Price Transparency Hospital negotiated rates

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

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Hospital

LINCOLN HOSPITAL

Davenport, WA · CCN 501305 · Rates published

2,379 distinct procedures filed
24 distinct payers
74,186 rate rows
2026-03-09 last MRF observed
Data quality

73,333 of 74,186 rate rows are consumer-grade (98.9%)

853 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
per-diem day rate — not a per-procedure price 721
exceeds 10× this hospital's gross charge — excluded from medians 103
percent-of-charges filed in the dollar field — excluded from medians 23
placeholder amount (≤ $0.02) — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbLincolnHospitalWA&type=CDMWithoutLabel
Found on page https://www.lincolnhospital.org/patients-and-visitors/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 27d8166abadaf930… · 28,811,161 bytes · first seen 2026-05-06

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
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 17 $52,719.45 $69,606.25 $63,567.35 nat. median
$20,421
outlier · 3.1×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 17 $48,805.71 $64,438.89 $58,848.31 nat. median
$24,346
outlier · 2.4×
183
MS_DRG 		Major Chest Trauma With Mcc 17 $31,657.17 $41,797.42 $38,171.16 nat. median
$15,869
outlier · 2.4×
570
MS_DRG 		Skin Debridement With Mcc 17 $31,614.16 $41,740.64 $38,119.30 nat. median
$29,069
1.3× median
55
MS_DRG 		Nervous System Neoplasms Without Mcc 17 $28,628.93 $37,799.19 $34,519.81 nat. median
$11,401
outlier · 3.0×
501
MS_DRG 		Soft Tissue Procedures With Cc 17 $28,488.87 $37,614.27 $34,350.93 nat. median
$17,880
1.9× median
687
MS_DRG 		Kidney And Urinary Tract Neoplasms With Cc 17 $27,817.97 $36,728.46 $33,541.98 nat. median
$11,404
outlier · 2.9×
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 17 $26,418.12 $34,880.23 $31,854.09 nat. median
$24,757
1.3× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 17 $26,211.13 $34,606.93 $31,604.50 nat. median
$18,295
1.7× median
291
MS_DRG 		Heart Failure And Shock With Mcc 17 $21,831.56 $28,824.53 $26,323.77 nat. median
$13,522
1.9× median
602
MS_DRG 		Cellulitis With Mcc 17 $21,785.00 $28,763.05 $26,267.63 nat. median
$14,838
1.8× median
516
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 17 $21,340.51 $28,176.19 $25,731.68 nat. median
$21,082
1.2× median
563
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 17 $21,042.56 $27,782.80 $25,372.42 nat. median
$9,671
outlier · 2.6×
699
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Cc 17 $20,194.86 $26,663.57 $24,350.29 nat. median
$10,936
outlier · 2.2×
813
MS_DRG 		Coagulation Disorders 17 $19,041.82 $25,141.20 $22,960.00 nat. median
$15,711
1.5× median
571
MS_DRG 		Skin Debridement With Cc 17 $18,628.25 $24,595.15 $22,461.32 nat. median
$17,262
1.3× median
558
MS_DRG 		Tendonitis, Myositis And Bursitis Without Mcc 17 $18,455.14 $24,366.59 $22,252.59 nat. median
$9,624
outlier · 2.3×
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 17 $18,372.30 $24,257.21 $22,152.70 nat. median
$16,235
1.4× median
176
MS_DRG 		Pulmonary Embolism Without Mcc 17 $18,205.34 $24,036.78 $21,951.39 nat. median
$9,177
outlier · 2.4×
388
MS_DRG 		Gastrointestinal Obstruction With Mcc 17 $17,858.29 $23,578.56 $21,532.93 nat. median
$15,091
1.4× median
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 17 $17,741.68 $23,424.59 $21,392.32 nat. median
$13,246
1.6× median
200
MS_DRG 		Pneumothorax With Cc 17 $17,434.89 $23,019.54 $21,022.41 nat. median
$11,694
1.8× median
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 17 $17,043.77 $22,503.13 $20,550.81 nat. median
$11,700
1.8× median
70
MS_DRG 		Other Cerebrovascular Disorders With Mcc 17 $16,436.34 $21,701.13 $19,818.39 nat. median
$17,286
1.1× median
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 17 $15,623.69 $20,628.19 $18,838.53 nat. median
$10,875
1.7× median
386
MS_DRG 		Inflammatory Bowel Disease With Cc 17 $15,102.65 $19,940.24 $18,210.27 nat. median
$10,778
1.7× median
536
MS_DRG 		Fractures Of Hip And Pelvis Without Mcc 17 $14,171.35 $18,710.64 $17,087.34 nat. median
$8,981
1.9× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 17 $14,120.70 $18,643.76 $17,026.27 nat. median
$13,648
1.2× median
368
MS_DRG 		Major Esophageal Disorders With Mcc 17 $13,705.96 $18,096.18 $16,526.19 nat. median
$16,679
1.0× median
505
MS_DRG 		Foot Procedures Without Cc/mcc 17 $13,537.60 $17,873.90 $16,323.19 nat. median
$18,104
0.9× median
682
MS_DRG 		Renal Failure With Mcc 17 $13,253.66 $17,499.00 $15,980.83 nat. median
$15,223
1.0× median
728
MS_DRG 		Inflammation Of The Male Reproductive System Without Mcc 17 $13,065.55 $17,250.64 $15,754.01 nat. median
$9,015
1.7× median
947
MS_DRG 		Signs And Symptoms With Mcc 17 $12,888.19 $17,016.47 $15,540.15 nat. median
$12,688
1.2× median
292
MS_DRG 		Heart Failure And Shock With Cc 17 $12,836.74 $16,948.54 $15,478.12 nat. median
$9,636
1.6× median
372
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Cc 17 $12,680.88 $16,742.76 $15,290.19 nat. median
$11,088
1.4× median
539
MS_DRG 		Osteomyelitis With Mcc 17 $12,625.14 $16,669.16 $15,222.98 nat. median
$19,718
0.8× median
637
MS_DRG 		Diabetes With Mcc 17 $12,601.96 $16,638.55 $15,195.02 nat. median
$14,789
1.0× median
811
MS_DRG 		Red Blood Cell Disorders With Mcc 17 $12,581.79 $16,611.93 $15,170.71 nat. median
$14,380
1.1× median
