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

BAPTIST MEDICAL CENTER EAST

Montgomery, AL · CCN 010149 · Rates published

33,499 distinct procedures filed
10 distinct payers
591,418 rate rows
2025-12-30 last MRF observed
Data quality

393,943 of 591,418 rate rows are consumer-grade (66.6%)

197,475 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 188,888
professional (physician) fee — not the facility price 6,687
placeholder amount (≤ $0.02) — excluded from medians 742
template filing: same amount across many unrelated codes — excluded 720
per-diem day rate — not a per-procedure price 250
percent-of-charges filed in the dollar field — excluded from medians 112
exceeds 10× this hospital's gross charge — excluded from medians 76
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://baptistfirst.pt.panaceainc.com/MRFDownload/baptistfirst/mca
Found on page https://www.baptistfirst.org/patients-visitors/before-your-visit/get-a-price-estimate
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint fa631d50e9d3441c… · 859,408 bytes · first seen 2026-05-13

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 $66,899.38 $4,815,250.00 $4,596,375.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 5 $36,730.69 $4,777,337.32 $3,951,150.00 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $36,730.69 $4,745,488.41 $3,924,809.00 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $36,730.69 $4,281,024.64 $3,540,669.08 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $66,899.38 $4,199,620.74 $3,473,343.08 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $66,899.38 $3,799,575.62 $3,142,481.30 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,255,406.89 $3,157,569.64 $2,648,284.85 nat. median
$2,468,984
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $66,899.38 $3,002,897.74 $2,483,580.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $66,899.38 $992,321.21 $820,710.30 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $66,899.38 $744,703.94 $615,915.68 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $66,899.38 $712,581.49 $589,348.46 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $66,899.38 $697,459.91 $576,841.97 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $66,899.38 $696,976.75 $576,442.38 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $66,899.38 $686,438.32 $567,726.45 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $66,899.38 $630,608.53 $521,551.80 nat. median
$619,808
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $66,899.38 $348,159.72 $287,949.38 nat. median
$324,450
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $250,948.27 $897,922.16 $276,296.58 nat. median
$370,174
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $187,676.35 $670,672.58 $206,633.56 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $158,206.46 $564,827.53 $174,186.90 nat. median
$206,474
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $143,017.75 $510,275.25 $157,463.98 nat. median
$202,976
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $94,614.35 $336,427.95 $104,171.35 nat. median
$133,161
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $99,000.00 $99,000.00 $99,000.00 nat. median
$76,329
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $87,798.26 $311,947.05 $96,666.77 nat. median
$117,357
0.8× median
7
MS_DRG 		Lung Transplant 6 $87,579.50 $311,161.33 $96,425.91 nat. median
$122,708
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 $73,995.70 $262,373.33 $81,470.01 nat. median
$108,660
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 6 $73,161.75 $259,378.09 $80,551.83 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 6 $71,540.92 $253,556.68 $78,767.28 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 6 $71,178.98 $252,256.68 $78,368.78 nat. median
$99,019
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $70,387.46 $249,413.83 $77,497.30 nat. median
$98,894
0.8× median
J2507
HCPCS 		Pegloticase 8mg/mL Inj 1mL 10 $3,346.95 $122,838.78 $73,728.92 nat. median
$8,536
outlier · 8.6×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $64,923.05 $229,787.67 $71,480.93 nat. median
$93,672
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 6 $62,011.52 $219,330.55 $68,275.31 nat. median
$83,470
0.8× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 5 $36,730.69 $81,679.66 $67,554.07 nat. median
$69,774
1.0× median
C9098
HCPCS 		Ciltacabtagene Car Pos T 1 $66,899.38 $66,899.38 $66,899.38 nat. median
