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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

UNION GENERAL HOSPITAL

Blairsville, GA · CCN 110051 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This facility filed a payer-negotiated range for this code ($4,004 to $8,509), not a single rate. The comparison board shows the midpoint estimate.

2,352 distinct procedures filed
9 distinct payers
99,124 rate rows
2026-03-23 last MRF observed
Data quality

96,116 of 99,124 rate rows are consumer-grade (97.0%)

3,008 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 1,771
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 719
per-diem day rate — not a per-procedure price 479
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 26
placeholder amount (≤ $0.02) — excluded from medians 9
exceeds 10× this hospital's gross charge — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://uniongeneralhealthsystem.com/wp-content/uploads/2026/03/586025393_union-general-hospital_standardcharges.csv
Found on page https://uniongeneralhealthsystem.com/pricing-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-07-31
Content fingerprint f21d23bc25b025fa… · 41,959,200 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J7330
HCPCS 		Maci Final Product Assembled 5 $41,801.60 $88,828.40 $73,544.69 nat. median
$75,807
1.0× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 2 $30,769.17 $59,384.94 $45,077.06 nat. median
$44,514
1.0× median
337
MS_DRG 		Peritoneal Adhesiolysis Without Cc/mcc 1 $39,365.04 $39,365.04 $39,365.04 nat. median
$16,034
outlier · 2.5×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 $26,575.78 $35,507.84 $31,041.81 nat. median
$47,707
0.7× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 6 $11,790.12 $42,981.23 $30,468.17 nat. median
$17,453
1.7× median
580
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 1 $26,949.20 $26,949.20 $26,949.20 nat. median
$17,681
1.5× median
C1822
HCPCS 		1080-d Ipg Senza Kit 8 $5,375.19 $32,767.50 $26,059.80 nat. median
$32,176
0.8× median
J3101
HCPCS 		Tenecteplase 50 Mg IV Inj [ugh] 6 $186.97 $33,852.82 $24,652.82 nat. median
$3,475
outlier · 7.1×
742
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 2 $9,523.30 $37,483.27 $23,503.28 nat. median
$18,578
1.3× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 6 $15,797.58 $43,231.81 $21,646.78 nat. median
$24,077
0.9× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 3 $19,112.80 $20,973.45 $20,518.31 nat. median
$29,103
0.7× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 $19,266.44 $20,341.73 $19,804.08 nat. median
$28,835
0.7× median
J3380
HCPCS 		Vedolizumab 300 Mg Pow [ugh] 9 $21.37 $38,188.43 $18,975.15 nat. median
$150
outlier · 126.7×
C1767
HCPCS 		3670 Proclaim Plus 5 8 $3,388.25 $28,900.00 $18,928.00 nat. median
$23,668
0.8× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 $18,798.08 $18,798.08 $18,798.08 nat. median
$23,528
0.8× median
164
MS_DRG 		Major Chest Procedures With Cc 1 $17,656.60 $17,656.60 $17,656.60 nat. median
$25,372
0.7× median
557
MS_DRG 		Tendonitis, Myositis And Bursitis With Mcc 2 $11,115.99 $23,193.79 $17,154.89 nat. median
$15,170
1.1× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 $16,692.38 $16,692.38 $16,692.38 nat. median
$24,545
0.7× median
63685
CPT 		Ins/rplc Spi Npg/rcvr Pocket 5 $3,602.30 $29,654.47 $16,665.49 nat. median
$21,025
0.8× median
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 6 $16,657.60 $16,657.60 $16,657.60 nat. median
$17,605
0.9× median
J9217
HCPCS 		Leuprolide 45 Mg/6 Months Kit 9 $170.78 $50,040.18 $16,575.81 nat. median
$1,518
outlier · 10.9×
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 6 $16,280.26 $16,280.26 $16,280.26 nat. median
$20,500
0.8× median
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 6 $16,245.05 $16,245.05 $16,245.05 nat. median
$19,602
0.8× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 6 $14,406.92 $40,730.00 $16,173.61 nat. median
$20,254
0.8× median
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 6 $11,284.53 $29,355.98 $15,714.25 nat. median
$17,341
0.9× median
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 6 $15,625.31 $15,625.31 $15,625.31 nat. median
$18,028
0.9× median
140
APR_DRG 		Chronic Obstructive Pulmonary Disease 4 $15,315.92 $15,315.92 $15,315.92 nat. median
$10,273
1.5× median
602
MS_DRG 		Cellulitis With Mcc 6 $8,409.84 $20,078.82 $15,216.38 nat. median
$14,706
1.0× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 5 $13,898.00 $59,023.14 $15,201.70 nat. median
$21,659
0.7× median
988
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 $14,891.55 $21,960.61 $14,891.55 nat. median
$17,137
