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Hospital

ST CLAIRE REGIONAL MEDICAL CENTER

Morehead, KY · CCN 180018 · Rates published

8,473 distinct procedures filed
21 distinct payers
210,452 rate rows
2026-02-02 last MRF observed
Data quality

210,137 of 210,452 rate rows are consumer-grade (99.9%)

315 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 175
percent-of-charges filed in the dollar field — excluded from medians 82
exceeds 10× this hospital's gross charge — excluded from medians 34
exceeds 3× this hospital's gross charge for a DRG stay — excluded 12
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbStClaireMoreheadKY&type=CDMWithoutLabel
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint cb21ea99fc19668c… · 88,318,130 bytes · first seen 2026-05-05

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
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $57,154.48 $214,951.53 $155,570.12 nat. median
$133,176
1.2× median
J1823
HCPCS 		Injection, Inebilizumab-cdon, 1 Mg 19 $495.55 $256,098.70 $136,559.71 nat. median
$798
outlier · 171.1×
J2507
HCPCS 		Injection, Pegloticase, 1 Mg 19 $3,660.83 $201,994.00 $107,709.42 nat. median
$8,558
outlier · 12.6×
J3357
HCPCS 		Ustekinumab, For Subcutaneous Injection, 1 Mg 15 $26,783.04 $151,382.40 $83,889.14 nat. median
$14,306
outlier · 5.9×
J0638
HCPCS 		Injection, Canakinumab, 1 Mg 19 $141.60 $133,766.10 $71,328.20 nat. median
$257
outlier · 277.1×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 $31,682.66 $224,850.13 $66,110.16 nat. median
$74,915
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 18 $28,519.88 $122,333.32 $59,510.60 nat. median
$66,526
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 $28,380.00 $77,037.00 $59,218.72 nat. median
$65,950
0.9× median
J9334
HCPCS 		Injection, Efgartigimod Alfa, 2 Mg And Hyaluronidase-qvfc 19 $33.89 $108,512.30 $57,862.10 nat. median
$73
outlier · 788.7×
0915T
HCPCS 		Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 19 $18,988.57 $107,326.70 $57,229.90 nat. median
$32,560
1.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 18 $26,551.25 $130,605.63 $55,402.77 nat. median
$62,134
0.9× median
33230
HCPCS 		Insertion Of Defibrillator With Existing Dual Leads 19 $306.31 $108,994.60 $54,363.15 nat. median
$22,359
outlier · 2.4×
33231
HCPCS 		Insertion Of Defibrillator With Existing Multiple Leads 19 $318.01 $108,994.60 $54,363.15 nat. median
$30,121
1.8× median
J9298
HCPCS 		Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg 19 $197.83 $98,017.40 $52,265.89 nat. median
$562
outlier · 93.1×
J1628
HCPCS 		Injection, Guselkumab, 1 Mg 19 $75.97 $95,222.40 $50,775.51 nat. median
$208
outlier · 244.5×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 $23,644.71 $146,204.91 $49,337.88 nat. median
$55,929
0.9× median
28
MS_DRG 		Spinal Procedures With Mcc 18 $24,791.81 $59,852.80 $48,910.71 nat. median
$57,823
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 $27,032.78 $53,439.77 $48,175.10 nat. median
$59,793
0.8× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 18 $21,771.39 $83,930.20 $45,428.94 nat. median
$51,307
0.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $24,605.30 $58,480.24 $45,241.62 nat. median
$58,024
0.8× median
653
MS_DRG 		Major Bladder Procedures With Mcc 18 $21,441.70 $129,575.50 $44,741.00 nat. median
$51,418
0.9× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 17 $23,517.62 $55,442.66 $43,487.19 nat. median
$52,753
0.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 $20,377.95 $88,506.44 $42,521.35 nat. median
$48,170
0.9× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 $20,308.21 $79,277.67 $42,375.84 nat. median
$47,740
0.9× median
834
MS_DRG 		Acute Leukemia With Mcc 18 $22,652.75 $44,781.11 $41,415.04 nat. median
$53,173
0.8× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 $19,359.59 $58,519.85 $40,396.40 nat. median
$46,084
0.9× median
0923T
HCPCS 		Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 19 $13,293.54 $75,137.40 $40,065.57 nat. median
$22,482
1.8× median
0916T
HCPCS 		Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 19 $13,293.54 $75,137.40 $40,065.57 nat. median
$23,439
1.7× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 18 $18,966.35 $113,963.70 $39,575.87 nat. median
$44,810
0.9× median
245
MS_DRG 		Aicd Generator Procedures 18 $18,825.65 $189,736.10 $39,282.26 nat. median
$45,271
0.9× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 $18,769.12 $82,619.53 $39,164.31 nat. median
$43,966
0.9× median
163
MS_DRG 		Major Chest Procedures With Mcc 18 $18,493.07 $63,804.63 $38,588.29 nat. median
$44,938
0.9× median
33240
HCPCS 		Insertion Of Defibrillator With Existing Single Lead 19 $376.96 $75,137.40 $37,476.22 nat. median
$22,134
1.7× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 $17,855.98 $108,522.59 $37,258.92 nat. median
$41,311
0.9× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 $17,713.62 $68,438.15 $36,961.87 nat. median
$42,295
0.9× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 $17,426.02 $93,178.89 $36,361.75 nat. median
$41,527
0.9× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 18 $17,336.89 $64,401.87 $36,175.77 nat. median
$40,457
0.9× median
J2329
HCPCS 		Injection, Ublituximab-xiiy, 1mg 19 $70.75 $67,649.40 $36,072.74 nat. median
$168
outlier · 214.2×
C1605
HCPCS 		Pacemaker, Leadless, Dual Chamber (right Atrial And Right Ventricular Implantabl… 15 $11,422.95 $64,564.50 $35,778.67 nat. median
$22,209
1.6× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 $17,136.36 $67,304.27 $35,757.33 nat. median
$40,166
0.9× median
945
MS_DRG 		Rehabilitation With Cc/mcc 15 $6,389.93 $43,266.16 $35,630.96 nat. median
$15,136
outlier · 2.4×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 18 $20,579.31 $40,682.22 $34,196.96 nat. median
