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

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Hospital

HURON REGIONAL MEDICAL CENTER

Huron, SD · CCN 431335 · Rates published

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You selected 93306 (HCPCS)

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

This hospital’s price: $336 across 16 payers · range $65-$3,254

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbHRMCHURONSD&type=CDMWithoutLabel&fileType=CSV · observed 2025-12-20

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.

5,022 distinct procedures filed
17 distinct payers
96,615 rate rows
2025-12-20 last MRF observed
Data quality

93,819 of 96,615 rate rows are consumer-grade (97.1%)

2,796 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,355
per-diem day rate — not a per-procedure price 201
percent-of-charges filed in the dollar field — excluded from medians 176
exceeds 10× this hospital's gross charge — excluded from medians 44
exceeds 3× this hospital's gross charge for a DRG stay — excluded 9
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 6
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbHRMCHURONSD&type=CDMWithoutLabel&fileType=CSV
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-17
Content fingerprint 333177948e9bf0f7… · 40,917,179 bytes · first seen 2026-05-04

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
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 2 $31,420.62 $74,729.66 $53,075.14 nat. median
$46,224
1.1× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 $31,113.18 $73,998.45 $52,555.82 nat. median
$45,474
1.2× median
163
MS_DRG 		Major Chest Procedures With Mcc 2 $28,235.34 $67,153.90 $47,694.62 nat. median
$42,735
1.1× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 2 $27,674.64 $65,820.35 $46,747.50 nat. median
$40,230
1.2× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 2 $26,470.08 $62,955.47 $44,712.78 nat. median
$38,049
1.2× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 $29,558.34 $54,624.10 $42,091.22 nat. median
$43,741
1.0× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 2 $23,547.51 $56,004.54 $39,776.03 nat. median
$35,721
1.1× median
408
MS_DRG 		Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 $22,463.28 $53,425.85 $37,944.57 nat. median
$33,321
1.1× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 $21,970.62 $52,254.12 $37,112.37 nat. median
$33,758
1.1× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 $21,598.92 $51,370.08 $36,484.50 nat. median
$31,913
1.1× median
411
MS_DRG 		Cholecystectomy With C.d.e. With Mcc 2 $20,810.79 $49,495.62 $35,153.21 nat. median
$29,357
1.2× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 $20,402.55 $48,524.68 $34,463.61 nat. median
$30,215
1.1× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 2 $19,622.61 $46,669.70 $33,146.15 nat. median
$28,673
1.2× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 $18,082.26 $43,006.19 $30,544.22 nat. median
$27,642
1.1× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 2 $20,379.87 $39,827.50 $30,103.68 nat. median
$29,848
1.0× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 1 $28,902.04 $28,902.04 $28,902.04 nat. median
$18,831
1.5× median
288
MS_DRG 		Acute And Subacute Endocarditis With Mcc 2 $17,049.06 $40,548.86 $28,798.96 nat. median
$25,719
1.1× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 $18,713.80 $37,444.05 $28,078.93 nat. median
$50,905
0.6× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 2 $21,377.60 $34,464.15 $27,920.88 nat. median
$50,825
0.5× median
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 11 $9,533.92 $29,831.94 $27,771.39 nat. median
$414
outlier · 67.0×
347
MS_DRG 		Anal And Stomal Procedures With Mcc 2 $14,462.28 $34,396.56 $24,429.42 nat. median
$22,221
1.1× median
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 $13,909.77 $33,082.49 $23,496.13 nat. median
$21,030
1.1× median
J3245
HCPCS 		Injection, Tildrakizumab, 1 Mg 11 $7,939.11 $24,841.74 $23,125.87 nat. median
$256
outlier · 90.2×
793
MS_DRG 		Full Term Neonate With Major Problems 2 $19,464.60 $26,268.48 $22,866.54 nat. median
$33,753
0.7× median
857
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 2 $13,491.45 $32,087.57 $22,789.51 nat. median
$20,398
1.1× median
791
MS_DRG 		Prematurity With Major Problems 2 $19,782.45 $25,571.70 $22,677.08 nat. median
$34,598
0.7× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 2 $13,284.81 $31,596.11 $22,440.46 nat. median
$20,323
1.1× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 2 $13,195.35 $31,383.34 $22,289.35 nat. median
$20,312
1.1× median
486
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Cc 2 $13,173.93 $31,332.39 $22,253.16 nat. median
$20,234
1.1× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 2 $15,398.46 $28,936.50 $22,167.48 nat. median
$23,584
0.9× median
511
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 2 $13,100.22 $31,157.09 $22,128.65 nat. median
$19,680
1.1× median
388
MS_DRG 		Gastrointestinal Obstruction With Mcc 1 $22,127.91 $22,127.91 $22,127.91 nat. median
$14,325
1.5× median
516
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 2 $13,092.03 $31,137.61 $22,114.82 nat. median
$20,116
1.1× median
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 2 $12,640.95 $30,064.77 $21,352.86 nat. median
$18,778
1.1× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 $12,588.03 $29,938.91 $21,263.47 nat. median
$19,254
1.1× median
283
MS_DRG 		Acute Myocardial Infarction, Expired With Mcc 2 $12,479.04 $29,679.69 $21,079.36 nat. median
$18,846
1.1× median
380
MS_DRG 		Complicated Peptic Ulcer With Mcc 2 $12,361.86 $29,401.00 $20,881.43 nat. median
$18,519
1.1× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 $15,488.55 $24,945.50 $20,217.03 nat. median
$23,195
0.9× median
504
MS_DRG 		Foot Procedures With Cc 2 $11,775.96 $28,007.51 $19,891.74 nat. median
$17,730
1.1× median
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 2 $11,748.87 $27,943.08 $19,845.98 nat. median
$18,115
1.1× median
J3357
HCPCS 		Ustekinumab, For Subcutaneous Injection, 1 Mg 11 $6,797.15 $21,268.51 $19,799.45 nat. median
$14,697
1.3× median
435
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 $11,571.21 $27,520.54 $19,545.88 nat. median
$17,681
1.1× median
742
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 2 $11,559.24 $27,492.07 $19,525.65 nat. median
$17,796
1.1× median
441
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 $11,306.61 $26,891.23 $19,098.92 nat. median
$17,437
1.1× median
505
MS_DRG 		Foot Procedures Without Cc/mcc 2 $11,294.64 $26,862.76 $19,078.70 nat. median
$17,240
1.1× median
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 2 $11,170.53 $26,567.58 $18,869.06 nat. median
$16,931
1.1× median
584
MS_DRG 		Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 2 $13,486.41 $23,299.40 $18,392.90 nat. median
$20,240
0.9× median
580
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 2 $10,886.40 $25,891.82 $18,389.11 nat. median
$16,866
1.1× median
583
MS_DRG 		Mastectomy For Malignancy Without Cc/mcc 2 $10,863.72 $25,837.88 $18,350.80 nat. median
$16,731
1.1× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 $11,782.89 $24,897.20 $18,340.04 nat. median
$18,303
1.0× median