0.9× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 4 $14,642.90 $30,752.07 $14,810.73 nat. median
$21,418
0.7× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 1 $14,796.53 $14,796.53 $14,796.53 nat. median
$21,326
0.7× median
793
MS_DRG 		Full Term Neonate With Major Problems 6 $1,316.00 $14,761.33 $14,761.33 nat. median
$33,329
outlier · 0.4×
487
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 6 $14,635.07 $21,550.87 $14,635.07 nat. median
$16,223
0.9× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 $14,592.35 $14,592.35 $14,592.35 nat. median
$19,257
0.8× median
517
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 6 $14,404.01 $14,404.01 $14,404.01 nat. median
$15,874
0.9× median
694
MS_DRG 		Urinary Stones Without Mcc 6 $5,631.49 $14,371.03 $14,371.03 nat. median
$8,610
1.7× median
304
MS_DRG 		Hypertension With Mcc 6 $14,260.82 $14,260.82 $14,260.82 nat. median
$12,433
1.1× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 4 $6,328.72 $24,234.68 $13,896.46 nat. median
$19,136
0.7× median
415
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 6 $13,856.00 $13,856.00 $13,856.00 nat. median
$20,493
0.7× median
983
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 6 $13,483.60 $13,483.60 $13,483.60 nat. median
$17,327
0.8× median
660
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Cc 6 $13,431.52 $17,991.96 $13,431.52 nat. median
$14,079
1.0× median
398
MS_DRG 		Appendix Procedures With Cc 6 $10,074.19 $22,644.82 $13,430.26 nat. median
$15,838
0.8× median
844
MS_DRG 		Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 6 $13,378.32 $13,378.32 $13,378.32 nat. median
$12,564
1.1× median
J0775
HCPCS 		Collagenase Clostridium Histolyticum 0.9 Mg Pow 9 $75.75 $26,864.44 $13,348.47 nat. median
$113
outlier · 117.8×
743
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 6 $13,341.86 $13,341.86 $13,341.86 nat. median
$12,945
1.0× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 6 $13,315.17 $13,315.17 $13,315.17 nat. median
$37,053
outlier · 0.4×
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 6 $13,309.86 $14,418.60 $13,309.86 nat. median
$20,032
0.7× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 2 $12,942.71 $13,366.10 $13,154.40 nat. median
$19,883
0.7× median
682
MS_DRG 		Renal Failure With Mcc 6 $10,092.95 $13,048.05 $13,048.05 nat. median
$15,088
0.9× median

Other procedures at this hospital

Browse this hospital's 2,352 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
             
J7330 HCPCS Maci Final Product Assembled 10 5 $104,504.00 $52,252.00 50% off $41,801.60 $88,828.40 $73,544.69 2026-03-23
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 2 — — $30,769.17 $59,384.94 $45,077.06 2026-03-23
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 1 1 — — $39,365.04 $39,365.04 $39,365.04 2026-03-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $26,575.78 $35,507.84 $31,041.81 2026-03-23
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 7 6 — — $11,790.12 $42,981.23 $30,468.17 2026-03-23
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 1 1 — — $26,949.20 $26,949.20 $26,949.20 2026-03-23
C1822 HCPCS 1080-d Ipg Senza Kit 13 8 $38,550.00 $19,275.00 50% off $5,375.19 $32,767.50 $26,059.80 2026-03-23
J3101 HCPCS Tenecteplase 50 Mg IV Inj [ugh] 126 6 $39,826.84 $19,913.42 50% off $186.97 $33,852.82 $24,652.82 2026-03-23
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 2 2 — — $9,523.30 $37,483.27 $23,503.28 2026-03-23
330 MS_DRG Major Small And Large Bowel Procedures With Cc 6 6 — — $15,797.58 $43,231.81 $21,646.78 2026-03-23
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 3 — — $19,112.80 $20,973.45 $20,518.31 2026-03-23
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 2 — — $19,266.44 $20,341.73 $19,804.08 2026-03-23
J3380 HCPCS Vedolizumab 300 Mg Pow [ugh] 36 9 $44,927.56 $22,463.78 50% off $21.37 $38,188.43 $18,975.15 2026-03-23
C1767 HCPCS 3670 Proclaim Plus 5 65 8 $31,000.00 $15,500.00 50% off $3,388.25 $28,900.00 $18,928.00 2026-03-23
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 1 — — $18,798.08 $18,798.08 $18,798.08 2026-03-23
164 MS_DRG Major Chest Procedures With Cc 1 1 — — $17,656.60 $17,656.60 $17,656.60 2026-03-23
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 2 2 — — $11,115.99 $23,193.79 $17,154.89 2026-03-23
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 — — $16,692.38 $16,692.38 $16,692.38 2026-03-23
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 6 5 — — $3,602.30 $29,654.47 $16,665.49 2026-03-23
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 12 6 — — $16,657.60 $16,657.60 $16,657.60 2026-03-23
