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

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Hospital

WITHAM HEALTH SERVICES

Lebanon, IN · CCN 150104 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $2,586 across 19 payers · range $578-$8,508

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbWithamHospital&type=CDMWithoutLabel&fileType=CSV · observed 2026-03-31

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.

6,527 distinct procedures filed
20 distinct payers
263,732 rate rows
2026-03-31 last MRF observed
Data quality

257,270 of 263,732 rate rows are consumer-grade (97.5%)

6,462 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 5,390
exceeds 10× this hospital's gross charge — excluded from medians 786
per-diem day rate — not a per-procedure price 120
exceeds 3× this hospital's gross charge for a DRG stay — excluded 104
percent-of-charges filed in the dollar field — excluded from medians 46
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbWithamHospital&type=CDMWithoutLabel
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-17
Content fingerprint a4aa1cf5e47ca9f6… · 58,393,859 bytes · first seen 2026-05-07

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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $162,464.47 $346,119.34 $192,874.00 nat. median
$145,435
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $62,160.00 $182,963.14 $106,023.05 nat. median
$97,418
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $52,905.13 $112,710.72 $82,298.80 nat. median
$48,611
1.7× median
33249
HCPCS 		Insertion Of Implantable Defibrillator System 19 $33,209.70 $264,497.63 $78,291.30 nat. median
$32,069
outlier · 2.4×
33264
HCPCS 		Removal And Replacement Of Multiple Lead Defibrillator 19 $33,209.70 $264,497.63 $78,291.30 nat. median
$32,779
outlier · 2.4×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 12 $49,253.25 $104,930.65 $76,617.97 nat. median
$47,121
1.6× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 12 $43,625.80 $92,941.75 $67,863.95 nat. median
$38,795
1.7× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 $41,747.43 $88,940.01 $64,941.97 nat. median
$37,371
1.7× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 12 $40,386.49 $86,040.62 $62,824.90 nat. median
$37,725
1.7× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 12 $37,868.98 $80,677.25 $58,908.69 nat. median
$35,725
1.6× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 $37,801.62 $80,533.75 $58,803.91 nat. median
$34,733
1.7× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 $37,672.27 $80,258.16 $58,602.68 nat. median
$34,615
1.7× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 $35,912.54 $76,509.18 $55,865.26 nat. median
$33,546
1.7× median
33263
HCPCS 		Removal And Replacement Of Dual Lead Defibrillator 19 $23,533.90 $185,175.38 $54,811.91 nat. median
$23,924
outlier · 2.3×
33262
HCPCS 		Removal And Replacement Of Single Lead Defibrillator 19 $23,533.90 $185,175.38 $54,811.91 nat. median
$23,514
outlier · 2.3×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 12 $35,183.08 $74,955.13 $54,730.53 nat. median
$33,435
1.6× median
163
MS_DRG 		Major Chest Procedures With Mcc 12 $34,305.13 $73,084.71 $53,364.79 nat. median
$31,995
1.7× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 12 $32,160.39 $68,515.49 $50,028.45 nat. median
$29,327
1.7× median
36906
HCPCS 		Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 19 $19,395.10 $166,687.50 $49,339.50 nat. median
$18,501
outlier · 2.7×
33229
HCPCS 		Removal And Replacement Of Multiple Lead Permanent Pacemaker 19 $20,379.10 $157,334.63 $46,571.05 nat. median
$19,415
outlier · 2.4×
876
MS_DRG 		O.r. Procedures With Principal Diagnosis Of Mental Illness 12 $29,583.18 $63,024.92 $46,019.37 nat. median
$2,958
outlier · 15.6×
2723312331
CDM 		Impella Device 12 $35,921.53 $55,041.05 $45,405.97 —
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 $28,803.21 $61,363.24 $44,806.04 nat. median
$27,340
1.6× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 $29,554.86 $62,964.59 $44,768.14 nat. median
$27,156
1.6× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 $28,103.60 $59,872.78 $43,717.74 nat. median
$25,953
1.7× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 12 $27,332.81 $58,230.67 $42,518.71 nat. median
$25,494
1.7× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 $27,243.26 $58,039.87 $42,379.40 nat. median
$24,822
1.7× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 12 $26,993.72 $57,508.27 $41,991.22 nat. median
$25,622
1.6× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 $26,938.61 $57,390.86 $41,905.50 nat. median
$24,752
1.7× median
0796T
OTHER 		Transcatheter Insertion Of Permanent Dual-chamber Pacemaker Using Fluoroscopy An… 19 $20,379.10 $140,852.25 $41,692.27 nat. median
$22,598
1.8× median
0823T
OTHER 		Insertion Of Permanent Single-chamber Leadless Pacemaker For Pacing The Right Up… 19 $20,379.10 $140,852.25 $41,692.27 nat. median
$23,353
1.8× median
0795T
OTHER 		Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker Using Fluor… 19 $20,379.10 $140,852.25 $41,692.27 nat. median
$22,665
1.8× median
33274
HCPCS 		Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance 19 $20,379.10 $140,852.25 $41,692.27 nat. median
$20,959
2.0× median
0797T
OTHER 		Transcatheter Insertion Of A Permanent Dual Chamber Leadless Pacemaker Using Flu… 19 $20,379.10 $140,852.25 $41,692.27 nat. median
$20,718
outlier · 2.0×
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 $26,242.07 $55,906.92 $40,821.96 nat. median
$24,316
1.7× median
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 12 $26,442.61 $56,334.16 $40,675.00 nat. median
$23,671
1.7× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 12 $25,570.02 $54,475.16 $39,776.52 nat. median
$23,998
1.7× median
C1605
HCPCS 		Pacemaker, Leadless, Dual Chamber (right Atrial And Right Ventricular Implantabl… 13 $26,853.75 $108,281.25 $39,414.38 nat. median
$17,883
outlier · 2.2×
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 12 $24,788.52 $52,810.22 $38,560.82 nat. median
