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

CASCADE VALLEY HOSPITAL

Arlington, WA · CCN 500060 · Rates published

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You selected 93350 (HCPCS)

HC ECHOCARDIOGRAPHY W/IMAGE R/TIM

This hospital’s price: $1,272 across 16 payers · range $147-$2,093

Source: https://www.skagitregionalhealth.org/docs/default-source/finance-and-billing/chargemasters/562392010_cascade-valley-hospital_standardcharges.zip?sfvrsn=a5e684a9_6 · observed 2026-03-26

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.

10,876 distinct procedures filed
18 distinct payers
276,865 rate rows
2026-03-26 last MRF observed
Data quality

262,181 of 276,865 rate rows are consumer-grade (94.7%)

14,684 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
exceeds 10× this hospital's gross charge — excluded from medians 8,131
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,904
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,718
template filing: same amount across many unrelated codes — excluded 1,334
placeholder amount (≤ $0.02) — excluded from medians 1,031
per-diem day rate — not a per-procedure price 496
percent-of-charges filed in the dollar field — excluded from medians 63
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.skagitregionalhealth.org/docs/default-source/finance-and-billing/chargemasters/562392010_cascade-valley-hospital_standardcharges.zip?sfvrsn=a5e684a9_6
Found on page https://www.skagitregionalhealth.org/for-patients/finance-and-billing-information/patient-price-information
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-20
Content fingerprint 390e2141e9acdd7d… · 13,787,335 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
42
APR_DRG 		Degenerative Nervous System Disorders Except Multiple Sclerosis 4 $300,993.55 $479,146.43 $390,182.69 nat. median
$52,481
outlier · 7.4×
710
APR_DRG 		Infectious And Parasitic Diseases Including HIV With O.r. Procedure 4 $2.31 $246,701.58 $246,701.58 nat. median
$28,280
outlier · 8.7×
83
MS_DRG 		Traumatic Stupor And Coma >1 Hour With Cc 3 $236,239.70 $236,239.70 $236,239.70 nat. median
$13,802
outlier · 17.1×
884
MS_DRG 		Organic Disturbances And Intellectual Disability 3 $219,256.92 $219,256.92 $219,256.92 nat. median
$14,262
outlier · 15.4×
264
MS_DRG 		Other Circulatory System O.r. Procedures 3 $201,843.05 $201,843.05 $201,843.05 nat. median
$31,243
outlier · 6.5×
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 $188,477.82 $188,477.82 $188,477.82 nat. median
$33,682
outlier · 5.6×
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 3 $187,886.94 $187,886.94 $187,886.94 nat. median
$33,175
outlier · 5.7×
422
APR_DRG 		Hypovolemia And Related Electrolyte Disorders 4 $140,983.20 $211,883.78 $176,562.41 nat. median
$7,304
outlier · 24.2×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 3 $153,895.65 $153,895.65 $153,895.65 nat. median
$42,662
outlier · 3.6×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 3 $151,803.41 $151,803.41 $151,803.41 nat. median
$35,721
outlier · 4.2×
233
APR_DRG 		Appendectomy With Complex Principal Diagnosis 4 $5,923.81 $167,760.72 $140,963.48 nat. median
$29,641
outlier · 4.8×
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 $133,973.24 $133,973.24 $133,973.24 nat. median
$23,553
outlier · 5.7×
562
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 3 $128,646.35 $128,646.35 $128,646.35 nat. median
$13,965
outlier · 9.2×
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 3 $127,736.42 $127,736.42 $127,736.42 nat. median
$18,829
outlier · 6.8×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 3 $49,500.46 $122,304.46 $122,304.46 nat. median
$22,965
outlier · 5.3×
939
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 3 $118,997.57 $118,997.57 $118,997.57 nat. median
$32,127
outlier · 3.7×
478
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Cc 3 $66,817.39 $109,107.45 $109,107.45 nat. median
$22,804
outlier · 4.8×
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 3 $106,347.00 $106,347.00 $106,347.00 nat. median
$16,931
outlier · 6.3×
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 $105,589.89 $105,589.89 $105,589.89 nat. median
$26,758
outlier · 3.9×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 3 $104,482.43 $104,482.43 $104,482.43 nat. median
$40,230
outlier · 2.6×
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 3 $102,886.36 $102,886.36 $102,886.36 nat. median
$32,654
outlier · 3.2×
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 $17,665.57 $98,308.46 $98,308.46 nat. median
$22,587
outlier · 4.4×
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 $97,721.64 $97,721.64 $97,721.64 nat. median
$27,642
outlier · 3.5×
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 $94,735.78 $94,735.78 $94,735.78 nat. median
$31,913
outlier · 3.0×
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 3 $9,591.36 $94,045.97 $94,045.97 nat. median
$12,550
outlier · 7.5×
813
MS_DRG 		Coagulation Disorders 3 $93,806.24 $93,806.24 $93,806.24 nat. median
$14,899
outlier · 6.3×
328
MS_DRG 		Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 3 $91,430.26 $91,430.26 $91,430.26 nat. median
$15,757
outlier · 5.8×
896
MS_DRG 		Alcohol 4 $10,509.95 $91,346.83 $90,418.76 nat. median
$15,491
outlier · 5.8×
604
MS_DRG 		Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 3 $89,615.28 $89,615.28 $89,615.28 nat. median
$14,413
outlier · 6.2×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 $88,992.60 $88,992.60 $88,992.60 nat. median
$35,905
outlier · 2.5×
862
MS_DRG 		Postoperative And Post-traumatic Infections With Mcc 3 $87,566.22 $87,566.22 $87,566.22 nat. median
$17,367
