Hospital

KINGMAN HEALTHCARE CENTER

Kingman, KS · CCN 171378 · Rates published

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You selected 93350 (CPT)

STRESS TTE ONLY

This hospital’s price: $184 across 3 payers · range $184-$580

Source: https://mrfs.hyvehealthcare.com/NinnescahValleyHealth/480761700_ninnescah-valley-health-systems-inc_standardcharges.json · observed 2026-07-29

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.

20,388 distinct procedures filed

14 distinct payers

657,809 rate rows

2026-07-29 last MRF observed

Data quality

449,724 of 657,809 rate rows are consumer-grade (68.4%)

208,085 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	184,161
per-diem day rate — not a per-procedure price	13,822
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	9,222
template filing: same amount across many unrelated codes — excluded	550
placeholder amount (≤ $0.02) — excluded from medians	180
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	116
exceeds 10× this hospital's gross charge — excluded from medians	34

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

Source MRF file	https://mrfs.hyvehealthcare.com/NinnescahValleyHealth/480761700_ninnescah-valley-health-systems-inc_standardcharges.json
Found on page	https://www.kingmanhc.com/patient-portal-info/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-01
Content fingerprint	a92b5dfe3fd56606… · 74,154,585 bytes · first seen 2026-08-31

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
J1413 HCPCS	Inj Delandistrogene Mox Rokl	12	$4,000,000.00	$4,000,000.00	$4,000,000.00	nat. median $3,324,572 1.2× median
J1414 HCPCS	Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose	12	$3,508,750.00	$3,508,750.00	$3,508,750.00	nat. median $3,710,000 0.9× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	12	$3,508,750.00	$3,508,750.00	$3,508,750.00	nat. median $3,705,478 0.9× median
J3394 HCPCS	Injection, Lovotibeglogene Autotemcel, Per Treatment	12	$3,100,000.00	$3,100,000.00	$3,100,000.00	nat. median $3,286,000 0.9× median
J3393 HCPCS	Injection, Betibeglogene Autotemcel, Per Treatment	12	$2,800,000.00	$2,800,000.00	$2,800,000.00	nat. median $2,994,107 0.9× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	12	$2,397,684.95	$2,397,684.95	$2,397,684.95	nat. median $2,467,386 1.0× median
J3392 HCPCS	Injection, Exagamglogene Autotemcel, Per Treatment	12	$2,205,500.00	$2,205,500.00	$2,205,500.00	nat. median $2,401,965 0.9× median
Q2057 HCPCS	Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure…	13	$770,620.00	$867,292.82	$818,956.41	nat. median $813,967 1.0× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	13	$565,623.84	$614,180.81	$565,623.84	nat. median $739,258 0.8× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	14	$551,318.34	$588,494.81	$551,318.34	nat. median $646,415 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	14	$528,312.43	$559,781.08	$528,312.43	nat. median $622,450 0.8× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	14	$516,485.97	$522,678.78	$516,485.97	nat. median $640,950 0.8× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	14	$489,517.15	$531,849.12	$489,517.15	nat. median $608,239 0.8× median
Q2053 HCPCS	Brexucabtagene Car Pos T	14	$463,155.00	$489,290.60	$488,051.51	nat. median $591,721 0.8× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	$108,916.60	$426,668.40	$138,104.19	nat. median $359,454 outlier · 0.4×
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	3	$74,850.12	$125,771.83	$97,474.00	nat. median $198,418 outlier · 0.5×
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	3	$74,055.87	$309,859.01	$89,878.20	nat. median $249,036 outlier · 0.4×
453 MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	1	$79,404.27	$79,404.27	$79,404.27	nat. median $70,732 1.1× median
J9029 HCPCS	Instill Adstiladrin, Tx Dose	12	$78,133.38	$78,133.38	$78,133.38	nat. median $68,423 1.1× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	3	$52,801.74	$171,304.75	$70,709.40	nat. median $190,559 outlier · 0.4×
S2068 HCPCS	Breast Diep Or Siea Flap	12	$63,580.26	$63,580.26	$63,580.26	nat. median $4,182 outlier · 15.2×
C1604 HCPCS	Grft, Trnsmurl/trnsvens Byps	11	$61,830.04	$61,830.04	$61,830.04	nat. median $28,000 outlier · 2.2×
459 MS_DRG	Spinal Fusion Except Cervical With Mcc	1	$58,192.07	$58,192.07	$58,192.07	nat. median $52,712 1.1× median
454 MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc	1	$56,869.82	$56,869.82	$56,869.82	nat. median $49,540 1.1× median
J9226 HCPCS	Supprelin La Implant	12	$55,801.62	$55,801.62	$55,801.62	nat. median $55,159 1.0× median
Q2043 HCPCS	Sipuleucel-t Auto Cd54+	14	$55,536.50	$70,157.26	$55,536.50	nat. median $65,720 0.8× median
790 MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	1	$49,019.27	$50,857.49	$49,938.38	nat. median $50,870 1.0× median
J7330 HCPCS	Cultured Chondrocytes Implnt	11	$49,142.15	$49,142.15	$49,142.15	nat. median $75,000 0.7× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	3	$39,204.18	$108,978.40	$48,737.00	nat. median $126,695 outlier · 0.4×
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	3	$38,981.79	$114,104.49	$43,455.80	nat. median $97,323 outlier · 0.4×
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	3	$41,714.01	$93,424.14	$43,423.20	nat. median $93,276 outlier · 0.5×
455 MS_DRG	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	1	$42,423.73	$42,423.73	$42,423.73	nat. median $38,810 1.1× median
215 MS_DRG	Other Heart Assist System Implant	3	$35,677.71	$105,058.71	$41,239.00	nat. median $93,901 outlier · 0.4×
7 MS_DRG	Lung Transplant	3	$34,216.29	$102,636.91	$40,684.80	nat. median $117,974 outlier · 0.3×
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	3	$29,959.11	$150,903.77	$40,619.60	nat. median $104,013 outlier · 0.4×
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	$35,074.08	$89,103.90	$39,152.60	nat. median $90,551 outlier · 0.4×
14 MS_DRG	Allogeneic Bone Marrow Transplant	3	$33,871.40	$134,006.71	$38,441.70	nat. median $110,307 outlier · 0.3×
L7181 HCPCS	Dme Pos	13	$37,603.97	$37,603.97	$37,603.97	nat. median $50,516 0.7× median
460 MS_DRG	Spinal Fusion Except Cervical Without Mcc	1	$37,121.60	$37,121.60	$37,121.60	nat. median $31,588 1.2× median
C1825 HCPCS	Gen, Neuro, Carot Sinus Baro	11	$36,161.84	$36,161.84	$36,161.84	nat. median $53,185 0.7× median
456 MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	3	$31,801.77	$76,329.38	$34,947.20	nat. median $77,632 outlier · 0.5×
429 MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	3	$34,120.98	$87,385.57	$34,556.00	nat. median $78,049 outlier · 0.4×
90288 CPT	Botulism Ig IV	2	$34.58	$68,817.00	$34,425.79	nat. median $51,570 0.7× median
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	3	$27,258.66	$117,445.52	$34,327.80	nat. median $95,038 outlier · 0.4×
791 MS_DRG	Prematurity With Major Problems	1	$33,478.03	$34,733.45	$34,105.74	nat. median $34,598 1.0× median
850 MS_DRG	Acute Leukemia With Other Procedures	3	$30,340.35	$96,514.95	$34,067.00	nat. median $78,268 outlier · 0.4×
L7180 HCPCS	Dme Pos	13	$33,885.14	$33,885.14	$33,885.14	nat. median $46,980 0.7× median
217 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	$25,688.80	$57,544.37	$33,390.27	nat. median $62,031 0.5× median
20 MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	3	$28,624.77	$73,451.02	$32,893.40	nat. median $74,370 outlier · 0.4×
231 MS_DRG	Coronary Bypass With Ptca With Mcc	3	$30,213.27	$73,800.53	$32,763.00	nat. median $77,028 outlier · 0.4×