$23,000
1.7× median
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 12 $24,701.26 $52,624.32 $38,425.07 nat. median
$23,038
1.7× median
500
MS_DRG 		Soft Tissue Procedures With Mcc 12 $24,224.39 $51,608.39 $37,683.27 nat. median
$22,181
1.7× median
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 12 $24,107.28 $51,358.90 $37,501.10 nat. median
$22,934
1.6× median
C2624
HCPCS 		Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 13 $25,486.65 $102,768.75 $37,407.83 nat. median
$26,491
1.4× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 12 $23,840.91 $50,791.41 $37,086.73 nat. median
$21,906
1.7× median
C9602
HCPCS 		Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary… 19 $7,714.02 $127,764.00 $36,850.69 nat. median
$19,918
1.9× median
0235T
OTHER 		Catheter Removal Of Plaque From Organ Artery, Accessed Through The Skin Or Open… 13 $24,649.46 $99,393.00 $36,179.05 nat. median
$5,243
outlier · 6.9×
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 12 $23,217.08 $49,462.39 $36,116.31 nat. median
$22,918
1.6× median
510
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 12 $23,119.87 $49,255.29 $35,965.09 nat. median
$20,743
1.7× median
C1822
HCPCS 		Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 13 $24,303.13 $97,996.50 $35,670.73 nat. median
$30,046
1.2× median
246
MS_DRG 		Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 12 $22,927.75 $48,845.99 $35,666.23 nat. median
$2,024
outlier · 17.6×

Other procedures at this hospital

Browse this hospital's 6,527 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
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 12 $192,874.00 $135,011.80 30% off $162,464.47 $346,119.34 $192,874.00 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 10 $62,160.00 $43,512.00 30% off $62,160.00 $182,963.14 $106,023.05 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 12 $204,621.00 $143,234.70 30% off $52,905.13 $112,710.72 $82,298.80 2026-03-31
33264 HCPCS Removal And Replacement Of Multiple Lead Defibrillator 38 19 $105,799.05 $74,059.34 30% off $33,209.70 $264,497.63 $78,291.30 2026-03-31
33249 HCPCS Insertion Of Implantable Defibrillator System 38 19 $105,799.05 $74,059.34 30% off $33,209.70 $264,497.63 $78,291.30 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 12 $238,451.65 $166,916.16 30% off $49,253.25 $104,930.65 $76,617.97 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 12 $145,833.67 $102,083.57 30% off $43,625.80 $92,941.75 $67,863.95 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 12 $201,020.00 $140,714.00 30% off $41,747.43 $88,940.01 $64,941.97 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 24 12 $190,513.00 $133,359.10 30% off $40,386.49 $86,040.62 $62,824.90 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 12 $128,518.50 $89,962.95 30% off $37,868.98 $80,677.25 $58,908.69 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 12 $68,697.82 $48,088.47 30% off $37,801.62 $80,533.75 $58,803.91 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 12 $206,778.00 $144,744.60 30% off $37,672.27 $80,258.16 $58,602.68 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 12 $135,853.20 $95,097.24 30% off $35,912.54 $76,509.18 $55,865.26 2026-03-31
33262 HCPCS Removal And Replacement Of Single Lead Defibrillator 38 19 $74,070.15 $51,849.11 30% off $23,533.90 $185,175.38 $54,811.91 2026-03-31
33263 HCPCS Removal And Replacement Of Dual Lead Defibrillator 38 19 $74,070.15 $51,849.11 30% off $23,533.90 $185,175.38 $54,811.91 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 12 $176,484.77 $123,539.34 30% off $35,183.08 $74,955.13 $54,730.53 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 24 12 $93,862.00 $65,703.40 30% off $34,305.13 $73,084.71 $53,364.79 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 24 12 $56,212.50 $39,348.75 30% off $32,160.39 $68,515.49 $50,028.45 2026-03-31
36906 HCPCS Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 38 19 $66,675.00 $46,672.50 30% off $19,395.10 $166,687.50 $49,339.50 2026-03-31
33229 HCPCS Removal And Replacement Of Multiple Lead Permanent Pacemaker 38 19 $62,933.85 $44,053.70 30% off $20,379.10 $157,334.63 $46,571.05 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 24 12 $63,453.00 $44,417.10 30% off $29,583.18 $63,024.92 $46,019.37 2026-03-31
2723312331 CDM Impella Device 24 12 $57,937.95 $40,556.57 30% off $35,921.53 $55,041.05 $45,405.97 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 12 $69,485.67 $48,639.97 30% off $28,803.21 $61,363.24 $44,806.04 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 12 $44,768.14 $31,337.70 30% off $29,554.86 $62,964.59 $44,768.14 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 12 $72,703.00 $50,892.10 30% off $28,103.60 $59,872.78 $43,717.74 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 24 12 $61,233.60 $42,863.52 30% off $27,332.81 $58,230.67 $42,518.71 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 24 12 $45,935.95 $32,155.17 30% off $27,243.26 $58,039.87 $42,379.40 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 24 12 $56,121.00 $39,284.70 30% off $26,993.72 $57,508.27 $41,991.22 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 12 $68,416.00 $47,891.20 30% off $26,938.61 $57,390.86 $41,905.50 2026-03-31
33274 HCPCS Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance 38 19 $56,340.90 $39,438.63 30% off $20,379.10 $140,852.25 $41,692.27 2026-03-31
0795T OTHER Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker Using Fluor… 38 19 $56,340.90 $39,438.63 30% off $20,379.10 $140,852.25 $41,692.27 2026-03-31
0796T OTHER Transcatheter Insertion Of Permanent Dual-chamber Pacemaker Using Fluoroscopy An… 38 19 $56,340.90 $39,438.63 30% off $20,379.10 $140,852.25 $41,692.27 2026-03-31
0797T OTHER Transcatheter Insertion Of A Permanent Dual Chamber Leadless Pacemaker Using Flu… 38 19 $56,340.90 $39,438.63 30% off $20,379.10 $140,852.25 $41,692.27 2026-03-31
