Hospital

MIMBRES VALLEY MEDICAL CENTER

Deming, NM · CCN 321309 · Rates published

3,080 distinct procedures filed

11 distinct payers

39,584 rate rows

2026-01-31 last MRF observed

Data quality

37,874 of 39,584 rate rows are consumer-grade (95.7%)

1,710 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	1,302
per-diem day rate — not a per-procedure price	405
exceeds 3× this hospital's gross charge for a DRG stay — excluded	2
exceeds 10× this hospital's gross charge — 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=dbMMHDEMINGNM&type=CDMWithoutLabel&fileType=CSV
Found on page	https://apps.para-hcfs.com/PTT/FinalLinks/Mimbres.aspx
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-16
Content fingerprint	96c977b32413aecb… · 13,106,049 bytes · first seen 2026-05-05

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
1061550 CDM	Operating Room Services - General Classification	10	$20,199.80	$94,999.05	$79,999.20	—
33992 HCPCS	Removal Of Blood Flow Assist Device In Left Lower Heart Chamber Through The Skin	11	$16,388.50	$81,131.19	$64,904.95	nat. median $847 outlier · 76.7×
1410017 CDM	Oth Ster Supp Lvl 17	10	$14,501.75	$68,201.30	$57,432.67	nat. median $57,999 1.0× median
1061522 CDM	Operating Room Services - General Classification	10	$13,921.43	$65,472.07	$55,134.38	—
C9607 HCPCS	Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary…	11	$13,750.09	$68,069.74	$54,455.79	nat. median $19,925 outlier · 2.7×
92933 HCPCS	Removal Of Plaque, Insertion Of Stent And Balloon Dilation Of Single Coronary Ar…	11	$13,750.09	$68,069.74	$54,455.79	nat. median $19,143 outlier · 2.8×
C9606 HCPCS	Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du…	11	$13,750.09	$68,069.74	$54,455.79	nat. median $17,051 outlier · 3.2×
C9602 HCPCS	Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary…	11	$13,750.09	$68,069.74	$54,455.79	nat. median $19,918 outlier · 2.7×
93653 HCPCS	Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma…	11	$13,390.18	$66,288.02	$53,030.42	nat. median $25,502 outlier · 2.1×
1061553 CDM	Operating Room Services - General Classification	10	$11,005.80	$51,759.96	$43,587.34	—
93461 HCPCS	Insertion Of Tube In Right And Left Heart Chambers, Coronary Artery, And Bypass…	11	$10,717.83	$53,058.54	$42,446.83	nat. median $4,149 outlier · 10.2×
93460 HCPCS	Insertion Of Tube In Right And Left Heart Chambers And Coronary Artery For Diagn…	11	$10,420.12	$51,584.75	$41,267.80	nat. median $4,047 outlier · 10.2×
1061518 CDM	Operating Room Services - General Classification	10	$9,718.03	$45,703.61	$38,487.25	—
1061521 CDM	Operating Room Services - General Classification	10	$9,718.03	$45,703.61	$38,487.25	—
92937 HCPCS	Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary…	11	$8,979.37	$44,452.35	$35,561.88	nat. median $13,745 outlier · 2.6×
92943 HCPCS	Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary…	11	$8,979.37	$44,452.35	$35,561.88	nat. median $13,827 outlier · 2.6×
C9600 HCPCS	Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit…	11	$8,979.37	$44,452.35	$35,561.88	nat. median $13,311 outlier · 2.7×
92941 HCPCS	Removal Of Plaque And Blood Clot, Insertion Of Stent And/or Balloon Dilation Of…	11	$8,979.37	$44,452.35	$35,561.88	nat. median $7,185 outlier · 4.9×
92924 HCPCS	Removal Of Plaque With Balloon Dilation Of Single Coronary Artery Or Branch	11	$8,979.37	$44,452.35	$35,561.88	nat. median $13,110 outlier · 2.7×
92928 HCPCS	Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Single A…	11	$8,979.37	$44,452.35	$35,561.88	nat. median $13,221 outlier · 2.7×
C9604 HCPCS	Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass…	11	$8,979.37	$44,452.35	$35,561.88	nat. median $14,775 outlier · 2.4×
93459 HCPCS	Insertion Of Tube In Left Lower Heart Chamber, Coronary Artery And Bypass Graft…	11	$8,622.03	$42,683.32	$34,146.66	nat. median $4,076 outlier · 8.4×
93458 HCPCS	Insertion Of Tube In Left Lower Heart Chamber And Coronary Artery For Diagnosis…	11	$8,324.33	$41,209.54	$32,967.63	nat. median $4,063 outlier · 8.1×
93457 HCPCS	Insertion Of Tube In Right Heart Chambers, Coronary Artery, And Bypass Graft For…	11	$7,554.38	$37,397.92	$29,918.34	nat. median $4,149 outlier · 7.2×
93456 HCPCS	Insertion Of Tube In Right Heart Chambers And Coronary Artery For Diagnosis With…	11	$7,256.67	$35,924.13	$28,739.30	nat. median $4,149 outlier · 6.9×
1061232 CDM	Operating Room Services - General Classification	10	$6,803.38	$31,996.11	$26,944.10	—
1410016 CDM	Oth Ster Supp Lvl 16	10	$6,767.48	$31,827.27	$26,801.91	nat. median $40,131 0.7× median
93455 HCPCS	Insertion Of Tube In Bypass Graft For Diagnosis With Review By Radiologist	11	$6,655.14	$32,946.25	$26,357.00	nat. median $4,149 outlier · 6.4×
93454 HCPCS	Insertion Of Tube In Coronary Artery For Diagnosis With Review By Radiologist	11	$6,357.05	$31,470.56	$25,176.45	nat. median $4,047 outlier · 6.2×
C1776 HCPCS	Joint Device (implantable)	11	$848.64	$44,669.81	$21,538.04	nat. median $3,543 outlier · 6.1×
853 MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	2	$20,989.05	$20,999.88	$20,994.47	nat. median $34,733 0.6× median
956 MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	2	$15,992.75	$25,206.88	$20,599.82	nat. median $27,340 0.8× median
1061517 CDM	Operating Room Services - General Classification	10	$4,701.63	$22,111.63	$18,620.32	—
356 MS_DRG	Other Digestive System O.r. Procedures With Mcc	2	$18,527.65	$18,669.40	$18,598.53	nat. median $30,674 0.6× median
1160114 CDM	Gastro - Intestinal (gi) Services - General Classification	10	$4,687.63	$22,045.78	$18,564.86	nat. median $4,495 outlier · 4.1×
1061233 CDM	Operating Room Services - General Classification	10	$4,355.29	$20,482.80	$17,248.67	—
50590 HCPCS	Shock Wave Crushing Of Kidney Stones	11	$4,325.95	$21,415.58	$17,132.46	nat. median $4,399 outlier · 3.9×
92986 HCPCS	Balloon Dilation Repair Of Aortic Valve	11	$4,321.23	$21,392.21	$17,113.77	nat. median $6,355 outlier · 2.7×
329 MS_DRG	Major Small And Large Bowel Procedures With Mcc	2	$14,622.78	$19,535.13	$17,078.96	nat. median $33,435 0.5× median
