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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

AMBERWELL ATCHISON ASSOCIATION

Atchison, KS · CCN 171382 · Rates published

6,725 distinct procedures filed
25 distinct payers
121,111 rate rows
2026-05-23 last MRF observed
Data quality

118,006 of 121,111 rate rows are consumer-grade (97.4%)

3,105 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 1,712
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,107
template filing: same amount across many unrelated codes — excluded 107
percent-of-charges filed in the dollar field — excluded from medians 78
exceeds 10× this hospital's gross charge — excluded from medians 46
placeholder amount (≤ $0.02) — excluded from medians 39
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbAHAATCHISONKS&type=CDMWithoutLabel&fileType=CSV
Found on page https://amberwellhealth.org/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-14
Content fingerprint 229fa14397fa6907… · 54,605,758 bytes · first seen 2026-05-17

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
736
MS_DRG 		Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 9 $14,808.72 $85,669.20 $52,353.40 nat. median
$36,240
1.4× median
86
MS_DRG 		Traumatic Stupor And Coma <1 Hour With Cc 9 $7,266.88 $70,574.40 $43,128.80 nat. median
$13,379
outlier · 3.2×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 9 $20,543.66 $70,560.90 $43,120.55 nat. median
$42,341
1.0× median
950
MS_DRG 		Aftercare Without Cc/mcc 13 $4,275.26 $120,092.50 $40,025.63 nat. median
$7,484
outlier · 5.3×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 9 $24,864.51 $47,178.90 $39,315.75 nat. median
$47,707
0.8× median
754
MS_DRG 		Malignancy, Female Reproductive System With Mcc 13 $6,363.43 $120,572.00 $37,441.50 nat. median
$18,173
outlier · 2.1×
157
MS_DRG 		Dental And Oral Diseases With Mcc 9 $6,206.31 $61,000.20 $37,277.90 nat. median
$16,954
outlier · 2.2×
487
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 9 $7,345.44 $60,806.25 $37,159.38 nat. median
$16,223
outlier · 2.3×
570
MS_DRG 		Skin Debridement With Mcc 9 $11,862.69 $54,239.54 $33,146.38 nat. median
$29,069
1.1× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 9 $15,397.93 $44,278.20 $32,562.74 nat. median
$35,240
0.9× median
444
MS_DRG 		Disorders Of The Biliary Tract With Mcc 9 $8,720.26 $52,641.90 $32,170.05 nat. median
$16,694
1.9× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 9 $22,298.65 $40,543.00 $31,306.76 nat. median
$44,514
0.7× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 $21,015.03 $38,307.00 $30,645.60 nat. median
$45,808
0.7× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 9 $11,430.60 $50,107.50 $30,621.25 nat. median
$24,507
1.2× median
593
MS_DRG 		Skin Ulcers With Cc 9 $6,874.07 $49,469.40 $30,231.30 nat. median
$12,396
outlier · 2.4×
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 9 $13,433.91 $49,017.99 $29,955.44 nat. median
$28,835
1.0× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 9 $10,487.87 $48,564.90 $29,678.55 nat. median
$20,254
1.5× median
465
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 9 $8,523.85 $47,760.23 $29,186.81 nat. median
$18,213
1.6× median
184
MS_DRG 		Major Chest Trauma With Cc 9 $5,067.18 $45,474.30 $27,789.85 nat. median
$11,192
outlier · 2.5×
197
MS_DRG 		Interstitial Lung Disease With Cc 9 $4,517.25 $45,171.90 $27,605.05 nat. median
$10,618
outlier · 2.6×
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 9 $17,636.91 $33,058.35 $27,548.63 nat. median
$34,366
0.8× median
333
MS_DRG 		Rectal Resection With Cc 9 $10,959.24 $44,258.40 $27,046.80 nat. median
$22,670
1.2× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 9 $17,597.63 $35,122.23 $26,590.91 nat. median
$29,103
0.9× median
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 21 $59.75 $92,225.47 $26,292.12 nat. median
$331
outlier · 79.5×
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 9 $13,551.75 $39,253.50 $26,141.69 nat. median
$28,364
0.9× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 9 $9,898.67 $42,339.14 $25,873.92 nat. median
$21,659
1.2× median
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 9 $10,212.91 $41,846.40 $25,572.80 nat. median
$21,911
1.2× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 9 $13,836.20 $35,535.15 $25,393.44 nat. median
$27,037
0.9× median
256
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 9 $7,541.84 $40,784.40 $24,923.80 nat. median
$17,168
1.5× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 9 $9,859.39 $39,777.30 $24,308.35 nat. median
$19,257
1.3× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 9 $10,212.91 $34,761.60 $23,748.82 nat. median
$24,077
1.0× median
J3357
HCPCS 		Ustekinumab, For Subcutaneous Injection, 1 Mg 21 $153.96 $127,490.47 $23,448.81 nat. median
$12,959
1.8× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 9 $13,080.38 $27,333.90 $22,778.25 nat. median
$31,313
0.7× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 9 $9,859.39 $36,954.90 $22,583.55 nat. median
$21,326
1.1× median
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 13 $12,701.83 $61,342.00 $22,456.50 nat. median
$18,860
1.2× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 9 $10,370.03 $36,532.67 $22,325.52 nat. median
$21,418
1.0× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 9 $12,883.98 $35,085.66 $22,152.04 nat. median
