Hospital

MONROE COUNTY MEDICAL CENTER

Tompkinsville, KY · CCN 180105 · Rates published

3,706 distinct procedures filed

12 distinct payers

29,094 rate rows

2026-10-08 last MRF observed

Data quality

26,337 of 29,094 rate rows are consumer-grade (90.5%)

2,757 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
template filing: same amount across many unrelated codes — excluded	1,191
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	1,146
per-diem day rate — not a per-procedure price	357
placeholder amount (≤ $0.02) — excluded from medians	36
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	16
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	4
percent-of-charges filed in the dollar field — excluded from medians	4
exceeds 10× this hospital's gross charge — excluded from medians	3

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

Source MRF file	https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMCMCTOMPKINSVILLEKY&type=CDMWithoutLabel
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-14
Content fingerprint	52836088f9b77577… · 10,926,987 bytes · first seen 2026-10-09

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
840 MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	2	$8,340.70	$10,130.35	$9,235.53	nat. median $22,339 outlier · 0.4×
462644 CDM	Dificid 200 Mg (20 Tabs)	6	$5,595.09	$9,000.39	$7,608.57	—
545 MS_DRG	Connective Tissue Disorders With Mcc	2	$6,398.69	$7,771.64	$7,085.16	nat. median $17,538 outlier · 0.4×
982 MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	2	$6,338.87	$7,698.99	$7,018.93	nat. median $17,763 outlier · 0.4×
94 MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	2	$6,887.30	$6,887.30	$6,887.30	nat. median $24,752 outlier · 0.3×
56 MS_DRG	Degenerative Nervous System Disorders With Mcc	2	$5,989.76	$7,274.97	$6,632.36	nat. median $14,194 outlier · 0.5×
82 MS_DRG	Traumatic Stupor And Coma >1 Hour With Mcc	2	$5,893.08	$7,157.54	$6,525.31	nat. median $16,241 outlier · 0.4×
808 MS_DRG	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	2	$5,692.74	$6,914.22	$6,303.48	nat. median $15,758 outlier · 0.4×
374 MS_DRG	Digestive Malignancy With Mcc	2	$5,514.32	$6,697.51	$6,105.91	nat. median $15,192 outlier · 0.4×
867 MS_DRG	Other Infectious And Parasitic Diseases Diagnoses With Mcc	2	$5,397.00	$6,555.02	$5,976.01	nat. median $14,941 outlier · 0.4×
314 MS_DRG	Other Circulatory System Diagnoses With Mcc	2	$5,376.38	$6,529.97	$5,953.18	nat. median $15,450 outlier · 0.4×
64 MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	2	$5,185.06	$6,297.61	$5,741.34	nat. median $14,700 outlier · 0.4×
539 MS_DRG	Osteomyelitis With Mcc	2	$5,078.58	$6,168.27	$5,623.43	nat. median $14,058 outlier · 0.4×
432 MS_DRG	Cirrhosis And Alcoholic Hepatitis With Mcc	2	$5,074.71	$6,163.58	$5,619.15	nat. median $14,126 outlier · 0.4×
871 MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	2	$5,008.44	$6,083.09	$5,545.76	nat. median $14,442 outlier · 0.4×
470 MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without…	2	$4,973.38	$6,040.50	$5,506.94	nat. median $14,330 outlier · 0.4×
196 MS_DRG	Interstitial Lung Disease With Mcc	2	$4,865.86	$5,909.92	$5,387.89	nat. median $13,273 outlier · 0.4×
435 MS_DRG	Malignancy Of Hepatobiliary System Or Pancreas With Mcc	2	$4,735.66	$5,751.77	$5,243.72	nat. median $13,132 outlier · 0.4×
205 MS_DRG	Other Respiratory System Diagnoses With Mcc	2	$4,720.96	$5,733.92	$5,227.44	nat. median $13,001 outlier · 0.4×
377 MS_DRG	Gastrointestinal Hemorrhage With Mcc	2	$4,713.22	$5,724.53	$5,218.88	nat. median $13,124 outlier · 0.4×
686 MS_DRG	Kidney And Urinary Tract Neoplasms With Mcc	2	$4,650.57	$5,648.43	$5,149.50	nat. median $12,686 outlier · 0.4×
441 MS_DRG	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc	2	$4,627.36	$5,620.25	$5,123.81	nat. median $13,138 outlier · 0.4×
623 MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	2	$4,625.30	$5,617.74	$5,121.52	nat. median $13,380 outlier · 0.4×
180 MS_DRG	Respiratory Neoplasms With Mcc	2	$4,553.37	$5,530.37	$5,041.87	nat. median $12,731 outlier · 0.4×
91 MS_DRG	Other Disorders Of Nervous System With Mcc	2	$4,528.10	$5,499.68	$5,013.89	nat. median $12,760 outlier · 0.4×
922 MS_DRG	Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc	2	$4,510.57	$5,478.39	$4,994.48	nat. median $12,029 outlier · 0.4×
592 MS_DRG	Skin Ulcers With Mcc	2	$4,818.45	$4,818.45	$4,818.45	nat. median $13,680 outlier · 0.4×
551 MS_DRG	Medical Back Problems With Mcc	2	$4,321.57	$5,248.84	$4,785.20	nat. median $11,966 outlier · 0.4×
444 MS_DRG	Disorders Of The Biliary Tract With Mcc	2	$4,308.17	$5,232.56	$4,770.36	nat. median $12,165 outlier · 0.4×
597 MS_DRG	Malignant Breast Disorders With Mcc	2	$4,298.37	$5,220.66	$4,759.51	nat. median $11,920 outlier · 0.4×
70 MS_DRG	Other Cerebrovascular Disorders With Mcc	2	$4,292.44	$5,213.45	$4,752.94	nat. median $12,172 outlier · 0.4×
841 MS_DRG	Lymphoma And Non-acute Leukemia With Cc	2	$4,206.32	$5,108.86	$4,657.59	nat. median $11,732 outlier · 0.4×
438 MS_DRG	Disorders Of Pancreas Except Malignancy With Mcc	2	$4,203.23	$5,105.10	$4,654.16	nat. median $11,966 outlier · 0.4×
280 MS_DRG	Acute Myocardial Infarction, Discharged Alive With Mcc	2	$4,135.93	$5,023.37	$4,579.65	nat. median $11,829 outlier · 0.4×
393 MS_DRG	Other Digestive System Diagnoses With Mcc	2	$4,123.56	$5,008.34	$4,565.95	nat. median $11,985 outlier · 0.4×
J1162 HCPCS	Injection, Digoxin Immune Fab (ovine), Per Vial	6	$3,132.04	$5,038.28	$4,557.41	nat. median $6,265 0.7× median
917 MS_DRG	Poisoning And Toxic Effects Of Drugs With Mcc	2	$4,043.88	$4,911.57	$4,477.73	nat. median $10,747 outlier · 0.4×
177 MS_DRG	Respiratory Infections And Inflammations With Mcc	2	$4,029.19	$4,893.72	$4,461.45	nat. median $11,701 outlier · 0.4×
98 MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	2	$4,380.95	$4,380.95	$4,380.95	nat. median $15,725 outlier · 0.3×
54 MS_DRG	Nervous System Neoplasms With Mcc	2	$3,936.88	$4,781.61	$4,359.24	nat. median $10,939 outlier · 0.4×
813 MS_DRG	Coagulation Disorders	2	$3,932.76	$4,776.60	$4,354.68	nat. median $11,108 outlier · 0.4×
296 MS_DRG	Cardiac Arrest, Unexplained With Mcc	2	$4,027.12	$4,579.25	$4,303.18	nat. median $11,574 outlier · 0.4×
865 MS_DRG	Viral Illness With Mcc	2	$3,863.14	$4,692.05	$4,277.60	nat. median $10,538 outlier · 0.4×
682 MS_DRG	Renal Failure With Mcc	2	$3,818.54	$4,637.87	$4,228.20	nat. median $11,096 outlier · 0.4×
388 MS_DRG	Gastrointestinal Obstruction With Mcc	2	$3,807.71	$4,624.72	$4,216.22	nat. median $10,670 outlier · 0.4×
604 MS_DRG	Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc	2	$3,795.59	$4,610.00	$4,202.80	nat. median $10,509 outlier · 0.4×
581 MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc	2	$3,720.82	$4,519.18	$4,120.00	nat. median $10,677 outlier · 0.4×
637 MS_DRG	Diabetes With Mcc	2	$3,704.32	$4,499.14	$4,101.73	nat. median $10,515 outlier · 0.4×
602 MS_DRG	Cellulitis With Mcc	2	$3,664.61	$4,450.91	$4,057.76	nat. median $10,595 outlier · 0.4×
811 MS_DRG	Red Blood Cell Disorders With Mcc	2	$3,620.78	$4,397.68	$4,009.23	nat. median $10,250 outlier · 0.4×

