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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

ST JOHNS MEDICAL CENTER

Jackson, WY · CCN 530015 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $497 across 13 payers · range $67-$2,594

Source: https://apps.para-hcfs.com/PTT//FinalLinks/Reports.aspx?dbName=dbStJohnsJacksonWY&type=CDMWithoutLabel&fileType=CSV · observed 2026-07-17

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

11,787 distinct procedures filed
13 distinct payers
432,243 rate rows
2026-07-17 last MRF observed
Data quality

422,955 of 432,243 rate rows are consumer-grade (97.9%)

9,288 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 8,376
percent-of-charges filed in the dollar field — excluded from medians 732
exceeds 10× this hospital's gross charge — excluded from medians 160
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 12
exceeds 3× this hospital's gross charge for a DRG stay — excluded 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT//FinalLinks/Reports.aspx?dbName=dbStJohnsJacksonWY&type=CDMWithoutLabel&fileType=CSV
Found on page https://www.stjohns.health/patients-visitors/billing-information/pricing-rates/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-18
Content fingerprint 4d06024b395caae6… · 115,751,803 bytes · first seen 2026-08-02

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
J7330
HCPCS 		Autologous Cultured Chondrocytes, Implant 12 $110,912.17 $121,854.18 $114,393.72 nat. median
$75,037
1.5× median
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 13 $59.60 $77,111.20 $72,390.11 nat. median
$414
outlier · 174.7×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $61,283.64 $61,283.64 $61,283.64 nat. median
$77,696
0.8× median
J3245
HCPCS 		Injection, Tildrakizumab, 1 Mg 13 $118.20 $61,811.69 $58,027.30 nat. median
$256
outlier · 226.4×
J9298
HCPCS 		Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg 13 $201.76 $56,914.29 $53,429.75 nat. median
$559
outlier · 95.5×
J3357
HCPCS 		Ustekinumab, For Subcutaneous Injection, 1 Mg 12 $49,395.35 $54,268.43 $50,945.88 nat. median
$14,697
outlier · 3.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $50,405.82 $50,405.82 $50,405.82 nat. median
$62,721
0.8× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $48,367.51 $48,367.51 $48,367.51 nat. median
$52,841
0.9× median
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 12 $41,701.00 $51,969.40 $46,558.88 nat. median
$22,969
outlier · 2.0×
L8688
HCPCS 		Implantable Neurostimulator Pulse Generator, Dual Array, Non-rechargeable, Inclu… 12 $44,706.15 $49,116.62 $46,109.48 nat. median
$12,140
outlier · 3.8×
L8679
HCPCS 		Implantable Neurostimulator, Pulse Generator, Any Type 13 $10,314.60 $69,099.80 $45,434.12 nat. median
$10,964
outlier · 4.1×
28
MS_DRG 		Spinal Procedures With Mcc 1 $43,816.85 $43,816.85 $43,816.85 nat. median
$54,505
0.8× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $43,487.22 $43,487.22 $43,487.22 nat. median
$55,188
0.8× median
J9272
HCPCS 		Injection, Dostarlimab-gxly, 10 Mg 13 $247.08 $44,417.20 $41,697.78 nat. median
$786
outlier · 53.0×
37227
HCPCS 		Removal Of Plaque And Insertion Of Stents In Arteries Of Leg 12 $1,266.00 $78,529.36 $39,264.68 nat. median
$18,411
outlier · 2.1×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 1 $37,961.52 $37,961.52 $37,961.52 nat. median
$46,420
0.8× median
C1772
HCPCS 		Infusion Pump, Programmable (implantable) 12 $34,111.86 $40,964.00 $37,477.16 nat. median
$10,849
outlier · 3.5×
J9042
HCPCS 		Injection, Brentuximab Vedotin, 1 Mg 13 $268.73 $39,366.29 $36,956.11 nat. median
$962
outlier · 38.4×
J2327
HCPCS 		Injection, Risankizumab-rzaa, Intravenous, 1 Mg 13 $14.53 $38,844.07 $36,465.86 nat. median
$1,767
outlier · 20.6×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 $36,015.83 $36,015.83 $36,015.83 nat. median
$45,474
0.8× median
J9144
HCPCS 		Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 13 $55.03 $37,666.27 $35,360.17 nat. median
$211
outlier · 167.2×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 1 $35,214.36 $35,214.36 $35,214.36 nat. median
$44,860
0.8× median
37231
HCPCS 		Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 12 $1,322.40 $69,664.28 $34,832.14 nat. median
$18,375
1.9× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 $34,215.98 $34,215.98 $34,215.98 nat. median
$43,741
0.8× median
J1930
HCPCS 		Injection, Lanreotide, 1 Mg 13 $35.72 $36,016.30 $33,811.22 nat. median
$5,088
outlier · 6.6×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 $33,587.35 $33,587.35 $33,587.35 nat. median
$38,944
0.9× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 1 $33,520.99 $33,520.99 $33,520.99 nat. median
$42,662
0.8× median
799
MS_DRG 		Splenic Procedures With Mcc 1 $33,028.00 $33,028.00 $33,028.00 nat. median
$43,294
0.8× median
J9316
HCPCS 		Injection, Pertuzumab, Trastuzumab, And Hyaluronidase-zzxf, Per 10 Mg 13 $59.90 $34,868.03 $32,733.26 nat. median
$384
outlier · 85.3×
J3380
HCPCS 		Injection, Vedolizumab, Intravenous, 1 Mg 13 $20.98 $34,831.05 $32,698.54 nat. median
$155
outlier · 211.6×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 1 $32,035.46 $32,035.46 $32,035.46 nat. median
$40,230
0.8× median
J1932
HCPCS 		Injection, Lanreotide, (cipla), 1 Mg 13 $20.33 $33,497.44 $31,446.58 nat. median
$115
outlier · 274.3×
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 $31,306.92 $31,306.92 $31,306.92 nat. median
$40,003
0.8× median
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 12 $428.16 $58,212.00 $30,931.56 nat. median
$23,881
