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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

ALLIANCEHEALTH DURANT

Durant, OK · CCN 370014 · Rates published

3,269 distinct procedures filed
37 distinct payers
180,563 rate rows
2026-07-15 last MRF observed
Data quality

165,322 of 180,563 rate rows are consumer-grade (91.6%)

15,241 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 12,249
per-diem day rate — not a per-procedure price 2,882
template filing: same amount across many unrelated codes — excluded 86
placeholder amount (≤ $0.02) — excluded from medians 21
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
exceeds 10× this hospital's gross charge — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.alliancehealthdurant.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/581725656_alliancehealth-durant_standardcharges.csv
Found on page https://www.alliancehealthdurant.com/pricing-information
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-11
Content fingerprint 26c930235e6f875c… · 359,568,557 bytes · first seen 2026-05-09

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
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 $310,982.00 $336,180.98 $323,581.49 nat. median
$1
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 $95,431.50 $2,431,051.85 $323,240.10 nat. median
$370,165
0.9× median
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $308,118.19 $325,408.78 $316,763.48 nat. median
$380,401
0.8× median
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 2 $279,221.90 $305,783.05 $292,502.47 nat. median
$38,932
outlier · 7.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $176,206.15 $719,603.23 $258,210.57 nat. median
$261,939
1.0× median
37231
CPT 		Tib/per Revasc Stent & Ather 21 $1,211.57 $302,626.26 $218,563.41 nat. median
$18,256
outlier · 12.0×
37232
CPT 		Tib/per Revasc Add-on 18 $322.69 $257,883.54 $214,902.95 nat. median
$5,952
outlier · 36.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 $133,457.90 $548,334.50 $159,242.75 nat. median
$199,832
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 $68,428.57 $395,817.38 $158,652.54 nat. median
$205,166
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 22 $64,829.44 $402,528.08 $141,625.29 nat. median
$99,646
1.4× median
44204
CPT 		Laparo Partial Colectomy 20 $1,404.65 $193,267.39 $139,582.01 nat. median
$3,536
outlier · 39.5×
7
MS_DRG 		Lung Transplant 22 $75,398.88 $1,838,420.12 $131,742.91 nat. median
$122,690
1.1× median
37228
CPT 		Tib/per Revasc W/tla 21 $874.65 $169,377.11 $122,327.91 nat. median
$10,954
outlier · 11.2×
49616
CPT 		Rpr Aa Hrn Rcr 3-10 Ncr/strn 19 $789.24 $151,795.14 $118,062.89 nat. median
$4,773
outlier · 24.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 $58,816.23 $639,953.88 $114,371.06 nat. median
$108,240
1.1× median
266
OTHER 		Acute Leukemia Without Major O.r. Procedures Age 0-17 2 $100,863.69 $109,627.42 $105,245.55 nat. median
$60,180
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 $87,093.58 $806,829.58 $104,169.17 nat. median
$132,706
0.8× median
37221
CPT 		Iliac Revasc W/stent 26 $797.43 $302,626.26 $97,849.16 nat. median
$12,054
outlier · 8.1×
835
OTHER 		Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 2 $91,098.73 $99,571.38 $95,335.05 nat. median
$4,366
outlier · 21.8×
22515
CPT 		Perq Vertebral Augmentation 19 $354.98 $140,020.54 $93,347.03 nat. median
$5,290
outlier · 17.6×
37220
CPT 		Iliac Revasc 21 $646.33 $126,538.92 $91,389.22 nat. median
$7,243
outlier · 12.6×
C9606
HCPCS 		Ic-prq De Cr Rev Ami[okah] 18 $18,174.66 $116,837.10 $90,873.30 nat. median
$17,594
outlier · 5.2×
0790
RC 		16 $16,194.50 $104,107.50 $86,756.25 nat. median
$204
outlier · 425.7×
955
OTHER 		Craniotomy For Multiple Significant Trauma 2 $82,672.72 $88,501.93 $85,587.32 nat. median
$62,018
1.4× median
215
OTHER 		Other Heart Assist System Implant 2 $80,433.79 $87,214.01 $83,823.90 nat. median
$76,591
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $51,784.77 $303,285.05 $83,221.59 nat. median
$92,900
0.9× median
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 24 $4,369.00 $216,501.84 $80,340.88 nat. median
$100,978
0.8× median
33249
CPT 		Eltrd/insert Pace-defib 34 $819.98 $333,327.66 $78,522.47 nat. median
$31,420
outlier · 2.5×
414
OTHER 		Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 $73,764.95 $79,889.51 $76,827.23 nat. median
$33,965
outlier · 2.3×
37227
CPT 		Fem/popl Revasc Stnt & Ather 26 $1,165.18 $235,652.54 $76,194.32 nat. median
$18,306
outlier · 4.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 23 $11,859.02 $233,881.17 $75,565.07 nat. median
$114,305
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 24 $61,092.71 $284,859.31 $75,082.61 nat. median