$48,178
0.7× median
J9316
HCPCS 		Injection, Pertuzumab, Trastuzumab, And Hyaluronidase-zzxf, Per 10 Mg 19 $62.10 $91,616.20 $33,845.11 nat. median
$283
outlier · 119.6×
J2327
HCPCS 		Injection, Risankizumab-rzaa, Intravenous, 1 Mg 19 $14.94 $62,855.00 $33,516.22 nat. median
$2,241
outlier · 15.0×
J9144
HCPCS 		Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 19 $55.57 $62,731.50 $33,450.37 nat. median
$233
outlier · 143.5×
J9119
HCPCS 		Injection, Cemiplimab-rwlc, 1 Mg 19 $29.29 $62,604.10 $33,382.43 nat. median
$91
outlier · 365.8×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 $15,932.32 $75,262.05 $33,244.93 nat. median
$37,698
0.9× median
0795T
HCPCS 		Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker Using Fluor… 19 $10,995.15 $62,146.50 $33,138.43 nat. median
$21,836
1.5× median
C2624
HCPCS 		Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 15 $10,447.29 $59,049.90 $32,722.73 nat. median
$32,760
1.0× median
J1930
HCPCS 		Injection, Lanreotide, 1 Mg 19 $34.05 $61,178.00 $32,621.99 nat. median
$5,898
outlier · 5.5×

Other procedures at this hospital

Browse this hospital's 8,473 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
             
0238T HCPCS Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open … 25 19 $24,046.00 $18,034.50 25% off $1,847.38 $31,259.80 $16,832.20 2026-02-02
0275T HCPCS Removal Of Bone From Lower Spine For Decompression Of Nerve Tissue Using Imaging… 15 15 $19,345.00 $14,508.75 25% off $4,449.35 $25,148.50 $13,936.14 2026-02-02
0795T HCPCS Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker Using Fluor… 19 19 $47,805.00 $35,853.75 25% off $10,995.15 $62,146.50 $33,138.43 2026-02-02
0915T HCPCS Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 19 19 $82,559.00 $61,919.25 25% off $18,988.57 $107,326.70 $57,229.90 2026-02-02
0916T HCPCS Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 19 19 $57,798.00 $43,348.50 25% off $13,293.54 $75,137.40 $40,065.57 2026-02-02
0917T HCPCS Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 19 19 $21,311.00 $15,983.25 25% off $4,901.53 $27,704.30 $14,772.79 2026-02-02
0918T HCPCS Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 19 19 $21,311.00 $15,983.25 25% off $4,901.53 $27,704.30 $14,772.79 2026-02-02
0923T HCPCS Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 19 19 $57,798.00 $43,348.50 25% off $13,293.54 $75,137.40 $40,065.57 2026-02-02
100 MS_DRG Seizures With Mcc 18 18 $27,745.35 $20,809.01 25% off $7,991.74 $23,583.55 $16,675.85 2026-02-02
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 18 18 $24,847.77 $18,635.82 25% off $8,736.94 $21,120.60 $17,248.05 2026-02-02
157 MS_DRG Dental And Oral Diseases With Mcc 18 18 $22,730.17 $17,047.63 25% off $7,083.96 $19,320.64 $14,781.65 2026-02-02
163 MS_DRG Major Chest Procedures With Mcc 18 18 $75,064.27 $56,298.20 25% off $18,493.07 $63,804.63 $38,588.29 2026-02-02
164 MS_DRG Major Chest Procedures With Cc 18 18 $51,990.30 $38,992.72 25% off $10,414.68 $44,191.75 $21,731.64 2026-02-02
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 18 $31,135.41 $23,351.56 25% off $15,422.72 $31,135.41 $28,196.69 2026-02-02
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 18 18 $43,133.35 $32,350.01 25% off $7,441.30 $36,663.34 $15,527.27 2026-02-02
177 MS_DRG Respiratory Infections And Inflammations With Mcc 18 18 $35,177.50 $26,383.13 25% off $6,448.11 $29,900.88 $13,454.85 2026-02-02
180 MS_DRG Respiratory Neoplasms With Mcc 18 18 $43,926.12 $32,944.59 25% off $7,286.98 $37,337.20 $15,205.26 2026-02-02
186 MS_DRG Pleural Effusion With Mcc 18 18 $44,109.96 $33,082.47 25% off $6,430.78 $37,493.46 $13,418.69 2026-02-02
196 MS_DRG Interstitial Lung Disease With Mcc 18 18 $23,534.50 $17,650.88 25% off $7,787.08 $20,004.32 $15,854.01 2026-02-02
199 MS_DRG Pneumothorax With Mcc 18 18 $18,677.47 $14,008.10 25% off $7,279.14 $17,300.56 $13,384.10 2026-02-02
205 MS_DRG Other Respiratory System Diagnoses With Mcc 18 18 $37,880.93 $28,410.69 25% off $7,555.18 $32,198.79 $15,764.91 2026-02-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 18 $153,653.68 $115,240.26 25% off $26,551.25 $130,605.63 $55,402.77 2026-02-02
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 18 18 $101,994.61 $76,495.96 25% off $11,341.85 $86,695.42 $23,666.31 2026-02-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 18 $264,529.57 $198,397.18 25% off $31,682.66 $224,850.13 $66,110.16 2026-02-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 18 $172,005.78 $129,004.34 25% off $23,644.71 $146,204.91 $49,337.88 2026-02-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 18 $93,267.85 $69,950.89 25% off $20,308.21 $79,277.67 $42,375.84 2026-02-02
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 18 18 $46,576.59 $34,932.44 25% off $11,761.90 $39,590.10 $24,542.81 2026-02-02
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 18 18 $64,181.39 $48,136.04 25% off $13,174.32 $54,554.18 $27,490.01 2026-02-02
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 18 18 $66,558.53 $49,918.90 25% off $8,792.65 $56,574.75 $18,347.05 2026-02-02
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 18 18 $54,763.91 $41,072.93 25% off $7,458.22 $46,549.32 $15,562.58 2026-02-02
245 MS_DRG Aicd Generator Procedures 18 18 $223,218.94 $167,414.21 25% off $18,825.65 $189,736.10 $39,282.26 2026-02-02
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 17 17 $94,594.83 $70,946.13 25% off $12,359.80 $80,405.61 $27,147.31 2026-02-02
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 17 17 $76,868.28 $57,651.21 25% off $7,879.09 $65,338.04 $17,305.80 2026-02-02
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 17 17 $70,212.56 $52,659.42 25% off $7,496.18 $59,680.68 $16,464.75 2026-02-02
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 18 18 $59,575.43 $44,681.57 25% off $9,005.56 $50,639.11 $18,791.33 2026-02-02
