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

UCH-MEMORIAL HEALTH SYSTEM

Colorado Springs, CO · CCN 060022 · Rates published

Your selected procedure

You selected 93306 (CPT)

HB RADIANT CCL-ECHO TTE 2-D +/-M MODE CMPLT W DOP PEDS

This hospital’s price: $1,729 across 26 payers · range $360-$5,445

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8077/460796114-1750940987_uchmhs_standardcharges.csv · observed 2025-11-01

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

19,997 distinct procedures filed
26 distinct payers
1,206,083 rate rows
2025-11-01 last MRF observed
Data quality

1,199,899 of 1,206,083 rate rows are consumer-grade (99.5%)

6,184 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
per-diem day rate — not a per-procedure price 2,227
placeholder amount (≤ $0.02) — excluded from medians 2,078
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,286
exceeds 10× this hospital's gross charge — excluded from medians 229
template filing: same amount across many unrelated codes — excluded 150
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 126
percent-of-charges filed in the dollar field — excluded from medians 88
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8077/460796114-1750940987_uchmhs_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/MemorialHospitalNorth/8077
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-11
Content fingerprint 96b050590bd70a20… · 280,040,902 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 9 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,316,462.59 $3,316,462.59 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $3,248,445.72 $3,248,445.72 $3,248,445.72 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 9 $2,945,740.00 $2,945,740.00 $2,945,740.00 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $2,455,110.61 $2,455,110.61 $2,455,110.61 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $770,620.00 $1,926,550.00 $770,620.00 nat. median
$813,967
0.9× median
C9301
HCPCS 		Drugs 1 $695,625.00 $695,625.00 $695,625.00 nat. median
$377,029
1.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $591,726.20 $1,446,927.80 $591,726.20 nat. median
$621,313
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 $341,083.26 $1,348,814.76 $579,469.99 nat. median
$168,055
outlier · 3.4×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $565,868.95 $1,382,923.25 $565,868.95 nat. median
$599,737
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $562,538.19 $1,291,105.73 $562,538.19 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $557,317.93 $1,319,056.15 $557,317.93 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $533,230.17 $1,257,101.83 $533,230.17 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $489,304.61 $1,223,497.90 $489,304.61 nat. median
$513,770
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $221,710.89 $875,326.52 $376,052.71 nat. median
$186,516
outlier · 2.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $169,159.61 $666,882.87 $286,502.36 nat. median
$131,925
outlier · 2.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 19 $168,172.89 $662,969.12 $284,820.96 nat. median
$145,435
2.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 9 $278,250.00 $278,250.00 $278,250.00 nat. median
$286,598
1.0× median
J3403
HCPCS 		Revakinagene, Per Implant 9 $257,500.00 $257,500.00 $257,500.00 nat. median
$264,195
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 9 $205,640.00 $205,640.00 $205,640.00 nat. median
$207,733
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 19 $110,106.15 $432,648.48 $185,871.94 nat. median
$97,418
1.9× median
7
MS_DRG 		Lung Transplant 19 $103,009.45 $404,499.50 $173,778.73 nat. median
$70,649
outlier · 2.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 19 $95,667.83 $375,379.11 $161,268.20 nat. median
$72,715
outlier · 2.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 $90,264.96 $353,948.77 $152,061.42 nat. median
$65,418
outlier · 2.3×
209
MS_DRG 		Complex Aortic Arch Procedures 19 $90,162.61 $353,542.72 $151,886.98 nat. median
$2,110
outlier · 72.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 $87,819.06 $344,247.18 $147,893.48 nat. median
$2,736
outlier · 54.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 19 $86,660.70 $339,652.51 $143,124.90 nat. median
$74,509
1.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 19 $82,222.50 $322,048.47 $138,356.60 nat. median
$69,922
2.0× median
215
MS_DRG 		Other Heart Assist System Implant 19 $79,438.76 $311,006.90 $133,612.98 nat. median
$73,023
1.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $78,066.99 $305,565.76 $131,275.39 nat. median
$69,822
1.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 8 $80,961.06 $197,466.00 $120,454.26 nat. median
$92,809
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 $71,978.25 $281,414.86 $118,584.36 nat. median
$2,596
outlier · 45.7×
850
