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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

MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY

Guymon, OK · CCN 371340 · Rates published

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You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $605 across 16 payers · range $384-$1,763

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMHOTGUYMONOK&type=CDMWithoutLabel&fileType=CSV · observed 2026-06-22

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.

3,912 distinct procedures filed
17 distinct payers
62,071 rate rows
2026-06-22 last MRF observed
Data quality

60,973 of 62,071 rate rows are consumer-grade (98.2%)

1,098 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 485
per-diem day rate — not a per-procedure price 466
percent-of-charges filed in the dollar field — excluded from medians 60
exceeds 10× this hospital's gross charge — excluded from medians 48
exceeds 3× this hospital's gross charge for a DRG stay — excluded 36
placeholder amount (≤ $0.02) — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMHOTGUYMONOK&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/MemorialTexas_V3.aspx?sub=For%20Patients%20and%20Visitors
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-19
Content fingerprint 6d123971321fb840… · 21,597,669 bytes · first seen 2026-07-17

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
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 $21,189.73 $34,809.54 $27,986.79 nat. median
$25,409
1.1× median
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 7 $17,020.70 $55,350.22 $22,510.22 nat. median
$21,030
1.1× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 7 $15,502.80 $47,468.70 $22,145.13 nat. median
$19,268
1.1× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 7 $14,974.73 $52,710.29 $19,870.29 nat. median
$18,659
1.1× median
180
MS_DRG 		Respiratory Neoplasms With Mcc 7 $13,614.09 $117,882.46 $19,447.19 nat. median
$17,049
1.1× median
915
MS_DRG 		Allergic Reactions With Mcc 7 $12,963.45 $45,537.00 $18,517.78 nat. median
$16,300
1.1× median
33206
HCPCS 		Insertion Of Pacemaker And Upper Heart Chamber Electrode 16 $3,000.00 $23,137.85 $17,148.44 nat. median
$11,252
1.5× median
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 6 $12,753.77 $20,951.32 $16,852.54 nat. median
$15,915
1.1× median
33227
HCPCS 		Removal And Replacement Of Single Lead Permanent Pacemaker 16 $3,000.00 $23,937.70 $16,783.47 nat. median
$9,589
1.8× median
33228
HCPCS 		Removal And Replacement Of Dual Lead Permanent Pacemaker 16 $3,000.00 $22,511.28 $16,596.03 nat. median
$11,450
1.4× median
557
MS_DRG 		Tendonitis, Myositis And Bursitis With Mcc 7 $11,462.51 $69,345.30 $16,373.74 nat. median
$14,502
1.1× median
682
MS_DRG 		Renal Failure With Mcc 7 $11,417.03 $46,137.82 $16,308.77 nat. median
$14,443
1.1× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 6 $12,046.85 $21,952.00 $15,918.44 nat. median
$15,405
1.0× median
00109174_1
CDM 		Operating Room Services - General Classification 11 $6,121.92 $18,584.40 $15,304.80 nat. median
$15,305
1.0× median
602
MS_DRG 		Cellulitis With Mcc 7 $10,956.80 $31,459.31 $15,039.31 nat. median
$14,036
1.1× median
00109145_1
CDM 		Operating Room Services - General Classification 11 $5,835.20 $17,714.00 $14,588.00 nat. median
$14,588
1.0× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 7 $10,132.71 $44,589.40 $14,474.17 nat. median
$12,877
1.1× median
49653
HCPCS 		Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 11 $3,000.00 $18,691.50 $14,249.52 nat. median
$5,132
outlier · 2.8×
291
MS_DRG 		Heart Failure And Shock With Mcc 7 $9,896.81 $45,856.48 $14,137.21 nat. median
$12,775
1.1× median
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 7 $9,777.32 $39,235.27 $13,966.52 nat. median
$12,544
1.1× median
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 6 $13,518.05 $13,518.05 $13,518.05 nat. median
$17,311
0.8× median
56440
HCPCS 		Creation Of Drainage Tract For Gland Cyst Of Female Genitals 16 $2,782.80 $40,660.60 $13,394.08 nat. median
$3,185
outlier · 4.2×
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc 7 $12,567.21 $37,434.61 $12,804.61 nat. median
$15,979
0.8× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 6 $10,296.14 $13,002.63 $12,752.59 nat. median
$12,851
1.0× median
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 6 $9,523.70 $15,645.11 $12,584.40 nat. median
$12,282
1.0× median
00109186_1
CDM 		Operating Room Services - General Classification 11 $5,017.04 $15,230.30 $12,542.60 nat. median
$12,543
1.0× median
949
MS_DRG 		Aftercare With Cc/mcc 6 $9,171.40 $15,066.36 $12,118.88 nat. median
$11,791
1.0× median
152
MS_DRG 		Otitis Media And Uri With Mcc 6 $9,113.58 $14,971.38 $11,938.78 nat. median
$11,608
1.0× median
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 6 $8,944.75 $14,694.04 $11,819.40 nat. median
$11,515
1.0× median
49657
HCPCS 		Laparoscopy, Surgical, Repair, Recurrent Incisional Hernia (includes Mesh Insert… 11 $3,000.00 $15,403.70 $11,743.06 nat. median
$6,115
1.9× median
00109233_1
CDM 		Operating Room Services - General Classification 11 $4,667.88 $14,170.35 $11,669.70 nat. median
$11,670
1.0× median
00109243_1
CDM 		Operating Room Services - General Classification 11 $4,667.88 $14,170.35 $11,669.70 nat. median
$11,670
1.0× median
00109232_1
CDM 		Operating Room Services - General Classification 11 $4,667.88 $14,170.35 $11,669.70 nat. median
$73
outlier · 160.4×
29888
HCPCS 		Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope 16 $3,000.00 $19,415.70 $11,453.90 nat. median
$7,336
1.6× median
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 6 $8,539.26 $14,027.91 $11,283.58 nat. median
$11,073
1.0× median
343
MS_DRG 		Appendectomy Without Complicated Principal Diagnosis Without Cc/mcc 6 $8,423.62 $13,837.95 $11,130.78 nat. median
$8,202
1.4× median
300
