Price Transparencybeta Hospital negotiated rates

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

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Hospital

VIRGINIA GAY HOSPITAL

Vinton, IA · CCN 161349 · Rates published

2,122 distinct procedures filed
18 distinct payers
38,892 rate rows
2026-08-13 last MRF observed
Data quality

37,876 of 38,892 rate rows are consumer-grade (97.4%)

1,016 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 670
per-diem day rate — not a per-procedure price 292
percent-of-charges filed in the dollar field — excluded from medians 45
exceeds 3× this hospital's gross charge for a DRG stay — excluded 6
exceeds 10× this hospital's gross charge — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbVGHVINTONIA&type=CDMWithoutLabel&fileType=CSV
Found on page https://myvgh.org/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-11-11
Content fingerprint 63a5e3c1440a3740… · 16,551,784 bytes · first seen 2026-11-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 $40,936.96 $41,755.70 $41,346.33 nat. median
$19,192
outlier · 2.2×
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 2 $37,800.83 $38,556.85 $38,178.84 nat. median
$18,763
outlier · 2.0×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 $35,947.03 $36,665.97 $36,306.50 nat. median
$18,592
2.0× median
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 2 $35,730.99 $36,445.60 $36,088.29 nat. median
$8,641
outlier · 4.2×
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 2 $35,233.85 $35,938.53 $35,586.19 nat. median
$12,540
outlier · 2.8×
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 2 $33,452.06 $34,121.10 $33,786.58 nat. median
$15,338
outlier · 2.2×
811
MS_DRG 		Red Blood Cell Disorders With Mcc 2 $31,437.97 $32,066.73 $31,752.35 nat. median
$13,608
outlier · 2.3×
415
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 2 $31,266.06 $31,891.38 $31,578.72 nat. median
$19,757
1.6× median
580
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 2 $31,015.17 $31,635.47 $31,325.32 nat. median
$16,834
1.9× median
682
MS_DRG 		Renal Failure With Mcc 2 $30,638.84 $31,251.61 $30,945.22 nat. median
$14,406
outlier · 2.1×
551
MS_DRG 		Medical Back Problems With Mcc 2 $27,990.55 $28,550.36 $28,270.46 nat. median
$16,070
1.8× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 2 $27,621.18 $28,173.60 $27,897.39 nat. median
$12,804
outlier · 2.2×
291
MS_DRG 		Heart Failure And Shock With Mcc 2 $26,668.73 $27,202.10 $26,935.42 nat. median
$12,730
outlier · 2.1×
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 2 $26,394.61 $26,922.50 $26,658.56 nat. median
$12,510
outlier · 2.1×
540
MS_DRG 		Osteomyelitis With Cc 2 $26,248.25 $26,773.22 $26,510.74 nat. median
$12,727
outlier · 2.1×
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 2 $25,460.74 $25,969.95 $25,715.35 nat. median
$12,837
outlier · 2.0×
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 2 $25,179.65 $25,683.24 $25,431.44 nat. median
$11,953
outlier · 2.1×
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 2 $24,480.41 $24,970.01 $24,725.21 nat. median
$11,493
outlier · 2.2×
300
MS_DRG 		Peripheral Vascular Disorders With Cc 2 $23,897.32 $24,375.26 $24,136.29 nat. median
$10,828
outlier · 2.2×
378
MS_DRG 		Gastrointestinal Hemorrhage With Cc 2 $23,716.12 $24,190.44 $23,953.28 nat. median
$10,002
outlier · 2.4×
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 2 $23,151.62 $23,614.65 $23,383.14 nat. median
$11,040
outlier · 2.1×
372
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Cc 2 $22,150.38 $22,593.38 $22,371.88 nat. median
$10,399
outlier · 2.2×
92
MS_DRG 		Other Disorders Of Nervous System With Cc 2 $21,918.07 $22,356.43 $22,137.25 nat. median
$10,574
outlier · 2.1×
554
MS_DRG 		Bone Diseases And Arthropathies Without Mcc 2 $21,072.48 $21,493.93 $21,283.21 nat. median
$8,722
outlier · 2.4×
445
MS_DRG 		Disorders Of The Biliary Tract With Cc 2 $20,665.94 $21,079.26 $20,872.60 nat. median
$11,023
1.9× median
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 2 $19,985.29 $20,384.99 $20,185.14 nat. median
$10,374
1.9× median
552
MS_DRG 		Medical Back Problems Without Mcc 2 $19,801.76 $20,197.80 $19,999.78 nat. median
$9,816
outlier · 2.0×
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 2 $19,557.84 $19,949.00 $19,753.42 nat. median
$10,168
1.9× median
439
MS_DRG 		Disorders Of Pancreas Except Malignancy With Cc 2 $19,509.06 $19,899.24 $19,704.15 nat. median
$8,912
outlier · 2.2×
603
MS_DRG 		Cellulitis Without Mcc 2 $18,849.31 $19,226.29 $19,037.80 nat. median
$8,967
outlier · 2.1×
557
MS_DRG 		Tendonitis, Myositis And Bursitis With Mcc 2 $18,844.66 $19,221.55 $19,033.10 nat. median
$14,464
1.3× median
389
MS_DRG 		Gastrointestinal Obstruction With Cc 2 $18,593.77 $18,965.65 $18,779.71 nat. median
$8,333
outlier · 2.3×
191
MS_DRG 		Chronic Obstructive Pulmonary Disease With Cc 2 $18,503.17 $18,873.23 $18,688.20 nat. median
$8,824
outlier · 2.1×
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 2 $18,400.96 $18,768.98 $18,584.97 nat. median
$8,489
outlier · 2.2×
437
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc 2 $18,238.34 $18,603.11 $18,420.72 nat. median
$8,904
outlier · 2.1×
563
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 2 $18,152.39 $18,515.44 $18,333.92 nat. median
$9,132
outlier · 2.0×
536
MS_DRG 		Fractures Of Hip And Pelvis Without Mcc 2 $18,003.72 $18,363.79 $18,183.76 nat. median
$8,421
outlier · 2.2×
690
MS_DRG 		Kidney And Urinary Tract Infections Without Mcc 2 $17,557.69 $17,908.84 $17,733.26 nat. median
$8,366
outlier · 2.1×
292
MS_DRG 		Heart Failure And Shock With Cc 2 $17,553.04 $17,904.10 $17,728.57 nat. median
$8,935
2.0× median
812
