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

GOLDEN VALLEY MEMORIAL HOSPITAL

Clinton, MO · CCN 260175 · Rates published

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You selected 93306 (CPT)

ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION

This hospital’s price: $642 across 7 payers · range $494-$2,165

Source: https://apim.services.craneware.com/api-pricing-transparency/api/public/e541183863a90b1bd92e5225829d0ea9/charges/mrf · observed 2026-08-01

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.

8,380 distinct procedures filed
11 distinct payers
174,390 rate rows
2026-08-01 last MRF observed
Data quality

157,822 of 174,390 rate rows are consumer-grade (90.5%)

16,568 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 9,540
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,819
per-diem day rate — not a per-procedure price 2,288
exceeds 10× this hospital's gross charge — excluded from medians 915
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 3
placeholder amount (≤ $0.02) — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/e541183863a90b1bd92e5225829d0ea9/charges/mrf
Found on page https://www.cdmpricing.com/e541183863a90b1bd92e5225829d0ea9/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-27
Content fingerprint e504f8f8fe2a33b9… · 55,675,480 bytes · first seen 2026-07-31

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $259,422.71 $460,540.02 $383,783.35 nat. median
$359,454
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $190,811.00 $298,871.98 $249,059.98 nat. median
$249,036
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $185,601.10 $227,700.83 $189,750.69 nat. median
$198,418
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $150,123.91 $226,364.53 $188,637.11 nat. median
$190,559
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $103,507.99 $147,723.73 $123,103.11 nat. median
$126,695
1.0× median
7
MS_DRG 		Lung Transplant 4 $86,372.14 $138,112.52 $115,093.77 nat. median
$117,974
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $80,700.32 $128,169.64 $106,808.03 nat. median
$110,307
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $86,215.12 $120,852.47 $100,710.39 nat. median
$104,013
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 4 $100,594.84 $120,713.81 $100,594.84 nat. median
$92,678
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $97,949.96 $117,539.95 $97,949.96 nat. median
$93,276
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $75,840.38 $115,971.14 $96,642.62 nat. median
$97,323
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $72,878.08 $109,960.39 $91,633.66 nat. median
$95,038
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 4 $71,926.08 $106,190.36 $88,491.97 nat. median
$93,901
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $68,338.51 $104,332.54 $86,943.78 nat. median
$90,551
1.0× median
38240
CPT 		Transplt Allo Hct/donor 9 $81,537.83 $81,537.83 $81,537.83 nat. median
$12,842
outlier · 6.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 $80,072.04 $96,086.45 $80,072.04 nat. median
$78,049
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $76,960.55 $92,352.66 $76,960.55 nat. median
$78,268
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $57,142.04 $89,903.98 $74,919.98 nat. median
$77,028
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $59,354.44 $89,621.39 $74,684.49 nat. median
$77,632
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $59,516.39 $83,919.92 $69,933.27 nat. median
$74,370
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $54,297.34 $81,888.26 $68,240.22 nat. median
$72,398
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $54,919.79 $81,535.25 $67,946.04 nat. median
$71,748
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $50,926.64 $81,265.43 $67,721.19 nat. median
$67,976
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $64,154.68 $76,985.62 $64,154.68 nat. median
$63,648
1.0× median
10
MS_DRG 		Pancreas Transplant 4 $33,894.29 $76,528.09 $63,773.41 nat. median
$64,933
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 $48,724.10 $76,496.09 $63,746.74 nat. median
$61,308
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 $56,285.11 $76,089.74 $63,408.12 nat. median
$66,715
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 $49,541.60 $76,044.96 $63,370.80 nat. median
$66,649
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $49,042.37 $73,713.64 $61,428.03 nat. median
$62,655
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 $48,266.41 $73,352.08 $61,126.73 nat. median
$63,873
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 4 $42,883.29 $71,786.48 $59,822.07 nat. median
$61,728
1.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 $59,425.70 $71,310.84 $59,425.70 nat. median
$57,556
