Price Transparencybeta Hospital negotiated rates

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 · 2026-10-15
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
754
MS_DRG 		Malignancy, Female Reproductive System With Mcc 8 $6,363.43 $120,572.00 $66,620.16 nat. median
$12,953
outlier · 5.1×
950
MS_DRG 		Aftercare Without Cc/mcc 8 $4,275.26 $120,092.50 $61,743.17 nat. median
$4,481
outlier · 13.8×
880
MS_DRG 		Acute Adjustment Reaction And Psychosocial Dysfunction 7 $3,731.64 $63,036.00 $61,479.00 nat. median
$4,519
outlier · 13.6×
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 8 $12,701.83 $61,342.00 $38,039.12 nat. median
$13,403
outlier · 2.8×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 $24,864.51 $42,932.58 $37,211.38 nat. median
$34,733
1.1× median
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 8 $5,475.36 $67,689.40 $36,317.22 nat. median
$5,841
outlier · 6.2×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 4 $23,921.78 $40,543.00 $35,711.38 nat. median
$33,435
1.1× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 $21,015.03 $38,307.00 $34,920.60 nat. median
$33,546
1.0× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 4 $20,543.66 $37,228.74 $32,643.33 nat. median
$30,674
1.1× median
868
MS_DRG 		Other Infectious And Parasitic Diseases Diagnoses With Cc 8 $5,067.18 $55,875.50 $31,886.07 nat. median
$7,726
outlier · 4.1×
539
MS_DRG 		Osteomyelitis With Mcc 8 $13,415.63 $45,742.00 $30,768.17 nat. median
$14,058
outlier · 2.2×
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 3 $17,636.91 $32,261.58 $30,648.50 nat. median
$25,622
1.2× median
736
MS_DRG 		Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 $14,808.72 $36,821.70 $29,663.27 nat. median
$25,140
1.2× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 $15,397.93 $34,276.57 $28,157.71 nat. median
$25,616
1.1× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 $14,180.23 $29,457.50 $28,021.80 nat. median
$22,918
1.2× median
592
MS_DRG 		Skin Ulcers With Mcc 8 $10,452.23 $43,692.00 $27,831.17 nat. median
$13,680
outlier · 2.0×
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 $13,433.91 $29,060.14 $27,607.13 nat. median
$21,753
1.3× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 3 $17,597.63 $27,990.43 $26,590.91 nat. median
$21,963
1.2× median
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 21 $59.75 $92,225.47 $26,292.12 nat. median
$133
outlier · 197.7×
758
MS_DRG 		Infections, Female Reproductive System With Cc 8 $3,378.12 $45,302.00 $26,028.88 nat. median
$7,191
outlier · 3.6×
300
MS_DRG 		Peripheral Vascular Disorders With Cc 8 $5,813.50 $43,767.00 $25,788.34 nat. median
$7,999
outlier · 3.2×
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 3 $13,551.75 $26,141.69 $24,834.61 nat. median
$20,717
1.2× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 4 $18,029.72 $25,657.67 $24,205.25 nat. median
$23,998
1.0× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 3 $15,790.73 $25,393.44 $24,123.77 nat. median
$19,904
1.2× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 $13,080.38 $27,178.76 $23,938.62 nat. median
$23,000
1.0× median
J3357
HCPCS 		Ustekinumab, For Subcutaneous Injection, 1 Mg 21 $153.96 $127,490.47 $23,448.81 nat. median
$20,264
1.2× median
570
MS_DRG 		Skin Debridement With Mcc 4 $11,862.69 $24,558.45 $21,681.18 nat. median
$20,813
1.0× median
8084132_1
CDM 		Senza Omnia Kit 17 $9,716.00 $34,977.60 $21,375.20 —
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 3 $12,883.98 $22,152.04 $21,044.44 nat. median
$14,330
1.5× median
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 8 $7,669.87 $32,153.00 $20,966.50 nat. median
$8,402
outlier · 2.5×
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 4 $11,430.60 $26,296.66 $20,814.64 nat. median
$18,223
1.1× median
884
MS_DRG 		Organic Disturbances And Intellectual Disability 7 $6,559.83 $21,137.00 $20,618.00 nat. median
$7,732
outlier · 2.7×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 4 $10,212.91 $24,998.76 $20,038.08 nat. median
$17,741
1.1× median
555
MS_DRG 		Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 8 $9,002.78 $28,909.00 $20,021.90 nat. median
$9,426
