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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

WAYNE GENERAL HOSPITAL

Waynesboro, MS · CCN 250077 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $710 across 31 payers · range $284-$1,771

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbWGHWWAYNESBOROMS&type=CDMWithoutLabel&fileType=CSV · observed 2026-05-07

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

4,430 distinct procedures filed
31 distinct payers
118,879 rate rows
2026-05-07 last MRF observed
Data quality

114,831 of 118,879 rate rows are consumer-grade (96.6%)

4,048 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,545
per-diem day rate — not a per-procedure price 1,277
exceeds 10× this hospital's gross charge — excluded from medians 147
percent-of-charges filed in the dollar field — excluded from medians 42
exceeds 3× this hospital's gross charge for a DRG stay — excluded 19
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 10
placeholder amount (≤ $0.02) — excluded from medians 6
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbWGHWWAYNESBOROMS&type=CDMWithoutLabel&fileType=CSV
Found on page https://waynegeneralhospital.org/cms-hpt/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-18
Content fingerprint 1c812b3bec04d38c… · 54,528,984 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $26,382.00 $51,227.82 $43,969.97 nat. median
$62,721
0.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 12 $24,560.93 $72,700.35 $40,934.86 nat. median
$59,384
0.7× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 $18,850.39 $38,184.61 $31,417.30 nat. median
$45,474
0.7× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 $18,785.88 $52,747.21 $31,309.79 nat. median
$45,264
0.7× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 12 $19,868.75 $33,114.57 $29,429.77 nat. median
$46,420
0.6× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 12 $17,544.61 $59,944.06 $29,241.00 nat. median
$42,662
0.7× median
901
MS_DRG 		Wound Debridements For Injuries With Mcc 12 $16,018.21 $54,728.87 $26,697.01 nat. median
$39,679
0.7× median
876
MS_DRG 		O.r. Procedures With Principal Diagnosis Of Mental Illness 12 $14,752.13 $50,403.09 $24,586.87 nat. median
$33,095
0.7× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 11 $14,738.01 $38,834.91 $24,563.33 nat. median
$35,905
0.7× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 12 $14,225.01 $27,873.39 $23,708.34 nat. median
$35,287
0.7× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 12 $13,629.95 $46,568.96 $22,716.57 nat. median
$33,175
0.7× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 $13,433.37 $45,897.34 $22,388.94 nat. median
$33,427
0.7× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 $13,311.23 $27,966.58 $22,185.37 nat. median
$33,758
0.7× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 12 $12,750.90 $21,251.49 $19,013.59 nat. median
$31,243
0.6× median
570
MS_DRG 		Skin Debridement With Mcc 12 $11,226.03 $29,849.03 $18,710.04 nat. median
$28,050
0.7× median
974
MS_DRG 		HIV With Major Related Condition With Mcc 12 $11,015.72 $37,637.02 $18,359.52 nat. median
$27,536
0.7× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 $10,491.65 $24,647.07 $17,486.07 nat. median
$25,409
0.7× median
255
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 12 $10,295.84 $25,025.03 $17,159.73 nat. median
$25,097
0.7× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 12 $15,390.99 $36,257.83 $15,390.99 nat. median
$49,960
outlier · 0.3×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 12 $9,149.99 $31,262.46 $15,249.98 nat. median
$22,965
0.7× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 12 $9,108.77 $31,121.62 $15,181.27 nat. median
$22,587
0.7× median
674
MS_DRG 		Other Kidney And Urinary Tract Procedures With Cc 12 $8,926.32 $16,601.10 $14,877.19 nat. median
$22,222
0.7× median
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 12 $8,876.32 $30,327.40 $14,793.85 nat. median
$21,819
0.7× median
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 12 $8,686.23 $29,677.95 $14,477.05 nat. median
$21,232
0.7× median
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 12 $8,427.44 $27,848.43 $14,045.73 nat. median
$21,030
0.7× median
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 12 $8,316.37 $28,414.25 $13,860.61 nat. median
$20,982
0.7× median
374
MS_DRG 		Digestive Malignancy With Mcc 13 $2,500.00 $17,336.58 $13,605.51 nat. median
$20,165
0.7× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 12 $8,048.80 $27,500.06 $13,414.66 nat. median
$20,323
0.7× median
J1437
HCPCS 		Injection, Ferric Derisomaltose, 10 Mg 30 $19.74 $27,389.05 $13,181.90 nat. median
$45
outlier · 291.8×
12543541_1
CDM 		Me Verification Kit 17 $2,155.86 $14,629.05 $13,089.15 nat. median
$13,089
1.0× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 11 $7,675.89 $19,961.64 $12,793.14 nat. median
$19,268
0.7× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 12 $7,626.65 $26,057.70 $12,711.07 nat. median
$19,254
0.7× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 11 $8,867.16 $14,778.59 $12,702.60 nat. median
$21,152
0.6× median
283
MS_DRG 		Acute Myocardial Infarction, Expired With Mcc 12 $7,560.61 $25,832.09 $12,601.02 nat. median
$18,846
0.7× median
539
MS_DRG 		Osteomyelitis With Mcc 12 $7,518.25 $12,802.76 $12,530.40 nat. median
$18,853
