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

UF HEALTH SHANDS HOSPITAL

Gainesville, FL · CCN 100113 · Rates published

Your selected procedure

You selected 29916 (HCPCS)

HIP ARTHRO W/LABRAL REPAIR

This hospital’s price: $7,578 across 29 payers · range $3,946-$13,142

Source: https://ufhealth.pt.panaceainc.com/MRFDownload/ufhealth/uf-shands · observed 2026-03-31

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.

17,987 distinct procedures filed
39 distinct payers
676,408 rate rows
2026-03-31 last MRF observed
Data quality

598,294 of 676,408 rate rows are consumer-grade (88.5%)

78,114 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 70,195
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5,420
placeholder amount (≤ $0.02) — excluded from medians 1,373
template filing: same amount across many unrelated codes — excluded 1,095
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 24
per-diem day rate — not a per-procedure price 4
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 2
exceeds 10× this hospital's gross charge — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ufhealth.pt.panaceainc.com/MRFDownload/ufhealth/uf-shands
Found on page https://ufhealth.org/billing-insurance-and-costs/price-transparency-and-patient-billing#price-transparency-price-lists
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-11-02
Content fingerprint f34a73dd6278a1b8… · 12,786,460 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 12 $4,505,000.00 $4,955,500.00 $4,550,050.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 5 $3,605,000.00 $4,506,250.00 $3,965,500.00 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Hemgenix 19 X 10 Ml IV Supk 18 $17,278.87 $4,591,125.00 $3,685,266.67 nat. median
$3,705,478
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 12 $3,335,820.00 $3,669,402.00 $3,402,536.40 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Elevidys 18.5-19.4 Kg 19 X 10 Ml IV Kit 19 $17,278.87 $4,871,923.20 $3,327,859.72 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 17 $3,248,445.72 $4,107,500.00 $3,318,041.66 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 12 $3,180,000.00 $3,498,000.00 $3,243,600.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Zynteglo IV Susp 26 $33,319.02 $4,926,880.00 $3,176,636.38 nat. median
$2,994,107
1.1× median
J3399
HCPCS 		Zolgensma 3.1-3.5 Kg 2x5.5ml & 1x8.3ml IV Kit 30 $11,639.52 $4,639,444.63 $2,588,981.22 nat. median
$2,467,989
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 20 $2,332,000.00 $4,197,600.00 $2,425,280.00 nat. median
$2,401,965
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 12 $770,620.00 $847,682.00 $778,326.20 nat. median
$813,967
1.0× median
Q2056
HCPCS 		Carvykti 100000000 Cells IV Susp 39 $27,935.28 $2,021,133.27 $593,526.07 nat. median
$646,415
0.9× median
Q2042
HCPCS 		Kymriah 250000000 Cells IV Susp 39 $27,935.28 $2,117,892.00 $583,527.24 nat. median
$739,658
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 28 $27,935.28 $930,106.94 $562,201.24 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 28 $27,935.28 $947,857.66 $558,081.72 nat. median
$623,527
0.9× median
Q2041
HCPCS 		Yescarta 200000000 Cells IV Susp 39 $27,935.28 $1,681,520.58 $538,401.56 nat. median
$608,239
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 28 $27,935.28 $828,954.72 $489,450.20 nat. median
$592,235
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 $14,692.16 $964,513.75 $444,887.36 nat. median
$359,244
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $14,692.16 $625,930.62 $292,529.61 nat. median
$248,541
1.2× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 12 $278,250.00 $306,075.00 $281,032.50 nat. median
$319,951
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 12 $257,500.00 $291,500.00 $267,650.00 nat. median
$265,000
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 $14,692.16 $476,876.23 $223,440.49 nat. median
$198,115
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $14,692.16 $474,077.58 $222,143.27 nat. median
$190,359
1.2× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 12 $201,669.02 $221,835.92 $205,640.00 nat. median
$209,753
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $14,692.16 $309,379.33 $145,802.97 nat. median
$126,461
1.2× median
7
MS_DRG 		Lung Transplant 22 $14,692.16 $289,250.49 $136,472.92 nat. median
$117,977
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 22 $14,692.16 $268,427.01 $126,820.90 nat. median
$110,084
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 $14,692.16 $253,102.55 $119,717.77 nat. median
$103,938
