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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

4,504 distinct procedures filed
31 distinct payers
164,688 rate rows
2026-06-09 last MRF observed
Data quality

161,550 of 164,688 rate rows are consumer-grade (98.1%)

3,138 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,101
per-diem day rate — not a per-procedure price 758
template filing: same amount across many unrelated codes — excluded 156
percent-of-charges filed in the dollar field — excluded from medians 91
exceeds 3× this hospital's gross charge for a DRG stay — excluded 21
exceeds 10× this hospital's gross charge — excluded from medians 11
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 · 2026-10-10
Content fingerprint b9fc272205ba0e68… · 64,877,535 bytes · first seen 2026-09-25

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
180
MS_DRG 		Respiratory Neoplasms With Mcc 5 $14,233.96 $55,017.48 $52,644.00 nat. median
$12,731
outlier · 4.1×
389
MS_DRG 		Gastrointestinal Obstruction With Cc 5 $6,365.79 $51,122.15 $48,748.67 nat. median
$5,994
outlier · 8.1×
682
MS_DRG 		Renal Failure With Mcc 4 $11,936.86 $69,925.85 $43,450.62 nat. median
$11,096
outlier · 3.9×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 5 $15,656.55 $45,647.03 $43,273.55 nat. median
$14,442
outlier · 3.0×
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 5 $10,222.50 $44,901.48 $42,528.00 nat. median
$9,511
outlier · 4.5×
603
MS_DRG 		Cellulitis Without Mcc 5 $7,019.45 $41,102.11 $39,322.00 nat. median
$6,621
outlier · 5.9×
876
MS_DRG 		O.r. Procedures With Principal Diagnosis Of Mental Illness 2 $31,151.09 $47,345.03 $39,248.06 nat. median
$2,958
outlier · 13.3×
806
MS_DRG 		Vaginal Delivery Without Sterilization Or D&c With Cc 5 $4,800.00 $40,314.94 $38,534.83 nat. median
$5,473
outlier · 7.0×
812
MS_DRG 		Red Blood Cell Disorders Without Mcc 5 $7,400.69 $39,081.11 $37,301.00 nat. median
$6,771
outlier · 5.5×
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 2 $29,593.10 $44,977.10 $37,285.10 nat. median
$25,953
1.4× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 2 $28,424.40 $43,200.85 $35,812.62 nat. median
$25,622
1.4× median
202
MS_DRG 		Bronchitis And Asthma With Cc/mcc 5 $7,827.87 $36,610.11 $34,830.00 nat. median
$7,228
outlier · 4.8×
571
MS_DRG 		Skin Debridement With Cc 5 $13,617.37 $35,872.11 $34,092.00 nat. median
$12,106
outlier · 2.8×
64582
HCPCS 		Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat… 31 $14,367.50 $40,229.00 $33,866.25 nat. median
$29,815
1.1× median
656
MS_DRG 		Kidney And Ureter Procedures For Neoplasm With Mcc 2 $25,661.43 $39,001.55 $32,331.49 nat. median
$23,036
1.4× median
639
MS_DRG 		Diabetes Without Cc/mcc 4 $5,006.87 $55,703.98 $31,190.10 nat. median
$4,752
outlier · 6.6×
372
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Cc 5 $8,229.26 $32,682.61 $30,902.50 nat. median
$7,653
outlier · 4.0×
84
MS_DRG 		Traumatic Stupor And Coma >1 Hour Without Cc/mcc 5 $7,703.75 $32,528.61 $30,748.50 nat. median
$6,891
outlier · 4.5×
654
MS_DRG 		Major Bladder Procedures With Cc 2 $22,562.36 $34,291.43 $28,426.90 nat. median
$19,982
1.4× median
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 4 $9,352.02 $42,356.94 $27,935.26 nat. median
$8,710
outlier · 3.2×
288
MS_DRG 		Acute And Subacute Endocarditis With Mcc 2 $21,811.97 $33,150.95 $27,481.46 nat. median
$18,971
1.4× median
392
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 5 $6,283.58 $27,209.12 $26,022.38 nat. median
$5,890
outlier · 4.4×
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 $20,479.65 $31,126.03 $25,802.84 nat. median
$18,590
1.4× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 2 $20,440.97 $31,067.23 $25,754.10 nat. median
$18,426
1.4× median
644
MS_DRG 		Endocrine Disorders With Cc 5 $8,261.50 $26,676.24 $25,489.50 nat. median
$7,727
outlier · 3.3×
76
MS_DRG 		Viral Meningitis Without Cc/mcc 5 $6,035.33 $26,216.74 $25,030.00 nat. median
$6,260
outlier · 4.0×
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 $19,815.51 $30,116.63 $24,966.07 nat. median
$17,763
1.4× median
442
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 5 $7,780.32 $25,830.74 $24,644.00 nat. median
$7,199
outlier · 3.4×
793
MS_DRG 		Full Term Neonate With Major Problems 5 $11,455.00 $25,827.74 $24,641.00 nat. median
$15,882
1.6× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 2 $19,321.43 $29,365.70 $24,343.57 nat. median
$17,741
1.4× median
674
MS_DRG 		Other Kidney And Urinary Tract Procedures With Cc 2 $18,849.12 $28,647.85 $23,748.49 nat. median
$16,612
1.4× median
291
MS_DRG 		Heart Failure And Shock With Mcc 4 $10,347.43 $34,023.75 $23,054.25 nat. median
$9,572
outlier · 2.4×
200
MS_DRG 		Pneumothorax With Cc 5 $8,860.36 $24,191.24 $23,004.50 nat. median
$8,043
outlier · 2.9×
292
MS_DRG 		Heart Failure And Shock With Cc 5 $6,842.94 $23,245.74 $22,059.00 nat. median
$6,415
outlier · 3.4×
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 2 $17,068.66 $25,941.83 $21,505.25 nat. median
$15,839
1.4× median
897
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 4 $7,115.37 $33,660.61 $21,347.40 nat. median
$5,898
outlier · 3.6×
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 2 $16,881.67 $25,657.63 $21,269.65 nat. median
$15,706
1.4× median
154
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 4 $12,601.81 $28,198.24 $20,778.50 nat. median
$11,032
1.9× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 $16,208.66 $24,634.75 $20,421.71 nat. median
$14,700
