Price Transparencybeta 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

CANYON VISTA MEDICAL CENTER

Sierra Vista, AZ · CCN 030043 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAG DEL WO STER/DC WOCCMCC

This hospital’s price: $4,666 across 13 payers · range $3,126-$8,347

Source: https://www.canyonvistamedicalcenter.com/docs/ahcanyonvistamedicalcenterlibraries/hcl/mrf3q25/900942222_canyon-vista-medical-center_standardcharges.csv · observed 2026-07-27

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.

4,808 distinct procedures filed
100 distinct payers
71,775 rate rows
2026-07-27 last MRF observed
Data quality

52,651 of 71,775 rate rows are consumer-grade (73.4%)

19,124 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 19,104
exceeds 10× this hospital's gross charge — excluded from medians 14
exceeds 3× this hospital's gross charge for a DRG stay — excluded 3
placeholder amount (≤ $0.02) — excluded from medians 2
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.canyonvistamedicalcenter.com/docs/ahcanyonvistamedicalcenterlibraries/hcl/mrf3q26/90-0942222_canyon-vista-medical-center_standardcharges.csv
Found on page https://www.canyonvistamedicalcenter.com/hospital-charges-listing
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-02
Content fingerprint 46dc75fc957cf462… · 11,673,123 bytes · first seen 2026-07-27

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
4
MS_DRG 		Trach/ Mv >96 Without Maj Or 1 $178,368.00 $178,368.00 $178,368.00 nat. median
$132,706
1.3× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 7 $61,914.09 $89,639.81 $75,296.00 nat. median
$62,218
1.2× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $50,000.00 $104,715.93 $75,296.00 nat. median
$65,958
1.1× median
54405
HCPCS 		Insert Multi-comp Penis Pros 1 $66,515.27 $66,515.27 $66,515.27 nat. median
$18,432
outlier · 3.6×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $63,712.00 $107,621.30 $63,712.00 nat. median
$73,475
0.9× median
428
MS_DRG 		Personality/impulse Cntrl 1 $59,645.92 $59,645.92 $59,645.92 nat. median
$53,080
1.1× median
11421
HCPCS 		Exc H-f-nk-sp B9+marg 0.6-1 1 $57,266.23 $57,266.23 $57,266.23 nat. median
$762
outlier · 75.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 5 $52,128.00 $52,128.00 $52,128.00 nat. median
$64,357
0.8× median
853
MS_DRG 		Inf & Par Dis Or Px W Mcc 14 $4,807.52 $157,992.38 $52,128.00 nat. median
$47,707
1.1× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 8 $3,430.00 $61,897.20 $52,128.00 nat. median
$44,514
1.2× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 6 $45,917.27 $52,128.00 $52,128.00 nat. median
$34,738
1.5× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 $48,882.38 $52,128.00 $52,128.00 nat. median
$43,549
1.2× median
58573
HCPCS 		Tlh W/t/o Uterus Over 250 G 2 $38,937.11 $58,549.01 $48,743.06 nat. median
$10,000
outlier · 4.9×
451
MS_DRG 		Pois/toxic Eff Drugs <18 2 $32,045.63 $92,038.95 $47,590.40 nat. median
$31,235
1.5× median
455
MS_DRG 		Ant/pos Spnal Fusn Wo Cc 1 $46,539.30 $46,539.30 $46,539.30 nat. median
$46,399
1.0× median
500
MS_DRG 		Soft Tissue Procedures With Mcc 6 $33,905.56 $46,336.00 $46,336.00 nat. median
$30,787
1.5× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 $46,336.00 $84,589.35 $46,336.00 nat. median
$53,013
0.9× median
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 $38,506.83 $46,336.00 $46,336.00 nat. median
$31,836
1.5× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 $23,143.05 $54,351.77 $46,336.00 nat. median
$45,808
1.0× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 $35,162.36 $46,336.00 $46,336.00 nat. median
$33,338
1.4× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 7 $43,567.27 $46,336.00 $46,336.00 nat. median
$42,341
1.1× median
408
MS_DRG 		Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 $46,336.00 $57,188.87 $46,336.00 nat. median
$34,548
1.3× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 6 $34,426.90 $46,336.00 $46,336.00 nat. median
$36,547
1.3× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 7 $29,228.91 $49,180.29 $46,336.00 nat. median
$37,053
1.3× median
448
MS_DRG 		Allergic Reactions <18 1 $42,397.37 $42,397.37 $42,397.37 nat. median
$40,579
1.0× median
58570
HCPCS 		Tlh Uterus 250 G Or Less 1 $42,289.46 $42,289.46 $42,289.46 nat. median
$9,614
outlier · 4.4×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 7 $40,544.00 $57,780.03 $40,544.00 nat. median
$48,652
0.8× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 6 $40,544.00 $41,257.82 $40,544.00 nat. median
$37,685
1.1× median
344
MS_DRG 		Minor Small And Large Bowel Procedures With Mcc 6 $39,009.55 $40,544.00 $40,544.00 nat. median
$25,623
1.6× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 $15,242.68 $40,544.00 $40,544.00 nat. median
$35,279
1.1× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 7 $35,025.04 $41,609.36 $40,544.00 nat. median
$31,014
1.3× median
420
MS_DRG 		Hepatobiliary Diagnostic Procedures With Mcc 6 $40,544.00 $49,932.04 $40,544.00 nat. median
$32,655
1.2× median
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 6 $37,769.05 $40,544.00 $40,544.00 nat. median
$27,955
1.5× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 7 $31,082.43 $40,544.00 $40,544.00 nat. median
$32,666
