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

WHITESBURG ARH HOSPITAL

Whitesburg, KY · CCN 180002 · Rates published

1,799 distinct procedures filed
18 distinct payers
109,720 rate rows
2026-01-01 last MRF observed
Data quality

108,288 of 109,720 rate rows are consumer-grade (98.7%)

1,432 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,340
placeholder amount (≤ $0.02) — excluded from medians 68
percent-of-charges filed in the dollar field — excluded from medians 16
per-diem day rate — not a per-procedure price 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.arh.org/wp-content/uploads/2026/03/520795508_Whitesburg-ARH-Hospital_standardcharges.csv
Found on page https://www.arh.org/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 498ddb8e12e54356… · 18,408,150 bytes · first seen 2026-05-09

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
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $39,876.89 $100,288.30 $59,695.42 nat. median
$66,526
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 14 $39,551.11 $93,365.72 $55,574.83 nat. median
$62,134
0.9× median
834
MS_DRG 		Acute Leukemia With Mcc 14 $32,056.55 $79,656.93 $47,414.84 nat. median
$53,172
0.9× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 14 $29,079.34 $72,365.79 $43,074.88 nat. median
$48,178
0.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 $28,623.03 $71,657.72 $42,653.40 nat. median
$48,170
0.9× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 $27,140.72 $68,076.72 $40,521.86 nat. median
$46,084
0.9× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 14 $25,860.52 $66,693.94 $39,698.78 nat. median
$44,810
0.9× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 14 $24,497.30 $63,738.31 $37,939.47 nat. median
$42,444
0.9× median
793
MS_DRG 		Full Term Neonate With Major Problems 14 $24,099.96 $60,499.74 $36,011.75 nat. median
$34,190
1.1× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 14 $20,468.33 $51,812.77 $30,840.93 nat. median
$35,058
0.9× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 $22,659.44 $50,601.21 $30,119.77 nat. median
$35,856
0.8× median
J1303
HCPCS 		Ultomiris 1100mg/11ml 17 $225.11 $133,622.40 $29,938.10 nat. median
$4,664
outlier · 6.4×
264
MS_DRG 		Other Circulatory System O.r. Procedures 14 $18,699.18 $48,471.18 $28,851.89 nat. median
$33,061
0.9× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 $19,135.46 $46,989.74 $27,970.08 nat. median
$31,571
0.9× median
500
MS_DRG 		Soft Tissue Procedures With Mcc 14 $18,566.35 $45,920.37 $27,333.55 nat. median
$31,070
0.9× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 14 $17,184.24 $45,193.43 $26,900.85 nat. median
$30,262
0.9× median
570
MS_DRG 		Skin Debridement With Mcc 14 $16,730.78 $42,674.55 $25,401.52 nat. median
$29,069
0.9× median
J2350
HCPCS 		Ocrevus 300mg/10ml Injection 17 $59.41 $83,974.35 $24,379.65 nat. median
$683
outlier · 35.7×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 14 $15,480.36 $39,882.88 $23,739.81 nat. median
$26,748
0.9× median
J9333
HCPCS 		Rystiggo 280 Mg/2 Ml Vial 17 $23.16 $74,832.45 $23,334.85 nat. median
$46
outlier · 503.2×
253
MS_DRG 		Other Vascular Procedures With Cc 14 $14,606.09 $37,661.44 $22,417.52 nat. median
$26,079
0.9× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 14 $14,233.36 $35,672.15 $21,233.43 nat. median
$24,493
0.9× median
783
MS_DRG 		Cesarean Section With Sterilization With Mcc 14 $10,144.28 $35,622.82 $21,204.06 nat. median
$19,234
1.1× median
792
MS_DRG 		Prematurity Without Major Problems 14 $14,156.07 $35,537.21 $21,153.10 nat. median
$20,884
1.0× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 14 $13,581.24 $34,782.71 $20,703.99 nat. median
$24,346
0.9× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 14 $13,270.35 $34,626.00 $20,610.72 nat. median
$23,829
0.9× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 14 $13,706.62 $33,707.54 $20,064.01 nat. median
$22,361
0.9× median
J2329
HCPCS 		Briumvi 150 Mg Vial 17 $70.75 $65,245.08 $18,942.12 nat. median
$169
outlier · 112.1×
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 14 $12,955.45 $31,613.78 $18,817.73 nat. median
$22,198
0.8× median
814
MS_DRG 		Reticuloendothelial And Immunity Disorders With Mcc 14 $12,184.24 $30,857.83 $18,367.75 nat. median
$20,887
0.9× median
867
MS_DRG 		Other Infectious And Parasitic Diseases Diagnoses With Mcc 14 $11,979.27 $30,371.75 $18,078.42 nat. median
$21,263
0.9× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 14 $11,986.14 $30,255.67 $18,009.33 nat. median
$20,752
0.9× median
516
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 14 $11,684.41 $30,152.66 $17,948.01 nat. median
$21,082
0.9× median
941
