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

BLACK HILLS SURGICAL HOSPITAL LLC

Rapid City, SD · CCN 430091 · Rates published

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You selected 93306 (HCPCS)

US ECHOCARDIOGRAM

This hospital’s price: $491 across 6 payers · range $191-$1,036

Source: https://bhsh.com/wp-content/uploads/2023/03/460440466_black-hills-surgical-hospital_standardcharges.csv · observed 2026-07-15

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

3,826 distinct procedures filed
6 distinct payers
101,642 rate rows
2026-07-15 last MRF observed
Data quality

99,420 of 101,642 rate rows are consumer-grade (97.8%)

2,222 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
placeholder amount (≤ $0.02) — excluded from medians 1,841
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 325
exceeds 10× this hospital's gross charge — excluded from medians 32
exceeds 3× this hospital's gross charge for a DRG stay — excluded 24
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://bhsh.com/wp-content/uploads/2023/03/460440466_black-hills-surgical-hospital_standardcharges.csv
Found on page https://bhsh.com/patient-resources/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 93a6d2d0f88a558c… · 1,018,413 bytes · first seen 2026-05-06

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
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back Severity Level 4 3 $177,165.39 $177,165.39 $177,165.39 nat. median
$82,615
outlier · 2.1×
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 $126,254.95 $126,254.95 $126,254.95 nat. median
$66,842
1.9× median
2204
APR_DRG 		Major Stomach, Esophageal And Duodenal Procedures Severity Level 4 3 $121,624.45 $121,624.45 $121,624.45 nat. median
$51,746
outlier · 2.4×
3033
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back Severity Level 3 3 $120,228.09 $120,228.09 $120,228.09 nat. median
$55,049
outlier · 2.2×
3044
APR_DRG 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back Severity Level 4 3 $113,886.36 $113,886.36 $113,886.36 nat. median
$60,624
1.9× median
6804
APR_DRG 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity L… 3 $100,765.89 $100,765.89 $100,765.89 nat. median
$64,490
1.6× median
6814
APR_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity… 3 $97,671.53 $97,671.53 $97,671.53 nat. median
$68,108
1.4× median
3254
APR_DRG 		Non-elective Or Complex Knee Joint Replacement Severity Level 4 3 $97,586.19 $97,586.19 $97,586.19 nat. median
$30,648
outlier · 3.2×
3094
APR_DRG 		Other Significant Hip And Femur Surgery Severity Level 4 3 $94,900.89 $94,900.89 $94,900.89 nat. median
$34,971
outlier · 2.7×
7114
APR_DRG 		Post-operative, Post-trauma, Other Device Infections With O.r. Procedure Severit… 3 $93,931.23 $93,931.23 $93,931.23 nat. median
$38,334
outlier · 2.5×
3032
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back Severity Level 2 3 $92,874.77 $92,874.77 $92,874.77 nat. median
$40,284
outlier · 2.3×
924
APR_DRG 		Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures Severity L… 3 $90,835.41 $90,835.41 $90,835.41 nat. median
$43,125
outlier · 2.1×
3234
APR_DRG 		Non-elective Or Complex Hip Joint Replacement Severity Level 4 3 $89,093.27 $89,093.27 $89,093.27 nat. median
$25,683
outlier · 3.5×
4034
APR_DRG 		Procedures For Obesity Severity Level 4 3 $87,404.10 $87,404.10 $87,404.10 nat. median
$36,575
outlier · 2.4×
3043
APR_DRG 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back Severity Level 3 3 $86,647.80 $86,647.80 $86,647.80 nat. median
$39,489
outlier · 2.2×
2324
APR_DRG 		Gastric Fundoplication Severity Level 4 3 $82,716.22 $82,716.22 $82,716.22 nat. median
$30,528
outlier · 2.7×
5184
APR_DRG 		Other Female Reproductive System And Related Procedures Severity Level 4 3 $80,292.83 $80,292.83 $80,292.83 nat. median
$32,742
outlier · 2.5×
3214
APR_DRG 		Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures Seve… 3 $78,104.85 $78,104.85 $78,104.85 nat. median
$40,495
1.9× median
3104
APR_DRG 		Vertebral And Intervertebral Spinal Procedures Including Disc Procedures Severit… 3 $77,239.67 $77,239.67 $77,239.67 nat. median
$33,472
outlier · 2.3×
3031
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back Severity Level 1 3 $74,522.00 $74,522.00 $74,522.00 nat. median
$34,194
outlier · 2.2×
3134
APR_DRG 		Knee And Lower Leg Procedures Except Foot Severity Level 4 3 $71,975.00 $71,975.00 $71,975.00 nat. median
$34,695
outlier · 2.1×
3154
APR_DRG 		Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement Severity Lev… 3 $71,435.00 $71,435.00 $71,435.00 nat. median
$38,259
1.9× median
3084
APR_DRG 		Hip And Femur Fracture Repair Severity Level 4 3 $68,066.96 $68,066.96 $68,066.96 nat. median
$28,451
outlier · 2.4×
8503
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 $67,741.78 $67,741.78 $67,741.78 nat. median
$26,403
outlier · 2.6×
2314
APR_DRG 		Major Large Bowel Procedures Severity Level 4 3 $67,499.00 $67,499.00 $67,499.00 nat. median
$31,428
outlier · 2.1×
5194
APR_DRG 		Uterine And Adnexa Procedures For Leiomyoma Severity Level 4 3 $67,441.62 $67,441.62 $67,441.62 nat. median
$32,932
outlier · 2.0×
3224
APR_DRG 		Shoulder And Elbow Joint Replacement Severity Level 4 3 $67,423.96 $67,423.96 $67,423.96 nat. median
$28,205
outlier · 2.4×
3244
APR_DRG 		Elective Hip Joint Replacement Severity Level 4 3 $67,154.70 $67,154.70 $67,154.70 nat. median
$24,538
outlier · 2.7×
3634
APR_DRG 		Breast Procedures Except Mastectomy Severity Level 4 3 $65,272.78 $65,272.78 $65,272.78 nat. median
$25,834
outlier · 2.5×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $20,726.14 $63,824.56 $63,192.63 nat. median
$71,201
0.9× median
2234
APR_DRG 		Other Small And Large Bowel Procedures Severity Level 4 3 $62,833.19 $62,833.19 $62,833.19 nat. median
$34,299
1.8× median
3042
APR_DRG 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back Severity Level 2 3 $61,183.75 $61,183.75 $61,183.75 nat. median
$27,976
outlier · 2.2×
