|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
10
|
10
|
$119,319.85
|
$23,863.97
80% off
|
$75,013.35
|
$135,024.02
|
$75,013.35
|
2026-01-27
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
10
|
10
|
$199,957.24
|
$39,991.45
80% off
|
$69,835.41
|
$125,703.73
|
$69,835.41
|
2026-01-27
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
10
|
10
|
$133,548.08
|
$26,709.62
80% off
|
$63,650.32
|
$114,570.57
|
$63,650.32
|
2026-01-27
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
10
|
10
|
$47,843.44
|
$9,568.69
80% off
|
$47,843.44
|
$111,341.39
|
$54,849.89
|
2026-01-27
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
10
|
10
|
$57,178.17
|
$11,435.63
80% off
|
$53,598.33
|
$96,476.98
|
$53,598.33
|
2026-01-27
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
11
|
11
|
$55,929.38
|
$11,185.88
80% off
|
$17,529.80
|
$91,655.67
|
$50,919.82
|
2026-01-27
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
10
|
10
|
$125,031.77
|
$25,006.35
80% off
|
$49,885.54
|
$89,793.96
|
$49,885.54
|
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
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
5
|
5
|
$46,803.38
|
$9,360.68
80% off
|
$46,803.38
|
$46,803.38
|
$46,803.38
|
2026-01-27
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
10
|
10
|
$122,737.69
|
$24,547.54
80% off
|
$45,599.71
|
$82,079.47
|
$45,599.71
|
2026-01-27
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
10
|
10
|
$32,010.71
|
$6,402.14
80% off
|
$32,010.71
|
$85,814.62
|
$39,842.75
|
2026-01-27
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
10
|
10
|
$42,562.63
|
$8,512.53
80% off
|
$39,198.65
|
$70,557.56
|
$39,198.65
|
2026-01-27
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
11
|
11
|
$228,886.06
|
$45,777.21
80% off
|
$38,754.76
|
$113,414.19
|
$38,754.76
|
2026-01-27
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
10
|
10
|
$47,305.70
|
$9,461.14
80% off
|
$38,697.24
|
$69,655.03
|
$38,697.24
|
2026-01-27
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
10
|
10
|
$58,107.59
|
$11,621.52
80% off
|
$37,848.54
|
$68,127.37
|
$37,848.54
|
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
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
10
|
10
|
$30,954.80
|
$6,190.96
80% off
|
$30,954.80
|
$69,530.00
|
$34,791.29
|
2026-01-27
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
10
|
10
|
$26,500.02
|
$5,300.00
80% off
|
$26,500.02
|
$65,259.59
|
$31,377.68
|
2026-01-27
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
11
|
11
|
$67,872.97
|
$13,574.59
80% off
|
$30,465.00
|
$56,070.19
|
$31,150.11
|
2026-01-27
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
10
|
10
|
$30,568.90
|
$6,113.78
80% off
|
$30,291.64
|
$54,524.95
|
$30,291.64
|
2026-01-27
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
9
|
9
|
$30,216.27
|
$6,043.25
80% off
|
$30,216.27
|
$71,868.43
|
$30,216.27
|
2026-01-27
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
10
|
10
|
$70,429.02
|
$14,085.80
80% off
|
$29,922.64
|
$53,860.75
|
$29,922.64
|
2026-01-27
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
10
|
10
|
$47,775.19
|
$9,555.04
80% off
|
$29,831.48
|
$53,696.65
|
$29,831.48
|
2026-01-27
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
11
|
11
|
$49,260.36
|
$9,852.07
80% off
|
$29,274.72
|
$52,694.49
|
$29,274.72
|
2026-01-27
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
10
|
10
|
$46,340.39
|
$9,268.08
80% off
|
$28,830.84
|
$51,895.50
|
$28,830.84
|
2026-01-27
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
10
|
10
|
$47,194.81
|
$9,438.96
80% off
|
$26,689.55
|
$48,041.19
|
$26,689.55
|
2026-01-27
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
10
|
10
|
$42,359.19
|
$8,471.84
80% off
|
$26,681.95
|
$48,027.51
|
$26,681.95
|
2026-01-27
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
10
|
10
|
$28,319.54
|
$5,663.91
80% off
|
$26,016.67
|
$46,830.00
|
$26,016.67
|
2026-01-27
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
10
|
10
|
$39,229.49
|
$7,845.90
80% off
|
$25,899.46
|
$46,619.02
|
$25,899.46
|
2026-01-27
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
10
|
10
|
$45,055.49
|
$9,011.10
80% off
|
$25,380.69
|
$45,685.23
|
$25,380.69
|
2026-01-27
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
10
|
10
|
$36,415.37
|
$7,283.07
80% off
|
$25,238.51
|
$45,429.32
|
$25,238.51
|
2026-01-27
|
|
341