$19,883
1.1× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 9 $11,125.00 $29,457.50 $22,093.13 nat. median
$30,860
0.7× median
682
MS_DRG 		Renal Failure With Mcc 9 $6,127.75 $35,769.60 $21,859.20 nat. median
$15,088
1.4× median
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 9 $7,031.20 $35,375.40 $21,618.30 nat. median
$16,417
1.3× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 9 $7,227.60 $35,166.60 $21,490.70 nat. median
$17,453
1.2× median
880
MS_DRG 		Acute Adjustment Reaction And Psychosocial Dysfunction 12 $3,731.64 $63,036.00 $21,476.03 nat. median
$9,293
outlier · 2.3×
8084132_1
CDM 		Senza Omnia Kit 17 $9,716.00 $34,977.60 $21,375.20 nat. median
$29,148
0.7× median
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 9 $4,674.37 $34,661.25 $21,181.88 nat. median
$10,806
2.0× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 9 $13,198.22 $27,496.80 $20,825.64 nat. median
$24,391
0.9× median
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 9 $7,149.04 $33,915.60 $20,726.20 nat. median
$17,341
1.2× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 9 $14,111.72 $25,657.67 $20,526.13 nat. median
$32,666
0.6× median
517
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 9 $7,188.32 $33,232.23 $20,308.59 nat. median
$15,874
1.3× median
416
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 9 $5,420.70 $31,959.90 $19,531.05 nat. median
$14,498
1.3× median
694
MS_DRG 		Urinary Stones Without Mcc 9 $4,124.44 $31,447.80 $19,218.10 nat. median
$8,610
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 6,725 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
             
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 9 9 $95,188.00 $95,188.00 $14,808.72 $85,669.20 $52,353.40 2026-03-13
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 9 9 $78,416.00 $78,416.00 $7,266.88 $70,574.40 $43,128.80 2026-03-13
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 9 9 $78,401.00 $78,401.00 $20,543.66 $70,560.90 $43,120.55 2026-03-13
950 MS_DRG Aftercare Without Cc/mcc 13 13 $53,367.50 $53,367.50 $4,275.26 $120,092.50 $40,025.63 2026-03-13
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 9 9 $52,421.00 $52,421.00 $24,864.51 $47,178.90 $39,315.75 2026-03-13
754 MS_DRG Malignancy, Female Reproductive System With Mcc 13 13 $49,922.00 $49,922.00 $6,363.43 $120,572.00 $37,441.50 2026-03-13
157 MS_DRG Dental And Oral Diseases With Mcc 9 9 $67,778.00 $67,778.00 $6,206.31 $61,000.20 $37,277.90 2026-03-13
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 9 9 $67,562.50 $67,562.50 $7,345.44 $60,806.25 $37,159.38 2026-03-13
570 MS_DRG Skin Debridement With Mcc 9 9 $60,266.15 $60,266.15 $11,862.69 $54,239.54 $33,146.38 2026-03-13
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 9 9 $49,198.00 $49,198.00 $15,397.93 $44,278.20 $32,562.74 2026-03-13
444 MS_DRG Disorders Of The Biliary Tract With Mcc 9 9 $58,491.00 $58,491.00 $8,720.26 $52,641.90 $32,170.05 2026-03-13
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 9 9 $40,543.00 $40,543.00 $22,298.65 $40,543.00 $31,306.76 2026-03-13
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 9 $38,307.00 $38,307.00 $21,015.03 $38,307.00 $30,645.60 2026-03-13
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 9 9 $55,675.00 $55,675.00 $11,430.60 $50,107.50 $30,621.25 2026-03-13
593 MS_DRG Skin Ulcers With Cc 9 9 $54,966.00 $54,966.00 $6,874.07 $49,469.40 $30,231.30 2026-03-13
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 9 9 $54,464.43 $54,464.43 $13,433.91 $49,017.99 $29,955.44 2026-03-13
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 9 9 $53,961.00 $53,961.00 $10,487.87 $48,564.90 $29,678.55 2026-03-13
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 9 $53,066.92 $53,066.92 $8,523.85 $47,760.23 $29,186.81 2026-03-13
184 MS_DRG Major Chest Trauma With Cc 9 9 $50,527.00 $50,527.00 $5,067.18 $45,474.30 $27,789.85 2026-03-13
197 MS_DRG Interstitial Lung Disease With Cc 9 9 $50,191.00 $50,191.00 $4,517.25 $45,171.90 $27,605.05 2026-03-13
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 9 9 $36,731.50 $36,731.50 $17,636.91 $33,058.35 $27,548.63 2026-03-13
333 MS_DRG Rectal Resection With Cc 9 9 $49,176.00 $49,176.00 $10,959.24 $44,258.40 $27,046.80 2026-03-13
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 9 9 $39,024.70 $39,024.70 $17,597.63 $35,122.23 $26,590.91 2026-03-13
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 21 21 $51,402.00 $51,402.00 $59.75 $92,225.47 $26,292.12 2026-05-23
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 9 9 $43,615.00 $43,615.00 $13,551.75 $39,253.50 $26,141.69 2026-03-13
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 9 9 $47,043.49 $47,043.49 $9,898.67 $42,339.14 $25,873.92 2026-03-13
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 9 9 $46,496.00 $46,496.00 $10,212.91 $41,846.40 $25,572.80 2026-03-13
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 9 9 $39,483.50 $39,483.50 $13,836.20 $35,535.15 $25,393.44 2026-03-13
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 9 9 $45,316.00 $45,316.00 $7,541.84 $40,784.40 $24,923.80 2026-03-13
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 9 9 $44,197.00 $44,197.00 $9,859.39 $39,777.30 $24,308.35 2026-03-13
330 MS_DRG Major Small And Large Bowel Procedures With Cc 9 9 $38,624.00 $38,624.00 $10,212.91 $34,761.60 $23,748.82 2026-03-13
