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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

SCOTT COUNTY HOSPITAL

Scott City, KS · CCN 171372 · Rates published

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You selected 482 (MS_DRG)

HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC

This hospital’s price: $4,321 across 1 payer

Source: https://www.scotthospital.net/docs/480812417_scott-county-hospital_standardcharges.csv · observed 2026-03-26

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.

4,644 distinct procedures filed
5 distinct payers
69,552 rate rows
2026-03-26 last MRF observed
Data quality

59,946 of 69,552 rate rows are consumer-grade (86.2%)

9,606 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 6,714
exceeds 10× this hospital's gross charge — excluded from medians 2,886
placeholder amount (≤ $0.02) — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.scotthospital.net/docs/480812417_scott-county-hospital_standardcharges.csv
Found on page https://www.scotthospital.net/getpage.php?name=Chargemaster&sub=Patients%20%26%20Visitors
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-22
Content fingerprint ca325a86edea8577… · 10,659,007 bytes · first seen 2026-05-09

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $138,104.19 $138,104.19 $138,104.19 nat. median
$359,244
outlier · 0.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $74,850.12 $74,850.12 $74,850.12 nat. median
$198,115
outlier · 0.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $74,055.87 $74,055.87 $74,055.87 nat. median
$248,541
outlier · 0.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $52,801.74 $52,801.74 $52,801.74 nat. median
$190,359
outlier · 0.3×
64582
HCPCS 		Inspire 5 $19,541.26 $74,812.50 $42,116.43 nat. median
$28,183
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $41,714.01 $41,714.01 $41,714.01 nat. median
$93,226
outlier · 0.4×
209
MS_DRG 		Complex Aortic Arch Procedures 1 $40,570.29 $40,570.29 $40,570.29 nat. median
$92,645
outlier · 0.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $39,204.18 $39,204.18 $39,204.18 nat. median
$126,461
outlier · 0.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $38,981.79 $38,981.79 $38,981.79 nat. median
$97,137
outlier · 0.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $38,441.70 $38,441.70 $38,441.70 nat. median
$110,084
outlier · 0.3×
64568
HCPCS 		64568 Incision For Implantation Of Cranial Nerve Neuro Electrode Array And Pulse… 5 $21,840.00 $69,536.20 $37,673.23 nat. median
$27,744
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 1 $35,677.71 $35,677.71 $35,677.71 nat. median
$93,787
outlier · 0.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $35,074.08 $35,074.08 $35,074.08 nat. median
$90,512
outlier · 0.4×
7
MS_DRG 		Lung Transplant 1 $34,216.29 $34,216.29 $34,216.29 nat. median
$117,977
outlier · 0.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $34,120.98 $34,120.98 $34,120.98 nat. median
$77,936
outlier · 0.4×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $33,390.27 $33,390.27 $33,390.27 nat. median
$61,995
0.5× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $31,801.77 $31,801.77 $31,801.77 nat. median
$59,493
0.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $31,801.77 $31,801.77 $31,801.77 nat. median
$77,487
outlier · 0.4×
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $30,340.35 $30,340.35 $30,340.35 nat. median
$78,164
outlier · 0.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $30,213.27 $30,213.27 $30,213.27 nat. median
$76,979
outlier · 0.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $29,959.11 $29,959.11 $29,959.11 nat. median
$103,938
outlier · 0.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $28,624.77 $28,624.77 $28,624.77 nat. median
$74,298
outlier · 0.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $27,512.82 $27,512.82 $27,512.82 nat. median
$72,247
outlier · 0.4×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $27,322.20 $27,322.20 $27,322.20 nat. median
$63,564
outlier · 0.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $27,258.66 $27,258.66 $27,258.66 nat. median
$94,943
outlier · 0.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $25,543.08 $25,543.08 $25,543.08 nat. median
$66,584
outlier · 0.4×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $25,288.92 $25,288.92 $25,288.92 nat. median
$60,517
outlier · 0.4×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 $25,130.07 $25,130.07 $25,130.07 nat. median
$61,263
outlier · 0.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $24,653.52 $24,653.52 $24,653.52 nat. median
$63,829
outlier · 0.4×
C1767
HCPCS 		Inspire Implantable Pulse Generator IV (replaced With V) 4 $15,309.20 $41,040.00 $24,441.90 nat. median