252 MS_DRG Other Vascular Procedures With Mcc 18 18 $96,159.26 $72,119.45 25% off $14,393.63 $81,735.37 $30,034.26 2026-02-02
253 MS_DRG Other Vascular Procedures With Cc 18 18 $75,227.84 $56,420.88 25% off $10,710.12 $63,943.66 $22,348.11 2026-02-02
254 MS_DRG Other Vascular Procedures Without Cc/mcc 18 18 $63,493.17 $47,619.88 25% off $7,351.76 $53,969.20 $15,340.44 2026-02-02
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 18 18 $35,909.18 $26,931.89 25% off $7,005.98 $30,522.80 $14,618.92 2026-02-02
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 18 18 $91,398.41 $68,548.81 25% off $12,965.12 $77,688.65 $27,053.48 2026-02-02
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 18 18 $45,934.21 $34,450.66 25% off $8,343.71 $39,044.08 $17,410.28 2026-02-02
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 18 18 $57,969.39 $43,477.04 25% off $12,829.37 $49,273.98 $26,770.21 2026-02-02
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 18 $64,027.29 $48,020.47 25% off $13,421.90 $54,423.20 $28,006.61 2026-02-02
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 18 18 $43,210.23 $32,407.67 25% off $7,800.69 $36,728.70 $16,277.20 2026-02-02
264 MS_DRG Other Circulatory System O.r. Procedures 17 17 $66,122.58 $49,591.94 25% off $13,784.18 $56,204.19 $30,275.86 2026-02-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 18 $90,631.76 $67,973.82 25% off $28,380.00 $77,037.00 $59,218.72 2026-02-02
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 18 $109,622.23 $82,216.67 25% off $17,426.02 $93,178.89 $36,361.75 2026-02-02
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 18 18 $30,481.54 $22,861.16 25% off $10,410.14 $25,909.31 $20,854.56 2026-02-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 18 $98,741.42 $74,056.06 25% off $21,771.39 $83,930.20 $45,428.94 2026-02-02
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 18 $131,968.53 $98,976.40 25% off $14,674.22 $112,173.25 $30,619.75 2026-02-02
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 18 18 $46,763.11 $35,072.33 25% off $10,534.34 $39,748.64 $21,981.33 2026-02-02
28 MS_DRG Spinal Procedures With Mcc 18 18 $70,415.06 $52,811.30 25% off $24,791.81 $59,852.80 $48,910.71 2026-02-02
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 18 18 $38,677.12 $29,007.84 25% off $6,618.93 $32,875.55 $13,811.30 2026-02-02
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 18 18 $44,956.87 $33,717.66 25% off $9,130.59 $38,213.34 $19,052.21 2026-02-02
288 MS_DRG Acute And Subacute Endocarditis With Mcc 18 18 $51,699.06 $38,774.29 25% off $11,166.48 $43,944.20 $23,300.38 2026-02-02
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 18 $34,021.80 $25,516.35 25% off $14,077.15 $33,457.63 $25,883.57 2026-02-02
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 18 18 $20,711.26 $15,533.45 25% off $6,444.81 $17,604.57 $13,447.96 2026-02-02
299 MS_DRG Peripheral Vascular Disorders With Mcc 18 18 $27,969.76 $20,977.32 25% off $6,736.94 $23,774.30 $14,057.55 2026-02-02
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 18 18 $33,245.10 $24,933.82 25% off $6,502.16 $28,258.33 $13,567.64 2026-02-02
314 MS_DRG Other Circulatory System Diagnoses With Mcc 18 18 $40,520.91 $30,390.68 25% off $8,604.08 $34,442.77 $17,953.57 2026-02-02
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 18 18 $90,618.10 $67,963.57 25% off $11,226.73 $77,025.38 $23,426.09 2026-02-02
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 18 18 $74,504.51 $55,878.38 25% off $7,274.60 $63,328.83 $15,179.43 2026-02-02
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 18 $127,673.63 $95,755.22 25% off $17,855.98 $108,522.59 $37,258.92 2026-02-02
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 18 18 $108,745.37 $81,559.03 25% off $13,001.85 $92,433.57 $27,130.11 2026-02-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 18 $34,196.96 $25,647.72 25% off $20,579.31 $40,682.22 $34,196.96 2026-02-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 18 $134,074.94 $100,556.20 25% off $18,966.35 $113,963.70 $39,575.87 2026-02-02
330 MS_DRG Major Small And Large Bowel Procedures With Cc 18 18 $59,039.52 $44,279.64 25% off $9,891.47 $50,183.59 $20,639.89 2026-02-02
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 18 18 $38,284.71 $28,713.53 25% off $6,944.08 $32,542.00 $14,489.77 2026-02-02
33214 HCPCS Insertion Of 2 Chamber Pacemaker System 19 19 $24,770.00 $18,577.50 25% off $388.62 $32,201.00 $16,060.87 2026-02-02
33221 HCPCS Insertion Of Pacemaker Pulse Generator With Existing Multiple Leads 19 19 $45,178.00 $33,883.50 25% off $284.52 $58,731.40 $29,293.42 2026-02-02
33224 HCPCS Insertion Of Left Lower Heart Electrode And Attachment To Pacemaker Or Defibrill… 19 19 $37,267.00 $27,950.25 25% off $370.55 $48,447.10 $24,163.92 2026-02-02
33230 HCPCS Insertion Of Defibrillator With Existing Dual Leads 19 19 $83,842.00 $62,881.50 25% off $306.31 $108,994.60 $54,363.15 2026-02-02
33231 HCPCS Insertion Of Defibrillator With Existing Multiple Leads 19 19 $83,842.00 $62,881.50 25% off $318.01 $108,994.60 $54,363.15 2026-02-02
33240 HCPCS Insertion Of Defibrillator With Existing Single Lead 19 19 $57,798.00 $43,348.50 25% off $376.96 $75,137.40 $37,476.22 2026-02-02
33282 HCPCS Implant Pat-active Ht Record 21 15 $21,095.00 $15,821.25 25% off $209.35 $27,423.50 $14,623.05 2026-02-02
334 MS_DRG Rectal Resection Without Cc/mcc 18 18 $34,585.04 $25,938.78 25% off $6,758.40 $29,397.28 $14,102.32 2026-02-02
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 18 $67,313.81 $50,485.35 25% off $14,734.46 $57,216.73 $30,745.45 2026-02-02
336 MS_DRG Peritoneal Adhesiolysis With Cc 18 18 $49,564.15 $37,173.11 25% off $8,701.04 $42,129.53 $18,155.91 2026-02-02
