Price Transparencybeta Hospital negotiated rates

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

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Hospital

HOSPITAL DAMAS INC

Ponce, PR · CCN 400022 · Rates published

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You selected 93306 (CPT)

ECHO TTHRC R-T 2D W WOM-MODE COMPL SPEC COLR D

This hospital’s price: $66 across 4 payers · range $58-$66

Source: https://hpt.inmediata.com/?handler=DF&d=105CE5E7-9A34-405E-B612-E1037793BF02 · observed 2026-03-25

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.

3,264 distinct procedures filed
10 distinct payers
60,081 rate rows
2026-03-25 last MRF observed
Data quality

16,819 of 60,081 rate rows are consumer-grade (28.0%)

43,262 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 35,892
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 7,364
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 5
exceeds 10× this hospital's gross charge — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hpt.inmediata.com/?handler=DF&d=105CE5E7-9A34-405E-B612-E1037793BF02
Found on page https://hpt.inmediata.com/index?h=105CE5E7-9A34-405E-B612-E1037793BF02
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-24
Content fingerprint 52f14aa9f1b49b48… · 8,797,037 bytes · first seen 2026-05-15

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $35,750.02 $231,270.35 $213,230.87 nat. median
$359,358
0.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $156,835.90 $171,751.69 $156,835.90 nat. median
$249,124
0.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $5,853.58 $167,232.25 $152,553.66 nat. median
$198,433
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $70,863.97 $136,456.82 $123,393.40 nat. median
$190,557
0.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $85,077.74 $123,393.40 $89,331.63 nat. median
$126,722
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $70,863.97 $156,835.90 $74,407.17 nat. median
$103,967
0.7× median
7
MS_DRG 		Lung Transplant 4 $27,994.05 $81,154.02 $70,993.04 nat. median
$117,894
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $15,543.76 $76,233.89 $66,331.12 nat. median
$110,192
0.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $59,901.68 $85,077.74 $62,896.76 nat. median
$94,964
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $15,648.52 $72,018.03 $62,336.52 nat. median
$97,414
0.6× median
215
MS_DRG 		Other Heart Assist System Implant 4 $59,119.19 $68,622.49 $62,075.15 nat. median
$93,917
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $56,170.41 $65,510.38 $58,978.93 nat. median
$90,581
0.7× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $4,638.76 $60,355.69 $51,286.25 nat. median
$71,201
0.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $46,263.19 $57,857.45 $48,919.12 nat. median
$74,460
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $26,655.38 $57,716.96 $48,786.01 nat. median
$77,696
0.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 $46,263.19 $213,230.87 $48,576.35 nat. median
$66,660
0.7× median
CM08239
OTHER 		Mitraclip G4 Cds0701-xtw Ntw Sgc0701 4 $48,300.00 $48,300.00 $48,300.00 nat. median
$48,300
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $18,402.26 $55,797.77 $46,967.55 nat. median
$77,043
0.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $34,428.13 $53,870.03 $45,140.98 nat. median
$71,758
0.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $32,970.23 $53,330.07 $44,629.35 nat. median
$72,473
0.6× median
CM07280
OTHER 		Impella Cp Pump Set US 0048-0003 4 $43,750.00 $43,750.00 $43,750.00 nat. median
$43,750
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 $40,048.47 $152,553.66 $42,050.89 nat. median
$61,329
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $22,445.48 $50,406.09 $41,858.83 nat. median
$68,004
0.6× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 $18,756.46 $49,204.61 $40,720.41 nat. median
$66,649
0.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $3,997.50 $48,771.54 $40,310.07 nat. median
$62,721
0.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $5,286.97 $48,423.98 $39,980.75 nat. median
$59,384
0.7× median
CM04782
OTHER 		Resonate X4 Is4 Df4 60g447 4 $39,900.00 $39,900.00 $39,900.00 nat. median
$39,900
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 4 $5,532.37 $48,207.75 $39,775.87 nat. median
$58,216
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 $28,244.65 $48,098.42 $39,672.27 nat. median
$63,896
0.6× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 $21,170.47 $47,877.30 $39,462.76 nat. median
$53,342
0.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $36,839.82 $56,170.41 $38,681.81 nat. median
$62,038
0.6× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 4 $26,223.62 $46,739.96 $38,385.11 nat. median
$52,841
0.7× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc 4 $35,942.16 $44,161.70 $37,739.27 nat. median
$56,686
0.7× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 4 $35,750.02 $66,331.12 $37,537.52 nat. median
$53,907
0.7× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 $35,543.98 $48,919.12 $37,321.18 nat. median
$51,590
0.7× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 4 $35,398.71 $51,286.25 $37,168.64 nat. median
$49,639
0.7× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $35,161.42 $48,786.01 $36,919.49 nat. median
$55,188
0.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 $35,987.89 $44,209.95 $36,887.58 nat. median
$58,118
0.6× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $20,453.96 $44,380.98 $36,149.94 nat. median
$58,331
0.6× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 4 $34,428.13 $46,967.55 $36,149.53 nat. median
$57,804
0.6× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 4 $35,750.02 $43,958.91 $35,750.02 nat. median
$50,898
0.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 4 $3,414.68 $43,428.72 $35,247.65 nat. median
$61,711
0.6× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 $5,250.51 $43,163.01 $34,995.89 nat. median
$53,879
0.6× median
28
MS_DRG 		Spinal Procedures With Mcc 4 $14,080.66 $43,037.18 $34,876.67 nat. median
$54,505
0.6× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 $10,529.96 $42,878.37 $34,726.19 nat. median
$50,905
0.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $32,970.23 $41,025.15 $34,618.74 nat. median
$59,558
0.6× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 4 $30,083.37 $42,148.45 $34,034.57 nat. median
$55,491
0.6× median
33249
CPT 		Defibrilator Implant 4 $33,600.00 $33,600.00 $33,600.00 nat. median
$31,584
1.1× median
CM04732
OTHER 		Desfibrilador 4 $33,250.00 $33,250.00 $33,250.00 nat. median
$33,250
1.0× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 $11,841.43 $40,942.08 $32,891.52 nat. median
$46,668
0.7× median