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $14,692.16 $246,165.11 $116,502.16 nat. median
$93,226
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $14,692.16 $242,879.55 $114,979.25 nat. median
$97,137
1.2× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $108,711.99 $119,583.19 $114,201.95 nat. median
$92,645
1.2× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 10 $109,316.28 $122,652.87 $112,617.64 nat. median
$111,503
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 22 $14,692.16 $230,291.20 $109,144.34 nat. median
$94,943
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 22 $14,692.16 $222,395.57 $105,484.59 nat. median
$93,787
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $41,880.17 $218,504.71 $103,681.12 nat. median
$90,512
1.1× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 10 $93,216.70 $104,589.13 $96,031.84 nat. median
$96,983
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 $14,692.16 $201,234.82 $95,676.24 nat. median
$77,936
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 22 $14,692.16 $193,415.13 $92,051.69 nat. median
$78,164
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 22 $36,088.40 $188,286.87 $89,674.66 nat. median
$76,979
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 $14,692.16 $187,694.98 $89,400.30 nat. median
$77,487
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 $14,692.16 $175,754.37 $83,865.64 nat. median
$74,298
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 $14,692.16 $171,499.44 $81,893.41 nat. median
$72,247
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 $14,692.16 $170,760.13 $81,550.72 nat. median
$71,737
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 $14,692.16 $170,195.04 $81,288.80 nat. median
$67,908
1.2× median
J9029
HCPCS 		Adstiladrin 300000000000 Vp/ml Is Susp 37 $17,278.87 $202,297.50 $79,193.46 nat. median
$68,400
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $14,692.16 $161,231.76 $77,134.18 nat. median
$63,564
1.2× median
10
MS_DRG 		Pancreas Transplant 22 $14,692.16 $160,273.56 $76,690.03 nat. median
$64,851
1.2× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 22 $14,692.16 $160,206.56 $76,658.98 nat. median
$61,263
1.3× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 $14,692.16 $159,355.57 $76,264.53 nat. median
$66,623
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 $14,692.16 $159,261.76 $76,221.05 nat. median
$66,584
1.1× median

Other procedures at this hospital

Browse this hospital's 17,987 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 15 12 — — $4,505,000.00 $4,955,500.00 $4,550,050.00 2026-03-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 5 5 — — $3,605,000.00 $4,506,250.00 $3,965,500.00 2026-03-31
J1411 HCPCS Hemgenix 19 X 10 Ml IV Supk 26 18 — — $17,278.87 $4,591,125.00 $3,685,266.67 2026-03-31
J3389 HCPCS Topi Adm Prad Zami Per Treat 14 12 — — $3,335,820.00 $3,669,402.00 $3,402,536.40 2026-03-31
J1413 HCPCS Elevidys 18.5-19.4 Kg 19 X 10 Ml IV Kit 27 19 — — $17,278.87 $4,871,923.20 $3,327,859.72 2026-03-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 20 17 — — $3,248,445.72 $4,107,500.00 $3,318,041.66 2026-03-31
J3387 HCPCS Inj Elivaldogene Autotemecel 14 12 — — $3,180,000.00 $3,498,000.00 $3,243,600.00 2026-03-31
J3393 HCPCS Zynteglo IV Susp 36 26 — — $33,319.02 $4,926,880.00 $3,176,636.38 2026-03-31
J3399 HCPCS Zolgensma 3.1-3.5 Kg 2x5.5ml & 1x8.3ml IV Kit 43 30 — — $11,639.52 $4,639,444.63 $2,588,981.22 2026-03-31
J3392 HCPCS Inj, Exagamglogene Autotem 23 20 — — $2,332,000.00 $4,197,600.00 $2,425,280.00 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel 15 12 — — $770,620.00 $847,682.00 $778,326.20 2026-03-31
Q2056 HCPCS Carvykti 100000000 Cells IV Susp 55 39 $2,245,703.63 $1,235,137.00 45% off $27,935.28 $2,021,133.27 $593,526.07 2026-03-31
Q2042 HCPCS Kymriah 250000000 Cells IV Susp 55 39 $2,353,213.33 $1,294,267.33 45% off $27,935.28 $2,117,892.00 $583,527.24 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 35 28 — — $27,935.28 $930,106.94 $562,201.24 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 35 28 — — $27,935.28 $947,857.66 $558,081.72 2026-03-31
Q2041 HCPCS Yescarta 200000000 Cells IV Susp 55 39 $1,868,356.20 $1,027,595.91 45% off $27,935.28 $1,681,520.58 $538,401.56 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 35 28 — — $27,935.28 $828,954.72 $489,450.20 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 33 22 — — $14,692.16 $964,513.75 $444,887.36 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 22 — — $14,692.16 $625,930.62 $292,529.61 2026-03-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 15 12 — — $278,250.00 $306,075.00 $281,032.50 2026-03-31
