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

MEMORIAL MEDICAL CENTER

Port Lavaca, TX · CCN 451356 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

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

This hospital’s price: $267 across 44 payers · range $80-$2,190

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMemorialPortLavaca&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.

3,696 distinct procedures filed
48 distinct payers
429,734 rate rows
2025-12-20 last MRF observed
Data quality

412,380 of 429,734 rate rows are consumer-grade (96.0%)

17,354 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 8,748
per-diem day rate — not a per-procedure price 4,428
template filing: same amount across many unrelated codes — excluded 1,832
percent-of-charges filed in the dollar field — excluded from medians 1,594
exceeds 10× this hospital's gross charge — excluded from medians 328
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 262
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 152
exceeds 3× this hospital's gross charge for a DRG stay — excluded 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMemorialPortLavaca&type=CDMWithoutLabel
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-18
Content fingerprint 2fb71e15c9d3f0a1… · 87,704,682 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
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 6 $23,328.15 $34,572.78 $31,584.70 nat. median
$62,721
0.5× median
7006012_1
CDM 		Operating Room Services - General Classification 40 $14,367.31 $44,505.15 $25,132.32 nat. median
$25,132
1.0× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 6 $19,236.50 $26,907.55 $24,581.97 nat. median
$49,960
outlier · 0.5×
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 $14,489.05 $19,109.89 $17,458.25 nat. median
$40,003
outlier · 0.4×
835
MS_DRG 		Acute Leukemia With Cc 6 $7,039.83 $18,301.58 $16,719.81 nat. median
$20,410
0.8× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 6 $10,512.49 $15,362.98 $14,035.19 nat. median
$28,673
outlier · 0.5×
95
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Cc 6 $8,705.11 $15,225.67 $13,909.74 nat. median
$23,643
0.6× median
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 6 $9,620.78 $14,744.07 $13,469.76 nat. median
$26,758
0.5× median
J3245
HCPCS 		Injection, Tildrakizumab, 1 Mg 38 $7,662.62 $26,808.00 $13,404.00 nat. median
$256
outlier · 52.3×
503
MS_DRG 		Foot Procedures With Mcc 6 $9,276.00 $13,895.62 $12,694.63 nat. median
$25,947
outlier · 0.5×
344
MS_DRG 		Minor Small And Large Bowel Procedures With Mcc 6 $8,717.26 $12,806.86 $11,699.99 nat. median
$24,613
outlier · 0.5×
7005796_1
CDM 		Wrist Fracture 40 $6,546.64 $22,903.68 $11,451.84 nat. median
$11,452
1.0× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 6 $7,840.74 $12,390.84 $11,319.92 nat. median
$21,152
0.5× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 6 $8,249.47 $12,040.67 $11,000.01 nat. median
$23,584
outlier · 0.5×
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 6 $5,274.30 $12,012.50 $10,974.28 nat. median
$15,405
0.7× median
564
MS_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 6 $5,209.84 $11,899.27 $10,870.83 nat. median
$15,007
0.7× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 $9,277.19 $11,472.66 $10,678.36 nat. median
$25,409
outlier · 0.4×
409
MS_DRG 		Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 $6,097.00 $11,419.58 $10,432.60 nat. median
$20,670
0.5× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 6 $5,677.01 $11,274.93 $10,193.15 nat. median
$31,243
outlier · 0.3×
406
MS_DRG 		Pancreas, Liver And Shunt Procedures With Cc 6 $9,290.58 $11,310.78 $10,055.69 nat. median
$27,639
outlier · 0.4×
623
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 6 $6,054.63 $10,282.55 $9,393.84 nat. median
$17,691
0.5× median
913
MS_DRG 		Traumatic Injury With Mcc 6 $5,516.97 $10,023.38 $9,157.08 nat. median
$15,779
0.6× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 6 $7,037.80 $9,954.17 $9,093.85 nat. median
$19,970
outlier · 0.5×
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 6 $6,787.37 $9,865.18 $9,012.55 nat. median
$19,268
outlier · 0.5×
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 6 $5,414.03 $9,824.75 $8,975.62 nat. median
$15,670
0.6× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 6 $8,054.39 $9,306.96 $8,897.41 nat. median
$22,587
outlier · 0.4×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 6 $7,966.53 $9,349.08 $8,529.25 nat. median
$22,965
outlier · 0.4×
737
MS_DRG 		Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 6 $6,954.77 $9,214.52 $8,418.12 nat. median
$19,837
outlier · 0.4×
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 6 $5,927.39 $9,159.36 $8,367.73 nat. median
$17,070
outlier · 0.5×
783
MS_DRG 		Cesarean Section With Sterilization With Mcc 3 $2,464.00 $9,574.89 $8,286.26 nat. median
$18,786
outlier · 0.4×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 6 $6,556.17 $9,050.44 $8,268.22 nat. median
$18,659
outlier · 0.4×
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 6 $6,743.83 $8,988.00 $8,211.18 nat. median
$19,254
outlier · 0.4×
380
MS_DRG 		Complicated Peptic Ulcer With Mcc 6 $6,622.66 $8,894.93 $8,126.16 nat. median
$18,519
outlier · 0.4×
919
MS_DRG 		Complications Of Treatment With Mcc 6 $6,179.17 $8,876.45 $8,109.27 nat. median
$17,519
outlier · 0.5×
341
MS_DRG 		Appendectomy Without Complicated Principal Diagnosis With Mcc 6 $7,545.38 $8,810.10 $8,078.35 nat. median
$14,666
0.6× median
934
MS_DRG 		Full Thickness Burn Without Skin Graft Or Inhalation Injury 2 $7,461.04 $8,621.34 $8,041.19 nat. median
$20,329
outlier · 0.4×
7006045_1
CDM 		Operating Room Services - General Classification 40 $4,568.49 $14,151.65 $7,991.52 nat. median
$7,992
1.0× median
339
