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

ADVENTIST HEALTH ST HELENA

Saint Helena, CA · CCN 050013 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

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

This hospital’s price: $775 across 32 payers · range $75-$6,014

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbAHSHSAINTHELENACA&type=CDMWithoutLabel&fileType=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.

4,025 distinct procedures filed
42 distinct payers
220,255 rate rows
2026-07-15 last MRF observed
Data quality

203,711 of 220,255 rate rows are consumer-grade (92.5%)

16,544 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 8,295
per-diem day rate — not a per-procedure price 7,177
exceeds 10× this hospital's gross charge — excluded from medians 959
percent-of-charges filed in the dollar field — excluded from medians 87
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 11
placeholder amount (≤ $0.02) — excluded from medians 9
exceeds 3× this hospital's gross charge for a DRG stay — excluded 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbAHSHSAINTHELENACA&type=CDMWithoutLabel&fileType=CSV
Found on page https://www.adventisthealth.org/patients-and-visitors/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-17
Content fingerprint 36f149a54c58a3f3… · 204,302,959 bytes · first seen 2026-07-16

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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $287,707.37 $517,873.26 $287,707.37 nat. median
$186,516
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $217,908.52 $392,235.33 $217,908.52 nat. median
$145,435
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $142,205.40 $255,969.72 $142,205.40 nat. median
$97,418
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 6 $111,638.95 $200,950.11 $111,638.95 nat. median
$74,509
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 8 $84,443.00 $184,002.37 $102,223.54 nat. median
$73,023
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $69,559.00 $180,783.21 $100,435.12 nat. median
$69,822
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $69,559.00 $155,782.02 $86,545.57 nat. median
$60,505
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $69,559.00 $141,892.68 $78,829.27 nat. median
$55,923
1.4× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $69,559.00 $141,281.00 $78,489.45 nat. median
$55,935
1.4× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $73,204.25 $131,767.65 $73,204.25 nat. median
$51,518
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 6 $70,959.99 $127,727.99 $70,959.99 nat. median
$48,611
1.5× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $70,611.96 $127,101.53 $70,611.96 nat. median
$49,569
1.4× median
C1822
HCPCS 		Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 24 $11,526.00 $132,500.00 $69,002.40 nat. median
$30,046
outlier · 2.3×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $67,505.32 $121,509.57 $67,505.32 nat. median
$47,458
1.4× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 $67,259.95 $121,067.91 $67,259.95 nat. median
$43,299
1.6× median
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 24 $11,526.00 $126,265.00 $66,289.12 nat. median
$21,100
outlier · 3.1×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 6 $66,061.85 $118,911.33 $66,061.85 nat. median
$47,121
1.4× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 $62,917.22 $113,250.99 $62,917.22 nat. median
$44,036
1.4× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 8 $62,241.68 $112,035.03 $62,241.68 nat. median
$43,803
1.4× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 $61,666.76 $111,000.17 $61,666.76 nat. median
$43,533
1.4× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 8 $60,249.98 $108,449.97 $60,249.98 nat. median
$43,023
1.4× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 $60,210.97 $108,379.74 $60,210.97 nat. median
$40,726
1.5× median
0620T
OTHER 		Insertion Of Stent To Shunt Arterial Blood To Deep Vein Of Lower Leg Via Cathete… 31 $4,145.00 $119,711.00 $58,514.20 nat. median
$32,565
1.8× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 6 $58,513.92 $105,325.05 $58,513.92 nat. median
$38,795
1.5× median
33270
HCPCS 		Insertion Or Replacement Of Defibrillator With Electrode 30 $508.93 $180,200.70 $58,378.60 nat. median
$32,475
1.8× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 6 $57,145.39 $102,861.71 $57,145.39 nat. median
$35,985
1.6× median
C1721
HCPCS 		Cardioverter-defibrillator, Dual Chamber (implantable) 24 $11,526.00 $146,575.00 $56,732.40 nat. median
$19,958
outlier · 2.8×
834
MS_DRG 		Acute Leukemia With Mcc 6 $56,362.06 $101,451.71 $56,362.06 nat. median
$37,487
1.5× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 $56,082.81 $100,949.06 $56,082.81 nat. median
$39,159
1.4× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 $55,994.52 $100,790.13 $55,994.52 nat. median
$37,371
1.5× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $54,749.19 $98,548.54 $54,749.19 nat. median
$38,832
1.4× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 7 $54,169.13 $97,504.44 $54,169.13 nat. median
$37,725
1.4× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $51,745.21 $93,141.38 $51,745.21 nat. median
$35,297
1.5× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 6 $51,203.14 $92,165.66 $51,203.14 nat. median
$35,986
1.4× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 8 $50,792.48 $91,426.47 $50,792.48 nat. median
$35,725
1.4× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 $50,702.14 $91,263.85 $50,702.14 nat. median
$34,733
1.5× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 8 $50,528.63 $97,428.00 $50,528.63 nat. median
$34,615
1.5× median
C1722
HCPCS 		Cardioverter-defibrillator, Single Chamber (implantable) 24 $11,526.00 $137,500.00 $49,871.25 nat. median
$19,800