Other procedures at this hospital

Browse this hospital's 20,388 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

J1413	HCPCS	Inj Delandistrogene Mox Rokl	14	12	—	—	$4,000,000.00	$4,000,000.00	$4,000,000.00	2026-07-29
J1414	HCPCS	Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose	14	12	—	—	$3,508,750.00	$3,508,750.00	$3,508,750.00	2026-07-29
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	14	12	—	—	$3,508,750.00	$3,508,750.00	$3,508,750.00	2026-07-29
J3394	HCPCS	Injection, Lovotibeglogene Autotemcel, Per Treatment	14	12	—	—	$3,100,000.00	$3,100,000.00	$3,100,000.00	2026-07-29
J3393	HCPCS	Injection, Betibeglogene Autotemcel, Per Treatment	14	12	—	—	$2,800,000.00	$2,800,000.00	$2,800,000.00	2026-07-29
J3399	HCPCS	Inj Onase Abepar-xioi Treat	14	12	—	—	$2,397,684.95	$2,397,684.95	$2,397,684.95	2026-07-29
J3392	HCPCS	Injection, Exagamglogene Autotemcel, Per Treatment	14	12	—	—	$2,205,500.00	$2,205,500.00	$2,205,500.00	2026-07-29
Q2057	HCPCS	Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure…	16	13	—	—	$770,620.00	$867,292.82	$818,956.41	2026-07-29
Q2042	HCPCS	Tisagenlecleucel Car-pos T	33	13	—	—	$565,623.84	$614,180.81	$565,623.84	2026-07-29
Q2056	HCPCS	Ciltacabtagene Car-pos T	34	14	—	—	$551,318.34	$588,494.81	$551,318.34	2026-07-29
Q2055	HCPCS	Idecabtagene Vicleucel Car	34	14	—	—	$528,312.43	$559,781.08	$528,312.43	2026-07-29
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	32	14	—	—	$516,485.97	$522,678.78	$516,485.97	2026-07-29
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	34	14	—	—	$489,517.15	$531,849.12	$489,517.15	2026-07-29
Q2053	HCPCS	Brexucabtagene Car Pos T	34	14	—	—	$463,155.00	$489,290.60	$488,051.51	2026-07-29
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	3	—	—	$108,916.60	$426,668.40	$138,104.19	2026-07-29
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	6	3	—	—	$74,850.12	$125,771.83	$97,474.00	2026-07-29
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	6	3	—	—	$74,055.87	$309,859.01	$89,878.20	2026-07-29
453	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	1	1	—	—	$79,404.27	$79,404.27	$79,404.27	2026-03-17
J9029	HCPCS	Instill Adstiladrin, Tx Dose	14	12	—	—	$78,133.38	$78,133.38	$78,133.38	2026-07-29
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	6	3	—	—	$52,801.74	$171,304.75	$70,709.40	2026-07-29
S2068	HCPCS	Breast Diep Or Siea Flap	29	12	—	—	$63,580.26	$63,580.26	$63,580.26	2026-07-29
C1604	HCPCS	Grft, Trnsmurl/trnsvens Byps	13	11	—	—	$61,830.04	$61,830.04	$61,830.04	2026-07-29
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	1	1	—	—	$58,192.07	$58,192.07	$58,192.07	2026-03-17
454	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc	1	1	—	—	$56,869.82	$56,869.82	$56,869.82	2026-03-17
J9226	HCPCS	Supprelin La Implant	14	12	—	—	$55,801.62	$55,801.62	$55,801.62	2026-07-29
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	34	14	—	—	$55,536.50	$70,157.26	$55,536.50	2026-07-29
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	2	1	—	—	$49,019.27	$50,857.49	$49,938.38	2026-07-29
J7330	HCPCS	Cultured Chondrocytes Implnt	13	11	—	—	$49,142.15	$49,142.15	$49,142.15	2026-07-29
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	6	3	—	—	$39,204.18	$108,978.40	$48,737.00	2026-07-29
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	6	3	—	—	$38,981.79	$114,104.49	$43,455.80	2026-07-29
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	5	3	—	—	$41,714.01	$93,424.14	$43,423.20	2026-07-29
455	MS_DRG	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	1	1	—	—	$42,423.73	$42,423.73	$42,423.73	2026-03-17
215	MS_DRG	Other Heart Assist System Implant	6	3	—	—	$35,677.71	$105,058.71	$41,239.00	2026-07-29
7	MS_DRG	Lung Transplant	6	3	—	—	$34,216.29	$102,636.91	$40,684.80	2026-07-29
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	6	3	—	—	$29,959.11	$150,903.77	$40,619.60	2026-07-29
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	6	3	—	—	$35,074.08	$89,103.90	$39,152.60	2026-07-29
14	MS_DRG	Allogeneic Bone Marrow Transplant	6	3	—	—	$33,871.40	$134,006.71	$38,441.70	2026-07-29
L7181	HCPCS	Dme Pos	33	13	—	—	$37,603.97	$37,603.97	$37,603.97	2026-07-29
460	MS_DRG	Spinal Fusion Except Cervical Without Mcc	1	1	—	—	$37,121.60	$37,121.60	$37,121.60	2026-03-17
C1825	HCPCS	Gen, Neuro, Carot Sinus Baro	13	11	—	—	$36,161.84	$36,161.84	$36,161.84	2026-07-29
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	6	3	—	—	$31,801.77	$76,329.38	$34,947.20	2026-07-29
