|
245173
|
CDM
|
Nursery - Newborn - Level Iii
|
6
|
6
|
$2,725.85
|
$1,635.51
40% off
|
$1,771.80
|
$2,316.97
|
$2,276.09
|
2026-02-24
|
|
115120
|
CDM
|
Room & Board - Semi-private (two Beds) - General Classification
|
6
|
6
|
$2,725.85
|
$1,635.51
40% off
|
$1,771.80
|
$2,316.97
|
$2,276.09
|
2026-02-24
|
|
215112
|
CDM
|
Room & Board - Private (one Bed) - Obstetrics (ob)
|
6
|
6
|
$2,725.85
|
$1,635.51
40% off
|
$1,771.80
|
$2,316.97
|
$2,276.09
|
2026-02-24
|
|
115111
|
CDM
|
Room & Board - Private (one Bed) - Medical/surgical/gyn
|
6
|
6
|
$2,725.85
|
$1,635.51
40% off
|
$1,771.80
|
$2,316.97
|
$2,276.09
|
2026-02-24
|
|
215122
|
CDM
|
Room & Board - Semi-private (two Beds) - Obstetrics (ob)
|
6
|
6
|
$2,725.85
|
$1,635.51
40% off
|
$1,771.80
|
$2,316.97
|
$2,276.09
|
2026-02-24
|
|
2811828
|
CDM
|
US-plc Loc Dvce Add
|
6
|
6
|
$2,729.32
|
$1,637.59
40% off
|
$1,774.06
|
$2,319.92
|
$2,278.98
|
2026-02-24
|
|
72193
|
HCPCS
|
CT Scan Of Pelvis With Contrast
|
6
|
6
|
$2,732.59
|
$1,639.55
40% off
|
$1,776.18
|
$2,322.70
|
$2,281.71
|
2026-02-24
|
|
74160
|
HCPCS
|
CT Scan Of Abdomen With Contrast
|
6
|
6
|
$2,733.62
|
$1,640.17
40% off
|
$1,776.85
|
$2,323.58
|
$2,282.57
|
2026-02-24
|
|
C2629
|
HCPCS
|
Introducer/sheath, Other Than Guiding, Other Than Intracardiac Electrophysiologi…
|
6
|
6
|
$2,760.26
|
$1,656.16
40% off
|
$1,794.17
|
$2,346.22
|
$2,304.81
|
2026-02-24
|
|
1110866
|
CDM
|
Operating Room Services - General Classification
|
6
|
6
|
$2,781.00
|
$1,668.60
40% off
|
$1,807.65
|
$2,363.85
|
$2,322.14
|
2026-02-24
|
|
72192
|
HCPCS
|
CT Scan Of Pelvis Without Contrast
|
6
|
6
|
$2,789.24
|
$1,673.54
40% off
|
$1,813.01
|
$2,370.85
|
$2,329.01
|
2026-02-24
|
|
70548
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck With Contrast
|
6
|
6
|
$2,790.91
|
$1,674.55
40% off
|
$1,814.09
|
$2,372.27
|
$2,330.41
|
2026-02-24
|
|
70545
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head With Contrast
|
6
|
6
|
$2,790.91
|
$1,674.55
40% off
|
$1,814.09
|
$2,372.27
|
$2,330.41
|
2026-02-24
|
|
70542
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast
|
6
|
6
|
$2,790.91
|
$1,674.55
40% off
|
$1,814.09
|
$2,372.27
|
$2,330.41
|
2026-02-24
|
|
C8911
|
HCPCS
|
Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Chest…
|
6
|
6
|
$2,790.95
|
$1,674.57
40% off
|
$1,814.12
|
$2,372.31
|
$2,330.44
|
2026-02-24
|
|
93306
|
HCPCS
|
Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…
|
6
|
6
|
$2,854.21
|
$1,712.53
40% off
|
$1,855.24
|
$2,426.08
|
$2,383.26
|
2026-02-24
|
|
81420
|
HCPCS
|
Test For Detecting Genes Associated With Fetal Disease, Aneuploidy Genomic Seque…
|
6
|
6
|
$2,865.73
|
$1,719.44
40% off
|
$1,862.72
|
$2,435.87
|
$2,392.89
|
2026-02-24
|
|
P9033
|
HCPCS
|
Platelets, Leukocytes Reduced, Irradiated, Each Unit
|
6
|
6
|
$2,865.73
|
$1,719.44
40% off
|
$1,862.72
|
$2,435.87
|
$2,392.89
|
2026-02-24
|
|
2811433
|
CDM
|
Operating Room Services - General Classification
|
6
|
6
|
$2,870.71
|
$1,722.43
40% off
|
$1,865.96
|
$2,440.10
|
$2,397.04
|
2026-02-24
|
|
1110821
|
CDM
|
Operating Room Services - General Classification
|
6
|
6
|
$2,893.08
|
$1,735.85
40% off
|
$1,880.50
|
$2,459.12
|
$2,415.72
|
2026-02-24
|
|
1110801
|
CDM
|
Operating Room Services - General Classification
|
6
|
6
|
$2,893.08
|
$1,735.85
40% off
|
$1,880.50
|
$2,459.12
|
$2,415.72
|
2026-02-24
|
|
70450
|
HCPCS
|
CT Scan Head Or Brain Without Contrast
|
6
|
6
|
$2,918.27
|
$1,750.96
40% off
|
$1,896.88
|
$2,480.53
|
$2,436.76
|
2026-02-24
|
|
C1886
|
HCPCS
|
Catheter, Extravascular Tissue Ablation, Any Modality (insertable)
|
6
|
6
|
$2,919.34
|
$1,751.60
40% off
|
$1,897.57
|
$2,481.44
|
$2,437.65
|
2026-02-24
|
|
245191
|
CDM
|
Nursery - Other Nursery
|
6
|
6
|
$2,923.40
|
$1,754.04
40% off
|
$1,900.21
|
$2,484.89
|
$2,441.04
|
2026-02-24
|
|
76380
|
HCPCS
|
Limited Or Follow-up CT Scan
|
6
|
6
|
$2,944.54
|
$1,766.72
40% off
|
$1,913.95
|
$2,502.86
|
$2,458.69
|
2026-02-24
|
|
95783
|
HCPCS
|
Sleep Study In Sleep Lab With Continuous Airway Pressure (younger Than 6 Years)
|
6
|
6
|
$3,016.63
|
$1,809.98
40% off
|
$1,960.81
|
$2,564.14
|
$2,518.89
|
2026-02-24
|
|
1217467
|
CDM
|
Isoproter.2mg/ml 5ml
|
6
|
6
|
$3,095.86
|
$1,857.52
40% off
|
$2,012.31
|
$2,631.48
|
$2,585.05
|
2026-02-24
|
|
794
|
MS_DRG
|
Neonate With Other Significant Problems
|
5
|
5
|
$3,106.86
|
$1,864.12
40% off
|
$2,327.04
|
$2,640.83
|
$2,640.83
|
2026-02-24
|
|
684
|
MS_DRG
|
Renal Failure Without Cc/mcc
|
5
|
5
|
$3,135.74
|
$1,881.44
40% off
|
$2,348.67
|
$2,665.38
|
$2,665.38
|
2026-02-24
|
|
99285
|
HCPCS
|
Emergency Department Visit With High Level Of Medical Decision Making
|
6
|
6
|
$3,151.75
|
$1,891.05
40% off
|
$2,048.64
|
$2,678.99
|
$2,631.72
|
2026-02-24
|
|
70488
|
HCPCS
|
CT Scan Of Face Before And After Contrast
|
6
|
6
|
$3,196.48
|
$1,917.89
40% off
|
$2,077.71
|
$2,717.01
|
$2,669.06
|
2026-02-24
|
|
C8902
|
HCPCS
|
Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Abdom…
|
6
|
6
|
$3,211.99
|
$1,927.19
40% off
|
$2,087.79
|
$2,730.19
|
$2,682.01
|
2026-02-24
|
|
71552
|
HCPCS
|
MRI Scan Of Chest Before And After Contrast
|
6
|
6
|
$3,213.52
|
$1,928.11
40% off
|
$2,088.79
|
$2,731.49
|
$2,683.29
|
2026-02-24
|
|
2811471
|
CDM
|
Operating Room Services - General Classification
|
6
|
6
|
$3,219.15
|
$1,931.49
40% off
|
$2,092.45
|
$2,736.28
|
$2,687.99
|
2026-02-24
|
|
1414507
|
CDM
|
Drill Bit/blade Lvl8
|
6
|
6
|
$3,223.92
|
$1,934.35
40% off
|
$2,095.55
|
$2,740.33
|
$2,691.97
|
2026-02-24
|
|
215206
|
CDM
|
Intensive Care Unit - Intermediate ICU
|
6
|
6
|
$3,242.05
|
$1,945.23
40% off
|
$2,107.33
|
$2,755.74
|
$2,707.11
|
2026-02-24
|
|
225206
|
CDM
|
Intensive Care Unit - Intermediate ICU
|
6
|
6
|
$3,242.05
|
$1,945.23
40% off
|
$2,107.33
|
