Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

CHI HEALTH ST. MARYS

Nebraska City, NE · CCN 281342 · Rates published

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You selected 93306 (CPT)

HC ECHO W PW CW CF DOPPLER

This hospital’s price: $544 across 16 payers · range $121-$2,386

Source: https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/price-transparency-standard-charges/470443636_chi-health-st-marys_standardcharges.json · observed 2026-02-28

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.

4,004 distinct procedures filed
16 distinct payers
1,851,111 rate rows
2026-02-28 last MRF observed
Data quality

1,775,469 of 1,851,111 rate rows are consumer-grade (95.9%)

75,642 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 39,015
per-diem day rate — not a per-procedure price 25,554
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4,704
placeholder amount (≤ $0.02) — excluded from medians 3,996
template filing: same amount across many unrelated codes — excluded 2,130
exceeds 10× this hospital's gross charge — excluded from medians 153
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 90
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/price-transparency-standard-charges/470443636_chi-health-st-marys_standardcharges.json
Found on page https://www.chihealth.com/patients-visitors/financial-assistance
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-21
Content fingerprint 31aca9a06108ef28… · 139,379,149 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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $234,161.40 $238,752.80 $236,457.10 nat. median
$359,454
0.7× median
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 16 $51,129.97 $229,153.92 $217,218.82 nat. median
$8,223
outlier · 26.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $184,022.28 $187,630.56 $185,826.42 nat. median
$249,036
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $131,924.76 $134,511.52 $133,218.14 nat. median
$198,418
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $101,205.42 $103,189.84 $102,197.63 nat. median
$95,038
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 2 $97,079.52 $98,983.04 $98,031.28 nat. median
$190,559
0.5× median
7
MS_DRG 		Lung Transplant 2 $96,596.04 $98,490.08 $97,543.06 nat. median
$117,974
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $91,476.66 $93,270.32 $92,373.49 nat. median
$104,013
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $87,839.34 $89,561.68 $88,700.51 nat. median
$110,307
0.8× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 2 $86,139.00 $87,828.00 $86,983.50 nat. median
$50,831
1.7× median
652
MS_DRG 		Kidney Transplant 2 $85,434.18 $87,109.36 $86,271.77 nat. median
$29,925
outlier · 2.9×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $70,044.42 $71,417.84 $70,731.13 nat. median
$90,551
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 2 $63,636.78 $64,884.56 $64,260.67 nat. median
$126,695
0.5× median
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 2 $60,841.98 $62,034.96 $61,438.47 nat. median
$42,881
1.4× median
6
MS_DRG 		Liver Transplant Without Mcc 2 $56,929.26 $58,045.52 $57,487.39 nat. median
$44,153
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $53,496.96 $54,545.92 $54,021.44 nat. median
$74,370
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 2 $51,613.02 $52,625.04 $52,119.03 nat. median
$93,901
0.6× median
224
MS_DRG 		No Active Code Description 2 $50,552.22 $51,543.44 $51,047.83 nat. median
$39,452
1.3× median
222
MS_DRG 		No Active Code Description 2 $46,663.98 $47,578.96 $47,121.47 nat. median
$47,543
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 2 $45,375.72 $46,265.44 $45,820.58 nat. median
$77,632
0.6× median
A9513
HCPCS 		Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 16 $10,174.50 $45,600.00 $43,225.00 nat. median
$479
outlier · 90.2×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 $42,130.08 $42,956.16 $42,543.12 nat. median
$51,514
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $41,789.40 $42,608.80 $42,199.10 nat. median
$66,715
0.6× median
453
MS_DRG 		No Active Code Description 2 $40,574.58 $41,370.16 $40,972.37 nat. median
$70,732
0.6× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 2 $40,567.44 $41,362.88 $40,965.16 nat. median
$53,927
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $39,893.22 $40,675.44 $40,284.33 nat. median
$77,028
0.5× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $39,357.72 $40,129.44 $39,743.58 nat. median
$62,655
0.6× median
834
MS_DRG 		Acute Leukemia With Mcc 2 $39,064.98 $39,830.96 $39,447.97 nat. median
$50,371
0.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 2 $38,879.34 $39,641.68 $39,260.51 nat. median
