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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

SOUTH SUNFLOWER COUNTY HOSPITAL

Indianola, MS · CCN 250095 · Rates published

3,283 distinct procedures filed
11 distinct payers
27,003 rate rows
2026-04-08 last MRF observed
Data quality

25,476 of 27,003 rate rows are consumer-grade (94.3%)

1,527 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 785
per-diem day rate — not a per-procedure price 632
exceeds 10× this hospital's gross charge — excluded from medians 55
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 33
percent-of-charges filed in the dollar field — excluded from medians 12
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6
exceeds 3× this hospital's gross charge for a DRG stay — excluded 3
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSSCHINDIANOLAMS&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/SouthSunflower_V3.aspx?sub=Patients%20and%20Visitors
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-18
Content fingerprint fd5dc147ff2d12f5… · 9,636,748 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $43,264.76 $57,804.19 $50,534.48 nat. median
$62,721
0.8× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 2 $28,772.02 $64,737.06 $46,754.54 nat. median
$42,662
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $40,278.33 $51,860.89 $46,069.61 nat. median
$59,384
0.8× median
C1882
HCPCS 		Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 5 $32,175.00 $93,522.00 $36,465.00 nat. median
$27,370
1.3× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 $30,807.63 $40,851.89 $35,829.76 nat. median
$45,264
0.8× median
C1721
HCPCS 		Cardioverter-defibrillator, Dual Chamber (implantable) 5 $29,700.00 $88,726.00 $34,595.00 nat. median
$22,368
1.5× median
C1722
HCPCS 		Cardioverter-defibrillator, Single Chamber (implantable) 5 $24,750.00 $71,940.00 $28,050.00 nat. median
$20,902
1.3× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 $20,271.55 $34,454.19 $27,362.87 nat. median
$30,215
0.9× median
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 2 $17,842.85 $30,163.39 $24,003.12 nat. median
$26,758
0.9× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 2 $14,541.56 $32,718.52 $23,630.04 nat. median
$21,152
1.1× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 $17,205.63 $22,490.68 $19,848.15 nat. median
$25,409
0.8× median
592
MS_DRG 		Skin Ulcers With Mcc 2 $12,114.11 $27,256.75 $19,685.43 nat. median
$18,752
1.0× median
902
MS_DRG 		Wound Debridements For Injuries With Cc 2 $11,983.91 $24,944.28 $18,464.10 nat. median
$18,451
1.0× median
441
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 $11,234.01 $25,276.54 $18,255.28 nat. median
$17,437
1.0× median
906
MS_DRG 		Hand Procedures For Injuries 2 $11,031.83 $24,821.62 $17,926.72 nat. median
$19,238
0.9× median
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 2 $10,993.02 $24,734.30 $17,863.66 nat. median
$17,070
1.0× median
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 2 $10,923.54 $24,577.97 $17,750.76 nat. median
$15,491
1.1× median
580
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 2 $10,816.50 $24,337.13 $17,576.82 nat. median
$16,866
1.0× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 2 $13,636.42 $20,910.65 $17,273.53 nat. median
$31,243
0.6× median
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 2 $10,040.94 $22,592.13 $16,316.53 nat. median
$15,670
1.0× median
917
MS_DRG 		Poisoning And Toxic Effects Of Drugs With Mcc 2 $9,817.48 $22,089.33 $15,953.41 nat. median
$14,584
1.1× median
98
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 2 $14,365.04 $17,306.45 $15,835.75 nat. median
$21,174
0.7× median
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc 2 $10,204.32 $20,936.31 $15,570.32 nat. median
$15,979
1.0× median
337
MS_DRG 		Peritoneal Adhesiolysis Without Cc/mcc 2 $9,608.41 $21,169.69 $15,389.05 nat. median
$15,132
1.0× median
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 2 $10,355.80 $20,125.66 $15,240.73 nat. median
$15,915
1.0× median
283
MS_DRG 		Acute Myocardial Infarction, Expired With Mcc 2 $12,398.92 $17,996.02 $15,197.47 nat. median
$18,846
0.8× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 $12,159.18 $18,142.01 $15,150.59 nat. median
$18,659
0.8× median
811
MS_DRG 		Red Blood Cell Disorders With Mcc 2 $8,790.29 $19,778.15 $14,284.22 nat. median
$13,626
1.0× median
548
MS_DRG 		Septic Arthritis With Mcc 2 $12,086.57 $16,421.05 $14,253.81 nat. median
$18,749
0.8× median
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 2 $11,098.81 $17,374.44 $14,236.62 nat. median
$16,931
0.8× median
C1785
HCPCS 		Pacemaker, Dual Chamber, Rate-responsive (implantable) 5 $7,590.00 $38,551.67 $14,147.40 nat. median
$6,717
outlier · 2.1×
557
MS_DRG 		Tendonitis, Myositis And Bursitis With Mcc 2 $9,307.32 $18,369.24 $13,838.28 nat. median
$14,502
1.0× median
419
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 2 $8,549.29 $18,929.22 $13,739.26 nat. median
$13,553
1.0× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 2 $8,227.55 $18,512.00 $13,369.77 nat. median
$12,877
1.0× median
637
MS_DRG 		Diabetes With Mcc 2 $8,993.10 $17,195.34 $13,094.22 nat. median
