Hospital

SHERIDAN MEMORIAL HOSPITAL

Sheridan, WY · CCN 530006 · Rates published

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You selected 470 (MS_DRG)

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

This hospital’s price: $14,200 across 1 payer

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSMHSHERIDANWY&type=CDMWithoutLabel&fileType=CSV · observed 2026-07-08

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.

4,991 distinct procedures filed

17 distinct payers

129,694 rate rows

2026-07-08 last MRF observed

Data quality

126,901 of 129,694 rate rows are consumer-grade (97.8%)

2,793 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 — reason	Rows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	2,318
percent-of-charges filed in the dollar field — excluded from medians	420
per-diem day rate — not a per-procedure price	38
exceeds 10× this hospital's gross charge — excluded from medians	13
exceeds 3× this hospital's gross charge for a DRG stay — excluded	4

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSMHSHERIDANWY&type=CDMWithoutLabel&fileType=CSV
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-14
Content fingerprint	7186ce2c6131ea2d… · 75,397,253 bytes · first seen 2026-07-17

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
742 MS_DRG	Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc	16	$13,507.47	$282,047.58	$278,974.74	nat. median $18,578 outlier · 15.0×
472 MS_DRG	Cervical Spinal Fusion With Cc	16	$21,688.66	$200,284.18	$198,102.14	nat. median $29,471 outlier · 6.7×
454 MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc	16	$45,027.10	$169,053.50	$167,211.71	nat. median $57,648 outlier · 2.9×
455 MS_DRG	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	16	$33,905.60	$150,423.48	$148,784.65	nat. median $46,399 outlier · 3.2×
460 MS_DRG	Spinal Fusion Except Cervical Without Mcc	16	$26,928.80	$125,745.75	$124,375.79	nat. median $37,051 outlier · 3.4×
517 MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc…	16	$11,312.91	$121,316.66	$119,994.95	nat. median $15,874 outlier · 7.6×
J1823 HCPCS	Injection, Inebilizumab-cdon, 1 Mg	16	$510.65	$246,771.46	$112,897.95	nat. median $818 outlier · 138.1×
270 MS_DRG	Other Major Cardiovascular Procedures With Mcc	16	$38,843.17	$105,333.83	$104,186.25	nat. median $50,808 outlier · 2.1×
853 MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	16	$36,357.08	$88,578.92	$87,613.88	nat. median $47,707 1.8× median
56 MS_DRG	Degenerative Nervous System Disorders With Mcc	15	$17,102.24	$85,138.75	$84,242.56	nat. median $21,951 outlier · 3.8×
813 MS_DRG	Coagulation Disorders	16	$11,228.98	$84,048.21	$83,132.52	nat. median $15,573 outlier · 5.3×
551 MS_DRG	Medical Back Problems With Mcc	15	$12,339.15	$80,449.63	$79,602.79	nat. median $16,668 outlier · 4.8×
602 MS_DRG	Cellulitis With Mcc	15	$10,463.35	$78,439.95	$77,614.26	nat. median $14,706 outlier · 5.3×
355 MS_DRG	Hernia Procedures Except Inguinal And Femoral Without Cc/mcc	16	$9,901.65	$78,233.55	$77,381.21	nat. median $14,075 outlier · 5.5×
74 MS_DRG	Cranial And Peripheral Nerve Disorders Without Mcc	15	$7,588.56	$76,124.50	$75,323.19	nat. median $11,005 outlier · 6.8×
661 MS_DRG	Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc	16	$7,622.43	$73,230.23	$72,432.40	nat. median $11,293 outlier · 6.4×
908 MS_DRG	Other O.r. Procedures For Injuries With Cc	16	$14,688.30	$73,061.08	$72,265.10	nat. median $20,272 outlier · 3.6×
329 MS_DRG	Major Small And Large Bowel Procedures With Mcc	16	$33,838.61	$72,332.57	$71,544.53	nat. median $44,514 1.6× median
483 MS_DRG	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	16	$20,406.23	$69,154.97	$68,401.54	nat. median $26,451 outlier · 2.6×
467 MS_DRG	Revision Of Hip Or Knee Replacement With Cc	16	$25,962.19	$69,144.11	$68,390.80	nat. median $34,366 2.0× median
843 MS_DRG	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…	16	$14,685.36	$64,679.99	$63,975.32	nat. median $19,350 outlier · 3.3×
896 MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc	16	$12,847.11	$64,237.64	$63,537.79	nat. median $16,012 outlier · 4.0×
644 MS_DRG	Endocrine Disorders With Cc	15	$7,545.87	$62,655.49	$61,995.96	nat. median $10,989 outlier · 5.6×
208 MS_DRG	Respiratory System Diagnosis With Ventilator Support <=96 Hours	16	$20,235.43	$61,140.07	$60,473.96	nat. median $26,590 outlier · 2.3×
544 MS_DRG	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…	15	$5,555.23	$59,202.15	$58,578.97	nat. median $8,527 outlier · 6.9×
432 MS_DRG	Cirrhosis And Alcoholic Hepatitis With Mcc	16	$14,489.53	$58,183.08	$57,549.19	nat. median $19,576 outlier · 2.9×
71 MS_DRG	Other Cerebrovascular Disorders With Cc	15	$7,553.23	$57,347.37	$56,743.71	nat. median $11,142 outlier · 5.1×
657 MS_DRG	Kidney And Ureter Procedures For Neoplasm With Cc	16	$13,472.13	$56,401.10	$55,786.63	nat. median $18,829 outlier · 3.0×
251 MS_DRG	Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc	16	$11,002.24	$55,412.17	$54,808.46	nat. median $16,347 outlier · 3.4×
884 MS_DRG	Organic Disturbances And Intellectual Disability	15	$11,844.43	$51,877.89	$51,331.80	nat. median $14,657 outlier · 3.5×
555 MS_DRG	Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc	15	$9,730.85	$50,396.84	$49,866.34	nat. median $13,763 outlier · 3.6×
469 MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	16	$22,329.87	$50,357.27	$49,808.64	nat. median $30,860 1.6× median
J2350 HCPCS	Injection, Ocrelizumab, 1 Mg	16	$60.97	$108,125.70	$49,467.51	nat. median $331 outlier · 149.5×
195 MS_DRG	Simple Pneumonia And Pleurisy Without Cc/mcc	15	$4,626.90	$49,831.59	$49,307.04	nat. median $7,228 outlier · 6.8×
561 MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc	15	$5,918.17	$49,327.09	$48,807.85	nat. median $9,110 outlier · 5.4×
470 MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without…	16	$14,200.21	$46,876.51	$46,365.80	nat. median $19,883 outlier · 2.3×
480 MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	16	$21,439.83	$46,253.70	$45,749.78	nat. median $29,103 1.6× median
521 MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	16	$21,129.90	$45,930.43	$45,430.03	nat. median $28,835 1.6× median
559 MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Mcc	15	$13,729.06	$45,739.07	$45,257.61	nat. median $18,860 outlier · 2.4×
536 MS_DRG	Fractures Of Hip And Pelvis Without Mcc	15	$5,945.41	$45,471.85	$44,993.19	nat. median $8,921 outlier · 5.0×
659 MS_DRG	Kidney And Ureter Procedures For Non-neoplasm With Mcc	16	$18,705.65	$45,151.17	$44,659.26	nat. median $25,230 1.8× median
J0638 HCPCS	Injection, Canakinumab, 1 Mg	16	$156.54	$97,063.80	$44,406.69	nat. median $250 outlier · 177.4×
330 MS_DRG	Major Small And Large Bowel Procedures With Cc	16	$17,647.75	$44,799.79	$44,311.71	nat. median $24,077 1.8× median
658 MS_DRG	Kidney And Ureter Procedures For Neoplasm Without Cc/mcc	16	$11,424.07	$44,219.75	$43,737.98	nat. median $16,124 outlier · 2.7×
494 MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc	16	$14,771.49	$43,620.21	$43,144.98	nat. median $19,602 outlier · 2.2×
478 MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	16	$18,104.19	$41,269.57	$40,819.94	nat. median $23,808 1.7× median
33264 HCPCS	Removal And Replacement Of Multiple Lead Defibrillator	17	$80.00	$45,650.35	$40,652.84	nat. median $31,464 1.3× median
C9608 HCPCS	Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary…	15	$35,611.98	$42,906.00	$39,452.07	nat. median $11,824 outlier · 3.3×
391 MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc	15	$9,337.00	$39,835.21	$39,415.89	nat. median $13,072 outlier · 3.0×
331 MS_DRG	Major Small And Large Bowel Procedures Without Cc/mcc	16	$12,389.21	$39,233.07	$38,805.63	nat. median $17,453 outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 4,991 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