Other procedures at this hospital

Browse this hospital's 5,022 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
             
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 $262,056.00 $157,233.60 40% off $31,420.62 $74,729.66 $53,075.14 2025-12-20
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 $132,261.70 $79,357.02 40% off $31,113.18 $73,998.45 $52,555.82 2025-12-20
163 MS_DRG Major Chest Procedures With Mcc 2 2 $85,498.40 $51,299.04 40% off $28,235.34 $67,153.90 $47,694.62 2025-12-20
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 $68,077.13 $40,846.28 40% off $27,674.64 $65,820.35 $46,747.50 2025-12-20
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 2 $133,741.80 $80,245.08 40% off $26,470.08 $62,955.47 $44,712.78 2025-12-20
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 $54,624.10 $32,774.46 40% off $29,558.34 $54,624.10 $42,091.22 2025-12-20
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 2 $71,815.40 $43,089.24 40% off $23,547.51 $56,004.54 $39,776.03 2025-12-20
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 $137,495.20 $82,497.12 40% off $22,463.28 $53,425.85 $37,944.57 2025-12-20
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 $87,287.89 $52,372.73 40% off $21,970.62 $52,254.12 $37,112.37 2025-12-20
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 $266,768.40 $160,061.04 40% off $21,598.92 $51,370.08 $36,484.50 2025-12-20
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 2 2 $84,937.25 $50,962.35 40% off $20,810.79 $49,495.62 $35,153.21 2025-12-20
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 $127,058.10 $76,234.86 40% off $20,402.55 $48,524.68 $34,463.61 2025-12-20
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 $131,866.40 $79,119.84 40% off $19,622.61 $46,669.70 $33,146.15 2025-12-20
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 2 $68,498.20 $41,098.92 40% off $18,082.26 $43,006.19 $30,544.22 2025-12-20
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 2 $39,827.50 $23,896.50 40% off $20,379.87 $39,827.50 $30,103.68 2025-12-20
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 1 1 $75,591.04 $45,354.62 40% off $28,902.04 $28,902.04 $28,902.04 2025-12-20
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 2 $81,932.20 $49,159.32 40% off $17,049.06 $40,548.86 $28,798.96 2025-12-20
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 2 $18,713.80 $11,228.28 40% off $18,713.80 $37,444.05 $28,078.93 2025-12-20
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 2 $21,377.60 $12,826.56 40% off $21,377.60 $34,464.15 $27,920.88 2025-12-20
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 11 11 $30,754.58 $18,452.75 40% off $9,533.92 $29,831.94 $27,771.39 2025-12-20
347 MS_DRG Anal And Stomal Procedures With Mcc 2 2 $40,607.00 $24,364.20 40% off $14,462.28 $34,396.56 $24,429.42 2025-12-20
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 2 $40,066.40 $24,039.84 40% off $13,909.77 $33,082.49 $23,496.13 2025-12-20
J3245 HCPCS Injection, Tildrakizumab, 1 Mg 11 11 $25,610.04 $15,366.02 40% off $7,939.11 $24,841.74 $23,125.87 2025-12-20
793 MS_DRG Full Term Neonate With Major Problems 2 2 $19,464.60 $11,678.76 40% off $19,464.60 $26,268.48 $22,866.54 2025-12-20
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 2 2 $110,080.30 $66,048.18 40% off $13,491.45 $32,087.57 $22,789.51 2025-12-20
791 MS_DRG Prematurity With Major Problems 2 2 $19,782.45 $11,869.47 40% off $19,782.45 $25,571.70 $22,677.08 2025-12-20
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 2 $77,907.36 $46,744.42 40% off $13,284.81 $31,596.11 $22,440.46 2025-12-20
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 2 2 $37,217.10 $22,330.26 40% off $13,195.35 $31,383.34 $22,289.35 2025-12-20
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 2 2 $77,860.30 $46,716.18 40% off $13,173.93 $31,332.39 $22,253.16 2025-12-20
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 2 $28,936.50 $17,361.90 40% off $15,398.46 $28,936.50 $22,167.48 2025-12-20
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 2 2 $49,427.05 $29,656.23 40% off $13,100.22 $31,157.09 $22,128.65 2025-12-20
388 MS_DRG Gastrointestinal Obstruction With Mcc 1 1 $24,478.01 $14,686.81 40% off $22,127.91 $22,127.91 $22,127.91 2025-12-20
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 2 2 $63,474.96 $38,084.98 40% off $13,092.03 $31,137.61 $22,114.82 2025-12-20
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 2 2 $61,345.95 $36,807.57 40% off $12,640.95 $30,064.77 $21,352.86 2025-12-20
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 2 $121,626.50 $72,975.90 40% off $12,588.03 $29,938.91 $21,263.47 2025-12-20
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 2 2 $52,353.70 $31,412.22 40% off $12,479.04 $29,679.69 $21,079.36 2025-12-20
380 MS_DRG Complicated Peptic Ulcer With Mcc 2 2 $30,358.30 $18,214.98 40% off $12,361.86 $29,401.00 $20,881.43 2025-12-20
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 $24,945.50 $14,967.30 40% off $15,488.55 $24,945.50 $20,217.03 2025-12-20
504 MS_DRG Foot Procedures With Cc 2 2 $56,444.00 $33,866.40 40% off $11,775.96 $28,007.51 $19,891.74 2025-12-20
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 2 2 $32,786.70 $19,672.02 40% off $11,748.87 $27,943.08 $19,845.98 2025-12-20
J3357 HCPCS Ustekinumab, For Subcutaneous Injection, 1 Mg 11 11 $21,926.30 $13,155.78 40% off $6,797.15 $21,268.51 $19,799.45 2025-12-20
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 2 $77,589.30 $46,553.58 40% off $11,571.21 $27,520.54 $19,545.88 2025-12-20