$23,793
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $24,272.28 $24,272.28 $24,272.28 nat. median
$71,737
outlier · 0.3×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $24,240.51 $24,240.51 $24,240.51 nat. median
$59,324
outlier · 0.4×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 $23,954.58 $23,954.58 $23,954.58 nat. median
$57,485
outlier · 0.4×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $21,953.07 $21,953.07 $21,953.07 nat. median
$58,220
outlier · 0.4×
28
MS_DRG 		Spinal Procedures With Mcc 1 $21,857.76 $21,857.76 $21,857.76 nat. median
$54,377
outlier · 0.4×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 $21,825.99 $21,825.99 $21,825.99 nat. median
$51,152
outlier · 0.4×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $21,730.68 $21,730.68 $21,730.68 nat. median
$57,798
outlier · 0.4×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $21,571.83 $21,571.83 $21,571.83 nat. median
$49,873
outlier · 0.4×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $21,540.06 $21,540.06 $21,540.06 nat. median
$56,633
outlier · 0.4×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 1 $21,444.75 $21,444.75 $21,444.75 nat. median
$58,234
outlier · 0.4×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $21,381.21 $21,381.21 $21,381.21 nat. median
$58,052
outlier · 0.4×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $21,349.44 $21,349.44 $21,349.44 nat. median
$50,558
outlier · 0.4×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $21,285.90 $21,285.90 $21,285.90 nat. median
$50,496
outlier · 0.4×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 $20,904.66 $20,904.66 $20,904.66 nat. median
$53,342
outlier · 0.4×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $20,555.19 $20,555.19 $20,555.19 nat. median
$53,768
outlier · 0.4×
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 1 $20,459.88 $20,459.88 $20,459.88 nat. median
$48,413
outlier · 0.4×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 $20,269.26 $20,269.26 $20,269.26 nat. median
$51,559
outlier · 0.4×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $20,269.26 $20,269.26 $20,269.26 nat. median
$55,110
outlier · 0.4×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 1 $20,173.95 $20,173.95 $20,173.95 nat. median
$48,227
outlier · 0.4×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 $20,110.41 $20,110.41 $20,110.41 nat. median
$45,362
outlier · 0.4×

Other procedures at this hospital

Browse this hospital's 4,644 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $138,104.19 $138,104.19 $138,104.19 2026-03-26
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 1 — — $74,850.12 $74,850.12 $74,850.12 2026-03-26
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 1 — — $74,055.87 $74,055.87 $74,055.87 2026-03-26
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 1 — — $52,801.74 $52,801.74 $52,801.74 2026-03-26
64582 HCPCS Inspire 12 5 $78,750.00 — $19,541.26 $74,812.50 $42,116.43 2026-03-26
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $41,714.01 $41,714.01 $41,714.01 2026-03-26
209 MS_DRG Complex Aortic Arch Procedures 2 1 — — $40,570.29 $40,570.29 $40,570.29 2026-03-26
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 1 — — $39,204.18 $39,204.18 $39,204.18 2026-03-26
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 1 — — $38,981.79 $38,981.79 $38,981.79 2026-03-26
14 MS_DRG Allogeneic Bone Marrow Transplant 2 1 — — $38,441.70 $38,441.70 $38,441.70 2026-03-26
64568 HCPCS 64568 Incision For Implantation Of Cranial Nerve Neuro Electrode Array And Pulse… 12 5 $73,196.00 — $21,840.00 $69,536.20 $37,673.23 2026-03-26
215 MS_DRG Other Heart Assist System Implant 2 1 — — $35,677.71 $35,677.71 $35,677.71 2026-03-26
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $35,074.08 $35,074.08 $35,074.08 2026-03-26
7 MS_DRG Lung Transplant 2 1 — — $34,216.29 $34,216.29 $34,216.29 2026-03-26
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 1 — — $34,120.98 $34,120.98 $34,120.98 2026-03-26
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $33,390.27 $33,390.27 $33,390.27 2026-03-26
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $31,801.77 $31,801.77 $31,801.77 2026-03-26
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — — $31,801.77 $31,801.77 $31,801.77 2026-03-26
850 MS_DRG Acute Leukemia With Other Procedures 2 1 — — $30,340.35 $30,340.35 $30,340.35 2026-03-26
231 MS_DRG Coronary Bypass With Ptca With Mcc 2 1 — — $30,213.27 $30,213.27 $30,213.27 2026-03-26
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 1 — — $29,959.11 $29,959.11 $29,959.11 2026-03-26
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 1 — — $28,624.77 $28,624.77 $28,624.77 2026-03-26
