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

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Hospital

ADVENTIST HEALTH CLEARLAKE

Clearlake, CA · CCN 051317 · Rates published

2,654 distinct procedures filed
26 distinct payers
291,460 rate rows
2026-01-24 last MRF observed
Data quality

276,900 of 291,460 rate rows are consumer-grade (95.0%)

14,560 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 9,338
per-diem day rate — not a per-procedure price 3,338
exceeds 10× this hospital's gross charge — excluded from medians 1,308
percent-of-charges filed in the dollar field — excluded from medians 426
template filing: same amount across many unrelated codes — excluded 122
exceeds 3× this hospital's gross charge for a DRG stay — excluded 28
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbAHCLCLEARLAKECA&type=CDMWithoutLabel
Found on page https://www.adventisthealth.org/patient-resources/financial-services/healthcare-costs-and-charges/cost-estimator-tool/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint 28ad587d0e43748a… · 110,446,331 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
884
MS_DRG 		Organic Disturbances And Intellectual Disability 22 $180,531.77 $1,092,884.56 $361,923.22 nat. median
$14,657
outlier · 24.7×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 19 $149,408.58 $320,161.24 $291,702.46 nat. median
$62,218
outlier · 4.7×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 $118,505.13 $577,966.06 $233,342.23 nat. median
$43,549
outlier · 5.4×
504
MS_DRG 		Foot Procedures With Cc 19 $94,919.53 $203,398.98 $185,319.07 nat. median
$18,380
outlier · 10.1×
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 19 $94,681.70 $202,889.36 $184,854.75 nat. median
$29,103
outlier · 6.4×
95
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Cc 19 $88,586.81 $189,828.88 $172,955.20 nat. median
$24,774
outlier · 7.0×
988
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 19 $86,077.89 $184,452.62 $168,056.84 nat. median
$17,137
outlier · 9.8×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 19 $85,191.93 $182,554.15 $166,327.11 nat. median
$44,514
outlier · 3.7×
180
MS_DRG 		Respiratory Neoplasms With Mcc 19 $84,208.95 $180,447.75 $164,407.95 nat. median
$17,700
outlier · 9.3×
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 19 $72,799.82 $155,999.62 $142,132.99 nat. median
$24,507
outlier · 5.8×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 19 $70,979.67 $152,099.30 $138,579.36 nat. median
$65,958
outlier · 2.1×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 19 $65,522.40 $140,405.14 $127,924.69 nat. median
$48,124
outlier · 2.7×
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 19 $64,386.25 $137,970.54 $125,706.49 nat. median
$17,843
outlier · 7.0×
345
MS_DRG 		Minor Small And Large Bowel Procedures With Cc 19 $62,893.03 $134,770.79 $122,791.16 nat. median
$15,592
outlier · 7.9×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 19 $61,480.13 $131,743.12 $120,032.62 nat. median
$24,077
outlier · 5.0×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 $60,113.46 $128,814.55 $117,364.37 nat. median
$47,707
outlier · 2.5×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 $59,623.03 $127,763.64 $116,406.88 nat. median
$26,590
outlier · 4.4×
358
MS_DRG 		Other Digestive System O.r. Procedures Without Cc/mcc 20 $57,893.18 $293,530.90 $113,994.42 nat. median
$14,382
outlier · 7.9×
415
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 19 $55,813.45 $119,600.25 $108,969.12 nat. median
$20,493
outlier · 5.3×
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 19 $55,317.57 $118,537.65 $108,000.97 nat. median
$20,254
outlier · 5.3×
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 19 $52,762.27 $113,062.01 $103,012.05 nat. median
$21,418
outlier · 4.8×
554
MS_DRG 		Bone Diseases And Arthropathies Without Mcc 22 $50,756.64 $310,291.13 $101,754.97 nat. median
$9,200
outlier · 11.1×
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 19 $49,645.01 $106,382.16 $96,925.97 nat. median
$21,659
outlier · 4.5×
81
MS_DRG 		Nontraumatic Stupor And Coma Without Mcc 19 $48,768.08 $104,503.03 $95,213.87 nat. median
$9,723
outlier · 9.8×
562
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 20 $47,715.78 $300,436.99 $93,954.63 nat. median
$14,618
outlier · 6.4×
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 19 $47,622.37 $102,047.94 $92,977.01 nat. median
$24,545
outlier · 3.8×
299
MS_DRG 		Peripheral Vascular Disorders With Mcc 19 $47,309.19 $101,376.85 $92,365.57 nat. median
$16,228
outlier · 5.7×
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc 19 $46,382.90 $99,391.92 $90,557.08 nat. median
$16,783
outlier · 5.4×
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 19 $45,723.21 $97,978.31 $89,269.12 nat. median
$17,453
outlier · 5.1×
552
MS_DRG 		Medical Back Problems Without Mcc 19 $45,527.53 $97,559.00 $88,887.09 nat. median
$10,356
outlier · 8.6×
918
MS_DRG 		Poisoning And Toxic Effects Of Drugs Without Mcc 19 $44,481.70 $95,317.93 $86,845.22 nat. median
$8,721
outlier · 10.0×
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 18 $43,577.36 $93,380.05 $85,805.89 nat. median
$20,032
outlier · 4.3×
175
MS_DRG 		Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 19 $43,531.15 $93,281.03 $84,989.38 nat. median
$14,505
outlier · 5.9×
74
MS_DRG 		Cranial And Peripheral Nerve Disorders Without Mcc 20 $42,406.12 $241,087.95 $83,499.66 nat. median
$11,005
outlier · 7.6×
674
MS_DRG 		Other Kidney And Urinary Tract Procedures With Cc 19 $42,361.29 $90,774.20 $82,705.38 nat. median
$23,243
outlier · 3.6×
307
MS_DRG 		Cardiac Congenital And Valvular Disorders Without Mcc 19 $42,162.79 $90,348.83 $82,317.82 nat. median
$10,027
outlier · 8.2×
98
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 19 $42,116.65 $90,249.96 $82,227.74 nat. median
$21,959
