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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

PULLMAN REGIONAL HOSPITAL

Pullman, WA · CCN 501331 · Rates published

3,309 distinct procedures filed
31 distinct payers
122,917 rate rows
2026-01-16 last MRF observed
Data quality

116,534 of 122,917 rate rows are consumer-grade (94.8%)

6,383 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
template filing: same amount across many unrelated codes — excluded 4,769
per-diem day rate — not a per-procedure price 1,486
percent-of-charges filed in the dollar field — excluded from medians 61
exceeds 3× this hospital's gross charge for a DRG stay — excluded 51
exceeds 10× this hospital's gross charge — excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbPMHPULLMANWA&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Pullman.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 269b8e71014eab80… · 64,594,398 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
656
MS_DRG 		Kidney And Ureter Procedures For Neoplasm With Mcc 23 $25,661.43 $98,000.31 $85,000.27 nat. median
$31,645
outlier · 2.7×
654
MS_DRG 		Major Bladder Procedures With Cc 23 $22,562.36 $82,146.91 $71,249.87 nat. median
$27,844
outlier · 2.6×
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 23 $25,104.48 $72,030.94 $62,475.82 nat. median
$30,262
outlier · 2.1×
707
MS_DRG 		Major Male Pelvic Procedures With Cc/mcc 23 $16,122.42 $55,763.03 $48,365.89 nat. median
$20,283
outlier · 2.4×
708
MS_DRG 		Major Male Pelvic Procedures Without Cc/mcc 23 $12,365.65 $50,913.69 $44,159.84 nat. median
$16,047
outlier · 2.8×
828
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 23 $13,732.63 $50,384.43 $43,700.78 nat. median
$17,402
outlier · 2.5×
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 23 $28,424.40 $48,267.96 $43,200.85 nat. median
$34,720
1.2× median
743
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 23 $10,000.04 $49,711.77 $43,117.36 nat. median
$13,186
outlier · 3.3×
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 23 $22,341.51 $46,337.30 $40,190.52 nat. median
$26,699
1.5× median
658
MS_DRG 		Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 23 $12,507.51 $45,727.49 $39,661.59 nat. median
$16,307
outlier · 2.4×
657
MS_DRG 		Kidney And Ureter Procedures For Neoplasm With Cc 23 $14,749.80 $45,177.97 $39,184.97 nat. median
$19,000
outlier · 2.1×
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 23 $23,133.81 $44,879.84 $38,926.40 nat. median
$28,961
1.3× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 23 $15,546.93 $43,737.78 $37,935.83 nat. median
$20,055
1.9× median
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 23 $16,172.39 $43,020.99 $37,314.12 nat. median
$19,793
1.9× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 23 $16,104.69 $41,240.85 $35,770.13 nat. median
$20,421
1.8× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 23 $26,884.43 $39,535.93 $35,582.34 nat. median
$49,191
0.7× median
144
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 23 $13,967.17 $39,221.97 $34,019.06 nat. median
$17,646
1.9× median
346
MS_DRG 		Minor Small And Large Bowel Procedures Without Cc/mcc 23 $9,560.77 $38,227.88 $33,156.83 nat. median
$13,112
outlier · 2.5×
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 23 $13,564.17 $38,119.66 $33,062.97 nat. median
$17,703
1.9× median
486
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Cc 23 $16,854.27 $37,853.24 $32,831.89 nat. median
$21,377
1.5× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 23 $24,704.70 $36,330.44 $32,697.40 nat. median
$44,810
0.7× median
478
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Cc 23 $19,821.15 $37,660.29 $32,664.54 nat. median
$24,026
1.4× median
424
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 23 $17,634.47 $37,222.47 $32,284.79 nat. median
$22,316
1.4× median
827
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 23 $18,628.27 $37,128.27 $32,203.09 nat. median
$23,677
1.4× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 23 $19,815.51 $36,750.65 $31,875.56 nat. median
$24,493
1.3× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 23 $19,321.43 $36,041.85 $31,260.78 nat. median
$24,346
1.3× median
825
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc 23 $10,876.16 $36,023.59 $31,244.95 nat. median
$13,966
outlier · 2.2×
582
MS_DRG 		Mastectomy For Malignancy With Cc/mcc 23 $15,528.40 $35,827.06 $31,074.49 nat. median
$18,913
1.6× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 23 $20,440.97 $33,881.88 $31,067.23 nat. median
$24,757
1.3× median
419
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 23 $11,008.35 $35,557.36 $30,840.57 nat. median
$14,421
outlier · 2.1×
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 23 $23,026.85 $33,863.01 $30,476.71 nat. median
$31,607
1.0× median
340
MS_DRG 		Appendectomy With Complicated Principal Diagnosis Without Cc/mcc 23 $9,671.19 $34,535.23 $29,954.03 nat. median
$12,689
outlier · 2.4×
388
MS_DRG 		Gastrointestinal Obstruction With Mcc 23 $11,903.01 $34,136.50 $29,608.19 nat. median
$15,091
2.0× median
482
MS_DRG 		Hip And Femur Procedures Except Major Joint Without Cc/mcc 23 $13,145.86 $32,978.54 $28,603.84 nat. median
$17,025
1.7× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 23 $21,285.48 $31,302.18 $28,171.96 nat. median
$29,218
1.0× median
137
MS_DRG 		Mouth Procedures With Cc/mcc 23 $12,035.19 $31,465.45 $27,291.46 nat. median
$15,040
1.8× median
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 23 $17,795.67 $30,805.86 $27,046.78 nat. median
$22,208