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $27,512.82 $27,512.82 $27,512.82 2026-03-26
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $27,322.20 $27,322.20 $27,322.20 2026-03-26
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 1 — — $27,258.66 $27,258.66 $27,258.66 2026-03-26
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 1 — — $25,543.08 $25,543.08 $25,543.08 2026-03-26
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 1 — — $25,288.92 $25,288.92 $25,288.92 2026-03-26
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 1 — — $25,130.07 $25,130.07 $25,130.07 2026-03-26
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 1 — — $24,653.52 $24,653.52 $24,653.52 2026-03-26
C1767 HCPCS Inspire Implantable Pulse Generator IV (replaced With V) 20 4 $40,736.50 — $15,309.20 $41,040.00 $24,441.90 2026-03-26
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 1 — — $24,272.28 $24,272.28 $24,272.28 2026-03-26
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 1 — — $24,240.51 $24,240.51 $24,240.51 2026-03-26
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 1 — — $23,954.58 $23,954.58 $23,954.58 2026-03-26
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 1 — — $21,953.07 $21,953.07 $21,953.07 2026-03-26
28 MS_DRG Spinal Procedures With Mcc 2 1 — — $21,857.76 $21,857.76 $21,857.76 2026-03-26
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 1 — — $21,825.99 $21,825.99 $21,825.99 2026-03-26
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 1 — — $21,730.68 $21,730.68 $21,730.68 2026-03-26
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 1 — — $21,571.83 $21,571.83 $21,571.83 2026-03-26
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 1 — — $21,540.06 $21,540.06 $21,540.06 2026-03-26
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 1 — — $21,444.75 $21,444.75 $21,444.75 2026-03-26
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 1 — — $21,381.21 $21,381.21 $21,381.21 2026-03-26
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $21,349.44 $21,349.44 $21,349.44 2026-03-26
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $21,285.90 $21,285.90 $21,285.90 2026-03-26
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 1 — — $20,904.66 $20,904.66 $20,904.66 2026-03-26
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 1 — — $20,555.19 $20,555.19 $20,555.19 2026-03-26
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 2 1 — — $20,459.88 $20,459.88 $20,459.88 2026-03-26
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 2 1 — — $20,269.26 $20,269.26 $20,269.26 2026-03-26
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — — $20,269.26 $20,269.26 $20,269.26 2026-03-26
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 1 — — $20,173.95 $20,173.95 $20,173.95 2026-03-26
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 1 — — $20,110.41 $20,110.41 $20,110.41 2026-03-26
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 1 — — $19,951.56 $19,951.56 $19,951.56 2026-03-26
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 1 — — $19,919.79 $19,919.79 $19,919.79 2026-03-26
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 1 — — $19,697.40 $19,697.40 $19,697.40 2026-03-26
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 1 — — $19,538.55 $19,538.55 $19,538.55 2026-03-26
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 1 — — $19,506.78 $19,506.78 $19,506.78 2026-03-26
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 1 — — $19,347.93 $19,347.93 $19,347.93 2026-03-26
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 1 — — $19,252.62 $19,252.62 $19,252.62 2026-03-26
10 MS_DRG Pancreas Transplant 2 1 — — $18,966.69 $18,966.69 $18,966.69 2026-03-26
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 2 1 — — $18,966.69 $18,966.69 $18,966.69 2026-03-26
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 1 — — $18,903.15 $18,903.15 $18,903.15 2026-03-26
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 1 — — $18,871.38 $18,871.38 $18,871.38 2026-03-26
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 1 — — $18,839.61 $18,839.61 $18,839.61 2026-03-26
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 1 — — $18,617.22 $18,617.22 $18,617.22 2026-03-26
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $18,077.13 $18,077.13 $18,077.13 2026-03-26
228 MS_DRG Other Cardiothoracic Procedures With Mcc 2 1 — — $17,727.66 $17,727.66 $17,727.66 2026-03-26
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 1 — — $17,632.35 $17,632.35 $17,632.35 2026-03-26
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 1 — — $17,632.35 $17,632.35 $17,632.35 2026-03-26
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 2 1 — — $17,600.58 $17,600.58 $17,600.58 2026-03-26
