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Hospital

THE HOSPITALS OF PROVIDENCE HORIZON CITY CAMPUS

Horizon City, TX · CCN 670124 · Rates published

1,306 distinct procedures filed
33 distinct payers
273,926 rate rows
2025-12-10 last MRF observed
Data quality

76,620 of 273,926 rate rows are consumer-grade (28.0%)

197,306 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 197,276
per-diem day rate — not a per-procedure price 24
exceeds 10× this hospital's gross charge — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.thopemergency.com/wp-content/uploads/forms/price/81-3935393_HCN-EP-Horizon-City-LLC_standardcharges.csv
Found on page https://www.thehospitalsofprovidence.com/patients/pricing-info-estimates/hospital-pricing-information
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint fade0e72a85e5ceb… · 24,524,575 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
628
MS_DRG 		Other Endocrine, Nutrit & Metab O.r. Proc W Mcc 31 $21,357.14 $127,736.07 $31,871.59 nat. median
$37,234
0.9× median
97
MS_DRG 		Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis W Mcc 31 $19,348.31 $123,794.45 $30,888.11 nat. median
$35,069
0.9× median
252
MS_DRG 		Other Vascular Procedures W Mcc 31 $17,842.22 $119,561.48 $29,831.94 nat. median
$34,043
0.9× median
987
MS_DRG 		Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc 31 $17,964.04 $117,508.41 $29,319.68 nat. median
$33,845
0.9× median
579
MS_DRG 		Other Skin, Subcut Tiss & Breast Proc W Mcc 31 $17,780.50 $110,999.59 $27,695.65 nat. median
$31,571
0.9× median
570
MS_DRG 		Skin Debridement W Mcc 31 $15,546.10 $100,806.20 $25,152.29 nat. median
$29,069
0.9× median
974
MS_DRG 		HIV W Major Related Condition W Mcc 31 $15,515.78 $98,917.65 $24,681.07 nat. median
$29,015
0.9× median
208
MS_DRG 		Respiratory System Diagnosis W Ventilator Support <96 Hours 31 $14,384.22 $94,211.69 $23,506.88 nat. median
$26,748
0.9× median
288
MS_DRG 		Acute & Subacute Endocarditis W Mcc 31 $13,794.76 $92,755.01 $23,143.42 nat. median
$26,895
0.9× median
95
MS_DRG 		Bacterial & Tuberculous Infections Of Nervous System W Cc 31 $12,683.94 $88,402.08 $22,057.32 nat. median
$24,991
0.9× median
96
MS_DRG 		Bacterial & Tuberculous Infections Of Nervous System Without Cc/mcc 31 $11,596.00 $88,402.08 $22,057.32 nat. median
$24,796
0.9× median
545
MS_DRG 		Connective Tissue Disorders W Mcc 31 $13,263.82 $85,060.27 $21,223.50 nat. median
$24,621
0.9× median
982
MS_DRG 		Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc 31 $13,225.52 $84,265.09 $21,025.09 nat. median
$24,493
0.9× median
85
MS_DRG 		Traumatic Stupor & Coma, Coma <1 Hr W Mcc 31 $12,091.30 $77,869.37 $19,429.29 nat. median
$22,316
0.9× median
808
MS_DRG 		Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul W Mcc 31 $11,651.33 $75,675.77 $18,881.96 nat. median
$22,208
0.9× median
30
MS_DRG 		Spinal Procedures Without Cc/mcc 31 $12,337.08 $75,240.48 $18,773.35 nat. median
$22,643
0.8× median
614
MS_DRG 		Adrenal & Pituitary Procedures W Cc/mcc 31 $11,982.77 $75,123.95 $18,744.27 nat. median
$22,640
0.8× median
424
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures W Cc 31 $11,104.44 $74,990.27 $18,710.92 nat. median
$22,316
0.8× median
857
MS_DRG 		Postoperative Or Post-traumatic Infections W O.r. Proc W Cc 31 $11,361.92 $73,399.91 $18,314.11 nat. median
$21,522
0.9× median
867
MS_DRG 		Other Infectious & Parasitic Diseases Diagnoses W Mcc 31 $11,131.04 $71,744.43 $17,901.05 nat. median
$21,263
0.8× median
314
MS_DRG 		Other Circulatory System Diagnoses W Mcc 31 $11,137.42 $71,470.23 $17,832.63 nat. median
$20,752
0.9× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction W Mcc 31 $10,655.96 $68,927.03 $17,198.07 nat. median
$20,254
0.8× median
854
MS_DRG 		Infectious & Parasitic Diseases W O.r. Procedure W Cc 31 $10,843.22 $68,484.88 $17,087.75 nat. median
$20,421
0.8× median
843
MS_DRG 		Other Myeloprolif Dis Or Poorly Diff Neopl Diag W Mcc 31 $9,898.39 $68,371.77 $17,059.53 nat. median
$19,627
0.9× median
539
MS_DRG 		Osteomyelitis W Mcc 31 $10,557.01 $67,511.47 $16,844.87 nat. median
$19,718
0.9× median
432
MS_DRG 		Cirrhosis & Alcoholic Hepatitis W Mcc 31 $10,193.12 $67,460.06 $16,832.05 nat. median
$19,681
0.9× median
380
MS_DRG 		Complicated Peptic Ulcer W Mcc 31 $10,366.02 $67,254.41 $16,780.73 nat. median
$19,314
0.9× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv 96+ Hours W Mcc 31 $10,547.43 $66,579.19 $16,612.26 nat. median
$19,634
0.8× median
100
MS_DRG 		Seizures W Mcc 31 $10,546.90 $66,383.82 $16,563.51 nat. median
$19,360
0.9× median
196
MS_DRG 		Interstitial Lung Disease W Mcc 31 $10,083.53 $64,683.78 $16,139.33 nat. median
$18,723
0.9× median
205
MS_DRG 		Other Respiratory System Diagnoses W Mcc 31 $9,630.80 $62,757.53 $15,658.71 nat. median
$18,292
0.9× median
919
MS_DRG 		Complications Of Treatment W Mcc 31 $9,707.40 $62,750.67 $15,657.00 nat. median
$18,326
0.9× median
377
