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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

MEMORIAL HOSPITAL

Abilene, KS · CCN 171381 · Rates published

8,056 distinct procedures filed
9 distinct payers
75,049 rate rows
2026-02-18 last MRF observed
Data quality

74,402 of 75,049 rate rows are consumer-grade (99.1%)

647 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 612
percent-of-charges filed in the dollar field — excluded from medians 15
exceeds 10× this hospital's gross charge — excluded from medians 10
exceeds 3× this hospital's gross charge for a DRG stay — excluded 8
placeholder amount (≤ $0.02) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMHAABILENEKS&type=CDMWithoutLabel
Found on page http://mhsks.org/hospital_pricing/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint c069562cf691c266… · 38,186,638 bytes · first seen 2026-05-07

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
376
MS_DRG 		Digestive Malignancy Without Cc/mcc 5 $6,470.10 $74,892.24 $70,950.55 nat. median
$10,083
outlier · 7.0×
66
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 7 $4,790.80 $139,007.38 $62,729.81 nat. median
$8,071
outlier · 7.8×
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 5 $11,780.30 $65,812.64 $62,348.81 nat. median
$17,704
outlier · 3.5×
33270
HCPCS 		Insertion Or Replacement Of Defibrillator With Electrode 9 $36,463.70 $102,098.36 $61,988.29 nat. median
$32,221
1.9× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 6 $16,261.70 $144,980.22 $58,166.06 nat. median
$22,354
outlier · 2.6×
157
MS_DRG 		Dental And Oral Diseases With Mcc 5 $12,017.60 $59,077.93 $55,968.56 nat. median
$17,221
outlier · 3.2×
727
MS_DRG 		Inflammation Of The Male Reproductive System With Mcc 7 $10,380.30 $148,990.36 $54,881.84 nat. median
$15,226
outlier · 3.6×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 $34,570.20 $57,361.92 $54,342.87 nat. median
$48,170
1.1× median
754
MS_DRG 		Malignancy, Female Reproductive System With Mcc 5 $12,891.90 $55,069.73 $52,171.33 nat. median
$18,356
outlier · 2.8×
594
MS_DRG 		Skin Ulcers Without Cc/mcc 7 $5,003.12 $108,520.23 $51,098.82 nat. median
$9,478
outlier · 5.4×
33289
HCPCS 		Insertion Of Wireless Pressure Sensor Into Lung Artery Through Tube With Review… 9 $259.81 $123,017.16 $48,328.17 nat. median
$28,318
1.7× median
355
MS_DRG 		Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 5 $9,415.00 $50,549.03 $47,888.55 nat. median
$14,204
outlier · 3.4×
388
MS_DRG 		Gastrointestinal Obstruction With Mcc 5 $10,337.60 $49,383.49 $46,784.36 nat. median
$15,091
outlier · 3.1×
100
MS_DRG 		Seizures With Mcc 5 $13,557.60 $48,852.35 $46,281.18 nat. median
$19,360
outlier · 2.4×
399
MS_DRG 		Appendix Procedures Without Cc/mcc 5 $8,012.90 $48,847.80 $46,276.87 nat. median
$12,335
outlier · 3.8×
33364
HCPCS 		Replacement Of Aortic Valve Through Iliac Artery 9 $1,143.55 $117,053.02 $45,985.12 nat. median
$5,944
outlier · 7.7×
33363
HCPCS 		Replacement Of Aortic Valve Through Axillary Artery 9 $1,103.10 $117,053.02 $45,985.12 nat. median
$6,797
outlier · 6.8×
33361
HCPCS 		Replacement Of Aortic Valve Through The Skin And Femoral Artery 9 $975.56 $117,053.02 $45,985.12 nat. median
$9,019
outlier · 5.1×
33362
HCPCS 		Replacement Of Aortic Valve By Through Femoral Artery 9 $1,062.05 $117,053.02 $45,985.12 nat. median
$7,814
outlier · 5.9×
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 5 $13,054.30 $47,281.39 $44,792.89 nat. median
$19,049
outlier · 2.4×
446
MS_DRG 		Disorders Of The Biliary Tract Without Cc/mcc 5 $5,791.10 $43,906.83 $41,595.95 nat. median
$9,151
outlier · 4.5×
545
MS_DRG 		Connective Tissue Disorders With Mcc 7 $17,356.39 $102,187.86 $40,750.12 nat. median
$24,621
1.7× median
Q2043
HCPCS 		Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 9 $20,343.75 $76,950.00 $40,500.00 nat. median
$66,682
0.6× median
699
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Cc 6 $7,105.00 $105,207.68 $38,252.15 nat. median
$10,936
outlier · 3.5×
694
MS_DRG 		Urinary Stones Without Mcc 5 $5,471.90 $39,276.54 $37,209.36 nat. median
$8,711
outlier · 4.3×
562
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 5 $9,973.60 $39,019.78 $36,966.11 nat. median
$14,858
outlier · 2.5×
602
MS_DRG 		Cellulitis With Mcc 7 $9,949.10 $79,334.91 $36,371.61 nat. median
$14,838
outlier · 2.5×
315
MS_DRG 		Other Circulatory System Diagnoses With Cc 5 $6,743.10 $37,282.19 $35,319.97 nat. median
$10,515
outlier · 3.4×
83
MS_DRG 		Traumatic Stupor And Coma >1 Hour With Cc 5 $9,770.60 $37,174.44 $35,217.89 nat. median
$14,609
outlier · 2.4×
880
MS_DRG 		Acute Adjustment Reaction And Psychosocial Dysfunction 5 $6,721.40 $36,206.37 $34,300.77 nat. median
$9,366
outlier · 3.7×
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 5 $10,938.90 $36,062.56 $34,164.53 nat. median
$16,235
outlier · 2.1×
185
MS_DRG 		Major Chest Trauma Without Cc/mcc 5 $5,505.50 $35,195.10 $33,342.72 nat. median
$8,726
outlier · 3.8×
384
MS_DRG 		Uncomplicated Peptic Ulcer Without Mcc 5 $5,983.60 $35,099.83 $33,252.47 nat. median
$9,522
outlier · 3.5×
723
MS_DRG 		Malignancy, Male Reproductive System With Cc 5 $7,998.90 $34,805.77 $32,973.89 nat. median
$11,997
outlier · 2.7×
536
MS_DRG 		Fractures Of Hip And Pelvis Without Mcc 5 $5,653.20 $33,950.30 $32,163.45 nat. median
$8,981
outlier · 3.6×
198
MS_DRG 		Interstitial Lung Disease Without Cc/mcc 5 $5,013.40 $32,885.12 $31,154.33 nat. median
$8,181
outlier · 3.8×
197
MS_DRG 		Interstitial Lung Disease With Cc 5 $6,643.70 $32,806.01 $31,079.38 nat. median
$10,548