MS_DRG 		Acute Leukemia With Other Procedures 19 $69,221.31 $270,479.48 $115,089.08 nat. median
$2,633
outlier · 43.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 19 $67,413.23 $263,307.93 $113,120.83 nat. median
$60,505
1.9× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 2 $113,052.63 $130,676.78 $113,052.63 nat. median
$7,098
outlier · 15.9×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 $67,204.58 $262,480.20 $112,765.22 nat. median
$59,651
1.9× median
90288
CPT 		Botulism Ig IV 1 $112,021.50 $112,021.50 $112,021.50 nat. median
$43,548
outlier · 2.6×
E0194NU
OTHER 		Other Outpatient 1 $104,733.73 $115,986.11 $110,359.92 nat. median
$14,403
outlier · 7.7×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 9 $110,139.19 $267,999.81 $110,139.19 nat. median
$108,243
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 $62,994.74 $245,781.97 $105,591.43 nat. median
$56,428
1.9× median
J9347
HCPCS 		Tremelimumab-actl 20 Mg/ml Intravenous Solution 26 $140.90 $147,359.15 $105,019.34 nat. median
$355
outlier · 296.1×
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit 26 $45,020.65 $179,569.93 $104,713.45 nat. median
$57,036
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 $61,494.61 $239,831.70 $103,035.11 nat. median
$55,923
1.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 $61,233.95 $238,797.82 $102,590.94 nat. median
$55,935
1.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 $61,034.72 $238,007.58 $102,251.44 nat. median
$52,327
2.0× median
C2616
HCPCS 		Hb Brachy Tx Ns Spheres Yt-90 26 $17,485.10 $162,208.76 $99,307.81 nat. median
$22,121
outlier · 4.5×
A9543
HCPCS 		Hb Radiant-yttriumy90ibritumomabtiuxetan/dose To 40 Mci 26 $1,316.00 $455,340.47 $96,973.87 nat. median
$65,477
1.5× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 $57,874.59 $225,472.97 $96,866.39 nat. median
$9,905
outlier · 9.8×

Other procedures at this hospital

Browse this hospital's 19,997 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 18 9 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2025-11-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 18 9 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2025-11-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 18 9 — — $3,316,462.59 $3,316,462.59 $3,316,462.59 2025-11-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 18 9 — — $3,248,445.72 $3,248,445.72 $3,248,445.72 2025-11-01
J3393 HCPCS Inj, Betibeglogene Autotemce 18 9 — — $2,945,740.00 $2,945,740.00 $2,945,740.00 2025-11-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 18 9 — — $2,455,110.61 $2,455,110.61 $2,455,110.61 2025-11-01
J3392 HCPCS Inj, Exagamglogene Autotem 18 9 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2025-11-01
Q2057 HCPCS Afamitresgene Autoleucel 22 9 — — $770,620.00 $1,926,550.00 $770,620.00 2025-11-01
C9301 HCPCS Drugs 4 1 — — $695,625.00 $695,625.00 $695,625.00 2025-11-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 22 9 — — $591,726.20 $1,446,927.80 $591,726.20 2025-11-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 58 19 — — $341,083.26 $1,348,814.76 $579,469.99 2025-11-01
Q2056 HCPCS Ciltacabtagene Car-pos T 26 9 — — $565,868.95 $1,382,923.25 $565,868.95 2025-11-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 26 9 — — $562,538.19 $1,291,105.73 $562,538.19 2025-11-01
Q2055 HCPCS Idecabtagene Vicleucel Car 22 9 — — $557,317.93 $1,319,056.15 $557,317.93 2025-11-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 26 9 — — $533,230.17 $1,257,101.83 $533,230.17 2025-11-01
Q2053 HCPCS Brexucabtagene Car Pos T 26 9 — — $489,304.61 $1,223,497.90 $489,304.61 2025-11-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 58 19 — — $221,710.89 $875,326.52 $376,052.71 2025-11-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 58 19 — — $169,159.61 $666,882.87 $286,502.36 2025-11-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 58 19 — — $168,172.89 $662,969.12 $284,820.96 2025-11-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 18 9 — — $278,250.00 $278,250.00 $278,250.00 2025-11-01
J3403 HCPCS Revakinagene, Per Implant 18 9 — — $257,500.00 $257,500.00 $257,500.00 2025-11-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 18 9 — — $205,640.00 $205,640.00 $205,640.00 2025-11-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 58 19 — — $110,106.15 $432,648.48 $185,871.94 2025-11-01
7 MS_DRG Lung Transplant 58 19 — — $103,009.45 $404,499.50 $173,778.73 2025-11-01
14 MS_DRG Allogeneic Bone Marrow Transplant 58 19 — — $95,667.83 $375,379.11 $161,268.20 2025-11-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 58 19 — — $90,264.96 $353,948.77 $152,061.42 2025-11-01
209 MS_DRG Complex Aortic Arch Procedures 58 19 — — $90,162.61 $353,542.72 $151,886.98 2025-11-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 58 19 — — $87,819.06 $344,247.18 $147,893.48 2025-11-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 45 19 — — $86,660.70 $339,652.51 $143,124.90 2025-11-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 58 19 — — $82,222.50 $322,048.47 $138,356.60 2025-11-01
