Hospital

IOWA SPECIALTY HOSPITAL - CLARION

Clarion, IA · CCN 161302 · Rates published

7,241 distinct procedures filed

16 distinct payers

104,868 rate rows

2026-04-22 last MRF observed

Data quality

101,816 of 104,868 rate rows are consumer-grade (97.1%)

3,052 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 — reason	Rows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	2,031
per-diem day rate — not a per-procedure price	663
template filing: same amount across many unrelated codes — excluded	178
percent-of-charges filed in the dollar field — excluded from medians	120
exceeds 10× this hospital's gross charge — excluded from medians	30
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	28
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	2

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbWMCCLARIONIA&type=CDMWithoutLabel
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-10
Content fingerprint	e6a988b05156aa4c… · 45,391,879 bytes · first seen 2026-05-05

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
853 MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	11	$299,764.10	$2,309,472.00	$648,338.16	nat. median $34,733 outlier · 18.7×
580 MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Cc	11	$204,437.75	$1,202,850.00	$442,163.68	nat. median $12,953 outlier · 34.1×
460 MS_DRG	Spinal Fusion Except Cervical Without Mcc	11	$36,450.00	$377,935.72	$283,264.77	nat. median $2,106 outlier · 134.5×
570 MS_DRG	Skin Debridement With Mcc	11	$115,363.25	$529,254.00	$249,510.86	nat. median $20,813 outlier · 12.0×
475 MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	11	$111,895.73	$319,138.07	$239,195.63	nat. median $16,005 outlier · 14.9×
907 MS_DRG	Other O.r. Procedures For Injuries With Mcc	11	$109,350.00	$341,461.96	$223,954.51	nat. median $27,194 outlier · 8.2×
623 MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	11	$82,639.65	$288,684.00	$178,735.34	nat. median $13,380 outlier · 13.4×
982 MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	8	$61,652.85	$175,840.22	$133,344.50	nat. median $17,763 outlier · 7.5×
742 MS_DRG	Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc	11	$57,713.54	$164,604.92	$124,824.45	nat. median $13,597 outlier · 9.2×
329 MS_DRG	Major Small And Large Bowel Procedures With Mcc	11	$57,477.22	$324,769.50	$124,313.34	nat. median $33,435 outlier · 3.7×
501 MS_DRG	Soft Tissue Procedures With Cc	11	$55,904.39	$159,445.03	$119,504.87	nat. median $12,829 outlier · 9.3×
811 MS_DRG	Red Blood Cell Disorders With Mcc	11	$52,359.08	$288,684.00	$113,243.67	nat. median $10,250 outlier · 11.0×
651 MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	11	$52,236.96	$148,985.16	$112,979.56	nat. median $24,308 outlier · 4.6×
301 MS_DRG	Peripheral Vascular Disorders Without Cc/mcc	11	$21,870.00	$132,051.17	$100,138.05	nat. median $5,455 outlier · 18.4×
784 MS_DRG	Cesarean Section With Sterilization With Cc	11	$43,740.00	$131,431.56	$99,668.18	nat. median $7,818 outlier · 12.7×
607 MS_DRG	Minor Skin Disorders Without Mcc	11	$45,072.77	$384,912.00	$97,484.65	nat. median $6,481 outlier · 15.0×
310 MS_DRG	Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc	11	$43,482.37	$180,427.50	$94,044.89	nat. median $4,383 outlier · 21.5×
469 MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	11	$42,775.45	$121,999.95	$91,439.59	nat. median $22,918 outlier · 4.0×
336 MS_DRG	Peritoneal Adhesiolysis With Cc	11	$42,150.10	$192,456.00	$91,163.42	nat. median $15,633 outlier · 5.8×
331 MS_DRG	Major Small And Large Bowel Procedures Without Cc/mcc	11	$39,794.75	$113,498.71	$86,069.20	nat. median $12,648 outlier · 6.8×
231 MS_DRG	Coronary Bypass With Ptca With Mcc	11	$38,468.13	$109,715.03	$83,199.94	nat. median $60,505 1.4× median
516 MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc	11	$37,484.28	$106,909.00	$80,128.85	nat. median $15,130 outlier · 5.3×
663 MS_DRG	Minor Bladder Procedures With Cc	11	$35,609.83	$192,456.00	$77,017.94	nat. median $11,028 outlier · 7.0×
57 MS_DRG	Degenerative Nervous System Disorders Without Mcc	11	$35,228.24	$457,083.00	$76,192.62	nat. median $8,924 outlier · 8.5×
908 MS_DRG	Other O.r. Procedures For Injuries With Cc	11	$32,602.26	$96,228.00	$70,513.08	nat. median $14,655 outlier · 4.8×
464 MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective…	11	$32,687.49	$93,228.06	$69,874.91	nat. median $21,906 outlier · 3.2×
988 MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	11	$31,506.03	$144,342.00	$68,142.12	nat. median $12,191 outlier · 5.6×
302 MS_DRG	Atherosclerosis With Mcc	11	$14,580.00	$89,030.74	$67,514.47	nat. median $8,437 outlier · 8.0×
346 MS_DRG	Minor Small And Large Bowel Procedures Without Cc/mcc	11	$30,658.26	$96,228.00	$66,308.54	nat. median $9,176 outlier · 7.2×
468 MS_DRG	Revision Of Hip Or Knee Replacement Without Cc/mcc	11	$7,290.00	$87,305.06	$65,435.59	nat. median $19,904 outlier · 3.3×
486 MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Cc	11	$30,551.90	$87,137.16	$65,309.75	nat. median $15,126 outlier · 4.3×
466 MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	11	$29,711.78	$84,741.03	$63,513.84	nat. median $36,541 1.7× median
320 MS_DRG	Other Endovascular Cardiac Valve Procedures Without Mcc	11	$14,580.00	$83,539.34	$63,350.19	nat. median $16,917 outlier · 3.7×
467 MS_DRG	Revision Of Hip Or Knee Replacement With Cc	11	$29,066.10	$82,899.49	$62,133.60	nat. median $25,622 outlier · 2.4×
513 MS_DRG	Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc	11	$28,897.01	$82,417.23	$61,772.14	nat. median $11,258 outlier · 5.5×
521 MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	11	$28,710.18	$81,884.38	$61,372.76	nat. median $21,753 outlier · 2.8×
743 MS_DRG	Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc	11	$31,119.06	$88,754.75	$59,305.99	nat. median $9,093 outlier · 6.5×
483 MS_DRG	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	11	$7,290.00	$75,832.50	$56,836.85	nat. median $19,495 outlier · 2.9×
480 MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	11	$26,123.38	$74,506.55	$55,843.04	nat. median $21,963 outlier · 2.5×
