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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

CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL

Carnegie, OK · CCN 371334 · Rates published

1,889 distinct procedures filed
25 distinct payers
42,292 rate rows
2026-01-19 last MRF observed
Data quality

40,835 of 42,292 rate rows are consumer-grade (96.6%)

1,457 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
per-diem day rate — not a per-procedure price 930
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 431
exceeds 10× this hospital's gross charge — excluded from medians 60
percent-of-charges filed in the dollar field — excluded from medians 29
exceeds 3× this hospital's gross charge for a DRG stay — excluded 5
placeholder amount (≤ $0.02) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbCTMHCARNEGIEOK&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/CarnegieTriCounty_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 01aa733312a3790a… · 14,909,906 bytes · first seen 2026-05-08

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
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 $18,624.56 $517,614.64 $54,422.92 nat. median
$49,182
1.1× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 $13,027.92 $109,441.87 $38,068.95 nat. median
$33,845
1.1× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 15 $9,342.30 $297,483.07 $27,299.18 nat. median
$24,493
1.1× median
539
MS_DRG 		Osteomyelitis With Mcc 15 $7,484.86 $102,112.76 $21,871.55 nat. median
$19,718
1.1× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 15 $6,957.80 $129,665.96 $20,331.42 nat. median
$18,292
1.1× median
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 24 $105.42 $38,278.50 $20,287.61 nat. median
$5,957
outlier · 3.4×
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 15 $8,390.02 $28,194.88 $20,086.25 nat. median
$22,208
0.9× median
52
MS_DRG 		Spinal Disorders And Injuries With Cc/mcc 15 $6,767.04 $120,217.07 $19,774.00 nat. median
$19,131
1.0× median
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 15 $6,673.56 $114,721.57 $19,500.84 nat. median
$17,985
1.1× median
571
MS_DRG 		Skin Debridement With Cc 15 $6,420.10 $57,813.67 $18,760.21 nat. median
$17,260
1.1× median
70
MS_DRG 		Other Cerebrovascular Disorders With Mcc 15 $6,326.24 $215,498.83 $18,485.94 nat. median
$17,281
1.1× median
913
MS_DRG 		Traumatic Injury With Mcc 15 $6,211.48 $44,962.07 $18,150.60 nat. median
$16,480
1.1× median
841
MS_DRG 		Lymphoma And Non-acute Leukemia With Cc 15 $6,199.32 $71,789.23 $18,115.07 nat. median
$16,645
1.1× median
884
MS_DRG 		Organic Disturbances And Intellectual Disability 15 $6,107.34 $40,627.66 $17,865.23 nat. median
$14,858
1.2× median
186
MS_DRG 		Pleural Effusion With Mcc 15 $5,922.30 $24,422.72 $17,305.58 nat. median
$15,980
1.1× median
183
MS_DRG 		Major Chest Trauma With Mcc 15 $5,813.62 $91,315.20 $16,988.01 nat. median
$15,867
1.1× median
865
MS_DRG 		Viral Illness With Mcc 15 $4,792.88 $75,617.03 $16,637.12 nat. median
$15,232
1.1× median
557
MS_DRG 		Tendonitis, Myositis And Bursitis With Mcc 15 $5,650.22 $143,586.96 $16,510.54 nat. median
$15,338
1.1× median
562
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 15 $5,414.24 $112,664.93 $15,820.98 nat. median
$14,855
1.1× median
602
MS_DRG 		Cellulitis With Mcc 15 $5,400.94 $30,167.67 $15,782.12 nat. median
$14,837
1.1× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 15 $5,075.28 $69,688.24 $14,830.50 nat. median
$13,400
1.1× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 15 $4,994.72 $28,932.05 $14,595.10 nat. median
$13,648
1.1× median
553
MS_DRG 		Bone Diseases And Arthropathies With Mcc 15 $4,925.94 $101,529.28 $14,394.12 nat. median
$13,586
1.1× median
291
MS_DRG 		Heart Failure And Shock With Mcc 15 $4,878.44 $31,996.61 $14,255.32 nat. median
$13,521
1.1× median
535
MS_DRG 		Fractures Of Hip And Pelvis With Mcc 15 $4,871.60 $28,497.74 $14,235.33 nat. median
$13,516
1.1× median
947
MS_DRG 		Signs And Symptoms With Mcc 15 $4,823.72 $68,660.48 $14,095.42 nat. median
$12,688
1.1× median
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 15 $4,819.54 $22,110.61 $14,083.20 nat. median
$13,245
1.1× median
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 15 $4,694.52 $65,970.87 $13,717.88 nat. median
$13,017
1.1× median
593
MS_DRG 		Skin Ulcers With Cc 15 $4,507.94 $322,193.99 $13,172.68 nat. median
$12,572
1.0× median
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 15 $4,409.14 $27,959.58 $12,883.97 nat. median
$12,152
1.1× median
436
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas With Cc 15 $4,298.18 $21,253.51 $12,559.73 nat. median
$12,085
1.0× median
374
MS_DRG 		Digestive Malignancy With Mcc 15 $8,127.06 $27,311.20 $12,519.17 nat. median
$21,276
0.6× median
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 15 $4,279.18 $107,114.82 $12,504.21 nat. median
$12,148
1.0× median
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 15 $4,209.26 $32,556.39 $12,299.90 nat. median
$11,699
1.1× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 15 $5,938.26 $19,955.68 $11,767.21 nat. median
$16,234
0.7× median
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 15 $3,888.54 $21,369.21 $11,362.72 nat. median
$11,103
1.0× median
372
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Cc 15 $3,879.80 $76,312.82 $11,337.18 nat. median
$11,087
1.0× median
699
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Cc 15 $3,857.00 $71,354.00 $11,270.56 nat. median
$10,935
1.0× median
65
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 15 $3,839.14 $69,540.36 $11,218.37 nat. median