1.2× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 23 $16,881.67 $29,961.31 $25,986.85 nat. median
$21,529
1.2× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 23 $17,068.66 $29,761.57 $25,941.83 nat. median
$21,760
1.2× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 23 $19,270.38 $28,338.79 $25,504.91 nat. median
$24,638
1.0× median
964
MS_DRG 		Other Multiple Significant Trauma With Cc 23 $12,352.76 $29,372.43 $25,476.09 nat. median
$15,735
1.6× median
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 $19,167.72 $28,187.82 $25,369.04 nat. median
$34,132
0.7× median
511
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 23 $16,759.96 $26,934.96 $24,736.19 nat. median
$20,538
1.2× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 $17,931.54 $26,369.91 $23,732.92 nat. median
$33,845
0.7× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 23 $15,074.62 $27,297.61 $23,676.50 nat. median
$19,472
1.2× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 23 $17,845.16 $26,242.88 $23,618.59 nat. median
$26,748
0.9× median
416
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 23 $10,988.20 $26,083.11 $22,623.11 nat. median
$14,570
1.6× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 $16,777.68 $24,673.06 $22,205.76 nat. median
$46,084
outlier · 0.5×
909
MS_DRG 		Other O.r. Procedures For Injuries Without Cc/mcc 23 $10,580.36 $25,087.02 $21,759.15 nat. median
$13,888
1.6× median
465
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 23 $14,699.02 $23,536.44 $21,615.10 nat. median
$18,439
1.2× median

Other procedures at this hospital

Browse this hospital's 3,309 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
             
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 23 23 $100,000.32 $85,000.27 $25,661.43 $98,000.31 $85,000.27 2026-01-16
654 MS_DRG Major Bladder Procedures With Cc 23 23 $83,823.38 $71,249.87 $22,562.36 $82,146.91 $71,249.87 2026-01-16
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 23 $73,500.96 $62,475.82 $25,104.48 $72,030.94 $62,475.82 2026-01-16
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 23 23 $56,901.05 $48,365.89 $16,122.42 $55,763.03 $48,365.89 2026-01-16
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 23 23 $51,952.75 $44,159.84 $12,365.65 $50,913.69 $44,159.84 2026-01-16
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 23 $51,412.68 $43,700.78 $13,732.63 $50,384.43 $43,700.78 2026-01-16
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 23 23 $49,253.02 $41,865.07 $28,424.40 $48,267.96 $43,200.85 2026-01-16
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 23 23 $50,726.30 $43,117.36 $10,000.04 $49,711.77 $43,117.36 2026-01-16
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 23 23 $47,282.96 $40,190.52 $22,341.51 $46,337.30 $40,190.52 2026-01-16
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 23 23 $46,660.70 $39,661.59 $12,507.51 $45,727.49 $39,661.59 2026-01-16
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 23 23 $46,099.97 $39,184.97 $14,749.80 $45,177.97 $39,184.97 2026-01-16
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 23 23 $45,795.76 $38,926.40 $23,133.81 $44,879.84 $38,926.40 2026-01-16
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 23 23 $44,630.39 $37,935.83 $15,546.93 $43,737.78 $37,935.83 2026-01-16
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 23 23 $43,898.97 $37,314.12 $16,172.39 $43,020.99 $37,314.12 2026-01-16
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 23 23 $42,082.50 $35,770.13 $16,104.69 $41,240.85 $35,770.13 2026-01-16
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 23 $39,535.93 $33,605.54 $26,884.43 $39,535.93 $35,582.34 2026-01-16
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 23 23 $40,022.42 $34,019.06 $13,967.17 $39,221.97 $34,019.06 2026-01-16
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 23 23 $39,008.04 $33,156.83 $9,560.77 $38,227.88 $33,156.83 2026-01-16
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 23 23 $38,897.62 $33,062.97 $13,564.17 $38,119.66 $33,062.97 2026-01-16
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 23 23 $38,625.75 $32,831.89 $16,854.27 $37,853.24 $32,831.89 2026-01-16
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 23 23 $36,330.44 $30,880.88 $24,704.70 $36,330.44 $32,697.40 2026-01-16
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 23 23 $38,428.87 $32,664.54 $19,821.15 $37,660.29 $32,664.54 2026-01-16
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 23 23 $37,982.11 $32,284.79 $17,634.47 $37,222.47 $32,284.79 2026-01-16
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 23 $37,885.99 $32,203.09 $18,628.27 $37,128.27 $32,203.09 2026-01-16
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 23 23 $37,500.66 $31,875.56 $19,815.51 $36,750.65 $31,875.56 2026-01-16
330 MS_DRG Major Small And Large Bowel Procedures With Cc 23 23 $36,777.39 $31,260.78 $19,321.43 $36,041.85 $31,260.78 2026-01-16
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc 23 23 $36,758.77 $31,244.95 $10,876.16 $36,023.59 $31,244.95 2026-01-16
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 23 23 $36,558.22 $31,074.49 $15,528.40 $35,827.06 $31,074.49 2026-01-16
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 23 23 $34,573.35 $29,387.35 $20,440.97 $33,881.88 $31,067.23 2026-01-16
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 23 23 $36,283.02 $30,840.57 $11,008.35 $35,557.36 $30,840.57 2026-01-16
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 23 23 $33,863.01 $28,783.56 $23,026.85 $33,863.01 $30,476.71 2026-01-16
