|
399
|
MS_DRG
|
Appendix Procedures Without Cc/mcc
|
6
|
6
|
$74,762.07
|
$14,952.41
80% off
|
$54,950.12
|
$65,790.62
|
$60,931.09
|
2026-01-26
|
|
885
|
MS_DRG
|
Psychoses
|
6
|
6
|
$53,835.75
|
$10,767.15
80% off
|
$39,569.28
|
$47,375.46
|
$43,876.14
|
2026-01-26
|
|
398
|
MS_DRG
|
Appendix Procedures With Cc
|
6
|
6
|
$46,799.49
|
$9,359.90
80% off
|
$34,397.63
|
$41,183.55
|
$38,141.58
|
2026-01-26
|
|
882
|
MS_DRG
|
Neuroses Except Depressive
|
6
|
6
|
$32,556.03
|
$6,511.21
80% off
|
$23,928.68
|
$28,649.31
|
$26,533.17
|
2026-01-26
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
6
|
6
|
$27,709.05
|
$5,541.81
80% off
|
$20,366.15
|
$24,383.97
|
$22,582.88
|
2026-01-26
|
|
881
|
MS_DRG
|
Depressive Neuroses
|
6
|
6
|
$26,228.10
|
$5,245.62
80% off
|
$19,277.65
|
$23,080.73
|
$21,375.90
|
2026-01-26
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
6
|
6
|
$24,180.24
|
$4,836.05
80% off
|
$17,772.48
|
$21,278.61
|
$19,706.90
|
2026-01-26
|
|
887
|
MS_DRG
|
Other Mental Disorder Diagnoses
|
6
|
6
|
$21,579.24
|
$4,315.85
80% off
|
$15,860.74
|
$18,989.73
|
$17,587.08
|
2026-01-26
|
|
880
|
MS_DRG
|
Acute Adjustment Reaction And Psychosocial Dysfunction
|
6
|
6
|
$4,775.34
|
$955.07
80% off
|
$3,509.87
|
$4,202.30
|
$3,891.90
|
2026-01-26
|
|
315164
|
CDM
|
Room & Board - Other - Sterile Environment
|
6
|
6
|
$4,753.37
|
$950.67
80% off
|
$3,493.73
|
$4,182.97
|
$3,873.99
|
2026-01-26
|
|
115164
|
CDM
|
Room & Board - Other - Sterile Environment
|
6
|
6
|
$4,670.86
|
$934.17
80% off
|
$3,433.08
|
$4,110.36
|
$3,806.75
|
2026-01-26
|
|
315200
|
CDM
|
Intensive Care Unit - General Classification
|
6
|
6
|
$4,442.04
|
$888.41
80% off
|
$3,264.90
|
$3,909.00
|
$3,620.26
|
2026-01-26
|
|
165113
|
CDM
|
Room & Board - Private (one Bed) - Pediatric
|
6
|
6
|
$4,220.66
|
$844.13
80% off
|
$3,102.19
|
$3,714.18
|
$3,439.84
|
2026-01-26
|
|
115206
|
CDM
|
Intensive Care Unit - Intermediate ICU
|
6
|
6
|
$3,758.58
|
$751.72
80% off
|
$2,762.56
|
$3,307.55
|
$3,063.24
|
2026-01-26
|
|
115111
|
CDM
|
Room & Board - Private (one Bed) - Medical/surgical/gyn
|
6
|
6
|
$3,710.59
|
$742.12
80% off
|
$2,727.28
|
$3,265.32
|
$3,024.13
|
2026-01-26
|
|
215111
|
CDM
|
Room & Board - Private (one Bed) - Medical/surgical/gyn
|
6
|
6
|
$3,710.59
|
$742.12
80% off
|
$2,727.28
|
$3,265.32
|
$3,024.13
|
2026-01-26
|
|
215112
|
CDM
|
Room & Board - Private (one Bed) - Obstetrics (ob)
|
6
|
6
|
$3,710.59
|
$742.12
80% off
|
$2,727.28
|
$3,265.32
|
$3,024.13
|
2026-01-26
|
|
115110
|
CDM
|
Room & Board - Private (one Bed) - General Classification
|
6
|
6
|
$3,589.17
|
$717.83
80% off
|
$2,638.04
|
$3,158.47
|
$2,925.17
|
2026-01-26
|
|
115207
|
CDM
|
Intensive Care Unit - Intermediate ICU
|
6
|
6
|
$3,515.14
|
$703.03
80% off
|
$2,583.63
|
$3,093.32
|
$2,864.84
|
2026-01-26
|
|
115120
|
CDM
|
Room & Board - Semi-private (two Beds) - General Classification
|
6
|
6
|
$3,335.97
|
$667.19
80% off
|
$2,451.94
|
$2,935.65
|
$2,718.82
|
2026-01-26
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
7
|
7
|
$17,678.64
|
$3,535.73
80% off
|
$9,723.25
|
$15,557.20
|
$13,789.34
|
2026-01-26
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
7
|
7
|
$14,013.10
|
$2,802.62
80% off
|
$7,707.21
|
$12,331.53
|
$10,930.22
|
2026-01-26
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
7
|
7
|
$10,298.35
|
$2,059.67
80% off
|
$5,664.09
|
$9,062.55
|
$8,032.71
|
2026-01-26
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
7
|
7
|
$9,730.42
|
$1,946.08
80% off
|
$5,351.73
|
$8,562.77
|
$7,589.73
|
2026-01-26
|
|
794
|
MS_DRG
|
Neonate With Other Significant Problems
|
7
|
7
|
$5,249.70
|
$1,049.94
80% off
|
$2,887.33
|
$4,619.73
|
$4,094.76
|
2026-01-26
|
|
795
|
MS_DRG
|
Normal Newborn
|
7
|
7
|
$4,917.64
|
$983.53
80% off
|
$1,378.62
|
$4,327.52
|
$3,835.76
|
2026-01-26
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
9
|
9
|
$276,165.07
|
$55,233.01
80% off
|
$9,913.23
|
$243,025.26
|
$206,295.31
|
2026-01-26
|
|
550
|
MS_DRG
|
Septic Arthritis Without Cc/mcc
|
9
|
9
|
$228,542.82
|
$45,708.56
80% off
|
$6,031.29
|
$201,117.68
|
$170,721.49
|
2026-01-26
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
9
|
9
|
$117,732.38
|
$23,546.48
80% off
|
$7,093.20
|
$103,604.49
|
$87,946.09
|
2026-01-26
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
9
|
9
|
$113,774.10
|
$22,754.82
80% off
|
$16,029.39
|
$100,121.21
|
$84,989.25
|
2026-01-26
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
9
|
9
|
$110,967.18
|
$22,193.44
80% off
|
$12,185.40
|
$97,651.12
|
$82,892.48
|
2026-01-26
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
9
|
9
|
$109,816.89
|
$21,963.38
80% off
|
$33,959.73
|
$96,638.86
|
$82,033.22
|
2026-01-26
|
|
557
|
MS_DRG
|
Tendonitis, Myositis And Bursitis With Mcc
|
9
|
9
|
$105,925.77
|
$21,185.15
80% off
|
$10,259.61
|
$93,214.68
|
$79,126.55
|
2026-01-26
|
|
863
|
MS_DRG
|
Postoperative And Post-traumatic Infections Without Mcc
|
9
|
9
|
$105,465.68
|
$21,093.14
80% off
|
$6,885.51
|
$92,809.80
|
$78,782.86
|
2026-01-26
|
|
949
|
MS_DRG
|
Aftercare With Cc/mcc
|
9
|
9
|
$99,353.12
|
$19,870.62
80% off
|
$8,208.93
|
$87,430.74
|
$74,216.78
|
2026-01-26
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
9
|
9
|
$98,846.98
|
$19,769.40
80% off
|
$16,540.68
|
$86,985.34
|
$73,838.69
|
2026-01-26
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
9
|
9
|
$98,724.61
|
$19,744.92
80% off
|
$14,550.03
|
$86,877.66
|
$73,747.28
|
2026-01-26
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
9
|
9
|
$95,621.27
|
$19,124.25
80% off
|
$13,766.88
|
$84,146.72
|
$71,429.09
|
2026-01-26
