|
92920
|
HCPCS
|
Balloon Dilation Of Single Coronary Artery Or Branch
|
544
|
54
|
$27,894.00
|
$22,315.20
20% off
|
$3,395.01
|
$83,682.00
|
$22,454.67
|
2026-09-25
|
|
92924
|
HCPCS
|
Removal Of Plaque With Balloon Dilation Of Single Coronary Artery Or Branch
|
490
|
54
|
$25,995.00
|
$20,796.00
20% off
|
$5,514.02
|
$77,985.00
|
$20,550.80
|
2026-09-25
|
|
92928
|
HCPCS
|
Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Single A…
|
456
|
54
|
$42,360.00
|
$33,888.00
20% off
|
$5,514.02
|
$127,080.00
|
$34,311.60
|
2026-09-25
|
|
92937
|
HCPCS
|
Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary…
|
358
|
54
|
$48,336.00
|
$38,668.80
|
$5,514.02
|
$145,008.00
|
$42,535.68
|
2026-09-25
|
|
92933
|
HCPCS
|
Removal Of Plaque, Insertion Of Stent And Balloon Dilation Of Single Coronary Ar…
|
358
|
54
|
$37,574.00
|
$30,059.20
20% off
|
$6,955.00
|
$112,722.00
|
$34,192.34
|
2026-09-25
|
|
C1785
|
HCPCS
|
Pacemaker, Dual Chamber, Rate-responsive (implantable)
|
288
|
48
|
$14,922.25
|
$11,937.80
20% off
|
$8,420.25
|
$52,164.00
|
$14,068.99
|
2026-09-25
|
|
92943
|
HCPCS
|
Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary…
|
270
|
54
|
$39,340.00
|
$31,472.00
20% off
|
$5,514.02
|
$118,020.00
|
$37,373.00
|
2026-09-25
|
|
92941
|
HCPCS
|
Removal Of Plaque And Blood Clot, Insertion Of Stent And/or Balloon Dilation Of …
|
270
|
54
|
$31,826.00
|
$25,460.80
20% off
|
$534.01
|
$95,478.00
|
$31,030.35
|
2026-09-25
|
|
92944
|
HCPCS
|
Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation, Each Additional C…
|
265
|
53
|
$15,210.00
|
$12,168.00
20% off
|
$11,407.50
|
$50,000.00
|
$14,905.80
|
2026-09-25
|
|
L8699
|
HCPCS
|
Prosthetic Implant, Not Otherwise Specified
|
240
|
48
|
$14,647.50
|
$11,718.00
20% off
|
$6,091.20
|
$57,027.66
|
$13,768.65
|
2026-09-25
|
|
J9299
|
HCPCS
|
Injection, Nivolumab, 1 Mg
|
204
|
54
|
$17,500.76
|
$14,000.61
|
$34.22
|
$125,226.12
|
$17,500.76
|
2026-09-25
|
|
92938
|
HCPCS
|
Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Coronary Vessel…
|
159
|
53
|
$15,210.00
|
$12,168.00
20% off
|
$11,407.50
|
$50,000.00
|
$14,905.80
|
2026-09-25
|
|
C1602
|
HCPCS
|
Orthopedic/device/drug Matrix/absorbable Bone Void Filler, Antimicrobial-eluting…
|
159
|
53
|
$15,277.50
|
$12,222.00
20% off
|
$1,676.34
|
$62,233.20
|
$14,055.30
|
2026-09-25
|
|
C1820
|
HCPCS
|
Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging…
|
144
|
48
|
$48,876.50
|
$39,101.20
20% off
|
$33,131.25
|
$171,000.00
|
$46,432.68
|
2026-09-25
|
|
C1767
|
HCPCS
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
144
|
48
|
$45,500.25
|
$36,400.20
20% off
|
$22,800.71
|
$136,567.50
|
$40,960.24
|
2026-09-25
|
|
J2353
|
HCPCS
|
Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg
|
139
|
49
|
$19,950.37
|
$15,960.30
|
$208.10
|
$86,923.50
|
$19,152.36
|
2026-09-25
|
|
L8679
|
HCPCS
|
Implantable Neurostimulator, Pulse Generator, Any Type
|
120
|
54
|
$42,875.00
|
$34,300.00
20% off
|
$10,551.00
|
$139,365.00
|
$38,093.10
|
2026-09-25
|
|
77301
|
HCPCS
|
High Precision Radiation Therapy Planning
|
108
|
54
|
$26,619.00
|
$21,295.20
20% off
|
$1,066.66
|
$79,857.00
|
$24,888.76
|
2026-09-25
|
|
92929
|
HCPCS
|
Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Each Add…
|
106
|
53
|
$23,563.00
|
$18,850.40
|
$17,672.25
|
$70,689.00
|
$23,091.74
|
2026-09-25
|
|
92934
|
HCPCS
|
Removal Of Plaque, Insertion Of Stent And Balloon Dilation Of Coronary Artery Or…
|
106
|
53
|
$15,210.00
|
$12,168.00
20% off
|
$11,407.50
|
$50,000.00
|
$14,905.80
|
2026-09-25
|
|
J9347
|
HCPCS
|
Injection, Tremelimumab-actl, 1 Mg
|
104
|
54
|
$18,623.82
|
$14,899.06
|
$144.85
|
$656,610.00
|
$48,887.53
|
2026-09-25
|
|
J9309
|
HCPCS
|
Injection, Polatuzumab Vedotin-piiq, 1 Mg
|
104
|
54
|
$21,373.67
|
$17,098.94
|
$139.59
|
$295,090.83
|
$46,722.71
|
2026-09-25
|
|
J9022
|
HCPCS
|
Injection, Atezolizumab, 10 Mg
|
104
|
54
|
$60,595.31
|
$48,476.25
|
$96.55
|
$181,785.93
|
$42,770.96
|
2026-09-25
|
|
J0896
|
HCPCS
|
Injection, Luspatercept-aamt, 0.25 Mg
|
104
|
54
|
$21,709.46
|
$17,367.57
|
$43.19
|
$197,375.94
|
$32,895.99
|
2026-09-25
|
|
J9354
|
HCPCS
|
Injection, Ado-trastuzumab Emtansine, 1 Mg
|
104
|
54
|
$20,661.39
|
$16,529.11
20% off
|
$41.89
|
$83,518.47
|
$21,116.31
|
2026-09-25
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
104
|
54
|
$20,369.55
|
$16,295.64
20% off
|
$143.23
|
$61,176.00
|
$19,157.93
|
2026-09-25
|
|
J9308
|
HCPCS
|
Injection, Ramucirumab, 5 Mg
|
104
|
54
|
$7,534.69
|
$6,027.75
20% off
|
$76.57
|
$112,371.63
|
$17,792.18
|
2026-09-25
|
|
J9177
|
HCPCS
|
Injection, Enfortumab Vedotin-ejfv, 0.25 Mg
|
104
|
54
|
$15,432.34
|
$12,345.87
20% off
|
$36.66
|
$69,287.64
|
$15,895.31
|
2026-09-25
|
|
Q5111
|
HCPCS
|
Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg
|
104
|
54
|
$14,334.68
|
$11,467.74
20% off
|
$149.13
|
$43,004.04
|
$12,772.98
|
2026-09-25
|
|
C1764
|
HCPCS
|
Event Recorder, Cardiac (implantable)
|
96
|
48
|
$14,334.40
|
$11,467.52
|
$10,374.38
|
$44,508.90
|
$13,832.50
|
2026-09-25
|
|
J9228
|
HCPCS
|
Injection, Ipilimumab, 1 Mg
|
94
|
49
|
$47,373.55
|
$37,898.84
20% off
|
$190.15
|
$572,730.75
|
$108,002.22
|
2026-09-25
|
|
J1950
|
HCPCS
|
Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg
|
94
|
49
|
$9,338.78
|
$7,471.02
20% off
|
$1,126.81
|
$79,206.54
|
$19,517.90
|
2026-09-25
|
|
90375
|
HCPCS
|
Rabies Immune Globulin For Injection
|
94
|
49
|
$18,301.24
|
$14,640.99
20% off
|
$281.19
|
$54,903.72
|
$14,274.97
|
2026-09-25
|
|
J0897
|
HCPCS
|
Injection, Denosumab, 1 Mg
|
94
|
49
|
$8,963.63
|
$7,170.90
20% off
|
$30.10
|
$51,437.85
|
$13,373.84
|
2026-09-25
|
|
J2350
|
HCPCS
|
Injection, Ocrelizumab, 1 Mg