1160134 CDM	Gastro - Intestinal (gi) Services - General Classification	10	$4,292.57	$20,187.84	$17,000.29	nat. median $1,172 outlier · 14.5×
521 MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	2	$12,198.35	$20,796.47	$16,497.41	nat. median $21,753 0.8× median
93650 HCPCS	Destruction Of Heart Conduction Tissue To Create Heart Block	11	$4,045.02	$20,024.87	$16,019.90	nat. median $8,776 1.8× median
93452 HCPCS	Insertion Of Tube In Left Heart Chambers For Diagnosis With Review By Radiologis…	11	$3,797.91	$18,801.54	$15,041.23	nat. median $4,149 outlier · 3.6×
C1874 HCPCS	Stent, Coated/covered, With Delivery System	11	$483.39	$71,790.84	$14,358.18	nat. median $5,596 outlier · 2.6×
1410015 CDM	Oth Ster Supp Lvl 15	10	$3,609.32	$16,974.54	$14,294.35	nat. median $21,403 0.7× median
1160113 CDM	Gastro - Intestinal (gi) Services - General Classification	10	$3,515.54	$16,533.47	$13,922.92	nat. median $3,596 outlier · 3.9×
468 MS_DRG	Revision Of Hip Or Knee Replacement Without Cc/mcc	2	$11,679.00	$15,218.59	$13,448.80	nat. median $19,904 0.7× median
208 MS_DRG	Respiratory System Diagnosis With Ventilator Support <=96 Hours	2	$11,681.98	$14,294.64	$12,988.31	nat. median $19,623 0.7× median
1160133 CDM	Gastro - Intestinal (gi) Services - General Classification	10	$3,219.52	$15,141.31	$12,750.58	nat. median $938 outlier · 13.6×
480 MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	2	$12,377.28	$13,047.24	$12,712.26	nat. median $21,963 0.6× median

Other procedures at this hospital

Browse this hospital's 3,080 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

1061550	CDM	Operating Room Services - General Classification	10	10	$99,999.00	$49,999.50 50% off	$20,199.80	$94,999.05	$79,999.20	2026-01-31
33992	HCPCS	Removal Of Blood Flow Assist Device In Left Lower Heart Chamber Through The Skin	11	11	$81,131.19	$40,565.60 50% off	$16,388.50	$81,131.19	$64,904.95	2026-01-31
1410017	CDM	Oth Ster Supp Lvl 17	10	10	$71,790.84	$35,895.42 50% off	$14,501.75	$68,201.30	$57,432.67	2026-01-31
1061522	CDM	Operating Room Services - General Classification	10	10	$68,917.97	$34,458.99 50% off	$13,921.43	$65,472.07	$55,134.38	2026-01-31
92933	HCPCS	Removal Of Plaque, Insertion Of Stent And Balloon Dilation Of Single Coronary Ar…	11	11	$68,069.74	$34,034.87 50% off	$13,750.09	$68,069.74	$54,455.79	2026-01-31
C9606	HCPCS	Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du…	11	11	$68,069.74	$34,034.87 50% off	$13,750.09	$68,069.74	$54,455.79	2026-01-31
C9607	HCPCS	Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary…	11	11	$68,069.74	$34,034.87 50% off	$13,750.09	$68,069.74	$54,455.79	2026-01-31
C9602	HCPCS	Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary …	11	11	$68,069.74	$34,034.87 50% off	$13,750.09	$68,069.74	$54,455.79	2026-01-31
93653	HCPCS	Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma…	11	11	$66,288.02	$33,144.01 50% off	$13,390.18	$66,288.02	$53,030.42	2026-01-31
1061553	CDM	Operating Room Services - General Classification	10	10	$54,484.17	$27,242.09 50% off	$11,005.80	$51,759.96	$43,587.34	2026-01-31
93461	HCPCS	Insertion Of Tube In Right And Left Heart Chambers, Coronary Artery, And Bypass …	11	11	$53,058.54	$26,529.27 50% off	$10,717.83	$53,058.54	$42,446.83	2026-01-31
93460	HCPCS	Insertion Of Tube In Right And Left Heart Chambers And Coronary Artery For Diagn…	11	11	$51,584.75	$25,792.38 50% off	$10,420.12	$51,584.75	$41,267.80	2026-01-31
1061518	CDM	Operating Room Services - General Classification	10	10	$48,109.06	$24,054.53 50% off	$9,718.03	$45,703.61	$38,487.25	2026-01-31
1061521	CDM	Operating Room Services - General Classification	10	10	$48,109.06	$24,054.53 50% off	$9,718.03	$45,703.61	$38,487.25	2026-01-31
92924	HCPCS	Removal Of Plaque With Balloon Dilation Of Single Coronary Artery Or Branch	11	11	$44,452.35	$22,226.18 50% off	$8,979.37	$44,452.35	$35,561.88	2026-01-31
C9604	HCPCS	Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass…	11	11	$44,452.35	$22,226.18 50% off	$8,979.37	$44,452.35	$35,561.88	2026-01-31
C9600	HCPCS	Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit…	11	11	$44,452.35	$22,226.18 50% off	$8,979.37	$44,452.35	$35,561.88	2026-01-31
92937	HCPCS	Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary…	11	11	$44,452.35	$22,226.18 50% off	$8,979.37	$44,452.35	$35,561.88	2026-01-31
92943	HCPCS	Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary…	11	11	$44,452.35	$22,226.18 50% off	$8,979.37	$44,452.35	$35,561.88	2026-01-31
92928	HCPCS	Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Single A…	11	11	$44,452.35	$22,226.18 50% off	$8,979.37	$44,452.35	$35,561.88	2026-01-31
92941	HCPCS	Removal Of Plaque And Blood Clot, Insertion Of Stent And/or Balloon Dilation Of …	11	11	$44,452.35	$22,226.18 50% off	$8,979.37	$44,452.35	$35,561.88	2026-01-31
93459	HCPCS	Insertion Of Tube In Left Lower Heart Chamber, Coronary Artery And Bypass Graft …	11	11	$42,683.32	$21,341.66 50% off	$8,622.03	$42,683.32	$34,146.66	2026-01-31
93458	HCPCS	Insertion Of Tube In Left Lower Heart Chamber And Coronary Artery For Diagnosis …	11	11	$41,209.54	$20,604.77 50% off	$8,324.33	$41,209.54	$32,967.63	2026-01-31
93457	HCPCS	Insertion Of Tube In Right Heart Chambers, Coronary Artery, And Bypass Graft For…	11	11	$37,397.92	$18,698.96 50% off	$7,554.38	$37,397.92	$29,918.34	2026-01-31
93456	HCPCS	Insertion Of Tube In Right Heart Chambers And Coronary Artery For Diagnosis With…	11	11	$35,924.13	$17,962.07 50% off	$7,256.67	$35,924.13	$28,739.30	2026-01-31
1061232	CDM	Operating Room Services - General Classification	10	10	$33,680.12	$16,840.06 50% off	$6,803.38	$31,996.11	$26,944.10	2026-01-31
1410016	CDM	Oth Ster Supp Lvl 16	10	10	$33,502.39	$16,751.20 50% off	$6,767.48	$31,827.27	$26,801.91	2026-01-31
93455	HCPCS	Insertion Of Tube In Bypass Graft For Diagnosis With Review By Radiologist	11	11	$32,946.25	$16,473.13 50% off	$6,655.14	$32,946.25	$26,357.00	2026-01-31
93454	HCPCS	Insertion Of Tube In Coronary Artery For Diagnosis With Review By Radiologist	11	11	$31,470.56	$15,735.28 50% off	$6,357.05	$31,470.56	$25,176.45	2026-01-31