Other procedures at this hospital

Browse this hospital's 3,264 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 4 $533,077.18 $426,461.75 $35,750.02 $231,270.35 $213,230.87 2026-03-25
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 5 4 $392,089.76 $313,671.81 $156,835.90 $171,751.69 $156,835.90 2026-03-25
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 4 $381,384.14 $305,107.31 20% off $5,853.58 $167,232.25 $152,553.66 2026-03-25
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 4 $308,483.51 $246,786.81 $70,863.97 $136,456.82 $123,393.40 2026-03-25
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 4 $212,694.36 $170,155.49 $85,077.74 $123,393.40 $89,331.63 2026-03-25
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 4 $177,159.93 $141,727.95 $70,863.97 $156,835.90 $74,407.17 2026-03-25
7 MS_DRG Lung Transplant 5 4 $177,482.59 $141,986.07 20% off $27,994.05 $81,154.02 $70,993.04 2026-03-25
14 MS_DRG Allogeneic Bone Marrow Transplant 5 4 $165,827.81 $132,662.25 $15,543.76 $76,233.89 $66,331.12 2026-03-25
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 5 4 $149,754.19 $119,803.36 $59,901.68 $85,077.74 $62,896.76 2026-03-25
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 5 4 $155,841.30 $124,673.04 20% off $15,648.52 $72,018.03 $62,336.52 2026-03-25
215 MS_DRG Other Heart Assist System Implant 5 4 $147,797.98 $118,238.39 $59,119.19 $68,622.49 $62,075.15 2026-03-25
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 $140,426.03 $112,340.82 20% off $56,170.41 $65,510.38 $58,978.93 2026-03-25
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 4 $128,215.63 $102,572.51 $4,638.76 $60,355.69 $51,286.25 2026-03-25
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 4 $122,297.81 $97,838.25 $46,263.19 $57,857.45 $48,919.12 2026-03-25
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 $121,965.02 $97,572.02 $26,655.38 $57,716.96 $48,786.01 2026-03-25
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 4 $115,657.99 $92,526.39 20% off $46,263.19 $213,230.87 $48,576.35 2026-03-25
CM08239 OTHER Mitraclip G4 Cds0701-xtw Ntw Sgc0701 5 4 $69,000.00 $55,200.00 20% off $48,300.00 $48,300.00 $48,300.00 2026-03-25
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 4 $117,418.86 $93,935.09 $18,402.26 $55,797.77 $46,967.55 2026-03-25
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 4 $112,852.45 $90,281.96 $34,428.13 $53,870.03 $45,140.98 2026-03-25
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 $111,573.39 $89,258.71 20% off $32,970.23 $53,330.07 $44,629.35 2026-03-25
CM07280 OTHER Impella Cp Pump Set US 0048-0003 5 4 $62,500.00 $50,000.00 20% off $43,750.00 $43,750.00 $43,750.00 2026-03-25
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 4 $100,121.17 $80,096.93 20% off $40,048.47 $152,553.66 $42,050.89 2026-03-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 4 $104,647.07 $83,717.66 $22,445.48 $50,406.09 $41,858.83 2026-03-25
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 4 $101,801.02 $81,440.82 $18,756.46 $49,204.61 $40,720.41 2026-03-25
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 4 $100,775.17 $80,620.13 20% off $3,997.50 $48,771.54 $40,310.07 2026-03-25
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 4 $99,951.88 $79,961.50 20% off $5,286.97 $48,423.98 $39,980.75 2026-03-25
CM04782 OTHER Resonate X4 Is4 Df4 60g447 5 4 $57,000.00 $45,600.00 20% off $39,900.00 $39,900.00 $39,900.00 2026-03-25
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 5 4 $99,439.68 $79,551.74 20% off $5,532.37 $48,207.75 $39,775.87 2026-03-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 4 $99,180.68 $79,344.55 $28,244.65 $48,098.42 $39,672.27 2026-03-25
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 5 4 $98,656.91 $78,925.52 20% off $21,170.47 $47,877.30 $39,462.76 2026-03-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 $92,099.55 $73,679.64 20% off $36,839.82 $56,170.41 $38,681.81 2026-03-25
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 4 $95,962.78 $76,770.22 20% off $26,223.62 $46,739.96 $38,385.11 2026-03-25
276 MS_DRG Cardiac Defibrillator Implant With Mcc 5 4 $89,855.41 $71,884.33 $35,942.16 $44,161.70 $37,739.27 2026-03-25
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 5 4 $89,375.04 $71,500.03 20% off $35,750.02 $66,331.12 $37,537.52 2026-03-25
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 4 $88,859.94 $71,087.95 20% off $35,543.98 $48,919.12 $37,321.18 2026-03-25
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 4 $88,496.77 $70,797.42 $35,398.71 $51,286.25 $37,168.64 2026-03-25
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 $87,903.54 $70,322.83 20% off $35,161.42 $48,786.01 $36,919.49 2026-03-25
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 4 $89,969.72 $71,975.77 20% off $35,987.89 $44,209.95 $36,887.58 2026-03-25
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 4 $90,374.85 $72,299.88 20% off $20,453.96 $44,380.98 $36,149.94 2026-03-25
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 4 $86,070.32 $68,856.25 20% off $34,428.13 $46,967.55 $36,149.53 2026-03-25
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 5 4 $89,375.04 $71,500.03 20% off $35,750.02 $43,958.91 $35,750.02 2026-03-25
955 MS_DRG Craniotomy For Multiple Significant Trauma 5 4 $88,119.13 $70,495.30 20% off $3,414.68 $43,428.72 $35,247.65 2026-03-25
