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

Five Rivers Medical Center

Pocahontas, AR · CCN 040047 · Rates published

11,716 distinct procedures filed
12 distinct payers
534,958 rate rows
2025-06-11 last MRF observed · ⚠ 13 mo old
Data quality

291,080 of 534,958 rate rows are consumer-grade (54.4%)

243,878 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
professional (physician) fee — not the facility price 241,254
template filing: same amount across many unrelated codes — excluded 2,282
percent-of-charges filed in the dollar field — excluded from medians 144
exceeds 10× this hospital's gross charge — excluded from medians 92
placeholder amount (≤ $0.02) — excluded from medians 74
per-diem day rate — not a per-procedure price 32

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old.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/8177/273970823_five-rivers-medical-center-inc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/St.BernardsHealthcareFiveRiversMedicalCenter/8177
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
Content fingerprint 082330e4af2aab5d… · 90,626,134 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,710,000.00 $4,823,000.00 $3,895,500.00 nat. median
$3,710,000
1.1× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 6 $3,710,000.00 $4,823,000.00 $3,895,500.00 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,321,781.51 $4,650,494.11 $3,487,870.59 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,193,000.00 $4,470,200.00 $3,352,650.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,968,000.00 $4,748,800.00 $3,116,400.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,403,458.75 $3,845,534.00 $2,523,631.69 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,332,000.00 $3,731,200.00 $2,448,600.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $565,623.84 $904,998.14 $593,905.03 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $530,100.00 $1,224,531.00 $578,884.26 nat. median
$674,867
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $478,230.00 $1,104,711.30 $554,728.05 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $467,742.00 $1,080,484.02 $542,310.27 nat. median
$673,137
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $454,860.00 $1,050,726.60 $513,993.01 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $454,860.00 $1,050,726.60 $512,454.09 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $253,473.39 $405,557.42 $272,516.61 nat. median
$370,174
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $189,462.06 $303,139.30 $203,619.87 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $159,647.77 $255,436.43 $171,530.14 nat. median
$206,474
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 8 $144,281.55 $230,850.48 $154,991.15 nat. median
$202,976
0.8× median
0100T
CPT 		Prosth Retina Receive&gen 1 $132,440.00 $132,440.00 $132,440.00 nat. median
$11,210
outlier · 11.8×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 8 $99,999.96 $159,999.94 $104,999.96 nat. median
$111,989
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 8 $95,312.49 $152,499.98 $102,284.73 nat. median
$133,161
0.8× median
C9150
HCPCS 		Fee Schedule 2 $59,280.00 $136,936.80 $98,108.40 nat. median
$775
outlier · 126.6×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 8 $93,216.70 $149,146.72 $97,877.54 nat. median
$96,983
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $88,416.74 $141,466.78 $94,862.70 nat. median
$117,357
0.8× median
7
MS_DRG 		Lung Transplant 8 $88,195.42 $141,112.67 $94,624.49 nat. median
$122,708
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $74,452.86 $119,124.58 $79,833.09 nat. median
$108,660
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $73,609.19 $117,774.70 $78,925.02 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $71,969.42 $115,151.07 $77,160.10 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 8 $71,603.23 $114,565.17 $76,765.97 nat. median
$99,019
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $70,802.46 $113,283.94 $75,904.08 nat. median
$98,894
0.8× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 8 $67,452.66 $107,924.26 $70,825.29 nat. median
$70,825
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $65,274.19 $104,438.70 $69,953.89 nat. median
$93,672
0.7× median
J9359
HCPCS 		Zynlonta 10mg Vial 12 $186.83 $69,133.28 $68,405.56 nat. median
$701
outlier · 97.6×
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 10 $63,402.04 $158,004.00 $67,486.07 nat. median
$69,774
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $62,328.65 $99,725.84 $66,783.54 nat. median