0823T OTHER Insertion Of Permanent Single-chamber Leadless Pacemaker For Pacing The Right Up… 38 19 $56,340.90 $39,438.63 30% off $20,379.10 $140,852.25 $41,692.27 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 12 $72,193.25 $50,535.28 30% off $26,242.07 $55,906.92 $40,821.96 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 24 12 $40,675.00 $28,472.50 30% off $26,442.61 $56,334.16 $40,675.00 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 24 12 $250,375.00 $175,262.50 30% off $25,570.02 $54,475.16 $39,776.52 2026-03-31
C1605 HCPCS Pacemaker, Leadless, Dual Chamber (right Atrial And Right Ventricular Implantabl… 26 13 $43,312.50 $30,318.75 30% off $26,853.75 $108,281.25 $39,414.38 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 24 12 $144,394.00 $101,075.80 30% off $24,788.52 $52,810.22 $38,560.82 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 24 12 $57,253.00 $40,077.10 30% off $24,701.26 $52,624.32 $38,425.07 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 24 12 $47,688.00 $33,381.60 30% off $24,224.39 $51,608.39 $37,683.27 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 24 12 $135,774.01 $95,041.81 30% off $24,107.28 $51,358.90 $37,501.10 2026-03-31
C2624 HCPCS Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 26 13 $41,107.50 $28,775.25 30% off $25,486.65 $102,768.75 $37,407.83 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 12 $155,124.50 $108,587.15 30% off $23,840.91 $50,791.41 $37,086.73 2026-03-31
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary … 38 19 $51,105.60 $35,773.92 30% off $7,714.02 $127,764.00 $36,850.69 2026-03-31
0235T OTHER Catheter Removal Of Plaque From Organ Artery, Accessed Through The Skin Or Open … 26 13 $39,757.20 $27,830.04 30% off $24,649.46 $99,393.00 $36,179.05 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 24 12 $94,419.00 $66,093.30 30% off $23,217.08 $49,462.39 $36,116.31 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 24 12 $86,223.67 $60,356.57 30% off $23,119.87 $49,255.29 $35,965.09 2026-03-31
C1822 HCPCS Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 26 13 $39,198.60 $27,439.02 30% off $24,303.13 $97,996.50 $35,670.73 2026-03-31
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 24 12 $49,231.00 $34,461.70 30% off $22,927.75 $48,845.99 $35,666.23 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 24 12 $80,191.33 $56,133.93 30% off $22,782.32 $48,536.15 $35,440.00 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 24 12 $41,608.75 $29,126.13 30% off $22,350.61 $47,616.44 $34,768.44 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 24 12 $111,666.50 $78,166.55 30% off $22,291.68 $47,490.88 $34,676.76 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 24 12 $169,468.00 $118,627.60 30% off $22,212.84 $47,322.91 $34,554.11 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 24 12 $70,783.23 $49,548.26 30% off $21,969.43 $46,804.35 $34,175.47 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 24 12 $94,467.00 $66,126.90 30% off $21,818.64 $46,483.10 $33,940.90 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 24 12 $77,001.31 $53,900.92 30% off $21,217.01 $45,201.37 $33,005.01 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 24 12 $81,141.15 $56,798.81 30% off $21,039.43 $44,823.05 $32,728.78 2026-03-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 24 12 $52,609.00 $36,826.30 30% off $21,034.07 $44,811.64 $32,720.43 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 24 12 $96,564.60 $67,595.22 30% off $20,825.87 $44,368.09 $32,396.57 2026-03-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 24 12 $114,847.00 $80,392.90 30% off $20,360.49 $43,376.62 $31,672.62 2026-03-31
36903 HCPCS Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Insertion Of Stent… 38 19 $41,986.35 $29,390.45 30% off $12,213.90 $104,965.88 $31,069.90 2026-03-31
36905 HCPCS Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 38 19 $41,986.35 $29,390.45 30% off $12,213.90 $104,965.88 $31,069.90 2026-03-31
0238T OTHER Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open … 38 19 $39,757.20 $27,830.04 30% off $19,395.10 $99,393.00 $31,010.62 2026-03-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 24 12 $80,959.00 $56,671.30 30% off $19,742.02 $42,059.01 $30,710.53 2026-03-31
33289 HCPCS Insertion Of Wireless Pressure Sensor Into Lung Artery Through Tube With Review … 64 19 $87,230.85 $61,061.60 30% off $299.46 $218,077.13 $30,650.78 2026-03-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 24 12 $40,413.00 $28,289.10 30% off $19,653.23 $41,869.85 $30,572.42 2026-03-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 24 12 $58,935.24 $41,254.67 30% off $19,448.86 $41,434.46 $30,254.50 2026-03-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 24 12 $65,719.00 $46,003.30 30% off $19,412.12 $41,356.18 $30,197.35 2026-03-31
J3241 HCPCS Injection, Teprotumumab-trbw, 10 Mg 38 19 $43,629.60 $30,540.72 30% off $359.19 $109,074.00 $30,056.43 2026-03-31
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 26 13 $32,992.05 $23,094.44 30% off $20,455.07 $82,480.13 $30,022.77 2026-03-31
0236T OTHER Open Or Percutaneous Catheter Removal Of Plaque From Abdominal Aorta Including R… 38 19 $39,757.20 $27,830.04 30% off $12,213.90 $99,393.00 $29,420.33 2026-03-31
0237T OTHER Catheter Removal Of Plaque From Upper Arm Artery, Accessed Through The Skin Or O… 38 19 $39,757.20 $27,830.04 30% off $12,213.90 $99,393.00 $29,420.33 2026-03-31
0234T OTHER Catheter Removal Of Plaque From Kidney Artery, Accessed Through The Skin Or Open… 38 19 $39,757.20 $27,830.04 30% off $12,213.90 $99,393.00 $29,420.33 2026-03-31
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 24 12 $94,660.00 $66,262.00 30% off $18,823.50 $40,102.17 $29,281.69 2026-03-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 24 12 $69,303.00 $48,512.10 30% off $18,818.15 $40,090.76 $29,273.36 2026-03-31
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 24 12 $125,112.00 $87,578.40 30% off $18,708.69 $39,857.57 $29,103.09 2026-03-31
