Hospital

OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL

Greenville, KY · CCN 180004 · Rates published

3,426 distinct procedures filed

18 distinct payers

115,778 rate rows

2026-05-23 last MRF observed

Data quality

114,882 of 115,778 rate rows are consumer-grade (99.2%)

896 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 — reason	Rows
placeholder amount (≤ $0.02) — excluded from medians	816
per-diem day rate — not a per-procedure price	70
exceeds 10× this hospital's gross charge — excluded from medians	10

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.owensborohealth.org/sites/default/files/documents/47-3944197_owensboro-health-muhlenberg-community-hospital_standardcharges.csv
Found on page	https://www.owensborohealth.org/patient-visitor/billing/pricing-information
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-09-21
Content fingerprint	96f19c23e4815b9a… · 43,712,754 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
9138 OTHER	Inj, Hemgenix, Per Tx Dose	4	$3,297,650.32	$3,297,650.32	$3,297,650.32	nat. median $3,765,001 0.9× median
0714 OTHER	Inj Delandistrogene Mox Rokl	4	$2,967,637.05	$2,967,637.05	$2,967,637.05	nat. median $4,693,518 0.6× median
0748 OTHER	Inj, Lovotibeglogene Autotem	4	$2,906,774.19	$2,906,774.19	$2,906,774.19	—
0746 OTHER	Inj, Betibeglogene Autotemce	4	$2,635,907.07	$2,635,907.07	$2,635,907.07	—
9141 OTHER	Inj Onase Abepar-xioi Treat	4	$2,196,882.07	$2,196,882.07	$2,196,882.07	nat. median $2,508,045 0.9× median
0824 OTHER	Inj, Exagamglogene Autotem	4	$2,086,720.24	$2,086,720.24	$2,086,720.24	—
9194 OTHER	Tisagenlecleucel Car-pos T	4	$529,488.44	$529,488.44	$529,488.44	nat. median $555,653 1.0× median
9498 OTHER	Ciltacabtagene Car-pos T	4	$506,350.85	$506,350.85	$506,350.85	nat. median $553,480 0.9× median
9413 OTHER	Lisocabtagene Mara Car Pos T	4	$503,370.42	$503,370.42	$503,370.42	nat. median $542,562 0.9× median
9422 OTHER	Idecabtagene Vicleucel Car	4	$498,699.23	$498,699.23	$498,699.23	nat. median $552,917 0.9× median
9035 OTHER	Axicabtagene Ciloleucel Car+	4	$477,145.02	$477,145.02	$477,145.02	nat. median $513,929 0.9× median
9391 OTHER	Brexucabtagene Car Pos T	4	$437,839.55	$437,839.55	$437,839.55	nat. median $483,557 0.9× median
MS018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	13	$293,340.76	$368,138.77	$368,138.77	—
J1747 HCPCS	Spesolimab-sbzo 60 Mg/ml Intravenous Solution	14	$66,298.19	$271,219.86	$195,534.45	nat. median $76 outlier · 2586.8×
MS014 OTHER	Allogeneic Bone Marrow Transplant	13	$81,637.59	$102,454.10	$102,454.10	—
MS209 OTHER	Complex Aortic Arch Procedures	13	$76,888.61	$96,494.18	$96,494.18	—
MS426 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	13	$74,867.01	$93,957.11	$93,957.11	—
MS212 OTHER	Concomitant Aortic And Mitral Valve Procedures	13	$73,867.76	$92,703.07	$92,703.07	—
MS215 OTHER	Other Heart Assist System Implant	13	$67,637.90	$84,884.67	$84,884.67	—
MS216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	13	$66,454.56	$83,399.60	$83,399.60	—
MS429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	13	$61,202.21	$76,807.96	$76,807.96	—
MS850 OTHER	Acute Leukemia With Other Procedures	13	$58,823.98	$73,823.32	$73,823.32	—
J2350 HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	14	$24,521.46	$100,315.06	$72,321.58	nat. median $133 outlier · 543.9×
MS231 OTHER	Coronary Bypass With Ptca With Mcc	13	$57,264.31	$71,865.96	$71,865.96	—
MS456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	13	$57,084.30	$71,640.04	$71,640.04	—
MS020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	13	$53,452.76	$67,082.50	$67,082.50	—
MS219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	13	$52,158.69	$65,458.47	$65,458.47	—
MS233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	13	$51,933.84	$65,176.29	$65,176.29	—
MS957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	13	$51,761.98	$64,960.60	$64,960.60	—
MS427 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	13	$49,035.95	$61,539.47	$61,539.47	—
MS928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	13	$61,148.16	$61,148.16	$61,148.16	—
MS019 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	13	$48,465.34	$60,823.36	$60,823.36	—
MS275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	13	$48,436.81	$60,787.55	$60,787.55	—
MS870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	13	$46,951.86	$58,923.96	$58,923.96	—
MS268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	13	$46,721.57	$58,634.96	$58,634.96	—
MS955 OTHER	Craniotomy For Multiple Significant Trauma	13	$45,724.36	$57,383.46	$57,383.46	—
MS317 OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	13	$45,421.39	$57,003.25	$57,003.25	—
MS447 OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	13	$45,388.11	$56,961.47	$56,961.47	—
0717 OTHER	Instill Adstiladrin, Tx Dose	4	$56,679.94	$56,679.94	$56,679.94	nat. median $163,445 outlier · 0.3×
