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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

WOMANS HOSPITAL

Baton Rouge, LA · CCN 190128 · Rates published

3,594 distinct procedures filed
16 distinct payers
105,667 rate rows
2026-03-01 last MRF observed
Data quality

95,127 of 105,667 rate rows are consumer-grade (90.0%)

10,540 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6,484
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,789
percent-of-charges filed in the dollar field — excluded from medians 173
placeholder amount (≤ $0.02) — excluded from medians 76
per-diem day rate — not a per-procedure price 18
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.womans.org/sites/default/files/2024-12/720652905_womans-hospital_standardcharges.csv
Found on page https://www.womans.org/patient-resources/billing-insurance/hospital-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 84a18dd651db780f… · 48,002,987 bytes · first seen 2026-05-06

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
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 15 $1,476,820.20 $2,313,684.98 $1,969,093.60 nat. median
$2,468,984
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $114,424.69 $1,107,808.54 $611,116.61 nat. median
$202,976
outlier · 3.0×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $392,836.67 $392,836.67 $392,836.67 nat. median
$62,134
outlier · 6.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $374,552.05 $374,552.05 $374,552.05 nat. median
$133,161
outlier · 2.8×
789
MS_DRG 		Neonates, Died Or Transferred To Another Acute Care Facility 2 $114,194.28 $201,741.04 $157,967.66 nat. median
$16,479
outlier · 9.6×
796
MS_DRG 		Vaginal Delivery With Sterilization And/or D&c With Mcc 1 $122,091.47 $122,091.47 $122,091.47 nat. median
$11,672
outlier · 10.5×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 2 $39,681.40 $174,872.03 $107,276.71 nat. median
$24,346
outlier · 4.4×
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 $95,869.76 $95,869.76 $95,869.76 nat. median
$31,571
outlier · 3.0×
739
MS_DRG 		Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 $95,245.70 $95,245.70 $95,245.70 nat. median
$36,815
outlier · 2.6×
572
MS_DRG 		Skin Debridement Without Cc/mcc 1 $89,192.20 $89,192.20 $89,192.20 nat. median
$12,346
outlier · 7.2×
582
MS_DRG 		Mastectomy For Malignancy With Cc/mcc 1 $83,384.52 $83,384.52 $83,384.52 nat. median
$18,913
outlier · 4.4×
584
MS_DRG 		Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 3 $62,594.14 $159,893.27 $80,794.83 nat. median
$21,182
outlier · 3.8×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 $37,736.00 $234,853.06 $77,115.81 nat. median
$52,303
1.5× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 2 $69,031.65 $71,663.58 $70,347.61 nat. median
$44,810
1.6× median
581
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 2 $66,178.41 $70,279.22 $68,228.82 nat. median
$14,835
outlier · 4.6×
585
MS_DRG 		Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 6 $9,872.00 $116,576.16 $65,792.99 nat. median
$19,623
outlier · 3.4×
749
MS_DRG 		Other Female Reproductive System O.r. Procedures With Cc/mcc 1 $65,573.64 $65,573.64 $65,573.64 nat. median
$25,696
outlier · 2.6×
578
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 2 $50,984.10 $77,853.18 $64,418.64 nat. median
$16,942
outlier · 3.8×
740
MS_DRG 		Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 1 $63,816.84 $63,816.84 $63,816.84 nat. median
$18,694
outlier · 3.4×
197
MS_DRG 		Interstitial Lung Disease With Cc 1 $61,644.27 $61,644.27 $61,644.27 nat. median
$10,548
outlier · 5.8×
583
MS_DRG 		Mastectomy For Malignancy Without Cc/mcc 2 $50,274.60 $67,479.46 $58,877.03 nat. median
$17,494
outlier · 3.4×
337
MS_DRG 		Peritoneal Adhesiolysis Without Cc/mcc 1 $57,784.59 $57,784.59 $57,784.59 nat. median
$16,200
outlier · 3.6×
580
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 1 $57,148.67 $57,148.67 $57,148.67 nat. median
$17,921
outlier · 3.2×
734
MS_DRG 		Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 2 $52,277.33 $57,112.49 $54,694.91 nat. median
$21,513
outlier · 2.5×
736
MS_DRG 		Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 $53,310.34 $53,310.34 $53,310.34 nat. median
$36,764
1.5× median
654
MS_DRG 		Major Bladder Procedures With Cc 1 $48,756.57 $48,756.57 $48,756.57 nat. median
$27,844
1.8× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 1 $48,109.12 $48,109.12 $48,109.12 nat. median
$48,178
1.0× median
783
MS_DRG 		Cesarean Section With Sterilization With Mcc 2 $16,048.90 $51,766.81 $47,581.11 nat. median
$19,234
outlier · 2.5×
737
MS_DRG 		Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 2 $41,511.50 $50,925.29 $46,218.40 nat. median
$20,808
outlier · 2.2×
661
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 1 $44,775.26 $44,775.26 $44,775.26 nat. median
$11,382
outlier · 3.9×
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 1 $43,781.46 $43,781.46 $43,781.46 nat. median
$17,703
outlier · 2.5×
746
MS_DRG 		Vagina, Cervix And Vulva Procedures With Cc/mcc 1 $42,694.39 $42,694.39 $42,694.39 nat. median
$17,317
outlier · 2.5×
328
MS_DRG 		Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 1 $42,345.69 $42,345.69 $42,345.69 nat. median
$16,641
outlier · 2.5×
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 1 $41,542.56 $41,542.56 $41,542.56 nat. median
$24,638
1.7× median
399
MS_DRG 		Appendix Procedures Without Cc/mcc 1 $41,145.74 $41,145.74 $41,145.74 nat. median
$12,332
outlier · 3.3×
