Price Transparency 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

CAMBRIDGE HEALTH ALLIANCE

Cambridge, MA · CCN 220011 · Rates published

6,387 distinct procedures filed
75 distinct payers
658,036 rate rows
2026-03-20 last MRF observed
Data quality

619,691 of 658,036 rate rows are consumer-grade (94.2%)

38,345 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 27,453
per-diem day rate — not a per-procedure price 7,222
percent-of-charges filed in the dollar field — excluded from medians 1,460
placeholder amount (≤ $0.02) — excluded from medians 1,457
exceeds 10× this hospital's gross charge — excluded from medians 466
exceeds 3× this hospital's gross charge for a DRG stay — excluded 287
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.challiance.org/File%20Library/Uploads/PriceTransparency20262320.csv
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-18
Content fingerprint ab993b7d453cbc0d… · 327,198,117 bytes · first seen 2026-05-13

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
J2507
HCPCS 		Pegloticase 8 Mg/ml IV Soln 57 $24,347.00 $167,926.00 $167,926.00 nat. median
$8,558
outlier · 19.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $9,238.69 $237,404.00 $147,091.00 nat. median
$133,176
1.1× median
J2350
HCPCS 		Ocrelizumab 300 Mg/10ml IV Soln 57 $17,796.00 $112,916.00 $112,916.00 nat. median
$712
outlier · 158.6×
J9043
HCPCS 		Cabazitaxel 60 Mg/1.5ml IV Soln 56 $11,832.60 $266,583.00 $86,427.00 nat. median
$739
outlier · 117.0×
J9029
HCPCS 		Nadofaragene Firadenovec-vncg 300000000000 Vp/ml Is Susp 56 $54,855.00 $136,890.00 $86,250.00 nat. median
$69,774
1.2× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 22 $219.28 $126,367.00 $78,294.20 nat. median
$66,526
1.2× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 21 $9,238.69 $106,969.00 $66,276.00 nat. median
$52,753
1.3× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 22 $219.28 $99,063.60 $61,377.70 nat. median
$49,191
1.2× median
J9119
HCPCS 		Cemiplimab-rwlc 350 Mg/7ml IV Soln 57 $9,695.00 $60,751.00 $60,751.00 nat. median
$91
outlier · 665.6×
J9042
HCPCS 		Brentuximab Vedotin 50 Mg IV Solr 57 $9,522.00 $60,202.50 $60,202.50 nat. median
$1,050
outlier · 57.3×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 22 $9,238.69 $95,575.40 $59,216.50 nat. median
$48,178
1.2× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 $9,238.69 $94,794.60 $58,732.70 nat. median
$48,170
1.2× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 $9,238.69 $94,524.20 $58,565.20 nat. median
$47,740
1.2× median
J2327
HCPCS 		Risankizumab-rzaa 600 Mg/10ml IV Soln 57 $8,958.00 $57,961.40 $57,961.40 nat. median
$2,241
outlier · 25.9×
J9144
HCPCS 		Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln 57 $8,782.93 $57,118.40 $57,118.40 nat. median
$233
outlier · 245.1×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 $9,238.69 $77,461.20 $56,286.10 nat. median
$46,084
1.2× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 22 $164.40 $89,320.80 $55,341.30 nat. median
$44,810
1.2× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 23 $164.40 $86,061.50 $53,321.90 nat. median
$42,444
1.3× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 $9,238.69 $84,463.10 $52,331.50 nat. median
$42,295
1.2× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 $9,238.69 $83,347.80 $51,640.50 nat. median
$41,527
1.2× median
J9316
HCPCS 		Pertuz-trastuz-hyaluron-zzxf 80-40-2000 Mg-mg-u/ml Sc Soln 57 $3,657.60 $76,275.50 $50,848.40 nat. median
$283
outlier · 179.7×
J3380
HCPCS 		Vedolizumab 300 Mg IV Solr 57 $6,393.00 $49,638.50 $49,638.50 nat. median
$288
outlier · 172.3×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 22 $9,238.69 $65,517.50 $47,834.70 nat. median
$38,112
1.3× median
J9301
HCPCS 		Obinutuzumab 1000 Mg/40ml IV Soln 57 $6,925.00 $47,205.90 $47,205.90 nat. median
$314
outlier · 150.3×
J2323
HCPCS 		Natalizumab 300 Mg/15ml IV Conc 57 $7,050.00 $47,203.80 $47,203.80 nat. median
$201
outlier · 235.2×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 22 $9,238.69 $64,094.00 $46,827.50 nat. median
$37,476
1.2× median
Q3027
HCPCS 		Interferon Beta-1a 30 Mcg/0.5ml IM Pskt 55 $1,668.60 $46,340.30 $46,340.30 nat. median
$138
outlier · 337.0×
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 $9,238.69 $52,640.00 $46,172.20 nat. median
$35,489
1.3× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 21 $9,238.69 $72,723.50 $45,057.90 nat. median
$35,325
1.3× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 22 $9,238.69 $72,201.90 $44,734.70 nat. median
$34,721
1.3× median
252
MS_DRG 		Other Vascular Procedures With Mcc 21 $9,238.69 $71,589.10 $44,355.10 nat. median
$34,043
1.3× median
J9022
HCPCS 		Atezolizumab 840 Mg/14ml IV Soln 57 $7,144.20 $62,568.60 $43,798.00 nat. median
$6,951
outlier · 6.3×
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 $9,238.69 $70,630.60 $43,761.20 nat. median
$33,847
1.3× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 22 $9,238.69 $69,225.80 $42,890.80 nat. median
$33,061
1.3× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 23 $213.89 $67,592.10 $41,878.60 nat. median
$31,572
1.3× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 22 $9,238.69 $67,534.50 $41,842.90 nat. median
$31,382
1.3× median
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 $9,238.69 $66,766.50 $41,367.10 nat. median
$31,607
1.3× median
656
