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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

PHELPS COUNTY REGIONAL MEDICAL CENTER

Rolla, MO · CCN 260017 · 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: $2,148 across 24 payers · range $1,101-$3,002

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbPMHCHOLDREGENE&type=CDMWithoutLabel · observed 2026-02-16

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.

1,770 distinct procedures filed
24 distinct payers
50,467 rate rows
2026-02-16 last MRF observed
Data quality

48,345 of 50,467 rate rows are consumer-grade (95.8%)

2,122 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 1,474
template filing: same amount across many unrelated codes — excluded 616
exceeds 10× this hospital's gross charge — excluded from medians 32
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbPMHCHOLDREGENE&type=CDMWithoutLabel
Found on page https://www.cdmpricing.com/cb9e47700cd0ea2b82d3695d1feeabbf/standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-18
Content fingerprint fb2c6ac9c2b84522… · 45,335,228 bytes · first seen 2026-05-07

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J2507
HCPCS 		Injection, Pegloticase, 1 Mg 24 $25,229.65 $68,796.96 $49,228.59 nat. median
$9,200
outlier · 5.4×
J1747
HCPCS 		Injection, Spesolimab-sbzo, 1 Mg 24 $22,901.09 $62,447.37 $44,685.06 nat. median
$92
outlier · 485.0×
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 24 $16,945.99 $46,208.82 $33,065.34 nat. median
$414
outlier · 79.8×
J9228
HCPCS 		Injection, Ipilimumab, 1 Mg 24 $7,445.29 $81,041.07 $25,010.96 nat. median
$8,966
outlier · 2.8×
J9307
HCPCS 		Injection, Pralatrexate, 1 Mg 24 $12,766.04 $34,810.81 $24,909.34 nat. median
$897
outlier · 27.8×
J9298
HCPCS 		Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg 24 $12,666.42 $34,539.16 $24,714.96 nat. median
$559
outlier · 44.2×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $22,788.72 $22,788.72 $22,788.72 nat. median
$31,618
0.7× median
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 1 $21,254.27 $21,254.27 $21,254.27 nat. median
$31,937
0.7× median
J9042
HCPCS 		Injection, Brentuximab Vedotin, 1 Mg 24 $10,819.93 $29,504.11 $21,112.06 nat. median
$962
outlier · 21.9×
J2327
HCPCS 		Injection, Risankizumab-rzaa, Intravenous, 1 Mg 24 $8,738.66 $23,828.83 $17,051.04 nat. median
$1,767
outlier · 9.6×
J9144
HCPCS 		Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 24 $8,668.93 $23,638.70 $16,914.99 nat. median
$211
outlier · 80.0×
J3380
HCPCS 		Injection, Vedolizumab, Intravenous, 1 Mg 24 $8,309.54 $22,658.68 $16,213.73 nat. median
$155
outlier · 104.9×
J1930
HCPCS 		Injection, Lanreotide, 1 Mg 24 $8,154.08 $22,234.78 $15,910.40 nat. median
$5,088
outlier · 3.1×
J9043
HCPCS 		Injection, Cabazitaxel, 1 Mg 24 $8,052.85 $21,958.75 $15,712.88 nat. median
$735
outlier · 21.4×
473
MS_DRG 		Cervical Spinal Fusion Without Cc/mcc 1 $15,209.30 $15,209.30 $15,209.30 nat. median
$23,504
0.6× median
J9301
HCPCS 		Injection, Obinutuzumab, 10 Mg 24 $7,400.64 $20,180.28 $14,440.27 nat. median
$286
outlier · 50.4×
J2323
HCPCS 		Injection, Natalizumab, 1 Mg 24 $7,301.36 $19,909.57 $14,246.56 nat. median
$180
outlier · 79.3×
J9223
HCPCS 		Injection, Lurbinectedin, 0.1 Mg 24 $6,785.40 $18,502.63 $13,239.81 nat. median
$617
outlier · 21.4×
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 1 $13,193.27 $13,193.27 $13,193.27 nat. median
$20,545
0.6× median
J9022
HCPCS 		Injection, Atezolizumab, 10 Mg 24 $6,672.70 $18,195.32 $13,019.90 nat. median
$6,720
1.9× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 1 $12,990.80 $12,990.80 $12,990.80 nat. median
$19,970
0.7× median
516
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 $12,946.56 $12,946.56 $12,946.56 nat. median
$20,116
0.6× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 $12,528.53 $12,528.53 $12,528.53 nat. median
$19,268
0.7× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 $12,101.78 $12,101.78 $12,101.78 nat. median
$18,659
0.6× median
100
MS_DRG 		Seizures With Mcc 1 $12,066.26 $12,066.26 $12,066.26 nat. median
$18,371
0.7× median
592
MS_DRG 		Skin Ulcers With Mcc 1 $12,056.92 $12,056.92 $12,056.92 nat. median
$18,752
0.6× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 1 $12,017.05 $12,017.05 $12,017.05 nat. median
$18,831
0.6× median
196
MS_DRG 		Interstitial Lung Disease With Mcc 1 $11,555.08 $11,555.08 $11,555.08 nat. median
$17,877
0.6× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 1 $11,407.13 $11,407.13 $11,407.13 nat. median
$17,357
0.7× median
657
MS_DRG 		Kidney And Ureter Procedures For Neoplasm With Cc 1 $11,400.90 $11,400.90 $11,400.90 nat. median
$18,052
0.6× median
505
MS_DRG 		Foot Procedures Without Cc/mcc 1 $11,169.14 $11,169.14 $11,169.14 nat. median
$17,240
0.6× median
180
MS_DRG 		Respiratory Neoplasms With Mcc 1 $11,002.18 $11,002.18 $11,002.18 nat. median
$17,049
0.6× median
J9306
HCPCS 		Injection, Pertuzumab, 1 Mg 24 $5,613.20 $15,306.25 $10,952.59 nat. median
$75
outlier · 145.9×
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 1 $10,941.13 $10,941.13 $10,941.13 nat. median
$17,070
0.6× median
J1303
HCPCS 		Injection, Ravulizumab-cwvz, 10 Mg 24 $5,510.61 $15,026.50 $10,752.42 nat. median
$5,631
1.9× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 1 $10,484.47 $10,484.47 $10,484.47 nat. median
$16,542
0.6× median
J2506
