|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
5
|
5
|
$736,712.35
|
$147,342.47
80% off
|
$158,902.01
|
$286,023.65
|
$158,902.01
|
2026-05-24
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
9
|
9
|
$114,049.84
|
$22,809.97
80% off
|
$65,384.15
|
$310,050.84
|
$117,691.48
|
2026-05-24
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
9
|
9
|
$233,396.71
|
$46,679.34
80% off
|
$56,461.30
|
$610,321.71
|
$101,630.35
|
2026-05-24
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
5
|
5
|
$474,432.78
|
$94,886.56
80% off
|
$79,291.55
|
$142,724.80
|
$79,291.55
|
2026-05-24
|
|
C1826
|
HCPCS
|
Generator, Neurostimulator (implantable), Includes Closed Feedback Loop Leads An…
|
23
|
23
|
$100,000.00
|
$20,000.00
80% off
|
$3,500.00
|
$100,000.00
|
$79,120.00
|
2026-05-24
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
9
|
9
|
$44,128.08
|
$8,825.62
80% off
|
$41,434.24
|
$104,436.08
|
$74,581.65
|
2026-05-24
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
5
|
5
|
$229,611.91
|
$45,922.38
80% off
|
$73,818.30
|
$132,872.95
|
$73,818.30
|
2026-05-24
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
9
|
9
|
$118,217.76
|
$23,643.55
80% off
|
$37,110.48
|
$328,455.76
|
$66,798.87
|
2026-05-24
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
5
|
5
|
$301,997.76
|
$60,399.55
80% off
|
$60,529.24
|
$108,952.64
|
$60,529.24
|
2026-05-24
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
6
|
6
|
$500,690.70
|
$100,138.14
80% off
|
$51,027.00
|
$107,488.60
|
$59,715.88
|
2026-05-24
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
5
|
5
|
$155,951.98
|
$31,190.40
80% off
|
$57,215.00
|
$102,987.02
|
$57,215.00
|
2026-05-24
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
5
|
5
|
$199,647.84
|
$39,929.57
80% off
|
$56,655.17
|
$101,979.32
|
$56,655.17
|
2026-05-24
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
9
|
9
|
$146,535.61
|
$29,307.12
80% off
|
$31,361.91
|
$357,613.61
|
$56,451.44
|
2026-05-24
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
5
|
5
|
$232,734.22
|
$46,546.84
80% off
|
$53,823.91
|
$96,883.04
|
$53,823.91
|
2026-05-24
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
5
|
5
|
$105,106.76
|
$21,021.35
80% off
|
$52,730.63
|
$94,915.15
|
$52,730.63
|
2026-05-24
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
5
|
5
|
$192,458.91
|
$38,491.78
80% off
|
$52,182.28
|
$93,928.11
|
$52,182.28
|
2026-05-24
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
5
|
5
|
$67,980.35
|
$13,596.07
80% off
|
$50,393.81
|
$90,708.86
|
$50,393.81
|
2026-05-24
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
5
|
5
|
$185,979.04
|
$37,195.81
80% off
|
$48,200.38
|
$86,760.69
|
$48,200.38
|
2026-05-24
|
|
C1820
|
HCPCS
|
Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging…
|
126
|
23
|
$65,991.00
|
$13,198.20
80% off
|
$885.34
|
$136,250.00
|
$48,055.62
|
2026-05-24
|
|
C1772
|
HCPCS
|
Infusion Pump, Programmable (implantable)
|
23
|
23
|
$56,000.00
|
$11,200.00
80% off
|
$3,500.00
|
$56,000.00
|
$44,307.20
|
2026-05-24
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
5
|
5
|
$61,765.90
|
$12,353.18
80% off
|
$44,044.10
|
$79,279.40
|
$44,044.10
|
2026-05-24
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
8
|
8
|
$27,295.37
|
$5,459.07
80% off
|
$27,295.37
|
$72,526.37
|
$43,931.87
|
2026-05-24
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
9
|
9
|
$72,225.08
|
$14,445.02
80% off
|
$24,013.00
|
$192,841.08
|
$43,223.41
|
2026-05-24
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
5
|
5
|
$188,256.54
|
$37,651.31
80% off
|
$43,168.80
|
$77,703.84
|
$43,168.80
|
2026-05-24
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
5
|
5
|
$263,483.14
|
$52,696.63
80% off
|
$42,878.56
|
$77,181.41
|
$42,878.56
|
2026-05-24
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
5
|
5
|
$181,105.02
|
$36,221.00
80% off
|
$42,137.47
|
$75,847.46
|
$42,137.47
|
2026-05-24
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
5
|
5
|
$197,726.38
|
$39,545.28
80% off
|
$42,120.26
|
$75,816.48
|
$42,120.26
|
2026-05-24
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
5
|
5
|
$171,735.77
|
$34,347.15
80% off
|
$40,965.04
|
$73,737.09
|
$40,965.04
|
2026-05-24
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
5
|
5
|
$62,896.77
|
$12,579.35
80% off
|
$40,904.24
|
$73,627.64
|
$40,904.24
|
2026-05-24
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
5
|
5
|
$151,723.59
|
$30,344.72
80% off
|
$40,797.55
|
$73,435.60
|
$40,797.55
|
2026-05-24
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
6
|
6
|
$132,759.40
|
$26,551.88
80% off
|
$40,456.84
|
$72,822.32
|
$40,456.84
|
2026-05-24
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
5
|
5
|
$78,312.29
|
$15,662.46
80% off
|
$40,374.24
|
$72,673.64
|
$40,374.24
|
2026-05-24
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
5
|
5
|
$110,197.84
|
$22,039.57
80% off
|
$40,007.14
|
$72,012.86
|
$40,007.14
|
2026-05-24
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
5
|
5
|
$40,192.23
|
$8,038.45
80% off
|
$39,823.59
|
$71,682.47
|
$39,823.59
|
2026-05-24
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
7
|
7
|
$147,505.57
|
$29,501.11
80% off
|
$39,630.86
|
$417,482.57
|
$39,630.86
|
2026-05-24
|
|
C1882
|
HCPCS
|
Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable)
|
156
|
23
|
$55,014.00
|
$11,002.80
80% off
|
$3,500.00
|
$154,285.00
|
$39,364.06
|
2026-05-24
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
5
|
5
|
$132,323.88
|
$26,464.78
80% off
|
$39,137.57
|
$70,447.63
|
$39,137.57
|
2026-05-24
|
|
C1767
|
HCPCS
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
64
|
23
|
$63,293.00
|
$12,658.60
80% off
|