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 14 $10,626.36 $29,421.37 $17,512.72 nat. median
$19,877
0.9× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 14 $11,467.99 $29,179.05 $17,368.48 nat. median
$20,254
0.9× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 14 $11,669.52 $28,991.88 $17,257.07 nat. median
$20,421
0.8× median
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 14 $11,474.29 $28,949.80 $17,232.02 nat. median
$20,396
0.8× median
539
MS_DRG 		Osteomyelitis With Mcc 14 $11,361.50 $28,579.80 $17,011.79 nat. median
$19,718
0.9× median
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 14 $10,969.88 $28,558.04 $16,998.83 nat. median
$19,681
0.9× median
380
MS_DRG 		Complicated Peptic Ulcer With Mcc 14 $11,155.96 $28,470.98 $16,947.01 nat. median
$19,314
0.9× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 14 $11,351.19 $28,185.14 $16,776.87 nat. median
$19,634
0.9× median
100
MS_DRG 		Seizures With Mcc 14 $11,350.62 $28,102.43 $16,727.64 nat. median
$19,360
0.9× median
J2327
HCPCS 		Skyrizi 600mg/10ml 17 $14.94 $57,331.71 $16,644.69 nat. median
$2,241
outlier · 7.4×
717
MS_DRG 		Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 14 $10,384.17 $27,430.63 $16,327.76 nat. median
$19,014
0.9× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 $11,362.07 $27,137.54 $16,153.29 nat. median
$19,472
0.8× median
504
MS_DRG 		Foot Procedures With Cc 14 $9,888.35 $27,121.57 $16,143.79 nat. median
$18,582
0.9× median
742
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 14 $10,202.10 $26,622.44 $15,846.69 nat. median
$18,899
0.8× median
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 14 $10,250.20 $26,523.77 $15,787.96 nat. median
$18,249
0.9× median
686
MS_DRG 		Kidney And Urinary Tract Neoplasms With Mcc 14 $10,531.31 $26,171.19 $15,578.09 nat. median
$18,574
0.8× median
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 14 $10,419.10 $26,166.83 $15,575.50 nat. median
$18,895
0.8× median

Other procedures at this hospital

Browse this hospital's 1,799 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
             
0120 RC — 4 2 $2,310.00 $1,386.00 40% off $2,148.30 $2,148.30 $2,148.30 2026-01-01
0122 RC — 4 2 $2,310.00 $1,386.00 40% off $2,148.30 $2,148.30 $2,148.30 2026-01-01
0160 RC — 4 2 $1,323.00 $793.80 40% off $1,230.39 $1,230.39 $1,230.39 2026-01-01
0170 RC — 8 2 $2,062.50 $1,237.50 40% off $1,169.94 $2,666.31 $1,918.12 2026-01-01
0200 RC — 4 2 $5,070.00 $3,042.00 40% off $4,715.10 $4,715.10 $4,715.10 2026-01-01
0450 RC — 44 17 $2,520.00 $1,512.00 40% off $411.26 $2,343.60 $1,377.43 2026-01-01
100 MS_DRG Seizures With Mcc 34 14 — — $11,350.62 $28,102.43 $16,727.64 2026-01-01
101 MS_DRG Seizures Without Mcc 34 14 — — $5,207.83 $13,096.48 $7,795.52 2026-01-01
153 MS_DRG Otitis Media And Uri Without Mcc 34 14 — — $4,207.03 $10,711.08 $6,375.64 2026-01-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 34 14 — — $8,806.82 $22,685.95 $13,503.54 2026-01-01
158 MS_DRG Dental And Oral Diseases With Cc 34 14 — — $5,373.29 $13,200.95 $7,857.71 2026-01-01
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 34 14 — — $3,865.79 $10,280.14 $6,119.13 2026-01-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 34 14 — — $10,419.10 $26,166.83 $15,575.50 2026-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 34 14 — — $8,032.75 $19,930.56 $11,863.43 2026-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 34 14 — — $9,712.58 $22,674.34 $13,496.63 2026-01-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 34 14 — — $5,649.26 $14,161.49 $8,429.46 2026-01-01
186 MS_DRG Pleural Effusion With Mcc 34 14 — — $8,886.40 $22,613.40 $13,460.36 2026-01-01
187 MS_DRG Pleural Effusion With Cc 34 14 — — $5,704.22 $14,351.57 $8,542.60 2026-01-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 34 14 — — $7,053.70 $17,925.31 $10,669.83 2026-01-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 34 14 — — $6,309.40 $16,072.42 $9,566.92 2026-01-01
19083 CPT US Bx Breast 1st Les Lt 88 17 $5,673.00 $3,403.80 40% off $860.32 $5,275.89 $1,669.85 2026-01-01
19084 CPT US Bx Breast Ea Ad Les Lt 88 17 $2,839.00 $1,703.40 40% off $463.32 $9,359.00 $1,627.60 2026-01-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 34 14 — — $4,860.87 $12,231.70 $7,280.77 2026-01-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 34 14 — — $7,595.32 $19,071.58 $11,352.13 2026-01-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 34 14 — — $4,707.43 $11,693.39 $6,960.35 2026-01-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 34 14 — — $3,581.81 $9,119.36 $5,428.19 2026-01-01
199 MS_DRG Pneumothorax With Mcc 34 14 — — $10,157.44 $25,596.60 $15,236.07 2026-01-01