|
54
|
54
|
$105,463.55
|
$84,370.84
20% off
|
$60.97
|
$316,390.65
|
$98,608.42
|
2026-09-25
|
|
J9272
|
HCPCS
|
Injection, Dostarlimab-gxly, 10 Mg
|
54
|
54
|
$62,405.23
|
$49,924.18
20% off
|
$251.30
|
$187,215.69
|
$58,348.89
|
2026-09-25
|
|
J9119
|
HCPCS
|
Injection, Cemiplimab-rwlc, 1 Mg
|
54
|
54
|
$53,876.82
|
$43,101.46
|
$29.67
|
$161,630.46
|
$50,374.82
|
2026-09-25
|
|
J2327
|
HCPCS
|
Injection, Risankizumab-rzaa, Intravenous, 1 Mg
|
54
|
54
|
$53,124.09
|
$42,499.27
20% off
|
$14.53
|
$159,372.27
|
$49,671.02
|
2026-09-25
|
|
J9144
|
HCPCS
|
Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj
|
54
|
54
|
$50,433.29
|
$40,346.63
20% off
|
$57.05
|
$151,299.87
|
$47,155.12
|
2026-09-25
|
|
J9301
|
HCPCS
|
Injection, Obinutuzumab, 10 Mg
|
54
|
54
|
$45,448.72
|
$36,358.98
|
$84.46
|
$136,346.16
|
$42,494.56
|
2026-09-25
|
|
J9223
|
HCPCS
|
Injection, Lurbinectedin, 0.1 Mg
|
54
|
54
|
$43,608.60
|
$34,886.88
20% off
|
$215.95
|
$130,825.80
|
$40,774.04
|
2026-09-25
|
|
J3380
|
HCPCS
|
Injection, Vedolizumab, Intravenous, 1 Mg
|
54
|
54
|
$42,414.14
|
$33,931.31
20% off
|
$21.62
|
$127,242.42
|
$39,657.22
|
2026-09-25
|
|
93461
|
HCPCS
|
Insertion Of Tube In Right And Left Heart Chambers, Coronary Artery, And Bypass …
|
54
|
54
|
$39,627.00
|
$31,701.60
20% off
|
$3,430.00
|
$118,881.00
|
$37,447.51
|
2026-09-25
|
|
93458
|
HCPCS
|
Insertion Of Tube In Left Lower Heart Chamber And Coronary Artery For Diagnosis …
|
54
|
54
|
$37,173.00
|
$29,738.40
|
$3,430.00
|
$111,519.00
|
$35,128.49
|
2026-09-25
|
|
J9306
|
HCPCS
|
Injection, Pertuzumab, 1 Mg
|
54
|
54
|
$36,782.89
|
$29,426.31
20% off
|
$17.05
|
$110,348.67
|
$34,392.00
|
2026-09-25
|
|
93456
|
HCPCS
|
Insertion Of Tube In Right Heart Chambers And Coronary Artery For Diagnosis With…
|
54
|
54
|
$35,399.00
|
$28,319.20
20% off
|
$3,430.00
|
$106,197.00
|
$33,452.06
|
2026-09-25
|
|
93459
|
HCPCS
|
Insertion Of Tube In Left Lower Heart Chamber, Coronary Artery And Bypass Graft …
|
54
|
54
|
$33,988.00
|
$27,190.40
|
$3,430.00
|
$101,964.00
|
$32,118.66
|
2026-09-25
|
|
93460
|
HCPCS
|
Insertion Of Tube In Right And Left Heart Chambers And Coronary Artery For Diagn…
|
54
|
54
|
$33,774.00
|
$27,019.20
20% off
|
$3,430.00
|
$101,322.00
|
$31,916.43
|
2026-09-25
|
|
93457
|
HCPCS
|
Insertion Of Tube In Right Heart Chambers, Coronary Artery, And Bypass Graft For…
|
54
|
54
|
$32,866.00
|
$26,292.80
20% off
|
$3,430.00
|
$98,598.00
|
$31,058.37
|
2026-09-25
|
|
J9271
|
HCPCS
|
Injection, Pembrolizumab, 1 Mg
|
54
|
54
|
$31,201.66
|
$24,961.33
|
$60.65
|
$93,604.98
|
$29,173.55
|
2026-09-25
|
|
93453
|
HCPCS
|
Insertion Of Tube In Right And Left Heart Chambers For Diagnosis With Review By …
|
54
|
54
|
$29,519.00
|
$23,615.20
20% off
|
$3,430.00
|
$88,557.00
|
$27,895.46
|
2026-09-25
|
|
77372
|
HCPCS
|
Complete Single Session Course Of Cranial Lesion Surgery Using Radiation And A M…
|
54
|
54
|
$29,313.00
|
$23,450.40
|
$2,250.00
|
$87,939.00
|
$27,114.53
|
2026-09-25
|
|
93452
|
HCPCS
|
Insertion Of Tube In Left Heart Chambers For Diagnosis With Review By Radiologis…
|
54
|
54
|
$24,283.00
|
$19,426.40
|
$3,430.00
|
$72,849.00
|
$22,947.43
|
2026-09-25
|
|
J2356
|
HCPCS
|
Injection, Tezepelumab-ekko, 1 Mg
|
54
|
54
|
$23,422.72
|
$18,738.18
|
$17.92
|
$70,268.16
|
$21,900.25
|
2026-09-25
|
|
93451
|
HCPCS
|
Insertion Of Tube In Right Heart Chambers For Measurement
|
54
|
54
|
$22,604.00
|
$18,083.20
|
$3,430.00
|
$67,812.00
|
$21,586.82
|
2026-09-25
|
|
93455
|
HCPCS
|
Insertion Of Tube In Bypass Graft For Diagnosis With Review By Radiologist
|
54
|
54
|
$18,730.00
|
$14,984.00
20% off
|
$3,430.00
|
$56,190.00
|
$18,074.45
|
2026-09-25
|
|
93454
|
HCPCS
|
Insertion Of Tube In Coronary Artery For Diagnosis With Review By Radiologist
|
54
|
54
|
$18,406.00
|
$14,724.80
20% off
|
$3,430.00
|
$55,218.00
|
$17,761.79
|
2026-09-25
|
|
77295
|
HCPCS
|
3d Radiation Therapy Planning
|
54
|
54
|
$15,990.00
|
$12,792.00
20% off
|
$181.00
|
$47,970.00
|
$14,950.65
|
2026-09-25
|
|
J9358
|
HCPCS
|
Injection, Fam-trastuzumab Deruxtecan-nxki, 1 Mg
|
54
|
54
|
$15,251.05
|
$12,200.84
|
$32.41
|
$45,753.15
|
$14,259.74
|
2026-09-25
|
|
J9205
|
HCPCS
|
Injection, Irinotecan Liposome, 1 Mg
|
54
|
54
|
$14,578.99
|
$11,663.19
20% off
|
$65.86
|
$43,736.97
|
$13,631.35
|
2026-09-25
|
|
J7169
|
HCPCS
|
Injection, Coagulation Factor Xa (recombinant), Inactivated-zhzo (andexxa), 10 M…
|
54
|
54
|
$13,571.93
|
$10,857.54
20% off
|
$131.16
|
$40,715.79
|
$12,689.75
|
2026-09-25
|
|
J9043
|
HCPCS
|
Injection, Cabazitaxel, 1 Mg
|
49
|
49
|
$71,815.85
|
$57,452.68
20% off
|
$233.73
|
$215,447.55
|
$68,225.06
|
2026-09-25
|
|
J9042
|
HCPCS
|
Injection, Brentuximab Vedotin, 1 Mg
|
49
|
49
|
$65,833.09
|
$52,666.47
20% off
|
$266.19
|
$197,499.27
|
$62,541.44
|
2026-09-25
|
|
J2323
|
HCPCS
|
Injection, Natalizumab, 1 Mg
|
49
|
49
|
$47,976.59
|
$38,381.27
20% off
|
$24.41
|
$143,929.77
|
$45,577.76
|
2026-09-25
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
49
|
49
|
$42,746.59
|
$34,197.27
20% off
|
$174.24
|
$128,239.77
|
$40,609.26
|
2026-09-25
|
|
J9303
|
HCPCS
|
Injection, Panitumumab, 10 Mg
|
49
|
49
|
$36,328.93
|
$29,063.14
20% off
|
$182.19
|
$108,986.79
|
$34,512.48
|
2026-09-25
|
|
J1459
|
HCPCS
|
Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui…
|
49
|
49
|
$24,108.68
|
$19,286.94
20% off
|
$51.22
|
$72,326.04
|
$22,903.25
|
2026-09-25
|
|
J1930
|
HCPCS
|
Injection, Lanreotide, 1 Mg
|
49
|
49
|
$21,842.79
|
$17,474.23
20% off
|
$37.43
|
$65,528.37
|
$20,750.65
|
2026-09-25
|
|
J3262
|
HCPCS
|
Injection, Tocilizumab, 1 Mg
|
49
|
49
|
$14,151.85
|
$11,321.48
20% off
|
$5.41
|
$42,455.55
|
$13,444.26