$2,838.18
|
$81,500.00
|
$39,089.76
|
2026-05-24
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
5
|
5
|
$296,989.78
|
$59,397.96
80% off
|
$39,085.94
|
$70,354.71
|
$39,085.94
|
2026-05-24
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
5
|
5
|
$189,987.14
|
$37,997.43
80% off
|
$38,323.06
|
$68,981.52
|
$38,323.06
|
2026-05-24
|
|
80
|
MS_DRG
|
Nontraumatic Stupor And Coma With Mcc
|
9
|
9
|
$82,992.76
|
$16,598.55
80% off
|
$20,764.16
|
$203,608.76
|
$37,375.49
|
2026-05-24
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
5
|
5
|
$149,556.89
|
$29,911.38
80% off
|
$37,151.78
|
$66,873.21
|
$37,151.78
|
2026-05-24
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
5
|
5
|
$232,498.36
|
$46,499.67
80% off
|
$37,021.00
|
$66,637.81
|
$37,021.00
|
2026-05-24
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
5
|
5
|
$43,256.58
|
$8,651.32
80% off
|
$36,559.83
|
$65,807.70
|
$36,559.83
|
2026-05-24
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
5
|
5
|
$138,023.09
|
$27,604.62
80% off
|
$36,306.30
|
$65,351.35
|
$36,306.30
|
2026-05-24
|
|
E0783
|
HCPCS
|
Infusion Pump System, Implantable, Programmable (includes All Components, E.g., …
|
28
|
28
|
$50,909.00
|
$10,181.80
80% off
|
$3,500.00
|
$50,909.00
|
$35,972.30
|
2026-05-24
|
|
C1722
|
HCPCS
|
Cardioverter-defibrillator, Single Chamber (implantable)
|
61
|
23
|
$47,036.00
|
$9,407.20
80% off
|
$3,500.00
|
$114,158.00
|
$35,277.00
|
2026-05-24
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
8
|
8
|
$99,691.19
|
$19,938.24
80% off
|
$24,995.00
|
$237,884.19
|
$34,993.00
|
2026-05-24
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
6
|
6
|
$198,477.36
|
$39,695.47
80% off
|
$34,796.60
|
$62,633.88
|
$34,796.60
|
2026-05-24
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
6
|
6
|
$135,211.98
|
$27,042.40
80% off
|
$33,740.03
|
$270,904.98
|
$33,740.03
|
2026-05-24
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
8
|
8
|
$106,701.34
|
$21,340.27
80% off
|
$23,988.91
|
$242,394.34
|
$33,584.47
|
2026-05-24
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
6
|
6
|
$101,374.86
|
$20,274.97
80% off
|
$33,497.98
|
$221,990.86
|
$33,497.98
|
2026-05-24
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
5
|
5
|
$132,941.13
|
$26,588.23
80% off
|
$33,409.64
|
$60,137.36
|
$33,409.64
|
2026-05-24
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
5
|
5
|
$159,089.22
|
$31,817.84
80% off
|
$33,123.99
|
$59,623.19
|
$33,123.99
|
2026-05-24
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
6
|
6
|
$135,975.60
|
$27,195.12
80% off
|
$32,926.68
|
$59,268.02
|
$32,926.68
|
2026-05-24
|
|
A9604
|
HCPCS
|
Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri…
|
28
|
28
|
$66,619.00
|
$13,323.80
80% off
|
$3,159.80
|
$59,957.10
|
$32,869.92
|
2026-05-24
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
7
|
7
|
$32,754.27
|
$6,550.85
80% off
|
$32,754.27
|
$83,006.27
|
$32,754.27
|
2026-05-24
|
|
154
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat Diagnoses With Mcc
|
9
|
9
|
$50,419.03
|
$10,083.81
80% off
|
$17,936.33
|
$125,804.03
|
$32,285.40
|
2026-05-24
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
5
|
5
|
$74,927.95
|
$14,985.59
80% off
|
$32,229.18
|
$58,012.54
|
$32,229.18
|
2026-05-24
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
5
|
5
|
$137,197.48
|
$27,439.50
80% off
|
$31,798.99
|
$57,238.18
|
$31,798.99
|
2026-05-24
|
|
964
|
MS_DRG
|
Other Multiple Significant Trauma With Cc
|
9
|
9
|
$74,303.16
|
$14,860.63
80% off
|
$17,581.85
|
$194,919.16
|
$31,647.33
|
2026-05-24
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
5
|
5
|
$193,735.11
|
$38,747.02
80% off
|
$31,629.20
|
$56,932.57
|
$31,629.20
|
2026-05-24
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
8
|
8
|
$85,969.19
|
$17,193.84
80% off
|
$22,579.01
|
$206,585.19
|
$31,610.62
|
2026-05-24
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
5
|
5
|
$160,499.05
|
$32,099.81
80% off
|
$31,532.84
|
$56,759.12
|
$31,532.84
|
2026-05-24
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
6
|
6
|
$104,355.72
|
$20,871.14
80% off
|
$31,045.28
|
$224,971.72
|
$31,045.28
|
2026-05-24
|
|
865
|
MS_DRG
|
Viral Illness With Mcc
|
9
|
9
|
$71,877.85
|
$14,375.57
80% off
|
$17,188.36
|
$177,416.85
|
$30,939.06
|
2026-05-24
|
|
75
|
MS_DRG
|
Viral Meningitis With Cc/mcc
|
8
|
8
|
$34,210.36
|
$6,842.07
80% off
|
$21,997.39
|
$79,441.36
|
$30,796.35
|
2026-05-24
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
5
|
5
|
$111,119.02
|
$22,223.80
80% off
|
$29,776.49
|
$53,597.69
|
$29,776.49
|
2026-05-24
|
|
757
|
MS_DRG
|
Infections, Female Reproductive System With Mcc
|
9
|
9
|
$43,046.37
|
$8,609.27
80% off
|
$16,426.63
|
$103,354.37
|
$29,567.93
|
2026-05-24
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
5
|
5
|
$66,375.09
|
$13,275.02
80% off
|
$29,455.28
|
$53,019.50
|
$29,455.28
|
2026-05-24
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
5
|
5
|
$67,633.96
|
$13,526.79
80% off
|
$29,148.98
|
$52,468.16
|
$29,148.98
|
2026-05-24
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
6
|
6
|
$102,457.79
|
$20,491.56
80% off
|
$29,093.91
|
$207,996.79
|
$29,093.91
|
2026-05-24
|
|
722
|
MS_DRG
|
Malignancy, Male Reproductive System With Mcc
|
8
|
8
|
$79,741.21
|
$15,948.24
80% off
|
$20,760.72
|
$205,371.21
|
$29,065.01
|
2026-05-24
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
5
|
5
|
$137,759.48
|
$27,551.90
80% off
|
$28,955.10
|
$52,119.19
|
$28,955.10
|
2026-05-24
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
6
|
6
|
$28,636.77
|
$5,727.35
80% off
|
$28,636.77
|
$58,790.77
|
$28,636.77
|
2026-05-24
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
