Hospital

GRANDVIEW MEDICAL CENTER

Birmingham, AL · CCN 010104 · Rates published

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You selected 93306 (CPT)

NI-TTE 2D W DOPP

This hospital’s price: $1,465 across 46 payers · range $121-$5,494

Source: https://www.grandviewhealth.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/203391873_grandview-medical-center_standardcharges.csv · observed 2026-07-15

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.

5,625 distinct procedures filed

66 distinct payers

294,075 rate rows

2026-07-15 last MRF observed

Data quality

259,232 of 294,075 rate rows are consumer-grade (88.2%)

34,843 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 — reason	Rows
per-diem day rate — not a per-procedure price	21,262
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	10,729
template filing: same amount across many unrelated codes — excluded	1,189
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	849
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	576
placeholder amount (≤ $0.02) — excluded from medians	109
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	85
exceeds 10× this hospital's gross charge — excluded from medians	44

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.grandviewhealth.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/203391873_grandview-medical-center_standardcharges.csv
Found on page	https://www.grandviewhealth.com/pricing-information
Discovered via	Public MRF directory
Last fetch	not_modified · 2026-10-22
Content fingerprint	fdd21861b2eea4cb… · 167,487,772 bytes · first seen 2026-05-06

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	$302,086.50	$350,833.14	$326,459.82	nat. median $1
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	$305,043.99	$347,457.91	$326,250.95	nat. median $380,401 0.9× median
166 OTHER	Other Respiratory System O.r. Procedures With Mcc	2	$267,809.69	$314,508.21	$291,158.95	nat. median $39,056 outlier · 7.5×
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	26	$2,802.45	$448,539.74	$278,430.09	nat. median $359,454 0.8× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	22	$2,802.45	$291,084.25	$182,658.26	nat. median $249,036 0.7× median
22585 CPT	Additional Spinal Fusion	27	$281.40	$370,476.57	$174,947.27	nat. median $1,974 outlier · 88.6×
22634 CPT	Arthrd Cmbn 1ntrspc Ea Addl	28	$418.65	$384,474.29	$170,877.46	nat. median $2,067 outlier · 82.7×
19305 CPT	Mast Radical	28	$1,007.44	$378,393.30	$168,174.80	nat. median $3,763 outlier · 44.7×
63053 CPT	Lam Factc/frmt Arthrd Lum Ea	27	$198.19	$340,727.99	$160,899.33	nat. median $1,895 outlier · 84.9×
37223 CPT	Iliac Revasc W/stent Add-on	30	$362.50	$347,660.65	$156,447.29	nat. median $7,280 outlier · 21.5×
33225 CPT	L Ventric Pacing Lead Add-on	28	$398.48	$330,330.95	$146,813.76	nat. median $8,017 outlier · 18.3×
22842 CPT	Insert Spine Fixation Device	28	$631.00	$317,790.36	$141,240.16	nat. median $2,369 outlier · 59.6×
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	27	$2,802.45	$248,413.07	$139,277.20	nat. median $198,418 0.7× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	27	$2,802.45	$246,955.20	$138,462.67	nat. median $190,559 0.7× median
51550 CPT	Partial Removal Of Bladder	28	$862.54	$305,315.43	$135,695.75	nat. median $2,884 outlier · 47.1×
22840 CPT	Insert Spine Fixation Device	28	$631.00	$302,881.68	$134,614.08	nat. median $2,369 outlier · 56.8×
0054T CPT	Bone Srgry Cmptr Fluor Image	27	$442.88	$281,606.60	$133,763.14	nat. median $1,967 outlier · 68.0×
50545 CPT	Laparo Radical Nephrectomy	28	$1,197.05	$298,358.88	$132,603.95	nat. median $3,648 outlier · 36.3×
37230 CPT	Tib/per Revasc W/stent	33	$821.98	$342,588.84	$128,470.82	nat. median $16,936 outlier · 7.6×
36908 CPT	Stent Plmt Ctr Dialysis Seg	28	$360.33	$285,112.62	$126,716.72	nat. median $4,456 outlier · 28.4×
63052 CPT	Lam Facetc/frmt Arthrd Lum 1	27	$223.39	$266,925.37	$126,048.09	nat. median $2,350 outlier · 53.6×
15777 CPT	Acellular Derm Matrix Implt	28	$189.37	$281,155.34	$124,957.93	nat. median $1,718 outlier · 72.7×
22632 CPT	Spine Fusion, Extra Segment	28	$275.97	$279,815.17	$124,362.30	nat. median $2,305 outlier · 54.0×
20704 CPT	Mnl Prep&insj I-artic Rx Dev	28	$132.56	$276,731.19	$122,991.64	nat. median $561 outlier · 219.4×
20985 CPT	Cptr-asst Dir Ms Px	28	$127.46	$271,754.09	$122,289.34	nat. median $687 outlier · 178.1×
0055T CPT	Bone Srgry Cmptr Ct/mri Imag	27	$343.13	$253,185.61	$120,263.16	nat. median $1,320 outlier · 91.1×
37229 CPT	Tib/per Revasc W/ather	33	$821.98	$317,621.07	$119,107.90	nat. median $17,146 outlier · 6.9×
22614 CPT	Spine Fusion, Extra Segment	28	$338.12	$265,878.65	$118,168.29	nat. median $1,961 outlier · 60.3×
37226 CPT	Fem/popl Revasc W/stent	33	$821.98	$311,042.31	$116,640.86	nat. median $12,723 outlier · 9.2×
50780 CPT	Reimplant Ureter In Bladder	28	$995.24	$257,911.38	$114,627.28	nat. median $3,334 outlier · 34.4×
37232 CPT	Tib/per Revasc Add-on	30	$342.68	$246,075.63	$110,734.03	nat. median $5,842 outlier · 19.0×
22859 CPT	Insj Biomechanical Device	28	$289.25	$241,978.17	$107,545.85	nat. median $1,800 outlier · 59.7×
63081 CPT	Removal Of Vertebral Body	28	$1,537.33	$240,494.58	$106,886.48	nat. median $5,269 outlier · 20.3×
266 OTHER	Acute Leukemia Without Major O.r. Procedures Age 0-17	2	$98,336.44	$114,742.74	$106,539.59	nat. median $60,180 1.8× median
61783 CPT	Scan Proc Spinal	31	$199.07	$273,686.35	$106,433.58	nat. median $1,641 outlier · 64.9×
49203 CPT	Exc Abd Tum 5 Cm Or Less	28	$1,838.00	$207,624.70	$103,812.35	nat. median $3,200 outlier · 32.4×
37221 CPT	Iliac Revasc W/stent	33	$821.98	$274,807.45	$103,052.79	nat. median $12,099 outlier · 8.5×
37225 CPT	Fem/popl Revas W/ather	33	$821.98	$272,365.27	$102,136.98	nat. median $16,469 outlier · 6.2×
22858 CPT	Tot Disc Arthrp 2nd Lvl Crv	28	$439.35	$225,374.76	$100,166.56	nat. median $2,034 outlier · 49.2×
37237 CPT	Open/perq Place Stent Ea Add	28	$362.31	$225,155.34	$100,069.04	nat. median $6,733 outlier · 14.9×
7 MS_DRG	Lung Transplant	22	$2,802.45	$142,697.57	$96,615.15	nat. median $117,974 0.8× median
835 OTHER	Acute Leukemia Without Major O.r. Procedures Age >17 With Cc	2	$88,504.67	$103,768.67	$96,136.67	nat. median $188 outlier · 510.3×
38900 CPT	Io Map Of Sent Lymph Node	28	$120.51	$213,219.52	$94,764.23	nat. median $917 outlier · 103.3×
20930 CPT	Spinal Bone Allograft	26	$631.00	$187,143.35	$93,571.67	nat. median $2,404 outlier · 38.9×
20939 CPT	Bone Marrow Aspir Bone Grfg	31	$60.71	$240,042.22	$93,349.75	nat. median $1,568 outlier · 59.5×
37249 CPT	Trluml Balo Angiop Addl Vein	28	$252.63	$207,950.94	$92,422.64	nat. median $3,686 outlier · 25.1×
35301 CPT	Rechanneling Of Artery	28	$970.23	$203,796.27	$90,576.12	nat. median $3,161 outlier · 28.7×
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	27	$2,802.45	$161,161.04	$90,528.54	nat. median $126,695 0.7× median
37215 CPT	Transcath Stent Cca W/eps	29	$847.48	$215,849.56	$89,937.32	nat. median $5,755 outlier · 15.6×
955 OTHER	Craniotomy For Multiple Significant Trauma	2	$81,959.18	$94,430.61	$88,194.89	nat. median $61,896 1.4× median

