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

MOUNTAIN WEST MEDICAL CENTER

Tooele, UT · CCN 460014 · 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: $4,038 across 16 payers · range $497-$5,055

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMWMCTOOELEUT&type=CDMWithoutLabel&fileType=CSV · observed 2026-01-31

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

5,362 distinct procedures filed
17 distinct payers
58,806 rate rows
2026-05-06 last MRF observed
Data quality

53,039 of 58,806 rate rows are consumer-grade (90.2%)

5,767 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 3,326
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,069
percent-of-charges filed in the dollar field — excluded from medians 349
per-diem day rate — not a per-procedure price 15
exceeds 10× this hospital's gross charge — excluded from medians 5
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
exceeds 3× this hospital's gross charge for a DRG stay — excluded 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMWMCTOOELEUT&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/MountainWest.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-17
Content fingerprint 3ce04ebdedc82312… · 18,458,176 bytes · first seen 2026-05-08

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
1061280
CDM 		Operating Room Services - General Classification 14 $41,808.84 $72,573.83 $59,163.45 —
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 13 $38,350.00 $54,280.00 $44,250.00 nat. median
$25,172
1.8× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 $1,320.00 $54,497.44 $43,597.95 nat. median
$40,584
1.1× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 7 $35,825.18 $78,981.53 $38,183.69 nat. median
$36,541
1.0× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 $33,988.98 $74,933.38 $36,226.61 nat. median
$34,733
1.0× median
C1813
HCPCS 		Prosthesis, Penile, Inflatable 13 $30,475.25 $43,134.20 $35,163.75 nat. median
$10,938
outlier · 3.2×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 7 $31,697.17 $69,880.77 $33,783.92 nat. median
$2,106
outlier · 16.0×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 7 $31,634.54 $69,742.69 $33,717.17 nat. median
$33,435
1.0× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 $31,305.56 $69,017.43 $33,366.53 nat. median
$31,991
1.0× median
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 13 $26,650.00 $37,720.00 $30,750.00 nat. median
$21,100
1.5× median
793
MS_DRG 		Full Term Neonate With Major Problems 7 $1,320.00 $38,232.10 $30,585.68 nat. median
$15,882
1.9× median
791
MS_DRG 		Prematurity With Major Problems 7 $1,320.00 $37,217.99 $29,774.39 nat. median
$27,149
1.1× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 7 $26,423.25 $50,999.74 $28,162.80 nat. median
$27,194
1.0× median
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 7 $25,721.26 $56,706.05 $27,414.59 nat. median
$26,354
1.0× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 $25,269.09 $55,709.19 $26,932.65 nat. median
$25,953
1.0× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 7 $24,576.04 $54,181.27 $26,193.98 nat. median
$25,494
1.0× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 $24,495.52 $54,003.74 $26,108.16 nat. median
$24,822
1.1× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 $23,595.31 $52,019.11 $25,148.69 nat. median
$24,316
1.0× median
93461
HCPCS 		Insertion Of Tube In Right And Left Heart Chambers, Coronary Artery, And Bypass… 16 $2,810.41 $30,063.61 $24,018.21 nat. median
$4,149
outlier · 5.8×
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 7 $22,263.58 $45,738.03 $23,729.29 nat. median
$22,339
1.1× median
93460
HCPCS 		Insertion Of Tube In Right And Left Heart Chambers And Coronary Artery For Diagn… 16 $2,810.41 $28,812.06 $23,018.33 nat. median
$4,047
outlier · 5.7×
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 7 $21,436.33 $42,508.19 $22,847.57 nat. median
$21,906
1.0× median
93459
HCPCS 		Insertion Of Tube In Left Lower Heart Chamber, Coronary Artery And Bypass Graft… 16 $2,810.41 $28,003.35 $22,372.24 nat. median
$4,076
outlier · 5.5×
570
MS_DRG 		Skin Debridement With Mcc 7 $20,241.56 $44,625.31 $21,574.14 nat. median
$20,813
1.0× median
93458
HCPCS 		Insertion Of Tube In Left Lower Heart Chamber And Coronary Artery For Diagnosis… 16 $2,810.41 $26,749.51 $21,370.53 nat. median
$4,063
outlier · 5.3×
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 7 $20,043.35 $44,188.33 $21,362.89 nat. median
$21,963
1.0× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 7 $19,753.61 $43,549.54 $21,054.07 nat. median
$21,753
1.0× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 7 $19,077.08 $42,058.04 $20,333.00 nat. median
$19,495
1.0× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 7 $18,917.41 $41,706.03 $20,162.81 nat. median
$19,623
1.0× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 7 $18,912.59 $41,695.40 $20,157.68 nat. median
$19,904
1.0× median
1061267
CDM 		Operating Room Services - General Classification 14 $13,488.17 $23,413.42 $19,087.03 —
93453
HCPCS 		Insertion Of Tube In Right And Left Heart Chambers For Diagnosis With Review By… 16 $2,810.41 $23,738.81 $18,965.25 nat. median
$4,149
outlier · 4.6×
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 7 $17,487.26 $38,553.08 $18,638.52 nat. median
$18,590
1.0× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 7 $17,454.23 $38,480.25 $18,603.31 nat. median
$18,426
1.0× median
350
MS_DRG 		Inguinal And Femoral Hernia Procedures With Mcc 7 $17,150.03 $37,809.60 $18,279.08 nat. median
$17,526
1.0× median
783
MS_DRG 		Cesarean Section With Sterilization With Mcc 8 $6,210.00 $22,511.43 $18,009.14 nat. median
$13,196
1.4× median
792
MS_DRG 		Prematurity Without Major Problems 7 $1,320.00 $22,457.33 $17,965.86 nat. median
$14,273