$13,970
0.9× median
291
MS_DRG 		Heart Failure And Shock With Mcc 2 $8,036.01 $18,081.03 $13,058.52 nat. median
$12,775
1.0× median
535
MS_DRG 		Fractures Of Hip And Pelvis With Mcc 2 $8,024.74 $18,055.68 $13,040.21 nat. median
$12,831
1.0× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 2 $9,781.80 $16,258.99 $13,020.40 nat. median
$15,405
0.8× median
299
MS_DRG 		Peripheral Vascular Disorders With Mcc 2 $10,219.97 $15,633.21 $12,926.59 nat. median
$15,769
0.8× median
947
MS_DRG 		Signs And Symptoms With Mcc 2 $7,945.87 $17,878.22 $12,912.05 nat. median
$12,113
1.1× median
175
MS_DRG 		Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 2 $8,598.12 $17,139.15 $12,868.64 nat. median
$13,735
0.9× median
581
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 2 $9,033.16 $16,436.21 $12,734.68 nat. median
$14,162
0.9× median
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 2 $7,733.05 $17,399.36 $12,566.21 nat. median
$12,282
1.0× median
100
MS_DRG 		Seizures With Mcc 2 $12,123.50 $12,948.64 $12,536.07 nat. median
$18,371
0.7× median
375
MS_DRG 		Digestive Malignancy With Cc 2 $7,571.55 $17,035.99 $12,303.77 nat. median
$12,163
1.0× median
593
MS_DRG 		Skin Ulcers With Cc 2 $7,425.70 $16,707.84 $12,066.77 nat. median
$11,952
1.0× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 2 $8,360.26 $15,638.62 $11,999.44 nat. median
$12,851
0.9× median
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 2 $7,262.96 $16,341.65 $11,802.31 nat. median
$11,515
1.0× median
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 2 $8,109.87 $15,435.82 $11,772.84 nat. median
$12,550
0.9× median
682
MS_DRG 		Renal Failure With Mcc 2 $9,270.39 $13,965.12 $11,617.76 nat. median
$14,443
0.8× median

Other procedures at this hospital

Browse this hospital's 3,283 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
             
01967 HCPCS Anesthesia For Labor During Planned Vaginal Delivery 4 4 $7.80 — $6.63 $539.29 $533.95 2026-04-08
100 MS_DRG Seizures With Mcc 2 2 $12,948.64 $810,526.56 $12,123.50 $12,948.64 $12,536.07 2026-04-08
10005 HCPCS Fine Needle Aspiration Biopsy Using Ultrasound Guidance, First Growth 10 10 $953.31 $653.87 31% off $488.61 $2,078.22 $762.64 2026-04-08
10080 HCPCS Simple Drainage Of Cyst Of Tailbone 18 11 $869.01 $653.87 25% off $95.30 $1,894.44 $538.84 2026-04-08
10081 HCPCS Complicated Drainage Of Cyst Of Tailbone 18 11 $869.01 $653.87 25% off $154.60 $1,894.44 $536.16 2026-04-08
101 MS_DRG Seizures Without Mcc 2 2 $10,299.09 $644,676.38 $5,649.87 $10,299.09 $7,974.48 2026-04-08
10121 HCPCS Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Complex 17 11 $2,063.25 $1,525.04 26% off $158.66 $4,497.89 $1,234.68 2026-04-08
10140 HCPCS Drainage Of Blood Or Fluid Accumulation 17 11 $2,063.25 $1,525.04 26% off $85.39 $4,497.89 $1,099.43 2026-04-08
10180 HCPCS Complex Drainage Of Wound Infection After Surgery 17 11 $3,567.44 $2,682.13 25% off $159.63 $7,777.02 $2,180.98 2026-04-08
11044 HCPCS Removal Of Bone, 20.0 Sq Cm Or Less 18 11 $2,063.25 $1,525.04 26% off $162.08 $4,497.89 $1,234.68 2026-04-08
15002 HCPCS Preparation Of Skin Graft Site Of Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Body A… 17 11 $3,498.52 $682.44 80% off $183.55 $7,626.77 $1,393.94 2026-04-08
15110 HCPCS Outer Layer Self Skin Graft Of Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Body Area… 18 11 $2,323.44 $1,905.17 $618.79 $5,065.10 $1,393.94 2026-04-08
15111 HCPCS Outer Layer Self Skin Graft To Trunk, Arms, Or Legs, Each Additional 100.0 Sq Cm… 7 7 $1,161.72 $84.58 93% off $84.58 $2,532.55 $987.46 2026-04-08
15271 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C… 18 11 $2,323.44 $682.44 71% off $70.63 $5,065.10 $1,046.26 2026-04-08
15273 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.… 18 11 $4,149.20 $1,905.17 54% off $161.12 $9,045.26 $2,144.97 2026-04-08
15275 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 18 11 $2,323.44 $682.44 71% off $71.16 $5,065.10 $991.12 2026-04-08
15277 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout… 18 11 $2,323.44 $1,905.17 $185.17 $5,065.10 $1,299.79 2026-04-08
158 MS_DRG Dental And Oral Diseases With Cc 2 2 $15,026.41 $940,585.65 $5,694.94 $12,813.61 $9,254.27 2026-04-08
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 2 2 $7,221.18 $452,013.37 $4,434.89 $7,221.18 $5,828.03 2026-04-08
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 2 2 $17,139.15 $1,072,833.79 $8,598.12 $17,139.15 $12,868.64 2026-04-08
176 MS_DRG Pulmonary Embolism Without Mcc 2 2 $10,812.25 $676,798.35 $5,038.94 $10,812.25 $7,925.59 2026-04-08
177 MS_DRG Respiratory Infections And Inflammations With Mcc 2 2 $16,258.99 $1,017,739.52 $9,781.80 $16,258.99 $13,020.40 2026-04-08
178 MS_DRG Respiratory Infections And Inflammations With Cc 2 2 $19,270.32 $1,206,235.48 $6,109.32 $13,745.97 $9,927.65 2026-04-08
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 2 2 $32,496.91 $2,034,160.33 $4,725.96 $10,633.41 $7,679.68 2026-04-08
180 MS_DRG Respiratory Neoplasms With Mcc 2 2 $10,000.10 $625,961.26 $10,000.10 $11,054.37 $10,527.24 2026-04-08
184 MS_DRG Major Chest Trauma With Cc 2 2 $15,035.97 $941,184.06 $6,660.79 $14,986.77 $10,823.78 2026-04-08