MS_DRG 		Kidney And Ureter Procedures For Neoplasm With Mcc 21 $9,238.69 $66,716.90 $41,336.40 nat. median
$31,645
1.3× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 22 $9,238.69 $65,611.20 $40,651.30 nat. median
$30,264
1.3× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 21 $9,238.69 $64,307.20 $39,843.40 nat. median
$31,075
1.3× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 23 $9,238.69 $62,372.70 $38,644.80 nat. median
$29,218
1.3× median
406
MS_DRG 		Pancreas, Liver And Shunt Procedures With Cc 22 $9,238.69 $52,360.50 $38,524.90 nat. median
$28,773
1.3× median
974
MS_DRG 		HIV With Major Related Condition With Mcc 22 $9,238.69 $61,951.90 $38,384.10 nat. median
$29,015
1.3× median
503
MS_DRG 		Foot Procedures With Mcc 23 $104.72 $60,433.50 $37,443.30 nat. median
$26,999
1.4× median
J9306
HCPCS 		Pertuzumab 420 Mg/14ml IV Soln 57 $5,909.40 $37,382.70 $37,382.70 nat. median
$87
outlier · 431.3×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 22 $4,259.08 $59,755.00 $37,022.90 nat. median
$26,748
1.4× median
288
MS_DRG 		Acute And Subacute Endocarditis With Mcc 21 $9,238.69 $59,075.00 $36,601.60 nat. median
$26,899
1.4× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 23 $9,238.69 $56,353.30 $34,915.30 nat. median
$24,757
1.4× median
545
MS_DRG 		Connective Tissue Disorders With Mcc 21 $9,238.69 $38,747.70 $34,376.00 nat. median
$24,621
1.4× median
478
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Cc 21 $9,238.69 $55,122.90 $34,153.00 nat. median
$24,026
1.4× median

Other procedures at this hospital

Browse this hospital's 6,387 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J2507 HCPCS Pegloticase 8 Mg/ml IV Soln 67 57 $167,926.00 $167,926.00 $24,347.00 $167,926.00 $167,926.00 2026-03-20
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 21 $464,739.00 $464,739.00 $9,238.69 $237,404.00 $147,091.00 2026-03-20
J2350 HCPCS Ocrelizumab 300 Mg/10ml IV Soln 67 57 $112,916.00 $112,916.00 $17,796.00 $112,916.00 $112,916.00 2026-03-20
J9043 HCPCS Cabazitaxel 60 Mg/1.5ml IV Soln 131 56 $176,505.00 $176,505.00 $11,832.60 $266,583.00 $86,427.00 2026-03-20
J9029 HCPCS Nadofaragene Firadenovec-vncg 300000000000 Vp/ml Is Susp 66 56 $86,250.00 $86,250.00 $54,855.00 $136,890.00 $86,250.00 2026-03-20
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 22 $118,450.00 $118,450.00 $219.28 $126,367.00 $78,294.20 2026-03-20
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 21 $61,643.20 $61,643.20 $9,238.69 $106,969.00 $66,276.00 2026-03-20
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 22 $141,471.00 $141,471.00 $219.28 $99,063.60 $61,377.70 2026-03-20
J9119 HCPCS Cemiplimab-rwlc 350 Mg/7ml IV Soln 67 57 $60,751.00 $60,751.00 $9,695.00 $60,751.00 $60,751.00 2026-03-20
J9042 HCPCS Brentuximab Vedotin 50 Mg IV Solr 67 57 $60,202.50 $60,202.50 $9,522.00 $60,202.50 $60,202.50 2026-03-20
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 27 22 $44,853.50 $44,853.50 $9,238.69 $95,575.40 $59,216.50 2026-03-20
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 21 $61,106.80 $61,106.80 $9,238.69 $94,794.60 $58,732.70 2026-03-20
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 26 21 $166,540.00 $166,540.00 $9,238.69 $94,524.20 $58,565.20 2026-03-20
J2327 HCPCS Risankizumab-rzaa 600 Mg/10ml IV Soln 67 57 $57,961.40 $57,961.40 $8,958.00 $57,961.40 $57,961.40 2026-03-20
J9144 HCPCS Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln 67 57 $57,118.40 $57,118.40 $8,782.93 $57,118.40 $57,118.40 2026-03-20
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 21 $28,942.90 $28,942.90 $9,238.69 $77,461.20 $56,286.10 2026-03-20
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 22 $73,259.90 $73,259.90 $164.40 $89,320.80 $55,341.30 2026-03-20
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 29 23 $41,314.70 $41,314.70 $164.40 $86,061.50 $53,321.90 2026-03-20
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 27 22 $43,711.40 $43,711.40 $9,238.69 $84,463.10 $52,331.50 2026-03-20
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 21 $38,970.90 $38,970.90 $9,238.69 $83,347.80 $51,640.50 2026-03-20
J9316 HCPCS Pertuz-trastuz-hyaluron-zzxf 80-40-2000 Mg-mg-u/ml Sc Soln 132 57 $76,275.50 $76,275.50 $3,657.60 $76,275.50 $50,848.40 2026-03-20
J3380 HCPCS Vedolizumab 300 Mg IV Solr 67 57 $49,638.50 $49,638.50 $6,393.00 $49,638.50 $49,638.50 2026-03-20
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 22 $21,929.30 $21,929.30 $9,238.69 $65,517.50 $47,834.70 2026-03-20
J9301 HCPCS Obinutuzumab 1000 Mg/40ml IV Soln 67 57 $47,205.90 $47,205.90 $6,925.00 $47,205.90 $47,205.90 2026-03-20
J2323 HCPCS Natalizumab 300 Mg/15ml IV Conc 67 57 $47,203.80 $47,203.80 $7,050.00 $47,203.80 $47,203.80 2026-03-20
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 22 $23,628.80 $23,628.80 $9,238.69 $64,094.00 $46,827.50 2026-03-20
Q3027 HCPCS Interferon Beta-1a 30 Mcg/0.5ml IM Pskt 65 55 $46,340.30 $46,340.30 $1,668.60 $46,340.30 $46,340.30 2026-03-20
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 23 20 $19,960.00 $19,960.00 $9,238.69 $52,640.00 $46,172.20 2026-03-20
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 21 $24,468.10 $24,468.10 $9,238.69 $72,723.50 $45,057.90 2026-03-20
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 27 22 $47,481.40 $47,481.40 $9,238.69 $72,201.90 $44,734.70 2026-03-20
252 MS_DRG Other Vascular Procedures With Mcc 26 21 $57,567.80 $57,567.80 $9,238.69 $71,589.10 $44,355.10 2026-03-20