outlier · 2.9×
537
MS_DRG 		Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/mcc 5 $6,680.10 $32,557.66 $30,844.10 nat. median
$10,250
outlier · 3.0×
592
MS_DRG 		Skin Ulcers With Mcc 7 $9,759.32 $73,033.95 $30,385.70 nat. median
$19,656
1.5× median
202
MS_DRG 		Bronchitis And Asthma With Cc/mcc 5 $6,798.40 $31,895.40 $30,216.69 nat. median
$10,382
outlier · 2.9×
93580
HCPCS 		Repair Of Congenital Abnormality In Wall Between Upper Heart Chambers With Impla… 9 $17,656.85 $49,439.18 $30,016.65 nat. median
$18,266
1.6× median
36906
HCPCS 		Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 9 $17,655.40 $49,435.12 $30,014.18 nat. median
$18,386
1.6× median
385
MS_DRG 		Inflammatory Bowel Disease With Mcc 6 $11,076.10 $68,563.51 $29,669.85 nat. median
$16,227
1.8× median
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 7 $7,882.70 $67,156.49 $29,135.07 nat. median
$12,148
outlier · 2.4×
555
MS_DRG 		Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 7 $9,252.60 $62,315.86 $28,869.42 nat. median
$13,889
outlier · 2.1×
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 9 $11,680.00 $54,468.44 $28,667.60 nat. median
$22,478
1.3× median
439
MS_DRG 		Disorders Of Pancreas Except Malignancy With Cc 5 $5,888.40 $29,930.15 $28,354.88 nat. median
$9,521
outlier · 3.0×
442
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 5 $6,757.10 $29,896.15 $28,322.67 nat. median
$10,562
outlier · 2.7×
897
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 6 $6,179.60 $71,430.77 $28,103.14 nat. median
$8,726
outlier · 3.2×
964
MS_DRG 		Other Multiple Significant Trauma With Cc 6 $10,728.20 $66,726.06 $27,970.21 nat. median
$15,735
1.8× median

Other procedures at this hospital

Browse this hospital's 8,056 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
             
0200T HCPCS Injections Of One Side Of Sacrum For Enlargement, 1 Or More Needles, Accessed Th… 9 9 $10,380.10 $10,380.10 $5,190.05 $14,532.14 $8,823.09 2026-02-18
0201T HCPCS Injections Of Both Sides Of Sacrum For Enlargement, 2 Or More Needles, Accessed … 9 9 $10,380.10 $10,380.10 $5,190.05 $14,532.14 $8,823.09 2026-02-18
0238T HCPCS Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open … 9 9 $21,362.10 $21,362.10 $10,681.05 $29,906.94 $18,157.79 2026-02-18
100 MS_DRG Seizures With Mcc 5 5 $51,423.53 $51,423.53 $13,557.60 $48,852.35 $46,281.18 2026-02-18
125 MS_DRG Other Disorders Of The Eye Without Mcc 6 6 $12,578.95 $12,578.95 $5,374.60 $35,383.95 $11,635.53 2026-02-18
157 MS_DRG Dental And Oral Diseases With Mcc 5 5 $62,187.29 $62,187.29 $12,017.60 $59,077.93 $55,968.56 2026-02-18
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 5 5 $13,837.31 $13,837.31 $12,453.58 $26,163.90 $13,145.44 2026-02-18
176 MS_DRG Pulmonary Embolism Without Mcc 7 7 $28,023.80 $28,023.80 $5,635.00 $69,072.80 $26,622.61 2026-02-18
177 MS_DRG Respiratory Infections And Inflammations With Mcc 5 5 $37,960.59 $37,960.59 $10,938.90 $36,062.56 $34,164.53 2026-02-18
178 MS_DRG Respiratory Infections And Inflammations With Cc 5 5 $19,400.66 $19,400.66 $6,832.00 $18,430.63 $17,460.59 2026-02-18
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 5 5 $20,932.76 $20,932.76 $5,285.00 $19,886.13 $18,839.49 2026-02-18
184 MS_DRG Major Chest Trauma With Cc 6 6 $17,883.67 $17,883.67 $7,448.70 $36,127.67 $16,542.40 2026-02-18
185 MS_DRG Major Chest Trauma Without Cc/mcc 5 5 $37,047.47 $37,047.47 $5,505.50 $35,195.10 $33,342.72 2026-02-18
189 MS_DRG Pulmonary Edema And Respiratory Failure 5 5 $22,233.09 $22,233.09 $8,647.80 $21,121.44 $20,009.79 2026-02-18
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 5 5 $21,043.45 $21,043.45 $5,901.00 $19,991.27 $18,939.10 2026-02-18
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 5 5 $22,205.85 $22,205.85 $4,494.00 $21,095.56 $19,985.27 2026-02-18
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 5 5 $30,180.84 $30,180.84 $9,200.80 $28,671.80 $27,162.75 2026-02-18
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 5 5 $25,651.65 $25,651.65 $5,641.30 $24,369.07 $23,086.49 2026-02-18
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 5 5 $20,116.79 $20,116.79 $4,399.50 $19,110.95 $18,105.11 2026-02-18
197 MS_DRG Interstitial Lung Disease With Cc 5 5 $34,532.64 $34,532.64 $6,643.70 $32,806.01 $31,079.38 2026-02-18
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 5 5 $34,615.92 $34,615.92 $5,013.40 $32,885.12 $31,154.33 2026-02-18
202 MS_DRG Bronchitis And Asthma With Cc/mcc 5 5 $33,574.10 $33,574.10 $6,798.40 $31,895.40 $30,216.69 2026-02-18
205 MS_DRG Other Respiratory System Diagnoses With Mcc 5 5 $26,242.97 $26,242.97 $12,817.00 $24,930.82 $23,618.67 2026-02-18
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 5 5 $15,034.89 $15,034.89 $6,587.70 $14,283.15 $13,531.40 2026-02-18
20982 HCPCS Destruction Of Growths And Adjacent Soft Tissue 20 9 $11,721.50 $11,721.50 $298.28 $19,547.92 $8,821.41 2026-02-18
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 5 5 $25,619.20 $25,619.20 $18,881.80 $24,338.24 $23,057.28 2026-02-18
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 5 5 $24,071.01 $24,071.01 $11,228.70 $22,867.46 $21,663.91 2026-02-18
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 5 5 $13,558.75 $13,558.75 $6,433.70 $12,880.81 $12,202.88 2026-02-18
291 MS_DRG Heart Failure And Shock With Mcc 5 5 $27,618.85 $27,618.85 $8,986.60 $26,237.91 $24,856.96 2026-02-18
292 MS_DRG Heart Failure And Shock With Cc 5 5 $26,255.16 $26,255.16 $5,943.00 $24,942.40 $23,629.65 2026-02-18
293 MS_DRG Heart Failure And Shock Without Cc/mcc 7 7 $20,360.12 $20,360.12 $3,962.00 $43,165.12 $19,342.11 2026-02-18