1.3× median
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 1 $30,730.79 $30,730.79 $30,730.79 nat. median
$38,949
0.8× median
J9301
HCPCS 		Injection, Obinutuzumab, 10 Mg 13 $81.81 $32,327.66 $30,348.42 nat. median
$286
outlier · 106.0×
J9022
HCPCS 		Injection, Atezolizumab, 10 Mg 13 $94.00 $42,375.40 $29,315.98 nat. median
$6,720
outlier · 4.4×
37225
HCPCS 		Removal Of Plaque In Arteries Of Leg 12 $1,052.40 $58,131.64 $29,065.82 nat. median
$16,454
1.8× median
37229
HCPCS 		Removal Of Plaque In Artery Of Leg, Initial Vessel 12 $1,227.00 $57,275.12 $28,637.56 nat. median
$17,132
1.7× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 1 $27,998.94 $27,998.94 $27,998.94 nat. median
$36,018
0.8× median
J9999
HCPCS 		Not Otherwise Classified, Antineoplastic Drugs 12 $26,688.63 $29,321.59 $27,526.39 nat. median
$2,702
outlier · 10.2×
J9299
HCPCS 		Injection, Nivolumab, 1 Mg 13 $33.62 $29,269.85 $27,477.81 nat. median
$2,849
outlier · 9.6×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 $27,442.51 $27,442.51 $27,442.51 nat. median
$35,512
0.8× median
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 $27,255.08 $27,255.08 $27,255.08 nat. median
$34,464
0.8× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $26,676.04 $26,676.04 $26,676.04 nat. median
$31,618
0.8× median
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 $26,339.85 $26,339.85 $26,339.85 nat. median
$33,188
0.8× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 1 $26,041.57 $26,041.57 $26,041.57 nat. median
$33,175
0.8× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 1 $25,718.51 $25,718.51 $25,718.51 nat. median
$32,654
0.8× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 $25,666.00 $25,666.00 $25,666.00 nat. median
$33,427
0.8× median
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 $25,315.95 $25,315.95 $25,315.95 nat. median
$32,338
0.8× median

Other procedures at this hospital

Browse this hospital's 11,787 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
             
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 24 12 $124,341.00 $124,341.00 $110,912.17 $121,854.18 $114,393.72 2026-07-17
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 26 13 $78,684.90 $78,684.90 $59.60 $77,111.20 $72,390.11 2026-07-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 $240,452.07 $240,452.07 $61,283.64 $61,283.64 $61,283.64 2026-07-17
J3245 HCPCS Injection, Tildrakizumab, 1 Mg 26 13 $63,073.15 $63,073.15 $118.20 $61,811.69 $58,027.30 2026-07-17
J9298 HCPCS Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg 26 13 $58,075.81 $58,075.81 $201.76 $56,914.29 $53,429.75 2026-07-17
J3357 HCPCS Ustekinumab, For Subcutaneous Injection, 1 Mg 24 12 $55,375.95 $55,375.95 $49,395.35 $54,268.43 $50,945.88 2026-07-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 1 $176,289.11 $176,289.11 $50,405.82 $50,405.82 $50,405.82 2026-07-17
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 $157,434.29 $157,434.29 $48,367.51 $48,367.51 $48,367.51 2026-07-17
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 48 12 $49,890.00 $49,890.00 $41,701.00 $51,969.40 $46,558.88 2026-07-17
L8688 HCPCS Implantable Neurostimulator Pulse Generator, Dual Array, Non-rechargeable, Inclu… 24 12 $50,119.00 $50,119.00 $44,706.15 $49,116.62 $46,109.48 2026-07-17
L8679 HCPCS Implantable Neurostimulator, Pulse Generator, Any Type 74 13 $47,575.00 $47,575.00 $10,314.60 $69,099.80 $45,434.12 2026-07-17
28 MS_DRG Spinal Procedures With Mcc 2 1 $114,290.48 $114,290.48 $43,816.85 $43,816.85 $43,816.85 2026-07-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 $275,853.82 $275,853.82 $43,487.22 $43,487.22 $43,487.22 2026-07-17
J9272 HCPCS Injection, Dostarlimab-gxly, 10 Mg 26 13 $45,323.67 $45,323.67 $247.08 $44,417.20 $41,697.78 2026-07-17
37227 HCPCS Removal Of Plaque And Insertion Of Stents In Arteries Of Leg 42 12 $80,132.00 $80,132.00 $1,266.00 $78,529.36 $39,264.68 2026-07-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 1 $285,460.42 $285,460.42 $37,961.52 $37,961.52 $37,961.52 2026-07-17
C1772 HCPCS Infusion Pump, Programmable (implantable) 48 12 $40,021.00 $40,021.00 $34,111.86 $40,964.00 $37,477.16 2026-07-17
J9042 HCPCS Injection, Brentuximab Vedotin, 1 Mg 26 13 $40,169.68 $40,169.68 $268.73 $39,366.29 $36,956.11 2026-07-17
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 26 13 $39,636.80 $39,636.80 $14.53 $38,844.07 $36,465.86 2026-07-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 1 $116,602.64 $116,602.64 $36,015.83 $36,015.83 $36,015.83 2026-07-17
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 26 13 $38,434.97 $38,434.97 $55.03 $37,666.27 $35,360.17 2026-07-17
471 MS_DRG Cervical Spinal Fusion With Mcc 2 1 $118,463.15 $118,463.15 $35,214.36 $35,214.36 $35,214.36 2026-07-17
37231 HCPCS Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 42 12 $71,086.00 $71,086.00 $1,322.40 $69,664.28 $34,832.14 2026-07-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 1 $64,776.39 $64,776.39 $34,215.98 $34,215.98 $34,215.98 2026-07-17
J1930 HCPCS Injection, Lanreotide, 1 Mg 26 13 $36,751.33 $36,751.33 $35.72 $36,016.30 $33,811.22 2026-07-17
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 1 $140,369.12 $140,369.12 $33,587.35 $33,587.35 $33,587.35 2026-07-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 1 $96,515.76 $96,515.76 $33,520.99 $33,520.99 $33,520.99 2026-07-17
799 MS_DRG Splenic Procedures With Mcc 2 1 $90,231.27 $90,231.27 $33,028.00 $33,028.00 $33,028.00 2026-07-17