Other procedures at this hospital

Browse this hospital's 5,625 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	2	—	—	$302,086.50	$350,833.14	$326,459.82	2026-07-15
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	2	—	—	$305,043.99	$347,457.91	$326,250.95	2026-07-15
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	2	2	—	—	$267,809.69	$314,508.21	$291,158.95	2026-07-15
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	26	26	—	—	$2,802.45	$448,539.74	$278,430.09	2026-07-15
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	22	22	—	—	$2,802.45	$291,084.25	$182,658.26	2026-07-15
22585	CPT	Additional Spinal Fusion	32	27	$411,640.63	$61,746.09 85% off	$281.40	$370,476.57	$174,947.27	2026-07-15
22634	CPT	Arthrd Cmbn 1ntrspc Ea Addl	33	28	$427,193.65	$64,079.05 85% off	$418.65	$384,474.29	$170,877.46	2026-07-15
19305	CPT	Mast Radical	33	28	$420,437.00	$63,065.55 85% off	$1,007.44	$378,393.30	$168,174.80	2026-07-15
63053	CPT	Lam Factc/frmt Arthrd Lum Ea	32	27	$378,586.65	$56,788.00 85% off	$198.19	$340,727.99	$160,899.33	2026-07-15
37223	CPT	Iliac Revasc W/stent Add-on	35	30	$347,660.65	$52,149.10 85% off	$362.50	$347,660.65	$156,447.29	2026-07-15
33225	CPT	L Ventric Pacing Lead Add-on	33	28	$367,034.39	$55,055.16 85% off	$398.48	$330,330.95	$146,813.76	2026-07-15
22842	CPT	Insert Spine Fixation Device	33	28	$353,100.40	$52,965.06 85% off	$631.00	$317,790.36	$141,240.16	2026-07-15
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	28	27	—	—	$2,802.45	$248,413.07	$139,277.20	2026-07-15
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	28	27	—	—	$2,802.45	$246,955.20	$138,462.67	2026-07-15
51550	CPT	Partial Removal Of Bladder	33	28	$339,239.37	$50,885.91 85% off	$862.54	$305,315.43	$135,695.75	2026-07-15
22840	CPT	Insert Spine Fixation Device	33	28	$336,535.20	$50,480.28 85% off	$631.00	$302,881.68	$134,614.08	2026-07-15
0054T	CPT	Bone Srgry Cmptr Fluor Image	32	27	$281,606.60	$42,240.99 85% off	$442.88	$281,606.60	$133,763.14	2026-07-15
50545	CPT	Laparo Radical Nephrectomy	33	28	$331,509.87	$49,726.48 85% off	$1,197.05	$298,358.88	$132,603.95	2026-07-15
37230	CPT	Tib/per Revasc W/stent	38	33	$342,588.84	$51,388.33 85% off	$821.98	$342,588.84	$128,470.82	2026-07-15
36908	CPT	Stent Plmt Ctr Dialysis Seg	33	28	$316,791.80	$47,518.77 85% off	$360.33	$285,112.62	$126,716.72	2026-07-15
63052	CPT	Lam Facetc/frmt Arthrd Lum 1	32	27	$296,583.74	$44,487.56 85% off	$223.39	$266,925.37	$126,048.09	2026-07-15
15777	CPT	Acellular Derm Matrix Implt	33	28	$312,394.82	$46,859.22 85% off	$189.37	$281,155.34	$124,957.93	2026-07-15
22632	CPT	Spine Fusion, Extra Segment	33	28	$310,905.75	$46,635.86 85% off	$275.97	$279,815.17	$124,362.30	2026-07-15
20704	CPT	Mnl Prep&insj I-artic Rx Dev	33	28	$307,479.10	$46,121.87 85% off	$132.56	$276,731.19	$122,991.64	2026-07-15
20985	CPT	Cptr-asst Dir Ms Px	33	28	$271,754.09	$40,763.11 85% off	$127.46	$271,754.09	$122,289.34	2026-07-15
0055T	CPT	Bone Srgry Cmptr Ct/mri Imag	32	27	$253,185.61	$37,977.84 85% off	$343.13	$253,185.61	$120,263.16	2026-07-15
37229	CPT	Tib/per Revasc W/ather	38	33	$317,621.07	$47,643.16 85% off	$821.98	$317,621.07	$119,107.90	2026-07-15
22614	CPT	Spine Fusion, Extra Segment	33	28	$295,420.72	$44,313.11 85% off	$338.12	$265,878.65	$118,168.29	2026-07-15
37226	CPT	Fem/popl Revasc W/stent	38	33	$311,042.31	$46,656.35 85% off	$821.98	$311,042.31	$116,640.86	2026-07-15
50780	CPT	Reimplant Ureter In Bladder	33	28	$286,568.20	$42,985.23 85% off	$995.24	$257,911.38	$114,627.28	2026-07-15
37232	CPT	Tib/per Revasc Add-on	35	30	$246,075.63	$36,911.34 85% off	$342.68	$246,075.63	$110,734.03	2026-07-15
22859	CPT	Insj Biomechanical Device	33	28	$268,864.63	$40,329.69 85% off	$289.25	$241,978.17	$107,545.85	2026-07-15
63081	CPT	Removal Of Vertebral Body	33	28	$267,216.20	$40,082.43 85% off	$1,537.33	$240,494.58	$106,886.48	2026-07-15
266	OTHER	Acute Leukemia Without Major O.r. Procedures Age 0-17	2	2	—	—	$98,336.44	$114,742.74	$106,539.59	2026-07-15
61783	CPT	Scan Proc Spinal	36	31	$304,095.94	$45,614.39 85% off	$199.07	$273,686.35	$106,433.58	2026-07-15
49203	CPT	Exc Abd Tum 5 Cm Or Less	33	28	$207,624.70	$31,143.71 85% off	$1,838.00	$207,624.70	$103,812.35	2026-07-15
37221	CPT	Iliac Revasc W/stent	38	33	$274,807.45	$41,221.12 85% off	$821.98	$274,807.45	$103,052.79	2026-07-15
37225	CPT	Fem/popl Revas W/ather	38	33	$272,365.27	$40,854.79 85% off	$821.98	$272,365.27	$102,136.98	2026-07-15
22858	CPT	Tot Disc Arthrp 2nd Lvl Crv	33	28	$250,416.40	$37,562.46 85% off	$439.35	$225,374.76	$100,166.56	2026-07-15
37237	CPT	Open/perq Place Stent Ea Add	33	28	$250,172.60	$37,525.89 85% off	$362.31	$225,155.34	$100,069.04	2026-07-15
7	MS_DRG	Lung Transplant	22	22	—	—	$2,802.45	$142,697.57	$96,615.15	2026-07-15