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 5 5 $20,779.26 $20,779.26 $10,933.30 $19,740.30 $18,701.33 2026-02-18
300 MS_DRG Peripheral Vascular Disorders With Cc 5 5 $17,594.23 $17,594.23 $7,472.50 $16,714.52 $15,834.81 2026-02-18
303 MS_DRG Atherosclerosis Without Mcc 5 5 $8,700.66 $8,700.66 $4,712.40 $8,265.63 $7,830.59 2026-02-18
305 MS_DRG Hypertension Without Mcc 5 5 $19,749.07 $19,749.07 $5,285.70 $18,761.61 $17,774.16 2026-02-18
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 7 7 $19,460.43 $19,460.43 $6,392.40 $42,265.43 $18,487.41 2026-02-18
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 5 5 $22,405.84 $22,405.84 $8,428.00 $21,285.55 $20,165.26 2026-02-18
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 7 7 $17,388.98 $17,388.98 $5,149.90 $40,193.98 $16,519.53 2026-02-18
312 MS_DRG Syncope And Collapse 7 7 $20,225.95 $20,225.95 $6,101.20 $43,030.95 $19,214.65 2026-02-18
315 MS_DRG Other Circulatory System Diagnoses With Cc 5 5 $39,244.41 $39,244.41 $6,743.10 $37,282.19 $35,319.97 2026-02-18
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 5 5 $17,153.75 $17,153.75 $11,216.10 $16,296.06 $15,438.38 2026-02-18
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 5 5 $69,276.46 $69,276.46 $11,780.30 $65,812.64 $62,348.81 2026-02-18
33207 HCPCS Insertion Of Pacemaker And Lower Heart Chamber Electrode 9 9 $12,720.20 $12,720.20 $6,360.10 $18,886.77 $11,448.18 2026-02-18
33208 HCPCS Insertion Of Pacemaker And Upper And Lower Heart Chamber Electrode 9 9 $15,775.10 $15,775.10 $7,887.55 $22,085.14 $14,197.59 2026-02-18
33212 HCPCS Insertion Of Pacemaker Pulse Generator With Existing Single Lead 9 9 $10,272.00 $10,272.00 $5,136.00 $18,886.77 $9,244.80 2026-02-18
33229 HCPCS Removal And Replacement Of Multiple Lead Permanent Pacemaker 9 9 $17,411.10 $17,411.10 $8,705.55 $24,375.54 $15,669.99 2026-02-18
33249 HCPCS Insertion Of Implantable Defibrillator System 9 9 $17,976.00 $17,976.00 $8,988.00 $43,016.72 $16,178.40 2026-02-18
33262 HCPCS Removal And Replacement Of Single Lead Defibrillator 9 9 $9,210.50 $9,210.50 $4,605.25 $43,016.72 $8,289.45 2026-02-18
33263 HCPCS Removal And Replacement Of Dual Lead Defibrillator 9 9 $18,943.30 $18,943.30 $9,471.65 $43,016.72 $17,048.97 2026-02-18
33264 HCPCS Removal And Replacement Of Multiple Lead Defibrillator 9 9 $17,976.00 $17,976.00 $8,988.00 $43,016.72 $16,178.40 2026-02-18
33270 HCPCS Insertion Or Replacement Of Defibrillator With Electrode 9 9 $72,927.40 $72,927.40 $36,463.70 $102,098.36 $61,988.29 2026-02-18
33274 HCPCS Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance 11 9 $43,550.00 $43,550.00 $380.00 $60,970.00 $23,952.50 2026-02-18
33289 HCPCS Insertion Of Wireless Pressure Sensor Into Lung Artery Through Tube With Review … 11 9 $87,869.40 $87,869.40 $259.81 $123,017.16 $48,328.17 2026-02-18
33361 HCPCS Replacement Of Aortic Valve Through The Skin And Femoral Artery 11 9 $83,609.30 $83,609.30 $975.56 $117,053.02 $45,985.12 2026-02-18
33362 HCPCS Replacement Of Aortic Valve By Through Femoral Artery 11 9 $83,609.30 $83,609.30 $1,062.05 $117,053.02 $45,985.12 2026-02-18
33363 HCPCS Replacement Of Aortic Valve Through Axillary Artery 11 9 $83,609.30 $83,609.30 $1,103.10 $117,053.02 $45,985.12 2026-02-18
33364 HCPCS Replacement Of Aortic Valve Through Iliac Artery 11 9 $83,609.30 $83,609.30 $1,143.55 $117,053.02 $45,985.12 2026-02-18
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/mcc 5 5 $21,899.82 $21,899.82 $7,648.90 $20,804.83 $19,709.84 2026-02-18
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 5 5 $53,209.50 $53,209.50 $9,415.00 $50,549.03 $47,888.55 2026-02-18
357 MS_DRG Other Digestive System O.r. Procedures With Cc 5 5 $20,069.36 $20,069.36 $16,278.50 $19,065.89 $18,062.42 2026-02-18
36837 HCPCS Creation Of Opening Between Artery And Vein In Arm With Separate Access To Each … 9 9 $32,293.30 $32,293.30 $16,146.65 $45,210.62 $27,449.31 2026-02-18
36902 HCPCS Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Balloon Dilation O… 9 9 $15,369.30 $15,369.30 $7,684.65 $21,517.02 $13,063.91 2026-02-18
36903 HCPCS Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Insertion Of Stent… 9 9 $27,180.30 $27,180.30 $13,590.15 $38,052.42 $23,103.26 2026-02-18
36904 HCPCS Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 9 9 $15,369.30 $15,369.30 $7,684.65 $21,517.02 $13,063.91 2026-02-18
36905 HCPCS Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 9 9 $27,180.30 $27,180.30 $13,590.15 $38,052.42 $23,103.26 2026-02-18
36906 HCPCS Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 9 9 $35,310.80 $35,310.80 $17,655.40 $49,435.12 $30,014.18 2026-02-18
36907 HCPCS Balloon Dilation Of Dialysis Segment With Review By Radiologist 9 9 $15,369.30 $15,369.30 $7,684.65 $21,517.02 $13,063.91 2026-02-18
36908 HCPCS Insertion Of Stent In Dialysis Segment With Review By Radiologist 9 9 $15,369.30 $15,369.30 $7,684.65 $21,517.02 $13,063.91 2026-02-18
36909 HCPCS Permanent Blockage Of Hemodialysis Circuit With Review By Radiologist 9 9 $15,369.30 $15,369.30 $7,684.65 $21,517.02 $13,063.91 2026-02-18
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 5 5 $12,635.21 $12,635.21 $11,371.69 $12,635.21 $12,003.45 2026-02-18
37184 HCPCS Primary Removal And Dissolving Of Blood Clot From Artery Or Artery Graft Using F… 11 9 $25,834.10 $25,834.10 $346.41 $36,167.74 $14,208.76 2026-02-18
37187 HCPCS Removal And Dissolving Of Blood Clot From Vein Using Fluoroscopic Guidance, Init… 11 9 $25,834.10 $25,834.10 $319.35 $36,167.74 $14,208.76 2026-02-18