outlier · 5.0×
260
APR_DRG 		Major Pancreas, Liver And Shunt Procedures 4 $87,496.36 $87,496.36 $87,496.36 nat. median
$30,090
outlier · 2.9×
952
APR_DRG 		Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 4 $22,979.47 $101,279.90 $87,320.46 nat. median
$8,629
outlier · 10.1×
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip 3 $74,261.11 $87,002.72 $87,002.72 nat. median
$18,778
outlier · 4.6×
73
MS_DRG 		Cranial And Peripheral Nerve Disorders With Mcc 3 $85,107.43 $85,107.43 $85,107.43 nat. median
$15,359
outlier · 5.5×
894
MS_DRG 		Alcohol, Drug Abuse Or Dependence, Left Ama 3 $17,898.24 $85,071.91 $85,071.91 nat. median
$6,102
outlier · 13.9×
436
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas With Cc 3 $84,752.66 $84,752.66 $84,752.66 nat. median
$11,448
outlier · 7.4×
103
MS_DRG 		Headaches Without Mcc 4 $16,926.35 $84,056.99 $84,056.99 nat. median
$8,811
outlier · 9.5×
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 3 $67,278.05 $83,398.88 $83,398.88 nat. median
$20,982
outlier · 4.0×
616
MS_DRG 		Amputation Of Lower Limb For Endocrine 3 $81,291.19 $81,291.19 $81,291.19 nat. median
$33,758
outlier · 2.4×
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 $81,142.96 $81,142.96 $81,142.96 nat. median
$30,215
outlier · 2.7×
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 3 $61,839.85 $80,831.01 $80,831.01 nat. median
$15,405
outlier · 5.2×
249
APR_DRG 		Other Gastroenteritis, Nausea And Vomiting 4 $1,136.72 $120,732.55 $80,582.72 nat. median
$8,022
outlier · 10.0×
149
MS_DRG 		Dysequilibrium 3 $80,537.57 $80,537.57 $80,537.57 nat. median
$7,946
outlier · 10.1×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 3 $80,472.71 $80,472.71 $80,472.71 nat. median
$25,409
outlier · 3.2×
183
MS_DRG 		Major Chest Trauma With Mcc 3 $80,034.02 $80,034.02 $80,034.02 nat. median
$15,036
outlier · 5.3×
951
APR_DRG 		Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 $1.85 $79,056.51 $79,056.51 nat. median
$7,963
outlier · 9.9×
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 3 $77,217.44 $77,217.44 $77,217.44 nat. median
$19,254
outlier · 4.0×
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 3 $25,299.12 $77,214.18 $77,214.18 nat. median
$16,459
outlier · 4.7×
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 $77,089.16 $77,089.16 $77,089.16 nat. median
$23,195
outlier · 3.3×

Other procedures at this hospital

Browse this hospital's 10,876 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
             
42 APR_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis 4 4 $532,384.92 $425,907.94 $300,993.55 $479,146.43 $390,182.69 2026-03-26
710 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 5 4 $274,112.87 $219,290.30 $2.31 $246,701.58 $246,701.58 2026-03-26
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 3 3 $236,239.70 $188,991.76 20% off $236,239.70 $236,239.70 $236,239.70 2026-03-26
884 MS_DRG Organic Disturbances And Intellectual Disability 3 3 $219,256.92 $175,405.53 20% off $219,256.92 $219,256.92 $219,256.92 2026-03-26
264 MS_DRG Other Circulatory System O.r. Procedures 3 3 $201,843.05 $161,474.44 $201,843.05 $201,843.05 $201,843.05 2026-03-26
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 3 $188,477.82 $150,782.26 $188,477.82 $188,477.82 $188,477.82 2026-03-26
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 3 $187,886.94 $150,309.55 20% off $187,886.94 $187,886.94 $187,886.94 2026-03-26
422 APR_DRG Hypovolemia And Related Electrolyte Disorders 4 4 $235,426.42 $188,341.14 $140,983.20 $211,883.78 $176,562.41 2026-03-26
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 $153,895.65 $123,116.52 $153,895.65 $153,895.65 $153,895.65 2026-03-26
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 3 $151,803.41 $121,442.73 $151,803.41 $151,803.41 $151,803.41 2026-03-26
233 APR_DRG Appendectomy With Complex Principal Diagnosis 4 4 $186,400.80 $149,120.64 $5,923.81 $167,760.72 $140,963.48 2026-03-26
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 3 $133,973.24 $107,178.59 20% off $133,973.24 $133,973.24 $133,973.24 2026-03-26
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 3 3 $128,646.35 $102,917.08 20% off $128,646.35 $128,646.35 $128,646.35 2026-03-26
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 3 3 $127,736.42 $102,189.14 $127,736.42 $127,736.42 $127,736.42 2026-03-26
330 MS_DRG Major Small And Large Bowel Procedures With Cc 5 3 $122,304.46 $97,843.57 $49,500.46 $122,304.46 $122,304.46 2026-03-26
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 3 3 $118,997.57 $95,198.06 $118,997.57 $118,997.57 $118,997.57 2026-03-26
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 4 3 $109,107.45 $87,285.96 $66,817.39 $109,107.45 $109,107.45 2026-03-26
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 3 3 $106,347.00 $85,077.60 $106,347.00 $106,347.00 $106,347.00 2026-03-26
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 3 $105,589.89 $84,471.91 20% off $105,589.89 $105,589.89 $105,589.89 2026-03-26
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 3 $104,482.43 $83,585.94 20% off $104,482.43 $104,482.43 $104,482.43 2026-03-26
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 3 $102,886.36 $82,309.08 20% off $102,886.36 $102,886.36 $102,886.36 2026-03-26
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 4 $98,308.46 $78,646.77 $17,665.57 $98,308.46 $98,308.46 2026-03-26
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 3 $97,721.64 $78,177.31 20% off $97,721.64 $97,721.64 $97,721.64 2026-03-26
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 $94,735.78 $75,788.62 20% off $94,735.78 $94,735.78 $94,735.78 2026-03-26