J9022 HCPCS Atezolizumab 840 Mg/14ml IV Soln 132 57 $43,798.00 $43,798.00 $7,144.20 $62,568.60 $43,798.00 2026-03-20
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 22 $37,941.80 $37,941.80 $9,238.69 $70,630.60 $43,761.20 2026-03-20
264 MS_DRG Other Circulatory System O.r. Procedures 27 22 $36,138.90 $36,138.90 $9,238.69 $69,225.80 $42,890.80 2026-03-20
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 29 23 $37,468.70 $37,468.70 $213.89 $67,592.10 $41,878.60 2026-03-20
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 27 22 $40,337.90 $40,337.90 $9,238.69 $67,534.50 $41,842.90 2026-03-20
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 27 22 $27,949.30 $27,949.30 $9,238.69 $66,766.50 $41,367.10 2026-03-20
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 26 21 $47,917.30 $47,917.30 $9,238.69 $66,716.90 $41,336.40 2026-03-20
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 22 $44,782.10 $44,782.10 $9,238.69 $65,611.20 $40,651.30 2026-03-20
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 26 21 $22,122.10 $22,122.10 $9,238.69 $64,307.20 $39,843.40 2026-03-20
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 28 23 $33,874.90 $33,874.90 $9,238.69 $62,372.70 $38,644.80 2026-03-20
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 26 22 $20,079.10 $20,079.10 $9,238.69 $52,360.50 $38,524.90 2026-03-20
974 MS_DRG HIV With Major Related Condition With Mcc 27 22 $37,016.20 $37,016.20 $9,238.69 $61,951.90 $38,384.10 2026-03-20
503 MS_DRG Foot Procedures With Mcc 29 23 $43,426.10 $43,426.10 $104.72 $60,433.50 $37,443.30 2026-03-20
J9306 HCPCS Pertuzumab 420 Mg/14ml IV Soln 67 57 $37,382.70 $37,382.70 $5,909.40 $37,382.70 $37,382.70 2026-03-20
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 28 22 $29,419.60 $29,419.60 $4,259.08 $59,755.00 $37,022.90 2026-03-20
288 MS_DRG Acute And Subacute Endocarditis With Mcc 26 21 $54,543.10 $54,543.10 $9,238.69 $59,075.00 $36,601.60 2026-03-20
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 28 23 $38,481.70 $38,481.70 $9,238.69 $56,353.30 $34,915.30 2026-03-20
545 MS_DRG Connective Tissue Disorders With Mcc 24 21 $13,643.30 $13,643.30 $9,238.69 $38,747.70 $34,376.00 2026-03-20
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 26 21 $50,121.50 $50,121.50 $9,238.69 $55,122.90 $34,153.00 2026-03-20
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 65 58 $36,703.10 $36,703.10 $9,238.69 $64,104.00 $33,728.69 2026-03-20
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 28 23 $23,887.40 $23,887.40 $9,238.69 $53,958.00 $33,431.30 2026-03-20
J9271 HCPCS Pembrolizumab 100 Mg/4ml IV Soln 67 57 $33,117.30 $33,117.30 $5,525.00 $33,117.30 $33,117.30 2026-03-20
347 MS_DRG Anal And Stomal Procedures With Mcc 27 22 $22,967.70 $22,967.70 $9,238.69 $52,505.20 $32,531.10 2026-03-20
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 26 21 $85,958.70 $85,958.70 $9,238.69 $52,186.80 $32,333.80 2026-03-20
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 4 $14,575.40 $14,575.40 $9,238.69 $40,526.20 $31,954.45 2026-03-20
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 66 58 $29,997.00 $29,997.00 $9,238.69 $59,743.90 $31,548.65 2026-03-20
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 26 21 $65,683.40 $65,683.40 $9,238.69 $50,636.40 $31,373.20 2026-03-20
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 28 22 $26,309.60 $26,309.60 $6,788.00 $50,039.50 $31,003.40 2026-03-20
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 27 22 $26,309.60 $26,309.60 $9,238.69 $50,039.50 $31,003.40 2026-03-20
374 MS_DRG Digestive Malignancy With Mcc 26 21 $54,397.70 $54,397.70 $9,238.69 $49,994.80 $30,975.70 2026-03-20
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 27 22 $21,887.70 $21,887.70 $9,238.69 $49,869.90 $30,898.30 2026-03-20
595 MS_DRG Major Skin Disorders With Mcc 24 21 $11,878.70 $11,878.70 $9,238.69 $34,533.00 $30,797.20 2026-03-20
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 27 22 $25,966.00 $25,966.00 $9,238.69 $49,658.70 $30,767.50 2026-03-20
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 26 21 $17,933.60 $17,933.60 $9,238.69 $49,287.50 $30,537.50 2026-03-20
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 26 21 $47,345.60 $47,345.60 $9,238.69 $49,266.70 $30,524.60 2026-03-20
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 26 21 $55,317.40 $55,317.40 $9,238.69 $49,233.10 $30,503.80 2026-03-20
314 MS_DRG Other Circulatory System Diagnoses With Mcc 27 22 $38,921.00 $38,921.00 $9,238.69 $49,138.70 $30,445.30 2026-03-20
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 27 22 $20,730.60 $20,730.60 $9,238.69 $49,045.90 $30,387.80 2026-03-20
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 26 21 $68,684.20 $68,684.20 $9,238.69 $49,025.10 $30,374.90 2026-03-20
33902 CPT Hc Perq P-art Revsc St 1st Abnor Connj Unilateral 68 58 $30,364.00 $30,364.00 $17,702.20 $38,948.90 $30,364.00 2026-03-20
J0491 HCPCS Anifrolumab-fnia 300 Mg/2ml IV Soln 67 57 $29,951.60 $29,951.60 $5,058.89 $29,951.60 $29,951.60 2026-03-20
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 28 22 $55,369.70 $55,369.70 $164.40 $47,951.40 $29,709.70 2026-03-20
908 MS_DRG Other O.r. Procedures For Injuries With Cc 26 22 $13,889.40 $13,889.40 $9,238.69 $39,681.30 $29,553.10 2026-03-20
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 27 22 $44,833.00 $44,833.00 $9,238.69 $47,692.20 $29,549.10 2026-03-20
