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

ST VINCENT MEDICAL CENTER/NORTH

Sherwood, AR · CCN 040137 · Rates published

14,101 distinct procedures filed
10 distinct payers
239,184 rate rows
2026-02-28 last MRF observed
Data quality

230,504 of 239,184 rate rows are consumer-grade (96.4%)

8,680 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 8,542
exceeds 10× this hospital's gross charge — excluded from medians 57
placeholder amount (≤ $0.02) — excluded from medians 49
per-diem day rate — not a per-procedure price 32
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/chisv/soar/finance/price-transparency/710236917_chi-st-vincent-north_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/stvincent-price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
Content fingerprint 1ade7080bfffab0f… · 52,360,658 bytes · first seen 2026-05-05

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
430801123
CDM 		Daunorubicin 20 Mg Inj 2 $118,268.35 $492,784.78 $423,794.91 nat. median
$423,795
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $249,501.00 $487,777.00 $312,073.00 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $186,467.94 $364,329.00 $233,093.00 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $144,649.00 $348,875.00 $196,306.00 nat. median
$206,474
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 7 $141,977.93 $282,189.00 $177,346.00 nat. median
$202,976
0.9× median
430807113
CDM 		Givosiran 189mg Subcutn 2 $37,579.65 $156,581.84 $134,660.39 nat. median
$134,660
1.0× median
430808196
CDM 		Tremelimumab-actl 300mg Inj 2 $35,078.80 $146,161.67 $125,699.04 nat. median
$125,699
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 7 $89,846.00 $194,564.00 $114,660.00 nat. median
$133,161
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $86,966.89 $169,459.00 $108,417.00 nat. median
$117,357
0.9× median
7
MS_DRG 		Lung Transplant 7 $83,802.00 $169,032.00 $96,864.00 nat. median
$122,708
0.8× median
453
MS_DRG 		No Active Code Description 4 $69,119.00 $117,287.00 $95,507.00 nat. median
$87,428
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $73,216.44 $364,329.00 $93,083.00 nat. median
$108,660
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 6 $72,385.64 $142,558.00 $90,147.00 nat. median
$102,358
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 7 $70,410.35 $160,784.00 $89,420.00 nat. median
$99,019
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $70,770.93 $137,739.00 $88,124.00 nat. median
$100,136
0.9× median
430804448
CDM 		Ustekinumab Subcutanious 90mg 2 $24,552.39 $102,301.59 $87,979.37 nat. median
$87,979
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $69,621.81 $135,489.00 $86,684.00 nat. median
$98,894
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $64,178.03 $128,456.00 $79,863.00 nat. median
$93,672
0.9× median
400221173
CDM 		Maci Cell Product 1 Membr 593957 4 $56,171.00 $112,342.00 $79,762.82 nat. median
$79,763
1.0× median
222
MS_DRG 		No Active Code Description 2 $64,023.00 $90,180.00 $77,101.50 nat. median
$63,570
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 6 $61,277.50 $119,147.00 $76,228.00 nat. median
$83,470
0.9× median
430808239
CDM 		Ravulizumab-cwvz 1100mg 2 $20,706.31 $86,276.29 $74,197.61 nat. median
$74,198
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 7 $56,372.62 $111,569.00 $71,480.00 nat. median
$81,118
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $56,403.66 $109,601.00 $70,122.00 nat. median
$79,312
0.9× median
224
MS_DRG 		No Active Code Description 2 $58,418.00 $79,933.00 $69,175.50 nat. median
$54,196
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $55,523.33 $107,877.00 $69,018.00 nat. median
$82,711
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $53,677.48 $111,873.00 $68,036.00 nat. median
$77,570
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 $52,793.84 $105,799.00 $65,598.00 nat. median
$71,271
0.9× median
454
MS_DRG 		No Active Code Description 4 $47,707.00 $83,528.00 $65,405.50 nat. median
$62,372
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $52,061.45 $103,233.00 $64,681.00 nat. median
$73,807
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $51,540.38 $102,063.00 $64,028.00 nat. median
$74,915
0.9× median
226
MS_DRG 		No Active Code Description 2 $53,646.00 $72,474.00 $63,060.00 nat. median
$49,935
1.3× median
430808255
CDM 		Ocrelizumab 300mg/10ml Inj Vial 2 $17,384.54 $72,435.57 $62,294.60 nat. median
$62,295
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $49,735.47 $96,542.00 $61,766.00 nat. median
$72,135
0.9× median
459
