Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

ALLIANCEHEALTH DURANT

Durant, OK · CCN 370014 · Rates published

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You selected 93350 (CPT)

NI Echo TTE 2D Stress and Rest

This hospital’s price: $981 across 36 payers · range $488-$8,660

Source: https://www.alliancehealthdurant.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/581725656_alliancehealth-durant_standardcharges.csv · observed 2026-07-15

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

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

165,318 of 180,563 rate rows are consumer-grade (91.6%)

15,245 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 6
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 · 2026-10-11
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
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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $95,431.50 $750,350.23 $307,041.03 nat. median
$359,454
0.9× median
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 2 $279,221.90 $305,783.05 $292,502.47 nat. median
$39,056
outlier · 7.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $176,206.15 $511,538.29 $250,680.43 nat. median
$249,036
1.0× median
37231
CPT 		Tib/per Revasc Stent & Ather 21 $1,211.57 $302,626.26 $218,563.41 nat. median
$18,389
outlier · 11.9×
37232
CPT 		Tib/per Revasc Add-on 18 $322.69 $257,883.54 $214,902.95 nat. median
$5,842
outlier · 36.8×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $68,428.57 $340,466.72 $152,159.40 nat. median
$198,418
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $133,457.90 $354,270.07 $151,270.50 nat. median
$190,559
0.8× median
44204
CPT 		Laparo Partial Colectomy 20 $1,404.65 $193,267.39 $139,582.01 nat. median
$3,592
outlier · 38.9×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $64,829.44 $209,834.34 $126,023.65 nat. median
$95,038
1.3× median
37228
CPT 		Tib/per Revasc W/tla 21 $874.65 $169,377.11 $122,327.91 nat. median
$11,026
outlier · 11.1×
49616
CPT 		Rpr Aa Hrn Rcr 3-10 Ncr/strn 19 $789.24 $151,795.14 $118,062.89 nat. median
$4,715
outlier · 25.0×
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… 17 $87,093.58 $222,443.70 $98,959.65 nat. median
$126,695
0.8× median
37221
CPT 		Iliac Revasc W/stent 26 $797.43 $302,626.26 $97,849.16 nat. median
$12,099
outlier · 8.1×
7
MS_DRG 		Lung Transplant 15 $75,398.88 $196,831.00 $97,277.93 nat. median
$117,974
0.8× median
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
$188
outlier · 506.0×
22515
CPT 		Perq Vertebral Augmentation 19 $354.98 $140,020.54 $93,347.03 nat. median
$5,248
outlier · 17.8×
37220
CPT 		Iliac Revasc 21 $646.33 $126,538.92 $91,389.22 nat. median
$7,238
outlier · 12.6×
C9606
HCPCS 		Ic-prq De Cr Rev Ami[okah] 18 $18,174.66 $116,837.10 $90,873.30 nat. median
$17,846
outlier · 5.1×
0790
RC 		16 $16,194.50 $104,107.50 $86,756.25 nat. median
$214
outlier · 406.0×
955
OTHER 		Craniotomy For Multiple Significant Trauma 2 $82,672.72 $88,501.93 $85,587.32 nat. median
$61,896
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $38,882.04 $233,881.17 $84,064.18 nat. median
$110,307
0.8× median
215
OTHER 		Other Heart Assist System Implant 2 $80,433.79 $87,214.01 $83,823.90 nat. median
$75,018
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $58,816.23 $306,463.87 $81,085.23 nat. median
$104,013
0.8× median
33249
CPT 		Eltrd/insert Pace-defib 34 $819.98 $333,327.66 $78,522.47 nat. median
$31,620
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
$33,951
outlier · 2.3×
37227
CPT 		Fem/popl Revasc Stnt & Ather 26 $1,165.18 $235,652.54 $76,194.32 nat. median
$18,437
outlier · 4.1×
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 18 $4,369.00 $216,501.84 $76,129.59 nat. median
$97,323
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 17 $61,092.71 $259,023.09 $71,332.21 nat. median
$93,901
0.8× median
33263
CPT 		Rmvl & Rplcmt Dfb Gen 2 Lead 34 $348.24 $306,922.74 $70,933.26 nat. median
$23,376
outlier · 3.0×
974
OTHER 		HIV With Major Related Condition With Mcc 2 $67,647.17 $73,833.81 $70,740.49 nat. median
$28,618
outlier · 2.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $51,784.77 $190,951.46 $70,096.40 nat. median
$90,551
0.8× median
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
$35,346
1.9× median
64488
CPT 		Tap Block Bi Injection 19 $113.55 $96,798.87 $64,532.58 nat. median
$974
outlier · 66.3×
37225
CPT 		Fem/popl Revas W/ather 26 $971.59 $198,532.19 $64,192.07 nat. median
$16,469
outlier · 3.9×
37229
CPT 		Tib/per Revasc W/ather 26 $1,127.24 $196,179.85 $63,431.48 nat. median
$17,146
outlier · 3.7×
29826
CPT 		Shoulder Arthroscopy/surgery 19 $157.52 $93,156.16 $62,104.10 nat. median
$3,079
outlier · 20.2×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 13 $38,044.23 $89,998.95 $61,960.22 nat. median
$70,732
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $43,754.32 $163,065.34 $60,498.72 nat. median
$77,028
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 $43,909.81 $185,017.64 $60,310.73 nat. median
$77,632
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $49,476.73 $200,991.91 $57,645.18 nat. median
$74,370
0.8× median
C1820
HCPCS 		Abbo-sys Chrg Prdg MRI Nrstm[okah] 19 $7,338.40 $111,111.30 $55,771.84 nat. median
$22,986
outlier · 2.4×
6
MS_DRG 		Liver Transplant Without Mcc 15 $29,156.11 $90,490.68 $55,379.11 nat. median
$44,153
1.3× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 $47,371.64 $152,918.36 $55,166.77 nat. median