Other procedures at this hospital

Browse this hospital's 3,706 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

840	MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	2	2	$12,588.50	$10,448.46	$8,340.70	$10,130.35	$9,235.53	2026-10-08
462644	CDM	Dificid 200 Mg (20 Tabs)	6	6	$9,278.75	$7,701.36	$5,595.09	$9,000.39	$7,608.57	2026-10-08
545	MS_DRG	Connective Tissue Disorders With Mcc	2	2	$8,728.65	$7,244.78	$6,398.69	$7,771.64	$7,085.16	2026-10-08
982	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	2	2	$11,419.90	$9,478.52	$6,338.87	$7,698.99	$7,018.93	2026-10-08
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	2	2	$6,887.30	$5,716.46	$6,887.30	$6,887.30	$6,887.30	2026-10-08
56	MS_DRG	Degenerative Nervous System Disorders With Mcc	2	2	$34,031.40	$28,246.06	$5,989.76	$7,274.97	$6,632.36	2026-10-08
82	MS_DRG	Traumatic Stupor And Coma >1 Hour With Mcc	2	2	$7,509.40	$6,232.80	$5,893.08	$7,157.54	$6,525.31	2026-10-08
808	MS_DRG	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	2	2	$21,686.90	$18,000.13	$5,692.74	$6,914.22	$6,303.48	2026-10-08
374	MS_DRG	Digestive Malignancy With Mcc	2	2	$20,106.00	$16,687.98	$5,514.32	$6,697.51	$6,105.91	2026-10-08
867	MS_DRG	Other Infectious And Parasitic Diseases Diagnoses With Mcc	2	2	$15,551.35	$12,907.62	$5,397.00	$6,555.02	$5,976.01	2026-10-08
314	MS_DRG	Other Circulatory System Diagnoses With Mcc	2	2	$16,993.38	$14,104.50	$5,376.38	$6,529.97	$5,953.18	2026-10-08
64	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	2	2	$19,494.20	$16,180.19	$5,185.06	$6,297.61	$5,741.34	2026-10-08
539	MS_DRG	Osteomyelitis With Mcc	2	2	$13,107.60	$10,879.31	$5,078.58	$6,168.27	$5,623.43	2026-10-08
432	MS_DRG	Cirrhosis And Alcoholic Hepatitis With Mcc	2	2	$10,296.45	$8,546.05	$5,074.71	$6,163.58	$5,619.15	2026-10-08
871	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	2	2	$10,804.39	$8,967.64	$5,008.44	$6,083.09	$5,545.76	2026-10-08
470	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …	2	2	$12,514.26	$10,386.84	$4,973.38	$6,040.50	$5,506.94	2026-10-08
196	MS_DRG	Interstitial Lung Disease With Mcc	2	2	$30,481.75	$25,299.85	$4,865.86	$5,909.92	$5,387.89	2026-10-08
435	MS_DRG	Malignancy Of Hepatobiliary System Or Pancreas With Mcc	2	2	$6,600.33	$5,478.27	$4,735.66	$5,751.77	$5,243.72	2026-10-08
205	MS_DRG	Other Respiratory System Diagnoses With Mcc	2	2	$9,958.25	$8,265.35	$4,720.96	$5,733.92	$5,227.44	2026-10-08
377	MS_DRG	Gastrointestinal Hemorrhage With Mcc	2	2	$13,712.83	$11,381.64	$4,713.22	$5,724.53	$5,218.88	2026-10-08
686	MS_DRG	Kidney And Urinary Tract Neoplasms With Mcc	2	2	$24,374.35	$20,230.71	$4,650.57	$5,648.43	$5,149.50	2026-10-08
441	MS_DRG	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc	2	2	$8,098.10	$6,721.42	$4,627.36	$5,620.25	$5,123.81	2026-10-08
623	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	2	2	$13,659.00	$11,336.97	$4,625.30	$5,617.74	$5,121.52	2026-10-08
180	MS_DRG	Respiratory Neoplasms With Mcc	2	2	$20,796.40	$17,261.01	$4,553.37	$5,530.37	$5,041.87	2026-10-08
91	MS_DRG	Other Disorders Of Nervous System With Mcc	2	2	$16,557.60	$13,742.81	$4,528.10	$5,499.68	$5,013.89	2026-10-08
922	MS_DRG	Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc	2	2	$19,785.35	$16,421.84	$4,510.57	$5,478.39	$4,994.48	2026-10-08
592	MS_DRG	Skin Ulcers With Mcc	2	2	$4,818.45	$3,999.31	$4,818.45	$4,818.45	$4,818.45	2026-10-08
551	MS_DRG	Medical Back Problems With Mcc	2	2	$10,392.15	$8,625.48	$4,321.57	$5,248.84	$4,785.20	2026-10-08
444	MS_DRG	Disorders Of The Biliary Tract With Mcc	2	2	$13,242.58	$10,991.34	$4,308.17	$5,232.56	$4,770.36	2026-10-08
597	MS_DRG	Malignant Breast Disorders With Mcc	2	2	$29,732.98	$24,678.37	$4,298.37	$5,220.66	$4,759.51	2026-10-08
70	MS_DRG	Other Cerebrovascular Disorders With Mcc	2	2	$6,001.50	$4,981.25	$4,292.44	$5,213.45	$4,752.94	2026-10-08
841	MS_DRG	Lymphoma And Non-acute Leukemia With Cc	2	2	$14,905.45	$12,371.52	$4,206.32	$5,108.86	$4,657.59	2026-10-08
438	MS_DRG	Disorders Of Pancreas Except Malignancy With Mcc	2	2	$19,040.50	$15,803.62	$4,203.23	$5,105.10	$4,654.16	2026-10-08
280	MS_DRG	Acute Myocardial Infarction, Discharged Alive With Mcc	2	2	$11,175.65	$9,275.79	$4,135.93	$5,023.37	$4,579.65	2026-10-08
393	MS_DRG	Other Digestive System Diagnoses With Mcc	2	2	$5,699.50	$4,730.59	$4,123.56	$5,008.34	$4,565.95	2026-10-08
J1162	HCPCS	Injection, Digoxin Immune Fab (ovine), Per Vial	6	6	$5,194.10	$4,311.10	$3,132.04	$5,038.28	$4,557.41	2026-10-08
917	MS_DRG	Poisoning And Toxic Effects Of Drugs With Mcc	2	2	$11,006.75	$9,135.60	$4,043.88	$4,911.57	$4,477.73	2026-10-08
177	MS_DRG	Respiratory Infections And Inflammations With Mcc	2	2	$22,225.98	$18,447.57	$4,029.19	$4,893.72	$4,461.45	2026-10-08
98	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	2	2	$4,380.95	$3,636.19	$4,380.95	$4,380.95	$4,380.95	2026-10-08
54	MS_DRG	Nervous System Neoplasms With Mcc	2	2	$43,626.40	$36,209.91	$3,936.88	$4,781.61	$4,359.24	2026-10-08
813	MS_DRG	Coagulation Disorders	2	2	$11,058.25	$9,178.35	$3,932.76	$4,776.60	$4,354.68	2026-10-08
296	MS_DRG	Cardiac Arrest, Unexplained With Mcc	2	2	$4,579.25	$3,800.78	$4,027.12	$4,579.25	$4,303.18	2026-10-08
