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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

PIONEERS MEMORIAL HEALTHCARE DISTRICT

Brawley, CA · CCN 050342 · Rates published

12,299 distinct procedures filed
24 distinct payers
159,041 rate rows
2026-02-01 last MRF observed
Data quality

153,071 of 159,041 rate rows are consumer-grade (96.2%)

5,970 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,734
per-diem day rate — not a per-procedure price 1,745
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 728
exceeds 10× this hospital's gross charge — excluded from medians 389
template filing: same amount across many unrelated codes — excluded 182
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 63
percent-of-charges filed in the dollar field — excluded from medians 52
placeholder amount (≤ $0.02) — excluded from medians 48
exceeds 3× this hospital's gross charge for a DRG stay — excluded 29
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pmhd.org/wp-content/uploads/2026/05/994231206_Pioneers-Memorial-Hospital-standardcharges2026B.csv
Found on page https://pmhd.org/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint 78327f58b45ca379… · 20,877,365 bytes · first seen 2026-06-08

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
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $80,728.80 $100,911.00 $80,728.80 nat. median
$55,935
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 5 $72,984.53 $91,230.66 $72,984.53 nat. median
$48,611
1.5× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 5 $67,946.64 $84,933.29 $67,946.64 nat. median
$47,121
1.4× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 5 $60,183.36 $75,229.20 $60,183.36 nat. median
$38,795
1.6× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 5 $52,664.00 $65,830.00 $52,664.00 nat. median
$35,986
1.5× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 $52,148.70 $65,185.88 $52,148.70 nat. median
$34,733
1.5× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 $51,970.25 $64,962.81 $51,970.25 nat. median
$34,615
1.5× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 5 $50,988.22 $63,735.28 $50,988.22 nat. median
$34,932
1.5× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 $49,542.64 $61,928.30 $49,542.64 nat. median
$33,546
1.5× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 5 $48,536.33 $60,670.41 $48,536.33 nat. median
$33,435
1.5× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 $48,412.78 $60,515.98 $48,412.78 nat. median
$32,245
1.5× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 $48,031.59 $60,039.49 $48,031.59 nat. median
$31,991
1.5× median
163
MS_DRG 		Major Chest Procedures With Mcc 5 $47,325.16 $59,156.45 $47,325.16 nat. median
$31,995
1.5× median
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 4 $47,125.59 $49,481.87 $47,125.59 nat. median
$31,388
1.5× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 5 $46,385.38 $57,981.72 $46,385.38 nat. median
$30,674
1.5× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 5 $45,330.49 $56,663.11 $45,330.49 nat. median
$29,481
1.5× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 5 $44,366.42 $55,458.02 $44,366.42 nat. median
$29,327
1.5× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $44,060.19 $55,075.24 $44,060.19 nat. median
$30,649
1.4× median
793
MS_DRG 		Full Term Neonate With Major Problems 3 $44,028.52 $44,028.52 $44,028.52 nat. median
$15,882
outlier · 2.8×
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 5 $43,853.23 $54,816.54 $43,853.23 nat. median
$29,159
1.5× median
791
MS_DRG 		Prematurity With Major Problems 5 $42,860.65 $53,575.81 $42,860.65 nat. median
$27,149
1.6× median
876
MS_DRG 		O.r. Procedures With Principal Diagnosis Of Mental Illness 5 $40,811.06 $51,013.83 $40,811.06 nat. median
$2,958
outlier · 13.8×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 5 $40,540.74 $50,675.93 $40,540.74 nat. median
$27,194
1.5× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 $39,735.06 $49,668.82 $39,735.06 nat. median
$27,340
1.5× median
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 5 $39,561.89 $49,452.36 $39,561.89 nat. median
$24,795
1.6× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 5 $39,467.91 $49,334.88 $39,467.91 nat. median
$26,952
1.5× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 5 $39,352.81 $49,191.01 $39,352.81 nat. median
$26,211
1.5× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 $38,769.93 $48,462.41 $38,769.93 nat. median
$25,953
1.5× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 5 $37,706.60 $47,133.25 $37,706.60 nat. median
$25,494
1.5× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 5 $37,552.43 $46,940.54 $37,552.43 nat. median
$25,964
1.4× median
252
MS_DRG 		Other Vascular Procedures With Mcc 5 $36,834.39 $46,042.99 $36,834.39 nat. median
$25,156
1.5× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 $36,824.89 $46,031.11 $36,824.89 nat. median
$25,616
1.4× median
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 5 $36,478.54 $45,598.17 $36,478.54 nat. median
$23,671
1.5× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 $36,201.88 $45,252.35 $36,201.88 nat. median
$24,316
1.5× median
420
MS_DRG 		Hepatobiliary Diagnostic Procedures With Mcc 5 $35,976.97 $44,971.21 $35,976.97 nat. median
$23,398
1.5× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 5 $35,274.77 $44,093.46 $35,274.77 nat. median
$23,998
1.5× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 5 $34,196.65 $42,745.81 $34,196.65 nat. median
$23,000
1.5× median
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 5 $34,076.27 $42,595.34 $34,076.27 nat. median
