Price Transparencybeta Hospital negotiated rates

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

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Hospital

ADVENTIST HEALTH MENDOCINO COAST

Fort Bragg, CA · CCN 051325 · Rates published

2,958 distinct procedures filed
17 distinct payers
169,592 rate rows
2026-01-07 last MRF observed
Data quality

162,862 of 169,592 rate rows are consumer-grade (96.0%)

6,730 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 3,982
per-diem day rate — not a per-procedure price 1,718
template filing: same amount across many unrelated codes — excluded 450
exceeds 10× this hospital's gross charge — excluded from medians 398
percent-of-charges filed in the dollar field — excluded from medians 166
exceeds 3× this hospital's gross charge for a DRG stay — excluded 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMCDHFORTBRAGGCA&type=CDMWithoutLabel&fileType=CSV
Found on page https://www.adventisthealth.org/patients-and-visitors/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-13
Content fingerprint 2f663533d2aac667… · 51,211,890 bytes · first seen 2026-05-06

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
374
MS_DRG 		Digestive Malignancy With Mcc 2 $15,390.09 $297,397.57 $156,393.83 nat. median
$15,192
outlier · 10.3×
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 $8,103.42 $231,181.29 $119,642.35 nat. median
$8,402
outlier · 14.2×
602
MS_DRG 		Cellulitis With Mcc 2 $10,227.67 $196,179.42 $103,203.54 nat. median
$10,595
outlier · 9.7×
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 $14,378.33 $189,186.41 $101,782.37 nat. median
$14,550
outlier · 7.0×
555
MS_DRG 		Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 2 $9,511.67 $191,350.53 $100,431.10 nat. median
$9,426
outlier · 10.7×
393
MS_DRG 		Other Digestive System Diagnoses With Mcc 2 $11,508.56 $180,686.66 $96,097.61 nat. median
$11,985
outlier · 8.0×
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 $25,990.51 $148,045.51 $87,018.01 nat. median
$24,748
outlier · 3.5×
264
MS_DRG 		Other Circulatory System O.r. Procedures 2 $24,038.96 $125,880.67 $74,959.82 nat. median
$23,998
outlier · 3.1×
949
MS_DRG 		Aftercare With Cc/mcc 2 $8,561.08 $122,744.69 $65,652.88 nat. median
$8,367
outlier · 7.8×
248
MS_DRG 		Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 2 $21,658.52 $108,853.36 $65,255.94 nat. median
$2,024
outlier · 32.2×
584
MS_DRG 		Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 2 $15,404.48 $96,698.59 $56,051.54 nat. median
$15,056
outlier · 3.7×
100
MS_DRG 		Seizures With Mcc 2 $13,937.21 $95,467.78 $54,702.50 nat. median
$13,848
outlier · 4.0×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 $13,978.23 $93,743.63 $53,860.93 nat. median
$14,442
outlier · 3.7×
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 2 $11,245.19 $93,077.13 $52,161.16 nat. median
$11,701
outlier · 4.5×
299
MS_DRG 		Peripheral Vascular Disorders With Mcc 2 $11,748.91 $89,046.59 $50,397.75 nat. median
$11,794
outlier · 4.3×
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 2 $9,458.42 $88,865.53 $49,161.97 nat. median
$9,802
outlier · 5.0×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $46,304.10 $46,304.10 $46,304.10 nat. median
$47,121
1.0× median
435
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 $13,216.89 $78,338.21 $45,777.55 nat. median
$13,132
outlier · 3.5×
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 2 $5,784.86 $84,057.17 $44,921.01 nat. median
$5,841
outlier · 7.7×
388
MS_DRG 		Gastrointestinal Obstruction With Mcc 2 $10,627.05 $77,855.83 $44,241.44 nat. median
$10,670
outlier · 4.1×
593
MS_DRG 		Skin Ulcers With Cc 2 $8,536.61 $78,476.19 $43,506.40 nat. median
$8,571
outlier · 5.1×
638
MS_DRG 		Diabetes With Cc 2 $6,449.06 $79,461.56 $42,955.31 nat. median
$6,741
outlier · 6.4×
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 2 $7,363.67 $78,084.87 $42,724.27 nat. median
$7,744
outlier · 5.5×
563
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 2 $6,444.02 $77,561.99 $42,003.01 nat. median
$6,710
outlier · 6.3×
291
MS_DRG 		Heart Failure And Shock With Mcc 2 $9,238.22 $73,418.53 $41,328.38 nat. median
$9,572
outlier · 4.3×
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 $24,547.29 $56,279.29 $40,413.29 nat. median
$24,752
1.6× median
300
MS_DRG 		Peripheral Vascular Disorders With Cc 2 $7,681.73 $73,124.06 $40,402.90 nat. median
$7,999
outlier · 5.1×
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 2 $9,610.98 $71,160.60 $40,385.79 nat. median
$9,697
outlier · 4.2×
439
MS_DRG 		Disorders Of Pancreas Except Malignancy With Cc 2 $6,053.28 $74,494.76 $40,274.02 nat. median
$6,417
outlier · 6.3×
690
MS_DRG 		Kidney And Urinary Tract Infections Without Mcc 2 $5,825.16 $72,620.24 $39,222.70 nat. median
$6,107
outlier · 6.4×
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 2 $11,543.10 $61,945.43 $36,744.26 nat. median
$11,829
outlier · 3.1×
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 2 $7,023.30 $65,860.02 $36,441.66 nat. median
$7,418
outlier · 4.9×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 $35,538.17 $35,538.17 $35,538.17 nat. median
$34,733
1.0× median
392
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 2 $5,610.00 $65,367.00 $35,488.50 nat. median
$5,890
outlier · 6.0×
699
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Cc 2 $7,303.94 $62,752.56 $35,028.25 nat. median
$7,611
outlier · 4.6×
601
MS_DRG 		Non-malignant Breast Disorders Without Cc/mcc 2 $4,353.58 $64,390.75 $34,372.17 nat. median
$4,501
outlier · 7.6×
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 2 $9,126.69 $59,501.81 $34,314.25 nat. median
$9,511
outlier · 3.6×
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 2 $8,349.52 $59,311.73 $33,830.62 nat. median
$8,710