$98,002
0.8× median
33263
CPT 		Rmvl & Rplcmt Dfb Gen 2 Lead 34 $348.24 $306,922.74 $70,933.26 nat. median
$23,228
outlier · 3.1×
974
OTHER 		HIV With Major Related Condition With Mcc 2 $67,647.17 $73,833.81 $70,740.49 nat. median
$28,469
outlier · 2.5×
622
OTHER 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 $65,298.34 $69,928.77 $67,613.55 nat. median
$35,323
1.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 20 $38,044.23 $232,607.28 $66,271.32 nat. median
$83,623
0.8× median
64488
CPT 		Tap Block Bi Injection 19 $113.55 $96,798.87 $64,532.58 nat. median
$989
outlier · 65.2×
37225
CPT 		Fem/popl Revas W/ather 26 $971.59 $198,532.19 $64,192.07 nat. median
$16,382
outlier · 3.9×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 24 $43,754.32 $265,676.26 $63,676.98 nat. median
$79,040
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 $43,909.81 $276,677.29 $63,479.05 nat. median
$80,459
0.8× median
37229
CPT 		Tib/per Revasc W/ather 26 $1,127.24 $196,179.85 $63,431.48 nat. median
$17,041
outlier · 3.7×
29826
CPT 		Shoulder Arthroscopy/surgery 19 $157.52 $93,156.16 $62,104.10 nat. median
$3,183
outlier · 19.5×
6
MS_DRG 		Liver Transplant Without Mcc 22 $29,156.11 $521,055.48 $60,920.81 nat. median
$46,106
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 $49,476.73 $329,106.17 $59,486.22 nat. median
$77,385
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 $47,371.64 $257,067.25 $58,063.42 nat. median
$74,472
0.8× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 22 $29,089.96 $503,149.34 $57,868.45 nat. median
$53,073
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 $34,604.69 $183,106.26 $57,816.19 nat. median
$73,475
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 $41,683.43 $152,545.88 $57,114.06 nat. median
$71,485
0.8× median
C1820
HCPCS 		Abbo-sys Chrg Prdg MRI Nrstm[okah] 19 $7,338.40 $111,111.30 $55,771.84 nat. median
$22,838
outlier · 2.4×
10
MS_DRG 		Pancreas Transplant 22 $15,933.92 $309,322.10 $54,309.58 nat. median
$67,750
0.8× median

Other procedures at this hospital

Browse this hospital's 3,269 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 2 — — $310,982.00 $336,180.98 $323,581.49 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 27 24 — — $95,431.50 $2,431,051.85 $323,240.10 2026-07-15
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $308,118.19 $325,408.78 $316,763.48 2026-07-15
166 OTHER Other Respiratory System O.r. Procedures With Mcc 2 2 — — $279,221.90 $305,783.05 $292,502.47 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 22 — — $176,206.15 $719,603.23 $258,210.57 2026-07-15
37231 CPT Tib/per Revasc Stent & Ather 22 21 $336,251.40 $40,350.17 88% off $1,211.57 $302,626.26 $218,563.41 2026-07-15
37232 CPT Tib/per Revasc Add-on 19 18 $286,537.27 $34,384.47 88% off $322.69 $257,883.54 $214,902.95 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 27 24 — — $133,457.90 $548,334.50 $159,242.75 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 24 — — $68,428.57 $395,817.38 $158,652.54 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 22 — — $64,829.44 $402,528.08 $141,625.29 2026-07-15
44204 CPT Laparo Partial Colectomy 24 20 $214,741.55 $25,768.99 88% off $1,404.65 $193,267.39 $139,582.01 2026-07-15
7 MS_DRG Lung Transplant 25 22 — — $75,398.88 $1,838,420.12 $131,742.91 2026-07-15
37228 CPT Tib/per Revasc W/tla 22 21 $188,196.79 $22,583.61 88% off $874.65 $169,377.11 $122,327.91 2026-07-15
49616 CPT Rpr Aa Hrn Rcr 3-10 Ncr/strn 23 19 $168,661.27 $20,239.35 88% off $789.24 $151,795.14 $118,062.89 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 22 — — $58,816.23 $639,953.88 $114,371.06 2026-07-15
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 2 2 — — $100,863.69 $109,627.42 $105,245.55 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 24 — — $87,093.58 $806,829.58 $104,169.17 2026-07-15
37221 CPT Iliac Revasc W/stent 27 26 $336,251.40 $40,350.17 88% off $797.43 $302,626.26 $97,849.16 2026-07-15
835 OTHER Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 2 2 — — $91,098.73 $99,571.38 $95,335.05 2026-07-15
22515 CPT Perq Vertebral Augmentation 23 19 $155,578.38 $18,669.41 88% off $354.98 $140,020.54 $93,347.03 2026-07-15
37220 CPT Iliac Revasc 22 21 $140,598.80 $16,871.86 88% off $646.33 $126,538.92 $91,389.22 2026-07-15
C9606 HCPCS Ic-prq De Cr Rev Ami[okah] 26 18 $129,819.00 $27,261.99 79% off $18,174.66 $116,837.10 $90,873.30 2026-07-15
0790 RC — 21 16 $115,675.00 $24,291.75 79% off $16,194.50 $104,107.50 $86,756.25 2026-07-15
955 OTHER Craniotomy For Multiple Significant Trauma 2 2 — — $82,672.72 $88,501.93 $85,587.32 2026-07-15