865	MS_DRG	Viral Illness With Mcc	2	2	$13,405.45	$11,126.52	$3,863.14	$4,692.05	$4,277.60	2026-10-08
682	MS_DRG	Renal Failure With Mcc	2	2	$20,270.70	$16,824.68	$3,818.54	$4,637.87	$4,228.20	2026-10-08
388	MS_DRG	Gastrointestinal Obstruction With Mcc	2	2	$13,441.35	$11,156.32	$3,807.71	$4,624.72	$4,216.22	2026-10-08
604	MS_DRG	Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc	2	2	$4,871.05	$4,042.97	$3,795.59	$4,610.00	$4,202.80	2026-10-08
581	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc	2	2	$9,836.25	$8,164.09	$3,720.82	$4,519.18	$4,120.00	2026-10-08
637	MS_DRG	Diabetes With Mcc	2	2	$11,331.25	$9,404.94	$3,704.32	$4,499.14	$4,101.73	2026-10-08
602	MS_DRG	Cellulitis With Mcc	2	2	$16,168.55	$13,419.90	$3,664.61	$4,450.91	$4,057.76	2026-10-08
811	MS_DRG	Red Blood Cell Disorders With Mcc	2	2	$13,757.75	$11,418.93	$3,620.78	$4,397.68	$4,009.23	2026-10-08
33210	HCPCS	Insertion Of Temporary Pacemaker Lead In Single Heart Chamber	7	4	$6,636.60	$5,508.38	$169.76	$6,437.50	$4,001.87	2026-10-08
175	MS_DRG	Pulmonary Embolism With Mcc Or Acute Cor Pulmonale	2	2	$9,250.55	$7,677.96	$3,541.62	$4,301.54	$3,921.58	2026-10-08
640	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	2	2	$8,271.83	$6,865.61	$3,443.64	$4,182.54	$3,813.09	2026-10-08
193	MS_DRG	Simple Pneumonia And Pleurisy With Mcc	2	2	$14,450.92	$11,994.27	$3,388.98	$4,116.15	$3,752.56	2026-10-08
540	MS_DRG	Osteomyelitis With Cc	2	2	$6,040.05	$5,013.24	$3,342.32	$4,059.47	$3,700.89	2026-10-08
57	MS_DRG	Degenerative Nervous System Disorders Without Mcc	2	2	$11,199.75	$9,295.79	$3,340.51	$4,057.28	$3,698.90	2026-10-08
291	MS_DRG	Heart Failure And Shock With Mcc	2	2	$15,034.42	$12,478.57	$3,310.09	$4,020.32	$3,665.20	2026-10-08
947	MS_DRG	Signs And Symptoms With Mcc	2	2	$13,323.86	$11,058.81	$3,272.96	$3,975.23	$3,624.10	2026-10-08
391	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc	2	2	$16,427.94	$13,635.19	$3,270.12	$3,971.78	$3,620.95	2026-10-08
189	MS_DRG	Pulmonary Edema And Respiratory Failure	2	2	$29,484.47	$24,472.11	$3,185.29	$3,868.75	$3,527.02	2026-10-08
560	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Cc	3	3	$19,871.90	$16,493.68	$2,903.48	$41,921.90	$3,526.47	2026-10-08
375	MS_DRG	Digestive Malignancy With Cc	2	2	$12,620.03	$10,474.62	$3,118.77	$3,787.96	$3,453.36	2026-10-08
308	MS_DRG	Cardiac Arrhythmia And Conduction Disorders With Mcc	2	2	$9,313.08	$7,729.85	$3,104.33	$3,770.42	$3,437.38	2026-10-08
809	MS_DRG	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	2	2	$3,577.15	$2,969.03	$3,263.93	$3,577.15	$3,420.54	2026-10-08
302	MS_DRG	Atherosclerosis With Mcc	2	2	$10,732.20	$8,907.73	$3,085.25	$3,747.25	$3,416.25	2026-10-08
949	MS_DRG	Aftercare With Cc/mcc	2	2	$4,184.30	$3,472.97	$3,067.46	$3,725.64	$3,396.55	2026-10-08
593	MS_DRG	Skin Ulcers With Cc	2	2	$20,458.13	$16,980.24	$3,058.70	$3,714.99	$3,386.84	2026-10-08
689	MS_DRG	Kidney And Urinary Tract Infections With Mcc	2	2	$10,931.02	$9,072.75	$2,991.66	$3,633.57	$3,312.61	2026-10-08
723	MS_DRG	Malignancy, Male Reproductive System With Cc	2	2	$13,027.10	$10,812.49	$2,946.28	$3,578.46	$3,262.37	2026-10-08
598	MS_DRG	Malignant Breast Disorders With Cc	2	2	$12,443.90	$10,328.44	$2,916.89	$3,542.76	$3,229.82	2026-10-08
436	MS_DRG	Malignancy Of Hepatobiliary System Or Pancreas With Cc	2	2	$13,920.67	$11,554.15	$2,916.37	$3,542.13	$3,229.25	2026-10-08
190	MS_DRG	Chronic Obstructive Pulmonary Disease With Mcc	2	2	$15,601.41	$12,949.17	$2,856.04	$3,468.85	$3,162.44	2026-10-08
89	MS_DRG	Concussion With Cc	2	2	$6,144.50	$5,099.94	$2,832.58	$3,440.35	$3,136.47	2026-10-08
445	MS_DRG	Disorders Of The Biliary Tract With Cc	2	2	$6,896.88	$5,724.41	$2,821.75	$3,427.20	$3,124.47	2026-10-08
755	MS_DRG	Malignancy, Female Reproductive System With Cc	2	2	$8,686.08	$7,209.44	$2,804.73	$3,406.53	$3,105.63	2026-10-08
596	MS_DRG	Major Skin Disorders Without Mcc	2	2	$8,141.40	$6,757.36	$2,791.06	$3,389.94	$3,090.50	2026-10-08
181	MS_DRG	Respiratory Neoplasms With Cc	2	2	$11,436.58	$9,492.36	$2,761.41	$3,353.92	$3,057.66	2026-10-08
433	MS_DRG	Cirrhosis And Alcoholic Hepatitis With Cc	2	2	$11,641.98	$9,662.84	$2,723.25	$3,307.57	$3,015.41	2026-10-08
868	MS_DRG	Other Infectious And Parasitic Diseases Diagnoses With Cc	2	2	$13,260.85	$11,006.51	$2,658.54	$3,228.97	$2,943.76	2026-10-08
74	MS_DRG	Cranial And Peripheral Nerve Disorders Without Mcc	2	2	$8,104.84	$6,727.02	$2,657.76	$3,228.03	$2,942.90	2026-10-08
543	MS_DRG	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…	2	2	$6,080.30	$5,046.65	$2,650.54	$3,219.26	$2,934.90	2026-10-08
872	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	2	2	$12,780.03	$10,607.43	$2,638.43	$3,204.55	$2,921.49	2026-10-08
92	MS_DRG	Other Disorders Of Nervous System With Cc	2	2	$14,493.22	$12,029.37	$2,637.65	$3,203.61	$2,920.63	2026-10-08
372	MS_DRG	Major Gastrointestinal Disorders And Peritoneal Infections With Cc	2	2	$21,695.70	$18,007.43	$2,632.50	$3,197.34	$2,914.92	2026-10-08
815	MS_DRG	Reticuloendothelial And Immunity Disorders With Cc	2	2	$13,861.10	$11,504.71	$2,614.45	$3,175.42	$2,894.93	2026-10-08
842	MS_DRG	Lymphoma And Non-acute Leukemia Without Cc/mcc	2	2	$7,819.15	$6,489.89	$2,605.16	$3,164.15	$2,884.65	2026-10-08
