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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

HIGHLAND HOSPITAL

Oakland, CA · CCN 050320 · Rates published

4,457 distinct procedures filed
25 distinct payers
265,778 rate rows
2026-03-16 last MRF observed
Data quality

253,928 of 265,778 rate rows are consumer-grade (95.5%)

11,850 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
placeholder amount (≤ $0.02) — excluded from medians 6,174
per-diem day rate — not a per-procedure price 5,158
percent-of-charges filed in the dollar field — excluded from medians 177
exceeds 10× this hospital's gross charge — excluded from medians 172
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 146
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 12
exceeds 3× this hospital's gross charge for a DRG stay — excluded 8
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.alamedahealthsystem.org/wp-content/uploads/pricing/943302014_highland-hospital_standardcharges.csv
Found on page https://www.alamedahealthsystem.org/price-transparency/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-01
Content fingerprint a6c45758d8115180… · 198,467,365 bytes · first seen 2026-06-16

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
J7189
HCPCS 		Coagulation Factor Viia Recomb 5 Mg (5,000 Mcg) Intravenous Solution 14 $2.62 $99,295,297.50 $38,418,917.84 nat. median
$3,219
outlier · 11934.3×
J9266
HCPCS 		Pegaspargase 750 Unit/ml Injection Solution 15 $23,522.31 $88,329,262.50 $4,242,472.88 nat. median
$31,084
outlier · 136.5×
J0401
HCPCS 		Aripiprazole ER 400 Mg Suspension, Extended Rel.intramuscular Syringe 15 $7.28 $2,894,767.23 $730,685.36 nat. median
$22
outlier · 32532.7×
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 10 $15.38 $180,421.88 $360,785.77 nat. median
$29,495
outlier · 12.2×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 7 $68,643.71 $224,216.34 $280,816.34 nat. median
$2,736
outlier · 102.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $8,825.00 $848,164.15 $260,353.62 nat. median
$145,435
1.8× median
302
MS_DRG 		Atherosclerosis With Mcc 9 $4.37 $61,984.21 $204,794.27 nat. median
$8,437
outlier · 24.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure,moderate 14 $50.56 $558,721.35 $175,353.70 nat. median
$97,418
1.8× median
313
MS_DRG 		Knee And Lower Leg Procedures Except Foot,moderate 14 $2.63 $43,276.34 $171,848.95 nat. median
$5,565
outlier · 30.9×
280
MS_DRG 		Alcoholic Liver Disease,moderate 14 $5.85 $77,979.81 $168,175.86 nat. median
$11,829
outlier · 14.2×
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 10 $16.60 $193,485.23 $161,637.36 nat. median
$32,531
outlier · 5.0×
512
MS_DRG 		Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy,minor 13 $6.04 $79,993.44 $161,442.58 nat. median
$12,032
outlier · 13.4×
793
MS_DRG 		Moderately Extensive O.r. Procedures For Other Complications Of Treatment,minor 14 $15.22 $178,683.01 $154,366.74 nat. median
$15,882
outlier · 9.7×
23
MS_DRG 		Spinal Procedures,minor 14 $20.92 $239,944.93 $138,543.61 nat. median
$40,301
outlier · 3.4×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 $18.03 $208,868.46 $128,668.42 nat. median
$34,733
outlier · 3.7×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $30.67 $344,871.79 $127,051.41 nat. median
$59,651
outlier · 2.1×
171
MS_DRG 		Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock,moderate 8 $4,300.00 $9,719.00 $126,404.14 nat. median
$24,538
outlier · 5.2×
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 $11.82 $142,134.68 $125,222.66 nat. median
$23,000
outlier · 5.4×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 7 $85,276.94 $279,229.20 $122,172.35 nat. median
$47,340
outlier · 2.6×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 $84,689.48 $277,286.24 $121,326.84 nat. median
$2,958
outlier · 41.0×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $3,777.00 $316,409.56 $114,342.60 nat. median
$55,923
outlier · 2.0×
135
MS_DRG 		Major Chest And Respiratory Trauma,moderate 8 $3,777.00 $9,719.00 $111,905.56 nat. median
$15,526
outlier · 7.2×
70
MS_DRG 		Other Cerebrovascular Disorders With Mcc 10 $6.08 $80,362.43 $111,834.06 nat. median
$12,172
outlier · 9.2×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $26.03 $294,902.90 $108,647.65 nat. median
$51,518
outlier · 2.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $25.23 $286,322.17 $105,487.34 nat. median
$48,611
outlier · 2.2×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $25.10 $284,991.53 $104,997.25 nat. median
$49,569
outlier · 2.1×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 10 $22.34 $255,292.82 $94,020.59 nat. median
$41,943
outlier · 2.2×
28
MS_DRG 		Spinal Procedures With Mcc 10 $21.93 $250,857.20 $92,388.08 nat. median
$41,895
outlier · 2.2×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 $21.41 $245,224.46 $90,312.37 nat. median
$40,726
outlier · 2.2×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $20.52 $235,693.85 $86,802.21 nat. median
$10,799
outlier · 8.0×
55
MS_DRG 		Nervous System Neoplasms Without Mcc 14 $3.72 $55,036.50 $86,406.56 nat. median
$7,660
outlier · 11.3×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $95,825.37 $314,117.14 $86,103.12 nat. median
$52,327
1.6× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 7 $59,943.15 $195,440.05 $85,710.46 nat. median
$33,435
outlier · 2.6×
21
MS_DRG 		Open Craniotomy Except Trauma,moderate 14 $19.32 $222,811.08 $85,016.00 nat. median
$38,173
outlier · 2.2×
834
MS_DRG 		Acute Leukemia With Mcc 10 $20.04 $230,508.55 $84,855.08 nat. median
$37,487
outlier · 2.3×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 $19.91 $229,103.29 $84,337.52 nat. median
$37,371
outlier · 2.3×
558
MS_DRG 		Tendonitis, Myositis And Bursitis Without Mcc 10 $3.26 $50,074.91 $84,322.11 nat. median