1.2× median
140
MS_DRG 		Major Head And Neck Procedures With Mcc 7 $6,438.40 $46,706.26 $40,544.00 nat. median
$39,825
1.0× median
327
MS_DRG 		Gastr, Esoph,duo Px W Cc 1 $40,085.78 $40,085.78 $40,085.78 nat. median
$24,507
1.6× median
58150
HCPCS 		Total Hysterectomy 1 $39,328.88 $39,328.88 $39,328.88 nat. median
$3,086
outlier · 12.7×
414
MS_DRG 		Chole Exc Lap Wo Cde W Mcc 1 $38,838.18 $38,838.18 $38,838.18 nat. median
$34,519
1.1× median
423
MS_DRG 		Ot Hepa/pacr Or Px W Mcc 1 $38,779.97 $38,779.97 $38,779.97 nat. median
$40,042
1.0× median
402
MS_DRG 		Lymph/n-acute Leuk W/or 2 $36,743.62 $40,603.59 $38,673.60 nat. median
$38,854
1.0× median
94
MS_DRG 		Bac/tb Inf Nerv Sys W Mcc 1 $37,977.01 $37,977.01 $37,977.01 nat. median
$34,805
1.1× median
956
MS_DRG 		Limb Reatt HIM&FEM Mult Tr 1 $37,677.38 $37,677.38 $37,677.38 nat. median
$37,383
1.0× median
622
MS_DRG 		Skn Gft & Debrimt W Mcc 1 $37,519.17 $37,519.17 $37,519.17 nat. median
$34,945
1.1× median
33249
CPT 		Insj/rplcmt Defib W/lead(s) 17 $36,156.15 $37,963.95 $37,060.05 nat. median
$31,420
1.2× median
33264
CPT 		Rmvl & Rplcmt Dfb Gen Mlt Ld 17 $36,156.15 $37,963.95 $37,060.05 nat. median
$31,464
1.2× median
33270
CPT 		Ins/rep Subq Defibrillator 17 $36,156.15 $37,963.95 $37,060.05 nat. median
$31,963
1.2× median
0408T
CPT 		Insj/rplc Cardiac Modulj Sys 17 $36,156.15 $37,963.95 $37,060.05 nat. median
$32,062
1.2× median
33231
CPT 		Insrt Pulse Gen W/mult Leads 17 $36,156.15 $37,963.95 $37,060.05 nat. median
$29,955
1.2× median
19303
HCPCS 		Mast Simple Complete 1 $36,993.82 $36,993.82 $36,993.82 nat. median
$6,213
outlier · 6.0×
33264
HCPCS 		Rmvl & Rplcmt Dfb Gen Mlt Ld 1 $36,662.94 $36,662.94 $36,662.94 nat. median
$31,464
1.2× median

Other procedures at this hospital

Browse this hospital's 4,808 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
             
4 MS_DRG Trach/ Mv >96 Without Maj Or 1 1 $354,120.23 $141,648.09 60% off $178,368.00 $178,368.00 $178,368.00 2025-07-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 7 7 $80,788.08 $62,397.19 23% off $61,914.09 $89,639.81 $75,296.00 2026-07-27
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 11 10 $198,880.41 $74,921.91 62% off $50,000.00 $104,715.93 $75,296.00 2026-07-27
54405 HCPCS Insert Multi-comp Penis Pros 1 1 $107,456.00 $42,982.40 60% off $66,515.27 $66,515.27 $66,515.27 2025-07-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 6 $79,322.07 — $63,712.00 $107,621.30 $63,712.00 2026-07-27
428 MS_DRG Personality/impulse Cntrl 1 1 $576,527.42 $230,610.97 60% off $59,645.92 $59,645.92 $59,645.92 2025-07-01
11421 HCPCS Exc H-f-nk-sp B9+marg 0.6-1 1 1 $89,061.00 $35,624.40 60% off $57,266.23 $57,266.23 $57,266.23 2025-07-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 5 5 $28,729.48 — $52,128.00 $52,128.00 $52,128.00 2026-07-27
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 6 $226,865.47 — $45,917.27 $52,128.00 $52,128.00 2026-07-27
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 8 8 $262,939.70 $64,809.29 75% off $3,430.00 $61,897.20 $52,128.00 2026-07-27
853 MS_DRG Inf & Par Dis Or Px W Mcc 14 14 $211,758.27 $84,703.31 60% off $4,807.52 $157,992.38 $52,128.00 2026-07-27
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 6 $163,772.78 — $48,882.38 $52,128.00 $52,128.00 2026-07-27
58573 HCPCS Tlh W/t/o Uterus Over 250 G 2 2 $91,056.00 $36,422.40 60% off $38,937.11 $58,549.01 $48,743.06 2025-07-01
451 MS_DRG Pois/toxic Eff Drugs <18 3 2 $272,750.90 $109,100.36 60% off $32,045.63 $92,038.95 $47,590.40 2025-07-01
455 MS_DRG Ant/pos Spnal Fusn Wo Cc 1 1 $500,843.79 $200,337.52 60% off $46,539.30 $46,539.30 $46,539.30 2025-07-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 7 7 $82,861.90 $28,372.82 66% off $29,228.91 $49,180.29 $46,336.00 2026-07-27
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 6 $115,149.67 — $46,336.00 $57,188.87 $46,336.00 2026-07-27
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 6 $86,428.39 — $35,162.36 $46,336.00 $46,336.00 2026-07-27
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 10 $130,086.21 $68,169.32 48% off $23,143.05 $54,351.77 $46,336.00 2026-07-27
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 6 $50,665.04 — $46,336.00 $84,589.35 $46,336.00 2026-07-27
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 6 6 $71,728.55 — $34,426.90 $46,336.00 $46,336.00 2026-07-27
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 7 7 $174,389.06 $153,230.58 $43,567.27 $46,336.00 $46,336.00 2026-07-27
500 MS_DRG Soft Tissue Procedures With Mcc 6 6 $102,349.68 — $33,905.56 $46,336.00 $46,336.00 2026-07-27
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 6 $176,234.58 — $38,506.83 $46,336.00 $46,336.00 2026-07-27
448 MS_DRG Allergic Reactions <18 1 1 $358,422.88 $143,369.15 60% off $42,397.37 $42,397.37 $42,397.37 2025-07-01
58570 HCPCS Tlh Uterus 250 G Or Less 1 1 $68,319.00 $27,327.60 60% off $42,289.46 $42,289.46 $42,289.46 2025-07-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 7 7 $201,031.54 $122,535.15 39% off $40,544.00 $57,780.03 $40,544.00 2026-07-27
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 6 $111,376.94 — $40,544.00 $41,257.82 $40,544.00 2026-07-27
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 7 $159,719.96 $21,610.74 86% off $15,242.68 $40,544.00 $40,544.00 2026-07-27