|
2026-09-25
|
|
A9582
|
HCPCS
|
Iodine I-123 Iobenguane, Diagnostic, Per Study Dose, Up To 15 Millicuries
|
49
|
49
|
$13,429.80
|
$10,743.84
|
$2,317.50
|
$40,289.40
|
$12,758.31
|
2026-09-25
|
|
L8680
|
HCPCS
|
Implantable Neurostimulator Electrode, Each
|
48
|
48
|
$15,555.00
|
$12,444.00
20% off
|
$11,666.25
|
$46,665.00
|
$14,855.02
|
2026-09-25
|
|
C9603
|
HCPCS
|
Percutaneous Transluminal Coronary Atherectomy, With Drug-eluting Intracoronary …
|
48
|
48
|
$15,210.00
|
$12,168.00
20% off
|
$7,714.02
|
$45,630.00
|
$14,449.50
|
2026-09-25
|
|
PM.63685
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$77,069.00
|
$61,655.20
20% off
|
$26,974.15
|
$75,527.62
|
$63,196.58
|
2026-09-25
|
|
PM.64575
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$53,639.00
|
$42,911.20
20% off
|
$18,773.65
|
$52,566.22
|
$43,983.98
|
2026-09-25
|
|
PM.64580
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$53,639.00
|
$42,911.20
20% off
|
$18,773.65
|
$52,566.22
|
$43,983.98
|
2026-09-25
|
|
PV.C9766
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$51,666.00
|
$41,332.80
|
$18,083.10
|
$50,632.68
|
$42,366.12
|
2026-09-25
|
|
PV.C9767
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$51,666.00
|
$41,332.80
|
$18,083.10
|
$50,632.68
|
$42,366.12
|
2026-09-25
|
|
PV.C9765
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$51,666.00
|
$41,332.80
|
$18,083.10
|
$50,632.68
|
$42,366.12
|
2026-09-25
|
|
PM.62362
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$45,952.00
|
$36,761.60
20% off
|
$16,083.20
|
$45,032.96
|
$37,680.64
|
2026-09-25
|
|
PV.37235
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$45,324.00
|
$36,259.20
20% off
|
$15,863.40
|
$44,417.52
|
$37,165.68
|
2026-09-25
|
|
PV.37231
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$39,886.00
|
$31,908.80
20% off
|
$13,960.10
|
$39,088.28
|
$32,706.52
|
2026-09-25
|
|
PV.37227
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$37,321.00
|
$29,856.80
20% off
|
$13,062.35
|
$36,574.58
|
$30,603.22
|
2026-09-25
|
|
PV.C9764
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$32,313.00
|
$25,850.40
|
$11,309.55
|
$31,666.74
|
$26,496.66
|
2026-09-25
|
|
PV.37234
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$30,117.00
|
$24,093.60
20% off
|
$10,540.95
|
$29,514.66
|
$24,695.94
|
2026-09-25
|
|
PV.37223
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$29,752.00
|
$23,801.60
20% off
|
$10,413.20
|
$29,156.96
|
$24,396.64
|
2026-09-25
|
|
PM.63655
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$28,103.00
|
$22,482.40
|
$9,836.05
|
$27,540.94
|
$23,044.46
|
2026-09-25
|
|
PV.37236
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$26,660.00
|
$21,328.00
20% off
|
$9,331.00
|
$26,126.80
|
$21,861.20
|
2026-09-25
|
|
PV.37230
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$26,505.00
|
$21,204.00
20% off
|
$9,276.75
|
$25,974.90
|
$21,734.10
|
2026-09-25
|
|
PM.0627T
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$26,445.00
|
$21,156.00
20% off
|
$9,255.75
|
$25,916.10
|
$21,684.90
|
2026-09-25
|
|
PV.37221
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$26,184.00
|
$20,947.20
20% off
|
$9,164.40
|
$25,660.32
|
$21,470.88
|
2026-09-25
|
|
PV.37226
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$25,690.00
|
$20,552.00
20% off
|
$8,991.50
|
$25,176.20
|
$21,065.80
|
2026-09-25
|
|
PV.37233
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$23,707.00
|
$18,965.60
20% off
|
$8,297.45
|
$23,232.86
|
$19,439.74
|
2026-09-25
|
|
PV.37229
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$23,519.00
|
$18,815.20
|
$8,231.65
|
$23,048.62
|
$19,285.58
|
2026-09-25
|
|
PM.41028
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$21,420.00
|
$17,136.00
20% off
|
$7,497.00
|
$20,991.60
|
$17,564.40
|
2026-09-25
|
|
PV.37225
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$21,013.00
|
$16,810.40
|
$7,354.55
|
$20,592.74
|
$17,230.66
|
2026-09-25
|
|
PV.37232
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$18,544.00
|
$14,835.20
|
$6,490.40
|
$18,173.12
|
$15,206.08
|
2026-09-25
|
|
PM.63664
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$18,365.00
|
$14,692.00
20% off
|
$6,427.75
|
$17,997.70
|
$15,059.30
|
2026-09-25
|
|
PV.37222
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$18,262.00
|
$14,609.60
20% off
|
$6,391.70
|
$17,896.76
|
$14,974.84
|
2026-09-25
|
|
PM.64561
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$17,214.00
|
$13,771.20
|
$6,024.90
|
$16,869.72
|
$14,115.48
|
2026-09-25
|
|
PM.63663
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$17,214.00
|
$13,771.20
|
$6,024.90
|
$16,869.72
|
$14,115.48
|
2026-09-25
|
|
PM.64555
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$17,214.00
|
$13,771.20
|
$6,024.90
|
$16,869.72
|
$14,115.48
|
2026-09-25
|
|
PM.64553
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$17,214.00
|
$13,771.20
|
$6,024.90
|
$16,869.72
|
$14,115.48
|
2026-09-25
|
|
PM.63650
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$17,214.00
|
$13,771.20
|
$6,024.90
|
$16,869.72
|
$14,115.48
|
2026-09-25
|
|
PM.22514
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$16,643.00
|
$13,314.40
20% off
|
$5,825.05
|
$16,310.14
|
$13,647.26
|
2026-09-25
|
|
PM.0275T
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$16,643.00
|
$13,314.40
20% off
|
$5,825.05
|
$16,310.14
|
$13,647.26
|
2026-09-25
|
|
PM.22513
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$16,643.00
|
$13,314.40
20% off
|
$5,825.05
|
$16,310.14
|
$13,647.26
|
2026-09-25
|
|
PV.37228
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$16,318.00
|
$13,054.40
20% off
|
$5,711.30
|
$15,991.64
|
$13,380.76