$2,755.74
|
$2,707.11
|
2026-02-24
|
|
115206
|
CDM
|
Intensive Care Unit - Intermediate ICU
|
6
|
6
|
$3,242.05
|
$1,945.23
40% off
|
$2,107.33
|
$2,755.74
|
$2,707.11
|
2026-02-24
|
|
225207
|
CDM
|
Intensive Care Unit - Intermediate ICU
|
6
|
6
|
$3,242.05
|
$1,945.23
40% off
|
$2,107.33
|
$2,755.74
|
$2,707.11
|
2026-02-24
|
|
315206
|
CDM
|
Intensive Care Unit - Intermediate ICU
|
6
|
6
|
$3,242.05
|
$1,945.23
40% off
|
$2,107.33
|
$2,755.74
|
$2,707.11
|
2026-02-24
|
|
115207
|
CDM
|
Intensive Care Unit - Intermediate ICU
|
6
|
6
|
$3,242.05
|
$1,945.23
40% off
|
$2,107.33
|
$2,755.74
|
$2,707.11
|
2026-02-24
|
|
70549
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Before And After Contrast
|
6
|
6
|
$3,258.45
|
$1,955.07
40% off
|
$2,117.99
|
$2,769.68
|
$2,720.80
|
2026-02-24
|
|
70546
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Before And After Contrast
|
6
|
6
|
$3,258.45
|
$1,955.07
40% off
|
$2,117.99
|
$2,769.68
|
$2,720.80
|
2026-02-24
|
|
72146
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Without Contrast
|
6
|
6
|
$3,304.15
|
$1,982.49
40% off
|
$2,147.70
|
$2,808.53
|
$2,758.97
|
2026-02-24
|
|
153
|
MS_DRG
|
Otitis Media And Uri Without Mcc
|
5
|
5
|
$3,308.25
|
$1,984.95
40% off
|
$2,477.88
|
$2,812.01
|
$2,812.01
|
2026-02-24
|
|
1621627
|
CDM
|
US-brst Bx Loc Clp 1
|
6
|
6
|
$3,368.67
|
$2,021.20
40% off
|
$2,189.64
|
$2,863.37
|
$2,812.84
|
2026-02-24
|
|
72147
|
HCPCS
|
MRI Scan Of Middle Spinal Canal With Contrast
|
6
|
6
|
$3,385.22
|
$2,031.13
40% off
|
$2,200.39
|
$2,877.44
|
$2,826.66
|
2026-02-24
|
|
J1561
|
HCPCS
|
Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)…
|
6
|
6
|
$3,391.81
|
$2,035.09
40% off
|
$2,204.68
|
$2,883.04
|
$2,832.16
|
2026-02-24
|
|
395003
|
CDM
|
Operating Room Services - General Classification
|
6
|
6
|
$3,419.62
|
$2,051.77
40% off
|
$2,222.75
|
$2,906.68
|
$2,855.39
|
2026-02-24
|
|
J0630
|
HCPCS
|
Injection, Calcitonin Salmon, Up To 400 Units
|
6
|
6
|
$3,436.98
|
$2,062.19
40% off
|
$2,234.04
|
$2,921.43
|
$2,869.88
|
2026-02-24
|
|
70490
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Without Contrast
|
6
|
6
|
$3,471.12
|
$2,082.67
40% off
|
$2,256.23
|
$2,950.45
|
$2,898.39
|
2026-02-24
|
|
2811426
|
CDM
|
Operating Room Services - General Classification
|
6
|
6
|
$3,490.65
|
$2,094.39
40% off
|
$2,268.92
|
$2,967.05
|
$2,914.69
|
2026-02-24
|
|
70496
|
HCPCS
|
CT Scan Of Blood Vessels Of Head With Contrast
|
6
|
6
|
$3,492.65
|
$2,095.59
40% off
|
$2,270.22
|
$2,968.75
|
$2,916.36
|
2026-02-24
|
|
75635
|
HCPCS
|
CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast
|
6
|
6
|
$3,492.65
|
$2,095.59
40% off
|
$2,270.22
|
$2,968.75
|
$2,916.36
|
2026-02-24
|
|
74175
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen With Contrast
|
6
|
6
|
$3,492.65
|
$2,095.59
40% off
|
$2,270.22
|
$2,968.75
|
$2,916.36
|
2026-02-24
|
|
72191
|
HCPCS
|
CT Scan Of Blood Vessels Of Pelvis With Contrast
|
6
|
6
|
$3,492.65
|
$2,095.59
40% off
|
$2,270.22
|
$2,968.75
|
$2,916.36
|
2026-02-24
|
|
70498
|
HCPCS
|
CT Scan Of Blood Vessels Of Neck With Contrast
|
6
|
6
|
$3,492.65
|
$2,095.59
40% off
|
$2,270.22
|
$2,968.75
|
$2,916.36
|
2026-02-24
|
|
72129
|
HCPCS
|
CT Scan Of Middle Spine With Contrast
|
6
|
6
|
$3,506.68
|
$2,104.01
40% off
|
$2,279.34
|
$2,980.68
|
$2,928.08
|
2026-02-24
|
|
64629
|
HCPCS
|
Heat Destruction Of Intraosseous Basivertebral Nerve In Additional Bone Of Spine…
|
6
|
6
|
$3,527.49
|
$2,116.49
40% off
|
$2,292.87
|
$2,998.37
|
$2,945.45
|
2026-02-24
|
|
93351
|
HCPCS
|
Ultrasound Of Heart With Continuous Electrocardiogram (ecg) During Rest, Exercis…
|
6
|
6
|
$3,536.34
|
$2,121.80
40% off
|
$2,298.62
|
$3,005.89
|
$2,952.85
|
2026-02-24
|
|
757
|
MS_DRG
|
Infections, Female Reproductive System With Mcc
|
5
|
5
|
$3,573.22
|
$2,143.93
40% off
|
$2,676.34
|
$3,037.24
|
$3,037.24
|
2026-02-24
|
|
1160132
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
6
|
6
|
$3,583.96
|
$2,150.38
40% off
|
$2,329.57
|
$3,046.37
|
$2,992.61
|
2026-02-24
|
|
1160112
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
6
|
6
|
$3,583.96
|
$2,150.38
40% off
|
$2,329.57
|
$3,046.37
|
$2,992.61
|
2026-02-24
|
|
81229
|
HCPCS
|
Genome-wide Microarray Analysis For Copy Number And Single Nucleotide Polymorphi…
|
6
|
6
|
$3,616.09
|
$2,169.65
40% off
|
$2,350.46
|
$3,073.68
|
$3,019.43
|
2026-02-24
|
|
165113
|
CDM
|
Room & Board - Private (one Bed) - Pediatric
|
6
|
6
|
$3,625.26
|
$2,175.16
40% off
|
$2,356.42
|
$3,081.47
|
$3,027.09
|
2026-02-24
|
|
74181
|
HCPCS
|
MRI Scan Of Abdomen Without Contrast
|
6
|
6
|
$3,659.91
|
$2,195.95
40% off
|
$2,378.94
|
$3,110.92
|
$3,056.03
|
2026-02-24
|
|
72195
|
HCPCS
|
MRI Scan Of Pelvis Without Contrast
|
6
|
6
|
$3,661.65
|
$2,196.99
40% off
|
$2,380.07
|
$3,112.40
|
$3,057.48
|
2026-02-24
|
|
1417091
|
CDM
|
Stapler/reload 7
|
6
|
6
|
$3,670.23
|
$2,202.14
40% off
|
$2,385.65
|
$3,119.70
|
$3,064.64
|
2026-02-24
|
|
C1768
|
HCPCS
|
Graft, Vascular
|
6
|
6
|
$3,702.78
|
$2,221.67
40% off
|
$2,406.81
|
$3,147.36
|
$3,091.82
|
2026-02-24
|
|
93503
|
HCPCS
|
Insertion Of Tube In Pulmonary Artery For Monitoring
|
6
|
6
|
$3,706.32
|
$2,223.79
40% off
|
$2,409.11
|
$3,150.37
|
$3,094.77
|
2026-02-24
|
|
C8912
|
HCPCS
|
Magnetic Resonance Angiography With Contrast, Lower Extremity
|
12
|
6
|
$3,230.57
|
$1,938.35
40% off
|
$1,738.95
|
$3,217.96
|
$2,367.40
|
2026-02-24
|
|
2811824
|
CDM
|
US-brst Bx Loc Clp A
|
6
|
6
|
$3,789.74
|
$2,273.84
40% off
|
$2,463.33
|
$3,221.28
|
$3,164.44
|
2026-02-24
|
|
72196
|
HCPCS
|
MRI Scan Of Pelvis With Contrast
|
6
|
6
|
$3,790.40
|
$2,274.24
40% off
|
$2,463.76
|
$3,221.84
|
$3,164.99
|
2026-02-24
|
|
78452
|
HCPCS
|
Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect
|
6
|
6
|