outlier · 3.9×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 1 $33,076.41 $33,076.41 $33,076.41 nat. median
$33,435
1.0× median
799
MS_DRG 		Splenic Procedures With Mcc 1 $32,589.96 $32,589.96 $32,589.96 nat. median
$32,381
1.0× median
305
MS_DRG 		Hypertension Without Mcc 2 $5,433.70 $59,574.41 $32,504.06 nat. median
$5,752
outlier · 5.7×
389
MS_DRG 		Gastrointestinal Obstruction With Cc 2 $5,683.40 $59,278.20 $32,480.80 nat. median
$5,994
outlier · 5.4×
556
MS_DRG 		Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 2 $5,977.00 $57,299.41 $31,638.21 nat. median
$6,105
outlier · 5.2×
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 2 $7,971.01 $54,812.92 $31,391.96 nat. median
$8,303
outlier · 3.8×
571
MS_DRG 		Skin Debridement With Cc 2 $12,157.64 $49,035.00 $30,596.32 nat. median
$12,106
outlier · 2.5×
282
MS_DRG 		Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 2 $5,203.43 $55,607.66 $30,405.55 nat. median
$5,680
outlier · 5.4×
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 2 $13,419.82 $45,717.07 $29,568.44 nat. median
$13,403
outlier · 2.2×
368
MS_DRG 		Major Esophageal Disorders With Mcc 2 $11,455.31 $46,530.79 $28,993.05 nat. median
$11,820
outlier · 2.5×
759
MS_DRG 		Infections, Female Reproductive System Without Cc/mcc 2 $4,775.27 $51,251.62 $28,013.45 nat. median
$4,818
outlier · 5.8×
139
MS_DRG 		Salivary Gland Procedures 2 $8,697.09 $46,592.44 $27,644.77 nat. median
$8,855
outlier · 3.1×

Other procedures at this hospital

Browse this hospital's 2,958 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
             
374 MS_DRG Digestive Malignancy With Mcc 4 2 $130,804.57 $86,331.02 34% off $15,390.09 $297,397.57 $156,393.83 2026-01-07
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 4 2 $80,454.29 $53,099.83 34% off $8,103.42 $231,181.29 $119,642.35 2026-01-07
602 MS_DRG Cellulitis With Mcc 4 2 $77,184.42 $50,941.72 34% off $10,227.67 $196,179.42 $103,203.54 2026-01-07
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 4 2 $99,322.41 $65,552.79 34% off $14,378.33 $189,186.41 $101,782.37 2026-01-07
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 4 2 $64,422.53 $42,518.87 34% off $9,511.67 $191,350.53 $100,431.10 2026-01-07
393 MS_DRG Other Digestive System Diagnoses With Mcc 4 2 $68,648.66 $45,308.12 34% off $11,508.56 $180,686.66 $96,097.61 2026-01-07
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 2 $52,849.51 $34,880.68 34% off $25,990.51 $148,045.51 $87,018.01 2026-01-07
264 MS_DRG Other Circulatory System O.r. Procedures 4 2 $54,483.67 $35,959.22 34% off $24,038.96 $125,880.67 $74,959.82 2026-01-07
949 MS_DRG Aftercare With Cc/mcc 4 2 $43,414.69 $28,653.69 34% off $8,561.08 $122,744.69 $65,652.88 2026-01-07
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 4 2 $43,437.36 $28,668.66 34% off $21,658.52 $108,853.36 $65,255.94 2026-01-07
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 4 2 $41,167.59 $27,170.61 34% off $15,404.48 $96,698.59 $56,051.54 2026-01-07
100 MS_DRG Seizures With Mcc 4 2 $46,893.78 $30,949.90 34% off $13,937.21 $95,467.78 $54,702.50 2026-01-07
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 4 2 $45,169.63 $29,811.96 34% off $13,978.23 $93,743.63 $53,860.93 2026-01-07
177 MS_DRG Respiratory Infections And Inflammations With Mcc 4 2 $44,503.13 $29,372.07 34% off $11,245.19 $93,077.13 $52,161.16 2026-01-07
299 MS_DRG Peripheral Vascular Disorders With Mcc 4 2 $40,472.59 $26,711.91 34% off $11,748.91 $89,046.59 $50,397.75 2026-01-07
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 4 2 $40,291.53 $26,592.41 34% off $9,458.42 $88,865.53 $49,161.97 2026-01-07
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 1 $98,250.00 $64,845.00 34% off $46,304.10 $46,304.10 $46,304.10 2026-01-07
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 4 2 $37,697.21 $24,880.16 34% off $13,216.89 $78,338.21 $45,777.55 2026-01-07
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 4 2 $28,526.17 $18,827.27 34% off $5,784.86 $84,057.17 $44,921.01 2026-01-07
388 MS_DRG Gastrointestinal Obstruction With Mcc 4 2 $37,214.83 $24,561.79 34% off $10,627.05 $77,855.83 $44,241.44 2026-01-07
593 MS_DRG Skin Ulcers With Cc 4 2 $38,811.19 $25,615.38 34% off $8,536.61 $78,476.19 $43,506.40 2026-01-07
638 MS_DRG Diabetes With Cc 4 2 $30,887.56 $20,385.79 34% off $6,449.06 $79,461.56 $42,955.31 2026-01-07
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 4 2 $29,510.87 $19,477.18 34% off $7,363.67 $78,084.87 $42,724.27 2026-01-07
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 4 2 $29,963.99 $19,776.24 34% off $6,444.02 $77,561.99 $42,003.01 2026-01-07
291 MS_DRG Heart Failure And Shock With Mcc 4 2 $32,777.53 $21,633.17 34% off $9,238.22 $73,418.53 $41,328.38 2026-01-07
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 2 $24,547.29 $16,201.21 34% off $24,547.29 $56,279.29 $40,413.29 2026-01-07
300 MS_DRG Peripheral Vascular Disorders With Cc 4 2 $25,526.06 $16,847.20 34% off $7,681.73 $73,124.06 $40,402.90 2026-01-07
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 4 2 $30,519.60 $20,142.94 34% off $9,610.98 $71,160.60 $40,385.79 2026-01-07
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 4 2 $33,853.76 $22,343.48 34% off $6,053.28 $74,494.76 $40,274.02 2026-01-07
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 4 2 $31,979.24 $21,106.30 34% off $5,825.16 $72,620.24 $39,222.70 2026-01-07
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 4 2 $29,237.43 $19,296.70 34% off $11,543.10 $61,945.43 $36,744.26 2026-01-07
178 MS_DRG Respiratory Infections And Inflammations With Cc 4 2 $26,195.02 $17,288.71 34% off $7,023.30 $65,860.02 $36,441.66 2026-01-07
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 1 $81,742.01 $53,949.73 34% off $35,538.17 $35,538.17 $35,538.17 2026-01-07
