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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

WILLIAM NEWTON HOSPITAL

Winfield, KS · CCN 171383 · Rates published

5,404 distinct procedures filed
10 distinct payers
85,999 rate rows
2026-05-11 last MRF observed
Data quality

84,592 of 85,999 rate rows are consumer-grade (98.4%)

1,407 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 1,244
template filing: same amount across many unrelated codes — excluded 86
percent-of-charges filed in the dollar field — excluded from medians 42
exceeds 10× this hospital's gross charge — excluded from medians 25
placeholder amount (≤ $0.02) — excluded from medians 7
exceeds 3× this hospital's gross charge for a DRG stay — excluded 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbWNHWINFIELDKS&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/William_Newton.aspx#
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 6cdcf56af8e2af3b… · 40,300,273 bytes · first seen 2026-05-14

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
593
MS_DRG 		Skin Ulcers With Cc 5 $5,559.75 $234,861.80 $76,553.55 nat. median
$12,573
outlier · 6.1×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 4 $19,347.93 $95,136.34 $66,066.90 nat. median
$44,810
1.5× median
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 4 $11,278.35 $75,632.39 $51,127.42 nat. median
$33,154
1.5× median
253
MS_DRG 		Other Vascular Procedures With Cc 4 $7,656.57 $60,678.26 $42,129.74 nat. median
$26,081
1.6× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 4 $17,727.66 $58,883.75 $40,891.50 nat. median
$50,673
0.8× median
368
MS_DRG 		Major Esophageal Disorders With Mcc 4 $7,338.87 $55,959.58 $38,860.82 nat. median
$16,679
outlier · 2.3×
93
MS_DRG 		Other Disorders Of Nervous System Without Cc/mcc 5 $3,590.01 $101,755.40 $37,870.80 nat. median
$9,007
outlier · 4.2×
C1605
HCPCS 		Pacemaker, Leadless, Dual Chamber (right Atrial And Right Ventricular Implantabl… 10 $24,627.07 $70,524.25 $37,377.86 nat. median
$22,209
1.7× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 3 $14,232.96 $55,029.36 $37,018.68 nat. median
$29,218
1.3× median
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 $7,370.64 $45,786.58 $31,796.24 nat. median
$22,403
1.4× median
999
MS_DRG 		Ungroupable 5 $10,464.95 $108,255.02 $31,394.86 nat. median
$9,134
outlier · 3.4×
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 4 $7,084.71 $45,045.15 $31,281.35 nat. median
$18,295
1.7× median
199
MS_DRG 		Pneumothorax With Mcc 4 $6,798.78 $44,776.49 $31,094.78 nat. median
$17,612
1.8× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 $6,894.09 $44,295.48 $30,511.42 nat. median
$37,664
0.8× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 $8,006.04 $44,383.71 $30,452.27 nat. median
$21,762
1.4× median
571
MS_DRG 		Skin Debridement With Cc 4 $5,496.21 $43,733.66 $30,370.60 nat. median
$17,262
1.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 $20,110.41 $43,567.97 $30,253.05 nat. median
$48,170
0.6× median
415
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 4 $6,639.93 $43,026.66 $29,868.28 nat. median
$20,601
1.4× median
J3357
HCPCS 		Ustekinumab, For Subcutaneous Injection, 1 Mg 10 $182.21 $81,911.00 $29,487.96 nat. median
$14,306
outlier · 2.1×
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 $10,484.10 $43,353.78 $29,434.17 nat. median
$26,699
1.1× median
504
MS_DRG 		Foot Procedures With Cc 4 $7,370.64 $40,365.62 $28,031.68 nat. median
$18,582
1.5× median
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 4 $11,087.73 $40,019.84 $27,734.15 nat. median
$28,170
1.0× median
947
MS_DRG 		Signs And Symptoms With Mcc 5 $7,529.49 $95,053.42 $27,718.21 nat. median
$12,688
outlier · 2.2×
373
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 5 $3,049.92 $86,529.00 $27,549.45 nat. median
$8,371
outlier · 3.3×
540
MS_DRG 		Osteomyelitis With Cc 5 $7,942.50 $81,812.70 $27,124.50 nat. median
$13,478
outlier · 2.0×
C1882
HCPCS 		Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 10 $17,647.43 $50,536.75 $26,784.48 nat. median
$27,112
1.0× median
196
MS_DRG 		Interstitial Lung Disease With Mcc 4 $7,275.33 $37,825.65 $26,267.82 nat. median
$18,723
1.4× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 $12,708.00 $36,401.00 $25,278.47 nat. median
$35,325
0.7× median
283
MS_DRG 		Acute Myocardial Infarction, Expired With Mcc 4 $8,704.98 $35,380.98 $24,570.12 nat. median
$19,749
1.2× median
251
MS_DRG 		Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 4 $5,369.13 $34,990.37 $24,298.87 nat. median
$16,546
1.5× median
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 6 $4,924.35 $78,942.23 $24,045.31 nat. median
$9,193
outlier · 2.6×
482
MS_DRG 		Hip And Femur Procedures Except Major Joint Without Cc/mcc 4 $4,320.72 $34,577.61 $23,695.53 nat. median
$17,028
1.4× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 3 $8,387.28 $35,042.71 $23,643.86 nat. median
$21,532
1.1× median
421
MS_DRG 		Hepatobiliary Diagnostic Procedures With Cc 4 $5,591.52 $33,966.32 $23,553.76 nat. median
$17,334
1.4× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 4 $9,340.38 $32,861.66 $22,816.50 nat. median
$30,264
0.8× median
C1735
HCPCS 		Catheter(s), Intravascular For Renal Denervation, Radiofrequency, Including All… 10 $16,168.83 $46,302.50 $22,503.01 nat. median
$26,064
0.9× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 4 $10,420.56 $32,701.32 $22,476.07 nat. median
$20,059
1.1× median
