05
49655 HCPCS Laparoscopy, Surgical, Repair, Incisional Hernia (includes Mesh Insertion, When … 2 2 $3,292.00 $2,962.80 $1,646.00 $1,975.20 $1,810.60 2026-03-05
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 9 9 $3,432.00 $3,088.80 $1,510.08 $3,260.40 $1,784.64 2026-03-05
36561 HCPCS Insertion Of Central Venous Tube With Port (5 Years Or Older) 18 10 $2,953.00 $2,657.70 $276.57 $3,838.00 $1,777.60 2026-03-05
Q4106 HCPCS Dermagraft, Per Square Centimeter 10 10 $3,500.00 $3,150.00 $36.75 $3,325.00 $1,757.00 2026-03-05
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 10 10 $3,415.22 $3,073.70 $1.45 $3,244.46 $1,714.44 2026-03-05
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 20 10 $3,384.00 $3,045.60 $1,468.08 $3,214.80 $1,698.77 2026-03-05
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 4 4 $1,836.00 $1,652.40 $1,560.60 $1,744.20 $1,698.30 2026-03-05
45110 HCPCS Removal Of Rectum With Creation Of Opening From Large Bowel To Skin Through Abdo… 9 9 $5,970.00 $5,373.00 $1,534.11 $3,582.00 $1,687.52 2026-03-05
64633 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 36 10 $3,826.00 $3,443.40 $162.49 $7,269.40 $1,683.44 2026-03-05
59410 HCPCS Vaginal Delivery With Post Delivery Care 8 8 $2,447.00 $2,202.30 $328.52 $2,324.65 $1,676.19 2026-03-05
73702 HCPCS CT Scan Of Leg Before And After Contrast 19 10 $3,606.00 $3,245.40 $480.41 $3,425.70 $1,666.00 2026-03-05
73202 HCPCS CT Scan Of Arm Before And After Contrast 19 10 $3,606.00 $3,245.40 $480.41 $3,425.70 $1,666.00 2026-03-05
49566 HCPCS Repair Recurrent Incisional Or Ventral Hernia; Incarcerated Or Strangulated 2 2 $3,021.00 $2,718.90 $1,510.50 $1,812.60 $1,661.55 2026-03-05
J7296 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System, (kyleena), 19.5 Mg 19 10 $3,862.00 $3,475.80 $604.14 $3,668.90 $1,651.90 2026-03-05
64451 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Spine And Pelvis Nerve Using I… 17 9 $3,740.00 $3,366.00 $68.40 $3,553.00 $1,645.60 2026-03-05
49561 HCPCS Repair Initial Incisional Or Ventral Hernia; Incarcerated Or Strangulated 2 2 $2,992.00 $2,692.80 $1,496.00 $1,795.20 $1,645.60 2026-03-05
44210 HCPCS Removal Of Large Bowel With Attachment Of Small Bowel To Rectum Or Creation Of S… 9 9 $5,821.00 $5,238.90 $1,491.57 $3,492.60 $1,640.73 2026-03-05
99468 HCPCS Initial Inpatient Hospital Critical Care Of Newborn Per Day (28 Days Or Younger) 8 8 $2,380.00 $2,142.00 $328.52 $2,261.00 $1,630.30 2026-03-05
36571 HCPCS Insertion Of Central Venous Tube With Port For Infusion (5 Years Or Older) 18 10 $2,851.00 $2,565.90 $267.32 $3,515.00 $1,628.00 2026-03-05
49656 HCPCS Laparoscopy, Surgical, Repair, Recurrent Incisional Hernia (includes Mesh Insert… 2 2 $2,939.00 $2,645.10 $1,469.50 $1,763.40 $1,616.45 2026-03-05
49653 HCPCS Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 2 2 $2,934.00 $2,640.60 $1,467.00 $1,760.40 $1,613.70 2026-03-05
64635 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 36 10 $3,656.00 $3,290.40 $162.92 $6,946.40 $1,608.64 2026-03-05