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 4 3 $94,045.97 $75,236.77 20% off $9,591.36 $94,045.97 $94,045.97 2026-03-26
813 MS_DRG Coagulation Disorders 3 3 $93,806.24 $75,044.99 20% off $93,806.24 $93,806.24 $93,806.24 2026-03-26
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 3 3 $91,430.26 $73,144.21 $91,430.26 $91,430.26 $91,430.26 2026-03-26
896 MS_DRG Alcohol 6 4 $91,346.83 $73,077.46 20% off $10,509.95 $91,346.83 $90,418.76 2026-03-26
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 3 3 $89,615.28 $71,692.22 20% off $89,615.28 $89,615.28 $89,615.28 2026-03-26
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 3 $88,992.60 $71,194.08 20% off $88,992.60 $88,992.60 $88,992.60 2026-03-26
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 3 3 $87,566.22 $70,052.98 $87,566.22 $87,566.22 $87,566.22 2026-03-26
260 APR_DRG Major Pancreas, Liver And Shunt Procedures 4 4 $97,218.18 $77,774.54 20% off $87,496.36 $87,496.36 $87,496.36 2026-03-26
952 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 $112,533.23 $90,026.58 20% off $22,979.47 $101,279.90 $87,320.46 2026-03-26
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip 4 3 $87,002.72 $69,602.18 $74,261.11 $87,002.72 $87,002.72 2026-03-26
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 3 3 $85,107.43 $68,085.94 20% off $85,107.43 $85,107.43 $85,107.43 2026-03-26
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 4 3 $85,071.91 $68,057.53 $17,898.24 $85,071.91 $85,071.91 2026-03-26
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 3 3 $84,752.66 $67,802.13 $84,752.66 $84,752.66 $84,752.66 2026-03-26
103 MS_DRG Headaches Without Mcc 4 4 $84,056.99 $67,245.59 20% off $16,926.35 $84,056.99 $84,056.99 2026-03-26
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 4 3 $83,398.88 $66,719.11 $67,278.05 $83,398.88 $83,398.88 2026-03-26
616 MS_DRG Amputation Of Lower Limb For Endocrine 3 3 $81,291.19 $65,032.95 20% off $81,291.19 $81,291.19 $81,291.19 2026-03-26
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 3 $81,142.96 $64,914.37 $81,142.96 $81,142.96 $81,142.96 2026-03-26
177 MS_DRG Respiratory Infections And Inflammations With Mcc 4 3 $80,831.01 $64,664.80 20% off $61,839.85 $80,831.01 $80,831.01 2026-03-26
249 APR_DRG Other Gastroenteritis, Nausea And Vomiting 4 4 $52,473.34 $41,978.67 20% off $1,136.72 $120,732.55 $80,582.72 2026-03-26
149 MS_DRG Dysequilibrium 3 3 $80,537.57 $64,430.06 $80,537.57 $80,537.57 $80,537.57 2026-03-26
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 3 3 $80,472.71 $64,378.17 $80,472.71 $80,472.71 $80,472.71 2026-03-26
183 MS_DRG Major Chest Trauma With Mcc 3 3 $80,034.02 $64,027.22 $80,034.02 $80,034.02 $80,034.02 2026-03-26
951 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 4 $87,840.57 $70,272.46 $1.85 $79,056.51 $79,056.51 2026-03-26
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 3 3 $77,217.44 $61,773.95 20% off $77,217.44 $77,217.44 $77,217.44 2026-03-26
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 3 $77,214.18 $61,771.34 20% off $25,299.12 $77,214.18 $77,214.18 2026-03-26
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 3 $77,089.16 $61,671.33 $77,089.16 $77,089.16 $77,089.16 2026-03-26
571 MS_DRG Skin Debridement With Cc 3 3 $76,849.01 $61,479.21 $76,849.01 $76,849.01 $76,849.01 2026-03-26
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 3 $76,755.26 $61,404.21 $76,755.26 $76,755.26 $76,755.26 2026-03-26
602 MS_DRG Cellulitis With Mcc 3 3 $76,540.12 $61,232.10 $76,540.12 $76,540.12 $76,540.12 2026-03-26
773 APR_DRG Opioid Abuse And Dependence 3 3 $84,072.92 $67,258.33 20% off $51,925.06 $75,665.62 $75,665.62 2026-03-26
291 MS_DRG Heart Failure And Shock With Mcc 6 4 $107,115.29 $85,692.23 20% off $5,003.40 $107,115.29 $75,161.29 2026-03-26
617 MS_DRG Amputation Of Lower Limb For Endocrine 4 3 $74,902.97 $59,922.38 $33,553.57 $74,902.97 $74,902.97 2026-03-26
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 3 3 $73,555.22 $58,844.17 20% off $73,555.22 $73,555.22 $73,555.22 2026-03-26
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 3 3 $72,866.51 $58,293.21 $72,866.51 $72,866.51 $72,866.51 2026-03-26
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 3 3 $72,143.00 $57,714.40 20% off $72,143.00 $72,143.00 $72,143.00 2026-03-26
444 MS_DRG Disorders Of The Biliary Tract With Mcc 3 3 $71,935.38 $57,548.30 20% off $71,935.38 $71,935.38 $71,935.38 2026-03-26
89 MS_DRG Concussion With Cc 3 3 $71,838.92 $57,471.14 $71,838.92 $71,838.92 $71,838.92 2026-03-26
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 3 $71,698.76 $57,359.01 $71,698.76 $71,698.76 $71,698.76 2026-03-26
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 3 3 $71,605.44 $57,284.35 20% off $71,605.44 $71,605.44 $71,605.44 2026-03-26
49 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 4 4 $79,552.40 $63,641.92 $45,585.60 $71,597.16 $71,597.16 2026-03-26
336 MS_DRG Peritoneal Adhesiolysis With Cc 3 3 $70,966.96 $56,773.56 20% off $70,966.96 $70,966.96 $70,966.96 2026-03-26
320 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 4 4 $77,189.35 $61,751.48 20% off $41,152.28 $69,470.41 $69,470.41 2026-03-26
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 3 3 $68,784.44 $55,027.55 20% off $68,784.44 $68,784.44 $68,784.44 2026-03-26
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 3 3 $68,418.99 $54,735.19 20% off $68,418.99 $68,418.99 $68,418.99 2026-03-26
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 3 3 $66,946.33 $53,557.06 20% off $66,946.33 $66,946.33 $66,946.33 2026-03-26
375 MS_DRG Digestive Malignancy With Cc 3 3 $66,897.12 $53,517.70 $66,897.12 $66,897.12 $66,897.12 2026-03-26