653 MS_DRG Major Bladder Procedures With Mcc 2 1 — — $17,505.27 $17,505.27 $17,505.27 2026-03-26
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 2 1 — — $17,378.19 $17,378.19 $17,378.19 2026-03-26
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 1 — — $16,996.95 $16,996.95 $16,996.95 2026-03-26
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 1 — — $16,615.71 $16,615.71 $16,615.71 2026-03-26
834 MS_DRG Acute Leukemia With Mcc 2 1 — — $16,488.63 $16,488.63 $16,488.63 2026-03-26
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 1 — — $16,393.32 $16,393.32 $16,393.32 2026-03-26
245 MS_DRG Aicd Generator Procedures 2 1 — — $16,361.55 $16,361.55 $16,361.55 2026-03-26
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 1 — — $16,329.78 $16,329.78 $16,329.78 2026-03-26
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 1 — — $16,329.78 $16,329.78 $16,329.78 2026-03-26
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 1 — — $16,298.01 $16,298.01 $16,298.01 2026-03-26
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 1 — — $16,266.24 $16,266.24 $16,266.24 2026-03-26
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — — $16,202.70 $16,202.70 $16,202.70 2026-03-26
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 1 — — $16,075.62 $16,075.62 $16,075.62 2026-03-26
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 1 — — $15,980.31 $15,980.31 $15,980.31 2026-03-26
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 2 1 — — $15,980.31 $15,980.31 $15,980.31 2026-03-26
799 MS_DRG Splenic Procedures With Mcc 2 1 — — $15,885.00 $15,885.00 $15,885.00 2026-03-26
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 2 1 — — $15,853.23 $15,853.23 $15,853.23 2026-03-26
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 2 1 — — $15,757.92 $15,757.92 $15,757.92 2026-03-26
163 MS_DRG Major Chest Procedures With Mcc 2 1 — — $15,694.38 $15,694.38 $15,694.38 2026-03-26
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 1 — — $15,217.83 $15,217.83 $15,217.83 2026-03-26
545 MS_DRG Connective Tissue Disorders With Mcc 2 1 — — $15,217.83 $15,217.83 $15,217.83 2026-03-26
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 2 1 — — $15,154.29 $15,154.29 $15,154.29 2026-03-26
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 1 — — $15,122.52 $15,122.52 $15,122.52 2026-03-26
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 2 1 — — $14,868.36 $14,868.36 $14,868.36 2026-03-26
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 2 1 — — $14,804.82 $14,804.82 $14,804.82 2026-03-26
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 2 1 — — $14,773.05 $14,773.05 $14,773.05 2026-03-26
901 MS_DRG Wound Debridements For Injuries With Mcc 2 1 — — $14,709.51 $14,709.51 $14,709.51 2026-03-26
264 MS_DRG Other Circulatory System O.r. Procedures 2 1 — — $14,582.43 $14,582.43 $14,582.43 2026-03-26
27447 HCPCS 27447 Total Knee Arthroplasty Charge 12 5 $21,847.00 — $4,263.54 $20,754.65 $14,435.57 2026-03-26
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 1 — — $14,423.58 $14,423.58 $14,423.58 2026-03-26
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 2 1 — — $14,264.73 $14,264.73 $14,264.73 2026-03-26
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 1 — — $14,232.96 $14,232.96 $14,232.96 2026-03-26
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 2 1 — — $14,232.96 $14,232.96 $14,232.96 2026-03-26
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 2 1 — — $14,169.42 $14,169.42 $14,169.42 2026-03-26
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 1 — — $14,137.65 $14,137.65 $14,137.65 2026-03-26
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 1 — — $14,137.65 $14,137.65 $14,137.65 2026-03-26
34 MS_DRG Carotid Artery Stent Procedures With Mcc 2 1 — — $14,074.11 $14,074.11 $14,074.11 2026-03-26
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 1 — — $14,042.34 $14,042.34 $14,042.34 2026-03-26
J2329 HCPCS Ublituximab Xiiy 150 Mg/6 Ml Sol [hmc] 10 4 $23,331.00 — $70.18 $22,164.45 $13,998.60 2026-03-26
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 2 1 — — $13,978.80 $13,978.80 $13,978.80 2026-03-26
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 1 — — $13,978.80 $13,978.80 $13,978.80 2026-03-26
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 1 — — $13,724.64 $13,724.64 $13,724.64 2026-03-26
332 MS_DRG Rectal Resection With Mcc 2 1 — — $13,692.87 $13,692.87 $13,692.87 2026-03-26
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 1 — — $13,534.02 $13,534.02 $13,534.02 2026-03-26
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 1 — — $13,502.25 $13,502.25 $13,502.25 2026-03-26
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 2 1 — — $13,470.48 $13,470.48 $13,470.48 2026-03-26