37221 HCPCS Insertion Of Stent In Groin Artery, Initial Vessel 9 9 $24,469.90 $24,469.90 $5,794.31 $34,257.86 $13,458.45 2026-02-18
37224 HCPCS Balloon Dilation Of Artery Of Leg 9 9 $11,526.60 $11,526.60 $5,763.30 $16,137.24 $8,351.28 2026-02-18
37225 HCPCS Removal Of Plaque In Arteries Of Leg 9 9 $24,468.70 $24,468.70 $12,234.35 $34,256.18 $22,021.83 2026-02-18
37226 HCPCS Insertion Of Stent In Arteries Of Leg 9 9 $24,469.90 $24,469.90 $5,794.31 $34,257.86 $13,458.45 2026-02-18
37227 HCPCS Removal Of Plaque And Insertion Of Stents In Arteries Of Leg 9 9 $42,376.90 $42,376.90 $5,794.31 $59,327.66 $23,307.30 2026-02-18
37228 HCPCS Balloon Dilation Of Artery Of Leg, Initial Vessel 9 9 $11,526.60 $11,526.60 $5,763.30 $16,137.24 $10,373.94 2026-02-18
37229 HCPCS Removal Of Plaque In Artery Of Leg, Initial Vessel 9 9 $24,468.70 $24,468.70 $5,794.31 $34,256.18 $13,457.79 2026-02-18
37230 HCPCS Insertion Of Stent In Artery Of Leg, Initial Vessel 9 9 $24,469.90 $24,469.90 $5,794.31 $34,257.86 $13,458.45 2026-02-18
37231 HCPCS Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 9 9 $42,376.90 $42,376.90 $5,794.31 $59,327.66 $23,307.30 2026-02-18
37233 HCPCS Removal Of Plaque In Artery Of Leg, Each Additional Vessel 9 9 $24,468.70 $24,468.70 $5,794.31 $34,256.18 $13,457.79 2026-02-18
37236 HCPCS Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra… 20 9 $25,841.80 $25,841.80 $353.70 $45,110.10 $19,843.68 2026-02-18
37237 HCPCS Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra… 9 9 $11,842.10 $11,842.10 $5,921.05 $16,578.94 $10,065.79 2026-02-18
37238 HCPCS Insertion Of Stent In Vein With Review By Radiologist, Initial Vein 20 9 $24,488.30 $24,488.30 $247.20 $37,591.68 $17,791.61 2026-02-18
37239 HCPCS Insertion Of Stent In Vein With Review By Radiologist, Each Additional Vein 9 9 $11,842.10 $11,842.10 $5,921.05 $16,578.94 $10,065.79 2026-02-18
37241 HCPCS Occlusion Of Vein With Review By Radiologist 9 9 $12,363.60 $12,363.60 $6,181.80 $17,309.04 $10,509.06 2026-02-18
37242 HCPCS Occlusion Of Artery With Review By Radiologist 11 9 $23,743.90 $23,743.90 $384.69 $33,241.46 $13,059.15 2026-02-18
37243 HCPCS Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist 11 9 $23,743.90 $23,743.90 $455.35 $33,241.46 $13,059.15 2026-02-18
37244 HCPCS Occlusion Of Artery Or Vein Bleeding With Review By Radiologist 11 9 $23,743.90 $23,743.90 $534.35 $33,241.46 $13,059.15 2026-02-18
37248 HCPCS Balloon Dilation Of Vein With Review By Radiologist, Initial Vein 11 9 $15,369.30 $15,369.30 $241.55 $21,517.02 $7,761.50 2026-02-18
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 7 7 $21,199.26 $21,199.26 $5,091.80 $53,126.26 $20,139.29 2026-02-18
375 MS_DRG Digestive Malignancy With Cc 6 6 $24,242.26 $24,242.26 $8,467.20 $56,169.26 $22,424.08 2026-02-18
376 MS_DRG Digestive Malignancy Without Cc/mcc 5 5 $78,833.94 $78,833.94 $6,470.10 $74,892.24 $70,950.55 2026-02-18
378 MS_DRG Gastrointestinal Hemorrhage With Cc 5 5 $15,546.40 $15,546.40 $6,864.90 $14,769.08 $13,991.76 2026-02-18
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 5 5 $10,699.29 $10,699.29 $9,051.13 $10,164.33 $9,664.90 2026-02-18
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 5 5 $36,947.19 $36,947.19 $5,983.60 $35,099.83 $33,252.47 2026-02-18
385 MS_DRG Inflammatory Bowel Disease With Mcc 6 6 $32,075.51 $32,075.51 $11,076.10 $68,563.51 $29,669.85 2026-02-18
388 MS_DRG Gastrointestinal Obstruction With Mcc 5 5 $51,982.62 $51,982.62 $10,337.60 $49,383.49 $46,784.36 2026-02-18
389 MS_DRG Gastrointestinal Obstruction With Cc 5 5 $30,482.81 $30,482.81 $5,528.60 $28,958.67 $27,434.53 2026-02-18
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 7 7 $21,914.00 $21,914.00 $8,878.10 $44,719.00 $20,818.30 2026-02-18
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 5 5 $16,378.63 $16,378.63 $5,457.20 $15,559.69 $14,740.76 2026-02-18
399 MS_DRG Appendix Procedures Without Cc/mcc 5 5 $51,418.74 $51,418.74 $8,012.90 $48,847.80 $46,276.87 2026-02-18
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 5 5 $28,184.08 $28,184.08 $11,841.20 $26,774.88 $25,365.67 2026-02-18
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 5 5 $15,568.74 $15,568.74 $13,777.40 $14,790.30 $14,697.78 2026-02-18
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 5 5 $8,232.89 $8,232.89 $7,409.60 $8,232.89 $7,821.25 2026-02-18
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 5 5 $31,505.42 $31,505.42 $5,888.40 $29,930.15 $28,354.88 2026-02-18
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 5 5 $11,609.18 $11,609.18 $4,349.80 $11,028.72 $10,448.26 2026-02-18
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 5 5 $20,053.93 $20,053.93 $12,562.90 $19,051.23 $18,048.54 2026-02-18
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 5 5 $31,469.63 $31,469.63 $6,757.10 $29,896.15 $28,322.67 2026-02-18
444 MS_DRG Disorders Of The Biliary Tract With Mcc 5 5 $23,304.04 $23,304.04 $11,696.30 $22,138.84 $20,973.64 2026-02-18
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 5 5 $46,217.72 $46,217.72 $5,791.10 $43,906.83 $41,595.95 2026-02-18
47382 HCPCS Destruction Of Growth Of Liver Through Skin Using Radiofrequency 9 9 $13,032.90 $13,032.90 $6,516.45 $18,246.06 $11,077.97 2026-02-18
50593 HCPCS Destruction Of Growth Of Kidney By Freezing 9 9 $14,156.80 $14,156.80 $7,078.40 $19,819.52 $12,033.28 2026-02-18
534 MS_DRG Fractures Of Femur Without Mcc 7 7 $27,919.40 $27,919.40 $5,642.70 $68,968.40 $26,523.43 2026-02-18
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 5 5 $35,737.16 $35,737.16 $5,653.20 $33,950.30 $32,163.45 2026-02-18