J9217 HCPCS Leuprolide 45 Mg/6 Months Kit 38 9 $39,246.62 $19,623.31 50% off $170.78 $50,040.18 $16,575.81 2026-03-23
314 MS_DRG Other Circulatory System Diagnoses With Mcc 12 6 — — $16,280.26 $16,280.26 $16,280.26 2026-03-23
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 12 6 — — $16,245.05 $16,245.05 $16,245.05 2026-03-23
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 12 6 — — $14,406.92 $40,730.00 $16,173.61 2026-03-23
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 12 6 — — $11,284.53 $29,355.98 $15,714.25 2026-03-23
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 12 6 — — $15,625.31 $15,625.31 $15,625.31 2026-03-23
140 APR_DRG Chronic Obstructive Pulmonary Disease 4 4 — — $15,315.92 $15,315.92 $15,315.92 2026-03-23
602 MS_DRG Cellulitis With Mcc 12 6 — — $8,409.84 $20,078.82 $15,216.38 2026-03-23
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 7 5 — — $13,898.00 $59,023.14 $15,201.70 2026-03-23
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 12 6 — — $14,891.55 $21,960.61 $14,891.55 2026-03-23
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 6 4 — — $14,642.90 $30,752.07 $14,810.73 2026-03-23
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 — — $14,796.53 $14,796.53 $14,796.53 2026-03-23
793 MS_DRG Full Term Neonate With Major Problems 12 6 — — $1,316.00 $14,761.33 $14,761.33 2026-03-23
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 12 6 — — $14,635.07 $21,550.87 $14,635.07 2026-03-23
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 6 — — $14,592.35 $14,592.35 $14,592.35 2026-03-23
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 12 6 — — $14,404.01 $14,404.01 $14,404.01 2026-03-23
694 MS_DRG Urinary Stones Without Mcc 12 6 — — $5,631.49 $14,371.03 $14,371.03 2026-03-23
304 MS_DRG Hypertension With Mcc 12 6 — — $14,260.82 $14,260.82 $14,260.82 2026-03-23
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 8 4 — — $6,328.72 $24,234.68 $13,896.46 2026-03-23
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 12 6 — — $13,856.00 $13,856.00 $13,856.00 2026-03-23
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 12 6 — — $13,483.60 $13,483.60 $13,483.60 2026-03-23
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 12 6 — — $13,431.52 $17,991.96 $13,431.52 2026-03-23
398 MS_DRG Appendix Procedures With Cc 12 6 — — $10,074.19 $22,644.82 $13,430.26 2026-03-23
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 12 6 — — $13,378.32 $13,378.32 $13,378.32 2026-03-23
J0775 HCPCS Collagenase Clostridium Histolyticum 0.9 Mg Pow 18 9 $31,605.22 $15,802.61 50% off $75.75 $26,864.44 $13,348.47 2026-03-23
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 12 6 — — $13,341.86 $13,341.86 $13,341.86 2026-03-23
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 6 — — $13,315.17 $13,315.17 $13,315.17 2026-03-23
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 12 6 — — $13,309.86 $14,418.60 $13,309.86 2026-03-23
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 2 2 — — $12,942.71 $13,366.10 $13,154.40 2026-03-23
682 MS_DRG Renal Failure With Mcc 12 6 — — $10,092.95 $13,048.05 $13,048.05 2026-03-23
463 APR_DRG Kidney And Urinary Tract Infections 4 4 — — $12,903.04 $12,903.04 $12,903.04 2026-03-23
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 1 1 — — $12,826.74 $12,826.74 $12,826.74 2026-03-23
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 12 6 — — $12,820.49 $12,820.49 $12,820.49 2026-03-23
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 12 6 — — $6,468.26 $12,815.36 $12,815.36 2026-03-23
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 6 — — $12,507.05 $12,507.05 $12,507.05 2026-03-23
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 12 6 — — $8,471.57 $17,408.13 $12,456.29 2026-03-23
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 12 6 — — $10,835.22 $12,446.35 $12,446.35 2026-03-23
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 12 6 — — $12,341.09 $12,341.09 $12,341.09 2026-03-23
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 12 6 — — $7,027.74 $14,980.64 $12,309.55 2026-03-23
202 MS_DRG Bronchitis And Asthma With Cc/mcc 12 6 — — $4,944.53 $12,305.85 $12,305.85 2026-03-23
27447 CPT Total Knee Arthroplasty 36 9 — — $10,254.11 $22,007.35 $12,273.85 2026-03-23
386 MS_DRG Inflammatory Bowel Disease With Cc 12 6 — — $12,259.49 $12,259.49 $12,259.49 2026-03-23
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 12 6 — — $12,208.20 $12,208.20 $12,208.20 2026-03-23
718 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy Without Cc/mcc 12 6 — — $12,200.62 $12,200.62 $12,200.62 2026-03-23
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 12 6 — — $9,507.00 $12,949.99 $12,165.42 2026-03-23