519 MS_DRG	Back And Neck Procedures Except Spinal Fusion With Cc	11	$26,074.56	$74,367.31	$55,738.68	nat. median $14,677 outlier · 3.8×
833 MS_DRG	Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc	11	$25,172.84	$144,342.00	$54,444.52	nat. median $3,831 outlier · 14.2×
462 MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	11	$21,870.00	$72,451.58	$54,302.83	nat. median $19,539 outlier · 2.8×
515 MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	11	$14,580.00	$71,792.61	$53,808.93	nat. median $22,579 outlier · 2.4×
785 MS_DRG	Cesarean Section With Sterilization Without Cc/mcc	11	$24,181.20	$68,967.25	$52,299.77	nat. median $6,801 outlier · 7.7×
418 MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. With Cc	11	$24,119.13	$120,285.00	$52,165.53	nat. median $12,668 outlier · 4.1×
59 MS_DRG	Multiple Sclerosis And Cerebellar Ataxia With Cc	11	$21,870.00	$68,667.27	$52,072.29	nat. median $9,035 outlier · 5.8×
783 MS_DRG	Cesarean Section With Sterilization With Mcc	11	$23,641.45	$72,171.00	$51,132.39	nat. median $13,196 outlier · 3.9×
481 MS_DRG	Hip And Femur Procedures Except Major Joint With Cc	11	$23,474.59	$66,951.93	$50,180.81	nat. median $15,706 outlier · 3.2×
786 MS_DRG	Cesarean Section Without Sterilization With Mcc	11	$22,199.57	$63,315.43	$48,013.84	nat. median $11,737 outlier · 4.1×
682 MS_DRG	Renal Failure With Mcc	11	$21,183.98	$144,342.00	$45,817.30	nat. median $11,096 outlier · 4.1×

Other procedures at this hospital

Browse this hospital's 7,241 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	12	11	$881,399.88	$528,839.93 40% off	$299,764.10	$2,309,472.00	$648,338.16	2026-04-22
580	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Cc	12	11	$601,110.70	$360,666.42 40% off	$204,437.75	$1,202,850.00	$442,163.68	2026-04-22
460	MS_DRG	Spinal Fusion Except Cervical Without Mcc	12	11	$389,624.45	$233,774.67 40% off	$36,450.00	$377,935.72	$283,264.77	2026-04-22
570	MS_DRG	Skin Debridement With Mcc	12	11	$339,203.92	$203,522.35 40% off	$115,363.25	$529,254.00	$249,510.86	2026-04-22
475	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	12	11	$329,008.32	$197,404.99 40% off	$111,895.73	$319,138.07	$239,195.63	2026-04-22
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	12	11	$352,022.64	$211,213.58 40% off	$109,350.00	$341,461.96	$223,954.51	2026-04-22
623	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	12	11	$242,986.32	$145,791.79 40% off	$82,639.65	$288,684.00	$178,735.34	2026-04-22
982	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	9	8	$181,278.58	$108,767.15 40% off	$61,652.85	$175,840.22	$133,344.50	2026-04-22
742	MS_DRG	Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc	12	11	$169,695.79	$101,817.47 40% off	$57,713.54	$164,604.92	$124,824.45	2026-04-22
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	12	11	$169,000.95	$101,400.57 40% off	$57,477.22	$324,769.50	$124,313.34	2026-04-22
501	MS_DRG	Soft Tissue Procedures With Cc	12	11	$164,376.32	$98,625.79 40% off	$55,904.39	$159,445.03	$119,504.87	2026-04-22
811	MS_DRG	Red Blood Cell Disorders With Mcc	12	11	$153,952.00	$92,371.20 40% off	$52,359.08	$288,684.00	$113,243.67	2026-04-22
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	12	11	$153,592.95	$92,155.77 40% off	$52,236.96	$148,985.16	$112,979.56	2026-04-22
301	MS_DRG	Peripheral Vascular Disorders Without Cc/mcc	12	11	$136,135.23	$81,681.14 40% off	$21,870.00	$132,051.17	$100,138.05	2026-04-22
784	MS_DRG	Cesarean Section With Sterilization With Cc	12	11	$135,496.45	$81,297.87 40% off	$43,740.00	$131,431.56	$99,668.18	2026-04-22
607	MS_DRG	Minor Skin Disorders Without Mcc	12	11	$132,528.00	$79,516.80 40% off	$45,072.77	$384,912.00	$97,484.65	2026-04-22
310	MS_DRG	Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc	12	11	$127,851.74	$76,711.04 40% off	$43,482.37	$180,427.50	$94,044.89	2026-04-22
469	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	12	11	$125,773.14	$75,463.89 40% off	$42,775.45	$121,999.95	$91,439.59	2026-04-22
336	MS_DRG	Peritoneal Adhesiolysis With Cc	12	11	$123,934.44	$74,360.66 40% off	$42,150.10	$192,456.00	$91,163.42	2026-04-22
331	MS_DRG	Major Small And Large Bowel Procedures Without Cc/mcc	12	11	$117,008.98	$70,205.39 40% off	$39,794.75	$113,498.71	$86,069.20	2026-04-22
231	MS_DRG	Coronary Bypass With Ptca With Mcc	12	11	$113,108.28	$67,864.97 40% off	$38,468.13	$109,715.03	$83,199.94	2026-04-22
516	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc	12	11	$110,215.46	$66,129.28 40% off	$37,484.28	$106,909.00	$80,128.85	2026-04-22
663	MS_DRG	Minor Bladder Procedures With Cc	12	11	$104,704.00	$62,822.40 40% off	$35,609.83	$192,456.00	$77,017.94	2026-04-22
57	MS_DRG	Degenerative Nervous System Disorders Without Mcc	12	11	$103,582.00	$62,149.20 40% off	$35,228.24	$457,083.00	$76,192.62	2026-04-22
908	MS_DRG	Other O.r. Procedures For Injuries With Cc	12	11	$95,860.80	$57,516.48 40% off	$32,602.26	$96,228.00	$70,513.08	2026-04-22
464	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	12	11	$96,111.40	$57,666.84 40% off	$32,687.49	$93,228.06	$69,874.91	2026-04-22
988	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	12	11	$92,637.54	$55,582.52 40% off	$31,506.03	$144,342.00	$68,142.12	2026-04-22
302	MS_DRG	Atherosclerosis With Mcc	12	11	$91,784.26	$55,070.56 40% off	$14,580.00	$89,030.74	$67,514.47	2026-04-22
346	MS_DRG	Minor Small And Large Bowel Procedures Without Cc/mcc	12	11	$90,144.84	$54,086.90 40% off	$30,658.26	$96,228.00	$66,308.54	2026-04-22
468	MS_DRG	Revision Of Hip Or Knee Replacement Without Cc/mcc	12	11	$90,005.21	$54,003.13 40% off	$7,290.00	$87,305.06	$65,435.59	2026-04-22
486	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Cc	12	11	$89,832.12	$53,899.27 40% off	$30,551.90	$87,137.16	$65,309.75	2026-04-22
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	12	11	$87,361.89	$52,417.13 40% off	$29,711.78	$84,741.03	$63,513.84	2026-04-22
320	MS_DRG	Other Endovascular Cardiac Valve Procedures Without Mcc	12	11	$86,123.04	$51,673.82 40% off	$14,580.00	$83,539.34	$63,350.19	2026-04-22