outlier · 3.7×
185
MS_DRG 		Major Chest Trauma Without Cc/mcc 20 $41,527.31 $238,995.55 $81,769.25 nat. median
$8,636
outlier · 9.5×
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 20 $40,717.95 $205,930.50 $80,175.58 nat. median
$24,391
outlier · 3.3×
70
MS_DRG 		Other Cerebrovascular Disorders With Mcc 19 $40,959.27 $87,769.86 $79,968.09 nat. median
$17,146
outlier · 4.7×
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 19 $40,874.54 $87,588.30 $79,802.67 nat. median
$21,326
outlier · 3.7×
482
MS_DRG 		Hip And Femur Procedures Except Major Joint Without Cc/mcc 19 $40,811.33 $87,452.86 $79,679.27 nat. median
$16,898
outlier · 4.7×
644
MS_DRG 		Endocrine Disorders With Cc 19 $40,428.20 $86,631.85 $78,931.24 nat. median
$10,989
outlier · 7.2×
768
MS_DRG 		Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 19 $39,417.48 $84,466.03 $76,957.93 nat. median
$10,481
outlier · 7.3×
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 $39,198.48 $83,996.75 $76,530.37 nat. median
$34,828
outlier · 2.2×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 20 $38,397.07 $184,835.59 $75,605.65 nat. median
$19,136
outlier · 4.0×
917
MS_DRG 		Poisoning And Toxic Effects Of Drugs With Mcc 19 $38,671.00 $82,866.43 $75,500.53 nat. median
$15,188
outlier · 5.0×
857
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 20 $37,180.79 $197,508.70 $73,210.75 nat. median
$21,203
outlier · 3.5×
414
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 $37,179.11 $79,669.51 $72,587.78 nat. median
$34,519
outlier · 2.1×
557
MS_DRG 		Tendonitis, Myositis And Bursitis With Mcc 20 $36,858.01 $181,171.17 $72,575.18 nat. median
$15,170
outlier · 4.8×

Other procedures at this hospital

Browse this hospital's 2,654 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
             
884 MS_DRG Organic Disturbances And Intellectual Disability 44 22 $429,837.56 $154,741.52 64% off $180,531.77 $1,092,884.56 $361,923.22 2026-01-24
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 38 19 $355,734.71 $128,064.50 64% off $149,408.58 $320,161.24 $291,702.46 2026-01-24
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 40 20 $282,155.06 $101,575.82 64% off $118,505.13 $577,966.06 $233,342.23 2026-01-24
504 MS_DRG Foot Procedures With Cc 38 19 $225,998.87 $81,359.59 64% off $94,919.53 $203,398.98 $185,319.07 2026-01-24
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 38 19 $225,432.63 $81,155.75 64% off $94,681.70 $202,889.36 $184,854.75 2026-01-24
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 38 19 $210,920.98 $75,931.55 64% off $88,586.81 $189,828.88 $172,955.20 2026-01-24
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 38 19 $204,947.36 $73,781.05 64% off $86,077.89 $184,452.62 $168,056.84 2026-01-24
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 38 19 $202,837.94 $73,021.66 64% off $85,191.93 $182,554.15 $166,327.11 2026-01-24
180 MS_DRG Respiratory Neoplasms With Mcc 38 19 $200,497.50 $72,179.10 64% off $84,208.95 $180,447.75 $164,407.95 2026-01-24
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 38 19 $173,332.91 $62,399.85 64% off $72,799.82 $155,999.62 $142,132.99 2026-01-24
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 38 19 $168,999.22 $60,839.72 64% off $70,979.67 $152,099.30 $138,579.36 2026-01-24
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 38 19 $156,005.72 $56,162.06 64% off $65,522.40 $140,405.14 $127,924.69 2026-01-24
91 MS_DRG Other Disorders Of Nervous System With Mcc 38 19 $153,300.60 $55,188.22 64% off $64,386.25 $137,970.54 $125,706.49 2026-01-24
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 38 19 $149,745.32 $53,908.32 64% off $62,893.03 $134,770.79 $122,791.16 2026-01-24
330 MS_DRG Major Small And Large Bowel Procedures With Cc 38 19 $146,381.25 $52,697.25 64% off $61,480.13 $131,743.12 $120,032.62 2026-01-24
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 38 19 $143,127.28 $51,525.82 64% off $60,113.46 $128,814.55 $117,364.37 2026-01-24
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 38 19 $141,959.61 $51,105.46 64% off $59,623.03 $127,763.64 $116,406.88 2026-01-24
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 40 20 $137,840.90 $49,622.72 64% off $57,893.18 $293,530.90 $113,994.42 2026-01-24
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 38 19 $132,889.17 $47,840.10 64% off $55,813.45 $119,600.25 $108,969.12 2026-01-24
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 38 19 $131,708.50 $47,415.06 64% off $55,317.57 $118,537.65 $108,000.97 2026-01-24
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 38 19 $125,624.46 $45,224.80 64% off $52,762.27 $113,062.01 $103,012.05 2026-01-24
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 44 22 $120,849.13 $43,505.69 64% off $50,756.64 $310,291.13 $101,754.97 2026-01-24
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 38 19 $118,202.40 $42,552.86 64% off $49,645.01 $106,382.16 $96,925.97 2026-01-24
81 MS_DRG Nontraumatic Stupor And Coma Without Mcc 38 19 $116,114.48 $41,801.21 64% off $48,768.08 $104,503.03 $95,213.87 2026-01-24
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 40 20 $113,608.99 $40,899.24 64% off $47,715.78 $300,436.99 $93,954.63 2026-01-24
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 38 19 $113,386.60 $40,819.18 64% off $47,622.37 $102,047.94 $92,977.01 2026-01-24
299 MS_DRG Peripheral Vascular Disorders With Mcc 38 19 $112,640.94 $40,550.74 64% off $47,309.19 $101,376.85 $92,365.57 2026-01-24
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 38 19 $110,435.47 $39,756.77 64% off $46,382.90 $99,391.92 $90,557.08 2026-01-24
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 38 19 $108,864.79 $39,191.32 64% off $45,723.21 $97,978.31 $89,269.12 2026-01-24
552 MS_DRG Medical Back Problems Without Mcc 38 19 $108,398.89 $39,023.60 64% off $45,527.53 $97,559.00 $88,887.09 2026-01-24