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
9
|
9
|
$88,104.01
|
$17,620.80
80% off
|
$13,309.41
|
$77,531.53
|
$65,813.70
|
2026-01-26
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
9
|
9
|
$86,988.10
|
$17,397.62
80% off
|
$8,758.86
|
$76,549.53
|
$64,980.11
|
2026-01-26
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
9
|
9
|
$85,810.17
|
$17,162.03
80% off
|
$7,770.09
|
$75,512.95
|
$64,100.20
|
2026-01-26
|
|
562
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
9
|
9
|
$83,503.04
|
$16,700.61
80% off
|
$9,831.12
|
$73,482.68
|
$62,376.77
|
2026-01-26
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
9
|
9
|
$82,787.64
|
$16,557.53
80% off
|
$11,612.01
|
$72,853.12
|
$61,842.37
|
2026-01-26
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
9
|
9
|
$82,011.22
|
$16,402.24
80% off
|
$14,387.88
|
$72,169.87
|
$61,262.38
|
2026-01-26
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
9
|
9
|
$75,837.98
|
$15,167.60
80% off
|
$7,003.50
|
$66,737.42
|
$56,650.97
|
2026-01-26
|
|
964
|
MS_DRG
|
Other Multiple Significant Trauma With Cc
|
9
|
9
|
$75,745.24
|
$15,149.05
80% off
|
$10,574.94
|
$66,655.81
|
$56,581.69
|
2026-01-26
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
9
|
9
|
$75,447.08
|
$15,089.42
80% off
|
$5,572.44
|
$66,393.43
|
$56,358.97
|
2026-01-26
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
9
|
9
|
$73,802.16
|
$14,760.43
80% off
|
$13,363.92
|
$64,945.90
|
$55,130.21
|
2026-01-26
|
|
592
|
MS_DRG
|
Skin Ulcers With Mcc
|
9
|
9
|
$72,811.98
|
$14,562.40
80% off
|
$13,353.57
|
$64,074.54
|
$54,390.55
|
2026-01-26
|
|
747
|
MS_DRG
|
Vagina, Cervix And Vulva Procedures Without Cc/mcc
|
9
|
9
|
$71,924.22
|
$14,384.84
80% off
|
$5,792.55
|
$63,293.31
|
$53,727.39
|
2026-01-26
|
|
556
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc
|
9
|
9
|
$70,962.99
|
$14,192.60
80% off
|
$5,731.14
|
$62,447.43
|
$53,009.35
|
2026-01-26
|
|
501
|
MS_DRG
|
Soft Tissue Procedures With Cc
|
9
|
9
|
$68,795.50
|
$13,759.10
80% off
|
$12,061.89
|
$60,540.04
|
$51,390.24
|
2026-01-26
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc
|
9
|
9
|
$65,968.52
|
$13,193.70
80% off
|
$4,722.36
|
$58,052.30
|
$49,278.48
|
2026-01-26
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
9
|
9
|
$65,407.61
|
$13,081.52
80% off
|
$12,867.81
|
$57,558.69
|
$48,859.48
|
2026-01-26
|
|
742
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc
|
9
|
9
|
$64,339.67
|
$12,867.93
80% off
|
$12,660.12
|
$56,618.91
|
$48,061.73
|
2026-01-26
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
9
|
9
|
$64,254.28
|
$12,850.86
80% off
|
$8,939.64
|
$56,543.76
|
$47,997.94
|
2026-01-26
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
9
|
9
|
$63,527.47
|
$12,705.49
80% off
|
$13,875.90
|
$55,904.17
|
$47,455.02
|
2026-01-26
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
9
|
9
|
$59,251.71
|
$11,850.34
80% off
|
$11,672.04
|
$52,141.50
|
$44,261.03
|
2026-01-26
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
9
|
9
|
$58,866.07
|
$11,773.21
80% off
|
$9,806.97
|
$51,802.14
|
$43,972.95
|
2026-01-26
|
|
546
|
MS_DRG
|
Connective Tissue Disorders With Cc
|
9
|
9
|
$58,404.25
|
$11,680.85
80% off
|
$7,958.46
|
$51,395.74
|
$43,627.97
|
2026-01-26
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
9
|
9
|
$57,553.98
|
$11,510.80
80% off
|
$12,234.39
|
$50,647.50
|
$42,992.82
|
2026-01-26
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc
|
9
|
9
|
$57,446.37
|
$11,489.27
80% off
|
$6,320.40
|
$50,552.81
|
$42,912.44
|
2026-01-26
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without Mcc
|
9
|
9
|
$57,089.79
|
$11,417.96
80% off
|
$6,163.08
|
$50,239.02
|
$42,646.08
|
2026-01-26
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc
|
9
|
9
|
$56,211.84
|
$11,242.37
80% off
|
$9,424.02
|
$49,466.42
|
$41,990.24
|
2026-01-26
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
9
|
9
|
$56,004.73
|
$11,200.95
80% off
|
$16,466.16
|
$49,284.16
|
$41,835.53
|
2026-01-26
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
9
|
9
|
$55,586.22
|
$11,117.24
80% off
|
$6,971.07
|
$48,915.87
|
$41,522.90
|
2026-01-26
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
9
|
9
|
$48,133.62
|
$9,626.72
80% off
|
$34,076.34
|
$42,357.59
|
$40,913.58
|
2026-01-26
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc
|
9
|
9
|
$54,614.70
|
$10,922.94
80% off
|
$5,546.91
|
$48,060.94
|
$40,797.18
|
2026-01-26
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
9
|
9
|
$48,531.51
|
$9,706.30
80% off
|
$6,632.97
|
$42,707.72
|
$36,253.03
|
2026-01-26
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
9
|
9
|
$48,392.15
|
$9,678.43
80% off
|
$12,172.29
|
$42,585.09
|
$36,148.94
|
2026-01-26
|
|
566
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc
|
9
|
9
|
$47,807.24
|
$9,561.45
80% off
|
$5,170.17
|
$42,070.37
|
$35,712.01
|
2026-01-26
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
9
|
9
|
$47,457.03
|
$9,491.41
80% off
|
$6,014.04
|
$41,762.18
|
$35,450.40
|
2026-01-26
|
|
553
|
MS_DRG
|
Bone Diseases And Arthropathies With Mcc
|
9
|
9
|
$47,175.08
|
$9,435.02
80% off
|
$8,944.47
|
$41,514.07
|
$35,239.78
|
2026-01-26
|
|
921
|
MS_DRG
|
Complications Of Treatment Without Cc/mcc
|
9
|
9
|
$46,901.57
|
$9,380.31
80% off
|
$4,749.96
|
$41,273.38
|
$35,035.47
|
2026-01-26
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
9
|
9
|
$46,373.22
|
$9,274.64
80% off
|
$11,529.21
|
$40,808.43
|
$34,640.80
|
2026-01-26
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
9
|
9
|
$46,358.16
|
$9,271.63
80% off
|
$12,117.78
|
$40,795.18
|
$34,629.55
|
2026-01-26