537 MS_DRG Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/mcc 5 5 $34,271.22 $34,271.22 $6,680.10 $32,557.66 $30,844.10 2026-02-18
539 MS_DRG Osteomyelitis With Mcc 7 7 $18,144.86 $18,144.86 $13,787.90 $36,388.86 $17,237.62 2026-02-18
540 MS_DRG Osteomyelitis With Cc 5 5 $26,870.01 $26,870.01 $9,074.10 $25,526.51 $24,183.01 2026-02-18
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 7 7 $23,642.43 $23,642.43 $7,196.00 $55,569.43 $22,460.31 2026-02-18
545 MS_DRG Connective Tissue Disorders With Mcc 7 7 $42,894.86 $42,894.86 $17,356.39 $102,187.86 $40,750.12 2026-02-18
551 MS_DRG Medical Back Problems With Mcc 5 5 $18,977.39 $18,977.39 $11,732.70 $18,028.52 $17,079.65 2026-02-18
552 MS_DRG Medical Back Problems Without Mcc 5 5 $17,854.28 $17,854.28 $6,729.10 $16,961.57 $16,068.85 2026-02-18
553 MS_DRG Bone Diseases And Arthropathies With Mcc 5 5 $11,509.86 $11,509.86 $9,074.10 $10,934.37 $10,358.87 2026-02-18
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 7 7 $30,388.86 $30,388.86 $9,252.60 $62,315.86 $28,869.42 2026-02-18
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 7 7 $12,898.55 $12,898.55 $4,820.34 $31,142.55 $12,253.62 2026-02-18
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 5 5 $18,386.83 $18,386.83 $9,773.02 $17,467.49 $16,548.15 2026-02-18
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 7 7 $17,834.48 $17,834.48 $6,252.40 $36,078.48 $16,942.76 2026-02-18
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 5 5 $49,769.88 $49,769.88 $13,054.30 $47,281.39 $44,792.89 2026-02-18
56 MS_DRG Degenerative Nervous System Disorders With Mcc 6 6 $62,882.22 $62,882.22 $16,261.70 $144,980.22 $58,166.06 2026-02-18
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 7 7 $30,668.49 $30,668.49 $7,882.70 $67,156.49 $29,135.07 2026-02-18
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 7 7 $21,790.58 $21,790.58 $5,627.30 $49,156.58 $20,701.05 2026-02-18
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 5 5 $41,073.45 $41,073.45 $9,973.60 $39,019.78 $36,966.11 2026-02-18
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 6 6 $24,100.73 $24,100.73 $6,268.50 $56,027.73 $22,293.17 2026-02-18
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 5 5 $22,425.30 $22,425.30 $6,820.80 $21,304.03 $20,182.77 2026-02-18
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 5 5 $9,340.31 $9,340.31 $8,406.27 $9,340.31 $8,873.29 2026-02-18
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 7 7 $8,599.06 $8,599.06 $7,739.15 $22,282.06 $8,599.06 2026-02-18
592 MS_DRG Skin Ulcers With Mcc 7 7 $31,984.95 $31,984.95 $9,759.32 $73,033.95 $30,385.70 2026-02-18
594 MS_DRG Skin Ulcers Without Cc/mcc 7 7 $53,788.23 $53,788.23 $5,003.12 $108,520.23 $51,098.82 2026-02-18
596 MS_DRG Major Skin Disorders Without Mcc 5 5 $19,199.98 $19,199.98 $7,577.50 $18,239.98 $17,279.98 2026-02-18
597 MS_DRG Malignant Breast Disorders With Mcc 7 7 $17,758.17 $17,758.17 $11,669.70 $36,002.17 $16,870.26 2026-02-18
602 MS_DRG Cellulitis With Mcc 7 7 $38,285.91 $38,285.91 $9,949.10 $79,334.91 $36,371.61 2026-02-18
603 MS_DRG Cellulitis Without Mcc 5 5 $24,120.40 $24,120.40 $6,096.30 $22,914.38 $21,708.36 2026-02-18
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 5 5 $16,608.34 $16,608.34 $6,412.00 $15,777.92 $14,947.50 2026-02-18
606 MS_DRG Minor Skin Disorders With Mcc 7 7 $28,321.35 $28,321.35 $9,358.64 $69,370.35 $26,905.28 2026-02-18
607 MS_DRG Minor Skin Disorders Without Mcc 5 5 $20,055.61 $20,055.61 $6,344.80 $19,052.83 $18,050.05 2026-02-18
6085000027 CDM Specialty Services - Treatment Room 9 9 $27,618.40 $27,618.40 $13,809.20 $26,237.48 $16,571.04 2026-02-18
6210100017 CDM Operating Room Services - General Classification 9 9 $15,246.40 $15,246.40 $7,623.20 $14,484.08 $9,147.84 2026-02-18
6212100305 CDM Valve Aortic Mosaic Porc 27mm 9 9 $14,750.40 $14,750.40 $7,375.20 $14,012.88 $8,850.24 2026-02-18
6212101635 CDM Valve Aortic Mech Ats 24mm 9 9 $15,907.10 $15,907.10 $7,953.55 $15,111.75 $9,544.26 2026-02-18
6212102180 CDM Valve Tissue Magna 3000-25mm 9 9 $16,108.60 $16,108.60 $8,054.30 $15,303.17 $9,665.16 2026-02-18
6212102181 CDM Valve Tissue Magna 3000-19mm 9 9 $14,978.90 $14,978.90 $7,489.45 $14,229.96 $8,987.34 2026-02-18
6212102238 CDM Valve Tissue Magna 3000-21mm 9 9 $14,978.90 $14,978.90 $7,489.45 $14,229.96 $8,987.34 2026-02-18
6212102243 CDM Valve Tissue Magna 3000-23mm 9 9 $15,341.50 $15,341.50 $7,670.75 $14,574.43 $9,204.90 2026-02-18
6212102273 CDM Pump Ams 72404252 9 9 $18,656.90 $18,656.90 $9,328.45 $17,724.06 $11,194.14 2026-02-18
6212103039 CDM Valve Strata Nsc Reg 42365 9 9 $14,093.00 $14,093.00 $7,046.50 $13,388.35 $8,455.80 2026-02-18
6212103040 CDM Valve Strata 2 Small 42856 9 9 $17,020.40 $17,020.40 $8,510.20 $16,169.38 $10,212.24 2026-02-18
6212103041 CDM Valve Strata 2 Reg 42866 9 9 $15,199.10 $15,199.10 $7,599.55 $14,439.15 $9,119.46 2026-02-18
6212103106 CDM Cage Bengal 1773-06-142 9 9 $13,965.70 $13,965.70 $6,982.85 $13,267.42 $8,379.42 2026-02-18
6212103115 CDM Cage T-pal 08.812.209 9 9 $13,884.90 $13,884.90 $6,942.45 $13,190.66 $8,330.94 2026-02-18
6212103207 CDM Cage T-pal 08.812.008 9 9 $13,100.10 $13,100.10 $6,550.05 $12,445.10 $7,860.06 2026-02-18
6212103286 CDM Cage T-pal 08.812.009 9 9 $14,017.20 $14,017.20 $7,008.60 $13,316.34 $8,410.32 2026-02-18
6212103360 CDM Cage T-pal 08.812.011 9 9 $14,017.20 $14,017.20 $7,008.60 $13,316.34 $8,410.32 2026-02-18
6212103366 CDM Zero-p Va 04.647.227s 9 9 $13,030.20 $13,030.20 $6,515.10 $12,378.69 $7,818.12 2026-02-18