outlier · 2.1×
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 3 $9,898.67 $20,766.31 $19,727.99 nat. median
$15,839
1.2× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 3 $10,370.03 $20,667.02 $19,633.67 nat. median
$15,706
1.3× median
465
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 3 $8,523.85 $20,312.20 $19,296.59 nat. median
$12,826
1.5× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 $13,198.22 $21,921.73 $18,785.24 nat. median
$17,763
1.1× median
920
MS_DRG 		Complications Of Treatment With Cc 8 $3,770.92 $29,250.00 $18,706.38 nat. median
$7,585
outlier · 2.5×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 4 $18,370.00 $18,370.00 $18,370.00 nat. median
$38,795
outlier · 0.5×
690
MS_DRG 		Kidney And Urinary Tract Infections Without Mcc 8 $4,988.61 $29,588.22 $18,004.25 nat. median
$6,107
outlier · 2.9×
684
MS_DRG 		Renal Failure Without Cc/mcc 8 $3,142.43 $29,414.00 $17,868.58 nat. median
$4,560
outlier · 3.9×
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 3 $8,366.73 $18,490.64 $17,566.11 nat. median
$9,938
1.8× median
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 4 $10,212.91 $20,268.49 $17,047.44 nat. median
$15,832
1.1× median
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 $9,113.06 $17,761.00 $16,630.40 nat. median
$16,005
1.0× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 4 $9,859.39 $19,801.80 $16,587.03 nat. median
$15,633
1.1× median
333
MS_DRG 		Rectal Resection With Cc 4 $10,959.24 $17,988.93 $16,521.10 nat. median
$16,049
1.0× median
J1628
HCPCS 		Injection, Guselkumab, 1 Mg 17 $72.50 $65,050.52 $16,315.20 nat. median
$127
outlier · 128.5×
486
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Cc 4 $9,780.83 $18,575.48 $15,944.59 nat. median
$15,126
1.1× median
857
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 4 $10,841.40 $18,169.29 $15,923.30 nat. median
$15,311
1.0× median

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.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
754 MS_DRG Malignancy, Female Reproductive System With Mcc 8 8 $49,922.00 $49,922.00 $6,363.43 $120,572.00 $66,620.16 2026-03-13
950 MS_DRG Aftercare Without Cc/mcc 8 8 $53,367.50 $53,367.50 $4,275.26 $120,092.50 $61,743.17 2026-03-13
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 7 7 $27,711.00 $27,711.00 $3,731.64 $63,036.00 $61,479.00 2026-03-13
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 8 8 $29,942.00 $29,942.00 $12,701.83 $61,342.00 $38,039.12 2026-03-13
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 4 $52,421.00 $52,421.00 $24,864.51 $42,932.58 $37,211.38 2026-03-13
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 8 8 $24,514.40 $24,514.40 $5,475.36 $67,689.40 $36,317.22 2026-03-13
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 4 $40,543.00 $40,543.00 $23,921.78 $40,543.00 $35,711.38 2026-03-13
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 $38,307.00 $38,307.00 $21,015.03 $38,307.00 $34,920.60 2026-03-13
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 4 $78,401.00 $78,401.00 $20,543.66 $37,228.74 $32,643.33 2026-03-13
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 8 8 $24,475.50 $24,475.50 $5,067.18 $55,875.50 $31,886.07 2026-03-13
539 MS_DRG Osteomyelitis With Mcc 8 8 $22,192.00 $22,192.00 $13,415.63 $45,742.00 $30,768.17 2026-03-13
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 3 $36,731.50 $36,731.50 $17,636.91 $32,261.58 $30,648.50 2026-03-13
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 4 $95,188.00 $95,188.00 $14,808.72 $36,821.70 $29,663.27 2026-03-13
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 4 $49,198.00 $49,198.00 $15,397.93 $34,276.57 $28,157.71 2026-03-13
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 3 $29,457.50 $29,457.50 $14,180.23 $29,457.50 $28,021.80 2026-03-13
592 MS_DRG Skin Ulcers With Mcc 8 8 $16,217.00 $16,217.00 $10,452.23 $43,692.00 $27,831.17 2026-03-13
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 3 $54,464.43 $54,464.43 $13,433.91 $29,060.14 $27,607.13 2026-03-13
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 3 $39,024.70 $39,024.70 $17,597.63 $27,990.43 $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