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 5 $8,609.67 $68,799.88 $22,214.92 nat. median
$12,148
1.8× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 $10,674.72 $31,928.58 $22,172.62 nat. median
$24,493
0.9× median
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 4 $8,673.21 $31,858.22 $22,123.76 nat. median
$17,987
1.2× median
727
MS_DRG 		Inflammation Of The Male Reproductive System With Mcc 4 $4,733.73 $31,724.04 $22,030.58 nat. median
$15,226
1.4× median
863
MS_DRG 		Postoperative And Post-traumatic Infections Without Mcc 5 $3,971.25 $66,626.50 $21,959.40 nat. median
$10,815
outlier · 2.0×
146
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Mcc 4 $6,163.38 $31,630.46 $21,897.77 nat. median
$21,758
1.0× median
517
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 4 $5,813.91 $31,559.83 $21,753.61 nat. median
$16,149
1.3× median
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 4 $5,623.29 $31,177.17 $21,484.72 nat. median
$19,793
1.1× median
186
MS_DRG 		Pleural Effusion With Mcc 4 $6,004.53 $30,346.20 $21,073.75 nat. median
$15,980
1.3× median
516
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 4 $7,974.27 $30,457.58 $20,995.89 nat. median
$21,082
1.0× median
C1721
HCPCS 		Cardioverter-defibrillator, Dual Chamber (implantable) 10 $11,675.15 $49,147.75 $20,548.49 nat. median
$22,210
0.9× median
398
MS_DRG 		Appendix Procedures With Cc 5 $4,543.11 $59,641.90 $19,833.23 nat. median
$15,924
1.2× median
33249
HCPCS 		Insertion Of Implantable Defibrillator System 10 $686.06 $54,631.50 $19,667.34 nat. median
$31,833
0.6× median

Other procedures at this hospital

Browse this hospital's 5,404 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
             
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 3 $74,037.35 $74,037.35 $14,232.96 $55,029.36 $37,018.68 2026-05-11
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 3 3 $47,287.73 $47,287.73 $8,387.28 $35,042.71 $23,643.86 2026-05-11
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 4 $105,707.04 $105,707.04 $19,347.93 $95,136.34 $66,066.90 2026-05-11
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 4 $84,035.99 $84,035.99 $11,278.35 $75,632.39 $51,127.42 2026-05-11
253 MS_DRG Other Vascular Procedures With Cc 4 4 $67,420.29 $67,420.29 $7,656.57 $60,678.26 $42,129.74 2026-05-11
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 4 $65,426.39 $65,426.39 $17,727.66 $58,883.75 $40,891.50 2026-05-11
368 MS_DRG Major Esophageal Disorders With Mcc 4 4 $62,177.31 $62,177.31 $7,338.87 $55,959.58 $38,860.82 2026-05-11
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 4 $50,873.98 $50,873.98 $7,370.64 $45,786.58 $31,796.24 2026-05-11
205 MS_DRG Other Respiratory System Diagnoses With Mcc 4 4 $50,050.16 $50,050.16 $7,084.71 $45,045.15 $31,281.35 2026-05-11
199 MS_DRG Pneumothorax With Mcc 4 4 $49,751.65 $49,751.65 $6,798.78 $44,776.49 $31,094.78 2026-05-11
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 4 $49,217.20 $49,217.20 $6,894.09 $44,295.48 $30,511.42 2026-05-11
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 4 $49,315.23 $49,315.23 $8,006.04 $44,383.71 $30,452.27 2026-05-11
571 MS_DRG Skin Debridement With Cc 4 4 $48,592.95 $48,592.95 $5,496.21 $43,733.66 $30,370.60 2026-05-11
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 4 $48,408.85 $48,408.85 $20,110.41 $43,567.97 $30,253.05 2026-05-11
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 4 4 $47,807.40 $47,807.40 $6,639.93 $43,026.66 $29,868.28 2026-05-11
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 4 $48,170.87 $48,170.87 $10,484.10 $43,353.78 $29,434.17 2026-05-11
504 MS_DRG Foot Procedures With Cc 4 4 $44,850.69 $44,850.69 $7,370.64 $40,365.62 $28,031.68 2026-05-11
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 4 4 $44,466.49 $44,466.49 $11,087.73 $40,019.84 $27,734.15 2026-05-11
196 MS_DRG Interstitial Lung Disease With Mcc 4 4 $42,028.50 $42,028.50 $7,275.33 $37,825.65 $26,267.82 2026-05-11
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 4 $40,445.56 $40,445.56 $12,708.00 $36,401.00 $25,278.47 2026-05-11
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 4 4 $39,312.20 $39,312.20 $8,704.98 $35,380.98 $24,570.12 2026-05-11
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 4 4 $38,878.19 $38,878.19 $5,369.13 $34,990.37 $24,298.87 2026-05-11
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 4 4 $38,419.57 $38,419.57 $4,320.72 $34,577.61 $23,695.53 2026-05-11
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 4 4 $37,740.35 $37,740.35 $5,591.52 $33,966.32 $23,553.76 2026-05-11
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 $36,512.95 $36,512.95 $9,340.38 $32,861.66 $22,816.50 2026-05-11
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 4 4 $36,334.80 $36,334.80 $10,420.56 $32,701.32 $22,476.07 2026-05-11
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 4 $35,476.20 $35,476.20 $10,674.72 $31,928.58 $22,172.62 2026-05-11
91 MS_DRG Other Disorders Of Nervous System With Mcc 4 4 $35,398.02 $35,398.02 $8,673.21 $31,858.22 $22,123.76 2026-05-11
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 4 4 $35,248.93 $35,248.93 $4,733.73 $31,724.04 $22,030.58 2026-05-11
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 4 4 $35,144.95 $35,144.95 $6,163.38 $31,630.46 $21,897.77 2026-05-11
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 4 4 $35,066.48 $35,066.48 $5,813.91 $31,559.83 $21,753.61 2026-05-11