1.4× median
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 2 $16,172.39 $24,579.63 $20,376.01 nat. median
$14,553
1.4× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 3 $12,595.36 $42,435.36 $19,143.08 nat. median
$11,701
1.6× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 $16,104.69 $21,688.50 $18,896.60 nat. median
$14,550
1.3× median
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 2 $14,291.19 $21,720.48 $18,005.83 nat. median
$12,655
1.4× median
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 2 $14,065.51 $21,377.48 $17,721.49 nat. median
$9,938
1.8× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 2 $13,564.17 $20,615.53 $17,089.85 nat. median
$12,648
1.4× median
444
MS_DRG 		Disorders Of The Biliary Tract With Mcc 2 $13,467.45 $20,468.53 $16,967.99 nat. median
$12,165
1.4× median
334
MS_DRG 		Rectal Resection Without Cc/mcc 2 $13,201.47 $20,064.28 $16,632.88 nat. median
$11,690
1.4× median
482
MS_DRG 		Hip And Femur Procedures Except Major Joint Without Cc/mcc 2 $13,145.86 $19,979.75 $16,562.81 nat. median
$12,280
1.3× median
917
MS_DRG 		Poisoning And Toxic Effects Of Drugs With Mcc 2 $12,641.30 $19,212.90 $15,927.10 nat. median
$10,747
1.5× median
398
MS_DRG 		Appendix Procedures With Cc 2 $12,199.62 $18,541.60 $15,370.61 nat. median
$11,334
1.4× median

Other procedures at this hospital

Browse this hospital's 4,504 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
             
44143 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin 30 30 $3,628.00 $3,083.80 $937.74 $3,555.44 $2,392.68 2026-06-09
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 61 31 $2,982.00 $2,534.70 $1,043.70 $3,213.42 $2,393.67 2026-06-09
72210004 CDM Labor Room/delivery - Delivery Room 31 31 $2,921.00 $2,482.85 $1,022.35 $2,862.58 $2,409.83 2026-06-09
12110003 CDM Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 22 22 $2,760.00 $2,346.00 $1,656.00 $2,704.80 $2,415.00 2026-06-09
20600001 CDM Intensive Care Unit - Intermediate ICU 22 22 $2,760.00 $2,346.00 $1,656.00 $2,704.80 $2,415.00 2026-06-09
20610003 CDM Intensive Care Unit - Intermediate ICU 22 22 $2,760.00 $2,346.00 $1,656.00 $2,704.80 $2,415.00 2026-06-09
60300 HCPCS Aspiration And/or Injection Of Cyst Of Thyroid 31 31 $3,320.00 $2,822.00 $1,162.00 $3,253.60 $2,423.60 2026-06-09
A9584 HCPCS Iodine 1-123 Ioflupane, Diagnostic, Per Study Dose, Up To 5 Millicuries 31 31 $2,950.88 $2,508.24 $1,032.81 $2,891.86 $2,434.47 2026-06-09
26735 HCPCS Treatment Of Broken Finger At Midportion Or Part Near Hand 61 31 $6,978.00 $5,931.30 $357.75 $6,838.44 $2,442.30 2026-06-09
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 31 31 $2,986.33 $2,538.38 $1,045.22 $4,786.34 $2,463.73 2026-06-09
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 31 31 $3,396.00 $2,886.60 $1,152.15 $3,328.08 $2,479.08 2026-06-09
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 31 31 $3,407.00 $2,895.95 $1,152.15 $3,338.86 $2,487.11 2026-06-09
43282 HCPCS Repair Of Hernia Of Muscle At Esophagus And Stomach With Implantation Of Mesh Us… 30 30 $4,000.00 $3,400.00 $979.42 $3,920.00 $2,487.60 2026-06-09
71550 HCPCS MRI Scan Of Chest Without Contrast 31 31 $3,410.00 $2,898.50 $683.09 $3,341.80 $2,489.30 2026-06-09
71551 HCPCS MRI Scan Of Chest With Contrast 31 31 $3,410.00 $2,898.50 $1,018.49 $3,341.80 $2,489.30 2026-06-09
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 31 31 $3,421.00 $2,907.85 $1,152.15 $3,352.58 $2,497.33 2026-06-09
23473 HCPCS Revision Of Total Shoulder Repair 30 30 $6,552.00 $5,569.20 $931.94 $6,420.96 $2,515.64 2026-06-09
27132 HCPCS Total Hip Replacement After Previous Hip Surgery 30 30 $6,134.00 $5,213.90 $968.39 $6,011.32 $2,516.21 2026-06-09
36514 HCPCS Mechanical Separation Of Plasma From Blood 31 31 $3,210.00 $2,728.50 $1,123.50 $3,145.80 $2,517.13 2026-06-09
46275 HCPCS Repair Of Abnormal Drainage Tract In Anal Sphincter 61 31 $7,251.00 $6,163.35 $251.02 $7,105.98 $2,537.85 2026-06-09
54700 HCPCS Incision And Drainage Of Sperm Reservoir, Testis, And/or Scrotal Area 61 31 $7,295.00 $6,200.75 $124.86 $7,149.10 $2,553.25 2026-06-09
59812 HCPCS Treatment Of Miscarriage 31 31 $3,101.00 $2,635.85 $1,085.35 $4,403.19 $2,558.33 2026-06-09
44210 HCPCS Removal Of Large Bowel With Attachment Of Small Bowel To Rectum Or Creation Of S… 30 30 $4,096.00 $3,481.60 $1,007.08 $4,014.08 $2,558.54 2026-06-09
44207 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope 30 30 $4,185.00 $3,557.25 $1,025.59 $4,101.30 $2,589.67 2026-06-09
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 31 31 $3,565.00 $3,030.25 $683.09 $3,493.70 $2,602.45 2026-06-09
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 31 31 $3,565.00 $3,030.25 $1,018.49 $3,493.70 $2,602.45 2026-06-09
36561 HCPCS Insertion Of Central Venous Tube With Port (5 Years Or Older) 61 31 $7,447.00 $6,329.95 $187.85 $7,298.06 $2,606.45 2026-06-09
36580 HCPCS Replacement Of Nontunneled Central Venous Tube 31 31 $3,571.00 $3,035.35 $1,249.85 $3,499.58 $2,606.83 2026-06-09
44141 HCPCS Partial Removal Of Large Bowel With Creation Of Opening To Skin 30 30 $3,982.00 $3,384.70 $1,029.89 $3,902.36 $2,639.07 2026-06-09
43215 HCPCS Removal Of Foreign Bodies In Esophagus Using A Flexible Endoscope 31 31 $3,625.00 $3,081.25 $1,268.75 $3,552.50 $2,646.25 2026-06-09
27487 HCPCS Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis 30 30 $6,558.00 $5,574.30 $1,014.93 $6,426.84 $2,661.55 2026-06-09
26540 HCPCS Repair Of Ligament Of Finger Or Hand And Finger Joint 61 31 $6,978.00 $5,931.30 $417.37 $6,838.44 $2,662.11 2026-06-09