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	5	3	—	—	$34,120.98	$87,385.57	$34,556.00	2026-07-29
90288	CPT	Botulism Ig IV	2	2	—	—	$34.58	$68,817.00	$34,425.79	2026-07-29
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	6	3	—	—	$27,258.66	$117,445.52	$34,327.80	2026-07-29
791	MS_DRG	Prematurity With Major Problems	2	1	—	—	$33,478.03	$34,733.45	$34,105.74	2026-07-29
850	MS_DRG	Acute Leukemia With Other Procedures	5	3	—	—	$30,340.35	$96,514.95	$34,067.00	2026-07-29
L7180	HCPCS	Dme Pos	33	13	—	—	$33,885.14	$33,885.14	$33,885.14	2026-07-29
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	6	3	—	—	$25,688.80	$57,544.37	$33,390.27	2026-07-29
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	6	3	—	—	$28,624.77	$73,451.02	$32,893.40	2026-07-29
231	MS_DRG	Coronary Bypass With Ptca With Mcc	6	3	—	—	$30,213.27	$73,800.53	$32,763.00	2026-07-29
S2079	HCPCS	Lap Esophagomyotomy	13	11	—	—	$32,102.24	$32,102.24	$32,102.24	2026-07-29
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	6	3	—	—	$22,983.00	$44,617.01	$31,801.77	2026-07-29
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	6	3	—	—	$24,272.28	$71,933.06	$31,491.60	2026-07-29
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	6	3	—	—	$27,512.82	$71,515.30	$31,133.00	2026-07-29
C1826	HCPCS	Gen, Neuro, Clo Loop, Rechg	13	11	—	—	$30,147.06	$30,147.06	$30,147.06	2026-07-29
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	6	3	—	—	$21,953.07	$62,554.34	$30,089.80	2026-07-29
S2150	HCPCS	Bmt Harv/transpl 28d Pkg	13	11	—	—	$29,483.30	$29,483.30	$29,483.30	2026-07-29
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	5	3	—	—	$27,322.20	$65,776.85	$29,405.20	2026-07-29
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	6	3	—	—	$25,543.08	$67,711.20	$28,394.60	2026-07-29
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	6	3	—	—	$20,904.66	$54,502.23	$28,264.20	2026-07-29
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	6	3	—	—	$24,240.51	$62,055.73	$28,199.00	2026-07-29
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	5	3	—	—	$25,288.92	$70,245.84	$27,775.20	2026-07-29
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	6	3	—	—	$24,653.52	$61,802.83	$27,677.40	2026-07-29
J9266	HCPCS	Pegaspargase Injection	34	14	—	—	$27,070.53	$33,309.21	$27,070.53	2026-07-29
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	6	3	—	—	$19,506.78	$57,733.71	$26,895.00	2026-07-29
C1822	HCPCS	Gen, Neuro, Hf, Rechg Bat	13	11	—	—	$26,708.74	$26,708.74	$26,708.74	2026-07-29
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	6	3	—	—	$18,839.61	$84,330.66	$26,503.80	2026-07-29
C2624	HCPCS	Wireless Pressure Sensor	13	11	—	—	$26,437.50	$26,437.50	$26,437.50	2026-07-29
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	6	3	—	—	$25,130.07	$43,531.05	$25,591.00	2026-07-29
C1882	HCPCS	Aicd, Other Than Sing/dual	13	11	—	—	$25,460.33	$25,460.33	$25,460.33	2026-07-29
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	6	3	—	—	$21,444.75	$57,008.32	$25,428.00	2026-07-29
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	6	3	—	—	$20,269.26	$53,732.20	$25,167.20	2026-07-29
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	6	3	—	—	$21,540.06	$59,614.86	$25,069.40	2026-07-29
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	5	3	—	—	$23,954.58	$64,816.20	$24,971.60	2026-07-29
C2619	HCPCS	Pmkr, Dual, Non Rate-resp	13	11	—	—	$24,796.59	$24,796.59	$24,796.59	2026-07-29
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	6	3	—	—	$13,978.80	$62,708.57	$24,287.00	2026-07-29
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	6	3	—	—	$21,730.68	$52,678.49	$23,993.60	2026-07-29
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	6	3	—	—	$19,252.62	$55,662.15	$23,895.80	2026-07-29
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	6	3	—	—	$14,868.36	$58,842.14	$23,732.80	2026-07-29
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	6	3	—	—	$21,571.83	$47,664.15	$23,472.00	2026-07-29
28	MS_DRG	Spinal Procedures With Mcc	6	3	—	—	$21,857.76	$52,211.37	$23,439.40	2026-07-29
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	6	3	—	—	$21,381.21	$29,986.45	$22,983.00	2026-07-29
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	5	3	—	—	$21,285.90	$50,337.20	$22,820.00	2026-07-29
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	5	3	—	—	$21,825.99	$57,315.08	$22,657.00	2026-07-29