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 17 17 $59,111.73 $44,333.79 25% off $10,961.41 $50,244.97 $24,075.86 2026-02-02
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 17 17 $64,760.44 $48,570.33 25% off $6,719.20 $55,046.37 $14,758.19 2026-02-02
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 17 17 $24,278.94 $18,209.21 25% off $8,716.14 $22,154.06 $17,236.17 2026-02-02
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 18 18 $46,674.89 $35,006.17 25% off $10,657.30 $39,673.66 $22,237.91 2026-02-02
347 MS_DRG Anal And Stomal Procedures With Mcc 18 18 $94,675.76 $71,006.82 25% off $9,472.24 $80,474.40 $19,765.11 2026-02-02
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 18 18 $149,340.92 $112,005.69 25% off $6,942.02 $126,939.78 $14,485.47 2026-02-02
368 MS_DRG Major Esophageal Disorders With Mcc 18 18 $20,812.14 $15,609.11 25% off $6,568.59 $17,690.32 $13,706.06 2026-02-02
37 MS_DRG Extracranial Procedures With Mcc 18 18 $113,229.99 $84,922.49 25% off $13,584.06 $96,245.49 $28,344.98 2026-02-02
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 18 18 $42,662.04 $31,996.53 25% off $7,316.27 $36,262.73 $15,266.40 2026-02-02
37221 HCPCS Insertion Of Stent In Groin Artery, Initial Vessel 40 15 $29,223.00 $21,917.25 25% off $463.45 $71,679.40 $17,215.47 2026-02-02
37231 HCPCS Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 21 15 $51,662.00 $38,746.50 25% off $693.98 $67,160.60 $14,506.69 2026-02-02
37243 HCPCS Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist 19 19 $29,041.00 $21,780.75 25% off $487.47 $37,753.30 $18,830.18 2026-02-02
37244 HCPCS Occlusion Of Artery Or Vein Bleeding With Review By Radiologist 19 19 $29,041.00 $21,780.75 25% off $568.69 $37,753.30 $18,830.18 2026-02-02
374 MS_DRG Digestive Malignancy With Mcc 18 18 $19,415.53 $14,561.64 25% off $8,824.83 $19,415.53 $16,226.17 2026-02-02
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 18 18 $37,739.16 $28,304.37 25% off $7,542.80 $32,078.28 $15,739.08 2026-02-02
38 MS_DRG Extracranial Procedures With Cc 18 18 $36,834.79 $27,626.09 25% off $6,695.27 $31,309.57 $13,970.58 2026-02-02
380 MS_DRG Complicated Peptic Ulcer With Mcc 18 18 $49,869.81 $37,402.36 25% off $8,096.55 $42,389.34 $16,894.54 2026-02-02
385 MS_DRG Inflammatory Bowel Disease With Mcc 18 18 $63,375.63 $47,531.72 25% off $6,528.98 $53,869.29 $13,623.60 2026-02-02
393 MS_DRG Other Digestive System Diagnoses With Mcc 18 18 $31,112.69 $23,334.52 25% off $6,599.13 $26,445.79 $13,769.97 2026-02-02
397 MS_DRG Appendix Procedures With Mcc 18 18 $22,467.65 $16,850.74 25% off $9,881.98 $22,467.65 $18,169.94 2026-02-02
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 18 $252,884.15 $189,663.11 25% off $57,154.48 $214,951.53 $155,570.12 2026-02-02
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 18 $88,543.59 $66,407.69 25% off $15,932.32 $75,262.05 $33,244.93 2026-02-02
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 18 18 $51,017.56 $38,263.17 25% off $11,966.98 $43,364.93 $24,970.72 2026-02-02
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 18 18 $43,078.83 $32,309.12 25% off $9,072.41 $36,617.01 $18,930.81 2026-02-02
412 MS_DRG Cholecystectomy With C.d.e. With Cc 18 18 $72,656.99 $54,492.74 25% off $8,675.46 $61,758.44 $18,102.53 2026-02-02
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 18 18 $34,271.49 $25,703.62 25% off $9,846.91 $29,130.77 $20,546.90 2026-02-02
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 18 18 $42,734.42 $32,050.82 25% off $6,979.98 $36,324.26 $14,564.67 2026-02-02
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 18 18 $46,927.49 $35,195.62 25% off $7,128.94 $39,888.37 $14,875.50 2026-02-02
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 18 $79,181.49 $59,386.12 25% off $17,136.36 $67,304.27 $35,757.33 2026-02-02
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 18 18 $37,262.40 $27,946.80 25% off $8,121.30 $31,673.04 $16,946.21 2026-02-02
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 18 18 $47,297.35 $35,473.01 25% off $7,578.70 $40,202.74 $15,813.98 2026-02-02
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 18 18 $30,199.77 $22,649.83 25% off $6,726.63 $25,669.81 $14,036.02 2026-02-02
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 18 18 $65,218.00 $48,913.50 25% off $7,405.40 $55,435.30 $15,452.37 2026-02-02
444 MS_DRG Disorders Of The Biliary Tract With Mcc 18 18 $43,714.35 $32,785.76 25% off $6,894.57 $37,157.20 $14,386.45 2026-02-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 18 $62,565.45 $46,924.09 25% off $24,605.30 $58,480.24 $45,241.62 2026-02-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 17 $55,442.66 $41,581.99 25% off $23,517.62 $55,442.66 $43,487.19 2026-02-02
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 18 $35,409.90 $26,557.43 25% off $12,852.06 $30,545.93 $24,666.53 2026-02-02
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 18 $83,327.75 $62,495.81 25% off $14,551.67 $70,828.58 $30,364.03 2026-02-02
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 18 18 $39,153.79 $29,365.34 25% off $11,338.96 $33,280.72 $23,660.28 2026-02-02
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 18 18 $75,347.81 $56,510.85 25% off $12,515.77 $64,045.63 $26,115.85 2026-02-02
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 18 18 $51,717.85 $38,788.39 25% off $7,959.14 $43,960.18 $16,607.83 2026-02-02
472 MS_DRG Cervical Spinal Fusion With Cc 18 18 $125,027.91 $93,770.93 25% off $12,156.37 $106,273.72 $25,365.92 2026-02-02
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 18 $80,515.48 $60,386.61 25% off $17,713.62 $68,438.15 $36,961.87 2026-02-02
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 18 18 $54,087.07 $40,565.30 25% off $9,390.13 $45,974.01 $19,593.78 2026-02-02
