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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

SANTA BARBARA COTTAGE HOSPITAL

Santa Barbara, CA · CCN 050396 · Rates published

13,414 distinct procedures filed
12 distinct payers
275,660 rate rows
2026-07-15 last MRF observed
Data quality

275,005 of 275,660 rate rows are consumer-grade (99.8%)

655 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
percent-of-charges filed in the dollar field — excluded from medians 448
template filing: same amount across many unrelated codes — excluded 88
per-diem day rate — not a per-procedure price 59
placeholder amount (≤ $0.02) — excluded from medians 57
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.cottagehealth.org/app/files/public/e1b4f204-aecf-402f-87dd-437c9d401c58/951644629_SantaBarbaraCottageHospital_standardcharges.csv
Found on page https://www.mrfdatasolutions.com/payers-1
Discovered viaPublic MRF directory
Last fetch not_modified · 2026-09-21
Content fingerprint 86682121b6a41312… · 415,685,078 bytes · first seen 2026-05-06

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj Atidarsagene Autotemcel 2 $4,414,900.00 $4,730,250.00 $4,572,575.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 3 $3,611,561.34 $4,164,351.34 $3,869,530.00 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,250,133.34 $3,747,602.73 $3,482,285.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 3 $3,183,476.81 $3,670,743.66 $3,410,868.01 nat. median
$3,248,446
1.1× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 3 $2,886,825.20 $3,328,686.20 $3,093,027.00 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,406,008.40 $2,774,274.99 $2,577,866.14 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj Exagamglogene Autotem 3 $2,285,360.00 $2,635,160.00 $2,448,600.00 nat. median
$2,332,000
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $755,207.60 $870,800.60 $809,151.00 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $579,891.68 $668,650.61 $621,312.51 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $554,551.57 $639,431.91 $594,162.40 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $551,287.43 $635,668.15 $590,665.10 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $546,171.57 $629,769.26 $585,183.83 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $522,565.57 $602,550.09 $559,891.68 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $479,518.52 $552,914.21 $513,769.84 nat. median
$513,770
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 3 $367,147.55 $423,343.60 $393,372.37 nat. median
$168,055
outlier · 2.3×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 3 $272,685.00 $314,422.50 $292,162.50 nat. median
$286,598
1.0× median
J3403
HCPCS 		Revakinagene Per Implant 3 $252,350.00 $290,975.00 $270,375.00 nat. median
$264,195
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $255,282.85 $274,732.97 $265,007.91 nat. median
$186,516
1.4× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 3 $201,527.20 $232,373.20 $215,922.00 nat. median
$207,733
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $181,525.60 $209,310.13 $194,491.72 nat. median
$131,925
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 3 $180,460.28 $208,081.75 $193,350.30 nat. median
$145,435
1.3× median
Q2043
HCPCS 		Sipuleucel-t 50000000 Cells IV Susp 10 $33,052.00 $148,734.00 $128,076.50 nat. median
$63,499
outlier · 2.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 3 $117,766.97 $135,792.53 $126,178.90 nat. median
$97,418
1.3× median
7
MS_DRG 		Lung Transplant 2 $117,969.44 $126,957.59 $122,463.51 nat. median
$70,649
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $109,476.69 $117,817.77 $113,647.23 nat. median
$72,715
1.6× median
Q0480
HCPCS 		Driver Pneumatic Vad Rep 3 $103,998.51 $119,916.65 $111,426.98 nat. median
$108,243
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $103,226.68 $111,091.57 $107,159.12 nat. median
$65,418
1.6× median
209
MS_DRG 		Kidney And Urinary Tract Signs And Symptoms Age 0-17 3 $96,234.37 $110,964.12 $103,108.26 nat. median
$2,110
outlier · 48.9×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $93,704.13 $108,046.60 $100,397.28 nat. median
$2,736
outlier · 36.7×
212
MS_DRG 		Testes Procedures Age 0-17 3 $92,453.46 $106,604.50 $99,057.28 nat. median
$74,509
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $93,923.18 $101,079.23 $97,501.20 nat. median
$69,922
1.4× median
J9226
HCPCS 		Histrelin Acetate (cpp) 50 Mg Sc Kit 10 $23,900.60 $107,552.70 $92,614.82 nat. median