HCPCS 		Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 24 $5,262.75 $14,350.63 $10,268.78 nat. median
$1,659
outlier · 6.2×
299
MS_DRG 		Peripheral Vascular Disorders With Mcc 1 $10,171.72 $10,171.72 $10,171.72 nat. median
$15,769
0.6× median
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 1 $9,993.54 $9,993.54 $9,993.54 nat. median
$15,670
0.6× median
306
MS_DRG 		Cardiac Congenital And Valvular Disorders With Mcc 1 $9,817.23 $9,817.23 $9,817.23 nat. median
$15,138
0.6× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 1 $9,735.62 $9,735.62 $9,735.62 nat. median
$15,405
0.6× median
J9271
HCPCS 		Injection, Pembrolizumab, 1 Mg 24 $4,953.26 $13,506.69 $9,664.90 nat. median
$275
outlier · 35.2×
517
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 1 $9,573.64 $9,573.64 $9,573.64 nat. median
$15,191
0.6× median
964
MS_DRG 		Other Multiple Significant Trauma With Cc 1 $9,548.10 $9,548.10 $9,548.10 nat. median
$14,949
0.6× median
813
MS_DRG 		Coagulation Disorders 1 $9,502.62 $9,502.62 $9,502.62 nat. median
$14,899
0.6× median
J0517
HCPCS 		Injection, Benralizumab, 1 Mg 24 $4,794.58 $13,074.00 $9,355.28 nat. median
$919
outlier · 10.2×
682
MS_DRG 		Renal Failure With Mcc 1 $9,226.63 $9,226.63 $9,226.63 nat. median
$14,443
0.6× median
388
MS_DRG 		Gastrointestinal Obstruction With Mcc 1 $9,200.46 $9,200.46 $9,200.46 nat. median
$14,325
0.6× median
811
MS_DRG 		Red Blood Cell Disorders With Mcc 1 $8,748.79 $8,748.79 $8,748.79 nat. median
$13,626
0.6× median
J0491
HCPCS 		Injection, Anifrolumab-fnia, 1 Mg 24 $4,481.73 $12,220.90 $8,744.83 nat. median
$62
outlier · 140.3×

Other procedures at this hospital

Browse this hospital's 1,770 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J2507 HCPCS Injection, Pegloticase, 1 Mg 24 24 $61,535.74 $55,382.17 $25,229.65 $68,796.96 $49,228.59 2026-02-16
J1747 HCPCS Injection, Spesolimab-sbzo, 1 Mg 24 24 $55,856.32 $50,270.69 $22,901.09 $62,447.37 $44,685.06 2026-02-16
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 24 24 $41,331.68 $37,198.51 $16,945.99 $46,208.82 $33,065.34 2026-02-16
J9228 HCPCS Injection, Ipilimumab, 1 Mg 48 24 $45,323.39 $40,791.06 $7,445.29 $81,041.07 $25,010.96 2026-02-16
J9307 HCPCS Injection, Pralatrexate, 1 Mg 24 24 $31,136.68 $28,023.01 $12,766.04 $34,810.81 $24,909.34 2026-02-16
J9298 HCPCS Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg 24 24 $30,893.70 $27,804.33 $12,666.42 $34,539.16 $24,714.96 2026-02-16
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 $54,424.64 $48,982.18 $22,788.72 $22,788.72 $22,788.72 2026-02-16
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 $104,536.55 $94,082.90 $21,254.27 $21,254.27 $21,254.27 2026-02-16
J9042 HCPCS Injection, Brentuximab Vedotin, 1 Mg 24 24 $26,390.08 $23,751.07 $10,819.93 $29,504.11 $21,112.06 2026-02-16
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 24 24 $21,313.80 $19,182.42 $8,738.66 $23,828.83 $17,051.04 2026-02-16
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 24 24 $21,143.74 $19,029.37 $8,668.93 $23,638.70 $16,914.99 2026-02-16
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 24 24 $20,267.16 $18,240.44 $8,309.54 $22,658.68 $16,213.73 2026-02-16
J1930 HCPCS Injection, Lanreotide, 1 Mg 24 24 $19,888.00 $17,899.20 $8,154.08 $22,234.78 $15,910.40 2026-02-16
J9043 HCPCS Injection, Cabazitaxel, 1 Mg 24 24 $19,641.10 $17,676.99 $8,052.85 $21,958.75 $15,712.88 2026-02-16
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 1 1 $75,820.99 $68,238.89 $15,209.30 $15,209.30 $15,209.30 2026-02-16
J9301 HCPCS Injection, Obinutuzumab, 10 Mg 24 24 $18,050.34 $16,245.31 $7,400.64 $20,180.28 $14,440.27 2026-02-16
J2323 HCPCS Injection, Natalizumab, 1 Mg 24 24 $17,808.20 $16,027.38 $7,301.36 $19,909.57 $14,246.56 2026-02-16
J9223 HCPCS Injection, Lurbinectedin, 0.1 Mg 24 24 $16,549.76 $14,894.78 $6,785.40 $18,502.63 $13,239.81 2026-02-16
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 1 1 $27,102.03 $24,391.83 $13,193.27 $13,193.27 $13,193.27 2026-02-16
J9022 HCPCS Injection, Atezolizumab, 10 Mg 24 24 $16,274.88 $14,647.39 $6,672.70 $18,195.32 $13,019.90 2026-02-16
314 MS_DRG Other Circulatory System Diagnoses With Mcc 1 1 $32,761.18 $29,485.06 $12,990.80 $12,990.80 $12,990.80 2026-02-16
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 1 $16,390.50 $14,751.45 $12,946.56 $12,946.56 $12,946.56 2026-02-16
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 1 $18,062.07 $16,255.86 $12,528.53 $12,528.53 $12,528.53 2026-02-16
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 1 $26,024.89 $23,422.40 $12,101.78 $12,101.78 $12,101.78 2026-02-16
100 MS_DRG Seizures With Mcc 1 1 $14,800.31 $13,320.28 $12,066.26 $12,066.26 $12,066.26 2026-02-16
592 MS_DRG Skin Ulcers With Mcc 1 1 $23,740.51 $21,366.46 $12,056.92 $12,056.92 $12,056.92 2026-02-16
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 1 1 $33,276.53 $29,948.88 $12,017.05 $12,017.05 $12,017.05 2026-02-16
196 MS_DRG Interstitial Lung Disease With Mcc 1 1 $11,555.08 $10,399.57 $11,555.08 $11,555.08 $11,555.08 2026-02-16
205 MS_DRG Other Respiratory System Diagnoses With Mcc 1 1 $22,684.13 $20,415.71 $11,407.13 $11,407.13 $11,407.13 2026-02-16
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 1 1 $16,350.90 $14,715.81 $11,400.90 $11,400.90 $11,400.90 2026-02-16
505 MS_DRG Foot Procedures Without Cc/mcc 1 1 $14,076.78 $12,669.10 $11,169.14 $11,169.14 $11,169.14 2026-02-16