660
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Cc 1 $40,962.58 $40,962.58 $40,962.58 nat. median
$14,195
outlier · 2.9×
620
MS_DRG 		O.r. Procedures For Obesity With Cc 1 $40,246.85 $40,246.85 $40,246.85 nat. median
$17,324
outlier · 2.3×
J9271
HCPCS 		Pembrolizumab (keytruda) 25 Mg/ml Intravenous Solution 15 $29,799.27 $46,685.52 $39,732.36 nat. median
$736
outlier · 54.0×
741
MS_DRG 		Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 2 $33,379.80 $43,553.88 $38,466.84 nat. median
$14,888
outlier · 2.6×
857
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 $37,148.28 $37,148.28 $37,148.28 nat. median
$21,522
1.7× median
58674
CPT 		Laps Abltj Uterine Fibroids W/Intraop US Gdn 1 $36,551.06 $36,551.06 $36,551.06 nat. median
$10,146
outlier · 3.6×
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 1 $35,254.16 $35,254.16 $35,254.16 nat. median
$21,526
1.6× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 $34,886.22 $34,886.22 $34,886.22 nat. median
$13,400
outlier · 2.6×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 $34,704.88 $34,704.88 $34,704.88 nat. median
$19,634
1.8× median
919
MS_DRG 		Complications Of Treatment With Mcc 1 $34,621.86 $34,621.86 $34,621.86 nat. median
$18,326
1.9× median
858
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 1 $34,168.43 $34,168.43 $34,168.43 nat. median
$14,322
outlier · 2.4×
738
MS_DRG 		Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 3 $26,993.42 $41,681.29 $33,240.93 nat. median
$15,634
outlier · 2.1×
621
MS_DRG 		O.r. Procedures For Obesity Without Cc/mcc 2 $32,485.90 $33,942.70 $33,214.30 nat. median
$16,153
outlier · 2.1×
358
MS_DRG 		Other Digestive System O.r. Procedures Without Cc/mcc 3 $22,283.81 $32,607.24 $30,323.16 nat. median
$14,524
outlier · 2.1×
755
MS_DRG 		Malignancy, Female Reproductive System With Cc 3 $25,407.98 $52,515.10 $30,163.85 nat. median
$11,694
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 3,594 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 15 $2,461,367.00 $2,461,367.00 $1,476,820.20 $2,313,684.98 $1,969,093.60 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 $2,704,880.02 $2,704,880.02 $114,424.69 $1,107,808.54 $611,116.61 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 $681,934.44 $681,934.44 $392,836.67 $392,836.67 $392,836.67 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 $1,400,738.79 $1,400,738.79 $374,552.05 $374,552.05 $374,552.05 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 7 $102,070.76 $102,070.76 $37,736.00 $234,853.06 $77,115.81 2026-03-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 2 2 $288,099.30 $288,099.30 $114,194.28 $201,741.04 $157,967.66 2026-03-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 2 $134,886.38 $134,886.38 $39,681.40 $174,872.03 $107,276.71 2026-03-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 3 3 $155,384.65 $155,384.65 $62,594.14 $159,893.27 $80,794.83 2026-03-01
796 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Mcc 1 1 $18,052.56 $18,052.56 $122,091.47 $122,091.47 $122,091.47 2026-03-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 6 6 $49,233.81 $49,233.81 $9,872.00 $116,576.16 $65,792.99 2026-03-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 $142,764.27 $142,764.27 $95,869.76 $95,869.76 $95,869.76 2026-03-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 $57,242.88 $57,242.88 $95,245.70 $95,245.70 $95,245.70 2026-03-01
572 MS_DRG Skin Debridement Without Cc/mcc 1 1 $40,896.97 $40,896.97 $89,192.20 $89,192.20 $89,192.20 2026-03-01
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 1 1 $75,458.50 $75,458.50 $83,384.52 $83,384.52 $83,384.52 2026-03-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 2 2 $67,234.12 $67,234.12 $50,984.10 $77,853.18 $64,418.64 2026-03-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 2 $158,247.23 $158,247.23 $69,031.65 $71,663.58 $70,347.61 2026-03-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 2 2 $87,074.88 $87,074.88 $66,178.41 $70,279.22 $68,228.82 2026-03-01
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 2 2 $77,879.22 $77,879.22 $50,274.60 $67,479.46 $58,877.03 2026-03-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 1 1 $67,481.13 $67,481.13 $65,573.64 $65,573.64 $65,573.64 2026-03-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 1 1 $57,510.96 $57,510.96 $63,816.84 $63,816.84 $63,816.84 2026-03-01
197 MS_DRG Interstitial Lung Disease With Cc 1 1 $81,148.80 $81,148.80 $61,644.27 $61,644.27 $61,644.27 2026-03-01
791 MS_DRG Prematurity With Major Problems 4 4 $48,305.06 $48,305.06 $17,752.12 $60,079.91 $26,641.99 2026-03-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 1 1 $75,689.96 $75,689.96 $57,784.59 $57,784.59 $57,784.59 2026-03-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 1 1 $72,792.06 $72,792.06 $57,148.67 $57,148.67 $57,148.67 2026-03-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 2 2 $58,952.14 $58,952.14 $52,277.33 $57,112.49 $54,694.91 2026-03-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 $60,082.53 $60,082.53 $53,310.34 $53,310.34 $53,310.34 2026-03-01
755 MS_DRG Malignancy, Female Reproductive System With Cc 3 3 $36,777.43 $36,777.43 $25,407.98 $52,515.10 $30,163.85 2026-03-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 3 2 $31,607.97 $31,607.97 $16,048.90 $51,766.81 $47,581.11 2026-03-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 2 2 $53,972.77 $53,972.77 $41,511.50 $50,925.29 $46,218.40 2026-03-01