1.3× median
1061265
CDM 		Operating Room Services - General Classification 14 $12,679.16 $22,009.11 $17,942.21 —
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 7 $16,498.27 $36,372.72 $17,584.42 nat. median
$17,741
1.0× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 7 $16,423.94 $36,208.85 $17,505.20 nat. median
$17,369
1.0× median
93452
HCPCS 		Insertion Of Tube In Left Heart Chambers For Diagnosis With Review By Radiologis… 16 $2,810.41 $21,676.27 $17,317.46 nat. median
$4,149
outlier · 4.2×
50590
HCPCS 		Shock Wave Crushing Of Kidney Stones 16 $2,926.86 $21,483.88 $17,163.75 nat. median
$4,399
outlier · 3.9×
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 7 $16,004.81 $35,284.81 $17,058.47 nat. median
$16,355
1.0× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 7 $13,196.55 $21,301.08 $17,040.87 nat. median
$14,194
1.2× median
1061232
CDM 		Operating Room Services - General Classification 14 $11,946.69 $20,737.66 $16,905.70 —
82
MS_DRG 		Traumatic Stupor And Coma >1 Hour With Mcc 7 $15,730.21 $33,962.88 $16,765.79 nat. median
$16,241
1.0× median
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 7 $15,195.45 $33,500.47 $16,195.83 nat. median
$15,758
1.0× median
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 7 $14,995.18 $33,058.93 $15,982.37 nat. median
$15,832
1.0× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 7 $14,574.67 $32,131.86 $15,534.18 nat. median
$15,839
1.0× median
C1886
HCPCS 		Catheter, Extravascular Tissue Ablation, Any Modality (insertable) 13 $13,406.25 $18,975.00 $15,468.75 nat. median
$3,358
outlier · 4.6×

Other procedures at this hospital

Browse this hospital's 5,362 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
1061280 CDM Operating Room Services - General Classification 14 14 $78,884.60 $47,330.76 40% off $41,808.84 $72,573.83 $59,163.45 2026-05-06
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 13 13 $59,000.00 $35,400.00 40% off $38,350.00 $54,280.00 $44,250.00 2026-01-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 7 $22,394.44 $13,436.67 40% off $1,320.00 $54,497.44 $43,597.95 2026-01-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 7 7 $108,943.65 $65,366.19 40% off $35,825.18 $78,981.53 $38,183.69 2026-01-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 7 $82,995.56 $49,797.34 40% off $33,988.98 $74,933.38 $36,226.61 2026-01-31
C1813 HCPCS Prosthesis, Penile, Inflatable 13 13 $46,885.00 $28,131.00 40% off $30,475.25 $43,134.20 $35,163.75 2026-01-31
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 7 7 $103,737.38 $62,242.43 40% off $31,697.17 $69,880.77 $33,783.92 2026-01-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 7 7 $89,651.00 $53,790.60 40% off $31,634.54 $69,742.69 $33,717.17 2026-01-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 7 $94,053.88 $56,432.33 40% off $31,305.56 $69,017.43 $33,366.53 2026-01-31
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 13 13 $41,000.00 $24,600.00 40% off $26,650.00 $37,720.00 $30,750.00 2026-01-31
793 MS_DRG Full Term Neonate With Major Problems 7 7 $12,871.98 $7,723.19 40% off $1,320.00 $38,232.10 $30,585.68 2026-01-31
791 MS_DRG Prematurity With Major Problems 7 7 $13,199.16 $7,919.50 40% off $1,320.00 $37,217.99 $29,774.39 2026-01-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 7 7 $50,999.74 $30,599.84 40% off $26,423.25 $50,999.74 $28,162.80 2026-01-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 7 7 $67,683.67 $40,610.20 40% off $25,721.26 $56,706.05 $27,414.59 2026-01-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 7 $79,047.94 $47,428.76 40% off $25,269.09 $55,709.19 $26,932.65 2026-01-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 7 7 $141,071.21 $84,642.73 40% off $24,576.04 $54,181.27 $26,193.98 2026-01-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 7 $54,558.74 $32,735.24 40% off $24,495.52 $54,003.74 $26,108.16 2026-01-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 7 $59,822.39 $35,893.43 40% off $23,595.31 $52,019.11 $25,148.69 2026-01-31
93461 HCPCS Insertion Of Tube In Right And Left Heart Chambers, Coronary Artery, And Bypass … 16 16 $32,677.84 $19,606.70 40% off $2,810.41 $30,063.61 $24,018.21 2026-01-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 7 7 $45,738.03 $27,442.82 40% off $22,263.58 $45,738.03 $23,729.29 2026-01-31
93460 HCPCS Insertion Of Tube In Right And Left Heart Chambers And Coronary Artery For Diagn… 16 16 $31,317.46 $18,790.48 40% off $2,810.41 $28,812.06 $23,018.33 2026-01-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 7 $42,508.19 $25,504.91 40% off $21,436.33 $42,508.19 $22,847.57 2026-01-31
93459 HCPCS Insertion Of Tube In Left Lower Heart Chamber, Coronary Artery And Bypass Graft … 16 16 $30,438.42 $18,263.05 40% off $2,810.41 $28,003.35 $22,372.24 2026-01-31
570 MS_DRG Skin Debridement With Mcc 7 7 $72,226.32 $43,335.79 40% off $20,241.56 $44,625.31 $21,574.14 2026-01-31
93458 HCPCS Insertion Of Tube In Left Lower Heart Chamber And Coronary Artery For Diagnosis … 16 16 $29,075.55 $17,445.33 40% off $2,810.41 $26,749.51 $21,370.53 2026-01-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 7 7 $58,876.86 $35,326.12 40% off $20,043.35 $44,188.33 $21,362.89 2026-01-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 7 7 $109,143.57 $65,486.14 40% off $19,753.61 $43,549.54 $21,054.07 2026-01-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 7 7 $76,573.34 $45,944.01 40% off $19,077.08 $42,058.04 $20,333.00 2026-01-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 7 7 $77,227.89 $46,336.73 40% off $18,917.41 $41,706.03 $20,162.81 2026-01-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 7 7 $51,165.29 $30,699.17 40% off $18,912.59 $41,695.40 $20,157.68 2026-01-31