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis With Mcc
|
10
|
10
|
$123,568.34
|
$24,713.67
80% off
|
$24,516.79
|
$44,130.22
|
$24,516.79
|
2026-01-27
|
|
934
|
MS_DRG
|
Full Thickness Burn Without Skin Graft Or Inhalation Injury
|
10
|
10
|
$24,930.65
|
$4,986.13
80% off
|
$23,991.51
|
$43,184.71
|
$23,991.51
|
2026-01-27
|
|
424
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Cc
|
10
|
10
|
$38,894.89
|
$7,778.98
80% off
|
$23,745.15
|
$42,741.26
|
$23,745.15
|
2026-01-27
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
10
|
10
|
$25,916.73
|
$5,183.35
80% off
|
$23,646.39
|
$42,563.49
|
$23,646.39
|
2026-01-27
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
11
|
11
|
$95,328.84
|
$19,065.77
80% off
|
$23,630.11
|
$42,534.19
|
$23,630.11
|
2026-01-27
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
10
|
10
|
$22,677.39
|
$4,535.48
80% off
|
$22,677.39
|
$41,780.12
|
$22,944.28
|
2026-01-27
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
10
|
10
|
$40,122.55
|
$8,024.51
80% off
|
$22,885.59
|
$41,194.07
|
$22,885.59
|
2026-01-27
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
11
|
11
|
$64,755.73
|
$12,951.15
80% off
|
$22,731.48
|
$44,590.77
|
$22,731.48
|
2026-01-27
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
10
|
10
|
$66,506.97
|
$13,301.39
80% off
|
$22,630.55
|
$40,734.99
|
$22,630.55
|
2026-01-27
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
11
|
11
|
$139,967.30
|
$27,993.46
80% off
|
$22,553.49
|
$79,433.81
|
$22,553.49
|
2026-01-27
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
10
|
10
|
$20,071.28
|
$4,014.26
80% off
|
$20,071.28
|
$44,831.54
|
$22,488.85
|
2026-01-27
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
10
|
10
|
$20,172.22
|
$4,034.44
80% off
|
$20,172.22
|
$43,131.97
|
$22,067.22
|
2026-01-27
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
10
|
10
|
$29,480.12
|
$5,896.02
80% off
|
$21,685.26
|
$39,033.46
|
$21,685.26
|
2026-01-27
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
10
|
10
|
$194,102.63
|
$38,820.53
80% off
|
$21,497.50
|
$38,695.50
|
$21,497.50
|
2026-01-27
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
10
|
10
|
$43,083.91
|
$8,616.78
80% off
|
$21,360.76
|
$38,449.36
|
$21,360.76
|
2026-01-27
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
10
|
10
|
$20,409.71
|
$4,081.94
80% off
|
$20,409.71
|
$39,285.47
|
$21,117.49
|
2026-01-27
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
10
|
10
|
$43,616.94
|
$8,723.39
80% off
|
$21,081.84
|
$37,947.30
|
$21,081.84
|
2026-01-27
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
10
|
10
|
$19,265.74
|
$3,853.15
80% off
|
$19,265.74
|
$40,850.24
|
$20,980.16
|
2026-01-27
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
11
|
11
|
$53,847.46
|
$10,769.49
80% off
|
$19,190.00
|
$37,681.62
|
$20,934.24
|
2026-01-27
|
|
582
|
MS_DRG
|
Mastectomy For Malignancy With Cc/mcc
|
10
|
10
|
$22,540.43
|
$4,508.09
80% off
|
$20,909.27
|
$37,636.69
|
$20,909.27
|
2026-01-27
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With Mcc
|
10
|
10
|
$32,389.99
|
$6,478.00
80% off
|
$20,481.67
|
$36,867.00
|
$20,481.67
|
2026-01-27
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
10
|
10
|
$22,081.20
|
$4,416.24
80% off
|
$20,298.25
|
$36,536.85
|
$20,298.25
|
2026-01-27
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
10
|
10
|
$40,592.87
|
$8,118.57
80% off
|
$20,239.65
|
$36,431.36
|
$20,239.65
|
2026-01-27
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
10
|
10
|
$46,065.66
|
$9,213.13
80% off
|
$19,839.17
|
$35,710.51
|
$19,839.17
|
2026-01-27
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
10
|
10
|
$73,208.06
|
$14,641.61
80% off
|
$19,792.51
|
$35,626.51
|
$19,792.51
|
2026-01-27
|
|
742
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc
|
10
|
10
|
$19,224.28
|
$3,844.86
80% off
|
$19,224.28
|
$35,843.35
|
$19,568.62
|
2026-01-27
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
10
|
10
|
$96,062.82
|
$19,212.56
80% off
|
$19,477.77
|
$35,059.99
|
$19,477.77
|
2026-01-27
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
10
|
10
|
$24,598.40
|
$4,919.68
80% off
|
$19,469.09
|
$35,044.36
|
$19,469.09
|
2026-01-27
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
10
|
10
|
$48,781.52
|
$9,756.30
80% off
|
$19,243.35
|
$34,638.02
|
$19,243.35
|
2026-01-27
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
10
|
10
|