1.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 $59,382.14 $71,258.57 $59,382.14 nat. median
$60,596
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $40,112.52 $70,124.88 $58,437.40 nat. median
$59,546
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $44,820.37 $70,124.88 $58,437.40 nat. median
$62,031
0.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 $43,783.88 $69,870.01 $58,225.01 nat. median
$58,135
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $48,641.71 $68,625.38 $57,187.82 nat. median
$59,371
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $43,981.04 $65,358.76 $54,465.63 nat. median
$58,280
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 4 $48,392.45 $65,283.01 $54,402.51 nat. median
$58,251
0.9× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 4 $41,886.23 $64,656.97 $53,880.81 nat. median
$57,801
0.9× median
28
MS_DRG 		Spinal Procedures With Mcc 4 $42,431.94 $64,077.89 $53,398.24 nat. median
$54,460
1.0× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 $43,728.25 $64,059.76 $53,383.13 nat. median
$56,687
0.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $42,778.37 $63,595.82 $52,996.52 nat. median
$55,167
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 $42,248.86 $63,386.81 $52,822.34 nat. median
$50,870
1.0× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 4 $43,494.48 $63,239.64 $52,699.70 nat. median
$53,927
1.0× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 4 $41,407.42 $62,588.02 $52,156.68 nat. median
$55,477
0.9× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 $42,576.99 $62,547.47 $52,122.89 nat. median
$53,856
1.0× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 $51,254.61 $61,505.53 $51,254.61 nat. median
$51,241
1.0× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 $39,916.06 $61,113.07 $50,927.56 nat. median
$53,523
1.0× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 4 $50,719.57 $60,863.48 $50,719.57 nat. median
$48,463
1.0× median

Other procedures at this hospital

Browse this hospital's 8,380 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 4 — — $259,422.71 $460,540.02 $383,783.35 2026-08-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 4 — — $190,811.00 $298,871.98 $249,059.98 2026-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 4 — — $185,601.10 $227,700.83 $189,750.69 2026-08-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 4 — — $150,123.91 $226,364.53 $188,637.11 2026-08-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 4 — — $103,507.99 $147,723.73 $123,103.11 2026-08-01
7 MS_DRG Lung Transplant 6 4 — — $86,372.14 $138,112.52 $115,093.77 2026-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 6 4 — — $80,700.32 $128,169.64 $106,808.03 2026-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 4 — — $86,215.12 $120,852.47 $100,710.39 2026-08-01
209 MS_DRG Complex Aortic Arch Procedures 5 4 — — $100,594.84 $120,713.81 $100,594.84 2026-08-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $97,949.96 $117,539.95 $97,949.96 2026-08-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 4 — — $75,840.38 $115,971.14 $96,642.62 2026-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 4 — — $72,878.08 $109,960.39 $91,633.66 2026-08-01
215 MS_DRG Other Heart Assist System Implant 6 4 — — $71,926.08 $106,190.36 $88,491.97 2026-08-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 4 — — $68,338.51 $104,332.54 $86,943.78 2026-08-01
38240 CPT Transplt Allo Hct/donor 9 9 $603.42 $362.05 40% off $81,537.83 $81,537.83 $81,537.83 2026-08-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 4 — — $80,072.04 $96,086.45 $80,072.04 2026-08-01
850 MS_DRG Acute Leukemia With Other Procedures 5 4 — — $76,960.55 $92,352.66 $76,960.55 2026-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 4 — — $57,142.04 $89,903.98 $74,919.98 2026-08-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 4 — — $59,354.44 $89,621.39 $74,684.49 2026-08-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 4 — — $59,516.39 $83,919.92 $69,933.27 2026-08-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 4 — — $54,297.34 $81,888.26 $68,240.22 2026-08-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 4 — — $54,919.79 $81,535.25 $67,946.04 2026-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 4 — — $50,926.64 $81,265.43 $67,721.19 2026-08-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $64,154.68 $76,985.62 $64,154.68 2026-08-01