|
2026-09-25
|
|
PV.37220
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$15,997.00
|
$12,797.60
20% off
|
$5,598.95
|
$15,677.06
|
$13,117.54
|
2026-09-25
|
|
PM.22515
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$15,859.00
|
$12,687.20
|
$5,550.65
|
$15,541.82
|
$13,004.38
|
2026-09-25
|
|
PV.37224
|
CDM
|
Operating Room Services - General Classification
|
35
|
35
|
$15,505.00
|
$12,404.00
20% off
|
$5,426.75
|
$15,194.90
|
$12,714.10
|
2026-09-25
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
25
|
25
|
$144,546.27
|
$115,637.02
|
$107,055.81
|
$321,167.43
|
$112,408.54
|
2026-09-25
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
25
|
25
|
$77,853.14
|
$62,282.51
20% off
|
$53,420.47
|
$160,261.42
|
$56,091.47
|
2026-09-25
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
25
|
25
|
$70,296.04
|
$56,236.83
20% off
|
$49,733.02
|
$149,199.07
|
$52,219.65
|
2026-09-25
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
25
|
25
|
$55,539.48
|
$44,431.59
|
$45,936.60
|
$137,809.79
|
$48,233.40
|
2026-09-25
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
25
|
25
|
$94,748.45
|
$75,798.76
20% off
|
$44,050.75
|
$132,152.25
|
$46,253.27
|
2026-09-25
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
25
|
25
|
$45,942.31
|
$36,753.85
|
$45,328.34
|
$135,985.01
|
$45,942.31
|
2026-09-25
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
25
|
25
|
$67,332.47
|
$53,865.98
|
$43,020.49
|
$129,061.48
|
$45,171.49
|
2026-09-25
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
25
|
25
|
$92,067.83
|
$73,654.26
20% off
|
$42,430.78
|
$127,292.33
|
$44,552.30
|
2026-09-25
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
25
|
25
|
$85,610.01
|
$68,488.01
|
$41,431.43
|
$124,294.30
|
$43,502.98
|
2026-09-25
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
25
|
25
|
$91,261.89
|
$73,009.51
20% off
|
$38,237.86
|
$114,713.58
|
$40,149.73
|
2026-09-25
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
25
|
25
|
$86,247.81
|
$68,998.25
|
$38,169.85
|
$114,509.54
|
$40,078.32
|
2026-09-25
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
25
|
25
|
$61,987.13
|
$49,589.70
20% off
|
$36,262.36
|
$108,787.08
|
$38,075.46
|
2026-09-25
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
25
|
25
|
$138,929.96
|
$111,143.96
20% off
|
$35,525.80
|
$106,577.39
|
$37,302.07
|
2026-09-25
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
25
|
25
|
$76,131.47
|
$60,905.18
|
$35,435.37
|
$106,306.11
|
$37,207.12
|
2026-09-25
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
25
|
25
|
$86,263.77
|
$69,011.02
|
$33,951.42
|
$101,854.27
|
$35,648.98
|
2026-09-25
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
25
|
25
|
$38,908.81
|
$31,127.05
|
$32,568.73
|
$97,706.18
|
$34,197.15
|
2026-09-25
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
25
|
25
|
$38,528.18
|
$30,822.54
20% off
|
$29,083.78
|
$87,251.33
|
$30,537.95
|
2026-09-25
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
25
|
25
|
$39,581.49
|
$31,665.19
20% off
|
$28,888.23
|
$86,664.70
|
$30,332.63
|
2026-09-25
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
25
|
25
|
$47,900.06
|
$38,320.05
|
$28,803.99
|
$86,411.97
|
$30,244.17
|
2026-09-25
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
25
|
25
|
$32,430.95
|
$25,944.76
20% off
|
$28,377.36
|
$85,132.07
|
$29,796.21
|
2026-09-25
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
25
|
25
|
$33,015.20
|
$26,412.16
|
$28,044.24
|
$84,132.72
|
$29,446.44
|
2026-09-25
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
25
|
25
|
$63,680.93
|
$50,944.75
|
$27,599.06
|
$82,797.17
|
$28,979.00
|
2026-09-25
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
25
|
25
|
$63,504.38
|
$50,803.50
20% off
|
$27,558.09
|
$82,674.28
|
$28,935.99
|
2026-09-25
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
25
|
25
|
$34,095.80
|
$27,276.64
20% off
|
$27,508.63
|
$82,525.89
|
$28,884.05
|
2026-09-25
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
25
|
25
|
$117,182.36
|
$93,745.89
|
$27,486.22
|
$82,458.65
|
$28,860.51
|
2026-09-25
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
25
|
25
|
$78,923.51
|
$63,138.81
|
$27,256.67
|
$81,770.00
|
$28,619.49
|
2026-09-25
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
25
|
25
|
$37,983.82
|
$30,387.05
20% off
|
$27,201.02
|
$81,603.06
|
$28,561.06
|
2026-09-25
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
25
|
25
|
$95,353.34
|
$76,282.67
20% off
|
$26,960.65
|
$80,881.96
|
$28,308.67
|
2026-09-25
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
25
|
25
|
$58,617.34
|
$46,893.87
20% off
|
$26,953.70
|
$80,861.09
|
$28,301.37
|
2026-09-25
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
25
|
25
|
$36,761.24
|
$29,408.99
20% off
|
$26,497.69
|
$79,493.08
|
$27,822.56
|
2026-09-25
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
25
|
25
|
$39,800.65
|
$31,840.52
20% off
|
$25,029.98
|
$75,089.93
|
$26,281.46
|
2026-09-25
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
25
|
25
|
$43,952.57
|
$35,162.06
|
$25,002.15
|
$75,006.46
|
$26,252.25
|
2026-09-25
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
25
|
25
|
$97,945.09
|
$78,356.07
20% off
|
$24,941.87
|
$74,825.61
|
$26,188.95
|
2026-09-25
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
25
|
25
|
$43,516.23
|
$34,812.98
20% off
|
$24,460.36
|
$73,381.08
|
$25,683.36
|
2026-09-25
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
25
|
25
|
$36,852.80
|
$29,482.24
20% off
|
$24,123.38
|
$72,370.14
|
$25,329.54
|
2026-09-25
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
25
|
25
|
$40,170.02
|
$32,136.02
|
$24,073.14
|