6212103372 CDM Cage T-pal 08.812.010 9 9 $14,017.20 $14,017.20 $7,008.60 $13,316.34 $8,410.32 2026-02-18
6212103412 CDM Bullet Concord 1878-50-209 9 9 $14,618.20 $14,618.20 $7,309.10 $13,887.29 $8,770.92 2026-02-18
6212103491 CDM Cage T-pal 08.812.014 9 9 $14,017.20 $14,017.20 $7,008.60 $13,316.34 $8,410.32 2026-02-18
6212103518 CDM Valve Mosaic Porc 27mm 9 9 $13,464.10 $13,464.10 $6,732.05 $12,790.90 $8,078.46 2026-02-18
6212103533 CDM Cage T-pal 08.812.012 9 9 $14,017.20 $14,017.20 $7,008.60 $13,316.34 $8,410.32 2026-02-18
6212103538 CDM Valve Aortic Trifecta Tf-19a 9 9 $14,894.70 $14,894.70 $7,447.35 $14,149.97 $8,936.82 2026-02-18
6212103547 CDM Valve Aortic Trifecta Tf-23a 9 9 $14,894.70 $14,894.70 $7,447.35 $14,149.97 $8,936.82 2026-02-18
6212103574 CDM Lordotic 04.617.126s 9 9 $15,147.10 $15,147.10 $7,573.55 $14,389.75 $9,088.26 2026-02-18
6212103598 CDM Cage T-pal 08.812.208 9 9 $13,884.90 $13,884.90 $6,942.45 $13,190.66 $8,330.94 2026-02-18
6212103610 CDM Cage T-pal 08.812.013 9 9 $14,017.20 $14,017.20 $7,008.60 $13,316.34 $8,410.32 2026-02-18
6212103616 CDM Valve Aortic Trifecta Tf-21a 9 9 $14,894.70 $14,894.70 $7,447.35 $14,149.97 $8,936.82 2026-02-18
6212103640 CDM Cage T-pal 08.812.017 9 9 $13,884.90 $13,884.90 $6,942.45 $13,190.66 $8,330.94 2026-02-18
6212103641 CDM Cage T-pal 08.812.015 9 9 $14,017.20 $14,017.20 $7,008.60 $13,316.34 $8,410.32 2026-02-18
6212103648 CDM Zero-p Va 04.647.127s 9 9 $13,030.20 $13,030.20 $6,515.10 $12,378.69 $7,818.12 2026-02-18
6212103673 CDM Valve Ats 28mm 501dm28 9 9 $13,091.50 $13,091.50 $6,545.75 $12,436.93 $7,854.90 2026-02-18
6212103676 CDM Cage T-pal 08.812.212 9 9 $14,017.20 $14,017.20 $7,008.60 $13,316.34 $8,410.32 2026-02-18
6212103778 CDM Cage Opal 08.803.108 9 9 $13,255.00 $13,255.00 $6,627.50 $12,592.25 $7,953.00 2026-02-18
6212103848 CDM Stent Endurant Etbf2816c145e 9 9 $21,584.60 $21,584.60 $10,792.30 $20,505.37 $12,950.76 2026-02-18
6212103849 CDM Stent Endurant Etlw1616c93e 9 9 $15,093.00 $15,093.00 $7,546.50 $14,338.35 $9,055.80 2026-02-18
6212103860 CDM Central Body 08.807.207s 9 9 $17,551.40 $17,551.40 $8,775.70 $16,673.83 $10,530.84 2026-02-18
6212103913 CDM Stent Endurant Etbf3616c145e 9 9 $21,584.60 $21,584.60 $10,792.30 $20,505.37 $12,950.76 2026-02-18
6212103920 CDM Peek Cranial Acss-001 9 9 $20,436.50 $20,436.50 $10,218.25 $19,414.68 $12,261.90 2026-02-18
6212103921 CDM Valve Mosaic Porc 29mm 9 9 $13,464.10 $13,464.10 $6,732.05 $12,790.90 $8,078.46 2026-02-18
6212103923 CDM Battery Neurostim 97713 9 9 $33,660.10 $33,660.10 $16,830.05 $31,977.10 $20,196.06 2026-02-18
6212103931 CDM Valve Aortic Freestyle 995-21 9 9 $22,239.80 $22,239.80 $11,119.90 $21,127.81 $13,343.88 2026-02-18
6212103967 CDM Synmesh 12mm 495.356 9 9 $13,148.10 $13,148.10 $6,574.05 $12,490.70 $7,888.86 2026-02-18
6212104075 CDM Cage T-pal 03.812.013 9 9 $14,017.20 $14,017.20 $7,008.60 $13,316.34 $8,410.32 2026-02-18
6212104182 CDM Valve Perceval 21mm Pvs21 9 9 $21,753.10 $21,753.10 $10,876.55 $20,665.45 $13,051.86 2026-02-18
6212104183 CDM Valve Perceval 23mm Pvs23 9 9 $21,753.10 $21,753.10 $10,876.55 $20,665.45 $13,051.86 2026-02-18
6212104184 CDM Valve Perceval 25mm Pvs25 9 9 $21,753.10 $21,753.10 $10,876.55 $20,665.45 $13,051.86 2026-02-18
6212104185 CDM Valve Perceval 27mm Pvs27 9 9 $21,753.10 $21,753.10 $10,876.55 $20,665.45 $13,051.86 2026-02-18
6212104194 CDM Cage Bengal 1773-00-122 9 9 $13,653.00 $13,653.00 $6,826.50 $12,970.35 $8,191.80 2026-02-18
6212104206 CDM Stent Endurant Etlw1624c82e 9 9 $16,658.30 $16,658.30 $8,329.15 $15,825.39 $9,994.98 2026-02-18
6212104208 CDM Graft Stent Vamf3030c150tu 9 9 $42,349.90 $42,349.90 $21,174.95 $40,232.41 $25,409.94 2026-02-18
6212104281 CDM Stent Graft Bea28-80/i20-40 9 9 $26,696.50 $26,696.50 $13,348.25 $25,361.68 $16,017.90 2026-02-18
6212104406 CDM Cage Bengal 1773-06-138 9 9 $13,481.20 $13,481.20 $6,740.60 $12,807.14 $8,088.72 2026-02-18
6212104432 CDM Stent Graft Ba28-120/i16-40 9 9 $24,781.20 $24,781.20 $12,390.60 $23,542.14 $14,868.72 2026-02-18
6212104434 CDM Cage Flxfit At0909 9 9 $17,120.00 $17,120.00 $8,560.00 $16,264.00 $10,272.00 2026-02-18
6212104435 CDM Cage Flxfit At0908 9 9 $17,120.00 $17,120.00 $8,560.00 $16,264.00 $10,272.00 2026-02-18
6212104445 CDM Kit Decompress 87srck15 9 9 $15,889.50 $15,889.50 $7,944.75 $15,095.03 $9,533.70 2026-02-18
6212104567 CDM Peek Cranial 78-60030 9 9 $38,597.10 $38,597.10 $19,298.55 $36,667.25 $23,158.26 2026-02-18
6212104574 CDM Spacer T-pal 04.812.010s 9 9 $16,392.40 $16,392.40 $8,196.20 $15,572.78 $9,835.44 2026-02-18
6212104594 CDM Extended 4 Hole Gtr 9 9 $14,149.70 $14,149.70 $7,074.85 $13,442.22 $8,489.82 2026-02-18
6212104631 CDM Stent Graft Bea25-80/i16-40 9 9 $26,696.50 $26,696.50 $13,348.25 $25,361.68 $16,017.90 2026-02-18
6212104637 CDM Spacer T-pal 04.812.011s 9 9 $16,392.40 $16,392.40 $8,196.20 $15,572.78 $9,835.44 2026-02-18
6212104638 CDM Spacer T-pal 04.812.007s 9 9 $16,392.40 $16,392.40 $8,196.20 $15,572.78 $9,835.44 2026-02-18
6212104653 CDM Core Fortify 137.002 9 9 $15,904.50 $15,904.50 $7,952.25 $15,109.28 $9,542.70 2026-02-18
6212104731 CDM Spacer T-pal 04.812.009s 9 9 $16,392.40 $16,392.40 $8,196.20 $15,572.78 $9,835.44 2026-02-18
6212104748 CDM Spacer T-pal 04.812.013s 9 9 $16,392.40 $16,392.40 $8,196.20 $15,572.78 $9,835.44 2026-02-18
638 MS_DRG Diabetes With Cc 5 5 $18,821.00 $18,821.00 $6,273.40 $17,879.95 $16,938.90 2026-02-18
639 MS_DRG Diabetes Without Cc/mcc 5 5 $11,144.18 $11,144.18 $4,348.40 $10,586.97 $10,029.76 2026-02-18