$6,561
outlier · 12.9×
163
MS_DRG 		Major Chest Procedures With Mcc 7 $58,581.88 $190,937.76 $83,751.24 nat. median
$31,995
outlier · 2.6×
653
MS_DRG 		Major Bladder Procedures With Mcc 10 $18.97 $218,987.86 $80,649.32 nat. median
$36,547
outlier · 2.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 14 $23.49 $267,594.64 $78,386.43 nat. median
$47,121
1.7× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 10 $18.20 $210,784.01 $77,590.44 nat. median
$35,986
outlier · 2.2×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 $21.92 $250,790.48 $77,185.84 nat. median
$43,533
1.8× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 $17.96 $208,205.07 $76,640.62 nat. median
$34,615
outlier · 2.2×
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 $17.89 $207,400.43 $76,344.26 nat. median
$33,583
outlier · 2.3×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 10 $17.62 $204,554.57 $75,296.12 nat. median
$34,932
outlier · 2.2×
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 $17.54 $203,596.78 $74,943.36 nat. median
$32,992
outlier · 2.3×
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 10 $4.24 $60,559.41 $74,633.51 nat. median
$8,710
outlier · 8.6×
940
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 10 $8.53 $106,744.32 $74,574.00 nat. median
$16,012
outlier · 4.7×
426
MS_DRG 		Non-hypovolemic Sodium Disorders,moderate 13 $3,777.00 $447,627.90 $74,114.38 nat. median
$2,736
outlier · 27.1×
933
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 7 $51,608.13 $167,872.75 $73,714.21 nat. median
$17,326
outlier · 4.3×

Other procedures at this hospital

Browse this hospital's 4,457 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
901 MS_DRG Wound Debridements For Injuries With Mcc 14 10 $164,806.24 $82,403.12 50% off $15.32 $179,742.84 $66,157.85 2026-03-16
902 MS_DRG Wound Debridements For Injuries With Cc 14 10 $290,349.69 $145,174.84 50% off $6.99 $90,163.85 $33,165.53 2026-03-16
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 10 $107,170.99 $53,585.49 50% off $11.37 $137,275.18 $50,516.83 2026-03-16
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 13 $510,437.15 $255,218.57 50% off $3,777.00 $238,735.96 $41,389.69 2026-03-16
75 MS_DRG Viral Meningitis With Cc/mcc 14 10 $65,336.35 $32,668.17 50% off $7.00 $90,281.65 $33,208.91 2026-03-16
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 14 10 $104,596.42 $52,298.21 50% off $6.07 $80,287.85 $29,528.15 2026-03-16
31 MS_DRG Ventricular Shunt Procedures With Mcc 14 10 $232,009.27 $116,004.63 50% off $16.35 $190,886.69 $70,299.54 2026-03-16
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 14 10 $101,061.46 $50,530.73 50% off $6.34 $83,200.40 $30,600.86 2026-03-16
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 14 10 $122,461.89 $61,230.94 50% off $13.05 $155,323.60 $57,164.14 2026-03-16
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 14 10 $89,403.09 $44,701.54 50% off $7.52 $95,898.72 $35,277.70 2026-03-16
512 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy,minor 24 13 $140,354.86 $70,177.43 50% off $6.04 $79,993.44 $161,442.58 2026-03-16
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 14 10 $289,156.15 $144,578.07 50% off $13.08 $155,649.44 $57,284.15 2026-03-16
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 14 10 $65,721.99 $32,860.99 50% off $6.61 $86,046.22 $31,648.99 2026-03-16
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 14 10 $107,674.92 $53,837.46 50% off $6.70 $87,035.43 $32,013.31 2026-03-16
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 38 10 $87,052.09 $43,526.04 50% off $7,861.05 $74,046.51 $35,930.73 2026-03-16
671 MS_DRG Urethral Procedures With Cc/mcc 14 10 $58,536.71 $29,268.35 50% off $6.55 $85,473.18 $31,437.93 2026-03-16
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 14 10 $97,777.52 $48,888.76 50% off $9.85 $120,894.93 $44,483.91 2026-03-16
C1882 HCPCS Unify Assura NxtGen Crtd40 Df4 153 10 $91,000.00 $45,500.00 50% off $17,496.02 $91,000.00 $37,500.88 2026-03-16
C1721 HCPCS Unify Assura NxtGen Crtd 40 102 10 $77,900.00 $38,950.00 50% off $13,432.92 $77,900.00 $32,673.64 2026-03-16
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 14 $161,010.37 $61,204.32 62% off $13.16 $156,575.82 $35,120.08 2026-03-16
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/mcc 14 10 $109,149.72 $54,574.86 50% off $3.49 $52,532.15 $52,631.08 2026-03-16
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 24 13 $179,848.91 $89,924.45 50% off $3,777.00 $104,730.59 $67,780.64 2026-03-16
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 9 7 $181,262.07 $90,631.03 50% off $32,354.39 $104,192.78 $32,300.54 2026-03-16
913 MS_DRG Traumatic Injury With Mcc 9 7 $185,603.93 $92,801.96 50% off $24,790.83 $79,177.02 $35,117.16 2026-03-16
482 MS_DRG Transurethral Prostatectomy,minor 19 12 $158,902.45 $79,451.22 50% off $3,777.00 $79,035.68 $29,209.88 2026-03-16
668 MS_DRG Transurethral Procedures With Mcc 14 10 $108,142.24 $54,071.12 50% off $10.66 $129,632.64 $47,702.05 2026-03-16
4 MS_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure,moderate 25 14 $1,872,922.75 $494,541.33 74% off $50.56 $558,721.35 $175,353.70 2026-03-16
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 14 10 $129,637.03 $64,818.51 50% off $10.52 $128,133.14 $47,187.14 2026-03-16
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 10 $878,824.61 $439,412.30 50% off $19.91 $229,103.29 $84,337.52 2026-03-16
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 10 $492,425.17 $246,212.58 50% off $15.39 $180,504.34 $66,476.82 2026-03-16
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 25 14 $107,484.45 $41,230.28 62% off $11.02 $133,561.83 $29,769.20 2026-03-16
427 MS_DRG Thyroid Disorders,moderate 25 14 $343,592.34 $171,796.17 50% off $26.35 $298,365.02 $64,209.68 2026-03-16
