Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

ADVENTIST HEALTH DELANO

Delano, CA · CCN 050608 · Rates published

2,665 distinct procedures filed
35 distinct payers
137,797 rate rows
2026-01-27 last MRF observed
Data quality

135,087 of 137,797 rate rows are consumer-grade (98.0%)

2,710 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
per-diem day rate — not a per-procedure price 2,421
exceeds 10× this hospital's gross charge — excluded from medians 146
percent-of-charges filed in the dollar field — excluded from medians 105
exceeds 3× this hospital's gross charge for a DRG stay — excluded 33
placeholder amount (≤ $0.02) — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbDRMCDELANOCA&type=CDMWithoutLabel&fileType=CSV
Found on page https://www.adventisthealth.org/patients-and-visitors/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint df41ad08be3287e2… · 129,910,655 bytes · first seen 2026-05-05

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
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 18 $53,528.55 $173,582.88 $102,230.33 nat. median
$62,134
1.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 18 $31,941.92 $135,024.02 $85,149.14 nat. median
$66,526
1.3× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 $35,750.82 $115,933.09 $82,320.31 nat. median
$56,697
1.5× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 18 $33,471.00 $108,540.08 $70,627.32 nat. median
$44,810
1.6× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 18 $32,856.88 $106,548.58 $66,752.29 nat. median
$40,457
1.6× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 19 $38,754.76 $198,695.99 $62,007.61 nat. median
$35,058
1.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 $15,306.60 $96,476.98 $53,598.33 nat. median
$48,170
1.1× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 $14,972.30 $91,655.67 $50,919.82 nat. median
$46,084
1.1× median
C1822
HCPCS 		Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 20 $15,439.50 $83,965.50 $48,962.25 nat. median
$31,540
1.6× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 18 $12,807.69 $111,341.39 $47,843.44 nat. median
$52,753
0.9× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 $15,555.40 $68,127.37 $42,191.57 nat. median
$35,856
1.2× median
61
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 $18,853.85 $61,139.43 $40,993.61 nat. median
$27,312
1.5× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 $18,169.59 $58,920.52 $40,723.78 nat. median
$28,962
1.4× median
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 $11,394.02 $70,557.56 $39,198.65 nat. median
$35,069
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $12,529.26 $46,803.38 $38,945.09 nat. median
$133,176
outlier · 0.3×
408
MS_DRG 		Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 $12,663.74 $69,655.03 $38,697.24 nat. median
$34,943
1.1× median
516
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 19 $22,553.49 $121,505.61 $37,469.25 nat. median
$21,082
1.8× median
409
MS_DRG 		Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 $23,630.11 $82,754.97 $36,586.40 nat. median
$21,713
1.7× median
283
MS_DRG 		Acute Myocardial Infarction, Expired With Mcc 18 $21,497.50 $168,500.49 $36,545.75 nat. median
$19,749
1.9× median
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 20 $11,494.22 $62,509.64 $36,450.83 nat. median
$22,013
1.7× median
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 20 $11,494.22 $62,509.64 $36,450.83 nat. median
$22,478
1.6× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 19 $17,335.11 $56,214.45 $36,370.36 nat. median
$21,532
1.7× median
341
MS_DRG 		Appendectomy Without Complicated Principal Diagnosis With Mcc 18 $24,516.79 $107,269.68 $36,153.05 nat. median
$19,773
1.8× median
255
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 19 $13,187.00 $52,694.49 $35,716.00 nat. median
$26,350
1.4× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 18 $12,789.42 $53,696.65 $33,981.40 nat. median
$26,748
1.3× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 18 $17,803.91 $57,734.70 $33,128.30 nat. median
$20,753
1.6× median
338
MS_DRG 		Appendectomy With Complicated Principal Diagnosis With Mcc 18 $12,405.32 $51,895.50 $32,903.27 nat. median
$27,044
1.2× median
478
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Cc 18 $12,634.05 $48,041.19 $32,039.86 nat. median
$24,026
1.3× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 18 $8,569.27 $85,814.62 $32,010.71 nat. median
$42,444
0.8× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 $8,286.60 $69,530.00 $30,954.80 nat. median
$35,325
0.9× median
674
MS_DRG 		Other Kidney And Urinary Tract Procedures With Cc 18 $12,061.35 $45,685.23 $30,533.03 nat. median
$23,466
1.3× median
503
MS_DRG 		Foot Procedures With Mcc 18 $8,183.29 $54,524.95 $30,291.64 nat. median
$26,999
1.1× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 18 $11,339.56 $48,027.51 $30,256.90 nat. median
$24,493
1.2× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 17 $8,088.90 $71,868.43 $30,216.27 nat. median
$48,178
0.6× median
862
MS_DRG 		Postoperative And Post-traumatic Infections With Mcc 18 $19,597.80 $63,551.92 $28,973.76 nat. median
$18,229
1.6× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 18 $10,501.73 $46,619.02 $28,675.26 nat. median
$23,832
1.2× median
441
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 18 $19,477.77 $83,392.13 $28,513.03 nat. median
$18,509
1.5× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 19 $14,414.96 $46,744.98 $27,795.45 nat. median
$20,059
1.4× median
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 18 $13,058.81 $42,347.24 $27,409.64 nat. median
$17,809
1.5× median
424
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 18 $10,412.16 $42,741.26 $27,367.31 nat. median
$22,317