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 5 5 $18,359.04 $18,359.04 $9,349.20 $17,441.09 $16,523.13 2026-02-18
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 5 5 $18,895.33 $18,895.33 $5,447.40 $17,950.56 $17,005.80 2026-02-18
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 5 5 $27,317.00 $27,317.00 $7,072.10 $25,951.15 $24,585.30 2026-02-18
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 7 7 $66,031.38 $66,031.38 $4,790.80 $139,007.38 $62,729.81 2026-02-18
682 MS_DRG Renal Failure With Mcc 5 5 $23,703.89 $23,703.89 $10,367.00 $22,518.69 $21,333.50 2026-02-18
683 MS_DRG Renal Failure With Cc 5 5 $20,545.56 $20,545.56 $6,130.60 $19,518.28 $18,491.00 2026-02-18
684 MS_DRG Renal Failure Without Cc/mcc 6 6 $15,840.73 $15,840.73 $4,202.10 $38,645.73 $14,652.67 2026-02-18
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 7 7 $8,669.25 $8,669.25 $7,334.60 $22,352.25 $8,235.79 2026-02-18
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 5 5 $19,248.76 $19,248.76 $8,122.10 $18,286.32 $17,323.89 2026-02-18
69 MS_DRG Transient Ischemia Without Thrombolytic 5 5 $23,554.03 $23,554.03 $5,591.60 $22,376.33 $21,198.63 2026-02-18
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 5 5 $20,601.00 $20,601.00 $5,666.50 $19,570.95 $18,540.90 2026-02-18
694 MS_DRG Urinary Stones Without Mcc 5 5 $41,343.73 $41,343.73 $5,471.90 $39,276.54 $37,209.36 2026-02-18
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 6 6 $41,353.68 $41,353.68 $7,105.00 $105,207.68 $38,252.15 2026-02-18
723 MS_DRG Malignancy, Male Reproductive System With Cc 5 5 $36,637.65 $36,637.65 $7,998.90 $34,805.77 $32,973.89 2026-02-18
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 7 7 $57,770.36 $57,770.36 $10,380.30 $148,990.36 $54,881.84 2026-02-18
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 5 5 $20,532.69 $20,532.69 $8,684.90 $19,506.06 $18,479.42 2026-02-18
754 MS_DRG Malignancy, Female Reproductive System With Mcc 5 5 $57,968.14 $57,968.14 $12,891.90 $55,069.73 $52,171.33 2026-02-18
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 5 5 $19,199.32 $19,199.32 $8,861.30 $18,239.35 $17,279.39 2026-02-18
812 MS_DRG Red Blood Cell Disorders Without Mcc 5 5 $23,623.81 $23,623.81 $6,427.40 $22,442.62 $21,261.43 2026-02-18
81540 HCPCS Gene Analysis (cancer) 9 9 $14,739.30 $14,739.30 $7,369.65 $20,635.02 $12,528.41 2026-02-18
816 MS_DRG Reticuloendothelial And Immunity Disorders Without Cc/mcc 5 5 $18,061.76 $18,061.76 $4,424.00 $17,158.67 $16,255.58 2026-02-18
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 5 5 $39,130.99 $39,130.99 $9,770.60 $37,174.44 $35,217.89 2026-02-18
835 MS_DRG Acute Leukemia With Cc 7 7 $12,640.47 $12,640.47 $11,376.42 $35,445.47 $12,640.47 2026-02-18
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 5 5 $26,816.99 $26,816.99 $11,419.80 $25,476.14 $24,135.29 2026-02-18
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 5 $60,380.97 $60,380.97 $34,570.20 $57,361.92 $54,342.87 2026-02-18
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 5 5 $11,257.50 $11,257.50 $10,131.75 $12,765.90 $10,694.63 2026-02-18
864 MS_DRG Fever And Inflammatory Conditions 5 5 $17,201.16 $17,201.16 $6,213.90 $16,341.10 $15,481.04 2026-02-18
866 MS_DRG Viral Illness Without Mcc 5 5 $13,688.57 $13,688.57 $6,087.20 $13,004.14 $12,319.71 2026-02-18
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 5 5 $29,737.58 $29,737.58 $13,597.50 $28,250.71 $26,763.83 2026-02-18
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 5 5 $23,706.62 $23,706.62 $7,163.10 $22,521.29 $21,335.96 2026-02-18
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 5 5 $38,111.97 $38,111.97 $6,721.40 $36,206.37 $34,300.77 2026-02-18
89 MS_DRG Concussion With Cc 5 5 $14,393.98 $14,393.98 $7,690.20 $13,674.28 $12,954.58 2026-02-18
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 6 6 $30,381.77 $30,381.77 $6,179.60 $71,430.77 $28,103.14 2026-02-18
90 MS_DRG Concussion Without Cc/mcc 5 5 $16,087.60 $16,087.60 $5,604.93 $15,283.22 $14,478.84 2026-02-18
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 5 5 $10,667.87 $10,667.87 $5,999.70 $10,134.48 $9,601.08 2026-02-18
92 MS_DRG Other Disorders Of Nervous System With Cc 5 5 $27,683.60 $27,683.60 $7,161.00 $26,299.42 $24,915.24 2026-02-18
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 5 5 $21,650.77 $21,650.77 $7,123.90 $20,568.23 $19,485.69 2026-02-18
92920 HCPCS Balloon Dilation Of Single Coronary Artery Or Branch 11 9 $15,658.20 $15,658.20 $350.54 $21,921.48 $7,907.39 2026-02-18
92924 HCPCS Removal Of Plaque With Balloon Dilation Of Single Coronary Artery Or Branch 9 9 $32,536.40 $32,536.40 $2,215.19 $45,550.96 $17,895.02 2026-02-18
92925 HCPCS Removal Of Plaque With Balloon Dilation Of Coronary Artery Or Branch, Each Addit… 9 9 $16,268.40 $16,268.40 $5,794.31 $22,775.76 $8,947.62 2026-02-18
92928 HCPCS Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Single A… 11 9 $17,226.90 $17,226.90 $419.93 $24,117.66 $8,699.58 2026-02-18
92929 HCPCS Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Each Add… 9 9 $17,226.90 $17,226.90 $8,256.22 $24,117.66 $9,474.80 2026-02-18
92933 HCPCS Removal Of Plaque, Insertion Of Stent And Balloon Dilation Of Single Coronary Ar… 11 9 $49,822.60 $49,822.60 $501.17 $69,751.64 $25,160.41 2026-02-18
92934 HCPCS Removal Of Plaque, Insertion Of Stent And Balloon Dilation Of Coronary Artery Or… 9 9 $24,911.70 $24,911.70 $8,256.22 $34,876.38 $13,701.44 2026-02-18
92937 HCPCS Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary… 11 9 $17,226.90 $17,226.90 $474.18 $24,117.66 $8,699.58 2026-02-18