MS_DRG 		No Active Code Description 4 $50,236.00 $87,783.00 $60,599.50 nat. median
$65,393
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $47,348.08 $91,866.00 $58,775.00 nat. median
$68,090
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $47,112.32 $93,124.00 $58,479.00 nat. median
$68,886
0.8× median
223
MS_DRG 		No Active Code Description 2 $50,011.00 $65,548.00 $57,779.50 nat. median
$44,728
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $46,382.56 $92,185.00 $57,565.00 nat. median
$66,526
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 7 $45,535.91 $88,317.00 $56,504.00 nat. median
$64,732
0.9× median
10
MS_DRG 		Pancreas Transplant 7 $35,515.00 $103,123.00 $56,090.00 nat. median
$68,884
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 $44,719.64 $86,719.00 $55,481.00 nat. median
$63,724
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 7 $44,549.26 $91,587.00 $55,268.00 nat. median
$64,023
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $44,474.63 $90,727.00 $54,320.50 nat. median
$65,950
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 7 $43,151.16 $91,432.00 $53,882.00 nat. median
$62,134
0.9× median
A9543
HCPCS 		Nm 90y Zevalin Tx =<150mci 6 $1,600.00 $105,693.66 $53,679.55 nat. median
$62,507
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $43,089.74 $84,249.00 $53,439.00 nat. median
$64,508
0.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 7 $42,207.43 $90,964.00 $53,377.00 nat. median
$60,185
0.9× median
225
MS_DRG 		No Active Code Description 2 $45,000.00 $61,054.00 $53,027.00 nat. median
$48,704
1.1× median
237
MS_DRG 		No Active Code Description 1 $52,963.00 $52,963.00 $52,963.00 nat. median
$35,643
1.5× median

Other procedures at this hospital

Browse this hospital's 14,101 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
             
430801123 CDM Daunorubicin 20 Mg Inj 6 2 $985,569.55 $250,531.78 75% off $118,268.35 $492,784.78 $423,794.91 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 6 — — $249,501.00 $487,777.00 $312,073.00 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 7 — — $186,467.94 $364,329.00 $233,093.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 7 — — $144,649.00 $348,875.00 $196,306.00 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 21 7 — — $141,977.93 $282,189.00 $177,346.00 2026-02-28
430807113 CDM Givosiran 189mg Subcutn 6 2 $313,163.68 $79,606.21 75% off $37,579.65 $156,581.84 $134,660.39 2026-02-28
430808196 CDM Tremelimumab-actl 300mg Inj 6 2 $292,323.33 $74,308.60 75% off $35,078.80 $146,161.67 $125,699.04 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 21 7 — — $89,846.00 $194,564.00 $114,660.00 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 21 7 — — $86,966.89 $169,459.00 $108,417.00 2026-02-28
7 MS_DRG Lung Transplant 21 7 — — $83,802.00 $169,032.00 $96,864.00 2026-02-28
453 MS_DRG No Active Code Description 4 4 — — $69,119.00 $117,287.00 $95,507.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 7 — — $73,216.44 $364,329.00 $93,083.00 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 6 — — $72,385.64 $142,558.00 $90,147.00 2026-02-28
215 MS_DRG Other Heart Assist System Implant 21 7 — — $70,410.35 $160,784.00 $89,420.00 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 7 — — $70,770.93 $137,739.00 $88,124.00 2026-02-28
430804448 CDM Ustekinumab Subcutanious 90mg 6 2 $204,603.18 $52,010.13 75% off $24,552.39 $102,301.59 $87,979.37 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 6 — — $69,621.81 $135,489.00 $86,684.00 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 7 — — $64,178.03 $128,456.00 $79,863.00 2026-02-28
400221173 CDM Maci Cell Product 1 Membr 593957 8 4 $224,684.00 $57,114.68 75% off $56,171.00 $112,342.00 $79,762.82 2026-02-28
222 MS_DRG No Active Code Description 2 2 — — $64,023.00 $90,180.00 $77,101.50 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 17 6 — — $61,277.50 $119,147.00 $76,228.00 2026-02-28
430808239 CDM Ravulizumab-cwvz 1100mg 6 2 $172,552.58 $43,862.87 75% off $20,706.31 $86,276.29 $74,197.61 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 21 7 — — $56,372.62 $111,569.00 $71,480.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 7 — — $56,403.66 $109,601.00 $70,122.00 2026-02-28
224 MS_DRG No Active Code Description 2 2 — — $58,418.00 $79,933.00 $69,175.50 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 6 — — $55,523.33 $107,877.00 $69,018.00 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 7 — — $53,677.48 $111,873.00 $68,036.00 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 6 — — $52,793.84 $105,799.00 $65,598.00 2026-02-28