22551 HCPCS Fusion Of Upper Spine Bone With Removal Of Disc And Release Of Spinal Cord Or Ne… 38 19 $39,057.90 $27,340.53 30% off $13,583.50 $97,644.75 $28,902.85 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 24 12 $21,832.00 $15,282.40 30% off $21,832.00 $60,950.67 $28,609.55 2026-03-31
330 MS_DRG Major Small And Large Bowel Procedures With Cc 24 12 $85,831.08 $60,081.75 30% off $18,348.94 $39,091.14 $28,543.46 2026-03-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 24 12 $102,489.35 $71,742.55 30% off $18,266.27 $38,915.02 $28,414.86 2026-03-31
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 24 12 $71,154.67 $49,808.27 30% off $17,900.39 $38,135.55 $27,845.71 2026-03-31
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 24 12 $72,023.00 $50,416.10 30% off $17,887.38 $38,107.83 $27,825.47 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 24 12 $21,361.90 $14,953.33 30% off $21,361.90 $59,169.95 $27,773.70 2026-03-31
347 MS_DRG Anal And Stomal Procedures With Mcc 24 12 $39,037.00 $27,325.90 30% off $17,571.26 $37,434.35 $27,333.71 2026-03-31
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 24 12 $74,478.00 $52,134.60 30% off $17,565.90 $37,422.93 $27,325.38 2026-03-31
37236 HCPCS Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra… 38 19 $36,904.35 $25,833.05 30% off $12,213.90 $92,260.88 $27,309.22 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 12 $27,276.00 $19,093.20 30% off $26,693.68 $56,869.03 $27,276.00 2026-03-31
570 MS_DRG Skin Debridement With Mcc 24 12 $27,255.00 $19,078.50 30% off $22,512.12 $47,960.52 $27,255.00 2026-03-31
J9334 HCPCS Injection, Efgartigimod Alfa, 2 Mg And Hyaluronidase-qvfc 38 19 $39,315.82 $27,521.08 30% off $33.89 $98,289.55 $27,084.67 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 24 12 $26,906.39 $18,834.47 30% off $24,760.96 $52,751.51 $26,906.39 2026-03-31
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 24 12 $55,280.43 $38,696.30 30% off $16,937.48 $36,084.13 $26,347.81 2026-03-31
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 24 12 $30,953.00 $21,667.10 30% off $16,899.97 $36,004.23 $26,289.47 2026-03-31
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 24 12 $42,665.00 $29,865.50 30% off $16,677.23 $35,529.69 $25,942.97 2026-03-31
J9298 HCPCS Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg 38 19 $37,630.00 $26,341.00 30% off $197.83 $94,075.00 $25,923.31 2026-03-31
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 24 12 $68,866.33 $48,206.43 30% off $16,391.73 $34,921.44 $25,498.84 2026-03-31
374 MS_DRG Digestive Malignancy With Mcc 24 12 $42,552.48 $29,786.73 30% off $16,370.29 $34,875.78 $25,465.50 2026-03-31
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 24 12 $75,447.62 $52,813.33 30% off $16,209.55 $34,533.33 $25,215.46 2026-03-31
J9026 HCPCS Injection, Tarlatamab-dlle, 1 Mg 38 19 $36,602.00 $25,621.40 30% off $1,564.64 $91,505.00 $25,215.12 2026-03-31
336 MS_DRG Peritoneal Adhesiolysis With Cc 24 12 $83,029.50 $58,120.65 30% off $16,140.66 $34,386.57 $25,108.29 2026-03-31
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 24 12 $66,530.86 $46,571.60 30% off $16,031.97 $34,155.01 $24,939.22 2026-03-31
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 24 12 $78,085.50 $54,659.85 30% off $16,005.95 $34,099.57 $24,898.73 2026-03-31
37294 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 38 19 $31,800.00 $22,260.00 30% off $19,395.10 $79,500.00 $24,804.00 2026-03-31
37277 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 38 19 $31,800.00 $22,260.00 30% off $19,395.10 $79,500.00 $24,804.00 2026-03-31
J9345 HCPCS Injection, Retifanlimab-dlwr, 1 Mg 38 19 $35,977.00 $25,183.90 30% off $30.56 $89,942.50 $24,784.56 2026-03-31
E0783 HCPCS Infusion Pump System, Implantable, Programmable (includes All Components, E.g., … 38 19 $33,268.20 $23,287.74 30% off $11,667.45 $83,170.50 $24,618.47 2026-03-31
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 24 12 $96,687.00 $67,680.90 30% off $15,819.18 $33,701.68 $24,608.19 2026-03-31
92945 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Single C… 38 19 $32,992.05 $23,094.44 30% off $12,213.90 $82,480.13 $24,414.12 2026-03-31
33225 HCPCS Insertion Of Left Lower Heart Electrode For Pacemaker Or Defibrillator 38 19 $32,964.75 $23,075.33 30% off $357.33 $82,411.88 $24,393.92 2026-03-31
33224 HCPCS Insertion Of Left Lower Heart Electrode And Attachment To Pacemaker Or Defibrill… 38 19 $32,964.75 $23,075.33 30% off $11,058.30 $82,411.88 $24,393.92 2026-03-31
C1772 HCPCS Infusion Pump, Programmable (implantable) 52 13 $29,391.60 $20,574.12 30% off $15,819.30 $83,170.50 $24,111.67 2026-03-31
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 24 12 $33,073.00 $23,151.10 30% off $15,392.84 $32,793.38 $23,944.98 2026-03-31
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 24 12 $59,151.34 $41,405.94 30% off $15,358.39 $32,720.00 $23,891.39 2026-03-31
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 24 12 $47,657.00 $33,359.90 30% off $15,310.17 $32,617.26 $23,816.39 2026-03-31
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 24 12 $46,748.44 $32,723.91 30% off $15,294.10 $32,583.02 $23,791.38 2026-03-31
37273 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 38 19 $30,475.00 $21,332.50 30% off $18,894.50 $76,187.50 $23,770.50 2026-03-31
37290 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 38 19 $30,475.00 $21,332.50 30% off $18,894.50 $76,187.50 $23,770.50 2026-03-31
314 MS_DRG Other Circulatory System Diagnoses With Mcc 24 12 $23,687.00 $16,580.90 30% off $15,960.79 $34,003.36 $23,687.00 2026-03-31
908 MS_DRG Other O.r. Procedures For Injuries With Cc 24 12 $23,813.00 $16,669.10 30% off $15,271.90 $32,535.73 $23,666.21 2026-03-31
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 24 12 $70,348.00 $49,243.60 30% off $15,161.68 $32,300.91 $23,585.38 2026-03-31
37295 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 38 19 $31,800.00 $22,260.00 30% off $343.51 $79,500.00 $23,532.00 2026-03-31
37278 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 38 19 $31,800.00 $22,260.00 30% off $245.85 $79,500.00 $23,532.00 2026-03-31