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 2 2 $34,767.40 $20,860.44 40% off $11,559.24 $27,492.07 $19,525.65 2025-12-20
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 2 $48,194.60 $28,916.76 40% off $11,306.61 $26,891.23 $19,098.92 2025-12-20
505 MS_DRG Foot Procedures Without Cc/mcc 2 2 $59,948.80 $35,969.28 40% off $11,294.64 $26,862.76 $19,078.70 2025-12-20
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 2 2 $47,020.90 $28,212.54 40% off $11,170.53 $26,567.58 $18,869.06 2025-12-20
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 2 2 $23,299.40 $13,979.64 40% off $13,486.41 $23,299.40 $18,392.90 2025-12-20
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 2 2 $63,897.26 $38,338.36 40% off $10,886.40 $25,891.82 $18,389.11 2025-12-20
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 2 2 $46,074.10 $27,644.46 40% off $10,863.72 $25,837.88 $18,350.80 2025-12-20
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 $39,786.20 $23,871.72 40% off $11,782.89 $24,897.20 $18,340.04 2025-12-20
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 $52,601.80 $31,561.08 40% off $10,733.94 $25,529.21 $18,131.58 2025-12-20
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 2 2 $46,329.63 $27,797.78 40% off $10,657.08 $25,346.41 $18,001.74 2025-12-20
70 MS_DRG Other Cerebrovascular Disorders With Mcc 2 2 $31,612.40 $18,967.44 40% off $10,488.24 $24,944.85 $17,716.54 2025-12-20
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 2 2 $54,961.70 $32,977.02 40% off $10,429.02 $24,804.00 $17,616.51 2025-12-20
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 2 $22,619.19 $13,571.52 40% off $12,237.75 $22,619.19 $17,428.47 2025-12-20
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 2 2 $46,329.00 $27,797.40 40% off $10,270.26 $24,426.41 $17,348.33 2025-12-20
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 2 2 $103,955.00 $62,373.00 40% off $10,258.92 $24,399.44 $17,329.18 2025-12-20
884 MS_DRG Organic Disturbances And Intellectual Disability 2 2 $84,524.00 $50,714.40 40% off $10,136.07 $24,107.26 $17,121.67 2025-12-20
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 2 2 $29,829.50 $17,897.70 40% off $10,105.83 $24,035.34 $17,070.58 2025-12-20
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 2 2 $49,007.83 $29,404.70 40% off $10,094.49 $24,008.37 $17,051.43 2025-12-20
393 MS_DRG Other Digestive System Diagnoses With Mcc 2 2 $69,939.40 $41,963.64 40% off $10,075.59 $23,963.42 $17,019.50 2025-12-20
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 2 $18,572.05 $11,143.23 40% off $15,102.36 $18,572.05 $16,837.21 2025-12-20
186 MS_DRG Pleural Effusion With Mcc 2 2 $34,931.90 $20,959.14 40% off $9,818.55 $23,352.08 $16,585.32 2025-12-20
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 2 2 $21,465.20 $12,879.12 40% off $11,516.40 $21,465.20 $16,490.80 2025-12-20
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 $22,467.84 $13,480.70 40% off $10,354.68 $22,467.84 $16,411.26 2025-12-20
183 MS_DRG Major Chest Trauma With Mcc 2 2 $49,676.00 $29,805.60 40% off $9,638.37 $22,923.55 $16,280.96 2025-12-20
180 MS_DRG Respiratory Neoplasms With Mcc 2 2 $21,286.40 $12,771.84 40% off $11,125.80 $21,286.40 $16,206.10 2025-12-20
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 2 2 $17,380.20 $10,428.12 40% off $13,926.78 $17,380.20 $15,653.49 2025-12-20
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 2 2 $107,661.50 $64,596.90 40% off $9,091.53 $21,622.96 $15,357.24 2025-12-20
637 MS_DRG Diabetes With Mcc 2 2 $27,991.40 $16,794.84 40% off $9,051.21 $21,527.07 $15,289.14 2025-12-20
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 2 2 $23,138.00 $13,882.80 40% off $8,806.77 $20,945.70 $14,876.24 2025-12-20
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 2 2 $33,077.20 $19,846.32 40% off $8,793.54 $20,914.23 $14,853.89 2025-12-20
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 2 $18,306.40 $10,983.84 40% off $11,128.95 $18,306.40 $14,717.68 2025-12-20
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 2 2 $16,067.20 $9,640.32 40% off $13,341.51 $16,067.20 $14,704.35 2025-12-20
299 MS_DRG Peripheral Vascular Disorders With Mcc 2 2 $19,013.90 $11,408.34 40% off $10,286.01 $19,013.90 $14,649.96 2025-12-20
386 MS_DRG Inflammatory Bowel Disease With Cc 1 1 $28,902.50 $17,341.50 40% off $14,628.58 $14,628.58 $14,628.58 2025-12-20
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 2 2 $37,646.40 $22,587.84 40% off $8,653.68 $20,581.60 $14,617.64 2025-12-20
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 2 2 $42,492.00 $25,495.20 40% off $8,604.54 $20,464.72 $14,534.63 2025-12-20
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 2 2 $23,377.90 $14,026.74 40% off $8,588.79 $20,427.26 $14,508.02 2025-12-20
A9604 HCPCS Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri… 11 11 $15,640.00 $9,384.00 40% off $4,848.40 $15,170.80 $14,122.92 2025-12-20
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 2 2 $18,366.70 $11,020.02 40% off $9,670.50 $18,366.70 $14,018.60 2025-12-20
908 MS_DRG Other O.r. Procedures For Injuries With Cc 2 2 $15,372.40 $9,223.44 40% off $12,569.76 $15,372.40 $13,971.08 2025-12-20
314 MS_DRG Other Circulatory System Diagnoses With Mcc 2 2 $14,723.70 $8,834.22 40% off $13,136.76 $14,723.70 $13,930.23 2025-12-20
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 2 2 $32,031.85 $19,219.11 40% off $8,207.01 $19,519.25 $13,863.13 2025-12-20
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 2 2 $63,128.90 $37,877.34 40% off $7,990.29 $19,003.81 $13,497.05 2025-12-20