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 4 2 $32,659.00 $21,554.94 34% off $5,610.00 $65,367.00 $35,488.50 2026-01-07
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 4 2 $30,044.56 $19,829.41 34% off $7,303.94 $62,752.56 $35,028.25 2026-01-07
601 MS_DRG Non-malignant Breast Disorders Without Cc/mcc 4 2 $24,725.75 $16,319.00 34% off $4,353.58 $64,390.75 $34,372.17 2026-01-07
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 4 2 $26,793.81 $17,683.92 34% off $9,126.69 $59,501.81 $34,314.25 2026-01-07
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 4 2 $27,579.73 $18,202.62 34% off $8,349.52 $59,311.73 $33,830.62 2026-01-07
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 1 $96,497.79 $63,688.54 34% off $33,076.41 $33,076.41 $33,076.41 2026-01-07
799 MS_DRG Splenic Procedures With Mcc 2 1 $46,814.99 $30,897.89 34% off $32,589.96 $32,589.96 $32,589.96 2026-01-07
305 MS_DRG Hypertension Without Mcc 4 2 $27,842.41 $18,375.99 34% off $5,433.70 $59,574.41 $32,504.06 2026-01-07
389 MS_DRG Gastrointestinal Obstruction With Cc 4 2 $26,570.20 $17,536.33 34% off $5,683.40 $59,278.20 $32,480.80 2026-01-07
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 4 2 $25,567.41 $16,874.49 34% off $5,977.00 $57,299.41 $31,638.21 2026-01-07
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 4 2 $22,104.92 $14,589.25 34% off $7,971.01 $54,812.92 $31,391.96 2026-01-07
571 MS_DRG Skin Debridement With Cc 4 2 $17,303.00 $11,419.98 34% off $12,157.64 $49,035.00 $30,596.32 2026-01-07
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 4 2 $22,899.66 $15,113.78 34% off $5,203.43 $55,607.66 $30,405.55 2026-01-07
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 4 2 $21,918.07 $14,465.92 34% off $13,419.82 $45,717.07 $29,568.44 2026-01-07
368 MS_DRG Major Esophageal Disorders With Mcc 4 2 $22,731.79 $15,002.98 34% off $11,455.31 $46,530.79 $28,993.05 2026-01-07
759 MS_DRG Infections, Female Reproductive System Without Cc/mcc 4 2 $19,519.62 $12,882.95 34% off $4,775.27 $51,251.62 $28,013.45 2026-01-07
139 MS_DRG Salivary Gland Procedures 4 2 $21,817.44 $14,399.51 34% off $8,697.09 $46,592.44 $27,644.77 2026-01-07
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 4 2 $23,518.00 $15,521.88 34% off $6,167.69 $48,293.00 $27,230.34 2026-01-07
137 MS_DRG Mouth Procedures With Cc/mcc 4 2 $17,574.76 $11,599.34 34% off $10,745.07 $42,468.82 $26,606.94 2026-01-07
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 2 1 $45,972.63 $30,341.94 34% off $26,110.69 $26,110.69 $26,110.69 2026-01-07
684 MS_DRG Renal Failure Without Cc/mcc 4 2 $23,630.71 $15,596.27 34% off $4,319.76 $47,429.71 $25,874.74 2026-01-07
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 4 2 $20,365.92 $13,441.51 34% off $5,599.93 $45,140.92 $25,370.42 2026-01-07
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 1 $89,074.55 $58,789.20 34% off $25,095.33 $25,095.33 $25,095.33 2026-01-07
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 34 17 $38,181.19 $25,199.59 34% off $65.76 $114,543.57 $24,817.77 2026-01-07
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 1 $37,890.35 $25,007.63 34% off $24,517.49 $24,517.49 $24,517.49 2026-01-07
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 4 2 $19,538.03 $12,895.10 34% off $4,522.69 $43,337.03 $23,929.86 2026-01-07
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 1 $52,964.29 $34,956.43 34% off $23,304.25 $23,304.25 $23,304.25 2026-01-07
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 1 $28,225.15 $18,628.60 34% off $23,278.34 $23,278.34 $23,278.34 2026-01-07
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 2 1 $32,264.69 $21,294.70 34% off $20,882.79 $20,882.79 $20,882.79 2026-01-07
974 MS_DRG HIV With Major Related Condition With Mcc 2 1 $45,090.33 $29,759.62 34% off $20,767.66 $20,767.66 $20,767.66 2026-01-07
J9043 HCPCS Injection, Cabazitaxel, 1 Mg 34 17 $31,619.55 $20,868.90 34% off $163.47 $94,858.65 $20,552.71 2026-01-07
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 1 $52,972.77 $34,962.03 34% off $19,779.65 $19,779.65 $19,779.65 2026-01-07
J9309 HCPCS Injection, Polatuzumab Vedotin-piiq, 1 Mg 34 17 $29,472.31 $19,451.72 34% off $130.03 $88,416.93 $19,157.00 2026-01-07
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 4 2 $13,052.46 $8,614.62 34% off $7,215.43 $29,894.46 $18,554.94 2026-01-07
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 4 2 $13,365.21 $8,821.04 34% off $6,613.84 $29,231.21 $17,922.53 2026-01-07
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 1 $52,265.00 $34,494.90 34% off $17,250.25 $17,250.25 $17,250.25 2026-01-07
397 MS_DRG Appendix Procedures With Mcc 2 1 $64,474.63 $42,553.26 34% off $17,233.70 $17,233.70 $17,233.70 2026-01-07
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 1 $63,004.90 $41,583.23 34% off $17,172.53 $17,172.53 $17,172.53 2026-01-07
56 MS_DRG Degenerative Nervous System Disorders With Mcc 2 1 $33,391.55 $22,038.42 34% off $16,717.03 $16,717.03 $16,717.03 2026-01-07
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 1 $22,860.97 $15,088.24 34% off $15,888.05 $15,888.05 $15,888.05 2026-01-07
J9042 HCPCS Injection, Brentuximab Vedotin, 1 Mg 34 17 $23,871.60 $15,755.26 34% off $113.04 $71,614.80 $15,516.54 2026-01-07
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 2 1 $86,320.01 $56,971.21 34% off $15,236.81 $15,236.81 $15,236.81 2026-01-07
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 1 $46,701.78 $30,823.17 34% off $15,174.21 $15,174.21 $15,174.21 2026-01-07
314 MS_DRG Other Circulatory System Diagnoses With Mcc 2 1 $47,093.31 $31,081.58 34% off $15,005.10 $15,005.10 $15,005.10 2026-01-07
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 1 $48,909.74 $32,280.43 34% off $14,471.16 $14,471.16 $14,471.16 2026-01-07
539 MS_DRG Osteomyelitis With Mcc 2 1 $26,665.87 $17,599.47 34% off $14,173.96 $14,173.96 $14,173.96 2026-01-07