$3,791.08
|
$2,274.65
40% off
|
$2,464.20
|
$3,222.42
|
$3,165.56
|
2026-02-24
|
|
74182
|
HCPCS
|
MRI Scan Of Abdomen With Contrast
|
6
|
6
|
$3,791.39
|
$2,274.83
40% off
|
$2,464.40
|
$3,222.68
|
$3,165.81
|
2026-02-24
|
|
1110822
|
CDM
|
Operating Room Services - General Classification
|
6
|
6
|
$3,856.24
|
$2,313.74
40% off
|
$2,506.56
|
$3,277.80
|
$3,219.96
|
2026-02-24
|
|
1110802
|
CDM
|
Operating Room Services - General Classification
|
6
|
6
|
$3,856.24
|
$2,313.74
40% off
|
$2,506.56
|
$3,277.80
|
$3,219.96
|
2026-02-24
|
|
74183
|
HCPCS
|
MRI Scan Of Abdomen Before And After Contrast
|
6
|
6
|
$3,922.88
|
$2,353.73
40% off
|
$2,549.87
|
$3,334.45
|
$3,275.61
|
2026-02-24
|
|
72197
|
HCPCS
|
MRI Scan Of Pelvis Before And After Contrast
|
6
|
6
|
$3,924.30
|
$2,354.58
40% off
|
$2,550.80
|
$3,335.66
|
$3,276.80
|
2026-02-24
|
|
72141
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Without Contrast
|
6
|
6
|
$3,994.38
|
$2,396.63
40% off
|
$2,596.35
|
$3,395.22
|
$3,335.30
|
2026-02-24
|
|
863
|
MS_DRG
|
Postoperative And Post-traumatic Infections Without Mcc
|
5
|
5
|
$4,005.80
|
$2,403.48
40% off
|
$3,000.34
|
$3,404.93
|
$3,404.93
|
2026-02-24
|
|
2811320
|
CDM
|
Operating Room Services - General Classification
|
6
|
6
|
$4,022.01
|
$2,413.21
40% off
|
$2,614.31
|
$3,418.71
|
$3,358.38
|
2026-02-24
|
|
795
|
MS_DRG
|
Normal Newborn
|
6
|
6
|
$4,052.88
|
$2,431.73
40% off
|
$3,035.60
|
$3,444.95
|
$3,384.15
|
2026-02-24
|
|
96413
|
HCPCS
|
Administration Of Chemotherapy Into Vein, 1 Hour Or Less
|
6
|
6
|
$4,057.46
|
$2,434.48
40% off
|
$2,637.35
|
$3,448.84
|
$3,387.98
|
2026-02-24
|
|
72142
|
HCPCS
|
MRI Scan Of Upper Spinal Canal With Contrast
|
6
|
6
|
$4,075.48
|
$2,445.29
40% off
|
$2,649.06
|
$3,464.16
|
$3,403.02
|
2026-02-24
|
|
355206
|
CDM
|
Intensive Care Unit - Intermediate ICU
|
6
|
6
|
$4,105.98
|
$2,463.59
40% off
|
$2,668.89
|
$3,490.08
|
$3,428.49
|
2026-02-24
|
|
71275
|
HCPCS
|
CT Scan Of Blood Vessels Of Chest With Contrast
|
6
|
6
|
$4,135.09
|
$2,481.05
40% off
|
$2,687.81
|
$3,514.83
|
$3,452.80
|
2026-02-24
|
|
L2580
|
HCPCS
|
Addition To Lower Extremity, Pelvic Control, Pelvic Sling
|
6
|
6
|
$4,287.51
|
$2,572.51
40% off
|
$2,786.88
|
$3,644.38
|
$3,580.07
|
2026-02-24
|
|
71270
|
HCPCS
|
CT Scan Of Chest Before And After Contrast
|
6
|
6
|
$4,409.86
|
$2,645.92
40% off
|
$2,866.41
|
$3,748.38
|
$3,682.24
|
2026-02-24
|
|
72132
|
HCPCS
|
CT Scan Of Lower Spine With Contrast
|
6
|
6
|
$4,418.41
|
$2,651.05
40% off
|
$2,871.97
|
$3,755.65
|
$3,689.38
|
2026-02-24
|
|
99291
|
HCPCS
|
Critical Care, First 30-74 Minutes
|
6
|
6
|
$4,424.94
|
$2,654.96
40% off
|
$2,876.21
|
$3,761.20
|
$3,694.82
|
2026-02-24
|
|
50590
|
HCPCS
|
Shock Wave Crushing Of Kidney Stones
|
6
|
6
|
$4,429.00
|
$2,657.40
40% off
|
$2,878.85
|
$3,764.65
|
$3,698.22
|
2026-02-24
|
|
72126
|
HCPCS
|
CT Scan Of Upper Spine With Contrast
|
6
|
6
|
$4,488.55
|
$2,693.13
40% off
|
$2,917.56
|
$3,815.27
|
$3,747.94
|
2026-02-24
|
|
C1783
|
HCPCS
|
Ocular Implant, Aqueous Drainage Assist Device
|
6
|
6
|
$4,508.83
|
$2,705.30
40% off
|
$2,930.74
|
$3,832.51
|
$3,764.88
|
2026-02-24
|
|
1160133
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
6
|
6
|
$4,540.45
|
$2,724.27
40% off
|
$2,951.29
|
$3,859.38
|
$3,791.28
|
2026-02-24
|
|
1160113
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
6
|
6
|
$4,540.45
|
$2,724.27
40% off
|
$2,951.29
|
$3,859.38
|
$3,791.28
|
2026-02-24
|
|
72125
|
HCPCS
|
CT Scan Of Upper Spine Without Contrast
|
6
|
6
|
$4,631.73
|
$2,779.04
40% off
|
$3,010.62
|
$3,936.97
|
$3,867.49
|
2026-02-24
|
|
95940
|
HCPCS
|
Continuous Monitoring Of Nervous System During Operation, Each 15 Minutes
|
6
|
6
|
$4,635.00
|
$2,781.00
40% off
|
$3,012.75
|
$3,939.75
|
$3,870.22
|
2026-02-24
|
|
72133
|
HCPCS
|
CT Scan Of Lower Spine Before And After Contrast
|
6
|
6
|
$4,669.57
|
$2,801.74
40% off
|
$3,035.22
|
$3,969.13
|
$3,899.09
|
2026-02-24
|
|
72130
|
HCPCS
|
CT Scan Of Middle Spine Before And After Contrast
|
6
|
6
|
$4,669.57
|
$2,801.74
40% off
|
$3,035.22
|
$3,969.13
|
$3,899.09
|
2026-02-24
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
5
|
5
|
$4,758.47
|
$2,855.08
40% off
|
$3,564.09
|
$4,044.70
|
$4,044.70
|
2026-02-24
|
|
77047
|
HCPCS
|
MRI Scan Of Both Breasts Without Contrast
|
6
|
6
|
$4,776.21
|
$2,865.73
40% off
|
$3,104.54
|
$4,059.78
|
$3,988.14
|
2026-02-24
|
|
71260
|
HCPCS
|
CT Scan Of Chest With Contrast
|
6
|
6
|
$4,809.66
|
$2,885.80
40% off
|
$3,126.28
|
$4,088.21
|
$4,016.07
|
2026-02-24
|
|
C8914
|
HCPCS
|
Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Lower…
|
12
|
6
|
$4,113.03
|
$2,467.82
40% off
|
$2,213.97
|
$4,096.97
|
$3,014.08
|
2026-02-24
|
|
1110823
|
CDM
|
Operating Room Services - General Classification
|
6
|
6
|
$4,821.17
|
$2,892.70
40% off
|
$3,133.76
|
$4,097.99
|
$4,025.68
|
2026-02-24
|
|
1110803
|
CDM
|
Operating Room Services - General Classification
|
6
|
6
|
$4,821.17
|
$2,892.70
40% off
|
$3,133.76
|
$4,097.99
|
$4,025.68
|
2026-02-24
|
|
59412
|
HCPCS
|
Turning Of Fetus Through External Manipulation
|
6
|
6
|
$4,918.30
|
$2,950.98
40% off
|
$3,196.90
|
$4,180.56
|
$4,106.78
|
2026-02-24
|
|
70551
|
HCPCS
|
MRI Scan Of Brain Without Contrast
|
6
|
6
|
$4,937.93
|
$2,962.76
40% off
|
$3,209.65
|
$4,197.24
|
$4,123.17
|
2026-02-24
|
|
72158
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Before And After Contrast
|
6
|
6
|
$5,008.17
|
$3,004.90
40% off
|
$3,255.31
|
$4,256.94
|
$4,181.82
|
2026-02-24
|
|
72157
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Before And After Contrast
|
6
|
6
|
$5,008.17
|
$3,004.90
40% off
|
$3,255.31
|
$4,256.94
|
$4,181.82
|
2026-02-24
|
|
72156
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Before And After Contrast