1061267 CDM Operating Room Services - General Classification 14 14 $25,449.37 $15,269.62 40% off $13,488.17 $23,413.42 $19,087.03 2026-05-06
93453 HCPCS Insertion Of Tube In Right And Left Heart Chambers For Diagnosis With Review By … 16 16 $25,803.05 $15,481.83 40% off $2,810.41 $23,738.81 $18,965.25 2026-01-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 7 7 $54,426.62 $32,655.97 40% off $17,487.26 $38,553.08 $18,638.52 2026-01-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 7 7 $68,581.86 $41,149.11 40% off $17,454.23 $38,480.25 $18,603.31 2026-01-31
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 7 7 $76,821.17 $46,092.70 40% off $17,150.03 $37,809.60 $18,279.08 2026-01-31
783 MS_DRG Cesarean Section With Sterilization With Mcc 8 8 $41,530.83 $24,918.50 40% off $6,210.00 $22,511.43 $18,009.14 2026-01-31
792 MS_DRG Prematurity Without Major Problems 7 7 $9,538.87 $5,723.32 40% off $1,320.00 $22,457.33 $17,965.86 2026-01-31
1061265 CDM Operating Room Services - General Classification 14 14 $23,922.95 $14,353.77 40% off $12,679.16 $22,009.11 $17,942.21 2026-05-06
330 MS_DRG Major Small And Large Bowel Procedures With Cc 7 7 $77,229.99 $46,338.00 40% off $16,498.27 $36,372.72 $17,584.42 2026-01-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 7 7 $57,785.89 $34,671.53 40% off $16,423.94 $36,208.85 $17,505.20 2026-01-31
93452 HCPCS Insertion Of Tube In Left Heart Chambers For Diagnosis With Review By Radiologis… 16 16 $23,561.16 $14,136.70 40% off $2,810.41 $21,676.27 $17,317.46 2026-01-31
50590 HCPCS Shock Wave Crushing Of Kidney Stones 16 16 $23,352.04 $14,011.22 40% off $2,926.86 $21,483.88 $17,163.75 2026-01-31
357 MS_DRG Other Digestive System O.r. Procedures With Cc 7 7 $74,169.98 $44,501.99 40% off $16,004.81 $35,284.81 $17,058.47 2026-01-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 7 7 $13,196.55 $7,917.93 40% off $13,196.55 $21,301.08 $17,040.87 2026-01-31
1061232 CDM Operating Room Services - General Classification 14 14 $22,540.93 $13,524.56 40% off $11,946.69 $20,737.66 $16,905.70 2026-05-06
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 7 7 $33,962.88 $20,377.73 40% off $15,730.21 $33,962.88 $16,765.79 2026-01-31
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 7 7 $52,677.36 $31,606.41 40% off $15,195.45 $33,500.47 $16,195.83 2026-01-31
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 7 7 $118,390.14 $71,034.08 40% off $14,995.18 $33,058.93 $15,982.37 2026-01-31
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 7 7 $81,029.86 $48,617.92 40% off $14,574.67 $32,131.86 $15,534.18 2026-01-31
C1886 HCPCS Catheter, Extravascular Tissue Ablation, Any Modality (insertable) 13 13 $20,625.00 $12,375.00 40% off $13,406.25 $18,975.00 $15,468.75 2026-01-31
336 MS_DRG Peritoneal Adhesiolysis With Cc 7 7 $89,642.81 $53,785.69 40% off $14,512.73 $31,995.31 $15,468.16 2026-01-31
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 7 7 $65,842.94 $39,505.76 40% off $14,415.00 $31,779.85 $15,364.00 2026-01-31
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 7 7 $18,371.93 $11,023.16 40% off $14,406.05 $19,193.07 $15,354.46 2026-01-31
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 7 7 $39,860.50 $23,916.30 40% off $14,391.60 $31,728.26 $15,339.05 2026-01-31
314 MS_DRG Other Circulatory System Diagnoses With Mcc 7 7 $45,835.86 $27,501.52 40% off $14,350.99 $31,638.74 $15,295.78 2026-01-31
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 7 7 $33,702.80 $20,221.68 40% off $13,840.33 $30,512.90 $14,751.49 2026-01-31
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 7 7 $51,931.93 $31,159.16 40% off $13,751.54 $30,317.17 $14,656.86 2026-01-31
935 MS_DRG Non-extensive Burns 6 6 $5,131.32 $3,078.79 40% off $5,131.32 $15,110.92 $14,644.24 2026-01-31
908 MS_DRG Other O.r. Procedures For Injuries With Cc 7 7 $66,229.68 $39,737.81 40% off $13,731.58 $30,273.17 $14,635.59 2026-01-31
539 MS_DRG Osteomyelitis With Mcc 7 7 $15,572.08 $9,343.25 40% off $13,556.09 $18,060.67 $14,448.54 2026-01-31
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 7 7 $27,633.82 $16,580.29 40% off $13,545.76 $27,633.82 $14,437.53 2026-01-31
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 7 7 $31,583.27 $18,949.96 40% off $13,368.89 $29,473.55 $14,249.01 2026-01-31
100 MS_DRG Seizures With Mcc 7 7 $37,920.80 $22,752.48 40% off $13,329.66 $29,387.07 $14,207.20 2026-01-31
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 7 7 $98,620.57 $59,172.34 40% off $13,275.29 $29,267.20 $14,149.25 2026-01-31
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 7 7 $87,819.26 $52,691.56 40% off $13,011.01 $28,684.56 $13,867.57 2026-01-31
196 MS_DRG Interstitial Lung Disease With Mcc 7 7 $31,337.32 $18,802.39 40% off $12,988.30 $28,634.49 $13,843.37 2026-01-31
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 7 $37,649.90 $22,589.94 40% off $12,871.98 $28,378.06 $13,719.40 2026-01-31
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 7 7 $81,661.79 $48,997.07 40% off $12,627.66 $27,839.42 $13,458.99 2026-01-31
919 MS_DRG Complications Of Treatment With Mcc 7 7 $42,228.98 $25,337.39 40% off $12,600.13 $27,778.73 $13,429.65 2026-01-31
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 7 7 $29,258.23 $17,554.94 40% off $12,580.86 $27,736.24 $13,409.11 2026-01-31
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 7 7 $15,428.21 $9,256.92 40% off $12,551.27 $16,721.96 $13,377.57 2026-01-31
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 7 7 $7,011.58 $4,206.95 40% off $1,320.00 $16,524.82 $13,219.86 2026-01-31
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 7 7 $34,270.56 $20,562.34 40% off $12,351.68 $27,230.98 $13,164.84 2026-01-31
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 7 7 $32,654.23 $19,592.54 40% off $12,203.02 $26,903.25 $13,006.40 2026-01-31