MS_DRG 		Red Blood Cell Disorders Without Mcc 2 $17,418.30 $17,766.67 $17,592.49 nat. median
$9,290
1.9× median
440
MS_DRG 		Disorders Of Pancreas Except Malignancy Without Cc/mcc 2 $17,383.46 $17,731.13 $17,557.29 nat. median
$6,860
outlier · 2.6×
683
MS_DRG 		Renal Failure With Cc 2 $17,311.44 $17,657.67 $17,484.56 nat. median
$9,083
1.9× median
638
MS_DRG 		Diabetes With Cc 2 $17,204.58 $17,548.67 $17,376.62 nat. median
$9,200
1.9× median
202
MS_DRG 		Bronchitis And Asthma With Cc/mcc 2 $16,507.66 $16,837.82 $16,672.74 nat. median
$9,773
1.7× median
192
MS_DRG 		Chronic Obstructive Pulmonary Disease Without Cc/mcc 2 $16,437.97 $16,766.73 $16,602.35 nat. median
$7,101
outlier · 2.3×
HB_27100152
CDM 		Rhc Misc Implant Charge Level 31 15 $7,393.64 $21,093.62 $16,309.50 nat. median
$16,310
1.0× median
206
MS_DRG 		Other Respiratory System Diagnoses Without Mcc 2 $16,056.99 $16,378.13 $16,217.56 nat. median
$9,486
1.7× median
155
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Cc 2 $15,715.50 $16,029.81 $15,872.65 nat. median
$9,490
1.7× median
176
MS_DRG 		Pulmonary Embolism Without Mcc 2 $15,538.95 $15,849.73 $15,694.34 nat. median
$8,574
1.8× median
66
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 2 $15,436.73 $15,745.47 $15,591.10 nat. median
$7,555
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 2,122 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
             
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 2 2 $13,857.00 $11,085.60 20% off $35,730.99 $36,445.60 $36,088.29 2026-08-13
55700 HCPCS Biopsy Of Prostate Gland 41 17 $2,649.30 $2,119.44 20% off $70.00 $3,389.54 $1,256.28 2026-08-13
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 2 2 $12,518.50 $10,014.80 20% off $21,072.48 $21,493.93 $21,283.21 2026-08-13
202 MS_DRG Bronchitis And Asthma With Cc/mcc 2 2 $13,235.00 $10,588.00 20% off $16,507.66 $16,837.82 $16,672.74 2026-08-13
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 2 2 $22,200.50 $17,760.40 $25,179.65 $25,683.24 $25,431.44 2026-08-13
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 2 2 $17,308.00 $13,846.40 20% off $11,143.72 $11,366.59 $11,255.15 2026-08-13
603 MS_DRG Cellulitis Without Mcc 2 2 $13,524.20 $10,819.36 20% off $18,849.31 $19,226.29 $19,037.80 2026-08-13
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 2 2 $34,078.02 $27,262.42 $31,266.06 $31,891.38 $31,578.72 2026-08-13
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 2 2 $27,890.43 $22,312.34 20% off $18,503.17 $18,873.23 $18,688.20 2026-08-13
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 2 2 $16,442.22 $13,153.78 $23,151.62 $23,614.65 $23,383.14 2026-08-13
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 2 2 $16,599.90 $13,279.92 20% off $16,437.97 $16,766.73 $16,602.35 2026-08-13
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 2 2 $59,430.00 $47,544.00 20% off $37,800.83 $38,556.85 $38,178.84 2026-08-13
27810 HCPCS Closed Treatment Of 2 Broken Lower Leg Bones At Ankle With Manipulation 27 17 $1,591.00 $1,272.80 20% off $70.00 $3,346.57 $1,085.31 2026-08-13
27818 HCPCS Closed Treatment Of 3 Broken Lower Leg Bones At Ankle With Manipulation 27 17 $2,020.00 $1,616.00 20% off $70.00 $3,346.57 $1,427.55 2026-08-13
26600 HCPCS Closed Treatment Of Broken Hand Bone 43 17 $1,331.00 $1,064.80 20% off $70.00 $3,346.57 $1,048.03 2026-08-13
26605 HCPCS Closed Treatment Of Broken Hand Bone With Manipulation 43 17 $1,412.00 $1,129.60 20% off $70.00 $3,346.57 $1,079.53 2026-08-13
25565 HCPCS Closed Treatment Of Broken Midpart Of Both Forearm Bones With Manipulation 30 17 $1,978.00 $1,582.40 $70.00 $3,346.57 $1,535.76 2026-08-13
25505 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side With Manipulati… 43 17 $1,650.00 $1,320.00 20% off $70.00 $3,346.57 $1,290.84 2026-08-13
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 43 17 $1,997.00 $1,597.60 20% off $70.00 $3,346.57 $1,558.68 2026-08-13
27532 HCPCS Closed Treatment Of Broken Shin Bone With Traction 43 17 $3,274.00 $2,619.20 20% off $70.00 $3,346.57 $1,656.48 2026-08-13
27510 HCPCS Closed Treatment Of Broken Thigh Bone At Knee Area With Manipulation 43 17 $1,650.00 $1,320.00 20% off $70.00 $3,346.57 $1,275.00 2026-08-13
27842 HCPCS Closed Treatment Of Dislocated Ankle Under Anesthesia 27 17 $3,461.00 $2,768.80 $70.00 $3,357.17 $1,642.82 2026-08-13
27550 HCPCS Closed Treatment Of Dislocated Knee 43 17 $1,336.00 $1,068.80 20% off $70.00 $3,346.57 $1,042.52 2026-08-13
20525 HCPCS Complicated Removal Of Foreign Body In Deep Muscle Or Tendon 27 17 $6,056.00 $4,844.80 20% off $70.00 $5,874.32 $2,059.04 2026-08-13
57288 HCPCS Creation Of Sling Around Urethra In Female To Control Leakage 17 11 $2,497.00 $1,997.60 20% off $70.00 $2,546.94 $1,166.98 2026-08-13
70460 HCPCS CT Scan Head Or Brain With Contrast 17 17 $1,589.00 $1,271.20 20% off $164.76 $1,509.55 $1,042.22 2026-08-13
70450 HCPCS CT Scan Head Or Brain Without Contrast 29 17 $1,382.00 $1,105.60 20% off $106.81 $1,312.90 $1,036.50 2026-08-13
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 29 17 $3,980.00 $3,184.00 20% off $293.49 $3,781.00 $1,894.48 2026-08-13
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 29 17 $3,579.00 $2,863.20 20% off $266.40 $3,400.05 $1,703.60 2026-08-13
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 29 17 $3,137.00 $2,509.60 20% off $243.77 $2,980.15 $1,493.21 2026-08-13
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 29 17 $2,002.00 $1,601.60 20% off $179.20 $1,901.90 $1,146.44 2026-08-13
74160 HCPCS CT Scan Of Abdomen With Contrast 29 17 $2,473.00 $1,978.40 $179.20 $2,349.35 $1,177.15 2026-08-13
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 29 17 $3,654.00 $2,923.20 20% off $179.20 $3,471.30 $1,739.30 2026-08-13