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 38 19 $105,908.81 $38,127.17 64% off $44,481.70 $95,317.93 $86,845.22 2026-01-24
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 36 18 $103,755.61 $37,352.02 64% off $43,577.36 $93,380.05 $85,805.89 2026-01-24
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 38 19 $103,645.59 $37,312.41 64% off $43,531.15 $93,281.03 $84,989.38 2026-01-24
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 40 20 $100,966.95 $36,348.10 64% off $42,406.12 $241,087.95 $83,499.66 2026-01-24
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 38 19 $100,860.22 $36,309.68 64% off $42,361.29 $90,774.20 $82,705.38 2026-01-24
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 38 19 $100,387.59 $36,139.53 64% off $42,162.79 $90,348.83 $82,317.82 2026-01-24
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 38 19 $100,277.73 $36,099.98 64% off $42,116.65 $90,249.96 $82,227.74 2026-01-24
185 MS_DRG Major Chest Trauma Without Cc/mcc 40 20 $98,874.55 $35,594.84 64% off $41,527.31 $238,995.55 $81,769.25 2026-01-24
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 40 20 $96,947.50 $34,901.10 64% off $40,717.95 $205,930.50 $80,175.58 2026-01-24
70 MS_DRG Other Cerebrovascular Disorders With Mcc 38 19 $97,522.07 $35,107.94 64% off $40,959.27 $87,769.86 $79,968.09 2026-01-24
336 MS_DRG Peritoneal Adhesiolysis With Cc 38 19 $97,320.33 $35,035.32 64% off $40,874.54 $87,588.30 $79,802.67 2026-01-24
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 38 19 $97,169.84 $34,981.14 64% off $40,811.33 $87,452.86 $79,679.27 2026-01-24
644 MS_DRG Endocrine Disorders With Cc 38 19 $96,257.62 $34,652.74 64% off $40,428.20 $86,631.85 $78,931.24 2026-01-24
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 38 19 $93,851.14 $33,786.41 64% off $39,417.48 $84,466.03 $76,957.93 2026-01-24
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 38 19 $93,329.72 $33,598.70 64% off $39,198.48 $83,996.75 $76,530.37 2026-01-24
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 40 20 $91,421.59 $32,911.77 64% off $38,397.07 $184,835.59 $75,605.65 2026-01-24
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 38 19 $92,073.82 $33,146.57 64% off $38,671.00 $82,866.43 $75,500.53 2026-01-24
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 40 20 $88,525.70 $31,869.25 64% off $37,180.79 $197,508.70 $73,210.75 2026-01-24
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 38 19 $88,521.68 $31,867.80 64% off $37,179.11 $79,669.51 $72,587.78 2026-01-24
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 40 20 $87,757.17 $31,592.58 64% off $36,858.01 $181,171.17 $72,575.18 2026-01-24
593 MS_DRG Skin Ulcers With Cc 38 19 $88,204.04 $31,753.45 64% off $37,045.70 $79,383.64 $72,327.31 2026-01-24
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 38 19 $87,975.21 $31,671.08 64% off $36,949.59 $79,177.69 $72,139.67 2026-01-24
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 38 19 $87,160.30 $31,377.71 64% off $36,607.33 $78,444.27 $71,471.45 2026-01-24
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 38 19 $87,156.92 $31,376.49 64% off $36,605.91 $78,441.23 $71,468.68 2026-01-24
199 MS_DRG Pneumothorax With Mcc 38 19 $87,067.74 $31,344.39 64% off $36,568.45 $78,360.97 $71,395.55 2026-01-24
393 MS_DRG Other Digestive System Diagnoses With Mcc 38 19 $87,018.58 $31,326.69 64% off $36,547.80 $78,316.72 $71,355.24 2026-01-24
549 MS_DRG Septic Arthritis With Cc 38 19 $85,214.91 $30,677.37 64% off $35,790.26 $76,693.42 $69,876.23 2026-01-24
385 MS_DRG Inflammatory Bowel Disease With Mcc 42 21 $83,352.95 $30,007.06 64% off $35,008.24 $221,128.95 $69,516.36 2026-01-24
288 MS_DRG Acute And Subacute Endocarditis With Mcc 44 22 $82,142.29 $29,571.22 64% off $34,499.76 $194,085.29 $69,163.80 2026-01-24
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 38 19 $83,983.53 $30,234.07 64% off $35,273.08 $75,585.17 $68,866.49 2026-01-24
598 MS_DRG Malignant Breast Disorders With Cc 38 19 $82,488.64 $29,695.91 64% off $34,645.23 $74,239.78 $67,640.68 2026-01-24
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 38 19 $82,235.29 $29,604.70 64% off $34,538.82 $74,011.76 $67,432.94 2026-01-24
205 MS_DRG Other Respiratory System Diagnoses With Mcc 38 19 $82,168.71 $29,580.74 64% off $34,510.86 $73,951.84 $67,378.34 2026-01-24
177 MS_DRG Respiratory Infections And Inflammations With Mcc 38 19 $80,978.05 $29,152.10 64% off $34,010.78 $72,880.25 $66,402.00 2026-01-24
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 38 19 $80,960.92 $29,145.93 64% off $34,003.59 $72,864.83 $66,387.95 2026-01-24
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 38 19 $79,845.06 $28,744.22 64% off $33,534.93 $71,860.55 $65,472.95 2026-01-24
189 MS_DRG Pulmonary Edema And Respiratory Failure 38 19 $78,636.08 $28,308.99 64% off $33,027.15 $70,772.47 $64,481.58 2026-01-24
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 40 20 $77,808.52 $28,011.07 64% off $32,679.58 $171,222.52 $64,347.65 2026-01-24
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 40 20 $77,236.41 $27,805.11 64% off $32,439.29 $155,081.41 $63,874.51 2026-01-24
380 MS_DRG Complicated Peptic Ulcer With Mcc 38 19 $77,051.59 $27,738.57 64% off $32,361.67 $69,346.43 $63,182.30 2026-01-24
204 MS_DRG Respiratory Signs And Symptoms 38 19 $76,556.42 $27,560.31 64% off $32,153.70 $68,900.78 $62,776.26 2026-01-24
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 38 19 $76,347.26 $27,485.01 64% off $32,065.85 $68,712.53 $62,604.75 2026-01-24
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 38 19 $74,571.09 $26,845.59 64% off $31,319.86 $67,113.98 $61,148.30 2026-01-24
784 MS_DRG Cesarean Section With Sterilization With Cc 38 19 $74,419.34 $26,790.96 64% off $31,256.12 $66,977.41 $61,023.86 2026-01-24
637 MS_DRG Diabetes With Mcc 38 19 $74,255.58 $26,732.01 64% off $31,187.34 $66,830.02 $60,889.57 2026-01-24