793 MS_DRG Full Term Neonate With Major Problems 9 7 $19,335.25 $19,335.25 $6,940.15 $49,425.07 $23,036.34 2026-03-01
654 MS_DRG Major Bladder Procedures With Cc 1 1 $51,979.73 $51,979.73 $48,756.57 $48,756.57 $48,756.57 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 $59,750.38 $59,750.38 $48,109.12 $48,109.12 $48,109.12 2026-03-01
J9271 HCPCS Pembrolizumab (keytruda) 25 Mg/ml Intravenous Solution 22 15 $49,665.45 $49,665.45 $29,799.27 $46,685.52 $39,732.36 2026-03-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 1 1 $63,815.50 $63,815.50 $44,775.26 $44,775.26 $44,775.26 2026-03-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 1 1 $57,117.49 $57,117.49 $43,781.46 $43,781.46 $43,781.46 2026-03-01
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 2 2 $45,090.99 $45,090.99 $33,379.80 $43,553.88 $38,466.84 2026-03-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 7 6 $25,478.73 $25,478.73 $3,649.00 $42,975.61 $19,426.08 2026-03-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 1 1 $21,276.23 $21,276.23 $42,694.39 $42,694.39 $42,694.39 2026-03-01
784 MS_DRG Cesarean Section With Sterilization With Cc 6 5 $29,344.00 $29,344.00 $18,903.98 $42,401.57 $22,720.83 2026-03-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 1 1 $55,265.18 $55,265.18 $42,345.69 $42,345.69 $42,345.69 2026-03-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 9 7 $24,122.26 $24,122.26 $3,649.00 $42,221.99 $16,086.64 2026-03-01
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 3 3 $48,058.05 $48,058.05 $26,993.42 $41,681.29 $33,240.93 2026-03-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 $71,602.10 $71,602.10 $41,542.56 $41,542.56 $41,542.56 2026-03-01
399 MS_DRG Appendix Procedures Without Cc/mcc 1 1 $54,139.99 $54,139.99 $41,145.74 $41,145.74 $41,145.74 2026-03-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 1 1 $30,116.61 $30,116.61 $40,962.58 $40,962.58 $40,962.58 2026-03-01
19303 CPT Mastectomy Simple Complete 2 2 $55,445.49 $55,445.49 $4,201.42 $40,802.68 $22,502.05 2026-03-01
620 MS_DRG O.r. Procedures For Obesity With Cc 1 1 $45,745.79 $45,745.79 $40,246.85 $40,246.85 $40,246.85 2026-03-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 9 7 $34,703.58 $34,703.58 $7,427.00 $38,299.29 $26,747.45 2026-03-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 3 3 $23,630.05 $23,630.05 $8,628.00 $37,537.31 $16,339.00 2026-03-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 1 $45,092.30 $45,092.30 $37,148.28 $37,148.28 $37,148.28 2026-03-01
58674 CPT Laps Abltj Uterine Fibroids W/Intraop US Gdn 1 1 $27,808.09 $27,808.09 $36,551.06 $36,551.06 $36,551.06 2026-03-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 5 5 $23,176.85 $23,176.85 $7,384.00 $35,693.98 $16,939.49 2026-03-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 4 4 $51,162.40 $51,162.40 $15,430.09 $35,377.96 $28,187.25 2026-03-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 $101,646.59 $101,646.59 $35,254.16 $35,254.16 $35,254.16 2026-03-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 1 $43,541.99 $43,541.99 $34,886.22 $34,886.22 $34,886.22 2026-03-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 1 $35,915.49 $35,915.49 $34,704.88 $34,704.88 $34,704.88 2026-03-01
919 MS_DRG Complications Of Treatment With Mcc 1 1 $22,471.67 $22,471.67 $34,621.86 $34,621.86 $34,621.86 2026-03-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 1 1 $44,592.40 $44,592.40 $34,168.43 $34,168.43 $34,168.43 2026-03-01
394 MS_DRG Other Digestive System Diagnoses With Cc 3 3 $19,524.11 $19,524.11 $12,429.16 $34,119.81 $15,183.29 2026-03-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 3 3 $36,916.51 $36,916.51 $14,614.00 $34,097.71 $16,711.16 2026-03-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 2 2 $41,724.95 $41,724.95 $32,485.90 $33,942.70 $33,214.30 2026-03-01
758 MS_DRG Infections, Female Reproductive System With Cc 3 3 $24,882.56 $24,882.56 $13,759.36 $33,573.94 $19,634.24 2026-03-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 3 3 $41,776.30 $41,776.30 $22,283.81 $32,607.24 $30,323.16 2026-03-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 19 15 $39,921.59 $39,921.59 $23,473.50 $31,911.31 $23,473.50 2026-03-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 2 2 $42,827.98 $42,827.98 $23,827.89 $30,177.23 $27,002.56 2026-03-01
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 1 1 $50,854.73 $50,854.73 $29,746.64 $29,746.64 $29,746.64 2026-03-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 1 1 $14,006.23 $14,006.23 $29,733.68 $29,733.68 $29,733.68 2026-03-01
694 MS_DRG Urinary Stones Without Mcc 1 1 $38,132.10 $38,132.10 $29,733.68 $29,733.68 $29,733.68 2026-03-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 3 3 $22,406.72 $22,406.72 $9,113.00 $29,037.31 $14,324.75 2026-03-01
792 MS_DRG Prematurity Without Major Problems 8 7 $5,701.75 $5,701.75 $3,859.02 $27,258.10 $14,056.08 2026-03-01
43775 CPT Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy 4 3 $46,562.96 $46,562.96 $11,334.40 $26,951.40 $15,947.06 2026-03-01
J9306 HCPCS Pertuzumab (perjeta) 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 22 15 $28,185.64 $28,185.64 $16,911.38 $26,494.50 $22,548.51 2026-03-01
797 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Cc 2 2 $22,738.98 $22,738.98 $14,644.49 $26,005.71 $20,325.10 2026-03-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 1 1 $36,055.88 $36,055.88 $25,939.14 $25,939.14 $25,939.14 2026-03-01
59841 CPT Induced Abortion Dilation & Evacuation 2 2 $13,052.81 $13,052.81 $7,814.41 $25,734.92 $16,774.67 2026-03-01
