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

VAIL HEALTH HOSPITAL

Vail, CO · CCN 060096 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Echocardiograph Cmplt Bbl

This hospital’s price: $662 across 11 payers · range $202-$3,382

Source: https://www.vailhealth.org/wp-content/uploads/2026/08/840563230_vail-health_standardcharges.csv · observed 2026-08-05

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.

32,622 distinct procedures filed
44 distinct payers
1,094,353 rate rows
2026-08-05 last MRF observed
Data quality

1,090,252 of 1,094,353 rate rows are consumer-grade (99.6%)

4,101 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-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,390
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 538
placeholder amount (≤ $0.02) — excluded from medians 92
exceeds 10× this hospital's gross charge — excluded from medians 75
exceeds 3× this hospital's gross charge for a DRG stay — excluded 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.vailhealth.org/wp-content/uploads/2026/08/840563230_vail-health_standardcharges.csv
Found on page https://www.vailhealth.org/patients-and-visitors/estimate-your-cost-of-care/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-16
Content fingerprint 5ddfedaf0390ffaa… · 185,122,735 bytes · first seen 2026-08-17

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
J0225
HCPCS 		71336-1003-01 - Vutrisiran 25 Mg/0.5 Ml Sol 11 $122,734.17 $544,102.65 $412,561.35 nat. median
$8,223
outlier · 50.2×
5029117
OTHER 		71336-1003-01 - Vutrisiran 25 Mg/0.5 Ml Sol 17 $4,935.21 $284,009.63 $242,753.49 nat. median
$242,753
1.0× median
611
APR_DRG 		611-neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 $149,055.23 $156,948.86 $153,809.88 nat. median
$44,908
outlier · 3.4×
215
MS_DRG 		215-other Heart Assist System Implant 4 $144,157.28 $151,467.39 $146,297.66 nat. median
$93,917
1.6× median
427
MS_DRG 		427-multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical… 4 $138,432.79 $146,109.65 $143,187.46 nat. median
$63,648
outlier · 2.2×
428
MS_DRG 		428-multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical… 4 $122,126.53 $129,470.60 $126,881.19 nat. median
$50,590
outlier · 2.5×
277
MS_DRG 		277-cardiac Defibrillator Implant Without Mcc 4 $118,746.52 $126,021.62 $123,501.19 nat. median
$44,167
outlier · 2.8×
253
MS_DRG 		253-other Vascular Procedures With Cc 4 $114,437.88 $121,625.05 $119,192.55 nat. median
$24,944
outlier · 4.8×
231
APR_DRG 		231-major Large Bowel Procedures 4 $100,674.86 $128,236.91 $113,173.51 nat. median
$14,832
outlier · 7.6×
275
MS_DRG 		275-cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 $106,299.35 $108,468.72 $106,299.35 nat. median
$66,649
1.6× median
430
MS_DRG 		430-combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 $91,897.85 $98,625.02 $96,652.52 nat. median
$51,243
1.9× median
628
MS_DRG 		628-other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 $84,864.84 $91,448.47 $89,619.50 nat. median
$35,287
outlier · 2.5×
466
MS_DRG 		466-revision Of Hip Or Knee Replacement With Mcc 4 $83,280.10 $89,831.38 $88,034.75 nat. median
$46,420
1.9× median
790
MS_DRG 		790-extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 $83,672.42 $90,413.42 $86,138.79 nat. median
$50,905
1.7× median
427
APR_DRG 		427-thyroid Disorders 4 $57,483.25 $109,810.43 $82,548.74 nat. median
$8,553
outlier · 9.7×
622
MS_DRG 		622-skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic D… 4 $75,383.99 $81,774.14 $80,138.66 nat. median
$33,647
outlier · 2.4×
224
APR_DRG 		224-peritoneal Adhesiolysis 4 $48,915.70 $107,841.98 $77,300.42 nat. median
$40,053
1.9× median
402
MS_DRG 		402-single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 $72,076.78 $78,399.43 $76,831.44 nat. median
$36,896
outlier · 2.1×
227
APR_DRG 		227-hernia Procedures Except Inguinal, Femoral And Umbilical 4 $74,848.13 $76,375.64 $74,848.13 nat. median
$18,664
outlier · 4.0×
448
MS_DRG 		448-multiple Level Spinal Fusion Except Cervical Without Mcc 4 $69,528.67 $75,799.31 $74,283.32 nat. median
$39,085
1.9× median
223
APR_DRG 		223-other Small And Large Bowel Procedures 4 $68,735.10 $79,387.65 $73,267.50 nat. median
$19,740
outlier · 3.7×
317
APR_DRG 		317-tendon, Muscle And Other Soft Tissue Procedures 4 $45,611.95 $101,716.05 $72,646.84 nat. median
$17,471
outlier · 4.2×
901
MS_DRG 		901-wound Debridements For Injuries With Mcc 4 $62,562.52 $67,919.92 $66,561.52 nat. median
$39,679
1.7× median
356
MS_DRG 		356-other Digestive System O.r. Procedures With Mcc 4 $65,487.45 $66,823.93 $65,487.45 nat. median
$40,230
1.6× median
5028787
OTHER 		15054-1060-04 - Lanreotide 60 Mg/0.2 Ml Sol 16 $47,685.39 $72,250.59 $64,341.05 nat. median
$64,341
1.0× median
791
MS_DRG 		791-prematurity With Major Problems 4 $60,511.20 $61,746.12 $60,511.20 nat. median
$34,598
1.7× median
228
APR_DRG 		228-inguinal, Femoral And Umbilical Hernia Procedures 4 $46,971.91 $75,260.60 $60,363.65 nat. median
$14,759
outlier · 4.1×
463
APR_DRG 		463-kidney And Urinary Tract Infections 4 $29,259.14 $86,701.65 $57,113.38 nat. median
$8,985
outlier · 6.4×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 16 $43,261.35 $61,801.93 $55,036.25 nat. median
$71,201
0.8× median
614
APR_DRG 		614-neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condi… 4 $49,370.20 $55,229.44 $54,124.85 nat. median
$28,040
1.9× median
939
MS_DRG 		939-o.r. Procedures With Diagnoses Of Other Contact With Health Services With Mc… 4 $54,093.34 $55,197.29 $54,093.34 nat. median
$32,127
1.7× median
503
MS_DRG 		503-foot Procedures With Mcc 4 $48,284.96 $54,122.06 $53,039.62 nat. median
$25,947
outlier · 2.0×
271
MS_DRG 		271-other Major Cardiovascular Procedures With Cc 4 $53,016.99 $54,098.97 $53,016.99 nat. median
$34,048
1.6× median
451
MS_DRG 		451-single Level Spinal Fusion Except Cervical Without Mcc 4 $48,158.51 $52,055.90 $51,014.78 nat. median
$30,029
1.7× median
264
MS_DRG 		264-other Circulatory System O.r. Procedures 4 $49,801.36 $50,817.71 $49,801.36 nat. median
$31,243
1.6× median
4876955
OTHER 		25682-0028-01 - Ravulizumab 100 Mg/ml Sol 17 $221.75 $57,552.76 $49,192.46 nat. median