65	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours	2	2	$12,069.25	$10,017.48	$2,604.91	$3,163.84	$2,884.38	2026-10-08
760	MS_DRG	Menstrual And Other Female Reproductive System Disorders With Cc/mcc	2	2	$3,636.53	$3,018.32	$2,597.69	$3,155.07	$2,876.38	2026-10-08
920	MS_DRG	Complications Of Treatment With Cc	2	2	$22,584.65	$18,745.26	$2,584.28	$3,138.78	$2,861.53	2026-10-08
187	MS_DRG	Pleural Effusion With Cc	2	2	$4,974.80	$4,129.08	$2,550.25	$3,097.45	$2,823.85	2026-10-08
378	MS_DRG	Gastrointestinal Hemorrhage With Cc	2	2	$15,660.90	$12,998.55	$2,528.59	$3,071.14	$2,799.86	2026-10-08
386	MS_DRG	Inflammatory Bowel Disease With Cc	2	2	$8,539.95	$7,088.16	$2,517.24	$3,057.36	$2,787.30	2026-10-08
95	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Cc	2	2	$2,787.10	$2,313.29	$2,787.10	$2,787.10	$2,787.10	2026-10-08
99	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc	2	2	$2,787.10	$2,313.29	$2,787.10	$2,787.10	$2,787.10	2026-10-08
178	MS_DRG	Respiratory Infections And Inflammations With Cc	2	2	$16,864.56	$13,997.58	$2,516.47	$3,056.42	$2,786.44	2026-10-08
565	MS_DRG	Other Musculoskeletal System And Connective Tissue Diagnoses With Cc	2	2	$24,641.60	$20,452.53	$2,512.34	$3,051.41	$2,781.88	2026-10-08
202	MS_DRG	Bronchitis And Asthma With Cc/mcc	2	2	$14,219.66	$11,802.32	$2,504.09	$3,041.39	$2,772.74	2026-10-08
562	MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	2	2	$2,757.28	$2,288.54	$2,757.28	$2,757.28	$2,757.28	2026-10-08
315	MS_DRG	Other Circulatory System Diagnoses With Cc	2	2	$4,757.20	$3,948.48	$2,483.72	$3,016.65	$2,750.18	2026-10-08
552	MS_DRG	Medical Back Problems Without Mcc	2	2	$5,145.77	$4,270.99	$2,478.57	$3,010.39	$2,744.48	2026-10-08
84	MS_DRG	Traumatic Stupor And Coma >1 Hour Without Cc/mcc	2	2	$3,544.00	$2,941.52	$2,464.39	$2,993.16	$2,728.77	2026-10-08
756	MS_DRG	Malignancy, Female Reproductive System Without Cc/mcc	2	2	$2,831.95	$2,350.52	$2,476.51	$2,831.95	$2,654.23	2026-10-08
376	MS_DRG	Digestive Malignancy Without Cc/mcc	2	2	$6,202.35	$5,147.95	$2,383.17	$2,894.52	$2,638.85	2026-10-08
281	MS_DRG	Acute Myocardial Infarction, Discharged Alive With Cc	2	2	$6,748.25	$5,601.05	$2,369.76	$2,878.24	$2,624.00	2026-10-08
812	MS_DRG	Red Blood Cell Disorders Without Mcc	2	2	$10,877.09	$9,027.99	$2,367.44	$2,875.42	$2,621.43	2026-10-08
155	MS_DRG	Other Ear, Nose, Mouth And Throat Diagnoses With Cc	2	2	$7,304.50	$6,062.74	$2,363.06	$2,870.09	$2,616.57	2026-10-08
87	MS_DRG	Traumatic Stupor And Coma <1 Hour Without Cc/mcc	2	2	$2,905.30	$2,411.40	$2,358.42	$2,864.46	$2,611.44	2026-10-08
83904	HCPCS	Complete Hnpp Evaluation	6	6	$3,178.65	$2,638.28	$1,916.73	$3,083.29	$2,606.49	2026-10-08
200	MS_DRG	Pneumothorax With Cc	3	3	$2,598.85	$2,157.05	$2,598.85	$5,748.85	$2,598.85	2026-10-08
158	MS_DRG	Dental And Oral Diseases With Cc	2	2	$12,427.60	$10,314.91	$2,345.78	$2,849.11	$2,597.45	2026-10-08
607	MS_DRG	Minor Skin Disorders Without Mcc	2	2	$5,040.48	$4,183.59	$2,337.02	$2,838.46	$2,587.74	2026-10-08
101	MS_DRG	Seizures Without Mcc	2	2	$2,972.89	$2,467.49	$2,327.22	$2,826.56	$2,576.89	2026-10-08
638	MS_DRG	Diabetes With Cc	2	2	$8,583.17	$7,124.03	$2,310.72	$2,806.52	$2,558.62	2026-10-08
563	MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	2	2	$8,887.25	$7,376.42	$2,308.91	$2,804.33	$2,556.62	2026-10-08
558	MS_DRG	Tendonitis, Myositis And Bursitis Without Mcc	2	2	$6,583.53	$5,464.33	$2,302.98	$2,797.13	$2,550.06	2026-10-08
864	MS_DRG	Fever And Inflammatory Conditions	2	2	$4,517.63	$3,749.64	$2,288.80	$2,779.90	$2,534.35	2026-10-08
605	MS_DRG	Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc	2	2	$2,693.77	$2,235.83	$2,361.77	$2,693.77	$2,527.77	2026-10-08
J2993	HCPCS	Injection, Reteplase, 18.1 Mg	10	6	$3,754.30	$3,116.07	$3.44	$3,641.67	$2,519.89	2026-10-08
683	MS_DRG	Renal Failure With Cc	2	2	$7,806.35	$6,479.27	$2,258.12	$2,742.64	$2,500.38	2026-10-08
312	MS_DRG	Syncope And Collapse	2	2	$9,944.97	$8,254.32	$2,247.29	$2,729.49	$2,488.39	2026-10-08
603	MS_DRG	Cellulitis Without Mcc	2	2	$6,675.20	$5,540.41	$2,245.49	$2,727.29	$2,486.39	2026-10-08
304	MS_DRG	Hypertension With Mcc	2	2	$2,458.70	$2,040.72	$2,458.70	$2,458.70	$2,458.70	2026-10-08
699	MS_DRG	Other Kidney And Urinary Tract Diagnoses With Cc	2	2	$2,455.83	$2,038.33	$2,455.83	$2,455.83	$2,455.83	2026-10-08
437	MS_DRG	Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc	2	2	$19,497.65	$16,183.05	$2,200.11	$2,672.18	$2,436.14	2026-10-08
292	MS_DRG	Heart Failure And Shock With Cc	2	2	$17,215.28	$14,288.68	$2,189.02	$2,658.71	$2,423.86	2026-10-08
191	MS_DRG	Chronic Obstructive Pulmonary Disease With Cc	2	2	$13,480.93	$11,189.17	$2,173.55	$2,639.92	$2,406.74	2026-10-08
439	MS_DRG	Disorders Of Pancreas Except Malignancy With Cc	2	2	$7,622.75	$6,326.88	$2,168.91	$2,634.29	$2,401.60	2026-10-08
934	MS_DRG	Full Thickness Burn Without Skin Graft Or Inhalation Injury	2	2	$2,399.55	$1,991.63	$2,399.55	$2,399.55	$2,399.55	2026-10-08
100	MS_DRG	Seizures With Mcc	2	2	$2,396.01	$1,988.69	$2,396.01	$2,396.01	$2,396.01	2026-10-08
103	MS_DRG	Headaches Without Mcc	2	2	$2,659.88	$2,207.70	$2,156.27	$2,618.94	$2,387.61	2026-10-08