MS218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	13	$44,666.01	$56,055.25	$56,055.25	—
MS217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	13	$44,666.01	$56,055.25	$56,055.25	—
MS573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	13	$44,503.66	$55,851.50	$55,851.50	—
MS207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	13	$43,710.92	$54,856.62	$54,856.62	—
63685 CPT	Hc Insrt/redo Spine Neuro Genertr	14	$18,597.81	$76,081.95	$54,850.86	nat. median $21,812 outlier · 2.5×
5244 OTHER	Transplt Allo Hct/donor	4	$52,921.74	$52,921.74	$52,921.74	nat. median $54,832 1.0× median
MS266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	13	$41,630.22	$52,245.38	$52,245.38	—
MS969 OTHER	HIV With Extensive O.r. Procedures With Mcc	13	$41,581.99	$52,184.85	$52,184.85	—
MS232 OTHER	Coronary Bypass With Ptca Without Mcc	13	$41,183.24	$51,684.42	$51,684.42	—
MS028 OTHER	Spinal Procedures With Mcc	13	$40,814.38	$51,221.51	$51,221.51	—
MS276 OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	13	$40,802.83	$51,207.01	$51,207.01	—

Other procedures at this hospital

Browse this hospital's 3,426 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

0714	OTHER	Inj Delandistrogene Mox Rokl	8	4	—	—	$2,967,637.05	$2,967,637.05	$2,967,637.05	2026-05-23
0717	OTHER	Instill Adstiladrin, Tx Dose	8	4	—	—	$56,679.94	$56,679.94	$56,679.94	2026-05-23
0746	OTHER	Inj, Betibeglogene Autotemce	8	4	—	—	$2,635,907.07	$2,635,907.07	$2,635,907.07	2026-05-23
0748	OTHER	Inj, Lovotibeglogene Autotem	8	4	—	—	$2,906,774.19	$2,906,774.19	$2,906,774.19	2026-05-23
0824	OTHER	Inj, Exagamglogene Autotem	8	4	—	—	$2,086,720.24	$2,086,720.24	$2,086,720.24	2026-05-23
0843	OTHER	Pegaspargase Injection	8	4	—	—	$25,434.42	$25,434.42	$25,434.42	2026-05-23
0856	OTHER	Porfimer Sodium Injection	8	4	—	—	$21,680.07	$21,680.07	$21,680.07	2026-05-23
1142	OTHER	Supprelin La Implant	8	4	—	—	$40,285.38	$40,285.38	$40,285.38	2026-05-23
1579	OTHER	Evasc Ven Artlz Tibl/prnl Vn	8	4	—	—	$31,319.15	$31,319.15	$31,319.15	2026-05-23
1580	OTHER	Implt/rpl Crtd Sns Dev Total	8	4	—	—	$40,267.35	$40,267.35	$40,267.35	2026-05-23
1592	OTHER	Non-blind Interatrial Shunt	8	4	—	—	$24,608.00	$24,608.00	$24,608.00	2026-05-23
1643	OTHER	Y90 Ibritumomab, Rx	8	4	—	—	$50,847.74	$50,847.74	$50,847.74	2026-05-23
5166	OTHER	Implant Cochlear Device	8	4	—	—	$28,462.27	$28,462.27	$28,462.27	2026-05-23
5200	OTHER	Tcat Impl Wrls P-art Prs Snr	8	4	—	—	$25,438.24	$25,438.24	$25,438.24	2026-05-23
5213	OTHER	Compre Ep Eval Tx Svt	8	4	—	—	$21,951.99	$21,951.99	$21,951.99	2026-05-23
5231	OTHER	Insj/rplc Car Modulj Pls Gn	8	4	—	—	$20,085.30	$20,085.30	$20,085.30	2026-05-23
5232	OTHER	Insj/rplc Cardiac Modulj Sys	8	4	—	—	$28,689.34	$28,689.34	$28,689.34	2026-05-23
5244	OTHER	Transplt Allo Hct/donor	8	4	—	—	$52,921.74	$52,921.74	$52,921.74	2026-05-23
5378	OTHER	Insert Tandem Cuff	8	4	—	—	$18,011.44	$18,011.44	$18,011.44	2026-05-23
5464	OTHER	Insj/rplcmt Pg Only Isdss	8	4	—	—	$19,188.87	$19,188.87	$19,188.87	2026-05-23
5465	OTHER	Implt/rpl Crtd Sns Dev Gen	8	4	—	—	$27,268.38	$27,268.38	$27,268.38	2026-05-23
63685	CPT	Hc Insrt/redo Spine Neuro Genertr	28	14	$84,535.50	$54,948.07 35% off	$18,597.81	$76,081.95	$54,850.86	2026-05-23
64628	CPT	Hc Destr Intraosseous Bas Nrv W/img 1&2 Vert Body L/s	28	14	$35,411.08	$23,017.20 35% off	$7,790.44	$31,869.97	$22,976.48	2026-05-23
9035	OTHER	Axicabtagene Ciloleucel Car+	8	4	—	—	$477,145.02	$477,145.02	$477,145.02	2026-05-23
9138	OTHER	Inj, Hemgenix, Per Tx Dose	8	4	—	—	$3,297,650.32	$3,297,650.32	$3,297,650.32	2026-05-23
9141	OTHER	Inj Onase Abepar-xioi Treat	8	4	—	—	$2,196,882.07	$2,196,882.07	$2,196,882.07	2026-05-23
9194	OTHER	Tisagenlecleucel Car-pos T	8	4	—	—	$529,488.44	$529,488.44	$529,488.44	2026-05-23
9273	OTHER	Sipuleucel-t Auto Cd54+	8	4	—	—	$49,458.78	$49,458.78	$49,458.78	2026-05-23
9391	OTHER	Brexucabtagene Car Pos T	8	4	—	—	$437,839.55	$437,839.55	$437,839.55	2026-05-23
9413	OTHER	Lisocabtagene Mara Car Pos T	8	4	—	—	$503,370.42	$503,370.42	$503,370.42	2026-05-23
9422	OTHER	Idecabtagene Vicleucel Car	8	4	—	—	$498,699.23	$498,699.23	$498,699.23	2026-05-23
9498	OTHER	Ciltacabtagene Car-pos T	8	4	—	—	$506,350.85	$506,350.85	$506,350.85	2026-05-23
J1747	HCPCS	Spesolimab-sbzo 60 Mg/ml Intravenous Solution	28	14	$301,355.40	$195,881.01 35% off	$66,298.19	$271,219.86	$195,534.45	2026-05-23
J2327	HCPCS	Risankizumab-rzaa 60 Mg/ml Intravenous Solution	28	14	$56,012.58	$36,408.18 35% off	$12,322.77	$50,411.32	$36,343.76	2026-05-23
J2350	HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	28	14	$111,461.18	$72,449.77 35% off	$24,521.46	$100,315.06	$72,321.58	2026-05-23
J2506	HCPCS	Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe	28	14	$34,657.15	$22,527.15 35% off	$7,624.57	$31,191.44	$22,487.29	2026-05-23