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 2 1 $56,112.57 $37,034.29 34% off $14,163.17 $14,163.17 $14,163.17 2026-01-07
380 MS_DRG Complicated Peptic Ulcer With Mcc 2 1 $16,517.54 $10,901.57 34% off $14,119.99 $14,119.99 $14,119.99 2026-01-07
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 2 1 $25,760.93 $17,002.21 34% off $13,604.04 $13,604.04 $13,604.04 2026-01-07
196 MS_DRG Interstitial Lung Disease With Mcc 2 1 $33,192.50 $21,907.05 34% off $13,580.29 $13,580.29 $13,580.29 2026-01-07
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 34 17 $20,790.18 $13,721.52 34% off $51.05 $62,370.54 $13,513.62 2026-01-07
J1930 HCPCS Injection, Lanreotide, 1 Mg 34 17 $20,668.42 $13,641.16 34% off $31.78 $62,005.26 $13,434.47 2026-01-07
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 2 1 $28,473.81 $18,792.71 34% off $13,154.29 $13,154.29 $13,154.29 2026-01-07
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 2 1 $20,402.55 $13,465.68 34% off $13,123.35 $13,123.35 $13,123.35 2026-01-07
J9119 HCPCS Injection, Cemiplimab-rwlc, 1 Mg 34 17 $20,000.00 $13,200.00 34% off $32.03 $60,000.00 $13,000.00 2026-01-07
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 32 16 $19,936.79 $13,158.28 34% off $41.05 $59,810.37 $12,968.88 2026-01-07
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 1 $38,077.25 $25,130.98 34% off $12,914.66 $12,914.66 $12,914.66 2026-01-07
J9316 HCPCS Injection, Pertuzumab, Trastuzumab, And Hyaluronidase-zzxf, Per 10 Mg 34 17 $19,656.75 $12,973.46 34% off $85.67 $58,970.25 $12,776.89 2026-01-07
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 2 1 $67,392.68 $44,479.17 34% off $12,759.23 $12,759.23 $12,759.23 2026-01-07
J9301 HCPCS Injection, Obinutuzumab, 10 Mg 34 17 $19,622.46 $12,950.82 34% off $62.62 $58,867.38 $12,754.60 2026-01-07
180 MS_DRG Respiratory Neoplasms With Mcc 2 1 $52,771.80 $34,829.39 34% off $12,708.14 $12,708.14 $12,708.14 2026-01-07
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 34 17 $19,490.48 $12,863.72 34% off $19.51 $58,471.44 $12,668.81 2026-01-07
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 1 $59,239.81 $39,098.27 34% off $12,644.81 $12,644.81 $12,644.81 2026-01-07
91 MS_DRG Other Disorders Of Nervous System With Mcc 2 1 $32,137.71 $21,210.89 34% off $12,637.62 $12,637.62 $12,637.62 2026-01-07
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 2 1 $54,414.54 $35,913.60 34% off $12,588.68 $12,588.68 $12,588.68 2026-01-07
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 2 1 $49,721.22 $32,816.01 34% off $12,557.74 $12,557.74 $12,557.74 2026-01-07
J9272 HCPCS Injection, Dostarlimab-gxly, 10 Mg 32 16 $19,045.14 $12,569.79 34% off $653.57 $57,135.42 $12,388.86 2026-01-07
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 2 1 $44,386.81 $29,295.29 34% off $12,301.56 $12,301.56 $12,301.56 2026-01-07
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 2 1 $33,428.12 $22,062.56 34% off $12,172.75 $12,172.75 $12,172.75 2026-01-07
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 2 1 $35,842.22 $23,655.87 34% off $12,110.15 $12,110.15 $12,110.15 2026-01-07
551 MS_DRG Medical Back Problems With Mcc 2 1 $39,725.76 $26,219.00 34% off $12,061.22 $12,061.22 $12,061.22 2026-01-07
444 MS_DRG Disorders Of The Biliary Tract With Mcc 2 1 $31,712.68 $20,930.37 34% off $12,023.80 $12,023.80 $12,023.80 2026-01-07
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 2 1 $45,091.94 $29,760.68 34% off $11,905.06 $11,905.06 $11,905.06 2026-01-07
643 MS_DRG Endocrine Disorders With Mcc 2 1 $37,209.68 $24,558.39 34% off $11,845.34 $11,845.34 $11,845.34 2026-01-07
J3101 HCPCS Injection, Tenecteplase, 1 Mg 34 17 $18,052.49 $11,914.64 34% off $60.81 $54,157.47 $11,734.12 2026-01-07
C1785 HCPCS Pacemaker, Dual Chamber, Rate-responsive (implantable) 32 16 $15,798.00 $10,426.68 34% off $3,102.00 $47,394.00 $11,602.84 2026-01-07
884 MS_DRG Organic Disturbances And Intellectual Disability 2 1 $20,987.85 $13,851.98 34% off $11,577.64 $11,577.64 $11,577.64 2026-01-07
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 2 1 $35,519.24 $23,442.70 34% off $11,544.54 $11,544.54 $11,544.54 2026-01-07
385 MS_DRG Inflammatory Bowel Disease With Mcc 2 1 $32,105.06 $21,189.34 34% off $11,386.23 $11,386.23 $11,386.23 2026-01-07
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 2 1 $23,786.19 $15,698.88 34% off $11,339.46 $11,339.46 $11,339.46 2026-01-07
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 2 1 $40,138.03 $26,491.10 34% off $11,286.21 $11,286.21 $11,286.21 2026-01-07
186 MS_DRG Pleural Effusion With Mcc 2 1 $22,380.06 $14,770.84 34% off $11,214.97 $11,214.97 $11,214.97 2026-01-07
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 2 1 $17,918.69 $11,826.34 34% off $11,045.86 $11,045.86 $11,045.86 2026-01-07
183 MS_DRG Major Chest Trauma With Mcc 2 1 $21,775.68 $14,371.95 34% off $11,009.16 $11,009.16 $11,009.16 2026-01-07
54 MS_DRG Nervous System Neoplasms With Mcc 2 1 $35,160.11 $23,205.67 34% off $10,987.57 $10,987.57 $10,987.57 2026-01-07
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 2 1 $33,891.79 $22,368.58 34% off $10,970.30 $10,970.30 $10,970.30 2026-01-07
398 MS_DRG Appendix Procedures With Cc 2 1 $32,479.81 $21,436.67 34% off $10,891.87 $10,891.87 $10,891.87 2026-01-07
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 2 1 $36,987.95 $24,412.05 34% off $10,699.73 $10,699.73 $10,699.73 2026-01-07
682 MS_DRG Renal Failure With Mcc 2 1 $54,916.35 $36,244.79 34% off $10,657.28 $10,657.28 $10,657.28 2026-01-07
637 MS_DRG Diabetes With Mcc 2 1 $48,125.46 $31,762.80 34% off $10,338.49 $10,338.49 $10,338.49 2026-01-07
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 2 1 $34,280.38 $22,625.05 34% off $10,252.86 $10,252.86 $10,252.86 2026-01-07