$57,801
0.7× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 $38,879.34 $39,641.68 $39,260.51 nat. median
$58,280
0.7× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 $38,106.18 $38,853.36 $38,479.77 nat. median
$53,342
0.7× median
226
MS_DRG 		No Active Code Description 2 $37,490.10 $38,225.20 $37,857.65 nat. median
$38,225
1.0× median
C2624
HCPCS 		Sys Del Pa Sens Cardiomems Cm2000 16 $8,906.44 $39,916.80 $37,837.80 nat. median
$32,662
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $37,121.88 $37,849.76 $37,485.82 nat. median
$67,976
0.6× median
C9293
HCPCS 		Gmlucarpidase 1000 Unit Intravenous Solution 16 $8,819.48 $39,527.04 $37,468.34 nat. median
$30,297
1.2× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $36,789.36 $37,510.72 $37,150.04 nat. median
$72,398
0.5× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $36,303.84 $37,015.68 $36,659.76 nat. median
$58,251
0.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $36,204.90 $36,914.80 $36,559.85 nat. median
$62,031
0.6× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 $35,676.54 $36,376.08 $36,026.31 nat. median
$53,856
0.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $34,874.82 $35,558.64 $35,216.73 nat. median
$61,728
0.6× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 $34,735.08 $35,416.16 $35,075.62 nat. median
$58,135
0.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $34,410.72 $35,085.44 $34,748.08 nat. median
$59,371
0.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 $33,933.36 $34,598.72 $34,266.04 nat. median
$71,748
outlier · 0.5×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 $33,676.32 $34,336.64 $34,006.48 nat. median
$53,523
0.6× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 2 $33,524.34 $34,181.68 $33,853.01 nat. median
$55,167
0.6× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 2 $33,147.96 $33,797.92 $33,472.94 nat. median
$47,429
0.7× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 2 $32,954.16 $33,600.32 $33,277.24 nat. median
$40,320
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $32,885.82 $33,530.64 $33,208.23 nat. median
$59,546
0.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $32,732.82 $33,374.64 $33,053.73 nat. median
$63,873
0.5× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 $32,689.98 $33,330.96 $33,010.47 nat. median
$45,868
0.7× median

Other procedures at this hospital

Browse this hospital's 4,004 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 2 — — $234,161.40 $238,752.80 $236,457.10 2026-02-28
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 90 16 $238,702.00 $198,122.66 $51,129.97 $229,153.92 $217,218.82 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 2 — — $184,022.28 $187,630.56 $185,826.42 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 2 — — $131,924.76 $134,511.52 $133,218.14 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 2 — — $101,205.42 $103,189.84 $102,197.63 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 6 2 — — $97,079.52 $98,983.04 $98,031.28 2026-02-28
7 MS_DRG Lung Transplant 6 2 — — $96,596.04 $98,490.08 $97,543.06 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 2 — — $91,476.66 $93,270.32 $92,373.49 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 6 2 — — $87,839.34 $89,561.68 $88,700.51 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 2 — — $86,139.00 $87,828.00 $86,983.50 2026-02-28
652 MS_DRG Kidney Transplant 6 2 — — $85,434.18 $87,109.36 $86,271.77 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 2 — — $70,044.42 $71,417.84 $70,731.13 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 6 2 — — $63,636.78 $64,884.56 $64,260.67 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 2 — — $60,841.98 $62,034.96 $61,438.47 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 6 2 — — $56,929.26 $58,045.52 $57,487.39 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 2 — — $53,496.96 $54,545.92 $54,021.44 2026-02-28
215 MS_DRG Other Heart Assist System Implant 6 2 — — $51,613.02 $52,625.04 $52,119.03 2026-02-28
224 MS_DRG No Active Code Description 6 2 — — $50,552.22 $51,543.44 $51,047.83 2026-02-28
222 MS_DRG No Active Code Description 6 2 — — $46,663.98 $47,578.96 $47,121.47 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 6 2 — — $45,375.72 $46,265.44 $45,820.58 2026-02-28
A9513 HCPCS Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 90 16 $47,500.00 $39,425.00 $10,174.50 $45,600.00 $43,225.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 2 — — $42,130.08 $42,956.16 $42,543.12 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 2 — — $41,789.40 $42,608.80 $42,199.10 2026-02-28
