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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

FLOYD COUNTY MEDICAL CENTER

Charles City, IA · CCN 161347 · 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: $503 across 7 payers · range $65-$1,952

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbFCMHCHARLESCITYIA&type=CDMWithoutLabel&fileType=CSV · observed 2026-09-30

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.

3,371 distinct procedures filed
10 distinct payers
26,549 rate rows
2026-09-30 last MRF observed
Data quality

25,518 of 26,549 rate rows are consumer-grade (96.1%)

1,031 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 461
per-diem day rate — not a per-procedure price 316
template filing: same amount across many unrelated codes — excluded 104
exceeds 10× this hospital's gross charge — excluded from medians 62
percent-of-charges filed in the dollar field — excluded from medians 60
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 20
exceeds 3× this hospital's gross charge for a DRG stay — excluded 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbFCMHCHARLESCITYIA&type=CDMWithoutLabel&fileType=CSV
Found on page https://fcmc.us.com/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-18
Content fingerprint 02677fccb34fdb6e… · 14,658,813 bytes · first seen 2026-10-01

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
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 $53,327.13 $53,327.13 $53,327.13 nat. median
$41,690
1.3× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 $44,733.26 $44,733.26 $44,733.26 nat. median
$35,905
1.2× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 2 $44,394.84 $44,394.84 $44,394.84 nat. median
$21,152
outlier · 2.1×
498
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 2 $43,157.38 $43,157.38 $43,157.38 nat. median
$26,331
1.6× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 2 $39,207.41 $39,207.41 $39,207.41 nat. median
$25,679
1.5× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 2 $38,110.10 $38,110.10 $38,110.10 nat. median
$27,846
1.4× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 2 $35,213.00 $35,213.00 $35,213.00 nat. median
$18,831
1.9× median
82
MS_DRG 		Traumatic Stupor And Coma >1 Hour With Mcc 2 $33,840.51 $33,840.51 $33,840.51 nat. median
$21,717
1.6× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 2 $33,514.05 $33,514.05 $33,514.05 nat. median
$22,965
1.5× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 $30,119.58 $30,119.58 $30,119.58 nat. median
$19,268
1.6× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 2 $29,186.35 $29,186.35 $29,186.35 nat. median
$20,323
1.4× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 $26,448.21 $26,448.21 $26,448.21 nat. median
$18,659
1.4× median
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 2 $26,289.25 $26,289.25 $26,289.25 nat. median
$8,661
outlier · 3.0×
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 $26,289.25 $26,289.25 $26,289.25 nat. median
$11,478
outlier · 2.3×
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 2 $26,289.25 $26,289.25 $26,289.25 nat. median
$18,115
1.5× median
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 2 $25,923.48 $25,923.48 $25,923.48 nat. median
$12,550
outlier · 2.1×
623
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 $25,793.58 $25,793.58 $25,793.58 nat. median
$17,691
1.5× median
398
MS_DRG 		Appendix Procedures With Cc 2 $24,978.29 $24,978.29 $24,978.29 nat. median
$15,023
1.7× median
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 2 $24,940.69 $24,940.69 $24,940.69 nat. median
$16,459
1.5× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 2 $24,612.52 $24,612.52 $24,612.52 nat. median
$15,405
1.6× median
85
MS_DRG 		Traumatic Stupor And Coma <1 Hour With Mcc 2 $24,439.89 $24,439.89 $24,439.89 nat. median
$21,337
1.1× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 2 $24,120.27 $24,120.27 $24,120.27 nat. median
$16,542
1.5× median
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 2 $23,583.58 $23,583.58 $23,583.58 nat. median
$15,670
1.5× median
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc 2 $23,376.77 $23,376.77 $23,376.77 nat. median
$15,979
1.5× median
562
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 2 $23,284.47 $23,284.47 $23,284.47 nat. median
$13,965
1.7× median
811
MS_DRG 		Red Blood Cell Disorders With Mcc 2 $23,130.64 $23,130.64 $23,130.64 nat. median
$13,626
1.7× median
580
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 2 $22,819.57 $22,819.57 $22,819.57 nat. median
$16,866
1.4× median
183
MS_DRG 		Major Chest Trauma With Mcc 2 $22,351.25 $22,351.25 $22,351.25 nat. median
$15,036
1.5× median
602
MS_DRG 		Cellulitis With Mcc 2 $21,700.04 $21,700.04 $21,700.04 nat. median
$14,036
1.5× median
299
MS_DRG 		Peripheral Vascular Disorders With Mcc 2 $21,621.42 $21,621.42 $21,621.42 nat. median
$15,769
1.4× median
337
MS_DRG 		Peritoneal Adhesiolysis Without Cc/mcc 2 $21,296.67 $21,296.67 $21,296.67 nat. median
$15,132
1.4× median
564
MS_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 2 $21,076.18 $21,076.18 $21,076.18 nat. median
$15,007
1.4× median
482
MS_DRG 		Hip And Femur Procedures Except Major Joint Without Cc/mcc 2 $20,968.50 $20,968.50 $20,968.50 nat. median
$15,991
1.3× median
551
MS_DRG 		Medical Back Problems With Mcc 2 $20,594.19 $20,594.19 $20,594.19 nat. median
$16,106
1.3× median
175
MS_DRG 		Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 2 $20,568.55 $20,568.55 $20,568.55 nat. median
$13,735
1.5× median
83
MS_DRG 		Traumatic Stupor And Coma >1 Hour With Cc 2 $20,489.93 $20,489.93 $20,489.93 nat. median
$13,802
1.5× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 2 $20,322.42 $20,322.42 $20,322.42 nat. median
$12,851
1.6× median
291
MS_DRG 		Heart Failure And Shock With Mcc 2 $19,621.65 $19,621.65 $19,621.65 nat. median
$12,775
1.5× median