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
9
|
9
|
$46,150.44
|
$9,230.09
80% off
|
$5,523.45
|
$40,612.39
|
$34,474.38
|
2026-01-26
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
9
|
9
|
$46,034.38
|
$9,206.88
80% off
|
$6,178.95
|
$40,510.25
|
$34,387.68
|
2026-01-26
|
|
787
|
MS_DRG
|
Cesarean Section Without Sterilization With Cc
|
9
|
9
|
$43,216.80
|
$8,643.36
80% off
|
$7,705.92
|
$38,030.78
|
$32,282.95
|
2026-01-26
|
|
186
|
MS_DRG
|
Pleural Effusion With Mcc
|
9
|
9
|
$42,937.09
|
$8,587.42
80% off
|
$10,753.65
|
$37,784.64
|
$32,074.01
|
2026-01-26
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
9
|
9
|
$42,883.58
|
$8,576.72
80% off
|
$7,643.13
|
$37,737.55
|
$32,034.03
|
2026-01-26
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
9
|
9
|
$42,514.91
|
$8,502.98
80% off
|
$6,660.57
|
$37,413.12
|
$31,758.64
|
2026-01-26
|
|
784
|
MS_DRG
|
Cesarean Section With Sterilization With Cc
|
9
|
9
|
$42,326.40
|
$8,465.28
80% off
|
$7,314.69
|
$37,247.23
|
$31,617.82
|
2026-01-26
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
9
|
9
|
$41,868.14
|
$8,373.63
80% off
|
$8,751.27
|
$36,843.96
|
$31,275.50
|
2026-01-26
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
9
|
9
|
$39,923.32
|
$7,984.66
80% off
|
$13,786.89
|
$35,132.52
|
$29,822.72
|
2026-01-26
|
|
604
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc
|
9
|
9
|
$39,908.23
|
$7,981.65
80% off
|
$10,157.49
|
$35,119.24
|
$29,811.45
|
2026-01-26
|
|
909
|
MS_DRG
|
Other O.r. Procedures For Injuries Without Cc/mcc
|
9
|
9
|
$39,906.29
|
$7,981.26
80% off
|
$9,057.63
|
$35,117.54
|
$29,810.00
|
2026-01-26
|
|
502
|
MS_DRG
|
Soft Tissue Procedures Without Cc/mcc
|
9
|
9
|
$39,856.54
|
$7,971.31
80% off
|
$9,286.71
|
$35,073.76
|
$29,772.84
|
2026-01-26
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/mcc
|
9
|
9
|
$39,814.83
|
$7,962.97
80% off
|
$6,615.72
|
$35,037.05
|
$29,741.67
|
2026-01-26
|
|
538
|
MS_DRG
|
Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/mcc
|
9
|
9
|
$38,572.15
|
$7,714.43
80% off
|
$4,970.07
|
$33,943.49
|
$28,813.40
|
2026-01-26
|
|
798
|
MS_DRG
|
Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc
|
9
|
9
|
$38,526.66
|
$7,705.33
80% off
|
$6,603.99
|
$33,903.46
|
$28,779.41
|
2026-01-26
|
|
183
|
MS_DRG
|
Major Chest Trauma With Mcc
|
9
|
9
|
$37,564.07
|
$7,512.81
80% off
|
$10,556.31
|
$33,056.38
|
$28,060.36
|
2026-01-26
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
9
|
9
|
$37,479.20
|
$7,495.84
80% off
|
$13,403.25
|
$32,981.69
|
$27,996.96
|
2026-01-26
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
9
|
9
|
$37,313.13
|
$7,462.63
80% off
|
$9,069.36
|
$32,835.56
|
$27,872.91
|
2026-01-26
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
9
|
9
|
$36,186.28
|
$7,237.26
80% off
|
$6,009.21
|
$31,843.92
|
$27,031.15
|
2026-01-26
|
|
785
|
MS_DRG
|
Cesarean Section With Sterilization Without Cc/mcc
|
9
|
9
|
$36,038.93
|
$7,207.79
80% off
|
$6,608.82
|
$31,714.26
|
$26,921.08
|
2026-01-26
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
9
|
9
|
$35,662.46
|
$7,132.49
80% off
|
$13,580.58
|
$31,382.96
|
$26,639.85
|
2026-01-26
|
|
153
|
MS_DRG
|
Otitis Media And Uri Without Mcc
|
9
|
9
|
$35,379.75
|
$7,075.95
80% off
|
$5,093.58
|
$31,134.18
|
$26,428.67
|
2026-01-26
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
9
|
9
|
$34,876.34
|
$6,975.27
80% off
|
$11,381.55
|
$30,691.18
|
$26,052.63
|
2026-01-26
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With Mcc
|
9
|
9
|
$34,856.11
|
$6,971.22
80% off
|
$13,021.68
|
$30,673.38
|
$26,037.51
|
2026-01-26
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
9
|
9
|
$34,815.74
|
$6,963.15
80% off
|
$10,189.92
|
$30,637.85
|
$26,007.36
|
2026-01-26
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
9
|
9
|
$32,819.46
|
$6,563.89
80% off
|
$18,966.03
|
$28,881.12
|
$25,785.55
|
2026-01-26
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
9
|
9
|
$34,499.06
|
$6,899.81
80% off
|
$7,060.77
|
$30,359.17
|
$25,770.80
|
2026-01-26
|
|
201
|
MS_DRG
|
Pneumothorax Without Cc/mcc
|
9
|
9
|
$33,969.95
|
$6,793.99
80% off
|
$4,934.19
|
$29,893.55
|
$25,375.55
|
2026-01-26
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
9
|
9
|
$33,483.62
|
$6,696.72
80% off
|
$7,058.70
|
$29,465.59
|
$25,012.26
|
2026-01-26
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
9
|
9
|
$30,112.32
|
$6,022.46
80% off
|
$6,766.83
|
$26,498.84
|
$22,493.90
|
2026-01-26
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
9
|
9
|
$29,767.55
|
$5,953.51
80% off
|
$10,782.63
|
$26,195.45
|
$22,236.36
|
2026-01-26
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
9
|
9
|
$29,513.88
|
$5,902.78
80% off
|
$6,335.58
|
$25,972.21
|
$22,046.87
|
2026-01-26
|
|
565
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
|
9
|
9
|
$29,043.70
|
$5,808.74
80% off
|
$6,723.36
|
$25,558.46
|
$21,695.64
|
2026-01-26
|
|
369
|
MS_DRG
|
Major Esophageal Disorders With Cc
|
9
|
9
|
$28,716.47
|
$5,743.29
80% off
|
$6,901.38
|
$25,270.49
|
$21,451.20
|
2026-01-26
|
|
643
|
MS_DRG
|
Endocrine Disorders With Mcc
|
9
|
9
|
$28,617.62
|
$5,723.52
80% off
|
$11,358.09
|
$25,183.51
|
$21,377.37
|
2026-01-26
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
9
|
9
|
$28,554.27
|
$5,710.85
80% off
|
$5,560.71
|
$25,127.75
|
$21,330.04
|
2026-01-26
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
9
|
9
|
$25,083.90
|
$5,016.78
80% off
|
$18,436.67
|
$22,073.83
|
$21,321.32
|
2026-01-26
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
9
|
9
|
$28,439.81
|
$5,687.96
80% off
|
$5,449.62
|
$25,027.03
|
$21,244.54
|
2026-01-26
