Hospital

ST BERNARDS MEDICAL CENTER

Jonesboro, AR · CCN 040020 · Rates published

Your selected procedure

You selected 93306 (CPT)

ECHO W/CONTRAST FAC FEE

This hospital’s price: $764 across 19 payers · range $312-$1,820

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8121/710290019_st-bernards-hospital-inc_standardcharges.csv · observed 2025-02-14

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

12,575 distinct procedures filed

20 distinct payers

566,977 rate rows

2025-02-14 last MRF observed · ⚠ 20 mo old

Data quality

334,641 of 566,977 rate rows are consumer-grade (59.0%)

232,336 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 — reason	Rows
professional (physician) fee — not the facility price	230,506
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	777
template filing: same amount across many unrelated codes — excluded	462
percent-of-charges filed in the dollar field — excluded from medians	269
exceeds 10× this hospital's gross charge — excluded from medians	158
placeholder amount (≤ $0.02) — excluded from medians	77
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	45
per-diem day rate — not a per-procedure price	42

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 20 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://sthpiprd.blob.core.windows.net/machine-readable-files/8121/710290019_st-bernards-hospital-inc_standardcharges.csv
Found on page	https://search.hospitalpriceindex.com/hpi2/machineReadable/StBernardsMedicalCenter/8121
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-20
Content fingerprint	74c57e466bad4ee9… · 307,872,623 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
J1414 HCPCS	Inj, Beqvez, Per Tx Dose	9	$3,710,000.00	$4,823,000.00	$3,821,300.00	nat. median $3,710,000 1.0× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	9	$3,710,000.00	$4,823,000.00	$3,821,300.00	nat. median $3,705,478 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	10	$3,321,781.51	$4,650,494.11	$3,454,652.77	nat. median $3,324,572 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	10	$3,193,000.00	$4,470,200.00	$3,320,720.00	nat. median $3,286,000 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	11	$2,968,000.00	$4,748,800.00	$3,116,400.00	nat. median $2,994,107 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	11	$2,403,458.75	$3,845,534.00	$2,523,631.69	nat. median $2,467,386 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	11	$2,332,000.00	$3,731,200.00	$2,448,600.00	nat. median $2,401,965 1.0× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	12	$565,623.84	$1,414,059.60	$593,905.03	nat. median $739,258 0.8× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	14	$551,318.34	$1,378,295.85	$578,884.26	nat. median $646,415 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	14	$528,312.43	$1,320,781.08	$554,728.05	nat. median $622,450 0.9× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	14	$516,485.97	$1,291,214.93	$542,310.27	nat. median $640,950 0.8× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	14	$489,517.15	$1,223,792.88	$513,993.01	nat. median $608,239 0.8× median
Q2053 HCPCS	Brexucabtagene Car Pos T	14	$488,051.51	$1,220,128.78	$512,454.09	nat. median $591,721 0.9× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	$253,473.39	$506,946.78	$266,147.06	nat. median $359,454 0.7× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	15	$143,292.00	$378,924.12	$198,935.16	nat. median $249,036 0.8× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	15	$76,286.00	$319,295.54	$167,630.16	nat. median $198,418 0.8× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	15	$116,378.00	$288,563.10	$151,495.63	nat. median $190,559 0.8× median
C9150 HCPCS	Fee Schedule	2	$134,565.60	$136,936.80	$135,751.20	nat. median $1,036 outlier · 131.1×
0100T CPT	Prosth Retina Receive&gen	3	$132,440.00	$132,440.00	$132,440.00	nat. median $11,291 outlier · 11.7×
Q0480 HCPCS	Driver Pneumatic Vad, Rep	12	$99,999.96	$249,999.90	$104,999.96	nat. median $111,503 0.9× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And…	15	$70,816.00	$190,624.98	$100,078.11	nat. median $126,695 0.8× median
K1007 HCPCS	Bil Hkaf Pc S/d Micro Sensor	12	$93,216.70	$233,041.75	$97,877.54	nat. median $96,983 1.0× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	14	$88,416.74	$176,833.48	$92,837.58	nat. median $110,307 0.8× median
7 MS_DRG	Lung Transplant	15	$52,081.00	$176,390.84	$92,605.19	nat. median $117,974 0.8× median
C1605 HCPCS	C1605-aveir Dual Ldls Sys	20	$33,845.72	$92,634.50	$85,321.25	nat. median $21,751 outlier · 3.9×
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	15	$74,452.86	$148,905.72	$83,056.36	nat. median $104,013 0.8× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	14	$73,609.19	$147,218.38	$77,289.65	nat. median $97,323 0.8× median
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	15	$65,794.00	$143,938.84	$75,567.89	nat. median $95,038 0.8× median
215 MS_DRG	Other Heart Assist System Implant	15	$71,603.23	$143,206.46	$75,183.39	nat. median $93,901 0.8× median
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	14	$70,802.46	$141,604.92	$74,342.58	nat. median $93,276 0.8× median
L8702 HCPCS	Ewhf S/d Uprt Micro Sensor	12	$67,452.66	$168,631.65	$70,825.29	nat. median $70,178 1.0× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	15	$57,685.00	$130,548.38	$68,537.90	nat. median $90,551 0.8× median
J9029 HCPCS	Instill Adstiladrin, Tx Dose	14	$63,402.04	$158,505.10	$66,572.14	nat. median $68,423 1.0× median
850 MS_DRG	Acute Leukemia With Other Procedures	14	$62,328.65	$124,657.30	$65,445.08	nat. median $78,268 0.8× median
J9359 HCPCS	Zynlonta 10mg Vial	19	$212.12	$69,133.28	$63,675.39	nat. median $742 outlier · 85.8×
231 MS_DRG	Coronary Bypass With Ptca With Mcc	15	$45,256.00	$114,758.30	$60,248.11	nat. median $77,028 0.8× median
456 MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	15	$41,955.00	$114,695.28	$60,215.02	nat. median $77,632 0.8× median
A9543 HCPCS	Y90 Ibritumomab, Rx	12	$56,824.55	$142,061.38	$59,665.78	nat. median $63,528 0.9× median
429 MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	14	$56,485.15	$112,970.30	$59,309.41	nat. median $78,049 0.8× median
J9281 HCPCS	Jelmyto 80mg Kit	19	$311.36	$63,003.53	$58,029.57	nat. median $532 outlier · 109.1×
20 MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	15	$47,785.00	$109,221.32	$57,341.19	nat. median $74,370 0.8× median
38240 CPT	Transplt Allo Hct/donor	12	$54,497.29	$136,243.23	$57,222.16	nat. median $12,842 outlier · 4.5×
10 MS_DRG	Pancreas Transplant	15	$24,119.00	$108,039.66	$56,720.82	nat. median $64,933 0.9× median
19 MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	14	$53,713.33	$107,426.66	$56,399.00	nat. median $66,715 0.8× median
233 MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	15	$39,987.00	$105,939.12	$55,618.04	nat. median $71,748 0.8× median
219 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	15	$44,685.00	$104,880.80	$55,062.42	nat. median $72,398 0.8× median
33231 CPT	33231-insert Pac Cv-w/exist Mu	19	$824.01	$73,858.66	$54,853.75	nat. median $30,121 1.8× median
33264 CPT	33264-replace Multi Lead Icd	20	$824.01	$73,858.66	$54,853.75	nat. median $31,574 1.7× median
33270 CPT	33270-sicd Implant W/electrode	20	$674.19	$73,858.66	$54,853.75	nat. median $32,114 1.7× median
0571T CPT	0571t-insrt/rplc Icd Ss Elctrd	20	$29,543.46	$73,858.66	$54,853.75	nat. median $32,221 1.7× median