|
6
|
6
|
$5,008.17
|
$3,004.90
40% off
|
$3,255.31
|
$4,256.94
|
$4,181.82
|
2026-02-24
|
|
70543
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast
|
6
|
6
|
$5,116.82
|
$3,070.09
40% off
|
$3,325.93
|
$4,349.30
|
$4,272.55
|
2026-02-24
|
|
282811
|
CDM
|
Labor Room/delivery - Delivery Room
|
6
|
6
|
$5,124.69
|
$3,074.81
40% off
|
$3,331.05
|
$4,355.99
|
$4,279.12
|
2026-02-24
|
|
C8908
|
HCPCS
|
Magnetic Resonance Imaging Without Contrast Followed By With Contrast, Breast; B…
|
6
|
6
|
$5,134.43
|
$3,080.66
40% off
|
$3,337.38
|
$4,364.27
|
$4,287.25
|
2026-02-24
|
|
72148
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Without Contrast
|
6
|
6
|
$5,207.76
|
$3,124.66
40% off
|
$3,385.04
|
$4,426.60
|
$4,348.48
|
2026-02-24
|
|
70552
|
HCPCS
|
MRI Scan Of Brain With Contrast
|
6
|
6
|
$5,254.95
|
$3,152.97
40% off
|
$3,415.72
|
$4,466.71
|
$4,387.89
|
2026-02-24
|
|
74178
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Before And After Contrast
|
6
|
6
|
$5,271.74
|
$3,163.04
40% off
|
$3,426.63
|
$4,480.98
|
$4,401.90
|
2026-02-24
|
|
72149
|
HCPCS
|
MRI Scan Of Lower Spinal Canal With Contrast
|
6
|
6
|
$5,288.86
|
$3,173.32
40% off
|
$3,437.76
|
$4,495.53
|
$4,416.20
|
2026-02-24
|
|
74176
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Without Contrast
|
6
|
6
|
$5,373.23
|
$3,223.94
40% off
|
$3,492.60
|
$4,567.25
|
$4,486.65
|
2026-02-24
|
|
74174
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast
|
6
|
6
|
$5,373.23
|
$3,223.94
40% off
|
$3,492.60
|
$4,567.25
|
$4,486.65
|
2026-02-24
|
|
282812
|
CDM
|
Labor Room/delivery - Delivery Room
|
6
|
6
|
$5,377.78
|
$3,226.67
40% off
|
$3,495.56
|
$4,571.11
|
$4,490.44
|
2026-02-24
|
|
75710
|
HCPCS
|
Review By Radiologist Of Arm Or Leg Artery Image
|
6
|
6
|
$5,420.87
|
$3,252.52
40% off
|
$3,523.57
|
$4,607.74
|
$4,526.42
|
2026-02-24
|
|
J1162
|
HCPCS
|
Injection, Digoxin Immune Fab (ovine), Per Vial
|
6
|
6
|
$5,439.05
|
$3,263.43
40% off
|
$3,535.38
|
$4,623.19
|
$4,541.60
|
2026-02-24
|
|
74177
|
HCPCS
|
CT Scan Of Abdomen And Pelvis With Contrast
|
6
|
6
|
$5,454.44
|
$3,272.66
40% off
|
$3,545.39
|
$4,636.27
|
$4,554.45
|
2026-02-24
|
|
1110874
|
CDM
|
Operating Room Services - General Classification
|
6
|
6
|
$5,459.00
|
$3,275.40
40% off
|
$3,548.35
|
$4,640.15
|
$4,558.26
|
2026-02-24
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
5
|
5
|
$5,491.64
|
$3,294.98
40% off
|
$4,113.24
|
$4,667.89
|
$4,667.89
|
2026-02-24
|
|
70553
|
HCPCS
|
MRI Scan Of Brain Before And After Contrast
|
6
|
6
|
$5,571.93
|
$3,343.16
40% off
|
$3,621.75
|
$4,736.14
|
$4,652.56
|
2026-02-24
|
|
70540
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast
|
6
|
6
|
$5,672.24
|
$3,403.34
40% off
|
$3,686.96
|
$4,821.40
|
$4,736.32
|
2026-02-24
|
|
72131
|
HCPCS
|
CT Scan Of Lower Spine Without Contrast
|
6
|
6
|
$5,701.60
|
$3,420.96
40% off
|
$3,706.04
|
$4,846.36
|
$4,760.84
|
2026-02-24
|
|
1160134
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
6
|
6
|
$5,733.97
|
$3,440.38
40% off
|
$3,727.08
|
$4,873.87
|
$4,787.86
|
2026-02-24
|
|
1160114
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
6
|
6
|
$5,733.97
|
$3,440.38
40% off
|
$3,727.08
|
$4,873.87
|
$4,787.86
|
2026-02-24
|
|
335200
|
CDM
|
Intensive Care Unit - General Classification
|
6
|
6
|
$5,734.25
|
$3,440.55
40% off
|
$3,727.26
|
$4,874.11
|
$4,788.10
|
2026-02-24
|
|
315200
|
CDM
|
Intensive Care Unit - General Classification
|
6
|
6
|
$5,734.25
|
$3,440.55
40% off
|
$3,727.26
|
$4,874.11
|
$4,788.10
|
2026-02-24
|
|
72128
|
HCPCS
|
CT Scan Of Middle Spine Without Contrast
|
6
|
6
|
$5,772.05
|
$3,463.23
40% off
|
$3,751.83
|
$4,906.24
|
$4,819.66
|
2026-02-24
|
|
1110804
|
CDM
|
Operating Room Services - General Classification
|
6
|
6
|
$5,784.36
|
$3,470.62
40% off
|
$3,759.83
|
$4,916.71
|
$4,829.94
|
2026-02-24
|
|
1110824
|
CDM
|
Operating Room Services - General Classification
|
6
|
6
|
$5,784.36
|
$3,470.62
40% off
|
$3,759.83
|
$4,916.71
|
$4,829.94
|
2026-02-24
|
|
95811
|
HCPCS
|
Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)
|
6
|
6
|
$5,885.67
|
$3,531.40
40% off
|
$3,825.69
|
$5,002.82
|
$4,914.53
|
2026-02-24
|
|
95808
|
HCPCS
|
Sleep Study In Sleep Lab
|
6
|
6
|
$5,885.67
|
$3,531.40
40% off
|
$3,825.69
|
$5,002.82
|
$4,914.53
|
2026-02-24
|
|
95810
|
HCPCS
|
Sleep Study In Sleep Lab (6 Years Or Older)
|
6
|
6
|
$5,885.67
|
$3,531.40
40% off
|
$3,825.69
|
$5,002.82
|
$4,914.53
|
2026-02-24
|
|
115164
|
CDM
|
Room & Board - Other - Sterile Environment
|
6
|
6
|
$6,022.43
|
$3,613.46
40% off
|
$3,914.58
|
$5,119.07
|
$5,028.73
|
2026-02-24
|
|
315164
|
CDM
|
Room & Board - Other - Sterile Environment
|
6
|
6
|
$6,022.43
|
$3,613.46
40% off
|
$3,914.58
|
$5,119.07
|
$5,028.73
|
2026-02-24
|
|
C1771
|
HCPCS
|
Repair Device, Urinary, Incontinence, With Sling Graft
|
6
|
6
|
$6,094.72
|
$3,656.83
40% off
|
$3,961.57
|
$5,180.51
|
$5,089.09
|
2026-02-24
|
|
L8606
|
HCPCS
|
Injectable Bulking Agent, Synthetic Implant, Urinary Tract, 1 Ml Syringe, Includ…
|
6
|
6
|
$6,100.18
|
$3,660.11
40% off
|
$3,965.12
|
$5,185.15
|
$5,093.65
|
2026-02-24
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
5
|
5
|
$6,261.89
|
$3,757.13
40% off
|
$4,690.16
|
$5,322.61
|
$5,322.61
|
2026-02-24
|
|
282813
|
CDM
|
Labor Room/delivery - Delivery Room
|
6
|
6
|
$6,274.06
|
$3,764.44
40% off
|
$4,078.14
|
$5,332.95
|
$5,238.84
|
2026-02-24
|
|
Q5108
|
HCPCS
|
Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg
|
6
|
6
|
$6,484.62
|
$3,890.77
40% off
|
$4,215.00
|
$5,511.93
|
$5,414.66
|
2026-02-24
|
|
1110805
|
CDM
|
Operating Room Services - General Classification
|
6
|
6
|
$6,747.49
|
$4,048.49
40% off
|
$4,385.87
|
$5,735.37
|
$5,634.15
|
2026-02-24
|
|
1110825
|
CDM
|