$83,470
0.8× median
J9281
HCPCS 		Jelmyto 80mg Kit 12 $282.17 $63,003.53 $62,340.33 nat. median
$545
outlier · 114.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $57,379.15 $91,806.64 $61,456.30 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $57,347.64 $91,756.22 $61,422.38 nat. median
$81,118
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $56,485.15 $90,376.24 $60,494.07 nat. median
$82,711
0.7× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $56,824.55 $90,919.28 $59,665.78 nat. median
$62,507
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $54,610.66 $87,377.06 $58,476.51 nat. median
$77,570
0.8× median
10
MS_DRG 		Pancreas Transplant 8 $54,019.83 $86,431.73 $57,840.58 nat. median
$68,884
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $53,713.33 $85,941.33 $57,510.69 nat. median
$71,271
0.8× median
38240
CPT 		Transplt Allo Hct/donor 8 $54,497.29 $87,195.67 $57,222.16 nat. median
$15,979
outlier · 3.6×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $52,969.56 $84,751.30 $56,710.16 nat. median
$73,807
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $52,440.40 $83,904.64 $56,140.61 nat. median
$74,915
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $50,607.48 $80,971.97 $54,167.81 nat. median
$72,135
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $48,183.03 $77,092.85 $51,558.32 nat. median
$68,090
0.8× median
L7180
HCPCS 		Electronic Elbow Sequential 8 $49,026.62 $78,442.59 $51,477.95 nat. median
$49,027
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $47,943.61 $76,709.78 $51,300.63 nat. median
$68,886
0.7× median
L7181
HCPCS 		Electronic Elbo Simultaneous 8 $48,628.26 $77,805.22 $51,059.67 nat. median
$50,598
1.0× median

Other procedures at this hospital

Browse this hospital's 11,716 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 12 6 — — $3,710,000.00 $4,823,000.00 $3,895,500.00 2025-06-11
J1414 HCPCS Inj, Beqvez, Per Tx Dose 12 6 — — $3,710,000.00 $4,823,000.00 $3,895,500.00 2025-06-11
J1413 HCPCS Inj Delandistrogene Mox Rokl 14 7 — — $3,321,781.51 $4,650,494.11 $3,487,870.59 2025-06-11
J3394 HCPCS Inj, Lovotibeglogene Autotem 14 7 — — $3,193,000.00 $4,470,200.00 $3,352,650.00 2025-06-11
J3393 HCPCS Inj, Betibeglogene Autotemce 16 8 — — $2,968,000.00 $4,748,800.00 $3,116,400.00 2025-06-11
J3399 HCPCS Inj Onase Abepar-xioi Treat 16 8 — — $2,403,458.75 $3,845,534.00 $2,523,631.69 2025-06-11
J3392 HCPCS Inj, Exagamglogene Autotem 16 8 — — $2,332,000.00 $3,731,200.00 $2,448,600.00 2025-06-11
Q2042 HCPCS Tisagenlecleucel Car-pos T 16 8 — — $565,623.84 $904,998.14 $593,905.03 2025-06-11
Q2056 HCPCS Ciltacabtagene Car-pos T 20 10 — — $530,100.00 $1,224,531.00 $578,884.26 2025-06-11
Q2055 HCPCS Idecabtagene Vicleucel Car 20 10 — — $478,230.00 $1,104,711.30 $554,728.05 2025-06-11
Q2054 HCPCS Lisocabtagene Mara Car Pos T 20 10 — — $467,742.00 $1,080,484.02 $542,310.27 2025-06-11
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 20 10 — — $454,860.00 $1,050,726.60 $513,993.01 2025-06-11
Q2053 HCPCS Brexucabtagene Car Pos T 20 10 — — $454,860.00 $1,050,726.60 $512,454.09 2025-06-11
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 8 — — $253,473.39 $405,557.42 $272,516.61 2025-06-11
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 8 — — $189,462.06 $303,139.30 $203,619.87 2025-06-11
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 8 — — $159,647.77 $255,436.43 $171,530.14 2025-06-11
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 20 8 — — $144,281.55 $230,850.48 $154,991.15 2025-06-11
0100T CPT Prosth Retina Receive&gen 4 1 — — $132,440.00 $132,440.00 $132,440.00 2025-06-11
Q0480 HCPCS Driver Pneumatic Vad, Rep 16 8 — — $99,999.96 $159,999.94 $104,999.96 2025-06-11
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 20 8 — — $95,312.49 $152,499.98 $102,284.73 2025-06-11
C9150 HCPCS Fee Schedule 4 2 — — $59,280.00 $136,936.80 $98,108.40 2025-06-11
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 16 8 — — $93,216.70 $149,146.72 $97,877.54 2025-06-11
14 MS_DRG Allogeneic Bone Marrow Transplant 20 8 — — $88,416.74 $141,466.78 $94,862.70 2025-06-11
7 MS_DRG Lung Transplant 20 8 — — $88,195.42 $141,112.67 $94,624.49 2025-06-11
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 8 — — $74,452.86 $119,124.58 $79,833.09 2025-06-11
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 8 — — $73,609.19 $117,774.70 $78,925.02 2025-06-11
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 8 — — $71,969.42 $115,151.07 $77,160.10 2025-06-11