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
9
|
9
|
$28,256.58
|
$5,651.32
80% off
|
$5,076.33
|
$24,865.79
|
$21,107.67
|
2026-01-26
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
9
|
9
|
$27,226.96
|
$5,445.39
80% off
|
$6,043.02
|
$23,959.72
|
$20,338.54
|
2026-01-26
|
|
755
|
MS_DRG
|
Malignancy, Female Reproductive System With Cc
|
9
|
9
|
$27,057.46
|
$5,411.49
80% off
|
$7,505.82
|
$23,810.56
|
$20,211.92
|
2026-01-26
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
9
|
9
|
$27,005.40
|
$5,401.08
80% off
|
$6,183.78
|
$23,764.75
|
$20,173.03
|
2026-01-26
|
|
198
|
MS_DRG
|
Interstitial Lung Disease Without Cc/mcc
|
9
|
9
|
$26,771.28
|
$5,354.26
80% off
|
$4,941.78
|
$23,558.73
|
$19,998.15
|
2026-01-26
|
|
83
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Cc
|
9
|
9
|
$26,653.99
|
$5,330.80
80% off
|
$9,631.02
|
$23,455.51
|
$19,910.53
|
2026-01-26
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
9
|
9
|
$23,980.89
|
$4,796.18
80% off
|
$14,443.08
|
$21,103.18
|
$19,636.31
|
2026-01-26
|
|
805
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Mcc
|
9
|
9
|
$26,286.60
|
$5,257.32
80% off
|
$7,446.48
|
$23,132.21
|
$19,636.09
|
2026-01-26
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
9
|
9
|
$25,916.63
|
$5,183.33
80% off
|
$8,858.22
|
$22,806.64
|
$19,359.72
|
2026-01-26
|
|
301
|
MS_DRG
|
Peripheral Vascular Disorders Without Cc/mcc
|
9
|
9
|
$25,707.50
|
$5,141.50
80% off
|
$4,965.93
|
$22,622.60
|
$19,203.50
|
2026-01-26
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
9
|
9
|
$25,665.54
|
$5,133.11
80% off
|
$5,816.70
|
$22,585.68
|
$19,172.16
|
2026-01-26
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
9
|
9
|
$25,589.82
|
$5,117.96
80% off
|
$7,044.90
|
$22,519.04
|
$19,115.59
|
2026-01-26
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
9
|
9
|
$25,549.86
|
$5,109.97
80% off
|
$9,477.84
|
$22,483.88
|
$19,085.75
|
2026-01-26
|
|
375
|
MS_DRG
|
Digestive Malignancy With Cc
|
9
|
9
|
$25,269.87
|
$5,053.97
80% off
|
$8,346.24
|
$22,237.48
|
$18,876.59
|
2026-01-26
|
|
593
|
MS_DRG
|
Skin Ulcers With Cc
|
9
|
9
|
$24,875.96
|
$4,975.19
80% off
|
$8,185.47
|
$21,890.84
|
$18,582.34
|
2026-01-26
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
9
|
9
|
$24,611.78
|
$4,922.36
80% off
|
$6,734.40
|
$21,658.37
|
$18,385.00
|
2026-01-26
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
9
|
9
|
$24,602.87
|
$4,920.57
80% off
|
$9,215.64
|
$21,650.52
|
$18,378.34
|
2026-01-26
|
|
88
|
MS_DRG
|
Concussion With Mcc
|
9
|
9
|
$24,581.71
|
$4,916.34
80% off
|
$9,327.42
|
$21,631.90
|
$18,362.53
|
2026-01-26
|
|
832
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures With Cc
|
9
|
9
|
$24,554.78
|
$4,910.96
80% off
|
$4,979.04
|
$21,608.21
|
$18,342.42
|
2026-01-26
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
9
|
9
|
$24,506.55
|
$4,901.31
80% off
|
$8,307.60
|
$21,565.76
|
$18,306.39
|
2026-01-26
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
9
|
9
|
$24,429.67
|
$4,885.93
80% off
|
$3,753.60
|
$21,498.11
|
$18,248.96
|
2026-01-26
|
|
919
|
MS_DRG
|
Complications Of Treatment With Mcc
|
9
|
9
|
$23,363.11
|
$4,672.62
80% off
|
$12,632.52
|
$20,559.54
|
$18,223.23
|
2026-01-26
|
|
806
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Cc
|
9
|
9
|
$23,814.11
|
$4,762.82
80% off
|
$5,202.60
|
$20,956.42
|
$17,789.14
|
2026-01-26
|
|
200
|
MS_DRG
|
Pneumothorax With Cc
|
9
|
9
|
$23,360.54
|
$4,672.11
80% off
|
$7,585.17
|
$20,557.27
|
$17,450.32
|
2026-01-26
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
9
|
9
|
$23,284.93
|
$4,656.99
80% off
|
$4,336.65
|
$20,490.73
|
$17,393.84
|
2026-01-26
|
|
768
|
MS_DRG
|
Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c
|
9
|
9
|
$23,086.65
|
$4,617.33
80% off
|
$7,394.04
|
$20,316.25
|
$17,245.73
|
2026-01-26
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without Mcc
|
9
|
9
|
$22,919.82
|
$4,583.96
80% off
|
$7,112.52
|
$20,169.44
|
$17,121.11
|
2026-01-26
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
9
|
9
|
$22,841.38
|
$4,568.28
80% off
|
$8,524.26
|
$20,100.42
|
$17,062.51
|
2026-01-26
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
9
|
9
|
$22,694.23
|
$4,538.85
80% off
|
$5,585.55
|
$19,970.93
|
$16,952.59
|
2026-01-26
|
|
J0840
|
HCPCS
|
Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram
|
9
|
9
|
$22,541.91
|
$4,508.38
80% off
|
$2,971.00
|
$19,836.88
|
$16,838.81
|
2026-01-26
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
9
|
9
|
$21,480.42
|
$4,296.08
80% off
|
$11,248.38
|
$18,902.77
|
$16,754.72
|
2026-01-26
|
|
923
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc
|
9
|
9
|
$22,079.21
|
$4,415.84
80% off
|
$7,022.13
|
$19,429.70
|
$16,493.17
|
2026-01-26
|
|
C1776
|
HCPCS
|
Joint Device (implantable)
|
99
|
9
|
$26,308.78
|
$5,261.76
80% off
|
$1,830.12
|
$87,999.12
|
$16,471.11
|
2026-01-26
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
9
|
9
|
$21,859.93
|
$4,371.99
80% off
|
$5,379.24
|
$19,236.74
|
$16,329.37
|
2026-01-26
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
9
|
9
|
$21,832.36
|
$4,366.47
80% off
|
$8,006.07
|
$19,212.48
|
$16,308.78
|
2026-01-26
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
9
|
9
|
$21,761.19
|
$4,352.24
80% off
|
$5,804.28
|
$19,149.85
|
$16,255.61
|
2026-01-26
|
|
807
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc
|
9
|
9
|
$21,395.47
|
$4,279.09
80% off
|
$4,651.98
|
$18,828.01
|
$15,982.41
|
2026-01-26
|
|
433
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Cc
|
9
|
9
|
$21,362.42
|
$4,272.48
80% off
|
$7,287.78
|
$18,798.93
|
$15,957.72
|
2026-01-26