453 MS_DRG No Active Code Description 6 2 — — $40,574.58 $41,370.16 $40,972.37 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 6 2 — — $40,567.44 $41,362.88 $40,965.16 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 2 — — $39,893.22 $40,675.44 $40,284.33 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 2 — — $39,357.72 $40,129.44 $39,743.58 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 6 2 — — $39,064.98 $39,830.96 $39,447.97 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 2 — — $38,879.34 $39,641.68 $39,260.51 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 2 — — $38,879.34 $39,641.68 $39,260.51 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 6 2 — — $38,106.18 $38,853.36 $38,479.77 2026-02-28
226 MS_DRG No Active Code Description 6 2 — — $37,490.10 $38,225.20 $37,857.65 2026-02-28
C2624 HCPCS Sys Del Pa Sens Cardiomems Cm2000 90 16 $41,580.00 $34,511.40 $8,906.44 $39,916.80 $37,837.80 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 2 — — $37,121.88 $37,849.76 $37,485.82 2026-02-28
C9293 HCPCS Gmlucarpidase 1000 Unit Intravenous Solution 90 16 $41,174.00 $34,174.42 $8,819.48 $39,527.04 $37,468.34 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 2 — — $36,789.36 $37,510.72 $37,150.04 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 2 — — $36,303.84 $37,015.68 $36,659.76 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 2 — — $36,204.90 $36,914.80 $36,559.85 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 2 — — $35,676.54 $36,376.08 $36,026.31 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 2 — — $34,874.82 $35,558.64 $35,216.73 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 2 — — $34,735.08 $35,416.16 $35,075.62 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 2 — — $34,410.72 $35,085.44 $34,748.08 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 2 — — $33,933.36 $34,598.72 $34,266.04 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 2 — — $33,676.32 $34,336.64 $34,006.48 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 6 2 — — $33,524.34 $34,181.68 $33,853.01 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 2 — — $33,147.96 $33,797.92 $33,472.94 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 6 2 — — $32,954.16 $33,600.32 $33,277.24 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 2 — — $32,885.82 $33,530.64 $33,208.23 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 2 — — $32,732.82 $33,374.64 $33,053.73 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 2 — — $32,689.98 $33,330.96 $33,010.47 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 2 — — $31,741.38 $32,363.76 $32,052.57 2026-02-28
225 MS_DRG No Active Code Description 6 2 — — $31,643.46 $32,263.92 $31,953.69 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 2 — — $31,595.52 $32,215.04 $31,905.28 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 6 2 — — $30,487.80 $31,085.60 $30,786.70 2026-02-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 2 — — $30,483.72 $31,081.44 $30,782.58 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 2 — — $29,871.72 $30,457.44 $30,164.58 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 2 — — $29,772.78 $30,356.56 $30,064.67 2026-02-28
459 MS_DRG No Active Code Description 6 2 — — $29,667.72 $30,249.44 $29,958.58 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 2 — — $29,660.58 $30,242.16 $29,951.37 2026-02-28
C2642 HCPCS Dev Gmammatile Therapy 10pk Gmt-10 630 16 $50,750.00 $42,122.50 $1,981.35 $78,960.00 $29,694.00 2026-02-28
223 MS_DRG No Active Code Description 6 2 — — $29,118.96 $29,689.92 $29,404.44 2026-02-28
245 MS_DRG Aicd Generator Procedures 6 2 — — $28,196.88 $28,749.76 $28,473.32 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 2 — — $28,195.86 $28,748.72 $28,472.29 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 2 — — $28,051.02 $28,601.04 $28,326.03 2026-02-28
C1772 HCPCS Defibrillator Emblem MRI S-icd 270 16 $49,036.68 $40,700.45 $4,198.32 $66,758.40 $27,816.00 2026-02-28
454 MS_DRG No Active Code Description 6 2 — — $27,254.40 $27,788.80 $27,521.60 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 2 — — $27,072.84 $27,603.68 $27,338.26 2026-02-28
L8687 HCPCS Gmenrtr Imp Pulse MRI Prodigmy 3772 Controlsys 90 16 $29,750.00 $24,692.50 $6,372.45 $28,560.00 $27,072.50 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 6 2 — — $26,736.24 $27,260.48 $26,998.36 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 2 — — $26,711.76 $27,235.52 $26,973.64 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 2 — — $26,129.34 $26,641.68 $26,385.51 2026-02-28
332 MS_DRG Rectal Resection With Mcc 6 2 — — $26,093.64 $26,605.28 $26,349.46 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 2 — — $26,008.98 $26,518.96 $26,263.97 2026-02-28