758 MS_DRG Infections, Female Reproductive System With Cc 8 8 $17,827.00 $17,827.00 $3,378.12 $45,302.00 $26,028.88 2026-03-13
300 MS_DRG Peripheral Vascular Disorders With Cc 8 8 $16,292.00 $16,292.00 $5,813.50 $43,767.00 $25,788.34 2026-03-13
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 $43,615.00 $43,615.00 $13,551.75 $26,141.69 $24,834.61 2026-03-13
264 MS_DRG Other Circulatory System O.r. Procedures 4 4 $25,657.67 $25,657.67 $18,029.72 $25,657.67 $24,205.25 2026-03-13
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 3 3 $39,483.50 $39,483.50 $15,790.73 $25,393.44 $24,123.77 2026-03-13
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 4 $30,371.00 $30,371.00 $13,080.38 $27,178.76 $23,938.62 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
570 MS_DRG Skin Debridement With Mcc 4 4 $60,266.15 $60,266.15 $11,862.69 $24,558.45 $21,681.18 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
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 3 3 $38,984.07 $38,984.07 $12,883.98 $22,152.04 $21,044.44 2026-03-13
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 8 8 $12,528.00 $12,528.00 $7,669.87 $32,153.00 $20,966.50 2026-03-13
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 4 $55,675.00 $55,675.00 $11,430.60 $26,296.66 $20,814.64 2026-03-13
884 MS_DRG Organic Disturbances And Intellectual Disability 7 7 $9,362.00 $9,362.00 $6,559.83 $21,137.00 $20,618.00 2026-03-13
330 MS_DRG Major Small And Large Bowel Procedures With Cc 4 4 $38,624.00 $38,624.00 $10,212.91 $24,998.76 $20,038.08 2026-03-13
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 8 8 $13,209.00 $13,209.00 $9,002.78 $28,909.00 $20,021.90 2026-03-13
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 3 3 $47,043.49 $47,043.49 $9,898.67 $20,766.31 $19,727.99 2026-03-13
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 3 3 $40,591.85 $40,591.85 $10,370.03 $20,667.02 $19,633.67 2026-03-13
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 $53,066.92 $53,066.92 $8,523.85 $20,312.20 $19,296.59 2026-03-13
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 4 $30,552.00 $30,552.00 $13,198.22 $21,921.73 $18,785.24 2026-03-13
920 MS_DRG Complications Of Treatment With Cc 8 8 $13,550.00 $13,550.00 $3,770.92 $29,250.00 $18,706.38 2026-03-13
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 $18,370.00 $18,370.00 $18,370.00 $18,370.00 $18,370.00 2026-03-13
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 8 8 $13,501.22 $13,501.22 $4,988.61 $29,588.22 $18,004.25 2026-03-13
684 MS_DRG Renal Failure Without Cc/mcc 8 8 $13,714.00 $13,714.00 $3,142.43 $29,414.00 $17,868.58 2026-03-13
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 3 3 $25,131.00 $25,131.00 $8,366.73 $18,490.64 $17,566.11 2026-03-13
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 4 4 $46,496.00 $46,496.00 $10,212.91 $20,268.49 $17,047.44 2026-03-13
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 4 $17,761.00 $17,761.00 $9,113.06 $17,761.00 $16,630.40 2026-03-13
336 MS_DRG Peritoneal Adhesiolysis With Cc 4 4 $41,061.00 $41,061.00 $9,859.39 $19,801.80 $16,587.03 2026-03-13
333 MS_DRG Rectal Resection With Cc 4 4 $49,176.00 $49,176.00 $10,959.24 $17,988.93 $16,521.10 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
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 4 4 $33,474.00 $33,474.00 $9,780.83 $18,575.48 $15,944.59 2026-03-13
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 4 4 $20,592.00 $20,592.00 $10,841.40 $18,169.29 $15,923.30 2026-03-13
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 4 4 $53,961.00 $53,961.00 $10,487.87 $18,340.40 $15,516.22 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
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 3 3 $31,325.40 $31,325.40 $6,952.64 $16,002.69 $15,202.56 2026-03-13
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 4 4 $22,463.00 $22,463.00 $11,666.29 $16,507.11 $15,083.35 2026-03-13
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 4 4 $31,860.40 $31,860.40 $11,980.53 $16,901.67 $14,876.76 2026-03-13
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 4 4 $27,372.64 $27,372.64 $9,820.11 $17,192.89 $14,781.81 2026-03-13