J3403 HCPCS Revakinagene, Per Implant 15 12 — — $257,500.00 $291,500.00 $267,650.00 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 33 22 — — $14,692.16 $476,876.23 $223,440.49 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 33 22 — — $14,692.16 $474,077.58 $222,143.27 2026-03-31
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 15 12 — — $201,669.02 $221,835.92 $205,640.00 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 33 22 — — $14,692.16 $309,379.33 $145,802.97 2026-03-31
7 MS_DRG Lung Transplant 32 22 — — $14,692.16 $289,250.49 $136,472.92 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 32 22 — — $14,692.16 $268,427.01 $126,820.90 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 22 — — $14,692.16 $253,102.55 $119,717.77 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 22 — — $14,692.16 $246,165.11 $116,502.16 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 33 22 — — $14,692.16 $242,879.55 $114,979.25 2026-03-31
209 MS_DRG Complex Aortic Arch Procedures 14 11 — — $108,711.99 $119,583.19 $114,201.95 2026-03-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 13 10 — — $109,316.28 $122,652.87 $112,617.64 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 32 22 — — $14,692.16 $230,291.20 $109,144.34 2026-03-31
215 MS_DRG Other Heart Assist System Implant 33 22 — — $14,692.16 $222,395.57 $105,484.59 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 22 — — $41,880.17 $218,504.71 $103,681.12 2026-03-31
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 13 10 — — $93,216.70 $104,589.13 $96,031.84 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 22 — — $14,692.16 $201,234.82 $95,676.24 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 32 22 — — $14,692.16 $193,415.13 $92,051.69 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 22 — — $36,088.40 $188,286.87 $89,674.66 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 22 — — $14,692.16 $187,694.98 $89,400.30 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 33 22 — — $14,692.16 $175,754.37 $83,865.64 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 22 — — $14,692.16 $171,499.44 $81,893.41 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 33 22 — — $14,692.16 $170,760.13 $81,550.72 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 33 22 — — $14,692.16 $170,195.04 $81,288.80 2026-03-31
J9029 HCPCS Adstiladrin 300000000000 Vp/ml Is Susp 51 37 $224,775.00 $123,626.25 45% off $17,278.87 $202,297.50 $79,193.46 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 22 — — $14,692.16 $161,231.76 $77,134.18 2026-03-31
10 MS_DRG Pancreas Transplant 32 22 — — $14,692.16 $160,273.56 $76,690.03 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 33 22 — — $14,692.16 $160,206.56 $76,658.98 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 22 — — $14,692.16 $159,355.57 $76,264.53 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 33 22 — — $14,692.16 $159,261.76 $76,221.05 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 33 22 — — $14,692.16 $154,379.20 $73,957.91 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 33 22 — — $14,692.16 $153,622.02 $73,606.94 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 33 22 — — $14,692.16 $150,343.16 $72,087.13 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 22 — — $14,692.16 $149,346.99 $71,625.39 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 22 — — $14,692.16 $149,237.54 $71,574.66 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 22 — — $14,692.16 $146,863.27 $70,474.15 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 22 — — $14,692.16 $146,863.27 $70,474.15 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 33 22 — — $14,692.16 $146,329.45 $70,226.72 2026-03-31
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 13 10 — — $67,452.66 $75,681.88 $69,489.73 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 33 22 — — $14,692.16 $143,722.89 $69,018.53 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 33 22 — — $14,692.16 $136,881.49 $65,847.43 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 33 22 — — $14,692.16 $136,722.91 $65,773.93 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 33 22 — — $14,692.16 $135,411.81 $65,166.21 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 33 22 — — $14,692.16 $134,198.99 $64,604.05 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 33 22 — — $14,692.16 $134,161.01 $64,586.45 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 22 — — $25,528.03 $133,189.42 $64,136.09 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 32 22 — — $14,692.16 $132,443.41 $63,790.31 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 