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 18 18 $28,710.22 $21,532.67 25% off $10,147.30 $24,403.69 $19,980.81 2026-02-02
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 18 18 $70,753.04 $53,064.78 25% off $12,016.91 $60,140.08 $25,074.90 2026-02-02
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 18 18 $49,627.12 $37,220.34 25% off $8,642.45 $42,183.05 $18,033.65 2026-02-02
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 18 18 $42,775.50 $32,081.62 25% off $6,729.93 $36,359.17 $14,042.91 2026-02-02
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 18 18 $32,301.18 $24,225.88 25% off $8,628.42 $27,456.00 $18,004.37 2026-02-02
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 18 18 $38,022.58 $28,516.94 25% off $6,462.55 $32,319.19 $13,484.98 2026-02-02
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 18 $115,844.37 $86,883.28 25% off $15,149.98 $98,467.71 $31,612.47 2026-02-02
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 18 18 $69,619.93 $52,214.95 25% off $10,464.61 $59,176.94 $21,835.82 2026-02-02
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 18 18 $56,367.73 $42,275.80 25% off $8,279.34 $47,912.57 $17,275.97 2026-02-02
501 MS_DRG Soft Tissue Procedures With Cc 18 18 $32,783.80 $24,587.85 25% off $7,213.12 $27,866.23 $15,051.14 2026-02-02
503 MS_DRG Foot Procedures With Mcc 18 18 $81,210.86 $60,908.15 25% off $11,516.80 $69,029.23 $24,031.37 2026-02-02
504 MS_DRG Foot Procedures With Cc 18 18 $51,027.18 $38,270.38 25% off $7,712.81 $43,373.10 $16,093.81 2026-02-02
505 MS_DRG Foot Procedures Without Cc/mcc 18 18 $60,870.75 $45,653.06 25% off $7,397.56 $51,740.14 $15,436.01 2026-02-02
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 18 18 $48,314.60 $36,235.95 25% off $8,580.15 $41,067.41 $17,903.63 2026-02-02
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 18 18 $109,083.25 $81,812.43 25% off $13,149.98 $92,720.76 $27,439.21 2026-02-02
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 18 18 $52,610.72 $39,458.04 25% off $8,253.35 $44,719.11 $17,221.72 2026-02-02
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 18 18 $89,436.51 $67,077.38 25% off $11,843.19 $76,021.03 $24,712.42 2026-02-02
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 18 18 $56,642.30 $42,481.73 25% off $8,738.18 $48,145.96 $18,233.40 2026-02-02
539 MS_DRG Osteomyelitis With Mcc 18 18 $39,198.50 $29,398.88 25% off $8,127.49 $33,318.73 $16,959.11 2026-02-02
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 17 17 $41,757.32 $31,317.99 25% off $7,289.04 $35,493.72 $16,009.79 2026-02-02
545 MS_DRG Connective Tissue Disorders With Mcc 17 17 $27,572.70 $20,679.52 25% off $10,240.14 $24,338.08 $19,300.89 2026-02-02
548 MS_DRG Septic Arthritis With Mcc 17 17 $76,194.87 $57,146.15 25% off $7,967.40 $64,765.64 $17,499.75 2026-02-02
551 MS_DRG Medical Back Problems With Mcc 18 18 $23,930.16 $17,947.62 25% off $6,916.02 $20,340.63 $14,431.22 2026-02-02
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 17 17 $33,032.94 $24,774.70 25% off $7,695.06 $28,078.00 $16,901.59 2026-02-02
56 MS_DRG Degenerative Nervous System Disorders With Mcc 17 17 $38,448.65 $28,836.49 25% off $9,585.71 $32,681.36 $21,054.26 2026-02-02
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 17 17 $41,020.36 $30,765.27 25% off $6,369.29 $34,867.31 $13,989.65 2026-02-02
570 MS_DRG Skin Debridement With Mcc 18 18 $48,653.30 $36,489.98 25% off $12,135.74 $41,355.31 $25,322.87 2026-02-02
571 MS_DRG Skin Debridement With Cc 18 18 $35,875.18 $26,906.38 25% off $6,971.32 $30,493.90 $14,546.60 2026-02-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 18 $48,175.10 $36,131.33 25% off $27,032.78 $53,439.77 $48,175.10 2026-02-02
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 18 18 $24,829.90 $18,622.42 25% off $14,323.90 $28,316.21 $24,829.90 2026-02-02
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 18 18 $44,533.17 $33,399.87 25% off $13,362.89 $37,853.19 $27,883.49 2026-02-02
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 18 18 $64,360.04 $48,270.03 25% off $7,053.84 $54,706.03 $14,718.80 2026-02-02
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 18 18 $25,097.28 $18,822.96 25% off $7,130.18 $21,332.68 $14,878.08 2026-02-02
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 18 18 $31,253.86 $23,440.40 25% off $7,949.65 $26,565.78 $16,588.03 2026-02-02
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 18 18 $88,788.14 $66,591.11 25% off $7,115.32 $75,469.92 $14,847.08 2026-02-02
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 18 18 $37,753.89 $28,315.42 25% off $8,833.08 $32,090.81 $18,431.42 2026-02-02
597 MS_DRG Malignant Breast Disorders With Mcc 18 18 $46,883.47 $35,162.60 25% off $6,878.89 $39,850.95 $14,353.73 2026-02-02
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 18 $92,200.59 $69,150.44 25% off $11,376.51 $78,370.50 $23,738.63 2026-02-02
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 18 $85,898.85 $64,424.14 25% off $14,389.92 $73,014.02 $30,026.51 2026-02-02
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 18 $40,827.75 $30,620.81 25% off $7,717.34 $34,703.59 $16,103.28 2026-02-02
619 MS_DRG O.r. Procedures For Obesity With Mcc 18 18 $139,853.31 $104,889.98 25% off $11,914.16 $118,875.31 $24,860.51 2026-02-02
620 MS_DRG O.r. Procedures For Obesity With Cc 18 18 $38,152.65 $28,614.49 25% off $6,603.25 $32,429.76 $13,778.58 2026-02-02
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 18 $95,522.44 $71,641.83 25% off $14,686.18 $81,194.07 $30,644.71 2026-02-02
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 18 $66,675.47 $50,006.60 25% off $7,402.10 $56,674.15 $15,445.48 2026-02-02
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 18 $75,237.36 $56,428.02 25% off $15,377.75 $63,951.75 $32,087.75 2026-02-02