92938 HCPCS Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Coronary Vessel… 9 9 $17,226.90 $17,226.90 $8,256.22 $24,117.66 $9,474.80 2026-02-18
92941 HCPCS Removal Of Plaque And Blood Clot, Insertion Of Stent And/or Balloon Dilation Of … 11 9 $17,226.90 $17,226.90 $533.95 $24,117.66 $8,699.58 2026-02-18
92943 HCPCS Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary… 11 9 $17,226.90 $17,226.90 $574.21 $24,117.66 $8,699.58 2026-02-18
92944 HCPCS Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation, Each Additional C… 9 9 $17,226.90 $17,226.90 $8,256.22 $24,117.66 $9,474.80 2026-02-18
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 6 6 $25,586.75 $25,586.75 $5,574.10 $62,074.75 $23,667.75 2026-02-18
93452 HCPCS Insertion Of Tube In Left Heart Chambers For Diagnosis With Review By Radiologis… 9 9 $16,305.50 $16,305.50 $6,473.60 $22,827.70 $8,968.03 2026-02-18
93453 HCPCS Insertion Of Tube In Right And Left Heart Chambers For Diagnosis With Review By … 9 9 $17,937.80 $17,937.80 $6,473.60 $25,112.92 $9,865.79 2026-02-18
93456 HCPCS Insertion Of Tube In Right Heart Chambers And Coronary Artery For Diagnosis With… 9 9 $19,594.50 $19,594.50 $5,481.36 $27,432.30 $10,776.98 2026-02-18
93457 HCPCS Insertion Of Tube In Right Heart Chambers, Coronary Artery, And Bypass Graft For… 9 9 $20,775.40 $20,775.40 $5,481.36 $29,085.56 $11,426.47 2026-02-18
93458 HCPCS Insertion Of Tube In Left Lower Heart Chamber And Coronary Artery For Diagnosis … 11 9 $19,594.50 $19,594.50 $262.75 $27,432.30 $9,895.22 2026-02-18
93459 HCPCS Insertion Of Tube In Left Lower Heart Chamber, Coronary Artery And Bypass Graft … 11 9 $20,775.40 $20,775.40 $298.11 $29,085.56 $10,491.58 2026-02-18
93460 HCPCS Insertion Of Tube In Right And Left Heart Chambers And Coronary Artery For Diagn… 11 9 $19,594.50 $19,594.50 $333.10 $27,432.30 $9,895.22 2026-02-18
93461 HCPCS Insertion Of Tube In Right And Left Heart Chambers, Coronary Artery, And Bypass … 11 9 $20,775.40 $20,775.40 $367.86 $29,085.56 $10,491.58 2026-02-18
93580 HCPCS Repair Of Congenital Abnormality In Wall Between Upper Heart Chambers With Impla… 9 9 $35,313.70 $35,313.70 $17,656.85 $49,439.18 $30,016.65 2026-02-18
947 MS_DRG Signs And Symptoms With Mcc 6 6 $29,669.49 $29,669.49 $8,885.80 $66,157.49 $27,444.28 2026-02-18
948 MS_DRG Signs And Symptoms Without Mcc 5 5 $25,559.00 $25,559.00 $5,603.50 $24,281.05 $23,003.10 2026-02-18
949 MS_DRG Aftercare With Cc/mcc 7 7 $22,945.66 $22,945.66 $8,327.90 $50,311.66 $21,798.38 2026-02-18
964 MS_DRG Other Multiple Significant Trauma With Cc 6 6 $30,238.06 $30,238.06 $10,728.20 $66,726.06 $27,970.21 2026-02-18
A9568 HCPCS Technetium Tc-99m Arcitumomab, Diagnostic, Per Study Dose, Up To 45 Millicuries 9 9 $12,223.80 $12,223.80 $6,111.90 $17,113.32 $10,390.23 2026-02-18
A9604 HCPCS Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri… 9 9 $24,753.40 $24,753.40 $227.50 $34,654.76 $13,614.37 2026-02-18
C1763 HCPCS Connective Tissue, Non-human (includes Synthetic) 18 9 $15,162.05 $15,162.05 $6,498.15 $16,461.41 $9,963.49 2026-02-18
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 45 9 $47,042.30 $47,042.30 $11,680.00 $54,468.44 $28,667.60 2026-02-18
C1813 HCPCS Prosthesis, Penile, Inflatable 18 9 $14,083.45 $14,083.45 $4,011.75 $19,136.23 $8,847.01 2026-02-18
C1815 HCPCS Prosthesis, Urinary Sphincter (implantable) 18 9 $14,500.60 $14,500.60 $6,293.75 $15,593.02 $9,437.88 2026-02-18
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 72 9 $40,031.50 $40,031.50 $15,627.90 $57,433.01 $27,348.83 2026-02-18
C1822 HCPCS Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 9 9 $36,650.00 $36,650.00 $18,325.00 $34,817.50 $21,990.00 2026-02-18
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 9 9 $32,536.40 $32,536.40 $16,268.20 $45,550.96 $17,895.02 2026-02-18
C9601 HCPCS Percutaneous Transcatheter Placement Of Drug-eluting Intracoronary Stent(s), Wit… 17 9 $21,887.10 $21,887.10 $10,003.85 $30,641.94 $18,006.93 2026-02-18
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary … 9 9 $49,822.60 $49,822.60 $11,880.20 $69,751.64 $27,402.43 2026-02-18
C9603 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug-eluting Intracoronary … 9 9 $24,911.70 $24,911.70 $11,880.20 $34,876.38 $13,701.44 2026-02-18
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 9 9 $20,007.70 $20,007.70 $10,003.85 $28,010.78 $18,006.93 2026-02-18
C9605 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 9 9 $20,007.70 $20,007.70 $10,003.85 $28,010.78 $11,880.20 2026-02-18
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 9 9 $20,007.70 $20,007.70 $10,003.85 $28,010.78 $18,006.93 2026-02-18
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 9 9 $20,007.70 $20,007.70 $10,003.85 $28,010.78 $11,880.20 2026-02-18
C9608 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 9 9 $20,007.70 $20,007.70 $10,003.85 $28,010.78 $11,880.20 2026-02-18
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 9 9 $28,437.50 $28,437.50 $76.92 $27,015.63 $15,640.63 2026-02-18
J2427 HCPCS Injection, Paliperidone Palmitate Extended Release (invega Hafyera, Or Invega Tr… 9 9 $24,984.65 $24,984.65 $12,492.33 $23,735.42 $14,990.79 2026-02-18
J3357 HCPCS Ustekinumab, For Subcutaneous Injection, 1 Mg 9 9 $48,724.99 $48,724.99 $217.19 $46,288.74 $26,798.74 2026-02-18
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 17 9 $81,000.00 $81,000.00 $20,343.75 $76,950.00 $40,500.00 2026-02-18
Q4116 HCPCS Alloderm, Per Square Centimeter 9 9 $14,598.90 $14,598.90 $35.25 $13,868.96 $8,029.40 2026-02-18
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