MS_DRG 		Appendectomy With Complicated Principal Diagnosis With Cc 6 $5,496.05 $8,545.32 $7,806.76 nat. median
$11,394
0.7× median
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 6 $4,169.62 $8,326.47 $7,606.82 nat. median
$12,282
0.6× median
7005685_1
CDM 		Operating Room Services - General Classification 40 $4,340.46 $13,445.30 $7,592.64 nat. median
$7,593
1.0× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 $6,312.49 $8,248.52 $7,535.61 nat. median
$18,303
outlier · 0.4×
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 6 $5,984.43 $8,152.26 $7,447.67 nat. median
$16,931
outlier · 0.4×
7006044_1
CDM 		Operating Room Services - General Classification 40 $4,241.95 $13,140.15 $7,420.32 nat. median
$7,420
1.0× median
157
MS_DRG 		Dental And Oral Diseases With Mcc 6 $5,794.41 $8,102.19 $7,401.93 nat. median
$16,406
outlier · 0.5×
435
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas With Mcc 6 $6,199.08 $7,863.74 $7,226.97 nat. median
$17,681
outlier · 0.4×
902
MS_DRG 		Wound Debridements For Injuries With Cc 6 $6,461.67 $7,466.55 $7,167.45 nat. median
$18,451
outlier · 0.4×
354
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Cc 6 $5,678.30 $7,738.47 $7,069.65 nat. median
$16,477
outlier · 0.4×
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 6 $5,709.35 $7,711.14 $7,044.68 nat. median
$16,459
outlier · 0.4×
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 6 $3,294.12 $7,679.56 $7,015.83 nat. median
$10,207
0.7× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 6 $4,436.26 $7,673.57 $7,010.35 nat. median
$12,877
0.5× median

Other procedures at this hospital

Browse this hospital's 3,696 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 6 $29,391.84 $20,574.29 30% off $23,328.15 $34,572.78 $31,584.70 2025-12-20
7006012_1 CDM Operating Room Services - General Classification 80 40 $52,359.00 $36,651.30 30% off $14,367.31 $44,505.15 $25,132.32 2025-12-20
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 6 $39,142.01 $27,399.41 30% off $19,236.50 $26,907.55 $24,581.97 2025-12-20
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 6 $22,723.40 $15,906.38 30% off $14,489.05 $19,109.89 $17,458.25 2025-12-20
835 MS_DRG Acute Leukemia With Cc 12 6 $31,659.00 $22,161.30 30% off $7,039.83 $18,301.58 $16,719.81 2025-12-20
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 6 $19,632.01 $13,742.41 30% off $10,512.49 $15,362.98 $14,035.19 2025-12-20
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 12 6 $34,580.15 $24,206.11 30% off $8,705.11 $15,225.67 $13,909.74 2025-12-20
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 12 6 $40,239.68 $28,167.77 30% off $9,620.78 $14,744.07 $13,469.76 2025-12-20
J3245 HCPCS Injection, Tildrakizumab, 1 Mg 76 38 $27,925.00 $19,547.50 30% off $7,662.62 $26,808.00 $13,404.00 2025-12-20
503 MS_DRG Foot Procedures With Mcc 12 6 $9,276.00 $6,493.20 30% off $9,276.00 $13,895.62 $12,694.63 2025-12-20
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 12 6 $38,561.01 $26,992.71 30% off $8,717.26 $12,806.86 $11,699.99 2025-12-20
7005796_1 CDM Wrist Fracture 80 40 $23,858.00 $16,700.60 30% off $6,546.64 $22,903.68 $11,451.84 2025-12-20
56 MS_DRG Degenerative Nervous System Disorders With Mcc 12 6 $16,370.50 $11,459.35 30% off $7,840.74 $12,390.84 $11,319.92 2025-12-20
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 12 6 $23,207.00 $16,244.90 30% off $8,249.47 $12,040.67 $11,000.01 2025-12-20
177 MS_DRG Respiratory Infections And Inflammations With Mcc 12 6 $30,767.86 $21,537.50 30% off $5,274.30 $12,012.50 $10,974.28 2025-12-20
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 12 6 $9,424.00 $6,596.80 30% off $5,209.84 $11,899.27 $10,870.83 2025-12-20
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 6 $55,830.35 $39,081.24 30% off $9,277.19 $11,472.66 $10,678.36 2025-12-20
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 12 6 $6,097.00 $4,267.90 30% off $6,097.00 $11,419.58 $10,432.60 2025-12-20
264 MS_DRG Other Circulatory System O.r. Procedures 12 6 $5,677.01 $3,973.90 30% off $5,677.01 $11,274.93 $10,193.15 2025-12-20
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 12 6 $37,455.01 $26,218.51 30% off $9,290.58 $11,310.78 $10,055.69 2025-12-20
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 6 $14,711.00 $10,297.70 30% off $6,054.63 $10,282.55 $9,393.84 2025-12-20
913 MS_DRG Traumatic Injury With Mcc 12 6 $10,892.00 $7,624.40 30% off $5,516.97 $10,023.38 $9,157.08 2025-12-20
314 MS_DRG Other Circulatory System Diagnoses With Mcc 12 6 $14,933.00 $10,453.10 30% off $7,037.80 $9,954.17 $9,093.85 2025-12-20
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 12 6 $41,998.96 $29,399.27 30% off $6,787.37 $9,865.18 $9,012.55 2025-12-20
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 12 6 $30,997.01 $21,697.91 30% off $5,414.03 $9,824.75 $8,975.62 2025-12-20
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 12 6 $41,427.01 $28,998.91 30% off $8,054.39 $9,306.96 $8,897.41 2025-12-20
330 MS_DRG Major Small And Large Bowel Procedures With Cc 12 6 $45,536.29 $31,875.40 30% off $7,966.53 $9,349.08 $8,529.25 2025-12-20
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 12 6 $23,489.85 $16,442.90 30% off $6,954.77 $9,214.52 $8,418.12 2025-12-20
91 MS_DRG Other Disorders Of Nervous System With Mcc 12 6 $30,774.01 $21,541.81 30% off $5,927.39 $9,159.36 $8,367.73 2025-12-20
783 MS_DRG Cesarean Section With Sterilization With Mcc 6 3 $16,102.00 $11,271.40 30% off $2,464.00 $9,574.89 $8,286.26 2025-12-20
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 12 6 $27,666.27 $19,366.39 30% off $6,556.17 $9,050.44 $8,268.22 2025-12-20
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 12 6 $17,588.01 $12,311.61 30% off $6,743.83 $8,988.00 $8,211.18 2025-12-20