outlier · 2.5×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 $48,876.75 $87,978.16 $48,876.75 nat. median
$34,616
1.4× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 $48,168.36 $86,703.06 $48,168.36 nat. median
$33,546
1.4× median
C2624
HCPCS 		Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 24 $12,256.00 $90,375.00 $47,446.88 nat. median
$26,491
1.8× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 7 $47,415.83 $85,348.49 $47,415.83 nat. median
$33,459
1.4× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 6 $47,189.97 $84,941.94 $47,189.97 nat. median
$33,435
1.4× median
245
MS_DRG 		Aicd Generator Procedures 7 $46,839.88 $84,311.78 $46,839.88 nat. median
$32,088
1.5× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 $46,699.23 $84,058.61 $46,699.23 nat. median
$31,991
1.5× median
163
MS_DRG 		Major Chest Procedures With Mcc 6 $46,012.40 $82,822.32 $46,012.40 nat. median
$31,995
1.4× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 11 $36,205.84 $65,170.51 $45,910.00 nat. median
$25,622
1.8× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 11 $28,212.34 $62,040.00 $45,910.00 nat. median
$19,904
outlier · 2.3×
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 11 $31,140.35 $159,954.00 $45,910.00 nat. median
$22,918
outlier · 2.0×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 6 $45,098.68 $81,177.63 $45,098.68 nat. median
$30,674
1.5× median

Other procedures at this hospital

Browse this hospital's 4,025 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 5 $1,290,660.47 $193,599.07 85% off $287,707.37 $517,873.26 $287,707.37 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 6 $979,342.42 $146,901.36 85% off $217,908.52 $392,235.33 $217,908.52 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 6 $1,115,570.14 $167,335.52 85% off $142,205.40 $255,969.72 $142,205.40 2026-04-27
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 6 $829,452.99 $124,417.95 85% off $111,638.95 $200,950.11 $111,638.95 2026-07-15
215 MS_DRG Other Heart Assist System Implant 16 8 $756,420.20 $113,463.03 85% off $84,443.00 $184,002.37 $102,223.54 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 8 $783,113.93 $117,467.09 85% off $69,559.00 $180,783.21 $100,435.12 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 8 $782,438.19 $117,365.73 85% off $69,559.00 $155,782.02 $86,545.57 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 8 $650,208.61 $97,531.29 85% off $69,559.00 $141,892.68 $78,829.27 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 8 $729,435.66 $109,415.35 85% off $69,559.00 $141,281.00 $78,489.45 2026-04-27
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 7 $528,311.46 $79,246.72 85% off $73,204.25 $131,767.65 $73,204.25 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 6 $622,636.26 $93,395.44 85% off $70,959.99 $127,727.99 $70,959.99 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 7 $617,007.48 $92,551.12 85% off $70,611.96 $127,101.53 $70,611.96 2026-04-27
C1822 HCPCS Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 44 24 $132,500.00 $19,875.00 85% off $11,526.00 $132,500.00 $69,002.40 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 8 $600,624.88 $90,093.73 85% off $67,505.32 $121,509.57 $67,505.32 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 6 $190,493.77 $28,574.07 85% off $67,259.95 $121,067.91 $67,259.95 2026-04-27
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 24 24 $126,265.00 $18,939.75 85% off $11,526.00 $126,265.00 $66,289.12 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 6 $452,094.43 $67,814.17 85% off $66,061.85 $118,911.33 $66,061.85 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 8 $349,408.73 $52,411.31 85% off $62,917.22 $113,250.99 $62,917.22 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 8 $811,989.49 $121,798.43 85% off $62,241.68 $112,035.03 $62,241.68 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 7 $628,799.33 $94,319.90 85% off $61,666.76 $111,000.17 $61,666.76 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 8 $545,202.99 $81,780.45 85% off $60,249.98 $108,449.97 $60,249.98 2026-04-27
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 6 $434,666.01 $65,199.90 85% off $60,210.97 $108,379.74 $60,210.97 2026-04-27
0620T OTHER Insertion Of Stent To Shunt Arterial Blood To Deep Vein Of Lower Leg Via Cathete… 31 31 $119,711.00 $17,956.65 85% off $4,145.00 $119,711.00 $58,514.20 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 6 $131,922.21 $19,788.33 85% off $58,513.92 $105,325.05 $58,513.92 2026-04-27
33270 HCPCS Insertion Or Replacement Of Defibrillator With Electrode 30 30 $200,223.00 $30,033.45 85% off $508.93 $180,200.70 $58,378.60 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 6 $340,488.14 $51,073.22 85% off $57,145.39 $102,861.71 $57,145.39 2026-07-15
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 157 24 $112,329.25 $16,849.39 85% off $11,526.00 $146,575.00 $56,732.40 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 12 6 $162,153.16 $24,322.97 85% off $56,362.06 $101,451.71 $56,362.06 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 8 $557,853.32 $83,678.00 85% off $56,082.81 $100,949.06 $56,082.81 2026-04-27
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 6 $504,129.97 $75,619.49 85% off $55,994.52 $100,790.13 $55,994.52 2026-04-27
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 8 $515,055.73 $77,258.36 85% off $54,749.19 $98,548.54 $54,749.19 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 7 $360,223.89 $54,033.59 85% off $54,169.13 $97,504.44 $54,169.13 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 8 $391,828.30 $58,774.24 85% off $51,745.21 $93,141.38 $51,745.21 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 6 $430,046.26 $64,506.94 85% off $51,203.14 $92,165.66 $51,203.14 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 8 $386,718.76 $58,007.82 85% off $50,792.48 $91,426.47 $50,792.48 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 6 $383,202.59 $57,480.39 85% off $50,702.14 $91,263.85 $50,702.14 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 8 $180,955.72 $27,143.36 85% off $50,528.63 $97,428.00 $50,528.63 2026-07-15