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 1 — — $13,470.48 $13,470.48 $13,470.48 2026-03-26
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 1 — — $13,375.17 $13,375.17 $13,375.17 2026-03-26
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 1 — — $13,311.63 $13,311.63 $13,311.63 2026-03-26
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 2 1 — — $13,089.24 $13,089.24 $13,089.24 2026-03-26
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 1 — — $13,089.24 $13,089.24 $13,089.24 2026-03-26
271 MS_DRG Other Major Cardiovascular Procedures With Cc 2 1 — — $13,025.70 $13,025.70 $13,025.70 2026-03-26
265 MS_DRG Aicd Lead Procedures 2 1 — — $12,962.16 $12,962.16 $12,962.16 2026-03-26
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 1 — — $12,930.39 $12,930.39 $12,930.39 2026-03-26
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 2 1 — — $12,866.85 $12,866.85 $12,866.85 2026-03-26
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 1 — — $12,835.08 $12,835.08 $12,835.08 2026-03-26
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 2 1 — — $12,835.08 $12,835.08 $12,835.08 2026-03-26
252 MS_DRG Other Vascular Procedures With Mcc 2 1 — — $12,835.08 $12,835.08 $12,835.08 2026-03-26
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 2 1 — — $12,771.54 $12,771.54 $12,771.54 2026-03-26
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 1 — — $12,708.00 $12,708.00 $12,708.00 2026-03-26
56 MS_DRG Degenerative Nervous System Disorders With Mcc 2 1 — — $12,708.00 $12,708.00 $12,708.00 2026-03-26
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 2 1 — — $12,708.00 $12,708.00 $12,708.00 2026-03-26
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 2 1 — — $12,485.61 $12,485.61 $12,485.61 2026-03-26
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 1 — — $12,485.61 $12,485.61 $12,485.61 2026-03-26
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 1 — — $12,453.84 $12,453.84 $12,453.84 2026-03-26
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 2 1 — — $12,453.84 $12,453.84 $12,453.84 2026-03-26
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 2 1 — — $12,422.07 $12,422.07 $12,422.07 2026-03-26
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $12,326.76 $12,326.76 $12,326.76 2026-03-26
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 2 1 — — $12,326.76 $12,326.76 $12,326.76 2026-03-26
6 MS_DRG Liver Transplant Without Mcc 2 1 — — $12,263.22 $12,263.22 $12,263.22 2026-03-26
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 1 — — $12,263.22 $12,263.22 $12,263.22 2026-03-26
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 1 — — $12,231.45 $12,231.45 $12,231.45 2026-03-26
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 2 1 — — $12,231.45 $12,231.45 $12,231.45 2026-03-26
949 MS_DRG Aftercare With Cc/mcc 2 1 — — $12,199.68 $12,199.68 $12,199.68 2026-03-26
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 1 — — $12,104.37 $12,104.37 $12,104.37 2026-03-26
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 1 — — $12,072.60 $12,072.60 $12,072.60 2026-03-26
539 MS_DRG Osteomyelitis With Mcc 2 1 — — $12,072.60 $12,072.60 $12,072.60 2026-03-26
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 2 1 — — $12,009.06 $12,009.06 $12,009.06 2026-03-26
37 MS_DRG Extracranial Procedures With Mcc 2 1 — — $11,977.29 $11,977.29 $11,977.29 2026-03-26
500 MS_DRG Soft Tissue Procedures With Mcc 2 1 — — $11,977.29 $11,977.29 $11,977.29 2026-03-26
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 2 1 — — $11,977.29 $11,977.29 $11,977.29 2026-03-26
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 1 — — $11,881.98 $11,881.98 $11,881.98 2026-03-26
548 MS_DRG Septic Arthritis With Mcc 2 1 — — $11,850.21 $11,850.21 $11,850.21 2026-03-26
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 2 1 — — $11,691.36 $11,691.36 $11,691.36 2026-03-26
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 2 1 — — $11,659.59 $11,659.59 $11,659.59 2026-03-26
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 2 1 — — $11,564.28 $11,564.28 $11,564.28 2026-03-26
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 2 1 — — $11,468.97 $11,468.97 $11,468.97 2026-03-26
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 1 — — $11,468.97 $11,468.97 $11,468.97 2026-03-26
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 1 — — $11,468.97 $11,468.97 $11,468.97 2026-03-26
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 2 1 — — $11,468.97 $11,468.97 $11,468.97 2026-03-26
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 2 1 — — $11,437.20 $11,437.20 $11,437.20 2026-03-26
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 2 1 — — $11,437.20 $11,437.20 $11,437.20 2026-03-26
