|
4244
|
APR_DRG
|
—
|
6
|
6
|
$9,313.50
|
$3,259.73
65% off
|
$22,487.75
|
$23,558.59
|
$23,558.59
|
2025-12-15
|
|
4273
|
APR_DRG
|
—
|
6
|
6
|
$9,394.50
|
$3,288.08
65% off
|
$23,375.35
|
$24,488.46
|
$24,488.46
|
2025-12-15
|
|
3404
|
APR_DRG
|
—
|
6
|
6
|
$9,467.75
|
$3,313.72
65% off
|
$21,358.73
|
$22,375.82
|
$22,375.82
|
2025-12-15
|
|
6943
|
APR_DRG
|
—
|
6
|
6
|
$9,784.33
|
$3,424.52
65% off
|
$21,442.23
|
$22,463.29
|
$22,463.29
|
2025-12-15
|
|
2514
|
APR_DRG
|
—
|
6
|
6
|
$10,001.50
|
$3,500.53
65% off
|
$24,940.00
|
$26,127.62
|
$26,127.62
|
2025-12-15
|
|
1114
|
APR_DRG
|
—
|
6
|
6
|
$11,634.33
|
$4,072.02
65% off
|
$24,114.11
|
$25,262.40
|
$25,262.40
|
2025-12-15
|
|
3463
|
APR_DRG
|
—
|
6
|
6
|
$11,866.00
|
$4,153.10
65% off
|
$29,877.17
|
$31,299.90
|
$31,299.90
|
2025-12-15
|
|
2844
|
APR_DRG
|
—
|
6
|
6
|
$12,346.33
|
$4,321.22
65% off
|
$26,773.29
|
$28,048.21
|
$28,048.21
|
2025-12-15
|
|
8174
|
APR_DRG
|
—
|
6
|
6
|
$13,279.75
|
$4,647.91
65% off
|
$29,450.62
|
$30,853.03
|
$30,853.03
|
2025-12-15
|
|
0443
|
APR_DRG
|
—
|
6
|
6
|
$13,591.00
|
$4,756.85
65% off
|
$25,370.18
|
$26,578.29
|
$26,578.29
|
2025-12-15
|
|
1444
|
APR_DRG
|
—
|
6
|
6
|
$13,935.00
|
$4,877.25
65% off
|
$31,111.47
|
$32,592.97
|
$32,592.97
|
2025-12-15
|
|
4664
|
APR_DRG
|
—
|
6
|
6
|
$14,152.54
|
$4,953.39
65% off
|
$26,586.33
|
$27,852.34
|
$27,852.34
|
2025-12-15
|
|
3474
|
APR_DRG
|
—
|
6
|
6
|
$14,307.44
|
$5,007.61
65% off
|
$32,532.72
|
$34,081.89
|
$34,081.89
|
2025-12-15
|
|
1364
|
APR_DRG
|
—
|
6
|
6
|
$14,568.75
|
$5,099.06
65% off
|
$30,737.55
|
$32,201.25
|
$32,201.25
|
2025-12-15
|
|
1363
|
APR_DRG
|
—
|
6
|
6
|
$14,568.75
|
$5,099.06
65% off
|
$20,866.83
|
$21,860.49
|
$21,860.49
|
2025-12-15
|
|
2814
|
APR_DRG
|
—
|
6
|
6
|
$14,585.00
|
$5,104.75
65% off
|
$27,933.16
|
$29,263.31
|
$29,263.31
|
2025-12-15
|
|
2474
|
APR_DRG
|
—
|
6
|
6
|
$14,954.86
|
$5,234.20
65% off
|
$39,775.12
|
$41,669.18
|
$41,669.18
|
2025-12-15
|
|
3804
|
APR_DRG
|
—
|
6
|
6
|
$15,753.83
|
$5,513.84
65% off
|
$33,543.75
|
$35,141.07
|
$35,141.07
|
2025-12-15
|
|
3803
|
APR_DRG
|
—
|
6
|
6
|
$15,753.83
|
$5,513.84
65% off
|
$23,153.91
|
$24,256.47
|
$24,256.47
|
2025-12-15
|
|
0423
|
APR_DRG
|
—
|
6
|
6
|
$15,897.85
|
$5,564.25
65% off
|
$30,183.93
|
$31,621.26
|
$31,621.26
|
2025-12-15
|
|
0422
|
APR_DRG
|
—
|
6
|
6
|
$15,897.85
|
$5,564.25
65% off
|
$21,992.22
|
$23,039.47
|
$23,039.47
|
2025-12-15
|
|
0524
|
APR_DRG
|
—
|
6
|
6
|
$16,205.20
|
$5,671.82
65% off
|
$44,931.93
|
$47,071.54
|
$47,071.54
|
2025-12-15
|
|
4694
|
APR_DRG
|
—
|
6
|
6
|
$16,427.25
|
$5,749.54
65% off
|
$30,621.38
|
$32,079.54
|
$32,079.54
|
2025-12-15
|
|
4254
|
APR_DRG
|
—
|
6
|
6
|
$16,750.33
|
$5,862.62
65% off
|
$30,390.85
|
$31,838.04
|
$31,838.04
|
2025-12-15
|
|
2454
|
APR_DRG
|
—
|
6
|
6
|
$16,881.88
|
$5,908.66
65% off
|
$32,761.43
|
$34,321.50
|
$34,321.50
|
2025-12-15
|
|
1434
|
APR_DRG
|
—
|
6
|
6
|
$17,320.17
|
$6,062.06
65% off
|
$27,301.49
|
$28,601.56
|
$28,601.56
|
2025-12-15
|
|
3424
|
APR_DRG
|
—
|
6
|
6
|
$17,391.00
|
$6,086.85
65% off
|
$41,174.60
|
$43,135.29
|
$43,135.29
|
2025-12-15
|
|
2014
|
APR_DRG
|
—
|
6
|
6
|
$17,777.60
|
$6,222.16
65% off
|
$27,308.76
|
$28,609.17
|
$28,609.17
|
2025-12-15
|
|
4634
|
APR_DRG
|
—
|
6
|
6
|
$17,888.31
|
$6,260.91
65% off
|
$24,141.34
|
$25,290.93
|
$25,290.93
|
2025-12-15
|
|
0484
|
APR_DRG
|
—
|
6
|
6
|
$17,931.25
|
$6,275.94
65% off
|
$36,435.27
|
$38,170.29
|
$38,170.29
|
2025-12-15
|
|
1384
|
APR_DRG
|
—
|
6
|
6
|
$17,970.20
|
$6,289.57
65% off
|
$31,882.90
|
$33,401.14
|
$33,401.14
|
2025-12-15
|
|
2444
|
APR_DRG
|
—
|
6
|
6
|
$17,980.97
|
$6,293.34
65% off
|
$39,947.57
|
$41,849.83
|
$41,849.83
|
2025-12-15
|
|
0454
|
APR_DRG
|
—
|
6
|
6
|
$18,036.31
|
$6,312.71
65% off
|
$39,161.61
|
$41,026.45
|
$41,026.45
|
2025-12-15
|
|
0453
|
APR_DRG
|
—
|
6
|
6
|
$18,036.31
|
$6,312.71
65% off
|
$20,580.03
|
$21,560.03
|
$21,560.03
|
2025-12-15
|
|
7234
|
APR_DRG
|
—
|
1
|
1
|
$18,486.33
|
$6,470.22
65% off
|
$55,401.64
|
$55,401.64
|
$55,401.64
|
2025-12-15
|
|
3514
|
APR_DRG
|
—
|
6
|
6
|
$18,498.85
|
$6,474.60
65% off
|
$33,267.85
|
$34,852.04
|
$34,852.04
|
2025-12-15
|
|
2494
|
APR_DRG
|
—
|
6
|
6
|
$19,080.25
|
$6,678.09
65% off
|
$30,174.86
|
$31,611.76
|
$31,611.76
|
2025-12-15
|
|
2404
|
APR_DRG
|
—
|
6
|
6
|
$19,108.50
|
$6,687.98
65% off
|
$28,882.48
|
$30,257.83
|
$30,257.83
|
2025-12-15
|
|
2403
|
APR_DRG
|
—
|
6
|
6
|
$19,108.50
|
$6,687.98
65% off
|
$20,601.82
|
$21,582.86
|
$21,582.86
|
2025-12-15
|
|
1974
|
APR_DRG
|
—
|
6
|
6
|
$19,146.06
|
$6,701.13
65% off
|
$35,916.14
|
$37,626.44
|
$37,626.44
|
2025-12-15
|
|
1344
|
APR_DRG
|
—
|
6
|
6
|
$19,521.33
|
$6,832.47
65% off
|
$26,604.48
|
$27,871.36
|
$27,871.36
|
2025-12-15
|
|
1994
|
APR_DRG
|
—
|
6
|
6
|
$19,542.50
|
$6,839.88
65% off
|
$21,995.84
|
$23,043.26
|
$23,043.26
|
2025-12-15
|
|
6603
|
APR_DRG
|
—
|
6
|
6
|
$19,617.75
|
$6,866.22
65% off
|
