Price Transparencybeta Hospital negotiated rates

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

NORTH CADDO MEDICAL CENTER

Vivian, LA · CCN 191304 · Rates published

16,286 distinct procedures filed
6 distinct payers
74,670 rate rows
2026-04-01 last MRF observed
Data quality

54,070 of 74,670 rate rows are consumer-grade (72.4%)

20,600 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 17,604
placeholder amount (≤ $0.02) — excluded from medians 2,284
professional (physician) fee — not the facility price 546
template filing: same amount across many unrelated codes — excluded 112
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 54
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=S06VWBoQGGb99RkSb0P*_*8w*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?pi=S06VWBoQGGb99RkSb0P*_*8w*-*
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint f2d4b6399267924d… · 10,655,540 bytes · first seen 2026-05-08

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 		Description Not Available 1 $2,322,044.36 $2,322,044.36 $2,322,044.36 nat. median
$2,467,989
0.9× median
Q2042
HCPCS 		Description Not Available 1 $544,416.00 $544,416.00 $544,416.00 nat. median
$739,658
0.7× median
Q2056
HCPCS 		Description Not Available 1 $478,950.00 $478,950.00 $478,950.00 nat. median
$646,415
0.7× median
Q2055
HCPCS 		Description Not Available 1 $470,972.65 $470,972.65 $470,972.65 nat. median
$621,967
0.8× median
Q2054
HCPCS 		Description Not Available 1 $460,643.81 $460,643.81 $460,643.81 nat. median
$637,620
0.7× median
Q2053
HCPCS 		Description Not Available 1 $436,720.00 $436,720.00 $436,720.00 nat. median
$589,091
0.7× median
J3403
HCPCS 		Description Not Available 1 $250,000.00 $250,000.00 $250,000.00 nat. median
$265,000
0.9× median
Q2041
HCPCS 		Description Not Available 2 $0.95 $436,720.00 $218,360.48 nat. median
$607,251
outlier · 0.4×
33276
LOCAL 		Description Not Available 1 $182,549.20 $182,549.20 $182,549.20 nat. median
$182,549
1.0× median
C9760
HCPCS 		Description Not Available 1 $111,558.64 $111,558.64 $111,558.64 nat. median
$27,827
outlier · 4.0×
A9543
HCPCS 		Description Not Available 2 $70,418.21 $73,231.25 $71,824.73 nat. median
$63,915
1.1× median
C9782
HCPCS 		Description Not Available 1 $70,992.60 $70,992.60 $70,992.60 nat. median
$18,356
outlier · 3.9×
0888T
LOCAL 		Description Not Available 1 $70,992.60 $70,992.60 $70,992.60 nat. median
$70,993
1.0× median
J9029
HCPCS 		Description Not Available 1 $67,776.24 $67,776.24 $67,776.24 nat. median
$68,131
1.0× median
J7330
HCPCS 		Description Not Available 2 $53,819.56 $75,353.76 $64,586.66 nat. median
$73,852
0.9× median
C2616
HCPCS 		Description Not Available 1 $63,212.75 $63,212.75 $63,212.75 nat. median
$26,672
outlier · 2.4×
33270
LOCAL 		Description Not Available 2 $563.58 $125,018.21 $62,790.90 nat. median
$125,018
0.5× median
0571T
LOCAL 		Description Not Available 2 $543.92 $125,018.21 $62,781.07 nat. median
$111,708
0.6× median
Q2043
HCPCS 		Description Not Available 2 $53,981.46 $59,141.38 $56,561.42 nat. median
$65,318
0.9× median
0915T
LOCAL 		Description Not Available 1 $55,110.65 $55,110.65 $55,110.65 nat. median
$55,111
1.0× median
E0766
HCPCS 		Description Not Available 1 $276.61 $73,306.66 $54,980.11 nat. median
$16,786
outlier · 3.3×
33287
LOCAL 		Description Not Available 1 $50,855.87 $50,855.87 $50,855.87 nat. median
$50,856
1.0× median
C9758
HCPCS 		Description Not Available 1 $50,709.58 $50,709.58 $50,709.58 nat. median
$17,940
outlier · 2.8×
0686T
LOCAL 		Description Not Available 1 $50,709.58 $50,709.58 $50,709.58 nat. median
$53,996
0.9× median
33264
LOCAL 		Description Not Available 2 $389.68 $97,019.68 $48,704.68 nat. median
$97,020
0.5× median
33231
LOCAL 		Description Not Available 2 $389.04 $97,019.68 $48,704.36 nat. median
$97,020
0.5× median
33263
LOCAL 		Description Not Available 2 $375.34 $97,019.68 $48,697.51 nat. median
$97,020
0.5× median
33230
LOCAL 		Description Not Available 2 $374.70 $97,019.68 $48,697.19 nat. median
$3
outlier · 16396.4×
33262
LOCAL 		Description Not Available 2 $361.00 $97,019.68 $48,690.34 nat. median
$97,020
0.5× median