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/mcc 23 23 $35,240.03 $29,954.03 $9,671.19 $34,535.23 $29,954.03 2026-01-16
388 MS_DRG Gastrointestinal Obstruction With Mcc 23 23 $34,833.16 $29,608.19 $11,903.01 $34,136.50 $29,608.19 2026-01-16
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 23 23 $33,651.57 $28,603.84 $13,145.86 $32,978.54 $28,603.84 2026-01-16
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 23 23 $31,302.18 $26,606.85 $21,285.48 $31,302.18 $28,171.96 2026-01-16
137 MS_DRG Mouth Procedures With Cc/mcc 23 23 $32,107.60 $27,291.46 $12,035.19 $31,465.45 $27,291.46 2026-01-16
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 23 23 $31,434.55 $26,719.37 $17,795.67 $30,805.86 $27,046.78 2026-01-16
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 23 23 $30,572.77 $25,986.85 $16,881.67 $29,961.31 $25,986.85 2026-01-16
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 23 23 $30,368.95 $25,813.61 $17,068.66 $29,761.57 $25,941.83 2026-01-16
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 23 23 $28,338.79 $24,087.97 $19,270.38 $28,338.79 $25,504.91 2026-01-16
964 MS_DRG Other Multiple Significant Trauma With Cc 23 23 $29,971.87 $25,476.09 $12,352.76 $29,372.43 $25,476.09 2026-01-16
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 23 $28,187.82 $23,959.65 $19,167.72 $28,187.82 $25,369.04 2026-01-16
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 23 23 $27,484.65 $23,361.95 $16,759.96 $26,934.96 $24,736.19 2026-01-16
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 23 $26,369.91 $22,414.42 $17,931.54 $26,369.91 $23,732.92 2026-01-16
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 23 23 $27,854.71 $23,676.50 $15,074.62 $27,297.61 $23,676.50 2026-01-16
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 23 23 $26,242.88 $22,306.45 $17,845.16 $26,242.88 $23,618.59 2026-01-16
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 23 23 $26,615.42 $22,623.11 $10,988.20 $26,083.11 $22,623.11 2026-01-16
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 23 $24,673.06 $20,972.10 $16,777.68 $24,673.06 $22,205.76 2026-01-16
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 23 23 $25,599.00 $21,759.15 $10,580.36 $25,087.02 $21,759.15 2026-01-16
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 23 $24,016.78 $20,414.26 $14,699.02 $23,536.44 $21,615.10 2026-01-16
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 23 23 $24,703.18 $20,997.70 $13,342.52 $24,209.12 $20,997.70 2026-01-16
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 23 23 $24,373.24 $20,717.25 $11,226.77 $23,885.78 $20,717.25 2026-01-16
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 23 23 $22,417.08 $19,054.51 $15,243.61 $22,417.08 $20,175.37 2026-01-16
670 MS_DRG Transurethral Procedures Without Cc/mcc 23 23 $22,859.16 $19,430.29 $7,877.04 $22,401.98 $19,430.29 2026-01-16
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 23 23 $22,665.16 $19,265.39 $9,116.67 $22,211.86 $19,265.39 2026-01-16
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 23 23 $21,377.93 $18,171.24 $14,536.99 $21,377.93 $19,240.14 2026-01-16
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 23 23 $21,329.39 $18,129.98 $13,634.30 $20,902.80 $19,196.45 2026-01-16
336 MS_DRG Peritoneal Adhesiolysis With Cc 23 23 $21,162.93 $17,988.49 $14,390.79 $21,162.93 $19,046.64 2026-01-16
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 23 23 $21,378.26 $18,171.52 $12,372.10 $20,950.69 $18,803.75 2026-01-16
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 23 23 $21,871.35 $18,590.65 $11,984.41 $21,433.92 $18,590.65 2026-01-16
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc 23 23 $21,733.60 $18,473.56 $8,239.74 $21,298.93 $18,473.56 2026-01-16
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 23 23 $20,348.60 $17,296.31 $12,623.57 $19,941.63 $18,313.74 2026-01-16
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 23 23 $20,130.73 $17,111.12 $10,652.90 $19,728.12 $17,111.12 2026-01-16
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 23 23 $18,837.90 $16,012.22 $12,809.77 $18,837.90 $16,954.11 2026-01-16
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 23 23 $18,720.39 $15,912.33 $12,729.87 $18,720.39 $16,848.35 2026-01-16
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 26 26 $18,681.72 $15,879.46 $8,310.67 $40,564.56 $16,813.55 2026-01-16
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 23 23 $18,560.40 $15,776.34 $8,308.25 $18,189.19 $15,776.34 2026-01-16
501 MS_DRG Soft Tissue Procedures With Cc 23 23 $17,444.84 $14,828.11 $11,862.49 $17,444.84 $15,700.36 2026-01-16
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 23 23 $18,383.85 $15,626.27 $8,043.07 $18,016.17 $15,626.27 2026-01-16
812 MS_DRG Red Blood Cell Disorders Without Mcc 23 23 $18,280.12 $15,538.10 $7,400.69 $17,914.52 $15,538.10 2026-01-16
314 MS_DRG Other Circulatory System Diagnoses With Mcc 23 23 $16,788.18 $14,269.95 $11,415.96 $16,788.18 $15,109.36 2026-01-16
186 MS_DRG Pleural Effusion With Mcc 23 23 $16,788.12 $14,269.90 $11,415.92 $16,788.12 $15,109.31 2026-01-16
602 MS_DRG Cellulitis With Mcc 23 23 $16,185.35 $13,757.55 $11,006.04 $16,185.35 $14,566.82 2026-01-16
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 23 23 $16,175.82 $13,749.45 $10,999.56 $16,175.82 $14,558.24 2026-01-16
445 MS_DRG Disorders Of The Biliary Tract With Cc 23 23 $17,079.28 $14,517.39 $8,820.86 $16,737.70 $14,517.39 2026-01-16
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 23 23 $16,017.73 $13,615.07 $10,892.06 $16,017.73 $14,415.96 2026-01-16