|
|
149
|
MS_DRG
|
Dysequilibrium
|
9
|
9
|
$20,682.22
|
$4,136.44
80% off
|
$5,186.04
|
$18,200.35
|
$15,449.62
|
2026-01-26
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
9
|
9
|
$20,434.30
|
$4,086.86
80% off
|
$7,551.36
|
$17,982.18
|
$15,264.42
|
2026-01-26
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
9
|
9
|
$17,206.75
|
$3,441.35
80% off
|
$12,646.96
|
$15,141.94
|
$14,625.74
|
2026-01-26
|
|
694
|
MS_DRG
|
Urinary Stones Without Mcc
|
9
|
9
|
$19,521.97
|
$3,904.39
80% off
|
$5,393.73
|
$17,179.33
|
$14,582.91
|
2026-01-26
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
9
|
9
|
$18,466.15
|
$3,693.23
80% off
|
$10,218.90
|
$16,250.21
|
$14,403.59
|
2026-01-26
|
|
179
|
MS_DRG
|
Respiratory Infections And Inflammations Without Cc/mcc
|
9
|
9
|
$19,270.67
|
$3,854.13
80% off
|
$5,209.50
|
$16,958.19
|
$14,395.19
|
2026-01-26
|
|
728
|
MS_DRG
|
Inflammation Of The Male Reproductive System Without Mcc
|
9
|
9
|
$19,255.60
|
$3,851.12
80% off
|
$5,597.28
|
$16,944.93
|
$14,383.93
|
2026-01-26
|
|
1410015
|
CDM
|
Oth Ster Supp Lvl 15
|
9
|
9
|
$19,248.88
|
$3,849.78
80% off
|
$7,699.55
|
$16,939.01
|
$14,378.91
|
2026-01-26
|
|
71
|
MS_DRG
|
Other Cerebrovascular Disorders With Cc
|
9
|
9
|
$19,136.66
|
$3,827.33
80% off
|
$7,079.40
|
$16,840.26
|
$14,295.09
|
2026-01-26
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
9
|
9
|
$16,618.31
|
$3,323.66
80% off
|
$12,214.46
|
$14,624.11
|
$14,125.56
|
2026-01-26
|
|
185
|
MS_DRG
|
Major Chest Trauma Without Cc/mcc
|
9
|
9
|
$18,677.19
|
$3,735.44
80% off
|
$5,426.85
|
$16,435.93
|
$13,951.86
|
2026-01-26
|
|
395
|
MS_DRG
|
Other Digestive System Diagnoses Without Cc/mcc
|
9
|
9
|
$18,652.10
|
$3,730.42
80% off
|
$4,478.10
|
$16,413.85
|
$13,933.12
|
2026-01-26
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
9
|
9
|
$16,328.43
|
$3,265.69
80% off
|
$12,001.40
|
$14,369.02
|
$13,879.16
|
2026-01-26
|
|
816
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders Without Cc/mcc
|
9
|
9
|
$17,777.61
|
$3,555.52
80% off
|
$4,360.80
|
$15,644.30
|
$13,279.87
|
2026-01-26
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
9
|
9
|
$16,143.75
|
$3,228.75
80% off
|
$9,689.67
|
$14,206.50
|
$13,173.74
|
2026-01-26
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc
|
9
|
9
|
$17,603.14
|
$3,520.63
80% off
|
$3,906.09
|
$15,490.76
|
$13,149.55
|
2026-01-26
|
|
918
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs Without Mcc
|
9
|
9
|
$17,255.39
|
$3,451.08
80% off
|
$5,913.99
|
$15,184.74
|
$12,889.78
|
2026-01-26
|
|
534
|
MS_DRG
|
Fractures Of Femur Without Mcc
|
9
|
9
|
$17,212.11
|
$3,442.42
80% off
|
$5,562.09
|
$15,146.66
|
$12,857.45
|
2026-01-26
|
|
313
|
MS_DRG
|
Chest Pain
|
9
|
9
|
$17,034.63
|
$3,406.93
80% off
|
$4,968.00
|
$14,990.47
|
$12,724.87
|
2026-01-26
|
|
101
|
MS_DRG
|
Seizures Without Mcc
|
9
|
9
|
$16,270.59
|
$3,254.12
80% off
|
$6,227.94
|
$14,318.12
|
$12,154.13
|
2026-01-26
|
|
639
|
MS_DRG
|
Diabetes Without Cc/mcc
|
9
|
9
|
$15,634.60
|
$3,126.92
80% off
|
$4,286.28
|
$13,758.45
|
$11,679.05
|
2026-01-26
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
9
|
9
|
$15,407.50
|
$3,081.50
80% off
|
$5,554.50
|
$13,558.60
|
$11,509.40
|
2026-01-26
|
|
535
|
MS_DRG
|
Fractures Of Hip And Pelvis With Mcc
|
9
|
9
|
$12,823.73
|
$2,564.75
80% off
|
$8,845.80
|
$11,284.88
|
$10,900.17
|
2026-01-26
|
|
951
|
MS_DRG
|
Other Factors Influencing Health Status
|
9
|
9
|
$14,401.58
|
$2,880.32
80% off
|
$3,836.40
|
$12,673.39
|
$10,757.98
|
2026-01-26
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
9
|
9
|
$14,199.80
|
$2,839.96
80% off
|
$4,287.66
|
$12,495.83
|
$10,607.25
|
2026-01-26
|
|
779
|
MS_DRG
|
Abortion Without D&c
|
9
|
9
|
$14,134.33
|
$2,826.87
80% off
|
$4,920.39
|
$12,438.21
|
$10,558.34
|
2026-01-26
|
|
833
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc
|
9
|
9
|
$13,809.62
|
$2,761.92
80% off
|
$3,608.01
|
$12,152.47
|
$10,315.79
|
2026-01-26
|
|
300
|
MS_DRG
|
Peripheral Vascular Disorders With Cc
|
9
|
9
|
$13,113.11
|
$2,622.62
80% off
|
$7,365.75
|
$11,539.54
|
$10,228.23
|
2026-01-26
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
9
|
9
|
$13,547.64
|
$2,709.53
80% off
|
$6,701.28
|
$11,921.92
|
$10,120.09
|
2026-01-26
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
9
|
9
|
$13,518.47
|
$2,703.69
80% off
|
$5,369.58
|
$11,896.25
|
$10,098.29
|
2026-01-26
|
|
203
|
MS_DRG
|
Bronchitis And Asthma Without Cc/mcc
|
9
|
9
|
$13,436.61
|
$2,687.32
80% off
|
$4,623.00
|
$11,824.21
|
$10,037.14
|
2026-01-26
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
9
|
9
|
$11,450.40
|
$2,290.08
80% off
|
$8,416.04
|
$10,076.35
|
$9,732.84
|
2026-01-26
|
|
184
|
MS_DRG
|
Major Chest Trauma With Cc
|
9
|
9
|
$11,018.69
|
$2,203.74
80% off
|
$7,342.29
|
$9,696.44
|
$9,365.88
|
2026-01-26
|
|
540
|
MS_DRG
|
Osteomyelitis With Cc
|
9
|
9
|
$10,955.92
|
$2,191.18
80% off
|
$8,052.60
|
$9,641.21
|
$9,312.53
|
2026-01-26
|
|
352
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures Without Cc/mcc
|
9
|
9
|
$10,860.70
|
$2,172.14
80% off
|
$7,982.61
|
$9,557.42
|
$9,231.60
|
2026-01-26
|
|
206
|
MS_DRG
|
Other Respiratory System Diagnoses Without Mcc
|
9
|
9
|
$11,568.62
|
$2,313.72
80% off
|
$6,493.59
|
$10,180.39
|
$9,023.52
|
2026-01-26
|
|
776
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses Without O.r. Procedures
|
9
|
9
|
$11,873.69
|
$2,374.74
80% off
|
$4,517.43
|
$10,448.85
|
$8,869.65
|
2026-01-26
|
|
1160114
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
9
|
9
|
$11,648.53
|
$2,329.71
80% off
|
$4,659.41
|
$10,250.71
|
$8,701.45
|
2026-01-26
|
|