1.2× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 18 $10,740.81 $41,194.07 $27,346.15 nat. median
$21,529
1.3× median
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 18 $11,533.56 $38,449.36 $27,106.06 nat. median
$19,682
1.4× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 18 $11,676.25 $37,947.30 $27,080.79 nat. median
$19,635
1.4× median
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 18 $9,748.39 $45,429.32 $26,790.79 nat. median
$22,941
1.2× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 18 $7,094.06 $65,259.59 $26,500.02 nat. median
$33,061
0.8× median
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 17 $12,331.78 $38,331.24 $26,341.48 nat. median
$18,249
1.4× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 18 $7,581.14 $46,830.00 $26,016.67 nat. median
$24,346
1.1× median
913
MS_DRG 		Traumatic Injury With Mcc 18 $14,047.91 $45,554.69 $25,969.47 nat. median
$16,480
1.6× median
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 18 $10,866.71 $36,431.36 $25,614.47 nat. median
$19,049
1.3× median
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 18 $11,800.22 $38,265.87 $25,411.99 nat. median
$17,483
1.5× median

Other procedures at this hospital

Browse this hospital's 2,665 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
             
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 18 $199,957.24 $39,991.45 80% off $53,528.55 $173,582.88 $102,230.33 2026-01-27
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 18 $119,319.85 $23,863.97 80% off $31,941.92 $135,024.02 $85,149.14 2026-01-27
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 18 $133,548.08 $26,709.62 80% off $35,750.82 $115,933.09 $82,320.31 2026-01-27
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 18 $125,031.77 $25,006.35 80% off $33,471.00 $108,540.08 $70,627.32 2026-01-27
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 18 $122,737.69 $24,547.54 80% off $32,856.88 $106,548.58 $66,752.29 2026-01-27
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 19 $228,886.06 $45,777.21 80% off $38,754.76 $198,695.99 $62,007.61 2026-01-27
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 18 $57,178.17 $11,435.63 80% off $15,306.60 $96,476.98 $53,598.33 2026-01-27
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 19 $55,929.38 $11,185.88 80% off $14,972.30 $91,655.67 $50,919.82 2026-01-27
C1822 HCPCS Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 20 20 $70,500.00 $14,100.00 80% off $15,439.50 $83,965.50 $48,962.25 2026-01-27
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 18 $47,843.44 $9,568.69 80% off $12,807.69 $111,341.39 $47,843.44 2026-01-27
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 18 $58,107.59 $11,621.52 80% off $15,555.40 $68,127.37 $42,191.57 2026-01-27
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 18 $70,429.02 $14,085.80 80% off $18,853.85 $61,139.43 $40,993.61 2026-01-27
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 19 $67,872.97 $13,574.59 80% off $18,169.59 $58,920.52 $40,723.78 2026-01-27
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 18 $42,562.63 $8,512.53 80% off $11,394.02 $70,557.56 $39,198.65 2026-01-27
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 13 $46,803.38 $9,360.68 80% off $12,529.26 $46,803.38 $38,945.09 2026-01-27
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 18 $47,305.70 $9,461.14 80% off $12,663.74 $69,655.03 $38,697.24 2026-01-27
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 19 19 $139,967.30 $27,993.46 80% off $22,553.49 $121,505.61 $37,469.25 2026-01-27
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 19 $95,328.84 $19,065.77 80% off $23,630.11 $82,754.97 $36,586.40 2026-01-27
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 18 18 $194,102.63 $38,820.53 80% off $21,497.50 $168,500.49 $36,545.75 2026-01-27
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 20 20 $52,485.00 $10,497.00 80% off $11,494.22 $62,509.64 $36,450.83 2026-01-27
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 20 20 $52,485.00 $10,497.00 80% off $11,494.22 $62,509.64 $36,450.83 2026-01-27
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 19 19 $64,755.73 $12,951.15 80% off $17,335.11 $56,214.45 $36,370.36 2026-01-27
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 18 18 $123,568.34 $24,713.67 80% off $24,516.79 $107,269.68 $36,153.05 2026-01-27
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 19 19 $49,260.36 $9,852.07 80% off $13,187.00 $52,694.49 $35,716.00 2026-01-27
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 18 18 $47,775.19 $9,555.04 80% off $12,789.42 $53,696.65 $33,981.40 2026-01-27
314 MS_DRG Other Circulatory System Diagnoses With Mcc 18 18 $66,506.97 $13,301.39 80% off $17,803.91 $57,734.70 $33,128.30 2026-01-27
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 18 18 $46,340.39 $9,268.08 80% off $12,405.32 $51,895.50 $32,903.27 2026-01-27
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 18 18 $47,194.81 $9,438.96 80% off $12,634.05 $48,041.19 $32,039.86 2026-01-27
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 18 $32,010.71 $6,402.14 80% off $8,569.27 $85,814.62 $32,010.71 2026-01-27
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 18 $30,954.80 $6,190.96 80% off $8,286.60 $69,530.00 $30,954.80 2026-01-27
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 18 18 $45,055.49 $9,011.10 80% off $12,061.35 $45,685.23 $30,533.03 2026-01-27
503 MS_DRG Foot Procedures With Mcc 18 18 $30,568.90 $6,113.78 80% off $8,183.29 $54,524.95 $30,291.64 2026-01-27
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 18 18 $42,359.19 $8,471.84 80% off $11,339.56 $48,027.51 $30,256.90 2026-01-27
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 17 17 $30,216.27 $6,043.25 80% off $8,088.90 $71,868.43 $30,216.27 2026-01-27