$57,174
1.2× median
C9073
HCPCS 		Brexucabtagene Autoleucel Ca 1 $66,899.38 $66,899.38 $66,899.38 nat. median
$29,278
outlier · 2.3×
C9076
HCPCS 		Lisocabtagene Car Pos T 1 $66,899.38 $66,899.38 $66,899.38 nat. median
$30,475
outlier · 2.2×
C9081
HCPCS 		Idecabtagene Car Pos T 1 $66,899.38 $66,899.38 $66,899.38 nat. median
$30,475
outlier · 2.2×
C9301
HCPCS 		Obecabtagene Car Pos T 1 $66,899.38 $66,899.38 $66,899.38 nat. median
$459,112
outlier · 0.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $57,119.21 $201,759.15 $62,888.82 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $57,088.05 $201,647.25 $62,854.52 nat. median
$81,118
0.8× median
J7310
HCPCS 		Ganciclovir Long Act Implant 1 $62,091.57 $62,091.57 $62,091.57 nat. median
$19,165
outlier · 3.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $56,235.54 $198,585.35 $61,915.90 nat. median
$82,711
0.7× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $52,266.08 $73,172.52 $60,518.15 nat. median
$62,507
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 6 $36,730.69 $99,000.00 $60,421.65 nat. median
$66,682
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $54,382.70 $191,930.60 $59,875.90 nat. median
$77,570
0.8× median
10
MS_DRG 		Pancreas Transplant 6 $53,798.67 $189,832.98 $59,232.88 nat. median
$68,884
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 $53,495.72 $188,744.89 $58,899.33 nat. median
$71,271
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $52,760.55 $186,104.42 $58,089.90 nat. median
$73,807
0.8× median
38240
HCPCS 		Transplt Allo Hct/donor 5 $6,192.01 $76,157.11 $57,933.80 nat. median
$15,979
outlier · 3.6×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $52,237.51 $184,225.85 $57,514.03 nat. median
$74,915
0.8× median

Other procedures at this hospital

Browse this hospital's 33,499 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 10 4 — — $66,899.38 $4,815,250.00 $4,596,375.00 2025-12-30
J1414 HCPCS Inj, Beqvez, Per Tx Dose 12 5 — — $36,730.69 $4,777,337.32 $3,951,150.00 2025-12-30
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 12 5 — — $36,730.69 $4,745,488.41 $3,924,809.00 2025-12-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 5 — — $36,730.69 $4,281,024.64 $3,540,669.08 2025-12-30
J3394 HCPCS Inj, Lovotibeglogene Autotem 12 5 — — $66,899.38 $4,199,620.74 $3,473,343.08 2025-12-30
J3393 HCPCS Inj, Betibeglogene Autotemce 12 5 — — $66,899.38 $3,799,575.62 $3,142,481.30 2025-12-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 5 — — $2,255,406.89 $3,157,569.64 $2,648,284.85 2025-12-30
J3392 HCPCS Inj, Exagamglogene Autotem 12 5 — — $66,899.38 $3,002,897.74 $2,483,580.00 2025-12-30
Q2057 HCPCS Afamitresgene Autoleucel 12 5 — — $66,899.38 $992,321.21 $820,710.30 2025-12-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 5 — — $66,899.38 $744,703.94 $615,915.68 2025-12-30
Q2056 HCPCS Ciltacabtagene Car-pos T 12 5 — — $66,899.38 $712,581.49 $589,348.46 2025-12-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 5 — — $66,899.38 $697,459.91 $576,841.97 2025-12-30
Q2055 HCPCS Idecabtagene Vicleucel Car 12 5 — — $66,899.38 $696,976.75 $576,442.38 2025-12-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 5 — — $66,899.38 $686,438.32 $567,726.45 2025-12-30
Q2053 HCPCS Brexucabtagene Car Pos T 12 5 — — $66,899.38 $630,608.53 $521,551.80 2025-12-30
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 5 — — $66,899.38 $348,159.72 $287,949.38 2025-12-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 6 — — $250,948.27 $897,922.16 $276,296.58 2025-12-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 6 — — $187,676.35 $670,672.58 $206,633.56 2025-12-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 6 — — $158,206.46 $564,827.53 $174,186.90 2025-12-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 6 — — $143,017.75 $510,275.25 $157,463.98 2025-12-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 6 — — $94,614.35 $336,427.95 $104,171.35 2025-12-30
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $99,000.00 $99,000.00 $99,000.00 2025-12-30
14 MS_DRG Allogeneic Bone Marrow Transplant 12 6 — — $87,798.26 $311,947.05 $96,666.77 2025-12-30
7 MS_DRG Lung Transplant 12 6 — — $87,579.50 $311,161.33 $96,425.91 2025-12-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 6 — — $73,995.70 $262,373.33 $81,470.01 2025-12-30
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 12 6 — — $73,161.75 $259,378.09 $80,551.83 2025-12-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 6 — — $71,540.92 $253,556.68 $78,767.28 2025-12-30