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 38 19 $73,786.13 $26,563.01 64% off $30,990.17 $66,407.51 $60,504.62 2026-01-24
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 38 19 $72,217.43 $25,998.27 64% off $30,331.32 $150,062.43 $60,229.33 2026-01-24
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 38 19 $72,383.81 $26,058.17 64% off $30,401.20 $65,145.43 $59,354.73 2026-01-24
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 38 19 $72,235.31 $26,004.71 64% off $30,338.83 $65,011.78 $59,232.95 2026-01-24
643 MS_DRG Endocrine Disorders With Mcc 38 19 $71,943.73 $25,899.74 64% off $30,216.37 $64,749.36 $58,993.86 2026-01-24
974 MS_DRG HIV With Major Related Condition With Mcc 38 19 $70,621.54 $25,423.76 64% off $29,661.05 $63,559.39 $57,909.66 2026-01-24
291 MS_DRG Heart Failure And Shock With Mcc 40 20 $69,981.12 $25,193.20 64% off $29,392.07 $163,395.12 $57,874.38 2026-01-24
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 38 19 $70,532.88 $25,391.84 64% off $29,623.81 $63,479.59 $57,836.96 2026-01-24
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 40 20 $69,772.31 $25,118.03 64% off $29,304.37 $147,617.31 $57,701.70 2026-01-24
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 38 19 $69,992.62 $25,197.34 64% off $29,396.90 $62,993.36 $57,393.95 2026-01-24
71 MS_DRG Other Cerebrovascular Disorders With Cc 38 19 $69,631.46 $25,067.32 64% off $29,245.21 $62,668.31 $57,097.79 2026-01-24
683 MS_DRG Renal Failure With Cc 38 19 $69,027.28 $24,849.82 64% off $28,991.46 $62,124.55 $56,602.37 2026-01-24
100 MS_DRG Seizures With Mcc 38 19 $69,002.46 $24,840.88 64% off $28,981.03 $62,102.21 $56,582.01 2026-01-24
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 38 19 $68,432.92 $24,635.85 64% off $28,741.83 $61,589.63 $56,115.00 2026-01-24
501 MS_DRG Soft Tissue Procedures With Cc 38 19 $68,119.13 $24,522.89 64% off $28,610.03 $61,307.21 $55,857.68 2026-01-24
92 MS_DRG Other Disorders Of Nervous System With Cc 38 19 $67,709.48 $24,375.41 64% off $28,437.98 $60,938.53 $55,521.77 2026-01-24
594 MS_DRG Skin Ulcers Without Cc/mcc 40 20 $67,005.63 $24,122.03 64% off $28,142.36 $160,419.63 $55,413.66 2026-01-24
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 38 19 $67,366.46 $24,251.93 64% off $28,293.91 $60,629.81 $55,240.50 2026-01-24
976 MS_DRG HIV With Major Related Condition Without Cc/mcc 38 19 $66,696.37 $24,010.69 64% off $28,012.48 $60,026.73 $54,691.02 2026-01-24
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 38 19 $66,020.89 $23,767.52 64% off $27,728.77 $59,418.80 $54,137.13 2026-01-24
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 40 20 $63,533.61 $22,872.10 64% off $26,684.12 $141,378.61 $52,542.29 2026-01-24
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 36 18 $63,461.10 $22,846.00 64% off $26,653.66 $57,114.99 $52,482.33 2026-01-24
55 MS_DRG Nervous System Neoplasms Without Mcc 38 19 $63,745.76 $22,948.47 64% off $26,773.22 $57,371.18 $52,271.52 2026-01-24
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 38 19 $63,618.41 $22,902.63 64% off $26,719.73 $57,256.57 $52,167.10 2026-01-24
101 MS_DRG Seizures Without Mcc 38 19 $63,410.77 $22,827.88 64% off $26,632.52 $57,069.70 $51,996.83 2026-01-24
388 MS_DRG Gastrointestinal Obstruction With Mcc 38 19 $62,843.82 $22,623.77 64% off $26,394.40 $56,559.43 $51,531.93 2026-01-24
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 38 19 $62,545.56 $22,516.40 64% off $26,269.13 $56,291.00 $51,287.36 2026-01-24
571 MS_DRG Skin Debridement With Cc 38 19 $62,503.62 $22,501.30 64% off $26,251.52 $56,253.26 $51,252.97 2026-01-24
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 40 20 $61,877.57 $22,275.92 64% off $25,988.58 $139,722.57 $51,172.74 2026-01-24
638 MS_DRG Diabetes With Cc 40 20 $61,649.31 $22,193.75 64% off $25,892.71 $139,494.31 $50,983.99 2026-01-24
304 MS_DRG Hypertension With Mcc 40 20 $61,614.15 $22,181.09 64% off $25,877.94 $155,028.15 $50,954.90 2026-01-24
919 MS_DRG Complications Of Treatment With Mcc 38 19 $62,131.92 $22,367.49 64% off $26,095.41 $55,918.73 $50,948.17 2026-01-24
374 MS_DRG Digestive Malignancy With Mcc 38 19 $61,245.79 $22,048.48 64% off $25,723.23 $55,121.21 $50,221.55 2026-01-24
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 38 19 $61,107.80 $21,998.81 64% off $25,665.28 $54,997.02 $50,108.40 2026-01-24
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 38 19 $60,903.09 $21,925.11 64% off $25,579.30 $54,812.78 $49,940.53 2026-01-24
963 MS_DRG Other Multiple Significant Trauma With Mcc 38 19 $60,714.48 $21,857.21 64% off $25,500.08 $54,643.04 $49,785.88 2026-01-24
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 38 19 $60,387.85 $21,739.63 64% off $25,362.90 $54,349.07 $49,518.04 2026-01-24
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 38 19 $60,084.36 $21,630.37 64% off $25,235.43 $54,075.92 $49,269.18 2026-01-24
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 40 20 $59,492.25 $21,417.21 64% off $24,986.74 $137,337.25 $49,200.08 2026-01-24
607 MS_DRG Minor Skin Disorders Without Mcc 40 20 $59,064.94 $21,263.38 64% off $24,807.27 $136,909.94 $48,846.71 2026-01-24
947 MS_DRG Signs And Symptoms With Mcc 38 19 $59,369.94 $21,373.18 64% off $24,935.37 $53,432.95 $48,683.35 2026-01-24
444 MS_DRG Disorders Of The Biliary Tract With Mcc 40 20 $58,776.55 $21,159.56 64% off $24,686.15 $121,052.55 $48,608.21 2026-01-24
183 MS_DRG Major Chest Trauma With Mcc 38 19 $58,976.11 $21,231.40 64% off $24,769.97 $53,078.50 $48,360.41 2026-01-24
176 MS_DRG Pulmonary Embolism Without Mcc 38 19 $58,948.30 $21,221.39 64% off $24,758.29 $53,053.47 $48,337.61 2026-01-24
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 40 20 $58,041.83 $20,895.06 64% off $24,377.57 $120,317.83 $48,000.60 2026-01-24