434 MS_DRG Cirrhosis And Alcoholic Hepatitis Without Cc/mcc 12 6 — — $12,148.11 $12,148.11 $12,148.11 2026-03-23
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 12 6 — — $12,093.51 $12,093.51 $12,093.51 2026-03-23
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 12 6 — — $7,738.49 $18,725.93 $12,076.03 2026-03-23
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 12 6 — — $5,570.05 $12,060.01 $12,060.01 2026-03-23
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 5 4 — — $10,891.40 $34,470.43 $12,050.10 2026-03-23
27130 CPT Total Hip Arthroplasty 18 9 — — $10,277.20 $17,211.18 $12,044.92 2026-03-23
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 12 6 — — $7,964.06 $11,833.19 $11,833.19 2026-03-23
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 12 6 — — $8,355.02 $11,600.85 $11,600.85 2026-03-23
300 MS_DRG Peripheral Vascular Disorders With Cc 12 6 — — $11,542.41 $11,542.41 $11,542.41 2026-03-23
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 12 6 — — $11,538.98 $11,538.98 $11,538.98 2026-03-23
178 MS_DRG Respiratory Infections And Inflammations With Cc 12 6 — — $6,892.19 $11,538.03 $11,538.03 2026-03-23
177 MS_DRG Respiratory Infections And Inflammations With Mcc 4 4 — — $11,533.61 $11,574.59 $11,536.92 2026-03-23
165 MS_DRG Major Chest Procedures Without Cc/mcc 12 6 — — $11,532.85 $24,789.48 $11,532.85 2026-03-23
230 APR_DRG Major Small Bowel Procedures 3 3 — — $11,430.65 $11,430.65 $11,430.65 2026-03-23
205 MS_DRG Other Respiratory System Diagnoses With Mcc 12 6 — — $11,403.35 $11,403.35 $11,403.35 2026-03-23
399 MS_DRG Appendix Procedures Without Cc/mcc 12 6 — — $8,198.40 $26,403.90 $11,379.03 2026-03-23
J1162 HCPCS Digoxin Immune Fab 40 Mg Inj [ugh] 15 6 $18,340.80 $9,170.40 50% off $5,166.99 $15,589.68 $11,352.96 2026-03-23
666 MS_DRG Prostatectomy With Cc 12 6 — — $11,351.92 $11,351.92 $11,351.92 2026-03-23
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 12 6 — — $11,269.33 $13,863.53 $11,269.33 2026-03-23
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 12 6 — — $11,221.14 $11,221.14 $11,221.14 2026-03-23
15830 CPT Exc Excessive Skin Abdomen 18 9 — — $6,128.10 $11,148.94 $11,148.94 2026-03-23
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 12 6 — — $11,062.97 $18,055.92 $11,062.97 2026-03-23
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 12 6 — — $11,042.85 $11,042.85 $11,042.85 2026-03-23
C2622 HCPCS 720081-01 Tactra 11mm X 16cm-25cm 11 7 $17,830.00 $8,915.00 50% off $2,486.11 $12,937.45 $11,036.77 2026-03-23
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml SubQ Inj [ugh] 18 9 $25,959.84 $12,979.92 50% off $122.84 $22,065.86 $10,964.14 2026-03-23
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 12 6 — — $10,837.87 $18,141.76 $10,837.87 2026-03-23
27759 CPT Treatment Of Tibia Fracture 18 9 — — $10,836.28 $10,836.28 $10,836.28 2026-03-23
J2406 HCPCS Oritavancin 1200 Mg Pow 36 9 $25,617.04 $12,808.52 50% off $43.06 $21,774.48 $10,819.36 2026-03-23
784 MS_DRG Cesarean Section With Sterilization With Cc 14 6 — — $8,830.40 $10,745.40 $10,745.40 2026-03-23
786 MS_DRG Cesarean Section Without Sterilization With Mcc 14 6 — — $9,330.22 $10,705.43 $10,705.43 2026-03-23
811 MS_DRG Red Blood Cell Disorders With Mcc 12 6 — — $9,865.34 $10,566.83 $10,566.83 2026-03-23
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 12 6 — — $10,501.85 $10,501.85 $10,501.85 2026-03-23
23474 CPT Revis Reconst Shoulder Joint 18 9 — — $10,489.98 $10,489.98 $10,489.98 2026-03-23
947 MS_DRG Signs And Symptoms With Mcc 12 6 — — $10,483.16 $10,483.16 $10,483.16 2026-03-23
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 12 6 — — $10,478.72 $10,478.72 $10,478.72 2026-03-23
974 MS_DRG HIV With Major Related Condition With Mcc 12 6 — — $10,463.38 $10,463.38 $10,463.38 2026-03-23
787 MS_DRG Cesarean Section Without Sterilization With Cc 14 6 — — $4,369.20 $15,686.75 $10,455.66 2026-03-23
143 APR_DRG Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses 4 4 — — $10,437.34 $10,437.34 $10,437.34 2026-03-23
70 MS_DRG Other Cerebrovascular Disorders With Mcc 12 6 — — $10,432.24 $10,825.23 $10,432.24 2026-03-23
864 MS_DRG Fever And Inflammatory Conditions 12 6 — — $6,552.09 $10,388.00 $10,388.00 2026-03-23
866 MS_DRG Viral Illness Without Mcc 12 6 — — $10,383.64 $10,383.64 $10,383.64 2026-03-23
27486 CPT Revise/replace Knee Joint 18 9 — — $10,345.02 $10,345.02 $10,345.02 2026-03-23
27125 CPT Partial Hip Replacement 18 9 — — $10,232.40 $10,232.40 $10,232.40 2026-03-23
58150 CPT Total Hysterectomy 13 8 — — $10,205.24 $17,745.49 $10,205.24 2026-03-23
27236 CPT Treat Thigh Fracture 18 9 — — $10,190.41 $10,190.41 $10,190.41 2026-03-23