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 17 $12,476.55 $16,472.97 $15,043.81 nat. median
$9,125
1.6× median
638
MS_DRG 		Diabetes With Cc 17 $12,320.57 $16,267.03 $14,855.74 nat. median
$9,826
1.5× median
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 17 $12,213.68 $16,125.90 $14,726.85 nat. median
$12,148
1.2× median
J2182
HCPCS 		Injection, Mepolizumab, 1 Mg 24 $30.54 $17,657.34 $14,519.06 nat. median
$3,098
outlier · 4.7×
66
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 17 $11,776.62 $15,548.84 $14,199.85 nat. median
$8,071
1.8× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 17 $11,720.87 $15,475.23 $14,132.63 nat. median
$19,635
0.7× median
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 17 $11,670.65 $15,408.93 $14,072.08 nat. median
$11,105
1.3× median
282
MS_DRG 		Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 17 $11,608.42 $15,326.76 $13,997.05 nat. median
$8,518
1.6× median
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 17 $11,449.90 $15,117.47 $13,805.91 nat. median
$19,682
0.7× median
949
MS_DRG 		Aftercare With Cc/mcc 17 $11,238.86 $14,838.83 $13,551.44 nat. median
$12,475
1.1× median
598
MS_DRG 		Malignant Breast Disorders With Cc 17 $11,201.34 $14,789.29 $13,506.20 nat. median
$11,966
1.1× median
440
MS_DRG 		Disorders Of Pancreas Except Malignancy Without Cc/mcc 17 $10,914.79 $14,410.95 $13,160.69 nat. median
$7,345
1.8× median

Other procedures at this hospital

Browse this hospital's 2,379 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
             
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 17 17 $69,094.95 $62,185.46 $52,719.45 $69,606.25 $63,567.35 2026-03-09
330 MS_DRG Major Small And Large Bowel Procedures With Cc 17 17 $63,965.55 $57,569.00 $48,805.71 $64,438.89 $58,848.31 2026-03-09
183 MS_DRG Major Chest Trauma With Mcc 17 17 $41,490.39 $37,341.35 $31,657.17 $41,797.42 $38,171.16 2026-03-09
570 MS_DRG Skin Debridement With Mcc 17 17 $41,434.03 $37,290.62 $31,614.16 $41,740.64 $38,119.30 2026-03-09
55 MS_DRG Nervous System Neoplasms Without Mcc 17 17 $37,521.53 $33,769.38 $28,628.93 $37,799.19 $34,519.81 2026-03-09
501 MS_DRG Soft Tissue Procedures With Cc 17 17 $37,337.97 $33,604.17 $28,488.87 $37,614.27 $34,350.93 2026-03-09
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 17 17 $36,458.67 $32,812.80 $27,817.97 $36,728.46 $33,541.98 2026-03-09
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 17 17 $34,624.01 $31,161.61 $26,418.12 $34,880.23 $31,854.09 2026-03-09
205 MS_DRG Other Respiratory System Diagnoses With Mcc 17 17 $34,352.72 $30,917.45 $26,211.13 $34,606.93 $31,604.50 2026-03-09
291 MS_DRG Heart Failure And Shock With Mcc 17 17 $28,612.79 $25,751.51 $21,831.56 $28,824.53 $26,323.77 2026-03-09
602 MS_DRG Cellulitis With Mcc 17 17 $28,551.77 $25,696.59 $21,785.00 $28,763.05 $26,267.63 2026-03-09
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 17 17 $27,969.22 $25,172.30 $21,340.51 $28,176.19 $25,731.68 2026-03-09
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 17 17 $27,578.72 $24,820.84 $21,042.56 $27,782.80 $25,372.42 2026-03-09
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 17 17 $26,467.71 $23,820.94 $20,194.86 $26,663.57 $24,350.29 2026-03-09
813 MS_DRG Coagulation Disorders 17 17 $24,956.52 $22,460.87 $19,041.82 $25,141.20 $22,960.00 2026-03-09
571 MS_DRG Skin Debridement With Cc 17 17 $24,414.48 $21,973.03 $18,628.25 $24,595.15 $22,461.32 2026-03-09
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 17 17 $24,187.60 $21,768.84 $18,455.14 $24,366.59 $22,252.59 2026-03-09
177 MS_DRG Respiratory Infections And Inflammations With Mcc 17 17 $24,079.02 $21,671.12 $18,372.30 $24,257.21 $22,152.70 2026-03-09
176 MS_DRG Pulmonary Embolism Without Mcc 17 17 $23,860.21 $21,474.19 $18,205.34 $24,036.78 $21,951.39 2026-03-09
388 MS_DRG Gastrointestinal Obstruction With Mcc 17 17 $23,405.36 $21,064.82 $17,858.29 $23,578.56 $21,532.93 2026-03-09
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 17 17 $23,252.53 $20,927.27 $17,741.68 $23,424.59 $21,392.32 2026-03-09
200 MS_DRG Pneumothorax With Cc 17 17 $22,850.45 $20,565.41 $17,434.89 $23,019.54 $21,022.41 2026-03-09
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 17 17 $22,337.83 $20,104.05 $17,043.77 $22,503.13 $20,550.81 2026-03-09
70 MS_DRG Other Cerebrovascular Disorders With Mcc 17 17 $21,541.73 $19,387.55 $16,436.34 $21,701.13 $19,818.39 2026-03-09
178 MS_DRG Respiratory Infections And Inflammations With Cc 17 17 $20,476.66 $18,428.99 $15,623.69 $20,628.19 $18,838.53 2026-03-09
386 MS_DRG Inflammatory Bowel Disease With Cc 17 17 $19,793.77 $17,814.39 $15,102.65 $19,940.24 $18,210.27 2026-03-09
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 17 17 $18,573.19 $16,715.88 $14,171.35 $18,710.64 $17,087.34 2026-03-09
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 17 17 $18,506.81 $16,656.13 $14,120.70 $18,643.76 $17,026.27 2026-03-09
368 MS_DRG Major Esophageal Disorders With Mcc 17 17 $17,963.25 $16,166.93 $13,705.96 $18,096.18 $16,526.19 2026-03-09
505 MS_DRG Foot Procedures Without Cc/mcc 17 17 $17,742.60 $15,968.34 $13,537.60 $17,873.90 $16,323.19 2026-03-09
682 MS_DRG Renal Failure With Mcc 17 17 $17,370.46 $15,633.42 $13,253.66 $17,499.00 $15,980.83 2026-03-09
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 17 17 $17,123.93 $15,411.53 $13,065.55 $17,250.64 $15,754.01 2026-03-09
947 MS_DRG Signs And Symptoms With Mcc 17 17 $16,891.47 $15,202.32 $12,888.19 $17,016.47 $15,540.15 2026-03-09