$72,398
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 $34,604.69 $147,613.70 $54,931.94 nat. median
$71,748
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 $41,683.43 $146,803.63 $54,752.46 nat. median
$67,976
0.8× median
59510
CPT 		Cesarean Delivery 19 $2,445.01 $66,535.12 $53,597.74 nat. median
$3,648
outlier · 14.7×
515
OTHER 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 $49,889.11 $54,047.43 $51,968.27 nat. median
$30,460
1.7× 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.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $308,118.19 $325,408.78 $316,763.48 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 17 — — $95,431.50 $750,350.23 $307,041.03 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 18 15 — — $176,206.15 $511,538.29 $250,680.43 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
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 17 — — $68,428.57 $340,466.72 $152,159.40 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 17 — — $133,457.90 $354,270.07 $151,270.50 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 15 — — $64,829.44 $209,834.34 $126,023.65 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
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… 20 17 — — $87,093.58 $222,443.70 $98,959.65 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
7 MS_DRG Lung Transplant 18 15 — — $75,398.88 $196,831.00 $97,277.93 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
14 MS_DRG Allogeneic Bone Marrow Transplant 19 16 — — $38,882.04 $233,881.17 $84,064.18 2026-07-15
215 OTHER Other Heart Assist System Implant 2 2 — — $80,433.79 $87,214.01 $83,823.90 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 15 — — $58,816.23 $306,463.87 $81,085.23 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
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 21 18 — — $4,369.00 $216,501.84 $76,129.59 2026-07-15
215 MS_DRG Other Heart Assist System Implant 20 17 — — $61,092.71 $259,023.09 $71,332.21 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
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 17 — — $51,784.77 $190,951.46 $70,096.40 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
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
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
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 13 13 — — $38,044.23 $89,998.95 $61,960.22 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 17 — — $43,754.32 $163,065.34 $60,498.72 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 17 — — $43,909.81 $185,017.64 $60,310.73 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 17 — — $49,476.73 $200,991.91 $57,645.18 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
6 MS_DRG Liver Transplant Without Mcc 18 15 — — $29,156.11 $90,490.68 $55,379.11 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 17 — — $47,371.64 $152,918.36 $55,166.77 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 17 — — $34,604.69 $147,613.70 $54,931.94 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 17 — — $41,683.43 $146,803.63 $54,752.46 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
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
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 20 17 — — $21,739.99 $114,644.04 $51,579.97 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 17 — — $16,368.90 $133,910.85 $51,309.67 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 17 — — $29,013.86 $141,426.62 $51,279.88 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 17 — — $43,246.24 $131,195.21 $51,211.62 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
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 17 — — $31,258.88 $122,407.05 $49,729.09 2026-07-15
10 MS_DRG Pancreas Transplant 18 15 — — $15,933.92 $87,885.59 $49,551.94 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
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 17 — — $42,323.21 $121,213.05 $48,644.01 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
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 17 — — $36,398.59 $126,292.57 $47,341.91 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 17 — — $34,128.22 $114,254.08 $47,341.91 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
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 17 — — $34,291.47 $81,680.41 $47,172.35 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
459 MS_DRG Spinal Fusion Except Cervical With Mcc 13 13 — — $36,359.13 $68,007.41 $46,549.04 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 17 — — $35,027.70 $110,243.93 $46,344.49 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
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
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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 17 — — $33,069.13 $155,833.00 $44,171.53 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 17 — — $32,476.22 $109,429.84 $44,121.16 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 17 — — $33,175.84 $99,321.05 $43,708.68 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 17 — — $31,467.12 $117,397.88 $43,704.74 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
28 MS_DRG Spinal Procedures With Mcc 20 17 — — $29,038.97 $111,733.42 $43,319.51 2026-07-15
276 MS_DRG Non-maligant Breast Disorders 20 17 — — $23,179.45 $124,831.23 $43,307.46 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