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 4 4 $34,641.30 $34,641.30 $5,623.29 $31,177.17 $21,484.72 2026-05-11
186 MS_DRG Pleural Effusion With Mcc 4 4 $33,718.00 $33,718.00 $6,004.53 $30,346.20 $21,073.75 2026-05-11
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 4 4 $33,841.75 $33,841.75 $7,974.27 $30,457.58 $20,995.89 2026-05-11
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 4 4 $30,564.90 $30,564.90 $9,308.61 $27,508.41 $19,103.07 2026-05-11
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 4 $28,728.35 $28,728.35 $14,364.18 $25,855.52 $18,938.02 2026-05-11
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 4 4 $30,272.11 $30,272.11 $5,305.59 $27,244.90 $18,920.07 2026-05-11
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 4 4 $30,032.50 $30,032.50 $5,877.45 $27,029.25 $18,770.32 2026-05-11
539 MS_DRG Osteomyelitis With Mcc 4 4 $28,679.75 $28,679.75 $12,072.60 $25,811.78 $17,924.85 2026-05-11
70 MS_DRG Other Cerebrovascular Disorders With Mcc 4 4 $27,962.83 $27,962.83 $8,832.06 $25,073.17 $17,476.77 2026-05-11
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 4 4 $27,859.64 $27,859.64 $4,606.65 $25,073.68 $17,412.28 2026-05-11
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 4 4 $27,352.75 $27,352.75 $7,847.19 $24,617.47 $17,095.47 2026-05-11
336 MS_DRG Peritoneal Adhesiolysis With Cc 4 4 $27,310.69 $27,310.69 $7,974.27 $24,579.62 $17,069.19 2026-05-11
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 4 4 $26,501.70 $26,501.70 $7,783.65 $23,851.53 $16,563.56 2026-05-11
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 4 4 $25,798.62 $25,798.62 $6,767.01 $23,218.76 $16,124.14 2026-05-11
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 4 4 $25,731.05 $25,731.05 $6,004.53 $23,157.95 $16,081.91 2026-05-11
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 4 $25,577.58 $25,577.58 $5,782.14 $23,019.82 $15,952.02 2026-05-11
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 4 4 $25,149.21 $25,149.21 $7,942.50 $22,630.44 $15,718.26 2026-05-11
369 MS_DRG Major Esophageal Disorders With Cc 4 4 $25,018.90 $25,018.90 $4,606.65 $22,517.01 $15,636.82 2026-05-11
291 MS_DRG Heart Failure And Shock With Mcc 4 4 $24,690.91 $24,690.91 $5,813.91 $22,221.82 $15,431.82 2026-05-11
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 4 4 $24,251.95 $24,251.95 $2,763.99 $21,826.76 $15,157.47 2026-05-11
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 4 4 $23,793.44 $23,793.44 $5,686.83 $21,414.10 $14,870.90 2026-05-11
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 4 4 $23,373.60 $23,373.60 $5,527.98 $21,036.24 $14,574.54 2026-05-11
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 4 4 $23,134.38 $23,134.38 $5,305.59 $20,820.94 $14,458.99 2026-05-11
885 MS_DRG Psychoses 4 4 $23,013.70 $23,013.70 $2,763.99 $20,712.33 $14,383.56 2026-05-11
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 4 $22,657.91 $22,657.91 $6,163.38 $20,392.12 $14,161.19 2026-05-11
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 4 4 $22,301.86 $22,301.86 $7,275.33 $20,071.67 $13,938.67 2026-05-11
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 4 $22,145.80 $22,145.80 $10,960.65 $19,931.22 $13,841.12 2026-05-11
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 4 4 $22,094.89 $22,094.89 $2,160.36 $19,885.40 $13,809.31 2026-05-11
92 MS_DRG Other Disorders Of Nervous System With Cc 4 4 $21,911.90 $21,911.90 $6,290.46 $19,720.71 $13,694.94 2026-05-11
313 MS_DRG Chest Pain 4 4 $21,554.10 $21,554.10 $3,145.23 $19,398.69 $13,471.31 2026-05-11
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 4 4 $20,994.39 $20,994.39 $5,019.66 $18,894.95 $13,121.50 2026-05-11
177 MS_DRG Respiratory Infections And Inflammations With Mcc 4 4 $20,758.29 $20,758.29 $6,290.46 $18,682.46 $12,973.93 2026-05-11
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 4 4 $20,724.20 $20,724.20 $6,894.09 $18,651.78 $12,952.62 2026-05-11
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 4 4 $20,316.30 $20,316.30 $7,561.26 $18,284.67 $12,697.69 2026-05-11
374 MS_DRG Digestive Malignancy With Mcc 4 4 $19,482.15 $19,482.15 $9,741.08 $17,533.94 $12,246.04 2026-05-11
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 4 4 $19,259.86 $19,259.86 $2,859.30 $17,333.87 $12,037.41 2026-05-11
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 4 4 $19,216.76 $19,216.76 $5,750.37 $17,295.09 $12,010.47 2026-05-11
189 MS_DRG Pulmonary Edema And Respiratory Failure 4 4 $19,075.87 $19,075.87 $4,638.42 $17,168.28 $11,922.42 2026-05-11
643 MS_DRG Endocrine Disorders With Mcc 4 4 $18,964.58 $18,964.58 $7,148.25 $17,068.12 $11,852.87 2026-05-11
786 MS_DRG Cesarean Section Without Sterilization With Mcc 4 4 $18,906.07 $18,906.07 $3,939.48 $17,015.46 $11,816.29 2026-05-11
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 4 4 $18,790.65 $18,790.65 $4,574.88 $16,908.93 $11,744.16 2026-05-11
908 MS_DRG Other O.r. Procedures For Injuries With Cc 4 4 $18,389.15 $18,389.15 $6,989.40 $16,550.24 $11,493.22 2026-05-11
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 4 4 $18,245.74 $18,245.74 $6,767.01 $16,421.17 $11,403.59 2026-05-11
158 MS_DRG Dental And Oral Diseases With Cc 4 4 $18,122.01 $18,122.01 $2,636.91 $16,309.81 $11,326.26 2026-05-11
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 4 4 $17,983.15 $17,983.15 $2,350.98 $16,184.84 $11,239.47 2026-05-11
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 4 4 $17,899.95 $17,899.95 $4,066.56 $16,109.96 $11,187.47 2026-05-11