215 MS_DRG Other Heart Assist System Implant 58 19 — — $79,438.76 $311,006.90 $133,612.98 2025-11-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 19 — — $78,066.99 $305,565.76 $131,275.39 2025-11-01
J7330 HCPCS Cultured Chondrocytes Implnt 18 8 — — $80,961.06 $197,466.00 $120,454.26 2025-11-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 49 19 — — $71,978.25 $281,414.86 $118,584.36 2025-11-01
850 MS_DRG Acute Leukemia With Other Procedures 48 19 — — $69,221.31 $270,479.48 $115,089.08 2025-11-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 58 19 — — $67,413.23 $263,307.93 $113,120.83 2025-11-01
A9699 HCPCS Radiopharm Rx Agent Noc 6 2 — — $113,052.63 $130,676.78 $113,052.63 2025-11-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 19 — — $67,204.58 $262,480.20 $112,765.22 2025-11-01
90288 CPT Botulism Ig IV 2 1 — — $112,021.50 $112,021.50 $112,021.50 2025-11-01
E0194NU OTHER Other Outpatient 4 1 — — $104,733.73 $115,986.11 $110,359.92 2025-11-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 22 9 — — $110,139.19 $267,999.81 $110,139.19 2025-11-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 58 19 — — $62,994.74 $245,781.97 $105,591.43 2025-11-01
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 136 26 $207,548.10 $93,396.65 55% off $140.90 $147,359.15 $105,019.34 2025-11-01
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 107 26 $252,915.40 $113,811.93 55% off $45,020.65 $179,569.93 $104,713.45 2025-11-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 19 — — $61,494.61 $239,831.70 $103,035.11 2025-11-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 58 19 — — $61,233.95 $238,797.82 $102,590.94 2025-11-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 58 19 — — $61,034.72 $238,007.58 $102,251.44 2025-11-01
C2616 HCPCS Hb Brachy Tx Ns Spheres Yt-90 136 26 $180,231.96 $81,104.39 55% off $17,485.10 $162,208.76 $99,307.81 2025-11-01
A9543 HCPCS Hb Radiant-yttriumy90ibritumomabtiuxetan/dose To 40 Mci 136 26 $188,116.14 $84,652.27 55% off $1,316.00 $455,340.47 $96,973.87 2025-11-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 58 19 — — $57,874.59 $225,472.97 $96,866.39 2025-11-01
10 MS_DRG Pancreas Transplant 58 19 — — $57,536.76 $224,132.99 $96,290.72 2025-11-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 58 19 — — $57,513.14 $224,039.28 $96,250.46 2025-11-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 58 19 — — $57,213.12 $222,849.23 $95,739.20 2025-11-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 58 19 — — $57,180.04 $222,718.04 $95,682.84 2025-11-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 18 9 — — $93,216.70 $93,216.70 $93,216.70 2025-11-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 58 19 — — $55,458.61 $215,890.07 $92,749.44 2025-11-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 58 19 — — $55,191.67 $214,831.21 $92,294.54 2025-11-01
C2624 HCPCS Hb Wireless Pulm Artery Pressure Sensor 178 26 $242,656.08 $109,195.24 55% off $22,025.90 $218,390.47 $92,209.31 2025-11-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 58 19 — — $54,035.64 $210,245.91 $90,324.63 2025-11-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 58 19 — — $53,684.45 $208,852.83 $89,726.14 2025-11-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 58 19 — — $53,645.85 $208,699.78 $89,660.39 2025-11-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 19 — — $52,808.76 $205,379.50 $88,233.95 2025-11-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 58 19 — — $52,620.56 $204,632.98 $87,913.24 2025-11-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 19 — — $52,808.76 $205,379.50 $86,544.10 2025-11-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 58 19 — — $51,701.57 $200,987.85 $86,347.24 2025-11-01
K0606NUKF OTHER Other Outpatient 4 1 — — $81,045.56 $89,752.93 $85,399.24 2025-11-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 58 19 — — $49,289.56 $191,420.57 $82,237.00 2025-11-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 58 19 — — $49,233.63 $191,198.81 $82,141.72 2025-11-01