$21,346.03
|
$22,362.51
|
$22,362.51
|
2025-12-15
|
|
0534
|
APR_DRG
|
—
|
6
|
6
|
$19,713.38
|
$6,899.69
65% off
|
$29,966.12
|
$31,393.08
|
$31,393.08
|
2025-12-15
|
|
2834
|
APR_DRG
|
—
|
6
|
6
|
$19,759.00
|
$6,915.65
65% off
|
$31,459.97
|
$32,958.07
|
$32,958.07
|
2025-12-15
|
|
2044
|
APR_DRG
|
—
|
6
|
6
|
$20,055.17
|
$7,019.31
65% off
|
$26,591.78
|
$27,858.05
|
$27,858.05
|
2025-12-15
|
|
3834
|
APR_DRG
|
—
|
6
|
6
|
$20,318.85
|
$7,111.60
65% off
|
$33,256.97
|
$34,840.63
|
$34,840.63
|
2025-12-15
|
|
1944
|
APR_DRG
|
—
|
6
|
6
|
$20,587.44
|
$7,205.61
65% off
|
$26,148.89
|
$27,394.07
|
$27,394.07
|
2025-12-15
|
|
8114
|
APR_DRG
|
—
|
6
|
6
|
$20,700.50
|
$7,245.18
65% off
|
$36,513.32
|
$38,252.05
|
$38,252.05
|
2025-12-15
|
|
5014
|
APR_DRG
|
—
|
6
|
6
|
$20,872.00
|
$7,305.20
65% off
|
$25,900.20
|
$27,133.55
|
$27,133.55
|
2025-12-15
|
|
2484
|
APR_DRG
|
—
|
6
|
6
|
$21,254.67
|
$7,439.14
65% off
|
$33,307.79
|
$34,893.87
|
$34,893.87
|
2025-12-15
|
|
2483
|
APR_DRG
|
—
|
6
|
6
|
$21,254.67
|
$7,439.14
65% off
|
$23,015.95
|
$24,111.95
|
$24,111.95
|
2025-12-15
|
|
2534
|
APR_DRG
|
—
|
6
|
6
|
$21,318.58
|
$7,461.51
65% off
|
$31,071.54
|
$32,551.13
|
$32,551.13
|
2025-12-15
|
|
3824
|
APR_DRG
|
—
|
6
|
6
|
$22,055.50
|
$7,719.43
65% off
|
$26,550.03
|
$27,814.31
|
$27,814.31
|
2025-12-15
|
|
4264
|
APR_DRG
|
—
|
6
|
6
|
$22,057.50
|
$7,720.13
65% off
|
$37,224.85
|
$38,997.46
|
$38,997.46
|
2025-12-15
|
|
0474
|
APR_DRG
|
—
|
6
|
6
|
$22,232.05
|
$7,781.22
65% off
|
$28,107.42
|
$29,445.87
|
$29,445.87
|
2025-12-15
|
|
8614
|
APR_DRG
|
—
|
1
|
1
|
$22,745.02
|
$7,960.76
65% off
|
$67,120.18
|
$67,120.18
|
$67,120.18
|
2025-12-15
|
|
1354
|
APR_DRG
|
—
|
6
|
6
|
$23,417.50
|
$8,196.13
65% off
|
$29,633.95
|
$31,045.09
|
$31,045.09
|
2025-12-15
|
|
1374
|
APR_DRG
|
—
|
6
|
6
|
$23,523.38
|
$8,233.18
65% off
|
$22,629.33
|
$23,706.91
|
$23,706.91
|
2025-12-15
|
|
4654
|
APR_DRG
|
—
|
6
|
6
|
$23,811.17
|
$8,333.91
65% off
|
$24,230.28
|
$25,384.11
|
$25,384.11
|
2025-12-15
|
|
6634
|
APR_DRG
|
—
|
6
|
6
|
$24,143.56
|
$8,450.25
65% off
|
$39,675.29
|
$41,564.59
|
$41,564.59
|
2025-12-15
|
|
2544
|
APR_DRG
|
—
|
6
|
6
|
$24,923.19
|
$8,723.12
65% off
|
$44,169.57
|
$46,272.89
|
$46,272.89
|
2025-12-15
|
|
0584
|
APR_DRG
|
—
|
6
|
6
|
$25,022.83
|
$8,757.99
65% off
|
$29,692.03
|
$31,105.93
|
$31,105.93
|
2025-12-15
|
|
0583
|
APR_DRG
|
—
|
6
|
6
|
$25,022.83
|
$8,757.99
65% off
|
$23,883.58
|
$25,020.90
|
$25,020.90
|
2025-12-15
|
|
0464
|
APR_DRG
|
—
|
6
|
6
|
$25,406.50
|
$8,892.28
65% off
|
$34,612.87
|
$36,261.10
|
$36,261.10
|
2025-12-15
|
|
2074
|
APR_DRG
|
—
|
6
|
6
|
$25,567.83
|
$8,948.74
65% off
|
$41,339.77
|
$43,308.33
|
$43,308.33
|
2025-12-15
|
|
1334
|
APR_DRG
|
—
|
6
|
6
|
$25,716.76
|
$9,000.87
65% off
|
$31,352.88
|
$32,845.88
|
$32,845.88
|
2025-12-15
|
|
7704
|
APR_DRG
|
—
|
6
|
6
|
$25,865.67
|
$9,052.99
65% off
|
$23,607.69
|
$24,731.86
|
$24,731.86
|
2025-12-15
|
|
1424
|
APR_DRG
|
—
|
6
|
6
|
$26,226.50
|
$9,179.27
65% off
|
$30,423.53
|
$31,872.27
|
$31,872.27
|
2025-12-15
|
|
1904
|
APR_DRG
|
—
|
6
|
6
|
$26,824.67
|
$9,388.63
65% off
|
$26,631.71
|
$27,899.88
|
$27,899.88
|
2025-12-15
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support Less Than =96 Hours
|
23
|
23
|
$26,928.63
|
$9,425.02
65% off
|
$5,596.00
|
$47,770.92
|
$21,542.90
|
2025-12-15
|
|
4204
|
APR_DRG
|
—
|
6
|
6
|
$27,238.17
|
$9,533.36
65% off
|
$28,964.16
|
$30,343.40
|
$30,343.40
|
2025-12-15
|
|
8503
|
APR_DRG
|
—
|
6
|
6
|
$27,423.50
|
$9,598.23
65% off
|
$66,348.74
|
$69,508.21
|
$69,508.21
|
2025-12-15
|
|
8502
|
APR_DRG
|
—
|
6
|
6
|
$27,423.50
|
$9,598.23
65% off
|
$41,294.39
|
$43,260.79
|
$43,260.79
|
2025-12-15
|
|
8501
|
APR_DRG
|
—
|
6
|
6
|
$27,423.50
|
$9,598.23
65% off
|
$26,103.50
|
$27,346.53
|
$27,346.53
|
2025-12-15
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
23
|
23
|
$27,423.50
|
$9,598.23
65% off
|
$5,596.00
|
$75,564.91
|
$21,938.80
|
2025-12-15
|
|
7204
|
APR_DRG
|
—
|
6
|
6
|
$27,547.07
|
$9,641.48
65% off
|
$35,449.65
|
$37,137.73
|
$37,137.73
|
2025-12-15
|
|
2824
|
APR_DRG
|
—
|
6
|
6
|
$27,611.86
|
$9,664.15
65% off
|
$37,704.05
|
$39,499.48
|
$39,499.48
|
2025-12-15
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
23
|
23
|
$27,674.60
|
$9,686.11
65% off
|
$5,596.00
|
$35,611.05
|
$22,139.68
|
2025-12-15
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
23
|
23
|
$27,883.98
|
$9,759.39
65% off
|
$5,596.00
|
$26,489.78
|
$22,307.18
|
2025-12-15
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
23
|
23
|
$28,046.31
|
$9,816.21
65% off
|
$5,596.00
|
$33,005.37
|
$22,437.05
|
2025-12-15
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
23
|
23
|
$28,485.70
|
$9,970.00
65% off
|
$5,596.00
|
$27,061.42
|
$22,788.56
|
2025-12-15
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
23
|
23
|
$28,831.17
|
$10,090.91
65% off
|
$5,596.00
|
$27,389.61
|
$23,064.93
|
2025-12-15
|
|
4224
|