227 MS_DRG No Active Code Description 6 2 — — $25,917.18 $26,425.36 $26,171.27 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 6 2 — — $25,663.20 $26,166.40 $25,914.80 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 6 2 — — $25,581.60 $26,083.20 $25,832.40 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 6 2 — — $25,560.18 $26,061.36 $25,810.77 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 2 — — $25,325.58 $25,822.16 $25,573.87 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 6 2 — — $24,745.20 $25,230.40 $24,987.80 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 6 2 — — $24,114.84 $24,587.68 $24,351.26 2026-02-28
L8614 HCPCS Elctrd Profle Nucmodiolar Slim P783831 180 16 $26,509.46 $22,002.85 $5,476.84 $26,352.13 $24,333.04 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 2 — — $23,973.06 $24,443.12 $24,208.09 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 2 — — $23,627.28 $24,090.56 $23,858.92 2026-02-28
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 6 2 — — $23,538.54 $24,000.08 $23,769.31 2026-02-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 6 2 — — $23,264.16 $23,720.32 $23,492.24 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 6 2 — — $23,216.22 $23,671.44 $23,443.83 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 6 2 — — $23,183.58 $23,638.16 $23,410.87 2026-02-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 2 — — $23,164.20 $23,618.40 $23,391.30 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 2 — — $23,049.96 $23,501.92 $23,275.94 2026-02-28
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Solution 264 16 $28,131.16 $23,348.87 $5,181.68 $27,005.94 $23,223.19 2026-02-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 2 — — $22,797.00 $23,244.00 $23,020.50 2026-02-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 6 2 — — $22,698.06 $23,143.12 $22,920.59 2026-02-28
10 MS_DRG Pancreas Transplant 6 2 — — $22,692.96 $23,137.92 $22,915.44 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 6 2 — — $22,662.36 $23,106.72 $22,884.54 2026-02-28
455 MS_DRG No Active Code Description 6 2 — — $22,279.86 $22,716.72 $22,498.29 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 2 — — $22,151.34 $22,585.68 $22,368.51 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 2 — — $22,127.88 $22,561.76 $22,344.82 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 2 — — $22,119.72 $22,553.44 $22,336.58 2026-02-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 2 — — $22,043.22 $22,475.44 $22,259.33 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 2 — — $21,742.32 $22,168.64 $21,955.48 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 2 — — $21,490.38 $21,911.76 $21,701.07 2026-02-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 2 — — $21,348.60 $21,767.20 $21,557.90 2026-02-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 6 2 — — $21,287.40 $21,704.80 $21,496.10 2026-02-28
C1882 HCPCS Biv Aice Unify Assura Cd3357-40c 2,700 16 $29,936.75 $24,847.51 $1,999.13 $61,488.00 $21,462.00 2026-02-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 2 — — $21,241.50 $21,658.00 $21,449.75 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 6 2 — — $21,162.96 $21,577.92 $21,370.44 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 6 2 — — $21,088.50 $21,502.00 $21,295.25 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 6 2 — — $21,029.34 $21,441.68 $21,235.51 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 6 2 — — $21,016.08 $21,428.16 $21,222.12 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 2 — — $21,013.02 $21,425.04 $21,219.03 2026-02-28
252 MS_DRG Other Vascular Procedures With Mcc 6 2 — — $20,812.08 $21,220.16 $21,016.12 2026-02-28
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 6 2 — — $20,688.66 $21,094.32 $20,891.49 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 2 — — $20,449.98 $20,850.96 $20,650.47 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 2 — — $20,373.48 $20,772.96 $20,573.22 2026-02-28
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 90 16 $22,602.00 $18,759.66 $4,841.35 $21,697.92 $20,567.82 2026-02-28
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 6 2 — — $20,081.76 $20,475.52 $20,278.64 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 2 — — $20,038.92 $20,431.84 $20,235.38 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 6 2 — — $20,033.82 $20,426.64 $20,230.23 2026-02-28
460 MS_DRG No Active Code Description 6 2 — — $19,687.02 $20,073.04 $19,880.03 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 2 — — $19,496.28 $19,878.56 $19,687.42 2026-02-28