$28,408.51
|
$5,681.70
80% off
|
$19,145.67
|
$34,462.21
|
$19,145.67
|
2026-01-27
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
10
|
10
|
$19,402.37
|
$3,880.47
80% off
|
$18,939.47
|
$34,091.03
|
$18,939.47
|
2026-01-27
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
10
|
10
|
$35,147.49
|
$7,029.50
80% off
|
$18,753.88
|
$33,756.98
|
$18,753.88
|
2026-01-27
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
10
|
10
|
$17,174.81
|
$3,434.96
80% off
|
$17,174.81
|
$36,515.36
|
$18,730.57
|
2026-01-27
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
10
|
10
|
$44,080.02
|
$8,816.00
80% off
|
$18,358.83
|
$33,045.90
|
$18,358.83
|
2026-01-27
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
10
|
10
|
$21,371.15
|
$4,274.23
80% off
|
$18,336.04
|
$33,004.87
|
$18,336.04
|
2026-01-27
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
12
|
12
|
$30,226.82
|
$6,045.36
80% off
|
$17,461.30
|
$65,254.82
|
$18,334.36
|
2026-01-27
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
10
|
10
|
$40,324.95
|
$8,064.99
80% off
|
$18,264.41
|
$32,875.94
|
$18,264.41
|
2026-01-27
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
11
|
11
|
$63,242.50
|
$12,648.50
80% off
|
$18,258.99
|
$32,866.17
|
$18,258.99
|
2026-01-27
|
|
915
|
MS_DRG
|
Allergic Reactions With Mcc
|
10
|
10
|
$37,826.90
|
$7,565.38
80% off
|
$18,250.30
|
$32,850.54
|
$18,250.30
|
2026-01-27
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
10
|
10
|
$24,927.28
|
$4,985.46
80% off
|
$18,190.61
|
$32,743.10
|
$18,190.61
|
2026-01-27
|
|
157
|
MS_DRG
|
Dental And Oral Diseases With Mcc
|
10
|
10
|
$17,687.35
|
$3,537.47
80% off
|
$17,687.35
|
$33,538.19
|
$18,159.84
|
2026-01-27
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
10
|
10
|
$20,598.97
|
$4,119.79
80% off
|
$18,134.18
|
$32,641.52
|
$18,134.18
|
2026-01-27
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
10
|
10
|
$17,931.62
|
$3,586.32
80% off
|
$17,931.62
|
$32,975.57
|
$18,125.69
|
2026-01-27
|
|
512
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/…
|
11
|
11
|
$33,937.19
|
$6,787.44
80% off
|
$13,076.50
|
$32,338.72
|
$17,965.96
|
2026-01-27
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
10
|
10
|
$40,957.55
|
$8,191.51
80% off
|
$17,955.10
|
$32,319.18
|
$17,955.10
|
2026-01-27
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
13
|
13
|
$20,947.09
|
$4,189.42
80% off
|
$5,000.00
|
$23,769.30
|
$17,901.92
|
2026-01-27
|
|
913
|
MS_DRG
|
Traumatic Injury With Mcc
|
10
|
10
|
$52,476.32
|
$10,495.26
80% off
|
$17,740.22
|
$31,932.39
|
$17,740.22
|
2026-01-27
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
10
|
10
|
$38,941.19
|
$7,788.24
80% off
|
$17,692.46
|
$31,846.43
|
$17,692.46
|
2026-01-27
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
10
|
10
|
$19,130.94
|
$3,826.19
80% off
|
$17,409.20
|
$31,336.56
|
$17,409.20
|
2026-01-27
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
10
|
10
|
$26,024.49
|
$5,204.90
80% off
|
$17,357.11
|
$31,242.79
|
$17,357.11
|
2026-01-27
|
|
368
|
MS_DRG
|
Major Esophageal Disorders With Mcc
|
10
|
10
|
$24,167.89
|
$4,833.58
80% off
|
$17,276.80
|
$31,098.23
|
$17,276.80
|
2026-01-27
|
|
385
|
MS_DRG
|
Inflammatory Bowel Disease With Mcc
|
10
|
10
|
$34,287.42
|
$6,857.48
80% off
|
$17,172.61
|
$30,910.69
|
$17,172.61
|
2026-01-27
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
10
|
10
|
$29,415.33
|
$5,883.07
80% off
|
$17,021.75
|
$30,639.15
|
$17,021.75
|
2026-01-27
|
|
621
|
MS_DRG
|
O.r. Procedures For Obesity Without Cc/mcc
|
13
|
13
|
$29,105.97
|
$5,821.19
80% off
|
$16,370.57
|
$29,467.03
|
$17,000.00
|
2026-01-27
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
10
|
10
|
$28,764.55
|
$5,752.91
80% off
|
$16,959.89
|
$30,527.80
|
$16,959.89
|
2026-01-27
|
|
296
|
MS_DRG
|
Cardiac Arrest, Unexplained With Mcc
|
10
|
10
|
$40,966.37
|
$8,193.27
80% off
|
$16,951.21
|
$30,512.17
|
$16,951.21
|
2026-01-27
|
|
337
|
MS_DRG
|
Peritoneal Adhesiolysis Without Cc/mcc
|
10
|
10
|
$25,126.28
|
$5,025.26
80% off
|
$16,659.26
|
$29,986.67
|
$16,659.26
|
2026-01-27
|
|
964
|
MS_DRG
|
Other Multiple Significant Trauma With Cc
|
10
|
10
|
$35,717.41
|
$7,143.48
80% off
|
$16,633.22
|
$29,939.79
|
$16,633.22
|
2026-01-27
|
|
919
|
MS_DRG
|
Complications Of Treatment With Mcc
|
10
|
10
|
$13,321.92
|
$2,664.38
80% off
|
$13,321.92
|
$35,765.21
|
$16,595.74
|
2026-01-27
|
|
398
|