454 MS_DRG No Active Code Description 4 4 — — $47,707.00 $83,528.00 $65,405.50 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 7 — — $52,061.45 $103,233.00 $64,681.00 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 7 — — $51,540.38 $102,063.00 $64,028.00 2026-02-28
226 MS_DRG No Active Code Description 2 2 — — $53,646.00 $72,474.00 $63,060.00 2026-02-28
430808255 CDM Ocrelizumab 300mg/10ml Inj Vial 6 2 $144,871.14 $36,826.25 75% off $17,384.54 $72,435.57 $62,294.60 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 7 — — $49,735.47 $96,542.00 $61,766.00 2026-02-28
459 MS_DRG No Active Code Description 4 4 — — $50,236.00 $87,783.00 $60,599.50 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 6 — — $47,348.08 $91,866.00 $58,775.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 6 — — $47,112.32 $93,124.00 $58,479.00 2026-02-28
223 MS_DRG No Active Code Description 2 2 — — $50,011.00 $65,548.00 $57,779.50 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 7 — — $46,382.56 $92,185.00 $57,565.00 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 7 — — $45,535.91 $88,317.00 $56,504.00 2026-02-28
10 MS_DRG Pancreas Transplant 21 7 — — $35,515.00 $103,123.00 $56,090.00 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 6 — — $44,719.64 $86,719.00 $55,481.00 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 7 — — $44,549.26 $91,587.00 $55,268.00 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 7 — — $44,474.63 $90,727.00 $54,320.50 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 7 — — $43,151.16 $91,432.00 $53,882.00 2026-02-28
A9543 HCPCS Nm 90y Zevalin Tx =<150mci 16 6 $12,096.00 $3,074.81 75% off $1,600.00 $105,693.66 $53,679.55 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 7 — — $43,089.74 $84,249.00 $53,439.00 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 7 — — $42,207.43 $90,964.00 $53,377.00 2026-02-28
225 MS_DRG No Active Code Description 2 2 — — $45,000.00 $61,054.00 $53,027.00 2026-02-28
237 MS_DRG No Active Code Description 1 1 — — $52,963.00 $52,963.00 $52,963.00 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 7 — — $35,268.00 $90,247.00 $51,794.00 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 6 — — $41,349.56 $82,196.00 $51,259.00 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 6 — — $41,296.72 $80,015.00 $51,192.00 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 21 7 — — $40,302.80 $81,757.00 $50,943.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 7 — — $40,004.96 $93,670.00 $50,562.00 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 7 — — $40,783.58 $79,010.00 $50,549.00 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 21 7 — — $40,590.74 $79,760.00 $50,308.00 2026-02-28
455 MS_DRG No Active Code Description 4 4 — — $35,924.00 $65,109.00 $50,149.00 2026-02-28
227 MS_DRG No Active Code Description 2 2 — — $41,832.00 $56,765.00 $49,298.50 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 7 — — $39,730.89 $76,948.00 $49,230.00 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 21 7 — — $39,701.17 $79,415.00 $49,193.00 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 7 — — $39,300.96 $77,834.00 $48,692.00 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 7 — — $38,620.00 $82,301.00 $48,501.00 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 21 7 — — $38,344.68 $80,411.00 $48,441.00 2026-02-28
424234733 CDM Sapien 3 Resilia W/comm 20mm 8 4 $136,000.00 $34,571.20 75% off $34,000.00 $68,000.00 $48,280.00 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 21 7 — — $34,470.00 $81,757.00 $48,181.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 7 — — $38,892.16 $80,032.00 $48,180.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 7 — — $38,118.16 $75,030.00 $47,210.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 7 — — $36,943.94 $81,286.00 $46,689.00 2026-02-28
400225148 CDM Valve Heart Sapien3 26mm471004 8 4 $130,000.00 $33,046.00 75% off $32,500.00 $65,000.00 $46,150.00 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 21 7 — — $37,256.32 $72,102.00 $46,130.00 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 21 7 — — $36,943.94 $74,107.00 $45,738.00 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 6 — — $36,790.73 $71,190.00 $45,546.00 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 6 — — $36,568.83 $70,755.00 $45,268.00 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 7 — — $36,374.67 $70,375.00 $45,025.00 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 21 7 — — $36,292.78 $72,865.00 $44,922.00 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 7 — — $36,109.84 $74,963.00 $44,693.00 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 7 — — $36,076.16 $69,791.00 $44,651.00 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 7 — — $36,072.20 $75,220.00 $44,328.00 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 7 — — $35,576.23 $68,811.00 $44,025.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 7 — — $35,421.03 $69,416.00 $43,830.00 2026-02-28