J3357	HCPCS	Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe	28	14	$78,709.01	$51,160.86 35% off	$17,315.98	$70,838.11	$51,070.34	2026-05-23
MS011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	26	13	—	—	$37,049.70	$46,496.89	$46,496.89	2026-05-23
MS012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	26	13	—	—	$28,639.29	$35,941.93	$35,941.93	2026-05-23
MS013	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	26	13	—	—	$19,576.07	$24,567.71	$24,567.71	2026-05-23
MS014	OTHER	Allogeneic Bone Marrow Transplant	26	13	—	—	$81,637.59	$102,454.10	$102,454.10	2026-05-23
MS016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	26	13	—	—	$40,280.45	$50,551.43	$50,551.43	2026-05-23
MS017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	26	13	—	—	$36,901.61	$46,311.04	$46,311.04	2026-05-23
MS018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	26	13	—	—	$293,340.76	$368,138.77	$368,138.77	2026-05-23
MS019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	26	13	—	—	$48,465.34	$60,823.36	$60,823.36	2026-05-23
MS020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	26	13	—	—	$53,452.76	$67,082.50	$67,082.50	2026-05-23
MS021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	26	13	—	—	$35,960.78	$45,130.31	$45,130.31	2026-05-23
MS022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	26	13	—	—	$21,584.08	$27,087.73	$27,087.73	2026-05-23
MS023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	26	13	—	—	$38,925.93	$48,851.53	$48,851.53	2026-05-23
MS024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	26	13	—	—	$26,573.54	$33,349.43	$33,349.43	2026-05-23
MS025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	26	13	—	—	$30,885.73	$38,761.18	$38,761.18	2026-05-23
MS026	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	26	13	—	—	$21,120.80	$26,506.32	$26,506.32	2026-05-23
MS027	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	26	13	—	—	$17,138.06	$21,508.04	$21,508.04	2026-05-23
MS028	OTHER	Spinal Procedures With Mcc	26	13	—	—	$40,814.38	$51,221.51	$51,221.51	2026-05-23
MS029	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	26	13	—	—	$23,175.00	$29,084.31	$29,084.31	2026-05-23
MS030	OTHER	Spinal Procedures Without Cc/mcc	26	13	—	—	$14,911.99	$18,714.35	$18,714.35	2026-05-23
MS031	OTHER	Ventricular Shunt Procedures With Mcc	26	13	—	—	$30,436.04	$38,196.82	$38,196.82	2026-05-23
MS032	OTHER	Ventricular Shunt Procedures With Cc	26	13	—	—	$14,475.88	$18,167.04	$18,167.04	2026-05-23
MS034	OTHER	Carotid Artery Stent Procedures With Mcc	26	13	—	—	$26,293.67	$32,998.20	$32,998.20	2026-05-23
MS035	OTHER	Carotid Artery Stent Procedures With Cc	26	13	—	—	$16,238.67	$20,379.31	$20,379.31	2026-05-23
MS037	OTHER	Extracranial Procedures With Mcc	26	13	—	—	$22,363.24	$28,065.56	$28,065.56	2026-05-23
MS040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	26	13	—	—	$26,229.13	$32,917.21	$32,917.21	2026-05-23
MS041	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…	26	13	—	—	$14,935.77	$18,744.19	$18,744.19	2026-05-23
MS056	OTHER	Degenerative Nervous System Disorders With Mcc	26	13	—	—	$15,780.82	$19,804.72	$19,804.72	2026-05-23
MS061	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	26	13	—	—	$18,728.98	$23,504.62	$23,504.62	2026-05-23
MS082	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc	26	13	—	—	$15,526.08	$19,485.03	$19,485.03	2026-05-23
MS085	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	26	13	—	—	$15,433.02	$19,368.23	$19,368.23	2026-05-23
MS094	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	26	13	—	—	$23,907.28	$30,003.33	$30,003.33	2026-05-23
MS095	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	26	13	—	—	$17,520.51	$21,988.01	$21,988.01	2026-05-23
MS096	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	26	13	—	—	$17,520.51	$21,988.01	$21,988.01	2026-05-23
MS097	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	26	13	—	—	$24,534.96	$30,791.05	$30,791.05	2026-05-23
MS098	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	26	13	—	—	$15,589.26	$19,564.31	$19,564.31	2026-05-23
MS113	OTHER	Orbital Procedures With Cc/mcc	26	13	—	—	$15,971.02	$20,043.42	$20,043.42	2026-05-23
MS135	OTHER	Sinus And Mastoid Procedures With Cc/mcc	26	13	—	—	$14,740.81	$18,499.52	$18,499.52	2026-05-23
MS140	OTHER	Major Head And Neck Procedures With Mcc	26	13	—	—	$28,974.18	$36,362.21	$36,362.21	2026-05-23
MS141	OTHER	Major Head And Neck Procedures With Cc	26	13	—	—	$14,816.21	$18,594.15	$18,594.15	2026-05-23
MS143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	26	13	—	—	$25,450.65	$31,940.23	$31,940.23	2026-05-23
MS146	OTHER	Ear, Nose, Mouth And Throat Malignancy With Mcc	26	13	—	—	$14,383.50	$18,051.10	$18,051.10	2026-05-23
MS163	OTHER	Major Chest Procedures With Mcc	26	13	—	—	$30,444.87	$38,207.90	$38,207.90	2026-05-23
MS164	OTHER	Major Chest Procedures With Cc	26	13	—	—	$17,145.53	$21,517.42	$21,517.42	2026-05-23
MS166	OTHER	Other Respiratory System O.r. Procedures With Mcc	26	13	—	—	$25,390.20	$31,864.36	$31,864.36	2026-05-23