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 1 $47,588.80 $47,588.80 $47,588.80 nat. median
$11,464
outlier · 4.2×
Q0480
HCPCS 		Description Not Available 1 $47,472.93 $47,472.93 $47,472.93 nat. median
$111,503
outlier · 0.4×
64568
LOCAL 		Description Not Available 2 $600.69 $92,508.50 $46,554.60 nat. median
$2,437
outlier · 19.1×
J9226
HCPCS 		Description Not Available 2 $43,324.60 $48,172.10 $45,748.35 nat. median
$55,159
0.8× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 $42,829.92 $42,829.92 $42,829.92 nat. median
$19,192
outlier · 2.2×
C9792
HCPCS 		Description Not Available 1 $39,553.92 $39,553.92 $39,553.92 nat. median
$10,629
outlier · 3.7×
0916T
LOCAL 		Description Not Available 1 $38,582.76 $38,582.76 $38,582.76 nat. median
$38,583
1.0× median
0923T
LOCAL 		Description Not Available 1 $38,582.76 $38,582.76 $38,582.76 nat. median
$38,583
1.0× median
61891
LOCAL 		Description Not Available 1 $35,826.76 $35,826.76 $35,826.76 nat. median
$54,223
0.7× median
0816T
LOCAL 		Description Not Available 1 $35,826.76 $35,826.76 $35,826.76 nat. median
$35,827
1.0× median
0817T
LOCAL 		Description Not Available 1 $35,826.76 $35,826.76 $35,826.76 nat. median
$35,827
1.0× median
33240
LOCAL 		Description Not Available 2 $408.18 $69,169.38 $34,788.78 nat. median
$69,169
0.5× median
C9780
HCPCS 		Description Not Available 1 $33,469.01 $33,469.01 $33,469.01 nat. median
$8,944
outlier · 3.7×
C7534
HCPCS 		Description Not Available 1 $32,555.26 $32,555.26 $32,555.26 nat. median
$5,754
outlier · 5.7×
C7535
HCPCS 		Description Not Available 1 $32,555.26 $32,555.26 $32,555.26 nat. median
$5,834
outlier · 5.6×
0825T
LOCAL 		Description Not Available 1 $31,911.98 $31,911.98 $31,911.98 nat. median
$31,912
1.0× median
0803T
LOCAL 		Description Not Available 1 $31,911.98 $31,911.98 $31,911.98 nat. median
$44,383
0.7× median
0823T
LOCAL 		Description Not Available 1 $31,911.98 $31,911.98 $31,911.98 nat. median
$31,912
1.0× median
0801T
LOCAL 		Description Not Available 1 $31,911.98 $31,911.98 $31,911.98 nat. median
$46,789
0.7× median
0796T
LOCAL 		Description Not Available 1 $31,911.98 $31,911.98 $31,911.98 nat. median
$46,789
0.7× median
0797T
LOCAL 		Description Not Available 1 $31,911.98 $31,911.98 $31,911.98 nat. median
$44,383
0.7× median

Other procedures at this hospital

Browse this hospital's 16,286 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 1 — — $47,588.80 $47,588.80 $47,588.80 2026-04-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 2 1 — — $9,453.64 $9,453.64 $9,453.64 2026-04-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 2 1 — — $10,772.00 $10,772.00 $10,772.00 2026-04-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 2 1 — — $9,783.00 $9,783.00 $9,783.00 2026-04-01
603 MS_DRG Cellulitis Without Mcc 6 3 — — $10,772.00 $14,272.37 $13,785.80 2026-04-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/Mcc 6 2 — — $404.94 $13,776.80 $11,228.00 2026-04-01
J3399 HCPCS Description Not Available 2 1 — — $2,322,044.36 $2,322,044.36 $2,322,044.36 2026-04-01
Q2042 HCPCS Description Not Available 2 1 — — $544,416.00 $544,416.00 $544,416.00 2026-04-01
Q2056 HCPCS Description Not Available 2 1 — — $478,950.00 $478,950.00 $478,950.00 2026-04-01
Q2055 HCPCS Description Not Available 2 1 — — $470,972.65 $470,972.65 $470,972.65 2026-04-01
Q2054 HCPCS Description Not Available 2 1 — — $460,643.81 $460,643.81 $460,643.81 2026-04-01
Q2053 HCPCS Description Not Available 2 1 — — $436,720.00 $436,720.00 $436,720.00 2026-04-01
J3403 HCPCS Description Not Available 2 1 — — $250,000.00 $250,000.00 $250,000.00 2026-04-01
Q2041 HCPCS Description Not Available 4 2 — — $0.95 $436,720.00 $218,360.48 2026-04-01
33276 LOCAL Description Not Available 2 1 — — $182,549.20 $182,549.20 $182,549.20 2026-04-01
C9760 HCPCS Description Not Available 2 1 — — $111,558.64 $111,558.64 $111,558.64 2026-04-01
A9543 HCPCS Description Not Available 4 2 — — $70,418.21 $73,231.25 $71,824.73 2026-04-01
C9782 HCPCS Description Not Available 2 1 — — $70,992.60 $70,992.60 $70,992.60 2026-04-01
0888T LOCAL Description Not Available 2 1 — — $70,992.60 $70,992.60 $70,992.60 2026-04-01
J9029 HCPCS Description Not Available 2 1 — — $67,776.24 $67,776.24 $67,776.24 2026-04-01