180 MS_DRG Respiratory Neoplasms With Mcc 1 1 $19,057.19 $17,151.47 $11,002.18 $11,002.18 $11,002.18 2026-02-16
J9306 HCPCS Injection, Pertuzumab, 1 Mg 24 24 $13,690.74 $12,321.67 $5,613.20 $15,306.25 $10,952.59 2026-02-16
91 MS_DRG Other Disorders Of Nervous System With Mcc 1 1 $26,314.45 $23,683.01 $10,941.13 $10,941.13 $10,941.13 2026-02-16
J1303 HCPCS Injection, Ravulizumab-cwvz, 10 Mg 24 24 $13,440.52 $12,096.47 $5,510.61 $15,026.50 $10,752.42 2026-02-16
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 1 1 $11,106.37 $9,995.73 $10,484.47 $10,484.47 $10,484.47 2026-02-16
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 24 24 $12,835.98 $11,552.38 $5,262.75 $14,350.63 $10,268.78 2026-02-16
299 MS_DRG Peripheral Vascular Disorders With Mcc 1 1 $32,631.00 $29,367.90 $10,171.72 $10,171.72 $10,171.72 2026-02-16
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 1 1 $30,374.91 $27,337.42 $9,993.54 $9,993.54 $9,993.54 2026-02-16
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 1 1 $21,453.60 $19,308.24 $9,817.23 $9,817.23 $9,817.23 2026-02-16
177 MS_DRG Respiratory Infections And Inflammations With Mcc 1 1 $12,284.13 $11,055.71 $9,735.62 $9,735.62 $9,735.62 2026-02-16
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 24 24 $12,081.12 $10,873.01 $4,953.26 $13,506.69 $9,664.90 2026-02-16
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 1 1 $15,780.87 $14,202.78 $9,573.64 $9,573.64 $9,573.64 2026-02-16
964 MS_DRG Other Multiple Significant Trauma With Cc 1 1 $15,195.00 $13,675.50 $9,548.10 $9,548.10 $9,548.10 2026-02-16
813 MS_DRG Coagulation Disorders 1 1 $59,700.70 $53,730.63 $9,502.62 $9,502.62 $9,502.62 2026-02-16
J0517 HCPCS Injection, Benralizumab, 1 Mg 24 24 $11,694.10 $10,524.69 $4,794.58 $13,074.00 $9,355.28 2026-02-16
682 MS_DRG Renal Failure With Mcc 1 1 $21,602.56 $19,442.31 $9,226.63 $9,226.63 $9,226.63 2026-02-16
388 MS_DRG Gastrointestinal Obstruction With Mcc 1 1 $33,165.46 $29,848.91 $9,200.46 $9,200.46 $9,200.46 2026-02-16
811 MS_DRG Red Blood Cell Disorders With Mcc 1 1 $26,000.23 $23,400.21 $8,748.79 $8,748.79 $8,748.79 2026-02-16
J0491 HCPCS Injection, Anifrolumab-fnia, 1 Mg 24 24 $10,931.04 $9,837.94 $4,481.73 $12,220.90 $8,744.83 2026-02-16
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 1 1 $19,792.94 $17,813.65 $8,695.83 $8,695.83 $8,695.83 2026-02-16
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 1 1 $44,918.23 $40,426.41 $8,557.53 $8,557.53 $8,557.53 2026-02-16
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 1 $21,198.14 $19,078.33 $8,320.79 $8,320.79 $8,320.79 2026-02-16
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 1 1 $18,074.49 $16,267.04 $8,188.71 $8,188.71 $8,188.71 2026-02-16
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 24 24 $9,997.76 $8,997.98 $4,099.08 $11,177.50 $7,998.21 2026-02-16
291 MS_DRG Heart Failure And Shock With Mcc 1 1 $16,942.19 $15,247.97 $7,998.07 $7,998.07 $7,998.07 2026-02-16
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 1 1 $35,022.12 $31,519.91 $7,986.86 $7,986.86 $7,986.86 2026-02-16
947 MS_DRG Signs And Symptoms With Mcc 1 1 $16,865.96 $15,179.36 $7,908.36 $7,908.36 $7,908.36 2026-02-16
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 $14,940.88 $13,446.79 $7,886.56 $7,886.56 $7,886.56 2026-02-16
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 1 1 $15,078.75 $13,570.88 $7,730.81 $7,730.81 $7,730.81 2026-02-16
189 MS_DRG Pulmonary Edema And Respiratory Failure 1 1 $18,330.81 $16,497.73 $7,696.54 $7,696.54 $7,696.54 2026-02-16
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 1 $10,976.72 $9,879.05 $7,584.40 $7,584.40 $7,584.40 2026-02-16
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 1 1 $18,220.34 $16,398.31 $7,500.92 $7,500.92 $7,500.92 2026-02-16
593 MS_DRG Skin Ulcers With Cc 1 1 $38,221.17 $34,399.05 $7,390.65 $7,390.65 $7,390.65 2026-02-16
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 24 24 $9,232.60 $8,309.34 $3,785.37 $10,322.05 $7,386.08 2026-02-16
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 1 1 $13,428.65 $12,085.79 $7,228.67 $7,228.67 $7,228.67 2026-02-16
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 1 1 $29,826.19 $26,843.57 $7,015.60 $7,015.60 $7,015.60 2026-02-16
J2356 HCPCS Injection, Tezepelumab-ekko, 1 Mg 24 24 $8,737.92 $7,864.13 $3,582.55 $9,768.99 $6,990.34 2026-02-16
J9354 HCPCS Injection, Ado-trastuzumab Emtansine, 1 Mg 48 24 $10,422.79 $9,380.51 $3,291.90 $14,328.91 $6,919.74 2026-02-16
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 1 1 $18,192.21 $16,372.99 $6,900.97 $6,900.97 $6,900.97 2026-02-16
89 MS_DRG Concussion With Cc 1 1 $8,585.00 $7,726.50 $6,844.28 $6,844.28 $6,844.28 2026-02-16
445 MS_DRG Disorders Of The Biliary Tract With Cc 1 1 $17,661.73 $15,895.56 $6,818.11 $6,818.11 $6,818.11 2026-02-16
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 24 24 $8,350.00 $7,515.00 $3,423.50 $9,335.30 $6,680.00 2026-02-16
J3101 HCPCS Injection, Tenecteplase, 1 Mg 24 24 $8,297.26 $7,467.53 $3,401.88 $9,276.34 $6,637.81 2026-02-16
184 MS_DRG Major Chest Trauma With Cc 1 1 $15,030.75 $13,527.68 $6,629.34 $6,629.34 $6,629.34 2026-02-16
787 MS_DRG Cesarean Section Without Sterilization With Cc 1 1 $6,449.24 $5,804.32 $6,449.24 $6,449.24 $6,449.24 2026-02-16
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 1 1 $29,037.45 $26,133.70 $6,423.75 $6,423.75 $6,423.75 2026-02-16