742	MS_DRG	Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc	16	16	$296,892.19	$237,513.75 20% off	$13,507.47	$282,047.58	$278,974.74	2026-07-08
472	MS_DRG	Cervical Spinal Fusion With Cc	16	16	$210,825.45	$168,660.36 20% off	$21,688.66	$200,284.18	$198,102.14	2026-07-08
454	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc	16	16	$177,951.05	$142,360.84	$45,027.10	$169,053.50	$167,211.71	2026-07-08
455	MS_DRG	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	16	16	$158,340.50	$126,672.40 20% off	$33,905.60	$150,423.48	$148,784.65	2026-07-08
460	MS_DRG	Spinal Fusion Except Cervical Without Mcc	16	16	$132,363.95	$105,891.16 20% off	$26,928.80	$125,745.75	$124,375.79	2026-07-08
517	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc…	16	16	$127,701.75	$102,161.40 20% off	$11,312.91	$121,316.66	$119,994.95	2026-07-08
J1823	HCPCS	Injection, Inebilizumab-cdon, 1 Mg	16	16	$123,385.73	$98,708.58 20% off	$510.65	$246,771.46	$112,897.95	2026-07-08
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	16	16	$110,877.72	$88,702.18	$38,843.17	$105,333.83	$104,186.25	2026-07-08
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	16	16	$93,240.97	$74,592.78	$36,357.08	$88,578.92	$87,613.88	2026-07-08
56	MS_DRG	Degenerative Nervous System Disorders With Mcc	15	15	$89,619.74	$71,695.79 20% off	$17,102.24	$85,138.75	$84,242.56	2026-07-08
813	MS_DRG	Coagulation Disorders	16	16	$88,471.80	$70,777.44 20% off	$11,228.98	$84,048.21	$83,132.52	2026-07-08
551	MS_DRG	Medical Back Problems With Mcc	15	15	$84,683.82	$67,747.06	$12,339.15	$80,449.63	$79,602.79	2026-07-08
602	MS_DRG	Cellulitis With Mcc	15	15	$82,568.37	$66,054.69 20% off	$10,463.35	$78,439.95	$77,614.26	2026-07-08
355	MS_DRG	Hernia Procedures Except Inguinal And Femoral Without Cc/mcc	16	16	$82,351.10	$65,880.88 20% off	$9,901.65	$78,233.55	$77,381.21	2026-07-08
74	MS_DRG	Cranial And Peripheral Nerve Disorders Without Mcc	15	15	$80,131.05	$64,104.84 20% off	$7,588.56	$76,124.50	$75,323.19	2026-07-08
661	MS_DRG	Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc	16	16	$77,084.45	$61,667.56 20% off	$7,622.43	$73,230.23	$72,432.40	2026-07-08
908	MS_DRG	Other O.r. Procedures For Injuries With Cc	16	16	$76,906.40	$61,525.12	$14,688.30	$73,061.08	$72,265.10	2026-07-08
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	16	16	$76,139.55	$60,911.64 20% off	$33,838.61	$72,332.57	$71,544.53	2026-07-08
483	MS_DRG	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	16	16	$72,794.70	$58,235.76	$20,406.23	$69,154.97	$68,401.54	2026-07-08
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	16	16	$72,783.28	$58,226.62 20% off	$25,962.19	$69,144.11	$68,390.80	2026-07-08
843	MS_DRG	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…	16	16	$68,084.20	$54,467.36	$14,685.36	$64,679.99	$63,975.32	2026-07-08
896	MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc	16	16	$67,618.57	$54,094.86	$12,847.11	$64,237.64	$63,537.79	2026-07-08
644	MS_DRG	Endocrine Disorders With Cc	15	15	$65,953.15	$52,762.52 20% off	$7,545.87	$62,655.49	$61,995.96	2026-07-08
208	MS_DRG	Respiratory System Diagnosis With Ventilator Support <=96 Hours	16	16	$64,357.97	$51,486.38	$20,235.43	$61,140.07	$60,473.96	2026-07-08
544	MS_DRG	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…	15	15	$62,318.05	$49,854.44 20% off	$5,555.23	$59,202.15	$58,578.97	2026-07-08
432	MS_DRG	Cirrhosis And Alcoholic Hepatitis With Mcc	16	16	$61,245.35	$48,996.28 20% off	$14,489.53	$58,183.08	$57,549.19	2026-07-08
71	MS_DRG	Other Cerebrovascular Disorders With Cc	15	15	$60,365.65	$48,292.52 20% off	$7,553.23	$57,347.37	$56,743.71	2026-07-08
657	MS_DRG	Kidney And Ureter Procedures For Neoplasm With Cc	16	16	$59,369.58	$47,495.67	$13,472.13	$56,401.10	$55,786.63	2026-07-08
251	MS_DRG	Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc	16	16	$58,328.60	$46,662.88 20% off	$11,002.24	$55,412.17	$54,808.46	2026-07-08
884	MS_DRG	Organic Disturbances And Intellectual Disability	15	15	$54,608.30	$43,686.64 20% off	$11,844.43	$51,877.89	$51,331.80	2026-07-08
555	MS_DRG	Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc	15	15	$53,049.30	$42,439.44 20% off	$9,730.85	$50,396.84	$49,866.34	2026-07-08
469	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	16	16	$53,007.65	$42,406.12 20% off	$22,329.87	$50,357.27	$49,808.64	2026-07-08
J2350	HCPCS	Injection, Ocrelizumab, 1 Mg	16	16	$54,062.85	$43,250.28 20% off	$60.97	$108,125.70	$49,467.51	2026-07-08
195	MS_DRG	Simple Pneumonia And Pleurisy Without Cc/mcc	15	15	$52,454.30	$41,963.44 20% off	$4,626.90	$49,831.59	$49,307.04	2026-07-08
561	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc	15	15	$51,923.25	$41,538.60 20% off	$5,918.17	$49,327.09	$48,807.85	2026-07-08
470	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …	16	16	$49,343.69	$39,474.96	$14,200.21	$46,876.51	$46,365.80	2026-07-08
480	MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	16	16	$48,688.11	$38,950.49	$21,439.83	$46,253.70	$45,749.78	2026-07-08
521	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	16	16	$48,347.82	$38,678.26	$21,129.90	$45,930.43	$45,430.03	2026-07-08
559	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Mcc	15	15	$48,146.39	$38,517.11 20% off	$13,729.06	$45,739.07	$45,257.61	2026-07-08
536	MS_DRG	Fractures Of Hip And Pelvis Without Mcc	15	15	$47,865.10	$38,292.08	$5,945.41	$45,471.85	$44,993.19	2026-07-08
659	MS_DRG	Kidney And Ureter Procedures For Non-neoplasm With Mcc	16	16	$47,527.55	$38,022.04 20% off	$18,705.65	$45,151.17	$44,659.26	2026-07-08
J0638	HCPCS	Injection, Canakinumab, 1 Mg	16	16	$48,531.90	$38,825.52 20% off	$156.54	$97,063.80	$44,406.69	2026-07-08
330	MS_DRG	Major Small And Large Bowel Procedures With Cc	16	16	$47,157.68	$37,726.14 20% off	$17,647.75	$44,799.79	$44,311.71	2026-07-08