682 MS_DRG Renal Failure With Mcc 4 3 $65,738.64 $52,590.91 20% off $57,588.96 $65,738.64 $65,738.64 2026-03-26
164 MS_DRG Major Chest Procedures With Cc 3 3 $65,678.53 $52,542.82 20% off $65,678.53 $65,678.53 $65,678.53 2026-03-26
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 3 3 $64,918.02 $51,934.42 $64,918.02 $64,918.02 $64,918.02 2026-03-26
389 MS_DRG Gastrointestinal Obstruction With Cc 4 3 $64,542.76 $51,634.21 $31,885.78 $64,542.76 $64,542.76 2026-03-26
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 4 3 $63,497.19 $50,797.75 20% off $56,466.00 $63,497.19 $63,497.19 2026-03-26
540 APR_DRG Cesarean Section Without Sterilization 5 4 $69,803.75 $55,843.00 20% off $0.50 $62,823.38 $62,823.38 2026-03-26
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 3 3 $62,750.72 $50,200.58 $62,750.72 $62,750.72 $62,750.72 2026-03-26
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 3 $62,449.04 $49,959.23 20% off $62,449.04 $62,449.04 $62,449.04 2026-03-26
305 APR_DRG Amputation Of Lower Limb Except Toes 4 4 $69,211.00 $55,368.80 $62,289.90 $62,289.90 $62,289.90 2026-03-26
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 3 3 $62,049.75 $49,639.80 $62,049.75 $62,049.75 $62,049.75 2026-03-26
81 MS_DRG Nontraumatic Stupor And Coma Without Mcc 3 3 $61,631.52 $49,305.21 20% off $61,631.52 $61,631.52 $61,631.52 2026-03-26
572 MS_DRG Skin Debridement Without Cc/mcc 3 3 $61,418.03 $49,134.42 20% off $61,418.03 $61,418.03 $61,418.03 2026-03-26
200 MS_DRG Pneumothorax With Cc 4 4 $60,715.02 $48,572.02 $1,676.00 $60,715.02 $60,715.02 2026-03-26
348 MS_DRG Anal And Stomal Procedures With Cc 3 3 $60,653.14 $48,522.51 20% off $60,653.14 $60,653.14 $60,653.14 2026-03-26
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 3 3 $60,207.29 $48,165.83 20% off $60,207.29 $60,207.29 $60,207.29 2026-03-26
288 MS_DRG Acute And Subacute Endocarditis With Mcc 3 3 $59,987.74 $47,990.19 20% off $59,987.74 $59,987.74 $59,987.74 2026-03-26
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 3 3 $59,819.72 $47,855.78 $59,819.72 $59,819.72 $59,819.72 2026-03-26
42 MS_DRG Peripheral 3 3 $59,527.20 $47,621.76 $59,527.20 $59,527.20 $59,527.20 2026-03-26
101 MS_DRG Seizures Without Mcc 3 3 $59,179.55 $47,343.64 20% off $59,179.55 $59,179.55 $59,179.55 2026-03-26
420 APR_DRG Diabetes 5 4 $65,426.39 $52,341.11 20% off $6,095.64 $58,883.75 $58,883.75 2026-03-26
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 5 3 $58,819.56 $47,055.65 $838.00 $58,819.56 $58,819.56 2026-03-26
308 APR_DRG Hip And Femur Fracture Repair 4 4 $88,218.05 $70,574.44 20% off $57,791.28 $79,396.24 $58,415.71 2026-03-26
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 3 3 $57,466.10 $45,972.88 20% off $57,466.10 $57,466.10 $57,466.10 2026-03-26
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 4 3 $56,733.24 $45,386.60 $55,787.68 $56,733.24 $56,733.24 2026-03-26
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 3 3 $56,039.99 $44,831.99 20% off $56,039.99 $56,039.99 $56,039.99 2026-03-26
913 MS_DRG Traumatic Injury With Mcc 3 3 $55,606.05 $44,484.84 20% off $55,606.05 $55,606.05 $55,606.05 2026-03-26
466 APR_DRG Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure 3 3 $61,507.98 $49,206.38 20% off $55,357.18 $55,357.18 $55,357.18 2026-03-26
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/mcc 3 3 $55,139.17 $44,111.34 $55,139.17 $55,139.17 $55,139.17 2026-03-26
469 APR_DRG Acute Kidney Injury 3 3 $61,245.29 $48,996.23 20% off $55,120.76 $55,120.76 $55,120.76 2026-03-26
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 3 3 $54,687.82 $43,750.26 $54,687.82 $54,687.82 $54,687.82 2026-03-26
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 3 3 $54,484.65 $43,587.72 20% off $54,484.65 $54,484.65 $54,484.65 2026-03-26
313 APR_DRG Knee And Lower Leg Procedures Except Foot 5 4 $87,494.84 $69,995.87 20% off $2.07 $78,745.35 $54,408.89 2026-03-26
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 $54,276.00 $43,420.80 $54,276.00 $54,276.00 $54,276.00 2026-03-26
186 MS_DRG Pleural Effusion With Mcc 3 3 $54,101.41 $43,281.13 $54,101.41 $54,101.41 $54,101.41 2026-03-26
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 3 3 $53,922.31 $43,137.85 $53,922.31 $53,922.31 $53,922.31 2026-03-26
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 3 3 $53,779.87 $43,023.90 $53,779.87 $53,779.87 $53,779.87 2026-03-26
645 MS_DRG Endocrine Disorders Without Cc/mcc 3 3 $53,042.85 $42,434.28 20% off $53,042.85 $53,042.85 $53,042.85 2026-03-26
180 MS_DRG Respiratory Neoplasms With Mcc 3 3 $52,744.11 $42,195.29 $52,744.11 $52,744.11 $52,744.11 2026-03-26
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 7 5 $58,552.18 $46,841.74 20% off $52,696.96 $58,552.18 $52,696.96 2026-03-26
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 3 3 $52,414.61 $41,931.69 $52,414.61 $52,414.61 $52,414.61 2026-03-26
811 MS_DRG Red Blood Cell Disorders With Mcc 3 3 $52,411.84 $41,929.47 20% off $52,411.84 $52,411.84 $52,411.84 2026-03-26
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 4 3 $52,068.26 $41,654.61 $50,368.53 $52,068.26 $52,068.26 2026-03-26
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 4 3 $52,018.45 $41,614.76 $21,281.02 $52,018.45 $52,018.45 2026-03-26
393 MS_DRG Other Digestive System Diagnoses With Mcc 3 3 $51,449.55 $41,159.64 20% off $51,449.55 $51,449.55 $51,449.55 2026-03-26
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 8 5 $76,894.34 $61,515.47 20% off $26,493.53 $76,894.34 $51,308.64 2026-03-26
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 3 $50,821.22 $40,656.98 $50,821.22 $50,821.22 $50,821.22 2026-03-26