187 MS_DRG Pleural Effusion With Cc 2 2 $25,321.34 $1,585,001.94 $6,191.32 $13,930.47 $10,060.90 2026-04-08
189 MS_DRG Pulmonary Edema And Respiratory Failure 2 2 $22,811.93 $1,427,923.91 $7,733.05 $17,399.36 $12,566.21 2026-04-08
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 2 2 $22,668.63 $1,418,954.07 $6,933.70 $15,600.84 $11,267.27 2026-04-08
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 2 2 $18,033.06 $1,128,788.26 $5,276.80 $11,872.80 $8,574.80 2026-04-08
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 2 2 $17,497.50 $1,095,264.74 $4,018.63 $9,041.92 $6,530.27 2026-04-08
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 2 2 $18,781.51 $1,175,637.90 $8,227.55 $18,512.00 $13,369.77 2026-04-08
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 2 2 $16,445.17 $1,029,393.81 $5,044.57 $11,350.29 $8,197.43 2026-04-08
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 2 2 $15,683.55 $981,719.52 $3,934.13 $8,851.79 $6,392.96 2026-04-08
197 MS_DRG Interstitial Lung Disease With Cc 2 2 $9,064.77 $567,413.81 $5,940.94 $9,064.77 $7,502.85 2026-04-08
200 MS_DRG Pneumothorax With Cc 2 2 $6,511.83 $407,611.25 $6,511.83 $6,881.12 $6,696.48 2026-04-08
20103 HCPCS Exploration Of Wound Of Arm Or Leg 7 7 $478.65 $292.62 39% off $292.62 $1,247.03 $529.05 2026-04-08
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 2 2 $14,613.49 $914,738.71 $4,193.90 $9,436.27 $6,815.09 2026-04-08
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 $51,860.89 $3,246,258.34 $40,278.33 $51,860.89 $46,069.61 2026-04-08
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 2 $22,490.68 $1,407,815.11 $17,205.63 $22,490.68 $19,848.15 2026-04-08
23655 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia 7 7 $567.13 $378.01 33% off $347.32 $1,231.77 $604.82 2026-04-08
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 $40,851.89 $2,557,144.48 $30,807.63 $40,851.89 $35,829.76 2026-04-08
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 2 2 $30,163.39 $1,888,092.48 $17,842.85 $30,163.39 $24,003.12 2026-04-08
24535 HCPCS Closed Treatment Of Upper Arm Bone Broken At Elbow With Manipulation 7 7 $794.16 $512.48 35% off $512.48 $1,231.77 $819.97 2026-04-08
24577 HCPCS Closed Treatment Of Broken Elbow With Manipulation 7 7 $650.00 $451.18 31% off $451.18 $721.89 $670.63 2026-04-08
24605 HCPCS Repair Of Dislocated Elbow Under Anesthesia 7 7 $883.52 $433.32 51% off $428.47 $1,231.77 $750.99 2026-04-08
264 MS_DRG Other Circulatory System O.r. Procedures 2 2 $13,636.42 $853,578.53 $13,636.42 $20,910.65 $17,273.53 2026-04-08
27752 HCPCS Closed Treatment Of Middle Part Of Broken Shin Bone With Manipulation 7 7 $750.00 $453.99 39% off $453.99 $726.38 $670.63 2026-04-08
27781 HCPCS Closed Treatment Of Broken Middle Or Upper End Of Outside Lower Leg Bone With Ma… 7 7 $554.32 $368.15 34% off $368.15 $1,231.77 $589.04 2026-04-08
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 2 2 $23,304.26 $1,458,742.02 $10,040.94 $22,592.13 $16,316.53 2026-04-08
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 2 2 $18,848.69 $1,179,842.86 $5,753.15 $12,944.60 $9,348.88 2026-04-08
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 2 2 $17,996.02 $1,126,469.87 $12,398.92 $17,996.02 $15,197.47 2026-04-08
291 MS_DRG Heart Failure And Shock With Mcc 2 2 $19,684.67 $1,232,171.78 $8,036.01 $18,081.03 $13,058.52 2026-04-08
292 MS_DRG Heart Failure And Shock With Cc 2 2 $9,419.47 $589,616.43 $5,314.36 $9,419.47 $7,366.91 2026-04-08
299 MS_DRG Peripheral Vascular Disorders With Mcc 2 2 $15,633.21 $978,568.28 $10,219.97 $15,633.21 $12,926.59 2026-04-08
303 MS_DRG Atherosclerosis Without Mcc 2 2 $21,004.83 $1,314,807.84 $4,213.93 $9,481.34 $6,847.64 2026-04-08
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 2 2 $8,567.43 $536,282.56 $7,536.50 $8,567.43 $8,051.97 2026-04-08
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 2 2 $10,367.70 $648,971.12 $4,605.15 $10,361.59 $7,483.37 2026-04-08
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 2 2 $7,642.00 $478,354.50 $3,543.53 $7,642.00 $5,592.76 2026-04-08
313 MS_DRG Chest Pain 2 2 $7,896.92 $494,311.66 $4,506.88 $7,896.92 $6,201.90 2026-04-08
315 MS_DRG Other Circulatory System Diagnoses With Cc 2 2 $20,704.20 $1,295,989.75 $6,029.82 $13,567.11 $9,798.47 2026-04-08
3150010 CDM Room & Board - Private (one Bed) - General Classification 5 5 $750.00 — $562.50 $638.18 $631.88 2026-04-08
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 2 2 $2,774.14 $173,648.68 $2,774.14 $4,269.64 $3,521.89 2026-04-08
32556 HCPCS Drainage Of Fluid From Chest Cavity With Insertion Of Indwelling Tube 7 7 $992.37 $106.16 89% off $106.16 $1,460.04 $843.51 2026-04-08
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 2 $128,635.21 — $28,772.02 $64,737.06 $46,754.54 2026-04-08
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 2 2 $21,169.69 $1,325,127.33 $9,608.41 $21,169.69 $15,389.05 2026-04-08
3400010 CDM Intensive Care Unit - General Classification 5 5 $980.00 — $735.00 $833.88 $825.65 2026-04-08
3651300 CDM Recovery Room - General Classification 6 6 $696.50 — $383.08 $592.03 $539.79 2026-04-08