292 MS_DRG Heart Failure And Shock With Cc 17 17 $16,824.04 $15,141.64 $12,836.74 $16,948.54 $15,478.12 2026-03-09
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 17 17 $16,619.77 $14,957.79 $12,680.88 $16,742.76 $15,290.19 2026-03-09
539 MS_DRG Osteomyelitis With Mcc 17 17 $16,546.72 $14,892.04 $12,625.14 $16,669.16 $15,222.98 2026-03-09
637 MS_DRG Diabetes With Mcc 17 17 $16,516.33 $14,864.70 $12,601.96 $16,638.55 $15,195.02 2026-03-09
811 MS_DRG Red Blood Cell Disorders With Mcc 17 17 $16,489.90 $14,840.91 $12,581.79 $16,611.93 $15,170.71 2026-03-09
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 17 17 $16,351.97 $14,716.77 $12,476.55 $16,472.97 $15,043.81 2026-03-09
638 MS_DRG Diabetes With Cc 17 17 $16,147.54 $14,532.79 $12,320.57 $16,267.03 $14,855.74 2026-03-09
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 17 17 $16,007.45 $14,406.70 $12,213.68 $16,125.90 $14,726.85 2026-03-09
J2182 HCPCS Injection, Mepolizumab, 1 Mg 24 24 $18,203.44 $16,383.10 $30.54 $17,657.34 $14,519.06 2026-03-09
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 17 17 $15,434.62 $13,891.16 $11,776.62 $15,548.84 $14,199.85 2026-03-09
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 17 17 $15,361.56 $13,825.40 $11,720.87 $15,475.23 $14,132.63 2026-03-09
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 17 17 $15,295.74 $13,766.16 $11,670.65 $15,408.93 $14,072.08 2026-03-09
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 17 17 $15,214.18 $13,692.76 $11,608.42 $15,326.76 $13,997.05 2026-03-09
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 17 17 $15,006.42 $13,505.78 $11,449.90 $15,117.47 $13,805.91 2026-03-09
949 MS_DRG Aftercare With Cc/mcc 17 17 $14,729.83 $13,256.85 $11,238.86 $14,838.83 $13,551.44 2026-03-09
598 MS_DRG Malignant Breast Disorders With Cc 17 17 $14,680.65 $13,212.59 $11,201.34 $14,789.29 $13,506.20 2026-03-09
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 17 17 $14,305.10 $12,874.59 $10,914.79 $14,410.95 $13,160.69 2026-03-09
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 17 17 $14,043.98 $12,639.58 $10,715.56 $14,147.91 $12,920.46 2026-03-09
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 17 17 $14,035.83 $12,632.25 $10,709.34 $14,139.69 $12,912.96 2026-03-09
202 MS_DRG Bronchitis And Asthma With Cc/mcc 17 17 $13,634.33 $12,270.90 $10,402.99 $13,735.22 $12,543.58 2026-03-09
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 17 17 $13,596.67 $12,237.00 $10,374.26 $13,697.29 $12,508.94 2026-03-09
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 17 17 $13,584.93 $12,226.44 $10,365.30 $13,685.46 $12,498.14 2026-03-09
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 17 17 $13,565.96 $12,209.36 $10,350.83 $13,666.35 $12,480.68 2026-03-09
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 17 17 $12,984.14 $11,685.73 $9,906.90 $13,080.22 $11,945.41 2026-03-09
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 17 17 $12,770.71 $11,493.64 $9,744.05 $12,865.21 $11,749.05 2026-03-09
552 MS_DRG Medical Back Problems Without Mcc 17 17 $12,499.69 $11,249.72 $9,537.26 $12,592.19 $11,499.72 2026-03-09
J2323 HCPCS Injection, Natalizumab, 1 Mg 23 23 $13,580.43 $12,222.39 $6,357.00 $13,173.02 $10,864.34 2026-03-09
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 17 17 $11,629.20 $10,466.28 $8,873.08 $11,715.25 $10,698.86 2026-03-09
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 17 17 $11,472.79 $10,325.51 $8,753.74 $11,557.69 $10,554.97 2026-03-09
812 MS_DRG Red Blood Cell Disorders Without Mcc 17 17 $11,148.39 $10,033.55 $8,506.22 $11,230.88 $10,256.52 2026-03-09
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 17 17 $10,899.18 $9,809.26 $8,316.07 $10,979.83 $10,027.25 2026-03-09
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 17 17 $10,730.32 $9,657.29 $8,187.23 $10,809.72 $9,871.89 2026-03-09
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 17 17 $10,203.58 $9,183.22 $7,785.33 $10,279.08 $9,387.29 2026-03-09
684 MS_DRG Renal Failure Without Cc/mcc 17 17 $9,965.76 $8,969.18 $7,603.87 $10,039.51 $9,168.50 2026-03-09
378 MS_DRG Gastrointestinal Hemorrhage With Cc 17 17 $9,810.46 $8,829.41 $7,485.38 $9,883.06 $9,025.62 2026-03-09
683 MS_DRG Renal Failure With Cc 17 17 $9,602.43 $8,642.19 $7,326.65 $9,673.49 $8,834.23 2026-03-09
69 MS_DRG Transient Ischemia Without Thrombolytic 17 17 $9,571.55 $8,614.39 $7,303.09 $9,642.37 $8,805.82 2026-03-09
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 17 17 $9,360.64 $8,424.58 $7,142.17 $9,429.91 $8,611.79 2026-03-09
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 17 17 $9,112.82 $8,201.53 $6,953.08 $9,180.25 $8,383.79 2026-03-09
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 17 17 $9,096.73 $8,187.06 $6,940.81 $9,164.05 $8,368.99 2026-03-09
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 17 17 $9,041.88 $8,137.69 $6,898.95 $9,108.79 $8,318.53 2026-03-09
312 MS_DRG Syncope And Collapse 17 17 $8,995.83 $8,096.24 $6,863.81 $9,062.39 $8,276.16 2026-03-09
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 17 $8,974.70 $8,077.23 $6,847.70 $9,041.11 $8,256.72 2026-03-09
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 17 17 $8,792.03 $7,912.83 $6,708.32 $8,857.09 $8,088.67 2026-03-09
603 MS_DRG Cellulitis Without Mcc 17 17 $8,743.83 $7,869.45 $6,671.54 $8,808.54 $8,044.33 2026-03-09
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 24 24 $9,966.74 $8,970.07 $21.16 $9,667.74 $7,949.47 2026-03-09