77012 HCPCS Review By Radiologist Of CT Guidance For Needle Placement 31 31 $3,244.00 $2,757.40 $1,135.40 $3,179.12 $2,676.30 2026-06-09
28810 HCPCS Amputation Of Toe And Midfoot Bone 61 31 $7,666.00 $6,516.10 $246.54 $7,512.68 $2,683.10 2026-06-09
25545 HCPCS Treatment Of Broken Midpart Of Forearm Bone On Small Finger Side 61 31 $7,731.00 $6,571.35 $375.13 $10,084.73 $2,705.85 2026-06-09
44150 HCPCS Removal Of Large Bowel With Attachment Of Small Bowel To Rectum Or Creation Of O… 30 30 $4,317.00 $3,669.45 $1,056.24 $4,230.66 $2,706.69 2026-06-09
23474 HCPCS Revision Of Total Shoulder Repair, Total Shoulder 30 30 $7,648.00 $6,500.80 $1,005.03 $7,495.04 $2,713.57 2026-06-09
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 31 31 $3,719.00 $3,161.15 $1,152.15 $3,644.62 $2,714.87 2026-06-09
20010006 CDM Intensive Care Unit - General Classification 22 22 $3,106.00 $2,640.10 $1,863.60 $3,043.88 $2,717.75 2026-06-09
26756 HCPCS Placement Of Stabilizing Device For Broken End Of Finger Or Thumb 61 31 $7,765.00 $6,600.25 $258.31 $7,609.70 $2,717.75 2026-06-09
43242 HCPCS Ultrasound Guided Needle Aspiration Or Biopsy Of Esophagus, Stomach, And/or Uppe… 31 31 $3,746.00 $3,184.10 $1,311.10 $3,671.08 $2,734.58 2026-06-09
52001 HCPCS Irrigation And Removal Of Multiple Blood Clots From Bladder And Urethra Using An… 61 31 $7,819.00 $6,646.15 $162.61 $7,662.62 $2,736.65 2026-06-09
27842 HCPCS Closed Treatment Of Dislocated Ankle Under Anesthesia 31 31 $3,538.00 $3,007.30 $1,238.30 $3,467.24 $2,744.37 2026-06-09
11772 HCPCS Complicated Removal Of Cyst Of Tailbone 61 31 $7,852.00 $6,674.20 $339.99 $7,694.96 $2,748.20 2026-06-09
23220 HCPCS Extensive Removal Of Growth Of Upper End Of Upper Arm 30 30 $4,541.00 $3,859.85 $1,119.98 $4,450.18 $2,751.51 2026-06-09
49423 HCPCS Exchange Of Abdominal Cavity Drainage Tube Using Imaging Guidance 31 31 $3,342.00 $2,840.70 $1,169.70 $3,275.16 $2,757.15 2026-06-09
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 $1,085.58 $6,466.04 $2,761.51 2026-06-09
43633 HCPCS Removal Of Lower Portion Of Stomach With Reattachment Of Upper Portion Of Remain… 30 30 $4,440.00 $3,774.00 $1,093.44 $4,351.20 $2,763.36 2026-06-09
31624 HCPCS Irrigation And Suction Of Lung Airways To Obtain Cells Using An Endoscope 31 31 $3,790.00 $3,221.50 $1,326.50 $3,714.20 $2,766.70 2026-06-09
937502WPL CDM Hc Avanos Coolief Adv Kit 17-75-2 31 31 $3,356.00 $2,852.60 $1,174.60 $3,288.88 $2,768.70 2026-06-09
931710WPL CDM Hc Coolief Probe Kit 100mm 31 31 $3,356.00 $2,852.60 $1,174.60 $3,288.88 $2,768.70 2026-06-09
937504WPL CDM Hc Coolief Probe Kit 50mm 31 31 $3,356.00 $2,852.60 $1,174.60 $3,288.88 $2,768.70 2026-06-09
937754WPL CDM Hc Coolief Probe Kit 75mm 31 31 $3,356.00 $2,852.60 $1,174.60 $3,288.88 $2,768.70 2026-06-09
931504WPL CDM Hc Coolief Probe Kit 150mm 31 31 $3,356.00 $2,852.60 $1,174.60 $3,288.88 $2,768.70 2026-06-09
20822 HCPCS Reattachment Of Part Of Cutoff Finger 30 30 $8,556.00 $7,272.60 $1,028.76 $8,384.88 $2,775.38 2026-06-09
64625 HCPCS Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui… 30 30 $3,276.00 $2,784.60 $178.41 $3,276.00 $2,784.60 2026-06-09
64624 HCPCS Destruction Of Nerve Branches Of Knee Using Imaging Guidance 30 30 $3,276.00 $2,784.60 $134.93 $3,276.00 $2,784.60 2026-06-09
26020 HCPCS Drainage Of Tendon Of Finger And/or Palm 61 31 $7,993.00 $6,794.05 $334.39 $7,833.14 $2,797.55 2026-06-09
74181 HCPCS MRI Scan Of Abdomen Without Contrast 31 31 $3,840.00 $3,264.00 $683.09 $3,763.20 $2,803.20 2026-06-09
26746 HCPCS Treatment Of Broken Finger Or Hand At Base Of Finger 61 31 $8,015.00 $6,812.75 $442.61 $7,854.70 $2,805.25 2026-06-09
70553 HCPCS MRI Scan Of Brain Before And After Contrast 31 31 $3,850.00 $3,272.50 $1,152.15 $3,773.00 $2,810.50 2026-06-09
73225 HCPCS MRI Scan Of Blood Vessels Of Arm 31 31 $3,409.00 $2,897.65 $1,193.15 $3,340.82 $2,812.43 2026-06-09
73725 HCPCS MRI Scan Of Blood Vessels Of Leg 31 31 $3,410.00 $2,898.50 $1,193.50 $3,341.80 $2,813.25 2026-06-09
27695 HCPCS Primary Repair Of Disrupted Ankle Ligament 61 31 $8,070.00 $6,859.50 $289.53 $7,908.60 $2,824.50 2026-06-09
44208 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Openin… 30 30 $4,566.00 $3,881.10 $1,116.61 $4,474.68 $2,833.81 2026-06-09
56440 HCPCS Creation Of Drainage Tract For Gland Cyst Of Female Genitals 31 31 $3,462.00 $2,942.70 $1,211.70 $4,403.19 $2,856.15 2026-06-09
27800017 CDM Supplies Added From Trans 31 31 $3,465.00 $2,945.25 $1,212.75 $3,395.70 $2,858.63 2026-06-09
96416 HCPCS Administration Of Prolonged Chemotherapy Into Vein 31 31 $3,918.00 $3,330.30 $679.99 $3,839.64 $2,860.14 2026-06-09
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 61 31 $3,410.00 $2,898.50 $1,152.15 $3,844.54 $2,863.79 2026-06-09
73720 HCPCS MRI Scan Of Leg Before And After Contrast 31 31 $3,923.00 $3,334.55 $1,152.15 $3,844.54 $2,863.79 2026-06-09
31635 HCPCS Removal Of Foreign Body In Lung Airways Using An Endoscope 31 31 $3,953.00 $3,360.05 $1,383.55 $3,873.94 $2,885.69 2026-06-09
27365 HCPCS Extensive Removal Of Growth Of Thigh Or Knee Bone 30 30 $4,295.00 $3,650.75 $1,186.33 $4,209.10 $2,908.87 2026-06-09
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 31 31 $3,986.00 $3,388.10 $1,152.15 $3,906.28 $2,909.78 2026-06-09
73220 HCPCS MRI Scan Of Arm Before And After Contrast 31 31 $3,986.00 $3,388.10 $1,152.15 $3,906.28 $2,909.78 2026-06-09
21337 HCPCS Closed Treatment Of Broken Bone Separating Nose Airways 31 31 $3,538.00 $3,007.30 $1,238.30 $3,467.24 $2,918.85 2026-06-09
