|
82600
|
HCPCS
|
Hc Cyanide
|
19
|
15
|
$215.00
|
$172.00
20% off
|
$18.28
|
$1,836.50
|
$9,774.83
|
2026-03-26
|
|
83945
|
HCPCS
|
Hc Urine Oxalates
|
19
|
15
|
$130.00
|
$104.00
20% off
|
$11.05
|
$1,111.50
|
$9,774.83
|
2026-03-26
|
|
82777
|
HCPCS
|
Hc Galectin-3
|
19
|
15
|
$95.00
|
$76.00
20% off
|
$8.08
|
$865.50
|
$9,774.83
|
2026-03-26
|
|
84206
|
HCPCS
|
Hc Proinsulin
|
19
|
15
|
$283.00
|
$226.40
20% off
|
$24.06
|
$2,835.00
|
$9,774.83
|
2026-03-26
|
|
J0690
|
HCPCS
|
Cefazolin In Dextrose (iso-os) 2 Gram/100 Ml IV Pgbk [133930]
|
110
|
15
|
$132.84
|
$106.27
20% off
|
$0.80
|
$1,126.50
|
$9,802.85
|
2026-03-26
|
|
J2710
|
HCPCS
|
Neostigmine Methylsulfate 1 Mg/ml IV Soln [122267]
|
39
|
15
|
$16.27
|
$13.01
20% off
|
$0.29
|
$339.00
|
$9,823.60
|
2026-03-26
|
|
J0688
|
HCPCS
|
Cefazolin 3 Gram IV Solr [187278]
|
29
|
15
|
$990.76
|
$792.61
|
$0.98
|
$991.00
|
$9,840.86
|
2026-03-26
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
15
|
11
|
$39,237.90
|
$31,390.32
20% off
|
$1,950.00
|
$39,237.90
|
$9,961.22
|
2026-03-26
|
|
78816
|
LOCAL
|
Probe, Cryo2
|
19
|
15
|
$13,050.00
|
$10,440.00
20% off
|
$1,109.25
|
$13,739.50
|
$9,973.19
|
2026-03-26
|
|
82484
|
LOCAL
|
Stapler, 30 Curved Davinci
|
19
|
15
|
$13,154.50
|
$10,523.60
20% off
|
$1,118.13
|
$13,753.31
|
$10,041.03
|
2026-03-26
|
|
J0136
|
HCPCS
|
Acetaminophen 500 Mg/50 Ml (10 Mg/ml) IV Soln [180967]
|
30
|
15
|
$60.25
|
$48.20
|
$5.10
|
$651.00
|
$10,121.70
|
2026-03-26
|
|
J7121
|
HCPCS
|
Dextrose 5 %-lactated Ringers IV Solp [9788]
|
19
|
15
|
$60.00
|
$48.00
20% off
|
$5.10
|
$619.00
|
$10,230.67
|
2026-03-26
|
|
J0744
|
HCPCS
|
Ciprofloxacin In 5 % Dextrose 400 Mg/200 Ml IV Pgbk [108132]
|
19
|
15
|
$60.00
|
$48.00
20% off
|
$5.10
|
$613.50
|
$10,235.19
|
2026-03-26
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
22
|
11
|
$83,398.88
|
$66,719.11
|
$1,950.00
|
$83,398.88
|
$10,260.00
|
2026-03-26
|
|
C9359
|
HCPCS
|
Strip Flexigraft 10x20x8mm
|
191
|
15
|
$8,235.00
|
$6,588.00
20% off
|
$23.93
|
$8,398.00
|
$10,261.47
|
2026-03-26
|
|
38792
|
HCPCS
|
Hc Ra Tracer Id Of Sentinl Node
|
19
|
15
|
$1,000.00
|
$800.00
20% off
|
$85.00
|
$1,565.03
|
$10,313.49
|
2026-03-26
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
22
|
11
|
$48,595.30
|
$38,876.24
20% off
|
$1,950.00
|
$48,595.30
|
$10,336.57
|
2026-03-26
|
|
J2185
|
HCPCS
|
Meropenem 500 Mg IV Solr [17379]
|
79
|
15
|
$217.60
|
$174.08
|
$3.25
|
$1,873.00
|
$10,347.52
|
2026-03-26
|
|
106201
|
LOCAL
|
Cath, 8-life Fully Articulatin
|
19
|
15
|
$13,572.00
|
$10,857.60
20% off
|
$1,153.62
|
$14,566.29
|
$10,406.77
|
2026-03-26
|
|
3749
|
LOCAL
|
Cradle, Adult Head
|
19
|
15
|
$489.50
|
$391.60
|
$41.61
|
$56,160.00
|
$10,459.49
|
2026-03-26
|
|
J1596
|
HCPCS
|
Glycopyrrolate 0.2 Mg/ml Inj Soln [119135]
|
79
|
15
|
$26.03
|
$20.82
20% off
|
$0.51
|
$395.20
|
$10,462.59
|
2026-03-26
|
|
J3430
|
HCPCS
|
Phytonadione (vitamin K1) 5 Mg Oral Tab [11024]
|
89
|
15
|
$205.04
|
$164.03
20% off
|
$6.87
|
$1,761.50
|
$10,530.26
|
2026-03-26
|
|
72414
|
LOCAL
|
Sys Genesys Hta Probe
|
19
|
15
|
$13,807.00
|
$11,045.60
20% off
|
$1,173.60
|
$14,688.00
|
$10,570.65
|
2026-03-26
|
|
J2175
|
HCPCS
|
Meperidine (pf) 50 Mg/ml Injection Wrapper [4084125729]
|
21
|
15
|
$45.00
|
$36.00
20% off
|
$3.83
|
$519.50
|
$10,576.00
|
2026-03-26
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
15
|
11
|
$28,342.52
|
$22,674.02
|
$1,950.00
|
$28,342.52
|
$10,599.57
|
2026-03-26
|
|
10876
|
LOCAL
|
Suture, Mersilene 5-0 746g
|
19
|
15
|
$489.50
|
$391.60
|
$41.61
|
$56,678.50
|
$10,640.64
|
2026-03-26
|
|
69
|
MS_DRG
|
Transient Ischemia Without Thrombolytic
|
15
|
11
|
$37,893.84
|
$30,315.07
20% off
|
$1,950.00
|
$37,893.84
|
$10,814.94
|
2026-03-26
|
|
24341
|
HCPCS
|
Hc Repair Tdn/musc Upper Arm/elbow
|
19
|
15
|
$15,862.00
|
$12,689.60
20% off
|
$1,348.27
|
$27,146.12
|
$10,963.17
|
2026-03-26
|
|
720
|
APR_DRG
|
Septicemia And Disseminated Infections
|
4
|
4
|
$63,830.91
|
$51,064.73
|
—
|
—
|
$11,068.21
|
2026-03-26
|
|
28285
|
HCPCS
|
Hc Hammertoe Repair
|
19
|
15
|
$7,785.00
|
$6,228.00
20% off
|
$661.73
|
$12,282.21
|
$11,093.85
|
2026-03-26
|
|
13114
|
LOCAL
|
Bit, 4.5 Large X-fix Drill
|
19
|
15
|
$489.50
|
$391.60
|
$41.61
|
$61,560.00
|
$11,128.79
|
2026-03-26
|
|
806
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or Dc With Cc
|
22
|
11
|
$14,916.41
|
$11,933.13
|
$1,950.00
|
$14,916.41
|
$11,249.37
|
2026-03-26
|
|
375
|
MS_DRG
|
Digestive Malignancy With Cc
|
15
|
11
|
$66,897.12
|
$53,517.70
|
$1,950.00
|
$66,897.12
|
$11,308.29
|
2026-03-26
|
|
J2371
|
HCPCS
|
Phenylephrine Hcl In 0.9% Nacl 20 Mg/250 Ml (80 Mcg/ml) IV Soln [130976]
|
179
|
15
|
$228.36
|
$182.69
|
$0.25
|
$2,035.00
|
$11,314.91
|
2026-03-26
|
|
J2795
|
HCPCS
|
Ropivacaine (pf) 5 Mg/ml (0.5 %) Inj Soln [18195]
|
109
|
15
|
$512.74
|
$410.19
20% off
|
$0.20
|
$724.00
|
$11,455.56
|
2026-03-26
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
23
|
11
|
$57,974.95
|
$46,379.96
20% off
|
$1,950.00
|
$57,974.95
|
$11,461.10
|
2026-03-26
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
15
|
11
|
$64,918.02
|
$51,934.42
|
$1,950.00
|
$64,918.02
|
$11,624.27
|
2026-03-26
|
|
36573
|
HCPCS
|
Hc Insert Picc Rs&i >5 Years
|
27
|
15
|
$5,137.00
|
$4,109.60
|
$397.72
|
$6,077.05
|
$11,699.32
|
2026-03-26
|
|
J1836
|
HCPCS
|
Metronidazole In Nacl (iso-os) 500 Mg/100 Ml IV Pgbk [5018]
|
29
|
15
|
$60.00
|
$48.00
20% off