$57,036
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 3 $84,656.12 $97,613.69 $90,702.98 nat. median
$73,023
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $83,175.04 $95,905.91 $89,116.11 nat. median
$69,822
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $76,601.16 $88,325.83 $82,072.67 nat. median
$2,596
outlier · 31.6×
38240
CPT 		Transplt Allo Hct/donor 3 $73,643.32 $84,915.25 $78,903.56 nat. median
$28,331
outlier · 2.8×
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $73,624.55 $84,893.61 $78,883.45 nat. median
$2,633
outlier · 30.0×
C9293
HCPCS 		Glucarpidase 1000 Units IV Solr 10 $18,859.60 $84,868.20 $77,748.70 nat. median
$57,284
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $71,672.45 $82,642.72 $76,791.91 nat. median
$60,505
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 3 $71,447.14 $82,382.93 $76,550.51 nat. median
$59,651
1.3× median
A9543
HCPCS 		Ibritumomab Tiuxetan For Y-90 3.2 Mg/2ml IV Kit 10 $19,145.20 $86,153.40 $74,187.65 nat. median
$65,477
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $66,901.88 $77,141.97 $71,680.59 nat. median
$56,428
1.3× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 3 $66,103.61 $76,221.51 $70,825.29 nat. median
$68,802
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $65,282.22 $75,274.40 $69,945.24 nat. median
$55,923
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 3 $65,000.80 $74,949.90 $69,643.71 nat. median
$55,935
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $64,785.69 $74,701.87 $69,413.24 nat. median
$52,327
1.3× median
10
MS_DRG 		Pancreas Transplant 2 $65,366.82 $70,347.14 $67,856.98 nat. median
$23,080
outlier · 2.9×
J9029
HCPCS 		Instill Adstiladrin Tx Dose 3 $62,075.43 $71,576.78 $66,509.39 nat. median
$66,211
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $61,373.77 $70,767.72 $65,757.61 nat. median
$9,905
outlier · 6.6×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 $60,983.52 $70,317.73 $65,339.49 nat. median
$37,013
1.8× median

Other procedures at this hospital

Browse this hospital's 13,414 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj Atidarsagene Autotemcel 2 2 — — $4,414,900.00 $4,730,250.00 $4,572,575.00 2026-07-15
J1411 HCPCS Inj Hemgenix Per Tx Dose 3 3 — — $3,611,561.34 $4,164,351.34 $3,869,530.00 2026-07-15
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 3 — — $3,250,133.34 $3,747,602.73 $3,482,285.72 2026-07-15
J3394 HCPCS Inj Lovotibeglogene Autotem 3 3 — — $3,183,476.81 $3,670,743.66 $3,410,868.01 2026-07-15
J3393 HCPCS Inj Betibeglogene Autotemce 3 3 — — $2,886,825.20 $3,328,686.20 $3,093,027.00 2026-07-15
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 3 — — $2,406,008.40 $2,774,274.99 $2,577,866.14 2026-07-15
J3392 HCPCS Inj Exagamglogene Autotem 3 3 — — $2,285,360.00 $2,635,160.00 $2,448,600.00 2026-07-15
Q2057 HCPCS Afamitresgene Autoleucel 3 3 — — $755,207.60 $870,800.60 $809,151.00 2026-07-15
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 3 — — $579,891.68 $668,650.61 $621,312.51 2026-07-15
Q2056 HCPCS Ciltacabtagene Car-pos T 3 3 — — $554,551.57 $639,431.91 $594,162.40 2026-07-15
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 3 — — $551,287.43 $635,668.15 $590,665.10 2026-07-15
Q2055 HCPCS Idecabtagene Vicleucel Car 3 3 — — $546,171.57 $629,769.26 $585,183.83 2026-07-15
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 3 — — $522,565.57 $602,550.09 $559,891.68 2026-07-15
Q2053 HCPCS Brexucabtagene Car Pos T 3 3 — — $479,518.52 $552,914.21 $513,769.84 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 3 3 — — $367,147.55 $423,343.60 $393,372.37 2026-07-15
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 3 3 — — $272,685.00 $314,422.50 $292,162.50 2026-07-15
J3403 HCPCS Revakinagene Per Implant 3 3 — — $252,350.00 $290,975.00 $270,375.00 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $255,282.85 $274,732.97 $265,007.91 2026-07-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 3 3 — — $201,527.20 $232,373.20 $215,922.00 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 3 — — $181,525.60 $209,310.13 $194,491.72 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 3 3 — — $180,460.28 $208,081.75 $193,350.30 2026-07-15
Q2043 HCPCS Sipuleucel-t 50000000 Cells IV Susp 19 10 $165,260.00 $115,682.00 30% off $33,052.00 $148,734.00 $128,076.50 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 3 3 — — $117,766.97 $135,792.53 $126,178.90 2026-07-15