$72,219.43
|
$25,276.79
|
2026-09-25
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
25
|
25
|
$41,075.28
|
$32,860.22
20% off
|
$23,345.08
|
$70,035.25
|
$24,512.32
|
2026-09-25
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
25
|
25
|
$33,212.64
|
$26,570.11
20% off
|
$23,316.49
|
$69,949.46
|
$24,482.30
|
2026-09-25
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
25
|
25
|
$35,463.87
|
$28,371.10
|
$22,568.33
|
$67,704.99
|
$23,696.73
|
2026-09-25
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
25
|
25
|
$41,563.92
|
$33,251.14
|
$22,508.82
|
$67,526.45
|
$23,634.25
|
2026-09-25
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
25
|
25
|
$66,966.13
|
$53,572.90
20% off
|
$22,429.21
|
$67,287.63
|
$23,550.66
|
2026-09-25
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
25
|
25
|
$42,483.02
|
$33,986.42
|
$22,305.55
|
$66,916.64
|
$23,420.81
|
2026-09-25
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
25
|
25
|
$64,092.60
|
$51,274.08
|
$22,183.43
|
$66,550.29
|
$23,292.59
|
2026-09-25
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
25
|
25
|
$24,547.17
|
$19,637.74
|
$21,572.08
|
$64,716.23
|
$22,650.67
|
2026-09-25
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
25
|
25
|
$62,293.40
|
$49,834.72
20% off
|
$21,423.68
|
$64,271.05
|
$22,494.86
|
2026-09-25
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
25
|
25
|
$80,320.51
|
$64,256.41
|
$21,309.30
|
$63,927.89
|
$22,374.75
|
2026-09-25
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
25
|
25
|
$60,570.31
|
$48,456.25
|
$21,244.37
|
$63,733.12
|
$22,306.58
|
2026-09-25
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
25
|
25
|
$80,856.32
|
$64,685.06
|
$21,238.96
|
$63,716.89
|
$22,300.90
|
2026-09-25
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
25
|
25
|
$30,172.63
|
$24,138.10
20% off
|
$21,129.21
|
$63,387.64
|
$22,185.66
|
2026-09-25
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
25
|
25
|
$107,328.89
|
$85,863.11
20% off
|
$21,028.74
|
$63,086.21
|
$22,080.16
|
2026-09-25
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
25
|
25
|
$28,333.75
|
$22,667.00
20% off
|
$20,847.88
|
$62,543.64
|
$21,890.26
|
2026-09-25
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
25
|
25
|
$21,799.49
|
$17,439.59
20% off
|
$20,915.90
|
$62,747.69
|
$21,799.49
|
2026-09-25
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
25
|
25
|
$70,807.49
|
$56,645.99
20% off
|
$20,558.82
|
$61,676.46
|
$21,586.75
|
2026-09-25
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
25
|
25
|
$28,162.31
|
$22,529.85
|
$20,531.77
|
$61,595.31
|
$21,558.35
|
2026-09-25
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
25
|
25
|
$27,214.35
|
$21,771.48
20% off
|
$20,061.08
|
$60,183.24
|
$21,064.12
|
2026-09-25
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
25
|
25
|
$129,178.64
|
$103,342.91
20% off
|
$19,962.15
|
$59,886.45
|
$20,960.25
|
2026-09-25
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
25
|
25
|
$78,667.37
|
$62,933.90
|
$19,934.33
|
$59,802.98
|
$20,931.03
|
2026-09-25
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
25
|
25
|
$53,918.55
|
$43,134.84
20% off
|
$19,731.83
|
$59,195.49
|
$20,718.41
|
2026-09-25
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
25
|
25
|
$31,996.14
|
$25,596.91
20% off
|
$19,638.31
|
$58,914.93
|
$20,620.22
|
2026-09-25
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
25
|
25
|
$68,972.01
|
$55,177.60
20% off
|
$19,601.21
|
$58,803.64
|
$20,581.26
|
2026-09-25
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
25
|
25
|
$50,137.70
|
$40,110.16
|
$19,180.76
|
$57,542.28
|
$20,139.79
|
2026-09-25
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
25
|
25
|
$53,977.42
|
$43,181.94
|
$19,006.86
|
$57,020.59
|
$19,957.19
|
2026-09-25
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
25
|
25
|
$62,161.48
|
$49,729.19
|
$19,001.45
|
$57,004.35
|
$19,951.51
|
2026-09-25
|
|
783
|
MS_DRG
|
Cesarean Section With Sterilization With Mcc
|
25
|
25
|
$68,762.19
|
$55,009.75
20% off
|
$18,975.17
|
$56,925.52
|
$19,923.92
|
2026-09-25
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
25
|
25
|
$63,452.31
|
$50,761.85
|
$18,890.93
|
$56,672.79
|
$19,835.47
|
2026-09-25
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
25
|
25
|
$69,895.90
|
$55,916.72
|
$18,527.67
|
$55,583.01
|
$19,454.05
|
2026-09-25
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
25
|
25
|
$65,324.71
|
$52,259.77
|
$18,509.89
|
$55,529.68
|
$19,435.38
|
2026-09-25
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
25
|
25
|
$56,171.60
|
$44,937.28
20% off
|
$18,444.20
|
$55,332.60
|
$19,366.40
|
2026-09-25
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
25
|
25
|
$99,339.92
|
$79,471.94
|
$18,074.76
|
$54,224.28
|
$18,978.49
|
2026-09-25
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
25
|
25
|
$23,115.31
|
$18,492.25
|
$18,061.62
|
$54,184.86
|
$18,964.69
|
2026-09-25
|
|
709
|
MS_DRG
|
Penis Procedures With Cc/mcc
|
25
|
25
|
$24,797.22
|
$19,837.78
|
$17,985.88
|
$53,957.63
|
$18,885.16
|
2026-09-25
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
25
|
25
|
$83,774.61
|
$67,019.68
20% off
|
$17,973.51
|
$53,920.53
|
$18,872.18
|
2026-09-25
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
25
|
25
|
$30,733.58
|
$24,586.86
20% off
|
$17,588.61
|
$52,765.84
|
$18,468.03
|
2026-09-25
|
|
85
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
25
|
25
|
$27,187.66
|
$21,750.13
|
$17,559.24
|
$52,677.73
|
$18,437.20
|
2026-09-25
|
|
824
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
25
|
25
|
$18,436.57
|
$14,749.26
|
$17,510.55
|
$52,531.65
|
$18,386.07
|
2026-09-25