199
MS_DRG 		Pneumothorax With Mcc 2 $19,529.35 $19,529.35 $19,529.35 nat. median
$16,770
1.2× median
419
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 2 $19,108.89 $19,108.89 $19,108.89 nat. median
$13,553
1.4× median
949
MS_DRG 		Aftercare With Cc/mcc 2 $18,941.39 $18,941.39 $18,941.39 nat. median
$11,791
1.6× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 2 $18,732.86 $18,732.86 $18,732.86 nat. median
$12,877
1.5× median
399
MS_DRG 		Appendix Procedures Without Cc/mcc 2 $18,643.99 $18,643.99 $18,643.99 nat. median
$11,669
1.6× median
964
MS_DRG 		Other Multiple Significant Trauma With Cc 2 $18,628.60 $18,628.60 $18,628.60 nat. median
$14,949
1.2× median
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 2 $18,526.05 $18,526.05 $18,526.05 nat. median
$11,997
1.5× median
786
MS_DRG 		Cesarean Section Without Sterilization With Mcc 2 $18,486.74 $18,486.74 $18,486.74 nat. median
$14,846
1.2× median
55
MS_DRG 		Nervous System Neoplasms Without Mcc 2 $18,344.88 $18,344.88 $18,344.88 nat. median
$10,751
1.7× median
813
MS_DRG 		Coagulation Disorders 2 $18,059.44 $18,059.44 $18,059.44 nat. median
$14,899
1.2× median
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 2 $18,011.58 $18,011.58 $18,011.58 nat. median
$11,515
1.6× median
154
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 2 $17,958.60 $17,958.60 $17,958.60 nat. median
$15,320
1.2× median

Other procedures at this hospital

Browse this hospital's 3,371 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
             
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 $46,459.77 $18,583.91 60% off $53,327.13 $53,327.13 $53,327.13 2026-09-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 2 $41,375.88 $16,550.35 60% off $44,733.26 $44,733.26 $44,733.26 2026-09-30
56 MS_DRG Degenerative Nervous System Disorders With Mcc 2 2 $19,110.60 $7,644.24 60% off $44,394.84 $44,394.84 $44,394.84 2026-09-30
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 2 2 $27,751.97 $11,100.79 60% off $43,157.38 $43,157.38 $43,157.38 2026-09-30
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 2 2 $38,485.18 $15,394.07 60% off $39,207.41 $39,207.41 $39,207.41 2026-09-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 2 2 $74,869.06 $29,947.62 60% off $38,110.10 $38,110.10 $38,110.10 2026-09-30
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 2 2 $51,230.47 $20,492.19 60% off $35,213.00 $35,213.00 $35,213.00 2026-09-30
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 2 2 $44,901.97 $17,960.79 60% off $33,840.51 $33,840.51 $33,840.51 2026-09-30
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 2 $115,937.37 $46,374.95 60% off $33,514.05 $33,514.05 $33,514.05 2026-09-30
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 2 $34,056.77 $13,622.71 60% off $30,119.58 $30,119.58 $30,119.58 2026-09-30
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 2 $86,480.16 $34,592.06 60% off $29,186.35 $29,186.35 $29,186.35 2026-09-30
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 2 $28,647.87 $11,459.15 60% off $26,448.21 $26,448.21 $26,448.21 2026-09-30
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 2 2 $115,031.49 $46,012.60 60% off $26,289.25 $26,289.25 $26,289.25 2026-09-30
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 2 $26,032.95 $10,413.18 60% off $26,289.25 $26,289.25 $26,289.25 2026-09-30
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 2 2 $82,427.63 $32,971.05 60% off $26,289.25 $26,289.25 $26,289.25 2026-09-30
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 2 2 $27,460.10 $10,984.04 60% off $25,923.48 $25,923.48 $25,923.48 2026-09-30
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 $38,655.96 $15,462.38 60% off $25,793.58 $25,793.58 $25,793.58 2026-09-30
398 MS_DRG Appendix Procedures With Cc 2 2 $70,051.37 $28,020.55 60% off $24,978.29 $24,978.29 $24,978.29 2026-09-30
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 2 2 $56,889.10 $22,755.64 60% off $24,940.69 $24,940.69 $24,940.69 2026-09-30
177 MS_DRG Respiratory Infections And Inflammations With Mcc 2 2 $18,908.57 $7,563.43 60% off $24,612.52 $24,612.52 $24,612.52 2026-09-30
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 2 2 $34,062.88 $13,625.15 60% off $24,439.89 $24,439.89 $24,439.89 2026-09-30
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 2 2 $85,874.11 $34,349.64 60% off $24,120.27 $24,120.27 $24,120.27 2026-09-30
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 2 2 $28,123.41 $11,249.36 60% off $23,583.58 $23,583.58 $23,583.58 2026-09-30
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 2 2 $20,946.31 $8,378.52 60% off $23,376.77 $23,376.77 $23,376.77 2026-09-30
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 2 2 $20,267.14 $8,106.86 60% off $23,284.47 $23,284.47 $23,284.47 2026-09-30
811 MS_DRG Red Blood Cell Disorders With Mcc 2 2 $12,725.69 $5,090.28 60% off $23,130.64 $23,130.64 $23,130.64 2026-09-30
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 2 2 $25,719.59 $10,287.84 60% off $22,819.57 $22,819.57 $22,819.57 2026-09-30
183 MS_DRG Major Chest Trauma With Mcc 2 2 $15,977.29 $6,390.92 60% off $22,351.25 $22,351.25 $22,351.25 2026-09-30
602 MS_DRG Cellulitis With Mcc 2 2 $27,035.49 $10,814.20 60% off $21,700.04 $21,700.04 $21,700.04 2026-09-30
299 MS_DRG Peripheral Vascular Disorders With Mcc 2 2 $31,012.30 $12,404.92 60% off $21,621.42 $21,621.42 $21,621.42 2026-09-30
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 2 2 $43,930.28 $17,572.11 60% off $21,296.67 $21,296.67 $21,296.67 2026-09-30
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 2 2 $30,600.52 $12,240.21 60% off $21,076.18 $21,076.18 $21,076.18 2026-09-30
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 2 2 $37,299.35 $14,919.74 60% off $20,968.50 $20,968.50 $20,968.50 2026-09-30
551 MS_DRG Medical Back Problems With Mcc 2 2 $36,499.36 $14,599.74 60% off $20,594.19 $20,594.19 $20,594.19 2026-09-30