MS_DRG 		G.i. Hemorrhage W Mcc 31 $9,524.40 $62,654.70 $15,633.06 nat. median
$18,249
0.9× median
862
MS_DRG 		Postoperative & Post-traumatic Infections W Mcc 31 $9,799.44 $62,507.32 $15,596.28 nat. median
$18,227
0.9× median
686
MS_DRG 		Kidney & Urinary Tract Neoplasms W Mcc 31 $9,785.61 $61,821.82 $15,425.24 nat. median
$18,574
0.8× median
441
MS_DRG 		Disorders Of Liver Except Malig,cirr,alc Hepa W Mcc 31 $9,726.02 $61,513.34 $15,348.27 nat. median
$18,509
0.8× median
371
MS_DRG 		Major Gastrointestinal Disorders & Peritoneal Infections W Mcc 31 $9,297.76 $60,773.00 $15,163.55 nat. median
$17,807
0.9× median
199
MS_DRG 		Pneumothorax W Mcc 31 $9,438.21 $60,464.53 $15,086.58 nat. median
$17,612
0.9× median
91
MS_DRG 		Other Disorders Of Nervous System W Mcc 31 $9,518.54 $60,193.76 $15,019.02 nat. median
$17,985
0.8× median
922
MS_DRG 		Other Injury, Poisoning & Toxic Effect Diag W Mcc 31 $9,282.87 $59,960.69 $14,960.87 nat. median
$17,445
0.9× median
896
MS_DRG 		Alcohol/drug Abuse Or Dependence Without Rehabilitation Therapy W Mcc 30 $11,093.60 $59,813.30 $14,924.10 nat. median
$16,145
0.9× median
746
MS_DRG 		Vagina, Cervix & Vulva Procedures W Cc/mcc 31 $8,916.85 $59,539.10 $14,855.68 nat. median
$17,317
0.9× median
983
MS_DRG 		Extensive O.r. Proced Unrelated To Principal Diagnosis Without Cc/ 31 $8,699.26 $58,747.35 $14,658.13 nat. median
$17,513
0.8× median
58
MS_DRG 		Multiple Sclerosis & Cerebellar Ataxia W Mcc 31 $9,192.43 $58,593.11 $14,619.64 nat. median
$17,928
0.8× median
915
MS_DRG 		Allergic Reactions W Mcc 31 $9,437.68 $57,636.84 $14,381.04 nat. median
$17,183
0.8× median
551
MS_DRG 		Medical Back Problems W Mcc 31 $9,054.11 $57,448.33 $14,334.01 nat. median
$16,881
0.8× median
444
MS_DRG 		Disorders Of The Biliary Tract W Mcc 31 $8,688.62 $57,270.10 $14,289.54 nat. median
$16,880
0.8× median
70
MS_DRG 		Nonspecific Cerebrovascular Disorders W Mcc 31 $9,520.14 $57,061.02 $14,237.37 nat. median
$17,281
0.8× median
698
MS_DRG 		Other Kidney & Urinary Tract Diagnoses W Mcc 31 $8,801.41 $56,704.56 $14,148.43 nat. median
$16,676
0.8× median
643
MS_DRG 		Endocrine Disorders W Mcc 31 $8,751.93 $56,420.08 $14,077.45 nat. median
$16,781
0.8× median

Other procedures at this hospital

Browse this hospital's 1,306 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
628 MS_DRG Other Endocrine, Nutrit & Metab O.r. Proc W Mcc 141 31 — — $21,357.14 $127,736.07 $31,871.59 2025-12-10
97 MS_DRG Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis W Mcc 141 31 — — $19,348.31 $123,794.45 $30,888.11 2025-12-10
252 MS_DRG Other Vascular Procedures W Mcc 141 31 — — $17,842.22 $119,561.48 $29,831.94 2025-12-10
987 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc 141 31 — — $17,964.04 $117,508.41 $29,319.68 2025-12-10
579 MS_DRG Other Skin, Subcut Tiss & Breast Proc W Mcc 141 31 — — $17,780.50 $110,999.59 $27,695.65 2025-12-10
570 MS_DRG Skin Debridement W Mcc 141 31 — — $15,546.10 $100,806.20 $25,152.29 2025-12-10
974 MS_DRG HIV W Major Related Condition W Mcc 141 31 — — $15,515.78 $98,917.65 $24,681.07 2025-12-10
208 MS_DRG Respiratory System Diagnosis W Ventilator Support <96 Hours 141 31 — — $14,384.22 $94,211.69 $23,506.88 2025-12-10
288 MS_DRG Acute & Subacute Endocarditis W Mcc 141 31 — — $13,794.76 $92,755.01 $23,143.42 2025-12-10
95 MS_DRG Bacterial & Tuberculous Infections Of Nervous System W Cc 141 31 — — $12,683.94 $88,402.08 $22,057.32 2025-12-10
96 MS_DRG Bacterial & Tuberculous Infections Of Nervous System Without Cc/mcc 141 31 — — $11,596.00 $88,402.08 $22,057.32 2025-12-10
545 MS_DRG Connective Tissue Disorders W Mcc 141 31 — — $13,263.82 $85,060.27 $21,223.50 2025-12-10
982 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc 141 31 — — $13,225.52 $84,265.09 $21,025.09 2025-12-10
85 MS_DRG Traumatic Stupor & Coma, Coma <1 Hr W Mcc 141 31 — — $12,091.30 $77,869.37 $19,429.29 2025-12-10
808 MS_DRG Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul W Mcc 141 31 — — $11,651.33 $75,675.77 $18,881.96 2025-12-10
30 MS_DRG Spinal Procedures Without Cc/mcc 141 31 — — $12,337.08 $75,240.48 $18,773.35 2025-12-10
614 MS_DRG Adrenal & Pituitary Procedures W Cc/mcc 141 31 — — $11,982.77 $75,123.95 $18,744.27 2025-12-10
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures W Cc 141 31 — — $11,104.44 $74,990.27 $18,710.92 2025-12-10
857 MS_DRG Postoperative Or Post-traumatic Infections W O.r. Proc W Cc 141 31 — — $11,361.92 $73,399.91 $18,314.11 2025-12-10
867 MS_DRG Other Infectious & Parasitic Diseases Diagnoses W Mcc 141 31 — — $11,131.04 $71,744.43 $17,901.05 2025-12-10
314 MS_DRG Other Circulatory System Diagnoses W Mcc 141 31 — — $11,137.42 $71,470.23 $17,832.63 2025-12-10
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction W Mcc 141 31 — — $10,655.96 $68,927.03 $17,198.07 2025-12-10
854 MS_DRG Infectious & Parasitic Diseases W O.r. Procedure W Cc 141 31 — — $10,843.22 $68,484.88 $17,087.75 2025-12-10