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 28 22 $32,766.70 $32,766.70 $2,129.54 $47,468.20 $29,410.30 2026-03-20
A9582 HCPCS Iobenguane Sulfate I 123 10 Mci/5ml IV Soln 66 56 $29,373.40 $29,373.40 $5,823.59 $29,373.40 $29,373.40 2026-03-20
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 27 22 $32,528.30 $32,528.30 $9,238.69 $47,266.60 $29,285.40 2026-03-20
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 65 58 $24,319.30 $24,319.30 $9,238.69 $54,882.90 $29,118.15 2026-03-20
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 64 57 $13,759.30 $13,759.30 $8,501.00 $38,476.90 $29,030.85 2026-03-20
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 28 22 $40,457.70 $40,457.70 $4,259.08 $46,855.40 $29,030.60 2026-03-20
100 MS_DRG Seizures With Mcc 24 20 $11,616.10 $11,616.10 $1,064.77 $32,385.90 $28,974.10 2026-03-20
902 MS_DRG Wound Debridements For Injuries With Cc 27 22 $40,011.70 $40,011.70 $9,238.69 $46,407.40 $28,753.00 2026-03-20
330 MS_DRG Major Small And Large Bowel Procedures With Cc 63 57 $12,625.80 $12,625.80 $9,238.69 $37,761.20 $28,742.15 2026-03-20
196 MS_DRG Interstitial Lung Disease With Mcc 27 22 $35,311.10 $35,311.10 $9,238.69 $45,970.60 $28,482.40 2026-03-20
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 21 $64,552.30 $64,552.30 $9,238.69 $45,700.20 $28,314.90 2026-03-20
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 27 22 $41,668.80 $41,668.80 $9,238.69 $45,517.80 $28,201.80 2026-03-20
754 MS_DRG Malignancy, Female Reproductive System With Mcc 27 22 $20,104.80 $20,104.80 $9,238.69 $45,242.60 $28,031.30 2026-03-20
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 27 21 $18,246.50 $18,246.50 $9,238.69 $45,162.60 $27,981.80 2026-03-20
205 MS_DRG Other Respiratory System Diagnoses With Mcc 26 21 $42,697.40 $42,697.40 $9,238.69 $45,071.40 $27,925.30 2026-03-20
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 27 22 $16,443.10 $16,443.10 $9,238.69 $45,023.30 $27,895.50 2026-03-20
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 27 22 $16,559.90 $16,559.90 $9,238.69 $44,954.60 $27,852.90 2026-03-20
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 21 $48,955.30 $48,955.30 $9,238.69 $44,954.60 $27,852.90 2026-03-20
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 27 22 $29,900.80 $29,900.80 $9,238.69 $44,629.80 $27,651.60 2026-03-20
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 26 21 $64,628.20 $64,628.20 $9,238.69 $44,527.30 $27,588.20 2026-03-20
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 27 22 $35,837.40 $35,837.40 $9,238.69 $44,490.50 $27,565.40 2026-03-20
37231 CPT Hc Revas Tib/per/Anpl/Stent/Arthr 54 53 $27,534.00 $27,534.00 $593.07 $27,534.00 $27,534.00 2026-03-20
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 27 22 $16,618.50 $16,618.50 $9,238.69 $44,144.90 $27,351.30 2026-03-20
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 26 21 $51,127.30 $51,127.30 $9,238.69 $44,039.30 $27,285.80 2026-03-20
180 MS_DRG Respiratory Neoplasms With Mcc 27 22 $89,429.30 $89,429.30 $9,238.69 $44,031.30 $27,280.90 2026-03-20
199 MS_DRG Pneumothorax With Mcc 26 21 $50,185.60 $50,185.60 $9,238.69 $44,000.90 $27,262.00 2026-03-20
91 MS_DRG Other Disorders Of Nervous System With Mcc 28 22 $37,195.10 $37,195.10 $219.28 $43,874.50 $27,183.70 2026-03-20
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 28 23 $12,218.90 $12,218.90 $219.28 $36,237.60 $27,116.30 2026-03-20
501 MS_DRG Soft Tissue Procedures With Cc 27 22 $18,471.40 $18,471.40 $9,238.69 $43,744.90 $27,103.40 2026-03-20
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 24 21 $19,879.10 $19,879.10 $960.01 $30,147.80 $27,073.70 2026-03-20
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 26 22 $12,276.70 $12,276.70 $9,238.69 $35,937.80 $26,904.20 2026-03-20
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 26 21 $63,675.80 $63,675.80 $9,238.69 $43,418.50 $26,901.20 2026-03-20
37227 CPT Hc Revascularization, Endovascula 56 52 $26,727.00 $26,727.00 $569.97 $35,837.40 $26,727.00 2026-03-20
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 22 $21,030.30 $21,030.30 $9,238.69 $43,036.10 $26,664.30 2026-03-20
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 27 22 $29,900.60 $29,900.60 $9,238.69 $42,840.90 $26,543.30 2026-03-20
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 26 21 $77,236.20 $77,236.20 $9,238.69 $42,812.10 $26,525.50 2026-03-20
571 MS_DRG Skin Debridement With Cc 27 22 $19,581.90 $19,581.90 $9,238.69 $42,807.30 $26,522.50 2026-03-20
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 24 21 $11,597.50 $11,597.50 $9,238.69 $29,421.60 $26,457.10 2026-03-20
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 27 22 $21,712.20 $21,712.20 $9,238.69 $42,693.70 $26,452.10 2026-03-20
551 MS_DRG Medical Back Problems With Mcc 27 22 $26,936.80 $26,936.80 $9,238.69 $42,592.90 $26,389.60 2026-03-20
444 MS_DRG Disorders Of The Biliary Tract With Mcc 28 23 $36,164.70 $36,164.70 $9,238.69 $42,509.70 $26,338.10 2026-03-20
597 MS_DRG Malignant Breast Disorders With Mcc 25 21 $13,424.90 $13,424.90 $9,238.69 $35,084.50 $26,300.40 2026-03-20
70 MS_DRG Other Cerebrovascular Disorders With Mcc 27 22 $20,504.20 $20,504.20 $9,238.69 $42,412.10 $26,277.60 2026-03-20
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 27 22 $18,074.40 $18,074.40 $9,238.69 $42,245.70 $26,174.50 2026-03-20
786 MS_DRG Cesarean Section Without Sterilization With Mcc 28 22 $27,358.20 $27,358.20 $8,501.00 $42,167.30 $26,125.90 2026-03-20