22758982_1 CDM Room & Board - Private (one Bed) - Obstetrics (ob) 4 4 $1,734.00 $1,560.60 $1,473.90 $1,647.30 $1,603.95 2026-03-05
24139360_1 CDM Liga-sure Impact Laparoscopic 9 9 $3,071.00 $2,763.90 $1,351.24 $2,917.45 $1,596.92 2026-03-05
78451 HCPCS Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect 20 10 $3,165.00 $2,848.50 $1,010.00 $3,006.75 $1,588.83 2026-03-05
73701 HCPCS CT Scan Of Leg With Contrast Material 19 10 $3,394.00 $3,054.60 $480.41 $3,224.30 $1,563.15 2026-03-05
73201 HCPCS CT Scan Of Arm With Contrast 19 10 $3,394.00 $3,054.60 $480.41 $3,224.30 $1,563.15 2026-03-05
59426 HCPCS Predelivery Care, 7 Or More Visits 8 8 $2,268.00 $2,041.20 $328.52 $2,154.60 $1,553.58 2026-03-05
64454 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Knee Nerve Branch Using Imagin… 34 9 $3,400.00 $3,060.00 $69.13 $6,460.00 $1,503.48 2026-03-05
36576 HCPCS Repair Of Central Venous Tube For Infusion With Port Or Pump 9 9 $2,862.00 $2,575.80 $1,259.28 $2,718.90 $1,488.24 2026-03-05
49654 HCPCS Laparoscopy, Surgical, Repair, Incisional Hernia (includes Mesh Insertion, When … 2 2 $2,691.00 $2,421.90 $1,345.50 $1,614.60 $1,480.05 2026-03-05
49020 HCPCS Drainage Of Abdominal Abscess Or Infection 9 9 $4,380.00 $3,942.00 $1,343.83 $2,628.00 $1,478.21 2026-03-05
43880 HCPCS Closure Of Abnormal Drainage Tract From Stomach To Large Bowel 9 9 $5,238.00 $4,714.20 $1,343.26 $3,142.80 $1,477.59 2026-03-05
73200 HCPCS CT Scan Of Arm Without Contrast 19 10 $3,194.00 $2,874.60 $480.41 $3,034.30 $1,471.35 2026-03-05
59409 HCPCS Vaginal Delivery 8 8 $2,147.00 $1,932.30 $328.52 $2,039.65 $1,470.70 2026-03-05
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 10 10 $2,361.00 $2,124.90 $1,038.84 $2,242.95 $1,465.93 2026-03-05
11805347_1 CDM Room & Board - Private (one Bed) - General Classification 4 4 $1,530.00 $1,377.00 $1,300.50 $1,453.50 $1,415.25 2026-03-05
11805353_1 CDM Room & Board - Semi-private (two Beds) - General Classification 4 4 $1,530.00 $1,377.00 $1,300.50 $1,453.50 $1,415.25 2026-03-05
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 10 10 $2,489.00 $2,240.10 $1,095.16 $2,364.55 $1,413.22 2026-03-05
44204 HCPCS Partial Removal Of Large Bowel Using An Endoscope 9 9 $5,084.00 $4,575.60 $1,283.30 $3,050.40 $1,411.63 2026-03-05
24139359_1 CDM Liga-sure Maryland Jaw Laparoscopic 9 9 $2,697.00 $2,427.30 $1,186.68 $2,562.15 $1,402.44 2026-03-05
J7325 HCPCS Hyaluronan Or Derivative, Synvisc Or Synvisc-one, For Intra-articular Injection,… 10 10 $2,782.08 $2,503.87 $11.78 $2,642.98 $1,396.61 2026-03-05
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 20 10 $2,777.50 $2,499.75 $480.41 $2,664.75 $1,393.81 2026-03-05
64483 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 36 10 $3,146.00 $2,831.40 $93.64 $5,977.40 $1,384.24 2026-03-05
64486 HCPCS Injection Of Local Anesthetic For Abdominal Wall Pain Control On Side Using Imag… 36 10 $3,146.00 $2,831.40 $46.33 $5,977.40 $1,384.24 2026-03-05
36565 HCPCS Insertion Of 2 Central Venous Tubes In 2 Veins For Infusion 9 9 $2,650.00 $2,385.00 $1,166.00 $2,517.50 $1,378.00 2026-03-05