3651330 CDM Recovery Room - General Classification 6 6 $804.25 — $442.34 $683.61 $623.30 2026-04-08
3651400 CDM Recovery Room - General Classification 6 6 $911.25 — $501.19 $774.56 $706.22 2026-04-08
3651430 CDM Recovery Room - General Classification 6 6 $1,018.50 — $560.18 $865.73 $789.34 2026-04-08
3651500 CDM Recovery Room - General Classification 6 6 $1,125.50 — $619.03 $956.68 $872.26 2026-04-08
3651530 CDM Recovery Room - General Classification 6 6 $1,232.00 — $677.60 $1,047.20 $954.80 2026-04-08
3651600 CDM Recovery Room - General Classification 6 6 $1,340.00 — $737.00 $1,139.00 $1,038.50 2026-04-08
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 18 11 $5,847.26 $2,915.53 50% off $73.72 $12,747.03 $2,398.51 2026-04-08
36558 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 10 10 $4,292.49 $2,915.53 32% off $2,219.75 $9,357.63 $3,433.99 2026-04-08
36569 HCPCS Insertion Of Tube For Infusion (5 Years Or Older) 10 10 $2,109.21 $1,453.53 31% off $1,306.51 $4,598.08 $1,687.37 2026-04-08
36573 HCPCS Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, … 15 10 $2,872.32 $1,453.53 49% off $836.76 $6,261.66 $1,952.44 2026-04-08
3701010 CDM Labor Room/delivery - General Classification 6 6 $1,330.00 — $731.50 $1,130.50 $1,030.75 2026-04-08
3701020 CDM Labor Room/delivery - General Classification 6 6 $1,330.00 — $731.50 $1,130.50 $1,030.75 2026-04-08
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 2 2 $17,374.44 $1,087,561.76 $11,098.81 $17,374.44 $14,236.62 2026-04-08
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 2 2 $18,798.84 $1,176,722.79 $6,391.00 $14,379.75 $10,385.38 2026-04-08
375 MS_DRG Digestive Malignancy With Cc 2 2 $18,303.46 $1,145,714.23 $7,571.55 $17,035.99 $12,303.77 2026-04-08
3751308 CDM Orth Meniscal Stapler 6 6 $1,164.50 — $640.48 $989.83 $902.49 2026-04-08
3751322 CDM Orth Arthrex Corkscw Anc 6 6 $680.50 — $374.28 $578.43 $527.39 2026-04-08
3754180 CDM Pacemaker,ext Temp Setup 6 6 $1,688.00 — $928.40 $1,434.80 $1,308.20 2026-04-08
3755033 CDM LapChole Kit 6 6 $1,010.00 — $555.50 $858.50 $782.75 2026-04-08
3758012 CDM Anti Reflux Prosthesis 6 6 $2,679.50 — $1,473.73 $2,277.58 $2,076.61 2026-04-08
3758015 CDM Pk Endo Forceps 6 6 $1,343.75 — $739.06 $1,142.19 $1,041.40 2026-04-08
3758050 CDM Pk Open Forceps 6 6 $766.25 — $421.44 $651.31 $593.85 2026-04-08
3758080 CDM Adhesion Barrier 6 6 $720.00 — $396.00 $612.00 $558.00 2026-04-08
3758090 CDM Pk Superloop 6 6 $1,728.75 — $950.81 $1,469.44 $1,339.78 2026-04-08
3758095 CDM Pk Supersect 6 6 $1,728.75 — $950.81 $1,469.44 $1,339.78 2026-04-08
3758097 CDM Pk Seal Cutting Forcep 6 6 $1,151.25 — $633.19 $978.56 $892.22 2026-04-08
3758215 CDM Tray-gastrostomy(peg) 6 6 $856.00 — $470.80 $727.60 $663.40 2026-04-08
3758217 CDM Tube-gastrostomy(peg) 6 6 $904.75 — $497.61 $769.04 $701.18 2026-04-08
3758386 CDM Pacing System Analyzer 6 6 $1,071.75 — $589.46 $910.99 $830.61 2026-04-08
3758500 CDM Hemorrhoid Pph Set 6 6 $1,497.75 — $823.76 $1,273.09 $1,160.76 2026-04-08
3758510 CDM Abdominal Balloon 6 6 $2,895.00 — $1,592.25 $2,460.75 $2,243.62 2026-04-08
3758512 CDM Strap Band 6 6 $2,587.50 — $1,423.13 $2,199.38 $2,005.32 2026-04-08
3758555 CDM Auto Ta30 Roticul3.5/4.8 6 6 $883.00 — $485.65 $750.55 $684.33 2026-04-08
3758561 CDM Endopath Ets-flex 45 Stapler 6 6 $1,497.57 — $823.66 $1,272.93 $1,160.62 2026-04-08
3758562 CDM Endopath Ets45 Relaod Linear White 6 6 $1,324.12 — $728.27 $1,125.50 $1,026.19 2026-04-08
3758686 CDM Auto Roticulator 6 6 $1,191.50 — $655.33 $1,012.78 $923.41 2026-04-08
3758687 CDM Auto Roticulator 30 V 6 6 $1,334.25 — $733.84 $1,134.11 $1,034.05 2026-04-08
3758690 CDM Auto Eea 21 Disposable 6 6 $1,428.25 — $785.54 $1,214.01 $1,106.89 2026-04-08
3758693 CDM Auto Gia 90 Dlu 6 6 $925.00 — $508.75 $786.25 $716.88 2026-04-08
3758695 CDM Auto Eea 28 Disposable 6 6 $1,071.75 — $589.46 $910.99 $830.61 2026-04-08
3758698 CDM Auto Gia Stapler-endo 6 6 $827.00 — $454.85 $702.95 $640.92 2026-04-08
3758700 CDM Auto Eea 25 Disposable 6 6 $1,071.75 — $589.46 $910.99 $830.61 2026-04-08
3758705 CDM Auto Eea 31 Disposable 6 6 $1,071.75 — $589.46 $910.99 $830.61 2026-04-08
3758707 CDM Auto Eea 30 Curve 6 6 $1,853.00 — $1,019.15 $1,575.05 $1,436.08 2026-04-08
3758712 CDM Auto Gia 60 Stapler 6 6 $670.75 — $368.91 $570.14 $519.83 2026-04-08
3758714 CDM Auto Gia 80 Stapler 6 6 $808.00 — $444.40 $686.80 $626.20 2026-04-08
3758735 CDM Greenfield Filter 6 6 $2,858.00 — $1,571.90 $2,429.30 $2,214.95 2026-04-08
3758740 CDM Graft Vascular Bifurcate 6 6 $1,785.75 — $982.16 $1,517.89 $1,383.95 2026-04-08
3758741 CDM Graft Dualmesh 15x19 6 6 $2,822.00 — $1,552.10 $2,398.70 $2,187.05 2026-04-08
3758742 CDM Graft Dualmesh 8x12 6 6 $772.75 — $425.01 $656.84 $598.88 2026-04-08
3758743 CDM Graft Dualmesh 10x15 6 6 $1,086.25 — $597.44 $923.31 $841.85 2026-04-08
3758744 CDM Graft Mycromesh 10x15 6 6 $951.50 — $523.33 $808.78 $737.41 2026-04-08
3758745 CDM Graft Vascular Straight 6 6 $1,428.25 — $785.54 $1,214.01 $1,106.89 2026-04-08
3758750 CDM Graft Goretex 80cm 6&8 6 6 $2,858.00 — $1,571.90 $2,429.30 $2,214.95 2026-04-08
3758751 CDM Graft Goretex Patch 6 6 $1,231.75 — $677.46 $1,046.99 $954.61 2026-04-08