215 MS_DRG Other Heart Assist System Implant 20 8 — — $71,603.23 $114,565.17 $76,765.97 2025-06-11
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 8 — — $70,802.46 $113,283.94 $75,904.08 2025-06-11
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 16 8 — — $67,452.66 $107,924.26 $70,825.29 2025-06-11
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 8 — — $65,274.19 $104,438.70 $69,953.89 2025-06-11
J9359 HCPCS Zynlonta 10mg Vial 52 12 $72,771.87 $47,301.72 35% off $186.83 $69,133.28 $68,405.56 2025-06-11
J9029 HCPCS Instill Adstiladrin, Tx Dose 20 10 — — $63,402.04 $158,004.00 $67,486.07 2025-06-11
850 MS_DRG Acute Leukemia With Other Procedures 20 8 — — $62,328.65 $99,725.84 $66,783.54 2025-06-11
J9281 HCPCS Jelmyto 80mg Kit 52 12 $66,319.50 $43,107.68 35% off $282.17 $63,003.53 $62,340.33 2025-06-11
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 8 — — $57,379.15 $91,806.64 $61,456.30 2025-06-11
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 8 — — $57,347.64 $91,756.22 $61,422.38 2025-06-11
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 8 — — $56,485.15 $90,376.24 $60,494.07 2025-06-11
A9543 HCPCS Y90 Ibritumomab, Rx 16 8 — — $56,824.55 $90,919.28 $59,665.78 2025-06-11
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 8 — — $54,610.66 $87,377.06 $58,476.51 2025-06-11
10 MS_DRG Pancreas Transplant 20 8 — — $54,019.83 $86,431.73 $57,840.58 2025-06-11
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 8 — — $53,713.33 $85,941.33 $57,510.69 2025-06-11
38240 CPT Transplt Allo Hct/donor 16 8 — — $54,497.29 $87,195.67 $57,222.16 2025-06-11
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 8 — — $52,969.56 $84,751.30 $56,710.16 2025-06-11
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 8 — — $52,440.40 $83,904.64 $56,140.61 2025-06-11
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 8 — — $50,607.48 $80,971.97 $54,167.81 2025-06-11
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 8 — — $48,183.03 $77,092.85 $51,558.32 2025-06-11
L7180 HCPCS Electronic Elbow Sequential 16 8 — — $49,026.62 $78,442.59 $51,477.95 2025-06-11
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 8 — — $47,943.61 $76,709.78 $51,300.63 2025-06-11
L7181 HCPCS Electronic Elbo Simultaneous 16 8 — — $48,628.26 $77,805.22 $51,059.67 2025-06-11
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 8 — — $47,202.52 $75,524.03 $50,502.99 2025-06-11
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 8 — — $46,342.74 $74,148.38 $49,577.58 2025-06-11
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 8 — — $45,513.82 $72,822.11 $48,685.39 2025-06-11
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 20 8 — — $45,340.76 $72,545.22 $48,499.14 2025-06-11
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 8 — — $45,264.98 $72,423.97 $48,417.57 2025-06-11
J9226 HCPCS Supprelin La Implant 20 10 — — $14,834.06 $72,418.88 $47,524.89 2025-06-11
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 8 — — $43,921.00 $70,273.60 $46,971.00 2025-06-11
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 8 — — $43,858.63 $70,173.81 $46,903.86 2025-06-11
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 8 — — $42,962.60 $68,740.16 $45,939.46 2025-06-11
J2350 HCPCS Ocrevus Sdv 30mg/ml 52 12 $48,750.00 $31,687.50 35% off $57.08 $46,312.50 $45,825.00 2025-06-11
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 8 — — $42,091.42 $67,346.27 $45,001.79 2025-06-11
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 8 — — $42,037.77 $67,260.43 $44,944.04 2025-06-11
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 8 — — $41,848.63 $66,957.81 $44,740.47 2025-06-11
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 8 — — $41,704.44 $66,727.10 $44,585.28 2025-06-11
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 8 — — $41,516.65 $66,426.64 $44,383.16 2025-06-11
Q2043 HCPCS Sipuleucel-t Min 50million 52 12 $47,001.00 $30,550.65 35% off $19,270.41 $122,237.12 $44,180.94 2025-06-11
28 MS_DRG Spinal Procedures With Mcc 20 8 — — $41,320.81 $66,113.30 $44,172.38 2025-06-11
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 20 8 — — $41,028.42 $65,645.47 $43,857.66 2025-06-11
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 8 — — $41,028.42 $65,645.47 $43,857.66 2025-06-11
33276 CPT Insj Phrnc Nrv Stim Sys 16 8 — — $41,466.16 $66,345.86 $43,539.47 2025-06-11
0266T CPT Implt/rpl Crtd Sns Dev Total 16 8 — — $41,466.16 $66,345.86 $43,539.47 2025-06-11
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 8 — — $40,725.94 $65,161.50 $43,532.10 2025-06-11