34718 CPT Hc Evasc Rpr N/a A-iliac Ndgmft 90 16 $21,560.00 $17,894.80 $4,618.16 $20,697.60 $19,619.60 2026-02-28
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 6 2 — — $19,331.04 $19,710.08 $19,520.56 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 2 — — $19,283.10 $19,661.20 $19,472.15 2026-02-28
34717 CPT Hc Evasc Rpr A-iliac Ndgmft 90 16 $21,209.00 $17,603.47 $4,542.97 $20,360.64 $19,300.19 2026-02-28
665 MS_DRG Prostatectomy With Mcc 6 2 — — $19,049.52 $19,423.04 $19,236.28 2026-02-28
265 MS_DRG Aicd Lead Procedures 6 2 — — $18,969.96 $19,341.92 $19,155.94 2026-02-28
C1767 HCPCS Defib Pulse Ext Gmen 2 Port Hdr 3032ans 3,150 16 $32,921.70 $27,325.02 $153.91 $85,046.69 $19,144.54 2026-02-28
C1721 HCPCS Defib Current Dr 36j 2207-36 2,340 16 $28,133.88 $23,351.12 $12.77 $77,299.20 $19,032.00 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 2 — — $18,623.16 $18,988.32 $18,805.74 2026-02-28
248 MS_DRG No Active Code Description 6 2 — — $18,570.12 $18,934.24 $18,752.18 2026-02-28
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 2 — — $18,494.64 $18,857.28 $18,675.96 2026-02-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 6 2 — — $18,469.14 $18,831.28 $18,650.21 2026-02-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 6 2 — — $18,392.64 $18,753.28 $18,572.96 2026-02-28
662 MS_DRG Minor Bladder Procedures With Mcc 6 2 — — $18,378.36 $18,738.72 $18,558.54 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 2 — — $18,171.30 $18,527.60 $18,349.45 2026-02-28
C1722 HCPCS Defib Card Lumax 740 Vr-t Dx 372419 2,520 16 $26,866.26 $22,299.00 $2,061.68 $72,028.80 $18,167.52 2026-02-28
625 MS_DRG Thyroid Parathyroid And Thyroglossal Procedures With Mcc 6 2 — — $17,822.46 $18,171.92 $17,997.19 2026-02-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 2 — — $17,754.12 $18,102.24 $17,928.18 2026-02-28
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 2 — — $17,754.12 $18,102.24 $17,928.18 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 2 — — $17,735.76 $18,083.52 $17,909.64 2026-02-28
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 6 2 — — $17,569.50 $17,914.00 $17,741.75 2026-02-28
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 2 — — $17,500.14 $17,843.28 $17,671.71 2026-02-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 6 2 — — $17,500.14 $17,843.28 $17,671.71 2026-02-28
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 6 2 — — $17,317.56 $17,657.12 $17,487.34 2026-02-28
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 2 — — $17,268.60 $17,607.20 $17,437.90 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 6 2 — — $17,232.90 $17,570.80 $17,401.85 2026-02-28
835 MS_DRG Acute Leukemia With Cc 6 2 — — $17,203.32 $17,540.64 $17,371.98 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 6 2 — — $17,078.88 $17,413.76 $17,246.32 2026-02-28
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 6 2 — — $16,567.86 $16,892.72 $16,730.29 2026-02-28
503 MS_DRG Foot Procedures With Mcc 6 2 — — $16,489.32 $16,812.64 $16,650.98 2026-02-28
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 6 2 — — $16,486.26 $16,809.52 $16,647.89 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 2 — — $16,363.86 $16,684.72 $16,524.29 2026-02-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 6 2 — — $16,283.28 $16,602.56 $16,442.92 2026-02-28
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 6 2 — — $16,210.86 $16,528.72 $16,369.79 2026-02-28
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 6 2 — — $16,108.86 $16,424.72 $16,266.79 2026-02-28
C1820 HCPCS Chargmingm Sys Neuro Stimulator 66700abt 1,440 16 $28,065.62 $23,294.47 $650.64 $65,739.46 $16,243.50 2026-02-28
246 MS_DRG No Active Code Description 6 2 — — $16,066.02 $16,381.04 $16,223.53 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 2 — — $16,004.82 $16,318.64 $16,161.73 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 2 — — $15,986.46 $16,299.92 $16,143.19 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 2 — — $15,965.04 $16,278.08 $16,121.56 2026-02-28
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 6 2 — — $15,965.04 $16,278.08 $16,121.56 2026-02-28
619 MS_DRG O.r. Procedures For Obesity With Mcc 6 2 — — $15,817.14 $16,127.28 $15,972.21 2026-02-28
849 MS_DRG Radiotherapy 6 2 — — $15,603.96 $15,909.92 $15,756.94 2026-02-28
406 MS_DRG Pancreas Liver And Shunt Procedures With Cc 6 2 — — $15,574.38 $15,879.76 $15,727.07 2026-02-28
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 2 — — $15,567.24 $15,872.48 $15,719.86 2026-02-28
143 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures With Mcc 6 2 — — $15,541.74 $15,846.48 $15,694.11 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 2 — — $15,473.40 $15,776.80 $15,625.10 2026-02-28
