Hospital

ROOKS COUNTY HEALTH CENTER

Plainville, KS · CCN 171311 · Rates published

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You selected 93306 (HCPCS)

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

This hospital’s price: $2,164 across 18 payers · range $1,130-$2,405

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbPRHPLAINVILLEKS&type=CDMWithoutLabel&fileType=CSV · observed 2026-06-30

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.

3,849 distinct procedures filed

18 distinct payers

73,698 rate rows

2026-06-30 last MRF observed

Data quality

72,205 of 73,698 rate rows are consumer-grade (98.0%)

1,493 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	987
per-diem day rate — not a per-procedure price	341
exceeds 3× this hospital's gross charge for a DRG stay — excluded	109
percent-of-charges filed in the dollar field — excluded from medians	28
exceeds 10× this hospital's gross charge — excluded from medians	24
placeholder amount (≤ $0.02) — excluded from medians	3
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	1

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

Source MRF file	https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbPRHPLAINVILLEKS&type=CDMWithoutLabel&fileType=CSV
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-17
Content fingerprint	44c0c4826985bf83… · 25,586,890 bytes · first seen 2026-07-17

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
463 MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective…	10	$21,571.83	$134,514.14	$127,078.14	nat. median $38,795 outlier · 3.3×
516 MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc	10	$7,974.27	$131,611.48	$123,837.48	nat. median $15,130 outlier · 8.2×
673 MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	9	$12,104.37	$118,309.17	$112,563.17	nat. median $29,327 outlier · 3.8×
175 MS_DRG	Pulmonary Embolism With Mcc Or Acute Cor Pulmonale	10	$5,305.59	$112,432.40	$106,348.40	nat. median $10,317 outlier · 10.3×
593 MS_DRG	Skin Ulcers With Cc	8	$5,559.75	$179,648.63	$94,937.76	nat. median $8,571 outlier · 11.1×
565 MS_DRG	Other Musculoskeletal System And Connective Tissue Diagnoses With Cc	10	$5,972.76	$90,938.79	$86,206.79	nat. median $7,411 outlier · 11.6×
375 MS_DRG	Digestive Malignancy With Cc	10	$5,591.52	$53,788.50	$50,746.50	nat. median $8,934 outlier · 5.7×
439 MS_DRG	Disorders Of Pancreas Except Malignancy With Cc	10	$4,320.72	$50,611.11	$47,907.11	nat. median $6,417 outlier · 7.5×
602 MS_DRG	Cellulitis With Mcc	10	$7,021.17	$49,244.34	$46,878.34	nat. median $10,595 outlier · 4.4×
291 MS_DRG	Heart Failure And Shock With Mcc	10	$5,813.91	$49,547.14	$46,843.14	nat. median $9,572 outlier · 4.9×
539 MS_DRG	Osteomyelitis With Mcc	10	$12,072.60	$48,679.17	$45,975.17	nat. median $14,058 outlier · 3.3×
189 MS_DRG	Pulmonary Edema And Respiratory Failure	9	$4,638.42	$44,778.33	$42,074.33	nat. median $9,470 outlier · 4.4×
945 MS_DRG	Rehabilitation With Cc/mcc	8	$7,148.25	$67,262.53	$39,985.05	nat. median $10,273 outlier · 3.9×
65 MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours	10	$5,877.45	$39,735.34	$37,369.34	nat. median $7,677 outlier · 4.9×
641 MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	10	$4,670.19	$39,682.15	$37,316.15	nat. median $5,850 outlier · 6.4×
563 MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	10	$5,496.21	$39,206.65	$36,840.65	nat. median $6,710 outlier · 5.5×
70 MS_DRG	Other Cerebrovascular Disorders With Mcc	10	$8,832.06	$35,251.49	$33,223.49	nat. median $12,172 outlier · 2.7×
391 MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc	10	$6,957.63	$34,232.80	$32,542.80	nat. median $9,511 outlier · 3.4×
J1628 HCPCS	Injection, Guselkumab, 1 Mg	18	$90.59	$32,640.64	$29,376.58	nat. median $127 outlier · 231.3×
689 MS_DRG	Kidney And Urinary Tract Infections With Mcc	10	$6,576.39	$30,975.40	$29,285.40	nat. median $8,710 outlier · 3.4×
552 MS_DRG	Medical Back Problems Without Mcc	10	$4,860.81	$30,777.48	$29,087.48	nat. median $7,205 outlier · 4.0×
154 MS_DRG	Other Ear, Nose, Mouth And Throat Diagnoses With Mcc	10	$4,543.11	$30,676.15	$28,986.15	nat. median $11,032 outlier · 2.6×
313 MS_DRG	Chest Pain	10	$3,145.23	$29,921.99	$28,231.99	nat. median $5,565 outlier · 5.1×
637 MS_DRG	Diabetes With Mcc	10	$5,559.75	$29,307.14	$27,617.14	nat. median $10,515 outlier · 2.6×
389 MS_DRG	Gastrointestinal Obstruction With Cc	10	$4,352.49	$28,236.83	$26,884.83	nat. median $5,994 outlier · 4.5×
J9217 HCPCS	Leuprolide Acetate (for Depot Suspension), 7.5 Mg	18	$221.63	$28,976.64	$26,078.98	nat. median $2,144 outlier · 12.2×
872 MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	10	$4,701.96	$27,240.82	$25,888.82	nat. median $7,744 outlier · 3.3×
535 MS_DRG	Fractures Of Hip And Pelvis With Mcc	10	$7,847.19	$26,504.93	$25,152.93	nat. median $9,602 outlier · 2.6×
545 MS_DRG	Connective Tissue Disorders With Mcc	10	$11,210.38	$26,082.38	$24,730.38	nat. median $17,538 1.4× median
433 MS_DRG	Cirrhosis And Alcoholic Hepatitis With Cc	10	$4,606.65	$25,858.09	$24,506.09	nat. median $7,804 outlier · 3.1×
934 MS_DRG	Full Thickness Burn Without Skin Graft Or Inhalation Injury	8	$7,084.71	$31,058.86	$24,230.72	nat. median $13,828 1.8× median
176 MS_DRG	Pulmonary Embolism Without Mcc	10	$3,113.46	$25,262.63	$23,910.63	nat. median $6,115 outlier · 3.9×
564 MS_DRG	Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc	10	$9,467.46	$25,190.33	$23,838.33	nat. median $11,130 outlier · 2.1×
74 MS_DRG	Cranial And Peripheral Nerve Disorders Without Mcc	10	$4,670.19	$25,022.20	$23,670.20	nat. median $7,651 outlier · 3.1×
622 MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	6	$12,708.00	$88,156.82	$22,560.06	nat. median $24,822 0.9× median