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 27 22 $32,118.50 $32,118.50 $9,238.69 $42,072.90 $26,067.50 2026-03-20
J2506 HCPCS Pegfilgrastim 6 Mg/0.6ml Sc Sosy 64 54 $25,985.00 $25,985.00 $547.01 $25,985.00 $25,985.00 2026-03-20
299 MS_DRG Peripheral Vascular Disorders With Mcc 27 22 $33,007.20 $33,007.20 $9,238.69 $41,898.50 $25,959.40 2026-03-20
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 27 22 $29,053.70 $29,053.70 $9,238.69 $41,877.70 $25,946.50 2026-03-20
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 28 23 $27,638.60 $27,638.60 $4,660.00 $41,871.20 $25,942.50 2026-03-20
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 27 22 $34,621.50 $34,621.50 $9,238.69 $41,858.50 $25,934.60 2026-03-20
J7189 HCPCS Coagulation Factor Viia Recomb 2 Mg IV Solr 67 57 $25,767.50 $25,767.50 $4,440.00 $25,767.50 $25,767.50 2026-03-20
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 26 21 $92,539.60 $92,539.60 $9,238.69 $41,440.80 $25,675.90 2026-03-20
393 MS_DRG Other Digestive System Diagnoses With Mcc 28 22 $21,448.30 $21,448.30 $9,238.69 $41,364.00 $25,628.30 2026-03-20
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 65 58 $14,918.10 $14,918.10 $9,238.69 $39,721.90 $25,549.19 2026-03-20
J1162 HCPCS Digoxin Immune Fab 40 Mg IV Solr 67 57 $25,544.10 $25,544.10 $4,315.73 $25,544.10 $25,544.10 2026-03-20
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 27 22 $23,407.80 $23,407.80 $9,238.69 $40,869.60 $25,321.90 2026-03-20
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 27 22 $24,504.70 $24,504.70 $9,238.69 $40,791.20 $25,273.40 2026-03-20
177 MS_DRG Respiratory Infections And Inflammations With Mcc 28 22 $22,838.50 $22,838.50 $9,238.69 $40,778.40 $25,265.40 2026-03-20
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 26 21 $51,861.80 $51,861.80 $9,238.69 $40,765.60 $25,257.50 2026-03-20
36906 CPT Hc Dialy Throm + Stent 52 48 $25,236.00 $25,236.00 $392.49 $35,837.40 $25,236.00 2026-03-20
186 MS_DRG Pleural Effusion With Mcc 26 21 $54,709.30 $54,709.30 $9,238.69 $40,711.20 $25,223.80 2026-03-20
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 27 22 $21,959.70 $21,959.70 $9,238.69 $40,472.80 $25,076.10 2026-03-20
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 65 58 $15,720.60 $15,720.60 $9,238.69 $46,637.80 $24,995.60 2026-03-20
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 27 22 $25,833.60 $25,833.60 $9,238.69 $40,335.20 $24,990.80 2026-03-20
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 66 58 $15,663.10 $15,663.10 $9,238.69 $46,601.00 $24,977.19 2026-03-20
813 MS_DRG Coagulation Disorders 27 22 $14,438.20 $14,438.20 $9,238.69 $40,180.00 $24,894.70 2026-03-20
165 MS_DRG Major Chest Procedures Without Cc/mcc 66 58 $20,412.50 $20,412.50 $9,238.69 $46,402.60 $24,877.99 2026-03-20
865 MS_DRG Viral Illness With Mcc 27 22 $14,138.40 $14,138.40 $9,238.69 $39,748.00 $24,627.00 2026-03-20
504 MS_DRG Foot Procedures With Cc 65 58 $25,340.80 $25,340.80 $9,238.69 $45,682.60 $24,517.99 2026-03-20
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 27 22 $25,659.50 $25,659.50 $9,238.69 $39,565.60 $24,514.00 2026-03-20
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 26 21 $25,513.20 $25,513.20 $9,238.69 $39,509.60 $24,479.30 2026-03-20
682 MS_DRG Renal Failure With Mcc 26 21 $15,362.50 $15,362.50 $9,238.69 $39,471.20 $24,455.50 2026-03-20
304 MS_DRG Hypertension With Mcc 26 22 $11,016.10 $11,016.10 $9,238.69 $32,477.30 $24,455.50 2026-03-20
388 MS_DRG Gastrointestinal Obstruction With Mcc 27 22 $24,117.50 $24,117.50 $9,238.69 $39,403.90 $24,413.80 2026-03-20
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 65 58 $21,777.90 $21,777.90 $9,238.69 $45,132.20 $24,242.79 2026-03-20
A9570 HCPCS Indium In 111 Oxyquinoline 1 Mci/ml IV Soln 65 55 $24,207.30 $24,207.30 $9,598.70 $24,207.30 $24,207.30 2026-03-20
637 MS_DRG Diabetes With Mcc 25 21 $10,940.00 $10,940.00 $9,238.69 $31,856.60 $24,016.30 2026-03-20
642 MS_DRG Inborn And Other Disorders Of Metabolism 26 21 $24,520.30 $24,520.30 $9,238.69 $38,528.80 $23,871.60 2026-03-20
602 MS_DRG Cellulitis With Mcc 27 22 $20,392.50 $20,392.50 $9,238.69 $38,515.90 $23,863.70 2026-03-20
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 63 57 $12,122.00 $12,122.00 $9,238.69 $30,425.70 $23,715.54 2026-03-20
811 MS_DRG Red Blood Cell Disorders With Mcc 27 22 $19,968.60 $19,968.60 $9,233.27 $38,243.90 $23,695.10 2026-03-20
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 27 22 $18,147.10 $18,147.10 $9,191.19 $38,141.50 $23,631.70 2026-03-20
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 27 22 $24,060.50 $24,060.50 $9,031.42 $37,752.70 $23,390.80 2026-03-20
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 27 22 $23,705.10 $23,705.10 $8,984.08 $37,637.50 $23,319.40 2026-03-20
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 27 22 $27,663.20 $27,663.20 $8,980.14 $37,627.90 $23,313.40 2026-03-20
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 27 22 $21,947.90 $21,947.90 $8,843.38 $37,295.10 $23,107.30 2026-03-20
718 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy Without Cc/mcc 26 22 $10,913.10 $10,913.10 $8,830.88 $30,545.30 $23,088.40 2026-03-20
150 MS_DRG Epistaxis With Mcc 27 22 $40,023.20 $40,023.20 $8,754.61 $37,079.10 $22,973.40 2026-03-20
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 27 22 $35,590.80 $35,590.80 $8,690.18 $36,922.30 $22,876.30 2026-03-20