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 4 3 $50,741.56 $40,593.25 $19,124.58 $50,741.56 $50,741.56 2026-03-26
505 MS_DRG Foot Procedures Without Cc/mcc 3 3 $50,714.29 $40,571.43 20% off $50,714.29 $50,714.29 $50,714.29 2026-03-26
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 3 3 $49,572.54 $39,658.03 20% off $49,572.54 $49,572.54 $49,572.54 2026-03-26
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 3 3 $49,503.20 $39,602.56 20% off $49,503.20 $49,503.20 $49,503.20 2026-03-26
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 3 3 $49,295.38 $39,436.30 20% off $49,295.38 $49,295.38 $49,295.38 2026-03-26
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 5 4 $49,257.62 $39,406.10 $18,726.68 $49,257.62 $49,257.62 2026-03-26
280 MS_DRG Acute Myocardial Infarction 4 3 $48,808.09 $39,046.47 20% off $38,149.78 $48,808.09 $48,808.09 2026-03-26
228 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures 4 4 $83,680.86 $66,944.69 $48,341.76 $75,312.77 $48,570.52 2026-03-26
364 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 4 4 $53,909.78 $43,127.83 $8,835.94 $48,518.81 $48,518.81 2026-03-26
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 4 4 $48,179.08 $38,543.26 20% off $5,426.59 $48,179.08 $48,179.08 2026-03-26
244 APR_DRG Diverticulitis And Diverticulosis 5 4 $33,669.69 $26,935.75 20% off $37,318.57 $61,633.50 $47,670.51 2026-03-26
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 3 3 $47,475.33 $37,980.26 20% off $47,475.33 $47,475.33 $47,475.33 2026-03-26
920 MS_DRG Complications Of Treatment With Cc 3 3 $47,463.68 $37,970.94 20% off $47,463.68 $47,463.68 $47,463.68 2026-03-26
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 4 4 $47,453.33 $37,962.66 20% off $9,618.55 $47,453.33 $47,453.33 2026-03-26
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 3 3 $47,286.97 $37,829.57 20% off $47,286.97 $47,286.97 $47,286.97 2026-03-26
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 3 3 $47,277.51 $37,822.01 $47,277.51 $47,277.51 $47,277.51 2026-03-26
194 APR_DRG Heart Failure 5 4 $52,109.80 $41,687.84 20% off $1,254.50 $52,022.11 $46,898.82 2026-03-26
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 4 3 $46,735.21 $37,388.17 $35,378.83 $46,735.21 $46,735.21 2026-03-26
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 5 4 $46,732.18 $37,385.74 20% off $838.00 $46,732.18 $46,732.18 2026-03-26
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 4 4 $46,327.02 $37,061.62 $13,958.97 $46,327.02 $46,327.02 2026-03-26
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 3 3 $45,865.49 $36,692.39 20% off $45,865.49 $45,865.49 $45,865.49 2026-03-26
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 3 3 $45,851.96 $36,681.57 $45,851.96 $45,851.96 $45,851.96 2026-03-26
897 MS_DRG Alcohol 6 4 $57,974.95 $46,379.96 20% off $7,256.62 $57,974.95 $45,845.70 2026-03-26
184 MS_DRG Major Chest Trauma With Cc 3 3 $45,415.32 $36,332.26 $45,415.32 $45,415.32 $45,415.32 2026-03-26
369 MS_DRG Major Esophageal Disorders With Cc 3 3 $44,797.49 $35,837.99 20% off $44,797.49 $44,797.49 $44,797.49 2026-03-26
593 MS_DRG Skin Ulcers With Cc 3 3 $44,149.47 $35,319.58 $44,149.47 $44,149.47 $44,149.47 2026-03-26
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 3 $43,944.18 $35,155.34 20% off $43,944.18 $43,944.18 $43,944.18 2026-03-26
137 APR_DRG Major Respiratory Infections And Inflammations 4 4 $78,732.11 $62,985.69 $18,099.32 $70,858.90 $43,708.96 2026-03-26
100 MS_DRG Seizures With Mcc 3 3 $43,680.95 $34,944.76 $43,680.95 $43,680.95 $43,680.95 2026-03-26
189 MS_DRG Pulmonary Edema And Respiratory Failure 5 3 $43,676.75 $34,941.40 $11,763.77 $43,676.75 $43,676.75 2026-03-26
39 MS_DRG Extracranial Procedures Without Cc/mcc 3 3 $43,634.74 $34,907.79 20% off $43,634.74 $43,634.74 $43,634.74 2026-03-26
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 6 3 $47,744.14 $38,195.31 20% off $2,876.76 $47,744.14 $43,363.88 2026-03-26
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 3 3 $43,291.23 $34,632.98 20% off $43,291.23 $43,291.23 $43,291.23 2026-03-26
864 MS_DRG Fever And Inflammatory Conditions 3 3 $42,546.25 $34,037.00 20% off $42,546.25 $42,546.25 $42,546.25 2026-03-26
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 3 3 $42,273.57 $33,818.86 $42,273.57 $42,273.57 $42,273.57 2026-03-26
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 3 3 $42,264.33 $33,811.46 20% off $42,264.33 $42,264.33 $42,264.33 2026-03-26
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 4 3 $42,184.15 $33,747.32 20% off $11,279.95 $42,184.15 $42,184.15 2026-03-26
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 4 4 $42,091.61 $33,673.29 $17,774.17 $42,091.61 $42,091.61 2026-03-26
607 MS_DRG Minor Skin Disorders Without Mcc 3 3 $41,564.45 $33,251.56 20% off $41,564.45 $41,564.45 $41,564.45 2026-03-26
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 3 3 $41,470.45 $33,176.36 $41,470.45 $41,470.45 $41,470.45 2026-03-26
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 3 3 $41,278.33 $33,022.66 20% off $41,278.33 $41,278.33 $41,278.33 2026-03-26
48 APR_DRG Peripheral, Cranial And Autonomic Nerve Disorders 4 4 $45,684.15 $36,547.32 20% off $29,953.67 $41,115.74 $41,115.74 2026-03-26
41 MS_DRG Peripheral 3 3 $40,873.09 $32,698.47 20% off $40,873.09 $40,873.09 $40,873.09 2026-03-26
199 MS_DRG Pneumothorax With Mcc 3 3 $40,864.36 $32,691.49 $40,864.36 $40,864.36 $40,864.36 2026-03-26
392 MS_DRG Esophagitis 6 3 $48,787.82 $39,030.26 $5,131.26 $48,787.82 $40,765.06 2026-03-26
380 MS_DRG Complicated Peptic Ulcer With Mcc 3 3 $40,711.51 $32,569.21 $40,711.51 $40,711.51 $40,711.51 2026-03-26
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 3 3 $40,597.94 $32,478.35 20% off $40,597.94 $40,597.94 $40,597.94 2026-03-26