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 4 $87,489.73 $69,991.78 20% off $5,250.51 $43,163.01 $34,995.89 2026-03-25
28 MS_DRG Spinal Procedures With Mcc 5 4 $87,191.67 $69,753.33 20% off $14,080.66 $43,037.18 $34,876.67 2026-03-25
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 4 $86,815.47 $69,452.38 $10,529.96 $42,878.37 $34,726.19 2026-03-25
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 $82,425.58 $65,940.46 20% off $32,970.23 $41,025.15 $34,618.74 2026-03-25
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 4 $85,086.43 $68,069.14 20% off $30,083.37 $42,148.45 $34,034.57 2026-03-25
33249 CPT Defibrilator Implant 5 4 $48,000.00 $38,400.00 20% off $33,600.00 $33,600.00 $33,600.00 2026-03-25
CM04732 OTHER Desfibrilador 5 4 $47,500.00 $38,000.00 20% off $33,250.00 $33,250.00 $33,250.00 2026-03-25
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 4 $82,228.80 $65,783.04 20% off $11,841.43 $40,942.08 $32,891.52 2026-03-25
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 4 $82,021.89 $65,617.51 20% off $20,121.75 $40,854.73 $32,808.76 2026-03-25
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 4 $81,948.10 $65,558.48 20% off $16,473.25 $40,823.58 $32,779.24 2026-03-25
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 4 $79,654.76 $63,723.81 $31,861.90 $39,855.44 $32,658.45 2026-03-25
CM08397 OTHER Interstim Neurostimulator 5 4 $46,560.00 $37,248.00 20% off $32,592.00 $32,592.00 $32,592.00 2026-03-25
CM04770 OTHER Emblem MRI-5-icd 5 4 $46,500.00 $37,200.00 20% off $32,550.00 $32,550.00 $32,550.00 2026-03-25
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 5 4 $81,011.95 $64,809.56 20% off $2,962.09 $40,428.38 $32,404.78 2026-03-25
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 5 4 $76,131.56 $60,905.25 $30,452.62 $70,993.04 $31,975.26 2026-03-25
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 $75,884.14 $60,707.31 20% off $30,353.66 $44,629.35 $31,871.34 2026-03-25
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 4 $75,208.44 $60,166.75 20% off $30,083.37 $45,140.98 $31,587.54 2026-03-25
CM04733 OTHER Amplia MRI Dtmb1qq 5 4 $45,000.00 $36,000.00 20% off $31,500.00 $31,500.00 $31,500.00 2026-03-25
CM04767 OTHER Capsurefix Novus Dtma1qq 5 4 $45,000.00 $36,000.00 20% off $31,500.00 $31,500.00 $31,500.00 2026-03-25
CM04761 OTHER Claria Crt-d Dtma1 5 4 $45,000.00 $36,000.00 20% off $31,500.00 $31,500.00 $31,500.00 2026-03-25
653 MS_DRG Major Bladder Procedures With Mcc 5 4 $78,329.40 $62,663.52 20% off $17,388.27 $39,295.93 $31,331.76 2026-03-25
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 4 $75,044.94 $60,035.95 20% off $10,827.45 $37,909.37 $30,017.97 2026-03-25
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 5 4 $74,606.53 $59,685.22 20% off $27,859.20 $37,724.29 $29,842.61 2026-03-25
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 5 4 $70,611.63 $56,489.31 $28,244.65 $36,149.94 $29,656.89 2026-03-25
CM04763 OTHER Accolade MRI Dr Is-1 L331 5 4 $42,000.00 $33,600.00 20% off $29,400.00 $29,400.00 $29,400.00 2026-03-25
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 5 4 $73,488.07 $58,790.46 $15,304.16 $37,252.13 $29,395.23 2026-03-25
6 MS_DRG Liver Transplant Without Mcc 5 4 $69,985.13 $55,988.10 20% off $27,994.05 $59,901.68 $29,393.75 2026-03-25
799 MS_DRG Splenic Procedures With Mcc 4 4 $71,688.13 $57,350.50 20% off $28,675.25 $36,492.28 $29,392.13 2026-03-25
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 5 4 $73,168.31 $58,534.65 $24,068.32 $37,117.14 $29,267.32 2026-03-25
10 MS_DRG Pancreas Transplant 5 4 $69,648.00 $55,718.40 20% off $27,859.20 $35,631.02 $29,252.16 2026-03-25
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 4 $72,904.97 $58,323.98 $26,904.25 $37,005.97 $29,161.99 2026-03-25
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 4 $69,196.57 $55,357.25 20% off $27,678.63 $35,942.16 $29,062.56 2026-03-25
CM04740 OTHER Desfibrilador Unify 5 4 $41,490.00 $33,192.00 20% off $29,043.00 $29,043.00 $29,043.00 2026-03-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 4 $72,334.89 $57,867.91 20% off $15,576.75 $36,765.31 $28,933.96 2026-03-25
471 MS_DRG Cervical Spinal Fusion With Mcc 5 4 $71,173.03 $56,938.43 $10,890.53 $36,274.82 $28,469.21 2026-03-25
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 $67,260.61 $53,808.49 $26,904.25 $34,623.17 $28,249.46 2026-03-25
CM04778 OTHER Cd1411-36c Ellipserv_icd_u_pr 5 4 $40,350.00 $32,280.00 20% off $28,245.00 $28,245.00 $28,245.00 2026-03-25
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 5 4 $66,638.45 $53,310.76 $26,655.38 $35,398.71 $27,988.15 2026-03-25
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 4 $69,549.61 $55,639.69 $23,388.86 $35,589.49 $27,819.84 2026-03-25
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 $65,559.06 $52,447.25 $26,223.62 $35,161.42 $27,534.80 2026-03-25
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 5 4 $68,823.27 $55,058.61 20% off $6,929.50 $35,282.86 $27,529.31 2026-03-25
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 4 $68,588.87 $54,871.09 20% off $8,195.82 $35,183.91 $27,435.55 2026-03-25
CM04773 OTHER Visia MRI Af Dvfb1d4 5 4 $39,000.00 $31,200.00 20% off $27,300.00 $27,300.00 $27,300.00 2026-03-25
CM04771 OTHER Evera Dr MRI Df4 Ddmb1d4 5 4 $39,000.00 $31,200.00 20% off $27,300.00 $27,300.00 $27,300.00 2026-03-25