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 8 — — $40,447.64 $64,716.22 $43,232.54 2025-06-11
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 8 — — $40,417.45 $64,667.92 $43,200.06 2025-06-11
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 8 — — $40,011.03 $64,017.65 $42,762.62 2025-06-11
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 8 — — $39,595.87 $63,353.39 $42,315.79 2025-06-11
J9334 HCPCS Vyvgrt Hytrl 1008mg 11200un Vl 48 12 $44,953.00 $29,219.45 35% off $33.10 $42,705.35 $42,255.82 2025-06-11
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 8 — — $39,039.90 $62,463.84 $41,717.38 2025-06-11
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 8 — — $38,809.86 $62,095.78 $41,469.78 2025-06-11
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 16 8 — — $38,750.60 $62,000.96 $40,688.13 2025-06-11
653 MS_DRG Major Bladder Procedures With Mcc 20 8 — — $37,934.64 $60,695.42 $40,527.77 2025-06-11
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 8 — — $37,617.44 $60,187.90 $40,186.35 2025-06-11
834 MS_DRG Acute Leukemia With Mcc 20 8 — — $37,617.44 $60,187.90 $40,186.35 2025-06-11
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 8 — — $37,461.84 $59,938.94 $40,018.88 2025-06-11
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 8 — — $37,236.49 $59,578.38 $39,776.33 2025-06-11
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 8 — — $37,039.31 $59,262.90 $39,564.10 2025-06-11
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 8 — — $36,956.15 $59,129.84 $39,474.60 2025-06-11
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 8 — — $36,770.38 $58,832.61 $39,274.65 2025-06-11
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 8 — — $36,736.18 $58,777.89 $39,237.83 2025-06-11
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 8 — — $36,732.16 $58,771.46 $39,233.50 2025-06-11
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 8 — — $36,228.49 $57,965.58 $38,691.40 2025-06-11
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 8 — — $36,070.88 $57,713.41 $38,521.76 2025-06-11
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 8 — — $35,087.69 $56,140.30 $37,463.53 2025-06-11
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 8 — — $34,973.02 $55,956.83 $37,340.10 2025-06-11
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 8 — — $34,715.48 $55,544.77 $37,062.91 2025-06-11
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 8 — — $34,610.86 $55,377.38 $36,950.31 2025-06-11
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 8 — — $34,328.50 $54,925.60 $36,646.40 2025-06-11
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 8 — — $34,129.33 $54,606.93 $36,432.02 2025-06-11
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 8 — — $34,103.16 $54,565.06 $36,403.86 2025-06-11
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 8 — — $34,089.74 $54,543.58 $36,389.42 2025-06-11
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 8 — — $33,969.02 $54,350.43 $36,259.49 2025-06-11
L8701 HCPCS Ewh S/d Uprt Micro Sensor 16 8 — — $34,284.44 $54,855.10 $35,998.66 2025-06-11
245 MS_DRG Aicd Generator Procedures 20 8 — — $33,321.83 $53,314.93 $35,562.90 2025-06-11
471 MS_DRG Cervical Spinal Fusion With Mcc 20 8 — — $33,123.99 $52,998.38 $35,349.96 2025-06-11
6 MS_DRG Liver Transplant Without Mcc 20 8 — — $33,069.67 $52,911.47 $35,291.49 2025-06-11
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 8 — — $32,575.40 $52,120.64 $34,759.49 2025-06-11
799 MS_DRG Splenic Procedures With Mcc 20 8 — — $32,436.57 $51,898.51 $34,610.07 2025-06-11
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 8 — — $32,430.53 $51,888.85 $34,603.57 2025-06-11
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 8 — — $32,100.54 $51,360.86 $34,248.42 2025-06-11
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 8 — — $31,931.54 $51,090.46 $34,066.51 2025-06-11
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 8 — — $31,746.46 $50,794.34 $33,867.29 2025-06-11
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 16 8 — — $32,251.56 $51,602.50 $33,864.14 2025-06-11
163 MS_DRG Major Chest Procedures With Mcc 20 8 — — $31,460.07 $50,336.11 $33,559.05 2025-06-11
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 8 — — $31,447.33 $50,315.73 $33,545.34 2025-06-11
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 8 — — $31,348.76 $50,158.02 $33,439.24 2025-06-11
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 8 — — $31,344.06 $50,150.50 $33,434.18 2025-06-11
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 8 — — $30,805.51 $49,288.82 $32,854.54 2025-06-11