C1722 HCPCS Cardioverter-defibrillator, Single Chamber (implantable) 157 24 $90,052.25 $13,507.84 85% off $11,526.00 $137,500.00 $49,871.25 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 8 $354,579.41 $53,186.91 85% off $48,876.75 $87,978.16 $48,876.75 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 6 $401,396.77 $60,209.51 85% off $48,168.36 $86,703.06 $48,168.36 2026-07-15
C2624 HCPCS Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 24 24 $90,375.00 $13,556.25 85% off $12,256.00 $90,375.00 $47,446.88 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 7 7 $453,080.42 $67,962.06 85% off $47,415.83 $85,348.49 $47,415.83 2026-04-27
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 6 $515,954.81 $77,393.22 85% off $47,189.97 $84,941.94 $47,189.97 2026-07-15
245 MS_DRG Aicd Generator Procedures 14 7 $312,151.09 $46,822.66 85% off $46,839.88 $84,311.78 $46,839.88 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 6 $589,681.51 $88,452.23 85% off $46,699.23 $84,058.61 $46,699.23 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 12 6 $297,201.08 $44,580.16 85% off $46,012.40 $82,822.32 $46,012.40 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 11 11 $448,093.72 $67,214.06 85% off $31,140.35 $159,954.00 $45,910.00 2026-04-27
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 11 11 $284,965.71 $42,744.86 85% off $36,205.84 $65,170.51 $45,910.00 2026-04-27
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 11 11 $257,429.17 $38,614.38 85% off $28,212.34 $62,040.00 $45,910.00 2026-04-27
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 6 $245,630.85 $36,844.63 85% off $45,098.68 $81,177.63 $45,098.68 2026-04-27
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 14 7 $316,985.97 $47,547.90 85% off $44,427.25 $79,969.05 $44,427.25 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 6 $368,380.23 $55,257.03 85% off $44,073.06 $79,331.50 $44,073.06 2026-04-27
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 204 24 $70,039.50 $10,505.93 85% off $11,526.00 $137,500.00 $43,650.00 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 7 $364,329.82 $54,649.47 85% off $43,357.48 $84,443.00 $43,357.48 2026-07-15
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 104 24 $81,500.00 $12,225.00 85% off $11,526.00 $113,385.00 $43,215.59 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 6 $313,416.99 $47,012.55 85% off $43,135.73 $77,644.31 $43,135.73 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 6 6 $112,173.62 $16,826.04 85% off $43,084.39 $77,551.91 $43,084.39 2026-04-27
799 MS_DRG Splenic Procedures With Mcc 6 6 $42,649.72 $6,397.46 85% off $42,649.72 $83,692.71 $42,649.72 2026-04-27
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 6 $163,854.60 $24,578.19 85% off $42,636.77 $76,746.19 $42,636.77 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 14 7 $336,008.57 $50,401.29 85% off $42,354.45 $76,238.00 $42,354.45 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 6 $277,920.14 $41,688.02 85% off $39,738.54 $71,529.37 $39,738.54 2026-07-15
93653 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 30 30 $100,865.00 $15,129.75 85% off $945.93 $90,778.50 $39,718.32 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 8 8 $242,999.39 $36,449.91 85% off $39,679.00 $560,807.39 $39,679.00 2026-07-15
93656 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 30 30 $99,894.00 $14,984.10 85% off $1,262.95 $89,904.60 $39,503.10 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 6 $326,371.39 $48,955.71 85% off $39,416.17 $70,949.11 $39,416.17 2026-04-27
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 6 $358,488.08 $53,773.21 85% off $38,373.10 $69,071.57 $38,373.10 2026-07-15
0569T OTHER Repair Of Valve Between Upper Right And Lower Right Chambers Of Heart (tricuspid… 24 24 $75,040.00 $11,256.00 85% off $4,145.00 $75,040.00 $38,367.95 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 6 6 $320,456.07 $48,068.41 85% off $38,261.19 $68,870.15 $38,261.19 2026-04-27
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 6 6 $178,522.04 $26,778.31 85% off $37,694.48 $67,850.07 $37,694.48 2026-04-27
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 6 $219,477.74 $32,921.66 85% off $37,025.11 $66,645.19 $37,025.11 2026-04-27
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 6 6 $128,198.27 $19,229.74 85% off $36,540.53 $65,772.95 $36,540.53 2026-04-27
271 MS_DRG Other Major Cardiovascular Procedures With Cc 14 7 $265,648.75 $39,847.32 85% off $36,510.75 $84,443.00 $36,510.75 2026-07-15
0825T OTHER Removal And Replacement Of Single-chamber Permanent Leadless Pacemaker For Pacin… 31 31 $80,816.00 $12,122.40 85% off $4,145.00 $80,816.00 $35,825.73 2026-07-15
0823T OTHER Insertion Of Permanent Single-chamber Leadless Pacemaker For Pacing The Right Up… 31 31 $80,816.00 $12,122.40 85% off $4,145.00 $80,816.00 $35,825.73 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 14 8 $259,978.36 $38,996.75 85% off $35,812.63 $97,428.00 $35,812.63 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 6 $132,128.36 $19,819.25 85% off $35,803.39 $64,446.11 $35,803.39 2026-07-15
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 22 11 $259,974.70 $38,996.21 85% off $19,803.05 $77,338.00 $35,645.49 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 6 $246,078.94 $36,911.84 85% off $35,639.13 $64,150.43 $35,639.13 2026-04-27
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 6 $93,799.39 $14,069.91 85% off $35,466.65 $63,839.97 $35,466.65 2026-07-15