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 29 17 $3,013.00 $2,410.40 20% off $319.83 $2,862.35 $1,434.19 2026-08-13
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 29 17 $3,030.00 $2,424.00 20% off $179.20 $2,878.50 $1,442.28 2026-08-13
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 29 17 $3,030.00 $2,424.00 20% off $179.20 $2,878.50 $1,442.28 2026-08-13
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 29 17 $3,030.00 $2,424.00 20% off $179.20 $2,878.50 $1,442.28 2026-08-13
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 29 17 $3,030.00 $2,424.00 20% off $179.20 $2,878.50 $1,442.28 2026-08-13
71270 HCPCS CT Scan Of Chest Before And After Contrast 17 17 $2,131.00 $1,704.80 20% off $179.20 $2,024.45 $1,042.22 2026-08-13
71260 HCPCS CT Scan Of Chest With Contrast 29 17 $1,980.00 $1,584.00 20% off $179.20 $1,881.00 $1,146.44 2026-08-13
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 17 17 $1,645.00 $1,316.00 20% off $179.20 $1,562.75 $1,042.22 2026-08-13
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 29 17 $1,567.00 $1,253.60 20% off $179.20 $1,488.65 $1,140.75 2026-08-13
70488 HCPCS CT Scan Of Face Before And After Contrast 17 17 $2,074.00 $1,659.20 20% off $179.20 $1,970.30 $1,042.22 2026-08-13
70487 HCPCS CT Scan Of Face With Contrast 29 17 $1,991.00 $1,592.80 20% off $164.76 $1,891.45 $1,146.44 2026-08-13
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 29 17 $1,694.00 $1,355.20 20% off $179.20 $1,609.30 $1,146.44 2026-08-13
73701 HCPCS CT Scan Of Leg With Contrast Material 29 17 $2,127.00 $1,701.60 20% off $168.93 $2,020.65 $1,146.44 2026-08-13
72132 HCPCS CT Scan Of Lower Spine With Contrast 29 17 $2,404.00 $1,923.20 20% off $177.81 $2,283.80 $1,146.44 2026-08-13
72131 HCPCS CT Scan Of Lower Spine Without Contrast 29 17 $2,308.00 $1,846.40 $106.81 $2,192.60 $1,098.61 2026-08-13
72129 HCPCS CT Scan Of Middle Spine With Contrast 29 17 $1,448.00 $1,158.40 $177.27 $1,375.60 $1,054.50 2026-08-13
72193 HCPCS CT Scan Of Pelvis With Contrast 29 17 $1,897.00 $1,517.60 20% off $168.93 $1,802.15 $1,146.44 2026-08-13
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 17 17 $1,517.00 $1,213.60 20% off $179.20 $1,441.15 $1,042.22 2026-08-13
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 29 17 $1,393.00 $1,114.40 $179.20 $1,323.35 $1,042.22 2026-08-13
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 17 17 $2,304.00 $1,843.20 20% off $179.20 $2,188.80 $1,096.70 2026-08-13
72125 HCPCS CT Scan Of Upper Spine Without Contrast 29 17 $2,307.00 $1,845.60 20% off $106.81 $2,191.65 $1,098.13 2026-08-13
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 2 2 $23,906.25 $19,125.00 20% off $35,233.85 $35,938.53 $35,586.19 2026-08-13
64635 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 86 17 $2,616.00 $2,092.80 $70.00 $3,806.28 $1,774.95 2026-08-13
64624 HCPCS Destruction Of Nerve Branches Of Knee Using Imaging Guidance 26 16 $2,193.00 $1,754.40 $125.06 $2,127.21 $1,157.28 2026-08-13
64625 HCPCS Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui… 26 16 $2,548.00 $2,038.40 $165.36 $2,471.56 $1,350.44 2026-08-13
64633 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 70 17 $2,540.00 $2,032.00 20% off $70.00 $3,806.28 $1,454.73 2026-08-13
638 MS_DRG Diabetes With Cc 2 2 $17,252.00 $13,801.60 20% off $17,204.58 $17,548.67 $17,376.62 2026-08-13
639 MS_DRG Diabetes Without Cc/mcc 2 2 $6,077.50 $4,862.00 20% off $14,142.79 $14,425.64 $14,284.22 2026-08-13
52281 HCPCS Dilation Of Urethra Using An Endoscope 30 17 $2,263.00 $1,810.40 $70.00 $2,195.11 $1,112.05 2026-08-13
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 2 2 $22,297.50 $17,838.00 20% off $19,509.06 $19,899.24 $19,704.15 2026-08-13
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 2 2 $17,894.75 $14,315.80 20% off $17,383.46 $17,731.13 $17,557.29 2026-08-13
445 MS_DRG Disorders Of The Biliary Tract With Cc 2 2 $12,113.25 $9,690.60 20% off $20,665.94 $21,079.26 $20,872.60 2026-08-13
46050 HCPCS Drainage Of Superficial Rectal Abscess Surrounding Anus 27 17 $4,870.00 $3,896.00 20% off $70.00 $4,723.90 $1,801.90 2026-08-13
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 2 2 $19,075.75 $15,260.60 20% off $26,394.61 $26,922.50 $26,658.56 2026-08-13
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 2 2 $18,469.50 $14,775.60 20% off $15,204.43 $15,508.51 $15,356.47 2026-08-13
J7307 HCPCS Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 7 7 $1,739.00 $1,391.20 20% off $70.00 $2,173.75 $1,171.08 2026-08-13
52287 HCPCS Exam With Injections Of Chemical For Destruction Of Bladder Using An Endoscope 43 17 $2,323.00 $1,858.40 $70.00 $2,321.21 $1,282.14 2026-08-13
864 MS_DRG Fever And Inflammatory Conditions 2 2 $16,947.50 $13,558.00 20% off $12,865.11 $13,122.41 $12,993.76 2026-08-13
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 2 2 $15,351.25 $12,281.00 20% off $18,152.39 $18,515.44 $18,333.92 2026-08-13
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 2 2 $12,609.75 $10,087.80 20% off $18,003.72 $18,363.79 $18,183.76 2026-08-13
HB_40000036 CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $5,113.00 $4,090.40 20% off $1,738.42 $4,959.61 $3,834.75 2026-08-13
HB_40000036{2} CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $4,891.50 $3,913.20 20% off $1,687.76 $4,744.76 $3,668.63 2026-08-13
HB_40000027 CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $4,750.00 $3,800.00 20% off $1,615.00 $4,607.50 $3,562.50 2026-08-13
HB_40000027{2} CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $4,602.07 $3,681.66 $1,564.70 $4,464.01 $3,451.55 2026-08-13