C1776	HCPCS	Joint Device (implantable)	88	11	$28,171.25	$14,085.63 50% off	$848.64	$44,669.81	$21,538.04	2026-01-31
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	2	2	$177,062.40	$88,531.20 50% off	$20,989.05	$20,999.88	$20,994.47	2026-01-31
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	2	2	$171,460.82	$85,730.41 50% off	$15,992.75	$25,206.88	$20,599.82	2026-01-31
1061517	CDM	Operating Room Services - General Classification	10	10	$23,275.40	$11,637.70 50% off	$4,701.63	$22,111.63	$18,620.32	2026-01-31
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	2	2	$190,290.96	$95,145.48 50% off	$18,527.65	$18,669.40	$18,598.53	2026-01-31
1160114	CDM	Gastro - Intestinal (gi) Services - General Classification	10	10	$23,206.08	$11,603.04 50% off	$4,687.63	$22,045.78	$18,564.86	2026-01-31
1061233	CDM	Operating Room Services - General Classification	10	10	$21,560.84	$10,780.42 50% off	$4,355.29	$20,482.80	$17,248.67	2026-01-31
50590	HCPCS	Shock Wave Crushing Of Kidney Stones	11	11	$21,415.58	$10,707.79 50% off	$4,325.95	$21,415.58	$17,132.46	2026-01-31
92986	HCPCS	Balloon Dilation Repair Of Aortic Valve	11	11	$21,392.21	$10,696.11 50% off	$4,321.23	$21,392.21	$17,113.77	2026-01-31
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	2	2	$134,732.68	$67,366.34 50% off	$14,622.78	$19,535.13	$17,078.96	2026-01-31
1160134	CDM	Gastro - Intestinal (gi) Services - General Classification	10	10	$21,250.36	$10,625.18 50% off	$4,292.57	$20,187.84	$17,000.29	2026-01-31
521	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	2	2	$132,424.65	$66,212.33 50% off	$12,198.35	$20,796.47	$16,497.41	2026-01-31
93650	HCPCS	Destruction Of Heart Conduction Tissue To Create Heart Block	11	11	$20,024.87	$10,012.44 50% off	$4,045.02	$20,024.87	$16,019.90	2026-01-31
93452	HCPCS	Insertion Of Tube In Left Heart Chambers For Diagnosis With Review By Radiologis…	11	11	$18,801.54	$9,400.77 50% off	$3,797.91	$18,801.54	$15,041.23	2026-01-31
C1874	HCPCS	Stent, Coated/covered, With Delivery System	55	11	$17,947.72	$8,973.86 50% off	$483.39	$71,790.84	$14,358.18	2026-01-31
1410015	CDM	Oth Ster Supp Lvl 15	10	10	$17,867.94	$8,933.97 50% off	$3,609.32	$16,974.54	$14,294.35	2026-01-31
1160113	CDM	Gastro - Intestinal (gi) Services - General Classification	10	10	$17,403.65	$8,701.83 50% off	$3,515.54	$16,533.47	$13,922.92	2026-01-31
468	MS_DRG	Revision Of Hip Or Knee Replacement Without Cc/mcc	2	2	$234,339.05	$117,169.53 50% off	$11,679.00	$15,218.59	$13,448.80	2026-01-31
208	MS_DRG	Respiratory System Diagnosis With Ventilator Support <=96 Hours	2	2	$47,181.33	$23,590.67 50% off	$11,681.98	$14,294.64	$12,988.31	2026-01-31
1160133	CDM	Gastro - Intestinal (gi) Services - General Classification	10	10	$15,938.22	$7,969.11 50% off	$3,219.52	$15,141.31	$12,750.58	2026-01-31
480	MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	2	2	$163,881.83	$81,940.91 50% off	$12,377.28	$13,047.24	$12,712.26	2026-01-31
J0840	HCPCS	Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram	11	11	$15,643.09	$7,821.55 50% off	$3,159.90	$15,643.09	$12,514.47	2026-01-31
570	MS_DRG	Skin Debridement With Mcc	2	2	$74,653.70	$37,326.85 50% off	$12,083.48	$12,499.68	$12,291.58	2026-01-31
522	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc	2	2	$137,912.11	$68,956.05 50% off	$9,000.23	$15,348.34	$12,174.28	2026-01-31
C1724	HCPCS	Catheter, Transluminal Atherectomy, Rotational	11	11	$15,165.41	$7,582.71 50% off	$3,063.41	$15,165.41	$12,132.33	2026-01-31
V2790	HCPCS	Amniotic Membrane For Surgical Reconstruction, Per Procedure	11	11	$15,009.07	$7,504.54 50% off	$3,031.83	$15,009.07	$12,007.26	2026-01-31
327	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Cc	2	2	$155,969.82	$77,984.91 50% off	$10,387.85	$13,596.34	$11,992.10	2026-01-31
J1162	HCPCS	Injection, Digoxin Immune Fab (ovine), Per Vial	11	11	$14,960.93	$7,480.47 50% off	$3,022.11	$14,960.93	$11,968.74	2026-01-31
330	MS_DRG	Major Small And Large Bowel Procedures With Cc	2	2	$166,741.72	$83,370.86 50% off	$10,188.10	$12,252.10	$11,220.10	2026-01-31
81415	HCPCS	Test For Detecting Exome, Sequence Analysis	11	11	$13,866.67	$6,933.34 50% off	$2,801.07	$13,866.67	$11,093.34	2026-01-31
93567	HCPCS	Injection For Imaging Of Aorta Above Heart Valve With Review By Radiologist	11	11	$13,704.39	$6,852.20 50% off	$2,768.29	$13,704.39	$10,963.51	2026-01-31
470	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …	2	2	$82,482.99	$41,241.49 50% off	$8,197.83	$12,705.30	$10,451.56	2026-01-31
344	MS_DRG	Minor Small And Large Bowel Procedures With Mcc	2	2	$239,219.04	$119,609.52 50% off	$9,814.34	$10,976.90	$10,395.62	2026-01-31
74178	HCPCS	CT Scan Of Abdomen And Pelvis Before And After Contrast	11	11	$12,411.69	$6,205.85 50% off	$2,507.16	$12,411.69	$9,929.35	2026-01-31
336	MS_DRG	Peritoneal Adhesiolysis With Cc	2	2	$143,193.79	$71,596.90 50% off	$8,961.98	$10,654.61	$9,808.30	2026-01-31
854	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Cc	2	2	$82,453.98	$41,226.99 50% off	$8,491.93	$11,071.46	$9,781.69	2026-01-31
81408	HCPCS	Molecular Pathology Procedure Level 9 Genetic Analysis	22	11	$12,058.47	$6,029.24 50% off	$2,412.12	$12,175.73	$9,740.58	2026-01-31
74174	HCPCS	CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast	11	11	$12,139.06	$6,069.53 50% off	$2,452.09	$12,139.06	$9,711.25	2026-01-31
789	MS_DRG	Neonates, Died Or Transferred To Another Acute Care Facility	3	3	$5,653.38	$2,826.69 50% off	$5,653.38	$12,880.94	$9,659.20	2026-01-31
70	MS_DRG	Other Cerebrovascular Disorders With Mcc	2	2	$30,126.67	$15,063.34 50% off	$7,075.40	$11,697.98	$9,386.69	2026-01-31
553	MS_DRG	Bone Diseases And Arthropathies With Mcc	2	2	$8,603.04	$4,301.52 50% off	$5,509.28	$13,180.75	$9,345.01	2026-01-31
682	MS_DRG	Renal Failure With Mcc	2	2	$63,807.71	$31,903.86 50% off	$6,294.25	$12,347.06	$9,320.65	2026-01-31
1160112	CDM	Gastro - Intestinal (gi) Services - General Classification	10	10	$11,603.01	$5,801.51 50% off	$2,343.81	$11,022.86	$9,282.41	2026-01-31
92925	HCPCS	Removal Of Plaque With Balloon Dilation Of Coronary Artery Or Branch, Each Addit…	11	11	$11,519.39	$5,759.70 50% off	$2,326.92	$11,519.39	$9,215.51	2026-01-31