J9316 HCPCS Injection, Pertuzumab, Trastuzumab, And Hyaluronidase-zzxf, Per 10 Mg 26 13 $35,579.63 $35,579.63 $59.90 $34,868.03 $32,733.26 2026-07-17
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 26 13 $35,541.89 $35,541.89 $20.98 $34,831.05 $32,698.54 2026-07-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 1 $148,611.85 $148,611.85 $32,035.46 $32,035.46 $32,035.46 2026-07-17
J1932 HCPCS Injection, Lanreotide, (cipla), 1 Mg 26 13 $34,181.06 $34,181.06 $20.33 $33,497.44 $31,446.58 2026-07-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 1 $26,251.90 $26,251.90 $31,306.92 $31,306.92 $31,306.92 2026-07-17
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 84 12 $32,120.00 $32,120.00 $428.16 $58,212.00 $30,931.56 2026-07-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 2 1 $94,477.36 $94,477.36 $30,730.79 $30,730.79 $30,730.79 2026-07-17
J9301 HCPCS Injection, Obinutuzumab, 10 Mg 26 13 $32,987.41 $32,987.41 $81.81 $32,327.66 $30,348.42 2026-07-17
J9022 HCPCS Injection, Atezolizumab, 10 Mg 50 13 $43,240.20 $43,240.20 $94.00 $42,375.40 $29,315.98 2026-07-17
37225 HCPCS Removal Of Plaque In Arteries Of Leg 42 12 $59,318.00 $59,318.00 $1,052.40 $58,131.64 $29,065.82 2026-07-17
37229 HCPCS Removal Of Plaque In Artery Of Leg, Initial Vessel 42 12 $58,444.00 $58,444.00 $1,227.00 $57,275.12 $28,637.56 2026-07-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 1 $70,660.35 $70,660.35 $27,998.94 $27,998.94 $27,998.94 2026-07-17
J9999 HCPCS Not Otherwise Classified, Antineoplastic Drugs 24 12 $29,919.99 $29,919.99 $26,688.63 $29,321.59 $27,526.39 2026-07-17
J9299 HCPCS Injection, Nivolumab, 1 Mg 26 13 $29,867.19 $29,867.19 $33.62 $29,269.85 $27,477.81 2026-07-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 1 $73,391.27 $73,391.27 $27,442.51 $27,442.51 $27,442.51 2026-07-17
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 1 $107,690.74 $107,690.74 $27,255.08 $27,255.08 $27,255.08 2026-07-17
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 $106,080.21 $106,080.21 $26,676.04 $26,676.04 $26,676.04 2026-07-17
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 1 $58,831.47 $58,831.47 $26,339.85 $26,339.85 $26,339.85 2026-07-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 1 $70,598.10 $70,598.10 $26,041.57 $26,041.57 $26,041.57 2026-07-17
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 2 1 $119,555.96 $119,555.96 $25,718.51 $25,718.51 $25,718.51 2026-07-17
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 1 $20,460.13 $20,460.13 $25,666.00 $25,666.00 $25,666.00 2026-07-17
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 1 $101,771.46 $101,771.46 $25,315.95 $25,315.95 $25,315.95 2026-07-17
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 2 1 $120,744.19 $120,744.19 $25,193.43 $25,193.43 $25,193.43 2026-07-17
J9306 HCPCS Injection, Pertuzumab, 1 Mg 26 13 $26,218.06 $26,218.06 $17.02 $25,693.70 $24,120.62 2026-07-17
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 26 13 $26,057.01 $26,057.01 $188.35 $25,535.87 $23,972.45 2026-07-17
37226 HCPCS Insertion Of Stent In Arteries Of Leg 42 12 $48,718.00 $48,718.00 $908.40 $47,743.64 $23,871.82 2026-07-17
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 1 $22,804.17 $22,804.17 $23,591.22 $23,591.22 $23,591.22 2026-07-17
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 1 $167,576.17 $167,576.17 $23,534.34 $23,534.34 $23,534.34 2026-07-17
J9311 HCPCS Injection, Rituximab 10 Mg And Hyaluronidase 26 13 $25,287.31 $25,287.31 $36.28 $24,781.56 $23,264.33 2026-07-17
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 1 $34,900.81 $34,900.81 $23,241.17 $23,241.17 $23,241.17 2026-07-17
500 MS_DRG Soft Tissue Procedures With Mcc 2 1 $23,578.97 $23,578.97 $23,080.00 $23,080.00 $23,080.00 2026-07-17
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 1 $87,371.64 $87,371.64 $22,714.64 $22,714.64 $22,714.64 2026-07-17
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 26 13 $24,678.34 $24,678.34 $127.38 $24,184.77 $22,704.07 2026-07-17
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 2 1 $107,013.35 $107,013.35 $22,120.28 $22,120.28 $22,120.28 2026-07-17
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 2 1 $50,335.30 $50,335.30 $22,027.66 $22,027.66 $22,027.66 2026-07-17
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 2 1 $85,265.91 $85,265.91 $22,000.68 $22,000.68 $22,000.68 2026-07-17
J9332 HCPCS Injection, Efgartigimod Alfa-fcab, 2mg 26 13 $23,787.68 $23,787.68 $32.55 $23,311.93 $21,884.67 2026-07-17
37230 HCPCS Insertion Of Stent In Artery Of Leg, Initial Vessel 42 12 $44,562.00 $44,562.00 $1,219.80 $43,670.76 $21,835.38 2026-07-17
472 MS_DRG Cervical Spinal Fusion With Cc 2 1 $59,624.31 $59,624.31 $21,485.08 $21,485.08 $21,485.08 2026-07-17
570 MS_DRG Skin Debridement With Mcc 2 1 $26,317.26 $26,317.26 $21,448.62 $21,448.62 $21,448.62 2026-07-17
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 2 1 $96,731.67 $96,731.67 $21,238.59 $21,238.59 $21,238.59 2026-07-17
974 MS_DRG HIV With Major Related Condition With Mcc 2 1 $65,262.65 $65,262.65 $21,046.79 $21,046.79 $21,046.79 2026-07-17
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 2 1 $49,206.60 $49,206.60 $20,787.90 $20,787.90 $20,787.90 2026-07-17
E0749 HCPCS Osteogenesis Stimulator, Electrical, Surgically Implanted 74 13 $22,545.00 $22,545.00 $397.31 $23,270.10 $20,741.40 2026-07-17
800 MS_DRG Splenic Procedures With Cc 2 1 $53,397.38 $53,397.38 $20,488.17 $20,488.17 $20,488.17 2026-07-17
654 MS_DRG Major Bladder Procedures With Cc 2 1 $140,919.53 $140,919.53 $20,414.51 $20,414.51 $20,414.51 2026-07-17