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 2 $25,338.40 $15,203.04 40% off $7,975.17 $18,967.85 $13,471.51 2025-12-20
37192 HCPCS Repositioning Of Vena Cava Filter With Review By Radiologist 12 12 $14,799.50 $8,879.70 40% off $4,587.85 $14,355.52 $13,341.75 2025-12-20
37193 HCPCS Removal Of Vena Cava Filter With Review By Radiologist 12 12 $14,799.50 $8,879.70 40% off $4,587.85 $14,355.52 $13,341.75 2025-12-20
37191 HCPCS Insertion Of Vena Cava Filter With Review By Radiologist 12 12 $14,799.50 $8,879.70 40% off $4,587.85 $14,355.52 $13,341.75 2025-12-20
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 2 2 $16,237.90 $9,742.74 40% off $10,275.30 $16,237.90 $13,256.60 2025-12-20
682 MS_DRG Renal Failure With Mcc 2 2 $17,002.20 $10,201.32 40% off $9,330.30 $17,002.20 $13,166.25 2025-12-20
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 2 $30,864.90 $18,518.94 40% off $7,669.62 $18,241.14 $12,955.38 2025-12-20
792 MS_DRG Prematurity Without Major Problems 2 2 $10,391.80 $6,235.08 40% off $10,391.80 $15,429.96 $12,910.88 2025-12-20
549 MS_DRG Septic Arthritis With Cc 2 2 $36,266.20 $21,759.72 40% off $7,605.36 $18,088.31 $12,846.83 2025-12-20
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/mcc 2 2 $51,119.00 $30,671.40 40% off $7,559.37 $17,978.93 $12,769.15 2025-12-20
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 2 2 $37,717.40 $22,630.44 40% off $7,554.96 $17,968.44 $12,761.70 2025-12-20
811 MS_DRG Red Blood Cell Disorders With Mcc 2 2 $16,576.55 $9,945.93 40% off $8,847.09 $16,576.55 $12,711.82 2025-12-20
304 MS_DRG Hypertension With Mcc 2 2 $21,936.81 $13,162.09 40% off $7,497.00 $17,830.59 $12,663.80 2025-12-20
593 MS_DRG Skin Ulcers With Cc 2 2 $47,245.10 $28,347.06 40% off $7,473.69 $17,775.15 $12,624.42 2025-12-20
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 2 2 $23,483.70 $14,090.22 40% off $7,473.06 $17,773.65 $12,623.35 2025-12-20
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 2 2 $19,361.80 $11,617.08 40% off $7,435.26 $17,683.75 $12,559.51 2025-12-20
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 2 2 $24,381.60 $14,628.96 40% off $7,309.89 $17,385.58 $12,347.74 2025-12-20
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 2 2 $12,283.70 $7,370.22 40% off $12,283.70 $12,399.66 $12,341.68 2025-12-20
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 11 11 $13,568.57 $8,141.14 40% off $4,206.26 $13,161.51 $12,252.42 2025-12-20
572 MS_DRG Skin Debridement Without Cc/mcc 2 2 $35,856.70 $21,514.02 40% off $7,221.69 $17,175.80 $12,198.74 2025-12-20
723 MS_DRG Malignancy, Male Reproductive System With Cc 2 2 $20,667.40 $12,400.44 40% off $7,199.01 $17,121.86 $12,160.44 2025-12-20
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 2 $17,450.35 $10,470.21 40% off $7,094.43 $16,873.13 $11,983.78 2025-12-20
787 MS_DRG Cesarean Section Without Sterilization With Cc 2 2 $24,673.31 $14,803.98 40% off $7,035.84 $16,733.79 $11,884.82 2025-12-20
389 MS_DRG Gastrointestinal Obstruction With Cc 1 1 $13,490.63 $8,094.38 40% off $11,834.12 $11,834.12 $11,834.12 2025-12-20
445 MS_DRG Disorders Of The Biliary Tract With Cc 2 2 $29,837.85 $17,902.71 40% off $6,894.72 $16,398.15 $11,646.44 2025-12-20
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 2 2 $72,034.30 $43,220.58 40% off $6,751.08 $16,056.52 $11,403.80 2025-12-20
181 MS_DRG Respiratory Neoplasms With Cc 2 2 $19,304.57 $11,582.74 40% off $6,747.30 $16,047.53 $11,397.42 2025-12-20
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 2 2 $16,478.10 $9,886.86 40% off $6,654.06 $15,825.77 $11,239.92 2025-12-20
291 MS_DRG Heart Failure And Shock With Mcc 2 2 $14,378.50 $8,627.10 40% off $8,087.94 $14,378.50 $11,233.22 2025-12-20
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 2 2 $12,965.10 $7,779.06 40% off $8,976.24 $12,965.10 $10,970.67 2025-12-20
71 MS_DRG Other Cerebrovascular Disorders With Cc 2 2 $21,962.60 $13,177.56 40% off $6,463.80 $15,373.27 $10,918.53 2025-12-20
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 2 2 $47,290.08 $28,374.05 40% off $6,432.30 $15,298.35 $10,865.33 2025-12-20
C1776 HCPCS Joint Device (implantable) 11 11 $12,024.47 $7,214.68 40% off $3,727.59 $11,663.74 $10,858.10 2025-12-20
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 2 2 $19,263.25 $11,557.95 40% off $6,364.89 $15,138.02 $10,751.46 2025-12-20
794 MS_DRG Neonate With Other Significant Problems 2 2 $12,124.20 $7,274.52 40% off $9,298.17 $12,124.20 $10,711.19 2025-12-20
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 2 2 $14,897.88 $8,938.73 40% off $6,446.79 $14,897.88 $10,672.33 2025-12-20
78 MS_DRG Hypertensive Encephalopathy With Cc 2 2 $25,756.70 $15,454.02 40% off $6,286.14 $14,950.73 $10,618.44 2025-12-20
949 MS_DRG Aftercare With Cc/mcc 2 2 $13,614.80 $8,168.88 40% off $7,495.11 $13,614.80 $10,554.95 2025-12-20
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 2 2 $14,568.20 $8,740.92 40% off $6,394.50 $14,568.20 $10,481.35 2025-12-20
C1889 HCPCS Implantable/insertable Device, Not Otherwise Classified 11 11 $11,590.00 $6,954.00 40% off $3,592.90 $11,242.30 $10,465.77 2025-12-20
378 MS_DRG Gastrointestinal Hemorrhage With Cc 2 2 $14,861.20 $8,916.72 40% off $6,178.41 $14,694.50 $10,436.45 2025-12-20
758 MS_DRG Infections, Female Reproductive System With Cc 2 2 $21,964.50 $13,178.70 40% off $6,167.70 $14,669.03 $10,418.37 2025-12-20
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 2 2 $35,499.75 $21,299.85 40% off $6,081.39 $14,463.76 $10,272.58 2025-12-20
92 MS_DRG Other Disorders Of Nervous System With Cc 2 2 $14,086.65 $8,451.99 40% off $6,444.90 $14,086.65 $10,265.77 2025-12-20