$49,192
1.0× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 $36,638.84 $129,495.63 $49,035.44 nat. median
$55,188
0.9× median
245
APR_DRG 		245-inflammatory Bowel Disease 4 $27,481.08 $69,403.92 $47,748.46 nat. median
$9,965
outlier · 4.8×
242
MS_DRG 		242-permanent Cardiac Pacemaker Implant With Mcc 4 $47,597.96 $48,569.35 $47,597.96 nat. median
$30,994
1.5× median
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 16 $36,388.80 $51,984.00 $46,293.12 nat. median
$21,232
outlier · 2.2×
582
MS_DRG 		Mastectomy For Malignancy With Cc/mcc 16 $35,969.85 $51,385.50 $45,760.14 nat. median
$18,216
outlier · 2.5×
510
MS_DRG 		510-shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mc… 4 $45,029.33 $45,948.30 $45,029.33 nat. median
$27,749
1.6× median
625
APR_DRG 		625-neonate Birth Weight 2000-2499 Grams With Other Significant Condition 4 $45,023.37 $45,942.21 $45,023.37 nat. median
$21,275
outlier · 2.1×
472
MS_DRG 		Cervical Spinal Fusion With Cc 20 $33,144.82 $47,349.74 $43,890.49 nat. median
$28,262
1.6× median
J1303
HCPCS 		25682-0022-01 - Ravulizumab 10 Mg/ml Sol 10 $1,107.34 $80,523.00 $42,637.51 nat. median
$5,631
outlier · 7.6×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 16 $33,413.59 $47,733.70 $42,508.12 nat. median
$52,841
0.8× median
J3241
HCPCS 		75987-0130-15 - Teprotumumab Trbw 500 Mg Rec 11 $31,147.56 $183,954.00 $42,142.19 nat. median
$718
outlier · 58.7×
793
MS_DRG 		793-full Term Neonate With Major Problems 4 $21,209.82 $63,428.59 $41,684.92 nat. median
$33,753
1.2× median
4807912
OTHER 		60809-0801-01 - Pegloticase 8 Mg/ml Sol 17 $3,391.91 $48,587.51 $41,529.54 nat. median
$41,530
1.0× median
420
APR_DRG 		420-diabetes 4 $31,809.19 $51,829.32 $41,300.96 nat. median
$8,148
outlier · 5.1×

Other procedures at this hospital

Browse this hospital's 32,622 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
             
J0225 HCPCS 71336-1003-01 - Vutrisiran 25 Mg/0.5 Ml Sol 16 11 $597,915.00 $448,436.25 25% off $122,734.17 $544,102.65 $412,561.35 2026-08-05
5029117 OTHER 71336-1003-01 - Vutrisiran 25 Mg/0.5 Ml Sol 34 17 $298,957.50 $224,218.13 25% off $4,935.21 $284,009.63 $242,753.49 2026-05-22
611 APR_DRG 611-neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 4 $394,093.78 $394,093.78 $149,055.23 $156,948.86 $153,809.88 2026-08-05
215 MS_DRG 215-other Heart Assist System Implant 4 4 $144,157.28 $144,157.28 $144,157.28 $151,467.39 $146,297.66 2026-08-05
427 MS_DRG 427-multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical… 4 4 $235,327.78 $235,327.78 $138,432.79 $146,109.65 $143,187.46 2026-08-05
428 MS_DRG 428-multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical… 4 4 $231,046.81 $231,046.81 $122,126.53 $129,470.60 $126,881.19 2026-08-05
277 MS_DRG 277-cardiac Defibrillator Implant Without Mcc 4 4 $242,861.58 $242,861.58 $118,746.52 $126,021.62 $123,501.19 2026-08-05
253 MS_DRG 253-other Vascular Procedures With Cc 4 4 $271,968.15 $271,968.15 $114,437.88 $121,625.05 $119,192.55 2026-08-05
231 APR_DRG 231-major Large Bowel Procedures 4 4 $100,674.86 $100,674.86 $100,674.86 $128,236.91 $113,173.51 2026-08-05
275 MS_DRG 275-cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 4 $117,667.18 $117,667.18 $106,299.35 $108,468.72 $106,299.35 2026-08-05
430 MS_DRG 430-combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 4 $164,470.30 $164,470.30 $91,897.85 $98,625.02 $96,652.52 2026-08-05
628 MS_DRG 628-other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 4 $188,152.25 $188,152.25 $84,864.84 $91,448.47 $89,619.50 2026-08-05
466 MS_DRG 466-revision Of Hip Or Knee Replacement With Mcc 4 4 $156,880.11 $156,880.11 $83,280.10 $89,831.38 $88,034.75 2026-08-05
790 MS_DRG 790-extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 4 $83,672.42 $83,672.42 $83,672.42 $90,413.42 $86,138.79 2026-08-05
427 APR_DRG 427-thyroid Disorders 4 4 $57,483.25 $57,483.25 $57,483.25 $109,810.43 $82,548.74 2026-08-05
622 MS_DRG 622-skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic D… 4 4 $171,296.25 $171,296.25 $75,383.99 $81,774.14 $80,138.66 2026-08-05
224 APR_DRG 224-peritoneal Adhesiolysis 4 4 $48,915.70 $48,915.70 $48,915.70 $107,841.98 $77,300.42 2026-08-05
402 MS_DRG 402-single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 4 $155,599.82 $155,599.82 $72,076.78 $78,399.43 $76,831.44 2026-08-05
227 APR_DRG 227-hernia Procedures Except Inguinal, Femoral And Umbilical 4 4 $93,834.26 $93,834.26 $74,848.13 $76,375.64 $74,848.13 2026-08-05
448 MS_DRG 448-multiple Level Spinal Fusion Except Cervical Without Mcc 4 4 $146,058.09 $146,058.09 $69,528.67 $75,799.31 $74,283.32 2026-08-05
223 APR_DRG 223-other Small And Large Bowel Procedures 4 4 $68,735.10 $68,735.10 $68,735.10 $79,387.65 $73,267.50 2026-08-05
317 APR_DRG 317-tendon, Muscle And Other Soft Tissue Procedures 4 4 $45,611.95 $45,611.95 $45,611.95 $101,716.05 $72,646.84 2026-08-05
901 MS_DRG 901-wound Debridements For Injuries With Mcc 4 4 $130,586.20 $130,586.20 $62,562.52 $67,919.92 $66,561.52 2026-08-05
356 MS_DRG 356-other Digestive System O.r. Procedures With Mcc 4 4 $124,479.54 $124,479.54 $65,487.45 $66,823.93 $65,487.45 2026-08-05
5028787 OTHER 15054-1060-04 - Lanreotide 60 Mg/0.2 Ml Sol 32 16 $76,053.25 $57,039.94 25% off $47,685.39 $72,250.59 $64,341.05 2026-05-22
791 MS_DRG 791-prematurity With Major Problems 4 4 $80,872.40 $80,872.40 $60,511.20 $61,746.12 $60,511.20 2026-08-05
228 APR_DRG 228-inguinal, Femoral And Umbilical Hernia Procedures 4 4 $46,971.91 $46,971.91 $46,971.91 $75,260.60 $60,363.65 2026-08-05
463 APR_DRG 463-kidney And Urinary Tract Infections 4 4 $29,259.14 $29,259.14 $29,259.14 $86,701.65 $57,113.38 2026-08-05
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 32 16 $65,054.67 $48,791.00 25% off $43,261.35 $61,801.93 $55,036.25 2026-05-22
614 APR_DRG 614-neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condi… 4 4 $142,186.39 $142,186.39 $49,370.20 $55,229.44 $54,124.85 2026-08-05
939 MS_DRG 939-o.r. Procedures With Diagnoses Of Other Contact With Health Services With Mc… 4 4 $73,834.02 $73,834.02 $54,093.34 $55,197.29 $54,093.34 2026-08-05