200 MS_DRG Pneumothorax With Cc 34 14 — — $6,166.26 $15,950.54 $9,494.37 2026-01-01
202 MS_DRG Bronchitis And Asthma With Cc/mcc 34 14 — — $5,482.08 $14,091.84 $8,388.00 2026-01-01
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 34 14 — — $3,978.59 $9,721.51 $5,786.62 2026-01-01
204 MS_DRG Respiratory Signs And Symptoms 34 14 — — $4,711.44 $11,715.15 $6,973.30 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 34 14 — — $39,551.11 $93,365.72 $55,574.83 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 34 14 — — $15,480.36 $39,882.88 $23,739.81 2026-01-01
23605 CPT Cls Tx Prox Hum Fx W/man Rt 44 17 $5,671.00 $3,402.60 40% off $849.79 $5,274.03 $1,669.26 2026-01-01
23655 CPT Cls Tx Dslc Shld W/man W/m Rt 44 17 $4,232.00 $2,539.20 40% off $690.66 $3,935.76 $1,245.69 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 34 14 — — $14,606.09 $37,661.44 $22,417.52 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 34 14 — — $18,699.18 $48,471.18 $28,851.89 2026-01-01
26775 CPT Cls Tx Fngr Dsl W/man W/an F3 176 17 $4,232.00 $2,539.20 40% off $141.02 $3,935.76 $1,245.69 2026-01-01
27752 CPT Cls Tx Tibial Shft Fx W/man Lt 88 17 $5,671.00 $3,402.60 40% off $849.79 $5,274.03 $1,669.26 2026-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 34 14 — — $9,083.36 $23,275.05 $13,854.19 2026-01-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 34 14 — — $5,227.30 $13,335.89 $7,938.03 2026-01-01
28190 CPT Rmv Fb Foot Simp Bil 88 17 $3,469.50 $2,081.70 40% off $373.60 $4,302.18 $1,341.54 2026-01-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 34 14 — — $4,111.41 $10,491.98 $6,245.23 2026-01-01
28665 CPT Cls Tx Toe Dslc W/anes T5 44 17 $4,232.00 $2,539.20 40% off $141.02 $3,935.76 $1,245.69 2026-01-01
291 MS_DRG Heart Failure And Shock With Mcc 34 14 — — $7,350.85 $18,627.58 $11,087.85 2026-01-01
292 MS_DRG Heart Failure And Shock With Cc 34 14 — — $4,903.81 $12,318.75 $7,332.59 2026-01-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 34 14 — — $9,024.39 $23,690.03 $14,101.21 2026-01-01
300 MS_DRG Peripheral Vascular Disorders With Cc 34 14 — — $6,109.01 $15,489.13 $9,219.72 2026-01-01
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 34 14 — — $4,063.89 $10,442.65 $6,215.86 2026-01-01
303 MS_DRG Atherosclerosis Without Mcc 34 14 — — $3,767.89 $9,767.95 $5,814.25 2026-01-01
304 MS_DRG Hypertension With Mcc 34 14 — — $6,578.49 $17,266.57 $10,277.72 2026-01-01
305 MS_DRG Hypertension Without Mcc 34 14 — — $4,314.09 $10,956.29 $6,521.60 2026-01-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 34 14 — — $6,883.08 $17,469.71 $10,398.63 2026-01-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 34 14 — — $4,263.71 $10,674.80 $6,354.05 2026-01-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 34 14 — — $3,166.15 $8,213.95 $4,889.26 2026-01-01
312 MS_DRG Syncope And Collapse 34 14 — — $4,943.89 $12,646.67 $7,527.78 2026-01-01
313 MS_DRG Chest Pain 34 14 — — $4,142.90 $10,447.00 $6,218.45 2026-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 34 14 — — $11,986.14 $30,255.67 $18,009.33 2026-01-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 34 14 — — $5,538.19 $13,977.22 $8,319.77 2026-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 34 14 — — $10,439.71 $25,580.64 $15,226.57 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 34 14 — — $29,079.34 $72,365.79 $43,074.88 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 34 14 — — $25,860.52 $66,693.94 $39,698.78 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 34 14 — — $13,581.24 $34,782.71 $20,703.99 2026-01-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 34 14 — — $9,572.88 $24,418.41 $14,534.77 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 34 14 — — $20,468.33 $51,812.77 $30,840.93 2026-01-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 34 14 — — $8,820.56 $21,832.78 $12,995.70 2026-01-01
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 34 14 — — $5,586.85 $12,632.17 $7,519.15 2026-01-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 34 14 — — $9,835.10 $24,411.16 $14,530.45 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 34 14 — — $24,497.30 $63,738.31 $37,939.47 2026-01-01
36410 CPT Midline Placement 44 17 $2,932.00 $1,759.20 40% off $478.50 $2,932.00 $1,680.91 2026-01-01
36556 CPT Insert Non-tunneled Cv Cath >5 44 17 $2,693.00 $1,615.80 40% off $439.50 $2,504.49 $1,671.28 2026-01-01
36557 CPT Ins Tnld Cv Cath < 5 Yrs Old 44 17 $3,989.00 $2,393.40 40% off $651.00 $3,709.77 $2,870.35 2026-01-01
36569 CPT Insert Picc Wo Imaging >/=5 74 17 $2,932.00 $1,759.20 40% off $463.49 $2,726.76 $1,759.20 2026-01-01