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 8 — — $30,625.11 $49,000.18 $32,660.36 2025-06-11
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 8 — — $30,541.95 $48,867.12 $32,570.86 2025-06-11
901 MS_DRG Wound Debridements For Injuries With Mcc 20 8 — — $30,261.60 $48,418.56 $32,269.11 2025-06-11
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 8 — — $30,008.77 $48,014.03 $31,996.99 2025-06-11
0424T CPT Apc 4 1 — — $31,816.96 $31,816.96 $31,816.96 2025-06-11
0427T CPT Apc 4 1 — — $31,816.96 $31,816.96 $31,816.96 2025-06-11
0431T CPT Apc 4 1 — — $31,816.96 $31,816.96 $31,816.96 2025-06-11
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 8 — — $29,566.81 $47,306.90 $31,521.29 2025-06-11
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 8 — — $29,507.12 $47,211.39 $31,457.04 2025-06-11
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 8 — — $29,156.35 $46,650.16 $31,079.51 2025-06-11
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 8 — — $29,114.10 $46,582.56 $31,034.03 2025-06-11
33249 CPT Insj/rplcmt Defib W/lead(s) 24 10 — — $297.00 $47,269.54 $31,020.64 2025-06-11
33270 CPT Ins/rep Subq Defibrillator 24 10 — — $297.00 $47,269.54 $31,020.64 2025-06-11
0571T CPT Insj/rplcmt Icds Ss Eltrd 16 8 — — $29,543.46 $47,269.54 $31,020.64 2025-06-11
33231 CPT Insrt Pulse Gen W/mult Leads 22 9 — — $838.53 $47,269.54 $31,020.64 2025-06-11
0408T CPT Insj/rplc Cardiac Modulj Sys 20 8 — — $24,816.96 $47,269.54 $31,020.64 2025-06-11
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 22 9 — — $838.53 $47,269.54 $31,020.64 2025-06-11
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 16 8 — — $29,543.46 $47,269.54 $31,020.64 2025-06-11
64568 CPT Opn Impltj Crnl Nrv Nea&pg 24 10 — — $28,080.19 $69,446.64 $30,940.22 2025-06-11
140 MS_DRG Major Head And Neck Procedures With Mcc 20 8 — — $28,911.57 $46,258.51 $30,816.04 2025-06-11
69930 CPT Implant Cochlear Device 22 9 — — $838.53 $46,895.41 $30,775.12 2025-06-11
61886 CPT Implant Neurostim Arrays 20 8 — — $28,080.19 $44,928.31 $30,650.58 2025-06-11
0268T CPT Implt/rpl Crtd Sns Dev Gen 20 8 — — $28,080.19 $44,928.31 $30,650.58 2025-06-11
L5856 HCPCS Elec Knee-shin Swing/stance 16 8 — — $29,134.51 $46,615.22 $30,591.24 2025-06-11
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 8 — — $28,652.70 $45,844.32 $30,537.42 2025-06-11
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 8 — — $28,645.98 $45,833.57 $30,530.18 2025-06-11
L6880 HCPCS Elec Hand Ind Art Digits 16 8 — — $28,996.90 $46,395.04 $30,446.75 2025-06-11
793 MS_DRG Full Term Neonate With Major Problems 20 8 — — $28,517.88 $45,628.61 $30,392.31 2025-06-11
J7170 HCPCS Hemlibra 105mg/0.7ml 68 12 $32,446.11 $21,089.97 35% off $48.60 $44,031.28 $30,337.11 2025-06-11
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 8 — — $28,452.17 $45,523.47 $30,321.58 2025-06-11
J2507 HCPCS Krystexxa 8mg/ml 52 12 $31,998.26 $20,798.87 35% off $302.13 $30,398.35 $30,078.37 2025-06-11
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 8 — — $28,126.22 $45,001.95 $29,970.75 2025-06-11
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 8 — — $28,110.78 $44,977.25 $29,954.15 2025-06-11
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 8 — — $28,069.87 $44,911.79 $29,910.11 2025-06-11
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 8 — — $27,934.42 $44,695.07 $29,764.31 2025-06-11
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 8 — — $27,826.45 $44,522.32 $29,648.10 2025-06-11
791 MS_DRG Prematurity With Major Problems 20 8 — — $27,776.13 $44,441.81 $29,593.95 2025-06-11
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 16 8 — — $28,080.19 $44,928.31 $29,484.20 2025-06-11
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 22 9 — — $838.53 $44,928.31 $29,484.20 2025-06-11
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 16 8 — — $28,080.19 $44,928.31 $29,484.20 2025-06-11
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 22 9 — — $838.53 $44,928.31 $29,484.20 2025-06-11
33289 CPT Tcat Impl Wrls P-art Prs Snr 20 8 — — $26,195.57 $41,912.91 $29,334.67 2025-06-11
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 8 — — $27,265.10 $43,624.16 $29,043.91 2025-06-11
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 8 — — $27,246.32 $43,594.11 $29,023.70 2025-06-11
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 8 — — $27,010.23 $43,216.37 $28,769.60 2025-06-11
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 8 — — $26,955.91 $43,129.46 $28,711.13 2025-06-11
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 8 — — $26,902.25 $43,043.60 $28,653.38 2025-06-11
