Price Transparency Hospital negotiated rates

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

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Hospital

D W MCMILLAN MEMORIAL HOSPITAL

Brewton, AL · CCN 010099 · Rates published

2,457 distinct procedures filed
4 distinct payers
42,164 rate rows
2025-03-05 last MRF observed · ⚠ 15 mo old
Data quality

36,822 of 42,164 rate rows are consumer-grade (87.3%)

5,342 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,730
per-diem day rate — not a per-procedure price 520
exceeds 10× this hospital's gross charge — excluded from medians 80
exceeds 3× this hospital's gross charge for a DRG stay — excluded 8
placeholder amount (≤ $0.02) — excluded from medians 4

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file http://www.dwmmh.org/docs/1336_BILLINGITEMLIST_CsvTallv2.0.0_20250305220544.csv
Found on page https://www.dwmmh.org/getpage.php?name=Price_Transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint b95363c4f17f103a… · 26,057,722 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome Neonate 3 $39,493.75 $46,305.17 $41,787.82 nat. median
$52,278
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support Less Than96 Hours 4 $2,606.00 $50,209.49 $40,338.08 nat. median
$62,134
0.6× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 4 $2,606.00 $36,193.84 $33,753.51 nat. median
$44,810
0.8× median
988
MS_DRG 		Nonextensive O.r. Procedure Unrelated To Principal Diagnosis With Cc 3 $2,606.00 $93,829.73 $31,269.11 nat. median
$17,324
1.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedure With Mcc 4 $2,606.00 $39,253.63 $30,436.03 nat. median
$48,170
0.6× median
793
MS_DRG 		Full Term Neonate With Major Problems 3 $27,969.10 $33,044.39 $29,617.52 nat. median
$34,190
0.9× median
791
MS_DRG 		Prematurity With Major Problems 3 $27,250.90 $32,217.79 $28,858.97 nat. median
$35,265
0.8× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 4 $2,606.00 $33,187.14 $24,930.46 nat. median
$40,457
0.6× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 4 $2,606.00 $28,955.47 $24,130.83 nat. median
$35,058
0.7× median
987
MS_DRG 		Nonextensive O.r. Procedure Unrelated To Principal Diagnosis With Mcc 4 $2,606.00 $28,053.38 $22,841.64 nat. median
$33,847
0.7× median
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 $2,606.00 $23,640.09 $19,152.24 nat. median
$28,136
0.7× median
981
MS_DRG 		Extensive O.r. Procedure Unrelated To Principal Diagnosis With Mcc 4 $2,606.00 $37,404.61 $19,099.48 nat. median
$46,084
outlier · 0.4×
817
MS_DRG 		Other Antepartum Diagnoses With O.r. Procedure With Mcc 4 $2,606.00 $20,821.73 $18,840.63 nat. median
$22,919
0.8× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support Greater Thanor Equal To96 H… 4 $2,606.00 $21,933.08 $18,467.03 nat. median
$26,748
0.7× median
792
MS_DRG 		Prematurity Without Major Problems 3 $16,791.97 $20,183.45 $17,814.19 nat. median
$20,879
0.9× median
982
MS_DRG 		Extensive O.r. Procedure Unrelated To Principal Diagnosis With Cc 4 $2,606.00 $20,173.01 $17,051.08 nat. median
$24,493
0.7× median
350
MS_DRG 		Inguinal And Femoral Hernia Procedures With Mcc 4 $2,606.00 $19,951.77 $16,491.97 nat. median
$24,405
0.7× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 4 $2,606.00 $19,540.71 $16,310.59 nat. median
$24,346
0.7× median
629
MS_DRG 		Other Endocrine Nutritional And Metabolic O.r. Procedures With Cc 4 $2,606.00 $18,684.21 $15,600.03 nat. median
$22,198
0.7× median
415
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 4 $2,606.00 $16,658.82 $14,860.24 nat. median
$20,601
0.7× median
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 $2,606.00 $17,998.12 $14,832.24 nat. median
$22,403
0.7× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 4 $2,606.00 $17,661.80 $14,576.10 nat. median
$21,529
0.7× median
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 4 $2,606.00 $16,950.28 $13,918.18 nat. median
$20,397
0.7× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 4 $2,606.00 $16,741.76 $13,911.01 nat. median
$20,254
0.7× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With… 4 $2,606.00 $16,311.27 $13,790.75 nat. median
$19,476
0.7× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv Less Than96 Hours With Mcc 4 $2,606.00 $16,539.22 $13,778.42 nat. median
$19,635
0.7× median
100
MS_DRG 		Seizures With Mcc 4 $2,606.00 $16,712.63 $13,777.75 nat. median
$19,360
0.7× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedure With Cc 4 $2,606.00 $16,808.27 $13,629.72 nat. median
$20,421
0.7× median
584
MS_DRG 		Breast Biopsy Local Excision And Other Breast Procedures With Ccmcc 4 $2,606.00 $17,176.73 $13,622.38 nat. median
$21,184
0.6× median
789
MS_DRG 		Neonates Died Or Transferred To Another Acute Care Facility 3 $12,588.95 $15,347.17 $13,375.65 nat. median
$16,477
0.8× median
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 4 $2,606.00 $16,516.80 $13,345.43 nat. median
$19,682
0.7× median
196
MS_DRG 		Interstitial Lung Disease With Mcc 4 $2,606.00 $15,956.29 $13,211.51 nat. median
$18,723
0.7× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 $2,606.00 $19,636.38 $13,189.54 nat. median
$23,832
0.6× median
744
MS_DRG 		Dc Conization Laparoscopy And Tubal Interruption With Ccmcc 4 $2,606.00 $16,478.69 $13,127.01 nat. median
$19,900
0.7× median
906
MS_DRG 		Hand Procedures For Injuries 4 $2,606.00 $18,186.46 $13,121.80 nat. median
$20,274
0.6× median
623
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 4 $2,606.00 $16,170.75 $12,990.47 nat. median
$18,744
0.7× median
843
MS_DRG 		Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 4 $2,606.00 $16,025.04 $12,985.28 nat. median
$19,627
0.7× median
559
MS_DRG 		Aftercare Musculoskeletal System And Connective Tissue With Mcc 4 $2,606.00 $15,748.49 $12,919.61 nat. median
$19,049
0.7× median
377