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 2 1 — — $11,437.20 $11,437.20 $11,437.20 2026-03-26
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 1 — — $11,310.12 $11,310.12 $11,310.12 2026-03-26
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 2 1 — — $11,278.35 $11,278.35 $11,278.35 2026-03-26
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 2 1 — — $11,278.35 $11,278.35 $11,278.35 2026-03-26
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 2 1 — — $11,246.58 $11,246.58 $11,246.58 2026-03-26
314 MS_DRG Other Circulatory System Diagnoses With Mcc 2 1 — — $11,151.27 $11,151.27 $11,151.27 2026-03-26
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 2 1 — — $11,151.27 $11,151.27 $11,151.27 2026-03-26
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 2 1 — — $11,119.50 $11,119.50 $11,119.50 2026-03-26
471 MS_DRG Cervical Spinal Fusion With Mcc 2 1 — — $11,119.50 $11,119.50 $11,119.50 2026-03-26
J2327 HCPCS Risankizumab-rzaa 60 mg/mL Sol [hmc] 12 5 $21,782.67 — $14.93 $20,693.54 $11,109.16 2026-03-26
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 1 — — $11,087.73 $11,087.73 $11,087.73 2026-03-26
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 2 1 — — $11,087.73 $11,087.73 $11,087.73 2026-03-26
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 2 1 — — $10,960.65 $10,960.65 $10,960.65 2026-03-26
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 1 — — $10,960.65 $10,960.65 $10,960.65 2026-03-26
263 MS_DRG Vein Ligation And Stripping 2 1 — — $10,960.65 $10,960.65 $10,960.65 2026-03-26
652 MS_DRG Kidney Transplant 2 1 — — $10,897.11 $10,897.11 $10,897.11 2026-03-26
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 1 — — $10,865.34 $10,865.34 $10,865.34 2026-03-26
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 1 — — $10,833.57 $10,833.57 $10,833.57 2026-03-26
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 2 1 — — $10,770.03 $10,770.03 $10,770.03 2026-03-26
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 1 — — $10,738.26 $10,738.26 $10,738.26 2026-03-26
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 1 — — $10,674.72 $10,674.72 $10,674.72 2026-03-26
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 2 1 — — $10,642.95 $10,642.95 $10,642.95 2026-03-26
472 MS_DRG Cervical Spinal Fusion With Cc 2 1 — — $10,611.18 $10,611.18 $10,611.18 2026-03-26
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 1 — — $10,579.41 $10,579.41 $10,579.41 2026-03-26
665 MS_DRG Prostatectomy With Mcc 2 1 — — $10,515.87 $10,515.87 $10,515.87 2026-03-26
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 2 1 — — $10,515.87 $10,515.87 $10,515.87 2026-03-26
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 2 1 — — $10,484.10 $10,484.10 $10,484.10 2026-03-26
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 2 1 — — $10,420.56 $10,420.56 $10,420.56 2026-03-26
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 2 1 — — $10,420.56 $10,420.56 $10,420.56 2026-03-26
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 2 1 — — $10,388.79 $10,388.79 $10,388.79 2026-03-26
43281 HCPCS 43281 Laparoscopy, Surgical, Repair Of Paraesophageal Hernia, Includes Fundoplas… 12 5 $15,673.00 — $6,269.20 $14,889.35 $10,356.24 2026-03-26
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 2 1 — — $10,325.25 $10,325.25 $10,325.25 2026-03-26
662 MS_DRG Minor Bladder Procedures With Mcc 2 1 — — $10,325.25 $10,325.25 $10,325.25 2026-03-26
619 MS_DRG O.r. Procedures For Obesity With Mcc 2 1 — — $10,293.48 $10,293.48 $10,293.48 2026-03-26
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 2 1 — — $10,293.48 $10,293.48 $10,293.48 2026-03-26
551 MS_DRG Medical Back Problems With Mcc 2 1 — — $10,261.71 $10,261.71 $10,261.71 2026-03-26
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 2 1 — — $10,229.94 $10,229.94 $10,229.94 2026-03-26
43280 HCPCS 43280 Laparoscopy, Fundoplasty 12 5 $14,927.00 — $3,334.64 $14,180.65 $10,132.44 2026-03-26
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 2 1 — — $10,102.86 $10,102.86 $10,102.86 2026-03-26
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 2 1 — — $10,071.09 $10,071.09 $10,071.09 2026-03-26
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 2 1 — — $10,071.09 $10,071.09 $10,071.09 2026-03-26
595 MS_DRG Major Skin Disorders With Mcc 2 1 — — $9,944.01 $9,944.01 $9,944.01 2026-03-26
374 MS_DRG Digestive Malignancy With Mcc 2 1 — — $9,880.47 $9,880.47 $9,880.47 2026-03-26
668 MS_DRG Transurethral Procedures With Mcc 2 1 — — $9,848.70 $9,848.70 $9,848.70 2026-03-26
800 MS_DRG Splenic Procedures With Cc 2 1 — — $9,848.70 $9,848.70 $9,848.70 2026-03-26
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 1 — — $9,785.16 $9,785.16 $9,785.16 2026-03-26