658	MS_DRG	Kidney And Ureter Procedures For Neoplasm Without Cc/mcc	16	16	$46,547.10	$37,237.68	$11,424.07	$44,219.75	$43,737.98	2026-07-08
494	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc	16	16	$45,916.01	$36,732.81	$14,771.49	$43,620.21	$43,144.98	2026-07-08
478	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	16	16	$43,441.65	$34,753.32 20% off	$18,104.19	$41,269.57	$40,819.94	2026-07-08
33264	HCPCS	Removal And Replacement Of Multiple Lead Defibrillator	26	17	$48,053.00	$38,442.40 20% off	$80.00	$45,650.35	$40,652.84	2026-07-08
C9608	HCPCS	Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary…	15	15	$42,906.00	$34,324.80	$35,611.98	$42,906.00	$39,452.07	2026-07-08
391	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc	15	15	$41,931.80	$33,545.44 20% off	$9,337.00	$39,835.21	$39,415.89	2026-07-08
331	MS_DRG	Major Small And Large Bowel Procedures Without Cc/mcc	16	16	$41,297.97	$33,038.37 20% off	$12,389.21	$39,233.07	$38,805.63	2026-07-08
560	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Cc	15	15	$41,144.27	$32,915.42	$8,290.15	$39,087.06	$38,675.62	2026-07-08
983	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc	16	16	$40,705.30	$32,564.24 20% off	$12,618.16	$38,670.04	$38,248.74	2026-07-08
39	MS_DRG	Extracranial Procedures Without Cc/mcc	16	16	$40,590.66	$32,472.53	$8,653.82	$38,561.13	$38,141.01	2026-07-08
707	MS_DRG	Major Male Pelvic Procedures With Cc/mcc	16	16	$40,175.19	$32,140.15 20% off	$14,725.85	$38,166.43	$37,750.62	2026-07-08
863	MS_DRG	Postoperative And Post-traumatic Infections Without Mcc	15	15	$38,535.50	$30,828.40	$7,346.36	$36,608.73	$36,223.37	2026-07-08
243	MS_DRG	Permanent Cardiac Pacemaker Implant With Cc	16	16	$38,168.45	$30,534.76 20% off	$15,687.30	$36,260.03	$35,864.99	2026-07-08
282	MS_DRG	Acute Myocardial Infarction, Discharged Alive Without Cc/mcc	16	16	$36,465.78	$29,172.62 20% off	$5,323.33	$34,642.49	$34,265.07	2026-07-08
786	MS_DRG	Cesarean Section Without Sterilization With Mcc	16	16	$36,106.87	$28,885.50	$12,143.32	$34,301.53	$33,927.82	2026-07-08
C1721	HCPCS	Cardioverter-defibrillator, Dual Chamber (implantable)	60	15	$36,645.00	$29,316.00 20% off	$21,883.99	$37,585.00	$33,452.10	2026-07-08
J9144	HCPCS	Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj	16	16	$36,328.65	$29,062.92 20% off	$57.05	$72,657.30	$33,240.71	2026-07-08
482	MS_DRG	Hip And Femur Procedures Except Major Joint Without Cc/mcc	16	16	$35,138.28	$28,110.63	$12,007.13	$33,381.37	$33,017.69	2026-07-08
70	MS_DRG	Other Cerebrovascular Disorders With Mcc	15	15	$34,994.13	$27,995.30 20% off	$12,255.96	$33,244.42	$32,894.48	2026-07-08
64	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	16	16	$34,732.14	$27,785.71 20% off	$14,804.62	$32,995.53	$32,636.06	2026-07-08
254	MS_DRG	Other Vascular Procedures Without Cc/mcc	16	16	$34,193.70	$27,354.96	$13,116.55	$32,484.02	$32,130.11	2026-07-08
J1628	HCPCS	Injection, Guselkumab, 1 Mg	16	16	$34,959.50	$27,967.60 20% off	$66.92	$69,919.00	$31,987.94	2026-07-08
72	MS_DRG	Other Cerebrovascular Disorders Without Cc/mcc	15	15	$33,084.75	$26,467.80 20% off	$5,567.01	$31,430.51	$31,099.67	2026-07-08
383	MS_DRG	Uncomplicated Peptic Ulcer With Mcc	15	15	$32,835.30	$26,268.24 20% off	$10,164.46	$31,193.54	$30,865.18	2026-07-08
299	MS_DRG	Peripheral Vascular Disorders With Mcc	15	15	$31,676.95	$25,341.56 20% off	$12,019.64	$30,093.10	$29,776.33	2026-07-08
244	MS_DRG	Permanent Cardiac Pacemaker Implant Without Cc/mcc	16	16	$31,585.50	$25,268.40	$13,306.49	$30,006.23	$29,679.31	2026-07-08
C1722	HCPCS	Cardioverter-defibrillator, Single Chamber (implantable)	45	15	$32,258.00	$25,806.40	$19,698.18	$36,721.00	$29,661.23	2026-07-08
J1932	HCPCS	Injection, Lanreotide, (cipla), 1 Mg	16	16	$32,013.60	$25,610.88	$20.33	$64,027.20	$29,292.44	2026-07-08
33249	HCPCS	Insertion Of Implantable Defibrillator System	26	17	$33,680.00	$26,944.00 20% off	$80.00	$34,345.60	$29,251.08	2026-07-08
549	MS_DRG	Septic Arthritis With Cc	15	15	$30,837.35	$24,669.88	$8,887.19	$29,295.48	$28,987.11	2026-07-08
308	MS_DRG	Cardiac Arrhythmia And Conduction Disorders With Mcc	16	16	$30,344.85	$24,275.88	$8,863.63	$28,827.60	$28,513.53	2026-07-08
548	MS_DRG	Septic Arthritis With Mcc	15	15	$30,032.14	$24,025.71 20% off	$14,214.94	$28,530.53	$28,230.21	2026-07-08
33262	HCPCS	Removal And Replacement Of Single Lead Defibrillator	26	17	$33,049.00	$26,439.20 20% off	$80.00	$31,396.55	$27,959.46	2026-07-08
708	MS_DRG	Major Male Pelvic Procedures Without Cc/mcc	16	16	$29,697.36	$23,757.89	$11,294.50	$28,212.49	$27,905.12	2026-07-08
696	MS_DRG	Kidney And Urinary Tract Signs And Symptoms Without Mcc	15	15	$29,217.05	$23,373.64 20% off	$5,072.29	$27,756.20	$27,464.03	2026-07-08
682	MS_DRG	Renal Failure With Mcc	16	16	$29,054.30	$23,243.44 20% off	$10,902.86	$27,601.59	$27,300.87	2026-07-08
C1882	HCPCS	Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable)	30	15	$30,056.85	$24,045.49	$21,663.00	$34,013.71	$27,165.69	2026-07-08
949	MS_DRG	Aftercare With Cc/mcc	15	15	$28,770.95	$23,016.76 20% off	$8,758.36	$27,332.40	$27,044.69	2026-07-08
287	MS_DRG	Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc	16	16	$28,666.62	$22,933.30	$7,877.88	$27,233.29	$26,936.59	2026-07-08
638	MS_DRG	Diabetes With Cc	16	16	$28,069.87	$22,455.90	$6,597.66	$26,666.38	$26,375.85	2026-07-08
854	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Cc	16	16	$26,738.97	$21,391.17 20% off	$14,709.65	$25,402.02	$25,125.27	2026-07-08
93	MS_DRG	Other Disorders Of Nervous System Without Cc/mcc	15	15	$26,452.35	$21,161.88	$5,862.22	$25,129.73	$24,865.21	2026-07-08
617	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	16	16	$26,309.10	$21,047.28 20% off	$13,768.81	$24,993.65	$24,721.35	2026-07-08
C9604	HCPCS	Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass…	16	16	$27,020.00	$21,616.00 20% off	$12,631.60	$27,020.00	$24,581.44	2026-07-08