28 22 — — $25,444.12 $132,751.64 $63,567.56 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 33 22 — — $14,692.16 $131,078.70 $63,157.74 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 33 22 — — $14,692.16 $130,993.83 $63,118.41 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 22 — — $14,692.16 $128,811.64 $62,106.92 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 22 — — $14,692.16 $127,989.69 $61,725.94 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 33 22 — — $14,692.16 $127,301.75 $61,407.07 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 22 — — $14,692.16 $125,570.74 $60,604.72 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 32 22 — — $14,692.16 $125,182.10 $60,424.57 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 22 — — $14,692.16 $124,324.42 $60,027.02 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 33 22 — — $14,692.16 $123,359.52 $59,579.77 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 33 22 — — $14,692.16 $122,620.21 $59,237.10 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 33 22 — — $14,692.16 $122,186.90 $59,036.25 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 33 22 — — $14,692.16 $122,012.68 $58,955.50 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 33 22 — — $14,692.16 $121,820.60 $58,866.47 2026-03-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 11 — — $55,894.25 $61,483.68 $58,716.91 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 32 22 — — $14,692.16 $121,333.68 $58,640.77 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 22 — — $14,692.16 $119,111.29 $57,610.65 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 22 — — $14,692.16 $119,039.81 $57,577.52 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 33 22 — — $14,692.16 $118,240.20 $57,206.89 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 33 22 — — $14,692.16 $117,849.33 $57,025.72 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 33 22 — — $14,692.16 $116,265.73 $56,291.70 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 33 22 — — $14,692.16 $116,064.71 $56,198.52 2026-03-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 35 28 — — $16,732.68 $99,027.41 $54,948.14 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 22 — — $14,692.16 $112,575.89 $54,581.40 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 33 22 — — $14,692.16 $111,396.57 $54,034.76 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 33 22 — — $14,692.16 $110,503.15 $53,620.64 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 33 22 — — $14,692.16 $110,306.59 $53,529.53 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 33 22 — — $14,692.16 $109,929.12 $53,354.58 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 33 22 — — $14,692.16 $109,471.24 $53,142.34 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 33 22 — — $14,692.16 $107,851.91 $52,391.75 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 33 22 — — $14,692.16 $107,306.92 $52,139.14 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 33 22 — — $14,692.16 $106,335.32 $51,688.79 2026-03-31
58980078021 NDC Gattex 5 Mg Sc Kit 40 30 $113,808.63 $62,594.75 45% off $23,330.77 $113,808.63 $51,213.88 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 32 22 — — $14,692.16 $105,008.59 $51,073.83 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 33 22 — — $14,692.16 $104,481.47 $50,829.49 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 32 22 — — $14,692.16 $103,570.18 $50,407.09 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 33 22 — — $14,692.16 $103,156.97 $50,215.57 2026-03-31
L7181 HCPCS Electronic Elbo Simultaneous 13 10 — — $48,632.79 $54,566.00 $50,101.50 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 33 22 — — $14,692.16 $102,665.59 $49,987.81 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 33 22 — — $14,692.16 $102,404.26 $49,866.67 2026-03-31
245 MS_DRG Aicd Generator Procedures 33 22 — — $14,692.16 $101,903.94 $49,634.77 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 33 22 — — $14,692.16 $101,597.94 $49,492.94 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 33 22 — — $19,464.42 $101,553.27 $49,472.23 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 22 — — $14,692.16 $104,794.17 $49,297.56 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 33 22 — — $14,692.16 $101,155.70 $49,287.95 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 33 22 — — $14,692.16 $100,103.69 $48,800.32 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 33 22 — — $14,692.16 $100,074.66 $48,786.87 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 33 22 — — $14,692.16 $99,681.55 $48,604.66 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 33 22 — — $14,692.16 $98,115.82 $47,878.92 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 33 22 — — $14,692.16 $96,655.08 $47,201.84 2026-03-31