315 MS_DRG Other Circulatory System Diagnoses With Cc 2 2 $23,657.95 $14,194.77 40% off $6,068.79 $14,433.79 $10,251.29 2025-12-20
552 MS_DRG Medical Back Problems Without Mcc 2 2 $30,397.90 $18,238.74 40% off $6,056.19 $14,403.82 $10,230.01 2025-12-20
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 1 1 $28,552.00 $17,131.20 40% off $10,208.39 $10,208.39 $10,208.39 2025-12-20
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 2 2 $17,538.06 $10,522.83 40% off $6,040.44 $14,366.36 $10,203.40 2025-12-20
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 2 2 $37,634.40 $22,580.64 40% off $6,029.73 $14,340.89 $10,185.31 2025-12-20
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 1 1 $10,166.00 $6,099.60 40% off $10,166.00 $10,166.00 $10,166.00 2025-12-20
Q4278 HCPCS Epieffect, Per Square Centimeter 36 12 $11,250.00 $6,750.00 40% off $1,395.00 $35,647.50 $10,141.88 2025-12-20
755 MS_DRG Malignancy, Female Reproductive System With Cc 2 2 $13,391.20 $8,034.72 40% off $6,853.14 $13,391.20 $10,122.17 2025-12-20
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 2 2 $11,935.00 $7,161.00 40% off $8,270.01 $11,935.00 $10,102.51 2025-12-20
965 MS_DRG Other Multiple Significant Trauma Without Cc/mcc 2 2 $77,962.70 $46,777.62 40% off $5,925.15 $14,092.16 $10,008.65 2025-12-20
394 MS_DRG Other Digestive System Diagnoses With Cc 2 2 $26,650.76 $15,990.46 40% off $5,894.91 $14,020.24 $9,957.58 2025-12-20
177 MS_DRG Respiratory Infections And Inflammations With Mcc 2 2 $10,034.79 $6,020.87 40% off $9,845.01 $10,034.79 $9,939.90 2025-12-20
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 2 2 $105,583.50 $63,350.10 40% off $5,857.11 $13,930.34 $9,893.73 2025-12-20
J3101 HCPCS Injection, Tenecteplase, 1 Mg 11 11 $10,828.18 $6,496.91 40% off $3,356.74 $10,503.33 $9,777.85 2025-12-20
812 MS_DRG Red Blood Cell Disorders Without Mcc 2 2 $39,578.48 $23,747.09 40% off $5,784.66 $13,758.02 $9,771.34 2025-12-20
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 2 2 $18,418.60 $11,051.16 40% off $5,770.80 $13,725.06 $9,747.93 2025-12-20
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 2 2 $43,898.00 $26,338.80 40% off $5,753.16 $13,683.11 $9,718.14 2025-12-20
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 2 2 $7,974.00 $4,784.40 40% off $7,974.00 $11,353.86 $9,663.93 2025-12-20
101 MS_DRG Seizures Without Mcc 2 2 $32,863.15 $19,717.89 40% off $5,686.38 $13,524.28 $9,605.33 2025-12-20
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 2 2 $10,879.64 $6,527.78 40% off $8,280.72 $10,879.64 $9,580.18 2025-12-20
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 2 2 $12,105.69 $7,263.41 40% off $6,978.51 $12,105.69 $9,542.10 2025-12-20
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 2 2 $16,289.53 $9,773.72 40% off $5,641.65 $13,417.89 $9,529.77 2025-12-20
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 2 2 $23,744.00 $14,246.40 40% off $5,627.16 $13,383.43 $9,505.30 2025-12-20
864 MS_DRG Fever And Inflammatory Conditions 2 2 $31,369.10 $18,821.46 40% off $5,592.51 $13,301.02 $9,446.76 2025-12-20
606 MS_DRG Minor Skin Disorders With Mcc 2 2 $9,336.70 $5,602.02 40% off $9,336.70 $9,533.16 $9,434.93 2025-12-20
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 2 2 $18,512.68 $11,107.61 40% off $5,561.64 $13,227.60 $9,394.62 2025-12-20
196 MS_DRG Interstitial Lung Disease With Mcc 2 2 $6,839.40 $4,103.64 40% off $6,839.40 $11,889.36 $9,364.38 2025-12-20
376 MS_DRG Digestive Malignancy Without Cc/mcc 2 2 $12,874.80 $7,724.88 40% off $5,823.09 $12,874.80 $9,348.94 2025-12-20
J1930 HCPCS Injection, Lanreotide, 1 Mg 11 11 $10,334.82 $6,200.89 40% off $3,203.79 $10,024.78 $9,332.34 2025-12-20
312 MS_DRG Syncope And Collapse 2 2 $23,054.00 $13,832.40 40% off $5,491.08 $13,059.78 $9,275.43 2025-12-20
603 MS_DRG Cellulitis Without Mcc 2 2 $30,013.61 $18,008.17 40% off $5,486.67 $13,049.30 $9,267.99 2025-12-20
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 2 2 $31,980.80 $19,188.48 40% off $5,399.73 $12,842.52 $9,121.12 2025-12-20
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 2 2 $12,010.80 $7,206.48 40% off $6,034.14 $12,010.80 $9,022.47 2025-12-20
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 2 2 $26,045.95 $15,627.57 40% off $5,299.56 $12,604.28 $8,951.92 2025-12-20
683 MS_DRG Renal Failure With Cc 2 2 $12,258.55 $7,355.13 40% off $5,517.54 $12,258.55 $8,888.05 2025-12-20
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 2 2 $9,636.80 $5,782.08 40% off $8,076.60 $9,636.80 $8,856.70 2025-12-20
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 34 12 $9,885.27 $5,931.16 40% off $705.25 $18,163.93 $8,847.31 2025-12-20
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 2 2 $14,505.60 $8,703.36 40% off $5,232.78 $12,445.45 $8,839.11 2025-12-20
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 2 2 $271,838.70 $163,103.22 40% off $5,229.63 $12,437.96 $8,833.80 2025-12-20
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 2 2 $9,152.78 $5,491.67 40% off $8,414.28 $9,152.78 $8,783.53 2025-12-20
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 2 2 $11,098.70 $6,659.22 40% off $6,411.51 $11,098.70 $8,755.10 2025-12-20
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 2 2 $64,234.90 $38,540.94 40% off $5,110.56 $12,154.77 $8,632.67 2025-12-20
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 2 2 $29,072.70 $17,443.62 40% off $5,099.85 $12,129.30 $8,614.58 2025-12-20
204 MS_DRG Respiratory Signs And Symptoms 2 2 $14,036.50 $8,421.90 40% off $5,086.62 $12,097.83 $8,592.23 2025-12-20