|
$5.07
|
$628.00
|
$11,777.66
|
2026-03-26
|
|
J1805
|
HCPCS
|
Esmolol In Nacl (iso-osm) 2,500 Mg/250 Ml (10 Mg/ml) IV Solp [29805]
|
70
|
15
|
$839.80
|
$671.84
|
$0.22
|
$7,391.50
|
$11,848.86
|
2026-03-26
|
|
433
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Cc
|
15
|
11
|
$46,327.02
|
$37,061.62
|
$1,950.00
|
$46,327.02
|
$11,854.49
|
2026-03-26
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
15
|
11
|
$43,676.75
|
$34,941.40
|
$1,950.00
|
$43,676.75
|
$11,989.63
|
2026-03-26
|
|
556
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc
|
15
|
11
|
$16,347.23
|
$13,077.78
20% off
|
$1,950.00
|
$16,347.23
|
$11,998.23
|
2026-03-26
|
|
19281
|
HCPCS
|
Hc Bx Breast W/placement
|
19
|
15
|
$1,874.00
|
$1,499.20
20% off
|
$159.29
|
$6,151.98
|
$12,157.77
|
2026-03-26
|
|
831
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures With Mcc
|
15
|
11
|
$16,596.24
|
$13,276.99
20% off
|
$1,950.00
|
$16,596.24
|
$12,175.59
|
2026-03-26
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
22
|
11
|
$37,357.99
|
$29,886.39
20% off
|
$1,950.00
|
$37,357.99
|
$12,331.13
|
2026-03-26
|
|
11976
|
HCPCS
|
Hc Remove Contraceptive Capsule
|
19
|
15
|
$1,296.00
|
$1,036.80
20% off
|
$110.16
|
$2,669.72
|
$12,410.17
|
2026-03-26
|
|
J0692
|
HCPCS
|
Cefepime 2 Gram Inj Solr [16371]
|
59
|
15
|
$91.57
|
$73.26
|
$2.78
|
$857.00
|
$12,456.79
|
2026-03-26
|
|
20630
|
LOCAL
|
Kit, Surgical Inter-phalangeal
|
19
|
15
|
$489.50
|
$391.60
|
$41.61
|
$73,967.50
|
$12,500.44
|
2026-03-26
|
|
C2627
|
HCPCS
|
Transducer Cvr 14x147cm Tele
|
49
|
15
|
$632.50
|
$506.00
20% off
|
$34.72
|
$9,284.50
|
$12,517.62
|
2026-03-26
|
|
76942
|
HCPCS
|
Hc Ultrasonc Guide For Needle
|
19
|
15
|
$1,157.00
|
$925.60
20% off
|
$98.35
|
$1,158.50
|
$12,539.73
|
2026-03-26
|
|
317
|
APR_DRG
|
Tendon, Muscle And Other Soft Tissue Procedures
|
5
|
4
|
$75,972.30
|
$60,777.84
20% off
|
$0.83
|
$0.83
|
$12,557.18
|
2026-03-26
|
|
J3410
|
HCPCS
|
Hydroxyzine Hcl 25 Mg/ml IM Soln [3769]
|
39
|
15
|
$166.46
|
$133.17
|
$0.25
|
$1,462.50
|
$12,568.86
|
2026-03-26
|
|
C1713
|
HCPCS
|
Y-plate, 2.4mm 8-hole
|
22,536
|
15
|
$27,324.00
|
$21,859.20
20% off
|
$2.98
|
$49,572.00
|
$12,883.05
|
2026-03-26
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
22
|
11
|
$48,808.09
|
$39,046.47
20% off
|
$1,950.00
|
$48,808.09
|
$12,908.14
|
2026-03-26
|
|
463
|
APR_DRG
|
Kidney And Urinary Tract Infections
|
6
|
4
|
$78,749.30
|
$62,999.44
20% off
|
$2.10
|
$23,779.50
|
$12,963.54
|
2026-03-26
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
22
|
11
|
$91,346.83
|
$73,077.46
20% off
|
$1,950.00
|
$91,346.83
|
$13,010.46
|
2026-03-26
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
15
|
11
|
$28,924.19
|
$23,139.35
20% off
|
$1,950.00
|
$28,924.19
|
$13,097.59
|
2026-03-26
|
|
97163
|
HCPCS
|
Hc High Complexity Evaluation
|
19
|
15
|
$422.00
|
$337.60
|
$35.87
|
$7,657.00
|
$13,166.79
|
2026-03-26
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
22
|
11
|
$34,329.93
|
$27,463.94
20% off
|
$1,950.00
|
$34,329.93
|
$13,169.25
|
2026-03-26
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
15
|
11
|
$76,540.12
|
$61,232.10
|
$1,950.00
|
$76,540.12
|
$13,199.09
|
2026-03-26
|
|
P9037
|
HCPCS
|
Hc Platelets,phes,leuko Rcd Irrat
|
19
|
15
|
$1,793.00
|
$1,434.40
|
$152.41
|
$2,678.17
|
$13,396.54
|
2026-03-26
|
|
584
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc
|
15
|
11
|
$19,959.69
|
$15,967.75
20% off
|
$2,850.00
|
$19,959.69
|
$13,484.05
|
2026-03-26
|
|
64999
|
HCPCS
|
Hc Cervical Plexus Block (64415/64450)
|
19
|
15
|
$1,211.00
|
$968.80
20% off
|
$102.94
|
$1,212.50
|
$13,589.89
|
2026-03-26
|
|
643
|
MS_DRG
|
Endocrine Disorders With Mcc
|
15
|
11
|
$13,960.40
|
$11,168.32
20% off
|
$1,950.00
|
$13,960.40
|
$13,610.40
|
2026-03-26
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
15
|
11
|
$47,453.33
|
$37,962.66
20% off
|
$1,950.00
|
$47,453.33
|
$13,613.63
|
2026-03-26
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
15
|
11
|
$36,298.04
|
$29,038.44
|
$1,950.00
|
$36,298.04
|
$13,897.20
|
2026-03-26
|
|
C1894
|
HCPCS
|
System, Accustick Introducer
|
497
|
15
|
$5,850.00
|
$4,680.00
20% off
|
$10.12
|
$17,915.50
|
$13,923.17
|
2026-03-26
|
|
919
|
MS_DRG
|
Complications Of Treatment With Mcc
|
15
|
11
|
$19,117.64
|
$15,294.11
20% off
|
$1,950.00
|
$19,117.64
|
$13,971.52
|
2026-03-26
|
|
133
|
APR_DRG
|
Respiratory Failure
|
6
|
4
|
$74,264.72
|
$59,411.78
|
$2.05
|
$27,950.50
|
$13,976.27
|
2026-03-26
|
|
776
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses Without O.r. Procedures
|
15
|
11
|
$19,143.45
|
$15,314.76
20% off
|
$1,950.00
|
$19,143.45
|
$13,989.90
|
2026-03-26
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc
|
15
|
11
|
$19,416.98
|
$15,533.58
20% off
|
$1,950.00
|
$19,416.98
|
$14,184.73
|
2026-03-26
|
|
64447
|
HCPCS
|
Hc Inj Block Femoral Nerve Single
|
26
|
15
|
$1,860.00
|
$1,488.00
20% off
|
$145.61
|
$2,624.06
|
$14,190.79
|
2026-03-26
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
15
|
11
|
$40,511.98
|
$32,409.59
|
$1,950.00
|
$40,511.98
|
$14,330.90
|
2026-03-26
|
|
113378
|
LOCAL
|
Neurostimulator, R20
|
19
|
15
|
$18,707.00
|
$14,965.60
20% off
|
$1,590.10
|
$20,520.00
|
$14,399.52
|
2026-03-26
|
|
88309
|
HCPCS
|
Hc Surgical Pathology Level Vi
|
19
|
15
|
$919.00
|
$735.20
|
$78.12
|
$3,262.85
|
$14,400.62
|
2026-03-26
|
|
U0001
|
HCPCS
|
Hc Covid 19 Test Cdc Version U0001
|