$23,038
1.5× median
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 5 $33,651.78 $42,064.73 $33,651.78 nat. median
$22,579
1.5× median
500
MS_DRG 		Soft Tissue Procedures With Mcc 5 $33,418.42 $41,773.03 $33,418.42 nat. median
$22,181
1.5× median
665
MS_DRG 		Prostatectomy With Mcc 5 $32,958.03 $41,197.54 $32,958.03 nat. median
$21,952
1.5× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 5 $32,889.39 $41,111.74 $32,889.39 nat. median
$21,906
1.5× median
1831
APR_DRG 		Percutaneous Structural Cardiac Procedures 5 $31,960.95 $49,859.09 $32,370.98 nat. median
$31,961
1.0× median
662
MS_DRG 		Minor Bladder Procedures With Mcc 5 $32,327.63 $40,409.54 $32,327.63 nat. median
$21,396
1.5× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 $32,028.80 $40,036.00 $32,028.80 nat. median
$22,918
1.4× median
173
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 5 $31,429.03 $39,286.28 $31,429.03 nat. median
$20,933
1.5× median
472
MS_DRG 		Cervical Spinal Fusion With Cc 5 $31,109.08 $38,886.35 $31,109.08 nat. median
$21,867
1.4× median
570
MS_DRG 		Skin Debridement With Mcc 5 $31,056.28 $38,820.35 $31,056.28 nat. median
$20,813
1.5× median
668
MS_DRG 		Transurethral Procedures With Mcc 5 $30,833.48 $38,541.85 $30,833.48 nat. median
$20,640
1.5× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 5 $30,752.17 $38,440.21 $30,752.17 nat. median
$21,963
1.4× median

Other procedures at this hospital

Browse this hospital's 12,299 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 5 $52,535.94 $80,728.80 $80,728.80 $100,911.00 $80,728.80 2026-02-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 5 $169,187.80 $72,984.53 57% off $72,984.53 $91,230.66 $72,984.53 2026-02-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 5 $167,861.68 $67,946.64 60% off $67,946.64 $84,933.29 $67,946.64 2026-02-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 5 $52,151.87 $60,183.36 $60,183.36 $75,229.20 $60,183.36 2026-02-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 5 5 $96,654.68 $52,664.00 46% off $52,664.00 $65,830.00 $52,664.00 2026-02-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 5 $137,524.58 $52,148.70 62% off $52,148.70 $65,185.88 $52,148.70 2026-02-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 5 $50,622.66 $51,970.25 $51,970.25 $64,962.81 $51,970.25 2026-02-01
471 MS_DRG Cervical Spinal Fusion With Mcc 5 5 $61,422.45 $50,988.22 $50,988.22 $63,735.28 $50,988.22 2026-02-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 5 $126,162.82 $49,542.64 61% off $49,542.64 $61,928.30 $49,542.64 2026-02-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 5 $139,765.09 $48,536.33 65% off $48,536.33 $60,670.41 $48,536.33 2026-02-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 5 $55,225.18 $48,412.78 $48,412.78 $60,515.98 $48,412.78 2026-02-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 5 $35,302.49 $48,031.59 $48,031.59 $60,039.49 $48,031.59 2026-02-01
163 MS_DRG Major Chest Procedures With Mcc 5 5 $35,092.00 $47,325.16 $47,325.16 $59,156.45 $47,325.16 2026-02-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 4 $17,651.04 $47,125.59 $47,125.59 $49,481.87 $47,125.59 2026-02-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 5 5 $50,523.69 $46,385.38 $46,385.38 $57,981.72 $46,385.38 2026-02-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 5 5 $73,399.77 $45,330.49 38% off $45,330.49 $56,663.11 $45,330.49 2026-02-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 5 5 $88,343.45 $44,366.42 50% off $44,366.42 $55,458.02 $44,366.42 2026-02-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 $71,321.97 $44,060.19 38% off $44,060.19 $55,075.24 $44,060.19 2026-02-01
793 MS_DRG Full Term Neonate With Major Problems 3 3 $14,779.99 $44,028.52 $44,028.52 $44,028.52 $44,028.52 2026-02-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 5 5 $119,450.63 $43,853.23 63% off $43,853.23 $54,816.54 $43,853.23 2026-02-01
791 MS_DRG Prematurity With Major Problems 5 5 $22,664.30 $42,860.65 $42,860.65 $53,575.81 $42,860.65 2026-02-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 5 5 $29,923.33 $40,811.06 $40,811.06 $51,013.83 $40,811.06 2026-02-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 5 5 $107,892.76 $40,540.74 62% off $40,540.74 $50,675.93 $40,540.74 2026-02-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 5 $79,452.10 $39,735.06 50% off $39,735.06 $49,668.82 $39,735.06 2026-02-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 5 5 $146,451.79 $39,561.89 73% off $39,561.89 $49,452.36 $39,561.89 2026-02-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 5 5 $90,364.70 $39,467.91 56% off $39,467.91 $49,334.88 $39,467.91 2026-02-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 5 5 $58,240.47 $39,352.81 32% off $39,352.81 $49,191.01 $39,352.81 2026-02-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 5 $55,503.75 $38,769.93 30% off $38,769.93 $48,462.41 $38,769.93 2026-02-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 5 5 $85,861.80 $37,706.60 56% off $37,706.60 $47,133.25 $37,706.60 2026-02-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 5 5 $68,418.21 $37,552.43 45% off $37,552.43 $46,940.54 $37,552.43 2026-02-01
252 MS_DRG Other Vascular Procedures With Mcc 5 5 $80,422.38 $36,834.39 54% off $36,834.39 $46,042.99 $36,834.39 2026-02-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 5 $49,548.94 $36,824.89 26% off $36,824.89 $46,031.11 $36,824.89 2026-02-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 5 5 $73,108.23 $36,478.54 50% off $36,478.54 $45,598.17 $36,478.54 2026-02-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 5 $160,093.67 $36,201.88 77% off $36,201.88 $45,252.35 $36,201.88 2026-02-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 5 5 $26,087.37 $35,976.97 $35,976.97 $44,971.21 $35,976.97 2026-02-01