64654 HCPCS 1st Opn Implt Bat Modulj Sys 14 12 — — $45,996.81 $50,596.49 $46,916.75 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 33 22 — — $14,692.16 $95,884.50 $46,844.67 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 33 22 — — $14,692.16 $95,268.03 $46,558.92 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 22 — — $14,692.16 $94,720.81 $46,305.27 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 33 22 — — $14,692.16 $94,327.71 $46,123.07 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 33 22 — — $14,692.16 $94,166.89 $46,048.52 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 33 22 — — $14,692.16 $94,119.98 $46,026.78 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 33 22 — — $14,692.16 $93,845.26 $45,899.44 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 33 22 — — $14,692.16 $93,733.58 $45,847.67 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 33 22 — — $14,692.16 $93,559.36 $45,766.92 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 22 — — $17,862.90 $106,933.68 $45,599.20 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 33 22 — — $14,692.16 $92,759.75 $45,396.29 2026-03-31
J9226 HCPCS Supprelin La 50 Mg Sc Kit 55 39 $197,243.43 $108,483.89 45% off $16,732.68 $177,519.09 $45,350.22 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 28 22 — — $17,850.06 $93,130.52 $45,217.00 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 33 22 — — $14,692.16 $92,145.52 $45,111.58 2026-03-31
791 MS_DRG Prematurity With Major Problems 28 22 — — $17,376.58 $90,660.20 $44,073.00 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 32 22 — — $14,692.16 $89,800.28 $44,024.53 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 33 22 — — $14,692.16 $88,987.26 $43,647.68 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 22 — — $14,692.16 $87,374.63 $42,900.20 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 33 22 — — $14,692.16 $86,979.29 $42,716.96 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 33 22 — — $14,692.16 $86,454.41 $42,473.66 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 33 22 — — $14,692.16 $86,324.86 $42,413.61 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 33 22 — — $14,692.16 $86,242.22 $42,375.31 2026-03-31
J1299 HCPCS Soliris 300 Mg/30ml IV Soln 47 34 $105,544.25 $58,049.34 45% off $44.82 $105,544.25 $42,217.70 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 33 22 — — $14,692.16 $85,753.07 $42,148.58 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 33 22 — — $14,692.16 $84,048.86 $41,358.66 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 33 22 — — $14,692.16 $83,483.77 $41,096.73 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 33 22 — — $14,692.16 $83,474.84 $41,092.58 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 33 22 — — $14,692.16 $83,240.31 $40,983.88 2026-03-31
J9347 HCPCS Imjudo 300 Mg/15ml IV Soln 50 37 $164,115.93 $90,263.76 45% off $135.45 $147,704.34 $40,811.17 2026-03-31
J3357 HCPCS Stelara 45 Mg/0.5ml Sc Soln 48 36 $112,624.75 $61,943.61 45% off $149.40 $101,362.28 $40,811.17 2026-03-31
J2329 HCPCS Briumvi 150 Mg/6ml IV Soln 50 37 $127,080.57 $69,894.31 45% off $69.44 $114,372.51 $40,811.17 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 33 22 — — $14,692.16 $83,682.56 $40,783.53 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 32 22 — — $14,692.16 $82,771.27 $40,766.46 2026-03-31
J1300 HCPCS Soliris 300 Mg/30ml IV Soln 48 36 $105,544.25 $58,049.34 45% off $224.63 $94,989.83 $40,511.76 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 33 22 — — $14,692.16 $82,040.89 $40,427.93 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 33 22 — — $14,692.16 $82,007.39 $40,412.39 2026-03-31
L7180 HCPCS Electronic Elbow Sequential 13 10 — — $39,208.42 $43,991.85 $40,392.52 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 33 22 — — $14,692.16 $80,982.18 $39,937.19 2026-03-31
332 MS_DRG Rectal Resection With Mcc 33 22 — — $14,692.16 $80,870.51 $39,885.43 2026-03-31
265 MS_DRG Aicd Lead Procedures 33 22 — — $14,692.16 $80,814.67 $39,859.56 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 33 22 — — $14,692.16 $80,671.72 $39,793.29 2026-03-31