19
|
15
|
$79.00
|
$63.20
|
$6.72
|
$754.00
|
$14,520.66
|
2026-03-26
|
|
U0002
|
HCPCS
|
Hc Covid 19 Test U0002
|
19
|
15
|
$220.00
|
$176.00
20% off
|
$18.70
|
$1,920.00
|
$14,520.66
|
2026-03-26
|
|
S0190
|
HCPCS
|
Mifepristone 200 Mg Oral Tab [28975]
|
19
|
15
|
$103.20
|
$82.56
20% off
|
$8.77
|
$889.50
|
$14,520.66
|
2026-03-26
|
|
S0170
|
HCPCS
|
Anastrozole 1 Mg Oral Tab [16205]
|
19
|
15
|
$60.00
|
$48.00
20% off
|
$5.10
|
$610.50
|
$14,520.66
|
2026-03-26
|
|
S0119
|
HCPCS
|
Ed Ondansetron Odt 4 Mg Tabs [408420250]
|
19
|
15
|
$3.09
|
$2.47
20% off
|
$0.26
|
$124.38
|
$14,520.66
|
2026-03-26
|
|
S0136
|
HCPCS
|
Clozapine 25 Mg Oral Tab [9648]
|
29
|
15
|
$10.13
|
$8.11
|
$0.33
|
$282.50
|
$14,520.66
|
2026-03-26
|
|
S0176
|
HCPCS
|
Hydroxyurea 500 Mg Oral Cap [10236]
|
19
|
15
|
$60.00
|
$48.00
20% off
|
$5.10
|
$620.00
|
$14,520.66
|
2026-03-26
|
|
Q9991
|
HCPCS
|
Buprenorphine 100 Mg/0.5 Ml Subq Slsy [170741]
|
19
|
15
|
$2,976.39
|
$2,381.11
20% off
|
$252.99
|
$3,090.90
|
$14,520.66
|
2026-03-26
|
|
S0179
|
HCPCS
|
Megestrol 400 Mg/10 Ml (40 Mg/ml) Oral Susp [10521]
|
19
|
15
|
$60.00
|
$48.00
20% off
|
$5.10
|
$628.00
|
$14,520.66
|
2026-03-26
|
|
241
|
APR_DRG
|
Peptic Ulcer And Gastritis
|
6
|
4
|
$71,908.12
|
$57,526.50
|
$2.00
|
$29,160.00
|
$14,581.00
|
2026-03-26
|
|
861
|
APR_DRG
|
Signs, Symptoms And Other Factors Influencing Health Status
|
4
|
4
|
$13,664.82
|
$10,931.86
|
$14,688.00
|
$14,688.00
|
$14,688.00
|
2026-03-26
|
|
41231
|
LOCAL
|
Core, 18mm 24-31mm
|
19
|
15
|
$19,429.50
|
$15,543.60
20% off
|
$1,651.51
|
$20,520.00
|
$14,856.59
|
2026-03-26
|
|
C1729
|
HCPCS
|
Thoracic Cath Rt/ang 36f*20
|
307
|
15
|
$2,050.00
|
$1,640.00
20% off
|
$2.64
|
$15,608.50
|
$14,879.16
|
2026-03-26
|
|
26600
|
HCPCS
|
Hc Clsd Tx Metcarpl Fx Without Mn Ea
|
19
|
15
|
$923.00
|
$738.40
20% off
|
$78.46
|
$923.00
|
$14,889.13
|
2026-03-26
|
|
231
|
APR_DRG
|
Major Large Bowel Procedures
|
6
|
4
|
$119,119.08
|
$95,295.26
20% off
|
$2.22
|
$2.26
|
$14,953.23
|
2026-03-26
|
|
818
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Cc
|
15
|
11
|
$20,677.69
|
$16,542.15
20% off
|
$2,850.00
|
$20,677.69
|
$15,246.34
|
2026-03-26
|
|
31860
|
LOCAL
|
Pacemaker, Current+ Vr Sc Icd
|
19
|
15
|
$20,085.00
|
$16,068.00
20% off
|
$1,707.23
|
$21,419.00
|
$15,383.65
|
2026-03-26
|
|
111987
|
LOCAL
|
Neurostimulator, F15
|
19
|
15
|
$20,273.00
|
$16,218.40
20% off
|
$1,723.21
|
$21,419.00
|
$15,502.58
|
2026-03-26
|
|
303
|
MS_DRG
|
Atherosclerosis Without Mcc
|
15
|
11
|
$21,554.07
|
$17,243.26
|
$1,950.00
|
$21,554.07
|
$15,706.92
|
2026-03-26
|
|
J0666
|
HCPCS
|
Bupivacaine Liposome (pf) 1.3 % (13.3 Mg/ml) Linf Susp [112781]
|
27
|
15
|
$867.96
|
$694.37
|
$1.45
|
$868.00
|
$15,714.74
|
2026-03-26
|
|
19282
|
HCPCS
|
Hc Bx Breast W/placement Addl
|
19
|
15
|
$846.00
|
$676.80
20% off
|
$71.91
|
$846.00
|
$15,753.39
|
2026-03-26
|
|
379
|
MS_DRG
|
Gastrointestinal Hemorrhage Without Cc/mcc
|
15
|
11
|
$21,649.03
|
$17,319.22
20% off
|
$1,950.00
|
$21,649.03
|
$15,774.56
|
2026-03-26
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
15
|
11
|
$153,895.65
|
$123,116.52
|
$2,850.00
|
$153,895.65
|
$15,824.56
|
2026-03-26
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/mcc
|
22
|
11
|
$24,873.70
|
$19,898.96
20% off
|
$1,950.00
|
$24,873.70
|
$16,034.79
|
2026-03-26
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
15
|
11
|
$68,418.99
|
$54,735.19
20% off
|
$1,950.00
|
$68,418.99
|
$16,100.00
|
2026-03-26
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
22
|
11
|
$24,662.28
|
$19,729.82
20% off
|
$1,950.00
|
$24,662.28
|
$16,269.45
|
2026-03-26
|
|
55
|
MS_DRG
|
Nervous System Neoplasms Without Mcc
|
15
|
11
|
$22,383.76
|
$17,907.01
|
$1,950.00
|
$22,383.76
|
$16,297.89
|
2026-03-26
|
|
P9044
|
HCPCS
|
Hc Plasma, Cryoprecipitate Reduced
|
19
|
15
|
$183.00
|
$146.40
|
$15.56
|
$1,575.00
|
$16,335.47
|
2026-03-26
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
15
|
11
|
$76,849.01
|
$61,479.21
|
$1,950.00
|
$76,849.01
|
$16,399.42
|
2026-03-26
|
|
73650
|
HCPCS
|
Hc Xr Calcaneus Min 2vw
|
19
|
15
|
$354.00
|
$283.20
20% off
|
$30.09
|
$4,770.00
|
$16,503.71
|
2026-03-26
|
|
J2598
|
HCPCS
|
Vasopressin 20 Units/ml Injection Wrapper [408008478]
|
49
|
15
|
$600.00
|
$480.00
20% off
|
$1.88
|
$1,635.00
|
$16,739.66
|
2026-03-26
|
|
103
|
MS_DRG
|
Headaches Without Mcc
|
15
|
11
|
$84,056.99
|
$67,245.59
20% off
|
$1,950.00
|
$84,056.99
|
$16,926.35
|
2026-03-26
|
|
153
|
MS_DRG
|
Otitis Media And Uri Without Mcc
|
15
|
11
|
$23,307.92
|
$18,646.33
20% off
|
$1,950.00
|
$23,307.92
|
$16,956.14
|
2026-03-26
|
|
805
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or Dc With Mcc
|
15
|
11
|
$23,617.76
|
$18,894.21
|
$1,950.00
|
$23,617.76
|
$17,270.01
|
2026-03-26
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
15
|
11
|
$21,837.65
|
$17,470.12
20% off
|
$1,950.00
|
$21,837.65
|
$17,404.92
|
2026-03-26
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
15
|
11
|
$32,002.39
|
$25,601.91
20% off
|
$1,950.00
|
$32,002.39
|
$17,455.59
|
2026-03-26
|
|
311
|
MS_DRG
|
Angina Pectoris
|
15
|
11
|
$24,090.35
|
$19,272.28
20% off
|
$1,950.00
|
$24,090.35
|
$17,513.45
|
2026-03-26
|
|
380
|
MS_DRG
|
Complicated Peptic Ulcer With Mcc
|
15
|
11
|
$40,711.51
|
$32,569.21
|
$1,950.00
|
$40,711.51
|
$17,625.00
|
2026-03-26
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
15
|
11
|
$98,308.46
|