27134 HCPCS Revision Of Thigh Bone And Hip Joint Prosthesis 30 30 $7,375.00 $6,268.75 $1,098.29 $7,227.50 $2,926.94 2026-06-09
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 $476.63 $7,523.46 $2,928.78 2026-06-09
27829 HCPCS Treatment Of Ligament Tear At Ankle Joint 61 31 $8,518.00 $7,240.30 $417.94 $10,084.73 $2,981.30 2026-06-09
31622 HCPCS Diagnostic Exam Of Lung Airway Using An Endoscope 31 31 $4,106.00 $3,490.10 $1,437.10 $4,023.88 $2,997.38 2026-06-09
31576 HCPCS Biopsy Of Voice Box Using A Flexible Endoscope 31 31 $4,106.00 $3,490.10 $1,437.10 $4,023.88 $3,004.03 2026-06-09
14061 HCPCS Repair Of Wound Of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.1-30.0 … 61 31 $8,605.00 $7,314.25 $480.92 $8,432.90 $3,011.75 2026-06-09
75010319 CDM Gastro - Intestinal (gi) Services - General Classification 31 31 $3,675.00 $3,123.75 $1,286.25 $3,601.50 $3,031.88 2026-06-09
44146 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Large … 30 30 $4,712.00 $4,005.20 $1,192.12 $4,617.76 $3,040.06 2026-06-09
27412 HCPCS Implantation Of Self Cartilage Into Knee Joint 30 30 $3,605.00 $3,064.25 $1,478.05 $3,605.00 $3,064.72 2026-06-09
51595 HCPCS Removal Of Bladder And Lymph Nodes On Both Sides Of Pelvis With Transplantation … 30 30 $4,891.00 $4,157.35 $1,244.65 $4,793.18 $3,065.72 2026-06-09
72198 HCPCS MRI Scan Of Blood Vessels Of Pelvis 31 31 $3,719.00 $3,161.15 $1,301.65 $3,644.62 $3,068.18 2026-06-09
13153 HCPCS Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, Each Additional 5.0 … 61 31 $8,769.00 $7,453.65 $78.32 $8,593.62 $3,069.15 2026-06-09
49406 HCPCS Drainage Of Fluid Collection Of Abdominal Cavity By Tube Using Imaging Guidance 31 31 $4,215.00 $3,582.75 $1,475.25 $4,130.70 $3,076.95 2026-06-09
49405 HCPCS Drainage Of Fluid Collection By Tube Through Skin Using Imaging Guidance 31 31 $4,215.00 $3,582.75 $1,475.25 $4,130.70 $3,076.95 2026-06-09
53020 HCPCS Incision Of External Urinary Opening 31 31 $3,756.00 $3,192.60 $1,314.60 $3,884.59 $3,098.70 2026-06-09
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 31 31 $4,299.00 $3,654.15 $1,152.15 $4,213.02 $3,138.27 2026-06-09
71552 HCPCS MRI Scan Of Chest Before And After Contrast 31 31 $4,432.00 $3,767.20 $1,152.15 $4,343.36 $3,235.36 2026-06-09
71555 HCPCS MRI Scan Of Blood Vessels Of Chest 31 31 $3,923.00 $3,334.55 $1,373.05 $3,844.54 $3,236.48 2026-06-09
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 31 31 $3,923.00 $3,334.55 $1,373.05 $3,844.54 $3,236.48 2026-06-09
28200 HCPCS Repair Of Tendon On Sole Of Foot 61 31 $9,282.00 $7,889.70 $194.58 $9,096.36 $3,248.70 2026-06-09
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 31 31 $4,487.00 $3,813.95 $1,152.15 $4,397.26 $3,275.51 2026-06-09
59400 HCPCS Vaginal Delivery With Care Before And After Delivery 30 30 $5,513.00 $4,686.05 $2,179.62 $5,402.74 $3,330.26 2026-06-09
31526 HCPCS Diagnostic Exam Of Voice Box Using An Endoscope With Operating Microscope Or Tel… 31 31 $4,576.00 $3,889.60 $1,601.60 $4,484.48 $3,340.48 2026-06-09
14040 HCPCS Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Han… 61 31 $12,810.00 $10,888.50 $367.84 $12,553.80 $3,356.70 2026-06-09
20010007 CDM Intensive Care Unit - General Classification 22 22 $3,843.00 $3,266.55 $2,305.80 $3,766.14 $3,362.62 2026-06-09
59820 HCPCS Treatment Of Miscarriage During First Trimester 31 31 $4,106.00 $3,490.10 $1,437.10 $4,403.19 $3,387.45 2026-06-09
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 3 3 $3,393.48 $2,884.46 $3,393.48 $9,986.48 $3,393.48 2026-06-09
77084 HCPCS MRI Scan Of Bone Marrow 31 31 $4,651.00 $3,953.35 $683.09 $4,557.98 $3,395.23 2026-06-09
14350 HCPCS Repair Of Tissue Loss Of Finger Or Toe 31 31 $4,663.00 $3,963.55 $1,632.05 $4,569.74 $3,403.99 2026-06-09
938509WPL CDM Hc Arthrex Tendon Stripper Blade 9mm 31 31 $4,134.00 $3,513.90 $1,446.90 $4,051.32 $3,410.55 2026-06-09
57415 HCPCS Removal Of Impacted Foreign Body In Vagina Under Anesthesia 31 31 $4,215.00 $3,582.75 $1,475.25 $4,403.19 $3,477.38 2026-06-09
59610 HCPCS Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli… 30 30 $5,570.00 $4,734.50 $2,281.20 $5,458.60 $3,493.61 2026-06-09
27784 HCPCS Treatment Of Broken Upper Or Middle Part Of Outer Lower Leg Bone 61 31 $10,046.00 $8,539.10 $420.74 $10,084.73 $3,516.10 2026-06-09
49418 HCPCS Insertion Of Abdominal Tube Using Imaging Guidance With Review By Radiologist 31 31 $4,300.00 $3,655.00 $1,505.00 $5,457.45 $3,547.50 2026-06-09
26990 HCPCS Drainage Of Deep Abscess Or Blood Accumulation Of Pelvis Or Hip Near Joint 61 31 $10,189.00 $8,660.65 $402.80 $9,985.22 $3,566.15 2026-06-09
932171WPL CDM Hc Coolief 2 Probe Kit 150 31 31 $4,371.00 $3,715.35 $1,529.85 $4,283.58 $3,606.08 2026-06-09
931004WPL CDM Hc Coolief 2 Probe Kit 100 31 31 $4,371.00 $3,715.35 $1,529.85 $4,283.58 $3,606.08 2026-06-09
931774WPL CDM Hc Coolief 2 Probe Kit 75 31 31 $4,371.00 $3,715.35 $1,529.85 $4,283.58 $3,606.08 2026-06-09
931754WPL CDM Hc Coolief 2 Probe Kit 50 31 31 $4,371.00 $3,715.35 $1,529.85 $4,283.58 $3,606.08 2026-06-09
S2325 HCPCS Hip Core Decompression 21 21 $4,032.00 $3,427.20 $51.00 $4,032.00 $3,628.80 2026-06-09
28295 HCPCS Correction Of Bunion With Alignment Correction Of Midfoot Bone Toward Ankle 61 31 $10,527.00 $8,947.95 $569.57 $10,316.46 $3,684.45 2026-06-09
59510 HCPCS Cesarean Delivery With Care Before And After Delivery 30 30 $5,977.00 $5,080.45 $2,406.07 $5,857.46 $3,685.68 2026-06-09
77049 HCPCS MRI Scan Of Both Breasts 31 31 $4,611.00 $3,919.35 $1,613.85 $4,518.78 $3,804.08 2026-06-09