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 40 20 $57,320.32 $20,635.32 64% off $24,074.54 $119,596.32 $47,403.91 2026-01-24
201 MS_DRG Pneumothorax Without Cc/mcc 40 20 $56,954.19 $20,503.51 64% off $23,920.76 $150,368.19 $47,101.12 2026-01-24
398 MS_DRG Appendix Procedures With Cc 38 19 $57,198.44 $20,591.44 64% off $24,023.34 $51,478.59 $46,902.72 2026-01-24
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 38 19 $57,076.67 $20,547.60 64% off $23,972.20 $51,369.00 $46,802.87 2026-01-24
682 MS_DRG Renal Failure With Mcc 40 20 $56,396.29 $20,302.66 64% off $23,686.44 $118,672.29 $46,639.72 2026-01-24
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 40 20 $56,188.29 $20,227.79 64% off $23,599.08 $134,033.29 $46,467.72 2026-01-24
292 MS_DRG Heart Failure And Shock With Cc 38 19 $56,607.01 $20,378.52 64% off $23,774.94 $50,946.31 $46,417.75 2026-01-24
89 MS_DRG Concussion With Cc 38 19 $56,497.21 $20,339.00 64% off $23,728.83 $50,847.49 $46,327.71 2026-01-24
684 MS_DRG Renal Failure Without Cc/mcc 38 19 $56,318.05 $20,274.50 64% off $23,653.58 $50,686.25 $46,180.80 2026-01-24
202 MS_DRG Bronchitis And Asthma With Cc/mcc 38 19 $55,897.23 $20,123.00 64% off $23,476.84 $50,307.51 $45,835.73 2026-01-24
754 MS_DRG Malignancy, Female Reproductive System With Mcc 38 19 $55,790.22 $20,084.48 64% off $23,431.89 $50,211.20 $45,747.98 2026-01-24
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 38 19 $55,675.00 $20,043.00 64% off $23,383.50 $50,107.50 $45,653.50 2026-01-24
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 40 20 $54,281.70 $19,541.41 64% off $22,798.31 $116,557.70 $44,890.96 2026-01-24
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 38 19 $53,738.01 $19,345.68 64% off $22,569.96 $48,364.21 $44,065.17 2026-01-24
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 36 18 $53,279.94 $19,180.78 64% off $22,377.58 $47,951.95 $44,062.51 2026-01-24
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 38 19 $53,619.39 $19,302.98 64% off $22,520.14 $48,257.45 $43,967.90 2026-01-24
949 MS_DRG Aftercare With Cc/mcc 44 22 $52,124.92 $18,764.97 64% off $21,892.46 $129,623.92 $43,889.18 2026-01-24
812 MS_DRG Red Blood Cell Disorders Without Mcc 38 19 $52,681.90 $18,965.48 64% off $22,126.40 $47,413.71 $43,199.16 2026-01-24
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 38 19 $52,531.47 $18,911.33 64% off $22,063.22 $47,278.32 $43,075.81 2026-01-24
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 38 19 $52,344.23 $18,843.92 64% off $21,984.57 $47,109.80 $42,922.26 2026-01-24
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 38 19 $51,671.47 $18,601.73 64% off $21,702.02 $46,504.32 $42,370.61 2026-01-24
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 38 19 $51,253.68 $18,451.32 64% off $21,526.55 $46,128.31 $42,028.02 2026-01-24
184 MS_DRG Major Chest Trauma With Cc 40 20 $50,749.20 $18,269.71 64% off $21,314.66 $128,594.20 $41,969.58 2026-01-24
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 38 19 $50,847.68 $18,305.16 64% off $21,356.02 $45,762.91 $41,695.10 2026-01-24
69 MS_DRG Transient Ischemia Without Thrombolytic 36 18 $50,031.90 $18,011.48 64% off $21,013.40 $45,028.71 $41,376.39 2026-01-24
602 MS_DRG Cellulitis With Mcc 38 19 $50,283.82 $18,102.17 64% off $21,119.20 $45,255.43 $41,232.73 2026-01-24
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 46 23 $48,094.74 $17,314.11 64% off $20,199.79 $141,508.74 $40,880.53 2026-01-24
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 38 19 $49,835.48 $17,940.77 64% off $20,930.90 $44,851.93 $40,865.09 2026-01-24
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 38 19 $49,513.83 $17,824.98 64% off $20,795.81 $44,562.44 $40,601.34 2026-01-24
394 MS_DRG Other Digestive System Diagnoses With Cc 40 20 $48,983.65 $17,634.11 64% off $20,573.13 $111,259.65 $40,509.49 2026-01-24
787 MS_DRG Cesarean Section Without Sterilization With Cc 38 19 $49,378.41 $17,776.23 64% off $20,738.93 $44,440.57 $40,490.29 2026-01-24
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 38 19 $49,327.92 $17,758.05 64% off $20,717.73 $44,395.13 $40,448.89 2026-01-24
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 38 19 $48,638.58 $17,509.89 64% off $20,428.20 $43,774.72 $39,883.64 2026-01-24
50590 HCPCS Shock Wave Crushing Of Kidney Stones 52 26 $49,054.00 $17,659.44 64% off $7,866.00 $80,939.10 $39,733.74 2026-01-24
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 40 20 $47,513.04 $17,104.69 64% off $19,955.48 $109,789.04 $39,293.29 2026-01-24
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 38 19 $47,872.54 $17,234.11 64% off $20,106.47 $43,085.28 $39,255.48 2026-01-24
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 38 19 $47,814.08 $17,213.07 64% off $20,081.92 $43,032.67 $39,207.55 2026-01-24
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 38 19 $47,654.62 $17,155.66 64% off $20,014.94 $42,889.16 $39,076.79 2026-01-24
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 38 19 $47,599.18 $17,135.70 64% off $19,991.65 $42,839.26 $39,031.32 2026-01-24
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 38 19 $47,569.77 $17,125.12 64% off $19,979.30 $42,812.79 $39,007.21 2026-01-24
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc 38 19 $47,349.47 $17,045.81 64% off $19,886.78 $42,614.52 $38,826.57 2026-01-24
539 MS_DRG Osteomyelitis With Mcc 44 22 $45,966.59 $16,547.97 64% off $19,305.97 $123,465.59 $38,703.87 2026-01-24
72 MS_DRG Other Cerebrovascular Disorders Without Cc/mcc 40 20 $46,417.78 $16,710.40 64% off $19,495.47 $93,011.78 $38,387.51 2026-01-24
572 MS_DRG Skin Debridement Without Cc/mcc 40 20 $46,390.69 $16,700.65 64% off $19,484.09 $93,097.69 $38,365.10 2026-01-24
551 MS_DRG Medical Back Problems With Mcc 38 19 $46,540.66 $16,754.64 64% off $19,547.08 $41,886.59 $38,163.34 2026-01-24
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 38 19 $46,450.82 $16,722.30 64% off $19,509.34 $41,805.74 $38,089.67 2026-01-24