264 MS_DRG Other Circulatory System O.r. Procedures 5 5 $42,109.20 $35,274.77 $35,274.77 $44,093.46 $35,274.77 2026-02-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 5 5 $69,542.98 $34,196.65 51% off $34,196.65 $42,745.81 $34,196.65 2026-02-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 5 5 $69,353.34 $34,076.27 51% off $34,076.27 $42,595.34 $34,076.27 2026-02-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 5 5 $99,778.25 $33,651.78 66% off $33,651.78 $42,064.73 $33,651.78 2026-02-01
500 MS_DRG Soft Tissue Procedures With Mcc 5 5 $59,841.06 $33,418.42 44% off $33,418.42 $41,773.03 $33,418.42 2026-02-01
665 MS_DRG Prostatectomy With Mcc 5 5 $127,085.24 $32,958.03 74% off $32,958.03 $41,197.54 $32,958.03 2026-02-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 5 $67,300.93 $32,889.39 51% off $32,889.39 $41,111.74 $32,889.39 2026-02-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 $38,082.76 $31,960.95 $31,960.95 $49,859.09 $32,370.98 2026-02-01
662 MS_DRG Minor Bladder Procedures With Mcc 5 5 $279,417.23 $32,327.63 88% off $32,327.63 $40,409.54 $32,327.63 2026-02-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 5 $70,300.35 $32,028.80 54% off $32,028.80 $40,036.00 $32,028.80 2026-02-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 5 5 $31,065.21 $31,429.03 $31,429.03 $39,286.28 $31,429.03 2026-02-01
472 MS_DRG Cervical Spinal Fusion With Cc 5 5 $46,932.22 $31,109.08 34% off $31,109.08 $38,886.35 $31,109.08 2026-02-01
570 MS_DRG Skin Debridement With Mcc 5 5 $37,386.03 $31,056.28 $31,056.28 $38,820.35 $31,056.28 2026-02-01
668 MS_DRG Transurethral Procedures With Mcc 5 5 $115,889.89 $30,833.48 73% off $30,833.48 $38,541.85 $30,833.48 2026-02-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 5 5 $76,845.23 $30,752.17 60% off $30,752.17 $38,440.21 $30,752.17 2026-02-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 5 5 $38,194.98 $30,643.41 $30,643.41 $38,304.26 $30,643.41 2026-02-01
974 MS_DRG HIV With Major Related Condition With Mcc 5 5 $60,459.29 $30,474.46 50% off $30,474.46 $38,093.07 $30,474.46 2026-02-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 5 5 $81,735.79 $30,307.62 63% off $30,307.62 $37,884.52 $30,307.62 2026-02-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 5 5 $54,201.54 $30,099.60 44% off $30,099.60 $37,624.50 $30,099.60 2026-02-01
503 MS_DRG Foot Procedures With Mcc 5 5 $56,868.76 $29,472.37 48% off $29,472.37 $36,840.46 $29,472.37 2026-02-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 5 5 $48,155.74 $29,269.63 39% off $29,269.63 $36,587.04 $29,269.63 2026-02-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 5 5 $59,597.06 $29,024.65 51% off $29,024.65 $36,280.81 $29,024.65 2026-02-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 5 5 $14,070.73 $28,575.88 $28,575.88 $35,719.84 $28,575.88 2026-02-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 5 5 $53,120.47 $28,482.95 46% off $28,482.95 $35,603.69 $28,482.95 2026-02-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 5 5 $36,444.02 $28,088.03 23% off $28,088.03 $35,110.04 $28,088.03 2026-02-01
253 MS_DRG Other Vascular Procedures With Cc 5 5 $88,283.30 $27,408.00 69% off $27,408.00 $34,260.01 $27,408.00 2026-02-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 5 5 $16,480.61 $27,272.84 $27,272.84 $34,091.06 $27,272.84 2026-02-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 5 5 $37,540.61 $27,112.34 28% off $27,112.34 $33,890.43 $27,112.34 2026-02-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 5 5 $64,985.23 $26,830.40 59% off $26,830.40 $33,538.01 $26,830.40 2026-02-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 5 5 $48,603.78 $26,779.72 45% off $26,779.72 $33,474.65 $26,779.72 2026-02-01
13728675 OTHER Ocrelizumab 300 Mg/10 Ml Solution Nf [pion] 14 7 $51,849.40 $18,147.29 65% off $18,147.29 $74,907.94 $26,235.80 2025-02-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 5 5 $47,164.13 $25,967.70 45% off $25,967.70 $32,459.63 $25,967.70 2026-02-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 5 5 $43,858.47 $25,960.31 41% off $25,960.31 $32,450.39 $25,960.31 2026-02-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 5 5 $21,299.72 $25,924.41 $25,924.41 $32,405.51 $25,924.41 2026-02-01
792 MS_DRG Prematurity Without Major Problems 5 5 $17,572.40 $25,862.11 $25,862.11 $32,327.63 $25,862.11 2026-02-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 5 5 $81,431.78 $25,809.31 68% off $25,809.31 $32,261.64 $25,809.31 2026-02-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 5 5 $59,774.61 $25,778.69 57% off $25,778.69 $32,223.36 $25,778.69 2026-02-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 5 5 $88,013.15 $25,313.02 71% off $25,313.02 $31,641.27 $25,313.02 2026-02-01
397 MS_DRG Appendix Procedures With Mcc 5 5 $38,325.66 $25,288.73 34% off $25,288.73 $31,610.91 $25,288.73 2026-02-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 5 5 $50,419.95 $25,198.98 50% off $25,198.98 $31,498.72 $25,198.98 2026-02-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 5 5 $63,800.14 $24,694.24 61% off $24,694.24 $30,867.80 $24,694.24 2026-02-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 5 5 $70,003.72 $24,555.91 65% off $24,555.91 $30,694.88 $24,555.91 2026-02-01
347 MS_DRG Anal And Stomal Procedures With Mcc 5 5 $127,514.96 $24,240.18 81% off $24,240.18 $30,300.23 $24,240.18 2026-02-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 5 5 $52,598.13 $24,030.05 54% off $24,030.05 $30,037.56 $24,030.05 2026-02-01