Other procedures at this hospital

Browse this hospital's 12,575 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	11	9	—	—	$3,710,000.00	$4,823,000.00	$3,821,300.00	2025-02-14
J1414	HCPCS	Inj, Beqvez, Per Tx Dose	11	9	—	—	$3,710,000.00	$4,823,000.00	$3,821,300.00	2025-02-14
J1413	HCPCS	Inj Delandistrogene Mox Rokl	12	10	—	—	$3,321,781.51	$4,650,494.11	$3,454,652.77	2025-02-14
J3394	HCPCS	Inj, Lovotibeglogene Autotem	12	10	—	—	$3,193,000.00	$4,470,200.00	$3,320,720.00	2025-02-14
J3393	HCPCS	Inj, Betibeglogene Autotemce	13	11	—	—	$2,968,000.00	$4,748,800.00	$3,116,400.00	2025-02-14
J3399	HCPCS	Inj Onase Abepar-xioi Treat	13	11	—	—	$2,403,458.75	$3,845,534.00	$2,523,631.69	2025-02-14
J3392	HCPCS	Inj, Exagamglogene Autotem	13	11	—	—	$2,332,000.00	$3,731,200.00	$2,448,600.00	2025-02-14
Q2042	HCPCS	Tisagenlecleucel Car-pos T	15	12	—	—	$565,623.84	$1,414,059.60	$593,905.03	2025-02-14
Q2056	HCPCS	Ciltacabtagene Car-pos T	17	14	—	—	$551,318.34	$1,378,295.85	$578,884.26	2025-02-14
Q2055	HCPCS	Idecabtagene Vicleucel Car	17	14	—	—	$528,312.43	$1,320,781.08	$554,728.05	2025-02-14
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	17	14	—	—	$516,485.97	$1,291,214.93	$542,310.27	2025-02-14
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	17	14	—	—	$489,517.15	$1,223,792.88	$513,993.01	2025-02-14
Q2053	HCPCS	Brexucabtagene Car Pos T	17	14	—	—	$488,051.51	$1,220,128.78	$512,454.09	2025-02-14
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	19	14	—	—	$253,473.39	$506,946.78	$266,147.06	2025-02-14
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	20	15	—	—	$143,292.00	$378,924.12	$198,935.16	2025-02-14
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	20	15	—	—	$76,286.00	$319,295.54	$167,630.16	2025-02-14
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	20	15	—	—	$116,378.00	$288,563.10	$151,495.63	2025-02-14
C9150	HCPCS	Fee Schedule	2	2	—	—	$134,565.60	$136,936.80	$135,751.20	2025-02-14
0100T	CPT	Prosth Retina Receive&gen	4	3	—	—	$132,440.00	$132,440.00	$132,440.00	2025-02-14
Q0480	HCPCS	Driver Pneumatic Vad, Rep	15	12	—	—	$99,999.96	$249,999.90	$104,999.96	2025-02-14
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …	20	15	—	—	$70,816.00	$190,624.98	$100,078.11	2025-02-14
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	15	12	—	—	$93,216.70	$233,041.75	$97,877.54	2025-02-14
14	MS_DRG	Allogeneic Bone Marrow Transplant	19	14	—	—	$88,416.74	$176,833.48	$92,837.58	2025-02-14
7	MS_DRG	Lung Transplant	20	15	—	—	$52,081.00	$176,390.84	$92,605.19	2025-02-14
C1605	HCPCS	C1605-aveir Dual Ldls Sys	30	20	$97,510.00	$63,381.50 35% off	$33,845.72	$92,634.50	$85,321.25	2025-02-14
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	20	15	—	—	$74,452.86	$148,905.72	$83,056.36	2025-02-14
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	19	14	—	—	$73,609.19	$147,218.38	$77,289.65	2025-02-14
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	20	15	—	—	$65,794.00	$143,938.84	$75,567.89	2025-02-14
215	MS_DRG	Other Heart Assist System Implant	20	15	—	—	$71,603.23	$143,206.46	$75,183.39	2025-02-14
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	19	14	—	—	$70,802.46	$141,604.92	$74,342.58	2025-02-14
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	15	12	—	—	$67,452.66	$168,631.65	$70,825.29	2025-02-14
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	20	15	—	—	$57,685.00	$130,548.38	$68,537.90	2025-02-14
J9029	HCPCS	Instill Adstiladrin, Tx Dose	17	14	—	—	$63,402.04	$158,505.10	$66,572.14	2025-02-14
850	MS_DRG	Acute Leukemia With Other Procedures	19	14	—	—	$62,328.65	$124,657.30	$65,445.08	2025-02-14
J9359	HCPCS	Zynlonta 10mg Vial	45	19	$72,771.87	$47,301.72 35% off	$212.12	$69,133.28	$63,675.39	2025-02-14
231	MS_DRG	Coronary Bypass With Ptca With Mcc	20	15	—	—	$45,256.00	$114,758.30	$60,248.11	2025-02-14
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	20	15	—	—	$41,955.00	$114,695.28	$60,215.02	2025-02-14
A9543	HCPCS	Y90 Ibritumomab, Rx	15	12	—	—	$56,824.55	$142,061.38	$59,665.78	2025-02-14
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	19	14	—	—	$56,485.15	$112,970.30	$59,309.41	2025-02-14
J9281	HCPCS	Jelmyto 80mg Kit	45	19	$66,319.50	$43,107.68 35% off	$311.36	$63,003.53	$58,029.57	2025-02-14
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	20	15	—	—	$47,785.00	$109,221.32	$57,341.19	2025-02-14
38240	CPT	Transplt Allo Hct/donor	15	12	—	—	$54,497.29	$136,243.23	$57,222.16	2025-02-14
10	MS_DRG	Pancreas Transplant	20	15	—	—	$24,119.00	$108,039.66	$56,720.82	2025-02-14