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	12	11	$85,463.40	$51,278.04 40% off	$29,066.10	$82,899.49	$62,133.60	2026-04-22
513	MS_DRG	Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc	12	11	$84,966.22	$50,979.73 40% off	$28,897.01	$82,417.23	$61,772.14	2026-04-22
521	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	12	11	$84,416.89	$50,650.13 40% off	$28,710.18	$81,884.38	$61,372.76	2026-04-22
743	MS_DRG	Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc	12	11	$91,499.74	$54,899.84 40% off	$31,119.06	$88,754.75	$59,305.99	2026-04-22
483	MS_DRG	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	12	11	$78,177.83	$46,906.70 40% off	$7,290.00	$75,832.50	$56,836.85	2026-04-22
480	MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	12	11	$76,810.88	$46,086.53 40% off	$26,123.38	$74,506.55	$55,843.04	2026-04-22
519	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Cc	12	11	$76,667.33	$46,000.40 40% off	$26,074.56	$74,367.31	$55,738.68	2026-04-22
833	MS_DRG	Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc	12	11	$74,016.00	$44,409.60 40% off	$25,172.84	$144,342.00	$54,444.52	2026-04-22
462	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	12	11	$74,692.35	$44,815.41 40% off	$21,870.00	$72,451.58	$54,302.83	2026-04-22
515	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	12	11	$74,013.00	$44,407.80 40% off	$14,580.00	$71,792.61	$53,808.93	2026-04-22
785	MS_DRG	Cesarean Section With Sterilization Without Cc/mcc	12	11	$71,100.26	$42,660.16 40% off	$24,181.20	$68,967.25	$52,299.77	2026-04-22
418	MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. With Cc	12	11	$70,917.76	$42,550.66 40% off	$24,119.13	$120,285.00	$52,165.53	2026-04-22
59	MS_DRG	Multiple Sclerosis And Cerebellar Ataxia With Cc	12	11	$70,791.00	$42,474.60 40% off	$21,870.00	$68,667.27	$52,072.29	2026-04-22
783	MS_DRG	Cesarean Section With Sterilization With Mcc	12	11	$69,513.24	$41,707.94 40% off	$23,641.45	$72,171.00	$51,132.39	2026-04-22
481	MS_DRG	Hip And Femur Procedures Except Major Joint With Cc	12	11	$69,022.60	$41,413.56 40% off	$23,474.59	$66,951.93	$50,180.81	2026-04-22
786	MS_DRG	Cesarean Section Without Sterilization With Mcc	12	11	$65,273.64	$39,164.19 40% off	$22,199.57	$63,315.43	$48,013.84	2026-04-22
682	MS_DRG	Renal Failure With Mcc	12	11	$62,287.50	$37,372.50 40% off	$21,183.98	$144,342.00	$45,817.30	2026-04-22
330	MS_DRG	Major Small And Large Bowel Procedures With Cc	12	11	$62,222.32	$37,333.39 40% off	$21,161.81	$72,171.00	$45,769.36	2026-04-22
522	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc	12	11	$68,949.60	$41,369.76 40% off	$23,449.76	$66,881.11	$45,760.23	2026-04-22
263	MS_DRG	Vein Ligation And Stripping	12	11	$61,825.30	$37,095.18 40% off	$21,026.78	$60,142.50	$45,477.31	2026-04-22
340	MS_DRG	Appendectomy With Complicated Principal Diagnosis Without Cc/mcc	12	11	$61,568.82	$36,941.29 40% off	$20,939.56	$96,228.00	$45,288.66	2026-04-22
940	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	12	11	$60,673.33	$36,404.00 40% off	$7,290.00	$58,853.13	$44,629.95	2026-04-22
539	MS_DRG	Osteomyelitis With Mcc	12	11	$60,738.42	$36,443.05 40% off	$20,657.14	$58,916.27	$44,158.05	2026-04-22
637	MS_DRG	Diabetes With Mcc	12	11	$59,848.00	$35,908.80 40% off	$20,354.30	$96,228.00	$44,022.86	2026-04-22
983	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc	12	11	$58,197.31	$34,918.39 40% off	$19,792.90	$60,142.50	$42,808.65	2026-04-22
948	MS_DRG	Signs And Symptoms Without Mcc	12	11	$58,111.00	$34,866.60 40% off	$19,763.55	$180,427.50	$42,745.16	2026-04-22
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	12	11	$57,691.41	$34,614.84 40% off	$14,580.00	$55,960.66	$42,436.51	2026-04-22
479	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc	12	11	$58,319.66	$34,991.80 40% off	$19,834.52	$56,570.07	$42,399.56	2026-04-22
817	MS_DRG	Other Antepartum Diagnoses With O.r. Procedures With Mcc	12	11	$57,434.60	$34,460.76 40% off	$19,533.51	$55,711.56	$42,247.62	2026-04-22
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	12	11	$57,214.18	$34,328.51 40% off	$19,458.54	$55,497.75	$42,085.48	2026-04-22
175	MS_DRG	Pulmonary Embolism With Mcc Or Acute Cor Pulmonale	12	11	$56,754.00	$34,052.40 40% off	$19,302.04	$72,171.00	$41,746.98	2026-04-22
J2350	HCPCS	Injection, Ocrelizumab, 1 Mg	12	11	$61,922.88	$37,153.73 40% off	$19,815.32	$60,065.19	$41,323.20	2026-04-22
950	MS_DRG	Aftercare Without Cc/mcc	12	11	$53,368.56	$32,021.14 40% off	$18,150.65	$51,767.50	$39,256.73	2026-04-22
307	MS_DRG	Cardiac Congenital And Valvular Disorders Without Mcc	12	11	$51,766.76	$31,060.06 40% off	$17,605.88	$50,213.76	$38,078.48	2026-04-22
941	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…	12	11	$50,885.78	$30,531.47 40% off	$17,306.25	$49,359.21	$37,430.45	2026-04-22
470	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …	12	11	$51,359.66	$30,815.80 40% off	$7,290.00	$49,818.87	$37,339.50	2026-04-22
56	MS_DRG	Degenerative Nervous System Disorders With Mcc	12	11	$50,331.00	$30,198.60 40% off	$17,117.57	$108,256.50	$37,022.36	2026-04-22
30	MS_DRG	Spinal Procedures Without Cc/mcc	12	11	$48,320.03	$28,992.02 40% off	$7,290.00	$46,870.43	$35,543.14	2026-04-22
312	MS_DRG	Syncope And Collapse	12	11	$47,830.00	$28,698.00 40% off	$16,266.98	$96,228.00	$35,182.68	2026-04-22
482	MS_DRG	Hip And Femur Procedures Except Major Joint Without Cc/mcc	12	11	$46,918.71	$28,151.23 40% off	$14,580.00	$45,511.15	$34,110.84	2026-04-22
J3245	HCPCS	Injection, Tildrakizumab, 1 Mg	12	11	$53,884.32	$32,330.59 40% off	$17,242.98	$52,267.79	$34,041.64	2026-04-22
517	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc…	12	11	$44,263.62	$26,558.17 40% off	$7,290.00	$42,935.71	$32,180.54	2026-04-22
770	MS_DRG	Abortion With D&c, Aspiration Curettage Or Hysterotomy	12	11	$43,676.07	$26,205.64 40% off	$14,854.23	$60,142.50	$32,127.15	2026-04-22
J1628	HCPCS	Injection, Guselkumab, 1 Mg	12	11	$43,699.32	$26,219.59 40% off	$13,983.78	$42,388.34	$29,162.01	2026-04-22