163 MS_DRG Major Chest Procedures With Mcc 5 4 $68,201.10 $54,560.88 20% off $3,907.79 $35,020.21 $27,280.44 2026-03-25
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 4 $64,537.55 $51,630.04 20% off $25,815.02 $33,473.62 $27,105.77 2026-03-25
CM04765 OTHER Rv Lead 6935m-55cm Tdl463919v 5 4 $38,715.00 $30,972.00 20% off $27,100.50 $27,100.50 $27,100.50 2026-03-25
C1899 HCPCS Desfibrilador Energen 5 4 $38,475.00 $30,780.00 20% off $26,932.50 $26,932.50 $26,932.50 2026-03-25
CM04779 OTHER Cobalt Xt Crt-d Df4 Dtpa2qq 5 4 $37,500.00 $30,000.00 20% off $26,250.00 $26,250.00 $26,250.00 2026-03-25
CM08673 OTHER Spectra Implantable Pulse Generator 5 4 $37,500.00 $30,000.00 20% off $26,250.00 $26,250.00 $26,250.00 2026-03-25
245 MS_DRG Aicd Generator Procedures 5 4 $65,564.85 $52,451.88 20% off $10,588.42 $33,907.30 $26,225.94 2026-03-25
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 4 $65,353.60 $52,282.88 20% off $9,244.54 $33,818.12 $26,141.44 2026-03-25
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 4 $65,138.01 $52,110.41 $7,169.68 $33,727.11 $26,055.20 2026-03-25
CM05045 OTHER Bvs Pump 36fr. 10mm Cannula 5 4 $37,200.00 $29,760.00 20% off $26,040.00 $26,040.00 $26,040.00 2026-03-25
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 5 4 $65,074.35 $52,059.48 $4,403.79 $33,700.23 $26,029.74 2026-03-25
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 4 $64,074.54 $51,259.63 20% off $9,849.34 $33,278.15 $25,629.82 2026-03-25
CM04772 OTHER Perciva Icd Df4-vr D412 5 4 $36,600.00 $29,280.00 20% off $25,620.00 $25,620.00 $25,620.00 2026-03-25
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 5 4 $63,895.12 $51,116.10 $21,928.07 $33,202.41 $25,558.05 2026-03-25
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 4 $63,501.57 $50,801.25 20% off $7,474.11 $33,036.27 $25,400.63 2026-03-25
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 4 $60,170.80 $48,136.64 20% off $24,068.32 $39,672.27 $25,271.74 2026-03-25
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 5 4 $63,112.35 $50,489.88 20% off $4,009.07 $32,871.96 $25,244.94 2026-03-25
901 MS_DRG Wound Debridements For Injuries With Mcc 5 4 $62,618.96 $50,095.17 $4,951.87 $32,663.67 $25,047.58 2026-03-25
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 5 4 $62,257.23 $49,805.79 $14,240.97 $32,510.97 $24,902.89 2026-03-25
791 MS_DRG Prematurity With Major Problems 5 4 $59,289.64 $47,431.71 20% off $23,715.86 $34,726.19 $24,901.65 2026-03-25
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 5 4 $61,908.53 $49,526.82 20% off $7,886.19 $32,363.76 $24,763.41 2026-03-25
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 5 4 $58,524.23 $46,819.38 20% off $23,409.69 $41,858.83 $24,580.18 2026-03-25
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 5 4 $58,472.14 $46,777.71 20% off $23,388.86 $34,034.57 $24,558.30 2026-03-25
793 MS_DRG Full Term Neonate With Major Problems 5 4 $60,904.38 $48,723.50 20% off $14,309.85 $31,939.85 $24,361.75 2026-03-25
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 5 4 $57,946.92 $46,357.53 20% off $23,178.77 $30,691.34 $24,337.70 2026-03-25
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 4 $59,901.68 $47,921.34 20% off $10,553.11 $31,516.56 $23,960.67 2026-03-25
31 MS_DRG Ventricular Shunt Procedures With Mcc 5 4 $59,563.10 $47,650.48 $13,421.45 $31,373.63 $23,825.24 2026-03-25
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 4 $56,113.69 $44,890.95 20% off $22,445.48 $35,247.65 $23,567.75 2026-03-25
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 5 4 $58,712.33 $46,969.86 20% off $10,859.86 $31,014.47 $23,484.93 2026-03-25
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 5 4 $58,085.82 $46,468.65 20% off $7,153.48 $30,749.98 $23,234.33 2026-03-25
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 4 $54,820.16 $43,856.13 $21,928.07 $32,808.76 $23,024.47 2026-03-25
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 4 $57,263.98 $45,811.18 20% off $8,514.14 $30,403.04 $22,905.59 2026-03-25
CM04788 OTHER Cobalt Xt Vr MRI Dvpa2d4 5 4 $32,500.00 $26,000.00 20% off $22,750.00 $22,750.00 $22,750.00 2026-03-25
CM08433 OTHER Protege MRI 16 Chanel Ipg 3771 5 4 $32,400.00 $25,920.00 20% off $22,680.00 $22,680.00 $22,680.00 2026-03-25
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 5 4 $56,586.83 $45,269.46 20% off $8,166.31 $30,117.17 $22,634.73 2026-03-25
34 MS_DRG Carotid Artery Stent Procedures With Mcc 5 4 $56,449.37 $45,159.50 $9,392.70 $30,059.15 $22,579.75 2026-03-25
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 5 4 $56,385.71 $45,108.57 $14,118.85 $30,032.27 $22,554.28 2026-03-25
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 5 4 $56,243.91 $44,995.13 $7,293.54 $29,972.41 $22,497.57 2026-03-25
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 5 4 $55,712.90 $44,570.32 20% off $6,603.65 $29,748.24 $22,285.16 2026-03-25
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 4 $52,926.17 $42,340.94 $21,170.47 $38,385.11 $22,228.99 2026-03-25
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 4 $55,352.62 $44,282.10 $8,781.53 $29,596.15 $22,141.05 2026-03-25
140 MS_DRG Major Head And Neck Procedures With Mcc 5 4 $54,665.34 $43,732.28 $6,873.93 $29,306.01 $21,866.14 2026-03-25