7 MS_DRG Lung Transplant 2 2 — — $117,969.44 $126,957.59 $122,463.51 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 2 2 — — $109,476.69 $117,817.77 $113,647.23 2026-07-15
Q0480 HCPCS Driver Pneumatic Vad Rep 3 3 — — $103,998.51 $119,916.65 $111,426.98 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $103,226.68 $111,091.57 $107,159.12 2026-07-15
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 3 3 — — $96,234.37 $110,964.12 $103,108.26 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $93,704.13 $108,046.60 $100,397.28 2026-07-15
212 MS_DRG Testes Procedures Age 0-17 3 3 — — $92,453.46 $106,604.50 $99,057.28 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $93,923.18 $101,079.23 $97,501.20 2026-07-15
J9226 HCPCS Histrelin Acetate (cpp) 50 Mg Sc Kit 19 10 $119,503.00 $83,652.10 30% off $23,900.60 $107,552.70 $92,614.82 2026-07-15
215 MS_DRG Other Heart Assist System Implant 3 3 — — $84,656.12 $97,613.69 $90,702.98 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $83,175.04 $95,905.91 $89,116.11 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 3 — — $76,601.16 $88,325.83 $82,072.67 2026-07-15
38240 CPT Transplt Allo Hct/donor 3 3 — — $73,643.32 $84,915.25 $78,903.56 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 3 3 — — $73,624.55 $84,893.61 $78,883.45 2026-07-15
C9293 HCPCS Glucarpidase 1000 Units IV Solr 16 10 $94,298.00 $66,008.60 30% off $18,859.60 $84,868.20 $77,748.70 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 3 — — $71,672.45 $82,642.72 $76,791.91 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 3 3 — — $71,447.14 $82,382.93 $76,550.51 2026-07-15
A9543 HCPCS Ibritumomab Tiuxetan For Y-90 3.2 Mg/2ml IV Kit 19 10 $95,726.00 $67,008.20 30% off $19,145.20 $86,153.40 $74,187.65 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 — — $66,901.88 $77,141.97 $71,680.59 2026-07-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 3 3 — — $66,103.61 $76,221.51 $70,825.29 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $65,282.22 $75,274.40 $69,945.24 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 3 3 — — $65,000.80 $74,949.90 $69,643.71 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 3 — — $64,785.69 $74,701.87 $69,413.24 2026-07-15
10 MS_DRG Pancreas Transplant 2 2 — — $65,366.82 $70,347.14 $67,856.98 2026-07-15
J9029 HCPCS Instill Adstiladrin Tx Dose 3 3 — — $62,075.43 $71,576.78 $66,509.39 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $61,373.77 $70,767.72 $65,757.61 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 3 — — $60,983.52 $70,317.73 $65,339.49 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 3 — — $60,659.59 $69,944.22 $64,992.42 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 3 — — $60,623.88 $69,903.05 $64,954.16 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 3 — — $58,765.31 $67,760.00 $62,962.83 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 3 — — $58,477.08 $67,427.66 $62,654.02 2026-07-15
A9604 HCPCS Samarium Sm 153 Lexidronam 1850 Mbq/ml IV Soln 19 10 $79,818.00 $55,872.60 30% off $4,228.61 $71,836.20 $61,858.95 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $57,228.96 $65,988.50 $61,316.75 2026-07-15
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 3 — — $56,849.77 $65,551.26 $60,910.46 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 3 — — $56,808.11 $65,503.22 $60,865.83 2026-07-15
33276 CPT Insj Phrnc Nrv Stim Sys 3 3 — — $56,034.08 $64,610.73 $60,036.52 2026-07-15
0266T CPT Implt/rpl Crtd Sns Dev Total 3 3 — — $56,034.08 $64,610.73 $60,036.52 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $55,904.32 $64,461.11 $59,897.49 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $55,904.32 $64,461.11 $59,897.49 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $55,701.12 $64,226.81 $59,679.77 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 3 — — $54,708.92 $63,082.73 $58,616.70 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 2 2 — — $54,016.42 $58,131.95 $56,074.18 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 3 3 — — $52,104.70 $60,079.91 $55,826.47 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 3 — — $52,044.34 $60,010.31 $55,761.79 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 3 — — $51,545.26 $59,434.84 $55,227.07 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 3 3 — — $51,083.59 $58,902.51 $54,732.42 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 3 — — $51,069.14 $58,885.85 $54,716.94 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 3 3 — — $50,699.30 $58,459.39 $54,320.67 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 3 3 — — $50,532.65 $58,267.24 $54,142.13 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 3 — — $49,895.84 $57,532.96 $53,459.83 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 3 — — $49,863.53 $57,495.71 $53,425.21 2026-07-15