215 MS_DRG Other Heart Assist System Implant 12 6 — — $71,178.98 $252,256.68 $78,368.78 2025-12-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 6 — — $70,387.46 $249,413.83 $77,497.30 2025-12-30
J2507 HCPCS Pegloticase 8mg/mL Inj 1mL 24 10 $128,224.20 $76,934.52 40% off $3,346.95 $122,838.78 $73,728.92 2025-12-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 6 — — $64,923.05 $229,787.67 $71,480.93 2025-12-30
850 MS_DRG Acute Leukemia With Other Procedures 12 6 — — $62,011.52 $219,330.55 $68,275.31 2025-12-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 12 5 — — $36,730.69 $81,679.66 $67,554.07 2025-12-30
C9076 HCPCS Lisocabtagene Car Pos T 2 1 — — $66,899.38 $66,899.38 $66,899.38 2025-12-30
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $66,899.38 $66,899.38 $66,899.38 2025-12-30
C9098 HCPCS Ciltacabtagene Car Pos T 2 1 — — $66,899.38 $66,899.38 $66,899.38 2025-12-30
C9081 HCPCS Idecabtagene Car Pos T 2 1 — — $66,899.38 $66,899.38 $66,899.38 2025-12-30
C9073 HCPCS Brexucabtagene Autoleucel Ca 2 1 — — $66,899.38 $66,899.38 $66,899.38 2025-12-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 6 — — $57,119.21 $201,759.15 $62,888.82 2025-12-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 6 — — $57,088.05 $201,647.25 $62,854.52 2025-12-30
J7310 HCPCS Ganciclovir Long Act Implant 2 1 — — $62,091.57 $62,091.57 $62,091.57 2025-12-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 6 — — $56,235.54 $198,585.35 $61,915.90 2025-12-30
A9543 HCPCS Y90 Ibritumomab, Rx 12 5 — — $52,266.08 $73,172.52 $60,518.15 2025-12-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 6 — — $36,730.69 $99,000.00 $60,421.65 2025-12-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 6 — — $54,382.70 $191,930.60 $59,875.90 2025-12-30
10 MS_DRG Pancreas Transplant 12 6 — — $53,798.67 $189,832.98 $59,232.88 2025-12-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 6 — — $53,495.72 $188,744.89 $58,899.33 2025-12-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 6 — — $52,760.55 $186,104.42 $58,089.90 2025-12-30
38240 HCPCS Transplt Allo Hct/donor 12 5 — — $6,192.01 $76,157.11 $57,933.80 2025-12-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 6 — — $52,237.51 $184,225.85 $57,514.03 2025-12-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 6 — — $50,425.76 $177,718.72 $55,519.27 2025-12-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 6 — — $48,029.33 $169,111.59 $52,880.77 2025-12-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 6 — — $47,792.67 $168,261.60 $52,620.21 2025-12-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 6 — — $47,060.15 $165,630.65 $51,813.69 2025-12-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 6 — — $46,210.28 $162,578.27 $50,877.99 2025-12-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 6 — — $45,390.92 $159,635.42 $49,975.85 2025-12-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 6 — — $45,219.89 $159,021.14 $49,787.56 2025-12-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 6 — — $45,144.98 $158,752.09 $49,705.08 2025-12-30
J9226 HCPCS Supprelin La Implant 14 6 — — $36,730.69 $99,000.00 $49,205.22 2025-12-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 6 — — $43,816.50 $153,980.67 $48,242.41 2025-12-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 6 — — $43,754.84 $153,759.24 $48,174.52 2025-12-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 6 — — $42,869.19 $150,578.29 $47,199.41 2025-12-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc 12 6 — — $42,008.07 $147,485.44 $46,251.31 2025-12-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 6 — — $41,955.03 $147,294.97 $46,192.91 2025-12-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 6 — — $41,768.09 $146,623.54 $45,987.09 2025-12-30
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 6 — — $41,625.56 $146,111.64 $45,830.16 2025-12-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 6 — — $41,439.94 $145,444.97 $45,625.79 2025-12-30
28 MS_DRG Spinal Procedures With Mcc 12 6 — — $41,246.38 $144,749.73 $45,412.68 2025-12-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 12 6 — — $40,957.35 $143,711.64 $45,094.46 2025-12-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 12 6 — — $40,957.35 $143,711.64 $45,094.46 2025-12-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 6 — — $40,658.37 $142,637.83 $44,765.28 2025-12-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 6 — — $40,383.26 $141,649.74 $44,462.38 2025-12-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 6 — — $40,353.43 $141,542.60 $44,429.53 2025-12-30