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 4 $44,197.00 $44,197.00 $9,859.39 $17,541.87 $14,701.69 2026-03-13
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 7 7 $7,092.00 $7,092.00 $4,281.57 $14,942.00 $14,596.00 2026-03-13
380 MS_DRG Complicated Peptic Ulcer With Mcc 4 4 $17,617.00 $17,617.00 $11,194.92 $16,304.32 $14,426.82 2026-03-13
177 MS_DRG Respiratory Infections And Inflammations With Mcc 4 4 $25,936.43 $25,936.43 $7,777.52 $18,910.58 $14,304.30 2026-03-13
305 MS_DRG Hypertension Without Mcc 8 8 $10,625.33 $10,625.33 $4,517.25 $22,787.33 $14,223.46 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
791 MS_DRG Prematurity With Major Problems 6 6 $8,457.00 $8,457.00 $8,457.00 $19,713.00 $14,085.00 2026-03-13
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 4 $32,113.00 $32,113.00 $7,895.37 $16,173.82 $13,791.69 2026-03-13
504 MS_DRG Foot Procedures With Cc 4 4 $16,830.00 $16,830.00 $9,113.06 $15,339.85 $13,651.99 2026-03-13
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 3 3 $30,553.75 $30,553.75 $5,342.14 $14,304.79 $13,589.55 2026-03-13
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 4 4 $39,074.00 $39,074.00 $7,227.60 $16,292.60 $13,470.10 2026-03-13
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 3 3 $67,562.50 $67,562.50 $7,345.44 $14,174.88 $13,466.14 2026-03-13
505 MS_DRG Foot Procedures Without Cc/mcc 4 4 $25,531.00 $25,531.00 $8,680.97 $15,339.85 $13,391.81 2026-03-13
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 4 4 $19,741.00 $19,741.00 $7,620.40 $14,848.11 $13,301.26 2026-03-13
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 4 $27,934.00 $27,934.00 $7,620.40 $15,928.59 $13,163.36 2026-03-13
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 4 4 $34,329.57 $34,329.57 $6,952.64 $14,940.58 $12,981.48 2026-03-13
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 4 4 $39,306.00 $39,306.00 $7,031.20 $15,638.75 $12,891.17 2026-03-13
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 4 $37,684.00 $37,684.00 $7,149.04 $14,596.62 $12,694.14 2026-03-13
70 MS_DRG Other Cerebrovascular Disorders With Mcc 4 4 $16,887.00 $16,887.00 $10,919.96 $14,515.38 $12,564.28 2026-03-13
444 MS_DRG Disorders Of The Biliary Tract With Mcc 4 4 $58,491.00 $58,491.00 $8,720.26 $14,446.24 $12,552.22 2026-03-13
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 4 4 $22,517.00 $22,517.00 $7,188.32 $13,926.85 $12,530.95 2026-03-13
571 MS_DRG Skin Debridement With Cc 4 4 $28,827.67 $28,827.67 $6,795.51 $14,133.40 $12,466.95 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
157 MS_DRG Dental And Oral Diseases With Mcc 4 4 $67,778.00 $67,778.00 $6,206.31 $13,621.78 $12,316.91 2026-03-13
393 MS_DRG Other Digestive System Diagnoses With Mcc 4 4 $34,857.50 $34,857.50 $9,113.06 $14,356.36 $12,265.69 2026-03-13
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 4 4 $20,990.00 $20,990.00 $7,031.20 $14,754.99 $12,132.88 2026-03-13
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 4 4 $36,924.70 $36,924.70 $7,188.32 $14,467.33 $12,105.21 2026-03-13
602 MS_DRG Cellulitis With Mcc 5 5 $15,127.20 $15,127.20 $8,680.97 $30,827.20 $11,904.58 2026-03-13
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 4 4 $45,316.00 $45,316.00 $7,541.84 $12,865.91 $11,893.51 2026-03-13
299 MS_DRG Peripheral Vascular Disorders With Mcc 4 4 $25,461.00 $25,461.00 $8,877.38 $13,244.98 $11,851.52 2026-03-13
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 4 4 $16,602.00 $16,602.00 $7,384.72 $13,585.48 $11,814.38 2026-03-13
682 MS_DRG Renal Failure With Mcc 4 4 $39,744.00 $39,744.00 $6,127.75 $14,041.37 $11,713.19 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
388 MS_DRG Gastrointestinal Obstruction With Mcc 4 4 $19,108.50 $19,108.50 $5,420.70 $13,089.43 $11,246.72 2026-03-13
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 8 8 $7,467.00 $7,467.00 $4,910.05 $15,317.00 $11,219.00 2026-03-13
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 4 4 $19,128.00 $19,128.00 $9,704.31 $12,201.01 $11,196.54 2026-03-13
205 MS_DRG Other Respiratory System Diagnoses With Mcc 4 4 $11,108.00 $11,108.00 $8,759.54 $11,108.00 $11,108.00 2026-03-13