554 MS_DRG	Bone Diseases And Arthropathies Without Mcc	10	$5,083.20	$23,871.18	$22,519.18	nat. median $6,267 outlier · 3.6×
594 MS_DRG	Skin Ulcers Without Cc/mcc	10	$4,066.56	$23,829.77	$22,477.77	nat. median $6,096 outlier · 3.7×
17579 CDM	Nursery - General Classification	11	$21,290.85	$23,656.50	$22,473.68	—
918 MS_DRG	Poisoning And Toxic Effects Of Drugs Without Mcc	10	$2,414.52	$23,503.95	$22,151.95	nat. median $5,899 outlier · 3.8×
792 MS_DRG	Prematurity Without Major Problems	1	$20,957.70	$20,957.70	$20,957.70	nat. median $14,273 1.5× median
190 MS_DRG	Chronic Obstructive Pulmonary Disease With Mcc	8	$5,083.20	$31,296.86	$20,549.32	nat. median $8,303 outlier · 2.5×
392 MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc	10	$3,494.70	$21,278.86	$20,264.86	nat. median $5,890 outlier · 3.4×
638 MS_DRG	Diabetes With Cc	10	$3,462.93	$21,076.79	$20,062.79	nat. median $6,741 outlier · 3.0×
64 MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	10	$9,224.14	$20,378.14	$19,364.14	nat. median $14,700 1.3× median
195 MS_DRG	Simple Pneumonia And Pleurisy Without Cc/mcc	10	$3,558.24	$20,370.90	$19,356.90	nat. median $4,710 outlier · 4.1×
897 MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	10	$3,462.93	$19,100.97	$18,086.97	nat. median $5,898 outlier · 3.1×
17559 CDM	Nursery - General Classification	11	$16,627.05	$18,474.50	$17,550.78	—
300 MS_DRG	Peripheral Vascular Disorders With Cc	10	$4,701.96	$18,258.60	$17,244.60	nat. median $7,999 outlier · 2.2×
914 MS_DRG	Traumatic Injury Without Mcc	10	$2,668.68	$18,149.70	$17,135.70	nat. median $6,473 outlier · 2.6×
536 MS_DRG	Fractures Of Hip And Pelvis Without Mcc	10	$4,956.12	$17,605.19	$16,591.19	nat. median $6,111 outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 3,849 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	10	10	$52,718.14	$39,538.61 25% off	$21,571.83	$134,514.14	$127,078.14	2026-06-30
516	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc	10	10	$46,097.48	$34,573.11 25% off	$7,974.27	$131,611.48	$123,837.48	2026-06-30
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	9	9	$55,103.17	$41,327.38 25% off	$12,104.37	$118,309.17	$112,563.17	2026-06-30
175	MS_DRG	Pulmonary Embolism With Mcc Or Acute Cor Pulmonale	10	10	$45,508.40	$34,131.30 25% off	$5,305.59	$112,432.40	$106,348.40	2026-06-30
593	MS_DRG	Skin Ulcers With Cc	8	8	$61,348.63	$46,011.47 25% off	$5,559.75	$179,648.63	$94,937.76	2026-06-30
565	MS_DRG	Other Musculoskeletal System And Connective Tissue Diagnoses With Cc	10	10	$38,886.79	$29,165.09 25% off	$5,972.76	$90,938.79	$86,206.79	2026-06-30
375	MS_DRG	Digestive Malignancy With Cc	10	10	$20,326.50	$15,244.88 25% off	$5,591.52	$53,788.50	$50,746.50	2026-06-30
439	MS_DRG	Disorders Of Pancreas Except Malignancy With Cc	10	10	$20,867.11	$15,650.33 25% off	$4,320.72	$50,611.11	$47,907.11	2026-06-30
602	MS_DRG	Cellulitis With Mcc	10	10	$23,218.34	$17,413.75 25% off	$7,021.17	$49,244.34	$46,878.34	2026-06-30
291	MS_DRG	Heart Failure And Shock With Mcc	10	10	$19,803.14	$14,852.35 25% off	$5,813.91	$49,547.14	$46,843.14	2026-06-30
539	MS_DRG	Osteomyelitis With Mcc	10	10	$18,935.17	$14,201.37 25% off	$12,072.60	$48,679.17	$45,975.17	2026-06-30
189	MS_DRG	Pulmonary Edema And Respiratory Failure	9	9	$15,034.33	$11,275.75 25% off	$4,638.42	$44,778.33	$42,074.33	2026-06-30
945	MS_DRG	Rehabilitation With Cc/mcc	8	8	$22,646.53	$16,984.90 25% off	$7,148.25	$67,262.53	$39,985.05	2026-06-30
65	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours	10	10	$13,709.34	$10,282.00 25% off	$5,877.45	$39,735.34	$37,369.34	2026-06-30
641	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	10	10	$13,656.15	$10,242.11 25% off	$4,670.19	$39,682.15	$37,316.15	2026-06-30
563	MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	10	10	$13,180.65	$9,885.49 25% off	$5,496.21	$39,206.65	$36,840.65	2026-06-30
70	MS_DRG	Other Cerebrovascular Disorders With Mcc	10	10	$12,943.49	$9,707.62 25% off	$8,832.06	$35,251.49	$33,223.49	2026-06-30
391	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc	10	10	$15,642.80	$11,732.10 25% off	$6,957.63	$34,232.80	$32,542.80	2026-06-30
J1628	HCPCS	Injection, Guselkumab, 1 Mg	18	18	$32,640.64	$24,480.48 25% off	$90.59	$32,640.64	$29,376.58	2026-06-30
689	MS_DRG	Kidney And Urinary Tract Infections With Mcc	10	10	$12,385.40	$9,289.05 25% off	$6,576.39	$30,975.40	$29,285.40	2026-06-30
552	MS_DRG	Medical Back Problems Without Mcc	10	10	$12,187.48	$9,140.61 25% off	$4,860.81	$30,777.48	$29,087.48	2026-06-30
154	MS_DRG	Other Ear, Nose, Mouth And Throat Diagnoses With Mcc	10	10	$12,086.15	$9,064.61 25% off	$4,543.11	$30,676.15	$28,986.15	2026-06-30
313	MS_DRG	Chest Pain	10	10	$11,331.99	$8,498.99 25% off	$3,145.23	$29,921.99	$28,231.99	2026-06-30
637	MS_DRG	Diabetes With Mcc	10	10	$10,717.14	$8,037.85 25% off	$5,559.75	$29,307.14	$27,617.14	2026-06-30
389	MS_DRG	Gastrointestinal Obstruction With Cc	10	10	$13,364.83	$10,023.62 25% off	$4,352.49	$28,236.83	$26,884.83	2026-06-30
J9217	HCPCS	Leuprolide Acetate (for Depot Suspension), 7.5 Mg	18	18	$28,976.64	$21,732.48 25% off	$221.63	$28,976.64	$26,078.98	2026-06-30
872	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	10	10	$12,368.82	$9,276.61 25% off	$4,701.96	$27,240.82	$25,888.82	2026-06-30
535	MS_DRG	Fractures Of Hip And Pelvis With Mcc	10	10	$11,632.93	$8,724.70 25% off	$7,847.19	$26,504.93	$25,152.93	2026-06-30
545	MS_DRG	Connective Tissue Disorders With Mcc	10	10	$11,210.38	$8,407.79 25% off	$11,210.38	$26,082.38	$24,730.38	2026-06-30
433	MS_DRG	Cirrhosis And Alcoholic Hepatitis With Cc	10	10	$10,986.09	$8,239.57 25% off	$4,606.65	$25,858.09	$24,506.09	2026-06-30