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 2 2 $14,579.30 $8,747.58 40% off $5,077.17 $12,075.36 $8,576.26 2025-12-20
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 2 2 $34,883.69 $20,930.21 40% off $5,043.78 $11,995.94 $8,519.86 2025-12-20
948 MS_DRG Signs And Symptoms Without Mcc 2 2 $12,860.99 $7,716.59 40% off $5,043.15 $11,994.44 $8,518.80 2025-12-20
189 MS_DRG Pulmonary Edema And Respiratory Failure 2 2 $9,237.00 $5,542.20 40% off $7,783.02 $9,237.00 $8,510.01 2025-12-20
69 MS_DRG Transient Ischemia Without Thrombolytic 2 2 $55,773.96 $33,464.38 40% off $5,032.44 $11,968.97 $8,500.70 2025-12-20
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 2 2 $23,743.00 $14,245.80 40% off $5,016.69 $11,931.51 $8,474.10 2025-12-20
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 2 2 $8,426.40 $5,055.84 40% off $8,426.40 $8,479.17 $8,452.78 2025-12-20
184 MS_DRG Major Chest Trauma With Cc 2 2 $10,065.60 $6,039.36 40% off $6,703.83 $10,065.60 $8,384.72 2025-12-20
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 11 11 $9,285.30 $5,571.18 40% off $2,878.44 $9,006.74 $8,384.63 2025-12-20
185 MS_DRG Major Chest Trauma Without Cc/mcc 2 2 $21,833.10 $13,099.86 40% off $4,954.95 $11,784.67 $8,369.81 2025-12-20
694 MS_DRG Urinary Stones Without Mcc 2 2 $26,623.60 $15,974.16 40% off $4,924.71 $11,712.75 $8,318.73 2025-12-20
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 2 2 $55,590.09 $33,354.05 40% off $4,911.48 $11,681.28 $8,296.38 2025-12-20
100 MS_DRG Seizures With Mcc 2 2 $4,390.90 $2,634.54 40% off $4,390.90 $12,201.84 $8,296.37 2025-12-20
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 2 2 $16,402.63 $9,841.58 40% off $4,902.66 $11,660.31 $8,281.49 2025-12-20
541 MS_DRG Osteomyelitis Without Cc/mcc 2 2 $75,465.90 $45,279.54 40% off $4,860.45 $11,559.92 $8,210.18 2025-12-20
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 1 1 $16,551.31 $9,930.79 40% off $8,151.13 $8,151.13 $8,151.13 2025-12-20
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 2 2 $11,439.20 $6,863.52 40% off $4,756.50 $11,312.69 $8,034.60 2025-12-20
76 MS_DRG Viral Meningitis Without Cc/mcc 2 2 $22,912.00 $13,747.20 40% off $4,717.44 $11,219.79 $7,968.61 2025-12-20
375 MS_DRG Digestive Malignancy With Cc 2 2 $8,225.60 $4,935.36 40% off $7,620.48 $8,225.60 $7,923.04 2025-12-20
300 MS_DRG Peripheral Vascular Disorders With Cc 2 2 $9,018.06 $5,410.84 40% off $6,725.25 $9,018.06 $7,871.65 2025-12-20
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 2 2 $33,718.10 $20,230.86 40% off $4,634.91 $11,023.50 $7,829.20 2025-12-20
599 MS_DRG Malignant Breast Disorders Without Cc/mcc 2 2 $11,552.80 $6,931.68 40% off $4,619.16 $10,986.04 $7,802.60 2025-12-20
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 2 2 $17,307.70 $10,384.62 40% off $4,582.62 $10,899.14 $7,740.88 2025-12-20
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 2 2 $31,577.97 $18,946.78 40% off $4,555.53 $10,834.71 $7,695.12 2025-12-20
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 2 2 $11,031.30 $6,618.78 40% off $4,546.08 $10,812.23 $7,679.15 2025-12-20
313 MS_DRG Chest Pain 2 2 $17,163.20 $10,297.92 40% off $4,536.00 $10,788.26 $7,662.13 2025-12-20
201 MS_DRG Pneumothorax Without Cc/mcc 2 2 $13,405.25 $8,043.15 40% off $4,505.13 $10,714.84 $7,609.99 2025-12-20
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 2 2 $18,767.80 $11,260.68 40% off $4,463.55 $10,615.94 $7,539.75 2025-12-20
311 MS_DRG Angina Pectoris 2 2 $18,837.30 $11,302.38 40% off $4,421.97 $10,517.05 $7,469.51 2025-12-20
638 MS_DRG Diabetes With Cc 2 2 $9,247.27 $5,548.36 40% off $5,646.06 $9,247.27 $7,446.67 2025-12-20
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 2 2 $18,271.50 $10,962.90 40% off $4,408.11 $10,484.09 $7,446.10 2025-12-20
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 11 11 $8,213.71 $4,928.23 40% off $2,546.25 $7,967.30 $7,416.98 2025-12-20
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 2 2 $13,372.80 $8,023.68 40% off $4,340.70 $10,323.76 $7,332.23 2025-12-20
921 MS_DRG Complications Of Treatment Without Cc/mcc 2 2 $35,350.50 $21,210.30 40% off $4,336.92 $10,314.77 $7,325.85 2025-12-20
187 MS_DRG Pleural Effusion With Cc 2 2 $8,387.80 $5,032.68 40% off $6,231.33 $8,387.80 $7,309.56 2025-12-20
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 2 2 $5,333.70 $3,200.22 40% off $5,333.70 $9,274.23 $7,303.97 2025-12-20
Q5119 HCPCS Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg 11 11 $8,079.50 $4,847.70 40% off $2,504.65 $7,837.12 $7,295.79 2025-12-20
Q5115 HCPCS Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg 11 11 $8,079.50 $4,847.70 40% off $2,504.65 $7,837.12 $7,295.79 2025-12-20
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 2 2 $37,400.70 $22,440.42 40% off $4,311.72 $10,254.84 $7,283.28 2025-12-20
202 MS_DRG Bronchitis And Asthma With Cc/mcc 2 2 $8,336.03 $5,001.62 40% off $6,118.56 $8,336.03 $7,227.30 2025-12-20
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 2 $9,617.00 $5,770.20 40% off $4,753.98 $9,617.00 $7,185.49 2025-12-20
J0491 HCPCS Injection, Anifrolumab-fnia, 1 Mg 11 11 $7,920.30 $4,752.18 40% off $2,455.29 $7,682.69 $7,152.03 2025-12-20
8020443_2 CDM 49655 Laparoscopy, Surgical, Repair, Incisional Hernia (includes Mesh Insertion,… 8 8 $7,660.00 $4,596.00 40% off $4,979.00 $7,430.20 $7,135.29 2025-12-20
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 2 2 $17,221.60 $10,332.96 40% off $4,221.00 $10,039.07 $7,130.03 2025-12-20
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 2 $7,541.40 $4,524.84 40% off $6,593.58 $7,541.40 $7,067.49 2025-12-20