1691 APR_DRG Major Abdominal Vascular Procedures 5 5 $150,262.67 $23,588.29 84% off $23,588.29 $36,797.72 $23,890.90 2026-02-01
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 $193,357.09 $23,436.69 88% off $23,436.69 $36,561.24 $23,737.36 2026-02-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 5 5 $44,445.85 $23,365.86 47% off $23,365.86 $29,207.33 $23,365.86 2026-02-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 5 5 $40,332.39 $23,314.12 42% off $23,314.12 $29,142.65 $23,314.12 2026-02-01
C9602 HCPCS C9602 Perc Athrectomy W Des 1 Artery 10 10 $68,162.00 $17,040.50 75% off $3,909.00 $34,149.16 $23,223.58 2026-02-01
C9607 HCPCS C9607 - Perc Des Revascul Of Chronic Total Occlusion 1 Vasl 10 10 $68,162.00 $17,040.50 75% off $3,909.00 $34,149.16 $23,223.58 2026-02-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 5 5 $83,975.47 $23,006.84 73% off $23,006.84 $28,758.55 $23,006.84 2026-02-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 5 $72,797.96 $22,991.00 68% off $22,991.00 $28,738.75 $22,991.00 2026-02-01
C1820 HCPCS Senza Omnia Ipg Kit 4 4 $39,000.00 $9,750.00 75% off $13,650.00 $26,000.00 $22,769.50 2026-02-01
J2350 HCPCS Ocrelizumab 300 Mg/10 Ml Solution Nf [pion] 16 16 $59,960.18 $20,986.06 65% off $16,485.00 $80,151.92 $22,620.24 2026-02-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 5 5 $74,672.20 $22,612.98 70% off $22,612.98 $28,266.22 $22,612.98 2026-02-01
374 MS_DRG Digestive Malignancy With Mcc 5 5 $40,588.42 $22,583.41 44% off $22,583.41 $28,229.26 $22,583.41 2026-02-01
595 MS_DRG Major Skin Disorders With Mcc 5 5 $88,704.96 $22,393.34 75% off $22,393.34 $27,991.68 $22,393.34 2026-02-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 5 5 $55,386.06 $22,361.66 60% off $22,361.66 $27,952.08 $22,361.66 2026-02-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 5 5 $53,493.78 $22,266.63 58% off $22,266.63 $27,833.28 $22,266.63 2026-02-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 5 5 $24,246.78 $22,201.16 $22,201.16 $27,751.45 $22,201.16 2026-02-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 5 5 $66,562.86 $22,116.68 67% off $22,116.68 $27,645.86 $22,116.68 2026-02-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 5 5 $59,588.57 $22,102.96 63% off $22,102.96 $27,628.70 $22,102.96 2026-02-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 5 5 $43,754.41 $22,080.78 50% off $22,080.78 $27,600.98 $22,080.78 2026-02-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 5 5 $71,939.15 $22,018.48 69% off $22,018.48 $27,523.10 $22,018.48 2026-02-01
711 MS_DRG Testes Procedures With Cc/mcc 5 5 $75,361.80 $22,003.70 71% off $22,003.70 $27,504.62 $22,003.70 2026-02-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 5 5 $68,893.40 $21,957.24 68% off $21,957.24 $27,446.55 $21,957.24 2026-02-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 5 5 $90,101.48 $21,943.51 76% off $21,943.51 $27,429.39 $21,943.51 2026-02-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 5 5 $74,208.43 $21,637.29 71% off $21,637.29 $27,046.61 $21,637.29 2026-02-01
3041 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 $77,693.01 $21,066.31 73% off $21,066.31 $32,863.44 $21,336.57 2026-02-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 5 5 $40,939.59 $21,187.46 48% off $21,187.46 $26,484.32 $21,187.46 2026-02-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 5 5 $95,861.90 $21,120.93 78% off $21,120.93 $26,401.16 $21,120.93 2026-02-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 5 5 $49,979.58 $21,098.76 58% off $21,098.76 $26,373.45 $21,098.76 2026-02-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 5 5 $56,739.06 $21,068.13 63% off $21,068.13 $26,335.17 $21,068.13 2026-02-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 5 5 $39,571.95 $20,916.08 47% off $20,916.08 $26,145.10 $20,916.08 2026-02-01
539 MS_DRG Osteomyelitis With Mcc 5 5 $33,872.33 $20,798.87 39% off $20,798.87 $25,998.59 $20,798.87 2026-02-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 5 5 $40,112.54 $20,783.03 48% off $20,783.03 $25,978.79 $20,783.03 2026-02-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 5 5 $55,966.17 $20,511.65 63% off $20,511.65 $25,639.57 $20,511.65 2026-02-01
100 MS_DRG Seizures With Mcc 5 5 $31,167.21 $20,451.47 34% off $20,451.47 $25,564.33 $20,451.47 2026-02-01
548 MS_DRG Septic Arthritis With Mcc 5 5 $24,826.41 $20,389.16 $20,389.16 $25,486.46 $20,389.16 2026-02-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 5 5 $37,544.58 $20,368.05 46% off $20,368.05 $25,460.06 $20,368.05 2026-02-01
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 5 5 $34,008.87 $20,343.76 40% off $20,343.76 $25,429.70 $20,343.76 2026-02-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 5 5 $59,088.98 $19,962.56 66% off $19,962.56 $24,953.21 $19,962.56 2026-02-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 5 5 $27,505.10 $19,962.56 27% off $19,962.56 $24,953.21 $19,962.56 2026-02-01
196 MS_DRG Interstitial Lung Disease With Mcc 5 5 $20,801.60 $19,927.72 $19,927.72 $24,909.65 $19,927.72 2026-02-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 5 $63,140.61 $19,749.26 69% off $19,749.26 $24,686.58 $19,749.26 2026-02-01
504 MS_DRG Foot Procedures With Cc 5 5 $36,260.03 $19,737.65 46% off $19,737.65 $24,672.06 $19,737.65 2026-02-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 5 5 $18,425.76 $19,692.24 $19,692.24 $24,615.30 $19,692.24 2026-02-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 5 5 $58,399.09 $19,628.89 66% off $19,628.89 $24,536.11 $19,628.89 2026-02-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 5 5 $34,968.05 $19,374.41 45% off $19,374.41 $24,218.01 $19,374.41 2026-02-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 5 5 $17,456.09 $19,334.28 $19,334.28 $24,167.85 $19,334.28 2026-02-01