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 18 18 $43,218.95 $32,414.21 25% off $8,990.30 $36,736.10 $18,759.47 2026-02-02
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 17 17 $35,061.82 $26,296.37 25% off $8,297.91 $29,802.55 $18,225.69 2026-02-02
643 MS_DRG Endocrine Disorders With Mcc 18 18 $48,061.98 $36,046.48 25% off $6,792.24 $40,852.68 $14,172.92 2026-02-02
64628 HCPCS Heat Destruction Of Intraosseous Basivertebral Nerve In Bones Of Spine In Lower … 19 19 $33,563.00 $25,172.25 25% off $375.88 $43,631.90 $21,762.25 2026-02-02
653 MS_DRG Major Bladder Procedures With Mcc 18 18 $152,441.76 $114,331.32 25% off $21,441.70 $129,575.50 $44,741.00 2026-02-02
654 MS_DRG Major Bladder Procedures With Cc 18 18 $64,720.54 $48,540.40 25% off $11,550.64 $55,012.45 $24,101.97 2026-02-02
655 MS_DRG Major Bladder Procedures Without Cc/mcc 18 18 $37,606.69 $28,205.02 25% off $8,733.64 $31,965.69 $18,223.93 2026-02-02
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 18 18 $115,397.33 $86,548.00 25% off $13,137.19 $98,087.73 $27,412.52 2026-02-02
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 18 18 $43,826.16 $32,869.62 25% off $7,551.06 $37,252.24 $15,756.30 2026-02-02
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 18 18 $54,813.18 $41,109.89 25% off $10,484.41 $46,591.20 $21,877.15 2026-02-02
662 MS_DRG Minor Bladder Procedures With Mcc 18 18 $70,349.78 $52,762.34 25% off $12,632.55 $59,797.31 $26,359.51 2026-02-02
668 MS_DRG Transurethral Procedures With Mcc 18 18 $33,429.73 $25,072.30 25% off $12,048.68 $28,636.50 $23,287.15 2026-02-02
671 MS_DRG Urethral Procedures With Cc/mcc 18 18 $24,882.83 $18,662.12 25% off $7,406.64 $21,150.41 $15,454.95 2026-02-02
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 18 $75,766.90 $56,825.18 25% off $17,336.89 $64,401.87 $36,175.77 2026-02-02
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 18 18 $27,047.15 $20,285.36 25% off $9,649.67 $22,990.08 $18,841.04 2026-02-02
682 MS_DRG Renal Failure With Mcc 17 17 $25,178.73 $18,884.04 25% off $6,110.99 $21,401.92 $13,422.30 2026-02-02
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 18 18 $54,057.16 $40,542.87 25% off $7,442.54 $45,948.59 $15,529.85 2026-02-02
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 18 18 $35,019.43 $26,264.57 25% off $6,826.48 $29,766.51 $14,244.39 2026-02-02
70 MS_DRG Other Cerebrovascular Disorders With Mcc 18 18 $32,778.20 $24,583.65 25% off $6,869.40 $27,861.47 $14,333.92 2026-02-02
709 MS_DRG Penis Procedures With Cc/mcc 18 18 $117,237.52 $87,928.14 25% off $9,602.22 $99,651.89 $20,036.33 2026-02-02
711 MS_DRG Testes Procedures With Cc/mcc 18 18 $70,841.87 $53,131.40 25% off $8,598.30 $60,215.59 $17,941.52 2026-02-02
722 MS_DRG Malignancy, Male Reproductive System With Mcc 18 18 $17,984.01 $13,488.01 25% off $7,467.29 $17,747.76 $13,730.07 2026-02-02
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 18 18 $48,753.91 $36,565.43 25% off $6,619.76 $41,440.82 $13,813.03 2026-02-02
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 18 18 $28,127.15 $21,095.36 25% off $7,570.86 $23,908.07 $15,797.62 2026-02-02
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 18 18 $37,139.46 $27,854.60 25% off $8,455.12 $31,568.54 $17,642.75 2026-02-02
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 18 18 $42,617.29 $31,962.97 25% off $10,594.59 $36,224.70 $22,107.03 2026-02-02
75 MS_DRG Viral Meningitis With Cc/mcc 18 18 $46,461.40 $34,846.05 25% off $7,912.10 $39,492.19 $16,509.67 2026-02-02
754 MS_DRG Malignancy, Female Reproductive System With Mcc 18 18 $73,869.58 $55,402.19 25% off $7,599.33 $62,789.14 $15,857.04 2026-02-02
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 18 18 $25,422.02 $19,066.52 25% off $6,972.55 $21,608.72 $14,549.18 2026-02-02
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 18 18 $47,038.99 $35,279.24 25% off $7,468.53 $39,983.14 $15,584.10 2026-02-02
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 18 18 $13,981.69 $10,486.27 25% off $7,670.30 $15,163.05 $13,981.69 2026-02-02
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 18 18 $57,691.97 $43,268.98 25% off $9,110.37 $49,038.17 $19,010.02 2026-02-02
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 18 18 $32,482.61 $24,361.96 25% off $8,775.32 $27,610.22 $18,310.89 2026-02-02
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 18 18 $17,769.85 $13,327.39 25% off $6,965.13 $16,554.25 $15,024.67 2026-02-02
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 18 18 $42,982.31 $32,236.73 25% off $9,430.98 $36,534.96 $19,679.01 2026-02-02
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 18 $32,210.35 $24,157.76 25% off $7,030.32 $27,378.80 $14,669.72 2026-02-02
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 18 18 $64,910.97 $48,683.23 25% off $13,038.98 $55,174.32 $27,207.60 2026-02-02
834 MS_DRG Acute Leukemia With Mcc 18 18 $41,865.80 $31,399.35 25% off $22,652.75 $44,781.11 $41,415.04 2026-02-02
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 18 18 $16,681.78 $12,511.33 25% off $11,563.81 $26,387.08 $16,681.78 2026-02-02
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 18 18 $28,439.07 $21,329.30 25% off $8,231.06 $24,173.21 $17,175.22 2026-02-02
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 18 18 $20,869.82 $15,652.36 25% off $9,374.45 $20,869.82 $17,236.75 2026-02-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 18 $104,125.22 $78,093.92 25% off $20,377.95 $88,506.44 $42,521.35 2026-02-02
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 18 18 $38,158.19 $28,618.65 25% off $8,244.68 $32,434.47 $17,203.64 2026-02-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 18 $97,199.45 $72,899.58 25% off $18,769.12 $82,619.53 $39,164.31 2026-02-02
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 18 18 $33,499.31 $25,124.48 25% off $8,836.39 $28,474.41 $18,438.32 2026-02-02