3103
APR_DRG 		Vertebral And Intervertebral Spinal Procedures Including Disc Procedures Severit… 3 $60,877.70 $60,877.70 $60,877.70 nat. median
$19,531
outlier · 3.1×
231
APR_DRG 		Spinal Procedures Severity Level 1 5 $26,791.25 $60,716.66 $60,115.51 nat. median
$14,832
outlier · 4.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $59,926.53 $60,525.80 $59,926.53 nat. median
$77,696
0.8× median
4694
APR_DRG 		Acute Kidney Injury Severity Level 4 3 $59,484.29 $59,484.29 $59,484.29 nat. median
$18,409
outlier · 3.2×
4434
APR_DRG 		Kidney And Urinary Tract Procedures For Non-malignancy Severity Level 4 3 $59,045.81 $59,045.81 $59,045.81 nat. median
$31,504
1.9× median
4834
APR_DRG 		Penis, Testes And Scrotal Procedures Severity Level 4 3 $57,976.10 $57,976.10 $57,976.10 nat. median
$36,374
1.6× median
3264
APR_DRG 		Elective Knee Joint Replacement Severity Level 4 3 $55,258.43 $55,258.43 $55,258.43 nat. median
$22,379
outlier · 2.5×
233
APR_DRG 		Spinal Procedures Severity Level 3 5 $54,519.63 $70,899.41 $55,064.83 nat. median
$29,641
1.9× median
3174
APR_DRG 		Tendon, Muscle And Other Soft Tissue Procedures Severity Level 4 3 $54,394.72 $54,394.72 $54,394.72 nat. median
$31,221
1.7× median
3164
APR_DRG 		Hand And Wrist Procedures Severity Level 4 3 $53,969.48 $53,969.48 $53,969.48 nat. median
$24,920
outlier · 2.2×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion 3 $51,477.46 $51,992.23 $51,477.46 nat. median
$63,648
0.8× median
5134
APR_DRG 		Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma Severity Level… 3 $51,276.82 $51,276.82 $51,276.82 nat. median
$31,313
1.6× median
3253
APR_DRG 		Non-elective Or Complex Knee Joint Replacement Severity Level 3 3 $50,430.76 $50,430.76 $50,430.76 nat. median
$22,178
outlier · 2.3×
6803
APR_DRG 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity L… 3 $50,380.74 $50,380.74 $50,380.74 nat. median
$28,616
1.8× median
4824
APR_DRG 		Transurethral Prostatectomy Severity Level 4 3 $49,703.89 $49,703.89 $49,703.89 nat. median
$22,023
outlier · 2.3×
3213
APR_DRG 		Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures Seve… 3 $49,190.37 $49,190.37 $49,190.37 nat. median
$27,445
1.8× median
3041
APR_DRG 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back Severity Level 1 3 $49,181.54 $49,181.54 $49,181.54 nat. median
$22,805
outlier · 2.2×
3223
APR_DRG 		Shoulder And Elbow Joint Replacement Severity Level 3 3 $48,545.90 $48,545.90 $48,545.90 nat. median
$22,170
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 3,826 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
             
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back Severity Level 4 3 3 $1.00 $0.60 40% off $177,165.39 $177,165.39 $177,165.39 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 $1.00 $0.60 40% off $126,254.95 $126,254.95 $126,254.95 2026-07-15
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures Severity Level 4 3 3 $1.00 $0.60 40% off $121,624.45 $121,624.45 $121,624.45 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back Severity Level 3 3 3 $1.00 $0.60 40% off $120,228.09 $120,228.09 $120,228.09 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back Severity Level 4 3 3 $1.00 $0.60 40% off $113,886.36 $113,886.36 $113,886.36 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity L… 3 3 $1.00 $0.60 40% off $100,765.89 $100,765.89 $100,765.89 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity … 3 3 $1.00 $0.60 40% off $97,671.53 $97,671.53 $97,671.53 2026-07-15
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement Severity Level 4 3 3 $1.00 $0.60 40% off $97,586.19 $97,586.19 $97,586.19 2026-07-15
3094 APR_DRG Other Significant Hip And Femur Surgery Severity Level 4 3 3 $1.00 $0.60 40% off $94,900.89 $94,900.89 $94,900.89 2026-07-15
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure Severit… 3 3 $1.00 $0.60 40% off $93,931.23 $93,931.23 $93,931.23 2026-07-15
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back Severity Level 2 3 3 $1.00 $0.60 40% off $92,874.77 $92,874.77 $92,874.77 2026-07-15
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures Severity L… 3 3 $1.00 $0.60 40% off $90,835.41 $90,835.41 $90,835.41 2026-07-15
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement Severity Level 4 3 3 $1.00 $0.60 40% off $89,093.27 $89,093.27 $89,093.27 2026-07-15
4034 APR_DRG Procedures For Obesity Severity Level 4 3 3 $1.00 $0.60 40% off $87,404.10 $87,404.10 $87,404.10 2026-07-15
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back Severity Level 3 3 3 $1.00 $0.60 40% off $86,647.80 $86,647.80 $86,647.80 2026-07-15
2324 APR_DRG Gastric Fundoplication Severity Level 4 3 3 $1.00 $0.60 40% off $82,716.22 $82,716.22 $82,716.22 2026-07-15
5184 APR_DRG Other Female Reproductive System And Related Procedures Severity Level 4 3 3 $1.00 $0.60 40% off $80,292.83 $80,292.83 $80,292.83 2026-07-15
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures Seve… 3 3 $1.00 $0.60 40% off $78,104.85 $78,104.85 $78,104.85 2026-07-15
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures Severit… 3 3 $1.00 $0.60 40% off $77,239.67 $77,239.67 $77,239.67 2026-07-15
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back Severity Level 1 3 3 $1.00 $0.60 40% off $74,522.00 $74,522.00 $74,522.00 2026-07-15
3134 APR_DRG Knee And Lower Leg Procedures Except Foot Severity Level 4 3 3 $1.00 $0.60 40% off $71,975.00 $71,975.00 $71,975.00 2026-07-15
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement Severity Lev… 3 3 $1.00 $0.60 40% off $71,435.00 $71,435.00 $71,435.00 2026-07-15
3084 APR_DRG Hip And Femur Fracture Repair Severity Level 4 3 3 $1.00 $0.60 40% off $68,066.96 $68,066.96 $68,066.96 2026-07-15
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 $1.00 $0.60 40% off $67,741.78 $67,741.78 $67,741.78 2026-07-15
2314 APR_DRG Major Large Bowel Procedures Severity Level 4 3 3 $1.00 $0.60 40% off $67,499.00 $67,499.00 $67,499.00 2026-07-15