37277 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 31 31 $77,443.00 $11,616.45 85% off $4,145.00 $77,443.00 $34,330.48 2026-07-15
37275 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 31 31 $77,443.00 $11,616.45 85% off $4,145.00 $77,443.00 $34,330.48 2026-07-15
37290 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 31 31 $77,442.00 $11,616.30 85% off $4,145.00 $77,442.00 $34,330.04 2026-07-15
37292 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 31 31 $77,442.00 $11,616.30 85% off $4,145.00 $77,442.00 $34,330.04 2026-07-15
37286 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 31 31 $77,442.00 $11,616.30 85% off $4,145.00 $77,442.00 $34,330.04 2026-07-15
37284 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 31 31 $77,442.00 $11,616.30 85% off $4,145.00 $77,442.00 $34,330.04 2026-07-15
37288 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 31 31 $77,442.00 $11,616.30 85% off $4,145.00 $77,442.00 $34,330.04 2026-07-15
37294 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 31 31 $77,442.00 $11,616.30 85% off $4,145.00 $77,442.00 $34,330.04 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 12 6 $218,164.22 $32,724.63 85% off $34,296.27 $61,733.29 $34,296.27 2026-07-15
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 11 11 $24,107.16 $3,616.07 85% off $18,856.48 $63,833.16 $33,941.67 2026-04-27
37 MS_DRG Extracranial Procedures With Mcc 12 6 $466,194.29 $69,929.14 85% off $33,798.34 $60,837.02 $33,798.34 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 14 7 $182,432.33 $27,364.85 85% off $33,794.24 $60,829.63 $33,794.24 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 10 $93,908.07 $14,086.21 85% off $16,939.00 $93,908.07 $33,394.87 2026-04-27
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 6 6 $216,410.62 $32,461.59 85% off $33,248.06 $59,846.51 $33,248.06 2026-04-27
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 12 6 $84,018.76 $12,602.82 85% off $33,211.10 $59,779.98 $33,211.10 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 6 $349,583.04 $52,437.46 85% off $33,131.02 $59,635.84 $33,131.02 2026-04-27
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 6 $179,831.06 $26,974.66 85% off $32,959.57 $59,327.23 $32,959.57 2026-04-27
C9767 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 30 30 $93,636.00 $14,045.40 85% off $4,145.00 $84,272.40 $32,930.87 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 14 7 $263,667.42 $39,550.11 85% off $32,778.88 $59,001.99 $32,778.88 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 6 6 $65,089.24 $9,763.39 85% off $32,491.42 $58,484.55 $32,491.42 2026-04-27
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 6 $268,231.46 $40,234.71 85% off $32,442.14 $58,395.85 $32,442.14 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 14 7 $238,532.62 $35,779.89 85% off $32,349.74 $58,229.53 $32,349.74 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 8 $263,537.20 $39,530.58 85% off $32,334.34 $84,443.00 $32,334.34 2026-07-15
665 MS_DRG Prostatectomy With Mcc 6 6 $96,630.16 $14,494.52 85% off $32,043.80 $57,678.84 $32,043.80 2026-04-27
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 6 $187,061.42 $28,059.21 85% off $31,977.07 $57,558.72 $31,977.07 2026-07-15
263 MS_DRG Vein Ligation And Stripping 8 8 $267,829.52 $40,174.43 85% off $31,388.80 $97,428.00 $31,388.80 2026-04-27
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 6 6 $269,714.08 $40,457.11 85% off $30,971.98 $55,749.56 $30,971.98 2026-04-27
570 MS_DRG Skin Debridement With Mcc 13 8 $10,987.88 $1,648.18 85% off $10,726.88 $54,350.65 $30,194.80 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 12 6 $249,921.83 $37,488.28 85% off $29,899.13 $53,818.43 $29,899.13 2026-07-15
C9766 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 30 30 $79,274.00 $11,891.10 85% off $4,145.00 $71,346.60 $29,747.53 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 12 6 $202,063.71 $30,309.56 85% off $29,629.12 $53,332.41 $29,629.12 2026-07-15
33230 HCPCS Insertion Of Defibrillator With Existing Dual Leads 30 30 $105,063.00 $15,759.45 85% off $312.84 $94,556.70 $29,549.80 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 14 7 $250,578.76 $37,586.81 85% off $29,466.91 $53,105.00 $29,466.91 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 8 8 $336,212.98 $50,431.95 85% off $29,264.66 $97,428.00 $29,264.66 2026-04-27
C9774 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 30 30 $74,784.00 $11,217.60 85% off $4,145.00 $67,305.60 $28,752.33 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 6 6 $346,412.24 $51,961.84 85% off $28,739.01 $51,730.22 $28,739.01 2026-07-15
C9775 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 30 30 $72,728.00 $10,909.20 85% off $4,145.00 $65,455.20 $28,296.61 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 6 $286,082.12 $42,912.32 85% off $28,219.53 $50,795.15 $28,219.53 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 14 7 $288,618.49 $43,292.78 85% off $27,933.09 $50,279.57 $27,933.09 2026-07-15
93581 HCPCS Repair Of Congenital Abnormality In Wall Between Lower Heart Chambers With Impla… 30 30 $70,588.00 $10,588.20 85% off $1,091.18 $63,529.20 $27,822.28 2026-07-15
849 MS_DRG Radiotherapy 6 6 $200,141.23 $30,021.18 85% off $27,817.08 $50,070.75 $27,817.08 2026-04-27
288 MS_DRG Acute And Subacute Endocarditis With Mcc 6 6 $364,281.66 $54,642.25 85% off $27,783.20 $50,009.76 $27,783.20 2026-04-27
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 8 8 $214,911.34 $32,236.70 85% off $27,692.86 $97,428.00 $27,692.86 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 12 6 $232,128.92 $34,819.34 85% off $26,647.73 $47,965.91 $26,647.73 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 6 6 $75,815.35 $11,372.30 85% off $26,615.90 $47,908.62 $26,615.90 2026-04-27
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 6 6 $100,891.14 $15,133.67 85% off $26,479.36 $47,662.84 $26,479.36 2026-04-27