58661 CPT Laparoscopy W/Rmvl Adnexal Structures 4 3 $18,327.97 $18,327.97 $7,337.84 $25,576.46 $13,298.34 2026-03-01
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 19 15 $30,452.20 $30,452.20 $11,925.75 $25,542.17 $11,925.75 2026-03-01
38570 CPT Laps Surg Retroperitoneal Lymph Node Bx 1/Mlt 4 3 $48,451.29 $48,451.29 $6,552.70 $25,133.44 $10,344.88 2026-03-01
19318 CPT Breast Reduction 3 3 $31,949.63 $31,949.63 $17,760.00 $24,485.12 $20,559.01 2026-03-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 10 7 $20,195.77 $20,195.77 $3,649.00 $24,280.22 $15,350.86 2026-03-01
672 MS_DRG Urethral Procedures Without Cc/mcc 1 1 $31,232.84 $31,232.84 $23,909.53 $23,909.53 $23,909.53 2026-03-01
757 MS_DRG Infections, Female Reproductive System With Mcc 1 1 $5,819.37 $5,819.37 $23,181.82 $23,181.82 $23,181.82 2026-03-01
683 MS_DRG Renal Failure With Cc 1 1 $30,058.95 $30,058.95 $22,067.45 $22,067.45 $22,067.45 2026-03-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 12 9 $17,957.93 $17,957.93 $3,649.00 $21,591.54 $14,340.14 2026-03-01
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 1 1 $27,999.69 $27,999.69 $21,390.01 $21,390.01 $21,390.01 2026-03-01
J1561 HCPCS Immune Glob G 40 Gram/400 Ml(10%)-gly-iga Ave 46 Mcg/ml Injection Soln 115 15 $5,652.06 $5,652.06 $288.04 $21,251.75 $3,391.24 2026-03-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 1 1 $20,685.08 $20,685.08 $20,895.09 $20,895.09 $20,895.09 2026-03-01
44180 CPT Laparoscopy Enterolysis Separate Procedure 1 1 $48,036.37 $48,036.37 $20,872.26 $20,872.26 $20,872.26 2026-03-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 19 15 $13,057.01 $13,057.01 $8,961.00 $20,782.45 $8,961.00 2026-03-01
389 MS_DRG Gastrointestinal Obstruction With Cc 1 1 $37,382.24 $37,382.24 $20,692.96 $20,692.96 $20,692.96 2026-03-01
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/mcc 1 1 $42,331.15 $42,331.15 $20,619.43 $20,619.43 $20,619.43 2026-03-01
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 6 6 $18,305.91 $18,305.91 $2,432.00 $20,555.25 $13,343.47 2026-03-01
58140 CPT Myomectomy 1-4 Myomas W/250 Gm/< Abdominal Appr 1 1 $26,515.14 $26,515.14 $20,421.91 $20,421.91 $20,421.91 2026-03-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 1 1 $27,109.26 $27,109.26 $20,402.15 $20,402.15 $20,402.15 2026-03-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 11 8 $16,091.10 $16,091.10 $2,432.00 $20,290.87 $12,812.56 2026-03-01
J7189 HCPCS Coagulation Factor Viia Recomb 2 Mg (2,000 Mcg) Intravenous Solution 19 15 $21,217.92 $21,217.92 $14,852.54 $19,944.84 $16,974.34 2026-03-01
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 1 1 $25,873.60 $25,873.60 $19,853.68 $19,853.68 $19,853.68 2026-03-01
J7195 HCPCS Coagulation Factor Ix (recomb) 3,000 Unit Intravenous Solution 19 15 $21,052.80 $21,052.80 $14,736.96 $19,789.63 $16,842.24 2026-03-01
J1162 HCPCS Digoxin Immune Fab 40 Mg Intravenous Solution 20 15 $20,532.68 $20,532.68 $12,319.61 $19,300.72 $16,426.14 2026-03-01
37243 CPT Hc Vascular Embolize/Occlude Organ Tumor Infarct - Uterine Fibroid 21 15 $37,168.28 $37,168.28 $12,139.20 $19,018.08 $16,185.60 2026-03-01
187 MS_DRG Pleural Effusion With Cc 1 1 $24,186.24 $24,186.24 $18,993.22 $18,993.22 $18,993.22 2026-03-01
J3111 HCPCS Romosozumab-aqqg (evenity) 210 Mg/2.34 Ml(105 Mg/1.17 Ml X2) Subcutaneous Syring… 20 15 $19,478.28 $19,478.28 $11,686.97 $18,309.58 $15,582.62 2026-03-01
37242 CPT Hc Vascular Embolization Or Occlusion Arterial Rs&I 19 15 $34,196.10 $34,196.10 $11,532.00 $18,066.80 $15,376.00 2026-03-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 1 $33,319.79 $33,319.79 $17,794.67 $17,794.67 $17,794.67 2026-03-01
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 4 4 $22,433.53 $22,433.53 $13,063.54 $17,738.42 $14,963.95 2026-03-01
52287 CPT Cystourethroscopy Inj Chemodenervation Bladder 1 1 $16,716.45 $16,716.45 $17,310.87 $17,310.87 $17,310.87 2026-03-01
59151 CPT Laps Tx Ectopic Preg W/Salping&/Oophorectomy 3 3 $18,767.36 $18,767.36 $7,222.40 $16,789.00 $8,068.96 2026-03-01
37244 CPT Hc Vasc Embolization 19 15 $17,750.00 $17,750.00 $10,650.00 $16,685.00 $14,200.00 2026-03-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 2 2 $22,054.75 $22,054.75 $11,895.84 $16,476.17 $14,186.00 2026-03-01
58542 CPT Laps Supracrv Hysterect 250 Gm/< Rmvl Tube/Ovar 1 1 $90,848.86 $90,848.86 $16,236.73 $16,236.73 $16,236.73 2026-03-01
J7192 HCPCS Antihemophilic Factor Viii, Full Length 1,500 (+/-) Unit IV Solution 57 15 $10,800.85 $10,800.85 $670.80 $16,165.67 $8,640.68 2026-03-01
75 MS_DRG Viral Meningitis With Cc/mcc 1 1 $22,021.58 $22,021.58 $16,103.21 $16,103.21 $16,103.21 2026-03-01
639 MS_DRG Diabetes Without Cc/mcc 1 1 $17,473.50 $17,473.50 $15,975.77 $15,975.77 $15,975.77 2026-03-01
43280 CPT Laps Surg Esopg/Gstr Fundoplasty 1 1 $61,831.82 $61,831.82 $15,951.64 $15,951.64 $15,951.64 2026-03-01
C1767 HCPCS Interstim X Ssmri Amer System 19 15 $16,940.00 $16,940.00 $11,858.00 $15,923.60 $13,552.00 2026-03-01
57250 CPT Post Colporrhaphy Rectocele W/wo Perineorrhaphy 4 3 $39,692.80 $39,692.80 $6,926.69 $15,826.09 $9,645.08 2026-03-01
57425 CPT Laparoscopy Colpopexy Suspension Vaginal Apex 4 3 $54,530.01 $54,530.01 $12,159.79 $15,826.06 $14,774.96 2026-03-01
37241 CPT Hc Vascular Embolization Or Occlusion Venous Rs&I 19 15 $16,681.00 $16,681.00 $10,008.60 $15,680.14 $13,344.80 2026-03-01
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 8 7 $18,497.21 $18,497.21 $2,432.00 $15,548.11 $13,562.31 2026-03-01