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 7 7 $29,547.12 $17,728.27 40% off $12,157.60 $26,803.10 $12,957.98 2026-01-31
180 MS_DRG Respiratory Neoplasms With Mcc 7 7 $10,584.24 $6,350.54 40% off $10,584.24 $16,192.90 $12,954.32 2026-01-31
91 MS_DRG Other Disorders Of Nervous System With Mcc 7 7 $28,290.65 $16,974.39 40% off $12,086.71 $26,646.82 $12,882.43 2026-01-31
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 7 7 $32,763.35 $19,658.01 40% off $12,010.32 $26,478.40 $12,801.01 2026-01-31
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 7 7 $93,218.38 $55,931.03 40% off $11,796.28 $26,006.52 $12,572.88 2026-01-31
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 7 7 $53,629.84 $32,177.90 40% off $11,642.12 $25,666.65 $12,408.56 2026-01-31
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 7 7 $38,024.95 $22,814.97 40% off $11,629.73 $25,639.34 $12,395.36 2026-01-31
571 MS_DRG Skin Debridement With Cc 7 7 $32,742.89 $19,645.73 40% off $11,627.66 $25,634.78 $12,393.16 2026-01-31
915 MS_DRG Allergic Reactions With Mcc 7 7 $9,689.89 $5,813.93 40% off $9,689.89 $15,419.01 $12,335.21 2026-01-31
551 MS_DRG Medical Back Problems With Mcc 7 7 $14,403.42 $8,642.05 40% off $11,535.44 $15,368.58 $12,294.86 2026-01-31
444 MS_DRG Disorders Of The Biliary Tract With Mcc 7 7 $13,699.40 $8,219.64 40% off $11,499.65 $15,320.90 $12,256.72 2026-01-31
597 MS_DRG Malignant Breast Disorders With Mcc 7 7 $16,649.52 $9,989.71 40% off $11,473.50 $16,649.52 $12,228.85 2026-01-31
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 7 7 $26,327.79 $15,796.67 40% off $11,386.09 $25,102.21 $12,135.69 2026-01-31
786 MS_DRG Cesarean Section Without Sterilization With Mcc 8 8 $46,496.02 $27,897.61 40% off $6,210.00 $15,124.68 $12,099.74 2026-01-31
643 MS_DRG Endocrine Disorders With Mcc 7 7 $27,073.34 $16,244.00 40% off $11,328.97 $24,976.28 $12,074.80 2026-01-31
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 7 7 $16,774.17 $10,064.50 40% off $11,311.76 $16,774.17 $12,056.46 2026-01-31
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 7 7 $39,927.24 $23,956.34 40% off $11,225.05 $24,747.16 $11,964.04 2026-01-31
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 7 7 $21,484.90 $12,890.94 40% off $11,219.54 $21,484.90 $11,958.17 2026-01-31
1691160 CDM Operating Room Services - General Classification 14 14 $15,936.51 $9,561.91 40% off $8,446.35 $14,661.59 $11,952.38 2026-05-06
C1815 HCPCS Prosthesis, Urinary Sphincter (implantable) 13 13 $15,765.00 $9,459.00 40% off $10,247.25 $14,503.80 $11,823.75 2026-01-31
884 MS_DRG Organic Disturbances And Intellectual Disability 7 7 $23,707.71 $14,224.63 40% off $11,072.95 $23,707.71 $11,801.93 2026-01-31
1061275 CDM Operating Room Services - General Classification 14 14 $15,691.86 $9,415.12 40% off $8,316.69 $14,436.51 $11,768.90 2026-05-06
1061274 CDM Operating Room Services - General Classification 14 14 $15,691.86 $9,415.12 40% off $8,316.69 $14,436.51 $11,768.90 2026-05-06
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 7 7 $15,492.33 $9,295.40 40% off $11,041.29 $15,492.33 $11,768.18 2026-01-31
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 7 7 $37,639.61 $22,583.77 40% off $11,039.91 $24,339.01 $11,766.72 2026-01-31
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 7 7 $55,512.67 $33,307.60 40% off $11,027.53 $24,311.70 $11,753.51 2026-01-31
393 MS_DRG Other Digestive System Diagnoses With Mcc 7 7 $28,659.81 $17,195.89 40% off $11,006.88 $24,266.18 $11,731.51 2026-01-31
368 MS_DRG Major Esophageal Disorders With Mcc 7 7 $38,376.32 $23,025.79 40% off $10,955.95 $24,153.90 $11,677.22 2026-01-31
385 MS_DRG Inflammatory Bowel Disease With Mcc 7 7 $23,542.99 $14,125.79 40% off $10,889.88 $23,542.99 $11,606.80 2026-01-31
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 7 7 $23,705.72 $14,223.43 40% off $10,794.22 $23,705.73 $11,504.84 2026-01-31
177 MS_DRG Respiratory Infections And Inflammations With Mcc 7 7 $26,076.82 $15,646.09 40% off $10,754.99 $23,710.85 $11,463.03 2026-01-31
93457 HCPCS Insertion Of Tube In Right Heart Chambers, Coronary Artery, And Bypass Graft For… 16 16 $15,445.94 $9,267.56 40% off $2,810.41 $14,210.26 $11,352.77 2026-01-31
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 7 7 $26,074.38 $15,644.63 40% off $10,623.53 $23,421.04 $11,322.92 2026-01-31
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 7 7 $50,601.12 $30,360.67 40% off $10,564.35 $23,290.56 $11,259.84 2026-01-31
183 MS_DRG Major Chest Trauma With Mcc 7 7 $36,683.72 $22,010.23 40% off $10,529.25 $23,213.17 $11,222.43 2026-01-31
813 MS_DRG Coagulation Disorders 7 7 $22,003.55 $13,202.13 40% off $10,497.59 $22,003.55 $11,188.69 2026-01-31
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 7 7 $164,885.40 $98,931.24 40% off $10,485.89 $23,117.58 $11,176.22 2026-01-31
398 MS_DRG Appendix Procedures With Cc 7 7 $51,551.59 $30,930.95 40% off $10,417.06 $22,965.85 $11,102.86 2026-01-31
865 MS_DRG Viral Illness With Mcc 7 7 $13,175.23 $7,905.14 40% off $10,311.77 $13,738.29 $10,990.63 2026-01-31
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 7 7 $36,470.30 $21,882.18 40% off $10,205.78 $22,500.04 $10,877.66 2026-01-31
682 MS_DRG Renal Failure With Mcc 7 7 $22,634.60 $13,580.76 40% off $10,192.70 $22,471.21 $10,863.73 2026-01-31
388 MS_DRG Gastrointestinal Obstruction With Mcc 7 7 $22,245.22 $13,347.13 40% off $10,163.80 $22,245.23 $10,832.92 2026-01-31
794 MS_DRG Neonate With Other Significant Problems 7 7 $7,154.51 $4,292.71 40% off $1,320.00 $13,532.90 $10,826.32 2026-01-31
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 7 7 $52,524.13 $31,514.48 40% off $10,131.45 $22,336.17 $10,798.44 2026-01-31
93455 HCPCS Insertion Of Tube In Bypass Graft For Diagnosis With Review By Radiologist 16 16 $14,666.42 $8,799.85 40% off $2,810.41 $13,493.11 $10,779.82 2026-01-31