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 4 4 $24,380.00 $24,380.00 $6,559.83 $13,360.79 $11,024.17 2026-03-13
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 8 8 $7,062.00 $7,062.00 $3,810.20 $14,912.00 $10,814.00 2026-03-13
291 MS_DRG Heart Failure And Shock With Mcc 4 4 $33,757.25 $33,757.25 $7,188.32 $13,521.13 $10,794.51 2026-03-13
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 4 4 $26,166.00 $26,166.00 $5,813.50 $11,898.53 $10,566.28 2026-03-13
637 MS_DRG Diabetes With Mcc 4 4 $34,754.00 $34,754.00 $6,874.07 $11,896.81 $10,543.67 2026-03-13
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 4 4 $35,511.00 $35,511.00 $5,420.70 $12,291.76 $10,481.31 2026-03-13
811 MS_DRG Red Blood Cell Disorders With Mcc 4 4 $25,420.33 $25,420.33 $7,384.72 $11,920.13 $10,444.41 2026-03-13
618 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 4 $24,744.00 $24,744.00 $6,245.59 $11,774.95 $10,423.12 2026-03-13
757 MS_DRG Infections, Female Reproductive System With Mcc 4 4 $16,522.00 $16,522.00 $4,949.33 $11,662.31 $10,415.93 2026-03-13
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 4 4 $29,374.00 $29,374.00 $6,520.55 $11,839.11 $10,384.12 2026-03-13
189 MS_DRG Pulmonary Edema And Respiratory Failure 4 4 $21,684.31 $21,684.31 $5,734.94 $12,987.81 $10,376.36 2026-03-13
540 MS_DRG Osteomyelitis With Cc 4 4 $11,347.00 $11,347.00 $8,829.10 $11,248.65 $10,253.17 2026-03-13
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 4 4 $15,129.00 $15,129.00 $5,538.54 $12,970.60 $10,200.64 2026-03-13
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 4 4 $28,449.82 $28,449.82 $5,656.38 $11,999.76 $10,176.08 2026-03-13
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 4 4 $13,735.00 $13,735.00 $6,284.87 $11,755.08 $10,164.06 2026-03-13
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 4 4 $29,156.67 $29,156.67 $6,834.79 $11,498.58 $10,113.06 2026-03-13
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 4 4 $11,966.00 $11,966.00 $8,824.33 $10,953.95 $10,014.98 2026-03-13
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 8 8 $6,207.00 $6,207.00 $2,985.31 $14,057.00 $9,959.00 2026-03-13
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 4 4 $18,366.00 $18,366.00 $8,731.70 $10,654.06 $9,911.82 2026-03-13
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 4 4 $21,100.00 $21,100.00 $5,538.54 $12,373.85 $9,896.75 2026-03-13
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 4 4 $78,416.00 $78,416.00 $7,266.88 $11,014.43 $9,668.20 2026-03-13
786 MS_DRG Cesarean Section Without Sterilization With Mcc 6 6 $29,905.50 $29,905.50 $4,870.77 $15,012.29 $9,642.37 2026-03-13
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 4 4 $26,861.33 $26,861.33 $6,559.83 $10,636.77 $9,600.85 2026-03-13
947 MS_DRG Signs And Symptoms With Mcc 4 4 $28,726.50 $28,726.50 $8,645.88 $10,318.75 $9,556.13 2026-03-13
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 4 4 $20,690.50 $20,690.50 $8,602.41 $10,795.80 $9,447.20 2026-03-13
178 MS_DRG Respiratory Infections And Inflammations With Cc 4 4 $38,512.50 $38,512.50 $4,674.37 $12,788.25 $9,398.19 2026-03-13
949 MS_DRG Aftercare With Cc/mcc 4 4 $17,201.33 $17,201.33 $8,103.05 $15,083.68 $9,352.14 2026-03-13
314 MS_DRG Other Circulatory System Diagnoses With Mcc 4 4 $9,324.00 $9,324.00 $9,324.00 $9,324.00 $9,324.00 2026-03-13
375 MS_DRG Digestive Malignancy With Cc 4 4 $22,660.00 $22,660.00 $6,913.36 $10,510.62 $9,111.84 2026-03-13
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 4 4 $23,257.80 $23,257.80 $6,284.87 $11,189.65 $9,087.35 2026-03-13
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 4 4 $23,135.50 $23,135.50 $5,145.74 $10,217.07 $9,078.31 2026-03-13
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 4 4 $33,208.00 $33,208.00 $7,109.76 $10,378.38 $9,029.95 2026-03-13
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 4 4 $33,599.60 $33,599.60 $6,881.15 $11,061.23 $8,887.52 2026-03-13
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 4 4 $20,831.00 $20,831.00 $6,952.64 $9,742.31 $8,853.48 2026-03-13
593 MS_DRG Skin Ulcers With Cc 4 4 $54,966.00 $54,966.00 $6,874.07 $9,857.25 $8,722.14 2026-03-13
