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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.

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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
             
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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