540	MS_DRG	Osteomyelitis With Cc	12	11	$39,834.24	$23,900.55 40% off	$13,547.63	$38,639.22	$28,960.29	2026-04-22
425	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc	12	11	$37,653.00	$22,591.80 40% off	$12,805.79	$60,142.50	$27,696.71	2026-04-22
380	MS_DRG	Complicated Peptic Ulcer With Mcc	12	11	$37,386.62	$22,431.97 40% off	$12,715.19	$48,114.00	$27,500.77	2026-04-22
909	MS_DRG	Other O.r. Procedures For Injuries Without Cc/mcc	12	11	$37,305.03	$22,383.02 40% off	$12,687.44	$48,114.00	$27,440.75	2026-04-22
787	MS_DRG	Cesarean Section Without Sterilization With Cc	12	11	$37,268.59	$22,361.16 40% off	$12,675.05	$36,150.53	$27,413.95	2026-04-22
378	MS_DRG	Gastrointestinal Hemorrhage With Cc	12	11	$35,826.00	$21,495.60 40% off	$12,184.42	$72,171.00	$26,352.81	2026-04-22
101	MS_DRG	Seizures Without Mcc	12	11	$35,428.00	$21,256.80 40% off	$12,049.06	$120,285.00	$26,060.05	2026-04-22
964	MS_DRG	Other Multiple Significant Trauma With Cc	12	11	$35,385.00	$21,231.00 40% off	$12,034.44	$60,142.50	$26,028.42	2026-04-22
824	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	12	11	$35,000.13	$21,000.08 40% off	$11,903.54	$72,171.00	$25,745.32	2026-04-22
945	MS_DRG	Rehabilitation With Cc/mcc	12	11	$34,948.82	$20,969.29 40% off	$11,886.09	$132,313.50	$25,707.57	2026-04-22
805	MS_DRG	Vaginal Delivery Without Sterilization Or D&c With Mcc	12	11	$34,507.00	$20,704.20 40% off	$11,735.83	$36,085.50	$25,382.58	2026-04-22
871	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	12	11	$37,131.00	$22,278.60 40% off	$12,628.25	$60,142.50	$25,052.48	2026-04-22
88	MS_DRG	Concussion With Mcc	12	11	$33,955.00	$20,373.00 40% off	$11,548.10	$48,114.00	$24,976.54	2026-04-22
520	MS_DRG	Back And Neck Procedures Except Spinal Fusion Without Cc/mcc	12	11	$34,126.12	$20,475.67 40% off	$7,290.00	$33,102.33	$24,810.37	2026-04-22
827	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	12	11	$32,917.85	$19,750.71 40% off	$11,195.36	$60,142.50	$24,213.64	2026-04-22
J3590	HCPCS	Unclassified Biologics	24	11	$47,537.31	$28,522.39 40% off	$7,605.97	$46,111.19	$23,792.43	2026-04-22
593	MS_DRG	Skin Ulcers With Cc	12	11	$32,306.00	$19,383.60 40% off	$10,987.27	$72,171.00	$23,763.58	2026-04-22
149	MS_DRG	Dysequilibrium	12	11	$32,071.75	$19,243.05 40% off	$10,907.60	$60,142.50	$23,591.27	2026-04-22
866	MS_DRG	Viral Illness Without Mcc	12	11	$31,687.00	$19,012.20 40% off	$10,776.75	$48,114.00	$23,308.25	2026-04-22
389	MS_DRG	Gastrointestinal Obstruction With Cc	12	11	$31,370.20	$18,822.12 40% off	$10,669.01	$84,199.50	$23,075.22	2026-04-22
788	MS_DRG	Cesarean Section Without Sterilization Without Cc/mcc	12	11	$33,083.93	$19,850.36 40% off	$11,251.84	$32,091.41	$23,016.03	2026-04-22
602	MS_DRG	Cellulitis With Mcc	12	11	$30,950.00	$18,570.00 40% off	$10,526.09	$60,142.50	$22,766.13	2026-04-22
J2327	HCPCS	Injection, Risankizumab-rzaa, Intravenous, 1 Mg	12	11	$36,148.87	$21,689.32 40% off	$11,567.64	$35,064.40	$22,662.33	2026-04-22
920	MS_DRG	Complications Of Treatment With Cc	12	11	$30,765.00	$18,459.00 40% off	$10,463.18	$72,171.00	$22,630.05	2026-04-22
398	MS_DRG	Appendix Procedures With Cc	12	11	$30,230.65	$18,138.39 40% off	$10,281.44	$29,323.73	$22,236.99	2026-04-22
857	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc	12	11	$29,665.00	$17,799.00 40% off	$10,089.07	$108,256.50	$21,820.92	2026-04-22
292	MS_DRG	Heart Failure And Shock With Cc	12	11	$29,186.00	$17,511.60 40% off	$9,926.16	$48,114.00	$21,468.57	2026-04-22
344	MS_DRG	Minor Small And Large Bowel Procedures With Mcc	12	11	$28,828.00	$17,296.80 40% off	$9,804.40	$120,285.00	$21,205.24	2026-04-22
419	MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc	12	11	$28,598.27	$17,158.96 40% off	$9,726.27	$27,740.32	$21,036.25	2026-04-22
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	12	11	$28,799.04	$17,279.42 40% off	$9,794.55	$27,935.07	$20,937.48	2026-04-22
65	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours	12	11	$28,399.50	$17,039.70 40% off	$9,658.67	$48,114.00	$20,890.04	2026-04-22
189	MS_DRG	Pulmonary Edema And Respiratory Failure	12	11	$27,682.25	$16,609.35 40% off	$9,414.73	$36,085.50	$20,362.45	2026-04-22
284	MS_DRG	Acute Myocardial Infarction, Expired With Cc	12	11	$27,644.00	$16,586.40 40% off	$9,401.72	$48,114.00	$20,334.31	2026-04-22
141	MS_DRG	Major Head And Neck Procedures With Cc	12	11	$27,597.00	$16,558.20 40% off	$9,385.74	$26,769.09	$20,299.74	2026-04-22
J1932	HCPCS	Injection, Lanreotide, (cipla), 1 Mg	12	11	$30,235.04	$18,141.02 40% off	$9,675.21	$29,327.99	$20,176.85	2026-04-22
604	MS_DRG	Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc	12	11	$27,194.00	$16,316.40 40% off	$9,248.68	$26,378.18	$20,003.30	2026-04-22
818	MS_DRG	Other Antepartum Diagnoses With O.r. Procedures With Cc	12	11	$28,353.32	$17,011.99 40% off	$9,642.96	$27,502.72	$19,924.97	2026-04-22
921	MS_DRG	Complications Of Treatment Without Cc/mcc	12	11	$26,403.73	$15,842.24 40% off	$8,979.91	$36,085.50	$19,422.00	2026-04-22
489	MS_DRG	Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc	12	11	$26,499.90	$15,899.94 40% off	$7,290.00	$25,704.90	$19,265.96	2026-04-22
J1930	HCPCS	Injection, Lanreotide, 1 Mg	12	11	$28,668.80	$17,201.28 40% off	$9,174.02	$27,808.74	$19,131.65	2026-04-22
369	MS_DRG	Major Esophageal Disorders With Cc	12	11	$25,601.00	$15,360.60 40% off	$8,706.90	$48,114.00	$18,831.53	2026-04-22
203	MS_DRG	Bronchitis And Asthma Without Cc/mcc	12	11	$25,474.00	$15,284.40 40% off	$8,663.71	$48,114.00	$18,738.11	2026-04-22
683	MS_DRG	Renal Failure With Cc	12	11	$24,664.50	$14,798.70 40% off	$8,388.40	$60,142.50	$18,142.66	2026-04-22
190	MS_DRG	Chronic Obstructive Pulmonary Disease With Mcc	12	11	$24,579.75	$14,747.85 40% off	$8,359.57	$36,085.50	$18,080.32	2026-04-22
812	MS_DRG	Red Blood Cell Disorders Without Mcc	12	11	$24,455.33	$14,673.20 40% off	$8,317.26	$48,114.00	$17,988.80	2026-04-22
J3380	HCPCS	Injection, Vedolizumab, Intravenous, 1 Mg	12	11	$28,079.73	$16,847.84 40% off	$8,985.51	$27,237.34	$17,568.56	2026-04-22
561	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc	12	11	$23,364.28	$14,018.57 40% off	$7,946.19	$58,320.00	$16,986.30	2026-04-22