5
|
5
|
$271,145.24
|
$54,229.05
80% off
|
$28,469.84
|
$51,245.72
|
$28,469.84
|
2026-05-24
|
|
542
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
8
|
8
|
$44,284.19
|
$8,856.84
80% off
|
$20,265.13
|
$94,536.19
|
$28,371.18
|
2026-05-24
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
8
|
8
|
$48,854.57
|
$9,770.91
80% off
|
$20,259.39
|
$109,162.57
|
$28,363.15
|
2026-05-24
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
5
|
5
|
$154,559.14
|
$30,911.83
80% off
|
$28,203.69
|
$50,766.65
|
$28,203.69
|
2026-05-24
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
5
|
5
|
$83,968.18
|
$16,793.64
80% off
|
$28,039.64
|
$50,471.36
|
$28,039.64
|
2026-05-24
|
|
Q4104
|
HCPCS
|
Integra Bilayer Matrix Wound Dressing (bmwd), Per Square Centimeter
|
26
|
26
|
$45,297.00
|
$9,059.40
80% off
|
$62.23
|
$40,767.30
|
$27,975.43
|
2026-05-24
|
|
88
|
MS_DRG
|
Concussion With Mcc
|
9
|
9
|
$30,922.67
|
$6,184.53
80% off
|
$15,507.73
|
$91,230.67
|
$27,913.91
|
2026-05-24
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
5
|
5
|
$91,861.14
|
$18,372.23
80% off
|
$27,500.46
|
$49,500.84
|
$27,500.46
|
2026-05-24
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
5
|
5
|
$62,235.18
|
$12,447.04
80% off
|
$27,474.08
|
$49,453.34
|
$27,474.08
|
2026-05-24
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
6
|
6
|
$119,040.87
|
$23,808.17
80% off
|
$11,300.00
|
$49,277.82
|
$27,376.57
|
2026-05-24
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
5
|
5
|
$79,413.77
|
$15,882.75
80% off
|
$26,869.51
|
$48,365.12
|
$26,869.51
|
2026-05-24
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
5
|
5
|
$99,693.71
|
$19,938.74
80% off
|
$26,828.21
|
$48,290.78
|
$26,828.21
|
2026-05-24
|
|
709
|
MS_DRG
|
Penis Procedures With Cc/mcc
|
7
|
7
|
$147,448.55
|
$29,489.71
80% off
|
$26,696.28
|
$313,295.55
|
$26,696.28
|
2026-05-24
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
6
|
6
|
$77,915.99
|
$15,583.20
80% off
|
$26,677.93
|
$213,608.99
|
$26,677.93
|
2026-05-24
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
7
|
7
|
$100,941.08
|
$20,188.22
80% off
|
$26,650.39
|
$266,788.08
|
$26,650.39
|
2026-05-24
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
6
|
6
|
$78,438.88
|
$15,687.78
80% off
|
$26,106.63
|
$168,900.88
|
$26,106.63
|
2026-05-24
|
|
85
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
5
|
5
|
$100,273.77
|
$20,054.75
80% off
|
$26,063.03
|
$46,913.46
|
$26,063.03
|
2026-05-24
|
|
821
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
5
|
5
|
$59,458.96
|
$11,891.79
80% off
|
$25,681.02
|
$46,225.84
|
$25,681.02
|
2026-05-24
|
|
407
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures Without Cc/mcc
|
5
|
5
|
$39,614.73
|
$7,922.95
80% off
|
$25,463.05
|
$45,833.50
|
$25,463.05
|
2026-05-24
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
5
|
5
|
$79,658.02
|
$15,931.60
80% off
|
$25,328.83
|
$45,591.90
|
$25,328.83
|
2026-05-24
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
5
|
5
|
$59,910.47
|
$11,982.09
80% off
|
$25,223.29
|
$45,401.92
|
$25,223.29
|
2026-05-24
|
|
831
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures With Mcc
|
9
|
9
|
$18,773.25
|
$3,754.65
80% off
|
$13,794.97
|
$48,927.25
|
$24,830.95
|
2026-05-24
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
5
|
5
|
$85,264.63
|
$17,052.93
80% off
|
$24,567.10
|
$44,220.78
|
$24,567.10
|
2026-05-24
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
5
|
5
|
$71,798.68
|
$14,359.74
80% off
|
$24,534.97
|
$44,162.96
|
$24,534.97
|
2026-05-24
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
6
|
6
|
$99,490.61
|
$19,898.12
80% off
|
$24,445.49
|
$55,548.00
|
$24,445.49
|
2026-05-24
|
|
814
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Mcc
|
5
|
5
|
$55,889.69
|
$11,177.94
80% off
|
$24,397.31
|
$43,915.16
|
$24,397.31
|
2026-05-24
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
6
|
6
|
$134,730.37
|
$26,946.07
80% off
|
$24,294.06
|
$51,027.00
|
$24,294.06
|
2026-05-24
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
5
|
5
|
$115,630.24
|
$23,126.05
80% off
|
$24,290.62
|
$43,723.12
|
$24,290.62
|
2026-05-24
|
|
655
|
MS_DRG
|
Major Bladder Procedures Without Cc/mcc
|
5
|
5
|
$47,825.68
|
$9,565.14
80% off
|
$24,281.44
|
$43,706.60
|
$24,281.44
|
2026-05-24
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
5
|
5
|
$73,219.09
|
$14,643.82
80% off
|
$24,190.82
|
$43,543.47
|
$24,190.82
|
2026-05-24
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
5
|
5
|
$123,910.35
|
$24,782.07
80% off
|
$24,027.92
|
$43,250.25
|
$24,027.92
|
2026-05-24
|
|
835
|
MS_DRG
|
Acute Leukemia With Cc
|
5
|
5
|
$34,072.57
|
$6,814.51
80% off
|
$23,928.11
|
$43,070.60
|
$23,928.11
|
2026-05-24
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
5
|
5
|
$66,188.47
|
$13,237.69
80% off
|
$23,921.23
|
$43,058.21
|
$23,921.23
|
2026-05-24
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
5
|
5
|
$94,601.81
|
$18,920.36
80% off
|
$23,709.00
|
$42,676.20
|
$23,709.00
|
2026-05-24
|
|
935
|
MS_DRG
|
Non-extensive Burns
|
5
|
5
|
$51,953.52
|
$10,390.70
80% off
|
$23,632.13
|
$42,537.85
|
$23,632.13
|
2026-05-24
|
|
J1303
|
HCPCS
|
Injection, Ravulizumab-cwvz, 10 Mg
|
40
|
28
|
$70,415.82
|
$14,083.16
80% off
|
$223.68
|
$63,374.24
|
$23,531.16
|
2026-05-24
|
|
744
|
MS_DRG
|
D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc
|
5
|
5
|
$44,624.47
|
$8,924.89
80% off
|
$23,507.09
|
$42,312.77
|
$23,507.09
|
2026-05-24
|
|
941
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…
|
6
|
6
|
$43,936.42
|
$8,787.28
80% off
|
$23,261.59
|
$94,749.42
|
$23,261.59
|
2026-05-24
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
5
|
5