J3357 HCPCS Ustekinumab, For Subcutaneous Injection, 1 Mg 21 21 $71,057.00 $71,057.00 $153.96 $127,490.47 $23,448.81 2026-05-23
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 9 9 $30,371.00 $30,371.00 $13,080.38 $27,333.90 $22,778.25 2026-03-13
336 MS_DRG Peritoneal Adhesiolysis With Cc 9 9 $41,061.00 $41,061.00 $9,859.39 $36,954.90 $22,583.55 2026-03-13
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 13 13 $29,942.00 $29,942.00 $12,701.83 $61,342.00 $22,456.50 2026-03-13
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 9 9 $40,591.85 $40,591.85 $10,370.03 $36,532.67 $22,325.52 2026-03-13
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 9 9 $38,984.07 $38,984.07 $12,883.98 $35,085.66 $22,152.04 2026-03-13
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 9 9 $29,457.50 $29,457.50 $11,125.00 $29,457.50 $22,093.13 2026-03-13
682 MS_DRG Renal Failure With Mcc 9 9 $39,744.00 $39,744.00 $6,127.75 $35,769.60 $21,859.20 2026-03-13
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 9 9 $39,306.00 $39,306.00 $7,031.20 $35,375.40 $21,618.30 2026-03-13
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 9 9 $39,074.00 $39,074.00 $7,227.60 $35,166.60 $21,490.70 2026-03-13
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 12 12 $27,711.00 $27,711.00 $3,731.64 $63,036.00 $21,476.03 2026-03-13
8084132_1 CDM Senza Omnia Kit 17 17 $38,864.00 $38,864.00 $9,716.00 $34,977.60 $21,375.20 2026-03-13
178 MS_DRG Respiratory Infections And Inflammations With Cc 9 9 $38,512.50 $38,512.50 $4,674.37 $34,661.25 $21,181.88 2026-03-13
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 9 9 $30,552.00 $30,552.00 $13,198.22 $27,496.80 $20,825.64 2026-03-13
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 9 9 $37,684.00 $37,684.00 $7,149.04 $33,915.60 $20,726.20 2026-03-13
264 MS_DRG Other Circulatory System O.r. Procedures 9 9 $25,657.67 $25,657.67 $14,111.72 $25,657.67 $20,526.13 2026-03-13
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 9 9 $36,924.70 $36,924.70 $7,188.32 $33,232.23 $20,308.59 2026-03-13
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 9 9 $35,511.00 $35,511.00 $5,420.70 $31,959.90 $19,531.05 2026-03-13
694 MS_DRG Urinary Stones Without Mcc 9 9 $34,942.00 $34,942.00 $4,124.44 $31,447.80 $19,218.10 2026-03-13
393 MS_DRG Other Digestive System Diagnoses With Mcc 9 9 $34,857.50 $34,857.50 $9,113.06 $31,371.75 $19,171.63 2026-03-13
637 MS_DRG Diabetes With Mcc 9 9 $34,754.00 $34,754.00 $6,874.07 $31,278.60 $19,114.70 2026-03-13
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 9 9 $34,329.57 $34,329.57 $6,952.64 $30,896.61 $18,881.26 2026-03-13
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 9 9 $33,976.80 $33,976.80 $4,006.60 $30,579.12 $18,687.24 2026-03-13
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 9 9 $33,474.00 $33,474.00 $9,780.83 $30,126.60 $18,575.48 2026-03-13
291 MS_DRG Heart Failure And Shock With Mcc 9 9 $33,757.25 $33,757.25 $7,188.32 $30,381.53 $18,566.49 2026-03-13
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 9 9 $33,599.60 $33,599.60 $6,881.15 $30,239.64 $18,479.78 2026-03-13
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 13 13 $24,514.40 $24,514.40 $5,475.36 $67,689.40 $18,385.80 2026-03-13
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 13 13 $24,475.50 $24,475.50 $5,067.18 $55,875.50 $18,356.63 2026-03-13
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 9 9 $33,208.00 $33,208.00 $7,109.76 $29,887.20 $18,264.40 2026-03-13
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 8 8 $25,131.00 $25,131.00 $8,366.73 $22,617.90 $18,028.38 2026-03-13
177 MS_DRG Respiratory Infections And Inflammations With Mcc 9 9 $25,936.43 $25,936.43 $7,777.52 $23,342.79 $17,965.05 2026-03-13
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 9 9 $32,113.00 $32,113.00 $7,895.37 $28,901.70 $17,662.15 2026-03-13
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 9 9 $31,860.40 $31,860.40 $11,980.53 $28,674.36 $17,523.22 2026-03-13
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 9 9 $31,325.40 $31,325.40 $6,952.64 $28,192.86 $17,228.97 2026-03-13
539 MS_DRG Osteomyelitis With Mcc 13 13 $22,192.00 $22,192.00 $12,205.60 $45,742.00 $16,832.35 2026-03-13
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 9 9 $30,553.75 $30,553.75 $5,342.14 $27,498.38 $16,804.56 2026-03-13
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 9 $18,370.00 $18,370.00 $10,103.50 $18,370.00 $16,533.00 2026-03-13
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 9 9 $27,372.64 $27,372.64 $9,820.11 $24,635.37 $16,423.58 2026-03-13
J1628 HCPCS Injection, Guselkumab, 1 Mg 17 17 $36,256.00 $36,256.00 $72.50 $65,050.52 $16,315.20 2026-03-13
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 9 9 $29,374.00 $29,374.00 $6,520.55 $26,436.60 $16,155.70 2026-03-13
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 9 9 $29,156.67 $29,156.67 $6,834.79 $26,241.00 $16,036.17 2026-03-13
369 MS_DRG Major Esophageal Disorders With Cc 9 9 $29,129.00 $29,129.00 $5,695.66 $26,216.10 $16,020.95 2026-03-13
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 9 9 $27,934.00 $27,934.00 $7,620.40 $25,140.60 $15,928.59 2026-03-13
571 MS_DRG Skin Debridement With Cc 9 9 $28,827.67 $28,827.67 $6,795.51 $25,944.90 $15,855.22 2026-03-13
947 MS_DRG Signs And Symptoms With Mcc 9 9 $28,726.50 $28,726.50 $8,645.88 $25,853.85 $15,799.58 2026-03-13