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 12 6 — — $5,281.12 $10,175.67 $10,175.67 2026-03-23
27477 CPT Surgery To Stop Leg Growth 18 9 — — $10,171.88 $17,476.85 $10,171.88 2026-03-23
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 12 6 — — $7,947.27 $37,384.75 $10,152.39 2026-03-23
197 MS_DRG Interstitial Lung Disease With Cc 12 6 — — $10,148.16 $10,148.16 $10,148.16 2026-03-23
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 6 — — $10,003.64 $32,053.63 $10,003.64 2026-03-23
57180 CPT Treat Vaginal Bleeding 1 1 — — $9,945.85 $9,945.85 $9,945.85 2026-03-23
58552 CPT Laparo-vag Hyst Incl T/o 18 9 — — $2,086.25 $14,119.35 $9,940.62 2026-03-23
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $9,921.72 $9,921.72 $9,921.72 2026-03-23
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 12 6 — — $9,921.57 $9,921.57 $9,921.57 2026-03-23
572 MS_DRG Skin Debridement Without Cc/mcc 12 6 — — $9,820.04 $9,820.04 $9,820.04 2026-03-23
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 18 9 — — $9,632.93 $20,461.86 $9,632.93 2026-03-23
186 MS_DRG Pleural Effusion With Mcc 12 6 — — $9,629.53 $11,323.55 $9,629.53 2026-03-23
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 12 6 — — $9,621.10 $9,621.10 $9,621.10 2026-03-23
J0840 HCPCS Antivenin (Crotalidae) Polyvalent - Pow [ugh] 15 6 $15,350.40 $7,675.20 50% off $1,826.52 $13,047.84 $9,501.90 2026-03-23
445 MS_DRG Disorders Of The Biliary Tract With Cc 12 6 — — $7,556.40 $9,501.75 $9,501.75 2026-03-23
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 12 6 — — $6,539.98 $13,429.70 $9,361.92 2026-03-23
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 12 6 — — $5,622.62 $12,891.67 $9,340.08 2026-03-23
187 MS_DRG Pleural Effusion With Cc 12 6 — — $9,334.79 $9,334.79 $9,334.79 2026-03-23
29999 CPT Unlisted Px Arthroscopy 1 1 — — $9,311.73 $9,311.73 $9,311.73 2026-03-23
71 MS_DRG Other Cerebrovascular Disorders With Cc 12 6 — — $7,058.67 $9,263.55 $9,263.55 2026-03-23
378 MS_DRG Gastrointestinal Hemorrhage With Cc 12 6 — — $6,710.73 $24,596.34 $9,258.92 2026-03-23
J1930 HCPCS Lanreotide 60 Mg/0.2 Ml Sol 18 9 $21,916.80 $10,958.40 50% off $35.39 $18,629.28 $9,256.56 2026-03-23
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 12 6 — — $6,429.78 $15,179.47 $9,160.12 2026-03-23
291 MS_DRG Heart Failure And Shock With Mcc 12 6 — — $8,338.91 $14,147.20 $9,133.13 2026-03-23
J0717 HCPCS Certolizumab 200 mg/ML Kit [ugh] 15 6 $14,716.20 $7,358.10 50% off $3.87 $12,508.77 $9,109.33 2026-03-23
23472 CPT Reconstruct Shoulder Joint 18 9 — — $7,162.89 $17,897.15 $9,069.32 2026-03-23
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 12 6 — — $1,744.20 $11,492.71 $9,058.22 2026-03-23
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 14 6 — — $9,036.47 $18,549.60 $9,036.47 2026-03-23
23630 CPT Optx Gr Hmrl Tbrs Fx Int Fix 18 9 — — $8,993.46 $15,452.15 $8,993.46 2026-03-23
189 MS_DRG Pulmonary Edema And Respiratory Failure 4 4 — — $8,270.16 $9,141.47 $8,977.28 2026-03-23
J2323 HCPCS Natalizumab 300 Mg/15 Ml IV Conc [ugh] 18 9 $21,187.20 $10,593.60 50% off $24.51 $18,009.12 $8,948.42 2026-03-23
914 MS_DRG Traumatic Injury Without Mcc 12 6 — — $8,913.37 $8,913.37 $8,913.37 2026-03-23
884 MS_DRG Organic Disturbances And Intellectual Disability 12 6 — — $8,905.35 $8,905.35 $8,905.35 2026-03-23
224 APR_DRG Peritoneal Adhesiolysis 3 3 — — $8,903.90 $8,903.90 $8,903.90 2026-03-23
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 14 6 — — $8,882.75 $8,882.75 $8,882.75 2026-03-23
196 MS_DRG Interstitial Lung Disease With Mcc 12 6 — — $8,860.92 $8,860.92 $8,860.92 2026-03-23
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 14 6 — — $6,604.61 $17,316.51 $8,840.12 2026-03-23
69 MS_DRG Transient Ischemia Without Thrombolytic 12 6 — — $5,698.56 $8,807.75 $8,807.75 2026-03-23
27535 CPT Treat Knee Fracture 18 9 — — $8,799.04 $14,225.56 $8,799.04 2026-03-23
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 12 6 — — $5,487.37 $8,787.59 $8,787.59 2026-03-23
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 12 6 — — $8,782.24 $8,782.24 $8,782.24 2026-03-23
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 12 6 — — $8,762.17 $8,762.17 $8,762.17 2026-03-23
149 MS_DRG Dysequilibrium 12 6 — — $8,733.76 $8,733.76 $8,733.76 2026-03-23
644 MS_DRG Endocrine Disorders With Cc 12 6 — — $8,714.56 $8,714.56 $8,714.56 2026-03-23
292 MS_DRG Heart Failure And Shock With Cc 12 6 — — $6,002.00 $8,688.65 $8,688.65 2026-03-23
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 12 6 — — $8,497.84 $51,939.54 $8,678.78 2026-03-23
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 12 6 — — $5,172.53 $8,651.94 $8,651.94 2026-03-23