MS_DRG 		G.i. Hemorrhage With Mcc 4 $2,606.00 $15,463.76 $12,528.23 nat. median
$18,249
0.7× median
70
MS_DRG 		Nonspecific Cerebrovascular Disorders With Mcc 4 $2,606.00 $14,870.33 $12,523.05 nat. median
$17,286
0.7× median
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 4 $2,606.00 $15,498.88 $12,521.08 nat. median
$17,987
0.7× median
742
MS_DRG 		Uterine And Adnexa Procedures For Nonmalignancy With Ccmcc 4 $2,606.00 $15,527.27 $12,473.63 nat. median
$18,902
0.7× median
199
MS_DRG 		Pneumothorax With Mcc 4 $2,606.00 $15,068.38 $12,422.90 nat. median
$17,612
0.7× median
783
MS_DRG 		Cesarean Section With Sterilization With Mcc 4 $2,606.00 $15,642.36 $12,407.97 nat. median
$19,235
0.6× median
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 4 $2,606.00 $14,939.09 $12,251.30 nat. median
$17,809
0.7× median
884
MS_DRG 		Organic Disturbances And Intellectual Disability 4 $2,606.00 $14,357.64 $12,244.72 nat. median
$14,856
0.8× median
580
MS_DRG 		Other Skin Subcutaneous Tissue And Breast Procedures With Cc 4 $2,606.00 $15,125.94 $12,244.15 nat. median
$17,923
0.7× median
922
MS_DRG 		Other Injury Poisoning And Toxic Effect Diagnoses With Mcc 4 $2,606.00 $14,501.12 $12,236.06 nat. median
$17,446
0.7× median
786
MS_DRG 		Cesarean Section Without Sterilization With Mcc 4 $2,606.00 $13,951.79 $12,020.92 nat. median
$15,316
0.8× median
571
MS_DRG 		Skin Debridement With Cc 4 $2,606.00 $14,388.27 $11,888.53 nat. median
$17,262
0.7× median

Other procedures at this hospital

Browse this hospital's 2,457 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
             
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 8 3 $40,299.74 $24,179.84 40% off $39,493.75 $46,305.17 $41,787.82 2025-03-05
207 MS_DRG Respiratory System Diagnosis With Ventilator Support Less Than96 Hours 12 4 $40,745.54 $24,447.32 40% off $2,606.00 $50,209.49 $40,338.08 2025-03-05
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 4 $37,250.74 $22,350.44 40% off $2,606.00 $36,193.84 $33,753.51 2025-03-05
988 MS_DRG Nonextensive O.r. Procedure Unrelated To Principal Diagnosis With Cc 10 3 $156,382.89 $93,829.73 40% off $2,606.00 $93,829.73 $31,269.11 2025-03-05
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedure With Mcc 12 4 $30,743.47 $18,446.08 40% off $2,606.00 $39,253.63 $30,436.03 2025-03-05
793 MS_DRG Full Term Neonate With Major Problems 8 3 $28,539.90 $17,123.94 40% off $27,969.10 $33,044.39 $29,617.52 2025-03-05
791 MS_DRG Prematurity With Major Problems 8 3 $27,807.04 $16,684.22 40% off $27,250.90 $32,217.79 $28,858.97 2025-03-05
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 4 $25,182.28 $15,109.37 40% off $2,606.00 $33,187.14 $24,930.46 2025-03-05
335 MS_DRG Peritoneal Adhesiolysis With Mcc 12 4 $24,374.57 $14,624.74 40% off $2,606.00 $28,955.47 $24,130.83 2025-03-05
987 MS_DRG Nonextensive O.r. Procedure Unrelated To Principal Diagnosis With Mcc 12 4 $23,072.37 $13,843.42 40% off $2,606.00 $28,053.38 $22,841.64 2025-03-05
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 12 4 $19,345.69 $11,607.41 40% off $2,606.00 $23,640.09 $19,152.24 2025-03-05
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Mcc 12 4 $18,193.66 $10,916.20 40% off $2,606.00 $37,404.61 $19,099.48 2025-03-05
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedure With Mcc 12 4 $19,395.62 $11,637.37 40% off $2,606.00 $20,821.73 $18,840.63 2025-03-05
208 MS_DRG Respiratory System Diagnosis With Ventilator Support Greater Thanor Equal To96 H… 12 4 $18,653.56 $11,192.14 40% off $2,606.00 $21,933.08 $18,467.03 2025-03-05
792 MS_DRG Prematurity Without Major Problems 8 3 $17,134.66 $10,280.80 40% off $16,791.97 $20,183.45 $17,814.19 2025-03-05
982 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Cc 12 4 $17,223.32 $10,333.99 40% off $2,606.00 $20,173.01 $17,051.08 2025-03-05
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 12 4 $16,658.56 $9,995.14 40% off $2,606.00 $19,951.77 $16,491.97 2025-03-05
330 MS_DRG Major Small And Large Bowel Procedures With Cc 12 4 $16,475.35 $9,885.21 40% off $2,606.00 $19,540.71 $16,310.59 2025-03-05
629 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Cc 12 4 $15,757.60 $9,454.56 40% off $2,606.00 $18,684.21 $15,600.03 2025-03-05
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 12 4 $21,322.64 $12,793.58 40% off $2,606.00 $16,658.82 $14,860.24 2025-03-05
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 12 4 $14,982.06 $8,989.24 40% off $2,606.00 $17,998.12 $14,832.24 2025-03-05
336 MS_DRG Peritoneal Adhesiolysis With Cc 12 4 $14,723.33 $8,834.00 40% off $2,606.00 $17,661.80 $14,576.10 2025-03-05
908 MS_DRG Other O.r. Procedures For Injuries With Cc 12 4 $14,058.77 $8,435.26 40% off $2,606.00 $16,950.28 $13,918.18 2025-03-05
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 12 4 $14,051.53 $8,430.92 40% off $2,606.00 $16,741.76 $13,911.01 2025-03-05
617 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 12 4 $13,930.05 $8,358.03 40% off $2,606.00 $16,311.27 $13,790.75 2025-03-05
871 MS_DRG Septicemia Or Severe Sepsis Without Mv Less Than96 Hours With Mcc 12 4 $13,917.60 $8,350.56 40% off $2,606.00 $16,539.22 $13,778.42 2025-03-05
100 MS_DRG Seizures With Mcc 12 4 $13,916.92 $8,350.15 40% off $2,606.00 $16,712.63 $13,777.75 2025-03-05
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedure With Cc 12 4 $13,767.39 $8,260.43 40% off $2,606.00 $16,808.27 $13,629.72 2025-03-05
584 MS_DRG Breast Biopsy Local Excision And Other Breast Procedures With Ccmcc 12 4 $13,759.98 $8,255.99 40% off $2,606.00 $17,176.73 $13,622.38 2025-03-05
789 MS_DRG Neonates Died Or Transferred To Another Acute Care Facility 8 3 $12,845.87 $7,707.52 40% off $12,588.95 $15,347.17 $13,375.65 2025-03-05
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 12 4 $13,480.23 $8,088.14 40% off $2,606.00 $16,516.80 $13,345.43 2025-03-05