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 23 23 $15,555.69 $13,222.34 $10,577.87 $15,555.69 $14,000.12 2026-01-16
386 MS_DRG Inflammatory Bowel Disease With Cc 23 23 $16,375.86 $13,919.48 $7,868.98 $16,048.34 $13,919.48 2026-01-16
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 23 23 $15,329.31 $13,029.91 $10,423.93 $15,329.31 $13,796.38 2026-01-16
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 23 23 $15,098.02 $12,833.32 $10,266.65 $15,098.02 $13,588.22 2026-01-16
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 23 23 $15,074.26 $12,813.12 $10,250.50 $15,074.26 $13,566.83 2026-01-16
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 23 23 $14,742.85 $12,531.42 $10,025.13 $14,742.85 $13,268.56 2026-01-16
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 23 23 $14,636.58 $12,441.09 $9,952.87 $14,636.58 $13,172.92 2026-01-16
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 23 23 $15,357.42 $13,053.81 $7,217.73 $15,050.27 $13,053.81 2026-01-16
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 24 $14,430.98 $12,266.33 $9,813.07 $29,019.54 $12,987.88 2026-01-16
920 MS_DRG Complications Of Treatment With Cc 23 23 $15,164.87 $12,890.14 $8,078.54 $14,861.57 $12,890.14 2026-01-16
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 23 23 $14,164.46 $12,039.79 $9,631.83 $14,164.46 $12,748.02 2026-01-16
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 23 23 $14,148.24 $12,026.00 $9,620.80 $14,148.24 $12,733.42 2026-01-16
189 MS_DRG Pulmonary Edema And Respiratory Failure 24 24 $14,093.32 $11,979.32 $9,583.46 $28,681.88 $12,683.99 2026-01-16
70 MS_DRG Other Cerebrovascular Disorders With Mcc 24 24 $13,923.74 $11,835.18 $9,468.14 $28,512.30 $12,531.37 2026-01-16
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 23 23 $14,671.43 $12,470.72 $8,180.90 $14,378.00 $12,470.72 2026-01-16
24545 HCPCS Treatment Of Upper Arm Bone Broken At Elbow 61 31 $34,366.00 $29,211.10 $862.84 $33,678.68 $12,443.93 2026-01-16
682 MS_DRG Renal Failure With Mcc 24 24 $13,820.55 $11,747.47 $9,397.97 $28,409.11 $12,438.50 2026-01-16
35190 HCPCS Repair Of Abnormal Artery-vein Connection In Arm Or Leg 31 31 $16,828.00 $14,303.80 $5,965.29 $16,491.44 $12,284.44 2026-01-16
183 MS_DRG Major Chest Trauma With Mcc 24 24 $13,393.81 $11,384.74 $9,107.79 $27,982.37 $12,054.43 2026-01-16
378 MS_DRG Gastrointestinal Hemorrhage With Cc 23 23 $14,084.35 $11,971.70 $7,904.44 $13,802.66 $12,013.58 2026-01-16
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 26 26 $13,243.00 $11,256.55 $9,005.24 $27,831.56 $11,918.70 2026-01-16
205 MS_DRG Other Respiratory System Diagnoses With Mcc 26 26 $13,120.20 $11,152.17 $8,921.74 $27,708.76 $11,808.18 2026-01-16
908 MS_DRG Other O.r. Procedures For Injuries With Cc 23 23 $13,027.02 $11,072.97 $8,858.37 $13,027.02 $11,724.32 2026-01-16
291 MS_DRG Heart Failure And Shock With Mcc 26 26 $12,999.49 $11,049.57 $8,839.66 $27,588.05 $11,699.55 2026-01-16
299 MS_DRG Peripheral Vascular Disorders With Mcc 23 23 $12,564.91 $10,680.17 $8,544.14 $12,564.91 $11,308.42 2026-01-16
637 MS_DRG Diabetes With Mcc 24 24 $12,509.78 $10,633.31 $8,506.65 $25,893.78 $11,258.80 2026-01-16
313 MS_DRG Chest Pain 26 26 $12,456.42 $10,587.96 $5,803.20 $27,044.98 $11,210.78 2026-01-16
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 26 26 $12,404.17 $10,543.54 $6,780.07 $26,992.73 $11,163.75 2026-01-16
292 MS_DRG Heart Failure And Shock With Cc 26 26 $12,386.37 $10,528.42 $6,842.94 $26,974.93 $11,147.74 2026-01-16
181 MS_DRG Respiratory Neoplasms With Cc 23 23 $12,314.63 $10,467.44 $8,373.95 $12,314.63 $11,083.17 2026-01-16
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 23 23 $12,113.40 $10,296.39 $8,237.11 $12,113.40 $10,902.06 2026-01-16
176 MS_DRG Pulmonary Embolism Without Mcc 23 23 $12,515.56 $10,638.23 $6,488.30 $12,265.25 $10,638.23 2026-01-16
434 MS_DRG Cirrhosis And Alcoholic Hepatitis Without Cc/mcc 26 26 $11,787.30 $10,019.21 $5,742.75 $26,375.86 $10,608.57 2026-01-16
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 26 26 $11,770.40 $10,004.84 $7,115.37 $26,358.96 $10,593.36 2026-01-16
177 MS_DRG Respiratory Infections And Inflammations With Mcc 26 26 $11,744.59 $9,982.90 $7,986.32 $26,333.15 $10,570.13 2026-01-16
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 26 26 $11,677.31 $9,925.71 $7,940.57 $26,265.87 $10,509.58 2026-01-16
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 26 26 $11,561.63 $9,827.39 $7,861.91 $26,150.19 $10,405.47 2026-01-16
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 26 26 $11,420.85 $9,707.72 $6,495.55 $26,009.41 $10,278.76 2026-01-16
184 MS_DRG Major Chest Trauma With Cc 26 26 $11,308.96 $9,612.61 $7,690.09 $25,897.52 $10,178.06 2026-01-16
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 26 26 $11,149.33 $9,476.93 $7,581.54 $25,737.89 $10,034.40 2026-01-16
A9582 HCPCS Iodine I-123 Iobenguane, Diagnostic, Per Study Dose, Up To 15 Millicuries 31 31 $12,159.00 $10,335.15 $4,402.77 $11,915.82 $10,031.18 2026-01-16
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 23 23 $10,991.86 $9,343.08 $7,474.46 $10,991.86 $9,892.67 2026-01-16
49421 HCPCS Insertion Of Abdominal Cavity Tube For Drainage Or Dialysis 31 31 $13,443.00 $11,426.55 $4,867.71 $13,174.14 $9,813.39 2026-01-16
444 MS_DRG Disorders Of The Biliary Tract With Mcc 26 26 $10,856.26 $9,227.82 $7,382.26 $25,444.82 $9,770.63 2026-01-16
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 23 23 $10,656.72 $9,058.21 $7,246.57 $10,656.72 $9,591.05 2026-01-16
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 26 26 $10,650.98 $9,053.33 $7,242.66 $25,239.54 $9,585.88 2026-01-16