835	OTHER	Acute Leukemia Without Major O.r. Procedures Age >17 With Cc	2	2	—	—	$88,504.67	$103,768.67	$96,136.67	2026-07-15
38900	CPT	Io Map Of Sent Lymph Node	33	28	$236,910.58	$35,536.59 85% off	$120.51	$213,219.52	$94,764.23	2026-07-15
20930	CPT	Spinal Bone Allograft	31	26	$207,937.05	$31,190.56 85% off	$631.00	$187,143.35	$93,571.67	2026-07-15
20939	CPT	Bone Marrow Aspir Bone Grfg	36	31	$266,713.58	$40,007.04 85% off	$60.71	$240,042.22	$93,349.75	2026-07-15
37249	CPT	Trluml Balo Angiop Addl Vein	33	28	$231,056.60	$34,658.49 85% off	$252.63	$207,950.94	$92,422.64	2026-07-15
35301	CPT	Rechanneling Of Artery	33	28	$226,440.30	$33,966.05 85% off	$970.23	$203,796.27	$90,576.12	2026-07-15
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	28	27	—	—	$2,802.45	$161,161.04	$90,528.54	2026-07-15
37215	CPT	Transcath Stent Cca W/eps	34	29	$239,832.84	$35,974.93 85% off	$847.48	$215,849.56	$89,937.32	2026-07-15
955	OTHER	Craniotomy For Multiple Significant Trauma	2	2	—	—	$81,959.18	$94,430.61	$88,194.89	2026-07-15
49618	CPT	Rpr Aa Hrn Rcr > 10 Ncr/strn	36	31	$251,298.70	$37,694.81 85% off	$858.46	$226,168.83	$87,954.54	2026-07-15
43775	CPT	Lap Sleeve Gastrectomy	33	28	$219,775.51	$32,966.33 85% off	$969.76	$197,797.96	$87,910.20	2026-07-15
27215	CPT	Treat Pelvic Fracture(s)	36	31	$233,011.70	$34,951.76 85% off	$545.88	$209,710.53	$87,379.39	2026-07-15
14302	CPT	Tis Trnfr Addl 30 Sq Cm	33	28	$218,396.70	$32,759.51 85% off	$190.27	$196,557.03	$87,358.68	2026-07-15
22846	CPT	Insert Spine Fixation Device	33	28	$216,826.30	$32,523.95 85% off	$652.58	$195,143.67	$86,730.52	2026-07-15
63272	CPT	Excise Intraspinal Lesion	33	28	$216,765.50	$32,514.83 85% off	$1,641.07	$195,088.95	$86,706.20	2026-07-15
37239	CPT	Open/perq Place Stent Ea Add	33	28	$214,708.85	$32,206.33 85% off	$259.33	$193,237.96	$85,883.54	2026-07-15
37222	CPT	Iliac Revasc Add-on	35	30	$190,611.25	$28,591.69 85% off	$317.62	$190,611.25	$85,775.06	2026-07-15
215	OTHER	Other Heart Assist System Implant	2	2	—	—	$78,838.20	$91,808.89	$85,323.54	2026-07-15
50546	CPT	Laparoscopic Nephrectomy	34	29	$224,845.90	$33,726.89 85% off	$1,078.24	$202,361.31	$84,317.21	2026-07-15
38724	CPT	Removal Of Lymph Nodes, Neck	34	29	$223,465.85	$33,519.88 85% off	$1,296.17	$201,119.27	$83,799.70	2026-07-15
22853	CPT	Insj Biomechanical Device	33	28	$207,403.47	$31,110.52 85% off	$222.83	$186,663.12	$82,961.39	2026-07-15
37220	CPT	Iliac Revasc	35	30	$183,965.64	$27,594.85 85% off	$685.99	$183,965.64	$82,784.54	2026-07-15
20936	CPT	Spinal Bone Autograft	34	29	$217,236.83	$32,585.52 85% off	$255.00	$195,513.15	$81,463.81	2026-07-15
49617	CPT	Rpr Aa Hrn Rcr > 10 Rdc	36	31	$231,529.75	$34,729.46 85% off	$542.16	$208,376.77	$81,035.41	2026-07-15
37227	CPT	Fem/popl Revasc Stnt & Ather	38	33	$213,987.10	$32,098.07 85% off	$821.98	$213,987.10	$80,245.17	2026-07-15
14	MS_DRG	Allogeneic Bone Marrow Transplant	22	22	—	—	$2,802.45	$124,829.93	$78,609.71	2026-07-15
60512	CPT	Autotransplant Parathyroid	33	28	$196,445.60	$29,466.84 85% off	$212.45	$176,801.04	$78,578.24	2026-07-15
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	2	2	—	—	$72,534.62	$84,387.41	$78,461.01	2026-07-15
20931	CPT	Spinal Bone Allograft	33	28	$195,019.27	$29,252.89 85% off	$95.57	$175,517.34	$78,007.71	2026-07-15
37231	CPT	Tib/per Revasc Stent & Ather	38	33	$207,997.00	$31,199.55 85% off	$821.98	$207,997.00	$77,998.88	2026-07-15
22552	CPT	Arthrd Ant Ntrbd Cervical Ea	33	28	$193,961.11	$29,094.17 85% off	$342.16	$174,565.00	$77,584.44	2026-07-15
37228	CPT	Tib/per Revasc W/tla	38	33	$205,471.47	$30,820.72 85% off	$821.98	$205,471.47	$77,051.80	2026-07-15
49596	CPT	Rpr Aa Hrn 1st > 10 Ncr/strn	36	31	$219,906.80	$32,986.02 85% off	$542.16	$197,916.12	$76,967.38	2026-07-15
45562	CPT	Exploration/repair Of Rectum	33	28	$191,068.70	$28,660.31 85% off	$1,027.13	$171,961.83	$76,427.48	2026-07-15
15772	CPT	Grfg Autol Fat Lipo Ea Addl	36	31	$216,289.33	$32,443.40 85% off	$169.34	$194,660.40	$75,701.27	2026-07-15
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	22	22	—	—	$2,802.45	$117,703.41	$74,149.65	2026-07-15
37252	CPT	Intrvasc US Noncoronary 1st	33	28	$184,615.87	$27,692.38 85% off	$153.70	$166,154.28	$73,846.35	2026-07-15
974	OTHER	HIV With Major Related Condition With Mcc	2	2	—	—	$66,182.89	$77,505.71	$71,844.30	2026-07-15
19361	CPT	Breast Reconstruction	35	30	$204,677.90	$30,701.69 85% off	$1,381.84	$184,210.11	$71,637.26	2026-07-15
50760	CPT	Fusion Of Ureters	33	28	$178,347.40	$26,752.11 85% off	$1,006.78	$160,512.66	$71,338.96	2026-07-15
36907	CPT	Balo Angiop Ctr Dialysis Seg	33	28	$178,108.45	$26,716.27 85% off	$254.96	$160,297.61	$71,243.38	2026-07-15
212	MS_DRG	Hip & Femur Procedures Except Major Joint Age 0-17	28	27	—	—	$2,802.45	$126,520.15	$71,174.34	2026-07-15