196 MS_DRG Interstitial Lung Disease With Mcc 12 4 $13,344.96 $8,006.98 40% off $2,606.00 $15,956.29 $13,211.51 2025-03-05
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 12 4 $13,322.77 $7,993.66 40% off $2,606.00 $19,636.38 $13,189.54 2025-03-05
744 MS_DRG Dc Conization Laparoscopy And Tubal Interruption With Ccmcc 12 4 $13,259.60 $7,955.76 40% off $2,606.00 $16,478.69 $13,127.01 2025-03-05
906 MS_DRG Hand Procedures For Injuries 12 4 $13,254.34 $7,952.60 40% off $2,606.00 $18,186.46 $13,121.80 2025-03-05
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 12 4 $13,121.68 $7,873.01 40% off $2,606.00 $16,170.75 $12,990.47 2025-03-05
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 12 4 $13,116.44 $7,869.86 40% off $2,606.00 $16,025.04 $12,985.28 2025-03-05
559 MS_DRG Aftercare Musculoskeletal System And Connective Tissue With Mcc 12 4 $13,050.11 $7,830.07 40% off $2,606.00 $15,748.49 $12,919.61 2025-03-05
377 MS_DRG G.i. Hemorrhage With Mcc 12 4 $12,654.78 $7,592.87 40% off $2,606.00 $15,463.76 $12,528.23 2025-03-05
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 12 4 $12,649.54 $7,589.72 40% off $2,606.00 $14,870.33 $12,523.05 2025-03-05
91 MS_DRG Other Disorders Of Nervous System With Mcc 12 4 $12,647.56 $7,588.54 40% off $2,606.00 $15,498.88 $12,521.08 2025-03-05
742 MS_DRG Uterine And Adnexa Procedures For Nonmalignancy With Ccmcc 12 4 $12,599.63 $7,559.78 40% off $2,606.00 $15,527.27 $12,473.63 2025-03-05
199 MS_DRG Pneumothorax With Mcc 12 4 $12,548.39 $7,529.03 40% off $2,606.00 $15,068.38 $12,422.90 2025-03-05
783 MS_DRG Cesarean Section With Sterilization With Mcc 12 4 $12,533.31 $7,519.99 40% off $2,606.00 $15,642.36 $12,407.97 2025-03-05
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 12 4 $12,375.05 $7,425.03 40% off $2,606.00 $14,939.09 $12,251.30 2025-03-05
884 MS_DRG Organic Disturbances And Intellectual Disability 12 4 $12,435.45 $7,461.27 40% off $2,606.00 $14,357.64 $12,244.72 2025-03-05
580 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedures With Cc 12 4 $12,367.83 $7,420.70 40% off $2,606.00 $15,125.94 $12,244.15 2025-03-05
922 MS_DRG Other Injury Poisoning And Toxic Effect Diagnoses With Mcc 12 4 $12,359.66 $7,415.80 40% off $2,606.00 $14,501.12 $12,236.06 2025-03-05
786 MS_DRG Cesarean Section Without Sterilization With Mcc 12 4 $12,386.86 $7,432.12 40% off $2,606.00 $13,951.79 $12,020.92 2025-03-05
571 MS_DRG Skin Debridement With Cc 12 4 $12,008.61 $7,205.17 40% off $2,606.00 $14,388.27 $11,888.53 2025-03-05
177 MS_DRG Respiratory Infections And Inflammations With Mcc 12 4 $12,038.15 $7,222.89 40% off $2,606.00 $13,956.28 $11,852.26 2025-03-05
331 MS_DRG Major Small And Large Bowel Procedures Without Ccmcc 12 4 $11,877.93 $7,126.76 40% off $2,606.00 $14,214.13 $11,759.15 2025-03-05
368 MS_DRG Major Esophageal Disorders With Mcc 12 4 $11,746.60 $7,047.96 40% off $2,606.00 $14,356.15 $11,629.14 2025-03-05
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 4 $11,670.44 $7,002.26 40% off $2,606.00 $13,854.62 $11,553.74 2025-03-05
983 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis Without Ccmcc 12 4 $11,636.27 $6,981.76 40% off $2,606.00 $14,342.69 $11,519.91 2025-03-05
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 12 4 $11,632.99 $6,979.79 40% off $2,606.00 $14,269.44 $11,516.66 2025-03-05
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 12 4 $11,378.20 $6,826.92 40% off $2,606.00 $14,129.67 $11,264.42 2025-03-05
280 MS_DRG Acute Myocardial Infarction Discharged Alive With Mcc 12 4 $11,316.46 $6,789.88 40% off $2,606.00 $14,142.38 $11,203.29 2025-03-05
299 MS_DRG Peripheral Vascular Disorders With Mcc 12 4 $11,248.83 $6,749.30 40% off $2,606.00 $13,964.51 $11,136.34 2025-03-05
183 MS_DRG Major Chest Trauma With Mcc 12 4 $11,237.67 $6,742.60 40% off $2,606.00 $13,738.04 $11,125.30 2025-03-05
393 MS_DRG Other Digestive System Diagnoses With Mcc 12 4 $11,209.72 $6,725.83 40% off $2,606.00 $14,251.50 $11,097.62 2025-03-05
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 12 4 $11,154.93 $6,692.96 40% off $2,606.00 $13,602.77 $11,043.38 2025-03-05
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 4 $11,281.65 $6,768.99 40% off $2,606.00 $12,805.31 $10,914.40 2025-03-05
154 MS_DRG Other Ear Nose Mouth And Throat Diagnoses With Mcc 12 4 $10,999.30 $6,599.58 40% off $2,606.00 $14,029.53 $10,889.31 2025-03-05
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 12 4 $11,015.07 $6,609.04 40% off $2,606.00 $13,001.12 $10,880.26 2025-03-05
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 12 4 $10,990.11 $6,594.07 40% off $2,606.00 $13,066.15 $10,880.21 2025-03-05
398 MS_DRG Lymphocyte Depleted Hodgkin Lymphoma Unspecified Site 12 4 $10,835.79 $6,501.47 40% off $2,606.00 $13,184.24 $10,727.43 2025-03-05
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 12 4 $10,833.80 $6,500.28 40% off $2,606.00 $13,426.38 $10,725.46 2025-03-05
794 MS_DRG Neonate With Other Significant Problems 10 4 $10,682.11 $6,409.27 40% off $6,816.85 $12,907.71 $10,682.11 2025-03-05
682 MS_DRG Renal Failure With Mcc 12 4 $10,753.70 $6,452.22 40% off $2,606.00 $13,099.79 $10,646.17 2025-03-05
337 MS_DRG Peritoneal Adhesiolysis Without Ccmcc 12 4 $10,724.79 $6,434.87 40% off $2,606.00 $13,347.91 $10,617.54 2025-03-05
602 MS_DRG Cellulitis With Mcc 12 4 $10,666.36 $6,399.82 40% off $2,606.00 $12,855.38 $10,559.69 2025-03-05
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedure 12 4 $11,036.72 $6,622.03 40% off $2,606.00 $12,259.73 $10,525.52 2025-03-05
757 MS_DRG Infections Female Reproductive System With Mcc 12 4 $10,693.28 $6,415.97 40% off $2,606.00 $12,452.55 $10,452.26 2025-03-05
G0372 HCPCS 90375 Rabies Immune Globulin Igg 16 4 $17,867.00 $10,720.20 40% off $46.40 $10,362.86 $10,362.86 2025-03-05