MS_DRG 		Peripheral Vascular Disorders With Cc 6 $8,229.36 $11,834.01 $10,874.09 nat. median
$10,846
1.0× median
433
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Cc 6 $8,142.25 $13,375.72 $10,758.98 nat. median
$10,769
1.0× median
565
MS_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 7 $7,511.65 $52,319.06 $10,730.09 nat. median
$10,106
1.1× median
00109143_1
CDM 		Operating Room Services - General Classification 11 $4,233.60 $12,852.00 $10,584.00 nat. median
$10,584
1.0× median
74
MS_DRG 		Cranial And Peripheral Nerve Disorders Without Mcc 6 $7,946.44 $13,054.05 $10,500.24 nat. median
$10,491
1.0× median
49652
HCPCS 		Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 11 $3,000.00 $13,678.20 $10,427.62 nat. median
$5,038
outlier · 2.1×
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 6 $7,888.62 $12,479.45 $10,423.85 nat. median
$10,410
1.0× median
00109193_1
CDM 		Operating Room Services - General Classification 11 $4,127.20 $12,529.00 $10,318.00 nat. median
$10,318
1.0× median
394
MS_DRG 		Other Digestive System Diagnoses With Cc 7 $7,213.31 $40,160.50 $10,303.93 nat. median
$9,688
1.1× median
65
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 6 $7,788.40 $11,459.55 $10,291.42 nat. median
$10,477
1.0× median
58571
HCPCS 		Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250… 16 $3,000.00 $31,025.00 $10,220.00 nat. median
$9,885
1.0× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 6 $10,099.47 $10,099.47 $10,099.47 nat. median
$17,357
0.6× median
00109132_1
CDM 		Operating Room Services - General Classification 11 $4,018.84 $12,200.05 $10,047.10 nat. median
$6
outlier · 1674.5×
378
MS_DRG 		Gastrointestinal Hemorrhage With Cc 6 $7,560.22 $12,151.92 $9,989.90 nat. median
$10,031
1.0× median

Other procedures at this hospital

Browse this hospital's 3,912 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
             
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 6 $88,264.51 $70,611.61 $21,189.73 $34,809.54 $27,986.79 2026-06-22
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 7 7 $22,510.22 $18,008.18 $17,020.70 $55,350.22 $22,510.22 2026-06-22
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 7 7 $22,838.70 $18,270.96 20% off $15,502.80 $47,468.70 $22,145.13 2026-06-22
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 7 7 $19,870.29 $15,896.23 20% off $14,974.73 $52,710.29 $19,870.29 2026-06-22
180 MS_DRG Respiratory Neoplasms With Mcc 7 7 $43,992.46 $35,193.97 $13,614.09 $117,882.46 $19,447.19 2026-06-22
915 MS_DRG Allergic Reactions With Mcc 7 7 $20,907.00 $16,725.60 20% off $12,963.45 $45,537.00 $18,517.78 2026-06-22
33206 HCPCS Insertion Of Pacemaker And Upper Heart Chamber Electrode 16 16 $27,221.00 $21,776.80 20% off $3,000.00 $23,137.85 $17,148.44 2026-06-22
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 6 6 $32,450.70 $25,960.56 20% off $12,753.77 $20,951.32 $16,852.54 2026-06-22
33227 HCPCS Removal And Replacement Of Single Lead Permanent Pacemaker 16 16 $28,162.00 $22,529.60 20% off $3,000.00 $23,937.70 $16,783.47 2026-06-22
33228 HCPCS Removal And Replacement Of Dual Lead Permanent Pacemaker 16 16 $25,516.00 $20,412.80 20% off $3,000.00 $22,511.28 $16,596.03 2026-06-22
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 7 7 $28,295.30 $22,636.24 $11,462.51 $69,345.30 $16,373.74 2026-06-22
682 MS_DRG Renal Failure With Mcc 7 7 $21,507.82 $17,206.26 $11,417.03 $46,137.82 $16,308.77 2026-06-22
177 MS_DRG Respiratory Infections And Inflammations With Mcc 6 6 $38,532.34 $30,825.87 20% off $12,046.85 $21,952.00 $15,918.44 2026-06-22
00109174_1 CDM Operating Room Services - General Classification 11 11 $21,864.00 $17,491.20 $6,121.92 $18,584.40 $15,304.80 2026-06-22
602 MS_DRG Cellulitis With Mcc 7 7 $15,039.31 $12,031.45 $10,956.80 $31,459.31 $15,039.31 2026-06-22
00109145_1 CDM Operating Room Services - General Classification 11 11 $20,840.00 $16,672.00 20% off $5,835.20 $17,714.00 $14,588.00 2026-06-22
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 7 7 $19,959.40 $15,967.52 20% off $10,132.71 $44,589.40 $14,474.17 2026-06-22
49653 HCPCS Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 11 11 $21,990.00 $17,592.00 20% off $3,000.00 $18,691.50 $14,249.52 2026-06-22
291 MS_DRG Heart Failure And Shock With Mcc 7 7 $21,226.48 $16,981.18 20% off $9,896.81 $45,856.48 $14,137.21 2026-06-22
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 7 7 $14,605.27 $11,684.22 $9,777.32 $39,235.27 $13,966.52 2026-06-22
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 6 6 $13,518.05 $10,814.44 $13,518.05 $13,518.05 $13,518.05 2026-06-22
56440 HCPCS Creation Of Drainage Tract For Gland Cyst Of Female Genitals 16 16 $47,836.00 $38,268.80 $2,782.80 $40,660.60 $13,394.08 2026-06-22
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 7 7 $12,804.61 $10,243.68 20% off $12,567.21 $37,434.61 $12,804.61 2026-06-22
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 6 6 $13,002.63 $10,402.10 20% off $10,296.14 $13,002.63 $12,752.59 2026-06-22
189 MS_DRG Pulmonary Edema And Respiratory Failure 6 6 $23,492.56 $18,794.05 $9,523.70 $15,645.11 $12,584.40 2026-06-22
00109186_1 CDM Operating Room Services - General Classification 11 11 $17,918.00 $14,334.40 20% off $5,017.04 $15,230.30 $12,542.60 2026-06-22
949 MS_DRG Aftercare With Cc/mcc 6 6 $16,876.49 $13,501.19 20% off $9,171.40 $15,066.36 $12,118.88 2026-06-22
152 MS_DRG Otitis Media And Uri With Mcc 6 6 $21,946.94 $17,557.55 20% off $9,113.58 $14,971.38 $11,938.78 2026-06-22
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 6 6 $15,992.95 $12,794.36 20% off $8,944.75 $14,694.04 $11,819.40 2026-06-22
49657 HCPCS Laparoscopy, Surgical, Repair, Recurrent Incisional Hernia (includes Mesh Insert… 11 11 $18,122.00 $14,497.60 20% off $3,000.00 $15,403.70 $11,743.06 2026-06-22
00109243_1 CDM Operating Room Services - General Classification 11 11 $16,671.00 $13,336.80 20% off $4,667.88 $14,170.35 $11,669.70 2026-06-22