L5856	HCPCS	Dme Pos	34	14	—	—	$22,524.38	$24,260.77	$22,524.38	2026-07-29
C1767	HCPCS	Generator, Neuro Non-recharg	13	11	—	—	$22,447.80	$22,447.80	$22,447.80	2026-07-29
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	6	3	—	—	$20,555.19	$61,170.85	$22,363.60	2026-07-29
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	6	3	—	—	$19,697.40	$47,445.80	$21,483.40	2026-07-29
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	5	3	—	—	$20,173.95	$45,257.61	$21,353.00	2026-07-29
653	MS_DRG	Major Bladder Procedures With Mcc	6	3	—	—	$17,505.27	$48,453.18	$21,353.00	2026-07-29
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	6	3	—	—	$21,157.40	$48,661.44	$21,349.44	2026-07-29
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	6	3	—	—	$19,919.79	$50,341.00	$21,190.00	2026-07-29
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	6	3	—	—	$15,980.31	$33,504.03	$21,027.00	2026-07-29
C1722	HCPCS	Aicd, Single Chamber	13	11	—	—	$21,021.36	$21,021.36	$21,021.36	2026-07-29
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	6	3	—	—	$20,269.26	$57,056.45	$20,961.80	2026-07-29
33263	CPT	Icd Generator Change - Dual Fc 33263	16	13	$45,000.00	$22,500.00 50% off	$221.55	$40,677.75	$20,790.00	2026-07-29
792	MS_DRG	Prematurity Without Major Problems	2	1	—	—	$20,200.20	$20,957.70	$20,578.95	2026-07-29
C9604	HCPCS	Perc D-e Cor Revasc T Cabg S	14	12	—	—	$20,521.30	$20,521.30	$20,521.30	2026-07-29
955	MS_DRG	Craniotomy For Multiple Significant Trauma	6	3	—	—	$12,326.76	$57,787.82	$20,440.20	2026-07-29
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	6	3	—	—	$18,903.15	$46,037.26	$20,407.60	2026-07-29
471	MS_DRG	Cervical Spinal Fusion With Mcc	6	3	—	—	$11,119.50	$44,552.40	$20,375.00	2026-07-29
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	6	3	—	—	$17,727.66	$55,447.55	$20,342.40	2026-07-29
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	6	3	—	—	$18,549.40	$44,091.75	$20,110.41	2026-07-29
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	6	3	—	—	$17,995.20	$47,577.63	$19,951.56	2026-07-29
G0458	HCPCS	Ldr Prostate Brachy Comp Rat	13	11	—	—	$19,950.95	$19,950.95	$19,950.95	2026-07-29
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	6	3	—	—	$19,538.55	$52,498.09	$19,690.40	2026-07-29
C1820	HCPCS	Generator Neuro Rechg Bat Sy	13	11	—	—	$19,665.25	$19,665.25	$19,665.25	2026-07-29
C1721	HCPCS	Aicd, Dual Chamber	13	11	—	—	$19,501.08	$19,501.08	$19,501.08	2026-07-29
C1823	HCPCS	Gen, Neuro, Trans Sen/stim	13	11	—	—	$19,405.88	$19,405.88	$19,405.88	2026-07-29
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	6	3	—	—	$17,632.35	$43,599.02	$19,397.00	2026-07-29
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	6	3	—	—	$18,940.60	$43,367.50	$19,347.93	2026-07-29
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	6	3	—	—	$16,329.78	$48,798.47	$19,299.20	2026-07-29
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	6	3	—	—	$18,871.38	$47,184.86	$19,234.00	2026-07-29
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	6	3	—	—	$16,329.78	$33,375.46	$19,234.00	2026-07-29
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	6	3	—	—	$14,137.65	$32,288.20	$19,136.20	2026-07-29
C9600	HCPCS	Perc Drug-el Cor Stent Sing	14	12	—	—	$19,048.46	$19,048.46	$19,048.46	2026-07-29
10	MS_DRG	Pancreas Transplant	6	3	—	—	$15,974.00	$51,103.86	$18,966.69	2026-07-29
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	6	3	—	—	$18,256.00	$74,325.34	$18,966.69	2026-07-29
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	6	3	—	—	$16,996.95	$41,374.77	$18,875.40	2026-07-29
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	6	3	—	—	$16,202.70	$40,945.95	$18,777.60	2026-07-29
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	6	3	—	—	$18,077.13	$44,355.97	$18,745.00	2026-07-29
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	6	3	—	—	$17,245.40	$41,394.48	$18,617.22	2026-07-29
799	MS_DRG	Splenic Procedures With Mcc	6	3	—	—	$15,885.00	$45,685.79	$18,321.20	2026-07-29
245	MS_DRG	Aicd Generator Procedures	6	3	—	—	$16,361.55	$50,922.12	$18,288.60	2026-07-29
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	6	3	—	—	$17,600.58	$39,916.71	$17,897.40	2026-07-29
C7538	HCPCS	Insrt Vent Pm W/l Vent Lead	14	12	—	—	$17,859.83	$17,859.83	$17,859.83	2026-07-29
C7537	HCPCS	Insrt Atril Pm W/l Vent Lead	14	12	—	—	$17,859.83	$17,859.83	$17,859.83	2026-07-29
C7540	HCPCS	Rmv&rplc Pm Dul W/l Vnt Lead	14	12	—	—	$17,859.83	$17,859.83	$17,859.83	2026-07-29