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 4 4 $22,921.00 $22,921.00 $7,902.80 $9,629.10 $8,639.35 2026-03-13
152 MS_DRG Otitis Media And Uri With Mcc 4 4 $21,266.00 $21,266.00 $4,242.29 $9,337.85 $8,461.46 2026-03-13
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 4 4 $23,213.00 $23,213.00 $5,892.06 $9,692.19 $8,455.75 2026-03-13
184 MS_DRG Major Chest Trauma With Cc 4 4 $50,527.00 $50,527.00 $5,067.18 $9,894.19 $8,323.53 2026-03-13
792 MS_DRG Prematurity Without Major Problems 6 6 $4,446.40 $4,446.40 $4,446.40 $11,950.40 $8,198.40 2026-03-13
445 MS_DRG Disorders Of The Biliary Tract With Cc 4 4 $28,006.50 $28,006.50 $5,695.66 $9,311.93 $8,150.15 2026-03-13
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 4 4 $14,426.00 $14,426.00 $5,067.18 $9,831.88 $8,147.16 2026-03-13
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 4 4 $16,947.55 $16,947.55 $5,813.50 $9,753.29 $8,117.66 2026-03-13
197 MS_DRG Interstitial Lung Disease With Cc 4 4 $50,191.00 $50,191.00 $4,517.25 $10,001.42 $7,982.84 2026-03-13
304 MS_DRG Hypertension With Mcc 4 4 $7,977.00 $7,977.00 $6,167.03 $7,977.00 $7,977.00 2026-03-13
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 4 4 $10,452.33 $10,452.33 $6,259.99 $9,719.78 $7,975.37 2026-03-13
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 4 4 $18,157.00 $18,157.00 $6,636.64 $8,722.53 $7,835.56 2026-03-13
787 MS_DRG Cesarean Section Without Sterilization With Cc 6 6 $28,644.33 $28,644.33 $4,635.09 $9,755.59 $7,828.26 2026-03-13
369 MS_DRG Major Esophageal Disorders With Cc 4 4 $29,129.00 $29,129.00 $5,695.66 $9,309.34 $7,828.11 2026-03-13
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 4 4 $10,444.50 $10,444.50 $5,538.54 $9,134.64 $7,792.13 2026-03-13
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 8 8 $3,932.00 $3,932.00 $2,906.75 $11,782.00 $7,684.00 2026-03-13
378 MS_DRG Gastrointestinal Hemorrhage With Cc 4 4 $19,605.83 $19,605.83 $5,931.34 $9,144.07 $7,683.21 2026-03-13
644 MS_DRG Endocrine Disorders With Cc 4 4 $23,162.00 $23,162.00 $5,499.26 $8,813.28 $7,676.95 2026-03-13
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 4 4 $20,701.33 $20,701.33 $5,342.14 $8,875.49 $7,672.44 2026-03-13
784 MS_DRG Cesarean Section With Sterilization With Cc 6 6 $22,615.00 $22,615.00 $5,420.70 $9,993.37 $7,635.17 2026-03-13
683 MS_DRG Renal Failure With Cc 4 4 $16,141.00 $16,141.00 $5,067.18 $9,762.09 $7,619.53 2026-03-13
603 MS_DRG Cellulitis Without Mcc 5 5 $15,184.38 $15,184.38 $4,949.33 $30,884.38 $7,616.68 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
202 MS_DRG Bronchitis And Asthma With Cc/mcc 4 4 $18,887.00 $18,887.00 $4,752.93 $8,702.53 $7,441.12 2026-03-13
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 4 4 $12,278.00 $12,278.00 $3,613.80 $10,222.26 $7,426.73 2026-03-13
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 4 4 $8,928.60 $8,928.60 $5,027.89 $8,641.61 $7,392.10 2026-03-13
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 4 4 $27,711.00 $27,711.00 $3,810.20 $8,121.90 $7,323.68 2026-03-13
315 MS_DRG Other Circulatory System Diagnoses With Cc 4 4 $24,526.33 $24,526.33 $5,224.30 $8,412.27 $7,276.35 2026-03-13
552 MS_DRG Medical Back Problems Without Mcc 4 4 $14,896.67 $14,896.67 $6,009.91 $8,153.01 $7,146.39 2026-03-13
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 6 6 $26,653.14 $26,653.14 $4,438.69 $8,167.17 $7,144.60 2026-03-13
394 MS_DRG Other Digestive System Diagnoses With Cc 4 4 $13,355.33 $13,355.33 $4,595.81 $8,131.42 $7,048.95 2026-03-13
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 4 4 $19,758.50 $19,758.50 $6,099.25 $7,537.69 $6,978.16 2026-03-13
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 6 6 $6,977.00 $6,977.00 $3,299.56 $18,233.00 $6,977.00 2026-03-13
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 4 4 $25,110.07 $25,110.07 $5,185.02 $8,907.41 $6,975.51 2026-03-13
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 6 6 $27,158.43 $27,158.43 $5,145.74 $8,050.00 $6,921.03 2026-03-13
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 4 4 $13,771.00 $13,771.00 $6,083.59 $7,444.36 $6,914.18 2026-03-13
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 3 3 $7,897.80 $7,897.80 $6,284.87 $7,253.39 $6,890.72 2026-03-13