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 2 2 $15,189.42 $6,075.77 60% off $20,568.55 $20,568.55 $20,568.55 2026-09-30
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 2 2 $22,488.23 $8,995.29 60% off $20,489.93 $20,489.93 $20,489.93 2026-09-30
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 2 2 $15,819.78 $6,327.91 60% off $20,322.42 $20,322.42 $20,322.42 2026-09-30
291 MS_DRG Heart Failure And Shock With Mcc 2 2 $19,843.08 $7,937.23 60% off $19,621.65 $19,621.65 $19,621.65 2026-09-30
199 MS_DRG Pneumothorax With Mcc 2 2 $11,677.07 $4,670.83 60% off $19,529.35 $19,529.35 $19,529.35 2026-09-30
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 2 2 $55,897.07 $22,358.83 60% off $19,108.89 $19,108.89 $19,108.89 2026-09-30
949 MS_DRG Aftercare With Cc/mcc 2 2 $7,737.00 $3,094.80 60% off $18,941.39 $18,941.39 $18,941.39 2026-09-30
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 2 2 $21,973.97 $8,789.59 60% off $18,732.86 $18,732.86 $18,732.86 2026-09-30
399 MS_DRG Appendix Procedures Without Cc/mcc 2 2 $58,528.48 $23,411.39 60% off $18,643.99 $18,643.99 $18,643.99 2026-09-30
964 MS_DRG Other Multiple Significant Trauma With Cc 2 2 $24,322.30 $9,728.92 60% off $18,628.60 $18,628.60 $18,628.60 2026-09-30
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 2 2 $26,269.28 $10,507.71 60% off $18,526.05 $18,526.05 $18,526.05 2026-09-30
786 MS_DRG Cesarean Section Without Sterilization With Mcc 2 2 $60,938.83 $24,375.53 60% off $18,486.74 $18,486.74 $18,486.74 2026-09-30
55 MS_DRG Nervous System Neoplasms Without Mcc 2 2 $14,404.82 $5,761.93 60% off $18,344.88 $18,344.88 $18,344.88 2026-09-30
813 MS_DRG Coagulation Disorders 2 2 $19,045.30 $7,618.12 60% off $18,059.44 $18,059.44 $18,059.44 2026-09-30
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 2 2 $11,417.43 $4,566.97 60% off $18,011.58 $18,011.58 $18,011.58 2026-09-30
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 2 2 $22,002.09 $8,800.84 60% off $17,958.60 $17,958.60 $17,958.60 2026-09-30
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 2 2 $25,715.21 $10,286.08 60% off $17,680.00 $17,680.00 $17,680.00 2026-09-30
300 MS_DRG Peripheral Vascular Disorders With Cc 2 2 $32,800.29 $13,120.12 60% off $17,582.57 $17,582.57 $17,582.57 2026-09-30
378 MS_DRG Gastrointestinal Hemorrhage With Cc 2 2 $26,318.26 $10,527.30 60% off $17,449.25 $17,449.25 $17,449.25 2026-09-30
388 MS_DRG Gastrointestinal Obstruction With Mcc 2 2 $15,041.02 $6,016.41 60% off $17,107.41 $17,107.41 $17,107.41 2026-09-30
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 2 2 $34,407.86 $13,763.14 60% off $17,059.56 $17,059.56 $17,059.56 2026-09-30
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 2 2 $17,226.70 $6,890.68 60% off $17,033.92 $17,033.92 $17,033.92 2026-09-30
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 2 2 $101,350.06 $40,540.02 60% off $16,555.34 $16,555.34 $16,555.34 2026-09-30
787 MS_DRG Cesarean Section Without Sterilization With Cc 2 2 $53,703.63 $21,481.45 60% off $16,488.68 $16,488.68 $16,488.68 2026-09-30
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 2 2 $20,578.16 $8,231.26 60% off $16,386.13 $16,386.13 $16,386.13 2026-09-30
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 2 2 $34,097.63 $13,639.05 60% off $16,297.25 $16,297.25 $16,297.25 2026-09-30
644 MS_DRG Endocrine Disorders With Cc 2 2 $24,641.63 $9,856.65 60% off $15,570.84 $15,570.84 $15,570.84 2026-09-30
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 2 2 $24,886.50 $9,954.60 60% off $15,504.18 $15,504.18 $15,504.18 2026-09-30
189 MS_DRG Pulmonary Edema And Respiratory Failure 2 2 $19,153.66 $7,661.46 60% off $15,319.59 $15,319.59 $15,319.59 2026-09-30
947 MS_DRG Signs And Symptoms With Mcc 2 2 $17,768.91 $7,107.56 60% off $15,276.86 $15,276.86 $15,276.86 2026-09-30
445 MS_DRG Disorders Of The Biliary Tract With Cc 2 2 $26,212.68 $10,485.07 60% off $15,205.07 $15,205.07 $15,205.07 2026-09-30
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 2 2 $81,728.17 $32,691.27 60% off $15,112.77 $15,112.77 $15,112.77 2026-09-30
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 2 $24,975.38 $9,990.15 60% off $14,852.97 $14,852.97 $14,852.97 2026-09-30
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 2 2 $8,871.71 $3,548.68 60% off $14,842.72 $14,842.72 $14,842.72 2026-09-30
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 2 2 $46,315.84 $18,526.34 60% off $14,704.27 $14,704.27 $14,704.27 2026-09-30
552 MS_DRG Medical Back Problems Without Mcc 2 2 $27,168.86 $10,867.54 60% off $14,569.25 $14,569.25 $14,569.25 2026-09-30
884 MS_DRG Organic Disturbances And Intellectual Disability 2 2 $19,206.16 $7,682.46 60% off $14,541.90 $14,541.90 $14,541.90 2026-09-30
178 MS_DRG Respiratory Infections And Inflammations With Cc 2 2 $35,327.61 $14,131.04 60% off $14,389.78 $14,389.78 $14,389.78 2026-09-30
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 2 2 $38,096.28 $15,238.51 60% off $14,369.27 $14,369.27 $14,369.27 2026-09-30
394 MS_DRG Other Digestive System Diagnoses With Cc 2 2 $36,363.97 $14,545.59 60% off $14,364.14 $14,364.14 $14,364.14 2026-09-30
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 2 2 $27,525.36 $11,010.14 60% off $14,353.89 $14,353.89 $14,353.89 2026-09-30
149 MS_DRG Dysequilibrium 2 2 $18,014.44 $7,205.78 60% off $14,316.28 $14,316.28 $14,316.28 2026-09-30
182 MS_DRG Respiratory Neoplasms Without Cc/mcc 2 2 $23,578.10 $9,431.24 60% off $14,314.58 $14,314.58 $14,314.58 2026-09-30
549 MS_DRG Septic Arthritis With Cc 2 2 $28,394.58 $11,357.83 60% off $14,206.90 $14,206.90 $14,206.90 2026-09-30
550 MS_DRG Septic Arthritis Without Cc/mcc 2 2 $54,639.52 $21,855.81 60% off $14,206.90 $14,206.90 $14,206.90 2026-09-30
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 2 2 $30,859.35 $12,343.74 60% off $14,189.80 $14,189.80 $14,189.80 2026-09-30