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 1 1 $20,455.91 $18,410.32 $6,421.88 $6,421.88 $6,421.88 2026-02-16
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 $43,219.79 $38,897.81 $6,404.44 $6,404.44 $6,404.44 2026-02-16
71 MS_DRG Other Cerebrovascular Disorders With Cc 1 1 $29,663.43 $26,697.09 $6,391.98 $6,391.98 $6,391.98 2026-02-16
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 1 1 $13,687.09 $12,318.38 $6,375.16 $6,375.16 $6,375.16 2026-02-16
92 MS_DRG Other Disorders Of Nervous System With Cc 1 1 $24,462.21 $22,015.99 $6,373.29 $6,373.29 $6,373.29 2026-02-16
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 1 1 $6,685.51 $6,016.95 $6,360.83 $6,360.83 $6,360.83 2026-02-16
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 1 1 $21,191.32 $19,072.19 $6,340.27 $6,340.27 $6,340.27 2026-02-16
7610615 CDM Specialty Services - Treatment Room 24 24 $7,923.00 $7,130.70 $3,248.43 $8,857.91 $6,338.40 2026-02-16
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 1 1 $18,910.16 $17,019.14 $6,323.45 $6,323.45 $6,323.45 2026-02-16
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 1 1 $16,383.35 $14,745.02 $6,317.22 $6,317.22 $6,317.22 2026-02-16
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 1 1 $22,457.48 $20,211.73 $6,294.17 $6,294.17 $6,294.17 2026-02-16
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 1 1 $7,042.55 $6,338.30 $6,216.92 $6,216.92 $6,216.92 2026-02-16
187 MS_DRG Pleural Effusion With Cc 1 1 $22,386.79 $20,148.11 $6,162.09 $6,162.09 $6,162.09 2026-02-16
J9061 HCPCS Injection, Amivantamab-vmjw, 2 Mg 24 24 $7,663.12 $6,896.81 $3,141.88 $8,567.37 $6,130.50 2026-02-16
J0565 HCPCS Injection, Bezlotoxumab, 10 Mg 24 24 $7,649.76 $6,884.78 $3,136.40 $8,552.43 $6,119.81 2026-02-16
378 MS_DRG Gastrointestinal Hemorrhage With Cc 1 1 $11,574.49 $10,417.04 $6,109.76 $6,109.76 $6,109.76 2026-02-16
178 MS_DRG Respiratory Infections And Inflammations With Cc 1 1 $15,108.44 $13,597.60 $6,080.48 $6,080.48 $6,080.48 2026-02-16
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 1 1 $16,333.06 $14,699.75 $6,070.51 $6,070.51 $6,070.51 2026-02-16
202 MS_DRG Bronchitis And Asthma With Cc/mcc 1 1 $15,906.19 $14,315.57 $6,050.58 $6,050.58 $6,050.58 2026-02-16
315 MS_DRG Other Circulatory System Diagnoses With Cc 1 1 $11,363.21 $10,226.89 $6,001.36 $6,001.36 $6,001.36 2026-02-16
552 MS_DRG Medical Back Problems Without Mcc 1 1 $15,560.80 $14,004.72 $5,988.90 $5,988.90 $5,988.90 2026-02-16
J9352 HCPCS Injection, Trabectedin, 0.1 Mg 24 24 $7,428.44 $6,685.60 $3,045.66 $8,305.00 $5,942.75 2026-02-16
J2182 HCPCS Injection, Mepolizumab, 1 Mg 24 24 $7,399.52 $6,659.57 $3,033.80 $8,272.66 $5,919.62 2026-02-16
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 1 1 $17,665.88 $15,899.29 $5,863.05 $5,863.05 $5,863.05 2026-02-16
394 MS_DRG Other Digestive System Diagnoses With Cc 1 1 $23,560.89 $21,204.80 $5,829.41 $5,829.41 $5,829.41 2026-02-16
J0775 HCPCS Injection, Collagenase, Clostridium Histolyticum, 0.01 Mg 24 24 $7,264.00 $6,537.60 $2,978.24 $8,121.15 $5,811.20 2026-02-16
Q5123 HCPCS Injection, Rituximab-arrx, Biosimilar, (riabni), 10 Mg 24 24 $7,217.76 $6,495.98 $2,959.28 $8,069.46 $5,774.21 2026-02-16
J1306 HCPCS Injection, Inclisiran, 1 Mg 24 24 $7,175.46 $6,457.91 $2,941.94 $8,022.16 $5,740.37 2026-02-16
812 MS_DRG Red Blood Cell Disorders Without Mcc 1 1 $15,691.88 $14,122.69 $5,720.39 $5,720.39 $5,720.39 2026-02-16
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 1 1 $17,626.88 $15,864.19 $5,709.80 $5,709.80 $5,709.80 2026-02-16
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 1 1 $14,910.30 $13,419.27 $5,706.68 $5,706.68 $5,706.68 2026-02-16
J9299 HCPCS Injection, Nivolumab, 1 Mg 96 24 $7,330.89 $6,597.80 $1,105.96 $17,532.45 $5,668.61 2026-02-16
158 MS_DRG Dental And Oral Diseases With Cc 1 1 $21,106.97 $18,996.27 $5,668.05 $5,668.05 $5,668.05 2026-02-16
52204 HCPCS Biopsy Of Bladder Using An Endoscope 46 24 $13,439.00 $12,095.10 $117.47 $15,024.80 $5,644.38 2026-02-16
101 MS_DRG Seizures Without Mcc 1 1 $27,988.98 $25,190.08 $5,623.20 $5,623.20 $5,623.20 2026-02-16
638 MS_DRG Diabetes With Cc 1 1 $19,754.34 $17,778.91 $5,583.33 $5,583.33 $5,583.33 2026-02-16
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 1 $19,697.90 $17,728.11 $5,578.97 $5,578.97 $5,578.97 2026-02-16
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 1 1 $28,198.71 $25,378.84 $5,564.64 $5,564.64 $5,564.64 2026-02-16
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 1 1 $8,235.45 $7,411.91 $5,499.84 $5,499.84 $5,499.84 2026-02-16
683 MS_DRG Renal Failure With Cc 1 1 $10,465.75 $9,419.17 $5,456.23 $5,456.23 $5,456.23 2026-02-16
312 MS_DRG Syncope And Collapse 1 1 $6,864.35 $6,177.92 $5,430.07 $5,430.07 $5,430.07 2026-02-16
603 MS_DRG Cellulitis Without Mcc 1 1 $12,714.54 $11,443.09 $5,425.71 $5,425.71 $5,425.71 2026-02-16
866 MS_DRG Viral Illness Without Mcc 1 1 $11,806.44 $10,625.80 $5,417.61 $5,417.61 $5,417.61 2026-02-16
0201T OTHER Injections Of Both Sides Of Sacrum For Enlargement, 2 Or More Needles, Accessed … 10 10 $7,653.00 $6,887.70 $663.58 $7,653.00 $5,357.10 2026-02-16
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 1 1 $7,615.00 $6,853.50 $5,339.73 $5,339.73 $5,339.73 2026-02-16
292 MS_DRG Heart Failure And Shock With Cc 1 1 $21,888.21 $19,699.39 $5,289.27 $5,289.27 $5,289.27 2026-02-16
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 1 1 $23,934.98 $21,541.48 $5,251.89 $5,251.89 $5,251.89 2026-02-16