MS_DRG
|
Appendix Procedures With Cc
|
10
|
10
|
$27,441.13
|
$5,488.23
80% off
|
$16,427.01
|
$29,568.61
|
$16,427.01
|
2026-01-27
|
|
345
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Cc
|
10
|
10
|
$17,366.60
|
$3,473.32
80% off
|
$16,330.42
|
$29,394.75
|
$16,330.42
|
2026-01-27
|
|
769
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses With O.r. Procedures
|
10
|
10
|
$14,250.31
|
$2,850.06
80% off
|
$14,250.31
|
$33,010.73
|
$16,294.81
|
2026-01-27
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
10
|
10
|
$24,069.98
|
$4,814.00
80% off
|
$16,027.62
|
$28,849.72
|
$16,027.62
|
2026-01-27
|
|
604
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc
|
10
|
10
|
$25,357.27
|
$5,071.45
80% off
|
$15,976.61
|
$28,757.90
|
$15,976.61
|
2026-01-27
|
|
67
|
MS_DRG
|
Precerebral Occlusion Without Infarction With Mcc
|
10
|
10
|
$21,254.65
|
$4,250.93
80% off
|
$15,939.71
|
$28,691.48
|
$15,939.71
|
2026-01-27
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
9
|
9
|
$15,631.30
|
$3,126.26
80% off
|
$15,631.30
|
$44,882.83
|
$15,631.30
|
2026-01-27
|
|
642
|
MS_DRG
|
Inborn And Other Disorders Of Metabolism
|
10
|
10
|
$27,758.98
|
$5,551.80
80% off
|
$15,433.97
|
$27,781.14
|
$15,433.97
|
2026-01-27
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
10
|
10
|
$29,926.17
|
$5,985.23
80% off
|
$15,425.28
|
$27,765.51
|
$15,425.28
|
2026-01-27
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
10
|
10
|
$28,257.68
|
$5,651.54
80% off
|
$15,240.78
|
$27,433.41
|
$15,240.78
|
2026-01-27
|
|
83
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Cc
|
10
|
10
|
$36,758.14
|
$7,351.63
80% off
|
$15,148.53
|
$27,267.36
|
$15,148.53
|
2026-01-27
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
10
|
10
|
$14,223.70
|
$2,844.74
80% off
|
$14,223.70
|
$28,931.76
|
$15,148.45
|
2026-01-27
|
|
858
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc
|
10
|
10
|
$34,785.39
|
$6,957.08
80% off
|
$15,117.06
|
$27,210.71
|
$15,117.06
|
2026-01-27
|
|
183
|
MS_DRG
|
Major Chest Trauma With Mcc
|
10
|
10
|
$13,259.79
|
$2,651.96
80% off
|
$13,259.79
|
$29,887.04
|
$14,931.85
|
2026-01-27
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
10
|
10
|
$33,325.63
|
$6,665.13
80% off
|
$14,907.60
|
$26,833.67
|
$14,907.60
|
2026-01-27
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc
|
10
|
10
|
$35,145.65
|
$7,029.13
80% off
|
$14,822.95
|
$26,681.30
|
$14,822.95
|
2026-01-27
|
|
502
|
MS_DRG
|
Soft Tissue Procedures Without Cc/mcc
|
10
|
10
|
$18,372.90
|
$3,674.58
80% off
|
$14,606.97
|
$26,292.55
|
$14,606.97
|
2026-01-27
|
|
355
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral Without Cc/mcc
|
11
|
11
|
$42,503.44
|
$8,500.69
80% off
|
$12,508.00
|
$26,274.97
|
$14,597.20
|
2026-01-27
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
10
|
10
|
$28,231.52
|
$5,646.30
80% off
|
$14,495.19
|
$26,091.33
|
$14,495.19
|
2026-01-27
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
10
|
10
|
$34,963.50
|
$6,992.70
80% off
|
$14,265.10
|
$25,677.19
|
$14,265.10
|
2026-01-27
|
|
348
|
MS_DRG
|
Anal And Stomal Procedures With Cc
|
10
|
10
|
$42,128.72
|
$8,425.74
80% off
|
$14,204.33
|
$25,567.79
|
$14,204.33
|
2026-01-27
|
|
975
|
MS_DRG
|
HIV With Major Related Condition With Cc
|
10
|
10
|
$17,801.60
|
$3,560.32
80% off
|
$14,054.56
|
$25,298.20
|
$14,054.56
|
2026-01-27
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
10
|
10
|
$19,504.60
|
$3,900.92
80% off
|
$13,933.00
|
$25,079.41
|
$13,933.00
|
2026-01-27
|
|
535
|
MS_DRG
|
Fractures Of Hip And Pelvis With Mcc
|
10
|
10
|
$17,182.04
|
$3,436.41
80% off
|
$13,913.47
|
$25,044.24
|
$13,913.47
|
2026-01-27
|
|
147
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Cc
|
10
|
10
|
$27,185.24
|
$5,437.05
80% off
|
$13,799.51
|
$24,839.12
|
$13,799.51
|
2026-01-27
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
10
|
10
|
$23,409.35
|
$4,681.87
80% off
|
$13,764.78
|
$24,776.61
|
$13,764.78
|
2026-01-27
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
10
|
10
|
$11,751.49
|
$2,350.30
80% off
|
$11,751.49
|
$28,066.35
|
$13,671.95
|
2026-01-27
|
|
743
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc
|
10
|
10
|
$22,651.08
|
$4,530.22
80% off
|
$13,465.24
|
$24,237.43
|
$13,465.24
|
2026-01-27
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
10
|
10
|
$25,778.42
|
$5,155.68
80% off
|
$13,407.72
|
$24,133.90
|
$13,407.72