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 2 2 $49,519.14 $19,807.66 60% off $14,109.47 $14,109.47 $14,109.47 2026-09-30
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 2 2 $57,133.70 $22,853.48 60% off $13,926.59 $13,926.59 $13,926.59 2026-09-30
603 MS_DRG Cellulitis Without Mcc 2 2 $34,039.41 $13,615.76 60% off $13,868.47 $13,868.47 $13,868.47 2026-09-30
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 2 2 $48,339.90 $19,335.96 60% off $13,709.52 $13,709.52 $13,709.52 2026-09-30
184 MS_DRG Major Chest Trauma With Cc 2 2 $23,329.05 $9,331.62 60% off $13,702.68 $13,702.68 $13,702.68 2026-09-30
389 MS_DRG Gastrointestinal Obstruction With Cc 2 2 $25,790.58 $10,316.23 60% off $13,680.46 $13,680.46 $13,680.46 2026-09-30
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 2 2 $23,788.61 $9,515.44 60% off $13,613.80 $13,613.80 $13,613.80 2026-09-30
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 2 2 $26,142.55 $10,457.02 60% off $13,538.60 $13,538.60 $13,538.60 2026-09-30
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 2 2 $18,411.22 $7,364.49 60% off $13,355.71 $13,355.71 $13,355.71 2026-09-30
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 2 2 $22,989.68 $9,195.87 60% off $13,246.32 $13,246.32 $13,246.32 2026-09-30
642 MS_DRG Inborn And Other Disorders Of Metabolism 2 2 $22,126.22 $8,850.49 60% off $13,131.81 $13,131.81 $13,131.81 2026-09-30
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 2 2 $21,343.90 $8,537.56 60% off $12,918.16 $12,918.16 $12,918.16 2026-09-30
292 MS_DRG Heart Failure And Shock With Cc 2 2 $22,312.10 $8,924.84 60% off $12,914.74 $12,914.74 $12,914.74 2026-09-30
812 MS_DRG Red Blood Cell Disorders Without Mcc 2 2 $18,189.46 $7,275.79 60% off $12,815.60 $12,815.60 $12,815.60 2026-09-30
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 2 2 $31,381.50 $12,552.60 60% off $12,789.97 $12,789.97 $12,789.97 2026-09-30
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 2 2 $18,542.27 $7,416.91 60% off $12,789.97 $12,789.97 $12,789.97 2026-09-30
683 MS_DRG Renal Failure With Cc 2 2 $21,836.42 $8,734.57 60% off $12,736.98 $12,736.98 $12,736.98 2026-09-30
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 2 2 $18,651.30 $7,460.52 60% off $12,665.19 $12,665.19 $12,665.19 2026-09-30
638 MS_DRG Diabetes With Cc 2 2 $23,437.32 $9,374.93 60% off $12,658.36 $12,658.36 $12,658.36 2026-09-30
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 2 2 $7,625.84 $3,050.33 60% off $12,470.35 $12,470.35 $12,470.35 2026-09-30
SUR200290_1 CDM Operating Room Services - General Classification 5 5 $34,181.00 $13,672.40 60% off $12,305.16 $29,566.57 $12,305.16 2026-09-30
312 MS_DRG Syncope And Collapse 2 2 $35,402.62 $14,161.05 60% off $12,179.78 $12,179.78 $12,179.78 2026-09-30
202 MS_DRG Bronchitis And Asthma With Cc/mcc 2 2 $34,398.58 $13,759.43 60% off $12,145.60 $12,145.60 $12,145.60 2026-09-30
197 MS_DRG Interstitial Lung Disease With Cc 2 2 $17,987.17 $7,194.87 60% off $12,097.74 $12,097.74 $12,097.74 2026-09-30
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 2 2 $26,758.93 $10,703.57 60% off $12,094.32 $12,094.32 $12,094.32 2026-09-30
SUR442270_1 CDM Operating Room Services - General Classification 5 5 $33,061.00 $13,224.40 60% off $11,901.96 $28,597.77 $11,901.96 2026-09-30
950 MS_DRG Aftercare Without Cc/mcc 2 2 $4,818.55 $1,927.42 60% off $11,796.92 $11,796.92 $11,796.92 2026-09-30
SUR278700_1 CDM Operating Room Services - General Classification 5 5 $32,620.00 $13,048.00 60% off $11,743.20 $28,216.30 $11,743.20 2026-09-30
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 2 2 $17,603.81 $7,041.52 60% off $11,562.76 $11,562.76 $11,562.76 2026-09-30
72 MS_DRG Other Cerebrovascular Disorders Without Cc/mcc 2 2 $23,239.74 $9,295.90 60% off $11,509.77 $11,509.77 $11,509.77 2026-09-30
538 MS_DRG Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/mcc 2 2 $20,829.30 $8,331.72 60% off $11,479.01 $11,479.01 $11,479.01 2026-09-30
176 MS_DRG Pulmonary Embolism Without Mcc 2 2 $20,678.33 $8,271.33 60% off $11,432.86 $11,432.86 $11,432.86 2026-09-30
948 MS_DRG Signs And Symptoms Without Mcc 2 2 $9,842.18 $3,936.87 60% off $11,426.02 $11,426.02 $11,426.02 2026-09-30
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 2 2 $22,164.21 $8,865.68 60% off $11,357.65 $11,357.65 $11,357.65 2026-09-30
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 2 2 $7,977.44 $3,190.98 60% off $11,229.46 $11,229.46 $11,229.46 2026-09-30
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 2 2 $19,787.86 $7,915.14 60% off $11,193.57 $11,193.57 $11,193.57 2026-09-30
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 2 2 $43,101.37 $17,240.55 60% off $11,186.73 $11,186.73 $11,186.73 2026-09-30
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 2 2 $29,794.83 $11,917.93 60% off $11,176.48 $11,176.48 $11,176.48 2026-09-30
593 MS_DRG Skin Ulcers With Cc 2 2 $17,762.06 $7,104.82 60% off $11,144.00 $11,144.00 $11,144.00 2026-09-30
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 2 2 $20,586.69 $8,234.68 60% off $11,116.66 $11,116.66 $11,116.66 2026-09-30
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 2 2 $58,086.87 $23,234.75 60% off $10,873.95 $10,873.95 $10,873.95 2026-09-30
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 2 2 $40,157.04 $16,062.82 60% off $10,684.23 $10,684.23 $10,684.23 2026-09-30
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 2 2 $16,650.02 $6,660.01 60% off $10,619.28 $10,619.28 $10,619.28 2026-09-30
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 2 2 $19,677.81 $7,871.12 60% off $10,537.24 $10,537.24 $10,537.24 2026-09-30
793 MS_DRG Full Term Neonate With Major Problems 2 2 $6,626.48 $2,650.59 60% off $10,299.66 $10,299.66 $10,299.66 2026-09-30
201 MS_DRG Pneumothorax Without Cc/mcc 2 2 $17,933.18 $7,173.27 60% off $10,250.09 $10,250.09 $10,250.09 2026-09-30