HB_40000035 CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $4,260.00 $3,408.00 20% off $1,448.40 $4,132.20 $3,195.00 2026-08-13
HB_40000026 CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $4,229.00 $3,383.20 20% off $1,437.86 $4,102.13 $3,171.75 2026-08-13
HB_40000040 CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $4,220.00 $3,376.00 20% off $1,434.80 $4,093.40 $3,165.00 2026-08-13
HB_40000035{2} CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $4,136.00 $3,308.80 $1,406.24 $4,011.92 $3,102.00 2026-08-13
HB_40000026{2} CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $4,089.56 $3,271.65 $1,390.45 $3,966.87 $3,067.17 2026-08-13
HB_40000039 CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $3,707.00 $2,965.60 20% off $1,260.38 $3,595.79 $2,780.25 2026-08-13
HB_40000025 CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $3,535.00 $2,828.00 20% off $1,201.90 $3,428.95 $2,651.25 2026-08-13
HB_40000025{2} CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $3,420.82 $2,736.66 $1,163.08 $3,318.20 $2,565.62 2026-08-13
HB_40000038 CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $3,197.00 $2,557.60 20% off $1,086.98 $3,101.09 $2,397.75 2026-08-13
HB_40000034 CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $3,132.00 $2,505.60 20% off $1,064.88 $3,038.04 $2,349.00 2026-08-13
HB_40000034{2} CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $3,026.60 $2,421.28 $1,033.94 $2,935.80 $2,269.95 2026-08-13
HB_40000024 CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $2,864.00 $2,291.20 20% off $973.76 $2,778.08 $2,148.00 2026-08-13
HB_40000024{2} CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $2,774.61 $2,219.69 $943.37 $2,691.37 $2,080.96 2026-08-13
HB_40000037 CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $2,686.00 $2,148.80 $913.24 $2,605.42 $2,014.50 2026-08-13
HB_40000037{2} CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $2,608.00 $2,086.40 $886.72 $2,529.76 $1,956.00 2026-08-13
HB_40000033 CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $2,328.00 $1,862.40 $791.52 $2,258.16 $1,746.00 2026-08-13
HB_40000033{2} CDM Gastro - Intestinal (gi) Services - General Classification 15 15 $2,260.00 $1,808.00 20% off $768.40 $2,192.20 $1,695.00 2026-08-13
378 MS_DRG Gastrointestinal Hemorrhage With Cc 2 2 $19,387.50 $15,510.00 20% off $23,716.12 $24,190.44 $23,953.28 2026-08-13
389 MS_DRG Gastrointestinal Obstruction With Cc 2 2 $15,259.50 $12,207.60 20% off $18,593.77 $18,965.65 $18,779.71 2026-08-13
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 2 2 $11,987.25 $9,589.80 20% off $11,763.98 $11,999.25 $11,881.61 2026-08-13
292 MS_DRG Heart Failure And Shock With Cc 2 2 $14,684.67 $11,747.73 20% off $17,553.04 $17,904.10 $17,728.57 2026-08-13
291 MS_DRG Heart Failure And Shock With Mcc 2 2 $18,833.22 $15,066.58 $26,668.73 $27,202.10 $26,935.42 2026-08-13
293 MS_DRG Heart Failure And Shock Without Cc/mcc 2 2 $13,010.33 $10,408.27 $7,050.49 $7,191.50 $7,120.99 2026-08-13
J7326 HCPCS Hyaluronan Or Derivative, Gel-one, For Intra-articular Injection, Per Dose 7 7 $2,076.00 $1,660.80 20% off $70.00 $2,595.00 $1,930.68 2026-08-13
27310 HCPCS Incision Of Knee Joint For Exploration, Fluid Drainage, Or Removal Of Foreign Bo… 11 11 $2,588.00 $2,070.40 $70.00 $2,639.76 $1,089.73 2026-08-13
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 2 2 $15,798.00 $12,638.40 20% off $14,147.44 $14,430.38 $14,288.91 2026-08-13
64483 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 86 17 $1,587.00 $1,269.60 20% off $70.00 $2,204.81 $1,132.05 2026-08-13
64490 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le… 70 17 $1,576.00 $1,260.80 20% off $70.00 $2,294.05 $1,022.62 2026-08-13
J0875 HCPCS Injection, Dalbavancin, 5 Mg 15 15 $10,762.50 $8,610.00 20% off $11.29 $10,224.38 $5,704.13 2026-08-13
J0897 HCPCS Injection, Denosumab, 1 Mg 15 15 $3,838.50 $3,070.80 $30.10 $3,646.58 $2,034.41 2026-08-13
Q5157 HCPCS Injection, Denosumab-bmwo (stoboclo/osenvelt), Biosimilar, 1 Mg 13 13 $3,651.00 $2,920.80 $25.98 $3,468.45 $2,738.25 2026-08-13
J3032 HCPCS Injection, Eptinezumab-jjmr, 1 Mg 13 13 $11,728.00 $9,382.40 20% off $21.10 $11,141.60 $8,796.00 2026-08-13
J1306 HCPCS Injection, Inclisiran, 1 Mg 13 13 $7,263.00 $5,810.40 20% off $12.91 $6,899.85 $5,447.25 2026-08-13
J2182 HCPCS Injection, Mepolizumab, 1 Mg 15 15 $7,762.50 $6,210.00 20% off $32.28 $7,374.38 $4,114.13 2026-08-13
J2357 HCPCS Injection, Omalizumab, 5 Mg 15 15 $5,979.00 $4,783.20 20% off $46.59 $5,680.05 $3,168.87 2026-08-13
Q5122 HCPCS Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg 13 13 $7,938.00 $6,350.40 20% off $136.91 $7,541.10 $5,953.50 2026-08-13
Q5130 HCPCS Injection, Pegfilgrastim-pbbk (fylnetra), Biosimilar, 0.5 Mg 13 13 $5,088.00 $4,070.40 20% off $105.11 $4,833.60 $3,816.00 2026-08-13
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 13 13 $2,716.50 $2,173.20 20% off $12.73 $2,580.68 $2,037.38 2026-08-13
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 15 15 $18,134.00 $14,507.20 $21.62 $17,227.30 $9,611.02 2026-08-13
36569 HCPCS Insertion Of Tube For Infusion (5 Years Or Older) 29 16 $1,430.00 $1,144.00 20% off $471.92 $2,271.06 $1,125.98 2026-08-13
36573 HCPCS Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, … 16 16 $1,798.00 $1,438.40 $611.32 $2,271.06 $1,483.35 2026-08-13
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 2 $21,187.00 $16,949.60 20% off $40,936.96 $41,755.70 $41,346.33 2026-08-13
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 2 2 $15,842.50 $12,674.00 20% off $15,436.73 $15,745.47 $15,591.10 2026-08-13
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 2 2 $18,348.83 $14,679.07 $24,480.41 $24,970.01 $24,725.21 2026-08-13