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 9 9 $22,463.00 $22,463.00 $11,666.29 $20,216.70 $15,681.75 2026-03-13
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 9 9 $28,449.82 $28,449.82 $5,656.38 $25,604.84 $15,647.40 2026-03-13
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 9 9 $28,449.00 $28,449.00 $3,535.24 $25,604.10 $15,646.95 2026-03-13
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 9 9 $20,592.00 $20,592.00 $10,841.40 $18,532.80 $15,444.00 2026-03-13
445 MS_DRG Disorders Of The Biliary Tract With Cc 9 9 $28,006.50 $28,006.50 $5,695.66 $25,205.85 $15,403.58 2026-03-13
505 MS_DRG Foot Procedures Without Cc/mcc 9 9 $25,531.00 $25,531.00 $8,680.97 $22,977.90 $15,318.60 2026-03-13
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 9 9 $27,711.00 $27,711.00 $3,810.20 $24,939.90 $15,241.05 2026-03-13
J2329 HCPCS Injection, Ublituximab-xiiy, 1mg 17 17 $27,667.00 $27,667.00 $9,130.11 $49,640.13 $15,216.85 2026-03-13
786 MS_DRG Cesarean Section Without Sterilization With Mcc 11 11 $29,905.50 $29,905.50 $4,870.77 $26,914.95 $15,012.29 2026-03-13
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 9 9 $26,861.33 $26,861.33 $6,559.83 $24,175.20 $14,773.73 2026-03-13
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 9 9 $26,615.00 $26,615.00 $4,163.73 $23,953.50 $14,638.25 2026-03-13
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 9 9 $26,166.00 $26,166.00 $5,813.50 $23,549.40 $14,391.30 2026-03-13
607 MS_DRG Minor Skin Disorders Without Mcc 9 9 $26,039.50 $26,039.50 $5,263.58 $23,435.55 $14,321.73 2026-03-13
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 9 9 $17,761.00 $17,761.00 $9,113.06 $17,761.00 $14,208.80 2026-03-13
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 17 17 $25,831.00 $25,831.00 $8,524.23 $46,345.98 $14,207.05 2026-03-13
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 9 9 $19,741.00 $19,741.00 $7,620.40 $17,766.90 $14,105.70 2026-03-13
101 MS_DRG Seizures Without Mcc 9 9 $25,572.00 $25,572.00 $4,595.81 $23,014.80 $14,064.60 2026-03-13
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 9 9 $20,990.00 $20,990.00 $7,031.20 $18,891.00 $14,017.24 2026-03-13
299 MS_DRG Peripheral Vascular Disorders With Mcc 9 9 $25,461.00 $25,461.00 $8,877.38 $22,914.90 $14,003.55 2026-03-13
811 MS_DRG Red Blood Cell Disorders With Mcc 9 9 $25,420.33 $25,420.33 $7,384.72 $22,878.30 $13,981.18 2026-03-13
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 9 9 $25,110.07 $25,110.07 $5,185.02 $22,599.06 $13,810.54 2026-03-13
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 9 9 $25,055.00 $25,055.00 $4,320.85 $22,549.50 $13,780.25 2026-03-13
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 9 9 $24,853.00 $24,853.00 $3,770.92 $22,367.70 $13,669.15 2026-03-13
761 MS_DRG Menstrual And Other Female Reproductive System Disorders Without Cc/mcc 9 9 $24,796.00 $24,796.00 $1,964.02 $22,316.40 $13,637.80 2026-03-13
618 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 9 9 $24,744.00 $24,744.00 $6,245.59 $22,269.60 $13,609.20 2026-03-13
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 9 9 $22,517.00 $22,517.00 $7,188.32 $20,265.30 $13,510.20 2026-03-13
315 MS_DRG Other Circulatory System Diagnoses With Cc 9 9 $24,526.33 $24,526.33 $5,224.30 $22,073.70 $13,489.48 2026-03-13
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 9 9 $24,380.00 $24,380.00 $6,559.83 $21,942.00 $13,409.00 2026-03-13
758 MS_DRG Infections, Female Reproductive System With Cc 13 13 $17,827.00 $17,827.00 $3,378.12 $45,302.00 $13,370.25 2026-03-13
380 MS_DRG Complicated Peptic Ulcer With Mcc 9 9 $17,617.00 $17,617.00 $9,689.35 $16,304.32 $13,364.54 2026-03-13
189 MS_DRG Pulmonary Edema And Respiratory Failure 9 9 $21,684.31 $21,684.31 $5,734.94 $19,515.88 $12,987.81 2026-03-13
592 MS_DRG Skin Ulcers With Mcc 13 13 $16,217.00 $16,217.00 $8,919.35 $43,692.00 $12,973.60 2026-03-13
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 9 9 $23,472.40 $23,472.40 $4,280.71 $21,125.16 $12,909.82 2026-03-13
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 9 9 $23,399.00 $23,399.00 $4,831.49 $21,059.10 $12,869.45 2026-03-13
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 9 9 $23,257.80 $23,257.80 $6,284.87 $20,932.02 $12,791.79 2026-03-13
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 9 9 $23,213.00 $23,213.00 $5,892.06 $20,891.70 $12,767.15 2026-03-13
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 9 9 $23,206.00 $23,206.00 $5,302.86 $20,885.40 $12,763.30 2026-03-13
644 MS_DRG Endocrine Disorders With Cc 9 9 $23,162.00 $23,162.00 $5,499.26 $20,845.80 $12,739.10 2026-03-13
504 MS_DRG Foot Procedures With Cc 9 9 $16,830.00 $16,830.00 $9,113.06 $15,339.85 $12,731.12 2026-03-13
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 9 9 $23,135.50 $23,135.50 $5,145.74 $20,821.95 $12,724.53 2026-03-13
70 MS_DRG Other Cerebrovascular Disorders With Mcc 9 9 $16,887.00 $16,887.00 $9,287.85 $15,198.30 $12,665.25 2026-03-13
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 9 9 $22,921.00 $22,921.00 $7,902.80 $20,628.90 $12,606.55 2026-03-13
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 9 9 $22,818.00 $22,818.00 $3,221.00 $20,536.20 $12,549.90 2026-03-13
375 MS_DRG Digestive Malignancy With Cc 9 9 $22,660.00 $22,660.00 $6,913.36 $20,394.00 $12,463.00 2026-03-13