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 2 2 $31,904.32 $12,761.73 60% off $10,212.49 $10,212.49 $10,212.49 2026-09-30
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 2 2 $9,982.43 $3,992.97 60% off $10,038.15 $10,038.15 $10,038.15 2026-09-30
43281 HCPCS Repair Of Hernia Of Muscle At Esophagus And Stomach Using An Endoscope 7 7 $27,150.00 $10,860.00 60% off $9,774.00 $23,484.75 $9,774.00 2026-09-30
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 2 2 $18,420.49 $7,368.20 60% off $9,581.79 $9,581.79 $9,581.79 2026-09-30
534 MS_DRG Fractures Of Femur Without Mcc 2 2 $9,200.19 $3,680.08 60% off $9,535.64 $9,535.64 $9,535.64 2026-09-30
303 MS_DRG Atherosclerosis Without Mcc 2 2 $22,332.48 $8,932.99 60% off $9,535.64 $9,535.64 $9,535.64 2026-09-30
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 2 2 $23,520.74 $9,408.30 60% off $9,031.43 $9,031.43 $9,031.43 2026-09-30
SURLVL7-3_1 CDM Operating Room Services - General Classification 5 5 $24,753.00 $9,901.20 60% off $8,911.08 $21,411.35 $8,911.08 2026-09-30
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 2 2 $10,163.66 $4,065.46 60% off $8,879.31 $8,879.31 $8,879.31 2026-09-30
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 2 2 $21,799.61 $8,719.84 60% off $8,655.40 $8,655.40 $8,655.40 2026-09-30
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 2 2 $9,265.56 $3,706.22 60% off $8,535.76 $8,535.76 $8,535.76 2026-09-30
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 2 2 $10,136.69 $4,054.68 60% off $8,525.50 $8,525.50 $8,525.50 2026-09-30
SURLVL6-3_1 CDM Operating Room Services - General Classification 5 5 $23,318.00 $9,327.20 60% off $8,394.48 $20,170.07 $8,394.48 2026-09-30
SUR200110_1 CDM Operating Room Services - General Classification 5 5 $23,252.00 $9,300.80 60% off $8,370.72 $20,112.98 $8,370.72 2026-09-30
311 MS_DRG Angina Pectoris 2 2 $10,238.19 $4,095.28 60% off $8,274.25 $8,274.25 $8,274.25 2026-09-30
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 2 2 $37,089.11 $14,835.64 60% off $8,199.05 $8,199.05 $8,199.05 2026-09-30
01967 HCPCS Anesthesia For Labor During Planned Vaginal Delivery 3 3 $8,137.50 $3,255.00 60% off $49.00 $8,137.50 $8,137.50 2026-09-30
SURLVL5-3_1 CDM Operating Room Services - General Classification 5 5 $22,205.00 $8,882.00 60% off $7,993.80 $19,207.33 $7,993.80 2026-09-30
951 MS_DRG Other Factors Influencing Health Status 2 2 $10,128.03 $4,051.21 60% off $7,821.31 $7,821.31 $7,821.31 2026-09-30
87 MS_DRG Traumatic Stupor And Coma <1 Hour Without Cc/mcc 2 2 $23,904.48 $9,561.79 60% off $7,817.89 $7,817.89 $7,817.89 2026-09-30
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 2 2 $5,048.73 $2,019.49 60% off $7,754.65 $7,754.65 $7,754.65 2026-09-30
921 MS_DRG Complications Of Treatment Without Cc/mcc 2 2 $11,292.61 $4,517.04 60% off $7,706.80 $7,706.80 $7,706.80 2026-09-30
SURLVL4-3_1 CDM Operating Room Services - General Classification 5 5 $21,026.00 $8,410.40 60% off $7,569.36 $18,187.49 $7,569.36 2026-09-30
153 MS_DRG Otitis Media And Uri Without Mcc 2 2 $15,431.65 $6,172.66 60% off $7,096.61 $7,096.61 $7,096.61 2026-09-30
601 MS_DRG Non-malignant Breast Disorders Without Cc/mcc 2 2 $28,345.01 $11,338.00 60% off $7,036.79 $7,036.79 $7,036.79 2026-09-30
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 2 2 $8,752.58 $3,501.03 60% off $6,898.34 $6,898.34 $6,898.34 2026-09-30
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 2 2 $2,958.00 $1,183.20 60% off $6,662.47 $6,662.47 $6,662.47 2026-09-30
SUR200180_1 CDM Operating Room Services - General Classification 5 5 $17,965.00 $7,186.00 60% off $6,467.40 $15,539.73 $6,467.40 2026-09-30
43280 HCPCS Strengthening Of Muscle Between Esophagus And Stomach By Wrapping Part Of Stomac… 14 7 $14,731.50 $5,892.60 60% off $896.55 $23,484.75 $6,043.50 2026-09-30
SUR 243430_1 CDM Operating Room Services - General Classification 5 5 $16,613.00 $6,645.20 60% off $5,980.68 $14,370.25 $5,980.68 2026-09-30
SUR243430_1 CDM Operating Room Services - General Classification 5 5 $16,613.00 $6,645.20 60% off $5,980.68 $14,370.25 $5,980.68 2026-09-30
SURLVL7-1_1 CDM Operating Room Services - General Classification 5 5 $16,502.00 $6,600.80 60% off $5,940.72 $14,274.23 $5,940.72 2026-09-30
SUR116740_1 CDM Endo Stem 5 5 $16,278.00 $6,511.20 60% off $5,860.08 $14,080.47 $5,860.08 2026-09-30
SUR200070_1 CDM Operating Room Services - General Classification 5 5 $15,902.00 $6,360.80 60% off $5,724.72 $13,755.23 $5,724.72 2026-09-30
794 MS_DRG Neonate With Other Significant Problems 2 2 $4,772.18 $1,908.87 60% off $5,621.57 $5,621.57 $5,621.57 2026-09-30
SURLVL6-1_1 CDM Operating Room Services - General Classification 5 5 $15,545.00 $6,218.00 60% off $5,596.20 $13,446.43 $5,596.20 2026-09-30
58661 HCPCS Removal Of Ovaries And/or Tubes Using An Endoscope 14 7 $12,452.05 $4,980.82 60% off $530.94 $13,356.47 $5,558.76 2026-09-30
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 7 7 $15,383.40 $6,153.36 60% off $5,538.02 $13,306.64 $5,538.02 2026-09-30
SURLVL3-3_1 CDM Operating Room Services - General Classification 5 5 $15,243.00 $6,097.20 60% off $5,487.48 $13,185.20 $5,487.48 2026-09-30
Q4158 HCPCS Kerecis Omega3, Per Square Centimeter 5 5 $14,974.40 $5,989.76 60% off $5,390.78 $12,952.86 $5,390.78 2026-09-30
SUR200240_1 CDM Operating Room Services - General Classification 5 5 $14,870.00 $5,948.00 60% off $5,353.20 $12,862.55 $5,353.20 2026-09-30
SURLVL5-1_1 CDM Operating Room Services - General Classification 5 5 $14,803.00 $5,921.20 60% off $5,329.08 $12,804.60 $5,329.08 2026-09-30
SUR200080_1 CDM Operating Room Services - General Classification 5 5 $14,450.00 $5,780.00 60% off $5,202.00 $12,499.25 $5,202.00 2026-09-30
293 MS_DRG Heart Failure And Shock Without Cc/mcc 2 2 $18,778.75 $7,511.50 60% off $5,187.43 $5,187.43 $5,187.43 2026-09-30
SUR200250_1 CDM Operating Room Services - General Classification 5 5 $14,389.00 $5,755.60 60% off $5,180.04 $12,446.49 $5,180.04 2026-09-30