0.7× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 12 $7,414.43 $20,799.06 $12,357.37 nat. median
$18,659
0.7× median
100
MS_DRG 		Seizures With Mcc 12 $7,392.67 $23,611.04 $12,321.11 nat. median
$18,371
0.7× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 12 $12,133.32 $24,424.01 $12,133.32 nat. median
$36,018
outlier · 0.3×
196
MS_DRG 		Interstitial Lung Disease With Mcc 12 $7,203.35 $24,578.44 $12,005.57 nat. median
$17,877
0.7× median
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 11 $7,118.23 $24,320.61 $11,863.71 nat. median
$18,115
0.7× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 12 $7,959.10 $13,265.17 $11,711.80 nat. median
$19,970
0.6× median
435
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas With Mcc 12 $7,010.59 $14,253.16 $11,684.31 nat. median
$17,681
0.7× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 12 $6,988.84 $23,193.82 $11,648.05 nat. median
$17,357
0.7× median
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 12 $6,977.38 $19,478.88 $11,628.97 nat. median
$17,311
0.7× median
862
MS_DRG 		Postoperative And Post-traumatic Infections With Mcc 12 $6,960.97 $12,771.53 $11,601.61 nat. median
$17,367
0.7× median
80
MS_DRG 		Nontraumatic Stupor And Coma With Mcc 12 $6,908.68 $13,861.64 $11,514.46 nat. median
$17,925
0.6× median
504
MS_DRG 		Foot Procedures With Cc 12 $7,134.64 $11,891.07 $11,478.96 nat. median
$17,730
0.6× median
441
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 12 $6,850.28 $23,405.11 $11,417.13 nat. median
$17,437
0.7× median
52
MS_DRG 		Spinal Disorders And Injuries With Cc/mcc 12 $6,797.22 $16,660.63 $11,328.70 nat. median
$18,095
0.6× median
542
MS_DRG 		Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 12 $6,742.64 $20,151.32 $11,237.73 nat. median
$17,182
0.7× median

Other procedures at this hospital

Browse this hospital's 4,430 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
             
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 12 $51,227.82 $51,227.82 $26,382.00 $51,227.82 $43,969.97 2026-05-07
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 12 $72,700.35 $72,700.35 $24,560.93 $72,700.35 $40,934.86 2026-05-07
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 12 $38,184.61 $38,184.61 $18,850.39 $38,184.61 $31,417.30 2026-05-07
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 12 $52,747.21 $52,747.21 $18,785.88 $52,747.21 $31,309.79 2026-05-07
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 12 $29,429.77 $29,429.77 $19,868.75 $33,114.57 $29,429.77 2026-05-07
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 12 $94,242.44 $94,242.44 $17,544.61 $59,944.06 $29,241.00 2026-05-07
901 MS_DRG Wound Debridements For Injuries With Mcc 12 12 $56,766.83 $56,766.83 $16,018.21 $54,728.87 $26,697.01 2026-05-07
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 12 12 $123,294.63 $123,294.63 $14,752.13 $50,403.09 $24,586.87 2026-05-07
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 11 11 $38,834.91 $38,834.91 $14,738.01 $38,834.91 $24,563.33 2026-05-07
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 12 12 $27,873.39 $27,873.39 $14,225.01 $27,873.39 $23,708.34 2026-05-07
335 MS_DRG Peritoneal Adhesiolysis With Mcc 12 12 $54,015.95 $54,015.95 $13,629.95 $46,568.96 $22,716.57 2026-05-07
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 12 $88,898.01 $88,898.01 $13,433.37 $45,897.34 $22,388.94 2026-05-07
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 12 $27,966.58 $27,966.58 $13,311.23 $27,966.58 $22,185.37 2026-05-07
264 MS_DRG Other Circulatory System O.r. Procedures 12 12 $19,013.59 $19,013.59 $12,750.90 $21,251.49 $19,013.59 2026-05-07
570 MS_DRG Skin Debridement With Mcc 12 12 $29,849.03 $29,849.03 $11,226.03 $29,849.03 $18,710.04 2026-05-07
974 MS_DRG HIV With Major Related Condition With Mcc 12 12 $111,769.78 $111,769.78 $11,015.72 $37,637.02 $18,359.52 2026-05-07
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 12 $24,647.07 $24,647.07 $10,491.65 $24,647.07 $17,486.07 2026-05-07
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 12 12 $25,025.03 $25,025.03 $10,295.84 $25,025.03 $17,159.73 2026-05-07
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 12 $15,390.99 $15,390.99 $15,390.99 $36,257.83 $15,390.99 2026-05-07
330 MS_DRG Major Small And Large Bowel Procedures With Cc 12 12 $55,848.62 $55,848.62 $9,149.99 $31,262.46 $15,249.98 2026-05-07
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 12 12 $32,155.33 $32,155.33 $9,108.77 $31,121.62 $15,181.27 2026-05-07
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 12 12 $16,601.10 $16,601.10 $8,926.32 $16,601.10 $14,877.19 2026-05-07
357 MS_DRG Other Digestive System O.r. Procedures With Cc 12 12 $33,112.39 $33,112.39 $8,876.32 $30,327.40 $14,793.85 2026-05-07
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 12 12 $30,744.30 $30,744.30 $8,686.23 $29,677.95 $14,477.05 2026-05-07
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 12 12 $27,848.43 $27,848.43 $8,427.44 $27,848.43 $14,045.73 2026-05-07
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 12 12 $31,004.29 $31,004.29 $8,316.37 $28,414.25 $13,860.61 2026-05-07
374 MS_DRG Digestive Malignancy With Mcc 13 13 $17,336.58 $17,336.58 $2,500.00 $17,336.58 $13,605.51 2026-05-07
336 MS_DRG Peritoneal Adhesiolysis With Cc 12 12 $31,822.63 $31,822.63 $8,048.80 $27,500.06 $13,414.66 2026-05-07
J1437 HCPCS Injection, Ferric Derisomaltose, 10 Mg 30 30 $14,646.55 $14,646.55 $19.74 $27,389.05 $13,181.90 2026-05-07