J2357 HCPCS Injection, Omalizumab, 5 Mg 19 10 $2,827.85 $2,545.07 $51.61 $2,686.46 $1,368.68 2026-03-05
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 10 10 $2,722.12 $2,449.91 $13.26 $2,586.01 $1,366.51 2026-03-05
64490 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le… 36 10 $3,094.00 $2,784.60 $88.55 $5,878.60 $1,361.36 2026-03-05
64632 HCPCS Destruction Of Foot Nerve 18 10 $2,742.00 $2,467.80 $58.51 $3,473.20 $1,352.72 2026-03-05
64620 HCPCS Injection Of Agent To Destroy Rib Nerve 18 10 $2,742.00 $2,467.80 $155.51 $3,473.20 $1,352.72 2026-03-05
64530 HCPCS Injection Of Anesthetic Agent Into Abdominal Sympathetic Nerve Bundle 18 10 $2,742.00 $2,467.80 $80.23 $3,473.20 $1,352.72 2026-03-05
64510 HCPCS Injection Of Anesthetic Agent Into Sympathetic Nerve Bundle 18 10 $2,742.00 $2,467.80 $65.45 $3,473.20 $1,352.72 2026-03-05
64517 HCPCS Injection Of Anesthetic Agent Into Sacral Nerve Bundle 18 10 $2,742.00 $2,467.80 $107.18 $3,473.20 $1,352.72 2026-03-05
64640 HCPCS Destruction Of Peripheral Nerve Or Branch 18 10 $2,742.00 $2,467.80 $104.10 $3,473.20 $1,352.72 2026-03-05
58550 HCPCS Removal Of Uterus Through Vagina Using An Endoscope, 250.0 G Or Less 17 10 $2,919.00 $2,627.10 $328.52 $3,481.75 $1,344.92 2026-03-05
64493 HCPCS Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Le… 36 10 $3,052.00 $2,746.80 $76.55 $5,798.80 $1,342.88 2026-03-05
49565 HCPCS Repair Recurrent Incisional Or Ventral Hernia; Reducible 2 2 $2,428.00 $2,185.20 $1,214.00 $1,456.80 $1,335.40 2026-03-05
1101854_1 CDM Nursery - General Classification 4 4 $1,428.00 $1,285.20 $1,213.80 $1,356.60 $1,320.90 2026-03-05
78803 HCPCS Nuclear Medicine Study, Spect Imaging, 1 Area Or Single Acquisition, Single Day … 10 10 $1,916.00 $1,724.40 $843.04 $1,820.20 $1,312.46 2026-03-05
49652 HCPCS Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 2 2 $2,344.00 $2,109.60 $1,172.00 $1,406.40 $1,289.20 2026-03-05
59514 HCPCS Cesarean Delivery 36 10 $2,300.00 $2,070.00 $328.52 $4,873.50 $1,288.00 2026-03-05
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 10 10 $2,561.60 $2,305.44 $552.52 $2,433.52 $1,285.92 2026-03-05
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 10 10 $2,561.60 $2,305.44 $552.52 $2,433.52 $1,285.92 2026-03-05
70553 HCPCS MRI Scan Of Brain Before And After Contrast 10 10 $2,561.60 $2,305.44 $552.52 $2,433.52 $1,285.92 2026-03-05
71552 HCPCS MRI Scan Of Chest Before And After Contrast 10 10 $2,561.60 $2,305.44 $552.52 $2,433.52 $1,285.92 2026-03-05
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 10 10 $2,561.60 $2,305.44 $552.52 $2,433.52 $1,285.92 2026-03-05
49560 HCPCS Repair Initial Incisional Or Ventral Hernia; Reducible 2 2 $2,337.00 $2,103.30 $1,168.50 $1,402.20 $1,285.35 2026-03-05
44602 HCPCS Suture Of Tear Of Hole In Small Bowel 9 9 $4,725.00 $4,252.50 $1,163.52 $2,835.00 $1,279.87 2026-03-05
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 10 10 $2,511.20 $2,260.08 $552.52 $2,385.64 $1,260.62 2026-03-05