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 14 10 $58,117.20 $29,058.60 50% off $3.26 $50,074.91 $84,322.11 2026-03-16
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 14 10 $182,416.75 $91,208.37 50% off $5.85 $77,909.15 $28,689.42 2026-03-16
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 10 $127,773.98 $63,886.99 50% off $18.20 $210,784.01 $77,590.44 2026-03-16
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 14 10 $243,503.13 $121,751.56 50% off $8.92 $110,956.13 $40,860.76 2026-03-16
799 MS_DRG Splenic Procedures With Mcc 14 10 $203,579.27 $101,789.63 50% off $16.53 $192,786.58 $70,961.91 2026-03-16
800 MS_DRG Splenic Procedures With Cc 9 7 $199,956.24 $99,978.12 50% off $38,733.55 $125,291.27 $55,184.35 2026-03-16
23 MS_DRG Spinal Procedures,minor 31 14 $993,344.11 $281,639.23 72% off $20.92 $239,944.93 $138,543.61 2026-03-16
28 MS_DRG Spinal Procedures With Mcc 14 10 $305,831.49 $152,915.74 50% off $21.93 $250,857.20 $92,388.08 2026-03-16
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 22 13 $540,665.93 $270,332.96 50% off $3,777.00 $148,929.32 $30,817.32 2026-03-16
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 10 $349,410.03 $174,705.01 50% off $30.67 $344,871.79 $127,051.41 2026-03-16
321 MS_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures,mino… 25 14 $187,305.92 $93,652.96 50% off $9.93 $121,813.48 $49,624.88 2026-03-16
40 MS_DRG Spinal Disorders And Injuries,moderate 24 14 $1,852,866.71 $926,433.35 50% off $14.09 $166,577.42 $38,414.58 2026-03-16
500 MS_DRG Soft Tissue Procedures With Mcc 14 10 $98,198.77 $49,099.38 50% off $11.55 $139,241.73 $51,278.47 2026-03-16
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 9 7 $628,129.85 $314,064.92 50% off $48,984.09 $159,193.97 $51,280.76 2026-03-16
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 14 10 $82,531.62 $41,265.81 50% off $12.67 $151,276.63 $55,673.63 2026-03-16
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 10 $77,976.10 $38,988.05 50% off $17.89 $207,400.43 $76,344.26 2026-03-16
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 14 10 $93,948.18 $46,974.09 50% off $9.68 $119,061.79 $43,808.76 2026-03-16
570 MS_DRG Skin Debridement With Mcc 14 10 $185,119.93 $92,559.96 50% off $10.74 $130,460.85 $48,044.44 2026-03-16
571 MS_DRG Skin Debridement With Cc 14 10 $36,616.51 $18,308.25 50% off $6.17 $81,331.97 $29,912.71 2026-03-16
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 10 $273,622.78 $136,811.39 50% off $11.79 $141,816.68 $52,226.84 2026-03-16
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 9 7 $329,059.81 $164,529.90 50% off $68,643.71 $224,216.34 $280,816.34 2026-03-16
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 9 7 $369,235.23 $184,617.61 50% off $41,238.92 $133,577.54 $58,790.22 2026-03-16
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 19 12 $182,954.70 $91,477.35 50% off $3,777.00 $96,636.66 $33,854.33 2026-03-16
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 14 10 $77,964.24 $38,982.12 50% off $3.74 $55,181.71 $30,000.37 2026-03-16
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 14 10 $151,880.50 $75,940.25 50% off $7.09 $91,262.97 $38,936.11 2026-03-16
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 14 10 $508,327.18 $254,163.59 50% off $25.23 $286,322.17 $105,487.34 2026-03-16
101 MS_DRG Seizures Without Mcc 9 7 $88,787.37 $44,393.68 50% off $16,103.33 $50,443.90 $31,884.26 2026-03-16
100 MS_DRG Seizures With Mcc 14 10 $161,696.54 $80,848.27 50% off $7.07 $91,039.23 $32,270.22 2026-03-16
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 30 14 $305,667.02 $152,833.51 50% off $19.00 $219,341.11 $40,823.11 2026-03-16
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 10 $170,875.35 $85,437.67 50% off $12.87 $153,443.42 $56,471.66 2026-03-16
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 14 10 $32,955.81 $16,477.90 50% off $7.76 $98,493.34 $36,233.31 2026-03-16
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 29 14 $433,219.35 $216,609.67 50% off $23.49 $267,594.64 $78,386.43 2026-03-16
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 14 10 $126,225.11 $63,112.55 50% off $10.03 $122,908.59 $39,932.26 2026-03-16
177 MS_DRG Respiratory Infections And Inflammations With Mcc 14 10 $101,536.89 $50,768.44 50% off $5.70 $76,354.70 $37,931.00 2026-03-16
334 MS_DRG Rectal Resection Without Cc/mcc 14 10 $201,122.72 $100,561.36 50% off $5.98 $79,306.52 $29,166.72 2026-03-16
332 MS_DRG Rectal Resection With Mcc 14 10 $286,798.74 $143,399.37 50% off $13.22 $157,137.11 $57,907.92 2026-03-16
885 MS_DRG Psychoses 14 10 $73,833.21 $36,916.60 50% off $5.10 $69,842.68 $36,667.95 2026-03-16
485 MS_DRG Prostatectomy Procedures,minor 24 13 $241,894.45 $120,947.22 50% off $11.78 $141,687.18 $32,892.56 2026-03-16
C1767 HCPCS Proclaim Xr 5 Ipg 51 10 $151,984.00 $75,992.00 50% off $25,132.56 $151,984.00 $63,361.07 2026-03-16
791 MS_DRG Prematurity With Major Problems 14 10 $116,262.81 $58,131.40 50% off $14.82 $174,341.61 $50,396.27 2026-03-16
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 13 9 $61,865.14 $30,932.57 50% off $6.17 $81,343.75 $31,580.97 2026-03-16
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 10 $166,158.32 $83,079.16 50% off $16.60 $193,563.77 $71,285.51 2026-03-16
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 14 10 $138,992.23 $69,496.11 50% off $7.82 $99,074.23 $36,447.26 2026-03-16
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 14 10 $66,557.22 $33,278.61 50% off $6.66 $86,599.69 $31,852.83 2026-03-16
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 14 10 $53,443.27 $26,721.63 50% off $3.13 $48,657.90 $38,194.67 2026-03-16
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 14 10 $118,610.63 $59,305.31 50% off $5.72 $76,578.48 $38,853.03 2026-03-16