12543541_1 CDM Me Verification Kit 17 17 $15,399.00 $15,399.00 $2,155.86 $14,629.05 $13,089.15 2026-05-07
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 11 11 $19,961.64 $19,961.64 $7,675.89 $19,961.64 $12,793.14 2026-05-07
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 12 12 $32,670.66 $32,670.66 $7,626.65 $26,057.70 $12,711.07 2026-05-07
56 MS_DRG Degenerative Nervous System Disorders With Mcc 11 11 $12,702.60 $12,702.60 $8,867.16 $14,778.59 $12,702.60 2026-05-07
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 12 12 $27,140.80 $27,140.80 $7,560.61 $25,832.09 $12,601.02 2026-05-07
539 MS_DRG Osteomyelitis With Mcc 12 12 $12,802.76 $12,802.76 $7,518.25 $12,802.76 $12,530.40 2026-05-07
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 12 12 $20,799.90 $20,799.90 $7,414.43 $20,799.06 $12,357.37 2026-05-07
100 MS_DRG Seizures With Mcc 12 12 $23,611.04 $23,611.04 $7,392.67 $23,611.04 $12,321.11 2026-05-07
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 12 12 $12,133.32 $12,133.32 $12,133.32 $24,424.01 $12,133.32 2026-05-07
196 MS_DRG Interstitial Lung Disease With Mcc 12 12 $24,578.44 $24,578.44 $7,203.35 $24,578.44 $12,005.57 2026-05-07
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 11 11 $30,302.51 $30,302.51 $7,118.23 $24,320.61 $11,863.71 2026-05-07
314 MS_DRG Other Circulatory System Diagnoses With Mcc 12 12 $11,711.80 $11,711.80 $7,959.10 $13,265.17 $11,711.80 2026-05-07
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 12 12 $14,253.16 $14,253.16 $7,010.59 $14,253.16 $11,684.31 2026-05-07
205 MS_DRG Other Respiratory System Diagnoses With Mcc 12 12 $23,193.82 $23,193.82 $6,988.84 $23,193.82 $11,648.05 2026-05-07
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 12 12 $19,478.88 $19,478.88 $6,977.38 $19,478.88 $11,628.97 2026-05-07
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 12 12 $12,771.53 $12,771.53 $6,960.97 $12,771.53 $11,601.61 2026-05-07
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 12 12 $13,861.64 $13,861.64 $6,908.68 $13,861.64 $11,514.46 2026-05-07
504 MS_DRG Foot Procedures With Cc 12 12 $11,478.96 $11,478.96 $7,134.64 $11,891.07 $11,478.96 2026-05-07
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 12 12 $30,751.92 $30,751.92 $6,850.28 $23,405.11 $11,417.13 2026-05-07
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 12 12 $16,660.63 $16,660.63 $6,797.22 $16,660.63 $11,328.70 2026-05-07
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 12 12 $20,151.32 $20,151.32 $6,742.64 $20,151.32 $11,237.73 2026-05-07
180 MS_DRG Respiratory Neoplasms With Mcc 12 12 $12,451.50 $12,451.50 $6,740.73 $12,451.50 $11,234.55 2026-05-07
91 MS_DRG Other Disorders Of Nervous System With Mcc 11 11 $25,405.24 $25,405.24 $6,703.33 $22,903.03 $11,172.21 2026-05-07
J2323 HCPCS Injection, Natalizumab, 1 Mg 30 30 $19,325.50 $19,325.50 $20.90 $36,138.69 $11,112.16 2026-05-07
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 12 12 $16,713.57 $16,713.57 $6,660.96 $16,713.57 $11,101.59 2026-05-07
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 12 12 $22,789.42 $22,789.42 $6,595.69 $22,535.26 $10,992.81 2026-05-07
289 MS_DRG Acute And Subacute Endocarditis With Cc 11 11 $40,791.55 $40,791.55 $6,515.15 $22,260.09 $10,858.58 2026-05-07
12543540_1 CDM Gi Verification Kit 17 17 $12,747.00 $12,747.00 $1,784.58 $12,109.65 $10,834.95 2026-05-07
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 12 12 $22,882.37 $22,882.37 $6,480.80 $22,142.72 $10,801.33 2026-05-07
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 12 12 $26,906.36 $26,906.36 $6,456.75 $22,060.56 $10,761.25 2026-05-07
571 MS_DRG Skin Debridement With Cc 12 12 $20,572.39 $20,572.39 $6,448.74 $20,572.39 $10,747.89 2026-05-07
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 12 12 $44,264.63 $44,264.63 $6,423.55 $21,947.10 $10,705.90 2026-05-07
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 12 12 $41,820.22 $41,820.22 $6,421.64 $21,940.58 $10,702.72 2026-05-07
915 MS_DRG Allergic Reactions With Mcc 12 12 $23,940.11 $23,940.11 $6,418.58 $21,930.15 $10,697.63 2026-05-07
551 MS_DRG Medical Back Problems With Mcc 12 12 $16,124.09 $16,124.09 $6,397.59 $16,124.09 $10,662.64 2026-05-07
444 MS_DRG Disorders Of The Biliary Tract With Mcc 12 12 $15,413.42 $15,413.42 $6,377.74 $15,413.42 $10,629.56 2026-05-07
70 MS_DRG Other Cerebrovascular Disorders With Mcc 12 12 $20,564.25 $20,564.25 $6,354.46 $20,564.25 $10,590.76 2026-05-07
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 12 12 $13,015.64 $13,015.64 $6,314.76 $13,015.64 $10,524.60 2026-05-07
786 MS_DRG Cesarean Section Without Sterilization With Mcc 15 15 $27,016.20 $27,016.20 $3,186.00 $13,271.88 $10,493.43 2026-05-07
643 MS_DRG Endocrine Disorders With Mcc 12 12 $13,961.99 $13,961.99 $6,283.08 $13,961.99 $10,471.80 2026-05-07
299 MS_DRG Peripheral Vascular Disorders With Mcc 11 11 $23,416.10 $23,416.10 $6,231.93 $21,292.43 $10,386.55 2026-05-07
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 12 12 $28,076.52 $28,076.52 $6,222.39 $21,259.83 $10,370.65 2026-05-07
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 12 12 $17,395.45 $17,395.45 $6,122.77 $17,395.45 $10,204.61 2026-05-07
368 MS_DRG Major Esophageal Disorders With Mcc 12 12 $24,753.05 $24,753.05 $6,076.20 $20,760.35 $10,127.00 2026-05-07
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 12 12 $11,383.27 $11,383.27 $5,986.50 $11,383.27 $9,977.50 2026-05-07