APR_DRG
|
—
|
6
|
6
|
$28,866.93
|
$10,103.43
65% off
|
$25,985.52
|
$27,222.92
|
$27,222.92
|
2025-12-15
|
|
3494
|
APR_DRG
|
—
|
6
|
6
|
$29,043.83
|
$10,165.34
65% off
|
$35,805.42
|
$37,510.44
|
$37,510.44
|
2025-12-15
|
|
3493
|
APR_DRG
|
—
|
6
|
6
|
$29,043.83
|
$10,165.34
65% off
|
$32,227.78
|
$33,762.43
|
$33,762.43
|
2025-12-15
|
|
3492
|
APR_DRG
|
—
|
6
|
6
|
$29,043.83
|
$10,165.34
65% off
|
$22,318.94
|
$23,381.74
|
$23,381.74
|
2025-12-15
|
|
897
|
MS_DRG
|
Alcohol Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
22
|
22
|
$29,077.58
|
$10,177.15
65% off
|
$5,596.00
|
$27,623.70
|
$22,107.68
|
2025-12-15
|
|
28810620
|
LOCAL
|
Hb Implant Allograft
|
21
|
21
|
$29,234.00
|
$10,231.90
65% off
|
$14,646.23
|
$27,772.30
|
$23,387.20
|
2025-12-15
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
23
|
23
|
$29,470.00
|
$10,314.50
65% off
|
$5,596.00
|
$39,953.87
|
$23,576.00
|
2025-12-15
|
|
564
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc
|
23
|
23
|
$29,543.08
|
$10,340.08
65% off
|
$5,596.00
|
$80,776.29
|
$23,634.47
|
2025-12-15
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv Greater Than 96 Hours With Mcc
|
23
|
23
|
$29,637.54
|
$10,373.14
65% off
|
$5,596.00
|
$49,508.04
|
$23,710.03
|
2025-12-15
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
23
|
23
|
$29,763.50
|
$10,417.23
65% off
|
$5,596.00
|
$62,536.48
|
$23,810.80
|
2025-12-15
|
|
11631272
|
LOCAL
|
Hb Occluder Cardiac
|
21
|
21
|
$29,805.00
|
$10,431.75
65% off
|
$14,932.31
|
$28,314.75
|
$23,844.00
|
2025-12-15
|
|
434
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis Without Cc-mcc
|
23
|
23
|
$29,904.50
|
$10,466.58
65% off
|
$5,596.00
|
$28,409.28
|
$21,549.18
|
2025-12-15
|
|
7754
|
APR_DRG
|
—
|
6
|
6
|
$30,038.88
|
$10,513.61
65% off
|
$34,921.45
|
$36,584.37
|
$36,584.37
|
2025-12-15
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
23
|
23
|
$30,281.40
|
$10,598.49
65% off
|
$5,596.00
|
$59,062.23
|
$24,225.12
|
2025-12-15
|
|
560
|
MS_DRG
|
Aftercare Musculoskeletal System And Connective Tissue With Cc
|
23
|
23
|
$30,532.31
|
$10,686.31
65% off
|
$5,596.00
|
$85,987.65
|
$24,425.85
|
2025-12-15
|
|
11640745
|
LOCAL
|
Hb Set Vitalflow Biosurface
|
21
|
21
|
$30,875.00
|
$10,806.25
65% off
|
$15,468.38
|
$29,331.25
|
$24,700.00
|
2025-12-15
|
|
8134
|
APR_DRG
|
—
|
6
|
6
|
$31,152.00
|
$10,903.20
65% off
|
$49,714.82
|
$52,082.20
|
$52,082.20
|
2025-12-15
|
|
920
|
MS_DRG
|
Complications Of Treatment With Cc
|
23
|
23
|
$31,152.00
|
$10,903.20
65% off
|
$5,596.00
|
$29,594.40
|
$24,921.60
|
2025-12-15
|
|
549
|
MS_DRG
|
Septic Arthritis With Cc
|
23
|
23
|
$31,330.00
|
$10,965.50
65% off
|
$5,596.00
|
$38,216.73
|
$25,064.00
|
2025-12-15
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses With Cc
|
23
|
23
|
$31,936.83
|
$11,177.89
65% off
|
$5,596.00
|
$31,268.24
|
$25,549.47
|
2025-12-15
|
|
618
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders Witho…
|
23
|
23
|
$31,954.00
|
$11,183.90
65% off
|
$5,596.00
|
$40,822.42
|
$25,563.20
|
2025-12-15
|
|
28822005
|
LOCAL
|
Hb Implant Distractor Mandible
|
21
|
21
|
$32,045.00
|
$11,215.75
65% off
|
$16,054.55
|
$30,442.75
|
$25,636.00
|
2025-12-15
|
|
3844
|
APR_DRG
|
—
|
6
|
6
|
$32,559.42
|
$11,395.80
65% off
|
$23,126.67
|
$24,227.94
|
$24,227.94
|
2025-12-15
|
|
3843
|
APR_DRG
|
—
|
6
|
6
|
$32,559.42
|
$11,395.80
65% off
|
$22,727.34
|
$23,809.60
|
$23,809.60
|
2025-12-15
|
|
2434
|
APR_DRG
|
—
|
6
|
6
|
$33,016.75
|
$11,555.86
65% off
|
$31,866.57
|
$33,384.02
|
$33,384.02
|
2025-12-15
|
|
103
|
MS_DRG
|
Headaches Without Mcc
|
23
|
23
|
$33,182.00
|
$11,613.70
65% off
|
$5,596.00
|
$31,522.90
|
$25,188.30
|
2025-12-15
|
|
0544
|
APR_DRG
|
—
|
6
|
6
|
$33,182.00
|
$11,613.70
65% off
|
$23,742.01
|
$24,872.58
|
$24,872.58
|
2025-12-15
|
|
7244
|
APR_DRG
|
—
|
6
|
6
|
$33,530.33
|
$11,735.62
65% off
|
$48,981.50
|
$51,313.96
|
$51,313.96
|
2025-12-15
|
|
C1772
|
HCPCS
|
Hb Implant Pump Infusion
|
42
|
21
|
$33,666.00
|
$11,783.10
65% off
|
$15,496.93
|
$34,580.00
|
$24,776.53
|
2025-12-15
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
23
|
23
|
$33,716.00
|
$11,800.60
65% off
|
$5,596.00
|
$76,433.48
|
$26,972.80
|
2025-12-15
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
23
|
23
|
$33,761.50
|
$11,816.53
65% off
|
$5,596.00
|
$40,822.42
|
$27,009.20
|
2025-12-15
|
|
59
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia With Cc
|
22
|
22
|
$33,892.00
|
$11,862.20
65% off
|
$5,596.00
|
$32,197.40
|
$25,768.09
|
2025-12-15
|
|
0434
|
APR_DRG
|
—
|
6
|
6
|
$34,706.00
|
$12,147.10
65% off
|
$61,072.14
|
$63,980.33
|
$63,980.33
|
2025-12-15
|
|
0433
|
APR_DRG
|
—
|
6
|
6
|
$34,706.00
|
$12,147.10
65% off
|
$37,914.61
|
$39,720.07
|
$39,720.07
|
2025-12-15
|
|
896
|
MS_DRG
|
Alcohol Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
23
|
23
|
$34,845.38
|
$12,195.88
65% off
|
$5,596.00
|
$43,428.11
|
$27,876.30
|
2025-12-15
|
|
2424
|
APR_DRG
|