C9607	HCPCS	Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary…	16	16	$26,900.00	$21,520.00 20% off	$20,058.40	$26,900.00	$24,472.28	2026-07-08
281	MS_DRG	Acute Myocardial Infarction, Discharged Alive With Cc	16	16	$25,188.01	$20,150.41	$6,766.25	$23,928.61	$23,667.92	2026-07-08
743	MS_DRG	Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc	16	16	$25,051.10	$20,040.88	$9,133.81	$23,798.55	$23,539.26	2026-07-08
J9022	HCPCS	Injection, Atezolizumab, 10 Mg	31	16	$20,787.43	$16,629.94 20% off	$96.55	$56,576.10	$23,479.08	2026-07-08
J9228	HCPCS	Injection, Ipilimumab, 1 Mg	16	16	$25,597.50	$20,478.00 20% off	$190.43	$51,195.00	$23,421.72	2026-07-08
768	MS_DRG	Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c	16	16	$24,872.11	$19,897.69	$7,888.93	$23,628.50	$23,371.07	2026-07-08
J2329	HCPCS	Injection, Ublituximab-xiiy, 1mg	16	16	$25,134.00	$20,107.20 20% off	$72.24	$50,268.00	$22,997.61	2026-07-08
375	MS_DRG	Digestive Malignancy With Cc	15	15	$24,172.60	$19,338.08	$8,904.86	$22,963.97	$22,722.24	2026-07-08
788	MS_DRG	Cesarean Section Without Sterilization Without Cc/mcc	16	16	$24,149.92	$19,319.93 20% off	$7,058.51	$22,942.42	$22,692.47	2026-07-08
J1930	HCPCS	Injection, Lanreotide, 1 Mg	31	16	$11,332.40	$9,065.92	$37.43	$68,846.40	$22,664.80	2026-07-08
J0870	HCPCS	Injection, Imetelstat, 1 Mg	16	16	$24,433.25	$19,546.60 20% off	$59.53	$48,866.50	$22,356.42	2026-07-08
917	MS_DRG	Poisoning And Toxic Effects Of Drugs With Mcc	16	16	$23,680.89	$18,944.71 20% off	$11,546.28	$22,496.85	$22,251.75	2026-07-08
66	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc	16	16	$23,629.83	$18,903.87	$5,038.43	$22,448.34	$22,203.77	2026-07-08
246	MS_DRG	Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…	1	1	—	—	$22,051.60	$22,051.60	$22,051.60	2026-07-08
377	MS_DRG	Gastrointestinal Hemorrhage With Mcc	16	16	$23,410.35	$18,728.28 20% off	$13,457.41	$22,239.84	$21,997.54	2026-07-08
179	MS_DRG	Respiratory Infections And Inflammations Without Cc/mcc	15	15	$23,347.50	$18,678.00 20% off	$5,558.17	$22,180.13	$21,946.65	2026-07-08
787	MS_DRG	Cesarean Section Without Sterilization With Cc	16	16	$23,264.59	$18,611.67 20% off	$8,221.68	$22,101.36	$21,860.57	2026-07-08
698	MS_DRG	Other Kidney And Urinary Tract Diagnoses With Mcc	16	16	$22,757.23	$18,205.78 20% off	$12,179.40	$21,619.37	$21,383.83	2026-07-08
J3380	HCPCS	Injection, Vedolizumab, Intravenous, 1 Mg	16	16	$23,317.68	$18,654.14 20% off	$21.62	$46,635.36	$21,335.67	2026-07-08
378	MS_DRG	Gastrointestinal Hemorrhage With Cc	16	16	$22,669.62	$18,135.70	$7,219.74	$21,536.14	$21,301.51	2026-07-08
J2506	HCPCS	Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg	16	16	$23,104.80	$18,483.84	$143.23	$46,209.60	$21,140.89	2026-07-08
J9301	HCPCS	Injection, Obinutuzumab, 10 Mg	16	16	$22,606.22	$18,084.98	$84.46	$45,212.44	$20,684.69	2026-07-08
J2353	HCPCS	Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg	31	16	$24,885.25	$19,908.20 20% off	$208.10	$49,770.50	$20,654.76	2026-07-08
92	MS_DRG	Other Disorders Of Nervous System With Cc	16	16	$21,505.67	$17,204.54	$7,531.14	$20,430.39	$20,207.81	2026-07-08
945	MS_DRG	Rehabilitation With Cc/mcc	15	15	$21,284.18	$17,027.35	$11,400.51	$20,219.97	$20,007.13	2026-07-08
92943	HCPCS	Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary…	26	17	$23,439.00	$18,751.20	$80.00	$22,267.05	$19,829.40	2026-07-08
785	MS_DRG	Cesarean Section With Sterilization Without Cc/mcc	16	16	$21,009.58	$16,807.66 20% off	$7,051.15	$19,959.10	$19,741.65	2026-07-08
292	MS_DRG	Heart Failure And Shock With Cc	16	16	$20,778.59	$16,622.87 20% off	$6,250.19	$19,739.66	$19,524.60	2026-07-08
J0517	HCPCS	Injection, Benralizumab, 1 Mg	16	16	$21,049.40	$16,839.52 20% off	$165.56	$42,098.80	$19,260.20	2026-07-08
J9309	HCPCS	Injection, Polatuzumab Vedotin-piiq, 1 Mg	31	16	$9,504.85	$7,603.88 20% off	$143.61	$79,635.72	$19,009.70	2026-07-08
808	MS_DRG	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	16	16	$20,043.00	$16,034.40 20% off	$16,254.16	$19,040.85	$18,833.40	2026-07-08
65	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours	16	16	$19,963.31	$15,970.65	$7,437.65	$18,965.14	$18,758.52	2026-07-08
J2323	HCPCS	Injection, Natalizumab, 1 Mg	16	16	$20,490.60	$16,392.48	$24.41	$40,981.20	$18,748.90	2026-07-08
689	MS_DRG	Kidney And Urinary Tract Infections With Mcc	16	16	$19,863.97	$15,891.18	$8,541.92	$18,870.77	$18,665.18	2026-07-08
872	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	16	16	$19,788.65	$15,830.92 20% off	$7,533.35	$18,799.22	$18,594.40	2026-07-08
784	MS_DRG	Cesarean Section With Sterilization With Cc	16	16	$19,128.33	$15,302.67	$7,804.27	$18,171.92	$17,973.94	2026-07-08
832	MS_DRG	Other Antepartum Diagnoses Without O.r. Procedures With Cc	16	16	$18,978.65	$15,182.92 20% off	$5,312.29	$18,029.72	$17,833.29	2026-07-08
315	MS_DRG	Other Circulatory System Diagnoses With Cc	16	16	$18,966.15	$15,172.92 20% off	$7,091.64	$18,017.85	$17,821.54	2026-07-08
639	MS_DRG	Diabetes Without Cc/mcc	16	16	$18,432.16	$14,745.73	$4,573.16	$17,510.55	$17,319.78	2026-07-08
637	MS_DRG	Diabetes With Mcc	16	16	$18,087.76	$14,470.20 20% off	$10,576.73	$17,183.37	$16,996.16	2026-07-08
392	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc	16	16	$17,936.42	$14,349.14	$5,739.27	$17,039.60	$16,853.96	2026-07-08
552	MS_DRG	Medical Back Problems Without Mcc	16	16	$17,754.01	$14,203.21	$7,076.92	$16,866.31	$16,682.56	2026-07-08
660	MS_DRG	Kidney And Ureter Procedures For Non-neoplasm With Cc	16	16	$17,703.05	$14,162.44	$9,730.12	$16,817.90	$16,634.67	2026-07-08
372	MS_DRG	Major Gastrointestinal Disorders And Peritoneal Infections With Cc	16	16	$17,546.87	$14,037.49 20% off	$7,516.42	$16,669.52	$16,487.91	2026-07-08