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 18 9 $102,797.60 $15,419.64 85% off $26,210.37 $97,428.00 $26,210.37 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 6 $146,460.00 $21,969.00 85% off $26,086.15 $46,955.07 $26,086.15 2026-04-27
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 12 6 $150,897.05 $22,634.56 85% off $26,036.87 $46,866.37 $26,036.87 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 12 6 $234,565.58 $35,184.84 85% off $25,912.65 $46,642.76 $25,912.65 2026-07-15
33221 HCPCS Insertion Of Pacemaker Pulse Generator With Existing Multiple Leads 35 30 $81,097.00 $12,164.55 85% off $291.26 $72,987.30 $25,588.50 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 6 6 $244,098.01 $36,614.70 85% off $25,478.37 $45,861.07 $25,478.37 2026-07-15
37260 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 31 31 $57,041.00 $8,556.15 85% off $4,145.00 $57,041.00 $25,286.28 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 12 6 $259,795.02 $38,969.25 85% off $25,240.19 $45,432.34 $25,240.19 2026-07-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 6 6 $383,620.00 $57,543.00 85% off $25,093.38 $45,168.08 $25,093.38 2026-04-27
C1817 HCPCS Septal Defect Implant System, Intracardiac 44 24 $88,093.00 $13,213.95 85% off $9,191.00 $88,093.00 $25,066.35 2026-07-15
77372 HCPCS Complete Single Session Course Of Cranial Lesion Surgery Using Radiation And A M… 31 31 $52,480.00 $7,872.00 85% off $1,156.43 $47,232.00 $25,059.20 2026-07-15
37267 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 31 31 $56,232.00 $8,434.80 85% off $4,145.00 $56,232.00 $24,927.65 2026-07-15
37269 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 31 31 $56,232.00 $8,434.80 85% off $4,145.00 $56,232.00 $24,927.65 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 12 6 $290,437.34 $43,565.60 85% off $24,610.85 $44,299.54 $24,610.85 2026-07-15
397 MS_DRG Appendix Procedures With Mcc 6 6 $123,645.62 $18,546.84 85% off $24,587.24 $44,257.03 $24,587.24 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 6 6 $129,825.68 $19,473.85 85% off $24,542.07 $44,175.72 $24,542.07 2026-04-27
0238T OTHER Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open … 37 31 $81,743.00 $12,261.45 85% off $4,000.00 $81,743.00 $24,352.90 2026-07-15
C9765 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 30 30 $76,252.00 $11,437.80 85% off $4,000.00 $68,626.80 $24,352.90 2026-07-15
36836 HCPCS Creation Of Opening Between Artery And Vein In Arm With Single Access To Both Bl… 30 30 $54,625.00 $8,193.75 85% off $4,000.00 $49,162.50 $24,352.90 2026-07-15
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 37 31 $65,034.00 $9,755.10 85% off $4,000.00 $65,034.00 $24,352.90 2026-07-15
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary … 37 31 $61,936.00 $9,290.40 85% off $4,000.00 $61,936.00 $24,352.90 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 12 6 $393,276.49 $58,991.47 85% off $24,009.24 $43,216.63 $24,009.24 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 12 6 $276,866.01 $41,529.90 85% off $23,874.75 $42,974.54 $23,874.75 2026-07-15
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 30 24 $65,034.00 $9,755.10 85% off $4,000.00 $65,034.00 $23,792.78 2026-07-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 6 $192,502.16 $28,875.32 85% off $23,727.93 $42,710.28 $23,727.93 2026-04-27
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 6 6 $439,774.13 $65,966.12 85% off $23,363.47 $42,054.25 $23,363.47 2026-04-27
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 16 8 $201,406.79 $30,211.02 85% off $17,560.00 $40,891.88 $22,717.71 2026-07-15
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 6 6 $75,818.55 $11,372.78 85% off $22,695.12 $40,851.22 $22,695.12 2026-04-27
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 12 6 $102,665.51 $15,399.83 85% off $22,667.41 $40,801.33 $22,667.41 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 16 9 $143,496.19 $21,524.43 85% off $22,406.64 $45,204.00 $22,406.64 2026-07-15
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 6 $59,140.45 $8,871.07 85% off $22,353.25 $40,235.85 $22,353.25 2026-04-27
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 6 6 $185,890.46 $27,883.57 85% off $21,985.71 $39,574.28 $21,985.71 2026-04-27
374 MS_DRG Digestive Malignancy With Mcc 6 6 $106,087.33 $15,913.10 85% off $21,956.96 $39,522.53 $21,956.96 2026-04-27
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 14 7 $228,854.51 $34,328.18 85% off $21,876.88 $52,639.00 $21,876.88 2026-07-15
37280 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 31 31 $49,216.00 $7,382.40 85% off $4,145.00 $49,216.00 $21,817.45 2026-07-15
12532027_1 CDM Perc Avf Dir Any Site 30 30 $74,200.00 $11,130.00 85% off $4,145.00 $66,780.00 $21,814.80 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 14 7 $281,628.99 $42,244.35 85% off $21,741.37 $53,105.00 $21,741.37 2026-07-15
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 12 6 $150,303.08 $22,545.46 85% off $21,738.29 $39,128.92 $21,738.29 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 6 6 $250,580.05 $37,587.01 85% off $21,648.97 $38,968.14 $21,648.97 2026-04-27
37282 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 31 31 $48,769.00 $7,315.35 85% off $4,145.00 $48,769.00 $21,619.30 2026-07-15
37296 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Inframalleolar Vascular T… 31 31 $48,769.00 $7,315.35 85% off $4,145.00 $48,769.00 $21,619.30 2026-07-15
37298 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Inframalleolar Vascular T… 31 31 $48,769.00 $7,315.35 85% off $4,145.00 $48,769.00 $21,619.30 2026-07-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 12 6 $192,684.43 $28,902.67 85% off $21,503.18 $38,705.73 $21,503.18 2026-07-15