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 26 13 $22,174.08 $22,174.08 $60.65 $21,730.60 $20,400.15 2026-07-17
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 2 1 $106,601.79 $106,601.79 $20,214.69 $20,214.69 $20,214.69 2026-07-17
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 1 $124,100.61 $124,100.61 $20,045.50 $20,045.50 $20,045.50 2026-07-17
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 2 1 $83,073.22 $83,073.22 $20,040.39 $20,040.39 $20,040.39 2026-07-17
963 MS_DRG Other Multiple Significant Trauma With Mcc 2 1 $32,442.83 $32,442.83 $19,936.84 $19,936.84 $19,936.84 2026-07-17
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 2 1 $82,144.68 $82,144.68 $19,373.11 $19,373.11 $19,373.11 2026-07-17
22523 HCPCS 22523 Percut Kyphoplasty Thor 20 10 $20,020.00 $20,020.00 $15,015.00 $19,619.60 $18,818.80 2026-07-17
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 2 1 $154,753.20 $154,753.20 $18,809.38 $18,809.38 $18,809.38 2026-07-17
22524 HCPCS 22524 Percut Kyphoplasty Lumbar 20 10 $19,899.00 $19,899.00 $14,924.25 $19,501.02 $18,705.06 2026-07-17
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 2 1 $87,034.27 $87,034.27 $18,495.07 $18,495.07 $18,495.07 2026-07-17
164 MS_DRG Major Chest Procedures With Cc 2 1 $38,791.72 $38,791.72 $18,406.83 $18,406.83 $18,406.83 2026-07-17
C1831 HCPCS Interbody Cage, Anterior, Lateral Or Posterior, Personalized (implantable) 48 12 $19,456.50 $19,456.50 $4,047.90 $20,212.50 $18,362.33 2026-07-17
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 1 $41,449.15 $41,449.15 $17,929.15 $17,929.15 $17,929.15 2026-07-17
792 MS_DRG Prematurity Without Major Problems 2 1 $6,698.57 $6,698.57 $17,861.33 $17,861.33 $17,861.33 2026-07-17
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 2 1 $98,538.84 $98,538.84 $17,803.72 $17,803.72 $17,803.72 2026-07-17
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 1 $98,143.08 $98,143.08 $17,482.11 $17,482.11 $17,482.11 2026-07-17
397 MS_DRG Appendix Procedures With Mcc 2 1 $54,059.11 $54,059.11 $17,465.34 $17,465.34 $17,465.34 2026-07-17
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 1 $77,853.59 $77,853.59 $17,403.35 $17,403.35 $17,403.35 2026-07-17
J3101 HCPCS Injection, Tenecteplase, 1 Mg 26 13 $18,868.94 $18,868.94 $197.44 $18,491.56 $17,359.42 2026-07-17
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 1 $81,570.65 $81,570.65 $17,042.36 $17,042.36 $17,042.36 2026-07-17
56 MS_DRG Degenerative Nervous System Disorders With Mcc 2 1 $114,686.73 $114,686.73 $16,941.72 $16,941.72 $16,941.72 2026-07-17
347 MS_DRG Anal And Stomal Procedures With Mcc 2 1 $26,319.20 $26,319.20 $16,741.17 $16,741.17 $16,741.17 2026-07-17
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 2 1 $32,496.60 $32,496.60 $16,736.06 $16,736.06 $16,736.06 2026-07-17
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 2 1 $19,686.51 $19,686.51 $16,668.24 $16,668.24 $16,668.24 2026-07-17
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 2 1 $41,157.59 $41,157.59 $16,596.04 $16,596.04 $16,596.04 2026-07-17
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 2 1 $58,857.10 $58,857.10 $16,325.48 $16,325.48 $16,325.48 2026-07-17
55873 HCPCS Destruction Of Prostate Using Imaging Guidance 26 13 $17,642.00 $17,642.00 $673.72 $17,289.16 $16,230.64 2026-07-17
C9781 HCPCS Arthroscopy, Shoulder, Surgical; With Implantation Of Subacromial Spacer (e.g., … 26 13 $17,600.00 $17,600.00 $14,048.00 $17,248.00 $16,192.00 2026-07-17
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 1 $38,918.57 $38,918.57 $16,101.60 $16,101.60 $16,101.60 2026-07-17
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 1 $28,744.52 $28,744.52 $15,889.38 $15,889.38 $15,889.38 2026-07-17
Q4108 HCPCS Integra Matrix, Per Square Centimeter 26 13 $17,254.00 $17,254.00 $127.26 $16,908.92 $15,873.68 2026-07-17
8655973_1 CDM Mobi-c Cervical Disc Prosthesis 24 12 $17,050.00 $17,050.00 $15,208.60 $16,709.00 $15,686.00 2026-07-17
C1813 HCPCS Prosthesis, Penile, Inflatable 192 12 $16,867.50 $16,867.50 $5,249.42 $28,998.20 $15,623.09 2026-07-17
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 2 1 $66,871.76 $66,871.76 $15,617.36 $15,617.36 $15,617.36 2026-07-17
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 2 1 $48,000.29 $48,000.29 $15,611.53 $15,611.53 $15,611.53 2026-07-17
374 MS_DRG Digestive Malignancy With Mcc 2 1 $52,390.73 $52,390.73 $15,596.94 $15,596.94 $15,596.94 2026-07-17
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 2 1 $43,427.15 $43,427.15 $15,509.43 $15,509.43 $15,509.43 2026-07-17
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 2 1 $71,013.66 $71,013.66 $15,443.79 $15,443.79 $15,443.79 2026-07-17
C1785 HCPCS Pacemaker, Dual Chamber, Rate-responsive (implantable) 48 12 $16,500.00 $16,500.00 $13,491.50 $17,517.50 $15,383.50 2026-07-17
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 1 $27,488.81 $27,488.81 $15,378.16 $15,378.16 $15,378.16 2026-07-17
50590 HCPCS Shock Wave Crushing Of Kidney Stones 94 13 $17,158.00 $17,158.00 $510.37 $25,222.26 $15,304.94 2026-07-17
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 2 1 $81,251.48 $81,251.48 $15,274.60 $15,274.60 $15,274.60 2026-07-17
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 2 1 $41,668.79 $41,668.79 $15,265.12 $15,265.12 $15,265.12 2026-07-17
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 2 1 $77,414.31 $77,414.31 $15,249.81 $15,249.81 $15,249.81 2026-07-17
314 MS_DRG Other Circulatory System Diagnoses With Mcc 2 1 $56,535.13 $56,535.13 $15,206.78 $15,206.78 $15,206.78 2026-07-17