8 MS_DRG Simultaneous Pancreas/kidney Transplant 2 2 — — $51,054.93 $54,944.83 $52,999.88 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 3 — — $49,032.87 $56,537.90 $52,535.22 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $48,719.99 $56,177.13 $52,199.99 2026-07-15
213 MS_DRG Splenectomy Age 0-17 3 3 — — $48,521.04 $55,947.73 $51,986.83 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $48,458.12 $55,875.18 $51,919.42 2026-07-15
48100103 OTHER Hc Perq Closure Pv Leak Intl Device Aortic Valve 16 10 $62,505.00 $43,753.50 30% off $12,501.00 $56,254.50 $51,535.37 2026-07-15
48100147 OTHER Hc Peri-device Leak Repair 16 10 $62,505.00 $43,753.50 30% off $12,501.00 $56,254.50 $51,535.37 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 2 2 — — $49,485.37 $53,255.68 $51,370.53 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $47,799.21 $55,115.41 $51,213.43 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $47,324.78 $54,568.37 $50,705.13 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 3 3 — — $46,957.49 $54,144.86 $50,311.60 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 3 3 — — $46,676.07 $53,820.36 $50,010.07 2026-07-15
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg IV Solr 19 10 $64,458.00 $45,120.60 30% off $212.56 $58,012.20 $49,954.95 2026-07-15
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 3 3 — — $46,511.13 $53,630.18 $49,833.35 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 3 3 — — $46,444.81 $53,553.71 $49,762.30 2026-07-15
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 3 3 — — $46,371.69 $53,469.40 $49,683.95 2026-07-15
L7181 HCPCS Electronic Elbo Simultaneous 3 3 — — $46,267.04 $53,348.74 $49,571.83 2026-07-15
J9118 HCPCS Calaspargase Pegol-mknl 3750 Unit/5ml IV Soln 19 10 $63,314.00 $44,319.80 30% off $80.44 $56,982.60 $49,068.35 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $45,340.38 $52,280.23 $48,578.98 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 3 3 — — $45,313.17 $52,248.86 $48,549.83 2026-07-15
J1951 HCPCS Leuprolide Acetate (ped)(6mon) 45 Mg Sc Kit 35 10 $59,697.50 $41,788.25 30% off $138.17 $57,650.40 $48,426.34 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 3 — — $45,008.79 $51,897.89 $48,223.71 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 3 — — $44,860.00 $51,726.33 $48,064.29 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 — — $44,257.20 $51,031.26 $47,418.43 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 3 3 — — $44,180.68 $50,943.03 $47,336.44 2026-07-15
75000134 OTHER Hc Histotripsy Malignant Tissue W/img Gdn 16 10 $57,373.00 $40,161.10 30% off $11,474.60 $51,635.70 $47,304.04 2026-07-15
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 3 3 — — $43,582.20 $50,252.95 $46,695.22 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $42,852.64 $49,411.72 $45,913.55 2026-07-15
L7180 HCPCS Electronic Elbow Sequential 3 3 — — $42,617.37 $49,140.43 $45,661.47 2026-07-15
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 3 3 — — $42,403.73 $48,894.09 $45,432.57 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 3 — — $42,063.64 $48,501.95 $45,068.19 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 — — $41,988.82 $48,415.68 $44,988.02 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 3 — — $41,845.13 $48,250.00 $44,834.07 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $41,670.84 $48,049.03 $44,647.33 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 — — $41,054.43 $47,338.27 $43,986.89 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 2 2 — — $42,240.61 $45,458.94 $43,849.78 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 3 — — $40,846.98 $47,099.07 $43,764.62 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 3 3 — — $40,477.14 $46,672.62 $43,368.36 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 3 — — $39,972.11 $46,090.29 $42,827.26 2026-07-15
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 3 3 — — $39,922.69 $46,033.31 $42,774.31 2026-07-15
0408T CPT Insj/rplc Cardiac Modulj Sys 3 3 — — $39,922.69 $46,033.31 $42,774.31 2026-07-15
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 3 3 — — $39,922.69 $46,033.31 $42,774.31 2026-07-15
33249 CPT Insj/rplcmt Defib W/lead(s) 3 3 — — $39,922.69 $46,033.31 $42,774.31 2026-07-15