862	MS_DRG	Postoperative And Post-traumatic Infections With Mcc	2	2	$2,382.30	$1,977.31	$2,382.30	$2,382.30	$2,382.30	2026-10-08
556	MS_DRG	Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc	2	2	$5,577.00	$4,628.91	$2,141.58	$2,601.09	$2,371.34	2026-10-08
554	MS_DRG	Bone Diseases And Arthropathies Without Mcc	2	2	$7,105.58	$5,897.63	$2,140.29	$2,599.52	$2,369.90	2026-10-08
446	MS_DRG	Disorders Of The Biliary Tract Without Cc/mcc	2	2	$4,604.34	$3,821.60	$2,133.07	$2,590.76	$2,361.91	2026-10-08
A9547	HCPCS	Indium In-111 Oxyquinoline, Diagnostic, Per 0.5 Millicurie	6	6	$3,503.65	$2,908.03	$2,030.48	$3,398.54	$2,361.23	2026-10-08
283	MS_DRG	Acute Myocardial Infarction, Expired With Mcc	2	2	$2,324.00	$1,928.92	$2,324.00	$2,324.00	$2,324.00	2026-10-08
90	MS_DRG	Concussion Without Cc/mcc	2	2	$2,521.25	$2,092.64	$2,122.50	$2,521.25	$2,321.88	2026-10-08
728	MS_DRG	Inflammation Of The Male Reproductive System Without Mcc	2	2	$10,354.25	$8,594.03	$2,091.56	$2,540.34	$2,315.95	2026-10-08
690	MS_DRG	Kidney And Urinary Tract Infections Without Mcc	2	2	$9,417.51	$7,816.53	$2,087.17	$2,535.01	$2,311.09	2026-10-08
536	MS_DRG	Fractures Of Hip And Pelvis Without Mcc	2	2	$13,084.08	$10,859.78	$2,082.28	$2,529.06	$2,305.67	2026-10-08
204	MS_DRG	Respiratory Signs And Symptoms	2	2	$4,578.07	$3,799.79	$2,081.76	$2,528.44	$2,305.10	2026-10-08
534	MS_DRG	Fractures Of Femur Without Mcc	2	2	$3,366.75	$2,794.40	$2,078.41	$2,524.37	$2,301.39	2026-10-08
194	MS_DRG	Simple Pneumonia And Pleurisy With Cc	2	2	$15,122.19	$12,551.42	$2,077.89	$2,523.74	$2,300.81	2026-10-08
176	MS_DRG	Pulmonary Embolism Without Mcc	2	2	$10,789.80	$8,955.53	$2,075.57	$2,520.92	$2,298.24	2026-10-08
561	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc	2	2	$6,857.25	$5,691.52	$2,072.74	$2,517.48	$2,295.11	2026-10-08
382	MS_DRG	Complicated Peptic Ulcer Without Cc/mcc	2	2	$4,067.45	$3,375.98	$2,064.23	$2,507.14	$2,285.68	2026-10-08
948	MS_DRG	Signs And Symptoms Without Mcc	2	2	$8,135.91	$6,752.81	$2,063.97	$2,506.83	$2,285.40	2026-10-08
69	MS_DRG	Transient Ischemia Without Thrombolytic	2	2	$11,841.15	$9,828.15	$2,059.59	$2,501.51	$2,280.55	2026-10-08
93	MS_DRG	Other Disorders Of Nervous System Without Cc/mcc	2	2	$10,698.45	$8,879.71	$2,053.14	$2,493.68	$2,273.41	2026-10-08
389	MS_DRG	Gastrointestinal Obstruction With Cc	2	2	$9,761.95	$8,102.42	$2,036.38	$2,473.32	$2,254.85	2026-10-08
185	MS_DRG	Major Chest Trauma Without Cc/mcc	2	2	$14,721.20	$12,218.60	$2,027.87	$2,462.99	$2,245.43	2026-10-08
694	MS_DRG	Urinary Stones Without Mcc	2	2	$2,861.30	$2,374.88	$2,015.50	$2,447.96	$2,231.73	2026-10-08
392	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc	2	2	$6,606.03	$5,483.01	$2,010.08	$2,441.38	$2,225.73	2026-10-08
641	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	2	2	$8,706.89	$7,226.72	$2,006.47	$2,437.00	$2,221.74	2026-10-08
123	MS_DRG	Neurological Eye Disorders	2	2	$2,290.90	$1,901.45	$2,059.07	$2,290.90	$2,174.99	2026-10-08
72	MS_DRG	Other Cerebrovascular Disorders Without Cc/mcc	2	2	$4,696.75	$3,898.30	$1,949.75	$2,368.10	$2,158.93	2026-10-08
305	MS_DRG	Hypertension Without Mcc	2	2	$10,304.22	$8,552.50	$1,946.91	$2,364.66	$2,155.78	2026-10-08
179	MS_DRG	Respiratory Infections And Inflammations Without Cc/mcc	2	2	$8,624.26	$7,158.14	$1,946.65	$2,364.34	$2,155.49	2026-10-08
544	MS_DRG	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…	2	2	$11,559.89	$9,594.71	$1,945.62	$2,363.09	$2,154.36	2026-10-08
149	MS_DRG	Dysequilibrium	2	2	$8,989.59	$7,461.36	$1,937.89	$2,353.70	$2,145.80	2026-10-08
566	MS_DRG	Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc	2	2	$9,233.85	$7,664.10	$1,931.96	$2,346.49	$2,139.22	2026-10-08
182	MS_DRG	Respiratory Neoplasms Without Cc/mcc	2	2	$8,551.55	$7,097.79	$1,918.29	$2,329.90	$2,124.10	2026-10-08
153	MS_DRG	Otitis Media And Uri Without Mcc	2	2	$9,797.38	$8,131.82	$1,903.34	$2,311.73	$2,107.53	2026-10-08
309	MS_DRG	Cardiac Arrhythmia And Conduction Disorders With Cc	2	2	$15,551.88	$12,908.06	$1,896.89	$2,303.90	$2,100.39	2026-10-08
151	MS_DRG	Epistaxis Without Mcc	2	2	$2,591.25	$2,150.74	$1,892.51	$2,298.58	$2,095.55	2026-10-08
869	MS_DRG	Other Infectious And Parasitic Diseases Diagnoses Without Cc/mcc	2	2	$9,460.25	$7,852.01	$1,881.42	$2,285.11	$2,083.27	2026-10-08
81229	HCPCS	Genome-wide Microarray Analysis For Copy Number And Single Nucleotide Polymorphi…	8	8	$2,621.15	$2,175.55	$9.64	$2,542.52	$2,083.03	2026-10-08
373	MS_DRG	Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc	2	2	$11,315.88	$9,392.18	$1,875.49	$2,277.91	$2,076.70	2026-10-08
282	MS_DRG	Acute Myocardial Infarction, Discharged Alive Without Cc/mcc	2	2	$3,703.46	$3,073.87	$1,864.40	$2,264.45	$2,064.43	2026-10-08
832	MS_DRG	Other Antepartum Diagnoses Without O.r. Procedures With Cc	2	2	$3,523.25	$2,924.30	$1,860.54	$2,259.75	$2,060.14	2026-10-08
313	MS_DRG	Chest Pain	2	2	$6,150.96	$5,105.30	$1,856.41	$2,254.74	$2,055.57	2026-10-08
301	MS_DRG	Peripheral Vascular Disorders Without Cc/mcc	2	2	$3,655.30	$3,033.90	$1,855.64	$2,253.80	$2,054.72	2026-10-08
434	MS_DRG	Cirrhosis And Alcoholic Hepatitis Without Cc/mcc	2	2	$12,381.55	$10,276.69	$1,837.07	$2,231.25	$2,034.16	2026-10-08
