Price Transparencybeta Hospital negotiated rates

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

RUSSELL MEDICAL CENTER

Alexander City, AL · CCN 010065 · Rates published

27,901 distinct procedures filed
5 distinct payers
120,533 rate rows
2026-04-01 last MRF observed
Data quality

86,133 of 120,533 rate rows are consumer-grade (71.5%)

34,400 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 27,337
professional (physician) fee — not the facility price 5,761
placeholder amount (≤ $0.02) — excluded from medians 1,178
percent-of-charges filed in the dollar field — excluded from medians 79
exceeds 10× this hospital's gross charge — excluded from medians 21
per-diem day rate — not a per-procedure price 20
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://russellmc.pt.panaceainc.com/MRFDownload/russellmc/russellmc
Found on page https://russellcares.com/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-15
Content fingerprint 6cbbd7704eeee8f1… · 44,754,471 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 4 $4,505,000.00 $4,595,100.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $39,828.99 $3,758,971.99 $3,685,266.66 nat. median
$3,685,267
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 4 $3,335,820.00 $3,402,536.40 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $39,828.99 $3,394,416.91 $3,327,859.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,252,508.07 $3,317,558.23 $3,252,508.07 nat. median
$3,248,446
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 4 $3,180,000.00 $3,243,600.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,939,968.88 $2,998,768.26 $2,939,968.88 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $25,797.83 $2,640,760.84 $2,588,981.22 nat. median
$2,455,111
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,332,000.00 $2,378,640.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $770,620.00 $786,032.40 $770,620.00 nat. median
$813,967
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $72,542.47 $599,402.56 $587,649.57 nat. median
$599,737
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $72,542.47 $577,861.93 $566,531.30 nat. median
$621,313
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $72,542.47 $573,445.26 $562,201.24 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $72,542.47 $569,243.35 $558,081.72 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $72,542.47 $542,836.08 $532,192.24 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $72,542.47 $499,239.20 $489,450.20 nat. median
$513,770
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $278,250.00 $283,815.00 $278,250.00 nat. median
$286,598
1.0× median
J3403
HCPCS 		Revakinagene, Per Implant 4 $265,000.00 $270,300.00 $265,000.00 nat. median
$264,195
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $243,916.58 $248,794.91 $243,916.58 nat. median
$168,055
1.5× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 4 $201,669.02 $205,702.40 $201,669.02 nat. median
$207,733
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $182,537.06 $186,187.80 $182,537.06 nat. median
$186,516
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $153,948.59 $157,027.56 $153,948.59 nat. median
$131,925
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $139,214.16 $141,998.44 $139,214.16 nat. median
$145,435
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $92,258.46 $94,103.63 $92,258.46 nat. median
$97,418
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $85,646.23 $87,359.15 $85,646.23 nat. median
$72,715
1.2× median
7
MS_DRG 		Lung Transplant 4 $85,434.01 $87,142.69 $85,434.01 nat. median
$70,649
1.2× median
C9073
HCPCS 		Brexucabtagene Autoleucel Ca 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$1,000,529
outlier · 0.1×
Q2040
HCPCS 		Tisagenlecleucel Car-pos T 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$6
outlier · 12638.1×
C9076
HCPCS 		Lisocabtagene Car Pos T 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$1,000,529
outlier · 0.1×
C9098
HCPCS 		Ciltacabtagene Car Pos T 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$2,313,353
outlier · 0.0×
C9081
HCPCS 		Idecabtagene Car Pos T 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$422,856
outlier · 0.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $72,256.49 $73,701.62 $72,256.49 nat. median
$65,418
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 4 $71,447.49 $72,876.44 $71,447.49 nat. median
$74,509
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $69,875.14 $71,272.64 $69,875.14 nat. median
$69,922
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 4 $69,524.01 $70,914.49 $69,524.01 nat. median
$73,023
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $68,756.17 $70,131.29 $68,756.17 nat. median
$2,736
outlier · 25.1×
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 5 $39,828.99 $65,560.29 $64,274.79 nat. median
$66,211
1.0× median