43840 HCPCS Suture Of Perforated Ulcer, Wound, Or Injury Of Stomach Or Upper Small Bowel 9 9 $4,422.00 $3,979.80 $1,145.23 $2,653.20 $1,259.75 2026-03-05
64400 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Face Nerve 18 10 $2,550.00 $2,295.00 $42.41 $3,230.00 $1,258.00 2026-03-05
47420 HCPCS Incision Or Creation Of Opening Of Gallbladder With Drainage Or Removal Of Bile … 9 9 $2,497.00 $2,247.30 $1,116.91 $1,910.21 $1,228.60 2026-03-05
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 20 10 $2,444.00 $2,199.60 $480.41 $2,344.60 $1,226.45 2026-03-05
23031804_1 CDM Lap Forcep Bipolar Cutting 5mm 9 9 $2,358.00 $2,122.20 $1,037.52 $2,240.10 $1,226.16 2026-03-05
23142265_1 CDM Series-a Standard Patella 9 9 $2,335.00 $2,101.50 $1,027.40 $2,218.25 $1,214.20 2026-03-05
78598 HCPCS Nuclear Medicine Study Of Lung Ventilation And Circulation And Blood Flow To Lun… 9 9 $2,312.00 $2,080.80 $1,017.28 $2,196.40 $1,202.24 2026-03-05
44205 HCPCS Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe… 10 9 $4,068.00 $3,661.20 $243.60 $2,440.80 $1,200.07 2026-03-05
37617 HCPCS Tying Of Major Artery Of The Abdomen 9 9 $4,517.00 $4,065.30 $1,089.85 $2,710.20 $1,198.84 2026-03-05
70552 HCPCS MRI Scan Of Brain With Contrast 10 10 $2,371.20 $2,134.08 $552.52 $2,252.64 $1,190.34 2026-03-05
58554 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, More… 9 9 $4,430.00 $3,987.00 $1,067.36 $2,658.00 $1,174.10 2026-03-05
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 20 10 $2,333.50 $2,100.15 $480.41 $2,238.20 $1,171.01 2026-03-05
J7301 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (skyla), 13.5 Mg 9 9 $1,373.05 $1,235.75 $328.52 $1,375.47 $1,167.09 2026-03-05
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg 9 9 $1,373.05 $1,235.75 $328.52 $1,651.90 $1,167.09 2026-03-05
27437329_1 CDM Reliatack 7.0mm 9 9 $2,234.00 $2,010.60 $982.96 $2,122.30 $1,161.68 2026-03-05
23321743_1 CDM Mpq Implants 2.5 Ml 9 9 $2,228.00 $2,005.20 $980.32 $2,116.60 $1,158.56 2026-03-05
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 10 10 $2,250.00 $2,025.00 $990.00 $2,137.50 $1,156.92 2026-03-05
44160 HCPCS Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe… 9 9 $3,460.00 $3,114.00 $1,046.09 $2,076.00 $1,150.70 2026-03-05
24139652_1 CDM Cataract Bundle 9 9 $2,200.00 $1,980.00 $968.00 $2,090.00 $1,144.00 2026-03-05
73706 HCPCS CT Scan Of Blood Vessels Of Lower Leg With Contrast 10 10 $2,250.00 $2,025.00 $222.53 $2,137.50 $1,129.50 2026-03-05
44120 HCPCS Partial Removal Of Small Bowel With Reconnection 9 9 $3,399.00 $3,059.10 $1,024.17 $2,039.40 $1,126.59 2026-03-05
23032155_1 CDM Laprascopic Kit 9 9 $2,163.00 $1,946.70 $951.72 $2,054.85 $1,124.76 2026-03-05
44320 HCPCS Creation Of Opening From Large Bowel To Skin 9 9 $3,873.00 $3,485.70 $1,016.35 $2,323.80 $1,117.99 2026-03-05
65235 HCPCS Removal Of Foreign Body In Eye Or Lens 8 8 $1,630.00 $1,467.00 $328.52 $1,548.50 $1,116.55 2026-03-05
19307 HCPCS Removal Of Breast And Underarm Lymph Nodes 9 9 $3,649.00 $3,284.10 $1,014.18 $2,189.40 $1,115.60 2026-03-05
58573 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, Mor… 9 9 $4,012.00 $3,610.80 $1,009.79 $2,407.20 $1,110.77 2026-03-05