300 MS_DRG Peripheral Vascular Disorders With Cc 17 17 $8,547.55 $7,692.80 $6,521.78 $8,610.80 $7,863.75 2026-03-09
J7168 HCPCS Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 24 24 $9,708.45 $8,737.61 $2.21 $9,417.20 $7,743.46 2026-03-09
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 17 17 $8,322.19 $7,489.97 $6,349.83 $8,383.78 $7,656.42 2026-03-09
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 17 17 $8,298.23 $7,468.41 $6,331.55 $8,359.64 $7,634.37 2026-03-09
948 MS_DRG Signs And Symptoms Without Mcc 17 17 $8,229.24 $7,406.31 $6,278.91 $8,290.13 $7,570.90 2026-03-09
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 17 17 $8,028.00 $7,225.20 $6,125.37 $8,087.41 $7,385.76 2026-03-09
919 MS_DRG Complications Of Treatment With Mcc 17 17 $7,732.51 $6,959.26 $5,899.91 $7,789.73 $7,113.91 2026-03-09
884 MS_DRG Organic Disturbances And Intellectual Disability 17 17 $7,627.70 $6,864.93 $5,819.94 $7,684.15 $7,017.48 2026-03-09
56 MS_DRG Degenerative Nervous System Disorders With Mcc 17 17 $7,131.69 $6,418.52 $5,441.48 $7,184.46 $6,561.15 2026-03-09
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 17 17 $7,107.46 $6,396.72 $5,422.99 $7,160.06 $6,538.87 2026-03-09
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 17 17 $6,766.56 $6,089.91 $5,162.89 $6,816.63 $6,225.24 2026-03-09
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 17 17 $6,689.85 $6,020.87 $5,104.36 $6,739.35 $6,154.66 2026-03-09
376 MS_DRG Digestive Malignancy Without Cc/mcc 17 17 $6,647.82 $5,983.04 $5,072.29 $6,697.01 $6,115.99 2026-03-09
293 MS_DRG Heart Failure And Shock Without Cc/mcc 17 17 $6,167.15 $5,550.44 $4,705.54 $6,212.79 $5,673.78 2026-03-09
754 MS_DRG Malignancy, Female Reproductive System With Mcc 17 17 $6,073.72 $5,466.35 $4,634.25 $6,118.67 $5,587.82 2026-03-09
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 17 17 $6,016.73 $5,415.06 $4,590.76 $6,061.25 $5,535.39 2026-03-09
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 17 17 $5,978.31 $5,380.48 $4,561.45 $6,022.55 $5,500.04 2026-03-09
551 MS_DRG Medical Back Problems With Mcc 17 17 $5,966.03 $5,369.43 $4,552.08 $6,010.18 $5,488.75 2026-03-09
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 17 17 $5,920.74 $5,328.67 $4,517.53 $5,964.56 $5,447.08 2026-03-09
153 MS_DRG Otitis Media And Uri Without Mcc 17 17 $5,762.69 $5,186.42 $4,396.93 $5,805.33 $5,301.67 2026-03-09
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 17 17 $5,691.06 $5,121.95 $4,342.28 $5,733.17 $5,235.78 2026-03-09
374 MS_DRG Digestive Malignancy With Mcc 17 17 $5,426.50 $4,883.85 $4,140.42 $5,466.66 $4,992.38 2026-03-09
J3101 HCPCS Injection, Tenecteplase, 1 Mg 47 24 $11,873.39 $10,686.05 $162.46 $11,517.19 $4,627.25 2026-03-09
951 MS_DRG Other Factors Influencing Health Status 17 17 $4,506.11 $4,055.50 $3,438.16 $4,539.46 $4,145.62 2026-03-09
303 MS_DRG Atherosclerosis Without Mcc 17 17 $3,860.86 $3,474.77 $2,945.84 $3,889.43 $3,551.99 2026-03-09
71552 HCPCS MRI Scan Of Chest Before And After Contrast 24 24 $4,420.03 $3,978.03 $190.16 $4,287.43 $3,525.41 2026-03-09
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 17 17 $3,713.42 $3,342.08 $2,833.34 $3,740.90 $3,416.35 2026-03-09
305 MS_DRG Hypertension Without Mcc 17 17 $3,711.55 $3,340.40 $2,831.91 $3,739.02 $3,414.63 2026-03-09
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 24 24 $4,197.77 $3,777.99 $193.66 $4,071.84 $3,348.14 2026-03-09
70553 HCPCS MRI Scan Of Brain Before And After Contrast 24 24 $4,175.38 $3,757.84 $193.07 $4,050.12 $3,330.28 2026-03-09
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 24 24 $4,167.22 $3,750.50 $184.91 $4,042.20 $3,323.78 2026-03-09
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 24 24 $4,167.22 $3,750.50 $184.91 $4,042.20 $3,323.78 2026-03-09
73720 HCPCS MRI Scan Of Leg Before And After Contrast 24 24 $4,145.78 $3,731.20 $181.41 $4,021.41 $3,306.67 2026-03-09
73220 HCPCS MRI Scan Of Arm Before And After Contrast 24 24 $4,145.78 $3,731.20 $181.41 $4,021.41 $3,306.67 2026-03-09
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 24 24 $4,145.78 $3,731.20 $193.66 $4,021.41 $3,306.67 2026-03-09
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 24 24 $4,145.52 $3,730.97 $11.49 $4,021.15 $3,306.47 2026-03-09
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 24 24 $4,116.29 $3,704.66 $180.82 $3,992.80 $3,283.15 2026-03-09
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 24 24 $4,064.63 $3,658.17 $193.66 $3,942.69 $3,241.94 2026-03-09
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 24 24 $4,020.07 $3,618.06 $181.41 $3,899.47 $3,206.41 2026-03-09
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 24 24 $4,020.07 $3,618.06 $181.41 $3,899.47 $3,206.41 2026-03-09
43112 HCPCS Removal Of Esophagus Through Chest 14 14 $1,651.72 $1,486.55 $1,470.03 $5,866.83 $3,138.94 2026-03-09
J0256 HCPCS Injection, Alpha 1 Proteinase Inhibitor (human), Not Otherwise Specified, 10 Mg 24 24 $3,679.79 $3,311.81 $5.16 $3,569.40 $2,935.00 2026-03-09
299 MS_DRG Peripheral Vascular Disorders With Mcc 17 17 $3,105.08 $2,794.57 $2,369.18 $3,128.06 $2,856.67 2026-03-09
Q0222 HCPCS Injection, Bebtelovimab, 175 Mg 23 23 $3,500.00 $3,150.00 $1,638.35 $3,395.00 $2,800.00 2026-03-09
70552 HCPCS MRI Scan Of Brain With Contrast 24 24 $3,509.14 $3,158.23 $149.91 $3,403.87 $2,798.89 2026-03-09
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 17 17 $2,933.33 $2,640.00 $2,238.13 $2,955.04 $2,698.66 2026-03-09