J7330 HCPCS Description Not Available 4 2 — — $53,819.56 $75,353.76 $64,586.66 2026-04-01
C2616 HCPCS Description Not Available 2 1 — — $63,212.75 $63,212.75 $63,212.75 2026-04-01
33270 LOCAL Description Not Available 4 2 — — $563.58 $125,018.21 $62,790.90 2026-04-01
0571T LOCAL Description Not Available 4 2 — — $543.92 $125,018.21 $62,781.07 2026-04-01
Q2043 HCPCS Description Not Available 4 2 — — $53,981.46 $59,141.38 $56,561.42 2026-04-01
0915T LOCAL Description Not Available 2 1 — — $55,110.65 $55,110.65 $55,110.65 2026-04-01
E0766 HCPCS Description Not Available 6 1 — — $276.61 $73,306.66 $54,980.11 2026-04-01
33287 LOCAL Description Not Available 2 1 — — $50,855.87 $50,855.87 $50,855.87 2026-04-01
C9758 HCPCS Description Not Available 2 1 — — $50,709.58 $50,709.58 $50,709.58 2026-04-01
0686T LOCAL Description Not Available 2 1 — — $50,709.58 $50,709.58 $50,709.58 2026-04-01
33264 LOCAL Description Not Available 4 2 — — $389.68 $97,019.68 $48,704.68 2026-04-01
33231 LOCAL Description Not Available 4 2 — — $389.04 $97,019.68 $48,704.36 2026-04-01
33263 LOCAL Description Not Available 4 2 — — $375.34 $97,019.68 $48,697.51 2026-04-01
33230 LOCAL Description Not Available 4 2 — — $374.70 $97,019.68 $48,697.19 2026-04-01
33262 LOCAL Description Not Available 4 2 — — $361.00 $97,019.68 $48,690.34 2026-04-01
Q0480 HCPCS Description Not Available 2 1 — — $47,472.93 $47,472.93 $47,472.93 2026-04-01
64568 LOCAL Description Not Available 4 2 — — $600.69 $92,508.50 $46,554.60 2026-04-01
J9226 HCPCS Description Not Available 4 2 — — $43,324.60 $48,172.10 $45,748.35 2026-04-01
C9792 HCPCS Description Not Available 2 1 — — $39,553.92 $39,553.92 $39,553.92 2026-04-01
0916T LOCAL Description Not Available 2 1 — — $38,582.76 $38,582.76 $38,582.76 2026-04-01
0923T LOCAL Description Not Available 2 1 — — $38,582.76 $38,582.76 $38,582.76 2026-04-01
61891 LOCAL Description Not Available 2 1 — — $35,826.76 $35,826.76 $35,826.76 2026-04-01
0816T LOCAL Description Not Available 2 1 — — $35,826.76 $35,826.76 $35,826.76 2026-04-01
0817T LOCAL Description Not Available 2 1 — — $35,826.76 $35,826.76 $35,826.76 2026-04-01
33240 LOCAL Description Not Available 4 2 — — $408.18 $69,169.38 $34,788.78 2026-04-01
C9780 HCPCS Description Not Available 2 1 — — $33,469.01 $33,469.01 $33,469.01 2026-04-01
C7534 HCPCS Description Not Available 2 1 — — $32,555.26 $32,555.26 $32,555.26 2026-04-01
C7535 HCPCS Description Not Available 2 1 — — $32,555.26 $32,555.26 $32,555.26 2026-04-01
0825T LOCAL Description Not Available 2 1 — — $31,911.98 $31,911.98 $31,911.98 2026-04-01
0803T LOCAL Description Not Available 2 1 — — $31,911.98 $31,911.98 $31,911.98 2026-04-01
0823T LOCAL Description Not Available 2 1 — — $31,911.98 $31,911.98 $31,911.98 2026-04-01
0801T LOCAL Description Not Available 2 1 — — $31,911.98 $31,911.98 $31,911.98 2026-04-01
0796T LOCAL Description Not Available 2 1 — — $31,911.98 $31,911.98 $31,911.98 2026-04-01
0797T LOCAL Description Not Available 2 1 — — $31,911.98 $31,911.98 $31,911.98 2026-04-01
0802T LOCAL Description Not Available 2 1 — — $31,911.98 $31,911.98 $31,911.98 2026-04-01
0795T LOCAL Description Not Available 2 1 — — $31,911.98 $31,911.98 $31,911.98 2026-04-01
C8003 HCPCS Description Not Available 2 1 — — $31,610.66 $31,610.66 $31,610.66 2026-04-01
C9604 HCPCS Description Not Available 2 1 — — $31,492.14 $31,492.14 $31,492.14 2026-04-01
C9600 HCPCS Description Not Available 2 1 — — $31,492.14 $31,492.14 $31,492.14 2026-04-01
C9607 HCPCS Description Not Available 2 1 — — $31,492.14 $31,492.14 $31,492.14 2026-04-01
C9603 HCPCS Description Not Available 2 1 — — $31,492.14 $31,492.14 $31,492.14 2026-04-01
C9608 HCPCS Description Not Available 2 1 — — $31,492.14 $31,492.14 $31,492.14 2026-04-01
C9602 HCPCS Description Not Available 2 1 — — $31,492.14 $31,492.14 $31,492.14 2026-04-01
C9601 HCPCS Description Not Available 2 1 — — $31,492.14 $31,492.14 $31,492.14 2026-04-01
C9606 HCPCS Description Not Available 2 1 — — $31,492.14 $31,492.14 $31,492.14 2026-04-01
C9605 HCPCS Description Not Available 2 1 — — $31,492.14 $31,492.14 $31,492.14 2026-04-01