A4264	HCPCS	Permanent Implantable Contraceptive Intratubal Occlusion Device(s) And Delivery …	11	11	$11,515.95	$5,757.98 50% off	$2,326.22	$11,515.95	$9,212.76	2026-01-31
481	MS_DRG	Hip And Femur Procedures Except Major Joint With Cc	2	2	$124,079.47	$62,039.74 50% off	$8,901.63	$9,395.30	$9,148.47	2026-01-31
280	MS_DRG	Acute Myocardial Infarction, Discharged Alive With Mcc	2	2	$45,647.35	$22,823.67 50% off	$6,817.43	$11,311.22	$9,064.33	2026-01-31
283	MS_DRG	Acute Myocardial Infarction, Expired With Mcc	2	2	$8,115.16	$4,057.58 50% off	$8,115.16	$9,889.87	$9,002.51	2026-01-31
1110806	CDM	Operating Room Services - General Classification	10	10	$11,058.89	$5,529.45 50% off	$2,233.90	$10,505.95	$8,847.11	2026-01-31
475	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	2	2	$83,237.86	$41,618.93 50% off	$7,793.11	$9,671.73	$8,732.42	2026-01-31
175	MS_DRG	Pulmonary Embolism With Mcc Or Acute Cor Pulmonale	2	2	$70,914.83	$35,457.42 50% off	$5,837.80	$11,624.32	$8,731.06	2026-01-31
36557	HCPCS	Insertion Of Tunneled Central Venous Tube For Infusion (younger Than 5 Years)	11	11	$10,825.41	$5,412.71 50% off	$2,186.73	$10,825.41	$8,660.33	2026-01-31
36558	HCPCS	Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older)	11	11	$10,825.41	$5,412.71 50% off	$2,186.73	$10,825.41	$8,660.33	2026-01-31
2811404	CDM	Operating Room Services - General Classification	10	10	$10,825.41	$5,412.71 50% off	$2,186.73	$10,284.14	$8,660.33	2026-01-31
629	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc	2	2	$67,757.11	$33,878.55 50% off	$7,896.85	$9,259.90	$8,578.38	2026-01-31
74176	HCPCS	CT Scan Of Abdomen And Pelvis Without Contrast	11	11	$10,687.17	$5,343.59 50% off	$2,158.81	$10,687.17	$8,549.74	2026-01-31
417	MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	2	2	$109,238.72	$54,619.36 50% off	$6,863.52	$10,142.20	$8,502.86	2026-01-31
1160132	CDM	Gastro - Intestinal (gi) Services - General Classification	10	10	$10,626.08	$5,313.04 50% off	$2,146.47	$10,094.78	$8,500.86	2026-01-31
74177	HCPCS	CT Scan Of Abdomen And Pelvis With Contrast	11	11	$10,616.03	$5,308.02 50% off	$2,144.44	$10,616.03	$8,492.82	2026-01-31
81419	HCPCS	Gene Analysis Panel For Evaluation Of Genes Associated With Epilepsy	11	11	$10,594.71	$5,297.36 50% off	$2,140.13	$10,594.71	$8,475.77	2026-01-31
64	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	2	2	$50,673.11	$25,336.55 50% off	$8,110.29	$8,546.75	$8,328.52	2026-01-31
177	MS_DRG	Respiratory Infections And Inflammations With Mcc	2	2	$38,185.26	$19,092.63 50% off	$6,641.48	$9,984.21	$8,312.84	2026-01-31
2812101	CDM	Operating Room Services - General Classification	10	10	$10,212.17	$5,106.09 50% off	$2,062.86	$9,701.56	$8,169.74	2026-01-31
493	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	2	2	$110,225.80	$55,112.90 50% off	$5,470.07	$10,778.43	$8,124.25	2026-01-31
542	MS_DRG	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…	2	2	$25,439.37	$12,719.68 50% off	$7,507.63	$8,707.98	$8,107.81	2026-01-31
1140236	CDM	Operating Room Services - General Classification	10	10	$10,128.63	$5,064.32 50% off	$2,045.98	$9,622.20	$8,102.90	2026-01-31
C1781	HCPCS	Mesh (implantable)	154	11	$11,039.84	$5,519.92 50% off	$169.73	$48,020.09	$8,060.98	2026-01-31
617	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	2	2	$66,488.71	$33,244.36 50% off	$7,948.78	$8,159.81	$8,054.30	2026-01-31
1410014	CDM	Oth Ster Supp Lvl 14	10	10	$10,050.73	$5,025.37 50% off	$2,030.25	$9,548.19	$8,040.58	2026-01-31
871	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	2	2	$43,014.84	$21,507.42 50% off	$7,692.51	$8,255.63	$7,974.07	2026-01-31
93503	HCPCS	Insertion Of Tube In Pulmonary Artery For Monitoring	22	11	$9,435.73	$4,717.86 50% off	$1,766.77	$10,125.06	$7,871.76	2026-01-31
C9359	HCPCS	Porous Purified Collagen Matrix Bone Void Filler (integra Mozaik Osteoconductive…	11	11	$9,827.37	$4,913.69 50% off	$1,985.13	$9,827.37	$7,861.90	2026-01-31
36221	HCPCS	Insertion Of Tube Into Chest Aorta For Diagnosis Or Treatment With Review By Rad…	11	11	$9,827.16	$4,913.58 50% off	$1,985.09	$9,827.16	$7,861.73	2026-01-31
93565	HCPCS	Injection For Imaging Of Left Heart Chambers With Review By Radiologist	11	11	$9,737.07	$4,868.54 50% off	$1,966.89	$9,737.07	$7,789.66	2026-01-31
81211	HCPCS	Brca1&2 Seq & Com Dup/del	11	11	$9,685.11	$4,842.56 50% off	$1,956.39	$9,685.11	$7,748.09	2026-01-31
1110805	CDM	Operating Room Services - General Classification	10	10	$9,677.87	$4,838.94 50% off	$1,954.93	$9,193.98	$7,742.30	2026-01-31
196	MS_DRG	Interstitial Lung Disease With Mcc	2	2	$11,326.16	$5,663.08 50% off	$7,294.47	$8,020.60	$7,657.53	2026-01-31
482	MS_DRG	Hip And Femur Procedures Except Major Joint Without Cc/mcc	2	2	$90,923.10	$45,461.55 50% off	$6,931.75	$8,235.66	$7,583.70	2026-01-31
331	MS_DRG	Major Small And Large Bowel Procedures Without Cc/mcc	2	2	$135,987.50	$67,993.75 50% off	$7,152.33	$7,968.31	$7,560.32	2026-01-31
908	MS_DRG	Other O.r. Procedures For Injuries With Cc	2	2	$178,276.39	$89,138.20 50% off	$6,421.60	$8,479.60	$7,450.60	2026-01-31
328	MS_DRG	Stomach, Esophageal And Duodenal Procedures Without Cc/mcc	2	2	$107,089.70	$53,544.85 50% off	$6,809.78	$7,641.11	$7,225.44	2026-01-31
571	MS_DRG	Skin Debridement With Cc	2	2	$33,254.51	$16,627.26 50% off	$7,180.38	$7,208.90	$7,194.64	2026-01-31
791	MS_DRG	Prematurity With Major Problems	2	2	$3,933.66	$1,966.83 50% off	$3,933.66	$10,340.25	$7,136.95	2026-01-31
1140235	CDM	Operating Room Services - General Classification	10	10	$8,862.55	$4,431.28 50% off	$1,790.24	$8,419.42	$7,090.04	2026-01-31
862	MS_DRG	Postoperative And Post-traumatic Infections With Mcc	2	2	$69,577.53	$34,788.77 50% off	$6,196.25	$7,750.73	$6,973.49	2026-01-31
377	MS_DRG	Gastrointestinal Hemorrhage With Mcc	2	2	$71,804.09	$35,902.05 50% off	$6,168.67	$7,769.00	$6,968.84	2026-01-31
337	MS_DRG	Peritoneal Adhesiolysis Without Cc/mcc	2	2	$93,107.05	$46,553.53 50% off	$6,523.75	$7,036.21	$6,779.98	2026-01-31
698	MS_DRG	Other Kidney And Urinary Tract Diagnoses With Mcc	2	2	$40,384.61	$20,192.30 50% off	$6,461.72	$7,031.20	$6,746.46	2026-01-31