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 8 — — $26,785.57 $42,856.91 $28,527.78 2025-06-11
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 8 — — $26,772.83 $42,836.53 $28,514.07 2025-06-11
J9266 HCPCS Pegaspargase Injection 20 10 — — $254.16 $43,312.85 $28,424.06 2025-06-11
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 8 — — $26,627.96 $42,604.74 $28,358.15 2025-06-11
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 8 — — $26,469.02 $42,350.43 $28,187.08 2025-06-11
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 20 8 — — $26,442.86 $42,308.58 $28,158.92 2025-06-11
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 8 — — $26,370.42 $42,192.67 $28,080.96 2025-06-11
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 8 — — $26,183.30 $41,893.28 $27,879.56 2025-06-11
C9163 HCPCS Talvey 40mg/1ml 34 12 $29,526.00 $19,191.90 35% off $10,248.47 $28,049.70 $27,754.44 2025-06-11
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 8 — — $26,044.50 $41,671.20 $27,730.15 2025-06-11
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 8 — — $25,845.96 $41,353.54 $27,516.47 2025-06-11
J7330 HCPCS Cultured Chondrocytes Implnt 4 2 — — $16,585.69 $38,312.94 $27,449.32 2025-06-11
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 8 — — $25,644.11 $41,030.58 $27,299.21 2025-06-11
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 8 — — $25,018.38 $40,029.41 $26,625.72 2025-06-11
C9760 HCPCS Non-blind Interatrial Shunt 16 8 — — $25,340.61 $40,544.98 $26,607.64 2025-06-11
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 8 — — $24,848.71 $39,757.94 $26,443.10 2025-06-11
J3357 HCPCS Stelara 45mg/0.5ml 60 12 $28,009.00 $18,205.85 35% off $113.40 $54,759.90 $26,328.46 2025-06-11
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 8 — — $24,589.81 $39,343.70 $26,164.45 2025-06-11
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 8 — — $24,588.49 $39,341.58 $26,163.01 2025-06-11
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 8 — — $24,584.44 $39,335.10 $26,158.67 2025-06-11
J9347 HCPCS Imjudo 20mg/ml Sol 15 Ml Vial 60 12 $39,000.00 $25,350.00 35% off $136.56 $37,050.00 $26,130.00 2025-06-11
265 MS_DRG Aicd Lead Procedures 20 8 — — $24,471.77 $39,154.83 $26,037.40 2025-06-11
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 8 — — $24,364.47 $38,983.15 $25,921.90 2025-06-11
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 8 — — $24,224.99 $38,759.98 $25,771.78 2025-06-11
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 8 — — $24,218.95 $38,750.32 $25,765.28 2025-06-11
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 8 — — $24,159.25 $38,654.80 $25,701.03 2025-06-11
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 8 — — $24,046.58 $38,474.53 $25,579.75 2025-06-11
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 8 — — $24,039.21 $38,462.74 $25,571.82 2025-06-11
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 8 — — $24,029.84 $38,447.74 $25,561.72 2025-06-11
264 MS_DRG Other Circulatory System O.r. Procedures 20 8 — — $23,988.24 $38,381.18 $25,516.96 2025-06-11
J9600 HCPCS Porfimer Sodium Injection 20 10 — — $2,444.76 $38,765.47 $25,439.84 2025-06-11
J2327 HCPCS Risankizumab-rzaa 600mg/10ml 52 12 $26,977.39 $17,535.30 35% off $15.08 $25,628.52 $25,358.74 2025-06-11
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 8 — — $23,836.66 $38,138.66 $25,353.82 2025-06-11
332 MS_DRG Rectal Resection With Mcc 20 8 — — $23,811.18 $38,097.89 $25,326.39 2025-06-11
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 8 — — $23,785.67 $38,057.07 $25,298.94 2025-06-11
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 8 — — $23,648.20 $37,837.12 $25,150.97 2025-06-11
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 8 — — $23,612.00 $37,779.20 $25,112.00 2025-06-11
665 MS_DRG Prostatectomy With Mcc 20 8 — — $23,575.77 $37,721.23 $25,073.01 2025-06-11
252 MS_DRG Other Vascular Procedures With Mcc 20 8 — — $23,554.32 $37,686.91 $25,049.93 2025-06-11
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 20 8 — — $23,519.44 $37,631.10 $25,012.38 2025-06-11
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 8 — — $23,392.01 $37,427.22 $24,875.23 2025-06-11
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 8 — — $23,296.77 $37,274.83 $24,772.72 2025-06-11
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 20 8 — — $23,060.03 $36,896.05 $24,517.92 2025-06-11
L8614 HCPCS Cochlear Device 16 8 — — $23,230.83 $37,169.33 $24,392.37 2025-06-11