$11,174
1.0× median
187
MS_DRG 		Pleural Effusion With Cc 15 $3,758.58 $29,763.44 $10,982.97 nat. median
$10,854
1.0× median
386
MS_DRG 		Inflammatory Bowel Disease With Cc 15 $3,709.94 $13,344.87 $10,840.84 nat. median
$10,778
1.0× median
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 15 $3,708.80 $28,888.16 $10,837.50 nat. median
$10,873
1.0× median
315
MS_DRG 		Other Circulatory System Diagnoses With Cc 15 $3,660.54 $38,984.91 $10,696.48 nat. median
$10,513
1.0× median
552
MS_DRG 		Medical Back Problems Without Mcc 15 $3,652.94 $32,371.68 $10,674.28 nat. median
$10,422
1.0× median
812
MS_DRG 		Red Blood Cell Disorders Without Mcc 15 $3,489.16 $20,582.47 $10,195.69 nat. median
$9,870
1.0× median
605
MS_DRG 		Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 15 $3,480.80 $23,373.81 $10,171.26 nat. median
$9,920
1.0× median
638
MS_DRG 		Diabetes With Cc 15 $3,405.56 $27,708.18 $9,951.40 nat. median
$9,824
1.0× median
558
MS_DRG 		Tendonitis, Myositis And Bursitis Without Mcc 15 $3,394.16 $15,559.42 $9,918.09 nat. median
$9,623
1.0× median
683
MS_DRG 		Renal Failure With Cc 15 $3,328.04 $107,875.76 $9,724.88 nat. median
$9,664
1.0× median
550
MS_DRG 		Septic Arthritis Without Cc/mcc 15 $3,321.58 $56,924.06 $9,706.01 nat. median
$9,690
1.0× median

Other procedures at this hospital

Browse this hospital's 1,889 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
             
90707 HCPCS Measles, Mumps, And Rubella Vaccine 20 20 $455.00 $241.15 47% off $103.36 $455.00 $277.32 2026-01-19
82653 HCPCS Measurement Of Pancreatic Elastase (enzyme) In Stool 19 19 $484.00 $256.52 47% off $111.17 $484.00 $333.48 2026-01-19
90847 HCPCS Family Psychotherapy With Patient, 50 Minutes 43 24 $420.00 $222.60 47% off $210.00 $496.00 $285.83 2026-01-19
90846 HCPCS Family Psychotherapy Without Patient, 50 Minutes 42 23 $402.00 $213.06 47% off $201.00 $496.00 $281.40 2026-01-19
05501372 CDM Sling Large Sit To Stand # Mdsma3 15 15 $543.05 $287.82 47% off $271.53 $499.61 $287.82 2026-01-19
90837 HCPCS Psychotherapy, 1 Hour 39 20 $500.00 $265.00 47% off $248.00 $500.00 $341.74 2026-01-19
Q9967 HCPCS Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml 20 20 $500.00 $265.00 47% off $0.12 $500.00 $304.75 2026-01-19
05605399 CDM Fluticasone-salmeterol 250-50 15 15 $546.00 $289.38 47% off $273.00 $502.32 $289.38 2026-01-19
81596 HCPCS Biochemical Assays For Evaluation Of Chronic Hepatitis C Virus Infection 25 25 $505.00 $267.65 47% off $30.32 $505.00 $309.53 2026-01-19
05501384 CDM Airvo Heated Tubing 15 15 $563.15 $298.47 47% off $281.58 $518.10 $298.47 2026-01-19
83993 HCPCS Stool Calprotectin (protein) Level 25 25 $523.10 $277.24 47% off $11.52 $523.10 $277.24 2026-01-19
90001019 CDM Extractor Katz 15 15 $572.85 $303.61 47% off $286.43 $527.02 $303.61 2026-01-19
86225 HCPCS Measurement Of DNA Antibody, Native Or Double Stranded 25 25 $533.60 $282.81 47% off $8.06 $533.60 $282.81 2026-01-19
05501373 CDM Sling Bariactric Sit To Stand # Mdsmsa4 15 15 $586.10 $310.63 47% off $293.05 $539.21 $310.63 2026-01-19
05675432 CDM Cresemba 186 Mg Capsule 15 15 $606.00 $321.18 47% off $303.00 $557.52 $321.18 2026-01-19
05675064 CDM Pulmozyme 1 Mg/ml Ampul 15 15 $613.33 $325.06 47% off $306.67 $564.26 $325.06 2026-01-19
83970 HCPCS Parathormone (parathyroid Hormone) Level 25 25 $566.10 $300.03 47% off $24.22 $566.10 $300.03 2026-01-19
J0209 HCPCS Injection, Sodium Thiosulfate (hope), 100 Mg 19 19 $570.00 $302.10 47% off $285.00 $570.00 $392.73 2026-01-19
74022 HCPCS X-ray Series Of Abdomen With Single X-ray Of Chest 25 25 $570.00 $302.10 47% off $54.95 $570.00 $302.10 2026-01-19
05605236 CDM Combigan 0.2%-0.5% Eye Drops 15 15 $622.00 $329.66 47% off $311.00 $572.24 $329.66 2026-01-19
80053 HCPCS Blood Test, Comprehensive Group Of Blood Chemicals 25 25 $586.18 $310.68 47% off $6.20 $586.18 $310.68 2026-01-19
05618125 CDM Cardene-nacl 40 Mg/200 Ml IV 15 15 $650.00 $344.50 47% off $325.00 $598.00 $344.50 2026-01-19
87799 HCPCS Detection Test By Nucleic Acid For Organism, Quantification 25 25 $605.76 $321.05 47% off $25.14 $605.76 $321.05 2026-01-19
J0248 HCPCS Injection, Remdesivir, 1 Mg 19 19 $605.80 $321.07 47% off $302.90 $605.80 $417.40 2026-01-19
92612 HCPCS Evaluation And Recording Of Swallowing Using An Endoscope 25 25 $576.00 $305.28 47% off $55.00 $614.31 $396.86 2026-01-19
92616 HCPCS Evaluation And Recording Of Swallowing And Voice Box Sensory Function Using An E… 25 25 $379.72 $201.25 47% off $55.00 $614.31 $303.78 2026-01-19
05618057 CDM Santyl Ointment 15 15 $669.00 $354.57 47% off $334.50 $615.48 $354.57 2026-01-19
J1611 HCPCS Injection, Glucagon Hydrochloride (fresenius Kabi), Not Therapeutically Equivale… 19 19 $619.15 $328.15 47% off $309.58 $619.15 $426.59 2026-01-19
92977 HCPCS Removal Of Heart Artery Blood Clot By Dissolving 39 21 $514.00 $272.42 47% off $39.33 $619.20 $401.00 2026-01-19
36593 HCPCS Declotting Of Central Venous Tube 25 25 $595.00 $315.35 47% off $117.64 $619.20 $315.35 2026-01-19
92523 HCPCS Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension … 25 25 $620.80 $329.02 47% off $55.00 $620.80 $329.02 2026-01-19
90001162 CDM Mask Cpap Nasal 15 15 $680.20 $360.51 47% off $340.10 $625.78 $360.51 2026-01-19
05605015 CDM Advair 500-50 Diskus 15 15 $682.00 $361.46 47% off $341.00 $627.44 $361.46 2026-01-19
86258 HCPCS Detection Of Gliadin (deamidated) (dgp) Antibody 19 19 $627.90 $332.79 47% off $75.66 $627.90 $432.62 2026-01-19
G0483 HCPCS Drug Test(s), Definitive, Utilizing (1) Drug Identification Methods Able To Iden… 24 24 $638.00 $338.14 47% off $76.02 $638.00 $338.14 2026-01-19