28 MS_DRG Spinal Procedures With Mcc 58 19 — — $48,343.80 $187,669.25 $80,625.38 2025-11-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 19 — — $47,987.86 $186,257.43 $80,018.84 2025-11-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 45 19 — — $48,771.39 $189,365.31 $79,795.94 2025-11-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 58 19 — — $5,377.00 $185,645.22 $79,755.83 2025-11-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 58 19 — — $47,724.85 $185,214.18 $79,570.64 2025-11-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 49 19 — — $48,330.41 $187,616.15 $79,058.87 2025-11-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 58 19 — — $47,243.68 $183,305.72 $78,750.74 2025-11-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 58 19 — — $47,213.77 $183,187.03 $78,699.75 2025-11-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 58 19 — — $46,444.39 $180,135.37 $77,388.71 2025-11-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 58 19 — — $45,970.34 $178,255.02 $76,580.89 2025-11-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 58 19 — — $45,912.08 $178,023.88 $76,481.59 2025-11-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 58 19 — — $45,301.77 $175,603.17 $75,441.62 2025-11-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 49 19 — — $46,154.61 $178,985.92 $75,422.21 2025-11-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 58 19 — — $45,164.75 $175,059.68 $75,208.13 2025-11-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 58 19 — — $44,862.39 $173,860.26 $74,692.84 2025-11-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 58 19 — — $44,522.19 $172,510.91 $74,113.14 2025-11-01
38240 CPT Hb Bmt/pbsct Allogeneic Infusion 136 26 $146,090.00 $65,740.50 55% off $5,967.00 $103,723.90 $73,921.54 2025-11-01
834 MS_DRG Acute Leukemia With Mcc 58 19 — — $44,261.52 $171,477.03 $73,668.97 2025-11-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 58 19 — — $44,108.76 $170,871.07 $73,408.64 2025-11-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 58 19 — — $44,047.34 $170,627.43 $73,303.97 2025-11-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 58 19 — — $43,979.62 $170,358.81 $73,188.57 2025-11-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 58 19 — — $43,807.95 $169,677.89 $72,896.03 2025-11-01
C1823 HCPCS Hb Xper-zoll Generator & Stimulator Leads Remede 118 26 $127,677.00 $57,454.65 55% off $29,531.69 $114,909.30 $72,220.49 2025-11-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 19 — — $43,024.42 $166,570.01 $71,560.84 2025-11-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 58 19 — — $42,999.21 $166,470.06 $71,517.90 2025-11-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 58 19 — — $42,717.29 $165,351.84 $71,037.50 2025-11-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 58 19 — — $42,579.49 $164,805.23 $70,802.67 2025-11-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 36 15 — — $63,342.28 $158,089.03 $70,681.24 2025-11-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 58 19 — — $42,021.15 $162,590.67 $69,851.26 2025-11-01
653 MS_DRG Major Bladder Procedures With Mcc 58 19 — — $41,950.29 $162,309.55 $69,730.49 2025-11-01
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 136 26 $135,148.40 $60,816.78 55% off $28,424.06 $95,955.36 $69,246.92 2025-11-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 19 — — $39,787.10 $153,729.30 $68,224.60 2025-11-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 18 9 — — $67,452.66 $67,452.66 $67,452.66 2025-11-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 58 19 — — $39,989.48 $154,532.04 $66,389.16 2025-11-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 19 — — $40,720.26 $157,430.65 $66,339.11 2025-11-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 58 19 — — $39,920.19 $154,257.17 $66,271.07 2025-11-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 46 15 — — $55,272.32 $142,542.75 $65,974.03 2025-11-01
0908T CPT Hb Open Impltj Int Neurostimulation Sys Vagus Nerve 108 26 $127,937.00 $57,571.65 55% off $1,549.00 $90,835.27 $65,951.52 2025-11-01
0909T CPT Hb Replacement Int Neurostimulation Sys Vagus Nerve 107 25 $127,937.00 $57,571.65 55% off $1,549.00 $90,835.27 $65,951.52 2025-11-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 45 19 — — $40,304.46 $155,781.44 $65,644.16 2025-11-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 48 19 — — $39,625.67 $153,088.98 $65,139.39 2025-11-01
471 MS_DRG Cervical Spinal Fusion With Mcc 58 19 — — $39,054.76 $150,824.44 $64,796.33 2025-11-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 58 19 — — $38,862.61 $150,062.31 $64,468.90 2025-11-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 19 — — $37,399.49 $144,258.85 $64,021.65 2025-11-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 58 19 — — $38,520.06 $148,703.59 $63,885.18 2025-11-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 19 — — $37,976.71 $146,548.37 $62,959.26 2025-11-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 58 19 — — $37,866.45 $146,111.08 $62,771.40 2025-11-01
6 MS_DRG Liver Transplant Without Mcc 58 19 — — $37,545.16 $144,836.70 $62,223.90 2025-11-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 45 19 — — $38,052.30 $146,848.23 $61,879.83 2025-11-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 58 19 — — $37,226.24 $143,571.68 $61,680.43 2025-11-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 33 19 — — $37,134.09 $143,206.23 $61,523.43 2025-11-01