215 OTHER Other Heart Assist System Implant 2 2 — — $80,433.79 $87,214.01 $83,823.90 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 25 — — $51,784.77 $303,285.05 $83,221.59 2026-07-15
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 28 24 — — $4,369.00 $216,501.84 $80,340.88 2026-07-15
33249 CPT Eltrd/insert Pace-defib 38 34 $370,364.07 $44,443.69 88% off $819.98 $333,327.66 $78,522.47 2026-07-15
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 — — $73,764.95 $79,889.51 $76,827.23 2026-07-15
37227 CPT Fem/popl Revasc Stnt & Ather 27 26 $261,836.16 $31,420.34 88% off $1,165.18 $235,652.54 $76,194.32 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 26 23 — — $11,859.02 $233,881.17 $75,565.07 2026-07-15
215 MS_DRG Other Heart Assist System Implant 27 24 — — $61,092.71 $284,859.31 $75,082.61 2026-07-15
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 38 34 $341,025.27 $40,923.03 88% off $348.24 $306,922.74 $70,933.26 2026-07-15
974 OTHER HIV With Major Related Condition With Mcc 2 2 — — $67,647.17 $73,833.81 $70,740.49 2026-07-15
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $65,298.34 $69,928.77 $67,613.55 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 20 20 — — $38,044.23 $232,607.28 $66,271.32 2026-07-15
64488 CPT Tap Block Bi Injection 23 19 $107,554.30 $12,906.52 88% off $113.55 $96,798.87 $64,532.58 2026-07-15
37225 CPT Fem/popl Revas W/ather 27 26 $220,591.32 $26,470.96 88% off $971.59 $198,532.19 $64,192.07 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 24 — — $43,754.32 $265,676.26 $63,676.98 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 24 — — $43,909.81 $276,677.29 $63,479.05 2026-07-15
37229 CPT Tib/per Revasc W/ather 27 26 $217,977.61 $26,157.31 88% off $1,127.24 $196,179.85 $63,431.48 2026-07-15
29826 CPT Shoulder Arthroscopy/surgery 23 19 $103,506.84 $12,420.82 88% off $157.52 $93,156.16 $62,104.10 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 25 22 — — $29,156.11 $521,055.48 $60,920.81 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 24 — — $49,476.73 $329,106.17 $59,486.22 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 24 — — $47,371.64 $257,067.25 $58,063.42 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 22 — — $29,089.96 $503,149.34 $57,868.45 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 24 — — $34,604.69 $183,106.26 $57,816.19 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 24 — — $41,683.43 $152,545.88 $57,114.06 2026-07-15
C1820 HCPCS Abbo-sys Chrg Prdg MRI Nrstm[okah] 125 19 $84,017.00 $16,489.38 80% off $7,338.40 $111,111.30 $55,771.84 2026-07-15
10 MS_DRG Pancreas Transplant 25 22 — — $15,933.92 $309,322.10 $54,309.58 2026-07-15
59510 CPT Cesarean Delivery 20 19 $73,927.91 $8,871.35 88% off $2,445.01 $66,535.12 $53,597.74 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 24 — — $29,013.86 $141,426.62 $53,434.24 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 24 — — $31,258.88 $174,546.66 $52,338.56 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 24 — — $43,246.24 $459,641.04 $52,085.36 2026-07-15
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 2 — — $49,889.11 $54,047.43 $51,968.27 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 27 24 — — $42,323.21 $172,870.59 $50,988.94 2026-07-15
C1767 HCPCS Abbo-gntr Pls Prclm Xr7 Impl 10n[okah] 125 19 $82,481.00 $15,128.82 82% off $6,598.50 $98,172.90 $50,429.40 2026-07-15
613 OTHER Neonate, Birth Weight <750 Grams, Died 2 2 — — $48,679.54 $51,183.68 $49,931.61 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 20 20 — — $36,359.13 $150,427.80 $49,777.62 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 27 24 — — $17,783.35 $114,644.04 $49,560.14 2026-07-15
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 2 — — $45,872.43 $53,225.15 $49,548.79 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 26 23 — — $37,284.23 $150,404.95 $49,486.12 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 24 — — $36,398.59 $137,723.84 $49,418.56 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 27 24 — — $35,027.70 $474,283.21 $48,775.19 2026-07-15
58611 CPT Ligate Oviduct(s) Add-on 24 20 $73,927.91 $8,871.35 88% off $69.35 $66,535.12 $48,053.15 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 24 — — $18,199.51 $81,680.41 $47,736.42 2026-07-15
C9603 HCPCS Ic-pr De Cr Stn Ar B[okah] 25 17 $62,907.00 $13,210.47 79% off $8,806.98 $57,341.66 $47,180.25 2026-07-15
C9605 HCPCS Ic-pr De Cr Rv Cab B[okah] 25 17 $62,877.00 $13,204.17 79% off $8,802.78 $57,341.66 $47,157.75 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 27 24 — — $33,069.13 $159,276.07 $46,487.48 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 27 24 — — $32,476.22 $629,752.79 $46,434.45 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 24 — — $31,467.12 $165,110.47 $45,996.03 2026-07-15