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 13 10 — — $38,606.32 $43,316.28 $39,772.22 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 22 — — $14,692.16 $80,551.11 $39,638.54 2026-03-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 33 22 — — $14,692.16 $80,023.99 $39,493.06 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 33 22 — — $14,692.16 $79,838.60 $39,407.13 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 33 22 — — $14,692.16 $79,758.19 $39,369.86 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 33 22 — — $14,692.16 $79,639.82 $39,314.99 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 33 22 — — $14,692.16 $79,572.81 $39,283.93 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 33 22 — — $14,692.16 $81,044.72 $39,281.54 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 33 22 — — $14,692.16 $79,496.87 $39,248.73 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 33 22 — — $14,692.16 $79,432.09 $39,218.71 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 33 22 — — $15,097.37 $78,768.73 $38,911.22 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 33 22 — — $14,692.16 $78,607.91 $38,836.69 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 33 22 — — $14,692.16 $77,913.27 $38,514.71 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 33 22 — — $14,692.16 $77,893.17 $38,505.39 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 33 22 — — $14,692.16 $77,535.80 $38,339.74 2026-03-31
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 36 28 — — $7,101.13 $55,059.80 $38,235.98 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 33 22 — — $14,692.16 $77,160.56 $38,165.82 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 33 22 — — $14,605.06 $76,200.13 $37,720.64 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 33 22 — — $14,585.80 $76,099.62 $37,674.05 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 33 22 — — $14,301.11 $74,614.31 $36,985.59 2026-03-31
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 14 12 — — $35,775.41 $39,352.95 $36,490.92 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 33 22 — — $14,093.48 $73,531.03 $36,483.47 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 33 22 — — $14,091.77 $73,522.09 $36,479.32 2026-03-31
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 11 — — $34,545.61 $38,000.17 $36,290.16 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 22 — — $14,676.98 $76,575.37 $36,217.69 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 33 22 — — $13,925.24 $72,653.24 $36,076.60 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 33 22 — — $13,864.02 $72,333.84 $35,928.55 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 33 22 — — $13,848.61 $72,253.43 $35,891.28 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 32 22 — — $13,829.34 $72,152.92 $35,844.69 2026-03-31
652 MS_DRG Kidney Transplant 32 22 — — $13,825.49 $72,132.82 $35,835.37 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 33 22 — — $13,815.22 $72,079.21 $35,810.52 2026-03-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 33 22 — — $13,788.24 $71,938.50 $35,745.30 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 33 22 — — $13,743.72 $71,706.21 $35,618.74 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 33 22 — — $13,668.38 $71,313.10 $35,455.42 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 33 22 — — $13,643.12 $71,181.32 $35,394.34 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 33 22 — — $13,629.85 $71,112.08 $35,362.25 2026-03-31
L8701 HCPCS Ewh S/d Uprt Micro Sensor 13 10 — — $34,284.44 $38,467.14 $35,319.83 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 33 22 — — $13,602.45 $70,969.14 $35,295.99 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 33 22 — — $13,548.51 $70,687.71 $35,165.54 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 33 22 — — $13,527.96 $70,580.50 $35,115.85 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 33 22 — — $13,489.43 $70,379.48 $35,022.67 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 33 22 — — $13,483.01 $70,345.97 $35,007.14 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 33 22 — — $13,451.33 $70,180.69 $34,930.53 2026-03-31
665 MS_DRG Prostatectomy With Mcc 33 22 — — $13,361.86 $69,713.87 $34,714.15 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 33 22 — — $13,334.03 $69,568.69 $34,646.87 2026-03-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 33 22 — — $14,141.43 $73,781.19 $34,603.09 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 33 22 — — $13,310.49 $69,445.85 $34,589.92 2026-03-31
69930 HCPCS Implant Cochlear Device 38 29 — — $6,133.87 $57,470.50 $34,432.09 2026-03-31
J9063 HCPCS Elahere 100 Mg/20ml IV Soln 50 37 $87,207.25 $47,963.99 45% off $66.76 $78,486.53 $34,100.96 2026-03-31