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 17 — — $37,494.24 $136,811.43 $42,998.88 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
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 13 13 — — $22,405.47 $62,916.71 $42,981.60 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 17 — — $5,125.05 $108,788.62 $42,859.82 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
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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 17 — — $26,473.32 $116,155.64 $42,328.46 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 17 — — $30,440.50 $108,899.18 $42,301.52 2026-07-15
213 OTHER Splenic Procedures Age 0-17 2 2 — — $39,097.93 $45,362.97 $42,230.45 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 16 — — $37,284.23 $129,532.85 $41,830.18 2026-07-15
595 OTHER Major Skin Disorders With Mcc 2 2 — — $39,565.15 $43,197.74 $41,381.44 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 17 — — $36,030.47 $110,452.98 $41,347.35 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 17 — — $25,357.14 $100,848.73 $41,128.87 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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 15 — — $29,089.96 $101,751.26 $40,455.62 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
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
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 17 — — $23,660.65 $78,526.57 $40,215.43 2026-07-15
278 MS_DRG Cellulitis Age >17 Without Cc 20 17 — — $14,430.94 $89,658.50 $40,183.21 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 17 — — $27,823.51 $98,344.14 $39,876.74 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
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 20 17 — — $34,340.75 $110,432.88 $39,641.93 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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 17 — — $29,398.41 $106,282.03 $39,504.29 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 17 — — $25,885.94 $101,642.72 $39,448.96 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 17 — — $25,605.48 $98,878.83 $39,387.96 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
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 17 — — $33,531.10 $103,325.17 $38,768.58 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 20 17 — — $31,107.82 $132,594.24 $38,706.65 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 16 — — $18,898.13 $91,017.33 $38,379.72 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 17 — — $27,476.78 $151,487.17 $38,250.76 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
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
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 17 — — $30,477.67 $101,369.34 $37,623.65 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
653 MS_DRG Major Bladder Procedures With Mcc 20 17 — — $26,971.26 $111,158.53 $37,559.78 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 17 — — $31,180.20 $92,138.96 $36,451.66 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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 17 — — $24,571.69 $91,415.33 $36,077.10 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 17 — — $24,030.88 $103,075.92 $35,730.90 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
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 17 — — $18,642.42 $93,381.21 $35,611.03 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 17 — — $12,730.44 $91,115.82 $35,465.61 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
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 18 15 — — $20,306.16 $66,729.29 $35,104.82 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 20 17 — — $20,944.89 $98,870.79 $34,951.26 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 17 — — $15,353.07 $114,650.07 $34,778.16 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
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 17 — — $26,047.08 $122,748.77 $34,469.57 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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 17 — — $24,402.02 $90,717.82 $34,048.19 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 17 — — $29,500.68 $86,631.29 $33,980.08 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 17 — — $24,279.52 $104,824.70 $33,880.77 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
277 MS_DRG Cellulitis Age >17 W Cc 20 17 — — $18,848.01 $96,131.02 $33,460.08 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 17 — — $22,212.22 $98,762.24 $33,304.01 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 17 — — $25,398.01 $86,687.57 $33,221.02 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
245 MS_DRG Aicd Generator Procedures 20 17 — — $23,680.56 $109,598.69 $33,062.08 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
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 17 — — $19,294.78 $89,475.58 $32,964.89 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 17 — — $28,588.33 $86,562.95 $32,950.72 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 17 — — $26,508.99 $70,827.88 $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
799 MS_DRG Splenectomy With Mcc 20 17 — — $18,027.63 $98,030.57 $32,824.43 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