C9797 HCPCS Description Not Available 2 1 — — $30,865.81 $30,865.81 $30,865.81 2026-04-01
27278 LOCAL Description Not Available 2 1 — — $30,521.27 $30,521.27 $30,521.27 2026-04-01
69930 LOCAL Description Not Available 4 2 — — $966.32 $58,089.54 $29,527.93 2026-04-01
C7540 HCPCS Description Not Available 2 1 — — $29,351.88 $29,351.88 $29,351.88 2026-04-01
0793T LOCAL Description Not Available 2 1 — — $28,718.20 $28,718.20 $28,718.20 2026-04-01
33249 LOCAL Description Not Available 4 2 — — $757.65 $56,128.03 $28,442.84 2026-04-01
66683 LOCAL Description Not Available 2 1 — — $28,218.22 $28,218.22 $28,218.22 2026-04-01
C9773 HCPCS Description Not Available 2 1 — — $27,612.41 $27,612.41 $27,612.41 2026-04-01
C9775 HCPCS Description Not Available 2 1 — — $27,612.41 $27,612.41 $27,612.41 2026-04-01
C9774 HCPCS Description Not Available 2 1 — — $27,612.41 $27,612.41 $27,612.41 2026-04-01
C9767 HCPCS Description Not Available 2 1 — — $27,612.41 $27,612.41 $27,612.41 2026-04-01
J9266 HCPCS Description Not Available 4 2 — — $23,577.01 $30,413.74 $26,995.38 2026-04-01
64582 LOCAL Description Not Available 4 2 — — $828.06 $51,676.12 $26,252.09 2026-04-01
33289 LOCAL Description Not Available 4 2 — — $316.80 $50,433.78 $25,375.29 2026-04-01
J9600 HCPCS Description Not Available 4 2 — — $21,650.00 $25,188.84 $23,419.42 2026-04-01
61886 LOCAL Description Not Available 4 2 — — $526.45 $46,088.13 $23,307.29 2026-04-01
0315U LOCAL Description Not Available 2 1 — — $23,084.83 $23,084.83 $23,084.83 2026-04-01
23474 LOCAL Description Not Available 4 2 — — $2,081.04 $42,846.13 $22,463.58 2026-04-01
C9781 HCPCS Description Not Available 2 1 — — $22,428.34 $22,428.34 $22,428.34 2026-04-01
55882 LOCAL Description Not Available 2 1 — — $22,332.67 $22,332.67 $22,332.67 2026-04-01
55881 LOCAL Description Not Available 2 1 — — $22,332.67 $22,332.67 $22,332.67 2026-04-01
64596 LOCAL Description Not Available 2 1 — — $22,309.52 $22,309.52 $22,309.52 2026-04-01
0784T LOCAL Description Not Available 2 1 — — $22,309.52 $22,309.52 $22,309.52 2026-04-01
0786T LOCAL Description Not Available 2 1 — — $22,309.52 $22,309.52 $22,309.52 2026-04-01
33288 LOCAL Description Not Available 2 1 — — $22,309.52 $22,309.52 $22,309.52 2026-04-01
L2006 HCPCS Description Not Available 2 1 — — $22,055.38 $22,055.38 $22,055.38 2026-04-01
22856 LOCAL Description Not Available 4 2 — — $1,736.76 $41,474.72 $21,605.74 2026-04-01
61715 LOCAL Description Not Available 2 1 — — $21,435.22 $21,435.22 $21,435.22 2026-04-01
L7180 HCPCS Description Not Available 2 1 — — $21,292.86 $21,292.86 $21,292.86 2026-04-01
L7181 HCPCS Description Not Available 2 1 — — $21,119.85 $21,119.85 $21,119.85 2026-04-01
24371 LOCAL Description Not Available 4 2 — — $2,094.65 $38,951.03 $20,522.84 2026-04-01
C9757 HCPCS Description Not Available 2 1 — — $20,456.13 $20,456.13 $20,456.13 2026-04-01
23473 LOCAL Description Not Available 4 2 — — $1,925.00 $38,951.03 $20,438.01 2026-04-01
15013 LOCAL Description Not Available 2 1 — — $20,413.57 $20,413.57 $20,413.57 2026-04-01
C8002 HCPCS Description Not Available 2 1 — — $20,413.57 $20,413.57 $20,413.57 2026-04-01
24370 LOCAL Description Not Available 4 2 — — $1,816.83 $38,951.03 $20,383.93 2026-04-01
37238 LOCAL Description Not Available 4 2 — — $3,652.51 $36,995.01 $20,323.76 2026-04-01
0614T LOCAL Description Not Available 4 2 — — $776.43 $39,603.73 $20,190.08 2026-04-01
C7539 HCPCS Description Not Available 2 1 — — $20,189.41 $20,189.41 $20,189.41 2026-04-01
77372 LOCAL Description Not Available 4 2 — — $703.77 $39,629.86 $20,166.82 2026-04-01
37236 LOCAL Description Not Available 4 2 — — $2,513.16 $36,995.01 $19,754.09 2026-04-01
36837 LOCAL Description Not Available 4 2 — — $9,325.25 $29,526.58 $19,425.92 2026-04-01
0408T LOCAL Description Not Available 4 2 — — $859.20 $37,695.53 $19,277.37 2026-04-01
C9740 HCPCS Description Not Available 2 1 — — $19,268.87 $19,268.87 $19,268.87 2026-04-01
J7310 HCPCS Description Not Available 2 1 — — $19,200.00 $19,200.00 $19,200.00 2026-04-01
0520T LOCAL Description Not Available 4 2 — — $482.50 $37,809.72 $19,146.11 2026-04-01
0515T LOCAL Description Not Available 4 2 — — $471.71 $37,809.72 $19,140.72 2026-04-01