245 MS_DRG Aicd Generator Procedures 58 19 — — $36,957.70 $142,506.56 $61,222.85 2025-11-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 58 19 — — $36,849.83 $142,078.64 $61,039.01 2025-11-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 58 19 — — $36,834.08 $142,016.17 $61,012.17 2025-11-01
163 MS_DRG Major Chest Procedures With Mcc 58 19 — — $36,323.02 $139,989.02 $60,141.27 2025-11-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 58 19 — — $36,174.18 $139,398.68 $59,887.66 2025-11-01
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 166 26 $119,296.80 $53,683.56 55% off $318.53 $87,599.23 $59,648.40 2025-11-01
799 MS_DRG Splenic Procedures With Mcc 49 19 — — $36,693.91 $141,460.19 $59,609.38 2025-11-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 45 19 — — $36,312.77 $139,948.42 $58,972.34 2025-11-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 58 19 — — $35,622.15 $137,209.11 $58,946.98 2025-11-01
33270 CPT Hb Insert/replace S-icd W Subq Lead 138 26 $116,934.00 $52,620.30 55% off $7,160.00 $83,023.14 $58,467.00 2025-11-01
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 136 26 $114,879.05 $51,695.58 55% off $2,698.05 $81,564.13 $58,128.80 2025-11-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 58 19 — — $35,107.15 $135,166.34 $58,069.38 2025-11-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 58 19 — — $34,835.46 $134,088.73 $57,606.43 2025-11-01
140 MS_DRG Major Head And Neck Procedures With Mcc 58 19 — — $34,618.13 $133,226.65 $57,236.06 2025-11-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 58 19 — — $34,425.21 $132,461.39 $56,907.30 2025-11-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 58 19 — — $34,229.90 $131,686.76 $56,574.50 2025-11-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 58 19 — — $34,213.36 $131,621.17 $56,546.32 2025-11-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 58 19 — — $34,116.50 $131,236.98 $56,381.27 2025-11-01
901 MS_DRG Wound Debridements For Injuries With Mcc 58 19 — — $34,077.14 $131,080.80 $56,314.18 2025-11-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 58 19 — — $34,015.71 $130,837.17 $56,209.51 2025-11-01
C1767 HCPCS Hb Or-impl Pain Gen/stimulator (47) 918 26 $136,067.96 $61,230.59 55% off $17,308.59 $225,720.00 $56,161.54 2025-11-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 19 — — $33,888.13 $130,331.16 $55,992.12 2025-11-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 58 19 — — $33,733.80 $129,718.96 $55,729.11 2025-11-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 58 19 — — $33,517.22 $128,859.99 $55,360.08 2025-11-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 46 19 — — $34,286.59 $131,911.65 $55,252.12 2025-11-01
793 MS_DRG Full Term Neonate With Major Problems 46 19 — — $5,377.00 $130,237.46 $54,880.28 2025-11-01
C1882 HCPCS Hb Xper-abbott Generator Crt-d Icd 416 26 $121,360.32 $54,612.15 55% off $21,451.65 $133,816.99 $54,665.51 2025-11-01
791 MS_DRG Prematurity With Major Problems 58 19 — — $5,377.00 $126,782.87 $54,467.72 2025-11-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 58 19 — — $32,690.38 $125,580.32 $53,951.09 2025-11-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 58 19 — — $32,403.75 $124,443.36 $53,462.64 2025-11-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 58 19 — — $31,695.81 $121,635.34 $52,256.27 2025-11-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 19 — — $31,835.19 $122,188.20 $51,991.11 2025-11-01
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 136 26 $102,703.15 $46,216.42 55% off $217.09 $72,919.24 $51,967.79 2025-11-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 58 19 — — $31,510.75 $120,901.31 $51,940.92 2025-11-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 58 19 — — $31,435.95 $120,604.58 $51,813.44 2025-11-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 58 19 — — $31,263.49 $119,920.54 $51,519.57 2025-11-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 58 19 — — $30,533.51 $117,025.05 $50,275.63 2025-11-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 35 19 — — $30,463.42 $116,747.06 $50,156.20 2025-11-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 58 19 — — $30,460.27 $116,734.57 $50,150.83 2025-11-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 48 19 — — $30,662.64 $117,537.31 $50,012.15 2025-11-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 58 19 — — $30,377.58 $116,406.60 $50,009.93 2025-11-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 58 19 — — $30,212.19 $115,750.66 $49,728.13 2025-11-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 58 19 — — $29,954.69 $114,729.28 $49,289.33 2025-11-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 58 19 — — $29,942.89 $114,682.43 $49,269.20 2025-11-01
L7181 HCPCS Electronic Elbo Simultaneous 22 9 — — $48,901.12 $124,740.14 $48,901.12 2025-11-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 58 19 — — $29,581.44 $113,248.74 $48,653.27 2025-11-01
332 MS_DRG Rectal Resection With Mcc 58 19 — — $29,542.06 $113,092.56 $48,586.17 2025-11-01