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 13 13 — — $20,003.25 $48,012.64 $32,537.17 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 20 17 — — $28,180.26 $99,343.16 $32,490.33 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 17 — — $24,227.42 $81,895.49 $32,481.09 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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 17 — — $23,164.10 $82,428.17 $32,356.22 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
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 17 — — $19,725.26 $76,506.42 $31,858.93 2026-07-15
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 20 17 — — $19,844.64 $83,218.14 $31,394.97 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
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 17 — — $14,682.71 $77,650.16 $31,150.22 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 17 — — $26,236.09 $107,855.94 $31,145.15 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
140 MS_DRG Major Head And Neck Procedures With Mcc 20 17 — — $23,486.02 $80,014.04 $30,954.41 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
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 17 — — $23,295.71 $83,531.72 $30,655.75 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 17 — — $23,281.84 $85,545.84 $30,589.77 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 17 — — $17,398.79 $70,839.94 $30,502.53 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 20 17 — — $22,357.01 $83,501.56 $30,467.05 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 17 — — $20,304.35 $78,068.26 $30,411.73 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 20 17 — — $8,538.20 $76,321.49 $30,275.52 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
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 17 — — $25,320.20 $76,122.49 $30,157.75 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 17 — — $20,854.68 $71,943.49 $29,962.66 2026-07-15
791 MS_DRG Prematurity With Major Problems 20 17 — — $8,398.75 $74,299.33 $29,490.90 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
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
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 17 — — $20,678.96 $65,406.64 $28,959.55 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 16 — — $9,644.80 $70,542.45 $28,721.22 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
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
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
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 17 — — $23,349.82 $77,014.97 $28,447.34 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
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 17 — — $19,810.06 $65,442.83 $28,321.79 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 17 — — $20,090.35 $80,239.17 $28,155.06 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 17 — — $19,518.02 $76,540.59 $28,087.68 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
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 17 — — $23,347.94 $83,863.38 $27,932.31 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
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
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
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $25,362.43 $29,419.96 $27,391.19 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 17 — — $17,442.66 $59,575.34 $27,274.69 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 20 17 — — $20,699.77 $63,698.06 $27,223.08 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 17 — — $23,501.57 $71,298.25 $27,211.54 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
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 17 — — $16,167.75 $71,887.21 $27,134.22 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 17 — — $19,234.44 $74,245.05 $26,985.24 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 20 17 — — $16,799.76 $65,346.34 $26,753.26 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 17 — — $22,158.77 $66,349.38 $26,742.63 2026-07-15
472 OTHER Cervical Spinal Fusion With Cc 2 2 — — $24,666.08 $28,619.45 $26,642.76 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 21 18 — — $9,808.00 $58,152.19 $26,621.47 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
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 17 — — $18,833.25 $69,993.69 $26,436.86 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 17 — — $18,818.73 $60,546.22 $26,417.00 2026-07-15
332 MS_DRG Rectal Resection With Mcc 20 17 — — $18,792.73 $76,813.16 $26,381.54 2026-07-15
265 MS_DRG Aicd Lead Procedures 20 17 — — $18,779.79 $67,093.12 $26,363.80 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 17 — — $18,786.38 $68,425.81 $26,318.40 2026-07-15
279 MS_DRG Cellulitis Age 0-17 20 17 — — $19,199.34 $64,335.26 $26,280.08 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
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 17 — — $18,302.80 $71,183.67 $26,112.65 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 17 — — $18,552.97 $78,950.70 $26,053.79 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 17 — — $14,909.48 $82,289.47 $26,028.24 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 17 — — $18,506.75 $79,336.64 $25,990.64 2026-07-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 13 13 — — $17,385.38 $38,662.96 $25,985.12 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 17 — — $18,491.22 $71,294.23 $25,969.35 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 17 — — $12,872.64 $72,594.76 $25,945.24 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
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 17 — — $20,896.50 $68,013.74 $25,924.66 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