|
2026-01-27
|
|
549
|
MS_DRG
|
Septic Arthritis With Cc
|
10
|
10
|
$17,798.03
|
$3,559.61
80% off
|
$13,101.67
|
$23,583.00
|
$13,101.67
|
2026-01-27
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
10
|
10
|
$19,772.78
|
$3,954.56
80% off
|
$13,066.94
|
$23,520.49
|
$13,066.94
|
2026-01-27
|
|
822
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc
|
10
|
10
|
$58,444.42
|
$11,688.88
80% off
|
$13,066.94
|
$23,520.49
|
$13,066.94
|
2026-01-27
|
|
831
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures With Mcc
|
10
|
10
|
$14,928.19
|
$2,985.64
80% off
|
$13,050.66
|
$23,491.19
|
$13,050.66
|
2026-01-27
|
|
989
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
10
|
10
|
$15,480.73
|
$3,096.15
80% off
|
$13,014.85
|
$23,426.72
|
$13,014.85
|
2026-01-27
|
|
304
|
MS_DRG
|
Hypertension With Mcc
|
10
|
10
|
$25,804.57
|
$5,160.91
80% off
|
$12,915.00
|
$23,247.00
|
$12,915.00
|
2026-01-27
|
|
949
|
MS_DRG
|
Aftercare With Cc/mcc
|
10
|
10
|
$30,162.75
|
$6,032.55
80% off
|
$12,911.74
|
$23,241.13
|
$12,911.74
|
2026-01-27
|
|
346
|
MS_DRG
|
Minor Small And Large Bowel Procedures Without Cc/mcc
|
10
|
10
|
$23,698.99
|
$4,739.80
80% off
|
$12,873.76
|
$23,172.76
|
$12,873.76
|
2026-01-27
|
|
796
|
MS_DRG
|
Vaginal Delivery With Sterilization And/or D&c With Mcc
|
14
|
14
|
$22,565.74
|
$4,513.15
80% off
|
$2,100.00
|
$20,264.60
|
$12,665.38
|
2026-01-27
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
10
|
10
|
$18,241.76
|
$3,648.35
80% off
|
$12,592.67
|
$22,666.80
|
$12,592.67
|
2026-01-27
|
|
546
|
MS_DRG
|
Connective Tissue Disorders With Cc
|
10
|
10
|
$26,957.93
|
$5,391.59
80% off
|
$12,517.78
|
$22,532.00
|
$12,517.78
|
2026-01-27
|
|
399
|
MS_DRG
|
Appendix Procedures Without Cc/mcc
|
10
|
10
|
$17,895.12
|
$3,579.02
80% off
|
$12,423.36
|
$22,362.05
|
$12,423.36
|
2026-01-27
|
|
745
|
MS_DRG
|
D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc
|
10
|
10
|
$32,157.49
|
$6,431.50
80% off
|
$12,345.22
|
$22,221.39
|
$12,345.22
|
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
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
10
|
10
|
$17,913.68
|
$3,582.74
80% off
|
$12,221.50
|
$21,998.69
|
$12,221.50
|
2026-01-27
|
|
787
|
MS_DRG
|
Cesarean Section Without Sterilization With Cc
|
14
|
14
|
$22,278.34
|
$4,455.67
80% off
|
$2,470.00
|
$19,392.90
|
$12,120.56
|
2026-01-27
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
10
|
10
|
$36,622.14
|
$7,324.43
80% off
|
$12,021.80
|
$21,639.24
|
$12,021.80
|
2026-01-27
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
10
|
10
|
$22,333.95
|
$4,466.79
80% off
|
$11,877.46
|
$21,379.42
|
$11,877.46
|
2026-01-27
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
|
9
|
9
|
$11,876.47
|
$2,375.29
80% off
|
$11,876.47
|
$26,466.85
|
$11,876.47
|
2026-01-27
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
9
|
9
|
$11,851.64
|
$2,370.33
80% off
|
$11,851.64
|
$30,859.02
|
$11,851.64
|
2026-01-27
|
|
381
|
MS_DRG
|
Complicated Peptic Ulcer With Cc
|
10
|
10
|
$34,483.95
|
$6,896.79
80% off
|
$11,759.16
|
$21,166.49
|
$11,759.16
|
2026-01-27
|
|
805
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Mcc
|
14
|
14
|
$14,511.84
|
$2,902.37
80% off
|
$2,100.00
|
$15,551.27
|
$11,712.49
|
2026-01-27
|
|
768
|
MS_DRG
|
Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c
|
14
|
14
|
$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
|
10
|
10
|
$13,190.24
|
$2,638.05
80% off
|
$11,585.51
|
$20,853.92
|
$11,585.51
|
2026-01-27
|
|
433
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Cc
|
10
|
10
|
$36,683.95
|
$7,336.79
80% off
|
$11,462.88
|
$20,633.17
|
$11,462.88
|
2026-01-27
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without Mcc
|
10
|
10
|
$16,917.35
|
$3,383.47
80% off
|
$11,187.21
|
$20,136.98
|
$11,187.21
|
2026-01-27
|
|
71
|
MS_DRG
|
Other Cerebrovascular Disorders With Cc
|
10
|
10
|
$20,401.16
|
$4,080.23
80% off
|
$11,135.12
|
$20,043.21
|
$11,135.12
|
2026-01-27
|
|
644
|
MS_DRG
|
Endocrine Disorders With Cc
|
10
|
10
|
$17,901.46
|
$3,580.29
80% off
|
$11,124.26
|
$20,023.67
|
$11,124.26
|
2026-01-27
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
10
|
10
|
$18,688.38
|
$3,737.68
80% off
|
$11,105.81
|
$19,990.46
|
$11,105.81
|
2026-01-27
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
10
|
10
|
$21,264.92
|
$4,252.98
80% off
|
$11,080.85
|
$19,945.53
|
$11,080.85
|
2026-01-27