177 MS_DRG Respiratory Infections And Inflammations With Mcc 12 12 $18,387.41 $18,387.41 $5,964.75 $18,387.41 $9,941.24 2026-05-07
186 MS_DRG Pleural Effusion With Mcc 12 12 $23,121.00 $23,121.00 $5,948.72 $20,324.77 $9,914.52 2026-05-07
77 MS_DRG Hypertensive Encephalopathy With Mcc 12 12 $12,598.31 $12,598.31 $5,901.77 $12,598.31 $9,836.28 2026-05-07
183 MS_DRG Major Chest Trauma With Mcc 12 12 $17,099.28 $17,099.28 $5,839.55 $17,099.28 $9,732.58 2026-05-07
54 MS_DRG Nervous System Neoplasms With Mcc 12 12 $20,915.16 $20,915.16 $5,828.10 $19,912.67 $9,713.50 2026-05-07
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 12 12 $26,831.81 $26,831.81 $5,818.94 $19,881.37 $9,698.23 2026-05-07
606 MS_DRG Minor Skin Disorders With Mcc 12 12 $18,216.37 $18,216.37 $5,775.81 $18,216.37 $9,626.34 2026-05-07
865 MS_DRG Viral Illness With Mcc 12 12 $18,723.45 $18,723.45 $5,718.94 $18,723.45 $9,531.56 2026-05-07
682 MS_DRG Renal Failure With Mcc 12 12 $20,447.16 $20,447.16 $5,652.90 $19,314.08 $9,421.50 2026-05-07
388 MS_DRG Gastrointestinal Obstruction With Mcc 12 12 $11,186.67 $11,186.67 $5,636.87 $11,186.67 $9,394.78 2026-05-07
637 MS_DRG Diabetes With Mcc 12 12 $14,219.32 $14,219.32 $5,483.81 $14,185.68 $9,139.68 2026-05-07
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 12 12 $9,120.21 $9,120.21 $5,891.84 $9,819.73 $9,120.21 2026-05-07
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 12 12 $13,608.35 $13,608.35 $5,438.39 $13,608.35 $9,063.98 2026-05-07
602 MS_DRG Cellulitis With Mcc 12 12 $14,560.59 $14,560.59 $5,425.03 $14,560.59 $9,041.71 2026-05-07
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 12 12 $8,985.12 $8,985.12 $5,675.42 $9,459.03 $8,985.12 2026-05-07
811 MS_DRG Red Blood Cell Disorders With Mcc 12 12 $15,358.72 $15,358.72 $5,360.14 $15,358.72 $8,933.57 2026-05-07
710 MS_DRG Penis Procedures Without Cc/mcc 12 12 $24,114.71 $24,114.71 $5,348.31 $18,273.39 $8,913.85 2026-05-07
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 12 12 $21,785.73 $21,785.73 $5,242.96 $17,913.45 $8,738.27 2026-05-07
884 MS_DRG Organic Disturbances And Intellectual Disability 12 12 $8,724.66 $8,724.66 $6,141.09 $10,235.15 $8,724.66 2026-05-07
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 12 12 $26,754.73 $26,754.73 $5,213.19 $17,811.73 $8,688.65 2026-05-07
88 MS_DRG Concussion With Mcc 12 12 $13,176.63 $13,176.63 $5,159.75 $13,176.63 $8,599.58 2026-05-07
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 10 10 $15,599.59 $15,599.59 $5,097.92 $10,746.24 $8,496.53 2026-05-07
199 MS_DRG Pneumothorax With Mcc 12 12 $8,478.74 $8,478.74 $6,733.48 $11,222.46 $8,478.74 2026-05-07
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 11 11 $17,010.03 $17,010.03 $5,017.00 $17,010.03 $8,361.66 2026-05-07
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 12 12 $41,243.55 $41,243.55 $5,010.51 $17,119.24 $8,350.85 2026-05-07
540 MS_DRG Osteomyelitis With Cc 12 12 $20,352.25 $20,352.25 $4,947.91 $16,905.36 $8,246.52 2026-05-07
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 11 11 $22,343.24 $22,343.24 $4,945.24 $16,896.23 $8,242.06 2026-05-07
291 MS_DRG Heart Failure And Shock With Mcc 12 12 $13,883.70 $13,883.70 $4,900.20 $13,883.70 $8,167.00 2026-05-07
947 MS_DRG Signs And Symptoms With Mcc 11 11 $17,218.78 $17,218.78 $4,845.24 $16,554.55 $8,075.39 2026-05-07
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 12 12 $17,903.67 $17,903.67 $4,841.04 $16,540.20 $8,068.39 2026-05-07
885 MS_DRG Psychoses 12 12 $8,005.84 $8,005.84 $5,331.52 $8,885.85 $8,005.84 2026-05-07
189 MS_DRG Pulmonary Edema And Respiratory Failure 12 12 $14,101.15 $14,101.15 $4,715.46 $14,101.15 $7,859.10 2026-05-07
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 12 12 $7,838.68 $7,838.68 $7,838.68 $16,430.69 $7,838.68 2026-05-07
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 12 12 $14,126.05 $14,126.05 $4,595.61 $14,126.05 $7,659.34 2026-05-07
304 MS_DRG Hypertension With Mcc 12 12 $11,377.73 $11,377.73 $4,542.17 $11,377.73 $7,570.28 2026-05-07
949 MS_DRG Aftercare With Cc/mcc 11 11 $25,795.27 $25,795.27 $4,541.03 $15,515.16 $7,568.37 2026-05-07
593 MS_DRG Skin Ulcers With Cc 11 11 $11,493.95 $11,493.95 $4,528.05 $11,493.95 $7,546.74 2026-05-07
796 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Mcc 16 16 $21,427.21 $21,427.21 $850.00 $9,389.68 $7,423.96 2026-05-07
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 12 12 $11,306.21 $11,306.21 $4,428.81 $11,306.21 $7,381.34 2026-05-07
399 MS_DRG Appendix Procedures Without Cc/mcc 12 12 $23,182.83 $23,182.83 $4,369.26 $14,928.31 $7,282.10 2026-05-07
J1306 HCPCS Injection, Inclisiran, 1 Mg 30 30 $7,995.00 $7,995.00 $11.35 $14,950.65 $7,195.50 2026-05-07
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 11 11 $20,345.41 $20,345.41 $4,298.27 $14,685.74 $7,163.78 2026-05-07
787 MS_DRG Cesarean Section Without Sterilization With Cc 14 14 $24,596.35 $24,596.35 $3,186.00 $8,985.77 $7,104.61 2026-05-07
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 12 12 $14,942.04 $14,942.04 $4,228.04 $14,445.78 $7,046.72 2026-05-07
445 MS_DRG Disorders Of The Biliary Tract With Cc 12 12 $9,123.55 $9,123.55 $4,177.27 $9,123.55 $6,962.11 2026-05-07
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 12 12 $11,571.03 $11,571.03 $4,119.25 $8,683.24 $6,865.42 2026-05-07