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	6	3	—	—	$17,632.35	$50,924.12	$17,832.20	2026-07-29
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	6	3	—	—	$16,266.24	$36,547.34	$17,832.20	2026-07-29
L8614	HCPCS	Dme Pos	15	12	—	—	$17,790.79	$17,790.79	$17,790.79	2026-07-29
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	6	3	—	—	$15,853.23	$50,408.60	$17,734.40	2026-07-29
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	6	3	—	—	$15,980.31	$36,672.56	$17,604.00	2026-07-29
L5858	HCPCS	Dme Pos	34	14	—	—	$17,442.27	$17,520.31	$17,442.27	2026-07-29
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	6	3	—	—	$14,804.82	$61,498.50	$17,441.00	2026-07-29
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	6	3	—	—	$17,378.19	$54,158.74	$17,408.40	2026-07-29
C9606	HCPCS	Perc D-e Cor Revasc W Ami S	14	12	—	—	$12,396.27	$22,153.34	$17,274.81	2026-07-29
C1827	HCPCS	Gen, Neuro, Imp Led, Ex Cntr	13	11	—	—	$17,262.65	$17,262.65	$17,262.65	2026-07-29
797T	OTHER	Tcat Ins 2chmbr Ldls Pm Rv	33	13	—	—	$17,177.60	$17,177.60	$17,177.60	2026-07-29
803T	OTHER	Tcat Rmv&rpl2chmb Ldls Pm Rv	33	13	—	—	$17,177.60	$17,177.60	$17,177.60	2026-07-29
C1824	HCPCS	Generator, Ccm, Implant	13	11	—	—	$17,123.64	$17,123.64	$17,123.64	2026-07-29
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	6	3	—	—	$16,393.32	$47,000.71	$17,115.00	2026-07-29
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	6	3	—	—	$14,423.58	$48,519.59	$17,115.00	2026-07-29
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	5	3	—	—	$15,757.92	$42,783.30	$16,919.40	2026-07-29
C1839	HCPCS	Iris Prosthesis	13	11	—	—	$16,813.78	$16,813.78	$16,813.78	2026-07-29
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	6	3	—	—	$15,122.52	$38,298.71	$16,789.00	2026-07-29
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	6	3	—	—	$12,263.22	$44,160.03	$16,723.80	2026-07-29
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	6	3	—	—	$16,075.62	$42,981.07	$16,658.60	2026-07-29
56	MS_DRG	Degenerative Nervous System Disorders With Mcc	6	3	—	—	$12,708.00	$19,683.60	$16,626.00	2026-07-29
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	6	3	—	—	$16,202.20	$38,233.91	$16,615.71	2026-07-29
L5973	HCPCS	Dme Pos	34	14	—	—	$16,498.37	$17,520.31	$16,498.37	2026-07-29
834	MS_DRG	Acute Leukemia With Mcc	6	3	—	—	$16,006.60	$54,899.59	$16,488.63	2026-07-29
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	6	3	—	—	$14,169.42	$42,720.71	$16,300.00	2026-07-29
31	MS_DRG	Ventricular Shunt Procedures With Mcc	6	3	—	—	$16,006.60	$32,923.68	$16,298.01	2026-07-29
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	5	3	—	—	$15,217.83	$41,169.70	$16,267.40	2026-07-29
C7539	HCPCS	Insrt A & V Pm W/l Vent Lead	14	12	—	—	$14,342.94	$17,859.83	$16,101.39	2026-07-29
6	MS_DRG	Liver Transplant Without Mcc	6	3	—	—	$12,263.22	$53,910.95	$16,039.20	2026-07-29
901	MS_DRG	Wound Debridements For Injuries With Mcc	6	3	—	—	$14,709.51	$38,274.23	$16,006.60	2026-07-29
L6975	HCPCS	Dme Pos	33	13	—	—	$15,960.53	$15,960.53	$15,960.53	2026-07-29
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	6	3	—	—	$14,773.05	$26,880.43	$15,713.20	2026-07-29
163	MS_DRG	Major Chest Procedures With Mcc	6	3	—	—	$14,572.20	$44,437.91	$15,694.38	2026-07-29
S2152	HCPCS	Solid Organ Transpl Pkg	13	11	—	—	$15,336.32	$15,336.32	$15,336.32	2026-07-29
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	6	3	—	—	$11,564.28	$40,178.01	$15,256.80	2026-07-29
545	MS_DRG	Connective Tissue Disorders With Mcc	6	3	—	—	$10,562.40	$20,107.46	$15,217.83	2026-07-29
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	6	3	—	—	$14,074.11	$29,647.97	$15,191.60	2026-07-29
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	6	3	—	—	$14,344.00	$30,798.00	$15,154.29	2026-07-29
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	6	3	—	—	$14,137.65	$31,835.56	$15,126.40	2026-07-29
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	6	3	—	—	$14,042.34	$34,302.06	$14,996.00	2026-07-29
61	MS_DRG	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	6	3	—	—	$12,485.61	$26,678.70	$14,963.40	2026-07-29
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	6	3	—	—	$13,724.64	$32,323.71	$14,833.00	2026-07-29
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	6	3	—	—	$14,232.96	$34,960.63	$14,735.20	2026-07-29
33264	CPT	Replac Icd Puls Gener Fc 33264	16	13	$31,863.00	$15,931.50 50% off	$230.99	$40,677.75	$14,720.70	2026-07-29