424232771 CDM Imp Sys Pascal Precsn 8 4 $122,400.00 $31,114.08 75% off $30,600.00 $61,200.00 $43,452.00 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 17 6 — — $34,452.87 $66,611.00 $42,617.00 2026-02-28
400224741 CDM Valve Aortic 29 535821 8 4 $120,000.00 $30,504.00 75% off $30,000.00 $60,000.00 $42,600.00 2026-02-28
230 MS_DRG No Active Code Description 1 1 — — $42,454.00 $42,454.00 $42,454.00 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 7 — — $33,509.14 $67,326.00 $42,261.00 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 7 — — $34,086.34 $68,648.00 $42,158.00 2026-02-28
430808164 CDM Nivolumab/relatimab-rmbw 240/80 6 2 $97,861.81 $24,876.48 75% off $11,743.42 $48,930.91 $42,080.59 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 7 — — $33,351.30 $76,162.00 $42,059.00 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 21 7 — — $33,983.32 $67,224.00 $42,029.00 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 7 — — $33,705.28 $65,147.00 $41,680.00 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 6 — — $33,483.38 $64,713.00 $41,402.00 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 7 — — $33,470.18 $66,169.00 $41,386.00 2026-02-28
430808175 CDM Pertuz1200/trastuz600 Inj Vial 6 2 $96,178.70 $24,448.63 75% off $11,541.45 $48,089.35 $41,356.85 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 7 — — $34,339.94 $66,932.00 $41,150.50 2026-02-28
245 MS_DRG Aicd Generator Procedures 21 7 — — $32,714.00 $63,206.00 $40,438.00 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 21 7 — — $32,519.18 $65,106.00 $40,194.00 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 21 7 — — $32,465.69 $64,020.00 $40,127.00 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 7 — — $31,511.39 $70,332.00 $39,708.00 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 7 — — $31,978.96 $61,766.00 $39,517.00 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 21 7 — — $31,842.26 $65,578.00 $39,346.00 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 7 — — $31,836.31 $62,742.00 $39,339.00 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 7 — — $30,766.45 $59,783.00 $38,756.00 2026-02-28
430807128 CDM Leuprolide Acetate Depot 45mg 6 2 $90,127.51 $22,910.42 75% off $10,815.31 $45,063.76 $38,754.83 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 7 — — $31,344.97 $60,525.00 $38,723.00 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 21 7 — — $30,880.70 $62,388.00 $38,705.00 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 6 — — $31,162.69 $63,298.00 $38,494.00 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 6 — — $30,868.15 $59,591.00 $38,125.00 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 7 — — $30,771.07 $61,527.00 $38,004.00 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 7 — — $30,236.14 $58,613.00 $37,333.00 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 7 — — $29,860.00 $58,005.00 $37,111.00 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 21 7 — — $29,976.59 $58,449.00 $37,008.00 2026-02-28
460 MS_DRG No Active Code Description 4 4 — — $28,532.00 $48,415.00 $36,716.50 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 21 7 — — $29,700.54 $57,304.00 $36,662.00 2026-02-28
430808228 CDM Dostarlimab-gxly 500mg/10ml Inj 6 2 $84,971.54 $21,599.77 75% off $10,196.59 $42,485.77 $36,537.76 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 21 7 — — $28,957.58 $59,971.00 $36,444.00 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 6 — — $29,451.57 $57,733.00 $36,350.00 2026-02-28
984 MS_DRG No Active Code Description 1 1 — — $35,776.00 $35,776.00 $35,776.00 2026-02-28
238 MS_DRG No Active Code Description 1 1 — — $35,669.00 $35,669.00 $35,669.00 2026-02-28
400225015 CDM Impella Cath 5.0 383664 8 4 $100,000.00 $25,420.00 75% off $25,000.00 $50,000.00 $35,500.00 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 7 — — $28,612.18 $56,632.00 $35,299.00 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 6 — — $28,570.58 $55,091.00 $35,247.00 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 19 6 — — $28,371.13 $54,700.00 $34,997.00 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 21 7 — — $28,116.21 $54,486.00 $34,677.00 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 7 — — $28,109.61 $54,188.00 $34,669.00 2026-02-28