C9031
HCPCS 		Lutetium Lu 177 Dotatate, Tx 1 $63,909.23 $63,909.23 $63,909.23 —
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $63,455.19 $64,724.29 $63,455.19 nat. median
$69,822
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $60,630.75 $61,843.37 $60,630.75 nat. median
$2,633
outlier · 23.0×
38240
HCPCS 		Transplt Allo Hct/donor 4 $58,688.02 $59,861.78 $58,688.02 nat. median
$28,331
outlier · 2.1×
57894006103
NDC 		Ustekinumab 90 Mg/ml Syringe 2 $27,967.99 $96,637.35 $56,845.50 —
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $56,824.54 $63,909.23 $56,824.54 nat. median
$65,477
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $55,884.76 $57,002.46 $55,884.76 nat. median
$60,505
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $55,854.54 $56,971.63 $55,854.54 nat. median
$59,651
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 $55,027.53 $56,128.08 $55,027.53 nat. median
$2,596
outlier · 21.2×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 5 $39,828.99 $55,492.18 $54,404.10 nat. median
$63,499
0.9× median
79952011001
NDC 		Loncastuximab Tesirine-lpyl 10 Mg Vial 2 $26,639.08 $92,045.62 $54,144.48 —
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $53,230.10 $54,294.70 $53,230.10 nat. median
$56,428
0.9× median
10
MS_DRG 		Pancreas Transplant 4 $52,663.54 $53,716.81 $52,663.54 nat. median
$23,080
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 27,901 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 5 4 — — $4,505,000.00 $4,595,100.00 $4,505,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 5 — — $39,828.99 $3,758,971.99 $3,685,266.66 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 5 4 — — $3,335,820.00 $3,402,536.40 $3,335,820.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 5 — — $39,828.99 $3,394,416.91 $3,327,859.72 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 4 — — $3,252,508.07 $3,317,558.23 $3,252,508.07 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 5 4 — — $3,180,000.00 $3,243,600.00 $3,180,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 5 4 — — $2,939,968.88 $2,998,768.26 $2,939,968.88 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 5 — — $25,797.83 $2,640,760.84 $2,588,981.22 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 5 4 — — $2,332,000.00 $2,378,640.00 $2,332,000.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 5 4 — — $770,620.00 $786,032.40 $770,620.00 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 5 — — $72,542.47 $599,402.56 $587,649.57 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 5 — — $72,542.47 $577,861.93 $566,531.30 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 5 — — $72,542.47 $573,445.26 $562,201.24 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 5 — — $72,542.47 $569,243.35 $558,081.72 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 5 — — $72,542.47 $542,836.08 $532,192.24 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 5 — — $72,542.47 $499,239.20 $489,450.20 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 4 — — $278,250.00 $283,815.00 $278,250.00 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 5 4 — — $265,000.00 $270,300.00 $265,000.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 4 — — $243,916.58 $248,794.91 $243,916.58 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 5 4 — — $201,669.02 $205,702.40 $201,669.02 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 5 4 — — $182,537.06 $186,187.80 $182,537.06 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 4 — — $153,948.59 $157,027.56 $153,948.59 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 4 — — $139,214.16 $141,998.44 $139,214.16 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 4 — — $92,258.46 $94,103.63 $92,258.46 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 5 4 — — $85,646.23 $87,359.15 $85,646.23 2026-04-01
7 MS_DRG Lung Transplant 5 4 — — $85,434.01 $87,142.69 $85,434.01 2026-04-01
C9076 HCPCS Lisocabtagene Car Pos T 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
C9081 HCPCS Idecabtagene Car Pos T 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
C9073 HCPCS Brexucabtagene Autoleucel Ca 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
C9098 HCPCS Ciltacabtagene Car Pos T 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
Q2040 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 4 — — $72,256.49 $73,701.62 $72,256.49 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 5 4 — — $71,447.49 $72,876.44 $71,447.49 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 5 4 — — $69,875.14 $71,272.64 $69,875.14 2026-04-01
215 MS_DRG Other Heart Assist System Implant 5 4 — — $69,524.01 $70,914.49 $69,524.01 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $68,756.17 $70,131.29 $68,756.17 2026-04-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 6 5 — — $39,828.99 $65,560.29 $64,274.79 2026-04-01