$78,646.77
|
$2,850.00
|
$98,308.46
|
$17,665.57
|
2026-03-26
|
|
355
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral Without Cc/mcc
|
15
|
11
|
$42,091.61
|
$33,673.29
|
$2,850.00
|
$42,091.61
|
$17,774.17
|
2026-03-26
|
|
137
|
APR_DRG
|
Major Respiratory Infections And Inflammations
|
4
|
4
|
$78,732.11
|
$62,985.69
|
—
|
—
|
$18,099.32
|
2026-03-26
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
15
|
11
|
$77,214.18
|
$61,771.34
20% off
|
$1,950.00
|
$77,214.18
|
$18,162.06
|
2026-03-26
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
15
|
11
|
$38,178.20
|
$30,542.56
|
$1,950.00
|
$38,178.20
|
$18,400.67
|
2026-03-26
|
|
158
|
MS_DRG
|
Dental And Oral Diseases With Cc
|
15
|
11
|
$25,504.79
|
$20,403.83
20% off
|
$1,950.00
|
$25,504.79
|
$18,520.91
|
2026-03-26
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
15
|
11
|
$26,042.84
|
$20,834.27
20% off
|
$1,950.00
|
$26,042.84
|
$18,904.15
|
2026-03-26
|
|
693
|
MS_DRG
|
Urinary Stones With Mcc
|
15
|
11
|
$26,105.67
|
$20,884.54
|
$1,950.00
|
$26,105.67
|
$18,948.90
|
2026-03-26
|
|
581
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc
|
15
|
11
|
$50,741.56
|
$40,593.25
|
$1,950.00
|
$50,741.56
|
$19,124.58
|
2026-03-26
|
|
343
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis Without Cc/mcc
|
15
|
11
|
$35,308.65
|
$28,246.92
20% off
|
$1,950.00
|
$35,308.65
|
$19,261.53
|
2026-03-26
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
23
|
11
|
$74,902.97
|
$59,922.38
|
$1,950.00
|
$74,902.97
|
$19,341.11
|
2026-03-26
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
15
|
11
|
$70,966.96
|
$56,773.56
20% off
|
$1,950.00
|
$70,966.96
|
$19,469.97
|
2026-03-26
|
|
192
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease Without Cc/mcc
|
15
|
11
|
$27,059.94
|
$21,647.95
20% off
|
$1,950.00
|
$27,059.94
|
$19,628.60
|
2026-03-26
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
15
|
11
|
$39,554.81
|
$31,643.85
|
$1,950.00
|
$39,554.81
|
$19,667.28
|
2026-03-26
|
|
Q4125
|
HCPCS
|
Graftjacket, Arthroflex 50*90
|
64
|
15
|
$9,399.50
|
$7,519.60
|
$314.88
|
$9,761.50
|
$19,719.34
|
2026-03-26
|
|
112859
|
LOCAL
|
Kit,combo Dual N8 Or N8/k2
|
19
|
15
|
$25,839.00
|
$20,671.20
20% off
|
$2,196.32
|
$27,274.50
|
$19,755.71
|
2026-03-26
|
|
316
|
MS_DRG
|
Other Circulatory System Diagnoses Without Cc/mcc
|
15
|
11
|
$27,371.22
|
$21,896.98
|
$1,950.00
|
$27,371.22
|
$19,850.32
|
2026-03-26
|
|
368
|
MS_DRG
|
Major Esophageal Disorders With Mcc
|
15
|
11
|
$27,534.17
|
$22,027.34
|
$1,950.00
|
$27,534.17
|
$19,966.38
|
2026-03-26
|
|
941
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…
|
15
|
11
|
$27,611.03
|
$22,088.82
20% off
|
$2,850.00
|
$27,611.03
|
$20,184.77
|
2026-03-26
|
|
190
|
APR_DRG
|
Acute Myocardial Infarction
|
4
|
4
|
$17,250.95
|
$13,800.76
20% off
|
$20,273.00
|
$20,273.00
|
$20,273.00
|
2026-03-26
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
15
|
11
|
$28,129.12
|
$22,503.30
|
$1,950.00
|
$28,129.12
|
$20,390.15
|
2026-03-26
|
|
141
|
APR_DRG
|
Asthma
|
4
|
4
|
$18,132.60
|
$14,506.08
|
$20,520.00
|
$20,520.00
|
$20,520.00
|
2026-03-26
|
|
199
|
APR_DRG
|
Hypertension
|
5
|
4
|
$96,533.41
|
$77,226.73
|
$2.19
|
$41,454.00
|
$20,728.10
|
2026-03-26
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
15
|
11
|
$29,307.82
|
$23,446.26
|
$1,950.00
|
$29,307.82
|
$21,229.71
|
2026-03-26
|
|
342
|
APR_DRG
|
Fractures And Dislocations Except Femur, Pelvis And Back
|
4
|
4
|
$19,896.03
|
$15,916.82
20% off
|
$21,231.50
|
$21,231.50
|
$21,231.50
|
2026-03-26
|
|
760
|
MS_DRG
|
Menstrual And Other Female Reproductive System Disorders With Cc/mcc
|
15
|
11
|
$29,313.12
|
$23,450.50
|
$1,950.00
|
$29,313.12
|
$21,233.48
|
2026-03-26
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
15
|
11
|
$52,018.45
|
$41,614.76
|
$1,950.00
|
$52,018.45
|
$21,281.02
|
2026-03-26
|
|
841
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Cc
|
15
|
11
|
$29,576.09
|
$23,660.87
20% off
|
$1,950.00
|
$29,576.09
|
$21,420.79
|
2026-03-26
|
|
399
|
MS_DRG
|
Appendix Procedures Without Cc/mcc
|
15
|
11
|
$29,632.10
|
$23,705.68
|
$2,850.00
|
$29,632.10
|
$21,624.32
|
2026-03-26
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
22
|
11
|
$63,497.19
|
$50,797.75
20% off
|
$1,950.00
|
$63,497.19
|
$21,674.58
|
2026-03-26
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
15
|
11
|
$30,236.85
|
$24,189.48
20% off
|
$1,950.00
|
$30,236.85
|
$21,891.43
|
2026-03-26
|
|
395
|
MS_DRG
|
Other Digestive System Diagnoses Without Cc/mcc
|
15
|
11
|
$30,672.49
|
$24,537.99
20% off
|
$1,950.00
|
$30,672.49
|
$22,201.72
|
2026-03-26
|
|
815
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Cc
|
15
|
11
|
$30,743.83
|
$24,595.06
20% off
|
$1,950.00
|
$30,743.83
|
$22,252.54
|
2026-03-26
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without Mcc
|
22
|
11
|
$29,225.32
|
$23,380.25
20% off
|
$1,950.00
|
$29,225.32
|
$22,261.76
|
2026-03-26
|
|
J3370
|
HCPCS
|
Vancomycin In 0.9 % Sodium Chl 1 Gram/200 Ml IV Pgbk [165040]
|
189
|
15
|
$1,185.74
|
$948.59
20% off
|
$0.20
|
$1,267.00
|
$22,313.99
|
2026-03-26
|
|
C1722
|
HCPCS
|
Walker, Air Vectra Tall Small
|
330
|
15
|
$44,280.00
|
$35,424.00
20% off
|
$23.93
|
$44,280.00
|
$22,619.83
|
2026-03-26
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
15
|
11
|
$80,472.71
|
$64,378.17
|
$1,950.00
|
$80,472.71
|
$22,901.46
|
2026-03-26
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