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 16 16 $12,063.86 $12,063.86 $850.00 $8,622.09 $6,817.07 2026-05-07
181 MS_DRG Respiratory Neoplasms With Cc 12 12 $12,489.39 $12,489.39 $4,087.95 $12,489.39 $6,813.25 2026-05-07
300 MS_DRG Peripheral Vascular Disorders With Cc 11 11 $14,509.60 $14,509.60 $4,074.59 $13,921.52 $6,790.99 2026-05-07
184 MS_DRG Major Chest Trauma With Cc 13 13 $7,782.41 $7,782.41 $4,061.62 $16,182.41 $6,769.36 2026-05-07
784 MS_DRG Cesarean Section With Sterilization With Cc 15 15 $21,674.40 $21,674.40 $1,500.00 $8,529.56 $6,743.91 2026-05-07
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 12 12 $20,256.00 $20,256.00 $4,031.46 $13,774.16 $6,719.10 2026-05-07
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 12 12 $12,553.81 $12,553.81 $4,023.83 $12,553.81 $6,706.38 2026-05-07
600 MS_DRG Non-malignant Breast Disorders With Cc/mcc 12 12 $29,447.29 $29,447.29 $3,975.74 $13,583.76 $6,626.22 2026-05-07
J3101 HCPCS Injection, Tenecteplase, 1 Mg 30 30 $11,463.51 $11,463.51 $125.42 $21,436.76 $6,591.51 2026-05-07
71 MS_DRG Other Cerebrovascular Disorders With Cc 12 12 $9,745.81 $9,745.81 $3,916.19 $9,745.81 $6,526.98 2026-05-07
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 11 11 $11,831.34 $11,831.34 $3,905.88 $11,831.34 $6,509.80 2026-05-07
92 MS_DRG Other Disorders Of Nervous System With Cc 11 11 $23,410.66 $23,410.66 $3,904.74 $13,341.19 $6,507.90 2026-05-07
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 13 13 $9,529.01 $9,529.01 $2,500.00 $9,529.01 $6,495.17 2026-05-07
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 13 13 $9,188.54 $9,188.54 $3,884.51 $20,388.54 $6,474.18 2026-05-07
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 12 12 $8,936.36 $8,936.36 $3,874.20 $8,936.36 $6,457.00 2026-05-07
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 12 12 $36,369.22 $36,369.22 $3,870.39 $13,223.82 $6,450.64 2026-05-07
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 11 11 $15,505.46 $15,505.46 $3,856.26 $13,175.56 $6,427.10 2026-05-07
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 12 12 $15,411.34 $15,411.34 $3,827.26 $13,076.45 $6,378.76 2026-05-07
378 MS_DRG Gastrointestinal Hemorrhage With Cc 12 12 $15,312.91 $15,312.91 $3,743.28 $12,789.54 $6,238.80 2026-05-07
178 MS_DRG Respiratory Infections And Inflammations With Cc 11 11 $13,848.62 $13,848.62 $3,725.34 $12,728.25 $6,208.90 2026-05-07
202 MS_DRG Bronchitis And Asthma With Cc/mcc 12 12 $9,015.09 $9,015.09 $3,707.02 $9,015.09 $6,178.37 2026-05-07
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 12 12 $18,868.70 $18,868.70 $3,684.50 $12,588.71 $6,140.83 2026-05-07
315 MS_DRG Other Circulatory System Diagnoses With Cc 12 12 $8,729.65 $8,729.65 $3,676.87 $8,729.65 $6,128.11 2026-05-07
552 MS_DRG Medical Back Problems Without Mcc 12 12 $13,496.20 $13,496.20 $3,669.23 $12,536.54 $6,115.39 2026-05-07
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 14 14 $21,360.14 $21,360.14 $3,186.00 $7,714.50 $6,099.48 2026-05-07
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 16 16 $21,360.67 $21,360.67 $1,500.00 $7,706.46 $6,093.12 2026-05-07
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 15 15 $20,062.93 $20,062.93 $850.00 $7,700.83 $6,088.67 2026-05-07
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/mcc 12 12 $8,620.65 $8,620.65 $3,648.24 $8,620.65 $6,080.40 2026-05-07
394 MS_DRG Other Digestive System Diagnoses With Cc 12 12 $7,224.04 $7,224.04 $3,571.52 $7,224.04 $5,952.53 2026-05-07
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 12 12 $26,881.33 $26,881.33 $3,548.62 $12,124.44 $5,914.36 2026-05-07
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 12 12 $17,509.15 $17,509.15 $3,508.16 $11,986.20 $5,846.93 2026-05-07
812 MS_DRG Red Blood Cell Disorders Without Mcc 12 12 $10,437.88 $10,437.88 $3,504.72 $10,437.88 $5,841.20 2026-05-07
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 12 12 $5,837.30 $5,837.30 $4,589.88 $7,649.80 $5,837.30 2026-05-07
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 12 12 $11,080.06 $11,080.06 $3,498.23 $11,080.06 $5,830.39 2026-05-07
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 12 12 $23,634.65 $23,634.65 $3,485.64 $11,909.26 $5,809.39 2026-05-07
101 MS_DRG Seizures Without Mcc 12 12 $9,856.88 $9,856.88 $3,445.18 $9,856.88 $5,741.96 2026-05-07
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 9 $5,737.82 $5,737.82 $5,737.82 $5,737.82 $5,737.82 2026-05-07
638 MS_DRG Diabetes With Cc 12 12 $10,003.97 $10,003.97 $3,420.75 $10,003.97 $5,701.25 2026-05-07
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 12 12 $6,179.03 $6,179.03 $3,409.30 $6,179.03 $5,682.16 2026-05-07
43274 HCPCS Insertion Of Stent Into Pancreatic Or Bile Duct Using A Flexible Endoscope 31 31 $7,500.00 $7,500.00 $2,000.00 $14,025.00 $5,625.00 2026-05-07
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 12 12 $13,671.20 $13,671.20 $3,369.60 $11,512.81 $5,616.00 2026-05-07
683 MS_DRG Renal Failure With Cc 12 12 $9,494.79 $9,494.79 $3,342.88 $9,494.79 $5,571.47 2026-05-07
312 MS_DRG Syncope And Collapse 11 11 $23,250.95 $23,250.95 $3,326.85 $11,366.74 $5,544.75 2026-05-07
603 MS_DRG Cellulitis Without Mcc 11 11 $8,388.82 $8,388.82 $3,324.18 $8,388.82 $5,540.30 2026-05-07
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 12 12 $8,507.95 $8,507.95 $3,299.37 $8,507.95 $5,498.95 2026-05-07
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 12 12 $8,426.21 $8,426.21 $3,271.51 $8,426.21 $5,452.51 2026-05-07