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 28 22 $16,510.00 $16,510.00 $1,126.34 $36,805.50 $22,803.90 2026-03-20
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 26 21 $12,905.40 $12,905.40 $9,238.69 $36,778.30 $22,787.00 2026-03-20
38 MS_DRG Extracranial Procedures With Cc 65 58 $11,796.90 $11,796.90 $9,238.69 $34,461.10 $22,683.40 2026-03-20
977 MS_DRG HIV With Or Without Other Related Condition 29 23 $18,091.70 $18,091.70 $219.28 $36,538.30 $22,638.30 2026-03-20
643 MS_DRG Endocrine Disorders With Mcc 62 57 $10,101.50 $10,101.50 $9,238.69 $28,991.90 $22,531.45 2026-03-20
J9354 HCPCS Ado-trastuzumab Emtansine 100 Mg IV Solr 132 57 $29,267.15 $29,267.15 $3,563.00 $36,021.10 $22,513.20 2026-03-20
291 MS_DRG Heart Failure And Shock With Mcc 28 22 $24,955.00 $24,955.00 $5,937.29 $36,315.90 $22,500.50 2026-03-20
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 66 58 $14,792.30 $14,792.30 $9,238.69 $41,412.10 $22,382.74 2026-03-20
947 MS_DRG Signs And Symptoms With Mcc 31 23 $21,118.00 $21,118.00 $201.00 $36,085.50 $22,357.80 2026-03-20
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 27 22 $98,546.50 $98,546.50 $8,339.07 $36,067.80 $22,346.90 2026-03-20
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 27 22 $17,465.10 $17,465.10 $8,157.60 $35,626.30 $22,073.30 2026-03-20
189 MS_DRG Pulmonary Edema And Respiratory Failure 29 23 $14,134.10 $14,134.10 $3,194.31 $35,541.50 $22,020.70 2026-03-20
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 66 58 $25,521.20 $25,521.20 $9,238.69 $40,604.00 $21,978.69 2026-03-20
375 MS_DRG Digestive Malignancy With Cc 28 22 $20,986.50 $20,986.50 $3,379.02 $35,128.70 $21,765.00 2026-03-20
J0565 HCPCS Bezlotoxumab 1000 Mg/40ml IV Soln 61 55 $21,764.40 $21,764.40 $3,983.00 $21,764.40 $21,764.40 2026-03-20
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 27 22 $34,303.20 $34,303.20 $7,916.30 $35,039.00 $21,709.40 2026-03-20
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 66 58 $22,155.80 $22,155.80 $9,238.69 $39,765.60 $21,559.49 2026-03-20
39 MS_DRG Extracranial Procedures Without Cc/mcc 26 21 $16,665.30 $16,665.30 $9,238.69 $34,583.00 $21,426.90 2026-03-20
725 MS_DRG Benign Prostatic Hypertrophy With Mcc 27 22 $31,937.80 $31,937.80 $7,694.07 $34,498.20 $21,374.40 2026-03-20
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 27 22 $21,011.40 $21,011.40 $7,628.97 $34,339.80 $21,276.20 2026-03-20
546 MS_DRG Connective Tissue Disorders With Cc 27 22 $24,235.00 $24,235.00 $7,583.61 $34,229.40 $21,207.80 2026-03-20
572 MS_DRG Skin Debridement Without Cc/mcc 27 22 $20,320.50 $20,320.50 $7,536.92 $34,115.80 $21,137.40 2026-03-20
34300001 HCPCS Technetium Tc 99m Bicisate IV Kit 57 52 $21,081.40 $21,081.40 $12,290.40 $21,081.40 $21,081.40 2026-03-20
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 27 22 $26,658.90 $26,658.90 $7,436.98 $33,872.60 $20,986.70 2026-03-20
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 27 22 $15,764.90 $15,764.90 $7,404.11 $33,792.60 $20,937.20 2026-03-20
787 MS_DRG Cesarean Section Without Sterilization With Cc 31 23 $19,251.70 $19,251.70 $7,342.96 $33,643.80 $20,845.00 2026-03-20
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 29 22 $11,513.50 $11,513.50 $6,388.62 $33,498.20 $20,754.80 2026-03-20
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 3 3 $7,470.58 $7,470.58 $9,238.69 $20,712.70 $20,712.70 2026-03-20
200 MS_DRG Pneumothorax With Cc 28 22 $37,857.00 $37,857.00 $219.28 $33,363.80 $20,671.50 2026-03-20
445 MS_DRG Disorders Of The Biliary Tract With Cc 27 22 $20,127.90 $20,127.90 $7,195.68 $33,285.40 $20,622.90 2026-03-20
381 MS_DRG Complicated Peptic Ulcer With Cc 29 23 $26,071.00 $26,071.00 $104.72 $33,111.00 $20,514.80 2026-03-20
181 MS_DRG Respiratory Neoplasms With Cc 26 21 $14,070.30 $14,070.30 $9,238.69 $32,910.90 $20,390.90 2026-03-20
300 MS_DRG Peripheral Vascular Disorders With Cc 28 22 $19,697.00 $19,697.00 $6,388.62 $32,855.00 $20,356.20 2026-03-20
784 MS_DRG Cesarean Section With Sterilization With Cc 28 22 $14,295.40 $14,295.40 $6,970.16 $32,736.50 $20,282.90 2026-03-20
729 MS_DRG Other Male Reproductive System Diagnoses With Cc/mcc 27 22 $17,358.80 $17,358.80 $6,960.95 $32,714.10 $20,269.00 2026-03-20
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 26 22 $9,451.34 $9,451.34 $6,944.52 $26,525.70 $20,244.20 2026-03-20
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 27 22 $11,742.30 $11,742.30 $6,881.40 $32,520.50 $20,149.00 2026-03-20
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 27 22 $11,794.70 $11,794.70 $6,777.51 $32,267.70 $19,992.40 2026-03-20
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 27 22 $16,850.50 $16,850.50 $6,759.10 $32,222.90 $19,964.60 2026-03-20
71 MS_DRG Other Cerebrovascular Disorders With Cc 26 21 $21,293.60 $21,293.60 $9,238.69 $32,190.90 $19,944.80 2026-03-20
644 MS_DRG Endocrine Disorders With Cc 27 22 $23,703.70 $23,703.70 $6,739.38 $32,174.90 $19,934.90 2026-03-20
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 29 24 $14,652.60 $14,652.60 $609.45 $32,147.70 $19,918.00 2026-03-20
92 MS_DRG Other Disorders Of Nervous System With Cc 27 22 $30,950.50 $30,950.50 $632.08 $32,142.90 $19,915.10 2026-03-20
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 27 22 $21,097.40 $21,097.40 $6,713.08 $32,110.90 $19,895.20 2026-03-20
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 27 22 $18,634.20 $18,634.20 $6,673.63 $32,014.90 $19,835.80 2026-03-20