15
|
11
|
$31,714.23
|
$25,371.38
20% off
|
$1,950.00
|
$31,714.23
|
$22,943.73
|
2026-03-26
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
15
|
11
|
$77,217.44
|
$61,773.95
20% off
|
$2,850.00
|
$77,217.44
|
$22,961.99
|
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
|
2026-03-26
|
|
C1721
|
HCPCS
|
System, Dc Virtuoso Ii Dr Defb
|
269
|
15
|
$48,600.00
|
$38,880.00
20% off
|
$1,778.07
|
$48,600.00
|
$23,291.36
|
2026-03-26
|
|
102092
|
LOCAL
|
Kit, Wavewriter Alpha 16ipg
|
19
|
15
|
$30,450.00
|
$24,360.00
20% off
|
$2,588.25
|
$34,560.00
|
$23,583.43
|
2026-03-26
|
|
809
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
15
|
11
|
$32,721.29
|
$26,177.03
20% off
|
$1,950.00
|
$32,721.29
|
$23,661.03
|
2026-03-26
|
|
J0670
|
HCPCS
|
Mepivacaine (pf) 20 Mg/ml (2 %) Inj Soln [105638]
|
29
|
15
|
$35.13
|
$28.10
20% off
|
$1.39
|
$454.00
|
$23,708.28
|
2026-03-26
|
|
951
|
MS_DRG
|
Other Factors Influencing Health Status
|
15
|
11
|
$33,065.32
|
$26,452.26
|
$1,950.00
|
$33,065.32
|
$23,906.07
|
2026-03-26
|
|
386
|
MS_DRG
|
Inflammatory Bowel Disease With Cc
|
15
|
11
|
$33,129.38
|
$26,503.50
20% off
|
$1,950.00
|
$33,129.38
|
$23,951.70
|
2026-03-26
|
|
501
|
MS_DRG
|
Soft Tissue Procedures With Cc
|
15
|
11
|
$33,044.61
|
$26,435.69
|
$2,850.00
|
$33,044.61
|
$24,054.96
|
2026-03-26
|
|
240
|
APR_DRG
|
Digestive Malignancy
|
5
|
4
|
$77,881.82
|
$62,305.46
|
$2.10
|
$48,206.00
|
$24,104.05
|
2026-03-26
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
15
|
11
|
$33,540.01
|
$26,832.00
20% off
|
$1,950.00
|
$33,540.01
|
$24,244.18
|
2026-03-26
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
22
|
11
|
$64,542.76
|
$51,634.21
|
$1,950.00
|
$64,542.76
|
$24,290.51
|
2026-03-26
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
15
|
11
|
$34,330.11
|
$27,464.08
20% off
|
$1,950.00
|
$34,330.11
|
$24,806.95
|
2026-03-26
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
22
|
11
|
$35,183.90
|
$28,147.12
20% off
|
$1,950.00
|
$35,183.90
|
$25,029.03
|
2026-03-26
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With Mcc
|
15
|
11
|
$34,739.73
|
$27,791.78
20% off
|
$1,950.00
|
$34,739.73
|
$25,098.71
|
2026-03-26
|
|
247
|
APR_DRG
|
Intestinal Obstruction
|
5
|
4
|
$24,898.84
|
$19,919.07
20% off
|
$25,576.22
|
$25,576.22
|
$25,576.22
|
2026-03-26
|
|
71
|
MS_DRG
|
Nonspecific Cerebrovascular Disorders With Cc
|
15
|
11
|
$35,434.58
|
$28,347.66
20% off
|
$1,950.00
|
$35,434.58
|
$25,593.63
|
2026-03-26
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
15
|
11
|
$35,546.12
|
$28,436.90
|
$2,850.00
|
$35,546.12
|
$25,836.71
|
2026-03-26
|
|
C1892
|
HCPCS
|
Sheath, Safesheath Ii 9.5fr Sp
|
107
|
15
|
$2,927.00
|
$2,341.60
20% off
|
$22.10
|
$6,840.00
|
$25,931.31
|
2026-03-26
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
22
|
11
|
$37,539.90
|
$30,031.92
20% off
|
$1,950.00
|
$37,539.90
|
$26,100.72
|
2026-03-26
|
|
254
|
APR_DRG
|
Other Digestive System Diagnoses
|
5
|
4
|
$22,452.69
|
$17,962.15
20% off
|
$20,520.00
|
$31,860.00
|
$26,190.00
|
2026-03-26
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
15
|
11
|
$132,612.12
|
$106,089.70
|
$2,850.00
|
$132,612.12
|
$26,213.61
|
2026-03-26
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
15
|
11
|
$36,325.44
|
$29,060.35
20% off
|
$2,850.00
|
$36,325.44
|
$26,391.80
|
2026-03-26
|
|
64500
|
LOCAL
|
Stimulator, Spinal Proclaim 7
|
19
|
15
|
$35,051.00
|
$28,040.80
20% off
|
$2,979.34
|
$35,051.00
|
$26,555.51
|
2026-03-26
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
15
|
11
|
$37,124.66
|
$29,699.73
|
$1,950.00
|
$37,124.66
|
$26,797.43
|
2026-03-26
|
|
644
|
MS_DRG
|
Endocrine Disorders With Cc
|
15
|
11
|
$37,387.63
|
$29,910.11
|
$1,950.00
|
$37,387.63
|
$26,984.73
|
2026-03-26
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
15
|
11
|
$37,710.26
|
$30,168.20
20% off
|
$2,850.00
|
$37,710.26
|
$26,998.41
|
2026-03-26
|
|
384
|
APR_DRG
|
Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue
|
4
|
4
|
$25,287.62
|
$20,230.10
|
$27,000.00
|
$27,000.00
|
$27,000.00
|
2026-03-26
|
|
642
|
MS_DRG
|
Inborn And Other Disorders Of Metabolism
|
15
|
11
|
$37,656.88
|
$30,125.50
20% off
|
$1,950.00
|
$37,656.88
|
$27,176.51
|
2026-03-26
|
|
C1605
|
HCPCS
|
Pacemaker, Aveir Leadless Rv
|
41
|
15
|
$55,620.00
|
$44,496.00
20% off
|
$1,652.40
|
$55,620.00
|
$27,195.08
|
2026-03-26
|
|
304
|
MS_DRG
|
Hypertension With Mcc
|
15
|
11
|
$38,372.01
|
$30,697.60
20% off
|
$1,950.00
|
$38,372.01
|
$27,685.88
|
2026-03-26
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/mcc
|
15
|
11
|
$37,976.44
|
$30,381.15
20% off
|
$2,850.00
|
$37,976.44
|
$27,963.22
|
2026-03-26
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses With Cc
|
15
|
11
|
$38,765.61
|
$31,012.49
|
$1,950.00
|
$38,765.61
|
$27,966.23
|
2026-03-26
|
|
535
|
MS_DRG
|
Fractures Of Hip And Pelvis With Mcc
|
15
|
11
|
$53,779.87
|
$43,023.90
|
$1,950.00
|
$53,779.87
|
$27,998.94
|
2026-03-26
|
|
234
|
APR_DRG
|
Appendectomy Without Complex Principal Diagnosis
|
4
|
4
|
$26,405.25
|
$21,124.20
20% off
|
$28,080.00
|
$28,080.00
|
$28,080.00
|
2026-03-26
|
|
787
|
MS_DRG
|
Cesarean Section Without Sterilization With Cc
|
15
|
11
|
$38,284.06
|
$30,627.25
|
$2,850.00
|
$38,284.06
|
$28,182.33
|
2026-03-26
|
|
342
|
MS_DRG
|
Appendix Procedures With Cc
|
22
|
11
|
$43,112.41
|
$34,489.93
|
$1,950.00
|
$43,112.41
|
$28,528.74
|
2026-03-26