58262 CPT Vag Hyst 250 Gm/< W/Rmvl Tube&/Ovary 2 2 $41,607.30 $41,607.30 $8,643.20 $15,510.40 $12,076.80 2026-03-01
58573 CPT Laparoscopy Tot Hysterectomy >250 G W/Tube/Ovar 5 3 $34,012.95 $34,012.95 $5,221.23 $15,442.32 $11,849.60 2026-03-01
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 4 4 $20,032.27 $20,032.27 $10,953.38 $15,235.19 $12,528.49 2026-03-01
14301 CPT Adjnt Tis Trnsfr/Reargmt Any Area 30.1-60 Sq Cm 3 3 $35,604.15 $35,604.15 $3,338.88 $15,000.00 $5,820.35 2026-03-01
57288 CPT Sling Operation Stress Incontinence 3 3 $43,129.13 $43,129.13 $4,499.20 $14,956.50 $7,234.24 2026-03-01
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 $59,007.61 $59,007.61 $14,924.27 $14,924.27 $14,924.27 2026-03-01
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 12 9 $15,686.22 $15,686.22 $2,432.00 $14,750.80 $11,074.12 2026-03-01
58571 CPT Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary 8 5 $31,602.29 $31,602.29 $9,054.64 $14,717.11 $11,128.33 2026-03-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 1 1 $18,573.40 $18,573.40 $14,471.52 $14,471.52 $14,471.52 2026-03-01
J1437 HCPCS Ferric Derisomaltose 100 Mg Iron/ml Intravenous Solution 20 15 $15,076.22 $15,076.22 $9,045.73 $14,171.65 $12,060.98 2026-03-01
11406 CPT Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L >4.0 Cm 3 3 $28,319.01 $28,319.01 $5,979.20 $14,048.94 $6,664.60 2026-03-01
Q5119 HCPCS Rituximab-pvvr 10 Mg/ml Intravenous Solution 20 15 $14,794.76 $14,794.76 $8,876.86 $13,907.07 $11,835.81 2026-03-01
819 MS_DRG Other Antepartum Diagnoses With O.r. Procedures Without Cc/mcc 19 15 $37,057.63 $37,057.63 $6,663.75 $13,871.55 $6,663.75 2026-03-01
J2426 HCPCS Paliperidone Palmitate 234 Mg/1.5 Ml Intramuscular Syringe 20 15 $14,733.46 $14,733.46 $8,840.08 $13,849.45 $11,786.77 2026-03-01
59821 CPT Tx Missed Abortion Second Trimester Surgical 3 3 $14,481.77 $14,481.77 $6,742.15 $13,799.88 $7,104.00 2026-03-01
J7187 HCPCS Antihemophilic Factor-vwf 1,000 Unit-2,400 Unit Intravenous Solution 38 15 $8,883.14 $8,883.14 $1,862.17 $13,782.90 $6,590.62 2026-03-01
58563 CPT Hysteroscopy Endometrial Ablation 7 5 $10,372.00 $10,372.00 $4,045.29 $13,781.76 $5,328.00 2026-03-01
948 MS_DRG Signs And Symptoms Without Mcc 2 2 $38,192.34 $38,192.34 $5,088.32 $13,778.90 $9,433.61 2026-03-01
571 MS_DRG Skin Debridement With Cc 2 2 $41,842.79 $41,842.79 $13,228.65 $13,707.40 $13,468.02 2026-03-01
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 1 1 $17,689.15 $17,689.15 $13,533.18 $13,533.18 $13,533.18 2026-03-01
11422 CPT Exc B9 Lesion Mrgn Xcp Sk Tg S/n/h/f/g 1.1-2.0cm 1 1 $20,299.80 $20,299.80 $13,377.30 $13,377.30 $13,377.30 2026-03-01
998 MS_DRG Principal Diagnosis Invalid As Discharge Diagnosis 1 1 $19,620.86 $19,620.86 $13,058.62 $13,058.62 $13,058.62 2026-03-01
59160 CPT Curettage Postpartum 2 2 $7,333.16 $7,333.16 $11,011.20 $12,520.80 $11,766.00 2026-03-01
47562 CPT Laparoscopy Surg Cholecystectomy 4 3 $21,977.07 $21,977.07 $4,436.37 $12,480.00 $11,252.80 2026-03-01
58260 CPT Vaginal Hysterectomy Uterus 250 Gm/< 1 1 $24,139.34 $24,139.34 $12,170.61 $12,170.61 $12,170.61 2026-03-01
58570 CPT Laparoscopy W Total Hysterectomy Uterus 250 Gm/< 2 2 $26,731.07 $26,731.07 $10,990.48 $12,076.80 $11,533.64 2026-03-01
58552 CPT Laps W/Vag Hysterect 250 Gm/&Rmvl Tube&/Ovaries 3 3 $28,124.93 $28,124.93 $9,495.58 $12,076.80 $11,129.60 2026-03-01
49329 CPT Unlisted Laparoscopy Px Abd Pertoneum & Omentum 2 2 $31,060.54 $31,060.54 $4,262.41 $11,880.20 $8,071.31 2026-03-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 1 1 $16,558.09 $16,558.09 $11,835.55 $11,835.55 $11,835.55 2026-03-01
47490 CPT Hc Ir Cholecystostomy 19 15 $12,494.00 $12,494.00 $7,496.40 $11,744.36 $9,995.20 2026-03-01
56740 CPT Excision Bartholins Gland Or Cyst 1 1 $23,420.15 $23,420.15 $11,476.00 $11,476.00 $11,476.00 2026-03-01
779 MS_DRG Abortion Without D&c 3 3 $14,545.79 $14,545.79 $6,488.28 $11,441.84 $7,455.05 2026-03-01
57410 CPT Pelvic Examination W/Anesthesia Other Than Local 2 2 $9,232.13 $9,232.13 $4,451.84 $11,239.25 $7,845.55 2026-03-01
56515 CPT Destruction Lesions Vulva Extensive 1 1 $17,209.68 $17,209.68 $11,181.18 $11,181.18 $11,181.18 2026-03-01
14302 CPT Adjt Tis Trnsfr/Reargmt Defec Ea Addl 30 Sqcm 3 3 $33,348.71 $33,348.71 $3,338.88 $11,066.45 $4,657.06 2026-03-01
44970 CPT Laparoscopic Appendectomy 1 1 $24,572.79 $24,572.79 $11,011.20 $11,011.20 $11,011.20 2026-03-01
SUP-0014373 CDM Codman Hakim Programable Valve 19 15 $11,637.89 $11,637.89 $8,146.52 $10,939.62 $9,310.31 2026-03-01
49320 CPT Laps Abd Prtm&Omentum Dx W/wo Spec Br/Wa Spx 3 3 $14,026.09 $14,026.09 $2,604.80 $10,766.46 $3,573.34 2026-03-01
603 MS_DRG Cellulitis Without Mcc 2 2 $10,687.32 $10,687.32 $8,396.12 $10,705.98 $9,551.05 2026-03-01
49591 CPT Rpr Aa Hernia 1st < 3 Cm Reducible 2 2 $24,649.17 $24,649.17 $6,504.41 $10,542.41 $8,523.41 2026-03-01
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 19 15 $10,916.90 $10,916.90 $3,780.00 $10,461.07 $3,780.00 2026-03-01
921 MS_DRG Complications Of Treatment Without Cc/mcc 1 1 $10,959.18 $10,959.18 $10,455.14 $10,455.14 $10,455.14 2026-03-01
38500 CPT Bx/Exc Lymph Node Open Superficial 1 1 $32,158.97 $32,158.97 $10,353.47 $10,353.47 $10,353.47 2026-03-01
759 MS_DRG Infections, Female Reproductive System Without Cc/mcc 2 2 $13,214.29 $13,214.29 $6,799.06 $10,217.92 $8,508.49 2026-03-01
58561 CPT Hysteroscopy Removal Leiomyomata 3 2 $17,834.40 $17,834.40 $5,008.32 $10,182.40 $6,816.88 2026-03-01