265 MS_DRG Aicd Lead Procedures 58 19 — — $29,522.36 $113,014.48 $48,552.63 2025-11-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 58 19 — — $29,471.98 $112,814.57 $48,466.74 2025-11-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 58 19 — — $29,429.45 $112,645.90 $48,394.28 2025-11-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 58 19 — — $29,243.61 $111,908.76 $48,077.59 2025-11-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 58 19 — — $29,178.25 $111,649.51 $47,966.22 2025-11-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 58 19 — — $29,149.91 $111,537.06 $47,917.91 2025-11-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 58 19 — — $29,108.17 $111,371.52 $47,846.79 2025-11-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 58 19 — — $29,084.55 $111,277.81 $47,806.53 2025-11-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 58 19 — — $29,057.77 $111,171.61 $47,760.90 2025-11-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 45 19 — — $29,603.48 $113,336.20 $47,758.32 2025-11-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 38 19 — — $29,034.94 $111,081.03 $47,721.99 2025-11-01
L8614 HCPCS Hb Or Impl Ear Cochlear Complete (38) 631 26 $120,337.56 $54,151.91 55% off $3,638.44 $132,573.56 $47,528.28 2025-11-01
C1735 HCPCS Hb Xper-medtronic Symplicity Spyral Catheter 118 26 $94,763.06 $42,643.38 55% off $21,918.70 $67,281.77 $47,381.53 2025-11-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 58 19 — — $28,801.05 $110,153.35 $47,323.45 2025-11-01
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 136 26 $93,332.50 $41,999.63 55% off $136.67 $66,266.08 $47,226.24 2025-11-01
252 MS_DRG Other Vascular Procedures With Mcc 58 19 — — $28,499.45 $108,957.05 $46,809.50 2025-11-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 58 19 — — $28,492.35 $108,928.94 $46,797.42 2025-11-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 50 19 — — $28,744.34 $109,928.46 $46,774.58 2025-11-01
33276 CPT Hb Insertion Phrenic Nerve Stimulator System 136 26 $90,449.00 $40,702.05 55% off $6,934.00 $64,218.79 $46,626.46 2025-11-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 58 19 — — $28,366.36 $108,429.18 $46,582.72 2025-11-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 58 19 — — $28,234.09 $107,904.43 $46,357.28 2025-11-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 58 19 — — $28,108.07 $107,404.67 $46,142.57 2025-11-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 19 — — $28,027.76 $107,086.07 $46,005.70 2025-11-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 58 19 — — $27,895.47 $106,561.33 $45,780.26 2025-11-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 58 19 — — $27,860.01 $106,420.77 $45,719.87 2025-11-01
264 MS_DRG Other Circulatory System O.r. Procedures 58 19 — — $27,336.36 $104,343.64 $44,827.51 2025-11-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 32 19 — — $26,392.96 $100,601.69 $44,646.73 2025-11-01
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 136 26 $87,814.80 $39,516.66 55% off $359.19 $62,348.51 $44,434.29 2025-11-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 58 19 — — $27,042.63 $103,178.58 $44,326.98 2025-11-01
33249 CPT Hb Insrt/repl Dfib W Leads Sngl/dual Chmb 138 26 $85,881.00 $38,646.45 55% off $7,160.00 $106,080.00 $44,271.65 2025-11-01
37 MS_DRG Extracranial Procedures With Mcc 58 19 — — $26,954.43 $102,828.74 $44,176.69 2025-11-01
C1820 HCPCS Hb Or Impl Pain Rech Stim/chgr (18) 889 26 $115,281.36 $51,876.62 55% off $1,871.20 $137,629.76 $43,677.82 2025-11-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 58 19 — — $26,532.34 $101,154.55 $43,457.43 2025-11-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 58 19 — — $26,503.98 $101,042.10 $43,409.12 2025-11-01
652 MS_DRG Kidney Transplant 58 19 — — $26,461.45 $100,873.43 $43,336.66 2025-11-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 50 19 — — $26,951.27 $102,816.25 $43,325.36 2025-11-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 58 19 — — $26,442.58 $100,798.47 $43,304.45 2025-11-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 58 19 — — $26,311.06 $100,276.84 $43,080.36 2025-11-01
L7180 HCPCS Electronic Elbow Sequential 22 9 — — $42,853.91 $109,314.55 $42,853.91 2025-11-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 49 19 — — $26,644.95 $101,601.21 $42,813.35 2025-11-01
C1772 HCPCS Hb Or Impl Pain Gen/stimulator (35) 293 26 $95,056.56 $42,775.46 55% off $19,647.58 $90,101.48 $42,798.20 2025-11-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 58 19 — — $26,126.00 $99,542.82 $42,765.01 2025-11-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 58 19 — — $26,101.58 $99,445.99 $42,723.41 2025-11-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 58 19 — — $26,051.21 $99,246.09 $42,637.53 2025-11-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 46 19 — — $26,468.56 $100,901.54 $42,518.52 2025-11-01