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 2 2 $12,453.90 $9,963.12 $17,557.69 $17,908.84 $17,733.26 2026-08-13
J7296 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System, (kyleena), 19.5 Mg 7 7 $1,617.00 $1,293.60 20% off $70.00 $2,021.25 $1,115.80 2026-08-13
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 2 2 $16,757.00 $13,405.60 20% off $22,150.38 $22,593.38 $22,371.88 2026-08-13
437 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc 2 2 $23,182.00 $18,545.60 20% off $18,238.34 $18,603.11 $18,420.72 2026-08-13
21073 HCPCS Manipulation Of Hinged Joints Of Upper And Lower Jaw Bones Under Anesthesia 27 17 $1,999.00 $1,599.20 20% off $70.00 $6,338.51 $1,182.03 2026-08-13
52330 HCPCS Manipulation Of Stone In Ureter Using An Endoscope 43 17 $3,794.00 $3,035.20 20% off $70.00 $5,421.22 $3,069.75 2026-08-13
551 MS_DRG Medical Back Problems With Mcc 2 2 $17,537.17 $14,029.73 20% off $27,990.55 $28,550.36 $28,270.46 2026-08-13
552 MS_DRG Medical Back Problems Without Mcc 2 2 $16,010.83 $12,808.67 $19,801.76 $20,197.80 $19,999.78 2026-08-13
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 2 2 $19,205.50 $15,364.40 20% off $27,621.18 $28,173.60 $27,897.39 2026-08-13
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 2 2 $12,648.30 $10,118.64 20% off $14,321.66 $14,608.10 $14,464.88 2026-08-13
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 29 17 $4,453.00 $3,562.40 20% off $330.54 $4,230.35 $2,119.63 2026-08-13
74181 HCPCS MRI Scan Of Abdomen Without Contrast 17 17 $2,397.00 $1,917.60 20% off $212.22 $2,277.15 $1,100.22 2026-08-13
73220 HCPCS MRI Scan Of Arm Before And After Contrast 29 17 $2,640.00 $2,112.00 20% off $313.86 $2,508.00 $1,357.18 2026-08-13
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 29 17 $2,640.00 $2,112.00 20% off $313.86 $2,508.00 $1,357.18 2026-08-13
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 29 17 $2,158.00 $1,726.40 $198.48 $2,050.10 $1,081.65 2026-08-13
73218 HCPCS MRI Scan Of Arm Without Contrast 29 17 $2,158.00 $1,726.40 $196.02 $2,050.10 $1,081.65 2026-08-13
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 53 17 $2,295.00 $1,836.00 20% off $260.82 $2,595.40 $1,705.51 2026-08-13
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 17 17 $3,893.00 $3,114.40 20% off $262.77 $3,698.35 $1,786.89 2026-08-13
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 29 17 $3,185.00 $2,548.00 20% off $175.14 $3,025.75 $1,516.06 2026-08-13
73725 HCPCS MRI Scan Of Blood Vessels Of Leg 41 17 $3,155.00 $2,524.00 20% off $262.98 $3,114.10 $2,041.50 2026-08-13
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 29 17 $3,894.00 $3,115.20 20% off $262.77 $3,699.30 $1,853.54 2026-08-13
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 17 17 $3,563.00 $2,850.40 20% off $175.14 $3,384.85 $1,635.42 2026-08-13
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 17 17 $2,732.00 $2,185.60 20% off $174.60 $2,595.40 $1,253.99 2026-08-13
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 29 17 $2,640.00 $2,112.00 20% off $312.36 $2,508.00 $1,357.18 2026-08-13
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 17 17 $2,158.00 $1,726.40 $195.06 $2,050.10 $1,027.21 2026-08-13
70553 HCPCS MRI Scan Of Brain Before And After Contrast 29 17 $4,416.00 $3,532.80 $333.66 $4,195.20 $2,102.02 2026-08-13
70552 HCPCS MRI Scan Of Brain With Contrast 17 17 $3,191.00 $2,552.80 $260.61 $3,031.45 $1,464.67 2026-08-13
70551 HCPCS MRI Scan Of Brain Without Contrast 29 17 $2,221.00 $1,776.80 20% off $215.31 $2,109.95 $1,081.65 2026-08-13
71550 HCPCS MRI Scan Of Chest Without Contrast 17 17 $2,190.00 $1,752.00 20% off $212.22 $2,080.50 $1,042.44 2026-08-13
73720 HCPCS MRI Scan Of Leg Before And After Contrast 29 17 $2,640.00 $2,112.00 20% off $313.86 $2,508.00 $1,357.18 2026-08-13
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 29 17 $2,640.00 $2,112.00 20% off $313.86 $2,508.00 $1,357.18 2026-08-13
73722 HCPCS MRI Scan Of Leg Joint With Contrast 17 17 $2,281.00 $1,824.80 20% off $237.69 $2,166.95 $1,233.80 2026-08-13
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 29 17 $2,157.00 $1,725.60 20% off $197.52 $2,049.15 $1,081.65 2026-08-13
73718 HCPCS MRI Scan Of Leg Without Contrast 29 17 $2,158.00 $1,726.40 $196.02 $2,050.10 $1,081.65 2026-08-13
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 29 17 $4,532.00 $3,625.60 20% off $334.74 $4,305.40 $2,157.23 2026-08-13
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 29 17 $2,354.00 $1,883.20 20% off $216.27 $2,236.30 $1,120.50 2026-08-13
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 29 17 $4,608.00 $3,686.40 20% off $334.74 $4,377.60 $2,193.41 2026-08-13
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 29 17 $2,451.00 $1,960.80 20% off $215.31 $2,328.45 $1,166.68 2026-08-13
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 29 17 $2,646.00 $2,116.80 $330.54 $2,513.70 $1,357.18 2026-08-13
72196 HCPCS MRI Scan Of Pelvis With Contrast 17 17 $2,474.00 $1,979.20 20% off $253.32 $2,350.30 $1,233.80 2026-08-13
72195 HCPCS MRI Scan Of Pelvis Without Contrast 29 17 $2,191.00 $1,752.80 20% off $213.18 $2,081.45 $1,081.65 2026-08-13
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 29 17 $4,700.00 $3,760.00 20% off $333.66 $4,465.00 $2,237.20 2026-08-13
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 17 17 $2,575.00 $2,060.00 20% off $260.61 $2,446.25 $1,233.80 2026-08-13
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 29 17 $2,415.00 $1,932.00 20% off $215.31 $2,294.25 $1,149.54 2026-08-13
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 29 17 $3,831.00 $3,064.80 $230.76 $3,639.45 $1,823.56 2026-08-13