33231 CPT Insrt Pulse Gen W/mult Leads 3 3 — — $39,922.69 $46,033.31 $42,774.31 2026-07-15
0571T CPT Insj/rplcmt Icds Ss Eltrd 3 3 — — $39,922.69 $46,033.31 $42,774.31 2026-07-15
33270 CPT Ins/rep Subq Defibrillator 3 3 — — $39,922.69 $46,033.31 $42,774.31 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $39,890.49 $45,996.17 $42,739.81 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 — — $39,771.46 $45,858.92 $42,612.27 2026-07-15
69930 CPT Implant Cochlear Device 3 3 — — $39,606.72 $45,668.97 $42,435.77 2026-07-15
J9266 HCPCS Pegaspargase 750 Unit/ml Ij Soln 19 10 $54,517.00 $38,161.90 30% off $10,903.40 $49,065.30 $42,250.68 2026-07-15
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg IV Solr 19 10 $54,499.00 $38,149.30 30% off $2,644.09 $49,049.10 $42,236.72 2026-07-15
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 3 — — $39,267.28 $45,277.57 $42,072.08 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 — — $39,080.23 $45,061.90 $41,871.67 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 3 — — $38,980.75 $44,947.20 $41,765.09 2026-07-15
245 MS_DRG Aicd Generator Procedures 3 3 — — $38,790.30 $44,727.60 $41,561.04 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 3 — — $38,673.83 $44,593.29 $41,436.24 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 3 — — $38,656.82 $44,573.68 $41,418.02 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 3 3 — — $38,505.48 $44,399.18 $41,255.87 2026-07-15
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 3 3 — — $38,371.91 $44,245.16 $41,112.76 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 3 3 — — $38,105.03 $43,937.43 $40,826.82 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 3 — — $38,093.98 $43,924.69 $40,814.98 2026-07-15
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 3 3 — — $37,945.34 $43,753.30 $40,655.73 2026-07-15
61886 CPT Implant Neurostim Arrays 3 3 — — $37,945.34 $43,753.30 $40,655.73 2026-07-15
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 3 3 — — $37,945.34 $43,753.30 $40,655.73 2026-07-15
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 3 3 — — $37,945.34 $43,753.30 $40,655.73 2026-07-15
64568 CPT Opn Impltj Crnl Nrv Nea&pg 3 3 — — $37,945.34 $43,753.30 $40,655.73 2026-07-15
0268T CPT Implt/rpl Crtd Sns Dev Gen 3 3 — — $37,945.34 $43,753.30 $40,655.73 2026-07-15
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 3 3 — — $37,945.34 $43,753.30 $40,655.73 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 3 — — $37,944.34 $43,752.15 $40,654.65 2026-07-15
J9281 HCPCS Mitomycin 80 (2 X 40) Mg Ul Solr (urogel) 19 10 $52,394.00 $36,675.80 30% off $312.16 $47,154.60 $40,605.35 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 3 — — $37,348.34 $43,064.92 $40,016.08 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 3 3 — — $36,792.29 $42,423.77 $39,420.32 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 3 — — $36,498.97 $42,085.55 $39,106.04 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 3 3 — — $36,264.31 $41,814.97 $38,854.62 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 3 — — $36,056.01 $41,574.78 $38,631.44 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 3 — — $35,906.37 $41,402.24 $38,471.11 2026-07-15
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 3 3 — — $35,845.15 $41,331.66 $38,405.52 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 3 — — $35,827.30 $41,311.07 $38,386.39 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 3 — — $35,722.72 $41,190.49 $38,274.34 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 3 3 — — $35,680.21 $41,141.47 $38,228.80 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 3 — — $35,613.89 $41,065.00 $38,157.74 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 3 3 — — $35,476.16 $40,906.18 $38,010.17 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 3 3 — — $35,450.65 $40,876.77 $37,982.84 2026-07-15
33289 CPT Tcat Impl Wrls P-art Prs Snr 3 3 — — $35,398.61 $40,816.76 $37,927.08 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 3 — — $35,309.52 $40,714.03 $37,831.62 2026-07-15
J9600 HCPCS Porfimer Sodium 75 Mg IV Solr 19 10 $48,613.00 $34,029.10 30% off $9,722.60 $43,751.70 $37,675.08 2026-07-15
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 3 3 — — $35,075.71 $40,444.44 $37,581.11 2026-07-15
791 MS_DRG Prematurity With Major Problems 3 3 — — $34,510.31 $39,792.50 $36,975.33 2026-07-15
C9760 HCPCS Non-blind Interatrial Shunt 3 3 — — $34,243.30 $39,484.62 $36,689.25 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $34,182.98 $39,415.07 $36,624.62 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 3 3 — — $33,873.50 $39,058.22 $36,293.04 2026-07-15