503 MS_DRG 503-foot Procedures With Mcc 4 4 $128,575.95 $128,575.95 $48,284.96 $54,122.06 $53,039.62 2026-08-05
271 MS_DRG 271-other Major Cardiovascular Procedures With Cc 4 4 $115,916.75 $115,916.75 $53,016.99 $54,098.97 $53,016.99 2026-08-05
451 MS_DRG 451-single Level Spinal Fusion Except Cervical Without Mcc 4 4 $116,003.11 $116,003.11 $48,158.51 $52,055.90 $51,014.78 2026-08-05
264 MS_DRG 264-other Circulatory System O.r. Procedures 4 4 $84,170.35 $84,170.35 $49,801.36 $50,817.71 $49,801.36 2026-08-05
4876955 OTHER 25682-0028-01 - Ravulizumab 100 Mg/ml Sol 34 17 $60,581.85 $45,436.39 25% off $221.75 $57,552.76 $49,192.46 2026-05-22
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 20 $55,096.00 $41,322.00 25% off $36,638.84 $129,495.63 $49,035.44 2026-08-05
245 APR_DRG 245-inflammatory Bowel Disease 4 4 $27,481.08 $27,481.08 $27,481.08 $69,403.92 $47,748.46 2026-08-05
242 MS_DRG 242-permanent Cardiac Pacemaker Implant With Mcc 4 4 $105,532.85 $105,532.85 $47,597.96 $48,569.35 $47,597.96 2026-08-05
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 32 16 $54,720.00 $41,040.00 25% off $36,388.80 $51,984.00 $46,293.12 2026-05-22
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 32 16 $54,090.00 $40,567.50 25% off $35,969.85 $51,385.50 $45,760.14 2026-05-22
510 MS_DRG 510-shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mc… 4 4 $100,695.80 $100,695.80 $45,029.33 $45,948.30 $45,029.33 2026-08-05
625 APR_DRG 625-neonate Birth Weight 2000-2499 Grams With Other Significant Condition 4 4 $69,025.86 $69,025.86 $45,023.37 $45,942.21 $45,023.37 2026-08-05
472 MS_DRG Cervical Spinal Fusion With Cc 36 20 $49,841.83 $37,381.37 25% off $33,144.82 $47,349.74 $43,890.49 2026-08-05
J1303 HCPCS 25682-0022-01 - Ravulizumab 10 Mg/ml Sol 28 10 $61,793.50 $46,345.13 25% off $1,107.34 $80,523.00 $42,637.51 2026-08-05
459 MS_DRG Spinal Fusion Except Cervical With Mcc 32 16 $50,246.00 $37,684.50 25% off $33,413.59 $47,733.70 $42,508.12 2026-05-22
J3241 HCPCS 75987-0130-15 - Teprotumumab Trbw 500 Mg Rec 16 11 $46,488.90 $34,866.68 25% off $31,147.56 $183,954.00 $42,142.19 2026-08-05
793 MS_DRG 793-full Term Neonate With Major Problems 4 4 $21,209.82 $21,209.82 $21,209.82 $63,428.59 $41,684.92 2026-08-05
4807912 OTHER 60809-0801-01 - Pegloticase 8 Mg/ml Sol 34 17 $51,144.75 $38,358.56 25% off $3,391.91 $48,587.51 $41,529.54 2026-05-22
420 APR_DRG 420-diabetes 4 4 $31,809.19 $31,809.19 $31,809.19 $51,829.32 $41,300.96 2026-08-05
208 MS_DRG 208-respiratory System Diagnosis With Ventilator Support <=96 Hours 4 4 $46,569.82 $46,569.82 $40,977.37 $41,813.64 $40,977.37 2026-08-05
321 MS_DRG 321-percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or … 4 4 $99,965.01 $99,965.01 $40,561.44 $41,389.22 $40,561.44 2026-08-05
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 16 $47,627.00 $35,720.25 25% off $31,671.96 $45,245.65 $40,292.44 2026-05-22
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 32 16 $47,367.04 $35,525.28 25% off $31,499.08 $44,998.69 $40,072.52 2026-05-22
4758008 OTHER 50242-0150-01 - Ocrelizumab 300 Mg/10 Ml Sol 34 17 $48,441.05 $36,330.79 25% off $58.76 $46,019.00 $39,334.13 2026-05-22
315 APR_DRG 315-shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 4 4 $133,142.93 $133,142.93 $34,100.81 $39,648.44 $38,855.47 2026-08-05
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 32 16 $45,275.41 $33,956.55 25% off $30,108.14 $43,011.64 $38,302.99 2026-05-22
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 36 20 $43,020.00 $32,265.00 25% off $28,608.30 $58,180.47 $38,287.80 2026-08-05
659 MS_DRG 659-kidney And Ureter Procedures For Non-neoplasm With Mcc 4 4 $68,886.14 $68,886.14 $37,879.50 $38,652.55 $37,879.50 2026-08-05
545 MS_DRG 545-connective Tissue Disorders With Mcc 4 4 $57,003.39 $57,003.39 $36,996.95 $37,751.99 $36,996.95 2026-08-05
608 APR_DRG 608-neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 $147,367.45 $147,367.45 $32,221.42 $37,730.69 $36,976.08 2026-08-05
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 32 16 $43,637.00 $32,727.75 25% off $29,018.61 $41,455.15 $36,916.90 2026-05-22
J2350 HCPCS 50242-0150-01 - Ocrelizumab 300 Mg/10 Ml Sol 16 11 $53,253.70 $39,940.28 25% off $17,172.00 $48,460.87 $36,745.06 2026-08-05
783 MS_DRG 783-cesarean Section With Sterilization With Mcc 4 4 $95,856.90 $95,856.90 $36,600.40 $37,347.35 $36,600.40 2026-08-05
5066512 OTHER 00078-0734-61 - Canakinumab 150 Mg/ml Sol 34 17 $45,062.80 $33,797.10 25% off $124.48 $42,809.66 $36,590.99 2026-05-22
792 MS_DRG 792-prematurity Without Major Problems 4 4 $65,900.06 $65,900.06 $36,512.46 $37,257.61 $36,512.46 2026-08-05
657 MS_DRG 657-kidney And Ureter Procedures For Neoplasm With Cc 4 4 $111,607.80 $111,607.80 $31,654.41 $37,152.12 $36,409.08 2026-08-05
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 32 16 $42,702.05 $32,026.53 25% off $28,396.86 $40,566.94 $36,125.93 2026-05-22
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 36 20 $40,442.20 $30,331.65 25% off $26,894.06 $52,920.32 $35,993.56 2026-08-05
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 36 20 $40,411.69 $30,308.77 25% off $26,873.78 $38,391.11 $35,966.40 2026-08-05
J2507 HCPCS 60809-0801-01 - Pegloticase 8 Mg/ml Sol 16 11 $51,144.75 $38,358.56 25% off $22,397.28 $46,541.72 $35,391.13 2026-08-05
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 32 16 $41,760.00 $31,320.00 25% off $27,770.40 $39,672.00 $35,328.96 2026-05-22
505 MS_DRG 505-foot Procedures Without Cc/mcc 4 4 $109,701.65 $109,701.65 $30,419.08 $35,891.57 $35,173.74 2026-08-05
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 36 20 $43,221.75 $32,416.31 25% off $24,314.79 $41,060.66 $35,052.84 2026-08-05
674 MS_DRG 674-other Kidney And Urinary Tract Procedures With Cc 4 4 $77,264.65 $77,264.65 $34,863.63 $35,575.13 $34,863.63 2026-08-05
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 32 16 $41,032.00 $30,774.00 25% off $27,286.28 $38,980.40 $34,713.07 2026-05-22
357 MS_DRG 357-other Digestive System O.r. Procedures With Cc 4 4 $72,983.11 $72,983.11 $34,668.34 $35,375.86 $34,668.34 2026-08-05