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 6 $107,529.42 — $40,544.00 $49,932.04 $40,544.00 2026-07-27
140 MS_DRG Major Head And Neck Procedures With Mcc 7 7 $145,200.90 $7,448.64 95% off $6,438.40 $46,706.26 $40,544.00 2026-07-27
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 7 7 $52,298.58 $17,277.64 67% off $35,025.04 $41,609.36 $40,544.00 2026-07-27
264 MS_DRG Other Circulatory System O.r. Procedures 7 7 $136,666.14 $16,767.18 88% off $31,082.43 $40,544.00 $40,544.00 2026-07-27
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 6 6 $281,351.54 — $39,009.55 $40,544.00 $40,544.00 2026-07-27
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 6 6 $114,589.88 — $37,769.05 $40,544.00 $40,544.00 2026-07-27
327 MS_DRG Gastr, Esoph,duo Px W Cc 1 1 $138,483.12 $55,393.25 60% off $40,085.78 $40,085.78 $40,085.78 2025-07-01
58150 HCPCS Total Hysterectomy 1 1 $70,798.00 $28,319.20 60% off $39,328.88 $39,328.88 $39,328.88 2025-07-01
414 MS_DRG Chole Exc Lap Wo Cde W Mcc 1 1 $291,177.25 $116,470.90 60% off $38,838.18 $38,838.18 $38,838.18 2025-07-01
423 MS_DRG Ot Hepa/pacr Or Px W Mcc 1 1 $157,298.27 $62,919.31 60% off $38,779.97 $38,779.97 $38,779.97 2025-07-01
402 MS_DRG Lymph/n-acute Leuk W/or 2 2 $371,326.71 $148,530.68 60% off $36,743.62 $40,603.59 $38,673.60 2025-07-01
94 MS_DRG Bac/tb Inf Nerv Sys W Mcc 1 1 $92,025.46 $36,810.18 60% off $37,977.01 $37,977.01 $37,977.01 2025-07-01
956 MS_DRG Limb Reatt HIM&FEM Mult Tr 1 1 $117,713.71 $47,085.48 60% off $37,677.38 $37,677.38 $37,677.38 2025-07-01
622 MS_DRG Skn Gft & Debrimt W Mcc 1 1 $61,893.47 $24,757.39 60% off $37,519.17 $37,519.17 $37,519.17 2025-07-01
33231 CPT Insrt Pulse Gen W/mult Leads 20 17 $325,290.76 — $36,156.15 $37,963.95 $37,060.05 2026-07-27
0408T CPT Insj/rplc Cardiac Modulj Sys 20 17 $342,421.60 — $36,156.15 $37,963.95 $37,060.05 2026-07-27
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 20 17 $325,290.76 — $36,156.15 $37,963.95 $37,060.05 2026-07-27
33270 CPT Ins/rep Subq Defibrillator 20 17 $335,519.38 — $36,156.15 $37,963.95 $37,060.05 2026-07-27
33249 CPT Insj/rplcmt Defib W/lead(s) 20 17 $294,955.18 — $36,156.15 $37,963.95 $37,060.05 2026-07-27
19303 HCPCS Mast Simple Complete 1 1 $64,077.00 $25,630.80 60% off $36,993.82 $36,993.82 $36,993.82 2025-07-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 1 1 $99,999.99 $40,000.00 60% off $36,662.94 $36,662.94 $36,662.94 2025-07-01
829 MS_DRG Myel Dis/neo W Px W Cc/mcc 1 1 $93,030.11 $37,212.04 60% off $36,373.42 $36,373.42 $36,373.42 2025-07-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 6 6 $158,060.00 $63,224.00 60% off $28,743.76 $45,747.59 $35,790.01 2025-07-01
55530 HCPCS Revise Spermatic Cord Veins 1 1 $42,716.00 $17,086.40 60% off $35,395.89 $35,395.89 $35,395.89 2025-07-01
63685 CPT Insrt/redo Spine N Generator 20 17 $142,721.44 — $34,365.36 $36,083.62 $35,224.49 2026-07-27
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 8 8 $123,819.66 $50,177.13 59% off $32,501.85 $93,031.50 $34,752.00 2026-07-27
548 MS_DRG Septic Arthritis With Mcc 6 6 $67,692.27 — $19,012.53 $34,752.00 $34,752.00 2026-07-27
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 6 6 $168,007.63 — $28,229.03 $34,752.00 $34,752.00 2026-07-27
539 MS_DRG Osteomyelitis With Mcc 6 6 $60,776.96 — $18,160.70 $34,752.00 $34,752.00 2026-07-27
228 MS_DRG Other Cardiothoracic Procedures With Mcc 7 7 $49,291.24 $83,445.02 $34,752.00 $101,842.37 $34,752.00 2026-07-27
163 MS_DRG Major Chest Procedures With Mcc 10 10 $241,554.71 $67,224.48 72% off $25,984.52 $59,120.61 $34,752.00 2026-07-27
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 10 $84,197.43 $41,640.00 51% off $17,140.66 $43,982.53 $34,752.00 2026-07-27
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 9 9 $161,170.15 $64,084.43 60% off $20,544.42 $38,890.85 $34,752.00 2026-07-27
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 7 7 $101,457.98 $59,113.72 42% off $20,837.72 $36,814.81 $34,752.00 2026-07-27
56 MS_DRG Degenerative Nervous System Disorders With Mcc 6 6 $66,341.78 — $18,037.35 $34,752.00 $34,752.00 2026-07-27
592 MS_DRG Skin Ulcers With Mcc 6 6 $63,232.26 — $15,919.42 $34,752.00 $34,752.00 2026-07-27
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 6 6 $111,013.26 — $27,819.41 $34,752.00 $34,752.00 2026-07-27
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 6 $194,041.42 — $34,752.00 $42,803.21 $34,752.00 2026-07-27
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 6 $108,786.71 — $34,752.00 $37,638.71 $34,752.00 2026-07-27
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 6 6 $93,057.88 — $21,353.90 $34,752.00 $34,752.00 2026-07-27
63685 HCPCS Insrt/redo Spine N Generator 2 2 $39,648.00 $15,859.20 60% off $34,604.78 $34,604.78 $34,604.78 2025-07-01
579 MS_DRG Ot Skn,sbq Brs Px Wmcc 1 1 $92,617.52 $37,047.01 60% off $34,223.18 $34,223.18 $34,223.18 2025-07-01
58552 HCPCS Laparo-vag Hyst Incl T/o 7 6 $76,519.00 $30,607.60 60% off $9,024.48 $70,231.50 $33,434.81 2025-07-01
33289 CPT Tcat Impl Wrls P-art Prs Snr 20 17 $196,951.36 — $32,058.90 $33,661.84 $32,860.37 2026-07-27
229 MS_DRG Oth Cardiothor Px Without Mcc 1 1 $94,175.93 $37,670.37 60% off $32,713.44 $32,713.44 $32,713.44 2025-07-01