934	MS_DRG	Full Thickness Burn Without Skin Graft Or Inhalation Injury	8	8	$10,778.86	$8,084.15 25% off	$7,084.71	$31,058.86	$24,230.72	2026-06-30
176	MS_DRG	Pulmonary Embolism Without Mcc	10	10	$10,390.63	$7,792.97 25% off	$3,113.46	$25,262.63	$23,910.63	2026-06-30
564	MS_DRG	Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc	10	10	$10,318.33	$7,738.75 25% off	$9,467.46	$25,190.33	$23,838.33	2026-06-30
74	MS_DRG	Cranial And Peripheral Nerve Disorders Without Mcc	10	10	$10,150.20	$7,612.65 25% off	$4,670.19	$25,022.20	$23,670.20	2026-06-30
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	6	6	$43,540.82	$32,655.62 25% off	$12,708.00	$88,156.82	$22,560.06	2026-06-30
554	MS_DRG	Bone Diseases And Arthropathies Without Mcc	10	10	$8,999.18	$6,749.39 25% off	$5,083.20	$23,871.18	$22,519.18	2026-06-30
594	MS_DRG	Skin Ulcers Without Cc/mcc	10	10	$8,957.77	$6,718.33 25% off	$4,066.56	$23,829.77	$22,477.77	2026-06-30
17579	CDM	Nursery - General Classification	11	11	$23,656.50	$17,742.38 25% off	$21,290.85	$23,656.50	$22,473.68	2026-06-30
918	MS_DRG	Poisoning And Toxic Effects Of Drugs Without Mcc	10	10	$8,631.95	$6,473.96 25% off	$2,414.52	$23,503.95	$22,151.95	2026-06-30
792	MS_DRG	Prematurity Without Major Problems	1	1	$43,740.47	$32,805.35 25% off	$20,957.70	$20,957.70	$20,957.70	2026-06-30
190	MS_DRG	Chronic Obstructive Pulmonary Disease With Mcc	8	8	$12,706.86	$9,530.14 25% off	$5,083.20	$31,296.86	$20,549.32	2026-06-30
392	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc	10	10	$10,124.86	$7,593.64 25% off	$3,494.70	$21,278.86	$20,264.86	2026-06-30
638	MS_DRG	Diabetes With Cc	10	10	$9,922.79	$7,442.09 25% off	$3,462.93	$21,076.79	$20,062.79	2026-06-30
64	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	10	10	$9,224.14	$6,918.11 25% off	$9,224.14	$20,378.14	$19,364.14	2026-06-30
195	MS_DRG	Simple Pneumonia And Pleurisy Without Cc/mcc	10	10	$9,216.90	$6,912.68 25% off	$3,558.24	$20,370.90	$19,356.90	2026-06-30
897	MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	10	10	$7,946.97	$5,960.22 25% off	$3,462.93	$19,100.97	$18,086.97	2026-06-30
17559	CDM	Nursery - General Classification	11	11	$18,474.50	$13,855.88 25% off	$16,627.05	$18,474.50	$17,550.78	2026-06-30
300	MS_DRG	Peripheral Vascular Disorders With Cc	10	10	$7,104.60	$5,328.45 25% off	$4,701.96	$18,258.60	$17,244.60	2026-06-30
914	MS_DRG	Traumatic Injury Without Mcc	10	10	$6,995.70	$5,246.78 25% off	$2,668.68	$18,149.70	$17,135.70	2026-06-30
536	MS_DRG	Fractures Of Hip And Pelvis Without Mcc	10	10	$6,451.19	$4,838.39 25% off	$4,956.12	$17,605.19	$16,591.19	2026-06-30
544	MS_DRG	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…	8	8	$9,019.91	$6,764.93 25% off	$4,638.42	$25,919.91	$16,411.19	2026-06-30
2719771	CDM	Biomet Vks Ssk 360 Femoral	14	14	$15,936.75	$11,952.56 25% off	$7,490.27	$15,139.91	$14,343.08	2026-06-30
2720362	CDM	Oss Segmental Femoral	14	14	$14,884.75	$11,163.56 25% off	$6,995.83	$14,140.51	$13,396.28	2026-06-30
812	MS_DRG	Red Blood Cell Disorders Without Mcc	10	10	$6,415.03	$4,811.27 25% off	$4,161.87	$13,851.03	$13,175.03	2026-06-30
17549	CDM	Nursery - General Classification	11	11	$13,643.25	$10,232.44 25% off	$12,278.93	$13,643.25	$12,961.09	2026-06-30
690	MS_DRG	Kidney And Urinary Tract Infections Without Mcc	8	8	$7,965.45	$5,974.09 25% off	$4,034.79	$19,119.45	$12,903.60	2026-06-30
964	MS_DRG	Other Multiple Significant Trauma With Cc	10	10	$5,914.28	$4,435.71 25% off	$4,892.58	$16,173.94	$12,674.28	2026-06-30
378	MS_DRG	Gastrointestinal Hemorrhage With Cc	10	10	$5,716.50	$4,287.37 25% off	$4,797.27	$13,152.50	$12,476.50	2026-06-30
177	MS_DRG	Respiratory Infections And Inflammations With Mcc	9	9	$5,644.98	$4,233.74 25% off	$5,644.98	$13,080.98	$12,404.98	2026-06-30
639	MS_DRG	Diabetes Without Cc/mcc	10	10	$5,634.84	$4,226.13 25% off	$2,255.67	$13,070.84	$12,394.84	2026-06-30
949	MS_DRG	Aftercare With Cc/mcc	6	6	$30,481.47	$22,861.10 25% off	$9,850.92	$87,941.47	$12,199.68	2026-06-30
83	MS_DRG	Traumatic Stupor And Coma >1 Hour With Cc	10	10	$5,004.83	$3,753.62 25% off	$5,004.83	$14,455.53	$11,764.83	2026-06-30
559	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Mcc	4	4	$12,102.88	$9,077.16 25% off	$11,437.20	$16,555.48	$11,437.20	2026-06-30
557	MS_DRG	Tendonitis, Myositis And Bursitis With Mcc	7	7	$5,551.19	$4,163.39 25% off	$5,551.19	$15,691.19	$11,431.22	2026-06-30
3600150	CDM	Operating Room Services - General Classification	14	14	$12,540.25	$9,405.19 25% off	$5,893.92	$11,913.24	$11,286.23	2026-06-30
100	MS_DRG	Seizures With Mcc	9	9	$4,075.14	$3,056.36 25% off	$4,075.14	$11,511.14	$10,835.14	2026-06-30
Q4282	HCPCS	Cygnus Dual, Per Square Centimeter	51	17	$15,172.00	$11,379.00 25% off	$2,686.76	$22,619.00	$10,630.93	2026-06-30
2720270	CDM	Oss Elliptic.diaphys.segment	14	14	$11,802.50	$8,851.88 25% off	$5,547.18	$11,212.38	$10,622.25	2026-06-30
470	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …	4	4	$38,329.89	$28,747.42 25% off	$10,420.56	$22,152.04	$10,420.56	2026-06-30
560	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Cc	7	7	$30,713.57	$23,035.18 25% off	$8,609.67	$91,553.57	$9,647.67	2026-06-30
814	MS_DRG	Reticuloendothelial And Immunity Disorders With Mcc	4	4	$7,224.57	$5,418.43 25% off	$7,224.57	$17,126.12	$9,435.69	2026-06-30
2718868	CDM	Biomet Vks-knee Specif Cr Fmrl	14	14	$10,399.50	$7,799.63 25% off	$4,887.77	$9,879.53	$9,359.55	2026-06-30
947	MS_DRG	Signs And Symptoms With Mcc	6	6	$20,706.60	$15,529.95 25% off	$7,529.49	$54,506.60	$9,117.60	2026-06-30
J2356	HCPCS	Injection, Tezepelumab-ekko, 1 Mg	18	18	$9,677.88	$7,258.41 25% off	$22.90	$9,677.88	$8,710.09	2026-06-30
2718171	CDM	Knee System 4part(98000241520)	14	14	$9,480.75	$7,110.56 25% off	$4,455.95	$9,006.71	$8,532.68	2026-06-30