36573 CPT Insert Picc W Imaging >/=5 44 17 $4,163.00 $2,497.80 40% off $679.40 $3,871.59 $1,225.38 2026-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 34 14 — — $10,006.29 $25,727.19 $15,313.80 2026-01-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 34 14 — — $5,967.59 $14,814.43 $8,818.11 2026-01-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 34 14 — — $10,250.20 $26,523.77 $15,787.96 2026-01-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 34 14 — — $5,632.66 $14,229.69 $8,470.05 2026-01-01
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 34 14 — — $3,625.33 $9,146.93 $5,444.60 2026-01-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 34 14 — — $11,155.96 $28,470.98 $16,947.01 2026-01-01
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 34 14 — — $5,013.74 $12,402.91 $7,382.69 2026-01-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 34 14 — — $8,971.14 $22,958.74 $13,665.91 2026-01-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 34 14 — — $8,321.88 $21,427.96 $12,754.74 2026-01-01
389 MS_DRG Gastrointestinal Obstruction With Cc 34 14 — — $4,559.71 $11,459.78 $6,821.30 2026-01-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 34 14 — — $3,200.50 $7,893.29 $4,698.39 2026-01-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 34 14 — — $7,303.90 $18,402.68 $10,953.98 2026-01-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 34 14 — — $4,497.88 $11,311.78 $6,733.20 2026-01-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 34 14 — — $9,272.87 $23,205.40 $13,812.74 2026-01-01
394 MS_DRG Other Digestive System Diagnoses With Cc 34 14 — — $5,364.13 $13,576.75 $8,081.40 2026-01-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 34 14 — — $3,707.20 $9,416.81 $5,605.24 2026-01-01
398 MS_DRG Appendix Procedures With Cc 34 14 — — $8,664.26 $21,961.92 $13,072.57 2026-01-01
399 MS_DRG Appendix Procedures Without Cc/mcc 34 14 — — $6,372.95 $16,609.28 $9,886.48 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 34 14 — — $13,270.35 $34,626.00 $20,610.72 2026-01-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 34 14 — — $9,359.32 $24,544.65 $14,609.91 2026-01-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 34 14 — — $7,518.60 $19,817.38 $11,796.06 2026-01-01
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 34 14 — — $9,171.53 $21,768.94 $12,957.70 2026-01-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 34 14 — — $10,969.88 $28,558.04 $16,998.83 2026-01-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 34 14 — — $5,902.89 $15,325.17 $9,122.12 2026-01-01
43632 CPT Removal Stomach Partial 16 7 $3,715.00 $2,229.00 40% off $928.88 $2,676.51 $1,810.86 2026-01-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 34 14 — — $9,554.56 $23,653.75 $14,079.61 2026-01-01
43840 CPT Repair Of Stomach Lesion 16 7 $2,546.00 $1,527.60 40% off $557.26 $1,784.42 $1,224.90 2026-01-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 34 14 — — $4,896.37 $12,205.58 $7,265.23 2026-01-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 34 14 — — $3,524.56 $9,016.34 $5,366.87 2026-01-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 34 14 — — $10,467.19 $26,040.60 $15,500.36 2026-01-01
44140 CPT Partial Removal Of Colon 16 7 $3,478.00 $2,086.80 40% off $920.07 $1,763.80 $1,203.76 2026-01-01
44143 CPT Partial Removal Of Colon 16 7 $3,632.00 $2,179.20 40% off $832.65 $2,187.77 $1,474.37 2026-01-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 34 14 — — $5,447.72 $14,006.24 $8,337.05 2026-01-01
44204 CPT Lap Colectomy Partial Anastomo 16 7 $3,766.00 $2,259.60 40% off $1,037.52 $2,027.48 $1,363.59 2026-01-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 34 14 — — $4,091.95 $10,152.45 $6,043.13 2026-01-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 34 14 — — $6,222.37 $15,879.44 $9,452.05 2026-01-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 34 14 — — $4,588.91 $12,003.89 $7,145.18 2026-01-01
44602 CPT Suture Small Intestine 16 7 $2,454.00 $1,472.40 40% off $529.77 $1,860.11 $1,247.81 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 14 — — $17,184.24 $45,193.43 $26,900.85 2026-01-01
49020 CPT Drain Abdominal Abscess 16 7 $2,736.00 $1,641.60 40% off $417.25 $2,092.84 $1,431.85 2026-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 34 14 — — $18,566.35 $45,920.37 $27,333.55 2026-01-01
501 MS_DRG Soft Tissue Procedures With Cc 34 14 — — $9,937.59 $25,364.45 $15,097.89 2026-01-01
504 MS_DRG Foot Procedures With Cc 34 14 — — $9,888.35 $27,121.57 $16,143.79 2026-01-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 34 14 — — $11,684.41 $30,152.66 $17,948.01 2026-01-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 34 14 — — $7,424.14 $18,601.47 $11,072.30 2026-01-01
539 MS_DRG Osteomyelitis With Mcc 34 14 — — $11,361.50 $28,579.80 $17,011.79 2026-01-01