—
|
6
|
6
|
$35,135.00
|
$12,297.25
65% off
|
$36,754.74
|
$38,504.96
|
$38,504.96
|
2025-12-15
|
|
381
|
MS_DRG
|
Complicated Peptic Ulcer With Cc
|
23
|
23
|
$35,135.00
|
$12,297.25
65% off
|
$5,596.00
|
$33,378.25
|
$28,108.00
|
2025-12-15
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
23
|
23
|
$35,161.50
|
$12,306.53
65% off
|
$5,596.00
|
$63,405.04
|
$28,129.20
|
2025-12-15
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
23
|
23
|
$35,174.70
|
$12,311.15
65% off
|
$5,596.00
|
$45,165.23
|
$28,139.76
|
2025-12-15
|
|
3444
|
APR_DRG
|
—
|
6
|
6
|
$35,525.35
|
$12,433.88
65% off
|
$32,040.82
|
$33,566.58
|
$33,566.58
|
2025-12-15
|
|
3443
|
APR_DRG
|
—
|
6
|
6
|
$35,525.35
|
$12,433.88
65% off
|
$21,932.32
|
$22,976.71
|
$22,976.71
|
2025-12-15
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
22
|
22
|
$35,863.13
|
$12,552.10
65% off
|
$5,596.00
|
$34,069.97
|
$27,266.74
|
2025-12-15
|
|
433
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Cc
|
23
|
23
|
$36,116.83
|
$12,640.89
65% off
|
$5,596.00
|
$34,742.49
|
$28,893.47
|
2025-12-15
|
|
2414
|
APR_DRG
|
—
|
6
|
6
|
$36,189.28
|
$12,666.25
65% off
|
$36,756.55
|
$38,506.86
|
$38,506.86
|
2025-12-15
|
|
2634
|
APR_DRG
|
—
|
6
|
6
|
$36,298.00
|
$12,704.30
65% off
|
$80,481.41
|
$84,313.86
|
$84,313.86
|
2025-12-15
|
|
2633
|
APR_DRG
|
—
|
6
|
6
|
$36,298.00
|
$12,704.30
65% off
|
$21,316.98
|
$22,332.08
|
$22,332.08
|
2025-12-15
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
22
|
22
|
$36,334.00
|
$12,716.90
65% off
|
$5,596.00
|
$34,517.30
|
$27,624.74
|
2025-12-15
|
|
660
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Cc
|
23
|
23
|
$37,169.33
|
$13,009.27
65% off
|
$5,596.00
|
$35,310.87
|
$26,784.22
|
2025-12-15
|
|
11633963
|
LOCAL
|
Hb Ecmo Dual Lumen Cannula
|
21
|
21
|
$37,375.00
|
$13,081.25
65% off
|
$18,724.88
|
$35,506.25
|
$29,900.00
|
2025-12-15
|
|
4464
|
APR_DRG
|
—
|
6
|
6
|
$37,481.75
|
$13,118.61
65% off
|
$58,585.40
|
$61,375.18
|
$61,375.18
|
2025-12-15
|
|
4463
|
APR_DRG
|
—
|
6
|
6
|
$37,481.75
|
$13,118.61
65% off
|
$25,174.15
|
$26,372.92
|
$26,372.92
|
2025-12-15
|
|
28826592
|
LOCAL
|
Hb Cannula Angiovac
|
21
|
21
|
$38,158.00
|
$13,355.30
65% off
|
$19,117.16
|
$36,250.10
|
$30,526.40
|
2025-12-15
|
|
11655610
|
LOCAL
|
Hb Cath Dual Lumen
|
21
|
21
|
$38,350.00
|
$13,422.50
65% off
|
$19,213.35
|
$36,432.50
|
$30,680.00
|
2025-12-15
|
|
2344
|
APR_DRG
|
—
|
6
|
6
|
$38,388.75
|
$13,436.07
65% off
|
$45,991.97
|
$48,182.07
|
$48,182.07
|
2025-12-15
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
23
|
23
|
$38,579.35
|
$13,502.77
65% off
|
$5,596.00
|
$37,348.18
|
$30,863.48
|
2025-12-15
|
|
11660429
|
LOCAL
|
Hb Implant Heart Valve
|
21
|
21
|
$38,675.00
|
$13,536.25
65% off
|
$19,376.18
|
$36,741.25
|
$30,940.00
|
2025-12-15
|
|
197
|
MS_DRG
|
Interstitial Lung Disease With Cc
|
23
|
23
|
$38,886.00
|
$13,610.10
65% off
|
$5,596.00
|
$36,941.70
|
$31,108.80
|
2025-12-15
|
|
C1813
|
HCPCS
|
Hb Implant Penile Inflatable
|
294
|
21
|
$40,316.50
|
$14,110.77
65% off
|
$1,096.69
|
$69,175.20
|
$27,756.78
|
2025-12-15
|
|
539
|
MS_DRG
|
Osteomyelitis With Mcc
|
23
|
23
|
$41,139.00
|
$14,398.65
65% off
|
$5,596.00
|
$117,255.90
|
$32,911.20
|
2025-12-15
|
|
11653136
|
LOCAL
|
Hb Diverter Flow Microvent
|
21
|
21
|
$41,299.00
|
$14,454.65
65% off
|
$20,690.80
|
$39,234.05
|
$33,039.20
|
2025-12-15
|
|
661
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm Without Cc-mcc
|
23
|
23
|
$41,374.83
|
$14,481.19
65% off
|
$5,596.00
|
$39,306.09
|
$29,814.70
|
2025-12-15
|
|
3414
|
APR_DRG
|
—
|
6
|
6
|
$41,517.50
|
$14,531.13
65% off
|
$23,663.96
|
$24,790.81
|
$24,790.81
|
2025-12-15
|
|
28826360
|
LOCAL
|
Hb Processor Cochlear
|
21
|
21
|
$41,763.00
|
$14,617.05
65% off
|
$20,923.26
|
$39,674.85
|
$33,410.40
|
2025-12-15
|
|
28825412
|
LOCAL
|
Hb System Laser Visualase
|
21
|
21
|
$42,107.00
|
$14,737.45
65% off
|
$21,095.61
|
$40,001.65
|
$33,685.60
|
2025-12-15
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction Expired With Mcc
|
23
|
23
|
$42,129.50
|
$14,745.33
65% off
|
$5,596.00
|
$61,667.92
|
$33,703.60
|
2025-12-15
|
|
572
|
MS_DRG
|
Skin Debridement Without Cc-mcc
|
23
|
23
|
$42,263.00
|
$14,792.05
65% off
|
$5,596.00
|
$40,149.85
|
$30,454.72
|
2025-12-15
|
|
3204
|
APR_DRG
|
—
|
6
|
6
|
$42,529.00
|
$14,885.15
65% off
|
$68,871.79
|
$72,151.40
|
$72,151.40
|
2025-12-15
|
|
3203
|
APR_DRG
|
—
|
6
|
6
|
$42,529.00
|
$14,885.15
65% off
|
$37,311.98
|
$39,088.74
|
$39,088.74
|
2025-12-15
|
|
517
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc-mc…
|
23
|
23
|
$42,529.00
|
$14,885.15
65% off
|
$5,596.00
|
$40,402.55
|
$30,646.40
|
2025-12-15
|
|
3202
|
APR_DRG
|
—
|
6
|
6
|
$42,529.00
|
$14,885.15
65% off
|
$22,598.47
|
$23,674.59
|
$23,674.59
|
2025-12-15
|
|
399
|
MS_DRG
|
Appendix Procedures Without Cc-mcc
|
23
|
23
|
$42,606.83
|
$14,912.39
65% off
|
$5,596.00
|
$40,476.49
|
$33,005.37
|
2025-12-15
|
|
0554