292 MS_DRG Heart Failure And Shock With Cc 12 12 $11,413.49 $11,413.49 $3,240.59 $11,072.01 $5,400.98 2026-05-07
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 12 12 $9,048.79 $9,048.79 $3,217.69 $9,048.79 $5,362.81 2026-05-07
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 12 12 $10,044.78 $10,044.78 $3,210.82 $10,044.78 $5,351.36 2026-05-07
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 11 11 $24,484.89 $24,484.89 $3,170.36 $10,832.05 $5,283.93 2026-05-07
793 MS_DRG Full Term Neonate With Major Problems 7 7 $5,179.45 $5,179.45 $5,179.45 $5,179.45 $5,179.45 2026-05-07
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 11 11 $8,224.30 $8,224.30 $3,089.82 $8,224.30 $5,149.70 2026-05-07
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 12 12 $8,486.96 $8,486.96 $3,082.57 $8,486.96 $5,137.61 2026-05-07
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 12 12 $9,571.31 $9,571.31 $3,076.08 $9,571.31 $5,126.80 2026-05-07
176 MS_DRG Pulmonary Embolism Without Mcc 11 11 $26,443.41 $26,443.41 $3,072.64 $10,498.20 $5,121.07 2026-05-07
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 11 11 $19,266.75 $19,266.75 $3,068.45 $10,483.85 $5,114.07 2026-05-07
948 MS_DRG Signs And Symptoms Without Mcc 11 11 $20,272.88 $20,272.88 $3,055.47 $10,439.51 $5,092.44 2026-05-07
69 MS_DRG Transient Ischemia Without Thrombolytic 12 12 $36,460.87 $36,460.87 $3,048.98 $10,417.34 $5,081.63 2026-05-07
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 11 11 $23,859.36 $23,859.36 $3,039.44 $10,384.74 $5,065.73 2026-05-07
389 MS_DRG Gastrointestinal Obstruction With Cc 12 12 $9,861.36 $9,861.36 $3,014.63 $9,861.36 $5,024.38 2026-05-07
694 MS_DRG Urinary Stones Without Mcc 12 12 $8,116.03 $8,116.03 $2,983.71 $8,116.03 $4,972.85 2026-05-07
12678201_1 CDM Operating Room Services - General Classification 17 17 $5,835.00 $5,835.00 $816.90 $5,543.25 $4,959.75 2026-05-07
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 12 12 $8,305.22 $8,305.22 $2,975.69 $8,305.22 $4,959.49 2026-05-07
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 12 12 $11,868.22 $11,868.22 $2,970.35 $10,148.69 $4,950.58 2026-05-07
1378484_1 CDM Operating Room Services - General Classification 17 17 $5,665.00 $5,665.00 $793.10 $5,381.75 $4,815.25 2026-05-07
305 MS_DRG Hypertension Without Mcc 12 12 $8,893.84 $8,893.84 $2,882.18 $8,893.84 $4,803.63 2026-05-07
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 13 13 $12,160.82 $12,160.82 $1,800.00 $6,066.68 $4,796.63 2026-05-07
881 MS_DRG Depressive Neuroses 12 12 $4,782.16 $4,782.16 $3,591.37 $5,985.61 $4,782.16 2026-05-07
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 12 12 $7,695.68 $7,695.68 $2,860.04 $7,695.68 $4,766.73 2026-05-07
76 MS_DRG Viral Meningitis Without Cc/mcc 12 12 $5,695.25 $5,695.25 $2,858.13 $5,695.25 $4,763.55 2026-05-07
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 30 30 $7,867.09 $7,867.09 $1,656.92 $14,711.45 $4,756.75 2026-05-07
58550 HCPCS Removal Of Uterus Through Vagina Using An Endoscope, 250.0 G Or Less 31 31 $5,282.23 $5,282.23 $1,584.67 $12,839.22 $4,754.01 2026-05-07
81 MS_DRG Nontraumatic Stupor And Coma Without Mcc 12 12 $4,711.73 $4,711.73 $3,418.46 $5,697.43 $4,711.73 2026-05-07
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 12 12 $9,586.85 $9,586.85 $2,808.13 $9,586.85 $4,680.21 2026-05-07
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 13 13 $12,923.19 $12,923.19 $2,500.00 $9,486.20 $4,627.41 2026-05-07
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 12 12 $6,638.73 $6,638.73 $2,760.04 $6,638.73 $4,600.06 2026-05-07
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 12 12 $6,306.76 $6,306.76 $2,754.31 $6,306.76 $4,590.52 2026-05-07
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 12 12 $5,333.75 $5,333.75 $2,747.06 $5,333.75 $4,578.43 2026-05-07
47379 HCPCS Other Procedure On Liver Using An Endoscope 8 8 $1,700.00 $1,700.00 $680.00 $4,890.60 $4,446.00 2026-05-07
49329 HCPCS Other Procedure On Abdomen Using An Endoscope 8 8 $1,618.00 $1,618.00 $647.20 $4,890.60 $4,446.00 2026-05-07
44238 HCPCS Other Procedure On Bowel Using An Endoscope 8 8 $1,777.00 $1,777.00 $710.80 $4,890.60 $4,446.00 2026-05-07
J1569 HCPCS Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 30 30 $7,637.83 $7,637.83 $39.92 $14,282.75 $4,391.75 2026-05-07
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 12 12 $15,442.43 $15,442.43 $2,612.32 $8,925.42 $4,353.87 2026-05-07
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 13 13 $5,565.93 $5,565.93 $2,603.54 $12,915.93 $4,339.23 2026-05-07
36557 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (younger Than 5 Years) 48 31 $8,800.00 $8,800.00 $197.66 $16,456.00 $4,325.31 2026-05-07
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 14 14 $10,958.20 $10,958.20 $1,180.00 $5,424.61 $4,288.98 2026-05-07
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 12 12 $5,202.19 $5,202.19 $2,498.96 $5,202.19 $4,164.93 2026-05-07
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 12 12 $12,838.04 $12,838.04 $2,477.20 $8,463.76 $4,128.67 2026-05-07
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 10 10 $11,469.22 $11,469.22 $2,406.21 $5,072.20 $4,010.34 2026-05-07
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 11 11 $10,819.43 $10,819.43 $2,398.95 $8,196.42 $3,998.25 2026-05-07