645
|
MS_DRG
|
Endocrine Disorders Without Cc/mcc
|
9
|
9
|
$11,621.77
|
$2,324.35
80% off
|
$5,301.27
|
$10,227.16
|
$8,681.46
|
2026-01-26
|
|
1410014
|
CDM
|
Oth Ster Supp Lvl 14
|
9
|
9
|
$11,549.33
|
$2,309.87
80% off
|
$4,619.73
|
$10,163.41
|
$8,627.35
|
2026-01-26
|
|
74174
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast
|
9
|
9
|
$11,500.44
|
$2,300.09
80% off
|
$352.72
|
$10,120.39
|
$8,590.83
|
2026-01-26
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
9
|
9
|
$10,002.36
|
$2,000.47
80% off
|
$7,351.73
|
$8,802.08
|
$8,502.01
|
2026-01-26
|
|
696
|
MS_DRG
|
Kidney And Urinary Tract Signs And Symptoms Without Mcc
|
9
|
9
|
$11,258.12
|
$2,251.62
80% off
|
$4,754.10
|
$9,907.15
|
$8,409.82
|
2026-01-26
|
|
769
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses With O.r. Procedures
|
9
|
9
|
$9,842.87
|
$1,968.57
80% off
|
$7,234.51
|
$8,661.73
|
$8,366.44
|
2026-01-26
|
|
387
|
MS_DRG
|
Inflammatory Bowel Disease Without Cc/mcc
|
9
|
9
|
$11,143.87
|
$2,228.77
80% off
|
$4,700.97
|
$9,806.61
|
$8,324.47
|
2026-01-26
|
|
75635
|
HCPCS
|
CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast
|
9
|
9
|
$10,952.79
|
$2,190.56
80% off
|
$353.84
|
$9,638.46
|
$8,181.73
|
2026-01-26
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
9
|
9
|
$9,320.20
|
$1,864.04
80% off
|
$6,456.33
|
$8,201.78
|
$7,922.17
|
2026-01-26
|
|
74178
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Before And After Contrast
|
9
|
9
|
$10,216.70
|
$2,043.34
80% off
|
$353.84
|
$8,990.70
|
$7,631.87
|
2026-01-26
|
|
373
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc
|
9
|
9
|
$9,714.91
|
$1,942.98
80% off
|
$5,019.06
|
$8,549.12
|
$7,510.41
|
2026-01-26
|
|
1160113
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
9
|
9
|
$9,317.94
|
$1,863.59
80% off
|
$3,727.18
|
$8,199.79
|
$6,960.50
|
2026-01-26
|
|
75827
|
HCPCS
|
Review By Radiologist Of Major Upper Body Vein Image
|
9
|
9
|
$8,702.96
|
$1,740.59
80% off
|
$612.57
|
$7,658.60
|
$6,501.11
|
2026-01-26
|
|
74177
|
HCPCS
|
CT Scan Of Abdomen And Pelvis With Contrast
|
9
|
9
|
$8,587.98
|
$1,717.60
80% off
|
$353.84
|
$7,557.42
|
$6,415.22
|
2026-01-26
|
|
809
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
9
|
9
|
$7,098.74
|
$1,419.75
80% off
|
$5,217.57
|
$6,246.89
|
$6,033.93
|
2026-01-26
|
|
J2430
|
HCPCS
|
Injection, Pamidronate Disodium, Per 30 Mg
|
9
|
9
|
$7,992.72
|
$1,598.54
80% off
|
$9.69
|
$7,033.59
|
$5,970.56
|
2026-01-26
|
|
975
|
MS_DRG
|
HIV With Major Related Condition With Cc
|
9
|
9
|
$6,805.34
|
$1,361.07
80% off
|
$5,001.92
|
$5,988.70
|
$5,784.54
|
2026-01-26
|
|
73706
|
HCPCS
|
CT Scan Of Blood Vessels Of Lower Leg With Contrast
|
18
|
9
|
$8,899.15
|
$1,779.83
80% off
|
$353.84
|
$9,638.46
|
$5,579.09
|
2026-01-26
|
|
73206
|
HCPCS
|
CT Scan Of Blood Vessels Of Arm With Contrast
|
18
|
9
|
$8,899.15
|
$1,779.83
80% off
|
$353.84
|
$9,638.46
|
$5,579.09
|
2026-01-26
|
|
93306
|
HCPCS
|
Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…
|
15
|
9
|
$7,258.31
|
$1,451.66
80% off
|
$131.60
|
$6,387.31
|
$5,496.58
|
2026-01-26
|
|
1110806
|
CDM
|
Operating Room Services - General Classification
|
9
|
9
|
$7,326.45
|
$1,465.29
80% off
|
$2,930.58
|
$6,447.28
|
$5,472.86
|
2026-01-26
|
|
72191
|
HCPCS
|
CT Scan Of Blood Vessels Of Pelvis With Contrast
|
9
|
9
|
$7,187.80
|
$1,437.56
80% off
|
$353.84
|
$6,325.26
|
$5,369.29
|
2026-01-26
|
|
74175
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen With Contrast
|
9
|
9
|
$7,187.80
|
$1,437.56
80% off
|
$353.84
|
$6,325.26
|
$5,369.29
|
2026-01-26
|
|
71275
|
HCPCS
|
CT Scan Of Blood Vessels Of Chest With Contrast
|
9
|
9
|
$7,187.80
|
$1,437.56
80% off
|
$353.84
|
$6,325.26
|
$5,369.29
|
2026-01-26
|
|
581
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc
|
9
|
9
|
$6,305.83
|
$1,261.17
80% off
|
$4,634.79
|
$5,549.13
|
$5,359.96
|
2026-01-26
|
|
1160112
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
9
|
9
|
$6,988.82
|
$1,397.76
80% off
|
$2,795.53
|
$6,150.16
|
$5,220.65
|
2026-01-26
|
|
70498
|
HCPCS
|
CT Scan Of Blood Vessels Of Neck With Contrast
|
9
|
9
|
$6,845.50
|
$1,369.10
80% off
|
$353.84
|
$6,024.04
|
$5,113.59
|
2026-01-26
|
|
70496
|
HCPCS
|
CT Scan Of Blood Vessels Of Head With Contrast
|
9
|
9
|
$6,845.50
|
$1,369.10
80% off
|
$353.84
|
$6,024.04
|
$5,113.59
|
2026-01-26
|
|
95811
|
HCPCS
|
Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)
|
9
|
9
|
$6,665.92
|
$1,333.18
80% off
|
$512.78
|
$5,866.01
|
$4,979.44
|
2026-01-26
|
|
95783
|
HCPCS
|
Sleep Study In Sleep Lab With Continuous Airway Pressure (younger Than 6 Years)
|
9
|
9
|
$6,665.92
|
$1,333.18
80% off
|
$811.78
|
$5,866.01
|
$4,979.44
|
2026-01-26
|
|
J0841
|
HCPCS
|
Injection, Crotalidae Immune F(ab')2 (equine), 120 Mg
|
9
|
9
|
$6,595.48
|
$1,319.10
80% off
|
$1,215.12
|
$5,804.02
|
$4,926.82
|
2026-01-26
|
|
869
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses Without Cc/mcc
|
9
|
9
|
$5,662.29
|
$1,132.46
80% off
|
$4,161.78
|
$4,982.82
|
$4,812.95
|
2026-01-26
|
|
1110805
|
CDM
|
Operating Room Services - General Classification
|
9
|
9
|
$6,411.38
|
$1,282.28
80% off
|
$2,564.55
|
$5,642.01
|
$4,789.30
|
2026-01-26
|
|
74176
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Without Contrast
|
9
|
9
|
$6,322.38
|
$1,264.48
80% off
|
$325.23
|
$5,563.69
|
$4,722.82
|
2026-01-26
|
|
282813
|
CDM
|
Labor Room/delivery - Delivery Room
|
9
|
9
|
$6,254.40
|
$1,250.88
80% off
|
$2,501.76
|
$5,503.87
|
$4,672.04
|
2026-01-26
|
|
C1789
|
HCPCS
|
Prosthesis, Breast (implantable)
|
54
|
9
|
$7,320.48
|
$1,464.09
80% off
|
$457.83
|
$18,520.84
|
$4,474.65