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 27 22 $19,474.70 $19,474.70 $6,642.72 $31,939.70 $19,789.20 2026-03-20
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 27 22 $12,584.10 $12,584.10 $6,624.31 $31,894.90 $19,761.40 2026-03-20
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 27 22 $12,194.40 $12,194.40 $6,592.75 $31,818.10 $19,713.80 2026-03-20
369 MS_DRG Major Esophageal Disorders With Cc 27 22 $11,071.30 $11,071.30 $6,576.32 $31,778.10 $19,689.00 2026-03-20
187 MS_DRG Pleural Effusion With Cc 26 21 $17,735.30 $17,735.30 $9,238.69 $31,600.50 $19,579.00 2026-03-20
378 MS_DRG Gastrointestinal Hemorrhage With Cc 28 22 $15,133.80 $15,133.80 $6,448.10 $31,466.10 $19,495.70 2026-03-20
386 MS_DRG Inflammatory Bowel Disease With Cc 27 22 $17,020.70 $17,020.70 $6,419.17 $31,395.70 $19,452.10 2026-03-20
178 MS_DRG Respiratory Infections And Inflammations With Cc 28 23 $11,592.20 $11,592.20 $6,417.20 $31,390.90 $19,449.10 2026-03-20
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 29 23 $21,626.00 $21,626.00 $100.04 $31,365.30 $19,433.30 2026-03-20
202 MS_DRG Bronchitis And Asthma With Cc/mcc 23 20 $7,683.47 $7,683.47 $9,238.69 $21,112.40 $19,401.50 2026-03-20
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 27 22 $12,528.90 $12,528.90 $6,346.85 $31,219.70 $19,343.00 2026-03-20
315 MS_DRG Other Circulatory System Diagnoses With Cc 26 21 $40,667.50 $40,667.50 $9,238.69 $31,187.70 $19,323.20 2026-03-20
552 MS_DRG Medical Back Problems Without Mcc 29 23 $31,316.60 $31,316.60 $219.28 $31,155.70 $19,303.40 2026-03-20
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 27 23 $11,689.50 $11,689.50 $219.28 $20,984.00 $19,292.50 2026-03-20
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 29 22 $18,228.00 $18,228.00 $6,304.11 $31,115.70 $19,278.60 2026-03-20
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 28 22 $17,203.40 $17,203.40 $6,297.54 $31,099.70 $19,268.70 2026-03-20
197 MS_DRG Interstitial Lung Disease With Cc 27 22 $12,246.40 $12,246.40 $6,240.33 $30,960.50 $19,182.50 2026-03-20
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 25 21 $7,698.98 $7,698.98 $219.28 $20,761.00 $19,103.20 2026-03-20
394 MS_DRG Other Digestive System Diagnoses With Cc 28 22 $16,864.80 $16,864.80 $219.28 $30,746.10 $19,049.60 2026-03-20
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 65 58 $10,461.60 $10,461.60 $7,906.44 $28,575.40 $18,982.50 2026-03-20
376 MS_DRG Digestive Malignancy Without Cc/mcc 27 22 $27,173.40 $27,173.40 $6,077.27 $30,563.70 $18,936.60 2026-03-20
796 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Mcc 71 60 $16,465.80 $16,465.80 $6,650.00 $34,447.00 $18,900.19 2026-03-20
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 27 22 $23,898.80 $23,898.80 $6,047.69 $30,491.70 $18,892.00 2026-03-20
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 26 21 $20,326.20 $20,326.20 $9,238.69 $30,480.50 $18,885.00 2026-03-20
812 MS_DRG Red Blood Cell Disorders Without Mcc 27 22 $17,648.80 $17,648.80 $6,037.17 $30,466.10 $18,876.10 2026-03-20
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 27 22 $12,125.30 $12,125.30 $6,022.70 $30,430.90 $18,854.30 2026-03-20
33903 CPT Hc Perq P-art Revsc St 1st Abnormal Connj Bilateral 68 58 $18,765.00 $18,765.00 $10,940.00 $24,069.40 $18,765.00 2026-03-20
33900 CPT Hc Perq P-art Revsc St 1st Nml Native Connj Uni 68 58 $18,764.00 $18,764.00 $10,939.40 $24,069.40 $18,764.00 2026-03-20
33901 CPT Hc Perq P-art Revsc St 1st Nml Native Connj Bi 68 58 $18,764.00 $18,764.00 $10,939.40 $24,069.40 $18,764.00 2026-03-20
37184 CPT Hc Mechanic Thrombec Non Coronar 54 50 $18,764.00 $18,764.00 $353.28 $18,764.00 $18,764.00 2026-03-20
101 MS_DRG Seizures Without Mcc 29 22 $32,094.60 $32,094.60 $3,981.51 $30,216.50 $18,721.50 2026-03-20
81 MS_DRG Nontraumatic Stupor And Coma Without Mcc 24 21 $25,953.00 $25,953.00 $960.01 $20,229.80 $18,652.10 2026-03-20
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 28 23 $10,686.50 $10,686.50 $5,290.00 $30,102.80 $18,651.10 2026-03-20
J2353 HCPCS Octreotide Acetate 20 Mg IM Kit 197 57 $24,407.30 $24,407.30 $1,937.20 $36,548.00 $18,629.10 2026-03-20
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 28 22 $15,323.00 $15,323.00 $5,872.79 $30,066.10 $18,628.30 2026-03-20
864 MS_DRG Fever And Inflammatory Conditions 27 22 $19,152.90 $19,152.90 $5,836.63 $29,978.00 $18,573.80 2026-03-20
914 MS_DRG Traumatic Injury Without Mcc 31 24 $14,052.00 $14,052.00 $201.00 $29,942.90 $18,552.00 2026-03-20
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 26 22 $7,948.57 $7,948.57 $912.01 $20,080.30 $18,525.20 2026-03-20
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 66 58 $15,401.50 $15,401.50 $7,342.96 $33,643.80 $18,498.60 2026-03-20
683 MS_DRG Renal Failure With Cc 26 21 $15,989.50 $15,989.50 $9,238.69 $29,787.70 $18,455.80 2026-03-20
638 MS_DRG Diabetes With Cc 27 22 $23,657.40 $23,657.40 $5,758.39 $29,787.70 $18,455.80 2026-03-20
312 MS_DRG Syncope And Collapse 29 23 $21,390.70 $21,390.70 $164.40 $29,720.40 $18,414.20 2026-03-20
37230 CPT Hc Revas Tib/per W Angpl & Stent 54 53 $18,356.00 $18,356.00 $544.88 $21,750.60 $18,356.00 2026-03-20
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 28 21 $15,689.90 $15,689.90 $9,238.69 $29,488.40 $18,270.40 2026-03-20
845 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 27 22 $23,698.50 $23,698.50 $5,599.27 $29,400.40 $18,215.90 2026-03-20