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 2 1 — — $9,753.39 $9,753.39 $9,753.39 2026-03-26
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 1 — — $9,721.62 $9,721.62 $9,721.62 2026-03-26
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 1 — — $9,689.85 $9,689.85 $9,689.85 2026-03-26
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 1 — — $9,658.08 $9,658.08 $9,658.08 2026-03-26
533 MS_DRG Fractures Of Femur With Mcc 2 1 — — $9,594.54 $9,594.54 $9,594.54 2026-03-26
570 MS_DRG Skin Debridement With Mcc 2 1 — — $9,594.54 $9,594.54 $9,594.54 2026-03-26
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 2 1 — — $9,467.46 $9,467.46 $9,467.46 2026-03-26
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 2 1 — — $9,435.69 $9,435.69 $9,435.69 2026-03-26
654 MS_DRG Major Bladder Procedures With Cc 2 1 — — $9,435.69 $9,435.69 $9,435.69 2026-03-26
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 2 1 — — $9,435.69 $9,435.69 $9,435.69 2026-03-26
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 2 1 — — $9,372.15 $9,372.15 $9,372.15 2026-03-26
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 1 — — $9,340.38 $9,340.38 $9,340.38 2026-03-26
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 1 — — $9,340.38 $9,340.38 $9,340.38 2026-03-26
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 2 1 — — $9,308.61 $9,308.61 $9,308.61 2026-03-26
38120 HCPCS 38120 Laparoscopy, Surgical, Splenectomy 10 4 $15,500.00 — $3,334.64 $14,725.00 $9,300.00 2026-03-26
J3380 HCPCS Vedolizumab 300 Mg Pow [hmc] 12 5 $18,199.82 — $21.37 $17,289.83 $9,281.90 2026-03-26
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 1 — — $9,245.07 $9,245.07 $9,245.07 2026-03-26
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 2 1 — — $9,245.07 $9,245.07 $9,245.07 2026-03-26
974 MS_DRG HIV With Major Related Condition With Mcc 2 1 — — $9,245.07 $9,245.07 $9,245.07 2026-03-26
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 2 1 — — $9,181.53 $9,181.53 $9,181.53 2026-03-26
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 2 1 — — $9,149.76 $9,149.76 $9,149.76 2026-03-26
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 2 1 — — $9,117.99 $9,117.99 $9,117.99 2026-03-26
397 MS_DRG Appendix Procedures With Mcc 2 1 — — $9,054.45 $9,054.45 $9,054.45 2026-03-26
380 MS_DRG Complicated Peptic Ulcer With Mcc 2 1 — — $9,054.45 $9,054.45 $9,054.45 2026-03-26
592 MS_DRG Skin Ulcers With Mcc 2 1 — — $9,054.45 $9,054.45 $9,054.45 2026-03-26
333 MS_DRG Rectal Resection With Cc 2 1 — — $8,863.83 $8,863.83 $8,863.83 2026-03-26
164 MS_DRG Major Chest Procedures With Cc 2 1 — — $8,832.06 $8,832.06 $8,832.06 2026-03-26
70 MS_DRG Other Cerebrovascular Disorders With Mcc 2 1 — — $8,832.06 $8,832.06 $8,832.06 2026-03-26
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 1 — — $8,800.29 $8,800.29 $8,800.29 2026-03-26
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 2 1 — — $8,768.52 $8,768.52 $8,768.52 2026-03-26
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 2 1 — — $8,736.75 $8,736.75 $8,736.75 2026-03-26
963 MS_DRG Other Multiple Significant Trauma With Mcc 2 1 — — $8,736.75 $8,736.75 $8,736.75 2026-03-26
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 2 1 — — $8,704.98 $8,704.98 $8,704.98 2026-03-26
35 MS_DRG Carotid Artery Stent Procedures With Cc 2 1 — — $8,704.98 $8,704.98 $8,704.98 2026-03-26
49651 HCPCS 49651 Laparo Hernia Repair Recur 12 5 $13,133.00 — $1,869.18 $12,476.35 $8,677.81 2026-03-26
347 MS_DRG Anal And Stomal Procedures With Mcc 2 1 — — $8,673.21 $8,673.21 $8,673.21 2026-03-26
91 MS_DRG Other Disorders Of Nervous System With Mcc 2 1 — — $8,673.21 $8,673.21 $8,673.21 2026-03-26
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 2 1 — — $8,673.21 $8,673.21 $8,673.21 2026-03-26
75 MS_DRG Viral Meningitis With Cc/mcc 2 1 — — $8,673.21 $8,673.21 $8,673.21 2026-03-26
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 2 1 — — $8,641.44 $8,641.44 $8,641.44 2026-03-26
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 2 1 — — $8,641.44 $8,641.44 $8,641.44 2026-03-26
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 1 — — $8,609.67 $8,609.67 $8,609.67 2026-03-26
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 2 1 — — $8,609.67 $8,609.67 $8,609.67 2026-03-26
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 2 1 — — $8,609.67 $8,609.67 $8,609.67 2026-03-26
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 1 — — $8,577.90 $8,577.90 $8,577.90 2026-03-26
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 1 — — $8,482.59 $8,482.59 $8,482.59 2026-03-26
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 2 1 — — $8,450.82 $8,450.82 $8,450.82 2026-03-26
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 2 1 — — $8,419.05 $8,419.05 $8,419.05 2026-03-26