05501167 CDM Trach Speaking Valve Purple 15 15 $703.75 $372.99 47% off $351.88 $647.45 $372.99 2026-01-19
G0482 HCPCS Drug Test(s), Definitive, Utilizing (1) Drug Identification Methods Able To Iden… 24 24 $651.00 $345.03 47% off $76.02 $651.00 $345.03 2026-01-19
80074 HCPCS Acute Hepatitis Panel 25 25 $655.65 $347.49 47% off $27.13 $655.65 $347.49 2026-01-19
05501262 CDM Vest Med Percussion Hfcwo 15 15 $723.25 $383.32 47% off $361.63 $665.39 $383.32 2026-01-19
05501263 CDM Vest Large Percussion Hfcwo 15 15 $723.25 $383.32 47% off $361.63 $665.39 $383.32 2026-01-19
05501320 CDM Vest Small Percussion Hfcwo 15 15 $723.25 $383.32 47% off $361.63 $665.39 $383.32 2026-01-19
76770 HCPCS Complete Ultrasound Scan Behind Abdominal Cavity 25 25 $682.00 $361.46 47% off $150.00 $682.00 $361.46 2026-01-19
87522 HCPCS Detection Test By Nucleic Acid For Hepatitis C Virus, Quantification 25 25 $685.13 $363.12 47% off $25.14 $685.13 $363.12 2026-01-19
05605196 CDM Dulera 200 Mcg-5 Mcg Inhaler 15 15 $745.00 $394.85 47% off $372.50 $685.40 $394.85 2026-01-19
Q5110 HCPCS Injection, Filgrastim-aafi, Biosimilar, (nivestym), 1 Microgram 43 24 $698.40 $370.15 47% off $0.47 $698.40 $370.15 2026-01-19
29584 HCPCS Application Of Vein Wound Compression Bandages On Upper Arm, Forearm, Hand, And … 25 25 $593.00 $314.29 47% off $139.00 $705.56 $442.10 2026-01-19
80197 HCPCS Tacrolimus Level 25 25 $719.93 $381.56 47% off $8.05 $719.93 $381.56 2026-01-19
93229 HCPCS Electrocardiogram (ecg) Up To 30 Days Continuous With Transmission Of Patient Tr… 25 25 $727.15 $385.39 47% off $55.00 $727.15 $385.39 2026-01-19
92522 HCPCS Evaluation Of Speech Sound Production 25 25 $731.50 $387.70 47% off $55.00 $731.50 $387.70 2026-01-19
94664 HCPCS Evaluation Of Use Of Breathing Device 25 25 $736.96 $390.59 47% off $14.91 $736.96 $390.59 2026-01-19
C1751 HCPCS Catheter, Infusion, Inserted Peripherally, Centrally Or Midline (other Than Hemo… 19 19 $738.70 $391.51 47% off $369.35 $738.70 $508.96 2026-01-19
76700 HCPCS Complete Ultrasound Scan Of Abdomen 25 25 $765.00 $405.45 47% off $150.00 $765.00 $405.45 2026-01-19
J0712 HCPCS Injection, Ceftaroline Fosamil, 10 Mg 24 24 $767.00 $406.51 47% off $1.06 $767.00 $406.51 2026-01-19
05605082 CDM Symbicort 160-4.5 Mcg Inhaler 15 15 $846.00 $448.38 47% off $423.00 $778.32 $448.38 2026-01-19
86255 HCPCS Screening Test For Antibody To Noninfectious Agent 44 25 $783.32 $415.16 47% off $7.07 $783.32 $415.16 2026-01-19
93976 HCPCS Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 25 25 $791.73 $419.62 47% off $55.00 $791.73 $419.62 2026-01-19
94640 HCPCS Inhalation Treatment For Airway Obstruction Or Sputum Production 25 25 $610.71 $323.68 47% off $9.83 $793.89 $488.57 2026-01-19
96125 HCPCS Test To Assess The Ability To Complete Specific Functional Tasks Applicable To E… 21 21 $816.84 $432.93 47% off $55.00 $816.84 $432.93 2026-01-19
93931 HCPCS Ultrasound Of One Arm Arteries Or Artery Grafts 50 25 $823.00 $436.19 47% off $55.00 $823.00 $436.19 2026-01-19
93971 HCPCS Ultrasound Study Of One Arm Or Leg Veins With Compression And Maneuvers 75 25 $823.00 $436.19 47% off $55.00 $823.00 $436.19 2026-01-19
93926 HCPCS Ultrasound Of One Leg Arteries Or Artery Grafts 50 25 $823.00 $436.19 47% off $55.00 $823.00 $436.19 2026-01-19
05500873 CDM Fecal Mgmt System 15 15 $916.00 $485.48 47% off $458.00 $842.72 $485.48 2026-01-19
92611 HCPCS Evaluation Of Swallowing Function Image 25 25 $857.06 $454.24 47% off $54.95 $857.06 $454.24 2026-01-19
29580 HCPCS Strapping, Unna Boot 25 25 $862.25 $456.99 47% off $139.00 $862.25 $468.50 2026-01-19
87497 HCPCS Detection Test By Nucleic Acid For Cytomegalovirus, Quantification 25 25 $876.58 $464.59 47% off $25.14 $876.58 $464.59 2026-01-19
86039 HCPCS Measurement Of Antibody For Assessment Of Autoimmune Disorder, Titer 25 25 $881.81 $467.36 47% off $6.55 $881.81 $467.36 2026-01-19
J0885 HCPCS Injection, Epoetin Alfa, (for Non-esrd Use), 1000 Units 24 24 $889.00 $471.17 47% off $11.23 $889.00 $471.17 2026-01-19
Q4081 HCPCS Injection, Epoetin Alfa, 100 Units (for Esrd On Dialysis) 62 24 $656.00 $347.68 47% off $1.06 $889.00 $444.75 2026-01-19
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 24 24 $889.74 $471.56 47% off $52.71 $889.74 $471.56 2026-01-19
86352 HCPCS Analysis Of Cell Function And Analysis For Genetic Marker 25 25 $661.50 $350.60 47% off $36.28 $898.71 $350.60 2026-01-19
36680 HCPCS Insertion Of Needle For Infusion Into Bone 22 21 $660.00 $349.80 47% off $139.00 $900.00 $491.37 2026-01-19
99284 HCPCS Emergency Department Visit With Moderate Level Of Medical Decision Making 40 22 $839.00 $444.67 47% off $102.34 $900.00 $444.67 2026-01-19
12014 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 5.1… 45 25 $726.23 $384.90 47% off $68.50 $900.00 $384.90 2026-01-19
29505 HCPCS Application Of Long Leg Splint From Thigh To Ankle Or Toe 25 25 $480.86 $254.86 47% off $139.00 $900.00 $384.69 2026-01-19
37195 HCPCS Infusion Of Drug To Dissolve Blood Clot In Brain 44 25 $591.00 $313.23 47% off $139.00 $900.00 $380.88 2026-01-19
12005 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 45 25 $717.26 $380.15 47% off $85.43 $900.00 $380.15 2026-01-19
99292 HCPCS Critical Care, Each Additional 30 Minutes 41 22 $700.00 $371.00 47% off $90.84 $900.00 $371.00 2026-01-19
12041 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 2.5 Cm Or Less 45 25 $537.00 $284.61 47% off $121.79 $900.00 $369.99 2026-01-19
12031 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.5 Cm O… 45 25 $537.00 $284.61 47% off $125.09 $900.00 $369.99 2026-01-19
