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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

Your selected procedure

You selected 508 (MS_DRG)

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC

This hospital’s price: $5,719 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
$360,195
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
$197,664
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
$247,805
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
$190,274
outlier · 0.3×
64582
HCPCS 		Inspire 5 $19,541.26 $74,812.50 $42,116.43 nat. median
$28,080
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
$93,094
outlier · 0.4×
209
MS_DRG 		Complex Aortic Arch Procedures 1 $40,570.29 $40,570.29 $40,570.29 nat. median
$92,760
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
$126,240
outlier · 0.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $38,981.79 $38,981.79 $38,981.79 nat. median
$97,029
outlier · 0.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $38,441.70 $38,441.70 $38,441.70 nat. median
$109,875
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
$27,270
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 1 $35,677.71 $35,677.71 $35,677.71 nat. median
$93,531
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
$90,525
outlier · 0.4×
7
MS_DRG 		Lung Transplant 1 $34,216.29 $34,216.29 $34,216.29 nat. median
$117,943
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
$77,933
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
$61,992
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
$59,554
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
$77,595
outlier · 0.4×
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $30,340.35 $30,340.35 $30,340.35 nat. median
$78,028
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
$103,911
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
$74,260
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
$72,153
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
$63,446
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
$94,844
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
$66,553
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
$60,364
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
$61,444
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
$63,874
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
$23,834
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
$71,672
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
$59,289
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
$57,570
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
$58,153
outlier · 0.4×
28
MS_DRG 		Spinal Procedures With Mcc 1 $21,857.76 $21,857.76 $21,857.76 nat. median
$54,301
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
$51,145
outlier · 0.4×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $21,730.68 $21,730.68 $21,730.68 nat. median
$57,665
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
$49,857
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
$56,565
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
$58,315
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
$58,210
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
$50,491
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
$50,495
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
$53,268
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
$53,708
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
$48,569
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
$51,524
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
$55,148
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
$48,240
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
$45,281
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.

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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
             
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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