662 MS_DRG Minor Bladder Procedures With Mcc 33 22 — — $13,106.28 $68,380.44 $34,096.08 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 33 22 — — $12,985.13 $67,748.34 $33,803.10 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 33 22 — — $12,930.76 $67,464.68 $33,671.62 2026-03-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 33 22 — — $12,929.05 $67,455.75 $33,667.47 2026-03-31
263 MS_DRG Vein Ligation And Stripping 33 22 — — $13,088.73 $68,288.86 $33,504.91 2026-03-31
C9293 HCPCS Voraxaze 1000 Units IV Solr 51 36 $333,043.51 $183,173.93 45% off $448.69 $333,043.51 $33,319.02 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 33 22 — — $12,741.97 $66,479.68 $33,215.05 2026-03-31
472 MS_DRG Cervical Spinal Fusion With Cc 33 22 — — $12,612.25 $65,802.91 $32,901.36 2026-03-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 33 22 — — $12,603.69 $65,758.24 $32,880.65 2026-03-31
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 14 12 — — $32,224.05 $35,446.45 $32,868.53 2026-03-31
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 14 12 — — $32,224.05 $35,446.45 $32,868.53 2026-03-31
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 14 12 — — $32,224.05 $35,446.45 $32,868.53 2026-03-31
570 MS_DRG Skin Debridement With Mcc 33 22 — — $12,590.85 $65,691.23 $32,849.60 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 33 22 — — $12,500.52 $65,219.95 $32,631.15 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 33 22 — — $12,467.56 $65,047.97 $32,551.43 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 33 22 — — $12,423.46 $64,817.91 $32,444.80 2026-03-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 33 22 — — $12,415.76 $64,777.71 $32,426.16 2026-03-31
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 24 21 — — $4,920.18 $38,745.81 $32,385.17 2026-03-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 33 22 — — $12,360.96 $64,491.81 $32,293.65 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 33 22 — — $12,354.97 $64,460.54 $32,279.15 2026-03-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 33 22 — — $12,336.99 $64,366.73 $32,235.67 2026-03-31
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 37 28 — — $6,133.87 $55,059.80 $32,224.05 2026-03-31
61886 HCPCS Implant Neurostim Arrays 39 29 — — $4,320.75 $55,059.80 $32,224.05 2026-03-31
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 38 28 — — $5,012.26 $55,059.80 $32,224.05 2026-03-31
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 35 28 — — $4,283.10 $55,059.80 $32,224.05 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 33 22 — — $12,287.33 $64,107.64 $32,115.58 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 33 22 — — $12,202.99 $63,667.63 $31,911.62 2026-03-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 33 22 — — $12,914.92 $67,382.04 $31,798.77 2026-03-31
800 MS_DRG Splenic Procedures With Cc 33 22 — — $12,027.04 $62,749.63 $31,486.11 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 33 22 — — $11,983.80 $62,524.05 $31,381.55 2026-03-31
503 MS_DRG Foot Procedures With Mcc 33 22 — — $11,948.70 $62,340.89 $31,296.66 2026-03-31
J9266 HCPCS Oncaspar 750 Unit/ml Ij Soln 54 39 $82,027.48 $45,115.11 45% off $11,639.52 $73,824.73 $31,266.46 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 33 22 — — $11,866.50 $61,912.05 $31,097.88 2026-03-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 33 22 — — $11,803.15 $61,581.48 $30,944.66 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 33 22 — — $11,767.18 $61,393.86 $30,857.70 2026-03-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 33 22 — — $11,764.19 $61,378.23 $30,850.45 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 33 22 — — $11,703.40 $61,061.06 $30,703.43 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 33 22 — — $11,647.74 $60,770.70 $30,568.85 2026-03-31
849 MS_DRG Radiotherapy 33 22 — — $11,599.37 $60,518.31 $30,447.60 2026-03-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 33 22 — — $11,585.24 $60,444.60 $30,410.52 2026-03-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 33 22 — — $11,547.57 $60,248.05 $30,311.63 2026-03-31
L5856 HCPCS Elec Knee-shin Swing/stance 13 10 — — $29,137.22 $32,691.96 $30,017.16 2026-03-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 33 22 — — $11,387.46 $59,412.70 $29,939.39 2026-03-31
L6880 HCPCS Elec Hand Ind Art Digits 13 10 — — $28,999.68 $32,537.64 $29,875.47 2026-03-31
L6700 HCPCS Ue Add Ext Power Myoel 13 10 — — $28,931.56 $32,461.21 $29,805.29 2026-03-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 33 22 — — $11,347.65 $59,204.97 $29,786.84 2026-03-31
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 33 22 — — $11,290.71 $58,907.91 $29,637.39 2026-03-31