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 40 20 $45,493.53 $16,377.67 64% off $19,107.28 $107,769.53 $37,623.15 2026-01-24
264 MS_DRG Other Circulatory System O.r. Procedures 44 22 $44,462.61 $16,006.54 64% off $18,674.30 $96,128.61 $37,437.52 2026-01-24
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 40 20 $45,238.59 $16,285.89 64% off $19,000.21 $107,514.59 $37,412.31 2026-01-24
103 MS_DRG Headaches Without Mcc 38 19 $45,446.06 $16,360.58 64% off $19,087.35 $40,901.45 $37,265.77 2026-01-24
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 38 19 $45,443.54 $16,359.67 64% off $19,086.29 $40,899.19 $37,263.70 2026-01-24
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 38 19 $45,385.91 $16,338.93 64% off $19,062.08 $40,847.31 $37,216.44 2026-01-24
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 38 19 $45,321.30 $16,315.67 64% off $19,034.95 $40,789.17 $37,163.46 2026-01-24
811 MS_DRG Red Blood Cell Disorders With Mcc 38 19 $45,207.44 $16,274.68 64% off $18,987.12 $40,686.70 $37,070.10 2026-01-24
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 40 20 $44,483.27 $16,013.98 64% off $18,682.97 $91,190.27 $36,787.67 2026-01-24
C1822 HCPCS Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 98 26 $45,973.00 $16,550.28 64% off $7,866.00 $45,973.00 $36,778.40 2026-01-24
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 40 20 $42,977.94 $15,472.06 64% off $18,050.74 $105,253.94 $35,542.76 2026-01-24
639 MS_DRG Diabetes Without Cc/mcc 40 20 $42,884.03 $15,438.25 64% off $18,011.29 $105,160.03 $35,465.10 2026-01-24
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 38 19 $42,543.32 $15,315.59 64% off $17,868.19 $38,288.98 $34,885.52 2026-01-24
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 38 19 $42,345.41 $15,244.35 64% off $17,785.07 $38,110.87 $34,723.24 2026-01-24
312 MS_DRG Syncope And Collapse 40 20 $41,776.70 $15,039.61 64% off $17,546.21 $88,483.70 $34,549.33 2026-01-24
399 MS_DRG Appendix Procedures Without Cc/mcc 38 19 $41,925.77 $15,093.28 64% off $17,608.82 $37,733.19 $34,379.13 2026-01-24
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 44 22 $40,654.92 $14,635.77 64% off $17,075.07 $92,320.92 $34,231.44 2026-01-24
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 38 19 $41,534.64 $14,952.47 64% off $17,444.55 $37,381.17 $34,058.40 2026-01-24
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 38 19 $41,512.45 $14,944.48 64% off $17,435.23 $37,361.21 $34,040.21 2026-01-24
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 38 19 $41,489.44 $14,936.20 64% off $17,425.57 $37,340.50 $34,021.34 2026-01-24
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 38 19 $41,475.46 $14,931.17 64% off $17,419.69 $37,327.91 $34,009.88 2026-01-24
813 MS_DRG Coagulation Disorders 40 20 $41,006.31 $14,762.27 64% off $17,222.65 $87,713.31 $33,912.21 2026-01-24
445 MS_DRG Disorders Of The Biliary Tract With Cc 40 20 $40,961.88 $14,746.28 64% off $17,203.99 $87,668.88 $33,875.47 2026-01-24
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 46 23 $39,783.62 $14,322.10 64% off $16,709.12 $117,628.62 $33,816.08 2026-01-24
902 MS_DRG Wound Debridements For Injuries With Cc 38 19 $40,675.38 $14,643.14 64% off $17,083.66 $36,607.84 $33,353.81 2026-01-24
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 40 20 $39,161.63 $14,098.19 64% off $16,447.88 $85,868.63 $32,386.67 2026-01-24
149 MS_DRG Dysequilibrium 38 19 $39,360.82 $14,169.89 64% off $16,531.54 $35,424.73 $32,275.87 2026-01-24
33285 HCPCS Insertion Of Heart Rhythm Monitor Under Skin 56 26 $40,372.00 $14,533.92 64% off $7,866.00 $66,613.80 $32,142.17 2026-01-24
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 40 20 $38,709.32 $13,935.36 64% off $16,257.91 $85,416.32 $32,012.60 2026-01-24
293 MS_DRG Heart Failure And Shock Without Cc/mcc 38 19 $38,670.58 $13,921.41 64% off $16,241.64 $34,803.52 $31,709.87 2026-01-24
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 40 20 $37,976.18 $13,671.42 64% off $15,950.00 $100,252.18 $31,406.30 2026-01-24
603 MS_DRG Cellulitis Without Mcc 40 20 $37,344.61 $13,444.06 64% off $15,684.74 $84,051.61 $30,884.00 2026-01-24
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 38 19 $37,402.15 $13,464.77 64% off $15,708.90 $33,661.94 $30,669.76 2026-01-24
187 MS_DRG Pleural Effusion With Cc 44 22 $35,504.92 $12,781.77 64% off $14,912.07 $78,559.92 $29,895.14 2026-01-24
865 MS_DRG Viral Illness With Mcc 38 19 $35,804.45 $12,889.60 64% off $15,037.87 $32,224.01 $29,359.65 2026-01-24
289 MS_DRG Acute And Subacute Endocarditis With Cc 42 21 $35,083.29 $12,629.98 64% off $14,734.98 $78,138.29 $29,259.46 2026-01-24
389 MS_DRG Gastrointestinal Obstruction With Cc 38 19 $35,645.35 $12,832.32 64% off $14,971.04 $32,080.81 $29,229.18 2026-01-24
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 38 19 $34,987.02 $12,595.33 64% off $14,694.55 $31,488.32 $28,689.36 2026-01-24
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 38 19 $34,614.41 $12,461.19 64% off $14,538.05 $31,152.97 $28,383.82 2026-01-24
305 MS_DRG Hypertension Without Mcc 44 22 $33,204.88 $11,953.76 64% off $13,946.05 $95,480.88 $27,958.51 2026-01-24
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 40 20 $33,695.92 $12,130.53 64% off $14,152.29 $80,402.92 $27,866.53 2026-01-24
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 40 20 $33,536.54 $12,073.16 64% off $14,085.35 $80,243.54 $27,734.72 2026-01-24
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 40 20 $32,995.53 $11,878.39 64% off $13,858.12 $79,702.53 $27,287.30 2026-01-24
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 38 19 $33,007.19 $11,882.59 64% off $13,863.02 $29,706.47 $27,065.90 2026-01-24
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 38 19 $32,541.74 $11,715.03 64% off $13,667.53 $29,287.57 $26,684.23 2026-01-24