C9031 HCPCS Lutetium Lu 177 Dotatate, Tx 1 1 — — $63,909.23 $63,909.23 $63,909.23 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $63,455.19 $64,724.29 $63,455.19 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 5 4 — — $60,630.75 $61,843.37 $60,630.75 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 5 4 — — $58,688.02 $59,861.78 $58,688.02 2026-04-01
57894006103 NDC Ustekinumab 90 Mg/ml Syringe 3 2 $113,691.00 $40,928.76 64% off $27,967.99 $96,637.35 $56,845.50 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 6 5 — — $56,824.54 $63,909.23 $56,824.54 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 4 — — $55,884.76 $57,002.46 $55,884.76 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $55,854.54 $56,971.63 $55,854.54 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 4 — — $55,027.53 $56,128.08 $55,027.53 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 5 — — $39,828.99 $55,492.18 $54,404.10 2026-04-01
79952011001 NDC Loncastuximab Tesirine-lpyl 10 Mg Vial 3 2 $108,288.96 $38,984.03 64% off $26,639.08 $92,045.62 $54,144.48 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 4 — — $53,230.10 $54,294.70 $53,230.10 2026-04-01
10 MS_DRG Pancreas Transplant 5 4 — — $52,663.54 $53,716.81 $52,663.54 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 4 — — $52,369.64 $53,417.03 $52,369.64 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 4 — — $51,656.46 $52,689.59 $51,656.46 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $51,149.06 $52,172.04 $51,149.06 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 4 — — $49,391.50 $50,379.33 $49,391.50 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $47,066.74 $48,008.07 $47,066.74 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 4 — — $46,837.16 $47,773.90 $46,837.16 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 4 — — $46,126.55 $47,049.08 $46,126.55 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 5 4 — — $45,302.11 $46,208.15 $45,302.11 2026-04-01
69930 EAPG Implant Cochlear Device 1 1 — — $45,017.45 $45,017.45 $45,017.45 2026-04-01
S2235 HCPCS Implant Auditory Brain Imp 1 1 — — $45,017.45 $45,017.45 $45,017.45 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 4 — — $44,507.25 $45,397.40 $44,507.25 2026-04-01
C1882 HCPCS Defibrillator Bi-vent 6 2 $89,000.00 $32,040.00 64% off $21,880.72 $75,650.00 $44,486.50 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 4 — — $44,341.34 $45,228.17 $44,341.34 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 4 — — $44,268.67 $45,154.04 $44,268.67 2026-04-01
J9226 HCPCS Supprelin La Implant 6 5 — — $39,828.99 $44,049.04 $43,185.33 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 4 — — $42,979.92 $43,839.52 $42,979.92 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $42,920.11 $43,778.51 $42,920.11 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 5 4 — — $42,060.95 $42,902.17 $42,060.95 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 5 4 — — $41,225.57 $42,050.08 $41,225.57 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 4 — — $41,174.13 $41,997.61 $41,174.13 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 5 4 — — $41,096.26 $41,918.18 $41,096.26 2026-04-01
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 5 4 — — $41,096.26 $41,918.18 $41,096.26 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 5 4 — — $41,096.26 $41,918.18 $41,096.26 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 5 4 — — $41,096.26 $41,918.18 $41,096.26 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $40,992.78 $41,812.64 $40,992.78 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 5 4 — — $40,854.51 $41,671.60 $40,854.51 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 4 — — $40,674.45 $41,487.94 $40,674.45 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 5 4 — — $40,486.67 $41,296.40 $40,486.67 2026-04-01
50242015001 NDC Ocrelizumab 300 Mg/10 Ml Vial 3 2 $80,499.74 $28,979.91 64% off $19,802.94 $68,424.78 $40,249.87 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 5 4 — — $40,206.28 $41,010.41 $40,206.28 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 5 4 — — $40,206.28 $41,010.41 $40,206.28 2026-04-01
0571T EAPG Insj/rplcmt Icds Ss Eltrd 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33240 EAPG Insrt Pulse Gen W/singl Lead 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33231 EAPG Insrt Pulse Gen W/mult Leads 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33264 EAPG Rmvl & Rplcmt Dfb Gen Mlt Ld 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33270 EAPG Ins/rep Subq Defibrillator 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33230 EAPG Insrt Pulse Gen W/dual Leads 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33262 EAPG Rmvl& Replc Pulse Gen 1 Lead 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33249 EAPG Insj/rplcmt Defib W/lead(s) 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33263 EAPG Rmvl & Rplcmt Dfb Gen 2 Lead 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