L6975 HCPCS Interscap-thor Myoelectronic 16 8 — — $23,177.19 $37,083.50 $24,336.05 2025-06-11
37 MS_DRG Extracranial Procedures With Mcc 20 8 — — $22,819.95 $36,511.92 $24,259.51 2025-06-11
L6970 HCPCS Interscapular-thor Switch CT 16 8 — — $23,053.46 $36,885.54 $24,206.13 2025-06-11
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 8 — — $22,692.51 $36,308.02 $24,122.35 2025-06-11
Q0483 HCPCS Monitor Elec Vad, Rep 16 8 — — $22,755.13 $36,408.21 $23,892.89 2025-06-11
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 20 8 — — $22,469.85 $35,951.76 $23,882.69 2025-06-11
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 8 — — $22,407.47 $35,851.95 $23,815.55 2025-06-11
L6965 HCPCS Shldr Disartic Myoelectronic 16 8 — — $22,680.77 $36,289.23 $23,814.81 2025-06-11
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 8 — — $22,398.09 $35,836.94 $23,805.45 2025-06-11
L5858 HCPCS Stance Phase Only 16 8 — — $22,555.79 $36,089.26 $23,683.58 2025-06-11
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 8 — — $22,138.53 $35,421.65 $23,526.09 2025-06-11
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 8 — — $22,038.62 $35,261.79 $23,418.54 2025-06-11
93654 CPT Compre Ep Eval Tx Vt 24 10 — — $530.69 $36,168.85 $23,396.72 2025-06-11
93656 CPT Compre Ep Eval Abltj Atr Fib 24 10 — — $530.95 $36,168.85 $23,396.72 2025-06-11
93653 CPT Compre Ep Eval Tx Svt 24 10 — — $397.78 $36,168.85 $23,396.72 2025-06-11
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 8 — — $21,976.25 $35,162.00 $23,351.41 2025-06-11
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 8 — — $21,935.34 $35,096.54 $23,307.39 2025-06-11
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 20 8 — — $20,683.27 $33,093.23 $23,267.19 2025-06-11
0515T CPT Insj Wcs Lv Compl Sys 20 8 — — $20,683.27 $33,093.23 $23,267.19 2025-06-11
0409T CPT Insj/rplc Car Modulj Pls Gn 20 8 — — $20,683.27 $33,093.23 $23,267.19 2025-06-11
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 20 8 — — $21,877.66 $35,004.26 $23,245.30 2025-06-11
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 8 — — $21,834.74 $34,935.58 $23,199.10 2025-06-11
500 MS_DRG Soft Tissue Procedures With Mcc 20 8 — — $21,799.20 $34,878.72 $23,160.85 2025-06-11
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 8 — — $21,479.28 $34,366.85 $22,816.52 2025-06-11
662 MS_DRG Minor Bladder Procedures With Mcc 20 8 — — $21,469.89 $34,351.82 $22,806.41 2025-06-11
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 8 — — $21,380.70 $34,209.12 $22,710.42 2025-06-11
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 8 — — $21,287.47 $34,059.95 $22,610.07 2025-06-11
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 20 8 — — $21,244.54 $33,991.26 $22,563.87 2025-06-11
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 8 — — $21,229.80 $33,967.68 $22,548.00 2025-06-11
652 MS_DRG Kidney Transplant 20 8 — — $21,146.64 $33,834.62 $22,458.49 2025-06-11
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 8 — — $21,127.86 $33,804.58 $22,438.28 2025-06-11
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 8 — — $21,060.80 $33,697.28 $22,366.10 2025-06-11
570 MS_DRG Skin Debridement With Mcc 20 8 — — $20,736.21 $33,177.94 $22,016.72 2025-06-11
L5973 HCPCS Ank-foot Sys Dors-plant Flex 16 8 — — $20,880.34 $33,408.54 $21,924.36 2025-06-11
974 MS_DRG HIV With Major Related Condition With Mcc 20 8 — — $20,575.24 $32,920.38 $21,843.47 2025-06-11
0916T CPT Insj Perm Ccm-d Sys Pg Only 16 8 — — $20,683.27 $33,093.23 $21,717.43 2025-06-11
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 22 9 — — $838.53 $33,093.23 $21,717.43 2025-06-11
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 16 8 — — $20,683.27 $33,093.23 $21,717.43 2025-06-11
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 22 9 — — $838.53 $33,093.23 $21,717.43 2025-06-11
33240 CPT Insrt Pulse Gen W/singl Lead 22 9 — — $838.53 $33,093.23 $21,717.43 2025-06-11
33230 CPT Insrt Pulse Gen W/dual Leads 22 9 — — $838.53 $33,093.23 $21,717.43 2025-06-11
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 16 8 — — $20,683.27 $33,093.23 $21,717.43 2025-06-11
J1300 HCPCS Soliris 300mg/30ml 52 12 $23,102.00 $15,016.30 35% off $176.38 $21,946.90 $21,715.88 2025-06-11
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 8 — — $20,323.07 $32,516.91 $21,572.06 2025-06-11
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 20 8 — — $20,272.09 $32,435.34 $21,517.19 2025-06-11
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 20 8 — — $20,218.45 $32,349.52 $21,459.46 2025-06-11
668 MS_DRG Transurethral Procedures With Mcc 20 8 — — $20,106.43 $32,170.29 $21,338.90 2025-06-11