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc
|
15
|
11
|
$40,414.50
|
$32,331.60
20% off
|
$1,950.00
|
$40,414.50
|
$29,140.69
|
2026-03-26
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
22
|
11
|
$122,304.46
|
$97,843.57
|
$2,850.00
|
$122,304.46
|
$29,374.24
|
2026-03-26
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
15
|
11
|
$40,864.36
|
$32,691.49
|
$1,950.00
|
$40,864.36
|
$29,461.11
|
2026-03-26
|
|
230
|
APR_DRG
|
Major Small Bowel Procedures
|
5
|
4
|
$43,499.69
|
$34,799.75
20% off
|
$0.50
|
$0.50
|
$29,608.21
|
2026-03-26
|
|
41
|
MS_DRG
|
Peripheral
|
15
|
11
|
$40,873.09
|
$32,698.47
20% off
|
$2,850.00
|
$40,873.09
|
$29,630.97
|
2026-03-26
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
15
|
11
|
$41,278.33
|
$33,022.66
20% off
|
$1,950.00
|
$41,278.33
|
$29,755.97
|
2026-03-26
|
|
785
|
MS_DRG
|
Cesarean Section With Sterilization Without Cc/mcc
|
15
|
11
|
$40,597.94
|
$32,478.35
20% off
|
$2,850.00
|
$40,597.94
|
$29,830.44
|
2026-03-26
|
|
607
|
MS_DRG
|
Minor Skin Disorders Without Mcc
|
15
|
11
|
$41,564.45
|
$33,251.56
20% off
|
$1,950.00
|
$41,564.45
|
$29,959.77
|
2026-03-26
|
|
C1776
|
HCPCS
|
Wire, Plate Reduction 150mm
|
11,715
|
15
|
$34,906.00
|
$27,924.80
20% off
|
$4.91
|
$34,906.00
|
$30,055.00
|
2026-03-26
|
|
346
|
MS_DRG
|
Minor Small And Large Bowel Procedures Without Cc/mcc
|
15
|
11
|
$41,470.45
|
$33,176.36
|
$2,850.00
|
$41,470.45
|
$30,056.45
|
2026-03-26
|
|
248
|
APR_DRG
|
Major Gastrointestinal And Peritoneal Infections
|
4
|
4
|
$28,766.36
|
$23,013.09
|
$30,450.00
|
$30,450.00
|
$30,450.00
|
2026-03-26
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
15
|
11
|
$42,273.57
|
$33,818.86
|
$1,950.00
|
$42,273.57
|
$30,464.86
|
2026-03-26
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
15
|
11
|
$42,264.33
|
$33,811.46
20% off
|
$2,850.00
|
$42,264.33
|
$30,621.91
|
2026-03-26
|
|
864
|
MS_DRG
|
Fever And Inflammatory Conditions
|
15
|
11
|
$42,546.25
|
$34,037.00
20% off
|
$1,950.00
|
$42,546.25
|
$30,659.08
|
2026-03-26
|
|
253
|
APR_DRG
|
Other And Unspecified Gastrointestinal Hemorrhage
|
5
|
4
|
$48,045.65
|
$38,436.52
20% off
|
$30,780.00
|
$30,780.00
|
$30,780.00
|
2026-03-26
|
|
768
|
MS_DRG
|
Vaginal Delivery With O.r. Procedures Except Sterilization And/or Dc
|
23
|
11
|
$55,245.18
|
$44,196.14
20% off
|
$2,850.00
|
$55,245.18
|
$30,915.86
|
2026-03-26
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
22
|
11
|
$49,257.62
|
$39,406.10
|
$1,950.00
|
$49,257.62
|
$31,032.34
|
2026-03-26
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
15
|
11
|
$43,680.95
|
$34,944.76
|
$1,950.00
|
$43,680.95
|
$31,467.30
|
2026-03-26
|
|
39
|
MS_DRG
|
Extracranial Procedures Without Cc/mcc
|
15
|
11
|
$43,634.74
|
$34,907.79
20% off
|
$2,850.00
|
$43,634.74
|
$31,598.02
|
2026-03-26
|
|
593
|
MS_DRG
|
Skin Ulcers With Cc
|
15
|
11
|
$44,149.47
|
$35,319.58
|
$1,950.00
|
$44,149.47
|
$31,801.01
|
2026-03-26
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
15
|
11
|
$43,944.18
|
$35,155.34
20% off
|
$2,850.00
|
$43,944.18
|
$31,818.42
|
2026-03-26
|
|
660
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
4
|
4
|
$29,836.05
|
$23,868.84
20% off
|
$31,981.50
|
$31,981.50
|
$31,981.50
|
2026-03-26
|
|
184
|
MS_DRG
|
Major Chest Trauma With Cc
|
15
|
11
|
$45,415.32
|
$36,332.26
|
$1,950.00
|
$45,415.32
|
$32,702.64
|
2026-03-26
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
15
|
11
|
$45,865.49
|
$36,692.39
20% off
|
$2,850.00
|
$45,865.49
|
$33,186.92
|
2026-03-26
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
15
|
11
|
$47,277.51
|
$37,822.01
|
$1,950.00
|
$47,277.51
|
$34,029.03
|
2026-03-26
|
|
843
|
MS_DRG
|
Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…
|
15
|
11
|
$47,286.97
|
$37,829.57
20% off
|
$1,950.00
|
$47,286.97
|
$34,035.76
|
2026-03-26
|
|
920
|
MS_DRG
|
Complications Of Treatment With Cc
|
15
|
11
|
$47,463.68
|
$37,970.94
20% off
|
$1,950.00
|
$47,463.68
|
$34,161.63
|
2026-03-26
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
15
|
11
|
$47,475.33
|
$37,980.26
20% off
|
$1,950.00
|
$47,475.33
|
$34,169.93
|
2026-03-26
|
|
662
|
APR_DRG
|
Sickle Cell Anemia Crisis
|
5
|
4
|
$30,620.83
|
$24,496.66
20% off
|
$35,051.00
|
$35,051.00
|
$35,051.00
|
2026-03-26
|
|
542
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
15
|
11
|
$49,295.38
|
$39,436.30
20% off
|
$1,950.00
|
$49,295.38
|
$35,466.30
|
2026-03-26
|
|
351
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses
|
5
|
4
|
$30,787.63
|
$24,630.10
20% off
|
$35,560.50
|
$35,560.50
|
$35,560.50
|
2026-03-26
|
|
C1767
|
HCPCS
|
Kit, Wavewriter Alpha 32 Ipg
|
46
|
15
|
$73,967.50
|
$59,174.00
20% off
|
$2,476.86
|
$73,967.50
|
$35,607.77
|
2026-03-26
|
|
517
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc…
|
15
|
11
|
$49,572.54
|
$39,658.03
20% off
|
$1,950.00
|
$49,572.54
|
$35,745.53
|
2026-03-26
|
|
505
|
MS_DRG
|
Foot Procedures Without Cc/mcc
|
15
|
11
|
$50,714.29
|
$40,571.43
20% off
|
$1,950.00
|
$50,714.29
|
$36,558.77
|
2026-03-26
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
15
|
11
|
$50,821.22
|
$40,656.98
|
$1,950.00
|
$50,821.22
|
$36,634.93
|
2026-03-26
|
|
724
|
APR_DRG
|
Other Infectious And Parasitic Diseases
|
4
|
4
|
$31,324.75
|
$25,059.80
20% off
|
$36,709.50
|
$36,709.50
|
$36,709.50
|
2026-03-26
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
15
|
11
|
$51,449.55
|
$41,159.64
20% off
|
$1,950.00