96374 HCPCS Injection Of Drug Or Substance Into Vein 22 21 $363.00 $192.39 47% off $181.50 $900.00 $290.40 2026-01-19
16020 HCPCS Dressing Change Or Removal Of Burn Tissue, Less Than 5% Of Total Body Surface 25 25 $352.00 $186.56 47% off $139.00 $900.00 $281.60 2026-01-19
12015 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 7.6… 45 25 $405.00 $214.65 47% off $85.73 $900.00 $279.05 2026-01-19
12004 HCPCS Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 45 25 $405.00 $214.65 47% off $68.15 $900.00 $279.05 2026-01-19
11730 HCPCS Simple Separation Of Fingernail Or Toenail From Nail Bed, First Nail 45 25 $902.90 $478.54 47% off $46.88 $902.90 $478.54 2026-01-19
97610 HCPCS Therapy Procedure Using Ultrasound 45 25 $902.90 $478.54 47% off $12.06 $902.90 $478.54 2026-01-19
17000 HCPCS Destruction Of Precancer Skin Growth, 1 Growth 45 25 $902.90 $478.54 47% off $44.53 $902.90 $463.25 2026-01-19
05605378 CDM Trelegy Ellipta 100-62.5-25 15 15 $989.40 $524.38 47% off $494.70 $910.25 $524.38 2026-01-19
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 25 25 $918.00 $486.54 47% off $55.00 $918.00 $486.54 2026-01-19
84145 HCPCS Procalcitonin (hormone) Level 25 25 $922.77 $489.07 47% off $11.66 $922.77 $489.07 2026-01-19
93307 HCPCS Ultrasound Of Heart 25 25 $924.00 $489.72 47% off $55.00 $924.00 $489.72 2026-01-19
12032 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 … 45 25 $618.00 $327.54 47% off $139.00 $930.10 $425.80 2026-01-19
51705 HCPCS Simple Change Of Bladder Tube 25 25 $399.00 $211.47 47% off $139.00 $932.11 $319.20 2026-01-19
10061 HCPCS Complicated Or Multiple Drainage Of Skin Abscess 45 25 $833.25 $441.62 47% off $139.00 $957.71 $441.62 2026-01-19
10120 HCPCS Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Simple 45 25 $591.00 $313.23 47% off $94.98 $957.71 $390.24 2026-01-19
43752 HCPCS Insertion Of Stomach Tube Through Nose Or Mouth Using Fluoroscopic Guidance 25 25 $959.85 $508.72 47% off $139.00 $959.85 $614.31 2026-01-19
97606 HCPCS Therapy Procedure Using A Special Bandage And Vacuum Pump, Surface Area More Tha… 63 25 $622.00 $329.66 47% off $18.12 $967.00 $497.60 2026-01-19
05605400 CDM Stiolto Respimat Inhaler (10) 15 15 $1,080.00 $572.40 47% off $540.00 $993.60 $572.40 2026-01-19
11000 HCPCS Removal Of Inflamed Or Infected Skin, Up To 10% Of Body Surface 25 25 $524.17 $277.81 47% off $139.00 $994.04 $419.34 2026-01-19
J0561 HCPCS Injection, Penicillin G Benzathine, 100,000 Units 24 24 $999.00 $529.47 47% off $11.23 $999.00 $529.47 2026-01-19
93930 HCPCS Ultrasound Of Arm Arteries Or Artery Grafts 25 25 $1,025.00 $543.25 47% off $55.00 $1,025.00 $543.25 2026-01-19
31502 HCPCS Change Of Breathing Tube In Windpipe 25 25 $1,039.15 $550.75 47% off $139.00 $1,039.15 $618.93 2026-01-19
20610 HCPCS Aspiration And/or Injection Of Fluid From Large Joint 25 25 $485.00 $257.05 47% off $139.00 $1,045.15 $412.25 2026-01-19
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 25 25 $1,128.00 $597.84 47% off $55.00 $1,128.00 $597.84 2026-01-19
70486 HCPCS CT Scan Of Face Without Contrast 25 25 $1,145.00 $606.85 47% off $120.00 $1,145.00 $606.85 2026-01-19
72131 HCPCS CT Scan Of Lower Spine Without Contrast 25 25 $1,145.00 $606.85 47% off $120.00 $1,145.00 $606.85 2026-01-19
72128 HCPCS CT Scan Of Middle Spine Without Contrast 25 25 $1,145.00 $606.85 47% off $120.00 $1,145.00 $606.85 2026-01-19
05605299 CDM Combivent Respimat 20-100 Mcg 15 15 $1,279.00 $677.87 47% off $639.50 $1,176.68 $677.87 2026-01-19
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 40 22 $1,229.00 $651.37 47% off $148.66 $1,229.00 $651.37 2026-01-19
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 25 25 $1,231.00 $652.43 47% off $55.00 $1,231.00 $652.43 2026-01-19
73700 HCPCS CT Scan Of Leg Without Contrast 50 25 $1,290.00 $683.70 47% off $120.00 $1,290.00 $683.70 2026-01-19
73200 HCPCS CT Scan Of Arm Without Contrast 50 25 $1,290.00 $683.70 47% off $120.00 $1,290.00 $683.70 2026-01-19
72192 HCPCS CT Scan Of Pelvis Without Contrast 25 25 $1,290.00 $683.70 47% off $120.00 $1,290.00 $683.70 2026-01-19
72125 HCPCS CT Scan Of Upper Spine Without Contrast 25 25 $1,305.00 $691.65 47% off $120.00 $1,305.00 $691.65 2026-01-19
05675209 CDM Trelegy Ellipta 100-62.5-25 15 15 $1,428.00 $756.84 47% off $714.00 $1,313.76 $756.84 2026-01-19
13121 HCPCS Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 2.6-7.5 Cm 45 25 $1,322.00 $700.66 47% off $139.00 $1,322.00 $641.83 2026-01-19
11046 HCPCS Removal Of Muscle And/or Tissue, Each Additional 20.0 Sq Cm Or Less 44 25 $627.28 $332.46 47% off $45.49 $1,330.12 $332.46 2026-01-19
26755 HCPCS Closed Treatment Of Broken End Of Finger Or Thumb With Manipulation 45 25 $515.44 $273.18 47% off $139.00 $1,394.53 $365.08 2026-01-19
90947 HCPCS Dialysis Procedure Requiring Repeat Evaluation 23 23 $1,407.00 $745.71 47% off $349.49 $1,407.00 $745.71 2026-01-19
51700 HCPCS Simple Bladder Irrigation And/or Instillation 25 25 $459.00 $243.27 47% off $139.00 $1,415.07 $390.15 2026-01-19
71250 HCPCS CT Scan Of Chest Without Contrast 25 25 $1,436.00 $761.08 47% off $120.00 $1,436.00 $761.08 2026-01-19
90677 HCPCS Pneumococcal Conjugate Vaccine, 20 Valent (pcv20), For Intramuscular Use 19 19 $1,443.32 $764.96 47% off $721.66 $1,443.32 $994.45 2026-01-19
90937 HCPCS Hemodialysis Procedure Requiring Repeated Evaluation 23 23 $1,530.00 $810.90 47% off $525.74 $1,530.00 $810.90 2026-01-19
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 25 25 $1,594.00 $844.82 47% off $120.00 $1,594.00 $844.82 2026-01-19