176 MS_DRG Pulmonary Embolism Without Mcc 4 4 $17,397.80 $17,397.80 $3,849.48 $8,722.23 $6,884.49 2026-03-13
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 4 4 $23,399.00 $23,399.00 $4,831.49 $8,260.53 $6,867.47 2026-03-13
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 4 4 $11,837.00 $11,837.00 $4,925.03 $7,703.61 $6,860.57 2026-03-13
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 4 4 $33,976.80 $33,976.80 $4,006.60 $8,382.63 $6,852.59 2026-03-13
638 MS_DRG Diabetes With Cc 4 4 $18,216.50 $18,216.50 $4,281.57 $7,997.88 $6,851.01 2026-03-13
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 4 4 $13,490.00 $13,490.00 $4,477.97 $7,656.95 $6,841.97 2026-03-13
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 4 4 $23,206.00 $23,206.00 $5,302.86 $7,811.65 $6,829.98 2026-03-13
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc 4 4 $19,006.00 $19,006.00 $4,792.21 $6,962.89 $6,772.59 2026-03-13
812 MS_DRG Red Blood Cell Disorders Without Mcc 4 4 $20,723.75 $20,723.75 $5,145.74 $7,607.70 $6,740.59 2026-03-13
101 MS_DRG Seizures Without Mcc 4 4 $25,572.00 $25,572.00 $4,595.81 $7,677.70 $6,720.72 2026-03-13
948 MS_DRG Signs And Symptoms Without Mcc 4 4 $15,250.67 $15,250.67 $5,452.21 $8,798.82 $6,632.19 2026-03-13
864 MS_DRG Fever And Inflammatory Conditions 4 4 $15,620.00 $15,620.00 $4,360.13 $7,574.86 $6,621.12 2026-03-13
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 4 4 $20,255.00 $20,255.00 $4,870.77 $7,715.71 $6,575.98 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
607 MS_DRG Minor Skin Disorders Without Mcc 4 4 $26,039.50 $26,039.50 $5,263.58 $7,157.43 $6,486.52 2026-03-13
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
292 MS_DRG Heart Failure And Shock With Cc 4 4 $17,945.17 $17,945.17 $5,774.22 $7,462.50 $6,435.96 2026-03-13
389 MS_DRG Gastrointestinal Obstruction With Cc 4 4 $20,406.11 $20,406.11 $5,379.33 $7,877.99 $6,432.76 2026-03-13
866 MS_DRG Viral Illness Without Mcc 4 4 $9,567.00 $9,567.00 $4,281.57 $7,250.77 $6,405.54 2026-03-13
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 4 4 $21,947.50 $21,947.50 $5,342.14 $7,304.35 $6,334.27 2026-03-13
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 4 4 $19,910.00 $19,910.00 $5,500.56 $6,863.28 $6,323.93 2026-03-13
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 6 6 $14,209.67 $14,209.67 $3,849.48 $10,987.67 $6,320.22 2026-03-13
694 MS_DRG Urinary Stones Without Mcc 4 4 $34,942.00 $34,942.00 $4,124.44 $7,650.48 $6,296.06 2026-03-13
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 6 6 $13,902.50 $13,902.50 $4,203.01 $9,434.41 $6,294.34 2026-03-13
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 7 7 $12,925.00 $12,925.00 $5,145.74 $28,625.00 $6,264.76 2026-03-13
550 MS_DRG Septic Arthritis Without Cc/mcc 4 4 $22,622.50 $22,622.50 $5,953.50 $6,638.39 $6,256.22 2026-03-13
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 4 4 $16,717.54 $16,717.54 $5,300.32 $7,060.10 $6,240.66 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
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 4 4 $25,055.00 $25,055.00 $4,320.85 $7,057.18 $6,169.53 2026-03-13
797 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Cc 6 6 $14,351.00 $14,351.00 $4,855.00 $7,945.60 $6,117.21 2026-03-13
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 4 4 $22,818.00 $22,818.00 $3,221.00 $6,962.98 $6,069.95 2026-03-13
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 4 4 $16,070.64 $16,070.64 $4,320.85 $7,171.29 $6,061.30 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
69 MS_DRG Transient Ischemia Without Thrombolytic 4 4 $15,072.00 $15,072.00 $4,477.97 $6,802.25 $5,951.39 2026-03-13
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 4 4 $15,599.00 $15,599.00 $4,438.69 $6,759.90 $5,922.76 2026-03-13
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 4 4 $28,449.00 $28,449.00 $3,535.24 $7,176.95 $5,914.48 2026-03-13
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 6 6 $22,260.40 $22,260.40 $4,855.00 $7,642.22 $5,904.41 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