00109232_1 CDM Operating Room Services - General Classification 11 11 $16,671.00 $13,336.80 20% off $4,667.88 $14,170.35 $11,669.70 2026-06-22
00109233_1 CDM Operating Room Services - General Classification 11 11 $16,671.00 $13,336.80 20% off $4,667.88 $14,170.35 $11,669.70 2026-06-22
29888 HCPCS Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope 16 16 $22,842.00 $18,273.60 20% off $3,000.00 $19,415.70 $11,453.90 2026-06-22
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 6 6 $24,330.95 $19,464.76 20% off $8,539.26 $14,027.91 $11,283.58 2026-06-22
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/mcc 6 6 $18,799.41 $15,039.52 20% off $8,423.62 $13,837.95 $11,130.78 2026-06-22
300 MS_DRG Peripheral Vascular Disorders With Cc 6 6 $11,834.01 $9,467.21 $8,229.36 $11,834.01 $10,874.09 2026-06-22
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 6 6 $14,099.97 $11,279.97 20% off $8,142.25 $13,375.72 $10,758.98 2026-06-22
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 7 7 $19,479.06 $15,583.25 $7,511.65 $52,319.06 $10,730.09 2026-06-22
00109143_1 CDM Operating Room Services - General Classification 11 11 $15,120.00 $12,096.00 20% off $4,233.60 $12,852.00 $10,584.00 2026-06-22
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 6 6 $70,208.50 $56,166.80 $7,946.44 $13,054.05 $10,500.24 2026-06-22
49652 HCPCS Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 11 11 $16,092.00 $12,873.60 20% off $3,000.00 $13,678.20 $10,427.62 2026-06-22
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 6 6 $12,479.45 $9,983.56 20% off $7,888.62 $12,479.45 $10,423.85 2026-06-22
00109193_1 CDM Operating Room Services - General Classification 11 11 $14,740.00 $11,792.00 20% off $4,127.20 $12,529.00 $10,318.00 2026-06-22
394 MS_DRG Other Digestive System Diagnoses With Cc 7 7 $15,530.50 $12,424.40 20% off $7,213.31 $40,160.50 $10,303.93 2026-06-22
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 6 6 $11,459.55 $9,167.64 20% off $7,788.40 $11,459.55 $10,291.42 2026-06-22
58571 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250… 16 16 $36,500.00 $29,200.00 20% off $3,000.00 $31,025.00 $10,220.00 2026-06-22
205 MS_DRG Other Respiratory System Diagnoses With Mcc 6 6 $10,099.47 $8,079.57 20% off $10,099.47 $10,099.47 $10,099.47 2026-06-22
00109132_1 CDM Operating Room Services - General Classification 11 11 $14,353.00 $11,482.40 20% off $4,018.84 $12,200.05 $10,047.10 2026-06-22
378 MS_DRG Gastrointestinal Hemorrhage With Cc 6 6 $12,151.92 $9,721.54 $7,560.22 $12,151.92 $9,989.90 2026-06-22
178 MS_DRG Respiratory Infections And Inflammations With Cc 6 6 $16,233.30 $12,986.64 20% off $7,523.98 $14,345.00 $9,942.02 2026-06-22
202 MS_DRG Bronchitis And Asthma With Cc/mcc 6 6 $16,570.57 $13,256.46 $7,486.98 $12,299.28 $9,893.12 2026-06-22
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 6 6 $13,337.43 $10,669.94 20% off $7,441.50 $12,224.56 $9,833.02 2026-06-22
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 7 7 $9,802.37 $7,841.90 $9,384.94 $26,222.37 $9,802.37 2026-06-22
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 6 6 $9,977.90 $7,982.32 20% off $7,870.89 $9,977.90 $9,767.74 2026-06-22
00109173_1 CDM Operating Room Services - General Classification 11 11 $13,943.00 $11,154.40 20% off $3,904.04 $11,851.55 $9,760.10 2026-06-22
29807 HCPCS Repair Of Shoulder Socket Using An Endoscope 16 16 $12,833.00 $10,266.40 20% off $3,000.00 $14,826.76 $9,477.97 2026-06-22
00109184_1 CDM Operating Room Services - General Classification 11 11 $13,439.00 $10,751.20 $3,762.92 $11,423.15 $9,407.30 2026-06-22
00109119_1 CDM Operating Room Services - General Classification 11 11 $13,262.00 $10,609.60 20% off $3,713.36 $11,272.70 $9,283.40 2026-06-22
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 7 7 $23,500.18 $18,800.14 20% off $6,498.69 $48,130.18 $9,283.12 2026-06-22
947 MS_DRG Signs And Symptoms With Mcc 6 6 $9,276.34 $7,421.07 20% off $9,276.34 $9,276.34 $9,276.34 2026-06-22
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 7 7 $12,627.89 $10,102.31 20% off $6,484.81 $37,257.89 $9,263.29 2026-06-22
444 MS_DRG Disorders Of The Biliary Tract With Mcc 7 7 $8,995.09 $7,196.07 20% off $8,995.09 $25,415.09 $8,995.09 2026-06-22
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 6 6 $10,063.37 $8,050.70 $6,805.51 $10,063.37 $8,992.64 2026-06-22
00109236_1 CDM Operating Room Services - General Classification 11 11 $12,834.00 $10,267.20 $3,593.52 $10,908.90 $8,983.80 2026-06-22
312 MS_DRG Syncope And Collapse 6 6 $25,209.48 $20,167.58 20% off $6,719.16 $11,037.94 $8,878.56 2026-06-22
603 MS_DRG Cellulitis Without Mcc 6 6 $12,019.60 $9,615.68 20% off $6,713.77 $11,029.08 $8,871.42 2026-06-22
60210 HCPCS Partial Removal Of Thyroid Lobe On Side Of Neck 16 16 $16,278.00 $13,022.40 20% off $3,000.00 $13,836.30 $8,833.07 2026-06-22
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 6 6 $8,739.42 $6,991.54 $7,924.85 $8,739.42 $8,739.42 2026-06-22
00109234_1 CDM Operating Room Services - General Classification 11 11 $12,449.00 $9,959.20 $3,485.72 $10,581.65 $8,714.30 2026-06-22
00109235_1 CDM Operating Room Services - General Classification 11 11 $12,449.00 $9,959.20 $3,485.72 $10,581.65 $8,714.30 2026-06-22
292 MS_DRG Heart Failure And Shock With Cc 6 6 $9,483.22 $7,586.58 $6,544.94 $9,483.22 $8,648.34 2026-06-22
23412 HCPCS Repair Of Chronic Torn Shoulder Rotator Cuff 16 16 $21,324.00 $17,059.20 $3,000.00 $18,125.40 $8,642.42 2026-06-22
23410 HCPCS Repair Of Acute Torn Shoulder Rotator Cuff 16 16 $20,259.00 $16,207.20 $3,000.00 $17,220.15 $8,642.42 2026-06-22
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 7 7 $8,699.22 $6,959.37 20% off $5,999.14 $25,119.22 $8,569.54 2026-06-22
00109138_1 CDM Operating Room Services - General Classification 11 11 $12,149.00 $9,719.20 $3,401.72 $10,326.65 $8,504.30 2026-06-22
541 MS_DRG Osteomyelitis Without Cc/mcc 7 7 $14,217.68 $11,374.14 20% off $5,947.49 $38,847.68 $8,495.76 2026-06-22