70551 HCPCS MRI Scan Of Brain Without Contrast 10 10 $2,201.60 $1,981.44 $552.52 $2,091.52 $1,105.20 2026-03-05
72196 HCPCS MRI Scan Of Pelvis With Contrast 10 10 $2,201.60 $1,981.44 $552.52 $2,091.52 $1,105.20 2026-03-05
24119656_1 CDM Endo Gia 60mm Thick Purple 9 9 $2,101.00 $1,890.90 $924.44 $1,995.95 $1,092.52 2026-03-05
47720 HCPCS Creation Of Drainage Tract From Gallbladder To Small Bowel 9 9 $3,616.00 $3,254.40 $984.45 $2,169.60 $1,082.90 2026-03-05
36590 HCPCS Removal Of Central Venous Tube With Port Or Pump 19 10 $2,454.00 $2,208.60 $158.71 $2,331.30 $1,079.76 2026-03-05
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 10 10 $2,132.00 $1,918.80 $664.93 $2,025.40 $1,070.27 2026-03-05
24119655_1 CDM Endo Gia 60mm Med Tan 9 9 $2,029.00 $1,826.10 $892.76 $1,927.55 $1,055.08 2026-03-05
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 10 10 $1,823.00 $1,640.70 $802.12 $1,731.85 $1,053.80 2026-03-05
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 10 10 $2,076.80 $1,869.12 $552.52 $1,972.96 $1,042.56 2026-03-05
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 10 10 $2,076.80 $1,869.12 $552.52 $1,972.96 $1,042.56 2026-03-05
73220 HCPCS MRI Scan Of Arm Before And After Contrast 10 10 $2,076.80 $1,869.12 $552.52 $1,972.96 $1,042.56 2026-03-05
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 10 10 $2,076.80 $1,869.12 $552.52 $1,972.96 $1,042.56 2026-03-05
73720 HCPCS MRI Scan Of Leg Before And After Contrast 10 10 $2,076.80 $1,869.12 $552.52 $1,972.96 $1,042.56 2026-03-05
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 10 10 $2,076.80 $1,869.12 $552.52 $1,972.96 $1,042.56 2026-03-05
C1781 HCPCS Mesh (implantable) 81 9 $1,211.00 $1,089.90 $103.40 $2,960.20 $1,028.50 2026-03-05
78472 HCPCS Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit… 10 10 $2,032.00 $1,828.80 $507.34 $1,930.40 $1,020.07 2026-03-05
27252 HCPCS Closed Treatment Of Dislocated Hip Under Anesthesia 8 8 $1,465.00 $1,318.50 $328.52 $1,391.75 $1,003.52 2026-03-05
43280 HCPCS Strengthening Of Muscle Between Esophagus And Stomach By Wrapping Part Of Stomac… 9 9 $3,507.00 $3,156.30 $910.03 $2,104.20 $1,001.03 2026-03-05
47600 HCPCS Removal Of Gallbladder 9 9 $3,414.00 $3,072.60 $909.90 $2,048.40 $1,000.89 2026-03-05
58553 HCPCS Removal Of Uterus Through Vagina Using An Endoscope, More Than 250.0 9 9 $3,832.00 $3,448.80 $907.93 $2,299.20 $998.72 2026-03-05
70336 HCPCS MRI Scan Of Jaw Joint 10 10 $1,988.80 $1,789.92 $552.52 $1,889.36 $998.38 2026-03-05
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 10 10 $1,988.80 $1,789.92 $552.52 $1,889.36 $998.38 2026-03-05
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 10 10 $1,988.80 $1,789.92 $552.52 $1,889.36 $998.38 2026-03-05
73218 HCPCS MRI Scan Of Arm Without Contrast 10 10 $1,988.80 $1,789.92 $552.52 $1,889.36 $998.38 2026-03-05
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 10 10 $1,988.80 $1,789.92 $552.52 $1,889.36 $998.38 2026-03-05