299	MS_DRG	Peripheral Vascular Disorders With Mcc	2	2	$19,005.60	$9,502.80 50% off	$6,517.19	$6,938.98	$6,728.08	2026-01-31
1110804	CDM	Operating Room Services - General Classification	10	10	$8,295.06	$4,147.53 50% off	$1,675.60	$7,880.31	$6,636.05	2026-01-31
494	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc	2	2	$123,368.58	$61,684.29 50% off	$4,619.77	$8,527.63	$6,573.70	2026-01-31
438	MS_DRG	Disorders Of Pancreas Except Malignancy With Mcc	2	2	$40,379.91	$20,189.95 50% off	$5,922.33	$6,928.35	$6,425.34	2026-01-31
1110826	CDM	Operating Room Services - General Classification	10	10	$8,026.79	$4,013.40 50% off	$1,621.41	$7,625.45	$6,421.43	2026-01-31
75635	HCPCS	CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast	11	11	$7,939.32	$3,969.66 50% off	$1,603.74	$7,939.32	$6,351.46	2026-01-31
559	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Mcc	2	2	$62,908.76	$31,454.38 50% off	$4,761.43	$7,925.83	$6,343.63	2026-01-31
91	MS_DRG	Other Disorders Of Nervous System With Mcc	2	2	$42,684.08	$21,342.04 50% off	$5,105.56	$7,463.85	$6,284.70	2026-01-31
193	MS_DRG	Simple Pneumonia And Pleurisy With Mcc	2	2	$27,929.05	$13,964.53 50% off	$5,586.20	$6,943.75	$6,264.98	2026-01-31
C1729	HCPCS	Catheter, Drainage	11	11	$7,817.22	$3,908.61 50% off	$1,579.08	$7,817.22	$6,253.78	2026-01-31
941	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…	2	2	$40,704.47	$20,352.24 50% off	$3,830.58	$8,617.73	$6,224.15	2026-01-31
504	MS_DRG	Foot Procedures With Cc	2	2	$80,394.58	$40,197.29 50% off	$4,487.19	$7,944.10	$6,215.65	2026-01-31
418	MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. With Cc	2	2	$88,549.31	$44,274.65 50% off	$5,175.77	$7,189.30	$6,182.53	2026-01-31
A9548	HCPCS	Indium In-111 Pentetate, Diagnostic, Per 0.5 Millicurie	11	11	$7,680.88	$3,840.44 50% off	$1,551.54	$7,680.88	$6,144.70	2026-01-31
1140234	CDM	Operating Room Services - General Classification	10	10	$7,596.48	$3,798.24 50% off	$1,534.49	$7,216.66	$6,077.18	2026-01-31
92920	HCPCS	Balloon Dilation Of Single Coronary Artery Or Branch	11	11	$7,581.76	$3,790.88 50% off	$1,531.52	$7,581.76	$6,065.41	2026-01-31
72157	HCPCS	MRI Scan Of Middle Spinal Canal Before And After Contrast	11	11	$7,551.52	$3,775.76 50% off	$1,525.41	$7,551.52	$6,041.22	2026-01-31
72147	HCPCS	MRI Scan Of Middle Spinal Canal With Contrast	11	11	$7,551.52	$3,775.76 50% off	$1,525.41	$7,551.52	$6,041.22	2026-01-31
640	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	2	2	$21,736.35	$10,868.17 50% off	$5,676.30	$6,393.39	$6,034.85	2026-01-31
557	MS_DRG	Tendonitis, Myositis And Bursitis With Mcc	2	2	$40,891.05	$20,445.53 50% off	$5,734.59	$6,319.33	$6,026.96	2026-01-31
975	MS_DRG	HIV With Major Related Condition With Cc	2	2	$61,022.34	$30,511.17 50% off	$5,503.75	$6,545.40	$6,024.57	2026-01-31
786	MS_DRG	Cesarean Section Without Sterilization With Mcc	2	2	$30,093.25	$15,046.63 50% off	$5,008.40	$7,010.38	$6,009.39	2026-01-31
580	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Cc	2	2	$19,655.63	$9,827.82 50% off	$4,483.43	$7,344.00	$5,913.72	2026-01-31
71270	HCPCS	CT Scan Of Chest Before And After Contrast	11	11	$7,372.32	$3,686.16 50% off	$1,489.21	$7,372.32	$5,897.86	2026-01-31
176	MS_DRG	Pulmonary Embolism Without Mcc	2	2	$20,278.57	$10,139.28 50% off	$3,421.25	$8,332.50	$5,876.88	2026-01-31
540	MS_DRG	Osteomyelitis With Cc	2	2	$27,876.48	$13,938.24 50% off	$5,509.28	$6,188.42	$5,848.85	2026-01-31
602	MS_DRG	Cellulitis With Mcc	2	2	$73,762.93	$36,881.47 50% off	$5,612.04	$6,040.53	$5,826.28	2026-01-31
71552	HCPCS	MRI Scan Of Chest Before And After Contrast	11	11	$7,244.77	$3,622.39 50% off	$1,463.44	$7,244.77	$5,795.82	2026-01-31
72197	HCPCS	MRI Scan Of Pelvis Before And After Contrast	11	11	$7,237.76	$3,618.88 50% off	$1,462.03	$7,237.76	$5,790.21	2026-01-31
683	MS_DRG	Renal Failure With Cc	2	2	$15,046.19	$7,523.09 50% off	$3,722.15	$7,809.41	$5,765.78	2026-01-31
919	MS_DRG	Complications Of Treatment With Mcc	2	2	$30,859.14	$15,429.57 50% off	$3,749.72	$7,780.90	$5,765.31	2026-01-31
189	MS_DRG	Pulmonary Edema And Respiratory Failure	2	2	$35,774.64	$17,887.32 50% off	$5,250.45	$6,268.65	$5,759.55	2026-01-31
71	MS_DRG	Other Cerebrovascular Disorders With Cc	2	2	$19,958.88	$9,979.44 50% off	$4,360.50	$7,059.72	$5,710.11	2026-01-31
564	MS_DRG	Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc	2	2	$59,603.41	$29,801.71 50% off	$4,829.76	$6,560.30	$5,695.03	2026-01-31
291	MS_DRG	Heart Failure And Shock With Mcc	2	2	$32,699.52	$16,349.76 50% off	$5,456.15	$5,872.81	$5,664.48	2026-01-31
70553	HCPCS	MRI Scan Of Brain Before And After Contrast	11	11	$7,066.87	$3,533.44 50% off	$1,427.51	$7,066.87	$5,653.50	2026-01-31
388	MS_DRG	Gastrointestinal Obstruction With Mcc	2	2	$16,111.09	$8,055.55 50% off	$4,989.91	$6,276.40	$5,633.15	2026-01-31
70543	HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast	11	11	$6,996.84	$3,498.42 50% off	$1,413.36	$6,996.84	$5,597.47	2026-01-31
906	MS_DRG	Hand Procedures For Injuries	2	2	$34,821.93	$17,410.97 50% off	$3,678.89	$7,490.20	$5,584.55	2026-01-31
1110825	CDM	Operating Room Services - General Classification	10	10	$6,944.72	$3,472.36 50% off	$1,402.83	$6,597.48	$5,555.78	2026-01-31
1110803	CDM	Operating Room Services - General Classification	10	10	$6,915.88	$3,457.94 50% off	$1,397.01	$6,570.09	$5,532.70	2026-01-31
792	MS_DRG	Prematurity Without Major Problems	3	3	$5,519.42	$2,759.71 50% off	$2,262.24	$16,360.76	$5,519.42	2026-01-31
375	MS_DRG	Digestive Malignancy With Cc	2	2	$34,384.98	$17,192.49 50% off	$5,140.80	$5,894.75	$5,517.77	2026-01-31
935	MS_DRG	Non-extensive Burns	2	2	$15,874.86	$7,937.43 50% off	$2,276.97	$8,755.00	$5,515.99	2026-01-31
884	MS_DRG	Organic Disturbances And Intellectual Disability	2	2	$49,081.45	$24,540.72 50% off	$4,081.94	$6,837.83	$5,459.89	2026-01-31
896	MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc	2	2	$41,160.67	$20,580.34 50% off	$3,431.29	$7,416.68	$5,423.99	2026-01-31
1417090	CDM	Stapler/reload 6	10	10	$6,721.92	$3,360.96 50% off	$1,357.83	$6,385.82	$5,377.54	2026-01-31