711 MS_DRG Testes Procedures With Cc/mcc 2 1 $26,349.13 $26,349.13 $15,196.57 $15,196.57 $15,196.57 2026-07-17
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 2 1 $60,055.10 $60,055.10 $15,164.48 $15,164.48 $15,164.48 2026-07-17
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 2 1 $58,149.80 $58,149.80 $15,155.00 $15,155.00 $15,155.00 2026-07-17
935 MS_DRG Non-extensive Burns 2 1 $12,015.53 $12,015.53 $15,023.00 $15,023.00 $15,023.00 2026-07-17
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 2 1 $32,900.83 $32,900.83 $14,943.51 $14,943.51 $14,943.51 2026-07-17
8092685_1 CDM Lithotripsy Bilateral Charge 24 12 $16,160.00 $16,160.00 $14,414.72 $15,836.80 $14,867.20 2026-07-17
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 2 1 $35,083.37 $35,083.37 $14,787.45 $14,787.45 $14,787.45 2026-07-17
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 26 13 $16,065.25 $16,065.25 $135.89 $15,743.95 $14,780.03 2026-07-17
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 2 1 $57,980.25 $57,980.25 $14,632.84 $14,632.84 $14,632.84 2026-07-17
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 2 1 $40,229.28 $40,229.28 $14,587.63 $14,587.63 $14,587.63 2026-07-17
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 2 1 $68,486.61 $68,486.61 $14,586.90 $14,586.90 $14,586.90 2026-07-17
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 1 $38,991.73 $38,991.73 $14,571.58 $14,571.58 $14,571.58 2026-07-17
908 MS_DRG Other O.r. Procedures For Injuries With Cc 2 1 $56,072.56 $56,072.56 $14,550.43 $14,550.43 $14,550.43 2026-07-17
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 1 $14,305.29 $14,305.29 $14,547.52 $14,547.52 $14,547.52 2026-07-17
37228 HCPCS Balloon Dilation Of Artery Of Leg, Initial Vessel 42 12 $29,502.00 $29,502.00 $947.40 $28,911.96 $14,455.98 2026-07-17
Q4116 HCPCS Alloderm, Per Square Centimeter 122 13 $15,656.00 $15,656.00 $73.14 $45,616.06 $14,403.52 2026-07-17
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 2 1 $59,609.34 $59,609.34 $14,353.53 $14,353.53 $14,353.53 2026-07-17
883 MS_DRG Disorders Of Personality And Impulse Control 2 1 $13,080.61 $13,080.61 $14,339.68 $14,339.68 $14,339.68 2026-07-17
J9173 HCPCS Injection, Durvalumab, 10 Mg 26 13 $15,475.61 $15,475.61 $86.15 $15,166.09 $14,237.56 2026-07-17
8525718_1 CDM Prodisc-c Med 6mm 24 12 $15,435.00 $15,435.00 $13,768.02 $15,126.30 $14,200.20 2026-07-17
37183 HCPCS Revision Of Shunts To Bypass Blood Flow To Liver With Review By Radiologist 26 13 $15,430.00 $15,430.00 $314.60 $15,121.40 $14,195.60 2026-07-17
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 1 $47,273.23 $47,273.23 $14,166.11 $14,166.11 $14,166.11 2026-07-17
100 MS_DRG Seizures With Mcc 2 1 $19,520.77 $19,520.77 $14,124.54 $14,124.54 $14,124.54 2026-07-17
J9309 HCPCS Injection, Polatuzumab Vedotin-piiq, 1 Mg 26 13 $15,325.66 $15,325.66 $137.23 $15,019.14 $14,099.60 2026-07-17
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 2 1 $49,975.99 $49,975.99 $14,066.93 $14,066.93 $14,066.93 2026-07-17
75 MS_DRG Viral Meningitis With Cc/mcc 2 1 $49,489.32 $49,489.32 $13,983.79 $13,983.79 $13,983.79 2026-07-17
902 MS_DRG Wound Debridements For Injuries With Cc 2 1 $24,714.69 $24,714.69 $13,961.91 $13,961.91 $13,961.91 2026-07-17
801 MS_DRG Splenic Procedures Without Cc/mcc 2 1 $70,460.25 $70,460.25 $13,921.07 $13,921.07 $13,921.07 2026-07-17
196 MS_DRG Interstitial Lung Disease With Mcc 2 1 $39,008.64 $39,008.64 $13,762.82 $13,762.82 $13,762.82 2026-07-17
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 1 $47,673.84 $47,673.84 $13,639.57 $13,639.57 $13,639.57 2026-07-17
504 MS_DRG Foot Procedures With Cc 2 1 $42,981.07 $42,981.07 $13,631.55 $13,631.55 $13,631.55 2026-07-17
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 2 1 $54,498.78 $54,498.78 $13,600.19 $13,600.19 $13,600.19 2026-07-17
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 2 1 $42,380.26 $42,380.26 $13,556.44 $13,556.44 $13,556.44 2026-07-17
8525712_1 CDM Spacer Tpal 10x28x12 24 12 $14,670.00 $14,670.00 $13,085.64 $14,376.60 $13,496.40 2026-07-17
8525711_1 CDM Spacer Tpal 11x10x28 24 12 $14,670.00 $14,670.00 $13,085.64 $14,376.60 $13,496.40 2026-07-17
8525709_1 CDM Spacer Tpal 10x28x8mm 24 12 $14,670.00 $14,670.00 $13,085.64 $14,376.60 $13,496.40 2026-07-17
8525708_1 CDM Spacer T-pal 10x28x7mm 24 12 $14,670.00 $14,670.00 $13,085.64 $14,376.60 $13,496.40 2026-07-17
8525710_1 CDM Spacer Tpal 10x28x10mm 24 12 $14,670.00 $14,670.00 $13,085.64 $14,376.60 $13,496.40 2026-07-17
J9061 HCPCS Injection, Amivantamab-vmjw, 2 Mg 26 13 $14,625.82 $14,625.82 $22.63 $14,333.30 $13,455.75 2026-07-17
205 MS_DRG Other Respiratory System Diagnoses With Mcc 2 1 $96,639.57 $96,639.57 $13,352.97 $13,352.97 $13,352.97 2026-07-17
919 MS_DRG Complications Of Treatment With Mcc 2 1 $23,665.35 $23,665.35 $13,351.51 $13,351.51 $13,351.51 2026-07-17
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 2 1 $48,468.31 $48,468.31 $13,331.09 $13,331.09 $13,331.09 2026-07-17
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 2 1 $114,569.87 $114,569.87 $13,299.73 $13,299.73 $13,299.73 2026-07-17
8525721_1 CDM Pdc Implant 5mm Large Med 24 12 $14,440.00 $14,440.00 $12,880.48 $14,151.20 $13,284.80 2026-07-17
8525723_1 CDM Prodisc 6mm Lg Deep 24 12 $14,440.00 $14,440.00 $12,880.48 $14,151.20 $13,284.80 2026-07-17
722 MS_DRG Malignancy, Male Reproductive System With Mcc 2 1 $52,973.50 $52,973.50 $13,197.64 $13,197.64 $13,197.64 2026-07-17
C1786 HCPCS Pacemaker, Single Chamber, Rate-responsive (implantable) 24 12 $14,300.00 $14,300.00 $12,755.60 $14,014.00 $13,156.00 2026-07-17