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 24 24 $3,275.32 $2,947.79 $184.32 $3,177.06 $2,612.40 2026-03-09
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 24 24 $3,185.14 $2,866.63 $168.57 $3,089.59 $2,540.47 2026-03-09
90376 HCPCS Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle, Heat-t… 6 6 $2,495.19 $2,245.67 $479.72 $2,644.90 $2,495.19 2026-03-09
Q5119 HCPCS Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg 24 24 $2,921.15 $2,629.04 $24.94 $2,833.52 $2,329.91 2026-03-09
11010213 CDM Room & Board - Private (one Bed) - General Classification 17 17 $2,486.14 $2,237.53 $1,896.92 $2,504.54 $2,287.25 2026-03-09
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 24 24 $2,793.03 $2,513.73 $153.41 $2,709.24 $2,227.72 2026-03-09
J0897 HCPCS Injection, Denosumab, 1 Mg 24 24 $2,736.90 $2,463.21 $27.81 $2,654.79 $2,182.95 2026-03-09
36010151 CDM Operating Room Services - General Classification 23 23 $2,701.13 $2,431.02 $1,264.40 $2,620.10 $2,160.90 2026-03-09
73222 HCPCS MRI Scan Of Arm Joint With Contrast 24 24 $2,665.30 $2,398.77 $136.49 $2,585.34 $2,125.84 2026-03-09
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 17 17 $2,289.56 $2,060.60 $1,746.93 $2,306.50 $2,106.40 2026-03-09
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 24 24 $2,616.60 $2,354.94 $124.83 $2,538.10 $2,087.00 2026-03-09
71550 HCPCS MRI Scan Of Chest Without Contrast 24 24 $2,606.11 $2,345.50 $123.08 $2,527.93 $2,078.64 2026-03-09
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 24 24 $2,606.07 $2,345.46 $163.60 $2,527.89 $2,078.61 2026-03-09
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 24 24 $2,584.03 $2,325.63 $146.41 $2,506.51 $2,061.02 2026-03-09
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 24 24 $2,574.80 $2,317.32 $152.82 $2,497.56 $2,053.66 2026-03-09
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 24 24 $2,573.32 $2,315.99 $146.41 $2,496.12 $2,052.48 2026-03-09
36010150 CDM Operating Room Services - General Classification 23 23 $2,535.75 $2,282.18 $1,186.98 $2,459.68 $2,028.60 2026-03-09
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 24 24 $2,539.37 $2,285.43 $100.33 $2,463.19 $2,025.40 2026-03-09
J9055 HCPCS Injection, Cetuximab, 10 Mg 23 23 $2,467.27 $2,220.54 $1,154.93 $2,393.25 $1,973.82 2026-03-09
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 24 24 $2,465.00 $2,218.50 $100.91 $2,391.05 $1,966.09 2026-03-09
72195 HCPCS MRI Scan Of Pelvis Without Contrast 24 24 $2,450.46 $2,205.41 $123.08 $2,376.95 $1,954.49 2026-03-09
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 24 24 $2,450.46 $2,205.41 $124.83 $2,376.95 $1,954.49 2026-03-09
73218 HCPCS MRI Scan Of Arm Without Contrast 24 24 $2,435.83 $2,192.25 $113.74 $2,362.76 $1,942.82 2026-03-09
Q0249 HCPCS Injection, Tocilizumab, For Hospitalized Adults And Pediatric Patients (2 Years … 47 24 $2,043.32 $1,838.99 $7.57 $3,930.08 $1,941.15 2026-03-09
11110001 CDM Room & Board - Private (one Bed) - Medical/surgical/gyn 17 17 $2,109.08 $1,898.17 $1,609.23 $2,124.69 $1,940.35 2026-03-09
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 24 24 $2,422.78 $2,180.50 $124.83 $2,350.10 $1,932.40 2026-03-09
73718 HCPCS MRI Scan Of Leg Without Contrast 24 24 $2,406.22 $2,165.60 $113.16 $2,334.03 $1,919.20 2026-03-09
70551 HCPCS MRI Scan Of Brain Without Contrast 24 24 $2,394.99 $2,155.49 $124.24 $2,323.14 $1,910.24 2026-03-09
36010149 CDM Operating Room Services - General Classification 23 23 $2,370.38 $2,133.34 $1,109.57 $2,299.27 $1,896.30 2026-03-09
74181 HCPCS MRI Scan Of Abdomen Without Contrast 24 24 $2,367.19 $2,130.47 $121.91 $2,296.17 $1,888.07 2026-03-09
375 MS_DRG Digestive Malignancy With Cc 17 17 $2,037.39 $1,833.65 $1,554.53 $2,052.47 $1,874.40 2026-03-09
J7327 HCPCS Hyaluronan Or Derivative, Monovisc, For Intra-articular Injection, Per Dose 23 23 $2,303.59 $2,073.23 $1,078.31 $2,234.48 $1,842.87 2026-03-09
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 24 24 $2,305.76 $2,075.18 $152.24 $2,236.59 $1,839.07 2026-03-09
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 24 24 $2,305.76 $2,075.18 $198.91 $2,236.59 $1,839.07 2026-03-09
49188 HCPCS Removal Or Destruction Of Growth(s) In The Abdomen, 10.1 To 20.0 Cm 12 12 $3,884.63 $3,496.17 $1,144.84 $3,457.32 $1,831.79 2026-03-09
58953 HCPCS Removal Of Lining Of Abdomen, Uterus, Ovaries, And Fallopian Tubes With Extensiv… 13 13 $3,986.26 $3,587.63 $1,153.43 $3,547.77 $1,828.13 2026-03-09
36010002 CDM Operating Room Services - General Classification 23 23 $2,257.50 $2,031.75 $1,056.74 $2,189.78 $1,806.00 2026-03-09
36010003 CDM Operating Room Services - General Classification 23 23 $2,257.50 $2,031.75 $1,056.74 $2,189.78 $1,806.00 2026-03-09
36010001 CDM Operating Room Services - General Classification 23 23 $2,257.50 $2,031.75 $1,056.74 $2,189.78 $1,806.00 2026-03-09
J0129 HCPCS Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 24 24 $2,246.85 $2,022.17 $43.38 $2,179.44 $1,792.09 2026-03-09
A0434 HCPCS Specialty Care Transport (sct) 24 24 $2,222.64 $2,000.38 $1,040.42 $2,155.96 $1,772.78 2026-03-09
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 24 24 $2,221.10 $1,998.99 $113.74 $2,154.47 $1,771.55 2026-03-09
36010148 CDM Operating Room Services - General Classification 23 23 $2,205.00 $1,984.50 $1,032.16 $2,138.85 $1,764.00 2026-03-09
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 24 24 $2,184.07 $1,965.66 $113.74 $2,118.55 $1,742.01 2026-03-09
