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

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Hospital

MOUNTAIN WEST MEDICAL CENTER

Tooele, UT · CCN 460014 · Rates published

5,417 distinct procedures filed
17 distinct payers
59,742 rate rows
2026-09-17 last MRF observed
Data quality

53,577 of 59,742 rate rows are consumer-grade (89.7%)

6,165 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 2,467
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 · 2026-11-11
Content fingerprint 73cfbda73b7de79c… · 18,826,390 bytes · first seen 2026-11-02

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 nat. median
$19,987
outlier · 3.0×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $49,680.64 $109,527.82 $52,951.32 nat. median
$63,446
0.8× median
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 13 $38,350.00 $54,280.00 $44,250.00 nat. median
$23,834
1.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 $1,320.00 $54,497.44 $43,597.95 nat. median
$50,769
0.9× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $38,692.35 $85,302.61 $41,239.62 nat. median
$50,495
0.8× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 7 $35,825.18 $78,981.53 $38,183.69 nat. median
$46,310
0.8× median
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 13 $32,175.00 $45,540.00 $37,125.00 nat. median
$22,950
1.6× 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
$45,281
0.8× median
C1813
HCPCS 		Prosthesis, Penile, Inflatable 13 $30,475.25 $43,134.20 $35,163.75 nat. median
$10,425
outlier · 3.4×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 $32,290.42 $57,977.20 $34,416.23 nat. median
$43,542
0.8× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 7 $31,697.17 $69,880.77 $33,783.92 nat. median
$38,705
0.9× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 7 $31,634.54 $69,742.69 $33,717.17 nat. median
$42,583
0.8× 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
$41,637
0.8× median
140
MS_DRG 		Major Head And Neck Procedures With Mcc 7 $29,355.12 $49,466.45 $31,287.68 nat. median
$38,353
0.8× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 7 $29,186.50 $64,345.66 $31,107.96 nat. median
$38,939
0.8× median
793
MS_DRG 		Full Term Neonate With Major Problems 7 $1,320.00 $38,232.10 $30,585.68 nat. median
$33,600
0.9× median
791
MS_DRG 		Prematurity With Major Problems 7 $1,320.00 $37,217.99 $29,774.39 nat. median
$34,518
0.9× median
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 $27,670.33 $61,003.05 $29,491.98 nat. median
$36,878
0.8× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 7 $26,423.25 $50,999.74 $28,162.80 nat. median
$35,875
0.8× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 $25,898.13 $57,096.00 $27,603.11 nat. median
$35,358
0.8× 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
$34,420
0.8× 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
$33,640
0.8× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 7 $24,576.04 $54,181.27 $26,193.98 nat. median
$33,068
0.8× 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
$33,522
0.8× 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
$31,794
0.8× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 7 $22,991.04 $38,966.84 $24,504.64 nat. median
$31,077
0.8× 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
$6,128
outlier · 3.9×
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 7 $22,263.58 $45,738.03 $23,729.29 nat. median
$29,795
0.8× median
451
MS_DRG 		Single Level Spinal Fusion Except Cervical Without Mcc 7 $22,232.61 $49,014.86 $23,696.28 nat. median
$30,035
0.8× 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
$6,005
outlier · 3.8×
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
$28,658
0.8× 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
$6,013
outlier · 3.7×
570
MS_DRG 		Skin Debridement With Mcc 7 $20,241.56 $44,625.31 $21,574.14 nat. median
$27,964
0.8× 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
$6,105
outlier · 3.5×
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 7 $20,043.35 $44,188.33 $21,362.89 nat. median
$27,774
0.8× median
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 7 $19,972.46 $44,032.05 $21,287.33 nat. median
$27,342
0.8× 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
$27,582
0.8× median
503
MS_DRG 		Foot Procedures With Mcc 7 $19,209.22 $34,683.29 $20,473.83 nat. median
$25,876
0.8× 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
$25,369
0.8× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 7 $18,917.41 $41,706.03 $20,162.81 nat. median
$25,361
0.8× 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
$25,684
0.8× median
1061267
CDM 		Operating Room Services - General Classification 14 $13,488.17 $23,413.42 $19,087.03 nat. median
$31,411
0.6× median
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
$5,600
outlier · 3.4×
344
MS_DRG 		Minor Small And Large Bowel Procedures With Mcc 7 $17,775.63 $39,188.82 $18,945.87 nat. median
$24,491
0.8× median
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 7 $17,487.26 $38,553.08 $18,638.52 nat. median
$24,280
0.8× 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
$23,545
0.8× median
350
MS_DRG 		Inguinal And Femoral Hernia Procedures With Mcc 7 $17,150.03 $37,809.60 $18,279.08 nat. median
$23,349
0.8× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 7 $16,920.16 $37,302.82 $18,034.08 nat. median
$23,126
0.8× median
783
MS_DRG 		Cesarean Section With Sterilization With Mcc 8 $6,210.00 $22,511.43 $18,009.14 nat. median
$18,817
1.0× median
792
MS_DRG 		Prematurity Without Major Problems 7 $1,320.00 $22,457.33 $17,965.86 nat. median
$20,500
0.9× median