10 MS_DRG Pancreas Transplant 6 4 — — $33,894.29 $76,528.09 $63,773.41 2026-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 4 — — $48,724.10 $76,496.09 $63,746.74 2026-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 4 — — $56,285.11 $76,089.74 $63,408.12 2026-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 4 — — $49,541.60 $76,044.96 $63,370.80 2026-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 4 — — $49,042.37 $73,713.64 $61,428.03 2026-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 4 — — $48,266.41 $73,352.08 $61,126.73 2026-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 4 — — $42,883.29 $71,786.48 $59,822.07 2026-08-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 4 — — $59,425.70 $71,310.84 $59,425.70 2026-08-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 4 — — $59,382.14 $71,258.57 $59,382.14 2026-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 4 — — $40,112.52 $70,124.88 $58,437.40 2026-08-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 4 — — $44,820.37 $70,124.88 $58,437.40 2026-08-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 4 — — $43,783.88 $69,870.01 $58,225.01 2026-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 4 — — $48,641.71 $68,625.38 $57,187.82 2026-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 4 — — $43,981.04 $65,358.76 $54,465.63 2026-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 4 — — $48,392.45 $65,283.01 $54,402.51 2026-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 4 — — $41,886.23 $64,656.97 $53,880.81 2026-08-01
28 MS_DRG Spinal Procedures With Mcc 6 4 — — $42,431.94 $64,077.89 $53,398.24 2026-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 4 — — $43,728.25 $64,059.76 $53,383.13 2026-08-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 4 — — $42,778.37 $63,595.82 $52,996.52 2026-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 4 — — $42,248.86 $63,386.81 $52,822.34 2026-08-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 6 4 — — $43,494.48 $63,239.64 $52,699.70 2026-08-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 4 — — $41,407.42 $62,588.02 $52,156.68 2026-08-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 4 — — $42,576.99 $62,547.47 $52,122.89 2026-08-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 4 — — $51,254.61 $61,505.53 $51,254.61 2026-08-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 4 — — $39,916.06 $61,113.07 $50,927.56 2026-08-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 5 4 — — $50,719.57 $60,863.48 $50,719.57 2026-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 4 — — $39,880.15 $60,784.58 $50,653.82 2026-08-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $49,965.04 $59,958.05 $49,965.04 2026-08-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 4 — — $37,049.52 $59,772.46 $49,810.38 2026-08-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 4 — — $31,407.28 $59,362.94 $49,469.12 2026-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 6 4 — — $48,011.51 $58,902.23 $49,085.19 2026-08-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedure With Comorbity 6 4 — — $39,424.57 $58,549.22 $48,791.02 2026-08-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 6 4 — — $38,764.10 $58,342.33 $48,618.61 2026-08-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 4 — — $36,600.29 $58,259.14 $48,549.28 2026-08-01
69930 CPT Implant Cochlear Device 9 9 $3,187.67 $1,912.60 40% off $47,515.75 $47,515.75 $47,515.75 2026-08-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 6 — — $29,874.60 $56,839.61 $47,366.34 2026-08-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 10 7 — — $30,422.25 $57,934.90 $45,886.78 2026-08-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 7 — — $29,683.71 $56,457.82 $45,145.99 2026-08-01
33249 CPT Insj/rplcmt Defib W/lead(s) 17 11 $46,443.20 $27,865.92 40% off $29,457.13 $56,961.49 $43,209.31 2026-08-01
61885 CPT Insrt/redo Neurostim 1 Array 9 9 $1,362.84 $817.70 40% off $42,688.95 $42,688.95 $42,688.95 2026-08-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 7 — — $30,538.50 $58,167.40 $42,390.10 2026-08-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 7 — — $29,891.68 $56,873.76 $42,161.96 2026-08-01
653 MS_DRG Major Bladder Procedures With Mcc 10 7 — — $29,164.33 $55,419.07 $42,150.83 2026-08-01
63685 CPT Insertion Of Spinal Neurostimulator Generator Or Receiver 17 11 $6,479.89 $3,887.93 40% off $27,803.48 $55,997.58 $41,900.53 2026-08-01
61886 CPT Implant Neurostim Arrays 9 9 $2,256.20 $1,353.72 40% off $41,900.53 $41,900.53 $41,900.53 2026-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 7 — — $27,590.20 $52,270.80 $41,787.88 2026-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 7 — — $29,212.32 $55,515.04 $41,391.62 2026-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 7 — — $29,590.40 $56,271.19 $41,250.06 2026-08-01
326 MS_DRG Stomach; Esophageal & Duodenal Proc With Comorbity 10 7 — — $28,049.85 $53,190.10 $40,044.07 2026-08-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 7 — — $27,836.56 $52,763.52 $39,724.45 2026-08-01
853 MS_DRG Infectious & Parasitic Diseases With O.r. Procedure With Comorbity 10 7 — — $27,789.62 $52,669.63 $39,546.62 2026-08-01