540 MS_DRG Osteomyelitis With Cc 34 14 — — $7,432.72 $18,808.95 $11,195.81 2026-01-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 34 14 — — $6,244.70 $14,916.00 $8,878.57 2026-01-01
551 MS_DRG Medical Back Problems With Mcc 34 14 — — $9,744.07 $24,319.75 $14,476.04 2026-01-01
552 MS_DRG Medical Back Problems Without Mcc 34 14 — — $5,532.46 $13,948.20 $8,302.50 2026-01-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 34 14 — — $4,705.14 $12,044.52 $7,169.36 2026-01-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 34 14 — — $4,720.03 $12,051.78 $7,173.68 2026-01-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 34 14 — — $8,913.31 $21,574.51 $12,841.97 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 34 14 — — $13,706.62 $33,707.54 $20,064.01 2026-01-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 34 14 — — $6,481.73 $16,339.40 $9,725.83 2026-01-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 34 14 — — $4,466.96 $11,664.37 $6,943.08 2026-01-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 34 14 — — $8,942.51 $22,397.21 $13,331.67 2026-01-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 34 14 — — $5,721.97 $14,138.27 $8,415.64 2026-01-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 34 14 — — $7,804.87 $18,798.80 $11,189.76 2026-01-01
570 MS_DRG Skin Debridement With Mcc 34 14 — — $16,730.78 $42,674.55 $25,401.52 2026-01-01
571 MS_DRG Skin Debridement With Cc 34 14 — — $9,686.82 $24,514.18 $14,591.77 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 34 14 — — $19,135.46 $46,989.74 $27,970.08 2026-01-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 34 14 — — $9,892.93 $24,804.37 $14,764.51 2026-01-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 34 14 — — $10,000.00 $25,072.80 $14,924.29 2026-01-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 34 14 — — $7,710.41 $20,938.98 $12,463.68 2026-01-01
593 MS_DRG Skin Ulcers With Cc 34 14 — — $6,927.17 $17,212.88 $10,245.76 2026-01-01
596 MS_DRG Major Skin Disorders Without Mcc 34 14 — — $5,776.94 $15,706.78 $9,349.27 2026-01-01
602 MS_DRG Cellulitis With Mcc 34 14 — — $8,516.54 $20,622.67 $12,275.40 2026-01-01
603 MS_DRG Cellulitis Without Mcc 34 14 — — $5,065.27 $12,636.52 $7,521.74 2026-01-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 34 14 — — $5,203.25 $13,290.91 $7,911.25 2026-01-01
607 MS_DRG Minor Skin Disorders Without Mcc 34 14 — — $5,115.65 $13,151.61 $7,828.34 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 14 — — $22,659.44 $50,601.21 $30,119.77 2026-01-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 14 — — $11,362.07 $27,137.54 $16,153.29 2026-01-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 34 14 — — $10,657.27 $26,028.99 $15,493.45 2026-01-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 34 14 — — $8,541.73 $21,755.88 $12,949.93 2026-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 34 14 — — $12,955.45 $31,613.78 $18,817.73 2026-01-01
637 MS_DRG Diabetes With Mcc 34 14 — — $8,297.83 $20,846.12 $12,408.40 2026-01-01
638 MS_DRG Diabetes With Cc 34 14 — — $5,149.43 $13,003.61 $7,740.25 2026-01-01
639 MS_DRG Diabetes Without Cc/mcc 34 14 — — $3,564.07 $9,013.44 $5,365.14 2026-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 34 14 — — $11,467.99 $29,179.05 $17,368.48 2026-01-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 34 14 — — $7,530.06 $19,379.19 $11,535.23 2026-01-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 34 14 — — $4,473.83 $11,291.47 $6,721.11 2026-01-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 34 14 — — $7,461.92 $20,634.28 $12,282.31 2026-01-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 34 14 — — $5,819.30 $14,659.17 $8,725.70 2026-01-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 34 14 — — $3,936.22 $9,930.45 $5,910.98 2026-01-01
682 MS_DRG Renal Failure With Mcc 34 14 — — $8,592.69 $21,488.90 $12,791.01 2026-01-01
683 MS_DRG Renal Failure With Cc 34 14 — — $5,157.45 $12,707.62 $7,564.06 2026-01-01
684 MS_DRG Renal Failure Without Cc/mcc 34 14 — — $3,483.91 $8,710.19 $5,184.64 2026-01-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 34 14 — — $10,531.31 $26,171.19 $15,578.09 2026-01-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 34 14 — — $6,723.92 $16,835.63 $10,021.21 2026-01-01
69 MS_DRG Transient Ischemia Without Thrombolytic 34 14 — — $4,572.88 $11,590.37 $6,899.03 2026-01-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 34 14 — — $4,619.83 $11,745.62 $6,991.44 2026-01-01
693 MS_DRG Urinary Stones With Mcc 34 14 — — $8,108.89 $19,508.32 $11,612.10 2026-01-01
69300 CPT Otoplasty W Or Wo Size Reduct 18 8 $3,930.00 $2,358.00 40% off $982.50 $3,002.52 $1,722.02 2026-01-01