186 MS_DRG Pleural Effusion With Mcc 14 10 $155,768.19 $77,884.09 50% off $5.69 $76,189.83 $28,018.83 2026-03-16
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 27 13 $117,690.00 $58,845.00 50% off $3,777.00 $85,963.79 $29,953.25 2026-03-16
171 MS_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock,moderate 17 8 $323,458.98 — $4,300.00 $9,719.00 $126,404.14 2026-03-16
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 29 14 $136,485.83 $68,242.91 50% off $7.78 $98,658.21 $32,651.73 2026-03-16
335 MS_DRG Peritoneal Adhesiolysis With Mcc 14 10 $377,825.42 $188,912.71 50% off $13.03 $155,182.32 $57,150.60 2026-03-16
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 25 14 $181,706.86 $90,853.43 50% off $8.03 $101,319.50 $28,897.03 2026-03-16
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 14 10 $192,557.49 $96,278.74 50% off $7.97 $100,683.63 $37,077.36 2026-03-16
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 14 10 $187,352.22 $93,676.11 50% off $12.01 $144,222.90 $53,113.06 2026-03-16
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 14 10 $247,189.00 $123,594.50 50% off $15.06 $176,951.97 $65,167.32 2026-03-16
241 MS_DRG Peptic Ulcer And Gastritis,moderate 19 8 $572,673.29 — $3,777.00 $9,719.00 $51,781.26 2026-03-16
709 MS_DRG Penis Procedures With Cc/mcc 14 10 $167,340.29 $83,670.14 50% off $8.49 $106,359.60 $39,130.49 2026-03-16
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 28 15 $87,433.07 $43,716.53 50% off $3,768.81 $74,370.57 $34,430.32 2026-03-16
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 28 15 $65,140.71 $32,570.35 50% off $23,522.31 $88,329,262.50 $4,242,472.88 2026-03-16
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 14 10 $110,883.29 $55,441.64 50% off $8.10 $102,139.93 $37,576.37 2026-03-16
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 14 $373,581.39 $186,790.69 50% off $19.97 $229,747.02 $50,232.59 2026-03-16
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 14 10 $88,846.11 $44,423.05 50% off $10.59 $128,855.46 $47,415.81 2026-03-16
252 MS_DRG Other Vascular Procedures With Mcc 31 14 $164,574.98 $80,827.68 51% off $12.73 $151,940.02 $46,155.82 2026-03-16
253 MS_DRG Other Vascular Procedures With Cc 34 14 $255,335.50 $97,960.72 62% off $9.47 $116,898.98 $35,715.57 2026-03-16
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 10 $136,893.06 $68,446.53 50% off $11.82 $142,134.68 $125,222.66 2026-03-16
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 14 10 $80,637.66 $40,318.83 50% off $6.31 $82,843.22 $30,469.31 2026-03-16
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 14 10 $55,746.66 $27,873.33 50% off $13.64 $161,729.71 $59,523.54 2026-03-16
205 MS_DRG Other Respiratory System Diagnoses With Mcc 14 10 $107,719.70 $53,859.85 50% off $6.68 $86,886.24 $37,372.79 2026-03-16
143 MS_DRG Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses,m… 29 14 $247,752.00 $123,876.00 50% off $13.68 $162,079.03 $31,775.38 2026-03-16
27 MS_DRG Other Open Craniotomy,moderate 15 10 $124,007.04 $57,244.20 54% off $9.21 $114,045.33 $39,564.92 2026-03-16
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 14 10 $344,336.21 $172,168.10 50% off $14.54 $171,401.60 $63,123.09 2026-03-16
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 14 10 $64,729.16 $32,364.58 50% off $6.78 $87,981.46 $32,361.74 2026-03-16
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 14 10 $184,815.92 $92,407.96 50% off $10.75 $130,578.65 $34,761.00 2026-03-16
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 7 $697,389.33 $348,694.66 50% off $95,825.37 $314,117.14 $86,103.12 2026-03-16
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 14 10 $264,969.67 $132,484.83 50% off $15.38 $180,421.88 $360,785.77 2026-03-16
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 11 9 $168,430.82 $84,215.41 50% off $3,777.00 $165,717.80 $60,641.01 2026-03-16
908 MS_DRG Other O.r. Procedures For Injuries With Cc 9 7 $230,730.14 $115,365.07 50% off $29,070.48 $93,331.56 $41,276.69 2026-03-16
26 MS_DRG Other Nervous System And Related Procedures,moderate 28 14 $1,852,866.71 $54,949.99 97% off $11.35 $137,059.26 $28,661.48 2026-03-16
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 14 10 $74,089.54 $37,044.77 50% off $7.28 $93,315.88 $34,326.43 2026-03-16
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 14 10 $175,695.64 $87,847.82 50% off $11.63 $140,109.23 $51,560.62 2026-03-16
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 14 10 $113,915.24 $56,957.62 50% off $7.59 $96,585.67 $35,530.71 2026-03-16
963 MS_DRG Other Multiple Significant Trauma With Mcc 9 7 $504,198.24 $252,099.12 50% off $37,836.32 $122,323.74 $53,893.00 2026-03-16
964 MS_DRG Other Multiple Significant Trauma With Cc 9 7 $145,374.83 $72,687.41 50% off $23,580.28 $75,173.22 $46,921.03 2026-03-16
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 14 10 $77,703.41 $38,851.70 50% off $8.17 $102,834.70 $37,832.25 2026-03-16
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 14 10 $82,287.87 $41,143.93 50% off $6.90 $89,221.82 $32,818.57 2026-03-16
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 14 10 $71,938.15 $35,969.07 50% off $9.32 $115,226.84 $42,396.33 2026-03-16
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 10 $350,681.73 $175,340.86 50% off $19.26 $222,124.14 $43,500.57 2026-03-16
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 14 10 $102,639.26 $51,319.63 50% off $5.99 $79,443.91 $29,254.68 2026-03-16
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 14 10 $341,755.88 $170,877.94 50% off $15.34 $179,939.16 $66,268.65 2026-03-16
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 14 10 $120,999.42 $60,499.71 50% off $8.54 $106,811.02 $36,858.16 2026-03-16