430804886 CDM Atezolizumab 1200mg/20 Ml 6 2 $80,275.69 $20,406.09 75% off $9,633.09 $40,137.85 $34,518.55 2026-02-28
793 MS_DRG Full Term Neonate With Major Problems 21 7 — — $27,983.47 $55,713.00 $34,511.00 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 7 — — $27,597.79 $53,488.00 $34,028.00 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 7 — — $27,582.60 $53,536.00 $34,009.00 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 7 — — $27,542.31 $53,077.00 $33,958.00 2026-02-28
430804927 CDM Hemin Injection 350mg 6 2 $78,588.65 $19,977.24 75% off $9,430.64 $39,294.33 $33,793.12 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 17 6 — — $27,408.91 $52,816.00 $33,791.00 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 7 — — $27,302.58 $52,608.00 $33,658.00 2026-02-28
791 MS_DRG Prematurity With Major Problems 21 7 — — $27,253.05 $54,236.00 $33,596.00 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 7 — — $27,918.75 $55,042.00 $33,544.50 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 7 — — $26,749.82 $51,525.00 $33,172.00 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 21 7 — — $26,731.33 $51,489.00 $32,942.00 2026-02-28
400219099 CDM Valve Hrt Sapien23mm Retro390033 8 4 $92,137.50 $23,421.36 75% off $23,034.38 $46,068.75 $32,708.82 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 21 7 — — $26,498.86 $53,135.00 $32,651.00 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 21 7 — — $26,445.37 $51,450.00 $32,584.00 2026-02-28
430807029 CDM Cemiplimab-rwlc 350mg Inj Vial 6 2 $75,673.51 $19,236.21 75% off $9,080.83 $37,836.76 $32,539.62 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 21 7 — — $25,965.91 $52,383.00 $32,536.00 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 21 7 — — $25,975.00 $50,825.00 $32,517.00 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 17 6 — — $26,277.62 $50,600.00 $32,373.00 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 21 7 — — $26,122.43 $51,638.00 $32,179.00 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 21 7 — — $25,382.00 $49,939.00 $31,951.00 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 7 — — $25,868.83 $53,708.00 $31,861.00 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 21 7 — — $25,684.57 $51,331.00 $31,630.00 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 7 — — $25,547.87 $50,147.00 $31,459.00 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 7 — — $26,265.08 $51,579.00 $31,377.50 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 21 7 — — $25,352.39 $50,964.00 $31,214.00 2026-02-28
400230298 CDM Valve Heart Sapien 3 20mm 500403 8 4 $87,750.00 $22,306.05 75% off $21,937.50 $43,875.00 $31,151.25 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 21 7 — — $25,153.60 $50,634.00 $30,965.00 2026-02-28
430807038 CDM Daratumumab-hyal 1800/30000 Sq 6 2 $71,229.51 $18,106.55 75% off $8,547.55 $35,614.76 $30,628.69 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 21 7 — — $24,370.35 $47,318.00 $30,581.00 2026-02-28
424232900 CDM Valve Evolut Fx+ 26mm 8 4 $86,000.00 $21,861.20 75% off $21,500.00 $43,000.00 $30,530.00 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 7 — — $22,505.00 $55,964.00 $30,467.17 2026-02-28
424202009 CDM Pmd Single Chamber Defib Medtr 8 4 $85,633.33 $21,768.00 75% off $21,408.34 $42,816.67 $30,399.83 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 7 — — $24,537.44 $47,949.00 $30,193.00 2026-02-28
400223871 CDM Valve Core 23mm 506174 8 4 $85,050.00 $21,619.71 75% off $21,262.50 $42,525.00 $30,192.75 2026-02-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 21 7 — — $23,756.17 $51,920.00 $29,821.00 2026-02-28
C2624 HCPCS Cardiomems 589947 8 4 $84,000.00 $21,352.80 75% off $21,000.00 $42,000.00 $29,820.00 2026-02-28
L8614 HCPCS Cochlear Implant Cochlear C124 9 4 $82,737.51 $21,031.88 75% off $20,684.38 $70,551.46 $29,785.51 2026-02-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 7 — — $24,115.43 $46,366.00 $29,664.00 2026-02-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 21 7 — — $24,114.11 $48,137.00 $29,663.00 2026-02-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 21 7 — — $24,110.15 $48,334.00 $29,658.00 2026-02-28
246 MS_DRG No Active Code Description 2 2 — — $25,483.00 $33,718.00 $29,600.50 2026-02-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 7 — — $23,573.23 $45,304.00 $29,563.00 2026-02-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 21 7 — — $23,563.99 $49,266.00 $29,551.00 2026-02-28