0414T LOCAL Description Not Available 4 2 — — $382.68 $37,695.53 $19,039.10 2026-04-01
0409T LOCAL Description Not Available 4 2 — — $343.70 $37,695.53 $19,019.62 2026-04-01
93656 LOCAL Description Not Available 4 2 — — $1,074.84 $36,400.92 $18,737.88 2026-04-01
93654 LOCAL Description Not Available 4 2 — — $1,074.49 $36,400.92 $18,737.71 2026-04-01
93653 LOCAL Description Not Available 4 2 — — $805.17 $36,400.92 $18,603.04 2026-04-01
64553 LOCAL Description Not Available 4 2 — — $167.70 $37,008.93 $18,588.32 2026-04-01
0620T LOCAL Description Not Available 4 2 — — $9,393.39 $27,612.41 $18,502.90 2026-04-01
C9783 HCPCS Description Not Available 2 1 — — $18,246.66 $18,246.66 $18,246.66 2026-04-01
A9604 HCPCS Description Not Available 4 2 — — $17,585.51 $18,562.49 $18,074.00 2026-04-01
36836 LOCAL Description Not Available 4 2 — — $6,553.14 $29,526.58 $18,039.86 2026-04-01
58674 LOCAL Description Not Available 4 2 — — $964.95 $34,860.01 $17,912.48 2026-04-01
C9901 HCPCS Description Not Available 2 1 — — $17,895.85 $17,895.85 $17,895.85 2026-04-01
C7538 HCPCS Description Not Available 2 1 — — $17,268.43 $17,268.43 $17,268.43 2026-04-01
C7537 HCPCS Description Not Available 2 1 — — $17,268.43 $17,268.43 $17,268.43 2026-04-01
C9766 HCPCS Description Not Available 2 1 — — $17,262.81 $17,262.81 $17,262.81 2026-04-01
C9765 HCPCS Description Not Available 2 1 — — $17,262.81 $17,262.81 $17,262.81 2026-04-01
C9772 HCPCS Description Not Available 2 1 — — $17,262.81 $17,262.81 $17,262.81 2026-04-01
0810T LOCAL Description Not Available 2 1 — — $17,242.60 $17,242.60 $17,242.60 2026-04-01
C9785 HCPCS Description Not Available 2 1 — — $16,858.56 $16,858.56 $16,858.56 2026-04-01
C7515 HCPCS Description Not Available 2 1 — — $16,763.45 $16,763.45 $16,763.45 2026-04-01
C7533 HCPCS Description Not Available 2 1 — — $16,319.92 $16,319.92 $16,319.92 2026-04-01
92924 LOCAL Description Not Available 4 2 — — $820.06 $31,118.93 $15,969.49 2026-04-01
53865 LOCAL Description Not Available 2 1 — — $15,894.93 $15,894.93 $15,894.93 2026-04-01
36906 LOCAL Description Not Available 4 2 — — $5,978.75 $25,409.02 $15,693.89 2026-04-01
C7531 HCPCS Description Not Available 2 1 — — $15,334.69 $15,334.69 $15,334.69 2026-04-01
G0563 HCPCS Description Not Available 2 1 — — $15,214.29 $15,214.29 $15,214.29 2026-04-01
0861T LOCAL Description Not Available 2 1 — — $15,178.27 $15,178.27 $15,178.27 2026-04-01
33902 LOCAL Description Not Available 4 2 — — $723.59 $29,526.58 $15,125.09 2026-04-01
33864 LOCAL Description Not Available 4 2 — — $2,625.93 $27,309.08 $14,967.51 2026-04-01
33229 LOCAL Description Not Available 4 2 — — $360.65 $29,351.88 $14,856.26 2026-04-01
33221 LOCAL Description Not Available 4 2 — — $347.92 $29,351.88 $14,849.90 2026-04-01
33228 LOCAL Description Not Available 4 2 — — $346.31 $29,351.88 $14,849.09 2026-04-01
0922T LOCAL Description Not Available 2 1 — — $14,763.20 $14,763.20 $14,763.20 2026-04-01
0921T LOCAL Description Not Available 2 1 — — $14,763.20 $14,763.20 $14,763.20 2026-04-01
0919T LOCAL Description Not Available 2 1 — — $14,763.20 $14,763.20 $14,763.20 2026-04-01
0920T LOCAL Description Not Available 2 1 — — $14,763.20 $14,763.20 $14,763.20 2026-04-01
61885 LOCAL Description Not Available 4 2 — — $411.07 $28,764.76 $14,587.91 2026-04-01
L6880 HCPCS Description Not Available 2 1 — — $14,489.82 $14,489.82 $14,489.82 2026-04-01
63685 LOCAL Description Not Available 4 2 — — $392.94 $28,399.77 $14,396.36 2026-04-01
64590 LOCAL Description Not Available 4 2 — — $302.47 $28,399.77 $14,351.12 2026-04-01
0917T LOCAL Description Not Available 2 1 — — $14,225.58 $14,225.58 $14,225.58 2026-04-01
0918T LOCAL Description Not Available 2 1 — — $14,225.58 $14,225.58 $14,225.58 2026-04-01
33858 LOCAL Description Not Available 4 2 — — $3,294.81 $23,902.11 $13,598.46 2026-04-01
0326U LOCAL Description Not Available 2 1 — — $13,579.31 $13,579.31 $13,579.31 2026-04-01
33227 LOCAL Description Not Available 4 2 — — $331.97 $26,761.62 $13,546.79 2026-04-01
27279 LOCAL Description Not Available 4 2 — — $636.78 $26,396.17 $13,516.48 2026-04-01
33271 LOCAL Description Not Available 4 2 — — $473.45 $26,551.85 $13,512.65 2026-04-01