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 10 10 $1,988.80 $1,789.92 $552.52 $1,889.36 $998.38 2026-03-05
73719 HCPCS MRI Scan Of Leg With Contrast 10 10 $1,988.80 $1,789.92 $552.52 $1,889.36 $998.38 2026-03-05
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 10 10 $1,988.80 $1,789.92 $552.52 $1,889.36 $998.38 2026-03-05
71550 HCPCS MRI Scan Of Chest Without Contrast 10 10 $1,988.80 $1,789.92 $552.52 $1,889.36 $998.38 2026-03-05
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 10 10 $1,988.80 $1,789.92 $552.52 $1,889.36 $998.38 2026-03-05
77084 HCPCS MRI Scan Of Bone Marrow 10 10 $1,988.80 $1,789.92 $552.52 $1,889.36 $998.38 2026-03-05
75557 HCPCS MRI Scan Of Heart Without Contrast 10 10 $1,988.80 $1,789.92 $552.52 $1,889.36 $998.38 2026-03-05
74182 HCPCS MRI Scan Of Abdomen With Contrast 10 10 $1,988.80 $1,789.92 $552.52 $1,889.36 $998.38 2026-03-05
72195 HCPCS MRI Scan Of Pelvis Without Contrast 10 10 $1,988.80 $1,789.92 $552.52 $1,889.36 $998.38 2026-03-05
75561 HCPCS MRI Scan Of Heart Before And After Contrast 10 10 $1,988.80 $1,789.92 $552.52 $1,889.36 $998.38 2026-03-05
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 10 10 $1,988.80 $1,789.92 $552.52 $1,889.36 $998.38 2026-03-05
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 10 10 $1,988.80 $1,789.92 $552.52 $1,889.36 $998.38 2026-03-05
74181 HCPCS MRI Scan Of Abdomen Without Contrast 10 10 $1,988.80 $1,789.92 $552.52 $1,889.36 $998.38 2026-03-05
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 10 10 $1,988.80 $1,789.92 $552.52 $1,889.36 $998.38 2026-03-05
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 10 10 $1,960.00 $1,764.00 $480.41 $1,862.00 $983.92 2026-03-05
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 10 10 $1,960.00 $1,764.00 $480.41 $1,862.00 $983.92 2026-03-05
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 10 10 $1,960.00 $1,764.00 $480.41 $1,862.00 $983.92 2026-03-05
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 10 10 $1,960.00 $1,764.00 $480.41 $1,862.00 $983.92 2026-03-05
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 10 10 $1,960.00 $1,764.00 $480.41 $1,862.00 $983.92 2026-03-05
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 10 10 $1,960.00 $1,764.00 $480.41 $1,862.00 $983.92 2026-03-05
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 10 10 $1,960.00 $1,764.00 $480.41 $1,862.00 $983.92 2026-03-05
70488 HCPCS CT Scan Of Face Before And After Contrast 10 10 $1,960.00 $1,764.00 $480.41 $1,862.00 $983.92 2026-03-05
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 10 10 $1,960.00 $1,764.00 $480.41 $1,862.00 $983.92 2026-03-05
73718 HCPCS MRI Scan Of Leg Without Contrast 10 10 $1,949.60 $1,754.64 $552.52 $1,852.12 $978.70 2026-03-05
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 10 10 $1,534.00 $1,380.60 $674.96 $1,457.30 $978.19 2026-03-05
71270 HCPCS CT Scan Of Chest Before And After Contrast 20 10 $1,941.00 $1,746.90 $480.41 $1,862.00 $974.04 2026-03-05
44604 HCPCS Suture Of Tear Or Hole In Large Bowel 9 9 $3,494.00 $3,144.60 $880.81 $2,096.40 $968.89 2026-03-05