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 1 1 $21,354.67 $19,219.21 $5,240.68 $5,240.68 $5,240.68 2026-02-16
J1743 HCPCS Injection, Idursulfase, 1 Mg 24 24 $6,509.56 $5,858.60 $2,668.92 $7,277.69 $5,207.65 2026-02-16
J3315 HCPCS Injection, Triptorelin Pamoate, 3.75 Mg 48 24 $8,635.00 $7,771.50 $2,360.23 $12,871.91 $5,180.99 2026-02-16
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 1 1 $9,857.00 $8,871.30 $5,171.52 $5,171.52 $5,171.52 2026-02-16
J9319 HCPCS Injection, Romidepsin, Lyophilized, 0.1 Mg 24 24 $6,387.06 $5,748.35 $2,618.69 $7,140.73 $5,109.65 2026-02-16
J1944 HCPCS Injection, Aripiprazole Lauroxil, (aristada), 1 Mg 24 24 $6,363.98 $5,727.58 $2,609.23 $7,114.93 $5,091.18 2026-02-16
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 1 1 $16,522.85 $14,870.56 $5,043.19 $5,043.19 $5,043.19 2026-02-16
J9303 HCPCS Injection, Panitumumab, 10 Mg 48 24 $9,108.01 $8,197.20 $1,505.95 $16,259.03 $5,034.55 2026-02-16
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 1 1 $18,145.02 $16,330.52 $5,031.35 $5,031.35 $5,031.35 2026-02-16
204 MS_DRG Respiratory Signs And Symptoms 1 1 $11,314.07 $10,182.67 $5,030.10 $5,030.10 $5,030.10 2026-02-16
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 1 1 $17,560.58 $15,804.52 $5,020.76 $5,020.76 $5,020.76 2026-02-16
176 MS_DRG Pulmonary Embolism Without Mcc 1 1 $18,206.69 $16,386.02 $5,015.15 $5,015.15 $5,015.15 2026-02-16
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 1 1 $26,900.63 $24,210.56 $5,008.30 $5,008.30 $5,008.30 2026-02-16
J9176 HCPCS Injection, Elotuzumab, 1 Mg 24 24 $6,239.48 $5,615.53 $2,558.19 $6,975.74 $4,991.58 2026-02-16
948 MS_DRG Signs And Symptoms Without Mcc 1 1 $13,987.89 $12,589.10 $4,987.12 $4,987.12 $4,987.12 2026-02-16
J9358 HCPCS Injection, Fam-trastuzumab Deruxtecan-nxki, 1 Mg 24 24 $6,222.70 $5,600.43 $2,551.31 $6,956.98 $4,978.16 2026-02-16
69 MS_DRG Transient Ischemia Without Thrombolytic 1 1 $22,001.91 $19,801.72 $4,976.52 $4,976.52 $4,976.52 2026-02-16
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 1 1 $26,344.10 $23,709.69 $4,960.95 $4,960.95 $4,960.95 2026-02-16
J9205 HCPCS Injection, Irinotecan Liposome, 1 Mg 24 24 $6,155.76 $5,540.18 $2,523.86 $6,882.14 $4,924.61 2026-02-16
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 1 1 $19,767.22 $17,790.50 $4,856.91 $4,856.91 $4,856.91 2026-02-16
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 1 1 $15,136.74 $13,623.07 $4,848.19 $4,848.19 $4,848.19 2026-02-16
J9177 HCPCS Injection, Enfortumab Vedotin-ejfv, 0.25 Mg 48 24 $7,072.26 $6,365.03 $2,323.78 $9,477.02 $4,817.59 2026-02-16
J9308 HCPCS Injection, Ramucirumab, 5 Mg 48 24 $9,054.48 $8,149.04 $1,251.05 $16,834.42 $4,792.51 2026-02-16
72 MS_DRG Other Cerebrovascular Disorders Without Cc/mcc 1 1 $12,613.00 $11,351.70 $4,711.13 $4,711.13 $4,711.13 2026-02-16
305 MS_DRG Hypertension Without Mcc 1 1 $15,745.00 $14,170.50 $4,704.27 $4,704.27 $4,704.27 2026-02-16
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 1 1 $20,679.39 $18,611.45 $4,703.65 $4,703.65 $4,703.65 2026-02-16
149 MS_DRG Dysequilibrium 1 1 $39,876.97 $35,889.28 $4,682.47 $4,682.47 $4,682.47 2026-02-16
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 1 1 $4,652.38 $4,187.14 $4,652.38 $4,652.38 $4,652.38 2026-02-16
182 MS_DRG Respiratory Neoplasms Without Cc/mcc 1 1 $6,291.91 $5,662.72 $4,635.12 $4,635.12 $4,635.12 2026-02-16
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 1 1 $9,217.05 $8,295.35 $4,583.41 $4,583.41 $4,583.41 2026-02-16
637 MS_DRG Diabetes With Mcc 1 1 $4,571.50 $4,114.35 $4,571.50 $4,571.50 $4,571.50 2026-02-16
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 24 24 $5,662.00 $5,095.80 $2,321.42 $6,330.12 $4,529.60 2026-02-16
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 1 1 $49,320.69 $44,388.62 $4,504.91 $4,504.91 $4,504.91 2026-02-16
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 1 1 $4,492.43 $4,043.19 $4,492.43 $4,492.43 $4,492.43 2026-02-16
300 MS_DRG Peripheral Vascular Disorders With Cc 1 1 $4,486.16 $4,037.54 $4,486.16 $4,486.16 $4,486.16 2026-02-16
313 MS_DRG Chest Pain 1 1 $33,835.47 $30,451.93 $4,485.60 $4,485.60 $4,485.60 2026-02-16
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 1 1 $4,477.46 $4,029.71 $4,477.46 $4,477.46 $4,477.46 2026-02-16
J2802 HCPCS Injection, Romiplostim, 1 Microgram 24 24 $5,506.04 $4,955.44 $2,257.48 $6,155.75 $4,404.83 2026-02-16
69620 HCPCS Repair Of Defect Or Tear Of Eardrum 24 24 $5,430.00 $4,887.00 $2,226.30 $6,070.74 $4,344.00 2026-02-16
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 1 1 $6,638.50 $5,974.65 $4,305.55 $4,305.55 $4,305.55 2026-02-16
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 1 1 $15,310.55 $13,779.50 $4,292.47 $4,292.47 $4,292.47 2026-02-16
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 1 1 $24,548.57 $22,093.72 $4,263.81 $4,263.81 $4,263.81 2026-02-16
70553 HCPCS MRI Scan Of Brain Before And After Contrast 24 24 $5,316.00 $4,784.40 $2,179.56 $5,943.29 $4,252.80 2026-02-16
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 24 24 $5,257.84 $4,732.06 $2,155.71 $5,878.27 $4,206.27 2026-02-16
303 MS_DRG Atherosclerosis Without Mcc 1 1 $9,986.00 $8,987.40 $4,194.04 $4,194.04 $4,194.04 2026-02-16
J9317 HCPCS Injection, Sacituzumab Govitecan-hziy, 2.5 Mg 24 24 $5,176.76 $4,659.08 $2,122.47 $5,787.62 $4,141.41 2026-02-16