0266T HCPCS Implt/rpl Crtd Sns Dev Total 12 5 — — $30,572.38 $57,946.78 $44,080.94 2025-12-30
33276 HCPCS Insj Phrnc Nrv Stim Sys 12 5 — — $30,572.38 $57,946.78 $44,080.94 2025-12-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 6 — — $39,951.71 $140,099.74 $43,987.24 2025-12-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 6 — — $39,541.36 $138,625.94 $43,535.44 2025-12-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 6 — — $38,991.80 $136,652.13 $42,930.37 2025-12-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 6 — — $38,764.42 $135,835.46 $42,680.02 2025-12-30
653 MS_DRG Major Bladder Procedures With Mcc 12 6 — — $37,899.32 $132,728.33 $41,727.53 2025-12-30
0952T HCPCS Tot Impl Amei Rev/rplc Mstdc 2 1 — — $41,515.54 $41,515.54 $41,515.54 2025-12-30
0951T HCPCS Tot Impl Amei 1st Plmt 2 1 — — $41,515.54 $41,515.54 $41,515.54 2025-12-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 6 — — $37,585.76 $131,602.14 $41,382.29 2025-12-30
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 12 6 — — $37,585.76 $131,602.14 $41,382.29 2025-12-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 6 — — $37,431.96 $131,049.76 $41,212.96 2025-12-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 6 — — $37,209.22 $130,249.76 $40,967.73 2025-12-30
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 6 — — $37,014.33 $129,549.76 $40,753.15 2025-12-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 6 — — $36,932.13 $129,254.52 $40,662.64 2025-12-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 6 — — $36,748.49 $128,595.00 $40,460.46 2025-12-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 6 — — $36,714.68 $128,473.57 $40,423.24 2025-12-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 6 — — $36,710.71 $128,459.29 $40,418.87 2025-12-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 6 — — $36,212.86 $126,671.20 $39,870.73 2025-12-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 6 — — $36,057.08 $126,111.67 $39,699.21 2025-12-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 6 — — $35,085.24 $122,621.20 $38,629.21 2025-12-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 6 — — $34,971.89 $122,214.06 $38,504.40 2025-12-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 6 — — $34,717.33 $121,299.78 $38,224.13 2025-12-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 6 — — $34,613.91 $120,928.35 $38,110.27 2025-12-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 6 — — $34,334.82 $119,925.97 $37,802.99 2025-12-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 6 — — $34,137.94 $119,218.83 $37,586.22 2025-12-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 6 — — $34,112.08 $119,125.97 $37,557.75 2025-12-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 6 — — $34,098.83 $119,078.35 $37,543.15 2025-12-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 6 — — $33,979.50 $118,649.78 $37,411.78 2025-12-30
G0448 HCPCS Place Perm Pacing Cardiovert 2 1 — — $36,830.73 $36,830.73 $36,830.73 2025-12-30
Q5139 HCPCS Inj, Eculizumab-aeeb, 10 Mg 2 1 — — $36,730.69 $36,730.69 $36,730.69 2025-12-30
J1300 HCPCS Eculizumab Injection 2 1 — — $36,730.69 $36,730.69 $36,730.69 2025-12-30
C9304 HCPCS Inj Marstacimab, 0.5 Mg 2 1 — — $36,730.69 $36,730.69 $36,730.69 2025-12-30
J9376 HCPCS Inj Pozelimab-bbfg, 1 Mg 2 1 — — $36,730.69 $36,730.69 $36,730.69 2025-12-30
C9146 HCPCS Inj, Elahere, 1 Mg 2 1 — — $36,730.69 $36,730.69 $36,730.69 2025-12-30
C9172 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $36,730.69 $36,730.69 $36,730.69 2025-12-30
C9085 HCPCS Inj Avalglucosid Alfa-ngpt 2 1 — — $36,730.69 $36,730.69 $36,730.69 2025-12-30
C9149 HCPCS Inj, Teplizumab-mzwv, 5 Mcg 2 1 — — $36,730.69 $36,730.69 $36,730.69 2025-12-30
245 MS_DRG Aicd Generator Procedures 12 6 — — $33,339.78 $116,352.17 $36,707.44 2025-12-30
471 MS_DRG Cervical Spinal Fusion With Mcc 12 6 — — $33,144.23 $115,649.79 $36,492.13 2025-12-30
6 MS_DRG Liver Transplant Without Mcc 12 6 — — $33,090.53 $115,456.93 $36,433.01 2025-12-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 6 — — $32,601.97 $113,702.17 $35,895.10 2025-12-30