311	MS_DRG	Angina Pectoris	2	2	$3,993.15	$3,314.31	$1,809.74	$2,198.06	$2,003.90	2026-10-08
443	MS_DRG	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C…	2	2	$2,589.13	$2,148.98	$1,804.07	$2,191.17	$1,997.62	2026-10-08
538	MS_DRG	Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/mcc	2	2	$2,137.70	$1,774.29	$1,857.19	$2,137.70	$1,997.44	2026-10-08
284	MS_DRG	Acute Myocardial Infarction, Expired With Cc	2	2	$6,350.95	$5,271.29	$1,784.73	$2,167.68	$1,976.20	2026-10-08
696	MS_DRG	Kidney And Urinary Tract Signs And Symptoms Without Mcc	2	2	$10,651.13	$8,840.43	$1,776.48	$2,157.66	$1,967.07	2026-10-08
66	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc	2	2	$10,816.24	$8,977.48	$1,764.62	$2,143.25	$1,953.93	2026-10-08
316	MS_DRG	Other Circulatory System Diagnoses Without Cc/mcc	2	2	$16,296.65	$13,526.22	$1,758.69	$2,136.05	$1,947.37	2026-10-08
387	MS_DRG	Inflammatory Bowel Disease Without Cc/mcc	2	2	$6,809.80	$5,652.13	$1,756.63	$2,133.55	$1,945.09	2026-10-08
303	MS_DRG	Atherosclerosis Without Mcc	2	2	$10,553.35	$8,759.28	$1,735.75	$2,108.18	$1,921.96	2026-10-08
203	MS_DRG	Bronchitis And Asthma Without Cc/mcc	2	2	$12,269.62	$10,183.78	$1,727.49	$2,098.16	$1,912.82	2026-10-08
916	MS_DRG	Allergic Reactions Without Mcc	2	2	$3,284.30	$2,725.97	$1,717.95	$2,086.57	$1,902.26	2026-10-08
159	MS_DRG	Dental And Oral Diseases Without Cc/mcc	2	2	$1,945.72	$1,614.95	$1,826.76	$1,945.72	$1,886.24	2026-10-08
395	MS_DRG	Other Digestive System Diagnoses Without Cc/mcc	2	2	$12,294.78	$10,204.66	$1,673.35	$2,032.40	$1,852.88	2026-10-08
192	MS_DRG	Chronic Obstructive Pulmonary Disease Without Cc/mcc	2	2	$13,053.59	$10,834.48	$1,655.30	$2,010.47	$1,832.88	2026-10-08
816	MS_DRG	Reticuloendothelial And Immunity Disorders Without Cc/mcc	2	2	$7,750.25	$6,432.71	$1,629.52	$1,979.16	$1,804.34	2026-10-08
379	MS_DRG	Gastrointestinal Hemorrhage Without Cc/mcc	2	2	$11,269.18	$9,353.42	$1,625.39	$1,974.15	$1,799.77	2026-10-08
195	MS_DRG	Simple Pneumonia And Pleurisy Without Cc/mcc	2	2	$12,175.26	$10,105.46	$1,620.49	$1,968.20	$1,794.35	2026-10-08
950	MS_DRG	Aftercare Without Cc/mcc	2	2	$3,398.25	$2,820.55	$1,618.43	$1,965.69	$1,792.06	2026-10-08
78804	HCPCS	Nuclear Medicine Study, Whole Body Requiring Multiple Imaging Days	6	6	$2,658.20	$2,206.31	$122.69	$2,578.45	$1,784.18	2026-10-08
440	MS_DRG	Disorders Of Pancreas Except Malignancy Without Cc/mcc	2	2	$7,403.88	$6,145.22	$1,602.19	$1,945.96	$1,774.08	2026-10-08
639	MS_DRG	Diabetes Without Cc/mcc	2	2	$7,600.85	$6,308.71	$1,601.67	$1,945.34	$1,773.51	2026-10-08
78452	HCPCS	Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect	10	6	$2,352.95	$1,952.95	$217.02	$2,325.82	$1,756.34	2026-10-08
684	MS_DRG	Renal Failure Without Cc/mcc	2	2	$7,679.00	$6,373.57	$1,547.78	$1,879.89	$1,713.84	2026-10-08
208121	CDM	Kit, Port-a-cath Ii (pas Port)	6	6	$2,041.15	$1,694.15	$1,230.81	$1,979.92	$1,673.74	2026-10-08
43246	HCPCS	Insertion Of Stomach Tube Using A Flexible Endoscope	4	4	$2,094.10	$1,738.10	$1,262.74	$2,031.28	$1,664.18	2026-10-08
761	MS_DRG	Menstrual And Other Female Reproductive System Disorders Without Cc/mcc	2	2	$5,206.00	$4,320.98	$1,468.63	$1,783.75	$1,626.19	2026-10-08
307	MS_DRG	Cardiac Congenital And Valvular Disorders Without Mcc	2	2	$1,624.09	$1,347.99	$1,624.09	$1,624.09	$1,624.09	2026-10-08
310	MS_DRG	Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc	2	2	$7,572.94	$6,285.54	$1,459.60	$1,772.79	$1,616.19	2026-10-08
293	MS_DRG	Heart Failure And Shock Without Cc/mcc	2	2	$10,161.73	$8,434.24	$1,459.35	$1,772.47	$1,615.91	2026-10-08
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	2	2	$1,611.75	$1,337.75	$1,611.75	$1,611.75	$1,611.75	2026-10-08
78451	HCPCS	Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect	6	6	$2,397.75	$1,990.13	$112.25	$2,325.82	$1,609.37	2026-10-08
78453	HCPCS	Nuclear Medicine Study Of Heart Muscle At Rest And With Stress With Single 2d Im…	6	6	$2,397.75	$1,990.13	$104.69	$2,325.82	$1,609.37	2026-10-08
976	MS_DRG	HIV With Major Related Condition Without Cc/mcc	2	2	$1,596.85	$1,325.39	$1,596.85	$1,596.85	$1,596.85	2026-10-08
390	MS_DRG	Gastrointestinal Obstruction Without Cc/mcc	2	2	$13,413.69	$11,133.36	$1,402.62	$1,703.58	$1,553.10	2026-10-08
833	MS_DRG	Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc	2	2	$1,628.11	$1,351.33	$1,348.22	$1,628.11	$1,488.16	2026-10-08
59409	HCPCS	Vaginal Delivery	7	4	$2,463.50	$2,044.71	$968.48	$2,389.60	$1,485.49	2026-10-08
60	MS_DRG	Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc	2	2	$1,381.60	$1,146.73	$1,381.60	$1,381.60	$1,381.60	2026-10-08
24605	HCPCS	Repair Of Dislocated Elbow Under Anesthesia	4	4	$1,716.40	$1,424.61	$1,034.99	$1,664.91	$1,364.03	2026-10-08
40654	HCPCS	Repair Of Vertical Lip Wound Extending To Over Half Of Lip	7	4	$2,247.55	$1,865.47	$479.70	$2,180.12	$1,355.27	2026-10-08
78803	HCPCS	Nuclear Medicine Study, Spect Imaging, 1 Area Or Single Acquisition, Single Day …	6	6	$1,956.45	$1,623.85	$185.62	$1,897.76	$1,313.17	2026-10-08
74185	HCPCS	MRI Scan Of Blood Vessels Of Abdomen	8	8	$2,021.90	$1,678.18	$313.29	$1,961.24	$1,306.00	2026-10-08
72197	HCPCS	MRI Scan Of Pelvis Before And After Contrast	8	8	$2,759.65	$2,290.51	$704.76	$2,676.86	$1,306.00	2026-10-08