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	19	14	—	—	$53,713.33	$107,426.66	$56,399.00	2025-02-14
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	20	15	—	—	$39,987.00	$105,939.12	$55,618.04	2025-02-14
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	20	15	—	—	$44,685.00	$104,880.80	$55,062.42	2025-02-14
33270	CPT	33270-sicd Implant W/electrode	46	20	$62,690.00	$40,748.50 35% off	$674.19	$73,858.66	$54,853.75	2025-02-14
0571T	CPT	0571t-insrt/rplc Icd Ss Elctrd	44	20	$62,690.00	$40,748.50 35% off	$29,543.46	$73,858.66	$54,853.75	2025-02-14
33264	CPT	33264-replace Multi Lead Icd	46	20	$62,690.00	$40,748.50 35% off	$824.01	$73,858.66	$54,853.75	2025-02-14
33231	CPT	33231-insert Pac Cv-w/exist Mu	45	19	$62,690.00	$40,748.50 35% off	$824.01	$73,858.66	$54,853.75	2025-02-14
33249	CPT	33249-insert/replace Icd Sys	47	20	$62,690.00	$40,748.50 35% off	$674.19	$73,858.66	$54,853.75	2025-02-14
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	20	15	—	—	$35,935.00	$101,214.96	$53,137.85	2025-02-14
453	MS_DRG	DRG	1	1	—	—	$52,274.00	$52,274.00	$52,274.00	2025-02-14
L7180	HCPCS	Electronic Elbow Sequential	15	12	—	—	$49,026.62	$122,566.55	$51,477.95	2025-02-14
L7181	HCPCS	Electronic Elbo Simultaneous	15	12	—	—	$48,628.26	$121,570.65	$51,059.67	2025-02-14
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	19	14	—	—	$48,183.03	$96,366.06	$50,592.18	2025-02-14
J3357	HCPCS	Stelara 90mg/1ml Syringe	53	20	$57,642.00	$37,467.30 35% off	$155.88	$54,759.90	$50,436.75	2025-02-14
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	19	14	—	—	$47,943.61	$95,887.22	$50,340.79	2025-02-14
33289	CPT	33289-trncth Pa Monitor Implan	44	20	$57,045.00	$37,079.25 35% off	$26,195.57	$65,488.92	$49,914.38	2025-02-14
222	MS_DRG	DRG	1	1	—	—	$49,745.00	$49,745.00	$49,745.00	2025-02-14
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	20	15	—	—	$35,699.00	$94,405.04	$49,562.65	2025-02-14
955	MS_DRG	Craniotomy For Multiple Significant Trauma	20	15	—	—	$31,637.00	$92,685.48	$48,659.88	2025-02-14
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	19	14	—	—	$45,513.82	$91,027.64	$47,789.51	2025-02-14
C1825	HCPCS	Barostim Neo2 Gen And Lead Kit	38	20	$69,650.00	$45,272.50 35% off	$21,757.96	$66,167.50	$47,659.76	2025-02-14
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	20	15	—	—	$27,253.00	$90,681.52	$47,607.80	2025-02-14
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	19	14	—	—	$45,264.98	$90,529.96	$47,528.23	2025-02-14
J9226	HCPCS	Supprelin La Implant	17	14	—	—	$33,673.32	$113,154.50	$47,524.89	2025-02-14
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	20	15	—	—	$43,858.63	$87,717.26	$46,527.78	2025-02-14
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	20	15	—	—	$31,763.00	$87,842.00	$46,117.05	2025-02-14
224	MS_DRG	DRG	1	1	—	—	$45,370.00	$45,370.00	$45,370.00	2025-02-14
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	20	15	—	—	$31,865.00	$85,925.20	$45,110.73	2025-02-14
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	19	14	—	—	$42,091.42	$84,182.84	$44,195.99	2025-02-14
Q2043	HCPCS	Sipuleucel-t Min 50million	46	20	$47,001.00	$30,550.65 35% off	$37,600.80	$138,841.25	$44,180.94	2025-02-14
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	19	14	—	—	$42,037.77	$84,075.54	$44,139.66	2025-02-14
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	20	15	—	—	$17,039.00	$83,697.26	$43,941.06	2025-02-14
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	20	15	—	—	$23,774.00	$83,408.88	$43,789.66	2025-02-14
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	20	15	—	—	$38,407.00	$83,033.30	$43,592.48	2025-02-14
33276	CPT	Insj Phrnc Nrv Stim Sys	15	12	—	—	$41,466.16	$103,665.40	$43,539.47	2025-02-14
0266T	CPT	Implt/rpl Crtd Sns Dev Total	15	12	—	—	$41,466.16	$103,665.40	$43,539.47	2025-02-14
28	MS_DRG	Spinal Procedures With Mcc	20	15	—	—	$26,250.00	$82,641.62	$43,386.85	2025-02-14
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	19	14	—	—	$41,028.42	$82,056.84	$43,079.84	2025-02-14
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	19	14	—	—	$41,028.42	$82,056.84	$43,079.84	2025-02-14
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	19	14	—	—	$40,725.94	$81,451.88	$42,762.24	2025-02-14
223	MS_DRG	DRG	1	1	—	—	$42,661.00	$42,661.00	$42,661.00	2025-02-14
J2350	HCPCS	Ocrevus Sdv 30mg/ml	46	20	$48,750.00	$31,687.50 35% off	$58.77	$46,312.50	$42,656.25	2025-02-14
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	20	15	—	—	$40,447.64	$80,895.28	$42,499.51	2025-02-14