C9608 HCPCS Ic-pr De Cr Rv Ch Ea[okah] 25 17 $61,276.00 $12,867.96 79% off $8,578.64 $57,341.66 $45,957.00 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 27 24 — — $23,465.01 $111,733.42 $45,131.51 2026-07-15
C9601 HCPCS Ic-prq De Cor Stnt B[okah] 25 17 $60,163.00 $12,634.23 79% off $8,422.82 $57,341.66 $45,122.25 2026-07-15
276 MS_DRG Non-maligant Breast Disorders 27 24 — — $21,446.77 $124,831.23 $45,118.94 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 24 — — $4,992.51 $133,910.85 $44,860.30 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 24 — — $22,511.40 $136,811.43 $44,797.08 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 24 — — $16,005.15 $114,254.08 $44,604.51 2026-07-15
86 EAPG 57894-0503-01 - Daratumumab-hyaluronidase 1800 Mg- 4 1 $33,803.91 $4,056.47 88% off $37,295.80 $55,943.70 $44,587.71 2026-07-15
54405 CPT Insert Multi-comp Prosthesis 38 34 $206,689.81 $24,802.78 88% off $747.07 $186,020.83 $44,570.25 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 24 — — $30,440.50 $135,696.83 $44,518.71 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 24 — — $26,473.32 $116,155.64 $44,097.84 2026-07-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 20 20 — — $22,405.47 $76,157.11 $44,085.71 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 24 — — $29,824.09 $99,321.05 $43,708.68 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 24 — — $36,030.47 $243,876.52 $43,514.14 2026-07-15
64590 CPT Implant Neuroreceiver 38 34 $171,802.87 $20,616.34 88% off $374.43 $154,622.58 $43,479.65 2026-07-15
92928 CPT Ic-prq Crd Stn W-ang[okah] 59 34 $85,171.00 $17,816.03 79% off $528.47 $133,620.19 $43,203.86 2026-07-15
37226 CPT Fem/popl Revasc W/stent 27 26 $147,714.44 $17,725.73 88% off $839.26 $132,943.00 $42,984.90 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 24 — — $25,357.14 $107,656.82 $42,846.64 2026-07-15
C9607 HCPCS Ic-prq De Cor Rev Ch[okah] 34 26 $129,819.00 $15,578.28 88% off $17,366.88 $116,837.10 $42,374.43 2026-07-15
C9602 HCPCS Ic-prq De Cr Stnt Ar[okah] 34 26 $129,819.00 $15,578.28 88% off $17,366.88 $116,837.10 $42,374.43 2026-07-15
213 OTHER Splenic Procedures Age 0-17 2 2 — — $39,097.93 $45,362.97 $42,230.45 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 24 — — $27,823.51 $317,884.20 $41,965.86 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 27 24 — — $29,398.41 $133,794.75 $41,573.75 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 24 — — $25,885.94 $128,644.47 $41,515.49 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 24 — — $25,605.48 $191,373.12 $41,451.27 2026-07-15
595 OTHER Major Skin Disorders With Mcc 2 2 — — $39,565.15 $43,197.74 $41,381.44 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 27 24 — — $23,660.65 $88,011.73 $41,108.46 2026-07-15
C1772 HCPCS Pmp Mgmt Sfwr Prgm 40ml - 8637-40[okah] 25 19 $58,676.00 $12,321.96 79% off $5,867.60 $52,808.40 $41,073.20 2026-07-15
92929 CPT Ic-prq Stnt W-ang Ea[okah] 21 16 $54,546.00 $11,454.66 79% off $7,636.44 $49,091.40 $40,909.50 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 24 — — $27,476.78 $314,028.08 $40,254.01 2026-07-15
37253 CPT Intrvasc US Noncoronary Addl 23 19 $67,030.93 $8,043.71 88% off $115.32 $60,327.84 $40,218.56 2026-07-15
37252 CPT Intrvasc US Noncoronary 1st 23 19 $67,030.93 $8,043.71 88% off $145.18 $60,327.84 $40,218.56 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 24 — — $33,531.10 $103,325.17 $40,133.33 2026-07-15
C9600 HCPCS Ic-prq De Cor Stnt[okah] 34 26 $73,137.00 $8,776.44 88% off $10,239.18 $65,823.30 $39,873.45 2026-07-15
92941 CPT Ic-prq Card Rev 1 Vs[okah] 27 19 $52,830.00 $11,094.30 79% off $593.83 $57,341.66 $39,622.50 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 27 24 — — $26,971.26 $367,733.60 $39,526.54 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 27 24 — — $21,566.05 $101,369.34 $39,190.66 2026-07-15
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 2 — — $36,112.03 $41,899.92 $39,005.97 2026-07-15
37224 CPT Fem/popl Revas W/tla 27 26 $133,099.25 $15,971.91 88% off $717.92 $119,789.32 $38,731.88 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 24 — — $30,487.35 $132,594.24 $38,706.65 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 24 — — $31,180.20 $110,380.47 $38,359.90 2026-07-15
59514 CPT Cesarean Delivery Only 24 20 $58,750.51 $7,050.06 88% off $829.10 $52,875.46 $38,187.83 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 27 24 — — $24,571.69 $323,920.01 $37,965.55 2026-07-15
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 38 34 $128,879.30 $15,465.52 88% off $362.85 $144,191.91 $37,678.90 2026-07-15