SURLVL2-3_1 CDM Operating Room Services - General Classification 5 5 $14,358.00 $5,743.20 60% off $5,168.88 $12,419.67 $5,168.88 2026-09-30
35045 HCPCS Repair Of Aneurysm Or Forearm Artery With Graft 7 7 $14,213.00 $5,685.20 60% off $5,116.68 $12,294.25 $5,116.68 2026-09-30
36482 HCPCS Chemical Destruction Of First Incompetent Vein Of Arm Or Leg Using Imaging Guida… 14 7 $10,937.71 $4,375.09 60% off $141.87 $12,294.25 $5,116.68 2026-09-30
SURLVL4-1_1 CDM Operating Room Services - General Classification 5 5 $14,017.00 $5,606.80 60% off $5,046.12 $12,124.71 $5,046.12 2026-09-30
58700 HCPCS Removal Of Uterine Tubes 7 7 $13,744.00 $5,497.60 60% off $4,947.84 $11,888.56 $4,947.84 2026-09-30
SUR200020_1 CDM Operating Room Services - General Classification 5 5 $13,685.00 $5,474.00 60% off $4,926.60 $11,837.53 $4,926.60 2026-09-30
SUR039600_1 CDM Istent Injection Sys 5 5 $13,285.80 $5,314.32 60% off $4,782.89 $11,492.22 $4,782.89 2026-09-30
SUR235150_1 CDM Operating Room Services - General Classification 5 5 $13,261.00 $5,304.40 60% off $4,773.96 $11,470.77 $4,773.96 2026-09-30
SUR200300_1 CDM Operating Room Services - General Classification 5 5 $12,725.00 $5,090.00 60% off $4,581.00 $11,007.13 $4,581.00 2026-09-30
SUR193070_1 CDM Operating Room Services - General Classification 5 5 $12,485.00 $4,994.00 60% off $4,494.60 $10,799.53 $4,494.60 2026-09-30
SUR200470_1 CDM Operating Room Services - General Classification 5 5 $12,363.00 $4,945.20 60% off $4,450.68 $10,694.00 $4,450.68 2026-09-30
SUR200450_1 CDM Operating Room Services - General Classification 5 5 $11,918.00 $4,767.20 60% off $4,290.48 $10,309.07 $4,290.48 2026-09-30
SUR200340_1 CDM Operating Room Services - General Classification 5 5 $11,882.00 $4,752.80 60% off $4,277.52 $10,277.93 $4,277.52 2026-09-30
SURLVL1-3_1 CDM Operating Room Services - General Classification 5 5 $11,646.00 $4,658.40 60% off $4,192.56 $10,073.79 $4,192.56 2026-09-30
795 MS_DRG Normal Newborn 2 2 $4,201.95 $1,680.78 60% off $4,185.84 $4,185.84 $4,185.84 2026-09-30
SUR200460_1 CDM Operating Room Services - General Classification 5 5 $11,324.00 $4,529.60 60% off $4,076.64 $9,795.26 $4,076.64 2026-09-30
SUR200040_1 CDM Operating Room Services - General Classification 5 5 $11,081.00 $4,432.40 60% off $3,989.16 $9,585.07 $3,989.16 2026-09-30
SUR200140_1 CDM Operating Room Services - General Classification 5 5 $10,816.00 $4,326.40 60% off $3,893.76 $9,355.84 $3,893.76 2026-09-30
CSM001550_1 CDM Central Supply 8999 5 5 $10,792.00 $4,316.80 60% off $3,885.12 $9,335.08 $3,885.12 2026-09-30
66174 HCPCS Dilation Of Fluid Outflow Drainage Within Eye 7 7 $10,557.00 $4,222.80 60% off $3,800.52 $11,112.24 $3,800.52 2026-09-30
65820 HCPCS Incision To Improve Eye Fluid Flow 7 7 $10,557.00 $4,222.80 60% off $2,270.13 $9,131.81 $3,800.52 2026-09-30
SUR200890_1 CDM Operating Room Services - General Classification 5 5 $10,359.00 $4,143.60 60% off $3,729.24 $8,960.54 $3,729.24 2026-09-30
SUR286430_1 CDM Operating Room Services - General Classification 5 5 $10,238.00 $4,095.20 60% off $3,685.68 $8,855.87 $3,685.68 2026-09-30
SURLVL3-1_1 CDM Operating Room Services - General Classification 5 5 $10,162.00 $4,064.80 60% off $3,658.32 $8,790.13 $3,658.32 2026-09-30
19499 HCPCS Other Procedure On Breast 7 7 $10,001.00 $4,000.40 60% off $2,866.99 $8,650.87 $3,600.36 2026-09-30
SUR201260_1 CDM Operating Room Services - General Classification 5 5 $9,763.00 $3,905.20 60% off $3,514.68 $8,445.00 $3,514.68 2026-09-30
SUR200230_1 CDM Operating Room Services - General Classification 5 5 $9,737.00 $3,894.80 60% off $3,505.32 $8,422.51 $3,505.32 2026-09-30
SUR365600_1 CDM Operating Room Services - General Classification 5 5 $9,682.00 $3,872.80 60% off $3,485.52 $8,374.93 $3,485.52 2026-09-30
42145 HCPCS Complex Removal Of Soft Tissue Of Roof Of Mouth 14 7 $8,323.00 $3,329.20 60% off $559.87 $13,078.80 $3,484.60 2026-09-30
SUR200590_1 CDM Operating Room Services - General Classification 5 5 $9,593.00 $3,837.20 60% off $3,453.48 $8,297.95 $3,453.48 2026-09-30
SURLVL2-1_1 CDM Operating Room Services - General Classification 5 5 $9,572.00 $3,828.80 60% off $3,445.92 $8,279.78 $3,445.92 2026-09-30
36262 HCPCS Removal Of Implanted Arterial Infusion Pump 7 7 $9,545.00 $3,818.00 60% off $2,080.40 $8,256.43 $3,436.20 2026-09-30
19120 HCPCS Removal Of Growth And Tissue Of Breast, Duct, Or Nipple 14 7 $7,452.28 $2,980.91 60% off $364.45 $8,650.87 $3,375.68 2026-09-30
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 2 2 $4,328.20 $1,731.28 60% off $3,344.91 $3,344.91 $3,344.91 2026-09-30
47531 HCPCS Injection Of Bile Duct For X-ray Through Already Existing Skin Access Using Imag… 7 7 $9,145.00 $3,658.00 60% off $2,849.81 $7,910.43 $3,292.20 2026-09-30
SUR495900_1 CDM Operating Room Services - General Classification 5 5 $9,103.00 $3,641.20 60% off $3,277.08 $7,874.10 $3,277.08 2026-09-30
SUR200600_1 CDM Operating Room Services - General Classification 5 5 $9,093.00 $3,637.20 60% off $3,273.48 $7,865.45 $3,273.48 2026-09-30
SUR215734_1 CDM Operating Room Services - General Classification 5 5 $9,014.00 $3,605.60 60% off $3,245.04 $7,797.11 $3,245.04 2026-09-30
SUR200200_1 CDM Operating Room Services - General Classification 5 5 $9,003.00 $3,601.20 60% off $3,241.08 $7,787.60 $3,241.08 2026-09-30
SUR201010_1 CDM Operating Room Services - General Classification 5 5 $8,997.00 $3,598.80 60% off $3,238.92 $7,782.41 $3,238.92 2026-09-30
SUR286440_1 CDM Operating Room Services - General Classification 5 5 $8,905.00 $3,562.00 60% off $3,205.80 $7,702.83 $3,205.80 2026-09-30
SUR200540_1 CDM Operating Room Services - General Classification 5 5 $8,675.00 $3,470.00 60% off $3,123.00 $7,503.88 $3,123.00 2026-09-30
59510 HCPCS Cesarean Delivery With Care Before And After Delivery 11 7 $5,701.00 $2,280.40 60% off $1,949.04 $6,925.96 $3,074.00 2026-09-30