189	MS_DRG	Pulmonary Edema And Respiratory Failure	16	16	$17,540.34	$14,032.27 20% off	$9,094.79	$16,663.32	$16,481.78	2026-07-08
603	MS_DRG	Cellulitis Without Mcc	16	16	$17,396.93	$13,917.55	$6,411.41	$16,527.09	$16,347.03	2026-07-08
93461	HCPCS	Insertion Of Tube In Right And Left Heart Chambers, Coronary Artery, And Bypass …	26	17	$19,262.00	$15,409.60 20% off	$80.00	$18,298.90	$16,295.65	2026-07-08
194	MS_DRG	Simple Pneumonia And Pleurisy With Cc	16	16	$17,166.70	$13,733.36 20% off	$5,932.89	$16,308.37	$16,130.69	2026-07-08
690	MS_DRG	Kidney And Urinary Tract Infections Without Mcc	16	16	$17,019.06	$13,615.25	$5,959.39	$16,168.10	$15,991.95	2026-07-08
31298	HCPCS	Dilation Of Sphenoid And Frontal Nasal Sinus Using An Endoscope	10	10	$17,757.00	$14,205.60 20% off	$80.00	$16,869.15	$15,981.30	2026-07-08
J0896	HCPCS	Injection, Luspatercept-aamt, 0.25 Mg	31	16	$7,897.27	$6,317.82	$43.51	$40,101.92	$15,794.54	2026-07-08
C9606	HCPCS	Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du…	15	15	$17,000.00	$13,600.00 20% off	$14,110.00	$17,000.00	$15,631.50	2026-07-08
33214	HCPCS	Insertion Of 2 Chamber Pacemaker System	16	16	$17,309.00	$13,847.20	$11,436.50	$16,443.55	$15,578.10	2026-07-08
433	MS_DRG	Cirrhosis And Alcoholic Hepatitis With Cc	16	16	$16,528.65	$13,222.92 20% off	$7,775.55	$15,702.22	$15,531.15	2026-07-08
J9306	HCPCS	Injection, Pertuzumab, 1 Mg	16	16	$16,893.32	$13,514.66	$17.20	$33,786.64	$15,457.39	2026-07-08
486	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Cc	1	1	—	—	$15,394.30	$15,394.30	$15,394.30	2026-07-08
37238	HCPCS	Insertion Of Stent In Vein With Review By Radiologist, Initial Vein	72	17	$16,940.00	$13,552.00 20% off	$80.00	$16,897.65	$15,243.46	2026-07-08
93457	HCPCS	Insertion Of Tube In Right Heart Chambers, Coronary Artery, And Bypass Graft For…	26	17	$17,891.00	$14,312.80 20% off	$80.00	$16,996.45	$15,135.79	2026-07-08
J3101	HCPCS	Injection, Tenecteplase, 1 Mg	16	16	$16,409.43	$13,127.54 20% off	$217.42	$32,818.86	$15,014.63	2026-07-08
389	MS_DRG	Gastrointestinal Obstruction With Cc	16	16	$15,920.80	$12,736.64 20% off	$5,814.37	$15,124.76	$14,959.98	2026-07-08
293	MS_DRG	Heart Failure And Shock Without Cc/mcc	16	16	$15,784.90	$12,627.92 20% off	$4,166.79	$14,995.65	$14,832.27	2026-07-08
812	MS_DRG	Red Blood Cell Disorders Without Mcc	16	16	$15,755.63	$12,604.50 20% off	$6,759.62	$14,967.85	$14,804.78	2026-07-08
33206	HCPCS	Insertion Of Pacemaker And Upper Heart Chamber Electrode	26	17	$17,309.00	$13,847.20	$80.00	$16,443.55	$14,643.42	2026-07-08
33224	HCPCS	Insertion Of Left Lower Heart Electrode And Attachment To Pacemaker Or Defibrill…	26	17	$17,309.00	$13,847.20	$80.00	$16,443.55	$14,643.42	2026-07-08
982	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	16	16	$15,567.39	$12,453.91 20% off	$12,920.93	$18,099.03	$14,633.35	2026-07-08
580	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Cc	16	16	$15,417.15	$12,333.72 20% off	$12,721.23	$14,646.29	$14,486.73	2026-07-08
93456	HCPCS	Insertion Of Tube In Right Heart Chambers And Coronary Artery For Diagnosis With…	26	17	$17,097.00	$13,677.60 20% off	$80.00	$16,242.15	$14,464.06	2026-07-08
43644	HCPCS	Bypass Of Stomach Using An Endoscope	10	10	$16,065.00	$12,852.00 20% off	$80.00	$15,261.75	$14,458.50	2026-07-08
310	MS_DRG	Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc	16	16	$15,362.49	$12,289.99 20% off	$4,167.53	$14,594.36	$14,435.36	2026-07-08
683	MS_DRG	Renal Failure With Cc	16	16	$15,280.08	$12,224.06 20% off	$6,447.48	$14,516.08	$14,357.92	2026-07-08
871	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	1	1	—	—	$14,300.34	$14,300.34	$14,300.34	2026-07-08
793	MS_DRG	Full Term Neonate With Major Problems	16	16	$15,153.82	$12,123.06	$12,577.67	$30,695.84	$14,244.59	2026-07-08
247	MS_DRG	Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc	1	1	—	—	$14,057.40	$14,057.40	$14,057.40	2026-07-08
439	MS_DRG	Disorders Of Pancreas Except Malignancy With Cc	16	16	$14,924.17	$11,939.34	$6,192.76	$14,177.96	$14,023.49	2026-07-08
43845	HCPCS	Partial Removal Of Stomach, Upper Bowel, And Ileum For Weight Loss	10	10	$15,455.00	$12,364.00 20% off	$80.00	$14,682.25	$13,909.50	2026-07-08
Q5111	HCPCS	Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg	16	16	$15,030.00	$12,024.00 20% off	$149.13	$30,060.00	$13,752.45	2026-07-08
894	MS_DRG	Alcohol, Drug Abuse Or Dependence, Left Ama	16	16	$14,515.34	$11,612.27 20% off	$4,541.51	$13,789.58	$13,639.34	2026-07-08
J9271	HCPCS	Injection, Pembrolizumab, 1 Mg	16	16	$14,865.01	$11,892.01	$60.65	$29,730.02	$13,601.49	2026-07-08
J0491	HCPCS	Injection, Anifrolumab-fnia, 1 Mg	16	16	$14,428.88	$11,543.10 20% off	$18.51	$28,857.76	$13,202.42	2026-07-08
687	MS_DRG	Kidney And Urinary Tract Neoplasms With Cc	15	15	$13,992.43	$11,193.94 20% off	$7,713.72	$13,292.80	$13,152.88	2026-07-08
C2621	HCPCS	Pacemaker, Other Than Single Or Dual Chamber (implantable)	15	15	$14,234.50	$11,387.60 20% off	$11,814.64	$14,234.50	$13,088.62	2026-07-08
69705	HCPCS	Dilation Of Canal Between Middle Ear And Throat (eustachian Tube) On One Side Of…	10	10	$14,412.00	$11,529.60 20% off	$80.00	$13,691.40	$12,970.80	2026-07-08
640	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	15	15	$13,701.28	$10,961.02 20% off	$9,832.45	$13,016.21	$12,879.20	2026-07-08
202	MS_DRG	Bronchitis And Asthma With Cc/mcc	16	16	$13,610.66	$10,888.53	$7,149.80	$12,930.13	$12,789.26	2026-07-08
12099296_1	CDM	Vcf Kit	15	15	$14,057.00	$11,245.60 20% off	$11,667.31	$13,354.15	$12,651.30	2026-07-08
37258	HCPCS	Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,…	31	16	$20,586.00	$16,468.80 20% off	$1,121.33	$19,556.70	$12,631.60	2026-07-08
37243	HCPCS	Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist	31	16	$19,688.00	$15,750.40 20% off	$5,446.46	$18,703.60	$12,631.60	2026-07-08