347 MS_DRG Anal And Stomal Procedures With Mcc 6 2 — — $15,440.76 $15,743.52 $15,592.14 2026-02-28
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 90 16 $17,123.72 $14,212.69 $3,667.91 $16,438.78 $15,582.59 2026-02-28
253 MS_DRG Other Vascular Procedures With Cc 6 2 — — $15,405.06 $15,707.12 $15,556.09 2026-02-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 6 2 — — $15,397.92 $15,699.84 $15,548.88 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 2 — — $15,377.52 $15,679.04 $15,528.28 2026-02-28
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 6 2 — — $15,328.56 $15,629.12 $15,478.84 2026-02-28
264 MS_DRG Other Circulatory System O.r. Procedures 6 2 — — $15,296.94 $15,596.88 $15,446.91 2026-02-28
61 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 6 2 — — $15,284.70 $15,584.40 $15,434.55 2026-02-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 2 — — $15,159.24 $15,456.48 $15,307.86 2026-02-28
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 6 2 — — $15,020.52 $15,315.04 $15,167.78 2026-02-28
472 MS_DRG Cervical Spinal Fusion With Cc 6 2 — — $15,019.50 $15,314.00 $15,166.75 2026-02-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 2 — — $14,874.66 $15,166.32 $15,020.49 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 2 — — $14,839.98 $15,130.96 $14,985.47 2026-02-28
13 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 6 2 — — $14,833.86 $15,124.72 $14,979.29 2026-02-28
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 6 2 — — $14,640.06 $14,927.12 $14,783.59 2026-02-28
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 6 2 — — $14,576.82 $14,862.64 $14,719.73 2026-02-28
709 MS_DRG Penis Procedures With Cc/mcc 6 2 — — $14,502.36 $14,786.72 $14,644.54 2026-02-28
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 6 2 — — $14,464.62 $14,748.24 $14,606.43 2026-02-28
263 MS_DRG Vein Ligation And Stripping 6 2 — — $14,457.48 $14,740.96 $14,599.22 2026-02-28
510 MS_DRG Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Mcc 6 2 — — $14,449.32 $14,732.64 $14,590.98 2026-02-28
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 6 2 — — $14,312.64 $14,593.28 $14,452.96 2026-02-28
412 MS_DRG Cholecystectomy With C.d.e. With Cc 6 2 — — $14,274.90 $14,554.80 $14,414.85 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 2 — — $14,161.68 $14,439.36 $14,300.52 2026-02-28
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 2 — — $14,135.16 $14,412.32 $14,273.74 2026-02-28
164 MS_DRG Major Chest Procedures With Cc 6 2 — — $14,069.88 $14,345.76 $14,207.82 2026-02-28
945 MS_DRG Rehabilitation With Cc/mcc 6 2 — — $14,044.38 $14,319.76 $14,182.07 2026-02-28
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 6 2 — — $14,020.92 $14,295.84 $14,158.38 2026-02-28
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 90 16 $15,471.60 $12,841.43 $3,314.02 $14,852.74 $14,079.16 2026-02-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 6 2 — — $13,940.34 $14,213.68 $14,077.01 2026-02-28
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 6 2 — — $13,897.50 $14,170.00 $14,033.75 2026-02-28
949 MS_DRG Aftercare With Cc/mcc 6 2 — — $13,839.36 $14,110.72 $13,975.04 2026-02-28
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 6 2 — — $13,834.26 $14,105.52 $13,969.89 2026-02-28
113 MS_DRG Orbital Procedures With Cc/mcc 6 2 — — $13,749.60 $14,019.20 $13,884.40 2026-02-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 6 2 — — $13,698.60 $13,967.20 $13,832.90 2026-02-28
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 6 2 — — $13,690.44 $13,958.88 $13,824.66 2026-02-28
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Cc 6 2 — — $13,524.18 $13,789.36 $13,656.77 2026-02-28
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 6 2 — — $13,428.30 $13,691.60 $13,559.95 2026-02-28
711 MS_DRG Testes Procedures With Cc/mcc 6 2 — — $13,363.02 $13,625.04 $13,494.03 2026-02-28
333 MS_DRG Rectal Resection With Cc 6 2 — — $13,345.68 $13,607.36 $13,476.52 2026-02-28
655 MS_DRG Major Bladder Procedures Without Cc/mcc 6 2 — — $13,293.66 $13,554.32 $13,423.99 2026-02-28
654 MS_DRG Major Bladder Procedures With Cc 6 2 — — $13,293.66 $13,554.32 $13,423.99 2026-02-28
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 6 2 — — $13,220.22 $13,479.44 $13,349.83 2026-02-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 2 — — $13,202.88 $13,461.76 $13,332.32 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 6 2 — — $13,140.66 $13,398.32 $13,269.49 2026-02-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 6 2 — — $13,129.44 $13,386.88 $13,258.16 2026-02-28