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 9 9 $16,602.00 $16,602.00 $7,384.72 $14,941.80 $12,451.50 2026-03-13
550 MS_DRG Septic Arthritis Without Cc/mcc 9 9 $22,622.50 $22,622.50 $5,953.50 $20,360.25 $12,442.38 2026-03-13
388 MS_DRG Gastrointestinal Obstruction With Mcc 9 9 $19,108.50 $19,108.50 $5,420.70 $17,197.65 $12,434.96 2026-03-13
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 9 9 $21,100.00 $21,100.00 $5,538.54 $18,990.00 $12,373.85 2026-03-13
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 24 24 $23,309.00 $23,309.00 $22.06 $41,821.01 $12,371.25 2026-05-23
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 9 9 $22,399.60 $22,399.60 $3,063.87 $20,159.64 $12,319.78 2026-03-13
300 MS_DRG Peripheral Vascular Disorders With Cc 13 13 $16,292.00 $16,292.00 $5,813.50 $43,767.00 $12,219.00 2026-03-13
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 9 9 $21,947.50 $21,947.50 $5,342.14 $19,752.75 $12,071.13 2026-03-13
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 9 9 $21,485.00 $21,485.00 $3,535.24 $19,336.50 $11,816.75 2026-03-13
152 MS_DRG Otitis Media And Uri With Mcc 9 9 $21,266.00 $21,266.00 $4,242.29 $19,139.40 $11,696.30 2026-03-13
602 MS_DRG Cellulitis With Mcc 10 10 $15,127.20 $15,127.20 $8,319.96 $30,827.20 $11,624.99 2026-03-13
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 9 9 $19,128.00 $19,128.00 $9,704.31 $17,215.20 $11,590.96 2026-03-13
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 9 9 $20,831.00 $20,831.00 $6,952.64 $18,747.90 $11,457.05 2026-03-13
812 MS_DRG Red Blood Cell Disorders Without Mcc 9 9 $20,723.75 $20,723.75 $5,145.74 $18,651.38 $11,398.06 2026-03-13
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 9 9 $20,701.33 $20,701.33 $5,342.14 $18,631.20 $11,385.73 2026-03-13
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 9 9 $20,690.50 $20,690.50 $8,602.41 $18,621.45 $11,379.78 2026-03-13
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 9 9 $15,129.00 $15,129.00 $5,538.54 $13,616.10 $11,346.75 2026-03-13
J2323 HCPCS Injection, Natalizumab, 1 Mg 24 24 $21,345.00 $21,345.00 $24.45 $38,297.20 $11,328.86 2026-05-23
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 13 13 $13,209.00 $13,209.00 $7,264.95 $28,909.00 $11,235.45 2026-03-13
389 MS_DRG Gastrointestinal Obstruction With Cc 9 9 $20,406.11 $20,406.11 $5,379.33 $18,365.50 $11,223.36 2026-03-13
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 9 9 $20,255.00 $20,255.00 $4,870.77 $18,229.50 $11,140.25 2026-03-13
757 MS_DRG Infections, Female Reproductive System With Mcc 9 9 $16,522.00 $16,522.00 $4,949.33 $14,869.80 $11,079.19 2026-03-13
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 9 9 $19,910.00 $19,910.00 $5,500.56 $17,919.00 $10,950.50 2026-03-13
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 9 9 $19,758.50 $19,758.50 $6,099.25 $17,782.65 $10,867.18 2026-03-13
378 MS_DRG Gastrointestinal Hemorrhage With Cc 9 9 $19,605.83 $19,605.83 $5,931.34 $17,645.25 $10,783.21 2026-03-13
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 9 9 $18,366.00 $18,366.00 $8,731.70 $16,529.40 $10,654.06 2026-03-13
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc 9 9 $19,006.00 $19,006.00 $4,792.21 $17,105.40 $10,453.30 2026-03-13
202 MS_DRG Bronchitis And Asthma With Cc/mcc 9 9 $18,887.00 $18,887.00 $4,752.93 $16,998.30 $10,387.85 2026-03-13
921 MS_DRG Complications Of Treatment Without Cc/mcc 9 9 $18,862.00 $18,862.00 $2,592.51 $16,975.80 $10,374.10 2026-03-13
949 MS_DRG Aftercare With Cc/mcc 9 9 $17,201.33 $17,201.33 $8,103.05 $15,481.20 $10,320.80 2026-03-13
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 9 9 $13,735.00 $13,735.00 $6,284.87 $12,361.50 $10,301.25 2026-03-13
684 MS_DRG Renal Failure Without Cc/mcc 13 13 $13,714.00 $13,714.00 $3,142.43 $29,414.00 $10,285.50 2026-03-13
920 MS_DRG Complications Of Treatment With Cc 13 13 $13,550.00 $13,550.00 $3,770.92 $29,250.00 $10,162.50 2026-03-13
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 13 13 $13,501.22 $13,501.22 $4,988.61 $29,588.22 $10,125.92 2026-03-13
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 13 13 $12,528.00 $12,528.00 $6,890.40 $32,153.00 $10,022.40 2026-03-13
638 MS_DRG Diabetes With Cc 9 9 $18,216.50 $18,216.50 $4,281.57 $16,394.85 $10,019.08 2026-03-13
784 MS_DRG Cesarean Section With Sterilization With Cc 11 11 $22,615.00 $22,615.00 $5,420.70 $20,353.50 $9,993.37 2026-03-13
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 9 9 $18,157.00 $18,157.00 $6,636.64 $16,341.30 $9,986.35 2026-03-13
292 MS_DRG Heart Failure And Shock With Cc 9 9 $17,945.17 $17,945.17 $5,774.22 $16,150.65 $9,869.84 2026-03-13
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 9 9 $17,928.00 $17,928.00 $2,906.75 $16,135.20 $9,860.40 2026-03-13
787 MS_DRG Cesarean Section Without Sterilization With Cc 11 11 $28,644.33 $28,644.33 $4,635.09 $25,779.90 $9,755.59 2026-03-13
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 9 9 $16,947.55 $16,947.55 $5,813.50 $15,252.80 $9,753.29 2026-03-13
683 MS_DRG Renal Failure With Cc 9 9 $16,141.00 $16,141.00 $5,067.18 $14,526.90 $9,684.60 2026-03-13
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 9 9 $11,966.00 $11,966.00 $6,581.30 $10,953.95 $9,572.80 2026-03-13
176 MS_DRG Pulmonary Embolism Without Mcc 9 9 $17,397.80 $17,397.80 $3,849.48 $15,658.02 $9,568.79 2026-03-13