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 24 12 $38,737.87 $27,116.51 30% off $15,065.23 $32,095.44 $23,435.35 2026-03-31
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 38 19 $32,258.10 $22,580.67 30% off $7,714.02 $80,645.25 $23,206.41 2026-03-31
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 24 12 $39,624.35 $27,737.04 30% off $14,868.52 $31,676.35 $23,129.35 2026-03-31
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 24 12 $23,084.00 $16,158.80 30% off $17,291.11 $36,837.51 $23,084.00 2026-03-31
100 MS_DRG Seizures With Mcc 24 12 $26,565.00 $18,595.50 30% off $14,824.89 $31,583.40 $23,061.48 2026-03-31
592 MS_DRG Skin Ulcers With Mcc 24 12 $28,078.90 $19,655.23 30% off $14,813.41 $31,558.94 $23,043.62 2026-03-31
548 MS_DRG Septic Arthritis With Mcc 24 12 $25,686.00 $17,980.20 30% off $14,779.73 $31,487.19 $22,991.22 2026-03-31
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 24 12 $29,598.00 $20,718.60 30% off $14,765.95 $31,457.83 $22,969.79 2026-03-31
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 24 12 $78,942.56 $55,259.79 30% off $14,764.42 $31,454.57 $22,967.41 2026-03-31
33214 HCPCS Insertion Of 2 Chamber Pacemaker System 38 19 $30,876.30 $21,613.41 30% off $11,058.30 $77,190.75 $22,848.46 2026-03-31
33228 HCPCS Removal And Replacement Of Dual Lead Permanent Pacemaker 38 19 $30,876.30 $21,613.41 30% off $11,058.30 $77,190.75 $22,848.46 2026-03-31
33208 HCPCS Insertion Of Pacemaker And Upper And Lower Heart Chamber Electrode 38 19 $30,876.30 $21,613.41 30% off $11,058.30 $77,190.75 $22,848.46 2026-03-31
33207 HCPCS Insertion Of Pacemaker And Lower Heart Chamber Electrode 38 19 $30,876.30 $21,613.41 30% off $11,058.30 $77,190.75 $22,848.46 2026-03-31
33206 HCPCS Insertion Of Pacemaker And Upper Heart Chamber Electrode 38 19 $30,876.30 $21,613.41 30% off $11,058.30 $77,190.75 $22,848.46 2026-03-31
902 MS_DRG Wound Debridements For Injuries With Cc 24 12 $58,081.00 $40,656.70 30% off $14,654.20 $31,219.75 $22,795.96 2026-03-31
37260 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 38 19 $29,150.00 $20,405.00 30% off $12,213.90 $72,875.00 $22,737.00 2026-03-31
37286 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 38 19 $29,150.00 $20,405.00 30% off $18,073.00 $72,875.00 $22,737.00 2026-03-31
37269 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 38 19 $29,150.00 $20,405.00 30% off $12,213.90 $72,875.00 $22,737.00 2026-03-31
37274 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 38 19 $30,475.00 $21,332.50 30% off $226.89 $76,187.50 $22,551.50 2026-03-31
37291 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 38 19 $30,475.00 $21,332.50 30% off $267.51 $76,187.50 $22,551.50 2026-03-31
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 24 12 $27,532.00 $19,272.40 30% off $14,470.49 $30,828.38 $22,510.18 2026-03-31
196 MS_DRG Interstitial Lung Disease With Mcc 24 12 $26,170.33 $18,319.23 30% off $14,445.23 $30,774.57 $22,470.89 2026-03-31
37229 HCPCS Removal Of Plaque In Artery Of Leg, Initial Vessel 26 13 $24,574.20 $17,201.94 30% off $15,236.00 $61,435.50 $22,362.52 2026-03-31
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 12 $44,923.00 $31,446.10 30% off $14,315.87 $30,498.98 $22,269.67 2026-03-31
504 MS_DRG Foot Procedures With Cc 24 12 $66,406.83 $46,484.78 30% off $14,307.45 $30,481.04 $22,256.57 2026-03-31
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 24 12 $36,564.33 $25,595.03 30% off $14,274.54 $30,410.92 $22,205.36 2026-03-31
37275 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 38 19 $28,246.00 $19,772.20 30% off $17,512.52 $70,615.00 $22,031.88 2026-03-31
37292 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 38 19 $28,246.00 $19,772.20 30% off $17,512.52 $70,615.00 $22,031.88 2026-03-31
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 24 12 $35,353.00 $24,747.10 30% off $14,058.69 $29,951.07 $21,869.58 2026-03-31
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 24 12 $91,379.00 $63,965.30 30% off $14,044.15 $29,920.08 $21,846.96 2026-03-31
92930 HCPCS Percutaneous Transcatheter Placement Of Intracoronary Stent(s), With Coronary An… 38 19 $28,000.00 $19,600.00 30% off $17,360.00 $70,000.00 $21,840.00 2026-03-31
205 MS_DRG Other Respiratory System Diagnoses With Mcc 24 12 $38,744.33 $27,121.03 30% off $14,015.06 $29,858.12 $21,801.72 2026-03-31
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 24 12 $51,589.14 $36,112.40 30% off $13,992.10 $29,809.20 $21,765.99 2026-03-31
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 12 $48,497.00 $33,947.90 30% off $13,959.18 $29,739.08 $21,714.80 2026-03-31
37261 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 38 19 $29,150.00 $20,405.00 30% off $173.70 $72,875.00 $21,571.00 2026-03-31
37287 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 38 19 $29,150.00 $20,405.00 30% off $208.10 $72,875.00 $21,571.00 2026-03-31
37270 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 38 19 $29,150.00 $20,405.00 30% off $205.68 $72,875.00 $21,571.00 2026-03-31
C1786 HCPCS Pacemaker, Single Chamber, Rate-responsive (implantable) 26 13 $23,642.85 $16,550.00 30% off $14,658.57 $59,107.13 $21,514.99 2026-03-31
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 26 13 $23,642.85 $16,550.00 30% off $14,658.57 $59,107.13 $21,514.99 2026-03-31
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 24 12 $93,346.00 $65,342.20 30% off $13,806.10 $29,412.94 $21,476.66 2026-03-31
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 24 12 $77,666.60 $54,366.62 30% off $13,803.80 $29,408.04 $21,473.08 2026-03-31
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 104 13 $24,920.70 $17,444.50 30% off $1,984.25 $128,900.63 $21,460.68 2026-03-31
37228 HCPCS Balloon Dilation Of Artery Of Leg, Initial Vessel 26 13 $23,537.85 $16,476.50 30% off $14,593.47 $58,844.63 $21,419.44 2026-03-31
37232 HCPCS Balloon Dilation Of Artery Of Leg, Each Additional Vessel 26 13 $23,537.85 $16,476.50 30% off $14,593.47 $58,844.63 $21,419.44 2026-03-31