Other procedures at this hospital

Browse this hospital's 5,417 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
             
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 2026-09-17
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 7 7 $21,343.97 $12,806.38 40% off $6,325.53 $13,945.50 $6,741.97 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
348 MS_DRG Anal And Stomal Procedures With Cc 7 7 $23,682.90 $14,209.74 40% off $9,007.57 $19,858.42 $9,600.57 2026-09-17
311 MS_DRG Angina Pectoris 7 7 $18,046.57 $10,827.94 40% off $4,830.69 $10,649.93 $5,148.72 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
726 MS_DRG Benign Prostatic Hypertrophy Without Mcc 7 7 $20,594.76 $12,356.86 40% off $4,969.03 $10,954.91 $5,296.16 2026-09-17
553 MS_DRG Bone Diseases And Arthropathies With Mcc 7 7 $33,676.56 $20,205.94 40% off $8,921.54 $19,668.76 $9,508.88 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
784 MS_DRG Cesarean Section With Sterilization With Cc 8 8 $35,059.14 $21,035.48 40% off $6,210.00 $9,720.32 $7,776.26 2026-09-17
783 MS_DRG Cesarean Section With Sterilization With Mcc 8 8 $55,229.40 $33,137.64 40% off $6,210.00 $22,511.43 $18,009.14 2026-09-17
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 8 8 $34,201.44 $20,520.86 40% off $6,210.00 $8,782.31 $7,025.85 2026-09-17
787 MS_DRG Cesarean Section Without Sterilization With Cc 8 8 $38,711.63 $23,226.98 40% off $6,210.00 $10,240.22 $8,192.17 2026-09-17
786 MS_DRG Cesarean Section Without Sterilization With Mcc 8 8 $38,937.59 $23,362.56 40% off $6,210.00 $15,124.68 $12,099.74 2026-09-17
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 8 8 $37,535.73 $22,521.44 40% off $6,210.00 $8,791.48 $7,033.18 2026-09-17
313 MS_DRG Chest Pain 7 7 $22,180.30 $13,308.18 40% off $4,955.26 $10,924.56 $5,281.49 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
813 MS_DRG Coagulation Disorders 7 7 $23,409.42 $14,045.65 40% off $10,497.59 $23,143.38 $11,188.69 2026-09-17
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 2026-09-17
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 2026-09-17
380 MS_DRG Complicated Peptic Ulcer With Mcc 7 7 $63,896.03 $38,337.62 40% off $13,504.47 $29,772.46 $14,393.52 2026-09-17
920 MS_DRG Complications Of Treatment With Cc 7 7 $15,260.71 $9,156.43 40% off $6,898.14 $15,207.90 $7,352.27 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
56 MS_DRG Degenerative Nervous System Disorders With Mcc 7 7 $39,027.72 $23,416.63 40% off $15,988.29 $35,248.40 $17,040.87 2026-09-17
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 7 7 $15,686.47 $9,411.88 40% off $8,916.72 $15,686.47 $9,503.74 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
149 MS_DRG Dysequilibrium 7 7 $27,035.93 $16,221.56 40% off $5,172.74 $11,404.03 $5,513.29 2026-09-17
644 MS_DRG Endocrine Disorders With Cc 7 7 $24,976.77 $14,986.06 40% off $7,054.37 $15,552.33 $7,518.79 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 7 7 $89,338.44 $53,603.06 40% off $16,920.16 $37,302.82 $18,034.08 2026-09-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 7 $57,977.20 $34,786.32 40% off $32,290.42 $57,977.20 $34,416.23 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
503 MS_DRG Foot Procedures With Mcc 7 7 $34,683.29 $20,809.97 40% off $19,209.22 $34,683.29 $20,473.83 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 13 13 $49,500.00 $29,700.00 40% off $32,175.00 $45,540.00 $37,125.00 2026-09-17
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 7 7 $42,502.11 $25,501.26 40% off $10,834.82 $23,886.85 $11,548.12 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 7 7 $83,416.17 $50,049.70 40% off $19,972.46 $44,032.05 $21,287.33 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 16 16 $9,506.00 $5,703.60 40% off $1,906.91 $8,745.52 $6,986.91 2026-09-17
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 16 16 $12,969.63 $7,781.78 40% off $143.23 $11,932.06 $9,727.22 2026-09-17
