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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Evanston Regional Hospital

Evanston, WY · CCN 530032 · Rates published

2,733 distinct procedures filed
6 distinct payers
18,183 rate rows
2026-02-24 last MRF observed
Data quality

17,537 of 18,183 rate rows are consumer-grade (96.4%)

646 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 630
exceeds 3× this hospital's gross charge for a DRG stay — excluded 10
percent-of-charges filed in the dollar field — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbERHEVANSTONWY&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Evanston.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint fbf48e5dd5084f0c… · 5,897,134 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 6 $48,152.05 $127,590.28 $125,338.68 nat. median
$31,075
outlier · 4.0×
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 6 $43,624.50 $92,986.34 $91,345.40 nat. median
$27,218
outlier · 3.4×
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 6 $64,196.21 $83,948.89 $82,467.44 nat. median
$22,013
outlier · 3.7×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 6 $61,503.87 $79,174.98 $69,797.44 nat. median
$48,178
1.4× median
L8614
HCPCS 		Cochlear Device, Includes All Internal And External Components 6 $53,534.47 $70,006.62 $68,771.21 nat. median
$23,403
outlier · 2.9×
L8690
HCPCS 		Auditory Osseointegrated Device, Includes All Internal And External Components 6 $53,534.47 $70,006.62 $68,771.21 nat. median
$5,743
outlier · 12.0×
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 $45,564.43 $69,821.82 $68,589.67 nat. median
$28,961
outlier · 2.4×
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 6 $52,798.82 $69,044.61 $67,826.18 nat. median
$22,481
outlier · 3.0×
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 6 $44,003.91 $66,355.20 $65,184.22 nat. median
$26,699
outlier · 2.4×
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 6 $33,250.19 $64,508.04 $63,369.67 nat. median
$21,529
outlier · 2.9×
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 6 $30,621.29 $60,730.68 $59,658.96 nat. median
$20,055
outlier · 3.0×
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 $52,511.28 $59,592.24 $58,540.61 nat. median
$35,856
1.6× median
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 6 $31,853.19 $59,234.90 $58,189.58 nat. median
$19,793
outlier · 2.9×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 6 $50,638.23 $72,969.44 $57,466.62 nat. median
$44,810
1.3× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 6 $33,618.49 $55,364.06 $54,387.04 nat. median
$21,760
outlier · 2.5×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 6 $38,055.55 $54,310.76 $53,352.34 nat. median
$24,346
outlier · 2.2×
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 6 $44,393.93 $50,380.29 $49,491.23 nat. median
$29,218
1.7× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 6 $33,475.61 $49,574.20 $48,699.36 nat. median
$21,526
outlier · 2.3×
300
MS_DRG 		Peripheral Vascular Disorders With Cc 6 $16,946.56 $49,510.96 $48,637.24 nat. median
$11,432
outlier · 4.3×
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 6 $31,719.84 $47,054.05 $46,223.68 nat. median
$20,421
outlier · 2.3×
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 6 $36,917.31 $42,936.09 $42,178.39 nat. median
$22,940
1.8× median
857
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 6 $33,996.31 $41,387.46 $40,657.10 nat. median
$21,522
1.9× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 6 $35,097.13 $40,260.59 $39,829.85 nat. median
$24,757
1.6× median
482
MS_DRG 		Hip And Femur Procedures Except Major Joint Without Cc/mcc 6 $25,892.13 $38,471.66 $37,792.75 nat. median
$17,025
outlier · 2.2×
398
MS_DRG 		Appendix Procedures With Cc 6 $24,028.40 $37,396.29 $36,736.35 nat. median
$15,921
outlier · 2.3×
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 6 $27,879.68 $36,735.39 $36,087.11 nat. median
$17,985
outlier · 2.0×
592
MS_DRG 		Skin Ulcers With Mcc 6 $30,078.58 $34,134.57 $33,532.19 nat. median
$19,648
1.7× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 6 $26,716.04 $33,603.88 $33,010.87 nat. median
$17,703
1.9× median
E0749
HCPCS 		Osteogenesis Stimulator, Electrical, Surgically Implanted 6 $25,691.59 $33,596.70 $33,003.82 nat. median
$1,627
outlier · 20.3×
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 6 $29,133.99 $33,062.60 $32,479.14 nat. median
$20,396
1.6× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 $28,589.93 $78,400.28 $32,445.18 nat. median
$48,170
0.7× median
551
MS_DRG 		Medical Back Problems With Mcc 6 $26,608.09 $31,656.01 $31,097.38 nat. median
$16,881
1.8× median
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 6 $26,293.89 $45,251.69 $29,839.53 nat. median
$28,136
1.1× median
358
MS_DRG 		Other Digestive System O.r. Procedures Without Cc/mcc 6 $22,191.66 $29,021.45 $28,509.31 nat. median
$14,524
2.0× median
312
MS_DRG 		Syncope And Collapse 6 $13,836.65 $27,620.67 $27,133.24 nat. median
$9,478
outlier · 2.9×
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 6 $23,276.45 $31,245.18 $26,415.20 nat. median
$19,681
1.3× median
811
MS_DRG 		Red Blood Cell Disorders With Mcc 6 $22,293.26 $26,882.41 $26,408.01 nat. median
$14,380
1.8× median
786
MS_DRG 		Cesarean Section Without Sterilization With Mcc 6 $22,687.27 $26,185.81 $25,746.57 nat. median
$15,316
1.7× median
517
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 6 $21,584.49 $24,495.08 $24,445.10 nat. median
$16,146
1.5× median
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 6 $20,994.92 $26,854.15 $23,826.01 nat. median
$17,482
1.4× median
69
MS_DRG 		Transient Ischemia Without Thrombolytic 6 $12,680.95 $23,343.84 $22,931.89 nat. median
$8,973
outlier · 2.6×
580
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 6 $19,870.24 $27,432.00 $22,549.67 nat. median
$17,921
1.3× median
L8680
HCPCS 		Implantable Neurostimulator Electrode, Each 6 $17,463.02 $22,836.25 $22,433.26 nat. median
$1,832
outlier · 12.2×
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 6 $17,876.84 $22,495.98 $22,098.99 nat. median
$12,148
1.8× median
502
MS_DRG 		Soft Tissue Procedures Without Cc/mcc 6 $19,223.58 $21,815.81 $21,590.99 nat. median
$14,387
1.5× median
909
MS_DRG 		Other O.r. Procedures For Injuries Without Cc/mcc 6 $18,487.42 $20,980.38 $20,909.75 nat. median
$13,888
1.5× median
315
MS_DRG 		Other Circulatory System Diagnoses With Cc 6 $15,292.39 $20,895.58 $20,526.83 nat. median
$10,513
2.0× median
66
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 6 $10,864.85 $20,730.81 $20,364.97 nat. median
$8,067
outlier · 2.5×
564
MS_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 6 $17,315.66 $24,504.65 $19,650.61 nat. median
$15,782
1.2× median
552
MS_DRG 		Medical Back Problems Without Mcc 6 $15,260.64 $19,744.58 $19,396.15 nat. median
$10,422
1.9× median

Other procedures at this hospital

Browse this hospital's 2,733 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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