60220 HCPCS Removal Of Thyroid Lobe On Side Of Neck 16 16 $13,682.00 $10,945.60 20% off $3,000.00 $12,352.94 $8,492.84 2026-06-22
C2621 HCPCS Pacemaker, Other Than Single Or Dual Chamber (implantable) 10 10 $12,584.57 $10,067.66 $3,523.68 $10,696.88 $8,482.00 2026-06-22
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 6 6 $11,248.56 $8,998.85 $6,403.10 $10,518.72 $8,460.91 2026-06-22
645 MS_DRG Endocrine Disorders Without Cc/mcc 7 7 $19,086.54 $15,269.23 20% off $5,922.82 $43,716.54 $8,460.52 2026-06-22
27880 HCPCS Amputation Of Both Lower Leg Bones 16 16 $13,694.00 $10,955.20 $3,000.00 $14,826.76 $8,409.10 2026-06-22
C1786 HCPCS Pacemaker, Single Chamber, Rate-responsive (implantable) 11 11 $12,000.00 $9,600.00 20% off $3,360.00 $10,200.00 $8,400.00 2026-06-22
683 MS_DRG Renal Failure With Cc 7 7 $8,365.07 $6,692.06 $6,751.54 $24,785.07 $8,365.07 2026-06-22
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 6 6 $12,727.19 $10,181.75 20% off $6,240.44 $10,251.51 $8,245.97 2026-06-22
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 6 6 $19,565.44 $15,652.35 20% off $6,212.68 $10,266.00 $8,209.30 2026-06-22
948 MS_DRG Signs And Symptoms Without Mcc 6 6 $18,639.15 $14,911.32 20% off $6,171.05 $10,137.53 $8,154.30 2026-06-22
47563 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope 16 16 $14,869.00 $11,895.20 $3,000.00 $12,638.65 $8,127.50 2026-06-22
58552 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, 250.… 16 16 $14,001.00 $11,200.80 20% off $3,000.00 $21,720.14 $8,127.50 2026-06-22
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 6 6 $18,402.61 $14,722.09 $6,138.68 $10,084.34 $8,111.51 2026-06-22
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 7 7 $15,252.51 $12,202.00 20% off $5,671.51 $39,882.51 $8,101.53 2026-06-22
27380 HCPCS Primary Suture Of Tendon Below Knee 16 16 $28,784.00 $23,027.20 20% off $3,000.00 $24,466.40 $8,059.52 2026-06-22
24341 HCPCS Repair Of Tendon Or Muscle Of Upper Arm Or Elbow 16 16 $28,784.00 $23,027.20 20% off $3,000.00 $24,466.40 $8,059.52 2026-06-22
694 MS_DRG Urinary Stones Without Mcc 6 6 $11,943.32 $9,554.66 $6,026.13 $9,899.45 $7,962.78 2026-06-22
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 6 6 $7,960.03 $6,368.02 20% off $7,824.64 $7,960.03 $7,960.03 2026-06-22
313 MS_DRG Chest Pain 7 7 $7,828.45 $6,262.76 $5,550.48 $16,038.45 $7,828.45 2026-06-22
176 MS_DRG Pulmonary Embolism Without Mcc 6 6 $7,920.64 $6,336.51 20% off $6,205.75 $7,920.64 $7,728.12 2026-06-22
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 6 6 $7,935.16 $6,348.13 $6,171.83 $7,935.16 $7,714.79 2026-06-22
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 6 6 $9,542.57 $7,634.06 $5,820.30 $9,542.57 $7,690.81 2026-06-22
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 6 6 $7,951.06 $6,360.85 $6,009.94 $7,951.06 $7,624.45 2026-06-22
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 6 6 $7,622.73 $6,098.18 20% off $7,622.73 $7,622.73 $7,622.73 2026-06-22
24685 HCPCS Treatment Of Broken Forearm Bone On Small Finger Side At Elbow 16 16 $21,907.00 $17,525.60 20% off $3,000.00 $18,620.95 $7,450.60 2026-06-22
24515 HCPCS Treatment Of Broken Middle Part Of Upper Arm Bone With Placement Of Stabilizing … 16 16 $18,671.00 $14,936.80 20% off $3,000.00 $26,233.52 $7,450.60 2026-06-22
25545 HCPCS Treatment Of Broken Midpart Of Forearm Bone On Small Finger Side 16 16 $21,324.00 $17,059.20 $3,000.00 $18,125.40 $7,450.60 2026-06-22
28485 HCPCS Treatment Of Broken Midportion Of Foot 16 16 $23,883.00 $19,106.40 $3,000.00 $20,300.55 $7,450.60 2026-06-22
27814 HCPCS Treatment Of Both Broken Lower Leg Bones At Ankle 16 16 $20,617.00 $16,493.60 20% off $3,000.00 $17,524.45 $7,450.60 2026-06-22
27792 HCPCS Treatment Of Broken Outer Lower Leg Bone At Ankle 16 16 $17,929.00 $14,343.20 $3,000.00 $15,239.65 $7,450.60 2026-06-22
25608 HCPCS Treatment Of 2 Broken Lower Forearm Bone Pieces On Thumb Side Inside Wrist Joint… 16 16 $23,001.00 $18,400.80 20% off $3,000.00 $19,550.85 $7,450.60 2026-06-22
27236 HCPCS Treatment Of Upper End Of Broken Thigh Bone With Placement Of Stabilizing Device… 16 16 $23,941.00 $19,152.80 20% off $3,000.00 $20,349.85 $7,450.60 2026-06-22
25652 HCPCS Treatment Of Broken Base Of Forearm Bone On Small Finger Side At Wrist 16 16 $17,070.00 $13,656.00 20% off $3,000.00 $14,826.76 $7,450.60 2026-06-22
25609 HCPCS Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri… 16 16 $19,118.00 $15,294.40 20% off $3,000.00 $16,250.30 $7,450.60 2026-06-22
642 MS_DRG Inborn And Other Disorders Of Metabolism 6 6 $7,423.01 $5,938.41 $7,423.01 $7,423.01 $7,423.01 2026-06-22
638 MS_DRG Diabetes With Cc 6 6 $7,401.43 $5,921.14 20% off $6,908.81 $7,401.43 $7,401.43 2026-06-22
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 7 7 $14,364.61 $11,491.69 $5,165.03 $30,784.61 $7,378.04 2026-06-22
305 MS_DRG Hypertension Without Mcc 6 6 $7,664.80 $6,131.84 20% off $5,821.07 $7,664.80 $7,366.65 2026-06-22
44979 HCPCS Other Procedure On Appendix Using An Endoscope 16 16 $23,147.00 $18,517.60 20% off $3,000.00 $19,674.95 $7,278.93 2026-06-22
58661 HCPCS Removal Of Ovaries And/or Tubes Using An Endoscope 16 16 $13,234.00 $10,587.20 $3,000.00 $12,352.94 $7,278.93 2026-06-22
47562 HCPCS Removal Of Gallbladder Using An Endoscope 16 16 $14,073.00 $11,258.40 20% off $3,000.00 $12,352.94 $7,278.93 2026-06-22
44970 HCPCS Removal Of Appendix Using An Endoscope 16 16 $14,822.00 $11,857.60 20% off $3,000.00 $12,598.70 $7,278.93 2026-06-22
44180 HCPCS Release Of Small Bowel Scar Tissue Using An Endoscope 16 16 $13,030.00 $10,424.00 20% off $3,000.00 $12,352.94 $7,278.93 2026-06-22
00139197_1 CDM Ventrio St Hernia Patch Large Oval 10 10 $10,636.28 $8,509.02 20% off $2,978.16 $9,040.84 $7,168.85 2026-06-22
00139197_5 CDM Ventrio St Hernia Patch Large Oval 10 10 $10,636.28 $8,509.02 20% off $2,978.16 $9,040.84 $7,168.85 2026-06-22