MS173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	26	13	—	—	$20,218.69	$25,374.19	$25,374.19	2026-05-23
MS207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	26	13	—	—	$43,710.92	$54,856.62	$54,856.62	2026-05-23
MS208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	26	13	—	—	$18,671.92	$23,433.01	$23,433.01	2026-05-23
MS209	OTHER	Complex Aortic Arch Procedures	26	13	—	—	$76,888.61	$96,494.18	$96,494.18	2026-05-23
MS212	OTHER	Concomitant Aortic And Mitral Valve Procedures	26	13	—	—	$73,867.76	$92,703.07	$92,703.07	2026-05-23
MS213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	26	13	—	—	$38,766.97	$48,652.04	$48,652.04	2026-05-23
MS215	OTHER	Other Heart Assist System Implant	26	13	—	—	$67,637.90	$84,884.67	$84,884.67	2026-05-23
MS216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	26	13	—	—	$66,454.56	$83,399.60	$83,399.60	2026-05-23
MS217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	26	13	—	—	$44,666.01	$56,055.25	$56,055.25	2026-05-23
MS218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	26	13	—	—	$44,666.01	$56,055.25	$56,055.25	2026-05-23
MS219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	26	13	—	—	$52,158.69	$65,458.47	$65,458.47	2026-05-23
MS220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	26	13	—	—	$36,225.71	$45,462.79	$45,462.79	2026-05-23
MS221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	26	13	—	—	$34,238.08	$42,968.33	$42,968.33	2026-05-23
MS228	OTHER	Other Cardiothoracic Procedures With Mcc	26	13	—	—	$33,607.69	$42,177.21	$42,177.21	2026-05-23
MS229	OTHER	Other Cardiothoracic Procedures Without Mcc	26	13	—	—	$21,394.55	$26,849.88	$26,849.88	2026-05-23
MS231	OTHER	Coronary Bypass With Ptca With Mcc	26	13	—	—	$57,264.31	$71,865.96	$71,865.96	2026-05-23
MS232	OTHER	Coronary Bypass With Ptca Without Mcc	26	13	—	—	$41,183.24	$51,684.42	$51,684.42	2026-05-23
MS233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	26	13	—	—	$51,933.84	$65,176.29	$65,176.29	2026-05-23
MS234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	26	13	—	—	$37,108.12	$46,570.20	$46,570.20	2026-05-23
MS235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	26	13	—	—	$39,865.40	$50,030.55	$50,030.55	2026-05-23
MS236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	26	13	—	—	$28,454.52	$35,710.04	$35,710.04	2026-05-23
MS239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	26	13	—	—	$33,433.11	$41,958.11	$41,958.11	2026-05-23
MS240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	26	13	—	—	$19,363.45	$24,300.87	$24,300.87	2026-05-23
MS242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	26	13	—	—	$21,688.69	$27,219.02	$27,219.02	2026-05-23
MS243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	26	13	—	—	$14,475.20	$18,166.19	$18,166.19	2026-05-23
MS245	OTHER	Aicd Generator Procedures	26	13	—	—	$30,992.38	$38,895.03	$38,895.03	2026-05-23
MS250	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	26	13	—	—	$14,825.72	$18,606.08	$18,606.08	2026-05-23
MS252	OTHER	Other Vascular Procedures With Mcc	26	13	—	—	$23,696.02	$29,738.19	$29,738.19	2026-05-23
MS253	OTHER	Other Vascular Procedures With Cc	26	13	—	—	$17,631.91	$22,127.81	$22,127.81	2026-05-23
MS255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	26	13	—	—	$18,323.44	$22,995.67	$22,995.67	2026-05-23
MS258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	26	13	—	—	$21,344.29	$26,786.80	$26,786.80	2026-05-23
MS260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	26	13	—	—	$22,096.27	$27,730.53	$27,730.53	2026-05-23
MS263	OTHER	Vein Ligation And Stripping	26	13	—	—	$20,768.92	$26,064.72	$26,064.72	2026-05-23
MS264	OTHER	Other Circulatory System O.r. Procedures	26	13	—	—	$22,692.70	$28,479.03	$28,479.03	2026-05-23
MS265	OTHER	Aicd Lead Procedures	26	13	—	—	$24,578.43	$30,845.60	$30,845.60	2026-05-23
MS266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	26	13	—	—	$41,630.22	$52,245.38	$52,245.38	2026-05-23
MS267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	26	13	—	—	$32,340.11	$40,586.42	$40,586.42	2026-05-23
MS268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	26	13	—	—	$46,721.57	$58,634.96	$58,634.96	2026-05-23
MS269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	26	13	—	—	$28,688.20	$36,003.31	$36,003.31	2026-05-23
MS270	OTHER	Other Major Cardiovascular Procedures With Mcc	26	13	—	—	$35,841.91	$44,981.12	$44,981.12	2026-05-23
MS271	OTHER	Other Major Cardiovascular Procedures With Cc	26	13	—	—	$24,157.95	$30,317.90	$30,317.90	2026-05-23
MS272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	26	13	—	—	$17,342.53	$21,764.65	$21,764.65	2026-05-23
MS273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	26	13	—	—	$28,024.52	$35,170.40	$35,170.40	2026-05-23
MS274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	26	13	—	—	$22,360.52	$28,062.15	$28,062.15	2026-05-23