799 MS_DRG Splenic Procedures With Mcc 12 6 — — $32,464.74 $113,209.32 $35,744.01 2025-12-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 6 — — $32,458.77 $113,187.89 $35,737.43 2025-12-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 6 — — $32,132.62 $112,016.46 $35,378.34 2025-12-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 6 — — $31,965.57 $111,416.46 $35,194.42 2025-12-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 12 6 — — $31,782.60 $110,759.32 $34,992.96 2025-12-30
163 MS_DRG Major Chest Procedures With Mcc 12 6 — — $31,499.53 $109,742.66 $34,681.31 2025-12-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 6 — — $31,486.94 $109,697.42 $34,667.44 2025-12-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 6 — — $31,389.49 $109,347.42 $34,560.15 2025-12-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 6 — — $31,384.85 $109,330.75 $34,555.04 2025-12-30
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 12 5 — — $16,236.95 $45,069.86 $34,285.29 2025-12-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 6 — — $30,852.53 $107,418.85 $33,968.94 2025-12-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 6 — — $30,674.21 $106,778.37 $33,772.61 2025-12-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 6 — — $30,592.01 $106,483.14 $33,682.11 2025-12-30
901 MS_DRG Wound Debridements For Injuries With Mcc 12 6 — — $30,314.91 $105,487.90 $33,377.02 2025-12-30
J2505 HCPCS Pegfilgrastim 6mg/0.6ml Inj 14 7 $44,284.20 $26,570.52 40% off $19,927.89 $42,424.26 $33,213.15 2025-12-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 6 — — $30,064.99 $104,590.28 $33,101.86 2025-12-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 12 6 — — $29,628.13 $103,021.24 $32,620.86 2025-12-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 6 — — $29,569.13 $102,809.33 $32,555.91 2025-12-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 6 — — $29,222.42 $101,564.10 $32,174.18 2025-12-30
33249 HCPCS Insj/rplcmt Defib W/lead(s) 12 5 — — $29,489.60 $41,285.44 $32,143.67 2025-12-30
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 12 5 — — $29,489.60 $41,285.44 $32,143.67 2025-12-30
33231 HCPCS Insrt Pulse Gen W/mult Leads 12 5 — — $29,489.60 $41,285.44 $32,143.67 2025-12-30
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 12 5 — — $29,489.60 $41,285.44 $32,143.67 2025-12-30
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 12 5 — — $29,489.60 $41,285.44 $32,143.67 2025-12-30
33270 HCPCS Ins/rep Subq Defibrillator 12 5 — — $29,489.60 $41,285.44 $32,143.67 2025-12-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 6 — — $29,180.66 $101,414.10 $32,128.19 2025-12-30
33518 HCPCS Cabg Artery-vein Two 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33516 HCPCS Cabg Vein Six Or More 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33536 HCPCS Cabg Arterial Four Or More 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33514 HCPCS Cabg Vein Five 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33519 HCPCS Cabg Artery-vein Three 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33511 HCPCS Cabg Vein Two 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33512 HCPCS Cabg Vein Three 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33513 HCPCS Cabg Vein Four 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33517 HCPCS Cabg Artery-vein Single 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33535 HCPCS Cabg Arterial Three 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33521 HCPCS Cabg Artery-vein Four 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33505 HCPCS Repair Artery W/tunnel 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33509 HCPCS Ndsc Hrv Uxtr Art 1 Sgm Cab 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33507 HCPCS Repair Art Intramural 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33504 HCPCS Coronary Artery Graft 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33508 HCPCS Endoscopic Vein Harvest 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33533 HCPCS Cabg Arterial Single 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
35600 HCPCS Open Hrv Uxtr Art 1 Sgm Cab 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33572 HCPCS Open Coronary Endarterectomy 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33506 HCPCS Repair Artery Translocation 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33502 HCPCS Coronary Artery Correction 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33530 HCPCS Coronary Artery Bypass/reop 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33522 HCPCS Cabg Artery-vein Five 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33510 HCPCS Cabg Vein Single 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33534 HCPCS Cabg Arterial Two 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33523 HCPCS Cabg Art-vein Six Or More 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