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 12 4 $10,456.87 $6,274.12 40% off $2,606.00 $13,119.23 $10,352.30 2025-03-05
637 MS_DRG Diabetes With Mcc 12 4 $10,415.51 $6,249.31 40% off $2,606.00 $12,758.99 $10,311.35 2025-03-05
811 MS_DRG Red Blood Cell Disorders With Mcc 12 4 $10,115.39 $6,069.23 40% off $2,606.00 $12,389.77 $10,014.24 2025-03-05
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 12 4 $10,111.45 $6,066.87 40% off $2,606.00 $12,406.21 $10,010.33 2025-03-05
885 MS_DRG Psychoses 12 4 $9,871.13 $5,922.68 40% off $2,606.00 $12,409.94 $9,772.42 2025-03-05
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 12 4 $9,850.09 $5,910.05 40% off $2,606.00 $11,847.92 $9,741.14 2025-03-05
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Ccmcc 12 4 $9,846.16 $5,907.70 40% off $2,606.00 $11,838.96 $9,734.80 2025-03-05
836 MS_DRG Acute Leukemia Without Major O.r. Procedure Without Ccmcc 12 4 $10,169.90 $6,101.94 40% off $2,606.00 $11,371.83 $9,663.24 2025-03-05
J1459 HCPCS Immune Globulin Human Privigen 10% Intravenous 40 Gm 400 Ml [echa] 34 4 $13,320.00 $7,992.00 40% off $2,414.72 $23,908.00 $9,658.88 2025-03-05
581 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedures Without Ccmcc 12 4 $9,741.75 $5,845.05 40% off $2,606.00 $12,631.17 $9,644.33 2025-03-05
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 12 4 $9,609.75 $5,765.85 40% off $2,606.00 $11,723.10 $9,513.65 2025-03-05
909 MS_DRG Other O.r. Procedures For Injuries Without Ccmcc 12 4 $9,804.78 $5,882.87 40% off $2,606.00 $11,353.89 $9,475.49 2025-03-05
640 MS_DRG Miscellaneous Disorders Of Nutrition Metabolism Fluids And Electrolytes With Mcc 12 4 $9,534.90 $5,720.94 40% off $2,606.00 $11,800.08 $9,439.55 2025-03-05
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Ccmcc 12 4 $9,521.78 $5,713.07 40% off $2,606.00 $11,722.36 $9,426.56 2025-03-05
540 MS_DRG Osteomyelitis With Cc 12 4 $9,423.26 $5,653.96 40% off $2,606.00 $11,546.72 $9,329.03 2025-03-05
291 MS_DRG Heart Failure And Shock With Mcc 12 4 $9,329.34 $5,597.60 40% off $2,606.00 $11,626.70 $9,236.05 2025-03-05
358 MS_DRG Other Digestive System O.r. Procedures Without Ccmcc 12 4 $9,310.98 $5,586.59 40% off $2,606.00 $12,002.63 $9,217.87 2025-03-05
642 MS_DRG Inborn And Other Disorders Of Metabolism 12 4 $9,456.75 $5,674.05 40% off $2,606.00 $11,150.62 $9,204.78 2025-03-05
391 MS_DRG Esophagitis Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 12 4 $9,275.52 $5,565.31 40% off $2,606.00 $11,474.97 $9,182.76 2025-03-05
346 MS_DRG Minor Small And Large Bowel Procedures Without Ccmcc 12 4 $9,354.95 $5,612.97 40% off $2,606.00 $11,182.01 $9,170.36 2025-03-05
813 MS_DRG Coagulation Disorders 12 4 $9,204.24 $5,522.54 40% off $2,606.00 $13,444.32 $9,112.20 2025-03-05
947 MS_DRG Signs And Symptoms With Mcc 12 4 $9,117.23 $5,470.34 40% off $2,606.00 $11,487.68 $9,026.06 2025-03-05
887 MS_DRG Other Mental Disorder Diagnoses 12 4 $9,406.18 $5,643.71 40% off $2,606.00 $10,764.21 $8,989.59 2025-03-05
189 MS_DRG Pulmonary Edema And Respiratory Failure 12 4 $8,988.53 $5,393.12 40% off $2,606.00 $11,122.97 $8,898.65 2025-03-05
121 MS_DRG Acute Major Eye Infections With Ccmcc 12 4 $9,311.62 $5,586.97 40% off $2,606.00 $10,568.42 $8,846.76 2025-03-05
593 MS_DRG Skin Ulcers With Cc 12 4 $8,843.41 $5,306.05 40% off $2,606.00 $11,013.09 $8,754.98 2025-03-05
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 12 4 $8,807.31 $5,284.39 40% off $2,606.00 $11,131.18 $8,719.24 2025-03-05
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 12 4 $8,792.85 $5,275.71 40% off $2,606.00 $10,887.54 $8,704.92 2025-03-05
J1561 HCPCS Immune Globulin 10% Sol 30 G300 Ml [echa] 46 4 $11,599.20 $6,959.52 40% off $2,169.50 $14,408.94 $8,678.00 2025-03-05
546 MS_DRG Connective Tissue Disorders With Cc 12 4 $8,773.79 $5,264.27 40% off $2,606.00 $10,527.29 $8,562.97 2025-03-05
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 12 4 $8,610.29 $5,166.17 40% off $2,606.00 $10,621.46 $8,524.19 2025-03-05
743 MS_DRG Uterine And Adnexa Procedures For Nonmalignancy Without Ccmcc 12 4 $8,528.86 $5,117.32 40% off $2,606.00 $10,833.73 $8,443.57 2025-03-05
768 MS_DRG Vaginal Delivery With O.r. Proc Except Steril Or Dc 12 4 $8,897.26 $5,338.36 40% off $2,606.00 $10,068.39 $8,397.33 2025-03-05
964 MS_DRG Other Multiple Significant Trauma With Cc 12 4 $8,480.05 $5,088.03 40% off $2,606.00 $13,086.33 $8,395.25 2025-03-05
304 MS_DRG Hypertension With Mcc 12 4 $8,443.49 $5,066.09 40% off $2,606.00 $10,655.09 $8,359.06 2025-03-05
572 MS_DRG Skin Debridement Without Ccmcc 12 4 $8,381.76 $5,029.06 40% off $2,606.00 $10,412.94 $8,297.94 2025-03-05
560 MS_DRG Aftercare Musculoskeletal System And Connective Tissue With Cc 12 4 $8,332.53 $4,999.52 40% off $2,606.00 $10,385.30 $8,249.20 2025-03-05
399 MS_DRG Lymphocyte Depleted Hodgkin Lymphoma Unspecified Site 12 4 $8,207.76 $4,924.66 40% off $2,606.00 $10,273.93 $8,125.68 2025-03-05
89 MS_DRG Concussion With Cc 12 4 $8,449.42 $5,069.65 40% off $2,606.00 $9,887.53 $8,088.76 2025-03-05
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Ccmcc 12 4 $8,180.81 $4,908.49 40% off $2,606.00 $10,115.48 $8,069.47 2025-03-05
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 12 4 $8,134.86 $4,880.92 40% off $2,606.00 $10,267.96 $8,053.51 2025-03-05
445 MS_DRG Disorders Of The Biliary Tract With Cc 12 4 $8,035.03 $4,821.02 40% off $2,606.00 $9,980.21 $7,931.38 2025-03-05
989 MS_DRG Nonextensive O.r. Procedure Unrelated To Principal Diagnosis Without Ccmcc 12 4 $7,992.35 $4,795.41 40% off $2,606.00 $10,510.84 $7,912.43 2025-03-05
200 MS_DRG Pneumothorax With Cc 12 4 $7,970.68 $4,782.41 40% off $2,606.00 $10,152.11 $7,890.98 2025-03-05
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedure With Mcc 12 4 $7,959.51 $4,775.71 40% off $2,606.00 $10,477.21 $7,879.91 2025-03-05