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 7 7 $50,074.89 $30,044.93 40% off $10,108.05 $22,284.59 $10,773.50 2026-01-31
637 MS_DRG Diabetes With Mcc 7 7 $25,073.04 $15,043.83 40% off $9,887.81 $21,799.05 $10,538.77 2026-01-31
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 7 7 $29,211.27 $17,526.76 40% off $9,805.92 $21,618.49 $10,451.48 2026-01-31
602 MS_DRG Cellulitis With Mcc 7 7 $33,892.52 $20,335.51 40% off $9,781.83 $21,565.38 $10,425.80 2026-01-31
93456 HCPCS Insertion Of Tube In Right Heart Chambers And Coronary Artery For Diagnosis With… 16 16 $14,084.31 $8,450.59 40% off $2,810.41 $12,957.57 $10,351.97 2026-01-31
811 MS_DRG Red Blood Cell Disorders With Mcc 7 7 $15,600.28 $9,360.17 40% off $9,664.83 $15,600.28 $10,301.10 2026-01-31
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 7 7 $17,330.28 $10,398.17 40% off $9,620.78 $17,330.28 $10,254.16 2026-01-31
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 7 7 $26,709.49 $16,025.69 40% off $9,453.54 $20,841.63 $10,075.91 2026-01-31
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 7 7 $45,812.28 $27,487.37 40% off $9,399.86 $20,723.28 $10,018.69 2026-01-31
1110806 CDM Operating Room Services - General Classification 14 14 $13,294.67 $7,976.80 40% off $7,046.18 $12,231.10 $9,971.00 2026-05-06
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 7 7 $83,561.29 $50,136.77 40% off $9,256.71 $20,407.69 $9,866.11 2026-01-31
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 7 7 $23,996.64 $14,397.98 40% off $9,192.01 $20,265.06 $9,797.16 2026-01-31
93454 HCPCS Insertion Of Tube In Coronary Artery For Diagnosis With Review By Radiologist 16 16 $13,306.34 $7,983.80 40% off $2,810.41 $12,241.83 $9,780.16 2026-01-31
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 16 16 $12,969.63 $7,781.78 40% off $89.34 $11,932.06 $9,727.22 2026-01-31
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 7 7 $12,927.05 $7,756.23 40% off $9,097.04 $12,927.05 $9,695.93 2026-01-31
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 7 7 $21,646.60 $12,987.96 40% off $9,046.11 $19,943.39 $9,641.65 2026-01-31
348 MS_DRG Anal And Stomal Procedures With Cc 7 7 $17,683.69 $10,610.21 40% off $9,007.57 $17,683.69 $9,600.57 2026-01-31
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 7 7 $32,056.18 $19,233.71 40% off $8,965.59 $19,765.87 $9,555.83 2026-01-31
553 MS_DRG Bone Diseases And Arthropathies With Mcc 7 7 $34,712.23 $20,827.34 40% off $8,921.54 $19,668.76 $9,508.88 2026-01-31
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 7 7 $14,770.85 $8,862.51 40% off $8,916.72 $14,770.85 $9,503.74 2026-01-31
291 MS_DRG Heart Failure And Shock With Mcc 7 7 $34,424.38 $20,654.63 40% off $8,835.51 $19,479.10 $9,417.19 2026-01-31
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 7 7 $20,374.05 $12,224.43 40% off $8,823.12 $19,451.79 $9,403.98 2026-01-31
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 7 7 $23,204.18 $13,922.51 40% off $8,728.83 $19,243.92 $9,303.49 2026-01-31
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 7 7 $29,670.65 $17,802.39 40% off $8,712.32 $19,207.50 $9,285.88 2026-01-31
189 MS_DRG Pulmonary Edema And Respiratory Failure 7 7 $35,424.51 $21,254.71 40% off $8,502.41 $18,744.72 $9,062.15 2026-01-31
C1778 HCPCS Lead, Neurostimulator (implantable) 39 13 $12,000.00 $7,200.00 40% off $3,318.33 $16,356.62 $9,000.00 2026-01-31
375 MS_DRG Digestive Malignancy With Cc 7 7 $29,069.48 $17,441.69 40% off $8,324.84 $18,353.26 $8,872.90 2026-01-31
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 7 7 $38,305.47 $22,983.28 40% off $8,286.30 $18,268.29 $8,831.82 2026-01-31
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 7 7 $25,306.75 $15,184.05 40% off $8,253.27 $18,195.46 $8,796.61 2026-01-31
302 MS_DRG Atherosclerosis With Mcc 7 7 $33,322.82 $19,993.69 40% off $8,235.37 $18,156.01 $8,777.54 2026-01-31
1110805 CDM Operating Room Services - General Classification 14 14 $11,674.56 $7,004.74 40% off $6,187.52 $10,740.60 $8,755.92 2026-05-06
304 MS_DRG Hypertension With Mcc 7 7 $43,393.45 $26,036.07 40% off $8,189.95 $18,055.87 $8,729.13 2026-01-31
152 MS_DRG Otitis Media And Uri With Mcc 7 7 $5,757.42 $3,454.45 40% off $5,757.42 $10,839.89 $8,671.91 2026-01-31
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 7 7 $24,865.35 $14,919.21 40% off $7,985.54 $17,605.23 $8,511.26 2026-01-31
546 MS_DRG Connective Tissue Disorders With Cc 7 7 $24,334.81 $14,600.89 40% off $7,938.06 $17,500.54 $8,460.65 2026-01-31
399 MS_DRG Appendix Procedures Without Cc/mcc 7 7 $41,681.87 $25,009.12 40% off $7,878.18 $17,368.53 $8,396.83 2026-01-31
723 MS_DRG Malignancy, Male Reproductive System With Cc 7 7 $35,588.50 $21,353.10 40% off $7,864.42 $17,338.19 $8,382.16 2026-01-31
745 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 7 7 $39,348.50 $23,609.10 40% off $7,828.63 $17,259.29 $8,344.02 2026-01-31
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 7 7 $14,625.31 $8,775.19 40% off $7,784.58 $14,625.31 $8,297.07 2026-01-31
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 7 7 $15,066.52 $9,039.91 40% off $7,750.17 $15,066.52 $8,260.39 2026-01-31
787 MS_DRG Cesarean Section Without Sterilization With Cc 8 8 $40,598.98 $24,359.39 40% off $6,210.00 $10,240.22 $8,192.17 2026-01-31
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 7 7 $30,111.93 $18,067.16 40% off $7,623.53 $16,807.13 $8,125.42 2026-01-31
200 MS_DRG Pneumothorax With Cc 7 7 $21,270.50 $12,762.30 40% off $7,565.72 $16,679.68 $8,063.81 2026-01-31
445 MS_DRG Disorders Of The Biliary Tract With Cc 7 7 $33,910.42 $20,346.25 40% off $7,532.00 $16,605.33 $8,027.86 2026-01-31
C2596 HCPCS Probe, Image-guided, Robotic, Waterjet Ablation 13 13 $10,650.00 $6,390.00 40% off $6,922.50 $9,798.00 $7,987.50 2026-01-31