865 MS_DRG Viral Illness With Mcc 4 4 $17,877.31 $17,877.31 $5,972.76 $16,089.58 $11,173.32 2026-05-11
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 4 4 $17,791.05 $17,791.05 $8,482.59 $16,011.95 $11,119.41 2026-05-11
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 4 4 $17,330.00 $17,330.00 $2,922.84 $15,597.00 $10,831.25 2026-05-11
388 MS_DRG Gastrointestinal Obstruction With Mcc 4 4 $17,261.65 $17,261.65 $4,384.26 $15,535.49 $10,788.53 2026-05-11
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 4 4 $16,745.27 $16,745.27 $5,083.20 $15,070.74 $10,465.79 2026-05-11
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 4 4 $16,608.55 $16,608.55 $2,414.52 $14,947.70 $10,380.35 2026-05-11
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 4 4 $16,330.36 $16,330.36 $8,165.18 $14,697.32 $10,349.30 2026-05-11
375 MS_DRG Digestive Malignancy With Cc 4 4 $16,375.95 $16,375.95 $5,591.52 $14,738.36 $10,234.97 2026-05-11
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 4 4 $16,352.06 $16,352.06 $3,590.01 $14,716.86 $10,220.02 2026-05-11
71 MS_DRG Other Cerebrovascular Disorders With Cc 4 4 $16,198.68 $16,198.68 $4,638.42 $14,578.81 $10,124.17 2026-05-11
784 MS_DRG Cesarean Section With Sterilization With Cc 4 4 $15,978.75 $15,978.75 $4,384.26 $14,380.87 $9,986.72 2026-05-11
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 4 4 $15,952.91 $15,952.91 $3,367.62 $14,357.62 $9,970.57 2026-05-11
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 4 4 $12,075.35 $12,075.35 $6,037.68 $10,867.82 $9,945.04 2026-05-11
811 MS_DRG Red Blood Cell Disorders With Mcc 4 4 $15,887.88 $15,887.88 $5,972.76 $14,299.09 $9,929.92 2026-05-11
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 4 4 $15,784.65 $15,784.65 $5,845.68 $14,206.19 $9,865.41 2026-05-11
394 MS_DRG Other Digestive System Diagnoses With Cc 4 4 $15,649.25 $15,649.25 $3,717.09 $14,084.33 $9,780.78 2026-05-11
399 MS_DRG Appendix Procedures Without Cc/mcc 4 4 $15,507.90 $15,507.90 $3,431.16 $13,957.11 $9,661.20 2026-05-11
783 MS_DRG Cesarean Section With Sterilization With Mcc 4 4 $15,445.30 $15,445.30 $4,606.65 $13,900.77 $9,653.31 2026-05-11
178 MS_DRG Respiratory Infections And Inflammations With Cc 4 4 $15,401.98 $15,401.98 $3,780.63 $13,861.78 $9,626.24 2026-05-11
603 MS_DRG Cellulitis Without Mcc 4 4 $15,382.42 $15,382.42 $4,003.02 $13,844.17 $9,614.01 2026-05-11
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 4 4 $15,294.78 $15,294.78 $6,576.39 $13,765.30 $9,559.24 2026-05-11
638 MS_DRG Diabetes With Cc 4 4 $15,219.23 $15,219.23 $3,462.93 $13,697.31 $9,512.02 2026-05-11
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 4 4 $13,197.54 $13,197.54 $6,598.77 $11,877.78 $9,508.07 2026-05-11
300 MS_DRG Peripheral Vascular Disorders With Cc 4 4 $14,964.09 $14,964.09 $4,701.96 $13,467.68 $9,352.56 2026-05-11
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 4 4 $14,794.30 $14,794.30 $4,765.50 $13,314.87 $9,246.44 2026-05-11
787 MS_DRG Cesarean Section Without Sterilization With Cc 4 4 $14,728.34 $14,728.34 $3,748.86 $13,255.50 $9,205.21 2026-05-11
200 MS_DRG Pneumothorax With Cc 4 4 $14,719.65 $14,719.65 $4,257.18 $13,247.69 $9,199.78 2026-05-11
312 MS_DRG Syncope And Collapse 4 4 $14,311.06 $14,311.06 $2,795.76 $12,879.95 $8,944.41 2026-05-11
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 4 4 $14,150.75 $14,150.75 $3,558.24 $12,735.67 $8,844.22 2026-05-11
639 MS_DRG Diabetes Without Cc/mcc 4 4 $13,902.78 $13,902.78 $2,255.67 $12,512.50 $8,689.24 2026-05-11
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 4 4 $13,883.34 $13,883.34 $6,163.38 $12,495.01 $8,677.09 2026-05-11
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 4 4 $13,820.15 $13,820.15 $3,240.54 $12,438.14 $8,637.60 2026-05-11
292 MS_DRG Heart Failure And Shock With Cc 4 4 $13,697.04 $13,697.04 $4,670.19 $12,327.34 $8,560.65 2026-05-11
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 4 4 $13,637.73 $13,637.73 $4,161.87 $12,273.95 $8,523.58 2026-05-11
684 MS_DRG Renal Failure Without Cc/mcc 4 4 $13,480.55 $13,480.55 $2,541.60 $12,132.50 $8,425.34 2026-05-11
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 4 4 $13,423.05 $13,423.05 $3,399.39 $12,080.74 $8,389.41 2026-05-11
682 MS_DRG Renal Failure With Mcc 4 4 $13,183.88 $13,183.88 $4,956.12 $11,865.49 $8,239.92 2026-05-11
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 4 4 $13,045.08 $13,045.08 $5,877.45 $11,740.57 $8,153.17 2026-05-11
187 MS_DRG Pleural Effusion With Cc 4 4 $13,020.11 $13,020.11 $3,812.40 $11,718.10 $8,137.57 2026-05-11
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 4 $11,049.90 $11,049.90 $5,524.95 $9,571.41 $8,130.85 2026-05-11
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 4 4 $12,966.80 $12,966.80 $5,686.83 $11,670.12 $8,104.25 2026-05-11
176 MS_DRG Pulmonary Embolism Without Mcc 4 4 $12,931.44 $12,931.44 $3,113.46 $11,638.30 $8,082.15 2026-05-11
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 4 4 $12,806.10 $12,806.10 $2,001.51 $11,525.49 $8,003.82 2026-05-11
202 MS_DRG Bronchitis And Asthma With Cc/mcc 4 4 $12,783.43 $12,783.43 $3,844.17 $11,505.09 $7,989.65 2026-05-11
393 MS_DRG Other Digestive System Diagnoses With Mcc 4 4 $11,423.51 $11,423.51 $5,711.76 $10,281.16 $7,969.14 2026-05-11
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 4 4 $12,314.02 $12,314.02 $2,255.67 $11,082.62 $7,696.27 2026-05-11
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 4 4 $12,197.60 $12,197.60 $2,478.06 $10,977.84 $7,623.50 2026-05-11