33503 HCPCS Coronary Artery Graft 2 1 — — $31,959.73 $31,959.73 $31,959.73 2025-12-30
140 MS_DRG Major Head And Neck Procedures With Mcc 12 6 — — $28,980.46 $100,695.05 $31,907.78 2025-12-30
69930 HCPCS Implant Cochlear Device 12 5 — — $29,256.20 $41,515.54 $31,889.25 2025-12-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 6 — — $28,724.57 $99,776.01 $31,626.04 2025-12-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 6 — — $28,717.95 $99,752.20 $31,618.75 2025-12-30
793 MS_DRG Full Term Neonate With Major Problems 12 6 — — $28,591.33 $99,297.44 $31,479.34 2025-12-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 6 — — $28,526.36 $99,064.10 $31,407.81 2025-12-30
0408T HCPCS Insj/rplc Cardiac Modulj Sys 12 5 — — $12,283.90 $41,285.44 $31,406.43 2025-12-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 6 — — $28,204.19 $97,906.96 $31,053.10 2025-12-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 6 — — $28,188.94 $97,852.20 $31,036.31 2025-12-30
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 6 — — $28,148.50 $97,706.96 $30,991.78 2025-12-30
J9266 HCPCS Pegaspargase Injection 12 6 — — $26,143.88 $50,943.98 $30,982.22 2025-12-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 6 — — $28,014.59 $97,226.01 $30,844.36 2025-12-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 6 — — $27,907.86 $96,842.68 $30,726.84 2025-12-30
791 MS_DRG Prematurity With Major Problems 12 6 — — $27,858.14 $96,664.11 $30,672.10 2025-12-30
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 2 1 — — $30,572.38 $30,572.38 $30,572.38 2025-12-30
0968T HCPCS Insj/rplcmt Epcrnl Nstim Sys 2 1 — — $30,572.38 $30,572.38 $30,572.38 2025-12-30
0466T HCPCS Insj Ch Wal Respir Eltrd/ra 2 1 — — $30,572.38 $30,572.38 $30,572.38 2025-12-30
0424T HCPCS Insj/rplc Nstim Apnea Compl 2 1 — — $30,572.38 $30,572.38 $30,572.38 2025-12-30
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 2 1 — — $30,572.38 $30,572.38 $30,572.38 2025-12-30
61864 HCPCS Implant Neuroelectrde Addl 2 1 — — $30,572.38 $30,572.38 $30,572.38 2025-12-30
0316T HCPCS Replc Vagus Nerve Pls Gen 2 1 — — $30,572.38 $30,572.38 $30,572.38 2025-12-30
61868 HCPCS Implant Neuroelectrde Addl 2 1 — — $30,572.38 $30,572.38 $30,572.38 2025-12-30
61889 HCPCS Ins Sk-mnt Crnl Nstm Pg/rcvr 2 1 — — $30,572.38 $30,572.38 $30,572.38 2025-12-30
61870 HCPCS Implant Neuroelectrodes 2 1 — — $30,572.38 $30,572.38 $30,572.38 2025-12-30
61863 HCPCS Implant Neuroelectrode 2 1 — — $30,572.38 $30,572.38 $30,572.38 2025-12-30
61867 HCPCS Implant Neuroelectrode 2 1 — — $30,572.38 $30,572.38 $30,572.38 2025-12-30
61860 HCPCS Implant Neuroelectrodes 2 1 — — $30,572.38 $30,572.38 $30,572.38 2025-12-30
61850 HCPCS Implant Neuroelectrodes 2 1 — — $30,572.38 $30,572.38 $30,572.38 2025-12-30
0312T HCPCS Laps Impltj Nstim Vagus 2 1 — — $30,572.38 $30,572.38 $30,572.38 2025-12-30
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 12 5 — — $28,029.00 $39,240.60 $30,421.85 2025-12-30
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 12 5 — — $28,029.00 $39,240.60 $30,421.85 2025-12-30
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 12 5 — — $28,029.00 $39,240.60 $30,421.85 2025-12-30
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 12 5 — — $28,029.00 $39,240.60 $30,421.85 2025-12-30
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 12 5 — — $28,029.00 $39,240.60 $30,421.85 2025-12-30
61886 HCPCS Implant Neurostim Arrays 12 5 — — $28,029.00 $39,240.60 $30,421.85 2025-12-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 12 6 — — $27,353.01 $94,849.83 $30,115.93 2025-12-30
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 12 6 — — $27,334.44 $94,783.16 $30,095.50 2025-12-30
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 12 5 — — $8,780.62 $39,240.60 $29,850.89 2025-12-30
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 12 6 — — $27,101.09 $93,945.07 $29,838.58 2025-12-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 12 6 — — $27,047.40 $93,752.21 $29,779.46 2025-12-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 12 6 — — $26,994.37 $93,561.73 $29,721.07 2025-12-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 6 — — $26,879.01 $93,147.45 $29,594.07 2025-12-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 6 — — $26,866.42 $93,102.21 $29,580.20 2025-12-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 6 — — $26,723.24 $92,587.92 $29,422.56 2025-12-30