|
APR_DRG
|
—
|
6
|
6
|
$42,648.00
|
$14,926.80
65% off
|
$47,765.36
|
$50,039.90
|
$50,039.90
|
2025-12-15
|
|
86
|
MS_DRG
|
Traumatic Stupor And Coma Less Than 1 Hour With Cc
|
22
|
22
|
$42,648.00
|
$14,926.80
65% off
|
$5,596.00
|
$40,515.60
|
$32,425.28
|
2025-12-15
|
|
0553
|
APR_DRG
|
—
|
6
|
6
|
$42,648.00
|
$14,926.80
65% off
|
$23,266.45
|
$24,374.37
|
$24,374.37
|
2025-12-15
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
23
|
23
|
$43,269.00
|
$15,144.15
65% off
|
$5,596.00
|
$43,428.11
|
$34,615.20
|
2025-12-15
|
|
11654605
|
LOCAL
|
Hb Implant Stent Graft
|
21
|
21
|
$43,687.00
|
$15,290.45
65% off
|
$21,887.19
|
$41,502.65
|
$34,949.60
|
2025-12-15
|
|
11652757
|
LOCAL
|
Hb Implant Stent Graft
|
21
|
21
|
$44,417.00
|
$15,545.95
65% off
|
$22,252.92
|
$42,196.15
|
$35,533.60
|
2025-12-15
|
|
11653128
|
LOCAL
|
Hb Diverter Flow Microvent
|
21
|
21
|
$45,031.00
|
$15,760.85
65% off
|
$22,560.53
|
$42,779.45
|
$36,024.80
|
2025-12-15
|
|
548
|
MS_DRG
|
Septic Arthritis With Mcc
|
23
|
23
|
$45,296.50
|
$15,853.78
65% off
|
$5,596.00
|
$72,090.66
|
$36,237.20
|
2025-12-15
|
|
559
|
MS_DRG
|
Aftercare Musculoskeletal System And Connective Tissue With Mcc
|
23
|
23
|
$45,382.75
|
$15,883.97
65% off
|
$5,596.00
|
$61,667.92
|
$36,306.20
|
2025-12-15
|
|
28826451
|
LOCAL
|
Hb Processor Audio
|
21
|
21
|
$46,069.00
|
$16,124.15
65% off
|
$23,080.57
|
$43,765.55
|
$36,855.20
|
2025-12-15
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With …
|
23
|
23
|
$46,375.00
|
$16,231.25
65% off
|
$5,596.00
|
$71,222.10
|
$37,100.00
|
2025-12-15
|
|
C1722
|
HCPCS
|
Hb Momentum El Vr
|
105
|
21
|
$46,595.00
|
$16,308.25
65% off
|
$20,240.40
|
$46,312.50
|
$33,540.00
|
2025-12-15
|
|
3054
|
APR_DRG
|
—
|
6
|
6
|
$46,644.25
|
$16,325.49
65% off
|
$65,123.53
|
$68,224.65
|
$68,224.65
|
2025-12-15
|
|
3053
|
APR_DRG
|
—
|
6
|
6
|
$46,644.25
|
$16,325.49
65% off
|
$29,005.90
|
$30,387.14
|
$30,387.14
|
2025-12-15
|
|
3164
|
APR_DRG
|
—
|
6
|
6
|
$46,671.50
|
$16,335.03
65% off
|
$43,802.91
|
$45,888.77
|
$45,888.77
|
2025-12-15
|
|
513
|
MS_DRG
|
Hand Or Wrist Procedures Except Major Thumb Or Joint Procedures With Cc-mcc
|
23
|
23
|
$46,671.50
|
$16,335.03
65% off
|
$5,596.00
|
$44,337.93
|
$33,631.48
|
2025-12-15
|
|
3163
|
APR_DRG
|
—
|
6
|
6
|
$46,671.50
|
$16,335.03
65% off
|
$28,032.99
|
$29,367.90
|
$29,367.90
|
2025-12-15
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip Foot And Femur Without Cc-mcc
|
23
|
23
|
$46,898.63
|
$16,414.52
65% off
|
$5,596.00
|
$44,553.69
|
$33,795.15
|
2025-12-15
|
|
11654910
|
LOCAL
|
Hb Implant Valve Aortic
|
21
|
21
|
$47,125.00
|
$16,493.75
65% off
|
$23,609.63
|
$44,768.75
|
$37,700.00
|
2025-12-15
|
|
11656253
|
LOCAL
|
Hb Cannula And Circuit Angiovac
|
21
|
21
|
$47,125.00
|
$16,493.75
65% off
|
$23,609.63
|
$44,768.75
|
$37,700.00
|
2025-12-15
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc-mcc
|
23
|
23
|
$47,498.25
|
$16,624.39
65% off
|
$5,596.00
|
$45,123.34
|
$34,227.24
|
2025-12-15
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
23
|
23
|
$47,575.00
|
$16,651.25
65% off
|
$5,596.00
|
$45,196.25
|
$34,282.55
|
2025-12-15
|
|
28816239
|
LOCAL
|
Hb Processor Cochlear
|
21
|
21
|
$47,734.00
|
$16,706.90
65% off
|
$23,914.73
|
$45,347.30
|
$38,187.20
|
2025-12-15
|
|
28806743
|
LOCAL
|
Hb Guide Cutting Fibula
|
21
|
21
|
$48,012.00
|
$16,804.20
65% off
|
$24,054.01
|
$45,611.40
|
$38,409.60
|
2025-12-15
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
23
|
23
|
$48,571.50
|
$17,000.03
65% off
|
$5,596.00
|
$56,456.54
|
$38,857.20
|
2025-12-15
|
|
11652872
|
LOCAL
|
Hb Implant Stent Graft
|
21
|
21
|
$48,750.00
|
$17,062.50
65% off
|
$24,423.75
|
$46,312.50
|
$39,000.00
|
2025-12-15
|
|
C1721
|
HCPCS
|
Hb Defib Mt Dr Cobalt
|
84
|
21
|
$48,807.00
|
$17,082.45
65% off
|
$20,774.97
|
$54,031.25
|
$35,428.68
|
2025-12-15
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc-mcc
|
23
|
23
|
$49,491.25
|
$17,321.94
65% off
|
$5,596.00
|
$47,016.69
|
$35,663.39
|
2025-12-15
|
|
629
|
MS_DRG
|
Other Endocrine Nutritional And Metabolic O.r. Procedures With Cc
|
23
|
23
|
$49,798.00
|
$17,429.30
65% off
|
$5,596.00
|
$52,982.30
|
$39,838.40
|
2025-12-15
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
23
|
23
|
$49,826.33
|
$17,439.22
65% off
|
$5,596.00
|
$48,639.49
|
$39,861.07
|
2025-12-15
|
|
368
|
MS_DRG
|
Major Esophageal Disorders With Mcc
|
23
|
23
|
$50,203.50
|
$17,571.22
65% off
|
$5,596.00
|
$47,693.33
|
$36,176.64
|
2025-12-15
|
|
3644
|
APR_DRG
|
—
|
6
|
6
|
$50,321.88
|
$17,612.66
65% off
|
$61,418.83
|
$64,343.53
|
$64,343.53
|
2025-12-15
|
|
3643
|
APR_DRG
|
—
|
6
|
6
|
$50,321.88
|
$17,612.66
65% off
|
$27,185.32
|
$28,479.86
|
$28,479.86
|
2025-12-15
|
|
28850410
|
LOCAL
|
Hb Endoprosthesis Aaa Excluder Gore
|
21
|
21
|
$50,563.00
|
$17,697.05
65% off
|
$25,332.06
|
$48,034.85
|
$40,450.40
|
2025-12-15
|
|
4824
|
APR_DRG
|
—
|
6
|
6
|
$50,665.00
|
$17,732.75