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 9 9 $14,426.00 $14,426.00 $5,067.18 $12,983.40 $9,340.29 2026-03-13
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 9 9 $12,278.00 $12,278.00 $3,613.80 $11,050.20 $9,208.50 2026-03-13
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 9 9 $16,717.54 $16,717.54 $5,300.32 $15,045.79 $9,194.65 2026-03-13
540 MS_DRG Osteomyelitis With Cc 9 9 $11,347.00 $11,347.00 $6,240.85 $11,248.65 $9,077.60 2026-03-13
153 MS_DRG Otitis Media And Uri Without Mcc 9 9 $16,336.00 $16,336.00 $2,671.07 $14,702.40 $8,984.80 2026-03-13
884 MS_DRG Organic Disturbances And Intellectual Disability 12 12 $9,362.00 $9,362.00 $5,149.10 $21,137.00 $8,893.90 2026-03-13
205 MS_DRG Other Respiratory System Diagnoses With Mcc 9 9 $11,108.00 $11,108.00 $6,109.40 $11,108.00 $8,886.40 2026-03-13
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 9 9 $16,070.64 $16,070.64 $4,320.85 $14,463.58 $8,838.85 2026-03-13
948 MS_DRG Signs And Symptoms Without Mcc 9 9 $15,250.67 $15,250.67 $5,452.21 $13,725.60 $8,798.82 2026-03-13
603 MS_DRG Cellulitis Without Mcc 10 10 $15,184.38 $15,184.38 $4,949.33 $30,884.38 $8,731.02 2026-03-13
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 12 12 $12,925.00 $12,925.00 $5,145.74 $28,625.00 $8,724.38 2026-03-13
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 9 9 $15,842.00 $15,842.00 $2,788.91 $14,257.80 $8,713.10 2026-03-13
864 MS_DRG Fever And Inflammatory Conditions 9 9 $15,620.00 $15,620.00 $4,360.13 $14,058.00 $8,591.00 2026-03-13
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 9 9 $15,599.00 $15,599.00 $4,438.69 $14,039.10 $8,579.45 2026-03-13
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 11 11 $14,209.67 $14,209.67 $3,849.48 $12,788.70 $8,525.80 2026-03-13
314 MS_DRG Other Circulatory System Diagnoses With Mcc 9 9 $9,324.00 $9,324.00 $5,128.20 $9,324.00 $8,391.60 2026-03-13
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 11 11 $13,902.50 $13,902.50 $4,203.01 $12,512.25 $8,341.50 2026-03-13
69 MS_DRG Transient Ischemia Without Thrombolytic 9 9 $15,072.00 $15,072.00 $4,477.97 $13,564.80 $8,289.60 2026-03-13
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 9 9 $14,924.60 $14,924.60 $3,653.08 $13,432.14 $8,208.53 2026-03-13
552 MS_DRG Medical Back Problems Without Mcc 9 9 $14,896.67 $14,896.67 $6,009.91 $13,407.00 $8,193.17 2026-03-13
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 11 11 $26,653.14 $26,653.14 $4,438.69 $23,987.83 $8,167.17 2026-03-13
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 11 11 $27,158.43 $27,158.43 $5,145.74 $24,442.59 $8,050.00 2026-03-13
791 MS_DRG Prematurity With Major Problems 12 12 $8,457.00 $8,457.00 $4,651.35 $19,713.00 $8,034.15 2026-03-13
394 MS_DRG Other Digestive System Diagnoses With Cc 9 9 $13,355.33 $13,355.33 $4,595.81 $12,019.80 $8,013.20 2026-03-13
305 MS_DRG Hypertension Without Mcc 13 13 $10,625.33 $10,625.33 $4,517.25 $22,787.33 $7,969.00 2026-03-13
645 MS_DRG Endocrine Disorders Without Cc/mcc 9 9 $14,451.00 $14,451.00 $4,124.44 $13,005.90 $7,948.05 2026-03-13
293 MS_DRG Heart Failure And Shock Without Cc/mcc 9 9 $14,364.00 $14,364.00 $3,299.56 $12,927.60 $7,900.20 2026-03-13
797 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Cc 11 11 $14,351.00 $14,351.00 $4,855.00 $12,915.90 $7,893.05 2026-03-13
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 9 9 $10,452.33 $10,452.33 $5,748.78 $9,719.78 $7,839.25 2026-03-13
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 9 9 $10,444.50 $10,444.50 $5,538.54 $9,400.05 $7,833.38 2026-03-13
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 11 11 $15,039.07 $15,039.07 $3,495.96 $13,535.16 $7,786.73 2026-03-13
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 9 9 $13,490.00 $13,490.00 $4,477.97 $12,141.00 $7,656.95 2026-03-13
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 11 11 $22,260.40 $22,260.40 $4,855.00 $20,034.36 $7,642.22 2026-03-13
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 9 9 $13,771.00 $13,771.00 $6,083.59 $12,393.90 $7,574.05 2026-03-13
J3101 HCPCS Injection, Tenecteplase, 1 Mg 18 18 $19,263.00 $19,263.00 $153.11 $34,561.67 $7,512.57 2026-05-23
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 9 9 $13,634.25 $13,634.25 $5,162.58 $12,270.83 $7,498.84 2026-03-13
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 9 9 $11,837.00 $11,837.00 $4,925.03 $10,653.30 $7,318.43 2026-03-13
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 9 9 $13,114.50 $13,114.50 $3,613.80 $11,803.05 $7,212.98 2026-03-13
866 MS_DRG Viral Illness Without Mcc 9 9 $9,567.00 $9,567.00 $4,281.57 $8,610.30 $6,888.23 2026-03-13
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 13 13 $7,467.00 $7,467.00 $4,106.85 $15,317.00 $6,796.70 2026-03-13
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 12 12 $7,092.00 $7,092.00 $3,900.60 $14,942.00 $6,737.40 2026-03-13
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 9 9 $8,928.60 $8,928.60 $4,910.73 $8,641.61 $6,696.45 2026-03-13
J2505 HCPCS Neulasta 6mg/0.6 Inj 7 7 $11,221.00 $7,854.70 30% off $3,612.27 $9,874.48 $6,553.06 2026-05-23
J9312 HCPCS Injection, Rituximab, 10 Mg 24 24 $11,744.00 $11,744.00 $79.20 $22,789.36 $6,459.20 2026-05-23
304 MS_DRG Hypertension With Mcc 9 9 $7,977.00 $7,977.00 $4,387.35 $7,977.00 $6,381.60 2026-03-13
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 13 13 $7,062.00 $7,062.00 $3,810.20 $14,912.00 $6,355.80 2026-03-13