4945007 OTHER 47335-0177-95 - Tildrakizumab 100 Mg/ml Sol 34 17 $42,354.95 $31,766.21 25% off $140.23 $40,237.20 $34,392.22 2026-05-22
471 MS_DRG Cervical Spinal Fusion With Mcc 32 16 $39,899.33 $29,924.50 25% off $26,533.06 $37,904.37 $33,754.83 2026-05-22
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 36 20 $37,919.54 $28,439.65 25% off $25,216.49 $53,647.17 $33,748.39 2026-08-05
5006829 OTHER 50242-0105-01 - Polatuzumab Vedotin 140 Mg Rec 34 17 $41,455.45 $31,091.59 25% off $124.03 $39,382.68 $33,661.83 2026-05-22
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 36 20 $37,707.47 $28,280.61 25% off $25,075.47 $55,516.80 $33,559.65 2026-08-05
522 MS_DRG 522-hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 4 $99,045.57 $99,045.57 $31,570.48 $33,707.58 $33,033.43 2026-08-05
82 MS_DRG 082-traumatic Stupor And Coma >1 Hour With Mcc 4 4 $31,963.15 $31,963.15 $31,963.15 $34,768.89 $33,018.33 2026-08-05
286 MS_DRG 286-circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 4 4 $59,329.52 $59,329.52 $32,988.22 $33,661.45 $32,988.22 2026-08-05
426 APR_DRG 426-non-hypovolemic Sodium Disorders 2 2 $32,757.10 $32,757.10 $32,757.10 $32,757.10 $32,757.10 2026-08-05
250 MS_DRG 250-percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 4 4 $80,158.42 $80,158.42 $32,536.50 $33,200.51 $32,536.50 2026-08-05
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 32 16 $38,410.00 $28,807.50 25% off $25,542.65 $36,489.50 $32,494.86 2026-05-22
629 MS_DRG 629-other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 4 4 $36,420.90 $36,420.90 $32,481.35 $33,144.23 $32,481.35 2026-08-05
4834580 OTHER 75987-0130-15 - Teprotumumab Trbw 500 Mg Rec 34 17 $39,916.75 $29,937.56 25% off $333.90 $37,920.91 $32,412.40 2026-05-22
902 MS_DRG 902-wound Debridements For Injuries With Cc 4 4 $101,521.65 $101,521.65 $28,541.19 $33,049.62 $32,388.63 2026-08-05
J0638 HCPCS 00078-0734-61 - Canakinumab 150 Mg/ml Sol 16 11 $46,883.35 $35,162.51 25% off $16,998.00 $42,663.85 $32,349.51 2026-08-05
4661906 OTHER Kit Implantable Pulse Gen Spinal Stim Senza Rechargeable Nipg2000 32 16 $39,508.50 $29,631.38 25% off $24,771.83 $37,533.08 $32,041.40 2026-05-22
374 MS_DRG 374-digestive Malignancy With Mcc 4 4 $41,844.50 $41,844.50 $31,883.55 $32,534.23 $31,883.55 2026-08-05
243 MS_DRG 243-permanent Cardiac Pacemaker Implant With Cc 4 4 $82,499.84 $82,499.84 $31,767.26 $32,415.57 $31,767.26 2026-08-05
J9298 HCPCS 00003-7125-11 - Nivolumab-relatlimab Rmbw 240 Mg-80 Mg/20 Ml Sol 21 11 $39,788.70 $29,841.53 25% off $3,952.42 $38,992.93 $31,635.18 2026-08-05
336 MS_DRG 336-peritoneal Adhesiolysis With Cc 4 4 $91,539.29 $91,539.29 $31,436.31 $32,077.87 $31,436.31 2026-08-05
506 MS_DRG 506-major Thumb Or Joint Procedures 4 4 $110,070.43 $110,070.43 $26,626.41 $32,021.51 $31,381.08 2026-08-05
J9228 HCPCS 00003-2328-22 - Ipilimumab 5 Mg/ml Sol 31 11 $93,444.75 $70,083.56 25% off $7,836.00 $85,034.72 $31,344.00 2026-08-05
314 APR_DRG 314-foot And Toe Procedures 4 4 $37,155.25 $37,155.25 $31,085.97 $31,720.38 $31,085.97 2026-08-05
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 36 20 $34,560.00 $25,920.00 25% off $22,982.40 $45,892.02 $30,758.40 2026-08-05
4967152 OTHER 00003-7125-11 - Nivolumab-relatlimab Rmbw 240 Mg-80 Mg/20 Ml Sol 32 16 $36,037.85 $27,028.39 25% off $22,595.73 $34,235.96 $30,488.02 2026-05-22
5116519 OTHER Intica Neo 7 Vr-t Dx 429559 34 17 $37,200.00 $27,900.00 25% off $1.00 $35,340.00 $30,132.00 2026-05-22
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 36 20 $33,756.00 $25,317.00 25% off $22,447.74 $56,852.37 $30,042.84 2026-08-05
499 MS_DRG 499-local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Wit… 4 4 $54,703.80 $54,703.80 $30,036.45 $30,649.44 $30,036.45 2026-08-05
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 36 20 $36,450.00 $27,337.50 25% off $24,239.25 $34,627.50 $29,560.95 2026-08-05
539 APR_DRG 539-cesarean Section With Sterilization 4 4 $34,919.37 $34,919.37 $29,364.11 $29,963.38 $29,364.11 2026-08-05
5108210 OTHER 00003-7125-11a - Nivolumab-relatlimab 240 Mg-80 Mg/20 Ml Inj Soln 34 17 $36,037.85 $27,028.39 25% off $187.00 $34,235.96 $29,262.73 2026-05-22
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 32 16 $34,553.75 $25,915.31 25% off $22,978.24 $32,826.06 $29,232.47 2026-05-22
J3245 HCPCS 47335-0177-95 - Tildrakizumab 100 Mg/ml Sol 16 11 $42,354.95 $31,766.21 25% off $11,583.50 $38,543.00 $29,224.92 2026-08-05
4965065 OTHER Defibrillator System Icd Emblem S-icd MRI 9b11 32 16 $36,000.00 $27,000.00 25% off $22,572.00 $34,200.00 $29,196.00 2026-05-22
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 36 20 $32,760.00 $24,570.00 25% off $21,785.40 $34,708.04 $29,156.40 2026-08-05
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 36 20 $32,574.36 $24,430.77 25% off $21,661.95 $41,802.99 $28,991.18 2026-08-05
871 MS_DRG 871-septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 4 4 $50,132.91 $50,132.91 $28,958.61 $29,549.60 $28,958.61 2026-08-05
J9316 HCPCS 50242-0260-01 - Hyaluronidase/pertuzumab/trastuzumab 20,000 Units-600 Mg-600 Mg/… 27 11 $32,784.10 $24,588.08 25% off $10,623.69 $35,904.65 $28,850.01 2026-08-05
261 MS_DRG 261-cardiac Pacemaker Revision Except Device Replacement With Cc 4 4 $65,917.83 $65,917.83 $28,183.40 $28,758.57 $28,183.40 2026-08-05
196 MS_DRG 196-interstitial Lung Disease With Mcc 4 4 $31,762.30 $31,762.30 $28,134.20 $28,708.37 $28,134.20 2026-08-05
95 MS_DRG 095-bacterial And Tuberculous Infections Of Nervous System With Cc 4 4 $17,139.40 $17,139.40 $17,139.40 $39,235.19 $27,794.94 2026-08-05
5015224 OTHER Kit Implantable Pulse Gen Spinal Stim Nipg2500 32 16 $34,087.50 $25,565.63 25% off $21,372.86 $32,383.13 $27,644.97 2026-05-22
205 MS_DRG 205-other Respiratory System Diagnoses With Mcc 4 4 $44,282.32 $44,282.32 $27,296.38 $27,853.45 $27,296.38 2026-08-05
919 MS_DRG 919-complications Of Treatment With Mcc 4 4 $41,891.60 $41,891.60 $27,293.39 $27,850.40 $27,293.39 2026-08-05
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 16 $32,130.00 $24,097.50 25% off $21,366.45 $30,523.50 $27,181.98 2026-05-22
344 APR_DRG 344-osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 4 4 $15,787.90 $15,787.90 $15,787.90 $39,289.94 $27,146.02 2026-08-05