99291 HCPCS Critical Care, First 30-74 Minutes 41 22 $1,603.00 $849.59 47% off $180.92 $1,603.00 $849.59 2026-01-19
00100013 CDM Room & Board - Semi-private (two Beds) - General Classification 8 8 $1,568.00 $5,836.00 $1,254.40 $1,604.85 $1,426.88 2026-01-19
70450 HCPCS CT Scan Head Or Brain Without Contrast 25 25 $1,650.00 $874.50 47% off $120.00 $1,650.00 $874.50 2026-01-19
90935 HCPCS Hemodialysis Procedure With Physician Evaluation 24 24 $1,657.75 $878.61 47% off $525.74 $1,657.75 $878.61 2026-01-19
72193 HCPCS CT Scan Of Pelvis With Contrast 25 25 $1,696.00 $898.88 47% off $120.00 $1,696.00 $898.88 2026-01-19
74150 HCPCS CT Scan Of Abdomen Without Contrast 25 25 $1,720.00 $911.60 47% off $120.00 $1,720.00 $911.60 2026-01-19
00100003 CDM Room & Board - Semi-private (two Beds) - General Classification 8 8 $1,760.00 $5,836.00 $1,408.00 $1,801.36 $1,601.60 2026-01-19
97608 HCPCS Therapy Procedure Using A Special Bandage, Vacuum Pump And Disposable Medical Eq… 45 25 $1,865.35 $988.64 47% off $16.55 $1,865.35 $663.48 2026-01-19
97607 HCPCS Therapy Procedure Using A Special Bandage, Vacuum Pump And Disposable Medical Eq… 45 25 $660.88 $17.90 97% off $14.32 $1,865.35 $660.88 2026-01-19
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 25 25 $1,866.00 $988.98 47% off $120.00 $1,866.00 $988.98 2026-01-19
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 25 25 $1,870.00 $991.10 47% off $120.00 $1,870.00 $991.10 2026-01-19
93925 HCPCS Ultrasound Of Leg Arteries Or Artery Grafts 50 25 $1,513.49 $802.15 47% off $55.00 $1,898.98 $930.60 2026-01-19
05501407 CDM Cricothyrotomy Cath Set 15 15 $2,085.55 $1,105.34 47% off $1,042.78 $1,918.71 $1,105.34 2026-01-19
00100002 CDM Room & Board - Private (one Bed) - General Classification 8 8 $1,898.00 $5,836.00 $1,518.40 $1,942.60 $1,727.18 2026-01-19
00100016 CDM Room & Board - Semi-private (two Beds) - General Classification 8 8 $1,898.00 $5,836.00 $1,518.40 $1,942.60 $1,727.18 2026-01-19
00100018 CDM Room & Board - Semi-private (two Beds) - General Classification 8 8 $1,925.00 $5,836.00 $1,540.00 $1,970.24 $1,751.75 2026-01-19
70460 HCPCS CT Scan Head Or Brain With Contrast 25 25 $1,989.00 $1,054.17 47% off $120.00 $1,989.00 $1,054.17 2026-01-19
71260 HCPCS CT Scan Of Chest With Contrast 25 25 $2,005.00 $1,062.65 47% off $120.00 $2,005.00 $1,062.65 2026-01-19
00100017 CDM Room & Board - Semi-private (two Beds) - General Classification 8 8 $1,980.00 $5,836.00 $1,584.00 $2,026.53 $1,801.80 2026-01-19
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 25 25 $2,063.26 $1,093.53 47% off $120.00 $2,063.26 $1,093.53 2026-01-19
00100014 CDM Room & Board - Private (one Bed) - General Classification 8 8 $2,035.00 $5,836.00 $1,628.00 $2,082.82 $1,851.85 2026-01-19
93975 HCPCS Complete Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 25 25 $2,108.55 $1,117.53 47% off $55.00 $2,108.55 $1,117.53 2026-01-19
04400121 CDM Puraply Mz 1000mg 15 15 $2,315.00 $1,226.95 47% off $1,157.50 $2,129.80 $1,226.95 2026-01-19
92511 HCPCS Exam Of The Nose And Throat Using An Endoscope 25 25 $442.00 $234.26 47% off $35.19 $2,131.59 $353.60 2026-01-19
00100015 CDM Room & Board - Private (one Bed) - General Classification 8 8 $2,118.00 $5,836.00 $1,694.40 $2,167.77 $1,927.38 2026-01-19
94003 HCPCS Follow-up Inpatient Or Observation Ventilation Assistance And Management 25 25 $2,226.88 $1,180.25 47% off $55.00 $2,226.88 $1,180.25 2026-01-19
90945 HCPCS Dialysis Procedure Including 1 Evaluation 24 24 $2,279.00 $1,207.87 47% off $349.49 $2,279.00 $1,207.87 2026-01-19
71270 HCPCS CT Scan Of Chest Before And After Contrast 25 25 $2,290.00 $1,213.70 47% off $120.00 $2,290.00 $1,213.70 2026-01-19
74160 HCPCS CT Scan Of Abdomen With Contrast 25 25 $2,290.00 $1,213.70 47% off $120.00 $2,290.00 $1,213.70 2026-01-19
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 25 25 $2,562.19 $1,357.96 47% off $120.00 $2,562.19 $1,357.96 2026-01-19
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 25 25 $2,572.50 $1,363.43 47% off $120.00 $2,572.50 $1,363.43 2026-01-19
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 25 25 $2,581.00 $1,367.93 47% off $120.00 $2,581.00 $1,367.93 2026-01-19
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 25 25 $2,581.00 $1,367.93 47% off $120.00 $2,581.00 $1,367.93 2026-01-19
11106 HCPCS Incision Biopsy, First Skin Growth 25 25 $622.00 $329.66 47% off $139.00 $2,594.05 $497.60 2026-01-19
11104 HCPCS Punch Biopsy, First Skin Growth 25 25 $622.00 $329.66 47% off $139.00 $2,594.05 $497.60 2026-01-19
11102 HCPCS Biopsy Of Related Skin Growth, First Growth 25 25 $622.00 $329.66 47% off $139.00 $2,594.05 $497.60 2026-01-19
P9020 HCPCS Platelet Rich Plasma, Each Unit 23 23 $2,192.00 $1,161.76 47% off $1,096.00 $2,612.57 $1,734.78 2026-01-19
P9035 HCPCS Platelets, Pheresis, Leukocytes Reduced, Each Unit 24 24 $2,173.95 $1,152.19 47% off $874.32 $2,612.57 $1,685.90 2026-01-19
36430 HCPCS Transfusion Of Blood Or Blood Products 82 25 $1,100.00 $583.00 47% off $139.00 $2,612.57 $664.00 2026-01-19
P9016 HCPCS Red Blood Cells, Leukocytes Reduced, Each Unit 24 24 $750.00 $397.50 47% off $329.61 $2,612.57 $600.00 2026-01-19
P9047 HCPCS Infusion, Albumin (human), 25%, 50 Ml 24 24 $530.77 $281.31 47% off $91.79 $2,612.57 $424.62 2026-01-19
94660 HCPCS Therapy Procedure Using A Positive Pressure Ventilator 25 25 $2,620.01 $1,388.61 47% off $36.00 $2,620.01 $1,388.61 2026-01-19
11042 HCPCS Removal Of Skin And Tissue, 20.0 Sq Cm Or Less 45 25 $2,677.96 $1,419.32 47% off $52.81 $2,677.96 $617.47 2026-01-19