950 MS_DRG Aftercare Without Cc/mcc 11 11 $9,051.53 $9,051.53 $2,395.90 $8,185.99 $3,993.16 2026-05-07
639 MS_DRG Diabetes Without Cc/mcc 12 12 $6,370.54 $6,370.54 $2,371.09 $6,370.54 $3,951.81 2026-05-07
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 12 12 $28,599.19 $28,599.19 $2,354.68 $8,045.14 $3,924.46 2026-05-07
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 7 $3,915.65 $3,915.65 $3,915.65 $3,915.65 $3,915.65 2026-05-07
916 MS_DRG Allergic Reactions Without Mcc 12 12 $3,779.73 $3,779.73 $2,543.23 $4,238.72 $3,779.73 2026-05-07
792 MS_DRG Prematurity Without Major Problems 8 8 $3,692.24 $3,692.24 $3,692.24 $9,348.47 $3,692.24 2026-05-07
13827002_1 CDM Ventralex St10x13 Mesh 17 17 $4,300.00 $4,300.00 $602.00 $4,085.00 $3,655.00 2026-05-07
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 12 12 $3,654.88 $3,654.88 $3,654.88 $6,198.72 $3,654.88 2026-05-07
761 MS_DRG Menstrual And Other Female Reproductive System Disorders Without Cc/mcc 12 12 $7,069.82 $7,069.82 $2,174.13 $7,069.82 $3,623.56 2026-05-07
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 12 12 $8,175.06 $8,175.06 $2,160.78 $7,382.65 $3,601.29 2026-05-07
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 12 12 $7,803.83 $7,803.83 $2,076.42 $7,094.43 $3,460.70 2026-05-07
13855745_1 CDM Nsv5kitus Ablation Device 17 17 $3,974.18 $3,974.18 $556.39 $3,775.47 $3,378.05 2026-05-07
12542784_1 CDM Hemostat Absorbable 17 17 $3,943.00 $3,943.00 $552.02 $3,745.85 $3,351.55 2026-05-07
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 12 12 $3,943.10 $3,943.10 $1,995.88 $3,943.10 $3,326.47 2026-05-07
12542849_1 CDM Contour Blue Reload Cr40b 17 17 $3,911.00 $3,911.00 $547.54 $3,715.45 $3,324.35 2026-05-07
12542850_1 CDM Contour Green Reload Cr40g 17 17 $3,911.00 $3,911.00 $547.54 $3,715.45 $3,324.35 2026-05-07
791 MS_DRG Prematurity With Major Problems 7 7 $3,220.66 $3,220.66 $3,220.66 $3,220.66 $3,220.66 2026-05-07
12542497_1 CDM Echelon Reload White 17 17 $3,477.00 $3,477.00 $486.78 $3,303.15 $2,955.45 2026-05-07
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 12 12 $2,919.94 $2,919.94 $2,919.94 $8,155.55 $2,919.94 2026-05-07
47531 HCPCS Injection Of Bile Duct For X-ray Through Already Existing Skin Access Using Imag… 31 31 $3,167.21 $3,167.21 $950.16 $7,603.89 $2,850.49 2026-05-07
12542963_1 CDM Eea 29mm 17 17 $3,317.00 $3,317.00 $464.38 $3,151.15 $2,819.45 2026-05-07
12542911_1 CDM Kidney Shaped Balloon Trocar 17 17 $3,219.00 $3,219.00 $450.66 $3,058.05 $2,736.15 2026-05-07
59412 HCPCS Turning Of Fetus Through External Manipulation 43 31 $3,500.00 $3,500.00 $60.79 $6,874.86 $2,690.16 2026-05-07
1378487_1 CDM Operating Room Services - General Classification 17 17 $3,142.00 $3,142.00 $439.88 $2,984.90 $2,670.70 2026-05-07
30310 HCPCS Removal Of Foreign Body In Nose Under Anesthesia 31 31 $2,947.45 $2,947.45 $1,000.00 $7,041.22 $2,652.71 2026-05-07
26727 HCPCS Placement Of Stabilizing Device For Broken Finger Or Thumb At Midportion Or Part… 48 31 $4,142.00 $4,142.00 $289.58 $7,745.54 $2,595.82 2026-05-07
31525 HCPCS Diagnostic Exam Of Voice Box Using An Endoscope 31 31 $3,425.00 $3,425.00 $1,000.00 $6,404.75 $2,568.75 2026-05-07
73720 HCPCS MRI Scan Of Leg Before And After Contrast 61 31 $3,664.00 $3,664.00 $289.93 $6,851.68 $2,525.00 2026-05-07
G0419 HCPCS Bill Only Prostate Biopsy >60 23 23 $2,786.00 $2,786.00 $835.80 $5,209.82 $2,507.40 2026-05-07
49521 HCPCS Repair Of Trapped Or Strangulated Groin Hernia 31 31 $1,530.00 $1,530.00 $459.00 $13,748.80 $2,490.54 2026-05-07
601 MS_DRG Non-malignant Breast Disorders Without Cc/mcc 12 12 $2,478.60 $2,478.60 $2,309.25 $3,848.76 $2,478.60 2026-05-07
12542759_1 CDM Platelets Filter 17 17 $2,897.00 $2,897.00 $405.58 $2,752.15 $2,462.45 2026-05-07
36558 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 51 31 $5,083.00 $5,083.00 $152.85 $9,505.21 $2,398.51 2026-05-07
J0875 HCPCS Injection, Dalbavancin, 5 Mg 30 30 $4,125.43 $4,125.43 $13.50 $7,714.56 $2,372.12 2026-05-07
59618 HCPCS Cesarean Delivery And Care Before And After Delivery Following Attempted Vaginal… 12 12 $6,400.00 $6,400.00 $1,603.97 $5,760.00 $2,291.39 2026-05-07
59510 HCPCS Cesarean Delivery With Care Before And After Delivery 12 12 $5,975.00 $5,975.00 $1,587.01 $5,377.50 $2,267.15 2026-05-07
28113 HCPCS Complete Removal Of Foot Bone At Fifth Toe Joint 96 31 $1,709.98 $1,709.98 $262.65 $15,265.37 $2,204.06 2026-05-07
1378486_1 CDM Operating Room Services - General Classification 17 17 $2,575.00 $2,575.00 $360.50 $2,446.25 $2,188.75 2026-05-07
59610 HCPCS Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli… 12 12 $2,500.00 $2,500.00 $1,000.00 $3,417.23 $2,135.77 2026-05-07
13888668_1 CDM Dermaclose 17 17 $2,500.00 $2,500.00 $350.00 $2,375.00 $2,125.00 2026-05-07
794 MS_DRG Neonate With Other Significant Problems 8 8 $2,064.70 $2,064.70 $2,064.70 $5,633.44 $2,064.70 2026-05-07
28208 HCPCS Repair Of Tendon Of Top Side Of Foot 31 31 $1,094.45 $1,094.45 $328.34 $6,948.92 $2,046.62 2026-05-07
12542817_1 CDM Structural Trocar 17 17 $2,395.00 $2,395.00 $335.30 $2,275.25 $2,035.75 2026-05-07
59400 HCPCS Vaginal Delivery With Care Before And After Delivery 12 12 $4,250.00 $4,250.00 $1,424.85 $3,825.00 $2,035.50 2026-05-07
12542943_1 CDM Endostitch Reload Suture 17 17 $2,394.00 $2,394.00 $335.16 $2,274.30 $2,034.90 2026-05-07
G0418 HCPCS Bill Only Prostate Biopsy 41-60 23 23 $2,228.00 $2,228.00 $668.40 $4,166.36 $2,005.20 2026-05-07