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 24 12 $48,563.00 $33,994.10 30% off $13,737.21 $29,266.17 $21,369.49 2026-03-31
505 MS_DRG Foot Procedures Without Cc/mcc 24 12 $93,801.00 $65,660.70 30% off $13,722.66 $29,235.19 $21,346.87 2026-03-31
37288 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 38 19 $27,069.00 $18,948.30 30% off $16,782.78 $67,672.50 $21,113.82 2026-03-31
37271 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 38 19 $27,069.00 $18,948.30 30% off $16,782.78 $67,672.50 $21,113.82 2026-03-31
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 24 12 $32,773.50 $22,941.45 30% off $13,571.87 $28,913.94 $21,112.30 2026-03-31
180 MS_DRG Respiratory Neoplasms With Mcc 24 12 $23,374.50 $16,362.15 30% off $13,517.53 $28,798.16 $21,027.76 2026-03-31
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 24 12 $94,439.24 $66,107.46 30% off $13,494.57 $28,749.24 $20,992.04 2026-03-31
91 MS_DRG Other Disorders Of Nervous System With Mcc 24 12 $48,416.00 $33,891.20 30% off $13,442.52 $28,638.35 $20,911.08 2026-03-31
37276 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 38 19 $28,246.00 $19,772.20 30% off $174.58 $70,615.00 $20,902.04 2026-03-31
37293 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 38 19 $28,246.00 $19,772.20 30% off $272.92 $70,615.00 $20,902.04 2026-03-31
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 24 12 $33,206.33 $23,244.43 30% off $13,390.47 $28,527.47 $20,830.10 2026-03-31
501 MS_DRG Soft Tissue Procedures With Cc 24 12 $42,197.00 $29,537.90 30% off $13,380.52 $28,506.27 $20,814.62 2026-03-31
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 24 12 $26,474.00 $18,531.80 30% off $13,296.32 $28,326.89 $20,683.65 2026-03-31
37282 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 38 19 $26,500.00 $18,550.00 30% off $12,213.90 $66,250.00 $20,670.00 2026-03-31
37298 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Inframalleolar Vascular T… 38 19 $26,500.00 $18,550.00 30% off $12,213.90 $66,250.00 $20,670.00 2026-03-31
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 24 12 $26,045.67 $18,231.97 30% off $13,226.67 $28,178.50 $20,575.29 2026-03-31
157 MS_DRG Dental And Oral Diseases With Mcc 24 12 $30,118.00 $21,082.60 30% off $13,140.94 $27,995.86 $20,441.94 2026-03-31
C1785 HCPCS Pacemaker, Dual Chamber, Rate-responsive (implantable) 26 13 $22,440.60 $15,708.42 30% off $13,913.17 $56,101.50 $20,420.95 2026-03-31
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 24 12 $130,021.00 $91,014.70 30% off $13,119.50 $27,950.20 $20,408.60 2026-03-31
37231 HCPCS Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 26 13 $22,375.50 $15,662.85 30% off $13,872.81 $55,938.75 $20,361.71 2026-03-31
37227 HCPCS Removal Of Plaque And Insertion Of Stents In Arteries Of Leg 26 13 $22,375.50 $15,662.85 30% off $13,872.81 $55,938.75 $20,361.71 2026-03-31
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 24 12 $23,700.00 $16,590.00 30% off $13,085.06 $27,876.82 $20,355.02 2026-03-31
C9610 HCPCS Catheter, Transluminal Drug Delivery With Or Without Angioplasty, Coronary, Non-… 26 13 $22,246.35 $15,572.45 30% off $13,792.74 $55,615.88 $20,244.18 2026-03-31
289 MS_DRG Acute And Subacute Endocarditis With Cc 24 12 $20,364.00 $14,254.80 30% off $13,065.16 $27,834.42 $20,242.47 2026-03-31
37258 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 38 19 $25,892.00 $18,124.40 30% off $12,213.90 $64,730.00 $20,195.76 2026-03-31
37267 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 38 19 $25,892.00 $18,124.40 30% off $12,213.90 $64,730.00 $20,195.76 2026-03-31
37284 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 38 19 $25,892.00 $18,124.40 30% off $16,053.04 $64,730.00 $20,195.76 2026-03-31
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 24 12 $46,702.70 $32,691.89 30% off $12,948.05 $27,584.92 $20,141.88 2026-03-31
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 24 12 $39,600.00 $27,720.00 30% off $12,934.27 $27,555.57 $20,120.44 2026-03-31
571 MS_DRG Skin Debridement With Cc 24 12 $97,837.00 $68,485.90 30% off $12,931.97 $27,550.68 $20,116.88 2026-03-31
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 24 12 $105,487.33 $73,841.13 30% off $12,881.46 $27,443.05 $20,038.29 2026-03-31
J9272 HCPCS Injection, Dostarlimab-gxly, 10 Mg 38 19 $29,085.00 $20,359.50 30% off $243.71 $72,712.50 $20,036.66 2026-03-31
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 24 12 $49,885.33 $34,919.73 30% off $12,877.63 $27,434.90 $20,032.33 2026-03-31
37272 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 38 19 $27,069.00 $18,948.30 30% off $164.77 $67,672.50 $20,031.06 2026-03-31
37289 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 38 19 $27,069.00 $18,948.30 30% off $195.79 $67,672.50 $20,031.06 2026-03-31
915 MS_DRG Allergic Reactions With Mcc 24 12 $70,708.50 $49,495.95 30% off $12,871.50 $27,421.85 $20,022.81 2026-03-31
551 MS_DRG Medical Back Problems With Mcc 24 12 $31,229.00 $21,860.30 30% off $12,829.41 $27,332.16 $19,957.32 2026-03-31
444 MS_DRG Disorders Of The Biliary Tract With Mcc 24 12 $36,835.25 $25,784.68 30% off $12,789.60 $27,247.37 $19,895.40 2026-03-31
70 MS_DRG Other Cerebrovascular Disorders With Mcc 24 12 $28,849.20 $20,194.44 30% off $12,742.91 $27,147.89 $19,822.77 2026-03-31
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 24 12 $35,018.87 $24,513.21 30% off $12,663.31 $26,978.30 $19,698.94 2026-03-31
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 52 13 $24,301.20 $17,010.85 30% off $3,043.43 $109,234.13 $19,680.97 2026-03-31
786 MS_DRG Cesarean Section Without Sterilization With Mcc 24 12 $24,525.00 $17,167.50 30% off $12,625.80 $26,898.40 $19,640.60 2026-03-31
37283 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 38 19 $26,500.00 $18,550.00 30% off $174.12 $66,250.00 $19,610.00 2026-03-31
37265 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 38 19 $26,500.00 $18,550.00 30% off $6,021.73 $66,250.00 $19,610.00 2026-03-31
37266 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 38 19 $26,500.00 $18,550.00 30% off $164.18 $66,250.00 $19,610.00 2026-03-31