380 MS_DRG Complicated Peptic Ulcer With Mcc 12 6 $28,206.28 $19,744.40 30% off $6,622.66 $8,894.93 $8,126.16 2025-12-20
919 MS_DRG Complications Of Treatment With Mcc 12 6 $12,688.01 $8,881.61 30% off $6,179.17 $8,876.45 $8,109.27 2025-12-20
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 12 6 $25,679.34 $17,975.54 30% off $7,545.38 $8,810.10 $8,078.35 2025-12-20
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 4 2 $31,485.01 $22,039.51 30% off $7,461.04 $8,621.34 $8,041.19 2025-12-20
7006045_1 CDM Operating Room Services - General Classification 80 40 $16,649.00 $11,654.30 30% off $4,568.49 $14,151.65 $7,991.52 2025-12-20
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 12 6 $58,067.74 $40,647.42 30% off $5,496.05 $8,545.32 $7,806.76 2025-12-20
189 MS_DRG Pulmonary Edema And Respiratory Failure 12 6 $16,676.00 $11,673.20 30% off $4,169.62 $8,326.47 $7,606.82 2025-12-20
7005685_1 CDM Operating Room Services - General Classification 80 40 $15,818.00 $11,072.60 30% off $4,340.46 $13,445.30 $7,592.64 2025-12-20
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 6 $29,023.01 $20,316.11 30% off $6,312.49 $8,248.52 $7,535.61 2025-12-20
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 12 6 $29,160.46 $20,412.32 30% off $5,984.43 $8,152.26 $7,447.67 2025-12-20
7006044_1 CDM Operating Room Services - General Classification 80 40 $15,459.00 $10,821.30 30% off $4,241.95 $13,140.15 $7,420.32 2025-12-20
157 MS_DRG Dental And Oral Diseases With Mcc 12 6 $37,963.00 $26,574.10 30% off $5,794.41 $8,102.19 $7,401.93 2025-12-20
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 12 6 $31,700.00 $22,190.00 30% off $6,199.08 $7,863.74 $7,226.97 2025-12-20
902 MS_DRG Wound Debridements For Injuries With Cc 12 6 $7,666.00 $5,366.20 30% off $6,461.67 $7,466.55 $7,167.45 2025-12-20
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 12 6 $70,664.02 $49,464.81 30% off $5,678.30 $7,738.47 $7,069.65 2025-12-20
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 12 6 $33,188.00 $23,231.60 30% off $5,709.35 $7,711.14 $7,044.68 2025-12-20
178 MS_DRG Respiratory Infections And Inflammations With Cc 12 6 $18,574.63 $13,002.24 30% off $3,294.12 $7,679.56 $7,015.83 2025-12-20
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 12 6 $23,480.67 $16,436.47 30% off $4,436.26 $7,673.57 $7,010.35 2025-12-20
975 MS_DRG HIV With Major Related Condition With Cc 12 6 $2,705.00 $1,893.50 30% off $2,705.00 $7,546.95 $6,894.68 2025-12-20
199 MS_DRG Pneumothorax With Mcc 12 6 $28,131.00 $19,691.70 30% off $5,954.05 $7,413.73 $6,876.78 2025-12-20
7006043_1 CDM Operating Room Services - General Classification 80 40 $14,270.00 $9,989.00 30% off $3,915.69 $12,129.50 $6,849.60 2025-12-20
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 12 6 $55,261.52 $38,683.06 30% off $5,832.21 $7,434.28 $6,815.92 2025-12-20
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 12 6 $4,743.00 $3,320.10 30% off $4,743.00 $7,413.73 $6,772.97 2025-12-20
7006032_1 CDM Operating Room Services - General Classification 80 40 $14,087.00 $9,860.90 30% off $3,865.47 $11,973.95 $6,761.76 2025-12-20
388 MS_DRG Gastrointestinal Obstruction With Mcc 12 6 $30,393.00 $21,275.10 30% off $4,984.38 $7,359.52 $6,723.45 2025-12-20
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 12 6 $53,674.01 $37,571.81 30% off $5,018.47 $7,305.20 $6,673.82 2025-12-20
682 MS_DRG Renal Failure With Mcc 12 6 $23,770.01 $16,639.00 30% off $4,998.55 $7,174.27 $6,554.21 2025-12-20
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 12 6 $22,477.41 $15,734.19 30% off $5,513.60 $7,071.46 $6,463.65 2025-12-20
183 MS_DRG Major Chest Trauma With Mcc 12 6 $2,427.00 $1,698.90 30% off $2,427.00 $7,000.73 $6,395.66 2025-12-20
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 12 6 $6,915.68 $4,840.98 30% off $5,414.71 $6,984.54 $6,380.88 2025-12-20
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 12 6 $79,727.52 $55,809.26 30% off $5,900.88 $7,155.72 $6,374.60 2025-12-20
444 MS_DRG Disorders Of The Biliary Tract With Mcc 12 6 $8,908.00 $6,235.60 30% off $5,639.49 $6,709.25 $6,368.47 2025-12-20
602 MS_DRG Cellulitis With Mcc 12 6 $28,382.00 $19,867.40 30% off $4,797.06 $6,969.42 $6,367.06 2025-12-20
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 76 38 $13,246.00 $9,272.20 30% off $3,634.70 $12,716.16 $6,358.08 2025-12-20
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 4 2 $22,364.00 $15,654.80 30% off $5,889.92 $6,805.89 $6,347.91 2025-12-20
637 MS_DRG Diabetes With Mcc 12 6 $7,399.00 $5,179.30 30% off $4,849.03 $6,877.92 $6,283.47 2025-12-20
7006031_1 CDM Operating Room Services - General Classification 80 40 $13,081.00 $9,156.70 30% off $3,589.43 $11,118.85 $6,278.88 2025-12-20
7006042_1 CDM Operating Room Services - General Classification 80 40 $13,081.00 $9,156.70 30% off $3,589.43 $11,118.85 $6,278.88 2025-12-20
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 12 6 $22,419.92 $15,693.94 30% off $5,547.35 $6,606.77 $6,267.73 2025-12-20
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 12 6 $16,700.01 $11,690.01 30% off $4,718.08 $6,842.70 $6,251.30 2025-12-20
291 MS_DRG Heart Failure And Shock With Mcc 12 6 $17,130.43 $11,991.30 30% off $4,332.98 $6,820.74 $6,231.24 2025-12-20
598 MS_DRG Malignant Breast Disorders With Cc 12 6 $21,137.00 $14,795.90 30% off $3,818.27 $6,749.23 $6,165.91 2025-12-20
62327 HCPCS Insertion Of Tube And Injection Of Substance Into Lower Spine Canal Using Imagin… 160 40 $18,134.50 $12,694.15 30% off $1,106.66 $27,400.60 $6,136.81 2025-12-20
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 12 6 $21,039.50 $14,727.65 30% off $3,409.88 $6,597.08 $6,026.90 2025-12-20
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 12 6 $20,861.01 $14,602.71 30% off $5,078.54 $6,583.19 $6,014.22 2025-12-20