78473 HCPCS Nuclear Medicine Studies Of Heart Pumping Function By Labeling Red Blood Cells W… 17 17 $2,394.00 $1,915.20 20% off $207.42 $2,274.30 $1,098.85 2026-08-13
78451 HCPCS Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect 17 17 $2,696.00 $2,156.80 $195.84 $2,561.20 $1,657.26 2026-08-13
78469 HCPCS Nuclear Medicine Study Of Heart Muscle Following Heart Attack With Spect 17 17 $2,178.00 $1,742.40 $132.96 $2,069.10 $1,633.50 2026-08-13
78472 HCPCS Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit… 17 17 $2,394.00 $1,915.20 20% off $139.92 $2,274.30 $1,098.85 2026-08-13
78202 HCPCS Nuclear Medicine Study Of Liver And Blood Flow 17 17 $1,673.00 $1,338.40 $69.66 $1,822.99 $1,254.75 2026-08-13
78580 HCPCS Nuclear Medicine Study Of Lung Circulation 17 17 $1,412.00 $1,129.60 20% off $105.96 $1,822.99 $1,059.00 2026-08-13
78579 HCPCS Nuclear Medicine Study Of Lung Ventilation 17 17 $1,412.00 $1,129.60 20% off $68.46 $1,822.99 $1,059.00 2026-08-13
78582 HCPCS Nuclear Medicine Study Of Lung Ventilation And Circulation 17 17 $1,412.00 $1,129.60 20% off $153.93 $1,822.99 $1,059.00 2026-08-13
78598 HCPCS Nuclear Medicine Study Of Lung Ventilation And Circulation And Blood Flow To Lun… 17 17 $1,412.00 $1,129.60 20% off $121.17 $1,822.99 $1,059.00 2026-08-13
78278 HCPCS Nuclear Medicine Study To Assess Blood Loss 17 17 $2,632.00 $2,105.60 20% off $143.01 $2,500.40 $1,657.26 2026-08-13
HB_50000071 CDM Operating Room Services - General Classification 15 15 $10,957.00 $8,765.60 $3,725.38 $10,628.29 $8,217.75 2026-08-13
HB_50000070 CDM Operating Room Services - General Classification 15 15 $8,521.00 $6,816.80 20% off $2,897.14 $8,265.37 $6,390.75 2026-08-13
HB_50000070{2} CDM Operating Room Services - General Classification 15 15 $8,273.00 $6,618.40 20% off $2,812.82 $8,024.81 $6,204.75 2026-08-13
HB0010106 CDM Operating Room Services - General Classification 15 15 $8,271.00 $6,616.80 20% off $2,812.14 $8,022.87 $6,203.25 2026-08-13
HB0010105 CDM Operating Room Services - General Classification 15 15 $7,053.00 $5,642.40 20% off $2,398.02 $6,841.41 $5,289.75 2026-08-13
HB0010104 CDM Operating Room Services - General Classification 15 15 $5,710.00 $4,568.00 20% off $1,941.40 $5,538.70 $4,282.50 2026-08-13
HB0010103 CDM Operating Room Services - General Classification 15 15 $4,399.00 $3,519.20 20% off $1,495.66 $4,267.03 $3,299.25 2026-08-13
HB0010102 CDM Operating Room Services - General Classification 15 15 $3,071.00 $2,456.80 $1,044.14 $2,978.87 $2,303.25 2026-08-13
HB0010101 CDM Operating Room Services - General Classification 15 15 $1,744.00 $1,395.20 20% off $592.96 $1,691.68 $1,308.00 2026-08-13
540 MS_DRG Osteomyelitis With Cc 2 2 $40,305.50 $32,244.40 $26,248.25 $26,773.22 $26,510.74 2026-08-13
92 MS_DRG Other Disorders Of Nervous System With Cc 2 2 $23,088.00 $18,470.40 $21,918.07 $22,356.43 $22,137.25 2026-08-13
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 2 2 $9,096.00 $7,276.80 20% off $15,715.50 $16,029.81 $15,872.65 2026-08-13
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 2 2 $12,622.00 $10,097.60 20% off $9,375.87 $9,563.39 $9,469.63 2026-08-13
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 2 2 $19,543.50 $15,634.80 20% off $13,023.07 $13,283.53 $13,153.30 2026-08-13
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 2 2 $20,276.50 $16,221.20 $16,056.99 $16,378.13 $16,217.56 2026-08-13
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 2 2 $40,041.50 $32,033.20 20% off $31,015.17 $31,635.47 $31,325.32 2026-08-13
153 MS_DRG Otitis Media And Uri Without Mcc 2 2 $14,966.50 $11,973.20 $9,645.35 $9,838.25 $9,741.80 2026-08-13
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 2 $11,607.50 $9,286.00 20% off $10,732.54 $10,947.19 $10,839.87 2026-08-13
300 MS_DRG Peripheral Vascular Disorders With Cc 2 2 $18,553.00 $14,842.40 20% off $23,897.32 $24,375.26 $24,136.29 2026-08-13
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 2 2 $5,283.50 $4,226.80 $11,587.42 $11,819.17 $11,703.30 2026-08-13
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 2 2 $15,929.00 $12,743.20 $13,545.76 $13,816.68 $13,681.22 2026-08-13
176 MS_DRG Pulmonary Embolism Without Mcc 2 2 $14,387.50 $11,510.00 20% off $15,538.95 $15,849.73 $15,694.34 2026-08-13
811 MS_DRG Red Blood Cell Disorders With Mcc 2 2 $11,662.58 $9,330.06 20% off $31,437.97 $32,066.73 $31,752.35 2026-08-13
812 MS_DRG Red Blood Cell Disorders Without Mcc 2 2 $23,992.00 $19,193.60 20% off $17,418.30 $17,766.67 $17,592.49 2026-08-13
46320 HCPCS Removal Of External Hemorrhoid With Blood Clot 27 17 $2,694.00 $2,155.20 20% off $70.00 $4,199.07 $1,050.66 2026-08-13
67413 HCPCS Removal Of Foreign Body In Cavity Behind Eye 11 11 $4,073.00 $3,258.40 20% off $70.00 $4,154.46 $1,381.70 2026-08-13
20520 HCPCS Removal Of Foreign Body In Muscle Or Tendon 27 17 $3,331.00 $2,664.80 $70.00 $3,231.07 $1,299.09 2026-08-13
47562 HCPCS Removal Of Gallbladder Using An Endoscope 11 11 $2,281.00 $1,824.80 20% off $70.00 $2,326.62 $1,077.16 2026-08-13
47563 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope 11 11 $2,322.00 $1,857.60 20% off $70.00 $2,368.44 $1,165.61 2026-08-13
21933 HCPCS Removal Of Growth Of Muscle Of Back Or Lower Sides, 5.0 Cm Or More 11 11 $2,673.00 $2,138.40 $70.00 $2,726.46 $1,094.98 2026-08-13
21554 HCPCS Removal Of Growth Of Muscle Of Neck Or Front Of Chest, 5.0 Cm Or More 11 11 $1,641.00 $1,312.80 20% off $70.00 $1,673.82 $1,071.53 2026-08-13
23073 HCPCS Removal Of Growth Of Muscle Of Shoulder, 5.0 Cm Or More 11 11 $2,403.00 $1,922.40 $70.00 $2,451.06 $1,035.04 2026-08-13
24073 HCPCS Removal Of Growth Of Muscle Of Upper Arm Or Elbow, 5.0 Cm Or More 11 11 $2,403.00 $1,922.40 $70.00 $2,451.06 $1,027.09 2026-08-13