C1876	HCPCS	Stent, Non-coated/non-covered, With Delivery System	33	11	$6,700.49	$3,350.25 50% off	$451.17	$11,167.46	$5,360.39	2026-01-31
C1762	HCPCS	Connective Tissue, Human (includes Fascia Lata)	55	11	$7,147.18	$3,573.59 50% off	$180.47	$13,613.67	$5,360.39	2026-01-31
72196	HCPCS	MRI Scan Of Pelvis With Contrast	11	11	$6,674.63	$3,337.32 50% off	$1,348.28	$6,674.63	$5,339.70	2026-01-31
178	MS_DRG	Respiratory Infections And Inflammations With Cc	2	2	$22,447.80	$11,223.90 50% off	$4,148.00	$6,500.27	$5,324.14	2026-01-31
A4642	HCPCS	Indium In-111 Satumomab Pendetide, Diagnostic, Per Study Dose, Up To 6 Millicuri…	11	11	$6,635.70	$3,317.85 50% off	$1,340.41	$6,635.70	$5,308.56	2026-01-31
72125	HCPCS	CT Scan Of Upper Spine Without Contrast	11	11	$6,615.74	$3,307.87 50% off	$1,336.38	$6,615.74	$5,292.59	2026-01-31
78803	HCPCS	Nuclear Medicine Study, Spect Imaging, 1 Area Or Single Acquisition, Single Day …	11	11	$6,606.98	$3,303.49 50% off	$1,334.61	$6,606.98	$5,285.58	2026-01-31
72126	HCPCS	CT Scan Of Upper Spine With Contrast	11	11	$6,605.88	$3,302.94 50% off	$1,334.39	$6,605.88	$5,284.70	2026-01-31
C1884	HCPCS	Embolization Protective System	11	11	$6,588.80	$3,294.40 50% off	$1,330.94	$6,588.80	$5,271.04	2026-01-31
637	MS_DRG	Diabetes With Mcc	2	2	$24,766.20	$12,383.10 50% off	$4,423.57	$6,105.98	$5,264.77	2026-01-31
535	MS_DRG	Fractures Of Hip And Pelvis With Mcc	2	2	$61,559.10	$30,779.55 50% off	$5,073.91	$5,448.50	$5,261.20	2026-01-31
419	MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc	2	2	$45,286.41	$22,643.21 50% off	$4,680.88	$5,804.65	$5,242.76	2026-01-31
551	MS_DRG	Medical Back Problems With Mcc	2	2	$33,568.04	$16,784.02 50% off	$3,331.94	$7,123.43	$5,227.69	2026-01-31
65	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours	2	2	$24,005.73	$12,002.87 50% off	$4,293.78	$6,090.32	$5,192.05	2026-01-31
562	MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	2	2	$20,899.18	$10,449.59 50% off	$4,305.10	$6,055.40	$5,180.25	2026-01-31
154	MS_DRG	Other Ear, Nose, Mouth And Throat Diagnoses With Mcc	2	2	$17,018.90	$8,509.45 50% off	$3,702.08	$6,644.88	$5,173.48	2026-01-31
L3765	HCPCS	Elbow Wrist Hand Finger Orthosis, Rigid, Without Joints, May Include Soft Interf…	11	11	$6,456.63	$3,228.32 50% off	$1,304.24	$6,456.63	$5,165.30	2026-01-31
606	MS_DRG	Minor Skin Disorders With Mcc	2	2	$10,044.91	$5,022.46 50% off	$3,898.91	$6,431.10	$5,165.01	2026-01-31
81340	HCPCS	Gene Analysis (t Cell Antigen Receptor Beta) Amplification Methodology	11	11	$6,449.63	$3,224.82 50% off	$1,302.83	$6,449.63	$5,159.70	2026-01-31
190	MS_DRG	Chronic Obstructive Pulmonary Disease With Mcc	2	2	$38,979.23	$19,489.61 50% off	$4,707.73	$5,605.15	$5,156.44	2026-01-31
70542	HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast	11	11	$6,433.72	$3,216.86 50% off	$1,299.61	$6,433.72	$5,146.98	2026-01-31
74183	HCPCS	MRI Scan Of Abdomen Before And After Contrast	11	11	$6,394.51	$3,197.26 50% off	$1,291.69	$6,394.51	$5,115.61	2026-01-31
62302	HCPCS	X-ray Of Upper Spinal Canal With Review By Radiologist	11	11	$6,371.02	$3,185.51 50% off	$1,286.95	$6,371.02	$5,096.82	2026-01-31
1140233	CDM	Operating Room Services - General Classification	10	10	$6,334.01	$3,167.01 50% off	$1,279.47	$6,017.31	$5,067.21	2026-01-31
78452	HCPCS	Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect	11	11	$6,285.49	$3,142.75 50% off	$1,269.67	$6,285.49	$5,028.39	2026-01-31
71275	HCPCS	CT Scan Of Blood Vessels Of Chest With Contrast	11	11	$6,210.79	$3,105.40 50% off	$1,254.58	$6,210.79	$4,968.63	2026-01-31
72146	HCPCS	MRI Scan Of Middle Spinal Canal Without Contrast	11	11	$6,206.80	$3,103.40 50% off	$1,253.77	$6,206.80	$4,965.44	2026-01-31
72132	HCPCS	CT Scan Of Lower Spine With Contrast	11	11	$6,204.88	$3,102.44 50% off	$1,253.39	$6,204.88	$4,963.90	2026-01-31
689	MS_DRG	Kidney And Urinary Tract Infections With Mcc	2	2	$28,970.42	$14,485.21 50% off	$4,846.99	$4,931.28	$4,889.14	2026-01-31
947	MS_DRG	Signs And Symptoms With Mcc	2	2	$86,604.99	$43,302.49 50% off	$4,342.71	$5,394.95	$4,868.83	2026-01-31
72191	HCPCS	CT Scan Of Blood Vessels Of Pelvis With Contrast	11	11	$6,076.44	$3,038.22 50% off	$1,227.44	$6,076.44	$4,861.15	2026-01-31
74175	HCPCS	CT Scan Of Blood Vessels Of Abdomen With Contrast	11	11	$6,062.65	$3,031.33 50% off	$1,224.66	$6,062.65	$4,850.12	2026-01-31
78264	HCPCS	Nuclear Medicine Study Of Stomach To Assess Emptying	11	11	$6,061.03	$3,030.52 50% off	$1,224.33	$6,061.03	$4,848.82	2026-01-31
62304	HCPCS	X-ray Of Lower Spinal Canal With Review By Radiologist	11	11	$6,025.54	$3,012.77 50% off	$1,217.16	$6,025.54	$4,820.43	2026-01-31
917	MS_DRG	Poisoning And Toxic Effects Of Drugs With Mcc	2	2	$27,452.55	$13,726.28 50% off	$2,962.10	$6,665.70	$4,813.90	2026-01-31
885	MS_DRG	Psychoses	2	2	$9,429.21	$4,714.61 50% off	$3,649.43	$5,936.40	$4,792.91	2026-01-31
74170	HCPCS	CT Scan Of Abdomen Before And After Contrast	11	11	$5,979.67	$2,989.84 50% off	$1,207.89	$5,979.67	$4,783.74	2026-01-31
72194	HCPCS	CT Scan Of Pelvis Before And After Contrast	11	11	$5,953.98	$2,976.99 50% off	$1,202.70	$5,953.98	$4,763.18	2026-01-31
78315	HCPCS	Nuclear Medicine Study Of Bone Taken At Different Times	11	11	$5,892.20	$2,946.10 50% off	$1,190.22	$5,892.20	$4,713.76	2026-01-31
73206	HCPCS	CT Scan Of Blood Vessels Of Arm With Contrast	22	11	$5,748.55	$2,874.27 50% off	$1,119.71	$5,953.98	$4,703.64	2026-01-31
355	MS_DRG	Hernia Procedures Except Inguinal And Femoral Without Cc/mcc	2	2	$65,161.66	$32,580.83 50% off	$3,685.47	$5,716.25	$4,700.86	2026-01-31
909	MS_DRG	Other O.r. Procedures For Injuries Without Cc/mcc	2	2	$41,502.39	$20,751.20 50% off	$3,808.33	$5,578.98	$4,693.65	2026-01-31
1110824	CDM	Operating Room Services - General Classification	10	10	$5,861.26	$2,930.63 50% off	$1,183.97	$5,568.20	$4,689.01	2026-01-31
70480	HCPCS	CT Scan Of Cranial Cavity Without Contrast	11	11	$5,859.17	$2,929.59 50% off	$1,183.55	$5,859.17	$4,687.34	2026-01-31
70481	HCPCS	CT Scan Of Cranial Cavity With Contrast	11	11	$5,859.17	$2,929.59 50% off	$1,183.55	$5,859.17	$4,687.34	2026-01-31
793	MS_DRG	Full Term Neonate With Major Problems	3	3	$4,682.69	$2,341.35 50% off	$2,599.17	$11,910.25	$4,682.69	2026-01-31