759 MS_DRG Infections, Female Reproductive System Without Cc/mcc 1 1 $13,681.51 $12,313.36 $4,134.23 $4,134.23 $4,134.23 2026-02-16
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 24 24 $5,164.00 $4,647.60 $2,117.24 $5,773.35 $4,131.20 2026-02-16
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 24 24 $5,103.00 $4,592.70 $2,092.23 $5,705.15 $4,082.40 2026-02-16
J2426 HCPCS Injection, Paliperidone Palmitate Extended Release (invega Sustenna), 1 Mg 48 24 $5,948.64 $5,353.77 $1,951.18 $7,980.62 $4,045.13 2026-02-16
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 24 24 $5,033.00 $4,529.70 $2,063.53 $5,626.89 $4,026.40 2026-02-16
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 1 1 $16,252.04 $14,626.83 $3,999.66 $3,999.66 $3,999.66 2026-02-16
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 24 24 $4,985.00 $4,486.50 $2,043.85 $5,573.23 $3,988.00 2026-02-16
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 1 1 $13,867.85 $12,481.07 $3,915.56 $3,915.56 $3,915.56 2026-02-16
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 1 1 $15,625.88 $14,063.29 $3,871.32 $3,871.32 $3,871.32 2026-02-16
639 MS_DRG Diabetes Without Cc/mcc 1 1 $12,760.82 $11,484.74 $3,870.08 $3,870.08 $3,870.08 2026-02-16
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 144 24 $4,856.44 $4,370.80 $1,111.16 $28,795.19 $3,863.36 2026-02-16
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 24 24 $4,728.00 $4,255.20 $1,938.48 $5,285.90 $3,782.40 2026-02-16
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 24 24 $4,704.00 $4,233.60 $1,928.64 $5,259.07 $3,763.20 2026-02-16
70552 HCPCS MRI Scan Of Brain With Contrast 24 24 $4,675.00 $4,207.50 $1,916.75 $5,226.65 $3,740.00 2026-02-16
684 MS_DRG Renal Failure Without Cc/mcc 1 1 $12,675.09 $11,407.58 $3,739.87 $3,739.87 $3,739.87 2026-02-16
30117 HCPCS Removal Or Destruction Of Growth Of Nose Through Nose 24 24 $4,658.00 $4,192.20 $1,909.78 $5,207.64 $3,726.40 2026-02-16
70551 HCPCS MRI Scan Of Brain Without Contrast 24 24 $4,594.00 $4,134.60 $1,883.54 $5,136.09 $3,675.20 2026-02-16
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 24 24 $4,570.00 $4,113.00 $1,873.70 $5,109.26 $3,656.00 2026-02-16
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 24 24 $4,563.00 $4,106.70 $1,870.83 $5,101.43 $3,650.40 2026-02-16
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 24 24 $4,533.00 $4,079.70 $1,858.53 $5,067.89 $3,626.40 2026-02-16
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 24 24 $4,533.00 $4,079.70 $1,858.53 $5,067.89 $3,626.40 2026-02-16
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 24 24 $4,522.00 $4,069.80 $1,854.02 $5,055.60 $3,617.60 2026-02-16
J2783 HCPCS Injection, Rasburicase, 0.5 Mg 48 24 $6,758.13 $6,082.32 $937.21 $12,555.56 $3,580.03 2026-02-16
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 24 24 $4,475.00 $4,027.50 $1,834.75 $5,003.05 $3,580.00 2026-02-16
J0490 HCPCS Injection, Belimumab, 10 Mg 24 24 $4,452.10 $4,006.89 $1,825.36 $4,977.45 $3,561.68 2026-02-16
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 24 24 $4,427.00 $3,984.30 $1,815.07 $4,949.39 $3,541.60 2026-02-16
71552 HCPCS MRI Scan Of Chest Before And After Contrast 24 24 $4,425.00 $3,982.50 $1,814.25 $4,947.15 $3,540.00 2026-02-16
49203 HCPCS Excision Or Destruction, Open, Intra-abdominal Tumors, Cysts Or Endometriomas, 1… 10 10 $5,049.00 $4,544.10 $1,106.80 $5,049.00 $3,534.30 2026-02-16
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 1 1 $9,789.78 $8,810.80 $3,526.80 $3,526.80 $3,526.80 2026-02-16
293 MS_DRG Heart Failure And Shock Without Cc/mcc 1 1 $17,481.50 $15,733.35 $3,526.18 $3,526.18 $3,526.18 2026-02-16
30220 HCPCS Insertion Of Implant To Close Nasal Passage 24 24 $4,405.00 $3,964.50 $1,806.05 $4,924.79 $3,524.00 2026-02-16
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 1 1 $3,499.44 $3,149.50 $3,499.44 $3,499.44 $3,499.44 2026-02-16
951 MS_DRG Other Factors Influencing Health Status 1 1 $5,098.07 $4,588.26 $3,463.88 $3,463.88 $3,463.88 2026-02-16
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 24 24 $4,327.00 $3,894.30 $1,774.07 $4,837.59 $3,461.60 2026-02-16
J3358 HCPCS Ustekinumab, For Intravenous Injection, 1 Mg 24 24 $4,289.08 $3,860.17 $1,758.52 $4,795.19 $3,431.26 2026-02-16
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 1 1 $18,911.27 $17,020.14 $3,389.12 $3,389.12 $3,389.12 2026-02-16
Q5108 HCPCS Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 24 24 $4,175.00 $3,757.50 $1,711.75 $4,667.65 $3,340.00 2026-02-16
73220 HCPCS MRI Scan Of Arm Before And After Contrast 24 24 $4,149.00 $3,734.10 $1,701.09 $4,638.58 $3,319.20 2026-02-16
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 24 24 $4,149.00 $3,734.10 $1,701.09 $4,638.58 $3,319.20 2026-02-16
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 24 24 $4,048.14 $3,643.33 $1,659.74 $4,525.82 $3,238.51 2026-02-16
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 24 24 $4,033.00 $3,629.70 $1,653.53 $4,508.89 $3,226.40 2026-02-16
71550 HCPCS MRI Scan Of Chest Without Contrast 24 24 $3,998.00 $3,598.20 $1,639.18 $4,469.76 $3,198.40 2026-02-16
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 24 24 $3,998.00 $3,598.20 $1,639.18 $4,469.76 $3,198.40 2026-02-16
63287 HCPCS Removal Or Biopsy Of Growth Of Lower Spine Bone Within Spine Membrane, Intramedu… 22 22 $10,903.00 $9,812.70 $2,237.98 $10,903.00 $3,189.12 2026-02-16
J3032 HCPCS Injection, Eptinezumab-jjmr, 1 Mg 24 24 $3,929.90 $3,536.91 $1,611.26 $4,393.63 $3,143.92 2026-02-16