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 18 18 $73,208.06 $14,641.61 80% off $19,597.80 $63,551.92 $28,973.76 2026-01-27
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 18 18 $39,229.49 $7,845.90 80% off $10,501.73 $46,619.02 $28,675.26 2026-01-27
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 18 18 $96,062.82 $19,212.56 80% off $19,477.77 $83,392.13 $28,513.03 2026-01-27
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 19 19 $53,847.46 $10,769.49 80% off $14,414.96 $46,744.98 $27,795.45 2026-01-27
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 18 18 $48,781.52 $9,756.30 80% off $13,058.81 $42,347.24 $27,409.64 2026-01-27
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 18 18 $38,894.89 $7,778.98 80% off $10,412.16 $42,741.26 $27,367.31 2026-01-27
336 MS_DRG Peritoneal Adhesiolysis With Cc 18 18 $40,122.55 $8,024.51 80% off $10,740.81 $41,194.07 $27,346.15 2026-01-27
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 18 18 $43,083.91 $8,616.78 80% off $11,533.56 $38,449.36 $27,106.06 2026-01-27
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 18 18 $43,616.94 $8,723.39 80% off $11,676.25 $37,947.30 $27,080.79 2026-01-27
357 MS_DRG Other Digestive System O.r. Procedures With Cc 18 18 $36,415.37 $7,283.07 80% off $9,748.39 $45,429.32 $26,790.79 2026-01-27
264 MS_DRG Other Circulatory System O.r. Procedures 18 18 $26,500.02 $5,300.00 80% off $7,094.06 $65,259.59 $26,500.02 2026-01-27
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 17 17 $46,065.66 $9,213.13 80% off $12,331.78 $38,331.24 $26,341.48 2026-01-27
330 MS_DRG Major Small And Large Bowel Procedures With Cc 18 18 $28,319.54 $5,663.91 80% off $7,581.14 $46,830.00 $26,016.67 2026-01-27
913 MS_DRG Traumatic Injury With Mcc 18 18 $52,476.32 $10,495.26 80% off $14,047.91 $45,554.69 $25,969.47 2026-01-27
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 18 18 $40,592.87 $8,118.57 80% off $10,866.71 $36,431.36 $25,614.47 2026-01-27
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 18 18 $44,080.02 $8,816.00 80% off $11,800.22 $38,265.87 $25,411.99 2026-01-27
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 19 19 $63,242.50 $12,648.50 80% off $16,930.02 $54,900.81 $24,243.38 2026-01-27
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 18 18 $40,324.95 $8,064.99 80% off $10,794.99 $35,006.08 $24,222.78 2026-01-27
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 18 18 $40,957.55 $8,191.51 80% off $10,964.34 $35,555.25 $24,207.22 2026-01-27
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 18 18 $24,930.65 $4,986.13 80% off $6,673.94 $43,184.71 $23,991.51 2026-01-27
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 18 18 $25,916.73 $5,183.35 80% off $6,937.91 $42,563.49 $23,646.39 2026-01-27
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 18 18 $40,966.37 $8,193.27 80% off $10,966.70 $35,562.91 $23,543.40 2026-01-27
915 MS_DRG Allergic Reactions With Mcc 18 18 $37,826.90 $7,565.38 80% off $10,126.26 $32,850.54 $23,464.00 2026-01-27
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 18 18 $38,941.19 $7,788.24 80% off $10,424.56 $33,804.85 $23,427.94 2026-01-27
196 MS_DRG Interstitial Lung Disease With Mcc 18 18 $32,389.99 $6,478.00 80% off $8,670.80 $36,867.00 $23,179.58 2026-01-27
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 18 18 $35,147.49 $7,029.50 80% off $9,408.98 $33,756.98 $22,994.49 2026-01-27
374 MS_DRG Digestive Malignancy With Mcc 18 18 $22,677.39 $4,535.48 80% off $6,070.74 $41,780.12 $22,677.39 2026-01-27
884 MS_DRG Organic Disturbances And Intellectual Disability 20 20 $30,226.82 $6,045.36 80% off $8,091.72 $65,254.82 $22,237.87 2026-01-27
964 MS_DRG Other Multiple Significant Trauma With Cc 18 18 $35,717.41 $7,143.48 80% off $9,561.55 $31,006.28 $21,757.61 2026-01-27
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 18 18 $29,480.12 $5,896.02 80% off $7,891.83 $39,033.46 $21,688.52 2026-01-27
385 MS_DRG Inflammatory Bowel Disease With Mcc 18 18 $34,287.42 $6,857.48 80% off $9,178.74 $30,910.69 $21,686.69 2026-01-27
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 21 21 $29,105.97 $5,821.19 80% off $7,791.67 $29,467.03 $21,413.26 2026-01-27
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 18 18 $36,758.14 $7,351.63 80% off $9,840.15 $31,909.74 $21,084.18 2026-01-27
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 18 18 $22,540.43 $4,508.09 80% off $6,034.07 $37,636.69 $20,909.27 2026-01-27
199 MS_DRG Pneumothorax With Mcc 18 18 $28,408.51 $5,681.70 80% off $7,604.96 $34,462.21 $20,900.14 2026-01-27
348 MS_DRG Anal And Stomal Procedures With Cc 18 18 $42,128.72 $8,425.74 80% off $11,277.86 $36,571.94 $20,793.36 2026-01-27
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 18 18 $34,785.39 $6,957.08 80% off $9,312.05 $30,197.20 $20,471.46 2026-01-27
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 18 18 $20,409.71 $4,081.94 80% off $5,463.68 $39,285.47 $20,409.71 2026-01-27
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 18 18 $35,145.65 $7,029.13 80% off $9,408.49 $30,509.93 $20,384.28 2026-01-27
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 19 19 $33,937.19 $6,787.44 80% off $9,084.98 $32,338.72 $20,362.31 2026-01-27
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 18 $22,081.20 $4,416.24 80% off $5,911.14 $36,536.85 $20,298.25 2026-01-27
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 18 18 $29,415.33 $5,883.07 80% off $7,874.48 $30,639.15 $20,182.39 2026-01-27
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 18 18 $20,172.22 $4,034.44 80% off $5,400.10 $43,131.97 $20,172.22 2026-01-27
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 18 18 $20,071.28 $4,014.26 80% off $5,373.08 $44,831.54 $20,071.28 2026-01-27