33340	CPT	S-perc Trns L Atr Ap	58	29	$99,999.88	$23,999.97 76% off	$672.32	$214,975.04	$69,999.92	2026-07-15
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	2	2	—	—	$65,022.68	$74,948.33	$69,985.51	2026-07-15
20938	CPT	Spinal Bone Autograft	33	28	$171,063.50	$25,659.53 85% off	$158.18	$153,957.15	$68,425.40	2026-07-15
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	22	22	—	—	$2,802.45	$107,095.16	$67,510.60	2026-07-15
11008	CPT	Rmv Prstc Mtrl/mesh Abd Wall	33	28	$165,572.30	$24,835.85 85% off	$237.45	$149,015.07	$66,228.92	2026-07-15
29826	CPT	Shoulder Arthroscopy/surgery	36	31	$187,337.26	$28,100.59 85% off	$151.86	$168,603.53	$65,568.04	2026-07-15
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	23	22	—	—	$43,600.00	$113,822.88	$65,541.34	2026-07-15
63044	CPT	Laminotomy Addl Lumbar	32	27	$152,982.91	$22,947.44 85% off	$1,440.28	$137,684.62	$65,017.74	2026-07-15
215	MS_DRG	Other Heart Assist System Implant	29	27	—	—	$2,802.45	$115,849.70	$64,891.56	2026-07-15
49623	CPT	Rmvl Ninfct Mesh Hernia Rpr	35	30	$185,074.87	$27,761.23 85% off	$178.14	$166,567.38	$64,776.20	2026-07-15
22845	CPT	Insert Spine Fixation Device	36	31	$184,136.56	$27,620.48 85% off	$626.95	$165,722.90	$64,447.80	2026-07-15
11047	CPT	Dbrdmt Bone Each Addl	33	28	$158,488.44	$23,773.27 85% off	$106.33	$142,639.60	$63,395.38	2026-07-15
22515	CPT	Perq Vertebral Augmentation	33	28	$158,306.47	$23,745.97 85% off	$380.05	$142,475.82	$63,322.59	2026-07-15
57267	CPT	Insert Mesh/pelvic Flr Addon	33	28	$157,439.17	$23,615.88 85% off	$223.62	$141,695.25	$62,975.67	2026-07-15
37253	CPT	Intrvasc US Noncoronary Addl	33	28	$156,374.44	$23,456.17 85% off	$122.48	$140,737.00	$62,549.78	2026-07-15
51525	CPT	Removal Of Bladder Lesion	33	28	$155,798.70	$23,369.81 85% off	$771.08	$140,218.83	$62,319.48	2026-07-15
58150	CPT	Total Hysterectomy	34	29	$161,815.20	$24,272.28 85% off	$908.72	$145,633.68	$60,680.70	2026-07-15
50400	CPT	Revision Of Kidney/ureter	33	28	$150,994.10	$22,649.12 85% off	$1,037.23	$135,894.69	$60,397.64	2026-07-15
36620	CPT	Insertion Catheter, Artery	33	28	$150,459.20	$22,568.88 85% off	$39.74	$135,413.28	$60,183.68	2026-07-15
37224	CPT	Fem/popl Revas W/tla	38	33	$160,251.35	$24,037.70 85% off	$761.27	$160,251.35	$60,094.26	2026-07-15
60650	CPT	Laparoscopy Adrenalectomy	34	29	$158,360.10	$23,754.02 85% off	$1,056.14	$142,524.09	$59,385.04	2026-07-15
31627	CPT	Navigational Bronchoscopy	33	28	$147,751.63	$22,162.74 85% off	$170.93	$132,976.47	$59,100.65	2026-07-15
44145	CPT	Partial Removal Of Colon	33	28	$147,686.30	$22,152.95 85% off	$1,452.64	$132,917.67	$59,074.52	2026-07-15
51900	CPT	Repair Bladder/vagina Lesion	34	29	$157,527.30	$23,629.10 85% off	$742.17	$141,774.57	$59,072.74	2026-07-15
63707	CPT	Repair Spinal Fluid Leakage	33	28	$147,541.30	$22,131.20 85% off	$827.96	$132,787.17	$59,016.52	2026-07-15
31654	CPT	Bronch Ebus Ivntj Perph Les	33	28	$146,868.85	$22,030.33 85% off	$105.05	$132,181.96	$58,747.54	2026-07-15
58548	CPT	Lap Radical Hyst	33	28	$146,531.70	$21,979.76 85% off	$1,677.41	$131,878.53	$58,612.68	2026-07-15
11005	CPT	Dbrdmt Skin Abdominal Wall	35	30	$165,572.30	$24,835.85 85% off	$675.27	$149,015.07	$57,950.31	2026-07-15
62142	CPT	Remove Skull Plate/flap	33	28	$143,250.80	$21,487.62 85% off	$780.50	$128,925.72	$57,300.32	2026-07-15
453	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	23	23	—	—	$2,802.45	$85,317.69	$57,232.60	2026-07-15
231	MS_DRG	Coronary Bypass With Ptca With Mcc	23	22	—	—	$41,000.00	$98,081.89	$56,541.43	2026-07-15
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	22	21	—	—	$43,277.51	$97,773.56	$56,503.18	2026-07-15
31633	CPT	Bronchoscopy/needle Bx Addl	36	31	$160,456.63	$24,068.49 85% off	$72.10	$144,410.97	$56,159.82	2026-07-15
58140	CPT	Removal Of Uterus Lesion	34	29	$148,182.50	$22,227.38 85% off	$820.61	$133,364.25	$55,568.44	2026-07-15
31632	CPT	Bronchoscopy/lung Bx Addl	36	31	$156,520.96	$23,478.14 85% off	$57.57	$140,868.86	$54,782.34	2026-07-15
63035	CPT	Spinal Disk Surgery Add-on	33	28	$136,457.77	$20,468.67 85% off	$201.43	$122,811.99	$54,583.11	2026-07-15
63057	CPT	Decompress Spine Cord Add-on	33	28	$134,929.10	$20,239.37 85% off	$277.51	$121,436.19	$53,971.64	2026-07-15
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	2	2	—	—	$49,506.42	$57,617.71	$53,562.07	2026-07-15
613	OTHER	Neonate, Birth Weight <750 Grams, Died	2	2	—	—	$50,003.12	$56,822.96	$53,413.04	2026-07-15
58146	CPT	Myomectomy Abdom Complex	33	28	$129,180.60	$19,377.09 85% off	$1,028.77	$116,262.54	$51,672.24	2026-07-15
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	28	27	—	—	$2,802.45	$91,553.49	$51,638.08	2026-07-15
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	23	22	—	—	$31,900.00	$89,337.02	$51,541.53	2026-07-15