3758752 CDM Graft Goretex Tapered 6 6 $2,858.00 — $1,571.90 $2,429.30 $2,214.95 2026-04-08
3758753 CDM Graft Goretex Ringed 6 6 $3,564.50 — $1,960.48 $3,029.83 $2,762.49 2026-04-08
3758760 CDM Graft Marlex Mesh 10x14 6 6 $708.75 — $389.81 $602.44 $549.28 2026-04-08
3758764 CDM Endo Absorbatrack 30 5mm 6 6 $2,475.75 — $1,361.66 $2,104.39 $1,918.70 2026-04-08
3758771 CDM Graft Goretex 6mmx40cm 6 6 $1,416.00 — $778.80 $1,203.60 $1,097.40 2026-04-08
3758772 CDM Graft Gortex 6mmx70 Ring 6 6 $3,773.00 — $2,075.15 $3,207.05 $2,924.07 2026-04-08
3758773 CDM Graft Gortex 4mmx7m Ring 6 6 $2,441.50 — $1,342.83 $2,075.28 $1,892.16 2026-04-08
3758775 CDM Denver Shunt 6 6 $2,501.00 — $1,375.55 $2,125.85 $1,938.28 2026-04-08
3758777 CDM Lap Ligasure 5mm Blunt 6 6 $2,172.25 — $1,194.74 $1,846.41 $1,683.49 2026-04-08
3758798 CDM Vasc Dual Fisio Kit Mbl6 6 6 $1,006.75 — $553.71 $855.74 $780.23 2026-04-08
3758799 CDM Vasc Dual Fisio Kit Mbr6 6 6 $1,006.75 — $553.71 $855.74 $780.23 2026-04-08
3758840 CDM P A S Port 6 6 $1,895.75 — $1,042.66 $1,611.39 $1,469.20 2026-04-08
3758845 CDM Catheter,swan-ganz 6 6 $714.25 — $392.84 $607.11 $553.55 2026-04-08
3758990 CDM Coblation Tip 6 6 $770.00 — $423.50 $654.50 $596.75 2026-04-08
3758997 CDM Tvt With Guide 6 6 $3,330.25 — $1,831.64 $2,830.71 $2,580.94 2026-04-08
3759120 CDM Cardiac Arrest Procedure 6 6 $938.75 — $516.31 $797.94 $727.53 2026-04-08
3759260 CDM Pacemaker Int Lead Temp 6 6 $1,071.75 — $589.46 $910.99 $830.61 2026-04-08
3759288 CDM Pacemaker Lead Adaptor 6 6 $943.50 — $518.93 $801.98 $731.21 2026-04-08
3759360 CDM Pacemaker Internal Temp 6 6 $714.25 — $392.84 $607.11 $553.55 2026-04-08
3759511 CDM Voyant Fusion Device 6 6 $850.00 — $467.50 $722.50 $658.75 2026-04-08
376 MS_DRG Digestive Malignancy Without Cc/mcc 2 2 $12,330.50 $771,833.81 $5,785.70 $12,330.50 $9,058.10 2026-04-08
378 MS_DRG Gastrointestinal Hemorrhage With Cc 2 2 $22,716.07 $1,421,923.72 $6,138.74 $13,812.17 $9,975.45 2026-04-08
381 MS_DRG Complicated Peptic Ulcer With Cc 2 2 $13,207.24 $826,713.79 $6,782.22 $13,207.24 $9,994.73 2026-04-08
386 MS_DRG Inflammatory Bowel Disease With Cc 2 2 $25,112.46 $1,571,926.99 $6,111.20 $13,750.20 $9,930.70 2026-04-08
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 2 2 $7,307.51 $457,417.24 $4,264.63 $7,307.51 $5,786.07 2026-04-08
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 2 2 $9,470.13 $592,787.52 $7,938.99 $9,470.13 $8,704.56 2026-04-08
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 2 2 $13,111.40 $820,714.89 $4,879.95 $10,979.88 $7,929.91 2026-04-08
393 MS_DRG Other Digestive System Diagnoses With Mcc 2 2 $10,503.34 $657,461.51 $10,010.90 $10,503.34 $10,257.12 2026-04-08
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 2 2 $18,929.22 $1,184,883.99 $8,549.29 $18,929.22 $13,739.26 2026-04-08
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 2 2 $15,963.14 $999,220.73 $6,611.34 $14,875.51 $10,743.42 2026-04-08
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 2 2 $9,425.97 $590,023.31 $7,080.18 $9,425.97 $8,253.08 2026-04-08
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 2 2 $20,936.31 $1,310,518.79 $10,204.32 $20,936.31 $15,570.32 2026-04-08
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 2 2 $13,943.51 $872,800.67 $5,265.53 $11,847.45 $8,556.49 2026-04-08
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 2 2 $9,373.45 $586,735.63 $3,889.68 $8,751.79 $6,320.74 2026-04-08
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 2 $41,606.64 $2,604,388.43 $11,234.01 $25,276.54 $18,255.28 2026-04-08
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 2 2 $7,796.03 $487,996.40 $6,042.34 $7,796.03 $6,919.18 2026-04-08
445 MS_DRG Disorders Of The Biliary Tract With Cc 2 2 $13,991.83 $875,825.59 $6,850.45 $13,991.83 $10,421.14 2026-04-08
4651117 CDM Aranesp 40 Mcg/ml Vial 6 6 $1,200.00 — $660.00 $1,020.00 $930.00 2026-04-08
4651905 CDM Survanta 25 Mg/ml Vial 6 6 $1,447.25 — $795.99 $1,230.16 $1,121.62 2026-04-08
4651907 CDM Curosurf 240 Mg/3 Ml Vial 6 6 $2,199.25 — $1,209.59 $1,869.36 $1,704.42 2026-04-08
4653964 CDM Octagam 10% Vial 6 6 $3,800.97 — $2,090.53 $3,230.82 $2,945.76 2026-04-08
47000 HCPCS Needle Biopsy Of Liver Through Skin 10 10 $2,155.48 $1,525.04 29% off $1,099.43 $4,698.95 $1,724.38 2026-04-08
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 2 2 $18,807.12 $1,177,241.08 $8,024.74 $18,055.68 $13,040.21 2026-04-08
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 2 2 $5,393.02 $337,578.78 $5,055.21 $5,393.02 $5,224.11 2026-04-08
540 MS_DRG Osteomyelitis With Cc 2 2 $8,081.02 $505,835.17 $8,081.02 $8,114.25 $8,097.64 2026-04-08
541 MS_DRG Osteomyelitis Without Cc/mcc 2 2 $20,041.50 $1,254,507.71 $4,829.24 $10,865.80 $7,847.52 2026-04-08
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 2 $16,990.90 $1,063,553.88 $6,434.82 $14,478.34 $10,456.58 2026-04-08
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 2 $9,591.18 $600,364.71 $4,723.46 $9,591.18 $7,157.32 2026-04-08
548 MS_DRG Septic Arthritis With Mcc 2 2 $16,421.05 $1,027,883.84 $12,086.57 $16,421.05 $14,253.81 2026-04-08
55100 HCPCS Drainage Of Abscess Of Scrotum 10 10 $2,063.25 $1,525.04 26% off $1,099.43 $4,497.89 $1,650.60 2026-04-08