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma Severity Level 4 3 3 $1.00 $0.60 40% off $67,441.62 $67,441.62 $67,441.62 2026-07-15
3224 APR_DRG Shoulder And Elbow Joint Replacement Severity Level 4 3 3 $1.00 $0.60 40% off $67,423.96 $67,423.96 $67,423.96 2026-07-15
3244 APR_DRG Elective Hip Joint Replacement Severity Level 4 3 3 $1.00 $0.60 40% off $67,154.70 $67,154.70 $67,154.70 2026-07-15
3634 APR_DRG Breast Procedures Except Mastectomy Severity Level 4 3 3 $1.00 $0.60 40% off $65,272.78 $65,272.78 $65,272.78 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 7 5 $108,484.38 $65,090.63 40% off $20,726.14 $63,824.56 $63,192.63 2026-07-15
2234 APR_DRG Other Small And Large Bowel Procedures Severity Level 4 3 3 $1.00 $0.60 40% off $62,833.19 $62,833.19 $62,833.19 2026-07-15
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back Severity Level 2 3 3 $1.00 $0.60 40% off $61,183.75 $61,183.75 $61,183.75 2026-07-15
3103 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures Severit… 3 3 $1.00 $0.60 40% off $60,877.70 $60,877.70 $60,877.70 2026-07-15
231 APR_DRG Spinal Procedures Severity Level 1 7 5 $1.00 $0.60 40% off $26,791.25 $60,716.66 $60,115.51 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 $100,123.02 $60,073.81 40% off $59,926.53 $60,525.80 $59,926.53 2026-07-15
4694 APR_DRG Acute Kidney Injury Severity Level 4 3 3 $1.00 $0.60 40% off $59,484.29 $59,484.29 $59,484.29 2026-07-15
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy Severity Level 4 3 3 $1.00 $0.60 40% off $59,045.81 $59,045.81 $59,045.81 2026-07-15
4834 APR_DRG Penis, Testes And Scrotal Procedures Severity Level 4 3 3 $1.00 $0.60 40% off $57,976.10 $57,976.10 $57,976.10 2026-07-15
3264 APR_DRG Elective Knee Joint Replacement Severity Level 4 3 3 $1.00 $0.60 40% off $55,258.43 $55,258.43 $55,258.43 2026-07-15
233 APR_DRG Spinal Procedures Severity Level 3 7 5 $1.00 $0.60 40% off $54,519.63 $70,899.41 $55,064.83 2026-07-15
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures Severity Level 4 3 3 $1.00 $0.60 40% off $54,394.72 $54,394.72 $54,394.72 2026-07-15
3164 APR_DRG Hand And Wrist Procedures Severity Level 4 3 3 $1.00 $0.60 40% off $53,969.48 $53,969.48 $53,969.48 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion 4 3 $1.00 $0.60 40% off $51,477.46 $51,992.23 $51,477.46 2026-07-15
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma Severity Level… 3 3 $1.00 $0.60 40% off $51,276.82 $51,276.82 $51,276.82 2026-07-15
3253 APR_DRG Non-elective Or Complex Knee Joint Replacement Severity Level 3 3 3 $1.00 $0.60 40% off $50,430.76 $50,430.76 $50,430.76 2026-07-15
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity L… 3 3 $1.00 $0.60 40% off $50,380.74 $50,380.74 $50,380.74 2026-07-15
4824 APR_DRG Transurethral Prostatectomy Severity Level 4 3 3 $1.00 $0.60 40% off $49,703.89 $49,703.89 $49,703.89 2026-07-15
3213 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures Seve… 3 3 $1.00 $0.60 40% off $49,190.37 $49,190.37 $49,190.37 2026-07-15
3041 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back Severity Level 1 3 3 $1.00 $0.60 40% off $49,181.54 $49,181.54 $49,181.54 2026-07-15
3223 APR_DRG Shoulder And Elbow Joint Replacement Severity Level 3 3 3 $1.00 $0.60 40% off $48,545.90 $48,545.90 $48,545.90 2026-07-15
3133 APR_DRG Knee And Lower Leg Procedures Except Foot Severity Level 3 3 3 $1.00 $0.60 40% off $48,203.06 $48,203.06 $48,203.06 2026-07-15
8502 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 $1.00 $0.60 40% off $47,832.27 $47,832.27 $47,832.27 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 3 $78,601.05 $47,160.63 40% off $47,296.43 $47,769.39 $47,296.43 2026-07-15
2344 APR_DRG Appendectomy Without Complex Principal Diagnosis Severity Level 4 3 3 $1.00 $0.60 40% off $45,851.77 $45,851.77 $45,851.77 2026-07-15
5174 APR_DRG Dilation And Curettage For Non-obstetric Diagnoses Severity Level 4 3 3 $1.00 $0.60 40% off $45,332.36 $45,332.36 $45,332.36 2026-07-15
454 MS_DRG Combined Anterior/posterior Spinal Fusion With Cc 7 5 $107,394.71 $64,436.83 40% off $43,616.71 $45,866.48 $44,052.88 2026-07-15
64568 HCPCS Incision For Implantation Of Sleep Apnea 8 6 $48,583.45 $29,150.07 40% off $29,150.07 $44,541.49 $43,912.79 2026-07-15
232 APR_DRG Spinal Procedures Severity Level 2 7 5 $1.00 $0.60 40% off $36,056.66 $43,666.10 $43,233.76 2026-07-15
2203 APR_DRG Major Stomach, Esophageal And Duodenal Procedures Severity Level 3 3 3 $1.00 $0.60 40% off $43,014.91 $43,014.91 $43,014.91 2026-07-15
3083 APR_DRG Hip And Femur Fracture Repair Severity Level 3 3 3 $1.00 $0.60 40% off $42,555.83 $42,555.83 $42,555.83 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 $71,536.08 $42,921.65 40% off $42,524.21 $42,949.45 $42,524.21 2026-07-15
3093 APR_DRG Other Significant Hip And Femur Surgery Severity Level 3 3 3 $1.00 $0.60 40% off $42,245.37 $42,245.37 $42,245.37 2026-07-15
3633 APR_DRG Breast Procedures Except Mastectomy Severity Level 3 3 3 $1.00 $0.60 40% off $42,179.15 $42,179.15 $42,179.15 2026-07-15
3212 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures Seve… 3 3 $1.00 $0.60 40% off $41,764.22 $41,764.22 $41,764.22 2026-07-15
3233 APR_DRG Non-elective Or Complex Hip Joint Replacement Severity Level 3 3 3 $1.00 $0.60 40% off $41,643.56 $41,643.56 $41,643.56 2026-07-15
6813 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity … 3 3 $1.00 $0.60 40% off $41,097.67 $41,097.67 $41,097.67 2026-07-15
3252 APR_DRG Non-elective Or Complex Knee Joint Replacement Severity Level 2 3 3 $1.00 $0.60 40% off $40,984.38 $40,984.38 $40,984.38 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 5 $62,112.96 $37,267.78 40% off $15,618.91 $41,050.86 $40,644.41 2026-07-15
4624 APR_DRG Nephritis And Nephrosis Severity Level 4 3 3 $1.00 $0.60 40% off $40,313.42 $40,313.42 $40,313.42 2026-07-15
3251 APR_DRG Non-elective Or Complex Knee Joint Replacement Severity Level 1 3 3 $1.00 $0.60 40% off $39,492.38 $39,492.38 $39,492.38 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 5 $61,457.65 $36,874.59 40% off $38,955.74 $128,854.91 $39,345.29 2026-07-15