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 6 6 $6,969.77 $5,575.82 $6,969.77 $6,969.77 $6,969.77 2026-06-22
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 7 7 $11,961.72 $9,569.38 $4,859.75 $28,381.72 $6,941.96 2026-06-22
59151 HCPCS Removal Of Ovarian Or Tubal Pregnancy With Removal Of Ovary And/or Tube Using An… 16 16 $9,798.00 $7,838.40 20% off $2,743.44 $12,352.94 $6,910.12 2026-06-22
59150 HCPCS Removal Of Ovarian Or Tubal Pregnancy Using An Endoscope 16 16 $9,798.00 $7,838.40 20% off $2,743.44 $12,352.94 $6,910.12 2026-06-22
58662 HCPCS Destruction Or Removal Of Ovary Or Growth Of Pelvis Using An Endoscope 16 16 $9,798.00 $7,838.40 20% off $2,743.44 $12,352.94 $6,910.12 2026-06-22
49585 HCPCS Repair Umbilical Hernia, Age 5 Years Or Older; Reducible 11 11 $10,650.00 $8,520.00 20% off $2,982.00 $9,052.50 $6,901.20 2026-06-22
00109167_1 CDM Operating Room Services - General Classification 11 11 $9,833.00 $7,866.40 20% off $2,753.24 $8,358.05 $6,883.10 2026-06-22
00109223_1 CDM Operating Room Services - General Classification 11 11 $9,748.00 $7,798.40 20% off $2,729.44 $8,285.80 $6,823.60 2026-06-22
26615 HCPCS Treatment Of Broken Midhand Bone 16 16 $13,441.00 $10,752.80 20% off $3,000.00 $11,424.85 $6,767.33 2026-06-22
28505 HCPCS Treatment Of Broken Great Toe 16 16 $13,441.00 $10,752.80 20% off $3,000.00 $11,424.85 $6,767.33 2026-06-22
26735 HCPCS Treatment Of Broken Finger At Midportion Or Part Near Hand 16 16 $13,441.00 $10,752.80 20% off $3,000.00 $11,424.85 $6,767.33 2026-06-22
00109178_1 CDM Operating Room Services - General Classification 11 11 $9,657.00 $7,725.60 $2,703.96 $8,208.45 $6,759.90 2026-06-22
00109116_1 CDM Operating Room Services - General Classification 11 11 $9,617.00 $7,693.60 $2,692.76 $8,174.45 $6,731.90 2026-06-22
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 6 6 $27,343.82 $21,875.06 $5,047.08 $9,146.00 $6,669.10 2026-06-22
00109181_1 CDM Operating Room Services - General Classification 11 11 $9,516.00 $7,612.80 20% off $2,664.48 $8,088.60 $6,661.20 2026-06-22
27640 HCPCS Partial Removal Of Shin Bone 16 16 $10,061.00 $8,048.80 20% off $2,817.08 $10,736.23 $6,621.17 2026-06-22
C1765 HCPCS Adhesion Barrier 30 10 $9,500.00 $7,600.00 20% off $2,632.00 $13,430.00 $6,615.00 2026-06-22
26785 HCPCS Treatment Of Dislocated Finger Joint 16 16 $10,061.00 $8,048.80 20% off $2,817.08 $9,255.67 $6,602.64 2026-06-22
311 MS_DRG Angina Pectoris 6 6 $6,608.42 $5,286.74 $5,410.95 $6,608.42 $6,589.45 2026-06-22
27506 HCPCS Treatment Of Broken Shaft Of Thigh Bone With Implant 16 16 $9,686.00 $7,748.80 20% off $2,712.08 $14,826.76 $6,562.73 2026-06-22
58925 HCPCS Removal Of Cysts Of Ovaries 16 16 $10,315.00 $8,252.00 20% off $2,888.20 $10,221.60 $6,560.49 2026-06-22
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 6 6 $23,309.82 $18,647.86 $4,949.18 $8,267.00 $6,539.73 2026-06-22
58670 HCPCS Destruction Of Fallopian Tubes Using An Endoscope 16 16 $9,798.00 $7,838.40 20% off $2,743.44 $12,352.94 $6,520.10 2026-06-22
25606 HCPCS Placement Of Stabilizing Device For Broken Forearm Bone On Thumb Side At Wrist 25 16 $10,061.00 $8,048.80 20% off $2,817.08 $9,916.10 $6,413.39 2026-06-22
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 6 6 $16,346.19 $13,076.95 20% off $4,845.11 $7,959.32 $6,402.22 2026-06-22
950 MS_DRG Aftercare Without Cc/mcc 6 6 $9,724.10 $7,779.28 20% off $4,838.94 $8,790.00 $6,394.06 2026-06-22
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 6 6 $8,233.07 $6,586.46 $4,790.37 $7,869.41 $6,329.90 2026-06-22
639 MS_DRG Diabetes Without Cc/mcc 6 6 $10,752.85 $8,602.28 $4,788.83 $7,866.88 $6,327.85 2026-06-22
28525 HCPCS Treatment Of Broken Toe 16 16 $9,033.00 $7,226.40 20% off $2,529.24 $9,255.67 $6,269.56 2026-06-22
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 7 7 $8,370.81 $6,696.64 20% off $4,364.06 $24,790.81 $6,233.89 2026-06-22
293 MS_DRG Heart Failure And Shock Without Cc/mcc 7 7 $16,417.25 $13,133.80 20% off $4,363.29 $41,047.25 $6,232.79 2026-06-22
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 6 6 $6,183.74 $4,946.99 20% off $6,183.74 $6,183.74 $6,183.74 2026-06-22
49593 HCPCS Initial Repair Of Sliding Hernia Of Abdomen, 3-10 Cm In Length 11 11 $9,536.00 $7,628.80 20% off $2,670.08 $13,228.08 $6,179.33 2026-06-22
54300 HCPCS Repair Of Curved Penis 16 16 $10,257.00 $8,205.60 $2,871.96 $8,718.45 $6,151.78 2026-06-22
951 MS_DRG Other Factors Influencing Health Status 7 7 $6,644.92 $5,315.94 $4,286.20 $14,854.92 $6,122.67 2026-06-22
28106 HCPCS Removal Of Cyst Or Growth Of Foot Bone With Self Bone Graft 16 16 $17,270.00 $13,816.00 20% off $3,000.00 $14,826.76 $6,065.00 2026-06-22
13000072_5 CDM Ventrio St 4.5x4.5 Circle 11 11 $8,549.47 $6,839.58 $2,393.85 $7,267.05 $5,984.63 2026-06-22
00139238_5 CDM Ventrio St 4.3x5.5 Oval 11 11 $8,549.47 $6,839.58 $2,393.85 $7,267.05 $5,984.63 2026-06-22
00139238_1 CDM Ventrio St 4.3x5.5 Oval 11 11 $8,549.47 $6,839.58 $2,393.85 $7,267.05 $5,984.63 2026-06-22
13000072_1 CDM Ventrio St 4.5x4.5 Circle 11 11 $8,549.47 $6,839.58 $2,393.85 $7,267.05 $5,984.63 2026-06-22
29862 HCPCS Removal Or Shaving Of Hip Joint Socket Cartilage Using An Endoscope 16 16 $21,324.00 $17,059.20 $3,000.00 $18,125.40 $5,970.72 2026-06-22
00109169_1 CDM Operating Room Services - General Classification 11 11 $8,522.00 $6,817.60 $2,386.16 $7,243.70 $5,965.40 2026-06-22
24359 HCPCS Incision And Repair Of Elbow Tendon With Removal Of Tissue Or Bone 16 16 $13,441.00 $10,752.80 20% off $3,000.00 $11,424.85 $5,934.16 2026-06-22
24140 HCPCS Partial Removal Of Infected Upper Arm Bone 16 16 $13,441.00 $10,752.80 20% off $3,000.00 $11,424.85 $5,934.16 2026-06-22
23430 HCPCS Anchoring Of Biceps Tendon 16 16 $17,070.00 $13,656.00 20% off $3,000.00 $14,826.76 $5,934.16 2026-06-22
27635 HCPCS Removal Of Cyst Or Growth Of Lower Leg Bone 16 16 $13,441.00 $10,752.80 20% off $3,000.00 $11,424.85 $5,934.16 2026-06-22