11426 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More … 27 17 $1,746.00 $1,396.80 20% off $70.00 $3,847.84 $1,276.89 2026-08-13
55250 HCPCS Removal Of Sperm Duct 43 17 $3,182.00 $2,545.60 20% off $70.00 $3,386.81 $1,504.14 2026-08-13
683 MS_DRG Renal Failure With Cc 2 2 $12,257.75 $9,806.20 $17,311.44 $17,657.67 $17,484.56 2026-08-13
682 MS_DRG Renal Failure With Mcc 2 2 $23,365.25 $18,692.20 $30,638.84 $31,251.61 $30,945.22 2026-08-13
24600 HCPCS Repair Of Dislocated Elbow 27 17 $3,934.00 $3,147.20 20% off $70.00 $3,815.98 $1,455.58 2026-08-13
24605 HCPCS Repair Of Dislocated Elbow Under Anesthesia 43 17 $1,961.00 $1,568.80 20% off $70.00 $2,830.98 $1,470.75 2026-08-13
178 MS_DRG Respiratory Infections And Inflammations With Cc 2 2 $27,303.50 $21,842.80 20% off $19,557.84 $19,949.00 $19,753.42 2026-08-13
177 MS_DRG Respiratory Infections And Inflammations With Mcc 2 2 $26,361.50 $21,089.20 20% off $33,452.06 $34,121.10 $33,786.58 2026-08-13
HB_27100035 CDM Rhc Med/surg Supply Level 35 15 15 $1,382.00 $1,105.60 20% off $469.88 $1,340.54 $1,036.50 2026-08-13
HB_27100036 CDM Rhc Med/surg Supply Level 36 15 15 $1,479.00 $1,183.20 $502.86 $1,434.63 $1,109.25 2026-08-13
HB_27100037 CDM Rhc Med/surg Supply Level 37 15 15 $1,625.00 $1,300.00 20% off $552.50 $1,576.25 $1,218.75 2026-08-13
HB_27100038 CDM Rhc Med/surg Supply Level 38 15 15 $1,773.00 $1,418.40 $602.82 $1,719.81 $1,329.75 2026-08-13
HB_27100039 CDM Rhc Med/surg Supply Level 39 15 15 $1,921.00 $1,536.80 20% off $653.14 $1,863.37 $1,440.75 2026-08-13
HB_27100040 CDM Rhc Med/surg Supply Level 40 15 15 $2,069.00 $1,655.20 20% off $703.46 $2,006.93 $1,551.75 2026-08-13
HB_27100041 CDM Rhc Med/surg Supply Level 41 15 15 $2,216.00 $1,772.80 20% off $753.44 $2,149.52 $1,662.00 2026-08-13
HB_27100042 CDM Rhc Med/surg Supply Level 42 15 15 $2,364.00 $1,891.20 20% off $803.76 $2,293.08 $1,773.00 2026-08-13
HB_27100043 CDM Rhc Med/surg Supply Level 43 15 15 $2,512.00 $2,009.60 20% off $854.08 $2,436.64 $1,884.00 2026-08-13
HB_27100044 CDM Rhc Med/surg Supply Level 44 15 15 $2,659.00 $2,127.20 20% off $904.06 $2,579.23 $1,994.25 2026-08-13
HB_27100045 CDM Rhc Med/surg Supply Level 45 15 15 $2,807.00 $2,245.60 20% off $954.38 $2,722.79 $2,105.25 2026-08-13
HB_27100132 CDM Rhc Med/surg Supply Level 46 15 15 $2,955.00 $2,364.00 20% off $1,004.70 $2,866.35 $2,216.25 2026-08-13
HB_27100116 CDM Rhc Misc Implant Charge Level 10 15 15 $3,546.00 $2,836.80 $1,205.64 $3,439.62 $2,659.50 2026-08-13
HB_27100116{2} CDM Rhc Misc Implant Charge Level 10 15 15 $3,546.00 $2,836.80 $1,191.63 $3,439.62 $2,628.60 2026-08-13
HB_27100117 CDM Rhc Misc Implant Charge Level 11 15 15 $4,254.00 $3,403.20 20% off $1,446.36 $4,126.38 $3,190.50 2026-08-13
HB_27100117{2} CDM Rhc Misc Implant Charge Level 11 15 15 $4,240.22 $3,392.18 $1,441.67 $4,113.01 $3,180.17 2026-08-13
HB_27100118{2} CDM Rhc Misc Implant Charge Level 12 15 15 $4,964.00 $3,971.20 20% off $1,687.76 $4,815.08 $3,723.00 2026-08-13
HB_27100118 CDM Rhc Misc Implant Charge Level 12 15 15 $4,964.00 $3,971.20 20% off $1,687.76 $4,815.08 $3,723.00 2026-08-13
HB_27100119 CDM Rhc Misc Implant Charge Level 13 15 15 $5,673.00 $4,538.40 20% off $1,928.82 $5,502.81 $4,254.75 2026-08-13
HB_27100135 CDM Rhc Misc Implant Charge Level 14 15 15 $6,381.00 $5,104.80 20% off $2,169.54 $6,189.57 $4,785.75 2026-08-13
HB_27100135{2} CDM Rhc Misc Implant Charge Level 14 15 15 $6,381.00 $5,104.80 20% off $2,169.54 $6,189.57 $4,785.75 2026-08-13
HB_27100136{2} CDM Rhc Misc Implant Charge Level 15 15 15 $6,796.00 $5,436.80 20% off $2,310.64 $6,592.12 $5,097.00 2026-08-13
HB_27100136 CDM Rhc Misc Implant Charge Level 15 15 15 $6,796.00 $5,436.80 20% off $2,310.64 $6,592.12 $5,097.00 2026-08-13
HB_27100137 CDM Rhc Misc Implant Charge Level 16 15 15 $7,476.00 $5,980.80 20% off $2,541.84 $7,251.72 $5,607.00 2026-08-13
HB_27100138 CDM Rhc Misc Implant Charge Level 17 15 15 $8,156.00 $6,524.80 20% off $2,773.04 $7,911.32 $6,117.00 2026-08-13
HB_27100138{2} CDM Rhc Misc Implant Charge Level 17 15 15 $8,156.00 $6,524.80 20% off $2,773.04 $7,911.32 $6,117.00 2026-08-13
HB_27100139 CDM Rhc Misc Implant Charge Level 18 15 15 $8,834.00 $7,067.20 20% off $3,003.56 $8,568.98 $6,625.50 2026-08-13
HB_27100140 CDM Rhc Misc Implant Charge Level 19 15 15 $9,515.00 $7,612.00 20% off $3,235.10 $9,229.55 $7,136.25 2026-08-13
HB_27100141 CDM Rhc Misc Implant Charge Level 20 15 15 $10,194.00 $8,155.20 20% off $3,465.96 $9,888.18 $7,645.50 2026-08-13
HB_27100142 CDM Rhc Misc Implant Charge Level 21 15 15 $10,873.00 $8,698.40 20% off $3,696.82 $10,546.81 $8,154.75 2026-08-13
HB_27100143 CDM Rhc Misc Implant Charge Level 22 15 15 $11,554.00 $9,243.20 $3,928.36 $11,207.38 $8,665.50 2026-08-13
HB_27100144 CDM Rhc Misc Implant Charge Level 23 15 15 $12,232.00 $9,785.60 20% off $4,158.88 $11,865.04 $9,174.00 2026-08-13
HB_27100145 CDM Rhc Misc Implant Charge Level 24 15 15 $12,912.00 $10,329.60 20% off $4,390.08 $12,524.64 $9,684.00 2026-08-13
HB_27100146 CDM Rhc Misc Implant Charge Level 25 15 15 $13,592.00 $10,873.60 20% off $4,621.28 $13,184.24 $10,194.00 2026-08-13
HB_27100147 CDM Rhc Misc Implant Charge Level 26 15 15 $14,951.00 $11,960.80 20% off $5,083.34 $14,502.47 $11,213.25 2026-08-13
HB_27100148 CDM Rhc Misc Implant Charge Level 27 15 15 $16,310.00 $13,048.00 20% off $5,545.40 $15,820.70 $12,232.50 2026-08-13
HB_27100149 CDM Rhc Misc Implant Charge Level 28 15 15 $17,671.00 $14,136.80 20% off $6,008.14 $17,140.87 $13,253.25 2026-08-13
HB_27100150 CDM Rhc Misc Implant Charge Level 29 15 15 $19,028.00 $15,222.40 20% off $6,469.52 $18,457.16 $14,271.00 2026-08-13
HB_27100151 CDM Rhc Misc Implant Charge Level 30 15 15 $20,389.00 $16,311.20 $6,932.26 $19,777.33 $15,291.75 2026-08-13