919 MS_DRG Complications Of Treatment With Mcc 5 5 $71,090.26 $19,332.17 73% off $19,332.17 $24,165.21 $19,332.17 2026-02-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 5 5 $39,344.09 $19,302.60 51% off $19,302.60 $24,128.25 $19,302.60 2026-02-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 5 $15,216.19 $19,257.20 $19,257.20 $24,071.50 $19,257.20 2026-02-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 5 5 $51,153.24 $19,257.20 62% off $19,257.20 $24,071.50 $19,257.20 2026-02-01
722 MS_DRG Malignancy, Male Reproductive System With Mcc 5 5 $100,345.30 $19,109.36 81% off $19,109.36 $23,886.71 $19,109.36 2026-02-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 5 5 $93,504.83 $19,086.13 80% off $19,086.13 $23,857.67 $19,086.13 2026-02-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 3 3 $6,520.87 $19,030.17 $19,030.17 $19,030.17 $19,030.17 2026-02-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 5 5 $44,903.38 $18,950.97 58% off $18,950.97 $23,688.72 $18,950.97 2026-02-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 5 $66,990.16 $18,942.53 72% off $18,942.53 $23,678.16 $18,942.53 2026-02-01
6121 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 $34,951.14 $18,665.18 47% off $18,665.18 $29,117.68 $18,904.64 2026-02-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 5 5 $44,276.78 $18,813.70 58% off $18,813.70 $23,517.13 $18,813.70 2026-02-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 5 5 $31,821.63 $18,722.89 41% off $18,722.89 $23,403.61 $18,722.89 2026-02-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 5 5 $35,306.41 $18,678.54 47% off $18,678.54 $23,348.18 $18,678.54 2026-02-01
199 MS_DRG Pneumothorax With Mcc 5 5 $55,359.08 $18,627.86 66% off $18,627.86 $23,284.82 $18,627.86 2026-02-01
211 APR_DRG Open Craniotomy Except Trauma 5 5 $106,963.88 $18,262.34 83% off $18,262.34 $28,489.25 $18,496.63 2026-02-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 5 5 $49,733.04 $18,472.63 63% off $18,472.63 $23,090.79 $18,472.63 2026-02-01
666 MS_DRG Prostatectomy With Cc 5 5 $21,530.94 $18,471.58 $18,471.58 $23,089.47 $18,471.58 2026-02-01
501 MS_DRG Soft Tissue Procedures With Cc 5 5 $46,822.30 $18,458.90 61% off $18,458.90 $23,073.63 $18,458.90 2026-02-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 5 5 $51,306.60 $17,928.82 65% off $17,928.82 $22,411.03 $17,928.82 2026-02-01
3251 APR_DRG Non-elective Or Complex Knee Joint Replacement 5 5 $34,620.70 $17,675.05 49% off $17,675.05 $27,573.07 $17,901.80 2026-02-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 5 5 $43,518.17 $17,862.30 59% off $17,862.30 $22,327.87 $17,862.30 2026-02-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 5 5 $17,522.65 $17,843.29 $17,843.29 $22,304.11 $17,843.29 2026-02-01
571 MS_DRG Skin Debridement With Cc 5 5 $39,344.36 $17,840.12 55% off $17,840.12 $22,300.15 $17,840.12 2026-02-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 5 5 $50,106.33 $17,770.43 65% off $17,770.43 $22,213.04 $17,770.43 2026-02-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 5 5 $35,646.06 $17,765.15 50% off $17,765.15 $22,206.44 $17,765.15 2026-02-01
915 MS_DRG Allergic Reactions With Mcc 5 5 $96,597.65 $17,756.70 82% off $17,756.70 $22,195.88 $17,756.70 2026-02-01
551 MS_DRG Medical Back Problems With Mcc 5 5 $25,012.65 $17,698.63 29% off $17,698.63 $22,123.28 $17,698.63 2026-02-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 5 5 $51,060.54 $17,643.72 65% off $17,643.72 $22,054.65 $17,643.72 2026-02-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 5 5 $41,023.58 $17,480.05 57% off $17,480.05 $21,850.06 $17,480.05 2026-02-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 5 5 $47,166.78 $17,469.49 63% off $17,469.49 $21,836.86 $17,469.49 2026-02-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 5 5 $27,897.50 $17,417.75 38% off $17,417.75 $21,772.18 $17,417.75 2026-02-01
643 MS_DRG Endocrine Disorders With Mcc 5 5 $59,331.36 $17,381.84 71% off $17,381.84 $21,727.31 $17,381.84 2026-02-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 5 5 $49,064.32 $17,355.45 65% off $17,355.45 $21,694.31 $17,355.45 2026-02-01
913 MS_DRG Traumatic Injury With Mcc 5 5 $26,235.43 $17,260.41 34% off $17,260.41 $21,575.51 $17,260.41 2026-02-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 5 5 $43,583.39 $17,240.35 60% off $17,240.35 $21,550.44 $17,240.35 2026-02-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 5 5 $54,056.72 $17,222.40 68% off $17,222.40 $21,528.00 $17,222.40 2026-02-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 5 5 $30,375.82 $17,213.95 43% off $17,213.95 $21,517.44 $17,213.95 2026-02-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 5 5 $39,504.73 $16,938.35 57% off $16,938.35 $21,172.94 $16,938.35 2026-02-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 5 5 $75,083.11 $16,919.34 77% off $16,919.34 $21,149.18 $16,919.34 2026-02-01
620 MS_DRG O.r. Procedures For Obesity With Cc 5 5 $65,087.31 $16,898.22 74% off $16,898.22 $21,122.78 $16,898.22 2026-02-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 5 5 $24,618.06 $16,887.66 31% off $16,887.66 $21,109.58 $16,887.66 2026-02-01