|
|
341
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis With Mcc
|
25
|
25
|
$24,148.17
|
$19,318.54
|
$17,459.54
|
$52,378.62
|
$18,332.51
|
2026-09-25
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
25
|
25
|
$64,055.94
|
$51,244.75
20% off
|
$17,102.47
|
$51,307.40
|
$17,957.58
|
2026-09-25
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
25
|
25
|
$30,907.41
|
$24,725.93
|
$17,064.59
|
$51,193.78
|
$17,917.82
|
2026-09-25
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
25
|
25
|
$88,119.87
|
$70,495.90
|
$16,868.28
|
$50,604.84
|
$17,711.69
|
2026-09-25
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
25
|
25
|
$36,899.58
|
$29,519.66
20% off
|
$16,839.68
|
$50,519.05
|
$17,681.66
|
2026-09-25
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
25
|
25
|
$93,695.46
|
$74,956.37
|
$16,828.09
|
$50,484.27
|
$17,669.49
|
2026-09-25
|
|
934
|
MS_DRG
|
Full Thickness Burn Without Skin Graft Or Inhalation Injury
|
25
|
25
|
$17,531.94
|
$14,025.55
20% off
|
$17,085.46
|
$51,256.39
|
$17,531.94
|
2026-09-25
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
25
|
25
|
$38,451.61
|
$30,761.28
20% off
|
$16,551.40
|
$49,654.19
|
$17,378.96
|
2026-09-25
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
25
|
25
|
$52,422.60
|
$41,938.08
|
$16,367.45
|
$49,102.35
|
$17,185.81
|
2026-09-25
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
25
|
25
|
$37,540.74
|
$30,032.59
20% off
|
$16,365.13
|
$49,095.39
|
$17,183.38
|
2026-09-25
|
|
135
|
MS_DRG
|
Sinus And Mastoid Procedures With Cc/mcc
|
25
|
25
|
$20,223.12
|
$16,178.50
|
$16,348.13
|
$49,044.38
|
$17,165.52
|
2026-09-25
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
25
|
25
|
$48,254.13
|
$38,603.30
20% off
|
$16,297.89
|
$48,893.67
|
$17,112.78
|
2026-09-25
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
25
|
25
|
$40,604.64
|
$32,483.71
20% off
|
$16,188.14
|
$48,564.42
|
$16,997.54
|
2026-09-25
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
25
|
25
|
$31,522.89
|
$25,218.31
20% off
|
$16,178.09
|
$48,534.27
|
$16,986.99
|
2026-09-25
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
25
|
25
|
$36,962.37
|
$29,569.89
20% off
|
$16,161.86
|
$48,485.58
|
$16,969.95
|
2026-09-25
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
25
|
25
|
$29,194.23
|
$23,355.38
20% off
|
$16,116.26
|
$48,348.78
|
$16,922.07
|
2026-09-25
|
|
511
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc
|
25
|
25
|
$31,462.25
|
$25,169.80
20% off
|
$16,071.43
|
$48,214.30
|
$16,875.00
|
2026-09-25
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
25
|
25
|
$63,352.85
|
$50,682.28
20% off
|
$15,973.28
|
$47,919.83
|
$16,771.93
|
2026-09-25
|
|
941
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…
|
25
|
25
|
$18,056.32
|
$14,445.06
|
$15,671.85
|
$47,015.55
|
$16,455.43
|
2026-09-25
|
|
499
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without…
|
25
|
25
|
$60,830.05
|
$48,664.04
20% off
|
$15,572.15
|
$46,716.44
|
$16,350.75
|
2026-09-25
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
25
|
25
|
$37,108.83
|
$29,687.06
20% off
|
$15,542.78
|
$46,628.33
|
$16,319.91
|
2026-09-25
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc
|
25
|
25
|
$46,344.46
|
$37,075.56
20% off
|
$15,508.00
|
$46,523.99
|
$16,283.39
|
2026-09-25
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
25
|
25
|
$46,231.41
|
$36,985.13
|
$15,443.08
|
$46,329.23
|
$16,215.22
|
2026-09-25
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
25
|
25
|
$135,657.02
|
$108,525.62
|
$15,420.66
|
$46,261.98
|
$16,191.69
|
2026-09-25
|
|
843
|
MS_DRG
|
Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…
|
25
|
25
|
$16,857.53
|
$13,486.02
20% off
|
$15,417.57
|
$46,252.71
|
$16,188.44
|
2026-09-25
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
25
|
25
|
$29,048.12
|
$23,238.50
|
$15,309.37
|
$45,928.10
|
$16,074.83
|
2026-09-25
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
25
|
25
|
$33,556.95
|
$26,845.56
|
$15,211.98
|
$45,635.94
|
$15,972.57
|
2026-09-25
|
|
380
|
MS_DRG
|
Complicated Peptic Ulcer With Mcc
|
25
|
25
|
$50,036.52
|
$40,029.22
|
$15,165.61
|
$45,496.83
|
$15,923.88
|
2026-09-25
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
25
|
25
|
$36,692.44
|
$29,353.95
20% off
|
$15,013.35
|
$45,040.05
|
$15,764.01
|
2026-09-25
|
|
592
|
MS_DRG
|
Skin Ulcers With Mcc
|
25
|
25
|
$49,881.50
|
$39,905.20
20% off
|
$14,957.70
|
$44,873.10
|
$15,705.58
|
2026-09-25
|
|
548
|
MS_DRG
|
Septic Arthritis With Mcc
|
25
|
25
|
$27,932.81
|
$22,346.25
|
$14,923.69
|
$44,771.08
|
$15,669.87
|
2026-09-25
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
25
|
25
|
$53,260.94
|
$42,608.75
20% off
|
$14,908.24
|
$44,724.71
|
$15,653.64
|
2026-09-25
|
|
75
|
MS_DRG
|
Viral Meningitis With Cc/mcc
|
25
|
25
|
$30,046.20
|
$24,036.96
20% off
|
$14,820.13
|
$44,460.38
|
$15,561.13
|
2026-09-25
|
|
902
|
MS_DRG
|
Wound Debridements For Injuries With Cc
|
25
|
25
|
$15,667.90
|
$12,534.32
20% off
|
$14,796.94
|
$44,390.82
|
$15,536.78
|
2026-09-25
|
|
165
|
MS_DRG
|
Major Chest Procedures Without Cc/mcc
|
25
|
25
|
$24,796.10
|
$19,836.88
|
$14,794.62
|
$44,383.87
|
$15,534.35
|
2026-09-25
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With Mcc
|
25
|
25
|
$36,350.79
|
$29,080.63
20% off
|
$14,585.94
|
$43,757.83
|
$15,315.23
|
2026-09-25
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
25
|
25
|
$36,046.92
|
$28,837.54
|
$14,455.32
|
$43,365.97
|
$15,178.08
|
2026-09-25
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
25
|
25
|
$45,694.04
|
$36,555.23
20% off
|
$14,446.82
|
$43,340.47
|
$15,169.16
|
2026-09-25
|
|
742