MS275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	26	13	—	—	$48,436.81	$60,787.55	$60,787.55	2026-05-23
MS276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	26	13	—	—	$40,802.83	$51,207.01	$51,207.01	2026-05-23
MS277	OTHER	Cardiac Defibrillator Implant Without Mcc	26	13	—	—	$31,373.47	$39,373.29	$39,373.29	2026-05-23
MS278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	26	13	—	—	$37,811.20	$47,452.55	$47,452.55	2026-05-23
MS279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	26	13	—	—	$24,498.28	$30,745.01	$30,745.01	2026-05-23
MS286	OTHER	Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc	26	13	—	—	$15,031.55	$18,864.40	$18,864.40	2026-05-23
MS288	OTHER	Acute And Subacute Endocarditis With Mcc	26	13	—	—	$18,383.22	$23,070.69	$23,070.69	2026-05-23
MS314	OTHER	Other Circulatory System Diagnoses With Mcc	26	13	—	—	$14,164.76	$17,776.59	$17,776.59	2026-05-23
MS317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	26	13	—	—	$45,421.39	$57,003.25	$57,003.25	2026-05-23
MS318	OTHER	Percutaneous Coronary Atherectomy Without Intraluminal Device	26	13	—	—	$16,454.00	$20,649.56	$20,649.56	2026-05-23
MS319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	26	13	—	—	$30,316.48	$38,046.78	$38,046.78	2026-05-23
MS320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	26	13	—	—	$16,339.20	$20,505.48	$20,505.48	2026-05-23
MS321	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	26	13	—	—	$18,482.39	$23,195.16	$23,195.16	2026-05-23
MS323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	26	13	—	—	$29,396.03	$36,891.62	$36,891.62	2026-05-23
MS324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	26	13	—	—	$21,404.74	$26,862.67	$26,862.67	2026-05-23
MS325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	26	13	—	—	$21,808.25	$27,369.06	$27,369.06	2026-05-23
MS326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	26	13	—	—	$33,879.41	$42,518.21	$42,518.21	2026-05-23
MS327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	26	13	—	—	$16,603.45	$20,837.11	$20,837.11	2026-05-23
MS329	OTHER	Major Small And Large Bowel Procedures With Mcc	26	13	—	—	$31,224.02	$39,185.74	$39,185.74	2026-05-23
MS330	OTHER	Major Small And Large Bowel Procedures With Cc	26	13	—	—	$16,284.18	$20,436.43	$20,436.43	2026-05-23
MS332	OTHER	Rectal Resection With Mcc	26	13	—	—	$24,595.42	$30,866.92	$30,866.92	2026-05-23
MS333	OTHER	Rectal Resection With Cc	26	13	—	—	$15,910.56	$19,967.55	$19,967.55	2026-05-23
MS335	OTHER	Peritoneal Adhesiolysis With Mcc	26	13	—	—	$24,257.12	$30,442.37	$30,442.37	2026-05-23
MS336	OTHER	Peritoneal Adhesiolysis With Cc	26	13	—	—	$14,324.40	$17,976.93	$17,976.93	2026-05-23
MS344	OTHER	Minor Small And Large Bowel Procedures With Mcc	26	13	—	—	$17,544.96	$22,018.69	$22,018.69	2026-05-23
MS347	OTHER	Anal And Stomal Procedures With Mcc	26	13	—	—	$15,594.01	$19,570.28	$19,570.28	2026-05-23
MS350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	26	13	—	—	$16,927.48	$21,243.76	$21,243.76	2026-05-23
MS353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	26	13	—	—	$19,713.29	$24,739.91	$24,739.91	2026-05-23
MS356	OTHER	Other Digestive System O.r. Procedures With Mcc	26	13	—	—	$29,840.29	$37,449.17	$37,449.17	2026-05-23
MS357	OTHER	Other Digestive System O.r. Procedures With Cc	26	13	—	—	$15,797.12	$19,825.18	$19,825.18	2026-05-23
MS359	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	26	13	—	—	$23,358.41	$29,314.49	$29,314.49	2026-05-23
MS360	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	26	13	—	—	$16,400.34	$20,582.21	$20,582.21	2026-05-23
MS374	OTHER	Digestive Malignancy With Mcc	26	13	—	—	$14,528.19	$18,232.69	$18,232.69	2026-05-23
MS397	OTHER	Appendix Procedures With Mcc	26	13	—	—	$16,268.56	$20,416.82	$20,416.82	2026-05-23
MS402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	26	13	—	—	$27,311.26	$34,275.26	$34,275.26	2026-05-23
MS405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	26	13	—	—	$37,161.11	$46,636.70	$46,636.70	2026-05-23
MS406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	26	13	—	—	$19,701.06	$24,724.57	$24,724.57	2026-05-23
MS407	OTHER	Pancreas, Liver And Shunt Procedures Without Cc/mcc	26	13	—	—	$15,077.74	$18,922.37	$18,922.37	2026-05-23
MS408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	26	13	—	—	$24,221.12	$30,397.19	$30,397.19	2026-05-23
MS409	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	26	13	—	—	$14,790.40	$18,561.76	$18,561.76	2026-05-23
MS411	OTHER	Cholecystectomy With C.d.e. With Mcc	26	13	—	—	$22,439.32	$28,161.04	$28,161.04	2026-05-23
MS412	OTHER	Cholecystectomy With C.d.e. With Cc	26	13	—	—	$14,282.28	$17,924.08	$17,924.08	2026-05-23
MS414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	26	13	—	—	$24,200.74	$30,371.61	$30,371.61	2026-05-23
MS417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	26	13	—	—	$16,210.82	$20,344.36	$20,344.36	2026-05-23