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 1 $105,496.56 $105,496.56 $13,155.34 $13,155.34 $13,155.34 2026-07-17
52648 HCPCS Complete Laser Vaporization Of Prostate Including Control Of Bleeding Using An E… 26 13 $14,092.00 $14,092.00 $5,866.86 $14,467.74 $13,152.58 2026-07-17
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 2 1 $7,874.66 $7,874.66 $13,142.94 $13,142.94 $13,142.94 2026-07-17
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 1 $29,181.16 $29,181.16 $13,088.24 $13,088.24 $13,088.24 2026-07-17
505 MS_DRG Foot Procedures Without Cc/mcc 2 1 $18,969.81 $18,969.81 $13,074.39 $13,074.39 $13,074.39 2026-07-17
8525722_1 CDM Prodisc C Implant Large 7mm 24 12 $14,108.00 $14,108.00 $12,584.34 $13,825.84 $12,979.36 2026-07-17
8525720_1 CDM Prodisc 6mm Implant 24 12 $14,108.00 $14,108.00 $12,584.34 $13,825.84 $12,979.36 2026-07-17
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 2 1 $96,388.00 $96,388.00 $12,930.72 $12,930.72 $12,930.72 2026-07-17
C1779 HCPCS Lead, Pacemaker, Transvenous Vdd Single Pass 24 12 $14,025.00 $14,025.00 $12,510.30 $13,744.50 $12,903.00 2026-07-17
C1821 HCPCS Interspinous Process Distraction Device (implantable) 24 12 $14,010.00 $14,010.00 $12,496.92 $13,729.80 $12,889.20 2026-07-17
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 1 $37,300.61 $37,300.61 $12,882.59 $12,882.59 $12,882.59 2026-07-17
91 MS_DRG Other Disorders Of Nervous System With Mcc 2 1 $32,000.86 $32,000.86 $12,807.47 $12,807.47 $12,807.47 2026-07-17
10042476_1 CDM Distal Radius Ost-09 24 12 $13,915.00 $13,915.00 $12,412.18 $13,636.70 $12,801.80 2026-07-17
666 MS_DRG Prostatectomy With Cc 2 1 $21,671.24 $21,671.24 $12,757.16 $12,757.16 $12,757.16 2026-07-17
501 MS_DRG Soft Tissue Procedures With Cc 2 1 $41,956.85 $41,956.85 $12,748.40 $12,748.40 $12,748.40 2026-07-17
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 2 1 $49,842.91 $49,842.91 $12,726.53 $12,726.53 $12,726.53 2026-07-17
20982 HCPCS Destruction Of Growths And Adjacent Soft Tissue 88 13 $13,614.00 $13,614.00 $312.27 $33,761.98 $12,706.40 2026-07-17
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 2 1 $35,435.68 $35,435.68 $12,637.55 $12,637.55 $12,637.55 2026-07-17
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 2 1 $49,412.12 $49,412.12 $12,601.82 $12,601.82 $12,601.82 2026-07-17
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 2 1 $30,144.15 $30,144.15 $12,499.72 $12,499.72 $12,499.72 2026-07-17
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 2 1 $49,593.10 $49,593.10 $12,466.90 $12,466.90 $12,466.90 2026-07-17
C1764 HCPCS Event Recorder, Cardiac (implantable) 72 12 $13,613.00 $13,613.00 $57.00 $13,340.74 $12,455.90 2026-07-17
52356 HCPCS Crushing Of Stone Of Ureter With Insertion Of Stent Using An Endoscope 94 13 $13,940.00 $13,940.00 $356.21 $20,491.80 $12,434.48 2026-07-17
Q4104 HCPCS Integra Bilayer Matrix Wound Dressing (bmwd), Per Square Centimeter 26 13 $13,485.00 $13,485.00 $127.26 $13,215.30 $12,406.20 2026-07-17
C1889 HCPCS Implantable/insertable Device, Not Otherwise Classified 168 12 $13,475.00 $13,475.00 $2,230.00 $19,711.72 $12,397.00 2026-07-17
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 2 1 $37,173.46 $37,173.46 $12,382.31 $12,382.31 $12,382.31 2026-07-17
43116 HCPCS Partial Removal Of Upper Esophagus With Reconstruction Using Bowel Graft 26 13 $13,456.00 $13,456.00 $4,379.57 $13,186.88 $12,379.52 2026-07-17
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 2 1 $68,343.04 $68,343.04 $12,336.37 $12,336.37 $12,336.37 2026-07-17
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 2 1 $52,131.40 $52,131.40 $12,323.24 $12,323.24 $12,323.24 2026-07-17
571 MS_DRG Skin Debridement With Cc 2 1 $23,405.17 $23,405.17 $12,321.05 $12,321.05 $12,321.05 2026-07-17
37221 HCPCS Insertion Of Stent In Groin Artery, Initial Vessel 42 12 $25,124.00 $25,124.00 $863.40 $24,621.52 $12,310.76 2026-07-17
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 2 1 $19,041.96 $19,041.96 $12,310.11 $12,310.11 $12,310.11 2026-07-17
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 2 1 $75,098.56 $75,098.56 $12,272.92 $12,272.92 $12,272.92 2026-07-17
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 2 1 $63,820.30 $63,820.30 $12,269.27 $12,269.27 $12,269.27 2026-07-17
551 MS_DRG Medical Back Problems With Mcc 2 1 $44,741.59 $44,741.59 $12,223.33 $12,223.33 $12,223.33 2026-07-17
444 MS_DRG Disorders Of The Biliary Tract With Mcc 2 1 $50,929.12 $50,929.12 $12,185.41 $12,185.41 $12,185.41 2026-07-17
33935 HCPCS Transplantation Of Donor Heart And Lung 26 13 $13,223.00 $13,223.00 $4,419.62 $12,958.54 $12,165.16 2026-07-17
70 MS_DRG Other Cerebrovascular Disorders With Mcc 2 1 $37,152.30 $37,152.30 $12,140.92 $12,140.92 $12,140.92 2026-07-17
33285 HCPCS Insertion Of Heart Rhythm Monitor Under Skin 26 13 $13,160.00 $13,160.00 $72.69 $12,896.80 $12,107.20 2026-07-17
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 2 1 $39,641.93 $39,641.93 $12,072.37 $12,072.37 $12,072.37 2026-07-17
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 2 1 $42,968.80 $42,968.80 $12,065.08 $12,065.08 $12,065.08 2026-07-17
786 MS_DRG Cesarean Section Without Sterilization With Mcc 2 1 $27,488.18 $27,488.18 $12,029.34 $12,029.34 $12,029.34 2026-07-17
643 MS_DRG Endocrine Disorders With Mcc 2 1 $27,121.39 $27,121.39 $12,004.55 $12,004.55 $12,004.55 2026-07-17
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 1 $44,762.75 $44,762.75 $11,986.31 $11,986.31 $11,986.31 2026-07-17