J9311 HCPCS Injection, Rituximab 10 Mg And Hyaluronidase 34 17 $15,678.55 $10,347.84 34% off $57.03 $47,035.65 $10,191.06 2026-01-07
811 MS_DRG Red Blood Cell Disorders With Mcc 2 1 $29,032.82 $19,161.66 34% off $10,105.34 $10,105.34 $10,105.34 2026-01-07
885 MS_DRG Psychoses 2 1 $50,057.88 $33,038.20 34% off $10,051.37 $10,051.37 $10,051.37 2026-01-07
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 2 1 $16,663.84 $10,998.13 34% off $9,935.52 $9,935.52 $9,935.52 2026-01-07
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 2 1 $42,106.14 $27,790.05 34% off $9,884.43 $9,884.43 $9,884.43 2026-01-07
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 2 1 $30,111.82 $19,873.80 34% off $9,828.30 $9,828.30 $9,828.30 2026-01-07
J9228 HCPCS Injection, Ipilimumab, 1 Mg 34 17 $14,913.78 $9,843.09 34% off $145.61 $44,741.34 $9,693.96 2026-01-07
693 MS_DRG Urinary Stones With Mcc 2 1 $19,439.79 $12,830.26 34% off $9,675.02 $9,675.02 $9,675.02 2026-01-07
C1786 HCPCS Pacemaker, Single Chamber, Rate-responsive (implantable) 32 16 $12,955.00 $8,550.30 34% off $3,102.00 $38,865.00 $9,514.80 2026-01-07
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 2 1 $28,485.09 $18,800.16 34% off $9,446.19 $9,446.19 $9,446.19 2026-01-07
293 MS_DRG Heart Failure And Shock Without Cc/mcc 4 2 $6,845.00 $4,517.70 34% off $4,072.94 $14,778.00 $9,425.47 2026-01-07
J9306 HCPCS Injection, Pertuzumab, 1 Mg 34 17 $14,489.45 $9,563.04 34% off $11.80 $43,468.35 $9,418.14 2026-01-07
540 MS_DRG Osteomyelitis With Cc 2 1 $39,237.72 $25,896.90 34% off $9,328.17 $9,328.17 $9,328.17 2026-01-07
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 2 1 $10,744.84 $7,091.59 34% off $9,323.14 $9,323.14 $9,323.14 2026-01-07
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 2 1 $36,096.03 $23,823.38 34% off $9,225.27 $9,225.27 $9,225.27 2026-01-07
947 MS_DRG Signs And Symptoms With Mcc 2 1 $15,486.04 $10,220.79 34% off $9,134.60 $9,134.60 $9,134.60 2026-01-07
189 MS_DRG Pulmonary Edema And Respiratory Failure 2 1 $49,418.34 $32,616.10 34% off $8,889.94 $8,889.94 $8,889.94 2026-01-07
J1299 HCPCS Injection, Eculizumab, 2 Mg 32 16 $12,698.11 $8,380.75 34% off $3,102.00 $38,094.33 $8,888.68 2026-01-07
375 MS_DRG Digestive Malignancy With Cc 2 1 $38,457.70 $25,382.08 34% off $8,704.28 $8,704.28 $8,704.28 2026-01-07
549 MS_DRG Septic Arthritis With Cc 2 1 $42,044.73 $27,749.52 34% off $8,687.01 $8,687.01 $8,687.01 2026-01-07
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 2 1 $37,894.74 $25,010.53 34% off $8,663.98 $8,663.98 $8,663.98 2026-01-07
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 2 1 $8,419.77 $5,557.05 34% off $8,419.77 $8,419.77 $8,419.77 2026-01-07
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 2 1 $27,027.49 $17,838.14 34% off $8,403.49 $8,403.49 $8,403.49 2026-01-07
399 MS_DRG Appendix Procedures Without Cc/mcc 2 1 $33,348.30 $22,009.88 34% off $8,237.26 $8,237.26 $8,237.26 2026-01-07
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 2 1 $52,207.29 $34,456.81 34% off $8,139.40 $8,139.40 $8,139.40 2026-01-07
15273 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.… 34 17 $11,577.00 $7,640.82 34% off $3,102.00 $34,731.00 $8,103.90 2026-01-07
200 MS_DRG Pneumothorax With Cc 2 1 $28,843.26 $19,036.55 34% off $7,910.56 $7,910.56 $7,910.56 2026-01-07
445 MS_DRG Disorders Of The Biliary Tract With Cc 2 1 $11,441.32 $7,551.27 34% off $7,875.30 $7,875.30 $7,875.30 2026-01-07
J1950 HCPCS Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg 34 17 $12,056.50 $7,957.29 34% off $545.23 $36,169.50 $7,836.73 2026-01-07
381 MS_DRG Complicated Peptic Ulcer With Cc 2 1 $32,977.27 $21,765.00 34% off $7,796.87 $7,796.87 $7,796.87 2026-01-07
184 MS_DRG Major Chest Trauma With Cc 2 1 $34,643.08 $22,864.43 34% off $7,657.26 $7,657.26 $7,657.26 2026-01-07
J9299 HCPCS Injection, Nivolumab, 1 Mg 60 17 $8,981.90 $5,928.05 34% off $29.58 $44,558.97 $7,644.77 2026-01-07
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 2 1 $14,239.00 $9,397.74 34% off $7,600.42 $7,600.42 $7,600.42 2026-01-07
11957829_1 CDM Operating Room Services - General Classification 30 15 $10,600.00 $6,996.00 34% off $3,102.00 $9,540.00 $7,420.00 2026-01-07
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 2 1 $28,754.01 $18,977.65 34% off $7,417.64 $7,417.64 $7,417.64 2026-01-07
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 1 $44,691.58 $29,496.44 34% off $7,397.49 $7,397.49 $7,397.49 2026-01-07
71 MS_DRG Other Cerebrovascular Disorders With Cc 2 1 $55,710.52 $36,768.94 34% off $7,383.10 $7,383.10 $7,383.10 2026-01-07
644 MS_DRG Endocrine Disorders With Cc 2 1 $15,907.83 $10,499.17 34% off $7,375.90 $7,375.90 $7,375.90 2026-01-07
92 MS_DRG Other Disorders Of Nervous System With Cc 2 1 $24,897.70 $16,432.48 34% off $7,361.51 $7,361.51 $7,361.51 2026-01-07
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 2 1 $18,932.68 $12,495.57 34% off $7,347.12 $7,347.12 $7,347.12 2026-01-07
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 2 1 $34,135.08 $22,529.15 34% off $7,270.12 $7,270.12 $7,270.12 2026-01-07
Q5127 HCPCS Injection, Pegfilgrastim-fpgk (stimufend), Biosimilar, 0.5 Mg 32 16 $10,517.40 $6,941.48 34% off $812.15 $31,552.20 $7,104.51 2026-01-07
378 MS_DRG Gastrointestinal Hemorrhage With Cc 2 1 $21,026.21 $13,877.30 34% off $7,057.12 $7,057.12 $7,057.12 2026-01-07
386 MS_DRG Inflammatory Bowel Disease With Cc 2 1 $42,568.04 $28,094.91 34% off $7,025.45 $7,025.45 $7,025.45 2026-01-07
202 MS_DRG Bronchitis And Asthma With Cc/mcc 2 1 $32,364.06 $21,360.28 34% off $6,988.76 $6,988.76 $6,988.76 2026-01-07
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 2 1 $21,647.47 $14,287.33 34% off $6,946.30 $6,946.30 $6,946.30 2026-01-07
552 MS_DRG Medical Back Problems Without Mcc 2 1 $33,467.75 $22,088.72 34% off $6,917.51 $6,917.51 $6,917.51 2026-01-07