637 MS_DRG Diabetes With Mcc 4 4 $11,983.03 $11,983.03 $5,559.75 $10,784.72 $7,489.39 2026-05-11
914 MS_DRG Traumatic Injury Without Mcc 4 4 $11,832.93 $11,832.93 $2,668.68 $10,649.63 $7,395.58 2026-05-11
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 4 4 $11,742.42 $11,742.42 $4,320.72 $10,568.17 $7,339.01 2026-05-11
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 4 4 $11,517.05 $11,517.05 $4,606.65 $10,365.35 $7,198.16 2026-05-11
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 4 4 $11,333.75 $11,333.75 $2,859.30 $10,200.37 $7,083.59 2026-05-11
378 MS_DRG Gastrointestinal Hemorrhage With Cc 4 4 $10,858.90 $10,858.90 $4,797.27 $9,773.01 $6,786.82 2026-05-11
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 4 4 $10,658.10 $10,658.10 $5,083.20 $9,592.29 $6,661.32 2026-05-11
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 4 4 $10,656.44 $10,656.44 $3,113.46 $9,590.80 $6,660.27 2026-05-11
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 4 4 $10,418.55 $10,418.55 $3,081.69 $9,376.70 $6,511.59 2026-05-11
552 MS_DRG Medical Back Problems Without Mcc 4 4 $10,358.80 $10,358.80 $4,860.81 $9,322.92 $6,474.25 2026-05-11
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 4 4 $7,814.73 $7,814.73 $3,907.36 $7,033.25 $6,409.34 2026-05-11
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 4 4 $9,981.95 $9,981.95 $4,990.98 $8,983.76 $6,332.49 2026-05-11
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 4 4 $9,800.19 $9,800.19 $2,954.61 $8,820.17 $6,125.11 2026-05-11
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 4 4 $9,793.66 $9,793.66 $4,034.79 $8,814.29 $6,121.03 2026-05-11
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 4 4 $9,750.20 $9,750.20 $2,954.61 $8,775.18 $6,093.88 2026-05-11
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 4 4 $8,990.59 $8,990.59 $4,495.30 $8,091.53 $6,087.81 2026-05-11
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 4 4 $9,668.55 $9,668.55 $4,193.64 $8,701.69 $6,042.84 2026-05-11
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 4 4 $9,647.49 $9,647.49 $2,827.53 $8,682.74 $6,029.68 2026-05-11
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 4 4 $9,186.50 $9,186.50 $4,593.25 $8,267.85 $5,780.03 2026-05-11
305 MS_DRG Hypertension Without Mcc 4 4 $9,136.08 $9,136.08 $3,653.55 $8,222.47 $5,710.05 2026-05-11
812 MS_DRG Red Blood Cell Disorders Without Mcc 4 4 $9,095.96 $9,095.96 $4,161.87 $8,186.36 $5,684.98 2026-05-11
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 4 4 $6,751.37 $6,751.37 $3,375.68 $6,076.23 $5,518.14 2026-05-11
293 MS_DRG Heart Failure And Shock Without Cc/mcc 4 4 $8,610.97 $8,610.97 $2,668.68 $7,749.88 $5,381.86 2026-05-11
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 4 4 $8,558.99 $8,558.99 $2,668.68 $7,703.09 $5,349.38 2026-05-11
201 MS_DRG Pneumothorax Without Cc/mcc 4 4 $8,550.25 $8,550.25 $2,763.99 $7,695.23 $5,343.91 2026-05-11
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 4 4 $7,381.20 $7,381.20 $3,690.60 $6,643.08 $5,277.78 2026-05-11
607 MS_DRG Minor Skin Disorders Without Mcc 4 4 $8,225.60 $8,225.60 $4,112.80 $7,403.04 $5,213.19 2026-05-11
314 MS_DRG Other Circulatory System Diagnoses With Mcc 4 4 $5,781.90 $5,781.90 $2,890.95 $5,781.90 $4,770.07 2026-05-11
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 4 4 $7,493.90 $7,493.90 $3,018.15 $6,744.51 $4,683.69 2026-05-11
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 4 4 $5,616.00 $5,616.00 $2,808.00 $5,616.00 $4,633.20 2026-05-11
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 4 4 $7,154.03 $7,154.03 $3,462.93 $6,438.62 $4,471.27 2026-05-11
755 MS_DRG Malignancy, Female Reproductive System With Cc 4 4 $6,910.30 $6,910.30 $3,049.92 $6,219.27 $4,318.94 2026-05-11
101 MS_DRG Seizures Without Mcc 4 4 $5,769.90 $5,769.90 $2,884.95 $5,192.91 $4,022.26 2026-05-11
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 4 4 $4,245.35 $4,245.35 $2,122.68 $3,820.82 $2,958.11 2026-05-11
593 MS_DRG Skin Ulcers With Cc 5 5 $102,071.40 $102,071.40 $5,559.75 $234,861.80 $76,553.55 2026-05-11
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 5 5 $50,494.40 $50,494.40 $3,590.01 $101,755.40 $37,870.80 2026-05-11
999 MS_DRG Ungroupable 5 5 $41,859.82 $41,859.82 $10,464.95 $108,255.02 $31,394.86 2026-05-11
947 MS_DRG Signs And Symptoms With Mcc 5 5 $36,957.62 $36,957.62 $7,529.49 $95,053.42 $27,718.21 2026-05-11
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 5 5 $36,732.60 $36,732.60 $3,049.92 $86,529.00 $27,549.45 2026-05-11
540 MS_DRG Osteomyelitis With Cc 5 5 $36,166.00 $36,166.00 $7,942.50 $81,812.70 $27,124.50 2026-05-11
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 5 5 $29,779.26 $29,779.26 $8,609.67 $68,799.88 $22,214.92 2026-05-11
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 5 5 $29,279.20 $29,279.20 $3,971.25 $66,626.50 $21,959.40 2026-05-11
398 MS_DRG Appendix Procedures With Cc 5 5 $26,444.30 $26,444.30 $4,543.11 $59,641.90 $19,833.23 2026-05-11
948 MS_DRG Signs And Symptoms Without Mcc 5 5 $25,059.01 $25,059.01 $7,116.48 $66,556.01 $18,794.26 2026-05-11
185 MS_DRG Major Chest Trauma Without Cc/mcc 5 5 $24,614.15 $24,614.15 $3,049.92 $66,111.15 $18,460.61 2026-05-11
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 5 5 $24,192.70 $24,192.70 $5,496.21 $57,390.30 $18,144.53 2026-05-11
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 5 5 $22,454.40 $22,454.40 $7,243.56 $47,352.60 $16,840.80 2026-05-11