|
$51,449.55
|
$37,000.66
|
2026-03-26
|
|
244
|
APR_DRG
|
Diverticulitis And Diverticulosis
|
5
|
4
|
$33,669.69
|
$26,935.75
20% off
|
$37,318.57
|
$37,318.57
|
$37,318.57
|
2026-03-26
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
15
|
11
|
$33,142.86
|
$26,514.29
|
$1,950.00
|
$33,142.86
|
$37,684.38
|
2026-03-26
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
15
|
11
|
$52,744.11
|
$42,195.29
|
$1,950.00
|
$52,744.11
|
$37,922.74
|
2026-03-26
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
15
|
11
|
$62,049.75
|
$49,639.80
|
$2,850.00
|
$62,049.75
|
$38,044.43
|
2026-03-26
|
|
645
|
MS_DRG
|
Endocrine Disorders Without Cc/mcc
|
15
|
11
|
$53,042.85
|
$42,434.28
20% off
|
$1,950.00
|
$53,042.85
|
$38,135.52
|
2026-03-26
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
15
|
11
|
$53,922.31
|
$43,137.85
|
$1,950.00
|
$53,922.31
|
$38,843.75
|
2026-03-26
|
|
186
|
MS_DRG
|
Pleural Effusion With Mcc
|
15
|
11
|
$54,101.41
|
$43,281.13
|
$1,950.00
|
$54,101.41
|
$38,889.51
|
2026-03-26
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
15
|
11
|
$54,276.00
|
$43,420.80
|
$1,950.00
|
$54,276.00
|
$39,095.68
|
2026-03-26
|
|
983
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
15
|
11
|
$54,484.65
|
$43,587.72
20% off
|
$1,950.00
|
$54,484.65
|
$39,244.29
|
2026-03-26
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
15
|
11
|
$54,687.82
|
$43,750.26
|
$1,950.00
|
$54,687.82
|
$39,307.19
|
2026-03-26
|
|
J1580
|
HCPCS
|
Gentamicin Sulfate (ped) (pf) 20 Mg/2 Ml Inj Soln [3425]
|
119
|
15
|
$102.26
|
$81.81
|
$1.22
|
$885.50
|
$39,314.97
|
2026-03-26
|
|
31399
|
LOCAL
|
System, Crt Concertoii Defib
|
19
|
15
|
$52,200.00
|
$41,760.00
20% off
|
$4,437.00
|
$52,200.00
|
$39,548.03
|
2026-03-26
|
|
508
|
MS_DRG
|
Major Shoulder Or Elbow Joint Procedures Without Cc/mcc
|
15
|
11
|
$55,139.17
|
$44,111.34
|
$1,950.00
|
$55,139.17
|
$39,710.49
|
2026-03-26
|
|
913
|
MS_DRG
|
Traumatic Injury With Mcc
|
15
|
11
|
$55,606.05
|
$44,484.84
20% off
|
$1,950.00
|
$55,606.05
|
$39,961.22
|
2026-03-26
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
15
|
11
|
$56,039.99
|
$44,831.99
20% off
|
$1,950.00
|
$56,039.99
|
$40,352.12
|
2026-03-26
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
15
|
11
|
$145,204.93
|
$116,163.95
|
$1,950.00
|
$145,204.93
|
$40,708.34
|
2026-03-26
|
|
660
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Cc
|
15
|
11
|
$57,466.10
|
$45,972.88
20% off
|
$1,950.00
|
$57,466.10
|
$41,367.90
|
2026-03-26
|
|
339
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Cc
|
15
|
11
|
$58,552.18
|
$46,841.74
20% off
|
$1,950.00
|
$58,552.18
|
$42,059.67
|
2026-03-26
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
15
|
11
|
$52,414.61
|
$41,931.69
|
$1,950.00
|
$52,414.61
|
$42,275.74
|
2026-03-26
|
|
101
|
MS_DRG
|
Seizures Without Mcc
|
15
|
11
|
$59,179.55
|
$47,343.64
20% off
|
$1,950.00
|
$59,179.55
|
$42,506.53
|
2026-03-26
|
|
42
|
MS_DRG
|
Peripheral
|
15
|
11
|
$59,527.20
|
$47,621.76
|
$1,950.00
|
$59,527.20
|
$42,835.96
|
2026-03-26
|
|
349
|
MS_DRG
|
Anal And Stomal Procedures Without Cc/mcc
|
15
|
11
|
$59,819.72
|
$47,855.78
|
$1,950.00
|
$59,819.72
|
$43,044.32
|
2026-03-26
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
15
|
11
|
$59,987.74
|
$47,990.19
20% off
|
$1,950.00
|
$59,987.74
|
$43,082.18
|
2026-03-26
|
|
206
|
MS_DRG
|
Other Respiratory System Diagnoses Without Mcc
|
15
|
11
|
$60,207.29
|
$48,165.83
20% off
|
$1,950.00
|
$60,207.29
|
$43,238.56
|
2026-03-26
|
|
348
|
MS_DRG
|
Anal And Stomal Procedures With Cc
|
15
|
11
|
$60,653.14
|
$48,522.51
20% off
|
$1,950.00
|
$60,653.14
|
$43,637.94
|
2026-03-26
|
|
572
|
MS_DRG
|
Skin Debridement Without Cc/mcc
|
15
|
11
|
$61,418.03
|
$49,134.42
20% off
|
$1,950.00
|
$61,418.03
|
$44,182.75
|
2026-03-26
|
|
81
|
MS_DRG
|
Nontraumatic Stupor And Coma Without Mcc
|
15
|
11
|
$61,631.52
|
$49,305.21
20% off
|
$1,950.00
|
$61,631.52
|
$44,253.00
|
2026-03-26
|
|
62
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
15
|
11
|
$62,449.04
|
$49,959.23
20% off
|
$1,950.00
|
$62,449.04
|
$44,835.29
|
2026-03-26
|
|
769
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses With O.r. Procedures
|
15
|
11
|
$62,750.72
|
$50,200.58
|
$1,950.00
|
$62,750.72
|
$45,131.99
|
2026-03-26
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
15
|
11
|
$58,174.97
|
$46,539.98
|
$1,950.00
|
$58,174.97
|
$46,902.35
|
2026-03-26
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
15
|
11
|
$65,678.53
|
$52,542.82
20% off
|
$1,950.00
|
$65,678.53
|
$47,217.39
|
2026-03-26
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
22
|
11
|
$65,738.64
|
$52,590.91
20% off
|
$1,950.00
|
$65,738.64
|
$47,499.66
|
2026-03-26
|
|
179
|
MS_DRG
|
Respiratory Infections And Inflammations Without Cc/mcc
|
15
|
11
|
$68,784.44
|
$55,027.55
20% off
|
$1,950.00
|
$68,784.44
|
$49,429.64
|
2026-03-26
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
15
|
11
|
$71,605.44
|
$57,284.35
20% off
|
$1,950.00
|
$71,605.44
|
$51,438.97
|
2026-03-26
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
15
|
11
|
$71,698.76
|
$57,359.01
|
$1,950.00
|
$71,698.76
|
$51,505.44
|
2026-03-26
|
|
89
|
MS_DRG
|
Concussion With Cc
|
15
|
11
|
$71,838.92
|
$57,471.14
|
$1,950.00
|
$71,838.92
|
$51,605.27
|
2026-03-26
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
15
|
11
|
$71,935.38
|
$57,548.30
20% off
|
$1,950.00
|
$71,935.38