694 MS_DRG Urinary Stones Without Mcc 34 14 — — $4,481.28 $11,342.25 $6,751.34 2026-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 34 14 — — $9,472.11 $24,004.89 $14,288.62 2026-01-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 34 14 — — $5,844.50 $14,727.37 $8,766.29 2026-01-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 34 14 — — $10,245.62 $24,155.79 $14,378.44 2026-01-01
70540 CPT Mr Orbit/face/neck Wo Cntrst 44 17 $4,789.00 $2,873.40 40% off $128.35 $4,453.77 $1,293.03 2026-01-01
70543 CPT Mr Orbit/face/neck W/wo Cntrst 44 17 $8,858.00 $5,314.80 40% off $189.63 $8,237.94 $2,391.66 2026-01-01
70546 CPT Mr Angio Head W/wo Contrast 44 17 $4,813.00 $2,887.80 40% off $189.63 $4,476.09 $1,299.51 2026-01-01
70549 CPT Mr Angio Neck W/wo Contrast 44 17 $4,813.00 $2,887.80 40% off $189.63 $4,476.09 $1,299.51 2026-01-01
70552 CPT Mr Head W/contrast 44 17 $6,240.00 $3,744.00 40% off $189.63 $5,803.20 $1,684.80 2026-01-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 34 14 — — $6,079.24 $14,886.98 $8,861.30 2026-01-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 34 14 — — $10,384.17 $27,430.63 $16,327.76 2026-01-01
72127 CPT CT C-spine W/wo Contrast 44 17 $4,791.00 $2,874.60 40% off $94.53 $4,455.63 $1,293.57 2026-01-01
72130 CPT CT Thoracic Spine W/wo Contrst 44 17 $4,791.00 $2,874.60 40% off $94.53 $4,455.63 $1,293.57 2026-01-01
72142 CPT Mr C-spine W/contrast 44 17 $5,540.00 $3,324.00 40% off $189.63 $5,152.20 $1,495.80 2026-01-01
72147 CPT Mr Thoracic W/contrast 44 17 $5,540.00 $3,324.00 40% off $189.63 $5,152.20 $1,495.80 2026-01-01
72149 CPT Mr Lumbar Spine W/contrast 44 17 $5,782.00 $3,469.20 40% off $189.63 $5,377.26 $1,561.14 2026-01-01
72156 CPT Mr C-spine W/wo Contrast 44 17 $8,420.00 $5,052.00 40% off $189.63 $7,830.60 $2,273.40 2026-01-01
72157 CPT Mr Thoracic W/wo Contrast 44 17 $8,420.00 $5,052.00 40% off $189.63 $7,830.60 $2,273.40 2026-01-01
72191 CPT CT Ang Pelv W Or Wo Contr 44 17 $4,881.00 $2,928.60 40% off $94.53 $4,539.33 $1,317.87 2026-01-01
72194 CPT CT Pelvis W/wo Contrast 44 17 $4,791.00 $2,874.60 40% off $94.53 $4,455.63 $1,293.57 2026-01-01
72195 CPT Mr Pelvis Without Contrast 44 17 $5,542.00 $3,325.20 40% off $128.35 $5,154.06 $1,496.34 2026-01-01
72197 CPT Mr Pelvis W/wo Contrast 44 17 $5,542.00 $3,325.20 40% off $189.63 $5,154.06 $1,496.34 2026-01-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 34 14 — — $4,580.90 $11,770.29 $7,006.12 2026-01-01
73206 CPT CT Ang U Ext W Or Wo Con Bil 158 17 $3,735.00 $2,241.00 40% off $94.53 $6,948.03 $1,642.25 2026-01-01
73223 CPT Mr Up Ext Jnt W+wo Con Lt 88 17 $5,542.00 $3,325.20 40% off $189.63 $5,154.06 $1,496.34 2026-01-01
73719 CPT Mr Low Ext Non Jnt W Con Lt 44 17 $5,542.00 $3,325.20 40% off $189.63 $5,154.06 $1,496.34 2026-01-01
73722 CPT Mr Low Ext Jnt W Con Rt 44 17 $5,542.00 $3,325.20 40% off $419.51 $5,154.06 $1,496.34 2026-01-01
73723 CPT Mr Low Ext Jnt W+wo Con Lt 88 17 $5,542.00 $3,325.20 40% off $189.63 $5,154.06 $1,496.34 2026-01-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 34 14 — — $5,875.41 $14,956.62 $8,902.75 2026-01-01
74174 CPT CT Ang Abd+plvs W Or Wo Cntrs 44 17 $8,618.00 $5,170.80 40% off $189.63 $8,014.74 $2,326.86 2026-01-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 34 14 — — $10,202.10 $26,622.44 $15,846.69 2026-01-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 34 14 — — $6,652.92 $18,002.21 $10,715.60 2026-01-01
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 34 14 — — $5,699.07 $14,618.55 $8,701.52 2026-01-01
761 MS_DRG Menstrual And Other Female Reproductive System Disorders Without Cc/mcc 34 14 — — $3,467.31 $8,277.80 $4,927.26 2026-01-01
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 34 14 — — $6,974.12 $15,548.62 $9,255.13 2026-01-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 34 14 — — $8,839.46 $24,518.53 $14,594.36 2026-01-01
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 34 14 — — $4,103.40 $9,499.52 $5,654.47 2026-01-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 34 14 — — $10,144.28 $35,622.82 $21,204.06 2026-01-01
784 MS_DRG Cesarean Section With Sterilization With Cc 34 14 — — $5,863.39 $15,381.76 $9,155.81 2026-01-01
78452 CPT Heart Muscle Image Spect/mult 44 17 $4,150.00 $2,490.00 40% off $677.28 $3,859.50 $1,221.55 2026-01-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 34 14 — — $4,959.92 $13,897.41 $8,272.27 2026-01-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 34 14 — — $10,016.60 $23,933.79 $14,246.30 2026-01-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 34 14 — — $6,017.98 $16,204.46 $9,645.51 2026-01-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 34 14 — — $4,895.22 $13,911.92 $8,280.91 2026-01-01