381 MS_DRG Complicated Peptic Ulcer With Cc 7 7 $21,179.52 $12,707.71 40% off $7,456.98 $16,439.95 $7,947.91 2026-01-31
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 8 8 $23,317.44 $13,990.46 40% off $4,490.00 $9,895.45 $7,916.36 2026-01-31
C1747 HCPCS Endoscope, Single-use (i.e. Disposable), Urinary Tract, Imaging/illumination Dev… 13 13 $10,485.00 $6,291.00 40% off $6,815.25 $9,646.20 $7,863.75 2026-01-31
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 8 8 $22,745.80 $13,647.48 40% off $4,490.00 $9,825.77 $7,860.61 2026-01-31
300 MS_DRG Peripheral Vascular Disorders With Cc 7 7 $15,136.09 $9,081.65 40% off $7,346.87 $15,136.09 $7,830.54 2026-01-31
184 MS_DRG Major Chest Trauma With Cc 7 7 $33,678.80 $20,207.28 40% off $7,323.47 $16,145.59 $7,805.60 2026-01-31
784 MS_DRG Cesarean Section With Sterilization With Cc 8 8 $36,958.14 $22,174.88 40% off $6,210.00 $9,720.32 $7,776.26 2026-01-31
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 7 7 $32,600.56 $19,560.33 40% off $7,269.10 $16,025.72 $7,747.65 2026-01-31
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 7 7 $35,415.84 $21,249.50 40% off $7,255.33 $15,995.38 $7,732.98 2026-01-31
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 16 16 $10,492.25 $6,295.35 40% off $49.58 $9,652.87 $7,711.81 2026-01-31
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 7 7 $24,960.74 $14,976.44 40% off $7,125.94 $15,710.12 $7,595.07 2026-01-31
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 7 7 $22,056.75 $13,234.05 40% off $7,094.29 $15,640.33 $7,561.33 2026-01-31
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 7 7 $19,024.04 $11,414.43 40% off $7,075.01 $15,597.84 $7,540.79 2026-01-31
71 MS_DRG Other Cerebrovascular Disorders With Cc 7 7 $18,408.44 $11,045.06 40% off $7,061.25 $15,567.50 $7,526.12 2026-01-31
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 7 7 $21,604.35 $12,962.61 40% off $7,042.67 $15,526.53 $7,506.31 2026-01-31
92 MS_DRG Other Disorders Of Nervous System With Cc 7 7 $30,732.10 $18,439.26 40% off $7,040.60 $15,521.98 $7,504.11 2026-01-31
1110804 CDM Operating Room Services - General Classification 14 14 $10,003.29 $6,001.97 40% off $5,301.74 $9,203.03 $7,502.47 2026-05-06
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 7 7 $21,202.84 $12,721.71 40% off $7,026.84 $15,491.63 $7,489.44 2026-01-31
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 7 7 $9,822.03 $5,893.22 40% off $7,004.13 $9,822.03 $7,465.24 2026-01-31
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 7 7 $28,821.38 $17,292.83 40% off $6,953.20 $15,329.28 $7,410.95 2026-01-31
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 7 7 $19,148.05 $11,488.83 40% off $6,933.93 $15,286.80 $7,390.42 2026-01-31
797 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Cc 8 8 $23,747.60 $14,248.56 40% off $4,490.00 $15,179.07 $7,338.33 2026-01-31
369 MS_DRG Major Esophageal Disorders With Cc 7 7 $24,358.65 $14,615.19 40% off $6,883.69 $15,176.03 $7,336.87 2026-01-31
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 7 7 $13,623.86 $8,174.32 40% off $6,867.86 $13,623.86 $7,320.00 2026-01-31
378 MS_DRG Gastrointestinal Hemorrhage With Cc 7 7 $25,960.90 $15,576.54 40% off $6,749.48 $14,880.16 $7,193.83 2026-01-31
386 MS_DRG Inflammatory Bowel Disease With Cc 7 7 $26,099.63 $15,659.78 40% off $6,719.20 $14,813.40 $7,161.55 2026-01-31
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 7 7 $26,356.50 $15,813.90 40% off $6,706.12 $14,784.57 $7,147.61 2026-01-31
202 MS_DRG Bronchitis And Asthma With Cc/mcc 7 7 $22,351.89 $13,411.13 40% off $6,684.10 $14,736.02 $7,124.14 2026-01-31
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 7 7 $20,609.90 $12,365.94 40% off $6,643.49 $14,646.50 $7,080.86 2026-01-31
315 MS_DRG Other Circulatory System Diagnoses With Cc 7 7 $32,170.79 $19,302.47 40% off $6,629.73 $14,616.15 $7,066.19 2026-01-31
552 MS_DRG Medical Back Problems Without Mcc 7 7 $21,284.05 $12,770.43 40% off $6,615.96 $14,585.80 $7,051.52 2026-01-31
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 8 8 $37,921.15 $22,752.69 40% off $6,210.00 $8,791.48 $7,033.18 2026-01-31
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 8 8 $33,743.68 $20,246.21 40% off $6,210.00 $8,782.31 $7,025.85 2026-01-31
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 8 8 $37,371.18 $22,422.71 40% off $4,490.00 $8,775.89 $7,020.71 2026-01-31
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 16 16 $9,506.00 $5,703.60 40% off $1,828.71 $8,745.52 $6,986.91 2026-01-31
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 7 7 $21,497.38 $12,898.43 40% off $6,476.94 $14,279.31 $6,903.34 2026-01-31
394 MS_DRG Other Digestive System Diagnoses With Cc 7 7 $17,981.37 $10,788.82 40% off $6,439.78 $14,197.38 $6,863.73 2026-01-31
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 7 7 $11,136.80 $6,682.08 40% off $6,330.35 $11,136.80 $6,747.10 2026-01-31
812 MS_DRG Red Blood Cell Disorders Without Mcc 7 7 $20,939.08 $12,563.45 40% off $6,319.34 $13,931.85 $6,735.36 2026-01-31
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 7 7 $18,566.03 $11,139.62 40% off $6,304.20 $13,898.47 $6,719.23 2026-01-31
158 MS_DRG Dental And Oral Diseases With Cc 7 7 $10,883.41 $6,530.05 40% off $6,261.53 $10,883.41 $6,673.75 2026-01-31
101 MS_DRG Seizures Without Mcc 7 7 $24,409.94 $14,645.96 40% off $6,211.97 $13,695.15 $6,620.93 2026-01-31
638 MS_DRG Diabetes With Cc 7 7 $19,874.78 $11,924.87 40% off $6,167.93 $13,598.04 $6,573.99 2026-01-31
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 7 7 $20,493.98 $12,296.39 40% off $6,163.11 $13,587.42 $6,568.85 2026-01-31
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 7 7 $15,998.62 $9,599.17 40% off $6,147.28 $13,552.52 $6,551.98 2026-01-31
864 MS_DRG Fever And Inflammatory Conditions 7 7 $10,746.83 $6,448.10 40% off $6,109.43 $10,746.83 $6,511.63 2026-01-31