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 14 8 $72,630.46 $10,894.57 85% off $21,468.28 $149,875.46 $21,468.28 2026-07-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 12 6 $157,362.76 $23,604.41 85% off $21,407.71 $38,533.87 $21,407.71 2026-07-15
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 6 6 $277,867.22 $41,680.08 85% off $21,348.16 $38,426.69 $21,348.16 2026-04-27
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 7 7 $166,764.34 $25,014.65 85% off $10,339.00 $38,402.66 $21,334.81 2026-04-27
C1787 HCPCS Patient Programmer, Neurostimulator 24 24 $40,449.50 $6,067.43 85% off $11,526.00 $40,449.50 $21,235.99 2026-07-15
935 MS_DRG Non-extensive Burns 12 6 $83,128.09 $12,469.21 85% off $15,233.86 $38,068.18 $21,148.99 2026-07-15
77373 HCPCS Delivery Of Radiation Therapy Per Dose To 1 Or More Lesions Not To Exceed 5 Dose… 31 31 $41,822.00 $6,273.30 85% off $1,788.75 $37,722.00 $21,019.74 2026-07-15
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 7 7 $173,014.80 $25,952.22 85% off $20,759.89 $52,639.00 $20,759.89 2026-04-27
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 12 6 $109,858.37 $16,478.76 85% off $20,645.93 $37,162.68 $20,645.93 2026-07-15
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 12 6 $151,424.51 $22,713.68 85% off $20,599.73 $37,079.52 $20,599.73 2026-07-15
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 6 6 $174,182.42 $26,127.36 85% off $20,513.49 $36,924.29 $20,513.49 2026-04-27
908 MS_DRG Other O.r. Procedures For Injuries With Cc 12 6 $171,036.40 $25,655.46 85% off $20,483.72 $36,870.70 $20,483.72 2026-07-15
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 6 6 $141,047.76 $21,157.16 85% off $20,479.61 $36,863.31 $20,479.61 2026-04-27
C2621 HCPCS Pacemaker, Other Than Single Or Dual Chamber (implantable) 85 24 $34,020.75 $5,103.11 85% off $8,474.07 $42,500.00 $20,412.45 2026-07-15
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 12 6 $109,612.09 $16,441.82 85% off $20,335.88 $36,604.59 $20,335.88 2026-07-15
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 12 6 $121,014.85 $18,152.23 85% off $20,206.53 $36,371.75 $20,206.53 2026-07-15
883 MS_DRG Disorders Of Personality And Impulse Control 17 9 $109,586.69 $16,438.00 85% off $20,187.02 $268,490.69 $20,187.02 2026-07-15
380 MS_DRG Complicated Peptic Ulcer With Mcc 6 6 $95,871.33 $14,380.70 85% off $20,144.93 $36,260.87 $20,144.93 2026-04-27
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 12 6 $140,429.55 $21,064.43 85% off $19,945.76 $35,902.36 $19,945.76 2026-07-15
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 12 6 $151,672.11 $22,750.82 85% off $19,942.68 $35,896.82 $19,942.68 2026-07-15
C9603 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug-eluting Intracoronary … 30 24 $47,641.00 $7,146.15 85% off $4,000.00 $47,641.00 $19,937.63 2026-07-15
100 MS_DRG Seizures With Mcc 6 6 $174,195.00 $26,129.25 85% off $19,884.16 $35,791.48 $19,884.16 2026-04-27
592 MS_DRG Skin Ulcers With Mcc 8 8 $77,279.50 $11,591.93 85% off $19,868.76 $165,559.50 $19,868.76 2026-04-27
Q0224 HCPCS Injection, Pemivibart, For The Pre-exposure Prophylaxis Only, For Certain Adults… 24 24 $31,185.00 $4,677.75 85% off $4,145.00 $31,185.00 $19,708.18 2026-07-15
902 MS_DRG Wound Debridements For Injuries With Cc 12 6 $148,553.25 $22,282.99 85% off $19,655.21 $35,379.39 $19,655.21 2026-07-15
165 MS_DRG Major Chest Procedures Without Cc/mcc 12 6 $230,105.32 $34,515.79 85% off $19,652.13 $35,373.84 $19,652.13 2026-07-15
C2619 HCPCS Pacemaker, Dual Chamber, Non Rate-responsive (implantable) 65 24 $33,728.25 $5,059.24 85% off $8,585.53 $48,082.00 $19,512.56 2026-07-15
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 9 9 $109,071.29 $16,360.69 85% off $19,408.82 $97,428.00 $19,408.82 2026-04-27
196 MS_DRG Interstitial Lung Disease With Mcc 12 6 $272,649.22 $40,897.39 85% off $19,374.94 $34,874.89 $19,374.94 2026-07-15
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 6 $146,737.92 $22,010.69 85% off $19,201.44 $34,562.58 $19,201.44 2026-04-27
504 MS_DRG Foot Procedures With Cc 6 6 $113,743.19 $17,061.48 85% off $19,190.14 $34,542.26 $19,190.14 2026-04-27
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 7 7 $33,203.13 $4,980.47 85% off $19,146.00 $72,929.13 $19,146.00 2026-04-27
93650 HCPCS Destruction Of Heart Conduction Tissue To Create Heart Block 30 30 $41,000.00 $6,150.00 85% off $1,026.61 $36,900.00 $19,114.19 2026-07-15
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 6 6 $232,947.43 $34,942.11 85% off $18,836.97 $33,906.55 $18,836.97 2026-04-27
C9601 HCPCS Percutaneous Transcatheter Placement Of Drug-eluting Intracoronary Stent(s), Wit… 30 24 $42,505.00 $6,375.75 85% off $4,000.00 $45,771.00 $18,799.24 2026-07-15
205 MS_DRG Other Respiratory System Diagnoses With Mcc 12 6 $28,514.89 $4,277.23 85% off $15,384.94 $33,836.33 $18,797.96 2026-07-15
919 MS_DRG Complications Of Treatment With Mcc 12 6 $205,297.99 $30,794.70 85% off $18,795.91 $33,832.63 $18,795.91 2026-07-15
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 12 6 $114,112.55 $17,116.88 85% off $18,767.16 $33,780.89 $18,767.16 2026-07-15
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 12 6 $87,701.57 $13,155.24 85% off $18,723.02 $33,701.43 $18,723.02 2026-07-15
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 6 6 $61,058.67 $9,158.80 85% off $18,582.37 $33,448.26 $18,582.37 2026-04-27
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 7 7 $142,023.04 $21,303.46 85% off $18,556.70 $52,639.00 $18,556.70 2026-04-27
C9605 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 30 24 $41,344.00 $6,201.60 85% off $4,000.00 $45,771.00 $18,541.90 2026-07-15
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 12 6 $291,112.36 $43,666.85 85% off $18,514.61 $33,326.29 $18,514.61 2026-07-15
92990 HCPCS Balloon Dilation Repair Of Pulmonary Valve 30 30 $43,878.00 $6,581.70 85% off $1,174.80 $39,490.20 $18,467.06 2026-07-15