0614T EAPG Rmvl&rplcmt Ss Impl Dfb Pg 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
C9741 HCPCS Impl Pressure Sensor W/angio 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33289 EAPG Tcat Impl Wrls P-art Prs Snr 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
0520T EAPG Rmv&rplcmt Pg Wcs Lv Battery 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
G0448 HCPCS Place Perm Pacing Cardiovert 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
0409T EAPG Insj/rplc Car Modulj Pls Gn 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
0414T EAPG Rmvl & Rpl Car Modulj Pls Gn 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 4 — — $39,916.25 $40,714.58 $39,916.25 2026-04-01
C9149 HCPCS Inj, Teplizumab-mzwv, 5 Mcg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
C9085 HCPCS Inj Avalglucosid Alfa-ngpt 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
C9052 HCPCS Injection, Ravulizumab-cwv 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
Q9995 HCPCS Inj. Emicizumab-kxwh, 0.5 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
C9146 HCPCS Inj, Elahere, 1 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J1300 HCPCS Eculizumab Injection 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $39,649.37 $40,442.36 $39,649.37 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 4 — — $39,620.43 $40,412.84 $39,620.43 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 4 — — $39,230.72 $40,015.33 $39,230.72 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 4 — — $38,832.64 $39,609.29 $38,832.64 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $38,299.53 $39,065.52 $38,299.53 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 4 — — $38,078.95 $38,840.53 $38,078.95 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 5 4 — — $37,239.72 $37,984.51 $37,239.72 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 4 — — $36,935.54 $37,674.25 $36,935.54 2026-04-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 5 4 — — $36,935.54 $37,674.25 $36,935.54 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $36,786.34 $37,522.07 $36,786.34 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 4 — — $36,570.26 $37,301.67 $36,570.26 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 5 4 — — $36,381.19 $37,108.81 $36,381.19 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 5 4 — — $36,301.45 $37,027.48 $36,301.45 2026-04-01
50242010501 NDC Polatuzumab Vedotin-piiq 140 Mg Vial 3 2 $72,584.49 $26,130.42 64% off $17,855.78 $61,696.82 $36,292.25 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 4 — — $36,123.32 $36,845.79 $36,123.32 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 5 4 — — $36,090.52 $36,812.33 $36,090.52 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $36,086.66 $36,808.39 $36,086.66 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 4 — — $35,603.70 $36,315.77 $35,603.70 2026-04-01
C1721 HCPCS Defibrillator - Photon Dual 3 2 $70,965.00 $25,547.40 64% off $17,457.39 $60,320.25 $35,482.50 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $35,452.58 $36,161.63 $35,452.58 2026-04-01
33504 EAPG Coronary Artery Graft 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33502 EAPG Coronary Artery Correction 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33508 EAPG Endoscopic Vein Harvest 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33507 EAPG Repair Art Intramural 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33530 EAPG Coronary Artery Bypass/reop 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33519 EAPG Cabg Artery-vein Three 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
35600 EAPG Open Hrv Uxtr Art 1 Sgm Cab 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33516 EAPG Cabg Vein Six Or More 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33572 EAPG Open Coronary Endarterectomy 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33505 EAPG Repair Artery W/tunnel 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33522 EAPG Cabg Artery-vein Five 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33518 EAPG Cabg Artery-vein Two 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33534 EAPG Cabg Arterial Two 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33535 EAPG Cabg Arterial Three 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33510 EAPG Cabg Vein Single 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33521 EAPG Cabg Artery-vein Four 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33533 EAPG Cabg Arterial Single 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33511 EAPG Cabg Vein Two 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33506 EAPG Repair Artery Translocation 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33517 