377	MS_DRG	Gastrointestinal Hemorrhage With Mcc	4	4	$14,658.18	$10,993.63 25% off	$8,450.82	$15,986.55	$8,450.82	2026-06-30
52	MS_DRG	Spinal Disorders And Injuries With Cc/mcc	4	4	$20,627.07	$15,470.30 25% off	$8,196.66	$16,618.95	$8,196.66	2026-06-30
2719672	CDM	Knee System 4part(98000240120)	14	14	$9,045.75	$6,784.31 25% off	$4,251.50	$8,593.46	$8,141.18	2026-06-30
871	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	4	4	$15,552.77	$11,664.58 25% off	$7,942.50	$17,657.09	$7,942.50	2026-06-30
2717693	CDM	Knee System 3part	14	14	$8,673.00	$6,504.75 25% off	$4,076.31	$8,239.35	$7,805.70	2026-06-30
57	MS_DRG	Degenerative Nervous System Disorders Without Mcc	4	4	$36,042.93	$27,032.20 25% off	$7,783.65	$11,364.72	$7,783.65	2026-06-30
281	MS_DRG	Acute Myocardial Infarction, Discharged Alive With Cc	6	6	$10,159.04	$7,619.28 25% off	$5,432.67	$21,313.04	$7,673.42	2026-06-30
2720794	CDM	Knee System 4part(98000240000)	14	14	$8,349.75	$6,262.31 25% off	$3,924.38	$7,932.26	$7,514.78	2026-06-30
J3101	HCPCS	Injection, Tenecteplase, 1 Mg	18	18	$8,289.25	$6,216.94 25% off	$208.95	$8,289.25	$7,460.33	2026-06-30
Q5115	HCPCS	Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg	18	18	$8,270.37	$6,202.78 25% off	$46.66	$8,270.37	$7,443.33	2026-06-30
J2182	HCPCS	Injection, Mepolizumab, 1 Mg	18	18	$8,120.11	$6,090.08 25% off	$38.95	$8,120.11	$7,308.10	2026-06-30
385	MS_DRG	Inflammatory Bowel Disease With Mcc	4	4	$16,740.13	$12,555.10 25% off	$7,307.10	$14,398.73	$7,307.10	2026-06-30
728	MS_DRG	Inflammation Of The Male Reproductive System Without Mcc	7	7	$3,504.39	$2,628.29 25% off	$2,605.14	$10,264.39	$7,150.98	2026-06-30
948	MS_DRG	Signs And Symptoms Without Mcc	4	4	$12,960.20	$9,720.15 25% off	$6,985.91	$7,116.48	$7,116.48	2026-06-30
445	MS_DRG	Disorders Of The Biliary Tract With Cc	6	6	$7,209.96	$5,407.47 25% off	$4,606.65	$14,645.96	$7,085.00	2026-06-30
683	MS_DRG	Renal Failure With Cc	6	6	$6,989.43	$5,242.07 25% off	$4,098.33	$14,425.43	$7,027.83	2026-06-30
54	MS_DRG	Nervous System Neoplasms With Mcc	4	4	$10,963.27	$8,222.45 25% off	$6,894.09	$12,268.51	$6,894.09	2026-06-30
7200029	CDM	Labor Room/delivery - Delivery Room	14	14	$7,593.00	$5,694.75 25% off	$3,568.71	$7,213.35	$6,833.70	2026-06-30
17569	CDM	Nursery - General Classification	11	11	$7,097.50	$5,323.13 25% off	$6,387.75	$7,097.50	$6,742.63	2026-06-30
3600073	CDM	Operating Room Services - General Classification	14	14	$7,306.00	$5,479.50 25% off	$3,433.82	$6,940.70	$6,575.40	2026-06-30
304	MS_DRG	Hypertension With Mcc	9	9	$2,994.38	$2,245.79 25% off	$2,994.38	$6,712.38	$6,374.38	2026-06-30
2720151	CDM	Biomet G7acet Shell Multihole	14	14	$7,076.50	$5,307.38 25% off	$3,325.96	$6,722.68	$6,368.85	2026-06-30
C1062	HCPCS	Intravertebral Body Fracture Augmentation With Implant (e.g., Metal, Polymer)	17	17	$6,966.25	$5,224.69 25% off	$3,274.14	$6,966.25	$6,269.63	2026-06-30
Q4197	HCPCS	Puraply Xt, Per Square Centimeter	17	17	$6,966.25	$5,224.69 25% off	$3,274.14	$6,966.25	$6,269.63	2026-06-30
2717405	CDM	Biomet M2a Magnum Hip System	14	14	$6,867.50	$5,150.63 25% off	$3,227.73	$6,524.13	$6,180.75	2026-06-30
179	MS_DRG	Respiratory Infections And Inflammations Without Cc/mcc	6	6	$13,716.65	$10,287.49 25% off	$2,922.84	$28,588.65	$6,061.44	2026-06-30
2720319	CDM	Oss Nonmod.long Tib. Baseplate	14	14	$6,664.25	$4,998.19 25% off	$3,132.20	$6,331.04	$5,997.83	2026-06-30
183	MS_DRG	Major Chest Trauma With Mcc	4	4	$16,140.61	$12,105.46 25% off	$5,909.22	$13,999.46	$5,909.22	2026-06-30
204	MS_DRG	Respiratory Signs And Symptoms	10	10	$2,489.07	$1,866.80 25% off	$2,489.07	$7,252.46	$5,869.07	2026-06-30
517	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc…	4	4	$22,582.67	$16,937.00 25% off	$5,813.91	$14,857.94	$5,813.91	2026-06-30
2719835	CDM	Biomet 360 Tibial Tray	14	14	$6,219.75	$4,664.81 25% off	$2,923.28	$5,908.76	$5,597.78	2026-06-30
7200017	CDM	Labor Room/delivery - Delivery Room	14	14	$6,097.00	$4,572.75 25% off	$2,865.59	$5,792.15	$5,487.30	2026-06-30
379	MS_DRG	Gastrointestinal Hemorrhage Without Cc/mcc	10	10	$2,099.71	$1,574.78 25% off	$2,099.71	$5,817.71	$5,479.71	2026-06-30
2718108	CDM	Biomet G7acet Shell 3or4hole	14	14	$6,088.50	$4,566.38 25% off	$2,861.60	$5,784.08	$5,479.65	2026-06-30
863	MS_DRG	Postoperative And Post-traumatic Infections Without Mcc	9	9	$2,099.61	$1,574.71 25% off	$2,099.61	$5,817.61	$5,479.61	2026-06-30
Q5108	HCPCS	Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg	18	18	$6,075.48	$4,556.61 25% off	$151.55	$6,075.48	$5,467.93	2026-06-30
558	MS_DRG	Tendonitis, Myositis And Bursitis Without Mcc	4	4	$3,818.53	$2,863.90 25% off	$3,818.53	$7,645.35	$5,464.44	2026-06-30
640	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	4	4	$22,306.01	$16,729.51 25% off	$5,305.59	$11,035.64	$5,305.59	2026-06-30
203	MS_DRG	Bronchitis And Asthma Without Cc/mcc	9	9	$1,912.75	$1,434.56 25% off	$1,912.75	$5,630.75	$5,292.75	2026-06-30
833	MS_DRG	Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc	10	10	$1,897.79	$1,423.34 25% off	$1,897.79	$5,615.79	$5,277.79	2026-06-30
J3111	HCPCS	Injection, Romosozumab-aqqg, 1 Mg	18	18	$5,843.08	$4,382.31 25% off	$14.78	$5,843.08	$5,258.77	2026-06-30
305	MS_DRG	Hypertension Without Mcc	6	6	$7,406.01	$5,554.51 25% off	$3,653.55	$14,842.01	$5,198.20	2026-06-30
282	MS_DRG	Acute Myocardial Infarction, Discharged Alive Without Cc/mcc	4	4	$3,923.73	$2,942.80 25% off	$3,923.73	$7,857.68	$5,178.51	2026-06-30
682	MS_DRG	Renal Failure With Mcc	4	4	$5,143.81	$3,857.86 25% off	$4,956.12	$14,420.48	$4,956.12	2026-06-30
561	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc	4	4	$24,939.77	$18,704.83 25% off	$4,924.35	$7,104.84	$4,924.35	2026-06-30
C1880	HCPCS	Vena Cava Filter	17	17	$5,392.25	$4,044.19 25% off	$2,534.36	$5,392.25	$4,853.03	2026-06-30