253 APR_DRG Other And Unspecified Gastrointestinal Hemorrhage 5 4 $48,045.65 $38,436.52 20% off $30,780.00 $43,241.08 $40,567.88 2026-03-26
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 4 4 $40,511.98 $32,409.59 $15,683.89 $40,511.98 $40,511.98 2026-03-26
317 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 4 4 $75,972.30 $60,777.84 20% off $0.83 $68,375.07 $40,466.12 2026-03-26
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 3 3 $40,414.50 $32,331.60 20% off $40,414.50 $40,414.50 $40,414.50 2026-03-26
299 MS_DRG Peripheral Vascular Disorders With Mcc 4 3 $39,554.81 $31,643.85 $19,667.28 $39,554.81 $39,554.81 2026-03-26
378 MS_DRG Gastrointestinal Hemorrhage With Cc 5 4 $38,857.92 $31,086.34 $9,676.15 $38,857.92 $38,857.92 2026-03-26
342 MS_DRG Appendix Procedures With Cc 8 5 $43,112.41 $34,489.93 $25,829.40 $43,112.41 $38,801.17 2026-03-26
315 MS_DRG Other Circulatory System Diagnoses With Cc 3 3 $38,765.61 $31,012.49 $38,765.61 $38,765.61 $38,765.61 2026-03-26
C1824 HCPCS Generator,optimizer Smart Mini 28 16 $56,160.00 $44,928.00 20% off $1,112.83 $56,160.00 $38,502.00 2026-03-26
304 MS_DRG Hypertension With Mcc 3 3 $38,372.01 $30,697.60 20% off $38,372.01 $38,372.01 $38,372.01 2026-03-26
787 MS_DRG Cesarean Section Without Sterilization With Cc 3 3 $38,284.06 $30,627.25 $38,284.06 $38,284.06 $38,284.06 2026-03-26
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 3 3 $38,178.20 $30,542.56 $38,178.20 $38,178.20 $38,178.20 2026-03-26
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 7 5 $132,612.12 $106,089.70 $38,052.69 $132,612.12 $38,052.69 2026-03-26
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 3 3 $37,976.44 $30,381.15 20% off $37,976.44 $37,976.44 $37,976.44 2026-03-26
69 MS_DRG Transient Ischemia Without Thrombolytic 4 3 $37,893.84 $30,315.07 20% off $10,814.94 $37,893.84 $37,893.84 2026-03-26
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 3 $37,710.26 $30,168.20 20% off $37,710.26 $37,710.26 $37,710.26 2026-03-26
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 5 $145,204.93 $116,163.95 $285.00 $145,204.93 $37,658.18 2026-03-26
642 MS_DRG Inborn And Other Disorders Of Metabolism 3 3 $37,656.88 $30,125.50 20% off $37,656.88 $37,656.88 $37,656.88 2026-03-26
281 MS_DRG Acute Myocardial Infarction 4 3 $37,539.90 $30,031.92 20% off $29,440.92 $37,539.90 $37,539.90 2026-03-26
644 MS_DRG Endocrine Disorders With Cc 3 3 $37,387.63 $29,910.11 $37,387.63 $37,387.63 $37,387.63 2026-03-26
442 MS_DRG Disorders Of Liver Except Malignancy 5 3 $37,357.99 $29,886.39 20% off $9,215.80 $37,357.99 $37,357.99 2026-03-26
242 APR_DRG Major Esophageal Disorders 3 3 $41,296.26 $33,037.01 $37,166.64 $37,166.64 $37,166.64 2026-03-26
770 APR_DRG Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice 3 3 $41,255.19 $33,004.15 20% off $37,129.67 $37,129.67 $37,129.67 2026-03-26
227 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 4 4 $47,625.57 $38,100.46 $36,903.39 $42,863.01 $37,088.30 2026-03-26
683 MS_DRG Renal Failure With Cc 6 3 $37,580.15 $30,064.12 20% off $5,168.05 $37,580.15 $36,951.98 2026-03-26
312 MS_DRG Syncope And Collapse 3 3 $36,822.20 $29,457.76 20% off $36,822.20 $36,822.20 $36,822.20 2026-03-26
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 3 3 $36,325.44 $29,060.35 20% off $36,325.44 $36,325.44 $36,325.44 2026-03-26
637 MS_DRG Diabetes With Mcc 3 3 $36,298.04 $29,038.44 $36,298.04 $36,298.04 $36,298.04 2026-03-26
394 MS_DRG Other Digestive System Diagnoses With Cc 3 3 $36,105.70 $28,884.56 $36,105.70 $36,105.70 $36,105.70 2026-03-26
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 4 3 $35,848.76 $28,679.00 20% off $27,672.34 $35,848.76 $35,848.76 2026-03-26
316 APR_DRG Hand And Wrist Procedures 4 4 $39,788.67 $31,830.94 $9,665.72 $35,809.81 $35,809.81 2026-03-26
143 APR_DRG Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses 5 4 $47,408.43 $37,926.74 20% off $8,869.06 $42,667.58 $35,800.21 2026-03-26
47 APR_DRG Transient Ischemia 3 3 $39,666.30 $31,733.04 20% off $35,699.67 $35,699.67 $35,699.67 2026-03-26
305 MS_DRG Hypertension Without Mcc 5 4 $35,601.59 $28,481.28 $591.92 $35,601.59 $35,601.59 2026-03-26
357 MS_DRG Other Digestive System O.r. Procedures With Cc 3 3 $35,546.12 $28,436.90 $35,546.12 $35,546.12 $35,546.12 2026-03-26
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 3 3 $35,434.58 $28,347.66 20% off $35,434.58 $35,434.58 $35,434.58 2026-03-26
388 MS_DRG Gastrointestinal Obstruction With Mcc 4 3 $35,183.90 $28,147.12 20% off $29,298.47 $35,183.90 $35,183.90 2026-03-26
196 MS_DRG Interstitial Lung Disease With Mcc 3 3 $34,739.73 $27,791.78 20% off $34,739.73 $34,739.73 $34,739.73 2026-03-26
638 MS_DRG Diabetes With Cc 5 3 $34,513.05 $27,610.44 20% off $5,665.95 $34,513.05 $34,513.05 2026-03-26
176 MS_DRG Pulmonary Embolism Without Mcc 5 3 $34,486.75 $27,589.40 $8,266.64 $34,486.75 $34,486.75 2026-03-26
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 3 3 $34,330.11 $27,464.08 20% off $34,330.11 $34,330.11 $34,330.11 2026-03-26
603 MS_DRG Cellulitis Without Mcc 5 3 $34,329.93 $27,463.94 20% off $12,382.31 $34,329.93 $34,329.93 2026-03-26
283 APR_DRG Other Disorders Of The Liver 4 4 $44,668.64 $35,734.91 20% off $27,259.72 $40,201.78 $33,848.45 2026-03-26
812 APR_DRG Poisoning Of Medicinal Agents 4 4 $37,564.99 $30,051.99 20% off $33,808.49 $33,808.49 $33,808.49 2026-03-26
197 APR_DRG Peripheral And Other Vascular Disorders 4 4 $37,453.08 $29,962.46 20% off $33,707.77 $33,707.77 $33,707.77 2026-03-26
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 3 3 $33,540.01 $26,832.00 20% off $33,540.01 $33,540.01 $33,540.01 2026-03-26
