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

Your selected procedure

You selected 93350 (HCPCS)

Ultrasound of heart during rest, exercise and/or drug-induced stress with report

This hospital’s price: $393 across 17 payers · range $68-$5,844

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMCDHFORTBRAGGCA&type=CDMWithoutLabel&fileType=CSV · observed 2026-01-07

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

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 · 2026-10-25
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
$20,145
outlier · 7.8×
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 $8,103.42 $231,181.29 $119,642.35 nat. median
$11,479
outlier · 10.4×
602
MS_DRG 		Cellulitis With Mcc 2 $10,227.67 $196,179.42 $103,203.54 nat. median
$14,020
outlier · 7.4×
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
$19,218
outlier · 5.3×
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
$13,173
outlier · 7.6×
393
MS_DRG 		Other Digestive System Diagnoses With Mcc 2 $11,508.56 $180,686.66 $96,097.61 nat. median
$15,616
outlier · 6.2×
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
$33,167
outlier · 2.6×
264
MS_DRG 		Other Circulatory System O.r. Procedures 2 $24,038.96 $125,880.67 $74,959.82 nat. median
$31,185
outlier · 2.4×
949
MS_DRG 		Aftercare With Cc/mcc 2 $8,561.08 $122,744.69 $65,652.88 nat. median
$11,796
outlier · 5.6×
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
$18,381
outlier · 3.6×
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
$20,226
outlier · 2.8×
100
MS_DRG 		Seizures With Mcc 2 $13,937.21 $95,467.78 $54,702.50 nat. median
$18,360
outlier · 3.0×
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
$18,642
outlier · 2.9×
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 2 $11,245.19 $93,077.13 $52,161.16 nat. median
$15,388
outlier · 3.4×
299
MS_DRG 		Peripheral Vascular Disorders With Mcc 2 $11,748.91 $89,046.59 $50,397.75 nat. median
$15,759
outlier · 3.2×
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 2 $9,458.42 $88,865.53 $49,161.97 nat. median
$12,868
outlier · 3.8×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $46,304.10 $46,304.10 $46,304.10 nat. median
$59,371
0.8× median
435
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 $13,216.89 $78,338.21 $45,777.55 nat. median
$17,673
outlier · 2.6×
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 2 $5,784.86 $84,057.17 $44,921.01 nat. median
$8,655
outlier · 5.2×
388
MS_DRG 		Gastrointestinal Obstruction With Mcc 2 $10,627.05 $77,855.83 $44,241.44 nat. median
$14,318
outlier · 3.1×
593
MS_DRG 		Skin Ulcers With Cc 2 $8,536.61 $78,476.19 $43,506.40 nat. median
$11,948
outlier · 3.6×
638
MS_DRG 		Diabetes With Cc 2 $6,449.06 $79,461.56 $42,955.31 nat. median
$9,225
outlier · 4.7×
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
$10,401
outlier · 4.1×
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
$9,151
outlier · 4.6×
291
MS_DRG 		Heart Failure And Shock With Mcc 2 $9,238.22 $73,418.53 $41,328.38 nat. median
$12,770
outlier · 3.2×
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 $24,547.29 $56,279.29 $40,413.29 nat. median
$33,408
1.2× median
300
MS_DRG 		Peripheral Vascular Disorders With Cc 2 $7,681.73 $73,124.06 $40,402.90 nat. median
$10,845
outlier · 3.7×
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
$12,850
outlier · 3.1×
439
MS_DRG 		Disorders Of Pancreas Except Malignancy With Cc 2 $6,053.28 $74,494.76 $40,274.02 nat. median
$8,937
outlier · 4.5×
690
MS_DRG 		Kidney And Urinary Tract Infections Without Mcc 2 $5,825.16 $72,620.24 $39,222.70 nat. median
$8,376
outlier · 4.7×
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 2 $11,543.10 $61,945.43 $36,744.26 nat. median
$15,657
outlier · 2.3×
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 2 $7,023.30 $65,860.02 $36,441.66 nat. median
$10,198
outlier · 3.6×
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
$45,430
0.8× median
392
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 2 $5,610.00 $65,367.00 $35,488.50 nat. median
$8,177
outlier · 4.3×
699
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Cc 2 $7,303.94 $62,752.56 $35,028.25 nat. median
$10,316
outlier · 3.4×
601
MS_DRG 		Non-malignant Breast Disorders Without Cc/mcc 2 $4,353.58 $64,390.75 $34,372.17 nat. median
$6,700
outlier · 5.1×
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 2 $9,126.69 $59,501.81 $34,314.25 nat. median
$12,539
outlier · 2.7×
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 2 $8,349.52 $59,311.73 $33,830.62 nat. median
$11,514
outlier · 2.9×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 1 $33,076.41 $33,076.41 $33,076.41 nat. median
$42,641
0.8× median
799
MS_DRG 		Splenic Procedures With Mcc 1 $32,589.96 $32,589.96 $32,589.96 nat. median
$43,255
0.8× median
305
MS_DRG 		Hypertension Without Mcc 2 $5,433.70 $59,574.41 $32,504.06 nat. median
$8,033
outlier · 4.0×
389
MS_DRG 		Gastrointestinal Obstruction With Cc 2 $5,683.40 $59,278.20 $32,480.80 nat. median
$8,344
outlier · 3.9×
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
$8,633
outlier · 3.7×
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 2 $7,971.01 $54,812.92 $31,391.96 nat. median
$11,062
outlier · 2.8×
571
MS_DRG 		Skin Debridement With Cc 2 $12,157.64 $49,035.00 $30,596.32 nat. median
$16,358
1.9× median
282
MS_DRG 		Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 2 $5,203.43 $55,607.66 $30,405.55 nat. median
$7,942
outlier · 3.8×
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 2 $13,419.82 $45,717.07 $29,568.44 nat. median
$18,115
1.6× median
368
MS_DRG 		Major Esophageal Disorders With Mcc 2 $11,455.31 $46,530.79 $28,993.05 nat. median
$15,831
1.8× median
759
MS_DRG 		Infections, Female Reproductive System Without Cc/mcc 2 $4,775.27 $51,251.62 $28,013.45 nat. median
$7,147
outlier · 3.9×
139
MS_DRG 		Salivary Gland Procedures 2 $8,697.09 $46,592.44 $27,644.77 nat. median
$12,788
outlier · 2.2×

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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