CI171	OTHER	Ar Maxforce Mtp Plate Std 5-5l	17	17	$5,291.50	$3,968.63 25% off	$2,487.01	$5,291.50	$4,762.35	2026-06-30
2719083	CDM	Biomet Vks-knee Cr Femoral	14	14	$5,219.25	$3,914.44 25% off	$2,453.05	$4,958.29	$4,697.33	2026-06-30
2717381	CDM	Biomet Taperloc Femoral	14	14	$5,219.25	$3,914.44 25% off	$2,453.05	$4,958.29	$4,697.33	2026-06-30
292	MS_DRG	Heart Failure And Shock With Cc	4	4	$10,441.16	$7,830.87 25% off	$4,670.19	$7,663.98	$4,670.19	2026-06-30
78814	HCPCS	Nuclear Medicine Study Limited Area With CT Scan	18	18	$5,126.25	$3,844.69 25% off	$1,378.65	$5,126.25	$4,613.63	2026-06-30
2719841	CDM	Biomet Vks Ps Tibial Bearing	14	14	$5,121.75	$3,841.31 25% off	$2,407.22	$4,865.66	$4,609.58	2026-06-30
55	MS_DRG	Nervous System Neoplasms Without Mcc	4	4	$8,253.06	$6,189.80 25% off	$4,606.65	$9,366.14	$4,606.65	2026-06-30
193	MS_DRG	Simple Pneumonia And Pleurisy With Mcc	4	4	$16,634.53	$12,475.89 25% off	$4,574.88	$12,323.75	$4,574.88	2026-06-30
G0330	HCPCS	Facility Services For Dental Rehabilitation Procedure(s) Performed On A Patient …	17	17	$5,015.00	$3,761.25 25% off	$2,357.05	$5,015.00	$4,513.50	2026-06-30
726	MS_DRG	Benign Prostatic Hypertrophy Without Mcc	6	6	$11,901.02	$8,925.77 25% off	$2,319.21	$34,209.02	$4,464.40	2026-06-30
950	MS_DRG	Aftercare Without Cc/mcc	4	4	$3,947.11	$2,960.33 25% off	$3,947.11	$6,461.52	$4,447.80	2026-06-30
644	MS_DRG	Endocrine Disorders With Cc	4	4	$9,920.29	$7,440.22 25% off	$4,447.80	$9,051.23	$4,447.80	2026-06-30
699	MS_DRG	Other Kidney And Urinary Tract Diagnoses With Cc	4	4	$6,390.15	$4,792.61 25% off	$4,320.72	$9,115.12	$4,320.72	2026-06-30
315	MS_DRG	Other Circulatory System Diagnoses With Cc	4	4	$5,884.23	$4,413.17 25% off	$4,225.41	$8,639.40	$4,225.41	2026-06-30
194	MS_DRG	Simple Pneumonia And Pleurisy With Cc	5	5	$10,308.32	$7,731.24 25% off	$4,193.64	$21,462.32	$4,193.64	2026-06-30
184	MS_DRG	Major Chest Trauma With Cc	4	4	$9,954.54	$7,465.91 25% off	$4,098.33	$10,161.33	$4,098.33	2026-06-30
2720139	CDM	Bio Knee Femoral Cemt Mo 65mm	14	14	$4,519.75	$3,389.81 25% off	$2,124.28	$4,293.76	$4,067.78	2026-06-30
C1776	HCPCS	Joint Device (implantable)	221	17	$6,871.50	$5,153.63 25% off	$940.47	$20,832.25	$4,042.94	2026-06-30
603	MS_DRG	Cellulitis Without Mcc	4	4	$16,029.56	$12,022.17 25% off	$4,003.02	$8,234.03	$4,003.02	2026-06-30
Q4159	HCPCS	Affinity, Per Square Centimeter	18	18	$4,425.75	$3,319.31 25% off	$430.92	$4,425.75	$3,983.18	2026-06-30
951	MS_DRG	Other Factors Influencing Health Status	4	4	$3,484.98	$2,613.74 25% off	$3,484.98	$6,062.09	$3,939.48	2026-06-30
7200048	CDM	Labor Room/delivery - Delivery Room	14	14	$4,357.25	$3,267.94 25% off	$2,047.91	$4,139.39	$3,921.53	2026-06-30
C1762	HCPCS	Connective Tissue, Human (includes Fascia Lata)	68	17	$6,480.50	$4,860.38 25% off	$1,772.02	$7,458.00	$3,855.79	2026-06-30
C1765	HCPCS	Adhesion Barrier	17	17	$4,242.25	$3,181.69 25% off	$1,993.86	$4,242.25	$3,818.03	2026-06-30
178	MS_DRG	Respiratory Infections And Inflammations With Cc	4	4	$6,905.04	$5,178.78 25% off	$3,780.63	$11,509.42	$3,780.63	2026-06-30
394	MS_DRG	Other Digestive System Diagnoses With Cc	4	4	$25,239.81	$18,929.86 25% off	$3,717.09	$8,350.96	$3,717.09	2026-06-30
90	MS_DRG	Concussion Without Cc/mcc	3	3	$1,679.55	$1,259.66 25% off	$1,679.55	$3,717.09	$3,717.09	2026-06-30
101	MS_DRG	Seizures Without Mcc	4	4	$11,571.04	$8,678.28 25% off	$3,717.09	$7,965.61	$3,717.09	2026-06-30
2722009	CDM	Avaflex Kit 11g 20mm	14	14	$4,098.00	$3,073.50 25% off	$1,926.06	$3,893.10	$3,688.20	2026-06-30
J0897	HCPCS	Injection, Denosumab, 1 Mg	18	18	$4,066.40	$3,049.80 25% off	$35.58	$4,066.40	$3,659.76	2026-06-30
723	MS_DRG	Malignancy, Male Reproductive System With Cc	4	4	$5,432.16	$4,074.12 25% off	$3,653.55	$10,423.40	$3,653.55	2026-06-30
197	MS_DRG	Interstitial Lung Disease With Cc	4	4	$18,691.48	$14,018.61 25% off	$3,653.55	$10,271.45	$3,653.55	2026-06-30
15275	HCPCS	Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne…	33	18	$7,722.00	$5,791.50 25% off	$79.13	$7,722.00	$3,629.34	2026-06-30
69	MS_DRG	Transient Ischemia Without Thrombolytic	4	4	$12,522.03	$9,391.52 25% off	$3,621.78	$6,985.91	$3,621.78	2026-06-30
93	MS_DRG	Other Disorders Of Nervous System Without Cc/mcc	4	4	$10,676.37	$8,007.28 25% off	$3,590.01	$6,942.41	$3,590.01	2026-06-30
2719792	CDM	Biomet Splined Knee Stem V2	14	14	$3,939.75	$2,954.81 25% off	$1,851.68	$3,742.76	$3,545.78	2026-06-30
27562	HCPCS	Closed Treatment Of Dislocated Kneecap Under Anesthesia	18	18	$3,924.00	$2,943.00 25% off	$1,844.28	$3,924.00	$3,531.60	2026-06-30
J1602	HCPCS	Injection, Golimumab, 1 Mg, For Intravenous Use	18	18	$3,913.12	$2,934.84 25% off	$13.26	$3,913.12	$3,521.81	2026-06-30
2722627	CDM	11g 20mm Omnicurve Fractur Kit	14	14	$3,862.50	$2,896.88 25% off	$1,815.38	$3,669.38	$3,476.25	2026-06-30
2717393	CDM	Antioxident Infused Uhmwpe	14	14	$3,827.25	$2,870.44 25% off	$1,798.81	$3,635.89	$3,444.53	2026-06-30
440	MS_DRG	Disorders Of Pancreas Except Malignancy Without Cc/mcc	4	4	$13,956.23	$10,467.17 25% off	$3,367.62	$5,986.94	$3,367.62	2026-06-30
4010019	CDM	PET Scan Other Facility	14	14	$3,712.80	$2,784.60 25% off	$1,745.02	$3,527.16	$3,341.52	2026-06-30
22514	HCPCS	Treatment Of Broken Lower Spine Bone With Placement Of Stabilizing Device	18	18	$3,641.50	$2,731.13 25% off	$1,711.51	$8,929.66	$3,331.97	2026-06-30
22513	HCPCS	Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using…	18	18	$3,641.50	$2,731.13 25% off	$1,711.51	$8,929.66	$3,331.97	2026-06-30
2720772	CDM	Psn Str Hyb Stem Extention	14	14	$3,653.75	$2,740.31 25% off	$1,717.26	$3,471.06	$3,288.38	2026-06-30
191	MS_DRG	Chronic Obstructive Pulmonary Disease With Cc	4	4	$12,040.95	$9,030.71 25% off	$3,240.54	$8,608.96	$3,240.54	2026-06-30