|
$88,851.02
|
$17,770.20
80% off
|
$23,070.01
|
$41,526.02
|
$23,070.01
|
2026-05-24
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc
|
5
|
5
|
$54,328.55
|
$10,865.71
80% off
|
$23,018.39
|
$41,433.10
|
$23,018.39
|
2026-05-24
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
6
|
6
|
$89,075.53
|
$17,815.11
80% off
|
$22,922.02
|
$179,537.53
|
$22,922.02
|
2026-05-24
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
5
|
5
|
$67,076.72
|
$13,415.34
80% off
|
$22,888.75
|
$41,199.76
|
$22,888.75
|
2026-05-24
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
5
|
5
|
$128,754.03
|
$25,750.81
80% off
|
$22,723.56
|
$40,902.41
|
$22,723.56
|
2026-05-24
|
|
539
|
MS_DRG
|
Osteomyelitis With Mcc
|
6
|
6
|
$108,267.23
|
$21,653.45
80% off
|
$22,596.22
|
$228,883.23
|
$22,596.22
|
2026-05-24
|
|
380
|
MS_DRG
|
Complicated Peptic Ulcer With Mcc
|
5
|
5
|
$31,177.72
|
$6,235.54
80% off
|
$22,510.18
|
$40,518.33
|
$22,510.18
|
2026-05-24
|
|
885
|
MS_DRG
|
Psychoses
|
8
|
8
|
$60,356.97
|
$12,071.39
80% off
|
$16,023.96
|
$135,741.97
|
$22,433.55
|
2026-05-24
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
5
|
5
|
$88,621.47
|
$17,724.29
80% off
|
$22,284.19
|
$40,111.54
|
$22,284.19
|
2026-05-24
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
5
|
5
|
$54,385.56
|
$10,877.11
80% off
|
$22,218.80
|
$39,993.84
|
$22,218.80
|
2026-05-24
|
|
592
|
MS_DRG
|
Skin Ulcers With Mcc
|
5
|
5
|
$43,803.05
|
$8,760.61
80% off
|
$22,201.59
|
$39,962.86
|
$22,201.59
|
2026-05-24
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
6
|
6
|
$122,597.57
|
$24,519.51
80% off
|
$22,128.17
|
$51,027.00
|
$22,128.17
|
2026-05-24
|
|
C1721
|
HCPCS
|
Cardioverter-defibrillator, Dual Chamber (implantable)
|
121
|
23
|
$27,118.00
|
$5,423.60
80% off
|
$2,384.10
|
$92,571.00
|
$22,002.76
|
2026-05-24
|
|
717
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc
|
5
|
5
|
$31,235.88
|
$6,247.18
80% off
|
$21,687.65
|
$39,037.77
|
$21,687.65
|
2026-05-24
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With Mcc
|
5
|
5
|
$90,276.91
|
$18,055.38
80% off
|
$21,649.79
|
$38,969.62
|
$21,649.79
|
2026-05-24
|
|
998
|
MS_DRG
|
Principal Diagnosis Invalid As Discharge Diagnosis
|
4
|
4
|
$9,179.22
|
$1,835.84
80% off
|
$20,270.22
|
$24,256.22
|
$21,553.22
|
2026-05-24
|
|
J9316
|
HCPCS
|
Injection, Pertuzumab, Trastuzumab, And Hyaluronidase-zzxf, Per 10 Mg
|
40
|
28
|
$30,000.00
|
$6,000.00
80% off
|
$60.23
|
$32,314.19
|
$21,518.73
|
2026-05-24
|
|
662176_1
|
CDM
|
Operating Room Services - Minor Surgery
|
26
|
26
|
$41,134.00
|
$8,226.80
80% off
|
$3,500.00
|
$37,020.60
|
$21,517.83
|
2026-05-24
|
|
3033746_1
|
CDM
|
Operating Room Services - Minor Surgery
|
26
|
26
|
$41,134.00
|
$8,226.80
80% off
|
$3,500.00
|
$37,020.60
|
$21,517.83
|
2026-05-24
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
5
|
5
|
$92,448.56
|
$18,489.71
80% off
|
$21,455.91
|
$38,620.65
|
$21,455.91
|
2026-05-24
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
5
|
5
|
$148,332.54
|
$29,666.51
80% off
|
$21,443.29
|
$38,597.93
|
$21,443.29
|
2026-05-24
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
5
|
5
|
$60,333.29
|
$12,066.66
80% off
|
$21,393.97
|
$38,509.14
|
$21,393.97
|
2026-05-24
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
9
|
9
|
$47,496.35
|
$9,499.27
80% off
|
$11,739.21
|
$122,881.35
|
$21,130.57
|
2026-05-24
|
|
754
|
MS_DRG
|
Malignancy, Female Reproductive System With Mcc
|
5
|
5
|
$58,019.33
|
$11,603.87
80% off
|
$21,127.82
|
$38,030.07
|
$21,127.82
|
2026-05-24
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
|
6
|
6
|
$43,910.69
|
$8,782.14
80% off
|
$21,070.46
|
$89,141.69
|
$21,070.46
|
2026-05-24
|
|
742
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc
|
5
|
5
|
$71,236.67
|
$14,247.33
80% off
|
$21,048.66
|
$37,887.59
|
$21,048.66
|
2026-05-24
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
5
|
5
|
$88,254.33
|
$17,650.87
80% off
|
$21,005.07
|
$37,809.12
|
$21,005.07
|
2026-05-24
|
|
919
|
MS_DRG
|
Complications Of Treatment With Mcc
|
7
|
7
|
$75,782.19
|
$15,156.44
80% off
|
$21,002.77
|
$166,244.19
|
$21,002.77
|
2026-05-24
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
5
|
5
|
$60,203.99
|
$12,040.80
80% off
|
$20,970.65
|
$37,747.18
|
$20,970.65
|
2026-05-24
|
|
511
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc
|
5
|
5
|
$20,957.00
|
$4,191.40
80% off
|
$20,957.00
|
$42,938.45
|
$20,957.00
|
2026-05-24
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
5
|
5
|
$55,618.93
|
$11,123.79
80% off
|
$20,921.32
|
$37,658.38
|
$20,921.32
|
2026-05-24
|
|
760
|
MS_DRG
|
Menstrual And Other Female Reproductive System Disorders With Cc/mcc
|
9
|
9
|
$95,369.48
|
$19,073.90
80% off
|
$11,557.95
|
$231,062.48
|
$20,804.31
|
2026-05-24
|
|
167
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Cc
|
5
|
5
|
$85,289.70
|
$17,057.94
80% off
|
$20,688.44
|
$37,239.20
|
$20,688.44
|
2026-05-24
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
5
|
5
|
$66,407.44
|
$13,281.49
80% off
|
$20,588.64
|
$37,059.55
|
$20,588.64
|
2026-05-24
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
7
|
7
|
$71,596.86
|
$14,319.37
80% off
|
$20,579.46
|
$161,257.20
|
$20,579.46
|
2026-05-24
|
|
505
|
MS_DRG
|
Foot Procedures Without Cc/mcc
|
6
|
6
|
$88,162.62
|
$17,632.52
80% off
|
$20,566.84
|
$178,624.62
|
$20,566.84
|
2026-05-24
|
|
254
|
MS_DRG
|
Other Vascular Procedures Without Cc/mcc
|
5
|
5
|
$69,971.20
|
$13,994.24
80% off
|
$20,439.50
|
$36,791.11
|
$20,439.50
|
2026-05-24
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
4
|
4
|
$8,030.84
|
$1,606.17
80% off
|
$19,121.84
|
$23,107.84
|
$20,404.84
|
2026-05-24