504	MS_DRG	Foot Procedures With Cc	12	11	$23,248.59	$13,949.15 40% off	$7,906.85	$22,551.13	$16,902.19	2026-04-22
113	MS_DRG	Orbital Procedures With Cc/mcc	12	11	$22,676.00	$13,605.60 40% off	$7,712.11	$48,114.00	$16,679.96	2026-04-22
191	MS_DRG	Chronic Obstructive Pulmonary Disease With Cc	12	11	$22,604.00	$13,562.40 40% off	$7,687.62	$36,085.50	$16,627.00	2026-04-22
283	MS_DRG	Acute Myocardial Infarction, Expired With Mcc	12	11	$22,344.00	$13,406.40 40% off	$7,599.19	$48,114.00	$16,435.75	2026-04-22
571	MS_DRG	Skin Debridement With Cc	12	11	$22,194.00	$13,316.40 40% off	$7,548.18	$36,085.50	$16,325.41	2026-04-22
433	MS_DRG	Cirrhosis And Alcoholic Hepatitis With Cc	12	11	$22,121.00	$13,272.60 40% off	$7,523.35	$24,057.00	$16,271.72	2026-04-22
L8679	HCPCS	Implantable Neurostimulator, Pulse Generator, Any Type	20	10	$25,750.00	$15,450.00 40% off	$6,240.00	$24,977.50	$16,081.85	2026-04-22
281	MS_DRG	Acute Myocardial Infarction, Discharged Alive With Cc	12	11	$21,852.00	$13,111.20 40% off	$7,431.87	$60,142.50	$16,073.85	2026-04-22
779	MS_DRG	Abortion Without D&c	12	11	$21,852.00	$13,111.20 40% off	$7,431.87	$24,057.00	$16,073.85	2026-04-22
22513	HCPCS	Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using…	12	11	$22,435.00	$13,461.00 40% off	$411.80	$16,826.25	$15,704.50	2026-04-22
J3101	HCPCS	Injection, Tenecteplase, 1 Mg	12	11	$24,891.78	$14,935.07 40% off	$7,965.37	$24,145.03	$15,504.20	2026-04-22
22514	HCPCS	Treatment Of Broken Lower Spine Bone With Placement Of Stabilizing Device	12	11	$22,043.00	$13,225.80 40% off	$385.34	$16,532.25	$15,430.10	2026-04-22
541	MS_DRG	Osteomyelitis Without Cc/mcc	12	11	$21,040.89	$12,624.53 40% off	$7,156.01	$20,409.66	$15,297.15	2026-04-22
965	MS_DRG	Other Multiple Significant Trauma Without Cc/mcc	12	11	$20,537.00	$12,322.20 40% off	$6,984.63	$96,228.00	$15,106.56	2026-04-22
383	MS_DRG	Uncomplicated Peptic Ulcer With Mcc	12	11	$20,237.00	$12,142.20 40% off	$6,882.60	$48,114.00	$14,885.89	2026-04-22
946	MS_DRG	Rehabilitation Without Cc/mcc	12	11	$19,811.00	$11,886.60 40% off	$6,737.72	$72,171.00	$14,572.53	2026-04-22
388	MS_DRG	Gastrointestinal Obstruction With Mcc	12	11	$19,574.00	$11,744.40 40% off	$6,657.12	$36,085.50	$14,398.20	2026-04-22
563	MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	12	11	$19,747.79	$11,848.67 40% off	$6,716.22	$29,160.00	$14,357.03	2026-04-22
885	MS_DRG	Psychoses	12	11	$19,456.00	$11,673.60 40% off	$6,616.99	$72,171.00	$14,311.40	2026-04-22
157	MS_DRG	Dental And Oral Diseases With Mcc	12	11	$19,404.00	$11,642.40 40% off	$6,599.30	$36,085.50	$14,273.15	2026-04-22
C9761	HCPCS	Cystourethroscopy, With Ureteroscopy And/or Pyeloscopy, With Lithotripsy, And Ur…	12	11	$20,000.00	$12,000.00 40% off	$6,315.89	$19,400.00	$14,216.00	2026-04-22
308	MS_DRG	Cardiac Arrhythmia And Conduction Disorders With Mcc	12	11	$19,319.33	$11,591.60 40% off	$6,570.51	$48,114.00	$14,210.87	2026-04-22
373	MS_DRG	Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc	12	11	$19,295.00	$11,577.00 40% off	$6,562.23	$48,114.00	$14,192.97	2026-04-22
872	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	12	11	$19,060.00	$11,436.00 40% off	$6,482.31	$48,114.00	$14,020.11	2026-04-22
C1767	HCPCS	Generator, Neurostimulator (implantable), Non-rechargeable	10	10	$19,709.00	$11,825.40 40% off	$6,306.88	$19,117.73	$14,009.16	2026-04-22
193	MS_DRG	Simple Pneumonia And Pleurisy With Mcc	12	11	$18,935.00	$11,361.00 40% off	$6,439.79	$24,057.00	$13,928.16	2026-04-22
951	MS_DRG	Other Factors Influencing Health Status	12	11	$18,929.52	$11,357.71 40% off	$6,437.93	$36,085.50	$13,924.13	2026-04-22
343	MS_DRG	Appendectomy Without Complicated Principal Diagnosis Without Cc/mcc	12	11	$18,773.21	$11,263.93 40% off	$6,384.77	$18,210.01	$13,809.16	2026-04-22
HB-036002068_1	CDM	Operating Room Services - General Classification	10	10	$23,459.00	$14,075.40 40% off	$7,506.88	$22,755.23	$13,781.19	2026-04-22
72	MS_DRG	Other Cerebrovascular Disorders Without Cc/mcc	12	11	$18,657.00	$11,194.20 40% off	$6,345.25	$84,199.50	$13,723.68	2026-04-22
304	MS_DRG	Hypertension With Mcc	12	11	$18,636.00	$11,181.60 40% off	$6,338.10	$84,199.50	$13,708.23	2026-04-22
194	MS_DRG	Simple Pneumonia And Pleurisy With Cc	12	11	$18,578.50	$11,147.10 40% off	$6,318.55	$36,085.50	$13,665.94	2026-04-22
768	MS_DRG	Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c	12	11	$18,564.88	$11,138.93 40% off	$6,313.91	$24,057.00	$13,655.91	2026-04-22
392	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc	12	11	$18,382.90	$11,029.74 40% off	$6,252.02	$24,057.00	$13,522.05	2026-04-22
282	MS_DRG	Acute Myocardial Infarction, Discharged Alive Without Cc/mcc	12	11	$18,204.00	$10,922.40 40% off	$6,191.18	$24,057.00	$13,390.46	2026-04-22
791	MS_DRG	Prematurity With Major Problems	12	11	$17,806.00	$10,683.60 40% off	$6,055.82	$72,171.00	$13,097.70	2026-04-22
698	MS_DRG	Other Kidney And Urinary Tract Diagnoses With Mcc	12	11	$17,550.00	$10,530.00 40% off	$5,968.76	$72,171.00	$12,909.39	2026-04-22
71	MS_DRG	Other Cerebrovascular Disorders With Cc	12	11	$17,359.00	$10,415.40 40% off	$5,903.80	$48,114.00	$12,768.90	2026-04-22
64568	HCPCS	Insertion Of Cranial Nerve Neurostimulator Electrode And Generator	24	11	$21,100.00	$12,660.00 40% off	$575.19	$54,750.85	$12,724.45	2026-04-22
555	MS_DRG	Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc	12	11	$17,418.50	$10,451.10 40% off	$5,924.03	$36,450.00	$12,663.60	2026-04-22
542	MS_DRG	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…	12	11	$17,269.18	$10,361.51 40% off	$5,873.25	$16,751.11	$12,555.04	2026-04-22
J9312	HCPCS	Injection, Rituximab, 10 Mg	12	11	$18,790.40	$11,274.24 40% off	$6,012.93	$18,226.69	$12,539.46	2026-04-22
562	MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	12	11	$17,064.00	$10,238.40 40% off	$5,803.47	$29,160.00	$12,405.87	2026-04-22
291	MS_DRG	Heart Failure And Shock With Mcc	12	11	$16,690.40	$10,014.24 40% off	$5,676.41	$24,057.00	$12,277.09	2026-04-22