21320 HCPCS Closed Treatment Of Broken Nose Bone With Placement Of Stabilizing Device 31 31 $5,319.00 $4,521.15 $1,861.65 $5,212.62 $3,882.87 2026-06-09
20802 HCPCS Reattachment Of Cutoff Arm 30 30 $5,975.00 $5,078.75 $1,584.45 $5,855.50 $3,886.35 2026-06-09
57410 HCPCS Pelvic Exam Under Anesthesia 31 31 $4,717.00 $4,009.45 $1,650.95 $4,622.66 $3,891.53 2026-06-09
27766 HCPCS Treatment Of Inside Portion Of Broken Shin Bone At Ankle 61 31 $11,204.00 $9,523.40 $360.93 $10,979.92 $3,921.40 2026-06-09
31238 HCPCS Control Of Bleeding Of Nose Using An Endoscope 31 31 $5,373.00 $4,567.05 $1,880.55 $5,265.54 $3,922.29 2026-06-09
25248 HCPCS Removal Of Deep Foreign Body In Forearm Or Wrist 61 31 $14,655.00 $12,456.75 $250.28 $14,361.90 $3,961.08 2026-06-09
26535 HCPCS Replacement Of Finger Joint 61 31 $11,510.00 $9,783.50 $266.72 $11,279.80 $4,028.50 2026-06-09
57200 HCPCS Suture Of Nonobstetrical Injury Of Vagina 31 31 $4,892.00 $4,158.20 $1,712.20 $4,794.16 $4,035.90 2026-06-09
27810041 CDM Supplies Added From Trans 31 31 $4,915.98 $4,178.58 $1,720.59 $4,817.66 $4,055.68 2026-06-09
78814 HCPCS Nuclear Medicine Study Limited Area With CT Scan 31 31 $5,634.00 $4,788.90 $1,971.90 $5,521.32 $4,112.82 2026-06-09
27827 HCPCS Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 61 31 $11,761.00 $9,996.85 $659.43 $13,283.19 $4,116.35 2026-06-09
45000028 CDM Hc Ed Sart Partial Exam Cdm 31 31 $4,991.00 $4,242.35 $1,746.85 $4,891.18 $4,117.58 2026-06-09
42330 HCPCS Uncomplicated Removal Of Saliva Gland Stone From Inside Mouth 31 31 $5,690.00 $4,836.50 $1,991.50 $5,576.20 $4,153.70 2026-06-09
28160 HCPCS Partial Removal Of Toe At Joint 31 31 $5,307.00 $4,510.95 $1,857.45 $5,200.86 $4,158.30 2026-06-09
54640 HCPCS Repositioning And Suture Of Misplaced Testicle 61 31 $12,012.00 $10,210.20 $250.46 $11,771.76 $4,204.20 2026-06-09
19020 HCPCS Drainage Of Abscess Of Breast 31 31 $5,821.00 $4,947.85 $2,037.35 $5,704.58 $4,249.33 2026-06-09
36581 HCPCS Replacement Of Tunneled Central Venous Tube 31 31 $5,166.00 $4,391.10 $1,808.10 $5,333.53 $4,261.95 2026-06-09
49505 HCPCS Repair Of Groin Hernia (5 Years Or Older) 61 31 $12,187.00 $10,358.95 $303.92 $11,943.26 $4,265.45 2026-06-09
27087 HCPCS Removal Of Foreign Body In Tissue Or Muscle Of Pelvis Or Hip 31 31 $5,865.00 $4,985.25 $2,052.75 $5,747.70 $4,281.45 2026-06-09
30520 HCPCS Reshaping Of Nasal Cartilage 31 31 $5,253.00 $4,465.05 $1,838.55 $5,147.94 $4,333.73 2026-06-09
15120 HCPCS Partial Thickness Self Skin Graft To Face, Scalp, Eyelids, Mouth, Neck, Ears, Ar… 31 31 $5,253.00 $4,465.05 $1,838.55 $5,489.17 $4,333.73 2026-06-09
11771 HCPCS Extensive Removal Of Cyst Of Tailbone 61 31 $12,504.00 $10,628.40 $263.73 $12,253.92 $4,350.98 2026-06-09
24341 HCPCS Repair Of Tendon Or Muscle Of Upper Arm Or Elbow 61 31 $12,492.00 $10,618.20 $447.47 $12,242.16 $4,372.20 2026-06-09
78815 HCPCS Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan 31 31 $5,994.00 $5,094.90 $2,097.90 $5,874.12 $4,375.62 2026-06-09
58120 HCPCS Dilation And Scraping Of Uterus 31 31 $5,799.00 $4,929.15 $2,029.65 $5,683.02 $4,403.19 2026-06-09
57210 HCPCS Suture Of Injury Of Vagina And/or Skin 31 31 $5,602.00 $4,761.70 $1,960.70 $5,489.96 $4,403.19 2026-06-09
27664 HCPCS Primary Repair Of Tendon On Front Of Leg 61 31 $12,602.00 $10,711.70 $213.27 $12,349.96 $4,410.70 2026-06-09
177000WPL CDM Hc Pleurx Pleural Catheter Kit 31 31 $5,365.00 $4,560.25 $1,877.75 $5,257.70 $4,426.13 2026-06-09
26860 HCPCS Fusion Of Finger Joint, Initial Joint 61 31 $12,689.00 $10,785.65 $367.10 $12,435.22 $4,441.15 2026-06-09
930511WPL CDM Hc Cysview Kit 3001-2 31 31 $5,400.00 $4,590.00 $1,890.00 $5,292.00 $4,455.00 2026-06-09
27650 HCPCS Repair Of Ruptured Achilles Tendon 61 31 $12,788.00 $10,869.80 $391.02 $12,532.24 $4,475.80 2026-06-09
J3590 HCPCS Unclassified Biologics 62 31 $5,512.32 $4,685.48 $1,923.16 $5,419.31 $4,547.67 2026-06-09
46947 HCPCS Stapling Of Internal Hemorrhoid 31 31 $5,526.00 $4,697.10 $1,934.10 $6,203.53 $4,558.95 2026-06-09
27810043 CDM Supplies Added From Trans 31 31 $5,539.84 $4,708.87 $1,938.95 $5,429.05 $4,570.37 2026-06-09
27810293 CDM Supplies Added From Trans 31 31 $5,556.96 $4,723.42 $1,944.94 $5,445.82 $4,584.49 2026-06-09
25028 HCPCS Drainage Of Deep Abscess Or Blood Accumulation Of Forearm Or Wrist 31 31 $6,367.00 $5,411.95 $2,228.45 $6,239.66 $4,647.91 2026-06-09
78816 HCPCS Nuclear Medicine Study Whole Body With CT Scan 31 31 $6,403.00 $5,442.55 $2,241.05 $6,274.94 $4,674.19 2026-06-09
25608 HCPCS Treatment Of 2 Broken Lower Forearm Bone Pieces On Thumb Side Inside Wrist Joint… 61 31 $13,443.00 $11,426.55 $493.07 $13,283.19 $4,705.05 2026-06-09
938809WPL CDM Hc Arthrex Quadlink Implant 9mm Ar-1288qi-90 31 31 $5,709.00 $4,852.65 $1,998.15 $5,594.82 $4,709.93 2026-06-09
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 3 3 $17,225.00 $14,641.25 $2,750.00 $8,637.10 $4,800.00 2026-06-09
26615 HCPCS Treatment Of Broken Midhand Bone 61 31 $13,737.00 $11,676.45 $346.91 $13,462.26 $4,807.95 2026-06-09
20240 HCPCS Biopsy Of Surface Bone 31 31 $6,716.00 $5,708.60 $2,350.60 $6,581.68 $4,902.68 2026-06-09
27792 HCPCS Treatment Of Broken Outer Lower Leg Bone At Ankle 61 31 $14,207.00 $12,075.95 $381.67 $13,922.86 $4,972.45 2026-06-09
25607 HCPCS Treatment Of Broken Forearm Bone On Thumb Side Of Wrist, Above Wrist, With Place… 61 31 $14,229.00 $12,094.65 $443.54 $13,944.42 $4,980.15 2026-06-09
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 2 2 $14,426.80 $12,262.78 $4,800.00 $5,434.05 $5,117.02 2026-06-09