0572T LOCAL Description Not Available 4 2 — — $437.82 $26,551.85 $13,494.83 2026-04-01
33440 LOCAL Description Not Available 4 2 — — $3,278.90 $23,705.13 $13,492.01 2026-04-01
93590 LOCAL Description Not Available 4 2 — — $1,499.53 $25,409.02 $13,454.28 2026-04-01
33274 LOCAL Description Not Available 4 2 — — $470.45 $26,392.85 $13,431.65 2026-04-01
47383 LOCAL Description Not Available 4 2 — — $10,157.33 $16,615.40 $13,386.37 2026-04-01
37227 LOCAL Description Not Available 2 1 — — $13,355.27 $13,355.27 $13,355.27 2026-04-01
0234T LOCAL Description Not Available 4 2 — — $797.93 $25,907.66 $13,352.80 2026-04-01
93591 LOCAL Description Not Available 4 2 — — $1,244.46 $25,409.02 $13,326.74 2026-04-01
0236T LOCAL Description Not Available 4 2 — — $677.60 $25,907.66 $13,292.63 2026-04-01
0238T LOCAL Description Not Available 4 2 — — $493.80 $25,907.66 $13,200.73 2026-04-01
0237T LOCAL Description Not Available 4 2 — — $328.67 $25,907.66 $13,118.17 2026-04-01
33871 LOCAL Description Not Available 4 2 — — $3,168.68 $22,988.00 $13,078.34 2026-04-01
92941 LOCAL Description Not Available 4 2 — — $858.67 $24,787.64 $12,823.16 2026-04-01
92943 LOCAL Description Not Available 4 2 — — $858.67 $24,787.64 $12,823.16 2026-04-01
92933 LOCAL Description Not Available 4 2 — — $856.91 $24,787.64 $12,822.27 2026-04-01
92928 LOCAL Description Not Available 4 2 — — $766.28 $24,787.64 $12,776.96 2026-04-01
92937 LOCAL Description Not Available 4 2 — — $765.45 $24,787.64 $12,776.55 2026-04-01
0505T LOCAL Description Not Available 4 2 — — $8,883.11 $16,620.11 $12,751.61 2026-04-01
33224 LOCAL Description Not Available 4 2 — — $442.91 $24,985.26 $12,714.08 2026-04-01
33225 LOCAL Description Not Available 4 2 — — $392.72 $24,985.26 $12,688.99 2026-04-01
L5856 HCPCS Description Not Available 2 1 — — $12,653.46 $12,653.46 $12,653.46 2026-04-01
58580 LOCAL Description Not Available 2 1 — — $12,375.74 $12,375.74 $12,375.74 2026-04-01
37231 LOCAL Description Not Available 2 1 — — $12,350.14 $12,350.14 $12,350.14 2026-04-01
0211U LOCAL Description Not Available 4 2 — — $1,543.50 $22,962.61 $12,253.06 2026-04-01
0473U LOCAL Description Not Available 2 1 — — $12,221.38 $12,221.38 $12,221.38 2026-04-01
43281 LOCAL Description Not Available 4 2 — — $2,134.19 $22,226.67 $12,180.43 2026-04-01
64584 LOCAL Description Not Available 4 2 — — $627.25 $23,625.46 $12,126.35 2026-04-01
C2640 HCPCS Description Not Available 2 1 — — $11,926.38 $11,926.38 $11,926.38 2026-04-01
43325 LOCAL Description Not Available 4 2 — — $1,562.08 $22,226.67 $11,894.37 2026-04-01
0094U LOCAL Description Not Available 4 2 — — $3,184.52 $20,592.22 $11,888.37 2026-04-01
J1412 HCPCS Description Not Available 2 1 — — $11,842.65 $11,842.65 $11,842.65 2026-04-01
47540 LOCAL Description Not Available 4 2 — — $6,872.04 $16,706.02 $11,789.03 2026-04-01
27722 LOCAL Description Not Available 4 2 — — $914.61 $22,593.14 $11,753.88 2026-04-01
47539 LOCAL Description Not Available 4 2 — — $6,604.82 $16,706.02 $11,655.42 2026-04-01
62362 LOCAL Description Not Available 4 2 — — $404.65 $22,874.30 $11,639.47 2026-04-01
22551 LOCAL Description Not Available 4 2 — — $2,060.29 $21,168.17 $11,614.23 2026-04-01
62361 LOCAL Description Not Available 4 2 — — $324.50 $22,874.30 $11,599.40 2026-04-01
69730 LOCAL Description Not Available 4 2 — — $610.09 $22,428.34 $11,519.22 2026-04-01
69729 LOCAL Description Not Available 4 2 — — $595.93 $22,428.34 $11,512.14 2026-04-01
E0194 HCPCS Description Not Available 6 1 — — $2,115.32 $15,341.64 $11,506.41 2026-04-01
22633 LOCAL Description Not Available 4 2 — — $2,201.80 $20,703.72 $11,452.76 2026-04-01
47538 LOCAL Description Not Available 4 2 — — $6,037.83 $16,706.02 $11,371.92 2026-04-01
20983 LOCAL Description Not Available 4 2 — — $7,431.21 $15,265.00 $11,348.10 2026-04-01
27415 LOCAL Description Not Available 4 2 — — $1,420.94 $21,167.84 $11,294.39 2026-04-01
81529 LOCAL Description Not Available 4 2 — — $3,021.06 $19,535.20 $11,278.13 2026-04-01
69716 LOCAL Description Not Available 4 2 — — $528.95 $21,646.61 $11,087.78 2026-04-01
69719 LOCAL Description Not Available 4 2 — — $528.95 $21,646.61 $11,087.78 2026-04-01