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 18 18 $34,963.50 $6,992.70 80% off $9,359.73 $30,351.81 $19,959.30 2026-01-27
177 MS_DRG Respiratory Infections And Inflammations With Mcc 18 18 $28,764.55 $5,752.91 80% off $7,700.27 $30,527.80 $19,908.97 2026-01-27
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 18 18 $33,325.63 $6,665.13 80% off $8,921.27 $28,929.98 $19,894.48 2026-01-27
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 18 $24,598.40 $4,919.68 80% off $6,584.99 $35,044.36 $19,469.09 2026-01-27
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 19 19 $42,503.44 $8,500.69 80% off $11,378.17 $36,897.24 $19,381.45 2026-01-27
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 18 18 $19,265.74 $3,853.15 80% off $5,157.44 $40,850.24 $19,265.74 2026-01-27
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 18 18 $19,224.28 $3,844.86 80% off $5,146.34 $35,843.35 $19,224.28 2026-01-27
602 MS_DRG Cellulitis With Mcc 18 18 $29,926.17 $5,985.23 80% off $8,011.24 $27,765.51 $19,218.32 2026-01-27
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 18 18 $58,444.42 $11,688.88 80% off $13,066.94 $50,735.60 $19,128.37 2026-01-27
393 MS_DRG Other Digestive System Diagnoses With Mcc 18 18 $26,024.49 $5,204.90 80% off $6,966.76 $31,242.79 $19,119.51 2026-01-27
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 18 18 $19,402.37 $3,880.47 80% off $5,194.01 $34,091.03 $18,939.47 2026-01-27
642 MS_DRG Inborn And Other Disorders Of Metabolism 18 18 $27,758.98 $5,551.80 80% off $7,431.08 $27,781.14 $18,699.82 2026-01-27
811 MS_DRG Red Blood Cell Disorders With Mcc 18 18 $28,257.68 $5,651.54 80% off $7,564.58 $27,433.41 $18,595.28 2026-01-27
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 18 18 $25,126.28 $5,025.26 80% off $6,726.31 $29,986.67 $18,405.29 2026-01-27
551 MS_DRG Medical Back Problems With Mcc 18 18 $24,927.28 $4,985.46 80% off $6,673.03 $32,743.10 $18,339.00 2026-01-27
571 MS_DRG Skin Debridement With Cc 18 18 $21,371.15 $4,274.23 80% off $5,721.06 $33,004.87 $18,336.04 2026-01-27
444 MS_DRG Disorders Of The Biliary Tract With Mcc 18 18 $20,598.97 $4,119.79 80% off $5,514.34 $32,641.52 $18,134.18 2026-01-27
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 18 18 $25,357.27 $5,071.45 80% off $6,788.14 $28,757.90 $18,114.81 2026-01-27
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 18 18 $28,231.52 $5,646.30 80% off $7,557.58 $26,091.33 $18,092.46 2026-01-27
398 MS_DRG Appendix Procedures With Cc 19 19 $27,441.13 $5,488.23 80% off $779.79 $29,568.61 $18,069.70 2026-01-27
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 18 18 $17,931.62 $3,586.32 80% off $4,800.29 $32,975.57 $17,931.62 2026-01-27
745 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 18 18 $32,157.49 $6,431.50 80% off $8,608.56 $27,915.92 $17,842.94 2026-01-27
368 MS_DRG Major Esophageal Disorders With Mcc 18 18 $24,167.89 $4,833.58 80% off $6,469.74 $31,098.23 $17,780.32 2026-01-27
157 MS_DRG Dental And Oral Diseases With Mcc 18 18 $17,687.35 $3,537.47 80% off $4,734.90 $33,538.19 $17,687.35 2026-01-27
388 MS_DRG Gastrointestinal Obstruction With Mcc 18 18 $24,069.98 $4,814.00 80% off $6,443.53 $28,849.72 $17,669.33 2026-01-27
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 18 18 $36,622.14 $7,324.43 80% off $9,803.75 $31,791.68 $17,598.42 2026-01-27
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 18 18 $19,130.94 $3,826.19 80% off $5,121.35 $31,336.56 $17,409.20 2026-01-27
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 18 18 $27,185.24 $5,437.05 80% off $7,277.49 $24,839.12 $17,316.73 2026-01-27
381 MS_DRG Complicated Peptic Ulcer With Cc 18 18 $34,483.95 $6,896.79 80% off $9,231.35 $29,935.52 $17,213.94 2026-01-27
504 MS_DRG Foot Procedures With Cc 18 18 $17,174.81 $3,434.96 80% off $4,597.70 $36,515.36 $17,174.81 2026-01-27
187 MS_DRG Pleural Effusion With Cc 18 18 $63,568.58 $12,713.72 80% off $10,734.64 $55,183.88 $17,096.36 2026-01-27
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 18 18 $36,683.95 $7,336.79 80% off $9,820.29 $31,845.34 $16,780.22 2026-01-27
189 MS_DRG Pulmonary Edema And Respiratory Failure 18 18 $25,778.42 $5,155.68 80% off $6,900.88 $24,133.90 $16,634.58 2026-01-27
546 MS_DRG Connective Tissue Disorders With Cc 18 18 $26,957.93 $5,391.59 80% off $7,216.64 $23,402.18 $16,397.62 2026-01-27
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 18 18 $17,366.60 $3,473.32 80% off $4,649.04 $29,394.75 $16,330.42 2026-01-27
304 MS_DRG Hypertension With Mcc 18 18 $25,804.57 $5,160.91 80% off $6,907.88 $23,247.00 $16,315.32 2026-01-27
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 18 18 $23,409.35 $4,681.87 80% off $6,266.68 $24,776.61 $16,181.76 2026-01-27
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 18 18 $21,254.65 $4,250.93 80% off $5,689.87 $28,691.48 $15,939.71 2026-01-27
369 MS_DRG Major Esophageal Disorders With Cc 18 18 $29,782.06 $5,956.41 80% off $7,972.66 $25,853.81 $15,890.52 2026-01-27
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 18 18 $22,651.08 $4,530.22 80% off $6,063.69 $24,237.43 $15,738.08 2026-01-27
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 18 18 $23,698.99 $4,739.80 80% off $6,344.22 $23,172.76 $15,656.26 2026-01-27
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 17 $15,631.30 $3,126.26 80% off $4,184.50 $44,882.83 $15,631.30 2026-01-27
786 MS_DRG Cesarean Section Without Sterilization With Mcc 27 27 $20,947.09 $4,189.42 80% off $2,470.00 $23,769.30 $15,410.78 2026-01-27
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 18 18 $18,372.90 $3,674.58 80% off $4,918.43 $26,292.55 $14,606.97 2026-01-27
445 MS_DRG Disorders Of The Biliary Tract With Cc 18 18 $22,333.95 $4,466.79 80% off $5,978.80 $21,379.42 $14,585.33 2026-01-27