SURLVL7-4_1 CDM Operating Room Services - General Classification 5 5 $8,505.00 $3,402.00 60% off $3,061.80 $7,356.83 $3,061.80 2026-09-30
SUR200440_1 CDM Operating Room Services - General Classification 5 5 $8,441.00 $3,376.40 60% off $3,038.76 $7,301.47 $3,038.76 2026-09-30
47379 HCPCS Other Procedure On Liver Using An Endoscope 3 3 $3,015.00 $1,206.00 60% off $49.00 $3,015.00 $3,015.00 2026-09-30
27831 HCPCS Closed Treatment Of Dislocated Knee Joint Under Anesthesia 7 7 $8,357.00 $3,342.80 60% off $1,922.03 $7,228.81 $3,008.52 2026-09-30
25606 HCPCS Placement Of Stabilizing Device For Broken Forearm Bone On Thumb Side At Wrist 7 7 $8,357.00 $3,342.80 60% off $3,008.52 $11,326.52 $3,008.52 2026-09-30
28289 HCPCS Correction Of Rigid Deformity Of First Joint Of Big Toe 7 7 $8,357.00 $3,342.80 60% off $3,008.52 $14,020.22 $3,008.52 2026-09-30
28545 HCPCS Closed Treatment Of Dislocated Midfoot Joint Bone Under Anesthesia 7 7 $8,357.00 $3,342.80 60% off $2,578.64 $7,228.81 $3,008.52 2026-09-30
SUR273450_1 CDM Operating Room Services - General Classification 5 5 $8,349.00 $3,339.60 60% off $3,005.64 $7,221.89 $3,005.64 2026-09-30
MED001560_1 CDM Room & Board - Private (one Bed) - Medical/surgical/gyn 5 5 $4,432.00 $1,772.80 60% off $2,171.68 $3,833.68 $2,979.19 2026-09-30
59840 HCPCS Induced Abortion By Dilation And Scraping Of Uterine 9 7 $8,268.00 $3,307.20 60% off $159.84 $7,151.82 $2,976.48 2026-09-30
59841 HCPCS Induced Abortion By Dilation 9 7 $8,268.00 $3,307.20 60% off $264.96 $7,151.82 $2,976.48 2026-09-30
57522 HCPCS Removal Or Destruction Of Cervix Using Loop Electrode 7 5 $8,268.00 $3,307.20 60% off $190.80 $7,151.82 $2,976.48 2026-09-30
58345 HCPCS Insertion Of Tube Into Fallopian Tube 7 7 $8,268.00 $3,307.20 60% off $2,976.48 $7,151.82 $2,976.48 2026-09-30
57460 HCPCS Biopsy Of Cervix Using An Endoscope With Loop Electrode 7 5 $8,268.00 $3,307.20 60% off $116.64 $7,151.82 $2,976.48 2026-09-30
57461 HCPCS Cone Biopsy Of Cervix And Vagina Using An Endoscope With Loop Electrode 7 5 $8,268.00 $3,307.20 60% off $132.84 $7,151.82 $2,976.48 2026-09-30
59821 HCPCS Treatment Of Miscarriage During Second Trimester 9 7 $8,268.00 $3,307.20 60% off $272.52 $7,151.82 $2,976.48 2026-09-30
56515 HCPCS Extensive Destruction Of Growth Of External Female Genitals 4 4 $5,270.00 $2,108.00 60% off $1,897.20 $4,457.21 $2,976.33 2026-09-30
56501 HCPCS Simple Destruction Of Growth Of External Female Genitals 4 4 $5,270.00 $2,108.00 60% off $1,897.20 $4,457.21 $2,976.33 2026-09-30
SUR181727_1 CDM Fibulock Nail 5 5 $8,176.00 $3,270.40 60% off $2,943.36 $7,072.24 $2,943.36 2026-09-30
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 14 7 $6,480.06 $2,592.03 60% off $1,755.04 $6,993.53 $2,910.60 2026-09-30
36475 HCPCS Destruction Of First Incompetent Vein Of Arm Or Leg Using Radiofrequency And Ima… 14 7 $6,148.51 $2,459.40 60% off $220.33 $6,976.23 $2,903.40 2026-09-30
SUR244140_1 CDM Operating Room Services - General Classification 5 5 $8,043.00 $3,217.20 60% off $2,895.48 $6,957.20 $2,895.48 2026-09-30
SUR272350_1 CDM Operating Room Services - General Classification 5 5 $7,995.00 $3,198.00 60% off $2,878.20 $6,915.68 $2,878.20 2026-09-30
SUR200580_1 CDM Operating Room Services - General Classification 5 5 $7,886.00 $3,154.40 60% off $2,838.96 $6,821.39 $2,838.96 2026-09-30
MED002550_1 CDM Room & Board - Private (one Bed) - General Classification 5 5 $4,185.00 $1,674.00 60% off $2,050.65 $3,620.03 $2,813.16 2026-09-30
SURLVL1-1_1 CDM Operating Room Services - General Classification 5 5 $7,764.00 $3,105.60 60% off $2,795.04 $6,715.86 $2,795.04 2026-09-30
SUR200130_1 CDM Operating Room Services - General Classification 5 5 $7,756.00 $3,102.40 60% off $2,792.16 $6,708.94 $2,792.16 2026-09-30
15734 HCPCS Creation Of Muscle Graft To Trunk 7 7 $3,267.00 $1,306.80 60% off $1,246.45 $3,267.00 $2,780.00 2026-09-30
SURLVL6-4_1 CDM Operating Room Services - General Classification 5 5 $7,690.00 $3,076.00 60% off $2,768.40 $6,651.85 $2,768.40 2026-09-30
SUR200030_1 CDM Operating Room Services - General Classification 5 5 $7,605.00 $3,042.00 60% off $2,737.80 $6,578.33 $2,737.80 2026-09-30
19082 HCPCS Biopsy Of Breast And Placement Of Locating Device Using X-ray With Needle, Each … 7 7 $7,580.00 $3,032.00 60% off $2,728.80 $6,556.70 $2,728.80 2026-09-30
SUR200010_1 CDM Operating Room Services - General Classification 5 5 $7,430.00 $2,972.00 60% off $2,674.80 $6,426.95 $2,674.80 2026-09-30
54065 HCPCS Destruction Of Multiple Growths Of Penis 4 4 $5,270.00 $2,108.00 60% off $1,897.20 $3,786.45 $2,671.18 2026-09-30
11012 HCPCS Removal Of Foreign Material From Skin, Tissue, Muscle, And Bone At Open Broken A… 7 7 $7,419.00 $2,967.60 60% off $2,670.84 $6,417.44 $2,670.84 2026-09-30
11770 HCPCS Simple Removal Of Cyst Of Tailbone 14 7 $6,293.50 $2,517.40 60% off $162.44 $6,417.44 $2,670.84 2026-09-30
11646 HCPCS Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More… 16 7 $5,416.38 $2,166.55 60% off $305.58 $6,417.44 $2,670.84 2026-09-30
11626 HCPCS Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More Tha… 14 7 $9,666.58 $3,866.63 60% off $232.17 $11,914.16 $2,670.84 2026-09-30
11426 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More … 16 7 $2,881.18 $1,152.47 60% off $224.27 $6,417.44 $2,670.84 2026-09-30
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 7 7 $7,313.00 $2,925.20 60% off $2,632.68 $6,325.75 $2,632.68 2026-09-30
44602 HCPCS Suture Of Tear Of Hole In Small Bowel 7 7 $3,007.00 $1,202.80 60% off $1,145.21 $3,007.00 $2,611.00 2026-09-30
OBS000974_1 CDM Jada System Vacuum Induced Hem 5 5 $7,244.41 $2,897.76 60% off $2,607.99 $6,266.41 $2,607.99 2026-09-30
SUR269100_1 CDM Operating Room Services - General Classification 5 5 $7,190.00 $2,876.00 60% off $2,588.40 $6,219.35 $2,588.40 2026-09-30
SUR282410_1 CDM Operating Room Services - General Classification 5 5 $7,156.00 $2,862.40 60% off $2,576.16 $6,189.94 $2,576.16 2026-09-30