46260 CPT Hemorrhoidectomy Int & Xtrnl 2/> Column/Gro 3 3 $16,020.69 $16,020.69 $7,340.80 $10,016.64 $8,524.81 2026-03-01
36582 CPT Hc Replace Tunneled Cv Cath 19 15 $10,605.00 $10,605.00 $6,363.00 $9,968.70 $8,484.00 2026-03-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 2 2 $10,863.71 $10,863.71 $6,731.67 $9,956.92 $8,344.30 2026-03-01
58558 CPT Hc Pbb Hysteroscopy,W/Endo Bx 25 15 $10,223.94 $10,223.94 $3,139.57 $9,933.92 $8,295.88 2026-03-01
57260 CPT Cmbnd Anterpost Colporraphy W/Cysto 2 2 $51,964.82 $51,964.82 $5,000.00 $9,923.90 $7,461.95 2026-03-01
15777 CPT Implnt Bio Implnt For Soft Tissue Reinforcement 3 3 $59,482.27 $59,482.27 $4,201.42 $9,923.90 $5,015.68 2026-03-01
37191 CPT Hc Ins Intrvas Vc Filtr W/wo Vas Acs Vsl Selxn Rs&I 19 15 $29,793.69 $29,793.69 $6,301.80 $9,872.82 $8,402.40 2026-03-01
58545 CPT Laps Myomectomy Exc 1-4 Myomas 250 Gm/< 2 2 $38,157.28 $38,157.28 $8,951.61 $9,853.20 $9,402.41 2026-03-01
0211U CPT Hc Caris - Mi Tumor Cancer Seek 19 15 $10,455.00 $10,455.00 $6,273.00 $9,827.70 $8,364.00 2026-03-01
11622 CPT Excision Malignant Lesion S/n/h/f/g 1.1-2.0 Cm 2 2 $15,861.91 $15,861.91 $9,353.60 $9,763.02 $9,558.31 2026-03-01
58560 CPT Hysteroscopy Div/Rescj Intrauterine Septum 1 1 $16,259.40 $16,259.40 $9,445.14 $9,445.14 $9,445.14 2026-03-01
49593 CPT Rpr Aa Hernia 1st 3-10 Cm Reducible 1 1 $35,305.15 $35,305.15 $9,404.85 $9,404.85 $9,404.85 2026-03-01
J7168 HCPCS Hum Prothrombin Cplx, 4-factor 1,000 Unit (800-1,240 Unit) IV Solution 38 15 $7,492.32 $7,492.32 $2,996.93 $9,390.37 $5,344.52 2026-03-01
57200 CPT Colporrhaphy Suture Injury Vagina 2 1 $48,548.38 $48,548.38 $5,920.00 $9,209.21 $7,564.60 2026-03-01
57282 CPT Colpopexy Vaginal Extraperitoneal Approach 1 1 $39,692.80 $39,692.80 $9,079.99 $9,079.99 $9,079.99 2026-03-01
19081 CPT Hc Bx Breast W Device 1st Lesion Stereotactic Guide 26 15 $5,017.28 $5,017.28 $2,934.00 $8,926.24 $3,912.00 2026-03-01
43282 CPT Laps Rpr Paraesphgl Hrna Incl Fundplsty W/Mesh 1 1 $32,765.99 $32,765.99 $8,845.03 $8,845.03 $8,845.03 2026-03-01
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 8 7 $8,866.24 $8,866.24 $4,791.36 $8,652.92 $5,519.60 2026-03-01
19125 CPT Exc Breast Les Preop Plmt Rad Marker Open 1 Les 1 1 $14,168.53 $14,168.53 $8,347.20 $8,347.20 $8,347.20 2026-03-01
58662 CPT Laps Fulg/Exc Ovary Viscera/Peritoneal Surface 6 4 $25,572.92 $25,572.92 $3,479.58 $8,347.20 $4,588.80 2026-03-01
682 MS_DRG Renal Failure With Mcc 1 1 $34,838.48 $34,838.48 $8,301.50 $8,301.50 $8,301.50 2026-03-01
J1950 HCPCS Leuprolide 3.75 Mg Intramuscular Syringe Kit 38 15 $6,200.00 $6,200.00 $2,160.00 $8,272.00 $4,332.00 2026-03-01
46288 CPT Clsr Anal Fstl W/Rct Advmnt Flap 1 1 $20,254.27 $20,254.27 $8,208.08 $8,208.08 $8,208.08 2026-03-01
58353 CPT Endometrial Abltj Thermal Without Hysteroscopic Guid 2 2 $7,430.09 $7,430.09 $2,042.40 $8,182.94 $5,112.67 2026-03-01
SUP-0014555 CDM Codman Hakim Valve Small 19 15 $8,633.80 $8,633.80 $5,180.28 $8,115.77 $6,907.04 2026-03-01
51715 CPT Ndsc Njx Implt Matrl Urt&/Bldr Nck 2 2 $31,026.99 $31,026.99 $2,639.48 $7,983.76 $5,311.62 2026-03-01
57135 CPT Excision Vaginal Cyst/Tumor 2 2 $11,269.06 $11,269.06 $3,433.60 $7,929.84 $5,681.72 2026-03-01
58562 CPT Hc Pbb Hysteroscopy,Rmv Fb 22 15 $8,741.20 $8,741.20 $3,670.40 $7,830.20 $6,664.00 2026-03-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 1 1 $32,489.27 $32,489.27 $7,810.65 $7,810.65 $7,810.65 2026-03-01
37193 CPT Hc Rtrvl Intrvas Vc Filtr W/wo Acs Vsl Selxn Rs&I 19 15 $8,144.00 $8,144.00 $4,886.40 $7,655.36 $6,515.20 2026-03-01
36563 CPT Hc Insert Tunneled Cv Cath With Pump 19 15 $8,113.00 $8,113.00 $4,867.80 $7,626.22 $6,490.40 2026-03-01
57240 CPT Anterior Colporraphy Rpr Cystocele W/Cysto 2 2 $39,494.89 $39,494.89 $4,499.20 $7,427.70 $5,963.45 2026-03-01
57520 CPT Conization Cervix W/wo D&c Rpr Knife/Laser 22 15 $9,396.08 $9,396.08 $4,726.20 $7,404.38 $6,301.60 2026-03-01
19120 CPT Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion 2 2 $12,867.99 $12,867.99 $4,617.55 $7,303.80 $5,960.68 2026-03-01
38525 CPT Bx/Exc Lymph Node Open Deep Axillary Node 1 1 $40,052.85 $40,052.85 $7,297.22 $7,297.22 $7,297.22 2026-03-01
38900 CPT Intraop Sentinel Lymph Node Id With Contrast Injection 6 4 $42,752.87 $42,752.87 $3,907.20 $7,297.22 $5,099.67 2026-03-01
49418 CPT Hc Insertion Tunnel Intraperitoneal Cath W Image Guidance 19 15 $7,737.00 $7,737.00 $4,642.20 $7,272.78 $6,189.60 2026-03-01
50693 CPT Hc Plmt Urtrl Stent Prq Pre-existing Nfros Tract 19 15 $7,647.00 $7,647.00 $4,588.20 $7,188.18 $6,117.60 2026-03-01
SUP-0015977 CDM Certas Plus Programmable Valve Crts Sm Il Sg Vlv Only 19 15 $7,609.95 $7,609.95 $4,565.97 $7,153.35 $6,087.96 2026-03-01
59820 CPT Tx Missed Abortion First Trimester Surgical 7 4 $9,054.76 $9,054.76 $3,176.08 $7,136.80 $3,756.24 2026-03-01
36561 CPT Hc Ir-insert Venous Access Device 24 15 $9,176.30 $9,176.30 $4,104.00 $7,024.11 $5,472.00 2026-03-01
11400 CPT Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/< 1 1 $29,607.68 $29,607.68 $6,926.41 $6,926.41 $6,926.41 2026-03-01
J0875 HCPCS Dalbavancin Hcl 500 Mg/25ml IV (wet Solr Vial) 19 15 $7,344.27 $7,344.27 $4,406.56 $6,903.61 $5,875.42 2026-03-01
794 MS_DRG Neonate With Other Significant Problems 12 9 $4,411.27 $4,411.27 $3,077.11 $6,752.35 $4,176.49 2026-03-01
SUP-0015992 CDM Certas Plus Programmable Valve 19 15 $7,150.95 $7,150.95 $4,290.57 $6,721.89 $5,720.76 2026-03-01
56620 CPT Vulvectomy Simple Partial 2 2 $17,707.20 $17,707.20 $6,630.41 $6,677.76 $6,654.09 2026-03-01