47379 HCPCS Other Procedure On Liver Using An Endoscope 9 9 $3,900.00 $3,510.00 $43.50 $3,900.00 $3,120.00 2026-02-16
Q5117 HCPCS Injection, Trastuzumab-anns, Biosimilar, (kanjinti), 10 Mg 48 24 $5,218.01 $4,696.21 $1,135.66 $8,570.72 $3,119.93 2026-02-16
74181 HCPCS MRI Scan Of Abdomen Without Contrast 24 24 $3,870.00 $3,483.00 $1,586.70 $4,326.66 $3,096.00 2026-02-16
73722 HCPCS MRI Scan Of Leg Joint With Contrast 24 24 $3,860.00 $3,474.00 $1,582.60 $4,315.48 $3,088.00 2026-02-16
74182 HCPCS MRI Scan Of Abdomen With Contrast 24 24 $3,856.00 $3,470.40 $1,580.96 $4,311.01 $3,084.80 2026-02-16
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 24 24 $3,848.00 $3,463.20 $1,577.68 $4,302.06 $3,078.40 2026-02-16
72195 HCPCS MRI Scan Of Pelvis Without Contrast 24 24 $3,780.00 $3,402.00 $1,549.80 $4,226.04 $3,024.00 2026-02-16
920 MS_DRG Complications Of Treatment With Cc 1 1 $3,006.85 $2,706.17 $3,006.85 $3,006.85 $3,006.85 2026-02-16
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 24 24 $4,533.00 $4,079.70 $1,858.53 $5,067.89 $2,982.72 2026-02-16
72196 HCPCS MRI Scan Of Pelvis With Contrast 24 24 $3,716.00 $3,344.40 $1,523.56 $4,154.49 $2,972.80 2026-02-16
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 24 24 $3,710.00 $3,339.00 $1,521.10 $4,147.78 $2,968.00 2026-02-16
57100 HCPCS Simple Biopsy Of Vaginal Mucous Membrane 24 24 $3,708.00 $3,337.20 $1,520.28 $4,145.54 $2,966.40 2026-02-16
J9173 HCPCS Injection, Durvalumab, 10 Mg 48 24 $5,375.14 $4,837.62 $865.59 $9,658.49 $2,951.17 2026-02-16
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 24 24 $3,610.00 $3,249.00 $1,480.10 $4,035.98 $2,888.00 2026-02-16
Q5136 HCPCS Injection, Denosumab-bbdz (jubbonti/wyost), Biosimilar, 1 Mg 48 24 $4,812.39 $4,331.15 $1,315.39 $7,173.67 $2,887.43 2026-02-16
73222 HCPCS MRI Scan Of Arm Joint With Contrast 24 24 $3,603.00 $3,242.70 $1,477.23 $4,028.15 $2,882.40 2026-02-16
93351 HCPCS Ultrasound Of Heart With Continuous Electrocardiogram (ecg) During Rest, Exercis… 24 24 $3,556.00 $3,200.40 $1,457.96 $3,975.61 $2,844.80 2026-02-16
J1569 HCPCS Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 120 24 $3,537.95 $3,184.16 $161.94 $11,768.46 $2,830.36 2026-02-16
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 24 24 $3,517.00 $3,165.30 $1,441.97 $3,932.01 $2,813.60 2026-02-16
J7168 HCPCS Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 48 24 $3,583.43 $3,225.09 $1,357.00 $4,312.24 $2,813.30 2026-02-16
73720 HCPCS MRI Scan Of Leg Before And After Contrast 24 24 $3,499.00 $3,149.10 $1,434.59 $3,911.88 $2,799.20 2026-02-16
73218 HCPCS MRI Scan Of Arm Without Contrast 24 24 $3,458.00 $3,112.20 $1,417.78 $3,866.04 $2,766.40 2026-02-16
Q5119 HCPCS Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg 48 24 $5,210.72 $4,689.65 $725.73 $9,672.22 $2,763.01 2026-02-16
Q5115 HCPCS Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg 48 24 $5,123.06 $4,610.75 $713.75 $9,508.88 $2,716.72 2026-02-16
J9055 HCPCS Injection, Cetuximab, 10 Mg 24 24 $3,395.72 $3,056.15 $1,392.25 $3,796.42 $2,716.58 2026-02-16
J2315 HCPCS Injection, Naltrexone, Depot Form, 1 Mg 24 24 $3,380.68 $3,042.61 $1,386.08 $3,779.60 $2,704.54 2026-02-16
27337 HCPCS Removal Of Growth Under Skin Of Thigh Or Knee, Less Than 3.0 Cm 46 24 $6,260.00 $5,634.00 $366.24 $6,998.68 $2,691.80 2026-02-16
11422 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 1.1-2… 46 24 $6,385.00 $5,746.50 $115.08 $7,138.43 $2,681.70 2026-02-16
27599 HCPCS Other Procedure On Thigh Or Knee 9 9 $3,351.00 $3,015.90 $43.50 $3,351.00 $2,680.80 2026-02-16
J9264 HCPCS Injection, Paclitaxel Protein-bound Particles, 1 Mg 24 24 $3,327.70 $2,994.93 $1,364.36 $3,720.37 $2,662.16 2026-02-16
0200T OTHER Injections Of One Side Of Sacrum For Enlargement, 1 Or More Needles, Accessed Th… 10 10 $3,134.00 $2,820.60 $706.00 $3,134.00 $2,659.27 2026-02-16
J0881 HCPCS Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use) 96 24 $3,870.00 $3,483.00 $380.81 $10,557.05 $2,631.60 2026-02-16
J1448 HCPCS Injection, Trilaciclib, 1mg 24 24 $3,275.82 $2,948.24 $1,343.09 $3,662.37 $2,620.66 2026-02-16
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 48 24 $4,448.50 $4,003.65 $1,216.06 $6,630.86 $2,609.64 2026-02-16
73718 HCPCS MRI Scan Of Leg Without Contrast 24 24 $3,203.00 $2,882.70 $1,313.23 $3,580.95 $2,562.40 2026-02-16
21930 HCPCS Removal Of Growth Under Skin Of Back Or Lower Sides, Less Than 3.0 Cm 46 24 $6,088.00 $5,479.20 $317.24 $6,806.38 $2,556.96 2026-02-16
J2278 HCPCS Injection, Ziconotide, 1 Microgram 24 24 $3,169.50 $2,852.55 $1,299.50 $3,543.50 $2,535.60 2026-02-16
J9355 HCPCS Injection, Trastuzumab, Excludes Biosimilar, 10 Mg 24 24 $3,166.60 $2,849.94 $1,298.31 $3,540.26 $2,533.28 2026-02-16
J0129 HCPCS Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 24 24 $3,149.76 $2,834.78 $1,291.40 $3,521.43 $2,519.81 2026-02-16
27328 HCPCS Removal Of Growth Of Muscle Of Thigh Or Knee, 5.0 Cm Or Less 46 24 $5,986.00 $5,387.40 $531.27 $6,692.35 $2,514.12 2026-02-16
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 24 24 $3,142.20 $2,827.98 $1,288.30 $3,512.98 $2,513.76 2026-02-16
Q5113 HCPCS Injection, Trastuzumab-pkrb, Biosimilar, (herzuma), 10 Mg 48 24 $4,194.61 $3,775.14 $914.82 $6,884.60 $2,509.66 2026-02-16
77049 HCPCS MRI Scan Of Both Breasts 24 24 $3,137.00 $2,823.30 $1,286.17 $3,507.17 $2,509.60 2026-02-16