234 APR_DRG Spinal Procedures Severity Level 4 7 5 $1.00 $0.60 40% off $38,955.74 $128,854.91 $39,345.29 2026-07-15
3243 APR_DRG Elective Hip Joint Replacement Severity Level 3 3 3 $1.00 $0.60 40% off $38,690.46 $38,690.46 $38,690.46 2026-07-15
7214 APR_DRG Post-operative, Post-traumatic, Other Device Infections Severity Level 4 3 3 $1.00 $0.60 40% off $37,276.45 $37,276.45 $37,276.45 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 3 $62,154.43 $37,292.66 40% off $37,120.88 $37,492.09 $37,120.88 2026-07-15
2313 APR_DRG Major Large Bowel Procedures Severity Level 3 3 3 $1.00 $0.60 40% off $36,908.60 $36,908.60 $36,908.60 2026-07-15
912 APR_DRG Other Major Head And Neck Procedures Severity Level 2 3 3 $1.00 $0.60 40% off $36,899.77 $36,899.77 $36,899.77 2026-07-15
3263 APR_DRG Elective Knee Joint Replacement Severity Level 3 3 3 $1.00 $0.60 40% off $36,829.14 $36,829.14 $36,829.14 2026-07-15
69930 HCPCS Cochlear Implant W/wo Mastoidectomy 24 6 $66,651.70 $39,991.02 40% off $33,012.55 $59,986.53 $36,666.85 2026-07-15
5183 APR_DRG Other Female Reproductive System And Related Procedures Severity Level 3 3 3 $1.00 $0.60 40% off $36,614.32 $36,614.32 $36,614.32 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 3 $60,657.78 $36,394.67 40% off $35,566.28 $35,921.94 $35,566.28 2026-07-15
8134 APR_DRG Other Complications Of Treatment Severity Level 4 3 3 $1.00 $0.60 40% off $34,610.27 $34,610.27 $34,610.27 2026-07-15
6802 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity L… 3 3 $1.00 $0.60 40% off $34,491.09 $34,491.09 $34,491.09 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 7 5 $59,688.45 $35,813.07 40% off $10,176.20 $34,778.89 $34,434.54 2026-07-15
3222 APR_DRG Shoulder And Elbow Joint Replacement Severity Level 2 3 3 $1.00 $0.60 40% off $33,906.94 $33,906.94 $33,906.94 2026-07-15
2323 APR_DRG Gastric Fundoplication Severity Level 3 3 3 $1.00 $0.60 40% off $33,899.58 $33,899.58 $33,899.58 2026-07-15
3232 APR_DRG Non-elective Or Complex Hip Joint Replacement Severity Level 2 3 3 $1.00 $0.60 40% off $33,611.19 $33,611.19 $33,611.19 2026-07-15
981 APR_DRG Other Ear, Nose, Mouth And Throat Procedures Severity Level 1 7 5 $1.00 $0.60 40% off $12,159.65 $33,792.87 $33,458.29 2026-07-15
3153 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement Severity Lev… 3 3 $1.00 $0.60 40% off $33,344.87 $33,344.87 $33,344.87 2026-07-15
2233 APR_DRG Other Small And Large Bowel Procedures Severity Level 3 3 3 $1.00 $0.60 40% off $33,324.27 $33,324.27 $33,324.27 2026-07-15
3211 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures Seve… 3 3 $1.00 $0.60 40% off $33,031.46 $33,031.46 $33,031.46 2026-07-15
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 4 3 $58,687.42 $35,212.45 40% off $32,843.57 $33,172.01 $32,843.57 2026-07-15
3173 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures Severity Level 3 3 3 $1.00 $0.60 40% off $31,866.11 $31,866.11 $31,866.11 2026-07-15
4833 APR_DRG Penis, Testes And Scrotal Procedures Severity Level 3 3 3 $1.00 $0.60 40% off $31,804.31 $31,804.31 $31,804.31 2026-07-15
2202 APR_DRG Major Stomach, Esophageal And Duodenal Procedures Severity Level 2 3 3 $1.00 $0.60 40% off $31,502.67 $31,502.67 $31,502.67 2026-07-15
33249 HCPCS Insertion Of Permanent Defibrillator 8 6 $34,578.28 $20,746.97 40% off $20,746.97 $31,741.63 $31,273.90 2026-07-15
3132 APR_DRG Knee And Lower Leg Procedures Except Foot Severity Level 2 3 3 $1.00 $0.60 40% off $31,184.85 $31,184.85 $31,184.85 2026-07-15
3221 APR_DRG Shoulder And Elbow Joint Replacement Severity Level 1 3 3 $1.00 $0.60 40% off $31,120.11 $31,120.11 $31,120.11 2026-07-15
8501 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 $1.00 $0.60 40% off $31,040.65 $31,040.65 $31,040.65 2026-07-15
4704 APR_DRG Chronic Kidney Disease Severity Level 4 3 3 $1.00 $0.60 40% off $30,897.93 $30,897.93 $30,897.93 2026-07-15
61885 HCPCS Insertion Or Replacement Cranial Neu 8 6 $37,507.70 $22,504.62 40% off $22,504.62 $33,756.93 $30,895.54 2026-07-15
7113 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure Severit… 3 3 $1.00 $0.60 40% off $30,709.59 $30,709.59 $30,709.59 2026-07-15
3242 APR_DRG Elective Hip Joint Replacement Severity Level 2 3 3 $1.00 $0.60 40% off $30,405.01 $30,405.01 $30,405.01 2026-07-15
448 MS_DRG Multiple Level Spianl Fusion Except Cervial Without Mcc 4 3 $1.00 $0.60 40% off $30,242.10 $30,544.52 $30,242.10 2026-07-15
3514 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Severity Level 4 3 3 $1.00 $0.60 40% off $30,237.27 $30,237.27 $30,237.27 2026-07-15
5193 APR_DRG Uterine And Adnexa Procedures For Leiomyoma Severity Level 3 3 3 $1.00 $0.60 40% off $29,984.19 $29,984.19 $29,984.19 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 $57,035.23 $34,221.14 40% off $29,755.75 $30,053.31 $29,755.75 2026-07-15
3163 APR_DRG Hand And Wrist Procedures Severity Level 3 3 3 $1.00 $0.60 40% off $29,301.46 $29,301.46 $29,301.46 2026-07-15
5133 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma Severity Level… 3 3 $1.00 $0.60 40% off $29,051.32 $29,051.32 $29,051.32 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion 7 5 $1.00 $0.60 40% off $23,941.15 $28,957.80 $28,671.10 2026-07-15
6812 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity … 3 3 $1.00 $0.60 40% off $28,281.78 $28,281.78 $28,281.78 2026-07-15
L8614 HCPCS Ab Cochlear Dual Processor 32 6 $40,562.44 $24,337.47 40% off $13,755.73 $42,540.10 $28,064.40 2026-07-15
3262 APR_DRG Elective Knee Joint Replacement Severity Level 2 3 3 $1.00 $0.60 40% off $28,033.11 $28,033.11 $28,033.11 2026-07-15
4823 APR_DRG Transurethral Prostatectomy Severity Level 3 3 3 $1.00 $0.60 40% off $27,949.24 $27,949.24 $27,949.24 2026-07-15
4703 APR_DRG Chronic Kidney Disease Severity Level 3 3 3 $1.00 $0.60 40% off $27,853.60 $27,853.60 $27,853.60 2026-07-15