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 32 16 $32,040.00 $24,030.00 25% off $21,306.60 $30,438.00 $27,105.84 2026-05-22
4125505 OTHER Radio Rx Therapy By IV Inf 34 17 $33,265.00 $24,948.75 25% off $240.68 $31,601.75 $27,011.18 2026-05-22
740 APR_DRG 740-mental Illness Diagnosis With O.r. Procedure 4 4 $46,557.85 $46,557.85 $26,977.35 $27,527.91 $26,977.35 2026-08-05
244 MS_DRG 244-permanent Cardiac Pacemaker Implant Without Cc/mcc 4 4 $80,041.20 $80,041.20 $26,946.04 $27,495.96 $26,946.04 2026-08-05
886 MS_DRG 886-behavioral And Developmental Disorders 4 4 $22,643.65 $22,643.65 $22,643.65 $31,569.78 $26,791.01 2026-08-05
4876947 OTHER 50242-0245-01 - Hyaluronidase/pertuzumab/trastuzumab 30,000 Units-1200 Mg-600 Mg… 34 17 $32,784.25 $24,588.19 25% off $65.32 $31,145.04 $26,620.81 2026-05-22
4876943 OTHER 50242-0260-01 - Hyaluronidase/pertuzumab/trastuzumab 20,000 Units-600 Mg-600 Mg/… 34 17 $32,784.10 $24,588.08 25% off $65.32 $31,144.90 $26,620.69 2026-05-22
113 APR_DRG 113-infections Of Upper Respiratory Tract 4 4 $17,934.43 $17,934.43 $17,934.43 $35,765.29 $26,492.21 2026-08-05
371 MS_DRG 371-major Gastrointestinal Disorders And Peritoneal Infections With Mcc 4 4 $55,769.50 $55,769.50 $26,433.21 $26,972.66 $26,433.21 2026-08-05
542 APR_DRG 542-vaginal Delivery With O.r. Procedure Except Sterilization And/or D&c 4 4 $30,166.02 $30,166.02 $26,334.81 $26,872.26 $26,334.81 2026-08-05
180 APR_DRG 180-other Circulatory System Procedures 4 4 $46,854.85 $46,854.85 $26,327.37 $26,864.66 $26,327.37 2026-08-05
180 MS_DRG 180-respiratory Neoplasms With Mcc 4 4 $30,586.67 $30,586.67 $26,327.37 $26,864.66 $26,327.37 2026-08-05
199 MS_DRG 199-pneumothorax With Mcc 4 4 $31,485.88 $31,485.88 $26,299.04 $26,835.76 $26,299.04 2026-08-05
199 APR_DRG 199-hypertension 4 4 $48,605.58 $48,605.58 $26,299.04 $26,835.76 $26,299.04 2026-08-05
322 MS_DRG 322-percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 4 4 $66,490.84 $66,490.84 $26,282.65 $26,819.03 $26,282.65 2026-08-05
322 APR_DRG 322-shoulder And Elbow Joint Replacement 4 4 $67,463.90 $67,463.90 $26,282.65 $26,819.03 $26,282.65 2026-08-05
922 MS_DRG 922-other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 4 4 $31,176.61 $31,176.61 $26,079.90 $26,612.14 $26,079.90 2026-08-05
501 APR_DRG 501-male Reproductive System Diagnoses Except Malignancy 4 4 $68,303.52 $68,303.52 $26,060.51 $26,592.36 $26,060.51 2026-08-05
3636809 OTHER Allograft Condyle Rght Femoral Whole 33547001 32 16 $32,025.00 $24,018.75 25% off $20,079.68 $30,423.75 $25,972.28 2026-05-22
4359552 OTHER Allograft Condyle Left Femoral Whole 33547002 32 16 $32,025.00 $24,018.75 25% off $20,079.68 $30,423.75 $25,972.28 2026-05-22
247 APR_DRG 247-intestinal Obstruction 4 4 $23,266.48 $23,266.48 $23,266.48 $29,047.60 $25,866.57 2026-08-05
207 APR_DRG 207-other Circulatory System Diagnoses 2 2 $25,818.90 $25,818.90 $25,818.90 $25,818.90 $25,818.90 2026-08-05
862 MS_DRG 862-postoperative And Post-traumatic Infections With Mcc 4 4 $23,656.58 $23,656.58 $23,656.58 $27,742.40 $25,422.07 2026-08-05
808 MS_DRG 808-major Hematological And Immunological Diagnoses Except Sickle Cell Crisis An… 4 4 $17,493.90 $17,493.90 $17,493.90 $33,586.91 $25,204.53 2026-08-05
571 MS_DRG 571-skin Debridement With Cc 4 4 $60,883.81 $60,883.81 $25,186.91 $25,700.93 $25,186.91 2026-08-05
J9043 HCPCS 00024-5824-11 - Cabazitaxel 60 Mg/1.5 Ml Sol 16 11 $36,452.00 $27,339.00 25% off $11,043.60 $33,171.32 $25,151.88 2026-08-05
4421246 OTHER Kit Implantable Pulse Gen Spinal Stim Senza Nipg1500 32 16 $30,979.50 $23,234.63 25% off $19,424.15 $29,430.53 $25,124.38 2026-05-22
4965082 OTHER Defibrillator Cardiac W5.37xh8.18cm D0.99cm Is-4 Df-4 Connector Resonate X4 G447 32 16 $30,897.00 $23,172.75 25% off $19,372.42 $29,352.15 $25,057.47 2026-05-22
551 MS_DRG 551-medical Back Problems With Mcc 4 4 $28,525.52 $28,525.52 $24,987.14 $25,497.08 $24,987.14 2026-08-05
4896843 OTHER Freedom-4a Pns System Stq4-rcv-a0 Stq4-spr-b0 And Pdbt-915-2k 2 Waa Assemblies Q… 32 16 $30,750.00 $23,062.50 25% off $19,280.25 $29,212.50 $24,938.25 2026-05-22
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 36 20 $28,004.61 $21,003.46 25% off $18,623.06 $37,367.78 $24,924.11 2026-08-05
J9272 HCPCS 00173-0898-03 - Dostarlimab Gxly 500 Mg/10 Ml Sol 16 11 $30,102.55 $22,576.91 25% off $20,168.71 $29,500.50 $24,771.45 2026-08-05
4965078 OTHER Defibrillator Cardiac W5.37xh8.18cm D0.99cm Is-1 Df-4 G124 32 16 $30,522.00 $22,891.50 25% off $19,137.29 $28,995.90 $24,753.34 2026-05-22
4965079 OTHER Defibrillator Cardiac W5.37xh8.08cm D0.99cm Is-1 Df-1 G125 32 16 $30,522.00 $22,891.50 25% off $19,137.29 $28,995.90 $24,753.34 2026-05-22
4965080 OTHER Defibrillator Cardiac W5.37xh8.08cm D0.99cm Lv-1 G126 32 16 $30,522.00 $22,891.50 25% off $19,137.29 $28,995.90 $24,753.34 2026-05-22
4904947 OTHER Defibrillator Implant Vigilant Implantable X4 Crt-d G247 32 16 $30,522.00 $22,891.50 25% off $19,137.29 $28,995.90 $24,753.34 2026-05-22
4965081 OTHER Defibrillator Cardiac 32cc W5.37xh8.08cm D0.99cm Connector Ra Is-1 Rv Is-1/df-1 … 32 16 $30,522.00 $22,891.50 25% off $19,137.29 $28,995.90 $24,753.34 2026-05-22
698 MS_DRG 698-other Kidney And Urinary Tract Diagnoses With Mcc 4 4 $35,328.72 $35,328.72 $24,663.64 $25,166.98 $24,663.64 2026-08-05
906 MS_DRG Hand Procedures For Injuries 32 16 $29,141.50 $21,856.13 25% off $19,379.10 $27,684.43 $24,653.71 2026-05-22
643 MS_DRG 643-endocrine Disorders With Mcc 4 4 $38,213.88 $38,213.88 $24,539.91 $25,040.72 $24,539.91 2026-08-05
988 MS_DRG 988-non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 4 $53,973.90 $53,973.90 $24,502.64 $25,002.69 $24,502.64 2026-08-05
4880820 OTHER Wavewriter Alpha 32 Ipg Kit Sc-1232 Sc-1232 32 16 $30,150.00 $22,612.50 25% off $18,904.05 $28,642.50 $24,451.65 2026-05-22
4965071 OTHER Defibrillator Cardiac 59.5cc W83.1xh69.1mm D12.7mm 130gm A219 32 16 $30,135.00 $22,601.25 25% off $18,894.65 $28,628.25 $24,439.49 2026-05-22
299 MS_DRG 299-peripheral Vascular Disorders With Mcc 4 4 $84,380.55 $84,380.55 $24,340.14 $24,836.88 $24,340.14 2026-08-05