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 2 2 $18,369.24 $1,149,831.76 $9,307.32 $18,369.24 $13,838.28 2026-04-08
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 2 2 $30,537.17 $1,911,489.48 $5,591.03 $12,579.82 $9,085.42 2026-04-08
56 MS_DRG Degenerative Nervous System Disorders With Mcc 2 2 $34,345.63 $2,149,881.88 $14,541.56 $32,718.52 $23,630.04 2026-04-08
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 2 $31,725.87 $1,985,896.42 $7,048.88 $15,859.98 $11,454.43 2026-04-08
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 2 2 $16,043.63 $1,004,258.73 $5,032.05 $11,322.12 $8,177.09 2026-04-08
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 2 2 $5,113.57 $320,086.47 $5,113.57 $5,605.43 $5,359.50 2026-04-08
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 2 2 $15,435.82 $966,212.84 $8,109.87 $15,435.82 $11,772.84 2026-04-08
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 $34,454.19 $2,156,677.25 $20,271.55 $34,454.19 $27,362.87 2026-04-08
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 2 2 $50,229.64 $3,144,149.43 $10,816.50 $24,337.13 $17,576.82 2026-04-08
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 2 2 $16,436.21 $1,028,832.78 $9,033.16 $16,436.21 $12,734.68 2026-04-08
592 MS_DRG Skin Ulcers With Mcc 2 2 $30,551.43 $1,912,382.04 $12,114.11 $27,256.75 $19,685.43 2026-04-08
593 MS_DRG Skin Ulcers With Cc 2 2 $35,024.69 $2,192,387.98 $7,425.70 $16,707.84 $12,066.77 2026-04-08
596 MS_DRG Major Skin Disorders Without Mcc 2 2 $3,009.50 $188,381.16 $3,009.50 $6,775.96 $4,892.73 2026-04-08
602 MS_DRG Cellulitis With Mcc 2 2 $10,458.13 $654,631.88 $8,896.70 $10,458.13 $9,677.42 2026-04-08
603 MS_DRG Cellulitis Without Mcc 2 2 $12,591.21 $788,153.35 $5,451.44 $12,265.75 $8,858.59 2026-04-08
62270 HCPCS Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap For Diagnostic Test 18 11 $1,197.62 $651.79 46% off $54.96 $2,610.81 $527.73 2026-04-08
62272 HCPCS Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap 10 10 $1,197.62 $651.79 46% off $500.65 $2,610.81 $958.10 2026-04-08
637 MS_DRG Diabetes With Mcc 2 2 $17,195.34 $1,076,350.59 $8,993.10 $17,195.34 $13,094.22 2026-04-08
638 MS_DRG Diabetes With Cc 2 2 $14,393.36 $900,959.67 $5,609.81 $12,622.07 $9,115.94 2026-04-08
639 MS_DRG Diabetes Without Cc/mcc 2 2 $12,173.08 $761,979.82 $3,888.43 $8,748.97 $6,318.70 2026-04-08
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 2 $9,036.06 $565,616.38 $9,036.06 $12,587.96 $10,812.01 2026-04-08
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 2 2 $15,638.62 $978,907.08 $8,360.26 $15,638.62 $11,999.44 2026-04-08
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 2 2 $13,151.77 $823,241.63 $4,871.18 $10,960.16 $7,915.67 2026-04-08
645 MS_DRG Endocrine Disorders Without Cc/mcc 2 2 $11,730.17 $734,255.86 $4,809.21 $10,820.73 $7,814.97 2026-04-08
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 2 2 $11,092.92 $694,367.07 $6,324.02 $11,092.92 $8,708.47 2026-04-08
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 2 2 $5,442.36 $340,667.25 $4,284.04 $5,442.36 $4,863.20 2026-04-08
682 MS_DRG Renal Failure With Mcc 2 2 $13,965.12 $874,153.67 $9,270.39 $13,965.12 $11,617.76 2026-04-08
683 MS_DRG Renal Failure With Cc 2 2 $13,393.66 $838,382.70 $5,482.11 $12,334.76 $8,908.43 2026-04-08
684 MS_DRG Renal Failure Without Cc/mcc 2 2 $10,484.31 $656,270.47 $3,757.61 $8,454.62 $6,106.11 2026-04-08
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 2 2 $17,368.71 $1,087,203.24 $7,262.96 $16,341.65 $11,802.31 2026-04-08
69 MS_DRG Transient Ischemia Without Thrombolytic 2 2 $11,102.67 $694,977.18 $5,000.13 $11,102.67 $8,051.40 2026-04-08
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 2 2 $16,181.00 $1,012,857.84 $5,067.11 $11,400.99 $8,234.05 2026-04-08
694 MS_DRG Urinary Stones Without Mcc 2 2 $9,082.98 $568,553.67 $4,893.09 $9,082.98 $6,988.03 2026-04-08
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 2 2 $20,125.66 $1,259,775.44 $10,355.80 $20,125.66 $15,240.73 2026-04-08
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 2 2 $21,301.81 $1,333,397.13 $6,353.44 $14,295.25 $10,324.34 2026-04-08
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 1 1 $695.75 $43,550.82 $695.75 $695.75 $695.75 2026-04-08
71 MS_DRG Other Cerebrovascular Disorders With Cc 2 2 $34,361.73 $2,150,889.67 $6,422.30 $14,450.17 $10,436.24 2026-04-08
71551 HCPCS MRI Scan Of Chest With Contrast 10 10 $1,456.00 $723.85 50% off $545.33 $3,174.08 $1,164.80 2026-04-08
726 MS_DRG Benign Prostatic Hypertrophy Without Mcc 2 2 $7,962.81 $498,436.07 $4,519.40 $7,962.81 $6,241.10 2026-04-08
73722 HCPCS MRI Scan Of Leg Joint With Contrast 18 11 $1,748.25 $723.85 59% off $68.14 $3,811.19 $602.05 2026-04-08
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 2 2 $7,434.54 $465,368.75 $6,452.34 $7,434.54 $6,943.44 2026-04-08
756 MS_DRG Malignancy, Female Reproductive System Without Cc/mcc 2 2 $17,917.75 $1,121,570.52 $6,012.30 $13,527.67 $9,769.99 2026-04-08
759 MS_DRG Infections, Female Reproductive System Without Cc/mcc 2 2 $15,500.69 $970,273.44 $4,153.84 $9,346.14 $6,749.99 2026-04-08
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 4 4 $6,142.54 $384,495.31 $2,700.00 $6,707.73 $3,775.00 2026-04-08