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 12 6 $147,492.57 $22,123.88 85% off $18,425.29 $33,165.52 $18,425.29 2026-07-15
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 6 6 $138,663.55 $20,799.53 85% off $18,417.07 $33,150.73 $18,417.07 2026-04-27
505 MS_DRG Foot Procedures Without Cc/mcc 6 6 $85,216.48 $12,782.47 85% off $18,405.78 $33,130.41 $18,405.78 2026-04-27
254 MS_DRG Other Vascular Procedures Without Cc/mcc 6 6 $212,815.00 $31,922.25 85% off $18,291.82 $32,925.28 $18,291.82 2026-04-27
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 12 6 $91,277.13 $13,691.57 85% off $18,203.53 $32,766.36 $18,203.53 2026-07-15
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 12 6 $139,764.84 $20,964.73 85% off $18,135.77 $32,644.39 $18,135.77 2026-07-15
180 MS_DRG Respiratory Neoplasms With Mcc 12 6 $109,004.02 $16,350.60 85% off $18,130.64 $32,635.15 $18,130.64 2026-07-15
199 MS_DRG Pneumothorax With Mcc 12 6 $227,576.29 $34,136.44 85% off $18,111.13 $32,600.04 $18,111.13 2026-07-15
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 14 7 $194,680.54 $29,202.08 85% off $18,099.84 $45,204.00 $18,099.84 2026-07-15
906 MS_DRG Hand Procedures For Injuries 6 6 $90,774.68 $13,616.20 85% off $18,093.68 $32,568.62 $18,093.68 2026-04-27
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 6 $186,733.26 $28,009.99 85% off $18,040.29 $32,472.53 $18,040.29 2026-04-27
33363 HCPCS Replacement Of Aortic Valve Through Axillary Artery 31 31 $37,764.00 $5,664.60 85% off $1,222.26 $33,987.60 $18,032.31 2026-07-15
91 MS_DRG Other Disorders Of Nervous System With Mcc 6 6 $123,479.19 $18,521.88 85% off $18,030.03 $32,454.05 $18,030.03 2026-04-27
666 MS_DRG Prostatectomy With Cc 6 6 $150,532.01 $22,579.80 85% off $17,959.19 $32,326.54 $17,959.19 2026-04-27
501 MS_DRG Soft Tissue Procedures With Cc 6 6 $284,151.01 $42,622.65 85% off $17,946.87 $32,304.36 $17,946.87 2026-04-27
33217 HCPCS Insertion Of 2 Electrodes For Permanent Pacemaker Or Defibrillator 35 30 $58,650.00 $8,797.50 85% off $314.22 $53,031.00 $17,924.00 2026-07-15
33214 HCPCS Insertion Of 2 Chamber Pacemaker System 35 30 $60,467.00 $9,070.05 85% off $569.27 $54,420.30 $17,924.00 2026-07-15
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 12 6 $51,155.61 $7,673.34 85% off $17,916.07 $32,248.92 $17,916.07 2026-07-15
C9772 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 30 30 $46,175.00 $6,926.25 85% off $4,145.00 $41,557.50 $17,902.69 2026-07-15
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 8 8 $21,651.56 $3,247.73 85% off $17,790.82 $48,135.56 $17,790.82 2026-04-27
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 6 6 $79,311.90 $11,896.79 85% off $17,740.51 $31,932.92 $17,740.51 2026-04-27
77371 HCPCS Complete Single Session Course Of Cranial Lesion Surgery Using Radiation 31 31 $35,172.00 $5,275.80 85% off $1,524.14 $37,722.00 $17,677.45 2026-07-15
157 MS_DRG Dental And Oral Diseases With Mcc 6 6 $49,563.97 $7,434.60 85% off $17,625.53 $31,725.95 $17,625.53 2026-04-27
93622 HCPCS Insertion Of Catheters For Recording And Pacing Of Left Lower Heart Chamber Rhyt… 23 23 $33,857.00 $5,078.55 85% off $4,145.00 $33,857.00 $17,605.64 2026-07-15
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 6 6 $211,788.10 $31,768.22 85% off $17,596.78 $31,674.21 $17,596.78 2026-04-27
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 6 $347,152.72 $52,072.91 85% off $17,492.06 $31,485.71 $17,492.06 2026-04-27
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 37 31 $67,632.00 $10,144.80 85% off $4,000.00 $67,632.00 $17,483.00 2026-07-15
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 37 31 $60,762.00 $9,114.30 85% off $4,000.00 $60,762.00 $17,483.00 2026-07-15
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 8 8 $200,653.51 $30,098.03 85% off $17,431.49 $97,428.00 $17,431.49 2026-04-27
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 12 6 $201,512.33 $30,226.85 85% off $17,366.81 $31,260.26 $17,366.81 2026-07-15
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 13 7 $11,643.18 $1,746.48 85% off $11,643.18 $31,099.49 $17,277.49 2026-07-15
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 6 6 $610,923.45 $91,638.52 85% off $17,272.36 $31,090.25 $17,272.36 2026-07-15
551 MS_DRG Medical Back Problems With Mcc 6 6 $37,351.82 $5,602.77 85% off $17,207.68 $30,973.83 $17,207.68 2026-04-27
444 MS_DRG Disorders Of The Biliary Tract With Mcc 6 6 $98,826.17 $14,823.93 85% off $17,154.29 $30,877.73 $17,154.29 2026-04-27
949 MS_DRG Aftercare With Cc/mcc 10 10 $18,128.82 $2,719.32 85% off $12,214.06 $44,612.82 $17,099.68 2026-07-15
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 6 6 $199,507.05 $29,926.06 85% off $16,995.16 $30,591.30 $16,995.16 2026-04-27
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 13 7 $57,818.75 $8,672.81 85% off $16,984.90 $124,028.75 $16,984.90 2026-07-15
643 MS_DRG Endocrine Disorders With Mcc 12 6 $49,220.15 $7,383.02 85% off $16,899.69 $30,419.43 $16,899.69 2026-07-15
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 6 $132,786.60 $19,917.99 85% off $16,874.02 $30,373.23 $16,874.02 2026-04-27
C9608 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 30 24 $30,287.00 $4,543.05 85% off $4,000.00 $45,771.00 $16,873.36 2026-07-15
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 6 6 $166,943.21 $25,041.48 85% off $16,851.43 $30,332.58 $16,851.43 2026-04-27
334 MS_DRG Rectal Resection Without Cc/mcc 6 6 $408,015.43 $61,202.31 85% off $16,815.50 $30,267.90 $16,815.50 2026-04-27
299 MS_DRG Peripheral Vascular Disorders With Mcc 12 6 $123,862.79 $18,579.42 85% off $16,762.11 $30,171.81 $16,762.11 2026-07-15
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 6 6 $66,913.49 $10,037.02 85% off $16,748.77 $30,147.78 $16,748.77 2026-04-27
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 6 6 $173,999.05 $26,099.86 85% off $16,744.66 $30,140.39 $16,744.66 2026-04-27