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 34 17 $10,455.07 $6,900.35 34% off $52.39 $31,365.21 $6,806.25 2026-01-07
394 MS_DRG Other Digestive System Diagnoses With Cc 2 1 $25,023.29 $16,515.37 34% off $6,733.30 $6,733.30 $6,733.30 2026-01-07
812 MS_DRG Red Blood Cell Disorders Without Mcc 2 1 $21,669.96 $14,302.17 34% off $6,607.37 $6,607.37 $6,607.37 2026-01-07
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 2 1 $12,809.73 $8,454.42 34% off $6,595.13 $6,595.13 $6,595.13 2026-01-07
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 60 17 $10,082.63 $6,654.54 34% off $369.04 $30,247.89 $6,558.75 2026-01-07
607 MS_DRG Minor Skin Disorders Without Mcc 2 1 $24,003.00 $15,841.98 34% off $6,522.45 $6,522.45 $6,522.45 2026-01-07
101 MS_DRG Seizures Without Mcc 2 1 $29,409.99 $19,410.59 34% off $6,495.11 $6,495.11 $6,495.11 2026-01-07
864 MS_DRG Fever And Inflammatory Conditions 2 1 $11,910.04 $7,860.63 34% off $6,387.89 $6,387.89 $6,387.89 2026-01-07
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 2 1 $31,495.54 $20,787.06 34% off $6,352.63 $6,352.63 $6,352.63 2026-01-07
11319917_1 CDM Operating Room Services - General Classification 30 15 $9,064.00 $5,982.24 34% off $3,102.00 $8,157.60 $6,344.80 2026-01-07
683 MS_DRG Renal Failure With Cc 2 1 $34,353.59 $22,673.37 34% off $6,302.26 $6,302.26 $6,302.26 2026-01-07
312 MS_DRG Syncope And Collapse 2 1 $28,357.35 $18,715.85 34% off $6,272.03 $6,272.03 $6,272.03 2026-01-07
603 MS_DRG Cellulitis Without Mcc 2 1 $25,256.22 $16,669.11 34% off $6,267.00 $6,267.00 $6,267.00 2026-01-07
292 MS_DRG Heart Failure And Shock With Cc 2 1 $18,307.67 $12,083.06 34% off $6,109.40 $6,109.40 $6,109.40 2026-01-07
J9354 HCPCS Injection, Ado-trastuzumab Emtansine, 1 Mg 34 17 $9,340.20 $6,164.53 34% off $33.67 $28,020.60 $6,080.47 2026-01-07
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 2 1 $21,633.36 $14,278.02 34% off $6,066.23 $6,066.23 $6,066.23 2026-01-07
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 2 1 $100,670.95 $66,442.83 34% off $5,973.40 $5,973.40 $5,973.40 2026-01-07
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 2 1 $18,373.28 $12,126.36 34% off $5,953.25 $5,953.25 $5,953.25 2026-01-07
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 2 1 $27,391.14 $18,078.15 34% off $5,811.49 $5,811.49 $5,811.49 2026-01-07
534 MS_DRG Fractures Of Femur Without Mcc 2 1 $30,502.42 $20,131.60 34% off $5,800.70 $5,800.70 $5,800.70 2026-01-07
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 2 1 $16,189.01 $10,684.75 34% off $5,799.26 $5,799.26 $5,799.26 2026-01-07
176 MS_DRG Pulmonary Embolism Without Mcc 2 1 $30,771.63 $20,309.28 34% off $5,792.78 $5,792.78 $5,792.78 2026-01-07
948 MS_DRG Signs And Symptoms Without Mcc 2 1 $28,225.65 $18,628.93 34% off $5,760.40 $5,760.40 $5,760.40 2026-01-07
11319918_1 CDM Operating Room Services - General Classification 30 15 $8,215.00 $5,421.90 34% off $3,102.00 $7,393.50 $5,750.50 2026-01-07
69 MS_DRG Transient Ischemia Without Thrombolytic 2 1 $29,749.37 $19,634.59 34% off $5,748.16 $5,748.16 $5,748.16 2026-01-07
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 2 1 $13,220.70 $8,725.66 34% off $5,730.17 $5,730.17 $5,730.17 2026-01-07
15274 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, Each… 34 17 $8,104.00 $5,348.64 34% off $3,095.73 $24,312.00 $5,672.80 2026-01-07
11957826_1 CDM Operating Room Services - General Classification 30 15 $7,950.00 $5,247.00 34% off $3,036.90 $7,155.00 $5,565.00 2026-01-07
149 MS_DRG Dysequilibrium 2 1 $27,148.52 $17,918.02 34% off $5,408.51 $5,408.51 $5,408.51 2026-01-07
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 2 1 $15,085.57 $9,956.47 34% off $5,294.10 $5,294.10 $5,294.10 2026-01-07
J9177 HCPCS Injection, Enfortumab Vedotin-ejfv, 0.25 Mg 62 17 $6,741.60 $4,449.46 34% off $33.25 $30,240.87 $5,258.45 2026-01-07
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 2 1 $16,160.42 $10,665.88 34% off $5,234.37 $5,234.37 $5,234.37 2026-01-07
311 MS_DRG Angina Pectoris 2 1 $19,758.53 $13,040.63 34% off $5,050.87 $5,050.87 $5,050.87 2026-01-07
370 MS_DRG Major Esophageal Disorders Without Cc/mcc 2 1 $43,119.36 $28,458.78 34% off $5,042.96 $5,042.96 $5,042.96 2026-01-07
J9173 HCPCS Injection, Durvalumab, 10 Mg 34 17 $7,606.97 $5,020.60 34% off $85.12 $22,820.91 $4,952.14 2026-01-07
11319920_1 CDM Operating Room Services - General Classification 30 15 $7,061.00 $4,660.26 34% off $2,697.30 $6,354.90 $4,942.70 2026-01-07
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 2 1 $31,492.59 $20,785.11 34% off $4,924.94 $4,924.94 $4,924.94 2026-01-07
J9061 HCPCS Injection, Amivantamab-vmjw, 2 Mg 32 16 $7,230.57 $4,772.18 34% off $58.69 $21,691.71 $4,884.25 2026-01-07
37191 HCPCS Insertion Of Vena Cava Filter With Review By Radiologist 34 17 $6,345.00 $4,187.70 34% off $2,423.79 $19,035.00 $4,878.67 2026-01-07
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 2 1 $9,455.71 $6,240.77 34% off $4,821.32 $4,821.32 $4,821.32 2026-01-07
15277 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout… 34 17 $6,879.00 $4,540.14 34% off $2,627.78 $20,637.00 $4,815.30 2026-01-07
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 2 1 $23,260.85 $15,352.16 34% off $4,471.59 $4,471.59 $4,471.59 2026-01-07
639 MS_DRG Diabetes Without Cc/mcc 2 1 $46,558.31 $30,728.48 34% off $4,470.16 $4,470.16 $4,470.16 2026-01-07
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 34 17 $6,840.39 $4,514.66 34% off $52.39 $20,521.17 $4,453.09 2026-01-07
607833_1 CDM Operating Room Services - General Classification 30 15 $6,360.00 $4,197.60 34% off $2,429.52 $5,724.00 $4,452.00 2026-01-07
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 2 1 $13,864.48 $9,150.56 34% off $4,439.21 $4,439.21 $4,439.21 2026-01-07