239 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity 10 7 — — $27,699.51 $52,489.42 $38,793.79 2026-08-01
471 MS_DRG Cervical Spinal Fusion With Mcc 10 7 — — $27,203.58 $51,497.57 $38,775.54 2026-08-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 7 — — $28,331.40 $53,753.20 $38,763.40 2026-08-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 7 — — $26,841.51 $50,773.43 $38,337.22 2026-08-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 7 — — $27,073.47 $51,237.35 $38,095.36 2026-08-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 6 — — $24,068.65 $45,227.70 $37,689.75 2026-08-01
6 MS_DRG Liver Transplant Without Mcc 10 7 — — $26,181.36 $49,453.12 $37,634.64 2026-08-01
799 MS_DRG Splenic Procedures With Mcc 10 7 — — $25,604.92 $48,300.25 $37,568.67 2026-08-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 7 — — $26,473.58 $50,037.56 $37,538.42 2026-08-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 7 — — $26,082.72 $49,255.84 $37,360.57 2026-08-01
21243 CPT Reconstruction Of Jaw Joint 16 11 $4,476.17 $2,685.70 40% off $25,029.49 $37,134.84 $37,134.84 2026-08-01
27702 CPT Reconstruct Ankle Joint 11 10 $2,544.64 $1,526.78 40% off $25,029.49 $37,134.84 $37,134.84 2026-08-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 7 — — $26,524.77 $50,139.94 $36,725.90 2026-08-01
163 MS_DRG Major Chest Procedures With Mcc 10 7 — — $25,353.77 $47,797.94 $36,510.89 2026-08-01
329 MS_DRG Major Small & Large Bowel Procedures With Comorbity 10 7 — — $25,965.40 $49,021.20 $36,327.71 2026-08-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 7 — — $26,398.93 $49,888.26 $36,238.33 2026-08-01
245 MS_DRG Aicd Generator Procedures 10 7 — — $25,783.56 $48,657.52 $36,227.57 2026-08-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 7 — — $25,903.01 $48,896.41 $36,223.26 2026-08-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity 10 7 — — $25,710.51 $48,511.42 $35,804.07 2026-08-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 7 — — $25,699.85 $48,490.10 $35,751.54 2026-08-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 6 — — $22,893.90 $42,878.21 $35,731.84 2026-08-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 7 — — $25,252.98 $47,596.36 $35,188.67 2026-08-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 7 — — $24,879.19 $46,848.77 $34,584.25 2026-08-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 7 — — $23,704.97 $44,500.34 $34,494.01 2026-08-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 7 — — $25,346.83 $47,784.07 $34,403.26 2026-08-01
474 MS_DRG Amputation For Musculoskeletal Sys & Conn Tissue Dis With Comorbity 10 7 — — $24,346.47 $45,783.34 $34,225.17 2026-08-01
901 MS_DRG Wound Debridements For Injuries With Mcc 10 7 — — $23,832.94 $44,756.29 $33,885.26 2026-08-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 7 — — $24,530.44 $46,151.27 $33,805.31 2026-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 7 — — $23,974.80 $45,040.00 $33,407.76 2026-08-01
793 MS_DRG Full Term Neonate With Major Problems 10 7 — — $23,688.97 $44,468.34 $33,348.07 2026-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 7 — — $23,925.20 $44,940.80 $32,965.78 2026-08-01
22630 CPT Arthrd Pst Tq 1ntrspc Lum 16 11 $4,224.43 $2,534.66 40% off $16,686.33 $34,757.78 $32,963.26 2026-08-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 7 — — $23,791.35 $44,673.11 $32,841.57 2026-08-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 7 — — $23,936.40 $44,963.20 $32,834.64 2026-08-01
791 MS_DRG Prematurity With Major Problems 10 7 — — $23,099.21 $43,288.81 $32,463.69 2026-08-01
140 MS_DRG Major Head And Neck Procedures With Mcc 10 7 — — $24,199.29 $45,488.99 $32,255.22 2026-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 7 — — $23,600.45 $44,291.30 $32,223.74 2026-08-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 7 — — $23,453.81 $43,998.02 $32,052.60 2026-08-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 7 — — $23,859.61 $44,809.62 $31,690.15 2026-08-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 7 — — $21,476.27 $40,042.94 $30,970.78 2026-08-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 7 — — $22,135.15 $41,360.69 $30,969.20 2026-08-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 8 6 — — $19,994.53 $37,079.45 $30,899.54 2026-08-01
628 MS_DRG Other Endocrine; Nutrit & Metab O.r. Proc With Comorbity 10 7 — — $21,422.26 $39,934.93 $30,773.33 2026-08-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 7 — — $22,088.08 $41,266.55 $30,750.78 2026-08-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 7 — — $22,339.25 $41,768.90 $30,742.86 2026-08-01