7001258_1 CDM Mesh Gen Use 26X36cm O-2636 80 40 $12,443.00 $8,710.10 30% off $3,414.36 $10,576.55 $5,972.64 2025-12-20
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 12 6 $22,814.14 $15,969.90 30% off $3,800.72 $6,517.11 $5,953.84 2025-12-20
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 12 6 $22,017.01 $15,411.91 30% off $4,904.72 $6,477.35 $5,917.52 2025-12-20
884 MS_DRG Organic Disturbances And Intellectual Disability 4 2 $12,299.50 $8,609.65 30% off $5,430.23 $6,274.71 $5,852.47 2025-12-20
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/mcc 12 6 $23,335.01 $16,334.51 30% off $4,049.81 $6,387.08 $5,835.06 2025-12-20
7006030_1 CDM Operating Room Services - General Classification 80 40 $12,075.00 $8,452.50 30% off $3,313.38 $10,263.75 $5,796.00 2025-12-20
7006041_1 CDM Operating Room Services - General Classification 80 40 $11,892.00 $8,324.40 30% off $3,263.16 $10,108.20 $5,708.16 2025-12-20
792 MS_DRG Prematurity Without Major Problems 4 2 $2,971.00 $2,079.70 30% off $2,971.00 $8,266.34 $5,618.67 2025-12-20
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 12 6 $17,642.01 $12,349.41 30% off $4,539.54 $6,127.58 $5,597.98 2025-12-20
7005584_1 CDM Operating Room Services - General Classification 80 40 $11,560.00 $8,092.00 30% off $3,172.06 $9,826.00 $5,548.80 2025-12-20
7006019_1 CDM Operating Room Services - General Classification 80 40 $11,527.00 $8,068.90 30% off $3,163.01 $9,797.95 $5,532.96 2025-12-20
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc 12 6 $20,808.50 $14,565.95 30% off $4,598.26 $6,044.75 $5,522.32 2025-12-20
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 12 6 $29,239.01 $20,467.31 30% off $4,609.74 $6,026.50 $5,505.64 2025-12-20
7005616_1 CDM Operating Room Services - General Classification 80 40 $11,465.00 $8,025.50 30% off $3,146.00 $9,745.25 $5,503.20 2025-12-20
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 12 6 $19,589.25 $13,712.48 30% off $3,738.62 $6,011.82 $5,492.23 2025-12-20
Q5115 HCPCS Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg 152 38 $11,034.50 $7,724.15 30% off $1,879.37 $12,937.00 $5,479.20 2025-12-20
811 MS_DRG Red Blood Cell Disorders With Mcc 14 7 $7,618.00 $5,332.60 30% off $4,739.68 $11,936.55 $5,476.77 2025-12-20
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 12 6 $9,221.00 $6,454.70 30% off $4,808.87 $5,716.76 $5,428.49 2025-12-20
299 MS_DRG Peripheral Vascular Disorders With Mcc 12 6 $7,123.00 $4,986.10 30% off $4,840.72 $6,367.53 $5,378.58 2025-12-20
693 MS_DRG Urinary Stones With Mcc 12 6 $6,048.00 $4,233.60 30% off $4,537.85 $5,861.91 $5,355.27 2025-12-20
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 14 7 $10,824.00 $7,576.80 30% off $4,809.92 $14,363.30 $5,344.36 2025-12-20
7006029_1 CDM Operating Room Services - General Classification 80 40 $11,069.00 $7,748.30 30% off $3,037.33 $9,408.65 $5,313.12 2025-12-20
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 12 6 $8,373.40 $5,861.38 30% off $4,372.81 $5,765.37 $5,267.07 2025-12-20
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 12 6 $33,211.70 $23,248.19 30% off $2,336.26 $5,682.99 $5,191.82 2025-12-20
549 MS_DRG Septic Arthritis With Cc 12 6 $24,116.90 $16,881.83 30% off $4,074.44 $5,665.02 $5,175.40 2025-12-20
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 12 6 $18,399.01 $12,879.31 30% off $2,917.45 $5,632.37 $5,145.57 2025-12-20
7006018_1 CDM Operating Room Services - General Classification 80 40 $10,703.00 $7,492.10 30% off $2,936.90 $9,097.55 $5,137.44 2025-12-20
7006040_1 CDM Operating Room Services - General Classification 80 40 $10,703.00 $7,492.10 30% off $2,936.90 $9,097.55 $5,137.44 2025-12-20
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 12 6 $22,323.00 $15,626.10 30% off $4,272.56 $5,621.90 $5,136.01 2025-12-20
197 MS_DRG Interstitial Lung Disease With Cc 12 6 $2,452.00 $1,716.40 30% off $2,452.00 $5,616.07 $5,130.68 2025-12-20
7001257_1 CDM Mesh Gen Use 22X26cm E-2226 80 40 $10,553.00 $7,387.10 30% off $2,895.74 $8,970.05 $5,065.44 2025-12-20
947 MS_DRG Signs And Symptoms With Mcc 12 6 $11,211.25 $7,847.88 30% off $4,284.38 $5,531.12 $5,053.08 2025-12-20
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 12 6 $11,932.51 $8,352.75 30% off $4,507.81 $5,208.84 $5,000.31 2025-12-20
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 12 6 $11,792.01 $8,254.41 30% off $3,480.09 $5,447.90 $4,977.05 2025-12-20
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 12 6 $11,566.00 $8,096.20 30% off $3,916.15 $5,435.19 $4,965.43 2025-12-20
58570 HCPCS Removal Of Uterus Through Abdomen Using An Endoscope, 250.0 G Or Less 88 44 $10,296.00 $7,207.20 30% off $2,825.22 $8,751.60 $4,942.08 2025-12-20
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 12 6 $14,416.00 $10,091.20 30% off $3,288.72 $5,392.97 $4,926.86 2025-12-20
7001253_1 CDM Mesh Open Umb/ven 15X22cm Tintra Ok-1522 80 40 $10,238.00 $7,166.60 30% off $2,809.31 $8,702.30 $4,914.24 2025-12-20
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 12 6 $20,868.00 $14,607.60 30% off $4,280.66 $5,226.98 $4,896.26 2025-12-20
7005608_1 CDM Operating Room Services - General Classification 80 40 $10,167.00 $7,116.90 30% off $2,789.82 $8,641.95 $4,880.16 2025-12-20
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 76 38 $10,095.00 $7,066.50 30% off $2,770.07 $9,691.20 $4,845.60 2025-12-20
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 12 6 $13,862.00 $9,703.40 30% off $2,548.22 $5,295.30 $4,837.64 2025-12-20
7006028_1 CDM Operating Room Services - General Classification 80 40 $10,063.00 $7,044.10 30% off $2,761.29 $8,553.55 $4,830.24 2025-12-20
304 MS_DRG Hypertension With Mcc 12 6 $19,983.50 $13,988.45 30% off $4,016.39 $5,280.07 $4,823.72 2025-12-20
184 MS_DRG Major Chest Trauma With Cc 12 6 $22,875.00 $16,012.50 30% off $3,591.47 $5,279.12 $4,822.85 2025-12-20