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
10
|
10
|
$14,415.20
|
$2,883.04
80% off
|
$11,015.73
|
$19,828.32
|
$11,015.73
|
2026-01-27
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
10
|
10
|
$17,183.97
|
$3,436.79
80% off
|
$10,964.73
|
$19,736.50
|
$10,964.73
|
2026-01-27
|
|
760
|
MS_DRG
|
Menstrual And Other Female Reproductive System Disorders With Cc/mcc
|
12
|
12
|
$7,184.67
|
$1,436.93
80% off
|
$7,184.67
|
$19,681.80
|
$10,934.34
|
2026-01-27
|
|
797
|
MS_DRG
|
Vaginal Delivery With Sterilization And/or D&c With Cc
|
14
|
14
|
$21,690.59
|
$4,338.12
80% off
|
$2,100.00
|
$17,371.65
|
$10,857.28
|
2026-01-27
|
|
369
|
MS_DRG
|
Major Esophageal Disorders With Cc
|
10
|
10
|
$29,782.06
|
$5,956.41
80% off
|
$10,855.11
|
$19,539.20
|
$10,855.11
|
2026-01-27
|
|
187
|
MS_DRG
|
Pleural Effusion With Cc
|
10
|
10
|
$63,568.58
|
$12,713.72
80% off
|
$10,734.64
|
$19,322.36
|
$10,734.64
|
2026-01-27
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
10
|
10
|
$11,547.64
|
$2,309.53
80% off
|
$10,643.48
|
$19,158.26
|
$10,643.48
|
2026-01-27
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
10
|
10
|
$23,323.56
|
$4,664.71
80% off
|
$10,592.47
|
$19,066.44
|
$10,592.47
|
2026-01-27
|
|
565
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
|
10
|
10
|
$14,513.53
|
$2,902.71
80% off
|
$10,575.10
|
$19,035.19
|
$10,575.10
|
2026-01-27
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
10
|
10
|
$17,167.17
|
$3,433.43
80% off
|
$10,540.38
|
$18,972.67
|
$10,540.38
|
2026-01-27
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
10
|
10
|
$12,558.89
|
$2,511.78
80% off
|
$10,476.34
|
$18,857.42
|
$10,476.34
|
2026-01-27
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/mcc
|
14
|
14
|
$21,190.11
|
$4,238.02
80% off
|
$2,470.00
|
$16,649.27
|
$10,405.80
|
2026-01-27
|
|
785
|
MS_DRG
|
Cesarean Section With Sterilization Without Cc/mcc
|
14
|
14
|
$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
|
14
|
14
|
$21,526.67
|
$4,305.33
80% off
|
$2,100.00
|
$16,619.75
|
$10,387.35
|
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
|
|
60
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc
|
10
|
10
|
$13,448.31
|
$2,689.66
80% off
|
$9,982.53
|
$17,968.56
|
$9,982.53
|
2026-01-27
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
10
|
10
|
$23,366.98
|
$4,673.40
80% off
|
$9,965.17
|
$17,937.30
|
$9,965.17
|
2026-01-27
|
|
101
|
MS_DRG
|
Seizures Without Mcc
|
10
|
10
|
$10,517.69
|
$2,103.54
80% off
|
$9,795.86
|
$17,632.55
|
$9,795.86
|
2026-01-27
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
10
|
10
|
$9,398.30
|
$1,879.66
80% off
|
$9,398.30
|
$18,279.17
|
$9,776.70
|
2026-01-27
|
|
784
|
MS_DRG
|
Cesarean Section With Sterilization With Cc
|
19
|
19
|
$19,261.33
|
$3,852.27
80% off
|
$2,470.00
|
$18,408.32
|
$9,732.00
|
2026-01-27
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
10
|
10
|
$19,012.97
|
$3,802.59
80% off
|
$9,726.40
|
$17,507.53
|
$9,726.40
|
2026-01-27
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
10
|
10
|
$16,746.80
|
$3,349.36
80% off
|
$9,580.98
|
$17,245.75
|
$9,580.98
|
2026-01-27
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without Mcc
|
10
|
10
|
$9,378.39
|
$1,875.68
80% off
|
$9,378.39
|
$17,448.92
|
$9,536.12
|
2026-01-27
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
10
|
10
|
$15,690.63
|
$3,138.13
80% off
|
$9,505.00
|
$17,109.01
|
$9,505.00
|
2026-01-27
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
10
|
10
|
$21,094.42
|
$4,218.88
80% off
|
$9,459.42
|
$17,026.96
|
$9,459.42
|
2026-01-27
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
10
|
10
|
$15,616.97
|
$3,123.39
80% off
|
$9,451.83
|
$17,013.28
|
$9,451.83
|
2026-01-27
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
10
|
10
|
$8,797.95
|
$1,759.59
80% off
|
$8,797.95
|
$17,954.89
|
$9,386.44
|
2026-01-27
|
|
68
|
MS_DRG
|
Precerebral Occlusion Without Infarction Without Mcc
|
10
|
10
|
$36,323.38
|
$7,264.68
80% off
|
$9,381.28
|
$16,886.30
|
$9,381.28
|
2026-01-27
|
|
819
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures Without Cc/mcc
|
10
|
10
|
$16,630.60
|
$3,326.12
80% off
|
$9,332.44
|
$16,798.40
|
$9,332.44
|
2026-01-27
|
|
918
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs Without Mcc
|
10
|
10
|
$38,948.21
|
$7,789.64
80% off
|
$9,302.05
|
$16,743.70
|
$9,302.05
|
2026-01-27
|
|
384
|
MS_DRG
|