3082 APR_DRG Hip And Femur Fracture Repair Severity Level 2 3 3 $1.00 $0.60 40% off $27,716.76 $27,716.76 $27,716.76 2026-07-15
4623 APR_DRG Nephritis And Nephrosis Severity Level 3 3 3 $1.00 $0.60 40% off $27,401.88 $27,401.88 $27,401.88 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 3 $45,808.54 $27,485.12 40% off $27,378.92 $27,652.71 $27,378.92 2026-07-15
4033 APR_DRG Procedures For Obesity Severity Level 3 3 3 $1.00 $0.60 40% off $27,337.14 $27,337.14 $27,337.14 2026-07-15
64582 HCPCS Incision For Implantation Of Sleep Apnea 15 6 $45,095.22 $27,057.13 40% off $665.09 $40,585.70 $27,057.13 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 3 $44,173.24 $26,503.94 40% off $26,651.53 $26,918.04 $26,651.53 2026-07-15
492 MS_DRG Lower Level Extremity And Humerus Procedures Except Hip, Foot And 7 5 $1.00 $0.60 40% off $26,183.00 $29,099.88 $26,444.83 2026-07-15
4433 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy Severity Level 3 3 3 $1.00 $0.60 40% off $26,185.03 $26,185.03 $26,185.03 2026-07-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 3 $47,993.65 $28,796.19 40% off $26,085.31 $26,346.16 $26,085.31 2026-07-15
3231 APR_DRG Non-elective Or Complex Hip Joint Replacement Severity Level 1 3 3 $1.00 $0.60 40% off $26,043.78 $26,043.78 $26,043.78 2026-07-15
2312 APR_DRG Major Large Bowel Procedures Severity Level 2 3 3 $1.00 $0.60 40% off $25,811.30 $25,811.30 $25,811.30 2026-07-15
3632 APR_DRG Breast Procedures Except Mastectomy Severity Level 2 3 3 $1.00 $0.60 40% off $25,483.18 $25,483.18 $25,483.18 2026-07-15
5804 APR_DRG Neonate, Transferred < 5 Days Old, Not Born Here Severity Level 4 3 3 $1.00 $0.60 40% off $25,258.05 $25,258.05 $25,258.05 2026-07-15
3241 APR_DRG Elective Hip Joint Replacement Severity Level 1 3 3 $1.00 $0.60 40% off $25,212.44 $25,212.44 $25,212.44 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 3 $42,966.91 $25,780.15 40% off $25,148.98 $25,400.46 $25,148.98 2026-07-15
4684 APR_DRG Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms Severity Level 4 3 3 $1.00 $0.60 40% off $25,132.98 $25,132.98 $25,132.98 2026-07-15
6801 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity L… 3 3 $1.00 $0.60 40% off $25,062.36 $25,062.36 $25,062.36 2026-07-15
911 APR_DRG Other Major Head And Neck Procedures Severity Level 1 3 3 $1.00 $0.60 40% off $24,719.52 $24,719.52 $24,719.52 2026-07-15
1414 APR_DRG Asthma Severity Level 4 3 3 $1.00 $0.60 40% off $24,643.01 $24,643.01 $24,643.01 2026-07-15
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures Severity Level 4 7 5 $1.00 $0.60 40% off $24,323.89 $69,695.80 $24,567.13 2026-07-15
5604 APR_DRG Vaginal Delivery Severity Level 4 3 3 $1.00 $0.60 40% off $24,448.78 $24,448.78 $24,448.78 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 3 $40,498.56 $24,299.14 40% off $24,328.88 $24,572.17 $24,328.88 2026-07-15
5664 APR_DRG Antepartum Without O.r. Procedure Severity Level 4 3 3 $1.00 $0.60 40% off $24,007.36 $24,007.36 $24,007.36 2026-07-15
3152 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement Severity Lev… 3 3 $1.00 $0.60 40% off $23,969.11 $23,969.11 $23,969.11 2026-07-15
3261 APR_DRG Elective Knee Joint Replacement Severity Level 1 3 3 $1.00 $0.60 40% off $23,945.56 $23,945.56 $23,945.56 2026-07-15
2322 APR_DRG Gastric Fundoplication Severity Level 2 3 3 $1.00 $0.60 40% off $23,844.04 $23,844.04 $23,844.04 2026-07-15
2232 APR_DRG Other Small And Large Bowel Procedures Severity Level 2 3 3 $1.00 $0.60 40% off $23,159.84 $23,159.84 $23,159.84 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 3 $1.00 $0.60 40% off $23,094.47 $23,325.42 $23,094.47 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 7 5 $1.00 $0.60 40% off $9,840.72 $23,267.07 $23,036.70 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 3 $38,524.35 $23,114.61 40% off $23,013.17 $23,243.31 $23,013.17 2026-07-15
3131 APR_DRG Knee And Lower Leg Procedures Except Foot Severity Level 1 3 3 $1.00 $0.60 40% off $23,002.40 $23,002.40 $23,002.40 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 5 $35,398.32 $21,238.99 40% off $22,211.62 $35,440.14 $22,433.74 2026-07-15
3172 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures Severity Level 2 3 3 $1.00 $0.60 40% off $22,278.47 $22,278.47 $22,278.47 2026-07-15
3092 APR_DRG Other Significant Hip And Femur Surgery Severity Level 2 3 3 $1.00 $0.60 40% off $22,241.68 $22,241.68 $22,241.68 2026-07-15
5173 APR_DRG Dilation And Curettage For Non-obstetric Diagnoses Severity Level 3 3 3 $1.00 $0.60 40% off $22,144.57 $22,144.57 $22,144.57 2026-07-15
3102 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures Severit… 3 3 $1.00 $0.60 40% off $22,090.13 $22,090.13 $22,090.13 2026-07-15
2311 APR_DRG Major Large Bowel Procedures Severity Level 1 3 3 $1.00 $0.60 40% off $21,875.30 $21,875.30 $21,875.30 2026-07-15
2343 APR_DRG Appendectomy Without Complex Principal Diagnosis Severity Level 3 3 3 $1.00 $0.60 40% off $21,692.85 $21,692.85 $21,692.85 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 4 3 $38,292.09 $22,975.25 40% off $21,630.43 $21,846.74 $21,630.43 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices 4 3 $1.00 $0.60 40% off $21,513.48 $21,728.62 $21,513.48 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 7 5 $36,391.35 $21,834.81 40% off $11,663.79 $21,219.39 $21,009.30 2026-07-15
3513 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Severity Level 3 3 3 $1.00 $0.60 40% off $20,911.54 $20,911.54 $20,911.54 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 3 $35,147.10 $21,088.26 40% off $20,768.27 $20,975.95 $20,768.27 2026-07-15
54405 HCPCS Ins Multicomponent Inflat Penile Pro 8 6 $28,634.23 $17,180.54 40% off $17,180.54 $25,770.81 $20,751.54 2026-07-15
54410 HCPCS Remv W/replace Inflat Penile Prosthe 8 6 $28,634.23 $17,180.54 40% off $17,180.54 $25,770.81 $20,751.54 2026-07-15
53445 HCPCS Insert Inflatable Urethral/bladder N 8 6 $28,634.23 $17,180.54 40% off $17,180.54 $25,770.81 $20,751.54 2026-07-15