36903	HCPCS	Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Insertion Of Stent…	31	16	$16,940.00	$13,552.00 20% off	$3,468.57	$16,093.00	$12,631.60	2026-07-08
37241	HCPCS	Occlusion Of Vein With Review By Radiologist	31	16	$18,687.00	$14,949.60 20% off	$1,462.46	$17,752.65	$12,631.60	2026-07-08
805	MS_DRG	Vaginal Delivery Without Sterilization Or D&c With Mcc	16	16	$13,294.07	$10,635.26	$7,944.88	$12,629.37	$12,491.78	2026-07-08
C9600	HCPCS	Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit…	16	16	$13,471.00	$10,776.80 20% off	$11,180.93	$13,471.00	$12,457.31	2026-07-08
312	MS_DRG	Syncope And Collapse	16	16	$13,232.12	$10,585.70	$6,416.56	$12,570.52	$12,433.57	2026-07-08
918	MS_DRG	Poisoning And Toxic Effects Of Drugs Without Mcc	16	16	$13,171.78	$10,537.43	$6,309.82	$12,513.19	$12,376.87	2026-07-08
809	MS_DRG	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	16	16	$13,138.42	$10,510.74	$9,319.33	$12,481.50	$12,345.52	2026-07-08
309	MS_DRG	Cardiac Arrhythmia And Conduction Disorders With Cc	16	16	$13,102.22	$10,481.78	$5,416.09	$12,447.11	$12,311.51	2026-07-08
J2182	HCPCS	Injection, Mepolizumab, 1 Mg	16	16	$13,388.45	$10,710.76 20% off	$32.28	$26,776.90	$12,250.44	2026-07-08
125	MS_DRG	Other Disorders Of The Eye Without Mcc	15	15	$13,009.70	$10,407.76 20% off	$5,652.41	$12,359.22	$12,229.12	2026-07-08
J9354	HCPCS	Injection, Ado-trastuzumab Emtansine, 1 Mg	31	16	$8,484.34	$6,787.47 20% off	$43.63	$29,265.96	$12,145.37	2026-07-08
33235	HCPCS	Removal Of Dual Electrodes From Right Heart	26	17	$14,320.00	$11,456.00 20% off	$80.00	$13,604.00	$12,114.72	2026-07-08
390	MS_DRG	Gastrointestinal Obstruction Without Cc/mcc	16	16	$12,873.12	$10,298.50	$4,004.83	$12,229.47	$12,096.22	2026-07-08
C9605	HCPCS	Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass…	15	15	$13,123.00	$10,498.40 20% off	$10,892.09	$13,123.00	$12,066.60	2026-07-08
394	MS_DRG	Other Digestive System Diagnoses With Cc	16	16	$12,677.02	$10,141.62	$6,888.46	$12,043.17	$11,911.97	2026-07-08
280	MS_DRG	Acute Myocardial Infarction, Discharged Alive With Mcc	1	1	—	—	$11,809.10	$11,809.10	$11,809.10	2026-07-08
43848	HCPCS	Revision Of Upper Stomach Bypass	10	10	$12,849.00	$10,279.20	$80.00	$12,206.55	$11,564.10	2026-07-08
522	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc	16	16	$12,279.68	$9,823.74 20% off	$10,192.13	$15,590.13	$11,542.89	2026-07-08
43773	HCPCS	Replacement Of Stomach Reduction Device Using An Endoscope	10	10	$12,789.00	$10,231.20	$80.00	$12,149.55	$11,510.10	2026-07-08
69706	HCPCS	Dilation Of Canal Between Middle Ear And Throat (eustachian Tube) On Both Sides …	10	10	$12,728.00	$10,182.40 20% off	$80.00	$12,091.60	$11,455.20	2026-07-08
51595	HCPCS	Removal Of Bladder And Lymph Nodes On Both Sides Of Pelvis With Transplantation …	10	10	$12,721.00	$10,176.80 20% off	$80.00	$12,084.95	$11,448.90	2026-07-08
641	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	16	16	$12,169.35	$9,735.48 20% off	$5,728.97	$11,560.88	$11,434.93	2026-07-08
806	MS_DRG	Vaginal Delivery Without Sterilization Or D&c With Cc	16	16	$12,164.37	$9,731.49 20% off	$5,550.81	$11,556.15	$11,430.25	2026-07-08
37184	HCPCS	Primary Removal And Dissolving Of Blood Clot From Artery Or Artery Graft Using F…	31	16	$13,662.00	$10,929.60 20% off	$4,174.07	$20,058.40	$11,339.46	2026-07-08
93453	HCPCS	Insertion Of Tube In Right And Left Heart Chambers For Diagnosis With Review By …	26	17	$13,372.00	$10,697.60 20% off	$80.00	$12,703.40	$11,312.71	2026-07-08
10040643_1	CDM	Kit Vcf Affirm Ultra 15u	15	15	$12,500.00	$10,000.00 20% off	$10,375.00	$11,875.00	$11,250.00	2026-07-08
J1306	HCPCS	Injection, Inclisiran, 1 Mg	16	16	$12,183.56	$9,746.85	$12.91	$24,367.12	$11,147.95	2026-07-08
807	MS_DRG	Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc	16	16	$11,746.86	$9,397.49	$4,963.34	$11,159.52	$11,037.94	2026-07-08
92920	HCPCS	Balloon Dilation Of Single Coronary Artery Or Branch	56	17	$12,965.00	$10,372.00 20% off	$80.00	$12,978.90	$10,968.40	2026-07-08
C1764	HCPCS	Event Recorder, Cardiac (implantable)	30	15	$11,969.17	$9,575.33 20% off	$9,815.02	$12,113.00	$10,949.63	2026-07-08
186	MS_DRG	Pleural Effusion With Mcc	16	16	$11,635.78	$9,308.62 20% off	$9,657.69	$11,473.40	$10,937.63	2026-07-08
11666623_1	CDM	Recorder Loop Reveal Linq	15	15	$12,139.00	$9,711.20	$10,075.37	$11,532.05	$10,925.10	2026-07-08
63087	HCPCS	Removal Of Middle Or Lower Spine Bone With Release Of Spinal Cord Or Nerves, Com…	10	10	$12,003.00	$9,602.40 20% off	$80.00	$11,402.85	$10,802.70	2026-07-08
43770	HCPCS	Insertion Of Adjustable Stomach Reduction Device Using An Endoscope	10	10	$11,988.00	$9,590.40 20% off	$80.00	$11,388.60	$10,789.20	2026-07-08
897	MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	16	16	$11,481.32	$9,185.06	$6,499.01	$10,907.26	$10,788.42	2026-07-08
180	MS_DRG	Respiratory Neoplasms With Mcc	15	15	$11,345.60	$9,076.48 20% off	$9,473.58	$13,000.97	$10,664.86	2026-07-08
C1785	HCPCS	Pacemaker, Dual Chamber, Rate-responsive (implantable)	30	15	$11,400.93	$9,120.74	$9,242.05	$11,666.86	$10,500.17	2026-07-08
22513	HCPCS	Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using…	46	16	$11,531.00	$9,224.80 20% off	$1,303.93	$11,502.60	$10,377.23	2026-07-08
798	MS_DRG	Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc	16	16	$11,040.62	$8,832.49 20% off	$7,046.00	$10,488.59	$10,374.32	2026-07-08
811	MS_DRG	Red Blood Cell Disorders With Mcc	1	1	—	—	$10,338.20	$10,338.20	$10,338.20	2026-07-08
22551	HCPCS	Fusion Of Upper Spine Bone With Removal Of Disc And Release Of Spinal Cord Or Ne…	10	10	$11,369.00	$9,095.20	$80.00	$10,800.55	$10,232.10	2026-07-08
175	MS_DRG	Pulmonary Embolism With Mcc Or Acute Cor Pulmonale	1	1	—	—	$10,112.20	$10,112.20	$10,112.20	2026-07-08
43645	HCPCS	Bypass Of Stomach With Reconstruction Of Small Bowel Using An Endoscope	10	10	$11,163.00	$8,930.40 20% off	$80.00	$10,604.85	$10,046.70	2026-07-08