C9604 HCPCS Ic-prq De Cr Rev Cab[okah] 34 26 $61,627.00 $7,395.24 88% off $8,627.78 $57,341.66 $37,601.99 2026-07-15
52 OTHER Spinal Disorders And Injuries With Cc/mcc 2 2 — — $36,298.05 $38,851.77 $37,574.91 2026-07-15
52441 CPT Cysto Insj Trnsprstc 1 Implt 24 20 $80,534.42 $9,664.13 88% off $339.06 $72,480.98 $37,569.31 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 27 24 — — $18,642.42 $166,534.55 $37,474.86 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 28 25 — — $1,563.14 $108,788.62 $37,371.00 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 24 — — $24,030.88 $103,075.92 $37,216.52 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 27 24 — — $20,944.89 $330,936.40 $36,780.26 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 27 24 — — $15,353.07 $398,065.52 $36,598.01 2026-07-15
92938 CPT Ic-prq Rv Byp Grf Ad[okah] 21 16 $48,402.00 $10,164.42 79% off $6,776.28 $43,561.80 $36,301.50 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 24 — — $26,047.08 $141,706.73 $36,273.13 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 24 — — $24,402.02 $201,150.37 $35,829.49 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 24 — — $24,279.52 $127,461.39 $35,653.23 2026-07-15
11105 CPT Punch Bx Skin Ea Sep/addl 23 19 $59,399.13 $7,127.90 88% off $41.56 $53,459.22 $35,639.48 2026-07-15
23472 CPT Reconstruct Shoulder Joint 38 34 $177,826.61 $21,339.19 88% off $1,327.69 $160,043.95 $35,414.41 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 24 — — $26,942.14 $86,631.29 $35,390.40 2026-07-15
50590 CPT Extracorporeal Shockwave Lithotripsy 63 36 $115,675.00 $18,821.30 84% off $670.16 $141,159.73 $35,280.88 2026-07-15
652 MS_DRG Kidney Transplant 25 22 — — $20,306.16 $150,568.17 $35,253.64 2026-07-15
277 MS_DRG Cellulitis Age >17 W Cc 27 24 — — $18,848.01 $197,975.20 $35,210.32 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 27 24 — — $22,212.22 $137,757.79 $35,046.01 2026-07-15
278 MS_DRG Cellulitis Age >17 Without Cc 27 24 — — $4,401.44 $89,658.50 $34,998.66 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 27 24 — — $25,398.01 $144,865.75 $34,958.63 2026-07-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 20 20 — — $20,003.25 $124,234.60 $34,781.51 2026-07-15
317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 2 — — $32,107.51 $37,251.74 $34,679.62 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 27 24 — — $12,143.76 $110,432.88 $34,518.90 2026-07-15
245 MS_DRG Aicd Generator Procedures 27 24 — — $23,680.56 $109,598.69 $34,432.91 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 27 24 — — $19,294.78 $89,475.58 $34,331.54 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 27 24 — — $27,942.62 $86,562.95 $34,316.76 2026-07-15
62362 CPT Implant Spine Infusion Pump 38 34 $129,480.25 $15,537.63 88% off $354.82 $116,532.23 $34,205.51 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 27 24 — — $28,180.26 $391,003.68 $34,189.34 2026-07-15
799 MS_DRG Splenectomy With Mcc 27 24 — — $18,027.63 $98,030.57 $34,185.04 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 27 24 — — $24,227.42 $104,762.36 $34,179.62 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 26 23 — — $5,763.93 $91,017.33 $34,156.73 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 27 24 — — $23,164.10 $105,479.31 $34,048.16 2026-07-15
27447 CPT Total Knee Replacement 38 34 $215,277.46 $25,833.30 88% off $1,179.61 $193,749.71 $33,766.76 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 27 24 — — $19,725.26 $280,788.62 $33,524.60 2026-07-15
G0378 HCPCS Hospital Observation Per Hr 23 19 $55,251.90 $6,630.23 88% off $44.99 $49,726.71 $33,151.14 2026-07-15
C1882 HCPCS Biot-defib Card Iperia 7 Promri Lf[okah] 48 18 $71,556.50 $10,518.81 85% off $4,293.40 $90,161.10 $32,994.72 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 27 24 — — $26,508.99 $144,597.38 $32,931.87 2026-07-15
27130 CPT Total Hip Replacement 38 34 $203,298.52 $24,395.82 88% off $1,181.03 $182,968.67 $32,886.30 2026-07-15
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 27 24 — — $16,214.23 $83,218.14 $32,694.10 2026-07-15
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 2 2 — — $30,205.70 $35,046.94 $32,626.32 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 27 24 — — $23,486.02 $156,927.36 $32,572.32 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 27 24 — — $14,682.71 $77,650.16 $32,438.82 2026-07-15
C1721 HCPCS Abbo-defib Crd Unfy Frtfy 2ch Df4[okah] 48 18 $64,401.00 $9,660.15 85% off $4,293.40 $77,281.20 $32,415.17 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 27 24 — — $23,295.71 $177,665.53 $32,257.89 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 24 — — $17,398.79 $148,491.70 $32,096.56 2026-07-15