368 MS_DRG Major Esophageal Disorders With Mcc 5 5 $46,237.13 $16,809.52 64% off $16,809.52 $21,011.91 $16,809.52 2026-02-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 5 5 $53,352.70 $16,708.15 69% off $16,708.15 $20,885.19 $16,708.15 2026-02-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 5 5 $22,104.49 $16,639.52 25% off $16,639.52 $20,799.40 $16,639.52 2026-02-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 5 5 $25,072.89 $16,623.68 34% off $16,623.68 $20,779.60 $16,623.68 2026-02-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 5 5 $47,655.68 $16,561.38 65% off $16,561.38 $20,701.72 $16,561.38 2026-02-01
533 MS_DRG Fractures Of Femur With Mcc 5 5 $58,434.04 $16,553.99 72% off $16,553.99 $20,692.48 $16,553.99 2026-02-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 5 5 $43,779.99 $16,538.15 62% off $16,538.15 $20,672.68 $16,538.15 2026-02-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 5 5 $61,278.51 $16,501.19 73% off $16,501.19 $20,626.49 $16,501.19 2026-02-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 5 5 $10,669.58 $16,492.74 $16,492.74 $20,615.93 $16,492.74 2026-02-01
186 MS_DRG Pleural Effusion With Mcc 5 5 $62,889.68 $16,456.84 74% off $16,456.84 $20,571.05 $16,456.84 2026-02-01
669 MS_DRG Transurethral Procedures With Cc 5 5 $22,630.24 $16,388.20 28% off $16,388.20 $20,485.26 $16,388.20 2026-02-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 5 5 $26,810.01 $16,386.09 39% off $16,386.09 $20,482.62 $16,386.09 2026-02-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 5 5 $46,117.75 $16,226.65 65% off $16,226.65 $20,283.31 $16,226.65 2026-02-01
1201 APR_DRG Major Respiratory And Chest Procedures 5 5 $46,908.05 $16,008.57 66% off $16,008.57 $24,973.37 $16,213.94 2026-02-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 5 5 $49,505.43 $16,208.69 67% off $16,208.69 $20,260.87 $16,208.69 2026-02-01
183 MS_DRG Major Chest Trauma With Mcc 5 5 $28,064.27 $16,154.84 42% off $16,154.84 $20,193.55 $16,154.84 2026-02-01
813 MS_DRG Coagulation Disorders 5 5 $23,802.27 $16,106.27 32% off $16,106.27 $20,132.84 $16,106.27 2026-02-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 5 5 $38,996.27 $16,097.82 59% off $16,097.82 $20,122.28 $16,097.82 2026-02-01
663 MS_DRG Minor Bladder Procedures With Cc 5 5 $43,074.95 $16,052.42 63% off $16,052.42 $20,065.52 $16,052.42 2026-02-01
398 MS_DRG Appendix Procedures With Cc 5 5 $56,608.85 $15,982.72 72% off $15,982.72 $19,978.40 $15,982.72 2026-02-01
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 5 5 $36,064.89 $15,875.02 56% off $15,875.02 $19,843.77 $15,875.02 2026-02-01
865 MS_DRG Viral Illness With Mcc 5 5 $25,778.11 $15,821.16 39% off $15,821.16 $19,776.46 $15,821.16 2026-02-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 5 5 $49,079.36 $15,700.79 68% off $15,700.79 $19,625.98 $15,700.79 2026-02-01
682 MS_DRG Renal Failure With Mcc 5 5 $41,776.47 $15,638.49 63% off $15,638.49 $19,548.11 $15,638.49 2026-02-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 5 5 $57,561.81 $15,594.14 73% off $15,594.14 $19,492.67 $15,594.14 2026-02-01
794 MS_DRG Neonate With Other Significant Problems 5 5 $8,930.18 $15,584.63 $15,584.63 $19,480.79 $15,584.63 2026-02-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 5 5 $31,019.74 $15,544.51 50% off $15,544.51 $19,430.63 $15,544.51 2026-02-01
3221 APR_DRG Shoulder And Elbow Joint Replacement 5 5 $50,592.54 $14,982.39 70% off $14,982.39 $23,372.53 $15,174.60 2026-02-01
637 MS_DRG Diabetes With Mcc 5 5 $37,511.42 $15,170.70 60% off $15,170.70 $18,963.38 $15,170.70 2026-02-01
757 MS_DRG Infections, Female Reproductive System With Mcc 5 5 $49,293.76 $15,120.02 69% off $15,120.02 $18,900.02 $15,120.02 2026-02-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 5 5 $60,971.92 $15,045.05 75% off $15,045.05 $18,806.31 $15,045.05 2026-02-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 5 5 $40,125.79 $15,016.54 63% off $15,016.54 $18,770.67 $15,016.54 2026-02-01
602 MS_DRG Cellulitis With Mcc 5 5 $33,121.69 $15,008.09 55% off $15,008.09 $18,760.11 $15,008.09 2026-02-01
618 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 5 $55,064.05 $14,976.41 73% off $14,976.41 $18,720.51 $14,976.41 2026-02-01
811 MS_DRG Red Blood Cell Disorders With Mcc 5 5 $38,163.67 $14,828.58 61% off $14,828.58 $18,535.72 $14,828.58 2026-02-01
710 MS_DRG Penis Procedures Without Cc/mcc 5 5 $249,928.14 $14,795.85 94% off $14,795.85 $18,494.81 $14,795.85 2026-02-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 5 5 $38,372.75 $14,761.00 62% off $14,761.00 $18,451.25 $14,761.00 2026-02-01
1811 APR_DRG Lower Extremity Vascular Procedures 5 5 $142,909.40 $14,514.89 90% off $14,514.89 $22,643.23 $14,701.10 2026-02-01
C9604 HCPCS C9604 Perc Des Revacularization Of Bypass Graft 1 Vsl 10 10 $43,048.00 $10,762.00 75% off $3,909.00 $21,567.05 $14,624.85 2026-02-01
C9600 HCPCS C9600 Perv Angioplasty W Des Sten 1 Artery 10 10 $43,048.00 $10,762.00 75% off $3,909.00 $21,567.05 $14,624.85 2026-02-01
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 5 5 $25,471.97 $14,579.38 43% off $14,579.38 $18,224.22 $14,579.38 2026-02-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 5 5 $48,372.28 $14,504.41 70% off $14,504.41 $18,130.51 $14,504.41 2026-02-01
3231 APR_DRG Non-elective Or Complex Hip Joint Replacement 5 5 $115,099.26 $14,250.92 88% off $14,250.92 $22,231.44 $14,433.75 2026-02-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 5 5 $32,518.23 $14,422.04 56% off $14,422.04 $18,027.55 $14,422.04 2026-02-01
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 5 5 $44,494.67 $14,211.91 68% off $14,211.91 $17,764.89 $14,211.91 2026-02-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 5 5 $37,340.72 $14,202.41 62% off $14,202.41 $17,753.01 $14,202.41 2026-02-01