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 20 8 — — $20,095.71 $32,153.14 $21,327.35 2025-06-11
800 MS_DRG Splenic Procedures With Cc 20 8 — — $20,089.68 $32,143.49 $21,320.85 2025-06-11
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 8 — — $20,078.93 $32,126.29 $21,309.30 2025-06-11
472 MS_DRG Cervical Spinal Fusion With Cc 20 8 — — $19,978.35 $31,965.36 $21,201.03 2025-06-11
0426T CPT Apc 4 1 — — $21,066.08 $21,066.08 $21,066.08 2025-06-11
61885 CPT Insrt/redo Neurostim 1 Array 24 10 — — $19,760.15 $48,307.99 $20,989.32 2025-06-11
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 20 8 — — $19,776.47 $31,642.35 $20,983.75 2025-06-11
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 20 8 — — $19,754.35 $31,606.96 $20,959.93 2025-06-11
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 8 — — $19,742.94 $31,588.70 $20,947.66 2025-06-11
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 20 8 — — $19,716.12 $31,545.79 $20,918.79 2025-06-11
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 20 8 — — $19,640.33 $31,424.53 $20,837.22 2025-06-11
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 16 8 — — $19,760.15 $31,616.24 $20,748.15 2025-06-11
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 16 8 — — $19,760.15 $31,616.24 $20,748.15 2025-06-11
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 16 8 — — $19,760.15 $31,616.24 $20,748.15 2025-06-11
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 22 9 — — $838.53 $31,616.24 $20,748.15 2025-06-11
64580 CPT Opn Impltj Nea Neuromuscular 24 10 — — $297.00 $31,616.24 $20,748.15 2025-06-11
63655 CPT Implant Neuroelectrodes 24 10 — — $320.00 $31,616.24 $20,748.15 2025-06-11
0680T CPT Insj/rplcmt Pg Only Isdss 16 8 — — $19,760.15 $31,616.24 $20,748.15 2025-06-11
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 16 8 — — $19,727.48 $31,563.97 $20,713.85 2025-06-11
654 MS_DRG Major Bladder Procedures With Cc 20 8 — — $19,474.68 $31,159.49 $20,658.92 2025-06-11
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 20 8 — — $19,382.79 $31,012.46 $20,560.03 2025-06-11
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 8 — — $19,363.34 $30,981.34 $20,539.09 2025-06-11
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 8 — — $18,899.92 $30,239.87 $20,040.30 2025-06-11
288 MS_DRG Acute And Subacute Endocarditis With Mcc 20 8 — — $18,867.07 $30,187.31 $20,004.93 2025-06-11
619 MS_DRG O.r. Procedures For Obesity With Mcc 20 8 — — $18,833.52 $30,133.63 $19,968.83 2025-06-11
J9301 HCPCS Gazyva Vl 1000mg 40ml 52 12 $21,224.34 $13,795.82 35% off $54.24 $20,163.12 $19,950.88 2025-06-11
963 MS_DRG Other Multiple Significant Trauma With Mcc 20 8 — — $18,767.79 $30,028.46 $19,898.09 2025-06-11
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 8 — — $18,678.60 $29,885.76 $19,802.08 2025-06-11
J9022 HCPCS Tecentriq Inj 1200mg/20ml Vial 60 12 $29,480.00 $19,162.00 35% off $75.79 $28,006.00 $19,751.60 2025-06-11
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 20 8 — — $18,618.91 $29,790.26 $19,737.85 2025-06-11
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 20 8 — — $18,547.15 $29,675.44 $19,660.60 2025-06-11
263 MS_DRG Vein Ligation And Stripping 20 8 — — $18,535.74 $29,657.18 $19,648.33 2025-06-11
849 MS_DRG Radiotherapy 20 8 — — $18,461.96 $29,539.14 $19,568.92 2025-06-11
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 20 8 — — $18,406.32 $29,450.11 $19,509.03 2025-06-11
54411 CPT Remov/replc Penis Pros Comp 20 8 — — $18,547.66 $29,676.26 $19,475.05 2025-06-11
54410 CPT Remove/replace Penis Prosth 20 8 — — $18,547.66 $29,676.26 $19,475.05 2025-06-11
54401 CPT Insert Self-contd Prosthesis 20 8 — — $18,547.66 $29,676.26 $19,475.05 2025-06-11
54405 CPT Insert Multi-comp Penis Pros 20 8 — — $18,547.66 $29,676.26 $19,475.05 2025-06-11
53447 CPT Remove/replace Ur Sphincter 22 9 — — $838.53 $29,676.26 $19,475.05 2025-06-11
53445 CPT Insert Uro/ves Nck Sphincter 20 8 — — $18,547.66 $29,676.26 $19,475.05 2025-06-11
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 20 8 — — $18,342.59 $29,348.14 $19,440.44 2025-06-11
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 20 8 — — $18,320.48 $29,312.77 $19,416.62 2025-06-11
503 MS_DRG Foot Procedures With Mcc 20 8 — — $18,297.67 $29,276.27 $19,392.08 2025-06-11
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 20 8 — — $18,279.56 $29,247.30 $19,372.59 2025-06-11
54416 CPT Remv/repl Penis Contain Pros 24 10 — — $320.00 $29,676.26 $19,338.72 2025-06-11
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