Uncomplicated Peptic Ulcer Without Mcc
|
10
|
10
|
$37,360.56
|
$7,472.11
80% off
|
$9,277.09
|
$16,698.77
|
$9,277.09
|
2026-01-27
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
10
|
10
|
$23,500.93
|
$4,700.19
80% off
|
$9,149.03
|
$16,468.25
|
$9,149.03
|
2026-01-27
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
10
|
10
|
$23,737.67
|
$4,747.53
80% off
|
$9,129.49
|
$16,433.09
|
$9,129.49
|
2026-01-27
|
|
554
|
MS_DRG
|
Bone Diseases And Arthropathies Without Mcc
|
10
|
10
|
$12,170.91
|
$2,434.18
80% off
|
$9,009.03
|
$16,216.24
|
$9,009.03
|
2026-01-27
|
|
446
|
MS_DRG
|
Disorders Of The Biliary Tract Without Cc/mcc
|
10
|
10
|
$11,564.46
|
$2,312.89
80% off
|
$8,978.64
|
$16,161.55
|
$8,978.64
|
2026-01-27
|
|
728
|
MS_DRG
|
Inflammation Of The Male Reproductive System Without Mcc
|
10
|
10
|
$26,999.36
|
$5,399.87
80% off
|
$8,803.90
|
$15,847.03
|
$8,803.90
|
2026-01-27
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
10
|
10
|
$14,227.96
|
$2,845.59
80% off
|
$8,785.45
|
$15,813.82
|
$8,785.45
|
2026-01-27
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
10
|
10
|
$24,120.69
|
$4,824.14
80% off
|
$8,764.83
|
$15,776.70
|
$8,764.83
|
2026-01-27
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
10
|
10
|
$14,772.09
|
$2,954.42
80% off
|
$8,746.38
|
$15,743.49
|
$8,746.38
|
2026-01-27
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
10
|
10
|
$32,115.20
|
$6,423.04
80% off
|
$8,736.62
|
$15,725.91
|
$8,736.62
|
2026-01-27
|
|
69
|
MS_DRG
|
Transient Ischemia Without Thrombolytic
|
10
|
10
|
$15,877.72
|
$3,175.54
80% off
|
$8,669.33
|
$15,604.79
|
$8,669.33
|
2026-01-27
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
10
|
10
|
$29,837.46
|
$5,967.49
80% off
|
$8,571.65
|
$15,428.97
|
$8,571.65
|
2026-01-27
|
|
185
|
MS_DRG
|
Major Chest Trauma Without Cc/mcc
|
10
|
10
|
$12,723.32
|
$2,544.66
80% off
|
$8,535.84
|
$15,364.51
|
$8,535.84
|
2026-01-27
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
10
|
10
|
$11,447.40
|
$2,289.48
80% off
|
$8,460.95
|
$15,229.71
|
$8,460.95
|
2026-01-27
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
10
|
10
|
$15,249.96
|
$3,049.99
80% off
|
$8,445.76
|
$15,202.36
|
$8,445.76
|
2026-01-27
|
|
645
|
MS_DRG
|
Endocrine Disorders Without Cc/mcc
|
10
|
10
|
$19,457.92
|
$3,891.58
80% off
|
$8,338.31
|
$15,008.96
|
$8,338.31
|
2026-01-27
|
|
158
|
MS_DRG
|
Dental And Oral Diseases With Cc
|
10
|
10
|
$6,605.34
|
$1,321.07
80% off
|
$6,605.34
|
$17,773.21
|
$8,239.67
|
2026-01-27
|
|
305
|
MS_DRG
|
Hypertension Without Mcc
|
10
|
10
|
$16,817.11
|
$3,363.42
80% off
|
$8,195.06
|
$14,751.10
|
$8,195.06
|
2026-01-27
|
|
179
|
MS_DRG
|
Respiratory Infections And Inflammations Without Cc/mcc
|
11
|
11
|
$7,631.67
|
$1,526.33
80% off
|
$7,631.67
|
$15,415.67
|
$8,193.97
|
2026-01-27
|
|
806
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Cc
|
14
|
14
|
$13,855.98
|
$2,771.20
80% off
|
$2,100.00
|
$13,092.98
|
$8,183.12
|
2026-01-27
|
|
153
|
MS_DRG
|
Otitis Media And Uri Without Mcc
|
10
|
10
|
$11,823.05
|
$2,364.61
80% off
|
$8,011.64
|
$14,420.95
|
$8,011.64
|
2026-01-27
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
10
|
10
|
$25,140.80
|
$5,028.16
80% off
|
$7,984.51
|
$14,372.11
|
$7,984.51
|
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
|
10
|
10
|
$10,160.83
|
$2,032.17
80% off
|
$7,847.76
|
$14,125.97
|
$7,847.76
|
2026-01-27
|
|
832
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures With Cc
|
10
|
10
|
$8,179.70
|
$1,635.94
80% off
|
$7,831.48
|
$14,096.67
|
$7,831.48
|
2026-01-27
|
|
301
|
MS_DRG
|
Peripheral Vascular Disorders Without Cc/mcc
|
10
|
10
|
$23,301.09
|
$4,660.22
80% off
|
$7,810.86
|
$14,059.55
|
$7,810.86
|
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
|
|
434
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis Without Cc/mcc
|
10
|
10
|
$18,105.65
|
$3,621.13
80% off
|
$7,732.72
|
$13,918.89
|
$7,732.72
|
2026-01-27
|
|
159
|
MS_DRG
|
Dental And Oral Diseases Without Cc/mcc
|
10
|
10
|
$16,941.74
|
$3,388.35
80% off
|
$7,689.31
|
$13,840.75
|
$7,689.31
|
2026-01-27
|
|
443
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C…
|
10
|
10
|
$10,972.51
|
$2,194.50
80% off
|
$7,593.80
|
$13,668.84
|
$7,593.80
|
2026-01-27
|
|
313
|
MS_DRG
|
Chest Pain
|
10
|
10
|
$7,193.87
|
$1,438.77
80% off
|
$7,193.87
|
$14,065.41
|
$7,503.99
|
2026-01-27
|
|
921
|
MS_DRG
|
Complications Of Treatment Without Cc/mcc