37257 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 38 19 $26,500.00 $18,550.00 30% off $159.11 $66,250.00 $19,610.00 2026-03-31
37256 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 38 19 $26,500.00 $18,550.00 30% off $6,021.73 $66,250.00 $19,610.00 2026-03-31
37299 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Inframalleolar Vascular T… 38 19 $26,500.00 $18,550.00 30% off $203.88 $66,250.00 $19,610.00 2026-03-31
643 MS_DRG Endocrine Disorders With Mcc 24 12 $33,828.50 $23,679.95 30% off $12,599.78 $26,842.95 $19,600.11 2026-03-31
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 24 12 $100,354.50 $70,248.15 30% off $12,580.64 $26,802.19 $19,570.35 2026-03-31
913 MS_DRG Traumatic Injury With Mcc 24 12 $24,189.00 $16,932.30 30% off $12,511.75 $26,655.42 $19,463.18 2026-03-31
299 MS_DRG Peripheral Vascular Disorders With Mcc 24 12 $20,270.33 $14,189.23 30% off $12,497.21 $26,624.44 $19,440.56 2026-03-31
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 24 12 $35,695.50 $24,986.85 30% off $12,487.26 $26,603.24 $19,425.08 2026-03-31
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 24 12 $51,553.50 $36,087.45 30% off $12,484.20 $26,596.72 $19,420.32 2026-03-31
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 24 12 $61,209.25 $42,846.48 30% off $12,478.07 $26,583.67 $19,410.79 2026-03-31
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 24 12 $52,051.33 $36,435.93 30% off $12,464.29 $26,554.32 $19,389.36 2026-03-31
37237 HCPCS Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra… 38 19 $26,174.40 $18,322.08 30% off $169.37 $65,436.00 $19,369.06 2026-03-31
37268 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 38 19 $25,892.00 $18,124.40 30% off $153.28 $64,730.00 $19,160.08 2026-03-31
37259 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 38 19 $25,892.00 $18,124.40 30% off $163.44 $64,730.00 $19,160.08 2026-03-31
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 24 12 $24,901.00 $17,430.70 30% off $12,279.83 $26,161.32 $19,102.40 2026-03-31
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 24 12 $42,903.42 $30,032.39 30% off $12,278.29 $26,158.06 $19,100.02 2026-03-31
393 MS_DRG Other Digestive System Diagnoses With Mcc 24 12 $52,343.25 $36,640.28 30% off $12,241.55 $26,079.79 $19,042.86 2026-03-31
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 24 12 $42,311.00 $29,617.70 30% off $12,219.36 $26,032.49 $19,008.33 2026-03-31
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 24 12 $18,853.50 $13,197.45 30% off $15,268.84 $32,529.20 $18,853.50 2026-03-31
783 MS_DRG Cesarean Section With Sterilization With Mcc 24 12 $17,841.00 $12,488.70 30% off $17,841.00 $40,035.32 $18,792.12 2026-03-31
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 24 12 $24,547.50 $17,183.25 30% off $12,050.20 $25,672.11 $18,745.19 2026-03-31
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 24 12 $42,229.50 $29,560.65 30% off $12,005.04 $25,575.90 $18,674.94 2026-03-31
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 24 12 $73,016.00 $51,111.20 30% off $11,967.53 $25,495.99 $18,616.60 2026-03-31
177 MS_DRG Respiratory Infections And Inflammations With Mcc 24 12 $39,909.43 $27,936.60 30% off $11,961.41 $25,482.95 $18,607.07 2026-03-31
33285 HCPCS Insertion Of Heart Rhythm Monitor Under Skin 38 19 $25,080.30 $17,556.21 30% off $8,755.45 $62,700.75 $18,559.42 2026-03-31
186 MS_DRG Pleural Effusion With Mcc 24 12 $34,639.75 $24,247.83 30% off $11,929.26 $25,414.46 $18,557.06 2026-03-31
669 MS_DRG Transurethral Procedures With Cc 24 12 $32,797.00 $22,957.90 30% off $11,879.50 $25,308.46 $18,479.67 2026-03-31
77 MS_DRG Hypertensive Encephalopathy With Mcc 24 12 $66,327.00 $46,428.90 30% off $11,835.11 $25,213.88 $18,410.60 2026-03-31
919 MS_DRG Complications Of Treatment With Mcc 24 12 $18,390.00 $12,873.00 30% off $14,013.53 $29,854.86 $18,390.00 2026-03-31
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 24 12 $36,267.00 $25,386.90 30% off $11,815.21 $25,171.49 $18,379.65 2026-03-31
37296 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Inframalleolar Vascular T… 38 19 $23,538.00 $16,476.60 30% off $12,213.90 $58,845.00 $18,359.64 2026-03-31
37280 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 38 19 $23,538.00 $16,476.60 30% off $12,213.90 $58,845.00 $18,359.64 2026-03-31
77372 HCPCS Complete Single Session Course Of Cranial Lesion Surgery Using Radiation And A M… 38 19 $26,637.45 $18,646.22 30% off $5,250.00 $66,593.63 $18,350.54 2026-03-31
J9119 HCPCS Injection, Cemiplimab-rwlc, 1 Mg 38 19 $26,635.80 $18,645.06 30% off $29.29 $66,589.50 $18,349.40 2026-03-31
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 24 12 $40,264.00 $28,184.80 30% off $11,762.39 $25,058.97 $18,297.49 2026-03-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 16 8 $34,306.33 $24,014.43 30% off $17,781.75 $34,306.33 $18,226.29 2026-03-31
183 MS_DRG Major Chest Trauma With Mcc 24 12 $21,830.00 $15,281.00 30% off $11,710.34 $24,948.08 $18,216.52 2026-03-31
33227 HCPCS Removal And Replacement Of Single Lead Permanent Pacemaker 38 19 $24,563.70 $17,194.59 30% off $8,755.45 $61,409.25 $18,177.14 2026-03-31
33233 HCPCS Removal Of Permanent Pacemaker Pulse Generator 38 19 $24,563.70 $17,194.59 30% off $8,755.45 $61,409.25 $18,177.14 2026-03-31
813 MS_DRG Coagulation Disorders 24 12 $22,650.00 $15,855.00 30% off $11,675.13 $24,873.07 $18,161.75 2026-03-31
C1761 HCPCS Catheter, Transluminal Intravascular Lithotripsy, Coronary 26 13 $19,740.00 $13,818.00 30% off $12,238.80 $49,350.00 $17,963.40 2026-03-31
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 24 12 $105,810.00 $74,067.00 30% off $11,517.46 $24,537.14 $17,916.46 2026-03-31
37246 HCPCS Balloon Dilation Of Artery With Review By Radiologist, Initial Artery 64 19 $22,921.50 $16,045.05 30% off $6,021.73 $57,303.75 $17,891.65 2026-03-31
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 24 12 $62,687.00 $43,880.90 30% off $11,476.89 $24,450.72 $17,853.35 2026-03-31