44147 HCPCS Partial Removal Of Large Bowel Through Abdomen And Anus 14 14 $3,940.35 $3,546.32 $1,096.99 $3,506.91 $1,736.54 2026-03-09
44141 HCPCS Partial Removal Of Large Bowel With Creation Of Opening To Skin 14 14 $3,795.06 $3,415.55 $1,029.89 $3,377.60 $1,671.92 2026-03-09
75010317 CDM Gastro - Intestinal (gi) Services - General Classification 23 23 $2,077.70 $1,869.93 $972.57 $2,015.37 $1,662.16 2026-03-09
71010120 CDM Recovery Room - General Classification 23 23 $2,010.69 $1,809.62 $941.20 $1,950.37 $1,608.55 2026-03-09
36010147 CDM Operating Room Services - General Classification 23 23 $1,984.50 $1,786.05 $928.94 $1,924.97 $1,587.60 2026-03-09
44206 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin… 14 14 $3,777.57 $3,399.81 $986.15 $3,362.04 $1,582.61 2026-03-09
75010318 CDM Gastro - Intestinal (gi) Services - General Classification 23 23 $1,952.47 $1,757.22 $913.95 $1,893.90 $1,561.98 2026-03-09
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 24 24 $1,939.46 $1,745.51 $907.86 $1,881.28 $1,546.91 2026-03-09
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 24 24 $1,937.31 $1,743.58 $116.66 $1,879.19 $1,545.20 2026-03-09
44143 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin 14 14 $3,780.85 $3,402.77 $937.74 $3,364.96 $1,511.32 2026-03-09
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 24 24 $1,881.30 $1,693.17 $145.83 $1,824.86 $1,500.53 2026-03-09
44145 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum 14 14 $3,544.80 $3,190.32 $937.18 $3,154.87 $1,498.30 2026-03-09
44603 HCPCS Suture Of Multiple Tears Or Holes In Small Bowel 14 14 $3,391.86 $3,052.67 $917.18 $3,018.76 $1,461.36 2026-03-09
64633 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 41 24 $3,075.98 $2,768.38 $111.59 $2,983.70 $1,439.87 2026-03-09
44626 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An… 14 14 $3,570.02 $3,213.02 $900.36 $3,177.32 $1,436.46 2026-03-09
71270 HCPCS CT Scan Of Chest Before And After Contrast 24 24 $1,800.45 $1,620.41 $104.99 $1,746.44 $1,436.04 2026-03-09
64635 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 39 24 $2,844.45 $2,560.01 $111.59 $2,759.12 $1,411.42 2026-03-09
44204 HCPCS Partial Removal Of Large Bowel Using An Endoscope 14 14 $3,099.18 $2,789.26 $879.73 $2,758.27 $1,397.59 2026-03-09
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 24 24 $1,743.06 $1,568.75 $102.08 $1,690.77 $1,390.26 2026-03-09
15734 HCPCS Creation Of Muscle Graft To Trunk 14 14 $2,407.68 $2,166.91 $867.27 $2,678.51 $1,381.77 2026-03-09
71010117 CDM Recovery Room - General Classification 23 23 $1,675.47 $1,507.92 $784.29 $1,625.21 $1,340.38 2026-03-09
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 24 24 $1,658.19 $1,492.37 $135.33 $1,608.44 $1,322.57 2026-03-09
58951 HCPCS Removal Of Lining Of Abdomen, Uterus, Ovaries, Fallopian Tubes, And Lymph Nodes … 14 13 $2,716.43 $2,444.79 $832.69 $2,464.57 $1,319.69 2026-03-09
36010146 CDM Operating Room Services - General Classification 23 23 $1,598.63 $1,438.77 $748.32 $1,550.67 $1,278.90 2026-03-09
44602 HCPCS Suture Of Tear Of Hole In Small Bowel 14 14 $2,959.35 $2,663.42 $795.68 $2,633.82 $1,267.94 2026-03-09
58200 HCPCS Removal Of Uterus Through Abdomen With Partial Removal Of Vagina 14 14 $2,890.53 $2,601.48 $778.86 $2,572.57 $1,245.07 2026-03-09
P9034 HCPCS Platelets, Pheresis, Each Unit 24 24 $1,555.63 $1,400.07 $397.13 $1,508.96 $1,240.77 2026-03-09
44140 HCPCS Partial Removal Of Large Bowel With Connection 14 14 $2,857.76 $2,571.98 $765.22 $2,543.41 $1,234.36 2026-03-09
22905 HCPCS Extensive Removal Of Growth Of Soft Tissue Of Abdominal Wall, 5.0 Cm Or More 13 13 $2,788.94 $2,510.05 $766.71 $2,482.16 $1,227.87 2026-03-09
27506 HCPCS Treatment Of Broken Shaft Of Thigh Bone With Implant 15 14 $2,848.33 $2,563.50 $781.67 $2,584.24 $1,223.06 2026-03-09
44130 HCPCS Creation Of Connection Between 2 Segments Of Small Bowel 14 14 $2,735.41 $2,461.87 $751.76 $2,434.51 $1,215.17 2026-03-09
49186 HCPCS Removal Or Destruction Of Growth(s) In The Abdomen, 5.0 Cm Or Less 12 12 $2,571.54 $2,314.39 $752.51 $2,288.67 $1,210.35 2026-03-09
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 17 17 $1,315.52 $1,183.96 $1,003.74 $1,325.25 $1,210.27 2026-03-09
74160 HCPCS CT Scan Of Abdomen With Contrast 24 24 $1,514.44 $1,363.00 $106.74 $1,469.01 $1,207.91 2026-03-09
44605 HCPCS Suture Of Tear Or Hole In Large Bowel And Creation Of Opening From Large Bowel T… 14 14 $2,812.88 $2,531.59 $732.51 $2,503.46 $1,197.50 2026-03-09
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 24 24 $1,398.40 $1,258.56 $654.59 $1,755.81 $1,174.65 2026-03-09
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 24 24 $1,463.20 $1,316.88 $106.74 $1,419.30 $1,167.05 2026-03-09
72132 HCPCS CT Scan Of Lower Spine With Contrast 24 24 $1,454.49 $1,309.04 $102.08 $1,410.86 $1,160.10 2026-03-09
27130 HCPCS Replacement Of Thigh Bone And Hip Joint With Prosthesis 15 14 $2,660.80 $2,394.72 $746.34 $2,414.10 $1,158.57 2026-03-09
27447 HCPCS Replacement Of Knee Joint, Both Sides Of Knee 14 14 $3,350.92 $3,015.83 $745.41 $2,982.32 $1,156.05 2026-03-09
J0248 HCPCS Injection, Remdesivir, 1 Mg 23 23 $1,421.91 $1,279.72 $665.60 $1,379.25 $1,137.53 2026-03-09
44188 HCPCS Creation Of Large Bowel Opening Using An Endoscope 14 14 $2,757.26 $2,481.53 $694.00 $2,453.96 $1,133.77 2026-03-09
27724 HCPCS Repair Of Nonhealed Broken Shin Bone With Self Graft From Hip Or Other Bone 14 14 $2,050.46 $1,845.41 $728.21 $2,249.79 $1,130.98 2026-03-09