2720374	CDM	Oss Interlok Bowed IM Stem	14	14	$3,467.50	$2,600.63 25% off	$1,629.73	$3,294.13	$3,120.75	2026-06-30
81229	HCPCS	Genome-wide Microarray Analysis For Copy Number And Single Nucleotide Polymorphi…	17	17	$3,406.75	$2,555.06 25% off	$1,528.00	$3,406.75	$3,066.08	2026-06-30
920	MS_DRG	Complications Of Treatment With Cc	4	4	$51,015.39	$38,261.54 25% off	$3,049.92	$9,093.83	$3,049.92	2026-06-30
J0875	HCPCS	Injection, Dalbavancin, 5 Mg	18	18	$3,385.75	$2,539.31 25% off	$20.31	$3,385.75	$3,047.18	2026-06-30
965	MS_DRG	Other Multiple Significant Trauma Without Cc/mcc	4	4	$7,809.26	$5,856.95 25% off	$3,018.15	$10,739.77	$3,018.15	2026-06-30
74174	HCPCS	CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast	18	18	$3,332.00	$2,499.00 25% off	$1,566.04	$3,332.00	$2,998.80	2026-06-30
74175	HCPCS	CT Scan Of Blood Vessels Of Abdomen With Contrast	18	18	$3,332.00	$2,499.00 25% off	$1,186.59	$3,332.00	$2,998.80	2026-06-30
72191	HCPCS	CT Scan Of Blood Vessels Of Pelvis With Contrast	18	18	$3,332.00	$2,499.00 25% off	$222.53	$3,332.00	$2,998.80	2026-06-30
71275	HCPCS	CT Scan Of Blood Vessels Of Chest With Contrast	18	18	$3,332.00	$2,499.00 25% off	$1,143.85	$3,332.00	$2,998.80	2026-06-30
73706	HCPCS	CT Scan Of Blood Vessels Of Lower Leg With Contrast	18	18	$3,332.00	$2,499.00 25% off	$222.53	$3,332.00	$2,998.80	2026-06-30
73206	HCPCS	CT Scan Of Blood Vessels Of Arm With Contrast	18	18	$3,332.00	$2,499.00 25% off	$222.53	$3,332.00	$2,998.80	2026-06-30
70498	HCPCS	CT Scan Of Blood Vessels Of Neck With Contrast	18	18	$3,332.00	$2,499.00 25% off	$1,159.64	$3,332.00	$2,998.80	2026-06-30
70496	HCPCS	CT Scan Of Blood Vessels Of Head With Contrast	18	18	$3,332.00	$2,499.00 25% off	$1,158.71	$3,332.00	$2,998.80	2026-06-30
75635	HCPCS	CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast	18	18	$3,332.00	$2,499.00 25% off	$1,249.77	$3,332.00	$2,998.80	2026-06-30
J7325	HCPCS	Hyaluronan Or Derivative, Synvisc Or Synvisc-one, For Intra-articular Injection,…	18	18	$3,299.68	$2,474.76 25% off	$11.78	$3,299.68	$2,969.71	2026-06-30
99291	HCPCS	Critical Care, First 30-74 Minutes	18	18	$3,298.25	$2,473.69 25% off	$1,021.79	$3,298.25	$2,968.43	2026-06-30
390	MS_DRG	Gastrointestinal Obstruction Without Cc/mcc	4	4	$7,591.70	$5,693.78 25% off	$2,954.61	$5,658.14	$2,954.61	2026-06-30
17529	CDM	Nursery - General Classification	11	11	$3,077.50	$2,308.13 25% off	$2,769.75	$3,077.50	$2,923.63	2026-06-30
2718091	CDM	Biomet G7 Acet Liner-hip	14	14	$3,236.50	$2,427.38 25% off	$1,521.16	$3,074.68	$2,912.85	2026-06-30
309	MS_DRG	Cardiac Arrhythmia And Conduction Disorders With Cc	4	4	$9,002.15	$6,751.61 25% off	$2,859.30	$7,370.72	$2,859.30	2026-06-30
J2357	HCPCS	Injection, Omalizumab, 5 Mg	18	18	$3,172.03	$2,379.02 25% off	$51.61	$3,172.03	$2,854.83	2026-06-30
70543	HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast	18	18	$3,027.50	$2,270.63 25% off	$552.52	$3,027.50	$2,724.75	2026-06-30
2720527	CDM	Biomet G7 Pps Acet Shell	14	14	$3,027.25	$2,270.44 25% off	$1,422.81	$2,875.89	$2,724.53	2026-06-30
17539	CDM	Nursery - General Classification	11	11	$2,842.75	$2,132.06 25% off	$2,558.48	$2,842.75	$2,700.61	2026-06-30
2719809	CDM	Biomet Smooth Knee Stem	14	14	$2,985.25	$2,238.94 25% off	$1,403.07	$2,835.99	$2,686.73	2026-06-30
70553	HCPCS	MRI Scan Of Brain Before And After Contrast	35	18	$2,816.25	$2,112.19 25% off	$552.52	$3,317.75	$2,675.44	2026-06-30
293	MS_DRG	Heart Failure And Shock Without Cc/mcc	4	4	$4,966.20	$3,724.65 25% off	$2,668.68	$5,746.99	$2,668.68	2026-06-30
J2796	HCPCS	Injection, Romiplostim, 10 Micrograms	17	17	$2,950.65	$2,212.99 25% off	$1,386.81	$2,950.65	$2,655.59	2026-06-30
2722217	CDM	Vivacit-e Dm Bearing 28x40mm	14	14	$2,950.50	$2,212.88 25% off	$1,386.74	$2,802.98	$2,655.45	2026-06-30
2718871	CDM	Biomet Knee Tibial Bearing	14	14	$2,922.75	$2,192.06 25% off	$1,373.69	$2,776.61	$2,630.48	2026-06-30
2719400	CDM	Psn Asf Uc Fixed Bearing	14	14	$2,892.50	$2,169.38 25% off	$1,359.48	$2,747.88	$2,603.25	2026-06-30
95811	HCPCS	Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)	18	18	$2,888.50	$2,166.38 25% off	$1,271.74	$2,888.50	$2,599.65	2026-06-30
2718420	CDM	Crs Glenosphere Baseplate	14	14	$2,845.00	$2,133.75 25% off	$1,337.15	$2,702.75	$2,560.50	2026-06-30
684	MS_DRG	Renal Failure Without Cc/mcc	4	4	$8,127.03	$6,095.27 25% off	$2,541.60	$7,015.17	$2,541.60	2026-06-30
72156	HCPCS	MRI Scan Of Upper Spinal Canal Before And After Contrast	18	18	$2,816.25	$2,112.19 25% off	$552.52	$2,816.25	$2,534.63	2026-06-30
72158	HCPCS	MRI Scan Of Lower Spinal Canal Before And After Contrast	18	18	$2,816.25	$2,112.19 25% off	$552.52	$2,816.25	$2,534.63	2026-06-30
2720760	CDM	Psn Tib Stm Natural Tibia	14	14	$2,809.75	$2,107.31 25% off	$1,320.58	$2,669.26	$2,528.78	2026-06-30
75825	HCPCS	Review By Radiologist Of Major Lower Body Vein Image	18	18	$2,762.50	$2,071.88 25% off	$1,298.38	$3,934.38	$2,527.69	2026-06-30
72197	HCPCS	MRI Scan Of Pelvis Before And After Contrast	18	18	$2,803.50	$2,102.63 25% off	$552.52	$2,803.50	$2,523.15	2026-06-30
J0129	HCPCS	Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere…	18	18	$2,802.49	$2,101.87 25% off	$53.90	$2,802.49	$2,522.24	2026-06-30
11044	HCPCS	Removal Of Bone, 20.0 Sq Cm Or Less	18	18	$2,789.50	$2,092.13 25% off	$1,311.07	$2,789.50	$2,510.55	2026-06-30
70542	HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast	18	18	$2,762.75	$2,072.06 25% off	$552.52	$2,762.75	$2,486.48	2026-06-30
192	MS_DRG	Chronic Obstructive Pulmonary Disease Without Cc/mcc	4	4	$7,684.65	$5,763.48 25% off	$2,478.06	$7,223.86	$2,478.06	2026-06-30
73223	HCPCS	MRI Scan Of Arm Joint Before And After Contrast	35	18	$2,734.25	$2,050.69 25% off	$552.52	$2,734.25	$2,460.83	2026-06-30