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 6 — — $26,566.13 $92,023.64 $29,249.57 2025-12-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 12 6 — — $26,540.27 $91,930.78 $29,221.10 2025-12-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 6 — — $26,468.68 $91,673.64 $29,142.28 2025-12-30
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 6 — — $26,283.72 $91,009.36 $28,938.64 2025-12-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 6 — — $26,146.49 $90,516.50 $28,787.56 2025-12-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 6 — — $25,950.28 $89,811.74 $28,571.51 2025-12-30
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 12 5 — — $26,147.81 $36,830.73 $28,501.11 2025-12-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 6 — — $25,750.74 $89,095.07 $28,351.83 2025-12-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 6 — — $25,132.24 $86,873.65 $27,670.85 2025-12-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 12 6 — — $24,964.52 $86,271.27 $27,486.19 2025-12-30
24338005008 NDC Carmustine 7.7mg Wafer 14 7 $36,431.94 $21,859.16 40% off $16,394.37 $34,901.80 $27,323.96 2025-12-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 6 — — $24,708.64 $85,352.22 $27,204.46 2025-12-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 6 — — $24,707.31 $85,347.46 $27,203.00 2025-12-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 12 6 — — $24,703.33 $85,333.18 $27,198.62 2025-12-30
265 MS_DRG Aicd Lead Procedures 12 6 — — $24,591.97 $84,933.18 $27,076.00 2025-12-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 6 — — $24,485.90 $84,552.23 $26,959.22 2025-12-30
C9760 HCPCS Non-blind Interatrial Shunt 12 5 — — $14,959.45 $35,412.17 $26,938.54 2025-12-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 12 6 — — $24,348.01 $84,056.99 $26,807.41 2025-12-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 12 6 — — $24,342.04 $84,035.56 $26,800.83 2025-12-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 6 — — $24,283.05 $83,823.66 $26,735.88 2025-12-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 12 6 — — $24,171.67 $83,423.66 $26,613.25 2025-12-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 6 — — $24,164.39 $83,397.47 $26,605.24 2025-12-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 12 6 — — $24,155.10 $83,364.13 $26,595.01 2025-12-30
264 MS_DRG Other Circulatory System O.r. Procedures 12 6 — — $24,114.00 $83,216.51 $26,549.76 2025-12-30
34718 HCPCS Evasc Rpr N/a A-iliac Ndgft 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34813 HCPCS Femoral Endovas Graft Add-on 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34717 HCPCS Evasc Rpr A-iliac Ndgft 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34845 HCPCS Visc & Infraren Abd 1 Prosth 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34808 HCPCS Endovas Iliac A Device Addon 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34713 HCPCS Perq Access & Clsr Fem Art 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34709 HCPCS Plmt Xtn Prosth Evasc Rpr 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34710 HCPCS Dlyd Plmt Xtn Prosth 1st Vsl 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34708 HCPCS Evasc Rpr Ilio-iliac Rpt 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34820 HCPCS Opn Iliac Art Expos 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34711 HCPCS Dlyd Plmt Xtn Prosth Ea Addl 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34707 HCPCS Evasc Rpr Ilio-iliac Ndgft 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34712 HCPCS Tcat Dlvr Enhncd Fixj Dev 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34833 HCPCS Opn Ilac Art Expos Cndt Crtj 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34703 HCPCS Evasc Rpr A-unilac Ndgft 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34702 HCPCS Evasc Rpr A-ao Ndgft Rpt 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34701 HCPCS Evasc Rpr A-ao Ndgft 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34051 HCPCS Removal Of Artery Clot 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34704 HCPCS Evasc Rpr A-unilac Ndgft Rpt 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34705 HCPCS Evac Rpr A-biiliac Ndgft 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34706 HCPCS Evasc Rpr A-biiliac Rpt 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34846 HCPCS Visc & Infraren Abd 2 Prosth 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