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 18 18 $19,772.78 $3,954.56 80% off $5,293.17 $23,520.49 $14,460.23 2026-01-27
291 MS_DRG Heart Failure And Shock With Mcc 18 18 $19,504.60 $3,900.92 80% off $5,221.38 $25,079.41 $14,349.53 2026-01-27
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 18 18 $14,250.31 $2,850.06 80% off $3,814.81 $33,010.73 $14,250.31 2026-01-27
682 MS_DRG Renal Failure With Mcc 18 18 $14,223.70 $2,844.74 80% off $3,807.68 $28,931.76 $14,223.70 2026-01-27
975 MS_DRG HIV With Major Related Condition With Cc 18 18 $17,801.60 $3,560.32 80% off $4,765.49 $25,298.20 $14,054.56 2026-01-27
178 MS_DRG Respiratory Infections And Inflammations With Cc 18 18 $23,323.56 $4,664.71 80% off $6,243.72 $20,247.18 $14,029.15 2026-01-27
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 18 18 $17,182.04 $3,436.41 80% off $4,599.63 $25,044.24 $13,913.47 2026-01-27
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 18 18 $21,264.92 $4,252.98 80% off $5,692.62 $19,945.53 $13,735.78 2026-01-27
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 18 18 $36,323.38 $7,264.68 80% off $9,381.28 $31,532.33 $13,733.02 2026-01-27
812 MS_DRG Red Blood Cell Disorders Without Mcc 18 18 $23,366.98 $4,673.40 80% off $6,255.34 $20,284.87 $13,625.73 2026-01-27
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 18 18 $38,948.21 $7,789.64 80% off $9,302.05 $33,810.94 $13,617.05 2026-01-27
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 18 18 $37,360.56 $7,472.11 80% off $9,277.09 $32,432.70 $13,580.51 2026-01-27
71 MS_DRG Other Cerebrovascular Disorders With Cc 18 18 $20,401.16 $4,080.23 80% off $5,461.39 $20,043.21 $13,516.64 2026-01-27
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 18 18 $18,241.76 $3,648.35 80% off $4,883.32 $22,666.80 $13,420.46 2026-01-27
919 MS_DRG Complications Of Treatment With Mcc 18 18 $13,321.92 $2,664.38 80% off $3,566.28 $35,765.21 $13,321.92 2026-01-27
183 MS_DRG Major Chest Trauma With Mcc 18 18 $13,259.79 $2,651.96 80% off $3,549.65 $29,887.04 $13,259.79 2026-01-27
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 18 18 $23,737.67 $4,747.53 80% off $6,354.57 $20,606.67 $13,182.15 2026-01-27
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 18 18 $17,913.68 $3,582.74 80% off $4,795.49 $21,998.69 $13,179.09 2026-01-27
399 MS_DRG Appendix Procedures Without Cc/mcc 19 19 $17,895.12 $3,579.02 80% off $620.83 $22,362.05 $13,165.44 2026-01-27
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 18 18 $23,500.93 $4,700.19 80% off $6,291.20 $20,401.16 $13,124.09 2026-01-27
549 MS_DRG Septic Arthritis With Cc 18 18 $17,798.03 $3,559.61 80% off $4,764.53 $23,583.00 $13,101.67 2026-01-27
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 18 18 $14,928.19 $2,985.64 80% off $3,996.28 $23,491.19 $13,050.66 2026-01-27
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 18 18 $15,480.73 $3,096.15 80% off $4,144.19 $23,426.72 $13,014.85 2026-01-27
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 18 18 $18,688.38 $3,737.68 80% off $5,002.88 $19,990.46 $12,982.72 2026-01-27
949 MS_DRG Aftercare With Cc/mcc 24 24 $30,162.75 $6,032.55 80% off $13.31 $26,184.29 $12,911.74 2026-01-27
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 18 18 $26,999.36 $5,399.87 80% off $7,227.73 $23,438.14 $12,887.81 2026-01-27
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 18 18 $24,120.69 $4,824.14 80% off $6,457.11 $20,939.17 $12,830.62 2026-01-27
176 MS_DRG Pulmonary Embolism Without Mcc 18 18 $32,115.20 $6,423.04 80% off $8,597.24 $27,879.21 $12,789.31 2026-01-27
644 MS_DRG Endocrine Disorders With Cc 18 18 $17,901.46 $3,580.29 80% off $4,792.22 $20,023.67 $12,703.40 2026-01-27
796 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Mcc 27 27 $22,565.74 $4,513.15 80% off $2,100.00 $20,264.60 $12,665.38 2026-01-27
312 MS_DRG Syncope And Collapse 18 18 $21,094.42 $4,218.88 80% off $5,646.98 $18,312.07 $12,608.20 2026-01-27
389 MS_DRG Gastrointestinal Obstruction With Cc 18 18 $29,837.46 $5,967.49 80% off $7,987.49 $25,901.89 $12,547.83 2026-01-27
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 18 18 $16,917.35 $3,383.47 80% off $4,528.77 $20,136.98 $12,376.01 2026-01-27
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 18 18 $17,183.97 $3,436.79 80% off $4,600.15 $19,736.50 $12,351.72 2026-01-27
J3101 HCPCS Injection, Tenecteplase, 1 Mg 28 28 $19,217.41 $3,843.48 80% off $172.22 $22,887.94 $12,333.74 2026-01-27
638 MS_DRG Diabetes With Cc 18 18 $19,012.97 $3,802.59 80% off $5,089.77 $17,507.53 $12,161.01 2026-01-27
787 MS_DRG Cesarean Section Without Sterilization With Cc 27 27 $22,278.34 $4,455.67 80% off $2,470.00 $19,392.90 $12,120.56 2026-01-27
202 MS_DRG Bronchitis And Asthma With Cc/mcc 18 18 $17,167.17 $3,433.43 80% off $4,595.65 $18,972.67 $12,112.15 2026-01-27
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 17 17 $11,876.47 $2,375.29 80% off $3,179.33 $26,466.85 $11,876.47 2026-01-27
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 17 17 $11,851.64 $2,370.33 80% off $3,172.68 $30,859.02 $11,851.64 2026-01-27
637 MS_DRG Diabetes With Mcc 18 18 $11,751.49 $2,350.30 80% off $3,145.87 $28,066.35 $11,751.49 2026-01-27
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 18 18 $25,140.80 $5,028.16 80% off $6,730.19 $21,824.73 $11,688.33 2026-01-27
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 27 27 $16,914.07 $3,382.81 80% off $2,100.00 $20,934.02 $11,630.01 2026-01-27
300 MS_DRG Peripheral Vascular Disorders With Cc 18 18 $13,190.24 $2,638.05 80% off $3,531.03 $20,853.92 $11,585.51 2026-01-27
784 MS_DRG Cesarean Section With Sterilization With Cc 27 27 $19,261.33 $3,852.27 80% off $2,470.00 $18,408.32 $11,505.20 2026-01-27
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 18 18 $23,301.09 $4,660.22 80% off $6,237.70 $20,227.67 $11,434.12 2026-01-27