J1439	HCPCS	Injection, Ferric Carboxymaltose, 1 Mg	18	18	$2,719.80	$2,039.85 25% off	$1.45	$2,719.80	$2,447.82	2026-06-30
2721115	CDM	Biomet Vg360rs Postfemaug Bloc	14	14	$2,686.00	$2,014.50 25% off	$1,262.42	$2,551.70	$2,417.40	2026-06-30
73720	HCPCS	MRI Scan Of Leg Before And After Contrast	18	18	$2,664.50	$1,998.38 25% off	$552.52	$2,664.50	$2,398.05	2026-06-30
73723	HCPCS	MRI Scan Of Leg Joint Before And After Contrast	18	18	$2,664.50	$1,998.38 25% off	$552.52	$2,664.50	$2,398.05	2026-06-30
2719907	CDM	Biomet Vg360 Splined Knee Stem	14	14	$2,641.75	$1,981.31 25% off	$1,241.62	$2,509.66	$2,377.58	2026-06-30
74183	HCPCS	MRI Scan Of Abdomen Before And After Contrast	18	18	$2,636.75	$1,977.56 25% off	$552.52	$2,636.75	$2,373.08	2026-06-30
70549	HCPCS	MRI Scan Of Blood Vessels Of Neck Before And After Contrast	18	18	$2,624.75	$1,968.56 25% off	$664.93	$2,624.75	$2,362.28	2026-06-30
70546	HCPCS	MRI Scan Of Blood Vessels Of Head Before And After Contrast	18	18	$2,624.75	$1,968.56 25% off	$664.93	$2,624.75	$2,362.28	2026-06-30
70544	HCPCS	MRI Scan Of Blood Vessels Of Head Without Contrast	18	18	$2,624.75	$1,968.56 25% off	$664.93	$2,624.75	$2,362.28	2026-06-30
72147	HCPCS	MRI Scan Of Middle Spinal Canal With Contrast	18	18	$2,616.00	$1,962.00 25% off	$552.52	$2,616.00	$2,354.40	2026-06-30
72142	HCPCS	MRI Scan Of Upper Spinal Canal With Contrast	18	18	$2,616.00	$1,962.00 25% off	$552.52	$2,616.00	$2,354.40	2026-06-30
70552	HCPCS	MRI Scan Of Brain With Contrast	18	18	$2,616.00	$1,962.00 25% off	$552.52	$2,616.00	$2,354.40	2026-06-30
72157	HCPCS	MRI Scan Of Middle Spinal Canal Before And After Contrast	18	18	$2,616.00	$1,962.00 25% off	$552.52	$2,616.00	$2,354.40	2026-06-30
72196	HCPCS	MRI Scan Of Pelvis With Contrast	18	18	$2,603.50	$1,952.63 25% off	$552.52	$2,603.50	$2,343.15	2026-06-30
2720416	CDM	Stryker Aliquot Dir Bone Tamp	14	14	$2,578.75	$1,934.06 25% off	$1,212.01	$2,449.81	$2,320.88	2026-06-30
72130	HCPCS	CT Scan Of Middle Spine Before And After Contrast	18	18	$2,559.75	$1,919.81 25% off	$480.41	$2,559.75	$2,303.78	2026-06-30
74178	HCPCS	CT Scan Of Abdomen And Pelvis Before And After Contrast	18	18	$2,559.75	$1,919.81 25% off	$480.41	$2,559.75	$2,303.78	2026-06-30
26010	CDM	Room & Board - Semi-private (two Beds) - General Classification	11	11	$2,414.25	$1,810.69 25% off	$2,172.83	$2,414.25	$2,293.54	2026-06-30
70540	HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast	18	18	$2,545.25	$1,908.94 25% off	$552.52	$2,545.25	$2,290.73	2026-06-30
2718058	CDM	Biomet Plasmax Plus	14	14	$2,542.00	$1,906.50 25% off	$1,194.74	$2,414.90	$2,287.80	2026-06-30
74177	HCPCS	CT Scan Of Abdomen And Pelvis With Contrast	18	18	$2,526.00	$1,894.50 25% off	$480.41	$2,526.00	$2,273.40	2026-06-30
95810	HCPCS	Sleep Study In Sleep Lab (6 Years Or Older)	18	18	$2,511.75	$1,883.81 25% off	$1,180.52	$2,511.75	$2,260.58	2026-06-30
310	MS_DRG	Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc	4	4	$6,807.22	$5,105.41 25% off	$2,255.67	$5,410.09	$2,255.67	2026-06-30
15271	HCPCS	Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C…	33	18	$4,798.00	$3,598.50 25% off	$69.81	$4,798.00	$2,255.06	2026-06-30
2718844	CDM	Biomet Vks-knee Tibial Plate	14	14	$2,505.50	$1,879.13 25% off	$1,177.59	$2,380.23	$2,254.95	2026-06-30
2722625	CDM	13g 10mm Ivas Kit	14	14	$2,464.50	$1,848.38 25% off	$1,158.32	$2,341.28	$2,218.05	2026-06-30
35206	HCPCS	Repair Of Blood Vessel Of Arm	18	18	$2,448.25	$1,836.19 25% off	$1,150.68	$2,448.25	$2,203.43	2026-06-30
149	MS_DRG	Dysequilibrium	4	4	$6,685.14	$5,013.86 25% off	$2,192.13	$6,541.24	$2,192.13	2026-06-30
78630	HCPCS	Nuclear Medicine Study Of Cerebrospinal Fluid Flow After Injection Of Contrast I…	17	17	$2,427.75	$1,820.81 25% off	$1,141.04	$2,427.75	$2,184.98	2026-06-30
72148	HCPCS	MRI Scan Of Lower Spinal Canal Without Contrast	18	18	$2,415.75	$1,811.81 25% off	$552.52	$2,415.75	$2,174.18	2026-06-30
72146	HCPCS	MRI Scan Of Middle Spinal Canal Without Contrast	18	18	$2,415.75	$1,811.81 25% off	$552.52	$2,415.75	$2,174.18	2026-06-30
72141	HCPCS	MRI Scan Of Upper Spinal Canal Without Contrast	18	18	$2,415.75	$1,811.81 25% off	$552.52	$2,415.75	$2,174.18	2026-06-30
70551	HCPCS	MRI Scan Of Brain Without Contrast	18	18	$2,415.75	$1,811.81 25% off	$552.52	$2,415.75	$2,174.18	2026-06-30
72149	HCPCS	MRI Scan Of Lower Spinal Canal With Contrast	18	18	$2,415.75	$1,811.81 25% off	$552.52	$2,415.75	$2,174.18	2026-06-30
93306	HCPCS	Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…	18	18	$2,405.00	$1,803.75 25% off	$1,130.35	$2,405.00	$2,164.50	2026-06-30
19083	HCPCS	Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, First Growth	18	18	$2,372.25	$1,779.19 25% off	$1,114.96	$2,372.25	$2,135.03	2026-06-30
2717370	CDM	Biolox Delta Opt Ceramic Head	14	14	$2,370.25	$1,777.69 25% off	$1,114.02	$2,251.74	$2,133.23	2026-06-30
Q0138	HCPCS	Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd …	18	18	$2,353.81	$1,765.36 25% off	$0.42	$2,353.81	$2,118.43	2026-06-30
71552	HCPCS	MRI Scan Of Chest Before And After Contrast	18	18	$2,353.75	$1,765.31 25% off	$552.52	$2,353.75	$2,118.38	2026-06-30
J9395	HCPCS	Injection, Fulvestrant, 25 Mg	18	18	$2,329.97	$1,747.48 25% off	$8.87	$2,329.97	$2,096.97	2026-06-30
2528926	CDM	Ozempic 0.25-0.5 Mg/dose Pen	14	14	$2,321.99	$1,741.49 25% off	$1,091.34	$2,205.89	$2,089.79	2026-06-30
2720538	CDM	Closure Devise Dermaclose Reg	14	14	$2,318.00	$1,738.50 25% off	$1,089.46	$2,202.10	$2,086.20	2026-06-30
2717417	CDM	Cable-ready Cable Grip System	14	14	$2,305.50	$1,729.13 25% off	$1,083.59	$2,190.23	$2,074.95	2026-06-30
2529122	CDM	Ozempic 1 Mg/dose (4 Mg/3 Ml)	14	14	$2,282.88	$1,712.16 25% off	$1,072.95	$2,168.74	$2,054.59	2026-06-30