843 MS_DRG Other Myeloprolif Dis Or Poorly Diff Neopl Diag W Mcc 141 31 — — $9,898.39 $68,371.77 $17,059.53 2025-12-10
539 MS_DRG Osteomyelitis W Mcc 141 31 — — $10,557.01 $67,511.47 $16,844.87 2025-12-10
432 MS_DRG Cirrhosis & Alcoholic Hepatitis W Mcc 141 31 — — $10,193.12 $67,460.06 $16,832.05 2025-12-10
380 MS_DRG Complicated Peptic Ulcer W Mcc 141 31 — — $10,366.02 $67,254.41 $16,780.73 2025-12-10
871 MS_DRG Septicemia Or Severe Sepsis Without Mv 96+ Hours W Mcc 141 31 — — $10,547.43 $66,579.19 $16,612.26 2025-12-10
100 MS_DRG Seizures W Mcc 141 31 — — $10,546.90 $66,383.82 $16,563.51 2025-12-10
196 MS_DRG Interstitial Lung Disease W Mcc 141 31 — — $10,083.53 $64,683.78 $16,139.33 2025-12-10
205 MS_DRG Other Respiratory System Diagnoses W Mcc 141 31 — — $9,630.80 $62,757.53 $15,658.71 2025-12-10
919 MS_DRG Complications Of Treatment W Mcc 141 31 — — $9,707.40 $62,750.67 $15,657.00 2025-12-10
377 MS_DRG G.i. Hemorrhage W Mcc 141 31 — — $9,524.40 $62,654.70 $15,633.06 2025-12-10
862 MS_DRG Postoperative & Post-traumatic Infections W Mcc 141 31 — — $9,799.44 $62,507.32 $15,596.28 2025-12-10
686 MS_DRG Kidney & Urinary Tract Neoplasms W Mcc 141 31 — — $9,785.61 $61,821.82 $15,425.24 2025-12-10
441 MS_DRG Disorders Of Liver Except Malig,cirr,alc Hepa W Mcc 141 31 — — $9,726.02 $61,513.34 $15,348.27 2025-12-10
371 MS_DRG Major Gastrointestinal Disorders & Peritoneal Infections W Mcc 141 31 — — $9,297.76 $60,773.00 $15,163.55 2025-12-10
199 MS_DRG Pneumothorax W Mcc 141 31 — — $9,438.21 $60,464.53 $15,086.58 2025-12-10
91 MS_DRG Other Disorders Of Nervous System W Mcc 141 31 — — $9,518.54 $60,193.76 $15,019.02 2025-12-10
922 MS_DRG Other Injury, Poisoning & Toxic Effect Diag W Mcc 141 31 — — $9,282.87 $59,960.69 $14,960.87 2025-12-10
896 MS_DRG Alcohol/drug Abuse Or Dependence Without Rehabilitation Therapy W Mcc 129 30 — — $11,093.60 $59,813.30 $14,924.10 2025-12-10
746 MS_DRG Vagina, Cervix & Vulva Procedures W Cc/mcc 141 31 — — $8,916.85 $59,539.10 $14,855.68 2025-12-10
983 MS_DRG Extensive O.r. Proced Unrelated To Principal Diagnosis Without Cc/ 141 31 — — $8,699.26 $58,747.35 $14,658.13 2025-12-10
58 MS_DRG Multiple Sclerosis & Cerebellar Ataxia W Mcc 141 31 — — $9,192.43 $58,593.11 $14,619.64 2025-12-10
915 MS_DRG Allergic Reactions W Mcc 141 31 — — $9,437.68 $57,636.84 $14,381.04 2025-12-10
551 MS_DRG Medical Back Problems W Mcc 141 31 — — $9,054.11 $57,448.33 $14,334.01 2025-12-10
444 MS_DRG Disorders Of The Biliary Tract W Mcc 141 31 — — $8,688.62 $57,270.10 $14,289.54 2025-12-10
70 MS_DRG Nonspecific Cerebrovascular Disorders W Mcc 141 31 — — $9,520.14 $57,061.02 $14,237.37 2025-12-10
698 MS_DRG Other Kidney & Urinary Tract Diagnoses W Mcc 141 31 — — $8,801.41 $56,704.56 $14,148.43 2025-12-10
643 MS_DRG Endocrine Disorders W Mcc 141 31 — — $8,751.93 $56,420.08 $14,077.45 2025-12-10
913 MS_DRG Traumatic Injury W Mcc 141 31 — — $7,950.74 $56,025.92 $13,979.10 2025-12-10
299 MS_DRG Peripheral Vascular Disorders W Mcc 141 31 — — $8,385.38 $55,960.79 $13,962.85 2025-12-10
438 MS_DRG Disorders Of Pancreas Except Malignancy W Mcc 141 31 — — $8,878.02 $55,875.11 $13,941.47 2025-12-10
884 MS_DRG Organic Disturbances & Mental Retardation 129 30 — — $10,227.78 $55,145.05 $13,759.31 2025-12-10
73 MS_DRG Cranial & Peripheral Nerve Disorders W Mcc 141 31 — — $8,049.16 $54,987.38 $13,719.97 2025-12-10
280 MS_DRG Acute Myocardial Infarction, Discharged Alive W Mcc 141 31 — — $8,440.18 $54,980.53 $13,718.26 2025-12-10
393 MS_DRG Other Digestive System Diagnoses W Mcc 141 31 — — $8,616.27 $54,816.01 $13,677.21 2025-12-10
368 MS_DRG Major Esophageal Disorders W Mcc 141 31 — — $8,788.64 $54,562.37 $13,613.93 2025-12-10
917 MS_DRG Poisoning & Toxic Effects Of Drugs W Mcc 141 31 — — $8,490.19 $53,756.91 $13,412.96 2025-12-10
154 MS_DRG Other Ear, Nose, Mouth & Throat Diagnoses W Mcc 141 31 — — $8,183.22 $53,588.96 $13,371.05 2025-12-10
177 MS_DRG Respiratory Infections & Inflammations W Mcc 141 31 — — $9,024.85 $53,561.54 $13,364.21 2025-12-10
296 MS_DRG Cardiac Arrest, Unexplained W Mcc 141 31 — — $8,529.02 $53,534.12 $13,357.37 2025-12-10
186 MS_DRG Pleural Effusion W Mcc 141 31 — — $8,257.17 $53,417.59 $13,328.29 2025-12-10
564 MS_DRG Other Musculoskeletal Sys & Connective Tissue Diagnoses W Mcc 141 31 — — $8,309.31 $52,906.89 $13,200.87 2025-12-10
183 MS_DRG Major Chest Trauma W Mcc 141 31 — — $8,376.34 $52,437.32 $13,083.70 2025-12-10
813 MS_DRG Coagulation Disorders 141 31 — — $8,299.20 $52,279.66 $13,044.37 2025-12-10
606 MS_DRG Minor Skin Disorders W Mcc 141 31 — — $8,436.46 $51,864.93 $12,940.89 2025-12-10
865 MS_DRG Viral Illness W Mcc 141 31 — — $8,724.27 $51,354.23 $12,813.46 2025-12-10
557 MS_DRG Tendonitis, Myositis & Bursitis W Mcc 141 31 — — $8,282.18 $50,963.50 $12,715.97 2025-12-10
727 MS_DRG Inflammation Of The Male Reproductive System W Mcc 141 31 — — $8,623.72 $50,826.40 $12,681.76 2025-12-10
682 MS_DRG Renal Failure W Mcc 141 31 — — $7,984.26 $50,761.28 $12,665.51 2025-12-10