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 70 60 $10,187.40 $10,187.40 $6,650.00 $26,848.00 $18,197.79 2026-03-20
292 MS_DRG Heart Failure And Shock With Cc 27 22 $22,821.80 $22,821.80 $5,582.18 $29,358.80 $18,190.10 2026-03-20
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 63 54 $7,394.44 $7,394.44 $6,650.00 $20,396.90 $18,136.99 2026-03-20
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 27 22 $15,955.20 $15,955.20 $5,542.73 $29,262.80 $18,130.60 2026-03-20
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 27 22 $21,083.40 $21,083.40 $5,530.89 $29,234.00 $18,112.80 2026-03-20
103 MS_DRG Headaches Without Mcc 27 22 $16,463.50 $16,463.50 $5,498.67 $29,155.60 $18,064.20 2026-03-20
547 MS_DRG Connective Tissue Disorders Without Cc/mcc 27 22 $17,261.30 $17,261.30 $5,498.02 $29,154.00 $18,063.20 2026-03-20
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 27 22 $16,263.10 $16,263.10 $5,461.20 $29,064.40 $18,007.70 2026-03-20
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 27 22 $20,720.30 $20,720.30 $5,457.91 $29,056.40 $18,002.70 2026-03-20
37242 CPT Hc Embolization, Non-hemm/tumor 52 48 $18,000.00 $18,000.00 $385.11 $22,567.50 $18,000.00 2026-03-20
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 27 22 $17,604.90 $17,604.90 $5,439.50 $29,011.60 $17,975.00 2026-03-20
37182 CPT Hc Tips 57 53 $17,856.00 $17,856.00 $654.46 $17,856.00 $17,856.00 2026-03-20
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 24 21 $6,429.28 $6,429.28 $5,322.46 $19,224.50 $17,798.50 2026-03-20
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 27 22 $14,144.20 $14,144.20 $5,309.97 $28,696.40 $17,779.70 2026-03-20
204 MS_DRG Respiratory Signs And Symptoms 26 22 $8,403.04 $8,403.04 $5,308.66 $23,040.00 $17,777.70 2026-03-20
534 MS_DRG Fractures Of Femur Without Mcc 27 22 $24,948.50 $24,948.50 $5,300.11 $28,672.40 $17,764.80 2026-03-20
176 MS_DRG Pulmonary Embolism Without Mcc 27 22 $13,997.60 $13,997.60 $5,292.88 $28,654.80 $17,753.90 2026-03-20
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 27 22 $20,188.70 $20,188.70 $5,285.64 $28,637.20 $17,743.00 2026-03-20
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 27 22 $24,385.50 $24,385.50 $5,263.95 $28,584.40 $17,710.30 2026-03-20
948 MS_DRG Signs And Symptoms Without Mcc 27 22 $11,840.90 $11,840.90 $5,263.29 $28,582.80 $17,709.30 2026-03-20
37267 CPT Hc Revsc Evasc Fpvt St Plmt Uni Sf Les 1st Vsl 57 48 $17,700.00 $17,700.00 $10,319.10 $17,700.00 $17,700.00 2026-03-20
37280 CPT Hc Revsc Evasc Tpvt Angiop Uni Sf Les 1st Vsl 57 48 $17,700.00 $17,700.00 $10,319.10 $17,700.00 $17,700.00 2026-03-20
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 26 21 $141,510.00 $141,510.00 $9,238.69 $28,515.60 $17,667.70 2026-03-20
389 MS_DRG Gastrointestinal Obstruction With Cc 27 22 $10,013.80 $10,013.80 $5,192.94 $28,411.60 $17,603.20 2026-03-20
185 MS_DRG Major Chest Trauma Without Cc/mcc 27 22 $18,880.80 $18,880.80 $5,171.24 $28,358.80 $17,570.50 2026-03-20
797 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Cc 71 60 $13,670.50 $13,670.50 $6,577.63 $31,781.30 $17,567.35 2026-03-20
694 MS_DRG Urinary Stones Without Mcc 27 22 $13,995.60 $13,995.60 $5,139.68 $28,282.00 $17,522.90 2026-03-20
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 28 22 $31,696.40 $31,696.40 $5,125.87 $28,248.40 $17,502.10 2026-03-20
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 27 22 $11,882.00 $11,882.00 $5,116.67 $28,226.00 $17,488.20 2026-03-20
645 MS_DRG Endocrine Disorders Without Cc/mcc 26 21 $46,255.10 $46,255.10 $9,238.69 $28,067.60 $17,390.10 2026-03-20
125 MS_DRG Other Disorders Of The Eye Without Mcc 27 22 $22,108.50 $22,108.50 $5,048.29 $28,059.60 $17,385.10 2026-03-20
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 65 58 $13,810.20 $13,810.20 $6,561.19 $31,741.30 $17,345.65 2026-03-20
37244 CPT Hc Vasc Embolize/Occlude Bleed 52 48 $17,332.00 $17,332.00 $535.11 $22,567.50 $17,332.00 2026-03-20
37226 CPT Hc Revas Endovas Fem With Stent 54 53 $17,331.00 $17,331.00 $411.18 $17,331.00 $17,331.00 2026-03-20
37236 CPT Hc Open/Perq Place Stent 1st 57 53 $17,331.00 $17,331.00 $349.98 $22,567.50 $17,331.00 2026-03-20
37243 CPT Hc Vasc Embolize/Occlude Organ 53 49 $17,330.00 $17,330.00 $457.59 $22,567.50 $17,330.00 2026-03-20
37225 CPT Hc Revascularization Endo W/Ather 50 50 $17,330.00 $17,330.00 $474.33 $17,330.00 $17,330.00 2026-03-20
149 MS_DRG Dysequilibrium 29 23 $18,521.10 $18,521.10 $150.44 $27,800.40 $17,224.50 2026-03-20
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 71 60 $16,067.60 $16,067.60 $6,292.93 $31,088.50 $17,220.94 2026-03-20
153 MS_DRG Otitis Media And Uri Without Mcc 28 22 $33,206.00 $33,206.00 $4,853.67 $27,586.00 $17,091.70 2026-03-20
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 27 22 $17,935.10 $17,935.10 $4,837.23 $27,546.00 $17,066.90 2026-03-20
151 MS_DRG Epistaxis Without Mcc 27 22 $15,181.80 $15,181.80 $4,826.05 $27,518.80 $17,050.00 2026-03-20
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 27 22 $31,263.40 $31,263.40 $4,782.66 $27,413.20 $16,984.60 2026-03-20
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 27 22 $16,050.60 $16,050.60 $4,754.38 $27,344.40 $16,942.00 2026-03-20
726 MS_DRG Benign Prostatic Hypertrophy Without Mcc 26 21 $91,231.20 $91,231.20 $9,238.69 $27,326.80 $16,931.10 2026-03-20
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