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 7 7 $17,771.80 $10,663.08 40% off $6,075.70 $13,394.72 $6,475.69 2026-01-31
1691158 CDM Operating Room Services - General Classification 14 14 $8,608.59 $5,165.15 40% off $4,562.55 $7,919.90 $6,456.44 2026-05-06
683 MS_DRG Renal Failure With Cc 7 7 $19,327.30 $11,596.38 40% off $6,027.53 $13,288.51 $6,424.34 2026-01-31
312 MS_DRG Syncope And Collapse 7 7 $21,540.57 $12,924.34 40% off $5,998.62 $13,224.79 $6,393.53 2026-01-31
603 MS_DRG Cellulitis Without Mcc 7 7 $17,718.27 $10,630.96 40% off $5,993.80 $13,214.17 $6,388.40 2026-01-31
819 MS_DRG Other Antepartum Diagnoses With O.r. Procedures Without Cc/mcc 7 7 $35,976.22 $21,585.73 40% off $5,918.10 $13,047.26 $6,307.71 2026-01-31
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 7 7 $17,826.98 $10,696.19 40% off $5,898.83 $13,004.78 $6,287.17 2026-01-31
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 7 7 $19,734.58 $11,840.75 40% off $5,883.00 $12,969.88 $6,270.30 2026-01-31
1110803 CDM Operating Room Services - General Classification 14 14 $8,336.05 $5,001.63 40% off $4,418.11 $7,669.17 $6,252.04 2026-05-06
292 MS_DRG Heart Failure And Shock With Cc 7 7 $21,581.76 $12,949.06 40% off $5,843.08 $12,881.88 $6,227.75 2026-01-31
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 7 7 $35,249.39 $21,149.63 40% off $5,801.79 $12,790.84 $6,183.74 2026-01-31
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 7 7 $20,222.11 $12,133.26 40% off $5,789.40 $12,763.53 $6,170.54 2026-01-31
103 MS_DRG Headaches Without Mcc 7 7 $15,380.95 $9,228.57 40% off $5,755.68 $12,689.18 $6,134.60 2026-01-31
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 7 7 $13,022.64 $7,813.58 40% off $5,716.45 $12,602.69 $6,092.78 2026-01-31
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 7 7 $12,464.16 $7,478.50 40% off $5,713.01 $12,464.16 $6,089.12 2026-01-31
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 7 7 $11,003.71 $6,602.23 40% off $5,582.93 $11,003.71 $5,950.48 2026-01-31
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 7 7 $20,522.30 $12,313.38 40% off $5,571.23 $12,282.54 $5,938.01 2026-01-31
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 7 7 $10,043.67 $6,026.20 40% off $5,558.15 $10,043.67 $5,924.07 2026-01-31
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 7 7 $30,842.31 $18,505.39 40% off $5,546.45 $12,227.92 $5,911.60 2026-01-31
176 MS_DRG Pulmonary Embolism Without Mcc 7 7 $21,096.25 $12,657.75 40% off $5,540.26 $12,214.27 $5,905.00 2026-01-31
69 MS_DRG Transient Ischemia Without Thrombolytic 7 7 $25,981.87 $15,589.12 40% off $5,497.59 $12,120.19 $5,859.52 2026-01-31
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 7 7 $25,923.42 $15,554.05 40% off $5,480.38 $12,082.26 $5,841.18 2026-01-31
389 MS_DRG Gastrointestinal Obstruction With Cc 7 7 $17,655.95 $10,593.57 40% off $5,435.65 $11,983.64 $5,793.50 2026-01-31
A9548 HCPCS Indium In-111 Pentetate, Diagnostic, Per 0.5 Millicurie 16 16 $7,695.45 $4,617.27 40% off $745.62 $7,079.81 $5,771.59 2026-01-31
694 MS_DRG Urinary Stones Without Mcc 7 7 $11,097.34 $6,658.40 40% off $5,379.90 $11,097.34 $5,734.08 2026-01-31
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 7 7 $19,717.94 $11,830.76 40% off $5,365.45 $11,828.87 $5,718.68 2026-01-31
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 7 7 $20,375.41 $12,225.25 40% off $5,355.81 $11,807.63 $5,708.41 2026-01-31
1691175 CDM Operating Room Services - General Classification 14 14 $7,566.90 $4,540.14 40% off $4,010.46 $6,961.55 $5,675.18 2026-05-06
1691177 CDM Operating Room Services - General Classification 14 14 $7,566.90 $4,540.14 40% off $4,010.46 $6,961.55 $5,675.18 2026-05-06
645 MS_DRG Endocrine Disorders Without Cc/mcc 7 7 $18,628.72 $11,177.23 40% off $5,287.68 $11,657.42 $5,635.79 2026-01-31
72 MS_DRG Other Cerebrovascular Disorders Without Cc/mcc 7 7 $26,739.43 $16,043.66 40% off $5,204.40 $11,473.82 $5,547.03 2026-01-31
305 MS_DRG Hypertension Without Mcc 7 7 $19,688.59 $11,813.15 40% off $5,196.83 $11,457.13 $5,538.96 2026-01-31
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 7 7 $31,361.43 $18,816.86 40% off $5,193.39 $11,449.55 $5,535.29 2026-01-31
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 8 8 $20,405.18 $12,243.11 40% off $4,490.00 $6,913.61 $5,530.89 2026-01-31
149 MS_DRG Dysequilibrium 7 7 $27,035.93 $16,221.56 40% off $5,172.74 $11,404.03 $5,513.29 2026-01-31
1061285 CDM Operating Room Services - General Classification 14 14 $7,235.36 $4,341.22 40% off $3,834.74 $6,656.53 $5,426.52 2026-05-06
1061276 CDM Operating Room Services - General Classification 14 14 $7,235.36 $4,341.22 40% off $3,834.74 $6,656.53 $5,426.52 2026-05-06
1061277 CDM Operating Room Services - General Classification 14 14 $7,235.36 $4,341.22 40% off $3,834.74 $6,656.53 $5,426.52 2026-05-06
1061273 CDM Operating Room Services - General Classification 14 14 $7,235.36 $4,341.22 40% off $3,834.74 $6,656.53 $5,426.52 2026-05-06
1061282 CDM Operating Room Services - General Classification 14 14 $7,235.36 $4,341.22 40% off $3,834.74 $6,656.53 $5,426.52 2026-05-06
1061284 CDM Operating Room Services - General Classification 14 14 $7,235.36 $4,341.22 40% off $3,834.74 $6,656.53 $5,426.52 2026-05-06
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 7 7 $28,276.57 $16,965.94 40% off $5,063.32 $11,162.78 $5,396.65 2026-01-31
75605 HCPCS Review By Radiologist Of Chest Aorta Serial Images 16 16 $6,883.46 $4,130.08 40% off $4,474.25 $17,724.91 $5,369.10 2026-01-31
99291 HCPCS Critical Care, First 30-74 Minutes 16 16 $7,263.61 $4,358.17 40% off $740.02 $6,682.52 $5,338.76 2026-01-31
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 7 7 $10,349.84 $6,209.90 40% off $4,966.27 $10,349.84 $5,293.22 2026-01-31