55 MS_DRG Nervous System Neoplasms Without Mcc 12 4 $7,945.74 $4,767.44 40% off $2,606.00 $10,028.79 $7,866.28 2025-03-05
381 MS_DRG Complicated Peptic Ulcer With Cc 12 4 $7,944.42 $4,766.65 40% off $2,606.00 $10,014.60 $7,864.98 2025-03-05
949 MS_DRG Aftercare With Ccmcc 12 4 $7,943.11 $4,765.87 40% off $2,606.00 $9,939.10 $7,863.68 2025-03-05
300 MS_DRG Peripheral Vascular Disorders With Cc 12 4 $7,905.02 $4,743.01 40% off $2,606.00 $9,876.32 $7,816.48 2025-03-05
842 MS_DRG Lymphoma And Nonacute Leukemia Without Ccmcc 12 4 $7,901.08 $4,740.65 40% off $2,606.00 $9,736.56 $7,745.68 2025-03-05
178 MS_DRG Respiratory Infections And Inflammations With Cc 12 4 $8,642.15 $5,185.29 40% off $2,606.00 $9,289.64 $7,733.17 2025-03-05
787 MS_DRG Cesarean Section Without Sterilization With Cc 12 4 $7,800.60 $4,680.36 40% off $2,606.00 $9,810.56 $7,722.60 2025-03-05
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 12 4 $7,762.52 $4,657.51 40% off $2,606.00 $9,742.54 $7,680.73 2025-03-05
644 MS_DRG Endocrine Disorders With Cc 12 4 $7,870.20 $4,722.12 40% off $2,606.00 $9,598.31 $7,662.41 2025-03-05
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 12 4 $7,668.61 $4,601.17 40% off $2,606.00 $9,870.36 $7,591.92 2025-03-05
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 12 4 $7,742.81 $4,645.69 40% off $2,606.00 $9,567.65 $7,584.89 2025-03-05
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 12 4 $7,637.08 $4,582.25 40% off $2,606.00 $9,665.56 $7,560.71 2025-03-05
92 MS_DRG Other Disorders Of Nervous System With Cc 12 4 $7,636.43 $4,581.86 40% off $2,606.00 $9,787.39 $7,560.07 2025-03-05
872 MS_DRG Septicemia Or Severe Sepsis Without Mv Less Than96 Hours Without Mcc 12 4 $7,661.38 $4,596.83 40% off $2,606.00 $9,580.37 $7,551.25 2025-03-05
784 MS_DRG Cesarean Section With Sterilization With Cc 12 4 $7,623.30 $4,573.98 40% off $2,606.00 $9,969.00 $7,547.07 2025-03-05
920 MS_DRG Complications Of Treatment With Cc 12 4 $7,686.99 $4,612.19 40% off $2,606.00 $9,467.51 $7,508.18 2025-03-05
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 12 4 $7,601.63 $4,560.98 40% off $2,606.00 $9,497.41 $7,481.09 2025-03-05
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 12 4 $7,572.73 $4,543.64 40% off $2,606.00 $9,474.98 $7,455.89 2025-03-05
923 MS_DRG Other Injury Poisoning And Toxic Effect Diagnoses Without Mcc 12 4 $7,539.90 $4,523.94 40% off $2,606.00 $9,497.41 $7,450.84 2025-03-05
78 MS_DRG Hypertensive Encephalopathy With Cc 12 4 $7,576.03 $4,545.62 40% off $2,606.00 $9,332.98 $7,387.52 2025-03-05
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 12 4 $7,461.08 $4,476.65 40% off $2,606.00 $9,495.90 $7,386.47 2025-03-05
805 MS_DRG Vaginal Delivery Without Sterilizationdc With Mcc 12 4 $7,518.89 $4,511.33 40% off $2,606.00 $9,333.74 $7,359.89 2025-03-05
863 MS_DRG Postoperative And Posttraumatic Infections Without Mcc 12 4 $7,501.16 $4,500.70 40% off $2,606.00 $9,347.93 $7,358.20 2025-03-05
369 MS_DRG Major Esophageal Disorders With Cc 12 4 $7,388.20 $4,432.92 40% off $2,606.00 $9,480.23 $7,314.32 2025-03-05
197 MS_DRG Interstitial Lung Disease With Cc 12 4 $7,448.62 $4,469.17 40% off $2,606.00 $9,273.93 $7,295.99 2025-03-05
378 MS_DRG G.i. Hemorrhage With Cc 12 4 $7,358.65 $4,415.19 40% off $2,606.00 $9,243.30 $7,236.81 2025-03-05
386 MS_DRG Inflammatory Bowel Disease With Cc 12 4 $7,278.55 $4,367.13 40% off $2,606.00 $9,292.62 $7,205.76 2025-03-05
551 MS_DRG Medical Back Problems With Mcc 12 4 $5,757.58 $3,454.55 40% off $2,606.00 $14,628.16 $7,187.33 2025-03-05
552 MS_DRG Medical Back Problems Without Mcc 12 4 $7,243.74 $4,346.24 40% off $2,606.00 $9,078.13 $7,099.11 2025-03-05
315 MS_DRG Other Circulatory System Diagnoses With Cc 12 4 $7,250.30 $4,350.18 40% off $2,606.00 $9,066.92 $7,096.80 2025-03-05
202 MS_DRG Bronchitis And Asthma With Ccmcc 12 4 $7,185.95 $4,311.57 40% off $2,606.00 $9,099.81 $7,081.47 2025-03-05
779 MS_DRG Abortion Without Dc 12 4 $7,394.12 $4,436.47 40% off $2,606.00 $8,861.39 $7,065.99 2025-03-05
442 MS_DRG Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis With Cc 12 4 $7,146.55 $4,287.93 40% off $2,606.00 $9,096.07 $7,060.32 2025-03-05
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 12 4 $7,166.90 $4,300.14 40% off $2,606.00 $9,039.27 $7,042.31 2025-03-05
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 12 4 $7,050.88 $4,230.53 40% off $2,606.00 $9,751.52 $6,980.37 2025-03-05
155 MS_DRG Other Ear Nose Mouth And Throat Diagnoses With Cc 12 4 $7,114.38 $4,268.63 40% off $2,606.00 $8,852.40 $6,924.49 2025-03-05
394 MS_DRG Other Digestive System Diagnoses With Cc 12 4 $7,050.67 $4,230.40 40% off $2,606.00 $8,909.95 $6,921.64 2025-03-05
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Ccmcc 12 4 $7,405.93 $4,443.56 40% off $2,606.00 $8,540.75 $6,913.77 2025-03-05
605 MS_DRG Trauma To The Skin Subcutaneous Tissue And Breast Without Mcc 12 4 $6,866.16 $4,119.70 40% off $2,606.00 $8,778.43 $6,766.41 2025-03-05
101 MS_DRG Seizures Without Mcc 12 4 $6,871.40 $4,122.84 40% off $2,606.00 $8,763.48 $6,761.60 2025-03-05
812 MS_DRG Red Blood Cell Disorders Without Mcc 12 4 $6,812.95 $4,087.77 40% off $2,606.00 $8,772.44 $6,737.39 2025-03-05
914 MS_DRG Traumatic Injury Without Mcc 12 4 $6,858.91 $4,115.35 40% off $2,606.00 $8,723.87 $6,735.97 2025-03-05
881 MS_DRG Depressive Neuroses 12 4 $6,851.04 $4,110.62 40% off $2,606.00 $8,706.68 $6,723.64 2025-03-05
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 12 4 $6,897.02 $4,138.21 40% off $2,606.00 $8,644.65 $6,715.60 2025-03-05
638 MS_DRG Diabetes With Cc 12 4 $6,804.42 $4,082.65 40% off $2,606.00 $8,729.86 $6,712.22 2025-03-05
747 MS_DRG Vagina Cervix And Vulva Procedures Without Ccmcc 12 4 $6,724.31 $4,034.59 40% off $2,606.00 $9,013.85 $6,657.07 2025-03-05