500 MS_DRG Soft Tissue Procedures With Mcc 58 19 — — $25,951.99 $98,852.53 $42,468.45 2025-11-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 58 19 — — $25,914.17 $98,702.60 $42,404.04 2025-11-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 58 19 — — $25,843.31 $98,421.49 $42,283.27 2025-11-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 58 19 — — $25,831.47 $98,374.63 $42,263.14 2025-11-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 58 19 — — $25,773.21 $98,143.49 $42,163.84 2025-11-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 49 19 — — $26,172.47 $99,727.11 $42,023.63 2025-11-01
C1722 HCPCS Hb Device Icd Maximo 298 26 $96,023.76 $43,210.70 55% off $15,692.25 $112,758.93 $41,971.38 2025-11-01
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 178 26 $134,141.05 $60,363.48 55% off $149.40 $95,240.15 $41,932.49 2025-11-01
665 MS_DRG Prostatectomy With Mcc 58 19 — — $25,608.64 $97,490.68 $41,883.38 2025-11-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 58 19 — — $25,557.44 $97,287.65 $41,796.16 2025-11-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 58 19 — — $25,514.14 $97,115.86 $41,722.35 2025-11-01
33903 CPT Hb Perq P-art Revsc St 1st Abnormal Connj Bilateral 133 26 $81,063.00 $36,478.35 55% off $7,160.00 $57,554.73 $41,504.26 2025-11-01
662 MS_DRG Minor Bladder Procedures With Mcc 58 19 — — $25,138.51 $95,625.95 $41,082.27 2025-11-01
93654 CPT Hb Radiant Ccl-ep Eval With Ablation Ventricular Tachycardia 140 26 $81,174.00 $36,528.30 55% off $7,160.00 $57,633.54 $41,074.04 2025-11-01
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 136 26 $81,085.85 $36,488.64 55% off $33.89 $57,570.95 $41,029.44 2025-11-01
263 MS_DRG Vein Ligation And Stripping 58 19 — — $25,106.22 $95,497.89 $41,027.25 2025-11-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 58 19 — — $24,915.66 $94,742.00 $40,702.51 2025-11-01
33240 CPT Hb Radiant Ccl-insert Dfib Pulse Gen Only W Exist Sngl Lead 140 26 $79,003.00 $35,551.35 55% off $7,160.00 $57,307.00 $40,587.79 2025-11-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 58 19 — — $24,815.64 $94,345.32 $40,532.09 2025-11-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 58 19 — — $24,812.50 $94,332.82 $40,526.72 2025-11-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 58 19 — — $24,786.51 $94,229.75 $40,482.44 2025-11-01
0520T CPT Hb Radiant Ccl-rmvl&rplcmt Pg Wcs Lv Pacg Battery Compnt Only 138 26 $78,006.00 $35,102.70 55% off $7,160.00 $57,307.00 $40,212.10 2025-11-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 58 19 — — $24,468.36 $92,967.85 $39,940.31 2025-11-01
C1721 HCPCS Hb Xper-abbott Icd Dual Cell 418 26 $93,992.17 $42,296.48 55% off $15,897.10 $96,351.35 $39,924.85 2025-11-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 42 14 — — $31,465.08 $120,720.15 $39,707.98 2025-11-01
472 MS_DRG Cervical Spinal Fusion With Cc 58 19 — — $24,229.77 $92,021.43 $39,533.72 2025-11-01
93581 CPT Hb Perq Trnscath Clo Vent Septal Defec 136 26 $78,079.00 $35,135.55 55% off $7,160.00 $55,436.09 $39,507.97 2025-11-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 58 19 — — $24,214.02 $91,958.96 $39,506.88 2025-11-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 22 9 — — $39,482.40 $100,714.24 $39,482.40 2025-11-01
570 MS_DRG Skin Debridement With Mcc 58 19 — — $24,190.40 $91,865.26 $39,466.62 2025-11-01
668 MS_DRG Transurethral Procedures With Mcc 58 19 — — $24,024.23 $91,206.20 $39,183.48 2025-11-01
33264 CPT Hb Radiant Ccl-remv&replc Cvd Gen Mult Lead 138 26 $76,007.00 $34,203.15 55% off $7,160.00 $57,307.00 $39,181.61 2025-11-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 58 19 — — $23,963.60 $90,965.69 $39,080.15 2025-11-01
37231 CPT Hb Revsc Opn/prq Tib/pero W/stnt/athr/angiop Sm Vsl 140 26 $77,222.00 $34,749.90 55% off $7,160.00 $54,827.62 $39,074.33 2025-11-01
E0766RRKF OTHER Other Outpatient 4 1 — — $37,000.44 $40,975.70 $38,988.07 2025-11-01
E0766 HCPCS Elec Stim Cancer Treatment 4 1 — — $37,000.44 $40,975.70 $38,988.07 2025-11-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 58 19 — — $23,882.47 $90,643.97 $38,941.94 2025-11-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 58 19 — — $23,868.32 $90,587.75 $38,917.78 2025-11-01
974 MS_DRG HIV With Major Related Condition With Mcc 58 19 — — $23,756.50 $90,144.21 $38,727.23 2025-11-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 58 19 — — $23,723.44 $90,013.02 $38,670.87 2025-11-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 58 19 — — $23,632.08 $89,650.70 $38,515.21 2025-11-01
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 136 26 $75,821.70 $34,119.77 55% off $197.83 $53,833.41 $38,365.78 2025-11-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 58 19 — — $23,476.95 $89,035.37 $38,250.86 2025-11-01