27244 HCPCS Treatment Of Broken Neck Of Thigh Bone With Plate/screw Implant 14 14 $2,555.16 $2,299.64 $716.62 $2,274.09 $1,120.43 2026-03-09
44120 HCPCS Partial Removal Of Small Bowel With Reconnection 14 14 $2,593.40 $2,334.06 $696.06 $2,308.13 $1,119.66 2026-03-09
19307 HCPCS Removal Of Breast And Underarm Lymph Nodes 13 13 $2,454.66 $2,209.19 $680.36 $2,184.65 $1,118.71 2026-03-09
27245 HCPCS Treatment Of Broken Neck Of Thigh Bone With Bone Implant 15 14 $2,594.36 $2,334.92 $715.69 $2,353.82 $1,117.66 2026-03-09
71010113 CDM Recovery Room - General Classification 23 23 $1,396.31 $1,256.68 $653.61 $1,354.42 $1,117.05 2026-03-09
44320 HCPCS Creation Of Opening From Large Bowel To Skin 14 14 $2,545.23 $2,290.71 $686.71 $2,265.25 $1,111.58 2026-03-09
72193 HCPCS CT Scan Of Pelvis With Contrast 24 24 $1,393.28 $1,253.95 $97.41 $1,351.48 $1,111.28 2026-03-09
71250 HCPCS CT Scan Of Chest Without Contrast 24 24 $1,390.10 $1,251.09 $90.41 $1,348.40 $1,108.74 2026-03-09
A0433 HCPCS Advanced Life Support, Level 2 (als 2) 24 24 $1,319.69 $1,187.72 $617.75 $1,280.10 $1,108.54 2026-03-09
72131 HCPCS CT Scan Of Lower Spine Without Contrast 24 24 $1,382.14 $1,243.93 $83.41 $1,340.68 $1,102.39 2026-03-09
70487 HCPCS CT Scan Of Face With Contrast 24 24 $1,381.29 $1,243.16 $95.08 $1,339.85 $1,101.72 2026-03-09
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 24 24 $1,371.42 $1,234.28 $115.49 $1,330.28 $1,093.85 2026-03-09
27236 HCPCS Treatment Of Upper End Of Broken Thigh Bone With Placement Of Stabilizing Device… 15 14 $2,547.21 $2,292.49 $696.81 $2,311.04 $1,089.49 2026-03-09
19357 HCPCS Reconstruction Of Breast Using Tissue Expander 14 14 $3,941.44 $3,547.30 $684.47 $3,507.88 $1,083.84 2026-03-09
73701 HCPCS CT Scan Of Leg With Contrast Material 24 24 $1,346.60 $1,211.94 $97.41 $1,306.20 $1,074.05 2026-03-09
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 24 24 $1,346.39 $1,211.75 $107.91 $1,306.00 $1,073.88 2026-03-09
70460 HCPCS CT Scan Head Or Brain With Contrast 24 24 $1,346.21 $1,211.59 $95.08 $1,305.82 $1,073.74 2026-03-09
25609 HCPCS Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri… 36 23 $2,225.73 $2,003.16 $235.87 $2,158.96 $1,073.13 2026-03-09
73201 HCPCS CT Scan Of Arm With Contrast 24 24 $1,340.34 $1,206.31 $97.41 $1,300.13 $1,069.05 2026-03-09
15830 HCPCS Removal Of Extra Skin And Tissue Of Abdomen 14 14 $2,610.77 $2,349.69 $684.85 $2,323.59 $1,068.76 2026-03-09
J1442 HCPCS Injection, Filgrastim (g-csf), Excludes Biosimilars, 1 Microgram 24 24 $1,338.53 $1,204.68 $0.98 $1,298.37 $1,067.61 2026-03-09
27827 HCPCS Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 15 14 $2,458.27 $2,212.44 $659.43 $2,230.34 $1,061.01 2026-03-09
38100 HCPCS Removal Of Spleen 14 14 $1,732.56 $1,559.30 $655.50 $2,024.63 $1,058.47 2026-03-09
28415 HCPCS Treatment Of Broken Heel Bone 14 14 $2,752.80 $2,477.52 $658.30 $2,449.99 $1,056.85 2026-03-09
A0225 HCPCS Ambulance Service, Neonatal Transport, Base Rate, Emergency Transport, One Way 23 23 $1,319.69 $1,187.72 $617.75 $1,280.10 $1,055.75 2026-03-09
36430 HCPCS Transfusion Of Blood Or Blood Products 24 24 $1,322.72 $1,190.45 $80.50 $1,283.04 $1,055.01 2026-03-09
J1561 HCPCS Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 47 24 $2,182.97 $1,964.67 $48.35 $2,117.48 $1,053.54 2026-03-09
47605 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts 14 14 $2,086.41 $1,877.77 $645.59 $1,993.72 $1,048.21 2026-03-09
27125 HCPCS Partial Replacement Of Thigh Bone At Hip Joint With Prosthesis 14 14 $2,061.77 $1,855.59 $661.29 $2,042.72 $1,035.53 2026-03-09
37010124 CDM Hc Anesthesia IV Ga 15 Min Cdm 23 23 $1,283.31 $1,154.98 $600.72 $1,244.81 $1,026.65 2026-03-09
37010122 CDM Hc Anesthesia Gen 15 Min Cdm 23 23 $1,283.31 $1,154.98 $600.72 $1,244.81 $1,026.65 2026-03-09
37010130 CDM Hc Anesthesia Regional 15 Min Cdm 23 23 $1,283.31 $1,154.98 $600.72 $1,244.81 $1,026.65 2026-03-09
71260 HCPCS CT Scan Of Chest With Contrast 24 24 $1,274.14 $1,146.73 $97.99 $1,235.92 $1,016.25 2026-03-09
G0289 HCPCS Arthroscopy, Knee, Surgical, For Removal Of Loose Body, Foreign Body, Debridemen… 19 14 $1,139.27 $1,025.34 $64.73 $1,231.07 $1,013.95 2026-03-09
44005 HCPCS Release Of Intestinal Scar Tissue 14 14 $2,332.21 $2,098.99 $622.60 $2,075.67 $1,006.15 2026-03-09
47600 HCPCS Removal Of Gallbladder 14 14 $2,065.76 $1,859.18 $614.38 $1,897.47 $998.74 2026-03-09
44680 HCPCS Surgical Folding Of Upper Small Bowel Upon Itself 14 14 $2,374.91 $2,137.42 $614.57 $2,113.67 $993.74 2026-03-09
24586 HCPCS Treatment Of Broken Or Dislocated Upper Or Forearm Bones At Elbow 14 14 $2,286.51 $2,057.86 $635.13 $2,034.99 $990.58 2026-03-09
19318 HCPCS Breast Reduction 14 14 $1,208.20 $1,087.38 $638.49 $1,972.72 $982.52 2026-03-09
44345 HCPCS Complicated Reconstruction Of Opening From Large Bowel To Skin 14 14 $2,228.43 $2,005.59 $603.17 $1,983.30 $979.95 2026-03-09
72125 HCPCS CT Scan Of Upper Spine Without Contrast 24 24 $1,227.46 $1,104.71 $83.41 $1,190.64 $979.03 2026-03-09
72128 HCPCS CT Scan Of Middle Spine Without Contrast 24 24 $1,226.94 $1,104.25 $83.41 $1,190.13 $978.61 2026-03-09
60212 HCPCS Partial Removal Of Thyroid Lobes On Both Sides Of Neck And Connecting Tissue 13 13 $2,260.21 $2,034.19 $588.59 $2,011.59 $961.39 2026-03-09
44604 HCPCS Suture Of Tear Or Hole In Large Bowel 14 14 $2,256.93 $2,031.24 $599.43 $2,008.67 $960.99 2026-03-09
24546 HCPCS Treatment Of Broken Upper Arm Bone At Elbow With Extension 14 14 $2,439.36 $2,195.42 $610.08 $2,171.03 $955.45 2026-03-09