264	MS_DRG	Other Circulatory System O.r. Procedures	6	3	—	—	$13,170.40	$29,172.60	$14,582.43	2026-07-29
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	6	3	—	—	$12,104.37	$31,397.38	$14,572.20	2026-07-29
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	6	3	—	—	$14,264.73	$33,132.64	$14,441.80	2026-07-29
S2115	HCPCS	Periacetabular Osteotomy	13	11	—	—	$14,426.23	$14,426.23	$14,426.23	2026-07-29
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	6	3	—	—	$11,977.29	$37,815.88	$14,376.60	2026-07-29
265	MS_DRG	Aicd Lead Procedures	6	3	—	—	$12,962.16	$29,704.08	$14,278.80	2026-07-29
480	MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	6	3	—	—	$13,203.00	$28,746.17	$14,232.96	2026-07-29
C9764	HCPCS	Revasc Intravasc Lithotripsy	14	12	—	—	$14,175.71	$14,175.71	$14,175.71	2026-07-29
L6970	HCPCS	Dme Pos	33	13	—	—	$14,156.30	$14,156.30	$14,156.30	2026-07-29
140	MS_DRG	Major Head And Neck Procedures With Mcc	6	3	—	—	$8,006.04	$36,534.48	$13,985.40	2026-07-29
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	6	3	—	—	$12,681.40	$32,572.79	$13,978.80	2026-07-29
477	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	6	3	—	—	$13,089.24	$25,345.93	$13,952.80	2026-07-29
271	MS_DRG	Other Major Cardiovascular Procedures With Cc	6	3	—	—	$13,025.70	$31,644.74	$13,952.80	2026-07-29
242	MS_DRG	Permanent Cardiac Pacemaker Implant With Mcc	6	3	—	—	$7,593.03	$39,554.39	$13,952.80	2026-07-29
332	MS_DRG	Rectal Resection With Mcc	6	3	—	—	$13,692.87	$36,348.88	$13,855.00	2026-07-29
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	6	3	—	—	$8,133.12	$50,093.07	$13,855.00	2026-07-29
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	6	3	—	—	$13,534.02	$26,864.08	$13,789.80	2026-07-29
469	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	6	3	—	—	$11,468.97	$30,293.03	$13,789.80	2026-07-29
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	6	3	—	—	$13,470.48	$35,042.28	$13,757.20	2026-07-29
C7508	HCPCS	Perq Lumb&thor Vert Aug	14	12	—	—	$9,382.35	$18,112.19	$13,747.27	2026-07-29
485	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Mcc	6	3	—	—	$12,231.45	$30,261.93	$13,659.40	2026-07-29
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	6	3	—	—	$12,485.61	$40,449.65	$13,626.80	2026-07-29
L5859	HCPCS	Dme Pos	33	13	—	—	$13,617.04	$13,617.04	$13,617.04	2026-07-29
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	6	3	—	—	$7,720.11	$37,327.73	$13,561.60	2026-07-29
252	MS_DRG	Other Vascular Procedures With Mcc	6	3	—	—	$12,835.08	$31,241.59	$13,529.00	2026-07-29
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	6	3	—	—	$13,502.25	$34,734.30	$13,529.00	2026-07-29
95	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Cc	6	3	—	—	$12,616.20	$22,253.57	$13,470.48	2026-07-29
L6965	HCPCS	Dme Pos	33	13	—	—	$13,468.82	$13,468.82	$13,468.82	2026-07-29
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	6	3	—	—	$12,835.08	$29,372.53	$13,463.80	2026-07-29
500	MS_DRG	Soft Tissue Procedures With Mcc	6	3	—	—	$11,977.29	$28,308.43	$13,431.20	2026-07-29
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	6	3	—	—	$12,681.40	$32,974.88	$13,375.17	2026-07-29
260	MS_DRG	Cardiac Pacemaker Revision Except Device Replacement With Mcc	6	3	—	—	$11,659.59	$31,661.60	$13,366.00	2026-07-29
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	6	3	—	—	$12,009.06	$34,286.94	$13,366.00	2026-07-29
C9602	HCPCS	Perc D-e Cor Stent Ather S	14	12	—	—	$13,340.64	$13,340.64	$13,340.64	2026-07-29
C9607	HCPCS	Perc D-e Cor Revasc Chro Sin	14	12	—	—	$13,340.64	$13,340.64	$13,340.64	2026-07-29
29	MS_DRG	Spinal Procedures With Cc Or Spinal Neurostimulators	6	3	—	—	$12,422.07	$29,260.79	$13,333.40	2026-07-29
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	6	3	—	—	$10,986.20	$32,990.42	$13,311.63	2026-07-29
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	6	3	—	—	$11,151.27	$36,184.33	$13,268.20	2026-07-29
37	MS_DRG	Extracranial Procedures With Mcc	6	3	—	—	$11,977.29	$29,090.37	$13,137.80	2026-07-29
515	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	6	3	—	—	$12,072.60	$28,610.94	$13,105.20	2026-07-29
C9601	HCPCS	Perc Drug-el Cor Stent Bran	14	12	—	—	$7,323.72	$18,879.93	$13,101.83	2026-07-29
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	6	3	—	—	$12,551.00	$33,385.83	$13,089.24	2026-07-29
274	MS_DRG	Percutaneous And Other Intracardiac Procedures Without Mcc	6	3	—	—	$11,468.97	$29,170.25	$13,072.60	2026-07-29