SUR201230_1 CDM Operating Room Services - General Classification 5 5 $7,154.00 $2,861.60 60% off $2,575.44 $6,188.21 $2,575.44 2026-09-30
SUR000012_2 CDM ENT Supplies 5 5 $7,091.37 $2,836.55 60% off $2,552.89 $6,134.04 $2,552.89 2026-09-30
46255 HCPCS Removal Of Single External And Internal Hemorrhoid Group 14 7 $5,545.12 $2,218.05 60% off $318.90 $6,131.99 $2,552.04 2026-09-30
SURLVL5-4_1 CDM Operating Room Services - General Classification 5 5 $7,071.00 $2,828.40 60% off $2,545.56 $6,116.42 $2,545.56 2026-09-30
SUR58770_1 CDM Operating Room Services - General Classification 5 5 $7,068.00 $2,827.20 60% off $2,544.48 $6,113.82 $2,544.48 2026-09-30
SUR200690_1 CDM Operating Room Services - General Classification 5 5 $7,014.00 $2,805.60 60% off $2,525.04 $6,067.11 $2,525.04 2026-09-30
SUR200710_1 CDM Operating Room Services - General Classification 5 5 $6,950.00 $2,780.00 60% off $2,502.00 $6,011.75 $2,502.00 2026-09-30
SUR200410_1 CDM Operating Room Services - General Classification 5 5 $6,917.00 $2,766.80 60% off $2,490.12 $5,983.21 $2,490.12 2026-09-30
SUR282400_1 CDM Operating Room Services - General Classification 5 5 $6,885.00 $2,754.00 60% off $2,478.60 $5,955.53 $2,478.60 2026-09-30
SUR200510_1 CDM Operating Room Services - General Classification 5 5 $6,840.00 $2,736.00 60% off $2,462.40 $5,916.60 $2,462.40 2026-09-30
29999 HCPCS Other Procedure On Joint Using An Endoscope 3 3 $2,462.00 $984.80 60% off $49.00 $2,462.00 $2,462.00 2026-09-30
SUR200670_1 CDM Operating Room Services - General Classification 5 5 $6,798.00 $2,719.20 60% off $2,447.28 $5,880.27 $2,447.28 2026-09-30
SURLVL4-4_1 CDM Operating Room Services - General Classification 5 5 $6,732.00 $2,692.80 60% off $2,423.52 $5,823.18 $2,423.52 2026-09-30
SUR200680_1 CDM Operating Room Services - General Classification 5 5 $6,618.00 $2,647.20 60% off $2,382.48 $5,724.57 $2,382.48 2026-09-30
27130 HCPCS Replacement Of Thigh Bone And Hip Joint With Prosthesis 7 7 $14,091.35 $5,636.54 60% off $1,047.43 $14,091.35 $2,377.00 2026-09-30
SUR201330_1 CDM Operating Room Services - General Classification 5 5 $6,598.00 $2,639.20 60% off $2,375.28 $5,707.27 $2,375.28 2026-09-30
SUR200280_1 CDM Operating Room Services - General Classification 5 5 $6,561.00 $2,624.40 60% off $2,361.96 $5,675.27 $2,361.96 2026-09-30
59409 HCPCS Vaginal Delivery 14 7 $4,980.50 $1,992.20 60% off $631.69 $7,151.82 $2,334.74 2026-09-30
SUR200560_1 CDM Operating Room Services - General Classification 5 5 $6,445.00 $2,578.00 60% off $2,320.20 $5,574.93 $2,320.20 2026-09-30
27447 HCPCS Replacement Of Knee Joint, Both Sides Of Knee 7 7 $14,451.58 $5,780.63 60% off $1,045.50 $14,451.58 $2,287.00 2026-09-30
26952 HCPCS Amputation Of Finger Or Thumb With Tissue Flap 14 7 $4,937.50 $1,975.00 60% off $607.59 $7,228.81 $2,263.26 2026-09-30
SUR200960_1 CDM Operating Room Services - General Classification 5 5 $6,244.00 $2,497.60 60% off $2,247.84 $5,401.06 $2,247.84 2026-09-30
SUR200700_1 CDM Operating Room Services - General Classification 5 5 $6,242.00 $2,496.80 60% off $2,247.12 $5,399.33 $2,247.12 2026-09-30
27236 HCPCS Treatment Of Upper End Of Broken Thigh Bone With Placement Of Stabilizing Device… 7 7 $2,624.00 $1,049.60 60% off $983.52 $2,624.00 $2,208.00 2026-09-30
19307 HCPCS Removal Of Breast And Underarm Lymph Nodes 7 7 $2,551.00 $1,020.40 60% off $1,002.27 $2,551.00 $2,207.00 2026-09-30
SUR200260_1 CDM Operating Room Services - General Classification 5 5 $6,114.00 $2,445.60 60% off $2,201.04 $5,288.61 $2,201.04 2026-09-30
44346 HCPCS Revision Of Opening From Large Bowel To Skin With Repair Of Hernia 7 7 $2,559.00 $1,023.60 60% off $988.03 $2,559.00 $2,191.00 2026-09-30
11772 HCPCS Complicated Removal Of Cyst Of Tailbone 14 7 $4,550.00 $1,820.00 60% off $515.69 $6,417.44 $2,175.92 2026-09-30
26735 HCPCS Treatment Of Broken Finger At Midportion Or Part Near Hand 14 7 $4,848.50 $1,939.40 60% off $512.80 $11,326.52 $2,174.26 2026-09-30
SUR200160_1 CDM Operating Room Services - General Classification 5 5 $5,832.00 $2,332.80 60% off $2,099.52 $5,044.68 $2,099.52 2026-09-30
EDM200150_1 CDM Orif Foot 5 5 $5,832.00 $2,332.80 60% off $2,099.52 $5,044.68 $2,099.52 2026-09-30
88380 HCPCS Preparation Of Specimen Using Laser 7 7 $5,748.00 $2,299.20 60% off $258.46 $5,748.00 $2,069.28 2026-09-30
SUR244188_1 CDM Operating Room Services - General Classification 5 5 $5,733.00 $2,293.20 60% off $2,063.88 $4,959.05 $2,063.88 2026-09-30
SURLVL7-2_1 CDM Operating Room Services - General Classification 5 5 $5,670.00 $2,268.00 60% off $2,041.20 $4,904.55 $2,041.20 2026-09-30
SUR200490_1 CDM Operating Room Services - General Classification 5 5 $5,667.00 $2,266.80 60% off $2,040.12 $4,901.96 $2,040.12 2026-09-30
11771 HCPCS Extensive Removal Of Cyst Of Tailbone 14 7 $4,394.00 $1,757.60 60% off $396.46 $6,417.44 $2,019.92 2026-09-30
SUR200090_1 CDM Operating Room Services - General Classification 5 5 $5,591.00 $2,236.40 60% off $2,012.76 $4,836.22 $2,012.76 2026-09-30
14301 HCPCS Repair Of Wound By Transferring Skin, 30.1-60.0 Sq Cm 9 7 $2,391.00 $956.40 60% off $702.63 $3,997.25 $2,007.00 2026-09-30
SUR200060_1 CDM Operating Room Services - General Classification 5 5 $5,571.00 $2,228.40 60% off $2,005.56 $4,818.92 $2,005.56 2026-09-30
SUR200550_1 CDM Operating Room Services - General Classification 5 5 $5,528.00 $2,211.20 60% off $1,990.08 $4,781.72 $1,990.08 2026-09-30
42415 HCPCS Removal Of Growth Of Saliva Gland With Release Of Facial Nerve 7 7 $2,345.00 $938.00 60% off $846.05 $2,345.00 $1,976.00 2026-09-30
SUR124560_1 CDM Gracillis Patella Gr 5 5 $5,449.00 $2,179.60 60% off $1,961.64 $4,713.39 $1,961.64 2026-09-30
22900 HCPCS Removal Of Growth Of Muscle Of Abdomen, Less Than 5.0 Cm 14 7 $4,331.50 $1,732.60 60% off $489.68 $6,417.44 $1,957.42 2026-09-30
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