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 9 9 $7,897.80 $7,897.80 $4,343.79 $7,253.39 $6,318.24 2026-03-13
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 11 11 $6,977.00 $6,977.00 $3,299.56 $18,233.00 $6,242.28 2026-03-13
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 17 17 $11,298.00 $11,298.00 $3,728.34 $20,270.87 $6,213.90 2026-03-13
8082672_1 CDM Kit Serosafuse Implantable Car 17 17 $8,234.00 $8,234.00 $2,058.50 $8,234.00 $6,175.50 2026-03-13
5040378_1 CDM Labor Room/delivery - General Classification 17 17 $10,878.00 $10,878.00 $2,719.50 $9,790.20 $5,982.90 2026-03-13
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 24 24 $11,548.00 $11,548.00 $3,810.84 $20,719.42 $5,872.59 2026-05-23
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 13 13 $6,207.00 $6,207.00 $2,985.31 $14,057.00 $5,837.71 2026-03-13
951 MS_DRG Other Factors Influencing Health Status 9 9 $9,623.00 $9,623.00 $3,786.92 $8,660.70 $5,773.80 2026-03-13
8057473_1 CDM Lap Band Ap Standard W Access 17 17 $7,606.00 $7,606.00 $1,901.50 $7,606.00 $5,704.50 2026-03-13
639 MS_DRG Diabetes Without Cc/mcc 10 10 $8,377.00 $8,377.00 $2,788.91 $17,001.00 $5,651.84 2026-03-13
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 11 11 $14,039.19 $14,039.19 $3,299.56 $12,635.27 $5,594.39 2026-03-13
J1930 HCPCS Injection, Lanreotide, 1 Mg 17 17 $12,391.00 $12,391.00 $48.44 $22,231.93 $5,575.95 2026-03-13
6110505_1 CDM Operating Room Services - General Classification 17 17 $9,861.00 $9,861.00 $2,465.25 $8,874.90 $5,423.55 2026-03-13
8082683_1 CDM Device Fastener Serofust 17 17 $7,217.00 $7,217.00 $1,804.25 $7,217.00 $5,412.75 2026-03-13
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 17 17 $11,953.00 $11,953.00 $4.82 $21,446.07 $5,378.85 2026-03-13
36475 CPT Endevenous Rf 1st Vein 4 4 $8,600.00 $6,020.00 30% off $4,730.00 $7,568.00 $5,207.10 2026-05-23
5507850_1{2} CDM Zinplava 1,000 Mg/40 Ml Vial 17 17 $9,463.00 $9,463.00 $2,365.75 $8,516.70 $5,204.65 2026-03-13
5507850_1 CDM Zinplava 1,000 Mg/40 Ml Vial 17 17 $9,463.00 $9,463.00 $2,365.75 $8,516.70 $5,204.65 2026-03-13
5507850_1{5} CDM Zinplava 1,000 Mg/40 Ml Vial 17 17 $9,463.00 $9,463.00 $2,365.75 $8,516.70 $5,204.65 2026-03-13
5507850_1{3} CDM Zinplava 1,000 Mg/40 Ml Vial 17 17 $9,463.00 $9,463.00 $2,365.75 $8,516.70 $5,204.65 2026-03-13
5507850_1{4} CDM Zinplava 1,000 Mg/40 Ml Vial 17 17 $9,463.00 $9,463.00 $2,365.75 $8,516.70 $5,204.65 2026-03-13
50200 HCPCS Needle Biopsy Of Kidney 31 17 $9,444.00 $9,444.00 $1,551.00 $16,944.42 $5,193.65 2026-03-13
793 MS_DRG Full Term Neonate With Major Problems 11 11 $5,739.60 $5,739.60 $3,156.78 $13,243.60 $5,165.64 2026-03-13
36465 CPT Njx Noncmpnd Sclrsnt 1 Vein 4 4 $8,600.00 $6,020.00 30% off $399.00 $7,568.00 $5,104.10 2026-05-23
36482 CPT Endoven Ther Chem Adhes 1st 4 4 $8,600.00 $6,020.00 30% off $3,608.00 $7,568.00 $5,104.10 2026-05-23
36482 HCPCS Chemical Destruction Of First Incompetent Vein Of Arm Or Leg Using Imaging Guida… 17 17 $9,861.00 $9,861.00 $3,254.13 $17,692.61 $5,043.90 2026-03-13
302 MS_DRG Atherosclerosis With Mcc 9 9 $5,542.00 $5,542.00 $3,048.10 $5,542.00 $4,987.80 2026-03-13
5040374_1 CDM Labor Room/delivery - General Classification 17 17 $9,002.00 $9,002.00 $2,250.50 $8,101.80 $4,951.10 2026-03-13
21550 HCPCS Biopsy Of Soft Tissue Of Neck Or Chest 17 17 $9,443.00 $9,443.00 $674.53 $16,942.63 $4,830.09 2026-03-13
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 17 17 $10,610.00 $10,610.00 $210.83 $19,036.46 $4,774.50 2026-03-13
J1306 HCPCS Injection, Inclisiran, 1 Mg 17 17 $8,419.00 $8,419.00 $2,778.27 $15,105.37 $4,630.45 2026-03-13
J2802 HCPCS Injection, Romiplostim, 1 Microgram 34 17 $8,740.50 $8,740.50 $1,244.43 $24,598.48 $4,524.30 2026-03-13
5542308_1 CDM Soliris 300 Mg/30 Ml Vial 2 2 $16,308.00 $16,308.00 $4,077.00 $4,892.40 $4,484.70 2026-03-13
8083947_1 CDM Cr-flex Gsf Prect Femoral, S 17 17 $8,104.00 $8,104.00 $2,026.00 $7,293.60 $4,457.20 2026-03-13
36465 HCPCS Injection Of Chemical Agent Into Single Incompetent Vein Of Leg Using Ultrasound… 17 17 $9,861.00 $9,861.00 $382.84 $17,692.61 $4,437.45 2026-03-13
36475 HCPCS Destruction Of First Incompetent Vein Of Arm Or Leg Using Radiofrequency And Ima… 17 17 $9,861.00 $9,861.00 $3,254.13 $17,692.61 $4,437.45 2026-03-13
J0630 HCPCS Calcitonin-sal Syn400u/2ml Mdv 7 7 $7,459.00 $5,221.30 30% off $3,641.19 $6,563.92 $4,356.06 2026-05-23
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 9 9 $4,765.00 $4,765.00 $2,620.75 $4,765.00 $4,288.50 2026-03-13
5040352_1 CDM Labor Room/delivery - General Classification 17 17 $7,752.00 $7,752.00 $1,938.00 $6,976.80 $4,263.60 2026-03-13
Q5120 HCPCS Injection, Pegfilgrastim-bmez (ziextenzo), Biosimilar, 0.5 Mg 17 17 $9,446.00 $9,446.00 $38.32 $16,948.01 $4,250.70 2026-03-13
8084008_1 CDM Denovo Nt Graft 17 17 $7,711.00 $7,711.00 $1,927.75 $6,939.90 $4,241.05 2026-03-13
19083 CPT US Guided Breast Bx Wo/w Clip 7 7 $7,245.00 $5,071.50 30% off $1,624.00 $6,375.60 $4,231.08 2026-05-23
792 MS_DRG Prematurity Without Major Problems 12 12 $4,446.40 $4,446.40 $2,445.52 $11,950.40 $4,224.08 2026-03-13
816 MS_DRG Reticuloendothelial And Immunity Disorders Without Cc/mcc 9 9 $5,098.00 $5,098.00 $2,803.90 $5,098.00 $4,078.40 2026-03-13
20220 HCPCS Biopsy Of Bone Using Needle Or Trocar 17 17 $7,947.00 $7,947.00 $428.90 $14,258.51 $4,064.89 2026-03-13