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 18 18 $16,746.80 $3,349.36 80% off $4,483.12 $17,245.75 $11,429.85 2026-01-27
645 MS_DRG Endocrine Disorders Without Cc/mcc 18 18 $19,457.92 $3,891.58 80% off $5,208.88 $16,891.42 $11,372.98 2026-01-27
819 MS_DRG Other Antepartum Diagnoses With O.r. Procedures Without Cc/mcc 18 18 $16,630.60 $3,326.12 80% off $4,452.01 $16,798.40 $11,250.40 2026-01-27
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 18 18 $14,415.20 $2,883.04 80% off $3,858.95 $19,828.32 $11,015.73 2026-01-27
683 MS_DRG Renal Failure With Cc 18 18 $15,690.63 $3,138.13 80% off $4,200.38 $17,109.01 $10,999.55 2026-01-27
603 MS_DRG Cellulitis Without Mcc 18 18 $15,616.97 $3,123.39 80% off $4,180.66 $17,013.28 $10,943.20 2026-01-27
921 MS_DRG Complications Of Treatment Without Cc/mcc 18 18 $25,661.56 $5,132.31 80% off $6,869.60 $22,276.80 $10,936.85 2026-01-27
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 18 18 $26,069.35 $5,213.87 80% off $6,978.77 $22,630.80 $10,873.30 2026-01-27
797 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Cc 27 27 $21,690.59 $4,338.12 80% off $2,100.00 $18,829.60 $10,857.28 2026-01-27
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 18 18 $14,513.53 $2,902.71 80% off $3,885.27 $19,035.19 $10,677.60 2026-01-27
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 27 27 $14,511.84 $2,902.37 80% off $2,100.00 $15,551.27 $10,676.36 2026-01-27
378 MS_DRG Gastrointestinal Hemorrhage With Cc 18 18 $11,547.64 $2,309.53 80% off $3,091.30 $19,158.26 $10,643.48 2026-01-27
434 MS_DRG Cirrhosis And Alcoholic Hepatitis Without Cc/mcc 18 18 $18,105.65 $3,621.13 80% off $4,846.88 $15,717.51 $10,565.26 2026-01-27
69 MS_DRG Transient Ischemia Without Thrombolytic 18 18 $15,877.72 $3,175.54 80% off $4,250.47 $15,604.79 $10,523.49 2026-01-27
305 MS_DRG Hypertension Without Mcc 18 18 $16,817.11 $3,363.42 80% off $4,501.94 $14,751.10 $10,485.63 2026-01-27
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 18 18 $12,558.89 $2,511.78 80% off $3,362.01 $18,857.42 $10,476.34 2026-01-27
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 27 27 $21,190.11 $4,238.02 80% off $2,470.00 $18,395.13 $10,405.80 2026-01-27
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 27 27 $18,753.71 $3,750.74 80% off $2,470.00 $16,631.91 $10,394.95 2026-01-27
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 27 27 $21,526.67 $4,305.33 80% off $2,100.00 $18,687.30 $10,387.35 2026-01-27
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 18 18 $15,249.96 $3,049.99 80% off $4,082.41 $15,202.36 $10,252.10 2026-01-27
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 18 18 $14,772.09 $2,954.42 80% off $3,954.49 $15,743.49 $10,244.42 2026-01-27
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 18 18 $16,941.74 $3,388.35 80% off $4,535.30 $14,707.12 $10,187.26 2026-01-27
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 18 18 $14,227.96 $2,845.59 80% off $3,808.82 $15,813.82 $10,065.76 2026-01-27
37236 HCPCS Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra… 34 28 $14,158.00 $2,831.60 80% off $458.72 $28,621.00 $10,049.35 2026-01-27
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 18 18 $23,726.86 $4,745.37 80% off $6,351.68 $20,597.29 $9,985.20 2026-01-27
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 18 18 $13,448.31 $2,689.66 80% off $3,600.11 $17,968.56 $9,982.53 2026-01-27
101 MS_DRG Seizures Without Mcc 18 18 $10,517.69 $2,103.54 80% off $2,815.58 $17,632.55 $9,795.86 2026-01-27
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 18 18 $15,839.67 $3,167.93 80% off $4,240.28 $13,750.42 $9,469.01 2026-01-27
394 MS_DRG Other Digestive System Diagnoses With Cc 18 18 $9,398.30 $1,879.66 80% off $2,515.92 $18,279.17 $9,398.30 2026-01-27
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 18 18 $9,378.39 $1,875.68 80% off $2,510.59 $17,448.92 $9,378.39 2026-01-27
185 MS_DRG Major Chest Trauma Without Cc/mcc 18 18 $12,723.32 $2,544.66 80% off $3,406.03 $15,364.51 $9,360.55 2026-01-27
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 18 18 $12,170.91 $2,434.18 80% off $3,258.15 $16,216.24 $9,009.03 2026-01-27
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 18 18 $17,026.27 $3,405.25 80% off $4,557.93 $14,780.50 $8,993.83 2026-01-27
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 18 18 $11,564.46 $2,312.89 80% off $3,095.81 $16,161.55 $8,978.64 2026-01-27
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 18 18 $8,797.95 $1,759.59 80% off $2,355.21 $17,954.89 $8,797.95 2026-01-27
916 MS_DRG Allergic Reactions Without Mcc 18 18 $12,910.18 $2,582.04 80% off $3,456.06 $13,016.36 $8,726.23 2026-01-27
153 MS_DRG Otitis Media And Uri Without Mcc 18 18 $11,823.05 $2,364.61 80% off $3,165.03 $14,420.95 $8,698.22 2026-01-27
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 18 18 $11,447.40 $2,289.48 80% off $3,064.47 $15,229.71 $8,460.95 2026-01-27
639 MS_DRG Diabetes Without Cc/mcc 18 18 $13,060.31 $2,612.06 80% off $3,496.24 $12,135.32 $8,393.84 2026-01-27
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 18 18 $12,560.37 $2,512.07 80% off $3,362.41 $12,051.32 $8,212.88 2026-01-27
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 27 27 $13,855.98 $2,771.20 80% off $2,100.00 $13,092.98 $8,183.12 2026-01-27
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 18 18 $10,972.51 $2,194.50 80% off $2,937.34 $13,668.84 $8,072.48 2026-01-27
33210 HCPCS Insertion Of Temporary Pacemaker Lead In Single Heart Chamber 34 28 $10,933.00 $2,186.60 80% off $260.61 $27,127.00 $7,967.97 2026-01-27
C1724 HCPCS Catheter, Transluminal Atherectomy, Rotational 19 19 $10,637.00 $2,127.40 80% off $2,329.50 $13,721.73 $7,850.11 2026-01-27