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	6	3	—	—	$6,894.09	$42,274.78	$13,007.40	2026-07-29
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	6	3	—	—	$12,909.60	$33,907.06	$12,930.39	2026-07-29
904	MS_DRG	Skin Grafts For Injuries With Cc/mcc	6	3	—	—	$12,029.40	$33,417.22	$12,866.85	2026-07-29
229	MS_DRG	Other Cardiothoracic Procedures Without Mcc	6	3	—	—	$11,278.35	$36,604.85	$12,844.40	2026-07-29
96	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	6	3	—	—	$11,507.80	$20,703.89	$12,835.08	2026-07-29
451	MS_DRG	Single Level Spinal Fusion Except Cervical Without Mcc	5	3	—	—	$12,231.45	$31,396.13	$12,779.20	2026-07-29
468	MS_DRG	Revision Of Hip Or Knee Replacement Without Cc/mcc	6	3	—	—	$11,051.40	$26,079.06	$12,771.54	2026-07-29
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	6	3	—	—	$11,899.00	$29,951.30	$12,708.00	2026-07-29
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	6	3	—	—	$10,464.60	$32,412.11	$12,708.00	2026-07-29
574	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Cc	6	3	—	—	$11,310.12	$21,270.53	$12,583.60	2026-07-29
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	6	3	—	—	$10,073.40	$20,611.98	$12,453.84	2026-07-29
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	6	3	—	—	$10,823.20	$35,202.03	$12,453.84	2026-07-29
464	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	6	3	—	—	$9,340.38	$28,621.76	$12,453.20	2026-07-29
521	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	6	3	—	—	$10,865.34	$29,844.76	$12,420.60	2026-07-29
C1817	HCPCS	Septal Defect Imp Sys	13	11	—	—	$12,410.07	$12,410.07	$12,410.07	2026-07-29
656	MS_DRG	Kidney And Ureter Procedures For Neoplasm With Mcc	6	3	—	—	$10,738.26	$29,208.14	$12,388.00	2026-07-29
579	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	6	3	—	—	$10,579.41	$28,197.96	$12,355.40	2026-07-29
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	6	3	—	—	$7,021.17	$20,817.63	$12,290.20	2026-07-29
472	MS_DRG	Cervical Spinal Fusion With Cc	6	3	—	—	$10,611.18	$27,103.13	$12,257.60	2026-07-29
595	MS_DRG	Major Skin Disorders With Mcc	6	3	—	—	$9,944.01	$15,725.25	$12,225.00	2026-07-29
C1813	HCPCS	Prosthesis, Penile, Inflatab	13	11	—	—	$12,193.64	$12,193.64	$12,193.64	2026-07-29
665	MS_DRG	Prostatectomy With Mcc	6	3	—	—	$10,515.87	$25,060.19	$12,192.40	2026-07-29
81416	CPT	Exome Sequence Analysis	29	12	—	—	$12,155.65	$12,155.65	$12,155.65	2026-07-29
539	MS_DRG	Osteomyelitis With Mcc	6	3	—	—	$8,410.80	$17,463.56	$12,072.60	2026-07-29
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	6	3	—	—	$11,468.97	$33,308.88	$12,062.00	2026-07-29
82	MS_DRG	Traumatic Stupor And Coma >1 Hour With Mcc	6	3	—	—	$10,325.25	$20,583.02	$12,029.40	2026-07-29
85	MS_DRG	Traumatic Stupor And Coma <1 Hour With Mcc	6	3	—	—	$10,293.48	$15,990.50	$12,029.40	2026-07-29
324	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	6	3	—	—	$11,691.36	$31,665.10	$11,996.80	2026-07-29
929	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	6	3	—	—	$11,278.35	$18,881.23	$11,899.00	2026-07-29
288	MS_DRG	Acute And Subacute Endocarditis With Mcc	6	3	—	—	$11,540.40	$23,834.28	$11,881.98	2026-07-29
652	MS_DRG	Kidney Transplant	6	3	—	—	$10,897.11	$36,950.22	$11,866.40	2026-07-29
548	MS_DRG	Septic Arthritis With Mcc	6	3	—	—	$8,247.80	$15,319.86	$11,850.21	2026-07-29
662	MS_DRG	Minor Bladder Procedures With Mcc	6	3	—	—	$10,325.25	$24,067.36	$11,833.80	2026-07-29
462	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	6	3	—	—	$10,071.09	$32,228.24	$11,801.20	2026-07-29
C7534	HCPCS	Fem/pop Revasc W/arthr & US	2	2	—	—	$492.12	$23,023.96	$11,758.04	2026-07-29
J1412	HCPCS	Inj Roctavian Ml 2x10^13vc G	14	12	—	—	$11,697.30	$11,697.30	$11,697.30	2026-07-29
829	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	6	3	—	—	$11,087.73	$32,014.39	$11,670.80	2026-07-29
L6960	HCPCS	Dme Pos	33	13	—	—	$11,626.60	$11,626.60	$11,626.60	2026-07-29
26	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Cc	6	3	—	—	$10,515.87	$27,176.80	$11,507.80	2026-07-29
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	6	3	—	—	$11,410.00	$28,204.10	$11,468.97	2026-07-29
510	MS_DRG	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	6	3	—	—	$11,279.60	$18,487.33	$11,437.20	2026-07-29
559	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Mcc	6	3	—	—	$7,824.00	$16,555.48	$11,437.20	2026-07-29
498	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	6	3	—	—	$10,823.20	$17,358.45	$11,437.20	2026-07-29