C7529 HCPCS Description Not Available 2 1 — — $11,061.74 $11,061.74 $11,061.74 2026-04-01
C7519 HCPCS Description Not Available 2 1 — — $11,061.74 $11,061.74 $11,061.74 2026-04-01
C7516 HCPCS Description Not Available 2 1 — — $11,061.74 $11,061.74 $11,061.74 2026-04-01
C7526 HCPCS Description Not Available 2 1 — — $11,061.74 $11,061.74 $11,061.74 2026-04-01
C7524 HCPCS Description Not Available 2 1 — — $11,061.74 $11,061.74 $11,061.74 2026-04-01
C7527 HCPCS Description Not Available 2 1 — — $11,061.74 $11,061.74 $11,061.74 2026-04-01
C7528 HCPCS Description Not Available 2 1 — — $11,061.74 $11,061.74 $11,061.74 2026-04-01
C7530 HCPCS Description Not Available 2 1 — — $11,061.74 $11,061.74 $11,061.74 2026-04-01
C7518 HCPCS Description Not Available 2 1 — — $11,061.74 $11,061.74 $11,061.74 2026-04-01
C7520 HCPCS Description Not Available 2 1 — — $11,061.74 $11,061.74 $11,061.74 2026-04-01
C7517 HCPCS Description Not Available 2 1 — — $11,061.74 $11,061.74 $11,061.74 2026-04-01
C7525 HCPCS Description Not Available 2 1 — — $11,061.74 $11,061.74 $11,061.74 2026-04-01
C7522 HCPCS Description Not Available 2 1 — — $11,061.74 $11,061.74 $11,061.74 2026-04-01
C7552 HCPCS Description Not Available 2 1 — — $11,061.74 $11,061.74 $11,061.74 2026-04-01
C7521 HCPCS Description Not Available 2 1 — — $11,061.74 $11,061.74 $11,061.74 2026-04-01
C7553 HCPCS Description Not Available 2 1 — — $11,061.74 $11,061.74 $11,061.74 2026-04-01
C7523 HCPCS Description Not Available 2 1 — — $11,061.74 $11,061.74 $11,061.74 2026-04-01
36908 LOCAL Description Not Available 4 2 — — $2,369.05 $19,489.06 $10,929.06 2026-04-01
36903 LOCAL Description Not Available 4 2 — — $4,923.17 $16,763.45 $10,843.31 2026-04-01
22552 LOCAL Description Not Available 4 2 — — $481.83 $21,168.17 $10,825.00 2026-04-01
0629T LOCAL Description Not Available 4 2 — — $242.13 $21,167.84 $10,704.98 2026-04-01
0627T LOCAL Description Not Available 4 2 — — $242.13 $21,167.84 $10,704.98 2026-04-01
27446 LOCAL Description Not Available 4 2 — — $1,191.65 $19,985.74 $10,588.69 2026-04-01
0306U LOCAL Description Not Available 2 1 — — $10,533.33 $10,533.33 $10,533.33 2026-04-01
0497U LOCAL Description Not Available 2 1 — — $10,518.53 $10,518.53 $10,518.53 2026-04-01
C7508 HCPCS Description Not Available 2 1 — — $10,514.84 $10,514.84 $10,514.84 2026-04-01
C7507 HCPCS Description Not Available 2 1 — — $10,514.84 $10,514.84 $10,514.84 2026-04-01
33208 LOCAL Description Not Available 4 2 — — $437.40 $20,189.41 $10,313.40 2026-04-01
33214 LOCAL Description Not Available 4 2 — — $429.43 $20,189.41 $10,309.42 2026-04-01
64583 LOCAL Description Not Available 4 2 — — $744.99 $19,738.78 $10,241.88 2026-04-01
22206 LOCAL Description Not Available 4 2 — — $2,267.06 $18,214.53 $10,240.80 2026-04-01
0884T LOCAL Description Not Available 2 1 — — $10,232.29 $10,232.29 $10,232.29 2026-04-01
0885T LOCAL Description Not Available 2 1 — — $10,232.29 $10,232.29 $10,232.29 2026-04-01
0886T LOCAL Description Not Available 2 1 — — $10,232.29 $10,232.29 $10,232.29 2026-04-01
L5973 HCPCS Description Not Available 2 1 — — $10,199.61 $10,199.61 $10,199.61 2026-04-01
Q4244 HCPCS Description Not Available 2 1 — — $10,197.00 $10,197.00 $10,197.00 2026-04-01
22207 LOCAL Description Not Available 4 2 — — $2,237.33 $17,976.07 $10,106.70 2026-04-01
L8614 HCPCS Description Not Available 2 1 — — $10,089.43 $10,089.43 $10,089.43 2026-04-01
L6975 HCPCS Description Not Available 2 1 — — $10,066.13 $10,066.13 $10,066.13 2026-04-01
L6970 HCPCS Description Not Available 2 1 — — $10,012.39 $10,012.39 $10,012.39 2026-04-01
37225 LOCAL Description Not Available 2 1 — — $9,883.21 $9,883.21 $9,883.21 2026-04-01
Q0483 HCPCS Description Not Available 2 1 — — $9,882.83 $9,882.83 $9,882.83 2026-04-01
37239 LOCAL Description Not Available 4 2 — — $1,815.18 $17,891.29 $9,853.24 2026-04-01
L6965 HCPCS Description Not Available 2 1 — — $9,850.53 $9,850.53 $9,850.53 2026-04-01
33391 LOCAL Description Not Available 4 2 — — $2,184.40 $17,434.42 $9,809.41 2026-04-01
37229 LOCAL Description Not Available 2 1 — — $9,806.72 $9,806.72 $9,806.72 2026-04-01
0913T LOCAL Description Not Available 2 1 — — $9,800.34 $9,800.34 $9,800.34 2026-04-01