Operating Room Services - General Classification
|
6
|
6
|
$6,747.49
|
$4,048.49
40% off
|
$4,385.87
|
$5,735.37
|
$5,634.15
|
2026-02-24
|
|
C1883
|
HCPCS
|
Adapter/extension, Pacing Lead Or Neurostimulator Lead (implantable)
|
6
|
6
|
$6,757.58
|
$4,054.55
40% off
|
$4,392.43
|
$5,743.94
|
$5,642.58
|
2026-02-24
|
|
G0390
|
HCPCS
|
Trauma Response Team Associated With Hospital Critical Care Service
|
6
|
6
|
$7,058.30
|
$4,234.98
40% off
|
$4,587.90
|
$5,999.56
|
$5,893.69
|
2026-02-24
|
|
73222
|
HCPCS
|
MRI Scan Of Arm Joint With Contrast
|
12
|
6
|
$5,246.80
|
$3,148.08
40% off
|
$2,163.53
|
$6,090.34
|
$3,743.27
|
2026-02-24
|
|
73722
|
HCPCS
|
MRI Scan Of Leg Joint With Contrast
|
12
|
6
|
$5,758.39
|
$3,455.03
40% off
|
$2,669.65
|
$6,298.19
|
$4,153.67
|
2026-02-24
|
|
73219
|
HCPCS
|
MRI Scan Of Arm With Contrast
|
12
|
6
|
$5,369.20
|
$3,221.52
40% off
|
$2,163.53
|
$6,298.42
|
$3,822.84
|
2026-02-24
|
|
J2993
|
HCPCS
|
Injection, Reteplase, 18.1 Mg
|
6
|
6
|
$7,511.30
|
$4,506.78
40% off
|
$4,882.35
|
$6,384.61
|
$6,271.94
|
2026-02-24
|
|
J2353
|
HCPCS
|
Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg
|
6
|
6
|
$7,514.64
|
$4,508.78
40% off
|
$4,884.52
|
$6,387.44
|
$6,274.72
|
2026-02-24
|
|
1110806
|
CDM
|
Operating Room Services - General Classification
|
6
|
6
|
$7,712.48
|
$4,627.49
40% off
|
$5,013.11
|
$6,555.61
|
$6,439.92
|
2026-02-24
|
|
1110826
|
CDM
|
Operating Room Services - General Classification
|
6
|
6
|
$7,712.48
|
$4,627.49
40% off
|
$5,013.11
|
$6,555.61
|
$6,439.92
|
2026-02-24
|
|
73218
|
HCPCS
|
MRI Scan Of Arm Without Contrast
|
12
|
6
|
$5,514.60
|
$3,308.76
40% off
|
$1,999.81
|
$6,759.68
|
$3,892.15
|
2026-02-24
|
|
73721
|
HCPCS
|
MRI Scan Of Leg Joint Without Contrast
|
12
|
6
|
$5,964.91
|
$3,578.94
40% off
|
$2,584.77
|
$6,760.26
|
$4,274.84
|
2026-02-24
|
|
73718
|
HCPCS
|
MRI Scan Of Leg Without Contrast
|
12
|
6
|
$5,964.91
|
$3,578.94
40% off
|
$2,584.77
|
$6,760.26
|
$4,274.84
|
2026-02-24
|
|
73221
|
HCPCS
|
MRI Scan Of Arm Joint Without Contrast
|
12
|
6
|
$5,518.18
|
$3,310.90
40% off
|
$1,999.81
|
$6,765.76
|
$3,894.48
|
2026-02-24
|
|
73719
|
HCPCS
|
MRI Scan Of Leg With Contrast
|
12
|
6
|
$6,034.21
|
$3,620.53
40% off
|
$2,669.65
|
$6,767.08
|
$4,332.95
|
2026-02-24
|
|
73223
|
HCPCS
|
MRI Scan Of Arm Joint Before And After Contrast
|
12
|
6
|
$5,775.42
|
$3,465.25
40% off
|
$2,230.33
|
$6,901.62
|
$4,097.15
|
2026-02-24
|
|
73723
|
HCPCS
|
MRI Scan Of Leg Joint Before And After Contrast
|
12
|
6
|
$6,356.65
|
$3,813.98
40% off
|
$2,754.50
|
$7,204.26
|
$4,555.59
|
2026-02-24
|
|
73720
|
HCPCS
|
MRI Scan Of Leg Before And After Contrast
|
12
|
6
|
$6,356.65
|
$3,813.98
40% off
|
$2,754.50
|
$7,204.26
|
$4,555.59
|
2026-02-24
|
|
73220
|
HCPCS
|
MRI Scan Of Arm Before And After Contrast
|
12
|
6
|
$5,953.60
|
$3,572.16
40% off
|
$2,230.33
|
$7,204.54
|
$4,212.97
|
2026-02-24
|
|
81413
|
HCPCS
|
Test For Detecting Genes Associated With Heart Disease, Genomic Sequence Analysi…
|
6
|
6
|
$10,201.61
|
$6,120.97
40% off
|
$6,631.05
|
$8,671.37
|
$8,518.35
|
2026-02-24
|
|
951
|
MS_DRG
|
Other Factors Influencing Health Status
|
6
|
6
|
$3,118.49
|
$1,871.09
40% off
|
$2,335.75
|
$8,826.50
|
$2,650.71
|
2026-02-24
|
|
293
|
MS_DRG
|
Heart Failure And Shock Without Cc/mcc
|
6
|
6
|
$11,366.41
|
$6,819.85
40% off
|
$8,513.44
|
$9,661.45
|
$9,490.95
|
2026-02-24
|
|
639
|
MS_DRG
|
Diabetes Without Cc/mcc
|
6
|
6
|
$11,360.45
|
$6,816.27
40% off
|
$8,508.98
|
$9,861.55
|
$9,656.38
|
2026-02-24
|
|
81302
|
HCPCS
|
Gene Analysis (methyl CpG Binding Protein 2) Full Sequence Analysis
|
6
|
6
|
$11,662.98
|
$6,997.79
40% off
|
$7,580.94
|
$9,913.53
|
$9,738.58
|
2026-02-24
|
|
395
|
MS_DRG
|
Other Digestive System Diagnoses Without Cc/mcc
|
6
|
6
|
$11,826.30
|
$7,095.78
40% off
|
$8,857.90
|
$10,302.88
|
$10,052.36
|
2026-02-24
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
6
|
6
|
$12,474.46
|
$7,484.68
40% off
|
$8,636.00
|
$10,603.29
|
$10,416.17
|
2026-02-24
|
|
807
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc
|
6
|
6
|
$11,960.19
|
$7,176.11
40% off
|
$8,958.18
|
$10,702.93
|
$10,166.16
|
2026-02-24
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
6
|
6
|
$12,959.15
|
$7,775.49
40% off
|
$9,706.40
|
$11,015.28
|
$10,820.89
|
2026-02-24
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
5
|
5
|
$13,041.50
|
$7,824.90
40% off
|
$9,768.08
|
$11,085.28
|
$11,085.28
|
2026-02-24
|
|
538
|
MS_DRG
|
Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/mcc
|
6
|
6
|
$9,734.86
|
$5,840.92
40% off
|
$7,291.41
|
$11,434.76
|
$8,274.63
|
2026-02-24
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/mcc
|
6
|
6
|
$4,171.94
|
$2,503.16
40% off
|
$3,124.78
|
$11,479.21
|
$3,546.15
|
2026-02-24
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
6
|
6
|
$11,073.95
|
$6,644.37
40% off
|
$8,294.39
|
$11,679.24
|
$9,412.86
|
2026-02-24
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc
|
6
|
6
|
$13,760.88
|
$8,256.53
40% off
|
$8,986.84
|
$11,696.75
|
$11,490.33
|
2026-02-24
|
|
806
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Cc
|
6
|
6
|
$12,328.03
|
$7,396.82
40% off
|
$9,233.69
|
$11,969.75
|
$10,478.83
|
2026-02-24
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
6
|
6
|
$11,481.14
|
$6,888.68
40% off
|
$8,599.37
|
$12,353.93
|
$9,758.97
|
2026-02-24
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
6
|
6
|
$12,316.02
|
$7,389.61
40% off
|
$9,224.70
|
$12,376.15
|
$10,468.61
|
2026-02-24
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
6
|
6
|
$12,470.84
|
$7,482.50
40% off
|
$9,340.66
|
$12,538.08
|
$10,600.21
|
2026-02-24
|
|
52441
|
HCPCS
|
Insertion Of Implant In Urethra Within Prostate Gland Using An Endoscope, 1 Impl…
|
6
|
6
|
$14,826.08
|
$8,895.65
40% off
|