693 MS_DRG Urinary Stones With Mcc 5 5 $32,020.68 $14,197.13 56% off $14,197.13 $17,746.41 $14,197.13 2026-02-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 5 5 $40,370.36 $14,103.15 65% off $14,103.15 $17,628.94 $14,103.15 2026-02-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 5 5 $43,968.66 $13,956.37 68% off $13,956.37 $17,445.47 $13,956.37 2026-02-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 5 5 $42,130.76 $13,879.29 67% off $13,879.29 $17,349.11 $13,879.29 2026-02-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 5 5 $38,996.00 $13,861.34 64% off $13,861.34 $17,326.67 $13,861.34 2026-02-01
977 MS_DRG HIV With Or Without Other Related Condition 5 5 $16,895.17 $13,702.95 $13,702.95 $17,128.68 $13,702.95 2026-02-01
540 MS_DRG Osteomyelitis With Cc 5 5 $18,503.84 $13,688.16 26% off $13,688.16 $17,110.20 $13,688.16 2026-02-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 5 5 $45,383.62 $13,688.16 70% off $13,688.16 $17,110.20 $13,688.16 2026-02-01
975 MS_DRG HIV With Major Related Condition With Cc 5 5 $47,143.56 $13,674.44 71% off $13,674.44 $17,093.04 $13,674.44 2026-02-01
3211 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 5 5 $186,118.55 $13,468.57 93% off $13,468.57 $21,010.97 $13,641.36 2026-02-01
291 MS_DRG Heart Failure And Shock With Mcc 5 5 $37,478.64 $13,556.17 64% off $13,556.17 $16,945.21 $13,556.17 2026-02-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 5 5 $53,894.16 $13,537.16 75% off $13,537.16 $16,921.45 $13,537.16 2026-02-01
6131 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 $27,069.48 $13,322.28 51% off $13,322.28 $20,782.75 $13,493.19 2026-02-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 5 5 $27,461.34 $13,392.50 51% off $13,392.50 $16,740.62 $13,392.50 2026-02-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 5 5 $30,560.70 $13,367.16 56% off $13,367.16 $16,708.95 $13,367.16 2026-02-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 5 5 $28,125.02 $13,101.06 53% off $13,101.06 $16,376.32 $13,101.06 2026-02-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 5 5 $50,420.37 $13,045.10 74% off $13,045.10 $16,306.37 $13,045.10 2026-02-01
2311 APR_DRG Major Large Bowel Procedures 5 5 $81,645.48 $12,798.59 84% off $12,798.59 $19,965.80 $12,962.78 2026-02-01
375 MS_DRG Digestive Malignancy With Cc 5 5 $27,325.63 $12,772.66 53% off $12,772.66 $15,965.83 $12,772.66 2026-02-01
549 MS_DRG Septic Arthritis With Cc 5 5 $45,480.87 $12,747.32 72% off $12,747.32 $15,934.15 $12,747.32 2026-02-01
2611 APR_DRG Major Biliary Tract Procedures 5 5 $44,174.90 $12,570.67 72% off $12,570.67 $19,610.24 $12,731.93 2026-02-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 5 5 $32,869.81 $12,713.53 61% off $12,713.53 $15,891.91 $12,713.53 2026-02-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 5 5 $11,444.13 $12,697.69 $12,697.69 $15,872.11 $12,697.69 2026-02-01
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 5 5 $62,881.45 $12,662.84 80% off $12,662.84 $15,828.56 $12,662.84 2026-02-01
302 MS_DRG Atherosclerosis With Mcc 5 5 $43,017.82 $12,635.39 71% off $12,635.39 $15,794.24 $12,635.39 2026-02-01
304 MS_DRG Hypertension With Mcc 5 5 $28,193.84 $12,565.70 55% off $12,565.70 $15,707.12 $12,565.70 2026-02-01
949 MS_DRG Aftercare With Cc/mcc 5 5 $33,737.09 $12,562.53 63% off $12,562.53 $15,703.16 $12,562.53 2026-02-01
1821 APR_DRG Other Peripheral Vascular And Related Procedures 5 5 $75,930.02 $12,388.33 84% off $12,388.33 $19,325.79 $12,547.26 2026-02-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 5 5 $59,720.51 $12,525.57 79% off $12,525.57 $15,656.97 $12,525.57 2026-02-01
3261 APR_DRG Elective Knee Joint Replacement 5 5 $35,653.82 $12,205.99 66% off $12,205.99 $19,041.35 $12,362.58 2026-02-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 5 5 $35,981.15 $12,252.08 66% off $12,252.08 $15,315.10 $12,252.08 2026-02-01
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 5 5 $24,295.38 $12,240.47 50% off $12,240.47 $15,300.59 $12,240.47 2026-02-01
7921 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 5 5 $47,143.26 $12,017.29 75% off $12,017.29 $18,746.98 $12,171.46 2026-02-01
399 MS_DRG Appendix Procedures Without Cc/mcc 5 5 $31,326.99 $12,087.36 61% off $12,087.36 $15,109.20 $12,087.36 2026-02-01
695 MS_DRG Kidney And Urinary Tract Signs And Symptoms With Mcc 5 5 $19,175.31 $12,077.85 37% off $12,077.85 $15,097.32 $12,077.85 2026-02-01
3091 APR_DRG Other Significant Hip And Femur Surgery 5 5 $60,571.74 $11,924.00 80% off $11,924.00 $18,601.45 $12,076.98 2026-02-01
4421 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 5 5 $30,585.72 $11,857.22 61% off $11,857.22 $18,497.26 $12,009.33 2026-02-01
3081 APR_DRG Hip And Femur Fracture Repair 5 5 $60,477.76 $11,701.38 81% off $11,701.38 $18,254.16 $11,851.50 2026-02-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 5 5 $22,734.66 $11,792.75 48% off $11,792.75 $14,740.94 $11,792.75 2026-02-01
667 MS_DRG Prostatectomy Without Cc/mcc 5 5 $27,154.87 $11,680.82 57% off $11,680.82 $14,601.02 $11,680.82 2026-02-01
712 MS_DRG Testes Procedures Without Cc/mcc 5 5 $36,171.86 $11,612.18 68% off $11,612.18 $14,515.23 $11,612.18 2026-02-01
200 MS_DRG Pneumothorax With Cc 5 5 $26,607.17 $11,607.96 56% off $11,607.96 $14,509.95 $11,607.96 2026-02-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 5 5 $24,970.84 $11,556.22 54% off $11,556.22 $14,445.27 $11,556.22 2026-02-01
3131 APR_DRG Knee And Lower Leg Procedures Except Foot 5 5 $67,571.15 $11,387.59 83% off $11,387.59 $17,764.65 $11,533.69 2026-02-01
5111 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 5 5 $33,008.50 $11,378.05 66% off $11,378.05 $17,749.76 $11,524.02 2026-02-01