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
5
|
5
|
$84,796.99
|
$16,959.40
80% off
|
$20,340.84
|
$36,613.52
|
$20,340.84
|
2026-05-24
|
|
C2621
|
HCPCS
|
Pacemaker, Other Than Single Or Dual Chamber (implantable)
|
23
|
23
|
$25,679.00
|
$5,135.80
80% off
|
$3,500.00
|
$25,679.00
|
$20,317.22
|
2026-05-24
|
|
E0616
|
HCPCS
|
Implantable Cardiac Event Recorder With Memory, Activator And Programmer
|
42
|
23
|
$27,000.00
|
$5,400.00
80% off
|
$3,500.00
|
$27,000.00
|
$20,313.91
|
2026-05-24
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
5
|
5
|
$72,128.18
|
$14,425.64
80% off
|
$20,237.60
|
$36,427.68
|
$20,237.60
|
2026-05-24
|
|
906
|
MS_DRG
|
Hand Procedures For Injuries
|
5
|
5
|
$58,609.07
|
$11,721.81
80% off
|
$20,218.09
|
$36,392.57
|
$20,218.09
|
2026-05-24
|
|
62
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
5
|
5
|
$109,341.81
|
$21,868.36
80% off
|
$20,158.44
|
$36,285.20
|
$20,158.44
|
2026-05-24
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
5
|
5
|
$75,824.26
|
$15,164.85
80% off
|
$20,146.97
|
$36,264.55
|
$20,146.97
|
2026-05-24
|
|
922
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc
|
5
|
5
|
$112,935.45
|
$22,587.09
80% off
|
$20,068.96
|
$36,124.13
|
$20,068.96
|
2026-05-24
|
|
666
|
MS_DRG
|
Prostatectomy With Cc
|
6
|
6
|
$77,053.96
|
$15,410.79
80% off
|
$20,067.81
|
$167,515.96
|
$20,067.81
|
2026-05-24
|
|
501
|
MS_DRG
|
Soft Tissue Procedures With Cc
|
5
|
5
|
$65,579.92
|
$13,115.98
80% off
|
$20,054.05
|
$36,097.29
|
$20,054.05
|
2026-05-24
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
5
|
5
|
$76,394.72
|
$15,278.94
80% off
|
$20,019.63
|
$36,035.34
|
$20,019.63
|
2026-05-24
|
|
421
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Cc
|
6
|
6
|
$74,763.92
|
$14,952.78
80% off
|
$19,932.44
|
$150,148.92
|
$19,932.44
|
2026-05-24
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
5
|
5
|
$46,067.47
|
$9,213.49
80% off
|
$19,823.46
|
$35,682.23
|
$19,823.46
|
2026-05-24
|
|
58
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia With Mcc
|
5
|
5
|
$150,805.32
|
$30,161.06
80% off
|
$19,611.23
|
$35,300.22
|
$19,611.23
|
2026-05-24
|
|
289
|
MS_DRG
|
Acute And Subacute Endocarditis With Cc
|
5
|
5
|
$49,196.03
|
$9,839.21
80% off
|
$19,581.40
|
$35,246.53
|
$19,581.40
|
2026-05-24
|
|
256
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Cc
|
5
|
5
|
$125,930.38
|
$25,186.08
80% off
|
$19,478.16
|
$35,060.68
|
$19,478.16
|
2026-05-24
|
|
206
|
MS_DRG
|
Other Respiratory System Diagnoses Without Mcc
|
9
|
9
|
$19,722.58
|
$3,944.52
80% off
|
$10,796.21
|
$49,876.58
|
$19,433.19
|
2026-05-24
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
6
|
6
|
$62,990.45
|
$12,598.09
80% off
|
$7,160.00
|
$34,930.59
|
$19,405.88
|
2026-05-24
|
|
769
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses With O.r. Procedures
|
5
|
5
|
$39,207.49
|
$7,841.50
80% off
|
$19,385.23
|
$34,893.42
|
$19,385.23
|
2026-05-24
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
5
|
5
|
$65,135.89
|
$13,027.18
80% off
|
$19,381.79
|
$34,887.23
|
$19,381.79
|
2026-05-24
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
5
|
5
|
$44,346.06
|
$8,869.21
80% off
|
$19,364.58
|
$34,856.25
|
$19,364.58
|
2026-05-24
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
5
|
5
|
$101,313.34
|
$20,262.67
80% off
|
$19,306.08
|
$34,750.94
|
$19,306.08
|
2026-05-24
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
5
|
5
|
$74,850.79
|
$14,970.16
80% off
|
$19,300.34
|
$34,740.62
|
$19,300.34
|
2026-05-24
|
|
915
|
MS_DRG
|
Allergic Reactions With Mcc
|
5
|
5
|
$51,632.09
|
$10,326.42
80% off
|
$19,291.16
|
$34,724.10
|
$19,291.16
|
2026-05-24
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
5
|
5
|
$59,577.02
|
$11,915.40
80% off
|
$19,228.07
|
$34,610.53
|
$19,228.07
|
2026-05-24
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
5
|
5
|
$61,276.05
|
$12,255.21
80% off
|
$19,168.41
|
$34,503.15
|
$19,168.41
|
2026-05-24
|
|
597
|
MS_DRG
|
Malignant Breast Disorders With Mcc
|
6
|
6
|
$92,769.71
|
$18,553.94
80% off
|
$19,124.82
|
$187,745.71
|
$19,124.82
|
2026-05-24
|
|
70
|
MS_DRG
|
Other Cerebrovascular Disorders With Mcc
|
5
|
5
|
$48,136.23
|
$9,627.25
80% off
|
$19,098.44
|
$34,377.19
|
$19,098.44
|
2026-05-24
|
|
J9382
|
HCPCS
|
Injection, Zenocutuzumab-zbco, 1 Mg
|
28
|
28
|
$34,912.50
|
$6,982.50
80% off
|
$33.57
|
$34,912.50
|
$19,062.22
|
2026-05-24
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
5
|
5
|
$70,530.54
|
$14,106.11
80% off
|
$18,979.13
|
$34,162.43
|
$18,979.13
|
2026-05-24
|
|
643
|
MS_DRG
|
Endocrine Disorders With Mcc
|
5
|
5
|
$47,400.88
|
$9,480.18
80% off
|
$18,883.91
|
$33,991.04
|
$18,883.91
|
2026-05-24
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
5
|
5
|
$46,416.33
|
$9,283.27
80% off
|
$18,855.23
|
$33,939.42
|
$18,855.23
|
2026-05-24
|
|
675
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures Without Cc/mcc
|
5
|
5
|
$31,801.25
|
$6,360.25
80% off
|
$18,829.99
|
$33,893.99
|
$18,829.99
|
2026-05-24
|
|
334
|
MS_DRG
|
Rectal Resection Without Cc/mcc
|
5
|
5
|
$36,865.62
|
$7,373.12
80% off
|
$18,789.84
|
$33,821.72
|
$18,789.84
|
2026-05-24
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
5
|
5
|
$39,676.75
|
$7,935.35
80% off
|
$18,730.19
|
$33,714.34
|
$18,730.19
|
2026-05-24
|
|
841
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Cc
|
5
|
5
|
$83,169.41
|
$16,633.88
80% off
|
$18,715.27
|
$33,687.50
|
$18,715.27
|
2026-05-24
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
5
|
5
|
$93,318.08
|
$18,663.62
80% off
|
$18,710.69
|
$33,679.24
|
$18,710.69
|
2026-05-24
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
5
|
5
|
$180,928.42
|
$36,185.68
80% off
|