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 26 26 $10,583.77 $8,996.20 $7,196.96 $25,172.33 $9,525.39 2026-01-16
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 23 23 $10,568.22 $8,982.99 $7,186.39 $10,568.22 $9,511.40 2026-01-16
865 MS_DRG Viral Illness With Mcc 23 23 $10,493.83 $8,919.76 $7,135.80 $10,493.83 $9,444.45 2026-01-16
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 23 23 $10,383.20 $8,825.72 $7,060.58 $10,383.20 $9,344.88 2026-01-16
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 26 26 $10,369.84 $8,814.37 $7,051.49 $24,958.40 $9,332.86 2026-01-16
683 MS_DRG Renal Failure With Cc 26 26 $10,331.40 $8,781.69 $7,025.35 $24,919.96 $9,298.26 2026-01-16
697 MS_DRG Urethral Stricture 23 23 $10,295.72 $8,751.36 $7,001.09 $10,295.72 $9,266.15 2026-01-16
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 26 26 $10,182.84 $8,655.41 $5,008.48 $24,771.40 $9,164.56 2026-01-16
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 26 26 $9,965.53 $8,470.70 $6,283.58 $24,554.09 $8,968.97 2026-01-16
312 MS_DRG Syncope And Collapse 26 26 $9,961.38 $8,467.18 $6,773.74 $24,549.94 $8,965.24 2026-01-16
24516 HCPCS Treatment Of Broken Middle Part Of Upper Arm Bone With Placement Of Stabilizing … 61 31 $24,723.00 $21,014.55 $799.62 $24,228.54 $8,952.20 2026-01-16
304 MS_DRG Hypertension With Mcc 26 26 $9,894.61 $8,410.42 $6,728.33 $24,483.17 $8,905.15 2026-01-16
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 26 26 $9,799.94 $8,329.95 $6,663.96 $24,388.50 $8,819.95 2026-01-16
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 26 26 $9,782.71 $8,315.30 $6,272.29 $24,371.27 $8,804.43 2026-01-16
357 MS_DRG Other Digestive System O.r. Procedures With Cc 23 23 $9,776.32 $8,309.87 $6,647.90 $9,776.32 $8,798.69 2026-01-16
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 26 26 $9,712.94 $8,256.00 $6,604.80 $24,301.50 $8,741.65 2026-01-16
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 26 26 $9,657.15 $8,208.58 $6,566.86 $24,245.71 $8,691.44 2026-01-16
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 26 26 $9,611.51 $8,169.79 $6,535.83 $24,200.07 $8,650.36 2026-01-16
23615 HCPCS Treatment Of Broken Top Of Upper Arm Bone 61 31 $23,871.00 $20,290.35 $827.02 $23,393.58 $8,643.69 2026-01-16
300 MS_DRG Peripheral Vascular Disorders With Cc 23 23 $9,597.05 $8,157.49 $6,525.99 $9,597.05 $8,637.35 2026-01-16
28525 HCPCS Treatment Of Broken Toe 31 31 $11,750.00 $9,987.50 $4,254.68 $11,515.00 $8,577.50 2026-01-16
305 MS_DRG Hypertension Without Mcc 23 23 $9,526.15 $8,097.23 $6,086.11 $9,335.63 $8,573.54 2026-01-16
293 MS_DRG Heart Failure And Shock Without Cc/mcc 23 23 $9,836.50 $8,361.03 $4,561.96 $9,639.77 $8,361.03 2026-01-16
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 23 23 $9,279.53 $7,887.60 $5,862.84 $9,093.93 $8,351.57 2026-01-16
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 23 23 $9,156.06 $7,782.65 $6,226.12 $9,156.06 $8,240.45 2026-01-16
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 23 $9,152.97 $7,780.02 $6,224.02 $9,152.97 $8,237.67 2026-01-16
638 MS_DRG Diabetes With Cc 26 26 $9,033.11 $7,678.14 $6,142.51 $23,621.67 $8,129.79 2026-01-16
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 23 23 $9,024.30 $7,670.66 $6,136.52 $9,024.30 $8,121.87 2026-01-16
389 MS_DRG Gastrointestinal Obstruction With Cc 23 23 $8,948.40 $7,606.14 $6,084.91 $8,948.40 $8,053.56 2026-01-16
645 MS_DRG Endocrine Disorders Without Cc/mcc 26 26 $8,899.65 $7,564.70 $6,051.76 $23,488.21 $8,009.69 2026-01-16
393 MS_DRG Other Digestive System Diagnoses With Mcc 26 26 $8,817.64 $7,494.99 $5,995.99 $23,406.20 $7,935.88 2026-01-16
202 MS_DRG Bronchitis And Asthma With Cc/mcc 26 26 $8,709.55 $7,403.11 $5,922.49 $23,298.11 $7,838.59 2026-01-16
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 26 26 $8,692.08 $7,388.26 $5,910.61 $23,280.64 $7,822.87 2026-01-16
948 MS_DRG Signs And Symptoms Without Mcc 23 23 $8,659.90 $7,360.91 $5,888.73 $8,659.90 $7,793.91 2026-01-16
813 MS_DRG Coagulation Disorders 23 23 $8,616.75 $7,324.24 $5,859.39 $8,616.75 $7,755.08 2026-01-16
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 23 23 $8,620.60 $7,327.51 $5,081.02 $8,448.19 $7,722.40 2026-01-16
297 MS_DRG Cardiac Arrest, Unexplained With Cc 23 23 $8,859.80 $7,530.83 $5,025.41 $8,682.60 $7,637.88 2026-01-16
27828 HCPCS Treatment Of Broken Lower Weight Bearing Joint Of Both Lower Leg Bones 61 31 $20,978.00 $17,831.30 $1,235.84 $20,558.44 $7,596.13 2026-01-16
23515 HCPCS Treatment Of Broken Collar Bone 61 31 $20,508.00 $17,431.80 $683.48 $20,097.84 $7,425.95 2026-01-16
21336 HCPCS Treatment Of Broken Bone And Tissue Separating Nose Airways 31 31 $10,156.00 $8,632.60 $3,677.49 $9,952.88 $7,413.88 2026-01-16
93588 HCPCS Review By Radiologist Of Vein Imaging For Congenital Heart Defect Of Venovenous … 31 31 $8,967.00 $7,621.95 $3,246.95 $8,787.66 $7,397.78 2026-01-16
20822 HCPCS Reattachment Of Part Of Cutoff Finger 30 30 $8,556.00 $7,272.60 $1,598.76 $8,556.00 $7,272.60 2026-01-16
552 MS_DRG Medical Back Problems Without Mcc 23 23 $8,074.35 $6,863.20 $5,490.56 $8,074.35 $7,266.92 2026-01-16
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 23 23 $8,064.92 $6,855.18 $5,230.94 $7,950.25 $7,258.43 2026-01-16
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 23 23 $8,052.97 $6,845.02 $5,476.02 $8,052.97 $7,247.67 2026-01-16
47563 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope 61 31 $19,678.00 $16,726.30 $677.05 $19,284.44 $7,125.40 2026-01-16