9593582_1 CDM Intensive Care Unit - General Classification 22 11 $6,308.00 $4,163.28 34% off $1,955.48 $5,677.20 $4,415.60 2026-01-07
15275 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 34 17 $6,142.00 $4,053.72 34% off $2,346.24 $18,426.00 $4,342.00 2026-01-07
15271 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C… 34 17 $6,142.00 $4,053.72 34% off $2,346.24 $18,426.00 $4,342.00 2026-01-07
C8920 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Pelvi… 34 17 $6,005.00 $3,963.30 34% off $2,293.91 $18,015.00 $4,203.50 2026-01-07
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 2 1 $13,925.19 $9,190.63 34% off $4,073.66 $4,073.66 $4,073.66 2026-01-07
951 MS_DRG Other Factors Influencing Health Status 2 1 $15,992.43 $10,555.00 34% off $4,000.98 $4,000.98 $4,000.98 2026-01-07
27323 HCPCS Biopsy Of Surface Tissue Of Thigh Or Knee 34 17 $5,152.00 $3,400.32 34% off $1,968.06 $15,456.00 $3,961.37 2026-01-07
93312 HCPCS Ultrasound Of Heart With Probe In Esophagus, With Report 34 17 $5,655.00 $3,732.30 34% off $213.03 $16,965.00 $3,958.50 2026-01-07
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 2 1 $18,093.48 $11,941.69 34% off $3,914.62 $3,914.62 $3,914.62 2026-01-07
75893 HCPCS Review By Radiologist Of Imaging Guidance For Removal Of Blood Sample 34 17 $5,393.00 $3,559.38 34% off $2,060.13 $16,179.00 $3,775.10 2026-01-07
C1886 HCPCS Catheter, Extravascular Tissue Ablation, Any Modality (insertable) 34 17 $4,903.00 $3,235.98 34% off $1,872.95 $14,709.00 $3,769.92 2026-01-07
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 116 17 $6,290.00 $4,151.40 34% off $101.30 $28,641.00 $3,739.40 2026-01-07
607831_1 CDM Operating Room Services - General Classification 30 15 $5,300.00 $3,498.00 34% off $2,024.60 $4,770.00 $3,710.00 2026-01-07
11957823_1 CDM Operating Room Services - General Classification 30 15 $5,300.00 $3,498.00 34% off $2,024.60 $4,770.00 $3,710.00 2026-01-07
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 34 17 $5,682.34 $3,750.34 34% off $7.63 $17,047.02 $3,699.20 2026-01-07
19100 HCPCS Needle Biopsy Of Breast 136 17 $5,152.00 $3,400.32 34% off $58.84 $23,184.00 $3,606.40 2026-01-07
75716 HCPCS Review By Radiologist Of Both Arms Or Legs Arteries Image 34 17 $5,075.00 $3,349.50 34% off $1,938.65 $15,225.00 $3,552.50 2026-01-07
Q5108 HCPCS Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 34 17 $5,385.75 $3,554.60 34% off $341.14 $16,157.25 $3,506.12 2026-01-07
11319922_1 CDM Operating Room Services - General Classification 30 15 $4,987.00 $3,291.42 34% off $1,905.03 $4,488.30 $3,490.90 2026-01-07
J1561 HCPCS Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 90 17 $5,272.03 $3,479.54 34% off $54.67 $29,906.58 $3,432.09 2026-01-07
C1762 HCPCS Connective Tissue, Human (includes Fascia Lata) 32 16 $4,365.00 $2,880.90 34% off $1,667.43 $13,095.00 $3,369.57 2026-01-07
75710 HCPCS Review By Radiologist Of Arm Or Leg Artery Image 34 17 $4,536.00 $2,993.76 34% off $1,732.75 $13,608.00 $3,262.08 2026-01-07
87507 HCPCS Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S… 34 17 $4,144.00 $2,735.04 34% off $1,583.01 $17,271.36 $3,211.60 2026-01-07
J9358 HCPCS Injection, Fam-trastuzumab Deruxtecan-nxki, 1 Mg 34 17 $4,920.71 $3,247.67 34% off $28.27 $14,762.13 $3,203.38 2026-01-07
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 118 17 $4,859.12 $3,207.02 34% off $472.78 $19,512.96 $3,145.20 2026-01-07
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 34 17 $4,756.53 $3,139.31 34% off $27.93 $14,269.59 $3,096.50 2026-01-07
C1889 HCPCS Implantable/insertable Device, Not Otherwise Classified 64 16 $8,460.00 $5,583.60 34% off $389.64 $47,700.00 $3,081.00 2026-01-07
78451 HCPCS Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect 34 17 $4,399.00 $2,903.34 34% off $1,035.32 $13,197.00 $3,079.30 2026-01-07
11957820_1 CDM Operating Room Services - General Classification 30 15 $4,240.00 $2,798.40 34% off $1,619.68 $3,816.00 $2,968.00 2026-01-07
607829_1 CDM Operating Room Services - General Classification 30 15 $4,240.00 $2,798.40 34% off $1,619.68 $3,816.00 $2,968.00 2026-01-07
L8699 HCPCS Prosthetic Implant, Not Otherwise Specified 34 17 $3,818.00 $2,519.88 34% off $1,458.48 $11,454.00 $2,935.66 2026-01-07
C8914 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Lower… 34 17 $3,813.00 $2,516.58 34% off $1,456.57 $11,439.00 $2,931.82 2026-01-07
49618 HCPCS Repair Of Recurrent Entrapped Hernia Of Abdomen, More Than 10 Cm In Length 28 14 $4,169.00 $2,751.54 34% off $1,075.51 $6,045.05 $2,926.33 2026-01-07
9593542_1 CDM Intensive Care Unit - Intermediate ICU 22 11 $4,147.00 $2,737.02 34% off $1,285.57 $3,732.30 $2,902.90 2026-01-07
43260 HCPCS Diagnostic Exam Of Gallbladder And Pancreatic, Liver, And Bile Ducts Using An En… 34 17 $3,758.00 $2,480.28 34% off $1,435.56 $11,274.00 $2,889.53 2026-01-07
41135 HCPCS Partial Removal Of Tongue And Surrounding Lymph Nodes On Side Of Neck 34 17 $7,676.00 $5,066.16 34% off $1,941.80 $11,130.20 $2,827.52 2026-01-07
J0897 HCPCS Injection, Denosumab, 1 Mg 90 17 $4,345.52 $2,868.04 34% off $12.99 $21,200.07 $2,824.59 2026-01-07
44146 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Large … 34 17 $7,162.00 $4,726.92 34% off $1,836.40 $10,384.90 $2,791.08 2026-01-07
C8912 HCPCS Magnetic Resonance Angiography With Contrast, Lower Extremity 34 17 $3,612.00 $2,383.92 34% off $1,379.78 $10,836.00 $2,777.27 2026-01-07
11319924_1 CDM Operating Room Services - General Classification 30 15 $3,833.00 $2,529.78 34% off $1,464.21 $3,449.70 $2,683.10 2026-01-07
66982 HCPCS Complex Removal Of Cataract With Insertion Of Prosthetic Lens 48 17 $2,685.00 $1,772.10 34% off $650.01 $3,893.25 $2,672.00 2026-01-07
94002 HCPCS Initial Hospital Inpatient Or Observation Ventilation Assistance And Management 34 17 $3,816.00 $2,518.56 34% off $342.00 $11,448.00 $2,671.20 2026-01-07