27380 HCPCS Primary Suture Of Tendon Below Knee 61 31 $14,732.00 $12,522.20 $370.65 $14,437.36 $5,156.20 2026-06-09
47536 HCPCS Replacement Of Liver Duct Drainage Tube Using Imaging Guidance With Review By Ra… 31 31 $6,421.00 $5,457.85 $2,247.35 $6,292.58 $5,192.41 2026-06-09
723 MS_DRG Malignancy, Male Reproductive System With Cc 2 2 $5,220.00 $4,437.00 $5,220.00 $5,220.00 $5,220.00 2026-06-09
884 MS_DRG Organic Disturbances And Intellectual Disability 2 2 $5,263.00 $4,473.55 $5,263.00 $5,263.00 $5,263.00 2026-06-09
951 MS_DRG Other Factors Influencing Health Status 2 2 $6,091.50 $5,177.78 $4,481.36 $6,091.50 $5,286.43 2026-06-09
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 2026-06-09
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 $2,427.25 $6,796.30 $5,330.95 2026-06-09
15770 HCPCS Creation Of Skin, Fat And Muscle Graft 31 31 $7,098.00 $6,033.30 $2,484.30 $6,956.04 $5,489.17 2026-06-09
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 2 2 $10,807.17 $9,186.09 $4,384.64 $6,664.00 $5,524.32 2026-06-09
21453 HCPCS Closed Treatment Of Broken Lower Jaw Bone With Placement Of Stabilizing Device T… 31 31 $6,705.00 $5,699.25 $2,346.75 $8,896.12 $5,531.63 2026-06-09
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 2026-06-09
21501 HCPCS Drainage Of Deep Abscess Or Blood Accumulation In Soft Tissue Of Neck Or Chest 31 31 $7,634.00 $6,488.90 $2,671.90 $7,481.32 $5,572.82 2026-06-09
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 $624.29 $15,730.96 $5,618.20 2026-06-09
27235 HCPCS Placement Of Stabilizing Device For Upper End Of Broken Thigh Bone 61 31 $16,402.00 $13,941.70 $532.51 $16,073.96 $5,740.70 2026-06-09
78608 HCPCS Nuclear Medicine Study Of Brain With Metabolic Evaluation 31 31 $7,877.00 $6,695.45 $2,756.95 $7,719.46 $5,750.21 2026-06-09
31530 HCPCS Removal Of Foreign Body In Voice Box Using An Endoscope 31 31 $7,928.00 $6,738.80 $2,774.80 $7,769.44 $5,787.44 2026-06-09
35206 HCPCS Repair Of Blood Vessel Of Arm 31 31 $8,180.00 $6,953.00 $2,863.00 $8,016.40 $5,971.40 2026-06-09
33285 HCPCS Insertion Of Heart Rhythm Monitor Under Skin 31 31 $7,304.00 $6,208.40 $2,556.40 $17,658.80 $6,025.80 2026-06-09
684 MS_DRG Renal Failure Without Cc/mcc 2 2 $7,749.77 $6,587.30 $4,838.42 $7,353.68 $6,096.05 2026-06-09
22510 HCPCS Stabilization Of Upper Spine Bone 31 31 $7,655.00 $6,506.75 $2,679.25 $7,501.90 $6,206.08 2026-06-09
37609 HCPCS Tying Or Biopsy Of Artery On Side Of Skull 31 31 $8,539.00 $7,258.15 $2,988.65 $8,368.22 $6,233.47 2026-06-09
14041 HCPCS Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Han… 31 31 $8,595.00 $7,305.75 $3,008.25 $8,423.10 $6,274.35 2026-06-09
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 2 2 $25,663.50 $21,813.98 $5,008.48 $7,612.15 $6,310.31 2026-06-09
931288WPL CDM Hc Arthrex Quadlink Implant 10mm Ar-1288qi-11 31 31 $7,733.00 $6,573.05 $2,706.55 $7,578.34 $6,379.73 2026-06-09
27814 HCPCS Treatment Of Both Broken Lower Leg Bones At Ankle 61 31 $18,455.00 $15,686.75 $450.83 $18,085.90 $6,459.25 2026-06-09
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 2026-06-09
27822 HCPCS Treatment Of 3 Broken Lower Leg Bones At Ankle 61 31 $18,772.00 $15,956.20 $514.76 $18,396.56 $6,570.20 2026-06-09
27810409 CDM Supplies Added From Trans 31 31 $7,977.32 $6,780.72 $2,792.06 $7,817.77 $6,581.29 2026-06-09
22511 HCPCS Stabilization Of Lower Spine Bone 31 31 $9,151.00 $7,778.35 $3,202.85 $8,967.98 $6,680.23 2026-06-09
935882WPL CDM Hc Arthrex Impl Sys Allograft Graftlink Ar-1588al-cpt2 31 31 $8,211.00 $6,979.35 $2,873.85 $8,046.78 $6,774.08 2026-06-09
47563 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope 61 31 $19,678.00 $16,726.30 $414.01 $19,284.44 $6,887.30 2026-06-09
23515 HCPCS Treatment Of Broken Collar Bone 61 31 $20,508.00 $17,431.80 $427.65 $20,097.84 $7,177.80 2026-06-09
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 2 2 $29,861.00 $25,381.85 $5,710.51 $8,679.13 $7,194.82 2026-06-09
27828 HCPCS Treatment Of Broken Lower Weight Bearing Joint Of Both Lower Leg Bones 61 31 $20,978.00 $17,831.30 $775.50 $20,558.44 $7,342.30 2026-06-09
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 2 2 $8,874.50 $7,543.33 $5,862.84 $8,874.50 $7,368.67 2026-06-09
21336 HCPCS Treatment Of Broken Bone And Tissue Separating Nose Airways 31 31 $10,156.00 $8,632.60 $3,554.60 $9,952.88 $7,413.88 2026-06-09
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 2 2 $8,398.00 $7,138.30 $6,524.57 $8,398.00 $7,461.28 2026-06-09
638 MS_DRG Diabetes With Cc 2 2 $8,505.00 $7,229.25 $7,223.37 $8,505.00 $7,864.18 2026-06-09
32944WPL CDM Hc Green Light Hps Pvp Laser 31 31 $9,705.00 $8,249.25 $3,396.75 $9,510.90 $8,006.63 2026-06-09
786572WPL CDM Hc Hemospray Endo Hemostat 31 31 $10,000.00 $8,500.00 $3,500.00 $9,800.00 $8,250.00 2026-06-09
27810690 CDM Supplies Added From Trans 31 31 $10,056.46 $8,547.99 $3,519.76 $9,855.33 $8,296.58 2026-06-09
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 2 2 $22,313.76 $18,966.69 $7,719.87 $8,900.00 $8,309.93 2026-06-09
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 2 2 $25,542.39 $21,711.03 $7,727.93 $8,900.00 $8,313.97 2026-06-09
23615 HCPCS Treatment Of Broken Top Of Upper Arm Bone 61 31 $23,871.00 $20,290.35 $521.48 $23,393.58 $8,354.85 2026-06-09
70 MS_DRG Other Cerebrovascular Disorders With Mcc 2 2 $8,485.00 $7,212.25 $8,485.00 $8,485.00 $8,485.00 2026-06-09
24516 HCPCS Treatment Of Broken Middle Part Of Upper Arm Bone With Placement Of Stabilizing … 61 31 $24,723.00 $21,014.55 $505.60 $24,228.54 $8,653.05 2026-06-09