L8701 HCPCS Ewh S/d Uprt Micro Sensor 3 3 — — $33,598.75 $38,741.42 $35,998.66 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $33,259.64 $38,350.40 $35,635.33 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 3 3 — — $33,109.15 $38,176.88 $35,474.09 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 3 — — $32,909.35 $37,946.50 $35,260.02 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 3 3 — — $32,860.04 $37,889.64 $35,207.19 2026-07-15
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 3 3 — — $32,828.58 $37,853.37 $35,173.48 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 3 3 — — $32,642.39 $37,638.67 $34,973.98 2026-07-15
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 3 3 — — $31,993.67 $36,890.66 $34,278.93 2026-07-15
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 3 3 — — $31,854.23 $36,729.88 $34,129.54 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 3 — — $31,778.56 $36,642.63 $34,048.46 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 3 — — $31,775.16 $36,638.71 $34,044.82 2026-07-15
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 3 3 — — $31,685.89 $36,535.77 $33,949.17 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 3 3 — — $31,507.35 $36,329.90 $33,757.87 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 3 3 — — $31,229.32 $36,009.32 $33,459.99 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 3 3 — — $31,216.57 $35,994.62 $33,446.33 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 3 3 — — $30,850.13 $35,572.09 $33,053.71 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 3 — — $30,826.32 $35,544.64 $33,028.20 2026-07-15
332 MS_DRG Rectal Resection With Mcc 3 3 — — $30,783.81 $35,495.62 $32,982.65 2026-07-15
265 MS_DRG Aicd Lead Procedures 3 3 — — $30,762.56 $35,471.11 $32,959.88 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 3 — — $30,708.14 $35,408.37 $32,901.58 2026-07-15
0275 RC — 976 10 $48,952.00 $34,266.40 30% off $404.40 $101,770.20 $32,859.00 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $30,662.23 $35,355.43 $32,852.39 2026-07-15
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Sc Sosy 19 10 $42,254.00 $29,577.80 30% off $124.90 $38,028.60 $32,746.85 2026-07-15
93654 CPT Compre Ep Eval Tx Vt 3 3 — — $30,547.33 $35,222.94 $32,729.28 2026-07-15
93656 CPT Compre Ep Eval Abltj Atr Fib 3 3 — — $30,547.33 $35,222.94 $32,729.28 2026-07-15
93653 CPT Compre Ep Eval Tx Svt 3 3 — — $30,547.33 $35,222.94 $32,729.28 2026-07-15
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 3 3 — — $30,461.58 $35,124.06 $32,637.41 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 3 3 — — $30,391.01 $35,042.70 $32,561.80 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 3 — — $30,360.40 $35,007.40 $32,529.00 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 — — $30,315.34 $34,955.44 $32,480.72 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 3 — — $30,289.83 $34,926.03 $32,453.39 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 3 3 — — $30,260.93 $34,892.70 $32,422.42 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 3 — — $30,236.27 $34,864.27 $32,396.00 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 3 — — $29,983.76 $34,573.11 $32,125.45 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 3 — — $29,922.54 $34,502.52 $32,059.86 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 3 3 — — $29,658.12 $34,197.63 $31,776.56 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 3 3 — — $29,650.47 $34,188.81 $31,768.36 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 3 3 — — $29,514.44 $34,031.95 $31,622.61 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 3 — — $29,371.60 $33,867.25 $31,469.57 2026-07-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 3 3 — — $29,235.57 $33,710.40 $31,323.82 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $29,148.84 $33,610.40 $31,230.90 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 3 — — $29,006.01 $33,445.70 $31,077.86 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 3 — — $28,967.75 $33,401.59 $31,036.87 2026-07-15
652 MS_DRG Kidney Transplant 2 2 — — $29,419.03 $31,660.48 $30,539.75 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 3 3 — — $28,402.35 $32,749.65 $30,431.09 2026-07-15
L6700 HCPCS Ue Add Ext Power Myoel 3 3 — — $28,352.93 $32,692.66 $30,378.14 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 3 3 — — $28,085.22 $32,383.98 $30,091.31 2026-07-15