27620 HCPCS Incision And Exploration Of Ankle Joint 16 16 $13,441.00 $10,752.80 20% off $3,000.00 $11,424.85 $5,934.16 2026-06-22
27626 HCPCS Removal Of Membrane Covering Ankle Joint And Tendon 16 16 $13,441.00 $10,752.80 20% off $3,000.00 $11,424.85 $5,934.16 2026-06-22
27427 HCPCS Reconstruction Of Ligaments Outside Knee Joint 16 16 $18,543.00 $14,834.40 20% off $3,000.00 $15,761.55 $5,934.16 2026-06-22
27310 HCPCS Incision Of Knee Joint For Exploration, Fluid Drainage, Or Removal Of Foreign Bo… 16 16 $13,441.00 $10,752.80 20% off $3,000.00 $11,424.85 $5,934.16 2026-06-22
25275 HCPCS Repair Of Forearm And/or Wrist Tendon Covering With Graft 16 16 $13,441.00 $10,752.80 20% off $3,000.00 $11,424.85 $5,934.16 2026-06-22
25116 HCPCS Extensive Removal Of Growth Of Soft Tissue Structures In Top Side Of Wrist 16 16 $13,441.00 $10,752.80 20% off $3,000.00 $11,424.85 $5,934.16 2026-06-22
26765 HCPCS Treatment Of Broken End Of Finger Or Thumb 16 16 $7,651.00 $6,120.80 20% off $2,142.28 $9,255.67 $5,886.61 2026-06-22
58940 HCPCS Removal Of Ovaries 16 16 $10,315.00 $8,252.00 20% off $0.70 $8,767.75 $5,874.60 2026-06-22
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 11 11 $9,043.50 $7,234.80 20% off $157.95 $7,686.98 $5,860.19 2026-06-22
49521 HCPCS Repair Of Trapped Or Strangulated Groin Hernia 16 16 $10,605.00 $8,484.00 20% off $2,969.40 $13,228.08 $5,848.11 2026-06-22
00109205_1 CDM Operating Room Services - General Classification 11 11 $8,345.00 $6,676.00 20% off $2,336.60 $7,093.25 $5,841.50 2026-06-22
00109219_1 CDM Operating Room Services - General Classification 11 11 $8,345.00 $6,676.00 20% off $2,336.60 $7,093.25 $5,841.50 2026-06-22
00109139_1 CDM Operating Room Services - General Classification 11 11 $8,209.00 $6,567.20 20% off $2,298.52 $6,977.65 $5,746.30 2026-06-22
00254152_1 CDM Activusc 100mg Vial 11 11 $8,193.51 $6,554.81 $2,294.18 $6,964.48 $5,735.46 2026-06-22
00109197_1 CDM Operating Room Services - General Classification 11 11 $8,193.00 $6,554.40 20% off $2,294.04 $6,964.05 $5,735.10 2026-06-22
49587 HCPCS Repair Umbilical Hernia, Age 5 Years Or Older; Incarcerated Or Strangulated 11 11 $8,849.00 $7,079.20 20% off $2,477.72 $7,521.65 $5,734.15 2026-06-22
58671 HCPCS Blockage Of Uterine Tubes By Device Using An Endoscope 16 16 $13,234.00 $10,587.20 $3,000.00 $12,352.94 $5,697.20 2026-06-22
49329 HCPCS Other Procedure On Abdomen Using An Endoscope 16 16 $13,234.00 $10,587.20 $3,000.00 $12,352.94 $5,697.20 2026-06-22
47379 HCPCS Other Procedure On Liver Using An Endoscope 16 16 $12,668.00 $10,134.40 20% off $3,000.00 $12,352.94 $5,697.20 2026-06-22
00109151_1 CDM Operating Room Services - General Classification 11 11 $8,069.00 $6,455.20 20% off $2,259.32 $6,858.65 $5,648.30 2026-06-22
00109213_1 CDM Operating Room Services - General Classification 11 11 $8,035.00 $6,428.00 20% off $2,249.80 $6,829.75 $5,624.50 2026-06-22
49566 HCPCS Repair Recurrent Incisional Or Ventral Hernia; Incarcerated Or Strangulated 11 11 $8,642.00 $6,913.60 $2,419.76 $7,345.70 $5,600.02 2026-06-22
49561 HCPCS Repair Initial Incisional Or Ventral Hernia; Incarcerated Or Strangulated 11 11 $8,642.00 $6,913.60 $2,419.76 $7,345.70 $5,600.02 2026-06-22
00109172_1 CDM Operating Room Services - General Classification 11 11 $7,932.00 $6,345.60 $2,220.96 $6,742.20 $5,552.40 2026-06-22
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 6 6 $5,551.30 $4,441.04 20% off $5,551.30 $5,551.30 $5,551.30 2026-06-22
00109196_1 CDM Operating Room Services - General Classification 11 11 $7,890.00 $6,312.00 20% off $2,209.20 $6,706.50 $5,523.00 2026-06-22
00109177_1 CDM Operating Room Services - General Classification 11 11 $7,849.00 $6,279.20 20% off $2,197.72 $6,671.65 $5,494.30 2026-06-22
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 7 7 $5,475.78 $4,380.62 20% off $5,475.78 $13,685.78 $5,475.78 2026-06-22
00109258_1 CDM Operating Room Services - General Classification 11 11 $7,821.00 $6,256.80 20% off $2,189.88 $6,647.85 $5,474.70 2026-06-22
812 MS_DRG Red Blood Cell Disorders Without Mcc 7 7 $5,426.42 $4,341.14 $5,426.42 $13,636.42 $5,426.42 2026-06-22
303 MS_DRG Atherosclerosis Without Mcc 6 6 $5,416.77 $4,333.42 $5,189.70 $5,416.77 $5,416.77 2026-06-22
28005 HCPCS Incision Of Foot Bone 16 16 $8,055.00 $6,444.00 20% off $2,255.40 $7,534.37 $5,397.43 2026-06-22
00139210_5 CDM Ventralight St 6x8 Mesh 10 10 $7,943.83 $6,355.06 20% off $2,224.27 $6,752.26 $5,354.14 2026-06-22
00139210_1 CDM Ventralight St 6x8 Mesh 10 10 $7,943.83 $6,355.06 20% off $2,224.27 $6,752.26 $5,354.14 2026-06-22
00109204_1 CDM Operating Room Services - General Classification 11 11 $7,629.00 $6,103.20 20% off $2,136.12 $6,484.65 $5,340.30 2026-06-22
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 7 7 $5,332.76 $4,266.20 20% off $5,332.76 $13,542.76 $5,332.76 2026-06-22
57240 HCPCS Repair Of Bladder Hernia Into Vaginal Wall 16 16 $12,920.00 $10,336.00 20% off $3,000.00 $10,982.00 $5,310.59 2026-06-22
58353 HCPCS Destruction Of Lining Of Uterus 16 16 $12,107.00 $9,685.60 20% off $3,000.00 $10,290.95 $5,310.59 2026-06-22
27337 HCPCS Removal Of Growth Under Skin Of Thigh Or Knee, Less Than 3.0 Cm 16 16 $7,957.00 $6,365.60 $2,227.96 $7,371.84 $5,305.54 2026-06-22
00109170_1 CDM Operating Room Services - General Classification 11 11 $7,504.00 $6,003.20 20% off $2,101.12 $6,378.40 $5,252.80 2026-06-22
57530 HCPCS Amputation Of Cervix 16 16 $8,645.00 $6,916.00 20% off $2,420.60 $10,221.60 $5,241.84 2026-06-22
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 6 6 $5,222.05 $4,177.64 $5,222.05 $5,222.05 $5,222.05 2026-06-22
29823 HCPCS Removal Of Extensive Shoulder Joint Tissue Using An Endoscope 16 16 $11,269.00 $9,015.20 $3,000.00 $9,578.65 $5,205.32 2026-06-22
29830 HCPCS Diagnostic Exam Of Elbow Joint Using An Endoscope 16 16 $13,441.00 $10,752.80 20% off $3,000.00 $11,424.85 $5,205.32 2026-06-22
29845 HCPCS Removal Of Entire Wrist Joint Lining Using An Endoscope 16 16 $11,666.00 $9,332.80 20% off $3,000.00 $9,916.10 $5,205.32 2026-06-22