265 MS_DRG Aicd Lead Procedures 21 7 — — $23,999.20 $46,776.00 $29,519.00 2026-02-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 21 7 — — $23,893.53 $45,931.00 $29,386.00 2026-02-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 21 7 — — $23,750.22 $45,651.00 $29,207.00 2026-02-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 21 7 — — $23,691.45 $47,400.00 $29,133.00 2026-02-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 21 7 — — $23,580.50 $46,658.00 $28,994.00 2026-02-28
264 MS_DRG Other Circulatory System O.r. Procedures 21 7 — — $23,523.04 $45,206.00 $28,922.00 2026-02-28
430808280 CDM Fecal Microbiota Jslm 150ml 6 2 $67,128.55 $17,064.08 75% off $8,055.43 $33,564.28 $28,865.28 2026-02-28
64568 CPT Inc For Vagus N Elect Impl 23 9 — — $1,759.00 $68,244.10 $28,787.01 2026-02-28
400224810 CDM Valve Core 31mm Trial 441880 8 4 $81,000.00 $20,590.20 75% off $20,250.00 $40,500.00 $28,755.00 2026-02-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 6 — — $23,373.79 $45,774.00 $28,735.00 2026-02-28
332 MS_DRG Rectal Resection With Mcc 21 7 — — $23,348.69 $49,010.00 $28,703.00 2026-02-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 21 7 — — $22,842.16 $45,731.00 $28,628.00 2026-02-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 21 7 — — $22,935.94 $44,056.00 $28,478.00 2026-02-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 21 7 — — $23,152.55 $44,591.00 $28,458.00 2026-02-28
665 MS_DRG Prostatectomy With Mcc 21 7 — — $23,116.89 $44,410.00 $28,413.00 2026-02-28
252 MS_DRG Other Vascular Procedures With Mcc 21 7 — — $23,095.76 $44,390.00 $28,387.00 2026-02-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 21 7 — — $23,061.41 $46,144.00 $28,344.00 2026-02-28
248 MS_DRG No Active Code Description 2 2 — — $24,962.00 $31,679.00 $28,320.50 2026-02-28
430808168 CDM Pertuzu 600 Trastuzu 600 6 2 $65,238.64 $16,583.67 75% off $7,828.64 $32,619.32 $28,052.62 2026-02-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 7 — — $23,188.21 $45,745.00 $27,995.50 2026-02-28
430801038 CDM Alteplase (tpa) 100 Mg Inj 6 2 $64,669.43 $16,438.97 75% off $7,760.34 $32,334.72 $27,807.86 2026-02-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 21 7 — — $22,609.03 $45,375.00 $27,777.00 2026-02-28
37 MS_DRG Extracranial Procedures With Mcc 21 7 — — $22,372.60 $44,678.00 $27,480.00 2026-02-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 21 7 — — $23,323.60 $45,078.00 $27,395.00 2026-02-28
430804785 CDM Vedolizumab 300mg Inj (entyvio) 6 2 $63,686.39 $16,189.09 75% off $7,642.37 $31,843.20 $27,385.15 2026-02-28
400289944 CDM Valve Pulm Synergraft 482965 8 4 $77,140.00 $19,608.99 75% off $19,285.00 $38,570.00 $27,384.70 2026-02-28
143 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures With Mcc 19 6 — — $22,247.13 $44,017.00 $27,323.00 2026-02-28
338 MS_DRG No Active Code Description 2 2 — — $22,540.00 $31,981.00 $27,260.50 2026-02-28
424210327 CDM Laac Flex Sys Bundle 636643 8 4 $76,400.00 $19,420.88 75% off $19,100.00 $38,200.00 $27,122.00 2026-02-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 21 7 — — $22,027.87 $44,072.00 $27,048.00 2026-02-28
400223184 CDM Aor Iliac Grft 7mmx12.5cm 367896 8 4 $76,000.00 $19,319.20 75% off $19,000.00 $38,000.00 $26,980.00 2026-02-28
579 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedures With Mcc 21 7 — — $21,966.45 $44,236.00 $26,972.00 2026-02-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 21 7 — — $21,957.20 $42,139.00 $26,960.00 2026-02-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 21 7 — — $21,701.62 $43,598.00 $26,640.00 2026-02-28
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 6 — — $21,603.22 $42,362.00 $26,516.00 2026-02-28
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 19 6 — — $21,541.81 $41,325.00 $26,439.00 2026-02-28
400205042 CDM Cath Impella 2.5 383663 8 4 $74,418.75 $18,917.25 75% off $18,604.69 $37,209.38 $26,418.66 2026-02-28
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 21 7 — — $21,501.52 $41,364.00 $26,389.00 2026-02-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 21 7 — — $21,402.46 $42,557.00 $26,265.00 2026-02-28
500 MS_DRG Soft Tissue Procedures With Mcc 21 7 — — $21,367.46 $42,921.00 $26,221.00 2026-02-28
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 7 — — $20,955.36 $46,466.00 $26,217.00 2026-02-28
430805226 CDM Caplacizumab-yhdp 11mg (cablivi) 6 2 $60,566.34 $15,395.97 75% off $7,267.97 $30,283.17 $26,043.53 2026-02-28
430807034 CDM Natalizumab 300mg/15ml Inj 6 2 $60,326.36 $15,334.97 75% off $7,239.17 $30,163.18 $25,940.33 2026-02-28
652 MS_DRG Kidney Transplant 21 7 — — $20,724.87 $39,765.00 $25,923.00 2026-02-28