7 OTHER Lung Transplant 2 2 — — $30,982.77 $33,077.46 $32,030.11 2026-07-15
324 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 2 2 — — $29,556.63 $34,293.39 $31,925.01 2026-07-15
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 2 2 — — $29,536.98 $34,268.75 $31,902.86 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 24 — — $26,236.09 $107,855.94 $31,879.97 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 25 — — $15,649.52 $109,427.81 $31,871.61 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 27 24 — — $22,307.77 $85,545.84 $31,854.27 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 27 24 — — $25,320.20 $110,006.58 $31,733.57 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 24 — — $20,304.35 $84,729.25 $31,726.45 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 27 24 — — $22,357.01 $83,501.56 $31,726.27 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 27 24 — — $20,854.68 $99,677.29 $31,528.18 2026-07-15
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $30,880.49 $31,901.11 $31,390.80 2026-07-15
85 EAPG 55513-0222-01 - romiPLOStim Rec Injection 4 1 $35,216.03 $4,225.92 88% off $26,109.12 $39,163.68 $31,213.86 2026-07-15
C2621 HCPCS Medt-pacemaker Thk6mm 57x59mm Card[okah] 24 18 $42,934.00 $9,016.14 79% off $4,293.40 $38,640.60 $31,127.15 2026-07-15
92920 CPT Ic-ptca, Single[okah] 59 34 $41,206.00 $8,653.26 79% off $475.56 $133,894.67 $30,904.50 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 24 — — $3,882.78 $91,115.82 $30,817.33 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 27 24 — — $20,678.96 $195,626.72 $30,472.10 2026-07-15
33208 CPT Insertion Of Heart Pacemaker 38 34 $157,444.26 $18,893.31 88% off $466.18 $141,699.83 $30,220.06 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 27 24 — — $19,810.06 $117,391.50 $29,800.65 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 24 — — $23,349.82 $77,014.97 $29,619.69 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 27 24 — — $19,518.02 $177,595.39 $29,554.18 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 27 24 — — $20,090.35 $80,645.42 $29,372.72 2026-07-15
33228 CPT Remv&replc Pm Gen Dual Lead 38 34 $145,785.03 $17,494.20 88% off $319.48 $131,206.53 $29,363.10 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 26 23 — — $9,644.80 $73,355.37 $29,300.88 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 27 24 — — $23,197.11 $83,863.38 $29,082.51 2026-07-15
99215 CPT Office/outpatient Visit, Est 20 19 $40,059.34 $4,807.12 88% off $165.84 $36,053.41 $29,043.02 2026-07-15
25078 CPT Resect Forarm/wrist Tum 3cm> 35 31 $207,012.52 $24,841.50 88% off $1,073.91 $186,311.27 $28,711.01 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 27 24 — — $17,442.66 $102,965.54 $28,698.26 2026-07-15
665 MS_DRG Prostatectomy With Mcc 28 25 — — $16,200.15 $99,458.68 $28,697.65 2026-07-15
92921 CPT Ic-ptca, Addl[okah] 38 16 $33,647.00 $7,065.87 79% off $4,710.58 $198,114.52 $28,599.95 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 24 — — $9,808.00 $83,211.85 $28,507.23 2026-07-15
47579 CPT Laparoscope Proc, Biliary 34 30 $202,520.14 $24,302.42 88% off $5,739.24 $182,268.13 $28,474.33 2026-07-15
22 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 2 2 — — $26,291.84 $30,505.52 $28,398.68 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 27 24 — — $19,234.44 $186,275.16 $28,393.51 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 27 24 — — $22,830.52 $71,298.25 $28,330.75 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 27 24 — — $16,167.75 $71,887.21 $28,250.10 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 27 24 — — $16,799.76 $108,964.22 $28,149.30 2026-07-15
398 OTHER Major Head And Neck Procedures Without Cc/mcc 2 2 — — $25,898.43 $30,049.59 $27,974.01 2026-07-15
460 OTHER Spinal Fusion Except Cervical Without Mcc 2 2 — — $25,814.19 $29,951.18 $27,882.68 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 27 24 — — $20,563.31 $66,349.38 $27,841.66 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 27 24 — — $18,833.25 $117,976.49 $27,816.18 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 27 24 — — $18,818.73 $108,065.95 $27,795.27 2026-07-15
518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 2 — — $25,731.20 $29,855.56 $27,793.38 2026-07-15
332 MS_DRG Rectal Resection With Mcc 27 24 — — $18,792.73 $84,008.26 $27,757.93 2026-07-15
265 MS_DRG Aicd Lead Procedures 27 24 — — $18,779.79 $82,760.59 $27,739.26 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 25 — — $14,909.48 $82,289.47 $27,662.17 2026-07-15
904 OTHER Skin Grafts For Injuries With Cc/mcc 2 2 — — $26,742.88 $28,505.48 $27,624.18 2026-07-15