33240 CPT Insrt Pulse Gen W/singl Lead 17 11 $33,165.78 $19,899.47 40% off $21,105.34 $40,365.50 $30,735.42 2026-08-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 7 — — $21,601.60 $40,293.60 $30,442.90 2026-08-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 7 — — $22,106.40 $41,303.21 $30,347.08 2026-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Comorbity 10 7 — — $21,979.59 $41,049.58 $30,199.16 2026-08-01
54410 CPT Removal And Replacement Of Multicomponent Inflatable Penile Implant During Same … 15 10 $12,380.69 $7,428.41 40% off $22,124.58 $37,611.79 $29,868.19 2026-08-01
54401 CPT Insert Self-contd Prosthesis 9 9 $1,743.21 $1,045.93 40% off $29,868.19 $29,868.19 $29,868.19 2026-08-01
54405 CPT Insert Multi-comp Penis Pros 9 9 $2,173.24 $1,303.94 40% off $29,868.19 $29,868.19 $29,868.19 2026-08-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 7 — — $20,667.78 $38,425.96 $29,696.40 2026-08-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 7 — — $22,699.81 $42,490.02 $29,640.33 2026-08-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 7 — — $20,236.28 $37,562.96 $29,585.03 2026-08-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 7 — — $21,474.28 $40,038.96 $29,539.72 2026-08-01
622 MS_DRG Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity 10 7 — — $20,591.98 $38,274.36 $29,416.36 2026-08-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 8 6 — — $18,963.10 $35,016.61 $29,180.51 2026-08-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 7 — — $20,623.69 $38,337.77 $29,078.74 2026-08-01
332 MS_DRG Rectal Resection With Comorbity 10 7 — — $20,896.65 $38,883.70 $28,973.16 2026-08-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 7 — — $20,852.56 $38,795.51 $28,969.15 2026-08-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 7 — — $20,921.42 $38,933.23 $28,830.44 2026-08-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 7 — — $20,708.89 $38,508.18 $28,776.91 2026-08-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 10 7 — — $21,318.22 $39,726.85 $28,728.78 2026-08-01
265 MS_DRG Aicd Lead Procedures 10 7 — — $20,884.26 $38,858.92 $28,633.65 2026-08-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 7 — — $21,148.81 $39,388.01 $28,600.61 2026-08-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 7 — — $20,649.94 $38,390.29 $28,582.39 2026-08-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 7 — — $20,394.81 $37,880.02 $28,537.71 2026-08-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 10 7 — — $21,349.40 $41,593.51 $28,456.41 2026-08-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 7 — — $21,520.35 $40,131.10 $28,429.67 2026-08-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 7 — — $20,608.81 $38,308.02 $28,372.78 2026-08-01
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 15 10 $4,116.29 $2,469.77 40% off $21,898.00 $34,757.78 $28,327.89 2026-08-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 7 — — $20,577.62 $38,245.63 $28,103.85 2026-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Complication 10 7 — — $20,430.48 $37,951.36 $28,087.21 2026-08-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 10 7 — — $21,156.24 $39,402.88 $27,881.91 2026-08-01
53445 CPT Insert Uro/ves Nck Sphincter 17 11 $23,546.73 $14,128.04 40% off $18,061.37 $37,611.79 $27,836.58 2026-08-01
53447 CPT Remove/replace Ur Sphincter 17 11 $23,546.73 $14,128.04 40% off $18,061.37 $37,611.79 $27,836.58 2026-08-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 7 — — $20,157.02 $37,404.44 $27,575.92 2026-08-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 7 — — $20,935.29 $38,960.98 $27,553.78 2026-08-01
252 MS_DRG Other Vascular Procedures With Mcc 10 7 — — $20,240.74 $37,571.89 $27,462.61 2026-08-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 7 — — $20,825.81 $38,742.02 $27,410.80 2026-08-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 7 — — $19,860.77 $36,811.94 $27,407.90 2026-08-01
64580 CPT Opn Impltj Nea Neuromuscular 9 9 $810.44 $486.26 40% off $27,396.18 $27,396.18 $27,396.18 2026-08-01
64590 CPT Insertion Of Peripheral Or Gastric Neurostimulator Generator 16 11 $2,750.05 $1,650.03 40% off $19,586.89 $27,396.18 $27,396.18 2026-08-01
63655 CPT Implant Neuroelectrodes 15 10 $2,209.86 $1,325.92 40% off $19,586.89 $27,396.18 $27,396.18 2026-08-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 7 — — $20,073.79 $37,237.99 $27,377.00 2026-08-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 7 — — $19,943.99 $36,978.38 $27,295.94 2026-08-01
37 MS_DRG Extracranial Procedures With Mcc 10 7 — — $19,268.76 $35,627.93 $26,729.38 2026-08-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 7 — — $18,700.54 $34,491.49 $26,611.81 2026-08-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 7 — — $18,776.83 $34,644.07 $26,599.33 2026-08-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 7 — — $19,838.48 $36,767.36 $26,588.73 2026-08-01
264 MS_DRG Other Circulatory System O.r. Procedures 10 7 — — $19,509.03 $36,108.47 $26,543.74 2026-08-01