794 MS_DRG Neonate With Other Significant Problems 11 11 $4,499.78 $4,499.78 $1,531.94 $12,003.78 $4,049.80 2026-03-13
20220 CPT CT Guided Bone Bx Superf 7 7 $6,930.00 $4,851.00 30% off $447.00 $6,098.40 $4,047.12 2026-05-23
8084003_1 CDM Femoral Stem,12/14 Nck Tpr 17 17 $7,228.00 $7,228.00 $1,807.00 $6,505.20 $3,975.40 2026-03-13
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 13 13 $3,932.00 $3,932.00 $2,162.60 $11,782.00 $3,932.00 2026-03-13
38505 HCPCS Needle Biopsy Or Removal Of Surface Lymph Nodes 17 17 $7,586.00 $7,586.00 $635.19 $13,610.80 $3,880.24 2026-03-13
47000 CPT Needle Bx Liver Percutaneous 7 7 $6,615.00 $4,630.50 30% off $979.00 $5,821.20 $3,863.16 2026-05-23
90378 HCPCS Respiratory Syncytial Virus Antibody For Injection Into Tissue Or Muscle 17 17 $8,562.00 $8,562.00 $373.65 $15,361.94 $3,852.90 2026-03-13
8083925_1 CDM Ligasure Impact 17 17 $6,812.00 $6,812.00 $1,703.00 $6,130.80 $3,746.60 2026-03-13
19083 HCPCS Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, First Growth 17 17 $8,309.00 $8,309.00 $296.00 $14,908.01 $3,739.05 2026-03-13
81455 CPT Targeted Genomic Seq Analys 3 3 $5,839.20 $4,087.44 30% off $3,211.56 $5,138.50 $3,719.57 2026-05-23
81455 HCPCS Genomic Sequence Analysis Panel Of DNA Or Combined DNA And RNA Of 51 Or More Gen… 17 17 $6,697.00 $6,697.00 $54.00 $12,015.76 $3,683.35 2026-03-13
90375 CPT Hyperrab 300 Unit/ml 5ml Vial 7 7 $6,261.00 $4,382.70 30% off $432.93 $5,509.68 $3,656.42 2026-05-23
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 9 9 $4,165.00 $4,165.00 $2,290.75 $4,165.00 $3,653.08 2026-03-13
38505 CPT Bx Lymph Node Superficial 9 7 $6,615.00 $4,630.50 30% off $119.36 $5,821.20 $3,638.25 2026-05-23
J9202 HCPCS Goserelin Acetate Implant, Per 3.6 Mg 17 17 $8,031.00 $8,031.00 $609.01 $14,409.22 $3,613.95 2026-03-13
90375 HCPCS Rabies Immune Globulin For Injection 17 17 $7,877.00 $7,877.00 $289.98 $14,132.91 $3,544.65 2026-03-13
6110526_1 CDM Operating Room Services - General Classification 17 17 $6,307.00 $6,307.00 $1,576.75 $5,676.30 $3,468.85 2026-03-13
38222 HCPCS Biopsy And Aspiration Of Bone Marrow Sample For Diagnosis 17 17 $6,307.00 $6,307.00 $581.00 $11,316.02 $3,468.85 2026-03-13
47000 HCPCS Needle Biopsy Of Liver Through Skin 17 17 $7,586.00 $7,586.00 $939.35 $13,610.80 $3,413.70 2026-03-13
386 MS_DRG Inflammatory Bowel Disease With Cc 13 13 $3,359.00 $3,359.00 $1,847.45 $7,284.00 $3,359.00 2026-03-13
6110585_1 CDM Operating Room Services - General Classification 17 17 $6,064.00 $6,064.00 $1,516.00 $5,457.60 $3,335.20 2026-03-13
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 12 12 $3,322.33 $3,322.33 $1,827.28 $7,074.33 $3,322.33 2026-03-13
J1729 HCPCS Injection, Hydroxyprogesterone Caproate, Not Otherwise Specified, 10 Mg 21 21 $10,038.00 $10,038.00 $17.77 $18,010.18 $3,312.54 2026-05-23
6110364_1 CDM Operating Room Services - General Classification 17 17 $5,962.00 $5,962.00 $1,490.50 $5,365.80 $3,279.10 2026-03-13
5040365_1 CDM Labor Room/delivery - General Classification 17 17 $5,910.00 $5,910.00 $1,477.50 $5,319.00 $3,250.50 2026-03-13
8083924_1 CDM Ligasure Maryland 17 17 $5,900.00 $5,900.00 $1,475.00 $5,310.00 $3,245.00 2026-03-13
Q5119 HCPCS Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg 17 17 $7,210.00 $7,210.00 $20.45 $12,936.18 $3,244.50 2026-03-13
8083556_1 CDM Mesh Patch, 5.6 X 6 17 17 $5,789.00 $5,789.00 $1,447.25 $5,210.10 $3,183.95 2026-03-13
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 18 18 $8,110.00 $8,110.00 $122.10 $14,550.96 $3,162.90 2026-05-23
6110533_1 CDM Operating Room Services - General Classification 17 17 $5,619.00 $5,619.00 $1,404.75 $5,057.10 $3,090.45 2026-03-13
5040118_1 CDM Labor Room/delivery - General Classification 17 17 $5,583.00 $5,583.00 $1,395.75 $5,024.70 $3,070.65 2026-03-13
6110350_1 CDM Operating Room Services - General Classification 17 17 $5,504.00 $5,504.00 $1,376.00 $4,953.60 $3,027.20 2026-03-13
6110571_1 CDM Operating Room Services - General Classification 17 17 $5,504.00 $5,504.00 $1,376.00 $4,953.60 $3,027.20 2026-03-13
27752 CPT Cl Tx Tib Shft Fx W Manip 13 7 $4,386.00 $3,070.20 30% off $1,440.00 $4,824.16 $3,015.10 2026-05-23
27266 CPT Cl Tx Postop Hip Disloc W Anes 13 7 $4,386.00 $3,070.20 30% off $1,067.00 $4,824.16 $3,015.10 2026-05-23
62328 CPT CT Dx Lmbr Sp Pnxr W/fluor 4 4 $5,077.00 $3,553.90 30% off $661.76 $4,467.76 $3,013.20 2026-05-23
62328 HCPCS Removal Of Spinal Fluid With Lower Back Spinal Tap For Diagnostic Test Using Ima… 17 17 $5,822.00 $5,822.00 $634.96 $10,445.83 $2,977.95 2026-03-13
59412 CPT External Cephalic Version 8 6 $5,250.00 $3,675.00 30% off $97.75 $4,620.00 $2,976.75 2026-05-23
8083749_1 CDM Novasure Kit 17 17 $5,391.00 $5,391.00 $1,347.75 $4,851.90 $2,965.05 2026-03-13
8082763_1 CDM Graft Semitend Anterior Tibial 17 17 $3,851.00 $3,851.00 $962.75 $3,851.00 $2,888.25 2026-03-13
62304 HCPCS X-ray Of Lower Spinal Canal With Review By Radiologist 17 17 $5,249.00 $5,249.00 $1,732.17 $9,417.76 $2,886.95 2026-03-13
8083822_1 CDM Enseal X1 Lg Jaw Tissue Sealer 17 17 $5,221.00 $5,221.00 $1,305.25 $4,698.90 $2,871.55 2026-03-13
6110336_1 CDM Operating Room Services - General Classification 17 17 $5,160.00 $5,160.00 $1,290.00 $4,644.00 $2,838.00 2026-03-13
J3590 HCPCS Unclassified Biologics 16 16 $5,099.00 $5,099.00 $1,682.67 $9,148.63 $2,804.45 2026-03-13
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