72196	HCPCS	MRI Scan Of Pelvis With Contrast	8	8	$2,021.90	$1,678.18	$317.38	$1,961.24	$1,306.00	2026-10-08
72157	HCPCS	MRI Scan Of Middle Spinal Canal Before And After Contrast	8	8	$2,759.65	$2,290.51	$704.92	$2,676.86	$1,306.00	2026-10-08
72156	HCPCS	MRI Scan Of Upper Spinal Canal Before And After Contrast	8	8	$2,759.65	$2,290.51	$704.92	$2,676.86	$1,306.00	2026-10-08
72149	HCPCS	MRI Scan Of Lower Spinal Canal With Contrast	8	8	$2,021.90	$1,678.18	$380.65	$1,961.24	$1,306.00	2026-10-08
72147	HCPCS	MRI Scan Of Middle Spinal Canal With Contrast	8	8	$2,021.90	$1,678.18	$380.65	$1,961.24	$1,306.00	2026-10-08
72142	HCPCS	MRI Scan Of Upper Spinal Canal With Contrast	8	8	$2,021.90	$1,678.18	$380.65	$1,961.24	$1,306.00	2026-10-08
73722	HCPCS	MRI Scan Of Leg Joint With Contrast	8	8	$2,021.90	$1,678.18	$380.11	$1,961.24	$1,306.00	2026-10-08
71552	HCPCS	MRI Scan Of Chest Before And After Contrast	8	8	$2,759.65	$2,290.51	$701.20	$2,676.86	$1,306.00	2026-10-08
71551	HCPCS	MRI Scan Of Chest With Contrast	8	8	$2,021.90	$1,678.18	$380.82	$1,961.24	$1,306.00	2026-10-08
70552	HCPCS	MRI Scan Of Brain With Contrast	8	8	$2,021.90	$1,678.18	$380.65	$1,961.24	$1,306.00	2026-10-08
70549	HCPCS	MRI Scan Of Blood Vessels Of Neck Before And After Contrast	8	8	$2,759.65	$2,290.51	$631.14	$2,676.86	$1,306.00	2026-10-08
70548	HCPCS	MRI Scan Of Blood Vessels Of Neck With Contrast	8	8	$2,021.90	$1,678.18	$320.06	$1,961.24	$1,306.00	2026-10-08
70546	HCPCS	MRI Scan Of Blood Vessels Of Head Before And After Contrast	8	8	$2,759.65	$2,290.51	$631.14	$2,676.86	$1,306.00	2026-10-08
70545	HCPCS	MRI Scan Of Blood Vessels Of Head With Contrast	8	8	$2,021.90	$1,678.18	$320.06	$1,961.24	$1,306.00	2026-10-08
70543	HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast	8	8	$2,759.65	$2,290.51	$703.69	$2,676.86	$1,306.00	2026-10-08
70542	HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast	8	8	$2,021.90	$1,678.18	$380.11	$1,961.24	$1,306.00	2026-10-08
73723	HCPCS	MRI Scan Of Leg Joint Before And After Contrast	8	8	$2,759.65	$2,290.51	$703.69	$2,676.86	$1,306.00	2026-10-08
73719	HCPCS	MRI Scan Of Leg With Contrast	8	8	$2,021.90	$1,678.18	$380.11	$1,961.24	$1,306.00	2026-10-08
74182	HCPCS	MRI Scan Of Abdomen With Contrast	8	8	$2,021.90	$1,678.18	$380.82	$1,961.24	$1,306.00	2026-10-08
73222	HCPCS	MRI Scan Of Arm Joint With Contrast	8	8	$2,021.90	$1,678.18	$380.11	$1,961.24	$1,306.00	2026-10-08
73220	HCPCS	MRI Scan Of Arm Before And After Contrast	8	8	$2,759.65	$2,290.51	$317.38	$2,676.86	$1,306.00	2026-10-08
73219	HCPCS	MRI Scan Of Arm With Contrast	8	8	$2,021.90	$1,678.18	$380.11	$1,961.24	$1,306.00	2026-10-08
46040	HCPCS	Drainage Of Deep Abscess In Rectum	7	4	$2,159.65	$1,792.51	$370.97	$2,094.86	$1,302.27	2026-10-08
94002	HCPCS	Initial Hospital Inpatient Or Observation Ventilation Assistance And Management	6	6	$1,917.75	$1,591.73	$70.84	$1,860.22	$1,287.19	2026-10-08
72195	HCPCS	MRI Scan Of Pelvis Without Contrast	8	8	$1,904.05	$1,580.36	$317.94	$1,846.93	$1,273.72	2026-10-08
71550	HCPCS	MRI Scan Of Chest Without Contrast	8	8	$1,904.05	$1,580.36	$317.38	$1,846.93	$1,273.72	2026-10-08
70551	HCPCS	MRI Scan Of Brain Without Contrast	14	8	$1,904.05	$1,580.36	$59.41	$2,022.98	$1,273.72	2026-10-08
70547	HCPCS	MRI Scan Of Blood Vessels Of Neck Without Contrast	8	8	$1,904.05	$1,580.36	$320.06	$1,846.93	$1,273.72	2026-10-08
70540	HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast	8	8	$1,904.05	$1,580.36	$317.38	$1,846.93	$1,273.72	2026-10-08
74181	HCPCS	MRI Scan Of Abdomen Without Contrast	14	8	$1,904.05	$1,580.36	$58.28	$1,961.24	$1,273.72	2026-10-08
845	MS_DRG	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…	2	2	$1,273.35	$1,056.88	$1,273.35	$1,273.35	$1,273.35	2026-10-08
76498	HCPCS	Other MRI Scan	6	6	$1,653.15	$1,372.11	$1,000.00	$1,603.56	$1,264.17	2026-10-08
78278	HCPCS	Nuclear Medicine Study To Assess Blood Loss	6	6	$1,778.35	$1,476.03	$137.80	$1,725.00	$1,193.63	2026-10-08
78315	HCPCS	Nuclear Medicine Study Of Bone Taken At Different Times	6	6	$1,764.90	$1,464.87	$135.13	$1,711.95	$1,184.60	2026-10-08
730	MS_DRG	Other Male Reproductive System Diagnoses Without Cc/mcc	2	2	$1,162.95	$965.25	$1,162.95	$1,162.95	$1,162.95	2026-10-08
78708	HCPCS	Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra…	6	6	$1,715.55	$1,423.91	$125.12	$1,664.08	$1,151.48	2026-10-08
70336	HCPCS	MRI Scan Of Jaw Joint	8	8	$1,653.15	$1,372.11	$317.38	$1,603.56	$1,150.09	2026-10-08
94003	HCPCS	Follow-up Inpatient Or Observation Ventilation Assistance And Management	6	6	$1,700.90	$1,411.75	$51.44	$1,649.87	$1,141.64	2026-10-08
A0434	HCPCS	Specialty Care Transport (sct)	4	4	$1,419.00	$1,177.77	$855.66	$1,376.43	$1,127.68	2026-10-08
78707	HCPCS	Nuclear Medicine Study Of Kidney, Blood Flow, And Function	6	6	$1,655.30	$1,373.90	$126.70	$1,605.64	$1,111.04	2026-10-08
93306	HCPCS	Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…	6	6	$1,644.10	$1,364.60	$148.77	$1,594.78	$1,103.52	2026-10-08
27252	HCPCS	Closed Treatment Of Dislocated Hip Under Anesthesia	7	4	$1,716.40	$1,424.61	$785.49	$1,664.91	$1,090.13	2026-10-08
80	MS_DRG	Nontraumatic Stupor And Coma With Mcc	2	2	$1,063.55	$882.75	$1,063.55	$1,063.55	$1,063.55	2026-10-08