915 MS_DRG Allergic Reactions With Mcc 38 19 $32,182.69 $11,585.77 64% off $13,516.73 $28,964.42 $26,389.81 2026-01-24
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 52 26 $32,951.00 $11,862.36 64% off $6,919.71 $32,951.00 $26,233.94 2026-01-24
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 38 19 $31,414.52 $11,309.23 64% off $13,194.10 $28,273.07 $25,759.91 2026-01-24
722 MS_DRG Malignancy, Male Reproductive System With Mcc 40 20 $30,723.62 $11,060.50 64% off $12,903.92 $77,430.62 $25,408.43 2026-01-24
538 MS_DRG Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/mcc 40 20 $28,503.40 $10,261.22 64% off $11,971.43 $59,641.40 $23,572.32 2026-01-24
386 MS_DRG Inflammatory Bowel Disease With Cc 40 20 $28,216.31 $10,157.87 64% off $11,850.85 $59,354.31 $23,334.89 2026-01-24
645 MS_DRG Endocrine Disorders Without Cc/mcc 40 20 $27,659.90 $9,957.56 64% off $11,617.16 $58,797.90 $22,874.74 2026-01-24
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 38 19 $26,792.63 $9,645.35 64% off $11,252.90 $24,113.37 $21,969.96 2026-01-24
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 44 22 $25,879.27 $9,316.54 64% off $10,869.29 $60,323.27 $21,790.35 2026-01-24
948 MS_DRG Signs And Symptoms Without Mcc 40 20 $25,939.90 $9,338.36 64% off $10,894.76 $57,077.90 $21,452.30 2026-01-24
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 40 20 $25,756.69 $9,272.41 64% off $10,817.81 $56,894.69 $21,300.79 2026-01-24
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 46 23 $24,934.00 $8,976.24 64% off $10,472.28 $71,641.00 $21,193.90 2026-01-24
303 MS_DRG Atherosclerosis Without Mcc 38 19 $24,915.26 $8,969.49 64% off $10,464.41 $22,423.73 $20,430.51 2026-01-24
J1930 HCPCS Injection, Lanreotide, 1 Mg 52 26 $26,260.87 $9,453.91 64% off $74.40 $26,260.87 $20,352.18 2026-01-24
11957829_1 CDM Operating Room Services - General Classification 48 24 $24,857.00 $8,948.52 64% off $5,219.97 $41,014.05 $19,789.90 2026-01-24
916 MS_DRG Allergic Reactions Without Mcc 40 20 $23,829.68 $8,578.68 64% off $10,008.47 $54,967.68 $19,707.15 2026-01-24
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 40 20 $23,288.41 $8,383.83 64% off $9,781.13 $54,426.41 $19,259.51 2026-01-24
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 40 20 $23,133.07 $8,327.91 64% off $9,715.89 $54,271.07 $19,131.05 2026-01-24
J3101 HCPCS Injection, Tenecteplase, 1 Mg 52 26 $24,126.22 $8,685.44 64% off $142.35 $24,126.22 $18,697.82 2026-01-24
J1950 HCPCS Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg 52 26 $24,079.91 $8,668.77 64% off $1,276.34 $24,079.91 $18,661.93 2026-01-24
178 MS_DRG Respiratory Infections And Inflammations With Cc 38 19 $22,704.70 $8,173.69 64% off $9,535.97 $20,434.23 $18,617.85 2026-01-24
951 MS_DRG Other Factors Influencing Health Status 40 20 $22,236.48 $8,005.13 64% off $9,339.32 $53,374.48 $18,389.57 2026-01-24
779 MS_DRG Abortion Without D&c 40 20 $21,843.03 $7,863.49 64% off $9,174.07 $52,981.03 $18,064.18 2026-01-24
153 MS_DRG Otitis Media And Uri Without Mcc 40 20 $21,480.15 $7,732.85 64% off $9,021.66 $52,618.15 $17,764.08 2026-01-24
998 MS_DRG Principal Diagnosis Invalid As Discharge Diagnosis 38 19 $21,259.70 $7,653.49 64% off $8,929.07 $19,133.73 $17,432.95 2026-01-24
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 94 26 $20,947.33 $7,541.04 64% off $54.40 $20,947.33 $16,757.86 2026-01-24
300 MS_DRG Peripheral Vascular Disorders With Cc 44 22 $19,900.09 $7,164.03 64% off $8,358.04 $45,733.09 $16,755.88 2026-01-24
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 52 26 $21,329.85 $7,678.75 64% off $231.11 $21,329.85 $16,530.64 2026-01-24
921 MS_DRG Complications Of Treatment Without Cc/mcc 40 20 $19,634.06 $7,068.26 64% off $8,246.30 $50,772.06 $16,237.36 2026-01-24
11957826_1 CDM Operating Room Services - General Classification 48 24 $20,352.00 $7,326.72 64% off $4,273.92 $33,580.80 $16,203.24 2026-01-24
E0616 HCPCS Implantable Cardiac Event Recorder With Memory, Activator And Programmer 52 26 $20,063.00 $7,222.68 64% off $4,213.23 $20,063.00 $15,973.15 2026-01-24
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 44 22 $18,767.81 $6,756.41 64% off $7,882.48 $44,600.81 $15,802.49 2026-01-24
378 MS_DRG Gastrointestinal Hemorrhage With Cc 38 19 $17,545.22 $6,316.28 64% off $7,368.99 $15,790.70 $14,387.08 2026-01-24
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 46 23 $16,717.22 $6,018.20 64% off $7,021.23 $47,855.22 $14,209.64 2026-01-24
11957823_1 CDM Operating Room Services - General Classification 48 24 $15,900.00 $5,724.00 64% off $3,339.00 $26,235.00 $12,879.00 2026-01-24
315 MS_DRG Other Circulatory System Diagnoses With Cc 44 22 $14,855.12 $5,347.84 64% off $6,239.15 $40,688.12 $12,508.01 2026-01-24
369 MS_DRG Major Esophageal Disorders With Cc 42 21 $14,934.21 $5,376.32 64% off $6,272.37 $32,156.21 $12,455.13 2026-01-24
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 52 26 $14,857.92 $5,348.85 64% off $1,795.27 $14,857.92 $12,406.36 2026-01-24
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 38 19 $14,612.82 $5,260.62 64% off $6,137.39 $13,151.54 $11,982.51 2026-01-24
J1459 HCPCS Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 52 26 $15,090.15 $5,432.45 64% off $127.98 $15,090.15 $11,694.87 2026-01-24
196 MS_DRG Interstitial Lung Disease With Mcc 40 20 $13,129.88 $4,726.76 64% off $5,514.55 $28,698.88 $10,858.41 2026-01-24
999 MS_DRG Ungroupable 40 20 $12,344.49 $4,444.02 64% off $5,184.69 $27,913.49 $10,208.89 2026-01-24
49418 HCPCS Insertion Of Abdominal Tube Using Imaging Guidance With Review By Radiologist 98 26 $11,982.00 $4,313.52 64% off $2,516.22 $26,178.90 $10,184.70 2026-01-24
Q5108 HCPCS Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 52 26 $13,026.00 $4,689.36 64% off $341.14 $13,026.00 $10,095.15 2026-01-24