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 20 17 — — $12,517.02 $69,907.26 $25,713.97 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 17 — — $14,794.56 $68,606.72 $25,662.89 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
252 MS_DRG Other Vascular Procedures With Mcc 20 17 — — $21,814.21 $64,994.57 $25,442.26 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 17 — — $15,649.52 $81,268.34 $25,435.89 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 20 17 — — $20,018.81 $65,420.71 $25,354.90 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 17 — — $14,189.72 $59,486.90 $25,322.37 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 17 — — $17,359.21 $64,990.55 $25,203.19 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 17 — — $19,484.65 $65,050.86 $25,017.32 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 20 17 — — $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
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 20 17 — — $16,320.71 $65,804.64 $24,898.15 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 17 — — $14,244.35 $81,575.89 $24,866.23 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
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
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
264 MS_DRG Other Circulatory System O.r. Procedures 20 17 — — $15,240.16 $64,678.99 $24,394.46 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
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
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 17 — — $17,145.32 $66,301.14 $24,129.84 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 21 18 — — $20,038.30 $58,684.87 $24,107.92 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 17 — — $15,411.94 $55,647.61 $24,047.56 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
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 17 — — $15,292.14 $72,112.34 $23,771.61 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
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 17 — — $12,020.56 $53,480.72 $23,670.14 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 17 — — $20,340.11 $61,897.01 $23,644.61 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 17 — — $18,228.23 $65,396.59 $23,589.28 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 20 17 — — $12,154.41 $52,962.11 $23,544.58 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
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 17 — — $16,663.15 $53,153.07 $23,470.81 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
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 17 — — $16,994.83 $74,484.26 $23,345.93 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 20 17 — — $18,511.64 $54,164.15 $23,307.06 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 17 — — $15,960.92 $114,919.43 $23,236.68 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 20 17 — — $17,698.54 $59,482.88 $23,147.32 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 17 — — $19,206.39 $62,932.21 $23,113.26 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
324 MS_DRG Urinary Stones Without Cc 20 17 — — $16,160.75 $59,671.83 $23,049.40 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 17 — — $16,308.65 $61,939.22 $22,986.27 2026-07-15
665 MS_DRG Prostatectomy With Mcc 20 17 — — $16,200.15 $62,781.45 $22,838.00 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
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 17 — — $13,636.68 $57,163.22 $22,791.89 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 17 — — $18,984.27 $60,244.71 $22,752.86 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
662 MS_DRG Minor Bladder Procedures With Mcc 20 17 — — $15,890.29 $61,219.61 $22,414.47 2026-07-15
263 MS_DRG Vein Ligation And Stripping 20 17 — — $19,224.04 $46,974.03 $22,385.38 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
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 20 17 — — $13,986.06 $64,343.30 $22,213.72 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 20 17 — — $16,964.49 $50,009.28 $22,123.63 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 20 17 — — $15,675.40 $54,037.52 $22,120.78 2026-07-15
78 OTHER Hypertensive Encephalopathy With Cc 2 2 — — $21,111.22 $23,085.84 $22,098.53 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
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 17 — — $16,442.06 $61,810.58 $21,810.76 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
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 21 18 — — $7,542.00 $48,825.33 $21,623.34 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 20 17 — — $13,036.01 $57,356.19 $21,595.82 2026-07-15
334 OTHER Rectal Resection Without Cc/mcc 2 2 — — $19,985.90 $23,189.15 $21,587.53 2026-07-15
570 MS_DRG Skin Debridement With Mcc 20 17 — — $15,975.56 $52,158.07 $21,560.36 2026-07-15
216 EAPG 50242-0105-01 - Polatuzumab Vedotin 140 Mg Powder 4 1 $61,314.68 $7,357.76 88% off $17,986.96 $26,980.44 $21,503.69 2026-07-15
734 OTHER Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 2 2 — — $20,700.69 $22,293.45 $21,497.07 2026-07-15
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $21,310.13 $21,672.17 $21,491.15 2026-07-15
33285 CPT P-implnt Loop Rec[okah] 59 34 $59,729.00 $12,543.09 79% off $3,394.12 $98,600.75 $21,453.83 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 20 17 — — $15,155.88 $52,966.13 $21,410.67 2026-07-15
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