78815 CPT Pt/ct Pi Skull Base To Mid Thi 104 17 $8,214.00 $4,928.40 40% off $106.85 $7,639.02 $2,217.78 2026-01-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 34 14 — — $10,416.81 $26,149.42 $15,565.13 2026-01-01
792 MS_DRG Prematurity Without Major Problems 34 14 — — $14,156.07 $35,537.21 $21,153.10 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 34 14 — — $24,099.96 $60,499.74 $36,011.75 2026-01-01
794 MS_DRG Neonate With Other Significant Problems 34 14 — — $8,530.28 $21,414.90 $12,746.96 2026-01-01
795 MS_DRG Normal Newborn 34 14 — — $1,154.81 $2,899.04 $1,725.62 2026-01-01
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 34 14 — — $5,772.36 $15,658.89 $9,320.77 2026-01-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 34 14 — — $4,275.16 $10,940.33 $6,512.10 2026-01-01
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 34 14 — — $3,746.13 $9,782.46 $5,822.89 2026-01-01
811 MS_DRG Red Blood Cell Disorders With Mcc 34 14 — — $8,036.18 $20,376.00 $12,128.57 2026-01-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 34 14 — — $5,156.87 $13,322.83 $7,930.25 2026-01-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 34 14 — — $12,184.24 $30,857.83 $18,367.75 2026-01-01
81420 CPT Cell Free DNA Prenatal Screen 44 17 $3,789.00 $2,273.40 40% off $759.05 $3,523.77 $1,491.06 2026-01-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 34 14 — — $6,156.53 $17,447.94 $10,385.68 2026-01-01
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 34 14 — — $4,223.63 $10,470.22 $6,232.27 2026-01-01
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 34 14 — — $2,930.26 $7,587.13 $4,516.15 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 34 14 — — $32,056.55 $79,656.93 $47,414.84 2026-01-01
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/mcc 34 14 — — $5,265.66 $13,868.39 $8,255.00 2026-01-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 34 14 — — $9,008.93 $23,671.16 $14,089.98 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 14 — — $28,623.03 $71,657.72 $42,653.40 2026-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 34 14 — — $11,669.52 $28,991.88 $17,257.07 2026-01-01
865 MS_DRG Viral Illness With Mcc 34 14 — — $9,389.09 $21,739.92 $12,940.43 2026-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 34 14 — — $11,979.27 $30,371.75 $18,078.42 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 14 — — $39,876.89 $100,288.30 $59,695.42 2026-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 34 14 — — $11,351.19 $28,185.14 $16,776.87 2026-01-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 34 14 — — $5,896.60 $14,847.80 $8,837.98 2026-01-01
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 30 12 — — $5,465.47 $13,932.24 $8,293.00 2026-01-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 30 12 — — $4,898.66 $12,809.18 $7,624.51 2026-01-01
90377 CPT Kedrab 1500unit/10ml 70 17 $22,799.00 $13,679.40 40% off $222.25 $21,203.07 $3,816.18 2026-01-01
90380 CPT Beyfortus 0.5 Ml Syringe 44 17 $3,317.00 $1,990.20 40% off $541.33 $3,084.81 $1,813.07 2026-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 34 14 — — $11,474.29 $28,949.80 $17,232.02 2026-01-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 34 14 — — $10,243.90 $25,481.98 $15,167.84 2026-01-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 34 14 — — $9,137.18 $22,757.05 $13,545.86 2026-01-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 34 14 — — $4,929.00 $12,436.28 $7,402.55 2026-01-01
92 MS_DRG Other Disorders Of Nervous System With Cc 34 14 — — $5,874.84 $14,843.45 $8,835.39 2026-01-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 34 14 — — $9,990.26 $25,383.31 $15,109.11 2026-01-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 34 14 — — $4,433.76 $11,554.09 $6,877.44 2026-01-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 34 14 — — $10,626.36 $29,421.37 $17,512.72 2026-01-01
948 MS_DRG Signs And Symptoms Without Mcc 34 14 — — $4,586.05 $11,615.03 $6,913.71 2026-01-01
949 MS_DRG Aftercare With Cc/mcc 34 14 — — $6,142.22 $17,262.22 $10,275.13 2026-01-01
951 MS_DRG Other Factors Influencing Health Status 34 14 — — $3,377.99 $8,067.41 $4,802.03 2026-01-01
95810 CPT Sleep Study>3parmtrs W/t-int 44 17 $4,194.00 $2,516.40 40% off $540.22 $3,900.42 $1,234.51 2026-01-01
95811 CPT Sleep Study>3prmt W/cp+tch-int 44 17 $4,659.00 $2,795.40 40% off $540.22 $4,332.87 $1,371.38 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 14 — — $27,140.72 $68,076.72 $40,521.86 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 34 14 — — $14,233.36 $35,672.15 $21,233.43 2026-01-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 34 14 — — $9,716.02 $23,848.18 $14,195.35 2026-01-01