388 MS_DRG G.i. Obstruction W Mcc 141 31 — — $7,732.62 $50,617.32 $12,629.59 2025-12-10
604 MS_DRG Trauma To The Skin, Subcut Tiss & Breast W Mcc 141 31 — — $8,012.98 $50,456.23 $12,589.40 2025-12-10
581 MS_DRG Other Skin, Subcut Tiss & Breast Proc Without Cc/mcc 141 31 — — $7,164.44 $49,462.25 $12,341.39 2025-12-10
637 MS_DRG Diabetes W Mcc 141 31 — — $7,710.28 $49,242.89 $12,286.66 2025-12-10
562 MS_DRG Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W Mcc 141 31 — — $8,090.12 $48,835.02 $12,184.89 2025-12-10
642 MS_DRG Inborn Errors Of Metabolism 141 31 — — $6,933.56 $48,742.48 $12,161.80 2025-12-10
602 MS_DRG Cellulitis W Mcc 141 31 — — $7,913.50 $48,715.06 $12,154.96 2025-12-10
811 MS_DRG Red Blood Cell Disorders W Mcc 141 31 — — $7,467.15 $48,132.38 $12,009.57 2025-12-10
175 MS_DRG Pulmonary Embolism W Mcc 141 31 — — $7,463.96 $47,080.14 $11,747.03 2025-12-10
99 MS_DRG Non-bacte Infect Of Nervous Sys Exc Viral Meningitis Without Cc/m 141 31 — — $7,023.46 $46,696.26 $11,651.24 2025-12-10
693 MS_DRG Urinary Stones Without Esw Lithotripsy W Mcc 141 31 — — $7,534.72 $46,082.74 $11,498.16 2025-12-10
640 MS_DRG Nutritional & Misc Metabolic Disorders W Mcc 141 31 — — $6,996.86 $45,777.69 $11,422.05 2025-12-10
555 MS_DRG Signs & Symptoms Of Musculoskeletal System & Conn Tissue W Mcc 141 31 — — $7,442.68 $45,304.70 $11,304.03 2025-12-10
193 MS_DRG Simple Pneumonia & Pleurisy W Mcc 141 31 — — $7,057.51 $45,051.06 $11,240.75 2025-12-10
977 MS_DRG HIV W Or Without Other Related Condition 141 31 — — $7,533.65 $44,478.67 $11,097.93 2025-12-10
540 MS_DRG Osteomyelitis W Cc 141 31 — — $6,906.42 $44,430.68 $11,085.96 2025-12-10
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 141 31 — — $7,252.22 $44,406.69 $11,079.97 2025-12-10
975 MS_DRG HIV W Major Related Condition W Cc 141 31 — — $7,252.76 $44,386.13 $11,074.84 2025-12-10
291 MS_DRG Heart Failure & Shock W Mcc 141 31 — — $6,830.35 $44,002.25 $10,979.06 2025-12-10
535 MS_DRG Fractures Of Hip & Pelvis W Mcc 141 31 — — $6,898.44 $43,940.55 $10,963.66 2025-12-10
947 MS_DRG Signs & Symptoms W Mcc 141 31 — — $6,658.51 $43,508.69 $10,855.91 2025-12-10
391 MS_DRG Esophagitis, Gastroent & Misc Digest Disorders W Mcc 141 31 — — $6,786.72 $43,470.98 $10,846.50 2025-12-10
809 MS_DRG Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul W Cc 141 31 — — $6,407.41 $43,388.72 $10,825.98 2025-12-10
59 MS_DRG Multiple Sclerosis & Cerebellar Ataxia W Cc 141 31 — — $6,315.90 $42,531.85 $10,612.18 2025-12-10
189 MS_DRG Pulmonary Edema & Respiratory Failure 141 31 — — $6,554.24 $42,343.34 $10,565.14 2025-12-10
375 MS_DRG Digestive Malignancy W Cc 141 31 — — $6,374.96 $41,459.04 $10,344.50 2025-12-10
549 MS_DRG Septic Arthritis W Cc 141 31 — — $6,416.98 $41,376.78 $10,323.97 2025-12-10
308 MS_DRG Cardiac Arrhythmia & Conduction Disorders W Mcc 141 31 — — $6,395.70 $41,267.10 $10,296.61 2025-12-10
302 MS_DRG Atherosclerosis W Mcc 141 31 — — $5,964.25 $41,013.47 $10,233.32 2025-12-10
304 MS_DRG Hypertension W Mcc 141 31 — — $6,112.68 $40,787.25 $10,176.88 2025-12-10
593 MS_DRG Skin Ulcers W Cc 141 31 — — $6,436.67 $40,660.43 $10,145.24 2025-12-10
152 MS_DRG Otitis Media & Uri W Mcc 141 31 — — $6,321.22 $40,519.91 $10,110.17 2025-12-10
121 MS_DRG Acute Major Eye Infections W Cc/mcc 141 31 — — $6,815.98 $39,872.11 $9,948.54 2025-12-10
689 MS_DRG Kidney & Urinary Tract Infections W Mcc 141 31 — — $6,247.81 $39,769.28 $9,922.89 2025-12-10
546 MS_DRG Connective Tissue Disorders W Cc 141 31 — — $6,380.28 $39,532.79 $9,863.88 2025-12-10
560 MS_DRG Aftercare, Musculoskeletal System & Connective Tissue W Cc 141 31 — — $6,022.77 $38,597.08 $9,630.41 2025-12-10
102 MS_DRG Headaches W Mcc 141 31 — — $6,419.11 $38,418.85 $9,585.94 2025-12-10
190 MS_DRG Chronic Obstructive Pulmonary Disease W Mcc 141 31 — — $5,862.64 $37,966.42 $9,473.05 2025-12-10
200 MS_DRG Pneumothorax W Cc 141 31 — — $5,729.64 $37,678.51 $9,401.21 2025-12-10
89 MS_DRG Concussion W Cc 141 31 — — $6,117.47 $37,654.52 $9,395.23 2025-12-10
445 MS_DRG Disorders Of The Biliary Tract W Cc 141 31 — — $5,781.78 $37,510.56 $9,359.31 2025-12-10
596 MS_DRG Major Skin Disorders Without Mcc 141 31 — — $5,367.88 $37,102.69 $9,257.54 2025-12-10
300 MS_DRG Peripheral Vascular Disorders W Cc 141 31 — — $5,676.44 $36,588.56 $9,129.26 2025-12-10
184 MS_DRG Major Chest Trauma W Cc 141 31 — — $5,596.11 $36,472.03 $9,100.18 2025-12-10
433 MS_DRG Cirrhosis & Alcoholic Hepatitis W Cc 141 31 — — $5,484.92 $36,201.26 $9,032.62 2025-12-10
600 MS_DRG Non-malignant Breast Disorders W Cc/mcc 141 31 — — $5,455.66 $35,700.84 $8,907.76 2025-12-10
868 MS_DRG Other Infectious & Parasitic Diseases Diagnoses W Cc 141 31 — — $5,774.86 $35,340.95 $8,817.97 2025-12-10
74 MS_DRG Cranial & Peripheral Nerve Disorders Without Mcc 141 31 — — $5,459.38 $35,330.67 $8,815.40 2025-12-10
543 MS_DRG Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc 141 31 — — $5,802.52 $35,234.70 $8,791.46 2025-12-10