438 MS_DRG 438-disorders Of Pancreas Except Malignancy With Mcc 4 4 $48,959.55 $48,959.55 $24,302.87 $24,798.85 $24,302.87 2026-08-05
884 MS_DRG 884-organic Disturbances And Intellectual Disability 4 4 $31,828.93 $31,828.93 $23,985.33 $24,474.83 $23,985.33 2026-08-05
4008922 OTHER Defibrillator Ilesto System 400451 32 16 $29,497.50 $22,123.13 25% off $18,494.93 $28,022.63 $23,922.47 2026-05-22
280 MS_DRG 280-acute Myocardial Infarction, Discharged Alive With Mcc 4 4 $50,207.29 $50,207.29 $23,913.77 $24,401.81 $23,913.77 2026-08-05
328 MS_DRG 328-stomach, Esophageal And Duodenal Procedures Without Cc/mcc 4 4 $65,847.25 $65,847.25 $23,886.94 $24,374.43 $23,886.94 2026-08-05
393 MS_DRG 393-other Digestive System Diagnoses With Mcc 4 4 $51,194.15 $51,194.15 $23,842.21 $24,328.79 $23,842.21 2026-08-05
4789800 OTHER 00074-3473-03 - Leuprolide 45 Mg/6 Months Kit 34 17 $29,230.05 $21,922.54 25% off $185.66 $27,768.55 $23,734.80 2026-05-22
4353581 OTHER Stimulator Spine Spectra Implnt Pulse Gen And Charge Kit Sc-1032a 32 16 $29,250.00 $21,937.50 25% off $18,339.75 $27,787.50 $23,721.75 2026-05-22
254 APR_DRG 254-other Digestive System Diagnoses 4 4 $20,642.95 $20,642.95 $20,642.95 $27,103.48 $23,602.18 2026-08-05
C1822 HCPCS Kit Implantable Pulse Gen Spinal Stim Senza Nipg1500 44 9 $30,979.50 $23,234.63 25% off $1,813.86 $35,952.74 $23,520.37 2026-08-05
4184821 OTHER Generator Pulse Precision Spectra Sc-1132 32 16 $28,950.00 $21,712.50 25% off $18,151.65 $27,502.50 $23,478.45 2026-05-22
5065632 OTHER Kit Pulse Generator Implantable Wave Writer Alpha M365sc12320 32 16 $28,950.00 $21,712.50 25% off $18,151.65 $27,502.50 $23,478.45 2026-05-22
4453490 OTHER Generator Pulse Implantable Novi Sc-1160 32 16 $28,950.00 $21,712.50 25% off $18,151.65 $27,502.50 $23,478.45 2026-05-22
4413000 OTHER Stimulator Spine MRI Scs Prcsn Montage Sterile Kit Sc-1200 32 16 $28,950.00 $21,712.50 25% off $18,151.65 $27,502.50 $23,478.45 2026-05-22
4453489 OTHER Generator Pulse Implantable Wave Writer Sc-1140 32 16 $28,950.00 $21,712.50 25% off $18,151.65 $27,502.50 $23,478.45 2026-05-22
513 MS_DRG 513-hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 4 4 $46,997.62 $46,997.62 $23,469.51 $23,948.48 $23,469.51 2026-08-05
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 36 20 $26,277.40 $19,708.05 25% off $17,474.47 $42,166.57 $23,386.89 2026-08-05
917 MS_DRG 917-poisoning And Toxic Effects Of Drugs With Mcc 4 4 $44,198.58 $44,198.58 $23,381.56 $23,858.73 $23,381.56 2026-08-05
487 MS_DRG 487-knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 4 4 $68,963.81 $68,963.81 $23,348.76 $23,825.27 $23,348.76 2026-08-05
177 MS_DRG 177-respiratory Infections And Inflammations With Mcc 4 4 $34,190.42 $34,190.42 $23,296.59 $23,772.03 $23,296.59 2026-08-05
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 36 20 $26,100.00 $19,575.00 25% off $17,356.50 $66,646.66 $23,229.00 2026-08-05
658 MS_DRG 658-kidney And Ureter Procedures For Neoplasm Without Cc/mcc 4 4 $86,237.25 $86,237.25 $23,134.09 $23,606.21 $23,134.09 2026-08-05
4887317 OTHER Wavewriter Alpha 16 Ipg Kit Sc-1216 32 16 $28,500.00 $21,375.00 25% off $17,869.50 $27,075.00 $23,113.50 2026-05-22
133 APR_DRG 133-respiratory Failure 4 4 $13,800.69 $13,800.69 $13,800.69 $32,658.97 $22,903.24 2026-08-05
964 MS_DRG 964-other Multiple Significant Trauma With Cc 4 4 $43,507.43 $43,507.43 $22,847.87 $23,314.15 $22,847.87 2026-08-05
183 MS_DRG 183-major Chest Trauma With Mcc 4 4 $42,923.38 $42,923.38 $22,807.61 $23,273.07 $22,807.61 2026-08-05
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 36 20 $25,560.00 $19,170.00 25% off $16,997.40 $74,311.92 $22,748.40 2026-08-05
351 APR_DRG 351-other Musculoskeletal System And Connective Tissue Diagnoses 4 4 $37,659.21 $37,659.21 $22,727.11 $23,190.93 $22,727.11 2026-08-05
5095709 OTHER 59572-0775-01 - Luspatercept Aamt 75 Mg Rec 34 17 $27,970.70 $20,978.03 25% off $39.98 $26,572.17 $22,712.21 2026-05-22
663 MS_DRG 663-minor Bladder Procedures With Cc 4 4 $70,558.44 $70,558.44 $22,663.00 $23,125.51 $22,663.00 2026-08-05
5105629 OTHER 00173-0898-03 - Dostarlimab Gxly 500 Mg/10 Ml Sol 34 17 $27,815.85 $20,861.89 25% off $232.55 $26,425.06 $22,586.47 2026-05-22
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 32 16 $26,640.00 $19,980.00 25% off $17,715.60 $25,308.00 $22,537.44 2026-05-22
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 36 20 $25,249.62 $18,937.21 25% off $16,790.99 $51,953.17 $22,472.15 2026-08-05
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 36 20 $25,191.69 $18,893.77 25% off $16,752.48 $31,861.85 $22,420.60 2026-08-05
4633253 OTHER Allograft Femoral Medial Bicmpt Right Fresh 43647003 32 16 $27,624.00 $20,718.00 25% off $17,320.25 $26,242.80 $22,403.06 2026-05-22
626 APR_DRG 626-neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other P… 4 4 $25,140.37 $25,140.37 $22,352.92 $22,809.10 $22,352.92 2026-08-05
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 36 20 $25,110.00 $18,832.50 25% off $16,698.15 $47,275.97 $22,347.90 2026-08-05
865 MS_DRG 865-viral Illness With Mcc 4 4 $82,210.20 $82,210.20 $22,336.51 $22,792.36 $22,336.51 2026-08-05
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 36 20 $24,975.00 $18,731.25 25% off $16,608.38 $23,726.25 $22,227.75 2026-08-05
905 MS_DRG 905-skin Grafts For Injuries Without Cc/mcc 4 4 $36,082.80 $36,082.80 $22,114.39 $22,565.70 $22,114.39 2026-08-05
682 MS_DRG 682-renal Failure With Mcc 4 4 $50,833.75 $50,833.75 $22,078.61 $22,529.19 $22,078.61 2026-08-05
750 APR_DRG 750-schizophrenia 4 4 $35,189.89 $35,189.89 $22,001.09 $22,450.09 $22,001.09 2026-08-05
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 36 20 $24,638.00 $18,478.50 25% off $16,384.27 $26,073.62 $21,927.82 2026-08-05
883 MS_DRG 883-disorders Of Personality And Impulse Control 4 4 $14,236.75 $14,236.75 $14,236.75 $29,911.65 $21,775.08 2026-08-05
J9042 HCPCS 51144-0050-01 - Brentuximab Vedotin 50 Mg Rec 16 11 $31,476.00 $23,607.00 25% off $9,103.00 $28,643.16 $21,718.44 2026-08-05
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 32 16 $25,560.00 $19,170.00 25% off $16,997.40 $24,282.00 $21,623.76 2026-05-22