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 12 6 $16,616.00 $11,631.20 30% off $4,063.64 $5,258.96 $4,804.44 2025-12-20
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 12 6 $9,443.50 $6,610.45 30% off $2,309.93 $5,216.79 $4,765.91 2025-12-20
7006017_1 CDM Operating Room Services - General Classification 80 40 $9,880.00 $6,916.00 30% off $2,711.07 $8,398.00 $4,742.40 2025-12-20
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/mcc 12 6 $20,078.01 $14,054.61 30% off $3,687.99 $5,179.05 $4,731.43 2025-12-20
445 MS_DRG Disorders Of The Biliary Tract With Cc 12 6 $16,488.91 $11,542.24 30% off $3,693.73 $5,099.86 $4,659.09 2025-12-20
7001255_1 CDM Mesh Gen Use 15X22cm Tintra E-1522 80 40 $9,608.00 $6,725.60 30% off $2,636.44 $8,166.80 $4,611.84 2025-12-20
7006039_1 CDM Operating Room Services - General Classification 80 40 $9,513.00 $6,659.10 30% off $2,610.37 $8,086.05 $4,566.24 2025-12-20
594 MS_DRG Skin Ulcers Without Cc/mcc 12 6 $20,749.82 $14,524.87 30% off $2,925.55 $4,977.17 $4,547.00 2025-12-20
55 MS_DRG Nervous System Neoplasms Without Mcc 12 6 $13,778.00 $9,644.60 30% off $3,441.27 $4,911.09 $4,486.63 2025-12-20
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 12 6 $12,781.44 $8,947.00 30% off $3,446.00 $4,902.18 $4,478.50 2025-12-20
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 12 6 $11,024.01 $7,716.81 30% off $3,941.47 $4,647.22 $4,431.52 2025-12-20
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 12 6 $12,427.00 $8,698.90 30% off $2,839.15 $4,837.22 $4,419.15 2025-12-20
920 MS_DRG Complications Of Treatment With Cc 12 6 $17,986.00 $12,590.20 30% off $3,382.88 $4,817.74 $4,401.34 2025-12-20
572 MS_DRG Skin Debridement Without Cc/mcc 12 6 $49,567.19 $34,697.03 30% off $3,868.90 $4,608.69 $4,371.74 2025-12-20
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 12 6 $10,763.00 $7,534.10 30% off $3,564.80 $4,771.70 $4,359.29 2025-12-20
7006016_1 CDM Operating Room Services - General Classification 80 40 $9,055.00 $6,338.50 30% off $2,484.69 $7,696.75 $4,346.40 2025-12-20
7006027_1 CDM Operating Room Services - General Classification 80 40 $9,055.00 $6,338.50 30% off $2,484.69 $7,696.75 $4,346.40 2025-12-20
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 12 6 $4,527.00 $3,168.90 30% off $3,258.00 $4,723.94 $4,315.65 2025-12-20
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 12 6 $16,419.51 $11,493.66 30% off $3,425.75 $4,719.23 $4,311.35 2025-12-20
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 12 6 $8,944.50 $6,261.15 30% off $2,845.23 $4,581.42 $4,185.45 2025-12-20
200 MS_DRG Pneumothorax With Cc 14 7 $3,413.00 $2,389.10 30% off $3,413.00 $9,344.05 $4,167.67 2025-12-20
J1561 HCPCS Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 152 38 $7,129.00 $4,990.30 30% off $1,429.08 $8,688.00 $4,166.40 2025-12-20
J2406 HCPCS Injection, Oritavancin (kimyrsa), 10 Mg 76 38 $8,646.00 $6,052.20 30% off $2,372.46 $8,300.16 $4,150.08 2025-12-20
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 4 2 $2,193.00 $1,535.10 30% off $2,193.00 $6,082.64 $4,137.82 2025-12-20
69 MS_DRG Transient Ischemia Without Thrombolytic 12 6 $16,851.51 $11,796.05 30% off $2,696.05 $4,516.06 $4,125.75 2025-12-20
292 MS_DRG Heart Failure And Shock With Cc 12 6 $14,289.00 $10,002.30 30% off $2,865.48 $4,498.14 $4,109.38 2025-12-20
644 MS_DRG Endocrine Disorders With Cc 12 6 $14,186.00 $9,930.20 30% off $3,459.50 $4,443.10 $4,059.09 2025-12-20
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 12 6 $17,412.44 $12,188.71 30% off $3,453.76 $4,400.59 $4,035.43 2025-12-20
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 12 6 $6,891.00 $4,823.70 30% off $2,021.36 $4,390.90 $4,011.40 2025-12-20
7006038_1 CDM Operating Room Services - General Classification 80 40 $8,325.00 $5,827.50 30% off $2,284.38 $7,076.25 $3,996.00 2025-12-20
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 12 6 $8,410.11 $5,887.08 30% off $3,479.07 $4,243.74 $3,977.34 2025-12-20
7006015_1 CDM Operating Room Services - General Classification 80 40 $8,232.00 $5,762.40 30% off $2,258.86 $6,997.20 $3,951.36 2025-12-20
7005686_1 CDM Operating Room Services - General Classification 80 40 $8,215.00 $5,750.50 30% off $2,254.20 $6,982.75 $3,943.20 2025-12-20
794 MS_DRG Neonate With Other Significant Problems 4 2 $2,823.14 $1,976.20 30% off $2,823.14 $4,981.34 $3,902.24 2025-12-20
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 12 6 $17,733.05 $12,413.14 30% off $2,720.01 $4,262.10 $3,893.73 2025-12-20
7006026_1 CDM Operating Room Services - General Classification 80 40 $8,050.00 $5,635.00 30% off $2,208.92 $6,842.50 $3,864.00 2025-12-20
394 MS_DRG Other Digestive System Diagnoses With Cc 12 6 $6,951.51 $4,866.05 30% off $3,158.10 $4,209.24 $3,845.45 2025-12-20
683 MS_DRG Renal Failure With Cc 12 6 $15,887.12 $11,120.98 30% off $2,955.93 $4,177.26 $3,816.23 2025-12-20
758 MS_DRG Infections, Female Reproductive System With Cc 12 6 $17,420.40 $12,194.28 30% off $3,304.24 $4,040.57 $3,782.14 2025-12-20
552 MS_DRG Medical Back Problems Without Mcc 12 6 $10,125.40 $7,087.78 30% off $3,244.50 $4,091.70 $3,771.33 2025-12-20
787 MS_DRG Cesarean Section Without Sterilization With Cc 6 3 $20,957.00 $14,669.90 30% off $2,464.00 $4,355.52 $3,769.33 2025-12-20
312 MS_DRG Syncope And Collapse 12 6 $8,502.33 $5,951.63 30% off $2,941.75 $4,099.59 $3,745.27 2025-12-20
202 MS_DRG Bronchitis And Asthma With Cc/mcc 12 6 $9,852.01 $6,896.40 30% off $3,277.92 $3,939.04 $3,719.86 2025-12-20
3900234_1 CDM Rituximab/ns: 1000mg/1000ml 80 40 $7,611.00 $5,327.70 30% off $2,088.46 $7,306.56 $3,653.28 2025-12-20
J9312 HCPCS Injection, Rituximab, 10 Mg 76 38 $7,611.00 $5,327.70 30% off $2,088.46 $7,306.56 $3,653.28 2025-12-20
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 12 6 $10,151.91 $7,106.34 30% off $3,176.33 $3,918.26 $3,651.54 2025-12-20