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 33 22 — — $11,098.49 $57,905.04 $29,240.57 2026-03-31
253 MS_DRG Other Vascular Procedures With Cc 33 22 — — $11,111.76 $57,974.28 $29,167.67 2026-03-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 33 22 — — $11,056.97 $57,688.39 $29,140.14 2026-03-31
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 33 22 — — $11,041.56 $57,607.98 $28,983.37 2026-03-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 33 22 — — $11,041.56 $57,607.98 $28,983.37 2026-03-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 33 22 — — $10,991.90 $57,348.89 $28,853.02 2026-03-31
Q2040 HCPCS Tisagenlecleucel Car-pos T 12 10 — — $27,935.28 $36,083.05 $28,753.32 2026-03-31
C9098 HCPCS Ciltacabtagene Car Pos T 12 10 — — $27,935.28 $36,083.05 $28,753.32 2026-03-31
C9076 HCPCS Lisocabtagene Car Pos T 12 10 — — $27,935.28 $36,083.05 $28,753.32 2026-03-31
C9081 HCPCS Idecabtagene Car Pos T 12 10 — — $27,935.28 $36,083.05 $28,753.32 2026-03-31
C9073 HCPCS Brexucabtagene Autoleucel Ca 12 10 — — $27,935.28 $36,083.05 $28,753.32 2026-03-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 33 22 — — $10,929.39 $57,022.79 $28,688.95 2026-03-31
0871T OTHER Rplcmt Subq Prtl Ascites Pmp 14 12 — — $28,109.36 $30,920.30 $28,671.54 2026-03-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 33 22 — — $10,857.04 $56,645.32 $28,656.66 2026-03-31
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 15 12 — — $22,585.55 $31,169.04 $28,618.84 2026-03-31
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 15 12 — — $22,585.55 $31,169.04 $28,618.84 2026-03-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 33 22 — — $10,877.59 $56,752.53 $28,552.98 2026-03-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 33 22 — — $10,800.53 $57,043.40 $28,520.01 2026-03-31
164 MS_DRG Major Chest Procedures With Cc 33 22 — — $10,805.24 $56,375.05 $28,363.07 2026-03-31
22558 HCPCS Arthrd Ant Ntrbd Min Dsc Lum 26 20 — — $7,111.62 $31,169.04 $28,335.49 2026-03-31
C9760 HCPCS Non-blind Interatrial Shunt 35 28 — — $9,886.88 $49,688.01 $28,109.36 2026-03-31
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 33 22 — — $10,667.82 $55,658.08 $28,002.35 2026-03-31
545 MS_DRG Connective Tissue Disorders With Mcc 33 22 — — $10,624.16 $55,430.26 $27,887.73 2026-03-31
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 33 22 — — $10,451.21 $54,527.90 $27,675.21 2026-03-31
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 33 22 — — $10,527.84 $54,927.71 $27,634.89 2026-03-31
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 33 22 — — $10,463.62 $54,592.67 $27,466.33 2026-03-31
792 MS_DRG Prematurity Without Major Problems 28 22 — — $10,485.03 $54,704.35 $27,419.82 2026-03-31
397 MS_DRG Appendix Procedures With Mcc 33 22 — — $10,252.57 $53,491.53 $27,194.84 2026-03-31
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 33 22 — — $10,297.09 $53,723.82 $27,029.20 2026-03-31
330 MS_DRG Major Small And Large Bowel Procedures With Cc 33 22 — — $10,262.41 $53,542.90 $26,938.18 2026-03-31
35 MS_DRG Carotid Artery Stent Procedures With Cc 33 22 — — $10,233.73 $53,393.25 $26,862.89 2026-03-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 33 22 — — $10,216.18 $53,301.68 $26,816.81 2026-03-31
J9309 HCPCS Polivy 30 Mg IV Solr 75 39 $64,540.78 $35,497.43 45% off $129.78 $62,925.03 $26,638.26 2026-03-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 33 22 — — $9,945.19 $51,887.83 $26,451.49 2026-03-31
113 MS_DRG Orbital Procedures With Cc/mcc 33 22 — — $10,065.06 $52,513.23 $26,420.13 2026-03-31
333 MS_DRG Rectal Resection With Cc 33 22 — — $10,026.96 $52,314.44 $26,320.12 2026-03-31
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 33 22 — — $10,011.55 $52,234.03 $26,279.67 2026-03-31
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 33 22 — — $10,004.27 $52,196.06 $26,260.56 2026-03-31
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 14 11 — — $24,979.52 $27,477.47 $26,240.99 2026-03-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 33 22 — — $10,524.84 $54,912.07 $26,176.39 2026-03-31
347 MS_DRG Anal And Stomal Procedures With Mcc 33 22 — — $9,827.46 $51,273.60 $26,166.79 2026-03-31
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 14 11 — — $24,905.16 $27,395.68 $26,162.88 2026-03-31
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 33 22 — — $9,894.25 $51,622.04 $26,154.63 2026-03-31
709 MS_DRG Penis Procedures With Cc/mcc 33 22 — — $9,962.32 $51,977.17 $26,150.44 2026-03-31
J9210 HCPCS Gamifant 10 Mg/2ml IV Soln 90 39 $44,058.57 $24,232.21 45% off $378.03 $368,754.35 $26,146.56 2026-03-31
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