0254T HCPCS Evasc Rpr Iliac Art Bifur 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
35840 HCPCS Explore Abdominal Vessels 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
33880 HCPCS Endovasc Taa Repr Incl Subcl 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34843 HCPCS Endovasc Visc Aorta 3 Graft 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34844 HCPCS Endovasc Visc Aorta 4 Graft 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34841 HCPCS Endovasc Visc Aorta 1 Graft 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34842 HCPCS Endovasc Visc Aorta 2 Graft 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34847 HCPCS Visc & Infraren Abd 3 Prosth 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
33895 HCPCS Evasc St Rpr Thrc/aa X Crsg 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
33881 HCPCS Endovasc Taa Repr Without Subcl 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
33883 HCPCS Insert Endovasc Prosth Taa 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
33884 HCPCS Endovasc Prosth Taa Add-on 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
33886 HCPCS Endovasc Prosth Delayed 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
33894 HCPCS Evasc St Rpr Thrc/aa Acrs Br 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
34848 HCPCS Visc & Infraren Abd 4+ Prost 2 1 — — $26,465.78 $26,465.78 $26,465.78 2025-12-30
Q0187 HCPCS NovoSeven 4.8mg/8ml Inj 14 7 $35,190.00 $21,114.00 40% off $15,835.50 $33,712.02 $26,392.50 2025-12-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 12 6 — — $23,964.18 $82,678.42 $26,384.80 2025-12-30
332 MS_DRG Rectal Resection With Mcc 12 6 — — $23,938.99 $82,587.94 $26,357.07 2025-12-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 12 6 — — $23,913.80 $82,497.47 $26,329.33 2025-12-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 6 — — $23,777.90 $82,009.37 $26,179.71 2025-12-30
J9600 HCPCS Porfimer Sodium Injection 14 6 — — $11,000.55 $36,730.69 $26,166.69 2025-12-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 12 6 — — $23,742.10 $81,880.80 $26,140.29 2025-12-30
665 MS_DRG Prostatectomy With Mcc 12 6 — — $23,706.31 $81,752.23 $26,100.89 2025-12-30
252 MS_DRG Other Vascular Procedures With Mcc 12 6 — — $23,685.10 $81,676.04 $26,077.53 2025-12-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 12 6 — — $23,650.62 $81,552.23 $26,039.58 2025-12-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 12 6 — — $23,524.67 $81,099.85 $25,900.90 2025-12-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 12 6 — — $23,430.54 $80,761.76 $25,797.26 2025-12-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 12 6 — — $23,196.52 $79,921.28 $25,539.60 2025-12-30
37 MS_DRG Extracranial Procedures With Mcc 12 6 — — $22,959.20 $79,068.90 $25,278.31 2025-12-30
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 12 6 — — $22,833.25 $78,616.52 $25,139.64 2025-12-30
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 12 6 — — $22,613.16 $77,826.05 $24,897.33 2025-12-30
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 12 6 — — $22,551.51 $77,604.62 $24,829.43 2025-12-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 12 6 — — $22,542.23 $77,571.29 $24,819.22 2025-12-30
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 12 6 — — $22,285.68 $76,649.86 $24,536.76 2025-12-30
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 6 — — $22,186.91 $76,295.10 $24,428.01 2025-12-30
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 12 6 — — $22,125.25 $76,073.67 $24,360.12 2025-12-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 12 6 — — $22,084.82 $75,928.43 $24,315.61 2025-12-30
93654 HCPCS Compre Ep Eval Tx Vt 12 5 — — $22,564.32 $31,590.05 $24,279.56 2025-12-30
93653 HCPCS Compre Ep Eval Tx Svt 12 5 — — $22,564.32 $31,590.05 $24,279.56 2025-12-30
93656 HCPCS Compre Ep Eval Abltj Atr Fib 12 5 — — $22,564.32 $31,590.05 $24,279.56 2025-12-30
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 12 6 — — $22,027.81 $75,723.67 $24,252.83 2025-12-30
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 12 6 — — $21,985.39 $75,571.29 $24,206.14 2025-12-30
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