70492	HCPCS	CT Scan Of Soft Tissue Of Neck Before And After Contrast	11	11	$5,829.54	$2,914.77 50% off	$1,177.57	$5,829.54	$4,663.63	2026-01-31
572	MS_DRG	Skin Debridement Without Cc/mcc	2	2	$25,204.05	$12,602.03 50% off	$4,426.70	$4,871.78	$4,649.24	2026-01-31
1160111	CDM	Gastro - Intestinal (gi) Services - General Classification	10	10	$5,802.42	$2,901.21 50% off	$1,172.09	$5,512.30	$4,641.94	2026-01-31
62303	HCPCS	X-ray Of Middle Spinal Canal With Review By Radiologist	11	11	$5,780.94	$2,890.47 50% off	$1,167.75	$5,780.94	$4,624.75	2026-01-31
73220	HCPCS	MRI Scan Of Arm Before And After Contrast	11	11	$5,778.16	$2,889.08 50% off	$1,167.19	$5,778.16	$4,622.53	2026-01-31
74150	HCPCS	CT Scan Of Abdomen Without Contrast	11	11	$5,756.43	$2,878.22 50% off	$1,162.80	$5,756.43	$4,605.14	2026-01-31
699	MS_DRG	Other Kidney And Urinary Tract Diagnoses With Cc	2	2	$41,386.11	$20,693.05 50% off	$4,313.75	$4,845.11	$4,579.43	2026-01-31
78472	HCPCS	Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit…	11	11	$5,701.85	$2,850.93 50% off	$1,151.77	$5,701.85	$4,561.48	2026-01-31
72131	HCPCS	CT Scan Of Lower Spine Without Contrast	11	11	$5,693.22	$2,846.61 50% off	$1,150.03	$5,693.22	$4,554.58	2026-01-31
74160	HCPCS	CT Scan Of Abdomen With Contrast	11	11	$5,687.31	$2,843.66 50% off	$1,148.84	$5,687.31	$4,549.85	2026-01-31
73223	HCPCS	MRI Scan Of Arm Joint Before And After Contrast	11	11	$5,684.40	$2,842.20 50% off	$1,148.25	$5,684.40	$4,547.52	2026-01-31
70470	HCPCS	CT Scan Of Head Or Brain Before And After Contrast	11	11	$5,679.39	$2,839.70 50% off	$1,147.24	$5,679.39	$4,543.51	2026-01-31
872	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	2	2	$40,150.60	$20,075.30 50% off	$4,349.03	$4,654.87	$4,501.95	2026-01-31
1410013	CDM	Oth Ster Supp Lvl 13	10	10	$5,583.73	$2,791.87 50% off	$1,127.91	$5,304.54	$4,466.98	2026-01-31
300	MS_DRG	Peripheral Vascular Disorders With Cc	2	2	$27,327.71	$13,663.86 50% off	$4,352.42	$4,536.88	$4,444.65	2026-01-31
1110802	CDM	Operating Room Services - General Classification	10	10	$5,531.25	$2,765.63 50% off	$1,117.31	$5,254.69	$4,425.00	2026-01-31
315200	CDM	Intensive Care Unit - General Classification	7	7	$5,520.24	$2,760.12 50% off	$4,140.18	$4,968.22	$4,416.19	2026-01-31
555	MS_DRG	Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc	2	2	$86,812.45	$43,406.23 50% off	$3,205.94	$5,617.65	$4,411.80	2026-01-31
304	MS_DRG	Hypertension With Mcc	2	2	$27,141.29	$13,570.65 50% off	$3,755.05	$5,057.50	$4,406.27	2026-01-31
70498	HCPCS	CT Scan Of Blood Vessels Of Neck With Contrast	11	11	$5,464.08	$2,732.04 50% off	$1,103.74	$5,464.08	$4,371.26	2026-01-31
70496	HCPCS	CT Scan Of Blood Vessels Of Head With Contrast	11	11	$5,464.08	$2,732.04 50% off	$1,103.74	$5,464.08	$4,371.26	2026-01-31
78481	HCPCS	Nuclear Medicine Study Of Heart Pumping Function With Measurement Of Internal Bl…	11	11	$5,459.41	$2,729.71 50% off	$1,102.80	$5,459.41	$4,367.53	2026-01-31
57	MS_DRG	Degenerative Nervous System Disorders Without Mcc	2	2	$22,612.50	$11,306.25 50% off	$3,220.05	$5,506.30	$4,363.18	2026-01-31
72129	HCPCS	CT Scan Of Middle Spine With Contrast	11	11	$5,444.31	$2,722.16 50% off	$1,099.75	$5,444.31	$4,355.45	2026-01-31
72128	HCPCS	CT Scan Of Middle Spine Without Contrast	11	11	$5,442.36	$2,721.18 50% off	$1,099.36	$5,442.36	$4,353.89	2026-01-31
433	MS_DRG	Cirrhosis And Alcoholic Hepatitis With Cc	2	2	$21,947.28	$10,973.64 50% off	$4,193.21	$4,488.85	$4,341.03	2026-01-31
75741	HCPCS	Review By Radiologist Of Lung Artery Image	11	11	$5,414.51	$2,707.26 50% off	$1,093.73	$5,414.51	$4,331.61	2026-01-31
75733	HCPCS	Review By Radiologist Of Both Adrenal Glands Arteries Image	11	11	$5,414.51	$2,707.26 50% off	$1,093.73	$5,414.51	$4,331.61	2026-01-31
75731	HCPCS	Review By Radiologist Of Adrenal Gland Artery Image	11	11	$5,414.51	$2,707.26 50% off	$1,093.73	$5,414.51	$4,331.61	2026-01-31
75726	HCPCS	Review By Radiologist Of Abdominal Artery Image	11	11	$5,414.51	$2,707.26 50% off	$1,093.73	$5,414.51	$4,331.61	2026-01-31
75716	HCPCS	Review By Radiologist Of Both Arms Or Legs Arteries Image	11	11	$5,414.51	$2,707.26 50% off	$1,093.73	$5,414.51	$4,331.61	2026-01-31
75710	HCPCS	Review By Radiologist Of Arm Or Leg Artery Image	11	11	$5,414.51	$2,707.26 50% off	$1,093.73	$5,414.51	$4,331.61	2026-01-31
75705	HCPCS	Review By Radiologist Of Spinal Artery Image	11	11	$5,414.51	$2,707.26 50% off	$1,093.73	$5,414.51	$4,331.61	2026-01-31
75625	HCPCS	Review By Radiologist Of Abdominal Aorta Image	11	11	$5,414.51	$2,707.26 50% off	$1,093.73	$5,414.51	$4,331.61	2026-01-31
73720	HCPCS	MRI Scan Of Leg Before And After Contrast	11	11	$5,411.16	$2,705.58 50% off	$1,093.05	$5,411.16	$4,328.93	2026-01-31
78582	HCPCS	Nuclear Medicine Study Of Lung Ventilation And Circulation	11	11	$5,405.12	$2,702.56 50% off	$1,091.83	$5,405.12	$4,324.10	2026-01-31
75736	HCPCS	Review By Radiologist Of Pelvis Artery Image	11	11	$5,401.95	$2,700.98 50% off	$1,091.19	$5,401.95	$4,321.56	2026-01-31
75605	HCPCS	Review By Radiologist Of Chest Aorta Serial Images	11	11	$5,401.95	$2,700.98 50% off	$1,091.19	$5,401.95	$4,321.56	2026-01-31
95805	HCPCS	Sleep Study, Multiple Trials	11	11	$5,397.40	$2,698.70 50% off	$1,090.27	$5,397.40	$4,317.92	2026-01-31
71551	HCPCS	MRI Scan Of Chest With Contrast	11	11	$5,385.94	$2,692.97 50% off	$1,087.96	$5,385.94	$4,308.75	2026-01-31
71260	HCPCS	CT Scan Of Chest With Contrast	11	11	$5,359.35	$2,679.68 50% off	$1,082.59	$5,359.35	$4,287.48	2026-01-31
70491	HCPCS	CT Scan Of Soft Tissue Of Neck With Contrast	11	11	$5,359.35	$2,679.68 50% off	$1,082.59	$5,359.35	$4,287.48	2026-01-31
70490	HCPCS	CT Scan Of Soft Tissue Of Neck Without Contrast	11	11	$5,359.35	$2,679.68 50% off	$1,082.59	$5,359.35	$4,287.48	2026-01-31
1160131	CDM	Gastro - Intestinal (gi) Services - General Classification	10	10	$5,312.14	$2,656.07 50% off	$1,073.05	$5,046.53	$4,249.71	2026-01-31
1216090	CDM	Paxlovid 150-100 Mg (moderate)	10	10	$5,310.47	$2,655.24 50% off	$1,072.71	$5,044.95	$4,248.38	2026-01-31
1216046	CDM	Paxlovid 300-100 Mg Dose Pack	10	10	$5,310.47	$2,655.24 50% off	$1,072.71	$5,044.95	$4,248.38	2026-01-31