$18,701.51
|
$33,662.72
|
$18,701.51
|
2026-05-24
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
8
|
8
|
$41,855.46
|
$8,371.09
80% off
|
$13,310.86
|
$107,102.46
|
$18,635.21
|
2026-05-24
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
5
|
5
|
$18,567.70
|
$3,713.54
80% off
|
$18,567.70
|
$47,402.85
|
$18,567.70
|
2026-05-24
|
|
C1777
|
HCPCS
|
Lead, Cardioverter-defibrillator, Endocardial Single Coil (implantable)
|
23
|
23
|
$23,288.00
|
$4,657.60
80% off
|
$3,500.00
|
$23,288.00
|
$18,425.47
|
2026-05-24
|
|
73
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders With Mcc
|
5
|
5
|
$63,048.33
|
$12,609.67
80% off
|
$18,404.39
|
$33,127.90
|
$18,404.39
|
2026-05-24
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
5
|
5
|
$66,303.70
|
$13,260.74
80% off
|
$18,402.09
|
$33,123.77
|
$18,402.09
|
2026-05-24
|
|
328
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures Without Cc/mcc
|
5
|
5
|
$61,691.54
|
$12,338.31
80% off
|
$18,381.44
|
$33,086.60
|
$18,381.44
|
2026-05-24
|
|
620
|
MS_DRG
|
O.r. Procedures For Obesity With Cc
|
5
|
5
|
$72,492.77
|
$14,498.55
80% off
|
$18,358.50
|
$33,045.30
|
$18,358.50
|
2026-05-24
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
5
|
5
|
$64,770.46
|
$12,954.09
80% off
|
$18,347.03
|
$33,024.65
|
$18,347.03
|
2026-05-24
|
|
368
|
MS_DRG
|
Major Esophageal Disorders With Mcc
|
5
|
5
|
$67,973.28
|
$13,594.66
80% off
|
$18,262.13
|
$32,871.84
|
$18,262.13
|
2026-05-24
|
|
385
|
MS_DRG
|
Inflammatory Bowel Disease With Mcc
|
6
|
6
|
$61,474.06
|
$12,294.81
80% off
|
$18,152.00
|
$161,978.06
|
$18,152.00
|
2026-05-24
|
|
306
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders With Mcc
|
6
|
6
|
$42,231.48
|
$8,446.30
80% off
|
$18,077.44
|
$87,462.48
|
$18,077.44
|
2026-05-24
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
5
|
5
|
$52,997.48
|
$10,599.50
80% off
|
$17,992.54
|
$32,386.58
|
$17,992.54
|
2026-05-24
|
|
533
|
MS_DRG
|
Fractures Of Femur With Mcc
|
5
|
5
|
$52,520.17
|
$10,504.03
80% off
|
$17,984.51
|
$32,372.13
|
$17,984.51
|
2026-05-24
|
|
866
|
MS_DRG
|
Viral Illness Without Mcc
|
9
|
9
|
$9,012.77
|
$1,802.55
80% off
|
$9,012.77
|
$24,089.77
|
$17,956.75
|
2026-05-24
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
5
|
5
|
$81,842.93
|
$16,368.59
80% off
|
$17,927.15
|
$32,268.88
|
$17,927.15
|
2026-05-24
|
|
186
|
MS_DRG
|
Pleural Effusion With Mcc
|
6
|
6
|
$85,585.48
|
$17,117.10
80% off
|
$17,878.97
|
$176,047.48
|
$17,878.97
|
2026-05-24
|
|
669
|
MS_DRG
|
Transurethral Procedures With Cc
|
5
|
5
|
$87,467.95
|
$17,493.59
80% off
|
$17,804.40
|
$32,047.93
|
$17,804.40
|
2026-05-24
|
|
77
|
MS_DRG
|
Hypertensive Encephalopathy With Mcc
|
5
|
5
|
$175,014.82
|
$35,002.96
80% off
|
$17,737.87
|
$31,928.16
|
$17,737.87
|
2026-05-24
|
|
337
|
MS_DRG
|
Peritoneal Adhesiolysis Without Cc/mcc
|
5
|
5
|
$80,619.03
|
$16,123.81
80% off
|
$17,609.38
|
$31,696.89
|
$17,609.38
|
2026-05-24
|
|
183
|
MS_DRG
|
Major Chest Trauma With Mcc
|
5
|
5
|
$79,422.50
|
$15,884.50
80% off
|
$17,550.88
|
$31,591.58
|
$17,550.88
|
2026-05-24
|
|
54
|
MS_DRG
|
Nervous System Neoplasms With Mcc
|
5
|
5
|
$50,376.24
|
$10,075.25
80% off
|
$17,516.46
|
$31,529.63
|
$17,516.46
|
2026-05-24
|
|
813
|
MS_DRG
|
Coagulation Disorders
|
5
|
5
|
$151,569.71
|
$30,313.94
80% off
|
$17,498.10
|
$31,496.59
|
$17,498.10
|
2026-05-24
|
|
351
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Cc
|
5
|
5
|
$44,227.23
|
$8,845.45
80% off
|
$17,488.93
|
$31,480.07
|
$17,488.93
|
2026-05-24
|
|
606
|
MS_DRG
|
Minor Skin Disorders With Mcc
|
5
|
5
|
$42,138.62
|
$8,427.72
80% off
|
$17,359.29
|
$31,246.73
|
$17,359.29
|
2026-05-24
|
|
621
|
MS_DRG
|
O.r. Procedures For Obesity Without Cc/mcc
|
5
|
5
|
$69,319.48
|
$13,863.90
80% off
|
$17,304.23
|
$31,147.62
|
$17,304.23
|
2026-05-24
|
|
345
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Cc
|
5
|
5
|
$79,920.09
|
$15,984.02
80% off
|
$17,261.78
|
$31,071.21
|
$17,261.78
|
2026-05-24
|
|
713
|
MS_DRG
|
Transurethral Prostatectomy With Cc/mcc
|
5
|
5
|
$35,518.10
|
$7,103.62
80% off
|
$17,246.87
|
$31,044.37
|
$17,246.87
|
2026-05-24
|
|
855
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc
|
5
|
5
|
$66,418.69
|
$13,283.74
80% off
|
$17,175.74
|
$30,916.34
|
$17,175.74
|
2026-05-24
|
|
300
|
MS_DRG
|
Peripheral Vascular Disorders With Cc
|
8
|
8
|
$47,814.09
|
$9,562.82
80% off
|
$12,246.26
|
$108,122.09
|
$17,144.77
|
2026-05-24
|
|
662169_1
|
CDM
|
Operating Room Services - Minor Surgery
|
26
|
26
|
$23,857.00
|
$4,771.40
80% off
|
$3,500.00
|
$21,471.30
|
$17,117.38
|
2026-05-24
|
|
3033736_1
|
CDM
|
Operating Room Services - Minor Surgery
|
26
|
26
|
$23,857.00
|
$4,771.40
80% off
|
$3,500.00
|
$21,471.30
|
$17,117.38
|
2026-05-24
|
|
446
|
MS_DRG
|
Disorders Of The Biliary Tract Without Cc/mcc
|
9
|
9
|
$29,357.02
|
$5,871.40
80% off
|
$9,490.71
|
$74,588.02
|
$17,083.28
|
2026-05-24
|
|
557
|
MS_DRG
|
Tendonitis, Myositis And Bursitis With Mcc
|
5
|
5
|
$87,778.31
|
$17,555.66
80% off
|
$17,057.58
|
$30,703.65
|
$17,057.58
|
2026-05-24
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
6
|
6
|
$67,501.40
|
$13,500.28
80% off
|
$16,989.90
|
$142,886.40
|
$16,989.90
|
2026-05-24
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
5
|
5
|
$71,497.16
|
$14,299.43
80% off
|
$16,941.72
|
$30,495.09
|
$16,941.72
|
2026-05-24
|
|
604
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc
|
5
|
5
|
$67,229.68
|
$13,445.94
80% off
|
$16,887.80
|
$30,398.04
|
$16,887.80
|
2026-05-24
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
8
|
8
|
$55,762.92
|
$11,152.58
80% off
|
$11,793.12
|
$145,379.92
|
$16,510.37
|
2026-05-24
|
|
810
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