71 MS_DRG Nonspecific Cerebrovascular Disorders W Cc 141 31 — — $5,648.78 $35,166.15 $8,774.35 2025-12-10
644 MS_DRG Endocrine Disorders W Cc 141 31 — — $5,648.24 $35,131.88 $8,765.80 2025-12-10
872 MS_DRG Septicemia Or Severe Sepsis Without Mv 96+ Hours Without Mcc 141 31 — — $5,479.07 $35,073.61 $8,751.26 2025-12-10
92 MS_DRG Other Disorders Of Nervous System W Cc 141 31 — — $5,458.85 $35,063.33 $8,748.70 2025-12-10
372 MS_DRG Major Gastrointestinal Disorders & Peritoneal Infections W Cc 141 31 — — $5,545.04 $34,994.78 $8,731.59 2025-12-10
923 MS_DRG Other Injury, Poisoning & Toxic Effect Diag Without Mcc 141 31 — — $5,380.65 $34,881.67 $8,703.37 2025-12-10
699 MS_DRG Other Kidney & Urinary Tract Diagnoses W Cc 141 31 — — $5,430.66 $34,789.13 $8,680.28 2025-12-10
815 MS_DRG Reticuloendothelial & Immunity Disorders W Cc 141 31 — — $5,289.14 $34,754.85 $8,671.73 2025-12-10
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction W Cc 141 31 — — $5,407.25 $34,628.03 $8,640.09 2025-12-10
760 MS_DRG Menstrual & Other Female Reproductive System Disorders W Cc/mcc 141 31 — — $5,295.53 $34,532.06 $8,616.14 2025-12-10
920 MS_DRG Complications Of Treatment W Cc 141 31 — — $5,499.82 $34,353.83 $8,571.67 2025-12-10
863 MS_DRG Postoperative & Post-traumatic Infections Without Mcc 141 31 — — $5,349.26 $34,203.02 $8,534.04 2025-12-10
187 MS_DRG Pleural Effusion W Cc 141 31 — — $5,300.32 $33,901.40 $8,458.78 2025-12-10
378 MS_DRG G.i. Hemorrhage W Cc 141 31 — — $5,233.82 $33,613.49 $8,386.95 2025-12-10
53 MS_DRG Spinal Disorders & Injuries Without Cc/mcc 141 31 — — $5,233.82 $33,562.08 $8,374.12 2025-12-10
758 MS_DRG Infections, Female Reproductive System W Cc 141 31 — — $5,280.63 $33,555.23 $8,372.41 2025-12-10
386 MS_DRG Inflammatory Bowel Disease W Cc 141 31 — — $5,168.91 $33,462.68 $8,349.32 2025-12-10
178 MS_DRG Respiratory Infections & Inflammations W Cc 141 31 — — $5,249.24 $33,452.40 $8,346.75 2025-12-10
565 MS_DRG Other Musculoskeletal Sys & Connective Tissue Diagnoses W Cc 141 31 — — $5,316.81 $33,397.56 $8,333.07 2025-12-10
202 MS_DRG Bronchitis & Asthma W Cc/mcc 141 31 — — $5,093.90 $33,287.88 $8,305.70 2025-12-10
442 MS_DRG Disorders Of Liver Except Malig,cirr,alc Hepa W Cc 141 31 — — $5,061.98 $33,085.66 $8,255.25 2025-12-10
315 MS_DRG Other Circulatory System Diagnoses W Cc 141 31 — — $5,146.04 $33,017.11 $8,238.14 2025-12-10
552 MS_DRG Medical Back Problems Without Mcc 141 31 — — $5,140.72 $32,948.56 $8,221.04 2025-12-10
880 MS_DRG Acute Adjustment Reaction & Psychosocial Dysfunction 129 30 — — $6,103.99 $32,910.86 $8,211.63 2025-12-10
537 MS_DRG Sprains, Strains, & Dislocations Of Hip, Pelvis & Thigh W Cc/mcc 141 31 — — $5,144.44 $32,708.63 $8,161.17 2025-12-10
197 MS_DRG Interstitial Lung Disease W Cc 141 31 — — $5,306.70 $32,530.40 $8,116.70 2025-12-10
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 141 31 — — $4,859.82 $32,256.20 $8,048.29 2025-12-10
394 MS_DRG Other Digestive System Diagnoses W Cc 141 31 — — $4,984.31 $32,071.12 $8,002.11 2025-12-10
376 MS_DRG Digestive Malignancy Without Cc/mcc 141 31 — — $4,742.25 $31,680.38 $7,904.61 2025-12-10
60 MS_DRG Multiple Sclerosis & Cerebellar Ataxia Without Cc/mcc 141 31 — — $4,774.17 $31,526.15 $7,866.13 2025-12-10
281 MS_DRG Acute Myocardial Infarction, Discharged Alive W Cc 141 31 — — $4,857.16 $31,502.15 $7,860.14 2025-12-10
812 MS_DRG Red Blood Cell Disorders Without Mcc 141 31 — — $4,791.72 $31,471.31 $7,852.45 2025-12-10
155 MS_DRG Other Ear, Nose, Mouth & Throat Diagnoses W Cc 141 31 — — $5,035.91 $31,413.04 $7,837.91 2025-12-10
605 MS_DRG Trauma To The Skin, Subcut Tiss & Breast Without Mcc 141 31 — — $4,834.82 $31,395.90 $7,833.63 2025-12-10
87 MS_DRG Traumatic Stupor & Coma, Coma <1 Hr Without Cc/mcc 141 31 — — $4,714.58 $31,351.34 $7,822.51 2025-12-10
307 MS_DRG Cardiac Congenital & Valvular Disorders Without Mcc 141 31 — — $5,014.63 $31,299.93 $7,809.69 2025-12-10
158 MS_DRG Dental & Oral Diseases W Cc 141 31 — — $4,992.82 $31,183.40 $7,780.61 2025-12-10
607 MS_DRG Minor Skin Disorders Without Mcc 141 31 — — $4,753.42 $31,066.86 $7,751.53 2025-12-10
976 MS_DRG HIV W Major Related Condition Without Cc/mcc 141 31 — — $4,497.00 $30,940.04 $7,719.89 2025-12-10
101 MS_DRG Seizures Without Mcc 141 31 — — $4,839.07 $30,936.62 $7,719.04 2025-12-10
638 MS_DRG Diabetes W Cc 141 31 — — $4,784.81 $30,717.26 $7,664.30 2025-12-10
563 MS_DRG Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh Without Mcc 141 31 — — $4,764.59 $30,693.26 $7,658.32 2025-12-10
558 MS_DRG Tendonitis, Myositis & Bursitis Without Mcc 141 31 — — $4,673.09 $30,614.43 $7,638.65 2025-12-10
864 MS_DRG Fever 141 31 — — $4,696.50 $30,425.92 $7,591.61 2025-12-10
914 MS_DRG Traumatic Injury Without Mcc 141 31 — — $4,828.96 $30,350.51 $7,572.80 2025-12-10
897 MS_DRG Alcohol/drug Abuse Or Dependence Without Rehabilitation Thera Without M 129 30 — — $5,611.96 $30,257.97 $7,549.71 2025-12-10
683 MS_DRG Renal Failure W Cc 141 31 — — $4,792.26 $30,018.05 $7,489.84 2025-12-10