437 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc 2 2 $26,424.50 $22,460.83 $6,877.60 $10,452.93 $8,665.26 2026-06-09
787 MS_DRG Cesarean Section Without Sterilization With Cc 3 3 $28,495.08 $24,220.82 $8,900.00 $57,240.56 $9,001.41 2026-06-09
394 MS_DRG Other Digestive System Diagnoses With Cc 2 2 $26,308.50 $22,362.23 $7,541.74 $11,462.33 $9,502.03 2026-06-09
552 MS_DRG Medical Back Problems Without Mcc 2 2 $14,565.00 $12,380.25 $7,748.08 $11,775.93 $9,762.01 2026-06-09
948 MS_DRG Signs And Symptoms Without Mcc 3 3 $13,519.00 $11,491.15 $6,452.03 $39,891.00 $9,806.13 2026-06-09
49421 HCPCS Insertion Of Abdominal Cavity Tube For Drainage Or Dialysis 31 31 $13,443.00 $11,426.55 $4,705.05 $13,174.14 $9,813.39 2026-06-09
C1764 HCPCS Event Recorder, Cardiac (implantable) 31 31 $12,113.00 $10,296.05 $4,239.55 $11,870.74 $9,993.23 2026-06-09
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 4 4 $6,550.50 $5,567.93 $6,550.50 $13,736.87 $10,027.00 2026-06-09
A9582 HCPCS Iodine I-123 Iobenguane, Diagnostic, Per Study Dose, Up To 15 Millicuries 31 31 $12,159.00 $10,335.15 $4,255.65 $11,915.82 $10,031.18 2026-06-09
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 2 2 $24,434.00 $20,768.90 $8,081.76 $12,283.08 $10,182.42 2026-06-09
36010850 CDM Operating Room Services - General Classification 31 31 $12,496.00 $10,621.60 $4,373.60 $12,246.08 $10,309.20 2026-06-09
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 2 2 $16,010.00 $13,608.50 $8,247.80 $12,535.43 $10,391.61 2026-06-09
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 5 5 $3,841.00 $3,264.85 $3,841.00 $11,027.37 $10,434.00 2026-06-09
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 5 5 $3,920.00 $3,332.00 $3,920.00 $11,106.37 $10,513.00 2026-06-09
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 2 2 $54,078.25 $45,966.51 $8,345.32 $12,683.65 $10,514.49 2026-06-09
184 MS_DRG Major Chest Trauma With Cc 2 2 $36,270.00 $30,829.50 $8,576.65 $13,035.23 $10,805.94 2026-06-09
786 MS_DRG Cesarean Section Without Sterilization With Mcc 2 2 $29,429.58 $25,015.14 $8,900.00 $13,294.97 $11,097.49 2026-06-09
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 5 5 $4,635.50 $3,940.18 $4,635.50 $11,821.87 $11,228.50 2026-06-09
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 2 2 $21,397.75 $18,188.09 $8,928.06 $13,569.33 $11,248.69 2026-06-09
378 MS_DRG Gastrointestinal Hemorrhage With Cc 5 5 $4,980.50 $4,233.43 $4,980.50 $12,166.87 $11,573.50 2026-06-09
399 MS_DRG Appendix Procedures Without Cc/mcc 2 2 $61,344.61 $52,142.92 $9,226.28 $14,022.58 $11,624.43 2026-06-09
92 MS_DRG Other Disorders Of Nervous System With Cc 5 5 $5,073.00 $4,312.05 $5,073.00 $12,259.37 $11,666.00 2026-06-09
24545 HCPCS Treatment Of Upper Arm Bone Broken At Elbow 61 31 $34,366.00 $29,211.10 $547.47 $33,678.68 $12,028.10 2026-06-09
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 5 5 $5,550.13 $4,717.61 $5,550.13 $12,736.50 $12,143.13 2026-06-09
35190 HCPCS Repair Of Abnormal Artery-vein Connection In Arm Or Leg 31 31 $16,828.00 $14,303.80 $5,889.80 $16,491.44 $12,284.44 2026-06-09
312 MS_DRG Syncope And Collapse 5 5 $5,746.00 $4,884.10 $5,746.00 $12,932.37 $12,339.00 2026-06-09
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 5 5 $6,263.50 $5,323.98 $6,263.50 $13,449.87 $12,856.50 2026-06-09
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 2 2 $21,340.00 $18,139.00 $10,442.54 $15,871.10 $13,156.82 2026-06-09
27800037 CDM Supplies Added From Trans 31 31 $15,980.00 $13,583.00 $5,593.00 $15,660.40 $13,183.50 2026-06-09
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 2 2 $23,348.83 $19,846.51 $10,594.06 $16,101.40 $13,347.73 2026-06-09
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 2 2 $48,117.65 $40,900.00 $10,652.90 $16,190.83 $13,421.86 2026-06-09
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 2 2 $47,391.00 $40,282.35 $10,764.94 $16,361.10 $13,563.02 2026-06-09
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 4 4 $7,178.00 $6,101.30 $7,178.00 $21,084.00 $13,771.00 2026-06-09
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 2 2 $50,982.26 $43,334.92 $11,008.35 $16,731.05 $13,869.70 2026-06-09
189 MS_DRG Pulmonary Edema And Respiratory Failure 3 3 $14,093.32 $11,979.32 $9,957.32 $28,466.06 $14,093.32 2026-06-09
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 2 $14,517.50 $12,339.88 $14,465.28 $14,517.50 $14,491.39 2026-06-09
637 MS_DRG Diabetes With Mcc 2 2 $46,415.50 $39,453.18 $11,579.80 $17,599.58 $14,589.69 2026-06-09
393 MS_DRG Other Digestive System Diagnoses With Mcc 2 2 $17,066.00 $14,506.10 $12,890.36 $17,066.00 $14,978.18 2026-06-09
388 MS_DRG Gastrointestinal Obstruction With Mcc 2 2 $34,833.16 $29,608.19 $11,903.01 $18,090.80 $14,996.90 2026-06-09
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 2 2 $28,392.24 $24,133.40 $12,117.40 $18,416.65 $15,267.03 2026-06-09
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 2 2 $23,697.00 $20,142.45 $12,127.88 $18,432.58 $15,280.23 2026-06-09
398 MS_DRG Appendix Procedures With Cc 2 2 $67,046.71 $56,989.70 $12,199.62 $18,541.60 $15,370.61 2026-06-09
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 2 2 $81,026.00 $68,872.10 $12,641.30 $19,212.90 $15,927.10 2026-06-09
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 2 2 $50,476.11 $42,904.69 $13,145.86 $19,979.75 $16,562.81 2026-06-09
334 MS_DRG Rectal Resection Without Cc/mcc 2 2 $79,032.68 $67,177.78 $13,201.47 $20,064.28 $16,632.88 2026-06-09