292 MS_DRG Heart Failure And Shock With Cc 3 3 $33,142.86 $26,514.29 $33,142.86 $33,142.86 $33,142.86 2026-03-26
386 MS_DRG Inflammatory Bowel Disease With Cc 3 3 $33,129.38 $26,503.50 20% off $33,129.38 $33,129.38 $33,129.38 2026-03-26
951 MS_DRG Other Factors Influencing Health Status 3 3 $33,065.32 $26,452.26 $33,065.32 $33,065.32 $33,065.32 2026-03-26
501 MS_DRG Soft Tissue Procedures With Cc 3 3 $33,044.61 $26,435.69 $33,044.61 $33,044.61 $33,044.61 2026-03-26
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 3 3 $32,824.02 $26,259.22 $32,824.02 $32,824.02 $32,824.02 2026-03-26
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 4 3 $32,794.11 $26,235.29 $9,183.64 $32,794.11 $32,794.11 2026-03-26
C1767 HCPCS Implant, Sentiva 46 16 $39,366.00 $31,492.80 20% off $2,476.86 $73,967.50 $32,730.62 2026-03-26
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 3 $32,721.29 $26,177.03 20% off $32,721.29 $32,721.29 $32,721.29 2026-03-26
812 MS_DRG Red Blood Cell Disorders Without Mcc 4 3 $32,002.39 $25,601.91 20% off $17,455.59 $32,002.39 $32,002.39 2026-03-26
C1882 HCPCS System, Maximo Ii Crt Premium 291 16 $38,733.00 $30,986.40 $23.93 $61,560.00 $31,981.50 2026-03-26
C2624 HCPCS System, Cardiomems Implant 28 16 $49,572.00 $39,657.60 20% off $1,112.83 $49,572.00 $31,930.00 2026-03-26
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/mcc 7 5 $35,308.65 $28,246.92 20% off $17,062.56 $35,308.65 $31,777.78 2026-03-26
140 APR_DRG Chronic Obstructive Pulmonary Disease 7 4 $45,889.82 $36,711.85 20% off $4,405.65 $76,330.61 $31,752.00 2026-03-26
92 MS_DRG Other Disorders Of Nervous System With Cc 3 3 $31,714.23 $25,371.38 20% off $31,714.23 $31,714.23 $31,714.23 2026-03-26
231 APR_DRG Major Large Bowel Procedures 6 4 $119,119.08 $95,295.26 20% off $2.22 $55,240.71 $31,699.55 2026-03-26
52 APR_DRG Alteration In Consciousness 4 4 $34,241.60 $27,393.28 20% off $30,817.44 $30,817.44 $30,817.44 2026-03-26
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 3 3 $30,743.83 $24,595.06 20% off $30,743.83 $30,743.83 $30,743.83 2026-03-26
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 3 3 $30,672.49 $24,537.99 20% off $30,672.49 $30,672.49 $30,672.49 2026-03-26
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 7 5 $110,118.67 $88,094.94 $30,503.16 $110,118.67 $30,503.16 2026-03-26
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 5 4 $30,433.06 $24,346.45 $1,676.00 $30,433.06 $30,433.06 2026-03-26
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 3 3 $30,236.85 $24,189.48 20% off $30,236.85 $30,236.85 $30,236.85 2026-03-26
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 4 3 $30,119.23 $24,095.38 20% off $9,277.62 $30,119.23 $30,119.23 2026-03-26
399 MS_DRG Appendix Procedures Without Cc/mcc 3 3 $29,632.10 $23,705.68 $29,632.10 $29,632.10 $29,632.10 2026-03-26
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 3 3 $29,576.09 $23,660.87 20% off $29,576.09 $29,576.09 $29,576.09 2026-03-26
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 3 3 $29,313.12 $23,450.50 $29,313.12 $29,313.12 $29,313.12 2026-03-26
551 MS_DRG Medical Back Problems With Mcc 3 3 $29,307.82 $23,446.26 $29,307.82 $29,307.82 $29,307.82 2026-03-26
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 4 3 $29,225.32 $23,380.25 20% off $28,762.86 $29,225.32 $29,225.32 2026-03-26
205 MS_DRG Other Respiratory System Diagnoses With Mcc 4 3 $28,924.19 $23,139.35 20% off $13,097.59 $28,924.19 $28,924.19 2026-03-26
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 5 3 $28,342.52 $22,674.02 $277.40 $28,342.52 $28,342.52 2026-03-26
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 3 3 $28,129.12 $22,503.30 $28,129.12 $28,129.12 $28,129.12 2026-03-26
C1820 HCPCS Charge, Neuromodulation 109 16 $38,869.50 $31,095.60 20% off $296.23 $54,546.50 $27,752.00 2026-03-26
C1787 HCPCS Programmer, Proclaim Elite 28 16 $36,116.00 $28,892.80 20% off $392.49 $36,116.00 $27,719.03 2026-03-26
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 3 3 $27,611.03 $22,088.82 20% off $27,611.03 $27,611.03 $27,611.03 2026-03-26
368 MS_DRG Major Esophageal Disorders With Mcc 3 3 $27,534.17 $22,027.34 $27,534.17 $27,534.17 $27,534.17 2026-03-26
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 3 3 $27,371.22 $21,896.98 $27,371.22 $27,371.22 $27,371.22 2026-03-26
125 MS_DRG Other Disorders Of The Eye Without Mcc 4 3 $27,120.48 $21,696.38 20% off $6,787.25 $27,120.48 $27,120.48 2026-03-26
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 3 3 $27,059.94 $21,647.95 20% off $27,059.94 $27,059.94 $27,059.94 2026-03-26
711 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 6 4 $200,852.34 $160,681.87 20% off $0.50 $53,243.57 $26,763.44 2026-03-26
230 APR_DRG Major Small Bowel Procedures 5 4 $43,499.69 $34,799.75 20% off $0.50 $39,149.72 $26,640.44 2026-03-26
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 6 4 $39,237.90 $31,390.32 20% off $1,080.61 $39,237.90 $26,148.45 2026-03-26
693 MS_DRG Urinary Stones With Mcc 3 3 $26,105.67 $20,884.54 $26,105.67 $26,105.67 $26,105.67 2026-03-26
202 MS_DRG Bronchitis And Asthma With Cc/mcc 3 3 $26,042.84 $20,834.27 20% off $26,042.84 $26,042.84 $26,042.84 2026-03-26
405 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 4 4 $63,874.52 $51,099.62 $1.86 $25,826.31 $25,826.31 2026-03-26
139 APR_DRG Other Pneumonia 5 4 $47,830.70 $38,264.56 20% off $47.52 $43,047.63 $25,764.50 2026-03-26
222 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 4 4 $28,368.68 $22,694.94 20% off $25,531.81 $25,531.81 $25,531.81 2026-03-26
158 MS_DRG Dental And Oral Diseases With Cc 3 3 $25,504.79 $20,403.83 20% off $25,504.79 $25,504.79 $25,504.79 2026-03-26