99285 CPT Critical Care 1st 30-74m 148 17 $3,764.00 $2,258.40 40% off $301.76 $4,612.80 $1,459.97 2026-01-01
A9552 HCPCS Fdg/dose Up To 45 Mci 44 17 $2,382.00 $1,429.20 40% off $388.74 $2,382.00 $1,624.53 2026-01-01
C1771 HCPCS System Tvt Exact Tvtrl 44 17 $6,051.75 $3,631.05 40% off $987.65 $5,628.13 $3,678.39 2026-01-01
C1776 HCPCS Implant Bioinductive Lrg 194 17 $5,077.14 $3,046.28 40% off $152.81 $6,288.66 $1,960.98 2026-01-01
C1783 HCPCS Sys Istent Infinite 44 17 $5,439.00 $3,263.40 40% off $887.64 $5,058.27 $2,972.95 2026-01-01
J0129 HCPCS Orencia 250mg/10ml Injection 44 17 $5,815.00 $3,489.00 40% off $44.11 $5,407.95 $1,570.05 2026-01-01
J0349 HCPCS Rezzayo 200 Mg Vial 44 17 $13,064.00 $7,838.40 40% off $10.63 $12,149.52 $3,527.28 2026-01-01
J0517 HCPCS Fasenra 30 Mg/1 Ml Syringe 44 17 $26,803.00 $16,081.80 40% off $164.59 $24,926.79 $7,236.81 2026-01-01
J0565 HCPCS Zinplava 1000mg/40ml Vial 44 17 $24,426.00 $14,655.60 40% off $39.83 $22,716.18 $6,595.02 2026-01-01
J0630 HCPCS Calcitonin 400 Iu2ml Inj 44 17 $15,021.00 $9,012.60 40% off $484.97 $13,969.53 $4,055.67 2026-01-01
J0840 HCPCS Crofab 1 Ea 44 17 $18,122.00 $10,873.20 40% off $1,828.71 $16,853.46 $4,892.94 2026-01-01
J0875 HCPCS Dalvance 500mg Vial 44 17 $8,529.00 $5,117.40 40% off $15.61 $7,931.97 $2,302.83 2026-01-01
J0885 HCPCS Epoetin Alfa Human 20mu/ml Per 70 17 $1,844.00 $1,106.40 40% off $8.54 $5,317.74 $1,408.82 2026-01-01
J0897 HCPCS Prolia 60mg/ml Injection 70 17 $6,578.00 $3,946.80 40% off $29.38 $11,458.53 $3,573.09 2026-01-01
J1303 HCPCS Ultomiris 1100mg/11ml 70 17 $143,680.00 $86,208.00 40% off $225.11 $133,622.40 $29,938.10 2026-01-01
J1439 HCPCS Injectafer 750mg/15ml Vial 44 17 $5,517.00 $3,310.20 40% off $1.11 $5,130.81 $1,489.59 2026-01-01
J1561 HCPCS Gamunex-c 10 Gm/100 Ml Bottle 96 17 $13,906.00 $8,343.60 40% off $48.96 $25,864.23 $5,785.73 2026-01-01
J1569 HCPCS Gammagard 10% 30gm 122 17 $14,809.00 $8,885.40 40% off $45.31 $23,665.71 $4,294.61 2026-01-01
J1602 HCPCS Simponi Aria 50mg/4ml Vial 44 17 $9,634.00 $5,780.40 40% off $11.04 $8,959.62 $2,601.18 2026-01-01
J1740 HCPCS Boniva 3mg/3ml 30 13 $2,787.00 $1,672.20 40% off $36.33 $2,591.91 $1,672.20 2026-01-01
J1745 HCPCS Infliximab 100mg Inj 44 17 $6,491.00 $3,894.60 40% off $31.09 $6,036.63 $1,752.57 2026-01-01
J2182 HCPCS Nucala 100mg Vial 70 17 $16,177.00 $9,706.20 40% off $31.27 $18,932.94 $5,903.82 2026-01-01
J2327 HCPCS Skyrizi 600mg/10ml 44 17 $61,647.00 $36,988.20 40% off $14.94 $57,331.71 $16,644.69 2026-01-01
J2329 HCPCS Briumvi 150 Mg Vial 44 17 $70,156.00 $42,093.60 40% off $70.75 $65,245.08 $18,942.12 2026-01-01
J2350 HCPCS Ocrevus 300mg/10ml Injection 44 17 $90,295.00 $54,177.00 40% off $59.41 $83,974.35 $24,379.65 2026-01-01
J2357 HCPCS Xolair 150mg Injection 1 Vial 70 17 $5,910.00 $3,546.00 40% off $44.60 $5,606.97 $1,765.32 2026-01-01
J2406 HCPCS Kimyrsa 1200mg Vial 44 17 $29,886.00 $17,931.60 40% off $42.48 $27,793.98 $8,069.22 2026-01-01
J2997 HCPCS Alteplase Inj 100mg 44 17 $53,850.00 $32,310.00 40% off $94.45 $50,080.50 $14,539.50 2026-01-01
J3101 HCPCS Tnkase 50mg Inj 44 17 $35,210.00 $21,126.00 40% off $172.22 $32,745.30 $9,506.70 2026-01-01
J3111 HCPCS Evenity 105mg Syringe 44 17 $5,071.00 $3,042.60 40% off $12.07 $4,716.03 $1,369.17 2026-01-01
J3240 HCPCS Thyrogen 1.1mg Injection 44 17 $11,410.00 $6,846.00 40% off $1,862.11 $10,611.30 $3,080.70 2026-01-01
J3358 HCPCS Stelara 130 Mg Vial 44 17 $12,400.00 $7,440.00 40% off $12.99 $11,532.00 $3,348.00 2026-01-01
J3380 HCPCS Vedolizumab 300mg/5ml Vial 44 17 $33,883.00 $20,329.80 40% off $21.31 $31,511.19 $9,148.41 2026-01-01
J7169 HCPCS Andexxa 200mg Vial 44 17 $33,655.00 $20,193.00 40% off $131.38 $31,299.15 $9,086.85 2026-01-01
J9312 HCPCS Rituxan 10mg/ml Inj 50ml 44 17 $26,103.00 $15,661.80 40% off $75.22 $24,275.79 $7,047.81 2026-01-01
J9333 HCPCS Rystiggo 280 Mg/2 Ml Vial 70 17 $40,232.50 $24,139.50 40% off $23.16 $74,832.45 $23,334.85 2026-01-01
Q0249 HCPCS Actemra 200mg/10ml Vial 56 13 $6,069.00 $3,641.40 40% off $8.93 $11,287.41 $4,636.72 2026-01-01
Q4133 HCPCS Stravix Pl 18 Sq Cm/per Sqcm 30 13 $17,659.50 $10,595.70 40% off $160.59 $16,423.33 $10,595.70 2026-01-01
Q4158 HCPCS Kerecis Mesh 38 Sqcm/sq Cm 74 17 $12,103.00 $7,261.80 40% off $1,975.21 $21,225.39 $9,246.69 2026-01-01
Q4196 HCPCS Puraply Am Fene 12sqcm/persqcm 30 13 $8,778.00 $5,266.80 40% off $116.20 $8,163.54 $5,266.80 2026-01-01
Q5103 HCPCS Inflectra 100mg Vial 44 17 $5,259.00 $3,155.40 40% off $19.99 $4,890.87 $1,419.93 2026-01-01
Q5115 HCPCS Truxima 500mg/50ml 44 17 $27,176.00 $16,305.60 40% off $29.38 $25,273.68 $7,337.52 2026-01-01
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