444 MS_DRG Disorders Of The Biliary Tract With Mcc 2 2 $26,646.00 $22,649.10 $13,467.45 $20,468.53 $16,967.99 2026-06-09
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 2 2 $42,604.69 $36,213.99 $13,564.17 $20,615.53 $17,089.85 2026-06-09
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 2 2 $32,869.00 $27,938.65 $14,065.51 $21,377.48 $17,721.49 2026-06-09
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 2 2 $81,669.50 $69,419.08 $14,291.19 $21,720.48 $18,005.83 2026-06-09
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 2 $21,688.50 $18,435.23 $16,104.69 $21,688.50 $18,896.60 2026-06-09
177 MS_DRG Respiratory Infections And Inflammations With Mcc 3 3 $20,876.25 $17,744.81 $12,595.36 $42,435.36 $19,143.08 2026-06-09
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 2 2 $47,739.07 $40,578.21 $16,172.39 $24,579.63 $20,376.01 2026-06-09
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 2 $35,690.75 $30,337.14 $16,208.66 $24,634.75 $20,421.71 2026-06-09
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 4 4 $13,825.50 $11,751.68 $12,601.81 $28,198.24 $20,778.50 2026-06-09
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 2 2 $95,451.72 $81,133.96 $16,881.67 $25,657.63 $21,269.65 2026-06-09
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 4 4 $12,101.50 $10,286.28 $7,115.37 $33,660.61 $21,347.40 2026-06-09
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 2 2 $71,447.06 $60,730.00 $17,068.66 $25,941.83 $21,505.25 2026-06-09
292 MS_DRG Heart Failure And Shock With Cc 5 5 $8,873.00 $7,542.05 $6,842.94 $23,245.74 $22,059.00 2026-06-09
200 MS_DRG Pneumothorax With Cc 5 5 $9,818.50 $8,345.73 $8,860.36 $24,191.24 $23,004.50 2026-06-09
291 MS_DRG Heart Failure And Shock With Mcc 4 4 $13,164.75 $11,190.04 $10,347.43 $34,023.75 $23,054.25 2026-06-09
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 2 2 $40,260.90 $34,221.77 $18,849.12 $28,647.85 $23,748.49 2026-06-09
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 2 $52,126.82 $44,307.80 $19,321.43 $29,365.70 $24,343.57 2026-06-09
793 MS_DRG Full Term Neonate With Major Problems 5 5 $11,455.00 $9,736.75 $11,455.00 $25,827.74 $24,641.00 2026-06-09
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 5 5 $11,458.00 $9,739.30 $7,780.32 $25,830.74 $24,644.00 2026-06-09
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 $44,099.56 $37,484.63 $19,815.51 $30,116.63 $24,966.07 2026-06-09
76 MS_DRG Viral Meningitis Without Cc/mcc 5 5 $11,844.00 $10,067.40 $6,035.33 $26,216.74 $25,030.00 2026-06-09
644 MS_DRG Endocrine Disorders With Cc 5 5 $12,303.50 $10,457.98 $8,261.50 $26,676.24 $25,489.50 2026-06-09
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 2 2 $37,050.08 $31,492.57 $20,440.97 $31,067.23 $25,754.10 2026-06-09
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 2 $77,909.46 $66,223.04 $20,479.65 $31,126.03 $25,802.84 2026-06-09
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 5 5 $12,836.38 $10,910.92 $6,283.58 $27,209.12 $26,022.38 2026-06-09
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 2 $82,743.00 $70,331.55 $21,811.97 $33,150.95 $27,481.46 2026-06-09
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 4 4 $20,797.83 $17,678.16 $9,352.02 $42,356.94 $27,935.26 2026-06-09
654 MS_DRG Major Bladder Procedures With Cc 2 2 $83,823.38 $71,249.87 $22,562.36 $34,291.43 $28,426.90 2026-06-09
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/mcc 5 5 $10,969.50 $9,324.08 $7,703.75 $32,528.61 $30,748.50 2026-06-09
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 5 5 $11,123.50 $9,454.98 $8,229.26 $32,682.61 $30,902.50 2026-06-09
639 MS_DRG Diabetes Without Cc/mcc 4 4 $26,958.50 $22,914.73 $5,006.87 $55,703.98 $31,190.10 2026-06-09
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 2 $162,355.06 $138,001.80 $25,661.43 $39,001.55 $32,331.49 2026-06-09
64582 HCPCS Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat… 31 31 $41,050.00 $34,892.50 $14,367.50 $40,229.00 $33,866.25 2026-06-09
571 MS_DRG Skin Debridement With Cc 5 5 $14,313.00 $12,166.05 $13,617.37 $35,872.11 $34,092.00 2026-06-09
202 MS_DRG Bronchitis And Asthma With Cc/mcc 5 5 $15,051.00 $12,793.35 $7,827.87 $36,610.11 $34,830.00 2026-06-09
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 2 2 $119,508.13 $101,581.91 $28,424.40 $43,200.85 $35,812.62 2026-06-09
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 2 2 $47,246.32 $40,159.37 $29,593.10 $44,977.10 $37,285.10 2026-06-09
812 MS_DRG Red Blood Cell Disorders Without Mcc 5 5 $17,522.00 $14,893.70 $7,400.69 $39,081.11 $37,301.00 2026-06-09
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 5 5 $18,755.83 $15,942.46 $4,800.00 $40,314.94 $38,534.83 2026-06-09
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 2 $221,889.99 $188,606.49 $31,151.09 $47,345.03 $39,248.06 2026-06-09
603 MS_DRG Cellulitis Without Mcc 5 5 $19,543.00 $16,611.55 $7,019.45 $41,102.11 $39,322.00 2026-06-09
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 5 5 $16,156.00 $13,732.60 $10,222.50 $44,901.48 $42,528.00 2026-06-09
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 5 5 $16,901.55 $14,366.32 $15,656.55 $45,647.03 $43,273.55 2026-06-09
682 MS_DRG Renal Failure With Mcc 4 4 $33,994.00 $28,894.90 $11,936.86 $69,925.85 $43,450.62 2026-06-09
389 MS_DRG Gastrointestinal Obstruction With Cc 5 5 $22,376.67 $19,020.17 $6,365.79 $51,122.15 $48,748.67 2026-06-09
180 MS_DRG Respiratory Neoplasms With Mcc 5 5 $26,272.00 $22,331.20 $14,233.96 $55,017.48 $52,644.00 2026-06-09
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