$9,636.95
|
$12,602.17
|
$12,379.78
|
2026-02-24
|
|
L8699
|
HCPCS
|
Prosthetic Implant, Not Otherwise Specified
|
12
|
6
|
$13,188.14
|
$7,912.88
40% off
|
$7,102.08
|
$13,132.50
|
$9,664.92
|
2026-02-24
|
|
C1778
|
HCPCS
|
Lead, Neurostimulator (implantable)
|
6
|
6
|
$15,600.00
|
$9,360.00
40% off
|
$10,140.00
|
$13,260.00
|
$13,026.00
|
2026-02-24
|
|
103
|
MS_DRG
|
Headaches Without Mcc
|
6
|
6
|
$6,538.39
|
$3,923.03
40% off
|
$4,897.25
|
$13,276.26
|
$5,557.63
|
2026-02-24
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
6
|
6
|
$15,768.90
|
$9,461.34
40% off
|
$11,810.90
|
$13,403.56
|
$13,167.02
|
2026-02-24
|
|
918
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs Without Mcc
|
6
|
6
|
$8,193.80
|
$4,916.28
40% off
|
$6,137.16
|
$13,606.46
|
$6,964.73
|
2026-02-24
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
6
|
6
|
$11,950.75
|
$7,170.45
40% off
|
$8,951.11
|
$13,825.54
|
$10,158.13
|
2026-02-24
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
6
|
6
|
$10,657.23
|
$6,394.34
40% off
|
$7,982.27
|
$13,903.33
|
$9,058.65
|
2026-02-24
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
6
|
6
|
$11,209.06
|
$6,725.43
40% off
|
$8,395.58
|
$14,014.45
|
$9,527.70
|
2026-02-24
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
6
|
6
|
$11,887.95
|
$7,132.77
40% off
|
$8,904.07
|
$14,216.06
|
$10,104.75
|
2026-02-24
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc
|
6
|
6
|
$16,997.00
|
$10,198.20
40% off
|
$12,730.75
|
$14,541.50
|
$14,447.45
|
2026-02-24
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
5
|
5
|
$17,278.06
|
$10,366.84
40% off
|
$12,941.27
|
$14,686.35
|
$14,686.35
|
2026-02-24
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
6
|
6
|
$8,546.63
|
$5,127.98
40% off
|
$6,401.42
|
$14,854.24
|
$7,264.63
|
2026-02-24
|
|
382
|
MS_DRG
|
Complicated Peptic Ulcer Without Cc/mcc
|
6
|
6
|
$17,494.40
|
$10,496.64
40% off
|
$12,709.53
|
$14,870.24
|
$14,607.83
|
2026-02-24
|
|
206
|
MS_DRG
|
Other Respiratory System Diagnoses Without Mcc
|
6
|
6
|
$12,147.81
|
$7,288.69
40% off
|
$9,098.71
|
$14,939.96
|
$10,325.64
|
2026-02-24
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
6
|
6
|
$13,509.15
|
$8,105.49
40% off
|
$10,118.35
|
$15,324.14
|
$11,482.78
|
2026-02-24
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
6
|
6
|
$15,302.97
|
$9,181.78
40% off
|
$11,461.92
|
$15,417.80
|
$13,007.52
|
2026-02-24
|
|
785
|
MS_DRG
|
Cesarean Section With Sterilization Without Cc/mcc
|
6
|
6
|
$18,411.50
|
$11,046.90
40% off
|
$13,790.21
|
$15,649.77
|
$15,427.42
|
2026-02-24
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
6
|
6
|
$18,776.58
|
$11,265.95
40% off
|
$13,354.05
|
$15,960.10
|
$15,678.45
|
2026-02-24
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
6
|
6
|
$8,020.48
|
$4,812.29
40% off
|
$6,007.34
|
$16,113.13
|
$6,817.41
|
2026-02-24
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
6
|
6
|
$15,043.49
|
$9,026.09
40% off
|
$11,267.57
|
$16,208.38
|
$12,786.97
|
2026-02-24
|
|
C1889
|
HCPCS
|
Implantable/insertable Device, Not Otherwise Classified
|
12
|
6
|
$12,390.90
|
$7,434.54
40% off
|
$3,695.64
|
$16,231.77
|
$8,622.65
|
2026-02-24
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
6
|
6
|
$9,831.88
|
$5,899.13
40% off
|
$7,364.08
|
$16,244.89
|
$8,357.09
|
2026-02-24
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
6
|
6
|
$19,243.34
|
$11,546.00
40% off
|
$12,779.38
|
$16,356.84
|
$16,068.19
|
2026-02-24
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without Mcc
|
6
|
6
|
$12,438.48
|
$7,463.09
40% off
|
$9,316.42
|
$16,363.95
|
$10,572.71
|
2026-02-24
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
6
|
6
|
$19,932.21
|
$11,959.33
40% off
|
$12,850.81
|
$16,942.38
|
$16,643.40
|
2026-02-24
|
|
381
|
MS_DRG
|
Complicated Peptic Ulcer With Cc
|
6
|
6
|
$10,374.63
|
$6,224.78
40% off
|
$7,770.60
|
$17,200.56
|
$8,818.44
|
2026-02-24
|
|
894
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence, Left Ama
|
6
|
6
|
$20,324.94
|
$12,194.96
40% off
|
$9,793.29
|
$17,276.20
|
$16,971.33
|
2026-02-24
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
6
|
6
|
$20,347.29
|
$12,208.37
40% off
|
$12,793.66
|
$17,295.19
|
$16,989.98
|
2026-02-24
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
6
|
6
|
$11,475.93
|
$6,885.56
40% off
|
$8,595.47
|
$17,584.74
|
$9,754.54
|
2026-02-24
|
|
399
|
MS_DRG
|
Appendix Procedures Without Cc/mcc
|
6
|
6
|
$20,558.15
|
$12,334.89
40% off
|
$15,398.05
|
$18,172.11
|
$17,474.43
|
2026-02-24
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
6
|
6
|
$12,985.62
|
$7,791.37
40% off
|
$9,726.23
|
$18,419.76
|
$11,037.78
|
2026-02-24
|
|
C9364
|
HCPCS
|
Porcine Implant, Permacol, Per Square Centimeter
|
6
|
6
|
$22,156.44
|
$13,293.86
40% off
|
$14,401.69
|
$18,832.97
|
$18,500.62
|
2026-02-24
|
|
64628
|
HCPCS
|
Heat Destruction Of Intraosseous Basivertebral Nerve In Bones Of Spine In Lower …
|
6
|
6
|
$22,278.90
|
$13,367.34
40% off
|
$14,481.29
|
$18,937.07
|
$18,602.89
|
2026-02-24
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/mcc
|
6
|
6
|
$23,045.08
|
$13,827.05
40% off
|
$15,220.95
|
$19,588.31
|
$19,242.64
|
2026-02-24
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
6
|
6
|
$18,369.67
|
$11,021.80
40% off
|
$13,758.89
|
$19,611.98
|
$15,614.22
|
2026-02-24
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
6
|
6
|
$23,228.92
|
$13,937.35
40% off
|
$15,260.64
|
$19,744.58
|
$19,396.15
|
2026-02-24
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
6
|
6
|
$17,832.43
|
$10,699.46
40% off
|
$13,356.49
|
$20,134.26
|
$15,157.57
|
2026-02-24
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
6
|
6
|
$15,349.75
|
$9,209.85
40% off
|
$11,496.96
|
$20,380.33
|
$13,047.29
|
2026-02-24