CM08802 OTHER M365sc14160 Wavewriter Alpha 5 4 $30,870.00 $24,696.00 20% off $21,609.00 $21,609.00 $21,609.00 2026-03-25
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 5 4 $53,991.09 $43,192.87 20% off $5,960.65 $29,021.37 $21,596.44 2026-03-25
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 4 $53,856.53 $43,085.22 20% off $12,449.13 $28,964.56 $21,542.61 2026-03-25
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 5 4 $53,817.46 $43,053.97 $10,889.95 $28,948.07 $21,526.98 2026-03-25
CM06746 OTHER Neurostimulator 3058 Interstim 5 4 $30,750.00 $24,600.00 20% off $21,525.00 $21,525.00 $21,525.00 2026-03-25
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 5 4 $53,506.38 $42,805.10 20% off $5,340.22 $28,816.74 $21,402.55 2026-03-25
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 5 4 $50,443.29 $40,354.63 20% off $20,177.32 $30,017.97 $21,186.18 2026-03-25
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 5 4 $52,837.91 $42,270.33 $8,648.99 $28,534.55 $21,135.16 2026-03-25
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 5 4 $50,304.39 $40,243.51 20% off $20,121.75 $35,543.98 $21,127.84 2026-03-25
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 5 4 $52,622.32 $42,097.86 $12,615.24 $28,443.53 $21,048.93 2026-03-25
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 5 4 $50,039.60 $40,031.68 20% off $20,015.84 $27,353.23 $21,016.63 2026-03-25
271 MS_DRG Other Major Cardiovascular Procedures With Cc 5 4 $50,007.77 $40,006.22 $20,003.11 $29,267.32 $21,003.26 2026-03-25
CM04777 OTHER Micra Mc1avr1 5 4 $30,000.00 $24,000.00 20% off $21,000.00 $21,000.00 $21,000.00 2026-03-25
332 MS_DRG Rectal Resection With Mcc 5 4 $52,487.76 $41,990.21 $9,676.87 $28,386.73 $20,995.10 2026-03-25
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 5 4 $52,416.86 $41,933.49 $4,481.92 $28,356.80 $20,966.74 2026-03-25
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 5 4 $52,324.26 $41,859.41 $7,897.76 $28,317.71 $20,929.70 2026-03-25
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 5 4 $49,602.64 $39,682.11 20% off $19,841.06 $34,876.67 $20,833.11 2026-03-25
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 4 $51,816.40 $41,453.12 20% off $10,818.19 $28,103.31 $20,726.56 2026-03-25
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 5 4 $49,278.53 $39,422.83 $19,711.41 $35,987.89 $20,696.98 2026-03-25
335 MS_DRG Peritoneal Adhesiolysis With Mcc 5 4 $51,726.69 $41,381.35 20% off $9,289.68 $28,065.44 $20,690.68 2026-03-25
265 MS_DRG Aicd Lead Procedures 5 4 $51,134.91 $40,907.93 $18,902.31 $27,815.61 $20,453.96 2026-03-25
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 5 4 $51,006.13 $40,804.91 $8,736.96 $27,761.25 $20,402.45 2026-03-25
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 4 $50,093.14 $40,074.51 20% off $7,163.31 $27,375.83 $20,037.26 2026-03-25
CM08205 OTHER Aaa Ceb231010a Endoprosthesis 5 4 $28,602.00 $22,881.60 20% off $20,021.50 $20,021.50 $20,021.50 2026-03-25
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 5 4 $49,991.86 $39,993.49 $8,043.61 $27,333.07 $19,996.74 2026-03-25
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 5 4 $46,891.15 $37,512.92 20% off $18,756.46 $26,024.09 $19,694.28 2026-03-25
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 5 4 $49,054.27 $39,243.41 20% off $10,358.07 $26,937.26 $19,621.71 2026-03-25
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 4 $48,857.49 $39,085.99 20% off $9,463.89 $26,854.19 $19,542.99 2026-03-25
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 5 4 $46,525.08 $37,220.07 $18,610.03 $40,048.47 $19,540.53 2026-03-25
37 MS_DRG Extracranial Procedures With Mcc 5 4 $48,841.57 $39,073.26 $10,465.14 $26,847.47 $19,536.63 2026-03-25
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 5 4 $48,746.08 $38,996.86 20% off $6,811.43 $26,807.15 $19,498.43 2026-03-25
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 4 $46,309.49 $37,047.60 $18,523.80 $25,815.02 $19,449.99 2026-03-25
CM07990 OTHER Ceb231210a Endoprosthesis 5 4 $27,768.00 $22,214.40 $19,437.50 $19,437.50 $19,437.50 2026-03-25
252 MS_DRG Other Vascular Procedures With Mcc 5 4 $48,526.15 $38,820.92 20% off $9,184.35 $26,714.31 $19,410.46 2026-03-25
CM04984 OTHER Bifurcated System 5 4 $27,675.00 $22,140.00 20% off $19,372.50 $19,372.50 $19,372.50 2026-03-25
CM07554 OTHER Bifurcated Graft System 5 4 $27,675.00 $22,140.00 20% off $19,372.50 $19,372.50 $19,372.50 2026-03-25
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 5 4 $48,358.31 $38,686.64 20% off $9,320.93 $26,643.46 $19,343.32 2026-03-25
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 5 4 $46,005.65 $36,804.52 20% off $18,402.26 $29,161.99 $19,322.37 2026-03-25
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 4 $48,178.89 $38,543.11 20% off $15,450.58 $26,567.71 $19,271.56 2026-03-25
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 5 4 $48,118.12 $38,494.50 $8,941.84 $26,542.06 $19,247.25 2026-03-25
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 5 4 $47,967.64 $38,374.11 20% off $10,803.14 $26,478.53 $19,187.06 2026-03-25
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 5 4 $47,660.90 $38,128.72 20% off $14,377.56 $26,349.04 $19,064.36 2026-03-25
264 MS_DRG Other Circulatory System O.r. Procedures 5 4 $47,255.77 $37,804.61 20% off $16,351.13 $26,178.01 $18,902.31 2026-03-25