24342 HCPCS Repair Of Ruptured Tendon 1 1 $42,478.00 $16,991.20 60% off $31,468.88 $31,468.88 $31,468.88 2025-07-01
54700 HCPCS Drainage Of Scrotum 1 1 $32,036.00 $12,814.40 60% off $31,178.30 $31,178.30 $31,178.30 2025-07-01
25515 HCPCS Treat Fracture Of Radius 1 1 $42,716.00 $17,086.40 60% off $30,924.89 $30,924.89 $30,924.89 2025-07-01
37252 HCPCS Intrvasc US Noncoronary 1st 1 1 $44,435.33 $17,774.13 60% off $29,577.27 $29,577.27 $29,577.27 2025-07-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 8 8 $81,643.78 $30,703.01 62% off $21,642.83 $28,960.00 $28,960.00 2026-07-27
388 MS_DRG Gastrointestinal Obstruction With Mcc 9 9 $78,943.94 $16,775.54 79% off $14,682.41 $28,960.00 $28,960.00 2026-07-27
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 6 6 $152,608.82 — $27,612.27 $28,960.00 $28,960.00 2026-07-27
314 MS_DRG Other Circulatory System Diagnoses With Mcc 9 9 $62,977.58 $22,091.50 65% off $8,971.64 $29,241.64 $28,960.00 2026-07-27
571 MS_DRG Skin Debridement With Cc 8 8 $93,510.80 $12,507.54 87% off $17,125.79 $28,960.00 $28,960.00 2026-07-27
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 6 6 $162,673.58 — $28,960.00 $29,192.58 $28,960.00 2026-07-27
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 8 8 $56,369.20 $23,735.19 58% off $17,476.35 $28,960.00 $28,960.00 2026-07-27
252 MS_DRG Other Vascular Procedures With Mcc 6 6 $50,742.84 — $28,960.00 $43,371.10 $28,960.00 2026-07-27
606 MS_DRG Minor Skin Disorders With Mcc 6 6 $105,571.14 — $11,690.53 $28,960.00 $28,960.00 2026-07-27
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 6 6 $139,767.86 — $28,960.00 $51,759.05 $28,960.00 2026-07-27
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 8 8 $146,961.22 $38,395.20 74% off $14,452.08 $28,960.00 $28,960.00 2026-07-27
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 11 11 $112,959.99 $34,962.01 69% off $14,994.08 $51,498.38 $28,960.00 2026-07-27
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 6 6 $212,739.46 — $28,960.00 $47,122.87 $28,960.00 2026-07-27
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 7 7 $96,549.67 $20,546.76 79% off $19,389.52 $28,960.00 $28,960.00 2026-07-27
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 6 $133,650.04 — $28,960.00 $50,539.49 $28,960.00 2026-07-27
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 9 9 $84,007.79 $36,131.75 57% off $23,990.40 $33,507.58 $28,960.00 2026-07-27
380 MS_DRG Complicated Peptic Ulcer With Mcc 6 6 $77,207.35 — $19,356.99 $28,960.00 $28,960.00 2026-07-27
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 9 9 $109,570.38 $31,396.96 71% off $18,207.25 $28,960.00 $28,960.00 2026-07-27
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 6 6 $23,490.78 — $20,769.72 $28,960.00 $28,960.00 2026-07-27
113 MS_DRG Orbital Procedures With Cc/mcc 6 6 $34,005.60 — $16,957.44 $28,960.00 $28,960.00 2026-07-27
263 MS_DRG Vein Ligation And Stripping 6 6 $174,680.01 — $12,805.35 $28,960.00 $28,960.00 2026-07-27
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 6 6 $147,155.18 — $27,270.15 $28,960.00 $28,960.00 2026-07-27
215 MS_DRG Other Heart Assist System Implant 6 6 $271,942.39 — $28,960.00 $200,289.06 $28,960.00 2026-07-27
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 7 7 $38,733.36 $33,889.13 $18,218.39 $28,960.00 $28,960.00 2026-07-27
654 MS_DRG Major Bladder Procedures With Cc 6 6 $264,258.94 — $28,960.00 $47,048.39 $28,960.00 2026-07-27
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 8 8 $152,386.98 $25,976.71 83% off $19,076.39 $28,960.00 $28,960.00 2026-07-27
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 6 6 $59,664.14 — $26,332.20 $28,960.00 $28,960.00 2026-07-27
336 MS_DRG Peritoneal Adhesiolysis With Cc 8 8 $115,167.26 $47,372.66 59% off $15,024.86 $32,706.95 $28,960.00 2026-07-27
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 7 7 $138,179.82 $64,612.62 53% off $23,257.96 $28,960.00 $28,960.00 2026-07-27
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 6 6 $20,657.50 — $14,278.60 $28,960.00 $28,960.00 2026-07-27
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 6 6 $92,166.10 — $20,795.32 $28,960.00 $28,960.00 2026-07-27
330 MS_DRG Major Small And Large Bowel Procedures With Cc 9 9 $219,389.56 $76,774.94 65% off $17,374.73 $39,747.34 $28,960.00 2026-07-27
460 MS_DRG Spnal Fusn X Cervcal Womcc 1 1 $491,352.33 $196,540.93 60% off $28,106.38 $28,106.38 $28,106.38 2025-07-01
58554 HCPCS Laparo-vag Hyst W/t/o Compl 4 4 $89,063.00 $35,625.20 60% off $8,573.26 $54,539.43 $28,015.97 2025-07-01
321 MS_DRG Kidn/urin Trct Infct &gt;17 6 5 $163,234.69 $65,293.88 60% off $22,078.98 $101,374.27 $27,793.40 2025-07-01
585 MS_DRG Bx Bres &amp; Ot Bres Px Wocc 1 1 $59,061.08 $23,624.43 60% off $27,580.00 $27,580.00 $27,580.00 2025-07-01
199 MS_DRG Pneumothorax With Mcc 10 10 $42,030.19 $25,660.23 39% off $6,549.03 $28,960.00 $26,137.60 2026-07-27
33240 CPT Insrt Pulse Gen W/singl Lead 20 17 $325,290.76 — $25,312.78 $26,578.42 $25,945.60 2026-07-27
33230 CPT Insrt Pulse Gen W/dual Leads 20 17 $325,290.76 — $25,312.78 $26,578.42 $25,945.60 2026-07-27
0409T CPT Ins/rplc Cardiac Modul Pls Gn 20 17 $124,753.00 — $25,312.78 $26,578.42 $25,945.60 2026-07-27
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 20 17 $124,753.00 — $25,312.78 $26,578.42 $25,945.60 2026-07-27