|
2026-01-26
|
|
95782
|
HCPCS
|
Sleep Study In Sleep Lab (younger Than 6 Years)
|
9
|
9
|
$5,832.06
|
$1,166.41
80% off
|
$763.71
|
$5,132.21
|
$4,397.39
|
2026-01-26
|
|
95810
|
HCPCS
|
Sleep Study In Sleep Lab (6 Years Or Older)
|
9
|
9
|
$5,832.06
|
$1,166.41
80% off
|
$487.21
|
$5,132.21
|
$4,356.55
|
2026-01-26
|
|
95805
|
HCPCS
|
Sleep Study, Multiple Trials
|
9
|
9
|
$5,832.06
|
$1,166.41
80% off
|
$360.03
|
$5,132.21
|
$4,356.55
|
2026-01-26
|
|
1410013
|
CDM
|
Oth Ster Supp Lvl 13
|
9
|
9
|
$5,774.67
|
$1,154.93
80% off
|
$2,309.87
|
$5,081.71
|
$4,313.68
|
2026-01-26
|
|
81420
|
HCPCS
|
Test For Detecting Genes Associated With Fetal Disease, Aneuploidy Genomic Seque…
|
9
|
9
|
$5,279.34
|
$1,055.87
80% off
|
$802.33
|
$4,645.82
|
$4,117.89
|
2026-01-26
|
|
1110804
|
CDM
|
Operating Room Services - General Classification
|
9
|
9
|
$5,496.29
|
$1,099.26
80% off
|
$2,198.52
|
$4,836.74
|
$4,105.73
|
2026-01-26
|
|
93017
|
HCPCS
|
Exercise Or Drug-induced Heart Stress Test With Electrocardiogram (ecg)
|
15
|
9
|
$5,546.65
|
$1,109.33
80% off
|
$236.39
|
$4,881.05
|
$4,016.02
|
2026-01-26
|
|
73202
|
HCPCS
|
CT Scan Of Arm Before And After Contrast
|
18
|
9
|
$5,300.27
|
$1,060.06
80% off
|
$353.84
|
$4,794.54
|
$4,011.62
|
2026-01-26
|
|
G0390
|
HCPCS
|
Trauma Response Team Associated With Hospital Critical Care Service
|
9
|
9
|
$4,614.92
|
$922.98
80% off
|
$909.69
|
$5,237.91
|
$3,922.68
|
2026-01-26
|
|
72194
|
HCPCS
|
CT Scan Of Pelvis Before And After Contrast
|
9
|
9
|
$5,109.07
|
$1,021.81
80% off
|
$353.84
|
$4,495.98
|
$3,816.48
|
2026-01-26
|
|
72133
|
HCPCS
|
CT Scan Of Lower Spine Before And After Contrast
|
9
|
9
|
$5,109.07
|
$1,021.81
80% off
|
$353.84
|
$4,495.98
|
$3,816.48
|
2026-01-26
|
|
70492
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Before And After Contrast
|
9
|
9
|
$5,109.07
|
$1,021.81
80% off
|
$353.84
|
$4,495.98
|
$3,816.48
|
2026-01-26
|
|
72130
|
HCPCS
|
CT Scan Of Middle Spine Before And After Contrast
|
9
|
9
|
$5,109.07
|
$1,021.81
80% off
|
$353.84
|
$4,495.98
|
$3,816.48
|
2026-01-26
|
|
72127
|
HCPCS
|
CT Scan Of Upper Spine Before And After Contrast
|
9
|
9
|
$5,109.07
|
$1,021.81
80% off
|
$353.84
|
$4,495.98
|
$3,816.48
|
2026-01-26
|
|
70488
|
HCPCS
|
CT Scan Of Face Before And After Contrast
|
9
|
9
|
$5,109.07
|
$1,021.81
80% off
|
$353.84
|
$4,495.98
|
$3,816.48
|
2026-01-26
|
|
74170
|
HCPCS
|
CT Scan Of Abdomen Before And After Contrast
|
9
|
9
|
$5,109.07
|
$1,021.81
80% off
|
$353.84
|
$4,495.98
|
$3,816.48
|
2026-01-26
|
|
70482
|
HCPCS
|
CT Scan Of Cranial Cavity Before And After Contrast
|
9
|
9
|
$5,109.07
|
$1,021.81
80% off
|
$353.84
|
$4,495.98
|
$3,816.48
|
2026-01-26
|
|
70470
|
HCPCS
|
CT Scan Of Head Or Brain Before And After Contrast
|
9
|
9
|
$5,109.07
|
$1,021.81
80% off
|
$353.84
|
$4,495.98
|
$3,816.48
|
2026-01-26
|
|
71270
|
HCPCS
|
CT Scan Of Chest Before And After Contrast
|
9
|
9
|
$5,109.07
|
$1,021.81
80% off
|
$353.84
|
$4,495.98
|
$3,816.48
|
2026-01-26
|
|
1414507
|
CDM
|
Drill Bit/blade Lvl8
|
9
|
9
|
$5,015.62
|
$1,003.12
80% off
|
$2,006.25
|
$4,413.75
|
$3,746.67
|
2026-01-26
|
|
C1771
|
HCPCS
|
Repair Device, Urinary, Incontinence, With Sling Graft
|
27
|
9
|
$5,032.84
|
$1,006.57
80% off
|
$1,464.10
|
$8,052.53
|
$3,699.14
|
2026-01-26
|
|
2811824
|
CDM
|
US-brst Bx Loc Clp A
|
9
|
9
|
$4,814.38
|
$962.88
80% off
|
$1,925.75
|
$4,236.65
|
$3,596.34
|
2026-01-26
|
|
1621627
|
CDM
|
US-brst Bx Loc Clp 1
|
9
|
9
|
$4,814.38
|
$962.88
80% off
|
$1,925.75
|
$4,236.65
|
$3,596.34
|
2026-01-26
|
|
1160111
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
9
|
9
|
$4,659.71
|
$931.94
80% off
|
$1,863.88
|
$4,100.54
|
$3,480.80
|
2026-01-26
|
|
1110803
|
CDM
|
Operating Room Services - General Classification
|
9
|
9
|
$4,581.24
|
$916.25
80% off
|
$1,832.50
|
$4,031.49
|
$3,422.19
|
2026-01-26
|
|
49082
|
HCPCS
|
Drainage Of Fluid From Abdominal Cavity
|
9
|
9
|
$4,423.36
|
$884.67
80% off
|
$743.49
|
$3,892.56
|
$3,304.25
|
2026-01-26
|
|
71550
|
HCPCS
|
MRI Scan Of Chest Without Contrast
|
9
|
9
|
$4,420.15
|
$884.03
80% off
|
$325.23
|
$3,889.73
|
$3,301.85
|
2026-01-26
|
|
99291
|
HCPCS
|
Critical Care, First 30-74 Minutes
|
9
|
9
|
$3,825.61
|
$765.12
80% off
|
$2,811.82
|
$4,012.96
|
$3,301.34
|
2026-01-26
|
|
73201
|
HCPCS
|
CT Scan Of Arm With Contrast
|
18
|
9
|
$4,345.73
|
$869.14
80% off
|
$353.84
|
$3,954.54
|
$3,288.56
|
2026-01-26
|
|
C1762
|
HCPCS
|
Connective Tissue, Human (includes Fascia Lata)
|
81
|
9
|
$4,563.23
|
$912.65
80% off
|
$199.31
|
$10,366.05
|
$3,226.14
|
2026-01-26
|
|
72193
|
HCPCS
|
CT Scan Of Pelvis With Contrast
|
9
|
9
|
$4,293.97
|
$858.79
80% off
|
$353.84
|
$3,778.69
|
$3,207.60
|
2026-01-26
|
|
72132
|
HCPCS
|
CT Scan Of Lower Spine With Contrast
|
9
|
9
|
$4,293.97
|
$858.79
80% off
|
$638.92
|
$3,778.69
|
$3,207.60
|
2026-01-26
|
|
70491
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck With Contrast
|
9
|
9
|
$4,293.97
|
$858.79
80% off
|
$353.84
|
$3,778.69
|
$3,207.60
|
2026-01-26
|
|
72129
|
HCPCS
|
CT Scan Of Middle Spine With Contrast
|
9
|
9
|
$4,293.97
|
$858.79
80% off
|
$353.84
|
$3,778.69
|
$3,207.60
|
2026-01-26
|
|
70490
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Without Contrast
|
9
|
9
|
$4,293.97
|
$858.79
80% off
|
$160.24
|
$3,778.69
|
$3,207.60
|
2026-01-26
|
|
72126
|
HCPCS
|
CT Scan Of Upper Spine With Contrast
|
9
|
9
|
$4,293.97
|
$858.79
80% off
|
$638.92
|
$3,778.69
|
$3,207.60
|
2026-01-26
|
|
70487
|
HCPCS
|
CT Scan Of Face With Contrast
|
9
|
9
|
$4,293.97
|
$858.79
80% off
|
$353.84
|
$3,778.69
|
$3,207.60
|
2026-01-26
|
|
74160