566 APR_DRG Antepartum Without O.r. Procedure 5 4 $30,934.12 $24,747.29 20% off $6,870.00 $27,840.71 $25,416.54 2026-03-26
45 APR_DRG Cva And Precerebral Occlusion With Infarction 4 4 $27,914.78 $22,331.82 20% off $25,123.30 $25,123.30 $25,123.30 2026-03-26
246 APR_DRG Gastrointestinal Vascular Insufficiency 4 4 $27,872.04 $22,297.63 20% off $25,084.83 $25,084.83 $25,084.83 2026-03-26
684 MS_DRG Renal Failure Without Cc/mcc 4 3 $24,950.17 $19,960.14 $4,902.22 $24,950.17 $24,950.17 2026-03-26
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 4 3 $24,873.70 $19,898.96 20% off $15,396.88 $24,873.70 $24,873.70 2026-03-26
948 MS_DRG Signs And Symptoms Without Mcc 3 3 $24,700.95 $19,760.76 20% off $24,700.95 $24,700.95 $24,700.95 2026-03-26
552 MS_DRG Medical Back Problems Without Mcc 4 3 $24,662.28 $19,729.82 20% off $16,404.66 $24,662.28 $24,662.28 2026-03-26
C1605 HCPCS Pacemaker, Aveir Dr Dual Chmbr 41 16 $27,324.00 $21,859.20 20% off $1,652.40 $55,620.00 $24,611.85 2026-03-26
311 MS_DRG Angina Pectoris 3 3 $24,090.35 $19,272.28 20% off $24,090.35 $24,090.35 $24,090.35 2026-03-26
178 MS_DRG Respiratory Infections And Inflammations With Cc 8 5 $48,595.30 $38,876.24 20% off $195.00 $48,595.30 $23,996.32 2026-03-26
122009 LOCAL Fluticasone Furoate-vilanterol 100-25 Mcg/dose Inhl Dsdv [122009] 2 2 $0.01 — $2.38 $47,442.23 $23,722.31 2026-03-26
C1721 HCPCS System, Dc Virtuoso Ii Dr Defb 269 16 $28,728.00 $22,982.40 $1,778.07 $48,600.00 $23,644.50 2026-03-26
27828 HCPCS Hc Open Tx Distal Dibia & Fibula Fx 19 16 $32,464.00 $25,971.20 20% off $2,759.44 $49,940.02 $23,568.86 2026-03-26
113 APR_DRG Infections Of Upper Respiratory Tract 1 1 $43,080.70 $34,464.56 20% off $23,550.15 $23,550.15 $23,550.15 2026-03-26
C1722 HCPCS Defibrillator, Sq-rx S-icd 328 16 $28,111.25 $22,489.00 20% off $23.93 $44,280.00 $23,500.80 2026-03-26
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 3 3 $23,312.48 $18,649.99 $23,312.48 $23,312.48 $23,312.48 2026-03-26
153 MS_DRG Otitis Media And Uri Without Mcc 3 3 $23,307.92 $18,646.33 20% off $23,307.92 $23,307.92 $23,307.92 2026-03-26
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 4 3 $23,191.38 $18,553.11 $8,750.07 $23,191.38 $23,191.38 2026-03-26
813 APR_DRG Other Complications Of Treatment 5 4 $158,926.94 $127,141.55 20% off $2.28 $33,981.01 $22,638.86 2026-03-26
313 MS_DRG Chest Pain 4 4 $22,631.39 $18,105.12 $8,338.57 $22,631.39 $22,631.39 2026-03-26
55 MS_DRG Nervous System Neoplasms Without Mcc 3 3 $22,383.76 $17,907.01 $22,383.76 $22,383.76 $22,383.76 2026-03-26
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 4 3 $22,301.65 $17,841.32 20% off $9,135.81 $22,301.65 $22,301.65 2026-03-26
560 APR_DRG Vaginal Delivery 4 4 $16,327.78 $13,062.22 20% off $21,293.50 $23,715.89 $22,270.10 2026-03-26
251 APR_DRG Abdominal Pain 4 4 $30,247.29 $24,197.83 20% off $16,359.65 $27,222.56 $22,184.70 2026-03-26
639 MS_DRG Diabetes Without Cc/mcc 4 3 $21,945.17 $17,556.13 20% off $959.55 $21,945.17 $21,945.17 2026-03-26
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 4 3 $21,837.65 $17,470.12 20% off $17,404.92 $21,837.65 $21,837.65 2026-03-26
245 APR_DRG Inflammatory Bowel Disease 4 4 $24,211.96 $19,369.57 $14,129.18 $21,790.76 $21,790.76 2026-03-26
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 3 3 $21,649.03 $17,319.22 20% off $21,649.03 $21,649.03 $21,649.03 2026-03-26
303 MS_DRG Atherosclerosis Without Mcc 3 3 $21,554.07 $17,243.26 $21,554.07 $21,554.07 $21,554.07 2026-03-26
816 APR_DRG Toxic Effects Of Non-medicinal Substances 4 4 $30,924.19 $24,739.35 20% off $20,995.88 $23,074.10 $21,263.13 2026-03-26
31399 LOCAL System, Crt Concertoii Defib 19 16 $52,200.00 $41,760.00 20% off $4,437.00 $52,200.00 $21,141.00 2026-03-26
J9022 HCPCS Atezolizumab 840 Mg/14 Ml (60 Mg/ml) IV Soln [174848] 26 16 $36,704.91 $29,363.93 $83.94 $36,704.91 $20,723.72 2026-03-26
532 APR_DRG Menstrual And Other Female Reproductive System Disorders 4 4 $22,990.79 $18,392.63 20% off $20,691.71 $20,691.71 $20,691.71 2026-03-26
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 3 3 $20,677.69 $16,542.15 20% off $20,677.69 $20,677.69 $20,677.69 2026-03-26
531 APR_DRG Female Reproductive System Infections 4 4 $22,748.29 $18,198.63 20% off $20,473.46 $20,473.46 $20,473.46 2026-03-26
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 4 3 $20,208.59 $16,166.87 20% off $3,246.66 $20,208.59 $20,208.59 2026-03-26
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 6 3 $22,021.12 $17,616.89 20% off $5,039.46 $22,021.12 $20,042.47 2026-03-26
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 3 3 $19,959.69 $15,967.75 20% off $19,959.69 $19,959.69 $19,959.69 2026-03-26
133 APR_DRG Respiratory Failure 6 4 $74,264.72 $59,411.78 $2.05 $27,950.50 $19,865.54 2026-03-26
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 7 5 $58,174.97 $46,539.98 $19,625.47 $58,174.97 $19,625.47 2026-03-26
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 3 3 $19,416.98 $15,533.58 20% off $19,416.98 $19,416.98 $19,416.98 2026-03-26
344 APR_DRG Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 4 4 $21,508.28 $17,206.62 20% off $19,357.45 $19,357.45 $19,357.45 2026-03-26
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 3 3 $19,143.45 $15,314.76 20% off $19,143.45 $19,143.45 $19,143.45 2026-03-26
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml IV Soln [184759] 26 16 $26,570.39 $21,256.31 20% off $15.00 $28,111.00 $19,133.99 2026-03-26
919 MS_DRG Complications Of Treatment With Mcc 3 3 $19,117.64 $15,294.11 20% off $19,117.64 $19,117.64 $19,117.64 2026-03-26
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