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 6 2 — — $13,122.30 $13,379.60 $13,250.95 2026-02-28
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 2 — — $13,118.22 $13,375.44 $13,246.83 2026-02-28
56 MS_DRG Degenerative Nervous System Disorders With Mcc 6 2 — — $13,082.52 $13,339.04 $13,210.78 2026-02-28
357 MS_DRG Other Digestive System O.r. Procedures With Cc 6 2 — — $13,067.22 $13,323.44 $13,195.33 2026-02-28
37 MS_DRG Extracranial Procedures With Mcc 6 2 — — $13,062.12 $13,318.24 $13,190.18 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 6 2 — — $13,035.60 $13,291.20 $13,163.40 2026-02-28
330 MS_DRG Major Small And Large Bowel Procedures With Cc 6 2 — — $12,905.04 $13,158.08 $13,031.56 2026-02-28
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 6 2 — — $12,823.44 $13,074.88 $12,949.16 2026-02-28
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 6 2 — — $12,810.18 $13,061.36 $12,935.77 2026-02-28
511 MS_DRG Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Cc 6 2 — — $12,772.44 $13,022.88 $12,897.66 2026-02-28
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 6 2 — — $12,772.44 $13,022.88 $12,897.66 2026-02-28
146 MS_DRG Ear Nose Mouth And Throat Malignancy With Mcc 6 2 — — $12,753.06 $13,003.12 $12,878.09 2026-02-28
548 MS_DRG Septic Arthritis With Mcc 6 2 — — $12,731.64 $12,981.28 $12,856.46 2026-02-28
62 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 6 2 — — $12,695.94 $12,944.88 $12,820.41 2026-02-28
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 6 2 — — $12,685.74 $12,934.48 $12,810.11 2026-02-28
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 6 2 — — $12,664.32 $12,912.64 $12,788.48 2026-02-28
974 MS_DRG HIV With Major Related Condition With Mcc 6 2 — — $12,637.80 $12,885.60 $12,761.70 2026-02-28
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 6 2 — — $12,631.68 $12,879.36 $12,755.52 2026-02-28
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 2 — — $12,621.48 $12,868.96 $12,745.22 2026-02-28
595 MS_DRG Major Skin Disorders With Mcc 6 2 — — $12,621.48 $12,868.96 $12,745.22 2026-02-28
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 6 2 — — $12,458.28 $12,702.56 $12,580.42 2026-02-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 2 — — $12,444.00 $12,688.00 $12,566.00 2026-02-28
41 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Cc Or Peripher… 6 2 — — $12,372.60 $12,615.20 $12,493.90 2026-02-28
500 MS_DRG Soft Tissue Procedures With Mcc 6 2 — — $12,335.88 $12,577.76 $12,456.82 2026-02-28
35 MS_DRG Carotid Artery Stent Procedures With Cc 6 2 — — $12,303.24 $12,544.48 $12,423.86 2026-02-28
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 6 2 — — $12,278.76 $12,519.52 $12,399.14 2026-02-28
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 6 2 — — $12,204.30 $12,443.60 $12,323.95 2026-02-28
963 MS_DRG Other Multiple Significant Trauma With Mcc 6 2 — — $12,184.92 $12,423.84 $12,304.38 2026-02-28
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 6 2 — — $12,069.66 $12,306.32 $12,187.99 2026-02-28
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 6 2 — — $12,036.00 $12,272.00 $12,154.00 2026-02-28
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 6 2 — — $12,036.00 $12,272.00 $12,154.00 2026-02-28
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 90 16 $13,317.80 $11,053.78 $2,852.68 $12,785.09 $12,119.20 2026-02-28
336 MS_DRG Peritoneal Adhesiolysis With Cc 6 2 — — $11,990.10 $12,225.20 $12,107.65 2026-02-28
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 6 2 — — $11,974.80 $12,209.60 $12,092.20 2026-02-28
288 MS_DRG Acute And Subacute Endocarditis With Mcc 6 2 — — $11,894.22 $12,127.44 $12,010.83 2026-02-28
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 6 2 — — $11,860.56 $12,093.12 $11,976.84 2026-02-28
Q4104 HCPCS Drsngm Matrix Bilayer 10x12.5cm Bmw4051 180 16 $13,848.52 $11,494.28 $2,671.32 $14,616.90 $11,909.92 2026-02-28
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 2 — — $11,721.84 $11,951.68 $11,836.76 2026-02-28
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 6 2 — — $11,705.52 $11,935.04 $11,820.28 2026-02-28
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 6 2 — — $11,696.34 $11,925.68 $11,811.01 2026-02-28
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 6 2 — — $11,693.28 $11,922.56 $11,807.92 2026-02-28
30 MS_DRG Spinal Procedures Without Cc/mcc 6 2 — — $11,640.24 $11,868.48 $11,754.36 2026-02-28
286 MS_DRG Circulatory Disorders Except Ami With Cardiac Catheterization With Mcc 6 2 — — $11,581.08 $11,808.16 $11,694.62 2026-02-28
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 6 2 — — $11,448.48 $11,672.96 $11,560.72 2026-02-28