29875 HCPCS Partial Removal Of Knee Joint Lining Using An Endoscope 16 16 $13,441.00 $10,752.80 20% off $3,000.00 $11,424.85 $5,205.32 2026-06-22
29876 HCPCS Removal Of Joint Lining From Multiple Knee Joint Compartments Using An Endoscope 16 16 $13,441.00 $10,752.80 20% off $3,000.00 $11,424.85 $5,205.32 2026-06-22
29879 HCPCS Repair Of Knee Joint With Drilling And Or Scraping Of Joint Using An Endoscope 16 16 $13,441.00 $10,752.80 20% off $3,000.00 $11,424.85 $5,205.32 2026-06-22
29880 HCPCS Removal Of Both Knee Cartilages Using An Endoscope 16 16 $15,055.00 $12,044.00 20% off $3,000.00 $12,796.75 $5,205.32 2026-06-22
29877 HCPCS Removal Or Shaving Of Knee Joint Cartilage Using An Endoscope 16 16 $13,441.00 $10,752.80 20% off $3,000.00 $11,424.85 $5,205.32 2026-06-22
29873 HCPCS Release Of Ligaments At Outer Side Of Knee Joint Using An Endoscope 16 16 $11,666.00 $9,332.80 20% off $3,000.00 $9,916.10 $5,205.32 2026-06-22
29881 HCPCS Removal Of Knee Cartilage Using An Endoscope 16 16 $13,441.00 $10,752.80 20% off $3,000.00 $11,424.85 $5,205.32 2026-06-22
49507 HCPCS Repair Of Trapped Groin Hernia (5 Years Or Older) 16 16 $7,768.00 $6,214.40 20% off $2,175.04 $7,315.90 $5,204.75 2026-06-22
00109140_1 CDM Operating Room Services - General Classification 11 11 $7,280.00 $5,824.00 20% off $2,038.40 $6,188.00 $5,096.00 2026-06-22
49560 HCPCS Repair Initial Incisional Or Ventral Hernia; Reducible 11 11 $7,768.00 $6,214.40 20% off $2,175.04 $6,602.80 $5,033.66 2026-06-22
29882 HCPCS Repair Of Inside Or Outside Knee Joint Cartilage Using An Endoscope 16 16 $8,065.00 $6,452.00 20% off $2,258.20 $6,855.25 $5,005.54 2026-06-22
29822 HCPCS Limited Removal Of Abnormal Shoulder Joint Tissue Using Endoscope 16 16 $8,055.00 $6,444.00 20% off $2,255.40 $6,846.75 $5,002.30 2026-06-22
00109206_1 CDM Operating Room Services - General Classification 11 11 $7,144.00 $5,715.20 20% off $2,000.32 $6,072.40 $5,000.80 2026-06-22
38500 HCPCS Biopsy Or Removal Of Lymph Nodes 16 16 $11,996.00 $9,596.80 20% off $3,000.00 $10,196.60 $4,998.26 2026-06-22
58565 HCPCS Placement Of Implants To Block Fallopian Tubes Using An Endoscope 16 16 $13,161.00 $10,528.80 20% off $3,000.00 $11,186.85 $4,977.82 2026-06-22
58563 HCPCS Exam Of Uterus With Destruction Of Lining Of Uterus Using An Endoscope 16 16 $13,161.00 $10,528.80 20% off $3,000.00 $11,186.85 $4,977.82 2026-06-22
J3101 HCPCS Injection, Tenecteplase, 1 Mg 16 16 $17,530.00 $14,024.00 20% off $88.08 $14,900.50 $4,908.40 2026-06-22
44950 HCPCS Removal Of Appendix 25 16 $7,561.00 $6,048.80 20% off $1,752.80 $13,228.08 $4,899.53 2026-06-22
00109128_1 CDM Operating Room Services - General Classification 11 11 $6,839.00 $5,471.20 20% off $1,914.92 $5,813.15 $4,787.30 2026-06-22
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 6 6 $4,717.35 $3,773.88 20% off $4,717.35 $4,717.35 $4,717.35 2026-06-22
55040 HCPCS Removal Of Fluid Collection In Testicle And Sperm Reservoir 16 16 $6,936.00 $5,548.80 20% off $1,942.08 $7,315.90 $4,654.30 2026-06-22
44604 HCPCS Suture Of Tear Or Hole In Large Bowel 16 16 $13,234.00 $10,587.20 $0.70 $11,248.90 $4,651.31 2026-06-22
38510 HCPCS Biopsy Or Removal Of Deep Lymph Nodes Of Neck 16 16 $7,237.00 $5,789.60 $2,026.36 $8,000.48 $4,642.10 2026-06-22
540 MS_DRG Osteomyelitis With Cc 6 6 $4,623.33 $3,698.66 20% off $4,623.33 $4,623.33 $4,623.33 2026-06-22
58558 HCPCS Biopsy Of Lining Of Uterus And/or Removal Of Polyp Using An Endoscope 16 16 $6,839.00 $5,471.20 20% off $1,914.92 $6,614.48 $4,503.74 2026-06-22
49572 HCPCS Repair Epigastric Hernia (eg, Preperitoneal Fat); Incarcerated Or Strangulated 11 11 $6,936.00 $5,548.80 20% off $1,942.08 $5,895.60 $4,494.53 2026-06-22
49590 HCPCS Repair Spigelian Hernia 11 11 $6,936.00 $5,548.80 20% off $1,942.08 $5,895.60 $4,494.53 2026-06-22
35206 HCPCS Repair Of Blood Vessel Of Arm 16 16 $7,137.00 $5,709.60 $1,998.36 $6,451.74 $4,458.76 2026-06-22
58600 HCPCS Tying Or Incision Of Fallopian Tubes 16 16 $6,107.00 $4,885.60 $1,709.96 $6,614.48 $4,455.31 2026-06-22
59870 HCPCS Removal Of Abnormal Pregnancy Contents With Scraping Of Uterine Wall 16 16 $6,107.00 $4,885.60 $1,709.96 $6,614.48 $4,455.31 2026-06-22
00109194_1 CDM Operating Room Services - General Classification 11 11 $6,358.00 $5,086.40 20% off $1,780.24 $5,404.30 $4,450.60 2026-06-22
14060 HCPCS Repair Of Wound Of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.0 Sq Cm… 16 16 $7,871.00 $6,296.80 20% off $2,203.88 $6,690.35 $4,445.47 2026-06-22
00109171_1 CDM Operating Room Services - General Classification 11 11 $6,334.00 $5,067.20 20% off $1,773.52 $5,383.90 $4,433.80 2026-06-22
28270 HCPCS Incision Of Joint Capsule Of Foot And Toe 16 16 $8,065.00 $6,452.00 20% off $2,258.20 $6,855.25 $4,403.10 2026-06-22
28208 HCPCS Repair Of Tendon Of Top Side Of Foot 16 16 $10,161.00 $8,128.80 20% off $2,845.08 $8,636.85 $4,403.10 2026-06-22
28200 HCPCS Repair Of Tendon On Sole Of Foot 16 16 $9,799.00 $7,839.20 20% off $2,743.72 $8,329.15 $4,403.10 2026-06-22
28060 HCPCS Partial Removal Of Connective Tissue At Sole Of Foot 16 16 $8,749.00 $6,999.20 20% off $2,449.72 $7,436.65 $4,403.10 2026-06-22
28119 HCPCS Removal Of Heel Bone Spur 16 16 $10,659.00 $8,527.20 $2,984.52 $9,060.15 $4,403.10 2026-06-22
28008 HCPCS Incision Of Connective Tissue Of Foot And/or Toe 16 16 $8,065.00 $6,452.00 20% off $2,258.20 $6,855.25 $4,403.10 2026-06-22
28039 HCPCS Removal (1.5 Centimeters Or Greater) Tissue Growth Beneath The Skin Of Foot Or T… 16 16 $11,846.00 $9,476.80 20% off $3,000.00 $10,069.10 $4,403.10 2026-06-22
49320 HCPCS Diagnostic Exam Of Abdomen Using An Endoscope 16 16 $5,473.00 $4,378.40 20% off $1,532.44 $12,352.94 $4,350.30 2026-06-22
00134316_1 CDM Knee Surgery 11 11 $6,174.71 $4,939.77 $1,728.92 $5,248.50 $4,322.30 2026-06-22
58555 HCPCS Diagnostic Exam Of Uterus Using An Endoscope 16 16 $6,107.00 $4,885.60 $1,709.96 $6,614.48 $4,266.58 2026-06-22