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 14 10 $109,269.66 $54,634.83 50% off $6.04 $79,954.23 $37,000.46 2026-03-16
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 14 10 $87,705.97 $43,852.98 50% off $7.64 $97,178.37 $30,852.41 2026-03-16
264 MS_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures,moderate 10 7 $146,925.11 $73,462.55 50% off $4,955.32 $146,142.37 $58,327.70 2026-03-16
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 13 $144,816.10 $72,408.05 50% off $3,777.00 $178,031.40 $29,236.28 2026-03-16
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 14 10 $140,812.31 $70,406.15 50% off $9.37 $115,799.91 $42,607.39 2026-03-16
518 MS_DRG Other Female Reproductive System And Related Procedures,minor 25 14 $538,552.08 $269,276.04 50% off $13.64 $161,714.03 $36,046.92 2026-03-16
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 10 $829,788.33 $414,894.16 50% off $13.60 $161,301.85 $59,365.95 2026-03-16
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 14 10 $100,500.19 $50,250.09 50% off $7.95 $100,538.36 $36,986.50 2026-03-16
283 MS_DRG Other Disorders Of The Liver,moderate 35 14 $88,203.47 $21,437.15 76% off $7.23 $92,766.34 $59,245.70 2026-03-16
91 MS_DRG Other Disorders Of Nervous System With Mcc 14 10 $124,680.75 $62,340.37 50% off $6.41 $83,950.15 $28,521.23 2026-03-16
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 11 9 $349,073.27 $174,536.63 50% off $4,300.00 $187,444.26 $68,473.09 2026-03-16
357 MS_DRG Other Digestive System O.r. Procedures With Cc 14 10 $95,288.23 $47,644.11 50% off $8.49 $106,296.79 $39,107.36 2026-03-16
813 MS_DRG Other Complications Of Treatment,minor 25 14 $51,944.07 $25,453.50 51% off $5.57 $74,886.64 $32,114.56 2026-03-16
314 MS_DRG Other Circulatory System Diagnoses With Mcc 25 13 $147,860.15 $64,680.83 56% off $7.61 $96,864.33 $30,961.88 2026-03-16
70 MS_DRG Other Cerebrovascular Disorders With Mcc 14 10 $89,901.67 $44,950.83 50% off $6.08 $80,362.43 $111,834.06 2026-03-16
228 MS_DRG Other Cardiothoracic Procedures With Mcc 29 14 $179,064.56 $58,654.02 67% off $18.06 $209,213.85 $36,213.41 2026-03-16
540 MS_DRG Osteomyelitis With Cc 24 13 $165,116.27 $27,684.28 83% off $4.73 $65,897.75 $28,602.49 2026-03-16
24 MS_DRG Open Extracranial Vascular Procedures,moderate 28 13 $196,198.84 $98,099.42 50% off $4,300.00 $168,567.53 $28,684.64 2026-03-16
20 MS_DRG Open Craniotomy For Trauma,moderate 30 14 $252,963.34 $91,315.40 64% off $28.72 $323,887.17 $62,318.37 2026-03-16
21 MS_DRG Open Craniotomy Except Trauma,moderate 33 14 $248,632.20 $93,052.72 63% off $19.32 $222,811.08 $85,016.00 2026-03-16
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 14 10 $628,890.94 $314,445.47 50% off $14.11 $166,722.66 $61,362.46 2026-03-16
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 14 10 $71,944.66 $35,972.33 50% off $7.40 $94,607.31 $34,802.07 2026-03-16
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 14 10 $89,600.02 $44,800.01 50% off $8.53 $106,744.32 $74,574.00 2026-03-16
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 14 10 $301,680.26 $150,840.13 50% off $6.61 $86,061.93 $31,730.63 2026-03-16
426 MS_DRG Non-hypovolemic Sodium Disorders,moderate 25 13 $491,558.66 $245,779.33 50% off $3,777.00 $447,627.90 $74,114.38 2026-03-16
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 10 $244,624.59 $122,312.29 50% off $12.51 $149,588.78 $46,970.80 2026-03-16
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 14 10 $168,847.27 $84,423.63 50% off $6.00 $79,530.24 $29,286.48 2026-03-16
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 14 10 $210,122.85 $105,061.42 50% off $13.18 $156,787.76 $57,703.40 2026-03-16
55 MS_DRG Nervous System Neoplasms Without Mcc 36 14 $220,516.86 $26,114.30 88% off $3.72 $55,036.50 $86,406.56 2026-03-16
54 MS_DRG Nervous System Neoplasms With Mcc 30 14 $74,985.95 $36,779.49 51% off $5.57 $74,949.45 $28,964.49 2026-03-16
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 14 10 $51,055.35 $25,527.67 50% off $11.53 $139,053.32 $51,171.72 2026-03-16
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 10 $197,528.11 $98,764.05 50% off $17.07 $198,631.30 $73,114.55 2026-03-16
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 10 $343,896.30 $171,948.15 50% off $8.44 $105,735.45 $38,976.47 2026-03-16
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 10 $318,871.69 $159,435.84 50% off $6.22 $81,893.29 $30,156.80 2026-03-16
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 11 9 $274,386.77 $137,193.38 50% off $3,777.00 $181,477.84 $70,993.27 2026-03-16
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 7 $356,925.54 $178,462.77 50% off $84,689.48 $277,286.24 $121,326.84 2026-03-16
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 10 $217,897.06 $108,948.53 50% off $20.52 $235,693.85 $86,802.21 2026-03-16
793 MS_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment,minor 33 14 $362,011.70 $25,995.02 93% off $15.22 $178,683.01 $154,366.74 2026-03-16
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 14 10 $61,266.37 $30,633.18 50% off $7.03 $90,638.83 $33,340.46 2026-03-16
597 MS_DRG Malignant Breast Disorders With Mcc 14 10 $143,409.87 $71,704.93 50% off $6.08 $80,452.75 $29,626.24 2026-03-16
754 MS_DRG Malignancy, Female Reproductive System With Mcc 14 10 $218,886.97 $109,443.48 50% off $6.72 $87,306.27 $32,113.07 2026-03-16
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 14 10 $83,588.04 $41,794.02 50% off $6.70 $87,109.95 $32,040.76 2026-03-16
281 MS_DRG Malignancy Of Hepatobiliary System And Pancreas,moderate 31 14 $176,540.35 $32,489.62 82% off $3.35 $51,091.58 $30,788.19 2026-03-16
220 MS_DRG Major Stomach, Esophageal And Duodenal Procedures,major 25 14 $455,012.46 $112,081.35 75% off $19.46 $224,341.92 $49,180.39 2026-03-16