59320 CPT Cerclage Cervix Pregnancy Vaginal 2 2 $11,190.38 $11,190.38 $6,156.80 $6,630.41 $6,393.60 2026-03-01
45172 CPT Exc Rct Tum Incl Muscularis Propria 1 1 $12,710.01 $12,710.01 $6,630.40 $6,630.40 $6,630.40 2026-03-01
57513 CPT Cautery Cervix Laser Ablation 1 1 $8,594.40 $8,594.40 $6,630.40 $6,630.40 $6,630.40 2026-03-01
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 1 1 $29,265.30 $29,265.30 $6,618.84 $6,618.84 $6,618.84 2026-03-01
58555 CPT Hc Pbb Hysteroscopy,Dx,Sep Proc 20 15 $8,285.85 $8,285.85 $4,214.40 $6,602.56 $5,619.20 2026-03-01
50694 CPT Hc Plmt Urtrl Stnt Prq New Acess Without Sep Nfros Cath 19 15 $7,001.00 $7,001.00 $4,200.60 $6,580.94 $5,600.80 2026-03-01
78815 CPT Hc PET Image W/ct Skull-thigh - Pt/CT Bone Skull Base To Mid Thigh 19 15 $6,947.00 $6,947.00 $4,168.20 $6,530.18 $5,557.60 2026-03-01
11403 CPT Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 2.1-3.0 Cm 1 1 $27,563.32 $27,563.32 $6,512.00 $6,512.00 $6,512.00 2026-03-01
59812 CPT Hc Tx Incomplete Abortion Any Trimester Surgical 25 15 $7,788.67 $7,788.67 $2,960.00 $6,448.40 $5,488.00 2026-03-01
36555 CPT Hc Insert Non-tunnel Cv Cath < 5 Y/o 19 15 $6,824.00 $6,824.00 $4,094.40 $6,414.56 $5,459.20 2026-03-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 1 1 $26,754.81 $26,754.81 $6,339.75 $6,339.75 $6,339.75 2026-03-01
57287 CPT Rmvl/Revj Sling Stress Incontinence 1 1 $14,735.67 $14,735.67 $6,331.81 $6,331.81 $6,331.81 2026-03-01
50382 CPT Hc Pbb Change Ureter Stent, Percut 19 15 $6,590.00 $6,590.00 $3,954.00 $6,194.60 $5,272.00 2026-03-01
57155 CPT Insertion Uterine Tandem&/Vaginal Ovoids 1 1 $34,245.02 $34,245.02 $6,180.48 $6,180.48 $6,180.48 2026-03-01
78816 CPT Hc PET Imaging For CT Attenuation Whole Body - Pt/CT Bone Whole Body 19 15 $6,545.00 $6,545.00 $3,927.00 $6,152.30 $5,236.00 2026-03-01
45100 CPT Bx Anorectal Wall Anal Approach 20 15 $6,530.85 $6,530.85 $901.18 $6,143.84 $5,228.80 2026-03-01
87 MS_DRG Traumatic Stupor And Coma <1 Hour Without Cc/mcc 1 1 $8,038.20 $8,038.20 $6,128.66 $6,128.66 $6,128.66 2026-03-01
57061 CPT Destruction Vaginal Lesions Simple 3 3 $11,818.18 $11,818.18 $2,643.28 $6,121.28 $3,670.40 2026-03-01
J1439 HCPCS Ferric Carboxymaltose (injectafer) 50 Mg Iron/ml Intravenous Solution 19 15 $6,382.79 $6,382.79 $3,829.67 $5,999.82 $5,106.23 2026-03-01
56700 CPT Partial Hymenectomy Or Revision Hymenal Ring 2 2 $8,650.11 $8,650.11 $4,972.80 $5,982.16 $5,477.48 2026-03-01
57461 CPT Hc Pbb Colposcopy,Cervix W/Adj Vag,W/Loop Coniz 20 15 $6,460.50 $6,460.50 $3,815.40 $5,977.46 $5,087.20 2026-03-01
58800 CPT Hc US-ovarian Cyst Puncture 19 15 $6,359.00 $6,359.00 $3,815.40 $5,977.46 $5,087.20 2026-03-01
59412 CPT Hc External Cephalic Version 20 15 $7,963.11 $7,963.11 $3,273.09 $5,977.46 $5,087.20 2026-03-01
58900 CPT Hc US Guided Ovarian Biopsy 19 15 $6,359.00 $6,359.00 $3,815.40 $5,977.46 $5,087.20 2026-03-01
SUP-0017803 CDM Galaflex Gflt0019 Lite 19cm 19 15 $6,300.00 $6,300.00 $3,780.00 $5,922.00 $5,040.00 2026-03-01
36556 CPT Hc Insert Non-tunnel Cv Cath 19 15 $6,295.00 $6,295.00 $3,777.00 $5,917.30 $5,036.00 2026-03-01
V5130 HCPCS Hc Ha-ite Digitl Econ,Binaural Md 76 15 $4,416.00 $4,416.00 $1,064.40 $5,890.98 $3,226.41 2026-03-01
75736 CPT Hc Angio Pelvis - Ir Angio Pelvic Selective Or Supraselective 19 15 $6,166.00 $6,166.00 $3,699.60 $5,796.04 $4,932.80 2026-03-01
32550 CPT Hc Insertion Indwelling Tunneled Pleural Catheter 19 15 $20,287.72 $20,287.72 $3,592.80 $5,628.72 $4,790.40 2026-03-01
49322 CPT Laps Surg W/Aspir Cavity/Cyst Single/Multiple 1 1 $52,259.05 $52,259.05 $5,564.80 $5,564.80 $5,564.80 2026-03-01
50695 CPT Hc Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath 19 15 $5,875.00 $5,875.00 $3,525.00 $5,522.50 $4,700.00 2026-03-01
58670 CPT Laparoscopy Fulguration Oviducts 1 1 $13,680.53 $13,680.53 $5,446.41 $5,446.41 $5,446.41 2026-03-01
31603 CPT Hc Tracheostomy,Emerg,Xtrach 19 15 $5,789.00 $5,789.00 $3,473.40 $5,441.66 $4,631.20 2026-03-01
31600 CPT Hc Tracheostomy, Planned 19 15 $5,789.00 $5,789.00 $3,473.40 $5,441.66 $4,631.20 2026-03-01
38222 CPT Hc Ir Bone Marrow Aspiration & Biopsy 19 15 $8,565.26 $8,565.26 $3,434.40 $5,380.56 $4,579.20 2026-03-01
58400 CPT Uterine Suspension W/wo Shortening Ligaments Spx 1 1 $28,661.19 $28,661.19 $5,345.22 $5,345.22 $5,345.22 2026-03-01
J7178 HCPCS Fibrinogen 1 Gram (900 Mg-1,300 Mg) Intravenous Solution 19 15 $5,655.36 $5,655.36 $3,393.22 $5,316.04 $4,524.29 2026-03-01
56441 CPT Hc Pbb Lysis Of Labial Lesion(S) 19 15 $10,297.30 $10,297.30 $3,334.20 $5,223.58 $4,445.60 2026-03-01
36558 CPT Hc Insert Tunneled Cv Cath Without Port Or Pump 19 15 $5,548.00 $5,548.00 $3,328.80 $5,215.12 $4,438.40 2026-03-01
C1778 HCPCS Lead 978b133 Istm Ii 33cm Ssmr 19 15 $5,425.00 $5,425.00 $3,255.00 $5,099.50 $4,340.00 2026-03-01
50432 CPT Hc Plmt Nephrostomy Cath Prq New Access Rs&I 19 15 $9,157.55 $9,157.55 $3,219.00 $5,043.10 $4,292.00 2026-03-01
78814 CPT Hc PET Imaging CT For Attenuation Limited Area 19 15 $5,342.00 $5,342.00 $3,205.20 $5,021.48 $4,273.60 2026-03-01
11420 CPT Exc B9 Lesion Mrgn Xcp Sk Tg S/n/h/f/g 0.5 Cm/< 1 1 $12,777.94 $12,777.94 $5,000.00 $5,000.00 $5,000.00 2026-03-01
58120 CPT Dilation & Curettage Dx&/Ther Nonobstetric 2 2 $11,617.38 $11,617.38 $4,262.40 $4,972.80 $4,617.60 2026-03-01
50433 CPT Hc Plmt Nephroureteral Cath Prq New Access Rs&I 19 15 $5,230.00 $5,230.00 $3,138.00 $4,916.20 $4,184.00 2026-03-01
45390 CPT Colonoscopy Flx W/Endoscopic Mucosal Resection 19 15 $7,328.93 $7,328.93 $3,068.40 $4,807.16 $4,091.20 2026-03-01