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc
|
6
|
6
|
$24,389.19
|
$14,633.51
40% off
|
$10,864.85
|
$20,730.81
|
$20,364.97
|
2026-02-24
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
6
|
6
|
$15,170.35
|
$9,102.21
40% off
|
$11,362.59
|
$20,866.10
|
$12,894.79
|
2026-02-24
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses With Cc
|
6
|
6
|
$24,583.04
|
$14,749.82
40% off
|
$15,292.39
|
$20,895.58
|
$20,526.83
|
2026-02-24
|
|
909
|
MS_DRG
|
Other O.r. Procedures For Injuries Without Cc/mcc
|
6
|
6
|
$24,682.80
|
$14,809.68
40% off
|
$18,487.42
|
$20,980.38
|
$20,909.75
|
2026-02-24
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
6
|
6
|
$21,458.43
|
$12,875.06
40% off
|
$16,072.36
|
$21,202.65
|
$18,239.66
|
2026-02-24
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
6
|
6
|
$21,475.53
|
$12,885.32
40% off
|
$16,085.17
|
$21,805.90
|
$18,254.20
|
2026-02-24
|
|
502
|
MS_DRG
|
Soft Tissue Procedures Without Cc/mcc
|
6
|
6
|
$25,665.66
|
$15,399.40
40% off
|
$19,223.58
|
$21,815.81
|
$21,590.99
|
2026-02-24
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
6
|
6
|
$26,465.86
|
$15,879.52
40% off
|
$17,876.84
|
$22,495.98
|
$22,098.99
|
2026-02-24
|
|
562
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
6
|
6
|
$20,856.89
|
$12,514.13
40% off
|
$15,621.81
|
$22,618.70
|
$17,728.35
|
2026-02-24
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
6
|
6
|
$22,028.77
|
$13,217.26
40% off
|
$16,499.55
|
$22,807.61
|
$18,724.45
|
2026-02-24
|
|
L8680
|
HCPCS
|
Implantable Neurostimulator Electrode, Each
|
6
|
6
|
$26,866.18
|
$16,119.71
40% off
|
$17,463.02
|
$22,836.25
|
$22,433.26
|
2026-02-24
|
|
69
|
MS_DRG
|
Transient Ischemia Without Thrombolytic
|
6
|
6
|
$27,463.34
|
$16,478.00
40% off
|
$12,680.95
|
$23,343.84
|
$22,931.89
|
2026-02-24
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
6
|
6
|
$17,387.01
|
$10,432.21
40% off
|
$13,022.87
|
$23,510.88
|
$14,778.96
|
2026-02-24
|
|
557
|
MS_DRG
|
Tendonitis, Myositis And Bursitis With Mcc
|
6
|
6
|
$13,841.85
|
$8,305.11
40% off
|
$10,367.55
|
$23,604.54
|
$11,765.57
|
2026-02-24
|
|
517
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc…
|
6
|
6
|
$28,817.74
|
$17,290.64
40% off
|
$21,584.49
|
$24,495.08
|
$24,445.10
|
2026-02-24
|
|
564
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc
|
6
|
6
|
$23,118.37
|
$13,871.02
40% off
|
$17,315.66
|
$24,504.65
|
$19,650.61
|
2026-02-24
|
|
186
|
MS_DRG
|
Pleural Effusion With Mcc
|
6
|
6
|
$19,004.29
|
$11,402.57
40% off
|
$14,234.21
|
$24,741.19
|
$16,153.65
|
2026-02-24
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
6
|
6
|
$12,719.31
|
$7,631.58
40% off
|
$9,526.76
|
$24,807.86
|
$10,811.41
|
2026-02-24
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
6
|
6
|
$13,462.00
|
$8,077.20
40% off
|
$10,083.04
|
$24,898.35
|
$11,442.70
|
2026-02-24
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
6
|
6
|
$10,535.51
|
$6,321.31
40% off
|
$7,891.10
|
$25,388.89
|
$8,955.18
|
2026-02-24
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
6
|
6
|
$20,222.46
|
$12,133.47
40% off
|
$15,146.62
|
$25,465.09
|
$17,189.09
|
2026-02-24
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
6
|
6
|
$13,754.44
|
$8,252.66
40% off
|
$10,302.08
|
$25,541.29
|
$11,691.27
|
2026-02-24
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
6
|
6
|
$13,915.39
|
$8,349.23
40% off
|
$10,422.62
|
$25,879.43
|
$11,828.08
|
2026-02-24
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
6
|
6
|
$30,290.08
|
$18,174.05
40% off
|
$22,687.27
|
$26,185.81
|
$25,746.57
|
2026-02-24
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
6
|
6
|
$16,049.50
|
$9,629.70
40% off
|
$12,021.07
|
$26,263.60
|
$13,642.07
|
2026-02-24
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
6
|
6
|
$28,030.60
|
$16,818.36
40% off
|
$20,994.92
|
$26,854.15
|
$23,826.01
|
2026-02-24
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
6
|
6
|
$31,626.37
|
$18,975.82
40% off
|
$22,293.26
|
$26,882.41
|
$26,408.01
|
2026-02-24
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
6
|
6
|
$26,529.03
|
$15,917.42
40% off
|
$19,870.24
|
$27,432.00
|
$22,549.67
|
2026-02-24
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
6
|
6
|
$32,494.90
|
$19,496.94
40% off
|
$13,836.65
|
$27,620.67
|
$27,133.24
|
2026-02-24
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
6
|
6
|
$20,858.18
|
$12,514.91
40% off
|
$15,622.78
|
$27,703.46
|
$17,729.45
|
2026-02-24
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
6
|
6
|
$15,484.67
|
$9,290.80
40% off
|
$11,598.02
|
$28,005.09
|
$13,161.97
|
2026-02-24
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
6
|
6
|
$19,801.65
|
$11,880.99
40% off
|
$14,831.44
|
$28,490.86
|
$16,831.40
|
2026-02-24
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
6
|
6
|
$19,272.98
|
$11,563.79
40% off
|
$14,435.46
|
$28,951.24
|
$16,382.03
|
2026-02-24
|
|
358
|
MS_DRG
|
Other Digestive System O.r. Procedures Without Cc/mcc
|
6
|
6
|
$34,142.88
|
$20,485.73
40% off
|
$22,191.66
|
$29,021.45
|
$28,509.31
|
2026-02-24
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
6
|
6
|
$22,578.82
|
$13,547.29
40% off
|
$16,911.53
|
$29,067.13
|
$19,191.99
|
2026-02-24
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
6
|
6
|
$19,954.99
|
$11,972.99
40% off
|
$14,946.29
|
$29,605.29
|
$16,961.74
|
2026-02-24
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With Mcc
|
6
|
6
|
$13,494.04
|
$8,096.42
40% off
|
$10,107.04
|
$29,959.30
|
$11,469.93
|
2026-02-24
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
6
|
6
|
$17,805.87
|
$10,683.52
40% off
|
$13,336.60
|
$30,837.19
|
$15,134.99
|
2026-02-24
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
6
|
6
|
$31,076.70
|
$18,646.02
40% off
|
$23,276.45