33229	HCPCS	Removal And Replacement Of Multiple Lead Permanent Pacemaker	26	17	$11,500.00	$9,200.00 20% off	$80.00	$21,076.10	$9,987.75	2026-07-08
300	MS_DRG	Peripheral Vascular Disorders With Cc	15	15	$10,606.20	$8,484.96 20% off	$7,858.74	$10,075.89	$9,969.83	2026-07-08
22857	HCPCS	Insertion Of Artificial Disc Between Bones Of Lower Spine, Single Space	10	10	$11,024.00	$8,819.20	$80.00	$10,472.80	$9,921.60	2026-07-08
539	MS_DRG	Osteomyelitis With Mcc	16	16	$10,493.30	$8,394.64 20% off	$8,709.44	$14,500.58	$9,863.70	2026-07-08
A9572	HCPCS	Indium In-111 Pentetreotide, Diagnostic, Per Study Dose, Up To 6 Millicuries	16	16	$10,866.00	$8,692.80 20% off	$2,000.94	$10,322.70	$9,779.40	2026-07-08
601	MS_DRG	Non-malignant Breast Disorders Without Cc/mcc	16	16	$10,372.75	$8,298.20	$4,453.90	$9,854.11	$9,746.76	2026-07-08
J9173	HCPCS	Injection, Durvalumab, 10 Mg	16	16	$10,641.61	$8,513.29	$87.95	$21,283.22	$9,737.08	2026-07-08
63101	HCPCS	Removal Of Middle Spine Bone With Release Of Spinal Cord And/or Nerves, Lateral …	10	10	$10,817.00	$8,653.60	$80.00	$10,276.15	$9,735.30	2026-07-08
37275	HCPCS	Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas…	31	16	$11,693.00	$9,354.40 20% off	$3,681.88	$20,058.40	$9,705.19	2026-07-08
J0717	HCPCS	Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm…	16	16	$10,565.11	$8,452.09	$3.44	$21,130.22	$9,667.08	2026-07-08
43775	HCPCS	Partial Removal Of Stomach For Weight Loss Using An Endoscope	10	10	$10,656.00	$8,524.80 20% off	$80.00	$10,123.20	$9,590.40	2026-07-08
57	MS_DRG	Degenerative Nervous System Disorders Without Mcc	1	1	—	—	$9,537.97	$9,537.97	$9,537.97	2026-07-08
191	MS_DRG	Chronic Obstructive Pulmonary Disease With Cc	15	15	$10,105.30	$8,084.24	$6,206.01	$9,600.04	$9,498.98	2026-07-08
37267	HCPCS	Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas…	31	16	$11,292.00	$9,033.60	$2,988.00	$12,631.60	$9,372.36	2026-07-08
93454	HCPCS	Insertion Of Tube In Coronary Artery For Diagnosis With Review By Radiologist	26	17	$11,016.00	$8,812.80 20% off	$80.00	$10,465.20	$9,319.53	2026-07-08
93452	HCPCS	Insertion Of Tube In Left Heart Chambers For Diagnosis With Review By Radiologis…	26	17	$10,792.00	$8,633.60	$80.00	$10,252.40	$9,130.03	2026-07-08
33228	HCPCS	Removal And Replacement Of Dual Lead Permanent Pacemaker	26	17	$10,487.00	$8,389.60	$80.00	$11,436.50	$9,107.96	2026-07-08
43620	HCPCS	Removal Of Stomach With Upper Small Bowel Attachment To Esophagus	10	10	$10,097.00	$8,077.60	$80.00	$9,592.15	$9,087.30	2026-07-08
J9177	HCPCS	Injection, Enfortumab Vedotin-ejfv, 0.25 Mg	31	16	$7,969.93	$6,375.94 20% off	$36.66	$21,865.78	$9,074.30	2026-07-08
31296	HCPCS	Dilation Of Frontal Nasal Sinus Using An Endoscope	10	10	$10,013.00	$8,010.40 20% off	$80.00	$9,512.35	$9,011.70	2026-07-08
Q5117	HCPCS	Injection, Trastuzumab-anns, Biosimilar, (kanjinti), 10 Mg	16	16	$9,816.79	$7,853.43 20% off	$60.52	$19,633.58	$8,982.36	2026-07-08
33234	HCPCS	Removal Of Single Electrode From Right Heart	26	17	$10,609.00	$8,487.20	$80.00	$10,078.55	$8,975.22	2026-07-08
43632	HCPCS	Removal Of Lower Part Of Stomach With Reattachment Of Remaining Stomach To Secon…	10	10	$9,918.00	$7,934.40 20% off	$80.00	$9,422.10	$8,926.20	2026-07-08
43846	HCPCS	Bypass Of Stomach For Weight Loss With Roux-en-y Connection Of Upper Bowel To Up…	10	10	$9,847.00	$7,877.60	$80.00	$9,354.65	$8,862.30	2026-07-08
22558	HCPCS	Fusion Of Lower Spine Bone Through Abdomen With Partial Removal Of Disc	10	10	$9,725.00	$7,780.00 20% off	$80.00	$9,238.75	$8,752.50	2026-07-08
58210	HCPCS	Removal Of Uterus, Cervix, And Lymph Nodes Of Pelvis With Biopsy Of Lymph Nodes …	10	10	$9,702.00	$7,761.60	$80.00	$9,216.90	$8,731.80	2026-07-08
2617969_1	CDM	Room & Board - Private (one Bed) - General Classification	15	15	$9,287.00	$7,429.60	$7,708.21	$8,822.65	$8,729.78	2026-07-08
2617962_1	CDM	Intensive Care Unit - General Classification	15	15	$9,287.00	$7,429.60	$7,708.21	$8,822.65	$8,729.78	2026-07-08
33285	HCPCS	Insertion Of Heart Rhythm Monitor Under Skin	26	17	$10,000.00	$8,000.00 20% off	$72.69	$9,500.00	$8,685.00	2026-07-08
92945	HCPCS	Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Single C…	16	16	$9,486.00	$7,588.80 20% off	$7,873.38	$12,631.60	$8,629.89	2026-07-08
44210	HCPCS	Removal Of Large Bowel With Attachment Of Small Bowel To Rectum Or Creation Of S…	10	10	$9,349.00	$7,479.20 20% off	$80.00	$8,881.55	$8,414.10	2026-07-08
Q4150	HCPCS	Allowrap Ds Or Dry, Per Square Centimeter	16	16	$9,186.00	$7,348.80 20% off	$127.26	$18,372.00	$8,405.19	2026-07-08
60254	HCPCS	Removal Of Thyroid And Surrounding Lymph Nodes With Extensive Neck Removal	10	10	$9,286.00	$7,428.80 20% off	$80.00	$8,821.70	$8,357.40	2026-07-08
791	MS_DRG	Prematurity With Major Problems	15	15	$8,821.69	$7,057.35 20% off	$7,322.00	$8,380.60	$8,292.38	2026-07-08
203	MS_DRG	Bronchitis And Asthma Without Cc/mcc	16	16	$8,789.27	$7,031.42	$4,932.42	$8,349.81	$8,258.83	2026-07-08
35141	HCPCS	Repair Of Aneurysm Or Upper Thigh Artery With Graft	10	10	$9,176.00	$7,340.80 20% off	$80.00	$8,717.20	$8,258.40	2026-07-08
190	MS_DRG	Chronic Obstructive Pulmonary Disease With Mcc	1	1	—	—	$8,154.69	$8,154.69	$8,154.69	2026-07-08
33218	HCPCS	Repair Of Electrode For Permanent Pacemaker Or Defibrillator	26	17	$9,547.00	$7,637.60	$80.00	$9,069.65	$8,076.76	2026-07-08
31297	HCPCS	Dilation Of Sphenoid Nasal Sinus Using An Endoscope	10	10	$8,961.00	$7,168.80 20% off	$80.00	$8,512.95	$8,064.90	2026-07-08
24505	HCPCS	Closed Treatment Of Broken Middle Part Of Upper Arm Bone With Manipulation	26	17	$9,381.00	$7,504.80 20% off	$80.00	$8,911.95	$8,062.97	2026-07-08
J9299	HCPCS	Injection, Nivolumab, 1 Mg	61	16	$9,344.78	$7,475.82 20% off	$34.22	$39,009.06	$8,056.03	2026-07-08