65% off
|
$46,411.27
|
$48,621.33
|
$48,621.33
|
2025-12-15
|
|
713
|
MS_DRG
|
Transurethral Prostatectomy With Cc-mcc
|
23
|
23
|
$50,665.00
|
$17,732.75
65% off
|
$5,596.00
|
$48,131.75
|
$36,509.20
|
2025-12-15
|
|
4823
|
APR_DRG
|
—
|
6
|
6
|
$50,665.00
|
$17,732.75
65% off
|
$27,257.93
|
$28,555.92
|
$28,555.92
|
2025-12-15
|
|
4822
|
APR_DRG
|
—
|
6
|
6
|
$50,665.00
|
$17,732.75
65% off
|
$21,269.79
|
$22,282.63
|
$22,282.63
|
2025-12-15
|
|
3134
|
APR_DRG
|
—
|
6
|
6
|
$50,697.92
|
$17,744.28
65% off
|
$69,498.01
|
$72,807.44
|
$72,807.44
|
2025-12-15
|
|
3133
|
APR_DRG
|
—
|
6
|
6
|
$50,697.92
|
$17,744.28
65% off
|
$39,550.05
|
$41,433.38
|
$41,433.38
|
2025-12-15
|
|
3132
|
APR_DRG
|
—
|
6
|
6
|
$50,697.92
|
$17,744.28
65% off
|
$26,159.77
|
$27,405.48
|
$27,405.48
|
2025-12-15
|
|
2334
|
APR_DRG
|
—
|
6
|
6
|
$51,043.00
|
$17,865.05
65% off
|
$43,717.60
|
$45,799.39
|
$45,799.39
|
2025-12-15
|
|
2333
|
APR_DRG
|
—
|
6
|
6
|
$51,043.00
|
$17,865.05
65% off
|
$28,101.97
|
$29,440.16
|
$29,440.16
|
2025-12-15
|
|
4434
|
APR_DRG
|
—
|
6
|
6
|
$51,569.00
|
$18,049.15
65% off
|
$60,674.63
|
$63,563.90
|
$63,563.90
|
2025-12-15
|
|
4433
|
APR_DRG
|
—
|
6
|
6
|
$51,569.00
|
$18,049.15
65% off
|
$34,326.08
|
$35,960.65
|
$35,960.65
|
2025-12-15
|
|
28826428
|
LOCAL
|
Hb Implant Cochlear
|
21
|
21
|
$51,735.00
|
$18,107.25
65% off
|
$25,919.24
|
$49,148.25
|
$41,388.00
|
2025-12-15
|
|
2804
|
APR_DRG
|
—
|
6
|
6
|
$51,835.70
|
$18,142.50
65% off
|
$41,842.56
|
$43,835.07
|
$43,835.07
|
2025-12-15
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With …
|
23
|
23
|
$52,082.69
|
$18,228.94
65% off
|
$5,596.00
|
$51,245.17
|
$41,666.15
|
2025-12-15
|
|
28851293
|
LOCAL
|
Hb Implant Plate Mandible
|
21
|
21
|
$52,759.00
|
$18,465.65
65% off
|
$26,432.26
|
$50,121.05
|
$42,207.20
|
2025-12-15
|
|
2284
|
APR_DRG
|
—
|
6
|
6
|
$53,447.00
|
$18,706.45
65% off
|
$44,367.42
|
$46,480.16
|
$46,480.16
|
2025-12-15
|
|
351
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Cc
|
23
|
23
|
$53,447.00
|
$18,706.45
65% off
|
$5,596.00
|
$50,774.65
|
$38,513.91
|
2025-12-15
|
|
2283
|
APR_DRG
|
—
|
6
|
6
|
$53,447.00
|
$18,706.45
65% off
|
$23,593.16
|
$24,716.65
|
$24,716.65
|
2025-12-15
|
|
3144
|
APR_DRG
|
—
|
6
|
6
|
$53,651.21
|
$18,777.92
65% off
|
$37,321.05
|
$39,098.25
|
$39,098.25
|
2025-12-15
|
|
3143
|
APR_DRG
|
—
|
6
|
6
|
$53,651.21
|
$18,777.92
65% off
|
$22,818.11
|
$23,904.68
|
$23,904.68
|
2025-12-15
|
|
C1822
|
HCPCS
|
Hb Implant Generatr Neurostimultr
|
84
|
21
|
$54,416.00
|
$19,045.60
65% off
|
$2,129.25
|
$70,015.00
|
$37,211.07
|
2025-12-15
|
|
C2616
|
HCPCS
|
Sir-spheres Y-90 Resin Microspheres
|
42
|
21
|
$55,160.00
|
$19,306.00
65% off
|
$27,572.54
|
$52,520.75
|
$44,028.00
|
2025-12-15
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
23
|
23
|
$55,873.90
|
$19,555.87
65% off
|
$5,596.00
|
$53,080.21
|
$40,262.73
|
2025-12-15
|
|
28820488
|
LOCAL
|
Hb Implant Distractor Hyperdrive
|
21
|
21
|
$56,716.00
|
$19,850.60
65% off
|
$28,414.72
|
$53,880.20
|
$45,372.80
|
2025-12-15
|
|
28805091
|
LOCAL
|
Hb Implant Spinal Fixation Rod
|
21
|
21
|
$56,875.00
|
$19,906.25
65% off
|
$28,494.38
|
$54,031.25
|
$45,500.00
|
2025-12-15
|
|
11655206
|
LOCAL
|
Hb Implant Stent Graft
|
21
|
21
|
$56,875.00
|
$19,906.25
65% off
|
$28,494.38
|
$54,031.25
|
$45,500.00
|
2025-12-15
|
|
28827962
|
LOCAL
|
Hb Implant Spinal Fixation Rod
|
21
|
21
|
$56,875.00
|
$19,906.25
65% off
|
$28,494.38
|
$54,031.25
|
$45,500.00
|
2025-12-15
|
|
64590
|
CPT
|
Hb Ins/rpl Prph Sac/gstr Npg/r
|
37
|
35
|
$57,438.00
|
$20,103.30
65% off
|
$395.96
|
$90,536.19
|
$32,837.30
|
2025-12-15
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
23
|
23
|
$58,012.80
|
$20,304.48
65% off
|
$5,596.00
|
$55,112.16
|
$41,804.02
|
2025-12-15
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
23
|
23
|
$58,195.50
|
$20,368.43
65% off
|
$5,596.00
|
$59,930.79
|
$46,556.40
|
2025-12-15
|
|
C1767
|
HCPCS
|
Hb Kit Neurostimulator
|
441
|
21
|
$59,344.00
|
$20,770.40
65% off
|
$14,654.25
|
$100,314.30
|
$45,777.73
|
2025-12-15
|
|
8904
|
APR_DRG
|
—
|
6
|
6
|
$60,302.00
|
$21,105.70
65% off
|
$122,768.69
|
$128,614.82
|
$128,614.82
|
2025-12-15
|
|
8903
|
APR_DRG
|
—
|
6
|
6
|
$60,302.00
|
$21,105.70
65% off
|
$59,883.22
|
$62,734.80
|
$62,734.80
|
2025-12-15
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
23
|
23
|
$60,302.00
|
$21,105.70
65% off
|
$5,596.00
|
$95,541.84
|
$48,241.60
|
2025-12-15
|
|
8902
|
APR_DRG
|
—
|
6
|
6
|
$60,302.00
|
$21,105.70
65% off
|
$40,103.66
|
$42,013.36
|
$42,013.36
|
2025-12-15
|
|
C1882
|
HCPCS
|
Hb Defib Cobalt Xt Hf
|
189
|
21
|
$60,450.00
|
$21,157.50
65% off
|
$25,428.26
|
$68,613.75
|
$43,559.25
|
2025-12-15
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc-mcc
|
23
|
23
|
$60,550.00
|
$21,192.50
65% off
|
$5,596.00
|
$57,522.50
|
$43,632.33
|
2025-12-15
|
|
28816122
|
LOCAL
|
Hb Implant Cochlear
|
21
|
21
|
$60,671.00
|
$21,234.85