44310 HCPCS Creation Of Opening From Small Bowel To Skin 9 9 $3,404.00 $3,063.60 $878.29 $2,042.40 $966.12 2026-03-05
36584 HCPCS Replacement Of Peripherally Inserted Central Venous Tube (picc) With Review By R… 9 9 $1,854.00 $1,668.60 $815.76 $1,761.30 $964.08 2026-03-05
24359240_1 CDM Spacemaker Pro Btt Oval 9 9 $1,844.00 $1,659.60 $811.36 $1,751.80 $958.88 2026-03-05
58572 HCPCS Removal Of Uterus Through Abdomen Using An Endoscope, More Than 250.0 G 9 9 $3,419.00 $3,077.10 $863.82 $2,051.40 $950.20 2026-03-05
24173777_1 CDM Resolution 360 Clip 9 9 $1,823.00 $1,640.70 $802.12 $1,731.85 $947.96 2026-03-05
62273 HCPCS Injection Of Blood Or Blood Clot Into Spinal Canal 18 10 $1,912.50 $1,721.25 $96.32 $2,422.50 $943.50 2026-03-05
71260 HCPCS CT Scan Of Chest With Contrast 29 10 $1,839.00 $1,655.10 $480.41 $1,747.05 $937.56 2026-03-05
12017 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 20.… 9 9 $1,100.00 $990.00 $328.52 $1,538.23 $935.00 2026-03-05
78708 HCPCS Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra… 20 10 $1,864.00 $1,677.60 $771.32 $1,876.25 $933.73 2026-03-05
78802 HCPCS Nuclear Medicine Study, Whole Body 9 9 $1,792.00 $1,612.80 $788.48 $1,702.40 $931.84 2026-03-05
24139749_1 CDM Absorba Tack Fixation Device Straight 9 9 $1,789.00 $1,610.10 $787.16 $1,699.55 $930.28 2026-03-05
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 10 10 $1,839.00 $1,655.10 $480.41 $1,747.05 $923.18 2026-03-05
72126 HCPCS CT Scan Of Upper Spine With Contrast 10 10 $1,839.00 $1,655.10 $480.41 $1,747.05 $923.18 2026-03-05
72193 HCPCS CT Scan Of Pelvis With Contrast 10 10 $1,839.00 $1,655.10 $480.41 $1,747.05 $923.18 2026-03-05
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 10 10 $1,839.00 $1,655.10 $480.41 $1,747.05 $923.18 2026-03-05
72132 HCPCS CT Scan Of Lower Spine With Contrast 10 10 $1,839.00 $1,655.10 $480.41 $1,747.05 $923.18 2026-03-05
70487 HCPCS CT Scan Of Face With Contrast 10 10 $1,839.00 $1,655.10 $480.41 $1,747.05 $923.18 2026-03-05
72129 HCPCS CT Scan Of Middle Spine With Contrast 10 10 $1,839.00 $1,655.10 $480.41 $1,747.05 $923.18 2026-03-05
70460 HCPCS CT Scan Head Or Brain With Contrast 10 10 $1,839.00 $1,655.10 $480.41 $1,747.05 $923.18 2026-03-05
74160 HCPCS CT Scan Of Abdomen With Contrast 10 10 $1,839.00 $1,655.10 $480.41 $1,747.05 $923.18 2026-03-05
44005 HCPCS Release Of Intestinal Scar Tissue 18 10 $1,740.50 $1,566.45 $194.48 $4,291.49 $919.50 2026-03-05
19303 HCPCS Simple Complete Removal Of Breast 9 9 $2,915.00 $2,623.50 $824.74 $1,749.00 $907.21 2026-03-05
27096 HCPCS Injection Of Anesthetic Or Steroid Into Joint Between Lower Spine And Hip Bone U… 36 10 $2,040.00 $1,836.00 $69.48 $1,938.00 $897.60 2026-03-05
78582 HCPCS Nuclear Medicine Study Of Lung Ventilation And Circulation 10 10 $1,776.00 $1,598.40 $693.18 $1,687.20 $891.55 2026-03-05
51550 HCPCS Simple Partial Removal Of Bladder 9 9 $3,078.00 $2,770.20 $808.37 $1,846.80 $889.21 2026-03-05
58552 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, 250.… 9 9 $3,264.00 $2,937.60 $805.73 $1,958.40 $886.30 2026-03-05