55 MS_DRG Nervous System Neoplasms Without Mcc 23 23 $7,910.80 $6,724.18 $5,379.34 $7,910.80 $7,119.72 2026-01-16
101 MS_DRG Seizures Without Mcc 23 23 $7,812.05 $6,640.24 $5,312.19 $7,812.05 $7,030.85 2026-01-16
201 MS_DRG Pneumothorax Without Cc/mcc 23 23 $7,805.95 $6,635.06 $5,308.05 $7,805.95 $7,025.36 2026-01-16
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 24 24 $7,773.51 $6,607.48 $5,285.99 $21,157.51 $6,996.16 2026-01-16
684 MS_DRG Renal Failure Without Cc/mcc 23 23 $7,749.77 $6,587.30 $4,838.42 $7,594.77 $6,974.79 2026-01-16
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 26 26 $7,582.70 $6,445.30 $5,065.71 $22,171.26 $6,824.43 2026-01-16
27822 HCPCS Treatment Of 3 Broken Lower Leg Bones At Ankle 61 31 $18,772.00 $15,956.20 $834.66 $18,396.56 $6,797.34 2026-01-16
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 23 23 $7,503.85 $6,378.27 $5,102.62 $7,503.85 $6,753.47 2026-01-16
27814 HCPCS Treatment Of Both Broken Lower Leg Bones At Ankle 61 31 $18,455.00 $15,686.75 $718.59 $18,085.90 $6,682.56 2026-01-16
22511 HCPCS Stabilization Of Lower Spine Bone 31 31 $9,151.00 $7,778.35 $3,313.58 $8,967.98 $6,680.23 2026-01-16
603 MS_DRG Cellulitis Without Mcc 23 23 $7,404.15 $6,293.53 $5,034.82 $7,404.15 $6,663.74 2026-01-16
53620 HCPCS Initial Dilation Of Urethra In Male Using Filiform Dilator 31 31 $8,998.00 $7,648.30 $1,309.20 $8,818.04 $6,568.54 2026-01-16
C1764 HCPCS Event Recorder, Cardiac (implantable) 31 31 $7,936.00 $6,745.60 $2,873.63 $7,777.28 $6,547.20 2026-01-16
23474 HCPCS Revision Of Total Shoulder Repair, Total Shoulder 30 30 $7,648.00 $6,500.80 $1,546.49 $7,648.00 $6,500.80 2026-01-16
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 24 24 $7,148.75 $6,076.44 $4,861.15 $14,443.03 $6,433.88 2026-01-16
14041 HCPCS Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Han… 31 31 $8,595.00 $7,305.75 $3,112.25 $8,423.10 $6,274.35 2026-01-16
27134 HCPCS Revision Of Thigh Bone And Hip Joint Prosthesis 30 30 $7,375.00 $6,268.75 $1,684.60 $7,375.00 $6,268.75 2026-01-16
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 25 25 $6,962.02 $5,917.72 $4,734.17 $20,346.02 $6,265.82 2026-01-16
37609 HCPCS Tying Or Biopsy Of Artery On Side Of Skull 31 31 $8,539.00 $7,258.15 $3,091.97 $8,368.22 $6,233.47 2026-01-16
22510 HCPCS Stabilization Of Upper Spine Bone 31 31 $7,655.00 $6,506.75 $2,771.88 $7,501.90 $6,206.08 2026-01-16
919 MS_DRG Complications Of Treatment With Mcc 24 24 $6,877.25 $5,845.66 $4,676.53 $14,171.53 $6,189.53 2026-01-16
33285 HCPCS Insertion Of Heart Rhythm Monitor Under Skin 31 31 $7,304.00 $6,208.40 $2,644.78 $17,658.80 $6,025.80 2026-01-16
35206 HCPCS Repair Of Blood Vessel Of Arm 31 31 $8,180.00 $6,953.00 $2,961.98 $8,016.40 $5,971.40 2026-01-16
27235 HCPCS Placement Of Stabilizing Device For Upper End Of Broken Thigh Bone 61 31 $16,402.00 $13,941.70 $838.00 $16,073.96 $5,939.16 2026-01-16
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 26 26 $6,583.55 $5,596.02 $4,384.64 $13,877.83 $5,925.20 2026-01-16
25609 HCPCS Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri… 61 31 $16,052.00 $13,644.20 $974.06 $15,730.96 $5,812.43 2026-01-16
31530 HCPCS Removal Of Foreign Body In Voice Box Using An Endoscope 31 31 $7,928.00 $6,738.80 $2,870.73 $7,769.44 $5,787.44 2026-01-16
78608 HCPCS Nuclear Medicine Study Of Brain With Metabolic Evaluation 31 31 $7,877.00 $6,695.45 $2,852.26 $7,719.46 $5,750.21 2026-01-16
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 26 26 $6,380.05 $5,423.04 $4,338.43 $13,674.33 $5,742.05 2026-01-16
639 MS_DRG Diabetes Without Cc/mcc 23 23 $6,374.94 $5,418.70 $4,334.96 $6,374.94 $5,737.45 2026-01-16
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 26 26 $6,294.80 $5,350.58 $4,280.46 $13,589.08 $5,665.32 2026-01-16
27228 HCPCS Treatment Of Broken Bones Of Front And Back Column Or Wall Of Hip Socket With Pl… 30 30 $6,598.00 $5,608.30 $1,677.29 $6,598.00 $5,608.30 2026-01-16
27487 HCPCS Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis 30 30 $6,558.00 $5,574.30 $1,568.04 $6,558.00 $5,574.30 2026-01-16
21501 HCPCS Drainage Of Deep Abscess Or Blood Accumulation In Soft Tissue Of Neck Or Chest 31 31 $7,634.00 $6,488.90 $2,764.27 $7,481.32 $5,572.82 2026-01-16
23473 HCPCS Revision Of Total Shoulder Repair 30 30 $6,552.00 $5,569.20 $1,436.31 $6,552.00 $5,569.20 2026-01-16
15050 HCPCS Skin Graft To Tip Of Finger Or Toe, 2.0 Cm Or Less 31 31 $7,622.00 $6,478.70 $1,025.84 $7,469.56 $5,564.06 2026-01-16
21453 HCPCS Closed Treatment Of Broken Lower Jaw Bone With Placement Of Stabilizing Device T… 31 31 $6,705.00 $5,699.25 $2,427.88 $8,896.12 $5,531.63 2026-01-16
15770 HCPCS Creation Of Skin, Fat And Muscle Graft 31 31 $7,098.00 $6,033.30 $2,570.19 $6,956.04 $5,489.17 2026-01-16
71 MS_DRG Other Cerebrovascular Disorders With Cc 25 25 $5,956.86 $5,063.33 $4,050.66 $13,251.14 $5,361.17 2026-01-16
27380 HCPCS Primary Suture Of Tendon Below Knee 61 31 $14,732.00 $12,522.20 $605.23 $14,437.36 $5,334.46 2026-01-16
54435 HCPCS Redirection Of Blood Flow From Penis With Partial Removal Of Tissue At Head Of P… 31 31 $6,935.00 $5,894.75 $2,511.16 $6,796.30 $5,330.95 2026-01-16
30801 HCPCS Destruction Of Soft Tissue Of Nasal Passages 31 31 $7,273.00 $6,182.05 $1,542.28 $7,127.54 $5,309.29 2026-01-16
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 23 23 $5,889.12 $5,005.75 $4,004.60 $5,889.12 $5,300.21 2026-01-16
46275 HCPCS Repair Of Abnormal Drainage Tract In Anal Sphincter 31 31 $7,251.00 $6,163.35 $2,625.59 $7,105.98 $5,293.23 2026-01-16
947 MS_DRG Signs And Symptoms With Mcc 26 26 $5,880.35 $4,998.30 $3,998.64 $13,174.63 $5,292.31 2026-01-16