65% off
|
$30,396.17
|
$57,637.45
|
$48,536.80
|
2025-12-15
|
|
9514
|
APR_DRG
|
—
|
6
|
6
|
$61,600.25
|
$21,560.09
65% off
|
$82,479.87
|
$86,407.49
|
$86,407.49
|
2025-12-15
|
|
9513
|
APR_DRG
|
—
|
6
|
6
|
$61,600.25
|
$21,560.09
65% off
|
$37,595.15
|
$39,385.39
|
$39,385.39
|
2025-12-15
|
|
9512
|
APR_DRG
|
—
|
6
|
6
|
$61,600.25
|
$21,560.09
65% off
|
$22,888.89
|
$23,978.83
|
$23,978.83
|
2025-12-15
|
|
L8614
|
HCPCS
|
Hb Implant Cochlear
|
42
|
21
|
$61,632.00
|
$21,571.20
65% off
|
$29,109.10
|
$61,903.90
|
$46,510.65
|
2025-12-15
|
|
28822450
|
LOCAL
|
Hb Implant Prosthesis Cranial
|
21
|
21
|
$61,884.00
|
$21,659.40
65% off
|
$31,003.88
|
$58,789.80
|
$49,507.20
|
2025-12-15
|
|
289
|
MS_DRG
|
Acute And Subacute Endocarditis With Cc
|
23
|
23
|
$63,245.00
|
$22,135.75
65% off
|
$5,596.00
|
$60,082.75
|
$45,574.35
|
2025-12-15
|
|
28851061
|
LOCAL
|
Hb Implant Distractor Mandible
|
21
|
21
|
$64,006.00
|
$22,402.10
65% off
|
$32,067.01
|
$60,805.70
|
$51,204.80
|
2025-12-15
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
23
|
23
|
$64,038.75
|
$22,413.56
65% off
|
$5,596.00
|
$60,836.81
|
$51,231.00
|
2025-12-15
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
23
|
23
|
$65,579.00
|
$22,952.65
65% off
|
$5,596.00
|
$86,856.22
|
$52,463.20
|
2025-12-15
|
|
C1820
|
HCPCS
|
Hb Implant Generatr Neuro
|
84
|
21
|
$65,784.50
|
$23,024.57
65% off
|
$30,407.19
|
$84,206.10
|
$51,186.37
|
2025-12-15
|
|
11652641
|
LOCAL
|
Hb Implant Stent Graft
|
21
|
21
|
$65,877.00
|
$23,056.95
65% off
|
$33,004.38
|
$62,583.15
|
$52,701.60
|
2025-12-15
|
|
3244
|
APR_DRG
|
—
|
6
|
6
|
$66,011.00
|
$23,103.85
65% off
|
$57,100.62
|
$59,819.69
|
$59,819.69
|
2025-12-15
|
|
3243
|
APR_DRG
|
—
|
6
|
6
|
$66,011.00
|
$23,103.85
65% off
|
$28,991.38
|
$30,371.92
|
$30,371.92
|
2025-12-15
|
|
3242
|
APR_DRG
|
—
|
6
|
6
|
$66,011.00
|
$23,103.85
65% off
|
$22,936.08
|
$24,028.28
|
$24,028.28
|
2025-12-15
|
|
3264
|
APR_DRG
|
—
|
6
|
6
|
$67,851.50
|
$23,748.03
65% off
|
$44,993.64
|
$47,136.20
|
$47,136.20
|
2025-12-15
|
|
3263
|
APR_DRG
|
—
|
6
|
6
|
$67,851.50
|
$23,748.03
65% off
|
$32,799.54
|
$34,361.43
|
$34,361.43
|
2025-12-15
|
|
3262
|
APR_DRG
|
—
|
6
|
6
|
$67,851.50
|
$23,748.03
65% off
|
$20,384.00
|
$21,354.66
|
$21,354.66
|
2025-12-15
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Cc
|
23
|
23
|
$68,558.83
|
$23,995.60
65% off
|
$5,596.00
|
$65,130.89
|
$49,403.50
|
2025-12-15
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
23
|
23
|
$68,716.50
|
$24,050.78
65% off
|
$5,596.00
|
$80,776.29
|
$54,973.20
|
2025-12-15
|
|
496
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
23
|
23
|
$69,906.50
|
$24,467.28
65% off
|
$5,596.00
|
$66,411.18
|
$50,374.62
|
2025-12-15
|
|
1934
|
APR_DRG
|
—
|
6
|
6
|
$72,856.75
|
$25,499.87
65% off
|
$45,815.90
|
$47,997.61
|
$47,997.61
|
2025-12-15
|
|
1933
|
APR_DRG
|
—
|
6
|
6
|
$72,856.75
|
$25,499.87
65% off
|
$33,073.64
|
$34,648.57
|
$34,648.57
|
2025-12-15
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
23
|
23
|
$72,971.50
|
$25,540.03
65% off
|
$5,596.00
|
$69,322.93
|
$58,377.20
|
2025-12-15
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
23
|
23
|
$73,271.71
|
$25,645.10
65% off
|
$5,596.00
|
$69,608.13
|
$52,799.60
|
2025-12-15
|
|
2304
|
APR_DRG
|
—
|
6
|
6
|
$73,797.50
|
$25,829.13
65% off
|
$98,899.62
|
$103,609.12
|
$103,609.12
|
2025-12-15
|
|
2303
|
APR_DRG
|
—
|
6
|
6
|
$73,797.50
|
$25,829.13
65% off
|
$47,464.04
|
$49,724.24
|
$49,724.24
|
2025-12-15
|
|
2302
|
APR_DRG
|
—
|
6
|
6
|
$73,797.50
|
$25,829.13
65% off
|
$29,459.69
|
$30,862.54
|
$30,862.54
|
2025-12-15
|
|
3084
|
APR_DRG
|
—
|
6
|
6
|
$74,509.56
|
$26,078.35
65% off
|
$62,693.05
|
$65,678.44
|
$65,678.44
|
2025-12-15
|
|
3083
|
APR_DRG
|
—
|
6
|
6
|
$74,509.56
|
$26,078.35
65% off
|
$38,348.43
|
$40,174.54
|
$40,174.54
|
2025-12-15
|
|
3082
|
APR_DRG
|
—
|
6
|
6
|
$74,509.56
|
$26,078.35
65% off
|
$21,986.77
|
$23,033.76
|
$23,033.76
|
2025-12-15
|
|
3234
|
APR_DRG
|
—
|
6
|
6
|
$75,509.03
|
$26,428.16
65% off
|
$43,837.41
|
$45,924.90
|
$45,924.90
|
2025-12-15
|
|
3233
|
APR_DRG
|
—
|
6
|
6
|
$75,509.03
|
$26,428.16
65% off
|
$34,908.74
|
$36,571.06
|
$36,571.06
|
2025-12-15
|
|
3232
|
APR_DRG
|
—
|
6
|
6
|
$75,509.03
|
$26,428.16
65% off
|
$25,054.35
|
$26,247.42
|
$26,247.42
|
2025-12-15
|
|
3231
|
APR_DRG
|
—
|
6
|
6
|
$75,509.03
|
$26,428.16
65% off
|
$21,233.49
|
$22,244.61
|
$22,244.61
|
2025-12-15
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
23
|
23
|
$79,162.75
|
$27,706.97
65% off
|
$5,596.00
|
$75,204.61
|
$57,044.68
|
2025-12-15
|
|
C1826
|
HCPCS
|
Hb System Spinal Stimulation
|
21
|
21
|
$79,625.00
|
$27,868.75
65% off
|
$39,892.13
|
$75,643.75
|
$63,700.00
|
2025-12-15
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
23
|
23
|
$79,669.75
|
$27,884.42
65% off
|
$5,596.00
|
$129,415.76
|
$63,735.80
|
2025-12-15
|
|
540
|
MS_DRG
|
Osteomyelitis With Cc
|
23
|
23
|
$80,863.75