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	20	15	—	—	$29,134.00	$80,834.90	$42,438.32	2025-02-14
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	20	15	—	—	$31,856.00	$80,022.06	$42,011.58	2025-02-14
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	20	15	—	—	$27,881.00	$79,191.74	$41,575.66	2025-02-14
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	20	15	—	—	$33,883.00	$78,079.80	$40,991.90	2025-02-14
454	MS_DRG	DRG	1	1	—	—	$40,802.00	$40,802.00	$40,802.00	2025-02-14
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	20	15	—	—	$29,162.00	$77,619.72	$40,750.35	2025-02-14
L2006	HCPCS	Kaf Sng/dbl Swg/stn Mcpr Cus	15	12	—	—	$38,750.60	$96,876.50	$40,688.13	2025-02-14
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	20	15	—	—	$37,617.44	$75,234.88	$40,525.65	2025-02-14
9	MS_DRG	DRG	1	1	—	—	$40,202.00	$40,202.00	$40,202.00	2025-02-14
653	MS_DRG	Major Bladder Procedures With Mcc	20	15	—	—	$28,340.00	$75,869.28	$39,831.37	2025-02-14
93656	CPT	93656-ep Eval Afib Ablat	46	20	$45,260.00	$29,419.00 35% off	$1,205.26	$56,513.83	$39,602.50	2025-02-14
93653	CPT	93653-ep Eval/svt Ablat	45	19	$45,260.00	$29,419.00 35% off	$902.96	$56,513.83	$39,602.50	2025-02-14
93654	CPT	93654-ep Eval/vt Ablat	45	19	$45,260.00	$29,419.00 35% off	$1,204.67	$56,513.83	$39,602.50	2025-02-14
834	MS_DRG	Acute Leukemia With Mcc	20	15	—	—	$22,544.00	$75,234.88	$39,498.31	2025-02-14
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	19	14	—	—	$37,461.84	$74,923.68	$39,334.93	2025-02-14
J9334	HCPCS	Vyvgrt Hytrl 1008mg 11200un Vl	44	20	$44,953.00	$29,219.45 35% off	$33.10	$42,705.35	$39,333.88	2025-02-14
33230	CPT	33230-insert Pac Cv-w/exist Du	45	19	$44,915.00	$29,194.75 35% off	$824.01	$51,708.17	$39,300.62	2025-02-14
33262	CPT	33262-replace Single Lead Icd	46	20	$44,915.00	$29,194.75 35% off	$824.01	$51,708.17	$39,300.62	2025-02-14
33240	CPT	33240-icd Insert Exist Sgl Ld	46	20	$44,915.00	$29,194.75 35% off	$824.01	$51,708.17	$39,300.62	2025-02-14
33263	CPT	33263-replace Dual Lead Icd	45	19	$44,915.00	$29,194.75 35% off	$824.01	$51,708.17	$39,300.62	2025-02-14
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	19	14	—	—	$37,236.49	$74,472.98	$39,098.31	2025-02-14
225	MS_DRG	DRG	1	1	—	—	$39,033.00	$39,033.00	$39,033.00	2025-02-14
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	20	15	—	—	$32,070.00	$74,078.62	$38,891.28	2025-02-14
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	20	15	—	—	$29,930.00	$73,912.30	$38,803.96	2025-02-14
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	20	15	—	—	$24,561.00	$73,540.76	$38,608.90	2025-02-14
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	20	15	—	—	$25,719.00	$73,472.36	$38,572.99	2025-02-14
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	20	15	—	—	$15,355.00	$73,464.32	$38,568.77	2025-02-14
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	20	15	—	—	$30,514.00	$72,456.98	$38,039.91	2025-02-14
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	20	15	—	—	$35,512.00	$72,141.76	$37,874.42	2025-02-14
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	20	15	—	—	$33,969.02	$67,938.04	$37,717.10	2025-02-14
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	19	14	—	—	$35,087.69	$70,175.38	$36,842.07	2025-02-14
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	19	14	—	—	$34,973.02	$69,946.04	$36,721.67	2025-02-14
6	MS_DRG	Liver Transplant Without Mcc	20	15	—	—	$33,069.67	$66,139.34	$36,709.89	2025-02-14
226	MS_DRG	DRG	1	1	—	—	$36,657.00	$36,657.00	$36,657.00	2025-02-14
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	20	15	—	—	$21,953.00	$69,430.96	$36,451.25	2025-02-14
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	20	15	—	—	$32,029.00	$69,221.72	$36,341.40	2025-02-14
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	20	15	—	—	$24,461.00	$68,657.00	$36,044.93	2025-02-14
L8701	HCPCS	Ewh S/d Uprt Micro Sensor	15	12	—	—	$34,284.44	$85,711.10	$35,998.66	2025-02-14
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	20	15	—	—	$29,628.00	$68,258.66	$35,835.80	2025-02-14
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	19	14	—	—	$34,103.16	$68,206.32	$35,808.32	2025-02-14
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	20	15	—	—	$32,141.00	$68,179.48	$35,794.23	2025-02-14
455	MS_DRG	DRG	1	1	—	—	$35,354.00	$35,354.00	$35,354.00	2025-02-14
245	MS_DRG	Aicd Generator Procedures	20	15	—	—	$19,266.00	$66,643.66	$34,987.92	2025-02-14
471	MS_DRG	Cervical Spinal Fusion With Mcc	20	15	—	—	$21,528.00	$66,247.98	$34,780.19	2025-02-14