61624 CPT Tcat Perm Occls/embolj Cns 14 10 $3,161.98 $1,897.19 40% off $19,568.52 $26,417.50 $26,417.50 2026-08-01
579 MS_DRG Other Skin; Subcut Tiss & Breast Proc With Comorbity 10 7 — — $19,003.24 $35,096.88 $26,390.51 2026-08-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 7 — — $19,074.07 $35,238.54 $26,354.49 2026-08-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 10 7 — — $19,266.78 $35,623.97 $26,253.14 2026-08-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 10 7 — — $18,946.76 $34,983.92 $26,173.76 2026-08-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 10 7 — — $18,915.55 $34,921.50 $25,871.37 2026-08-01
500 MS_DRG Soft Tissue Procedures With Mcc 10 7 — — $18,638.13 $34,366.66 $25,736.30 2026-08-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 7 — — $18,985.40 $35,061.19 $25,611.66 2026-08-01
515 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc With Comorbity 10 7 — — $18,747.62 $34,585.63 $25,541.31 2026-08-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 10 7 — — $17,986.19 $33,062.77 $25,499.32 2026-08-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 7 — — $18,562.33 $34,215.07 $25,450.64 2026-08-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 10 7 — — $18,732.26 $34,554.91 $25,444.36 2026-08-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 7 — — $18,614.36 $34,319.12 $25,403.15 2026-08-01
23616 CPT Optx Prx Hmrl Fx Fix Rpr Rpl 17 11 $23,056.50 $13,833.90 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
22556 CPT Arthrd Ant Ntrbd Min Dsc Thc 15 10 $4,489.96 $2,693.98 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
24361 CPT Reconstruct Elbow Joint 17 11 $23,056.50 $13,833.90 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
22808 CPT Arthrd Ant Dfrm 2-3 Vrt Sgm 15 10 $4,969.63 $2,981.78 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
27280 CPT Arthr Si Jt Opn B1grf Instrm 15 10 $3,618.85 $2,171.31 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
22802 CPT Arthrd Pst Dfrm 7-12 Vrt Sgm 15 10 $5,648.71 $3,389.23 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
22600 CPT Arthrd Pst Tq 1ntrspc Crv 15 10 $3,443.59 $2,066.15 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
25442 CPT Arthrp W/prostc Dstl Ulna 17 11 $23,056.50 $13,833.90 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
22812 CPT Arthrd Ant Dfrm 8+ Vrt Sgm 15 10 $5,834.71 $3,500.83 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
20838 CPT Replantation Foot Complete 15 10 $7,440.02 $4,464.01 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
22804 CPT Arthrd Pst Dfrm 13+ Vrt Sgm 15 10 $6,537.54 $3,922.52 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
23472 CPT Prosthetic Repair Of Shoulder Joint; Total Shoulder 47 11 $8,250.13 $4,950.08 40% off $5,362.04 $31,818.68 $25,267.78 2026-08-01
20802 CPT Replantation Arm Complete 15 10 $7,352.15 $4,411.29 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
20805 CPT Replant Forearm Complete 15 10 $8,765.92 $5,259.55 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
20808 CPT Replantation Hand Complete 15 10 $10,619.13 $6,371.48 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
25446 CPT Arthrp W/prostc Dst Rds&crps 17 11 $23,056.50 $13,833.90 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
27295 CPT Amputation Of Leg At Hip 15 10 $3,357.76 $2,014.66 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
24363 CPT Replace Elbow Joint 17 11 $23,056.50 $13,833.90 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
22818 CPT Kyphectomy 1-2 Segments 15 10 $5,774.87 $3,464.92 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
22819 CPT Kyphectomy 3 Or More 15 10 $6,604.67 $3,962.80 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
22810 CPT Arthrd Ant Dfrm 4-7 Vrt Sgm 15 10 $5,584.58 $3,350.75 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
28705 CPT Arthrodesis Pantalar 17 11 $23,056.50 $13,833.90 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
22800 CPT Arthrd Pst Dfrm<6 Vrt Sgm 15 10 $3,619.24 $2,171.54 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
22610 CPT Arthrd Pst Tq 1ntrspc Thrc 15 10 $3,378.19 $2,026.91 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
27703 CPT Reconstruction Ankle Joint 14 10 $2,941.09 $1,764.65 40% off $18,716.87 $25,267.78 $25,267.78 2026-08-01
27290 CPT Amputation Of Leg At Hip 15 10 $4,317.91 $2,590.75 40% off $18,716.87 $31,818.68 $25,267.78 2026-08-01
652 MS_DRG Kidney Transplant 10 7 — — $18,958.66 $35,007.72 $25,164.08 2026-08-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 7 — — $19,324.26 $35,738.92 $25,032.53 2026-08-01
665 MS_DRG Prostatectomy With Mcc 10 7 — — $18,422.14 $33,934.68 $25,015.19 2026-08-01