638	MS_DRG	Diabetes With Cc	12	11	$16,686.00	$10,011.60 40% off	$5,674.91	$24,057.00	$12,273.85	2026-04-22
603	MS_DRG	Cellulitis Without Mcc	12	11	$16,551.64	$9,930.98 40% off	$5,629.21	$48,114.00	$12,175.02	2026-04-22
J2506	HCPCS	Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg	12	11	$19,253.97	$11,552.38 40% off	$6,161.27	$18,676.35	$12,046.57	2026-04-22
J0717	HCPCS	Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm…	12	11	$17,998.29	$10,798.97 40% off	$5,759.45	$17,458.34	$12,010.86	2026-04-22
244	MS_DRG	Permanent Cardiac Pacemaker Implant Without Cc/mcc	12	11	$16,066.00	$9,639.60 40% off	$5,464.05	$48,114.00	$11,817.79	2026-04-22
592	MS_DRG	Skin Ulcers With Mcc	12	11	$15,844.00	$9,506.40 40% off	$5,388.54	$72,171.00	$11,654.49	2026-04-22
806	MS_DRG	Vaginal Delivery Without Sterilization Or D&c With Cc	12	11	$14,789.91	$8,873.95 40% off	$5,030.05	$24,057.00	$11,490.39	2026-04-22
J1950	HCPCS	Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg	45	11	$35,403.24	$21,241.94 40% off	$603.85	$34,341.14	$11,465.60	2026-04-22
309	MS_DRG	Cardiac Arrhythmia And Conduction Disorders With Cc	12	11	$15,515.00	$9,309.00 40% off	$5,276.65	$48,114.00	$11,412.49	2026-04-22
560	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Cc	12	11	$15,593.08	$9,355.85 40% off	$5,303.21	$15,125.29	$11,336.48	2026-04-22
299	MS_DRG	Peripheral Vascular Disorders With Mcc	12	11	$14,757.00	$8,854.20 40% off	$5,018.86	$36,085.50	$10,854.92	2026-04-22
862	MS_DRG	Postoperative And Post-traumatic Infections With Mcc	12	11	$14,688.00	$8,812.80 40% off	$4,995.39	$36,085.50	$10,804.17	2026-04-22
192	MS_DRG	Chronic Obstructive Pulmonary Disease Without Cc/mcc	12	11	$14,329.50	$8,597.70 40% off	$4,873.46	$24,057.00	$10,540.46	2026-04-22
864	MS_DRG	Fever And Inflammatory Conditions	12	11	$14,140.00	$8,484.00 40% off	$4,809.01	$48,114.00	$10,401.07	2026-04-22
280	MS_DRG	Acute Myocardial Infarction, Discharged Alive With Mcc	12	11	$14,118.00	$8,470.80 40% off	$4,801.53	$36,085.50	$10,384.89	2026-04-22
C1820	HCPCS	Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging…	70	10	$24,750.00	$14,850.00 40% off	$192.00	$24,007.50	$10,239.78	2026-04-22
78813	HCPCS	Nuclear Medicine Study Whole Body	12	11	$14,304.00	$8,582.40 40% off	$3,819.41	$13,874.88	$10,167.28	2026-04-22
78811	HCPCS	Nuclear Medicine Study Limited Area	12	11	$14,304.00	$8,582.40 40% off	$3,819.41	$13,874.88	$10,167.28	2026-04-22
439	MS_DRG	Disorders Of Pancreas Except Malignancy With Cc	12	11	$13,696.00	$8,217.60 40% off	$4,658.01	$36,085.50	$10,074.47	2026-04-22
807	MS_DRG	Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc	12	11	$12,542.35	$7,525.41 40% off	$4,265.65	$24,057.00	$10,074.38	2026-04-22
153	MS_DRG	Otitis Media And Uri Without Mcc	12	11	$13,694.00	$8,216.40 40% off	$4,657.33	$48,114.00	$10,073.00	2026-04-22
372	MS_DRG	Major Gastrointestinal Disorders And Peritoneal Infections With Cc	12	11	$13,688.00	$8,212.80 40% off	$4,655.29	$24,057.00	$10,068.59	2026-04-22
390	MS_DRG	Gastrointestinal Obstruction Without Cc/mcc	12	11	$13,575.29	$8,145.17 40% off	$4,616.95	$36,085.50	$9,985.68	2026-04-22
841	MS_DRG	Lymphoma And Non-acute Leukemia With Cc	12	11	$13,484.00	$8,090.40 40% off	$4,585.91	$72,171.00	$9,918.53	2026-04-22
914	MS_DRG	Traumatic Injury Without Mcc	12	11	$13,151.00	$7,890.60 40% off	$4,472.66	$36,085.50	$9,673.58	2026-04-22
177	MS_DRG	Respiratory Infections And Inflammations With Mcc	12	11	$13,108.00	$7,864.80 40% off	$4,458.03	$24,057.00	$9,641.95	2026-04-22
195	MS_DRG	Simple Pneumonia And Pleurisy Without Cc/mcc	12	11	$13,083.00	$7,849.80 40% off	$4,449.53	$24,057.00	$9,623.56	2026-04-22
Q5119	HCPCS	Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg	12	11	$14,336.00	$8,601.60 40% off	$4,587.52	$13,905.92	$9,566.89	2026-04-22
Q5123	HCPCS	Injection, Rituximab-arrx, Biosimilar, (riabni), 10 Mg	12	11	$14,336.00	$8,601.60 40% off	$4,587.52	$13,905.92	$9,566.89	2026-04-22
22515	HCPCS	Treatment Of Broken Spine Bone With Stabilizing Device, Each Additional Segment	12	11	$13,482.00	$8,089.20 40% off	$170.38	$10,111.50	$9,437.40	2026-04-22
64	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	12	11	$12,748.00	$7,648.80 40% off	$4,335.59	$24,057.00	$9,377.14	2026-04-22
247	MS_DRG	Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc	12	11	$11,864.00	$7,118.40 40% off	$4,034.95	$24,057.00	$8,726.90	2026-04-22
J2182	HCPCS	Injection, Mepolizumab, 1 Mg	12	11	$13,047.43	$7,828.46 40% off	$4,175.18	$12,656.01	$8,706.99	2026-04-22
78609	HCPCS	Nuclear Medicine Study Of Brain With Blood Flow Evaluation	21	11	$14,304.00	$8,582.40 40% off	$74.34	$13,874.88	$8,489.89	2026-04-22
78492	HCPCS	Nuclear Medicine Studies Of Blood Flow In Heart Muscle At Rest And With Stress	24	11	$14,304.00	$8,582.40 40% off	$79.45	$13,874.88	$8,489.89	2026-04-22
78491	HCPCS	Nuclear Medicine Study Of Blood Flow In Heart Muscle At Rest And With Stress	24	11	$14,304.00	$8,582.40 40% off	$68.07	$13,874.88	$8,489.89	2026-04-22
78459	HCPCS	Nuclear Medicine Study Of Heart Muscle With Metabolic Evaluation	24	11	$14,304.00	$8,582.40 40% off	$68.21	$13,874.88	$8,487.09	2026-04-22
78608	HCPCS	Nuclear Medicine Study Of Brain With Metabolic Evaluation	24	11	$14,304.00	$8,582.40 40% off	$64.06	$13,874.88	$8,487.09	2026-04-22
641	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	12	11	$11,505.00	$6,903.00 40% off	$3,912.85	$24,057.00	$8,462.82	2026-04-22
Q5111	HCPCS	Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg	12	11	$12,525.00	$7,515.00 40% off	$4,008.00	$12,149.25	$8,358.35	2026-04-22
884	MS_DRG	Organic Disturbances And Intellectual Disability	12	11	$11,101.00	$6,660.60 40% off	$3,775.45	$72,171.00	$8,165.65	2026-04-22
C1788	HCPCS	Port, Indwelling (implantable)	20	10	$30,000.00	$18,000.00 40% off	$92.80	$29,100.00	$8,100.23	2026-04-22
C1889	HCPCS	Implantable/insertable Device, Not Otherwise Classified	30	10	$10,500.00	$6,300.00 40% off	$2,080.00	$10,185.00	$8,064.28	2026-04-22
581	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc	12	11	$10,937.88	$6,562.73 40% off	$3,719.97	$36,085.50	$8,045.66	2026-04-22