58573 CPT Tlh W/t/o Uterus Over 250 G 40 36 $194,107.67 $23,292.92 88% off $1,121.67 $174,696.90 $27,524.87 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 27 24 — — $18,302.80 $89,072.52 $27,474.85 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 27 24 — — $18,552.97 $116,646.38 $27,412.88 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 27 24 — — $18,786.38 $68,425.81 $27,399.19 2026-07-15
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $25,362.43 $29,419.96 $27,391.19 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 27 24 — — $20,896.50 $110,167.35 $27,276.92 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 27 24 — — $16,664.67 $63,698.06 $27,223.08 2026-07-15
468 OTHER Revision Of Hip Or Knee Replacement Without Cc/mcc 2 2 — — $25,122.22 $29,148.96 $27,135.59 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 27 24 — — $15,673.72 $79,336.64 $27,057.33 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 25 — — $12,872.64 $72,594.76 $27,038.92 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 27 24 — — $18,491.22 $71,294.23 $27,035.12 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 27 24 — — $14,794.56 $89,068.16 $27,001.33 2026-07-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 20 20 — — $17,385.38 $67,769.56 $26,884.96 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 27 24 — — $21,814.21 $104,748.73 $26,769.05 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 27 24 — — $12,517.02 $69,907.26 $26,768.77 2026-07-15
472 OTHER Cervical Spinal Fusion With Cc 2 2 — — $24,666.08 $28,619.45 $26,642.76 2026-07-15
862 OTHER Postoperative And Post-traumatic Infections With Mcc 2 2 — — $25,468.14 $27,756.54 $26,612.34 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 27 24 — — $17,359.21 $76,031.74 $26,517.35 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 27 24 — — $14,189.72 $59,486.90 $26,360.32 2026-07-15
483 OTHER Major Joint Or Limb Reattachment Procedures Of Upper Extremities 2 2 — — $24,322.75 $28,221.36 $26,272.06 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 29 26 — — $2,604.15 $76,321.49 $26,217.24 2026-07-15
52647 CPT Laser Surgery Of Prostate 27 26 $89,153.27 $10,698.39 88% off $1,048.65 $80,237.94 $25,943.60 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 27 24 — — $16,320.71 $65,804.64 $25,917.86 2026-07-15
362 OTHER Cardiac Defibrillator Implant Without Mcc 2 2 — — $23,869.57 $27,693.92 $25,781.74 2026-07-15
10 OTHER Pancreas Transplant 2 2 — — $23,824.03 $27,637.77 $25,730.90 2026-07-15
C1764 HCPCS Abbo-recorder Card 56.3x8x18.5mm Sj[okah] 25 19 $36,637.00 $7,693.77 79% off $3,663.70 $32,973.30 $25,645.90 2026-07-15
583 OTHER Mastectomy For Malignancy Without Cc/mcc 2 2 — — $23,728.58 $27,531.70 $25,630.14 2026-07-15
791 MS_DRG Prematurity With Major Problems 27 24 — — $2,561.62 $74,299.33 $25,521.82 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 27 24 — — $15,121.94 $64,678.99 $25,392.50 2026-07-15
92937 CPT Ic-prq Rv Byp Grf In[okah] 42 34 $85,171.00 $10,220.52 88% off $528.14 $76,653.90 $25,380.96 2026-07-15
92943 CPT Ic-prq Revsc Chr 1vs[okah] 42 34 $85,171.00 $10,220.52 88% off $593.81 $76,653.90 $25,380.96 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 27 24 — — $20,018.81 $111,903.64 $25,354.90 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 27 24 — — $17,145.32 $66,301.14 $25,116.50 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 27 24 — — $15,411.94 $62,356.01 $25,030.67 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 27 24 — — $15,292.14 $95,386.88 $25,010.16 2026-07-15
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $23,120.53 $26,824.76 $24,972.64 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 27 24 — — $19,803.14 $92,147.00 $24,956.00 2026-07-15
584 OTHER Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 2 2 — — $23,104.66 $26,806.82 $24,955.74 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 27 24 — — $18,228.23 $198,806.23 $24,818.20 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 27 24 — — $12,154.41 $137,708.82 $24,771.15 2026-07-15
364 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 — — $22,900.68 $26,570.28 $24,735.48 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 27 24 — — $12,020.56 $56,720.65 $24,637.03 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 27 24 — — $10,296.26 $61,897.01 $24,610.40 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 27 24 — — $16,994.83 $140,582.08 $24,562.01 2026-07-15
469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 2 2 — — $22,717.72 $26,358.24 $24,537.98 2026-07-15
473 OTHER Cervical Spinal Fusion Without Cc/mcc 2 2 — — $22,680.91 $26,316.34 $24,498.62 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 27 24 — — $15,960.92 $303,963.10 $24,446.99 2026-07-15