EAPG Cabg Artery-vein Single 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33514 EAPG Cabg Vein Five 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33513 EAPG Cabg Vein Four 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33509 EAPG Ndsc Hrv Uxtr Art 1 Sgm Cab 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33503 EAPG Coronary Artery Graft 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33536 EAPG Cabg Arterial Four Or More 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33523 EAPG Cabg Art-vein Six Or More 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33512 EAPG Cabg Vein Three 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 4 — — $34,509.81 $35,200.01 $34,509.81 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 5 4 — — $34,399.84 $35,087.84 $34,399.84 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 4 — — $34,152.89 $34,835.95 $34,152.89 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 5 4 — — $34,052.57 $34,733.62 $34,052.57 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 4 — — $33,781.83 $34,457.47 $33,781.83 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 5 4 — — $33,590.84 $34,262.66 $33,590.84 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 4 — — $33,565.76 $34,237.08 $33,565.76 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 4 — — $33,552.89 $34,223.95 $33,552.89 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 4 — — $33,437.14 $34,105.88 $33,437.14 2026-04-01
0266T EAPG Implt/rpl Crtd Sns Dev Total 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64580 EAPG Opn Impltj Nea Neuromuscular 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0427T EAPG Insj/rplc Nstim Apnea Pls Gn 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
33287 EAPG Rmv&rplcmt Phrnc Nrv Stim Pg 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61850 EAPG Implant Neuroelectrodes 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64590 EAPG Ins/rpl Prph Sac/gstr Npg/r 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64582 EAPG Opn Mpltj Hpglsl Nstm Ary Pg 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0431T EAPG Rmvl/rplc Nstim Apnea Pls Gn 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0466T EAPG Insj Ch Wal Respir Eltrd/ra 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61860 EAPG Implant Neuroelectrodes 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0316T EAPG Replc Vagus Nerve Pls Gen 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64569 EAPG Revise/repl Vagus N Eltrd 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0268T EAPG Implt/rpl Crtd Sns Dev Gen 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64575 EAPG Opn Impltj Nea Perph Nerve 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0816T EAPG Opn Insj/rplcmt Ins Ptn Subq 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
63655 EAPG Implant Neuroelectrodes 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
63664 EAPG Revise Spine Eltrd Plate 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0424T EAPG Insj/rplc Nstim Apnea Compl 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
63685 EAPG Ins/rplc Spi Npg/rcvr Pocket 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0312T EAPG Laps Impltj Nstim Vagus 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
33276 EAPG Insj Phrnc Nrv Stim Sys 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64553 EAPG Implant Neuroelectrodes 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0817T EAPG Opn Insj/rplcmt Ins Ptn Subf 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61863 EAPG Implant Neuroelectrode 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61886 EAPG Implant Neurostim Arrays 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61889 EAPG Ins Sk-mnt Crnl Nstm Pg/rcvr 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64568 EAPG Opn Impltj Crnl Nrv Nea&pg 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61870 EAPG Implant Neuroelectrodes 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61867 EAPG Implant Neuroelectrode 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61868 EAPG Implant Neuroelectrde Addl 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61885 EAPG Insrt/redo Neurostim 1 Array 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61864 EAPG Implant Neuroelectrde Addl 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
245 MS_DRG Aicd Generator Procedures 5 4 — — $32,816.56 $33,472.89 $32,816.56 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 5 4 — — $32,626.85 $33,279.39 $32,626.85 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 5 4 — — $32,574.76 $33,226.26 $32,574.76 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 4 — — $32,100.80 $32,742.82 $32,100.80 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 5 4 — — $31,967.68 $32,607.03 $31,967.68 2026-04-01