59426 HCPCS Predelivery Care, 7 Or More Visits 28 14 $3,582.00 $2,364.12 34% off $278.92 $10,746.00 $2,641.73 2026-01-07
13202518_1 CDM Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 22 11 $3,760.00 $2,481.60 34% off $1,165.60 $3,384.00 $2,632.00 2026-01-07
J1459 HCPCS Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 90 17 $3,749.84 $2,474.89 34% off $54.67 $26,581.23 $2,624.89 2026-01-07
36561 HCPCS Insertion Of Central Venous Tube With Port (5 Years Or Older) 96 17 $3,547.00 $2,341.02 34% off $278.92 $39,786.00 $2,615.91 2026-01-07
44208 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Openin… 34 17 $6,730.00 $4,441.80 34% off $1,762.02 $9,758.50 $2,613.87 2026-01-07
9593592_1 CDM Room & Board - Other - Sterile Environment 22 11 $3,734.00 $2,464.44 34% off $1,157.54 $3,360.60 $2,613.80 2026-01-07
47532 HCPCS Injection Of Bile Duct For X-ray Through New Skin Access Using Imaging Guidance … 34 17 $3,395.00 $2,240.70 34% off $1,296.89 $10,185.00 $2,610.42 2026-01-07
11323888_1 CDM Operating Room Services - General Classification 30 15 $3,629.00 $2,395.14 34% off $1,386.28 $3,266.10 $2,540.30 2026-01-07
C1776 HCPCS Joint Device (implantable) 352 16 $3,138.00 $2,071.08 34% off $119.95 $30,312.00 $2,539.81 2026-01-07
73706 HCPCS CT Scan Of Blood Vessels Of Lower Leg With Contrast 102 17 $3,849.00 $2,540.34 34% off $88.05 $17,322.00 $2,505.70 2026-01-07
J0875 HCPCS Injection, Dalbavancin, 5 Mg 34 17 $3,842.83 $2,536.27 34% off $18.09 $11,528.49 $2,501.68 2026-01-07
J9055 HCPCS Injection, Cetuximab, 10 Mg 34 17 $3,783.94 $2,497.40 34% off $60.73 $11,351.82 $2,463.34 2026-01-07
37193 HCPCS Removal Of Vena Cava Filter With Review By Radiologist 34 17 $3,192.00 $2,106.72 34% off $1,219.34 $9,576.00 $2,454.33 2026-01-07
9593565_1 CDM Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 22 11 $3,457.00 $2,281.62 34% off $1,071.67 $3,111.30 $2,419.90 2026-01-07
12540016_1 CDM Room & Board - Other - Other 24 12 $3,457.00 $2,281.62 34% off $647.00 $3,111.30 $2,419.90 2026-01-07
J9264 HCPCS Injection, Paclitaxel Protein-bound Particles, 1 Mg 34 17 $3,715.68 $2,452.35 34% off $10.86 $11,147.04 $2,418.91 2026-01-07
49596 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, More Than 10 Cm In Length 28 14 $3,442.00 $2,271.72 34% off $889.97 $4,990.90 $2,415.69 2026-01-07
75825 HCPCS Review By Radiologist Of Major Lower Body Vein Image 34 17 $3,128.00 $2,064.48 34% off $1,194.90 $9,384.00 $2,405.12 2026-01-07
44207 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope 34 17 $6,167.00 $4,070.22 34% off $1,606.60 $8,942.15 $2,400.23 2026-01-07
81445 HCPCS Genomic Sequence Analysis Panel Of DNA Or Combined DNA And RNA Of 5-50 Genes Ass… 32 16 $3,100.00 $2,046.00 34% off $1,184.20 $18,535.21 $2,393.05 2026-01-07
81425 HCPCS Test For Detecting Genes Associated With Disease, Genome Sequence Analysis 30 15 $3,100.00 $2,046.00 34% off $1,184.20 $9,300.00 $2,383.59 2026-01-07
9619680_2 CDM 49560 Repair Initial Incisional Or Ventral Hernia; Reducible 12 6 $2,383.00 $1,572.78 34% off $1,191.50 $2,383.00 $2,383.00 2026-01-07
49418 HCPCS Insertion Of Abdominal Tube Using Imaging Guidance With Review By Radiologist 68 17 $5,952.50 $3,928.65 34% off $173.04 $33,669.00 $2,359.66 2026-01-07
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 116 17 $3,885.00 $2,564.10 34% off $64.03 $16,998.00 $2,344.83 2026-01-07
44144 HCPCS Partial Removal Of Large Bowel With Creation Of 2 Openings From Small Or Large B… 34 17 $6,000.00 $3,960.00 34% off $1,528.20 $8,700.00 $2,342.83 2026-01-07
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 66 17 $519.00 $342.54 34% off $102.45 $18,375.00 $2,339.75 2026-01-07
44210 HCPCS Removal Of Large Bowel With Attachment Of Small Bowel To Rectum Or Creation Of S… 34 17 $6,087.00 $4,017.42 34% off $1,603.02 $8,826.15 $2,338.73 2026-01-07
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 116 17 $3,573.00 $2,358.18 34% off $64.40 $18,723.00 $2,324.23 2026-01-07
44206 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin… 34 17 $5,926.00 $3,911.16 34% off $1,554.87 $8,592.70 $2,313.67 2026-01-07
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg 34 17 $3,305.00 $2,181.30 34% off $983.72 $9,915.00 $2,313.50 2026-01-07
J7296 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System, (kyleena), 19.5 Mg 34 17 $3,305.00 $2,181.30 34% off $1,041.77 $9,915.00 $2,313.50 2026-01-07
73718 HCPCS MRI Scan Of Leg Without Contrast 116 17 $3,777.00 $2,492.82 34% off $63.30 $16,998.00 $2,309.73 2026-01-07
11323889_1 CDM Operating Room Services - General Classification 30 15 $3,286.00 $2,168.76 34% off $1,255.25 $2,957.40 $2,300.20 2026-01-07
C8913 HCPCS Magnetic Resonance Angiography Without Contrast, Lower Extremity 34 17 $2,922.00 $1,928.52 34% off $1,116.20 $8,766.00 $2,246.73 2026-01-07
75833 HCPCS Review By Radiologist Of Both Kidneys Veins Image 34 17 $2,902.00 $1,915.32 34% off $1,108.56 $8,706.00 $2,231.35 2026-01-07
94003 HCPCS Follow-up Inpatient Or Observation Ventilation Assistance And Management 34 17 $3,187.00 $2,103.42 34% off $342.00 $9,561.00 $2,230.90 2026-01-07
607827_1 CDM Operating Room Services - General Classification 30 15 $3,180.00 $2,098.80 34% off $1,214.76 $2,862.00 $2,226.00 2026-01-07
11957817_1 CDM Operating Room Services - General Classification 30 15 $3,180.00 $2,098.80 34% off $1,214.76 $2,862.00 $2,226.00 2026-01-07
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 34 17 $3,416.02 $2,254.57 34% off $1.42 $10,248.06 $2,223.83 2026-01-07
44143 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin 34 17 $5,621.00 $3,709.86 34% off $1,463.13 $8,150.45 $2,205.26 2026-01-07
36558 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 68 17 $6,365.50 $4,201.23 34% off $231.00 $35,523.00 $2,196.25 2026-01-07
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