4693 APR_DRG Acute Kidney Injury Severity Level 3 3 3 $1.00 $0.60 40% off $20,562.82 $20,562.82 $20,562.82 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 7 5 $35,777.52 $21,466.51 40% off $7,330.51 $20,672.73 $20,468.04 2026-07-15
4832 APR_DRG Penis, Testes And Scrotal Procedures Severity Level 2 3 3 $1.00 $0.60 40% off $20,418.62 $20,418.62 $20,418.62 2026-07-15
7213 APR_DRG Post-operative, Post-traumatic, Other Device Infections Severity Level 3 3 3 $1.00 $0.60 40% off $20,417.15 $20,417.15 $20,417.15 2026-07-15
3091 APR_DRG Other Significant Hip And Femur Surgery Severity Level 1 3 3 $1.00 $0.60 40% off $20,346.52 $20,346.52 $20,346.52 2026-07-15
503 MS_DRG Foot Procedures With Mcc 7 5 $30,019.60 $18,011.76 40% off $19,903.97 $36,139.06 $20,103.00 2026-07-15
7112 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure Severit… 3 3 $1.00 $0.60 40% off $19,837.41 $19,837.41 $19,837.41 2026-07-15
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 7 5 $28,865.36 $17,319.22 40% off $18,136.48 $19,964.71 $19,767.04 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 4 3 $35,218.69 $21,131.21 40% off $19,596.60 $19,792.57 $19,596.60 2026-07-15
64590 HCPCS Insert/replace Spinal Neurostim Gen 15 6 $37,511.14 $22,506.68 40% off $403.77 $33,760.03 $19,423.90 2026-07-15
3081 APR_DRG Hip And Femur Fracture Repair Severity Level 1 3 3 $1.00 $0.60 40% off $19,159.10 $19,159.10 $19,159.10 2026-07-15
C1767 HCPCS Pulse Generator Inspire 3028 13 6 $40,500.00 $24,300.00 40% off $7,593.75 $36,450.00 $19,141.83 2026-07-15
3631 APR_DRG Breast Procedures Except Mastectomy Severity Level 1 3 3 $1.00 $0.60 40% off $19,128.20 $19,128.20 $19,128.20 2026-07-15
4032 APR_DRG Procedures For Obesity Severity Level 2 3 3 $1.00 $0.60 40% off $19,101.71 $19,101.71 $19,101.71 2026-07-15
45126 HCPCS Pelvis Exenteration Of Colorectal Malign 8 6 $31,730.40 $19,038.24 40% off $19,038.24 $28,557.36 $19,038.24 2026-07-15
45395 HCPCS Lap Proctectomy Complete Combined Abdper 8 6 $31,719.22 $19,031.53 40% off $19,031.53 $28,547.30 $19,031.53 2026-07-15
63685 HCPCS Insertion Spinal Neurostim Generator 19 6 $57,099.30 $34,259.58 40% off $289.45 $51,389.37 $18,989.06 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 7 5 $35,379.36 $21,227.62 40% off $12,418.62 $19,158.75 $18,969.06 2026-07-15
45402 HCPCS Lap Proctopexy With Sigmoid Resection 8 6 $31,255.22 $18,753.13 40% off $18,753.13 $28,129.70 $18,753.13 2026-07-15
44207 HCPCS Lap Partial Colectomy With Anastomosis 8 6 $31,255.22 $18,753.13 40% off $18,753.13 $28,129.70 $18,753.13 2026-07-15
44208 HCPCS Lap Partial Colectomy With Anastomosis 8 6 $31,255.22 $18,753.13 40% off $18,753.13 $28,129.70 $18,753.13 2026-07-15
44204 HCPCS Lap Partial Colectomy With Anastamosis 15 6 $31,255.22 $18,753.13 40% off $1,259.96 $28,129.70 $18,753.13 2026-07-15
44205 HCPCS Lap Partial Colectomy W/ileocolostomy 8 6 $31,255.22 $18,753.13 40% off $18,753.13 $28,129.70 $18,753.13 2026-07-15
44202 HCPCS Laparoscopic Resection Intesti W/ana 8 6 $31,255.22 $18,753.13 40% off $18,753.13 $28,129.70 $18,753.13 2026-07-15
2201 APR_DRG Major Stomach, Esophageal And Duodenal Procedures Severity Level 1 3 3 $1.00 $0.60 40% off $18,579.37 $18,579.37 $18,579.37 2026-07-15
4822 APR_DRG Transurethral Prostatectomy Severity Level 2 3 3 $1.00 $0.60 40% off $18,380.73 $18,380.73 $18,380.73 2026-07-15
63655 HCPCS Laminectomy For Implant Of Neurostim 15 6 $30,566.30 $18,339.78 40% off $738.68 $38,966.51 $18,339.78 2026-07-15
38100 HCPCS Splenectomy Total 8 6 $30,500.65 $18,300.39 40% off $18,300.39 $27,450.58 $18,300.39 2026-07-15
50220 HCPCS Nephrectomy Inc Part Ureterect 8 6 $30,462.43 $18,277.46 40% off $18,277.46 $27,416.19 $18,277.46 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 7 5 $28,153.23 $16,891.94 40% off $18,085.50 $42,102.64 $18,266.36 2026-07-15
2321 APR_DRG Gastric Fundoplication Severity Level 1 3 3 $1.00 $0.60 40% off $18,217.40 $18,217.40 $18,217.40 2026-07-15
62362 HCPCS Implantation Programmable Pump 16 6 $28,457.25 $17,074.35 40% off $17,074.35 $25,611.52 $18,045.96 2026-07-15
62360 HCPCS Implantation Programmable Pump;subcutane 8 6 $28,457.25 $17,074.35 40% off $17,074.35 $25,611.52 $18,045.96 2026-07-15
C1820 HCPCS Generator Spectra Pulse 88 6 $29,778.00 $17,866.80 40% off $120.00 $39,375.00 $17,866.80 2026-07-15
4031 APR_DRG Procedures For Obesity Severity Level 1 3 3 $1.00 $0.60 40% off $17,865.74 $17,865.74 $17,865.74 2026-07-15
2231 APR_DRG Other Small And Large Bowel Procedures Severity Level 1 3 3 $1.00 $0.60 40% off $17,739.20 $17,739.20 $17,739.20 2026-07-15
982 APR_DRG Other Ear, Nose, Mouth And Throat Procedures Severity Level 2 7 5 $1.00 $0.60 40% off $17,532.11 $23,111.28 $17,707.43 2026-07-15
25446 HCPCS Arthroplasty Total Wrist 8 6 $23,605.63 $14,163.38 40% off $14,163.38 $21,245.07 $17,555.32 2026-07-15
23616 HCPCS Proximal Humeral Prosthetic Replacement 8 6 $23,605.63 $14,163.38 40% off $14,163.38 $21,245.07 $17,555.32 2026-07-15
25442 HCPCS Arthroplasty With Prosthetic Replaceme 8 6 $23,605.63 $14,163.38 40% off $14,163.38 $21,245.07 $17,555.32 2026-07-15
28705 HCPCS Arthrodesis-pantalar 8 6 $23,605.63 $14,163.38 40% off $14,163.38 $21,245.07 $17,555.32 2026-07-15
22856 HCPCS Total Disc Arthroplasty Cervical 31 6 $30,684.32 $18,410.59 40% off $1,330.80 $27,615.89 $17,555.32 2026-07-15
24363 HCPCS Total Elbow Arthroplasty 8 6 $23,605.63 $14,163.38 40% off $14,163.38 $21,245.07 $17,555.32 2026-07-15
43865 HCPCS Revision Gastrojejunal Anast With Reconst 8 6 $29,185.23 $17,511.14 40% off $17,511.14 $26,266.71 $17,511.14 2026-07-15
4432 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy Severity Level 2 3 3 $1.00 $0.60 40% off $17,492.00 $17,492.00 $17,492.00 2026-07-15
3101 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures Severit… 3 3 $1.00 $0.60 40% off $17,450.80 $17,450.80 $17,450.80 2026-07-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 3 $30,351.40 $18,210.84 40% off $17,430.14 $17,604.45 $17,430.14 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 7 5 $30,040.93 $18,024.56 40% off $11,800.63 $17,583.56 $17,409.46 2026-07-15