28750 HCPCS 28750 Arthrodesis, Great Toe; Metatarsophalangeal Joint 12 5 $13,824.00 — $2,317.55 $13,132.80 $8,416.97 2026-03-26
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 2 1 — — $8,387.28 $8,387.28 $8,387.28 2026-03-26
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 2 1 — — $8,323.74 $8,323.74 $8,323.74 2026-03-26
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 1 — — $8,260.20 $8,260.20 $8,260.20 2026-03-26
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 1 — — $8,260.20 $8,260.20 $8,260.20 2026-03-26
113 MS_DRG Orbital Procedures With Cc/mcc 2 1 — — $8,228.43 $8,228.43 $8,228.43 2026-03-26
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 2 1 — — $8,196.66 $8,196.66 $8,196.66 2026-03-26
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 2 1 — — $8,196.66 $8,196.66 $8,196.66 2026-03-26
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 1 — — $8,196.66 $8,196.66 $8,196.66 2026-03-26
709 MS_DRG Penis Procedures With Cc/mcc 2 1 — — $8,164.89 $8,164.89 $8,164.89 2026-03-26
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 1 — — $8,133.12 $8,133.12 $8,133.12 2026-03-26
849 MS_DRG Radiotherapy 2 1 — — $8,133.12 $8,133.12 $8,133.12 2026-03-26
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 2 1 — — $8,101.35 $8,101.35 $8,101.35 2026-03-26
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 1 — — $8,101.35 $8,101.35 $8,101.35 2026-03-26
19307 HCPCS 19307 Mastectomyectomy, Modified Radical, Including Axillary Lymph Nodes, With O… 12 5 $12,826.00 — $1,573.55 $12,184.70 $8,006.98 2026-03-26
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 2 1 — — $8,006.04 $8,006.04 $8,006.04 2026-03-26
140 MS_DRG Major Head And Neck Procedures With Mcc 2 1 — — $8,006.04 $8,006.04 $8,006.04 2026-03-26
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 2 1 — — $8,006.04 $8,006.04 $8,006.04 2026-03-26
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 2 1 — — $7,974.27 $7,974.27 $7,974.27 2026-03-26
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 1 — — $7,974.27 $7,974.27 $7,974.27 2026-03-26
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 1 — — $7,974.27 $7,974.27 $7,974.27 2026-03-26
30 MS_DRG Spinal Procedures Without Cc/mcc 2 1 — — $7,974.27 $7,974.27 $7,974.27 2026-03-26
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 1 — — $7,974.27 $7,974.27 $7,974.27 2026-03-26
553 MS_DRG Bone Diseases And Arthropathies With Mcc 2 1 — — $7,942.50 $7,942.50 $7,942.50 2026-03-26
180 MS_DRG Respiratory Neoplasms With Mcc 2 1 — — $7,942.50 $7,942.50 $7,942.50 2026-03-26
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 2 1 — — $7,942.50 $7,942.50 $7,942.50 2026-03-26
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 1 — — $7,942.50 $7,942.50 $7,942.50 2026-03-26
540 MS_DRG Osteomyelitis With Cc 2 1 — — $7,942.50 $7,942.50 $7,942.50 2026-03-26
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 1 — — $7,942.50 $7,942.50 $7,942.50 2026-03-26
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 2 1 — — $7,910.73 $7,910.73 $7,910.73 2026-03-26
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 2 1 — — $7,910.73 $7,910.73 $7,910.73 2026-03-26
31287 HCPCS 31287 Nasal/sinus Endoscopy, Surgical, With Sphenoidotomy 12 5 $11,969.00 — $2,217.20 $11,370.55 $7,908.45 2026-03-26
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 2 1 — — $7,878.96 $7,878.96 $7,878.96 2026-03-26
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 2 1 — — $7,847.19 $7,847.19 $7,847.19 2026-03-26
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 2 1 — — $7,847.19 $7,847.19 $7,847.19 2026-03-26
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 2 1 — — $7,847.19 $7,847.19 $7,847.19 2026-03-26
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 2 1 — — $7,815.42 $7,815.42 $7,815.42 2026-03-26
597 MS_DRG Malignant Breast Disorders With Mcc 2 1 — — $7,815.42 $7,815.42 $7,815.42 2026-03-26
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 2 1 — — $7,815.42 $7,815.42 $7,815.42 2026-03-26
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 2 1 — — $7,783.65 $7,783.65 $7,783.65 2026-03-26
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 2 1 — — $7,783.65 $7,783.65 $7,783.65 2026-03-26
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 2 1 — — $7,751.88 $7,751.88 $7,751.88 2026-03-26
503 MS_DRG Foot Procedures With Mcc 2 1 — — $7,751.88 $7,751.88 $7,751.88 2026-03-26
32 MS_DRG Ventricular Shunt Procedures With Cc 2 1 — — $7,751.88 $7,751.88 $7,751.88 2026-03-26
J9217 HCPCS Leuprolide 22.5 Mg/3 Months Kit [hmc] 36 5 $11,058.09 — $170.78 $20,991.72 $7,738.67 2026-03-26
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 2 1 — — $7,720.11 $7,720.11 $7,720.11 2026-03-26
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