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 26 26 $5,874.31 $4,993.16 $3,994.53 $13,168.59 $5,286.88 2026-01-16
178 MS_DRG Respiratory Infections And Inflammations With Cc 23 23 $5,852.04 $4,974.23 $3,979.39 $5,852.04 $5,266.84 2026-01-16
27132 HCPCS Total Hip Replacement After Previous Hip Surgery 30 30 $6,134.00 $5,213.90 $1,498.50 $6,134.00 $5,213.90 2026-01-16
394 MS_DRG Other Digestive System Diagnoses With Cc 26 26 $5,781.64 $4,914.39 $3,931.51 $13,075.92 $5,203.47 2026-01-16
47536 HCPCS Replacement Of Liver Duct Drainage Tube Using Imaging Guidance With Review By Ra… 31 31 $6,421.00 $5,457.85 $2,325.04 $6,292.58 $5,192.41 2026-01-16
59510 HCPCS Cesarean Delivery With Care Before And After Delivery 30 30 $6,070.00 $5,159.50 $2,422.79 $6,070.00 $5,159.50 2026-01-16
25607 HCPCS Treatment Of Broken Forearm Bone On Thumb Side Of Wrist, Above Wrist, With Place… 61 31 $14,229.00 $12,094.65 $703.59 $13,944.42 $5,152.32 2026-01-16
27792 HCPCS Treatment Of Broken Outer Lower Leg Bone At Ankle 61 31 $14,207.00 $12,075.95 $613.02 $13,922.86 $5,144.35 2026-01-16
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 23 23 $5,640.97 $4,794.83 $3,835.86 $5,640.97 $5,076.88 2026-01-16
27445 HCPCS Knee Joint Replacement Using Hinged Prosthesis 22 22 $5,637.00 $4,791.45 $1,592.20 $5,637.00 $5,073.30 2026-01-16
24363 HCPCS Prosthetic Repair Of Elbow Joint 30 30 $5,952.00 $5,059.20 $1,298.68 $5,952.00 $5,059.20 2026-01-16
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 23 23 $5,597.10 $4,757.53 $3,806.03 $5,597.10 $5,037.39 2026-01-16
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 26 26 $5,550.13 $4,717.61 $3,774.09 $12,844.41 $4,995.11 2026-01-16
27138 HCPCS Revision Of Thigh Bone Prosthesis 30 30 $5,859.00 $4,980.15 $1,360.89 $5,859.00 $4,980.15 2026-01-16
26615 HCPCS Treatment Of Broken Midhand Bone 61 31 $13,737.00 $11,676.45 $548.58 $13,462.26 $4,974.17 2026-01-16
52214 HCPCS Destruction Of Tissue Of Bladder, Urethra, Or Surrounding Glands Using An Endosc… 31 31 $6,683.00 $5,680.55 $2,419.91 $6,549.34 $4,972.37 2026-01-16
45388 HCPCS Destruction Of Polyp Or Growth Of Large Bowel Using A Flexible Endoscope 30 30 $5,846.00 $4,969.10 $238.91 $5,846.00 $4,969.10 2026-01-16
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 26 26 $5,467.14 $4,647.07 $3,717.65 $12,761.42 $4,920.42 2026-01-16
20240 HCPCS Biopsy Of Surface Bone 31 31 $6,716.00 $5,708.60 $2,431.86 $6,581.68 $4,902.68 2026-01-16
25425 HCPCS Repair Of Forearm Bone 30 30 $5,744.00 $4,882.40 $892.69 $5,744.00 $4,882.40 2026-01-16
28505 HCPCS Treatment Of Broken Great Toe 31 31 $6,312.00 $5,365.20 $2,285.58 $6,185.76 $4,871.72 2026-01-16
25608 HCPCS Treatment Of 2 Broken Lower Forearm Bone Pieces On Thumb Side Inside Wrist Joint… 61 31 $13,443.00 $11,426.55 $777.23 $13,283.19 $4,867.71 2026-01-16
27447 HCPCS Replacement Of Knee Joint, Both Sides Of Knee 30 30 $5,637.00 $4,791.45 $1,156.05 $5,637.00 $4,791.45 2026-01-16
27137 HCPCS Revision Of Hip Socket Part Of Hip Prosthesis 30 30 $5,624.00 $4,780.40 $1,312.00 $5,624.00 $4,780.40 2026-01-16
26951 HCPCS Amputation Of Finger Or Thumb With Direct Closure 31 31 $6,542.00 $5,560.70 $2,368.86 $6,411.16 $4,775.66 2026-01-16
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 23 23 $5,295.62 $4,501.27 $3,601.02 $5,295.62 $4,766.05 2026-01-16
27130 HCPCS Replacement Of Thigh Bone And Hip Joint With Prosthesis 30 30 $5,569.00 $4,733.65 $1,158.57 $5,569.00 $4,733.65 2026-01-16
644 MS_DRG Endocrine Disorders With Cc 26 26 $5,230.12 $4,445.60 $3,556.48 $12,524.40 $4,707.11 2026-01-16
23472 HCPCS Prosthetic Repair Of Shoulder Joint, Total Shoulder 30 30 $5,528.00 $4,698.80 $1,297.86 $5,528.00 $4,698.80 2026-01-16
23420 HCPCS Repair Of Complete Tear Of Shoulder Rotator Cuff With Release Of Pressure On Col… 30 30 $5,527.00 $4,697.95 $909.89 $5,527.00 $4,697.95 2026-01-16
59400 HCPCS Vaginal Delivery With Care Before And After Delivery 30 30 $5,513.00 $4,686.05 $2,179.62 $5,513.00 $4,686.05 2026-01-16
78816 HCPCS Nuclear Medicine Study Whole Body With CT Scan 31 31 $6,403.00 $5,442.55 $2,318.53 $6,274.94 $4,674.19 2026-01-16
25028 HCPCS Drainage Of Deep Abscess Or Blood Accumulation Of Forearm Or Wrist 31 31 $6,367.00 $5,411.95 $2,305.49 $6,239.66 $4,647.91 2026-01-16
27650 HCPCS Repair Of Ruptured Achilles Tendon 61 31 $12,788.00 $10,869.80 $631.21 $12,532.24 $4,630.53 2026-01-16
26860 HCPCS Fusion Of Finger Joint, Initial Joint 61 31 $12,689.00 $10,785.65 $623.47 $12,435.22 $4,594.69 2026-01-16
27664 HCPCS Primary Repair Of Tendon On Front Of Leg 61 31 $12,602.00 $10,711.70 $349.18 $12,349.96 $4,563.18 2026-01-16
46947 HCPCS Stapling Of Internal Hemorrhoid 31 31 $5,526.00 $4,697.10 $2,000.96 $6,203.53 $4,558.95 2026-01-16
24341 HCPCS Repair Of Tendon Or Muscle Of Upper Arm Or Elbow 61 31 $12,492.00 $10,618.20 $496.51 $12,242.16 $4,523.35 2026-01-16
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 26 26 $4,929.44 $4,190.02 $3,352.02 $12,223.72 $4,436.50 2026-01-16
49505 HCPCS Repair Of Groin Hernia (5 Years Or Older) 61 31 $12,187.00 $10,358.95 $499.38 $11,943.26 $4,412.91 2026-01-16
27506 HCPCS Treatment Of Broken Shaft Of Thigh Bone With Implant 30 30 $5,182.00 $4,404.70 $1,223.06 $5,182.00 $4,404.70 2026-01-16
58120 HCPCS Dilation And Scraping Of Uterus 31 31 $5,799.00 $4,929.15 $2,099.82 $5,683.02 $4,403.19 2026-01-16
57210 HCPCS Suture Of Injury Of Vagina And/or Skin 31 31 $5,602.00 $4,761.70 $2,028.48 $5,489.96 $4,403.19 2026-01-16
78815 HCPCS Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan 31 31 $5,994.00 $5,094.90 $2,170.43 $5,874.12 $4,375.62 2026-01-16