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 9 7 $230,530.20 $115,265.10 50% off $59,943.15 $195,440.05 $85,710.46 2026-03-16
330 MS_DRG Major Small And Large Bowel Procedures With Cc 14 10 $169,768.51 $84,884.25 50% off $8.75 $109,111.26 $37,917.20 2026-03-16
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 14 10 $163,127.09 $81,563.54 50% off $6.59 $85,920.65 $31,602.73 2026-03-16
260 MS_DRG Major Pancreas, Liver And Shunt Procedures,moderate 25 14 $271,518.61 $126,708.45 53% off $11.87 $142,695.96 $45,872.93 2026-03-16
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 14 10 $103,667.97 $51,833.98 50% off $7.30 $93,531.75 $34,405.94 2026-03-16
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 14 10 $60,949.05 $30,474.52 50% off $8.06 $101,680.68 $37,444.58 2026-03-16
140 MS_DRG Major Head And Neck Procedures With Mcc 20 13 $538,805.96 $269,402.98 50% off $4,300.00 $182,439.53 $39,586.27 2026-03-16
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 14 10 $72,297.03 $36,148.51 50% off $6.47 $84,613.56 $31,158.68 2026-03-16
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 14 10 $65,894.52 $32,947.26 50% off $3.73 $55,091.45 $49,170.61 2026-03-16
248 MS_DRG Major Gastrointestinal And Peritoneal Infections,moderate 17 8 $153,403.96 — $3,777.00 $12,577.00 $55,153.00 2026-03-16
165 MS_DRG Major Chest Procedures Without Cc/mcc 14 10 $259,014.51 $129,507.25 50% off $6.99 $90,152.12 $33,198.56 2026-03-16
163 MS_DRG Major Chest Procedures With Mcc 9 7 $203,186.98 $101,593.49 50% off $58,581.88 $190,937.76 $83,751.24 2026-03-16
164 MS_DRG Major Chest Procedures With Cc 14 10 $280,463.40 $140,231.70 50% off $9.21 $114,088.47 $42,014.42 2026-03-16
135 MS_DRG Major Chest And Respiratory Trauma,moderate 21 8 $138,679.06 — $3,777.00 $9,719.00 $111,905.56 2026-03-16
655 MS_DRG Major Bladder Procedures Without Cc/mcc 14 10 $219,321.37 $109,660.68 50% off $7.73 $98,096.89 $36,124.65 2026-03-16
653 MS_DRG Major Bladder Procedures With Mcc 14 10 $159,370.51 $79,685.25 50% off $18.97 $218,987.86 $80,649.32 2026-03-16
654 MS_DRG Major Bladder Procedures With Cc 14 10 $206,707.81 $103,353.90 50% off $10.22 $124,894.86 $45,957.10 2026-03-16
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 14 10 $183,328.33 $91,664.16 50% off $16.73 $194,980.77 $71,770.05 2026-03-16
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 14 10 $134,959.95 $67,479.97 50% off $8.27 $103,945.53 $38,278.73 2026-03-16
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 14 10 $114,203.74 $57,101.87 50% off $11.81 $141,993.36 $52,330.41 2026-03-16
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 14 10 $58,603.49 $29,301.74 50% off $5.95 $79,051.39 $29,072.76 2026-03-16
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 10 $164,335.93 $82,167.96 50% off $21.41 $245,224.46 $90,312.37 2026-03-16
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 14 10 $102,007.91 $51,003.95 50% off $8.17 $102,885.70 $37,851.04 2026-03-16
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 9 7 $157,682.19 $78,841.09 50% off $29,204.60 $93,775.16 $41,469.72 2026-03-16
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 10 $237,727.58 $118,863.79 50% off $13.40 $159,135.12 $58,567.94 2026-03-16
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 9 7 $214,865.79 $107,432.89 50% off $35,489.98 $114,563.45 $33,658.77 2026-03-16
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 9 7 $139,339.72 $69,669.86 50% off $41,195.00 $133,432.27 $58,727.01 2026-03-16
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 10 $564,502.68 $282,251.34 50% off $13.23 $157,333.34 $57,941.69 2026-03-16
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 9 7 $288,942.91 $144,471.45 50% off $50,051.02 $162,722.76 $41,979.42 2026-03-16
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 14 10 $211,210.43 $105,605.21 50% off $8.71 $108,687.33 $39,987.80 2026-03-16
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 14 10 $112,698.39 $56,349.19 50% off $5.72 $76,492.11 $28,130.16 2026-03-16
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 14 10 $122,764.61 $61,382.30 50% off $7.63 $97,095.96 $35,718.65 2026-03-16
313 MS_DRG Knee And Lower Leg Procedures Except Foot,moderate 25 14 $176,951.10 $17,364.63 90% off $2.63 $43,276.34 $171,848.95 2026-03-16
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 14 10 $325,673.18 $162,836.59 50% off $6.58 $85,814.62 $31,563.69 2026-03-16
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 14 10 $107,548.24 $53,774.12 50% off $4.24 $60,559.41 $74,633.51 2026-03-16
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 14 10 $139,228.84 $69,614.42 50% off $9.27 $114,751.89 $42,258.76 2026-03-16
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 14 10 $192,493.70 $96,246.85 50% off $11.62 $139,987.52 $51,553.15 2026-03-16
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 14 10 $225,369.78 $112,684.89 50% off $6.68 $86,847.02 $31,981.28 2026-03-16
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 14 10 $105,823.13 $52,911.56 50% off $10.06 $123,238.31 $45,346.99 2026-03-16
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 14 10 $127,178.40 $63,589.20 50% off $6.41 $83,989.39 $30,967.30 2026-03-16
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 28 15 $105,066.65 $52,533.32 50% off $186.91 $89,369.69 $40,380.61 2026-03-16
116 MS_DRG Intraocular Procedures With Cc/mcc 9 7 $143,679.57 $71,839.78 50% off $26,849.95 $85,987.35 $28,847.63 2026-03-16
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 14 10 $170,189.43 $85,094.71 50% off $7.34 $93,951.75 $47,587.56 2026-03-16
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 14 10 $111,725.05 $55,862.52 50% off $3.69 $54,671.50 $45,627.96 2026-03-16
245 MS_DRG Inflammatory Bowel Disease,minor 25 14 $261,355.59 $130,677.79 50% off $16.65 $194,101.55 $42,746.34 2026-03-16