9593582_1 CDM Intensive Care Unit - General Classification 38 19 $11,360.00 $4,089.60 64% off $4,771.20 $10,224.00 $9,315.20 2026-01-24
11957820_1 CDM Operating Room Services - General Classification 48 24 $11,342.00 $4,083.12 64% off $2,381.82 $18,714.30 $9,029.94 2026-01-24
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 40 20 $10,591.14 $3,812.81 64% off $4,448.28 $26,160.14 $8,758.87 2026-01-24
2470107_1 CDM Operating Room Services - General Classification 48 24 $10,756.80 $3,872.45 64% off $2,258.93 $17,748.72 $8,564.03 2026-01-24
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 52 26 $10,219.00 $3,678.84 64% off $2,145.99 $16,861.35 $8,277.39 2026-01-24
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 50 25 $10,009.00 $3,603.24 64% off $2,101.89 $16,514.85 $8,207.38 2026-01-24
99291 HCPCS Critical Care, First 30-74 Minutes 52 26 $9,581.00 $3,449.16 64% off $2,012.01 $15,808.65 $8,067.20 2026-01-24
10144057_1 CDM External Cephalic Version 20 10 $9,427.00 $3,393.72 64% off $2,356.75 $8,484.30 $8,012.95 2026-01-24
76 MS_DRG Viral Meningitis Without Cc/mcc 40 20 $9,627.47 $3,465.89 64% off $4,043.54 $25,196.47 $7,961.92 2026-01-24
59414 HCPCS Delivery Of Placenta 52 26 $9,427.00 $3,393.72 64% off $1,979.67 $15,554.55 $7,796.13 2026-01-24
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 52 26 $9,921.74 $3,571.83 64% off $122.64 $9,921.74 $7,778.65 2026-01-24
59412 HCPCS Turning Of Fetus Through External Manipulation 50 25 $9,427.00 $3,393.72 64% off $1,979.67 $15,554.55 $7,730.14 2026-01-24
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 144 26 $9,605.30 $3,457.91 64% off $492.20 $28,740.08 $7,663.16 2026-01-24
59300 HCPCS Episiotomy Or Repair Of Vagina 52 26 $8,991.00 $3,236.76 64% off $1,888.11 $14,835.15 $7,642.35 2026-01-24
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 52 26 $9,402.00 $3,384.72 64% off $1,974.42 $15,513.30 $7,615.62 2026-01-24
10077469_1 CDM Labor Room/delivery - Delivery Room 48 24 $9,520.00 $3,427.20 64% off $1,999.20 $15,708.00 $7,579.35 2026-01-24
604747_1 CDM Labor Room/delivery - Delivery Room 48 24 $9,520.00 $3,427.20 64% off $1,999.20 $15,708.00 $7,579.35 2026-01-24
10097932_1 CDM Labor Room/delivery - Delivery Room 48 24 $9,520.00 $3,427.20 64% off $1,999.20 $15,708.00 $7,579.35 2026-01-24
10077471_1 CDM Labor Room/delivery - Delivery Room 48 24 $9,520.00 $3,427.20 64% off $1,999.20 $15,708.00 $7,579.35 2026-01-24
13295896_1 CDM Labor Room/delivery - Delivery Room 48 24 $9,520.00 $3,427.20 64% off $1,999.20 $15,708.00 $7,579.35 2026-01-24
10077470_1 CDM Labor Room/delivery - Delivery Room 48 24 $9,520.00 $3,427.20 64% off $1,999.20 $15,708.00 $7,579.35 2026-01-24
10097931_1 CDM Labor Room/delivery - Delivery Room 48 24 $9,520.00 $3,427.20 64% off $1,999.20 $15,708.00 $7,579.35 2026-01-24
6421447_1 CDM Labor Room/delivery - Delivery Room 48 24 $9,520.00 $3,427.20 64% off $1,999.20 $15,708.00 $7,579.35 2026-01-24
12562519_1 CDM Labor Room/delivery - Delivery Room 48 24 $9,520.00 $3,427.20 64% off $1,999.20 $15,708.00 $7,579.35 2026-01-24
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 102 26 $8,350.00 $3,006.00 64% off $1,753.01 $18,364.50 $7,515.00 2026-01-24
95783 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (younger Than 6 Years) 52 26 $8,897.00 $3,202.92 64% off $1,868.37 $14,680.05 $7,357.82 2026-01-24
95782 HCPCS Sleep Study In Sleep Lab (younger Than 6 Years) 52 26 $8,513.00 $3,064.68 64% off $1,787.73 $14,046.45 $7,040.25 2026-01-24
694 MS_DRG Urinary Stones Without Mcc 40 20 $8,088.49 $2,911.86 64% off $3,397.17 $16,699.49 $6,689.18 2026-01-24
73706 HCPCS CT Scan Of Blood Vessels Of Lower Leg With Contrast 202 26 $7,846.00 $2,824.56 64% off $1,446.27 $19,418.85 $6,669.10 2026-01-24
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 196 26 $9,346.50 $3,364.74 64% off $1,552.95 $18,810.00 $6,655.50 2026-01-24
93312 HCPCS Ultrasound Of Heart With Probe In Esophagus, With Report 52 26 $8,008.00 $2,882.88 64% off $1,329.87 $13,213.20 $6,486.48 2026-01-24
70553 HCPCS MRI Scan Of Brain Before And After Contrast 98 26 $7,510.00 $2,703.60 64% off $1,577.10 $13,002.00 $6,383.50 2026-01-24
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 102 26 $7,757.00 $2,792.52 64% off $1,325.97 $12,870.00 $6,360.74 2026-01-24
73720 HCPCS MRI Scan Of Leg Before And After Contrast 98 26 $7,395.00 $2,662.20 64% off $1,552.95 $12,540.00 $6,285.75 2026-01-24
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 102 26 $6,850.00 $2,466.00 64% off $1,438.50 $13,594.35 $6,156.18 2026-01-24
19100 HCPCS Needle Biopsy Of Breast 288 25 $7,976.00 $2,871.36 64% off $1,196.37 $19,740.60 $6,150.69 2026-01-24
2470109_1 CDM Operating Room Services - General Classification 48 24 $7,705.46 $2,773.97 64% off $1,618.15 $12,714.01 $6,134.70 2026-01-24
33286 HCPCS Removal Of Heart Rhythm Monitor From Under The Skin 56 26 $7,246.00 $2,608.56 64% off $1,521.66 $12,519.54 $6,101.13 2026-01-24
78451 HCPCS Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect 102 26 $6,680.00 $2,404.80 64% off $1,330.19 $13,308.90 $6,012.00 2026-01-24
95805 HCPCS Sleep Study, Multiple Trials 102 26 $8,897.00 $3,202.92 64% off $1,401.33 $14,680.05 $6,005.70 2026-01-24
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 102 26 $6,667.00 $2,400.12 64% off $1,400.07 $13,594.35 $6,000.30 2026-01-24
2470108_1 CDM Operating Room Services - General Classification 48 24 $7,435.38 $2,676.74 64% off $1,561.43 $12,268.38 $5,919.68 2026-01-24
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 98 26 $6,746.00 $2,428.56 64% off $1,416.66 $12,419.55 $5,734.10 2026-01-24
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 104 26 $17,023.00 $6,128.28 64% off $621.60 $31,086.00 $5,706.03 2026-01-24
9593557_1 CDM Nursery - Newborn - Level Iii 38 19 $6,870.00 $2,473.20 64% off $2,885.40 $6,183.00 $5,633.40 2026-01-24
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