8
|
8
|
$11,404.85
|
$2,280.97
80% off
|
$11,404.85
|
$26,481.85
|
$16,508.28
|
2026-05-24
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
5
|
5
|
$75,055.60
|
$15,011.12
80% off
|
$16,481.69
|
$29,667.05
|
$16,481.69
|
2026-05-24
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
8
|
8
|
$56,216.99
|
$11,243.40
80% off
|
$11,735.76
|
$131,601.99
|
$16,430.07
|
2026-05-24
|
|
564
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc
|
5
|
5
|
$16,419.90
|
$3,283.98
80% off
|
$16,419.90
|
$31,874.48
|
$16,419.90
|
2026-05-24
|
|
C1874
|
HCPCS
|
Stent, Coated/covered, With Delivery System
|
137
|
23
|
$21,336.00
|
$4,267.20
80% off
|
$3,500.00
|
$34,135.00
|
$16,381.20
|
2026-05-24
|
|
55
|
MS_DRG
|
Nervous System Neoplasms Without Mcc
|
8
|
8
|
$15,532.34
|
$3,106.47
80% off
|
$11,696.76
|
$45,686.34
|
$16,375.47
|
2026-05-24
|
|
741
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without…
|
5
|
5
|
$71,862.28
|
$14,372.46
80% off
|
$16,360.09
|
$29,448.17
|
$16,360.09
|
2026-05-24
|
|
562
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
6
|
6
|
$38,835.82
|
$7,767.16
80% off
|
$16,345.18
|
$84,066.82
|
$16,345.18
|
2026-05-24
|
|
C1724
|
HCPCS
|
Catheter, Transluminal Atherectomy, Rotational
|
23
|
23
|
$20,610.00
|
$4,122.00
80% off
|
$3,500.00
|
$20,610.00
|
$16,342.00
|
2026-05-24
|
|
642
|
MS_DRG
|
Inborn And Other Disorders Of Metabolism
|
5
|
5
|
$31,789.20
|
$6,357.84
80% off
|
$16,314.20
|
$29,365.57
|
$16,314.20
|
2026-05-24
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
5
|
5
|
$45,281.63
|
$9,056.33
80% off
|
$16,305.03
|
$29,349.05
|
$16,305.03
|
2026-05-24
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
5
|
5
|
$55,926.17
|
$11,185.23
80% off
|
$16,110.00
|
$28,998.01
|
$16,110.00
|
2026-05-24
|
|
63
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
5
|
5
|
$71,683.49
|
$14,336.70
80% off
|
$16,104.27
|
$28,987.68
|
$16,104.27
|
2026-05-24
|
|
47540
|
HCPCS
|
Placement Of Stent And Drainage Tube Of Biliary Duct Using Imaging Guidance With…
|
28
|
28
|
$30,101.00
|
$6,020.20
80% off
|
$3,500.00
|
$27,090.90
|
$16,103.74
|
2026-05-24
|
|
47539
|
HCPCS
|
Placement Of Stent Of Biliary Duct Through New Skin Access Using Imaging With Re…
|
28
|
28
|
$30,101.00
|
$6,020.20
80% off
|
$3,500.00
|
$27,090.90
|
$16,103.74
|
2026-05-24
|
|
47538
|
HCPCS
|
Placement Of Stent Of Biliary Duct Through Existing Skin Access Using Imaging Gu…
|
28
|
28
|
$30,101.00
|
$6,020.20
80% off
|
$3,500.00
|
$27,090.90
|
$16,103.74
|
2026-05-24
|
|
710
|
MS_DRG
|
Penis Procedures Without Cc/mcc
|
5
|
5
|
$40,378.31
|
$8,075.66
80% off
|
$16,074.44
|
$28,934.00
|
$16,074.44
|
2026-05-24
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
10
|
10
|
$82,468.52
|
$16,493.70
80% off
|
$4,125.00
|
$18,922.92
|
$16,072.50
|
2026-05-24
|
|
783
|
MS_DRG
|
Cesarean Section With Sterilization With Mcc
|
10
|
10
|
$60,291.93
|
$12,058.39
80% off
|
$4,125.00
|
$28,164.69
|
$16,072.50
|
2026-05-24
|
|
358
|
MS_DRG
|
Other Digestive System O.r. Procedures Without Cc/mcc
|
5
|
5
|
$73,075.84
|
$14,615.17
80% off
|
$16,036.58
|
$28,865.85
|
$16,036.58
|
2026-05-24
|
|
83
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Cc
|
7
|
7
|
$50,380.90
|
$10,076.18
80% off
|
$16,012.49
|
$110,688.90
|
$16,012.49
|
2026-05-24
|
|
748
|
MS_DRG
|
Female Reproductive System Reconstructive Procedures
|
5
|
5
|
$49,320.30
|
$9,864.06
80% off
|
$15,914.98
|
$28,646.97
|
$15,914.98
|
2026-05-24
|
|
383
|
MS_DRG
|
Uncomplicated Peptic Ulcer With Mcc
|
5
|
5
|
$32,164.94
|
$6,432.99
80% off
|
$15,839.27
|
$28,510.68
|
$15,839.27
|
2026-05-24
|
|
C1714
|
HCPCS
|
Catheter, Transluminal Atherectomy, Directional
|
23
|
23
|
$19,770.00
|
$3,954.00
80% off
|
$3,500.00
|
$19,770.00
|
$15,816.00
|
2026-05-24
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
5
|
5
|
$51,879.18
|
$10,375.84
80% off
|
$15,757.82
|
$28,364.07
|
$15,757.82
|
2026-05-24
|
|
758
|
MS_DRG
|
Infections, Female Reproductive System With Cc
|
8
|
8
|
$11,376.92
|
$2,275.38
80% off
|
$11,231.00
|
$26,453.92
|
$15,723.40
|
2026-05-24
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc
|
6
|
6
|
$62,282.98
|
$12,456.60
80% off
|
$7,160.00
|
$28,203.01
|
$15,668.33
|
2026-05-24
|
|
416
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc
|
5
|
5
|
$48,389.93
|
$9,677.99
80% off
|
$15,639.65
|
$28,151.38
|
$15,639.65
|
2026-05-24
|
|
99
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc
|
5
|
5
|
$147,860.81
|
$29,572.16
80% off
|
$15,629.33
|
$28,132.80
|
$15,629.33
|
2026-05-24
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
8
|
8
|
$44,633.36
|
$8,926.67
80% off
|
$11,141.52
|
$104,941.36
|
$15,598.13
|
2026-05-24
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
8
|
8
|
$31,760.24
|
$6,352.05
80% off
|
$11,073.83
|
$69,698.24
|
$15,503.37
|
2026-05-24
|
|
355
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral Without Cc/mcc
|
5
|
5
|
$68,885.13
|
$13,777.03
80% off
|
$15,429.72
|
$27,773.50
|
$15,429.72
|
2026-05-24
|
|
693
|
MS_DRG
|
Urinary Stones With Mcc
|
7
|
7
|
$48,327.59
|
$9,665.52
80% off
|
$14,674.00
|
$108,635.59
|
$15,423.98
|
2026-05-24
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
5
|
5
|
$60,615.52
|
$12,123.10
80% off
|
$15,321.88
|
$27,579.39
|
$15,321.88
|
2026-05-24
|
|
627
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/mcc
|
5
|
5
|
$80,332.18
|
$16,066.44
80% off
|
$15,238.14
|
$27,428.65
|
$15,238.14
|
2026-05-24
|
|
555
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc
|
6
|
6
|
$172,319.66
|
$34,463.93
80% off
|
$15,163.57
|
$383,397.66
|
$15,163.57
|
2026-05-24
|
|
660
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Cc
|
5