4965060 OTHER Defibrillator Cardiac 1 Lead Extra Longevity With Df4 Connector Resonate Dr 8tr2 32 16 $26,553.75 $19,915.31 25% off $16,649.20 $25,226.06 $21,535.10 2026-05-22
4965057 OTHER Defibrillator Cardiac El Dr 1 Lead Momentum 8tmb 32 16 $26,553.75 $19,915.31 25% off $16,649.20 $25,226.06 $21,535.10 2026-05-22
4965056 OTHER Defibrillator Cardiac 2 Lead Extra Longevity With Df1 Connector Momentum Dr 8tma 32 16 $26,553.75 $19,915.31 25% off $16,649.20 $25,226.06 $21,535.10 2026-05-22
4965059 OTHER Defibrillator Cardiac 2 Lead Extra Longevity With Df4 Connector Resonate Dr 8tr1 32 16 $26,553.75 $19,915.31 25% off $16,649.20 $25,226.06 $21,535.10 2026-05-22
5116156 OTHER 50242-0917-01a - Atezolizumab 1,200 Mg / 20 Ml Inj Soln 32 16 $25,409.50 $19,057.13 25% off $15,931.76 $24,139.03 $21,496.43 2026-05-22
637 MS_DRG 637-diabetes With Mcc 4 4 $49,432.03 $49,432.03 $21,418.18 $21,855.29 $21,418.18 2026-08-05
562 MS_DRG 562-fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh… 4 4 $29,586.50 $29,586.50 $21,240.79 $21,674.28 $21,240.79 2026-08-05
642 MS_DRG 642-inborn And Other Disorders Of Metabolism 4 4 $26,278.33 $26,278.33 $21,200.54 $21,633.20 $21,200.54 2026-08-05
602 MS_DRG 602-cellulitis With Mcc 4 4 $28,532.95 $28,532.95 $21,188.60 $21,621.02 $21,188.60 2026-08-05
4703800 OTHER 51144-0050-01 - Brentuximab Vedotin 50 Mg Rec 34 17 $26,001.25 $19,500.94 25% off $230.74 $24,701.19 $21,113.02 2026-05-22
4063715 OTHER Allograft Frsh Left Medial Biocmpt 43647004 32 16 $25,987.50 $19,490.63 25% off $16,294.16 $24,688.13 $21,075.86 2026-05-22
813 APR_DRG 813-other Complications Of Treatment 4 4 $19,402.90 $19,402.90 $19,402.90 $23,203.09 $21,070.97 2026-08-05
4753839 OTHER Neurostimulator Spine Intellis Sensor MRI 97715 97715 32 16 $25,935.00 $19,451.25 25% off $16,261.25 $24,638.25 $21,033.28 2026-05-22
C1820 HCPCS Generator Pulse Precision Spectra Sc-1132 75 9 $28,950.00 $21,712.50 25% off $3,507.51 $27,982.50 $20,988.75 2026-08-05
4965063 OTHER Defibrillator Cardiac 1 Lead Extra Longevity With Df4 Connector Vigilant Dr 8tv2 32 16 $25,826.25 $19,369.69 25% off $16,193.06 $24,534.94 $20,945.09 2026-05-22
4965062 OTHER Defibrillator Cardiac 2 Lead Extra Longevity With Df4 Connector Vigilant Dr 8tv1 32 16 $25,826.25 $19,369.69 25% off $16,193.06 $24,534.94 $20,945.09 2026-05-22
4930504 OTHER Defibrillator Implantable Cobalt Surescan Quad Crt-d Hf MRI Df4 Dtpb2qq 32 16 $25,800.00 $19,350.00 25% off $16,176.60 $24,510.00 $20,923.80 2026-05-22
4930505 OTHER Defibrillator Implantable Cobalt Surescan Hf Crt-d MRI Df4 Dtpb2d4 32 16 $25,800.00 $19,350.00 25% off $16,176.60 $24,510.00 $20,923.80 2026-05-22
885 MS_DRG 885-psychoses 4 4 $22,631.21 $22,631.21 $20,823.36 $21,248.33 $20,823.36 2026-08-05
4537364 OTHER Alloderm Rtu Restore Xl Thick Perf Tissue Matrix Rxl1519p 32 16 $25,665.00 $19,248.75 25% off $16,091.96 $24,381.75 $20,814.32 2026-05-22
4757948 OTHER 00024-5824-11 - Cabazitaxel 60 Mg/1.5 Ml Sol 34 17 $25,501.50 $19,126.13 25% off $211.76 $24,226.43 $20,707.22 2026-05-22
4759810 OTHER 50242-0917-01 - Atezolizumab 1200 Mg/20 Ml Sol 34 17 $25,409.50 $19,057.13 25% off $83.94 $24,139.03 $20,632.51 2026-05-22
5103229 OTHER 73150-0150-06 - Ublituximab Xiiy 150 Mg/6 Ml Sol 34 17 $25,370.00 $19,027.50 25% off $67.23 $24,101.50 $20,600.44 2026-05-22
581 APR_DRG 581-neonate, Transferred < 5 Days Old, Born Here 4 4 $19,683.78 $19,683.78 $19,683.78 $21,952.65 $20,598.69 2026-08-05
383 APR_DRG 383-cellulitis And Other Skin Infections 4 4 $49,801.43 $49,801.43 $20,583.35 $21,003.42 $20,583.35 2026-08-05
175 MS_DRG 175-pulmonary Embolism With Mcc Or Acute Cor Pulmonale 4 4 $32,576.70 $32,576.70 $20,477.49 $20,895.40 $20,477.49 2026-08-05
249 APR_DRG 249-other Gastroenteritis, Nausea And Vomiting 4 4 $13,683.25 $13,683.25 $13,683.25 $27,635.91 $20,383.22 2026-08-05
804 MS_DRG 804-other O.r. Procedures Of The Blood And Blood Forming Organs Without Cc/mcc 4 4 $36,072.35 $36,072.35 $20,215.13 $20,627.68 $20,215.13 2026-08-05
4008920 OTHER Defibrillator Ilesto 740 Hf-t Ll 365608 32 16 $24,900.00 $18,675.00 25% off $15,612.30 $23,655.00 $20,193.90 2026-05-22
4008923 OTHER Defibrillator Lumax 740 Hf-t He 393803 32 16 $24,900.00 $18,675.00 25% off $15,612.30 $23,655.00 $20,193.90 2026-05-22
754 APR_DRG 754-depression Except Major Depressive Disorder 4 4 $12,911.96 $12,911.96 $12,911.96 $28,016.22 $20,183.93 2026-08-05
J9119 HCPCS 61755-0008-01 - Cemiplimab 350 Mg/7 Ml Sol 16 11 $29,243.40 $21,932.55 25% off $9,586.50 $26,611.49 $20,177.94 2026-08-05
4947095 OTHER 61755-0008-01 - Cemiplimab 350 Mg/7 Ml Sol 34 17 $24,792.90 $18,594.68 25% off $27.58 $23,553.26 $20,131.83 2026-05-22
330 MS_DRG Major Small And Large Bowel Procedures With Cc 36 20 $22,560.75 $16,920.56 25% off $15,002.90 $36,466.56 $20,079.06 2026-08-05
355 MS_DRG 355-hernia Procedures Except Inguinal And Femoral Without Cc/mcc 4 4 $53,183.13 $53,183.13 $20,051.13 $20,460.34 $20,051.13 2026-08-05
640 MS_DRG 640-miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Wi… 4 4 $42,051.04 $42,051.04 $19,910.99 $20,317.34 $19,910.99 2026-08-05
5066315 OTHER 00074-5015-01 - Risankizumab Rzaa 60 Mg/ml Sol 34 17 $24,514.80 $18,386.10 25% off $15.00 $23,289.06 $19,906.02 2026-05-22
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 36 20 $24,480.00 $18,360.00 25% off $16,279.20 $23,256.00 $19,877.76 2026-08-05
J2329 HCPCS 73150-0150-06 - Ublituximab Xiiy 150 Mg/6 Ml Sol 16 11 $28,663.80 $21,497.85 25% off $10,105.81 $26,084.06 $19,778.03 2026-08-05
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 36 20 $23,401.86 $17,551.40 25% off $15,562.24 $22,231.77 $19,777.54 2026-08-05
313 APR_DRG 313-knee And Lower Leg Procedures Except Foot 4 4 $97,304.64 $97,304.64 $14,954.13 $20,111.02 $19,708.80 2026-08-05
555 MS_DRG 555-signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 4 4 $47,343.75 $47,343.75 $19,705.27 $20,107.42 $19,705.27 2026-08-05
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 36 20 $22,140.00 $16,605.00 25% off $14,723.10 $22,725.44 $19,704.60 2026-08-05
763458 OTHER 50242-0085-27 - Alteplase 100 Mg Rec 34 17 $24,220.35 $18,165.26 25% off $88.82 $23,009.33 $19,666.92 2026-05-22