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 2 2 $4,857.28 $304,043.87 $4,857.28 $10,577.39 $7,717.33 2026-04-08
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 2 2 $8,105.92 $507,394.29 $4,098.13 $8,105.92 $6,102.02 2026-04-08
779 MS_DRG Abortion Without D&c 2 2 $9,841.30 $616,020.78 $4,463.69 $9,841.30 $7,152.49 2026-04-08
783 MS_DRG Cesarean Section With Sterilization With Mcc 3 3 $28,637.65 $1,792,588.02 $4,150.00 $15,367.82 $7,500.00 2026-04-08
784 MS_DRG Cesarean Section With Sterilization With Cc 3 3 $13,367.08 $836,719.06 $4,150.00 $7,500.00 $6,635.75 2026-04-08
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 3 3 $10,383.34 $649,950.17 $4,150.00 $7,500.00 $5,995.40 2026-04-08
786 MS_DRG Cesarean Section Without Sterilization With Mcc 3 3 $17,501.61 $1,095,521.77 $4,150.00 $10,325.13 $7,500.00 2026-04-08
787 MS_DRG Cesarean Section Without Sterilization With Cc 3 3 $12,826.65 $802,890.31 $4,150.00 $7,500.00 $6,990.67 2026-04-08
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 3 3 $12,332.49 $771,958.60 $4,150.00 $7,500.00 $6,001.66 2026-04-08
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 2 2 $5,857.36 $366,644.53 $5,857.36 $11,280.96 $8,569.16 2026-04-08
791 MS_DRG Prematurity With Major Problems 1 1 $2,496.24 $156,253.39 $2,496.24 $2,496.24 $2,496.24 2026-04-08
792 MS_DRG Prematurity Without Major Problems 1 1 $2,951.91 $184,776.36 $2,951.91 $2,951.91 $2,951.91 2026-04-08
793 MS_DRG Full Term Neonate With Major Problems 1 1 $2,407.34 $150,688.34 $2,407.34 $2,407.34 $2,407.34 2026-04-08
794 MS_DRG Neonate With Other Significant Problems 1 1 $2,406.15 $150,614.22 $2,406.15 $2,406.15 $2,406.15 2026-04-08
795 MS_DRG Normal Newborn 2 2 $1,658.35 $103,805.07 $1,250.66 $1,658.35 $1,454.51 2026-04-08
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 3 3 $11,777.04 $737,189.69 $3,050.00 $5,991.02 $4,500.00 2026-04-08
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 3 3 $5,311.17 $332,455.31 $3,050.00 $4,719.70 $4,500.00 2026-04-08
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 3 3 $5,212.27 $326,264.69 $3,050.00 $4,500.00 $4,220.19 2026-04-08
811 MS_DRG Red Blood Cell Disorders With Mcc 2 2 $45,629.62 $2,856,208.63 $8,790.29 $19,778.15 $14,284.22 2026-04-08
812 MS_DRG Red Blood Cell Disorders Without Mcc 2 2 $12,877.24 $806,057.46 $5,747.52 $12,877.24 $9,312.38 2026-04-08
819 MS_DRG Other Antepartum Diagnoses With O.r. Procedures Without Cc/mcc 2 2 $10,812.75 $676,829.49 $5,382.59 $10,812.75 $8,097.67 2026-04-08
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 2 2 $8,947.28 $560,059.15 $3,273.12 $7,364.52 $5,318.82 2026-04-08
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 2 2 $10,071.43 $630,426.20 $10,071.43 $11,415.54 $10,743.49 2026-04-08
864 MS_DRG Fever And Inflammatory Conditions 2 2 $7,872.41 $492,777.13 $5,556.60 $7,872.41 $6,714.51 2026-04-08
866 MS_DRG Viral Illness Without Mcc 2 2 $7,307.61 $457,423.50 $5,443.30 $7,307.61 $6,375.45 2026-04-08
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 $57,804.19 $3,618,281.86 $43,264.76 $57,804.19 $50,534.48 2026-04-08
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 2 $18,142.01 $1,135,608.06 $12,159.18 $18,142.01 $15,150.59 2026-04-08
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 2 2 $13,561.09 $848,863.21 $6,405.40 $13,561.09 $9,983.24 2026-04-08
87633 HCPCS Detection Test By Nucleic Acid For Multiple Types Of Respiratory Virus, Multiple… 11 11 $936.80 $416.78 56% off $375.10 $2,042.22 $702.60 2026-04-08
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 2 2 $8,006.28 $501,157.10 $6,010.42 $8,006.28 $7,008.35 2026-04-08
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 2 2 $68,828.95 $4,308,382.54 $10,923.54 $24,577.97 $17,750.76 2026-04-08
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 2 2 $20,746.46 $1,298,635.01 $5,525.93 $12,433.35 $8,979.64 2026-04-08
902 MS_DRG Wound Debridements For Injuries With Cc 2 2 $24,944.28 $1,561,399.68 $11,983.91 $24,944.28 $18,464.10 2026-04-08
906 MS_DRG Hand Procedures For Injuries 2 2 $34,755.85 $2,175,559.81 $11,031.83 $24,821.62 $17,926.72 2026-04-08
91 MS_DRG Other Disorders Of Nervous System With Mcc 2 2 $64,490.33 $4,036,804.45 $10,993.02 $24,734.30 $17,863.66 2026-04-08
914 MS_DRG Traumatic Injury Without Mcc 2 2 $10,969.49 $686,640.71 $5,542.83 $10,969.49 $8,256.16 2026-04-08
916 MS_DRG Allergic Reactions Without Mcc 2 2 $2,314.63 $144,885.42 $2,314.63 $4,170.74 $3,242.68 2026-04-08
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 2 2 $38,028.17 $2,380,392.00 $9,817.48 $22,089.33 $15,953.41 2026-04-08
919 MS_DRG Complications Of Treatment With Mcc 2 2 $9,067.98 $567,614.74 $9,067.98 $11,459.98 $10,263.98 2026-04-08
92 MS_DRG Other Disorders Of Nervous System With Cc 2 2 $23,840.45 $1,492,304.89 $6,403.52 $14,407.92 $10,405.72 2026-04-08
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 2 2 $4,308.70 $269,705.23 $4,308.70 $4,984.48 $4,646.59 2026-04-08
94002 HCPCS Initial Hospital Inpatient Or Observation Ventilation Assistance And Management 7 7 $914.22 $570.45 38% off $570.45 $1,993.00 $777.09 2026-04-08