36560 HCPCS Insertion Of Central Venous Tube With Port (younger Than 5 Years) 9 9 $1,700.00 $1,530.00 $748.00 $1,615.00 $884.00 2026-03-05
36583 HCPCS Replacement Of Tunneled Central Venous Tube With Pump 9 9 $1,700.00 $1,530.00 $748.00 $1,615.00 $884.00 2026-03-05
36563 HCPCS Insertion Of Central Venous Tube With Pump 9 9 $1,700.00 $1,530.00 $748.00 $1,615.00 $884.00 2026-03-05
36581 HCPCS Replacement Of Tunneled Central Venous Tube 9 9 $1,700.00 $1,530.00 $748.00 $1,615.00 $884.00 2026-03-05
36566 HCPCS Insertion Of 2 Central Venous Tubes In 2 Veins With Port 9 9 $1,700.00 $1,530.00 $748.00 $1,615.00 $884.00 2026-03-05
36570 HCPCS Insertion Of Central Venous Tube With Port For Infusion (younger Than 5 Years) 9 9 $1,700.00 $1,530.00 $748.00 $1,615.00 $884.00 2026-03-05
36578 HCPCS Replacement Of Central Venous Tube, Tube Only 9 9 $1,700.00 $1,530.00 $748.00 $1,615.00 $884.00 2026-03-05
36585 HCPCS Replacement Of Peripherally Inserted Central Venous Tube (picc) With Port 9 9 $1,700.00 $1,530.00 $748.00 $1,615.00 $884.00 2026-03-05
36580 HCPCS Replacement Of Nontunneled Central Venous Tube 9 9 $1,700.00 $1,530.00 $748.00 $1,615.00 $884.00 2026-03-05
36582 HCPCS Replacement Of Tunneled Central Venous Tube With Port 9 9 $1,700.00 $1,530.00 $748.00 $1,615.00 $884.00 2026-03-05
36557 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (younger Than 5 Years) 9 9 $1,700.00 $1,530.00 $748.00 $1,615.00 $884.00 2026-03-05
36555 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (younger Than 5 Years… 9 9 $1,700.00 $1,530.00 $748.00 $1,615.00 $884.00 2026-03-05
74270 HCPCS Single Contrast X-ray Of Large Intestine 10 10 $1,459.00 $1,313.10 $641.96 $1,386.05 $882.83 2026-03-05
74280 HCPCS Double Contrast X-ray Of Large Intestine 10 10 $1,459.00 $1,313.10 $641.96 $1,386.05 $882.83 2026-03-05
64461 HCPCS Injection Of Anesthetic Agent Into Thoracic Vertebra Using Imaging Guidance, Sin… 28 10 $1,572.00 $1,414.80 $68.26 $2,986.80 $880.32 2026-03-05
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 10 10 $1,741.70 $1,567.53 $0.42 $1,654.62 $874.33 2026-03-05
70486 HCPCS CT Scan Of Face Without Contrast 10 10 $1,731.00 $1,557.90 $480.41 $1,644.45 $868.96 2026-03-05
72125 HCPCS CT Scan Of Upper Spine Without Contrast 10 10 $1,731.00 $1,557.90 $480.41 $1,644.45 $868.96 2026-03-05
73700 HCPCS CT Scan Of Leg Without Contrast 10 10 $1,731.00 $1,557.90 $480.41 $1,644.45 $868.96 2026-03-05
71271 HCPCS Low Dose CT Scan Of Chest For Lung Cancer Screening 10 10 $1,731.00 $1,557.90 $480.41 $1,644.45 $868.96 2026-03-05
74150 HCPCS CT Scan Of Abdomen Without Contrast 10 10 $1,731.00 $1,557.90 $480.41 $1,644.45 $868.96 2026-03-05
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 10 10 $1,731.00 $1,557.90 $480.41 $1,644.45 $868.96 2026-03-05
72192 HCPCS CT Scan Of Pelvis Without Contrast 10 10 $1,731.00 $1,557.90 $480.41 $1,644.45 $868.96 2026-03-05
72128 HCPCS CT Scan Of Middle Spine Without Contrast 10 10 $1,731.00 $1,557.90 $480.41 $1,644.45 $868.96 2026-03-05
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