J7330	HCPCS	Maci Autologous Chrondrocyte	32	20	$48,744.00	$31,683.60 35% off	$16,919.04	$46,306.80	$34,631.22	2025-02-14
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	20	15	—	—	$24,664.00	$65,150.80	$34,204.17	2025-02-14
J0223	HCPCS	Givlaari 189mg/ml	45	19	$39,000.00	$25,350.00 35% off	$115.47	$37,050.00	$34,125.00	2025-02-14
799	MS_DRG	Splenic Procedures With Mcc	20	15	—	—	$24,498.00	$64,873.14	$34,058.40	2025-02-14
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	20	15	—	—	$28,004.00	$64,861.06	$34,052.06	2025-02-14
C1882	HCPCS	C1882-momentum Is1 Df1 Sys	318	20	$39,978.00	$25,985.70 35% off	$6,137.77	$75,256.15	$33,903.73	2025-02-14
0620T	CPT	Evasc Ven Artlz Tibl/prnl Vn	15	12	—	—	$32,251.56	$80,628.90	$33,864.14	2025-02-14
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	19	14	—	—	$32,100.54	$64,201.08	$33,705.57	2025-02-14
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	20	15	—	—	$21,817.00	$63,863.08	$33,528.12	2025-02-14
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	19	14	—	—	$31,746.46	$63,492.92	$33,333.78	2025-02-14
163	MS_DRG	Major Chest Procedures With Mcc	20	15	—	—	$25,080.00	$62,920.14	$33,033.07	2025-02-14
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	19	14	—	—	$31,447.33	$62,894.66	$33,019.70	2025-02-14
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	20	15	—	—	$31,348.76	$62,697.52	$32,916.20	2025-02-14
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	20	15	—	—	$27,936.00	$62,688.12	$32,911.26	2025-02-14
0795T	CPT	0795t-insrt Dual Ldls Ppm Sys	44	20	$37,130.00	$24,134.50 35% off	$17,573.31	$43,933.28	$32,488.75	2025-02-14
0797T	CPT	0797t-trncth Rv Comp Dual Ldls	44	20	$37,130.00	$24,134.50 35% off	$17,573.31	$43,933.28	$32,488.75	2025-02-14
33274	CPT	33274-insert/repl Leadless Ppm	44	20	$37,130.00	$24,134.50 35% off	$17,417.12	$43,933.28	$32,488.75	2025-02-14
33229	CPT	33229-remov Ppm Pulse Gen W/re	45	19	$37,130.00	$24,134.50 35% off	$824.01	$43,933.28	$32,488.75	2025-02-14
33221	CPT	33221-insert Pacemaker Gen Onl	45	19	$37,130.00	$24,134.50 35% off	$824.01	$43,933.28	$32,488.75	2025-02-14
0801T	CPT	0801t-trnscth Rem/rplc Dual Ld	45	20	$37,130.00	$24,134.50 35% off	$12,887.82	$43,933.28	$32,488.75	2025-02-14
0825T	CPT	0825t-rem/rplc Ra Ldls Ppm	44	20	$37,130.00	$24,134.50 35% off	$17,573.31	$43,933.28	$32,488.75	2025-02-14
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	20	15	—	—	$24,339.00	$61,611.02	$32,345.79	2025-02-14
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	20	15	—	—	$17,628.00	$61,250.22	$32,156.37	2025-02-14
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	20	15	—	—	$26,264.00	$61,083.90	$32,069.05	2025-02-14
0424T	CPT	Apc	4	3	—	—	$31,816.96	$31,816.96	$31,816.96	2025-02-14
0427T	CPT	Apc	4	3	—	—	$31,816.96	$31,816.96	$31,816.96	2025-02-14
0431T	CPT	Apc	4	3	—	—	$31,816.96	$31,816.96	$31,816.96	2025-02-14
64568	CPT	Opn Impltj Crnl Nrv Nea&pg	21	16	—	—	$28,080.19	$70,200.49	$31,816.96	2025-02-14
901	MS_DRG	Wound Debridements For Injuries With Mcc	20	15	—	—	$17,691.00	$60,523.20	$31,774.68	2025-02-14
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	19	14	—	—	$30,008.77	$60,017.54	$31,509.21	2025-02-14
227	MS_DRG	DRG	1	1	—	—	$31,255.00	$31,255.00	$31,255.00	2025-02-14
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	20	15	—	—	$16,508.00	$59,133.62	$31,045.15	2025-02-14
0915T	CPT	Insj Perm Ccm-d Sys Pg&eltrd	15	12	—	—	$29,543.46	$73,858.66	$31,020.64	2025-02-14
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	20	15	—	—	$29,507.12	$59,014.24	$30,982.48	2025-02-14
69930	CPT	Implant Cochlear Device	22	17	—	—	$824.01	$73,274.08	$30,775.12	2025-02-14
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	20	15	—	—	$20,950.00	$58,312.70	$30,614.17	2025-02-14
L5856	HCPCS	Elec Knee-shin Swing/stance	15	12	—	—	$29,134.51	$72,836.28	$30,591.24	2025-02-14
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	19	14	—	—	$29,114.10	$58,228.20	$30,569.81	2025-02-14
L6880	HCPCS	Elec Hand Ind Art Digits	15	12	—	—	$28,996.90	$72,492.25	$30,446.75	2025-02-14
0408T	CPT	Insj/rplc Cardiac Modulj Sys	19	14	—	—	$24,816.96	$73,858.66	$30,429.77	2025-02-14
140	MS_DRG	Major Head And Neck Procedures With Mcc	19	14	—	—	$28,911.57	$57,823.14	$30,357.15	2025-02-14
459	MS_DRG	DRG	1	1	—	—	$30,181.00	$30,181.00	$30,181.00	2025-02-14
C1722	HCPCS	C1722-perciva Vr Df4 (1ld) Sys	222	20	$38,700.00	$25,155.00 35% off	$4,254.40	$56,430.00	$30,156.80	2025-02-14