14637770_1 CDM Puraply 2x4 17 17 $2,250.00 $2,250.00 $315.00 $2,137.50 $1,912.50 2026-05-07
951 MS_DRG Other Factors Influencing Health Status 13 13 $2,724.12 $2,724.12 $1,884.12 $5,034.12 $1,884.12 2026-05-07
44157 HCPCS Removal Of Large Bowel And Rectum With Attachment Of Small Bowel To Anus 17 17 $4,275.00 $4,275.00 $1,317.34 $3,847.50 $1,881.91 2026-05-07
12542844_1 CDM Eea Ecs33a 17 17 $2,198.00 $2,198.00 $307.72 $2,088.10 $1,868.30 2026-05-07
11426 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More … 95 31 $1,611.00 $1,611.00 $158.70 $10,044.61 $1,857.40 2026-05-07
12543978_1 CDM Gammaguard 10 Gram 17 17 $2,185.00 $2,185.00 $305.90 $2,075.75 $1,857.25 2026-05-07
7962539_3 CDM Rev - Ihs-moa Clinic Visit 17 17 $2,148.00 $2,148.00 $300.72 $2,040.60 $1,825.80 2026-05-07
44146 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Large … 12 12 $3,595.00 $3,595.00 $1,259.73 $3,235.50 $1,799.61 2026-05-07
44155 HCPCS Removal Of Large Bowel And Rectum And Creation Of Opening From End Of Small Bowe… 17 17 $3,662.00 $3,662.00 $1,245.08 $3,295.80 $1,778.68 2026-05-07
J0897 HCPCS Injection, Denosumab, 1 Mg 31 30 $4,405.70 $4,405.70 $19.28 $8,238.66 $1,762.28 2026-05-07
27339 HCPCS Removal Of Growth Of Muscle Of Thigh Or Knee, 5.0 Cm Or More 26 17 $6,193.50 $6,193.50 $458.67 $5,574.15 $1,703.22 2026-05-07
21933 HCPCS Removal Of Growth Of Muscle Of Back Or Lower Sides, 5.0 Cm Or More 26 17 $6,162.85 $6,162.85 $449.67 $5,546.57 $1,694.78 2026-05-07
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 30 30 $2,931.09 $2,931.09 $9.09 $5,481.13 $1,685.38 2026-05-07
44208 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Openin… 12 12 $3,351.60 $3,351.60 $1,174.61 $3,016.44 $1,678.02 2026-05-07
12542689_1 CDM Blood Glucose Strip 17 17 $1,968.00 $1,968.00 $275.52 $1,869.60 $1,672.80 2026-05-07
12345781_1 CDM Hemabate 250 Mcg/ml Ampul 17 17 $1,939.50 $1,939.50 $271.53 $1,842.53 $1,648.58 2026-05-07
7961772_3 CDM Rev - Ihs-moa Clinic Visit 17 17 $1,937.00 $1,937.00 $271.18 $1,840.15 $1,646.45 2026-05-07
44147 HCPCS Partial Removal Of Large Bowel Through Abdomen And Anus 12 12 $2,823.00 $2,823.00 $1,129.20 $2,619.15 $1,636.97 2026-05-07
47360 HCPCS Control Of Bleeding Of Wound Of Liver With Complex Suture 17 17 $3,451.00 $3,451.00 $1,127.57 $3,105.90 $1,610.82 2026-05-07
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 31 31 $2,126.00 $2,126.00 $637.80 $3,975.62 $1,594.50 2026-05-07
14637771_1 CDM Puraply 2x2 17 17 $1,875.00 $1,875.00 $262.50 $1,781.25 $1,593.75 2026-05-07
49561 HCPCS Repair Initial Incisional Or Ventral Hernia; Incarcerated Or Strangulated 31 31 $1,849.00 $1,849.00 $186.70 $3,457.63 $1,571.65 2026-05-07
44141 HCPCS Partial Removal Of Large Bowel With Creation Of Opening To Skin 17 17 $2,735.00 $2,735.00 $1,093.56 $2,499.57 $1,562.23 2026-05-07
28112 HCPCS Removal Of Toe Bone At Second, Third, Or Fourth Joints 26 17 $712.75 $712.75 $192.22 $7,114.53 $1,541.48 2026-05-07
44207 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope 12 12 $3,502.00 $3,502.00 $1,077.05 $3,151.80 $1,538.64 2026-05-07
11044 HCPCS Removal Of Bone, 20.0 Sq Cm Or Less 96 31 $2,953.72 $2,953.72 $132.36 $7,890.65 $1,525.04 2026-05-07
7962822_3 CDM Rev - Ihs-moa Clinic Visit 17 17 $1,793.00 $1,793.00 $251.02 $1,703.35 $1,524.05 2026-05-07
7963118_3 CDM Rev - Ihs-moa Clinic Visit 17 17 $1,782.00 $1,782.00 $249.48 $1,692.90 $1,514.70 2026-05-07
44144 HCPCS Partial Removal Of Large Bowel With Creation Of 2 Openings From Small Or Large B… 17 17 $2,781.00 $2,781.00 $1,059.94 $2,502.90 $1,514.20 2026-05-07
12543401_1 CDM Ez Io Needle 25mmx15ga 17 17 $1,757.50 $1,757.50 $246.05 $1,669.63 $1,493.88 2026-05-07
12543413_1 CDM Ez Io Needle 15mmx15ga 17 17 $1,757.50 $1,757.50 $246.05 $1,669.63 $1,493.88 2026-05-07
27752 HCPCS Closed Treatment Of Middle Part Of Broken Shin Bone With Manipulation 63 31 $3,158.00 $3,158.00 $317.79 $5,937.25 $1,484.77 2026-05-07
11420 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 0.5 C… 179 31 $1,986.16 $1,986.16 $48.83 $7,284.88 $1,484.00 2026-05-07
12542919_1 CDM Port-a-cath Tray 8.5 Fr 17 17 $1,735.63 $1,735.63 $242.99 $1,648.85 $1,475.29 2026-05-07
C1781 HCPCS Mesh (implantable) 323 17 $1,630.25 $1,630.25 $143.10 $15,530.35 $1,467.23 2026-05-07
90381 HCPCS Respiratory Syncytial Virus Antibody, 1.0 Ml Dosage For Injection Into Muscle 23 23 $1,600.00 $1,600.00 $480.00 $2,992.00 $1,440.00 2026-05-07
90380 HCPCS Respiratory Syncytial Virus Antibody, 0.5 Ml Dosage For Injection Into Muscle 23 23 $1,600.00 $1,600.00 $480.00 $2,992.00 $1,440.00 2026-05-07
J0248 HCPCS Injection, Remdesivir, 1 Mg 30 30 $1,597.45 $1,597.45 $6.21 $2,987.23 $1,437.71 2026-05-07
54163 HCPCS Repair Of Incomplete Removal Of Foreskin 48 31 $1,854.00 $1,854.00 $134.14 $4,439.46 $1,418.98 2026-05-07
20240 HCPCS Biopsy Of Surface Bone 112 31 $624.00 $624.00 $83.69 $9,638.97 $1,417.47 2026-05-07
44143 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin 17 17 $3,013.00 $3,013.00 $991.84 $2,711.70 $1,416.91 2026-05-07
44145 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum 12 12 $3,333.00 $3,333.00 $986.31 $2,999.70 $1,409.01 2026-05-07
27355 HCPCS Removal Of Cyst Or Growth Of Thigh Bone 31 31 $1,643.00 $1,643.00 $186.70 $5,229.24 $1,396.55 2026-05-07
21602 HCPCS Removal Of Growth Of Chest Wall And Rib With Reconstruction 17 17 $2,884.00 $2,884.00 $976.77 $3,172.40 $1,395.38 2026-05-07
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