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 · 2026-11-11
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 $29,795 outlier · 0.3×
462644 CDM	Dificid 200 Mg (20 Tabs)	6	$5,595.09	$9,000.39	$7,608.57	nat. median $7,609 1.0× median
545 MS_DRG	Connective Tissue Disorders With Mcc	2	$6,398.69	$7,771.64	$7,085.16	nat. median $23,347 outlier · 0.3×
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 $23,126 outlier · 0.3×
94 MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	2	$6,887.30	$6,887.30	$6,887.30	nat. median $33,233 outlier · 0.2×
56 MS_DRG	Degenerative Nervous System Disorders With Mcc	2	$5,989.76	$7,274.97	$6,632.36	nat. median $21,129 outlier · 0.3×
82 MS_DRG	Traumatic Stupor And Coma >1 Hour With Mcc	2	$5,893.08	$7,157.54	$6,525.31	nat. median $21,610 outlier · 0.3×
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 $20,946 outlier · 0.3×
374 MS_DRG	Digestive Malignancy With Mcc	2	$5,514.32	$6,697.51	$6,105.91	nat. median $20,097 outlier · 0.3×
867 MS_DRG	Other Infectious And Parasitic Diseases Diagnoses With Mcc	2	$5,397.00	$6,555.02	$5,976.01	nat. median $20,203 outlier · 0.3×
314 MS_DRG	Other Circulatory System Diagnoses With Mcc	2	$5,376.38	$6,529.97	$5,953.18	nat. median $19,919 outlier · 0.3×
64 MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	2	$5,185.06	$6,297.61	$5,741.34	nat. median $19,192 outlier · 0.3×
539 MS_DRG	Osteomyelitis With Mcc	2	$5,078.58	$6,168.27	$5,623.43	nat. median $18,799 outlier · 0.3×
432 MS_DRG	Cirrhosis And Alcoholic Hepatitis With Mcc	2	$5,074.71	$6,163.58	$5,619.15	nat. median $18,763 outlier · 0.3×
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 $18,592 outlier · 0.3×
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 $18,801 outlier · 0.3×
196 MS_DRG	Interstitial Lung Disease With Mcc	2	$4,865.86	$5,909.92	$5,387.89	nat. median $17,810 outlier · 0.3×
435 MS_DRG	Malignancy Of Hepatobiliary System Or Pancreas With Mcc	2	$4,735.66	$5,751.77	$5,243.72	nat. median $17,634 outlier · 0.3×
205 MS_DRG	Other Respiratory System Diagnoses With Mcc	2	$4,720.96	$5,733.92	$5,227.44	nat. median $17,293 outlier · 0.3×
377 MS_DRG	Gastrointestinal Hemorrhage With Mcc	2	$4,713.22	$5,724.53	$5,218.88	nat. median $17,250 outlier · 0.3×
686 MS_DRG	Kidney And Urinary Tract Neoplasms With Mcc	2	$4,650.57	$5,648.43	$5,149.50	nat. median $17,526 outlier · 0.3×
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 $17,390 outlier · 0.3×
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 $17,621 outlier · 0.3×
180 MS_DRG	Respiratory Neoplasms With Mcc	2	$4,553.37	$5,530.37	$5,041.87	nat. median $16,994 outlier · 0.3×
91 MS_DRG	Other Disorders Of Nervous System With Mcc	2	$4,528.10	$5,499.68	$5,013.89	nat. median $17,019 outlier · 0.3×
922 MS_DRG	Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc	2	$4,510.57	$5,478.39	$4,994.48	nat. median $16,570 outlier · 0.3×
592 MS_DRG	Skin Ulcers With Mcc	2	$4,818.45	$4,818.45	$4,818.45	nat. median $18,746 outlier · 0.3×
551 MS_DRG	Medical Back Problems With Mcc	2	$4,321.57	$5,248.84	$4,785.20	nat. median $16,070 outlier · 0.3×
444 MS_DRG	Disorders Of The Biliary Tract With Mcc	2	$4,308.17	$5,232.56	$4,770.36	nat. median $16,115 outlier · 0.3×