20982 CPT Destruction Of Growths And Adjacent Soft Tissue 17 11 $4,125.06 $2,475.04 40% off $17,676.30 $31,818.68 $24,747.49 2026-08-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 7 — — $18,569.76 $34,229.93 $24,713.96 2026-08-01
464 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication 10 7 — — $18,389.94 $33,870.28 $24,679.58 2026-08-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 7 — — $18,362.69 $33,815.77 $24,486.83 2026-08-01
662 MS_DRG Minor Bladder Procedures With Mcc 10 7 — — $18,126.38 $33,343.16 $24,443.40 2026-08-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 10 7 — — $17,704.81 $32,500.01 $24,367.76 2026-08-01
62361 CPT Implant Spine Infusion Pump 9 9 $1,135.86 $681.52 40% off $24,338.21 $24,338.21 $24,338.21 2026-08-01
62362 CPT Implant Spine Infusion Pump 9 9 $1,014.19 $608.51 40% off $24,338.21 $24,338.21 $24,338.21 2026-08-01
62360 CPT Insert Spine Infusion Device 9 9 $834.81 $500.89 40% off $24,338.21 $24,338.21 $24,338.21 2026-08-01
22612 CPT Arthrd Pst Tq 1ntrspc Lumbar 17 11 $4,251.84 $2,551.10 40% off $16,686.33 $31,818.68 $24,252.51 2026-08-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 10 7 — — $17,921.29 $32,932.99 $24,006.69 2026-08-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 7 — — $18,619.47 $34,818.46 $23,939.71 2026-08-01
263 MS_DRG Vein Ligation And Stripping 10 7 — — $18,106.06 $33,302.53 $23,822.68 2026-08-01
472 MS_DRG Cervical Spinal Fusion With Cc 10 7 — — $17,554.69 $32,199.78 $23,821.60 2026-08-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 10 7 — — $18,525.67 $34,141.75 $23,761.85 2026-08-01
570 MS_DRG Skin Debridement With Mcc 10 7 — — $17,529.92 $32,150.24 $23,684.06 2026-08-01
480 MS_DRG Hip & Femur Procedures Except Major Joint With Comorbity 10 7 — — $17,387.26 $31,864.91 $23,659.18 2026-08-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 7 — — $17,178.69 $31,447.78 $23,644.86 2026-08-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 7 — — $17,336.22 $31,762.84 $23,530.04 2026-08-01
974 MS_DRG HIV With Major Related Condition With Mcc 10 7 — — $17,256.96 $31,604.32 $23,436.53 2026-08-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 10 7 — — $17,327.31 $31,745.02 $23,392.70 2026-08-01
510 MS_DRG Shoulder; Elbow Or Forearm Proc; Exc Major Joint Proc With Comorbity 10 7 — — $17,923.26 $32,936.93 $23,302.08 2026-08-01
668 MS_DRG Transurethral Procedures With Mcc 10 7 — — $17,425.40 $31,941.19 $23,230.10 2026-08-01
240 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication 10 7 — — $17,081.08 $31,252.57 $22,912.20 2026-08-01
498 MS_DRG Local Excision & Removal Int Fix Devices Of Hip & Femur With Complication/comorb… 10 7 — — $17,904.94 $32,900.29 $22,900.95 2026-08-01
800 MS_DRG Splenic Procedures With Cc 10 7 — — $16,877.48 $30,845.36 $22,772.46 2026-08-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 10 7 — — $16,438.56 $29,967.53 $22,607.37 2026-08-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 10 7 — — $17,236.16 $31,562.72 $22,606.62 2026-08-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 8 6 — — $14,959.31 $27,009.02 $22,507.52 2026-08-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 7 — — $16,618.40 $30,327.19 $22,504.09 2026-08-01
654 MS_DRG Major Bladder Procedures With Cc 10 7 — — $16,827.44 $30,745.28 $22,448.40 2026-08-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 8 6 — — $14,920.17 $26,930.74 $22,442.28 2026-08-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 10 7 — — $17,544.78 $32,179.97 $22,324.09 2026-08-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 10 7 — — $17,263.89 $31,618.18 $22,287.52 2026-08-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 10 7 — — $16,137.36 $29,365.13 $22,256.38 2026-08-01
503 MS_DRG Foot Procedures With Mcc 10 7 — — $16,786.83 $30,664.06 $22,218.80 2026-08-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 10 7 — — $16,502.96 $30,096.32 $22,166.73 2026-08-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 10 7 — — $16,576.78 $30,243.95 $22,120.86 2026-08-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 10 7 — — $16,322.64 $29,735.68 $22,062.58 2026-08-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Complication/comorbity 10 7 — — $16,573.32 $30,237.04 $21,997.57 2026-08-01
849 MS_DRG Radiotherapy 10 7 — — $16,382.58 $29,855.57 $21,915.38 2026-08-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 10 7 — — $15,754.91 $28,600.22 $21,564.83 2026-08-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 10 7 — — $16,366.24 $29,822.88 $21,555.33 2026-08-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 10 7 — — $16,091.29 $29,272.98 $21,523.71 2026-08-01
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 10 7 — — $16,691.71 $30,473.82 $21,443.50 2026-08-01
253 MS_DRG Other Vascular Procedures With Cc 10 7 — — $15,818.32 $28,727.04 $20,951.21 2026-08-01