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 6 2 — — $11,393.40 $11,616.80 $11,505.10 2026-02-28
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 6 2 — — $11,339.34 $11,561.68 $11,450.51 2026-02-28
36566 CPT Pc In Tun Ven Dev 2 Cth W Port 90 16 $12,578.00 $10,439.74 $2,694.21 $12,074.88 $11,445.98 2026-02-28
906 MS_DRG Hand Procedures For Injuries 6 2 — — $11,316.90 $11,538.80 $11,427.85 2026-02-28
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 6 2 — — $11,313.84 $11,535.68 $11,424.76 2026-02-28
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 6 2 — — $11,298.54 $11,520.08 $11,409.31 2026-02-28
63 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 6 2 — — $11,274.06 $11,495.12 $11,384.59 2026-02-28
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 6 2 — — $11,243.46 $11,463.92 $11,353.69 2026-02-28
671 MS_DRG Urethral Procedures With Cc/mcc 6 2 — — $11,145.54 $11,364.08 $11,254.81 2026-02-28
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 6 2 — — $11,143.50 $11,362.00 $11,252.75 2026-02-28
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 2 — — $11,141.46 $11,359.92 $11,250.69 2026-02-28
579 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedures With Mcc 6 2 — — $11,065.98 $11,282.96 $11,174.47 2026-02-28
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 6 2 — — $11,060.88 $11,277.76 $11,169.32 2026-02-28
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 6 2 — — $11,046.60 $11,263.20 $11,154.90 2026-02-28
407 MS_DRG Pancreas Liver And Shunt Procedures Without Cc/mcc 6 2 — — $11,005.80 $11,221.60 $11,113.70 2026-02-28
314 MS_DRG Other Circulatory System Diagnoses With Mcc 6 2 — — $10,999.68 $11,215.36 $11,107.52 2026-02-28
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 6 2 — — $10,990.50 $11,206.00 $11,098.25 2026-02-28
327 MS_DRG Stomach Esophageal And Duodenal Procedures With Cc 6 2 — — $10,983.36 $11,198.72 $11,091.04 2026-02-28
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 2 — — $10,907.88 $11,121.76 $11,014.82 2026-02-28
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 6 2 — — $10,893.60 $11,107.20 $11,000.40 2026-02-28
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 6 2 — — $10,822.20 $11,034.40 $10,928.30 2026-02-28
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 2 — — $10,812.00 $11,024.00 $10,918.00 2026-02-28
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 6 2 — — $10,808.94 $11,020.88 $10,914.91 2026-02-28
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 6 2 — — $10,773.24 $10,984.48 $10,878.86 2026-02-28
734 MS_DRG Pelvic Evisceration Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 6 2 — — $10,726.32 $10,936.64 $10,831.48 2026-02-28
722 MS_DRG Malignancy Male Reproductive System With Mcc 6 2 — — $10,720.20 $10,930.40 $10,825.30 2026-02-28
545 MS_DRG Connective Tissue Disorders With Mcc 6 2 — — $10,691.64 $10,901.28 $10,796.46 2026-02-28
247 MS_DRG No Active Code Description 6 2 — — $10,628.40 $10,836.80 $10,732.60 2026-02-28
368 MS_DRG Major Esophageal Disorders With Mcc 6 2 — — $10,619.22 $10,827.44 $10,723.33 2026-02-28
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 90 16 $11,742.00 $9,745.86 $2,515.14 $11,272.32 $10,685.22 2026-02-28
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 6 2 — — $10,544.76 $10,751.52 $10,648.14 2026-02-28
902 MS_DRG Wound Debridements For Injuries With Cc 6 2 — — $10,531.50 $10,738.00 $10,634.75 2026-02-28
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 6 2 — — $10,508.04 $10,714.08 $10,611.06 2026-02-28
509 MS_DRG Arthroscopy 6 2 — — $10,499.88 $10,705.76 $10,602.82 2026-02-28
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 6 2 — — $10,497.84 $10,703.68 $10,600.76 2026-02-28
338 MS_DRG No Active Code Description 6 2 — — $10,483.56 $10,689.12 $10,586.34 2026-02-28
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 6 2 — — $10,467.24 $10,672.48 $10,569.86 2026-02-28
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 2 — — $10,451.94 $10,656.88 $10,554.41 2026-02-28
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 6 2 — — $10,447.86 $10,652.72 $10,550.29 2026-02-28
629 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Cc 6 2 — — $10,415.22 $10,619.44 $10,517.33 2026-02-28
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 6 2 — — $10,387.68 $10,591.36 $10,489.52 2026-02-28
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/mcc 6 2 — — $10,383.60 $10,587.20 $10,485.40 2026-02-28
735 MS_DRG Pelvic Evisceration Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 6 2 — — $10,382.58 $10,586.16 $10,484.37 2026-02-28
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 6 2 — — $10,347.90 $10,550.80 $10,449.35 2026-02-28
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