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 18 18 $10,160.83 $2,032.17 80% off $2,720.05 $14,125.97 $7,847.76 2026-01-27
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 18 18 $8,179.70 $1,635.94 80% off $2,189.71 $14,096.67 $7,831.48 2026-01-27
J1459 HCPCS Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 29 29 $35,315.57 $7,063.11 80% off $50.74 $30,018.23 $7,734.11 2026-01-27
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 19 19 $7,631.67 $1,526.33 80% off $2,043.00 $15,415.67 $7,631.67 2026-01-27
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 18 18 $10,661.74 $2,132.35 80% off $2,854.15 $12,139.23 $7,631.13 2026-01-27
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 18 18 $12,104.75 $2,420.95 80% off $3,240.44 $10,627.20 $7,550.94 2026-01-27
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 27 27 $11,446.84 $2,289.37 80% off $2,100.00 $11,446.84 $7,317.05 2026-01-27
684 MS_DRG Renal Failure Without Cc/mcc 18 18 $10,058.99 $2,011.80 80% off $2,692.79 $11,727.03 $7,283.46 2026-01-27
313 MS_DRG Chest Pain 18 18 $7,193.87 $1,438.77 80% off $1,925.80 $14,065.41 $7,193.87 2026-01-27
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 20 20 $7,184.67 $1,436.93 80% off $1,923.34 $19,681.80 $7,184.67 2026-01-27
158 MS_DRG Dental And Oral Diseases With Cc 18 18 $6,605.34 $1,321.07 80% off $1,768.25 $17,773.21 $6,605.34 2026-01-27
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 24 24 $8,026.38 $1,605.28 80% off $285.33 $12,315.05 $6,549.93 2026-01-27
951 MS_DRG Other Factors Influencing Health Status 18 18 $8,557.95 $1,711.59 80% off $2,290.96 $10,861.62 $6,296.08 2026-01-27
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 18 18 $6,178.00 $1,235.60 80% off $1,653.85 $12,678.40 $6,178.00 2026-01-27
Q4278 HCPCS Epieffect, Per Square Centimeter 29 29 $24,695.00 $4,939.00 80% off $139.47 $27,164.50 $6,173.75 2026-01-27
293 MS_DRG Heart Failure And Shock Without Cc/mcc 18 18 $6,740.45 $1,348.09 80% off $1,804.42 $11,056.97 $6,142.76 2026-01-27
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 20 20 $8,456.67 $1,691.33 80% off $1,258.35 $10,071.89 $6,085.42 2026-01-27
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 18 18 $8,187.23 $1,637.45 80% off $2,191.72 $10,215.00 $6,023.35 2026-01-27
779 MS_DRG Abortion Without D&c 18 18 $5,862.29 $1,172.46 80% off $1,569.34 $13,930.62 $5,862.29 2026-01-27
C1884 HCPCS Embolization Protective System 19 19 $8,334.00 $1,666.80 80% off $1,825.15 $9,925.79 $5,833.80 2026-01-27
11957829_1 CDM Operating Room Services - General Classification 24 24 $11,448.00 $2,289.60 80% off $2,289.60 $9,525.88 $5,623.69 2026-01-27
11319918_1 CDM Operating Room Services - General Classification 24 24 $10,640.00 $2,128.00 80% off $2,128.00 $8,853.54 $5,416.84 2026-01-27
C1874 HCPCS Stent, Coated/covered, With Delivery System 76 19 $9,114.50 $1,822.90 80% off $522.32 $13,195.09 $5,317.90 2026-01-27
37191 HCPCS Insertion Of Vena Cava Filter With Review By Radiologist 34 28 $7,072.00 $1,414.40 80% off $196.27 $27,127.00 $5,154.08 2026-01-27
C1889 HCPCS Implantable/insertable Device, Not Otherwise Classified 758 20 $9,750.00 $1,950.00 80% off $98.55 $32,789.42 $5,151.75 2026-01-27
866 MS_DRG Viral Illness Without Mcc 17 17 $5,081.50 $1,016.30 80% off $1,360.32 $12,530.94 $5,081.50 2026-01-27
292 MS_DRG Heart Failure And Shock With Cc 17 17 $4,901.24 $980.25 80% off $1,312.06 $12,234.09 $4,901.24 2026-01-27
601 MS_DRG Non-malignant Breast Disorders Without Cc/mcc 18 18 $4,731.08 $946.22 80% off $1,266.51 $11,818.85 $4,731.08 2026-01-27
C1821 HCPCS Interspinous Process Distraction Device (implantable) 285 19 $6,600.00 $1,320.00 80% off $492.75 $19,694.38 $4,620.00 2026-01-27
793 MS_DRG Full Term Neonate With Major Problems 15 15 $5,234.69 $1,046.94 80% off $1,401.33 $12,028.13 $4,544.23 2026-01-27
C1762 HCPCS Connective Tissue, Human (includes Fascia Lata) 303 20 $6,996.00 $1,399.20 80% off $68.55 $27,440.64 $4,500.00 2026-01-27
437 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc 17 17 $4,330.88 $866.18 80% off $1,159.38 $12,296.05 $4,330.88 2026-01-27
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 29 29 $6,998.57 $1,399.71 80% off $1,532.69 $5,948.78 $4,177.93 2026-01-27
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 35 28 $10,273.05 $2,054.61 80% off $74.21 $8,548.20 $4,061.05 2026-01-27
11957826_1 CDM Operating Room Services - General Classification 24 24 $7,441.00 $1,488.20 80% off $1,488.20 $6,191.66 $4,047.91 2026-01-27
C1877 HCPCS Stent, Non-coated/non-covered, Without Delivery System 19 19 $5,386.00 $1,077.20 80% off $1,179.53 $6,947.94 $4,039.50 2026-01-27
C2623 HCPCS Catheter, Transluminal Angioplasty, Drug-coated, Non-laser 57 19 $5,062.00 $1,012.40 80% off $870.53 $7,178.85 $3,796.50 2026-01-27
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 15 15 $4,308.53 $861.71 80% off $1,153.39 $9,397.42 $3,740.24 2026-01-27
10180 HCPCS Complex Drainage Of Wound Infection After Surgery 28 28 $8,215.00 $1,643.00 80% off $168.76 $6,835.70 $3,735.95 2026-01-27
11957823_1 CDM Operating Room Services - General Classification 24 24 $6,296.00 $1,259.20 80% off $1,259.20 $5,238.90 $3,589.75 2026-01-27
C1815 HCPCS Prosthesis, Urinary Sphincter (implantable) 19 19 $4,785.00 $957.00 80% off $1,047.92 $6,172.65 $3,588.75 2026-01-27
47533 HCPCS Placement Of External Drainage Tube Of Biliary Duct Using Imaging Guidance With … 28 28 $4,452.00 $890.40 80% off $974.99 $19,880.00 $3,583.86 2026-01-27
47532 HCPCS Injection Of Bile Duct For X-ray Through New Skin Access Using Imaging Guidance … 28 28 $4,452.00 $890.40 80% off $749.07 $19,880.00 $3,583.86 2026-01-27
47531 HCPCS Injection Of Bile Duct For X-ray Through Already Existing Skin Access Using Imag… 28 28 $4,452.00 $890.40 80% off $341.03 $19,880.00 $3,583.86 2026-01-27