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 23 23 $4,854.73 $4,126.52 $3,301.21 $4,854.73 $4,369.25 2026-01-16
11771 HCPCS Extensive Removal Of Cyst Of Tailbone 61 31 $12,504.00 $10,628.40 $443.43 $12,253.92 $4,350.98 2026-01-16
54640 HCPCS Repositioning And Suture Of Misplaced Testicle 61 31 $12,012.00 $10,210.20 $394.35 $11,771.76 $4,349.55 2026-01-16
27486 HCPCS Revision Of Component Of Total Knee Joint Prosthesis 30 30 $5,113.00 $4,346.05 $1,272.55 $5,113.00 $4,346.05 2026-01-16
15120 HCPCS Partial Thickness Self Skin Graft To Face, Scalp, Eyelids, Mouth, Neck, Ears, Ar… 31 31 $5,253.00 $4,465.05 $1,902.11 $5,489.17 $4,333.73 2026-01-16
30520 HCPCS Reshaping Of Nasal Cartilage 31 31 $5,253.00 $4,465.05 $1,902.11 $5,147.94 $4,333.73 2026-01-16
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 26 26 $4,787.35 $4,069.25 $3,255.40 $12,081.63 $4,308.62 2026-01-16
23470 HCPCS Partial Replacement Of Shoulder Joint 30 30 $5,063.00 $4,303.55 $1,087.50 $5,063.00 $4,303.55 2026-01-16
27245 HCPCS Treatment Of Broken Neck Of Thigh Bone With Bone Implant 30 30 $5,060.00 $4,301.00 $1,117.66 $5,060.00 $4,301.00 2026-01-16
27446 HCPCS Replacement Of Knee Joint On Side Of Knee 30 30 $5,056.00 $4,297.60 $1,046.23 $5,056.00 $4,297.60 2026-01-16
27087 HCPCS Removal Of Foreign Body In Tissue Or Muscle Of Pelvis Or Hip 31 31 $5,865.00 $4,985.25 $2,123.72 $5,747.70 $4,281.45 2026-01-16
153 MS_DRG Otitis Media And Uri Without Mcc 26 26 $4,753.80 $4,040.73 $3,232.58 $12,048.08 $4,278.42 2026-01-16
36581 HCPCS Replacement Of Tunneled Central Venous Tube 31 31 $5,166.00 $4,391.10 $1,870.61 $5,333.53 $4,261.95 2026-01-16
27827 HCPCS Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 61 31 $11,761.00 $9,996.85 $1,061.01 $13,283.19 $4,258.66 2026-01-16
19020 HCPCS Drainage Of Abscess Of Breast 31 31 $5,821.00 $4,947.85 $2,107.78 $5,704.58 $4,249.33 2026-01-16
32556 HCPCS Drainage Of Fluid From Chest Cavity With Insertion Of Indwelling Tube 31 31 $5,799.00 $4,929.15 $1,167.10 $5,683.02 $4,233.27 2026-01-16
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 26 26 $4,654.50 $3,956.33 $3,165.06 $11,948.78 $4,189.05 2026-01-16
26535 HCPCS Replacement Of Finger Joint 61 31 $11,510.00 $9,783.50 $425.31 $11,279.80 $4,167.77 2026-01-16
28160 HCPCS Partial Removal Of Toe At Joint 31 31 $5,307.00 $4,510.95 $1,921.66 $5,200.86 $4,158.30 2026-01-16
51595 HCPCS Removal Of Bladder And Lymph Nodes On Both Sides Of Pelvis With Transplantation … 30 30 $4,891.00 $4,157.35 $1,932.04 $4,891.00 $4,157.35 2026-01-16
42330 HCPCS Uncomplicated Removal Of Saliva Gland Stone From Inside Mouth 31 31 $5,690.00 $4,836.50 $2,060.35 $5,576.20 $4,153.70 2026-01-16
27472 HCPCS Repair Of Nonhealed Broken Thigh Bone With Self Bone Graft 30 30 $4,885.00 $4,152.25 $1,155.05 $4,885.00 $4,152.25 2026-01-16
27269 HCPCS Treatment Of Broken Head Of Thigh Bone 30 30 $4,862.00 $4,132.70 $1,118.15 $4,862.00 $4,132.70 2026-01-16
45000 HCPCS Drainage Of Abscess Of Pelvic Region 31 31 $4,991.00 $4,242.35 $1,807.24 $4,891.18 $4,117.58 2026-01-16
78814 HCPCS Nuclear Medicine Study Limited Area With CT Scan 31 31 $5,634.00 $4,788.90 $2,040.07 $5,521.32 $4,112.82 2026-01-16
951 MS_DRG Other Factors Influencing Health Status 24 24 $4,557.74 $3,874.08 $3,099.26 $9,332.74 $4,101.96 2026-01-16
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 26 26 $4,547.30 $3,865.21 $3,092.16 $11,841.58 $4,092.57 2026-01-16
25025 HCPCS Incision To Relieve Pressure In Top And Palm Side Of Wrist Compartment With Remo… 30 30 $4,784.00 $4,066.40 $1,124.21 $4,784.00 $4,066.40 2026-01-16
27766 HCPCS Treatment Of Inside Portion Of Broken Shin Bone At Ankle 61 31 $11,204.00 $9,523.40 $585.76 $10,979.92 $4,056.97 2026-01-16
57200 HCPCS Suture Of Nonobstetrical Injury Of Vagina 31 31 $4,892.00 $4,158.20 $1,771.39 $4,794.16 $4,035.90 2026-01-16
44146 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Large … 30 30 $4,712.00 $4,005.20 $1,921.81 $4,712.00 $4,005.20 2026-01-16
27295 HCPCS Removal Of Hip Bone And Leg At Hip Joint 30 30 $4,677.00 $3,975.45 $1,140.81 $4,677.00 $3,975.45 2026-01-16
27513 HCPCS Treatment Of Broken Thigh Bone In Knee Area 30 30 $4,673.00 $3,972.05 $1,101.87 $4,673.00 $3,972.05 2026-01-16
25248 HCPCS Removal Of Deep Foreign Body In Forearm Or Wrist 61 31 $14,655.00 $12,456.75 $411.95 $14,361.90 $3,961.08 2026-01-16
27165 HCPCS Incision Or Partial Removal Of Thigh Bone Below Neck With Placement Of Stabilizi… 30 30 $4,648.00 $3,950.80 $1,258.82 $4,648.00 $3,950.80 2026-01-16
303 MS_DRG Atherosclerosis Without Mcc 26 26 $4,381.05 $3,723.89 $2,979.11 $11,649.33 $3,942.95 2026-01-16
385 MS_DRG Inflammatory Bowel Disease With Mcc 23 23 $4,369.72 $3,714.26 $2,971.41 $4,369.72 $3,932.75 2026-01-16
31238 HCPCS Control Of Bleeding Of Nose Using An Endoscope 31 31 $5,373.00 $4,567.05 $1,945.56 $5,265.54 $3,922.29 2026-01-16
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 26 26 $4,357.02 $3,703.47 $2,962.78 $11,651.30 $3,921.32 2026-01-16
29807 HCPCS Repair Of Shoulder Socket Using An Endoscope 30 30 $4,612.00 $3,920.20 $954.70 $4,612.00 $3,920.20 2026-01-16
27122 HCPCS Repair Of Hip Socket With Removal Of Head Of Thigh Bone 30 30 $4,586.00 $3,898.10 $1,010.84 $4,586.00 $3,898.10 2026-01-16
26356 HCPCS Primary Repair Of Finger Tendon On Underside Of The Hand Without A Graft In Zone… 61 31 $7,677.00 $6,525.45 $763.55 $7,523.46 $3,894.30 2026-01-16
57410 HCPCS Pelvic Exam Under Anesthesia 31 31 $4,717.00 $4,009.45 $1,708.03 $4,622.66 $3,891.53 2026-01-16
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