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 20 17 $325,290.76 — $25,312.78 $26,578.42 $25,945.60 2026-07-27
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 20 17 $325,290.76 — $25,312.78 $26,578.42 $25,945.60 2026-07-27
23515 HCPCS Treat Clavicle Fracture 2 2 $56,638.00 $22,655.20 60% off $10,193.14 $40,970.67 $25,581.90 2025-07-01
50546 HCPCS Laparoscopic Nephrectomy 1 1 $189,415.00 $75,766.00 60% off $24,908.07 $24,908.07 $24,908.07 2025-07-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 6 $77,926.32 — $24,822.00 $91,578.54 $24,822.00 2026-07-27
63655 CPT Implant Neuroelectrodes 20 17 $123,526.71 — $24,183.04 $25,392.19 $24,787.62 2026-07-27
52276 HCPCS Cystoscopy And Treatment 1 1 $35,398.00 $14,159.20 60% off $24,211.89 $24,211.89 $24,211.89 2025-07-01
25609 HCPCS Treat Fx Radial 3+ Frag 3 3 $36,661.83 $14,664.73 60% off $7,972.53 $28,870.70 $24,032.77 2025-07-01
27427 HCPCS Reconstruction Knee 1 1 $37,925.00 $15,170.00 60% off $23,475.58 $23,475.58 $23,475.58 2025-07-01
33263 HCPCS Rmvl &amp; Rplcmt Dfb Gen 2 Lead 1 1 $122,492.00 $48,996.80 60% off $23,342.34 $23,342.34 $23,342.34 2025-07-01
19302 HCPCS P-mastectomy W/ln Removal 1 1 $36,214.00 $14,485.60 60% off $23,285.61 $23,285.61 $23,285.61 2025-07-01
54416 CPT Remv/repl Penis Contain Pros 20 17 $159,774.92 — $22,699.17 $23,834.13 $23,266.65 2026-07-27
54410 CPT Remove/replace Penis Prosth 20 17 $99,532.33 — $22,699.17 $23,834.13 $23,266.65 2026-07-27
54411 CPT Remov/replc Penis Pros Comp 20 17 $127,559.39 — $22,699.17 $23,834.13 $23,266.65 2026-07-27
54405 CPT Insert Multi-comp Penis Pros 20 17 $201,684.18 — $22,699.17 $23,834.13 $23,266.65 2026-07-27
53445 CPT Insert Uro/ves Nck Sphincter 20 17 $139,941.40 — $22,699.17 $23,834.13 $23,266.65 2026-07-27
54401 CPT Insert Self-contd Prosthesis 20 17 $147,492.33 — $22,699.17 $23,834.13 $23,266.65 2026-07-27
643 MS_DRG Endocrine Disorders With Mcc 10 10 $131,128.93 $23,723.78 82% off $15,992.85 $28,960.00 $23,172.84 2026-07-27
919 MS_DRG Complications Of Treatment With Mcc 7 7 $289,292.66 $12,732.95 96% off $18,926.76 $23,168.00 $23,168.00 2026-07-27
253 MS_DRG Other Vascular Procedures With Cc 6 6 $118,876.20 — $23,168.00 $35,460.27 $23,168.00 2026-07-27
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 9 9 $102,805.34 $20,138.28 80% off $15,754.16 $27,191.01 $23,168.00 2026-07-27
265 MS_DRG Aicd Lead Procedures 6 6 $371,827.12 — $23,168.00 $51,654.32 $23,168.00 2026-07-27
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 6 $207,672.48 — $23,168.00 $41,490.56 $23,168.00 2026-07-27
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 6 6 $57,205.61 — $12,593.56 $23,168.00 $23,168.00 2026-07-27
540 MS_DRG Osteomyelitis With Cc 6 6 $62,711.46 — $14,432.21 $23,168.00 $23,168.00 2026-07-27
357 MS_DRG Other Digestive System O.r. Procedures With Cc 7 7 $100,388.06 $50,040.84 50% off $23,168.00 $53,293.49 $23,168.00 2026-07-27
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 9 9 $137,554.78 $19,166.05 86% off $13,713.04 $23,168.00 $23,168.00 2026-07-27
666 MS_DRG Prostatectomy With Cc 7 7 $169,848.02 $90,239.35 47% off $17,108.56 $23,168.00 $23,168.00 2026-07-27
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 6 6 $220,334.47 — $10,871.29 $23,168.00 $23,168.00 2026-07-27
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 8 8 $180,377.78 $38,366.66 79% off $17,013.55 $24,840.34 $23,168.00 2026-07-27
553 MS_DRG Bone Diseases And Arthropathies With Mcc 7 7 $94,398.57 $25,368.12 73% off $13,573.36 $23,168.00 $23,168.00 2026-07-27
947 MS_DRG Signs And Symptoms With Mcc 7 7 $54,443.30 $20,707.62 62% off $10,917.83 $23,168.00 $23,168.00 2026-07-27
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 6 6 $48,877.12 — $23,168.00 $31,126.65 $23,168.00 2026-07-27
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 11 11 $147,869.35 $67,819.09 54% off $19,519.73 $29,921.05 $23,168.00 2026-07-27
205 MS_DRG Other Respiratory System Diagnoses With Mcc 7 7 $57,477.82 $12,549.16 78% off $15,619.18 $23,168.00 $23,168.00 2026-07-27
393 MS_DRG Other Digestive System Diagnoses With Mcc 8 8 $158,396.60 $22,653.37 86% off $16,395.46 $23,168.00 $23,168.00 2026-07-27
186 MS_DRG Pleural Effusion With Mcc 8 8 $37,366.22 $26,417.64 29% off $16,401.22 $23,168.00 $23,168.00 2026-07-27
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 11 11 $156,411.95 $56,207.91 64% off $19,828.02 $34,659.64 $23,168.00 2026-07-27
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 8 8 $123,176.60 $59,470.84 52% off $9,122.95 $40,741.14 $23,168.00 2026-07-27
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 7 7 $102,420.96 $15,166.21 85% off $18,805.63 $23,168.00 $23,168.00 2026-07-27
375 MS_DRG Digestive Malignancy With Cc 6 6 $30,490.08 — $17,292.58 $23,168.00 $23,168.00 2026-07-27
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 6 6 $115,521.70 — $23,168.00 $30,493.59 $23,168.00 2026-07-27
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 6 6 $67,702.16 — $13,780.54 $23,168.00 $23,168.00 2026-07-27
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 6 6 $143,685.75 — $20,474.14 $23,168.00 $23,168.00 2026-07-27
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 6 6 $128,681.50 — $14,013.28 $23,168.00 $23,168.00 2026-07-27