792 MS_DRG Prematurity Without Major Problems 12 6 — — $892.50 $8,620.81 $8,620.81 2026-03-23
916 MS_DRG Allergic Reactions Without Mcc 12 6 — — $8,618.73 $8,618.73 $8,618.73 2026-03-23
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 12 6 — — $5,684.00 $8,594.71 $8,594.71 2026-03-23
56 MS_DRG Degenerative Nervous System Disorders With Mcc 12 6 — — $8,578.58 $8,578.58 $8,578.58 2026-03-23
27870 CPT Fusion Of Ankle Joint Open 18 9 — — $8,576.42 $12,274.21 $8,576.42 2026-03-23
24516 CPT Treat Humerus Fracture 18 9 — — $8,548.22 $8,548.22 $8,548.22 2026-03-23
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 12 6 — — $8,534.85 $10,527.55 $8,534.85 2026-03-23
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 12 6 — — $6,111.39 $8,518.47 $8,518.47 2026-03-23
19307 CPT Mast Mod Rad 18 9 — — $8,514.57 $8,514.57 $8,514.57 2026-03-23
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 12 6 — — $5,794.26 $8,512.56 $8,512.56 2026-03-23
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 2 2 — — $6,921.64 $10,060.30 $8,490.97 2026-03-23
315 MS_DRG Other Circulatory System Diagnoses With Cc 12 6 — — $6,604.19 $8,487.46 $8,487.46 2026-03-23
43281 CPT Lap Paraesophag Hern Repair 18 9 — — $8,427.25 $12,563.18 $8,427.25 2026-03-23
J0597 HCPCS C1 Esterase Inhibitor, Human 500 Intl Units Kit [ugh] 15 6 $13,512.00 $6,756.00 50% off $75.86 $11,485.20 $8,363.93 2026-03-23
755 MS_DRG Malignancy, Female Reproductive System With Cc 12 6 — — $8,345.13 $8,345.13 $8,345.13 2026-03-23
638 MS_DRG Diabetes With Cc 12 6 — — $6,329.68 $21,604.09 $8,336.41 2026-03-23
948 MS_DRG Signs And Symptoms Without Mcc 12 6 — — $5,607.42 $8,286.49 $8,286.49 2026-03-23
394 MS_DRG Other Digestive System Diagnoses With Cc 12 6 — — $6,630.22 $17,434.99 $8,266.33 2026-03-23
24515 CPT Treat Humerus Fracture 18 9 — — $8,251.39 $8,251.39 $8,251.39 2026-03-23
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 12 6 — — $5,970.02 $28,797.03 $8,223.26 2026-03-23
43280 CPT Laparoscopy Fundoplasty 18 9 — — $6,644.40 $8,217.74 $8,217.74 2026-03-23
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 12 6 — — $8,210.38 $8,210.38 $8,210.38 2026-03-23
637 MS_DRG Diabetes With Mcc 12 6 — — $8,141.36 $10,692.06 $8,141.36 2026-03-23
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 12 6 — — $4,600.35 $8,140.60 $8,140.60 2026-03-23
28505 CPT Treat Big Toe Fracture 36 9 — — $8,131.17 $10,173.88 $8,131.17 2026-03-23
58550 CPT Laparo-asst Vag Hysterectomy 18 9 — — $7,574.20 $15,073.05 $8,127.39 2026-03-23
23615 CPT Optx Prox Humrl Fx W/int Fix 18 9 — — $8,126.34 $12,281.17 $8,126.34 2026-03-23
23412 CPT Repair Rotator Cuff Chronic 18 9 — — $6,683.02 $8,098.02 $8,098.02 2026-03-23
32652 CPT Thoracoscopy Rem Totl Cortex 13 8 — — $8,061.90 $8,061.90 $8,061.90 2026-03-23
380 APR_DRG Skin Ulcers 4 4 — — $8,054.43 $8,054.43 $8,054.43 2026-03-23
33208 CPT Insrt Heart Pm Atrial & Vent 36 9 — — $8,054.23 $10,189.02 $8,054.23 2026-03-23
24345 CPT Repr Elbw Med Ligmnt W/tissu 18 9 — — $7,990.18 $12,920.80 $7,990.18 2026-03-23
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 2 2 — — $6,900.61 $8,997.86 $7,949.24 2026-03-23
24685 CPT Treat Ulnar Fracture 18 9 — — $6,687.02 $7,881.44 $7,881.44 2026-03-23
J0881 HCPCS Darbepoetin Alfa 300 Mcg/0.6 Ml Inj Sol [ugh] 28 9 $11,147.52 $5,573.76 50% off $3.02 $15,792.59 $7,845.07 2026-03-23
27726 CPT Repair Fibula Nonunion 18 9 — — $7,834.34 $7,834.34 $7,834.34 2026-03-23
33207 CPT Insert Heart Pm Ventricular 36 9 — — $7,815.97 $10,189.02 $7,815.97 2026-03-23
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 12 6 — — $7,813.74 $19,399.53 $7,813.74 2026-03-23
25607 CPT Optx Dst Rd Xartc Fx/epi Sep 18 9 — — $7,784.20 $11,764.56 $7,784.20 2026-03-23
58554 CPT Laparo-vag Hyst W/t/o Compl 18 9 — — $7,781.45 $14,119.35 $7,781.45 2026-03-23
58291 CPT Vag Hyst Incl T/o Complex 18 9 — — $7,772.49 $7,772.49 $7,772.49 2026-03-23
25609 CPT Optx Dst Rd Xart Fx/ep Sep3+ 18 9 — — $6,822.65 $11,283.81 $7,747.65 2026-03-23
540 MS_DRG Osteomyelitis With Cc 12 6 — — $7,283.97 $9,002.46 $7,739.69 2026-03-23
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 12 6 — — $7,725.27 $7,725.27 $7,725.27 2026-03-23
153 MS_DRG Otitis Media And Uri Without Mcc 12 6 — — $7,711.77 $7,711.77 $7,711.77 2026-03-23
58260 CPT Vaginal Hysterectomy 18 9 — — $7,702.26 $11,121.31 $7,702.26 2026-03-23
812 MS_DRG Red Blood Cell Disorders Without Mcc 12 6 — — $6,422.83 $12,608.20 $7,702.23 2026-03-23
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 12 6 — — $5,895.08 $7,683.56 $7,683.56 2026-03-23
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 12 6 — — $4,991.31 $8,730.13 $7,680.65 2026-03-23