183	MS_DRG	Major Chest Trauma With Mcc	12	11	$10,731.00	$6,438.60 40% off	$3,649.61	$36,085.50	$7,893.48	2026-04-22
J1602	HCPCS	Injection, Golimumab, 1 Mg, For Intravenous Use	24	11	$19,038.69	$11,423.21 40% off	$1,919.23	$18,467.53	$7,729.03	2026-04-22
536	MS_DRG	Fractures Of Hip And Pelvis Without Mcc	12	11	$10,588.50	$6,353.10 40% off	$3,601.15	$21,870.00	$7,698.06	2026-04-22
63685	HCPCS	Insertion Or Replacement Of Spinal Neurostimulator Generator Or Receiver	24	11	$14,676.00	$8,805.60 40% off	$287.76	$54,750.85	$7,690.16	2026-04-22
689	MS_DRG	Kidney And Urinary Tract Infections With Mcc	12	11	$10,272.25	$6,163.35 40% off	$3,493.59	$24,057.00	$7,556.04	2026-04-22
C1822	HCPCS	Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt…	20	10	$19,775.00	$11,865.00 40% off	$320.00	$19,181.75	$7,383.44	2026-04-22
Q5122	HCPCS	Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg	12	11	$11,775.00	$7,065.00 40% off	$3,768.00	$11,421.75	$7,238.81	2026-04-22
J9217	HCPCS	Leuprolide Acetate (for Depot Suspension), 7.5 Mg	60	11	$25,755.60	$15,453.36 40% off	$1,300.87	$24,982.93	$7,186.48	2026-04-22
J2997	HCPCS	Injection, Alteplase Recombinant, 1 Mg	24	11	$26,401.08	$15,840.65 40% off	$177.76	$25,609.05	$7,167.56	2026-04-22
391	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc	12	11	$9,424.00	$5,654.40 40% off	$3,205.10	$24,057.00	$6,932.08	2026-04-22
20985	HCPCS	Computer-assisted Surgery For Muscle And Bone Procedure	22	11	$11,530.00	$6,918.00 40% off	$111.66	$11,184.10	$6,884.90	2026-04-22
63277	HCPCS	Removal Or Biopsy Of Growth Of Lower Spine Bone Outside Spine Membrane	12	11	$9,695.00	$5,817.00 40% off	$1,296.68	$7,271.25	$6,786.50	2026-04-22
394	MS_DRG	Other Digestive System Diagnoses With Cc	12	11	$9,211.00	$5,526.60 40% off	$3,132.66	$24,057.00	$6,775.41	2026-04-22
789	MS_DRG	Neonates, Died Or Transferred To Another Acute Care Facility	12	11	$9,081.69	$5,449.01 40% off	$3,088.68	$36,085.50	$6,680.29	2026-04-22
36475	HCPCS	Destruction Of First Incompetent Vein Of Arm Or Leg Using Radiofrequency And Ima…	24	11	$10,500.00	$6,300.00 40% off	$220.33	$10,185.00	$6,631.33	2026-04-22
78814	HCPCS	Nuclear Medicine Study Limited Area With CT Scan	22	11	$18,112.00	$10,867.20 40% off	$98.24	$17,568.64	$6,546.11	2026-04-22
HB-036002048_1	CDM	Operating Room Services - General Classification	10	10	$6,679.00	$4,007.40 40% off	$2,137.28	$6,478.63	$6,502.03	2026-04-22
63650	HCPCS	Insertion Of Spinal Neurostimulator Electrode Array Through Skin	24	11	$10,403.00	$6,241.80 40% off	$349.63	$12,078.55	$6,443.79	2026-04-22
792	MS_DRG	Prematurity Without Major Problems	12	11	$8,671.10	$5,202.66 40% off	$2,949.04	$48,114.00	$6,378.27	2026-04-22
J1561	HCPCS	Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)…	60	11	$24,512.00	$14,707.20 40% off	$490.24	$23,776.64	$6,338.60	2026-04-22
793	MS_DRG	Full Term Neonate With Major Problems	12	11	$8,493.86	$5,096.31 40% off	$2,888.76	$48,114.00	$6,247.89	2026-04-22
776	MS_DRG	Postpartum And Post Abortion Diagnoses Without O.r. Procedures	12	11	$8,467.33	$5,080.40 40% off	$2,879.74	$24,057.00	$6,228.38	2026-04-22
305	MS_DRG	Hypertension Without Mcc	12	11	$8,433.00	$5,059.80 40% off	$2,868.06	$24,057.00	$6,203.13	2026-04-22
J9202	HCPCS	Goserelin Acetate Implant, Per 3.6 Mg	12	11	$9,276.90	$5,566.14 40% off	$2,968.61	$8,998.59	$6,190.79	2026-04-22
52325	HCPCS	Fragmenting Of Stone In Ureter Using An Endoscope	24	11	$10,170.00	$6,102.00 40% off	$261.18	$9,864.90	$6,142.68	2026-04-22
626	MS_DRG	Thyroid, Parathyroid And Thyroglossal Procedures With Cc	12	11	$8,277.00	$4,966.20 40% off	$2,815.01	$24,057.00	$6,088.38	2026-04-22
HB-036001986_1	CDM	Operating Room Services - General Classification	10	10	$5,615.00	$3,369.00 40% off	$1,796.80	$5,446.55	$6,040.47	2026-04-22
92	MS_DRG	Other Disorders Of Nervous System With Cc	12	11	$8,138.00	$4,882.80 40% off	$2,767.73	$24,057.00	$5,986.13	2026-04-22
556	MS_DRG	Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc	12	11	$8,043.00	$4,825.80 40% off	$2,735.42	$14,580.00	$5,847.42	2026-04-22
HB-036001987_1	CDM	Operating Room Services - General Classification	10	10	$5,011.00	$3,006.60 40% off	$1,603.52	$4,860.67	$5,778.45	2026-04-22
100	MS_DRG	Seizures With Mcc	12	11	$7,739.00	$4,643.40 40% off	$2,632.03	$36,085.50	$5,692.64	2026-04-22
J3358	HCPCS	Ustekinumab, For Intravenous Injection, 1 Mg	12	11	$8,478.60	$5,087.16 40% off	$2,713.15	$8,224.24	$5,658.05	2026-04-22
596	MS_DRG	Major Skin Disorders Without Mcc	12	11	$7,620.00	$4,572.00 40% off	$2,591.56	$96,228.00	$5,605.10	2026-04-22
0707T	OTHER	Injection Of Bone-substitute Material Into Defect Of Bone Using Imaging Guidance…	2	2	$8,004.00	$4,802.40 40% off	$5,202.60	$6,003.00	$5,602.80	2026-04-22
J1944	HCPCS	Injection, Aripiprazole Lauroxil, (aristada), 1 Mg	48	11	$11,515.83	$6,909.50 40% off	$1,527.36	$11,170.36	$5,505.45	2026-04-22
63688	HCPCS	Removal Or Revision Of Spinal Neurostimulator Generator Or Receiver	24	11	$9,064.00	$5,438.40 40% off	$273.34	$10,466.93	$5,505.18	2026-04-22
566	MS_DRG	Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc	12	11	$7,527.00	$4,516.20 40% off	$2,559.93	$7,301.19	$5,472.28	2026-04-22
C1776	HCPCS	Joint Device (implantable)	4,078	10	$194,684.00	$116,810.40 40% off	$0.96	$188,843.48	$5,421.24	2026-04-22
G0390	HCPCS	Trauma Response Team Associated With Hospital Critical Care Service	10	10	$7,558.00	$4,534.80 40% off	$2,418.56	$7,331.26	$5,372.23	2026-04-22
46606	HCPCS	Biopsy Of Anus Using An Endoscope	12	11	$7,550.00	$4,530.00 40% off	$2,416.00	$7,323.50	$5,366.54	2026-04-22
27535	HCPCS	Treatment Of Broken Side Of Upper End Of Shin Bone	12	11	$7,651.00	$4,590.60 40% off	$735.54	$5,738.25	$5,355.70	2026-04-22
69	MS_DRG	Transient Ischemia Without Thrombolytic	12	11	$7,235.50	$4,341.30 40% off	$2,460.79	$12,028.50	$5,322.28	2026-04-22
90378	HCPCS	Respiratory Syncytial Virus Antibody For Injection Into Tissue Or Muscle	24	11	$10,313.76	$6,188.26 40% off	$1,747.83	$10,004.35	$5,263.84	2026-04-22
795	MS_DRG	Normal Newborn	12	11	$4,902.24	$2,941.35 40% off	$1,667.25	$24,057.00	$5,260.95	2026-04-22