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 6 6 $86,039.54 — $23,168.00 $23,350.80 $23,168.00 2026-07-27
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 6 6 $187,486.25 — $16,575.74 $23,168.00 $23,168.00 2026-07-27
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 6 6 $78,427.81 — $23,168.00 $23,306.58 $23,168.00 2026-07-27
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 6 6 $150,507.96 — $23,168.00 $27,481.94 $23,168.00 2026-07-27
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 9 9 $116,402.86 $23,721.43 80% off $9,916.29 $23,168.00 $23,168.00 2026-07-27
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 6 6 $82,595.32 — $23,168.00 $26,404.35 $23,168.00 2026-07-27
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 7 7 $121,243.98 $8,703.50 93% off $12,325.91 $23,168.00 $23,168.00 2026-07-27
501 MS_DRG Soft Tissue Procedures With Cc 7 7 $31,744.92 $29,391.42 $19,908.84 $23,168.00 $23,168.00 2026-07-27
811 MS_DRG Red Blood Cell Disorders With Mcc 8 8 $83,138.45 $22,889.94 72% off $13,209.16 $23,168.00 $23,168.00 2026-07-27
813 MS_DRG Coagulation Disorders 7 7 $57,684.50 $5,603.60 90% off $14,905.77 $23,168.00 $23,168.00 2026-07-27
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 6 6 $28,087.40 — $23,168.00 $28,994.75 $23,168.00 2026-07-27
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 6 6 $29,788.51 — $12,491.16 $23,168.00 $23,168.00 2026-07-27
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 9 9 $43,387.61 $17,784.55 59% off $11,489.93 $23,168.00 $23,168.00 2026-07-27
871 MS_DRG Septi/seps Wo MV&gt;96HR Wmcc 21 19 $62,362.49 $24,944.99 60% off $13,875.64 $44,677.02 $22,617.67 2026-07-27
80 MS_DRG Nt Stupor/coma W Mcc 1 1 $70,177.32 $28,070.93 60% off $22,165.09 $22,165.09 $22,165.09 2025-07-01
438 MS_DRG Dis Pancr X Malig W Mcc 1 1 $67,891.95 $27,156.78 60% off $22,164.08 $22,164.08 $22,164.08 2025-07-01
177 MS_DRG Resp Inf/inflam W Mcc 15 13 $46,131.12 $18,452.45 60% off $10,432.47 $27,000.17 $22,064.00 2026-07-27
33274 CPT Leadless Pacemaker Insertion 20 17 $121,958.52 — $21,506.73 $22,582.06 $22,044.40 2026-07-27
33229 CPT Remv&replc Pm Gen Mult Leads 20 17 $121,381.32 — $21,506.73 $22,582.06 $22,044.40 2026-07-27
486 MS_DRG Knee Px W Inf Pdx W Cc 1 1 $143,111.19 $57,244.48 60% off $22,012.02 $22,012.02 $22,012.02 2025-07-01
715 MS_DRG Male Rep Px For Mal W Cc 1 1 $60,816.43 $24,326.57 60% off $21,918.55 $21,918.55 $21,918.55 2025-07-01
55040 HCPCS Removal Of Hydrocele 1 1 $13,890.00 $5,556.00 60% off $21,740.32 $21,740.32 $21,740.32 2025-07-01
22633 CPT Lumbar Spine Fusion Combined 20 17 $450,908.31 — $20,738.63 $21,775.56 $21,257.10 2026-07-27
22612 CPT Lumbar Spine Fusion 20 17 $444,678.50 — $20,738.63 $21,775.56 $21,257.10 2026-07-27
23472 CPT Reconstruct Shoulder Joint 60 17 $133,047.37 — $20,738.63 $21,775.56 $21,257.10 2026-07-27
27702 CPT Reconstruct Ankle Joint 40 17 $182,946.24 — $20,738.63 $21,775.56 $21,257.10 2026-07-27
22867 CPT Insj Stablj Dev W/dcmprn 20 17 $450,476.73 — $20,738.63 $21,775.56 $21,257.10 2026-07-27
22630 CPT Lumbar Spine Fusion 20 17 $449,256.05 — $20,738.63 $21,775.56 $21,257.10 2026-07-27
515 MS_DRG Ot Mus Con Tis Or Px W Mcc 1 1 $163,612.61 $65,445.04 60% off $21,164.52 $21,164.52 $21,164.52 2025-07-01
64 MS_DRG Ic Hem Or Cereb Inf W Mcc 2 2 $76,226.86 $30,490.74 60% off $20,698.64 $20,902.78 $20,800.71 2025-07-01
37184 CPT Prim Art M-thrmbc 1st Vsl 20 17 $78,673.64 — $20,249.96 $21,262.46 $20,756.21 2026-07-27
36906 CPT Thrmbc/nfs Dialysis Circuit 20 17 $200,686.54 — $20,249.96 $21,262.46 $20,756.21 2026-07-27
C9766 HCPCS Revasc Intra Lithotrip-ather 64 21 $113,887.61 $17,584.05 85% off $15,320.33 $39,411.40 $20,756.21 2026-07-27
92933 CPT Atherectomy/bms 20 17 $81,750.00 — $20,249.96 $21,262.46 $20,756.21 2026-07-27
C9774 HCPCS Ivl Tibial/peron Art W/athrectomy Revasc Endo Perc 20 17 $123,501.00 — $20,249.96 $21,262.46 $20,756.21 2026-07-27
C9775 HCPCS Ivl Tibial/peron Art W/stent & Atherectomy Revas 20 17 $123,501.00 — $20,249.96 $21,262.46 $20,756.21 2026-07-27
C9773 HCPCS Ivl Tibial/peron Art With Stent Revasc Percutan/endo 20 17 $123,501.00 — $20,249.96 $21,262.46 $20,756.21 2026-07-27
C9765 HCPCS Revasc Intra Lithotrip-stent 41 18 $91,752.44 $16,414.80 82% off $19,541.24 $21,262.46 $20,756.21 2026-07-27
37242 CPT Vasc Embolize/occlude Artery 20 17 $46,338.00 — $20,249.96 $21,262.46 $20,756.21 2026-07-27
C9602 HCPCS Atherectomy/des 21 18 $81,750.00 $29,727.20 64% off $11,726.41 $21,262.46 $20,756.21 2026-07-27
C9607 HCPCS Des Chronic 1 Vessel 20 17 $81,750.00 — $20,249.96 $21,262.46 $20,756.21 2026-07-27
54600 HCPCS Reduce Testis Torsion 1 1 $32,036.00 $12,814.40 60% off $20,599.15 $20,599.15 $20,599.15 2025-07-01
52204 HCPCS Cystoscopy W/biopsy(s) 1 1 $32,035.00 $12,814.00 60% off $20,598.51 $20,598.51 $20,598.51 2025-07-01
682 MS_DRG Renal Failure With Mcc 11 11 $72,402.48 $22,661.18 69% off $13,543.35 $23,168.00 $20,483.45 2026-07-27
62360 CPT Insert Spine Infusion Device 20 17 $82,001.74 — $19,931.27 $20,927.84 $20,429.56 2026-07-27
707 MS_DRG Mj Male Pelv Px W Cc/mcc 3 3 $327,679.64 $131,071.85 60% off $20,172.45 $25,723.93 $20,417.99 2025-07-01
37248 HCPCS Trluml Balo Angiop 1st Vein 1 1 $20,383.00 $8,153.20 60% off $20,186.43 $20,186.43 $20,186.43 2025-07-01