31	MS_DRG	Ventricular Shunt Procedures With Mcc	20	15	—	—	$19,980.00	$57,305.40	$30,085.34	2025-02-14
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	20	15	—	—	$15,646.00	$57,291.96	$30,078.28	2025-02-14
J9333	HCPCS	Rystiggo 560 Mg Vial	55	17	$34,350.51	$22,327.83 35% off	$22.82	$48,949.49	$30,056.69	2025-02-14
793	MS_DRG	Full Term Neonate With Major Problems	20	15	—	—	$20,439.00	$57,035.76	$29,943.77	2025-02-14
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	19	14	—	—	$28,452.17	$56,904.34	$29,874.78	2025-02-14
230	MS_DRG	DRG	1	1	—	—	$29,665.00	$29,665.00	$29,665.00	2025-02-14
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	20	15	—	—	$23,130.00	$56,252.44	$29,532.53	2025-02-14
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	20	15	—	—	$27,767.00	$56,221.56	$29,516.32	2025-02-14
0674T	CPT	Laps Insj Nw/rpcmt Prm Isdss	15	12	—	—	$28,080.19	$70,200.49	$29,484.20	2025-02-14
64582	CPT	Opn Mpltj Hpglsl Nstm Ary Pg	21	16	—	—	$824.01	$70,200.49	$29,484.20	2025-02-14
61886	CPT	Implant Neurostim Arrays	20	15	—	—	$1,400.00	$70,200.49	$29,484.20	2025-02-14
33287	CPT	Rmv&rplcmt Phrnc Nrv Stim Pg	15	12	—	—	$28,080.19	$70,200.49	$29,484.20	2025-02-14
0268T	CPT	Implt/rpl Crtd Sns Dev Gen	19	14	—	—	$28,080.19	$70,200.49	$29,484.20	2025-02-14
63685	CPT	Insrt/replc Spnl Neuros gen/AS	22	17	—	—	$824.01	$70,200.49	$29,484.20	2025-02-14
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	20	15	—	—	$20,133.00	$56,139.74	$29,473.36	2025-02-14
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	19	14	—	—	$27,934.42	$55,868.84	$29,331.14	2025-02-14
37225	CPT	37225 Fempop/sfa Athrec	47	20	$33,415.00	$21,719.75 35% off	$824.01	$41,366.00	$29,238.12	2025-02-14
37184	CPT	37184 Art Prim Mech Thrombec	46	20	$33,415.00	$21,719.75 35% off	$824.01	$41,366.00	$29,238.12	2025-02-14
36906	CPT	36906 Mech Throm Dly Stent	46	20	$33,415.00	$21,719.75 35% off	$567.50	$41,366.00	$29,238.12	2025-02-14
C9773	HCPCS	C9773-tib Per Ivl+pta+stent	44	20	$33,415.00	$21,719.75 35% off	$16,546.40	$41,366.00	$29,238.12	2025-02-14
C9775	HCPCS	C9775-tib Per Ivl+athr+pta+stn	44	20	$33,415.00	$21,719.75 35% off	$16,546.40	$41,366.00	$29,238.12	2025-02-14
37227	CPT	37227 Fempop/sfa Athr/stent	47	20	$33,415.00	$21,719.75 35% off	$824.01	$41,366.00	$29,238.12	2025-02-14
93591	CPT	93591-perc Trans Valve Lk Aort	46	20	$33,415.00	$21,719.75 35% off	$2,043.75	$41,366.00	$29,238.12	2025-02-14
93580	CPT	93580-trncth Atr Cls W/implant	46	20	$33,415.00	$21,719.75 35% off	$2,254.29	$41,366.00	$29,238.12	2025-02-14
C9765	HCPCS	C9765-ili Sfa Ivl+pta+stent	44	20	$33,415.00	$21,719.75 35% off	$16,546.40	$41,366.00	$29,238.12	2025-02-14
C9774	HCPCS	C9774-tib Per Ivl+athrect+pta	44	20	$33,415.00	$21,719.75 35% off	$16,546.40	$41,366.00	$29,238.12	2025-02-14
C9767	HCPCS	C9767-ili Sfa Ivl+athr+pta+stn	44	20	$33,415.00	$21,719.75 35% off	$16,546.40	$41,366.00	$29,238.12	2025-02-14
37229	CPT	37229 Tibial/peron Athrec	45	19	$33,415.00	$21,719.75 35% off	$824.01	$41,366.00	$29,238.12	2025-02-14
37230	CPT	37230 Tibial/pero Sn Stent/pta	45	19	$33,415.00	$21,719.75 35% off	$824.01	$41,366.00	$29,238.12	2025-02-14
92933	CPT	92933 Bm Stent W/atherect-rc	45	19	$33,415.00	$21,719.75 35% off	$726.40	$41,366.00	$29,238.12	2025-02-14
37242	CPT	37242 Arterial Avm Embo	46	20	$33,415.00	$21,719.75 35% off	$674.19	$41,366.00	$29,238.12	2025-02-14
37231	CPT	37231 Tib/peron Athrectom/stnt	46	20	$33,415.00	$21,719.75 35% off	$824.01	$41,366.00	$29,238.12	2025-02-14
0238T	CPT	0238t-per Angioher S&i Add Vs	44	20	$33,415.00	$21,719.75 35% off	$16,546.40	$41,366.00	$29,238.12	2025-02-14
C9766	HCPCS	C9766-ili Sfa Ivl+athrect+pta	44	20	$33,415.00	$21,719.75 35% off	$16,546.40	$41,366.00	$29,238.12	2025-02-14
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	20	15	—	—	$24,548.00	$55,652.90	$29,217.77	2025-02-14
791	MS_DRG	Prematurity With Major Problems	20	15	—	—	$19,897.00	$55,552.26	$29,164.94	2025-02-14
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	20	15	—	—	$19,239.00	$54,530.20	$28,628.36	2025-02-14
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	20	15	—	—	$13,690.00	$54,492.64	$28,608.64	2025-02-14
J9266	HCPCS	Pegaspargase Injection	17	14	—	—	$576.94	$67,676.33	$28,424.06	2025-02-14
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	20	15	—	—	$18,973.00	$54,020.46	$28,360.74	2025-02-14
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	20	15	—	—	$19,907.00	$53,911.82	$28,303.71	2025-02-14
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	20	15	—	—	$15,272.00	$53,804.50	$28,247.36	2025-02-14