93580 CPT Hb Radiant Ccl-perq Trnscath Clo Interatrial Cmnct 138 26 $74,361.00 $33,462.45 55% off $7,160.00 $52,796.31 $38,072.83 2025-11-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 58 19 — — $20,833.00 $90,187.94 $38,003.96 2025-11-01
654 MS_DRG Major Bladder Procedures With Cc 58 19 — — $23,073.75 $87,436.14 $37,563.81 2025-11-01
E0764NUKF OTHER Other Outpatient 4 1 — — $35,615.62 $39,442.10 $37,528.86 2025-11-01
503 MS_DRG Foot Procedures With Mcc 58 19 — — $23,009.17 $87,180.01 $37,453.77 2025-11-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 58 19 — — $22,857.98 $86,580.30 $37,196.13 2025-11-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 33 19 — — $22,741.44 $86,118.02 $36,997.52 2025-11-01
800 MS_DRG Splenic Procedures With Cc 45 19 — — $23,153.29 $87,751.61 $36,977.32 2025-11-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 58 19 — — $22,675.29 $85,855.64 $36,884.81 2025-11-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 58 19 — — $22,669.77 $85,833.78 $36,875.41 2025-11-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 58 19 — — $22,557.95 $85,390.24 $36,684.86 2025-11-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 58 19 — — $22,455.58 $84,984.19 $36,510.42 2025-11-01
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 136 26 $72,006.20 $32,402.79 55% off $227.28 $51,124.40 $36,435.13 2025-11-01
849 MS_DRG Radiotherapy 58 19 — — $22,366.60 $84,631.23 $36,358.78 2025-11-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 58 19 — — $22,340.62 $84,528.16 $36,314.50 2025-11-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 58 19 — — $22,271.33 $84,253.29 $36,196.41 2025-11-01
E0483NU OTHER Other Outpatient 4 1 — — $34,214.93 $37,890.91 $36,052.92 2025-11-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 58 19 — — $21,976.81 $83,085.10 $35,694.54 2025-11-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 58 19 — — $21,798.85 $82,379.19 $35,391.27 2025-11-01
33263 CPT Hb Remv&replc Cvd Gen Dual Lead 138 26 $68,329.00 $30,748.05 55% off $7,160.00 $106,080.00 $35,223.60 2025-11-01
0266T CPT Op Surgery 44 15 — — $637.96 $45,224.60 $35,215.50 2025-11-01
J1628 HCPCS Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution 136 26 $69,569.35 $31,306.21 55% off $75.97 $49,394.24 $35,202.10 2025-11-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 108 26 $103,510.35 $46,579.66 55% off $59.41 $73,492.35 $34,976.15 2025-11-01
K0864NU OTHER Other Outpatient 4 1 — — $33,187.40 $36,752.98 $34,970.19 2025-11-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 46 19 — — $21,903.57 $82,794.61 $34,888.51 2025-11-01
253 MS_DRG Other Vascular Procedures With Cc 58 19 — — $21,469.67 $81,073.57 $34,830.36 2025-11-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 58 19 — — $21,445.26 $80,976.74 $34,788.76 2025-11-01
33230 CPT Hb Insert Dfib Pulse Gen Only W Exist Dual Lead 158 26 $82,042.00 $36,918.90 55% off $378.00 $58,249.82 $34,737.00 2025-11-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 58 19 — — $21,368.88 $80,673.76 $34,658.59 2025-11-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 58 19 — — $21,340.52 $80,561.31 $34,610.28 2025-11-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 58 19 — — $21,249.19 $80,198.99 $34,454.62 2025-11-01
33289 CPT Hb Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 138 26 $66,694.00 $30,012.30 55% off $7,160.00 $57,307.00 $34,380.75 2025-11-01
L8701 HCPCS Ewh S/d Uprt Micro Sensor 18 9 — — $34,284.44 $34,284.44 $34,284.44 2025-11-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 48 19 — — $21,340.52 $80,561.31 $34,278.85 2025-11-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 58 19 — — $21,134.20 $79,742.96 $34,258.71 2025-11-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 58 19 — — $21,038.92 $79,365.01 $34,096.34 2025-11-01
93656 CPT Hb Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation 142 26 $66,245.00 $29,810.25 55% off $7,160.00 $47,033.95 $33,917.44 2025-11-01
164 MS_DRG Major Chest Procedures With Cc 58 19 — — $20,905.84 $78,837.14 $33,869.56 2025-11-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 58 19 — — $20,897.18 $78,802.78 $33,854.80 2025-11-01
93653 CPT Hb Radiant Ccl-ep Eval With Ablation Supravent Arrhythmia 138 26 $67,351.00 $30,307.95 55% off $7,160.00 $47,819.21 $33,675.50 2025-11-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 33 19 — — $20,653.06 $77,834.50 $33,438.81 2025-11-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 37 19 — — $21,001.12 $79,215.08 $33,380.15 2025-11-01
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 136 26 $65,925.40 $29,666.43 55% off $127.45 $46,807.03 $33,358.25 2025-11-01
545 MS_DRG Connective Tissue Disorders With Mcc 58 19 — — $20,572.74 $77,515.90 $33,301.93 2025-11-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 58 19 — — $20,395.56 $76,813.11 $33,000.00 2025-11-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 58 19 — — $20,390.05 $76,791.25 $32,990.61 2025-11-01
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