J0875 HCPCS Injection, Dalbavancin, 5 Mg 24 24 $3,124.10 $2,811.69 $1,280.88 $3,492.74 $2,499.28 2026-02-16
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 1 1 $2,493.58 $2,244.22 $2,493.58 $2,493.58 $2,493.58 2026-02-16
49565 HCPCS Repair Recurrent Incisional Or Ventral Hernia; Reducible 10 10 $3,539.00 $3,185.10 $705.52 $3,539.00 $2,477.30 2026-02-16
36590 HCPCS Removal Of Central Venous Tube With Port Or Pump 46 24 $5,873.00 $5,285.70 $157.51 $6,566.01 $2,466.66 2026-02-16
J3262 HCPCS Injection, Tocilizumab, 1 Mg 72 24 $4,489.76 $4,040.78 $1,109.29 $5,994.05 $2,464.78 2026-02-16
22802 HCPCS Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 V… 22 22 $8,767.00 $7,890.30 $1,707.49 $8,767.00 $2,433.18 2026-02-16
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 48 24 $3,023.00 $2,720.70 $1,221.39 $3,428.91 $2,418.40 2026-02-16
J7327 HCPCS Hyaluronan Or Derivative, Monovisc, For Intra-articular Injection, Per Dose 24 24 $3,000.00 $2,700.00 $1,230.00 $3,354.00 $2,400.00 2026-02-16
49566 HCPCS Repair Recurrent Incisional Or Ventral Hernia; Incarcerated Or Strangulated 10 10 $3,401.00 $3,060.90 $861.46 $3,401.00 $2,380.70 2026-02-16
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 24 24 $2,966.00 $2,669.40 $1,216.06 $3,315.99 $2,372.80 2026-02-16
45385 HCPCS Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S… 46 24 $5,583.00 $5,024.70 $208.43 $6,241.79 $2,344.86 2026-02-16
43248 HCPCS Insertion Of Guide Wire With Dilation Of Esophagus Using A Flexible Endoscope 46 24 $5,583.00 $5,024.70 $137.69 $6,241.79 $2,344.86 2026-02-16
91035 HCPCS Monitoring And Recording Of Esophageal Function Through A Capsule Attached To Th… 24 24 $2,883.00 $2,594.70 $1,182.03 $3,223.19 $2,306.40 2026-02-16
J9179 HCPCS Injection, Eribulin Mesylate, 0.1 Mg 24 24 $2,820.00 $2,538.00 $1,156.20 $3,152.76 $2,256.00 2026-02-16
0707T OTHER Injection Of Bone-substitute Material Into Defect Of Bone Using Imaging Guidance… 14 7 $2,523.50 $2,271.15 $1,127.00 $2,793.00 $2,244.20 2026-02-16
J9035 HCPCS Injection, Bevacizumab, 10 Mg 48 24 $4,034.46 $3,631.02 $673.89 $7,183.46 $2,235.97 2026-02-16
63272 HCPCS Removal Of Growth Of Lower Spine Bone Within Spine Membrane 22 22 $7,616.00 $6,854.40 $1,565.59 $7,616.00 $2,230.97 2026-02-16
44143 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin 22 22 $5,950.00 $5,355.00 $1,362.45 $5,950.00 $2,213.99 2026-02-16
43239 HCPCS Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endoscop… 46 24 $5,197.00 $4,677.30 $115.14 $5,810.25 $2,182.74 2026-02-16
J9145 HCPCS Injection, Daratumumab, 10 Mg 48 24 $3,927.87 $3,535.09 $656.42 $6,992.78 $2,177.19 2026-02-16
77047 HCPCS MRI Scan Of Both Breasts Without Contrast 24 24 $2,714.00 $2,442.60 $1,112.74 $3,034.25 $2,171.20 2026-02-16
Q5114 HCPCS Injection, Trastuzumab-dkst, Biosimilar, (ogivri), 10 Mg 48 24 $3,615.32 $3,253.78 $791.62 $5,925.24 $2,165.78 2026-02-16
49020 HCPCS Drainage Of Abdominal Abscess Or Infection 22 22 $4,327.00 $3,894.30 $1,324.89 $4,327.00 $2,152.95 2026-02-16
J3590 HCPCS Unclassified Biologics 24 24 $2,689.76 $2,420.78 $1,102.80 $3,007.15 $2,151.81 2026-02-16
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 24 24 $2,685.00 $2,416.50 $1,100.85 $3,001.83 $2,148.00 2026-02-16
J9047 HCPCS Injection, Carfilzomib, 1 Mg 48 24 $4,176.48 $3,758.83 $503.82 $7,964.79 $2,147.36 2026-02-16
22210 HCPCS Incision Or Removal Of Upper Spine Bone Segment 22 22 $7,342.00 $6,607.80 $1,497.55 $7,342.00 $2,134.01 2026-02-16
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 24 24 $2,661.36 $2,395.22 $1,091.16 $2,975.40 $2,129.09 2026-02-16
42800 HCPCS Biopsy Of Back Of Throat 24 24 $2,658.00 $2,392.20 $1,089.78 $2,971.64 $2,126.40 2026-02-16
44626 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An… 22 22 $7,719.00 $6,947.10 $1,300.87 $7,719.00 $2,113.91 2026-02-16
A0434 HCPCS Specialty Care Transport (sct) 24 24 $2,599.00 $2,339.10 $1,065.59 $2,905.68 $2,079.20 2026-02-16
63064 HCPCS Release Of Middle Spinal Cord Or Nerves Through Rib And Spine Joint, Single Segm… 22 22 $6,096.00 $5,486.40 $1,453.30 $6,096.00 $2,070.95 2026-02-16
73719 HCPCS MRI Scan Of Leg With Contrast 24 24 $2,566.00 $2,309.40 $1,052.06 $2,868.79 $2,052.80 2026-02-16
J7307 HCPCS Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 24 24 $2,550.72 $2,295.65 $1,045.80 $2,851.71 $2,040.58 2026-02-16
11404 HCPCS Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 3.1-4.0 Cm 46 24 $4,824.00 $4,341.60 $139.02 $5,393.23 $2,026.08 2026-02-16
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 1 1 $2,019.00 $1,817.10 $2,019.00 $2,019.00 $2,019.00 2026-02-16
7200001 CDM Labor Room/delivery - General Classification 24 24 $2,520.00 $2,268.00 $1,033.20 $2,817.36 $2,016.00 2026-02-16
49560 HCPCS Repair Initial Incisional Or Ventral Hernia; Reducible 10 10 $2,866.00 $2,579.40 $676.97 $2,866.00 $2,006.20 2026-02-16
77046 HCPCS MRI Scan Of 1 Breast Without Contrast 24 24 $2,490.00 $2,241.00 $1,020.90 $2,783.82 $1,992.00 2026-02-16
Q5107 HCPCS Injection, Bevacizumab-awwb, Biosimilar, (mvasi), 10 Mg 48 24 $3,538.38 $3,184.55 $592.54 $6,296.06 $1,962.34 2026-02-16
57522 HCPCS Removal Or Destruction Of Cervix Using Loop Electrode 24 24 $2,400.00 $2,160.00 $984.00 $2,683.20 $1,920.00 2026-02-16
63055 HCPCS Release Of Middle Spinal Cord And/or Nerves, Single Segment 22 22 $6,567.00 $5,910.30 $1,336.78 $6,567.00 $1,904.91 2026-02-16
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