C1876 HCPCS Stent, Non-coated/non-covered, With Delivery System 38 19 $5,956.00 $1,191.20 80% off $783.58 $9,925.79 $3,578.00 2026-01-27
19120 HCPCS Removal Of Growth And Tissue Of Breast, Duct, Or Nipple 28 28 $4,905.00 $981.00 80% off $210.72 $9,064.62 $3,574.76 2026-01-27
501 MS_DRG Soft Tissue Procedures With Cc 15 15 $4,047.46 $809.49 80% off $1,083.51 $7,459.46 $3,513.60 2026-01-27
C1771 HCPCS Repair Device, Urinary, Incontinence, With Sling Graft 19 19 $4,532.00 $906.40 80% off $992.51 $5,846.28 $3,399.00 2026-01-27
604719_1 CDM Operating Room Services - General Classification 24 24 $5,724.00 $1,144.80 80% off $1,144.80 $4,762.94 $3,365.71 2026-01-27
604717_1 CDM Operating Room Services - General Classification 24 24 $5,724.00 $1,144.80 80% off $1,144.80 $4,762.94 $3,365.71 2026-01-27
36475 HCPCS Destruction Of First Incompetent Vein Of Arm Or Leg Using Radiofrequency And Ima… 28 28 $4,102.00 $820.40 80% off $898.34 $19,880.00 $3,360.31 2026-01-27
15277 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout… 28 28 $5,798.00 $1,159.60 80% off $207.09 $4,824.52 $3,179.55 2026-01-27
15273 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.… 28 28 $8,072.00 $1,614.40 80% off $172.00 $6,716.71 $3,179.55 2026-01-27
15110 HCPCS Outer Layer Self Skin Graft Of Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Body Area… 28 28 $5,798.00 $1,159.60 80% off $265.67 $4,824.52 $3,179.55 2026-01-27
C1776 HCPCS Joint Device (implantable) 3,735 20 $4,410.00 $882.00 80% off $17.52 $38,620.56 $3,141.19 2026-01-27
C1763 HCPCS Connective Tissue, Non-human (includes Synthetic) 227 20 $6,042.00 $1,208.40 80% off $98.55 $26,797.50 $3,135.00 2026-01-27
11323889_1 CDM Operating Room Services - General Classification 24 24 $5,320.00 $1,064.00 80% off $1,064.00 $4,426.77 $3,128.16 2026-01-27
15115 HCPCS Outer Layer Self Skin Graft Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around E… 28 28 $5,488.00 $1,097.60 80% off $265.67 $4,776.70 $3,105.95 2026-01-27
28825 HCPCS Amputation Of Toe At Toe Joint 28 28 $4,166.00 $833.20 80% off $265.67 $7,575.01 $3,036.18 2026-01-27
28820 HCPCS Amputation Of Toe At Joint Between Forefoot And Toes 28 28 $4,166.00 $833.20 80% off $265.67 $7,575.01 $3,036.18 2026-01-27
28810 HCPCS Amputation Of Toe And Midfoot Bone 28 28 $4,166.00 $833.20 80% off $265.67 $7,575.01 $3,036.18 2026-01-27
28285 HCPCS Correction Of Toe Joint Deformity 28 28 $4,166.00 $833.20 80% off $265.67 $7,575.01 $3,036.18 2026-01-27
28160 HCPCS Partial Removal Of Toe At Joint 28 28 $4,166.00 $833.20 80% off $251.52 $7,575.01 $3,036.18 2026-01-27
28124 HCPCS Partial Removal Of Toe Bone 28 28 $4,166.00 $833.20 80% off $265.67 $7,575.01 $3,036.18 2026-01-27
28122 HCPCS Partial Removal Of Foot Or Heel Bone 28 28 $4,166.00 $833.20 80% off $265.67 $7,575.01 $3,036.18 2026-01-27
28008 HCPCS Incision Of Connective Tissue Of Foot And/or Toe 28 28 $4,166.00 $833.20 80% off $263.81 $7,575.01 $3,036.18 2026-01-27
11319920_1 CDM Operating Room Services - General Classification 24 24 $5,140.00 $1,028.00 80% off $1,028.00 $4,276.99 $3,022.32 2026-01-27
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 15 15 $3,391.56 $678.31 80% off $907.92 $7,283.56 $2,944.21 2026-01-27
791 MS_DRG Prematurity With Major Problems 15 15 $3,515.37 $703.07 80% off $294.81 $7,407.37 $2,925.14 2026-01-27
9593582_1 CDM Intensive Care Unit - General Classification 17 17 $4,825.00 $965.00 80% off $1,291.65 $4,188.58 $2,895.00 2026-01-27
75625 HCPCS Review By Radiologist Of Abdominal Aorta Image 29 29 $4,011.00 $802.20 80% off $142.97 $7,309.89 $2,886.32 2026-01-27
75710 HCPCS Review By Radiologist Of Arm Or Leg Artery Image 29 29 $4,011.00 $802.20 80% off $145.89 $7,309.89 $2,886.32 2026-01-27
75716 HCPCS Review By Radiologist Of Both Arms Or Legs Arteries Image 29 29 $4,011.00 $802.20 80% off $144.92 $7,309.89 $2,886.32 2026-01-27
50695 HCPCS Placement Of Stent Of Ureter And Separate Tube In Kidney Through New Skin Access… 62 28 $3,833.00 $766.60 80% off $839.43 $19,880.00 $2,874.75 2026-01-27
C1880 HCPCS Vena Cava Filter 38 19 $3,806.50 $761.30 80% off $644.30 $6,025.59 $2,872.30 2026-01-27
28192 HCPCS Removal Of Foreign Body Of Foot Tissue, Deep 28 28 $5,434.00 $1,086.80 80% off $526.02 $5,947.00 $2,798.53 2026-01-27
27603 HCPCS Drainage Of Deep Abscess Or Blood Accumulation Of Leg Or Ankle 28 28 $3,657.00 $731.40 80% off $265.67 $6,724.71 $2,665.22 2026-01-27
27301 HCPCS Drainage Of Deep Abscess Or Blood Accumulation Of Thigh Or Knee 28 28 $3,657.00 $731.40 80% off $265.67 $6,724.71 $2,665.22 2026-01-27
21552 HCPCS Removal Of Growth Of Soft Tissue Under Skin Of Neck Or Front Of Chest, 3.0 Cm Or… 28 28 $3,657.00 $731.40 80% off $265.67 $6,724.71 $2,665.22 2026-01-27
20240 HCPCS Biopsy Of Surface Bone 28 28 $3,657.00 $731.40 80% off $126.58 $6,724.71 $2,665.22 2026-01-27
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 29 29 $5,648.00 $1,129.60 80% off $61.05 $4,699.70 $2,664.21 2026-01-27
11044 HCPCS Removal Of Bone, 20.0 Sq Cm Or Less 28 28 $4,905.00 $981.00 80% off $265.67 $4,081.45 $2,639.82 2026-01-27
C8933 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Spina… 28 28 $3,946.00 $789.20 80% off $448.71 $5,090.34 $2,631.19 2026-01-27
L8600 HCPCS Implantable Breast Prosthesis, Silicone Or Equal 67 29 $3,750.00 $750.00 80% off $197.35 $6,656.40 $2,625.00 2026-01-27
28108 HCPCS Removal Of Cyst Or Growth Of Toe Bone 28 28 $4,795.00 $959.00 80% off $244.05 $14,391.00 $2,575.98 2026-01-27
81425 HCPCS Test For Detecting Genes Associated With Disease, Genome Sequence Analysis 23 23 $3,100.00 $620.00 80% off $0.06 $9,056.16 $2,480.00 2026-01-27
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 15 $2,852.34 $570.47 80% off $763.57 $5,750.34 $2,476.12 2026-01-27
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