645 MS_DRG Endocrine Disorders Without Cc/mcc 4 4 $14,451.00 $14,451.00 $4,124.44 $6,642.36 $5,771.57 2026-03-13
793 MS_DRG Full Term Neonate With Major Problems 6 6 $5,739.60 $5,739.60 $3,967.32 $13,243.60 $5,739.60 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
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 4 4 $22,399.60 $22,399.60 $3,063.87 $7,223.86 $5,617.66 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
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 4 4 $13,634.25 $13,634.25 $5,162.58 $6,284.87 $5,545.76 2026-03-13
302 MS_DRG Atherosclerosis With Mcc 4 4 $5,542.00 $5,542.00 $5,542.00 $5,542.00 $5,542.00 2026-03-13
639 MS_DRG Diabetes Without Cc/mcc 5 5 $8,377.00 $8,377.00 $2,788.91 $17,001.00 $5,506.92 2026-03-13
153 MS_DRG Otitis Media And Uri Without Mcc 4 4 $16,336.00 $16,336.00 $2,671.07 $6,163.58 $5,441.64 2026-03-13
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 4 4 $23,472.40 $23,472.40 $4,280.71 $6,807.04 $5,433.05 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
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 4 4 $21,485.00 $21,485.00 $3,535.24 $6,532.62 $5,384.68 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
951 MS_DRG Other Factors Influencing Health Status 4 4 $9,623.00 $9,623.00 $3,786.92 $5,943.23 $5,258.42 2026-03-13
386 MS_DRG Inflammatory Bowel Disease With Cc 8 8 $3,359.00 $3,359.00 $3,359.00 $7,284.00 $5,235.00 2026-03-13
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 6 6 $15,039.07 $15,039.07 $3,495.96 $7,786.73 $5,212.74 2026-03-13
921 MS_DRG Complications Of Treatment Without Cc/mcc 4 4 $18,862.00 $18,862.00 $2,592.51 $6,031.37 $5,209.24 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
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 4 4 $24,853.00 $24,853.00 $3,770.92 $5,834.57 $5,128.70 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
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 6 6 $14,039.19 $14,039.19 $3,299.56 $5,594.39 $5,072.50 2026-03-13
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
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
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 4 4 $26,615.00 $26,615.00 $4,163.73 $5,829.55 $4,885.22 2026-03-13
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 4 4 $17,928.00 $17,928.00 $2,906.75 $5,630.37 $4,884.60 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
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 4 4 $4,765.00 $4,765.00 $4,765.00 $4,765.00 $4,765.00 2026-03-13
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 4 4 $13,114.50 $13,114.50 $3,613.80 $5,506.78 $4,762.55 2026-03-13
816 MS_DRG Reticuloendothelial And Immunity Disorders Without Cc/mcc 4 4 $5,098.00 $5,098.00 $3,456.68 $5,098.00 $4,701.27 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
293 MS_DRG Heart Failure And Shock Without Cc/mcc 4 4 $14,364.00 $14,364.00 $3,299.56 $5,634.31 $4,603.81 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
794 MS_DRG Neonate With Other Significant Problems 6 6 $4,499.78 $4,499.78 $1,531.94 $12,003.78 $4,499.78 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
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 4 4 $14,924.60 $14,924.60 $3,653.08 $5,509.39 $4,469.55 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
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 4 4 $15,842.00 $15,842.00 $2,788.91 $5,267.86 $4,430.09 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
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
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 4 4 $4,165.00 $4,165.00 $3,653.08 $4,165.00 $4,165.00 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
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
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
761 MS_DRG Menstrual And Other Female Reproductive System Disorders Without Cc/mcc 4 4 $24,796.00 $24,796.00 $1,964.02 $3,879.55 $3,755.18 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
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
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 7 7 $3,322.33 $3,322.33 $3,322.33 $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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