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 5 5 $21,656.34 $21,656.34 $5,464.44 $46,554.54 $16,242.26 2026-05-11
533 MS_DRG Fractures Of Femur With Mcc 5 5 $20,969.90 $20,969.90 $9,594.54 $50,017.80 $15,727.43 2026-05-11
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 5 5 $20,484.35 $20,484.35 $6,925.86 $41,232.85 $15,363.26 2026-05-11
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 5 5 $19,595.11 $19,595.11 $4,701.96 $40,343.61 $14,696.34 2026-05-11
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 5 5 $16,867.80 $16,867.80 $4,320.72 $37,616.30 $12,650.85 2026-05-11
389 MS_DRG Gastrointestinal Obstruction With Cc 5 5 $16,035.96 $16,035.96 $4,352.49 $32,634.76 $12,026.97 2026-05-11
180 MS_DRG Respiratory Neoplasms With Mcc 5 5 $15,760.30 $15,760.30 $7,880.15 $32,359.10 $11,820.23 2026-05-11
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 5 5 $14,527.40 $14,527.40 $4,956.12 $35,275.90 $10,895.55 2026-05-11
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 5 5 $14,487.70 $14,487.70 $7,243.85 $31,086.50 $10,865.77 2026-05-11
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 5 5 $13,734.68 $13,734.68 $5,083.20 $30,333.48 $10,301.01 2026-05-11
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 5 5 $13,451.74 $13,451.74 $4,098.33 $30,050.54 $10,088.81 2026-05-11
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 5 5 $11,913.77 $11,913.77 $3,494.70 $24,362.87 $8,935.33 2026-05-11
866 MS_DRG Viral Illness Without Mcc 5 5 $11,618.80 $11,618.80 $3,462.93 $28,217.60 $8,714.10 2026-05-11
546 MS_DRG Connective Tissue Disorders With Cc 5 5 $11,605.50 $11,605.50 $5,802.75 $24,054.60 $8,704.13 2026-05-11
683 MS_DRG Renal Failure With Cc 5 5 $10,539.37 $10,539.37 $4,098.33 $22,988.47 $7,904.53 2026-05-11
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 5 5 $10,432.31 $10,432.31 $4,670.19 $22,881.41 $7,824.23 2026-05-11
644 MS_DRG Endocrine Disorders With Cc 5 5 $10,409.25 $10,409.25 $4,447.80 $22,858.35 $7,806.94 2026-05-11
884 MS_DRG Organic Disturbances And Intellectual Disability 5 5 $9,069.28 $9,069.28 $4,534.64 $21,518.38 $6,801.96 2026-05-11
315 MS_DRG Other Circulatory System Diagnoses With Cc 5 5 $7,619.35 $7,619.35 $3,809.68 $15,918.75 $5,714.51 2026-05-11
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 5 5 $6,069.60 $6,069.60 $3,034.80 $14,369.00 $5,462.64 2026-05-11
596 MS_DRG Major Skin Disorders Without Mcc 5 5 $6,995.00 $6,995.00 $3,497.50 $15,294.40 $5,246.25 2026-05-11
445 MS_DRG Disorders Of The Biliary Tract With Cc 5 5 $6,517.70 $6,517.70 $3,258.85 $14,817.10 $4,888.28 2026-05-11
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 5 5 $5,973.78 $5,973.78 $2,986.89 $14,273.18 $4,480.34 2026-05-11
149 MS_DRG Dysequilibrium 5 5 $5,251.95 $5,251.95 $2,192.13 $13,551.35 $3,938.96 2026-05-11
793 MS_DRG Full Term Neonate With Major Problems 5 5 $4,978.48 $4,978.48 $2,489.24 $13,277.88 $3,733.86 2026-05-11
181 MS_DRG Respiratory Neoplasms With Cc 5 5 $3,378.60 $3,378.60 $1,689.30 $7,528.30 $3,040.74 2026-05-11
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 5 5 $3,954.25 $3,954.25 $1,977.13 $8,092.20 $2,965.69 2026-05-11
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 5 5 $3,912.05 $3,912.05 $1,956.03 $8,061.75 $2,934.04 2026-05-11
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 6 6 $29,145.83 $29,145.83 $4,924.35 $78,942.23 $24,045.31 2026-05-11
184 MS_DRG Major Chest Trauma With Cc 6 6 $16,640.70 $16,640.70 $4,098.33 $45,688.60 $13,728.58 2026-05-11
951 MS_DRG Other Factors Influencing Health Status 6 6 $14,525.40 $14,525.40 $3,939.48 $39,423.60 $11,983.45 2026-05-11
792 MS_DRG Prematurity Without Major Problems 6 6 $4,105.00 $4,105.00 $1,026.25 $8,987.00 $3,386.62 2026-05-11
794 MS_DRG Neonate With Other Significant Problems 6 6 $3,969.01 $3,969.01 $1,239.03 $8,851.01 $3,274.44 2026-05-11
C1605 HCPCS Pacemaker, Leadless, Dual Chamber (right Atrial And Right Ventricular Implantabl… 10 10 $70,524.25 $70,524.25 $24,627.07 $70,524.25 $37,377.86 2026-05-11
J3357 HCPCS Ustekinumab, For Subcutaneous Injection, 1 Mg 10 10 $81,911.00 $81,911.00 $182.21 $81,911.00 $29,487.96 2026-05-11
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 10 10 $50,536.75 $50,536.75 $17,647.43 $50,536.75 $26,784.48 2026-05-11
C1735 HCPCS Catheter(s), Intravascular For Renal Denervation, Radiofrequency, Including All … 10 10 $46,302.50 $46,302.50 $16,168.83 $46,302.50 $22,503.01 2026-05-11
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 40 10 $37,365.88 $37,365.88 $11,675.15 $49,147.75 $20,548.49 2026-05-11
33249 HCPCS Insertion Of Implantable Defibrillator System 15 10 $54,631.50 $54,631.50 $686.06 $54,631.50 $19,667.34 2026-05-11
0238T HCPCS Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open … 12 10 $38,000.00 $38,000.00 $8,550.00 $38,000.00 $18,468.00 2026-05-11
33264 HCPCS Removal And Replacement Of Multiple Lead Defibrillator 15 10 $43,144.50 $43,144.50 $230.99 $43,144.50 $15,532.02 2026-05-11
33228 HCPCS Removal And Replacement Of Dual Lead Permanent Pacemaker 15 10 $35,000.00 $35,000.00 $203.13 $35,000.00 $12,600.00 2026-05-11
C2621 HCPCS Pacemaker, Other Than Single Or Dual Chamber (implantable) 30 10 $20,112.25 $20,112.25 $6,610.09 $29,921.50 $12,011.11 2026-05-11
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 10 10 $30,354.10 $30,354.10 $24.74 $30,354.10 $10,927.48 2026-05-11
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 10 10 $28,798.00 $28,798.00 $68.69 $28,798.00 $10,367.28 2026-05-11