47382 HCPCS Destruction Of Growth Of Liver Through Skin Using Radiofrequency 26 13 $13,005.00 $13,005.00 $626.39 $12,744.90 $11,964.60 2026-07-17
J1306 HCPCS Injection, Inclisiran, 1 Mg 26 13 $12,987.14 $12,987.14 $12.61 $12,727.40 $11,948.17 2026-07-17
913 MS_DRG Traumatic Injury With Mcc 2 1 $23,831.38 $23,831.38 $11,920.68 $11,920.68 $11,920.68 2026-07-17
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 2 1 $53,025.04 $53,025.04 $11,894.43 $11,894.43 $11,894.43 2026-07-17
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 2 1 $39,503.32 $39,503.32 $11,888.59 $11,888.59 $11,888.59 2026-07-17
33945 HCPCS Transplantation Of Donor Heart 26 13 $12,812.00 $12,812.00 $4,329.40 $12,555.76 $11,787.04 2026-07-17
884 MS_DRG Organic Disturbances And Intellectual Disability 2 1 $13,242.47 $13,242.47 $11,733.26 $11,733.26 $11,733.26 2026-07-17
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 2 1 $24,870.79 $24,870.79 $11,715.03 $11,715.03 $11,715.03 2026-07-17
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 2 1 $25,506.59 $25,506.59 $11,699.71 $11,699.71 $11,699.71 2026-07-17
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 2 1 $21,455.90 $21,455.90 $11,698.25 $11,698.25 $11,698.25 2026-07-17
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 2 1 $128,397.26 $128,397.26 $11,685.13 $11,685.13 $11,685.13 2026-07-17
393 MS_DRG Other Digestive System Diagnoses With Mcc 2 1 $32,009.00 $32,009.00 $11,663.25 $11,663.25 $11,663.25 2026-07-17
368 MS_DRG Major Esophageal Disorders With Mcc 2 1 $16,894.94 $16,894.94 $11,609.28 $11,609.28 $11,609.28 2026-07-17
22525 HCPCS 22525 Percut Kyphoplasty Add-on 20 10 $12,323.00 $12,323.00 $9,242.25 $12,076.54 $11,583.62 2026-07-17
50593 HCPCS Destruction Of Growth Of Kidney By Freezing 44 13 $23,822.00 $23,822.00 $390.56 $23,345.56 $11,553.67 2026-07-17
14778299_1 CDM Probe Ocp210osteocool Rf 17g 10mmx2 24 12 $12,537.00 $12,537.00 $11,183.00 $12,286.26 $11,534.04 2026-07-17
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 2 1 $29,875.54 $29,875.54 $11,480.93 $11,480.93 $11,480.93 2026-07-17
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 2 1 $40,364.49 $40,364.49 $11,437.90 $11,437.90 $11,437.90 2026-07-17
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 2 1 $97,779.93 $97,779.93 $11,402.17 $11,402.17 $11,402.17 2026-07-17
177 MS_DRG Respiratory Infections And Inflammations With Mcc 2 1 $32,575.24 $32,575.24 $11,396.33 $11,396.33 $11,396.33 2026-07-17
186 MS_DRG Pleural Effusion With Mcc 2 1 $36,197.33 $36,197.33 $11,365.70 $11,365.70 $11,365.70 2026-07-17
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 2 1 $47,613.29 $47,613.29 $11,316.84 $11,316.84 $11,316.84 2026-07-17
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 2 1 $42,226.09 $42,226.09 $11,194.33 $11,194.33 $11,194.33 2026-07-17
Q4128 HCPCS Flex Hd, Or Allopatch Hd, Per Square Centimeter 110 13 $12,165.00 $12,165.00 $127.26 $19,837.16 $11,191.80 2026-07-17
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 2 1 $44,019.31 $44,019.31 $11,188.49 $11,188.49 $11,188.49 2026-07-17
964 MS_DRG Other Multiple Significant Trauma With Cc 2 1 $43,548.25 $43,548.25 $11,176.82 $11,176.82 $11,176.82 2026-07-17
61698 HCPCS Repair Of Complex Aneurysm Of Back Of Brain Artery 26 13 $12,147.00 $12,147.00 $4,122.95 $11,904.06 $11,175.24 2026-07-17
8199628_17 CDM Intensive Care Unit - General Classification 24 12 $12,133.00 $12,133.00 $10,822.64 $11,890.34 $11,162.36 2026-07-17
183 MS_DRG Major Chest Trauma With Mcc 2 1 $26,949.21 $26,949.21 $11,157.13 $11,157.13 $11,157.13 2026-07-17
54 MS_DRG Nervous System Neoplasms With Mcc 2 1 $19,510.32 $19,510.32 $11,135.25 $11,135.25 $11,135.25 2026-07-17
43108 HCPCS Removal Of Esophagus And Reconstruction Using Bowel Graft 26 13 $12,096.00 $12,096.00 $3,922.73 $11,854.08 $11,128.32 2026-07-17
813 MS_DRG Coagulation Disorders 2 1 $16,080.39 $16,080.39 $11,123.59 $11,123.59 $11,123.59 2026-07-17
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 2 1 $70,562.88 $70,562.88 $11,117.75 $11,117.75 $11,117.75 2026-07-17
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 2 1 $100,113.83 $100,113.83 $11,111.19 $11,111.19 $11,111.19 2026-07-17
32853 HCPCS Transplantation Of 2 Lungs 26 13 $12,043.00 $12,043.00 $4,060.01 $11,802.14 $11,079.56 2026-07-17
52353 HCPCS Crushing Of Stone Of Ureter Using An Endoscope 94 13 $12,410.00 $12,410.00 $335.62 $18,242.70 $11,069.72 2026-07-17
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/mcc 2 1 $27,218.73 $27,218.73 $11,044.10 $11,044.10 $11,044.10 2026-07-17
398 MS_DRG Appendix Procedures With Cc 2 1 $41,122.10 $41,122.10 $11,038.26 $11,038.26 $11,038.26 2026-07-17
606 MS_DRG Minor Skin Disorders With Mcc 2 1 $9,580.44 $9,580.44 $11,035.34 $11,035.34 $11,035.34 2026-07-17
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 2 1 $20,981.44 $20,981.44 $10,973.36 $10,973.36 $10,973.36 2026-07-17
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 2 1 $34,385.63 $34,385.63 $10,934.70 $10,934.70 $10,934.70 2026-07-17
865 MS_DRG Viral Illness With Mcc 2 1 $20,789.51 $20,789.51 $10,926.68 $10,926.68 $10,926.68 2026-07-17
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 2 1 $41,808.94 $41,808.94 $10,918.66 $10,918.66 $10,918.66 2026-07-17
61686 HCPCS Complex Repair Of Abnormal Artery-vein Connection In Lower Brain 26 13 $11,796.00 $11,796.00 $4,007.35 $11,560.08 $10,852.32 2026-07-17
682 MS_DRG Renal Failure With Mcc 2 1 $36,548.27 $36,548.27 $10,800.52 $10,800.52 $10,800.52 2026-07-17
794 MS_DRG Neonate With Other Significant Problems 2 1 $4,687.82 $4,687.82 $10,763.33 $10,763.33 $10,763.33 2026-07-17