70540	HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast	11	11	$5,307.51	$2,653.76 50% off	$1,072.12	$5,307.51	$4,246.01	2026-01-31
372	MS_DRG	Major Gastrointestinal Disorders And Peritoneal Infections With Cc	2	2	$45,702.52	$22,851.26 50% off	$4,147.13	$4,339.25	$4,243.19	2026-01-31
184	MS_DRG	Major Chest Trauma With Cc	2	2	$44,065.38	$22,032.69 50% off	$3,951.25	$4,522.43	$4,236.84	2026-01-31
399	MS_DRG	Appendix Procedures Without Cc/mcc	2	2	$58,141.95	$29,070.98 50% off	$3,596.15	$4,864.98	$4,230.56	2026-01-31
2811353	CDM	Operating Room Services - General Classification	10	10	$5,251.08	$2,625.54 50% off	$1,060.72	$4,988.53	$4,200.86	2026-01-31
2811471	CDM	Operating Room Services - General Classification	10	10	$5,251.08	$2,625.54 50% off	$1,060.72	$4,988.53	$4,200.86	2026-01-31
95070	HCPCS	Test For Allergy Using Drugs	11	11	$5,238.51	$2,619.26 50% off	$1,058.18	$5,238.51	$4,190.81	2026-01-31
C1894	HCPCS	Introducer/sheath, Other Than Guiding, Other Than Intracardiac Electrophysiologi…	77	11	$5,982.57	$2,991.29 50% off	$96.68	$16,751.20	$4,187.81	2026-01-31
787	MS_DRG	Cesarean Section Without Sterilization With Cc	2	2	$58,291.73	$29,145.86 50% off	$3,626.55	$4,746.40	$4,186.48	2026-01-31
70460	HCPCS	CT Scan Head Or Brain With Contrast	11	11	$5,223.05	$2,611.53 50% off	$1,055.06	$5,223.05	$4,178.44	2026-01-31
C8905	HCPCS	Magnetic Resonance Imaging Without Contrast Followed By With Contrast, Breast; U…	11	11	$5,182.84	$2,591.42 50% off	$1,046.93	$5,182.84	$4,146.27	2026-01-31
C8908	HCPCS	Magnetic Resonance Imaging Without Contrast Followed By With Contrast, Breast; B…	11	11	$5,182.84	$2,591.42 50% off	$1,046.93	$5,182.84	$4,146.27	2026-01-31
75630	HCPCS	Review By Radiologist Of Abdominal Aorta And Both Leg Arteries Image	11	11	$5,173.86	$2,586.93 50% off	$1,045.12	$5,173.86	$4,139.09	2026-01-31
78278	HCPCS	Nuclear Medicine Study To Assess Blood Loss	11	11	$5,143.33	$2,571.67 50% off	$1,038.95	$5,143.33	$4,114.66	2026-01-31
78306	HCPCS	Nuclear Medicine Study Of Bone And/or Joint Whole Body	11	11	$5,114.61	$2,557.31 50% off	$1,033.15	$5,114.61	$4,091.69	2026-01-31
1691802	CDM	Operating Room Services - General Classification	10	10	$5,106.09	$2,553.05 50% off	$1,031.43	$4,850.79	$4,084.87	2026-01-31
1691702	CDM	Operating Room Services - General Classification	10	10	$5,106.09	$2,553.05 50% off	$1,031.43	$4,850.79	$4,084.87	2026-01-31
1691705	CDM	Operating Room Services - General Classification	10	10	$5,106.09	$2,553.05 50% off	$1,031.43	$4,850.79	$4,084.87	2026-01-31
1691801	CDM	Operating Room Services - General Classification	10	10	$5,106.09	$2,553.05 50% off	$1,031.43	$4,850.79	$4,084.87	2026-01-31
282846	CDM	Labor Room/delivery - Circumcision	10	10	$5,090.30	$2,545.15 50% off	$1,028.24	$4,835.79	$4,072.24	2026-01-31
87	MS_DRG	Traumatic Stupor And Coma <1 Hour Without Cc/mcc	2	2	$13,643.69	$6,821.85 50% off	$3,887.48	$4,235.20	$4,061.34	2026-01-31
1140232	CDM	Operating Room Services - General Classification	10	10	$5,066.12	$2,533.06 50% off	$1,023.36	$4,812.81	$4,052.90	2026-01-31
92	MS_DRG	Other Disorders Of Nervous System With Cc	2	2	$31,833.63	$15,916.82 50% off	$3,754.11	$4,347.75	$4,050.93	2026-01-31
442	MS_DRG	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc	2	2	$52,499.49	$26,249.75 50% off	$3,983.84	$4,102.53	$4,043.18	2026-01-31
95811	HCPCS	Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)	11	11	$5,034.81	$2,517.41 50% off	$1,017.03	$5,034.81	$4,027.85	2026-01-31
386	MS_DRG	Inflammatory Bowel Disease With Cc	2	2	$55,081.72	$27,540.86 50% off	$3,898.28	$4,149.28	$4,023.78	2026-01-31
644	MS_DRG	Endocrine Disorders With Cc	2	2	$23,605.33	$11,802.66 50% off	$3,690.49	$4,356.25	$4,023.37	2026-01-31
1621627	CDM	US-brst Bx Loc Clp 1	10	10	$5,014.02	$2,507.01 50% off	$1,012.83	$4,763.32	$4,011.22	2026-01-31
2811824	CDM	US-brst Bx Loc Clp A	10	10	$5,014.02	$2,507.01 50% off	$1,012.83	$4,763.32	$4,011.22	2026-01-31
784	MS_DRG	Cesarean Section With Sterilization With Cc	2	2	$29,110.12	$14,555.06 50% off	$3,489.90	$4,505.43	$3,997.66	2026-01-31
72	MS_DRG	Other Cerebrovascular Disorders Without Cc/mcc	2	2	$10,007.88	$5,003.94 50% off	$3,213.85	$4,743.25	$3,978.55	2026-01-31
394	MS_DRG	Other Digestive System Diagnoses With Cc	3	3	$14,400.97	$7,200.49 50% off	$3,151.72	$28,856.09	$3,976.73	2026-01-31
439	MS_DRG	Disorders Of Pancreas Except Malignancy With Cc	2	2	$46,565.83	$23,282.91 50% off	$3,575.10	$4,368.72	$3,971.91	2026-01-31
75872	HCPCS	Review By Radiologist Of Spinal Canal Vein Image	11	11	$4,960.18	$2,480.09 50% off	$1,001.96	$4,960.18	$3,968.14	2026-01-31
75870	HCPCS	Review By Radiologist Of Head Vein System Image	11	11	$4,960.18	$2,480.09 50% off	$1,001.96	$4,960.18	$3,968.14	2026-01-31
75860	HCPCS	Review By Radiologist Of Head Or Neck Vein System Image	11	11	$4,960.18	$2,480.09 50% off	$1,001.96	$4,960.18	$3,968.14	2026-01-31
75840	HCPCS	Review By Radiologist Of Adrenal Gland Vein Image	11	11	$4,960.18	$2,480.09 50% off	$1,001.96	$4,960.18	$3,968.14	2026-01-31
75833	HCPCS	Review By Radiologist Of Both Kidneys Veins Image	11	11	$4,960.18	$2,480.09 50% off	$1,001.96	$4,960.18	$3,968.14	2026-01-31
75831	HCPCS	Review By Radiologist Of Kidney Image	11	11	$4,960.18	$2,480.09 50% off	$1,001.96	$4,960.18	$3,968.14	2026-01-31
75827	HCPCS	Review By Radiologist Of Major Upper Body Vein Image	11	11	$4,960.18	$2,480.09 50% off	$1,001.96	$4,960.18	$3,968.14	2026-01-31
75825	HCPCS	Review By Radiologist Of Major Lower Body Vein Image	11	11	$4,960.18	$2,480.09 50% off	$1,001.96	$4,960.18	$3,968.14	2026-01-31
75746	HCPCS	Review By Radiologist Of Lung Artery Image With Contrast	11	11	$4,960.18	$2,480.09 50% off	$1,001.96	$4,960.18	$3,968.14	2026-01-31
75743	HCPCS	Review By Radiologist Of Arteries Of Both Lungs Image	11	11	$4,960.18	$2,480.09 50% off	$1,001.96	$4,960.18	$3,968.14	2026-01-31
75893	HCPCS	Review By Radiologist Of Imaging Guidance For Removal Of Blood Sample	11	11	$4,960.18	$2,480.09 50% off	$1,001.96	$4,960.18	$3,968.14	2026-01-31

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