27524 CPT Treat Kneecap Fracture 18 9 — — $6,822.66 $7,674.29 $7,674.29 2026-03-23
27176 CPT Treat Slipped Epiphysis 18 9 — — $7,665.15 $11,510.49 $7,665.15 2026-03-23
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 14 6 — — $6,701.87 $13,134.39 $7,664.01 2026-03-23
58262 CPT Vag Hyst Including T/o 18 9 — — $4,700.86 $11,248.29 $7,646.61 2026-03-23
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 12 6 — — $7,610.31 $7,610.31 $7,610.31 2026-03-23
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 12 6 — — $5,813.51 $7,603.37 $7,603.37 2026-03-23
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 12 6 — — $7,049.84 $7,597.91 $7,597.91 2026-03-23
J3111 HCPCS Romosozumab 105 Mg/1.17 Ml Sol 76 9 $12,017.96 $6,008.98 50% off $12.11 $10,725.96 $7,581.57 2026-03-23
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 12 6 — — $7,019.16 $7,578.00 $7,578.00 2026-03-23
33227 CPT Remove&replace Pm Gen Singl 18 9 — — $7,572.59 $7,910.59 $7,572.59 2026-03-23
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 14 6 — — $7,157.50 $14,277.25 $7,559.69 2026-03-23
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 12 6 — — $5,760.14 $12,247.94 $7,534.18 2026-03-23
69620 CPT Myringoplasty 18 9 — — $5,631.90 $13,577.90 $7,525.62 2026-03-23
33228 CPT Remv&replc Pm Gen Dual Lead 18 9 — — $7,498.80 $9,982.78 $7,498.80 2026-03-23
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 12 6 — — $7,479.31 $7,479.31 $7,479.31 2026-03-23
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 12 6 — — $7,449.42 $12,725.72 $7,449.42 2026-03-23
801 MS_DRG Splenic Procedures Without Cc/mcc 12 6 — — $7,432.53 $7,432.53 $7,432.53 2026-03-23
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 12 6 — — $7,432.44 $7,432.44 $7,432.44 2026-03-23
241 MS_DRG Peptic Ulcer And Gastritis 4 4 — — $7,373.78 $7,373.78 $7,373.78 2026-03-23
C1785 HCPCS 407145 Edora 8 Dr-t 169 8 $12,203.02 $6,101.51 50% off $683.23 $19,634.78 $7,354.68 2026-03-23
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 12 6 — — $3,456.40 $7,406.03 $7,301.50 2026-03-23
J0256 HCPCS Alpha 1-proteinase Inhibitor Human Pow 18 9 $17,244.48 $8,622.24 50% off $5.37 $14,657.81 $7,283.20 2026-03-23
92 MS_DRG Other Disorders Of Nervous System With Cc 12 6 — — $7,282.80 $7,282.80 $7,282.80 2026-03-23
J1306 HCPCS Inclisiran 284 Mg/1.5 Ml Sol 36 9 $17,221.14 $8,610.57 50% off $12.69 $14,637.97 $7,273.35 2026-03-23
639 MS_DRG Diabetes Without Cc/mcc 12 6 — — $4,137.86 $7,272.64 $7,272.64 2026-03-23
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 12 6 — — $7,266.02 $8,321.04 $7,266.02 2026-03-23
Q5119 HCPCS riTUXimab Pvvr 10 mg/ML Sol 18 9 $17,203.20 $8,601.60 50% off $13.27 $14,622.72 $7,265.77 2026-03-23
25400 CPT 25400 Repair Radius Or Ulna 16 7 $12,162.00 $6,081.00 50% off $1,860.06 $10,337.70 $7,237.35 2026-03-23
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 12 6 — — $1,582.17 $10,905.85 $7,206.84 2026-03-23
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 12 6 — — $7,183.65 $8,845.15 $7,183.65 2026-03-23
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 12 6 — — $6,416.95 $7,169.41 $7,169.41 2026-03-23
C1786 HCPCS Pacer Advisa Sr MRI Surescan Single 26 8 $10,773.81 $5,386.91 50% off $1,448.44 $9,485.68 $7,146.94 2026-03-23
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 12 6 — — $5,268.87 $9,996.32 $7,133.99 2026-03-23
388 MS_DRG Gastrointestinal Obstruction With Mcc 12 6 — — $7,113.11 $10,141.65 $7,113.11 2026-03-23
Q0222 HCPCS Bebtelovimab 175 Mg/2 Ml Sol 10 5 $10,080.00 $5,040.00 50% off $4,032.00 $8,568.00 $7,093.80 2026-03-23
101 MS_DRG Seizures Without Mcc 12 6 — — $6,890.66 $7,088.22 $7,088.22 2026-03-23
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 12 6 — — $7,064.00 $7,064.00 $7,064.00 2026-03-23
C1764 HCPCS Assert Iq 3+ 26 8 $10,395.00 $5,197.50 50% off $1,422.23 $9,001.50 $7,017.60 2026-03-23
53854 CPT Trurl Dstrj Prst8 Tiss Rf Wv 18 9 — — $3,298.61 $12,056.40 $6,972.62 2026-03-23
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 12 6 — — $6,918.36 $6,918.36 $6,918.36 2026-03-23
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 12 6 — — $2,658.25 $6,850.52 $6,850.52 2026-03-23
J1437 HCPCS Ferric Derisomaltose 100 mg/ML Sol 36 9 $16,200.00 $8,100.00 50% off $22.83 $13,770.00 $6,842.07 2026-03-23
72 MS_DRG Other Cerebrovascular Disorders Without Cc/mcc 12 6 — — $6,782.73 $15,107.06 $6,782.73 2026-03-23
303 MS_DRG Atherosclerosis Without Mcc 12 6 — — $6,778.56 $6,778.56 $6,778.56 2026-03-23
683 MS_DRG Renal Failure With Cc 12 6 — — $6,172.26 $26,874.07 $6,773.74 2026-03-23
645 MS_DRG Endocrine Disorders Without Cc/mcc 12 6 — — $5,767.46 $6,772.48 $6,772.48 2026-03-23