63048	CPT	Remove Spinal Lamina Add-on	33	28	$128,462.74	$19,269.41 85% off	$182.17	$115,616.47	$51,385.10	2026-07-15
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	23	22	—	—	$29,600.00	$88,951.90	$51,321.34	2026-07-15
49616	CPT	Rpr Aa Hrn Rcr 3-10 Ncr/strn	36	31	$145,717.00	$21,857.55 85% off	$542.16	$131,145.30	$51,000.95	2026-07-15
36227	CPT	Cth Plc Ext Cd W-ang	59	24	$99,999.98	$15,000.00 85% off	$207.50	$89,999.98	$50,437.20	2026-07-15
0275T	CPT	Perq Lamot/lam Lumbar	32	27	$100,872.90	$15,130.94 85% off	$1,838.00	$100,872.90	$50,436.45	2026-07-15
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	28	27	—	—	$2,802.45	$88,657.54	$50,020.07	2026-07-15
C9606	HCPCS	Ic-prq De Cr Rev Ami	33	26	$99,999.75	$14,999.96 85% off	$2,600.00	$89,999.78	$49,999.88	2026-07-15
C9605	HCPCS	Ic-pr De Cr Rv Cab B	32	25	$99,999.00	$14,999.85 85% off	$2,600.00	$89,999.10	$49,999.50	2026-07-15
C9601	HCPCS	Ic-prq De Cor Stnt B	32	25	$99,999.00	$14,999.85 85% off	$2,600.00	$89,999.10	$49,999.50	2026-07-15
C9603	HCPCS	Ic-pr De Cr Stn Ar B	32	25	$99,999.00	$14,999.85 85% off	$2,600.00	$89,999.10	$49,999.50	2026-07-15
C9608	HCPCS	Ic-pr De Cr Rv Ch Ea	32	25	$99,999.00	$14,999.85 85% off	$2,600.00	$89,999.10	$49,999.50	2026-07-15
44604	CPT	Suture, Large Intestine	33	28	$124,837.50	$18,725.63 85% off	$927.61	$112,353.75	$49,935.00	2026-07-15
61782	CPT	Scan Proc Cranial Extra	36	31	$142,547.81	$21,382.17 85% off	$154.14	$128,293.03	$49,891.73	2026-07-15
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	22	21	—	—	$36,721.56	$82,962.20	$48,015.12	2026-07-15
10	MS_DRG	Pancreas Transplant	22	22	—	—	$2,802.45	$74,534.00	$47,132.52	2026-07-15
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	28	27	—	—	$2,802.45	$83,454.36	$47,113.03	2026-07-15
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	25	25	—	—	$2,802.45	$74,107.09	$46,634.65	2026-07-15
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	22	21	—	—	$35,421.19	$80,024.37	$46,331.49	2026-07-15
36228	CPT	Cth Plc Int Bnch Ang	31	24	$84,062.00	$12,609.30 85% off	$1,091.21	$75,655.80	$46,234.10	2026-07-15
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	2	—	—	$41,165.71	$51,021.90	$46,093.81	2026-07-15
C1826	HCPCS	Gen Neuro Closd Loop	36	29	$99,999.90	$23,999.98 76% off	$3,500.00	$99,999.90	$45,499.96	2026-07-15
C1827	HCPCS	Gen Neuro Ext Cntrl	36	29	$99,999.90	$23,999.98 76% off	$3,500.00	$99,999.90	$45,499.96	2026-07-15
C1831	HCPCS	Ant/lat Intrbdy Cage	36	29	$99,999.90	$23,999.98 76% off	$3,500.00	$99,999.90	$45,499.96	2026-07-15
C1825	HCPCS	Gen Neuro Sinus Lvl1	36	29	$99,999.90	$23,999.98 76% off	$3,500.00	$99,999.90	$45,499.96	2026-07-15
C2624	HCPCS	Wireless Press Sens	36	29	$99,999.64	$23,999.91 76% off	$3,500.00	$99,999.64	$45,499.83	2026-07-15
C1764	HCPCS	Evnt Rcrdr Crdc Lvl1	36	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-07-15
C1822	HCPCS	Gen Neuro Hf Recarge	36	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-07-15
C1824	HCPCS	Generator Ccm Implnt	36	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-07-15
20937	CPT	Spinal Bone Autograft	33	28	$113,234.18	$16,985.13 85% off	$145.32	$101,910.76	$45,293.67	2026-07-15
C1882	HCPCS	Aicd Ohr Thn Sgl/du2	127	27	$99,999.61	$16,977.84 83% off	$3,500.00	$99,999.93	$44,999.82	2026-07-15
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	28	27	—	—	$2,802.45	$71,792.87	$44,746.33	2026-07-15
47100	CPT	Wedge Biopsy Of Liver	33	28	$111,369.50	$16,705.43 85% off	$746.87	$100,232.55	$44,547.80	2026-07-15
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	22	21	—	—	$33,862.79	$76,503.62	$44,313.85	2026-07-15
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	22	21	—	—	$33,862.79	$76,503.62	$44,313.85	2026-07-15
955	MS_DRG	Craniotomy For Multiple Significant Trauma	28	27	—	—	$2,802.45	$78,316.35	$44,242.37	2026-07-15
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	22	21	—	—	$33,739.71	$76,225.54	$44,154.47	2026-07-15
C1721	HCPCS	Aicd Dual Chamber L3	66	27	$86,700.00	$20,808.00 76% off	$3,500.00	$99,999.00	$43,350.00	2026-07-15
C2621	HCPCS	Pmkr Othr Th Sngl L4	130	27	$99,999.00	$16,901.04 83% off	$3,500.00	$99,999.65	$43,308.91	2026-07-15
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	23	23	—	—	$2,802.45	$63,855.89	$42,956.28	2026-07-15
C1722	HCPCS	Aicd Single Chamber1	66	27	$85,366.00	$20,487.84 76% off	$3,500.00	$99,999.53	$42,683.00	2026-07-15
595	OTHER	Major Skin Disorders With Mcc	2	2	—	—	$39,296.43	$46,036.80	$42,666.62	2026-07-15
26861	CPT	Fusion Of Finger Jnt, Add-on	36	31	$120,016.97	$18,002.55 85% off	$89.97	$108,015.27	$42,005.94	2026-07-15
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	28	27	—	—	$2,802.45	$66,837.23	$41,690.73	2026-07-15