C1768 HCPCS Bifurcated Stent Graft System 5 4 $27,000.00 $21,600.00 20% off $18,900.00 $18,900.00 $18,900.00 2026-03-25
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 5 4 $47,113.97 $37,691.18 $7,185.31 $26,118.15 $18,845.59 2026-03-25
CM07903 OTHER Aaa Endoprosthesis Rlt231412 5 4 $26,910.00 $21,528.00 20% off $18,837.00 $18,837.00 $18,837.00 2026-03-25
CM07904 OTHER Aaa Endoprosthesis Rlt281416 5 4 $26,910.00 $21,528.00 20% off $18,837.00 $18,837.00 $18,837.00 2026-03-25
500 MS_DRG Soft Tissue Procedures With Mcc 5 4 $46,920.09 $37,536.07 20% off $7,464.85 $26,036.30 $18,768.03 2026-03-25
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 5 4 $46,522.19 $37,217.75 20% off $11,813.07 $25,868.33 $18,608.88 2026-03-25
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 5 4 $46,312.39 $37,049.91 20% off $7,600.28 $25,779.76 $18,524.96 2026-03-25
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 5 4 $43,870.02 $35,096.02 $17,548.01 $24,748.70 $18,425.41 2026-03-25
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 5 4 $45,743.76 $36,595.01 $6,027.79 $25,539.71 $18,297.50 2026-03-25
652 MS_DRG Kidney Transplant 5 4 $43,470.68 $34,776.54 20% off $17,388.27 $24,580.11 $18,257.68 2026-03-25
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 5 4 $45,632.35 $36,505.88 20% off $9,493.98 $25,492.68 $18,252.94 2026-03-25
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 4 $43,427.27 $34,741.82 $17,370.91 $32,779.24 $18,239.45 2026-03-25
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 5 4 $45,397.95 $36,318.36 $12,199.11 $25,393.72 $18,159.18 2026-03-25
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 5 4 $45,218.53 $36,174.83 $7,541.82 $25,317.98 $18,087.41 2026-03-25
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 5 4 $42,952.69 $34,362.15 20% off $17,181.07 $24,361.44 $18,040.13 2026-03-25
472 MS_DRG Cervical Spinal Fusion With Cc 5 4 $42,761.70 $34,209.36 $17,104.68 $28,469.21 $17,959.91 2026-03-25
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 5 4 $42,728.42 $34,182.73 20% off $17,091.37 $25,558.05 $17,945.93 2026-03-25
CM08209 OTHER Aaa Endoprosthesis Rlt231216 5 4 $25,611.00 $20,488.80 20% off $17,927.50 $17,927.50 $17,927.50 2026-03-25
CM08220 OTHER Aaa Rlt261416 Endoprosthesis 5 4 $25,611.00 $20,488.80 20% off $17,927.50 $17,927.50 $17,927.50 2026-03-25
CM08193 OTHER Aaa Endoprosthesis Rlt231218 5 4 $25,611.00 $20,488.80 20% off $17,927.50 $17,927.50 $17,927.50 2026-03-25
CM08227 OTHER Aaa Endosprosthesis Rlt281214 5 4 $25,611.00 $20,488.80 20% off $17,927.50 $17,927.50 $17,927.50 2026-03-25
CM08140 OTHER Aaa Endosprosthesis Rlt261214 5 4 $25,611.00 $20,488.80 20% off $17,927.50 $17,927.50 $17,927.50 2026-03-25
CM08231 OTHER Aaa Endosprosthesis Rlt261218 5 4 $25,611.00 $20,488.80 20% off $17,927.50 $17,927.50 $17,927.50 2026-03-25
665 MS_DRG Prostatectomy With Mcc 5 4 $44,696.20 $35,756.96 $6,144.12 $25,097.48 $17,878.48 2026-03-25
CM04766 OTHER Mc1vr01 5 4 $25,500.00 $20,400.00 20% off $17,850.00 $17,850.00 $17,850.00 2026-03-25
CM08636 OTHER Precision Scs Ii Ipg 5 4 $25,500.00 $20,400.00 20% off $17,850.00 $17,850.00 $17,850.00 2026-03-25
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 5 4 $44,492.19 $35,593.75 20% off $7,846.25 $25,011.35 $17,796.88 2026-03-25
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 5 4 $41,777.80 $33,422.24 20% off $16,711.12 $31,861.90 $17,546.68 2026-03-25
CM08066 OTHER Aaa Endoprosthesis Pla280300 5 4 $24,864.00 $19,891.20 20% off $17,405.00 $17,405.00 $17,405.00 2026-03-25
CM08065 OTHER Aaa Endosprosthesis Rlt281414 5 4 $24,864.00 $19,891.20 20% off $17,405.00 $17,405.00 $17,405.00 2026-03-25
CM07994 OTHER Aaa Rlt351414 Endoprosthesis 5 4 $24,864.00 $19,891.20 20% off $17,405.00 $17,405.00 $17,405.00 2026-03-25
CM07897 OTHER Aaa Rlt261418 Endoprosthesis 5 4 $24,864.00 $19,891.20 20% off $17,405.00 $17,405.00 $17,405.00 2026-03-25
CM07893 OTHER Aaa Rlt231418 Endoprosthesis 5 4 $24,864.00 $19,891.20 20% off $17,405.00 $17,405.00 $17,405.00 2026-03-25
CM07898 OTHER Aaa Rlt Cxt 281412 Endoprosthesis 5 4 $24,864.00 $19,891.20 20% off $17,405.00 $17,405.00 $17,405.00 2026-03-25
CM07889 OTHER Aaa Rlt281418 Endoprosthesisv 5 4 $24,840.00 $19,872.00 20% off $17,388.00 $17,388.00 $17,388.00 2026-03-25
662 MS_DRG Minor Bladder Procedures With Mcc 5 4 $43,359.26 $34,687.41 $6,067.72 $24,533.08 $17,343.71 2026-03-25
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 5 4 $43,323.09 $34,658.47 20% off $8,284.95 $24,517.81 $17,329.24 2026-03-25
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 5 4 $41,183.13 $32,946.50 20% off $16,473.25 $39,462.76 $17,296.91 2026-03-25
CM08703 OTHER Infusion Pump Baclofen 5 4 $24,594.00 $19,675.20 20% off $17,216.00 $17,216.00 $17,216.00 2026-03-25
800 MS_DRG Splenic Procedures With Cc 5 4 $40,769.31 $32,615.45 $16,307.73 $28,675.25 $17,123.11 2026-03-25
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 5 4 $40,646.33 $32,517.06 20% off $16,258.53 $27,819.84 $17,071.46 2026-03-25
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 5 4 $42,667.65 $34,134.12 $10,788.09 $24,241.11 $17,067.06 2026-03-25
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 5 4 $42,311.71 $33,849.37 $6,418.45 $24,090.85 $16,924.68 2026-03-25
570 MS_DRG Skin Debridement With Mcc 5 4 $42,281.32 $33,825.06 $4,343.60 $24,078.02 $16,912.53 2026-03-25