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc
|
25
|
25
|
$47,326.62
|
$37,861.30
|
$14,180.95
|
$42,542.85
|
$14,889.99
|
2026-09-25
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
25
|
25
|
$33,177.32
|
$26,541.85
20% off
|
$14,151.58
|
$42,454.74
|
$14,859.15
|
2026-09-25
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
25
|
25
|
$29,264.40
|
$23,411.52
20% off
|
$14,128.39
|
$42,385.18
|
$14,834.81
|
2026-09-25
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
25
|
25
|
$28,725.14
|
$22,980.11
20% off
|
$14,095.16
|
$42,285.48
|
$14,799.91
|
2026-09-25
|
|
80
|
MS_DRG
|
Nontraumatic Stupor And Coma With Mcc
|
25
|
25
|
$36,009.41
|
$28,807.53
|
$13,989.27
|
$41,967.82
|
$14,688.73
|
2026-09-25
|
|
722
|
MS_DRG
|
Malignancy, Male Reproductive System With Mcc
|
25
|
25
|
$34,866.89
|
$27,893.51
20% off
|
$13,986.95
|
$41,960.86
|
$14,686.29
|
2026-09-25
|
|
507
|
MS_DRG
|
Major Shoulder Or Elbow Joint Procedures With Cc/mcc
|
25
|
25
|
$19,386.97
|
$15,509.58
|
$13,961.45
|
$41,884.35
|
$14,659.51
|
2026-09-25
|
|
496
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
25
|
25
|
$53,534.28
|
$42,827.42
20% off
|
$13,942.13
|
$41,826.38
|
$14,639.23
|
2026-09-25
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
25
|
25
|
$15,639.66
|
$12,511.73
|
$13,871.02
|
$41,613.06
|
$14,564.56
|
2026-09-25
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
25
|
25
|
$41,978.21
|
$33,582.57
|
$13,864.84
|
$41,594.51
|
$14,558.07
|
2026-09-25
|
|
505
|
MS_DRG
|
Foot Procedures Without Cc/mcc
|
25
|
25
|
$46,127.01
|
$36,901.61
|
$13,856.34
|
$41,569.01
|
$14,549.15
|
2026-09-25
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
25
|
25
|
$30,460.56
|
$24,368.45
|
$13,704.08
|
$41,112.23
|
$14,389.27
|
2026-09-25
|
|
542
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
25
|
25
|
$33,924.59
|
$27,139.67
20% off
|
$13,653.07
|
$40,959.20
|
$14,335.71
|
2026-09-25
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
25
|
25
|
$55,171.12
|
$44,136.90
|
$13,649.20
|
$40,947.61
|
$14,331.66
|
2026-09-25
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
25
|
25
|
$20,695.89
|
$16,556.71
20% off
|
$13,634.52
|
$40,903.55
|
$14,316.24
|
2026-09-25
|
|
322
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc
|
25
|
25
|
$84,637.27
|
$67,709.82
|
$13,626.02
|
$40,878.05
|
$14,307.31
|
2026-09-25
|
|
62
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
25
|
25
|
$73,747.26
|
$58,997.80
20% off
|
$13,581.19
|
$40,743.56
|
$14,260.24
|
2026-09-25
|
|
509
|
MS_DRG
|
Arthroscopy
|
25
|
25
|
$86,976.58
|
$69,581.26
20% off
|
$13,575.78
|
$40,727.33
|
$14,254.56
|
2026-09-25
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
25
|
25
|
$18,617.23
|
$14,893.78
20% off
|
$13,573.46
|
$40,720.38
|
$14,252.13
|
2026-09-25
|
|
922
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc
|
25
|
25
|
$38,652.44
|
$30,921.95
20% off
|
$13,520.90
|
$40,562.71
|
$14,196.94
|
2026-09-25
|
|
501
|
MS_DRG
|
Soft Tissue Procedures With Cc
|
25
|
25
|
$19,765.28
|
$15,812.22
20% off
|
$13,510.86
|
$40,532.57
|
$14,186.39
|
2026-09-25
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
25
|
25
|
$34,936.29
|
$27,949.03
20% off
|
$13,487.67
|
$40,463.01
|
$14,162.04
|
2026-09-25
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
25
|
25
|
$28,902.88
|
$23,122.31
|
$13,355.50
|
$40,066.51
|
$14,023.27
|
2026-09-25
|
|
583
|
MS_DRG
|
Mastectomy For Malignancy Without Cc/mcc
|
25
|
25
|
$57,659.07
|
$46,127.26
|
$13,327.68
|
$39,983.04
|
$13,994.06
|
2026-09-25
|
|
983
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
25
|
25
|
$25,998.86
|
$20,799.09
|
$13,247.30
|
$39,741.90
|
$13,909.66
|
2026-09-25
|
|
289
|
MS_DRG
|
Acute And Subacute Endocarditis With Cc
|
25
|
25
|
$33,759.76
|
$27,007.81
|
$13,192.43
|
$39,577.28
|
$13,852.04
|
2026-09-25
|
|
256
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Cc
|
25
|
25
|
$81,287.77
|
$65,030.22
|
$13,122.87
|
$39,368.60
|
$13,779.00
|
2026-09-25
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
25
|
25
|
$52,400.81
|
$41,920.65
|
$13,074.17
|
$39,222.52
|
$13,727.88
|
2026-09-25
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
25
|
25
|
$23,185.81
|
$18,548.65
|
$13,057.94
|
$39,173.83
|
$13,710.83
|
2026-09-25
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
25
|
25
|
$24,022.06
|
$19,217.65
|
$13,046.35
|
$39,139.05
|
$13,698.66
|
2026-09-25
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
25
|
25
|
$63,461.80
|
$50,769.44
20% off
|
$13,006.93
|
$39,020.80
|
$13,657.27
|
2026-09-25
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
25
|
25
|
$41,415.62
|
$33,132.49
20% off
|
$13,003.07
|
$39,009.20
|
$13,653.21
|
2026-09-25
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
25
|
25
|
$33,488.38
|
$26,790.70
20% off
|
$12,954.38
|
$38,863.13
|
$13,602.09
|
2026-09-25
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
25
|
25
|
$43,671.59
|
$34,937.27
20% off
|
$12,914.19
|
$38,742.56
|
$13,559.89
|
2026-09-25
|
|
597
|
MS_DRG
|
Malignant Breast Disorders With Mcc
|
25
|
25
|
$94,233.46
|
$75,386.77
|
$12,884.82
|
$38,654.45
|
$13,529.05
|
2026-09-25
|
|
70
|
MS_DRG
|
Other Cerebrovascular Disorders With Mcc
|
25
|
25
|
$24,505.10
|
$19,604.08
|
$12,867.04
|
$38,601.12
|
$13,510.38
|
2026-09-25
|
|
512
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/…
|
25
|
25
|
$29,761.49
|
$23,809.19
20% off
|
$12,794.39
|
$38,383.16
|
$13,434.10
|
2026-09-25
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
25
|
25
|
$19,661.98
|
$15,729.59
|
$12,786.66
|
$38,359.98
|
$13,425.99
|
2026-09-25
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
25
|
25
|
$35,746.86
|
$28,597.48
20% off
|