94003 HCPCS Follow-up Inpatient Or Observation Ventilation Assistance And Management 7 7 $914.22 $570.45 38% off $570.45 $1,993.00 $777.09 2026-04-08
947 MS_DRG Signs And Symptoms With Mcc 2 2 $47,532.23 $2,975,303.70 $7,945.87 $17,878.22 $12,912.05 2026-04-08
948 MS_DRG Signs And Symptoms Without Mcc 2 2 $13,269.28 $830,597.37 $5,010.77 $11,274.23 $8,142.50 2026-04-08
949 MS_DRG Aftercare With Cc/mcc 2 2 $15,722.90 $984,183.06 $7,446.99 $15,722.90 $11,584.94 2026-04-08
950 MS_DRG Aftercare Without Cc/mcc 2 2 $8,631.31 $540,281.14 $3,929.12 $8,631.31 $6,280.22 2026-04-08
951 MS_DRG Other Factors Influencing Health Status 2 2 $3,253.13 $203,630.99 $3,253.13 $3,480.31 $3,366.72 2026-04-08
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 2 2 $17,306.45 $1,083,305.89 $14,365.04 $17,306.45 $15,835.75 2026-04-08
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 $12,564.69 $786,493.05 $10,288.20 $12,564.69 $11,426.44 2026-04-08
99291 HCPCS Critical Care, First 30-74 Minutes 18 11 $1,135.98 $762.73 33% off $190.42 $2,476.44 $642.10 2026-04-08
99999 HCPCS Operating Room Services - General Classification 333 9 $2,970.00 — $80.63 $10,900.00 $2,898.50 2026-04-08
C1713 HCPCS Anchor/screw For Opposing Bone-to-bone Or Soft Tissue-to-bone (implantable) 15 5 $2,242.50 — $237.38 $6,523.65 $1,906.13 2026-04-08
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 10 5 $40,150.00 — $29,700.00 $88,726.00 $34,595.00 2026-04-08
C1722 HCPCS Cardioverter-defibrillator, Single Chamber (implantable) 5 5 $33,000.00 — $24,750.00 $71,940.00 $28,050.00 2026-04-08
C1762 HCPCS Connective Tissue, Human (includes Fascia Lata) 5 5 $2,797.50 — $2,098.13 $6,098.55 $2,377.88 2026-04-08
C1779 HCPCS Lead, Pacemaker, Transvenous Vdd Single Pass 5 5 $2,695.00 — $2,021.25 $5,875.10 $2,290.75 2026-04-08
C1781 HCPCS Mesh (implantable) 50 5 $3,147.75 — $200.82 $29,871.45 $2,793.10 2026-04-08
C1785 HCPCS Pacemaker, Dual Chamber, Rate-responsive (implantable) 20 5 $10,670.00 — $7,590.00 $38,551.67 $14,147.40 2026-04-08
C1786 HCPCS Pacemaker, Single Chamber, Rate-responsive (implantable) 10 5 $8,140.00 — $5,940.00 $18,224.80 $7,106.00 2026-04-08
C1788 HCPCS Port, Indwelling (implantable) 5 5 $2,221.50 — $1,666.13 $4,842.87 $1,888.28 2026-04-08
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 5 5 $42,900.00 — $32,175.00 $93,522.00 $36,465.00 2026-04-08
C1895 HCPCS Lead, Cardioverter-defibrillator, Endocardial Dual Coil (implantable) 5 5 $9,900.00 — $7,425.00 $21,582.00 $8,415.00 2026-04-08
C1897 HCPCS Lead, Neurostimulator Test Kit (implantable) 5 5 $1,067.50 — $800.63 $2,327.15 $907.38 2026-04-08
C1898 HCPCS Lead, Pacemaker, Other Than Transvenous Vdd Single Pass 5 5 $1,650.00 — $1,237.50 $3,597.00 $1,402.50 2026-04-08
C1900 HCPCS Lead, Left Ventricular Coronary Venous System 5 5 $8,800.00 — $6,600.00 $19,184.00 $7,480.00 2026-04-08
C5271 HCPCS Application Of Low Cost Skin Substitute Graft To Trunk, Arms, Legs, Total Wound … 5 5 $724.34 — $543.26 $1,579.06 $615.69 2026-04-08
C5273 HCPCS Application Of Low Cost Skin Substitute Graft To Trunk, Arms, Legs, Total Wound … 5 5 $2,323.44 — $1,742.58 $5,065.10 $1,974.92 2026-04-08
C5274 HCPCS Application Of Low Cost Skin Substitute Graft To Trunk, Arms, Legs, Total Wound … 5 5 $1,161.72 — $871.29 $2,532.55 $987.46 2026-04-08
C5275 HCPCS Application Of Low Cost Skin Substitute Graft To Face, Scalp, Eyelids, Mouth, Ne… 5 5 $724.34 — $543.26 $1,579.06 $615.69 2026-04-08
C5277 HCPCS Application Of Low Cost Skin Substitute Graft To Face, Scalp, Eyelids, Mouth, Ne… 5 5 $724.34 — $543.26 $1,579.06 $615.69 2026-04-08
G0379 HCPCS Direct Admission Of Patient For Hospital Observation Care 7 7 $486.20 $549.90 $364.65 $1,374.75 $549.90 2026-04-08
J0897 HCPCS Injection, Denosumab, 1 Mg 10 10 $2,607.00 $29.51 99% off $19.28 $5,683.26 $1,014.51 2026-04-08
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 9 9 $586.00 $5,166.99 $439.50 $5,166.99 $1,277.48 2026-04-08
J1561 HCPCS Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 10 10 $4,293.00 $49.73 99% off $40.35 $9,358.74 $1,672.03 2026-04-08
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 15 10 $5,000.00 $95.09 98% off $87.85 $16,204.49 $4,250.00 2026-04-08
J3101 HCPCS Injection, Tenecteplase, 1 Mg 10 10 $16,415.91 $197.44 99% off $125.42 $35,786.68 $6,402.77 2026-04-08
M0222 HCPCS Intravenous Injection, Bebtelovimab, Includes Injection And Post Administration … 9 9 $619.20 — $464.40 $1,349.86 $619.20 2026-04-08
M0239 HCPCS Intravenous Infusion, Bamlanivimab-xxxx, Includes Infusion And Post Administrati… 9 9 $619.20 — $464.40 $1,349.86 $619.20 2026-04-08
M0243 HCPCS Intravenous Infusion Or Subcutaneous Injection, Casirivimab And Imdevimab Includ… 9 9 $619.20 — $464.40 $1,349.86 $619.20 2026-04-08
M0245 HCPCS Intravenous Infusion, Bamlanivimab And Etesevimab, Includes Infusion And Post Ad… 9 9 $619.20 — $464.40 $1,349.86 $619.20 2026-04-08
M0247 HCPCS Intravenous Infusion, Sotrovimab, Includes Infusion And Post Administration Moni… 9 9 $619.20 — $464.40 $1,349.86 $619.20 2026-04-08
P9037 HCPCS Platelets, Pheresis, Leukocytes Reduced, Irradiated, Each Unit 10 10 $678.00 $728.93 $508.38 $1,822.33 $576.30 2026-04-08
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