92950 HCPCS Manual Attempt To Restore Blood Circulation And Breathing 64 25 $853.72 $296.80 65% off $139.00 $2,794.81 $452.47 2026-01-19
31500 HCPCS Emergent Insertion Of Breathing Tube Into Windpipe Using An Endoscope 83 25 $431.00 $187.62 56% off $127.32 $2,794.81 $354.00 2026-01-19
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 25 25 $2,915.00 $1,544.95 47% off $120.00 $2,915.00 $1,544.95 2026-01-19
28190 HCPCS Removal Of Foreign Body Of Foot Tissue, Accessed Beneath The Skin 45 25 $1,866.00 $988.98 47% off $120.13 $2,984.39 $988.98 2026-01-19
87902 HCPCS Analysis Test By Nucleic Acid For Hepatitis C Virus 25 25 $1,189.13 $630.24 47% off $70.95 $3,061.42 $630.24 2026-01-19
36569 HCPCS Insertion Of Tube For Infusion (5 Years Or Older) 25 25 $2,487.00 $1,318.11 47% off $223.00 $3,262.26 $1,706.01 2026-01-19
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 25 25 $3,445.10 $1,825.90 47% off $120.00 $3,445.10 $1,825.90 2026-01-19
Q4106 HCPCS Dermagraft, Per Square Centimeter 20 20 $3,678.78 $1,949.75 47% off $39.69 $3,678.78 $2,242.22 2026-01-19
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 25 25 $3,859.26 $2,045.41 47% off $120.00 $3,859.26 $2,045.41 2026-01-19
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 25 25 $3,870.18 $2,051.20 47% off $120.00 $3,870.18 $2,051.20 2026-01-19
Q4101 HCPCS Apligraf, Per Square Centimeter 20 20 $3,884.76 $2,058.92 47% off $37.77 $3,884.76 $2,367.76 2026-01-19
94002 HCPCS Initial Hospital Inpatient Or Observation Ventilation Assistance And Management 25 25 $3,918.25 $2,076.67 47% off $55.00 $3,918.25 $2,076.67 2026-01-19
Q4159 HCPCS Affinity, Per Square Centimeter 23 23 $4,050.00 $2,146.50 47% off $737.81 $4,050.00 $2,146.50 2026-01-19
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 25 25 $4,126.00 $2,186.78 47% off $120.00 $4,126.00 $2,186.78 2026-01-19
C5278 HCPCS Application Of Low Cost Skin Substitute Graft To Face, Scalp, Eyelids, Mouth, Ne… 23 23 $488.00 $258.64 47% off $139.00 $4,441.60 $390.40 2026-01-19
C5276 HCPCS Application Of Low Cost Skin Substitute Graft To Face, Scalp, Eyelids, Mouth, Ne… 23 23 $488.00 $258.64 47% off $139.00 $4,441.60 $390.40 2026-01-19
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 25 25 $4,731.00 $2,507.43 47% off $120.00 $4,731.00 $2,507.43 2026-01-19
81162 HCPCS Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat… 24 24 $4,804.00 $2,546.12 47% off $953.31 $4,804.00 $2,546.12 2026-01-19
59409 HCPCS Vaginal Delivery 45 25 $3,924.00 $2,079.72 47% off $680.34 $4,996.20 $2,079.72 2026-01-19
81443 HCPCS Genomic Sequence Analysis Panel For Severe Inherited Conditions With Sequencing … 23 23 $5,009.00 $2,654.77 47% off $953.31 $5,009.00 $2,654.77 2026-01-19
11044 HCPCS Removal Of Bone, 20.0 Sq Cm Or Less 45 25 $5,032.54 $2,667.25 47% off $191.37 $5,032.54 $2,285.19 2026-01-19
11043 HCPCS Removal Of Muscle And/or Tissue, 20.0 Sq Cm Or Less 45 25 $5,115.49 $2,711.21 47% off $131.26 $5,115.49 $965.60 2026-01-19
C5273 HCPCS Application Of Low Cost Skin Substitute Graft To Trunk, Arms, Legs, Total Wound … 25 25 $3,137.00 $1,662.61 47% off $416.00 $5,318.06 $2,509.60 2026-01-19
C5274 HCPCS Application Of Low Cost Skin Substitute Graft To Trunk, Arms, Legs, Total Wound … 24 24 $1,568.00 $831.04 47% off $139.00 $5,318.06 $1,254.40 2026-01-19
C5271 HCPCS Application Of Low Cost Skin Substitute Graft To Trunk, Arms, Legs, Total Wound … 25 25 $1,122.00 $594.66 47% off $139.00 $5,318.06 $897.60 2026-01-19
C5277 HCPCS Application Of Low Cost Skin Substitute Graft To Face, Scalp, Eyelids, Mouth, Ne… 25 25 $976.00 $517.28 47% off $139.00 $5,318.06 $780.80 2026-01-19
C5275 HCPCS Application Of Low Cost Skin Substitute Graft To Face, Scalp, Eyelids, Mouth, Ne… 25 25 $976.00 $517.28 47% off $139.00 $5,318.06 $780.80 2026-01-19
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 24 24 $5,347.50 $2,834.18 47% off $737.81 $5,347.50 $2,834.18 2026-01-19
87507 HCPCS Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S… 24 24 $1,377.41 $730.03 47% off $70.95 $5,740.77 $730.03 2026-01-19
87633 HCPCS Detection Test By Nucleic Acid For Multiple Types Of Respiratory Virus, Multiple… 25 25 $1,401.81 $742.96 47% off $70.95 $5,842.46 $742.96 2026-01-19
15271 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C… 44 25 $5,982.89 $3,170.93 47% off $71.52 $5,982.89 $3,170.93 2026-01-19
36558 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 25 25 $4,303.00 $2,280.59 47% off $900.00 $6,108.68 $3,442.40 2026-01-19
36561 HCPCS Insertion Of Central Venous Tube With Port (5 Years Or Older) 25 25 $2,924.00 $1,549.72 47% off $1,243.00 $6,108.68 $2,339.20 2026-01-19
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 25 25 $2,924.00 $1,549.72 47% off $223.00 $6,108.68 $2,339.20 2026-01-19
J2802 HCPCS Injection, Romiplostim, 1 Microgram 19 19 $6,241.75 $3,308.13 47% off $3,120.88 $6,241.75 $4,300.57 2026-01-19
31605 HCPCS Emergent Incision Of Windpipe For Insertion Of Breathing Tube 45 25 $928.88 $492.31 47% off $139.00 $6,586.45 $492.31 2026-01-19
15275 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 44 25 $6,737.64 $3,570.95 47% off $80.75 $6,737.64 $3,350.54 2026-01-19
15277 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout… 45 25 $6,903.44 $3,658.82 47% off $187.46 $6,903.44 $3,451.72 2026-01-19
Q4195 HCPCS Puraply, Per Square Centimeter 38 19 $5,103.45 $2,704.83 47% off $1,237.20 $7,732.50 $3,170.32 2026-01-19
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 15 15 $9,613.15 $561,023.43 $2,658.86 $8,935.17 $7,690.52 2026-01-19
Q4194 HCPCS Novachor, Per Square Centimeter 19 19 $9,750.00 $5,167.50 47% off $4,875.00 $9,750.00 $6,717.75 2026-01-19