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 5 4 $42,266.86 $33,813.48 20% off $6,450.28 $24,071.91 $16,906.74 2026-03-25
974 MS_DRG HIV With Major Related Condition With Mcc 5 4 $42,198.85 $33,759.08 $13,915.71 $24,043.21 $16,879.54 2026-03-25
CM08685 OTHER Prime Advanced 5 4 $24,000.00 $19,200.00 20% off $16,800.00 $16,800.00 $16,800.00 2026-03-25
CM08604 OTHER Neuroestimulador 37702 5 4 $24,000.00 $19,200.00 20% off $16,800.00 $16,800.00 $16,800.00 2026-03-25
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 5 4 $41,677.97 $33,342.37 20% off $9,058.75 $23,823.31 $16,671.19 2026-03-25
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 5 4 $41,594.05 $33,275.24 20% off $12,883.20 $23,787.88 $16,637.62 2026-03-25
654 MS_DRG Major Bladder Procedures With Cc 5 4 $39,608.90 $31,687.12 20% off $15,843.56 $31,331.76 $16,635.74 2026-03-25
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 5 4 $39,121.29 $31,297.03 20% off $15,648.52 $39,980.75 $16,430.94 2026-03-25
263 MS_DRG Vein Ligation And Stripping 5 4 $40,877.83 $32,702.26 20% off $9,522.34 $23,485.53 $16,351.13 2026-03-25
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 5 4 $38,859.40 $31,087.52 20% off $15,543.76 $23,178.77 $16,320.95 2026-03-25
668 MS_DRG Transurethral Procedures With Mcc 5 4 $40,773.65 $32,618.92 20% off $6,074.67 $23,441.55 $16,309.46 2026-03-25
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 5 4 $38,626.45 $30,901.16 $15,450.58 $22,535.10 $16,223.11 2026-03-25
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 5 4 $40,553.73 $32,442.98 20% off $5,193.79 $23,348.71 $16,221.49 2026-03-25
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 5 4 $38,329.84 $30,663.87 20% off $15,331.94 $32,891.52 $16,098.53 2026-03-25
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 5 4 $38,260.39 $30,608.31 20% off $15,304.16 $22,380.56 $16,069.36 2026-03-25
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 5 4 $39,752.14 $31,801.71 20% off $10,042.07 $23,010.31 $15,900.86 2026-03-25
CM06825 OTHER Kit Advance Xp Ie 720163-01 5 4 $22,665.00 $18,132.00 20% off $15,865.50 $15,865.50 $15,865.50 2026-03-25
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 5 4 $39,650.86 $31,720.69 $8,660.57 $22,967.56 $15,860.34 2026-03-25
963 MS_DRG Other Multiple Significant Trauma With Mcc 5 4 $39,562.60 $31,650.08 $14,656.52 $22,930.30 $15,825.04 2026-03-25
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 5 4 $39,364.37 $31,491.50 $7,675.52 $22,846.61 $15,745.75 2026-03-25
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 5 4 $39,190.74 $31,352.60 $5,735.51 $22,773.32 $15,676.30 2026-03-25
849 MS_DRG Radiotherapy 5 4 $38,941.88 $31,153.50 20% off $4,395.68 $22,668.26 $15,576.75 2026-03-25
503 MS_DRG Foot Procedures With Mcc 5 4 $38,804.42 $31,043.54 $8,002.52 $22,610.23 $15,521.77 2026-03-25
253 MS_DRG Other Vascular Procedures With Cc 5 4 $36,911.88 $29,529.50 20% off $14,764.75 $21,811.28 $15,502.99 2026-03-25
164 MS_DRG Major Chest Procedures With Cc 5 4 $36,901.75 $29,521.40 $14,760.70 $27,280.44 $15,498.73 2026-03-25
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 5 4 $36,641.31 $29,313.05 $14,656.52 $23,409.69 $15,389.35 2026-03-25
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 5 4 $38,373.25 $30,698.60 20% off $4,615.61 $22,428.20 $15,349.30 2026-03-25
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 5 4 $36,134.89 $28,907.91 20% off $14,453.96 $29,395.23 $15,176.65 2026-03-25
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 5 4 $37,778.57 $30,222.86 $8,261.22 $22,177.16 $15,111.43 2026-03-25
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 5 4 $35,969.94 $28,775.96 $14,387.98 $27,435.55 $15,107.38 2026-03-25
792 MS_DRG Prematurity Without Major Problems 5 4 $35,774.61 $28,619.69 $14,309.85 $23,715.86 $15,025.34 2026-03-25
288 MS_DRG Acute And Subacute Endocarditis With Mcc 5 4 $37,518.13 $30,014.50 20% off $6,259.87 $22,067.21 $15,007.25 2026-03-25
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 5 4 $37,458.81 $29,967.04 20% off $8,567.97 $22,042.17 $14,983.52 2026-03-25
619 MS_DRG O.r. Procedures For Obesity With Mcc 5 4 $37,453.02 $29,962.41 20% off $6,722.30 $22,039.72 $14,981.21 2026-03-25
CM06748 OTHER 700 Cx Iz Lgx 5 4 $21,375.00 $17,100.00 20% off $14,962.50 $14,962.50 $14,962.50 2026-03-25
CM06754 OTHER Ams700lgx Penile Prosthesis 5 4 $21,375.00 $17,100.00 20% off $14,962.50 $14,962.50 $14,962.50 2026-03-25
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 5 4 $35,602.43 $28,481.95 $14,240.97 $21,258.49 $14,953.02 2026-03-25
CM08812 OTHER Vertiflex Platform Kit 140-9800 5 4 $21,350.00 $17,080.00 20% off $14,945.00 $14,945.00 $14,945.00 2026-03-25
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 5 4 $35,297.14 $28,237.71 20% off $14,118.85 $21,129.61 $14,824.80 2026-03-25
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 5 4 $35,201.64 $28,161.31 20% off $14,080.66 $21,089.29 $14,784.69 2026-03-25
347 MS_DRG Anal And Stomal Procedures With Mcc 5 4 $36,882.94 $29,506.35 20% off $7,453.27 $21,799.06 $14,753.18 2026-03-25
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 5 4 $34,789.27 $27,831.42 $13,915.71 $39,775.87 $14,611.49 2026-03-25
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 5 4 $34,750.21 $27,800.17 $13,900.08 $20,898.72 $14,595.09 2026-03-25