|
$31,245.18
|
$26,415.20
|
2026-02-24
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
6
|
6
|
$37,242.37
|
$22,345.42
40% off
|
$26,608.09
|
$31,656.01
|
$31,097.38
|
2026-02-24
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
6
|
6
|
$38,897.18
|
$23,338.31
40% off
|
$29,133.99
|
$33,062.60
|
$32,479.14
|
2026-02-24
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
6
|
6
|
$22,380.76
|
$13,428.46
40% off
|
$16,763.19
|
$33,102.55
|
$19,023.65
|
2026-02-24
|
|
E0749
|
HCPCS
|
Osteogenesis Stimulator, Electrical, Surgically Implanted
|
6
|
6
|
$39,525.53
|
$23,715.32
40% off
|
$25,691.59
|
$33,596.70
|
$33,003.82
|
2026-02-24
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
6
|
6
|
$39,533.97
|
$23,720.38
40% off
|
$26,716.04
|
$33,603.88
|
$33,010.87
|
2026-02-24
|
|
592
|
MS_DRG
|
Skin Ulcers With Mcc
|
6
|
6
|
$40,158.32
|
$24,094.99
40% off
|
$30,078.58
|
$34,134.57
|
$33,532.19
|
2026-02-24
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
6
|
6
|
$43,218.10
|
$25,930.86
40% off
|
$27,879.68
|
$36,735.39
|
$36,087.11
|
2026-02-24
|
|
398
|
MS_DRG
|
Appendix Procedures With Cc
|
6
|
6
|
$43,995.64
|
$26,397.38
40% off
|
$24,028.40
|
$37,396.29
|
$36,736.35
|
2026-02-24
|
|
C1776
|
HCPCS
|
Joint Device (implantable)
|
72
|
6
|
$13,564.53
|
$8,138.72
40% off
|
$1,049.63
|
$38,250.00
|
$9,984.69
|
2026-02-24
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
6
|
6
|
$45,260.78
|
$27,156.47
40% off
|
$25,892.13
|
$38,471.66
|
$37,792.75
|
2026-02-24
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
6
|
6
|
$21,251.56
|
$12,750.94
40% off
|
$15,917.42
|
$39,028.69
|
$18,063.83
|
2026-02-24
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
6
|
6
|
$46,858.65
|
$28,115.19
40% off
|
$35,097.13
|
$40,260.59
|
$39,829.85
|
2026-02-24
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
6
|
6
|
$48,691.13
|
$29,214.68
40% off
|
$33,996.31
|
$41,387.46
|
$40,657.10
|
2026-02-24
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
6
|
6
|
$50,513.05
|
$30,307.83
40% off
|
$36,917.31
|
$42,936.09
|
$42,178.39
|
2026-02-24
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
6
|
6
|
$35,105.33
|
$21,063.20
40% off
|
$26,293.89
|
$45,251.69
|
$29,839.53
|
2026-02-24
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
6
|
6
|
$55,357.71
|
$33,214.63
40% off
|
$31,719.84
|
$47,054.05
|
$46,223.68
|
2026-02-24
|
|
300
|
MS_DRG
|
Peripheral Vascular Disorders With Cc
|
6
|
6
|
$58,248.19
|
$34,948.91
40% off
|
$16,946.56
|
$49,510.96
|
$48,637.24
|
2026-02-24
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
6
|
6
|
$58,322.59
|
$34,993.55
40% off
|
$33,475.61
|
$49,574.20
|
$48,699.36
|
2026-02-24
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
6
|
6
|
$59,270.94
|
$35,562.56
40% off
|
$44,393.93
|
$50,380.29
|
$49,491.23
|
2026-02-24
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
6
|
6
|
$63,895.01
|
$38,337.01
40% off
|
$38,055.55
|
$54,310.76
|
$53,352.34
|
2026-02-24
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
6
|
6
|
$65,134.19
|
$39,080.51
40% off
|
$33,618.49
|
$55,364.06
|
$54,387.04
|
2026-02-24
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc
|
6
|
6
|
$69,688.12
|
$41,812.87
40% off
|
$31,853.19
|
$59,234.90
|
$58,189.58
|
2026-02-24
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
6
|
6
|
$70,108.52
|
$42,065.11
40% off
|
$52,511.28
|
$59,592.24
|
$58,540.61
|
2026-02-24
|
|
C1762
|
HCPCS
|
Connective Tissue, Human (includes Fascia Lata)
|
60
|
6
|
$9,571.28
|
$5,742.77
40% off
|
$549.69
|
$60,392.33
|
$6,966.10
|
2026-02-24
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
6
|
6
|
$71,447.86
|
$42,868.71
40% off
|
$30,621.29
|
$60,730.68
|
$59,658.96
|
2026-02-24
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
6
|
6
|
$75,891.82
|
$45,535.09
40% off
|
$33,250.19
|
$64,508.04
|
$63,369.67
|
2026-02-24
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
6
|
6
|
$78,064.95
|
$46,838.97
40% off
|
$44,003.91
|
$66,355.20
|
$65,184.22
|
2026-02-24
|
|
C1767
|
HCPCS
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
6
|
6
|
$81,228.95
|
$48,737.37
40% off
|
$52,798.82
|
$69,044.61
|
$67,826.18
|
2026-02-24
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
6
|
6
|
$82,143.32
|
$49,285.99
40% off
|
$45,564.43
|
$69,821.82
|
$68,589.67
|
2026-02-24
|
|
L8614
|
HCPCS
|
Cochlear Device, Includes All Internal And External Components
|
6
|
6
|
$82,360.73
|
$49,416.44
40% off
|
$53,534.47
|
$70,006.62
|
$68,771.21
|
2026-02-24
|
|
L8690
|
HCPCS
|
Auditory Osseointegrated Device, Includes All Internal And External Components
|
6
|
6
|
$82,360.73
|
$49,416.44
40% off
|
$53,534.47
|
$70,006.62
|
$68,771.21
|
2026-02-24
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
6
|
6
|
$67,607.78
|
$40,564.67
40% off
|
$50,638.23
|
$72,969.44
|
$57,466.62
|
2026-02-24
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
6
|
6
|
$38,170.80
|
$22,902.48
40% off
|
$28,589.93
|
$78,400.28
|
$32,445.18
|
2026-02-24
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
6
|
6
|
$82,114.64
|
$49,268.78
40% off
|
$61,503.87
|
$79,174.98
|
$69,797.44
|
2026-02-24
|
|
C1820
|
HCPCS
|
Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging…
|
6
|
6
|
$98,763.40
|
$59,258.04
40% off
|
$64,196.21
|
$83,948.89
|
$82,467.44
|
2026-02-24
|
|
C1763
|
HCPCS
|
Connective Tissue, Non-human (includes Synthetic)
|
60
|
6
|
$22,120.21
|
$13,272.12
40% off
|
$2,272.15
|
$84,892.05
|
$16,147.59
|
2026-02-24
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
6
|
6
|
$109,395.70
|
$65,637.42
40% off
|
$43,624.50
|
$92,986.34
|
$91,345.40
|
2026-02-24
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
6
|
6
|
$150,106.21
|
$90,063.73
40% off
|
$48,152.05
|
$127,590.28
|
$125,338.68
|
2026-02-24
|