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 12 6 — — $6,769.73 $6,769.73 $6,769.73 2026-03-23
369 MS_DRG Major Esophageal Disorders With Cc 12 6 — — $6,722.88 $7,516.47 $6,722.88 2026-03-23
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 12 6 — — $6,720.53 $6,720.53 $6,720.53 2026-03-23
J0630 HCPCS Calcitonin 200 Intl units/ML Inj Sol [ugh] 106 8 $10,960.75 $5,480.38 50% off $903.99 $12,778.97 $6,685.66 2026-03-23
539 APR_DRG Cesarean Section With Sterilization 4 4 — — $4,660.76 $8,633.67 $6,670.28 2026-03-23
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 14 6 — — $2,069.60 $9,545.34 $6,670.10 2026-03-23
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 12 6 — — $6,665.19 $6,665.19 $6,665.19 2026-03-23
55873 CPT Cryoablate Prostate 36 9 — — $6,628.13 $11,523.11 $6,628.13 2026-03-23
921 MS_DRG Complications Of Treatment Without Cc/mcc 12 6 — — $6,602.97 $6,602.97 $6,602.97 2026-03-23
183 MS_DRG Major Chest Trauma With Mcc 12 6 — — $6,599.68 $6,599.68 $6,599.68 2026-03-23
423 APR_DRG Inborn Errors Of Metabolism 4 4 — — $6,598.96 $6,598.96 $6,598.96 2026-03-23
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 11 6 — — $6,587.91 $6,587.91 $6,587.91 2026-03-23
444 MS_DRG Disorders Of The Biliary Tract With Mcc 12 6 — — $6,548.95 $11,154.77 $6,548.95 2026-03-23
426 APR_DRG Non-hypovolemic Sodium Disorders 4 4 — — $6,536.26 $6,536.26 $6,536.26 2026-03-23
603 MS_DRG Cellulitis Without Mcc 16 9 — — $844.72 $13,740.25 $6,529.85 2026-03-23
42415 CPT Excise Parotid Gland/lesion 18 9 — — $5,444.86 $6,473.62 $6,473.62 2026-03-23
29806 CPT Sho Arthrs Srg Capsulorraphy 18 9 — — $6,449.38 $9,090.84 $6,449.38 2026-03-23
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 12 6 — — $6,438.68 $6,438.68 $6,438.68 2026-03-23
24342 CPT Repair Of Ruptured Tendon 18 9 — — $6,414.74 $13,492.43 $6,414.74 2026-03-23
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 12 6 — — $6,406.73 $6,406.73 $6,406.73 2026-03-23
49595 CPT Rpr Aa Hrn 1st > 10 Rdc 18 9 — — $5,986.60 $6,353.57 $6,353.57 2026-03-23
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 12 6 — — $6,323.60 $19,917.60 $6,323.60 2026-03-23
27385 CPT Repair Of Thigh Muscle 18 9 — — $5,466.63 $6,957.52 $6,305.72 2026-03-23
23515 CPT Optx Clavicular Fx W/int Fix 18 9 — — $6,295.87 $12,623.20 $6,295.87 2026-03-23
188 MS_DRG Pleural Effusion Without Cc/mcc 12 6 — — $6,292.86 $6,292.86 $6,292.86 2026-03-23
49507 CPT Prp I/hern Init Block >5 Yr 18 9 — — $3,368.00 $7,449.85 $6,283.40 2026-03-23
19342 CPT Insj/rplcmt Brst Implt Sep D 18 9 — — $6,242.41 $6,242.41 $6,242.41 2026-03-23
29888 CPT Knee Arthroscopy/surgery 36 9 — — $6,232.66 $13,051.27 $6,232.66 2026-03-23
J2182 HCPCS Mepolizumab 100 mg/ML Sol 18 9 $14,755.58 $7,377.79 50% off $31.89 $12,542.24 $6,232.02 2026-03-23
393 MS_DRG Other Digestive System Diagnoses With Mcc 12 6 — — $6,210.31 $6,210.31 $6,210.31 2026-03-23
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 12 6 — — $6,202.55 $6,202.55 $6,202.55 2026-03-23
49521 CPT Rerepair Ing Hernia Blocked 18 9 — — $6,201.43 $6,201.43 $6,201.43 2026-03-23
597 MS_DRG Malignant Breast Disorders With Mcc 12 6 — — $6,193.98 $6,193.98 $6,193.98 2026-03-23
11646 CPT Exc F/e/e/n/l Mal+mrg >4 Cm 18 9 — — $6,170.60 $6,170.60 $6,170.60 2026-03-23
389 MS_DRG Gastrointestinal Obstruction With Cc 12 6 — — $3,025.98 $6,166.73 $6,166.73 2026-03-23
185 MS_DRG Major Chest Trauma Without Cc/mcc 12 6 — — $6,159.25 $6,159.25 $6,159.25 2026-03-23
24341 CPT Rpr Tdn/musc Upr A/e Each 18 9 — — $6,137.44 $7,679.28 $6,137.44 2026-03-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 4 — — $6,109.10 $6,109.10 $6,109.10 2026-03-23
90376 CPT Rabies Immune Globulin, Human 150 Intl units/ML Sol 165 6 $9,799.16 $4,899.58 50% off $352.44 $13,885.26 $6,065.68 2026-03-23
J0897 HCPCS Denosumab 120 Mg/1.7 Ml Sol 114 9 $9,002.08 $4,501.04 50% off $29.46 $9,597.18 $6,065.65 2026-03-23
25447 CPT Arthrp Ntrcrp/crp/mtcr Ntrps 18 9 — — $3,082.13 $6,060.28 $6,060.28 2026-03-23
38589 CPT Unlisted Laps Px Lymphtc Sys 18 9 — — $6,053.35 $6,053.35 $6,053.35 2026-03-23
200 MS_DRG Pneumothorax With Cc 12 6 — — $6,046.55 $8,116.05 $6,046.55 2026-03-23
52356 CPT Cysto/uretero W/lithotripsy 36 9 — — $4,850.61 $10,419.05 $6,045.40 2026-03-23
49594 CPT Rpr Aa Hrn 1st 3-10 Ncr/strn 18 9 — — $5,569.47 $6,036.05 $6,036.05 2026-03-23
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 12 6 — — $4,268.27 $6,023.56 $6,023.56 2026-03-23
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 12 6 — — $4,760.72 $9,247.10 $5,987.45 2026-03-23
52353 CPT Cystouretero W/lithotripsy 18 9 — — $4,953.31 $10,985.40 $5,966.14 2026-03-23
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