57061 HCPCS Destroy Vag Lesions Simple 1 1 $62,720.00 $25,088.00 60% off $20,164.48 $20,164.48 $20,164.48 2025-07-01
19357 CPT Breast Reconstruction 40 17 $302,764.63 — $19,620.28 $20,601.30 $20,110.79 2026-07-27
637 MS_DRG Diabetes With Mcc 10 10 $117,192.26 $28,256.35 76% off $13,352.08 $23,168.00 $20,096.60 2026-07-27
56440 HCPCS Surgery For Vulva Lesion 1 1 $30,874.00 $12,349.60 60% off $19,851.99 $19,851.99 $19,851.99 2025-07-01
24105 HCPCS Removal Of Elbow Bursa 1 1 $26,696.00 $10,678.40 60% off $19,815.87 $19,815.87 $19,815.87 2025-07-01
908 MS_DRG Oth Or Px For Inj W Cc 1 1 $62,448.80 $24,979.52 60% off $19,749.26 $19,749.26 $19,749.26 2025-07-01
C9767 HCPCS Revasc Lithotrip-stent-ather 1 1 $99,999.99 $40,000.00 60% off $19,541.24 $19,541.24 $19,541.24 2025-07-01
717 MS_DRG Male Rep Px Ex Malig W Cc 1 1 $58,909.80 $23,563.92 60% off $19,421.20 $19,421.20 $19,421.20 2025-07-01
470 MS_DRG Maj Join Rep/reat Le Without M 13 12 $149,926.50 $59,970.60 60% off $11,584.00 $63,374.22 $18,870.98 2026-07-27
322 MS_DRG Kidn/urin Trct Infct &lt;18 7 6 $133,473.28 $53,389.31 60% off $11,032.00 $41,441.55 $18,788.72 2025-07-01
189 MS_DRG Pul Edema/ Resp Failure 14 14 $44,858.58 $17,943.43 60% off $6,105.96 $23,168.00 $18,748.00 2026-07-27
602 MS_DRG Cellulitis W Mcc 1 1 $39,925.06 $15,970.02 60% off $18,718.16 $18,718.16 $18,718.16 2025-07-01
580 MS_DRG Ot Skin,sbq Brst Px W Cc 1 1 $55,299.07 $22,119.63 60% off $18,616.21 $18,616.21 $18,616.21 2025-07-01
43282 HCPCS Lap Paraesoph Her Rpr W/mesh 1 1 $227,047.00 $90,818.80 60% off $18,488.52 $18,488.52 $18,488.52 2025-07-01
28208 HCPCS Repair Of Foot Tendon 1 1 $42,478.00 $16,991.20 60% off $18,393.00 $18,393.00 $18,393.00 2025-07-01
22551 HCPCS Neck Spine FUSE&amp;REMOV Bel C2 2 2 $97,731.16 $39,092.47 60% off $11,968.65 $24,775.25 $18,371.95 2025-07-01
29886 HCPCS Knee Arthroscopy/surgery 1 1 $28,318.00 $11,327.20 60% off $18,208.47 $18,208.47 $18,208.47 2025-07-01
57522 HCPCS Conization Of Cervix 2 1 $18,687.00 $7,474.80 60% off $6,934.95 $29,324.03 $18,129.49 2025-07-01
27130 HCPCS Total Hip Arthroplasty 7 6 $50,215.13 $20,086.05 60% off $11,852.46 $53,471.14 $17,460.54 2025-07-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 9 9 $61,731.54 $24,051.99 61% off $10,221.80 $19,796.86 $17,376.00 2026-07-27
304 MS_DRG Hypertension With Mcc 7 7 $261,267.67 $6,805.36 97% off $12,433.84 $17,376.00 $17,376.00 2026-07-27
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 8 8 $172,687.86 $67,253.32 61% off $17,376.00 $42,803.21 $17,376.00 2026-07-27
645 MS_DRG Endocrine Disorders Without Cc/mcc 7 7 $31,203.82 $4,731.26 85% off $2,668.72 $17,376.00 $17,376.00 2026-07-27
30 MS_DRG Spinal Procedures Without Cc/mcc 6 6 $454,539.52 — $17,376.00 $32,632.48 $17,376.00 2026-07-27
292 MS_DRG Heart Failure And Shock With Cc 8 8 $32,345.66 $10,687.48 67% off $5,782.25 $17,376.00 $17,376.00 2026-07-27
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 7 7 $166,498.82 $45,186.81 73% off $17,376.00 $24,700.70 $17,376.00 2026-07-27
389 MS_DRG Gastrointestinal Obstruction With Cc 9 9 $42,594.82 $15,998.72 62% off $8,079.96 $17,376.00 $17,376.00 2026-07-27
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 7 7 $234,964.10 $49,203.92 79% off $17,376.00 $44,914.17 $17,376.00 2026-07-27
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 6 6 $66,434.46 — $17,376.00 $24,435.37 $17,376.00 2026-07-27
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 6 6 $118,407.70 — $17,246.03 $17,376.00 $17,376.00 2026-07-27
315 MS_DRG Other Circulatory System Diagnoses With Cc 6 6 $59,161.99 — $15,218.87 $17,376.00 $17,376.00 2026-07-27
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 7 7 $98,925.40 $22,736.70 77% off $17,376.00 $34,417.59 $17,376.00 2026-07-27
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 8 8 $105,528.11 $51,098.06 52% off $13,338.54 $26,976.89 $17,376.00 2026-07-27
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 8 8 $39,056.20 $59,970.89 $8,771.90 $17,997.78 $17,376.00 2026-07-27
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 6 6 $163,566.37 — $17,376.00 $37,987.82 $17,376.00 2026-07-27
547 MS_DRG Connective Tissue Disorders Without Cc/mcc 6 6 $41,467.29 — $13,284.80 $17,376.00 $17,376.00 2026-07-27
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 6 6 $71,279.02 — $9,698.28 $17,376.00 $17,376.00 2026-07-27
872 MS_DRG Septi/seps Wo Mv &gt;96 Wo Mc 13 13 $46,871.72 $18,748.69 60% off $9,283.26 $18,209.58 $17,376.00 2026-07-27
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 6 $132,358.84 — $17,376.00 $68,602.44 $17,376.00 2026-07-27
537 MS_DRG Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/mcc 6 6 $107,506.45 — $8,669.57 $17,376.00 $17,376.00 2026-07-27
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 6 6 $34,087.20 — $12,344.53 $17,376.00 $17,376.00 2026-07-27
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 6 6 $111,126.58 — $17,376.00 $40,475.81 $17,376.00 2026-07-27
381 MS_DRG Complicated Peptic Ulcer With Cc 6 6 $37,303.76 — $15,260.76 $17,376.00 $17,376.00 2026-07-27
202 MS_DRG Bronchitis And Asthma With Cc/mcc 7 7 $93,303.27 $5,145.80 94% off $7,800.15 $17,376.00 $17,376.00 2026-07-27
200 MS_DRG Pneumothorax With Cc 6 6 $32,253.98 — $15,707.62 $17,376.00 $17,376.00 2026-07-27