563 MS_DRG Fracture Sprain Strain And Dislocation Except Femur Hip Pelvis And Thigh Without… 12 4 $6,779.47 $4,067.68 40% off $2,606.00 $8,554.96 $6,613.81 2025-03-05
683 MS_DRG Renal Failure With Cc 12 4 $6,813.62 $4,088.17 40% off $2,606.00 $8,518.34 $6,612.50 2025-03-05
J9228 HCPCS Ipilimumab 200 Mg 40 Ml [echa] 26 4 $172,168.98 $103,301.39 40% off $1,636.60 $103,301.39 $6,546.40 2025-03-05
603 MS_DRG Cellulitis Without Mcc 12 4 $6,707.88 $4,024.73 40% off $2,606.00 $8,457.80 $6,530.85 2025-03-05
607 MS_DRG Minor Skin Disorders Without Mcc 12 4 $6,765.66 $4,059.40 40% off $2,606.00 $8,333.73 $6,498.02 2025-03-05
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 12 4 $35,243.13 $21,145.88 40% off $2,606.00 $7,981.72 $6,468.22 2025-03-05
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 12 4 $6,648.79 $3,989.27 40% off $2,606.00 $8,374.10 $6,460.64 2025-03-05
558 MS_DRG Tendonitis Myositis And Bursitis Without Mcc 12 4 $6,666.52 $3,999.91 40% off $2,606.00 $8,330.75 $6,447.97 2025-03-05
788 MS_DRG Cesarean Section Without Sterilization Without Ccmcc 12 4 $6,512.86 $3,907.72 40% off $2,606.00 $8,636.44 $6,447.73 2025-03-05
785 MS_DRG Cesarean Section With Sterilization Without Ccmcc 12 4 $6,587.05 $3,952.23 40% off $2,606.00 $8,403.24 $6,444.76 2025-03-05
897 MS_DRG Alcohol Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 12 4 $6,516.79 $3,910.07 40% off $2,606.00 $8,468.26 $6,442.37 2025-03-05
312 MS_DRG Syncope And Collapse 12 4 $6,568.67 $3,941.20 40% off $2,606.00 $8,386.79 $6,427.65 2025-03-05
541 MS_DRG Osteomyelitis Without Ccmcc 12 4 $6,531.89 $3,919.13 40% off $2,606.00 $8,413.69 $6,422.88 2025-03-05
388 MS_DRG G.i. Obstruction With Mcc 12 4 $5,048.33 $3,029.00 40% off $2,606.00 $12,860.64 $6,390.82 2025-03-05
292 MS_DRG Heart Failure And Shock With Cc 12 4 $6,522.72 $3,913.63 40% off $2,606.00 $8,311.32 $6,367.94 2025-03-05
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 3 $6,431.69 $3,859.01 40% off $2,606.00 $15,875.28 $6,367.38 2025-03-05
819 MS_DRG Other Antepartum Diagnoses With O.r. Procedure Without Ccmcc 12 4 $6,855.64 $4,113.38 40% off $2,606.00 $7,977.23 $6,366.43 2025-03-05
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 12 4 $6,514.17 $3,908.50 40% off $2,606.00 $8,303.84 $6,360.06 2025-03-05
845 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 12 4 $6,577.87 $3,946.72 40% off $2,606.00 $8,128.96 $6,305.09 2025-03-05
103 MS_DRG Headaches Without Mcc 12 4 $6,430.10 $3,858.06 40% off $2,606.00 $8,229.11 $6,282.03 2025-03-05
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 12 4 $6,347.45 $3,808.47 40% off $2,606.00 $8,295.61 $6,274.32 2025-03-05
770 MS_DRG Abortion With Dc Aspiration Curettage Or Hysterotomy 12 4 $6,143.15 $3,685.89 40% off $2,606.00 $9,916.69 $6,202.25 2025-03-05
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 12 4 $6,294.84 $3,776.90 40% off $2,606.00 $8,112.52 $6,158.30 2025-03-05
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 12 4 $6,297.46 $3,778.48 40% off $2,606.00 $8,003.39 $6,105.82 2025-03-05
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 12 4 $6,311.90 $3,787.14 40% off $2,606.00 $7,977.23 $6,100.00 2025-03-05
204 MS_DRG Respiratory Signs And Symptoms 12 4 $6,302.06 $3,781.24 40% off $2,606.00 $7,936.12 $6,074.93 2025-03-05
176 MS_DRG Pulmonary Embolism Without Mcc 12 4 $6,254.12 $3,752.47 40% off $2,606.00 $7,962.27 $6,064.32 2025-03-05
375 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Ccmcc 12 4 $5,270.25 $3,162.15 40% off $2,606.00 $11,057.93 $6,051.11 2025-03-05
125 MS_DRG Other Disorders Of The Eye Without Mcc 12 4 $6,135.26 $3,681.16 40% off $2,606.00 $8,046.00 $6,047.33 2025-03-05
534 MS_DRG Fractures Of Femur Without Mcc 12 4 $6,217.33 $3,730.40 40% off $2,606.00 $7,958.55 $6,044.45 2025-03-05
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 12 4 $6,196.98 $3,718.19 40% off $2,606.00 $7,873.36 $5,992.49 2025-03-05
561 MS_DRG Aftercare Musculoskeletal System And Connective Tissue Without Ccmcc 12 4 $6,021.66 $3,613.00 40% off $2,606.00 $7,985.45 $5,961.44 2025-03-05
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 12 4 $6,066.97 $3,640.18 40% off $2,606.00 $7,935.38 $5,959.36 2025-03-05
69 MS_DRG Transient Ischemia Without Thrombolytic 12 4 $6,143.15 $3,685.89 40% off $2,606.00 $7,854.66 $5,956.91 2025-03-05
446 MS_DRG Disorders Of The Biliary Tract Without Ccmcc 12 4 $6,161.52 $3,696.91 40% off $2,606.00 $7,833.74 $5,955.60 2025-03-05
389 MS_DRG G.i. Obstruction With Cc 12 4 $6,128.05 $3,676.83 40% off $2,606.00 $7,865.86 $5,955.04 2025-03-05
948 MS_DRG Signs And Symptoms Without Mcc 12 4 $6,158.24 $3,694.94 40% off $2,606.00 $7,812.80 $5,943.68 2025-03-05
J7121 HCPCS Dextrose 5% Lactated Ringers 1000 Ml [echa] 14 4 $4.86 $2.92 40% off $5,860.00 $5,860.00 $5,860.00 2025-03-05
594 MS_DRG Skin Ulcers Without Ccmcc 12 4 $5,901.93 $3,541.16 40% off $2,606.00 $8,217.88 $5,842.91 2025-03-05
392 MS_DRG Esophagitis Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 12 4 $6,057.12 $3,634.27 40% off $2,606.00 $7,706.69 $5,841.83 2025-03-05
93 MS_DRG Other Disorders Of Nervous System Without Ccmcc 12 4 $5,983.56 $3,590.14 40% off $2,606.00 $7,773.95 $5,838.93 2025-03-05
694 MS_DRG Urinary Stones Without Mcc 12 4 $6,038.07 $3,622.84 40% off $2,606.00 $7,714.89 $5,836.55 2025-03-05
281 MS_DRG Acute Myocardial Infarction Discharged Alive With Cc 12 4 $5,894.28 $3,536.57 40% off $2,606.00 $8,764.24 $5,835.34 2025-03-05
641 MS_DRG Miscellaneous Disorders Of Nutrition Metabolism Fluids And Electrolytes Without … 12 4 $6,029.53 $3,617.72 40% off $2,606.00 $7,714.89 $5,832.36 2025-03-05
645 MS_DRG Endocrine Disorders Without Ccmcc 12 4 $5,894.92 $3,536.95 40% off $2,606.00 $7,694.72 $5,756.46 2025-03-05
185 MS_DRG Major Chest Trauma Without Ccmcc 12 4 $5,860.77 $3,516.46 40% off $2,606.00 $7,687.25 $5,736.05 2025-03-05