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 16 16 $10,492.25 $6,295.35 40% off $49.58 $9,652.87 $7,711.81 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 7 7 $38,156.56 $22,893.94 40% off $9,096.35 $20,054.15 $9,695.20 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 7 7 $49,826.33 $29,895.80 40% off $10,779.07 $23,763.95 $11,488.70 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
C1778 HCPCS Lead, Neurostimulator (implantable) 39 13 $12,000.00 $7,200.00 40% off $3,318.33 $18,878.40 $9,000.00 2026-09-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 7 $77,145.93 $46,287.56 40% off $25,898.13 $57,096.00 $27,603.11 2026-09-17
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 2026-09-17
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 2026-09-17
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 7 7 $101,195.65 $60,717.39 40% off $13,809.36 $30,444.62 $14,718.48 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
140 MS_DRG Major Head And Neck Procedures With Mcc 7 7 $49,466.45 $29,679.87 40% off $29,355.12 $49,466.45 $31,287.68 2026-09-17
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 7 7 $23,564.66 $14,138.80 40% off $15,195.45 $23,564.66 $16,195.83 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
506 MS_DRG Major Thumb Or Joint Procedures 7 7 $32,062.24 $19,237.34 40% off $8,256.02 $18,201.53 $8,799.55 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
607 MS_DRG Minor Skin Disorders Without Mcc 7 7 $45,298.27 $27,178.96 40% off $6,238.13 $13,752.81 $6,648.81 2026-09-17
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 7 7 $191,790.57 $115,074.34 40% off $17,775.63 $39,188.82 $18,945.87 2026-09-17
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 7 7 $29,012.73 $17,407.64 40% off $8,163.80 $17,998.21 $8,701.25 2026-09-17
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 2026-09-17
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 2026-09-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 7 $151,996.32 $91,197.79 40% off $49,680.64 $109,527.82 $52,951.32 2026-09-17
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 7 $108,625.73 $65,175.44 40% off $38,692.35 $85,302.61 $41,239.62 2026-09-17
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 7 7 $124,428.62 $74,657.17 40% off $29,186.50 $64,345.66 $31,107.96 2026-09-17
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 7 7 $48,660.19 $29,196.11 40% off $11,765.31 $25,938.24 $12,539.87 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 7 7 $35,835.56 $21,501.34 40% off $7,255.33 $15,995.38 $7,732.98 2026-09-17
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 2026-09-17
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 2026-09-17
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 7 7 $11,804.52 $7,082.71 40% off $8,275.98 $11,804.52 $8,820.82 2026-09-17
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 2026-09-17
72 MS_DRG Other Cerebrovascular Disorders Without Cc/mcc 7 7 $28,731.60 $17,238.96 40% off $5,204.40 $11,473.82 $5,547.03 2026-09-17
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 2026-09-17
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 2026-09-17
264 MS_DRG Other Circulatory System O.r. Procedures 7 7 $38,966.84 $23,380.10 40% off $22,991.04 $38,966.84 $24,504.64 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 7 7 $8,083.86 $4,850.32 40% off $8,083.86 $19,977.96 $15,982.37 2026-09-17
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 2026-09-17
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 2026-09-17
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 7 7 $48,597.91 $29,158.75 40% off $6,985.54 $15,400.60 $7,445.43 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
908 MS_DRG Other O.r. Procedures For Injuries With Cc 7 7 $68,292.34 $40,975.40 40% off $13,731.58 $30,273.17 $14,635.59 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
153 MS_DRG Otitis Media And Uri Without Mcc 7 7 $10,114.17 $6,068.50 40% off $5,080.52 $10,114.17 $5,414.99 2026-09-17
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 2026-09-17