|
$51,673.97
|
2026-03-26
|
|
565
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
|
15
|
11
|
$72,143.00
|
$57,714.40
20% off
|
$1,950.00
|
$72,143.00
|
$51,740.04
|
2026-03-26
|
|
70
|
MS_DRG
|
Nonspecific Cerebrovascular Disorders With Mcc
|
15
|
11
|
$72,866.51
|
$58,293.21
|
$1,950.00
|
$72,866.51
|
$52,255.37
|
2026-03-26
|
|
C1758
|
HCPCS
|
Stent, Ureteral Cath 6frx70cm
|
311
|
15
|
$3,603.00
|
$2,882.40
20% off
|
$0.43
|
$36,580.00
|
$52,892.16
|
2026-03-26
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
15
|
11
|
$77,089.16
|
$61,671.33
|
$2,850.00
|
$77,089.16
|
$55,426.69
|
2026-03-26
|
|
204
|
APR_DRG
|
Syncope And Collapse
|
4
|
4
|
$36,191.78
|
$28,953.42
20% off
|
$55,620.00
|
$55,620.00
|
$55,620.00
|
2026-03-26
|
|
C2617
|
HCPCS
|
Ureteral Stent 7fr X 22cm
|
298
|
15
|
$7,476.00
|
$5,980.80
20% off
|
$24.74
|
$19,440.00
|
$57,188.23
|
2026-03-26
|
|
183
|
MS_DRG
|
Major Chest Trauma With Mcc
|
15
|
11
|
$80,034.02
|
$64,027.22
|
$1,950.00
|
$80,034.02
|
$57,360.60
|
2026-03-26
|
|
149
|
MS_DRG
|
Dysequilibrium
|
15
|
11
|
$80,537.57
|
$64,430.06
|
$1,950.00
|
$80,537.57
|
$57,801.08
|
2026-03-26
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
15
|
11
|
$81,142.96
|
$64,914.37
|
$1,950.00
|
$81,142.96
|
$58,232.28
|
2026-03-26
|
|
C1769
|
HCPCS
|
Wire, Whisper 180 Cm
|
1,415
|
15
|
$3,997.50
|
$3,198.00
20% off
|
$4.08
|
$49,680.00
|
$58,310.39
|
2026-03-26
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine
|
15
|
11
|
$81,291.19
|
$65,032.95
20% off
|
$1,950.00
|
$81,291.19
|
$58,337.86
|
2026-03-26
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
24
|
11
|
$76,894.34
|
$61,515.47
20% off
|
$1,950.00
|
$76,894.34
|
$60,223.37
|
2026-03-26
|
|
436
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Cc
|
15
|
11
|
$84,752.66
|
$67,802.13
|
$1,950.00
|
$84,752.66
|
$60,721.55
|
2026-03-26
|
|
73
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders With Mcc
|
15
|
11
|
$85,107.43
|
$68,085.94
20% off
|
$1,950.00
|
$85,107.43
|
$61,056.06
|
2026-03-26
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc
|
22
|
11
|
$87,002.72
|
$69,602.18
|
$1,950.00
|
$87,002.72
|
$62,209.99
|
2026-03-26
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
15
|
11
|
$87,566.22
|
$70,052.98
|
$1,950.00
|
$87,566.22
|
$62,807.40
|
2026-03-26
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
15
|
11
|
$88,992.60
|
$71,194.08
20% off
|
$2,850.00
|
$88,992.60
|
$63,905.18
|
2026-03-26
|
|
604
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc
|
15
|
11
|
$89,615.28
|
$71,692.22
20% off
|
$1,950.00
|
$89,615.28
|
$64,266.88
|
2026-03-26
|
|
328
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures Without Cc/mcc
|
15
|
11
|
$91,430.26
|
$73,144.21
|
$1,950.00
|
$91,430.26
|
$65,559.64
|
2026-03-26
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
23
|
11
|
$109,107.45
|
$87,285.96
|
$1,950.00
|
$109,107.45
|
$65,915.07
|
2026-03-26
|
|
813
|
MS_DRG
|
Coagulation Disorders
|
15
|
11
|
$93,806.24
|
$75,044.99
20% off
|
$1,950.00
|
$93,806.24
|
$67,170.17
|
2026-03-26
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
15
|
11
|
$94,735.78
|
$75,788.62
20% off
|
$2,850.00
|
$94,735.78
|
$67,995.89
|
2026-03-26
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
15
|
11
|
$97,721.64
|
$78,177.31
20% off
|
$1,950.00
|
$97,721.64
|
$70,040.82
|
2026-03-26
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
15
|
11
|
$104,482.43
|
$83,585.94
20% off
|
$1,950.00
|
$104,482.43
|
$74,856.35
|
2026-03-26
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
15
|
11
|
$105,589.89
|
$84,471.91
20% off
|
$2,850.00
|
$105,589.89
|
$75,726.98
|
2026-03-26
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
15
|
11
|
$106,347.00
|
$85,077.60
|
$1,950.00
|
$106,347.00
|
$76,184.43
|
2026-03-26
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
15
|
11
|
$102,886.36
|
$82,309.08
20% off
|
$1,950.00
|
$102,886.36
|
$82,813.73
|
2026-03-26
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
15
|
11
|
$118,997.57
|
$95,198.06
|
$2,850.00
|
$118,997.57
|
$85,276.91
|
2026-03-26
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
15
|
11
|
$110,118.67
|
$88,094.94
|
$1,950.00
|
$110,118.67
|
$88,622.59
|
2026-03-26
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
15
|
11
|
$127,736.42
|
$102,189.14
|
$1,950.00
|
$127,736.42
|
$91,337.72
|
2026-03-26
|
|
562
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
15
|
11
|
$128,646.35
|
$102,917.08
20% off
|
$1,950.00
|
$128,646.35
|
$92,067.65
|
2026-03-26
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
15
|
11
|
$151,803.41
|
$121,442.73
|
$2,850.00
|
$151,803.41
|
$108,643.61
|
2026-03-26
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
15
|
11
|
$187,886.94
|
$150,309.55
20% off
|
$2,850.00
|
$187,886.94
|
$134,344.93
|
2026-03-26
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
15
|
11
|
$188,477.82
|
$150,782.26
|
$2,850.00
|
$188,477.82
|
$134,765.79
|
2026-03-26
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
15
|
11
|
$201,843.05
|
$161,474.44
|
$2,850.00
|
$201,843.05
|
$144,285.48
|
2026-03-26
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
15
|
11
|
$219,256.92
|
$175,405.53
20% off
|
$1,950.00
|
$219,256.92
|
$156,607.09
|
2026-03-26
|
|
83
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Cc
|
15
|
11
|
$236,239.70
|
$188,991.76
20% off
|
$1,950.00
|
$236,239.70
|
$168,621.64
|
2026-03-26
|