99292	HCPCS	Critical Care, Each Additional 30 Minutes	18	18	$2,281.75	$1,711.31 25% off	$303.29	$2,281.75	$2,053.58	2026-06-30
74185	HCPCS	MRI Scan Of Blood Vessels Of Abdomen	18	18	$2,268.75	$1,701.56 25% off	$664.93	$2,268.75	$2,041.88	2026-06-30
2720515	CDM	Biomet Aahs Dm Bearing ArComXL	14	14	$2,262.00	$1,696.50 25% off	$1,063.14	$2,148.90	$2,035.80	2026-06-30
16016	CDM	Room & Board - Semi-private (two Beds) - General Classification	11	11	$2,114.00	$1,585.50 25% off	$1,902.60	$2,114.00	$2,008.30	2026-06-30
71550	HCPCS	MRI Scan Of Chest Without Contrast	18	18	$2,213.00	$1,659.75 25% off	$552.52	$2,213.00	$1,991.70	2026-06-30
74181	HCPCS	MRI Scan Of Abdomen Without Contrast	18	18	$2,213.00	$1,659.75 25% off	$552.52	$2,213.00	$1,991.70	2026-06-30
72195	HCPCS	MRI Scan Of Pelvis Without Contrast	18	18	$2,213.00	$1,659.75 25% off	$552.52	$2,213.00	$1,991.70	2026-06-30
72129	HCPCS	CT Scan Of Middle Spine With Contrast	18	18	$2,208.50	$1,656.38 25% off	$480.41	$2,208.50	$1,987.65	2026-06-30
74176	HCPCS	CT Scan Of Abdomen And Pelvis Without Contrast	18	18	$2,208.50	$1,656.38 25% off	$480.41	$2,208.50	$1,987.65	2026-06-30
2710977	CDM	Stapler Auto Suture 3.5	14	14	$2,177.25	$1,632.94 25% off	$1,023.31	$2,068.39	$1,959.53	2026-06-30
2720351	CDM	Oss Tibial Bearing	14	14	$2,170.00	$1,627.50 25% off	$1,019.90	$2,061.50	$1,953.00	2026-06-30
L3720	HCPCS	Elbow Orthosis, Double Upright With Forearm/arm Cuffs, Free Motion, Custom Fabri…	18	18	$2,165.50	$1,624.13 25% off	$934.84	$2,165.50	$1,948.95	2026-06-30
2720127	CDM	Bio Knee Tibial Cem Mold 65mm	14	14	$2,156.25	$1,617.19 25% off	$1,013.44	$2,048.44	$1,940.63	2026-06-30
95805	HCPCS	Sleep Study, Multiple Trials	18	18	$2,150.00	$1,612.50 25% off	$1,010.50	$2,150.00	$1,935.00	2026-06-30
S0013	HCPCS	Esketamine, Nasal Spray, 1 Mg	34	17	$2,493.91	$1,870.43 25% off	$938.11	$2,991.84	$1,896.18	2026-06-30
35940	HCPCS	Hmc Filter Plcmt,ivc Perc	17	17	$2,080.75	$1,560.56 25% off	$977.95	$2,080.75	$1,872.68	2026-06-30
2719780	CDM	Biomet Vg360rs Femoral Augment	14	14	$2,070.75	$1,553.06 25% off	$973.25	$1,967.21	$1,863.68	2026-06-30
2722300	CDM	Veraflo Cleanse Choice Comp Lg	14	14	$2,062.75	$1,547.06 25% off	$969.49	$1,959.61	$1,856.48	2026-06-30
72133	HCPCS	CT Scan Of Lower Spine Before And After Contrast	18	18	$2,060.00	$1,545.00 25% off	$480.41	$2,060.00	$1,854.00	2026-06-30
72127	HCPCS	CT Scan Of Upper Spine Before And After Contrast	18	18	$2,060.00	$1,545.00 25% off	$480.41	$2,060.00	$1,854.00	2026-06-30
36556	HCPCS	Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older)	18	18	$2,008.25	$1,506.19 25% off	$943.88	$3,934.38	$1,837.55	2026-06-30
2720327	CDM	Oss Yoke	14	14	$2,035.75	$1,526.81 25% off	$956.80	$1,933.96	$1,832.18	2026-06-30
Q4101	HCPCS	Apligraf, Per Square Centimeter	17	17	$2,029.25	$1,521.94 25% off	$953.75	$2,029.25	$1,826.33	2026-06-30
2722614	CDM	11g 15mm Ivas Elite Single Kit	14	14	$2,022.00	$1,516.50 25% off	$950.34	$1,920.90	$1,819.80	2026-06-30
70470	HCPCS	CT Scan Of Head Or Brain Before And After Contrast	18	18	$2,019.25	$1,514.44 25% off	$480.41	$2,019.25	$1,817.33	2026-06-30
36010	HCPCS	Insertion Of Tube Into Vena Cava	18	18	$2,014.00	$1,510.50 25% off	$659.53	$2,014.00	$1,812.60	2026-06-30
73718	HCPCS	MRI Scan Of Leg Without Contrast	18	18	$2,013.75	$1,510.31 25% off	$552.52	$2,013.75	$1,812.38	2026-06-30
73721	HCPCS	MRI Scan Of Leg Joint Without Contrast	18	18	$2,013.75	$1,510.31 25% off	$552.52	$2,013.75	$1,812.38	2026-06-30
73722	HCPCS	MRI Scan Of Leg Joint With Contrast	18	18	$2,013.75	$1,510.31 25% off	$552.52	$2,013.75	$1,812.38	2026-06-30
93312	HCPCS	Ultrasound Of Heart With Probe In Esophagus, With Report	18	18	$2,013.75	$1,510.31 25% off	$683.63	$2,013.75	$1,812.38	2026-06-30
73222	HCPCS	MRI Scan Of Arm Joint With Contrast	18	18	$2,013.75	$1,510.31 25% off	$552.52	$2,013.75	$1,812.38	2026-06-30
73221	HCPCS	MRI Scan Of Arm Joint Without Contrast	18	18	$2,013.75	$1,510.31 25% off	$552.52	$2,013.75	$1,812.38	2026-06-30
73220	HCPCS	MRI Scan Of Arm Before And After Contrast	18	18	$2,013.75	$1,510.31 25% off	$552.52	$2,013.75	$1,812.38	2026-06-30
73218	HCPCS	MRI Scan Of Arm Without Contrast	18	18	$2,013.75	$1,510.31 25% off	$552.52	$2,013.75	$1,812.38	2026-06-30
74170	HCPCS	CT Scan Of Abdomen Before And After Contrast	18	18	$2,003.25	$1,502.44 25% off	$480.41	$2,003.25	$1,802.93	2026-06-30
17519	CDM	Nursery - General Classification	11	11	$1,892.50	$1,419.38 25% off	$1,703.25	$1,892.50	$1,797.88	2026-06-30
71270	HCPCS	CT Scan Of Chest Before And After Contrast	18	18	$1,980.00	$1,485.00 25% off	$480.41	$1,980.00	$1,782.00	2026-06-30
64635	HCPCS	Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,…	18	18	$1,946.50	$1,459.88 25% off	$914.86	$2,440.96	$1,781.05	2026-06-30
64633	HCPCS	Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,…	18	18	$1,946.50	$1,459.88 25% off	$914.86	$2,440.96	$1,781.05	2026-06-30
74160	HCPCS	CT Scan Of Abdomen With Contrast	18	18	$1,956.25	$1,467.19 25% off	$480.41	$1,956.25	$1,760.63	2026-06-30
64624	HCPCS	Destruction Of Nerve Branches Of Knee Using Imaging Guidance	17	17	$1,946.50	$1,459.88 25% off	$914.86	$1,946.50	$1,751.85	2026-06-30
2710317	CDM	Stapler Auto Suture 2.5	14	14	$1,940.50	$1,455.38 25% off	$912.04	$1,843.48	$1,746.45	2026-06-30
72128	HCPCS	CT Scan Of Middle Spine Without Contrast	18	18	$1,939.00	$1,454.25 25% off	$480.41	$1,939.00	$1,745.10	2026-06-30
70491	HCPCS	CT Scan Of Soft Tissue Of Neck With Contrast	18	18	$1,939.00	$1,454.25 25% off	$480.41	$1,939.00	$1,745.10	2026-06-30
70460	HCPCS	CT Scan Head Or Brain With Contrast	18	18	$1,939.00	$1,454.25 25% off	$480.41	$1,939.00	$1,745.10	2026-06-30

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