92928	HCPCS	Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Single A…	41	17	$8,648.00	$6,918.40 20% off	$80.00	$18,119.35	$8,042.64	2026-07-08
38570	HCPCS	Biopsy And Removal Of Lymph Nodes Of Abdominal Cavity Using An Endoscope	10	10	$8,927.00	$7,141.60	$80.00	$8,480.65	$8,034.30	2026-07-08
33208	HCPCS	Insertion Of Pacemaker And Upper And Lower Heart Chamber Electrode	26	17	$9,119.00	$7,295.20 20% off	$80.00	$11,436.50	$7,919.85	2026-07-08
C1714	HCPCS	Catheter, Transluminal Atherectomy, Directional	15	15	$8,613.00	$6,890.40 20% off	$7,148.79	$8,613.00	$7,919.65	2026-07-08
15734	HCPCS	Creation Of Muscle Graft To Trunk	10	10	$8,762.00	$7,009.60	$80.00	$8,323.90	$7,885.80	2026-07-08
31243	HCPCS	Destruction Of Nasal Nerve By Freezing Using An Endoscope	10	10	$8,758.00	$7,006.40 20% off	$80.00	$8,320.10	$7,882.20	2026-07-08
J9145	HCPCS	Injection, Daratumumab, 10 Mg	16	16	$8,533.75	$6,827.00 20% off	$73.77	$17,067.50	$7,808.39	2026-07-08
33241	HCPCS	Removal Of Defibrillator	26	17	$9,141.00	$7,312.80 20% off	$80.00	$8,683.95	$7,733.29	2026-07-08
61500	HCPCS	Removal Of Growth Of Brain Or Other Growth Of Skull Bone	10	10	$8,569.00	$6,855.20 20% off	$80.00	$8,140.55	$7,712.10	2026-07-08
58565	HCPCS	Placement Of Implants To Block Fallopian Tubes Using An Endoscope	10	10	$8,512.00	$6,809.60	$80.00	$8,086.40	$7,660.80	2026-07-08
12313689_1	CDM	Scissors Monopolar	15	15	$8,400.00	$6,720.00 20% off	$6,972.00	$7,980.00	$7,560.00	2026-07-08
33207	HCPCS	Insertion Of Pacemaker And Lower Heart Chamber Electrode	26	17	$8,700.00	$6,960.00 20% off	$80.00	$11,436.50	$7,555.95	2026-07-08
36905	HCPCS	Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila…	31	16	$9,094.00	$7,275.20 20% off	$3,773.18	$12,631.60	$7,548.02	2026-07-08
177	MS_DRG	Respiratory Infections And Inflammations With Mcc	16	16	$8,011.13	$6,408.90 20% off	$6,649.23	$11,504.32	$7,530.46	2026-07-08
33227	HCPCS	Removal And Replacement Of Single Lead Permanent Pacemaker	26	17	$8,664.00	$6,931.20 20% off	$80.00	$9,054.91	$7,524.68	2026-07-08
35638	HCPCS	Bypass Of Diseased Or Blocked Aorta To Groin To Opposite Groin Artery With Other…	10	10	$8,336.00	$6,668.80 20% off	$80.00	$7,919.20	$7,502.40	2026-07-08
37242	HCPCS	Occlusion Of Artery With Review By Radiologist	31	16	$8,929.00	$7,143.20 20% off	$1,299.78	$20,058.40	$7,411.07	2026-07-08
55866	HCPCS	Surgical Removal Of Prostate And Surrounding Lymph Nodes Using An Endoscope	10	10	$8,153.00	$6,522.40 20% off	$80.00	$7,745.35	$7,337.70	2026-07-08
37288	HCPCS	Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu…	31	16	$8,597.00	$6,877.60	$3,569.83	$20,058.40	$7,135.51	2026-07-08
35206	HCPCS	Repair Of Blood Vessel Of Arm	10	10	$7,898.00	$6,318.40 20% off	$80.00	$7,503.10	$7,108.20	2026-07-08
38562	HCPCS	Partial Removal Of Pelvic And Aortic Lymph Nodes	10	10	$7,877.00	$6,301.60	$80.00	$7,483.15	$7,089.30	2026-07-08
43880	HCPCS	Closure Of Abnormal Drainage Tract From Stomach To Large Bowel	10	10	$7,871.00	$6,296.80 20% off	$80.00	$7,477.45	$7,083.90	2026-07-08
43820	HCPCS	Partial Removal Of Stomach With Attachment Of Stomach To Small Bowel	10	10	$7,857.00	$6,285.60	$80.00	$7,464.15	$7,071.30	2026-07-08
22514	HCPCS	Treatment Of Broken Lower Spine Bone With Placement Of Stabilizing Device	46	16	$7,856.00	$6,284.80 20% off	$1,586.96	$7,939.73	$7,070.40	2026-07-08
26952	HCPCS	Amputation Of Finger Or Thumb With Tissue Flap	26	17	$8,162.00	$6,529.60	$80.00	$7,753.90	$7,015.24	2026-07-08
60502	HCPCS	Removal Or Re-exploration Of Parathyroid Glands	10	10	$7,736.00	$6,188.80 20% off	$80.00	$7,349.20	$6,962.40	2026-07-08
C1777	HCPCS	Lead, Cardioverter-defibrillator, Endocardial Single Coil (implantable)	15	15	$7,571.43	$6,057.14 20% off	$6,284.29	$7,571.43	$6,961.93	2026-07-08
792	MS_DRG	Prematurity Without Major Problems	16	16	$7,375.64	$5,900.51 20% off	$6,121.78	$18,030.57	$6,933.10	2026-07-08
881	MS_DRG	Depressive Neuroses	1	1	—	—	$6,926.74	$6,926.74	$6,926.74	2026-07-08
53415	HCPCS	Reconstruction Or Repair Of Urethra	10	10	$7,692.00	$6,153.60	$80.00	$7,307.40	$6,922.80	2026-07-08
Q5108	HCPCS	Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg	16	16	$7,515.00	$6,012.00 20% off	$67.02	$15,030.00	$6,876.23	2026-07-08
44141	HCPCS	Partial Removal Of Large Bowel With Creation Of Opening To Skin	10	10	$7,638.00	$6,110.40 20% off	$80.00	$7,256.10	$6,874.20	2026-07-08
44144	HCPCS	Partial Removal Of Large Bowel With Creation Of 2 Openings From Small Or Large B…	10	10	$7,610.00	$6,088.00 20% off	$80.00	$7,229.50	$6,849.00	2026-07-08
31295	HCPCS	Dilation Of Nasal Sinus Using An Endoscope	10	10	$7,606.00	$6,084.80 20% off	$80.00	$7,225.70	$6,845.40	2026-07-08
44055	HCPCS	Correction Of Abnormal Rotation Of Small Bowel	10	10	$7,569.00	$6,055.20 20% off	$80.00	$7,190.55	$6,812.10	2026-07-08
C1786	HCPCS	Pacemaker, Single Chamber, Rate-responsive (implantable)	15	15	$7,400.80	$5,920.64 20% off	$6,142.66	$7,400.80	$6,805.04	2026-07-08
50545	HCPCS	Removal Of Kidney And Lymph Nodes Using An Endoscope	10	10	$7,561.00	$6,048.80 20% off	$80.00	$7,182.95	$6,804.90	2026-07-08
J1459	HCPCS	Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui…	61	16	$4,209.34	$3,367.47 20% off	$51.22	$33,780.04	$6,803.27	2026-07-08
37187	HCPCS	Removal And Dissolving Of Blood Clot From Vein Using Fluoroscopic Guidance, Init…	31	16	$8,196.00	$6,556.80 20% off	$3,493.47	$12,631.60	$6,802.68	2026-07-08
50240	HCPCS	Partial Removal Of Kidney	10	10	$7,557.00	$6,045.60	$80.00	$7,179.15	$6,801.30	2026-07-08
93455	HCPCS	Insertion Of Tube In Bypass Graft For Diagnosis With Review By Radiologist	26	17	$7,994.00	$6,395.20 20% off	$80.00	$7,594.30	$6,762.92	2026-07-08
44202	HCPCS	Partial Removal And Reconnection Of Small Bowel Using An Endoscope	10	10	$7,504.00	$6,003.20 20% off	$80.00	$7,128.80	$6,753.60	2026-07-08

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