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 18 18 $31,928.68 $23,946.51 25% off $7,525.06 $27,139.38 $15,702.06 2026-02-02
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 18 18 $39,280.90 $29,460.67 25% off $8,637.09 $33,388.76 $18,022.45 2026-02-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 18 $143,921.55 $107,941.16 25% off $28,519.88 $122,333.32 $59,510.60 2026-02-02
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 18 18 $35,355.46 $26,516.59 25% off $8,015.26 $30,052.14 $16,724.92 2026-02-02
87241 HCPCS Operating Room Services - Minor Surgery 15 15 $29,041.00 $21,780.75 25% off $7,013.40 $37,753.30 $20,921.14 2026-02-02
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 10 $19,785.84 $14,839.38 25% off $13,715.54 $29,156.26 $19,785.84 2026-02-02
884 MS_DRG Organic Disturbances And Intellectual Disability 10 10 $25,145.58 $18,859.19 25% off $6,638.74 $21,373.75 $13,957.92 2026-02-02
886 MS_DRG Behavioral And Developmental Disorders 10 10 $17,501.88 $13,126.41 25% off $8,563.23 $17,501.88 $15,266.19 2026-02-02
902 MS_DRG Wound Debridements For Injuries With Cc 18 18 $57,262.38 $42,946.78 25% off $7,899.72 $48,673.02 $16,483.85 2026-02-02
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 18 18 $177,121.22 $132,840.92 25% off $15,156.17 $150,553.04 $31,625.39 2026-02-02
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 18 $46,839.79 $35,129.84 25% off $15,841.95 $39,813.82 $31,893.25 2026-02-02
908 MS_DRG Other O.r. Procedures For Injuries With Cc 18 18 $26,028.83 $19,521.62 25% off $8,232.71 $22,124.51 $17,159.02 2026-02-02
91 MS_DRG Other Disorders Of Nervous System With Mcc 17 17 $45,696.27 $34,272.20 25% off $7,246.54 $38,841.83 $15,916.44 2026-02-02
913 MS_DRG Traumatic Injury With Mcc 18 18 $32,885.94 $24,664.46 25% off $6,744.78 $27,953.05 $14,073.90 2026-02-02
915 MS_DRG Allergic Reactions With Mcc 18 18 $63,072.90 $47,304.67 25% off $6,938.72 $53,611.96 $14,478.58 2026-02-02
919 MS_DRG Complications Of Treatment With Mcc 18 18 $37,537.58 $28,153.19 25% off $7,554.36 $31,906.94 $15,763.19 2026-02-02
92924 HCPCS Removal Of Plaque With Balloon Dilation Of Single Coronary Artery Or Branch 19 19 $26,415.00 $19,811.25 25% off $517.11 $34,339.50 $17,127.49 2026-02-02
92929 HCPCS Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Each Add… 21 15 $24,046.00 $18,034.50 25% off $76.25 $31,259.80 $16,668.69 2026-02-02
92938 HCPCS Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Coronary Vessel… 21 15 $24,046.00 $18,034.50 25% off $76.25 $31,259.80 $16,668.69 2026-02-02
92944 HCPCS Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation, Each Additional C… 15 15 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-02-02
935 MS_DRG Non-extensive Burns 18 18 $17,140.96 $12,855.72 25% off $8,500.10 $17,140.96 $13,680.20 2026-02-02
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 18 18 $24,142.47 $18,106.85 25% off $8,366.82 $20,521.10 $16,637.76 2026-02-02
945 MS_DRG Rehabilitation With Cc/mcc 15 15 $50,901.37 $38,176.03 25% off $6,389.93 $43,266.16 $35,630.96 2026-02-02
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 17 17 $62,892.35 $47,169.26 25% off $10,642.45 $53,458.49 $23,375.29 2026-02-02
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 18 $73,944.43 $55,458.32 25% off $15,527.12 $62,852.77 $32,399.43 2026-02-02
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 17 17 $41,123.34 $30,842.51 25% off $10,642.45 $34,954.84 $23,375.29 2026-02-02
974 MS_DRG HIV With Major Related Condition With Mcc 18 18 $19,192.36 $14,394.27 25% off $11,908.39 $23,541.10 $19,192.36 2026-02-02
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 17 17 $27,214.23 $20,410.67 25% off $9,469.35 $23,132.10 $18,864.90 2026-02-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 18 $68,846.88 $51,635.16 25% off $19,359.59 $58,519.85 $40,396.40 2026-02-02
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 18 18 $42,328.61 $31,746.46 25% off $10,144.41 $35,979.32 $21,167.68 2026-02-02
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 18 18 $26,649.44 $19,987.08 25% off $7,072.41 $22,652.02 $14,757.54 2026-02-02
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 17 $73,221.43 $54,916.07 25% off $14,146.47 $62,238.21 $31,071.59 2026-02-02
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 18 18 $53,922.58 $40,441.93 25% off $6,781.92 $45,834.19 $14,151.40 2026-02-02
C1605 HCPCS Pacemaker, Leadless, Dual Chamber (right Atrial And Right Ventricular Implantabl… 15 15 $49,665.00 $37,248.75 25% off $11,422.95 $64,564.50 $35,778.67 2026-02-02
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 30 15 $32,815.00 $24,611.25 25% off $4,870.48 $57,790.20 $19,587.80 2026-02-02
C1722 HCPCS Cardioverter-defibrillator, Single Chamber (implantable) 45 15 $23,577.00 $17,682.75 25% off $4,867.72 $42,984.50 $16,984.87 2026-02-02
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 30 15 $26,498.50 $19,873.88 25% off $5,642.59 $37,003.20 $19,093.65 2026-02-02
C1813 HCPCS Prosthesis, Penile, Inflatable 15 15 $19,780.00 $14,835.00 25% off $4,549.40 $25,714.00 $14,249.51 2026-02-02
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 15 15 $37,853.00 $28,389.75 25% off $8,706.19 $49,208.90 $27,269.30 2026-02-02
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 15 15 $37,188.00 $27,891.00 25% off $8,553.24 $48,344.40 $26,790.24 2026-02-02
C2624 HCPCS Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 15 15 $45,423.00 $34,067.25 25% off $10,447.29 $59,049.90 $32,722.73 2026-02-02
C9364 HCPCS Porcine Implant, Permacol, Per Square Centimeter 15 15 $27,220.00 $20,415.00 25% off $6,260.60 $35,386.00 $19,609.29 2026-02-02
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 19 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $16,668.69 2026-02-02