179 MS_DRG Respiratory Infections And Inflammations Without Ccmcc 12 4 $5,910.67 $3,546.40 40% off $2,606.00 $7,627.47 $5,731.03 2025-03-05
570 MS_DRG Skin Debridement With Mcc 8 3 $5,757.02 $3,454.21 40% off $2,606.00 $13,489.27 $5,699.45 2025-03-05
382 MS_DRG Complicated Peptic Ulcer Without Ccmcc 12 4 $5,869.97 $3,521.98 40% off $2,606.00 $7,474.99 $5,635.95 2025-03-05
305 MS_DRG Hypertension Without Mcc 12 4 $5,846.32 $3,507.79 40% off $2,606.00 $7,485.46 $5,629.52 2025-03-05
149 MS_DRG Dysequilibrium 12 4 $5,788.54 $3,473.12 40% off $2,606.00 $7,461.53 $5,589.43 2025-03-05
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedure With Cc 12 4 $5,742.57 $3,445.54 40% off $2,606.00 $7,460.79 $5,566.53 2025-03-05
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 12 4 $5,788.54 $3,473.12 40% off $2,606.00 $7,400.25 $5,559.23 2025-03-05
188 MS_DRG Pleural Effusion Without Ccmcc 12 4 $5,800.35 $3,480.21 40% off $2,606.00 $7,362.14 $5,546.23 2025-03-05
806 MS_DRG Vaginal Delivery Without Sterilizationdc With Cc 12 4 $5,801.67 $3,481.00 40% off $2,606.00 $7,282.91 $5,507.84 2025-03-05
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 12 4 $5,420.94 $3,252.56 40% off $2,606.00 $8,486.19 $5,483.52 2025-03-05
282 MS_DRG Acute Myocardial Infarction Discharged Alive Without Ccmcc 12 4 $5,613.85 $3,368.31 40% off $2,606.00 $7,294.13 $5,421.33 2025-03-05
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 12 4 $5,603.34 $3,362.00 40% off $2,606.00 $7,296.37 $5,417.28 2025-03-05
313 MS_DRG Chest Pain 12 4 $5,649.96 $3,389.98 40% off $2,606.00 $7,206.68 $5,395.93 2025-03-05
864 MS_DRG Fever And Inflammatory Conditions 12 4 $5,192.20 $3,115.32 40% off $2,606.00 $8,586.34 $5,394.18 2025-03-05
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedure 12 4 $5,604.66 $3,362.80 40% off $2,606.00 $7,207.44 $5,374.10 2025-03-05
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Ccmcc 12 4 $5,549.49 $3,329.69 40% off $2,606.00 $7,063.18 $5,275.99 2025-03-05
311 MS_DRG Angina Pectoris 12 4 $5,482.53 $3,289.52 40% off $2,606.00 $7,093.83 $5,258.28 2025-03-05
301 MS_DRG Peripheral Vascular Disorders Without Ccmcc 12 4 $5,337.48 $3,202.49 40% off $2,606.00 $7,206.68 $5,242.81 2025-03-05
203 MS_DRG Bronchitis And Asthma Without Ccmcc 12 4 $5,461.50 $3,276.90 40% off $2,606.00 $7,081.13 $5,241.72 2025-03-05
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 12 4 $5,443.13 $3,265.88 40% off $2,606.00 $7,045.24 $5,215.03 2025-03-05
201 MS_DRG Pneumothorax Without Ccmcc 12 4 $5,535.05 $3,321.03 40% off $2,606.00 $6,935.38 $5,205.94 2025-03-05
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Ccmcc 12 4 $5,412.91 $3,247.75 40% off $2,606.00 $7,019.08 $5,187.34 2025-03-05
72 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 12 4 $5,182.90 $3,109.74 40% off $2,606.00 $7,481.71 $5,131.07 2025-03-05
58554 HCPCS 58554 Laparoscopy Surgical With Vaginal Hysterectomy For Uterus Greater Than 250… 14 4 $1,899.00 $1,139.40 40% off $1,101.42 $9,158.62 $5,130.02 2025-03-05
387 MS_DRG Inflammatory Bowel Disease Without Ccmcc 12 4 $5,390.58 $3,234.35 40% off $2,606.00 $6,884.56 $5,110.10 2025-03-05
58553 HCPCS 58553 Laparoscopy Surgical With Vaginal Hysterectomy For Uterus Greater Than 250… 14 4 $1,631.00 $978.60 40% off $945.98 $9,158.62 $5,052.30 2025-03-05
303 MS_DRG Atherosclerosis Without Mcc 12 4 $5,219.85 $3,131.91 40% off $2,606.00 $6,900.25 $5,034.17 2025-03-05
916 MS_DRG Allergic Reactions Without Mcc 12 4 $5,224.44 $3,134.66 40% off $2,606.00 $6,838.21 $5,005.85 2025-03-05
58552 HCPCS 58552 Laparoscopy Surgical With Vaginal Hysterectomy For Uterus 250 G Or Less 14 4 $1,419.00 $851.40 40% off $823.02 $9,158.62 $4,990.82 2025-03-05
J1162 HCPCS Digoxin Immune Fab Ovine 40 Mg 1 Ea [echa] 14 4 $21,834.00 $13,100.40 40% off $4,293.36 $4,968.58 $4,968.58 2025-03-05
58674 HCPCS 58674 Laps Surgical Ablation Of Uterine Fibroids Including Intraoperative Ultras… 14 4 $1,179.00 $707.40 40% off $683.82 $9,158.62 $4,921.22 2025-03-05
807 MS_DRG Vaginal Delivery Without Sterilizationdc Without Ccmcc 12 4 $5,194.89 $3,116.93 40% off $2,606.00 $6,637.93 $4,892.67 2025-03-05
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Ccmcc 12 4 $5,112.81 $3,067.69 40% off $2,606.00 $6,711.90 $4,888.91 2025-03-05
759 MS_DRG Infections Female Reproductive System Without Ccmcc 12 4 $5,141.71 $3,085.03 40% off $2,606.00 $6,658.10 $4,876.56 2025-03-05
395 MS_DRG Other Digestive System Diagnoses Without Ccmcc 12 4 $5,150.26 $3,090.16 40% off $2,606.00 $6,631.20 $4,867.49 2025-03-05
J1568 HCPCS Immune Globulin Human Octagam 10% Intravenous 20 Gm 200 Ml [echa] 38 4 $3,050.10 $1,830.06 40% off $2,332.40 $10,702.00 $4,831.40 2025-03-05
379 MS_DRG G.i. Hemorrhage Without Ccmcc 12 4 $5,056.34 $3,033.80 40% off $2,606.00 $6,633.44 $4,822.57 2025-03-05
639 MS_DRG Diabetes Without Ccmcc 12 4 $4,986.06 $2,991.64 40% off $2,606.00 $6,557.96 $4,750.94 2025-03-05
195 MS_DRG Simple Pneumonia And Pleurisy Without Ccmcc 12 4 $5,006.42 $3,003.85 40% off $2,606.00 $6,528.82 $4,746.55 2025-03-05
761 MS_DRG Menstrual And Other Female Reproductive System Disorders Without Ccmcc 12 4 $4,875.09 $2,925.05 40% off $2,606.00 $6,612.54 $4,723.45 2025-03-05
950 MS_DRG Aftercare Without Ccmcc 12 4 $5,091.81 $3,055.09 40% off $2,606.00 $6,255.26 $4,710.30 2025-03-05
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Ccmcc 12 4 $4,940.75 $2,964.45 40% off $2,606.00 $6,472.01 $4,690.47 2025-03-05
684 MS_DRG Renal Failure Without Ccmcc 12 4 $4,894.13 $2,936.48 40% off $2,606.00 $6,414.46 $4,653.24 2025-03-05
P9047 HCPCS Albumin Human 25 % 100 Ml Intravenous Solution [echa] 16 4 $864.00 $518.40 40% off $2,300.50 $4,601.00 $4,601.00 2025-03-05
951 MS_DRG Other Factors Influencing Health Status 12 4 $4,772.65 $2,863.59 40% off $2,606.00 $6,112.51 $4,518.23 2025-03-05