29807 HCPCS Repair Of Shoulder Socket Using An Endoscope 14 14 $2,262.38 $2,036.14 $606.72 $2,013.52 $954.70 2026-03-09
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 24 24 $1,190.73 $1,071.66 $66.50 $1,155.01 $949.73 2026-03-09
62323 HCPCS Injection Of Substance Into Lower Spine Canal Using Imaging Guidance 37 24 $1,695.65 $1,526.09 $57.20 $1,644.78 $949.56 2026-03-09
74150 HCPCS CT Scan Of Abdomen Without Contrast 24 24 $1,183.44 $1,065.10 $99.74 $1,147.94 $943.91 2026-03-09
72192 HCPCS CT Scan Of Pelvis Without Contrast 24 24 $1,181.63 $1,063.47 $90.99 $1,146.18 $942.46 2026-03-09
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 24 24 $1,179.27 $1,061.34 $56.58 $1,143.89 $940.59 2026-03-09
70450 HCPCS CT Scan Head Or Brain Without Contrast 24 24 $1,173.36 $1,056.02 $71.75 $1,138.16 $935.88 2026-03-09
44314 HCPCS Reconstruction Of Opening From Small Bowel To Skin 14 14 $2,162.88 $1,946.59 $575.50 $1,924.96 $930.57 2026-03-09
58150 HCPCS Removal Of Uterus And Cervix Through Abdomen 14 14 $2,200.13 $1,980.12 $587.28 $1,958.12 $926.87 2026-03-09
59409 HCPCS Vaginal Delivery 37 24 $1,648.50 $1,483.65 $631.48 $1,599.05 $923.16 2026-03-09
27759 HCPCS Treatment Of Broken Part Of Shin Bone With Rod 15 14 $2,155.00 $1,939.50 $584.85 $1,955.19 $919.06 2026-03-09
71271 HCPCS Low Dose CT Scan Of Chest For Lung Cancer Screening 23 23 $1,144.71 $1,030.24 $535.84 $1,110.37 $915.77 2026-03-09
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 24 24 $1,147.47 $1,032.72 $107.91 $1,113.05 $915.23 2026-03-09
70486 HCPCS CT Scan Of Face Without Contrast 24 24 $1,147.47 $1,032.72 $72.33 $1,113.05 $915.23 2026-03-09
44025 HCPCS Biopsy Or Removal Of Foreign Body In Large Bowel 14 14 $2,175.00 $1,957.50 $562.04 $1,935.75 $908.42 2026-03-09
19303 HCPCS Simple Complete Removal Of Breast 13 13 $2,049.37 $1,844.43 $552.89 $1,823.94 $908.27 2026-03-09
M0222 HCPCS Intravenous Injection, Bebtelovimab, Includes Injection And Post Administration … 46 23 $1,098.99 $989.10 $480.16 $1,137.05 $902.68 2026-03-09
8700070601WLN CDM Hc Autopulse Lifeband 23 23 $1,127.63 $1,014.87 $527.84 $1,093.80 $902.10 2026-03-09
73700 HCPCS CT Scan Of Leg Without Contrast 24 24 $1,127.52 $1,014.77 $83.41 $1,093.69 $899.31 2026-03-09
73200 HCPCS CT Scan Of Arm Without Contrast 24 24 $1,127.52 $1,014.77 $83.41 $1,093.69 $899.31 2026-03-09
25526 HCPCS Treatment Of Broken Midpart Of Forearm Bone On Thumb Side And Dislocated Wrist J… 14 14 $2,030.60 $1,827.54 $565.41 $1,807.23 $898.83 2026-03-09
A0427 HCPCS Ambulance Service, Advanced Life Support, Emergency Transport, Level 1 (als 1 - … 24 24 $1,100.30 $990.27 $515.05 $1,067.29 $877.60 2026-03-09
99291 HCPCS Critical Care, First 30-74 Minutes 38 24 $1,648.50 $1,483.65 $121.31 $1,599.05 $870.58 2026-03-09
19302 HCPCS Partial Removal Of Breast And Underarm Lymph Nodes 14 13 $1,839.95 $1,655.96 $523.35 $1,669.36 $860.94 2026-03-09
49659 HCPCS Other Repair Of Hernia Using An Endoscope 5 5 $858.63 $772.77 $764.18 $910.15 $858.63 2026-03-09
44180 HCPCS Release Of Small Bowel Scar Tissue Using An Endoscope 14 14 $1,965.25 $1,768.73 $526.72 $1,749.07 $853.37 2026-03-09
25575 HCPCS Treatment Of Broken Midpart Of Both Forearm Bones With Placement Of Stabilizing … 14 14 $1,952.86 $1,757.57 $536.25 $1,738.05 $850.34 2026-03-09
STRAP12WLN CDM Hc Securestrap Fixation Device Sterile 5 Mm 23 23 $1,058.90 $953.01 $495.67 $1,027.13 $847.12 2026-03-09
60225 HCPCS Removal Of Thyroid Lobe On Side Of Neck And Partial Removal Of Thyroid Lobe On O… 13 13 $2,016.60 $1,814.94 $543.91 $1,794.77 $846.85 2026-03-09
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 37 24 $1,496.91 $1,347.22 $98.69 $1,452.00 $838.27 2026-03-09
27235 HCPCS Placement Of Stabilizing Device For Upper End Of Broken Thigh Bone 15 14 $1,933.18 $1,739.86 $532.51 $1,753.93 $838.00 2026-03-09
27822 HCPCS Treatment Of 3 Broken Lower Leg Bones At Ankle 14 14 $1,836.35 $1,652.72 $514.76 $1,634.35 $834.66 2026-03-09
60240 HCPCS Removal Of Thyroid 13 13 $2,074.53 $1,867.08 $528.59 $1,846.33 $824.51 2026-03-09
58571 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250… 14 14 $2,203.40 $1,983.06 $524.85 $1,961.03 $824.08 2026-03-09
58740 HCPCS Removal Of Scar Tissue Of Ovaries Or Fallopian Tubes 14 13 $1,967.46 $1,770.71 $521.86 $1,785.05 $820.84 2026-03-09
M0247 HCPCS Intravenous Infusion, Sotrovimab, Includes Infusion And Post Administration Moni… 23 23 $1,025.77 $923.19 $480.16 $995.00 $820.62 2026-03-09
M0243 HCPCS Intravenous Infusion Or Subcutaneous Injection, Casirivimab And Imdevimab Includ… 23 23 $1,025.33 $922.80 $479.96 $994.57 $820.26 2026-03-09
27535 HCPCS Treatment Of Broken Side Of Upper End Of Shin Bone 14 14 $1,906.39 $1,715.75 $522.98 $1,696.69 $814.24 2026-03-09
47100 HCPCS Partial Removal Of Liver Tissue 14 14 $1,774.08 $1,596.67 $489.90 $1,578.93 $809.99 2026-03-09
62273 HCPCS Injection Of Blood Or Blood Clot Into Spinal Canal 37 24 $1,437.66 $1,293.89 $65.05 $1,394.53 $805.09 2026-03-09
64483 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 63 24 $1,392.30 $1,253.07 $64.48 $1,390.25 $802.62 2026-03-09
24516 HCPCS Treatment Of Broken Middle Part Of Upper Arm Bone With Placement Of Stabilizing … 14 14 $1,865.84 $1,679.26 $505.60 $1,660.60 $799.62 2026-03-09
49900 HCPCS Suture Of Postsurgical Opening In Abdominal Wall 14 14 $1,730.38 $1,557.34 $478.87 $1,540.04 $796.89 2026-03-09
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