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	19	14	—	—	$26,785.57	$53,571.14	$28,124.85	2025-02-14
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	19	14	—	—	$26,772.83	$53,545.66	$28,111.47	2025-02-14
J2507	HCPCS	Krystexxa 8mg/ml	45	19	$31,998.26	$20,798.87 35% off	$685.84	$30,398.35	$27,998.48	2025-02-14
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	20	15	—	—	$15,771.00	$53,255.92	$27,959.36	2025-02-14
237	MS_DRG	DRG	1	1	—	—	$27,872.00	$27,872.00	$27,872.00	2025-02-14
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	20	15	—	—	$19,498.00	$52,938.04	$27,792.47	2025-02-14
904	MS_DRG	Skin Grafts For Injuries With Cc/mcc	20	15	—	—	$15,652.00	$52,885.72	$27,765.00	2025-02-14
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	20	15	—	—	$20,260.00	$52,740.84	$27,688.94	2025-02-14
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	20	15	—	—	$21,609.00	$52,366.60	$27,492.47	2025-02-14
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	20	15	—	—	$24,166.00	$52,089.00	$27,346.73	2025-02-14
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	20	15	—	—	$20,181.00	$51,691.92	$27,138.26	2025-02-14
36903	CPT	36903 Stent Peripheral Dly	45	19	$30,965.00	$20,127.25 35% off	$674.19	$29,416.75	$27,094.38	2025-02-14
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	20	15	—	—	$16,899.00	$51,288.22	$26,926.32	2025-02-14
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	20	15	—	—	$24,224.99	$48,449.98	$26,804.42	2025-02-14
C9760	HCPCS	Non-blind Interatrial Shunt	15	12	—	—	$25,340.61	$63,351.53	$26,607.64	2025-02-14
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	20	15	—	—	$19,529.00	$50,036.76	$26,269.30	2025-02-14
C1721	HCPCS	C1721-current Rf Dr Sys	230	20	$30,240.00	$19,656.00 35% off	$4,254.40	$58,128.60	$26,163.00	2025-02-14
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	20	15	—	—	$21,566.00	$49,697.42	$26,091.15	2025-02-14
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	20	15	—	—	$17,323.00	$49,179.62	$25,819.30	2025-02-14
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	20	15	—	—	$16,532.00	$49,176.98	$25,817.91	2025-02-14
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	20	15	—	—	$12,376.00	$49,168.88	$25,813.66	2025-02-14
265	MS_DRG	Aicd Lead Procedures	19	14	—	—	$24,471.77	$48,943.54	$25,695.36	2025-02-14
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	20	15	—	—	$13,896.00	$48,728.94	$25,582.69	2025-02-14
J9600	HCPCS	Porfimer Sodium Injection	17	14	—	—	$5,549.61	$60,571.05	$25,439.84	2025-02-14
420	MS_DRG	Hepatobiliary Diagnostic Procedures With Mcc	20	15	—	—	$21,608.00	$48,437.90	$25,429.90	2025-02-14
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	20	15	—	—	$15,974.00	$48,318.50	$25,367.21	2025-02-14
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	20	15	—	—	$19,184.00	$48,093.16	$25,248.91	2025-02-14
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	20	15	—	—	$17,670.00	$48,078.42	$25,241.17	2025-02-14
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	20	15	—	—	$23,895.00	$48,059.68	$25,231.33	2025-02-14
264	MS_DRG	Other Circulatory System O.r. Procedures	20	15	—	—	$15,401.00	$47,976.48	$25,187.65	2025-02-14
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	19	14	—	—	$23,836.66	$47,673.32	$25,028.49	2025-02-14
332	MS_DRG	Rectal Resection With Mcc	20	15	—	—	$23,026.00	$47,622.36	$25,001.74	2025-02-14
574	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Cc	20	15	—	—	$12,510.00	$47,571.34	$24,974.95	2025-02-14
271	MS_DRG	Other Major Cardiovascular Procedures With Cc	19	14	—	—	$23,648.20	$47,296.40	$24,830.61	2025-02-14
477	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	20	15	—	—	$16,464.00	$47,224.00	$24,792.60	2025-02-14
665	MS_DRG	Prostatectomy With Mcc	20	15	—	—	$13,264.00	$47,151.54	$24,754.56	2025-02-14
252	MS_DRG	Other Vascular Procedures With Mcc	20	15	—	—	$17,089.00	$47,108.64	$24,732.04	2025-02-14
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	20	15	—	—	$17,064.00	$47,038.88	$24,695.41	2025-02-14
0823T	CPT	Ldlss Ppm Atrl Cmp Only	23	18	$37,130.00	$24,134.50 35% off	$17,573.31	$43,933.28	$24,602.64	2025-02-14
0796T	CPT	Leadless Ppm Ra Component	23	18	$37,130.00	$24,134.50 35% off	$17,573.31	$43,933.28	$24,602.64	2025-02-14
260	MS_DRG	Cardiac Pacemaker Revision Except Device Replacement With Mcc	20	15	—	—	$13,408.00	$46,784.02	$24,561.61	2025-02-14
242	MS_DRG	Permanent Cardiac Pacemaker Implant With Mcc	20	15	—	—	$20,203.00	$46,593.54	$24,461.61	2025-02-14