662 MS_DRG Minor Bladder Procedures With Mcc 21 7 — — $21,043.19 $40,349.00 $25,815.00 2026-02-28
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 21 7 — — $20,863.56 $41,845.00 $25,590.00 2026-02-28
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 7 — — $21,052.44 $42,894.00 $25,552.00 2026-02-28
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 17 6 — — $20,821.30 $39,914.00 $25,537.00 2026-02-28
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 21 7 — — $20,806.77 $41,743.00 $25,518.00 2026-02-28
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 6 — — $20,706.38 $40,700.00 $25,393.00 2026-02-28
430807118 CDM Lurbinectedin 4mg Inj 6 2 $59,008.46 $14,999.96 75% off $7,081.02 $29,504.23 $25,373.64 2026-02-28
484258119 CDM Dev Pipeln Emb Flx Shield 8 4 $71,440.00 $18,160.05 75% off $17,860.00 $35,720.00 $25,361.20 2026-02-28
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 21 7 — — $20,640.34 $39,560.00 $25,310.00 2026-02-28
400222590 CDM Valve Heart Sapien Xt 23mm429251 8 4 $70,875.00 $18,016.43 75% off $17,718.75 $35,437.50 $25,160.62 2026-02-28
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 21 7 — — $21,444.72 $42,559.00 $25,081.00 2026-02-28
570 MS_DRG Skin Debridement With Mcc 21 7 — — $20,320.70 $38,934.00 $24,909.00 2026-02-28
430807082 CDM Tenecteplase 50 Mg Inj 6 2 $57,521.11 $14,621.87 75% off $6,902.54 $28,760.56 $24,734.08 2026-02-28
974 MS_DRG HIV With Major Related Condition With Mcc 21 7 — — $20,162.20 $38,624.00 $24,711.00 2026-02-28
61886 CPT Implant Neurostim Arrays 20 6 — — $1,672.00 $42,514.63 $24,640.28 2026-02-28
400226681 CDM Imp Kit Custm Cranial Xl 583506 8 4 $69,162.00 $17,580.99 75% off $17,290.50 $34,581.00 $24,552.51 2026-02-28
400260256 CDM Grft Thor Stent 31x31mmx15cm 8 4 $68,952.00 $17,527.60 75% off $17,238.00 $34,476.00 $24,477.96 2026-02-28
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 7 — — $19,913.89 $39,726.00 $24,400.00 2026-02-28
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 21 7 — — $19,863.70 $39,031.00 $24,337.00 2026-02-28
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 21 7 — — $19,810.86 $38,705.00 $24,271.00 2026-02-28
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 21 7 — — $19,353.86 $37,673.00 $24,170.00 2026-02-28
668 MS_DRG Transurethral Procedures With Mcc 21 7 — — $19,700.58 $37,719.00 $24,132.00 2026-02-28
430805227 CDM Nivolumab 240mg Vial 6 2 $56,103.07 $14,261.41 75% off $6,732.37 $28,051.54 $24,124.33 2026-02-28
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 6 — — $19,690.01 $39,630.00 $24,119.00 2026-02-28
800 MS_DRG Splenic Procedures With Cc 21 7 — — $19,684.06 $37,687.00 $24,112.00 2026-02-28
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 21 7 — — $19,673.50 $37,666.00 $24,098.00 2026-02-28
472 MS_DRG Cervical Spinal Fusion With Cc 21 7 — — $19,574.44 $39,117.00 $23,974.00 2026-02-28
400224705 CDM Valve Heart Sapien Xt26mm429252 8 4 $67,500.00 $17,158.50 75% off $16,875.00 $33,750.00 $23,962.50 2026-02-28
625 MS_DRG Thyroid Parathyroid And Thyroglossal Procedures With Mcc 21 7 — — $19,375.65 $38,664.00 $23,725.00 2026-02-28
33289 CPT Pa Sensor Placement 33289 20 6 $37,184.00 $9,452.18 75% off $2,280.00 $39,661.23 $23,702.38 2026-02-28
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 6 — — $19,342.63 $37,018.00 $23,684.00 2026-02-28
510 MS_DRG Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Mcc 21 7 — — $19,316.21 $36,967.00 $23,651.00 2026-02-28
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 6 — — $19,241.59 $38,049.00 $23,557.00 2026-02-28
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 21 7 — — $18,968.84 $36,286.00 $23,516.00 2026-02-28
654 MS_DRG Major Bladder Procedures With Cc 21 7 — — $19,078.47 $36,501.00 $23,353.00 2026-02-28
406 MS_DRG Pancreas Liver And Shunt Procedures With Cc 21 7 — — $18,987.99 $38,217.00 $23,240.00 2026-02-28
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 21 7 — — $18,512.49 $40,242.00 $23,114.00 2026-02-28
430805217 CDM Ramucirumab 500mg Inj Vial 6 2 $53,526.11 $13,606.34 75% off $6,423.14 $26,763.06 $23,016.23 2026-02-28
619 MS_DRG O.r. Procedures For Obesity With Mcc 21 7 — — $18,447.11 $35,265.00 $22,980.00 2026-02-28
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 21 7 — — $18,235.78 $36,271.00 $22,742.00 2026-02-28
131 MS_DRG No Active Code Description 2 2 — — $20,680.00 $24,691.00 $22,685.50 2026-02-28
400215210 CDM Valve Conduit 24x5.4mm 160857 8 4 $63,720.00 $16,197.63 75% off $15,930.00 $31,860.00 $22,620.60 2026-02-28
288 MS_DRG Acute And Subacute Endocarditis With Mcc 21 7 — — $18,480.13 $35,329.00 $22,603.00 2026-02-28