65770 CPT Keratoprosthesis 17 11 $13,780.62 $8,268.37 40% off $15,484.87 $26,324.28 $20,904.58 2026-08-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 10 7 — — $15,547.34 $28,185.08 $20,858.47 2026-08-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 10 7 — — $15,679.62 $28,449.64 $20,716.27 2026-08-01
164 MS_DRG Major Chest Procedures With Cc 10 7 — — $15,463.62 $28,017.65 $20,653.16 2026-08-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 10 7 — — $16,025.41 $29,141.21 $20,607.29 2026-08-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 10 7 — — $15,802.97 $28,696.33 $20,561.35 2026-08-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 10 7 — — $15,607.29 $28,304.98 $20,382.44 2026-08-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 10 7 — — $15,737.08 $28,564.55 $20,295.90 2026-08-01
545 MS_DRG Connective Tissue Disorders With Mcc 10 7 — — $15,254.06 $27,598.52 $20,277.15 2026-08-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 10 7 — — $15,458.17 $28,006.74 $20,234.93 2026-08-01
493 MS_DRG Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication 10 7 — — $15,523.57 $28,137.53 $20,179.58 2026-08-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 10 7 — — $15,139.14 $27,368.68 $20,156.03 2026-08-01
327 MS_DRG Stomach; Esophageal & Duodenal Proc With Complication 10 7 — — $15,068.29 $27,226.98 $20,137.12 2026-08-01
67027 CPT Implant Eye Drug System 17 11 $14,298.62 $8,579.17 40% off $14,894.41 $25,320.50 $20,107.46 2026-08-01
792 MS_DRG Prematurity Without Major Problems 10 7 — — $15,093.07 $27,276.53 $20,070.10 2026-08-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 10 7 — — $15,053.92 $27,198.25 $19,995.59 2026-08-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 10 7 — — $15,304.59 $27,699.59 $19,991.12 2026-08-01
19357 CPT Tiss Xpndr Plmt Brst Rcnstj 17 11 $17,082.83 $10,249.70 40% off $14,710.79 $25,008.34 $19,859.56 2026-08-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 10 7 — — $15,142.60 $27,375.61 $19,798.75 2026-08-01
113 MS_DRG Orbital Procedures With Cc/mcc 10 7 — — $14,607.08 $26,304.56 $19,787.64 2026-08-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 10 7 — — $15,348.05 $28,564.55 $19,770.43 2026-08-01
347 MS_DRG Anal And Stomal Procedures With Mcc 10 7 — — $14,332.12 $25,754.65 $19,705.67 2026-08-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 10 7 — — $13,709.92 $24,510.23 $19,549.79 2026-08-01
330 MS_DRG Major Small & Large Bowel Procedures With Complication 10 7 — — $14,835.45 $26,761.31 $19,501.95 2026-08-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 10 7 — — $14,545.15 $26,180.70 $19,295.59 2026-08-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 10 7 — — $14,468.36 $26,027.12 $19,273.15 2026-08-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Comorbity 10 7 — — $14,781.95 $26,654.30 $19,266.19 2026-08-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 10 7 — — $14,802.27 $26,694.94 $19,218.69 2026-08-01
397 MS_DRG Appendix Procedures With Mcc 10 7 — — $14,824.06 $26,738.52 $19,050.61 2026-08-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 10 7 — — $14,875.58 $26,841.56 $19,021.02 2026-08-01
54400 CPT Insert Semi-rigid Prosthesis 15 10 $23,546.73 $14,128.04 40% off $14,083.65 $23,942.21 $19,012.93 2026-08-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 7 — — $14,409.41 $25,909.22 $18,953.63 2026-08-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 10 7 — — $12,475.88 $27,334.99 $18,950.73 2026-08-01
27487 CPT Revise/replace Knee Joint 30 10 $6,861.60 $4,116.97 40% off $12,772.00 $31,818.68 $18,716.87 2026-08-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 10 7 — — $14,282.58 $25,655.57 $18,710.99 2026-08-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 10 7 — — $14,214.73 $25,519.86 $18,635.08 2026-08-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 10 7 — — $14,262.78 $25,615.96 $18,612.45 2026-08-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 10 7 — — $14,480.25 $26,050.91 $18,588.78 2026-08-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 10 7 — — $13,771.84 $24,634.08 $18,540.62 2026-08-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 10 7 — — $14,536.73 $26,163.85 $18,529.51 2026-08-01
23615 CPT Optx Prox Humrl Fx W/int Fix 17 11 $15,184.38 $9,110.63 40% off $13,704.95 $23,298.42 $18,501.69 2026-08-01
25810 CPT Arthrd Wrst Iliac/oth Agrft 17 11 $15,184.38 $9,110.63 40% off $13,704.95 $23,298.42 $18,501.69 2026-08-01
24586 CPT Treat Elbow Fracture 18 11 $15,184.38 $9,110.63 40% off $13,704.95 $23,298.42 $18,501.69 2026-08-01
24579 CPT Treat Humerus Fracture 17 11 $15,184.38 $9,110.63 40% off $13,704.95 $23,298.42 $18,501.69 2026-08-01
24546 CPT Treat Humerus Fracture 17 11 $23,056.50 $13,833.90 40% off $13,704.95 $23,298.42 $18,501.69 2026-08-01
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