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 5 4 — — $31,963.86 $32,603.13 $31,963.86 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 4 — — $31,961.89 $32,601.13 $31,961.89 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 5 4 — — $31,645.49 $32,278.40 $31,645.49 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 4 — — $31,483.44 $32,113.11 $31,483.44 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 4 — — $31,305.94 $31,932.06 $31,305.94 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 5 4 — — $31,031.35 $31,651.98 $31,031.35 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 5 4 — — $31,019.13 $31,639.51 $31,019.13 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $30,924.59 $31,543.08 $30,924.59 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 4 — — $30,920.09 $31,538.49 $30,920.09 2026-04-01
69930 HCPCS Implant Cochlear Device 5 4 — — $30,763.66 $31,378.93 $30,763.66 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 4 — — $30,403.69 $31,011.76 $30,403.69 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 5 4 — — $30,230.70 $30,835.31 $30,230.70 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 5 4 — — $30,150.96 $30,753.98 $30,150.96 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 5 4 — — $29,882.15 $30,479.79 $29,882.15 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 5 4 — — $29,639.70 $30,232.49 $29,639.70 2026-04-01
00003712511 NDC Nivolumab-relatlimab-rmbw 320 Mg/20 Ml Vial 3 2 $58,966.38 $21,227.90 64% off $14,505.73 $50,121.42 $29,483.19 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 5 4 — — $29,286.45 $29,872.18 $29,286.45 2026-04-01
33270 HCPCS Ins/replac Sq Defibrillator 6 4 $68,392.00 $24,621.12 64% off $29,286.45 $58,133.20 $29,286.45 2026-04-01
33249 HCPCS Insert Single Icd System 7 4 $72,136.00 $25,968.96 64% off $29,286.45 $61,316.03 $29,286.45 2026-04-01
33231 HCPCS Icd Gen Inser W Ex Multi Lds 6 4 $66,971.00 $24,109.56 64% off $29,286.45 $56,925.35 $29,286.45 2026-04-01
33264 HCPCS Icd Gen Rem & Rep Multi Ld 6 4 $66,971.00 $24,109.56 64% off $29,286.45 $56,925.35 $29,286.45 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 5 4 — — $29,286.45 $29,872.18 $29,286.45 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 5 4 — — $29,286.45 $29,872.18 $29,286.45 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 5 4 — — $29,215.91 $29,800.23 $29,215.91 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $29,158.67 $29,741.84 $29,158.67 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 5 4 — — $28,822.34 $29,398.79 $28,822.34 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 5 4 — — $28,790.86 $29,366.68 $28,790.86 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 5 4 — — $28,790.86 $29,366.68 $28,790.86 2026-04-01
61886 HCPCS Implant Neurostim Arrays 5 4 — — $28,790.86 $29,366.68 $28,790.86 2026-04-01
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 5 4 — — $28,790.86 $29,366.68 $28,790.86 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 5 4 — — $28,790.86 $29,366.68 $28,790.86 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 5 4 — — $28,790.86 $29,366.68 $28,790.86 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 5 4 — — $28,790.86 $29,366.68 $28,790.86 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 5 4 — — $28,790.86 $29,366.68 $28,790.86 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 5 4 — — $28,790.86 $29,366.68 $28,790.86 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 5 4 — — $28,790.86 $29,366.68 $28,790.86 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 4 — — $28,781.82 $29,357.46 $28,781.82 2026-04-01
33880 EAPG Endovasc Taa Repr Incl Subcl 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
33881 EAPG Endovasc Taa Repr Without Subcl 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
33883 EAPG Insert Endovasc Prosth Taa 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
0234T EAPG Trluml Perip Athrc Renal Art 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
0254T EAPG Evasc Rpr Iliac Art Bifur 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
33895 EAPG Evasc St Rpr Thrc/aa X Crsg 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34841 EAPG Endovasc Visc Aorta 1 Graft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34706 EAPG Evasc Rpr A-biiliac Rpt 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34711 EAPG Dlyd Plmt Xtn Prosth Ea Addl 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34717 EAPG Evasc Rpr A-iliac Ndgft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34718 EAPG Evasc Rpr N/a A-iliac Ndgft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34808 EAPG Endovas Iliac A Device Addon 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
33884 EAPG Endovasc Prosth Taa Add-on 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34709 EAPG Plmt Xtn Prosth Evasc Rpr 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