|
$28,302.31
65% off
|
$5,596.00
|
$76,820.56
|
$58,270.42
|
2025-12-15
|
|
2244
|
APR_DRG
|
—
|
6
|
6
|
$81,394.50
|
$28,488.08
65% off
|
$74,066.72
|
$77,593.70
|
$77,593.70
|
2025-12-15
|
|
2243
|
APR_DRG
|
—
|
6
|
6
|
$81,394.50
|
$28,488.08
65% off
|
$31,470.86
|
$32,969.48
|
$32,969.48
|
2025-12-15
|
|
2242
|
APR_DRG
|
—
|
6
|
6
|
$81,394.50
|
$28,488.08
65% off
|
$22,072.08
|
$23,123.13
|
$23,123.13
|
2025-12-15
|
|
604
|
MS_DRG
|
Trauma To The Skin Subcutaneous Tissue And Breast With Mcc
|
23
|
23
|
$85,295.00
|
$29,853.25
65% off
|
$5,596.00
|
$81,030.25
|
$61,463.58
|
2025-12-15
|
|
3154
|
APR_DRG
|
—
|
6
|
6
|
$89,083.50
|
$31,179.23
65% off
|
$55,860.87
|
$58,520.91
|
$58,520.91
|
2025-12-15
|
|
3153
|
APR_DRG
|
—
|
6
|
6
|
$89,083.50
|
$31,179.23
65% off
|
$42,218.30
|
$44,228.69
|
$44,228.69
|
2025-12-15
|
|
3152
|
APR_DRG
|
—
|
6
|
6
|
$89,083.50
|
$31,179.23
65% off
|
$20,699.84
|
$21,685.54
|
$21,685.54
|
2025-12-15
|
|
L8699
|
HCPCS
|
Hb Implant Glenoid Baseplate
|
21
|
21
|
$90,983.00
|
$31,844.05
65% off
|
$45,582.48
|
$86,433.85
|
$72,786.40
|
2025-12-15
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
23
|
23
|
$91,170.25
|
$31,909.59
65% off
|
$5,596.00
|
$86,611.74
|
$65,697.28
|
2025-12-15
|
|
9504
|
APR_DRG
|
—
|
6
|
6
|
$91,988.50
|
$32,195.98
65% off
|
$112,013.99
|
$117,347.99
|
$117,347.99
|
2025-12-15
|
|
9503
|
APR_DRG
|
—
|
6
|
6
|
$91,988.50
|
$32,195.98
65% off
|
$46,095.43
|
$48,290.45
|
$48,290.45
|
2025-12-15
|
|
9502
|
APR_DRG
|
—
|
6
|
6
|
$91,988.50
|
$32,195.98
65% off
|
$28,631.99
|
$29,995.42
|
$29,995.42
|
2025-12-15
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
23
|
23
|
$94,072.50
|
$32,925.38
65% off
|
$5,596.00
|
$89,368.88
|
$67,788.64
|
2025-12-15
|
|
28851962
|
LOCAL
|
Hb Endoprosthesis Aaa Excluder Gore
|
21
|
21
|
$94,250.00
|
$32,987.50
65% off
|
$47,219.25
|
$89,537.50
|
$75,400.00
|
2025-12-15
|
|
28821510
|
LOCAL
|
Hb Sys Vns Therapy
|
21
|
21
|
$95,875.00
|
$33,556.25
65% off
|
$48,033.38
|
$91,081.25
|
$76,700.00
|
2025-12-15
|
|
28820389
|
LOCAL
|
Hb Sys Vns Therapy
|
21
|
21
|
$97,494.00
|
$34,122.90
65% off
|
$48,844.49
|
$92,619.30
|
$77,995.20
|
2025-12-15
|
|
11658762
|
LOCAL
|
Hb Implant Sys Valve Pascal
|
21
|
21
|
$99,450.00
|
$34,807.50
65% off
|
$49,824.45
|
$94,477.50
|
$79,560.00
|
2025-12-15
|
|
7104
|
APR_DRG
|
—
|
6
|
6
|
$101,407.75
|
$35,492.71
65% off
|
$81,156.64
|
$85,021.24
|
$85,021.24
|
2025-12-15
|
|
7103
|
APR_DRG
|
—
|
6
|
6
|
$101,407.75
|
$35,492.71
65% off
|
$37,353.73
|
$39,132.48
|
$39,132.48
|
2025-12-15
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
22
|
22
|
$103,784.50
|
$36,324.58
65% off
|
$5,596.00
|
$98,595.28
|
$78,907.36
|
2025-12-15
|
|
0494
|
APR_DRG
|
—
|
6
|
6
|
$103,784.50
|
$36,324.58
65% off
|
$74,502.34
|
$78,050.07
|
$78,050.07
|
2025-12-15
|
|
0493
|
APR_DRG
|
—
|
6
|
6
|
$103,784.50
|
$36,324.58
65% off
|
$43,276.53
|
$45,337.31
|
$45,337.31
|
2025-12-15
|
|
0492
|
APR_DRG
|
—
|
6
|
6
|
$103,784.50
|
$36,324.58
65% off
|
$37,123.20
|
$38,890.97
|
$38,890.97
|
2025-12-15
|
|
11653706
|
LOCAL
|
Hb Graft Endopros Thor Gore Tag
|
21
|
21
|
$104,000.00
|
$36,400.00
65% off
|
$52,104.00
|
$98,800.00
|
$83,200.00
|
2025-12-15
|
|
2314
|
APR_DRG
|
—
|
6
|
6
|
$106,697.25
|
$37,344.04
65% off
|
$75,335.49
|
$78,922.90
|
$78,922.90
|
2025-12-15
|
|
2313
|
APR_DRG
|
—
|
6
|
6
|
$106,697.25
|
$37,344.04
65% off
|
$34,128.22
|
$35,753.38
|
$35,753.38
|
2025-12-15
|
|
2312
|
APR_DRG
|
—
|
6
|
6
|
$106,697.25
|
$37,344.04
65% off
|
$25,268.53
|
$26,471.80
|
$26,471.80
|
2025-12-15
|
|
11653441
|
LOCAL
|
Hb Sys Pacing Diaphragm
|
21
|
21
|
$112,613.00
|
$39,414.55
65% off
|
$56,419.11
|
$106,982.35
|
$90,090.40
|
2025-12-15
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
23
|
23
|
$113,364.00
|
$39,677.40
65% off
|
$5,596.00
|
$107,695.80
|
$81,690.10
|
2025-12-15
|
|
11655271
|
LOCAL
|
Hb Implant Aortic Comp
|
21
|
21
|
$113,750.00
|
$39,812.50
65% off
|
$56,988.75
|
$108,062.50
|
$91,000.00
|
2025-12-15
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
23
|
23
|
$115,722.38
|
$40,502.83
65% off
|
$5,596.00
|
$109,936.26
|
$92,577.90
|
2025-12-15
|
|
J9600
|
HCPCS
|
Photofrin 75 Mg Intravenous Solution
|
23
|
23
|
$116,615.00
|
$40,815.25
65% off
|
$58,424.12
|
$110,784.25
|
$84,032.77
|
2025-12-15
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
23
|
23
|
$120,905.00
|
$42,316.75
65% off
|
$5,596.00
|
$114,859.75
|
$87,124.14
|
2025-12-15
|
|
11653714
|
LOCAL
|
Hb Aortic Transcath Impella
|
21
|
21
|
$133,250.00
|
$46,637.50
65% off
|
$66,758.25
|
$126,587.50
|
$106,600.00
|
2025-12-15
|
|
707
|
MS_DRG
|
Major Male Pelvic Procedures With Cc-mcc
|
23
|
23
|
$134,622.00
|
$47,117.70
65% off
|
$5,596.00
|
$127,890.90
|
$97,008.61
|
2025-12-15
|
|
J9029
|
HCPCS
|
Adstiladrin 3x10exp11 Vp-ml Intravesical Suspension
|
31
|
30
|
$300,000.00
|
$105,000.00
65% off
|
$58,008.00
|
$285,000.00
|
$186,000.00
|
2025-12-15
|