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 12 6 $57,573.07 $8,635.96 85% off $16,736.45 $30,125.61 $16,736.45 2026-07-15
38 MS_DRG Extracranial Procedures With Cc 12 6 $152,184.58 $22,827.69 85% off $16,658.42 $29,985.16 $16,658.42 2026-07-15
884 MS_DRG Organic Disturbances And Intellectual Disability 17 9 $47,949.17 $7,192.38 85% off $10,266.50 $114,159.17 $16,517.77 2026-07-15
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 12 6 $42,267.60 $6,340.14 85% off $16,470.55 $29,646.98 $16,470.55 2026-07-15
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 12 6 $131,665.52 $19,749.83 85% off $16,468.49 $29,643.29 $16,468.49 2026-07-15
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 12 6 $152,652.54 $22,897.88 85% off $16,450.01 $29,610.02 $16,450.01 2026-07-15
393 MS_DRG Other Digestive System Diagnoses With Mcc 12 6 $61,849.92 $9,277.49 85% off $16,419.21 $29,554.58 $16,419.21 2026-07-15
93657 HCPCS Destruction Of Tissue Of Upper Heart Chamber Through Tube To Treat Abnormal Hear… 30 30 $33,394.00 $5,009.10 85% off $263.80 $30,054.60 $16,364.73 2026-07-15
93655 HCPCS Insertion Of Catheters And Destruction Of Tissue To Treat Abnormal Heart Rhythm 30 30 $33,394.00 $5,009.10 85% off $263.80 $30,054.60 $16,364.73 2026-07-15
368 MS_DRG Major Esophageal Disorders With Mcc 6 6 $61,088.06 $9,163.21 85% off $16,343.24 $29,417.83 $16,343.24 2026-07-15
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 12 6 $78,854.05 $11,828.11 85% off $16,177.95 $29,120.31 $16,177.95 2026-07-15
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 12 6 $117,597.33 $17,639.60 85% off $16,162.55 $29,092.59 $16,162.55 2026-07-15
3071665_1 CDM Operating Room Services - Minor Surgery 30 30 $76,937.00 $11,540.55 85% off $4,000.00 $69,243.30 $16,156.77 2026-07-15
3033740_1 CDM Operating Room Services - Minor Surgery 30 30 $76,937.00 $11,540.55 85% off $4,000.00 $69,243.30 $16,156.77 2026-07-15
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 12 6 $155,428.23 $23,314.24 85% off $16,101.98 $28,983.56 $16,101.98 2026-07-15
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 11 11 $7,867.00 $1,180.05 85% off $7,867.00 $21,109.00 $16,091.00 2026-04-27
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 6 6 $236,809.92 $35,521.49 85% off $16,079.39 $28,942.91 $16,079.39 2026-04-27
177 MS_DRG Respiratory Infections And Inflammations With Mcc 12 6 $117,020.03 $17,553.01 85% off $16,043.46 $28,878.23 $16,043.46 2026-07-15
186 MS_DRG Pleural Effusion With Mcc 6 6 $67,836.24 $10,175.44 85% off $16,000.34 $28,800.61 $16,000.34 2026-04-27
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 5 $15,804.12 $2,370.62 85% off $15,804.12 $47,069.85 $15,804.12 2026-07-15
33271 HCPCS Insertion Of Defibrillator Electrode 30 30 $42,526.00 $6,378.90 85% off $428.89 $38,273.40 $15,781.89 2026-07-15
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 7 7 $126,587.93 $18,988.19 85% off $10,339.00 $28,397.76 $15,776.53 2026-04-27
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 6 6 $177,502.32 $26,625.35 85% off $15,759.08 $28,366.34 $15,759.08 2026-04-27
964 MS_DRG Other Multiple Significant Trauma With Cc 6 6 $25,919.00 $3,887.85 85% off $15,734.44 $28,321.99 $15,734.44 2026-07-15
183 MS_DRG Major Chest Trauma With Mcc 6 6 $77,059.82 $11,558.97 85% off $15,706.72 $28,272.09 $15,706.72 2026-04-27
54 MS_DRG Nervous System Neoplasms With Mcc 12 6 $156,246.04 $23,436.90 85% off $15,675.92 $28,216.65 $15,675.92 2026-07-15
813 MS_DRG Coagulation Disorders 6 6 $337,141.70 $50,571.25 85% off $15,659.49 $28,187.09 $15,659.49 2026-04-27
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 7 7 $204,379.74 $30,656.96 85% off $15,642.04 $53,885.00 $15,642.04 2026-04-27
398 MS_DRG Appendix Procedures With Cc 6 6 $152,022.36 $22,803.35 85% off $15,539.37 $27,970.87 $15,539.37 2026-04-27
22513 HCPCS Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using… 31 31 $35,003.00 $5,250.45 85% off $669.66 $31,502.70 $15,516.83 2026-07-15
C2620 HCPCS Pacemaker, Single Chamber, Non Rate-responsive (implantable) 24 24 $29,349.25 $4,402.39 85% off $9,685.25 $29,349.25 $15,461.05 2026-07-15
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 6 6 $117,754.18 $17,663.13 85% off $15,434.66 $27,782.38 $15,434.66 2026-04-27
37265 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 31 31 $37,805.00 $5,670.75 85% off $4,145.00 $37,805.00 $15,367.00 2026-07-15
37263 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 31 31 $37,805.00 $5,670.75 85% off $4,145.00 $37,805.00 $15,367.00 2026-07-15
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 19 10 $136,984.34 $20,547.65 85% off $15,343.28 $45,204.00 $15,343.28 2026-07-15
0913T OTHER Transcatheter Therapeutic Drug Delivery By Intracoronary Drug-delivery Balloon, … 25 25 $22,415.00 $3,362.25 85% off $4,145.00 $27,604.80 $15,336.00 2026-07-15
C9764 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 30 30 $36,812.00 $5,521.80 85% off $4,000.00 $33,130.80 $15,336.00 2026-07-15
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 17 10 $28,695.97 $4,304.40 85% off $15,265.26 $267,264.03 $15,265.26 2026-07-15
682 MS_DRG Renal Failure With Mcc 12 6 $94,845.98 $14,226.90 85% off $15,204.69 $27,368.44 $15,204.69 2026-07-15
37256 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 31 31 $34,255.00 $5,138.25 85% off $4,145.00 $34,255.00 $15,185.24 2026-07-15
388 MS_DRG Gastrointestinal Obstruction With Mcc 12 6 $33,720.53 $5,058.08 85% off $13,300.01 $27,290.82 $15,161.57 2026-07-15
3071667_1 CDM Operating Room Services - Minor Surgery 30 30 $70,588.00 $10,588.20 85% off $4,000.00 $63,529.20 $15,095.24 2026-07-15
3071669_1 CDM Operating Room Services - Minor Surgery 30 30 $70,588.00 $10,588.20 85% off $4,000.00 $63,529.20 $15,095.24 2026-07-15
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