381 MS_DRG Complicated Peptic Ulcer With Cc 5 5 $46,580.25 $11,441.12 75% off $11,441.12 $14,301.40 $11,441.12 2026-02-01
596 MS_DRG Major Skin Disorders Without Mcc 5 5 $13,544.97 $11,430.56 $11,430.56 $14,288.20 $11,430.56 2026-02-01
13732411 OTHER Risankizumab Rzaa 60 mg/mL Solution [pion] 14 7 $26,253.87 $9,188.85 65% off $9,188.85 $13,389.47 $11,402.23 2025-02-01
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 5 5 $13,664.46 $11,395.72 $11,395.72 $14,244.64 $11,395.72 2026-02-01
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 5 5 $18,221.06 $11,315.46 38% off $11,315.46 $14,144.33 $11,315.46 2026-02-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 5 5 $15,896.65 $11,299.62 29% off $11,299.62 $14,124.53 $11,299.62 2026-02-01
300 MS_DRG Peripheral Vascular Disorders With Cc 5 5 $20,266.01 $11,272.17 44% off $11,272.17 $14,090.21 $11,272.17 2026-02-01
184 MS_DRG Major Chest Trauma With Cc 5 5 $20,880.36 $11,236.27 46% off $11,236.27 $14,045.34 $11,236.27 2026-02-01
784 MS_DRG Cesarean Section With Sterilization With Cc 5 5 $21,947.52 $11,194.03 49% off $11,194.03 $13,992.54 $11,194.03 2026-02-01
729 MS_DRG Other Male Reproductive System Diagnoses With Cc/mcc 5 5 $16,939.53 $11,179.25 34% off $11,179.25 $13,974.06 $11,179.25 2026-02-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 5 5 $40,386.25 $11,152.85 72% off $11,152.85 $13,941.06 $11,152.85 2026-02-01
2241 APR_DRG Peritoneal Adhesiolysis 5 5 $69,510.24 $10,979.46 84% off $10,979.46 $17,127.95 $11,120.31 2026-02-01
92933 CPT 92933 Perc Card Stent W/atherectomy / Angio 16 16 $68,162.00 $17,040.50 75% off $540.15 $34,149.16 $11,102.50 2026-02-01
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 5 5 $40,919.56 $11,064.15 73% off $11,064.15 $13,830.19 $11,064.15 2026-02-01
6221 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 5 5 $46,941.83 $10,858.60 77% off $10,858.60 $16,939.42 $10,997.91 2026-02-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 5 5 $34,887.16 $10,933.21 69% off $10,933.21 $13,666.52 $10,933.21 2026-02-01
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 5 5 $46,576.59 $10,887.81 77% off $10,887.81 $13,609.76 $10,887.81 2026-02-01
J2327 HCPCS Risankizumab Rzaa 60 mg/mL Solution [pion] 15 15 $30,106.72 $10,537.35 65% off $6,288.00 $15,354.43 $10,842.60 2026-02-01
644 MS_DRG Endocrine Disorders With Cc 5 5 $31,227.11 $10,823.40 65% off $10,823.40 $13,529.24 $10,823.40 2026-02-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 5 5 $35,222.29 $10,805.44 69% off $10,805.44 $13,506.81 $10,805.44 2026-02-01
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc 5 5 $27,584.91 $10,794.88 61% off $10,794.88 $13,493.61 $10,794.88 2026-02-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 5 5 $30,999.58 $10,781.16 65% off $10,781.16 $13,476.45 $10,781.16 2026-02-01
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 5 5 $32,629.95 $10,746.31 67% off $10,746.31 $13,432.89 $10,746.31 2026-02-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 5 5 $35,037.15 $10,717.80 69% off $10,717.80 $13,397.25 $10,717.80 2026-02-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 5 5 $28,250.72 $10,707.24 62% off $10,707.24 $13,384.05 $10,707.24 2026-02-01
13596623 OTHER Tenecteplase 50 Mg Injection (mi) Kit [pion] 14 7 $30,551.75 $10,693.11 65% off $5,032.43 $15,581.39 $10,693.11 2025-02-01
13442200 OTHER Tenecteplase 50 Mg Injection (Stroke) Kit [pion] 14 7 $30,551.75 $10,693.11 65% off $5,032.43 $15,581.39 $10,693.11 2025-02-01
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 5 5 $14,607.80 $10,638.61 27% off $10,638.61 $13,298.26 $10,638.61 2026-02-01
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 5 5 $40,640.23 $10,587.92 74% off $10,587.92 $13,234.90 $10,587.92 2026-02-01
920 MS_DRG Complications Of Treatment With Cc 5 5 $32,717.13 $10,583.70 68% off $10,583.70 $13,229.62 $10,583.70 2026-02-01
1801 APR_DRG Other Circulatory System Procedures 5 5 $34,707.77 $10,439.86 70% off $10,439.86 $16,286.19 $10,573.80 2026-02-01
261 APR_DRG Other Nervous System And Related Procedures 5 5 $46,269.50 $10,430.32 77% off $10,430.32 $16,271.31 $10,564.13 2026-02-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 5 5 $25,071.63 $10,537.24 58% off $10,537.24 $13,171.54 $10,537.24 2026-02-01
187 MS_DRG Pleural Effusion With Cc 5 5 $36,034.40 $10,444.31 71% off $10,444.31 $13,055.39 $10,444.31 2026-02-01
13788358 OTHER Pion Nm Iodine 123 Mibg 14 7 $15,053.54 $5,268.74 65% off $5,268.74 $15,596.82 $10,432.78 2025-02-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 5 5 $30,860.83 $10,355.61 66% off $10,355.61 $12,944.52 $10,355.61 2026-02-01
758 MS_DRG Infections, Female Reproductive System With Cc 5 5 $26,538.16 $10,337.66 61% off $10,337.66 $12,922.08 $10,337.66 2026-02-01
670 MS_DRG Transurethral Procedures Without Cc/mcc 5 5 $32,647.59 $10,319.71 68% off $10,319.71 $12,899.64 $10,319.71 2026-02-01
386 MS_DRG Inflammatory Bowel Disease With Cc 5 5 $44,515.35 $10,309.15 77% off $10,309.15 $12,886.44 $10,309.15 2026-02-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 5 5 $28,822.49 $10,305.98 64% off $10,305.98 $12,882.48 $10,305.98 2026-02-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 5 5 $17,674.28 $10,289.09 42% off $10,289.09 $12,861.36 $10,289.09 2026-02-01
4431 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 5 5 $37,869.72 $10,144.10 73% off $10,144.10 $15,824.79 $10,274.24 2026-02-01
202 MS_DRG Bronchitis And Asthma With Cc/mcc 5 5 $26,353.30 $10,255.30 61% off $10,255.30 $12,819.12 $10,255.30 2026-02-01
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