$12,748.79
|
$38,246.36
|
$13,386.22
|
2026-09-25
|
|
643
|
MS_DRG
|
Endocrine Disorders With Mcc
|
25
|
25
|
$30,294.65
|
$24,235.72
20% off
|
$12,722.51
|
$38,167.53
|
$13,358.63
|
2026-09-25
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
25
|
25
|
$28,308.99
|
$22,647.19
20% off
|
$12,703.19
|
$38,109.56
|
$13,338.34
|
2026-09-25
|
|
675
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures Without Cc/mcc
|
25
|
25
|
$32,791.63
|
$26,233.30
20% off
|
$12,686.18
|
$38,058.55
|
$13,320.49
|
2026-09-25
|
|
913
|
MS_DRG
|
Traumatic Injury With Mcc
|
25
|
25
|
$22,318.11
|
$17,854.49
|
$12,633.63
|
$37,900.88
|
$13,265.30
|
2026-09-25
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
25
|
25
|
$30,872.41
|
$24,697.92
20% off
|
$12,618.94
|
$37,856.83
|
$13,249.88
|
2026-09-25
|
|
841
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Cc
|
25
|
25
|
$109,889.22
|
$87,911.38
|
$12,608.89
|
$37,826.68
|
$13,239.33
|
2026-09-25
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
25
|
25
|
$32,923.77
|
$26,339.02
|
$12,605.80
|
$37,817.41
|
$13,236.09
|
2026-09-25
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
25
|
25
|
$25,092.01
|
$20,073.61
|
$12,599.62
|
$37,798.86
|
$13,229.59
|
2026-09-25
|
|
73
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders With Mcc
|
25
|
25
|
$113,349.01
|
$90,679.21
|
$12,399.44
|
$37,198.33
|
$13,019.41
|
2026-09-25
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
25
|
25
|
$40,956.71
|
$32,765.37
|
$12,397.90
|
$37,193.69
|
$13,017.78
|
2026-09-25
|
|
328
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures Without Cc/mcc
|
25
|
25
|
$66,203.73
|
$52,962.98
20% off
|
$12,383.98
|
$37,151.95
|
$13,003.18
|
2026-09-25
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
25
|
25
|
$38,623.42
|
$30,898.74
|
$12,360.80
|
$37,082.39
|
$12,978.83
|
2026-09-25
|
|
368
|
MS_DRG
|
Major Esophageal Disorders With Mcc
|
25
|
25
|
$22,403.27
|
$17,922.62
|
$12,303.60
|
$36,910.81
|
$12,918.78
|
2026-09-25
|
|
385
|
MS_DRG
|
Inflammatory Bowel Disease With Mcc
|
25
|
25
|
$24,529.28
|
$19,623.43
|
$12,229.41
|
$36,688.22
|
$12,840.87
|
2026-09-25
|
|
306
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders With Mcc
|
25
|
25
|
$39,868.46
|
$31,894.77
|
$12,179.17
|
$36,537.51
|
$12,788.12
|
2026-09-25
|
|
513
|
MS_DRG
|
Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc
|
25
|
25
|
$24,993.43
|
$19,994.74
20% off
|
$12,167.58
|
$36,502.73
|
$12,775.95
|
2026-09-25
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
25
|
25
|
$23,606.21
|
$18,884.97
|
$12,121.98
|
$36,365.93
|
$12,728.07
|
2026-09-25
|
|
533
|
MS_DRG
|
Fractures Of Femur With Mcc
|
25
|
25
|
$14,403.79
|
$11,523.03
20% off
|
$12,116.57
|
$36,349.70
|
$12,722.39
|
2026-09-25
|
|
487
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc
|
25
|
25
|
$24,478.47
|
$19,582.78
|
$12,104.97
|
$36,314.92
|
$12,710.21
|
2026-09-25
|
|
154
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat Diagnoses With Mcc
|
25
|
25
|
$24,389.49
|
$19,511.59
20% off
|
$12,084.10
|
$36,252.31
|
$12,688.30
|
2026-09-25
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
25
|
25
|
$31,150.21
|
$24,920.17
|
$12,077.92
|
$36,233.76
|
$12,681.81
|
2026-09-25
|
|
186
|
MS_DRG
|
Pleural Effusion With Mcc
|
25
|
25
|
$27,178.69
|
$21,742.95
20% off
|
$12,045.46
|
$36,136.38
|
$12,647.73
|
2026-09-25
|
|
669
|
MS_DRG
|
Transurethral Procedures With Cc
|
25
|
25
|
$41,559.21
|
$33,247.37
|
$11,995.22
|
$35,985.67
|
$12,594.98
|
2026-09-25
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
24
|
24
|
$127,767.36
|
$102,213.89
|
$127,767.36
|
$334,296.90
|
$164,047.02
|
2026-09-25
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
24
|
24
|
$36,523.15
|
$29,218.52
20% off
|
$36,523.15
|
$83,101.73
|
$40,779.89
|
2026-09-25
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
24
|
24
|
$26,966.85
|
$21,573.48
20% off
|
$26,966.85
|
$66,175.20
|
$32,473.66
|
2026-09-25
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
24
|
24
|
$20,823.29
|
$16,658.63
20% off
|
$20,823.29
|
$60,813.90
|
$29,842.75
|
2026-09-25
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
24
|
24
|
$21,092.42
|
$16,873.94
|
$21,092.42
|
$44,895.38
|
$22,031.17
|
2026-09-25
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
24
|
24
|
$15,030.09
|
$12,024.07
20% off
|
$15,030.09
|
$38,574.90
|
$18,929.57
|
2026-09-25
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
24
|
24
|
$16,972.42
|
$13,577.94
|
$16,972.42
|
$36,588.83
|
$17,954.96
|
2026-09-25
|
|
835
|
MS_DRG
|
Acute Leukemia With Cc
|
24
|
24
|
$15,174.32
|
$12,139.46
|
$15,174.32
|
$32,851.35
|
$16,120.90
|
2026-09-25
|
|
539
|
MS_DRG
|
Osteomyelitis With Mcc
|
24
|
24
|
$10,895.77
|
$8,716.62
|
$10,895.77
|
$31,022.78
|
$15,223.57
|
2026-09-25
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
|
24
|
24
|
$12,868.13
|
$10,294.50
20% off
|
$12,868.13
|
$28,928.03
|
$14,195.63
|
2026-09-25
|
|
919
|
MS_DRG
|
Complications Of Treatment With Mcc
|
24
|
24
|
$10,980.35
|
$8,784.28
|
$10,980.35
|
$28,835.10
|
$14,150.03
|
2026-09-25
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
24
|
24
|
$12,225.30
|
$9,780.24
20% off
|
$12,225.30
|
$28,384.65
|
$13,928.99
|
2026-09-25
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
21
|
21
|
$24,530.48
|
$19,624.38
20% off
|
$24,530.48
|
$69,971.81
|
$38,039.23
|
2026-09-25
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
21
|
21
|
$10,300.88
|
$8,240.70
20% off
|
$10,300.88
|
$30,405.90
|
$16,529.76
|
2026-09-25
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
20
|
20
|
$14,087.19
|
$11,269.75
20% off
|
$14,087.19
|
$33,837.64
|
$32,226.34
|
2026-09-25
|