L6975	HCPCS	Interscap-thor Myoelectronic	15	12	—	—	$23,177.19	$57,942.98	$24,336.05	2025-02-14
29	MS_DRG	Spinal Procedures With Cc Or Spinal Neurostimulators	20	15	—	—	$17,581.00	$46,120.06	$24,213.03	2025-02-14
L6970	HCPCS	Interscapular-thor Switch CT	15	12	—	—	$23,053.46	$57,633.65	$24,206.13	2025-02-14
37	MS_DRG	Extracranial Procedures With Mcc	20	15	—	—	$14,030.00	$45,639.90	$23,960.95	2025-02-14
Q0483	HCPCS	Monitor Elec Vad, Rep	15	12	—	—	$22,755.13	$56,887.83	$23,892.89	2025-02-14
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	19	14	—	—	$22,692.51	$45,385.02	$23,827.14	2025-02-14
L6965	HCPCS	Shldr Disartic Myoelectronic	15	12	—	—	$22,680.77	$56,701.93	$23,814.81	2025-02-14
L5858	HCPCS	Stance Phase Only	15	12	—	—	$22,555.79	$56,389.48	$23,683.58	2025-02-14
229	MS_DRG	Other Cardiothoracic Procedures Without Mcc	20	15	—	—	$21,380.70	$42,761.40	$23,619.01	2025-02-14
J2327	HCPCS	Risankizumab-rzaa 600mg/10ml	45	19	$26,977.39	$17,535.30 35% off	$15.08	$25,628.52	$23,605.22	2025-02-14
469	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	20	15	—	—	$16,532.00	$44,939.70	$23,593.34	2025-02-14
579	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	20	15	—	—	$14,318.00	$44,814.94	$23,527.84	2025-02-14
656	MS_DRG	Kidney And Ureter Procedures For Neoplasm With Mcc	20	15	—	—	$16,494.00	$44,796.18	$23,517.99	2025-02-14
J0225	HCPCS	Vutrisiran 25mg/0.5ml Syr	45	19	$26,851.44	$17,453.44 35% off	$4,917.75	$25,508.87	$23,495.01	2025-02-14
485	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Mcc	20	15	—	—	$18,204.00	$44,277.06	$23,245.46	2025-02-14
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	19	14	—	—	$22,038.62	$44,077.24	$23,140.55	2025-02-14
J7169	HCPCS	Andexxa 200mg	53	20	$26,400.00	$17,160.00 35% off	$131.80	$25,080.00	$23,100.00	2025-02-14
324	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	19	14	—	—	$21,976.25	$43,952.50	$23,075.06	2025-02-14
840	MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	20	15	—	—	$13,302.00	$43,870.68	$23,032.11	2025-02-14
929	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	20	15	—	—	$14,590.00	$43,755.32	$22,971.54	2025-02-14
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	20	15	—	—	$13,436.00	$43,669.48	$22,926.48	2025-02-14
500	MS_DRG	Soft Tissue Procedures With Mcc	20	15	—	—	$14,939.00	$43,598.40	$22,889.16	2025-02-14
61888	CPT	61888-rev/rem Neuroreceiver	47	20	$25,960.00	$16,874.00 35% off	$850.00	$28,727.23	$22,715.00	2025-02-14
274	MS_DRG	Percutaneous And Other Intracardiac Procedures Without Mcc	19	14	—	—	$21,479.28	$42,958.56	$22,553.24	2025-02-14
662	MS_DRG	Minor Bladder Procedures With Mcc	20	15	—	—	$12,632.00	$42,939.78	$22,543.38	2025-02-14
515	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	20	15	—	—	$15,412.00	$42,574.94	$22,351.84	2025-02-14
451	MS_DRG	Single Level Spinal Fusion Except Cervical Without Mcc	19	14	—	—	$21,244.54	$42,489.08	$22,306.77	2025-02-14
829	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	20	15	—	—	$15,434.00	$42,459.60	$22,291.29	2025-02-14
652	MS_DRG	Kidney Transplant	20	15	—	—	$19,005.00	$42,293.28	$22,203.97	2025-02-14
173	MS_DRG	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	19	14	—	—	$21,127.86	$42,255.72	$22,184.25	2025-02-14
26	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Cc	20	15	—	—	$19,581.00	$42,121.60	$22,113.84	2025-02-14
C1820	HCPCS	Implant Category 42	30	20	$25,266.00	$16,422.90 35% off	$8,769.83	$24,002.70	$22,107.75	2025-02-14
20982	CPT	Ablation Bone Tumor	46	20	$25,080.00	$16,302.00 35% off	$674.19	$29,640.65	$21,945.00	2025-02-14
L5973	HCPCS	Ank-foot Sys Dors-plant Flex	15	12	—	—	$20,880.34	$52,200.85	$21,924.36	2025-02-14
570	MS_DRG	Skin Debridement With Mcc	19	14	—	—	$20,736.21	$41,472.42	$21,773.02	2025-02-14
0614T	CPT	Rmvl&rplcmt Ss Impl Dfb Pg	15	12	—	—	$20,683.27	$51,708.17	$21,717.43	2025-02-14
0923T	CPT	Rmvl&rplcmt Perm Ccm-d Pg	15	12	—	—	$20,683.27	$51,708.17	$21,717.43	2025-02-14
0916T	CPT	Insj Perm Ccm-d Sys Pg Only	15	12	—	—	$20,683.27	$51,708.17	$21,717.43	2025-02-14
0409T	CPT	Insj/rplc Car Modulj Pls Gn	19	14	—	—	$20,683.27	$51,708.17	$21,717.43	2025-02-14
0414T	CPT	Rmvl & Rpl Car Modulj Pls Gn	19	14	—	—	$20,683.27	$51,708.17	$21,717.43	2025-02-14
0515T	CPT	Insj Wcs Lv Compl Sys	19	14	—	—	$20,683.27	$51,708.17	$21,717.43	2025-02-14
460	MS_DRG	DRG	1	1	—	—	$21,619.00	$21,619.00	$21,619.00	2025-02-14
974	MS_DRG	HIV With Major Related Condition With Mcc	20	15	—	—	$13,257.00	$41,150.48	$21,604.00	2025-02-14

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