HB-036001988_1	CDM	Operating Room Services - General Classification	10	10	$3,760.00	$2,256.00 40% off	$1,203.20	$3,647.20	$5,235.77	2026-04-22
C1778	HCPCS	Lead, Neurostimulator (implantable)	70	10	$24,050.00	$14,430.00 40% off	$33.44	$23,328.50	$5,233.76	2026-04-22
293	MS_DRG	Heart Failure And Shock Without Cc/mcc	12	11	$7,057.00	$4,234.20 40% off	$2,400.09	$12,028.50	$5,190.97	2026-04-22
78812	HCPCS	Nuclear Medicine Study From Skull Base To Mid-thigh	22	11	$14,304.00	$8,582.40 40% off	$92.80	$13,874.88	$5,186.71	2026-04-22
L8699	HCPCS	Prosthetic Implant, Not Otherwise Specified	10	10	$7,284.00	$4,370.40 40% off	$2,330.88	$7,065.48	$5,177.47	2026-04-22
27134	HCPCS	Revision Of Thigh Bone And Hip Joint Prosthesis	12	11	$7,392.00	$4,435.20 40% off	$1,526.47	$5,544.00	$5,174.40	2026-04-22
SUP-131671_1	CDM	Generator Precision Novi Ipg (ish)	10	10	$17,500.00	$10,500.00 40% off	$5,600.00	$16,975.00	$5,158.54	2026-04-22
HB-036002064_1	CDM	Operating Room Services - General Classification	10	10	$3,528.00	$2,116.80 40% off	$1,128.96	$3,422.16	$5,135.13	2026-04-22
28825	HCPCS	Amputation Of Toe At Toe Joint	24	11	$8,300.00	$4,980.00 40% off	$145.71	$8,051.00	$5,112.13	2026-04-22
HB-036002060_1	CDM	Operating Room Services - General Classification	10	10	$3,426.00	$2,055.60 40% off	$1,096.32	$3,323.22	$5,090.88	2026-04-22
HB-036002061_1	CDM	Operating Room Services - General Classification	10	10	$3,426.00	$2,055.60 40% off	$1,096.32	$3,323.22	$5,090.88	2026-04-22
J0401	HCPCS	Injection, Aripiprazole (abilify Maintena), 1 Mg	24	11	$8,713.32	$5,227.99 40% off	$2,091.20	$8,451.92	$5,087.85	2026-04-22
47120	HCPCS	Partial Removal Of Liver Lobe	12	11	$7,265.00	$4,359.00 40% off	$1,925.63	$5,592.55	$5,085.50	2026-04-22
27487	HCPCS	Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis	12	11	$7,265.00	$4,359.00 40% off	$1,418.83	$5,448.75	$5,085.50	2026-04-22
HB-036002066_1	CDM	Operating Room Services - General Classification	10	10	$3,343.00	$2,005.80 40% off	$1,069.76	$3,242.71	$5,054.87	2026-04-22
HB-036002063_1	CDM	Operating Room Services - General Classification	10	10	$3,343.00	$2,005.80 40% off	$1,069.76	$3,242.71	$5,054.87	2026-04-22
HB-036002065_1	CDM	Operating Room Services - General Classification	10	10	$3,343.00	$2,005.80 40% off	$1,069.76	$3,242.71	$5,054.87	2026-04-22
HB-036002047_1	CDM	Operating Room Services - General Classification	10	10	$3,343.00	$2,005.80 40% off	$1,069.76	$3,242.71	$5,054.87	2026-04-22
176	MS_DRG	Pulmonary Embolism Without Mcc	12	11	$6,861.00	$4,116.60 40% off	$2,333.43	$24,057.00	$5,046.80	2026-04-22
C1821	HCPCS	Interspinous Process Distraction Device (implantable)	200	10	$17,500.00	$10,500.00 40% off	$65.64	$16,975.00	$5,000.42	2026-04-22
46610	HCPCS	Removal Of Anal Polyps Or Growths Using An Endoscope With Electrical Cautery	12	11	$7,000.00	$4,200.00 40% off	$2,240.00	$6,790.00	$4,975.60	2026-04-22
55700	HCPCS	Biopsy Of Prostate Gland	21	11	$8,200.00	$4,920.00 40% off	$126.91	$7,954.00	$4,947.20	2026-04-22
29805	HCPCS	Diagnostic Exam Of Shoulder Using An Endoscope	12	11	$7,052.00	$4,231.20 40% off	$406.51	$5,289.00	$4,936.40	2026-04-22
78815	HCPCS	Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan	22	11	$18,112.00	$10,867.20 40% off	$109.12	$17,568.64	$4,889.43	2026-04-22
29888	HCPCS	Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope	12	11	$6,975.00	$4,185.00 40% off	$806.03	$5,231.25	$4,882.50	2026-04-22
896	MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc	12	11	$6,539.00	$3,923.40 40% off	$2,223.91	$24,057.00	$4,809.94	2026-04-22
22840	HCPCS	Placement Of Stabilizing Device To Back Of 1 Spine Bone In Neck	12	11	$6,745.00	$4,047.00 40% off	$581.15	$5,058.75	$4,721.50	2026-04-22
HB-036001989_1	CDM	Operating Room Services - General Classification	10	10	$2,509.00	$1,505.40 40% off	$802.88	$2,433.73	$4,693.08	2026-04-22
947	MS_DRG	Signs And Symptoms With Mcc	12	11	$6,366.00	$3,819.60 40% off	$2,165.08	$24,057.00	$4,682.69	2026-04-22
44146	HCPCS	Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Large …	12	11	$6,680.00	$4,008.00 40% off	$1,737.90	$5,104.36	$4,676.00	2026-04-22
794	MS_DRG	Neonate With Other Significant Problems	12	11	$6,351.07	$3,810.64 40% off	$2,160.00	$36,085.50	$4,671.71	2026-04-22
J1569	HCPCS	Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),…	12	11	$6,984.40	$4,190.64 40% off	$2,235.01	$6,774.87	$4,660.92	2026-04-22
63090	HCPCS	Removal Of Middle, Lower, Or Sacral Spine Bone With Release Of Spinal Cord Or Ne…	12	11	$6,525.00	$3,915.00 40% off	$1,601.73	$4,893.75	$4,567.50	2026-04-22
93	MS_DRG	Other Disorders Of Nervous System Without Cc/mcc	12	11	$6,201.00	$3,720.60 40% off	$2,108.96	$12,028.50	$4,561.32	2026-04-22
43632	HCPCS	Removal Of Lower Part Of Stomach With Reattachment Of Remaining Stomach To Secon…	12	11	$6,499.00	$3,899.40 40% off	$1,662.44	$4,874.25	$4,549.30	2026-04-22
434	MS_DRG	Cirrhosis And Alcoholic Hepatitis Without Cc/mcc	12	11	$6,150.00	$3,690.00 40% off	$2,091.62	$72,171.00	$4,523.80	2026-04-22
HB-036001982_1	CDM	Operating Room Services - General Classification	10	10	$2,091.00	$1,254.60 40% off	$669.12	$2,028.27	$4,511.76	2026-04-22
70	MS_DRG	Other Cerebrovascular Disorders With Mcc	12	11	$6,072.00	$3,643.20 40% off	$2,065.09	$12,028.50	$4,466.43	2026-04-22
640	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	12	11	$6,020.04	$3,612.02 40% off	$2,047.41	$48,114.00	$4,428.20	2026-04-22
694	MS_DRG	Urinary Stones Without Mcc	12	11	$6,000.00	$3,600.00 40% off	$2,040.60	$24,057.00	$4,413.47	2026-04-22
HB-036002059_1	CDM	Operating Room Services - General Classification	10	10	$1,860.00	$1,116.00 40% off	$595.20	$1,804.20	$4,411.55	2026-04-22
J3247	HCPCS	Injection, Secukinumab, Intravenous, 1 Mg	12	11	$6,601.98	$3,961.19 40% off	$2,112.63	$6,403.92	$4,405.72	2026-04-22
27137	HCPCS	Revision Of Hip Socket Part Of Hip Prosthesis	12	11	$6,255.00	$3,753.00 40% off	$1,187.00	$4,691.25	$4,378.50	2026-04-22
J0897	HCPCS	Injection, Denosumab, 1 Mg	24	11	$10,349.22	$6,209.53 40% off	$1,800.41	$10,038.74	$4,365.60	2026-04-22

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