399 MS_DRG Appendix Procedures Without Cc/mcc 2 2 $6,870.20 $4,122.12 40% off $6,870.20 $7,211.61 $7,040.90 2025-12-20
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 23 12 $7,483.00 $4,489.80 40% off $2,319.73 $7,446.21 $6,908.85 2025-12-20
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 2 2 $9,237.20 $5,542.32 40% off $4,360.86 $9,237.20 $6,799.03 2025-12-20
47785 HCPCS Connection Of Bile Duct Within Liver To Small Bowel Using Roux-en-y Connection 16 16 $21,340.50 $12,804.30 40% off $46.00 $20,700.29 $6,789.82 2025-12-20
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 11 11 $7,481.70 $4,489.02 40% off $2,319.33 $7,257.25 $6,755.98 2025-12-20
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 2 2 $3,602.40 $2,161.44 40% off $3,602.40 $9,880.92 $6,741.66 2025-12-20
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 2 2 $12,312.47 $7,387.48 40% off $3,971.52 $9,445.72 $6,708.62 2025-12-20
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 2 2 $19,209.66 $11,525.80 40% off $3,959.55 $9,417.25 $6,688.40 2025-12-20
950 MS_DRG Aftercare Without Cc/mcc 2 2 $161,571.90 $96,943.14 40% off $3,954.51 $9,405.26 $6,679.89 2025-12-20
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 2 2 $22,513.33 $13,508.00 40% off $3,914.82 $9,310.87 $6,612.85 2025-12-20
639 MS_DRG Diabetes Without Cc/mcc 2 2 $16,630.55 $9,978.33 40% off $3,913.56 $9,307.87 $6,610.72 2025-12-20
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 12 12 $7,295.50 $4,377.30 40% off $2,261.61 $7,076.64 $6,576.90 2025-12-20
200 MS_DRG Pneumothorax With Cc 2 2 $6,182.40 $3,709.44 40% off $6,182.40 $6,925.59 $6,553.99 2025-12-20
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 2 2 $7,788.27 $4,672.96 40% off $5,310.90 $7,788.27 $6,549.59 2025-12-20
153 MS_DRG Otitis Media And Uri Without Mcc 2 2 $8,406.50 $5,043.90 40% off $4,650.66 $8,406.50 $6,528.58 2025-12-20
176 MS_DRG Pulmonary Embolism Without Mcc 2 2 $7,956.27 $4,773.76 40% off $5,071.50 $7,956.27 $6,513.89 2025-12-20
601 MS_DRG Non-malignant Breast Disorders Without Cc/mcc 2 2 $11,704.30 $7,022.58 40% off $3,811.50 $9,065.13 $6,438.31 2025-12-20
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 11 11 $7,052.39 $4,231.43 40% off $2,186.24 $6,840.82 $6,368.31 2025-12-20
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 2 2 $6,425.40 $3,855.24 40% off $6,286.77 $6,425.40 $6,356.09 2025-12-20
8020444_2 CDM 49656 Laparoscopy, Surgical, Repair, Recurrent Incisional Hernia (includes Mesh … 8 8 $6,803.00 $4,081.80 40% off $4,421.95 $6,598.91 $6,336.99 2025-12-20
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 2 2 $7,449.50 $4,469.70 40% off $5,211.99 $7,449.50 $6,330.74 2025-12-20
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 2 2 $7,467.47 $4,480.48 40% off $5,087.88 $7,467.47 $6,277.68 2025-12-20
8020441_2 CDM 49653 Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric… 8 8 $6,652.00 $3,991.20 40% off $4,323.80 $6,452.44 $6,196.34 2025-12-20
796 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Mcc 2 2 $4,896.00 $2,937.60 40% off $4,896.00 $7,352.10 $6,124.05 2025-12-20
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 2 2 $17,069.30 $10,241.58 40% off $3,566.43 $8,482.27 $6,024.35 2025-12-20
540 MS_DRG Osteomyelitis With Cc 2 2 $3,737.10 $2,242.26 40% off $3,737.10 $8,166.69 $5,951.90 2025-12-20
916 MS_DRG Allergic Reactions Without Mcc 2 2 $7,647.60 $4,588.56 40% off $4,197.69 $7,647.60 $5,922.65 2025-12-20
89 MS_DRG Concussion With Cc 2 2 $17,679.60 $10,607.76 40% off $4,904.60 $6,921.18 $5,912.89 2025-12-20
9038039_1 CDM Event Monitor 11 11 $6,490.70 $3,894.42 40% off $2,012.12 $6,295.98 $5,861.10 2025-12-20
50382 HCPCS Removal And Replacement Of Stent In Ureter With Review By Radiologist 72 12 $6,097.00 $3,658.20 40% off $1,890.07 $7,603.35 $5,853.12 2025-12-20
125 MS_DRG Other Disorders Of The Eye Without Mcc 2 2 $6,778.80 $4,067.28 40% off $4,837.14 $6,778.80 $5,807.97 2025-12-20
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 2 2 $5,690.10 $3,414.06 40% off $5,690.10 $5,790.33 $5,740.22 2025-12-20
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 2 $4,862.20 $2,917.32 40% off $4,862.20 $6,476.40 $5,669.30 2025-12-20
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 2 2 $3,046.80 $1,828.08 40% off $3,046.80 $8,162.28 $5,604.54 2025-12-20
8020424_2 CDM 49566 Repair Recurrent Incisional Or Ventral Hernia; Incarcerated Or Strangulate… 8 8 $5,979.00 $3,587.40 40% off $3,886.35 $5,799.63 $5,569.44 2025-12-20
8020442_2 CDM 49654 Laparoscopy, Surgical, Repair, Incisional Hernia (includes Mesh Insertion,… 8 8 $5,977.00 $3,586.20 40% off $3,885.05 $5,797.69 $5,567.57 2025-12-20
J2182 HCPCS Injection, Mepolizumab, 1 Mg 11 11 $6,141.20 $3,684.72 40% off $1,903.77 $5,956.96 $5,545.50 2025-12-20
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 2 2 $6,947.60 $4,168.56 40% off $4,044.60 $6,947.60 $5,496.10 2025-12-20
43415 HCPCS Suture Of Wound Or Injury To Esophagus Through Chest Or Abdomen 16 16 $13,757.50 $8,254.50 40% off $46.00 $13,344.78 $5,386.61 2025-12-20
158 MS_DRG Dental And Oral Diseases With Cc 2 2 $4,982.00 $2,989.20 40% off $4,982.00 $5,731.74 $5,356.87 2025-12-20
550 MS_DRG Septic Arthritis Without Cc/mcc 2 2 $5,133.90 $3,080.34 40% off $5,133.90 $5,506.83 $5,320.36 2025-12-20
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 2 2 $3,671.00 $2,202.60 40% off $3,671.00 $6,880.86 $5,275.93 2025-12-20
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 2 2 $6,564.60 $3,938.76 40% off $3,886.47 $6,564.60 $5,225.53 2025-12-20