|
10
|
10
|
$25,661.56
|
$5,132.31
80% off
|
$7,471.16
|
$13,448.09
|
$7,471.16
|
2026-01-27
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc
|
10
|
10
|
$26,069.35
|
$5,213.87
80% off
|
$7,427.75
|
$13,369.95
|
$7,427.75
|
2026-01-27
|
|
807
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc
|
14
|
14
|
$11,446.84
|
$2,289.37
80% off
|
$2,100.00
|
$11,446.84
|
$7,317.05
|
2026-01-27
|
|
916
|
MS_DRG
|
Allergic Reactions Without Mcc
|
10
|
10
|
$12,910.18
|
$2,582.04
80% off
|
$7,231.31
|
$13,016.36
|
$7,231.31
|
2026-01-27
|
|
776
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses Without O.r. Procedures
|
10
|
10
|
$15,839.67
|
$3,167.93
80% off
|
$7,105.42
|
$12,789.75
|
$7,105.42
|
2026-01-27
|
|
379
|
MS_DRG
|
Gastrointestinal Hemorrhage Without Cc/mcc
|
10
|
10
|
$8,026.38
|
$1,605.28
80% off
|
$6,841.69
|
$12,315.05
|
$6,841.69
|
2026-01-27
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
10
|
10
|
$23,726.86
|
$4,745.37
80% off
|
$6,821.07
|
$12,277.93
|
$6,821.07
|
2026-01-27
|
|
779
|
MS_DRG
|
Abortion Without D&c
|
10
|
10
|
$5,862.29
|
$1,172.46
80% off
|
$5,862.29
|
$13,930.62
|
$6,800.76
|
2026-01-27
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
10
|
10
|
$10,661.74
|
$2,132.35
80% off
|
$6,744.02
|
$12,139.23
|
$6,744.02
|
2026-01-27
|
|
639
|
MS_DRG
|
Diabetes Without Cc/mcc
|
10
|
10
|
$13,060.31
|
$2,612.06
80% off
|
$6,741.85
|
$12,135.32
|
$6,741.85
|
2026-01-27
|
|
894
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence, Left Ama
|
10
|
10
|
$12,560.37
|
$2,512.07
80% off
|
$6,695.18
|
$12,051.32
|
$6,695.18
|
2026-01-27
|
|
395
|
MS_DRG
|
Other Digestive System Diagnoses Without Cc/mcc
|
10
|
10
|
$6,178.00
|
$1,235.60
80% off
|
$6,178.00
|
$12,678.40
|
$6,610.78
|
2026-01-27
|
|
684
|
MS_DRG
|
Renal Failure Without Cc/mcc
|
10
|
10
|
$10,058.99
|
$2,011.80
80% off
|
$6,515.02
|
$11,727.03
|
$6,515.02
|
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
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc
|
10
|
10
|
$17,026.27
|
$3,405.25
80% off
|
$6,143.85
|
$11,058.93
|
$6,143.85
|
2026-01-27
|
|
293
|
MS_DRG
|
Heart Failure And Shock Without Cc/mcc
|
10
|
10
|
$6,740.45
|
$1,348.09
80% off
|
$6,142.76
|
$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
|
|
951
|
MS_DRG
|
Other Factors Influencing Health Status
|
10
|
10
|
$8,557.95
|
$1,711.59
80% off
|
$6,034.23
|
$10,861.62
|
$6,034.23
|
2026-01-27
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
10
|
10
|
$12,104.75
|
$2,420.95
80% off
|
$5,904.00
|
$10,627.20
|
$5,904.00
|
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
|
|
833
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc
|
10
|
10
|
$8,187.23
|
$1,637.45
80% off
|
$5,675.00
|
$10,215.00
|
$5,675.00
|
2026-01-27
|
|
601
|
MS_DRG
|
Non-malignant Breast Disorders Without Cc/mcc
|
10
|
10
|
$4,731.08
|
$946.22
80% off
|
$4,731.08
|
$11,818.85
|
$5,648.56
|
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
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
7
|
7
|
$5,234.69
|
$1,046.94
80% off
|
$5,234.69
|
$12,028.13
|
$5,234.69
|
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
|
9
|
9
|
$5,081.50
|
$1,016.30
80% off
|
$5,081.50
|
$12,530.94
|
$5,081.50
|
2026-01-27
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
9
|
9
|
$4,901.24
|
$980.25
80% off
|
$4,901.24
|
$12,234.09
|
$4,901.24
|
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
|
|
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
|
9
|
9
|
$4,330.88
|
$866.18
80% off
|
$4,330.88
|
$12,296.05
|
$4,330.88
|
2026-01-27
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
7
|
7
|
$4,308.53
|
$861.71
80% off
|
$4,308.53
|
$9,397.42
|
$4,308.53
|
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
|
|
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
|
7
|
7
|
$4,047.46
|
$809.49
80% off
|
$3,567.46
|
$7,459.46
|
$3,567.46
|
2026-01-27
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
6
|
6
|
$3,515.37
|
$703.07
80% off
|
$3,515.37
|
$7,407.37
|
$3,515.37
|
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
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
7
|
7
|
$3,391.56
|
$678.31
80% off
|
$3,391.56
|
$7,283.56
|
$3,391.56
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
7
|
7
|
$2,852.34
|
$570.47
80% off
|
$2,852.34
|
$5,750.34
|
$2,852.34
|
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
|