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 5 4 $36,421.38 $29,137.10 20% off $8,131.00 $21,604.21 $14,568.55 2026-03-25
113 MS_DRG Orbital Procedures With Cc/mcc 5 4 $36,278.13 $29,022.51 $4,875.48 $21,543.74 $14,511.25 2026-03-25
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 5 4 $34,497.00 $27,597.60 20% off $13,798.80 $20,966.74 $14,488.74 2026-03-25
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 5 4 $34,489.77 $27,591.81 20% off $13,795.91 $20,788.77 $14,485.70 2026-03-25
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 5 4 $34,468.06 $27,574.45 $13,787.22 $21,402.55 $14,476.59 2026-03-25
545 MS_DRG Connective Tissue Disorders With Mcc 5 4 $36,074.12 $28,859.30 $4,441.98 $21,457.62 $14,429.65 2026-03-25
330 MS_DRG Major Small And Large Bowel Procedures With Cc 5 4 $34,321.92 $27,457.54 $13,728.77 $26,141.44 $14,415.21 2026-03-25
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 5 4 $35,943.90 $28,755.12 20% off $9,193.03 $21,402.64 $14,377.56 2026-03-25
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 5 4 $34,013.74 $27,210.99 20% off $13,605.49 $26,225.94 $14,285.77 2026-03-25
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 5 4 $35,362.25 $28,289.80 20% off $5,005.70 $21,157.09 $14,144.90 2026-03-25
30 MS_DRG Spinal Procedures Without Cc/mcc 5 4 $33,553.62 $26,842.90 $13,421.45 $20,393.57 $14,092.52 2026-03-25
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 4 $33,527.58 $26,822.06 20% off $13,411.03 $25,400.63 $14,081.58 2026-03-25
35 MS_DRG Carotid Artery Stent Procedures With Cc 5 4 $33,271.48 $26,617.18 20% off $13,308.59 $22,579.75 $13,974.02 2026-03-25
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 5 4 $34,725.61 $27,780.49 $5,647.54 $20,888.33 $13,890.24 2026-03-25
56 MS_DRG Degenerative Nervous System Disorders With Mcc 5 4 $34,638.80 $27,711.04 20% off $6,211.25 $20,851.68 $13,855.52 2026-03-25
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 5 4 $32,954.60 $26,363.68 $13,181.84 $20,140.69 $13,840.93 2026-03-25
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 5 4 $32,740.46 $26,192.37 $13,096.19 $23,234.33 $13,750.99 2026-03-25
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 5 4 $32,345.46 $25,876.37 $12,938.18 $32,404.78 $13,585.09 2026-03-25
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 5 4 $32,307.84 $25,846.27 20% off $12,923.14 $26,055.20 $13,569.29 2026-03-25
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 5 4 $32,296.26 $25,837.01 $12,918.51 $34,995.89 $13,564.43 2026-03-25
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 5 4 $32,276.01 $25,820.81 $12,910.40 $22,285.16 $13,555.92 2026-03-25
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 5 4 $32,208.00 $25,766.40 $12,883.20 $25,244.94 $13,527.36 2026-03-25
CM06726 OTHER Ams700 Cx Penile Prosthesis 5 4 $19,218.76 $15,375.01 $13,453.50 $13,453.50 $13,453.50 2026-03-25
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 5 4 $33,536.26 $26,829.01 $7,750.76 $20,386.24 $13,414.50 2026-03-25
357 MS_DRG Other Digestive System O.r. Procedures With Cc 5 4 $31,785.51 $25,428.41 $12,714.20 $24,763.41 $13,349.91 2026-03-25
397 MS_DRG Appendix Procedures With Mcc 4 4 $32,506.06 $26,004.85 $13,002.43 $19,951.34 $13,327.49 2026-03-25
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 5 4 $31,538.09 $25,230.47 20% off $12,615.24 $19,542.70 $13,246.00 2026-03-25
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 5 4 $32,964.73 $26,371.79 $5,263.82 $20,144.97 $13,185.89 2026-03-25
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 5 4 $31,348.54 $25,078.84 $12,539.42 $19,462.69 $13,166.39 2026-03-25
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 5 4 $32,885.15 $26,308.12 20% off $5,322.86 $20,111.37 $13,154.06 2026-03-25
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 5 4 $31,173.47 $24,938.78 $12,469.39 $21,048.93 $13,092.86 2026-03-25
32 MS_DRG Ventricular Shunt Procedures With Cc 5 4 $31,163.34 $24,930.67 20% off $12,465.34 $23,825.24 $13,088.60 2026-03-25
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 5 4 $31,122.83 $24,898.26 20% off $12,449.13 $19,367.40 $13,071.59 2026-03-25
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 5 4 $32,627.60 $26,102.08 $4,110.35 $20,002.65 $13,051.04 2026-03-25
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 5 4 $32,589.99 $26,071.99 20% off $5,171.22 $19,986.77 $13,035.99 2026-03-25
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 5 4 $31,031.67 $24,825.34 $12,412.67 $24,902.89 $13,033.30 2026-03-25
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 5 4 $30,901.45 $24,721.16 20% off $12,360.58 $25,629.82 $12,978.61 2026-03-25
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 5 4 $30,561.43 $24,449.14 20% off $12,224.57 $19,130.40 $12,835.80 2026-03-25
655 MS_DRG Major Bladder Procedures Without Cc/mcc 5 4 $30,497.77 $24,398.21 20% off $12,199.11 $19,103.53 $12,809.06 2026-03-25
336 MS_DRG Peritoneal Adhesiolysis With Cc 5 4 $30,461.59 $24,369.28 $12,184.64 $20,690.68 $12,793.87 2026-03-25
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 5 4 $31,957.69 $25,566.15 20% off $4,287.46 $19,719.84 $12,783.08 2026-03-25
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 5 4 $31,940.33 $25,552.26 20% off $5,547.42 $19,712.51 $12,776.13 2026-03-25
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