J3101 HCPCS Injection, Tenecteplase, 1 Mg 10 10 $25,622.30 $25,622.30 $198.50 $25,622.30 $9,224.03 2026-05-11
33227 HCPCS Removal And Replacement Of Single Lead Permanent Pacemaker 15 10 $24,000.00 $24,000.00 $194.49 $24,000.00 $8,640.00 2026-05-11
J3590 HCPCS Unclassified Biologics 10 10 $15,584.60 $15,584.60 $5,442.14 $15,584.60 $7,574.12 2026-05-11
Q4113 HCPCS Graftjacket Xpress, Injectable, 1 Cc 10 10 $12,775.75 $12,775.75 $4,461.29 $12,775.75 $6,771.15 2026-05-11
00412538_1 CDM Resurface 15mm Artic Component 10 10 $18,647.50 $18,647.50 $4,661.88 $16,782.75 $6,713.10 2026-05-11
33208 HCPCS Insertion Of Pacemaker And Upper And Lower Heart Chamber Electrode 15 10 $18,301.50 $18,301.50 $392.11 $18,301.50 $6,588.54 2026-05-11
C9767 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 11 10 $18,287.20 $18,287.20 $370.11 $18,287.20 $6,583.39 2026-05-11
J0517 HCPCS Injection, Benralizumab, 1 Mg 10 10 $17,601.00 $17,601.00 $190.88 $17,601.00 $6,336.36 2026-05-11
33207 HCPCS Insertion Of Pacemaker And Lower Heart Chamber Electrode 15 10 $17,595.90 $17,595.90 $363.17 $17,595.90 $6,334.52 2026-05-11
0338T HCPCS Destruction Of Nerves Of Arteries Of Both Kidneys Accessed Through The Skin With… 10 10 $12,920.00 $12,920.00 $4,511.66 $12,920.00 $6,279.12 2026-05-11
37227 HCPCS Removal Of Plaque And Insertion Of Stents In Arteries Of Leg 12 10 $17,287.20 $17,287.20 $350.61 $17,287.20 $6,274.49 2026-05-11
C9765 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 11 10 $17,195.70 $17,195.70 $270.87 $17,195.70 $6,190.45 2026-05-11
C9775 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 12 10 $16,920.00 $16,920.00 $330.00 $16,920.00 $6,091.20 2026-05-11
C1786 HCPCS Pacemaker, Single Chamber, Rate-responsive (implantable) 60 10 $10,186.75 $10,186.75 $606.30 $41,082.00 $6,074.74 2026-05-11
C9766 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 11 10 $16,708.00 $16,708.00 $293.55 $16,708.00 $6,014.88 2026-05-11
04423619_1 CDM Ureteral Dil Implant 10 10 $16,624.00 $16,624.00 $4,156.00 $14,961.60 $5,984.64 2026-05-11
33229 HCPCS Removal And Replacement Of Multiple Lead Permanent Pacemaker 15 10 $16,493.00 $16,493.00 $213.61 $21,486.56 $5,937.48 2026-05-11
00404938_1 CDM Total Knee Depuy Supplies 10 10 $16,484.50 $16,484.50 $4,121.13 $14,836.05 $5,934.42 2026-05-11
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 10 10 $15,661.00 $15,661.00 $5,468.82 $15,661.00 $5,916.91 2026-05-11
37236 HCPCS Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra… 15 10 $16,243.50 $16,243.50 $336.02 $16,243.50 $5,847.66 2026-05-11
37221 HCPCS Insertion Of Stent In Groin Artery, Initial Vessel 12 10 $16,195.70 $16,195.70 $251.37 $16,195.70 $5,830.45 2026-05-11
37226 HCPCS Insertion Of Stent In Arteries Of Leg 12 10 $16,195.70 $16,195.70 $251.37 $16,195.70 $5,830.45 2026-05-11
00567568_1 CDM Suture Roticulator 55-4.8 55-4.8 10 10 $16,088.00 $16,088.00 $4,022.00 $14,479.20 $5,791.68 2026-05-11
C9774 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 12 10 $15,920.00 $15,920.00 $310.50 $15,920.00 $5,731.20 2026-05-11
00404828_1 CDM Nail 11mm 130 Deg Ti Cann Troch Left 300 10 10 $15,845.75 $15,845.75 $3,961.44 $14,261.18 $5,704.47 2026-05-11
A4264 HCPCS Permanent Implantable Contraceptive Intratubal Occlusion Device(s) And Delivery … 10 10 $10,743.25 $10,743.25 $3,751.54 $10,743.25 $5,693.93 2026-05-11
C9773 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(i… 12 10 $15,770.00 $15,770.00 $307.50 $15,770.00 $5,677.20 2026-05-11
37230 HCPCS Insertion Of Stent In Artery Of Leg, Initial Vessel 12 10 $15,770.00 $15,770.00 $307.50 $15,770.00 $5,677.20 2026-05-11
33213 HCPCS Insertion Of Pacemaker Pulse Generator With Existing Dual Leads 15 10 $15,708.00 $15,708.00 $260.95 $16,966.84 $5,654.88 2026-05-11
77432 HCPCS Management Of Complete Single Session Course Of Stereotactic Radiation Treatment… 10 10 $11,537.90 $11,537.90 $4,029.03 $11,537.90 $5,607.41 2026-05-11
C1785 HCPCS Pacemaker, Dual Chamber, Rate-responsive (implantable) 30 10 $10,681.25 $10,681.25 $3,579.91 $10,966.75 $5,562.13 2026-05-11
C9772 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 12 10 $15,062.40 $15,062.40 $292.38 $15,062.40 $5,422.46 2026-05-11
00415038_1 CDM Bone Matrix Cellular V92 2.5cc 10 10 $15,057.00 $15,057.00 $3,764.25 $13,551.30 $5,420.52 2026-05-11
37225 HCPCS Removal Of Plaque In Arteries Of Leg 23 10 $5,958.80 $5,958.80 $214.20 $15,708.00 $5,362.92 2026-05-11
0795T HCPCS Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker Using Fluor… 10 10 $10,946.25 $10,946.25 $3,822.43 $10,946.25 $5,319.88 2026-05-11
0823T HCPCS Insertion Of Permanent Single-chamber Leadless Pacemaker For Pacing The Right Up… 10 10 $10,672.50 $10,672.50 $3,726.84 $10,672.50 $5,186.84 2026-05-11
37228 HCPCS Balloon Dilation Of Artery Of Leg, Initial Vessel 12 10 $14,062.40 $14,062.40 $272.88 $14,062.40 $5,062.46 2026-05-11
C1764 HCPCS Event Recorder, Cardiac (implantable) 28 10 $13,312.00 $13,312.00 $4,208.12 $14,018.25 $5,046.57 2026-05-11
C1714 HCPCS Catheter, Transluminal Atherectomy, Directional 11 10 $8,202.75 $8,202.75 $2,864.40 $8,202.75 $5,020.08 2026-05-11
0339T HCPCS Destruction Of Nerves Of Arteries Of One Kidney Accessed Through The Skin With F… 12 10 $13,890.00 $13,890.00 $222.00 $13,890.00 $5,000.40 2026-05-11
00417118_1 CDM Billing Ob00019655 10 10 $13,361.75 $13,361.75 $3,340.44 $12,025.58 $4,810.23 2026-05-11
00424269_1 CDM Cerament G 5 Ml 10 10 $13,333.75 $13,333.75 $3,333.44 $12,000.38 $4,800.15 2026-05-11