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 10 $331,809.96 $165,904.98 50% off $18.03 $208,868.46 $128,668.42 2026-03-16
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 14 10 $113,760.15 $56,880.07 50% off $7.29 $93,445.44 $34,374.14 2026-03-16
642 MS_DRG Inborn And Other Disorders Of Metabolism 14 10 $143,414.91 $71,707.45 50% off $5.19 $70,835.75 $45,981.74 2026-03-16
C1722 HCPCS Icd Dr Mini Is-1/df-1 Perciva 136 10 $94,000.00 $47,000.00 50% off $12,927.38 $94,000.00 $33,634.06 2026-03-16
974 MS_DRG HIV With Major Related Condition With Mcc 14 10 $362,225.37 $181,112.68 50% off $10.53 $128,298.02 $47,286.36 2026-03-16
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 10 $144,631.57 $72,315.78 50% off $22.34 $255,292.82 $94,020.59 2026-03-16
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 9 7 $175,246.26 $87,623.13 50% off $30,524.35 $98,140.09 $31,440.66 2026-03-16
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 9 7 $252,324.50 $126,162.25 50% off $39,455.15 $127,677.88 $56,222.91 2026-03-16
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 14 10 $292,741.20 $146,370.60 50% off $10.63 $129,330.36 $45,881.18 2026-03-16
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 14 10 $180,516.48 $90,258.24 50% off $7.64 $97,229.36 $31,394.51 2026-03-16
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 14 10 $179,064.56 $89,532.28 50% off $10.59 $128,926.06 $47,479.17 2026-03-16
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 14 10 $72,999.62 $36,499.81 50% off $6.14 $81,053.28 $29,810.06 2026-03-16
G0390 HCPCS Hc Trauma Part Act W Pre-ed Notification Level 2 62 15 $33,962.71 $16,981.35 50% off $1,895.24 $32,264.57 $41,195.89 2026-03-16
33264 CPT Hc Rmvl & Rplcmt Dfb Gen Mlt Ld 28 15 $77,809.86 $38,904.93 50% off $325.02 $156,209.67 $34,361.16 2026-03-16
33249 CPT Hc Insert/Rplcmt Defib W/Lead(S) 28 15 $77,809.86 $38,904.93 50% off $895.01 $156,209.67 $34,950.97 2026-03-16
93656 CPT Hc Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation 28 15 $53,337.28 $26,668.64 50% off $880.47 $130,077.54 $35,041.94 2026-03-16
906 MS_DRG Hand Procedures For Injuries 14 10 $234,631.33 $117,315.66 50% off $7.17 $92,118.69 $33,961.35 2026-03-16
Q4130 HCPCS Graft Human Tissue 25x40cm Matrix Firm Regenerative Strattice 60 15 $116,348.00 $58,174.00 50% off $176.95 $116,348.00 $43,723.26 2026-03-16
L8679 HCPCS Generator Nerve Stimulator 7mm With Kit Patient M22 Andkit Return Product Biohas-… 17 10 $118,000.00 $59,000.00 50% off $42,609.80 $118,000.00 $62,555.27 2026-03-16
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 14 10 $90,602.37 $45,301.18 50% off $6.67 $86,768.51 $71,958.09 2026-03-16
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 9 7 $126,398.49 $63,199.24 50% off $31,626.89 $101,786.65 $44,956.02 2026-03-16
533 MS_DRG Fractures Of Femur With Mcc 14 10 $242,665.93 $121,332.96 50% off $5.72 $76,550.99 $28,151.85 2026-03-16
505 MS_DRG Foot Procedures Without Cc/mcc 14 10 $69,733.35 $34,866.67 50% off $6.54 $85,386.82 $31,406.12 2026-03-16
503 MS_DRG Foot Procedures With Mcc 14 10 $234,244.46 $117,122.23 50% off $10.19 $124,572.99 $45,838.55 2026-03-16
504 MS_DRG Foot Procedures With Cc 14 10 $85,581.51 $42,790.75 50% off $6.82 $88,385.73 $29,827.58 2026-03-16
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 10 $331,556.94 $165,778.47 50% off $21.69 $248,313.64 $71,383.59 2026-03-16
37 MS_DRG Extracranial Procedures With Mcc 14 10 $176,744.82 $88,372.41 50% off $12.02 $144,238.63 $53,118.86 2026-03-16
38 MS_DRG Extracranial Procedures With Cc 11 9 $201,607.98 $100,803.99 50% off $4,300.00 $78,705.94 $29,757.68 2026-03-16
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 14 10 $89,913.19 $44,956.59 50% off $6.26 $82,293.69 $30,304.26 2026-03-16
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 10 $281,332.43 $140,666.21 50% off $17.13 $199,180.83 $73,354.30 2026-03-16
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 9 7 $139,095.22 $69,547.61 50% off $34,569.01 $111,517.44 $36,512.38 2026-03-16
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 9 7 $84,801.67 $42,400.83 50% off $51,608.13 $167,872.75 $73,714.21 2026-03-16
643 MS_DRG Endocrine Disorders With Mcc 14 10 $76,388.17 $38,194.08 50% off $6.01 $79,628.41 $29,285.27 2026-03-16
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 8 $1,354,170.51 $677,085.25 50% off $8,825.00 $848,164.15 $260,353.62 2026-03-16
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 14 10 $159,869.61 $79,934.80 50% off $7.73 $98,128.25 $36,136.21 2026-03-16
374 MS_DRG Digestive Malignancy With Mcc 14 10 $113,163.67 $56,581.83 50% off $7.81 $98,964.36 $36,444.15 2026-03-16
56 MS_DRG Degenerative Nervous System Disorders With Mcc 14 10 $196,429.85 $98,214.92 50% off $8.48 $106,202.63 $39,072.67 2026-03-16
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 14 10 $81,195.98 $40,597.99 50% off $7.48 $95,447.30 $35,111.44 2026-03-16
955 MS_DRG Craniotomy For Multiple Significant Trauma 9 7 $764,620.58 $382,310.29 50% off $85,276.94 $279,229.20 $122,172.35 2026-03-16
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 14 10 $330,610.44 $165,305.22 50% off $16.60 $193,485.23 $161,637.36 2026-03-16
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 14 10 $155,434.52 $77,717.26 50% off $11.50 $138,700.02 $51,078.96 2026-03-16
545 MS_DRG Connective Tissue Disorders With Mcc 14 10 $264,639.69 $132,319.84 50% off $9.06 $112,428.08 $41,441.40 2026-03-16
88 MS_DRG Concussion With Mcc 9 7 $88,316.98 $44,158.49 50% off $21,434.51 $68,076.29 $30,286.54 2026-03-16
919 MS_DRG Complications Of Treatment With Mcc 14 10 $134,854.66 $67,427.33 50% off $6.68 $86,878.44 $31,992.85 2026-03-16