C9601 HCPCS Percutaneous Transcatheter Placement Of Drug-eluting Intracoronary Stent(s), Wit… 15 15 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-02-02
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary … 19 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-02-02
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 19 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $16,668.69 2026-02-02
C9605 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 15 15 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-02-02
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 15 15 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-02-02
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 19 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-02-02
C9608 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 15 15 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-02-02
C9764 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 19 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $16,668.69 2026-02-02
C9765 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 19 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-02-02
C9766 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 19 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-02-02
C9767 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 19 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-02-02
C9772 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 19 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $16,668.69 2026-02-02
C9773 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(i… 19 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-02-02
C9774 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 19 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-02-02
C9775 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 19 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-02-02
J0491 HCPCS Injection, Anifrolumab-fnia, 1 Mg 19 19 $25,101.00 $18,825.75 25% off $18.08 $32,631.30 $17,400.01 2026-02-02
J0638 HCPCS Injection, Canakinumab, 1 Mg 19 19 $102,897.00 $77,172.75 25% off $141.60 $133,766.10 $71,328.20 2026-02-02
J0896 HCPCS Injection, Luspatercept-aamt, 0.25 Mg 34 19 $20,511.00 $15,383.25 25% off $41.98 $81,593.20 $16,295.93 2026-02-02
J1628 HCPCS Injection, Guselkumab, 1 Mg 19 19 $73,248.00 $54,936.00 25% off $75.97 $95,222.40 $50,775.51 2026-02-02
J1823 HCPCS Injection, Inebilizumab-cdon, 1 Mg 19 19 $196,999.00 $147,749.25 25% off $495.55 $256,098.70 $136,559.71 2026-02-02
J1930 HCPCS Injection, Lanreotide, 1 Mg 19 19 $47,060.00 $35,295.00 25% off $34.05 $61,178.00 $32,621.99 2026-02-02
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 19 19 $48,350.00 $36,262.50 25% off $14.94 $62,855.00 $33,516.22 2026-02-02
J2329 HCPCS Injection, Ublituximab-xiiy, 1mg 19 19 $52,038.00 $39,028.50 25% off $70.75 $67,649.40 $36,072.74 2026-02-02
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 19 19 $42,982.00 $32,236.50 25% off $59.41 $55,876.60 $29,795.12 2026-02-02
J2507 HCPCS Injection, Pegloticase, 1 Mg 19 19 $155,380.00 $116,535.00 25% off $3,660.83 $201,994.00 $107,709.42 2026-02-02
J3101 HCPCS Injection, Tenecteplase, 1 Mg 19 19 $39,045.00 $29,283.75 25% off $172.22 $50,758.50 $27,065.99 2026-02-02
J3357 HCPCS Ustekinumab, For Subcutaneous Injection, 1 Mg 15 15 $116,448.00 $87,336.00 25% off $26,783.04 $151,382.40 $83,889.14 2026-02-02
J9022 HCPCS Injection, Atezolizumab, 10 Mg 34 19 $23,145.00 $17,358.75 25% off $91.34 $43,408.30 $16,673.66 2026-02-02
J9043 HCPCS Injection, Cabazitaxel, 1 Mg 19 19 $23,469.00 $17,601.75 25% off $227.28 $30,509.70 $16,268.71 2026-02-02
J9061 HCPCS Injection, Amivantamab-vmjw, 2 Mg 19 19 $19,296.00 $14,472.00 25% off $22.54 $25,084.80 $13,375.99 2026-02-02
J9119 HCPCS Injection, Cemiplimab-rwlc, 1 Mg 19 19 $48,157.00 $36,117.75 25% off $29.29 $62,604.10 $33,382.43 2026-02-02
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 19 19 $48,255.00 $36,191.25 25% off $55.57 $62,731.50 $33,450.37 2026-02-02
J9204 HCPCS Injection, Mogamulizumab-kpkc, 1 Mg 19 19 $20,271.00 $15,203.25 25% off $248.50 $26,352.30 $14,051.86 2026-02-02
J9223 HCPCS Injection, Lurbinectedin, 0.1 Mg 19 19 $35,102.00 $26,326.50 25% off $207.13 $45,632.60 $24,332.71 2026-02-02
J9228 HCPCS Injection, Ipilimumab, 1 Mg 34 19 $13,970.00 $10,477.50 25% off $183.48 $230,196.20 $14,319.25 2026-02-02
J9298 HCPCS Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg 19 19 $75,398.00 $56,548.50 25% off $197.83 $98,017.40 $52,265.89 2026-02-02
J9309 HCPCS Injection, Polatuzumab Vedotin-piiq, 1 Mg 19 19 $19,894.00 $14,920.50 25% off $136.67 $25,862.20 $13,790.52 2026-02-02
J9316 HCPCS Injection, Pertuzumab, Trastuzumab, And Hyaluronidase-zzxf, Per 10 Mg 34 19 $70,474.00 $52,855.50 25% off $62.10 $91,616.20 $33,845.11 2026-02-02
J9333 HCPCS Injection, Rozanolixizumab-noli, 1 Mg 34 19 $32,017.00 $24,012.75 25% off $23.17 $84,284.20 $23,065.05 2026-02-02
J9334 HCPCS Injection, Efgartigimod Alfa, 2 Mg And Hyaluronidase-qvfc 19 19 $83,471.00 $62,603.25 25% off $33.89 $108,512.30 $57,862.10 2026-02-02
Q4108 HCPCS Integra Matrix, Per Square Centimeter 19 19 $25,071.00 $18,803.25 25% off $113.13 $32,592.30 $17,379.22 2026-02-02
Q4116 HCPCS Alloderm, Per Square Centimeter 19 19 $36,394.00 $27,295.50 25% off $113.13 $47,312.20 $25,228.32 2026-02-02
Q4128 HCPCS Flex Hd, Or Allopatch Hd, Per Square Centimeter 34 19 $21,697.00 $16,272.75 25% off $113.13 $42,572.40 $15,630.52 2026-02-02
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 19 19 $22,094.00 $16,570.50 25% off $106.33 $28,722.20 $15,315.56 2026-02-02
Q5122 HCPCS Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg 19 19 $20,771.00 $15,578.25 25% off $131.16 $27,002.30 $14,398.46 2026-02-02
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