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 14 7 $3,318.00 $2,322.60 30% off $3,318.00 $8,896.10 $3,642.03 2025-12-20
149 MS_DRG Dysequilibrium 12 6 $14,225.00 $9,957.50 30% off $2,536.74 $3,939.71 $3,599.21 2025-12-20
434 MS_DRG Cirrhosis And Alcoholic Hepatitis Without Cc/mcc 12 6 $7,087.00 $4,960.90 30% off $2,404.77 $3,931.76 $3,591.94 2025-12-20
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 76 38 $7,451.00 $5,215.70 30% off $2,044.55 $7,152.96 $3,576.48 2025-12-20
7006014_1 CDM Operating Room Services - General Classification 80 40 $7,410.00 $5,187.00 30% off $2,033.30 $6,298.50 $3,556.80 2025-12-20
64624 HCPCS Destruction Of Nerve Branches Of Knee Using Imaging Guidance 160 40 $6,983.50 $4,888.45 30% off $1,825.03 $6,218.60 $3,511.68 2025-12-20
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 12 6 $11,107.00 $7,774.90 30% off $2,417.26 $3,840.03 $3,508.15 2025-12-20
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 14 7 $3,086.00 $2,160.20 30% off $2,361.57 $5,947.45 $3,506.31 2025-12-20
A9572 HCPCS Indium In-111 Pentetreotide, Diagnostic, Per Study Dose, Up To 6 Millicuries 76 38 $7,286.00 $5,100.20 30% off $1,999.28 $6,193.10 $3,497.28 2025-12-20
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 4 2 $23,628.50 $16,539.95 30% off $3,240.79 $3,744.78 $3,492.78 2025-12-20
638 MS_DRG Diabetes With Cc 12 6 $13,829.34 $9,680.54 30% off $3,024.78 $3,757.54 $3,489.48 2025-12-20
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 12 6 $7,641.00 $5,348.70 30% off $2,803.37 $3,812.59 $3,483.07 2025-12-20
7005590_1 CDM Operating Room Services - General Classification 80 40 $7,227.00 $5,058.90 30% off $1,983.09 $6,142.95 $3,468.96 2025-12-20
204 MS_DRG Respiratory Signs And Symptoms 12 6 $26,789.00 $18,752.30 30% off $2,725.07 $3,770.87 $3,444.96 2025-12-20
7005917_1 CDM Orif 80 40 $7,152.00 $5,006.40 30% off $1,962.51 $6,079.20 $3,432.96 2025-12-20
7006037_1 CDM Operating Room Services - General Classification 80 40 $7,136.00 $4,995.20 30% off $1,958.12 $6,065.60 $3,425.28 2025-12-20
7006025_1 CDM Operating Room Services - General Classification 80 40 $7,043.00 $4,930.10 30% off $1,932.60 $5,986.55 $3,380.64 2025-12-20
J0881 HCPCS Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use) 76 38 $6,966.00 $4,876.20 30% off $1,911.47 $6,687.36 $3,343.68 2025-12-20
7005789_1 CDM Essure Perm Birth Control 80 40 $6,930.00 $4,851.00 30% off $1,901.59 $6,652.80 $3,326.40 2025-12-20
58290 HCPCS Removal Of Uterus Through Vagina, More Than 250.0 G 88 44 $6,917.00 $4,841.90 30% off $1,898.02 $5,879.45 $3,320.16 2025-12-20
90 MS_DRG Concussion Without Cc/mcc 12 6 $7,419.50 $5,193.65 30% off $2,778.40 $3,609.26 $3,297.32 2025-12-20
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 228 38 $6,865.00 $4,805.50 30% off $145.43 $13,686.72 $3,295.20 2025-12-20
948 MS_DRG Signs And Symptoms Without Mcc 12 6 $17,458.18 $12,220.73 30% off $2,701.78 $3,572.24 $3,263.50 2025-12-20
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 12 6 $3,927.00 $2,748.90 30% off $2,932.83 $3,927.00 $3,258.70 2025-12-20
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 76 38 $6,764.00 $4,734.80 30% off $1,856.04 $6,493.44 $3,246.72 2025-12-20
7005582_1 CDM Operating Room Services - General Classification 80 40 $6,747.00 $4,722.90 30% off $1,851.38 $5,734.95 $3,238.56 2025-12-20
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 6 3 $17,136.17 $11,995.32 30% off $2,464.00 $3,739.32 $3,236.07 2025-12-20
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 12 6 $27,033.01 $18,923.11 30% off $2,483.08 $3,540.66 $3,234.64 2025-12-20
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 6 3 $15,763.67 $11,034.57 30% off $2,464.00 $3,735.42 $3,232.69 2025-12-20
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 4 2 $9,661.00 $6,762.70 30% off $2,979.56 $3,442.92 $3,211.24 2025-12-20
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 12 6 $9,796.00 $6,857.20 30% off $2,097.30 $3,463.54 $3,164.19 2025-12-20
7006013_1 CDM Operating Room Services - General Classification 80 40 $6,586.00 $4,610.20 30% off $1,807.20 $5,598.10 $3,161.28 2025-12-20
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 12 6 $10,509.00 $7,356.30 30% off $2,843.32 $3,910.53 $3,159.24 2025-12-20
305 MS_DRG Hypertension Without Mcc 12 6 $10,474.00 $7,331.80 30% off $2,548.55 $3,449.94 $3,151.76 2025-12-20
7005592_1 CDM Operating Room Services - General Classification 80 40 $6,549.00 $4,584.30 30% off $1,797.05 $5,566.65 $3,143.52 2025-12-20
864 MS_DRG Fever And Inflammatory Conditions 12 6 $8,009.00 $5,606.30 30% off $2,932.88 $3,462.03 $3,140.04 2025-12-20
293 MS_DRG Heart Failure And Shock Without Cc/mcc 12 6 $12,690.00 $8,883.00 30% off $1,910.32 $3,436.55 $3,139.53 2025-12-20
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 12 6 $25,786.00 $18,050.20 30% off $2,713.26 $3,369.74 $3,129.72 2025-12-20
370 MS_DRG Major Esophageal Disorders Without Cc/mcc 12 6 $7,606.01 $5,324.21 30% off $2,365.28 $3,422.66 $3,126.85 2025-12-20
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 12 6 $6,335.00 $4,434.50 30% off $2,528.98 $3,420.09 $3,124.49 2025-12-20
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 12 6 $9,965.00 $6,975.50 30% off $2,127.68 $3,416.34 $3,121.06 2025-12-20
7005595_1 CDM Operating Room Services - General Classification 80 40 $6,439.00 $4,507.30 30% off $1,766.86 $5,473.15 $3,090.72 2025-12-20
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 12 6 $13,924.32 $9,747.02 30% off $2,631.24 $3,312.40 $3,055.76 2025-12-20
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 12 6 $10,770.00 $7,539.00 30% off $2,455.06 $3,333.34 $3,045.25 2025-12-20
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 12 6 $21,458.64 $15,021.05 30% off $2,166.83 $3,308.03 $3,022.12 2025-12-20