J7189 HCPCS Coagulation Factor Viia Recomb 5 Mg (5,000 Mcg) Intravenous Solution 21 14 — $79,691,250.00 $2.62 $99,295,297.50 $38,418,917.84 2026-03-16
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 14 10 $108,486.69 $54,243.34 50% off $7.18 $92,271.70 $33,979.21 2026-03-16
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 14 10 $115,250.11 $57,625.05 50% off $8.08 $101,872.96 $37,515.40 2026-03-16
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 14 10 $296,320.41 $148,160.20 50% off $13.00 $154,856.50 $57,029.46 2026-03-16
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 14 10 $140,180.27 $70,090.13 50% off $7.54 $96,138.17 $30,873.72 2026-03-16
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 14 10 $61,454.44 $30,727.22 50% off $9.46 $116,777.31 $42,967.37 2026-03-16
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 14 10 $100,127.48 $50,063.74 50% off $7.62 $96,950.72 $35,665.15 2026-03-16
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 10 $77,600.91 $38,800.45 50% off $17.54 $203,596.78 $74,943.36 2026-03-16
783 MS_DRG Cesarean Section With Sterilization With Mcc 13 9 $77,429.19 $38,714.59 50% off $8.96 $111,383.96 $36,877.05 2026-03-16
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 14 10 $119,386.58 $59,693.29 50% off $8.91 $110,842.22 $40,781.46 2026-03-16
471 MS_DRG Cervical Spinal Fusion With Mcc 14 10 $180,684.91 $90,342.45 50% off $17.62 $204,554.57 $75,296.12 2026-03-16
472 MS_DRG Cervical Spinal Fusion With Cc 14 10 $179,898.60 $89,949.30 50% off $10.75 $130,657.11 $48,116.72 2026-03-16
35 MS_DRG Carotid Artery Stent Procedures With Cc 14 10 $90,935.34 $45,467.67 50% off $8.73 $108,848.24 $40,122.92 2026-03-16
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 $384,932.46 $192,466.23 50% off $3,777.00 $316,409.56 $114,342.60 2026-03-16
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 9 7 $219,173.51 $109,586.75 50% off $29,389.73 $94,387.44 $41,736.17 2026-03-16
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 10 $194,857.73 $97,428.86 50% off $16.86 $196,303.62 $72,294.61 2026-03-16
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 10 $296,013.74 $148,006.87 50% off $21.92 $250,790.48 $77,185.84 2026-03-16
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 10 $413,965.96 $206,982.98 50% off $26.03 $294,902.90 $108,647.65 2026-03-16
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 14 10 $140,891.63 $70,445.81 50% off $5.75 $76,868.92 $28,306.30 2026-03-16
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 14 10 $143,536.24 $71,768.12 50% off $7.04 $90,736.97 $33,376.60 2026-03-16
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 14 10 $143,721.06 $71,860.53 50% off $7.81 $99,042.87 $36,435.71 2026-03-16
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 14 10 $48,416.57 $24,208.28 50% off $6.78 $87,981.46 $32,361.74 2026-03-16
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 14 10 $148,582.68 $74,291.34 50% off $12.61 $150,617.23 $55,430.76 2026-03-16
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 14 10 $102,444.32 $51,222.16 50% off $8.98 $111,544.90 $41,040.26 2026-03-16
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 10 $199,101.51 $99,550.75 50% off $7.95 $100,479.51 $37,002.19 2026-03-16
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 14 10 $119,914.32 $59,957.16 50% off $12.85 $153,160.77 $56,367.56 2026-03-16
302 MS_DRG Atherosclerosis With Mcc 13 9 $1,078,538.93 $539,269.46 50% off $4.37 $61,984.21 $204,794.27 2026-03-16
J0401 HCPCS Aripiprazole ER 400 Mg Suspension, Extended Rel.intramuscular Syringe 45 15 $3,403,206.24 $1,701,603.12 50% off $7.28 $2,894,767.23 $730,685.36 2026-03-16
399 MS_DRG Appendix Procedures Without Cc/mcc 14 10 $82,980.33 $41,490.16 50% off $4.18 $59,946.99 $55,544.11 2026-03-16
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 10 $240,987.53 $120,493.76 50% off $15.41 $180,786.99 $66,618.27 2026-03-16
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 10 $859,198.68 $429,599.34 50% off $25.10 $284,991.53 $104,997.25 2026-03-16
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 10 $201,122.66 $100,561.33 50% off $12.73 $151,904.71 $55,904.95 2026-03-16
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 10 $136,069.35 $68,034.67 50% off $6.83 $88,428.90 $32,526.54 2026-03-16
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 14 10 $149,962.26 $74,981.13 50% off $15.67 $183,522.89 $67,550.06 2026-03-16
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 14 10 $164,026.42 $82,013.21 50% off $8.31 $104,342.00 $38,387.40 2026-03-16
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 10 $234,799.47 $117,399.73 50% off $17.96 $208,205.07 $76,640.62 2026-03-16
915 MS_DRG Allergic Reactions With Mcc 14 10 $57,459.20 $28,729.60 50% off $6.14 $81,021.89 $29,874.35 2026-03-16
280 MS_DRG Alcoholic Liver Disease,moderate 32 14 $463,319.95 $46,676.36 90% off $5.85 $77,979.81 $168,175.86 2026-03-16
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 14 10 $71,261.58 $35,630.79 50% off $3.22 $49,666.72 $47,472.35 2026-03-16
775 MS_DRG Alcohol Abuse And Dependence,moderate 18 8 $106,708.34 — $3,777.00 $9,719.00 $39,395.00 2026-03-16
265 MS_DRG Aicd Lead Procedures 14 10 $326,695.88 $163,347.94 50% off $13.21 $157,038.96 $57,833.27 2026-03-16
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 11 9 $64,725.01 $32,362.50 50% off $4,300.00 $88,216.91 $33,143.99 2026-03-16
834 MS_DRG Acute Leukemia With Mcc 14 10 $589,250.83 $294,625.41 50% off $20.04 $230,508.55 $84,855.08 2026-03-16
288 MS_DRG Acute And Subacute Endocarditis With Mcc 14 10 $341,134.36 $170,567.18 50% off $9.88 $121,240.32 $44,648.48 2026-03-16
289 MS_DRG Acute And Subacute Endocarditis With Cc 14 10 $78,369.37 $39,184.68 50% off $6.23 $82,014.96 $30,201.61 2026-03-16
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