J1569 HCPCS Immune Globulin Human Gammagard 10% Intravenous Subcutaneous 10 G100 Ml [echa] 26 4 $7,837.80 $4,702.68 40% off $241.57 $4,553.08 $4,500.00 2025-03-05
293 MS_DRG Heart Failure And Shock Without Ccmcc 12 4 $4,585.49 $2,751.29 40% off $2,606.00 $5,975.75 $4,392.33 2025-03-05
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Ccmcc 12 4 $4,529.68 $2,717.81 40% off $2,606.00 $6,056.47 $4,385.16 2025-03-05
390 MS_DRG G.i. Obstruction Without Ccmcc 12 4 $4,569.08 $2,741.45 40% off $2,606.00 $5,964.54 $4,381.49 2025-03-05
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedure Without Ccmcc 12 4 $4,259.12 $2,555.47 40% off $2,606.00 $5,759.76 $4,178.41 2025-03-05
J9055 HCPCS Cetuximab 100 Mg 50 Ml [echa] 24 4 $3,408.28 $2,044.97 40% off $3,340.11 $7,555.80 $3,777.90 2025-03-05
15273 HCPCS 15273 Application High Cost Graft Legs 1st 100 Sq Cm Or Less Wound Less Than 100… 14 4 $6,670.00 $4,002.00 40% off $923.00 $3,220.51 $3,220.51 2025-03-05
49615 HCPCS 49615 Anterior Abd Hernia Rpr Recurring 310 Reducible 14 4 $1,440.00 $864.00 40% off $835.20 $5,489.03 $3,162.11 2025-03-05
44180 HCPCS 44180 Lap Enterolysis 14 4 $2,040.00 $1,224.00 40% off $1,183.20 $5,132.41 $3,157.80 2025-03-05
59151 HCPCS 59151 Laparoscopic Treatment Of Ectopic Pregnancy With Salpingectomy Andor Oopho… 14 4 $1,952.00 $1,171.20 40% off $1,132.16 $5,132.41 $3,132.28 2025-03-05
32550 HCPCS 32550Insertion Tunneled Pleural Cath 12 4 $8,379.00 $5,027.40 40% off $217.00 $5,278.77 $3,104.47 2025-03-05
G0439 HCPCS 90399 Unlisted Immune Globulin 16 4 $5,285.00 $3,171.00 40% off $89.32 $3,065.30 $3,065.30 2025-03-05
49594 HCPCS 49594 Repaid Anterior Abdominal Hernia 310cm Incarcerated Or Strangulated 14 4 $1,650.00 $990.00 40% off $957.00 $5,132.41 $3,044.70 2025-03-05
58661 HCPCS 58661 Laparoscopy Surgical With Removal Of Adnexal Structures 14 4 $1,604.00 $962.40 40% off $930.32 $5,132.41 $3,031.36 2025-03-05
47563 HCPCS 47563 Laparoscopy Surgical Cholecystectomy With Cholangiography 14 4 $1,595.00 $957.00 40% off $925.10 $5,132.41 $3,028.76 2025-03-05
47562 HCPCS 47562 Cholecystectomy Laparoscopy 14 4 $1,465.00 $879.00 40% off $849.70 $5,132.41 $2,991.05 2025-03-05
C1763 HCPCS Mesh Flat Sheet 20x20 Order When Surgery Tells US 92418 14 4 $8,706.00 $5,223.60 40% off $2,960.04 $2,960.04 $2,960.04 2025-03-05
44970 HCPCS 44970 Laproscopy Appendectomy 14 4 $1,340.00 $804.00 40% off $777.20 $5,132.41 $2,954.80 2025-03-05
58550 HCPCS 58550 Laparoscopy Surgical With Vaginal Hysterectomy For Uterus 250 G Or Less 14 4 $1,273.00 $763.80 40% off $738.34 $5,132.41 $2,935.38 2025-03-05
58672 HCPCS 58672 Laparoscopy Surgical With Fimbrioplasty 14 4 $1,271.00 $762.60 40% off $737.18 $5,132.41 $2,934.80 2025-03-05
J9301 HCPCS Obinutuzumab 25 mgmL Sol [echa] 14 4 $38,725.14 $23,235.08 40% off $2,640.40 $2,933.34 $2,933.34 2025-03-05
58662 HCPCS 58662 Cystourethroscopy Level 1 Charges 18 4 $1,176.00 $705.60 40% off $682.08 $5,132.41 $2,907.24 2025-03-05
15120 HCPCS 15120 Split Thickness Autograft Fhft 1st 100 Sq Cm 14 4 $2,960.00 $1,776.00 40% off $923.00 $3,220.51 $2,900.80 2025-03-05
59150 HCPCS 59150 Laparoscopic Treatment Of Ectopic Pregnancy Wo Salpingectomy Andor Oophore… 14 4 $1,114.00 $668.40 40% off $646.12 $5,132.41 $2,889.26 2025-03-05
58660 HCPCS 58660 Laparoscopy Surgical With Lysis Of Adhesions Salpingolysis Ovariolysis 14 4 $1,061.00 $636.60 40% off $615.38 $5,132.41 $2,873.89 2025-03-05
26765 HCPCS 26765Distal Phalangeal Open 12 4 $7,166.00 $4,299.60 40% off $217.00 $4,514.58 $2,854.24 2025-03-05
25270 HCPCS 25270 Repair Tendon Or Muscle Extensor Forearm Andor Wrist Primary Single Ea Ten… 14 4 $6,064.00 $3,638.40 40% off $217.00 $3,820.32 $2,854.24 2025-03-05
21320 HCPCS 21320Nasal Bone W Stabilization 14 4 $6,615.00 $3,969.00 40% off $217.00 $4,167.45 $2,852.89 2025-03-05
90375 HCPCS Rabies Immune Globulinpf 1500 Unit 10 Ml [echa] 16 4 $16,959.30 $10,175.58 40% off $2,747.63 $9,869.40 $2,803.91 2025-03-05
58670 HCPCS 58670 Laparoscopy Surgical With Fulguration Of Oviducts With Or Wo Transection 14 4 $808.00 $484.80 40% off $468.64 $5,132.41 $2,800.53 2025-03-05
49322 HCPCS 49322 Laparoscopic Id Of Ovarian Cys 14 4 $788.00 $472.80 40% off $457.04 $5,132.41 $2,794.72 2025-03-05
35206 HCPCS 35206 Repair Blood Vessel Direct Upper Extremity 12 4 $7,166.00 $4,299.60 40% off $217.00 $4,514.58 $2,768.81 2025-03-05
35221 HCPCS 35221 Repair Blood Vessel Direct Intraabdominal 14 4 $4,739.00 $2,843.40 40% off $2,748.62 $2,748.62 $2,748.62 2025-03-05
58925 HCPCS 58925 Excision Procedure On The Ovary 14 4 $1,328.00 $796.80 40% off $770.24 $4,342.53 $2,556.39 2025-03-05
58260 HCPCS 58260 Total Vaginal Hysterectomy Without Removal Of Tubesovaries 14 4 $1,260.00 $756.00 40% off $730.80 $4,342.53 $2,536.66 2025-03-05
10180 HCPCS 10180 Incision Drainage Post Op Charge 14 4 $3,661.00 $2,196.60 40% off $923.00 $2,517.71 $2,517.71 2025-03-05
27301 HCPCS 27301id ThighKnee AbscessBursaHematoma 12 4 $9,812.00 $5,887.20 40% off $217.00 $6,181.56 $2,517.71 2025-03-05
57260 HCPCS 57260 Combined Anteroposterior Colporrhaphy 14 4 $1,117.00 $670.20 40% off $647.86 $4,342.53 $2,495.20 2025-03-05
57240 HCPCS 57240 Anterior Colporrhaphy Repair Of Cystocele With Or Without Repair Of Urethr… 14 4 $870.00 $522.00 40% off $504.60 $4,342.53 $2,423.57 2025-03-05
45990 HCPCS 45990 Surgery Diagnostic Exam Anorectal 14 4 $3,210.00 $1,926.00 40% off $1,861.80 $2,412.45 $2,412.45 2025-03-05
57550 HCPCS 57550 Excision Of Cervical Stump Vaginal Approach 14 4 $603.00 $361.80 40% off $349.74 $4,342.53 $2,346.14 2025-03-05
36561 HCPCS 36561 Insertion Of Tunneled Centrally Inserted Central Venous Access Device Wsub… 20 4 $6,935.00 $4,161.00 40% off $429.20 $2,768.81 $2,317.95 2025-03-05
0174 RC — 12 4 $1,626.00 $975.60 40% off $1,626.00 $2,302.50 $2,302.50 2025-03-05
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