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 24 24 $9,750.00 $5,167.50 47% off $2,248.58 $9,750.00 $5,167.50 2026-01-19
176 MS_DRG Pulmonary Embolism Without Mcc 15 15 $6,094.52 $355,676.19 $3,059.00 $10,279.85 $5,485.07 2026-01-19
Q4160 HCPCS Nushield, Per Square Centimeter 171 19 $5,485.65 $2,907.39 47% off $592.50 $10,650.00 $3,360.00 2026-01-19
153 MS_DRG Otitis Media And Uri Without Mcc 15 15 $12,027.05 $701,898.64 $2,237.75 $11,064.89 $8,196.97 2026-01-19
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 15 15 $12,132.21 $708,035.78 $2,151.18 $11,161.63 $6,285.97 2026-01-19
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 15 15 $9,970.27 $581,864.96 $2,737.35 $11,273.36 $7,976.22 2026-01-19
15273 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.… 44 25 $11,313.14 $5,995.96 47% off $163.10 $11,313.14 $3,986.43 2026-01-19
101 MS_DRG Seizures Without Mcc 15 15 $10,906.04 $636,476.49 $3,429.88 $11,526.20 $8,724.83 2026-01-19
59414 HCPCS Delivery Of Placenta 44 25 $11,915.00 $6,314.95 47% off $77.19 $11,915.00 $3,429.84 2026-01-19
Q4100 HCPCS Skin Substitute, Not Otherwise Specified 304 19 $3,168.00 $1,679.04 47% off $127.50 $11,990.00 $2,305.50 2026-01-19
756 MS_DRG Malignancy, Female Reproductive System Without Cc/mcc 15 15 $10,827.93 $631,917.99 $3,649.90 $12,265.59 $8,662.34 2026-01-19
202 MS_DRG Bronchitis And Asthma With Cc/mcc 16 16 $10,736.08 $626,557.63 $2,996.25 $12,402.22 $8,588.86 2026-01-19
Q4197 HCPCS Puraply Xt, Per Square Centimeter 19 19 $12,750.00 $6,757.50 47% off $6,375.00 $12,750.00 $8,784.75 2026-01-19
312 MS_DRG Syncope And Collapse 15 15 $14,178.03 $827,429.83 $3,312.08 $13,043.79 $9,678.25 2026-01-19
92 MS_DRG Other Disorders Of Nervous System With Cc 15 15 $11,670.91 $681,114.31 $3,887.40 $13,063.71 $9,336.73 2026-01-19
305 MS_DRG Hypertension Without Mcc 15 15 $14,439.09 $842,665.29 $2,869.38 $13,283.96 $8,384.63 2026-01-19
386 MS_DRG Inflammatory Bowel Disease With Cc 15 15 $14,505.29 $846,528.72 $3,709.94 $13,344.87 $10,840.84 2026-01-19
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 15 15 $14,759.15 $861,343.99 $2,734.86 $13,578.42 $7,991.55 2026-01-19
639 MS_DRG Diabetes Without Cc/mcc 15 15 $15,409.73 $899,311.84 $2,360.56 $14,176.95 $6,897.80 2026-01-19
684 MS_DRG Renal Failure Without Cc/mcc 15 15 $15,762.69 $919,910.73 $2,281.14 $14,501.68 $6,665.73 2026-01-19
293 MS_DRG Heart Failure And Shock Without Cc/mcc 15 15 $16,537.51 $965,129.08 $2,150.80 $15,214.51 $6,284.86 2026-01-19
541 MS_DRG Osteomyelitis Without Cc/mcc 15 15 $16,827.67 $982,062.82 $2,931.70 $15,481.46 $8,566.74 2026-01-19
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 15 15 $16,912.41 $987,008.25 $3,394.16 $15,559.42 $9,918.09 2026-01-19
199 MS_DRG Pneumothorax With Mcc 12 12 $5,962.46 $347,969.17 $4,769.97 $16,653.10 $6,333.02 2026-01-19
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 15 15 $18,278.08 $1,066,708.75 $2,869.00 $16,815.83 $8,383.52 2026-01-19
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 15 15 $19,466.68 $1,136,075.23 $2,439.60 $17,909.34 $7,128.77 2026-01-19
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 13 13 $6,689.81 $390,417.31 $5,351.85 $19,928.35 $6,819.86 2026-01-19
177 MS_DRG Respiratory Infections And Inflammations With Mcc 15 15 $13,843.78 $807,922.77 $5,938.26 $19,955.68 $11,767.21 2026-01-19
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 15 15 $22,303.76 $1,301,647.66 $3,076.10 $20,519.46 $8,988.69 2026-01-19
812 MS_DRG Red Blood Cell Disorders Without Mcc 15 15 $22,372.25 $1,305,644.22 $3,489.16 $20,582.47 $10,195.69 2026-01-19
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 15 15 $22,678.50 $1,323,517.26 $2,795.66 $20,864.22 $8,169.21 2026-01-19
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 15 15 $22,704.97 $1,325,061.76 $3,154.38 $20,888.57 $9,217.43 2026-01-19
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 15 15 $22,778.00 $1,329,323.79 $2,962.48 $20,955.76 $8,656.68 2026-01-19
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 15 15 $23,101.64 $1,348,211.71 $4,298.18 $21,253.51 $12,559.73 2026-01-19
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 15 15 $23,227.40 $1,355,551.03 $3,888.54 $21,369.21 $11,362.72 2026-01-19
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 15 15 $24,033.27 $1,402,581.64 $4,819.54 $22,110.61 $14,083.20 2026-01-19
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 15 15 $25,141.11 $1,467,235.12 $2,388.30 $23,129.82 $6,978.86 2026-01-19
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 15 15 $25,406.32 $1,482,712.84 $3,480.80 $23,373.81 $10,171.26 2026-01-19
292 MS_DRG Heart Failure And Shock With Cc 15 15 $25,968.47 $1,515,519.62 $3,226.20 $23,890.99 $9,427.30 2026-01-19
186 MS_DRG Pleural Effusion With Mcc 15 15 $26,546.44 $1,549,250.24 $5,922.30 $24,422.72 $17,305.58 2026-01-19
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 15 15 $28,523.27 $1,664,617.75 $3,062.42 $26,241.40 $8,948.71 2026-01-19
374 MS_DRG Digestive Malignancy With Mcc 15 15 $13,910.19 $811,798.69 $8,127.06 $27,311.20 $12,519.17 2026-01-19
638 MS_DRG Diabetes With Cc 15 15 $30,117.59 $1,757,662.51 $3,405.56 $27,708.18 $9,951.40 2026-01-19
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 15 15 $30,390.85 $1,773,609.88 $4,409.14 $27,959.58 $12,883.97 2026-01-19
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 15 15 $30,559.27 $1,783,438.88 $3,203.40 $28,114.53 $9,360.67 2026-01-19
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 15 15 $25,107.81 $1,465,291.79 $8,390.02 $28,194.88 $20,086.25 2026-01-19