963 MS_DRG Other Multiple Significant Trauma With Mcc 21 7 — — $18,382.39 $36,190.00 $22,481.00 2026-02-28
61 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 21 7 — — $18,294.56 $37,097.00 $22,406.00 2026-02-28
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 21 7 — — $18,165.12 $35,787.00 $22,208.00 2026-02-28
263 MS_DRG Vein Ligation And Stripping 21 7 — — $18,153.89 $37,393.00 $22,037.00 2026-02-28
400203252 CDM Hrt Pmp Ventricular 0505-0032-mh 8 4 $62,027.29 $15,767.34 75% off $15,506.83 $31,013.65 $22,019.69 2026-02-28
430808279 CDM Pegfilgrastim-cbqv Onbody0.6mg 6 2 $51,133.31 $12,998.09 75% off $6,136.00 $25,566.66 $21,987.33 2026-02-28
408688811 CDM Carticel Cs-1000 Bio-surgery 8 4 $61,898.00 $15,734.48 75% off $15,474.50 $30,949.00 $21,973.79 2026-02-28
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 21 7 — — $17,765.57 $35,334.00 $21,963.00 2026-02-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 21 7 — — $17,963.69 $36,790.00 $21,956.00 2026-02-28
13 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 21 7 — — $17,941.90 $35,547.00 $21,929.00 2026-02-28
503 MS_DRG Foot Procedures With Mcc 21 7 — — $17,919.44 $35,497.00 $21,901.00 2026-02-28
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 21 7 — — $17,901.61 $34,196.00 $21,878.00 2026-02-28
424232910 CDM Bndl Endrnt Ii 3 Piece Heli-fx 8 4 $61,576.00 $15,652.62 75% off $15,394.00 $30,788.00 $21,859.48 2026-02-28
430804295 CDM Octreotide Depot 30 Mg Inj 6 2 $50,796.94 $12,912.59 75% off $6,095.64 $25,398.47 $21,842.69 2026-02-28
430804091 CDM Panitumumab 400 Mg/20 Ml Inj 6 2 $50,715.79 $12,891.96 75% off $6,085.90 $25,357.90 $21,807.79 2026-02-28
129 MS_DRG No Active Code Description 2 2 — — $19,127.00 $24,255.00 $21,691.00 2026-02-28
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 21 7 — — $17,720.66 $36,364.00 $21,652.00 2026-02-28
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 21 7 — — $17,306.58 $33,031.00 $21,554.00 2026-02-28
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 21 7 — — $17,508.01 $35,223.00 $21,457.00 2026-02-28
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 21 7 — — $17,536.40 $33,481.00 $21,421.00 2026-02-28
33270 CPT Ins/rep Subq Defibrillator 23 9 — — $674.19 $44,730.08 $21,332.00 2026-02-28
33264 CPT Rmvl Rplcmt Dfb Gen Mlt Ld 23 9 — — $824.01 $44,730.08 $21,332.00 2026-02-28
33249 CPT Insert Or Replace Imp Defib 23 9 $97,618.00 $24,814.50 75% off $674.19 $44,730.08 $21,332.00 2026-02-28
33231 CPT Insrt Pulse Gen W/mult Leads 23 9 — — $824.01 $44,730.08 $21,332.00 2026-02-28
69930 CPT Implant Cochlear Device 23 9 — — $824.01 $44,376.07 $21,332.00 2026-02-28
400227997 CDM Dev Pipeline Embol Flx With Shield 8 4 $59,800.00 $15,201.16 75% off $14,950.00 $29,900.00 $21,229.00 2026-02-28
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 20 7 — — $17,183.08 $37,282.00 $21,187.00 2026-02-28
253 MS_DRG Other Vascular Procedures With Cc 21 7 — — $17,301.30 $33,766.00 $21,126.00 2026-02-28
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 21 7 — — $17,269.60 $32,958.00 $21,086.00 2026-02-28
849 MS_DRG Radiotherapy 21 7 — — $15,268.00 $35,623.00 $20,993.00 2026-02-28
545 MS_DRG Connective Tissue Disorders With Mcc 21 7 — — $17,128.93 $32,999.00 $20,910.00 2026-02-28
341 MS_DRG No Active Code Description 2 2 — — $17,974.00 $23,815.00 $20,894.50 2026-02-28
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 21 7 — — $17,115.72 $34,558.00 $20,894.00 2026-02-28
164 MS_DRG Major Chest Procedures With Cc 21 7 — — $17,063.55 $33,756.00 $20,828.00 2026-02-28
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 21 7 — — $18,026.43 $35,063.00 $20,663.00 2026-02-28
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 20 7 — — $16,965.81 $32,363.00 $20,652.50 2026-02-28
430804550 CDM Pertuzumab 420 Mg Inj 6 2 $47,962.06 $12,191.96 75% off $5,755.45 $23,981.03 $20,623.69 2026-02-28
400258177 CDM Dev Pipeline Flx 4x12 8 4 $58,000.00 $14,743.60 75% off $14,500.00 $29,000.00 $20,590.00 2026-02-28
33262 CPT Rmvl Replc Pulse Gen 1 Lead 23 9 — — $824.01 $31,315.37 $20,586.30 2026-02-28
33263 CPT Rmvl Rplcmt Dfb Gen 2 Lead 23 9 — — $824.01 $31,315.37 $20,586.30 2026-02-28
33230 CPT Insrt Pulse Gen W/dual Leads 23 9 — — $824.01 $31,315.37 $20,586.30 2026-02-28
33240 CPT Insrt Pulse Gen W/singl Lead 23 9 — — $824.01 $31,315.37 $20,586.30 2026-02-28
400218040 CDM Imp Medpor Customized Lg 447524 8 4 $57,923.00 $14,724.03 75% off $14,480.75 $28,961.50 $20,562.67 2026-02-28
397 MS_DRG Appendix Procedures With Mcc 19 6 — — $16,804.67 $32,048.00 $20,504.00 2026-02-28
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