550 MS_DRG Septic Arthritis Without Cc/mcc 141 31 — — $4,898.66 $29,959.78 $7,475.30 2025-12-10
312 MS_DRG Syncope & Collapse 141 31 — — $4,593.82 $29,874.09 $7,453.92 2025-12-10
603 MS_DRG Cellulitis Without Mcc 141 31 — — $4,706.60 $29,850.10 $7,447.94 2025-12-10
866 MS_DRG Viral Illness Without Mcc 141 31 — — $4,882.16 $29,805.54 $7,436.82 2025-12-10
918 MS_DRG Poisoning & Toxic Effects Of Drugs Without Mcc 141 31 — — $4,579.99 $29,377.10 $7,329.92 2025-12-10
292 MS_DRG Heart Failure & Shock W Cc 141 31 — — $4,556.58 $29,099.48 $7,260.65 2025-12-10
191 MS_DRG Chronic Obstructive Pulmonary Disease W Cc 141 31 — — $4,516.68 $28,893.83 $7,209.34 2025-12-10
439 MS_DRG Disorders Of Pancreas Except Malignancy W Cc 141 31 — — $4,549.66 $28,832.13 $7,193.94 2025-12-10
103 MS_DRG Headaches Without Mcc 141 31 — — $4,481.57 $28,664.18 $7,152.04 2025-12-10
547 MS_DRG Connective Tissue Disorders Without Cc/mcc 141 31 — — $4,327.29 $28,660.76 $7,151.18 2025-12-10
556 MS_DRG Signs & Symptoms Of Musculoskeletal System & Conn Tissue Without Mcc 141 31 — — $4,385.81 $28,468.82 $7,103.29 2025-12-10
554 MS_DRG Bone Diseases & Arthropathies Without Mcc 141 31 — — $4,371.98 $28,451.68 $7,099.02 2025-12-10
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 141 31 — — $4,263.98 $28,355.71 $7,075.07 2025-12-10
76 MS_DRG Viral Meningitis Without Cc/mcc 141 31 — — $4,907.70 $28,283.73 $7,057.11 2025-12-10
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 141 31 — — $4,256.53 $27,803.88 $6,937.38 2025-12-10
690 MS_DRG Kidney & Urinary Tract Infections Without Mcc 141 31 — — $4,292.71 $27,745.61 $6,922.84 2025-12-10
536 MS_DRG Fractures Of Hip & Pelvis Without Mcc 141 31 — — $4,187.37 $27,680.49 $6,906.60 2025-12-10
204 MS_DRG Respiratory Signs & Symptoms 141 31 — — $4,377.83 $27,673.64 $6,904.88 2025-12-10
194 MS_DRG Simple Pneumonia & Pleurisy W Cc 141 31 — — $4,374.10 $27,622.22 $6,892.06 2025-12-10
176 MS_DRG Pulmonary Embolism Without Mcc 141 31 — — $4,338.99 $27,591.38 $6,884.36 2025-12-10
948 MS_DRG Signs & Symptoms Without Mcc 141 31 — — $4,261.32 $27,437.14 $6,845.88 2025-12-10
69 MS_DRG Transient Ischemia 141 31 — — $4,249.08 $27,378.87 $6,831.34 2025-12-10
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 141 31 — — $4,119.81 $27,293.18 $6,809.96 2025-12-10
688 MS_DRG Kidney & Urinary Tract Neoplasms Without Cc/mcc 141 31 — — $4,154.39 $27,087.53 $6,758.65 2025-12-10
389 MS_DRG G.i. Obstruction W Cc 141 31 — — $4,236.85 $27,070.40 $6,754.37 2025-12-10
541 MS_DRG Osteomyelitis Without Cc/mcc 141 31 — — $4,564.03 $26,988.14 $6,733.84 2025-12-10
185 MS_DRG Major Chest Trauma Without Cc/mcc 141 31 — — $4,020.32 $26,957.29 $6,726.15 2025-12-10
122 MS_DRG Acute Major Eye Infections Without Cc/mcc 141 31 — — $3,960.74 $26,933.30 $6,720.16 2025-12-10
694 MS_DRG Urinary Stones Without Esw Lithotripsy Without Mcc 141 31 — — $4,163.96 $26,792.77 $6,685.10 2025-12-10
392 MS_DRG Esophagitis, Gastroent & Misc Digest Disorders Without Mcc 141 31 — — $4,179.39 $26,720.79 $6,667.14 2025-12-10
641 MS_DRG Nutritional & Misc Metabolic Disorders Without Mcc 141 31 — — $4,157.05 $26,672.81 $6,655.17 2025-12-10
645 MS_DRG Endocrine Disorders Without Cc/mcc 141 31 — — $4,047.99 $26,333.48 $6,570.50 2025-12-10
125 MS_DRG Other Disorders Of The Eye Without Mcc 141 31 — — $4,242.70 $26,316.35 $6,566.23 2025-12-10
72 MS_DRG Nonspecific Cerebrovascular Disorders Without Cc/mcc 141 31 — — $4,165.56 $25,918.76 $6,467.02 2025-12-10
305 MS_DRG Hypertension Without Mcc 141 31 — — $4,008.62 $25,881.05 $6,457.62 2025-12-10
179 MS_DRG Respiratory Infections & Inflammations Without Cc/mcc 141 31 — — $4,060.76 $25,877.63 $6,456.76 2025-12-10
544 MS_DRG Pathological Fractures & Musculoskel & Conn Tiss Malig Without Cc/m 141 31 — — $4,083.10 $25,863.92 $6,453.34 2025-12-10
149 MS_DRG Dysequilibrium 141 31 — — $3,961.80 $25,761.09 $6,427.68 2025-12-10
566 MS_DRG Other Musculoskeletal Sys & Connective Tissue Diagnoses Wo Cc/mc 141 31 — — $3,992.66 $25,682.26 $6,408.01 2025-12-10
153 MS_DRG Otitis Media & Uri Without Mcc 141 31 — — $3,909.14 $25,301.81 $6,313.09 2025-12-10
309 MS_DRG Cardiac Arrhythmia & Conduction Disorders W Cc 141 31 — — $3,961.80 $25,216.12 $6,291.71 2025-12-10
869 MS_DRG Other Infectious & Parasitic Diseases Diagnoses Without Cc/mcc 141 31 — — $3,674.52 $25,010.47 $6,240.39 2025-12-10
373 MS_DRG Major Gastrointestinal Disord & Peritoneal Infections Without Cc/m 141 31 — — $3,811.78 $24,931.64 $6,220.72 2025-12-10
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 141 31 — — $3,820.29 $24,784.25 $6,183.95 2025-12-10
726 MS_DRG Benign Prostatic Hypertrophy Without Mcc 141 31 — — $3,888.39 $24,746.55 $6,174.54 2025-12-10
313 MS_DRG Chest Pain 141 31 — — $3,849.55 $24,678.00 $6,157.44 2025-12-10
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 141 31 — — $3,776.14 $24,667.72 $6,154.87 2025-12-10