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 3 3 — — $28,017.36 $32,305.73 $30,018.60 2026-07-15
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 3 3 — — $28,017.36 $32,305.73 $30,018.60 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 3 3 — — $27,990.00 $32,274.18 $29,989.28 2026-07-15
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 3 3 — — $27,986.60 $32,270.26 $29,985.64 2026-07-15
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 3 3 — — $27,949.73 $32,227.75 $29,946.14 2026-07-15
0916T CPT Insj Perm Ccm-d Sys Pg Only 3 3 — — $27,949.73 $32,227.75 $29,946.14 2026-07-15
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 3 3 — — $27,949.73 $32,227.75 $29,946.14 2026-07-15
0409T CPT Insj/rplc Car Modulj Pls Gn 3 3 — — $27,949.73 $32,227.75 $29,946.14 2026-07-15
0515T CPT Insj Wcs Lv Compl Sys 3 3 — — $27,949.73 $32,227.75 $29,946.14 2026-07-15
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 3 3 — — $27,949.73 $32,227.75 $29,946.14 2026-07-15
33240 CPT Insrt Pulse Gen W/singl Lead 3 3 — — $27,949.73 $32,227.75 $29,946.14 2026-07-15
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 3 3 — — $27,949.73 $32,227.75 $29,946.14 2026-07-15
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 3 3 — — $27,949.73 $32,227.75 $29,946.14 2026-07-15
33230 CPT Insrt Pulse Gen W/dual Leads 3 3 — — $27,949.73 $32,227.75 $29,946.14 2026-07-15
J9144 HCPCS Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln 19 10 $38,614.00 $27,029.80 30% off $54.46 $34,752.60 $29,925.85 2026-07-15
J9228 HCPCS Ipilimumab 200 Mg/40ml IV Soln 35 10 $58,341.00 $40,838.70 30% off $179.81 $75,276.90 $29,736.90 2026-07-15
L5856 HCPCS Elec Knee-shin Swing/stance 3 3 — — $27,719.81 $31,962.64 $29,699.80 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 3 — — $27,655.86 $31,888.90 $29,631.28 2026-07-15
L6880 HCPCS Elec Hand Ind Art Digits 3 3 — — $27,588.92 $31,811.71 $29,559.56 2026-07-15
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 3 3 — — $27,534.28 $31,748.71 $29,501.02 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 3 3 — — $27,503.67 $31,713.42 $29,468.22 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 3 — — $27,465.41 $31,669.30 $29,427.23 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 3 3 — — $27,437.36 $31,636.95 $29,397.17 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 3 3 — — $27,383.79 $31,575.19 $29,339.78 2026-07-15
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg IV Solr 19 10 $37,754.00 $26,427.80 30% off $231.89 $33,978.60 $29,259.35 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 3 3 — — $27,295.37 $31,473.23 $29,245.04 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 3 — — $27,145.73 $31,300.69 $29,084.71 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 3 — — $27,095.57 $31,242.85 $29,030.97 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 3 3 — — $27,069.21 $31,212.46 $29,002.73 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 3 — — $27,014.80 $31,149.72 $28,944.43 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 3 3 — — $26,907.67 $31,026.19 $28,829.65 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 3 — — $26,866.86 $30,979.13 $28,785.92 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 3 3 — — $26,790.34 $30,890.90 $28,703.94 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 3 3 — — $26,777.59 $30,876.20 $28,690.27 2026-07-15
J3357 HCPCS Ustekinumab 45 Mg/0.5ml Sc Sosy 35 10 $47,699.50 $33,389.65 30% off $146.41 $57,232.80 $28,626.30 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 3 3 — — $26,714.67 $30,803.65 $28,622.86 2026-07-15
0680T CPT Insj/rplcmt Pg Only Isdss 3 3 — — $26,702.29 $30,789.38 $28,609.60 2026-07-15
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 3 3 — — $26,702.29 $30,789.38 $28,609.60 2026-07-15
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 3 3 — — $26,702.29 $30,789.38 $28,609.60 2026-07-15
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 3 3 — — $26,702.29 $30,789.38 $28,609.60 2026-07-15
64580 CPT Opn Impltj Nea Neuromuscular 3 3 — — $26,702.29 $30,789.38 $28,609.60 2026-07-15
63655 CPT Implant Neuroelectrodes 3 3 — — $26,702.29 $30,789.38 $28,609.60 2026-07-15
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 3 3 — — $26,702.29 $30,789.38 $28,609.60 2026-07-15
61885 CPT Insrt/redo Neurostim 1 Array 3 3 — — $26,702.29 $30,789.38 $28,609.60 2026-07-15