35702	CPT	Expl N/flwd Surg Uxtr Art	34	29	$110,343.70	$16,551.56 85% off	$356.66	$99,309.33	$41,378.89	2026-07-15
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	22	21	—	—	$31,561.26	$71,303.93	$41,334.01	2026-07-15
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	23	22	—	—	$31,222.39	$70,538.35	$40,997.18	2026-07-15
35703	CPT	Expl N/flwd Surg Lxtr Art	34	29	$109,190.87	$16,378.63 85% off	$362.28	$98,271.78	$40,946.57	2026-07-15
93656	CPT	Ep-atr Fib Pulm Vn I	80	46	$99,999.00	$14,999.85 85% off	$814.99	$269,667.27	$40,874.69	2026-07-15
C1785	HCPCS	Pmkr Dual Rate-rs L2	98	27	$99,999.00	$16,507.92 83% off	$3,500.00	$99,999.50	$40,634.80	2026-07-15
276	MS_DRG	Non-maligant Breast Disorders	22	21	—	—	$30,933.99	$69,886.79	$40,521.87	2026-07-15
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	28	27	—	—	$2,802.45	$71,221.33	$40,278.29	2026-07-15
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	22	21	—	—	$30,709.97	$69,380.67	$40,231.82	2026-07-15
L8614	HCPCS	Cochlear Imp System1	138	29	$99,999.89	$16,041.84 84% off	$3,500.00	$99,999.96	$39,999.97	2026-07-15
454	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc	23	23	—	—	$2,802.45	$58,887.82	$39,651.54	2026-07-15
52	OTHER	Spinal Disorders And Injuries With Cc/mcc	2	2	—	—	$36,808.09	$42,426.02	$39,617.05	2026-07-15
28	MS_DRG	Spinal Procedures With Mcc	28	27	—	—	$2,802.45	$69,906.57	$39,543.72	2026-07-15
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	23	22	—	—	$22,000.00	$68,281.16	$39,502.81	2026-07-15
213	OTHER	Splenic Procedures Age 0-17	2	2	—	—	$35,059.17	$43,453.30	$39,256.24	2026-07-15
93654	CPT	Ep-ablate Vent Tacy	80	46	$99,999.00	$14,999.85 85% off	$866.46	$230,729.22	$39,227.24	2026-07-15
C1786	HCPCS	Pmkr Singl Rate-rsl2	130	27	$99,999.00	$14,999.99 85% off	$3,500.00	$99,999.93	$39,053.56	2026-07-15
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	22	22	—	—	$2,802.45	$61,591.79	$39,032.79	2026-07-15
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	28	27	—	—	$2,802.45	$68,236.95	$38,610.89	2026-07-15
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	28	27	—	—	$2,802.45	$61,735.13	$38,544.82	2026-07-15
26125	CPT	Release Palm Contracture	36	31	$109,809.91	$16,471.49 85% off	$237.97	$98,828.92	$38,433.47	2026-07-15
L8690	HCPCS	Aud Osseo Dev Comp 1	70	29	$87,904.00	$19,683.12 78% off	$3,500.00	$87,904.00	$38,341.07	2026-07-15
7	OTHER	Lung Transplant	2	2	—	—	$37,241.16	$39,041.66	$38,141.41	2026-07-15
93653	CPT	Ep-ablate Sprvnt Art	80	46	$99,999.00	$14,999.85 85% off	$718.97	$202,893.21	$37,930.86	2026-07-15
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	28	27	—	—	$2,802.45	$66,672.04	$37,736.54	2026-07-15
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	28	27	—	—	$2,802.45	$66,313.68	$37,536.33	2026-07-15
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	2	2	—	—	$34,048.50	$40,376.55	$37,212.53	2026-07-15
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	22	21	—	—	$28,173.08	$63,649.27	$36,947.28	2026-07-15
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	22	22	—	—	$2,802.45	$58,214.98	$36,919.43	2026-07-15
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	23	22	—	—	$28,132.90	$63,558.51	$36,802.62	2026-07-15
278	MS_DRG	Cellulitis Age >17 Without Cc	28	27	—	—	$2,802.45	$64,762.74	$36,669.82	2026-07-15
15278	CPT	Skn Sub Grft F/n/hf/g Ch Add	33	28	$91,028.70	$13,654.31 85% off	$81.51	$81,925.83	$36,411.48	2026-07-15
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	2	2	—	—	$35,159.27	$37,660.09	$36,409.68	2026-07-15
93580	CPT	Ic-asd Cls Perc W-IM	79	46	$99,999.00	$14,999.85 85% off	$840.72	$218,364.30	$36,394.05	2026-07-15
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	28	27	—	—	$2,802.45	$64,260.10	$36,388.99	2026-07-15
C1820	HCPCS	Genrate Neuro Rech 1	172	29	$79,272.00	$17,828.64 78% off	$3,500.00	$99,999.90	$36,068.76	2026-07-15
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	28	27	—	—	$2,802.45	$63,458.45	$35,941.09	2026-07-15
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	23	22	—	—	$27,463.92	$62,047.13	$35,938.49	2026-07-15
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	22	22	—	—	$2,802.45	$56,425.30	$35,799.37	2026-07-15
47001	CPT	Needle Biopsy, Liver Add-on	36	31	$102,115.50	$15,317.33 85% off	$90.81	$91,903.95	$35,740.43	2026-07-15
64488	CPT	Tap Block Bi Injection	36	31	$101,975.00	$15,296.25 85% off	$110.95	$91,777.50	$35,691.25	2026-07-15
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	22	21	—	—	$27,172.94	$61,389.75	$35,652.40	2026-07-15
834	MS_DRG	Acute Leukemia Without Major O.r. Procedures With Mcc	28	27	—	—	$2,802.45	$57,023.59	$35,639.74	2026-07-15
61500	CPT	Removal Of Skull Lesion	34	29	$94,607.10	$14,191.07 85% off	$1,137.01	$85,146.39	$35,477.66	2026-07-15