59510 HCPCS Cesarean Delivery With Care Before And After Delivery 16 16 $9,336.00 $5,601.60 40% off $2,370.63 $9,055.92 $5,176.43 2025-12-20
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 2 2 $7,050.10 $4,230.06 40% off $3,294.27 $7,050.10 $5,172.19 2025-12-20
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 2 2 $6,064.14 $3,638.48 40% off $4,247.46 $6,064.14 $5,155.80 2025-12-20
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 2 2 $5,505.69 $3,303.41 40% off $4,750.20 $5,505.69 $5,127.94 2025-12-20
8020440_2 CDM 49652 Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric… 8 8 $5,487.50 $3,292.50 40% off $3,566.88 $5,322.88 $5,111.60 2025-12-20
684 MS_DRG Renal Failure Without Cc/mcc 2 2 $6,239.66 $3,743.80 40% off $3,781.89 $6,239.66 $5,010.77 2025-12-20
8020361_1 CDM 49204 Excision Or Destruction, Open, Intra-abdominal Tumors, Cysts Or Endometrio… 8 8 $5,350.00 $3,210.00 40% off $3,477.50 $5,189.50 $4,983.52 2025-12-20
293 MS_DRG Heart Failure And Shock Without Cc/mcc 2 2 $6,391.62 $3,834.97 40% off $3,565.80 $6,391.62 $4,978.71 2025-12-20
8020423_2 CDM 49565 Repair Recurrent Incisional Or Ventral Hernia; Reducible ProFee 8 8 $5,306.00 $3,183.60 40% off $3,448.90 $5,146.82 $4,942.54 2025-12-20
J1569 HCPCS Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 55 11 $6,576.62 $3,945.97 40% off $683.30 $8,239.02 $4,932.47 2025-12-20
292 MS_DRG Heart Failure And Shock With Cc 2 2 $4,111.08 $2,466.65 40% off $4,111.08 $5,348.70 $4,729.89 2025-12-20
59400 HCPCS Vaginal Delivery With Care Before And After Delivery 16 16 $7,320.00 $4,392.00 40% off $2,154.37 $7,100.40 $4,712.27 2025-12-20
58954 HCPCS Removal Of Lining Of Abdomen, Uterus, Ovaries, Fallopian Tubes, And Lymph Nodes … 16 16 $18,462.50 $11,077.50 40% off $46.00 $17,908.63 $4,652.02 2025-12-20
2120844_1 CDM Intensive Care Unit - General Classification 9 9 $4,800.00 $2,880.00 40% off $1,726.56 $4,656.00 $4,608.00 2025-12-20
305 MS_DRG Hypertension Without Mcc 2 2 $4,342.00 $2,605.20 40% off $4,342.00 $4,757.13 $4,549.57 2025-12-20
8020421_2 CDM 49560 Repair Initial Incisional Or Ventral Hernia; Reducible ProFee 8 8 $4,816.50 $2,889.90 40% off $3,130.73 $4,672.01 $4,486.57 2025-12-20
44146 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Large … 16 16 $8,296.50 $4,977.90 40% off $46.00 $8,047.61 $4,477.23 2025-12-20
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 2 2 $4,827.00 $2,896.20 40% off $4,124.61 $4,827.00 $4,475.81 2025-12-20
8020117_2 CDM 45383 Colonoscopy W Cauterization ProFee 8 8 $4,764.00 $2,858.40 40% off $3,096.60 $4,621.08 $4,437.66 2025-12-20
44155 HCPCS Removal Of Large Bowel And Rectum And Creation Of Opening From End Of Small Bowe… 16 16 $19,576.50 $11,745.90 40% off $46.00 $18,989.21 $4,412.72 2025-12-20
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 11 11 $4,884.40 $2,930.64 40% off $1,514.16 $4,737.87 $4,410.61 2025-12-20
59618 HCPCS Cesarean Delivery And Care Before And After Delivery Following Attempted Vaginal… 16 16 $8,223.00 $4,933.80 40% off $46.00 $7,976.31 $4,340.78 2025-12-20
J1459 HCPCS Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 44 11 $5,542.15 $3,325.29 40% off $687.24 $10,649.34 $4,300.69 2025-12-20
58953 HCPCS Removal Of Lining Of Abdomen, Uterus, Ovaries, And Fallopian Tubes With Extensiv… 16 16 $15,356.50 $9,213.90 40% off $46.00 $14,895.81 $4,290.49 2025-12-20
43632 HCPCS Removal Of Lower Part Of Stomach With Reattachment Of Remaining Stomach To Secon… 16 16 $12,117.00 $7,270.20 40% off $46.00 $11,753.49 $4,254.90 2025-12-20
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 2 2 $2,453.70 $1,472.22 40% off $2,453.70 $5,928.93 $4,191.32 2025-12-20
49622 HCPCS Repair Of Entrapped Hernia Next To Stoma 9 9 $4,625.50 $2,775.30 40% off $829.12 $4,486.74 $4,176.83 2025-12-20
43620 HCPCS Removal Of Stomach With Upper Small Bowel Attachment To Esophagus 16 16 $10,635.50 $6,381.30 40% off $46.00 $10,316.44 $4,119.05 2025-12-20
49616 HCPCS Repair Of Recurrent Entrapped Hernia Of Abdomen, 3-10 Cm In Length 9 9 $4,550.00 $2,730.00 40% off $758.02 $4,413.50 $4,108.65 2025-12-20
43845 HCPCS Partial Removal Of Stomach, Upper Bowel, And Ileum For Weight Loss 16 16 $13,747.00 $8,248.20 40% off $46.00 $13,334.59 $4,100.56 2025-12-20
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 2 2 $4,089.70 $2,453.82 40% off $4,088.70 $4,089.70 $4,089.20 2025-12-20
44147 HCPCS Partial Removal Of Large Bowel Through Abdomen And Anus 16 16 $7,447.00 $4,468.20 40% off $46.00 $7,223.59 $4,085.22 2025-12-20
59610 HCPCS Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli… 16 16 $7,665.00 $4,599.00 40% off $46.00 $7,435.05 $4,063.76 2025-12-20
43633 HCPCS Removal Of Lower Portion Of Stomach With Reattachment Of Upper Portion Of Remain… 16 16 $13,674.50 $8,204.70 40% off $46.00 $13,264.27 $4,022.86 2025-12-20
44150 HCPCS Removal Of Large Bowel With Attachment Of Small Bowel To Rectum Or Creation Of O… 16 16 $11,678.50 $7,007.10 40% off $46.00 $11,328.15 $3,944.95 2025-12-20
834 MS_DRG Acute Leukemia With Mcc 1 1 $3,923.60 $2,354.16 40% off $3,923.60 $3,923.60 $3,923.60 2025-12-20
45110 HCPCS Removal Of Rectum With Creation Of Opening From Large Bowel To Skin Through Abdo… 16 16 $16,563.00 $9,937.80 40% off $46.00 $16,066.11 $3,893.97 2025-12-20
44141 HCPCS Partial Removal Of Large Bowel With Creation Of Opening To Skin 16 16 $6,488.00 $3,892.80 40% off $46.00 $6,293.36 $3,841.67 2025-12-20
J0897 HCPCS Injection, Denosumab, 1 Mg 44 11 $4,260.46 $2,556.28 40% off $11.59 $5,856.38 $3,840.77 2025-12-20
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