MS420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	26	13	—	—	$23,144.43	$29,045.96	$29,045.96	2026-05-23
MS423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	26	13	—	—	$28,211.33	$35,404.85	$35,404.85	2026-05-23
MS424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	26	13	—	—	$14,862.40	$18,652.12	$18,652.12	2026-05-23
MS426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	26	13	—	—	$74,867.01	$93,957.11	$93,957.11	2026-05-23
MS427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	26	13	—	—	$49,035.95	$61,539.47	$61,539.47	2026-05-23
MS428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	26	13	—	—	$38,190.25	$47,928.25	$47,928.25	2026-05-23
MS429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	26	13	—	—	$61,202.21	$76,807.96	$76,807.96	2026-05-23
MS430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	26	13	—	—	$39,175.91	$49,165.25	$49,165.25	2026-05-23
MS447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	26	13	—	—	$45,388.11	$56,961.47	$56,961.47	2026-05-23
MS448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	26	13	—	—	$28,807.75	$36,153.35	$36,153.35	2026-05-23
MS450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	26	13	—	—	$36,203.97	$45,435.50	$45,435.50	2026-05-23
MS451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	26	13	—	—	$21,944.11	$27,539.56	$27,539.56	2026-05-23
MS456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	26	13	—	—	$57,084.30	$71,640.04	$71,640.04	2026-05-23
MS457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	26	13	—	—	$40,507.34	$50,836.18	$50,836.18	2026-05-23
MS458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	26	13	—	—	$28,344.47	$35,571.93	$35,571.93	2026-05-23
MS461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	26	13	—	—	$37,517.74	$47,084.26	$47,084.26	2026-05-23
MS462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	26	13	—	—	$18,069.38	$22,676.83	$22,676.83	2026-05-23
MS463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	26	13	—	—	$38,716.70	$48,588.95	$48,588.95	2026-05-23
MS464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	26	13	—	—	$21,158.16	$26,553.21	$26,553.21	2026-05-23
MS466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	26	13	—	—	$35,360.28	$44,376.68	$44,376.68	2026-05-23
MS467	OTHER	Revision Of Hip Or Knee Replacement With Cc	26	13	—	—	$23,956.19	$30,064.71	$30,064.71	2026-05-23
MS468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	26	13	—	—	$18,667.16	$23,427.04	$23,427.04	2026-05-23
MS469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	26	13	—	—	$20,604.53	$25,858.41	$25,858.41	2026-05-23
MS471	OTHER	Cervical Spinal Fusion With Mcc	26	13	—	—	$32,801.36	$41,165.27	$41,165.27	2026-05-23
MS472	OTHER	Cervical Spinal Fusion With Cc	26	13	—	—	$20,012.86	$25,115.87	$25,115.87	2026-05-23
MS473	OTHER	Cervical Spinal Fusion Without Cc/mcc	26	13	—	—	$16,583.75	$20,812.39	$20,812.39	2026-05-23
MS474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	26	13	—	—	$29,161.67	$36,597.51	$36,597.51	2026-05-23
MS475	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	26	13	—	—	$15,458.83	$19,400.63	$19,400.63	2026-05-23
MS477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	26	13	—	—	$23,467.10	$29,450.90	$29,450.90	2026-05-23
MS478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	26	13	—	—	$16,705.35	$20,964.99	$20,964.99	2026-05-23
MS480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	26	13	—	—	$19,783.25	$24,827.72	$24,827.72	2026-05-23
MS481	OTHER	Hip And Femur Procedures Except Major Joint With Cc	26	13	—	—	$14,227.94	$17,855.88	$17,855.88	2026-05-23
MS483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	26	13	—	—	$18,829.52	$23,630.79	$23,630.79	2026-05-23
MS485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	26	13	—	—	$21,921.69	$27,511.43	$27,511.43	2026-05-23
MS486	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Cc	26	13	—	—	$14,204.84	$17,826.88	$17,826.88	2026-05-23
MS492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	26	13	—	—	$24,941.18	$31,300.85	$31,300.85	2026-05-23
MS493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	26	13	—	—	$17,227.73	$21,620.57	$21,620.57	2026-05-23
MS495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	26	13	—	—	$24,629.38	$30,909.54	$30,909.54	2026-05-23
MS498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	26	13	—	—	$20,493.12	$25,718.60	$25,718.60	2026-05-23
MS500	OTHER	Soft Tissue Procedures With Mcc	26	13	—	—	$21,498.49	$26,980.31	$26,980.31	2026-05-23
MS503	OTHER	Foot Procedures With Mcc	26	13	—	—	$18,959.94	$23,794.47	$23,794.47	2026-05-23
MS510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	26	13	—	—	$20,518.26	$25,750.14	$25,750.14	2026-05-23
MS511	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc	26	13	—	—	$14,125.36	$17,727.15	$17,727.15	2026-05-23
MS515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	26	13	—	—	$21,648.61	$27,168.72	$27,168.72	2026-05-23