653	MS_DRG	Major Bladder Procedures With Mcc	22	21	—	—	$26,761.46	$60,460.11	$35,119.65	2026-07-15
36224	CPT	Ir-ang Int Car Ip Bi	168	45	$99,999.40	$14,999.97 85% off	$383.49	$89,999.84	$34,999.93	2026-07-15
93620	CPT	Ep-comp Ep W- Arry	81	45	$99,999.00	$14,999.85 85% off	$261.03	$147,533.27	$34,999.65	2026-07-15
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	28	27	—	—	$2,802.45	$61,593.36	$34,899.04	2026-07-15
C1767	HCPCS	Genratr Neurostm 1	139	29	$91,659.00	$14,999.99 84% off	$3,500.00	$99,999.90	$34,830.42	2026-07-15
C1777	HCPCS	Lead Aicd Endo Sn L4	66	27	$71,356.00	$17,125.44 76% off	$3,500.00	$76,353.00	$34,740.61	2026-07-15
64727	CPT	Internal Nerve Revision	36	31	$99,092.30	$14,863.85 85% off	$160.20	$89,183.07	$34,682.31	2026-07-15
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	28	27	—	—	$2,802.45	$60,564.83	$34,324.39	2026-07-15
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	22	21	—	—	$25,957.03	$58,642.73	$34,078.14	2026-07-15
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	22	21	—	—	$25,685.11	$58,028.40	$33,726.08	2026-07-15
33289	CPT	Cc-imp Press Sen Ang	51	43	$99,999.85	$14,999.98 85% off	$288.80	$89,999.87	$32,795.54	2026-07-15
471	MS_DRG	Cervical Spinal Fusion With Mcc	22	21	—	—	$24,867.81	$56,181.92	$32,667.90	2026-07-15
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	28	27	—	—	$2,802.45	$57,460.61	$32,590.03	2026-07-15
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	29	27	—	—	$2,802.45	$57,563.00	$32,486.57	2026-07-15
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	28	27	—	—	$2,802.45	$57,263.98	$32,480.19	2026-07-15
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	28	27	—	—	$2,802.45	$57,025.46	$32,346.90	2026-07-15
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	2	2	—	—	$28,780.96	$35,671.91	$32,226.44	2026-07-15
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	22	21	—	—	$24,518.12	$55,391.91	$32,215.15	2026-07-15
69930	CPT	Implant Cochlear Device	49	43	$377,452.60	$56,617.89 85% off	$1,073.30	$339,707.34	$32,184.00	2026-07-15
58720	CPT	Removal Of Ovary/tube(s)	36	31	$91,582.70	$13,737.41 85% off	$676.66	$82,424.43	$32,053.94	2026-07-15
43273	CPT	Endoscopic Pancreatoscopy	33	28	$79,965.73	$11,994.86 85% off	$105.59	$71,969.16	$31,986.29	2026-07-15
52442	CPT	Cysto Ins Trnsprstc Implt Ea	36	31	$90,002.30	$13,500.35 85% off	$47.68	$81,002.07	$31,500.81	2026-07-15
277	MS_DRG	Cellulitis Age >17 W Cc	22	21	—	—	$23,785.28	$53,736.25	$31,266.35	2026-07-15
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	28	27	—	—	$2,802.45	$49,902.26	$31,248.78	2026-07-15
0913T	CPT	Ic-cor Deb Thr Rx 1	47	39	$89,000.00	$13,350.00 85% off	$3,500.00	$80,100.00	$31,150.00	2026-07-15
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	22	21	—	—	$23,671.97	$53,480.28	$31,119.65	2026-07-15
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	28	27	—	—	$2,802.45	$54,589.09	$30,985.69	2026-07-15
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	25	25	—	—	$2,802.45	$48,833.44	$30,895.32	2026-07-15
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	28	27	—	—	$2,802.45	$54,426.20	$30,894.68	2026-07-15
33264	CPT	Rmvl & Rplcmt Dfb Gen Mlt Ld	52	46	$253,579.78	$38,036.97 85% off	$348.74	$228,221.80	$30,734.67	2026-07-15
33249	CPT	Eltrd/insert Pace-defib	52	46	$363,819.90	$54,572.99 85% off	$383.49	$327,437.91	$30,734.67	2026-07-15
799	MS_DRG	Splenectomy With Mcc	22	21	—	—	$23,323.83	$52,693.75	$30,668.92	2026-07-15
6	MS_DRG	Liver Transplant Without Mcc	22	22	—	—	$2,802.45	$48,164.52	$30,629.46	2026-07-15
52441	CPT	Cysto Insj Trnsprstc 1 Implt	36	31	$87,506.00	$13,125.90 85% off	$370.98	$78,755.40	$30,627.10	2026-07-15
C1817	HCPCS	Septal Defect Implt1	104	29	$99,999.00	$14,999.97 85% off	$3,500.00	$99,999.83	$30,387.70	2026-07-15
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	2	2	—	—	$27,101.79	$33,590.70	$30,346.24	2026-07-15
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	28	27	—	—	$2,802.45	$53,344.15	$30,290.12	2026-07-15
C1734	HCPCS	Orth-dev-DRG-bn Lvl1	36	29	$66,323.00	$15,917.52 76% off	$3,500.00	$66,323.00	$30,176.97	2026-07-15
93650	CPT	Ep-ablate Av Node	81	46	$86,175.00	$12,926.25 85% off	$500.68	$130,400.10	$30,161.25	2026-07-15
245	MS_DRG	Aicd Generator Procedures	28	27	—	—	$2,802.45	$53,083.52	$30,144.51	2026-07-15
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	28	27	—	—	$2,802.45	$52,924.12	$30,055.47	2026-07-15
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	28	27	—	—	$2,802.45	$52,900.85	$30,042.45	2026-07-15
455	MS_DRG	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	23	23	—	—	$2,802.45	$44,342.78	$29,976.21	2026-07-15
33270	CPT	Ins/rep Subq Defibrillator	52	46	$225,465.91	$33,819.89 85% off	$383.49	$202,919.32	$29,955.67	2026-07-15