|
HCPCS
|
CT Scan Of Abdomen With Contrast
|
9
|
9
|
$4,293.97
|
$858.79
80% off
|
$353.84
|
$3,778.69
|
$3,207.60
|
2026-01-26
|
|
70481
|
HCPCS
|
CT Scan Of Cranial Cavity With Contrast
|
9
|
9
|
$4,293.97
|
$858.79
80% off
|
$353.84
|
$3,778.69
|
$3,207.60
|
2026-01-26
|
|
70460
|
HCPCS
|
CT Scan Head Or Brain With Contrast
|
9
|
9
|
$4,293.97
|
$858.79
80% off
|
$353.84
|
$3,778.69
|
$3,207.60
|
2026-01-26
|
|
71260
|
HCPCS
|
CT Scan Of Chest With Contrast
|
9
|
9
|
$4,293.97
|
$858.79
80% off
|
$353.84
|
$3,778.69
|
$3,207.60
|
2026-01-26
|
|
77012
|
HCPCS
|
Review By Radiologist Of CT Guidance For Needle Placement
|
9
|
9
|
$4,293.97
|
$858.79
80% off
|
$68.19
|
$3,778.69
|
$3,207.60
|
2026-01-26
|
|
282812
|
CDM
|
Labor Room/delivery - Delivery Room
|
9
|
9
|
$4,169.59
|
$833.92
80% off
|
$1,667.84
|
$3,669.24
|
$3,114.68
|
2026-01-26
|
|
1719010
|
CDM
|
Operating Room Services - General Classification
|
9
|
9
|
$4,145.90
|
$829.18
80% off
|
$1,658.36
|
$3,648.39
|
$3,096.99
|
2026-01-26
|
|
70544
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Without Contrast
|
9
|
9
|
$4,134.68
|
$826.94
80% off
|
$325.23
|
$3,638.52
|
$3,088.61
|
2026-01-26
|
|
C8902
|
HCPCS
|
Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Abdom…
|
9
|
9
|
$4,134.68
|
$826.94
80% off
|
$456.37
|
$3,638.52
|
$3,088.61
|
2026-01-26
|
|
73702
|
HCPCS
|
CT Scan Of Leg Before And After Contrast
|
18
|
9
|
$4,079.77
|
$815.96
80% off
|
$353.84
|
$3,720.49
|
$3,087.10
|
2026-01-26
|
|
73701
|
HCPCS
|
CT Scan Of Leg With Contrast Material
|
18
|
9
|
$4,072.60
|
$814.52
80% off
|
$353.84
|
$3,714.18
|
$3,081.66
|
2026-01-26
|
|
73200
|
HCPCS
|
CT Scan Of Arm Without Contrast
|
18
|
9
|
$4,035.22
|
$807.04
80% off
|
$160.24
|
$3,681.29
|
$3,053.35
|
2026-01-26
|
|
81408
|
HCPCS
|
Molecular Pathology Procedure Level 9 Genetic Analysis
|
9
|
9
|
$3,582.16
|
$716.43
80% off
|
$2,000.00
|
$10,940.00
|
$3,044.84
|
2026-01-26
|
|
1612228
|
CDM
|
Operating Room Services - General Classification
|
9
|
9
|
$4,072.58
|
$814.52
80% off
|
$1,629.03
|
$3,583.87
|
$3,042.22
|
2026-01-26
|
|
74340
|
HCPCS
|
Review By Radiologist Of Placement Of Long Small Bowel Tube
|
9
|
9
|
$4,072.58
|
$814.52
80% off
|
$27.63
|
$3,583.87
|
$3,042.22
|
2026-01-26
|
|
C8914
|
HCPCS
|
Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Lower…
|
18
|
9
|
$4,008.04
|
$801.61
80% off
|
$456.37
|
$3,638.52
|
$3,033.24
|
2026-01-26
|
|
92977
|
HCPCS
|
Removal Of Heart Artery Blood Clot By Dissolving
|
9
|
9
|
$3,980.10
|
$796.02
80% off
|
$1,592.04
|
$3,502.49
|
$2,973.13
|
2026-01-26
|
|
C1769
|
HCPCS
|
Guide Wire
|
180
|
9
|
$4,122.97
|
$824.60
80% off
|
$91.80
|
$40,262.69
|
$2,972.70
|
2026-01-26
|
|
C8911
|
HCPCS
|
Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Chest…
|
9
|
9
|
$3,881.40
|
$776.28
80% off
|
$456.37
|
$3,415.63
|
$2,899.41
|
2026-01-26
|
|
C8920
|
HCPCS
|
Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Pelvi…
|
9
|
9
|
$3,881.40
|
$776.28
80% off
|
$456.37
|
$3,415.63
|
$2,899.41
|
2026-01-26
|
|
73723
|
HCPCS
|
MRI Scan Of Leg Joint Before And After Contrast
|
18
|
9
|
$3,835.88
|
$767.17
80% off
|
$638.92
|
$3,415.63
|
$2,876.12
|
2026-01-26
|
|
73720
|
HCPCS
|
MRI Scan Of Leg Before And After Contrast
|
18
|
9
|
$3,835.88
|
$767.17
80% off
|
$638.92
|
$3,415.63
|
$2,876.12
|
2026-01-26
|
|
73223
|
HCPCS
|
MRI Scan Of Arm Joint Before And After Contrast
|
18
|
9
|
$3,835.88
|
$767.17
80% off
|
$638.92
|
$3,415.63
|
$2,876.12
|
2026-01-26
|
|
73220
|
HCPCS
|
MRI Scan Of Arm Before And After Contrast
|
18
|
9
|
$3,835.88
|
$767.17
80% off
|
$638.92
|
$3,415.63
|
$2,876.12
|
2026-01-26
|
|
1410012
|
CDM
|
Oth Ster Supp Lvl 12
|
9
|
9
|
$3,849.77
|
$769.95
80% off
|
$1,539.91
|
$3,387.80
|
$2,875.78
|
2026-01-26
|
|
72197
|
HCPCS
|
MRI Scan Of Pelvis Before And After Contrast
|
9
|
9
|
$3,790.36
|
$758.07
80% off
|
$638.92
|
$3,335.52
|
$2,831.40
|
2026-01-26
|
|
70543
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast
|
9
|
9
|
$3,790.36
|
$758.07
80% off
|
$638.92
|
$3,335.52
|
$2,831.40
|
2026-01-26
|
|
72158
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Before And After Contrast
|
9
|
9
|
$3,790.36
|
$758.07
80% off
|
$638.92
|
$3,335.52
|
$2,831.40
|
2026-01-26
|
|
72157
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Before And After Contrast
|
9
|
9
|
$3,790.36
|
$758.07
80% off
|
$638.92
|
$3,335.52
|
$2,831.40
|
2026-01-26
|
|
72156
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Before And After Contrast
|
9
|
9
|
$3,790.36
|
$758.07
80% off
|
$638.92
|
$3,335.52
|
$2,831.40
|
2026-01-26
|
|
72149
|
HCPCS
|
MRI Scan Of Lower Spinal Canal With Contrast
|
9
|
9
|
$3,790.36
|
$758.07
80% off
|
$638.92
|
$3,335.52
|
$2,831.40
|
2026-01-26
|
|
72147
|
HCPCS
|
MRI Scan Of Middle Spinal Canal With Contrast
|
9
|
9
|
$3,790.36
|
$758.07
80% off
|
$638.92
|
$3,335.52
|
$2,831.40
|
2026-01-26
|
|
72142
|
HCPCS
|
MRI Scan Of Upper Spinal Canal With Contrast
|
9
|
9
|
$3,790.36
|
$758.07
80% off
|
$638.92
|
$3,335.52
|
$2,831.40
|
2026-01-26
|
|
74183
|
HCPCS
|
MRI Scan Of Abdomen Before And After Contrast
|
9
|
9
|
$3,790.36
|
$758.07
80% off
|
$638.92
|
$3,335.52
|
$2,831.40
|
2026-01-26
|
|
70553
|
HCPCS
|
MRI Scan Of Brain Before And After Contrast
|
9
|
9
|
$3,790.36
|
$758.07
80% off
|
$638.92
|
$3,335.52
|
$2,831.40
|
2026-01-26
|
|
1110802
|
CDM
|
Operating Room Services - General Classification
|
9
|
9
|
$3,663.23
|
$732.65
80% off
|
$1,465.29
|
$3,223.64
|
$2,736.43
|
2026-01-26
|
|
70336
|
HCPCS
|
MRI Scan Of Jaw Joint
|
9
|
9
|
$3,636.32
|
$727.26
80% off
|
$325.23
|
$3,199.96
|
$2,716.33
|
2026-01-26
|