44206 HCPCS Lap Partial Colectomy With Colostomy And C 8 6 $28,969.83 $17,381.90 40% off $17,381.90 $26,072.85 $17,381.90 2026-07-15
54416 HCPCS Removal/replace Of Penile Prosthesis 15 6 $28,634.23 $17,180.54 40% off $609.29 $25,770.81 $17,180.54 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 4 3 $29,096.40 $17,457.84 40% off $17,094.97 $17,265.92 $17,094.97 2026-07-15
7111 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure Severit… 3 3 $1.00 $0.60 40% off $16,928.46 $16,928.46 $16,928.46 2026-07-15
2342 APR_DRG Appendectomy Without Complex Principal Diagnosis Severity Level 2 3 3 $1.00 $0.60 40% off $16,844.59 $16,844.59 $16,844.59 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 4 3 $26,109.10 $15,665.46 40% off $16,664.96 $16,831.61 $16,664.96 2026-07-15
27280 HCPCS Arthrodesis Open Si Joint 24 6 $26,034.28 $15,620.57 40% off $1,126.65 $23,430.85 $16,587.94 2026-07-15
22804 HCPCS Arthrodesis Posterior Spinal Defor 8 6 $17,249.49 $10,349.69 40% off $10,349.69 $17,730.88 $16,539.93 2026-07-15
22800 HCPCS Arthrodesis Post For Deformity 8 6 $17,249.49 $10,349.69 40% off $10,349.69 $17,730.88 $16,539.93 2026-07-15
22808 HCPCS Anterior Arthrodesis For Deformity 8 6 $17,249.49 $10,349.69 40% off $10,349.69 $17,730.88 $16,539.93 2026-07-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 3 $28,851.19 $17,310.71 40% off $16,481.69 $16,646.51 $16,481.69 2026-07-15
35840 HCPCS Exploration For Postop Hemor Abdomen 8 6 $27,410.30 $16,446.18 40% off $16,446.18 $24,669.27 $16,446.18 2026-07-15
4702 APR_DRG Chronic Kidney Disease Severity Level 2 3 3 $1.00 $0.60 40% off $16,253.08 $16,253.08 $16,253.08 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 3 $26,321.22 $15,792.73 40% off $16,228.53 $16,390.81 $16,228.53 2026-07-15
4431 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy Severity Level 1 3 3 $1.00 $0.60 40% off $16,201.59 $16,201.59 $16,201.59 2026-07-15
8133 APR_DRG Other Complications Of Treatment Severity Level 3 3 3 $1.00 $0.60 40% off $16,195.70 $16,195.70 $16,195.70 2026-07-15
27702 HCPCS Total Ankle ARTHROPLASTY,Right Side 31 6 $23,605.63 $14,163.38 40% off $810.04 $27,438.97 $16,114.72 2026-07-15
5132 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma Severity Level… 3 3 $1.00 $0.60 40% off $15,926.43 $15,926.43 $15,926.43 2026-07-15
6811 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity … 3 3 $1.00 $0.60 40% off $15,804.31 $15,804.31 $15,804.31 2026-07-15
4683 APR_DRG Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms Severity Level 3 3 3 $1.00 $0.60 40% off $15,782.24 $15,782.24 $15,782.24 2026-07-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 4 3 $27,706.48 $16,623.89 40% off $15,679.42 $15,836.21 $15,679.42 2026-07-15
30 MS_DRG Spinal Procedures Without Cc/mcc 4 3 $27,743.22 $16,645.93 40% off $15,654.46 $15,811.01 $15,654.46 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 4 3 $26,456.31 $15,873.79 40% off $15,553.91 $15,709.45 $15,553.91 2026-07-15
4821 APR_DRG Transurethral Prostatectomy Severity Level 1 3 3 $1.00 $0.60 40% off $15,470.30 $15,470.30 $15,470.30 2026-07-15
3162 APR_DRG Hand And Wrist Procedures Severity Level 2 3 3 $1.00 $0.60 40% off $15,414.39 $15,414.39 $15,414.39 2026-07-15
5182 APR_DRG Other Female Reproductive System And Related Procedures Severity Level 2 3 3 $1.00 $0.60 40% off $15,290.79 $15,290.79 $15,290.79 2026-07-15
857 MS_DRG 857-postoperative Or Post-traumatic Infections With O.r. Procedure With Cc 4 3 $27,687.62 $16,612.57 40% off $15,271.52 $15,424.23 $15,271.52 2026-07-15
5192 APR_DRG Uterine And Adnexa Procedures For Leiomyoma Severity Level 2 3 3 $1.00 $0.60 40% off $15,249.59 $15,249.59 $15,249.59 2026-07-15
45110 HCPCS Proctectomy Complete Combined Abdper 8 6 $25,384.41 $15,230.65 40% off $15,230.65 $22,845.97 $15,230.65 2026-07-15
43633 HCPCS Gastric Partial Roux-en-y Reconstruction 8 6 $25,384.41 $15,230.65 40% off $15,230.65 $22,845.97 $15,230.65 2026-07-15
43848 HCPCS Revision, Open, Gastric Restrictive Proc 8 6 $25,384.41 $15,230.65 40% off $15,230.65 $22,845.97 $15,230.65 2026-07-15
44143 HCPCS Colectomy With End Colostomyhartmann 8 6 $25,384.41 $15,230.65 40% off $15,230.65 $22,845.97 $15,230.65 2026-07-15
44145 HCPCS Partial Colectomy W/coloproctostomy 8 6 $25,384.41 $15,230.65 40% off $15,230.65 $22,845.97 $15,230.65 2026-07-15
44141 HCPCS Colectomy Partial With Cecostomy/cls 8 6 $25,384.41 $15,230.65 40% off $15,230.65 $22,845.97 $15,230.65 2026-07-15
44147 HCPCS Colectomy Partial Abdm+transanal App 8 6 $25,384.41 $15,230.65 40% off $15,230.65 $22,845.97 $15,230.65 2026-07-15
43860 HCPCS Revision Gastrojejunal Anast/wo Vago 8 6 $25,384.41 $15,230.65 40% off $15,230.65 $22,845.97 $15,230.65 2026-07-15
44160 HCPCS Colectomy Partial With Ileocolostomy 8 6 $25,384.41 $15,230.65 40% off $15,230.65 $22,845.97 $15,230.65 2026-07-15
44140 HCPCS Colectomy Partial 8 6 $25,384.41 $15,230.65 40% off $15,230.65 $22,845.97 $15,230.65 2026-07-15
43846 HCPCS Gastric Restrictive Proc Roux-en-y 8 6 $25,384.41 $15,230.65 40% off $15,230.65 $22,845.97 $15,230.65 2026-07-15
43847 HCPCS Gastric Restrictive - Morbid Obesity 8 6 $25,384.41 $15,230.65 40% off $15,230.65 $22,845.97 $15,230.65 2026-07-15
43845 HCPCS Gastric Restrictive W/partial Gastrectom 8 6 $25,384.41 $15,230.65 40% off $15,230.65 $22,845.97 $15,230.65 2026-07-15
43645 HCPCS Lap Gastric Restrict Proc W/gastric Bypa 8 6 $25,384.41 $15,230.65 40% off $15,230.65 $22,845.97 $15,230.65 2026-07-15
43644 HCPCS Lap Gastric Restrictive Proc Roux-en-y 8 6 $25,384.41 $15,230.65 40% off $15,230.65 $22,845.97 $15,230.65 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 7 5 $25,748.86 $15,449.32 40% off $8,651.83 $15,252.81 $15,101.79 2026-07-15