SUP-0017222 CDM Radio Freq Ablation Handpiece 19 15 $5,068.00 $5,068.00 $3,040.80 $4,763.92 $4,054.40 2026-03-01
SUP-0016365 CDM Trufill Liquid Embolic 1 Gram 19 15 $5,034.96 $5,034.96 $3,020.98 $4,732.86 $4,027.97 2026-03-01
77373 CPT Hc Stereotact Body Radiation Del 19 15 $5,004.00 $5,004.00 $3,002.40 $4,703.76 $4,003.20 2026-03-01
56440 CPT Hc Pbb Marsupialization Bartholins Gland Cys 19 15 $8,559.22 $8,559.22 $3,000.00 $4,700.00 $4,000.00 2026-03-01
15771 CPT Grafting Of Autologous Fat By Lipo 50 Cc Or Less 3 3 $38,721.55 $38,721.55 $4,049.28 $4,657.06 $4,494.76 2026-03-01
19085 CPT Hc Bx Breast W Device 1st Lesion Magnetic Res Guide 19 15 $5,225.89 $5,225.89 $2,959.80 $4,637.02 $3,946.40 2026-03-01
Q0138 HCPCS Ferumoxytol (feraheme) 510 Mg/17 Ml (30 Mg/ml) Intravenous Solution 38 15 $4,332.27 $4,332.27 $2,242.37 $4,631.62 $3,513.05 2026-03-01
52005 CPT Hc Pbb Cystourethroscopy,Ureter Catheter 19 15 $7,554.66 $7,554.66 $2,940.60 $4,606.94 $3,920.80 2026-03-01
58679 CPT Unlisted Laparoscopy Procedure Oviduct Ovary 1 1 $27,641.39 $27,641.39 $4,584.66 $4,584.66 $4,584.66 2026-03-01
58611 CPT Hc Del-tubal Lig Follow'g Csec 19 15 $4,875.00 $4,875.00 $2,925.00 $4,582.50 $3,900.00 2026-03-01
21501 CPT I&d Deep Absc/Hmtma Soft Tissue Neck/Thorax 1 1 $14,420.32 $14,420.32 $4,558.40 $4,558.40 $4,558.40 2026-03-01
74178 CPT Hc CT Abd & Pelv 1/> Regns - CT Abdomen Pelvis W Wo Contrast 19 15 $4,845.00 $4,845.00 $2,907.00 $4,554.30 $3,876.00 2026-03-01
V2790 HCPCS Amniofix Amniotic Allograft 19 15 $4,804.10 $4,804.10 $2,882.46 $4,515.85 $3,843.28 2026-03-01
57720 CPT Trachelorrhaphy Plstc Rpr Uterine Cervix Vag 1 1 $26,338.50 $26,338.50 $4,451.84 $4,451.84 $4,451.84 2026-03-01
95715 CPT Hc Veeg By Tech 12-26 Hr Intermittent Monitoring 19 15 $4,635.00 $4,635.00 $2,781.00 $4,356.90 $3,708.00 2026-03-01
50387 CPT Hc Ureteral Stend Removal W/Fluoro 19 15 $4,587.00 $4,587.00 $2,752.20 $4,311.78 $3,669.60 2026-03-01
PX-1730000003 CDM Hc Nursery Room Daily - NICU Level 3 19 15 $4,484.00 $4,484.00 $2,690.40 $4,214.96 $3,587.20 2026-03-01
19357 CPT Tissue Expander Placement Breast Reconstruction 1 1 $57,028.61 $57,028.61 $4,201.42 $4,201.42 $4,201.42 2026-03-01
10081 CPT Hc Incision & Drainage Pilonidal Cyst Complicated 19 15 $4,429.00 $4,429.00 $2,657.40 $4,163.26 $3,543.20 2026-03-01
72147 CPT Hc Mri, Dorsal Spine Contrast - MRI Thoracic Spine W Contrast 19 15 $4,413.00 $4,413.00 $2,647.80 $4,148.22 $3,530.40 2026-03-01
72156 CPT Hc Mri, Cerv Spine Combo - MRI Cervical Spine W Wo Contrast 19 15 $4,390.00 $4,390.00 $2,634.00 $4,126.60 $3,512.00 2026-03-01
PX-2000000001 CDM Hc Adult ICU Room Daily 19 15 $4,382.00 $4,382.00 $2,629.20 $4,119.08 $3,505.60 2026-03-01
795 MS_DRG Normal Newborn 11 8 $4,052.25 $4,052.25 $2,518.48 $4,110.27 $3,395.66 2026-03-01
58350 CPT Chromotubation Oviduct W/Materials 3 3 $19,118.25 $19,118.25 $2,604.80 $4,084.80 $3,573.33 2026-03-01
59515 CPT Hc Cesarean Section 38 15 $4,246.00 $4,246.00 $2,506.20 $4,056.10 $3,419.64 2026-03-01
19380 CPT Revision Of Reconstructed Breast 2 2 $29,347.51 $29,347.51 $3,269.32 $4,049.28 $3,659.30 2026-03-01
58578 CPT Unlisted Laparoscopy Procedure Uterus 1 1 $38,592.64 $38,592.64 $4,025.60 $4,025.60 $4,025.60 2026-03-01
59871 CPT Hc Removal Cerclage Suture Under Anesthesia 19 15 $6,647.20 $6,647.20 $2,566.80 $4,021.32 $3,422.40 2026-03-01
78608 CPT Hc Brain Imaging (Pet) - Pt Brain Metabolic 19 15 $4,263.00 $4,263.00 $2,557.80 $4,007.22 $3,410.40 2026-03-01
49406 CPT Hc CT-guide Fluid Collxn Drainag Cath Periton Perq 59 15 $4,162.50 $4,162.50 $1,798.80 $3,979.96 $3,211.44 2026-03-01
SUP-0017105 CDM Acessa Handpiece & Pads Provu 19 15 $4,200.00 $4,200.00 $2,520.00 $3,948.00 $3,360.00 2026-03-01
PX-3600000017 CDM Hc Peg Tube Insert With US Guid 19 15 $4,151.00 $4,151.00 $2,490.60 $3,901.94 $3,320.80 2026-03-01
J0630 HCPCS Calcitonin (salmon) 200 Unit/ml Injection Solution 19 15 $4,128.00 $4,128.00 $2,476.80 $3,880.32 $3,302.40 2026-03-01
74177 CPT Hc CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast 27 15 $5,649.65 $5,649.65 $51.42 $3,863.40 $3,288.00 2026-03-01
32408 CPT Hc Percut Bx, Lung/Mediastinum With Guidance 20 15 $5,928.44 $5,928.44 $2,463.60 $3,859.64 $3,284.80 2026-03-01
72157 CPT Hc Mri, Dorsal Spine Combo - MRI Thoracic Spine W Wo Contrast 19 15 $4,052.00 $4,052.00 $2,431.20 $3,808.88 $3,241.60 2026-03-01
72158 CPT Hc Mri, Lumbar Spine Combo - MRI Lumbar Spine W Wo Contrast 19 15 $4,049.00 $4,049.00 $2,429.40 $3,806.06 $3,239.20 2026-03-01
C8908 CPT Hc MRI Without Fol W/Cont, Breast, Bilateral 19 15 $4,044.00 $4,044.00 $2,426.40 $3,801.36 $3,235.20 2026-03-01
74174 CPT Hc CT Angio Abd&Pelv W/O&with Contrast - CT Angiogram Abdomen Pelvis W Contrast 19 15 $4,026.00 $4,026.00 $2,415.60 $3,784.44 $3,220.80 2026-03-01
70553 CPT Hc MRI Brain Combo - Mr Pituitary W/wo IV Contrast 19 15 $3,981.00 $3,981.00 $2,388.60 $3,742.14 $3,184.80 2026-03-01
11042 CPT Debridement Subcutaneous Tissue 1st 20 Sq Cm/< 1 1 $22,809.07 $22,809.07 $3,552.00 $3,552.00 $3,552.00 2026-03-01
44394 CPT Colonoscopy Stoma W/Rmvl Tum Polyp/Oth Les Snare 1 1 $4,672.78 $4,672.78 $3,477.06 $3,477.06 $3,477.06 2026-03-01
12020 CPT Tx Superficial Wound Dehiscence Simple Closure 1 1 $10,032.79 $10,032.79 $3,442.81 $3,442.81 $3,442.81 2026-03-01
46505 CPT Chemodenervation Internal Anal Sphincter 1 1 $7,702.69 $7,702.69 $3,196.80 $3,196.80 $3,196.80 2026-03-01
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