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 12 6 $5,024.00 $3,516.80 30% off $2,190.45 $3,307.70 $3,021.82 2025-12-20
313 MS_DRG Chest Pain 12 6 $4,183.00 $2,928.10 30% off $2,430.09 $3,289.50 $3,005.19 2025-12-20
603 MS_DRG Cellulitis Without Mcc 12 6 $21,731.88 $15,212.31 30% off $2,714.49 $3,396.51 $2,977.74 2025-12-20
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 12 6 $11,216.37 $7,851.46 30% off $2,732.16 $3,157.05 $2,975.78 2025-12-20
3900301_1 CDM Imiglucerase/ns: 6000u/200ml 80 40 $6,182.00 $4,327.40 30% off $1,696.34 $5,934.72 $2,967.36 2025-12-20
866 MS_DRG Viral Illness Without Mcc 12 6 $15,049.51 $10,534.66 30% off $2,699.22 $3,391.44 $2,967.07 2025-12-20
7001254_1 CDM Mesh Gen Use 14X15cm Tintra R-1415 80 40 $6,143.00 $4,300.10 30% off $1,685.64 $5,221.55 $2,948.64 2025-12-20
7001249_1 CDM Mesh Lap Umb/ven 15cm Tintra C-15 80 40 $6,143.00 $4,300.10 30% off $1,685.64 $5,221.55 $2,948.64 2025-12-20
7005578_1 CDM Operating Room Services - General Classification 80 40 $6,123.00 $4,286.10 30% off $1,680.15 $5,204.55 $2,939.04 2025-12-20
7006024_1 CDM Operating Room Services - General Classification 80 40 $6,038.00 $4,226.60 30% off $1,656.83 $5,132.30 $2,898.24 2025-12-20
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 12 6 $8,564.00 $5,994.80 30% off $2,588.14 $3,483.48 $2,875.71 2025-12-20
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 12 6 $5,333.00 $3,733.10 30% off $2,586.88 $3,342.69 $2,874.31 2025-12-20
57520 HCPCS Removal Or Destruction Of Cervix With Cold Knife Or Laser 88 44 $5,982.00 $4,187.40 30% off $1,641.46 $5,084.70 $2,871.36 2025-12-20
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 88 44 $5,975.00 $4,182.50 30% off $821.10 $5,078.75 $2,868.00 2025-12-20
7006036_1 CDM Operating Room Services - General Classification 80 40 $5,946.00 $4,162.20 30% off $1,631.58 $5,054.10 $2,854.08 2025-12-20
64625 HCPCS Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui… 230 40 $5,926.00 $4,148.20 30% off $211.56 $5,717.10 $2,844.48 2025-12-20
7005618_1 CDM Operating Room Services - General Classification 80 40 $5,925.00 $4,147.50 30% off $1,625.82 $5,036.25 $2,844.00 2025-12-20
J1306 HCPCS Injection, Inclisiran, 1 Mg 76 38 $5,924.00 $4,146.80 30% off $1,625.55 $5,687.04 $2,843.52 2025-12-20
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 12 6 $22,300.00 $15,610.00 30% off $2,529.53 $3,237.39 $2,806.14 2025-12-20
7001252_1 CDM Mesh Open Umb/ven 10X15cm Tintra Ok-1015 80 40 $5,828.00 $4,079.60 30% off $1,599.20 $4,953.80 $2,797.44 2025-12-20
7005613_1 CDM Operating Room Services - General Classification 80 40 $5,812.00 $4,068.40 30% off $1,594.81 $4,940.20 $2,789.76 2025-12-20
7005812_1 CDM Balloon Sinuplasty 5mm 80 40 $5,804.00 $4,062.80 30% off $1,592.62 $4,933.40 $2,785.92 2025-12-20
44147 HCPCS Partial Removal Of Large Bowel Through Abdomen And Anus 78 39 $5,767.62 $4,037.33 30% off $211.56 $4,902.48 $2,768.46 2025-12-20
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 76 38 $5,757.00 $4,029.90 30% off $1,579.72 $5,526.72 $2,763.36 2025-12-20
7005605_1 CDM Operating Room Services - General Classification 80 40 $5,738.00 $4,016.60 30% off $1,574.51 $4,877.30 $2,754.24 2025-12-20
59151 HCPCS Removal Of Ovarian Or Tubal Pregnancy With Removal Of Ovary And/or Tube Using An… 86 43 $5,663.00 $3,964.10 30% off $1,553.93 $4,813.55 $2,718.24 2025-12-20
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 76 38 $5,638.00 $3,946.60 30% off $1,547.07 $5,412.48 $2,706.24 2025-12-20
3900175_1 CDM Ryanodex 250 Mg Vial 80 40 $5,629.00 $3,940.30 30% off $1,544.60 $4,784.65 $2,701.92 2025-12-20
7005683_1 CDM Operating Room Services - General Classification 80 40 $5,618.00 $3,932.60 30% off $1,541.58 $4,775.30 $2,696.64 2025-12-20
3900180_1 CDM Digoxin Immune Fab/ns: 40mg/50ml 80 40 $5,589.00 $3,912.30 30% off $1,533.62 $5,365.44 $2,682.72 2025-12-20
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 12 6 $3,080.00 $2,156.00 30% off $2,325.46 $2,849.11 $2,664.32 2025-12-20
44150 HCPCS Removal Of Large Bowel With Attachment Of Small Bowel To Rectum Or Creation Of O… 78 39 $5,535.90 $3,875.13 30% off $211.56 $4,705.52 $2,657.23 2025-12-20
607 MS_DRG Minor Skin Disorders Without Mcc 12 6 $11,743.01 $8,220.11 30% off $2,380.09 $3,534.96 $2,644.54 2025-12-20
45110 HCPCS Removal Of Rectum With Creation Of Opening From Large Bowel To Skin Through Abdo… 78 39 $5,481.93 $3,837.35 30% off $211.56 $4,659.64 $2,631.33 2025-12-20
7005633_1 CDM Operating Room Services - General Classification 80 40 $5,477.00 $3,833.90 30% off $1,502.89 $4,655.45 $2,628.96 2025-12-20
645 MS_DRG Endocrine Disorders Without Cc/mcc 12 6 $13,333.00 $9,333.10 30% off $2,395.56 $2,996.37 $2,627.42 2025-12-20
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 4 2 $9,180.00 $6,426.00 30% off $2,435.49 $2,814.24 $2,624.86 2025-12-20
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 12 6 $8,898.50 $6,228.95 30% off $2,429.07 $2,806.83 $2,616.25 2025-12-20
59400 HCPCS Vaginal Delivery With Care Before And After Delivery 166 44 $3,263.00 $2,284.10 30% off $211.56 $3,677.10 $2,610.40 2025-12-20
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 88 44 $5,434.00 $3,803.80 30% off $1,107.93 $4,618.90 $2,608.32 2025-12-20
59510 HCPCS Cesarean Delivery With Care Before And After Delivery 244 44 $3,514.00 $2,459.80 30% off $211.56 $3,997.24 $2,588.38 2025-12-20
684 MS_DRG Renal Failure Without Cc/mcc 12 6 $11,145.00 $7,801.50 30% off $2,026.08 $2,817.81 $2,574.27 2025-12-20
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 12 6 $8,558.67 $5,991.07 30% off $2,314.02 $3,034.98 $2,571.13 2025-12-20
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 6 3 $14,441.29 $10,108.90 30% off $1,512.00 $2,940.60 $2,544.84 2025-12-20
36566 HCPCS Insertion Of 2 Central Venous Tubes In 2 Veins With Port 88 44 $5,294.00 $3,705.80 30% off $1,452.67 $4,499.90 $2,541.12 2025-12-20