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 141 31 — — $4,140.02 $24,547.76 $6,124.94 2025-12-10
159 MS_DRG Dental & Oral Diseases Without Cc/mcc 141 31 — — $3,592.06 $24,283.84 $6,059.09 2025-12-10
311 MS_DRG Angina Pectoris 141 31 — — $3,713.89 $24,057.62 $6,002.65 2025-12-10
443 MS_DRG Disorders Of Liver Except Malig,cirr,alc Hepa Without Cc/mcc 141 31 — — $3,802.20 $23,982.22 $5,983.83 2025-12-10
156 MS_DRG Other Ear, Nose, Mouth & Throat Diagnoses Without Cc/mcc 141 31 — — $3,487.26 $23,687.45 $5,910.29 2025-12-10
700 MS_DRG Other Kidney & Urinary Tract Diagnoses Without Cc/mcc 141 31 — — $3,768.16 $23,646.32 $5,900.02 2025-12-10
696 MS_DRG Kidney & Urinary Tract Signs & Symptoms Without Mcc 141 31 — — $3,681.97 $23,615.48 $5,892.33 2025-12-10
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 141 31 — — $3,685.16 $23,378.98 $5,833.32 2025-12-10
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 141 31 — — $3,639.41 $23,351.56 $5,826.48 2025-12-10
303 MS_DRG Atherosclerosis Without Mcc 141 31 — — $3,501.09 $23,073.93 $5,757.21 2025-12-10
203 MS_DRG Bronchitis & Asthma Without Cc/mcc 141 31 — — $3,696.87 $22,964.25 $5,729.84 2025-12-10
916 MS_DRG Allergic Reactions Without Mcc 141 31 — — $3,504.82 $22,837.43 $5,698.20 2025-12-10
759 MS_DRG Infections, Female Reproductive System Without Cc/mcc 141 31 — — $3,437.78 $22,744.89 $5,675.11 2025-12-10
776 MS_DRG Postpartum & Post Abortion Diagnoses Without O.r. Procedure 141 31 — — $3,812.84 $22,439.84 $5,598.99 2025-12-10
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 141 31 — — $3,444.70 $22,244.48 $5,550.25 2025-12-10
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 141 31 — — $3,414.38 $22,004.55 $5,490.38 2025-12-10
379 MS_DRG G.i. Hemorrhage Without Cc/mcc 141 31 — — $3,368.62 $21,606.96 $5,391.18 2025-12-10
195 MS_DRG Simple Pneumonia & Pleurisy Without Cc/mcc 141 31 — — $3,328.19 $21,541.84 $5,374.93 2025-12-10
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 141 31 — — $3,274.99 $21,298.49 $5,314.21 2025-12-10
639 MS_DRG Diabetes Without Cc/mcc 141 31 — — $3,311.70 $21,291.63 $5,312.50 2025-12-10
894 MS_DRG Alcohol/drug Abuse Or Dependence, Left Ama 129 30 — — $3,921.63 $21,144.25 $5,275.73 2025-12-10
684 MS_DRG Renal Failure Without Cc/mcc 141 31 — — $3,237.22 $20,575.28 $5,133.77 2025-12-10
761 MS_DRG Menstrual & Other Female Reproductive System Disorders Without Cc/mcc 141 31 — — $3,221.79 $19,553.89 $4,878.92 2025-12-10
310 MS_DRG Cardiac Arrhythmia & Conduction Disorders Without Cc/mcc 141 31 — — $2,941.96 $19,403.08 $4,841.29 2025-12-10
293 MS_DRG Heart Failure & Shock Without Cc/mcc 141 31 — — $2,987.18 $19,399.65 $4,840.43 2025-12-10
951 MS_DRG Other Factors Influencing Health Status 141 31 — — $3,138.80 $19,056.90 $4,754.91 2025-12-10
390 MS_DRG G.i. Obstruction Without Cc/mcc 141 31 — — $2,973.88 $18,645.60 $4,652.29 2025-12-10
0110 RC — 15 5 $5,219.90 $3,131.94 40% off $3,345.49 $3,345.49 $3,345.49 2025-12-10
0120 RC — 15 5 $4,541.31 $2,724.79 40% off $3,243.70 $3,243.70 $3,243.70 2025-12-10
27604 HCPCS I&d Leg Or Ankle Infected Bursa 51 15 $1,045.95 $627.57 40% off $2,950.32 $9,124.69 $3,041.56 2025-12-10
27532 HCPCS Closed Tx Tib Plat Fx, With Traction 48 14 $823.56 $494.14 40% off $2,950.32 $6,378.76 $3,041.56 2025-12-10
27267 HCPCS Clsd Tx Fem Fx Prox Hd Without Man 51 15 $1,045.95 $627.57 40% off $2,950.32 $9,124.69 $3,041.56 2025-12-10
26990 HCPCS I&d Pelvis/Hip Joint, Deep Absc/Hemat 48 14 $823.56 $494.14 40% off $2,950.32 $6,378.76 $3,041.56 2025-12-10
26350 HCPCS Finger/Hand Flexor Tendon Rpair 51 15 $1,045.95 $627.57 40% off $2,950.32 $9,124.69 $3,041.56 2025-12-10
25270 HCPCS Rpr Tendon/muscle, Exts FA/Wrist; Primary Single Ea Tendon/muscle 51 15 $14,895.90 $8,937.54 40% off $2,950.32 $9,124.69 $3,041.56 2025-12-10
21320 HCPCS Clsd Trmt Nasal Bone With Stblz 51 15 $1,045.95 $627.57 40% off $2,948.92 $9,120.36 $3,040.12 2025-12-10
42330 HCPCS Sialolithotomy; Submand, Subling Or Parotid, Uncompl, Intraoral 51 15 $12,926.77 $7,756.06 40% off $2,948.92 $9,120.36 $3,040.12 2025-12-10
57200 HCPCS Suture Vaginal Injury 51 15 $1,045.95 $627.57 40% off $2,891.14 $8,941.67 $2,980.56 2025-12-10
59409 HCPCS Vaginal Delivery & Method 51 15 $1,045.95 $627.57 40% off $2,891.14 $8,941.67 $2,980.56 2025-12-10
59414 HCPCS Delivery Placenta Only 51 15 $1,045.95 $627.57 40% off $2,891.14 $8,941.67 $2,980.56 2025-12-10
36556 HCPCS Central Line Insertion > 5yrs 51 15 $1,045.95 $627.57 40% off $2,862.01 $8,851.59 $2,950.53 2025-12-10
36555 HCPCS Central Line Insertion < 5yrs 51 15 $1,045.95 $627.57 40% off $2,862.01 $8,851.59 $2,950.53 2025-12-10
23930 HCPCS Deep I&d - Upper Arm/Elbow 51 15 $1,045.95 $627.57 40% off $2,602.45 $8,048.83 $2,682.94 2025-12-10
23031 HCPCS I&d Shoulder; Infected Bursa 51 15 $1,045.95 $627.57 40% off $2,602.45 $8,048.83 $2,682.94 2025-12-10
23030 HCPCS I&d Shoulder; Deep Abscess 51 15 $1,045.95 $627.57 40% off $2,602.45 $8,048.83 $2,682.94 2025-12-10