MS516	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc	26	13	—	—	$14,116.53	$17,716.06	$17,716.06	2026-05-23
MS518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	26	13	—	—	$25,387.48	$31,860.95	$31,860.95	2026-05-23
MS521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	26	13	—	—	$19,497.27	$24,468.81	$24,468.81	2026-05-23
MS522	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc	26	13	—	—	$14,385.54	$18,053.66	$18,053.66	2026-05-23
MS545	OTHER	Connective Tissue Disorders With Mcc	26	13	—	—	$16,858.19	$21,156.80	$21,156.80	2026-05-23
MS570	OTHER	Skin Debridement With Mcc	26	13	—	—	$19,978.89	$25,073.24	$25,073.24	2026-05-23
MS573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	26	13	—	—	$44,503.66	$55,851.50	$55,851.50	2026-05-23
MS574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	26	13	—	—	$23,581.22	$29,594.12	$29,594.12	2026-05-23
MS576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	26	13	—	—	$33,293.85	$41,783.35	$41,783.35	2026-05-23
MS577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	26	13	—	—	$18,006.21	$22,597.55	$22,597.55	2026-05-23
MS579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	26	13	—	—	$21,999.13	$27,608.62	$27,608.62	2026-05-23
MS584	OTHER	Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc	26	13	—	—	$14,541.78	$18,249.74	$18,249.74	2026-05-23
MS595	OTHER	Major Skin Disorders With Mcc	26	13	—	—	$14,405.92	$18,079.23	$18,079.23	2026-05-23
MS614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	26	13	—	—	$14,888.90	$18,685.37	$18,685.37	2026-05-23
MS616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	26	13	—	—	$23,689.91	$29,730.52	$29,730.52	2026-05-23
MS619	OTHER	O.r. Procedures For Obesity With Mcc	26	13	—	—	$19,614.11	$24,615.44	$24,615.44	2026-05-23
MS622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	26	13	—	—	$24,177.65	$30,342.62	$30,342.62	2026-05-23
MS625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	26	13	—	—	$20,515.54	$25,746.73	$25,746.73	2026-05-23
MS628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	26	13	—	—	$25,316.15	$31,771.44	$31,771.44	2026-05-23
MS629	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc	26	13	—	—	$14,800.59	$18,574.54	$18,574.54	2026-05-23
MS650	OTHER	Kidney Transplant With Hemodialysis With Mcc	26	13	—	—	$31,936.61	$40,080.02	$40,080.02	2026-05-23
MS651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	26	13	—	—	$25,173.50	$31,592.41	$31,592.41	2026-05-23
MS653	OTHER	Major Bladder Procedures With Mcc	26	13	—	—	$35,299.15	$44,299.96	$44,299.96	2026-05-23
MS654	OTHER	Major Bladder Procedures With Cc	26	13	—	—	$19,015.64	$23,864.38	$23,864.38	2026-05-23
MS655	OTHER	Major Bladder Procedures Without Cc/mcc	26	13	—	—	$14,378.06	$18,044.28	$18,044.28	2026-05-23
MS656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	26	13	—	—	$21,627.55	$27,142.29	$27,142.29	2026-05-23
MS659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	26	13	—	—	$17,260.33	$21,661.49	$21,661.49	2026-05-23
MS662	OTHER	Minor Bladder Procedures With Mcc	26	13	—	—	$20,796.77	$26,099.67	$26,099.67	2026-05-23
MS665	OTHER	Prostatectomy With Mcc	26	13	—	—	$21,202.31	$26,608.62	$26,608.62	2026-05-23
MS668	OTHER	Transurethral Procedures With Mcc	26	13	—	—	$19,835.56	$24,893.37	$24,893.37	2026-05-23
MS673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	26	13	—	—	$28,541.47	$35,819.17	$35,819.17	2026-05-23
MS674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	26	13	—	—	$15,886.11	$19,936.86	$19,936.86	2026-05-23
MS709	OTHER	Penis Procedures With Cc/mcc	26	13	—	—	$15,807.99	$19,838.82	$19,838.82	2026-05-23
MS711	OTHER	Testes Procedures With Cc/mcc	26	13	—	—	$14,155.25	$17,764.65	$17,764.65	2026-05-23
MS715	OTHER	Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc	26	13	—	—	$15,197.98	$19,073.26	$19,073.26	2026-05-23
MS734	OTHER	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc	26	13	—	—	$14,469.09	$18,158.51	$18,158.51	2026-05-23
MS736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	26	13	—	—	$24,281.58	$30,473.06	$30,473.06	2026-05-23
MS739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	26	13	—	—	$24,337.96	$30,543.82	$30,543.82	2026-05-23
MS749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	26	13	—	—	$17,441.71	$21,889.12	$21,889.12	2026-05-23
MS783	OTHER	Cesarean Section With Sterilization With Mcc	26	13	—	—	$16,677.49	$20,930.03	$20,930.03	2026-05-23
MS799	OTHER	Splenic Procedures With Mcc	26	13	—	—	$30,764.82	$38,609.44	$38,609.44	2026-05-23
MS800	OTHER	Splenic Procedures With Cc	26	13	—	—	$19,084.25	$23,950.49	$23,950.49	2026-05-23
MS802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	26	13	—	—	$27,063.99	$33,964.95	$33,964.95	2026-05-23
MS808	OTHER	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	26	13	—	—	$14,998.26	$18,822.62	$18,822.62	2026-05-23