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 6 6 $179,931.10 — $17,376.00 $26,139.03 $17,376.00 2026-07-27
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 7 7 $74,992.73 $12,667.25 83% off $11,344.51 $17,376.00 $17,376.00 2026-07-27
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 6 6 $42,789.00 — $13,273.16 $17,376.00 $17,376.00 2026-07-27
755 MS_DRG Malignancy, Female Reproductive System With Cc 6 6 $62,575.00 — $16,661.86 $17,376.00 $17,376.00 2026-07-27
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 7 7 $19,162.90 $20,500.23 $7,886.54 $17,376.00 $17,376.00 2026-07-27
920 MS_DRG Complications Of Treatment With Cc 6 6 $58,756.89 — $14,529.96 $17,376.00 $17,376.00 2026-07-27
181 MS_DRG Respiratory Neoplasms With Cc 6 6 $238,264.50 — $17,376.00 $22,201.07 $17,376.00 2026-07-27
178 MS_DRG Respiratory Infections And Inflammations With Cc 7 7 $22,231.56 $6,122.76 72% off $7,581.29 $21,446.99 $17,376.00 2026-07-27
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 6 6 $50,267.61 — $17,376.00 $35,076.25 $17,376.00 2026-07-27
164 MS_DRG Major Chest Procedures With Cc 6 6 $132,680.70 — $17,376.00 $41,039.04 $17,376.00 2026-07-27
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 6 6 $146,872.77 — $17,376.00 $36,349.33 $17,376.00 2026-07-27
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 6 6 $236,626.03 — $17,376.00 $22,759.64 $17,376.00 2026-07-27
394 MS_DRG Other Digestive System Diagnoses With Cc 6 6 $54,103.89 — $14,834.85 $17,376.00 $17,376.00 2026-07-27
948 MS_DRG Signs And Symptoms Without Mcc 7 7 $71,702.48 $11,340.80 84% off $8,148.23 $17,376.00 $17,376.00 2026-07-27
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 8 8 $79,976.28 $18,526.12 77% off $8,415.28 $17,376.00 $17,376.00 2026-07-27
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 6 6 $235,777.13 — $17,376.00 $20,588.18 $17,376.00 2026-07-27
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 7 7 $70,066.65 $14,469.77 79% off $17,376.00 $19,564.12 $17,376.00 2026-07-27
101 MS_DRG Seizures Without Mcc 8 8 $10,039.38 $17,024.86 $9,019.94 $17,376.00 $17,376.00 2026-07-27
137 MS_DRG Mouth Procedures With Cc/mcc 6 6 $46,674.39 — $15,426.01 $17,376.00 $17,376.00 2026-07-27
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 9 9 $67,418.92 $15,085.59 78% off $8,146.42 $17,376.00 $17,376.00 2026-07-27
812 MS_DRG Red Blood Cell Disorders Without Mcc 8 8 $51,090.57 $14,618.01 71% off $9,133.55 $17,376.00 $17,376.00 2026-07-27
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 7 7 $199,299.08 $60,855.44 69% off $17,376.00 $19,817.81 $17,376.00 2026-07-27
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 8 8 $163,485.85 $66,675.24 59% off $16,603.06 $25,296.51 $17,376.00 2026-07-27
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 6 6 $130,704.86 — $17,376.00 $22,052.11 $17,376.00 2026-07-27
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 8 8 $39,121.78 $13,306.24 66% off $12,166.16 $19,592.05 $17,376.00 2026-07-27
378 MS_DRG Gastrointestinal Hemorrhage With Cc 10 9 $56,902.07 $24,050.74 58% off $10,033.63 $28,202.02 $17,376.00 2026-07-27
607 MS_DRG Minor Skin Disorders Without Mcc 6 6 $30,123.47 — $8,245.98 $17,376.00 $17,376.00 2026-07-27
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 6 6 $170,762.13 — $17,376.00 $23,078.50 $17,376.00 2026-07-27
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 6 6 $34,644.80 — $12,088.52 $17,376.00 $17,376.00 2026-07-27
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 6 6 $67,117.74 — $10,768.88 $17,376.00 $17,376.00 2026-07-27
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 7 7 $92,487.88 $12,250.75 87% off $5,037.39 $32,318.28 $17,376.00 2026-07-27
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 12 12 $108,647.21 $42,188.60 61% off $14,927.95 $25,322.11 $17,376.00 2026-07-27
23472 HCPCS Reconstruct Shoulder Joint 3 3 $36,781.50 $14,712.60 60% off $12,661.96 $22,041.72 $17,280.71 2025-07-01
54520 HCPCS Removal Of Testis 1 1 $26,696.00 $10,678.40 60% off $17,165.53 $17,165.53 $17,165.53 2025-07-01
504 MS_DRG Foot Px W Cc 1 1 $65,755.20 $26,302.08 60% off $17,137.85 $17,137.85 $17,137.85 2025-07-01
291 MS_DRG Heart Fail/shock W Mcc 13 13 $39,457.79 $15,783.12 60% off $13,120.24 $23,168.00 $17,050.53 2026-07-27
299 MS_DRG Peri Vasc Dis W Mcc 3 3 $56,472.34 $22,588.93 60% off $15,957.07 $17,014.13 $16,786.94 2025-07-01
601 MS_DRG N-mal Breast Dis Wo Ccmcc 1 1 $20,712.24 $8,284.90 60% off $16,709.22 $16,709.22 $16,709.22 2025-07-01
183 MS_DRG Maj Chest Trauma W Mcc 2 2 $99,519.94 $39,807.98 60% off $16,480.71 $16,708.39 $16,594.55 2025-07-01
50590 HCPCS Fragmenting Of Kidney Stone 1 1 $194,696.00 $77,878.40 60% off $16,584.76 $16,584.76 $16,584.76 2025-07-01
22903 HCPCS Exc Abd Les Sc 3 CM/&gt; 1 1 $10,678.00 $4,271.20 60% off $16,548.66 $16,548.66 $16,548.66 2025-07-01
24071 HCPCS Exc Arm/elbow Les Sc 3 CM/&gt; 1 1 $25,534.00 $10,213.60 60% off $16,418.36 $16,418.36 $16,418.36 2025-07-01
36571 HCPCS Insert Picvad Cath 1 1 $25,391.00 $10,156.40 60% off $16,326.42 $16,326.42 $16,326.42 2025-07-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 10 10 $101,122.72 $19,580.00 81% off $11,355.50 $17,376.00 $16,313.73 2026-07-27
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