263	MS_DRG	Vein Ligation And Stripping	6	3	—	—	$10,960.65	$15,095.92	$11,410.00	2026-07-29
98	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	6	3	—	—	$10,388.79	$18,749.50	$11,377.40	2026-07-29
240	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	6	3	—	—	$10,229.94	$28,614.18	$11,344.80	2026-07-29
592	MS_DRG	Skin Ulcers With Mcc	6	3	—	—	$9,054.45	$11,736.00	$11,263.65	2026-07-29
493	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	6	3	—	—	$9,372.15	$20,853.69	$11,247.00	2026-07-29
258	MS_DRG	Cardiac Pacemaker Device Replacement With Mcc	6	3	—	—	$10,921.00	$25,273.94	$11,246.58	2026-07-29
L6955	HCPCS	Dme Pos	33	13	—	—	$11,199.31	$11,199.31	$11,199.31	2026-07-29
57	MS_DRG	Degenerative Nervous System Disorders Without Mcc	6	3	—	—	$7,783.65	$14,278.80	$11,159.33	2026-07-29
314	MS_DRG	Other Circulatory System Diagnoses With Mcc	6	3	—	—	$8,182.60	$18,691.93	$11,151.27	2026-07-29
325	MS_DRG	Coronary Intravascular Lithotripsy Without Intraluminal Device	6	3	—	—	$10,660.20	$28,205.88	$11,119.50	2026-07-29
668	MS_DRG	Transurethral Procedures With Mcc	6	3	—	—	$9,848.70	$20,019.25	$11,116.60	2026-07-29
321	MS_DRG	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	6	3	—	—	$9,747.40	$33,294.35	$11,087.73	2026-07-29
255	MS_DRG	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	6	3	—	—	$9,658.08	$22,732.12	$11,084.00	2026-07-29
353	MS_DRG	Hernia Procedures Except Inguinal And Femoral With Mcc	6	3	—	—	$10,960.65	$26,847.51	$11,084.00	2026-07-29
64	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	6	3	—	—	$9,689.85	$17,358.01	$11,051.40	2026-07-29
420	MS_DRG	Hepatobiliary Diagnostic Procedures With Mcc	6	3	—	—	$10,366.80	$31,210.73	$10,960.65	2026-07-29
542	MS_DRG	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…	6	3	—	—	$7,726.20	$15,845.16	$10,833.57	2026-07-29
570	MS_DRG	Skin Debridement With Mcc	6	3	—	—	$9,594.54	$25,479.39	$10,823.20	2026-07-29
80	MS_DRG	Nontraumatic Stupor And Coma With Mcc	6	3	—	—	$4,161.87	$11,670.80	$10,813.13	2026-07-29
L8687	HCPCS	Restore Advanced 37713	29	12	$12,000.00	$6,000.00 50% off	$4,800.00	$28,745.10	$10,800.00	2026-07-29
654	MS_DRG	Major Bladder Procedures With Cc	6	3	—	—	$9,435.69	$25,763.83	$10,790.60	2026-07-29
625	MS_DRG	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	6	3	—	—	$7,987.00	$20,136.55	$10,770.03	2026-07-29
602	MS_DRG	Cellulitis With Mcc	6	3	—	—	$7,021.17	$12,869.48	$10,692.80	2026-07-29
982	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	6	3	—	—	$9,910.40	$22,513.61	$10,674.72	2026-07-29
411	MS_DRG	Cholecystectomy With C.d.e. With Mcc	6	3	—	—	$9,845.20	$28,207.18	$10,642.95	2026-07-29
C1982	HCPCS	Cath, Pressure,valve-occlu	13	11	—	—	$10,597.53	$10,597.53	$10,597.53	2026-07-29
483	MS_DRG	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	6	3	—	—	$10,301.60	$21,584.01	$10,484.10	2026-07-29
800	MS_DRG	Splenic Procedures With Cc	6	3	—	—	$9,848.70	$24,782.76	$10,432.00	2026-07-29
470	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …	6	3	—	—	$7,498.00	$22,152.04	$10,420.56	2026-07-29
173	MS_DRG	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	6	3	—	—	$9,486.60	$32,576.45	$10,420.56	2026-07-29
344	MS_DRG	Minor Small And Large Bowel Procedures With Mcc	6	3	—	—	$9,753.39	$25,014.74	$10,366.80	2026-07-29
253	MS_DRG	Other Vascular Procedures With Cc	6	3	—	—	$7,656.57	$24,327.58	$10,301.60	2026-07-29
619	MS_DRG	O.r. Procedures For Obesity With Mcc	6	3	—	—	$7,106.80	$25,584.90	$10,293.48	2026-07-29
970	MS_DRG	HIV With Extensive O.r. Procedures Without Mcc	6	3	—	—	$9,245.07	$25,088.33	$10,269.00	2026-07-29
52	MS_DRG	Spinal Disorders And Injuries With Cc/mcc	6	3	—	—	$8,196.66	$16,618.95	$10,269.00	2026-07-29
551	MS_DRG	Medical Back Problems With Mcc	6	3	—	—	$7,204.60	$14,591.66	$10,261.71	2026-07-29
817	MS_DRG	Other Antepartum Diagnoses With O.r. Procedures With Mcc	6	3	—	—	$7,910.73	$22,852.13	$10,236.40	2026-07-29
L7186	HCPCS	Dme Pos	33	13	—	—	$10,214.58	$10,214.58	$10,214.58	2026-07-29
659	MS_DRG	Kidney And Ureter Procedures For Non-neoplasm With Mcc	6	3	—	—	$8,577.90	$23,683.98	$10,203.80	2026-07-29
473	MS_DRG	Cervical Spinal Fusion Without Cc/mcc	6	3	—	—	$10,102.86	$22,534.91	$10,203.80	2026-07-29
77	MS_DRG	Hypertensive Encephalopathy With Mcc	4	3	—	—	$7,987.00	$12,766.04	$10,145.81	2026-07-29
75	MS_DRG	Viral Meningitis With Cc/mcc	6	3	—	—	$8,673.21	$14,580.64	$10,106.00	2026-07-29

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