37205 HCPCS 37205 Transcath IV Stent, Percut 20 10 $11,440.00 $11,440.00 $8,580.00 $11,211.20 $10,753.60 2026-07-17
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 2 1 $28,977.50 $28,977.50 $10,735.61 $10,735.61 $10,735.61 2026-07-17
43123 HCPCS Partial Removal Of Esophagus With Repair Using Bowel Graft 26 13 $11,645.00 $11,645.00 $3,997.85 $11,412.10 $10,713.40 2026-07-17
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 2 1 $69,576.81 $69,576.81 $10,597.78 $10,597.78 $10,597.78 2026-07-17
8516774_1 CDM Cage 10mm Leopard 24 12 $11,515.00 $11,515.00 $10,271.38 $11,284.70 $10,593.80 2026-07-17
37235 HCPCS Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Each Additional Vess… 42 12 $21,598.00 $21,598.00 $702.00 $21,166.04 $10,583.02 2026-07-17
J9177 HCPCS Injection, Enfortumab Vedotin-ejfv, 0.25 Mg 50 13 $10,797.64 $10,797.64 $36.66 $15,864.62 $10,581.69 2026-07-17
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 26 13 $11,481.73 $11,481.73 $3.44 $11,252.09 $10,563.19 2026-07-17
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 2 1 $162,375.32 $162,375.32 $10,524.12 $10,524.12 $10,524.12 2026-07-17
637 MS_DRG Diabetes With Mcc 2 1 $39,500.74 $39,500.74 $10,477.45 $10,477.45 $10,477.45 2026-07-17
A9588 HCPCS Fluciclovine F-18, Diagnostic, 1 Millicurie 26 13 $11,375.00 $11,375.00 $322.27 $11,147.50 $10,465.00 2026-07-17
37234 HCPCS Insertion Of Stent In Artery Of Leg, Each Additional Vessel 42 12 $21,160.00 $21,160.00 $498.00 $20,736.80 $10,368.40 2026-07-17
602 MS_DRG Cellulitis With Mcc 2 1 $28,956.63 $28,956.63 $10,365.14 $10,365.14 $10,365.14 2026-07-17
43113 HCPCS Removal Of Esophagus Through Chest And Reconstruction Using Bowel Graft 26 13 $11,236.00 $11,236.00 $3,860.08 $11,011.28 $10,337.12 2026-07-17
J9205 HCPCS Injection, Irinotecan Liposome, 1 Mg 26 13 $11,170.12 $11,170.12 $65.86 $10,946.72 $10,276.51 2026-07-17
811 MS_DRG Red Blood Cell Disorders With Mcc 2 1 $30,637.27 $30,637.27 $10,241.17 $10,241.17 $10,241.17 2026-07-17
33916 HCPCS Removal Of Plaque From Pulmonary Artery On Heart-lung Machine 26 13 $11,122.00 $11,122.00 $3,689.59 $10,899.56 $10,232.24 2026-07-17
885 MS_DRG Psychoses 2 1 $20,540.55 $20,540.55 $10,186.47 $10,186.47 $10,186.47 2026-07-17
61697 HCPCS Repair Of Complex Aneurysm Of Neck Artery 26 13 $11,071.00 $11,071.00 $3,778.47 $10,849.58 $10,185.32 2026-07-17
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 2 1 $35,138.56 $35,138.56 $10,179.18 $10,179.18 $10,179.18 2026-07-17
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 2 1 $41,271.32 $41,271.32 $10,158.03 $10,158.03 $10,158.03 2026-07-17
37224 HCPCS Balloon Dilation Of Artery Of Leg 42 12 $20,698.00 $20,698.00 $777.00 $20,284.04 $10,142.02 2026-07-17
C1734 HCPCS Orthopedic/device/drug Matrix For Opposing Bone-to-bone Or Soft Tissue-to Bone (… 24 12 $10,973.00 $10,973.00 $9,787.92 $10,753.54 $10,095.16 2026-07-17
61682 HCPCS Complex Repair Of Abnormal Artery-vein Connection In Upper Brain 26 13 $10,968.00 $10,968.00 $3,661.06 $10,748.64 $10,090.56 2026-07-17
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 2 1 $28,345.92 $28,345.92 $10,017.28 $10,017.28 $10,017.28 2026-07-17
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 2 1 $58,317.49 $58,317.49 $9,960.40 $9,960.40 $9,960.40 2026-07-17
19296 HCPCS Insertion Of Expandable Tube In Breast For Radiation Treatment Using Imaging Gui… 62 13 $10,807.00 $10,807.00 $185.91 $21,181.72 $9,942.44 2026-07-17
21215 HCPCS Repair Of Lower Jaw Bone With Bone Graft 26 13 $10,767.00 $10,767.00 $708.21 $10,551.66 $9,905.64 2026-07-17
J9358 HCPCS Injection, Fam-trastuzumab Deruxtecan-nxki, 1 Mg 26 13 $10,691.49 $10,691.49 $31.26 $10,477.66 $9,836.17 2026-07-17
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 2 1 $20,647.38 $20,647.38 $9,815.27 $9,815.27 $9,815.27 2026-07-17
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 2 1 $51,940.39 $51,940.39 $9,808.71 $9,808.71 $9,808.71 2026-07-17
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 2 1 $77,419.51 $77,419.51 $9,740.16 $9,740.16 $9,740.16 2026-07-17
61702 HCPCS Repair Of Simple Aneurysm Of Back Of Brain Artery 26 13 $10,556.00 $10,556.00 $3,603.72 $10,344.88 $9,711.52 2026-07-17
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 2 1 $29,815.74 $29,815.74 $9,638.79 $9,638.79 $9,638.79 2026-07-17
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 170 13 $10,440.15 $10,440.15 $57.00 $48,495.04 $9,604.94 2026-07-17
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 2 1 $28,793.10 $28,793.10 $9,585.55 $9,585.55 $9,585.55 2026-07-17
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 2 1 $58,768.93 $58,768.93 $9,573.15 $9,573.15 $9,573.15 2026-07-17
348 MS_DRG Anal And Stomal Procedures With Cc 2 1 $15,910.78 $15,910.78 $9,544.71 $9,544.71 $9,544.71 2026-07-17
G0390 HCPCS Trauma Response Team Associated With Hospital Critical Care Service 50 13 $10,103.00 $10,103.00 $1,458.47 $11,620.84 $9,521.49 2026-07-17
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 2 1 $26,446.00 $26,446.00 $9,500.23 $9,500.23 $9,500.23 2026-07-17
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 2 1 $31,788.89 $31,788.89 $9,448.45 $9,448.45 $9,448.45 2026-07-17
291 MS_DRG Heart Failure And Shock With Mcc 2 1 $34,169.56 $34,169.56 $9,362.39 $9,362.39 $9,362.39 2026-07-17
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 2 1 $30,080.97 $30,080.97 $9,349.27 $9,349.27 $9,349.27 2026-07-17
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 2 1 $38,349.73 $38,349.73 $9,249.36 $9,249.36 $9,249.36 2026-07-17
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