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 2026-09-17
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 7 7 $29,312.76 $17,587.65 40% off $5,193.39 $11,449.55 $5,535.29 2026-09-17
300 MS_DRG Peripheral Vascular Disorders With Cc 7 7 $21,754.99 $13,052.99 40% off $7,346.87 $16,197.18 $7,830.54 2026-09-17
299 MS_DRG Peripheral Vascular Disorders With Mcc 7 7 $32,192.99 $19,315.79 40% off $11,236.75 $24,772.96 $11,976.51 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
187 MS_DRG Pleural Effusion With Cc 7 7 $39,411.75 $23,647.05 40% off $6,807.29 $15,007.61 $7,255.44 2026-09-17
186 MS_DRG Pleural Effusion With Mcc 7 7 $12,374.01 $7,424.41 40% off $10,726.08 $14,290.28 $11,432.22 2026-09-17
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 2026-09-17
201 MS_DRG Pneumothorax Without Cc/mcc 7 7 $10,312.83 $6,187.70 40% off $4,921.54 $10,312.83 $5,245.54 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 7 7 $26,285.08 $15,771.05 40% off $14,738.47 $26,285.08 $15,708.76 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
C1813 HCPCS Prosthesis, Penile, Inflatable 13 13 $46,885.00 $28,131.00 40% off $30,475.25 $43,134.20 $35,163.75 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
178 MS_DRG Respiratory Infections And Inflammations With Cc 7 7 $27,814.84 $16,688.90 40% off $6,717.13 $14,808.85 $7,159.35 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 7 7 $38,394.75 $23,036.85 40% off $11,392.98 $25,117.38 $12,143.02 2026-09-17
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 2026-09-17
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 2026-09-17
948 MS_DRG Signs And Symptoms Without Mcc 7 7 $25,827.89 $15,496.74 40% off $5,509.29 $12,145.99 $5,871.99 2026-09-17
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 2026-09-17
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 2026-09-17
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 $137,507.80 $82,504.68 40% off $27,670.33 $61,003.05 $29,491.98 2026-09-17
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 7 7 $140,948.46 $84,569.08 40% off $22,232.61 $49,014.86 $23,696.28 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 7 7 $79,271.66 $47,563.00 40% off $10,346.86 $22,811.09 $11,028.04 2026-09-17
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 2026-09-17
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 2026-09-17
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 2026-09-17
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 7 7 $47,636.70 $28,582.02 40% off $15,635.92 $34,471.54 $16,665.30 2026-09-17
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 2026-09-17
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 2026-09-17
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 7 7 $38,462.99 $23,077.79 40% off $11,685.47 $25,762.24 $12,454.78 2026-09-17
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 2026-09-17
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 2026-09-17
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 7 7 $67,909.55 $40,745.73 40% off $8,538.88 $18,825.14 $9,101.03 2026-09-17
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 8 8 $25,260.83 $15,156.50 40% off $4,490.00 $9,825.77 $7,860.61 2026-09-17
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 8 8 $44,313.44 $26,588.07 40% off $4,490.00 $8,775.89 $7,020.71 2026-09-17
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 8 8 $21,203.28 $12,721.97 40% off $4,490.00 $6,913.61 $5,530.89 2026-09-17
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 8 8 $22,013.68 $13,208.21 40% off $4,490.00 $9,895.45 $7,916.36 2026-09-17
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 2026-09-17
866 MS_DRG Viral Illness Without Mcc 7 7 $6,560.42 $3,936.25 40% off $5,984.86 $7,973.58 $6,378.86 2026-09-17
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 2026-09-17
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 7 $37,390.36 $22,434.22 40% off $12,551.27 $27,671.00 $13,377.57 2026-09-17
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