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 12 6 $13,063.40 $9,144.38 30% off $2,121.26 $2,755.20 $2,517.07 2025-12-20
639 MS_DRG Diabetes Without Cc/mcc 12 6 $12,752.50 $8,926.75 30% off $2,096.62 $2,732.69 $2,496.51 2025-12-20
44206 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin… 78 39 $5,200.89 $3,640.62 30% off $211.56 $4,420.76 $2,496.43 2025-12-20
7005614_1 CDM Operating Room Services - General Classification 80 40 $5,199.00 $3,639.30 30% off $1,426.61 $4,419.15 $2,495.52 2025-12-20
64999 HCPCS Other Procedure On Nervous System 90 44 $5,189.00 $3,632.30 30% off $190.09 $4,410.65 $2,490.72 2025-12-20
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 88 44 $5,171.00 $3,619.70 30% off $1,418.92 $4,395.35 $2,482.08 2025-12-20
7005579_1 CDM Operating Room Services - General Classification 80 40 $5,155.00 $3,608.50 30% off $1,414.53 $4,381.75 $2,474.40 2025-12-20
57260 HCPCS Plastic Repair Of Vagina And Tissue Separating Vagina, Rectum, And Bladder 86 43 $5,140.00 $3,598.00 30% off $1,410.42 $4,576.06 $2,467.20 2025-12-20
3900658_1 CDM Crotalidae Antivenin Snake / Ns: 250ml 80 40 $5,035.00 $3,524.50 30% off $1,381.60 $4,833.60 $2,416.80 2025-12-20
J1568 HCPCS Injection, Immune Globulin, (octagam), Intravenous, Non-lyophilized (e.g., Liqui… 228 38 $4,860.00 $3,402.00 30% off $922.81 $6,456.00 $2,401.77 2025-12-20
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 88 44 $4,993.00 $3,495.10 30% off $1,107.93 $4,244.05 $2,396.64 2025-12-20
7006011_1 CDM Operating Room Services - General Classification 80 40 $4,939.00 $3,457.30 30% off $1,355.26 $4,198.15 $2,370.72 2025-12-20
57240 HCPCS Repair Of Bladder Hernia Into Vaginal Wall 86 43 $4,934.00 $3,453.80 30% off $1,353.89 $4,576.06 $2,368.32 2025-12-20
J7320 HCPCS Hyaluronan Or Derivitive, Genvisc 850, For Intra-articular Injection, 1 Mg 76 38 $4,931.00 $3,451.70 30% off $1,353.07 $4,733.76 $2,366.88 2025-12-20
44143 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin 78 39 $4,928.52 $3,449.96 30% off $211.56 $4,189.24 $2,365.69 2025-12-20
81162 HCPCS Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat… 84 42 $4,767.00 $3,336.90 30% off $1,308.06 $9,321.98 $2,345.36 2025-12-20
58260 HCPCS Removal Of Uterus Through Vagina, 250.0 G Or Less 86 43 $4,882.00 $3,417.40 30% off $1,339.62 $4,576.06 $2,343.36 2025-12-20
58550 HCPCS Removal Of Uterus Through Vagina Using An Endoscope, 250.0 G Or Less 158 44 $4,938.00 $3,456.60 30% off $211.56 $6,301.00 $2,333.25 2025-12-20
64417 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Upper Arm And Shoulder Nerve (… 168 44 $21,721.00 $15,204.70 30% off $335.48 $18,462.85 $2,306.90 2025-12-20
7005847_1 CDM Gynecare Tvt Obturator 80 40 $4,782.00 $3,347.40 30% off $1,312.18 $4,590.72 $2,295.36 2025-12-20
7005610_1 CDM Operating Room Services - General Classification 80 40 $4,772.00 $3,340.40 30% off $1,309.44 $4,056.20 $2,290.56 2025-12-20
7006035_1 CDM Operating Room Services - General Classification 80 40 $4,756.00 $3,329.20 30% off $1,305.05 $4,042.60 $2,282.88 2025-12-20
44626 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An… 78 39 $4,755.27 $3,328.69 30% off $211.56 $4,041.98 $2,282.53 2025-12-20
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 12 6 $5,904.06 $4,132.84 30% off $2,061.11 $2,613.00 $2,275.72 2025-12-20
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 6 3 $10,681.25 $7,476.88 30% off $1,512.00 $2,629.38 $2,275.51 2025-12-20
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 76 38 $4,733.00 $3,313.10 30% off $1,298.74 $4,543.68 $2,271.84 2025-12-20
7005601_1 CDM Operating Room Services - General Classification 80 40 $4,693.00 $3,285.10 30% off $1,287.76 $3,989.05 $2,252.64 2025-12-20
7006023_1 CDM Operating Room Services - General Classification 80 40 $4,678.00 $3,274.60 30% off $1,283.64 $3,976.30 $2,245.44 2025-12-20
7005597_1 CDM Operating Room Services - General Classification 80 40 $4,622.00 $3,235.40 30% off $1,268.28 $3,928.70 $2,218.56 2025-12-20
153 MS_DRG Otitis Media And Uri Without Mcc 14 7 $19,791.00 $13,853.70 30% off $1,993.57 $6,274.70 $2,215.08 2025-12-20
44204 HCPCS Partial Removal Of Large Bowel Using An Endoscope 78 39 $4,563.93 $3,194.75 30% off $211.56 $3,879.34 $2,190.69 2025-12-20
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 88 44 $4,539.00 $3,177.30 30% off $698.74 $3,858.15 $2,178.72 2025-12-20
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 8 4 $889.00 $622.30 30% off $889.00 $2,573.73 $2,167.22 2025-12-20
7005588_1 CDM Operating Room Services - General Classification 80 40 $4,474.00 $3,131.80 30% off $1,227.67 $3,802.90 $2,147.52 2025-12-20
36573 HCPCS Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, … 80 40 $4,415.00 $3,090.50 30% off $1,211.48 $3,752.75 $2,119.20 2025-12-20
47531 HCPCS Injection Of Bile Duct For X-ray Through Already Existing Skin Access Using Imag… 88 44 $4,378.00 $3,064.60 30% off $316.54 $3,721.30 $2,101.44 2025-12-20
7005632_1 CDM Operating Room Services - General Classification 80 40 $4,368.00 $3,057.60 30% off $1,198.58 $3,712.80 $2,096.64 2025-12-20
99907_1 CDM Misc Surgery 80 40 $4,359.00 $3,051.30 30% off $1,196.11 $3,705.15 $2,092.32 2025-12-20
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 88 44 $4,321.00 $3,024.70 30% off $795.64 $3,672.85 $2,074.08 2025-12-20
70553 HCPCS MRI Scan Of Brain Before And After Contrast 88 44 $4,283.00 $2,998.10 30% off $1,175.26 $3,640.55 $2,055.84 2025-12-20
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 88 44 $4,212.00 $2,948.40 30% off $1,155.77 $3,580.20 $2,021.76 2025-12-20
58150 HCPCS Removal Of Uterus And Cervix Through Abdomen 158 44 $4,193.00 $2,935.10 30% off $211.56 $3,564.05 $2,012.64 2025-12-20
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