MS814	OTHER	Reticuloendothelial And Immunity Disorders With Mcc	26	13	—	—	$14,446.67	$18,130.38	$18,130.38	2026-05-23
MS817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	26	13	—	—	$15,498.91	$19,450.92	$19,450.92	2026-05-23
MS820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	26	13	—	—	$39,839.59	$49,998.15	$49,998.15	2026-05-23
MS821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	26	13	—	—	$15,206.81	$19,084.35	$19,084.35	2026-05-23
MS823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	26	13	—	—	$31,144.55	$39,086.00	$39,086.00	2026-05-23
MS824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	26	13	—	—	$15,390.22	$19,314.52	$19,314.52	2026-05-23
MS826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	26	13	—	—	$31,776.30	$39,878.83	$39,878.83	2026-05-23
MS827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	26	13	—	—	$15,699.98	$19,703.27	$19,703.27	2026-05-23
MS829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	26	13	—	—	$21,465.88	$26,939.40	$26,939.40	2026-05-23
MS834	OTHER	Acute Leukemia With Mcc	26	13	—	—	$37,292.89	$46,802.08	$46,802.08	2026-05-23
MS835	OTHER	Acute Leukemia With Cc	26	13	—	—	$14,168.84	$17,781.71	$17,781.71	2026-05-23
MS837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	26	13	—	—	$32,635.61	$40,957.25	$40,957.25	2026-05-23
MS838	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…	26	13	—	—	$14,179.71	$17,795.35	$17,795.35	2026-05-23
MS840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	26	13	—	—	$21,974.68	$27,577.92	$27,577.92	2026-05-23
MS846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	26	13	—	—	$17,610.85	$22,101.39	$22,101.39	2026-05-23
MS849	OTHER	Radiotherapy	26	13	—	—	$18,405.63	$23,098.83	$23,098.83	2026-05-23
MS850	OTHER	Acute Leukemia With Other Procedures	26	13	—	—	$58,823.98	$73,823.32	$73,823.32	2026-05-23
MS853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	26	13	—	—	$33,547.91	$42,102.18	$42,102.18	2026-05-23
MS856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	26	13	—	—	$30,899.32	$38,778.24	$38,778.24	2026-05-23
MS857	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc	26	13	—	—	$14,547.21	$18,256.56	$18,256.56	2026-05-23
MS867	OTHER	Other Infectious And Parasitic Diseases Diagnoses With Mcc	26	13	—	—	$14,219.11	$17,844.79	$17,844.79	2026-05-23
MS870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	26	13	—	—	$46,951.86	$58,923.96	$58,923.96	2026-05-23
MS901	OTHER	Wound Debridements For Injuries With Mcc	26	13	—	—	$28,507.50	$35,776.54	$35,776.54	2026-05-23
MS904	OTHER	Skin Grafts For Injuries With Cc/mcc	26	13	—	—	$24,951.37	$31,313.64	$31,313.64	2026-05-23
MS907	OTHER	Other O.r. Procedures For Injuries With Mcc	26	13	—	—	$26,080.36	$32,730.51	$32,730.51	2026-05-23
MS928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	26	13	—	—	$61,148.16	$61,148.16	$61,148.16	2026-05-23
MS934	OTHER	Full Thickness Burn Without Skin Graft Or Inhalation Injury	26	13	—	—	$20,520.93	$20,520.93	$20,520.93	2026-05-23
MS939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	26	13	—	—	$24,648.40	$30,933.42	$30,933.42	2026-05-23
MS940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	26	13	—	—	$15,874.56	$19,922.37	$19,922.37	2026-05-23
MS955	OTHER	Craniotomy For Multiple Significant Trauma	26	13	—	—	$45,724.36	$57,383.46	$57,383.46	2026-05-23
MS956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	26	13	—	—	$25,562.06	$32,080.04	$32,080.04	2026-05-23
MS957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	26	13	—	—	$51,761.98	$64,960.60	$64,960.60	2026-05-23
MS958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	26	13	—	—	$28,625.02	$35,924.03	$35,924.03	2026-05-23
MS959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	26	13	—	—	$19,999.27	$25,098.82	$25,098.82	2026-05-23
MS963	OTHER	Other Multiple Significant Trauma With Mcc	26	13	—	—	$18,570.70	$23,305.99	$23,305.99	2026-05-23
MS969	OTHER	HIV With Extensive O.r. Procedures With Mcc	26	13	—	—	$41,581.99	$52,184.85	$52,184.85	2026-05-23
MS970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	26	13	—	—	$17,915.86	$22,484.17	$22,484.17	2026-05-23
MS974	OTHER	HIV With Major Related Condition With Mcc	26	13	—	—	$19,604.60	$24,603.51	$24,603.51	2026-05-23
MS981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	26	13	—	—	$31,871.40	$39,998.18	$39,998.18	2026-05-23
MS982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	26	13	—	—	$16,700.59	$20,959.02	$20,959.02	2026-05-23
MS987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	26	13	—	—	$23,289.12	$29,227.54	$29,227.54	2026-05-23
Q5111	HCPCS	Pegfilgrastim-cbqv 6 Mg/0.6 Ml Subcutaneous Syringe	28	14	$37,575.00	$24,423.75 35% off	$8,266.50	$33,817.50	$24,380.54	2026-05-23
Q5115	HCPCS	Rituximab-abbs 10 Mg/ml Intravenous Solution	28	14	$29,171.48	$18,961.46 35% off	$6,417.73	$26,254.33	$18,927.92	2026-05-23

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