665 MS_DRG Prostatectomy With Mcc 3 3 — — $26,536.98 $30,598.76 $28,432.47 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $26,481.71 $30,535.04 $28,373.26 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 3 3 — — $26,434.95 $30,481.12 $28,323.16 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 3 3 — — $26,029.40 $30,013.49 $27,888.64 2026-07-15
263 MS_DRG Vein Ligation And Stripping 3 3 — — $25,994.54 $29,973.29 $27,851.29 2026-07-15
J7180 HCPCS Factor Xiii Concentrate Human 1000-1600 Units IV Kit 19 10 $35,857.00 $25,099.90 30% off $10.54 $32,271.30 $27,789.18 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 3 — — $25,788.79 $29,736.05 $27,630.84 2026-07-15
J9298 HCPCS Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 19 10 $35,627.00 $24,938.90 30% off $193.87 $32,064.30 $27,610.92 2026-07-15
510 MS_DRG Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc 3 3 — — $25,680.81 $29,611.54 $27,515.15 2026-07-15
625 MS_DRG Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 3 3 — — $25,677.41 $29,607.62 $27,511.51 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 3 3 — — $25,649.35 $29,575.27 $27,481.45 2026-07-15
J2327 HCPCS Risankizumab-rzaa 600 Mg/10ml IV Soln 19 10 $35,385.00 $24,769.50 30% off $14.64 $31,846.50 $27,423.38 2026-07-15
J1440 HCPCS Fecal Microbiota, Live-jslm 150 Ml Re Susp 19 10 $35,358.00 $24,750.60 30% off $62.56 $31,822.20 $27,402.45 2026-07-15
173 MS_DRG Urethral Procedures Age 0-17 3 3 — — $25,305.86 $29,179.21 $27,113.42 2026-07-15
54405 CPT Insert Multi-comp Penis Pros 3 3 — — $25,063.85 $28,900.15 $26,854.12 2026-07-15
54411 CPT Remov/replc Penis Pros Comp 3 3 — — $25,063.85 $28,900.15 $26,854.12 2026-07-15
54401 CPT Insert Self-contd Prosthesis 3 3 — — $25,063.85 $28,900.15 $26,854.12 2026-07-15
54416 CPT Remv/repl Penis Contain Pros 3 3 — — $25,063.85 $28,900.15 $26,854.12 2026-07-15
53444 CPT Insert Tandem Cuff 3 3 — — $25,063.85 $28,900.15 $26,854.12 2026-07-15
53445 CPT Insert Uro/ves Nck Sphincter 3 3 — — $25,063.85 $28,900.15 $26,854.12 2026-07-15
53447 CPT Remove/replace Ur Sphincter 3 3 — — $25,063.85 $28,900.15 $26,854.12 2026-07-15
54410 CPT Remove/replace Penis Prosth 3 3 — — $25,063.85 $28,900.15 $26,854.12 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 3 3 — — $25,048.25 $28,882.16 $26,837.41 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 3 3 — — $25,031.24 $28,862.55 $26,819.19 2026-07-15
570 MS_DRG Skin Debridement With Mcc 3 3 — — $25,005.74 $28,833.14 $26,791.86 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 3 3 — — $24,826.34 $28,626.29 $26,599.65 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 3 — — $24,760.87 $28,550.80 $26,529.51 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 — — $24,673.30 $28,449.83 $26,435.68 2026-07-15
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 3 3 — — $24,658.00 $28,432.18 $26,419.28 2026-07-15
J9043 HCPCS Cabazitaxel 60 Mg/6 Ml IV Soln 19 10 $34,002.00 $23,801.40 30% off $222.73 $30,601.80 $26,351.55 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 3 3 — — $24,549.17 $28,306.69 $26,302.68 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 3 3 — — $24,537.27 $28,292.97 $26,289.93 2026-07-15
13 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 3 3 — — $24,501.56 $28,251.79 $26,251.67 2026-07-15
0D160J9 OTHER Bypass Stomach To Duodenum With Synthetic Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160JA OTHER Bypass Stomach To Jejunum With Synthetic Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160JB OTHER Bypass Stomach To Ileum With Synthetic Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160J4 OTHER Bypass Stomach To Cutaneous With Synthetic Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160K9 OTHER Bypass Stomach To Duodenum With Nonautologous Tissue Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D16079 OTHER Bypass Stomach To Duodenum With Autologous Tissue Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D1607A OTHER Bypass Stomach To Jejunum With Autologous Tissue Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D1607B OTHER Bypass Stomach To Ileum With Autologous Tissue Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D16074 OTHER Bypass Stomach To Cutaneous With Autologous Tissue Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D1607L OTHER Bypass Stomach To Transverse Colon With Autologous Tissue Substitute Open Approa… 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
0D160JL OTHER Bypass Stomach To Transverse Colon With Synthetic Substitute Open Approach 3 1 — — $26,200.00 $26,200.00 $26,200.00 2026-07-15
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