585 OTHER Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 2 2 — — $22,621.07 $26,246.57 $24,433.82 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 27 24 — — $16,663.15 $53,563.94 $24,429.12 2026-07-15
582 OTHER Mastectomy For Malignancy With Cc/mcc 2 2 — — $22,558.55 $26,173.91 $24,366.23 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 27 24 — — $17,698.54 $150,398.56 $24,352.90 2026-07-15
941 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 2 2 — — $22,488.64 $26,093.26 $24,290.95 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 28 24 — — $17,727.08 $58,684.87 $24,284.17 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 27 24 — — $14,221.81 $62,932.21 $24,056.19 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 27 24 — — $16,308.65 $61,939.22 $23,923.74 2026-07-15
413 OTHER Cholecystectomy With C.d.e. Without Cc/mcc 2 2 — — $22,101.43 $25,643.99 $23,872.71 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 24 — — $13,561.18 $57,163.22 $23,721.00 2026-07-15
33213 CPT Insertion Of Pulse Generator 38 34 $102,313.58 $12,277.63 88% off $304.13 $92,082.22 $23,703.24 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 27 24 — — $18,984.27 $60,244.71 $23,680.30 2026-07-15
263 MS_DRG Vein Ligation And Stripping 27 24 — — $19,224.04 $97,468.10 $23,550.72 2026-07-15
27 OTHER Craniotomy And Endovascular Intracranial Procedures Age >17 Without Cc/mcc 2 2 — — $21,745.44 $25,230.71 $23,488.07 2026-07-15
462 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 2 2 — — $21,721.05 $25,202.40 $23,461.72 2026-07-15
581 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 2 2 — — $21,638.21 $25,106.52 $23,372.36 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 27 24 — — $13,986.06 $75,443.94 $23,370.00 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 27 24 — — $10,105.93 $61,219.61 $23,327.36 2026-07-15
467 OTHER Revision Of Hip Or Knee Replacement With Cc 2 2 — — $21,588.25 $25,047.21 $23,317.73 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 27 24 — — $18,511.64 $167,521.15 $23,307.06 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 27 24 — — $15,675.40 $60,433.44 $23,078.91 2026-07-15
707 OTHER Major Male Pelvic Procedures With Cc/mcc 2 2 — — $21,350.89 $24,772.70 $23,061.79 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 27 24 — — $16,964.49 $52,201.04 $23,024.00 2026-07-15
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $21,130.17 $24,512.46 $22,821.31 2026-07-15
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $21,104.82 $24,485.11 $22,794.97 2026-07-15
322 OTHER Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 2 2 — — $21,001.50 $24,367.75 $22,684.62 2026-07-15
570 MS_DRG Skin Debridement With Mcc 27 24 — — $15,975.56 $477,503.56 $22,682.12 2026-07-15
279 MS_DRG Cellulitis Age 0-17 27 24 — — $6,445.85 $64,335.26 $22,676.00 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 27 24 — — $13,036.01 $59,525.60 $22,531.37 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 27 24 — — $15,155.88 $108,286.96 $22,524.54 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 27 24 — — $17,610.56 $110,574.35 $22,376.64 2026-07-15
C1722 HCPCS Abbo-defib Crd Frtfy Asr Vr 40 Is-1[okah] 72 18 $40,072.00 $8,415.12 79% off $2,862.30 $38,640.60 $22,325.94 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 27 24 — — $15,424.76 $61,270.84 $22,281.26 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 27 24 — — $17,949.59 $109,778.68 $22,239.22 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 27 24 — — $16,398.63 $60,502.00 $22,205.06 2026-07-15
78 OTHER Hypertensive Encephalopathy With Cc 2 2 — — $21,111.22 $23,085.84 $22,098.53 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 27 24 — — $11,405.35 $55,746.10 $22,028.79 2026-07-15
619 OTHER O.r. Procedures For Obesity With Mcc 2 2 — — $20,387.02 $23,652.88 $22,019.95 2026-07-15
58571 CPT Tlh W/t/o 250 G Or Less 40 36 $158,518.33 $19,022.20 88% off $835.72 $142,666.50 $22,010.46 2026-07-15
221 EAPG 00003-2328-22 - Ipilimumab Soln 4 1 $228,040.35 $27,364.84 88% off $18,394.60 $27,591.90 $21,991.03 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 28 24 — — $7,542.00 $48,825.33 $21,990.40 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 27 24 — — $16,875.10 $61,577.40 $21,911.89 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 26 23 — — $10,303.38 $62,652.81 $21,836.12 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 27 24 — — $11,439.94 $53,607.36 $21,766.12 2026-07-15
800 MS_DRG Splenectomy With Cc 27 24 — — $11,836.31 $121,756.47 $21,698.48 2026-07-15
276 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 2 — — $20,039.52 $23,250.23 $21,644.88 2026-07-15
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