865 MS_DRG Viral Illness With Mcc 24 12 $30,988.46 $21,691.92 30% off $11,468.47 $24,432.78 $17,840.26 2026-03-31
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 24 12 $36,499.00 $25,549.30 30% off $11,460.05 $24,414.84 $17,827.16 2026-03-31
J9022 HCPCS Injection, Atezolizumab, 10 Mg 62 19 $19,376.00 $13,563.20 30% off $91.34 $68,690.00 $17,825.92 2026-03-31
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 24 12 $54,068.50 $37,847.95 30% off $11,439.38 $24,370.81 $17,795.01 2026-03-31
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 38 19 $25,813.35 $18,069.34 30% off $55.57 $64,533.37 $17,782.82 2026-03-31
C9605 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 26 13 $22,582.35 $15,807.65 30% off $7,714.02 $56,455.88 $17,781.34 2026-03-31
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 24 12 $123,327.00 $86,328.90 30% off $11,381.21 $24,246.88 $17,704.52 2026-03-31
682 MS_DRG Renal Failure With Mcc 24 12 $42,161.58 $29,513.11 30% off $11,336.05 $24,150.67 $17,634.27 2026-03-31
388 MS_DRG Gastrointestinal Obstruction With Mcc 24 12 $23,706.00 $16,594.20 30% off $11,303.90 $24,082.18 $17,584.26 2026-03-31
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 24 12 $26,135.67 $18,294.97 30% off $11,267.92 $24,005.53 $17,528.29 2026-03-31
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 22 11 $11,504.00 $8,052.80 30% off $11,504.00 $33,543.47 $17,494.71 2026-03-31
37230 HCPCS Insertion Of Stent In Artery Of Leg, Initial Vessel 26 13 $19,144.65 $13,401.26 30% off $11,869.68 $47,861.63 $17,421.63 2026-03-31
37263 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 38 19 $23,538.00 $16,476.60 30% off $6,021.73 $58,845.00 $17,418.12 2026-03-31
37264 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 38 19 $23,538.00 $16,476.60 30% off $123.33 $58,845.00 $17,418.12 2026-03-31
37297 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Inframalleolar Vascular T… 38 19 $23,538.00 $16,476.60 30% off $163.37 $58,845.00 $17,418.12 2026-03-31
37254 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 38 19 $23,538.00 $16,476.60 30% off $6,021.73 $58,845.00 $17,418.12 2026-03-31
37281 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 38 19 $23,538.00 $16,476.60 30% off $122.37 $58,845.00 $17,418.12 2026-03-31
37255 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 38 19 $23,538.00 $16,476.60 30% off $122.87 $58,845.00 $17,418.12 2026-03-31
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 38 19 $25,258.00 $17,680.60 30% off $14.94 $63,145.00 $17,400.24 2026-03-31
37233 HCPCS Removal Of Plaque In Artery Of Leg, Each Additional Vessel 52 13 $21,455.70 $15,018.99 30% off $11,369.06 $61,435.50 $17,328.65 2026-03-31
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 24 12 $29,646.00 $20,752.20 30% off $11,123.26 $23,697.33 $17,303.25 2026-03-31
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 24 12 $33,970.00 $23,779.00 30% off $11,045.95 $23,532.63 $17,182.99 2026-03-31
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 24 12 $17,109.73 $11,976.81 30% off $13,959.18 $29,739.08 $17,109.73 2026-03-31
637 MS_DRG Diabetes With Mcc 24 12 $31,756.60 $22,229.62 30% off $10,996.96 $23,428.27 $17,106.78 2026-03-31
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 24 12 $34,855.13 $24,398.59 30% off $10,905.88 $23,234.21 $16,965.09 2026-03-31
642 MS_DRG Inborn And Other Disorders Of Metabolism 24 12 $30,901.00 $21,630.70 30% off $10,885.21 $23,190.18 $16,932.94 2026-03-31
602 MS_DRG Cellulitis With Mcc 24 12 $41,399.60 $28,979.72 30% off $10,879.09 $23,177.14 $16,923.42 2026-03-31
811 MS_DRG Red Blood Cell Disorders With Mcc 24 12 $22,635.80 $15,845.06 30% off $10,748.96 $22,899.92 $16,721.00 2026-03-31
92998 HCPCS Balloon Dilation Of Pulmonary Artery, Each Additional Vessel 38 19 $22,563.45 $15,794.42 30% off $249.77 $56,408.63 $16,696.95 2026-03-31
37234 HCPCS Insertion Of Stent In Artery Of Leg, Each Additional Vessel 26 13 $18,337.20 $12,836.04 30% off $11,369.06 $45,843.00 $16,686.85 2026-03-31
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 24 12 $20,622.00 $14,435.40 30% off $10,699.97 $22,795.56 $16,644.80 2026-03-31
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 24 12 $25,722.00 $18,005.40 30% off $10,661.70 $22,714.02 $16,585.26 2026-03-31
0914T OTHER Transcatheter Therapeutic Drug Delivery By Intracoronary Drug-delivery Balloon, … 24 12 $17,961.30 $12,572.91 30% off $11,136.01 $44,903.25 $16,434.59 2026-03-31
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 24 12 $32,655.85 $22,859.10 30% off $10,513.97 $22,399.30 $16,355.45 2026-03-31
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 24 12 $36,698.00 $25,688.60 30% off $10,458.86 $22,281.88 $16,269.73 2026-03-31
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 24 12 $39,928.25 $27,949.78 30% off $10,454.27 $22,272.10 $16,262.58 2026-03-31
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 24 12 $19,898.00 $13,928.60 30% off $10,435.13 $22,231.33 $16,232.81 2026-03-31
804 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs Without Cc/mcc 24 12 $48,053.00 $33,637.10 30% off $10,379.26 $22,112.29 $16,145.90 2026-03-31
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 24 12 $16,128.00 $11,289.60 30% off $16,022.02 $34,133.81 $16,128.00 2026-03-31
J1930 HCPCS Injection, Lanreotide, 1 Mg 38 19 $23,284.00 $16,298.80 30% off $34.05 $58,210.00 $16,040.35 2026-03-31
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 24 12 $46,053.25 $32,237.28 30% off $10,295.06 $21,932.92 $16,014.92 2026-03-31
693 MS_DRG Urinary Stones With Mcc 24 12 $27,822.00 $19,475.40 30% off $10,291.23 $21,924.76 $16,008.97 2026-03-31
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 24 12 $15,904.00 $11,132.80 30% off $13,521.36 $28,806.32 $15,904.00 2026-03-31
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 24 12 $36,398.85 $25,479.19 30% off $10,223.11 $21,779.63 $15,902.99 2026-03-31
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 24 12 $15,757.90 $11,030.53 30% off $13,264.17 $28,258.40 $15,757.90 2026-03-31
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