10180 HCPCS I&d Post-op Wnd Inf 51 15 $1,045.95 $627.57 40% off $2,602.45 $8,048.83 $2,682.94 2025-12-10
27603 HCPCS I&d Leg/Ankle,Deep Absc/Hematoma 51 15 $1,045.95 $627.57 40% off $2,602.45 $8,048.83 $2,682.94 2025-12-10
27372 HCPCS Forgn Bdy Rmvl Thigh/Knee Deep 51 15 $1,045.95 $627.57 40% off $2,602.45 $8,048.83 $2,682.94 2025-12-10
27301 HCPCS I&d Thigh Or Knee 51 15 $1,045.95 $627.57 40% off $2,602.45 $8,048.83 $2,682.94 2025-12-10
27086 HCPCS Foreign Body Rmvl Hip/Pelvis Sq 51 15 $1,045.95 $627.57 40% off $2,602.45 $8,048.83 $2,682.94 2025-12-10
20525 HCPCS Removal Of Fb In Muscle Or Tendon Sheath; Deep/complicated 51 15 $11,870.15 $7,122.09 40% off $2,602.45 $8,048.83 $2,682.94 2025-12-10
46945 HCPCS Hemorrhoidectomy, Internal, Single, Without Imaging Guidance 51 15 $3,098.76 $1,859.26 40% off $2,493.65 $7,712.31 $2,570.77 2025-12-10
8011 OTHER Comprehensive Observation Services 51 15 — — $2,407.58 $7,446.12 $2,482.04 2025-12-10
55120 HCPCS Foreign Body Removal Scrotum 51 15 $1,045.95 $627.57 40% off $1,862.70 $5,760.94 $1,920.31 2025-12-10
51102 HCPCS Aspiration Of Bladder; W/insertion Suprapubic Catheter 51 15 $13,848.78 $8,309.27 40% off $1,862.70 $5,760.94 $1,920.31 2025-12-10
54001 HCPCS Slitting Of Prepuce, Dorsal Or Lateral (sep Proc); Except Newborn 51 15 $9,727.14 $5,836.28 40% off $1,862.70 $5,760.94 $1,920.31 2025-12-10
53000 HCPCS Urethrotomy Or Urethrostomy, Ext (sep Proc); Pendulous Urethra 51 15 $11,601.66 $6,961.00 40% off $1,862.70 $5,760.94 $1,920.31 2025-12-10
32556 HCPCS Insert Chest Tube Pneumothorax 51 15 $1,045.95 $627.57 40% off $1,724.93 $5,334.83 $1,778.28 2025-12-10
12047 HCPCS Intmd Rep N/h/f/g 30>cm 51 15 $1,045.95 $627.57 40% off $1,663.31 $5,144.27 $1,714.76 2025-12-10
12037 HCPCS Intmd Rep Scalp/Trunk/EXT 30>cm 51 15 $1,045.95 $627.57 40% off $1,663.31 $5,144.27 $1,714.76 2025-12-10
20102 HCPCS Wnd Explor Trunk 51 15 $1,045.95 $627.57 40% off $1,663.31 $5,144.27 $1,714.76 2025-12-10
20101 HCPCS Wnd Explor Chest 51 15 $1,045.95 $627.57 40% off $1,663.31 $5,144.27 $1,714.76 2025-12-10
31530 HCPCS Laryngoscopy, Direct, Operative, With Foreign Body Removal 51 15 $9,783.11 $5,869.87 40% off $1,568.06 $4,849.66 $1,616.55 2025-12-10
24200 HCPCS Foreign Body Rem UA/Elbow Sq 51 15 $1,045.95 $627.57 40% off $1,473.28 $4,556.54 $1,518.85 2025-12-10
23931 HCPCS Bursa I&d - Upper Arm/Elbow 51 15 $1,045.95 $627.57 40% off $1,473.28 $4,556.54 $1,518.85 2025-12-10
28193 HCPCS Foreign Body Rmvl Foot Comp 51 15 $1,045.95 $627.57 40% off $1,473.28 $4,556.54 $1,518.85 2025-12-10
28192 HCPCS Foreign Body Removal Foot Deep 51 15 $1,045.95 $627.57 40% off $1,473.28 $4,556.54 $1,518.85 2025-12-10
23330 HCPCS Foreign Body Removal Shoulder 51 15 $1,045.95 $627.57 40% off $1,473.28 $4,556.54 $1,518.85 2025-12-10
20520 HCPCS Foreign Body Reml Muscle/Tendon Simp 51 15 $1,045.95 $627.57 40% off $1,473.28 $4,556.54 $1,518.85 2025-12-10
20103 HCPCS Wnd Explor Extremity 51 15 $1,045.95 $627.57 40% off $1,473.28 $4,556.54 $1,518.85 2025-12-10
10140 HCPCS I&d Hemat, Seroma, Fluid Collec 51 15 $1,045.95 $627.57 40% off $1,473.28 $4,556.54 $1,518.85 2025-12-10
69005 HCPCS I&d Ear Abscess Complicated 51 15 $1,045.95 $627.57 40% off $1,473.28 $4,556.54 $1,518.85 2025-12-10
69205 HCPCS Foreign Body Rem Ear With Ga 51 15 $7,298.53 $4,379.12 40% off $1,473.28 $4,556.54 $1,518.85 2025-12-10
26011 HCPCS I&d Complicated Finger Abscess 51 15 $1,045.95 $627.57 40% off $1,473.28 $4,556.54 $1,518.85 2025-12-10
10121 HCPCS Foreign Body Removal Tissue Cplx 51 15 $1,045.95 $627.57 40% off $1,473.28 $4,556.54 $1,518.85 2025-12-10
55100 HCPCS Drainage Scrotal Wall Abscess 51 15 $1,045.95 $627.57 40% off $1,473.28 $4,556.54 $1,518.85 2025-12-10
24577 HCPCS Clsd Tx Hum M& L Con Fx w/Man 51 15 $1,045.95 $627.57 40% off $1,455.25 $4,500.77 $1,500.26 2025-12-10
24565 HCPCS Clsd Tx Hum M&l Epicon Fx w/Man 51 15 $1,045.95 $627.57 40% off $1,455.25 $4,500.77 $1,500.26 2025-12-10
24535 HCPCS Clsd Tx Supra/TransCon Fx w/Man 51 15 $1,045.95 $627.57 40% off $1,455.25 $4,500.77 $1,500.26 2025-12-10
24505 HCPCS Closed Tx Humeral Shaft w/Man 51 15 $1,045.95 $627.57 40% off $1,455.25 $4,500.77 $1,500.26 2025-12-10
23665 HCPCS ClsdTX HumTub FX/Shdr Dis w/Man 51 15 $1,045.95 $627.57 40% off $1,455.25 $4,500.77 $1,500.26 2025-12-10
23655 HCPCS Clsd Trmt Shldr Dislc w/Manip w/Anes 51 15 $1,045.95 $627.57 40% off $1,455.25 $4,500.77 $1,500.26 2025-12-10
23625 HCPCS Closed Tx Grt Humeral Tuberosity With Manip 51 15 $823.56 $494.14 40% off $1,455.25 $4,500.77 $1,500.26 2025-12-10
23605 HCPCS Closed Tx Prox. Humerus With Man 51 15 $1,045.95 $627.57 40% off $1,455.25 $4,500.77 $1,500.26 2025-12-10
27842 HCPCS Clsd Tx Ankle Disloc; Req Anest W Or Without Fixation 51 15 $6,147.16 $3,688.30 40% off $1,455.25 $4,500.77 $1,500.26 2025-12-10
23520 HCPCS Tx Sternoclavic Dis Without Manip 51 15 $1,045.95 $627.57 40% off $1,455.25 $4,500.77 $1,500.26 2025-12-10
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