|
5
|
$64,368.70
|
$12,873.74
80% off
|
$15,162.42
|
$27,292.36
|
$15,162.42
|
2026-05-24
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
5
|
5
|
$73,466.95
|
$14,693.39
80% off
|
$15,078.68
|
$27,141.62
|
$15,078.68
|
2026-05-24
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
8
|
8
|
$43,659.06
|
$8,731.81
80% off
|
$10,734.27
|
$103,967.06
|
$15,027.98
|
2026-05-24
|
|
J9380
|
HCPCS
|
Injection, Teclistamab-cqyv, 0.5 Mg
|
28
|
28
|
$38,000.00
|
$7,600.00
80% off
|
$34.50
|
$34,200.00
|
$14,979.50
|
2026-05-24
|
|
J9298
|
HCPCS
|
Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg
|
28
|
28
|
$39,788.68
|
$7,957.74
80% off
|
$197.83
|
$35,809.81
|
$14,979.50
|
2026-05-24
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
28
|
28
|
$37,835.51
|
$7,567.10
80% off
|
$197.44
|
$37,835.51
|
$14,972.24
|
2026-05-24
|
|
86
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Cc
|
5
|
5
|
$70,286.76
|
$14,057.35
80% off
|
$14,944.46
|
$26,900.03
|
$14,944.46
|
2026-05-24
|
|
832
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures With Cc
|
9
|
9
|
$20,013.92
|
$4,002.79
80% off
|
$8,278.13
|
$50,167.92
|
$14,900.64
|
2026-05-24
|
|
540
|
MS_DRG
|
Osteomyelitis With Cc
|
7
|
7
|
$49,833.72
|
$9,966.74
80% off
|
$14,871.04
|
$135,128.72
|
$14,871.04
|
2026-05-24
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
5
|
5
|
$31,132.45
|
$6,226.49
80% off
|
$14,863.01
|
$26,753.41
|
$14,863.01
|
2026-05-24
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
7
|
7
|
$67,358.85
|
$13,471.77
80% off
|
$14,727.64
|
$142,743.85
|
$14,727.64
|
2026-05-24
|
|
535
|
MS_DRG
|
Fractures Of Hip And Pelvis With Mcc
|
5
|
5
|
$77,895.70
|
$15,579.14
80% off
|
$14,706.99
|
$26,472.58
|
$14,706.99
|
2026-05-24
|
|
158
|
MS_DRG
|
Dental And Oral Diseases With Cc
|
8
|
8
|
$45,931.08
|
$9,186.22
80% off
|
$10,437.14
|
$106,239.08
|
$14,612.00
|
2026-05-24
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
6
|
6
|
$60,065.13
|
$12,013.03
80% off
|
$14,562.44
|
$120,373.13
|
$14,562.44
|
2026-05-24
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
5
|
5
|
$66,324.87
|
$13,264.97
80% off
|
$14,549.82
|
$26,189.68
|
$14,549.82
|
2026-05-24
|
|
809
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
5
|
5
|
$48,978.35
|
$9,795.67
80% off
|
$14,522.29
|
$26,140.13
|
$14,522.29
|
2026-05-24
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
28
|
28
|
$29,266.04
|
$5,853.21
80% off
|
$127.38
|
$26,339.44
|
$14,417.67
|
2026-05-24
|
|
J0896
|
HCPCS
|
Injection, Luspatercept-aamt, 0.25 Mg
|
42
|
28
|
$18,755.92
|
$3,751.18
80% off
|
$42.75
|
$32,219.93
|
$14,348.28
|
2026-05-24
|
|
607
|
MS_DRG
|
Minor Skin Disorders Without Mcc
|
8
|
8
|
$9,823.13
|
$1,964.63
80% off
|
$9,823.13
|
$24,900.13
|
$14,269.89
|
2026-05-24
|
|
700
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses Without Cc/mcc
|
9
|
9
|
$38,755.91
|
$7,751.18
80% off
|
$7,914.47
|
$99,063.91
|
$14,246.05
|
2026-05-24
|
|
59
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia With Cc
|
5
|
5
|
$45,717.00
|
$9,143.40
80% off
|
$14,235.49
|
$25,623.89
|
$14,235.49
|
2026-05-24
|
|
743
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc
|
5
|
5
|
$64,966.00
|
$12,993.20
80% off
|
$14,233.20
|
$25,619.76
|
$14,233.20
|
2026-05-24
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
5
|
5
|
$73,195.61
|
$14,639.12
80% off
|
$14,172.40
|
$25,510.32
|
$14,172.40
|
2026-05-24
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
7
|
7
|
$14,053.89
|
$2,810.78
80% off
|
$14,053.89
|
$39,179.89
|
$14,053.89
|
2026-05-24
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
4
|
4
|
$14,048.26
|
$2,809.65
80% off
|
$14,048.26
|
$14,048.26
|
$14,048.26
|
2026-05-24
|
|
375
|
MS_DRG
|
Digestive Malignancy With Cc
|
5
|
5
|
$108,488.71
|
$21,697.74
80% off
|
$13,876.42
|
$24,977.56
|
$13,876.42
|
2026-05-24
|
|
203
|
MS_DRG
|
Bronchitis And Asthma Without Cc/mcc
|
9
|
9
|
$30,115.06
|
$6,023.01
80% off
|
$7,686.18
|
$75,346.06
|
$13,835.12
|
2026-05-24
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
5
|
5
|
$91,635.25
|
$18,327.05
80% off
|
$13,812.18
|
$24,861.93
|
$13,812.18
|
2026-05-24
|
|
918
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs Without Mcc
|
8
|
8
|
$46,292.31
|
$9,258.46
80% off
|
$9,832.57
|
$106,600.31
|
$13,765.60
|
2026-05-24
|
|
989
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
5
|
5
|
$52,609.42
|
$10,521.88
80% off
|
$13,757.11
|
$24,762.81
|
$13,757.11
|
2026-05-24
|
|
304
|
MS_DRG
|
Hypertension With Mcc
|
7
|
7
|
$39,045.83
|
$7,809.17
80% off
|
$13,651.57
|
$84,276.83
|
$13,651.57
|
2026-05-24
|
|
C1785
|
HCPCS
|
Pacemaker, Dual Chamber, Rate-responsive (implantable)
|
43
|
23
|
$32,364.00
|
$6,472.80
80% off
|
$3,500.00
|
$32,364.00
|
$13,617.00
|
2026-05-24
|
|
593
|
MS_DRG
|
Skin Ulcers With Cc
|
6
|
6
|
$50,018.39
|
$10,003.68
80% off
|
$13,609.13
|
$110,326.39
|
$13,609.13
|
2026-05-24
|
|
152
|
MS_DRG
|
Otitis Media And Uri With Mcc
|
5
|
5
|
$25,990.07
|
$5,198.01
80% off
|
$13,562.09
|
$24,411.77
|
$13,562.09
|
2026-05-24
|
|
C1763
|
HCPCS
|
Connective Tissue, Non-human (includes Synthetic)
|
65
|
23
|
$17,991.00
|
$3,598.20
80% off
|
$1,992.01
|
$26,924.00
|
$13,493.25
|
2026-05-24
|
|
352
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures Without Cc/mcc
|
5
|
5
|
$53,378.93
|
$10,675.79
80% off
|
$13,396.90
|
$24,114.42
|
$13,396.90
|
2026-05-24
|
|
12949984_1
|
CDM
|
Ed Trauma Lvl 4 Full Act W/ntc Wo/cc
|
26
|
26
|
$17,440.00
|
$3,488.00
80% off
|
$3,500.00
|
$16,342.00
|
$13,341.60
|
2026-05-24
|
|
L8670
|
HCPCS
|
Vascular Graft Material, Synthetic, Implant
|
28
|
28
|
$16,896.00
|
$3,379.20
80% off
|
$668.13
|
$16,896.00
|
$13,273.50
|
2026-05-24
|