313 MS_DRG Chest Pain 7 7 $22,180.30 $13,308.18 40% off $4,955.26 $10,924.56 $5,281.49 2026-01-31
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 7 7 $11,222.08 $6,733.25 40% off $4,953.20 $10,920.01 $5,279.29 2026-01-31
779 MS_DRG Abortion Without D&c 7 7 $17,848.18 $10,708.91 40% off $4,907.78 $10,819.87 $5,230.87 2026-01-31
2811159 CDM Operating Room Services - General Classification 14 14 $6,932.67 $4,159.60 40% off $3,674.32 $6,378.06 $5,199.50 2026-05-06
311 MS_DRG Angina Pectoris 7 7 $18,046.57 $10,827.94 40% off $4,830.69 $10,649.93 $5,148.72 2026-01-31
37191 HCPCS Insertion Of Vena Cava Filter With Review By Radiologist 16 16 $6,759.70 $4,055.82 40% off $4,376.52 $7,042.74 $5,137.38 2026-01-31
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 7 7 $24,610.57 $14,766.34 40% off $4,710.25 $10,384.40 $5,020.35 2026-01-31
1110802 CDM Operating Room Services - General Classification 14 14 $6,664.79 $3,998.87 40% off $3,532.34 $6,131.61 $4,998.59 2026-05-06
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 8 8 $18,984.80 $11,390.88 40% off $4,490.00 $6,181.91 $4,945.53 2026-01-31
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 7 7 $10,564.69 $6,338.81 40% off $4,611.15 $10,165.91 $4,914.72 2026-01-31
L8606 HCPCS Injectable Bulking Agent, Synthetic Implant, Urinary Tract, 1 Ml Syringe, Includ… 16 16 $6,650.00 $3,990.00 40% off $1.92 $6,118.00 $4,887.75 2026-01-31
916 MS_DRG Allergic Reactions Without Mcc 7 7 $12,444.11 $7,466.47 40% off $4,585.68 $10,109.77 $4,887.58 2026-01-31
759 MS_DRG Infections, Female Reproductive System Without Cc/mcc 7 7 $13,849.66 $8,309.80 40% off $4,567.10 $10,068.80 $4,867.77 2026-01-31
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 7 7 $8,413.94 $5,048.37 40% off $4,505.85 $8,413.94 $4,802.49 2026-01-31
2812201 CDM Operating Room Services - General Classification 14 14 $6,387.66 $3,832.60 40% off $3,385.46 $5,876.65 $4,790.75 2026-05-06
1691702 CDM Operating Room Services - General Classification 14 14 $6,386.96 $3,832.18 40% off $3,385.09 $5,876.00 $4,790.22 2026-05-06
1691801 CDM Operating Room Services - General Classification 14 14 $6,386.96 $3,832.18 40% off $3,385.09 $5,876.00 $4,790.22 2026-05-06
1691705 CDM Operating Room Services - General Classification 14 14 $6,386.96 $3,832.18 40% off $3,385.09 $5,876.00 $4,790.22 2026-05-06
2812101 CDM Operating Room Services - General Classification 14 14 $6,386.96 $3,832.18 40% off $3,385.09 $5,876.00 $4,790.22 2026-05-06
Q4196 HCPCS Puraply Am, Per Square Centimeter 16 16 $6,500.00 $3,900.00 40% off $104.48 $5,980.00 $4,777.50 2026-01-31
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 7 7 $24,822.14 $14,893.28 40% off $4,466.62 $9,847.28 $4,760.67 2026-01-31
C1776 HCPCS Joint Device (implantable) 156 13 $6,287.50 $3,772.50 40% off $715.00 $18,860.00 $4,663.75 2026-01-31
1061278 CDM Operating Room Services - General Classification 14 14 $6,169.86 $3,701.92 40% off $3,270.03 $5,676.27 $4,627.40 2026-05-06
1061279 CDM Operating Room Services - General Classification 14 14 $6,169.86 $3,701.92 40% off $3,270.03 $5,676.27 $4,627.40 2026-05-06
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 7 7 $17,243.92 $10,346.35 40% off $4,325.53 $9,536.23 $4,610.30 2026-01-31
315200 CDM Intensive Care Unit - General Classification 10 10 $6,086.77 $3,652.06 40% off $3,225.99 $5,599.83 $4,586.38 2026-05-06
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 7 7 $16,145.29 $9,687.17 40% off $4,276.67 $9,428.50 $4,558.22 2026-01-31
639 MS_DRG Diabetes Without Cc/mcc 7 7 $14,408.20 $8,644.92 40% off $4,275.29 $9,425.47 $4,556.75 2026-01-31
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 7 7 $17,303.39 $10,382.03 40% off $4,245.70 $9,360.22 $4,525.21 2026-01-31
1410018 CDM Oth Ster Supp Lvl 18 14 14 $6,000.00 $3,600.00 40% off $3,180.00 $5,520.00 $4,500.00 2026-01-31
684 MS_DRG Renal Failure Without Cc/mcc 7 7 $6,667.40 $4,000.44 40% off $4,131.45 $6,667.40 $4,403.44 2026-01-31
C1880 HCPCS Vena Cava Filter 13 13 $5,765.28 $3,459.17 40% off $3,747.43 $5,304.06 $4,323.96 2026-01-31
282813 CDM Labor Room/delivery - Delivery Room 14 14 $5,741.66 $3,445.00 40% off $3,043.08 $5,282.33 $4,306.25 2026-05-06
2811337 CDM Operating Room Services - General Classification 14 14 $5,649.76 $3,389.86 40% off $2,994.37 $5,197.78 $4,237.32 2026-05-06
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 7 7 $21,458.59 $12,875.15 40% off $3,896.08 $8,589.44 $4,152.57 2026-01-31
293 MS_DRG Heart Failure And Shock Without Cc/mcc 7 7 $22,346.93 $13,408.16 40% off $3,895.39 $8,587.92 $4,151.84 2026-01-31
C1762 HCPCS Connective Tissue, Human (includes Fascia Lata) 130 13 $5,487.50 $3,292.50 40% off $406.25 $16,997.00 $4,143.75 2026-01-31
C1821 HCPCS Interspinous Process Distraction Device (implantable) 39 13 $5,512.50 $3,307.50 40% off $1,791.56 $10,143.00 $4,134.38 2026-01-31
951 MS_DRG Other Factors Influencing Health Status 7 7 $3,321.02 $1,992.61 40% off $3,321.02 $5,098.10 $4,078.48 2026-01-31
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 16 16 $5,494.22 $3,296.53 40% off $497.49 $5,054.68 $4,038.26 2026-01-31
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 7 7 $15,136.42 $9,081.85 40% off $3,743.98 $8,254.11 $3,990.46 2026-01-31
81415 HCPCS Test For Detecting Exome, Sequence Analysis 15 15 $5,000.00 $3,000.00 40% off $3,250.00 $5,975.00 $3,950.00 2026-01-31
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 16 16 $5,438.05 $3,262.83 40% off $353.24 $5,003.01 $3,885.49 2026-01-31
93567 HCPCS Injection For Imaging Of Aorta Above Heart Valve With Review By Radiologist 16 16 $5,163.53 $3,098.12 40% off $31.59 $4,750.45 $3,872.65 2026-01-31
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 16 16 $5,392.75 $3,235.65 40% off $353.24 $4,961.33 $3,853.12 2026-01-31
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