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 32 16 $23,220.00 $17,415.00 25% off $15,441.30 $22,059.00 $19,644.12 2026-05-22
193 MS_DRG 193-simple Pneumonia And Pleurisy With Mcc 4 4 $38,723.40 $38,723.40 $19,594.95 $19,994.85 $19,594.95 2026-08-05
C1882 HCPCS Defibrillator Ilesto Hf-t Ll Hm 383547 114 9 $25,800.00 $19,350.00 25% off $3,996.56 $28,116.27 $19,507.40 2026-08-05
5022769 OTHER 15054-1120-04 - Lanreotide 120 Mg/0.5 Ml Sol 34 17 $23,941.75 $17,956.31 25% off $48.00 $22,744.66 $19,440.70 2026-05-22
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 32 16 $22,892.00 $17,169.00 25% off $15,223.18 $21,747.40 $19,366.63 2026-05-22
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 36 20 $21,721.76 $16,291.32 25% off $14,444.97 $51,695.44 $19,332.37 2026-08-05
540 APR_DRG 540-cesarean Section Without Sterilization 4 4 $39,555.48 $39,555.48 $19,325.11 $19,719.50 $19,325.11 2026-08-05
57 MS_DRG 057-degenerative Nervous System Disorders Without Mcc 4 4 $46,290.23 $46,290.23 $19,314.68 $19,708.86 $19,314.68 2026-08-05
4751804 OTHER 00169-7205-01 - Coagulation Factor Viia 5000 Mcg (5 Mg) Rec 34 17 $23,777.10 $17,832.83 25% off $2.45 $22,588.25 $19,307.01 2026-05-22
757 APR_DRG 757-organic Mental Health Disturbances 4 4 $17,152.50 $17,152.50 $17,152.50 $21,782.28 $19,249.57 2026-08-05
908 MS_DRG Other O.r. Procedures For Injuries With Cc 36 20 $21,600.00 $16,200.00 25% off $14,364.00 $30,351.29 $19,224.00 2026-08-05
J1930 HCPCS 15054-1120-04 - Lanreotide 120 Mg/0.5 Ml Sol 46 11 $67,533.60 $50,650.20 25% off $2,080.81 $69,208.46 $19,213.26 2026-08-05
4965077 OTHER Defibrillator Cardiac W5.37xh7.68cm D0.99cm Dual Chamber Df-4 D433 32 16 $23,644.50 $17,733.38 25% off $14,825.10 $22,462.28 $19,175.69 2026-05-22
4965061 OTHER Defibrillator Cardiac 1 Lead Df 4 Connector Extra Longevity Resonate Vr 8tr3 32 16 $23,643.75 $17,732.81 25% off $14,824.63 $22,461.56 $19,175.08 2026-05-22
4965058 OTHER Defibrillator Cardiac 2 Lead Extra Longevity With Df1 Connector Momentum Vr 8tmc 32 16 $23,643.75 $17,732.81 25% off $14,824.63 $22,461.56 $19,175.08 2026-05-22
291 MS_DRG 291-heart Failure And Shock With Mcc 4 4 $46,512.88 $46,512.88 $19,138.77 $19,529.36 $19,138.77 2026-08-05
535 MS_DRG 535-fractures Of Hip And Pelvis With Mcc 4 4 $28,033.03 $28,033.03 $19,111.93 $19,501.97 $19,111.93 2026-08-05
335 MS_DRG Peritoneal Adhesiolysis With Mcc 36 20 $21,420.00 $16,065.00 25% off $14,244.30 $105,450.30 $19,063.80 2026-08-05
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 36 20 $21,340.00 $16,005.00 25% off $14,191.10 $35,549.27 $18,992.60 2026-08-05
947 MS_DRG 947-signs And Symptoms With Mcc 4 4 $63,628.70 $63,628.70 $18,924.10 $19,310.31 $18,924.10 2026-08-05
391 MS_DRG 391-esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 4 4 $49,908.53 $49,908.53 $18,907.70 $19,293.57 $18,907.70 2026-08-05
4965075 OTHER Defibrillator Cardiac 31cc W5.37xh7.68cm D0.99cm 71.4gm Dual Chamber Ra Is-1 Rv … 32 16 $23,269.50 $17,452.13 25% off $14,589.98 $22,106.03 $18,871.57 2026-05-22
4965073 OTHER Defibrillator Cardiac W5.37xh7.79cm D0.99cm Dual Chamber Dr Is-1 Is-1/df-1 D121 32 16 $23,269.50 $17,452.13 25% off $14,589.98 $22,106.03 $18,871.57 2026-05-22
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 16 $22,140.00 $16,605.00 25% off $14,723.10 $21,033.00 $18,730.44 2026-05-22
4008919 OTHER Defibrillator Ilesto Hf-t Ll Hm 383547 32 16 $23,085.00 $17,313.75 25% off $14,474.30 $21,930.75 $18,721.93 2026-05-22
4008921 OTHER Defibrillator Ilesto Device 400450 32 16 $23,085.00 $17,313.75 25% off $14,474.30 $21,930.75 $18,721.93 2026-05-22
4355290 OTHER Dual Icd Device-implantable 32 16 $22,944.00 $17,208.00 25% off $14,385.89 $21,796.80 $18,607.58 2026-05-22
4355295 OTHER Single Chamber Icd-implantable 32 16 $22,944.00 $17,208.00 25% off $14,385.89 $21,796.80 $18,607.58 2026-05-22
4965064 OTHER Defibrillator Cardiac 1 Lead Extra Longevity With Df4 Connector Vigilant Vr 8tv3 32 16 $22,916.25 $17,187.19 25% off $14,368.49 $21,770.44 $18,585.08 2026-05-22
J9144 HCPCS 57894-0503-01 - Daratumumab-hyaluronidase 1800 Mg-30,000 Units/15 Ml Sol 16 11 $25,858.40 $19,393.80 25% off $9,707.64 $25,858.40 $18,553.40 2026-08-05
139 MS_DRG 139-salivary Gland Procedures 4 4 $35,746.15 $35,746.15 $18,421.70 $18,797.65 $18,421.70 2026-08-05
189 MS_DRG 189-pulmonary Edema And Respiratory Failure 4 4 $36,148.25 $36,148.25 $18,417.23 $18,793.09 $18,417.23 2026-08-05
4890827 OTHER Truss System Lumbar Spine 36x24 6deg 8mm Height Duplicate Use 38515 Asts-md-0608… 32 16 $22,662.50 $16,996.88 25% off $14,209.39 $21,529.38 $18,379.29 2026-05-22
5105010 OTHER 57894-0450-01 - Teclistamab Cqyv 90 Mg/ml Sol 34 17 $22,606.40 $16,954.80 25% off $30.76 $21,476.08 $18,356.40 2026-05-22
421 APR_DRG 421-malnutrition, Failure To Thrive And Other Nutritional Disorders 4 4 $10,686.70 $10,686.70 $10,686.70 $26,431.11 $18,294.60 2026-08-05
J9022 HCPCS 50242-0917-01 - Atezolizumab 1200 Mg/20 Ml Sol 33 11 $29,029.70 $21,772.28 25% off $1,563.00 $29,029.70 $18,288.72 2026-08-05
4859666 OTHER 57894-0503-01 - Daratumumab-hyaluronidase 1800 Mg-30,000 Units/15 Ml Sol 34 17 $22,512.95 $16,884.71 25% off $48.80 $21,387.30 $18,280.52 2026-05-22
4965076 OTHER Defibrillator Cardiac W5.37xh7.36cm D0.99cm Single Chamber Vr Df-4 D432 32 16 $22,507.50 $16,880.63 25% off $14,112.20 $21,382.13 $18,253.58 2026-05-22
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 36 20 $20,340.00 $15,255.00 25% off $13,526.10 $30,845.68 $18,102.60 2026-08-05
4960969 OTHER 69097-0870-67 - Lanreotide 120 Mg/0.5 Ml Sol 34 17 $22,271.10 $16,703.33 25% off $44.02 $21,157.55 $18,084.13 2026-05-22
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 36 20 $20,288.09 $15,216.07 25% off $13,491.58 $29,342.72 $18,056.40 2026-08-05
134 APR_DRG 134-pulmonary Embolism 4 4 $36,823.48 $36,823.48 $18,025.16 $18,393.02 $18,025.16 2026-08-05
4965072 OTHER Defibrillator Cardiac W5.37xh7.79cm D0.99cm Single Chamber Vr Is-1/df-1 D120 32 16 $22,132.50 $16,599.38 25% off $13,877.08 $21,025.88 $17,949.46 2026-05-22
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