597 MS_DRG	Malignant Breast Disorders With Mcc	2	$4,298.37	$5,220.66	$4,759.51	nat. median $16,349 outlier · 0.3×
70 MS_DRG	Other Cerebrovascular Disorders With Mcc	2	$4,292.44	$5,213.45	$4,752.94	nat. median $16,288 outlier · 0.3×
841 MS_DRG	Lymphoma And Non-acute Leukemia With Cc	2	$4,206.32	$5,108.86	$4,657.59	nat. median $15,874 outlier · 0.3×
438 MS_DRG	Disorders Of Pancreas Except Malignancy With Mcc	2	$4,203.23	$5,105.10	$4,654.16	nat. median $15,924 outlier · 0.3×
280 MS_DRG	Acute Myocardial Infarction, Discharged Alive With Mcc	2	$4,135.93	$5,023.37	$4,579.65	nat. median $15,615 outlier · 0.3×
393 MS_DRG	Other Digestive System Diagnoses With Mcc	2	$4,123.56	$5,008.34	$4,565.95	nat. median $15,584 outlier · 0.3×
J1162 HCPCS	Injection, Digoxin Immune Fab (ovine), Per Vial	6	$3,132.04	$5,038.28	$4,557.41	nat. median $7,098 0.6× median
917 MS_DRG	Poisoning And Toxic Effects Of Drugs With Mcc	2	$4,043.88	$4,911.57	$4,477.73	nat. median $14,548 outlier · 0.3×
177 MS_DRG	Respiratory Infections And Inflammations With Mcc	2	$4,029.19	$4,893.72	$4,461.45	nat. median $15,338 outlier · 0.3×
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 $21,136 outlier · 0.2×
54 MS_DRG	Nervous System Neoplasms With Mcc	2	$3,936.88	$4,781.61	$4,359.24	nat. median $14,730 outlier · 0.3×
813 MS_DRG	Coagulation Disorders	2	$3,932.76	$4,776.60	$4,354.68	nat. median $14,858 outlier · 0.3×
296 MS_DRG	Cardiac Arrest, Unexplained With Mcc	2	$4,027.12	$4,579.25	$4,303.18	nat. median $15,542 outlier · 0.3×
865 MS_DRG	Viral Illness With Mcc	2	$3,863.14	$4,692.05	$4,277.60	nat. median $14,494 outlier · 0.3×
682 MS_DRG	Renal Failure With Mcc	2	$3,818.54	$4,637.87	$4,228.20	nat. median $14,406 outlier · 0.3×
388 MS_DRG	Gastrointestinal Obstruction With Mcc	2	$3,807.71	$4,624.72	$4,216.22	nat. median $14,295 outlier · 0.3×
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 $14,377 outlier · 0.3×
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 $14,144 outlier · 0.3×
637 MS_DRG	Diabetes With Mcc	2	$3,704.32	$4,499.14	$4,101.73	nat. median $13,938 outlier · 0.3×
602 MS_DRG	Cellulitis With Mcc	2	$3,664.61	$4,450.91	$4,057.76	nat. median $13,976 outlier · 0.3×
811 MS_DRG	Red Blood Cell Disorders With Mcc	2	$3,620.78	$4,397.68	$4,009.23	nat. median $13,608 outlier · 0.3×

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

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
59414	HCPCS	Delivery Of Placenta	7	4	$1,751.50	$1,453.75	$115.20	$1,698.96	$1,056.15	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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
149	MS_DRG	Dysequilibrium	2	2	$8,989.59	$7,461.36	$1,937.89	$2,353.70	$2,145.80	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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
55	MS_DRG	Nervous System Neoplasms Without Mcc	2	2	$984.35	$817.01	$984.35	$984.35	$984.35	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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
59409	HCPCS	Vaginal Delivery	7	4	$2,463.50	$2,044.71	$968.48	$2,389.60	$1,485.49	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

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