58562 HCPCS Removal Of Foreign Body In Uterus Using An Endoscope 16 16 $6,107.00 $4,885.60 $1,709.96 $6,614.48 $4,266.58 2026-06-22
46250 HCPCS Removal Of Multiple External Hemorrhoids 16 16 $11,948.00 $9,558.40 20% off $3,000.00 $10,155.80 $4,265.14 2026-06-22
46270 HCPCS Repair Of Abnormal Anal Drainage Tract 16 16 $11,948.00 $9,558.40 20% off $3,000.00 $10,155.80 $4,265.14 2026-06-22
00109163_1 CDM Operating Room Services - General Classification 11 11 $6,078.00 $4,862.40 20% off $1,701.84 $5,166.30 $4,254.60 2026-06-22
38525 HCPCS Biopsy Or Removal Of Deep Lymph Nodes Of Underarm 16 16 $6,030.00 $4,824.00 20% off $1,688.40 $8,000.48 $4,251.03 2026-06-22
36561 HCPCS Insertion Of Central Venous Tube With Port (5 Years Or Older) 16 16 $12,363.00 $9,890.40 20% off $3,000.00 $10,508.55 $4,215.76 2026-06-22
44960 HCPCS Removal Of Ruptured Infected Appendix 16 16 $6,260.00 $5,008.00 20% off $0.70 $6,887.41 $4,206.13 2026-06-22
389 MS_DRG Gastrointestinal Obstruction With Cc 6 6 $4,171.41 $3,337.12 20% off $4,171.41 $4,171.41 $4,171.41 2026-06-22
54520 HCPCS Simple Removal Of Testicle 16 16 $14,015.00 $11,212.00 20% off $3,000.00 $11,912.75 $4,161.28 2026-06-22
69150 HCPCS Removal Of Growth Of Ear Canal 16 16 $14,350.00 $11,480.00 20% off $2,997.40 $12,197.50 $4,144.01 2026-06-22
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 7 7 $4,111.14 $3,288.91 20% off $4,111.14 $12,321.14 $4,111.14 2026-06-22
00109182_1 CDM Operating Room Services - General Classification 11 11 $5,840.00 $4,672.00 20% off $1,635.20 $4,964.00 $4,088.00 2026-06-22
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 6 6 $4,086.97 $3,269.58 $4,086.97 $4,086.97 $4,086.97 2026-06-22
28055 HCPCS Removal Of Nerve Of Foot Muscle 16 16 $4,904.00 $3,923.20 20% off $1,373.12 $7,534.37 $4,079.22 2026-06-22
58615 HCPCS Tying Of Fallopian Tubes By Device Through Vagina 16 16 $5,130.00 $4,104.00 20% off $1,436.40 $6,614.48 $4,066.44 2026-06-22
594 MS_DRG Skin Ulcers Without Cc/mcc 6 6 $4,061.29 $3,249.03 20% off $4,061.29 $4,061.29 $4,061.29 2026-06-22
26145 HCPCS Repair Of Tendon, Finger, And/or Palm Of Hand 16 16 $6,711.00 $5,368.80 20% off $1,879.08 $6,144.96 $4,050.72 2026-06-22
46255 HCPCS Removal Of Single External And Internal Hemorrhoid Group 16 16 $6,422.00 $5,137.60 $1,798.16 $5,671.56 $4,041.08 2026-06-22
00109224_1 CDM Operating Room Services - General Classification 11 11 $5,697.00 $4,557.60 $1,595.16 $4,842.45 $3,987.90 2026-06-22
27675 HCPCS Repair Of Dislocating Lower Leg Tendons Without A Cut Through The Lower Leg Bone… 16 16 $13,441.00 $10,752.80 20% off $2,918.12 $11,424.85 $3,960.28 2026-06-22
27062 HCPCS Removal Of Fluid-filled Sac (bursa) Or Calcium Deposit Of Pelvis 16 16 $13,441.00 $10,752.80 20% off $2,918.12 $11,424.85 $3,960.28 2026-06-22
27305 HCPCS Incision Of Connective Tissue Between Thigh And Knee 16 16 $13,441.00 $10,752.80 20% off $2,918.12 $11,424.85 $3,960.28 2026-06-22
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 6 6 $3,942.08 $3,153.66 20% off $3,942.08 $3,942.08 $3,942.08 2026-06-22
51102 HCPCS Aspiration Of Bladder With Insertion Of Bladder Tube To Skin 16 16 $4,734.00 $3,787.20 20% off $1,325.52 $6,424.22 $3,923.26 2026-06-22
00109192_1 CDM Operating Room Services - General Classification 11 11 $5,601.00 $4,480.80 $1,568.28 $4,760.85 $3,920.70 2026-06-22
28090 HCPCS Removal Of Growth Of Tendon Covering Or Joint Capsule Of Foot 16 16 $13,441.00 $10,752.80 20% off $3,000.00 $11,424.85 $3,905.50 2026-06-22
42825 HCPCS Removal Of Tonsils (younger Than 12 Years) 16 16 $12,338.00 $9,870.40 20% off $2,951.02 $12,096.10 $3,889.82 2026-06-22
42820 HCPCS Removal Of Tonsils And Adenoid Glands (younger Than 12 Years) 16 16 $6,438.00 $5,150.40 20% off $1,802.64 $12,096.10 $3,873.76 2026-06-22
42826 HCPCS Removal Of Tonsils (12 Years Or Older) 16 16 $6,438.00 $5,150.40 20% off $1,802.64 $6,774.54 $3,873.76 2026-06-22
24105 HCPCS Removal Of Fluid-filled Sac Of Elbow 16 16 $12,769.00 $10,215.20 $2,918.12 $10,853.65 $3,866.20 2026-06-22
27340 HCPCS Removal Of Fluid-filled Sac From Joint At Front Of Knee 16 16 $12,769.00 $10,215.20 $2,918.12 $10,853.65 $3,866.20 2026-06-22
00130727_1 CDM Curved Intrtuminal Staplers/circular/25m 11 11 $5,513.23 $4,410.58 20% off $1,543.70 $4,686.25 $3,859.26 2026-06-22
00130727_5 CDM Curved Intrtuminal Staplers/circular/25m 11 11 $5,513.23 $4,410.58 20% off $1,543.70 $4,686.25 $3,859.26 2026-06-22
14001 HCPCS Repair Of Wound Of Trunk By Transferring Skin, 10.1-30.0 Sq Cm 16 16 $4,655.00 $3,724.00 20% off $1,303.40 $6,317.82 $3,858.28 2026-06-22
24120 HCPCS Removal Of Cyst Or Growth Of Elbow Or Upper Forearm Bone 16 16 $9,978.00 $7,982.40 20% off $2,793.84 $8,481.30 $3,846.45 2026-06-22
27658 HCPCS Primary Repair Of Tendon On Back Of Leg 16 16 $11,666.00 $9,332.80 20% off $2,918.12 $9,916.10 $3,846.45 2026-06-22
36558 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 16 16 $5,854.00 $4,683.20 20% off $1,639.12 $6,451.74 $3,834.35 2026-06-22
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 6 6 $3,832.77 $3,066.22 $3,832.77 $3,832.77 $3,832.77 2026-06-22
20680 HCPCS Removal Of Deep Implant From Bone 16 16 $13,103.00 $10,482.40 20% off $2,803.33 $11,137.55 $3,831.20 2026-06-22
55250 HCPCS Removal Of Sperm Duct 16 16 $5,993.00 $4,794.40 20% off $1,678.04 $5,094.05 $3,812.26 2026-06-22
46260 HCPCS Removal Of Multiple Hemorrhoid Groups 16 16 $5,637.00 $4,509.60 $1,578.36 $5,671.56 $3,786.74 2026-06-22
00109162_1 CDM Operating Room Services - General Classification 11 11 $5,396.00 $4,316.80 $1,510.88 $4,586.60 $3,777.20 2026-06-22
26117 HCPCS Extensive Removal Of Growth Of Hand Or Finger, Less Than 3.0 Cm 16 16 $4,436.00 $3,548.80 $1,242.08 $7,079.32 $3,770.60 2026-06-22
00109198_1 CDM Operating Room Services - General Classification 11 11 $5,379.00 $4,303.20 20% off $1,506.12 $4,572.15 $3,765.30 2026-06-22
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