20103	HCPCS	Exploration Of Wound Of Arm Or Leg	7	4	$1,759.70	$1,460.55	$437.47	$1,706.91	$1,061.10	2026-10-08
298	MS_DRG	Cardiac Arrest, Unexplained Without Cc/mcc	2	2	$1,057.75	$877.93	$1,057.75	$1,057.75	$1,057.75	2026-10-08
59414	HCPCS	Delivery Of Placenta	7	4	$1,751.50	$1,453.75	$115.20	$1,698.96	$1,056.15	2026-10-08
140203	CDM	Operating Room Services - General Classification	6	6	$1,277.05	$1,059.95	$770.06	$1,238.74	$1,047.18	2026-10-08
78306	HCPCS	Nuclear Medicine Study Of Bone And/or Joint Whole Body	6	6	$1,559.65	$1,294.51	$120.94	$1,512.86	$1,046.84	2026-10-08
148	MS_DRG	Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc	2	2	$1,038.98	$862.36	$1,038.98	$1,038.98	$1,038.98	2026-10-08
23655	HCPCS	Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia	7	4	$1,716.40	$1,424.61	$377.25	$1,664.91	$1,034.99	2026-10-08
93970	HCPCS	Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers	6	6	$1,537.55	$1,276.17	$108.35	$1,491.42	$1,032.00	2026-10-08
93925	HCPCS	Ultrasound Of Leg Arteries Or Artery Grafts	6	6	$1,537.55	$1,276.17	$108.35	$1,491.42	$1,032.00	2026-10-08
93930	HCPCS	Ultrasound Of Arm Arteries Or Artery Grafts	6	6	$1,537.55	$1,276.17	$108.35	$1,491.42	$1,032.00	2026-10-08
81	MS_DRG	Nontraumatic Stupor And Coma Without Mcc	2	2	$1,019.55	$846.23	$1,019.55	$1,019.55	$1,019.55	2026-10-08
140156	CDM	Operating Room Services - General Classification	6	6	$1,231.15	$1,021.85	$742.38	$1,194.22	$1,009.54	2026-10-08
152	MS_DRG	Otitis Media And Uri With Mcc	2	2	$1,005.93	$834.92	$1,005.93	$1,005.93	$1,005.93	2026-10-08
72158	HCPCS	MRI Scan Of Lower Spinal Canal Before And After Contrast	11	8	$2,759.65	$2,290.51	$94.39	$2,676.86	$1,000.00	2026-10-08
72148	HCPCS	MRI Scan Of Lower Spinal Canal Without Contrast	11	8	$1,904.05	$1,580.36	$59.41	$1,846.93	$1,000.00	2026-10-08
72146	HCPCS	MRI Scan Of Middle Spinal Canal Without Contrast	11	8	$1,904.05	$1,580.36	$64.09	$1,846.93	$1,000.00	2026-10-08
72141	HCPCS	MRI Scan Of Upper Spinal Canal Without Contrast	11	8	$1,904.05	$1,580.36	$64.09	$1,846.93	$1,000.00	2026-10-08
70553	HCPCS	MRI Scan Of Brain Before And After Contrast	11	8	$2,759.65	$2,290.51	$94.39	$2,676.86	$1,000.00	2026-10-08
70544	HCPCS	MRI Scan Of Blood Vessels Of Head Without Contrast	11	8	$1,904.05	$1,580.36	$48.06	$1,846.93	$1,000.00	2026-10-08
73721	HCPCS	MRI Scan Of Leg Joint Without Contrast	11	8	$1,904.05	$1,580.36	$53.91	$1,846.93	$1,000.00	2026-10-08
73720	HCPCS	MRI Scan Of Leg Before And After Contrast	11	8	$2,759.65	$2,290.51	$85.95	$2,676.86	$1,000.00	2026-10-08
73718	HCPCS	MRI Scan Of Leg Without Contrast	11	8	$1,904.05	$1,580.36	$53.91	$1,846.93	$1,000.00	2026-10-08
74183	HCPCS	MRI Scan Of Abdomen Before And After Contrast	11	8	$2,759.65	$2,290.51	$90.33	$2,676.86	$1,000.00	2026-10-08
73223	HCPCS	MRI Scan Of Arm Joint Before And After Contrast	11	8	$2,759.65	$2,290.51	$86.22	$2,676.86	$1,000.00	2026-10-08
73221	HCPCS	MRI Scan Of Arm Joint Without Contrast	11	8	$1,904.05	$1,580.36	$53.91	$1,846.93	$1,000.00	2026-10-08
73218	HCPCS	MRI Scan Of Arm Without Contrast	11	8	$1,904.05	$1,580.36	$53.91	$1,846.93	$1,000.00	2026-10-08
923	MS_DRG	Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc	2	2	$996.15	$826.80	$996.15	$996.15	$996.15	2026-10-08
78264	HCPCS	Nuclear Medicine Study Of Stomach To Assess Emptying	6	6	$1,483.20	$1,231.06	$116.58	$1,438.70	$995.53	2026-10-08
3110004	CDM	Room & Board - Private (one Bed) - General Classification	4	4	$1,180.00	$979.40	$955.80	$1,144.60	$991.20	2026-10-08
3110006	CDM	Room & Board - Private (one Bed) - General Classification	4	4	$1,179.90	$979.32	$955.72	$1,144.50	$991.12	2026-10-08
55	MS_DRG	Nervous System Neoplasms Without Mcc	2	2	$984.35	$817.01	$984.35	$984.35	$984.35	2026-10-08
75635	HCPCS	CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast	8	8	$1,620.65	$1,345.14	$241.52	$1,572.03	$976.00	2026-10-08
72194	HCPCS	CT Scan Of Pelvis Before And After Contrast	8	8	$1,967.85	$1,633.32	$240.46	$1,908.81	$976.00	2026-10-08
72191	HCPCS	CT Scan Of Blood Vessels Of Pelvis With Contrast	8	8	$1,620.65	$1,345.14	$241.52	$1,572.03	$976.00	2026-10-08
72127	HCPCS	CT Scan Of Upper Spine Before And After Contrast	8	8	$1,967.85	$1,633.32	$250.31	$1,908.81	$976.00	2026-10-08
70496	HCPCS	CT Scan Of Blood Vessels Of Head With Contrast	8	8	$1,620.65	$1,345.14	$204.63	$1,572.03	$976.00	2026-10-08
70492	HCPCS	CT Scan Of Soft Tissue Of Neck Before And After Contrast	8	8	$1,967.85	$1,633.32	$200.25	$1,908.81	$976.00	2026-10-08
70488	HCPCS	CT Scan Of Face Before And After Contrast	8	8	$1,967.85	$1,633.32	$200.25	$1,908.81	$976.00	2026-10-08
70482	HCPCS	CT Scan Of Cranial Cavity Before And After Contrast	8	8	$1,967.85	$1,633.32	$200.25	$1,908.81	$976.00	2026-10-08
70481	HCPCS	CT Scan Of Cranial Cavity With Contrast	11	8	$1,967.85	$1,633.32	$160.16	$1,908.81	$976.00	2026-10-08
74174	HCPCS	CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast	8	8	$1,620.65	$1,345.14	$333.14	$1,572.03	$976.00	2026-10-08
73706	HCPCS	CT Scan Of Blood Vessels Of Lower Leg With Contrast	8	8	$1,620.65	$1,345.14	$211.85	$1,572.03	$976.00	2026-10-08

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