L5858 HCPCS Description Not Available 2 1 — — $9,796.25 $9,796.25 $9,796.25 2026-04-01
0391U LOCAL Description Not Available 2 1 — — $9,777.10 $9,777.10 $9,777.10 2026-04-01
0362U LOCAL Description Not Available 2 1 — — $9,777.10 $9,777.10 $9,777.10 2026-04-01
60699 LOCAL Description Not Available 2 1 — — $9,767.44 $9,767.44 $9,767.44 2026-04-01
33859 LOCAL Description Not Available 4 2 — — $2,363.49 $17,138.29 $9,750.89 2026-04-01
54410 LOCAL Description Not Available 4 2 — — $664.43 $18,726.50 $9,695.47 2026-04-01
53445 LOCAL Description Not Available 4 2 — — $657.74 $18,726.50 $9,692.12 2026-04-01
53447 LOCAL Description Not Available 4 2 — — $620.51 $18,726.50 $9,673.51 2026-04-01
54405 LOCAL Description Not Available 4 2 — — $580.56 $18,726.50 $9,653.53 2026-04-01
54416 LOCAL Description Not Available 4 2 — — $485.64 $18,726.50 $9,606.07 2026-04-01
54401 LOCAL Description Not Available 4 2 — — $477.07 $18,726.50 $9,601.78 2026-04-01
31243 LOCAL Description Not Available 2 1 — — $9,590.96 $9,590.96 $9,590.96 2026-04-01
31242 LOCAL Description Not Available 2 1 — — $9,590.96 $9,590.96 $9,590.96 2026-04-01
36482 LOCAL Description Not Available 4 2 — — $1,878.82 $17,301.26 $9,590.04 2026-04-01
44300 LOCAL Description Not Available 4 2 — — $953.60 $18,224.74 $9,589.17 2026-04-01
33903 LOCAL Description Not Available 4 2 — — $852.67 $18,246.66 $9,549.67 2026-04-01
33901 LOCAL Description Not Available 4 2 — — $748.76 $18,246.66 $9,497.71 2026-04-01
64628 LOCAL Description Not Available 4 2 — — $439.01 $18,416.09 $9,427.55 2026-04-01
33900 LOCAL Description Not Available 4 2 — — $569.77 $18,246.66 $9,408.22 2026-04-01
37183 LOCAL Description Not Available 4 2 — — $374.88 $18,413.82 $9,394.35 2026-04-01
36905 LOCAL Description Not Available 4 2 — — $2,022.08 $16,763.45 $9,392.76 2026-04-01
0329U LOCAL Description Not Available 2 1 — — $9,337.08 $9,337.08 $9,337.08 2026-04-01
22513 LOCAL Description Not Available 4 2 — — $7,912.37 $10,514.84 $9,213.60 2026-04-01
22514 LOCAL Description Not Available 4 2 — — $7,868.03 $10,514.84 $9,191.43 2026-04-01
66989 LOCAL Description Not Available 4 2 — — $916.38 $17,242.60 $9,079.49 2026-04-01
66991 LOCAL Description Not Available 4 2 — — $729.75 $17,242.60 $8,986.17 2026-04-01
L8687 HCPCS Description Not Available 2 1 — — $8,970.25 $8,970.25 $8,970.25 2026-04-01
L5969 HCPCS Description Not Available 2 1 — — $8,958.40 $8,958.40 $8,958.40 2026-04-01
C2641 HCPCS Description Not Available 2 1 — — $8,944.79 $8,944.79 $8,944.79 2026-04-01
69710 LOCAL Description Not Available 2 1 — — $8,932.26 $8,932.26 $8,932.26 2026-04-01
44208 LOCAL Description Not Available 4 2 — — $2,434.69 $15,374.56 $8,904.62 2026-04-01
L5859 HCPCS Description Not Available 2 1 — — $8,869.71 $8,869.71 $8,869.71 2026-04-01
33207 LOCAL Description Not Available 4 2 — — $432.21 $17,268.43 $8,850.32 2026-04-01
639 MS_DRG Diabetes Without Cc/Mcc 4 2 — — $16,276.55 $35,691.60 $25,984.07 2026-04-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 2 1 — — $13,579.26 $13,579.26 $13,579.26 2026-04-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 2 1 — — $14,000.00 $14,000.00 $14,000.00 2026-04-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 2 1 — — $21,414.96 $21,414.96 $21,414.96 2026-04-01
759 MS_DRG Infections, Female Reproductive System Without Cc/Mcc 2 1 — — $13,317.90 $13,317.90 $13,317.90 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 1 — — $42,829.92 $42,829.92 $42,829.92 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 4 2 — — $11,023.04 $27,000.00 $19,011.52 2026-04-01
552 MS_DRG Medical Back Problems Without Mcc 2 1 — — $10,522.57 $10,522.57 $10,522.57 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 2 1 — — $11,080.00 $11,080.00 $11,080.00 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 2 1 — — $9,783.00 $9,783.00 $9,783.00 2026-04-01
683 MS_DRG Renal Failure With Cc 4 2 — — $16,996.00 $20,444.11 $18,720.06 2026-04-01
948 MS_DRG Signs And Symptoms Without Mcc 2 1 — — $31,564.00 $31,564.00 $31,564.00 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 4 2 — — $10,772.00 $16,518.36 $13,645.18 2026-04-01
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