HB_27100152 CDM Rhc Misc Implant Charge Level 31 15 15 $21,746.00 $17,396.80 20% off $7,393.64 $21,093.62 $16,309.50 2026-08-13
HB_27100113 CDM Rhc Misc Implant Charge Level 7 15 15 $1,537.00 $1,229.60 20% off $522.58 $1,490.89 $1,152.75 2026-08-13
HB_27100113{2} CDM Rhc Misc Implant Charge Level 7 15 15 $1,537.00 $1,229.60 20% off $520.03 $1,490.89 $1,147.13 2026-08-13
HB_27100114 CDM Rhc Misc Implant Charge Level 8 15 15 $2,305.00 $1,844.00 20% off $783.70 $2,235.85 $1,728.75 2026-08-13
HB_27100114{2} CDM Rhc Misc Implant Charge Level 8 15 15 $2,305.00 $1,844.00 20% off $783.70 $2,229.94 $1,728.75 2026-08-13
HB_27100115{2} CDM Rhc Misc Implant Charge Level 9 15 15 $3,072.00 $2,457.60 20% off $1,043.59 $2,979.84 $2,304.00 2026-08-13
HB_27100115 CDM Rhc Misc Implant Charge Level 9 15 15 $3,072.00 $2,457.60 20% off $1,044.48 $2,979.84 $2,304.00 2026-08-13
HB_27100080 CDM Rhc Sterile Med/surg Supply Level 35 15 15 $1,382.00 $1,105.60 20% off $469.88 $1,340.54 $1,036.50 2026-08-13
HB_27100081 CDM Rhc Sterile Med/surg Supply Level 36 15 15 $1,479.00 $1,183.20 $502.86 $1,434.63 $1,109.25 2026-08-13
HB_27100082 CDM Rhc Sterile Med/surg Supply Level 37 15 15 $1,625.00 $1,300.00 20% off $552.50 $1,576.25 $1,218.75 2026-08-13
HB_27100083 CDM Rhc Sterile Med/surg Supply Level 38 15 15 $1,773.00 $1,418.40 $602.82 $1,719.81 $1,329.75 2026-08-13
HB_27100084 CDM Rhc Sterile Med/surg Supply Level 39 15 15 $1,921.00 $1,536.80 20% off $653.14 $1,863.37 $1,440.75 2026-08-13
HB_27100085 CDM Rhc Sterile Med/surg Supply Level 40 15 15 $2,069.00 $1,655.20 20% off $703.46 $2,006.93 $1,551.75 2026-08-13
HB_27100086 CDM Rhc Sterile Med/surg Supply Level 41 15 15 $2,216.00 $1,772.80 20% off $753.44 $2,149.52 $1,662.00 2026-08-13
HB_27100087 CDM Rhc Sterile Med/surg Supply Level 42 15 15 $2,364.00 $1,891.20 20% off $803.76 $2,293.08 $1,773.00 2026-08-13
HB_27100088 CDM Rhc Sterile Med/surg Supply Level 43 15 15 $2,512.00 $2,009.60 20% off $854.08 $2,436.64 $1,884.00 2026-08-13
HB_27100089 CDM Rhc Sterile Med/surg Supply Level 44 15 15 $2,659.00 $2,127.20 20% off $904.06 $2,579.23 $1,994.25 2026-08-13
HB_27100090 CDM Rhc Sterile Med/surg Supply Level 45 15 15 $2,807.00 $2,245.60 20% off $954.38 $2,722.79 $2,105.25 2026-08-13
HB_27100154 CDM Rhc Sterile Med/surg Supply Level 46 15 15 $2,955.00 $2,364.00 20% off $1,004.70 $2,866.35 $2,216.25 2026-08-13
HB_27100155 CDM Rhc Sterile Med/surg Supply Level 47 15 15 $3,546.00 $2,836.80 $1,205.64 $3,439.62 $2,659.50 2026-08-13
HB_27100156 CDM Rhc Sterile Med/surg Supply Level 48 15 15 $4,254.00 $3,403.20 20% off $1,446.36 $4,126.38 $3,190.50 2026-08-13
HB_27100157 CDM Rhc Sterile Med/surg Supply Level 49 15 15 $4,964.00 $3,971.20 20% off $1,687.76 $4,815.08 $3,723.00 2026-08-13
HB_27100158 CDM Rhc Sterile Med/surg Supply Level 50 15 15 $5,673.00 $4,538.40 20% off $1,928.82 $5,502.81 $4,254.75 2026-08-13
HB_50050122 CDM Room & Board - Private (one Bed) - General Classification 12 12 $1,485.00 $1,188.00 20% off $706.86 $1,588.95 $1,225.12 2026-08-13
HB_50050122{2} CDM Room & Board - Private (one Bed) - General Classification 12 12 $1,423.75 $1,139.00 20% off $677.71 $1,523.41 $1,174.60 2026-08-13
HB_50050001 CDM Room & Board - Private (one Bed) - General Classification 12 12 $1,235.00 $988.00 20% off $587.86 $1,321.45 $1,018.88 2026-08-13
HB_50050012 CDM Room & Board - Semi-private (two Beds) - General Classification 12 12 $1,235.00 $988.00 20% off $587.86 $1,321.45 $1,018.88 2026-08-13
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 2 $22,294.75 $17,835.80 20% off $35,947.03 $36,665.97 $36,306.50 2026-08-13
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 2 2 $11,440.75 $9,152.60 $19,985.29 $20,384.99 $20,185.14 2026-08-13
50590 HCPCS Shock Wave Crushing Of Kidney Stones 14 11 $2,151.00 $1,720.80 20% off $70.00 $2,194.02 $1,019.10 2026-08-13
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 2 2 $17,161.28 $13,729.03 $18,400.96 $18,768.98 $18,584.97 2026-08-13
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 2 2 $23,467.00 $18,773.60 20% off $25,460.74 $25,969.95 $25,715.35 2026-08-13
52310 HCPCS Simple Removal Of Foreign Body, Stone, Or Stent In Urethra Or Bladder Using An E… 43 17 $2,592.14 $2,073.71 20% off $70.00 $2,600.57 $1,230.58 2026-08-13
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 29 17 $4,218.00 $3,374.40 20% off $354.60 $4,007.10 $2,007.77 2026-08-13
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 29 17 $5,242.00 $4,193.60 $368.22 $4,979.90 $2,495.19 2026-08-13
HB_97000017 CDM Specialty Services - Treatment Room 15 15 $3,419.00 $2,735.20 20% off $1,162.46 $3,316.43 $2,564.25 2026-08-13
HB_97000017{2} CDM Specialty Services - Treatment Room 15 15 $3,305.14 $2,644.11 20% off $1,128.46 $3,205.99 $2,489.25 2026-08-13
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 2 2 $44,121.50 $35,297.20 20% off $18,844.66 $19,221.55 $19,033.10 2026-08-13
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 2 2 $27,379.00 $21,903.20 20% off $14,779.31 $15,074.89 $14,927.10 2026-08-13
G0390 HCPCS Trauma Response Team Associated With Hospital Critical Care Service 15 15 $1,364.00 $1,091.20 $463.76 $1,361.78 $1,023.00 2026-08-13
23585 HCPCS Treatment Of Broken Shoulder Blade 11 11 $3,645.00 $2,916.00 20% off $70.00 $3,717.90 $1,417.41 2026-08-13
27784 HCPCS Treatment Of Broken Upper Or Middle Part Of Outer Lower Leg Bone 11 11 $1,307.00 $1,045.60 20% off $70.00 $1,333.14 $1,068.22 2026-08-13
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 29 17 $2,122.00 $1,697.60 20% off $271.68 $2,015.90 $1,010.07 2026-08-13
59409 HCPCS Vaginal Delivery 27 17 $4,344.00 $3,475.20 20% off $70.00 $4,441.18 $2,586.33 2026-08-13
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