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 15 15 $30,975.80 $1,807,747.69 $4,871.60 $28,497.74 $14,235.33 2026-01-19
204 MS_DRG Respiratory Signs And Symptoms 15 15 $30,984.76 $1,808,270.73 $2,852.90 $28,505.98 $8,965.37 2026-01-19
178 MS_DRG Respiratory Infections And Inflammations With Cc 15 15 $31,400.18 $1,832,514.27 $3,708.80 $28,888.16 $10,837.50 2026-01-19
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 15 15 $31,447.88 $1,835,298.54 $4,994.72 $28,932.05 $14,595.10 2026-01-19
187 MS_DRG Pleural Effusion With Cc 15 15 $32,351.57 $1,888,037.63 $3,758.58 $29,763.44 $10,982.97 2026-01-19
602 MS_DRG Cellulitis With Mcc 15 15 $32,790.95 $1,913,679.70 $5,400.94 $30,167.67 $15,782.12 2026-01-19
313 MS_DRG Chest Pain 15 15 $33,475.15 $1,953,609.75 $2,736.00 $30,797.14 $7,994.88 2026-01-19
951 MS_DRG Other Factors Influencing Health Status 15 15 $34,766.25 $2,028,958.35 $2,112.80 $31,984.95 $6,173.82 2026-01-19
291 MS_DRG Heart Failure And Shock With Mcc 15 15 $34,778.92 $2,029,697.89 $4,878.44 $31,996.61 $14,255.32 2026-01-19
552 MS_DRG Medical Back Problems Without Mcc 15 15 $35,186.61 $2,053,490.56 $3,652.94 $32,371.68 $10,674.28 2026-01-19
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 15 15 $35,387.38 $2,065,207.46 $4,209.26 $32,556.39 $12,299.90 2026-01-19
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 15 15 $37,213.52 $2,171,780.74 $2,067.20 $34,236.43 $6,040.58 2026-01-19
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 15 15 $40,365.14 $2,355,709.75 $2,957.16 $37,135.93 $8,641.13 2026-01-19
J3101 HCPCS Injection, Tenecteplase, 1 Mg 24 24 $38,278.50 $20,287.61 47% off $105.42 $38,278.50 $20,287.61 2026-01-19
948 MS_DRG Signs And Symptoms Without Mcc 15 15 $42,063.31 $2,454,815.05 $3,041.90 $38,698.25 $8,888.75 2026-01-19
315 MS_DRG Other Circulatory System Diagnoses With Cc 15 15 $42,374.90 $2,472,999.16 $3,660.54 $38,984.91 $10,696.48 2026-01-19
884 MS_DRG Organic Disturbances And Intellectual Disability 15 15 $44,160.51 $2,577,207.07 $6,107.34 $40,627.66 $17,865.23 2026-01-19
Q4196 HCPCS Puraply Am, Per Square Centimeter 152 19 $4,572.00 $2,423.16 47% off $675.00 $42,055.68 $3,009.00 2026-01-19
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 15 15 $47,867.10 $2,793,523.96 $3,068.88 $44,037.73 $8,967.59 2026-01-19
913 MS_DRG Traumatic Injury With Mcc 15 15 $48,871.82 $2,852,159.42 $6,211.48 $44,962.07 $18,150.60 2026-01-19
550 MS_DRG Septic Arthritis Without Cc/mcc 15 15 $61,873.98 $3,610,965.47 $3,321.58 $56,924.06 $9,706.01 2026-01-19
594 MS_DRG Skin Ulcers Without Cc/mcc 15 15 $62,193.03 $3,629,584.94 $3,293.84 $57,217.58 $9,624.95 2026-01-19
571 MS_DRG Skin Debridement With Cc 15 15 $62,840.95 $3,667,397.84 $6,420.10 $57,813.67 $18,760.21 2026-01-19
603 MS_DRG Cellulitis Without Mcc 15 15 $64,065.83 $3,738,881.69 $3,309.42 $58,940.56 $9,670.47 2026-01-19
189 MS_DRG Pulmonary Edema And Respiratory Failure 15 15 $71,707.47 $4,184,847.96 $4,694.52 $65,970.87 $13,717.88 2026-01-19
947 MS_DRG Signs And Symptoms With Mcc 15 15 $74,630.96 $4,355,462.59 $4,823.72 $68,660.48 $14,095.42 2026-01-19
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 15 15 $75,587.35 $4,411,277.72 $3,839.14 $69,540.36 $11,218.37 2026-01-19
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 15 15 $75,748.09 $4,420,658.24 $5,075.28 $69,688.24 $14,830.50 2026-01-19
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 15 15 $77,558.70 $4,526,325.44 $3,857.00 $71,354.00 $11,270.56 2026-01-19
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 15 15 $78,031.77 $4,553,934.10 $6,199.32 $71,789.23 $18,115.07 2026-01-19
865 MS_DRG Viral Illness With Mcc 15 15 $82,192.42 $4,796,749.63 $4,792.88 $75,617.03 $16,637.12 2026-01-19
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 15 15 $82,948.72 $4,840,887.30 $3,879.80 $76,312.82 $11,337.18 2026-01-19
183 MS_DRG Major Chest Trauma With Mcc 15 15 $99,255.65 — $5,813.62 $91,315.20 $16,988.01 2026-01-19
553 MS_DRG Bone Diseases And Arthropathies With Mcc 15 15 $110,357.91 — $4,925.94 $101,529.28 $14,394.12 2026-01-19
539 MS_DRG Osteomyelitis With Mcc 15 15 $110,992.13 — $7,484.86 $102,112.76 $21,871.55 2026-01-19
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 15 15 $116,429.15 — $4,279.18 $107,114.82 $12,504.21 2026-01-19
683 MS_DRG Renal Failure With Cc 15 15 $117,256.26 — $3,328.04 $107,875.76 $9,724.88 2026-01-19
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 15 $118,958.55 — $13,027.92 $109,441.87 $38,068.95 2026-01-19
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 15 15 $122,461.88 — $5,414.24 $112,664.93 $15,820.98 2026-01-19
91 MS_DRG Other Disorders Of Nervous System With Mcc 15 15 $124,697.36 — $6,673.56 $114,721.57 $19,500.84 2026-01-19
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 15 15 $130,670.73 — $6,767.04 $120,217.07 $19,774.00 2026-01-19
205 MS_DRG Other Respiratory System Diagnoses With Mcc 15 15 $140,941.26 — $6,957.80 $129,665.96 $20,331.42 2026-01-19
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 15 15 $156,072.79 — $5,650.22 $143,586.96 $16,510.54 2026-01-19
70 MS_DRG Other Cerebrovascular Disorders With Mcc 15 15 $234,237.86 — $6,326.24 $215,498.83 $18,485.94 2026-01-19
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 15 15 $323,351.16 — $9,342.30 $297,483.07 $27,299.18 2026-01-19
593 MS_DRG Skin Ulcers With Cc 15 15 $350,210.86 — $4,507.94 $322,193.99 $13,172.68 2026-01-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 15 $562,624.61 — $18,624.56 $517,614.64 $54,422.92 2026-01-19
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