33894 EAPG Evasc St Rpr Thrc/aa Acrs Br 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34708 EAPG Evasc Rpr Ilio-iliac Rpt 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34813 EAPG Femoral Endovas Graft Add-on 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34842 EAPG Endovasc Visc Aorta 2 Graft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
35840 EAPG Explore Abdominal Vessels 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34701 EAPG Evasc Rpr A-ao Ndgft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34845 EAPG Visc & Infraren Abd 1 Prosth 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34712 EAPG Tcat Dlvr Enhncd Fixj Dev 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
0339T EAPG Trnscth Renal Symp Denrv Bil 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
0338T EAPG Trnscth Renal Symp Denrv Unl 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34702 EAPG Evasc Rpr A-ao Ndgft Rpt 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34843 EAPG Endovasc Visc Aorta 3 Graft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34713 EAPG Perq Access & Clsr Fem Art 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34051 EAPG Removal Of Artery Clot 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34705 EAPG Evac Rpr A-biiliac Ndgft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34820 EAPG Opn Iliac Art Expos 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34844 EAPG Endovasc Visc Aorta 4 Graft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34847 EAPG Visc & Infraren Abd 3 Prosth 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
33886 EAPG Endovasc Prosth Delayed 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34710 EAPG Dlyd Plmt Xtn Prosth 1st Vsl 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34848 EAPG Visc & Infraren Abd 4+ Prost 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34703 EAPG Evasc Rpr A-unilac Ndgft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34704 EAPG Evasc Rpr A-unilac Ndgft Rpt 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34846 EAPG Visc & Infraren Abd 2 Prosth 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34707 EAPG Evasc Rpr Ilio-iliac Ndgft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 5 4 — — $28,587.61 $29,159.36 $28,587.61 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 5 — — $25,797.83 $28,992.53 $28,424.05 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 5 4 — — $28,339.38 $28,906.17 $28,339.38 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 5 4 — — $28,332.95 $28,899.61 $28,332.95 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 5 4 — — $28,210.12 $28,774.32 $28,210.12 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 4 — — $28,147.10 $28,710.04 $28,147.10 2026-04-01
00024582411 NDC Cabazitaxel 60 Mg/1.5 Ml Vial 3 2 $55,999.06 $20,159.66 64% off $13,775.77 $47,599.20 $27,999.53 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 5 4 — — $27,834.56 $28,391.25 $27,834.56 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 5 4 — — $27,819.77 $28,376.17 $27,819.77 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 5 4 — — $27,780.54 $28,336.15 $27,780.54 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 5 4 — — $27,650.63 $28,203.64 $27,650.63 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 5 4 — — $27,547.10 $28,098.04 $27,547.10 2026-04-01
791 MS_DRG Prematurity With Major Problems 5 4 — — $27,498.86 $28,048.84 $27,498.86 2026-04-01
50242024501 NDC Pertuzumab-trastuzumab-hy-zzxf 1800 Mg/15 Ml Vial 3 2 $54,274.50 $19,538.82 64% off $13,351.53 $46,133.33 $27,137.25 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 5 4 — — $27,008.83 $27,549.01 $27,008.83 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 5 4 — — $26,990.82 $27,530.64 $26,990.82 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 5 4 — — $26,764.46 $27,299.75 $26,764.46 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 5 4 — — $26,762.15 $27,297.39 $26,762.15 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 5 4 — — $26,712.37 $27,246.62 $26,712.37 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 5 4 — — $26,660.92 $27,194.14 $26,660.92 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 4 — — $26,549.02 $27,080.00 $26,549.02 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 5 4 — — $26,536.80 $27,067.54 $26,536.80 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 5 4 — — $26,397.90 $26,925.86 $26,397.90 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 4 — — $26,245.49 $26,770.40 $26,245.49 2026-04-01
93650 EAPG Ablate Heart Dysrhythm Focus 1 1 — — $26,230.11 $26,230.11 $26,230.11 2026-04-01
93653 EAPG Compre Ep Eval Tx Svt 1 1 — — $26,230.11 $26,230.11 $26,230.11 2026-04-01
0746T EAPG Car Ablt Rad Arr Cnv Loc Map 1 1 — — $26,230.11 $26,230.11 $26,230.11 2026-04-01
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