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	2	2	—	—	$26,512.59	$32,860.42	$29,686.50	2026-07-15
904	OTHER	Skin Grafts For Injuries With Cc/mcc	2	2	—	—	$27,587.74	$31,703.71	$29,645.72	2026-07-15
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	2	2	—	—	$26,467.66	$32,804.75	$29,636.21	2026-07-15
163	MS_DRG	Major Chest Procedures With Mcc	28	27	—	—	$2,802.45	$52,145.74	$29,620.56	2026-07-15
31	MS_DRG	Ventricular Shunt Procedures With Mcc	28	27	—	—	$2,802.45	$52,130.62	$29,612.11	2026-07-15
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	28	27	—	—	$2,802.45	$51,925.84	$29,497.69	2026-07-15
C1761	HCPCS	Cath Ivl Cornry Lv3	36	29	$64,707.00	$15,529.68 76% off	$3,500.00	$64,707.00	$29,441.69	2026-07-15
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	28	27	—	—	$2,802.45	$51,110.23	$29,042.01	2026-07-15
64582	CPT	Opn Mpltj Hpglsl Nstm Ary Pg	52	46	$549,347.50	$82,402.13 85% off	$286.51	$494,412.75	$28,657.56	2026-07-15
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	22	21	—	—	$21,749.48	$49,136.93	$28,630.57	2026-07-15
323	MS_DRG	Urinary Stones W Cc, &/or Esw Lithotripsy	28	27	—	—	$2,802.45	$50,349.30	$28,616.88	2026-07-15
92933	CPT	Ic-prq Crd St-at-ang	77	45	$57,071.00	$8,560.65 85% off	$568.80	$197,138.02	$28,535.50	2026-07-15
63685	CPT	Implant Neuroreceiver	52	46	$412,375.76	$61,856.36 85% off	$300.97	$371,138.18	$28,516.42	2026-07-15
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	28	27	—	—	$2,802.45	$49,947.89	$28,392.60	2026-07-15
36223	CPT	Ir-ang Cartd Ips Bi	138	48	$99,999.00	$14,999.85 85% off	$383.49	$96,070.77	$28,343.01	2026-07-15
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	23	22	—	—	$21,572.32	$48,736.69	$28,328.22	2026-07-15
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	22	21	—	—	$21,488.89	$48,548.20	$28,293.17	2026-07-15
140	MS_DRG	Major Head And Neck Procedures With Mcc	28	27	—	—	$2,802.45	$49,626.77	$28,213.18	2026-07-15
93619	CPT	Ep-comp Ep W-o Arry	52	43	$99,999.00	$14,999.85 85% off	$225.43	$89,999.10	$28,178.39	2026-07-15
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	22	21	—	—	$21,387.95	$48,320.15	$28,162.48	2026-07-15
862	OTHER	Postoperative And Post-traumatic Infections With Mcc	2	2	—	—	$25,853.24	$30,246.97	$28,050.11	2026-07-15
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	22	21	—	—	$21,246.32	$48,000.19	$27,979.12	2026-07-15
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	28	27	—	—	$2,802.45	$49,053.16	$27,892.71	2026-07-15
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	28	27	—	—	$2,802.45	$49,028.73	$27,879.03	2026-07-15
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	28	27	—	—	$2,802.45	$48,885.62	$27,799.10	2026-07-15
901	MS_DRG	Wound Debridements For Injuries With Mcc	28	27	—	—	$2,802.45	$48,827.44	$27,766.58	2026-07-15
C1778	HCPCS	Lead Neurostimulat 7	221	29	$61,932.00	$13,573.92 78% off	$3,500.00	$99,999.81	$27,745.20	2026-07-15
793	MS_DRG	Full Term Neonate With Major Problems	28	27	—	—	$2,802.45	$43,309.64	$27,183.83	2026-07-15
54430	CPT	Revision Of Penis	33	28	$67,155.00	$10,073.25 85% off	$575.97	$60,439.50	$26,862.00	2026-07-15
55700	CPT	Biopsy Of Prostate	38	33	$71,376.30	$10,706.45 85% off	$210.50	$71,376.30	$26,766.11	2026-07-15
11046	CPT	Dbrdmt Musc&/fsca Ea Addl	33	28	$66,307.26	$9,946.09 85% off	$63.93	$59,676.53	$26,522.90	2026-07-15
791	MS_DRG	Prematurity With Major Problems	28	27	—	—	$2,802.45	$42,160.83	$26,475.50	2026-07-15
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	2	2	—	—	$23,586.07	$29,233.21	$26,409.64	2026-07-15
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	28	27	—	—	$2,802.45	$46,355.00	$26,385.22	2026-07-15
634	OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	2	2	—	—	$25,856.35	$26,546.33	$26,201.34	2026-07-15
C1874	HCPCS	Stnt Coat/cov W/del1	173	29	$74,471.00	$14,646.96 80% off	$830.91	$99,999.97	$26,064.85	2026-07-15
398	OTHER	Major Head And Neck Procedures Without Cc/mcc	2	2	—	—	$23,241.13	$28,805.69	$26,023.41	2026-07-15
460	OTHER	Spinal Fusion Except Cervical Without Mcc	2	2	—	—	$23,155.58	$28,699.66	$25,927.62	2026-07-15
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	28	27	—	—	$2,802.45	$45,514.96	$25,915.87	2026-07-15
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	2	2	—	—	$23,091.06	$28,619.69	$25,855.38	2026-07-15
92943	CPT	Ic-prq Revsc Chr 1vs	77	45	$57,071.00	$8,560.65 85% off	$569.45	$178,010.85	$25,681.95	2026-07-15
92928	CPT	Ic-prq Crd Stn W-ang	77	45	$57,071.00	$8,560.65 85% off	$506.90	$218,026.02	$25,681.95	2026-07-15
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	28	27	—	—	$2,802.45	$45,035.59	$25,648.03	2026-07-15
36225	CPT	Ir-ang Subcl Ips Bi	137	48	$99,999.00	$14,999.85 85% off	$383.49	$128,495.79	$25,601.10	2026-07-15

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