3171 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures Severity Level 1 3 3 $1.00 $0.60 40% off $14,961.20 $14,961.20 $14,961.20 2026-07-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 7 5 $25,031.94 $15,019.16 40% off $8,501.75 $15,085.71 $14,936.35 2026-07-15
4831 APR_DRG Penis, Testes And Scrotal Procedures Severity Level 1 3 3 $1.00 $0.60 40% off $14,914.11 $14,914.11 $14,914.11 2026-07-15
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 4 3 $24,719.10 $14,831.46 40% off $14,912.10 $15,061.22 $14,912.10 2026-07-15
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 7 5 $23,451.15 $14,070.69 40% off $8,491.45 $14,976.96 $14,828.67 2026-07-15
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 4 3 $24,100.53 $14,460.32 40% off $14,819.40 $14,967.60 $14,819.40 2026-07-15
64569 HCPCS Revm/repl Cranial Nerve Neuro St 8 6 $30,566.30 $18,339.78 40% off $11,156.36 $27,509.67 $14,803.85 2026-07-15
64573 HCPCS Implantation Neurostimulatorcrania 8 6 $24,580.26 $14,748.16 40% off $14,748.16 $22,122.23 $14,748.16 2026-07-15
5181 APR_DRG Other Female Reproductive System And Related Procedures Severity Level 1 3 3 $1.00 $0.60 40% off $14,490.35 $14,490.35 $14,490.35 2026-07-15
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 4 3 $22,365.69 $13,419.41 40% off $14,459.99 $14,604.59 $14,459.99 2026-07-15
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 4 3 $22,382.28 $13,429.37 40% off $14,308.80 $14,451.89 $14,308.80 2026-07-15
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 4 3 $23,691.70 $14,215.02 40% off $14,263.87 $14,406.51 $14,263.87 2026-07-15
24546 HCPCS Open Tx Humeral Fx W/wo Int/ext Fixa 8 6 $25,831.28 $15,498.77 40% off $12,854.42 $23,248.15 $14,240.87 2026-07-15
908 MS_DRG Other O.r. Procedures For Injuries With Cc 4 3 $24,369.52 $14,621.71 40% off $14,228.22 $14,370.50 $14,228.22 2026-07-15
22630 HCPCS Arthrodesis Posterior Interbody Tech 15 6 $23,605.63 $14,163.38 40% off $1,309.24 $27,438.97 $14,163.38 2026-07-15
27279 HCPCS Sacroilac Joint Fusion 15 6 $23,605.63 $14,163.38 40% off $686.42 $21,245.07 $14,163.38 2026-07-15
22612 HCPCS Arthrodesis Posterior Technique Lum 23 6 $23,605.63 $14,163.38 40% off $1,424.47 $21,245.07 $14,163.38 2026-07-15
C1772 HCPCS Pump Balofen 16 6 $22,260.00 $13,356.00 40% off $12,600.00 $21,168.00 $14,112.00 2026-07-15
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 4 3 $21,817.03 $13,090.22 40% off $13,756.85 $13,894.42 $13,756.85 2026-07-15
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 4 3 $23,822.63 $14,293.58 40% off $13,755.42 $13,892.97 $13,755.42 2026-07-15
582 MS_DRG Mastectomy For Maligancy With Cc/mcc 7 5 $1.00 $0.60 40% off $11,753.54 $13,876.41 $13,739.02 2026-07-15
63740 HCPCS Creation Shunt Lumboperitoneal Inc 8 6 $22,554.82 $13,532.89 40% off $13,532.89 $20,299.34 $13,532.89 2026-07-15
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 4 3 $21,152.25 $12,691.35 40% off $13,299.02 $13,432.01 $13,299.02 2026-07-15
C1785 HCPCS Adapta Dr Ipg Addrl1 24 6 $22,000.00 $13,200.00 40% off $540.00 $30,600.00 $13,200.00 2026-07-15
3151 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement Severity Lev… 3 3 $1.00 $0.60 40% off $13,117.53 $13,117.53 $13,117.53 2026-07-15
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 4 3 $21,354.88 $12,812.93 40% off $13,084.37 $13,215.21 $13,084.37 2026-07-15
25441 HCPCS Arthroplasty With Prosthesis Radius 8 6 $21,969.10 $13,181.46 40% off $12,854.42 $19,772.19 $13,082.22 2026-07-15
27446 HCPCS Knee Arthroplasty Condyle & Plateau 24 6 $21,969.10 $13,181.46 40% off $12,854.42 $19,772.19 $13,082.22 2026-07-15
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal System And Conn… 4 3 $23,780.80 $14,268.48 40% off $13,005.21 $13,135.26 $13,005.21 2026-07-15
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 3 $24,881.44 $14,928.86 40% off $12,864.01 $12,992.65 $12,864.01 2026-07-15
23470 HCPCS Arthroplasty With Proximal Humeral I 8 6 $19,971.91 $11,983.15 40% off $11,983.15 $17,974.72 $12,854.42 2026-07-15
69716 HCPCS Implantat/osseointegrated Implant W/tymp 24 6 $18,558.81 $11,135.29 40% off $11,135.29 $16,702.93 $12,854.42 2026-07-15
23615 HCPCS Open Treatment Proximal Humerus Frac 24 6 $20,778.91 $12,467.35 40% off $6,346.16 $18,701.02 $12,854.42 2026-07-15
27137 HCPCS Revision Of Hip Arthroplasty 8 6 $17,027.67 $10,216.60 40% off $10,216.60 $15,324.90 $12,854.42 2026-07-15
22590 HCPCS Arthrodesis Posterior Craniocervical 8 6 $19,002.97 $11,401.78 40% off $11,401.78 $17,102.67 $12,854.42 2026-07-15
23473 HCPCS Revision Shoulder Arthroplasty Humeral 8 6 $19,007.04 $11,404.22 40% off $11,404.22 $17,106.34 $12,854.42 2026-07-15
28737 HCPCS Navicular-cuneiform Fusion 24 6 $15,118.70 $9,071.22 40% off $4,148.74 $13,606.83 $12,854.42 2026-07-15
27442 HCPCS Arthroplasty Femoral Condyles/tibial Pla 8 6 $14,934.80 $8,960.88 40% off $8,960.88 $13,441.32 $12,854.42 2026-07-15
27125 HCPCS Hemiarthroplasty Hip 8 6 $17,027.67 $10,216.60 40% off $10,216.60 $15,324.90 $12,854.42 2026-07-15
27130 HCPCS Hip Joint Arthroplasty Total 45 6 $22,886.91 $13,732.15 40% off $1,050.76 $20,598.22 $12,854.42 2026-07-15
27138 HCPCS Revision Hip Arthroplasty 8 6 $17,027.67 $10,216.60 40% off $10,216.60 $15,324.90 $12,854.42 2026-07-15
27132 HCPCS Conversion Prev Hip Sx To Total Hip 8 6 $17,027.67 $10,216.60 40% off $10,216.60 $15,324.90 $12,854.42 2026-07-15
28730 HCPCS Arthrodesis Tarsals/metatarsals Mu 40 6 $14,853.03 $8,911.82 40% off $5,946.65 $13,367.73 $12,854.42 2026-07-15
27441 HCPCS Arthro Knee Tib Platear W/debr Part Syno 8 6 $15,902.55 $9,541.53 40% off $9,541.53 $14,312.30 $12,854.42 2026-07-15
27488 HCPCS Removal Of Prosthesis Total Knee 8 6 $15,177.49 $9,106.49 40% off $9,106.49 $13,659.74 $12,854.42 2026-07-15
25810 HCPCS Arthrodesis Wrist Joint With Iliac 24 6 $17,677.91 $10,606.75 40% off $10,606.75 $15,910.12 $12,854.42 2026-07-15
27438 HCPCS Patella Arthroplasty With Prosthesis 8 6 $14,934.80 $8,960.88 40% off $8,960.88 $13,441.32 $12,854.42 2026-07-15
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