J0565 HCPCS Injection, Bezlotoxumab, 10 Mg 10 10 $13,308.20 $13,308.20 $46.76 $13,308.20 $4,790.95 2026-05-11
00411948_1 CDM Norian Drillableinject 5cc Sterile 10 10 $13,281.75 $13,281.75 $3,320.44 $11,953.58 $4,781.43 2026-05-11
37246 HCPCS Balloon Dilation Of Artery With Review By Radiologist, Initial Artery 15 10 $12,920.30 $12,920.30 $268.56 $12,920.30 $4,651.31 2026-05-11
Q4106 HCPCS Dermagraft, Per Square Centimeter 30 10 $9,441.75 $9,441.75 $65.30 $23,924.75 $4,588.69 2026-05-11
00417108_1 CDM Bone Matrix Beast 100 5cc Dbm 10 10 $12,647.75 $12,647.75 $3,161.94 $11,382.98 $4,553.19 2026-05-11
C1895 HCPCS Lead, Cardioverter-defibrillator, Endocardial Dual Coil (implantable) 10 10 $8,517.75 $8,517.75 $2,974.40 $8,517.75 $4,514.41 2026-05-11
00402138_1 CDM Total Knee Custom Instrumentation Depuy 10 10 $12,525.00 $12,525.00 $3,131.25 $11,272.50 $4,509.00 2026-05-11
C1777 HCPCS Lead, Cardioverter-defibrillator, Endocardial Single Coil (implantable) 10 10 $8,470.00 $8,470.00 $2,957.72 $8,470.00 $4,489.10 2026-05-11
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 10 10 $9,029.50 $9,029.50 $3,153.10 $18,096.04 $4,388.34 2026-05-11
33210 HCPCS Insertion Of Temporary Pacemaker Lead In Single Heart Chamber 15 10 $11,665.50 $11,665.50 $121.56 $11,665.50 $4,199.58 2026-05-11
00500908_1 CDM Laser Rental Charge 10 10 $11,487.90 $11,487.90 $2,871.98 $10,339.11 $4,135.64 2026-05-11
77301 HCPCS High Precision Radiation Therapy Planning 10 10 $8,494.70 $8,494.70 $2,966.35 $8,494.70 $4,128.43 2026-05-11
93461 HCPCS Insertion Of Tube In Right And Left Heart Chambers, Coronary Artery, And Bypass … 15 10 $11,077.50 $11,077.50 $349.47 $11,077.50 $3,987.90 2026-05-11
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 10 10 $10,842.30 $10,842.30 $2,080.29 $10,842.30 $3,903.23 2026-05-11
04423684_1 CDM Internal Sphincter A 10 10 $10,566.00 $10,566.00 $2,641.50 $9,509.40 $3,803.76 2026-05-11
04423692_1 CDM Internal Sphincter B 10 10 $10,286.00 $10,286.00 $2,571.50 $9,257.40 $3,702.96 2026-05-11
00424402_1 CDM Amnion Thin 4 X 8 10 10 $10,202.00 $10,202.00 $2,550.50 $9,181.80 $3,672.72 2026-05-11
0201T HCPCS Injections Of Both Sides Of Sacrum For Enlargement, 2 Or More Needles, Accessed … 10 10 $7,541.10 $7,541.10 $2,633.35 $7,541.10 $3,664.97 2026-05-11
03805005_1 CDM Operating Room Services - General Classification 10 10 $10,169.60 $10,169.60 $2,542.40 $9,152.64 $3,661.06 2026-05-11
C9764 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 11 10 $10,061.50 $10,061.50 $353.40 $13,466.92 $3,622.14 2026-05-11
93460 HCPCS Insertion Of Tube In Right And Left Heart Chambers And Coronary Artery For Diagn… 15 10 $9,999.70 $9,999.70 $316.45 $9,999.70 $3,599.89 2026-05-11
93457 HCPCS Insertion Of Tube In Right Heart Chambers, Coronary Artery, And Bypass Graft For… 15 10 $9,754.50 $9,754.50 $296.46 $9,754.50 $3,511.62 2026-05-11
92941 HCPCS Removal Of Plaque And Blood Clot, Insertion Of Stent And/or Balloon Dilation Of … 15 10 $9,720.00 $9,720.00 $453.61 $9,720.00 $3,499.20 2026-05-11
J2182 HCPCS Injection, Mepolizumab, 1 Mg 10 10 $9,664.10 $9,664.10 $37.00 $9,664.10 $3,479.08 2026-05-11
93459 HCPCS Insertion Of Tube In Left Lower Heart Chamber, Coronary Artery And Bypass Graft … 15 10 $9,481.50 $9,481.50 $283.20 $9,481.50 $3,413.34 2026-05-11
J2357 HCPCS Injection, Omalizumab, 5 Mg 19 10 $4,214.10 $4,214.10 $49.03 $9,479.50 $3,412.62 2026-05-11
04404056_1 CDM Pacemaker Programabl 10 10 $9,248.00 $9,248.00 $2,312.00 $8,323.20 $3,329.28 2026-05-11
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 10 10 $9,216.00 $9,216.00 $14.04 $9,216.00 $3,317.76 2026-05-11
37224 HCPCS Balloon Dilation Of Artery Of Leg 12 10 $9,061.50 $9,061.50 $333.90 $9,061.50 $3,262.14 2026-05-11
37220 HCPCS Balloon Dilation Of Groin Artery, Initial Vessel 12 10 $9,061.50 $9,061.50 $333.90 $9,061.50 $3,262.14 2026-05-11
92937 HCPCS Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary… 15 10 $9,024.80 $9,024.80 $404.38 $9,024.80 $3,248.93 2026-05-11
93456 HCPCS Insertion Of Tube In Right Heart Chambers And Coronary Artery For Diagnosis With… 15 10 $8,883.00 $8,883.00 $263.60 $8,883.00 $3,197.88 2026-05-11
C1762 HCPCS Connective Tissue, Human (includes Fascia Lata) 30 10 $6,746.50 $6,746.50 $622.36 $11,062.50 $3,145.89 2026-05-11
93458 HCPCS Insertion Of Tube In Left Lower Heart Chamber And Coronary Artery For Diagnosis … 15 10 $8,654.60 $8,654.60 $249.61 $8,654.60 $3,115.66 2026-05-11
93455 HCPCS Insertion Of Tube In Bypass Graft For Diagnosis With Review By Radiologist 15 10 $8,489.30 $8,489.30 $236.14 $8,489.30 $3,056.15 2026-05-11
00412788_1 CDM Drill Bit 16mm Cannulated Flex 10 10 $8,468.00 $8,468.00 $2,117.00 $7,621.20 $3,048.48 2026-05-11
Q4107 HCPCS Graftjacket, Per Square Centimeter 46 10 $4,980.00 $4,980.00 $85.46 $9,995.25 $3,019.68 2026-05-11
03807006_1 CDM Operating Room Services - General Classification 10 10 $8,345.50 $8,345.50 $2,086.38 $7,510.95 $3,004.38 2026-05-11
00424375_1 CDM Amnion Thin 4 X 6 10 10 $8,285.00 $8,285.00 $2,071.25 $7,456.50 $2,982.60 2026-05-11
00422751_1 CDM Biosync Antomic Cotton Wedge 20x7.5mm 10 10 $8,258.25 $8,258.25 $2,064.56 $7,432.43 $2,972.97 2026-05-11
37213 HCPCS Insertion Of Tube Into Artery Or Vein For Drug Infusion For Blood Clot With Revi… 15 10 $8,232.00 $8,232.00 $150.28 $8,232.00 $2,963.52 2026-05-11
37237 HCPCS Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra… 15 10 $8,120.00 $8,120.00 $161.13 $8,120.00 $2,923.20 2026-05-11
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